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Home My WebLink About3325 Alabama Cir - Building PermitsJ�' � - t CITY OF COSTA MESA ° BYILDING DIYISION � � DEVELOPMENT SERVICES DEPARTMENT ��`. � PERMIT PERMIT NUMBER , �� Bss-o1897 �i (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3325 ALABAMA CI Suite: Vicinity: Parcel Nunmber: 13958125 Applicant: SWORD, LARRY AEdress: owner: CHICOINE, TERI Address 3325 ALABAMA CIR COSTA MESA;CA Contractoc SENTRY ROOFWG CO Address: 3364 NEVADA AV BUILDING PERMIT Zoning: Phone: Zip: Phone: Zip: 92626 � 92626 Phone:� 714-751-7663 C.M. - � Zip:. � License:- � 487659 Arch / Eng : � ' :' � � ' � Address: .- '� � ` ' • . .Phone: . . , � . Zip: License: SCOPE OF PERMIT •TEAR OFF BUR & REROOF WITH COMP. SHINGLES & TORCH DOWN. Plan Check: ' Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $112.25 $0.57 $0.00 $0.00 $0.00 $112.82 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: 0 NOTES: Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY - . / /' , i ; PLANNING & ZONING ' Left � 0- 0 Left 0- 0 Proposed: 0 Status: ISSUED Applied: 10/20/1998 Issued: 10/20/1998 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $5,679.00 $5,679.00 � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 v WORKERS' COMPENSATION DECLARATION: � _ , I hereby afNrtn unCer penalry of perjury one of the tollowing tleclare�ions: ❑ I have entl will maintain e certificate of consent ro self-Insure Por workers' compensetion, es providetl for by section 3700 ot ihe Lebor Code, tor the pertormance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of �he Labor Code, tor ihe perfortnance of Ihe work for which this pertnit is issued. My workers' compensation Insurance cerrier antl policy number are: Cerrier: Policy Number: �section need nof be completeU i/ the permit is velued et one hundred dollers ($100) or /ess.) I certity that in the pertortnance ot the work for which ihi ermit is issuetl, I shall not employ any pereon in any manner so as to become subject to the workers' compensation laws of Calitornia, antl agre hat tl I shoul ecome subject to Ihe workers' compensation provisions of Section 370 of the bor Cotle, I shell forihwith comply with these pr vi ' s � ApplicantSignature: Date: d � WARNING FAILURE TO SECURE WO S' COMPENSATION WVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL P ALTIES CIVI� FINES UP TOONE HUNDRED THOUSAND OOILARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LA90R CADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am force antl eHect Lia k_ Contrador's Signature: with Section 7000) ot Division 3 of the Busines; a=d �rofas.qions Code, antl my license is in tull _ Cless a �� .�y _ oare: �'�-/— 9¢ CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirtn t�at ihere is a consiruction lentling agency tor the peAortnance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Address: SignaNra: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihat under penalty of perjury thet I em El(EMPT FROM THE CONTRACTORS IICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Coda: Any ciry or county which requires a pertnit to construd, alter, improve, tlemolish, or