HomeMy WebLinkAbout316 ALTA LN - Building PermitsApPlicant to fill in all spaces within
CITY OF COSTA MESA I�R9Qi�o�D �
CONSTRUCTION PERMIT f�
i1CL00
Address
borCer lines antl sign all appropriate tleclarations.
TRACT NO� LOT NO. BLOG. NO.
����TVyyyPE OF CONSTRUCTION
Ph0 �NEW ❑ ADD ❑ ALTERATION
REPAIR ❑CONVERSION ❑DEMOLISH
LiCenSe No. ❑ OTHER
DESCRIPTION OF WORK C��
Address JdR125 c. inomas
co�c�a�m. Thonas Group Phone3J-
Address 1� R�i N<�.�y� A G-a � d� n G r�
LICENSED CONTRACTOR OECLARATION
I h¢r¢by atfirm tndt I am IlcenS¢tl untler provislon5 of Char[¢r 9
mencing witn section ]000) ot i ion 3 of tne Busiqes
Professions C�p,�dntl my Iltense i I�tqli forc , apy ,i
c
License C�aps �� 4 ,�7s"e
WORKERS'COMPENSATION DECLARATION
I hereby atfirm that 1 have a certificate of consent to se -insu or a
certificate of Workers' Compensation Insurance, or a cer tl copy
t��„teo( (SeCtio 0, b ).
w� ob 2 Milum Assoc.
�Gi°.,; No. Company
�:�„G;°[ifi¢tl tOpy i5 he�eby fu�nishea.
'�,��.. ;rtlfietl copy is filetl with the city Builtling Division.
E%EMVTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl if the permit is for one huntlretl
SSI00) or less).
certify that in the performance of the work for which this Oermit is
issu¢tl, I Shall not employ any perzon in any manner so a5 to become
subject to the Workers' Compen5atlon Laws of Calitornia.
Oate Signature
NOTICE: Il after making th15 deClaration, you shoultl become subject
to the Workers' Compensation provisions of the Labor Cotle, you must
forthwith comply with such OroviSions or this permit shall be tleemetl
revoketl.
CONSTRUGTION LENDING AGENCV
I hereby affirm that tnere is a construction lentling agency for the per-
to�mance of the work for which [his permit is i55uetl (Set[ion 309J
Civ. CJ.
L.ender's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt trom the Contracmr•s License Law for
the tollowing reason (Section ]031.5 Busine55 antl Prot¢ssions Cotle:
Any tlty or county which require5 a permit to construct, dlter,
improve, tlemolish or repair any structure, prior to its issuance, also re-
qui�es the applican[ for such Oe�mit to file a siqnetl statement that h¢
is licenzetl pursuant to the provisions of the GonVactor•5 License Law
(Chapt¢r 9(commencing with Section 7000) of Division 3 of the
Business antl Prdessions Cotle) o� that he i5 ex¢mpt th¢rEfrom antl the
' tor the allegetl exem0��on. Any viola[ion of Sec[ion 7031.5 by
pplicant to� a pe�mit subjects the applicant to a Civil penal[y
: more than five huntlretl tlollar5 ($500).
�. ., as own¢r of [h¢ property, o� my employees with wages as their
sole compensation, will tlo the work, antl the SVucture is not intentletl
or oHeretl for sale. (Section ]044, Businezs antl Professions Code: The
Contractor's License Law tloes not appty to an owne� of a property
wno bulltls o� improves thereon, antl who does Such work himselt or
throu9h hiz own employees, provitletl lhaf Su[h improvement5 are not
intentletl or offeretl for sale. It, however, the builtling or improvement
is soltl within one year oi completion, the owner will have the burtlen
of provin9 M1e tlid not builtl or improve for the purpose of sale).
❑ I, as owner ot tM1e pro0erty, am exclusively conVactinq with
IicenSetl wnVactors to construtt the project (SeCtion 7044, Bu5ine55
antl Professions Cotle: The Contractor'z License Law tloes not apply fo
an owne� of prope��y who builtls o� imp�oves lM1e�eon, antl who Con-
Vacts f�om such projects with a cont�actor(5) licesnetl pu/suant �o
the Con[ractor'S License I.aw).
