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Home My WebLink About3114 DUBLIN ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3114 DUBLINST Suite Na Viciniry: Parcel Number: 41874306 Applicant: PICKARD, WILLIAM . Address: 333392 CORALRE.4CH ST DANA POINT, CA Owner KIDDIE, FRANCES ANN Address: 3114 DUBLIN ST COSTA MESA, CA Contractor: MAYO, DAVID Address: 333392 CORAL REACH ST CA DANA POINT CHANGE OUT EXISTING FAU. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst I 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 < 10000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater Quantity $23.50 $14.80 1 So.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00,- -0:' � 50.00 0 30.00. 0 $0.00 0 . $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 MECHANICAL PERMIT ISSUED BY: Phone: 949.494.5036 Zip: 92629 Phone: Zip: 92626 Phone: 949.494.5036 Zip: 92629 License: 472592 SCOPE OF PERMIT FEE SUMMARY Repair / Alt Absorbtion Unit ' Repair / Alt Refrigeralion Unil Venlillation Syslem Evaporetive Cooler Commercial I nci n era tor Domestic Incinerator Campressors / Absorption SVstems . Upto3hp/100kBTU .- . -' 3 To 15 hp ! 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU " Boilers Upto3hp 3To15hp 15 to 30 hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 09/OS/2002 Issued: 09/OS/2002 �uantity $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 50.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 538.30 NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if 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 ell requlred Inepeetiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (774) 754-5626 eacu-aa �aw� WORKERS'COMPENSATON DECLARAnON: " I hereby affirm under penalty ol perjury one oi tMe followinq declarations: I heve end will maintain a certificate of conseN to self-Insure lar workers' compensation, as provided tor by section 3700 0l the Lebor Code, for the peAormance ot Ihe work tor which this pertnit is issuetl. ave and will main � `lcers' pen urance, as iretl by sectlon 3700 of the labor Code, for the peAortnance ot ihe work for which Ws pertnit is issued. My workers' com arr(er e policy num e ere: �� ,�y�� r�--, Cerriar. PpliCy Number. LJ � � (This sectfon neetl not be complefetl il the permif is veluetl at ane hundred tlollars ($100) or less.) ❑ I cartify t�at in Ihe pedormance ol the worK for which this p mil Is Issued, I shail not employ any pereon in eny manner so as to bacome subject to the workers' compensation laws of Califomia, entl g tha[ ii I shoul e e-suBj t to th ers' wmpensetion provislons ot Sec on 3700 oi the Lebor Cotla, I shell lorthwlth comply with these provisions. //%� (�" q YC� 1 Applicent Signeture: f��/'��/� \�� Dete: I/ J/�/ Z WNHNING:FAIWRETOSECUREWORKERS'COAIPENSATIONCOVERAGEISUNCAWFULANDSHALLSUBJECTM'EMPIOVERTOCRIMINAL ENAL SANDCNILFlNESUPTOdJEHUNDRED TFKK15Ml� OOLLARE (51 W,000),IN ADDRION TO TH6 �T OF COMPENSATION, DAMFGES AS PROVIOED WR IN SECTION 3106 OF THE IABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSE� CONTRACTORS DECLARATION: I hereby eXirm that I am licensad force entl eHec�. Lia a Contractor's Signature: _� 7000) ot Dlvision 3 of ihe Business and Proles ions C ,� e�ir/y�cense Is in full CI95S M � f �J V Da�e: CONSTRUCTION LENDING AGENCV: ❑ I hereby aftirtn ihat ihere is a consiruction lentling agency br ihe pedormance oi the work tor w�ich t�is pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lentlers Address: SignaWre: � Date: OWNER-BUILDER DECLARATIONS: - I hereby aHlrm Ihat under panalry ot per�ury ihet � am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or County which requires e permit to consiruct, alter, ImprOve, demolish, or repair any SWcture, prior to it5 iuuance, els0 requires tha applicant for 5uch permit to tile e signed statement �hat he or she Is IicenSed pursuent to the provlsions of ihe Contractors License Law (C�epter 9(commencing with Sectlon 7000) oi Divislon 3 of the Businass and Professions Cotla) or that he or she Is axempt therelrom entl tha Desis for the elleged axemption. Any violation af Sectlon 7031.5 by any appllcanl tor e permlt suhjecis ihe applicant to a civil penalry ol not more ihan five hundred tlollers ($500).): � I, as owner of Ihe property, or my employeas with wages as t�eir sole compensation, WILL DO THE WORK, and the structure is noi intenAed or oHered lor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law dces not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or through his ar �er own employees, pravided Ihet such improvements are not In�ended or ottered for sele. Il, however, Ihe building or improvement is soltl wilhin one year ol completian, Ihe owner-builder will have tha burtlen of proving ihat he ar she did not build or improve tor purpose of sala.). ❑ I, es owner of the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Code: The contrectors License Lew does not epply to en owner ot pmPeny who �uiltls or Improves t�ereon, antl who contracts br suc� pmject with a contrector(s) license pursuant to ihe Contractors License Wws.). ❑ I am ezempt untler sec. Business end Professions Catle for thl5 reeson: Siqnature: _ . __... Data: Owner ID venfied by dnvers license. ❑ Ye5 ❑ No Onvers Licensa No. Verification ot Ownership by (rype of document, i.e. - property tax Diil or tleed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATON: ❑ I hereby certify t1ia� no evwvation flve (5) tl� more teet in tlapN into which e person is requireA to descend, will be matle in connection wit� work authonzed by Ihis pertnit, and that no building structure, scallolding, falsework, or demolition or tlisman�ling thereot, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyon9 to tlo work w�ich would require a permit irom the Division of Indusinal Safery, as noted ebove, unless such person hes e permit to do such work from the division. Signa�ure: Date: DiviSion ol InduSirial 58fety Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUT}10RW710N OF EHTRV: I cenify under penalry of perjury ihat I have read this epplication antl state Ihat the informetion given is wrrect. 