HomeMy WebLinkAbout2332 ELDEN AVE - Building Permits.. ,. _ .
� CITY OF COSTA MESA '
o�p�F=, BI/ILDING DIVISION -- .-- - --- _- -,
��� �7 FAIR DRIVE. COSTA MESA. CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.wsla-mesa.ca.us. '... .... . . ;
° FOR INSPECTIONS CALIL (714) 754-5626 _- ..-.. ... _ ..._. . �
h"�°'� PERMIT NUMBER: B11-0.0128 T'
PERMIT TYPE B_ROOF2
APN: 43926125
JOB ADDRESS: 2332 ELDEN AV�CM��
Vicinity:
Squares: 0
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED •
04119/20'I 1
CAC
$15,000.00
u
SCOPE OF WORK: TEAR OFF BUR AND INTSALL BUR . INSTALL 1 LAYER OF 30YR COMP. SHINGLES OVER EXISTING 1 LAYER
OF COMP. SHING�ES
INSTALL SMOKE pETECTORS AND CARBON MONOXIDE AS PER ATTACHEMENT.
NOTE:RESIDEN7IAL RE-ROOF: Final approval of permit shall not be granted until access to tlwelling unit(s) is provided.for .. ...
verification of the installation of smoke and carbon monoxide alarms by the Cily Inspector. See Attachment w/Inspection Card
OWNER: DIqMOND,RlCHARDB
HUNTINGTON BEACH, CA
PHONE:
APPLICANT: JAMES MCBETH
PHONE: 323-228-6434
CONTRACTOR: JAMES OLAND MC BETH
Address: 5444 CRENSHAW BLVDUnit:
Ciry/State/Zip: LOS ANGELES,CA 90043
;r
ARCHITECT:
ENGINEER:
FEE SUMMARY
Address: %DIAMOND MEDICAL PROD
City/State/Zip: 19635 VILLAGE OAKS CIR
Address: 5444 CRENSHAWBLVD •
CitylState2ip:' LOS' ANGELES,CA
License No.
License No.
PHONE:
. �.:
- unit .. . � - . 1
i���'yVi..}i�•.
_ ; � Unit :
License No. 629794
323•228-6434
CELL:
PHONE:
PHONE:
.�iC.
Reroof Plan Check: $0.00
��:;:.+cr!. ic.r .
Reroof Permit Fee: $251.25 � ��•6i r�"��
Reinspection Fee: $0.00 � "
Bldg Std Admin Fund $1.00 L"'�� ��^�
... '.�.. �`
TOTAL FEES 5252.25
S- HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/1812010 - PER CMMC Sec. 13-279 �,,;�_
. Monday thru Friday - 7:00 am thru 7:00 pm, Saturdays - 9:00 am thru 6:00 pm. Prohibilied all hours - Sundays and lhe following Federal holidays
New Years Day, Memoriai Dav. Indeoentlence Dav. Labor Dav. Thankspivinp Dav and Christmas Dav
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, 12-27-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under Nis permit to be considered legal, such work must comply vnth all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expirafion of this pertnit.
CO�E t, INSPEGPONTYPE UATE INTRIALS CODEt INSPECiIONTVPE U�T�F ` IN➢➢RL
1676 Fixetl System Final Fire Prevention ^ 206 Final Mechanical
1266 Pool Spa Fing� � µ(� � / 1 208 Final Plumbing
200 Final Re-Roo( /� 5' S �� �� Ld 210 Final Electrical „
201 Final BIocWRelaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Pinal Planning Approval � ' ��
2(13 Final Sign 222 Final Site
204 Final Demolit{on � 250 Final Building/Owupancy '- -'-'-'---------
. i
. ' ��,:Pr, fr:.Irlg( (1:uadL�G1
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penaly o! perjury one of the following declarations:
❑ I have and will maintain a certi(cate o( wnsent lo selt-Insure for workers'
compensation, as pmvidetl (or by section 3700 of the Labor Cotle, lor lhe
peAof ance of lhe wOrk fOr Whith Ihis DeRilit i5 is5uetl.
I have antl will maintain workers' compensation insurance, as reQuiretl by
s tion 3700 of the Labor Code, fw the peAormance of the vrork fa which this
p issuetl. My vrorkers' wmpensation Insurance carrier antl policy
n er ar : � / ,�/ I
.ar�or �2_ It�U /�� C�
�
�,Lcer6fy that in the peAormance ol the vrork for which this permit is
issued I shall not employ any person in any manner so as to become subject
ro wo ers' compensation laws o( Califomia, and agree that if I should
b come s bject to the workers' compensation provisions ol Section 3700 ot
t e Labor o, I s a0 foAhvrith comply with these provisio s.
h/ / / �
A iranfsSip e Wt
WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE, IMEREST, AND
AITORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirtn that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( lhe Business antl Professions Code, and
my io nse is in full force antl effect.
