HomeMy WebLinkAbout924 JASMINE CIR - Building PermitsCITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0.
IAT NO, ��
annnFss �92�/� ��S
DATE 2-�-! /�
The developer of the above enti[led 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 agreemen:, acknowledges that
(he-she they (was o 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 wi[h 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 uncampleted condition.
BY /��.�`� '�o��%
' Purctiaser
( BY ��—i1��C�Z�C � C�u�9
Developer and/or authorized
representa[ive
�
BY /%CGeCC'er.� ���
Lender
, , -r ' � ,
CITY OF COSTA MESA
� BlIILDING p/Y1S10N �i„!
� ; � DEVELOPMENT SERVICES DEPARTMENT �
�• � PERMIT PERMIT NUMBER
��
B98-01445
(714) 754-5273 • Fax (714) 754-4856 P FAIR DR�VE, COSTA MESA, CA 92626
JobAddress: 924 JASMINECI
Suite:
Viciniry:
Parcel Nunmber: 41218306
npplicant: ROBERTS, LEE
Address:
BUILOING PERMIT
Zoning: R1 R1
. - Phone: 714-642-7222 .
Zip:
owner. PASKERIAN,'SUSAN ,
Address 924 JASfv11NE CIR '
, - ' . ' . ' Phone: . . . -.
" COSTA MESA,CA � � Zip: 92626 �
Comractor. LEE ROOFING OF COSTA MESA
Address: 01653 SUPERIOR AV
Status: ISSUED
Applied: OB/13I1998
Issued: OB/1311998
Phone:
COSTA MESA CA Zipi 92627 .
� ' � �icense: 349686 .
Arch / Eng : � � � �
�
Address: �i � � •
� . �Phone: �. ,
, Zip ,
License:
SCOPE OF PERMIT
. RECOVER EXIST CEDAR SHINGLES W/30LB FEIT AND 25 YR SHINGLES.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$99.75
$0.50
$0.00
$0.00
$0.00
$100.25
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front -0-0
PARKING Existin : o
NOTES:
Rear 0- 0
Rear 0•0
Re uired: 0
FEE SUMMARY �
PLANNING & ZONING
Left 0- 0
Left 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Righl 0- 0
Right 0- 0
sa,nso.00
$4,450.00
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned
tor a perlod of 180 days.
INSPECTIONS: In order for the work authorized undar this pertnit to be considered legal, such work must comply with all applicable codes, and all
required inspectlone end finel epprovel must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS'COMPENSATONDECLARA710N: �
I hereby eflirtn under pend�ry of per�ury one of Ihe lollovnng dec�arations:
❑ I heve end wlll mainteln e cetlificate of consant to setl-Insura tor workers' compensetlon, es proWtled br 6y sectlon 3700 ot the Lebor Cotle, tor the pertormence o1 t�e
work for whlch this pertnit is issued.
[�MSve end wlll meinteln workars' compensetion insurence, as required by section 3700 ot Ihe LeOor Code, for Ihe peAortnance of Ihe wotic for which this pertnit Is luued.
My workars' compe�setion�ence carriar end policy numbar ere: ��� C, l�
G �f
CaMer: � a � �r - Policy Number:
(71tls sectlon nsed not be �mplefetl !/ fhe permif is velued ef o�e hundred dollers ($100) or IessJ
❑ I certity that In the peAormence of the work for which ihis pertnit is issuetl, I shall not employ eny person in any manner so as to become subjact to the workers'
campensetlon lews of Cellfomie, egre hat if shoultl become sub�ed to the workers' compensetlon provislons of Sectlan 3700 of the Labar Code, I shell forthwith
these pr I s.
pl'� : F ALURErTO SE�� ERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPIOYDEF TO CRIMINAL� TIE��CIVI� E�P TOONE HUNDRED
T/qUSAND DOLLARE (5100.000), IN ADDITION TO TME COST OF COMPENSATION, DAMAGES A$ PqOVIDED FOFi IN SECf10N 3'!OB OF THE LABOR CODE, INTEREST, AND ATTORNEYS PEES.
