HomeMy WebLinkAbout661 BEACH ST - Building PermitsAppliwnt to fill in all spaees exee0< <�ou wit�in �eary DorGer Ifnes anA si9n all approDriate tleclarotions.
CITY OF COSTA MESA
CONS'TRUCTION�ERMIT
Applicent'sMailingAddreu�f�/��� ��7C��I�:.�.XA-[)� �N
P�ojectAddrea �giP� L�• E4 �• CofA/NPS.�
Owner's Name Q� Mn �.. i�i-�. � 1/a �n PhoneC�1E lSn6
Address —a�i�p ��6 Eri � �'� �'A ��� f �
Arch/Eng. License No.
Address
Contrector's Nam C hone-�b�Si' I/
Addreulmailingl��fAS! A)2c.��a�,�a1X�. ui+�'r�u�t.G�
License No.
LICENSED CONTRACTOR DECLARATION
1 nereby aT11rm that 1 am II<en5e0 untler DroviSioni of Charter 9(commencing
with settion 7000) of Dlvislon 3 of tha Business an0 ProfaSSions CoOe, anE
my II<anze is In fuli force=nleHact. ��JJ�� �� //'' �� �Q
LJcenze las - '� Licen Nss o.�1,Q�L�
late �^ d� 519 atu e � r�."_'�-� .
r c•-�� o —
/ORKERS'COMPENSATION DECLARA ION
. I heraby afflrm that I have a ceHltiwte of ronsent to self-Insure or a certlflcate
01 Workers• Compen5ation Insu�ance, o� a certl/1eC <oDY thereot (Section
3800, LaE. CJ ' , '
Policy No. �"' Company '
CertHieO topy Is heraby TurnlShaG.
CertlfieC topy is flletl with tha City Builtling DIvi5lon. '
Date ADO�����
EXEMPTION FROM WORKERS' COMPENSATION DECLA(tAT10N
(Thissectlon naetl not be comDleteC N the Dermit Is for ane �untlratl (5300) or ,
less).
I certiTy that in the perfo�mance of the work tor which thls perm�t is isiuetl I
sball n¢ot employ anIyQ parmn In any manner so as to become :�o7a�c to �ha
� �ate BLry C'; e^�t�n �519nat elitor���� /��
NOTICE: It, atter making tnls tleclaration, yo ShoulG beco 5ubjett to tha '
Workers'� Compensatlon provislons oT the Labo� Cotle, you musi forthwith
comply wit� such p�ovlslons or this 'permlt shall be tleemetl ravokatl.
CONSTRUCTION LENDING AGENCV �
I hareby affirm that t�are Is a construction lentlin9 aqency Tor the perTormance
Of the work for whith Ihis permit i5 , iSSueA (SettlOn 3097 Civ. C.)
Lantler'S' Name /t��?--
LenOer's Atltlress
OWNER.BUILDER DECLARATION � - ^
I hereby affirm that I am exempt from the Contractor's.License Law Tor the
(ollowing reason (Saction 7031.5 Businass antl ProTassional Cotle: Any clty or
county which requires a pe�mit to construct, al[er improve, tlemolish or. repair
�y s[ructure, prior to Its Issuance, also requlres t�e applicant for such parmlt
tile a signetl statement Shat he/she I5 Iitensetl pursuant tb the-provisioni ot
� Contractor•5 License Law (Cnapter 9(commencing with Section 7000) of
vl5ion 3 of the Business antl Protessions Cotle) or that. he/she is exempt
,neretrom antl the basis tor the allegetl exempUon. Any violatiodot SecHon
�031.5 by any applicant for a permit'subjects t�e applicant to a civil
�enalty of not more than tive �untlretl Oollars (5500).
