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Home My WebLink About2124 PRESIDENT PL - Building Permits CITY OF COSTA MESA - o,f'�,� BUILDING DIVISION F I ,,,,� � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER CPERMIT J 4p B01-01352 (714)754-5273 • Fax(714)754-4856 • www.cLcosta-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2124 PRESIDENT PL Status: ISSUED Suite: Applied: 08/30/2001 Vicinity: RESIDENCE&CARPORT Issued: 08/30/2001 Parcel Number: 42244237 Zoning: Applicant: BUSCH, CASEY ISSUED BY: Address: 2124 PRESIDENT PL Phone: 949-650-2824 COSTA MESA,CA Zip: 92627 Owner: BUSCH, DONALD J Address 2124 PRESIDENT PL Phone: COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 • Arch : Eng: • Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF:T/O,REPAIR SHTG AS NEEDED,FELT PER MFGR SPECS,APPLY 30-YEAR ASPHALT SHINGLES. 1500 SQ FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,200.00 Permit: $83.25 Claim Valuation: $2,200.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244848(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensation Insurance carrier and policy number are: Carrier: r Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($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 the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions 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 or she I5 licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a perm+' j<acts the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant t• he Contractors License Laws.). ❑ I am exempt und:r-ec. a Business and Professions Code for this reason: Signature: Data: 7/30/O I Owner ID verified by:riv r e 91 ■ Yes 0 No Driver's License No. Expires: Verification of Ownership bye •- • document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit.and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safely Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? Oyes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feat from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application end slate that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agreeagnot to occupy or allow occupancy of any building authorized by this permit until final inspection. Signatur. rd Legal e'ler D int 6to / And/0 •w•ef ed ant 7/30Date ;ODE. INSPECTION ME ale IMmALg pin INSPECTION TYPE PAIL INmIAL$ 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final /� 208 Final Plumbing 200 Final Re-Roof h /3�f /�� /� 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • DECLARATION OF AUTHORITY Bldg. Permit# FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS This Permit# • Street Address: 712 1 Pies %ctCL t-F „pt. AP Number: 1. I (we), n / <� 6� , declare that I am the Owner of Title of the above referenced real property,and that I (we)hereby authorize: Name: 6` y &cl6iTelephone Number: frig) 't t3 - 74 . 3 Street Address: 2 /Z N pi es; p City: 6-0CIL,- he—S A." State: ` Zip: 02-62-7 to obtain permits in my behalf,as owner/builder,for Nem tr0b-P at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa,as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this 3ID _ day of A u J5 er 20 6 I , at 2 12.4 P/e c.N c w k P/. , California. Print Name: DDA UJ 3s L Signature: Mr ilii/ Date: 7/3% I Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attomey to secure this permit in any behalf. 0719.46(rev.11/00) Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PFRMIT NNOO. el ,TRACT NO.- ' - LOT NO.4- BLD'.NO.' - - -- �! : ��/t�•Ce7 2281 7/ 13/82. 