HomeMy WebLinkAbout315 ALTA LN - Building Permitsr
0.1ECT RDDflESS: ] 1 S ALTA LN
OWKEP"8'NRME: KAI�EN FJ�NVIE,PRESIDENT
aooeess: Yq�TA MESA MANOR
314 ALTA LANE
COSTA MESA, CA.
77.(+I/IIJS-4447
RNCH/ENCINEEq:,�• �
AUORE55:
HEG.NO.:
UNIT:
UNR:
PENMITTEE: SANTA ANA I200FING ( 714 ) 558-3707
nnoness: 100`7 E. WASIiINGTON G
SANTA ANA CA 92701
LICENSED CONTMCTOP OECUMTION: I hereby affirm Ihat I am IicenuC unCer Omvisions of ChaO�e� 9lcommencinp with Section
7000) o� Orvision 3 0� the Business antl Pmiessions Cotle, anG my license is in full lorce anA eflec�.
cinuc.:03530f1 srn�uc.:463596 Q �tu�s�s:�C-3��9�
Oate: l— �/— � � Sipnaiure: _—�i!L-��'L �/�'C! ��
WONKERS'COMPENSRTIONOEClAMT10N: IhereEp attirmthaUhaveacertilicateofconsentroseli-insureoracenificaleolWarkers'
Compensation Insuranc , or a certitie0 ca0 ��ereof (Section 3800, Lab. q.
raucrna.: WP964'76901�2 exr.onre: 01 /O1 /91
cornrnxr: FREMONT
'� Certifie0 copy is hereUy furnisheQ � Cenifie� copy is f—ileA w/iN the ciry Buildinp Division.
oate: I' y- �O AOPticant ' ��7%✓'L � /YCUK � .
EXEMPTION FflOM WOBKEflS' fAMPEN511T10X OECUJUTION: Qhis section neetl noi be comDle�eO A I�e Dermil is �ar one hunGreE (E100) or less�.
I ceniy that in t�e Oehormance oi tha work br whic� this De�mit is issued, 1 shall no[ employ any person in any manner m as ro Decame
suhlect to the Workers' Compensation Laws of Calibmia.
Oate: Signatura:
NOTICE: II, a6er making this tleclaration, you 5�ou10 become subject ro the Workers' ComDensanon pmvisions of the La6or
Cotle, you must forthwith wmply witA sucA pmvisions or this permit s�all be UeemeA revokeA.
CONSTBUCTION LENOING FGENCY: I hereDy aflirm t�at ihere is a consiructian lendinp agency lor tAe Oertarmance ot Ihe work lor
which this Oermit is issued (Sec�ion 3097, Civ. C).
LENOEP:
ROURESS:
OWNEP BUILOEB DECIAMTION: I hereby attirm that I am exempt imm ihe Coniractars' State License Law for t�e follawinA �easan
(Section 7031.5 Business antl Pmfessional Cotla: Any city ol counry wtiich requires a permit to construct, alter, impmve, Oemalish, or
rzDair any stmcture, pnor to its issuance. also repuires tAe avPlicani for such permit to file a siAned statement that helsne is licensetl
pursuant to ihe provisions of tAe Contractars' State License Law (Chapter9 (commencing with Section 7000) of Oivision 3 of ihe Business
anU Pmiessions Cotle) ar that he/sha is exempt ihereirom and the 6asis for ihe alle0etl exemption. Any violation ai Section 7031.5 hy
any applicanifor a permit sublects tAe ap0�icant ta a civil penalry ol not more t�an five hunareA Aollars (5500�.
I, as owner ol IAe O�opeM oi my employees wit� waAes as iheir sale compensation, will Do t�e work, anE the
❑ stmcture is not intentleU or ottereA tor sale (Section 7044, Business antl Professional Cotle: TAe Coniracrors' State License Law
daes not aDDN �o an owner oi a property who builtls arimproves therton, and wAo Eoes such work himself/herseltm iNoug�
his or �er awn employees, pravitletl t�at such imD�ovemenis are mt intenEed or ofleretl for sale. II, however Ihe UuilAinp or
impmvement is sold wrthin one year of completion, tAe owner will have t�e bur0en al Omving �e/she tliA not �ui10 ar impmve
Por the purpose oi sale�.