1 egree to comply with all state laws and ciry ordinances releting to building construdion, antl euthonze representatives of the Ciry of Costa Mesa to enter upon the a6ove-described property for inspection purpases. I agreemot to occup or ellow occupancy oi eny building authodzed by Ihis permit until finel inspection. � Signatu � f L Own ) � T e U And/Or Authanze MPliwnt Date COUEI, INSPECTIONTYPE PAIE II�IELS 1616 Fized System Final Fire Prevention 1268 200 201 202 203 Pool Spa Final Finel Re-Raof Final BIocWReteining Well Pinal Fecfory Fire Place Finel Si9n 204 Final Demolition CO�E I INSPELTION TYPE 206 Final Mechanical 208 Flnal Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy q oz � � .�.' PNF�ELT RODAESS: 3 1 S 4 DUBL I N JrT -OVYXEB'SNRME: KIDDIE FRANCES ANN nooeess: 3119 D�JBLIN ST CO5TA MESA,CA 92626 557-5105 AFCM/ENGINEEP: HEG.NO.: AOOPESS: I1NIT: UNIT: PEPMITTEE: MESA ROOFING ( 714 ) 548-3012 nooxess: 8 4 3 W 17 TH CM CA 9262% LICENSEO CONTPRCTOH DECIAflATION: I hereby aflirm tha� I am licensetl untler pmvisiuns a� Chap�er 9(commencing wiih Sec�ion ' 7000� ol �rv�sion 3 0l Ihe Business antl Pm�essions Cotle. antl my license i5 in �ull force an0 eflect. ' ciTruc.:035681 srnreuc.:56415�. —39 . �• �%— 9Z Signature: . _C — WOflREBS' COMPENSPTION DECLAFATION: I hereby afiirm ��at I have a certilicale oi consent o self-insure or a certi�icale of Workers' Compensa�ion lnsu@pEG W� 3.cg(IWe0. rqpy,lhereo� (Sec�ion 3800. Lab. G.7 `O 1/ 9.� POLICY NO.: �Y7 t J V V V LVV L E%P. UATE: V comeaNr: FREMONT ,.s/ � C¢rtitied cOpY is here�y �urnished. l'J Cehilied topy i5 liled �' tity Building Division. e Y—y—y� APP�,�a�� ,�. �"'-� � EXEMP710N FBOM WONNEPS' COMPENSRTION UECIAHATION: (This section neea not be complete0 if �he permit is forone hunOreO �5700) or less�. I certify iha� m Ihe pedormance o� the work Inr which Ihis permit is issued. I shall no� employ any person in any manner so as to became sublect �o ��e Workers' Compensa�ion Laws oi Cab�omia. Date: Signature: � NO710E: If, atter making ihis declaration. you shoul0 become suGle�� o ihe Workers' Compensati provisions ol tAe Labar CoOe. you musl lonhwiln comply with suctl O�ovisions ar this permit shall 6e deemee revokea. CONSTflUCTION LENOING RGENCY: I Aereby altirm Iha� there is a consimction lending agency for the pedormance ot Ihe work for which (his permit is issued �Sec�ion 3097, Civ. C�. IENOEX: aooness: OWNEB BUILOEfl OELUPATION: I hereby affirm Inat 1 am exempt fmm tAe Coniractors' Slate Litense law for Ihe following reason (Setlion 7031.5 Business and Pro�essional Cotle: Any ci�y ol counry which requires a permii to constmc�, alter, imOmve, demolish, or repair any s�mcNre. prior lo i�s issuance. also requires the applicani for suc� permit to �ile a si8ne0 siatement �hat he/she is licensetl pursuani lo the pmvisions af the Coniracmrs' Slaie License Law (Chapter 9lcommencinB wi�� Sec�ion 7000) of Oivisian 3 0l �he Business antl Pm�essions Cotle) or Iha� he/she is exempt Iherelmm and Ihe 6asi5lor Ihe alleqetl exemption. Any viola[ion o� Sec�ion 7031.5 6y any applicant ior a permit suhlecis �he applicant lo a civil penalry of not more ��an five hunOretl dollars (5500). I. as owner ol ihe Ompe�y or my employees with waAes as �heir sole compensa�ion, will Oa Ihe work, and Ihe ❑ stmcWre is not imenaeJ or offere� lor sale �Section 70aa, Business anU Professional Code: The Coniracbrs' State License Law tloes nol ap01y Io an owner o� a O�oDehY who �uiitls or impmves Ihereon, and w�o Does such work himsetl/�ersel� or ihraugh his or �er own employees, pmviae0 ��at suc� im0�a�emenls are not intentletl or otlerea lor sale. It, howev¢r �he builtling or impmvemen� is soltl within one year ol com0le�ioq �he owner will have �he burtlen of pmving he/she Ai0 not builtl o� impwve �or ��e Durpose ol sale�. I, as owner ol Ihe pmpetly, am exclusively contracting with licensetl conUactors Io consimc� �he prolec� (Section 7044, Business ❑ and Pro�essions CoUe: The Con�mc�ors' S�aie License Law tlaes no� apply lo an owner oi proDe�Y who builds or improves thereon antl who con�mcls �or such pmlecis wi�� a wnVac�oqs)license pursuan� to Ihe Conirac�ofs State License Law�.l am aware Ihat pmof ol Ihei� Worker's CamDensalion insurance shoulU be O�ovitled to me. � I am exemD� untler Sedion: B. 8 P. C. lor ihis reason: �ate'. Ownec I do hereby cenify Ihal I am aware of antl untlersiand Ihe requiremen�s ol Cahfomia Heal�h an0 Safery Code Sections 25505, 25533, and 25534 an0 ihat I or any lulure 6wltlmg accu0ant willlwill no� �circle one) neeU Io comply wi�h said siate codes and ihe requiremenis tor a permi� lor cons�mction ar modilica�ian imm �he Nir �uah�y Managemenl DisVict. Fesidential cansimc�ion appliw�ions are exempi �mm Inese o�ovisions. Date: Npplicant: I hereby cer�tly Nai I have reatl ��is applica�ion and Slaie tha� Ihe above in�orma�ion is correct I agree b comply wi�h all ci�y antl counry ordmancesantlstaielawsrelatinqlobutltlingcanslmclionantlher MrtR'fEpRxet �vesol�hiscily�oenterupon�heabove-mentione0 pmperiy �ar inspepction bpurposes. %{� / � / � Si9na� rr� • �� t — �river s �icense o� Socia� Securi�y Ifi4La6 W�i�e—Builtlina: Green—Cotle EnlorcemenC WnarV—%oplicanl: Pink—Revenvel Goldenrod—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05691 PERMIT NO: B 056910 PLAN CHECR NO: N GU T; , CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION ; T/OFF REROOF W/COMP SQ FT: 3,�SU CLAIM VALUE; 3,750.00 CALC—VALUE: 3,750,00 GROUP OCC: R-3 / COMMENTS• SMOKE llETECTOR REf�UIRED IN THE HOME ******�*i�+r*�r+��**�r***x�r�***x *�x��*��**x**�*��*-x��*+��e**��*�**�***�t��*******x* Z O N I N G R E�� U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: F'I' IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING RE • PROV; PARCEL; 41819306 ZNE; REF NO; PLANNING N TES> � ***�,��*�,��* ��*��*��**��***��*��*�,�*��,��*��*��*�,�*��**�*�� D E V -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 AFPROVED HY . DATE: � BUILDING APPROVED HY : APPLICATION ISSUED HY; — kiEiElE1EiE�EiElE�IfiE�FiFi4.iE,iEfElflFlEIE�iF3FiFiFiFiFiF � �Zi�iFiF3F7F�F3F3FiF 3F � iFiFiFiFiFiFX it if if �F 1E iE 1! iF if �t k ik 3F IE iFif iE iF iE )f iE iE 3E iE ik �1F �t �k iF if iE iF if k if ii-iE �IE iF k iF jf 1f k� 1t it �E it ik iFif il� iE i! LEGALI7(ATION;N F E E S U M M A R Y ,�. BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 63.00 PI,AN ISSUE FEE if 1f iF if iF i! �k �E iF iF it iF �143clE 3F iF if �kiF STRUCTURAL SEGMEI+IT:Y FIRE SMIP/RES. GRADING , CJ � � SMIP/NON� RES ry BUILDING—DZV—> PERMIT ISSUE PLAN—CFiECK TOTAL PAID ,=' DUE TOTALS----> 63,50 0.00 0,00 63,50 63,50 — ,00 REVENUE DZVISION TOTALS--> COLLECTED; 63,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63,�� ,5� ' .,� iE iE �14 iE iE iE if iE iE �E if iE 3E iE iE 1E iE iFlf iE K af IE iE iE 1E iE iE iE iE 1F if iE iE 1F iE if iE iE iE 1k if iF if if iF iE iF 3e iF aF if iF iE iE 3E 1E iE if iE iE iElE iE iF iE 1k 1E 1E iF 1E fF iE ic iE iF k iE iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT CUST TOTAI, COST SFR 3750 REROO'r' BY VALUE RESIDENTIAL N020NE HND OF FEES 1, � 0 �i j �% J Q. 0 Q � :� � ^�011'1`J> ;;:,i;3`�IO:'• i.'