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Home My WebLink About893 GOVERNOR ST - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.cosla-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: HJ$ GOVERNOR ST Suite No Vicinity: HALLWAY Parcel Number: 42243302 npp�icant MARQUEZ, DAVE -, Address: 10537 DALE AVE � STANTON,CA � Owner: Address: GORDEN, MARVIN D TR 893 GOVERNOR ST MECHANICAL PERMIT ISSUED BY: Phone: (714) 523-9219 � Zip: 92626 Phone: COSTA MESA, CA Zip: 92627 Contractor: SONSHINE PLUMBING INC (DIAL ONE) Address: 10537 DALE AVE STANTON,CA Phone: (714) 523-9219 ZiD: 92626 License: 550716 SCOPE OF PERMIT REPLACEMENT OF A DEFECTIVE DUAL WALL HEATER, 1 WALL HEATER. NO OTHER WORK WITH THIS PERMIT. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.80 $0.00 �uantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Comme rcial I n cineretor Domestic Incineralor Compressors / Absorotion Systems Up to 3 hp / 700 k BTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU Boilers Up to 3 hp 3To15hp 75 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 12/07/2001 Issued: 12/07/2001 Quantiry $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 538.30 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 7241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. , INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepeetlona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in Iha expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-4fi (N00) WORKERS'COMPENSAnON DECIARATON: � I herehy eNirm under penelry ot perjury one of the tollowing declaratlons: ' ❑ I heve end wlll maintain e certificate ot consent b self-Insure for workers' compensation, as provided tor by sectlon 3700 of the Labor Cotle, for the peAormance oi Ihe work for which t�ls permit is issuetl. � I have end will maintain workers' compensation insurence, es reQulred by section 3700 of the Labor Code, for the peAortnance of the work tor which ihis pertnit is Issued. My workers' compensatlon Insurance cerner end policy number ere: Carrier: J W L1.i��l�lq W 1%`"� PoliryNumber, ti W C G! � a-��-/—G G (This secNon neetl nof be cromple(ed il (he permif !s veluetl et ane hundred dollers ($100) or /essJ ❑ I tertity thet In the { wmpensatlon laws comply wiih t�ese � Applicant Signature: = WARNING FAIWRE TO� of ihe work for which this pertnit is issueQ I shell not employ eny person in eny manner so as lo become subjeq Io the workers' i, flnd agree thai it I shoultl become sub�ecl ro the workero' compensation pmvisions of Secllon 3700 oi the Lebor Code, I shall lorthwlth Date: 1 2 —i ^G� AP N ON WVEMGE IS UNLAW AN SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED THE CO T OF COMPENSATION, DA ROVIDED FOR IN SECTION 3/O60F TME UBOR CODE, IMEREST, M10 ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm ihat I am licansed under provisions of C�apter 9(commencing with Saction 7000) of Division 3 0l the Business and Professlons Code, end my license is In full torce antl enea. Lic. # — 2'7 [� Class d_ t'Z v� 3 � ContrecrofsSignawre: ,G—�s/�c�� Date: 12—"i�0 ( �T�i e r uf L CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aflirtn that there is a construc�ion IenOing agency tor lhe peAormance of Ihe work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlers Neme: ___ ___. Lentlefs Address: SignaWra: OWNER-BUILDER DECIARATIONS: Data: I hereby ettlrtn ihat under penelry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a parmit to construct, elter. improve, demolish, or repair eny structure, prior to its issuence, also requires the epplicant for suc� permit to file a signetl stetement that he or she is Ilcensed pursuem ro the pmWslons of Ihe Contractors License Ww (Chapter 9(wmmencing with Section 7000) of Divislon 3 ot Ihe Business entl Prolessions Cotle) or ihat he or she Is e:empt therefrom and Ihe basls for Ihe alleged exemption. Any violetion oi Section 7031.5 q� any applicant for a pam+' suC�acts the applicant to e civll penalry of not more �hen five hundred dollars ($500).): ❑ I, as owner oi Ihe property, or my employees with wages as Iheir sole compensation, WILL