I, as owner oi the Droperty, am exclusively contracting with Iicense0 coniracrors ro constmct the prole�� (Saction 7094, Business
❑ an0 Professions Cotle: The Comacmrs' state Licenu law Uoes not appy ro an awner of pmpeM w�o bmltls ar improvu Nereon
antl who contrac[s �or such pmlecis wii� a conVac�or(s�license pursuant �o ihe Contracmrs' Sta�e license Law�. I am aware
that Draof oitheir Worker's ComDensation insurance s�ou10 be O�oviUetl to me.
� I am exemDi unaer Settion: B. a P. C.
br this reason:
Da�e: pwner:
I Oo Aereby certiry that I am aware of antl untlerstand IAe requiremenis of California Healt� an0 Safery Code Sections 25505, 25533, and
25534 anE �hat I or any hture 6uiltlinp occuDant will/will not (circle one) need to wmpty with saiG state cotles antl t�e requirements for a�
permit tor consimction ar mo0ification fmm t�e Air �uality ManaAement Disirict. Fesidential constmction aDPlications are exemD� �mm
�Aeu pmvisions.
Oate: ppplitant
I Aereby cetliy t�at I have reatl t�is appliwtion antl state tAat ihe above intormation is correci. I agree lo comply wit� all ciry anJ counry
oMinances an0 state lavrs relatinp to buildin0 consimction and here6y authonze repreuntatives of this ciry to enter upon I�e aEave-mentionetl
property lorin5pection purpases. /�,(//
�ate: f — �— / �% Signature: ��i�l ' / b�
Dnver's License or Social Security x:
1641-46 W�ite—Builtlinq; Green—Cotle Enb¢ement; Cenary—AoolicanF Pink—Revanoe: GolCenroE—Fsseswr
� �. �r ' _ - '�f. —r
CITY OF C.OSTA MESA — BUILDING PERMIT
PERMIT NO: � 045587 PLAN CHEC.K NU: N
CONSTRUCTION 'fYPE: PERMIT TYPE; STR.
PERM rlU: B 045587
GOVT: N SUPP: N
PURPOSE: NEW
JOII DESCRIPTION : T/O AND APPLY 3—PLY SYSTEM W/ROCK SQ FT: 1,400
CLAIM VALUE; 1,400.00 CALC—VALUE: 1,400.00 GROUP OCC: R—J /
CUMMENTS: CONDOS
x���r*�r*+t+�*�t�t�tx+t�+t�***+t*�r�t�t�t�t*+t x�t�t*�rx��r�t�t�t*�t**�t�t�t*�t�t�t**+t*�t*�t**�***��e�t�t*�t*�*�r�**�r*�rJ.,
Z O N I N G R E Q U I R F. M E N T 5
S E T B A C K S
---------- - MAIN BUILDING --------- -------- ACCESSORY flUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEF'T: FT IN RGHT: FT IN
PAF2KING REQ: PROV; PARCEL: 93420009 ZNE: REF NO:
PLANNING NOTES>
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D E V E L O P M E N T S E R V I C E S R E Q U T R E M E N'T S
ZONING APPROVF.D BY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
iE'iE it 1E iE if if iF it ik it ff iE i6 iE it k it it fE iE it'iF3i��
if if IE it iE IE iE if )E iE 1E 1E if iElE iE if iE �f iE iE fE iE iE 1E iE
I.EGALIZA'TION: N
DATE : _�
DATE:
����� llATE: '��
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9E if ik fE iE fE 1E iE 1f iE IF iE �If j!!E ff iE f! iE ff iE iE iE if iE if ik �f it if if if ik iE iFlF iFlF IE iF'iF iF IE iFltlE 3f iE if iE
F E E S U M M A R Y STRUCTURAL SEGMENT:Y�-
BLDG�PMT PLUMBING ELFCTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 33.00 50
PLAN SMZP/NON—RES
TSSUE FEE
BUILDING—llIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS-�---> 33.50 0.00 0.00 33.50 3�.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: J7.50 OVER/SHORT: .00
DLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00 .50
iE j!!f iE if �lE iE iE 1E if jF �E iE it if �E iE iElk if ik if 41! iE iE iF 1k iF iF iE f! ik iE 3E iF iF iE iF if 1t iE 1E 1E k 1f 1ElF iF if iE iE iF iE 1E ik iE it 1E iE 1F 1E iE IE 3k IE if �ElF if if iF iE IE IE iE iE iE iE
I N D I V I D U A L F E E D R E A K D O W N ��
TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST
SFR 1400 RHROOF BY VALUE RESIDENIAL NOZONF•. 1.00 1,400.00
. END OF FEE.�'i
oi oonsto7a-+�oosto�4 �:o� �a.so
DATE: O1/04/9� T,IflE: iD�26..