_''' _.� �,1'_; 1,.�'.�/Y? Ti�ic: 1.' .. /— � CONSTRUCTION AND PLANN�NG I POOI PA � �7 APPROVpLS Permit # f (Date Inspector AppROVALS Permit # Date insp�ctor .7. Temporary Electrical Service or Pole . 52. Pooi & Equipment Location . 2. Soil Pipe-Undrgrnd. - 53. Steei Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Elecvical UFER Grnd. 57. APPROVAL TO COVEfi-GUNITE 7. Footing: 58. Electrical Cqnduit•Undrgrnd. 8. Poundation � � 59. Gas Pipe, � Undrgmd., Tes[ 9. Water Pipe-Undrgmd. . '� 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structuret Floor System . 61. APPROVAL TO DECK 11. P.roperty Sewer Line & Ho�se, Connection 62. Backwash & ReceptorPinal .' , 12. Sewer Cap ' ' 63. Heater & VenrFinal ' 13. Root Drains � 64. Plumbing System � Final 14. Rough P�umbing .- " 65. Electrical-Final �' • 75. Rough Etectrical-Conduit ' � 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 17. Rough Wiring Sign i 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAI 19. Rough HOating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro - 22. Ducts, VBntilating 71. Product Piping OGas DOiI 23. Gas Pipe-Rough & Tesc 72. Underground Flush 24.. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing G� �_ r'y 7q. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27.� Freme and Flashing _ 76. Dry Standpipe 2S. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINA� 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � �, . 79. FINAL INSPECTION 32. Electrical Power Meter�Final . 80. FOOD CEIiTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heeting & Air Conditioning _ 35. Finai Gas Pipe-Test � 1� 36. Hood or Canopy � � � 37. Final Factory Pireplace � �i 38. Finai Plumbing j � �39. Water Service-Final 40. Gas Service-Final . , - 41. Solar pomesticFinal 42. Backflow Preventer � 43. Backfiow Irrigation � 44. LandscaPe Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINA� STRUCTURE & BUILDING � /G�"� �i%v-�.� �(�,�a�e___��j` � /• � /�f� 6�- ra 48. FINAIPLANNING . " . 49. Electric Felease to Edison / 50. Gas Releete to Souihern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date � PH0.IECT ROOflESS: � OWNEN'S NAME: aooness: 4- DUBLZN TA MESA,C AflCM/ENGINEEfl: noosess: IiIDDIE, FRANCES PEHMITTEE: 311Q llUBLZN CJT nooxess: COSTA MESA ANN uxir: 92626 pEG.NO.: uxir: (714)557-5105 CA 92626 LICENSEo CON7RACTOfl oEClABA7lON: I here6y allirm Inal I am licensetl under Dmvisions oi Chapter 9(commencing witn Section 7000� ol Division J al ihe Business and Pmfessiuns Cotle, antl my li�ense is in lull lorce an0 eflecl. CITY IIC.: STRTE IIC: f CIASS: Dale: �'91pnaWre: WOBREflS' LOMPENSATION DECNNA7i0N: I nertDy aHitm that I nave a cenifiWte ol consent ta seif-inwa or a tenificate ol Workers' ComDensation Insurance, or a cenilied copY �hereol (Sec�ion 3800. LaG. C�. POLILV NO.: E%P. DRTE: COMPANY: � CertifieG copy k here0Y7��rsheE. O Certi�ied�cOpy i5 �de0 xifh the city Bu'�Idirtg Divisron., Oate: �� Ap0licant: n E%EMPTION FPOM WOPREflS'COMPENSATION �ECLAflRTION: (Thi55eciion n ea no�be comple�e0ilihe permilisfor hundretl�Si(�tl)orless). I cetli�y ihal in I�e pedormanCe oi Ihe work �or w�iCh �his rmi� is isgue , I shall nol ¢mpl n p(Son i m er as t0 beCOme subjecl lo ihe WorkeR' Compensalion Laws of Calilomia oa�e: � a—� 3�� 2� �� NOTICE: II. aiter making IAis tleclara�ion, y SAi Cotle. you mustfarthwiih comD�Y w��h'suc� v CONSTNUCTION LENOING RGENLV: I her¢by al�irm w�ic� ��is Oermi� is issuetl (Section 3097..6�v. C�. �exoee: � . nooxess: �,come�subject m ihe WarYsfs' C6mpensation O�a�sions of t�e Labor or ��is permit shall be 4eEmeC revokea. �ere is a constmction lenaing aAency lor ihe Dedormance ol I�e woB for OwNEB BWLOEN oECuflATION: I hereby atlirm thal I am exempl imm ihe Coniractors' State License Law for the lollowinq reason (Sec�ion 7031.5 Business antl Prolessional CoOe: Any city of coun�y which reQuires a permit �o conslNct, al�er, impmve, demolish, or repai� any simclure. W�or to its issuance. also repuires Ihe apPlicani lor such permit to lile a signetl slatement �hat ne/she is licensed Oursuanlloihe pmvisions olihe Contraciors'Stat¢ License Law�Chap�er 9�commencinp wiih Seciion 7IXq�o�Oivision 3 ofihe Business ana Pro�essions Coae� or inat he/sne is exempt Inerelrom ana ihe 6asis br the alleged exemption. Any violation ol Seclion 7031.5 by any applicant lor a Dermit subjects Ihe aDPlicanl lo a civil Oenalry of not more t�an �ive �wdretl tlollars �ESqI). I, as owner oi the O�aPerty or my employees wit� waAes as their sole compensation, will da the work, anA ihe ❑ simcWre is nol inten0ea or oflered tor ule (Sec�ion 70ad, Busineu antl Pmiessional Code: T�e ConVaciors' State License Law I aoes not aDPly ta an owner of a pmpeny wtq Ouilds or imDroves ihereon, an0 who Goes suc� woM1 nimself/her5elf or thmugh �is Or �er own employees, O�ovided IAa� 5ut� imDrov¢m¢n15 ar¢ noi intentletl ar afl¢reE lor sale. 11, however I�e OuilGing or imo�ovement is sol0 witNn one year ol wmoleiion, ihe owner wBl have ihe Uurtlen of pmvinA ��sAe di0 not Oviltl ar impmve lor Ihe purpose ol 5ate1. I, a5 awnet 01 the pmperiy, am eKclUsively conirac�inq wilh lipensetl contrac�ors �o conSlmci ihe pmleci �Seciion 70C4, Business ❑ anE Pmlessbns CoCe: The Comractors Slaie Lit¢nse Law tlp¢5 nOl apply Io an Owner ol properiy who bui105 or im0�m'es �hefean anU w�o comrads lar such pmlects with a comractaqs�license pursuant ro ihe Coniractors' Slale LiCen52 �aw),I am Lxate X �Iw� D�� ol iheir Workefs C�er�w`t1'o� ysurance snoulA Oe D�oNded m me. � I am eKemot unaer �qan: OWNER e. 8 a. C, /J for I�is reason: � � � / �� // �1 Da�e�. /V ��S— /3 I Oo here�y cerlily Nat I am aware o� antl unders�anE Ihe re 255� antl I�al I or any IUWre DuilOing acupanl wilUwill noi permii lor conSVuction or mo0iliwtion Irom I�e Fir Ouality III¢5¢ pfOVI5i0115. tl Calitomi3 Hea�th and Sal&4 Coee Sections 25505, 25533, antl