HomeMy WebLinkAbout896 CAPITAL ST - Building Permits_ , � ,
. � � CITY OF COSTA MESA ' ' ' � 9 �
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"' BYILDING D/VIS/ON r , l
i` � 77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q14) 754-0856 • www.ci.costa-mesa.ca i
F�,.
�. FOR INSPECTIONS CALL: (714) 754-5626 � ' �
�b��* PERMIT NUMBER. 607=01044
PERMIT TYPE B_ROOF2 .
JOB ADDRESS: 896 CAPIT
Vicinity: HOUSE AND GARAGE
Squares: 2850 ' :??
SCOPE OF WORK: I
PITCHED ROOF AND 30
OWNER:
PHONE:
APPLICANT:
PHONE:
CONTRACTOR:
AddreSs: Unit:
City/State/Zip:
ARCHITECT:
ENGINEER:
FEE SUIVIMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
STATUS:
DATE ISSUED:
�,� �!`-`?^ -,ISSUED BY:
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M ' 'ifi; t ;�' � Suite/Untt''Y
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3 LAYER OF 3 TAB ASHPHALT SINGLES!.WITI
.ES ON AN ATTACHED HOUSE AND GARAGE
� Address:,;�.�„896CAPITAL-S�
� �, ;�� City/State/Zip �CCOSTA MESA'.
"Jh '� �a I. M1 �' , 1}, �� y '��.
� +�c,,�-'f-'�"" Address:�� 896'CAPITAL STi
City/State/Zip: COSTA MESP
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. .. ,. L�cense No ...'; � � y . ,. ' ,..,:,-
License No. ,��`�+��.��
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ISSUED
12/13/2007
RMD
0.00
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�OF 15# FELT ON A 4:12
2850�SF.
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.-'` '?�? Unit: �
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NOTICE: The work authonzed by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) � �, .
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
C D�E�. INSPECTIONTYPE �pTE IN7ITIRLS COOE/ INSPEGTIONTYPE ORTE IN7I71AL5
1676 Fixed System Final Fire Prevention ' 206 Final Mechaniwl
1266 Pool Spa Final , 20B Final Piumbing
200 Final Re-Roof - �� �- 210 Final Electnwl
201 Final8locWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval .
203 Final Sign 222 Final Site
204 Final Demolition ' 250 FinalBuilding/Occupancy -
WORKERS' COMPE�76ATIQN DECLARATION�
I hereby aKrm und�r penalty of perjury one of Ihe (ollowing declarations:
❑ I have and will main[ain a certificate of wnsent to self-Insure for vrorkers'
compensa[ion, as provided (or by section 3700 0( the Labor Code, for the
pertormance of Ihe work tor which Ihis permit is issued. �
❑ I have and will maintain workers' compensation insurance, as required by
sectbn 3700 0( the Labor Cotle, fw the peAormance o( the vmrk for which this
pertnit is issued. My workers' compensation Insurance carner and policy
number are:
Carriec
(This se[fion neetl rqt be mmpleletl AMe permd s valued af one nundred tloNars (Ef00) a less )
Policy Number: '
[�c'ertify that in Ihe performance of the vrork for which this permit is
i�{u�d, I shall not employ any person in any manner so as to become subject
td Ihe workers' compensa[ion laws of Califomia, and agree that i( I should
become subjec[ to Ih rkers' compensation provisions of Seclion 3700 ot
the Lab al wiN comply with these pmvision '.
11i ( �7
._n ,_.fsSiBnaWre: �".Datenv�,S$�..
WAR NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions o( Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, antl
my license is in full (orce and effect.
Lic. # Class #
Contreclor's Signalure
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm [hat [here is a consiructan lentling agency for the
peAortnance of [he v,ork for wfiich [his permit is issued. (Sec. 3097, Gvil Cotle).
