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HomeMy WebLinkAbout923 ARBOR ST - Building Permits,.,,� „�; ,� �.,, .. ApPlicant to fill in all spaces exeept those wit�in �eary bwEer Iines antl zi9n all apP(ooriata Eaebrations. Q � � 5 T
98 7 6/p3 83 .00 L
i� CITY OF COSTA MESAf�- -� . .�_ . i � t� � �• ". . . PER T.NO � NO ; 1 0.�. � BL/; � � �. .�-� -��- � �� .. � <,� , : ; .n. ; j .� ; `< �', ! , �'�• .. (
I CONSTRUCTION PERMIT { ;— ''' � / TRACT LOT N „ i i `,
i . . , I ' i � a i.. � a �, • i , �U' � , � ' � 1 " i i --. � �' i ~ � 7 Z3 � � ; ia. ? k: t c � :. .' � .a ! •o j c.a i c• '
" � c t r I i i � _ .7 � r � � :
ApplicanYs MaJing Address �� '' / ��', _ f', = T/PE OF CONSTRUCTION. I�: � NEW �� P.DD ALTERATION" �-.REPAIR'' � � i r :; I y� � _ f . �T 4 + .
PfOj2ct Addfessr - ��,� �� C1�GGH 1^ i 1 , , '. ` �' � ` � '.❑ CONVERSION O DEMOLJ$H ❑ OTHER � � -- - ' � _. _ � 'O ", ' _ _ - +�T � 1 i
: � �j i <.
OwnMS�Name` /KNS. �N �! iV � � 'ahone'�4�'� DESCRIPTIONOFWORK Lb,���� � � �����s�o� _ � � � �� � �
�> % °J l -� i . r � ' � � . - ' ' . • � �� t • � , • . � I+G RE � TI S '.- i ' ' f
Address� ' ��i ` C/ v %v G '� : �i��-• '' ` . , ` .. _ , . . ' : - - , c •.. ' � { ? ' _ � - . S 1 � �
� _� . .. . TYBEOFPiERM1T iGRADING �FOUNDATION' "�STRUCTVRALi- A.P'q� , 1 �ZONE . . :_ •- r .a.
A�Ch/Eng-� ^ � ' �' � LICenSBNO.��°�'O 997 � � O TENANT O'ELECTHICAL �PCUMBING; O�MECHANICAL-�1 � �� � C- < < i � �'BUILDING � - "� ;
� { ,� y. 'PLNG. REF.,�' . _. t r 1'- r �:.T
{ ��� � • � .•. � � ' � ! - 1 ' ��' � � '-Q �OTHER I 't• � . , .� I 1 - 1 �� I ' 1 `'' ,P 1 �.TO BUILDING'� � :REAR VARD ITO P/U i �: ' r
Address,. ' ' � "
� ' . ' 1'-c . - ; ' . - ' -.. i ' ' i , �PR PER V LWE - � � • -
Contractor s Nam ' hon GS 7-zss�/ -' PRaECT DESCRIPTION 5(7 F7 ��- ' ' pcCUPANGV �
i { � � 1 / : ' � n � . - , • LEFTSIDEVqRD � � ' RIGHTSIDEVARD i _ � ,
� AddlH53 (m �� � � �r? �' �� L" ' � �� � � ; � �CON STRUCTION TVPE , VALUATION $ - 1 T � __
- . � � �- , � � ZON� � `� � t � � � GRAOINGCU.VDSr � �ACRE� � r � PKG.SPACE,qEd. ' I i ' PROVIDED � ' �q �.?
� License No ' - . : � . ; � . . . . . , r � � i . . . . . � . . . , � �.
LICENSED CONTRACTOR DECLARATION � � " ; � "' 1 - , ' ' ' ' • �' �• { STREET WIDTH � �J ; �PARK FEE �
�' f Remarks: � c i � 1 f - . 1 $� °, { :'�C
I heraby,aftirm Mat I� am IlcanseA untler proV�slons of Ghartar;9 (<ommencing ; � ' - . � . � � �
wlth,section 7000) of Olvislon 3 oi the Business antl Professions Cotla, dnA . ! I -r ' t ' ' , i `J ! � ' • �SPECIAL CONDITIONS: � . � i ' � _ . f � �,[; . '
mY Ilcenie'Is In tull force antl'efiect. � �' ' I c ' . , ' ` . � i • 1' . , , � : � � .