need�o compty VAtI15aiG A�dIC COACS dOd�hC lCQUIfCI11E0�5�Of d 1 DiSVic�. flesiAential conSlmcti0n applicaiions are eeempt tmm Date: ApO�icant: � I nereby ceNty I�al I �ave read t�is aDPlicaiion anG S1aie ihallhe aEpVe information is correci. I agree m compty vri�p all ciiy and unry o�tlmanc¢s an0 slate laws relaiing Io builtlmg conslmciion aM �e e0y am�orae r esentatives oi in' � y Io emer i efi�he a e- ionea O�oDehy lorinspec�ion purpos�es. Da�e: � b � �� / �_ $ 1641�46 W�i�e—Bmltlmo�, Green—Cotle EnlorcemenL Canary�qoollcanC Plnk—Revenue: Goltlanrotl—Assessor CITY ON COSTA MESA — BUILllING PtkMIT j'�n�kN Nn. n o59�7F PERMIT NO; B 059676 PLAN CHSCK NO: 04121-92 S I [:C1VT• N SiIPP• N CONSTRUCTiON TYPE: 5—N PERKIT TYPE: STR PURPOSE: ALT JOH DESCRFPTiON : EXTERIOR DEC3C 6 TRELLIS TYPF. PATIO COVEk SQ FT: 640 CLAIM VALUE; 2,800.00 CALC—VALUE; 9,472.00 GROUP OCC; R-3 / COMMENTS• SMUKE DE1'ECTORS RE�UIRED PER 1991UBC iElEifiEif'ItiF1f#3EiFiEiEif1F#SF#iF#iliE#iE##!(�if iE�3(�'1F#iEfF#####7f�)F##iEifiEiF#if�if#if#lfdEiFlFiEiEiE##NKtt#:k1(Y.�iE#Kii'##tt3E Z O N I i� GS ERTEB�A CIRRSE M E N T S ------------ MAIN BUIiDING ---------- --------- ACCES`SOkY BUIi,DING -------- FRNT; FT IN REAR; 10 FT 6 IN FRNT; FT IN ftEAR; Fi IN LEFT: S FT IN RGHT; 31 FT IN LEFT; FT IN RGHT; fT iN PARKING REO• PROV: PARCEL; 41814306 ZNE; R1 REF NO; PLANNING NtSTES> ADD A 16' HIG'rI DECK TO THE REAR OF AN EXZSTING SINGLE FAN.. > RES. 325 SF REAR YD COVER OK; 206 SF PROPOSED, lfifiFifiE##iFifiE#1E##iE##iE#####iE##iF#�3E�E#1k##ikif�E##i(-###if##iE#iflEi6iEif#i(#########if fkfE3El4i41flE#if##iF#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 IV.'1' S ZONING APPROVED BY DATE: BUILDZNG APPROVETJ BY ; APPLICATION ISSUED BY; ,� #1Eik�lflkiEi4lF�E'.EififlElfif�iF##1E�IE#1! �t h Ri. .1. . . F w ' .it. , iF.. �f � : f if iE 1E # if ftlE iF if if if 1E IF i! iF ibif iE iE if iE fF fE #1F fFlE # iElf iF iE ff # ff ih iF iE ### iE # i(- # if # if "� LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 117.00 a, PLAN 76.05 /.., ISSUE FEE DATE: � DATE: �� 1F �%�1E###�lti(�##iEiFir u it �xH-it !E#iESFf(#iF7fiE#3EiE#ifiPiE##%�#####i[�##?f STRUCTURAL SEGMENT:Y FZRE SMIP/RES GRADING ,95 SMIP/NON—kE5 BUILDING—DIV—> PERMIT ISSUE PLANj—CHECH TOTAL PAID DUE TOTALS----> 117.95 0.00 76.05 194.00 194,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 117,95 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 117.00 ,95 iE if if� 1E iE ih i!� iE i(� �E iE iE iE iF iF�'t iE iF k iE # iE �1f iE iF iE if� fE�(� iE iElF iE iE IElk 1E i(� if if iE if iF # 3e iF 3f �f iF if if ###!f� i6 iE # iE iE it ik 1t iF i( iF ## K� #!E iElf iE M�?F i( #?E Z N D I V Z D U A L• F E E H R E A H D O W N TYPE QTY D E S C R I P T I O t�? UNIT COST TOTAL COST SFR 320 RES—BALCONY EXTERIOR.�STAIRWAY 14,80 4,736,00 SFk 320 RES—PATIO CtSVER—POST` ¢ TRELLIS 14.80 4,736,00 END OF FEES ! .�� ,.��` -. � . . CON5TRUCTION AND� PLANNING P�� 'PA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Loca[ion 2. Soil Pipe•Undrqmd. 53. Steel Reinforcement ' -�3. Electrical Conduit Utility-Undrgrnd. � 54. Forms �4. Elecvical Conduit�Undrgmd. 55. Etectricat Bondi�g • �5. Steel Reinforcement la3�,..-T1 �(�,/�, 56. Rough Plumbing & Pressure Test 6. Elect��cal UFER Grnd. ' 57. APPfjjOVAt TO COVER�GUNITE 7. Footin9s (p_�p��_ �'�ElectricaiConduit•Undrgmd. . 8. Foundation 59. Gas Pipe, O Undrqrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, Q Undrgrntl. '_ 10. Structural Floor System 61. APPROVAL 70 DECK � 77. Property Sewer Line & House Connection 62. Backwash & ReceptorPinal '� 12. Sewe� Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final .- 14. flou9h Plumbing ' 65. Eleclrical�Final .;-"� 75. Rough Electrical-Conduit 66. Solar SYstem-Final '•�. 16. Rough Electric Wiring � 67. Fencing & Access ApP�oval � 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # ' 21. DuCts, in Structure 70. Underground Hydro 22. DuctS, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe�Rough & Tesc 72. Underground Flush 24. Roof framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � i 77. fIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREV. FINAL 30. DryWall Nailing i I i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � I l 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � i � Notes: �(, �'yz, , o/� � , !_l /A � , n `-� PS!' 34. Final Heating & Air Conditioning I � 1 l,r.� j� / n�y, �.��i�_�� vX'�L'1 ! / .,�,�._ � !l 35. Final Gas Pipe-Test , ! 36. Hood or Canopy � � I 37. Final Factory Fireplzce � f 38. Final Plumbing � � � 39. Water Service�Final I � 40. Gas 5ervice-Finai � � 41. Solar pomesticFinal � � I 42. Backflow Preventer � . 43. Back��ow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � l3 48. PINALPLANNING � ' 49. Electric Release to Edison� , 50. Gas F�elease to Southern California Gas Co � ,", 51. CERTIFICATE OF OCCUPANCY No. Date � PN0.IECTPOOBE55: 341q D��BLIN ST ' owxeA•sNarne: KIDJI� FIRANCES ANN. nooRess: 3114 DiIBLIN ST COSTA MESA,CA 92626 APCN/ENGINEER: AO�flESS: HEG.NO.: UNIT: UNIT: PENMITTEE: KIDDIE F'RANCES ( 714 ) 557-5105 anoxess: 3114 ]50BLIN ST COSTA MESA CA 92626 LICENSEO CONTFACTOB OELLABATION: I hereby afiirm iha� I am licensed unAer pmvisions of ChaO�er 9(commencing wi�� Section ]W0� af Divislon 3 of ihe Business antl Pm�essions Code. antl my license is in full force anA efleci. CITY LIC.: STpTE LIC.: CIASS: �ate: Signa�ure: WOBREXS' COMPENSp7lON oECLABp7lON: I nereby allirm inat I have a cetlilicate of consent lo self-insure or a cenilicate of workers' Compensa�ion Insurance, or a cerirtiee capy thereol (Section 3800. LaU. C�. POLICY NO.: E%P. DATE: COMPRNY: � C¢tlihetl CoOY is h¢reby IumisheA. ❑ Cetltlietl copy is liletl with t�e city Building Division. �aie: Apolicam: E%EMPTION FXOM WOflRENS' WMPENSpTION UECLAflATION: Qhis section neea not be com0�e�� ii �he permit is �or one hunUreU ($100) or less). I wrtily ��ai m �he pedormance of �he work for whic� Ihis permil' sued. I shall no� employ anyye[son m any manner so as �o become sublect lo Ihe orkers' Compensation Laws o� Calilomia. ^ � C_/ e�A� �i rT ir Oate: � Signature: �r„ wW�^Y NOTICE: f. afler iaking I�is declaration. you should become subleci m tAe lQorkers' Campensation p v ions of Ihe Labor CAde. yau must fonAwith compty with suc� provisions or this Dermit shall be deemetl revokeG. CON5T8UC710N LENOING AGENCY: I �ere�y aflirm ihat ihere is