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�CONSTRUCTION AND PLANNING � POC IPA
• APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
� 1. Temporary Electrical Service or Pole� ; 52. Pool & Equipment Location
2.; Soil�PipQ Undrgrnd. , � g 53. Steel Reinforcement
- 3.-ElectPCeal Conduit-Utility-Undrgrnd. -_ 54. Forms
'=4.�Electr cal Con�ifUndrgmd. G 55. Electrical Bonding
- 5.,.Steel Reinforcement'. x 56. Rough Plumbing & Pressure Test
� �
`��6._'ElectricalUFER�Grnd. r' 57. APPROVALTOCOVER�GUNITE -''
- 7,<F.00tings "`= 58. ElectricalConduit-Undrgmd. ^�
B.-Foundation �, � 59. Ga5 Pipe, � Undrgrnd., Test -
�:9. Water Pipe�Undigrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
i;0. Structural Floor System "" 61. APPROVAL TO DECK
7'1'. Property Sewer Line',& House Connection 62. Backwash & Receptor-Final
72. Sewer Cap - _ � 63. Heater & Vent-Final
73. Roof Drains . ' 64. Plumbing System - Final
14. Rough Plumbing 65. ElectricabFinal
15. Rough Electrical-Conduit 66. Solar System-Final
i6. Rouqh Electric�Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPfiOVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19^Rough Heating & Air Conditioning * J �, * � FIRE DEPT. gEQUIREMENT
20-Ro�gh Eacto�y F-ireplace ='� � ,� {: � '� ;APPROVAL'S_.�,Permit # � _
27rDucts,in�Strscture* �• •• �5 y - � : X � 70. Undergioena Hydro '�
22.-Ducts, Ventitatin :� `.`- "' ^ �' �" � � � � -' "
9. e r c� . r71. ProducHPiPing O6as ❑,Oil
23.�Gas-Pipe-Rough & 7est - - � !" a: � * �� -72. Underground Flush -� � ` _
24'�'Roof Framing ��� - "' "� - _ _ .'73�Undergrnd.Storage�Fenk�OGas ❑Oil
25. Roof Sheathing ; > . ��� � _ � fa : � * �74, Overhead Hydro;,� �_ �'
r
26.,��T-Bar Ceiling (Structural) &-Monocoat :;, ' � 75�-Dry Chemical _ , "
27r Frame and Flashing'; - - _ '��. 76. Dry Stancl'piAe -C' * J "
C-'28. Lathirtg & Sitling X`' -`r'- '' � " '.'� ". 77: F�XED SYS.TEM�INAL� _ T
J29. Insulation � � � _ � � � � * 78- FIRE PREV. FINNL '� = `^ -
�<
-30. Drywall Nailing .",` .� ;'. _, - :NEALTH DEPT'. R'EQi71R�EMENT
�� 31. Plaster Brown Coatr � - - i. >: -79� �FINAL INSPECTIDN * - �
c.32�Electric�l Power M2'ter-Final 4 �� �; ;' SO';FOOD CERTIFICATE ISSUED_
; _ '' _ ''' - x - �� � r� �, �.a
�33��Firia.l Electri� �- . a: � � � �.� ,� � Notes. -7 -7: ; r. ^ �- -:.^.
_. T
'L34�_'Firial H€atin"g'& Air Conditioning` '� ` " * � - � _ �"=
.� s - r.
35�Final Ga; Pipe-Tesfr J'' ,: _ i � :j.�' :� ,��:;
-36. Hood or'Canopy � �� _ _ . +� _ - _ * _ "
_ ' .i ; � ' � k 'v ' .; ~ C•1
-37.',Final Faetory Pireplace- - _ - ' * X ,� T `;
"38. Final Plumbing A ' �� = a� + *: , `.' -+ �.�.
,t. r c `< . r- .::
'`39. Wai r Service=Fina� � ' ' ; � � K .'t' „ ' " ' " `` '
- S
t-40. Gas Service-Final i:^ G- � . ` � t r�N *-
x -- i., r. ~ �s f O E �•
=41. Solar pomesticFinal�' " +''� -' " �.L "'
�. " 4' � � it
42. Backflow Preventen ' +:. ; a � =. � i •� -.
.. �, r. s c -, ... -, � �; .