DO TTIE WORK, and Ihe stmcture is not Intended or ottered lor sale (Sec. 7044, Business and Professions Code: The Contrectors Licansa Law does noi aDPly to an owner of property who builds or improves thereon, and who does such work himsell or herself or �hrough his or har own employees, provided Ihat suc� improvemenis are not Intentletl or oNerad lor sale. If, however, the building or improvement Is sold within one year ot completion, ihe owner-builder will heve the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner ol the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Pmfesslons Cotle: The conirectors License Law tloes not epply to en owner ol pwperty who builtls or improves thereon, antl who contracis for such project with a contractor(s) license pursuant to the Contractors License Lews.). ❑ I em e:empt under sec. Business end Pmfessions Cotle for this reason: SiqnaNra: Date: Ownar ID vorifietl by driver5licen5e. ❑ Ves ❑ No Driver's License No. Expires: Veriticetion at Ownarship by (rype of document, i.e. - pmperry ten bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby canify that no excavation fiva (5) or more laet in tlepth into w�ich e parson is requiretl to descen4 will be mede in connection with work authorized by this pertnit, end that no building structure, scafloltling, talsework, or demolition or dismaniling ihereof, will be more than thirry-six (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celitornla Atlminis�retive Code). � As owner-builder, I will not employ anyone to tlo work whic� would repuire e pertnit irom the Division of Intlustnel Sefery, es notetl above, unless such person hes e permit to do such work irom the tlivision. Signature: Date: Division of Industnel Sefety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUIHORVATON OF ENTAY: I certity under penalry ot perjury Ihet I heve read this epplication and state that the inlormation given is correcl. I agree to comply with all state laws end ciry ordinences relating to building construdion, and euthodze representatives of t�e Ciry of Casta Mesa ro enter upon �he above-described property for inspection purposes. I egree not to occupy or allow occupancy of any buildinq authorizetl by this permit until final inspection. COOE �. INSPECTIONTYVE 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re�Root 201 Finel Block/Reteining Wall 202 203 � Flnal Fectory Fire Place Finel Sign Final Demolition Qejf, INiRIALS COUE 1 INSPECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Electricel 212 Final Pire Preventian 220 Final Planning Approvel 222 Final Site 250 Final euilding/Occupency � PflOJECT A�OPESS: 8 9 3 GOVERNOR ST OWNEP'SNRME: GOIZDGN N,ARVI:v D ' RDUNESS: (;9 j GO�iRhOit ST COSTA NESA,CA 92627 548-8400 AflCHIENGINEEfl: POUflESS: UNIT: :- eec.xo.: UNIT: PEflMITiEE: (�KS ELECTRIC ( 714 ) 641-3550 aooRess: i315 EAST ST. ANDREWS PE,[10E C SANiA ANA CA 927(?5 LICENSEO CONTFACTON DECLABATION: I hereby ailirm Iha� I am licen5ed under pmvisions o� Chapter 9(commencing wi�A Section 7400) of Division 3 0l Ihe Business and Pmlessions Gotle. an0 my b se is in �ull torce and eifecl. cirr uc.: 0 4 6 3 9 0 STATE LIC.: �{ � O 2 2 4 uss: �g;µp._��%� Signature'. _��_ _ � WORKEBS' COMPENSATION OECUIFATION: I here0y aflirm I�at I have a certifica�e of consen� Io selbinsure ar a - ate o oBers' Compen5aiion I�SUCa9Feo� `cgni�eQ,cqpy thereol (Seciion 3800. Lab. c1. POUCYNO.: ��ra � t�4 E%P.DFTE: 10/Oi/92 COMPANY: 'IREMANS F,-Us,ND � Getli�ietl copY is heteby fumishetl. LS Certilietl copy is �iled i he city Builtling �ivision. —J�I�c�//�/�/�� APPlicanl: — E%EMPTIONfflOMWOflHENS'COMPENSATIONOECLFBATION: (ThiSseClionnee0no�becample�eUi��hepermiti5�oro ntlred�51 arle55). I ceNty Ihai in I�e pedormance of �he work for whic� Ihis permit is is5ue0, I shall no� employ any Oerson in any ann �o become suble�� o Ihe WorkerY Compensalion Laws oi Calilomia. � Date' Signalure: ' NOTICE: If. afler making Ihis declara�ion, yau should become su�lect �o Ue WOBers' Compensation provisions o� the Lahor Code. you must �arNwith comply wi�� such pmvisions or ��is permi� shall Oe tleemed revoke0. CONSTHUC710N