a cons�mction lending aAency for ��e pedormance ol tAe work for whic� �his permii is issued �Seciion 30W. Civ. C). �ENUEfl: noonEss: OWNEfl BUILOEB DECLAflRTION: I hereby aflirm Ihai I am exempi �mm Ihe Con�rac�ors' State ticense Law for tAe I011ovnnA �eason (Sec�ion 70.?7.5 Business antl Pmtessional Code: Any ciry oi caunty which requires a permil to cons�mcl, al�er, impmve, tlemolish, or repair any 5lmciure, prior to i�s issuance, alm requires Ihe applicani br such permit to lile a siBned s�a�emenl tha� helshe is licensetl pursuam m the promsions ol the Commctors' S�a�e License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 oi Ihe Business an0 Professions Cotle� or I�al he/s�e is exempl lhere�mm and �he 6asis lor �he allegetl exemDtion. Any viola�ion o� Section 7031.5 by any appbcan� tor a permi� sublects �he applicant �o a civil penaliy o� not more �han �ive hunO�eU doltars (b500�. I. as oxmer ol t�e D�oOerty ar my employees with waAes as Iheir sole comDensation, will tlo t�e work, and the ❑ s�mqure is nal intenaed or ofiered lor sale (Sec�ron 704d, Business an0 Professional Code: The ConVactors' Stale License Law tloes not apP�Y �o an awner ol a D�oDe�y who builtls or imD�oveS ihereon, antl who aoes such work himsell/herself or thmug� his or her own employees, pmviAeO thal such improvemenls are no� intentlea ar oflerea tor sale. I�, howeve� ��e OuilOing or impmvemem is sold wit�in one year ol completion, ihe owner will �ave ��e 6urtlen ol pmving he/she did no� Uui10 or improve �ar �he Durpose ol sale). I, as owner af the pmpehy, am exUusively cantrac�ing wilh licensetl mnVacmrs �o cons�mc� �he prole�� (Section 7044, Business ❑ an0 Protessions Cade: The ConVadors' Sta�e License Law tloes noi apply �o an owner o� pmDerty who 6uilds or impmves [hereon antl who coniracts br suc� pmleds with a conVacloqs) license pursuant m the ComracmrY S�a�e License Law). I am aware that pmof of ��eir Worker's Compen5aiion insurance ShoWA be pwvi0etl to me. �y] � am exemot unaei Sec�ion: �P 7 p G 4 B. 8 P. C. �ar ihis re an: BY OWNEli �ale'. Owner: � I do hereb�ty Ihat am aware al antl un0erslantl Ihe requiremen�s ol California Health and Safery Code Seclions 2550� � 2553a antl tha� I or any IUWre building occupant will/will not (circle ane) need lo comD�Y wilh sai0 s�ale codes antl ihe requiremwts for a � permi� �ar constmciion or motlilication imm Ihe Air Oualiiy Management Disirict. FesiAential cons�mction applica�ions are eKemp� imm �i Ihese pmvisians. Oate�. ADPlicanc �ereby cenifylhal I haveread this apDlication antl s�ale�ha� I�e aboveinforma�ionis correci I agpree�o ecnotme�Dly with all cily an0 counry oralnances ana sta�elawsrela�ingto butlding conslmcilon antl here� auihorize representa�ives o��hls Ityto!-I Wl1V�Mo�above�mentioned propetly larinspection purposes. � ^ w �7 // A/ Dale: ✓ Signamre � �W Assessor CITY OF COSTA Mc:SA — BUILDING PERMIT Pt�2N NO; E OS9752 PERMIT NO: E 059752 PLAN CAECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERNIT TYP�: HLE FURPOSE; OTH JOB DE5CRIPTIOiV ; EXT'ERIOR DECK & TRELiIS TYPfi PATIO COVER SQ FT: CLAIM VALUE: CAI.C—VALUE: GROUP OCC; rt-3 / COMMENTS: RE; B59676 PRIMARY BLDG, P�,RMIT. *#*�r��s��+t#*�r�rt�t�#��#�tt��+t�sr±ru x��+�x�*��*�*�tt*��±��t+�##�r**��###�##�###u �*xx#�u�*�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN dUIiDING --------- --------- ACCESSORY HUILDING -------- FRNT: FT IN REAR; Fi IN FRNT; FT IN REAR; ET' IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REp • PR�V: PARCEL; 41814306 2NE; R�F NO; PLANNING NtST'ES> 1 - #if#ififififiE-kiEif#1Flf#1(�iEifif�lfifil�EiflF#iF####�lE#iEif9Fifjf�IFiF###7E######df#1f'1fiE#iFiEiEff�lEil�#iE#'?(�1E###iE##ft34#'lEiEif D E V E L O P M E h T 5- E• R V I C B S t� E Q 0 I R E M E N T 5 ZONING APPROVED BY DATE; BUILDING APPROVED BY ; DATE: APPi,ICATION ISSUED BY• • DATE; �� #iEil"iEiF')fifiFififlF}�f�1F�if3('iEiFil�iE'7ET'irit7�-Fit'hiri'Fi.iv-�. %'R'I :#it� ftl h tRR1Y�s.1tlliFXikirifikiFiFi%if16'1FiE#'h' 1"RRH,;:it � ')t #�1F iE �f * iE 3f #�lE iE �lE �lE �1E �lf �3E !F!F # �E if #�E df iE -)f #�)t ## 1E 3f # 3E IGI�'!F'lE iE iF-k �lf iF% '-'. iE 1E # iE �f 3f if ###�lE iE �lE 3F ## # it k?f �f� iF 3E ## df iE iE i4 X� �M� �F # if LEGALIZP.TION:N F E`E S U M M A R Y STRUCi'JRAi SEGM�NT;N BLDG PN,T PLUMBING ELECIAIC MECHANIC FZRE SMIP/RES GRADING PERMIT 14,00 SOR SMIP/NON—kES PLAN ISSUE FEE 15.00 BUILDING—DIC'—� YERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 14.00 15.00 0,00 29,00 29,00 .00 REVENUE DIVISION 'POTALS--> COLLECTED: 7.9.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG PLAN—CHECK 29.00 iE iE if �lE if #�1E iE?E iF it iE±f if #E # iE i(� iE if #�7F iE 1E iF iE iE :K-�lE # if �3( !E �lE iE �)h if if iE iE �f �lf iE iF if� 4 1F 3(� rt## if ii if %� # if if i(� ft iF fF IflF #% Sf 3E iE iF iE fFiF 3f # iE # i'r iE I N D Z V I D U A L r E E H R E A IC D O W N TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST ELE 4 RECEPTIO[ITLET 1 ST 20 EA, 75 3,00 ELE 1 MISC CONDUIT NOT LISTED REQ PfiRMI7' 11,00 11,00 END OF FEES �D _� � D OCT 3 01992 � CITY. OF COSTA MESA CONSTRUGTION AND PLANNING POOI d SPA APPROVA4S Permit # Date Inspector AppROVAIS Permit # Date In:pector 1. Temporary Electricai Service or Pole - 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement _�,3. Electricai Conduit Utility-Undrgrnd. 54. Forms ' � 4. Electrical Conduit-Undrgmd. 55. Electricai Bonding �`5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � 6. Electricai UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. , 8. Foundation . � 59. Gas Pipe, O Undrgmd., Test -. 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Prapertv Sewer Line & House Connection 62. Backwash & Receptor-Final � . 12. Sewer Cap 63. Heater & Vent-Final � ' 13. Roof Drains 64. Plumbing SYstem � Fina� ' r � 14. Rough Plumbing : 65. Electrical-Final ' .. 75. Rough Electrical-Conduit - 66. Solar System-Finai ' 16. Rough EleCiric Wiring 67. Fencing & Access Approval � � 17. Rough Wiring Sign 68. APPROVEO FOR PLASTERING _ 18. Rough Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINA� 79. Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventiiating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Tes[ 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank (7 Gas O OiI 25. Roof Sheaihing 34. Overfiead Hydro 26. 7-Bar Ceiling (Structural) & Monocoat 75. Dry Chemlcal 27. Freme and Flashing 76. Dry Standpipe . 