HomeMy WebLinkAbout2450 FORDHAM DR - Building PermitsAOP�icant to fill in.all soaees except those
CITYOF�COSTA ES,Fj. �ONS�$UCT 4�RMIT � � PERWYfNO: . -T.
Prolect Add�s � ��� 3 l��
.Applicam's Mail' Addr
Owner's Name P�Phone�g�0
Address ` f
Arch/Eng: - � LiGense No. -
; Address ' ' < �
Contractor's Name J.: �+-i 1 � Pn�d��� 3� �9
Addiesi (mailing) � � o�` -
Ciry License No. �S� r � � �
LICENSED CONTRACTOR DECLARATION -
' 1 M1ereby affirm tM1at,l am licensetl untler p�ovisions of Chartei 9�(Commencing
with section 7000) o( Division 3 ot tne Business antl Professions Cotle, antl
my Iicense is in ull rce ana eifect. '
License Class iGense N 3g� `29
Date � �Signa[ure'
'ORKERS'COMPENSATION A ION �
iereby aHirm that I have a if' ate oi consent to self-insure o� a certificate `
..f Workers'-Compensation ns rance, or �a certified copY hereof'( ion
3800, Lab.��/��) /, , �
PolicY No. "„' r��g-3�� ComPany '� '�'�
rtifietl copy is hereby fumi5hetl. /
�Certi iey,co�py i;� letl witn tne city Bu' 6' ivision. I , � ,
Date ^ � B Applicant
'`_ EXEM TION FROM WORKERS' PE SATION ECLARAPION '--
w (This section neetl not be comple' if the permit is far one huntlretl ($100) or ,
less). : - ' ', .
( I certity. that in tne perform Ce of the work tor Which this perm�t is issued, I
Shall not em0loy any perso in any manner So d5 to bemme subject to the
� Worker5' Compensa[ion Laws ot California. ' � ' , ,
I . Date - Signatur¢ �
'NOTICE: If, after making tnis tleclaration, you shoultl become subject to tne
Wo�ke�s' Compen5ation provisions ohthe' Labor Gotl¢,-y0u must forthwith',
comply with such prOvisiOnS or,thi5 �permit shall be tle¢metl revOketl.
CONSTRUCTION'IENDING��AGENCV '� � �� ' *
I hereby affi�m that ther¢ is a Conztruc[ion I¢ntling agency fot the p¢rtormanG¢ !
of the work tor �which,- this permiL is issued' (Section � 3097 CH. 'C.) �
Lentlet'S Name
Lentlet's Adtlresb �
OWNER BUILDEH pECLARATION : - -
I hereby affirm that I am'exempt from the Gontractor's License Law for the ,
following reason (Section ]03L5 Business and Protessional Cotle: Any ciTy or
TYPE OF CONSTRUCTION L�fNE�
❑ CONVERSION� ❑ DEMOL'ISH �
DESCRIPTIO�pJ(�{ly</yS� B
� LCJC._
TVPE OF PERMIT GRADirvG" C
❑ TENANT' O E�ECTRIGAL C
' .❑ �OTHER� �
PROJECT DESCRIPTION sq.F7._
heavy EorEer lines anE si9n all appropriale tleclarations;
J ADD' LJ ALTERATION LJ REPAIR�
OTHER '
1 FOUNDATION ���L�STRUCTU
PLUMBING O MEGHANICAL
� CONSTRUCTION TVPE - -VALUATION $
ZONE GRADING CU.YDS. � AC
Remarks: ' ie`� .✓4,j� �
1 _�j_'
any s{ructure, prior to i[s�issuance, also requiies the applicant tor sucn�permlt :
to file a Slgnetl Statement that he/she is,licensed pursuant to the Provisions ot
+,phe Cantractor's License Law (Chapter 9(commequnq with Settion 7000) of
"^livision 3 of the Business antl Pro(e55ion5 CotlC)-or that he/she is exempt �
--i:he�et�om antl the basis for the alle9etl ex¢mptiOn. Any violation�ot Section �
7031.5,by any appiican[ tor a permit subjec<s tne',applicant to-'a civil,
�enalty of not more than five M1untlretl'tlollare ($500). ' ' ' -
I, as owner o/ the property� o� my;employCes_ with wages as th2ir �sole
compensation, will tlo the work, antl the structuYe �s not intentletl o� ofte�etl
for Sale (Section ]044, BuSiness antl ProtessioPal Cotle: The ContraCtor's"
License l.aw'tloes'not apply to an owner of a pro0erry who builtls oriimproves
therebn, antl who tloes such work him5elf/herself or througb his or her own ,
employees, provitletl tM1at suth improvements are not in[entlatl or offe�etl for
sdle. If, however, [hc builtling'or improvemenf is soltl within one y¢ar of com-
pletion, [he owne� wili have tM1e bu�tlen of provin9-he/she tlitl not builtl o� im-
p�ova tor[he purpose of sale). . ' ' —
❑ I,�aS'owner of �the property, am exUusivety cPnt�actinq with licensetl con-
tractorsto construct tne project (Section �044, BUsiness antl Professions Code: i
The Contrdctor'S License Law.tloes not appty t0 an owner of.proPerty who. _
boiltls or Improves ther¢on, antl�wM10 contracts fo� such projects with a con- �
tracior(s llcense pursuant to tM1e Contractor's License Law). I am aware that
proof o� their Worker's Compensafion in5uranc8 sM1oultl be provitle0 t0, me.