repair eny structure, prior to its issuance, elso requires the applicant tor such permit to file a signetl statement that he or she is licensed pursuent to Ihe provisions oi the Gontredors Llcense Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of iha Business and Professions Code) or that he or she is eaempt therefmm and the basis tor �he alleged e:emption. Any violation of Section 7031.5 by any applicant for e permit su6jects �he epplicant to a civii penelty ot not more ihan five hundrad dollars ($500).): ❑ I, as owner of the property, or my employees with wages as ��eir sole compensation, WILL DO THE WORK, ana the strucWre is no� intended or oflered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, end who does such work himsalf or herself or ihrough his or her own employees, provided that such Improvements are not intendetl or oRered tor sale. N, however, the builtling or improvement Is sold within one year oi completion, ihe owner-bulltler will have the burden oi proving that he or sha did not 6uild or improve for purpose of sale.). ❑ I, as owner ot ihe property, flm EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct Ihe project (Sec. 76Y4, Busineu antl Professions Code: The contractors License Law does noi apply to an owner ot pmperry who builds or impmves thereon, antl who coniracis for such project with e contractor(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID verified by drivefs license. ❑ Yes ❑ No Business and Protessions Code tor this reason: Venfication of Ownerehlp by (rype of documen�, I.e. - properry tax blll or deed): Drivefs License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hareby certify Ihet no axcavetion ilve (5) or more feet in tlepth imo which a person is requiretl m tlescentl, will be made in connection with work euthorizad by this pertnit, end that no building siructure, scettolding, felsework, or tlemolition or dismantlin91hereof, will be more Ihan thirty-six (36)leet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Calitomia Administretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit trom the Dlvision of Industrial Sefery, es noted above, unless such person has e permit to tlo such wark from Iha division. SignaNre: Date: Divlsion of Industrial Safaty Permil Number. CERTIFlCATE OF COMPLIANCE AND AIJfFiORIZA710N OF ENiAY: I certify under penalry of perjury that I have read ihis epplicetion and state thet tha infortnation given is correct. I egree to comply with all s�a�e laws end ciry oMinences releting to Duilding conslruction, and euthonze representetives of tha Ciry ot Costa Mesa to enter upon Ihe above-described properry for inspection purposes. I agree not to occupy or allow occupancy of any 6uilding authonzed by this pertnit until iinal inspection. COOE t. INSVECTIONTYPE 1816 Fized System Finel Fire Prevention 1266 Pool Spe Finel 200 Finel R�Roof 201 Finel BIocWRalaining Well 202 Finel Fedory Fire Place 203 Finel Sign 204 Finel Demolition 2a48 a6 QAg It�llS �Q� �C �. : � i '� •.: — j�QpEj INSPE[TIONTYVE 206 Final Mechanical 20B Final Plum6ing 210 Final Elecirlcal 212 Final Fire Prevention 220 Flnel Plenning Approval 