43. Backflow Ir�igatior� „'s- a S; � i,�, � " .` �
�
-44. Landscape hiipation SYsterri .T.G c' x c- �. � � r. .� ' sV =:C',; + .. c.
.. ' K �. a c C !: r. ' ' _ -�-.' ; �
-45�-'Sound ,Attenuatio'n� � � - ' ' ``�- = "" "' �' '- "= ^� '
. . s r-h v _ . ;..� �,
� r-. , � _ - � - _.
�.46 Handicap Regulations - � �r r :, •:; .;-:� r �
- ' " - 'x � - ^ W.
_47�FINALSTRUCTURE&BUILDING �y�� &W�' �'�' * r
46�.FINAL PLANNING i'-- � �:l-'x t� c*, • a: =� -
- rf- � 'M:x r� c` �� eP
� 49� Electric-Release to�Edison - � � 1- '`,-x } .. i - � � `
: 50.-Gas_Release to Southem Califonnia Gas Co �� `...r. i� �� i �.
.- c� • .q y .c - - ` �; _`,j
51. CERTIFICATEOF•OCCUPANCY :: + Y „ ;:c . . � :
No. Date
ALTA ME5A IV1AN0�
HOMEOd�NERS ASSOCIATION
Mailing Address: 1029 Fairbrook Lane, Santa Ana, Ca. 92706 _
Janu�sy 3, 1990
City of Costa Mesa
77 Fais Drive
Costa Mesa, CA 92626
Dear Sir/Madam:
Please be advi5ed that all eighteen (18) units in Alta Mesa Manor
have sroke detectnrs.
Please contact me if you have any questions or need any further
infozmation.
Very tnzly yours,
ALTA MESA MANOR HOMEOG]I�RS ASSOCIATION
� �__i� �..oi �.��
Karen A. Benvie
President
ti
President� Karen Benvie
Vice Presidents: Robert Schroeder and Nina Gannon
Secretary� Chris Vaughan Treasurer: Sheila Morris
`PPLICATION FOR A BUILDING PL IT
BUILDING PERMIT NO. Eie�criwi Oo
Tract Block Lot Permit No. �
PlumEing a
Builtlln9 ` O�/� � Permit No. b
Atltl(C55 �� T�
J % D
Cross Mechanlcal a
Area Street Permit No. �-
m
Owner �� /�v� � Type ot Project: ❑ New ❑ Alter ❑ Atltlitlon M
Atltlresz � L ❑ Repair ❑ Convert ❑ Demo ❑ Occupancy Pmt.
CItY m� ZIP Phone 63 A.P. SUP. Dist./
Insp. Area
A�chitect/ Zone Spl. PTt. No.
DMi9ner Litense No.
Setbacks P/L Front C/LSL Straet Witlth
Atltlfess
Vartls le t Rign ear
City Zip Phone
ave ro�. e ig . .
r Engineer License No.
C a�k ng $PaceS eqw�¢ �ov e Ov¢r¢
aAGGYB55
m $buct No. of No. of
�1 City Zip Phone Helqht Stories Family
Y+ LICENSED CONTRACTOR'S DECLARATION Park Fees ves Fee
A Requiretl No C.T. Receipt
m I hereby atfirm that I am licensetl under provisions of Chapter 9
t (commencing with Section �000 of Oivision 3 of the Business antl Zonin9 ApproveA BY: Date
Professions Cotle, antl my liceme is in tull force antl etfect).
� Licensa Cles license Number
T Deto Contractor MiSG.
E Address Proposea Use
of Structure
j� City and Zip Phone
� CONSTRUCYION LENDING AGENCV
� I hereby affirm that there is a consvuction Innding agency for the
a performance of the work for which this permit is issued �Sec. 3097, �cc. Type Catle
' Civ. C.1. Class Gonst. Year
C Lentler's Name USE/OCCUPANCV SIZE SQ. FT.
Lander's Address
� OWNER-BUILDER DECLARATION
� I hereby affirm that I am exempt from the Can[ractor's License Law 1�
� o tha following reawn:
� I, as owner of the property, or my emplayaes with wages as their 2.
ole compensation, will do the work, antl the sttuctura is not
t intentletl or otferetl for sale.