❑ I am ezempt untler Section B. & P. C. tor this reason � ,
Date �� �� Owner � ' � �
� I hereby certify Nat I have reatl tltis applita[iOn and state tM1ef the above _
information is Cor�ec[. a9re comply with all city antl county ortlinances
antl state laws relati to n9 construction, antl hereby autnonze repre- ' �
sentatives of' thi y e erj upon the abo�e-mentioneG Property for .� ,
in5pection putp ' , � r
J
Sink
Backflow Irriga[ion e
Bathtubs
Clarifier5_ � _
Dishmrdsher . �
Drinking Fountains
Fioor Drains
FlooiSinks � ` - j"
Gas Service � ;�Outlets
Interceptors' '
Kitchen Sink .' � �
Lavatories" ' .. �
Showers
Service Sink'. � '
Sewer Cap , ', � �
Sewer Connection
Solar Collectors . - � - �
Solar Piping � �
� Solar Tank , '
Swimming Pool w/Spa�
Urindl .. . . _" - ' r . _ - "
WatecCloset ' i � ` � �
Water Heatei �- � r �
Water Service . � -�
Aiim.Nl�eM � � . . , .
P—Trap ' - - '
Rbof,Dreins - � '
�, T
Reinspection'Fee � � $15
• '.r
Boiler � , . .
�uct- UnderGround
Duct � Structural . . �
Duct-Ventilating - - -
Exhaust System ❑ Multiple ❑
Firepl/Fact.Blt.IC80# 1^
Heating System & Ducting �
O di oo,000 eTu O i oo;aoo aTi
' f
Signature ' � — �d1e� � I peinspection Fee $15 .
Drivers' Li 5e or 55 �' � �— ' •,
CMF 0865-6 , rev. 30/84 White - Builtling; Canary - APPlicant; Pink � Accounting; Goltlenrotl - ASSassOr
Issue Fee_
Hood or. Type I ❑ . ,
Canopy� Typell ❑
Refrigeretion Sys[em � -
❑o-ioo,000sTu pioo,000a`
System Repair/Alteration ' �
Fire Dampers
Registers , . .
$ 3
A.P. #
S Main Buildi
E _
T Front
B Rear '
A
� Ri9ht
K left
S
Ping. Ref. # �
Planning Notes:
A
Automatic Washer' •
Construction Pole Sub.
Cooking �Unit
Dishwasher -. �
Dryers ❑Gas ❑Electric
Fan
F.A.U.
F i xtures
Device Boxes , ,
Outlets .
Switches � , �
Generator LJ65 KW
�_- Reinspection Fee
_ES "
DEVELOPMENTSER
2oning Appraved By—
Building Approved By
Appliotion luued By_
1
laue Fee � • $ 3
, A�7.1
� ��
� Acces�
_• � _ " C��l.�%�l.«. .
5J01/E6 ,D:. GC
" Zone '
j
E�ECTRIC.4L � � ' �
Transformer ❑ 15
' I ❑ 50
Meter ❑up to 100
-- Meter- �over 700 a
ifed
50'KW ,
*.�KW
G�
3 ^pi
auo,ranei
. Motors �0-1 HP 01X=8 �
Inc.Solar �9-15 HP��16-15+
Microwave . �
� Po�e Light '
Range
Si9n
; Standing Sections ' '
5 KW ; Trash Compactor ,
z
� �. � N
i,
' N,
G
R
E
Q
, M
T,
�' S ,
FEES .