222 Final Site 250 Finel Builtling/Occupancy � CITY OF COSTA MESA BUILDiNG DIVISION ROOF COVERING CERTIFICATION Property Address J. Owner Contractor State Contractor License ZS v Permit No. — �� c Classification C� �� I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certity that I am: Owner of sole proprietorship company ❑� Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: Initial te � �� 0990d6MW9/9� White-BuilEingDiv.;Canery-Conirecbr,Pink-Owner �- . CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. � � DATE Z �� ' �c� LOT N0. �� ADDRESS � �Z � C.C�.�� (� C /�I. The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnif� and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BY �G��/'� rchase B Developer and/ r a torized representativ � Lender � INSVECTION b iESiIN6 EN6INEEFS CHEMIC�L L VHY�iC�L �NnLY51S RADIOGRniHT� x.N�Y G�MM� R�v Y.O. Be• 11 ' 1110 Aieporl W�Y lenq [..oh, C.i��. aoi0i �iu� �xsvss • Ixi3� e�yv�ee • �n�� z�taa �uty zo, 197a Sinu 1898 4ESFwPCH i FMVIIIOHMFNTAI TEStIN6 COPNOTION EN61NEf111N6 1 AN�LYSIS UlTN�50NIC MA6NEi1C � /ENETPANT ISI�-D Ne.�b M�rp�r S�r��l S�n�• A.�. G�lil�rnf� I])03 hl�� SII.t016 Examination: SC]0-41 % 1 COMPRESSION TESTS ON gUNITE CYLINDERS Jos. M. Nenley 1973 Newport 61vd. Gosta t1esa, Californa 9z627 PROJECT ADDRESS 12x32 Swim Poot for ALVIN CROMNELL 33z5 Mlabama, Costa Nesa SaMPLE FROM pi-8ottom deep end: N�-side wall house sides ;:3 bon bean at skimr.�er ARCNITECT Lesier Palley fMO1NEEt - Setrie - MIX DATE CAST DATE TESTED CYIINDER NO. COMPRESSION TOTAL IOAD, LBS. POUNDS PER 50. IN. COMPL)ANCE 4 sack - 1 tun 7-io-70 /-17-70 1 7'�aY s7,000 3,210 COM�ACfO� Sunset Pools iuscoN:e�aw Century Gunita SPECIFIED STRENGTH 7-i7-7o 2 7-��y 77,Soo z,858 stz�: 2,000 psi qi � 5-7/II�� x t2-5/8�� N2: 5-7/8�� x 12'1' it3� 5-7/�" x 12-t/8�� 'i%-7il % w^dy test co�plies with specifications .uuE �r CYIINDERS ,�s. M. Henley ��fT.�WT�OH: 0�'( -�/,�^/ �.� / %/ Ci t of ,:osta Mesa Suns�t ools Gontury Gunite DEIIVEREO sr 3 lA "HOLO" 1-Day 10 "HOLD" 1C "HOLD" s;,000 3,�� ECfIVFD ON -Same- 7-14•70 ��'�.I�,I�ID BUILDING SAFETY DEPT. JUL 2 ]. 19�i0 Jos. M. Henley � �Ri� Clint Jackson �i��g,l�ill � r3'i4a5i �'!�� t_ �LL PEVORiS �RC Sya�i}}ED �S TME COMliO[XTI�L nPOpERT� O� CLIlMTS. �VTNORIZ�TIOM fOM VV�IIC�iION O OIIR REPONTS. COMCLV]IOMf. ON El iR�CI �ROM OR R�G�qOIM14 �NI4 IS 4kS[OVFO ✓CMO'MG OVP W41iTEN �PVROV1l �5 � NUTVIL PROTCCTION TO C�I[NT{, TN[ pVlIIC /�MO OVNSCLVCS 330 12 .7une 5, 19Ba Fta}aF:rt t�irkl 3325 �.labar+�+ Circl� Ca�tta t�sa, �lifi�orni� N2526 12e: Illoytal Sexvcture (Patio) 3325 Hlab� Cir.clo - t3iH 688 t�ear ➢irkl: CL:3ri'IEIPD MAiL On t4ay 15, 1984, an inspectio� ara� e�de at s�ject acr?ress. Pe�i3sion to inspect the prc�erty cvgs gcant� by the tenrant i�h-. l3ob Fsillan. InsF�ection zr_�vea7.ed a patio (encicecxi) 9' x 20' constnrct� within 6" of tE� ad jacent res iri�nce ( pro�exty 11ne ). Rernr.ds at tiie Suilc7lrx,� 4e�artrr3nr. inc3icate that cm tlsrcn 8, 1971, a "�tq� �brk Notice" was issu�i to 3.h9. Ge.