HomeMy WebLinkAbout978 BEGONIA AVE - Building Permitsi
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PflOJECTAOUNESS: 9%8 BEGONIA AV
OWNEN'SNAME: HASTIE, ROBERT M
aooREss: 978 HEGONIA AVE
COSTA MESA_CA
751-0915
AflCHIENGINEEH:
AODFESS:
uNiT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 069441
FLOOD: AH-38
PERMIT NO: B 069441 PLAN CHECK NO: N GOVT: N SUPP; N
92626 —
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
xec.xo.:
UNIT:
PEflMITTEE: BRAHMA HERD ( 719 ) 699-2976
PDOflE55: Z S S 11 MODJESKA CYN RD
SILVERADO CA 92676
LICENSED LONTNACTOH OECLl�NATION: I �ereby a��irm Ihat I am license nder pmvisions o� Chapier 9(commencing wi�h Sec�ion
7000� oi Div��sion 3 ofihe Business antl Pmfessions Cotle. antl my license in �ulltorce a ��ec�.
ciTri�.:�l 6q0� sraTeuc.:601558 • 9
�a�e _ O 1/ 1 Si nalure:
WOHKENS' OMPEN RTION UECLAHIITION: I Aere�y aflirm I�al I �ave a c ificate of onsenuo sell-insure or a certilica�e o� WorFers'-
Compensatiun Insurance, or a cenified copy Ihereof �Seclion 3800, La�. C�.
POLILY NO.: E%P. OFTE:
COMPNNY:
❑ Cenifie� Copy is �¢r¢Oy Iumi5he0. ❑ Cerlitie0 toOY i5 tiled with the ciry Building Divisi0n.
Dale'. Applicani:
� E%EMPTION FPOM WOpRENS' COMPENSATIDN UECLANATION: (IDi5 SeCiion need � b¢ com Ie�eO i� the pe�mil i5 fo� one hunOre4 (5100) or less�.
I cetlily Ihal in �he pedormance of ��e work Ior which Ihis permit is issued. I II no loy any De�son in any manner so as lo become
sub�ect b ih Worker ' Compensalion Laws o� Calitomia.
Oale/� Signat
NOTI E: II. a er making this tleclara�ion, you should Decome SuUject alion p ' or
Code. y0u mu51 lotlhwith comply wi�h suCh pmvisions Or �his permit Shall be d¢emetl revokeE.
CONSTpUCTION LENo1NG pGENCY: I here�y alfirm inat there is a consimction lending aBency for the pertormance ol �ne rk.tu[
whlc� �hls permlt ls issuetl (Seclion 3097. Civ. C�.
LENDEfl:
aooness:
OWNEB BWLDEfl OECIABATION: I �ere0y ailirm that I am exempt fmm Ihe Contracrors' Slate License Law fat Ihe tollowing reason
(Setlmn 7�3L5 Business antl Pm�essional Code: Any cily oi counry w�ich reQuires a Oermil to constmct, alter, impmve, demolish, or
repair any Simqure. pri0r lo ils i55uante. also requires �h¢ applicant �or Such permii ta �ile a SigneO S�a�ement �ha� �e/She is litensetl
pursuam �a ��e pmvisions o� Ihe ConVadors' State License Law (Chapter 9(commencing with Sectian 700�) o� Oivision 3 0� t�e Business
and Prolessions Coee) or ihat he/she is exemp� inerelmm antl the basis lor ihe alleged eremD�ion. Any violation o1 Section 7031.5 by
any aOP�icant �or a permil suble�ts ��e applican� to a civil penal�y at noi more ihan five hunO�eU dollars (5500).
I. as owner of Ihe pmperty or my employees with wages as iheir sole comDensation, will Oa the work, antl the
❑ simcmre is nol inrenUed or o(leretl for sale (Section 7044, Business antl Pmtessional Code: The Coniractors Stale License Law
tloes nai apply lo an owner o� a pmperiy who Duilds or impwves Ihereon, and who tloes such work himsel�/hersel� or Ihroug�
his or her own emplayees. pmvided Ihat sucA impmvemen�s are nol intendetl or offeretl for sale. If, however ihe builUing or
impmvement is soltl wiihin one year of com0leiion, �he owner will have Ihe burtlen ot proving he/she tlid noi bui10 or impmve
lor ��e purpose o� sale�.
