HomeMy WebLinkAbout2078 PHALAROPE CT - Building Permits� y
=W"�2 �``�. Twini� Laboratorie: �f ��u�EZ,= c.l<<F,�,Z�, �,Z�.
�'��� �� �.O 80k t; . J3�0 Ai4PO�I wnY . L0116 B6�Ch. C,1UF 9080� • 1���) �:b 3755 . R�3) 63h41Bb . �1HJ 818�6�32
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October 12, 1978
Examination: SC%�-5253
COMPRESSION TESTS ON GDNITE CYLINDERS
Pir. Robert C. Bennett
4109 W. Fifth St., Unit G-2
Santa Ana, California 92703
PRO.IECi SYIIM POOL AND SPA
ADDRESS 2078 Phalarope, Costa Ftesa
SAMPI.E FNOM Dee end, sh;zllow end and fl.00r
♦PCFiIFCI
FI:GI�+Ff�
B. C. Adams
MIX
DATE CA51
DATE TESTFD
CYII�aUER NO.
COMPRESSION
TOTAI LOAD, L85.
POUNDS PER 50. IN.
COMPI�ANCE
CYLINDERS
10-12-?8
1
10-Day
90,000
3,185
COYfRAC10P
Sunset Pools
futCO�+�vn[iOv
Enterprise Gunite Co.
SPECIFfED
STRENGTH
CYLINDER SIZE
10-12-78
2
10-Day
78,000
2,760
10-Day test complies with specifications.
M�Df er
Steve
o�sraisuriow
R. C. Bennett - 3
,_ C� Mesa Bldg. Dept.
DfIIVfYfO BT
Bennett
2,000 psi
6" x 12"
10-12-78
3
10-Day
80,000
2,830
9ECFIVFD OH
10-3-78
g���rsE�
OC713 1�,�
�7��...— ✓� ' "' , � - - ' �` �
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PHOJECT POUXE55: Z O% H PHALAROP E C T
OWNEfl'SNFME: SLAWSON, CLIFFORD MELVIN
aounEss: SLAWSON, DIANE R
2078 PHALAROPE CT
COSTA MESA,CA 92626
PflCNIENGINEEB:
ADONESS:
flEG.NO.:
UNIT:
UNIT:
rexmmee:CRAFTSMAN BUILDERS (714)540-1750
aoonEss: 501 W ROWLAND
S.A. CA 92707
LICENSED CONTBACTOfl DECIABATION: I hereby aifirm t�ai I am license� untler pmvisions ol Chapter 9(commencing wi�h Sec�ion
7000) of �rvision 3 of ihe Business and Pmfessipns Cotle. and my license is full force an0 effect.
�J��S 65 STRiELIC.:9779�us B
�aie: _ _ SiqnaWre: _
WO 5' OMPEN ATION ECLAflFTION: I �ere�y atlirm � at I have a t¢rtihca�e onsenl Ia self-insure or a certiliwte ot Worker5'
pensafon �i a�cel ��cr�t�eA capY thei¢ol �Sec�ion 3800. La�. C18 � 1� 9 4
roucr no.: GOLD EN EAGL E E%P. DRTE: U
COMPANY: ,�[
eN P4 opy is � reby �umished. L'J Cehi�ieA rs ie ilh ��e ciry B ing Division.
/
�a�e'. APp6cant.
�
TION F OM WOHI BS' COMPENSpTION OE0.ppATION. s 5et�ion neetl not be campleietl il i permil i51or One �unared ($100) or Ie55�.
I cer�iry Ihat in �he petlarmance of �he wark tor whith �his permit is issued, I shall nol employ a person in any manner so as lo become
, sublec� �o �he Workers' Compensalion Laws af Califomia.
Da�e: Signa�ure:
NOTICE: 11. al�er making �his tleclaration, you s�ould Decome suhlec� to ��e Warkers' Compensaiion pmvisions of IAe La6or
Cotle. you mus� �orihwi�h comply wi�� such p�ovisions or IhiS Dermi� shall be AeemeO revokeE.
