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Home My WebLink About1114 PAULARINO AVE - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in f 1 f �5je� and effect. , �� f_C Llcen CI �— to c,qlyge No. lDJ Date i.a �G- S'9 1 Yy[ 40 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a cer 'ed copy thereof (Section 3800, Lab. C.) �j /'J� Policy No. D -r rs 1-//l Company E /E/2 �_lif{etlcopy b o'ledwiththecyY —11 0 Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed it the permit Is for one hundred ($100) or less). I certify that In the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to tike Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked, CONSTRUCTIONLENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 'Civ. C.) Under's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code:'Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole co mpensalion, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to Construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractor( pursuant to the Contractor's License Law). I am aware that Proof V their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Sectlon B. & P. C. for this reason Date Owner I hereby certify that I have read information is correct. I aaree to i lion and state that the above all city and county ordinances t, and hereby authorize repre- bove-mentioned property for Remarks: S CLt: .:ITY OF COSTA M��$j°� ONSTRUCTION PE MIT �a6a9 Cooking Unit rum INZ7 (MALI NU. LUn.1U. UNIT NO. Backflow Preventer Project Address 4R21/UD Sewer Cap W Sewer Connection Clarifiers Solar Collectors Dishwasher. Applicant's Mailing Addr�a5/51� �• Solar Tank TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Swimming Pool w/Spa Owner's Name )Tr,9 �� `x 't✓c-,C�' Phone - D%D" Water Closet Interceptors Water Heater o2 Kitchen Sink- Water Service DESCRIPTION OF WORK/USE OF BLDG. Auto -Wash Address Laundry Trays Roof Drains ' Arch/Eng. License No. TYPE OF PERMIT GRADING FJ�J, UNDATION STRUCTURAL %iTF= nvnc/fto TTrr- ti -c �J/ El TENANT 1:1IJ ELECTRICAL PLUMBING ❑ MECHANICAL Address n LQD 6LWf0 q El OTHER Contractor' Name -EMS /VS33. Phone Lx� L/ (7!' PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address (mailing) �.�2'i runoejo CONSTRUCTION TYPE VALUATIONS— ALUATION§City CityLicense No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in f 1 f �5je� and effect. , �� f_C Llcen CI �— to c,qlyge No. lDJ Date i.a �G- S'9 1 Yy[ 40 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a cer 'ed copy thereof (Section 3800, Lab. C.) �j /'J� Policy No. D -r rs 1-//l Company E /E/2 �_lif{etlcopy b o'ledwiththecyY —11 0 Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed it the permit Is for one hundred ($100) or less). I certify that In the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to tike Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked, CONSTRUCTIONLENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 'Civ. C.) Under's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code:'Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole co mpensalion, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to Construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractor( pursuant to the Contractor's License Law). I am aware that Proof V their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Sectlon B. & P. C. for this reason Date Owner I hereby certify that I have read information is correct. I aaree to i lion and state that the above all city and county ordinances t, and hereby authorize repre- bove-mentioned property for Remarks: S CLt: T -i_ ar I L Transformer ❑ 15.50 KW - ❑ 50+ KW Cooking Unit Meter ❑up to 100 amps PLUMBING FEES Bar Sink Showers Backflow Preventer Service Sink Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors Dishwasher. Solar Piping " Drinking Fountains Solar Tank Floor Drains Swimming Pool w/Spa Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors Water Heater o2 Kitchen Sink- Water Service Lavatories Auto -Wash P -Trap Laundry Trays Roof Drains ' Reinspection Fee 1 $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 LSignature _� i Date Drivers' Llcen se Reinspection Fee CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor $15 Issue Fee Hood Or Type ❑ Canopy Type I1 ❑ Refrigeration System 00-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee A.P. # S Main Building: E T Front ARear C Right S Left Ping. Ref. # Planning Notes: But Zone ELECTRICAL FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15.50 KW - ❑ 50+ KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers ❑Gas ❑Electric Sub Panel - Fan Motors ❑0-1 HP ❑ 1 % - 8 F.A.U. Inc. Solar 119-15 HP 016-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range ' Switches Sign Garbage Disposal Standing Sections Generator ❑05 KW 05.15 KW Trash Compactor ' $ 3 Retnspecttpn Fee $15 Issue Fee $ 3 FEES, DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By—Date� Application Issued By Data Z O N I N G R E Q M T S BUILDING PERMIT SUMMARY OF FEES $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ '+Z ISSUANCE $ PLAN CHECK ELECTRICAL- PLAN CHECK 25% 50% $ ENERGY P.C. $ GRADING $ MICROFILM $ $ $ MECHANICAL $ TOTAL FEE $ $ 3 PLAN CHECK 25% ,$ ill 0002:5$0-00027530 TOT .. %iTF= nvnc/fto TTrr- ti -c CONSTRUCTION AND, PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pale 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressurejest 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings "- 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 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 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 91'- 20. Rough Factory Fireplace 21. Ducts, in Structure 21. 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas D Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe . 28. Lathing & 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 33. Final Electric Notes: rr 34. Final Heating & Air Conditioning -- 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing { �7 LAW 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation - -44. Landscape Irrigation System ' .45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date PATIO COVER DETAIL 6/1/67 STATE—X---_� 1-11 SIZE SPACING SPAN ki— OVERHANG V GO r -7i R A FTERS: L "/e � N M_��yF rurz SLOPED FOR DRAI DROP PATIO FLOOR f— SLOPE TO DRAITJ— '3T THICK SLAB PUDDLED _ SAND_ FILL. Remove Grass And Weeds Down To Natural Glade .. �.:t CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT POST ANCHOR -.'.. 7i GALLONS PER SACK CEMENT. For Pipe Post. Embed �12� Provide 26 Go G.I. Flashing At Wood Floor Coi Pipe In Footing. Provide Flange Or Weld Plate Screwed Or Bolted To Frame. FORM BU -40 lncT�W-� CONTINUOUS LEDGER TYPICAL JOIST ANCHOR NOTE: USE REVERSE SIDE FOR PLOT PLAN. NO I ® Blocking 4' *A MAXIMUM--jPredrill �g CHA 3/g x 5'Lags 32a/e Ledger Predrill Existing '/,4-3 Deep JOIST HANGER FOR OPEN EGG CRATE or other approved meth ALUMINUM OR PLASTIC BEAM of support ♦ tie. BUILT UP FxCJ3M ROOFING. STATE SIZE MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN ALL LUMBER DOUGLAS FIR 2 x 6" 3/16X2" -T -STRAP 15' CONSTRUCTION• GRADE z 2•x 6• 16704 13' 3" 15' 0" 2x6• 24% s 11" 12' O" 2`x 4" Z 9' POST -BEAM 1 1 ' 00 f 16% CONNECTION e• 10' 0'1 2x 4' 1 24% 7' 1" POST SHOW SIZE SHOW SPACING SHOW LOCATION ON REVERSE SIDE. DROP PATIO FLOOR f— SLOPE TO DRAITJ— '3T THICK SLAB PUDDLED _ SAND_ FILL. Remove Grass And Weeds Down To Natural Glade .. �.:t CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT POST ANCHOR -.'