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HomeMy WebLinkAbout1818 HUMMINGBIRD DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO, ��� DATE /-e / - 90 LOT NO. /4ct ADDRESS / frK #c :22 /E2t- The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (be-ehe-they) (tine-Oe were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BY %la Purcl:Irr 7 / BY ezt-E---10 Developer and/or authorized representative BY Lender CT ADDRESS: UNIT: OWNER'S NAME: 181E HUMMINGBIRD DR CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065512 ADDREss: JOHNSON, T ROGNESS JR TR 1818 HUMMINGBIRD DR PERMIT NO: B 065519 PLAN CHECK NO: N GOVT : N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: UNIT: REC.NO.: ADDRESS: JOB DESCRIPTION : T/O REROOF W/ CAL SHAKES SQ FT: 11, 250 PERMITTEE: CLAIM VALUE: 11 , 250 . 00 CALL—VALUE: 11 , 250 . 00 GROUP OCC : R-3 / ADDRESS: SAFE—WAY ROOFING COMPANY ( 310 ) 494-7199 2890 CALIFORNIA AVE COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B .C. dt iof:IC� �pr' �Ormiao ***************************************************************************a6*** LICENSED CONTRACT AT 1 ere y affirm that am licensed uncle rorce ns o miaow 9(commencing with Section 70001 01 Division 3 of the Business and Professions Code.and my license is in lull force and effect. Z O N I N G REQUIREMENTS 51'; LI .: 0546 STATE LIC.: SETBACKS 479634 C— 9 'Date: 1- . 19.7; Signature: _ MAIN BUILDING ACCESSORY BUILDING w KERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sett-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ompensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT ' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICYNO.: NWC22661501 EXP.DATE: 10/28/94 cOMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL : 13960114 ZNE: REF NO: Certified copy is hereby furnished. 14 Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: ******************************************************************************* ON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be ca pleted if the permit is for one hundred(x100)or less). D E V E. L O P 'M E N T S E R V I C E S R E Q U I R E M E N T S certify at in the performance of the work for which this permit is issued.I shall not toy any person in any manner so as I0 become 1 subjgct . the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE: Date: 2-2- Signature: 'TICE:If,atter making this declaration,you should become bleat to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: 4ode.you must forthwith comply with such provisions or this permit shall be deemed revoked. ricLENDING AGENCY: hereby affirm that there is a construction gentling agency for the performance o1 the work for APPLICATION ISSUED B Y: DATE: © 1 i whichh this this permit it is issued(Section 3097.Civ.C). ,��x••��***���,** LESS; *********************************************************************** ******* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION; I hereby al firm that lam exempt from the Contractors'State License Law for the following reasonBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES' GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 135 . 