Li � �1 # �
co ctor's ignawre � at�
CONSTRUCTION LEN�ING AGENCY:
❑ I hereby affum that Ihere is a consWctbn lending agency for the
peAortnance of the wurk fa wfiich lhis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lentler's Address:
Sig�Wre Dale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that untler penalty o( perjury that I am EXEMPT FROM 7ME
CONTRACTORS LICENSE LAW for the following reason (Sec. 7017.5,
Businass antl Professions Code: Any ciry or counry whith requires a permit to
con5�rucl, alter, improva, damolish, or repair any structure, pnor to its
issuance, also requires the applicant for such permit to file a signetl statement
mat he or she is licensed pursuant to the pmvisions of lhe Conlractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the
Business and Professions Code) or that he or she is ezempt therelmm antl
the basis for Ihe alleged exemption. Any violation o( Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty ol not more than
fve huntlretl dollars (5500�.):
❑ I, as owner of the property, or my employees with wages as iheir sole
compensation, WILL DO THE WORK, and the slruCNre is nOt inlended or
offered for sale (Sec. 7044, Business and Professions Code: The Contracrors
License Law does not apply lo an owner of property who builtls or improves
thereon, and who does such work himself or hersell or through his or her ovm
employees, provided that such improvements are not intendetl or offered for
sale. If, however, the huilding or improvement is sold within one year ot
completion, the ovmer-builtler will have the burden of proving Ihat he or she
tlid not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
IICENSED CONTRAC70RS to const�uct the projecl (Sec. 7044. Business antl
Pro(essbns Code: T�e contractors License Law dces not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a cont2ctor�s) license pursuant to the Contractors License Laws.�.
❑ I am ezempt under sec.
Business and Professions Code for this reason:
SignaWre Date
705Pn6 (3I01)
Owner ID verified by tlriv... ., license. �] Yes � No �;
i
Dnver's License No. Expires:
Verification of Ownership 6y (type of document, i.e. - property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) or more feet in depih into wfiich a
person is required to descend, will be made in connection with work authorized
Dy this permit, and Ihat no building struclure, scaffdding, falsev.ark, a demolition
or tlismaNling thereol, will be more than thiny-s�c (36) feet high. (Chap. 3.2, Grp
2, M 2. Sec. 347, Ttle 8, Califomia Administ2tive Cotle�.
❑ As owner-builder, I will nol employ anyone ro tlo work which would
require a permit trom Ihe Division ol Industrial Sa(ety, as noted above. unless
such person has a permit to do such work Irom lhe division.
Fpplicanl's Signalure Dale
Division o( Industrial Safety Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or (uWre building occupanl neetl to file and
certify a Business Plan for emergency response to release or Ihreatenetl
release ol a hazartlous material? ❑ Yes ❑ No
(Seclion 25505 0l the Cali(omia Health antl Safety Code requires, v+ith some
excepti0n5. Ihat a Business Plan be filed vnth �he Costa M85a Fire
Department by every business which has at any one time dunng a reportetl
year a quantily of hazardous materials equal to or greater than a weighl of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature antl pressure).
2. Does or will Ihe applicant or presenl or (ulure builtling occupant need lo fle
a regist2tion lorm for acutety hazardous materials? ❑ Ves ❑ No
(Section 25533 0( the Calitomia Health and Sa(ery Code, vrith some
exceptions. requires registration with me Costa Mesa Fire Oepartment by
each business which at any one time has on hand a quantity of acutely
hazardous matenals equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic (eet ol compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or luture building occupaN need lo
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)7 ❑ Yes ❑ No
(Section 25534 of the Califomia Health antl Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
lling wilh lhe Fire Department of an RMPP by businesses which are requiretl
ro register acutely hazartlous materials vrith the Fire DepartmeN.
4. II an RMPP is presently required, has Section 25534 0( lhe Cali(omia
Health and Salety Code been fully complied vriln? 0 Yes ❑ No
5. Does or will ihe applicaM or present or luture builtling occupant require lor
the vrork which is the subject of this application a permit (or such construction
or motlifcation from the South Coast Air pualiry Management Di5Mc1 or (rom
any olher air pollution control district or agency? ❑ Yes ❑ No
(SecCwn 65850.2 of the Califomia Govemment Code requires �hat tho requesteC
inlortnation be lumishetl on applications fa rron-residential building permits).
6. Will any part o( the facility to be consWcted under this pertnit be within
1000 (eet from the outer boundanes o( a school? ❑ Yes ❑ No
(If yes", the lacility must meel lhe requiremeni of Seclions 25534 antl 42303
of the California Heallh and Safety Code�.
7. It a permit from the South Coasl Air Oualiry Management DisMcl or other
air pollution control disMct or agency is required for t�e work which is the
subject ol this application, have all of the disclosures prescribetl by Califomia
Health antl Salety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certi�cate o! compliance from the appmpnate air polNtion
control o(fcer�.
CERTIFICATE OF COMPLIANCE: I certify Ihat under penalry of perjury the
infortnalion given above is wrrecL I agree ro comply with all state laws and
city ortlinances regarding Hazardous Materials and Emissions.
Signawre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certily under penalty of perjury that I have read this appliwtion and state that
the information given is correcL I agree to comply with all state laws and ciry
ordinances relating to building construction, and authorize representatives o!
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by lhis permit uniil final inspetlion.
aWre ILegalOvm¢r(s) Date
� � /
n lor Au�n nae �oo�� �a�e
Certiiicate uTComnliance: R._�ential
] of
Projec� N:ime: � I Climate
� Ooaaue SUrfaCe Details Ror the furred portioned af Mass N'alls see PurrinC Strips Cunsvuction 7'nble beloH•. �
Tag/ I Assembly Name
ID� or'I�Ype�
C I H
Framed Continuou:
U- JA4 Table Cavity ]nsulation
ctor° Numbers R-value� R-Value'
acrounlittg for Ca+linuous Jnrulotioir R-mlue, see Pogc
Assembly
use the Mas.r and
!. r or Tag/!D indicale the identification name lhat matches 1he buUdrng plans.