1, as owner of ihe propehy, am exclusively conVacting with licensed coniractors to cons�mci �he pmle�� (Sec�ion 7044, 0usiness
', ❑ and Pmfessions CoOe'. TAe Coniractors' S�a�e License Law tloes noi aDVty m an owner o� Dmperty who builtls or impmves ��ereon
and w�o coniracls Por such Orole��s wii� a con�ratlor(s) license pursuant b ihe Cnntractors' Sta�e License Law),I am aware
�, �ha� pmol of Iheir Worker'S Compensation insurance shoultl De provitletl to me.
I� I am ezemp� unaer Setlion'. B. 8 P. C.
lor ihis reason�
Date: Owner
I Oo nereby cenify ��at I am aware ol ana untlersland (he requiremenis oi Califomia Heal�h anA Safely Cotle Seclians 25W5, 25533, and
2553d antl mal I or any fumre builtling occupant will/will nol (circle ane) neetl m comply wilh said s�ate codes and ihe requiremen�s im a
Oermil lor consimc�ion or motlifica�ian Imm the Air Oualiry Managemen� �istricL Fesitlen�ial constmciion applica�ions are exempt �mm
�he5e provision5.
Date'. ApPlicam:
I hereby cerlity �hat I have read Inis apphwtlon and s�ale Iha� Ihe aU inlormation is correcL I agree Ia comply wl�h all ciry antl coun�y
ortlmances and Slale laws relaiing to �wltling con5truciion an0 hereb horize re resent ' e of �his ciiy�o enler upon �he ahove�meNioned
pmperty lar' spec( n purposes.
Date Signature:
oriver's Lmense or Sodai Seaniy e:
t6at�afi W�ne—Builtling; Green—Code En�orcement: Canary—Applicam: Pink—Revenue', Goltlenrotl—Assessor
JOB DESCRIPTION : T/OFF SHEATH 6 REROOF W/ASPHALT SHINGLES SQ FT: 3,800
CLAIM VALUE; 3,800.00 CALC—VALUE; 3,800,00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQ PER 91UBC, REROOF 2700SF RESIDE�Y�[�P �^��
***x�*��r****��rr�****��**xx�*r*r*�***�************�*******r** i� � �E�f
Z O N I N G R E Q U I R E M E N T S
SETBACKS REQ��RE�?
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN AEAR; FT IN FRNT; FT IN REAR; FT IN
LEF.T: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 41217812 ZNE; REF NO:
PLANNING N4TES>
?
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D E V E-L O P M E N T S E R V I C E S A E Q U.I R E M E N,T S
ZONING APPROVED BY DATE; •
BUILDING APPROVED BY ; DATE: '.
` rj ,,
APPLICATION ISSUED BY; DATE;.S�IL��
*.�t��e*****�r*�tir*+t+�r�r*�r�r�ru��r���t��r3F��r��F�T���r�r�r�r3F��riF�3Fi�iriT�r*i��t****x** a�* �r*
if 1f 1E it if it jt if iE it it it 7F M iE 1! f! 1E if k i! ik if M it iF M if i! i! �E it iF �k i! f! iE M,M N i� it 1f iF 1f if i! if if if iFlf iF M it i! if 1t 1f iF k k if 1t iE i! if it if !f iE iE if if iE if iE if iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 �';, . ,50
PLAN SMIP/NON—RES
ISSIIE FEE �'
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63,50 0,00 0,00 63.5�0/ 63,50 ,00
V
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63,00 � ,50
1E if 1f it ik M it if if �f 1E 1! 1! ff ik 1f ik M if 1f if if 1k 3! i! M if �F iE iE if it if iE iE�1E if k if 1F 1f IF iF 1F if if !F iE if 1f 1f 4 4 fF iF if iF i! iE ik 3E 1f !k 1f 7f if �t iE ik fF 1E iE iF if if if if iF �F
I N D I V I D U A L' F�E E B R E A K D O W N
TYPE QTY D E S C A I P T I'b N ' UNIT COST TOTAL COST
SFR 3800 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
m
1,00 3,800,00
V
61 �J017012S—Qn17D130 �1� 7 F?,$jj
DA7E: ip/24/45 TI11E: 14.45
�.1; - � --,
CONSTRUCTION AND PLANNING POOI & SPA -
APpROVALS Permit# Date �Inspector APPROVALS Permit?k Date I�spector
t. Temporary Electrical $erJice or'Pole 52. Pool & Equipment Location -
2. $pil Pipe�Undrgrnd. " • 53. Steel Reinforcement
'3;{��lactncal Condui ,'Utility�Undrgrnd. 54. Forms '
... •-
-��4;r�El,ect.jcal Condy�u;Undrgrnd. 55. Electrical 6onding
-^ B'�$fael'Reinforce�ncent 56. Rough Plumbing & PresSure 7zst -
�1.