LENUING RGENCY: I hereby aitirm ihat ihere is a constmction IenOing agency far the pedormance of Ihe work tor which Ihls petmi� i5 i55ued (Seaion 3097, Civ. C). LENOEfl:. ROOPE55: OWNEH BUILOEB UECIABRTION: I hereby affi�m Ihal I am exemD� ��om the Contrac�orY S�ate License Law �ar Ihe following reason (Seceon 7031.5 Business antl Pw�essional Cade: Any ciry o� counry which requires a permit Io cons�mc�, aller, impmve, demolish, or repair any StmcWre. prior Io iis issuance, alsa requires �he applicant �ar such permi� �o file a signed stalement �hal he/she is licensetl Oursuanl to Ihe pmvisions of ihe Cantractors' Sta�e License Law (Chap�er 9(commencing wi�h Section 7000) of Division 3 0� Ihe Business an0 Pmlessions Gotle) or thal he/she �s exempt Iherefmm an0 ihe basis for the allege0 exemption Any violaiion ot Section 7031.5 6y an a licant �ar a ermil 5ub�ect5 I�e applicani �o a civil penally ol not more Ihan live huntlred Aollars (5500�. , iCITY OF COSTA MESA — BOILDSNG PERMIT PERN NO: E 054925 P�c�MIT NO: � 054925 PLAN CHECK NO: N GOVT: Y SUPP: N CGNSTRLTCTION TYPE: V—N PERMIT TYPa; ELE PURPOS�: OTii JOB DESCRIPTSON : SERVICE CHANGE G CONNECTION SQ FT: CLAIM VALUE: CALC—VALLTE: GROUP OCC: R—_j I COMMENTS: �� CITY PR03ECT NO. 91-07 k*k if # �E jf iF�� 1F �1E le �% �)f�%�If��%� if iE �Y,- 3E �3E iF 1E � �E # �K 9EiE iE�3E if �Y. -lf �k��iF �� lEii �1EiE #� �,� iE if �1f �k IF�K 4f �Ic ji�-1E?E # �X� �% M k' ie ii jE # iEjf �'r, �rt 'rE if iE �1E iE iF-1E �7f # 3: 3E � # 3( 'l O N i N G R£ Q U I R E M E N T S S£. T B A C K S ---------- MAI� BUILUING ---------- -------- ACCES�ORY BUILDING --------- FRNT; FT IN REAR: FT IN FRiJT; FT' IN REAR:, rT iN LEFT: FT IN RGFiT: FT Sh' LEFT: FT IN RGHT: FT IN PARKING REp - PROV: PARCEL: 42243302 2NE: REF IJO; PLANNING N(5TE5> i iE K� iE fE ik �)f �Jf aF iF ik iE if iE IE ±e iF 3e iE �k if !i* iE iE iElF iE k 3f �lE if 3F iE %� dF iE x 1t 1(� �F �7f iF iE iE �IF if iE iF iF fi• )f iE iE 3(� ie iF if i!� if �k-IE !E 3E iE !i iF ii� lf iE iF if 3F ie �!f iE 3F iE?e i4 f{� D E V E L O P M E N T.•S,'n R V I C E S R E Q U I R E M n I� 3 S ZONING APFROVED BY . BUILDING APPROVcD BY : DAiE; DATF.; APPLICATIOt� ISSUED HY: �� DATE:`��Z� iFiFififlF3EieiflE�E9EiFiEltiE3Flf3FiF3f1FiE�iF 'i'c' t� � ie%�%?E)FiF3F#�3ci, iflE 1�E')!'�EifiE'iFiF'N'i%-I'r'JPiEi'r-X'I'ciPY'iFif'H'iEiFiE'if')I'3E'�F")Pif'IF3FIEiejF3E'it ��E'iE3tifiFiEjF!liEi'rlFil'iEiFiE16'1F'iEif'?'rK'IEiEiF'IFiF'N'jI'i!i'r'iE'iE)FiFi6'JEaE'iEIFiF I,EGAL3ZATION;N F E E S U M M A R Y STRUCT[7RAL SEGMENT:N BLDG PN,T Pi,UMBII�G ELECTRIC AhECHANIC FIRE SMIP/RES GRADING PERMIT 18,50 508 SNIP/NON—RcS P i.AN YPp P i ISSUE FEE 15 00 �, as owner ol ��e pmDerty or my emp�oyees wilh wages as �heir so�e compensation, wil� Ao �ne work, and �he HUI"LDZhG—DIV—> Fc.FZMI'I' IS$jJE PLAN—CHECK TQ1AL F'AILI D�3E ❑ slmclure is not intentled or oflereU �or sale (Sec�ion 7044, Business antl Professional Cotle'. The Caniracto�s' State License Law TOTALS— --- > 0, � � �, � � �. � � Q, 0 � , � � , � � does nol ap01y �o an awner of a proper�y who builds or improves there0n, and who Ooes such work �imsel�/hersel� of ��wugh ' �is or her own employees. pmviAeO t�al such impmvemenis are not imended or oflered for sale. II, however �he 6uiltling or R$VENUE D IV I S IDN TOTALS--> COLLECTED • , �� OV�R /SYIORT • 00 impmvemen1i55oldwi�hinoneyearolcampletion.iheownerwillhave�hebur4eno�D�ovinghe/5hetlitlnothuilAo�impwve gLDG PN"1' PL�JN$lI�G ELECTRIC NIECHANIC FIR$ $MZP/TdT GRAI?ING FLAN—CHECK loi ihe purpose ol sale). I, as owner a� Ihe pmpetly, am exclusivety contrac�ing wilh licensed contractors to cons�mcl �he pmlec� (Section 7044, Business ❑ antl Pmtessions Cotle: The ConVacmrs' S�a�e License Law Ooes not apply �o an owner of pmDerry who UuilAs or impmves thereon ' an4whoconiracis�arsuch0�olaclswit�acaniractor(s�licen5epur5uan�lotheContraciors'SlaleLicenselaw).lamaware '�('�f'1Eif3i"X"lei('iF�f'iFiP#FiE#3f'%3i"X'�tiFiE'1f3tjciF?f'iEiiiFi'tiF�YF�lF�%3E�)F�1FiF+e1F14�3F#ilifiEi%ie+�iF�ii�+1F?F3Eif*3F'r.'