�
R
, !
§15 Issue Fee' ' ; $ 3
. ��...iwnvn�rc. . , .• -
� : , .SUMMARV OF FEES �T �
BUILDINGPERMIT $ SMIP ;�
PLAN CHECK I $ �E , �
. PLUMBING $ ' '� �1P.�CE � $ '
PLAN CHECK �25%; � ENERG�',P.Cy��p,�^,
ELECTRICAL 1 GRA�VS ,
' PLAN CHECK �50% $ � MICR F M : $ .
MECHANICAL S � TOTALFEE , $
�. PLAN �CHECK '25%. $ � � �
CONSTRUCTION AND PLANNING ' P�� ��` SP'0' .
APPROVALS Permit # Date Inspector � AppROVALS Permit # Date Inspector
1,. Temporary Electrical Service or Pole ,, 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnii. 54. Forms � '
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding . - �
5: Steel Reinforcement � . _ � 56. Rough Plumbing & Pressure Test ' .
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE . �
7. Footings � � 58. Electrical Conduit-Undrgrnd. �
8. Foundation . t ' �� 59. Gas Pipe, O Undrgrnd., Test
9..Water;Pipe-Undrgrnd. � �•� 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System ` 61. APPROVAL TO DECK .
71. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final
12. Sewer Cap . 63. Heater & Vent-Final � �
13. Roof Drains . , 64. Plumbing System - Final � �
14. RoughPlumbing.; 65. Electrical-Final � '
15. Rough Electrical-Conduit - 66. Solar System-Final � � -
16. Rough Electric Wiring , 67. Fencing & Access Approval � �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ' � 69..POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' ' APPROVALS Permit #
21 .� Ducts, in Structure '� 70. Underground Hydro '
22. Ducts, Ventilating , 71. Product Piping O Gas ❑ Oil •
23. Gas Pipe-Rough & Test 72. 'Underground Flush � � �
�
24. Roof Framing - 73. Undergrnd.StorageTank �Gas ❑Oil - �
25. Roof Sheathing • 74. Overhead Hydro � � �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe _ � , �
28. rLathing & Siding � � 77. FIXED SYSTEM FINAL
29. Insulation � 78.,FIRE PREV. FINAL �
30. Drywall Nailing • � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat : -. 79. FINAL INSPECTION ��� �
32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED . �
s
33. Final Electric Notes: �a �� �� i?��v� �, �*.
34. Final Heating & Air Conditioning � • .
35. Final Gas Pipe-Test .
36. Hood or Canopy �- ' � . . �
37. Final Factory Fireplace � � � :
38. Final Plumbing � ' �
39. Water Service-Final �
40. Gas Service-Final � �
41. Solar pomestic-Final . • '
�
42. Backflow Preventer � ' . � . ' �, '
43. Backflow Irrigation � � . � ;
44. Landscape Irrigation System � - .
45. Sound Attenuation . �
46. Handicap Regulations .
47. FINALSTRUCTURE&BUILDING � � �
48. Special Requirements Completed ' .
1
49. Electric Release to Edison � . � �" �
50. Gas Release to Southern California Gas Co ' � •y;
51. CERTIFICATE OF OCCUPANCY • - ' - .
No. Date
,
PATIO COVER DETAIL 6/1/67
OVERHANG
4_ O "
pFTERS:
4� °k.
�-BEAM
�
STATE SIZE
3�16 X 2��'
r
SPACING I
e�
i FO� DRAIN
� �
PO§T-BEAM
CONNECTION
�
3/p x 5 lags 32%
Predrill Ledqer � �
Predrill Eaiatin9 y�-3 DaeP �
JOIST HANGER
� or ofher opOroved methods
oi suppurt ♦ tie.
/�GC�C/ _
ALL LUMBER OOUGLAS F/R
CONSTRUCT/ON" GRADE
` POST
.� v ° "
SHOW SIZE SHOW SPACING
SHOW LOCATION ON REVERSE SIDE.
DROP PATIO FL00
�— SLOPE TO DRAIN —
•�:� . � . ° :' . . •�.:3 ' THICK SlA6 4��� e
e ... . .
a .
�� PUDDLED� SAND FI�L
��•�.
Remove G.acs And Weeds Down To Nutura� Grude � /
•:�..-.:�'..
' CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCNOR �:��...��� 7# GALLONS PER SACK CEMENT.
Fpr Pipe Poat. Embad �12� Provide 26 Ga G.I. Flushing At Wood Floor Const.
Pipe In Footinq.
Provide Flonqe Or Weld Ptote Screred Or Bolled To Frame.
CMF 00012-46 (BU 40)
�,
CONTINUOUS
LEDGER
.) � J
TYPICAL JOIST ANCHOR
NOTE � USE REVERSE SIDE FOR PLOT PLAN.
NO I t — I NO 2
FOR OPEN EGG CRATE FOR SO110 SNEATHING.
ALUMINUM OR PLASTIC SHINGLES OR BUILT UP
ROOF COVERING . ROOfING.
MAXIMUM SPAN SiZE SPACING MAXIMUM SPAN
17� 0�� 2�x6 12�% 15� I�
I 6� 0" 2'z 6' I fi% I 3" 3"
I 5� 0 r 4°/ 10� II
z 4" � 12'% 9' I I•,
I I 0' 2'a 4" % 8' 8"
10� 0 7x 4' 24% 7� I"
NOTE: FOR PROPOSED OR;FUTURE ROOM,OR WHERE PATIO
WALLS ARE TO BE, Bl11LT. USE N0.2 CHART ONI.Y.
WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
SPACING ONLY. �
FOR PROPOSED OR FUTURE ROOM OR WHERE PAT10
_ WALLS ARE TO BE BUI�T'SUBMIT C�MPLFTF HOUSE
AND ADDITION PLANS
� . .. . �,�
o � Z�
— r
r
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w r;
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p.��� a=Z
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7
STRUCTURAL APPROVA
SEPARATE PERMITS ARE REQUIRED
FOR ELECTRICAL, PLUMBING,
HEATING, VEPITILATING AND
REFRIGERATION WORK
�----_
��fBBll� -�r �� rp�
THIS NUn4BFR MUST— A p NY
— ALL INSPECTION REQUESiS I
BE E� ��u�`�HL'r NE„SOFJS AR TE p
�?LO'ED, WE SJ�;��Sl' 1'H,iT THE
� STAiE CT,LIFJ2NIA � OF
�� IND" � SAFEiY °c (;Q�� ULiED FOR
ADDIT
� � , . � � \ EQUIREMENT� S__—
\'� � � ' �
,L �! ��: �r �� , � ;if
THE E PLANS MUST BE ON J B AT ALL TIMES
MAKB O CHANGES WITHOUT PRIOR APPROVAL
OF DE
l� THE SSUANCE OR GRANTING OF A'ERMIT OR APPROVPL
� OF PU1H AND SPECIFICATIONS SHRLL NOT BE CANSTRUED
TP �� A PERMIT FOR, OR FN APPROVA. OF, ANY VIOlAT10N
� BF qNY F THE PROVISIONS OF THIS 0�DE. NO PERMIT PRE-
Q e9�1MIN0 0 GNE AUTHURIIY TO VIO 1TE OR CANCEL THE
� PRAYI$10 S Of THIS COOE SNAII BE VALIQ, FJ(CEPT IN SO
FAft IL9 T E WORIf OR USE WHICH IT A iHORIZES IS IAWFUL.
�_ T E ISSUANCE OF p P[RMIT BA ED UPON PIANS AND
SPECIFIC TIONS SHALL NOT PREVENT T IE BUILDING OFFICIAL
fRQM T EREAFTER REQUIRING THE C01 AECTION OF ERRORS
IN SA1p PIANS AND SPECIFICATIONS ( R FROM PREVENiING
_„__. G OPERATIONS BEING CARRIED Otl iHEREUNDER WHEN
OF iHf CITY.
COSTA MESA BUOLDIfdG DEPAFtTAAEMT , �� �
P. 0. B O X 317 5���
COS7A MESA CAUFORNIA -� `
C.L. OF STREET �. - - i
y�PROP LINE _
'T. FOR 60 FT. STREET
I Vr'
J �� %� � �
_ I 80 FT � � � �
I � /, /
(
�
F !
N r____
� ALLEY pR PROP. LIN
O. � •
� 1--':
U ¢ ��
U IN�
I
�
�
IW
� oJ,.
Io
I�
a
�•
; � ;F
PROP LINE �` �
r 0 �� f��,��
6IIT. F�
STREET �
s I �
r
J
V
��1
Y OF
�Lnt�P
:C( TO
� �-�--=--y--- �-- ---- �EE EC
� ' �/
I C.L. OF STREET ��.I � •�N CO.