?. Indicate �he Assemblr Name or rype: Roof/Ceiling, W'Ql/s, Floora, Slabs, Crawl Space, Daors and e�c...lndica�e the Frnme rype and Size: For
N'ood, Meral, Metal Buildings', Mass, enter ?s4, ?xb, or e�c... see JA4 jor o�her possible frame rype ossem6lies.
3. -Enter Uie iliichness for mass in inches or Spacine 6enveen framing members enier; ]G "ar 24 "OC; or Other for al! otlier assembty descriplion
such as Conerete Sa�dwich Pane(, Spandre! Panel, Logs, StraH� Bale Panel and etc.... ,
4. l3aa�ed on the Climaie Zone,- enter the S�andard U factarJ�onr Table I51-B, C or D fnr eacly different assemb(�� Name or type.
5. En�er Ihe TaGle num6er tho! closelJ' rea�emble.s the yroyosed asa�embh�.
(. Gn�er fie R-volue 11mi is bcing insta/led in ihe wo/1 cavirn a' Getween the fi�nn:ing; od:envise, enter "0 ".
7. Enier Ihe Corvirtunua Insulaiion R-i�alue (orlhe proposed pssernbll'; ��herryvise, emer "0".
d'. Ln�er l6e rnw and cnlunm ojlhe U-fac�a� value based ar Column F Table Numher orid en�er Ihe Assembl�� U fucla' in Column J
9. The Prupo.red dssem6/v U-(ncior. Column./, musi be egual to or lese� dian the S�undnrd U-facmr irr Co(umn E �o compl��.
Fuirin Strips Constnic[ion Table for Mass Walls Only �
A B C U G S� G H 7 ,7 K 1. M
1'ropused Pr�perties uf Masonn� and Cuncrete Added Interia� ur �xierior Insu)Hlion
N'alls Prom Referenee in Furring Space from Reference
Juinl A rentlia 7�vblc 4.3.5. 4.3.6. 4.3.7 Joinl A endia 7'aLlc 43.73
_ "� " — >. �
v L O � 1 2 L �K N
Asscmblp = j � c� � v° rvi�� `° `'b Flita�
G� L.` R U 9 G� ��V
MasS N.unc or JA4 Table � ✓ 'v �= E 5rt o 't � a� v � ASSCti�bly
Tliickness� 1' e' Num6er' <" � = iii ^� � LL 5 u'. r 4'�` � r U-faClor"'� Cotnmenl
I
1 �
I I
/tegisu�ufion Num6er: Rebisu�aiion Daie/Tin�c: NERS P+'nvider:
2Glld' Res'ide�etin! Complimece Forms� dugus7 20l)9
Project Name:
Certiticate ot �omplia�ce: Residential CF-IR-ALT
Clime[e Zone # �# of 5[ories
ROOFINC PRODUCTS (COOL ROOFS) §15!(p12 _
When Uia area ojrxterior roojsurjace m be replaced exceeds wnre U�an 50% af(l�e erisiing roaf nren, nr rnoie t)�m� 1,000 ff, �vhichever is
less, Nie ne�o rnofing nre�� nu�sl n�ee! (hc ro�ftng producl "CoolRaof'requireipents of§I52(b)IHi, 152(b)1Hii, or 152(6)IHiii.
Check app(icable allernntive or exception befoH� if (he rooJa6erntion is exemp/ fi�om Ihe roofing produc/ "Coo/ Xoof' reguiremems. Note: ljany
one ajrhe alterna�ives w� excep»a� below is checked, /he Aged Solm� ReJJeclance and Thermal Emivance requiremenls jor roofrng produclr in
,¢l18(i) are not applicable. Do nw fill iab(e below. �
ol Roofs Not Requimd in Climate Zones L t2, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones ] through 9 and 16 with a Steep-Sloped Roofs (pitch greater [han 2:12) and produc� unit weighi less
Alternatives [u §152(b)1Hi nnd §152(b)Hii, S[eep-slupe roof (prtcl� > Z:12)
❑ Insulation wiW a thertnal resistance of at least 0.85 hr�ft? °FBtu or at least a 3/4 inch airvspuce is added to the roof deck
over an attic; or
❑ Existing ducts in Ihe attic are insulated and sealed according to §151(Q10; or ,
.❑ In climate zones 10, 12 and 13, with I fl''.ot free ventilation area of attic ventilation for every I50 fi� of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof'ridge; or
❑ Building has at least A-30 ceiiing insula[ion; or
❑ Buildmg has {adiant barrier in Ihe attic meeiing the requirements of §151(�2; or
❑ Building has no ducts in the attic; or
❑ ln climate zones 10, I 1, l3 and 14, R3 or geater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low-slope roof (pi�ch <2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building incegrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roo£criteria.
❑ Roof constructions [hat have thermal mass over the roof inembrane with at least 25 Ib/fi� is exempt from the below Cool Roof criteria.
Note: If no CRRC-I label is available, this compliance method cannot be used, use the Performance Approach to show compliance, othenvi
Check the a licable box beloe� if Exem t from the Roofin Producis "Cool Roof' Re uirement:
� Roof Slope Product Weight Product Aged Solar Thertnal
CRRC Product 1� Number� < 2:12 > 2:12 < 516/ftZ > 516/ftZ T e' Reflectance�'4 Emittance ;
❑ ❑ ❑ ❑ ❑^
�QQQ-�
����_�
����_�
��0�-�
TLe CRRC Producl lU Nurnber can be abinined fi�am Ure Cool 2oofRuling Cwmcil'a I(qledYr'oducl Direcmry a! w�vm.cnoli�no1carr/nradeicts/seard�.nhe
bidim�c iGc q�e afprnduci is Leing useAfor ihe roofrop, i.e. single-pin rooj asphafr roof ine/al roof ere.