.F1fiEiffFj4iE3E#�(�#�3'rat-=K{F{E}jc Ihal pmoi ol Iheir Worker'S Compensation insurance shauld be pmvitle0 io me. 1 N D I V I D U A L 1' E.. B R e. A R D O W N '� I am exempt under Sedion: B. 8 P. C. m�imsreason. TYPE QTY D E S C R I P T T O N iSNIT COST TOTAL COST oaie: o"^ef EI,E 1 SERV'iCES 3ELOW 600 V 6 Bc.LO;J 201 AMP 18,50 1$.50 I tlo hereby certify Iha� I am aware ol antl untler5iantl the requiremenis ol Caldomia Healih and Safeiy CoOe Sec�ions 25505, 25533, an0 END �C �EtJ`� 25534 and Ihat I or any �ulure builtling accupant willlwill not (circle one) neetl Io comply wilh saitl s�ate catles and ihe requiremen�s �or a permil �or constmclion or matlihcation Irom �he Air Oualiiy Management DisVicL Re5i0en�ial cons�mc�ian applica�ions are exempt tmm Ihese pmvisions. �a�e: NpplicanP. I here6y cetlity Ihal I have reaa I�is applicaiion antl Slate �ha� Ihe a6oveinformalion is arainances and sta�e la�ss relaling to builtlmg cans�mclion antl hereby auihooie represenf� pmpetly lor i peclion pur0oses. �aFe-�/ 99 Signalure: �rivets License or Social Securily x: t64La6 WOne—Bwltling; Green—Code Eniorcemenl; Canary—Applican�; Pink—Revenuo: comply wi�h all ci�y antl coun�y ENCLLoon Ihe above�men�ionetl �� . . :_.i ' ' !��' �� .. . .:1 �'ll. f�.!'[ li 'iI—'__"_."_'-- — 'CONSTRUCTION AND PLANNING P�� PA' APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector i: Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Elecirical Conduit Utility-Undrgrnd. 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. Etectrical Conduit-Undrgrnd. 8. Foundation 59.,Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. -Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . i 6. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. R�ugh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. R'ough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20�. Q�ough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro �26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing 76. DryStandpipe 28. Lathinq & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PflEV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final �� Q 80. F00� CERTIPICATE ISSUED + 33. Final Electric � Notes: 34. Final Heating & F.ir Conditioning ,'� �� 35. Final Gas Pipe-Test � �'i � 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. 8ackflow Irrigation 44. Landscape Irriqation System . 45. Sound Attenuation 46. Handicap Regulations ._ 47. FINAL STRUCTURE & BUILDING � 48. FINAL PLANNING 49. Electric Release to Edison � e' 50. Gas Release to Southern California Gas Co � '; �i 51. CERTIFICATE OF OCCUPANCY No. Date � Appliwnt to till in all spaeas azcepl t�ose wlt�ln haavy Eoraar Ilnas and slgn all aoD�oo��ate Eeclantlons. • CIT_Y l�F COSTA MESA� � � PERMIT NO. TR �T NO LO N1,). BLD . .� ' ' , � �ONSTfiUCTION PERMIT •• -. `��, �� - App�iCenYs M2111ng Addfe55 '� ' �� , _ TVPE OF CONSTRUCTION � NEW ADD ALTERATION REPAI R ' Piojar:tAddfess �� 3 ;��i��''�_.- � CONVERSION ,❑ DEMOUSH O OTHER � � OWnef 3 NemB ��Q� N��' �� ' fL'�'� 7 '�hone ' DESGRIPTION OF WORK • ' , � Addreu� A Y.'�S �7.^�J� ... i✓l.i..ai�. �c•�2�..'M<%.�A . � . � � TVPE OF PERMIT GRAOING � FOUNDATION STRUCTURAL A. P•: qW � � ArChlEng. LiC2n52 No. ❑ TENANT ❑ ELECTRICAL '❑� PLUMBING ❑�MECHANICAL '� � PLNG. REF. � � � AddfB55� ❑ 9THER � TO BUILDING - 29yo .7(?9/L':1 �I:oC� 1' f ' ' - E V INE REAR VARD (TO P/U ' Contrecmr,'a Nam��xn� ��'Z� 4"^'�^ Phone 1�qy " PRQIECT DESCRIPTION 5�. FT. ' oCCUPANGv �' . /7/.% �Sr_.'�il�'fil'H�R �/v�. v �Y'CrM�`Q� CONSTRUCTIONTVPF � VAlUAT10NE �Unn� LEFTSIDEVAqD RIGHTSIDEVARD � �� (�% Addlealmeilingi� �LP ZON$ GRADINGCU.VDS. ACREs PKG.SPACEREQ. � PROVIDED ' � Lipense No. � /�, ✓�✓ . � � ' � �t�E� . . . , . . �T. IICENSED CONTRACTOR DECLARATION � � Remark�: � ' � � ' � ' ' STREET WIDTH � � PARK FEE $ + � ' ' � 1 hereby aHirm that 1 am Iicensetl untler provi5ions of �Charter 9(commenclnq ' , . - with dection 7000) of Divlslon 3 01 t�e Business anE %oPo55ions COEe, antl , � � • � � ' . . SPECIAI CONDITIONS: • � my Iicense Is In f II force ana eiPo<t. . - - , LJcenia Class � � ' ' Licensefy o. � ' � ' f PLUMBING ' �- ' � • � . ' � � • � Date� ".l�'._ �3 Si9nature ' .