00 1 . 1r pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON.—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the properly or my employees with wages as (heir sole compensation, will do the work, and the BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 136 . 13 0 . 00 0 . 0 0 136 . 13 136 . 13 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.II, however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 136 . 13 ON/EEC/SHORT: - . 00 tor the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 135 . 00 1 . 1 3 ,.r ❑ and Professions Code: The Contractors'state License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant Io the Contractors'State License Law).I am aware **,*•**,******,**************,**************,***,***,***********,************ ********,* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.8 P.C. I N D I V I D U A L F E E B R E A K D^ O%s'W N for this reason: TYPE QTY , DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 11250 REROOF BY VALUE RESIDENTIAL NOZ ONE 1 00 . 11 , 250 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES r permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from r a these provisions. yi Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby author''ae representatives of this city to enter upon the above-mentioned .ror.rly for inspection purposes. / s Da /". �7-7 Signature� 3 / .ems031 TOT 13.6.1: Driver's License or Social Security a; 01 0DATE!4153030-001_7O1,D3i44 TIME: ]o:16 1641-46 Whim—Budding;Green—Code Enforcement;Canary—Apphcam:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING i POOL & SPA 1 AP?ROVALS Permits Date Inspector APPROVALS Permit .'-• Onto Irspector ' 1. Tanperary Electrical Service Jr Pole 52. Pool & Equipment Location • 2. So ' Pier Undrgrnd._ 53. Steel Reinforcernent - I 3' Ernctcal CondiriT.LCt4tY•L'r:'rgr M.: 56. Forms_ _ -_ -_ -? cKc.-,c ' Co.nd.jRJTrlrgrnrl. I 155. Er ctr.cu' Hond.ng I ; :;:3tce: 1. .nforcera4LiCI 56. Rough Plumbing & Pressure Tast ! -.6 E.!>.7:a t:: LIFER G7nd. 57. APPROVAL TO COVPR GUNITE ! i r; Footings _: 58. Eiectrical Conduit-Undrgrnd. ' . 8: fou^dct'on _ i•• 1 59. Ga, P pe, Lndrgi , -rust --- S< e---- - I -. I ' ; • 14Le�t . , er F pe-Unorgrnd. '•I 60. B'derasn Lines, P•Tr::p. , 'U^d.r.rd i OUP Str.ict.•.4 Floor System . - I 61 . t°PHOVAL TO DECK ! I ':i -_rcp.i,y Srwxr tine& Flou•:e,l',onne Gtion -Tj _ �__ ____ ___ ___ `y 62 CIC:::d:r & Peuep-o• Fr.il -- i 12�. Sura Cv? • - - - ----- I - I 1f-_ -_ -Y _-- - _ 63. linatur & Vent-Final ----- __-- - 12. Poi+ D:L'ns i 64. Plumnmg System ' Fmel I 4._._Dore- '' um:er.q -- - 165. L _et'ica:-Fiiral - - I-- y-- 4-- ' 'i5 c�•„j' E,tctrical-Conou.t i 1 I 66. Solar System Fi0a' '6. Ro:a' ElectricWiring I 67. Pence +.g & Access Artprovai 17, Rai.g'n PJ:ring Sign I 68. APPROVED FOR PLASTERING II 'q R r._y'' Fleetrrai'T Bar Dr'i.rc I 69. POOL/SPA SYSTEWS FINAL I 0 J,, 9. 4i. ,ing& Arr Cir , U 'u.''i'. 'r EiC LSE DEPT. REQUIR ':,E -t I .r---- I e. ' -.j'' - k-er ; `,4" ' , - - : /.'