�:ugh (osan�r). This would irkiieate tnat ths ill�al structure vas c�nstcucter] �rior to your oamer- ship; hrn«�var, Codo violatians recur aach day acid the Cod� violation musC be t�mwFSCi. You have two (2) optioru to zos�2ve the prablem: (�+? R�r+m� tho structure €rom th� pro�nrtYt (b) UtR:ain the rezluiroc3 pesmits to lc,�r�alize t1Ac� stn�et»to. Itan °b" will rc�uiro sut�a7dtting Euil-siae sirawings to the t3uilding 17epar�.�nt ar�l E�lannirr� Eind 'Gonirc3 J:�ivisian for. approval. On� re{�;�ir.e- rrant will be to preir�t�in a 3' clearanca �ra�i the �.9jacant structure �ihich is !n f.act tha �arqaerty 1in�. clithin tQn (10) days utnn recei�;t oi thie ler.t�r you cvill be rQquireci to notSfy tl�Q Suililirra Depart�nt in writing, which of these two options yrnx will taka. %/�oc �C.�O � Z�L�� -L ��a sr��,�� OI/LCO �� i �� `+►"� RobEYr B�i9c1 June 5. 1984" ' Paye 2 � Failure to crnply `in. the allotted t,icae' will re.,cult in the mattar beirr,� referred to the City Attorney'� pfficrr. for legal�'disnceition. if ycw need aseistane;e contact �� at (714) 759-5293. . . sincerely. ' ' YJ,�. Q,UUb Ciiief 9uilding Ins�sctor t�: rn��m (C—t32-45 ) �e: hlike 3�cibi(�sOr� Senior Planner . June 19, 1970 Mr. Alvin Cromwell �� 3325 Alabama Circle Costa Mesa, California Dear Sir: � A building permit has been isaued to Sunset Pools to con- struct a prlvate awimming pool on your property. In order that your ol will be a safe one and for the purpose of advising you of y responsibility regarding the re- quirements of the Costa Mesa nicipal Code, we refer you to Section 8107, a copy of which is attaehed. This lette s directed to you in order that you will be aware of our ordinan s and can make a complete safety check oP your pool area. RH:dh Sincerely yours, RICHARD HANHART Building 3aFety Director �' � : �U3tEidII�L1'cIAL �Ered � 5orsatial. May 1S . t34 Vic Newton � Re: 3325 AT'.ARF�MA- CIRCI� . . 7NC%E�TIGATION AND EIIGDINGS C�� y 5�75 I haci wa11y investigat�. the c�plaint at the above addrdss arxl he found the ,follow- ing: the subject enclosed patio cover is 9' x 2U' in size, and pcojects:;to wi:thin � 6" c� tt�e "str`uctural wall" of the acl jacent �5roperEy. I have encl�ed ca�ies of infbnnation-fran ois 'records. It shows: • 1. That there is a IO' separa,tion between houses per the origi�al' tract design. � ��Au � 2.. That the "stnactural wall" is a�rty wall on, oa- with:in 12"..of the trve pro�- • erty line, and that thEre is an ease�nt of ug. to .12" giuxn .to the adjacent property�owner for. larxiscapirt�, and for in3ress, over, �mc3er, and thraugh" that PorCion of tiie lot'. 3. That there i§ 'a restriction that t}ie adjacent ..amer cannot erect or m'�intain any-.struet�e within 3' pf the struEtisal vrall�, v�ich'mighE imp��.oi'interface - with:any necessary mais�tenance, re�air, or restoration of the structnral wall. ::. ( n�� a� ��u � ""Wally,has glacPci a.stop work notice on the struetuze. ("D") '; GCkdCLUSIONS ' . ' ' 1. The $i�ject encicseci patio cwer violates tlie CC&R's fpr ttie tyact .in t�xistion.. 