Uceniaclbss' .'�- � ( � Licen�eNo.�3 a9 ; . � i � PLUMBING.i c ; : . � � ; ; . '� t
4ate �g � 519nat i I _ I �Li�/ �1 , i ! ' 1 ' . , ' • ' � (� I
�i _4KER5' COMPENSATION DECLAR TION � , ! r � =- ' !/ , � Bar SinR . � '� � Sew2� Cap � � , � � ; , ELECTRICAL � . � - ,
� ��eby affirm that.l�have a certlfiwte of consent to seli-insure or a certlficate - + ' ' ---� - -- ' ' � - -� - .-- �Automatic Washer. � . � ._M2te�_ �over_10� amps t „_ � ' . '
, BacRflow Preventer ` Sewer Connection -'t^-' ' " : - �'!— -i"' ' '
�� ;iVorkers' Compansatlon Inzurance,�or a certHietl+copy thereot (Sectlon ' - - �rv . � i
' "dao, Lab. c�.) 'p ' � -� � j �. � ' Backflo�v Irrigation '. Solar Collectors � �: � � . Construction Pole _� � �Sub Panel: � � �. , �
� CN.�
�� Poncy No. � 1\ 4 � � Companv � �r� • I � ' � � " � -� - � � � , Cookmg Unit � 'Sub Pole � , 1 1 •
' 8Cerurietl�coDY is hereey tumistietl. , j . � 1 : � j � . Bathtubs , � �� Solar Piping i , � ( - . , , � - �
Cartifi¢tl copy is tilatl with the city B Iq9 DI siOn �' � i , � . , -, . � , � � � Distiwasher � �MotOrs �0-1 HP ❑ 1 h$ �
Date .�— 3��,)' APPlicant �. . Clarifieri "� ' �_L". SotarTank.�.... ^.� _ � �. . � ; � ` . : ,
� ThiE56�8otionrneeU oOt ba�cR mEpl tetl H�the peYTR I�B f0 one h ntlre1tl (S30 or : � DlShwdshef � !' j �Swimming Pool w/Spa ; - . Dryers ❑Ga5 ��Elecinc � �� '
. � � 'InaSolar��915HP 01645+ � F
less). ' ; : ' ; � � , , • � . . . � � � Fan i i � ; � Micrbwave � . . I �
, i' 1 cerUTy,that in the partormance of the work for�which this perm�t is issuetl t D�inking Fountains 1 �. � U�inal � G � ' �' �r � � i !' � I �'; �
� 5halPnot emplPoy any person In any mannehso�as to become subject to tl�e . � �. � �. - f � F,q,�J, I .;�^ � � jPole�Light � I ' ; i 1
Workers';Com ensatloniLawsof Califo�nia.� � � i PIoo�Drains� Wate�CloSEt � � ' � i
� � � '
� � ' �
� Data ' . • 519natufa . . ' " • . . . . � . . . _ . � � � �
. . . . � __L .,- _.-i_....1 .... " � -- _ _ ., .._ _., Fixtures �:�_ . .. t__ .'Ran e ���.._. _ .