Lender's Name:
Lender's Address:
Signalure
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7037.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, imp�oJe, demolish, or,��repair any2 structure,, pnor to its
issuance, also requires the applicant for such�permit to Poe a.signetl�s[a[emenb_
that he or she is licensed pursuan[ to the%provisions of;lhe''Contractors�;;;y
License Law (Chapter 9(commencing with'Section 7000)�of-DiJision 3 oRtfie=;;
Business and Protessions Code) or Iha� he or she is exempt iherefrom'2nd��.
the basis for lhe alleged exemption. My violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
fve hundred dollars ($500).):
��I,Zaslowner of the property, or my employees with wages as Iheir sole
compensahon, WILL DO THE WORK, and the stmcwre is not intended or
oHered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law does not apply to an owner of property who builds or improves
Ihereon, and who dces such work himself or herself or through his or her own
employees, provided that such improvements are not intended or oftered for
sale. I(, however, the building or improvement is sold within one year o(
completion, the owner-builder will have the burtlen of proving that he or she ,
did not build or improve for purpose of sale.).
❑ I, as ovmer oPthe property, am EXCLUSNELY CONTRACTING WITH
UCENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Protessbns Code: The contractors License Law dces not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contracta(s) license pursuant to the Contractors License laws.).
❑ I am exempt under sec.
Business antl Professions Code for this reason:
�{. _ 17i 13 0 %
Signature "� ' � �y
3a5146(3/Ol) .
�'
Owner ID veri(ed by drive� es ❑ No �
Dn�Li�re,No. /' � piresj"ti_ , 0 7 ��
iVerificalion of Ownership by (type of documen[, i.e. - property tax b 1 or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy that no excavation fve (5) or more feet in tlepth into wfiich a
person is required to tlescentl, will be made in connectbn with work authorized
by this permi�, and Ihat no building s[mcture, scaffdding, falsework, or demoli�ion
or dismantling thereof, will be more than [hirty-siz (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title 8, Califomia Adminis[rative Code).
❑ As ownerbuiltler, I will not employ anyone to do work which vrould
require a permit fmm Ihe Division o( Indusirial Satery, as noted above, unless
such person has a permit to do such work from [he division.
Applicanl's SignaWre Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
cerli/y a Business Plan for emergency response 10 release or ihreatened
release of a hazartlous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, Ihat a Business Plan be filed with the Cosla Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantity of hazardous materials equal to or greater than a weight ot
500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressetl gas
at standard femperaWre and pressure).
2. Does or will lhe applicant or present or future builtling occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Cotle, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which a[ any one time has on hand a quantity of acutely
hazardous materials equal lo or greater than a weight of 500 pounds, or a
volume o( 55 gallons, or 200 cubic feet of compressed gas at standartl
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk ManagemeM antl Prevention Program for awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0( the California Health anC Safery Code provitles iha[ ihe
Costa Mesa Fire Department may require ihe preparation, ceAification and
filing with the Fire Departmen[ of an RMPP by businesses which are required
to register acutely hazardous matenals wi[h the Fire Depariment.
4. If an RMPP is presently required, has Section 25534 of the California
Heallh antl Safety Cotle been Wlly complied vnth? ❑ Ves ❑ No
5. Does or will the applicant or present or (uWre builtling occupant require for
the vrork which is the subject of this application a permit for such construction
or modifiwtion Gom Ihe South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Sec[ion 65850.2 of the Cali(omia Govemment Code requires [hat the reques[ed
infortnation De fumished on applications ta rwn-residential building pertnits).
6. Will any part of Ihe (aciliry to be constmctetl under this permit be within
1000 (eet from Ihe outer bountlanes of a school? ❑ Yes ❑ No
Qf "yes", Ihe facility must meet the requirement of Sec[ions 25534 and 42303
of the Califomia Health and Safety Cotle).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of ihis application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes � No
8. Qf'yes", attach certifcate of compliance from the�appropriate air pollution
control offcer�. .