CIT �
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PIACED ON SOLID LiNES
( JOJ8 I
FOR APPLICANT TO
Mail
�• City_
'�^^'V `�`.nni
:�l��L� / . �wf �,
� - -. �� �• . . _ __._ _
City Lic._No. _ _ _ _ _ _ _ State Lic. No.
Size of Lo � a!� �v � AP No�-�/'a /� / 0'C l%s�
Setbacks: C/L_Street S O f Rear �� 5'
Side Yard - Righ ' a Left S—'
Type of Fence�
I hereby acknowledge that I have read this application and state
that the above i�s�eneqt and agree to comp�y with�sll City Ord-
inances and S fe La�reaula4na builditifrnconsilGction
Y��
'A NESA
�e��r.
DEPT. REG.
ED
�r9�Q
FOR OFFICE USE ONLY
✓ � /'
VALUATION
Permit Fee
O "
$ �j� �• �— Plcxn Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
�
d�
OWNER (;�qta MPSa ERfatP,s � � . . DATE u-12-�6�. .. . .
JOBADDRES3 2lt5� Fordham Drive BUILDINGPERMITNO. 262µ
GENERALCONTRACTOR �ven-Spiegel Co VALUE $ 17'������
L 21= BLOCK TRACT 275� Single Res w�att gar
GROUP I S. J TVPE V ZONE � FIRE DISTRICT 2646
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
� -� _ � DATE I NUMBER
FootingTrench Ql�6�U f/'��b"
Foundation Forms and Grade to Garag ,f �D j�;
Rough Framing /2 — Z ��
+rt.r fT��
Plumbing, Rough to Siab �%' �-n,G3 pryv �
Plumbing, Rough Complete tM (�S 1 � yo S6
Temporary Pole
Wiring, Rough ��• �.5�
Heating, Rough VV� 9L5 �}$ S6
Heating,Final ��S if�y�'if;
ewer, Nouse L Sewer, St. ��� @ /--��$'_
Sr� "-.Tank or Cesspool
L g, In Out �'y/n 2^.�S'
� ��_
Plastering ��,/� � "a `
Plumbing,Final,FixturesCompleternGS �•�'�J
Plumbing,Fin,aiGasTest %S� ,�S ��
Wiring, Final -
Occupancy ' ppR 1957 VC
Fonm 210 3M 10-'v3
i
S .�
%
�` Cost� Mesa Building Department
�.=- _.
, �N • 111 EAST 20th 8TREET
` � �,� �COSTA MESA, CALIFORNIA
� F.OR APPLICANT TO FILL IN
Bullding
Address �� �Il ���
Costa. Me a, California
Nearest
crossSt.'7"1�1�2� �,'�/1����
Owner ��lT/f /`�C�t'/F%" �^%/�'/%�
Mail .iG-��%�c �.)j>�'�.j,
Address
TeI.
cicy �'S 'lieL� i �G No.L{''r_'3�:
Arohitect or s�, y� Lic.
Englnee� ��� -f ��i'i No.
ddress �J�/%�,(,'t'�/I/ �tYXi-• S�i1t"�7"i�/1 �
City Lic.
ContracM� ✓�'-��iC%G�Z �' No. / L 3 S�E
Address JhVb ll�, �'�il Grj . �•�ii i�
v
ach Metes�nd Bounds) Y�%
-ry No. of B
of Lot ! lX %%/J Now on
I Familles I Rooms
from I.— � RearYard ��
:et J � � SldaVa�d SK�-L
APPLICATION FOR PE �
BUILDING
FOR OFFICE USE ONLY
I 1�16�
Recelved by Date Redd. Date Issi
.''�/J fG -/ � -� 6 5�'/2 -
Building
Address
Costa Mesa, California
Nearest
Plans � !�
CORRECTIONS
Repafr � �'Moving � � Demoiish � -
Building No. of
fze ��'� � Rooms � Storfes �
erior Wall Roof C�
overing �i%�U� c�.p Covering if�/iL�Gcl� ApPRQV�
Use of Ne / � ��7,µ����1 ' Foundaiion Location Inspector
Building �7� t'- �Gt�
/ ' Forms, Materiais,
!- �✓2U1�� ��< Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hemby aclrnowledge that I have read this Application �
and state that the above is crorrect and agree to rnmply Lath. Int
with all City Ordinances and State Iaws regulating
building construction. Lath. Ext
slgnature of �Q��. ���C"._ ��,--_���G
Permittee _ / Plaster.lnt
Valuation . Parmit Fee $ � �i''
Plan Check $ / �
$ %�^�� 7 � Total
Fee
��s
RbI 204 S-BP 2M 6-55 . �
Data
V
OWNER WILLIAMS�
JOB ADDRESS 2 50 F
G �RAL CONTRACT01
Ar rvo.�01
INSPECTIONS
SOIL
GAS
W ATER
flOUGM PLUMBING
PROP. $WR. LINE � HOUSE
SPRINKLING SYSTEM
MISCELLAN�OUS
ROUGH HEAT�NG AN� AIR CO!