❑ I am exempt untler Section B. & P. C. for this
reason
Date Owner
I he�eby ce�tifytltat 1 hhave reatl this pplicd[ion antl s[a[e [hat [h¢ above
infPormation i rrec�. I agree to omplP with all city antl county
ordinances an s te Ip�vs elating to onsVuction, antl hereby autnorize
re resent of tJi4: ��' Cy u m the above mentionetl
TVPE OF PERMIT
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHAI
❑ OTHER
PBO� EG6/{�TION
OCCUPANCV��� C.�qO,�NSTRUCTION TVPE
V ALUATION � ZONE
GRADING CU. VDS. ACRES _
PLUMBING PLAN CHECK
BATHTUBS SHOWERS
TOILETS URINALS
LAVATORIES DOUBLELAVS
KIT.SINKS DISHWASHERS
SERVICESINKS SUMPS
FLOOR SINKS FLOOR DRAINS
DRINKING FOUNTAINS
INTERCEPTORS CLARIFIERS
SWIMMINGPOOL PTRAP
WATER SERVICE ALTERATION
GASSERVICE OUTLETS
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS
SOLARTANK COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PIAN CHECK
HEATING SVSTEM 0-300,000 B7U_
AND DUCTING 100,000 t BTU_
,REFRIGERATION 0-100,000 BTU_
SYSTEM ' 100,000 + BTU _
BOILERS BTV
SYSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
Signature " �Date �'�
Driver5' License or 55 � ISSUE FEE
CMF 0865-46 White-Builtling; Canary-AP�licant; Pink-Accounting; Goltlenrotl-Assessor
A.P. ;
ZONE
��Ib;, I/I �/ � . ,i TL
JING REGULATIONS
PLNG. REF. �
REAR VARD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
ZONING APPROVED BV
SPECIAL CONDITIONS:
ELECTRICAL
FROVIDED
PARK FEE $
PLAN CHECK
GENERATOR 0-1 KW_ 1-30 KW _
TRANSFORMER
APPLIANCE 10-50KW 50+KW_
MOTORS 0-1 HP 1-10 HP _
(INC.SOI.AR) 10-SOHP SO+HP _
FIXTURES ''OUTLETS �SWITCHES
GAS TUBE SIGNS
POLE LIGHTS
PANELS MAIN
SERV ICE
SUB
AMP
APPLICATION APPROVED BV DATE
SUM OF FEES � ��
BUILDING ' '�
PERMIT $ SMIP E
PLAN CHECK y PERMIT
PLUMBING §� �SSUANCE $
GRADING $
PLAN CHECK $ �- �j '
ELECTRICAL $ � � `-' $
PLAN CHECK g MICROFILM §
MEGHANICAL $ - TOTAL FEE $
PLAN CHECK -$ LE55 AD-
VANCE PC $
FINALFEE b�
a �1.co
CONSTRUCTION AND PLANNING � � ' POOI & SPA ��
APPROVALS Permit# g�Pff�v� Date Inspector pppROVALS Permit# - Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location� �
2. Soil ipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit tility-Undrgrn �� - ' 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee ein orce 47. Rough Plumbin & Pressure Test
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test •
9. Water Pipe-Undrgm 51 . Backwash Lines P-Tra � ndr rn '�
10. Structural Floor System 52. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final �
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing -
14. Rough Eiectric-Contluit � • • -56. Electrical-Final
15. Rough Electric-Wiring � �57. Solar System-Final �
16. Rough Heating & Air Conditioning - - • Fencing & Access Approval
17. Ducts, in Structure 9• APPROVED FOR PLASTERING �
18. Ducts, Ventilating
19. Gas Pipe-Rough & Test W. POOL/SPA SYSTEMS FtNAL
- 20. Roof Framing -
21. Roof Sheathin `�
22. Frame and Flashin NOTES: � �+s
2'3.� Insulation , . - � � � - .� ' g�n -[�?�r �
24.- Lathing & Siding '
25. Drywall Nailing - •
26. Plaster Brown Coat
27. Electrical Power Meter-Final -
28. Final Electric
29. Final Heating & Air �nditioning
30. Final Gas Pipe-Test
31_ Final Plumbing ' �
• 32: Water Service-Final � �
33. Gas Service-Final � "
34. Solarpomestic-Final•��,� � � �
35. La�dsca e S rinklin S stem
36. Sound Attenuation
37. Handicap Regulations �
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison -
41. Gas Release to Southern California Gas Co.
42. CERTIFICATEOFOCCUPANCY
No Date - .. ^. , .