!' 3.
� ❑ I, es owner ot the property, am exclusively contracting with
licansetl contractors to const��ct the projact.
� ❑ I am ezempt undar $ea , B&PC fOr this on 4'
a Dat �—�'��Ur+wner (�
E WORKERS' COMPENSA' N DECLARATION Total Valuation
� 1 hereby affirm ihai I have a certificate ot consent to self-insure, EnCroa[nment Pe�mit Requiretl ❑ V¢5 ❑ No
or a certificat¢ of Workers' Compensation Insurance, or a tertitietl
C copy therno{, G�atlin9 Pmt. Gratling
� Poliry No. Company RequireC ❑ Ves ❑ No Pmt. No.
�a ❑ Cartitietl copy is heraby furnished. Rougn Gratling v
�6 ❑ Certifietl ropy is tiled with Orange Couniy, EMA. qpprovetl by: Dafe �
Date Applicant 3
CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATIONINSURANCE Z
(This section need not be completetl if permit is for $'100 or IessL �
I certify that in the performanco of the work tor which this permit is Q
issued, I sheil not employ any person in any mannnr so as to become ry
subjoct ro the Workars' Compensation laws of Calitornia. PERMIT FEES
Date qpp�{��i
NOTICE TO APPLICANT: If, after makin8 this Certificate ot Struttural E Plan Chetk $
Exemption, you shoultl become subject to the Workers' Componsation
provisions of the Labor Cotle, you must torthwith comply with such Special
provisions or this permi[ shall be deemed revoketl.
Electrical S Invest. s
I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing E
COMPLV WITH ALL COUNTV OFDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, AND HEREBV AUTH- Methanical $
ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTEF UPON
TME ABOVE MENTIONED�TV FOfl INSPECTION 7UR" Pre-Gratle
POSE `J InSPectlon $
�_/ � �O PrC-Gratl¢ Permit
Sig t�re t App' n r A enis,�
All spaees within this hox must he completed to process Plan Issuance
Check By: Approvetl:
i.mr VJJJ'90 (6V-<O� rev. o/ov
`
t 3 �8 � 8 PF10
�dY 1S-75c;�s:.00 6.58" **�224.56
COSTA MESA BUILDING-SAFETY DEPARTMENT
P,O, 60X 12(10 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForA licant to F'llin C /IIBf@I RECEIVED BV DATE RECEIVED DA I S
BUILDINCa MdY� 1� �'�1�'/5
ADDRESS, — +�
_ � _ Oj_ PER �jd�{]
OWNER � I P eS A.P.NO. �/Ch.ic�
MAIL 7 � BUILDING I)/S RL
Z
ADDRE55 % � /`�/� ����� �+DDRESSv
W W � v TEL. Ll QQ
a U GTV NO.�� ._ �� V�+CT LOT � BLOCK
~ Z CANSfRUCTION W A P
ZQ
O N LENOER
am •J � BRANCH
J N OwNER O
ADDRESS
m J � VALUE / �1
AFCHITFCT TEL. �� S � A �A S�(� �/�/
m a� _
J� OR ENGIN ER / T N• t-
FIRE
wd' AODRESS ` L (� v // ZONE T PE GpOVF �
a W , APPROVED
JO CONTRACTOR �/ � (%,�%� BY G DATE � /
m Z /J /
J � ADDRE55 % ��� � f^ /'(/�_ // /(
W w TEL. • �ONE NO.OF USE OF NEW
Z� CITV � /%� NO`rs%�� — rp PLANS BUILDING � ii��
tF
w0 STATE ��- CITY YAROSAPPROVED VAROSAPPflOVED
(n CL LI0. NO. , ��� LIC. NO. MAIN BUILDING ACCESSORV BUILDING
� O ' (FROM Ul ST ET)
SIZE / i NO.OF BLDC.S. �
OF LOT D X� 3�(% NOW ON LOT FRO(YT FT.
USE OF
EXISTING BLDG.
FT.
f' SIZE OF t • i/ — NO. OF �/rd/Z�'/%J�'
Z NEW BLDG. � X ROOMS%�� STOIilES L. SIDE T. FT.
U EXTERIOR WbLL � ROOF
COVERING COVERING FEAR FT. FT.