CONSTPUCTION LENDING AGENCY: I �ereby difirm �bal l�ere is a constmc�ion lentling agency for Ihe pedOrmance ol t�e work tor
which Ihis permit is issued (Sectian 3W7. Civ_ C�.
LENDEB:
nooxess:
OwNEH BUILUEB oECLABRTION: I hereby aflirm Ihat I am exempt irom the Caniractors' State License Law for the following reason
(Section 7031.5 Business an0 Pm�essional Co�e-. qny ciiy ol counly which requires a permit Io consimc�, alter, impmve, demolish, or
repau any slmcWre. Orior lo iis issuance. also rppuires Ihe applican� for such permi� Io file a signed 5�a�emeN �ha� helshe is licensee
pursuam to 1�e pmvisions ol I�e Comractars 51a1e License Law (Chapier 9(commencing with Seciion 7000) al Division 3 oi �he Business
and Pmlessions Cotle) or Ihat hehhe is exemp� �herefwm and Ihe basis tar �he alleged exemp�ian. Nny,violation o� Section 7031.5 by
any applicanl br a permit suble��s �he applican� �o a civil penal�y ol not mare ��an five huntlred dollars ($500�.
I. as owner ol Ihe property or my employees with wages a5 �heir sole compen5ation, will do �he work, and ��e
❑ simclure is not intentletl or afieretl tor sal¢ (5¢ction 70a4. Business and Pmfessional Cotle: The Cantractors' State License Law
Ooes nol appty �o an owner o� a pmpeny who Ouilds or impmves thereon, and who Oaes such work himseli/herselt or Ihrough
his or Aer own employees, provitlea �ha� 5uc� impmvemenis are not in�entled or ofle�e0 lor sale. I�, however lhe builtling or
impmvement is soltl wiihin one year o� r,ompleiion, tAe owner wiil have the �urden o� D�oving he/she CiA not builtl or impmve
�or Ihe Durpose o� sale�.
I, as owner o� Ihe pmperty, am exclusively �onVac�ing wiih licensetl contractors lo conslmc� �he D�ole�� (Sec�ion 70aa, Business
❑ anA Professions CoOe: The ConVactors' Slaie License Law Ooes no� appty �o an owner of property who �uilds or impmves �hereon
and who conirac�s �ar such pmlecls wi�h a conlraclor(s) license pursuan��o �he ConUac�ors' Slaie Li�ense Law),I am aware
Iha� pmof ol iheir Worker's Compensa�ion insurance shauld �e pmvidetl �o me.
I� I am exemp� untler Section'. B, 8 P. C.
�or Ihis reason'.
Da�e' Owner:
I tlo hereby rer�ify Uat I am aware of and unaerstan0 Ihe requiremenls o� Califomia Health ana Safeiy Cotle Sec�ion5 25505, 25533, and
25534 antl IAat I or any fulure building ocwDant will/will not (circle one) neetl ro compty with saia s�a�e code5 antl �he requirements �or a
permi� lor conslmclion or motlilicalion �mm the qir Ouality ManaAemen� Uisirict. flesideniial conSVuction applicalions are exempt from
Ih¢Se pmviSionS.
Uale: AVplicanl
I hereby cer�ilyihal I �ave reatl Ihis applicalion antl s�ale Ihal Ihe above in�orma�ion�s correcl. laqree to comply with allci�y and cowry
or0inance5antl51alelawsrelalingta�uiltlingconS�mclionanAher aulhorirerepres tativesof�hisciryloenlerUpon�heabove-mentionetl
�_/_�� s�y��w�o .
or Somai Secuniy
1fi�1�46 Whlte—Builtling; Green—Gotle EniprcemenP, Canary—ApplicanC Plnk—Pev noe�, Gol�enrod—qssessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 0657
PERMIT NO: B 065797 PLAN CAECK NO: N GOVT: .