5.00 TL CONSTRUCTION PERMIT Project Address 4-/2,/ r-( t.., TYPE OF CONSTRUCTION _ - . . ' Owner ;IAA,t q -" a. Phone6,,,f37l '❑ NEW 0 ADD 0 ALTERATION '11"3 - , Address - - - - - - --- . .0 REPAIR 0 CONVERSION ❑DEMOLISH __ ZONING REGULATIONS Arch/Eng. -- - License No. '❑ OTHER A p - . -- DESCRIPTION-OF WORK ' Address I - - - - ' - - ZONE - - ,PLNG. REF.7f - - Contractor ' ' y,-_,1-,,,, 00040 . Phoneg3yv79aTYPE OF PERMIT - '-- - • BUILDING - - TO BUILDING - ,Address- - • SETBACK C/L ST. PROPERTV•LINE .l Q�-a�fZjy.��n11.- .G. ❑ GRADING 0 FOUNDATION 0-STRUCTURAL L FTYARD ,LICENSED CONTRACTOR :DECLARATION. - .. 0 TENANT 0 ELECTRICAL IdPLUMBING ❑MECHANICAL • SIDE YARD--- I hereby affirm that I am licensed under provisions of Charter 9 (con- , 1 R - •• RIGHT • Month-Ng-with-section 7000)-of Division 3- of the--Business and • ❑OTHER ' - - __ Professions Code, 'and my license is In full force and effect.. REAR YARD(TO P/L) _ License Class --'-�l0 License No, p ' PROJECT DESCRIPTION - -- - - _ _ 42 1 R /•l Pl.G.,SPACE.REO. _ PROVIDED .Date 1-7 _k-g 2 "Signature a - 1"• a 1lx_e_C+J•p'- ' SQ.FT. '- — - . WORKERS'COMPENSATION DECLARATION.. - OCCUPANCY_CONSTRUCTION TYPE ET IDT %-j I hereb affirm that I have a certificate of consent to self-insure ora ZM LNG APP EDY •rVALUATION 20NE certificate of Workers'-Compensation Insurance, r a certified copy - - _ . . --_ _ . - Ithereof (Seon 304,l,aQ C.). • GRADING CV.YDS. ACRES - SaE -IA O D'IY,ONl: cRktneess i_ ., �'xy No. C •-7`7(t 11 -Company - - _ .... _ _ - • . _ -_ .,w ""'$br Ified copy Is hereby-furnished. _ _ ___ ___. - REMARKS:-�- i__. _- _ - . - _ - - _ ertlfled copy is filed with the city Building Division. . )EXEMPTION FROM WORKERS' COMPENSATION"DECLARATION -- ' 1 .- - ' .� (This section need.not be completed.if the permit is,for one hundred - - DATE/lag/EL-- �i 1 DATE/ L SIU. � ($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 PLUMBING . PLAN CHECK ' - - ELECTRICAL - - PLAN CHECK. subject to the Workers'Compensation Laws of California. _• .. UW ILLI NIa _ GARAGE _ -- Data Signature BATHTUBS -SHOWERS - ISO.FT SO FT •NOTICE: If after making this declaration, you should become subject TOILETS, - I -,URINALS - - -• GENERATOR-- 0-1 KW_1-10 KW - '- to the Workers' Compensation provisions of the Labor Code,you must - • TRANSFORMER 'forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-LAYS - •• - - • ;APPLIANCE— -10.50 KW. -50+ KW • r "- _ revoked.._ ' DISHWASHERS- - - -- - ' • ' +MOTORS - - 0-1 HP_1.10 HP -- -- CONSTRUCTION LENDING AGENCY 'I hereby affirm that there is a'construction lending agency for the per- SERVICE SINKS -I+ . SUMPS Y- - ,.(INC.SOLAR)_._.10-50-HP 50+.1-IP - - _ _ i Iformance of the work for which this'permit is issued (Section 3097 - - , Civ. C.): - - -' --- ' -- •- - FLOOR"SINKS - - FLOOR DRAINS - ' - FIXTURES --- - OUTLETS-- SWITCHES- - - Lender's Name ' _ ' ' ;Lender's Address DRINKING FOUNTAINS - " --- ---- - - - - GAS TUBE SIGNS -- - - - - -- - OWNER BUILDER DECLARATION - - - INTERCEPTORS - - CLARIFIERS -- - -• 'POLE LIGHTS - - - - 9 hereby affirm that I am exempt from the Contractor's License Law for - , the following reason (Section 7031.5 Business-and-Professions Code: 'SWIMMING POOL -'- PTRAP --- - - - - -- - - LUNSI PIA.I ION - 'Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,-demolish or-repair anystructure-prior twits issuance;also re- WATER'SERVICE ' ALTERATION - - - '1'- ''PANELS - MAIN-_ - SUB — - quires the ap,licant for such permit to file a signed statement that he _ . Is lIcensed-pursuant to the provisions of the Contractor's-License Law 'GAS SERVICE "' -OUTLETS "'' - ''SERVICE - - -- - - - - '(Chapter 9 (commencing with Section 