I, as OWn¢� of the,prope�ty o�'my emv�oYees wlth wdge5 a5 [h¢ir 5018
compensatlon will tlo tha woik, antl [he�structure is not IntenCetl or ofteratl
for sale,(Se<fion 7044, Business znA Protesslonal Cotle: The,Contractor'S
Ucanse Law tloes not aDC�Y to an owner of a proDerty who bulitls or improvas
' thBreon, antl who tloe5,5u<� w0/k hiTseH/her5elt or lhrougn his or her own
employees, provitletl that such Improvements are not In[entletl or offere0 for
sale. II, howevar, the bulltlln9 or improvement I5 soltl wlthin one year ot com-
p�ove for the purpo e�'otnsale�the burtlen ot proving he/she tlltl not bullA or im- �
� I, as owner of the proper[y, am exclusively tontracting wlth'li<ensetl con-
tra<torsto tonsfru<t the project (Section 7044, Buslness antl Professlons Cotle:.
The Contractor's Cicen58 law does not appry co an owner of proper[y who
builOs or improves thereon, antl who contracts for suc� projec[5 with a con- �
tractor(5)license pursuant to the Contractor's LI<ense Law).
❑ I am GzeTpt untler Saction 8. & P. C. tor this reaion
Date � Owner
I hereEy certify that I hare reatl this applicatlon antl-state Ibat the above
Informatlon Is correct. I a9�ee to comply with all city antl <ouncy ortlinances
antl'�state laws relating to �uiltling con5truction, antl heraby authorize repre-
sentativas of!this clty,to enter.upon the above•mentlonetl property for
Inspectlon purposes. • �'
Signzture � Date(�^3�
Driverz' License or 55 �
T/PE OF CONSTRUCTION Jeil NEW LJ ADD LJ ALTERATION LI REPAIR
❑ CONVERSION ❑ DEM�O�l�ISM�� �� aTNER
DESGRIPTION OF WORK (C��'� RLPY.E� U�/CLU
�i �
TVPE OF PERM�T GRADING FOUNDATION VJ STRUCTV RAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
O. �OTHE R
PRQIECT DESCRIPTION SQ. FT. OCCUPANCV
CONSTRUCTION TVPE VALUATION $�
20Np GRADINGGU.VDS. AGRES_
Ramarks:
Bar Sink
Backflaw Preventar
Backflaw Irrigetion
rinking Fountains
loor Drains
loor Sinks
as ServitB Outlets
Kitchen Sink
Lavatories
P-Trap
Roof DrainS '. � -
Showero � '
Service Sink
Bailer �
Duct - Under Ground �
Duct-Structural �
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Faet.8lt. ICBO #
Heating System & Ducting
06100,000 BTU � 100,000
Hood or Type I ❑
Registers
CMF 0865-46 rev. 12/82 Wni[e - B G ary - Applicant; Pink - Accounting; Goltlenrotl - As5e55or
Sewer Cap
Sewer Connecti
SOlar CollectOrS
Solar Piping -
Sotar Tank
Swimmina Pool
Water Closet �
Water Heater �
Water Service � -
.. � Reinspection Fee $15
laue Fea $ 3
MECHANICAL �
Refrigeretion System '
❑atoopoos7u ❑700,o0067u.
System Repair/Alterotion
Reinspection Fea $15
laue Fee ' $ 3
PLNG.REF.aW —
IEFT SIDE Yqqp s �
PKG.SPACE RE�. �
STREET WIDTH /n�i
SPECIAL CONDITIONS:
Automatic Washer
Construction Pole
Cooking Unit
Dishwasher
Dryers ❑C�as ❑
F.A.U.
Fixtures :
Device Boxes
Garbage D isposal
Generator �0-5 KW �5-
Transformer 075-50KW
❑5U+ KW
Meter ❑up to 100 amps
2onin9 APProved 8Y
ApPlimtion ApProved BY —
Appliration Issued By _
BUICDING PERMIT
'PLAN CHECK -
PLUMBING
PIAN CHECK
ELECTRICAL
PLAN CHECK
MECHANICAL
PLAN CHECK� �
. � " '4�r .� � ��
a> "�
�`JUN 3 0 19�3 ;'�
BUILDING �.�
REAR YARD (TO P/U CJ �
RIGHT SIDE VARD��
PROVIDED �.