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCAIPTZON : ADD GREENfiOSE WINDOW & BAY WINDOW SQ FT: 1,975
CLAIM VALUE: 1,975.00 CALC—VALUE: 1,975.00 GROUP OCC: R-3 /
COMMENTS: INSTALL 4'X4' GREENHOUSE & 6'X 5'3" BAY WINDOW.
�r*�*x***�r+��r�����r*+r***+rx�+r****�r�**��x*�*��*��****�+�xx��*�r***�*��r+r�*�r*�**�**�r**+�r�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAA: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41205204 ZNE: REF NO:
PLANNING NOTES> J�
1
1E 1! iE if it ik 1klE 1ElE 1!!E iElE 1E fE if 1! 1E 1E ik iF if !f iE iFlE iE �k iflE �E ih iE 1ElE 1f k iF iE iE fF fE if ff 1F fE �f 1E 1f IE if �E 3f !E 1E iE if iE iE 3E 1E �E fE if !E!E 1f �E iE iF iElElf �E iE iE jE if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'�T' S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE: '�
APPLICATION ISSUED BY; DATE: �°� �
ic-*i�-***r****r*x��*x�i�x�*itir x�i�x��-******�F��FSF���-*
1fiElfiFaflfKiEif�EjtiElfiElEifiFiFiF1E3EiEiEiEiElElEifiEiE1!!!lEiFiEifiE�E�EiElflffEiFiEiFil1ElElE�E3E9Eif%ifiEiEffiElEiEff3fiE%lfif �flEifiFiElEif3E1EiF
LEGALZZATION:N F E E S U M M A R Y STRUCTORAL�SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 45.00 . 50
� SMIP/NON—RES
PLAN •
ISSUE FEE -
BUILDING—DIV—> PERMIT ISSIIE PLAN—CHECK TOTAL PAI➢ DUE
TOTALS----> 45.50 0.00 :' 0.00 95.50 45.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 45.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
45,00 .50
iE if iE iE 1E fE 1f iElE �E iE 1E �E 1E fE 1E iE if i! iE if iE iE iE iE 1E if jf iElE �E �F it 1E iE fE iE iflf iE �E 1E 3E 3E iE fE 3f 9E 3E iF IE if iE fE if iF iE if iE iE iE iE fE fE fElElE fE �E iE iE 1Flf iE if iE 1f jf jE
Z N D I V I D U A L :�F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N; UNIT COST TOTAL COST
SFR 1975 ALTER HY VALUE RESIDENTIAL NOZONE 1.00 1,975.00
END OF FEES
; �.
.. I+,
' a.i c�ois4tss-aois�is9 T�cs-�
6k1'E: Uli2fi9§ iIME� 21:57
a5<<n
CONST. FlUCTION AND PLANNING '
;aP?ROVALS Permit � I Dote Inspector
' i, Temporary Electncal Service or Pole
(-- _ - i.'.
� r. 5� I Pine�U�d.grnd. - �-
�`3 � EI �a;nwl Conduit UThty-Uhtirgrctl.
I
� 4 E:e'r�eal Candurt-Undrgrnd. '.
�--- -- -
5. Srrl F;r,nfp�cymeni
6. F_.ri.,^.�.r '. t;(Cft G:nd. .
7. Fuoc�n9; � �
8. FOvndat�on �
J. !'1ate.'.oe.Untl�g�nd. ' .
; ;U. Sr�ct�.ai F'.aor Svstem � --
7;. P-ope�'y ;r�:cr Lm� R' HCUSB ConnecUor�
� ?L Se�ver Cap
� i3. R,nt D�ainS
i4. Rouah Pwmbing �
, 15 Ro�yh Elech�cal•Condu�t
i
� l���n Elec".��ttiYiri�g
� 17. 9o�g^ r�n^S.gn
?8 fto��h °f�_hical�T Ba� Ce�l,ng
;9 R��,i�h µea'in� & !rr Co.�drtroning
20 �ia ��r f�ctnry Fi:eplace
21, Ducts _Y_St��cture � ' .
22 Du+:rs, Vent��ating
23, C-o; Pia Ru'�y�� & Test
F74 F:o� F.y ,..y �_..
