HomeMy WebLinkAbout355 PRINCETON DR - Building PermitsCITY OF COSTA MESA "
� R, BUILD1�11G 1�IVISION
F� 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q74) 754-4856 • www.ci.costa-mesa.w.
°•� � � FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER B07-00913
PERMIT TYPE
JOB ADDRESS:
Vicinity: ROOF
SQ. FT: 1800
B_ROOF2
355 PRINCETON DR CM
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Const Type:
Valuation: �
ISSUED
08/29/2007
SOK
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$0.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 15# FELT, 3 1/2:12 PITCH, 30 YEAR COMPOSITION SHINGLES
AND REPAIR/REPLACE SHEATHING AS NEEDED. 18 SQUARES �
AND 5 SQUARES FOR DETACHED GARAGE. WORK WILL BE DONE CONCURRENTLY.
OWNER: MILLER, ERICA S TR
PHONE: CitylState/Zip:
Address: � 355 PRINCETON DR Uni[:
COSTA MESA, CA
APPLICANT: MIKE LEE Address: 301 N OBERLE PL Unit:
PHONE: 949-635-9054 City/Stzte/zZip: PLACENTIA, CA
CONTRACTOR: ROOFING STANDARDS License No. 741302
Address: 301 N OBERIE PLUnii: PHONE: 949-635-9054
City/State: PLACENTIA, CA ZipCode: 92870 � CELU
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTAL FEES
$o.00
$125.25
$0.00
$125.25
License No.
License No.
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Cali(ornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be wnsidered 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 expiralion of this permit.
COUEN. INSPEC710NflPE O�TF INTITIALS COOEk INSGECTIONTYPE DATE INRIIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
2006 Fioa'I ReaRoof' q-S'-r�7 � 2�10 Final Electncal �
201 Final Block/Retaining Wall 272 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
WORKERS' COMPENSATION DECLARp710N:
I hereby affirm under penalry of perjury one of lhe follovnng declaralions: ..
❑ I have and will maintain a certificate of consent [o self-Insure for workers'
compensation, as provitletl for Dy secti0n 3700 0( the Labor Code, for the
peAortna ce of the work for which this permit is issued.
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have and will maintain workers' canpensation insurance, as requiretl by
"�` pn 3700 of lhe Labor Code, fa ihe peAormance o( the wnrk fa which this
pertnit is issued. My vrorkers' compen;ation Insurance cartier and policy
number are:
;Carcier: :��AT C F J nJ A
sectm need nor ea mmpered alne perm9 B vaNie!�d /at me nuiMretl ddlars (5100) a iess.)
ticy�Number. �f7 3 2�o Z y– Z�Vfo
9
�°Q-�—I-certify tfiat �in the pertortnance of the work for which lhis permit is
issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' compensation laws of Califomia, and agree that if I shoultl
become subject lo Ihe workers' compensation provisions o! Section 3700 of
the Labor Code, I I hvnth comply with ihese provisio s.
$290�
� APGII 1'sSl re .,_�' p�. ,d. Date
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WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing
with Section 7000) o( Division 3 of the Business and Prolessions Code, antl
my license is in full force and eHect.
, tl`c, i�—��'%ri�: :;G�ass # - �C� 3 q
L� 1
-'?`.".1'�P%"�'EtintraGor's Signalure dai � � 1�
'—,.l^,�-�.�.�_� r. l
CONSTRUCTION LENDING AGENCY: �
❑ I hereby aKrtn that there is a ConsWction lending agency for Ihe
peAormance o/ the �rork for wfiich this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name:
Lentler's Address:
SignaWre Date
OWNER-BUILDER DECLARATIONS:
1 hereby affirm that under penalty o( perjury that I am EXEMPT FROM THE
CONTRAC70RS LICENSE LAW for ihe follovnng reason (Sec. 7031.5,
Business and Professions Code: Any ci[y or counry which requires a permit to
consWct, alter. impmve, demolish, or repair any strudure, prior to its
issuance, also raquires Ihe applicant for guch pertnit to file a signetl slalement
that he or she is licensed pursuant tq the provisions of Ihe Contractors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of Ihe
Business and Prolessions CoOe) or that he or she is exempt there(rom and
the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects Ihe applicgnt to a civil penally of nol more than
five hundretl dollare ($500).):
❑ I, as owner of the propeAy, or my employees with vrages as Iheir sole
Compensation, WILL DO THE WORK, and lhe stmcWre is not intended or
offered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such work himsel( or herself or through his or her own
employees, provitled that such improvements are nol intentled or offered !or
sale. If, however, Ihe building or imprqvement is sold within one year of
completion, the owner-builder will have the burden of proving Ihal he or she
ditl not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH
LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and
Professions Code: The cont2ctors LicenSe Law dces not appty to an ovmer of
property who builds or improves thereon, and who contractslor such project with
a conl2ctOr(s) license pursuant to the Coptractor5 License LawSJ.