Iflhc Aged ReReclnncr rs nor ovailnGle in.lhe Coo( RoofHaling Cmnmil's Roled Praducl Direclo�p tlien use !he /nilial Refleclmme vufuc fi'om !he same
dircc�nrp und use �he equa�imr (0.2+OJ(�1�������1— 0.2J m obiain n calculated oged vu6m. Wbere p ix ihe /ni�ial Solar ReJlec�once.
Check hoa if Jic Aged Re/lecronce is n colc�Jared value using Ihe eq�miiorr aGove.
Cnlc�Joie d�e SRl value Lr using ihe SRI- Worksheet n� hun'//�u�v�v enerm� ca env/lillel4/and emer Ihe res�J�ing voh�c in d�c SRI Columrr above and onacH oco
�he Sltl- IVnrksheei ia �he CF-1 R.
i apply Liquid Rield Applied Cuntings, the coating must be applied ecross the entire roof surface and meet the dry mil thickness or coverage
commended by the coatings manufacturer a�id meet minimum petformance requiremen[s listed in §I !8(i)4. Select the applieable coating:
Alumi�wm-Pigmented Asphalt Roof Coating �❑ Cement-Based Roof Coa[ing �L] Other
Registru(iorr Number: Regis�ration Da1c/Time; FIERS Provider:
2008 Residential Comp[iance Forms .4ugusr 2009
Certiticate n1' Cumpli.ince: I2esidential CT-IR-AL'T
i:lial Alterntions
Nnme:
� ui
H�ILS V�RIF1CATlOfd SUMMARI' The en/orceme�v ngenersho�dd pnr syeciul nnemiav io �he HL•2S Nleaseu�e.s speciJied m rhrs
chec/disi belmr. � canple�ed nnd sioned CF-4R Fornr. for nll the measm�es syecified shnll be suLn�iued iu ti�c building inspec�or be%re 7inul
DuCt $L'alinp S iCSti�le HBRS i�eri/irn�ion is reqiiired,Jor lhi.r mcnsxvc.
❑ 1'ES ❑ NO 1'C5: ln Climate Zmies'_' and 9-I G, i1� mae thau 40 Iinear fee� of ne�• ur replucemeni ducts .�re insinlled in unconditioned
space, the ducts ure to be se.ded per � 152fb)IDii and the newly inswlled ducts are to be insul�rtetl pe� §I51(ij10.
❑ LXC�PT70�: Lzisting duct systems th:u are ezteuded, which are cm�siructed, inxulateci ur seuled witl� asbestos.
❑ �'�S ❑ NU �'ES: ]n Climam Zones 3 and 9-7G, if'[he existing space-conditimiing svstem (H\�AC equipmeni and ductin�j is replaced, the
� ducts are to bc sealed per � 152(b)1 Di. �
❑ Y�S ❑ NO 1'LS: ln Climate Zones � and 9-16, if the existing HVAC equipmeN is mpluced (including the replacemeni of Ihe air haodler,
' outdoor condensing unii of n splii system, cooling or he�ting coil, or the f'umece heai exch2nger) the ducts are to be
sealed pei § 152(b) I E.
❑ EXC�PT10�: Duct s,ystems tLst are ducumented tu have been previousip se�led coniirmed thruugh H�12S
, � verification iu accurdance with procedures in the Reference Residential Appendis I:A3.
- ' ❑�XC�PT10�: Duct systems with less than 4U linear leet in unconditioned spuce. .
❑ EXCEP7'10�: �xistin� duci svs[ems constructed, insuleted or sealed with ashesms.
Ref'rigerant Charge - Split SYStem HERS verrjica�ion is required fa this measine.
❑ YES ❑ NO YES: In Climate Zones 2 and 6-15, when the existino HVAC equipmenl is replaced (including the replacement of the air
handler, outdoor condensine unit of a splii system A/C or heat pump, cooling m' heating coil: or the furnace heat
exchaneeri a refriserant charee measuremem shall be veri5ed per �152(b11F.
Cenu�al Fan Integrated (CFI) Ventilation 5}�stem and Fan VNatt Draw
The ventilation reauirements of FI50(ol do not anolv to existine residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: AirfloN' HERS verilica�ion is reguired,Jor this measure.
❑ 1'�5 ❑ NO 7'E5: In Climate Zones 10 thmu�h 15, when the existing space-conditioning system (H VAC equipment and ducting) is
reolaced. tne airfloH• and ian war, draw shall be verified ner § 1 S2(b)1 Ci to meet the reouirements of 61 � 1(f17B.
Declaration Statement
:rH �� that this Certificate of Comt
� T�u� l�iw
;��rn�...� L-G�nr �
��7� �e�
.te/Zip' . n�� /�
/`y G,!
�liance documentation is
� 3� Jr��anc%
✓� l�d .
Q� -i�3
�//Q/��
licable O CEA or
3a3) aa8-�
]Lespousible 13uildine Desirnir's Led:u�atiur $tatement � �
e I am eligible under Division 3 af ihc Culifomiu Susiness und ]'rofessions Cudc to accept responsibility for the buildiuo design identiGed on
lhls CcrtiScate of Compliance.
• 1 cerlify thai the energy features and per(ormanec speci5c�timis for the building desigu identiGed nn this Cer�iLcute of Cmnpliance wnform
w thc requirements ofTitic 24, Pans 1 and G of lhe Culi1'ornia Cnde of Regulatiuns.