�'J.-nJII .)"-i }(`. �i
?'... . Ld' .. . i �!�: CtUrd:l �. 3�`OCOat
I �
� 28 �...[h ���,d.r.��� � _ �-.--_
I i9. ,�u�:. ;.� ..
�Y30 D�Y-�a�ll ?laibnn � . --
1 31, ?�a�.tr. ::ic�'n G��at
} --- --- ----- ' - -- -
i 32 E�c:���O�PP�.er>.�.eter�F�ca!
�--� -- -- _ _
� 3? F�r..: .=��r,, r
� '4. �=. � I-,;:t�r; &: N� Co��.d�ro�-�� ---
35. F�i-^� G�5 Pioa�le5l
"�S. '.fvc�d..� C���nPY ______-__
37. °irai F7�zorY Fvrplac2
�£i. F�ral P'vmbing �
39. '.'.ater S.�vita�Final
� +:'. :�3s Sm �cC�F�ncl
� yl Saw� Gcn±sbc�f4�al
I 7 �acl<'�c Ptevanu;r � �
i--- - .
�43. _9;[;•ti-_.._Irrigat'on __-'-
,-. ; �::d5,cn� irtiqation SYstem .
- 45.. Sound Att�nuation � �
,' 43.-Ha�dicdP Regidation5
4T. F:D:P,I. 5T^UCTURE & BUILDING L
� �tfi F!RAL'�_?N�ING
� �Q. F':cinc Pclsase to Edisan
50. G;s Fele�se to Southem � aiifom�a Gas Q
C-51. CERTi; IG�TE OF OCCUPANCY
Oate
PO� e SPA I
APPROVALS Permit ,�' I Date inspector�
I
52. Poo! & Equipment Locatfon �
53. Stect Reinfortement
54. f-orms � '
55. Electrical Bnndmg ,
56. Rvuc7h Plumbing & Pressure 7est �
57. APPROVAL TO COVER GUNIT[
58. Electrica4 ConduiFL'ndrgrnd. 4
-i
59. Gas Pipu, CI Undrgrnd., Tes: I �
60. Bacicwash I_!nes, P�Trap,'� llndrg�rd. -�
61. APPFOVAL TO DECK }�- ''
62. Bacia�:asii � Recep!or-F�nai 'r �
-i
63. Heater & Vent-Finai . ,',
__�
64. Plumbmg SyStem � F�nal i
65. ElactriCal�Final �
66. Solar System�F�nal �
67. f-enung U� ACcess Approy'al �
68. APPROVEO FOR PLASTERING � �I
69. POOUSPASYSTEhiSFiNAL _ i _� �
FIREDEPT.REQU(REMENi ' I
� I
RPPROVp�_S Pcrpi�t� --�; I ,
�- -- - - - -i--7
70. Underuro�nC Hydro i I _ '
� l ��
71 . PruduCt Piping I7 Ga4 `t! O��
- �� - �
]Q. U;��er.,-�ro lnd Fluih I
73. Undergmd. Storuyc TArk � Gas 0�' j
-�'-- ___'_ ____�._____
�.. . 7A O�e�hcac Hytl�o 1 ��
�*--'- -�-- ----� - --
� i 75. Ory G��em::a' �
___�-_ -��]. `.�lq $`.:'..L.FE �"_ -_-_„ ___
-�._ � __ ._"_ _ _.' __"I'"_'_
I � 77. �iXEDEvSTF1''}�I;,FiL -�----�
-�- ---- ' -� ,
78, FIH6 PReV F�NAL �
_�_:-�---- --- I----- -L- - �
hIEALTH DEPT. REQUIREPo�EN7
� � 75. FINpL IycpECTiON -------- � - � - ------.
. _ �{_rt__ ___T___' __-'_-_ .-.
