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Home My WebLink About3445 FUCHSIA ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-masa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3445 FUCHSIAST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41217212 Applicant: FERGUSON, LEW Address: 4091 E LA PALMA � SUITE D ANAHEIM, CA � � � � ' � � � Owner: WEBER,�:IENNIFER H Addres�;3445FUCHSIA ST . ; . �,,COSTA MESA, CA Contracror. � MC CORMACK�ROOFING Address:- 4091 E LA PALMA ' . � SUITED ," , . • i . . �- ANAHEIM, CA , Zip: 92807 Arch : Address: � ' � ' Z,ip: � ' .` Phone:-� License: Zaning: R1 R1 Phone: (714)630-5543 Zip: 92807 , Phone: Zip: 92626 Phone: (714)630-5543 �.,License: 643700, , _ - Eng: Address: -, - -.- � ,- SCOPEOF PERMI REROOF RESIDENCE AND ATfACHED GAR4GE: T/0 WOOD SHAKE ROOF; 7/16' 30-YEAR COMP SHINGLES:' 2400 SF ` Plan Check: , $0.00 � Permit:. $111.25 ,SMIP Res: $0.50 SMIP Com`. ' '. $0.00 ; Other: ' ' $0.00 lnspection:.- ��$0:00 ... . V'� Total: � $111.75 � -_ �, .� , SETBACKS��,� � ' � MAIN STRUCTURE, Front 0- 0 ' �.__. ACCESSORY Front, ,� 0- 0 PARKING Existinq: 0 Status: ISSUED Applied: 07/29/2004 Issued: 07/29/2004 ISSUED BY: � , _ ,Phone: � � �. � �icense: SB SHTG, 1 LAYER 30# FELT, APPLY "OWENS CORNING , � FEESUMMARY � - - --- -- ' � � Calc Valuation: $a,soo.00� " " � � ';; � � Claim Valuation: ' � ' Sg,soo.00 .: r- �, , %, � � , ,' ...,,: ,, . ;fy��., :. � .-,c:; _ �' . , s��; .. - .- �� , i .. . ' , . "iw ' '!� 1- - % � � �, � �� . , � � �f-i � -, � , _ �` PLANNING & ZONING .- ' : /j'�j> ; �,,,-:�_�. � „ P ,o �„ � _ �.---/-�� ,��VC� : _ - j ., �..,i/ : ,�' , Rear � 0- 0 �� ,_ �� Left 0 �0�. � Right � - 0- 0 j j � � , � . �. i // - Rear . 0= 0 . , Left� , � 0. 0 � -� � Right 0 0 � � J // �- Required: �0 � . � Proposed: '. � 0' ' � ' � � �' / � - -. .. ._ . �./ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. Nb. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and all � required Inspectiona and itnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaasas (t✓oo� WORKERS'COMPENSAnON DECLARAnON: � ' ' ' ' ' � I hereby affirtn under penalry ot per�ury one of the tollowinq declaretions: � " '' � ❑ I have anG will maintain e cenificate of consent to selt-Insure tor workers' compensation, es provided tor Dy saction 3700 ot t�e Lebor Cotla, for Ihe pedormence of the work for which this permii is is5ued. �I have aiW will maintain workers' compensation Insurance, es required by section 3700 ot the Labor Cotle, for tha peAortnance of Ne work for which Ihis peimit is issuetl. My workey� co�npgnsation Insurance cardar entl policy number ere: Cartier: �'�'7i�! Policy Number., �% 3 7 S 7.