J USE OF BUILDING AND WORK TO BE PER ORMED J DISfANCE BET. BET. MAIN &
a /G L MAIN BLOGS. ACCFSS. BLDGS.
a =
a � / L C URP # APVROVED
�
F APPROVE[�/ J �
N �i�i � _
Z ^ !
O N�.
~ I hereby acknowletlge that I have reed ihis applica n antl state , �
� that the above information is corract antl aprae to comply wit�
� all laws regulating builtling consttuction, and I shall not amploy �'
F eny person in violation of ihe workman's compensation laws of
y the State of California. '/ m
ZI hereby certify that I am properly licansatl as a eontractor untler � SQ. F7. \ � 70 0
the State of Calitornia 8usinass antl Professions Cotle, Divlsicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR � �
Chapter 9, 9ntl Mat such licanses ere in tull force antl affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: o
am exempt from the provlsions ot the Stata of Calitornia Business Q
VALUATION
antl Protessions Code, Division 3, Chapter 9. H
� PERMIT FEE $ ]
Si0^atura of
�v, I f ���C - ✓�� m
Permittee $ 3 �Q� PLAN CHECK $ E
� w `o
Authorized .�+9ent -/ LL
TOTAL FEE $ �p� � �
I�
.�.
. -. �;sia ;i;;�i• i...
COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RECEIVED PERMIT N° - 5Q338
For Applicant to Fill in Completely — Use Ink Only
BUIIDING S L N � A.P. NO. 3 � O � /
ADDRESS /•T
BUILDING
OWNEROR {'Jo`/ y� U��LL ADDRE55 �' IS (ti KM'`
TENANT [7�� /7 T
UNIT OR
MAIIING . SPACENO.
ADDRE55 ,54 rn
�NQ.� LOT BLK.
.y TEL./ /
CITY u . / � t (� NO. `3 -
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION ��
LENDER
BRANCH
OWNER � ,�i`4 ,�(�(.
ADDRESS n� VALUE
ARCNITECT TEL. USE �(�'{�{� (p1%6I� $9 O'
OR ENGINEER .�. N -I �j
ADORESS ZONE � TV�,v GROUP J
APPROVED � L�v
CONTRACTOR O BY DATE � CJ
ADDRESS
TEL.
CITY NO. U
STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
SI2E NO.OF BLD('aS. (FfiOM C/L STREET)
OF LOT NOW ON LOT qOfYT ��� �
USE OF
EXISTING BL�G. g '� —
Separate permits are required for L. SIDE FT. �
electric, plumbing and heating work.
REAR FT.
USE OF BUIIDING AND WORK TO BE PERFOFMED PLP.NNINGQAU�ION �O�
DATE
�- AP7ROVED ��
APP �
I hereby acknowletlBe t�et I have reatl this application and r[ate
that the ebova intormation is correct and egree to comply with
all laws re8ulating building eonrtruction, antl I shall not employ
any person in violation of the workman's compenution laws of
the State of California. Q �j O �
I hereby certify that I am properly Iicensed as a contractor untlar ^ 0 SQ. FT �
the State of California Business entl Protesslons Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepter 9, antl that such licenses are in tull force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am axampt from t�a provisions of the State ot California B�siness VALVATION !O �
antl Protessions Cotla, Division 3, Chepter 9. PERMIT FEE E �-
SiBnature of � �r��. PLAN CHECK S �-
Permittae �// � $ 4LO,r� TAX $ ,�
or � C/ a
Authorizetl AOent Date TOTAL PAI D S
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OWNER gRyAN KUI�,
JOB ADDRE55 315 Alta Iane
GF^�FRAL CONTRACTOR pti,ner-bL
/ 439-091-18 LOT 1
IA. _CTIONS
SOIL
WS
W ATER
ROUGH PLOMBING
PROP. $WR. LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLRNEOUS
ROUGH HEnTING ANO lIR CONOITIONING
TEMPORARV SEFVICE OR POLE
UN�ERGROUN� [� POWER �
ROUGH WIfi1NG
TRENCMES FORMS STEEI REINF.
FLOOR SYSTEM
yJ BOND BEAM � STEEL liEINFORCE �
4; SHEATHING
U FRAME AND FLASM�NG
� IATMiNG — IN� i
PI ''.R, BROWN COAT
� 5 UR4L. FINRL
� HEn��NG.VENT.. REFR
PLUMBING. FINAL AND
rl ELECTRIC, FINFL
a BUILOING, FINAL
DATE
SUBCONTRACTOR