• Thc building desi@n features identiGed on this Certificnte of Compliance nre consisicni wi�h lhc in(onnation provided tu documem this
6ullqing design on the other applic�ble compliancc lonns, wurLshceis, calculations, plans aud speciLca�iom: submiltud tn the enlbrceinem
ueencY {nr approvtil wil6 lhia building pennii tipplicaiion.
Ntimc: Sie.natm�c:
Comp�iny.
Hddress:
C i i� ��Siat�(��p;
Uate:
License:
Nhone
Tm� a.e,sisumee or qncetiane� reg�u�dino fhe L'nerep Stru�dard.s, cm�tacl the Energr Hotlinc rtt: 7-R(10-772-3300.
Ifegisirniipu Mum6er: Re�isuniion La�e/Timr: HLRS I'roniner:
2Dfli: ltaticlenfru! Ca�rplrrnzce Fw'ms Azrgersl ?0(J9
�
City of Costa Mesa � ' � . ,
euilding Safety Depertrt+ent C E R T I F 1 C A T E O F O C C U P A N C Y �, -„
P.o.eo.,zoo � .�s 279�
Costa Mesa, Califomie � �
The Building located at ?a'3:% i�-'IAmn ltvcx���n �
has been inspected 2nd found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group I3 r.: •T Occupancy. �;
Use of Building 1G izn3� r�»2s��ner.f.� bullEin� rr4�h c�e�ter.P+�r� r�nrrarpR -� :
�
Legal Description �- �� ������-����-'�� � - -
'i (See reverse side for Metas end Baunds) '
�
Building Permit No ���'�U�"`�n��� Electrical Permit No. �'-3��s'M /"1'.?Liti'.=plumbing Permit No. ��_'���'7 -
r
, Number of apartments 1`4 and/or guesi rooms _ , _� ,
ISSUED T0: BuildingOfficial
„ by � . . i ...
:,�.=i.11er '%:�v�s�ue���t C�si'��.nv
oate Tsrrvc-xshczr c. 1��'il •
This Certificate of; Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed excapt�bythe �..
Building Official of the City of Costa�Mesa under Sec. 306 (e) U.B.C. � -
Form BU 34 Rev. 11/70 �
;:�A.M1'a. �il.'��re-`_P_°���K�
CITY OF COSTA MESA PLANNIn EPARTMENT MAY 17-7lcnsaOO 597 u***UOO.00
A. P. No.
Bldg. Pemiit No. -''y C
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 2332 Elden Avenue � Costa Mesa, California
Owner's Name phtltp A. Spiller
Bachelor or 1- Bedroom Units
$25.00 =
2 - Bedroom Units lp @ $40.00 = ,5400.00
3 - Bedroom Units
4 - Bedroom Units
S - or more Units
Total niunber of Dwelling Units
$55.00 =
$70.00 =
$75.00 =
Total Fee $400.00
Planning Department Approval Date S�_�i Park Area No. 7
By Anne Morxis Applicant's Signature �,SJ _Q���y,,�,
CITY OF WSTA MESA PLANNING �EPARTTIENT P°�� �, .y�. n �.
A. P. No. _p _p 4{AY 17-7i�;�� �� 597io" � �u �
Bldg. Permit No. '� O O
PARK ANb RECREATIONAL FEES - Apartment Developments
� Fee Payment Receipt
Project Address 2332 Elde� Avenue, Coeta Mesa, Callfornia
Owner's Name Phil.in A. Spiller
Bachelor or 1- Bedroom Units
$25.00 =
2 - Bedroom Units 10 @ $40.00 = $400.00
3 - Bedroom Units
4 - Bedroom Units
$55.00 =
$70.00 =
5 - or more Units @ $75.00 =
Total Fee $400.00
Total niunber of Dwelling Units 10
Planning Department Approval Date S-12-71 Park Area No. 7
gy Anne Morris Applicant's Signature \,_jt' _(� y�C1, �.
Si,.
COUNTY OF ORACVGE
BUII.DING DEPT.
636 No. Broadway
Sarna Ana� California
P6one: KI 2fi211
Application For Building Permit
AND FOR A
CertiFicate of Use and Occupancy
Permit No...�7--l.._�-�.�
v:,�e. - -� Z_'s'S/......... -
� " ��� „' ��'.�1�'' '
1. OWNER'S NAME... �.�.�.... �.L.='-- ................._..... - - -� -- --- _._._....__... - .. PHONE:.�:�........�-`-:- '
MAILINGADDRESS.._..�---�-�-�--.._'....�:�.�G1.;I_:%"r�-`y'----�---,.....-�---.... CITY.���:�.��..�!!:.��A. 10
Name
Address
City
State
Lic. :
...... _'--------........- ................:.
or Bnginecr)
------`.... _. __..-� ..................
� � .
Namc .. ...-- .�..I/1�/T�.jc....!.'�....�.. -
. (Contractor)
Addicss'--------'-........._.........
City............._....-----.................
State
Lic. No.- ._ ___...._ - .........
Phonc.....
PROPOSED USE:..__ - --�-�� ' -..2.-i--i.�-,�-`-ir' �`� `" � -� •.nvc.�.!-l_Q/7...62ij..C�'...�.A[��iir�Y..l.!
2. JOB LOCA7'ION.._�.c{=-;� --- -r--�`�'_F;�-"� �� - - - - -� �=� �"L! -%.�?r_5��----- -
(Hou=e No.) (Name of Sveet) (7'own or School District) �
. '
+. LEGALDESCRIPTION: Lot-----------1-.�-------------------___.Block --�-.:���..�. ........._. Tracc._--�--�--�------------..