� Y�P (77�is sectlon need not be cromp/eretl il Ihe permit is valued af one hundred dollars ($f 00) or Iess.J. - ❑ I certity t�at in tha peAormance of the work for w�ich this permit is issueQ 1 shell not employ any person in any manner so es lo becoma subject to the workers' compensation lews ot Califo , end egree thet il I should becoma suble�� o Ihe workers' compensetion provisions of Secilon 3700 ot the Labor Code, I shell forthwith compy wilh thesa provisio c.� ApplicantSignetur � � �— Date: • � 7/�9�0 / WARNINO: FAILURE T SECURE WORKERS' COtdPENSATION GE IS UNLAWFUL PND SHALL SUBIEGT AN EMPLOVEP TO CRIMIWIL PENALTIES ANO CMl FlNES UP TOONE HUNDRED TIIOUSAND DOLURE (3100,000), IN ADDfiION TO THE COST OF COMPENSAiION, DAhWGES AS PROVIDED FOFi IN SECTIqJ 31060F THE LABOR CODE, INTEREST, ANO ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm Nat I am licensed under provisions of Chapter 9(commencing with Seaion 7000) of Division 3 of the Business and Pmfessions Code, and my license is in full force ana ettect. uc. a y �9 �� Class a C 3 Comrectofs Signature: —� — — Oate: _�/ 1 p o CONSTRUC710N LENDING AGENCY: ❑ I hereby aXirtn Ihet there is a construction lending agency for the peAortnance of ihe work tor which this pertnit is issuetl. (Sec. 3097, Civll Code). LentlefsNema: _._ LendefsAddress: ___ Signeture: OWNER-BUILDER DECLARATIONS: Date: I here6y ettirtn thet under penalry ot perjury thet I em E%EMP7 FROM 7HE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Coda: My ciry or county which requires a permit to construc�, alter, improve, demolish, or repair any strucNre, pnor to its issuance, also requires the applicam for such permit to file e signed statement ihat he or she is licensetl pursuam ro the provisions of Ihe Contrecrors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 01 Ihe Business entl Protessions Code) or that he or sha is exempt therefrom and ihe besis for Ihe alleged ezemption. Any violation of Section 7031.5 by eny applicent lor e pertnit sublects the applicant to a civil penalry of not more Ihan five hundred dollars ($500).): ❑ I, as ov.ner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the siructura is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Coda: The Contractors Licensa Law dces not apply to an owner ot property who builds or improves Iheraon, end who tloes such work himself or harseN or ihrough his or her own employaes, provided ihat such improvements ere nat intentlad or ottered tor sale. If, �owever, the building or Improvement Is soltl within one year of completion, the owner-builder will have tha burtlen of proving that he or she did not build or improve tor purpose ot sale.). � ❑ 1, as owner oi the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Prolessions COGe: Tha contractors lJcense Lew tloes not epply to an owner ol propehy who bullds or Improves thereon, and who contracis tor such project with e contractor(s) license pursuant to the Contractors License Wws.). ❑ I am exempt under sec. Signature: Owner ID venfied by drivels licensa. ❑ Ves ❑ No