.. 7i GALLONS PER SACK CEMENT. For Pipe Post. Embed �12� Provide 26 Go G.I. Flashing At Wood Floor Coi Pipe In Footing. Provide Flange Or Weld Plate Screwed Or Bolted To Frame. FORM BU -40 lncT�W-� CONTINUOUS LEDGER TYPICAL JOIST ANCHOR NOTE: USE REVERSE SIDE FOR PLOT PLAN. NO I ER CHA T NO 2 FOR OPEN EGG CRATE FOR SOLID SHEATHING. ALUMINUM OR PLASTIC SHINGLES OR BUILT UP ROOF COVERING ROOFING. MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN 17' 0" 2 x 6" 12% 15' 1 " 16' 0" 2•x 6• 16704 13' 3" 15' 0" 2x6• 24% 10' 11" 12' O" 2`x 4" 12% 9' 11" 1 1 ' 00 2"x 4' 16% 8' e• 10' 0'1 2x 4' 1 24% 7' 1" --NOTE: FOR PROPOSED''OR FUTURE ROOM,OR WHERE PATIO WALLS ARE TO BE BUILT. USE NO.2 CHART ONLY. WIDER RAFTER SIZE MAY BE INTERPOLATED FOR SPACING ONLY. FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO WALLS ARE TO BE BUILT SUBMIT COMPLF_TF HOUSE i AND ADDITION PLANS CITY OF C06TA MESA PLANNING DEPT. �/SU�BJEECCCTT TO BLDG. DEPT. REO. 8Y"- ` � DATEDEc`O —Z DIRECTOR OF PLANNING SI 6� Use. /XI&I01.240 // blF OWNER Seaview Homes. Inc. n DATE 6-19-62 GENERAL CONTRACTOR S. V._HunsakPr'& Son VALUE $ 153411.00 AP No. LOT 10 TRACT ),565 FIRE ZONE DESCRIPTION OF WORK res Watt fear INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R1 Soil kAr4z"- .d,e�vt-ee_o /I.HSS'�'S'-Ly Gas _ �— SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Ur Rough om. Re la A r o p Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line p-blOuse Con. [�-.St. Swc ❑� Sprinkling System' -kW— Y 7 �7�jo.� _7/ / gnstruction o e 'I Underground ❑ Power 0 'Rirugh Wiring �T-407-47 �6GCC - rc -E ✓ /�O/ S Trenches es erms tee em . ❑ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing -/ Frame and Flashing Lathing — In l7- Out ®— st',yl G.(19 - l/5 6,11 Plaster, brown coat , �f.-iq_ tz Refrig. ❑ Air Cond. ❑ Final Heating, Final / l Plumbing Fixtures, Final /// /,(/ / o • . 1 Final Gas Test 4y --e4- _ Electric Fixtures, Final Building, Final ft OCCUPANCY 17301 FnFM flab . SM — 7.61 fLE( RECEIVED 730 dim ss OUT COSTA MESA BUILDING -SAFETY DEPARTMENT FINANCE DEPL ' P. O. BOX 917 COSTA MRSA. CALIFORNIA For Applicant to Fill In Completely/ TYPE OR PRINT /0 BUILDING -+ ADDRES COSTA M CALIFORNIA ryry Q 4 CITY OF COSTA MESA loo/I O G ✓c. APPLICATION FOR PERMIT BUILDING For Office Use Only ' RECEIPT NO. PERMIT NO. OWNER MAIL ^� ED RICEIVID BY DA REC VE9 D�UI1 ADDRESS 1 CITY /'`� v NO. BUILDING ADDRESS ARCHITECT TEL COSTA MESA. CALIFORNIA OR ENGINEER{� /bL-3� FIRE D ADDRESS , -/2-7 ZONE TYPE GROUP CONTRACTORS I/ f�-�� APPROVED DATE G�.0 ZONING ADDRESS vLJJ i-L/�i� - / ZONH I NO. OF I U5H OP NEW CITY (. ` —/ PLANS BUIU INOw STATE TEL. pi LEGAL T/� Z/S�� L.NO. NO. DESCRIPTION L� //I 81ZE /�ljJ / (� NO. OF swag( -:;,OF I LOT (00 ^ V xoW ON LOTS/ A. P. NO. USE OF -� EXI6TING BLDG YARDS EVES APPROVED ALLOWED SETBACK LIN! FROM 552 L/ (CENTER LINE ST.) 4 qU�R Nn p CENTER OF STREET v REAR YARD FRONT SZ FT. IN. �O SIDE YARD LEFT RIGHT R. SIDE FT. IN. DESCRIPTION OF 8 L. SIDE FT. IN. NWORK 4-1 NEW ((ALTERATION II ADDITION REAR ! FT. IN. REPAIR I I MOVING I I DEMOLISH ( AYPROVEDBUILJ LI DATE OF DIN vv (" 9 RNO. SIZE OOMS STORIES EXTERIOR WALL 7L« ROOF GDF/ COVERING COVERING E OF BUILDING AN WORK TO BE PE FORME[) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONBTRR CTION. 