CERTIFICATE OF COMPLIANCE: 6 certify that untler.penalty o� perjury Ihe
information given above is correcl. I agree to comply vnth all slate laws and
city ordinances regarding Hazardous Materials and Emissions.
` Slgnalure Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have reatl this application and state that
the information given is wrrect I agree to comply wilh all state laws and ciry
ordinances relating to building construction, and authonze represenWtives of
Ihe City o! Costa Mesa to en er upon the above-described pmperty for
inspection purposes. I�Q ot o occupy or allow occupanc of an builtling
authorizedby iis ermi[ il spection. '� I� ��
i
� LS�gnat eM egel Owner(3� ' ' LDate,�,
A QIOrAuthoiixeOApplicanl Oale
, � i
� � Applieant to fill in'all spaces within heavy borCer lines anE si9n all apprapriate tleelarotions. , � ' � .
•.r- _
ti
CI7_Y.OF:COSTA.MESA� . - ,-... -P �u �I�p,/-/-. n- i.._.TRACT-NO.-_..-LOT�NO�: - �BL•DG: NO.- '-- - �- --- - -- -� ------_'--- -- � --ry -
;CONSTRUCTION PERMIT [�-^�[-� 6''� .:C '`' �; ti^-- _,�q���.1788Bt �.,9/20,/;82 :-, � �::i:• 16.50 TU
' �Project Address '�s +^ r t'
L ,. �,�"� TYPE OF CONSTRUCTION ,i . � �� '.��. � - ( __s;ti� ir S '� � � z y \ fn7�qp �
'�Owner_ _.. Pho I j - O'NEW:�-=.O'ADO -. � ALTERATION� - ' ' = -' -� 31: == .---."- i = - _- -'i
� . G �.� � � ., '"_ f� " ❑� REPAIR ��CO � RSION!� OLISH, i . _` 3'�,,"� q. . �.? �S. �d6 . yr . - ? lt�. f'.` �!
iAddrea „ ' . '�' ' �
- -� - - � � "�� � W - r ', - -ZONING REGULATIONS {. - � �oS
iArch/Eng:.,.,__�,,,F„ _ _ .�, _ . LicenseNo._,___•� _ _ � OOTHER^ �' ' _ _ _�
. . .._ ' . _ �-. , -.. _ _. _ , . . _
�Addresi,_;_ _ � DESCRIPTION OF WORK'- _A'P' � `_��1� ' iY.til �i1h ^.�+�1 1 !
. - i....�._...,. _. _ ......_.. �. ..» .. .^. _ _ . - ZONE � . . PLNG. �REFirI�:S" ��', :� -� _�
�Contracmr � 7_ . . ._.__.--_ _,.-, _._ _�_. ._ _.- . � �
...,Phort.T - TVPE OF PERMIT , ,. . , � e rv TpBUIL'DING F Z--A-
, � � '- i � . �� 5 SETBACKC �.ST. PROPERTV LINE � �5� '}
' 'Addless._ . . ,. - �.. .. �/ .,_ . 0 GRADING FOVNDATION -��-STRUCTURAL �-'� --51p E'VARD -" -' - '>"
�,.'i ^ � .n ,�,/ , � LEFT ' r-��.7'lel �lwd
�L'ICENSED CONTRACTOR DECLARATION '/ � �1' �❑TENANT ELECTRICAL�C7PLVMBING-OMECHANICA
� I[liereby 5ffirm'Ihat I am�lkensetl untler provl3lons of�Cherter 9(com- ,.�� �.; Z? +� . I R�IGHTA ' ' � � P'.�`i�i�� Y� �
mencinq,wi[h section �000) of pivision,3_,of_the_Bus�ness_anA � ❑,OTHER - - � -- � � ..x
Professlons Co e, tl Ic nse is in Tull for a ef ec � n - , . REAR VARD TO P L) -
1 � � ��� � �f PROJECT DESCRIPTIONIr' ��^' " "� ' _ � � . ..y .' . . '. � `� � t
Licens C 5 I e � . � � PKG-SPACE REQ. PROVIDED �- �{(7' L -F
/ - ' i�.ci r .o �� �' .l ' SQ FT __ ' ' '_ _.-.. �f. �
WOef�ER COMPENSATION CLARATION.' ' .' ) OCCUPANCV �� - CON57RUCTION TVPE T 3 �r STREET WIDTH' i. «-PARK FEE E�i� � �
' It hereby affirm that I�have a� terti(icate of consent �to selt-insure or.a _ , z ,- � � ZONING APPROVED BY - DATE - y t'�
certifi�te of Worker5' CompenSaHon Insura ce, or a�rtif�etl��copy, ;'VALVATION ZONE ' � - �- � .�y ' r. .,�- 11 �� �
' thereof- �( ict�io�j3gey�� �12�bj �L�.. -'i � GRADING CU VDS �~ ACRES µ � � y SPECIAL dONDITIONS ' ❑ .Y aw: -£° t_-Y.�� ~1
. PoIICY-'N+'-�Se-...�'_�ComPznY - - . �_� : ' _ ' _ e ' y "_V-. .,. .