--- �-IB�. FUODCtRfI�iCA7EIS5UED .---�----�-- �
� � idotes:-��
�- I. �-1.7_-2'�(__ K� ��. �_-/���� -,
-��-- --- - - - - -- - - - - �- -
�
- - - - - ------- 1
-___ '---__' _ - _'_-_ _ _ i
- -�----- - --1
JOB ADDA
GENERAL
I*� 'ECTIONS
Date
DATE
BUII.DING
OF WORK
VALOE S
SUBCONTRACTOR � Date
Tr,5493
Lat a5M ; 25257
�
� COSTA SA BUILDING-SAFETY DEPARTMENT
P.O.BOX ]1] COBTA MHBA,CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
ADDRe'ss 2078 PIDalarope Court.
- COSTA MESA, CALIFORNIA
,,,,,,ti�o Pemba Subdividers, Inc.
Costa Mesa
ER !1[L1 LCIIUQGII ryOJY 1�O
1823 E, 17th St. Santa
,R Pemba Subdividers.Inc
187318
65 x 105
0 9ETGACK LIry6 FROM
� USE OF
549-0395
no. or e�oos. O
NOW ON LOT
Residence
EFT 8 I RIOHT - 7
DESCRIPTION OF WORK
N6 2393 Ro°or°as 13 sroR�ea 2
orzw.v.�. � rtooF Shingles
1 HEREBY ACKNOWLEDOB TX�T 1 HAVB qBAD THI9 APPLICATION
ANO BTATE THAT THE ABOV6 �9 CORflECT ANO AOREE TO COM-
PLY WITX ALL CITY ORDIN NCBB ANO BTAT[ LAWB RHOULATING
BUILOINO CONSTRUCTION!
SIGNATURE OP �
PERMITTE
AUTHORI2ED AGH T
C6TV �� ��Si�, VNESA
APPLICATf6N Foe19661�
For�fu�l� �n y
p6C61PT NO. I PENl.
er
ZONING
ZON INO. O!' I USH OF NCW Cn
PLAN! `.7. BWL�INO
LEOAL OA-C. v / � �/�L�.fl `YP
D¢BCRIF1'ION
A. P. NO. �— .
NOTE: NO EAVE OVERHANG SHALL BE LE68 THAN
90" TO 91Dfi 8 REAR P. L.
EAVE9
ALLOWE� (U.B.C.REQUIREMENT:
YAR�BAPPROVEO YARDSAPPROVED
MAIN BUILOINO�, /lI AGGESSORY BUILDING
YAR.# � DATE
a3 �� Sa.�. 5 �o�-�—
THE AMO�INT SNOWN UNOER VALUATION 19 FOq TX8
PURPOSE OF H6TABLI6HIN� A pEqMIT FEE ONLY.
VALUATION 6A y
PERMITFEE $ `%�
^/ �(+�" 7
$ +^ � �lJ PLAN CHECK $ �
V � ---- --- _ I .d2
OF
'LONE
BUILDING PERMIT NO.
SUBCONTItACTOR
� " ,
- '�" 26 I I I
� COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOx 1P00 � COSTA MESA� CALIFORNIA YT62E
For ApplicanP fo FIII In Complefaly
� TYPE OR PRINT
eui�iNo . ^'�/
ADDREBD �Q� i` � )�Q � eC%/>
COSTA M A, CALIFORNIA
..,. i _:� /'1 /'1
HITECT
��'Q. f< �
218238 rTio
�✓ 5� � ��
N6
T!L
DESCRlPTION OF WORK
USe OF �UILDIt1Y AND WORK TO 06 P[R
/0'�6/��d � /Y/ $7661C' ,
I N6R6BY IICKNOWL[OO6 TIIAT 1 NAV[ R6AD
AND BTATB THAT TN6 ApOV6 It CORRtR�A!
PLY WITM ALL CITY OPDIIUNCO AND YTATi
6UILOINO CONBTqUCTON. .L � /
� AVTHORIZiDAO[NT
/
SEP -1-66 DO 030 A 7*� *��3.00
APPLICATION fOR PERMR
BUILDIN6
for Offlm Use Only
11[C611T NO. �R
Bu
ZONING �
O~� + �uH� � euiLDlr�o� �/¢uj
DLGC111RION ` M 1 Q� ` � ✓� �.