7000) of Division 3 of the • - Business and Professions-Code) or that he is exempt therefrom-and the WATER HEATERS' - - BTU OUTPUT' i- --s-Oo - - - - --- -- • - -- • " " for the alleged exemption. Any violation of Section 7031.5 by - • applicant for a permit subjects the applicant to a-civil.penalty SEWER-CONNECTIONS• _ - ---'- __ ' - - ' - - -- - -. . . . . . - - • it more than live hundred dollars ($500). _ V I, as owner 'of the property, or my employees-with wages as their SOLAR TANK'- - ' COLLECTORS - - - - -- ---' - . - - - - - sole compensation, will do the work,and the structure is not intended ' I or offered for sale. (Section 7044, Business and Professions-Code: The' SOLAR PIPING SYS. ' S , - ISSUE FEE - - - - -?Contractor's_License Law does not apply to an owner of a property _ - - __ _ __�{ �.O13APPLICATION APPROVED BY- - --- - DATE ,who builds or improves thereon, and who does such work himself or ISSUE FEE / through_his own employees, provided that such improvements are not _ _ intended or offered for sale. It, however, the building or improvement MECHANICAL PLAN CHECK --- - ' - 1 - .-. SUMMARY OF FEES— - is,soltl within one year of Completion, the owner will have the burden , _ ' ' of proving he did not build or improve for the purpose-df sale). - BUILDING --- - - -- -- -- HEATING SYSTEM 0-100,000 BTU ',PERMIT $ ,SMIP.- • $ ❑ I�-as--owner of• the-property, am exclusively-contracting with - 1 _ - I" 'AND DUCTING - - � - -� , PERMIT -- -licensed contractors -The rnr the project (Section s7044, apply Business 100,000! BTU PLAN CHECK $ / 'antlowner Professions Code: Contractor's License Law does not apply to . - 0 _ _ISSUANCE 'an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU •PLUMBING $ - tracts from-such projects-with-a-contractor($) licesned-pursuant to SYSTEM - -- -•- '_ '.GRADING: $• the Contractor's License Law). 100,000,+ BTU 1 , PLAN CHECK -$ • - ❑'I am exempt tinder Section' - - - -- - B:8.. P.-C.for this - BOILERS BTU ELECTRICAL - - s - S $ — treason - - - - - - - - -- - - , PLAN CHECK-- $ -. - - . MICROFILM $ _ 'Data -_ Owner SYSTEM REPAIR,ALTERATION MECHANICAL"'s' -- _ TOTAL FEES I hereby certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE o • LESS AD- , ` - information is correct. I-agree to comply with all city and county 1 • PLAN CHECK= $ - - - VANCE PC $ ordinances and state laws relating to construction,and hereby authorize representatives -of this city to enter upon the above mentioned - property for{',n_spection�,_put gososes. 9 Signature `t L� "�"�! - - - - - - ISSUE FEE- - - - - , - - - . - _ - _ - . . - . . . _ - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING • -� POOL&SPA' - - APPROVALS Permit # Date Inspector APPROVALS- Permit# Date Inspector 1. Temporary Electrical Service or Pole •. '� 43. Pool & Equipment Location - 1 `•" • 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement -- • -- - - . 3.- Electrical Conduit Utility-Undrgrn 45. Forms - _4. Electrical Conduit-Undrgrn . _ . , _ 46._ Electrical Bonding 5. Steel Reinforce _ 47. Rough Plumbing & Pressure Test - - • - - • 6. Electrical UFER Grn - - -. - -- 48. APPROVAL TO COVER-GUNITE - . 7. . Footings. _.. _ . _.. _ 49. Electrical Conduit-Undrgrn 1-.. - - , - 8. Foundation- - . _ - _ _ _ 50. Gas Pipe, 0 Undrgrn,Test, • _ 9. Water Pipe-Undrgrn . . . .. . 51. Backwash Lines. P-Trap: ❑Undrgrn - -- ' • - 10. Structural Floor,System; _ , _ _ 52. APPROVAL TO DECK' - - - - - 11. Property Sewer Line& House Connedtiori . - .. _. 