�' Certifietl copy is hereby (urnlshetl: � � " � REMARKS � i `�� � ' � � r �E � •�• • � ,
��/y�',�,��rtlfietl copy is filetl witti the clCy Builtling DiJision. � �� ry � b� v�' i �r� i., �' ?' �
.-_L._ ... ') �'� 4 �
. EXEMPTION FROM.WORKERS' COMP NSATION DECLARATION � -� - ._ - . - ' - . -� �
(This sectlon neetl not be complet he permit Is tor one hunGretl - �.� ., � - � � � ~� � ' ' . �d + 1 � - � t�•
' � (5100) or-less). - ' 1 . . .. . _ . . ' ' ' " _ ._ " . -. . ,. - y � •.� "� " ... a *e: 1 v _..._... . ' . , ' _ . � . �. V .
licertify that In the performanc ork.for which this permit�is � ��
IssueA, I shall•not employ any�per ' manner so�as�.to�become� -, PBUMBING , �� �^•• �CLAN CHECK'^' � ^ "EL'ECTRICAL ` " --""PL`AN CHECK - - (
� ..� .
subject to the Workers' Compen5ation La of Calitorma. y+=�`�::' .• ~- � � •^
_.�._' ' BATHTUBS _ �.�,_ .."'SFIOWERS.,.�.,....-..�. � . . ...., _ �.-t.'.��� ' .-i::.:,.ii .. .•J
Odt¢ � _C519ndtur¢ -' '-'"4_ _ � ^-•
NOTICE: If after making this tlec � ation. You shOultl become Subject � TOI�ETS��,., ,-.�J • � URINALS ^^s"'�-'�<��.�""" ��': ; GENERATOR'-"'0-1 KW �_1,10 VCW y
to.the Workers' Compensation vl5ion5 of t�e Labor Cotle,you�must� "'� - `� -- TRANSFORMER' - w n�`,��� I
forthwith comply,with'such vislons or this permit shall be,tleemetl LAVATORIES � .'DOUBLEL-AV5^�-� '•['�""^'!"^ -'APPL'IANCE�' ""10=50'�KW '_�50 t KW ' '.����' ��
revOk¢tl. ".4' - � � �-KIT.'SINKS ' "�^r DISHWHSHERS -" �" .^ •'f"�''MOTOR$ ��
. CONSTRUGTION`IEND AG � V ���"� � ' ����` '- � , � -.+ „ � �-Orl HP�1`IO HP4 _ . i �' t
I �h¢r¢by affirm'that th¢re is.a str tiOmlentlmg agency for the per 'SERV ICE SINKS � --� �NC..SOLAR / �� -.}
y�y � � SUMPS � "' ^"" � }"'�`' ( %- 30-50 HP ^'�50 t HP' }
tormance of the worYk (o�is �rm�t is issuetl (Sechon 3097 �"jT 7 � - 1 . � -
Crv..CJ. . �� - -.r-�- --- 'FL'OOR'SINKS '^`"" FLOOR DRAINS "'(�"'- � ' FIXTURES '�'OUTLETS� �SWITCHES 1'
' Lentl¢r's-Ndm¢-' - - ' - ' � 1 �
�LenBer's`AEtlress�"` � -" -" � - ' "'-' "''"- '^DRINKING'FOUNTAWS ---, n^_ -- . '^""^ 'GASTUBESIGNS""""'; "��"- ��v't -.'t P�"