2. It� �Ts� violates the Building Code as it is not 3' fran proparty li'ne, and " ap�rentTy does not have �he ro�ui�ed l hour, zated wa11 'syste�. -. G'riciay afternc�on Noxm Bender, the realtor,'arho has the lfstiry,�'called Watly arid he referred hicr� to i�. . Mr. Bender want�i to know who F� filed tkie canplaint ard' why. it, hadn:t;been found . before. . _ . ,'� ✓ �I L�red Sorsabal: Ak'ty 15, 19£14. Paye 2 u i�hen I riould only tell him that a City employee, sucM as a fir�an, 'policernan, C«9e Enforee�nt Gfficer, or building ins�ctor had infornied r�e, he a�ked u�"ther it i�ras one of+. the �o�le v�cxn had viewed the property or a neightior. I told him -tHat° wa� 'niit tdiere my infoitcation ca�re iran, nor fran any neighbor's ccniplaint. I told him wr irrvestagation-was �t cas�plete�a�x7 tHat we ca�ld ascerCain fran-the Assessbr's office the tima it wsnt on the Ass�ssirent 12olls. .. r. _. , Mr. Be�er �ressed ior an answer to his queation of who irifouned ue and I pade hun Ehe sa� ansr�r, - -� Fl"e said .¢tr. Birkle haci puzchased the pcoperty about . 3 yea�s s�o., biit that tF�e encTased patio hpel been theii for 5 to 6 y�ers. He also asked if �. Fsir}:le could c.all ire and Z assi,rcec3 him that Yee could. - t�:n ( Ct�35 ) cc: u�uy clark OWNER JOB AD SUBCONTRACTOR G r15 W ATER SPftL MISC SWR. LINE �(,VMOUSE CON. ANO AIR CONDITIONING UNOERGROUND U POWER ROUGH WIFING BOND BEAM � STEEL REINFORCE SHEATHING FRAME F T F SPECIAL REQUIREMENTS � � _Ap,Q �/»� r; City o4 C�sta Mesa Building Safeiy Department CORRECTION IVOiICE yh/t, �Q �� NAME QV�L��' DATE J a �% ADDRESS 3 3-� s C,�eX�4�dl C.ulGGC INSTRUCTIONS: The following corrections are required by ihe uilding 3o�des';�,� ,c�.� .�.� : �r- � .�.. .�`""�"` � o..,�. �:., �1.a- �,, o� - , �..�� .. �� -�� r.�'�`� �� e ,w.�.� .�.�1� � �� k � �� _ �.oro-e�.,.: �.�.�.;,x- �� '` When corrections are made, or if fhere are any questions, pfease call the Building Safety Department at�A�l.l.l� Q3� �j'293 Time_ ,/ � rr INSPECTO Form 21S 5-BP 500 Sefs 11�65 � �1971 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fi/l in Completely BUILDING � '7 r. L /] _ _ /�. Z . W W a U Z Q O v~i am J7 J � Q W 0] J •m J Q U N Z a W � d W WZ J Q m Z J � w w 0 Z� W � N � �O � z Q U J a a Q � F � z 0 � U � � N z O W N E R ��N-(„� MAIL ADDRESS CITV CON5TRUCTION LENDER -� BRANCH ADDRESS ARCHITE T OR ENGINE ADDRESS CONTRA� O iLLU TEL. NO. TEL. CITV � �� STATE CITV LI4 NO. LIC. NO. OFLOT l� O X/Ov INOWONLOS VSE OF EXISTING BLDG. $12E OF NO.OF NEW BLDG. ROOM$ STORIE: EXTERIOR WALL ROOF COVERING COVERING USE OFBy11LDING ANO WORK TO BE PEPFORMED II� PAI� i�iriY �. ,i118-70cn,��01968" 3150 APPLICATION FOR BUILDING PERMIT REC BV D TE R IVED D TE IS UI � �v'-�,1�7� �-��- BUILDING ADDRESS FIRE ZONE APPROVED NE NO.OF � 2 / P�.�� ,; VARDS APPFOVED MAIN BUILDING VAR. # C.U.P.# VALUE DATE USE OF NEW � BUILDIN VARDS APPRO� ACCESSORV BUI BET. MAIN & ACCE55. BLDC DATE APPROVED r__ ! I hereby acknowledge that I have reatl this aOP�ication antl state � ffiat the above intormation is correct and agree m wmply wiih all laws regulating building construciion, antl 1 shall not employ f any person in violation Ot the workman's compensation laws of m the State of California. � � I hereby certit t t I am properly licansetl as a contractor under SQ. FT. ' o the State of alit rnia Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j Chapter 