LICENSED CONTRACTOAS DECLARATION:
1 hereby ettirtn Ihet I am Iicensed ur�Qa/.prg I s Cf�apter 9(wmmencing with Section 7000) oi DlWsion 3 oi the Business antl Protessions Cotle, end my license is In full
forca and eHect LJc. x S� 10 Class a
Con `s Signe re: � ate� �� —
CONSTRUCTION LENDING AGENCY:
❑ I hereby atfirm that there Is a consiruclion lending agency for the perfortnance of the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lentlers Name: LentleYs Atldress:
SlgnaNre:
Date:
OWNER-BUILDER DECWRATIONS:
I hereby aHlrtn ��et under penelry at perjury that I am EXEMPT FROM 7HE CONTRAC70RS LICENSE LAW lor Ihe fallowing reeson (Sec. 7031.5, Business end Profession5
Coda: Any ciry or counry which requires e pertnit to consiruct, alter, Improve, tlemolish, or repelr eny stmcture, pdor to its Issuance, also requires ihe appllcant for such permlt
to flle e slgned stelement Ihet he or she is Ilcensed pursuant to lhe provisions oi the Contractors LJcense Lew (Chepter 9(cammencing with Sectlon 7000) ol Divislon 3 af the
Business and Protessions Cotle) or that he or she is exempt theretrom and the basls tor the elleBed exemption. Any violation of Section 7031.5 by any applicant tor e permit
subJecis Ihe epplicant to e civil penelry of not more than five hunCred dollars ($500).):
❑ I, es owner oi ihe proPerry, or my employees with wages as their sole wmpensatlon, WILL DO TNE WORK, and the structwe is �ot intentletl or oXered for sele (Sec.
7044, Business end Professions Code: The Contrectars License Lew does not epply to en owner ot properry who builtls or improves thereon, and wha tloes such work
hlmseH or hereelf or thiough his or her own employees, providad Ihat such Improvements ere not intended or aHeretl for sale. If, however, ihe builtling or Improvement 19
soltl within one year o1 completian, the owner-bullder will have the hurtlen of proving thet he or she did nat �ulltl or improve far purposa ot sale.).
❑ I, as owner ot iha property, em EXCLUSIVEIY CONTRACTING WIiH LICENSED CONTRACTORS to wnsWct the project (Sac. 7044, Business and Protessions
Code: The cantractors �cense Law tloes nat eppty m en owner of property w�o bWltls or Improves Ihereon, end who contrecls for suc� project wlth e contrector(s)
license pursuant to �de Coniractors License Lews.).
❑ I am exempt untler sec. 8usiness and Professions Code lar this reason:
Signeture: Date:
Owner ID verifietl by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Vedficatlon o1 Ownarship by (type of document, i.e. - properry tax bill or deed):
DIVISION OF INUUSTRIAL SAFETY PERMR CEHTIFICA710N:
❑ I hereby certly thet no excevellon live (5) or more teet in tlapt� Into whlch e person Is requlred to tlescenQ wlll be matla in connection wflh work euthodzed by this
pertnit, end that no �ulltling structure, scettolding, falsework, or tlemolition or dismantling Ihereot, will be more Ihen thirty-six (36) feet high. (G�ep. 32, Grp 2, Art 2, Sec.
341, Tltle B, Cellfomie Administrative Cotle).
❑ As owner-bullder, I WIII not employ anyone to tlo work whiCh would requlre e permit trom Ihe Dlvislon ot Intlusinal Setery, as noted above, unless such person has e
permlt to do such wo� <<om the divlsion.
Signature: ' Date:
Division of IntlustAel Safery Pertnit Number:
CER7IFlCATE OF COMPLIANCE AND AIJTHORVA710N OF EMAV: I cenity under penelry ot pe(ury thet I heve read this application antl state Ihet the inlortnation given Is
correct. I egree to comply w�th all state laws and ciry ordinances releting to building constmction, end euthodze representatives of the Giry of Coste Mese to enter upon the
aDove-described property for inspection purposes. I agree not to occupy or allow occupency oi any 6uilding authonzed by this pertnit until final inspection.
FQQF,J, INSVE[TONTYPE
1616 Fixed System Fina� Fire Prevention
1268 Pool Spa Final
200 Flnel Re-Root
201 Final Black/Retaining Well
202 Finel Fectory Fire Place
203 FIna151gn
204 Finel Demolltlon �
2C48J6
ceg '� u�e�s
q —� liu.�d
�T /��`��
oe�a
�QQ[1 MSDEtt10NTYPE
206 Finel Mechanical
20B Finel Plumbing
zio Final Electrical
212 Final Fire Preveniion
220 Flnel Plenning Approval
222 Flnal Site
250 Finel BulldingiOccupancy
MC CLELLAND, ROBERT DATE
,� GENERAL CONTRACTOR 2T—E
�,
AP No. ].2-1 3— LOT
�INSPECTIONS
SOIL
GAS
WRTER
ROUGH PLUMBING
PROP. SWR. LINE ❑ MOUSE CON. �
SPRINKLING SVSYEM
MISCELLANEOUS
POUGH HEFTING AND AIR CONDITIONING
TEMPORAFY SERVICE OR POLE
UNOERGROUN� a POWER �
ROUGH WIRING
TRENCHES i0RM5 STEEL REINF.