Business end Professions Gode for this reason: Veriticetion of Ownership by (type of documem, i.e. - property tax blll or deed): DnverS Licen58 No. oata: Expires: DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: ❑ I hereby certity that no excavation tive (5) or more feet in depth into which e person Is required to descentl, will be mede in connectlon with work aut�orized by Ihis permit, and that no building siruclure, scattolding, falsework, or tlemolition or tlismantling ihereol, will be more ihan thirty-six (36) feet high. (Chep. 3.2, Grp 2, Ar12, Sec. 341, Tiile 8, Calitomia Adminisirative Code). ❑ As owner-builder, I will not employ enyone to do work whic� would require a permit from the Division of Indusirial Sefery, es notetl ebove, unless such person �es a pertnit to do such work irom the division. Signature: Date: Divislon of Industrial Salery Permit Number: CEHTIFlCA7E OF COMPLIANCE AND AIfTHORRATtON OF ENTRY: I certify untler penalry ot perjury ihat I have read this application and state thet tha information given is correct. 1 agree to comply with all stete laws and city ordinances retating to huilding conswction, and authonze representatives oi ihe City ot Costa Mesa to enler upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of eny building authonzed 6y this permit until finel inspection. COUE I• INSPECTIONT'PE 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolilion Owner(s) Date 07��-9/0 � Applicant ate �.t �u %�i�� COOEI INSPECTONTYPE 206 Final Methanical 20B Final Plumbing 210 Final Elacirical 212 Finel Flre Preventlon 220 Final Planninq Approval 222 250 Final Site Final Building/Occupency P9IE O It�L9 �Ji e.v...A ..u�. . �� -y.. � Vo . n.:w� �7 -�� ti ��. � �� TRACP N0. �J%/ B LOT :10. � Z ADDRESS =<�� .�/.Gl�IP�'i.c` DATE / % The developer of .the above entitled tract desires to sell the above aet forth lot prior to tha time that the tract has been completed and ita streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) :��i (was or were).�v/�`-ci t-c.� advised that this tract has not been given fina inapection 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 neeessary 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. s RECEIVED crrr �� cn�; � �a�sn Jr^,N 14 1�7�I A� PM 7i8i9ilU,il�l2i1,2�3i4„�6 @ 0 0 BY �}��i�i 01 ��'�/Ll.q/ urchaser — ��. .�-- � aY /--� �-��.�.;. �� %--�-��< < Developer and/or auchorized representative �... � sY ,-u �.�r_��._ l, �� : �... L nder '. 7 Vnl\LR .j"yf\ JOB ADDRESS �lvlLtY . ... �GENERAL CONTRA TO Curry & � AP N�2-].� LOT � U CTIONS s ,lGAS �i WATER � ROUGH PWMBING PROP. SWR. LINE � HOUSE CON. � � SPqINKLING SYSTEM 1 MISCELLANEOUS �ROUGM MEATING ANO AIR �ONOITIONING TEMPORARY SERVICE OR POLE UNDERGROUND � POWER � ROl1GN WIRING TRENCHES FORMS STEEL REINF. FLOOR SY TEM BONO BEAM � STEEL pEIN�ORCE n SMEATHING FqAME ANO FLASHING I� IATHING - IN n OUT ` I PLASTEF, BROWN COAT STRUCTURAL, FINAL M! ;, VENT., REFRIG. AND A.C., FINAL PL .NG, FINAL ANO GAS TEST n EIECTRIC, FINAL BUILOING, FINAL SPECIAL REOUIREMENTS VAIC � � �� BUILDING PERMIT N0. : s DESCRIPTION of WORK Enclose Patio Cover FIRE ZONE VALUE 5��•UO ite TYPE GROUP ZONE �i Siioi.vri7Rwi.Tvn � _ PERMITS IS � .