28. Lathing & Siding i 77. FIXED SYSTEM FINAL 29. Insulation � ' 78. FIRE PREV. FINAL 30. Drywall Nai�ing i � HEAITH DEPT. REQUIREMENT 37. Plaster Brown Coat � � 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Finai Eleciric � � (�' , � Notes: 34. Finaf Heating & Air Conditioning ' � 35. Final Gas Pipe�Test I � 36. Hood or Canopy �. 37. Finai FactOry Firepiace � � 38. Final Plumbing ' 39. Water Service�Final � � 40. Gas Service-Final I � 41. Solar pomestic-Final i ' � 42. Backflow f'reventer � ' i .43. Backflow Irrigation '� . . 44. l.andscape Irrigation System ' . z 45. Sound Attenuation � __ �- 46. Handicap Regulations � � � 47. FINAL STRUCTURE & BUILDING � ' i 48. FtNALP�ANNING � � - 49. Electric Rslease to Edison i i � � 50. Gas Release to Southem Califomia Gas Co - � 51. CERTIFICATE OP OCCUPANCY No. Date ApD��ant to illl In all spaces exeept thasa witnin �eavy eortler Iines anE sign all aDVroDriale aeclarations. . Cii~Y_OF�COSTA MESA ^CONST/R�UCTI PERMIT �RMIT NO. TRACT NO. LOT NO. UNIT NO_ . rto�ect Address � 3J�� .�(,(,�(�/ � �� A Ap�icant's Mailing Address .Zbs�e SO � �.Q,QUli.Q?/� <C /� Owner's Name �-'2AA/C / /�i l�j�iF Phone�7-��or Addreu 3�� r7 �//�S'� Arch/Eng. License No. Address -�r� � Contractor'sNam�-L%l�LiA(�f" eo/��s�� -'�C- phone Z'� `� Addreu Imailingl� �S �� ?� cru[E}/.� LWE iA- ('QL City License No. D oq�_c � LICENSED CONTRACTOR DECLAHATION � I M1ereby affirm that I am Iicensetl untler provizions of Charter 9(commencing with section ]000) of Divlsion 3 ot the Businezs antl Professlons Code, antl my license Is In f II force antl efiect. ' �/Z��Gj � �� Lirense Cla s '- , Lice No. `f" .LL� I\� - Date 519nature �:j R 'S NSATION DECLARATION `� I hereby ffir t at I have a certlti<ate of consent to self-insure or a certHicate , � Workers' Compensation Insurance, or a' certlfietl copy thareof (Sectlon J0, Lab. C�]. fY ' ��} . ,iicy No. `��.lpR�2- Company�� 'lfwr '�%✓S� �Certi(ied-copy is hereby fumishetl. � Cer'ti/fi tl py' filetl wi[h the city B i tling i sio Date�t�Y.S� APP��ant �� Q� EXEMP 10 FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be com0�eletl if the Oermit is �Or One huntlretl (5300) o� less). 1 certify lhat in the p¢rtOrmance o/ tM1e work tor whlCh this perm�t is issuetl I' snall not employ any'parson in any manner so as to become subject to t�o Workers' Compensation Laws af California. ' Date Si9nature 'NOTICE: It, atte� making Ihis tlecla�atlon, You shoultl betoma Subject [o [Ite Workers' Compensation provisions ol lne Labor COtle, y0u must tortnwith comply with such 0/ovi5ions or lhis perml[ ihall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I M1ereby afflrm that tM1ere IS a ronSVuctlon lentling a9ency fo� the perfo�mance of the work tor whiGh this permlt is issued (Section 3097 Civ. C.) Lentler's Name � Lentler's Atltl�e55 OWNEft BUIL�ER GECLARATION I her¢by afti�m that I am ¢xemp[ 1rom the Con[�actor'S LlcCnse Law for tite followin9 reason (Sectlon 7031.5.Businuss antl Prote55ional Cotle: Any clty or county which requires a permit to construct, alter, Improve, tlemolisM1 or repair any structure, prior to Its Issuance, also requires tM1e applicant for such parmit to file a signetl zta[ement [hat he/she I5 Ilcensetl pur5uant t0 tbe provisions of the Contractor's License law (Cbapter 9(commencinq with SecNon,7000) ot Division 3 of [he Bu5ine55 antl Profe55ion5 Cotl¢) or that he/she is exempt '[herefrom antl the basis for the allagetl exemptlon. Any violation bf Sectlon `31.5 by any applican[ for a permit Sublecl5 [he appllcant to a civll �dlty ot no[ more than five huntlretl tlollars ($500). • � I, as owner of the property�or'my employees with wages as their sole comoensation, wi11 tlo tne work, antl Ihe structure is not intentletl or otferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License law tloes not'appty to an own¢r of a property who bullds Or Improve5 thereon, antl who tloe5 Such work himself/hCrS¢If o� thwugn his ot ber own employees, provltletl that such improvements are not Infendetl or ofteretl for sale. H, however, the bWltlin9 or Improvement is soltl wlthln one year ot com- pletlon, tho, owner wlll hav2 [he burtlen of p�oving he/she tlitl no[ bmltl or Im- prove for tne purpose ot sale). ❑ I, as owner of the Oroperty, am axclu5ivery con[ractln9 with licensetl con- tractors to construct the O�oleo[ (Section 7.044, Business antl Professlons Cotlo: The Contractor'S License Law does not apply [o an owner of property who builtls or ImDroves thereon, antl wno contracts for such orojects with a con- tra<tor(51 Ilcense pursuanl�to the Contractor's License Law). I am aware that proof of lhel� Wo�ker's Compensatlon Insurance ShOultl be provitletl to mu. ❑ I am exemp[ under Section B. &� P. C. tor this rcason Da[e Owner 1 hereby certity� thaL I have reatl this application antl state that the above Information is Wrrect. I agree lo compty with all dty antl county ortllnances antl state laws relating to builtlin9 �onstruction, antl hereby authorize repre- sentatives of tl]]] is city to ente/r� upon the abovo-mantionetl pr perty fo InsOettion Pupps�� .,v�_ .. / � s' $ignature �� e«<1LV1 Oate � Drlvers'LI....� '-Y�a�y9D I � � TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ �EMOLISH ❑ OT ER DESCRIPTIONOFWORK/USEOFBLDG.��'SU��tC �'^ TYPEOFPER � GRADING FOUNOATION STRVCTURA� ❑ TENANT ELECTRICAL �@LUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sq. FT. - oCCUPANCV CONSTRUCTION TVPE VALUATION $ 20NE GRADING CU. VOS. ACRE Remarks: /i„_,��^n ^(� — � ' '7l VJl{ L!' Preventer Irrigation bs e �rinking Fountains Floor Droins Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories ' . P-Trap Roof Drains ' Reinspection'Fae, � $15 Boiler Duct� UnderGround� Duc[-Structural � Duct-Ventilating� � Exhaust System ❑ Multiple Firepl/Fact Blt. ICBO # ' Heating System & Ducting �b100,000 BTU ��100,000 f Reinspectian Fee � $15 CMF 0865�46, rev. 30/84 White - Builtling; Canary - ApPlicanq Pink - Accoun[ing; GOICenrotl - AsSessor Showers Service Sink ' Sewer Cap Sewer Connection Solar Collectors, Solar Piping So lar Tan k • Swimming Pool w/Spa Urinal Water Closet Water Heater Water $ervice Auto�Wash Issue Fee FEES $ 3 A.P. # S Main Bui E T Front B Rear A � Ri9ht K Left S ng. Ref. # Planning Not Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric 3604 II/05/85 Zone Accessory Buildin9: Parkin� Req./Provided - ELECTRICAL � Transformer ❑ 15-50 KW � 50+KW Meter �p to 100 amps Meter �overi00amps F.A.U. Fiztures Device Boxes Outlets Switches Garbage Dispoul Generator �0-5 KW �5�15 KW Sub Panel Motors DO-1 HP 01 Yh - 8 Inc.Solar 09-15 HP �16-15+ Microwave -' ` Pole Light � Range Sign Standing Sections Trash Compactor, � � ' Reinspection Fee $15 luue Fee IANICAL ' FEES Hoodor Typel ❑ - DEVELOPMENTSERVICESREQUIREMENTS: Canopy Type I I ❑ , Zoning Approvad By , 8uilding Approved By Refrigeration;System • ❑o-ioo,000sru ❑ioo,000'eTu System Repair/Alteration Fire Dampers Registers Issue Fee � $ 3 i I�oO' TL FEES $ 3 Z O N 1 N G R E Q M T 5 SUMMARV OF FEES , - BUILDING PERMIT $ SMIP $ PLAN CHECK� $ PERMIT � PLUMBING $ � ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ ��D � • GRADING $ ' PLANCHECK 50% $ _�j.