❑ I am exempt under sec. �
Business and Professions Code for t�is reason:
SiB�aWre Oa�e
305]-46�0IO1�
Ovmer ID verified by driver's .e. ❑ Yes ❑ No
D��ver's License No. Expires:
Veri(cation of Ovmership by (rype of tlocument, i.e. - property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excavation (rve (5) or mwe feet in dept� into wfiich a
person is required to descend, will be made in connection with wvrk authorized
by this permit, antl that no builtling strucWie, scaffdding, falsev.ork, or tlemolition
or tlismantling Ihereof, will be more than thirty-su (36) feet high. (Chap. 32, Gry
2, M 2, Sec. 341, TM1Ie 8, Califomia Administ2We Cotle�.
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from the Division ot Industrial Safety. as noted ahove, unless
such person has a permi[ to do such vrork /rom the division.
Appliranfs Signalure
Division of Intlustrial Satety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applican[ or present or fuNre building occupant need to fle and
certify a Business Plan for emergency response to release or threatenetl
release o( a hazardous ma[erial? ❑ Yes � No
(Section 25505 of Ihe Calilomia Heallh an0 Safery Code requires, wi[h some
exceptions, Ihat a Business Plan be fletl with the Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantity of hazardous matenals equal ro or greater than a weigM of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas
at standard tempereture and pressure).
2. Ooes or will the applicant or present or (uture building occupant need to file
a regis[ration form tor acNely hazartlous malerials? ❑ Yes ❑ No
(Section 25533 of lhe Califomia Health antl Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one lime has on hand a quantity of acu[ely
hazardous matenals equal to or greater than a weight of 500 pountls. or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at standard
temperaNre and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health antl Salety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing wi�h [he Pire Department o( an RMPP by businesses which are required
to register acutety hazardous materials with the Fire Departmenl.
4. If an RMPP is presently required, has Section 25534 of Ihe California
Health and Safety Code been fully complietl with? ❑ Yes ❑ No
5. Does or will the appliwnt or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification trom the South Coasl Air �uality Management District or from
any other air pollution control dislrict or agency? ❑ Yes ❑ No
(Seclion 658502 ot the Califomia Govemment Code requires that the requestetl
informatbn be fumished on applicatbns ta non-resitlential builtling permits).
6. Will any part o( lhe (aciliry to be constructed under lhis permit be within
1000 (eel from the outer boundaries o( a school? ❑ Yes ❑ No
Qf yes', the faciliry must meet the reduirement of Sections 25534 and 42303
o( the California Health and Safety Code).
7. If a permit from the SoWh Coast Air Quality Management DisMct or other
air pollution control tlistrict or agency is required for the work which is the
subject o( this application, have all of the disclosures prescribed by California
Health antl Safery Code Section 42303 been made? ❑ Yes ❑ No
8. p( "yes", attach certificate ol compliance Irom the appropriate air polWlion
control officer). . � �
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
infortnation given above is correcL I a9ree to wmply with all state laws and
city ortlinances regartling Hazardous Materials and Emissions.
Dare
CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF ENTRY: I
certi(y under penalty o7 perjury that I have �ead this application and state Ihat
the in(ormation given is wrrecL I agree to comply with all state laws and city
ordinances relating to building conslruction, antl authorize representatives of
ihe Ciry of Cos1a Mesa to enter upon the abovetlescribed property for
inspection purposes. I agree not to occupy or allow occupancy ot any building
authorized by this permit until final inspeclion.