9, a d t at such licenses ere forca and effect, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: m am exempt f o the provisions of t e Stata f California Business ¢ antl P sio Cotle, Division 3, C apter 9. VALUATION J� � QJ m PERMIT FEE $ �- � ] Signa re of " S�iC m Perml e $�� PLAN CHECK 5 E 3^�. o Auffiorize Ag¢ni � � � LL TOTAL FEE $ OWNER CROMWELL, ALVIN JOB ADDRE55 3325 Alabama GENERAL CONTRACTOR Suns AP No. 139-581-25 LOT Z9 INSPECTIONS SOIL GAS WATER ROUGH PLUMBING PROP. $WR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING LE�PdP.ORRR1ii�5ER1L1 �BR'POtrE UNDERGROUN❑ POWER � ftOUGH WIRING TRENCHES FORMS I—I STEEL REINF. BOND BEAM � STEEL REINFORCE SHEATHING FRAME ANO FLASHING LATHING — IN �J OUT PLASTER, BROWN COAT STRIICTURAL FII DATE 6-18-70 BUILDING PERMIT N0. LUE SUBCONTRACTOR G, VENT., REFRIG. ANO A.C., FINAL — � _ ING, FINAL ANO GAS TEST S ��0�%� 21C, FINAL �7L" NG, FINAL � L�� Z . W W a U E- Z Z Q O <n am J � J � Q W 0] J J m Q U N Z Q W � aw WZ J Q m Z J � w w O= Z � W � N � �O B-ix � ;�� I 0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 4FR 2U-69�aioO01304# ��* 137.25 CM51 APPLICAT�ON FOR BUILDING PERMIT For Applicant [o Fill in Completely RECEI V B DA E RECEIV/E D DATE i55UE0 BUILDING �+ I �� a�-W � /�� ADDRESS � O C� PEFfv)IT OWNEA Her�es jiBV. �i0. A�P�NO. "�- '�� MAIL ADIDR'ESS� 3 S � �. ADDflESS 1104 E. 17th Straet I ! CITV santa Ana NOL�i�-7O4'+ TRACTIOtl{ J LOT�9 BLOCK L�ENDEq�ION United States National Bank W ADD A R P BRANCH lqp Broadwa Avenue l�� '�� ` OWNER �.[Q�'//(�4l ADDFESS � j q�VALUE ��j ARCHITECT I` j�pr1U9 NEL 6 116 SE �'!• $ /l7� — FIRE `� ADDRESS 2,71�L E. CO&9t HW . Corone D M ZONE � TVPE GROUPI.�� APPROVED CONTRACTOR Owner B�' DATE AODRESS TEL. ZO NO.OF USE OF NEW CITV NO. / P��]� BUILDING � STATE CITV VAR�SAPPROVED VARDSAPPROVED LIC. NO. 2'2 6O LIC. NO. MAIN BUILDING ACCESSORV BUIIDING SIZE NO.OF BLDCS. (FROM C/L ST EET) OF LOT NOW ON lOT FPONT FT. FT. VSE OF EXISTING BLDG. 51 0 FT FT. 512E OF NO. OF NEWBLDG. I O 9• ftROOMS STORIES 1 L.SIDE � FT. FT. EXTERIOF WALL ROOF COID(70W00Cj COVERING StllCCO COVERING REAF FT. FT. USE OF BUILDING .4ND WORK TO BE PERFORMEO DISTANCE BET. eET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.3V-` DATE / Residence w attached ara�e c.u.P.# �/- 5��' �'7R�VEDS�]��J��p APPROVED � � 6 C� I hereby acknowletlge that I hava reatl this application and sia[e HOLD FOR SPEC AL RE UiRLt✓,_I; i that the above intOrmation is correct and agree to comply with all laws re8ulating builtling construction, and I shall mt employ any person in viol9tion ot the workman's compensation laws ot the Stare of Califomia. T J � J.. / fI I hereby cartify th9t I am properly licansetl as a tonttactor untler SQ. FT. the State of Califo�nia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR Chaptar 9, and that such licenses are in full torce and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from tne provisions of the State ot California Business VALUATION and Professions CoAe, � vision 3, C ier 9. � PERMIT FEE $ ✓ � Signatura of �/`' �j �� Permittee $.-.(rl 3� -� PLAN CHECK 5 �/ � i �C•// Authorized Agent TOTAL FEE $ �,/ � (�( �