�� MICROFILM $ MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ , ,�CONSTRUCTION AND PLANNING ; POOL ` 'A - Jate Inspector Date Inspector' � ARQROVALS Permit # APPROVALS Perm�t # j. Temporary Electric3l Service or Pole �� 52. Pool & Equipment Location � � 2. Soil Pipe-Undrgrnd. ; ' 53. Steel Reinforcement 3. ElectricalConduiTUtility-Undrgrnd. ' 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electriral Bonding � 5. Steel Reinforcement � ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undr9rnd. 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 �/�6�d� �j�Q 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Fi�al 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Si9� 68. APPROVED FOR PLASTERING 18. Rough Elearical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heatin9 & Air Conditi0ning FIRE DEPT. REQUIREMENT 20. Rough Factory'Fireplace • APPROVALS Permit # 21. Oucts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank aGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PFEV. 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 '* e Notes: 34. Final Heating & Air Condiiioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace _ 38. Final Plumbing / � � �E, [,i/� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-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 Reiease to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ' i ApD��ant to fill in all spaces exceot tnose within heavy eoraer Ilnes antl sign all aoProOriale Ceclarations. CITY oF COSTA naESA CONSTRUCTIO�N �PE�R�MIT . ProjectAddress ��/� �!y�� J.-j�_1.ao>�- Applicant'sMailingAddress a2(OS�e S�. `j�%QiJQ ��P S L+, / Owner'sName ��k'�� ,ii.in�� Phone�� e Address ��1�U-h�-iiJ ST2l�e'f Arch/Eng. License No. Address � [� Convacror'sName�M�'� C0�'�S"� G T1✓C on ��2 �121 �L Address (mailing� Z�� SV� �p �.d+11� .PrUE - 5. /�, � Ciry �icense No. O"�Oq2S 1 LICENSED CONTNACTOR DECLARATION � I heieby aftirm [hat I am licensetl untler provi5ion5 of Charter 9(commenCing �with section ]000) ot Division 3 of the Business antl ProfeSsions Cotle, antl my Iicense is in II torce antl eifect. � License CIpss �/ - --�/�-�—,� ¢ens No. 4'Z ' ' oate �%O/�ZL p�_ 5'9 t • �L1L�'�L( �. �{([r� '\WORKEFiS' COMPENSATION OECLARATION I hereby afiirm that I have a certl/icate of consent to self-insure or a certlficate Workers' Compensa[ion Insurance, or a certlfietl copy thereof (Section 0, Lab. ) licy rvo. S(o$SZ company�q/Q✓VIOA1% �/�%S �Certifietl toPY �j �tlbwrthrthehctY B n is'on. Date V �� APPlicant �� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � (This section neetl not be completetl if the permit is for one nuntlretl ($300) or less). I certity that in the p¢rlormance of tlte wo�k fo� which tM1is pe�m�t iz i55uetl, I 5ha11 not employ any person in any manner so as to become subject t0 thC WorkerY Compensation Laws ot Calitomia. Date Signature 'NOTICE: It, after making this tleUaration, you shoultl become subject to tne Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions o� thi5 permit shall be tleemetl revOk¢tl. CONSTRUCTION �ENOING AGENCV I nereby at(irm that ihere is a construclion lentlin9 agency tor the periormance of the work tor which thi5 permit is issuetl (Section 309] Civ. G.) Lentler's Name Lentler5 Aaaress OWNER BUIL�ER DECLARATION I hereby aHirm Ihat I am exempt from the Contraotor'S License Law for the following reason (Section ]031.5 Business antl Professional Cotle: Any city or touniy which requires a pe�mit lo construc[, alter, improve, tlemolisM1 o� repair any s[ructu�e, prior to Its is5uance, also �equires th¢ applicant fo� such permit lo file a signetl statement that he/she i5 IiCenutl pu�suant to the prOvisions o( the Contractor's License Law (Chapfer 9(commencing with Section 7000) o( Division 3 of the Bu5ine55 antl Profesvonz Cotle) o� lhat he/She is exempt 'herefrom antl the basis (or the alleqetl exemption. Any violation ot Section ,31.5 by any applicant for a pe�mit subject5 the applicant to a civil Odlty ot no[ more than five huntl�etl tlollar5 ($500). J I, as owne� of the property or my em0loyees with wag¢s as their sol¢ compensatlon, will tlo Ihe work, an0 the structure is noi intentletl Or off¢retl fOI Shc2 ($¢CIIOl1 %O4A� B1151(IE55 dlld Professional Cotle: The Contractor's License Law tloes not apO�Y to an owner Of a property who bWltls or improves thereon, and who aoes such wo�k himzelf/berself or throu9h his or ner own Employeei, proviCetl ihat such improvements are no[ intentleG or otteretl for 5a1e. It, noweveq tne builtling or improvamanc is soltl within one year of com- pletioq the owner will have the bu�tlen ot proving he/she tlitl not builtl o� im- prova tor the purpose of sale). ❑ I, as owner ot the prope�ty, am exclusively contracting wilh licensed con- tractors to construct the project (Section 7044, Businezs antl Protessions Cotle: The Conlractor's LicenSe Law does nol dppry to an owner ot properly who builtls pr Improves thereon, antl wno contracts for zuch projects with a con- tractor(sl license pursuant to the Contractor's License Lawj. I am aware that proof of thei� Worke�'s Compensation insu�ance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C�or this reason Date Owner I hereby ttrtity tnat I have reatl this application antl st� iMormation is co�rect. I agree [o comply with all dty antl antl ztate laws relatinq to builtling construction, antl herel sentatives o/ [ryi} city [o enter upon the above-mentic inspection pur S,s. Siqnature � � ' above iances repre- %Y� G- ai�s� . a��- 3 r_ — TVPE OFCONSTRUCTION NEW %aDD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p,,*, DESCqIPTION OF O�RK/U$E _OF LD . - �r..