1
"NOTICE:tf,'aTter making'this tleciaratlon,-y0u'ztioultl.'become'sub7ect to'the- ` ""'� FIOOr Sinks�r -� � . WaterHeater�-" "4-•' �""^� j-"' ^s^- 9 -%- --.{--.-;---..�- --+•
Workars•. Compensation provi5ions,ot the LAbor,CoOe, you�,musN,TorthwHh. ' „ � ; , . . � , � � � . .. : . - Device Box25 , L
<omD�Y �N'��h� such .Orovisions��or�.thisppermit7shall be;tleemetl� revokeA:, t � ; GaSS¢rvic¢• � „Outlets. - � ' ,Wster.Service ta � '� � <Q i I ' i �Sign' � j ` i �� �
CONSTRUCT�ION�IENDING AGENCV ' ' �' ' ' - ' ' ' " � y OutlCts � � � � -
I �ereby atllrm thatthere I5 a;<onztruttion,letltling agency,for tha parformance� � Interceptors � . '- � L `% � :' � - ^ � �y � ' � ' ! �Standing Sections t � � ! �
� of the work for which ; thisr permit .is ' Issuetl .(Sectlon 309� Civ. C:)� ' . � . . � � �
� .Lantler's Name ' � ' " � � = � = ' - ' ` J . � ' ' � � u - - Switches I' ITrash Com acfbr + � I 1
' Y. '. . ., . " � Ki2cAenlSink. ;: , � � . � 1� i � : I ' P .Z {
� Lentler i }itltlress f ; I . ` I � .. I d � ' � ;1 ' , _ ' z t � c. ' � � � � . , - � .
� OWNER'�BVILDER DECLARATION � ' -� ' LavetOnei�) : _ • � •� � U � �! . Gartiage Dispoul , f . . ; � �
'� iollowfngarearson� (Seoti n�9031 S�Husin ss x�n0 ProSessbnal�CoO : Any cfty o�r� � '" � P,-T�ap � = ! t � � ta��� .^- � :' , . Generemr �0-5 KW �545 KW � � � , � , � 1 � �
munty whicti requires a permit;to construct; alter, improve, tlemolish or iepair � . , -. 1 '. ' y � , , ' R
�any structure' rior to its;lssuance,+also re u�res the a IlcanL'tor su<h ermtt �� , s' ; � ' i^ ' - i Transformer : . .
P q PP P Roof.Drains �� t ' r i �' i s i r;•.• ❑15-50KW � . f t � � i �.
�ile a slgneA statemeni that he/she is IlcenseC pursuant to the!provisions of �t " '- � , ' . � -'� ' I �.
,_ ._ . . . �. i ❑5U+KW� . i
� ontractor'rLicense Law,(Cnapter 9 (dorr�mencing,w(th,5ectionJ000) of -+ � t- . �- ' .r + � - r ' ' � � I { i' IRein'spaction Fea � $7g��
� (�lon'3' ot the �Business antl� Professions Cotle);'or� that he/she�is'exempt j � Showe�s ' � -_ ,� ', � ;� � 'v. � ReinSpectioniFea , ,$15 , , , 1 ' �
y'�Yrom"anC [he' basi5 (or the allegetl exert�PtlonTMy.,vtolation ot:section -: ' Meter ❑up to 100 amps -� j � I llssue Fea. �I '$ 3. �
�+ .1.5 by�_any applicant toCdlpe�mlNsu�jects tbe'applicant fo a�civil � � � � ! , ` ! 4 �. ! f % T. j ,� � �
nalty oi not more than five huntlretl tlollars (5500)'. •�,� d• , Se�viCe Sutk �- � � M - lesue Fee. ,- � .�$ 3. ' '-- � � I ' • ' i
¢� l � f .. . 1 . i . � ; -i . , f • 'e� Zoning APProved 6Y I . , Date � �
LJ`I;�as�owner of�thelproperty or`my emp�°Yees�with wages as Iheir sole � , � . ; � � � '- � � ( _ �
- � compensatlon' wlll.tlo the work, anU�thezstNcture�is not Intentled or otferetl � " � � - � � ,�, ; i � �• MECHANICAL• • � ; � ; `'� qpplication Approved By � ' � �aTe
.1or sale:(Sec�ton 7044', BuslnezranAjProfesslonal.Cotle:�The.Contractor's . _. � � - � i �
; License Law tloes noi apply to'an owner of a Propertyiwlio builCs or ImOroves . Boiler. �����ry s'i I Refrigeretion System ' I,'} ' � ' � 1; 5� � �. f i �� . �' �
tb¢r¢On,;dntl �who �tloeS�sUch wOrk him5elf/her5eli or tnrough his,or her own ' � �. t '�':+, �� . 1 � � � I I ( Appliption'laued By } Date I�
; employ ees, proviAetl that such'imp�ovement4 ara:not Intentletl or ofteratl for i � � �- � ! � ❑0-�100,OOOBTU ❑100,OOOBTU'- 4: , � y .�, 1
. ule. It, howaver, tha bullain or,im roveme��t is sottl within one� ear,of com- Dutt = Und2r Ground y ; . � .� . ; � � �
I 9 a Y . . i . . ; . . i -i + � t I SUMMARV OF FEES j
' pletio�, tne owner,wlll have the burCen of pvoving he/she tlitl not bulitl.or im- + � , � , j � � � ; � � �
� �ova for the purpose ot sale): , ; ; s` � � � 1 � Dutt - Structural i System R�epair/Alteiation . ; � � � � � � $ ; �
, , . � . 1 t , . . , I , 7 _ , I 'BUILDING PEHMIT $ • SMIP ;
LJ I, zs owner ot the property, am exclusive�Y �ontracting�withtll<ensetl com � . . , , � I i . � 1 : �
. tractorsto.construct.the project(Sectlon.�04a. Busineszantl.Professions Coae:_ �. _�.i.. Duct- Ventilatin9._..�.._...;..-. ' .�., ,..._,r. _J._. ,J�__,._i;....,_r-.,,. i ; �PLAN CHECK� � $ � ' � ' PERMIT � ' � 1, - i - � �
, The Contractor's License law does not app�Y to an owner of property who . - � . ' ' � $� Y�= � ISSUANCE i$ t � ' �
. '. builtls oi. improves thereon, anA w�o contracis for such projects with a<on- � .� Exhaust SyStCm ❑ Multipl2'�{ ( � ' �j _^'� :PLUMBING : � � � , ._ � �
' tractor(s) Iicense pursuant to tne Contractor s LI<ensa Law). � t � �l � - �' � " � � � � i � � t j -GRADING ' � $ I � � �
!'0 1'am exempe unCer Sectton ' B, 6 P. C. for Ihis rea5on � 1 Firepl/Fact. Blt. ICBO 91� j ; � - � � ( , . �t� �P�N CHECK� � - $ ` . 1 , , :
� '"r . t �' ? � : 1 ' � : � I � t ! � . I t i , , � . , ,
. j Date � � : t' Owner ' . I : i [ 1 s t 9SY 9 ( � � ' i � i . ( �ELECTRICAL� � $i . i S ( � � . i � j $ + . i � -
f . . , � � Heatin stem & Duc{in } , ` . ;PLAN CHECK� � � 1 - MICROFILM � $ � � �
; I'hereby'certity'thaPl�have'reatl'this'applicatlon^antl"stete'ttiaPttie'above-'r� �^- 06100,OOO�BTU'0100,OOOBT '.""t' ^�-'-�r-'r"- � . $ t - �
; Informatlon iz correcL I agree to mmply,wlGh all <ity antl county ortlinances � f . 1 f � . ��� ;.� 1 ± I � ! j °' s � i � TOTAL�FEE� ' i $ � < <-
� �.antl�state laws relating,to builtlin9 construcNon„antl hereby authorize repre- � � � - , - MECHANICAL $ - �. j . .
� sentatives of (thl clty to anter' p n Iha above-mentlonetl Hood of Type I ❑' 4 � �. � •� � � � � i 1 ! '
3' � } P property for f � i f , Reinspection Fee' ,�'J $15 �pLAN CHECK' -�� f '� LESS �.� �
� in59pectlon PurP e l r C, 3_ d ��'no T, e I I ❑ � t ' , , � . S 1 � j .
C3 �,� � S t ! ADVAN,CEDPC S$—��
� SI nature .Date 3 � i � ,c ( �
I : Drimrz' Llcenu or;55 qf _ ` " —: ' : I i + : Regis[ers I�} ( 1 Iss�ve Fee � ' � '$ 3 i j I I � I� I � � i t i { �.