SignaWr o!L eqs) Dale
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Au��odietl AOp���+��� ' . . Datc -
�' _ .
OW NER COLLEGE PARK DATE ZZ-Z7-SC) �
JOBADDRESB qKK_�incetnn 1]rive BUILDING PERMIT NO. #11�1�
� ERALCONTRACTOR� $ypbOl' COiISt. CO� VAWE $ ��2���(1�
LOT K� BLOCK TRACT Q�Q(� Res.�det. 2&T'.
GROUP I Bc J TVPE V ZONE RLl FIRE DISTRICT Iy1B%
PERMITSISSUED
INSPECTIONS , DATE SUBCONTRACTOR DATE I NUMBER
Foundation
Rough Frai
Plumbinp. I
Com
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'/7'.�/ �3 K
- a4-Si ya '
_ i?-<-7 '7 90
Meating, Final// /
LS •, House c�r�� Seweq St. /�% �.5 �jgr7 3-as
Ser.�c Tank or Cesspool �
Lathina.ln Out
Plastering � (a'!(/� J ��
Plumbing, Final, Fixtures Complete ('i .
Plumbing, Fin.al Gas Test /S �
Wiring, Final ,�,z`�_
OCcupancy � y
FORM 210 3M �0�9�
•Costa Mesa Bnilding Department ' APPLICATION FOR PERbIIT
--�'. , P.O.Box3!7 ���`� BU�� OING '
, COSTA MESA, CALI NIA — — - - - - - �
FOR OFFIUE USE ONLY
FOR APPLICANT TO 1�'II�L IN Receipt No. Permft No.
B���d��9 v�y.�
Addresa PRINCETON DRIVE
Costa, Mesa, Cia�OPII13 Received by Date Rec'd. Date Issued
Nea rest —Yit l7i- ia -a >- s� i 1-Z�-s
CrossSt. iiARBOR BLVD, Building
Address
Owner CO L L E G E PAR K N 2 Costa Mesa, California
Mail
Address 21 I( So. MA I N ST. Nearen
Tel. Cross St.
City SANTA ANA CALIF No.KI 2one'7�t� I No.ot I Type Group7�
Architector Lic. �T 7 Plans -L
Enginee� No. Approved
b Date
Address CORRECTIONS
ci:r u�. 6 �
ContracMriiARBOR CONST.CO No.
Address $ M
Legal Lot �
Descriptlon I No. 5�.�. I Block I Tract 2%Z
(Attach Metes and Bounds)
Size oi Lot � �3 X I Now on Lotg p
ljse oi I Na. oT I No. of z
Existing Bldg. Familles Rooma �
Setbaek Line from Rear Vard
Center ot Street � � Sida Vard -6 D
DESCRIPTION OF WORH �
New I X I Alteration I I AOditfon I
Repair I I Moving I I Demolish I
Bullding No. of
Size 1379 rtooms Stories
Exterior Wall Roof
Coverin9 Covering APPROVAI.S
Use of New Foundation Location Inspector � Date
Building RESIDENCE Ft DETACHED Forms,Materials,
G AR AG E Under-Pinning
Frame: Fire Stops,
Braeing, Bolts
I hemby acknowledge that I have mad this Applicatton
and state that the abwe is correct and agree to comply Lath. Int 1
with all City Ordinances and State Iaws regulating
bullding construction. Lath. Ext
Signatura of
Perm�ttee HARBOR CONSTRUCTION C0. P�aster,�nt
AuthoNzed Agt plaster, ExA
Valuatlon Permlt Fee $ a£i Masonry Reinioroed
Plan Check $� y Bond Beam
$� � ��.��, ToWI
Fea �� �FINAL
vonm aoa io.ee o. v. e s.
v
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a`
Street
PLOT PLAN
�� Bhow Iocatlon and distance9 from
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� property Iine and between buildings
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JOB ADDRE55 355 Princeton BUILDING PERMIT N0. 49435
rcu�o�� i-nuro�rtno r.........,..to..;�a..� ncermor�nu_�uinov .._'___ ..______
FIRE
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W �TEF
ROUGH PWMBING
PROP. SWR. LINE n HOUSE CON. �
SPRINNIING SYSTEM
MISCELLRNEOUS
ROUGN NE�TING ANO AIR COH�ITIONING
TEMPORRRV SEFVICE OR POLE
UN�ERGROUND � POWER �
ROUGH WIRING
TRENCHES [_f FORMS � STEEL REINF.