�.�"6?.,Etectricai UFE�G nd, c 57. RPPROVAL 70 COVER�GUNITE .
- 47. Eootings ti � 58. Electricai Conduit�Undrgrnd. � i
�� ii�.' '.1 .1
�--8� �Fnundation ` " � 59. Gas Pipe, !� Undrgmd., Ten
��9. Wa:er Pipe�Undrgmd. 60. � Backwash Lines, P�Trap, � Undryrnd. . �
10. Structural Floor�$ystem ; ' 61. APPRQVAL TO [7ECK
11. P�operty Sewer Liqe & House Connection 62. Backwash & Recep.or�Final
12. S.ewer Cap �' '. 63. Heater & Vent�Final
13. Roof Drains �c; ' 64. Plumbing System � Final
14. Rough Plumb'rng �r 4' 65. Electrical�Fi�al
ci ..
5b. Rough Elearic`31-Condurt_: ' 66. Solar System•Fina! .
1$. ROugh Electric-Wiring � • g7, penciny & Access Approval ' �
-L '].� �L
17. Rough Wirin9$ign "' 68. APPROVED FOR PLASTERING �
18. Rough Electricnl�T Bar Ceif�g . 69. POOUSPASYSTEtAS FINAL �
19. Rough Heating & Air Condltionin9 '' FIRE DEP7. REQllIREMENT � �
. . . .. . . . r tip....� .. .� � nl
20T;Ra�9h Factbry Firepiace � c:�:� .;h t� � ;�i ^�s = �,APPROVRIS;�CIPermit # t �' I
r.. <-�r .: s r� C-: �. !C r,^lr�H '�
27;'DUC 5, ia.5t�'C.ULek 1 P•E.. :' - • .� '-: "] r. �i'�^:r ' x 61
_ _S _7 �? . i �-�._ i r�� �_i. -� ��;70. �7�dergrpprtd Hytiro
22� O�is, VenrSacing Y t 'sS * V �. �.y '.; ,��71. ProducT�p' m9 {9 Gas �,'OiV
�� ,�i c.+� �.
� t,; � y -• i-+ , , m � � � -' s . _i
23! ,Gas Pipe�Ro,�h &'.Test i a:� ,_. � �� , t�!;7z, Undergroynd Flµsfi rs q -•
24:�;Ro4,f Fr.aming � t i.� -• �� r �? V� �' �' 73?' Undergm�l. Storay�:Tank'U Gas ❑ OII
-� < tP r. '. •t � ,^.) r
25. R00„ SF42athing �' � '�, �p,j� �-� ,,:: k '74i0-,verhead'Hydco�,�"'^' ;�
26:i�T�Bar Ceifing (StryStural} &�64onocoa: ,_ 7 .� C� t*1: r 75?'DrY Chemica� J� " �
27:=Framea�d FlashSrt� ^� -'I `�' T. * "� ,•L' r;�: M=. h; U: I
'J
�,�.. �',o�a� - r. � cu k a: 76-. Dry StandP�Pe •.2+ .. �-,
�.328' L�thing & Siding. t t. =7;.;'r !r � •^i h�+ ` 77ti FIXED SYSTEA�:�INAL' �
,'29. Insulation = =��G }�rt'�•• `. ' � •
. ;' I I �t .. 78;�FIRE PREV, FINA�L t �� ?