PARK FEE $ �
Meter LJover 10Uamps
Sub Pole
Motors ❑0-7 HP ❑1%$ -
Inc.Solar �9-15HP �16-15+
Microwave - �
Pole Light
Range
Stand ing Sections
Trash Compactor
Reinspection Fea
�SU�MjM�ARY OF FEES
$ �LL�Ef� SMIP �
$ �� 3 PERMIT '
$ . ISSUANCE
� GRADING
$
$ � MICFOFILM
$ • �. TOTALFEE
� � IESS ' .
: ADVANCED PC
' � , , FINAL FEE
$ O. O
$
$
$ '
$
$
$
$
� � --- -- - - . .- �- PC .'vSPA � . � � -
', rpNSTRUCTION,AND PLANNING� � ti� ��,% � . �' '�� i '- " • - `
i r G' ., = z_ r -:<Date � - �Inspector � ' �� � � � Date � ' Inspector,
F��PROVALS m Bermif.# - ° . , � �-.APPROVALS � Permit # _
� �1. Temp"orary:Electrical Service or�Bole � ' . ` : `� � .'52. Pool & Equipment Location • -
�, ,
� �2! ,Soil �Pipe-Undrgrnd'i .` -�1 . � �; � � � > r ;', . . � � �_53: Steel Reinforcement � . - � ' ` '
�. -:o� .
• ; 3. Elect�ical Conduit Utilitv-Undrgrnd. - � �� ` � '> ' 54.� .Forms ? � _ � , . - �.� � �
: � , . : : . . � .� � .
_° A: Electrical Conduii-Undrgrnd; :. ' ' _ ' . :� � -,;� �'55: Electricab Bonding. � � �
5[ Steel'Reinforcement� ! '� � � � ,' - f " , � ' 56: Rough Plumbing & Pressure Test � � � '
� ' •�; 3 '� S
�
6: �Electrical UFER Grnd. � �' � ` . --- ,-57�.� APPROVAL TO COVER-GUNITE- : � i � -
7. Footings ' , j; ;'� - � : '�./� '.3 ..� � _ '58.� Electrical'(',onduit=Undramd. � . �� -
8. �Fciundation ' � ' ' ' ,,�,- � � '; � ,-` ; '•59. GasPipe,:O Uridrgrnd.,Test � '
9. Water Pipe-Uridrgrnd. ' . � - � :• , .� �>60. Backwash "Lines, P-Trap, � `Undrgrnd. :
10. Struaural Floor System 1 ° = � � �: �_��� .61. APPROVAL TO�DECK' - " .
11. Property Sewe'r Line &�House Connection' ;�. � �' � ��62. Backwash & ReceptorFinal _ - •
'
12. Se'wer Cap � � �� � , , : o � `? � � �63. Heater &Vent-Final � ' � "
13. �Roof'Drains i . ' • � �� ' - � � � .
' � , �� :64. Plumbing System �Final� � ,
14. �Rough Plumbing � � . , I � � ' = ' � � ' �65. Electrical-Final � • - ' � -
P
' -15. �Rou fi"Electrical-Conduit -"' - 'r' � - -- "�' - - - ' � --
9 ` l� � �' � � , � `66.� Sola� System-Final .
16. Rough:Elecfric Wir.�n9- � ' � � t '"� � � "", ;- .. � � � - '-. . .. . . - , � -- ---
� ; � „ � , _ . I[ 67: Fencing & Access,Approval __ -. ;
= i iZ. RciugFi'Wiring:Sig'n`� � � �': � , f°' I:, i i I '"%: I"�� i68.' APPROVED FOR PLASTERING .� .
-`18. RnugFi-Electrical=T;BaY Ceiling: 6�� j�: i_� i - � q. �' �69.' POOUSPA SY$TEMS FINAL
19�RougFi Heating & Air�Gonditioning �'� ; ; `.2. � I � 1 ; FIRE DEPT. REQUIREMENT � �
' ' '- � �. . � i i � . � � � -
� 20..Rough;Factory Fireplace �� � � ' 1 � � � � APPROVALS. Permit # '
�.