FLOOR SVSTEM
BOND BEFM [-J STEEL REINFORCE n
SHEATHING
FRAME AN� FLASMING
LATHING - IN � OUT n
PLASTER,BROWN �OAT
STRUCTURAL, FINA�
HEATING, VENT., AEFRIG. ANO A.C., FINAL
PLUMBING, FINAL AN� GAS TEST []
ELECT/iIC, FINAL
RIIII fIIYl: Ciuel
�.]GCH�_x:7L1ii:C�
SUBCONTRACTOR
/- .
. 3 848.0
✓l` COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. eOX 1200 COSTA MESA. CALIFONNIA 92626
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ForApplicant to Fill in Completely A P ICATION FOR BUILDING PERMIT
R V BY DATE RECEIV D DATE ISSUED
BUIlO1NG 1� �. -3i - � 31-74
ADDRESS 4 J s ine Circle
PERMIT NO.
OWNER Robert MCClell&nd P"P'N�' � —O�
MAI L BUILDING
AODRESS 24 Jasmine Circle �+DORESS 24 J sm'ne 1TC�.e
CITV COSj'i8 M@SS NOL TRACT / � LO BLOCK
CANSTRUGTION W A A
IENOER N A
eRANCN
OWNER Robert McClelland
ADDRESS VALUE .�
ARCHITECT �er-Builder TEL. S PBt�O Cover $�
OR ENGINEEfl N
FIRE
ADDRESS ZONE TVPE GROUP
APPRO / � 2I
CONTRACTOR BV �" DATE ✓)�
ADDFESS 20NE NO.OF USE OF NEW
TEL. p�p,� BUILDING
uTv No. R1 2 Patio Cov r
STATE CITV �'ARDSAPPROVED �'ARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUIIDING ACCESSOFV BVILDING
SIZE NO.OF BLDGS. (FROM C/ �ST EET .
OF LOT NOW ON LOT RONT � FT.
USE OF
EXISTING BLOG. 5 B FT.
SIZE OF NO. OF
NEWBLOG. ROOMS STORIES L.SIDE � FT. FT.
EMERIOR WALL ROOF / / �I
COVERING COVERING REAR FT.�O FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDI'�S. ACCESS. BLDGS.
VAR� DATE
Slat Roof Pa.tio Cover c.u.r.�w APPROVED
APPROVED ac�
�cE 3I %
I hereby ecknowladpa thet I heve reatl this application and smte
Ihat tha above infarmetlon is cOrrect end apree to eomply wlth
all laws raguletin8 builtling construction, antl 1 shall no2 employ
eny Person in violation oi the workman's comp¢nsatiOn laws ot
the State of Calitornia. � a
I hereby certify Nat I am properly Iicensatl as a cantractor untler SQ. FT. c
Me State of California Business antl Protessions Coda, DivisiGn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full torce antl aftect, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: e
m exempt from the provisions ot the Stata of Cellfornia Business �) °
VALVATION o
antl Professions Code, �ivislon 3, Chapter 9. L, �' '� �
�q '/�`�� � PERMIT FEE 4 ✓
sianature oi �//— q�/��{J�), a
Permittae --�i�_— � $, /(�(� PLAN CHECK $ E
ROBERT McCLELI,AND, `� `
Authorixetl Agent er TOTAL FEE $ �'/ u
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�
1
NG �ND �IR CON�ITIONING
UNOERGROUNO I I POWER
$HEATNING
FR1ME �NO FL�SMING
LRTHING — IN OUT
PLASTER. BROwN CO�T
MEATING, VENT., FEFRIG. ANO A.C.
PIUMBING. FIN�L 11N0 WS TEST�
E�ECTflIC, FIN�I
6UILOING, FIN�L
cocriei ccnumcucurc
BUILDING PERMIT N0.
K Add Family Ro
VALUES 3,700.00
SUBCONTRACTOR
, .