�� . 1 1 i � � 1 � I 1 FINALFEEi ($j � �
CMF 0865-46 rev. 12/82 White - Builtling; Canary - Applicant; Pink - At<ounting; Goltlenrotl,- Assessor �
� ApD��cant to fill in all spaees e:cept thosSwit�inyeary EorEar Iines antl si9n all appraoAate Eeclarationz.
� �' " ' _'" __ -._ ' .}.'__" , .. _ . .< _ . . � _" ' ' ' ...
CITY OF COSTA MESA! , r ' ' � - � � . � ,. � . . P MIT NO. . . .. . TFiACT NO. . i LOT NO .�. ! . : BLD . _ �., , i :. � � � _ . � T . . � � �' t� � ' .. _
... _ _ _ ` _ '_
� CONSTRUCTION PERMIT' • , . w . - � . -�� i . . F , .. � � .-: � ; , i `r. < " <d ' , r ; • , , � ; . :. .
: . . ' � ' ,r - i } ry . ' 971 IC : 6/02/Bo� �, , �2t7.501
AppliCant'S Msilin ddress ^'q n-� ' � ' ' . TVPE�OF CONSTRUCTION ; , EW ADD � ALTERATION' �REPAIR - T
PfqjettAddf855� �Z� /'TICFL� = ' COSjY�'��cS� � ❑�CONVERSION �❑ DEMOLISH ❑ OTHER + � . . , _ . ^ { � _ � � ' ��, , i
=� ' � ' ' � �DESGRIP,TION OF WORK " �� � � �
Owners�Name.�_����' ahone _ ��� . _ .�� � . ' ; . � ' , ' i �Z IN EGULATI
� L� . , . _. { --
�Atldless - � �� M �-- '_ ` , � . j +TVPE OF PERMIL � GRADING.� FOUNDATION• ��STRUCTURAL 'A. Pl9W � • ' . i � ZONE ! , � � � ' �. ' ,
� �Afch/Eng° � � � " L�cen58No� � ❑,TENANT, ❑ ELECT ICAL ❑,PLUMBING ❑,MECHANICAL , � , . � � r i . . '•BUILDING, � �
� ' -. � - ,. � . . I�I �% 'PLNG. REF.91� - r . , . � .
Addr¢55 : . . • .V n•- s '� �, �r�}� � ��,� S �tJ��OTHER , �' - // . � � .• `� 'TO BUILDING - . .. � , .. - � �.
�i A�I�`G_��' K1JO F � � � ' . ' � ' . � ' P PE TY INE � � REAR VARD (70 P/U w ' �
Contiattar s Nam^ � �hone�s.L�ZJ Ip ;: PRaECT DESCRIPTION � 5(�! FT • � nrri ionury i � , . .
n^�� w � � � � �CONSTRUCTIONT.VPF �� �' � ' � ' . ' 1 LEPTSIDE VqqD � ' � RIGHTSIDE VARD' r� I = �
� nddresslmal�ing) •�.{�T; ; (•�I ST. �S7l.7�iY1�GC i : , , - vn�uArioNB. •
� • � � 1 �' : ' j � '. J ZON� ' � S ' GRADINGCU.VDS. � �ACRES � � �' PKG.SPACEREQ. , ' � PROVIDED - _ ; � _ U
Cicense No. /`v� ��9� � + C-3 9 �. . �
GCENSED CONTRACTOR DECLARATION . � , ',
� � -. y , . Ramarks: - � STREET WIDTH ' �- �PARK FEE $ :
. I,hereEy'affirm that Lam licensetl untler provisloni of Charter,9 (commencing ; � � . ' .
wlth ie<tlon 7000) of Division 3 of the Buslne35 and Profesiions Cotle, antl , 1 , J('- � i � � t -� � � • SPECIAL CONDITIONS: ' � tO �
' my Ilcense'Is in full orce an eifecL � • ; i � � ' ' ' � ' - � . �
1 19cen' C ss�I' ��'v � � JSr'-°�e'N �„ � �`!� ( •, � - ' PLUMBNG - ' . � I. . . ' ' : . ,,; i .