10DH�SOFBWLqNG: 316 ALTA LP7
oxxercsruxeivaowN: RIVERS, LYA7N
�ooxess: 316 ALTA LN
� COSTA MESA,CA
wuimc �ooxFss:
AqtXRECTONFNtlNEEP:
APCN.Oq ENQ'SAUDNE53:
UNT:
92627
uc. wo.:
UNi:
cartn�crarsru� SANTA ANA ROOFIh]G ( 7i 9? 558-3707
CONfPACi0N4MNIJNO 655 PO BOX
�ss SANTA ANA CA uc.eio: 963596
92702 u�ar:
IJCENSED CONfR�CTORS DECLAqATION: I hereby ell'em uMm penely d perjury Nm I em licermod uMor qwiaiau d Cheqer 9
(mmmand�q v.ilh Seclian ]000) ��^�%�^ 3 of �e Busiiroea aM PMeaeqm Coda. e�d mY licanee o in hll fpce aM eXaq.
cmuc.No.:035/308 uccuss: �-3g uc.No//y/ q6 ��6 EX.P; 1/96
�/ � f/ ^ �� Conlreaor: /��i�-/7 /�'�y�� +�/
r6W N BUILDEN DECLAX4TION: I Mreby eM� uMer penely d perjury ihe11 em exempl fmm IM CaMretlaa Licenee lew la ihe
Idbwinp raeaon (Seaion ]W 1.5 Bus'uwss end P�eeeiona Code: Any cLy or wunry whidi repuirea a qim� �o mnatr�ct. etler, improve,
d'eh, a repei eiry eVucNn, pia to na caue�. e6o reQuim Ihe epplimM lu wch pamil lo fib e agmE etetamaN Net M a eM
Imenead Ounuenl �o �M prm'viam d Ihs Con��eaoro Licanee lew �Chepte� 9(rommeritltp wilh Sed'qn J000) d 0'veion 3 of �M
Busimea eM Prdeaeiena Coda� a ihu he ar aha ia eumq Iherehom end ihe bsvs lor ihe dlepad exemqion. My violmon d Sepon
)W 1.5 by e�ry eppliunl /a e permA suDjetle �he eVW� �o e rrvil pe�uly d�M mws Ihen I'ne huMred ddlan �5500��.
� I, ee owner M Ihe properly or my empbyaea �h weBee av Iheir ede mmpenea�ion, vnll do �he xoik. eM iM avucture e� inteMeA
or oMerad la aW (Sxiion 1011. BusMeaa�d Prdeve'vre Code: The CaMreGon lieartve lewdom ew� WG�Y lo en owiwr of CAOaM
.no a,ae. «:no�wm mere«�..�a.no eo�.�,d� wax �rm.n «nenw «m,unn ne «nx ow� emWnr«•. w�� �mm �,d�
impmvemenb ere ml inteMed or olbreE far aele. H, however, Ihe Witlirp a improvemenl ie soM xilhin ore yeer IN complMion, IM
owirorbuitler vnll heve iM WNen W provieq M or eha d'd na WiM or impwe fa iM puryme d eebl.
� 1. ea owner W Ihe propeM. � sxduaivety Wnlredinp vrilh liunaed conVaclon to consVUG IM prqed (Sedion ]OM, Buei�wea eM
Gm/emone Code: TM Conuetlav LiuneP Lew doee M eVdY to en ownep�o• `kL �� � h� eM wlw
convecu lu eud� O�Q�� wM e mmreadls) IceneeE Wnuem to IM Cont,
� I em eRemq uMar Saciion: B. 8 P.C., M ihu rmwn: � E C T
Dete: �er: �
I Ao Mrtby cenily tlut I em ewere W eM uMen�e�d i�+e reGuiremems d Ceflania iMellh uN �
45SM. eM ihet I a eny Mure buiWi�p ampent mll / wdl na (a�cb one) naed lo comply wIh aeid elela wdm eM Ihe reQuiremenle br
e pe�mn facanetriwliona modificmion han iMAi�enepemen� Dipritl. Faeidentiel caMiutlion epplraliauers uempimm iheve
w�,a.