°ROVA,7.' . -_ Perms .: 21 .:: c' 9 Structure ----_ - _ - _ . i0. lh'c� -1LIc1 u c ',- - - - -1- �.- t-i- -- r'+ , 22. I) tr "yntMating . 71. Product ?R.nu l7 Oe..,, ..Oil .-. S.. -k .(� --- -- --- - ' - 1 2J C- . I'.p ^ougi & test __ r 'I 72. Ur.dt I mound,F uct- _ __ _Ti --I 74 S-.f ;m r -.d.:- •rid;Scor an.. 7G: : 0:• -- - - ^� -r ! __♦ 1.13. .T;. uyY .` T g l;7-4y_- 664. ,.; i, dr,. I 71. 8 r L' .g !Stru;tu a i:onw uati • - I Ti fir i:' .. re • - - 27. i 1'23l'Ipnriq -f-_' 176 Dry »J- _ _. _ ._ . 1J = I _..,.r -_ -- - - -i- - _- . c.,_, 28. .etl1 'Sdn9 - - y .I i7 F!XI'D S;STEV'T-ftJAL ' 'II r''-- - - - -' -a r. r-- ...12,7:___-7.- 7- -14- -- !- -- - -- J. ` •. . uti - -1t.--•-i 78.-iEINE uRc�r I".^'hL -- - -- - '-- --- - - -_ -- --- - �r----- -- 'j---- --r- - -- - ---- 1- - . • i rrc:t _ ;j. '..ng . ' I 1 - 14«A_THJEP-i RuclnFEP..:E - . -__ ., , - c.n Cant.• __ _i_ o� - _ __ .-- _. _ __ __ • i '2 'Erin rrcr7er :starer't:ra. i ' 7 ::'89. li•..,U Ci1'i-I?,'- SUN ) 1 _ - I 32. L•i«..( ti,ctnr._ _ :: .iNov I I i a5..P n,r: G °:pe-Test 1 - - - ISE it .j. -4 -"Joy - - n _ I I r - - } r t i - - I ,17. Nr al: ctory Fireyt'gci' .` - ! 'r' r38. F ria: Plumbing _ '- �- -rx I : - - sem -- I 3: •.tufa S^vire•Finai' 1 -� �- _ -' , EL. `7 .c .'.o:: Presenter - I. .13. Hac!:flc: trn52tion --- -- - -- ;r". i .:-,4::,,...:,:, Iii lgdtion 5Y'ilt'm _ , . • .riJ l[ccaatlpn ' : �.,i_ - 0 'f'Y:_:''Ri-.£TU^ & EUILDI�.'C 1 12 ;r1/(1 &L(Jpe"i_S' $,O/e----_... at t- - ----- f :8 :LVr,'\LrcANNINGr , I --- -- -- -- I4 !- . is--- • • -jC. r6!�rnc 4rlease to Edison __ _ I I11_5C 2.;,c elzlse to Southern Calrfp•nia.Gas Co I I - L, - • - -- - ----- _i art. C`fall CATE OF gCCUPANCY- --I' { ---'�� -.` - - -------- IN '- - -- - Date 1 OWNER JOHNSON. MR. DATE 4-27-70 JOB ADDRESS 1818 Hummingbird Drive BUILDING PERMIT NO. 31732 ' ‘`GENERAL CONTRACTOR R. Mc Cormick Const. DESCRIPTION of WORK Community Block Wall_ JAP No. - LOT 14 TRACT 6757 FIRE ZONE VALUE $506.00 \^'\INSPECTIONS Signature Date GROUP I TYPE ITT ZONE R-1 `V SOIL SUBCONTRACTOR PERMITS ISS ED VVVGAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER n ROUGH WIRING / Heating and Vent. TRENCHES 0 FORMS n STEEL REINF. [3 /J . C. 4154 0 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST in LECTRIC, BUILDING, FINAUI G/ �CYTItr .c€ AW (0/(//1) PAIL, (I****1,6.00 COSTA MESA BUILDING-SAFETY DEPARTMENT APR 27-7GLp$t 001546 v P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI\I ,fDA7 RECEIVED Ewer 1 BUILDING G , f7EI2L $$UL/ j ADDRESS /� CL --,,,,07,-,-,9 j �iJ , PERMV-114214,.... OWNER "77.02. /92.4 S O I1/4.SG 0.----. A.P. NO. ���• 1.