> "7'. . . . � . . � . � � i.. � . . �RKERS' COMPENSATION DECLARATION - ' , , • � : Bef Sink � I SeVvef Cep � � � , ! ELECTRICAL • , - � k �raDy afTirm that I have a certHicate o} �onsant to selt-Iniure oi a certlflrate � - I � . � Aulnmatic Wazher I �Meter ❑over lOb emps � � �', �'�r�,Norkers• Compensatlon-Insumnce,� or a �certifletl� copy �thereof (SecHon � I Backflow Breventer . _ Sewer Conneation . _ . . _ _ s#100, ub. C.)G 1 r 1 . Beckflow Irripation . � Solar Collectors ' . Conztruction Pole ' • Sub Panel ' `. . PoIICYNo.J �0�� CGmDanY r�'If.Yhnnl �NS• ' � -�� - • , � . BCertiflea cooY �s nereey furnishetl. . ' ' � . , � { � Bathtubs ' � � , Solar Piping � , Cuoking Unit i ISub Pole . �� j Certlfletl �MDY Is filetl wlth tna tlty,8ulltllnq Dlvislon. Dishwdsher �Motors �0-1 HP ❑1X$ Date � ' AOPlicant • ' Clerifiers ' � � Solar Tank � � , . . . . . � 'EXEMGTION'FROM WORKERS COMPENSATION DECLARATION - " - � , . � - DryetS OGaS � �EleciriC • (Thissectlon neeG not �e completetl I/ Me permit is for one huntlratl (f100) or , Dishwasher � Sviimming Pool wlSpa � ilncSolar� �9=15 HP -�16-15+�' ��I tertlt t�at in the pertormanca o} �he work for which thiS � D�inkin Fountains � ' Urinal ' � � Fa^ � ' Microwave • i � y� parmit Is issuatl I _ 9 _ ' s�all� not employ any person In any manner so as [o become subjeU to t�e . . - . , � � F.A.U. ' ' � Pole Light ' � ' . Workers' Com enSatio I� wg ot Call/orNr. _�� Floor Drains � � , Water qose[' ' ' ' oate �—�Q—�'"s ci nature ��•• ��/ � - . ---rT- . - � • Fixtures . � 'Ran e • ' ' ' NOTICE: If, aftef makin9 this tleclara�n, you�become subjact to t�e _ FlOof Sinks ' WetBl Heet2[ 9 ' .-Workerz'. Compensatlon Drovislons o/ the Labor Cotle, you must for[hwith "- - � . � comply wlth' zuth proviilons.or this permit �shall DB Oeemetl revoked.� . � GasService �Outlets; : Water'Service � �� Deviie8oxes • . g{y� . CONSTRUCTION,LENDING AOENGV " � � Outleti ! I har¢Dy d//i�T that there Is a�conSt�uCIIOn I¢ntlin9 agency ta� the perto�mdOCe � � Interceprors - ' � � � • 'Standing Sections ' of the work for whith • thii Dermit 'is ISSueO' (Sectlon 3097 Civ. C.) -- � . Lentler's Name � , Kitchan Sink - � ' . � � , " Switches I Trash Compacfor � LsnOer'S AtlEresi' ' ' - ' . . � OWNER BUILDER OECLARATION� � � ' Levetolies � ' ' . "� ' , Gerbage Di5pO5al � , 1 hereby,aftirm tn5t I am ezempt /rom the�Contractor•s License L:aw tor the � - . - • - , • . Gen2ratOr �0-5 KW 05-15 KW � following reason� (Sactlon 7031.5 Buslnais anE ProTasslonal Cotle: Any city or ' � P-Trap � � county whlth rey uires a parmit to cons[ruct, al[eq improve; OemollSh o�.�0pdi� � p�, ' Tfe05f0lTEf �75-50 KW ' . � , ' � any ztructure; prlor to Its.issuanca, also requlres the applicant tor suc� permlt ROOf,D�aini ��'- � � � � to file a slgnatl 5tatamanLthat ha/sha IS Ilcensetl pursuant to the'provislons of' � � � �5U+ KW � � � ' .a Coneractor's�License Law�(Chapter 9 (commencing with'Section �000) of ` � " � - - ' ' - ' � � . ;Rein6paction Fee , � $76�' � �lon'3 of the Business.ana�Professlons Cotle)'orthaTha/sha'Is�axempt ' Showers . � ' ' Reinspection'Pae' $15 ' afrom antl tha' basis for the allegetl ezemption. Any, vlolatlodoi.5actlon � , _ �1 ' . . Meter ❑up to 100�'amps � � .Issue Fae 3 f 1.5 by, any �appllcani lor a� permit �subjects �the aov��cant to a�. civll 1 � ' ' � alty of not more than five huntlrea tlollars (E500). ,.. , ; ' Servite Sink - �, " •� ' : Issue Fee '.. • $ 3 7A��9 ppP�oved B'y pate � .��I;,as'ownar oi thaipropertY or my amployeei with wa9es as their sole ' MECHANICAL . � ' ' � S � L'rj � ' comDensation wflhdo the work, antl the structure� Is not intentletl or otfaretl ,' ' . i qpplicatibn Approved By Date � for sale �(Secflon 7044, Business- antl • Vrofa55ional Cotle: • The Contractor's , � C . � � '� License Law tloes not aDVly to an owner of a property who bWitls or improves � gpller . � Refrigeration System ' � ppplimtion Isued By ' J Date t�ereon,'antl who tloez•such work himself/herself or throug� his or her own '�' � - i ' . . empiorees, proviaed that such lmprovements are not Intentletl or ofleretl tor � '' � � ❑0.100,OOOBTU ❑t00,0008TU - � sale. I nowever, the bulltlinq or Improvement