�30. Drv�vali'_�Plaiiing -� � � � �s . :-+ HEALTH�DEPT: R'EQUiREi�7ENT �
��31. Pl,zterBrom4n,Coa:� ,- �,�'�' � ' +r � �.�9.''PINALIN�P�ECTI�N �" - -
�. ... ,` . ,. -� , �� .. ; � i. , ,�:.- . �
_:32-81ectricai Po�yer I�9ete��F�nal; � tu ( � �;SOt*�FOOD CERTIFICATE ISSUED�
_33�Fin,a�i E�eFtri�c`� �„ _, ; '-� � �`� � ` ; '�Noter -�.� "
"' � �t � %�st�_��7C.�dof `!_�e.e�✓ /b-26�Q
�;;34. Firie� He2ting,& A�,Condition"ig: �' � i I �f �° `� �^ - -•r �. �; `.���
�35'FirFalGasPipt-Te'st* ��� ". * I 1 �T' ,' -� ��,
- .: . . � r'Y, t ..1 � 7 �!" . .:�` /�%o�� a; '� F_' .
.z36.'NoEd oc,CanoPY�� x •- ' i •- v , 1 ' li ' '<3 : ;o � � � -:
�,-, '� '��-
37 _FinAi Fac'toiv �ifieP�a'ce ' :��. : � n ' A i - r�� • � �r --- j
- . .. n� .. I �-,F_ �� v � . �t .. Y . •'i �
�_.t T^� � ... „ � '3 •
,_38. Final Plum6ing -�� _,,, I � + r �� ��i I
I.
r;39. WB[er Ser.vice�Findi� 1 -•• � � �M t C� �� *7 s? 7
<. r �� .' 1' 1 � r
�.�40. Gas Service-Final` ` ` '� - I I" ' `- " 4• �. � . "
. � l*7 �D'I:+ ��: I � �k :��
,:41. So�ar pomestic-Final:: �:,� � � � � i �} a +.^' ' -
+ � x. - :o �
�42.=8ackflow Prevent�r,.< <'• �`. ` :'� I � (' ' "�.. . , . -
. � � cr '�
�� � ..•. �. '� . .. , . � _ '
43. Backflow:irrigatien� ': _ _. '� - • -' ' �� �
�s�1 ,. . - s .i
��. a r:;'�' . x .: �.�a . -
�44. LendscaPe Irr'.i9at+�op"SYstzm,•,,; ; r: ;, �:, �� �; �:?-� :� n� :'i ��: c:
'95.C�ound Attertuation•r: -,ti :F'� .�� : n � F. + � t r , � �" .' -
r r�- � K [- � r
=�46.�'Handicap`„Regulaiions i �"� � ,'�-', ; ``� ' ` • `� _ �;'=, ;. �
47. ;flNiaL S7RUCT.UR� &`�I'�DiNG Q�j � � �: ^.� �
, �,. . -. _ , . C .i E-'
48._FINAL PLAN'NIf.V�_' �� � 'r �. ,; i I �. , �' „ ; F- .�
49. Eleciric Release to Edison� i � �. ��: _ �
� I �, ,�
YSO.,Gas; Rele3se to So�i7tjiem•Califotnia Gas Co ., � � a ! � `� . `�:;i ��.
,„,,, I i i .c F
`51'. CERTIFICATE Of; CCUPANCY : �; , .
No. •�% Date �
i'�
r
r
.�,j�j S.�S �� ��� � t ;
i ' S r"
�i i Y . 1 L� 4. �i�
. .,
�� J
�
Tt1E5E PL4NS MUST B€ ON JO6 A"t Alt ftM05
MAKE HQ CMANGE5 WITti4t1T pRtQR APPROVA!
Of D�Pf,
THf ISS'JpNCf GR GRHNT7MG OF A PERMIF Ot� ApP60�/AC
- OF PLpyS khp SpFGt61CAT14NS SNAtl tt07' Cif CONSTRU�4
ID BE A FER!AI7 F'OR, OR Ati APf+R�YAI OF, AN�Y VIOtATWM1I
Oi ANY OF TNE pft4VlSIONS 4F TNIS CA6E. NO PERMIT P{tE•
SUMING TO GfYE AUTNORI7Y TO YtOtRTF OR CAN��1. Tkf
PROVt51pNS Of THlS CODE SHALL �iE vAL4lF, fXG�RT �N SQ
�AR AS 7HE NORK 4R USE WNICH tT'AUTH0�13FS Rfi tAWftJI.