81GNATURE O):F3, PERMIT FEE s PLAN CHECK S PERMITTE S — /� _ AUTHORIZED A�NT TOTAL FEE Z aZZ Z_ Q ON am J � J to M W m J -m J to N Z Z Q W K aW W JO 29 J � W W O Z_ H WO cn CC 70 H Z Q U_ J a CIL Q 0 F y Z O F U cc H N Z '3 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ,!/Y?5-7f'rns70010G1 dtrerr*7T0 FOR BUILDING PERMIT For AMCompleTte CompletelyAPPLICATION RECEI O Y DAT �S7OWNERA.P. E`RECEIVED DATE^I�SS_U ISSUED . ADDLDING DRESS NO.MAILBUILDINGADDRESSADDRESS/h� CITY TRACT LOT V BLOCK CONSTRUCTIONW PLENDERBRANCH OWNER ADDRESSVALUE ARCHITECTS OR ENGINEER FIRE ADDRESS ZONE TYPE GROUP APPROVED G CONTRACTOR F (%IP/ 2[(FROM BY DATE ADDRESS H /br7`�9 L TEL. Z Z NO. OF USE OF NEW CITY r �-y�.. r NO. �,Z PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. Q LIC. NO. �6S MAIN BUILDING ACCESSORY BUILDING SIZE �/ NO. OF BLDGS. C/L STREET) OF LOT �� J J� 6'n NOW ON LOT / RONT FT. FT.C, USE OF EXISTING 0 U S BLDG. FT. SIZE OF NO.OF NEW BLDG. ROOMS STORIES L.SIDE FT. f9'. EXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN SLOGS. ACCESS. BLDGS. it / VAR. qW DATE C / L /7 C.U.P. STs APPROVED % ROVED DAIE t /Y I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. VALUATION PERMIT FEE $ • Signature of Permittee f=�PL( -�6� QO S t0/ Authorized Agent TOTAL FEE $ �_ UWNtK KOLINAT JR.; FRANK DATE 5-25-70 JOB ADDRESS 1114 Paularino Avenue BUILDING PERMIT NO. zl Aoz AP No. 141 LOT 10 TRACT 4505 FIRE ZONE VALUES 690.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED i Dote Number Si nature GAS WATER Plu bin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. Lj SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heating and Vent. TRENCHES FORMS [—] STEEL REINF. T� FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING id FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C.. FINAL PLUMBING, FINAL AND GAS TEST IF ELECTRIC, FINAL BUILDING, FINAL /j C W_ 1 37192 Z a U Z Z Q O F - am J � J N m J J m Q U Q Z m w aW W J 0 M J cr W W O ZF WO m (r :)0 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 11 1 'M20-73P A I R�H$,001036 ****5.50 A ICATION FOR BUILDING PERMIT For Applicant to Fill in Complete/ R BV D E ECEIV ED —� DATE ISSUED BUILDING / �U//��^i!� v/ A/F ��//�f CC DDRESS ` /� OWNER / OL/.tl T. A.P. NOBULD PERMIT�(J r� /�I 1� J MAIL f ADDRESS ��/ //% �{. • ;/e NG ADDRESS TEL. TEL. // �j6 9 CITY 616%% w TRACT LOT BLOCK CONSTRUCTION W ADDIAITERIREPAIR LENDER BRANCH / _r OWNER4rL/N 10 ADDRESS ALUE !� SE ARCHITECTTEL. OR ENGINEER NtwE N FIRE ADDRESS ZONE TYPE GROUP ��e APPROVE CONTRACTOR ADDRESS TEL. ZONE NO. OF USE OF NEW �/D CITY NO. PLANS �- BUILDING C STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SIZE NO. OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. Ft. SIDE F110—L FT. SIZE OFNO. OF NEW BLDG. ROOMS STORIES L. SIDE FT. FT. EXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR. e{'+ DATE ,PR-rro C.U.P,$ APPROVED APPROVED 1 hereby acknowledge that I have read this application and state 11 that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION end Professions Cncie, Div' 'on 3, Chapter 9. �. / (f PERMIT FEE $ ,/ Signature \' - Permittee • ✓ '��'^� $ �1� PLAN CHECK $ A, V `f 7 Authorized Agent TOTAL FEE $ OWNER KOLINA JR. F. J. DATE 8-20-73 JOB ADDRESS au ar no venue BUILDING PERMIT NO. :INSPECTIONS SOIL eGAS WATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING TRENCHES M FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE ❑ SHEATHING FRAME AND FLASHING LATHING - IN M OUT ❑ PLASTER, BROWN COAT FI VALU SUBCONTRACTOR