\ ^�}e 519natura� ' t'E-�c�-?"�y� � Bar Sink ' , Sewer Ca �� - f �
�KERS'COMPENSATION DECIARATION� � _ t i ' P : � � ' � '� ELECTRICAL ; , !;
_ __
,�;Yaby.atfirm that"I have a certifirate oi conzent to self-Insure.or a CeYtlfltate ' ' - ' - ' ' ' ._ f.. _ ._, AUtOma[iC Wa5h2� ! _ _ '� _4MetEr .�ov2r lOb em 5'.- �
� x ' Backflow�Pre'venter : Sewer Connection' ' � � � . � a � � .. , P � �
5 �.`Workers' Compensatlon Insur5nc6, or a certlfietl.copy thareof (Sactlon � - - ,
3800, LaD. 4N) (:i%� ' � - � � Backflow Irrigation � Solar Collectors � Constructian Pole , �Su6 PaneU � •
ca�cr t�o. ��'ji"�.�Z : ComvenvS%h7� �M/'+Ni�LLfn/D ; - ` � i . . '
�CertHie -co Is Tiletl with tha city.�y Iltl� �' ` , Cooking Unit ; . Sub Pole � � �
CertHIBC-topy IS hereby furnishatl. ' �� � � � i ; BathtUbS � { $olef Ptp�ng f 1 , , i � �
(7ni�saction neean ot be wmDRe e�ifnthe Den9 ` � ! Dishwasher 1� . �� Swimming Pool w' � '- ' Dishwashar � . 1 'Moturs �04 HP ❑ 1'h-8 �' Y
Date_iQ�..��T APulicant����+� �� • Clsrifiers _� Sotar Tank . _ . _ ' _ " ' , ' _ "
� SATION DECLARATION - ' • + �Spe . DryerS� OGas� OElectfiC � 'InaSolar 09-15 HP 01645+ �� �
. rmit Is Tor�one �unEretl (5300) or . . . __. ', �,
' less). , . ; ' � - .I ,. . . . ' ; . . , . . . Fan r • : . . ^ 1 Microwave ' ' {
� j I tertity �that,in the perfo�mante ot the work for.which this perm�t i5155ueE I � � Drinkiny FOunt2in5 UNnel � ; � � . . { .
s�all noc employ any perwn in any mannar so �as to become suE�ect. to tRe . , - . . F.A.U. . + Pole`Li ht ' � �
� Workers'.Compensation�LawS of Cali}ornia.. ` � � � � FIOO�DieinS� . I . WaterCloset�� � i ' 9 i 'i 1
,
Date� � • 9ynature � � ' ' � � ' ' " � - " • � , -
�-NOTICE:-If, aiter makirig tNs Oeclaratlon,-you�should-become subjecbto the-=� ;- F�OOr Sinks }---�_-� � , -. -- � ' �WaterHeater;-'-� -� -1 r� i� �— -- - - _ Fiatures � _ , . _ _ . �.... .iRange . .._..� ._r _ . _ � _ �
� ' . .. ' ;
'Worker5'j ComDenSation proVislons,ot the Labof Cotle„you.must.torthwith . � � _ _ � � . , � 4 . DeviceBOxes � i ' �
compty w7th� such'p�ovi5ion5"oY this, parmlt i5Ta11 ba'GeemeO' revokeA:� . Ga552rvicej � �Outlets' WaterService �. ; �, . ,, i � I i Si9n� �
�CONSTRUCTION LENDING�AGENC`� �, � � � �
� 1 hereby affirm that t�ere Is a'construGt�omlantling agency.for therp erformance� j: ' Int2�tEpt0�5 � ��, •^� '� ij � i� � �y OuNets � . � 1 � Standing Sections � j ��
� ' ot the �work for' whichy this perrt��t -is issuetl ,(Saction .3097{ Civ: C.; " - � f � � � - � , , . ,
� Lnntler s Name? . . ' � ` - � ' � � � 1 �: ' ; .�, ,.' ` 1 • � i 'L � Switches � P
� � . � q, i , ' Kitclien Sirik . � � I ��Trash Com acfor � .