Dele: AGW��
WOHKEfl'4 CONPENSATION DECIAN�TION: I hereW dfirm uMx psnelry d pe1jury an d Ilie Idlowiip tledvetona:
❑ �nevaenerri�meimeneceniliWiweaoawm�o.w:�wnrorwrkenwmo�:M,,mPwNed�«Mseeianalooa�n.Len«
COEe. lor �M parlom�enae o11M xwk Im w�h Mn perm� ie iaued.
� n.» ena wi� mvmen nohen• eomo�sdo� �m�raewe. o ma��.ea M seain, a�ao a m. �en« coe.. ro. m. roNo�m� a m.
work la xAich ihe permil ia ieauad. My wMkert compeneelian meureMe umer enE pdiry numEu ere:
c,,,;.,: STATE FUND EXPIRES
PdicyNamber. —4 rrtarTan . �,� O1 /OS /96
(Thia aecYim rroed mt 6e romplefeE! fhe pemrl ia lw ons hundred ddlua /SfOpf w bu.)
I� I catily ihm in ihe pMormeMe d ihe work �a xfiich thia permn is iauad. I ahall iw amploy erry pason in ury menrier n to
bxome eubjea b iM woikme compantlaiion levn ol Cdibmie, eyQ�apree ihm tl I ehouk become wbjea to Ihe�orkm'
de: � / - ] /odK�c X/� /��[//�.��i ]ti�i
em/np: Fa/lun ro��cun MOMnn'rompeiWtlon ror�rp� la un/eMul, entl �hsll a�b/�cf an wmploy�r ro erlMnl pmeMu eiM
elvll nro. up ro on. nuneretl tlwuwrM dollan (St00,000), In eJCltlon ro Ms eoat o/ eompematan aemep. u provMW ror In
Soctlm 3106 0l ths LeUor Code, Irrtenst, end aftomsy'i Iw.
CONSTHUCTION LENDINO AGENCY: I hereM eifiim urMer penelly ol perNN �� ��re b e mr�&�udion landi�p eper�cy lor iM
pmfamara d �M1a xwk la whiM �hc Ve�mi u nweE (5eaion 309'l. Civ. CI.
LENUEP'S NAME:
LENDEH'S 10�XE55:
I cenity the� I heve reed this epplkelim end dda thel ihe ebove inlormetion is wrteU. I epree lo comply wnh ell dry aM munly adinerime
BIID 91BIB �0'M IB�IIQ �O b11�aN9 N119UW1011 Bld �MfB�' BYIhOfRB R�IpBpMBINB3 O� ��19 tll�' 10 M�Bf IIp011 ��18 BbGVB�111M1011Bd PIOpOlIY
�Of1118qtlIIX1W�W�e.� i _/I _ I/. i i9
(5151d6.WP) Whne-Buildi�p85elety:
o�<: — / " y��
Pink-Revenue; Oddmro�Reseoa
CITY OP COSTA MESA — BUILDING PERMIT j'Tc r : n i oa
PEP,MIT NO: B 071169 PLAPI CHECK ^l0; A] �'C"iJT--Id--.��i pr; r,
CONSTRUCTIOTI TYFE; 5—N PERMIT TYPE: STR PURPUSE: OTH
JOb DESCRIPTION ; T/OFF REROOF W/BUR SQ FT: 1,100
CLAID9 VALUE; 1,100.00 CALC—VALUE; 1,10U,00 GROUP OCC; R-3 /
COMA9EP7T5; SMOICE UETECTORS AkE RE�UIRED AS PER 9:UbC, REAUOF 3000SF RESZD
if 1Eif if'lf #if-ifif jf�lE if 1! iE i! #�lf�lf if iE iE iE iE �Eif if #if if # iE iE # jMjf iE ## if ### if-K #if if !f#' !f �E 1f 1f if1F if if % if-1F {t # if�1F d4�1F # iE if # iF iR if+FiE ?f iE �
Z O Al I PJ G R E Q U I R E M E N T S