( i/_ �/J /� BUILDING MAIL ADDRESS �'GS' ///CS^/ ADDRESS /6i� 'yµ� Z / Wa U CITY NO. (�TEL. TRACT 75- LOT/I BLOCK ZZ Q CONSTRUCTION H NEW ADD ALTER REPAIR (MOVING DFMOLIS • u, LENDER O / a co { J D BRANCH rr,,,,,,��r �yy, � J CO OWNER ///^ - yy, , J m J ADDRESS ',I- AALUE •m ARCHITECT TEL. USE $ J Q OR ENGINEER NO. V Q FIRE 1 '/�L W CC ADDRESS ZONE TYPE II/ GROUP �( a w f/VV(((/// rn ' / APPROVED J Z CONTRACTOR INC- (n 2,n t C V� BY DATE CO Z / �/ �j JCC ADDRESS'Pin O &o T J w W ` TEL. ZON NO.OF USE OF NEW Cr CITY PLANS BUILDING ,,/ Z I- �P I55 /o''— U/t?0 NO. - � U�A�( LU O STAT CITY YARDS APPROVED YARDS APPROVED (n CL LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZENO.OF BLOC& OF LOT I NOW ON LOT FRONT FT. S FT. USE OF EXISTING BLDG. , R.SIDE FT. a FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. O FT. U EXTERIOR WALL ROOF /I , _ COVERING COVERING REAR FT. FT. / J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d ,f// �/7 MAIN BLDGS. ACCESS. BLOCS. Q /g . //64 2/ GG( 7// C U.P.# A APPROVED OAPPROVED /]dd '7 CQ BY f //i .-DATE A/'C 7- 2D it0 VI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F„ any person in violation of the workman's compensation laws of CO the State of California. (p ZSQ. FT. SI I hereby certify that I am properly licensed as a contractor under ti the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ai am exempt from the provisions of the State of California Business VALUATION and Professions Code, Divu 3,Chapt 9. to i �..[, PERMIT FEE $ Signature of i-� CDi -- 0 Permittee $ PLAN CHECK $ E a u. Authorized Agent TOTAL FEE $ i DWNER JOHNSON. JR. . T. R. DATE 10-2-70 JOB ADDRESS 1818 Hummingbird Drive BUILDING PERMIT NO. 32307 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Add Patio Cover to Res. AP No. 139-601-14 LOT 14 TRACT 6757 FIRE ZONE VALUE $1.000.00 4 INSPECTIONS Signature Date GROUP J TYPE TV ZONE R-1 SOIL SUBCONTRACTOR Ir PERMITS ISSUED GAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. fl SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER fl ROUGH WIRING Heating and Vent. TRENCHES p FORMS fl STEEL REINF. /O/3/]j) FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL y�{,}�� RIIILDING. FINAL MaA ( it),(/-� / 4 2307OCT -5-70CM54.00 085 d****10.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely �,V BUILDING u/ ,/ ('�/j, '/ t �/p /11 : ' R jJ/ B J0_2-DATE 7qCEIVED 1 DATE 1-7O ADDRESS IA LAA!/�/HM/K�U� /F.�O E.YC/vs.. � �� �J / rl/ /RO�'•j<'/7D OWNER-7;1j Luu, (/L/SCA- 4)) 2JI✓�K� A.P.NO. /�Q/-e/pC����'/�L .a(I NO MAIL f/ /�N/in//�N/.e03 Ol. ADDRE S//? �O 1C1H/ /2272 ? "�! 4' Z ADDRESS / j� AA ...yyy /NF// 0_U CITY !f}5?t A//Lr✓J NQ5�7 TRACT A/ A LOT BLOCK Z (( / Z C CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DEMOI ISH Q LENDER 1� Oc J O BRANCH —_ J to OWNER Q 11J ADDRESSSE ! 1�Y)0R9'I �]fF`. ----- CO J • / VALUE ✓ ad J m ARCHITECT U// TEL. SE Li $ / N OR ENGINEER/C.071-1- K/�L7ZVP4CN NO.t -7 _ Z ZONE TYPE GROUP FIRE I Q y wCC ADDRESS fag , �y.--_ SA a.Lyw Z I nn APPROVED re q m0 CONTRACTORt_.2 /yrM/GA' (IA/S?P . BY // e ATE /0-2-70 Z pps l J K ADDRESS P//. Rex k' 1967 OR/9/VG/r ��� UJ W TEL TEL. ZON NO.OF USE OF N L//��� O= //77 r PLANS a,? BUILDIN Z H CITY O/209/v G NO.S �' i / 'tel 1. et, W O STATECITY YARDS APPROVED YARDS APPROVED N 2 LIC. NO. /93/aa LIC. NO. (20735 MAIN BUILDING _ ACCESSORY BUILDING O O (FROM CIL ST4E ) SIZEr f NO.OF BLDGS. OF LOT /o. . %7O I NOW ON LOT / FRONTeMith FInt„.404 FT. USE OFi � {/� //(Y EXISTING BLDG. � B,SIDE 02_3 FT. FT. SIZE OF NO.OF f •y 2 NEW BLDG. ✓/�/�� ROOMS STORIES L.SIDE // FT. FT. (a.) EXTERIOR WALL /� ROOF 1 7�j _ COVERING /V/� COVERING REAR ,=2,{ FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLOCS. ACCESS BLOCS. gC 0 /97,-!409 (Cp0C./-// %C rC/209li C.U.P.