is zoltl wit�in one year of com- ' ' Duct -UndeYGround : � , , , • � gUMMARV OF FEES • I pletlon, lhe owner,will have the burtlen of provin9 he/she tlitl not builtl ar Im- . � . ' /Y. yo ''. S d ;� roveforthepurposeotsale�. : � � � . � ' • Duct-Structural ; � SystemRepair/Alteration � �BUILDINGPERMIT $. SMIP � $ I, as owner o( the proparty, am exclu5ively ton[ratting with Ilcensetl con- � � � � � " . tracton to conseruct tha project 1Sectlon 7044, euziness antl Rofessions Cotle: � � Duct - Ven[ilating ! � • PLAN CHECK' $, �•�� ' PERMIT ' � • The �Conlractor'r.L'icense Law does not applY'to an owner oYproperry w�o . � - . ' . ' ' ' i ' { Eulltls or improves; thereon, antl wno contracts for sucn projects with a con- '� � Exhaust System ❑ Multiple 0� . � ' � ' PLUMBING , $ IS$UANCE $, trattor(i) Ilcense pursuant to the Contra<[or's License Lsw). - � ' � � � GRADING ,$ � 0�I am exempt unaer Section e. & P. C. tor tnis reason ; Fiiepl/Fect. Blt. ICBO # 1 , � .PLAN CHECK� � $, i � - - ELECTRICAL $ � ' $ fDate ' '� • Owner ` � � - ' Heatin95ystem&Ducting ' ' � MICROFILM $ � ' ,I.hereby�cer[Ify..thatl�have.reaOlhi5ta0P��a[ionantlstate.thattheabove . ❑Q700,0008TU�100,000 � , PLANCHECK � $' � , Information Is correct. I agree to comOry with all city'antl county orGinances ' ' �'. � � - � TOTAL�FEE� $ antl stata laws refatlng to Dulltlinq constru<tlon, antl �ereGy autnoriza repre- � Hood or T a I ❑� ' • � �MECHANICAL � $ , sentatives o!'this'clty to enter upon l�e abova-mentioned property for ' �P . Reirtsp0c[ionFaei $15 ' LESS ' � t 'PLAN CHECK' $t Inspectlon ourpqses. ��,�� . ��a T e II O. ' , . � ADVANCED PC �$ � Signatura ./� �-.�/��.��1�GilV'N Oa[e�� _'�i � � ; � � , � -, �� L( /� ! Drivers' Llcense or 55 qF � � _ � Registers � I • Iswa Fee , $ 3 ( , � ' FINAL FEE � $ ��z� �/ MF 0865-46 rev. 12/82 " Whlte - Builtling; Canary'- Applicant; Pink - Accounting; Goltlenrotl - Assessor " � � ' - � ` � - ' "'" - ' • ' - • � � � � - - - � � � •' �'�CONSTRUCTION AND PLA � ING � • . ' �! � " . . POO lPA - . - - � -- ., � �:�3� � >'Date�"'Inspector_ � - '. ��--. � � Date `.Inspector�. •'AP,PROVALS;- 'Pe'rmit;h1c.1�.�:`••. __ ,.APPROVALS' Permit� ' V' Y7 '1 < � . . . . . . ' .�7.iTemporary E�ectrical Service.oc Pole "_ , � .' g . ` �; = " 52. -Pool;& Equipment �Location „� � � � , � �2.� $oil�Pipe-Undrgrnd'. �E� - , ° ," � , � °, � 53.�Stee1 Reinforcement - , ' . ' _ � � ` � r3.lElectrical Con'duit Utilitv;Undrgrnd,. � N : � ; - � : �{ �' <54. Forms� _ - _ � -. � , � � . ' � ' - � � r4, Electrical Conduit-Undrgrnd.: - s - � ,�. '55. Electrical Bonding ' � � '� � �' ,r. + � - n" � :5.iSteel Reinforcement i � �, ; �: ! _ �_ ,$.� � � � � : ^56. .Rough�Plu.mbing & Pressure Test. � � . � ' %6.' Electrical UFER Grnd'. � � '- i �=° ,. : _ ` 57..APPROVAL TO COVER-GUNITE 7.�Footings � � � � o �` , 7"� �$'4-�J ;��p � � 58. Electrical Conduit-Undrorr,d: � . ' � - . 8.; Foundation � . � , � � _ _ ; � � ' ? � � � ^59. �Gas Pipe, O Undrgind.,-Test - 9.(Water Pipe-Undrgrnd. � � ' � - _ 3.�60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.�StructuralFloorSystem �� ;. � � � ;' . 61..APPROVALTODECK 11.!Property Sewer Line & House Connectiori = ' '', , 62. Backwash & Receptor-Final � 12.�Sewer Cap ' - �� - _ � 63.-Heater & Vent-Final . -- � i 13.�RoofDiains' <` -� , ' t -`�64. PlumbingSystem_.Final . , 14., Rough Plumbing � , u - ' ' , ' ' �� °65. Electrical-Final � - � � � , �� i �- �.66. Sola�S stem-Final `- � � '�' � "�` ' 1 �'•15:��Rou9h Electrical-ConduitT'-�' -',-" i T T � � Y ,: r, � , �.16. Rough ElectricWiring ,. , tl � " -'�- ""a' `"-"-.�'. :� � �� 67. Fencin &AccessA roval . � �' - -� - i 1'_ : I"1 ^ i'._ i' 9 PP .. 17. Rough.Wiring'Sign' ` % � ' � , � . ' = � � .'• - � gg, APPROVED FOR PLASTERING � ;I u, � 18: Rough Electrical-T Bar Ceilin9 (� �� _ � � ' � _ � ' 69. POOUSPA SYSTEMS FINAL � 19:�Rough Heating & Air Conditioning '� ��, ' f � j FIRE DEPT: REQUIREMENT � '� 20. Rough Factory Fireplace i' � j' � � � � i' APPROVALS ' Permit # ' 21 �� D�ucts; in S4ructure `� � ' � �� ( � 70i Underground Hydro . � e i 'i I I '22.