� � �E� –';_7��PA1_100 �7J� Vic>::r:i'^.n1Ja ��.A�if. J R:. i-`..✓ ' J%7Q0 Fn;o - �Fiz -!:-��;��;�;:00 o�s�:- ,�,::�>•:;:f.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 P C ION FOR BUILDING PERMIT For Applicant to Fill in Complete/y RE DAT=REFEIVE DATE IS UED BUILDING " r:1�.uSi /� � y ADDRESS V�-r� �T / �/ � PER? OWNER O ��–R�� A.P. NO. MAIL BUILDING �ys� �r Z ADORESS .4DORESS aU CITv�STA 1�E.S� NpL�'�3�y TRACT � LOT BIOCK zZ N W ADD AL R P Q CANSTRUCTION O � LENDER am J � BRANCH ' � '^ J N OWNER (J m J ADDRESS VALUE �Jf J Q ARCHITECT TEL. 5 �� $ �1L� N OR ENGWEER N . U Q - FIRE "'7"� W� ADORESS ZONE TYPE ROUP �I aw W Z �'p.. /1� APPROV � JQ CONTRACTOR�alICR � SO� �O C) BV DATE - m Z '� (y J � ADDRESS P� � I%Q �6 �O w W � TEL. Z� NO.OF USE OF NE Z F ciTv I�iAlP1 L�E No. 62 2a r�.on�sa eui�oirvc U G/Q � —� STATE s'� � CITY �ARDSAPPROVED VAROSAPPROVED y� LIQ NO. p�� LI0. NO. � MAIN BUIIDING ACCESSORV BUILDING �� SI2E NO.OF BLDGS. (FROM C/L TREET) OF LOT NOW ON LOT FRONT E ' FT. USE OF E%ISTING BLDG. ' � 51 E l�. � FT. H SIZE OF NO.OF Z NEWBLDG. ROOMS STOFIES L.SIDE FT. FT. U EXTERIOR WALL ROOF /yf COVERING COVEFING REAR oCLJFT. FT. J VSE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCE$$. BLOGS. a Q G� ,` . ! �+ ��y* VAR.# DATE o ATi n a V N �771 T lY� C.U.P. � API'ROVED ~ APPROVED ( � N { Z O UI hereby acknowletlpe that I have reatl ihis application antl 5tate � that the above information is correct and agrea to comply with � all laws reguleBng building construction, antl 1 shall not employ F any person in violaiion of the wOrkman's compensation laws ot y t�e State of California. . � z1 hereby certity ihai I am properly licensetl as a conbactor untler SQ. FT. �o the State ot Calitornia Business antl Professions Cotle, Divisicn 3, � THE P.MOUNT SHpWN UNOEF VALVATION IS FOR m Chapte� 9, antl that such licenses are in full torce antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from tl:e,provisions of ffie State of Calitomia Business � antl Protessions Cnde, Division 3, Chapter 9. . VALUATION m . � PERMIT FEE $ � �� / / J - 'Signature ot {� � �^� . _ ,� „ . �.- / L� m Permlttee �LA. �••��' � r/� $/i� PLAN CHECK $ E �� / o` Authorizetl Agent / LL TOTAL FEE $ V111'iCR rva.ua. au . VA I C G G4 // JOB ADDRESS 3445 Fuschia Sr. BUILDING PERMIT N0. ��S�p AP No. q� _17 _� LOT - �I� iCTIONS A G�5 i�� WATER ROUGM PLUMBING ��PROP. SWR. LINE� HOUSE.CON. � SPRINKLING SYSTEM �`\ MISCELLANEOUS \\v ROUGH HEATING ANO AIR CON�ITIONIh �`TTEMPOHARY SERVICE OR POLE �UNDERGROUNO � POWER � ROUGH WIPING � TRENCHES FORMS STEEL F F�OOR SYSTEM BONO BEAM (] 'STEEL REINFORCE SNEATHING FRAME AND FLRSMING IRTNING — IN OUT PLASTER,BROWN COAT ST-"CTURnL FINnI I 1G, VEN7., REFRIG. AND A.C., f PL..