A. P. NO. �
NOTR: NOGV60V[RHAN68HALL�ELE88TXAN
YARDBAPPROVHD
MAIN BUILDINO
fOM C/L 8TR[[T)
o�erwncc scr
MAIN BLDOY.
VM. �C
YARDBAPPROVED
ACGEY80RY BIIILDINO
err. i
ACCE
DATH
i- a
L7
�
BC. R�. �X
0
iH8 AMOU!(� OMOWN UNDBR VALU�TON ls �OR TH6 j
■YHP08[ OP [�TAGLI9HIN0 A PCPMIT I86 ONLY. �3
VALUATIOfi /y�� - � �
G�� PERMITFEE p
C
s �OO k'
TOTAL FEE $ �
Ivr ivu. t,�7��
IN"OCTIONS
� P� �ocation .
� Forms
�Main Drain _
�Steel Reinforce
Elec. Bond _
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final
Fii•=r System Final
L Nash and Recep. Final
Fencing Final
'L �l
C C.
VNI�J
BUILDING P
�1:7�(�P.i�•!_\[qq
SUBCONTR�CTOR
�
�� ; ��6�1
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDR ESS G % .
OWNEP C�QQ (rV
MAIL
ADDRESS �
TEL.
CITV �'^ NO.
CANSTRUCTION
LENDER
BRANCH 1
1 l �e�0
A�ORESS �
ARCHITECT TEL�
CONTRACTOR
ADDRESS
466'I 9%.I I
�t 465:1' 9/ I I
�is1i661' 00�0
APPLICATION�QR STRUCTUR
RECE DATE RECEIVED
A.P. NO.
� � �� - �
BUILDING�O � �
ADDRES
TRACT LOT
W ADD ALT R PAIR M
O NER %J�,
�VALU
5 ��
FIRE
ZONE TVPE GF
APPROVED
av � DATE
!78 _ 60.50CKP6�
4466 91 ' I A '" "'
AL PERMiT
gQ^E��� E
I�J
BLOCK
TEL. ZONE .1� NO.OF USE OF NEW %��'d'�
CIT c J�`. b NO. / PLANS BUILDING -
F STATE CITV�/T YAROSAPPROVED VARDSAPPflO ED
� UC. NO. ��,5 UC. f70. r�« MAIN BUILDING ACCESSORY BUILDING
{y SIZE � � NO.OF BlDGS. / (FfiOM C/� STREET)
0. OF LOT � Q,r NOW ON LOT OM FT. FT.
a VSE OF r� //'/
� EXI5TING BLDG. � iFT" Z FT
�
FSeparate permits are required for l.. SIDE G FT. FT.
� electric, plumbing and heating work. REAR FT. FT.
USE OF BUI�DING AND WOflK TO BE PERFORME� DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS. '
Q / VAfl.#` �ATE
, � .Q �/ �✓ � C.V.P.�j'+ APPROVED
e
� APPROVE � /�._� .
� �
�
a
w
0 1 haleby ncknowletlBe thai 1 hava read ihis application antl state �
(Y Nat the aEove Info�metion is correct antl agrea to comply with m
a all laws reBulatin9 builtlinp consttuc2ion, entl I shell not employ
Z eny person in vio�ation of tha workman's compensation lews of �
,s the State of Celifornia. m
3 I �areby certify thet I am properly licensetl as a contrector untlar S�. FT. w
the State of Celifornia B�siness antl Proteaions Cotle, Divlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, antl that suc� I(censes are )n full force antl effect, or I THE PUqPOSE OP ESTABLISHING A PEiiM1T FEE ONLV: "
em exempt trom the provisio f the Staie 'fornia Business iO
VALUATION PERMIT FEE S p
antl Profasslo otle, Divisi 3, p in
m
Sip^atura o / J ///��� ///��� PLAN CHECK 5 0
Permlttea $! �� � LL
TAX S
(� � t�i
. Auiho zetl ont 70TAL PAIO $