S E T b A C Y. S
----------- MAIN HUILDID]G ---------- --------- ACCESSQRY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IP7 R£AR: FT SN
LEr^T; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT TN
PARKING ftE • PROV; PARCEL; 93420011 ZNE: P.EF NO;
PLANNIPdG N�TES>
%
�If 4 iF if iF�)f jE�1F # if af 1E�)k if�k M if if k�lE if if �f 1f it if +E 1EiE if jf iE itiF iE i! if iE if 1E ### lfifif iE if if-�3(-+r�iF df if #�)f iE if if ifiF 1E�1f * aF M# iR iE iFif iEif if af +h ifif iE
D E C' E L O P M E N T S E R V S C E 5 R E Q U I P. E P1 E N T S
20DIING APFROVED BY DATE;
bUILDING APPROVED HY : DATE;
APPLICATION ISSUED BY: �i� DATE: ��"$��/� �
��tit��f�*3c-**�fit*r**+�-�r**�f�****rriFiF+t�f;c�� +�*T�.w-��x�F�*�+(-*��*x*�c***�?cr� rF * *+c
*it*-x-+fa-itafatafitiE�ieitat-�e�t-*iaie+tat�iF*iFifieit�*u�it�+riFicr+F�f*+c*it�ltie�+t��ir�aFar�x+��ie*iEit-*�*aF*aaaax*aFar�aF*iriaacacie�x-
LEGALI2ATION:N F E E S U P9 M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBIDIG ELECTRIC MECHANIC FIRE SMIP/RES GnanrN�
PERMIT 27,00
PLAN
ISSUE FEE
9UILDING—DIC'—; PERMIT
TOTALS----> 27.50
ISSUE PLAN—CAECK TOTAL
0,00 0.00 27.50
.50
SMIP/NON—RES
PAID DUE
27.50 ,00
REC'ENUE DIVISION TOTALS--> COLLECTED; 27.50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADID3G PLAN—CHECK
2%.�Q .�J�
if�f+f'N�ifM * 1f if iF # it i!"k�]h +E �F�IF ik�1f if iflf +E ?f ifif�7f �E�f if it iE +E if if # 1f �f M 1fjt�F 7F if 1E Yf'�f #E if'k if if 1F iFif 1E MiE k iE 1E 1f #f i� if iE +F Y if M 1E +F if aE aF Y#�If
I N D I V I U U A L F E E B P. E A I{ D O NI N
TYPE QTY D E S C R I P T I O N UNIT CGST TOTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,1Q0.00
END OF FEES
01 �01.7�7G7-001�n7E3 So�+7 27.`.�
DAT�: G2'i6iv; 7?�?E: ip:4�
C�iRUCTiON AND PLANNING � O. . SPA
APPROVAIS Permit # ;� Date inspector APPROVALS � Permit #_T- Date Inspector
t. Temporary Electricai S¢rvice or Poie 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steei Reiniorcement
3. Electrical Conduit UtilitY-Undrgr�d. 54. Porms
4. Electricai Conduit�Undrgrnd. 55. Electrical Bonding ' �
5. Steel Reinfarcement 56. Rough Piumbing & Preesure Test � (
6. Electncal UFER Grnd. 57. APPftOVAI TO COVER�GUNITE
7, Footings 58. Electrical Conduit-Undrgrnd.
8, foundation 59, Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgmd. 60. Backwash l.ines, PTrap, C� Undrgmd.