. 43Z48
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ to Fill in Comple[ely — Use Ink Only
� BUILDING /���/ '�/�A_ � ,.. i. .r
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OWNER
MAIL
AODRESS
CITV i /1
BRANCH
ADDRESS
ARCHITECT
CONTRACTOR
ADDRESS
CITY
STATE
IIC. NO.
512E
OF LOT
TEL.
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NO.
CITV
UC. NO.
INO.OF LB�DGS
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING ANO WORK TO BE PERFOR�
'!R31-77��:°Ovi8iS'. •::��::L;7.�{;
A C TION FOR STRUCTURAL PERMIT
RE \ Y D T;RE EIV � D�Ti�S�IED
/
/� � G�J _ O PERMIT NO.
A.P. NO. � 7
BUILDING ' n, /
ADORESS /�`r
TRACT LOT� BLOCK
W A D
OWNER CLCTC,
VALUE
S 5
FIflE �
20NE TVPE - GROUP
avPROVEO ❑ATE A•�/I� /
ZONE/J) / IP�NS I I BUILDING EW �
tf�
VAROSAPPROVED VARD APPROVED
MAIN BUILDING ACCE�OflV BUIIDI
!
L. SIDE FT. FT.
� / (/
REAF , S FT.(n FT.
OISTANGE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
VAR.� �ATE
C.U.P.�` �— APPqOVE –2
�A.P.PROV%r% .J A ......� Z�.7I.
I hareby acknowladpo that I hava reatl this npplieetlon antl amta �^
�
ihat che ebova Informetlon Is correec antl aprea to comply with m
all laws reguletinp builtlinB �onstruction, antl 1 sha�l not employ
eny porcon In vlolatlon ot tha workmen'a compunsatlon lawe of m
mo sceca o, corrc.oia.
I heraby carUty that I em pro0erly Iicantetl os e conVactor undor SQ. FT. w
tha Smto of Callfornia Businazs and Profeuiona Cotla, Dlvlsion 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR y�
Chepmr 9, end that suc� II<enses afe in fuil force entl a7toct, or I THE PURPOSE Of ESTABLISHING A PERMIT FEE ONIv: �
em axompt from tha provisions of the Smte of Celifornio Businecs VALVATION PERMIT FEE E ! p
antl Profaasions Code, Dlvislon 3, C/ha�Dter 9. �
yJ//J 'o n � LAN CHECK $ "�
Slpnotura of ���j// ' ��// ��� O
Permlttea �� � �Y� S TAX E LL
F
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Authorizatl Agant TOTAL PAID E �
OWNER Mc�L�LIAND, R. DATE
JOBADDRE55 924 Jasmine Circle BUILDI
GENERAL CONTRACTOR owner DESCRIPTION of WORK
AP No. LOT 95 TRACT 771$ FIRE ZONE VALUE
SUBCONTRACTOR
C ROUGH PLUMBING
PROP. $WR. LINE Q HOUSE CON. �
aSPRINK�ING SVSTEM
�J MISCELLANEOUS
� ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UN�EftGROUND � POWER �
ROUGH WIRING
TRENCHES FORMS � STEEL REINF
FLOOR SYSTEM
90ND BEAM � STEEL REINFORCE n
SHEATHING
FRAME ANO FLASHING
LATMING - IN ❑ OUT �J
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL ANO GAS TEST �
ELECTRIC, FINAL
BUILDING, FINAL
' • , 9 � PA10
. lUL —9-73cwsr�� 989�+ *�**�*5.50
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
P LI ATION FOR BUILDING PERMIT
For Applicant to Fi0 in Completely
`` !iE E DATE EC D TEI U
ADDRE55 �Z /� � � �iM1N� I" / � "" "
— OWNER . �1.�. �� A.P. NO. ER � 1 i
� MAIL �� ` �\�C BUILDING ^
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ADDRE55 � KS �
Wa U TEL ��J LOT S BIOCK
CIT NO. TRACT
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—� � O W N E R L(G LG. /�y�v�
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47 J F ` VALUE
m ARCHITECT TEL. S �� RTO
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Wa 20NE TVPE GROUP
� ADDRE55
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ZF CITV NO. � P��� BUILDING �o V
� STATE CITV �'ARDSAPPFOVED VARDSAPPROVED
y K LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
�� SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT ROM FT. O FT.
USE OF �
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� SIZE OF NO. OF
Z NEWBLDG. ROOMS STORIES L.SIDE FT. � fT.