(Metes and Bounds Description—Use rwerse side of (orm) � ' �
4. CORNER LOT ( ) INTERIOR LOT ( ��' ) THROUGH LOT ( ) SLOPE OF LOT ( )
i. SIZE OF BLDG.::3._�`�-�.�.�REA:.-_.--....__.'---------------SIZEOFLOT:--_[�!_�-%�Z��.AREA:_.....:..-.-_.
� _.....CEILING HEIGHT: �
G. HEIGHT OF BLDG.:_._..-�---.'�-------: ---------�1---------..NO. OF S"iORIES........_..�...__-----__.
�
7. NO. FAMILIES_..._.....-�' ..................._._Sizc of Smallest Bedroom:._...__...__....__-._..--._.._ Size of Kitchen._-.--. .-_-----
.• , ; � ,. . , . �
R. EXTERIOR WALL CONSTRUCTION:..; �._��__,:.`....: :�..�,'.:.'.:.....1NTERIOR WALL COVERING ....................._..._.................
(Frame, Sm<co, Etc.) ' ' 4 �� � (PlaaervDrywall, Ete)
J. SETBACKS: Front Yard From Center Line �of Strcet.....:.....__.�O..Q...� ...................................._......._...---_'--_-.-'_-.-'--......_...
Nearest Side Yard....� r..._...Rear' Yard..y.J..�.......Distance in �cet Between Bldgs. on Same Lot..._.__...._............_....._._....._.
10. A COMPLETE PLOT PLAN IS REQUIRED,,SHOWING_ ALL S7RUCTURES ANll USE OF EACH.
11. For
Accessory
Bldgs. and
Similar
Structures:
/ �� i�
(a) Footing: Width.....�1.�._-.----'---'-"---.....Depth in Ground......%..� ...............Widch of
(b) Size of Studs:.-_� ...............Sp m�,-'--.....:..........._....."CC Materie�l of Floor
(t) Size of 'rloor Joists:_._--_--_-'--"--'---....._..... . (� �"
/ l . . �cir� . .�_.......... - -- ............... CC
; � � . .
�
"CC
(d) Size of
��
]2. VALUATION OF PROPOSED�VdOR�K� Including a]] labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $.-�--'�....�.'v..... ��__..._....._ .
7 3. 1 HEREBY CERTIFY TI-TAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION' 1N 'fH]S
APPLICATION IS CORRECT AND. THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Plans Fi]ed:-----........_--- ---=------'-----'---'-
Bldg�. Permit
Plan Check
Total • -
Receipt No.
Paid to -
Date ...........
FEES:
� $ � -�-- 0 �.......
- $.........._....$'.T%.:..-
• 5 .� t�; p-- ..:.
p/G ...8.7...�.k .............
Signed:. �.\,...:_. %._....- -�( ="_''..C... f�� _
- --- - .......-- - -
( Owner )
By:.. _--•�...
FOR DEPAR7'MENTAL USE ONLY
GROUP... ...
TYPE.. � ... ........................
llIST. �O
MAP......_(,.e..... - -.'�. ...
SHEET NO...� .............
DATE..........C...... ... .f�.. ./�....... _�
'v M-B�51
(Au[horized Agent)
CHECKING BY
APPLICATIOi�%f. �I� HEALTH.......
ZONING ............... �� � FIRE
PLANS AND MARSHAL....
SPEC'5 ........... ..........--- STATE...... -
CORRECTIONS ENGINEER
VERIFIED_..........�'. CAL .................
PERMIT ISSUED Y: _
� S�" �Ci. �^, Inu'
� SPECTOR
............. .... ._,....--....:.... ............---..... •
�r�un �
— = �.�
� ,- ��0,�77 HAY -G'7��p<DOO �6� cJi'•t:c4i? J.(�Q
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
for Applicant to Fill in Completely
RE�EO�BV DATERECEIVEO ppTE�SVED
BUILDING %{� � / �` -f
ADDRESS � P �V �P � p l� �—/
T A.P. NO. �/'� D I—� ll P�1 NS.j /
OWNEF �i�. \QY -YN�IE hl
MAI l BUILDING
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J a OR ENGINEE �' � LS Q
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wa ZONE TYPE • GROUP •
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J O CONTFACTOR VL., e�' DATE
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tq CL LI0. NO. LIC. NO. MAIN BUI�DING ACCESSOFV BUILOING
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512E NO.OF BLOGS. p //
OF LOT NOW ON �OT RO(YT FT. O
USE OF
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I— SI2E OF . NO. OF y�--
Z NEWBLOG. ROOMS STORIES L.SIDE b'-FT. dFT.
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a MAIN BLDGS. ACCESS. BLDGS. D
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N �R � _ _
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VI hcreGy ecknowlatlpe [hnc I havo raotl this opPlication antl sta[e '
� thet [ha above intorme[ion 19 correc[ antl oproa ro comply wi[h �
� all �ews reB�latinB b�ilding cOnstruction, antl I shnll not employ
F any Oerzon in violation of tho workmon's comp¢nsetion laws o(
N
th¢ State of Californie. �� m
�
zt M1ereby cercity [het I am proPerly Iicenud as a contractor untler SQ. FT. o
the Stata ot Californ(a Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chap[er 9, end Ma[ such licansas era In tull torce antl effttt, or I THE PURPO6E OF ESTABIISHING A PEFMR FEE ONLY: m
am exempt trom Ne prov' ' ns of the State of California B�sinxss ¢
and Pro(essions C ' on 3, Chapter 9. �/ALUATION ,� �
(�b PERMR FEE 5 °'
SlBnat - � X ]
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Permlttee $/� �/ D PLAN CHECK $ � S E
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Authorizetl ABant TOTAL FEE 5
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626
NAY 77-71�M,�OO 594 0**°*50.00
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fillin Completely qECEIVEO BV DATE RECEIVE�
DATE ISSUED
BUILDING 2332 Elden Ave.