21.��Ducts,.�in Structure� ' � � �� ! � � � � ' ' � .
�; �, i � � �� 70. Underground H,ydro
• 22.'Ducts, VentilaSin " t; ' ' j il ' � � � i � � � � .
9. r � � � . , �71.� Product Piping � Gas ❑ Oil
= LL� :.. ' ? : .T_ _ . ' . . _ . _
23.'Gas`-Pipe-Rough & Tesi � � I ��'- �. . �_� r �; j2,, Underground Flush � ;
�.
"`24. Roof Framing' � � � �� ` ��•� i^• �_ � i = 73.� Undergrnd. Storage Tank � Gas ❑ Oil , .
- ' 25. Rooi Sheathing � i � ! � ,�,. � ^ � _ i - � �74. Oyerhead Hydro �
-26. 'T-6ar Ceiling (Str'uctural). & Monocoet � i �; I e- � �� . ; � ; { .75r Dry Chemical , � � '_ , ,
_ i
��27. Fra�ne and F�lashing� i i� I 'i �� : �`� � .; � �76.� Dry Standpipe - '
T 28. �;Cathing & Siding �, � ' ! � 't �� � ' � � I _, � , � �77 , FIXED SYSTEM�FINAL ' . .
_ 29_ Insulation �� � � ` a ' i ' �� I ' � ' ;7g� FIRE PREV. FINAL '
.-30. �Drywall Nailing � � ' � � ! ' � � � �No'tes: .
. . . �i - . , -1' --r - 1 - i -.. _ . . . . -- ----
:31. Plaster Brown Coat'; . ; � � �� i { � j ; � . i , � �
, - ; ; ; � . .� . ; � e , � � � � + � . . -
`32.'Electrical;Power Meter; Final i ,. � I � � f i � ; � � -
. 33. �Final Electric � I � � ; ' i � � !
34. Final�Heating &-Air Gonditioning , � c; � ; � ' � � , .
i ._ - : �
35. Final Ga's Pipe=Te;t ` • �� � �� � `_ � � I _ �; a.- � � � • � ' � � ' - - � �
f i_
36. Hood'oriCanoPY� � � -�' � ; a . � - -. � � � � _ � - � �
A i j i
� � � - � '. , F. 'i �` � - ' . , .. �
37. Final Factory Fireplace• � :_ j �i � �- � � � ; � • ` i
38. Final Plu�mbing � � � . i � �; i . � V � - .,' � � � - ' . � .
�
39. Water�Service-Final. ! i� � � � ( ��, � �
� i40. Gas Service-Final � , . ' � � � i i _ � .
,.... �47.� Solar pomes'[ic iFinal j I i i i� {-- ' � i - ' --1--F - �- � - - �- - - - } � . � - .
� .. ._. � . ., . , � - , .
' 42.� Backf,low Preventer • � � I . ',n.i _ }-1 _-I - �-�_ �- _ � - - . . �;�'}. .
��� � .� . 1 ' r(�: ':f�.i ��.. -1�� . . � .
� 43: Backflow Irriga4ion z f ' � � �� `i �.- � _' ,- i .. . .
-�_ � +� i
` 44' Landscape IrrigBtion$,Ystem � ".� � . � �_ ` � ., � -'I �' 'i ��. - � � ! . � ( ..