�aBING, FINAL AN� GAS TEST ❑ .' ELECTRIC, FINAL �BUIl01NG. FINAL � �� GPFfIiI�PFO111REMENTS R SUBCONTRACTOR �, ... " 56 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626 AI For Applicant to Fill in Completely — Use Ink Only Q ;_ ;r�-�.. d "`� g��4 aooaess k -��- �`�y.S' "`� �°%IS:G�/, ' '{' !OWNENi"` �i�.:%i��f^-� CnW�11.�•'�:pDo.....� : E.AFj lA.P. �L- MAIL . .� �a , . ,:.,.• ( ' ' � - . � ' � BUIL ADORESS._n.-S/9✓�1�.E : _. o�. P'�� ,x ` '"' /��":i�,"f�� c.._;� "`e,.Vf'i� .�i',.TEL:r '/- i : : \�5 CITV�(,OS'�A- �i{�JPS/ly ' NOS� ,•.k•3 CONSTRUGTION '-�a.. s�t �•:°it '' �'�a�•" y LENDEFi O,%�� t .� Y7"� b' "�4ti '� .,. n,� i a- E. ,� BRANCM - .9 ...i`��' . �;; r�:.�.,..,� .:,: :,,;..:�+„�' „-,� , s-:_.t' :<�. R'^:.f .,owr ADDRESS '� ^' ' " h ARCHITECT P . - � L`�:'1 •.a .. :i d�.TE�. r G . . .USE �t�%�I-%)�I.cnV��.26�?�k f:�iiei<ZiO..)C/ .�..._ i'E'.. ai'a,,�,_ .y... , FOR STRUCfURAL PERMIT �ATE RECEIVED OA E ISSVED C.. `��i.': : _1.��,� I' « `PEf��p�'�' ., S <' � ,,,.. -= ....fi�� f..�# F VALUE � `'! f:x� ?i� T.s...�r e.�taap.` J'^-.:`"'�'.n": �' f'r31�`ti",.a�6_e� .�i AP,PROVED ��F : 3'.... r:.:-^':}: �CONTRACTOR J�%- / _ BV DATE � `�� '�'•.. .�. p r y,',- - �y�„ .j��...#_.'`' 1.g.`�.: ',•y.� 5�3. ".1'.e•p'.:} iADDRESS� : •,3/2;t_�.�/�'%j !.�' YI'fi " '-s °Y "c" ' TEL. Y V ~ZONE` ` NO:OF � y'USE OFjN ^CITV CI'!�Qyyy!� /=L[('/ . NO.� �2,32ab �� _ . ,� PLAfS'.. .. `BUILDING . • F` +� j�'' T'�0.��f"�i,'� pTV "`�f�} �'��<:�`.' ,�' VARDSAPPflOV,EDjy�ri'VA.RDSAPPROVED 'STATE;%� /� �� LIC. NO. 'LIC. NO. '�� MAIN�BUI�DING ACCESSORV BUILDING -�.,- ��.y,,,, - . . (FROM /ISTRE T) , _•i�W\ [SIZE^�:)" ./ . ei-• iNO.OF6CDGS:'°./ � �r�.n S�,e'..� - .,. ":r � �.0.._ '..OF:LOTt - ' Ot�X� �D%Z '••J+.f .`-•� { ' NOW DN l:'OT �1 , . '}.�•' �F ONT S� �i ` . �.`�4�"'">� '.1 ��iFT: � \.'rt a . _.�. � ,,,USE OF,. . r/ � . -`EXISLING BLDG:�l�-� .^��1' i n{ `: t�''rt :i -�` T t: ` 1 ` �.'�!`' , i. '�./' .. FT.3 `.. v� y ' o :• ti. � I . i .. � ' Yfi Y .e....r. � ..J ..1, � - Separate,permits are required for.,".-� � . �. sioe .� FT l� ' Fr . Ft'`. � q � . d _.. - ; electric,.plumbing apd heating work }.. . " ` '� ' ' /•:: ,/�� ,a '� , ,� ;; �f,� � ' � REAF � FT.'�J'• , •'� FT: " [.. USE OF BUILOING AND WOFK TO BE PERFORMED DISTANCE BET. BEf. MAIN & Q� • MAIN BLOGS. E55. B�DCaS. ' y T � p VAR.� ATE _ Q / D 1 (S� /"� �C �ct/Di%�J C.U.P. aW APPROV � APPROVE . 