' OWNER.BUILDER.DECLARATION..._...,-..�._-_- ' INTERCEPTORS " -'-' CLARIFIERS���' "t" " POCE'LIGHTS"""'-'�""- "� -" . - ' '�' � �
� I hereby affirm that I am exempt from.the Contrattor's License Law for - . . �' T -r . e. 1. .,� �� i� •Q�
Me_following:reason..(SectionJ031.5.Business.antl,Professlons.Cotle:_.SWIMMING�POOL'--�+^P�TRAP-��'��- - � - ' •--'-'- - '--`^--'�`� �
Auy tlty or county wM1ich, requires a permit to construct, alter, 'POLES METERED� SUB`1 .� �..'1 � cr.• �•� �x�.
� improve, tlemolish.or_repair.,any-structure,.prior.to its.issuance; also.re-- -yy,qTER'SERVICE".-.""' ALTERATION-" - -' � "' - "" 'PANELS ��-'""'-' "MAIN"� -�-'�'SUB-� � - - - �'t
quir05 [h¢ appliCant for such perTit to file a signetl statement that he - � • tcr.i=7.-,.+__.... n�,rv •` #r. �T � f !
is�licensetl..pursuanLto.the.provisions.ot-the Contractor's-License•Law- - •-- - - - - - - - - - - - �
(CM1apter 9(commencing with Section �000) of Division'3-�ot the GASSERVICE�: "OUTLETS� "SERVICE---""""'�'�"` .-'Af41P-"--' �
... _ ..� ..c.. . .
'Businessand..professions.Code).or.that.he.isexempttherefrom•antlthe- -�yyqTER'HEATERS'-`• "BTUOUTPUT-' '- - -O' ""j ' �-""""" s � � � r� j- � , �
ba51s tor the alle9etl'exemption. Any violatlon of Section ]031.5 by
any.applicant.for a .permit�subjects.� �$5001icant to-a-Uvil-penalty. �SEWER'CONNECTIONS ' ' '"�+ "' -"""" ^ K ' �-' ' ` ' - � � �. Q - � 7 , �, "t
of nol more than five huntlretl tl ) � • � .�
❑'•I;�as^ownerrofthe-.prop9 y','or �employees•wlth'waqesas'their' 'SOCAR'TANKT�"" ""COCLECTORS� "' ' �'-"'"'""'-- " - ��, ����t,�� ��" ��.
sole compensation, will tldthe wor , ana the structure is not mtentletl ' �� �
- or'ofleretl"for sale. (Section'�04 usiness antl'Professions"Cotle: The"' ;'SOLAR PIPING.SVS. � 1 " -�" 'T"' '"ISSCIE FEE ' "" " "'- ���r�_„"-�„ - .
.,. ....- . ._.. . �
Contractor's Litens¢ Ldw tlo ot apply to an owner of a pro er[ " ' �'�'�__, �,_ _ -' '' `"� 4
who'builtls'or'im roves't on" antl"who tloes"such'work himself"or� """ -i "'„" �t , '� ; ' B' .� ' - ,a, -DATE�` -""' "'� .