53. Backwash & Receptor-Final ' - • - • , 12. Street Sewer Connection -, - - - 54. Heater & Vent-Final - - 13. .Rough.Plumbing. • - - - _ ' 55. Plumbing System-- Final - - - - 14., Rough Electric-Conduit • - --- -56. Electrical-Final - 15.. Rough Electric-Wiring • - - 57. - Solar System-Final . ' - - "- ' 16. Rough Heating & Air Conditioning - . • -- . - - bB. Fencing&Access:Approval 1-7. Ducts, in Structure. 7 - - - • _ _59. APPROVED FOR PLASTERING . 18. Ducts, Ventilating - -- _ -_ _ . . _ - . .. 19. Gas Pipe-Rough &Test - ' • - - 60. POOL/SPA SYSTEMS FINAL - . - 20. Roof Framing- - - - - - - - - ' - - 21. Roof'Sheathing • - - - - - �/ . $-�- - 22. Frame and Flashing- - -- - - - NOTES: 77 -a-nf',.I fy r_„20-;n1_ A 'P 23. insulation -- - - - - -- - - /1 o i;--7.1-te-tent-0i f2-.'tom--eZ-i�7� - xeoll - - 24. Lathing & Siding -- - = , - .. ._ . _ ' .- ' - - - - - - . - 25. Drywall Nailing - - 26. Plaster Brown.Coat - -r _ - - .. - . 27. Electrical Power Meter-Final - -- - - • - 28. Final Electric - - - -- - ' . • - - - - •- - i • 29. Final Heating & Air Conditioning .. .. .- • - - - - - - - 30. Final Gas Pipe-Test - - - - .'' 31. Final Plumbing _ - - - ' • " 32. -Water Service-Final - - - - . ' 33. Gas Service-Final - - . - - -- . . . - - - , - • ' 34. Solar Domestic-Final '' - ' ' 35. Landscape Sprinkling System 1 - ' - 36: -Sound Attenuation - 37. Handicap Regulations - • _ - ' - - ' 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed - _ . - ' 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY ' No. - Date - , ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 636 No , a J I L D I NI G 1 SANTA ANA, LIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. BUILDING ADDRESS 2124 President Placa . 7338 564 7 0- SCHOOL DIST. OR TOWN Costa Mesa RECEIVED BY DATE RECD. DATE ISSUED NEAREST It Victoria Ave . Ir� il 4&_p�- 1"/ "? C7 BUILDING tin OWNER Crow Homes Inc. ADDRESS . i _ ,4I„ J %�� .. MAIL 9363 Wilshire Blvd. ' w�A ,�,`j ADDRESS SCHOOL DIST. '/ AJ �/t'! OR TOWN CITY Beverly Hills NEAR 54361 NEAREST CROSS ST. ARCHITECT O LIC. Z NO. OF TYPE GROUP ENGINEER Cain-McKerrachexND. pi l I PLANS it I :c-J ADDRESS 2110 E.Walnut-Pasadena �� /� /p .n BYPROVEDL u,•�-� CONTRACTORS alboa Vista Co` .43231 BY //J DATE r CORRECTIONS ADDRESS 9363 Wilshire-BeverlyHills LEGALLOT B9 _LOJ DESCRIPTION I NO. I BLOCK I TRAC11S772 (ATTACH METES & BOUNDS) NO.OF BLDGS. • SIZE OF LOT 70 x 103 I NOW ON LOT 0 USE OF I NO. OFNO. OF EXISTING BLDG. AA FAMILIES I ROO ' SETBACCENTERKOFINE STREET 50 lt • RSIDE YYARD10 11-7 DESCRIPTION OF WORK 0 O NEW I ][ I ALTERATION I I ADDITION I Z D REPAIR I MOVING I I DEMOLISH I �`^".•�r r BUILDING 1 C 11 s p. OF 1 ..I SIZE 1 3`Y `i•tObMS 5 STORIES EXTERIOR WALyROOF COM O COVERING AtUCCO I COVERING RY1l ngl Q USE OF NEW BUILDING Residence-Att .Carport `; 1 APPROVALS ' FOUNDATION: LOCATION SPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, e4 Y acj9/ APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING ss�/�L� �JJ YY AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. // A.n / •// iYw BRACING, BOLTS J.(/� (Q y J °Y° AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. INT. //J LV•7 / `L lv7 SIGNATURE OF LATH. EXT. �j /,j P ER M ITTEF Rat boa V1 qts Cn. n ^ / / PLASTER, INT. /J In 7 . v AUTHORIZED AGT. *�`b /' �A y� .', / �, i (.. 1_\____,A J' ' PLASTER. EXT. _ PERMIT FEE $1 MASONRY REINFORCED VALUATION $ 4830.00 PLAN CHECK $ BOND BEAM �/ TOTAL ik � 4 /�v T FEE $ FINAL SM sass • Lu z Id •o: • ••/ .1 - •." • 0 a. cc • . • • ( • ‘."1 3 1:.; ! .-; r rp • -&)- f 3 •'; r -, . ' I . n3 : - V n SI 7,0! x STREET 4'; PLOT PLAN Show location and distances from property line and between buildings. .7 r1.7 nr)::: I _•_