10. Structural Ploor System � 61. APPROVAL TO DECK� �
i t. Property Sewer Line & House Connection 62. Back�vash & Receptor-Final ,
12. Sewer Gp 63. Heater & Vent-Final �
13. Roof Drains � 64. Plumbing Systam - Final '
14. Rough Plumbing 65. Electrical-Final �
75. Rough Electrica6Cond��t � 66. Solar System-Final
16. Rou9h Electric Wiring 67. Feneing & Access Approval I
77. Rough LViring Sign ' 66. APPFOVED FOR PI.ASTERING
78. Rough Electrical�T 8ar Ceiling 69. POOL/SPA SYSTEMS P.INAL
19. Rough Heating & Air Conditioning FIRE DEPT. REnU1REMENT
20. Rough Factory Fireptace APPROVAIS Permit #
21. DuctS, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test 72. Underground Plush
24. Roof Framing 73. Undergrnd. Smrage Ta�k 0 Gas ❑ Oii
25. Roof Sheathing ^Z��g�j �pGv� 7q, Overhead Hydro
26. T�Bar Ceiling (Structurali & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINRL
29. Insulation 78. FINE PREV. FINAL
30. Drywall Nailiog HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal 80. FOOD CERTIPICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Finai Factory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Final
A2. Backflow Preventer
43. Sackflow lrrigation
44. �andscape Irriqation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �Gvk
48. FINA�PLANNING
49. Electric Release to Edison .
50. Gas Reiease to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY
Np, nate
3��;:9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
+:hY 15-75�M��'00 659�- *�rk7_OI.o8
APPLICATION FOR BUILDING PERMIT
EIVEDBV OATEFECEIVED �vrF�csui
O W N E R `y' �' O/.��'���eS s�.r. rvu. � �
ADDflESS� ,� s [ ,�/"��/ /� ��J�� BUIIDING ,�j �
ADDRESS L,J
Z . �^ �p (�
a U CITY� /7E: NpL�j`J %"CI�J /Y ACT
ZQ CONSTRVC710N �+
ON LENDER
am
J 7 BRANCH
J N OWNEF /
� J AOORESS ///7 /
J m AR�HITECT TEL Z � /�-�/ �)
a OR ENGINEER /J E N`� �
N /
Za / S D L-%/�L� . ��I/� FIRE
W � ADDRESS 20NE 1
a W -� T APPROVED
w Z CONTRACTOR , l LL/�G�% ,.F- C' B�
mJ � //
� ADDFESS .7 �� L /" G/�L�� �(�//
ZW W TEL. n p/� ONE NO.OF
F CITV � I/%� NO.SS /'�6 /� — PLAP6
�O STATE CITV YAROSAPPflOVED
? O UC. NO. ��� ��J � �� 11Q NO. MAIN BUILDING
SIZE � i NO.OF BLDGS. (fROM C/ STR P 1�
OF LOT �g�J ) NOW ON LOT qp�.�7 F
USE OF
EXIS�ING BLDG. 2, �[ f I
H SI2E OF Z/ NO.OF.�LL'�L���%%✓` ��
Z NEW BLDG. � ROOMS STORIES I L. SIDE L/FT,
a EXTERIOR WALt.SY G j1 ROOF
�% COVERING /,(JGb COVERING /LE REAR T.
J USE OF BUILDING AND WORK TO BE,PERFOFMED DISfANCE BET.
a �//lQI � I /, CP MAINBLDCaS.
a /O U VAR.�
O / ! � � C.U.P. #
F G APPROVED/.// L
(q /J i N/F��
Z � nOLD FOR SPE(
O
U1 hereby acknowladBa that I hava reatl t�is apPlication antl ztata
= that the above informatio� is corract antl ap�ee to comply with
� ell laws regulating builtlin0 conatruction, antl I shell not employ
F eny person In violation of the workman's compensation lawa of
y the State of Califom(a.
ZI hereby certify that I am properly licenud es a contractor untler /�� SQ. FT.
the State of California Buslness antl Profess(ons Cotle, D(visicn 3, THE AMOUNT SHON
Chapter 9, end thet such licenses are in full forca and Bftect, or I THE PURPO6E OF EST
am exempt from the provisions of tha Stete of California Business VALUATION
antl PrOfessions Cotla, Dlvision 3, C�aPtar 9.
SiOnature of � I.//`�` � �� $ 3J ao�
Permittee _� T
Aut�orizatl Agent
/ �/ �J%�%��
��VALU$ 'f�/�On,
✓ !J
J GiiOUP -+�
DATE � I�
USE OF NEW
BUILDING /��
l �
VARDSAPPROVED
ACCESSOiiV BUILDING
BET. MAIN
ACCESS. BL
DATE
A
�' �
�
w
O
IS FOR '
ONLV: �
¢
� N
� 7
m
� E
o`
�L� LL