THE ISSUANCE Of A PfRR411' 6pSm UPQN PtAN$ AMA
SPECIFIGAiIONS SHAl4 N07 iBEYEN! iHE Btttt,41NG OFftQAI
Fftn!,t 1yEPEAFiER HfQllIR{H6 THE CAftRECitqN 6F EPRflPf3
IN SAiO PIANS AND 3CECiiMCAT14N3 Oft FRDFt PRE4ENi1N6
OUItUlNG OCEftkYlONS BEIPo6 CAARIED ON TNEREUh'OER fAti1EN
IN Y104Ai14N 4P 7Hi5 CODE OR OF kNi' QikEk �DINANCE
(1F YHE GTY.
/ '`f �:t� ,.:°' �
� � � ^, z
1' '
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SEPARATE
FOR El
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THIALL Ih3j'R;�IQiV�REQU�E'STS �v� i
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'AR 64:iLU;;�G5'� flL' G PEi.SOt�S ARE Tp� ,
3E fMPLC:'�`tD, ?,l`E 5':3,:ES'f THAT THE t
iTAPE 9F; C';UFp`:;1!�i pl�11SIqN Of
NAUStR1AL��S,ti f�'r)��r ;�1r�;,JLTED fOR �
�DDIi10NRl �kuUiR�mcht$.' ,;�
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i 12+ .LSi
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or. �.�4�TU�u[,
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ttERNAR6 C. AUAMS
G:YI', EriG'P4E'_g d li?783
1?_753 FRBGKAURST Q14) 636�029
GAP,�EN ,RG`VE CA 92F40
PDOL ��FidS It�C.
�oo • P- Soo
CITY OF LO�i 41qlit.S
uc..b." 9�A-
I``I L�P_LI1�.1
FI PJ€S�,C�I.,a."SS
16CG2 eArauDo G�¢.
Ht=��t'i�!Lrc.� i��EGCH
cq 9e i4E
TMESE DRAWINGS AS INSTRUMEMS OF SERVICE ME THE
PROPERTV OF 7HE ENGINEER AND SHIILL NOT BE REPRP
DUCED WRHOUT THE CONSEM OF B. C. ADAMS.
Alo-T�s :
1 a-l� RJ.JrIO�w�G. F�R �OC�. OR GN C.oDES.
z WL1�0 iN Go1.ITDCT VJ�'M cn2AL1E To �E
F2E�S�JZl. "R.&A�F� OfL RF.PYJOOR
3 S}�p P'LOVIOED WITH 'JK�MME�
q �.awa s-rtzF�J�snt �t�000 Ps� �/+" �iirx "t"
oc iz,00c I'S� s/i�" ,�
. T.,.�.��73:'��.e
3�.'IMMBe
y� z"� io 6LouEC
OIC. cNbJiJ6l
SECTION
P LAN
'Sd610 Flly �cornflecT)
I@�I llc'
, _..:. .
- , -
TRACT N0. �S S / "
IAT N0. 1 G'i .
aDDxEss� 7�f j3c Goti� i fF C os; � M x s,�;
DATE �/'�/7`%
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been co:npleted and its streets
accepted hy the City of Costa Mesa.
The undersigned, by executing this agzeement, acknowledges that
(he-she-they) �/c;�a� (was or were) (,�v'�_� advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having cociplied with the conditions of approval which were imposed by the City
at the tine 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 indemnify and hold the City harmless from
any claim resulting in damage or pereonal injury to the undersigned by reason
of tne afore:nentioned uncompleted condition.
RECEIVED
CITY .OF COSIA �ViES�
c. ���- 1 _ ,
�.�R i� i�%��
AM pM
2'i8�9ii0i11;12i1�2;3�4,5ig
0
BY r� �iY � �1/i.�-�f�ftv-ril�.'.
Purchaser
--� � .� ii
BY �= �. r - "[ C �>-r_�_�`,? ���r _,-t_ l�>L �-
Developer and/or authorized
representacive
BY i ,%� �'l'c� / i% : ,`�..
'L`ender
�.. . ... -.-.•-.. .,-..-�,-*-,--.,.--«_..,-,..,.--..-..-, ' . . .�. , : . ._.-_....-....-...-.-.......-•.'-.-_..--- . - ..._ ...