ADDRE55
PEFMIT NO.
OWNER SPiller Investment Co. n.P.No.
ADDRESS 1649 Flestcliff Dr. BUILDING
ADDRESS
GTV Newport Beach N��' TRACT LOT BIOCK
CONSTFVCTION W A
LENDER
BRANCN
OWNEP
ADDRESS VALVE
ARCHITECT TEL. S� 5
OR ENGINEER N
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR �1er BV DATE
ADOFESS 20NE NO.OF USE OF NEW
TEL. P�qµg BUILDING
CITY NO.
STATE CITV �'ARDSAPPROVEO VARDSAPPROVED
LIC. NO. IIC. NO. MAIN BUILDING ACCESSOPV BUILDING
S12E . NOAFBLDGS. IFROMGLSTREET)
OF LOT NOW ON LOT FROM FT. FT.
VSE OF
EXISTING BLDG. FT
SI2E OF NO.OF
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
E%TERIOR WALL FOOF
COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WOFK TO BE PEflFORMEO DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.� DATE
Detached GaT e c.u.o.�w AVPROVED
APPROVED
I horaby aeknowletlB¢ [hei I have reatl this application entl state
Nut tha ebove information is correct and apree ro comply with
all laws regula[inq builtlinB co^scruction, antl I shall not emplay
uny person in violation oi Me workman's compansation laws of
[he Stata ot Celitornla.
1 hereby carcity Mot I am properly lic¢nsetl as e eonttector untler SQ. FT,
tne Stata ot Californla Business and Professions Cotle, Diviaicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chap[er 9, antl tha[ such li[enses ara In f�ll force and affett, or I THE PURP�E OF FSTABUSHING A PERMIT FEE ONLY:
am oxempt Irom the provisions ot the Stata of California B�s(ness VALUATION C
antl Profezsions Cotle, Divislon 3, Chapter 9. PERMff FEE $ /�•�
Slp^ature of �. QQ -----
Parmlttee S PLAN CHECK $ q
AuNorizatl Agant lo � �
TOTAL FEE S
` `.. .. � �30r;r
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIfORNIA 92626
For Applicant to Fill in Completely
BUILDING.. �... .� ._� (1
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OR ENGINEER Ov
ADDFESS
CONTRACTOq Ou��� �„
ADDRESS
TEL.
CITV NO.
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LIC. NO. LIC. NO.
SIZE t r ��0� NOWONLO�
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COVERING COVERING
USE OF BUILDING AND WORK TO DE PERFORMEO
NAY -6-71cns �0 264 u**� 127.%5
APPLICATION FOR BUILDING PERMIT
REC ED Y DATE RECEIVED pATE ISSUE
/� �� ,7� S
A.P.NO. ( /'�OSI'�O � PERM NQ.
�
BUILOING C7
ADDFESSp`-� � V
TRACT �O O " LOT / l0 BLOCK
FIRE
ZONE
APPROVED
N NO.OF
PLANS�
YqRDS APPROVED
MAIN BUILDING
DISTANCE BET.
VALUE
DATE
�O -Cl�, .�
USE OF NEW� '„ /
BVILDING V` �—�" �
YARDSAPPROVED
ACCESSORV BUILDING
DATE
I hereby acknowlntlBe thet I havo reotl thiz eppliea[ion end stare � n
thai the ebOve intormation is cOrrect entl apreu ro comply with L�
all Inws ragula[Ing builtlinB construc[ion, antl I shall not amplay
any perwn in violation ot tha workman's comp¢nsation laws of
Mo Sto[e of Colifornia. i
I hereb certif that I am � � SQ. FT.
y y p�operly Ilcansetl as a contractor under
tha S[ate ot Califomie Businesa and Pro�essions Cotle, DivisiGn 3, THE AMOUNT SHOWN UN
Cheptar 9, antl [ha[ s�ch licenses are in full torce antl ei(ec[, or 1 THE PURP06E OF ESTABLISI
am ¢xemp[ irom tha provisionz of the Srote of Celifornia 8usin¢tz VALUATION
and Prafessions Co ivision 3, Chapter 9.
/Q� PERM
Permittee �' g// � �DO rV p�p,N
Auiharizetl Apant
TOTA'
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IT FEE ONLV: m
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA. CALIFORNIA 92626
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APPLICATION FOR BUILDING PERMIT
�orApplicant to Fillin Comple[ely RECEIVED BV DATE RECEIVEO DATE ISSUED
ADDFESS 2332 Elden Ave.
Spiller Investment Co. PEA`"iT "o.
OWNER A`�P� N�•
ADORESS 1649 Westcliff Dr. ADDRE S
CITV Newport Np�' TRACT LOT BLOCK
CONSiRUCTIbN W ADD
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. S 5
OR ENGINEEq N
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ADDPE55 ZONE TVPE GROUP
APPROVED
CONTRACTbR ��er BY DATE
ADDRESS
TEL. Z�NE NO.OF USE OF NEW
FLANS BUILDING
Ci7Y NO.