�Ducts,Ve�iilating' . ' � ;� �I ! � � 1 � ' ,71: ProductPiping'OGas ❑Oil � .23.i�Gas'Pipe-Rough & Test. � • ''_.; �� r �� -r � - "�I � �72: Underground Plush � � '?24.�Roof Framing . I r � � 'I`,�!'�� I, ��,`� � j� .y�_ � �.� 73. Undergrnd �StorageTank OGas ❑Oil ' � 25: � Roof Sheathing � ' � i � ' z � :� � ; � � I �� ,' � � ' '� " . 74: Overhead Hydro ' ' " ! I i� „ - 26 ��T-Bar Ceiling (Structuralh�& Monocoaf � ` i ; � .,� -' ' ; � '? 75. Dry Chemical ' �- , ' , � 27. Frameand°Flashing � � ,' ,� �' � � � 76. DryStandpipe 28.� Lathing & Siding ;. ; � ; � � + ! i � _ , � 77. FIXED SYSTEM FINAL ' � 29.�� Insulation � �, � ' �� ! � � � 78. FIRE PREV. FINAL � � ;30.;,DrywallNailing. "' ' ` ' � Notes: � ' ' - 31.-Plaster Brown Coat � ' ;� �i � � � i � I � ' . � � � . � - - - - �32.��Electrical Power Metei-Final �� :� � � � � � • �. � � � � � � � . 33.' Final Electric � � '� �' I � ' J ! ' ( � ' � ' � � 34. Final Heating.& Air�Conditioning ` � � i � � ; , � . � ' � 35. Fina� �Gas Pi'pe-Test • � ^ � � ` � � '. � � � I • • � ' " � , - , • ;��.j, � . � :�! . .. ' - 36. Hood.or Canopy� . ,, , - - ' ' '- � _ - � a I- 37. Final'Factory Fiieplace' �'- �'c� y �'_ �'- I±� "' ." 38. Final _Plurtibingl , ; � ,;' ' i' � . I I i � - � - � .. s. i 39. WaterService-Final � ' � ' � � � � ' • ' . . � ' � ', 40. Gas ServicrFinal � - � n I � , � � 41. Solar pome'stic-Final , �' � � ' . - � � �- - - - - - 42. Backflow Preventer,. , � � ' � 1 -'r- �. r -1- - . . . _ , , 43. Backf,lo�;v lirigation � � i' }' ,� �. ' � ` , ' �'. i � � ' ' � - ,� ' ,' . 44. landscape Irrigatiori;System� ,. j � ''+�-- �� " ' � ' � � - � � :¢'..� � f:�. I � 45. Sound `Attenuation' � � � ? � , • ` � ` � `.'. � ; � � � � � i � . 46. Handicap Regulationsl � R � . � �<: : � j i � ' ' '- � ,' 47.�FINALSTRUCTURE�&BUI'LDING� �F'�5�.- �,}3� . � � - 48. Special Requirements,Completed �' � � � i _ � � � i , � " � � 49. Electric�Releaseto�,Edisori f � _ __._____ _.'. _ _ ._ • , . '� � i � �� I"'-�`•�-i� -+'-�. 50. Gas Release�to Southe'rn California Gas Co ' � � � � � � ' , � ,' 51. CERTIFICATE OF OCCUPANCY ' L ' r_-_ _ ._ . _ __ .. ... . " ' . No ' � Date � ' ' � � � � � ' . � � �� ,_i_ � � � i33als - - � '. aawsar� . sar�in� aauain� PIANNING D�T. auxr ro ma orr. ua. C:� �� " City of Costa Mesa Suilding Dept. i � ! BY........"..._�-...._._—...__.._.._.__GFSE_� �19L � THESE PlANS MUST BE O:: JOR A. ALL TIMFS , MAKE NO CHANGES W9THOliT PRIOR APPROVAL' OF DEF?. THE ISSUFn;CE OR GRD.NTING OF A VERNiIf OR APPROVAL OF PLA�S F::D SFECIFlC�T:i.::S �F-�:L :i0; E� CONSTROED 10 EE A FERNIT FOR, CR P^; I.f 'CI'.: QF, P.N'! VIOLATION CF ANY Of TH( FdC`.' -.OP.S C: I1. ; CCO�. P;0 °ER411T PRE- SU��INC 10 GIVE FUTHCF.�! TO VlOini"t O�i CA�CEL THE PROi'iSICNS CF 1HIS COCE Sfif,LL RE V4'_I'J, CXCEPT IN SO f:1RlS 7HE NOEK OR USE hiilCH i?FUTH021Z�S IS LAWFUL. THE ISSURNCE OF A PER�rJi BASED U?C7 FIANS AND •"`"iifICFSIGAS StiALL AU� t�REYi;�T Tii� E7�LDING OFflCIAL .^.•^'ri'.IiERCAF7CR REQUIRING THE COdRECT10:1 OF CRROdS I'i `.^-.ID �LANS F.ND SFtCIFlCATIO:;: OR FRGM PREYENTING !':'!LDiK� CFEftF,T10NS BEING CRRRIE� ON THEREUNDE� WHE�I •Y ;' _;-^y OF 7u'C CODE OR OF ANY O7HEd ��Oli•b::.�' 2U.`�L Z�.�� ,.� � p b 1 C/11 � � � b "C A ti ��a�a� 4� � ---_.,_ ..., __ �i STRUCTURAL APP,�OVAL ONLY -- -----.------ �� SEPAH,qTE PERiv1fTS AR RE EQUIRED � Fop � �n �".�TRIS �� urrsTf,.;;, �„_.,�1� r'iJ_'"37PdS, � - :,'G A;dD i- �E��C'I��RAr14iN ;VORit i _ �--�r�-�`� #_/3��/3�-- � r�, i . ----__ ALL I .: :. '. C�:'��ANY . .... �i�_Q�I�STS ` ' '-''��IS ARE TO . c�r 7�i�iT THE ". ' �•:n J.;lSION OF ._ . i ,;r.i.,� ;.,c�U�;;;c��AENTS.'SJLTED FOR TYPICAL Cement Coping Outional Channel Block With 13/8 0 Horizontal Top of all Fences ., ; •'- � For Fences 5' or Less � Ven. Bars 3/8" 0 at 4' -0" ; For Fences Higher 7han 5' �. = Vert. Bars 3/8" 0at 32" O.C. : Fill Cells Solid Witli Grout W here Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 15"or to Code NATURALGRADE TWO 3/8" 06ARS CONTINUOUSTOP & BOTTOM 6�� CONCRETE BLOCK FENCE GENERAL- NOTES MORTAR: pne Part Plasfic Cement, ond Three Poris Sand GROUT: , One Part Cement Three and One Half Ports S'and COPING: One Part Cement, Three Parfs Sond CONCRETE: W¢II Mixed f:2-I/2:3-V2 Max. of 7- I/2 Gollons cf �1VaTer Per Sack nf Cement GROUT MAY BE POURED FROM 7HE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELISAND AREASOF HORIZONTAL REIN- FORCEMENT SHAII BE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. BONOS SHALL 8E PROVlDEO BV LA V ING BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTEqNATE IN EACH COURSE. DEPTH OF EARTHTCOTH V3 iHE HEIGTH OF FENCE � B�LOW BOT.TOM OF FOGTING. SCALE: I/2'�= I� FOOTING REQUIRFMENTS CHART WALL HEIGHT . . . . . . . . . . . 