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J USE OF BUILD�NG AND WO TO BE PERFORMED DISfANCE BET. BEf. MAIN &
a' ^ �:� ' 1 �C. MAIN BLDGS. ACCE$$. BLDGS.
O O � �� `J C VRP # APPROVED
V1 �\ �C_ APPROVEC�� / J ._ ���
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VI horoby ncknowletlBa thot I �ave roatl Nis epplication antl state �J
� Ihnt tha abova intOrmallon is correct antl apree t0 comply wi[h
� oll laws reB�latlnp builtlinB <onzVuccion, and 1 shall not amploy
F any pe�son in vlolatlon of the workman's compensation laws Of �
y the State of Californie. .� m
m
? I horeby cerUfy Nat I am properly licansatl as a conttactor under SQ. FT. o
[na State of CalifOrnlo Business antl Profeuions Cotla, DivisiGn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, and tha2 such licenses are in full forca antl etfttt, or I THE PURPOSE OF ESTABLSHING A PERMIT FEE ONLV: m
am axampt trom tlia Oravlsions ol the S[ete ot Calllornia Businass Q
antl Professlons e, Divislon 7, Chapter 9. VALUATION ry
��� �� PERMR FEE $ ]
� Slpnature Ot q m
Parmittee � B $�(yT P�.4NCHECK$ E
.. � � e
Aotho�ixe��t\ � � � LL
TOTAL FEE $
95
- � " 351 I 9
.._• .
� OSTA MESA BUILDING-SAFETY DEPARTMENT
�L��B$O. BOX 12p0 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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OWNER LarwinSouthern Calif., Inc
o; Aess 16255 Ventura Blvd.
CITY Encino. Calif.
CONSTRUCTION
LENDER Larwin $O. i.'3�
BRANCH 16255 Ventura E
ADDRE55 Encino. Calif.
ADORES59100 Wilshire, Beverly Hill
CONTRACTOR LarwinSo. Calif., InC.
ADDRESS 16255 Ventura Blvd.
c�rv Encino, Calif. No�'986-889
l C No. 191311 LICVNO. B-1
SIZE NO.OF BLOGS.
OFLOT SH X JO NOWONLOT O
USE OF
EXISI'ING B��G.
SIZE OF NO. OF
NEW BLDG. ROOMS STOflIES 1
EXTERIOR WA}/_, ROOF
COVEflING �LIlL'CJ� COVERINGWd. St1.�LRQ10
VSE OF BUILDING AND WORK TO BE PERFpRMED
S
A.P. NO.
BUIIDING
ADDRES!
TRACT
FIRE
•`•,UG 15-72Pp�� 142.88
cn_a001044�+ , ***
FOR BUILDING PERMIT
NE NO.OF
� PLANS
YARDS APPPOV ED
MAIN BUILDING
VAR. $
Q V.P. iW
APPROVED
�� PERMITNO.
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� y�
LOT BLOCK
SC. �%C
��VAWE �J O'L'
rs %
� GROUP
DATE '�Z� �7
USEOFNEW��-/�Ci �'�r'�!J�
BUILDING y�/� � ?�f�
VAROS APPROVED
FT.
BET. MAIN &
ACCES3. BLDGS.
DATE
7
I hereby acknowletlae thet I nave reatl Mis applicatiOn ane stete HOLIi FOR SPECIAL RE � n.*
ma� me above intormntian is corract antl egroe to comply wlth UII�E�.
all Inws regulnting builtling consttuccion, entl I shnll no2 employ T�
any person in vlolatlon ot the wo�kman's compensatlon laws Ot
the State of Celifornia. °�
b
� hereby eertify that 1 om properly licensetl es o eontrector under SQ. FT. e.. o
Na State ot California Businezs antl Professions Code, Dlvizicn 3, THE A OUNT SHOWN UNOER VALUATION IS FOR �
Chapter 9, entl thet such licenms ere in full force antl eifee[, or I THE PURPOSE OF ESfAeLISHING A PERMIT FEE ONLY: Q
am exempx trom tha provisions of the Stete of CalHornia Businocs
antl Professions Cotla, Division 3, Chaprer 9. �/�+LUATION � m
� PERMIT FEE 5 j
SIg^atura of �� C.�O m
Permittee �.e�'����� D. DOWIIS g� / O,�/� PLAN CMECK S _ E
(O /!/[! P� LL
Authorized ABeqt TOTAL FEE $