# APPROVED I- APPROVED (n _ELY f1ATF ;1/9-- _I- 70 z 0 UI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ F„ any person in violation of the workman's compensation laws of CO the State of California. to zI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that s • . ses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: cc am exempt from th- provisio s of the- -f California Business VALUATION and Professions Co•e, Divisio / /e9• ,e�t co aO PERMIT FEE $ o-o D Signature of /,'s m Permittee .r� I. ` $ 0� PLAN CHECK $ E 0 Authorized Agent / u. TOTAL FEE $ Or 29989 APR 17-69PnIBOO 894* ***1 71.00 COSTA MESA BUILDING-SAFETY DEPARTMENT cnsa P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A . APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC /E/D BV D /0.—FsJ=EDDAT SSyE BUILDING eKl I/ '- o b ADDRESS 1818 Hummingbird Drive /7-6f PERMIT NO. OWNER JAMAICA CONSTRUCTION COMPANY A.P.NO. ')0Q80 MAIL BUILDING ADDRESS /f�f//v Awa i4 J/fad r/'t Z ADDRESS P.O. Box 1967 iii TEL. O. 0 CITY Orange, Calif. 92668N0547595 TRACT 675 LoT 14 BLOCK Z • M NEW ADD ALTER I REPAIR , MOVING nFMISH /J O CONSTRUCTjQN LENDE R/f{•t-L�- 'LU t"d-C�LLJa_. iy-✓�I^�r^y . ' am co n J BRANCH / - J N "/�fL�A.. [�2,1.I'C ��QQ OWNER / " A' r m J ADDRESS Way CtL�t,01ae,/✓, 2 gap r{3 /� VALUE 35/o 1k ARCHITECT TEL USE ( i.Ot hi $ ✓J,0 D7 J < OR ENGINEER Kaltenbach No 478046 s ,/ " " Ww Q FIRE � 9- � ADDRESS 1823 E. 17th St S.A. ZONE ✓ TYPE VGROUP�� O. w APPROVED IL Jo CONTRACTOR JAMAICA CONSTRUCTION CO. PI-. . DATE Ca Jim ADDRESS P.O. Box 1967 W pi TEL. ZONE NO.OF USE OF NEMS1ngl fam. ZM CITY Orange, Calif. 92668N0.5475951 Rl PLANS 2 BUILDING Watt gar. W O STATE CITY YARDS APPROVED YARDS APPROVED to O LIC. NO. 193122 LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOCS. (FROM C/`STREET) OF LOT 70 x 105 I NOW ON LOT 0 FRONT ,./( 0 FT. �{ /� � 'ynFT. USE OF EXISTING BLDG. R.S� / i F/�.t-"M1 e.-0 L^-T"'-�T. F— SIZE OF NO.OF 2 NEW BLDG 2210 SQ- f BOOMS 10 STORIES 2 L.SIDE C FT. FT. UEXTERIOR WALL,, ROOF nL� • _ COVERING WO�StuCC COVERING WOOd REAR .} FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a single family residence MAIN BLOCS. ACCESS. BLOCS. 0- < Q VAR.+ DATE O with attached garage C.U.P.# APPROVED f— APPROVED ti PLAN 221-AR SY W. L. D. DAT 4-10-69 2 d O UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of N the State of California. B� / /r /� IcO'9 zI hereby certify that I am properly licensed es a contractor under dj ���D• FTS,/.//�/ '(O z/!/ Inez O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: cc am exempt from the provisions of the State of California Business VALUATION ��77 and Professions Code,Division 3,Chapter 9. a v co _ PERMIT FEE $ /,i Signature of ,y'� D to Permittee JAMAICA CONS Y" 9 ON COMPANs's ja97 PLAN CHECK $ 6- ,a a l i.0 /y LL Authorized A x/i/ .{� TOTAL FEE S /7/0