TEMPORARY SERVICE OR POl
UNOERGROUND � POWEH
HOUGH WIRING
i;�:a;�+ :U1 �:�•
TRENCHES U FORMS U STEEL REINF.
FLOOA SYSTEM '
BONO BEAM n STEE� REINfORCE �J
SMEATHING
FRAME AN� FLASHING �
L VG - IN �] OUT [�
P. ER, BpOWN COAT
STRUCTURAL, FINAL
HEATING, V�NT., REFRIG. AND A.C., FINAL
GLUMBING, CINAL ANO GAS TEST ❑
ELECTRIC,fINAL
RIIII�ING. FINAL
DATE 5_3o_7k
BUILDING PERMIT N0.
RIPTION oi WORK Demolish Patio
ZONE VALUE$ 650.00
PE GROUP J i
SUBCONTR4CTOR PER
.��.�. 8�
� COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92626
Fo� Applicant to Fill in Completely
BUILDING
ADDRESS " -� � ^
�
OWNEA �
MAIL
Z ADDRE55 °�
W W TEL.
a U CITV ' NO�� . �
ZZ
Q CONSiRUCTION
O N LENDER
am
J � BRANCN
J
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y � LIC. NO.
� � SIZE
OF LOT
USE OF
EXISTING BLDG.
H 512E OF
Z NEW BLDG. � �
a EMERIOF WALL ROOF -
U rnvElilNG COVERING REAF
OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET
MAIN BLDGS.
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U1 hereby acknowletlge thet I have raatl this application antl state
� that the above information is correct and agree to comply with
� all laws reguleting building consVuction, antl I shall not employ
F any person in violation ot the workmen's compensation laws of
y the State of Calitornia. % —
ZI hereby certify that I am properly licansetl as a contrector untler � v,n• FT.
the State ot Californie Business antl Professio�s Code, Divisicn 3, THE AMOUNT SH
Chapter 9, and that such licenses are in full torce antl et7act, or I TNE PURP�E OF I
am ezempt from the p�o�isions at the Siate ot California Businass VALUATION
antl Protessions Code, Division 3, Chapter 9.
Si nafure`�`y� ��/ / � ��
Permittee / �/ �'/�%�( � � ! ��`/�/y/(� $ �� �
Authorizetl Agent
TEL.
NO.
CITV
LI0. NO.
NO OF B
I NOW ON
�a:�
'�h.Y3p-74�,.;�,C07157'r -u**�7.50
APPLICATION FOR BUILDING PERMIT
FiECEIVED BV DATE RECEIVED DAT.E ISSU'.
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A_P.
BVIL
ADC
FIRE
ZONE
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TRACT 2-� �
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u
NO.OF USE OF NEW '�jf�'� p
PLANS � BUILDING G��JC
APPROVED VAROSAPPROVED
3UILDING ACCESSORV BUILDING
STREET) � _ + �
Sn �. �� .
3 f►FT. �
BET. MAIN &
ACCESS. BLDGS.
DATE
APPROVED
�er� ��a-?Y
�� m
O
ER VALUATION IS FOR j
NG A PERMIT FEE ONLV: m
¢
FEE $ 1 �
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HECK $ ��lFFF...���� E
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FEE $
OWNER
ADDRESS
GENERAL CONTRACTOR Own�
A . No. LOT. 2�1 'I'Rt�
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INSPECTIONS
brown mat
St.
F1RE ZONE
DATE
SUBCONTRACTOR
Gas Test I I e°
DATE 5-9-57
BUILDING-PERMIT NO.
VALUE $ 150.00
7VORK Fence
PLAN NO. 505H
� , PERMITSISS