�-�� oE� ti--` F 2��r: �o �.O S MainB� E TVPEOFPERMIT GRAOING FOUN�ATION STRUCTURAL T Ffont ❑ TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL B Reaf ❑ OTHER A PROJECT DESCRIPTION Sp. FL � OCCUPANCV - C Right CONSTRUCTIONTVPE �'N VALUATION$ ��O�O g Left � ZONE GRADING CU. VoS. ACRES p�ng. Ref. # Remarks: �I�� / eM , n �I �ilD-!� � ' � _�Z— Bar Sink Backtlow Preventer ' Backflow Irrigation - Bathtubs ' " Clarifiers Dishuvasher _ . Drinking Fountains � Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P-Trap Root Drains Reinspec[ion Fae � $15 Boiler Duct - Under Grountl DUCt - $[ruCturel Duct-Ventilating '�� Exhaust System ❑ MWtiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting O ai oo,000 eru 0 i oo,000 eT � � Dnvers Li < Reinspeccion Fee �-$15 � i i `�1F OB65-46, rev. 10/04 White - Builtling; Canary - ApP��cant; Pink - Accountin9; Goltlenrotl - ASsessOr Showers Service Sink Sewer Cap ' Sewer Connection Solar (�.O��CCIOlS Solar Piping . Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto Wash laue Fee Hood or Typel � Canopy Typell ❑ Refrigeration System ❑0.100,OOOBTU ❑t00,0008TU System Repair/Alteretion Fire Dampers Registers laue Fee FEES $ 3 $ 3 2�a6 iai22ia5 -- � ^ Q� Zone n9: Accessory Building: Parking Req./Provided Automatic Washer Construction Pole Sub. Cooki'ng Unit Dishwasher Dryers ❑Gas ❑Electric ELECTRICAL Transformer ❑ �15-50 KW ❑ 50F,KW Fan F.A.U. Fiztures Device Boxes Outlets Swimhes Garbage Dispoul Generator �0.5 KW 05�15 KW Meter ❑up to 100 amps Meter ❑over 100amps Sub Panel Motors 00.1 HP 01 X- 8 Inc.Solar 09-15 HP �16�15+ Microwave Pole Light Ran9e ; Standing Sections Trash Compactor E:�oi� TL FEES Z O N I N G R E Q M T $ I Reinspection Fee I 515 I I luue Fee I $ 3' DEVELOPMENTSERVIC�(�g EQU�I EnMEnN TS: Zoning Approved By ��/�� -/'//� Date�-�� Building Approvatl B� Date ��'ZZ ^�' 1� Appliotion Issued By Date SUMM HV OF FEES BUILDING PERMIT $ 3 5O SMIP $ ..SO PLAN CHECK $ 25 ^� 3' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING $ �PLANCHECK 50% $ Z.Q MICROFILM $ Qq� MECHANICAL $ � TOTAL FEE $ �� PLAN CHECK 25% $ I . ' CONSTRUCTION ANDPLANNING PGOL �A Date Ins��ector Date Inspector APpROVALS Permit # APPROVALS Permit �r` 1. Temporary Electrical Service or Pole 52. Pool & Equipinent Location 2, Soil Pipe�Undrgrnd. 53. Steel Reinforcement • 3. ElectricabConduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical 8onding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd., 57. APPROVAL TO COVER-GUNITE 7., Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. W2ter Pipe-Und�grnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. �Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final � 2. SQ`^'e� 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 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating �( �(,� [,�ED 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-9ar Ceiling (Structural) & Monocoat 75. Dry Chemical �27. FrameandFlashing �6. �,� 76. DryStandpipe 28-. Lathing & Siding ' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - �f.��d �� HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat i�p% /,�C� 79. FINAL INSPECTION 32. Electrical Power Meter-Final ' s 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning ��. �(�, ��j� 35. Final Gas Pipe-Test 36. Hopd or Canopy 37. Final Factory Fireplace 38. Final Plumbing " 39. Wa[er Service-Final . 40. Gas Service-Final 41. Solar pomestic-Final 42. Batkflow Preventer ��, 43. Batkflow Irrigation � � � •, 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING / � ��. �/ �48. Special Requirements Completed 49. Eleciric Release to Edison 50. Gas Release to Southern California Gas Co ' '1 � 51. CERTIFICATE OF OCCUPANCY � - No. Date ' � ' � OWNER College Mesa COR1]�311� ' DATE 4-1g-56 - JOBADDRESS 3111� Dubliri Sti'82t � BUILDINGPERMITNO. -�7� ' GENERALCONTRACTOR �he Hale �ompany vn�uE a� 10,960,�� i 31 e�ocK TRACT 2Lt3Z Single Res. W.att gar INSPECTIONS Plumbi Trench U ion Forms and Grade SUBCONTRACTOR PERMITSISSUED DATE I NUMBER — fL I ..%/_ 7 y .� �. Final , . /J -��rl a.3 6 � — Hause �(J� /0 . Sewer, St. ti : .j/ �y �i%% �/1iy., � i S %� � �.Slo !��_C' .f ✓ �,...;�9� In� O F ering Plumbing, Final, Fixtures 1 Piumbing, Fin•al Gas Test Wiring, Final Occupancy FOflM 210 3M 10�•v5 �-: Cps+a Mesa Bnilding Department APPLICATION FOR PERMIT ` 717 EAST 20th STREET �5�� g U I L D J� N G ' COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICAN� TO FILL IN I Receipt No. I�ermlS No. Bullding �J16 nddress 31 D b' S �� Costa Mesa, California Rec 'voeO)by Date Redd. Date /Issued Nearest �/ ��" �� /" /� crossSt Watson Avenue suiidin9 Addrew owner Colle e Mesa Com a Costa 11�esa, California Mall aaaress 8002 Central Avenue Nearest Tel. Cross St c�ty GardenGrove No. I.E 9-2156 zo�e � I No. ot I Type :/ Group nrcniceccor Davis & Qui le L1Q' C-1790 P�d�s � Engineer S Y No. Approved / b Date Address � CORRECTIONS City L(c. ContrecMr i No. 3422 naaress 8002 Central Ave. GardenGrove Legal Lot I oescriptlon I No. 31 elock � Tract 2432 (Attach Metesand Bounds) No. of Bldgs '� ^- - Size of Lot 65 x 95 I Now oo �oc None '� �Y11 �� `� ��1 0 Useof No.of No.of - ��'�-�� 70 Existing Bldg. I Famillee I Rooma -� - � Setback Line ffom Rear Vard ZQ� Center oT 6treet 50 � gide Yard $� �j n �$}�iJy D DESCRIPTION OF WORH � New I X I A�teration I I Addition I 1 ' 1 n.n--.a . n�:%Q h � Repatr I I�Moving I I Demolish I � 1 V� �� r� �'��"��t � Building No. of � Size 1270 Rooms 6 Stories 1 � Exterior Wall Roo� Covering 5tucco I Covering Rock APPROVALS Use oT New Buildfng 5ingle fami7.y dYlelling Wlth Foundatfon Lacation Inspector Date Forms, Materials, attached ara e. under-ainning Frame: Fire Stops, Bracing, Bolts I hereby acknaWledge that I have read this ApplicaUon and state that �e above is correM end agree to comply Lath. Int with all City Ordinances and State Laws regulating building construction. . Lath. Ext. Signatureot THE HdLE COMP�13 �`� Permittee Plaster,lnt Authorized AgL Plaster, Eut V LA NIIt Valuation Permit Fee $ • Masonry Reinforced Pian Check $ � 3• Bond Beam $ � o; yG �. To�� ,q Fee $ �/' FINAL FORbI 204 9-HP 2M B-5S � PLOT P�AN � 3how Iocatlon and distanees irom propeHy line and hetween bulldings .n � COiT" 91^��P�;ie�;,_^7Ep ..••t:r.�9.�� . . . .� .':. , . . i. . '