1 �'��J � _ �� ,n �ll .C� .a a w 0 I hereby ecknowledBe thet I heve read this appllca<lon antl stata � H p� ihet the above Information is correct en� eprae to comply with .m a+ all lawa rapulatln0 bulldinp eonstructlon, and I sha�l not emplay . z any Derson in vloletlon of Me workman's compenseiion laws af o ,�� Me Staie of Californla. �f' '; 3 1 heroby cettlfy thet 1 am properly Ilcansatl as a contractor under �f SQ. FT. rv the Staie of Califofnie Buciness and Profealons Code, Dlvision 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR m . Chapter 9, and that cuch Ilcenws era In full force and effett, o� I THE PURPOSE OF E5TABLISHING A PERMIT FEE ONIV: � . am exempt from Me Drovislonsof tha5tata ot Californla Businecs VALUATION PERMIT FEE E � a end ProfesslonsCode, DI alon 3, Chepter . . �n �. fd PLAN CHECK � § � � � Sipnature o � ' `� .�� Permltte ��J / S<T7l� TAX E �"�f LL "�` � J � Author ze AOent � . ' . 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' ..- _ '_ ___ - �_ , ,. ��, , 1�s_ �$ r� � - 1-.—i— _',1__� _._._.___"_' __. _ _ '_ '. __`__ ______'_i__ _ _.f 7J` __ �_ _� I��:�7�--��_.(►'4L'-� w�� ..lL.}��/ ]{1�y`J i, ` . .{ �irf ... � I I' ' laT l�'��♦1 — '� -��(�9�,_-n:1�; �1.4��,,��-:-�t�+�'�.�au-r�_ .`i9� ��. i.�li � r�N �;J C'v .71 � �'. � _ _ _' " ". � � "� ' ' . �_�. � �. , �. " �� -� \:. .. �✓-y/� / . I � '_L '_'.''t _�\ ' _ ' _ _ y�� __.�//�/..��`�\..r!j''\ - ��`I��rV.�Y�•`_�!1'\� ..:_ ��V� r �----�—�-�5�— 'i�� ,1�'��°��1D�1-�,VA'�-�=?�.ID�.1�IQ ,�-- � , i i ' �r• - � a,. � � �. ��,�_ 3�o�lz�%�o ili�%�V.1lD�',C�.'� t'� l.lS. f-, _ �=' � i. .,'r_ _ _.r—_ - i' '_ r-96l.-O''Fl a. aa �J! 3�'�h'.' �C:u �: In � ._. aC.._, .. . - � �. _'_ "__' ' "'"T^ ' . '_'__ __,.. .�{� - .. ____.�. _"'__' '�"'__'_'_� _ ,( F L. -� _ _� ..:�4•f � ._" _. ___.__ � __._��—_'_�_ _' _'"�"�. 1 w � � - - �'- . �— --- - • i : � � ' . ,1 � �_'�_�' _ �'_�al"! •"" _.'; _ - " ' . ' _' _'_". _ ' "' ''" _ '." " " . _" -. � ' I. � � � '_ '_ _ "_" . . ."__"_"__ _' _' ' �`"" " __. �_�`.�:._�... :'- L._�,..'_.. ._. .... �� I� . , . . �: .. �.. . . �. t w 1.� , i� It O'�.'a' .:.:yyf.. r. Y� ..-.Y I Ir� S 03F,4'�'4nd �0 ld] ^. 1 l� i 1 __ ____' '." �1. 'Ll i� Y'!'i�. q'!". 7 i. .��!/rll•.a�ll J"f �•. bi� � e�a v _ "___-� ___ _ ; i s„ � +n; 'tatl I tne r-it�.u��:cc �.ribi��i y��:..!enet:.- �,: P: �� _ _.ii .. na:i�.�.. �r-..� , . ri,.r vM1t to nt.�: ^ � t:•� v:.. � . � _ _ . _ _ ." __ __"_ _� __ ' '_" ` " _ . . ...n:�b�.. � J ��... r.M 'r� � ] ��'.�"� �'_' ��' �_"�"' ' � `�_ - ' ,f .l'-. .i_-_:A..3n9p' ,.I.-qU�.m��._: ;tiS• i...N{' �. I " - I 'v�l.' .. ,F.' _ � � . � " :H. " . , i ... �J tacl ..,.o�` ... ..�:nl.v � �.. 'IP.p 1 . �,. .,. �a � G n 1� ' N� i1/ir' I.' it � ��a i� ` He' '.c.n:�i' n-as •�1� C� �.0 ' n'. _ __"_'_'_' _'_ —'_' " ' '_ ., r. .yi:.D�.c '�.�..� , i , ,: .,. . d I _. �Y' . 7J +,'...� • ,1 l_ +. ' ' ' .t--. - . : �i�9�;7 .'ru. .:��c.9 L . , i �. _ _ � _ _.._...�_ �_ � _. � . � , . � ( f� I � • �' ?. h9dH.i ViHJS . . - p �� . . A . . ,. 10 Ervinnp�^c gr � L XAT ' ' . � e@ft7mis9 V �� d OIA9 JA'POT '+ � ' 1nopA bnihotltu�� \ ��! � . . . . . . . . . _. . . . - ..