� P . ISSUE�FEE�'-T ;. ; i� ' APPLICATION'APPROVED'BV"""-"""""^" ��
through his own em0�o 5, prOvitletl tM1at such improvements a�e not ' - " ""' "-' ''""
Intentletl o�:o(fe�ed'f Sale:'l/,'however; the builtling"or'improvement- - - � - -' �
is'soltl within one r o� completlon, the owner will have the burtlen MECHANICAL � .PLAN'CHECK,.�. y,4 ?? � .<.',;,�. �.�_� �. . SUMMARV OF FEES;;,r,'tfn�:M +�•.i� .; r ' f
o( p�oving"he� "nol-builtl-Or'improve`fOr the'pu�poie"ut'Sale)' HEATING SVSTEM � ' � BUIL'DING' -"""""""""• ' ^' "�
0-100,000 BTU •PERMIT .�^ $ �'• �!�`G SMIP� 'Y' � $ �'�
❑,I, as.owner.' f..the exclusively_conVachn9 with...AND'DUCTING'- "'^�'-�-"" '"" " "'t"" ' " ' "' ' -. '�^-�'"^"" --"-�� 'i
IiCEnsetl cOntracto� ons ruct the pro� (Section ]044, Business , ' 300,000 +'BTU•- - .pL'AN CHECK $ ' . PERMITIP`,•�r u�.: � � .i•�:,
tracts trom_sucCode:.The_ContractoCs Lice se Law tloes not apply.to. �' - ' � . .'
antlProfessions. � ....,., _... ___.. _ _ . "_'
' an owner bf roperty wh0 builtls or impr es thereon, antl who con-, � REFRIGERATION 0-100,000,BTU ' � . PLUMBING� § •�Q ��SSUAN�E"� `� '�
- h.pro�ects _with_a_contr or(s)_IicesneG. pursuanLto: -SVSTEM� - - - -- � - -- - - �- � -- +-� � � � � , GRADING $ i � �-i
the Contractor'S License Law). . - • 300,000 +�BTU , �� PLAN CHECK $ " .% �� i F tF�t G 1?✓7
� �-1 aT exemptvnd¢r Settion^ - -- B. &'P: C (OfthiS' - -- i . ' . $ '�" ?i; -2 S ' �.
ree� � „ � �.BOILERS ' BTVp�.,, _. f 4ELECTRICAL .��' MICROF.ILM?E �t�'�
son '"PLAN'CHECK��$ "' . . � �; ;�_ "7
SYSTEMREPAIR,ALTERATION • . t �� '!
�Da[e � O • � ' .�.-TOTALF.EE$
��MECHANICAL- .
I hereby certifythat I have reatl this appli atio ntl 5tate tM1at the above EXl1AVST SVSTEM MULTIPLE ' ��`+ $ �'� - LE55 AD- '`� �;� �Y �
' informabom is �wrr - -agree to' o ly 'th'all'tlty antl'munty' - "PLAN CHECK $ ' ' �VANCE PC � $ '- - � '
ortlinances a e la relating � ' n, antl hereby th rize ' �� " , . .♦- �• . S� i �� x, �
represe bf� .city - e n'the above ent netl" , i - - ` . . , ', .
property.fo se ' ' //• [1
Sl9nature� ��-Date ��' ' '(� - 1 .." ' , " `.-FINALFEE.$LJI� �
, 1
' " _ .:.ISSUE�FEE ....�_ ' ' _...-.._._...' ' ' _ " " -. " _ _ ..",.' _ "'.._''
Diivers" icensebr'S5 �" � - . � �
CMF 0865-46 Whi[e-Builtlinq; Canary-ApPlicant: Pink-Ac<ounting; Goldenrotl-Assessor � � • . - � ' , � . � � . �
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• CONSTRUCTION�AND PLANNIN . � - � ' POOL & SPA�' ' ` �.� : ' . i-. �r ��,. ` - � ,-e�rl��
��. � � � Date ylnspectoY` � "'". _ ' � `•-'�'- � ' - -�� . :.n "�Date��� � Inspector�..�� ,
APPROVALS "• � Permit # � . . - . APPROVALS � , �__ Permit'# •'� - _ _ _ _' �
� 1. Temporary Electrical Service or Pole : �, � , ' •, :,.. ;:.; . ; 43. - Pool &;Equipment; Loc`atiori-"� � �:;� - � , L',�' � '-� ��� `y ��
. . ..._ . , .�: -
.. .. .- Soi� ipe-_Undrgrn , c:�� �,-��. �... �' ^.�. �,. . • 'r'. ��:44:,.vSteel Reinforcement"� "' __,.L_..� '.: _., .-� __ ' ', ' . ,! '.