FLOOR SVSTEM
'BERM �] STEEL REINfORCE �
.THING
FRAME ANO FLASHING
LATHING - IN n OUT (�
PLASTER.BROWN CORT
STRUCTURAL, FIN4L
HEATING, VEHT., REFRIG. �HO A.C., FIN�L
PLUMBING. FINAI ANO GAS TEST ❑
EIECTRIC. FINAI
BUILDING. FINA�
SPEUAL REOUIREMENTS
SUBCONTRACTOR
9155 12/27/79 6.50 TL
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'' • WSTA MESA BUILDIN't�`�'��',;';FETY DEPARTMENT APPLICAT0. cOR STRUCTURAL PERMIT �/
P.O. BOX 1200 COSTA nA��A, CALIFORNIA 92626
RECENE BV PERMIT �jr
For Applicant to Fill in Comple[ely — Use Ink Only �/� 3
BUILDING . A.P.NO. '�'I^ "I
ADDRESS � Cj� C � r/��--�y�
TENAN OR �d �/ �. % A�DRESS � �75 , v `�G I � �
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UNIT OR
MAILING � , � SPACENO.
AODRE55 TR.N�.�� LOT � BLK.
TEL `L
CITY ,��' '" NO
CONSTRUCTION �� NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDEF J
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BRANCH � G CQ /(,1j� -
�J /�J OWNER
ADDRESS � � � ( � Gf/ VALUE /
ARCHITECT TEL. USE (�.�j�O �uG 5 S O�
OR ENGINEER Q
ADDRESS ZONE `\ 1 TVPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDflESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
�14 NO. LIC. NO.
OF LOT �t �J /�.� 7 NOW ON LO � Z FRONT C/L E )
EXISTING BLDG. („iLG_.� L�J/]/Gr.�if, Z FT
Separate permits are required for L SIDE f FT.
electric, plumbing and heating work. "�""
REAR O FT.
USE OF BUILDING AND WORK TO BE PERFORMED - PLANNING ACTION
DATE
APPROVED
APPROVE ` �i
I heraby acknOwledge that I have reatl this applicetion antl state / °`
n
that tha above Intarmation is correct antl agree to comply wlth
ell laws reguleting builtling consvuction, antl I shall not employ �
any Oerwn in violation of the workman's compensation laws of d
the State of Calitornia. � „
I hereby certify 2hat I am properly licensetl as a contractor undar
.J SQ. FT. S � P�% �+
the Stata of Calitornie Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, antl that such licenus are in full force and effect, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE NLV: �
am exempt from the provisions of the Stata ot aliTornla Business .r
and Professions Cotle i ision 3, Chapter 9. V ALUATI ON PERMIT FEE $ � ,�
m
� PLAN CHECK 5 r— o
Signeture of �
$ �
Perm(ttee TAx $ B �
or
Authorizetl ABeni Da e U
� S�CJ� TOTALPAID S .S(�
4DDRESSy y VS Princeton BUILDING PERMIT N0.
Gn�ERA� CONTRACTOR er i er DESCRIPTION o( WORK a o er
AP Ne. 141-384-15 LOT 54 TRACT FIRE ZONE vn�ue s •
G�5
ROl1GH PLUMBING
PROP. SWR. LINE
MISCELL4NEOU5
POUGN NERTING r1N0 �IR CONDITIDNING
UNDERGHOUND U POWER U
ROUGH WIRING
TFENCHES �� FORMS STEEL REINF.
FLOOR SYSTEM
N
HEr1TING, VENT., REFRIG. �NO A.0
PLUMBING. FIN4L AHU GAS TEST I
ELECTRIC. FIN4l
BWLOING. FINqL
SPECIRL FEOUIREMENTS
FIN�L
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COSTA MESA BUILDIN 1FETY DEPARTMENT
� P.O.BOX7200 COSTA. .A,CALIFORNIA92626
For Applican[ to FHI in Completely — Use Ink Only
BUILDING� �L .��.�^
ADDRESS %�/=1 / ✓ i �
OWNER OR /�r�, ` // ��
TENANT (� /L.LJ �T..