-. . . _. . ._. . _ OWNER LqgWIIq JOB AQDRESS 3 GENERAL CONTRACT01 pr' I :TIONS sa _ GAS WATER ROUGH PLUMBING PROP. SWR. LINE OUSE SPRINK4ING SYSTEM MISCELLANEOUS ftOUGH HEATING AND AIR C0� TEMPORqqy SERVICE OR POl UNDERGROUND � POWEA ROUGH WIRING TRENCXES FORMS FLOOR 4YSTEM BONO BEAM n STEEL RE SHEATHING FRAME ANO FLASHING LATHING - IN OUT ` PLASTER,BROWN COAT �URAL, FINAL I 3, VENT., REFRIG. Ap PLUMBING FINAL ANO f,AS T T DATE SUBCONTRACTOR NG PERMIT N0. Z ww a U �- Z Z� � N am J 7 J N Q W ¢] J J m Q U Q 2� aw J � m Z J � W lyA � ZH W � �� o _' ''t; 3b3:'v %PR i1-7s�,`,;�00 59��. '•::,''I26.05 OIBRCOSTA MESA BUILDING-SAFETY DEPARTMENT P.O. eOX 7200 COSTA MESA, CALIFORNIA 92626 A L TION FOR BUILDING PERMIT . ForApplicant to Fill in Completely REc iv o v �e CEIVED BUILDING � � DpA�TE ISSUED ADDRESS p� /IrR 1 � �9%J . • PEJI)JN�U OWNER Larwin Southern California A.P•NO. MAIL BUIIDING nooaess 16255 Ventura Blvd. nooaEss yf�s '�/C S/y ?� TEL. TRACT ��1H LOT lz BLOCK CITY Encino California� No• 986-8890 CONSTRUCTION W OD A P LENDER Larwin Southern California . BRANCH 162 Ventura BlVd �n ' OWNER �Q.W /� S (.�/� � ADDRESS Encino California o-e VAIUE 17�% /:ta ARCHITEC7 Larwin So. Calif. TE�' 273-4464 �S Sf,eE�'G/ .4T-'l6iC g/-•� �+ OR ENGINEER NO. (A�// �}' ADDRESS 9100 Wil�shire B1Vd. p BeV. H1115 ZONE VPE / GROUP � �./ APPROVED � � CONTRACTpR Larwin Southern California sv L� . oar ADDRESS 16255 Ventura Blvd. � 7EL. ZONE � NO.OF.y " USE OF, NEWSfR£S W CITV NO. � P�-'4NS v BUILDING 6A STATE ' CITV �'ARDSAPPpOVED VARDSAPPFOVED uc. No. 191311 LIC. NO. $-1 MAIN BUILDING ACCESSOPV BUILOING SI2E NO.OP BLDGS. (FROM GLST EET) OF LOT 6O X LOO NOW ON LOT Q RONT FT. FT. USE OF EXI5fING BLDG. - S FT - FT. SIZE OF NO. OF ' �-t ' � Newe�oc. 1436 ROOMS STORIES 1 L.SIDE FT. FT. EXTERIOR 4VA�L ROOF ' ' /� COVERING StllCCO�' COVERING WOOCl shin 10 'qEAR�J FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDCaS. ACCESS. BLDGS. VAR. # � DATE Construction Sin le Famil Residence c.u.v.� APPROVED APPROVED �_ � 73 HOLD FOR SPECIAI RE 1 hereby acknowl¢tlge that I have reatl this aDPlication and state / ffiat the abqve intormation is correct and agree to comply wiffi - all laws regylatin8 builtling consVuction, antl I shall not employ ' any perwn {� violation of the workman's compensation laws of the State of California. : / a T� . I hereby ceri�ty that I am properly licensetl as a coniractor untler � SQ. FT. O the State ot California Business antl Professions Cotla, Division 3, THE AMOUNT 5 WN UNDER VAIUATION IS FOR Chapter 9, and that such licenses are in full torce antl effect, or I THE PURPOSE OF STABLISHING A PERMIT FEE ONLV: am exempt f�om the provisions ot the $tate of California Business � VALUATION antl Prof¢ssions Code, Division 3, Chapter 9. . PERMIT FEE $ $3. �� Signature of �/ �/ � Parmitte¢�y_� ////A/f'�J5/ _ D. 80Wi1S $'L2�],OO p�qNCHECK$ 41.SO Authorizetl Agent TOTAL FEE $ 124. 50 �'