' 'LEntler'S Atltl - . ' _ . ' � .. � � � �
� OWNER�BVIL
', 1 herebvlatflrn
as
the
Date '
� I •�erebyTcertlfy� t
iniormatlon is cori
' antl'state laws rel�
' sentative5 0/ ;this
1 inspectlon o se
Slgriatur4
� Drivers' LI<ense or
CMF 0865-46 rav. 1
tolan
�
' � '.. � y � �� : : t � ^- � n . '-,� '' Lavatories -J P.. ' ni � _ � > � �. � ; � i� � � Gartia9e DisPo3al � ;. � � I � . � � �
ontractor's Ucense Law Tor the' j � . � �, Generetor �0-5 KW �545 KW � ' �
I Professlonal Code: Any city oi �! ' P-Trap - q. - � t h - {' ' I• ' . r ; ' ' 1 i , ;
ilter improve; tlemolish or repair I - - , - . - � � - Y � ' � Transforrtier 0�5-50 KW � � � � � ' i
�es t�e�appuwntfor sucn permit � � Roof,Diains � �� �„ � � � � � �; �� � � - � � � �. � O5U+ KW
ea pursuant to tha�provisions ot � ' - ' � I ! � � ' � � ' � �Rein ction Fea ' � � a�5'' �
mencing'wiN�SectionJ000) of `� i . .. � � i � � , � sPa
.otle)-or.tnatine/sne:isiexampt.. Showersr. + .:� _��;�: tRemspeetitin�Feei S75 -� ' � �
DtionrAny violation:of,5ectlon �' V �..� �'. �^ .. ; ' � Met2r ❑up to 100'amps �ISSue Feat i: $ 3 j
jects the applicant to a'civil � . N° � i� _
I55oo): I '� . H f - . �rvice Sink . , Iaue Fee ;'�'P . S 3 - -- - - � : . .: � � � . . , ,
r� . , 1 � Zoning Approved By � Date
ipyeas wkh wages�as their sole � � . ' . ' ' . � I �
cture� is not IntenAeC or,offeretl _ ��'.' 1 �, MECHANICAL � � - { � � � � i � � 1 '
� " � �' � . ' _. . ! . Applintion Approved BY � Date •
sional. Cotle:. The Contractor'S i .
noperty.who builtls o� ImprOves eoiler,. I ' . ' �: ' Refrigeration System � , � � � � `- � �. � • � .�
rself or tnrough his or har own � - � < < � i 1 ' ; APplication Issued By ' ' , ate -
are not Intentletl or oHereC for � Duct-'UnderGround, � i ��-100,000BTU ❑t00,0008TU. ' , � ; , �
t is soltl wit�in one�year of com � � � ; � i I � � ' � SUMMAR OF FEES ' ! � � -
rving he/she tlitl not bu110 or im- . . . j t 1 iQL7 � 1 �
..�. , , � Duct-Structural � ' System Repair/Alte�ation • BUILDING PERMIT $;��k • � SMIP + � i $ � �
y contracting'with'liceniea ton � � r— �• j ' �
Businassantl.Pwfessions.Cotle: . , Duct-Ventilating � _, ,.� _ ' , �PLANCHECK' $� � PERMIT ' �
y to an ownarbi property who . - - � . � T � � ' � � i '� ' ISSUANCE � � $ �
ts for sucn pro)ects wIM a con- � Exhaust S stem ❑ Multi le ❑ • � { 'PLUMBING $�� � � � � �
License Cawy � . ! � . Y Pi i � : � � • , ' � . 7 GflADING � $ } ' � :
— e. & P. C. for this reason � : Fiiepl/Fact.8lt. ICBO # ; � � � � , �PLAN CHECKj $, i . � ,
� � . . � , � . . ` ;ELECTRICAL � $ ! � � � a ' � �
F � ! ' '� ' Heating�System&Ducting � � � . ' ' � � ' ! MICROFILM ' $ � �
ationan�-state•that the a0ove—I OP100,OOO�BTU 0100,0006 � -, .� . PLAN CHECK. $ � � � �
i all Uty�an0 county ortllnances : � -F . � : . . ~; � : i . � r : ! ' 1 ; TOTAL'FEE � $ % ' �
on, antl hereby authorize repre- � � . - , MECHANICAL $, ` , , r , .