CITV
BRANCH
ADDRESS �
ARCHITECT
CONTRACTOR
ADDRESS
CITV
STATE
LIC. NO.
SIZE
OFLOT�as�
USE OF
EXISTING BIOG.
TEL.
NO.
TEL.
CITV
LIC. NO.
INO.OF lB�OGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
I hareby aeknowlatlBa thet I have reatl Mis application antl state
that the ebovo IntormaHon Is correct entl aBrea ta comply with
all laws reguletinp buildine �onrtruetion, entl I sheil not employ
ony verwn In vlolation of Ne workmen's compensation laws of
t�o Stem of Celifornia.
I �oraby cortify thot I am properly Iitensetl et e contractot untler
the Stota oi ColHomia Business and Professlons Cotla, �ivision 3,
Chnpter 9, end t�et such licenses are in full force antl eftect, or I
nm exumpt from t�a provislons of tha State of Californla Businezs
entl PrOfBssiOnf COtlB, ivisiOn 3, Chapter 9.
SI9^nriro of r
Pormlttee
or ��
Authorizatl ABant Date
9�57 12/27/79 F/,50 TL
APPLICAT, FOR STRUCTURAL PERMIT ��
RECEIV BV PERMIT y9y a3
A.P. NO. �G� 1�3 \J�'1'— �✓
ADDRE55 3SS ' ^I N��
UNIT OR
SPACE NO.
TR.fyp,�� LOT /`��
L J
NEW A`DD LTER REPAIR MOVIn
/
OWNER
USE G(.�(7 �r VAWE
ZONE I� ` TVPE GROU
APPqOVED
BY DATE
APPROVEDSETBACKS
PLANNING AGTION
Ury.�CQ. FT. LS (7 � f
THEAMOUNTSHOWN VNDER VALU
THE PURPOSE OF ESTABIISHING A PERA
VALUATION PERMIT FEE S
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•. COSTA MESA BUILDIN� FETY DEPARTMENT
P.O.BOX1200 COSTA __.a,CALIFORNIA92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING +1�5 2 . . )�
ADDRESS�ftJ %���V
OWNER OR �
TENANT � —� I
ADDRE 5��/�/����
���
CITV uh.
CONSTRUCTION
BPANCH
ADDFESS
ADDRESS
CITV
STATE
I.IC. NO.
USE OF
TEL
NO.
L.
TEL.
NO.
CITY
LIC. NO.
Separa[e perrtuts are required for
electric, plumbing and heating wmk.
USE OF BUILDING AND WORK TO BE PERFORMED
1 haraby acknowladpa ihat I have reetl this epplication entl ztate
Mat tha aCova Informetlon Is corraet and apree io comply wiN
ell laws regulatinp buiidin0 construction, antl I shall not amploy
any parson In violation of the workman's compensation lawc of
the Stata of California.
I heraby cerHfy that I am Oroperly Iicanaetl as a eonttector untler
tha Staro oi Callfomle Buainasa antl Profaulons Code, Divtsion 3,
Chapror 9, antl t�at wc� licenses ara in full torce entl affact, or I
am axempt from [ha pr Islane of the Stete of Ca ifornla Busineu
antl Profossiona Cotle, islon 3, Chaptar
Sipnature of �
Petmittee
or
Authorizatl Agant Date
a�6� �?ia7i7q %.5�
APPLICATIf""'"` OR STRUCTURAL PERMIT V
0.E%H� � BV PERMIT� �y / � ^ �
r y �s
A.P. NO. ���–� 3 V 1- �{�J
BUILOING ��S qp' `t��
ADDRE55 � �\ 1`�
UNIT OR
SPACE NO.
TR��� LOT � BLK.
NEW ADD ALTER REPA�R MOVINGIDEMOLISH
OWNER
/� VALVE
USE /�iy7�bv s
20NE I� 1 TVPE GF
APPROVED
RV /.i DATE
APPROVEDSETBACKS
PLANNING ACTION
m
�
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0
S�i� ^2 �- m
V SQ. FT. ` O �+
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE E _� q
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PLAN CHECK § - "�
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