,
45:. Sound�'r`A2tenua'tion . � , � � � ' � ' , � I ' ; 1 ' " � - ' � � _ � - ' - -
'a; � i� � i�� t I i i -
46. Handicap Regulations �., I � I � �� �`� � ' I_ ' �. � � ' '� i �' � . - . `' .
47.,FINALSTRUCTURE&BUILDING� �r "J.,?,?��j' (,QJ9 �„! � ' '
48. Special Requirements Complete� ' 1 � ' � � � �` . � � ; ' - � �
� ' i
� . � ' i .,i
49. Electric Release,to Edison, � � '- - --�, _ -�- .� - -. -� -- - , • . � f
� � i i '_�.--
50. Gas Release to Southern Falifornia Gas Co � � j � � �� ' � ' � � ! : _ -
i i i ti i i I � I �
51. CERTIFICATEOF'�OCCUPANCY !_ 1_ L_�.__� _ ._j__ , _ : 1. �
No. , ".. ....I I Date ' �- - � - � -T I ---I- -I - -� - - . '��1
Cement Coping Optional
Channel Block With 1-3/8
0 Horizontal Top of all
Fences
For FenceS 5' or Less .__
Vert. Bars 3/8" 0at 4' -0" O.C..
For Fences Higher Than 5`'
Vert. Baro 3/8" 0at 32" O.C. '
Fill Cells Solid With Grout
WhereSteelOccurs .
Reinforcing Steel Shall
Conform to Sec,A-1539 �
A.S.T.M.
All Steel to be Lapped
IS"ortOCode -
�
NATURALGRADE
TWO 3/8" 0 BARS
CONTINUOUSTOP
& BOTTOM
TYPICAL 6�� CONCRETE BLOCK FENCE
�,.
GENERAL- NOTES
MORTAR : pne purt Plastic Cement, and
Th►ee Parts Sond
GROUT: One Porf Cement TMee and
One Half Parts �and
COPING: One Part Cement, Three
Ports Sond
CONCRETE: Well Mixed i:2-I/2:3-I/2
Mox. of 7-I/2 Gollons of
Water Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF NORIZON7AL REIM-
FORCEMENTSHA�LBECLEAR,CLEAN&
FREE OF ALL MORTAP OEBRIS, ETC.
BONDSSHALLBE PROVfDEi7 BY LAVING
BLOCKS IN STRETCHER COUHSES SO THAT
VERTICAL JOINTS AITERNATE IN EACH
COURSE.
DEPTH OF EQRTHTCOTFI
V3 THE HEIGTH OF FENCE
��OW BOTTOM OF FOOTING.
SCALE: I/2��= I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT . . . . . . . . . . .6�. . . . . . . . . . . . 5�. . . . . . . . . . . . 4� . . . . . . . . . . . 3�
WIDTH . . . . . . . . . . . . . . .14'� . . . . . . . . . . .14'� . . . . . . . . . . . 12��. . . . . . . . . . . 12��
THICKNESS .... 10��. . 10° 8° 8"
DEPTH OF EARTHTOOTH . . . 24° . . . . 20° . . . . 16° 12°
SPACING OF EARTHTOOTH. . 12� . . . . . . . . . . .14� . . . . . , 16�. . . . . . . . . . . 16�
City of Costa Mesa, Caiifornia
Building Departrnent
FOBM llRl_]M�N_fi:
OWNERS NAME: ._ _ _ _ _ _ _ � _ _ _ _ _ _
JOB ADDRESS: _ � _ _ — _ _ _ _ _ _ _ _
PERMIT NUMBER:_ _ _ _ _ _ _ _ _ _ _ _ _ _
SIGNATURE: _ _ _ _ _ _ _ _ _ _ _ _ _ _
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s Costa Mesa I3uilding Department � APPLICr�TION FOR PERMIT
. .. �, � 111 EAST 20th STREET ` ��[l�_' _' '� �. . . D.,�'�_G_' __� �4
�i COSTA MESA, CALIFORNIA . ��
FOR APPI.ICANT TO FILL IN ' �''OR OFFdC_E_US� Ol�'LY�'�N"`
_� ; Receipt No. PermitlNo. '
Building „_ _ _ __ . , � =
Nearest
Cross St.
Costa DZesa, Califomia
l+39 �st 17th Street.