� - - - ._ � �. _ �_._ _ . _ .
. .;. 3., Electrical Conduit Utility_Undrgrn. , _� _. .-._ ' " -"' -"a -. :'. ♦ -.45. -Forms'�' :'-' � . '-.�. """. - -..-_� .. . .-- - .-._..._ __
�"4. Electrical Contluit-Undrgm_'.,,_ ' ..w�"�" ' " - � � '46. -Electrica66ondin ' -" " ' ' ' -"
. g w, i ,• ti<• �.ia.� .• ::ti.
tee eln ofCe� ..�, �:.:.. . ' � . _ • . _ ..s, ^ _ .. �L.' Y � . '`� ;
'.r � 47.� Rougfi Plumbin �& Pressure�Test�.'. -^,.' C- > rti � �' ; ->�i:� • , _
�� - � - - � - - - --- . _ . _ .� • _. - . .. . , . - -
" -6 � Electrical_UFER.Grn . . . � � `... --� � - - - - - -'--.-�.`�_ - . "
t--'' ' � " �:
:.. .,,. -.= ,.46... APPROVALTO GOVER-GUNITE�'•'-" � �. %��- ' '� ' '. 'y
r
7. Footin s � `
{� 9 � � ' ' ' � - � 49. Electrical,Conduit-Undr m ' � �', '.�; �
- , - - - -'. r.t��:' �aa� �e ,�� � 50..:GasoPi e,� ,. . ,. ,. j . .. .
,�;,8: _ _Foundation„r' ' _ p 0 Undr rn, Test. s v`-.: T � � . ��^J �' `�7 .: � �!i' �
; 9... Water_Pipe:Uridrgm=_ _� -- U-'; =',_Y`_ 51.� -6ackwash Lines P-Tra ❑Undr rn..��:t '�.'"�t�-'��._. � ..---..�i.?\�:�'��a� �� '�
_ �_ _ . ., _: . .
� ;10. �Stru_cturalrFloor_SY.stem_.�,�. `•'-� -+� ":�' :_ . .,.�•,c•: .'�52::�:iAPP.ROVALiTO•DECK - �'- \�m.r..r ,ia.,•-� -,�,..�1:,:t•
� ..
i +1. Property_Sewe� Line_&.House'Coririecfion�`_ . ",_ � _ � �:-N :. 53�.-� �BackwasFi &`Rece tor Final.'r":��• �,= " � `� �� � -�. �+ . ,° �'� �
� Street Sewer Connection ' `as ''>"�.,,_`.�' . . •. - .54.- -Hester�& Vent=Final t - .,.�•.�a.{` !s,�...e f �L�. �i.. -"" � � "�
. RougFi Plumbin9----�_'_ y - . - •�'� - - z.....-.. . - - -- - - '- . -•;:,; - . ' , � ,.:.-, .
14. �Rough ElectrioConduit ' - ' -' ' - �-- - '56: 'Electrical=Final` " " - � � ' '" ' �' "' '" ' • � '"' ;�+f �
�• .. . . _ ..�_ ..-... _ _ . _ . .
_ . . ...
. .. __..._- ---•'--- --�-.-.'- • � � •.,i ,:^-:.,-:,�; . , . .'� :
... . .. . _ ...