6 �. . . . . . . . . . . . 5�. . . . . . . . . . . . 4� . . . . . . . . . . . 3 WIDTH . 14'� . . . . . . . . . . .14�� . . . 12��. . Ip,� THICKNESS . . . . . . . . . . . .10". . . . . . . . . . . .10" . . . . . . . . . . . 8". . . . . . . . . _ . 8„ DfPTH OF EARTHTOOTH . 24�� 20�� . . . 16��. . . . . . 12�� SPACING OF EARTHTOOTH. . 12� . . . . . . . . . _ .14� . . . . . . . . . . . 16�. . . . . . I6� City of Costa Mesa, California Building Department + ♦ OWNERS NAME: — — .— — _ _ _ — — _ — — _ _ JOB ADDRESS: — _ — _ _ _ — _ _ _ _ PERMIT NUMBER:_ — _ _ _ __ — — — — _ — — � SIGNATURE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ I :. 'i:.�. :,,) � „ ��,��T�,� ��y��3��3 �PP�OiIED � �a. City of Costa Mesa Buildina Dept. ` 1 aY ._.__�' � _,._._DAT �-19 � THESE PUNS MUST B; Ot�l JOB A ALL TIMES � MAKE NO CHAN6E5 WITHOU7 N0.10R APPROVAL I OF DEP(. 1dE IaSG-'r„C t..t I':cA:.flAu OF F YCnNd( Od hPFItO'!AL Gr PLRhS ("U `:::111.;�IIONS ili.�LL tlJi Bc CONSTRUED w cE n tr;;:�;: �r. �, i�;>: r.r-r;;:,�;: cF. nrrr vioanou CF f�;;Y l:i I I rC'•'.-...::: D. IIilS COJE. RO PER`dt� PRE- . SU.vdMC, 1J U:c l,Ul:i✓xlli 10 ViO:AIE O:t CA�\CEL THE I'fi,^VIC::IJ l'f 1..�: l'.,I; _.b;L: UE 1':1lID. LrC[PT IN SO f',Rli7GE Y�Jnd U� U.i:��Itl�il I(AUIROiT1:o I$ LANFGL. 7:.E I::C'ft:.: L: d V tiv1IIT I1;:S:U U:'Ci! I'U1N5 AND ..'iJ!t:3 51��.� �.�I In./;.,.I I„� ;9:LCIV�� OifICIAL i' ��!.:.;.�r;.,� F�Va1riYG 11l_ 1,..-,"riiiJ:l C: L2HU.tS ":) I L�\i !' ) 5'ECIFICNII�.:: C:i 11��d PRCVEYTING � I�'_'i((';g'; ��•[3;.1;;;;$ bCING CARRIEJ 0.'� THCRCUNDE.7 N'HEiI ' � '�� cr �;�,n; •� uF i�i� CuoE OR OF F�vv Oir:[3 OAniaanr' ' � r! rr t��i�ano� � 133tl15 � �� . • �J l7�fOW" � 77�7N�7� bWlp� _._ � . \ ' PIANNIlKi D�. �I 10 R00. ML fb �`I."�.'I;.-� � . �"'`' ''"- r1,'' - ^'�' Y I STII .iv : l:i,�lL rii I' i.�� \t. �J i t_ � S� Jf. , . . . :i_ . �'��RrV � I� � i . i .._._ � :� � �! �� .. ._,.� � ..�� ' . -.' � ;'L' � i LiE � �I U'i I 1 ' .,.�::U f�l� ;lii� � . ._... ...�..ciil� _..—.. ORANGE COUNTY BUILDING DEPARTMENT 636 North Broadway �� SANTA ANA, CAIIFORNIA ' FOR APPLICANT TO fILL IN ' eui�oiHc ADDRE55 f�q� Gnvernor St_ � SCHOOL DIST. `+O9 ta Mesa RE OR TOWN TT NEAREST � CRO55ST. .�'j'.Ai"P .S�'F. OWNER Chevenne Homes Inc_ Aoi no RE55 C��(�� U!i l qhi rP. Blvci� oRF TEL. APPLICATION FOR PERMIT � 6�l�ILDIB�O/ FOR OFFICE USE ONLY � I �BY C�TY RP,VP.T'� V H� � � S ��' CR 7IL l�l NEARES� CRO55 ST. � ARCHITECT R. - LI0. ZONE N.OF ENGINEER G°ain-McKerrache�ao. R� f I PLAl15 ADDRE55 2110 E,Walnut-Pasadena � APPROVED LIC. BY t �ONTRACTOR R h V� �" Na I� 1 J� " I DATE REC'D. DATE ISSISED 'L 5 1954 MAY 6; 1954 �h��n.v..rz - � � �B— %if.e-�v-- -' ; n A � � " 'd,l !1A l 4 A �� i CORRECTIONS AODRE55 n049 l.ii l nA4 v.o Ree.ov.�.r A{ l ln i.LiL��-i Sl�l`.I.b')] SIZE OF LOT(�-/ X IU�/ I NOW ON lOT �J USE OF NO.OF NO.OF EXISTING BLDG. I FnM�ues I ft OMS SETBACK LINE FROM: 1� q� REAR YARO CENTER OF STREET LL( 6 SIDE VARD �� (� � DESCRIPTION OF WORK NEW I X I ALTERATION I I A[]�ITION I �� iE OF NEW ,��ow� Residence-aitt,C �� — O � — � D — r APPROVALS FOUNOATION: LOCATION INSPECTOR DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, I�M� APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING J -�Y ^,f4 AND AGREE TO COMPLY WITH ALl COUNTY OROINANCES FRAME: FIRE STOPS, n h ��_ ! BRACING,BOLTS dJE/'S � AND STATE LAWS REGULATING BUILDING CONSTRUGTION. � , � AUTHORIZEO AGT� /: • ��V�i � ��.y VALUATION s t�83o� PLqSTER,INT. ' PLASTER,EXT. PcrsMiT FEE E�y MASONRV REI P�nH CHecK S� gaNO BEAM FEEAL E/� FINAL � STREET PLOT PLAN ShoW location and dstances from property line ond between buildings.