Costa Mesa No.�
daress Garden Grove
L?i.ke & Cole roye c�ty uc. �„
ontractor g No.
ddress 419.Fast 17th Street
4egal Lot
)escription I Na. 35 I B�ock Tract
Attach Metes and Bounds)
No. of Bldgs
ize af Lot 6Q X�.].0 I Now on Lot
ise of I No. of I
�xisting Bldg. T10T10 � F,amilies
�et6ack Line from � Rear Vard
;enter of Street 50 Side Vard
none
5
Nearest
Cross St.
z �3 Sl D
y,. Date Rec'd. Date Is9ued
� JUN 9 1955 � —/tC° ^S'
Mesa, California
of
CORRECTIONS
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New � X i nice�at�o� I Addition i 1�11 j_U.1' .IiVJIF1.lYIGC
Repair I I Mo�ing I i Demoiish I
BUSfding No. of 1
Size 1151 Sq, I'�Wooms 6� Stories �- -
Exte��or Wall I Roo1
Covering $tllCEO Covering Comp: APPROVALS
use nt New Sin _le fflilll T`eSide71C@ Foundation Location Inspector
Building � �
Forms, Materials,
Under-Pinning
� .7 C - Frame: Fire Stops,
— __ Brecing, BoliS
I heieby acknowledge that I have read this Application Lath. Int.
�and StaYe that the above is correct and agree to comply Lath. Ext
with �al] City Ordinances and State Laws regulating
'brilding construction.
Signature oi Plaster, Int.
Perm�ttee Dike & Colegrove
yY � , �C • � Plaster, Ext.
AutNorized Agt. ` � ��Y
3�'N� Masonry Reinforced
Valuation Permit Fee $ .��,v o �
Plan Check $ ,S , o a Bond Beam
$ �,SOO Total �� a �y,aa -
Fee S '�� FINAL
.,,.m ue c- i 12-53 .
Date
1 LV 1 1 LL11\
Show loeation and distances from
property line and between buildings.
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OWNER
JOBADDRESS
GENERALCOI`
661 Beach Street
LOT 35
GRO�JP I
I INSPECTIONS
� Footing Trench
Foundation Forms and Grade to
Plur
Tem
Wiri
Hea1
Hea�
Plun
Wiri
Occu
Fr
Pole
Dike & Colegrove
House / Sewer, St.
�ank or Cesspool
3, In Out
ing
ng, Final, Fixtures Complel
ng, Fin.al Gas Tes �S
. Final i
BLOCK
TYPE V
IDATE
•i•
ZONE n!}
SUBCONTRACTOR
DATE C�—ZO-75
BUILDING PERMIT NO.
VALUE $ 8)���
1380
Single £amily residence
FIRE DISTRICT 1390
PERMITS ISSUED
DATE I NUMBER
�//6 .: �7
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�.. �i" 14� s0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIPORNIA
For Applieanf fo Fill In Compleiely
TYPE OR PRINT
■ BUILDING
e MAIL
■ 6TATE
Y
COSTA MESA. CALIFORNIA
� BBTBAC�( LINB FROM
TEI..
no. or e�oas.
NOW ON Ldf
C E
I RIGHT uri ��
OF WORK
EXTERIOR WAI.L ROOF
COVERING p�//G' COVERING �D�
� USE OF BUILOING AND WORK TO BE PERFORMED
FEE RECEIVED
� �9�lL 18196t
�FINANCE DEPT.
APPLICATION"F�R`PER'NIITA MESA
BUILDING
For Offtee Use Only
wece�n NO. PHRMIT rro.
COSTA MESA CALIFORNIA
�
TYPE Y GROUP
DATE/ �
Z I�ING -+
INO. OF ^�-U98 OF NH1
PLANB l� I nun.o�xc
Lc f' 3.� �� (�
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7
�1 HEREBY ACI(NOWLEDO6 TXAT I H�VE RFAD TXIB APPIJGTION' TXE AMOIIM 8HOWN UNOlR VALUATION IB POR THH
AND BTATE THAT TXE ABOVE IB GORPECT ANO AORBQ TO COM- pUIiP086 OP lBTABLI8MIN0 A PERMIT F6E ONLY.