!V � - PA10 r.
.3b[i�j n i1-73cns.p0 ��,,: :��1:;:142.85
COSTA MESA BUILDING-SAFETY DEPARTMENT
5�1 C P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely REC/E�I V/5,/q� ev D//� TE REC IVED DATE ISSUEDJ
BUILDING ('i/'� %( �Q�" �� �,O �9�3
A�DRESS 978 Be OR1$ Avenue
PERMITjN��O�( � .
OWNER Larwin Southern California, Inc, p"P'N�' -� J �` �
MAIL � BUIIDING
Z .
ADDRESS 16255 Ventura Boulevard />ODRESS �� �E�CO��A U� .
ac`i'� arv Encino California No.`986-8890 TRACT�SS��B �or96 s�ocK '
Z Q CONSTRU lON , _ �^1 /a D A P
oN IENDERL�a in Southern California lnc
J� BRANCH16255 Ventura Boulevard
m� aooaEs¢ncino California 91316 owNEa GA�u/�� .So vA L-
m APCHITECT TEL. $ E'� W��G�'R' S/� �l �
J� OR ENGINEER LQ Ifl SO Cal � N. 273-4464
U FIRE
W� AooREss 9100 Wilshire Blvd. Bev. HI��S� CQ• ZONE TYPE � GROU
aw
W Z L p ' APPFOVE j
JO CONTflACTORL4PWlf1 SOUirlBffl C:.IIITOI'flld �IIC� BV Gi DAT "/O ^
m z ' •
�� nooRess 16255 Ventura Boulevard
W W ZONE NO.OF USE OF NEWS'FRfs
�= TEL. / p�,q� � BUILDING
z� cirr Encino, California No. 986-8890 - ipTT GA2
WD STATE . CITV �ARDSAPPFOVED VARDSAPPROVED
j O ��c. No. 1913� � _ ��o. No. g_� MAIN BUILDING ACCESSORY BVILOING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT 63 X IH � NOW ON lOT Q FRONT FT. FT.
USE OF
EXISTING BLOG. � � FT. FT.
f' S12E OF - NO. Of
Z NEWBLDG. FOOMS STORIES L.SIDE FT. FT.
U EXTERIOR WALL RpOF -_J �
COVERING SfUCCO COVERING WUVu $hlll IC FEAR �FT. FT.
J VSE OF eUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN &
a ' MAIN BLDGS. ACCESS. BLOGS.
a
� Construction Sin le Fqmil Residence c u P# APPfiOVED
yAPPROVED � �3
z }iOLD FOR PECI REQ � NTS
O
VI hereby acknowledge ffiat I have read ffiis application antl state ,- �
� that the above information is correct and agree to comply with �
� all laws regulating building consiruction, antl I shall not employ rNC
r any perzon in violation of the workman's compensation laws of
N the State ot California. w
z J, b
I hereby certify that I am proper�y licensed as a conttactor untler � SQ. FT. o
Me State of California Businass antl Professions Cotle, Divisicn 3, HE AMOUNT SI
Chapter 9, and that such licenses are in full force antl effect, or 1 THE PURPpSE OF
am exempt trom the provisions of the State of California Business
antl Protessions Cotle, Division 3, Chapter 9. VALUATION
Signature j/ � �A - p � Downs
Permitt � �d�L!/ � s 26,400
Authorizetl ABent
a s o
R VAIUATION IS FOR �
G A PERMIT FEE ONLV: m
¢
EE $ 94.00 n
�
:cK s 47.00 E
`o
141.00 �`
=E $ /
OWNER
JOB AC
GEN ER
AP No.
INSPEC
SOIL
GAS
W ATER
ROUGN PLUMBING
PROP. SWR. LINE HOUSE CON.
MISCEL
AND AIR CON�ITIONING
UNDERGROUNO U POWER
ROIIGH WIRING '
REINF
FLOOR SVSTEM
BOND BEAM � STEEL REI
SHEATHING
FRAME AND FLASHING
LATHING�- IN �/�
ANO A.C., F
TEST DI/
INAI
DATE
BUILDING
U
TRACT 7557BFIRE ZONE
SUBCONTRACTOR