above-menHoneG property for ' : Hood oi Type I ❑� • ! � - • � ' � � � : . � '� i
_I/ Reinspec[ionFee� 515� �pLANCHECK� � { ; LESS . �
� ' . Date �O/NFiS: i ; Cano ! -T ell ❑� f I � ` � i , � ' $i � ' . ! ADVANCED.PC j $ Lc +!
�.)� � � � Registers ; { Issue Fee � $ 3 � � �� � ! { � . � : FINAL FEE � � $ 'S �/J�.'LU '
nary - APoI�<an4; Vink - Actountln9; Goltlenrotl - Assessor � � � - �� � � � ' � ' - � ' ' ' ' ' � '
. .. . _ _ : .- .. ..� � . ��:. _.�, . > . g _ . - v .� }.f. .. -e+, 'r� . .. �� �. ... i..' .
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT .
636 NoRh Broodway _ ,
. ' SANTA ANA, CALIFORNIA � . _ - .__ .� �. . � �. .�_�' _— _.._ .
FOR APPLICANT TO FILL IN � _FOR_OF.FICE USE_ONLY_ _�, , `
RECEIPT NO.� PERMIT NO.
aooREss • 929 Arbor 3t � �5�6��
�13� �`,
SCHOOL DIST. RECEIVED pV � DATE OF APPL. OATE ISSvED
OR TOWN COBta Meea ��(�/� _. �
NEAREST ll�l.! �/1,�.0-5� `�,���J��j
=Rass ST. Monrovia Ave. �T � ��/ ri �� �
�z_F �yq ,
OWNER COMANCHE HOHES� INC• ADDRE55 ��/d .3 �'� i '� 1
AODRE55 ��6�WILSHIRE BLVD SCHOOLDIST.' �
OR TOWN � � �
CITY BEVERLY H�LLS Np'CR• 5436t NEAREST �/fi/,/.n� I, � 1
CROSS ST. . �//(A/!l�wT7/(iPi _ I
ARGHITEGT R TEL �'�ZONE� NO.OF TYPE GROVP'
ENGINEER �AIN S� MCKERRACHER No.�SY. 648g
RE55 L'I�O E. WAINUT ST.� PASADENA
coNrreac'ronNEMPORT VISTA CO NOL CR• 543b
ADORE55 6 4IIl5HIRE BLVD. BEV.H�IIS
LEGAL ^ -/
DESGRIPTION LOTNO. �l� 9LOGK � f�2
METES @ BOUN�S)
: OF � NO. OF NO. OF
STING BLDG. P��u.iues ROOMS
DESCRIPTION OF WORK
V I%�� I/LTERATION I I AO�ITION I
AIR I +' I MOVING I I DEMOLISH �
LOING'O�4 SQ.FTROOMS � STORIES �
"� STUCCO � Roov COMPO
'ERING COVERING qu�wr�
I OF NEW
LDING pre�ncurC Ah} (�flnnn»t
M� IiPLANS _I�.�. '. I .�{� � i
SETBACK LINE Ej{p .CENTER OF ST.� �'��� y � - �
REAR:YARO L7� -51�EYARD �.�� �O �
L ,, I
APPROVED �-y,� � ., .y7�'^.s
FOUNDATION:
I HEREBV ACKNOWLEDGE THAT I HAVE READ THIS FORM5,1
APPLICATION AND STATE THAT THE ABOVE IS CORREGT UNDER-P
AN� AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE
BRACING
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH.INT.
AUTHORIZED
$ 4830.0o P. �. : ;
FEE
VALUATION s ��
FEE
APPROVALS
Q
0
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❑ATE
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