STATE CITV �'ARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
S12E NO.OF BLDGS. (FROM G/L STREETI
OF LOT NOW ONLOT RONT FT. FT.
USE OF
EXIS�ING BLp(�. F FT
SI2E OF NO. OF
NEW BLDG. qOOMS STORIES 1..51DE FT. FT.
EXTERIOR WqLI ROOF
COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCE".S.BLDGS.
Two Sto 10 Unit A B1 VAR.# DATE
rY �• �• C.V.P.#` APPROVED
APPROVED
I hereby ack�owledge cho2 I have reatl this application and state
that ihe aboye informetian is correct a�tl aBree to comply with
all laws regWatinB builtlin8 �onsVu[tion, and I shall nOt employ
any person i� �io�ation ot the workman's compensatlon laws of
the State of Calitornio.
I hereby certify [hat I om properly Iiconsetl as e controctor untler SQ. FT.
tha S[am ot Calitornie Busineas ond Professiona Cotla, Divisicn 3, THE AMOUNT SHOWN UNDEfi VALVATION IS FOR
Chap[er 9, aqd Mat such licanses aro in tull force antl effett, or I THE PURP06E OF ESTqeLiSHING A PERMIT FEE ONLY:
em exem0� fhom thu provisionsoi theStete of Cnlifornia Business VALVATION 2(�({,,5�
and Protessio�s Cotle, Divlsion 3, Chapter 9. PEFMIT FEE S
SiBnawra of �. � � ��������
Permittee $ PLAN CHECK $ '
244.50
Authorized qgent TOTAL FEE $
' � 33061 vR:(�
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA M�SA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIi
For Applicant to Fill in Completely
RECE D DAT RE EIVED DAT .ISSVED
BUILDING �� 7/ � 7�. 7/
ADDRE55
OWNER -7 � �+.P. NO. I �D �
MAIL 5��-�i� �r• BVILDING �� /) �
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�= CITV NO. —et-- P��� BUILDING
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� K IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIL�II
�� SIZE NO.OF BLDGS. (FROM C/L STFEET)
OF LOT NOW ON LOT ROM' FT. � �
USE OF
EXISTING BLDG.
� SIZE OF NO. OF
Z NEWeLDG. R OMS STORIES L.SID • FT.
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� APPROVED
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UI hereby acknowletlBe Nat I have reatl this apD���ation antl state
� that ffie above intormation is cor�ect antl aeree ro comply with
� all laws rBgulating builtlinB �onstruction, antl I sholl not amploy
r any person in violation o1 th¢ wOrkman's compensation laws ot
y [ha Stata of Calitornia,
zI hereby cerHf y that I am praparlV Iicensatl az a contractor untler SQ. FT
[he 5[aro of California Businass antl Professiom Coda, Dlvisicn 3, THE AMOUNT S
Chaprer 9, antl the[ euch licensas 9re in tull force antl effaet, or I THE PURPOSE OF
em exempr from �sof theStata ot Cnlifornia Business VA�VATION
antl Prote e Coda, Div' n 3, C�aprer 9. p_)
/�� (!�
5�,
Permittae $
Author4ad Apont
BET. MAIN &
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DER VALUATION IS FOR �
iING A PERMIT FEE ONLV: �
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T FEE $ c'
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDRESS
OWNEfi 7� �Q �.
MAIL
ADORE55 � � �•
TEL.t
CITV (�1Cfili�(1NT���Q NO.I..�ll—�
BRANCM
ADORESS
ARCNITECT
CONTRACTOR `�� � � �L
ADDRESS
TEL.
CITV NO.
STATE CITV
IIC. NO, IIC. NO.
S12E r��� O� NO.OF BLDGS
OF LOT \0 NOW ON LOT
USE OF
EXISTING BLDG.
$IZE OF NO. OF
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EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUIIDING AND WORK TO BE PEFFORMED
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APPLICATION FOR BUILDING PERMIT
:EI ED BV D/&TE RECEIVED D/p�TE ISSUE
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Nn. //-/� �/�/ O C/ 3 �/NO
TRACT � OO
OWNER
FIRE
ZONE
APPROVED
N _ �NO.OF /�
PLAfLLS ✓\
VARDS APPROV ED
BET
VAR. #
C.U.P.�W
APPROVED
I heraDy ecknowletlBe chat I have reed this appllcatlon antl ctate
Net the abovo informetion is correct antl epree to comply wiM
all lews re0uletlnB buildinp conzttuction, antl I shell not amploy
ony parson in violatlon of xhe workman's compensallon lewz ot
tha Srom of Calitomie.
I haraby carUty that I am propeAy licansetl aa a contrector undcr
tho Steta of Calitornle Business end Protesz(ons CoOe, Dlvlsicn 3, THE AMO
Cheptar 9, and that s�ch licensas era in full force entl etfect, or I TNE PURPI
am axampt from ihe provisions of the Stata of Celifornle eusiness VALUATION
antl Pr �O�Diyislon 3, Ch ter 9.
Sipnaturc ot /
Parmittea _ 5/��
AuthOrizatl Apant
E OF NEW K/�
IDING !� ��� �
VARDSAPPROVED
BET. MAIN &
m
e
FT. O
f SHOWN VNDER VALUATION IS FOR j
OF ESTABLISHING A PERMIT FEE ONLY: o
¢
m
PERMR FEE S �'
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o-d m
O .L/1N CHECK S E
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LL
TOTAL FEE $