PLY WITH ALL CIIY ORDINANCE9 AND BTATE LAWB REOU�ATIN6 . VALUATION I / AD
OU�LpINO CONBTRUC'lION.
� AUTHORIZED AGENT
$ /��/ � PLAN CHECK
l/
0
a
OWNER MORF$� JOSEPH DATE -18-61
JOB ADDRESS 661 Beach Street BUILDING PERMIT NO. 1 9j0
GENERAL CONTRACTOR (1..,„0„ VALUE S KKi _nn �
AP No.� � C_i.l
INSP�CTIONS
Gas
coat
LOT TRACT
� Signature
FIRE ZONE
DATE GROUP
D�SCRIPTION OF WORKAdd
TYPE V 7.ONE
SUIICONTRACTOR
— , "• 1h990
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
For Applicant to Fill in Completely
ADDRESS C,C,���P.aq•���f�
OWNER .
MAI l
ADORESS /_C� �s.si.l t�.
CONSTFUCTION
BRANCH
ADDRESS
ARCHITECT TEL.
ADDRESS
CONTRACTOR i
ADORESS,"�• �..�.� i �, � �,
TEL.
cir�.,.,e4-r ,✓'�/° O°r��' NOrA2GG
STATE CITY ,
LIC. NO. f ` LI0. NO.
SI2E NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLIX'i. �. p -
S12E OF NO. OF
NEW BLOG. RDOMS STORIE
EXTERIOR WALL RPOF
COVEFING CUVERING
USE OF BVILDING AND WORK TO BE PERFORMED
I hereby acknowletlga that I have reatl this application antl state
that the above information is colrect and agree to comply with
all laws regulatin8 builtling consttuction, antl I shall not amploy
any person in violation of xhe wa�kman's compensation laws of
the State ot Calitornia.
I hereby certity that I am properlY licensetl as a contrector under
ffie State of Califarnia Business antl Professions Cotle, Divisicn 3,
Chapter 9, antl tha2 such licenses are in tull force and effect, or I
am exempt from [he provisions of the State of CalifOrnia Busin¢ss
antl Protessions Cnoe, �ivision 3, Ghapter 9.
3'��nq/o� 6—/.�l�P
SiBnature of d�',� .✓
Permittee _�/ � X�Ct-' ewL/ �• ��ZL!-��
Authorized ABent
=F� �, -�� `'"��ae 9, �:: :�� w �-
�,. i S.SC
N FOR BUILDING PERMIT
DATE RECEIVED ner� icci�
PER
A.P. NO.
BUILDING
ADDRESS
FIRE
20NE
APPROV
� L/�
t�lfj NO.OF USE OF NEW
r� PLAN 'BUILOING
VARDSAPPROVED VARDS PF
MAIN BUI�DING ACCESSORY
VAR. 3F`
C.U.P. �
(
BET. MAIN &
ACCFSS. BLD
DATE
APPFOVED
T
m
�
sn. FT. S� � o
THE AMOUNT SHOWN UNDER VALUATION IS FOR �
THE PURPOSE OF ESTABIISHING A PERMIT FEE ONLV: m
¢
VALUATION D L / �
�Q PERMIT FEE $ � �
�
m
$ /� PL.AN CNECK $ E
: / LL
TOTAL FEE
�
vniv�n ••��LL
JOB ADDRESS
GENERAL COP
AP No 7-1-5 �I
INSPECTIONS
SOIL
GAS
WnTER
ROUGM PLUMBING
PROP. SWR. LINE
SPRINKLING SYSI
MISCELLANEOUS
ROOGH HEATING ANO AIF CONOITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING �
LAiHING — IN �f OUT ❑
PLASTER, BROWN COAT
STRUCTURAI. FINAI
HEATING. VENT., REFRIG. ANO A.C., FINAL
PL11M81NG. FINAL AND GAS TEST �].
ELECTRIC, FINAL
BWLOING, FINAL
VMIC
BUILDING PE
SUBCONTRACTOR