� 15.. .Rough Electric-Wiring '� � ' -- ` '•' -57:�' SolarSystem-FinaP` � .,., :• �
_. � F.16.- Rough_Heating�&�Air-Conditioning'------ �-:-= - '_r - -.- - ._ -. - - •_-:Fencing &�Access Approva6 �. - , ,.., ; .� - • -� ,.� , ' ' ' � '
' .17.'_Ducts:.in Structure.'_!:-!'-" - � ' +_ ' : _5 .. APPROVED�FOR BLASTERING' � � \ p . �` '>i . . - � �
! 18..' Ducts,�Ventilating. _.:"..-t_ ... � ,;_� + - -=--- t �__. �:. _ '� . . �_.._. . _ _. �c . ... .
; 19. , Gas Pipe-Rougfi"& Test- - °'�" � ' .y �. _ .._._ _ _ . 'P 60. . P00 USPA SYSTEMS F INAL y i` °` e .},� `` � , `. �, ,
; 20._ Roof. F.raming � ' :...�. - ' - --' -- - - " .-- .'.��� . _.._ � - ._ � ... .... . n �.4 �T.]�� .:.c �. _�,r.Uv � :
. .-"� - _'-"�---_ . . _ ' ' _ .
.� „ ,_. . . . . .'. . -_v�. . � �.. .� .:
�21:�•'RoofSheathin - ..� .. . �-�-- % "'- �-- , ._.__._. . ,_, .� �
�p.,, F '
� 22.:; F.iame.and.Flashin '__ _' - _ t_ .t: - - - - �-.NO,TES;.; `- _ ' 'r- ""ts4'�� � ..�F.. �. �. ,+��a-R",�,,,R" �sr°� � , '
23.a�lnsulation 7�.,.,.�. \� - - � _�_ .... . . .----- _. -• � _..__ .. _��;_ _ ':R.y... :.,�, , �
: .(24: {--L:athing & Siding .. . _ __�. � ;T" � ' .__ _ f� --, ._ . jµ, .. . . _ . - -- �-_ . .. .__ . .. _ > . �-" - • e .
:25. j.Drywall.Nailing. ` ,:" .. - - -- - - � , .. . . , �
�.�-.
_ ...._ _ _ .- ,.._ .,-.. •-__.._.. ... - - - - ' ' - .
. � _. .
'26.,.. Plaster:Brown_Coat' _ '7�v�, :.ti�.. - �' .-• ' 'e: ": "- ' ' "- -"...' . ., � . . ... . c, �, . � . . . .,
_ -- - -
� _ . . , .... . .c•.:�i n, ., `
;,27. ' Electrical.Power Meter-FinaL;_"'_:�.i ' '�t. � "- - - -
�' Finai Electric': . ' - . ' .L.. - - - - - - - - - „�.., � . .. � .. . . ,. � � -
�. FinaLNeating & Air Conditioning _ ' - _j,. - . -' • � . � �� • � �' r
30.. Final Gas Pipe Test. ' � � -" ' ' . ' . - � � _ � u.•_- ' . � ' • - � ° t
' - � -- - .�.. . . 2. . .. ; - - -- - �
_ . . _ .. '
_'
' 31. ' .Final Plumbin ' .•: . • .' - . ... . - . .. � . . _ �
__ ..
_
,
- 9'` --�. ...-- ---'-•- -✓.._- _..�"°_...---- � --'-'-..•' -- - -" °'3�:`:.�: i:�,�_o: ;
�:
�-32:� �:Water Service-Final _ ' - \ �' "� - '� . - - ' � `�� " , , `
: :R. 'is � � .�. +,.
� �:33. ..Gas.Service=Final. -- . .,. -� -.�< - - - - � - ,�� s.� ¢,., � .,,�� . .� � � .
u"•y%
�34. Solarpomestio-Fival' �t���t�• � - �A 'a 2� � - � � �'� � `�' -
Y �.i • N I
.. 35. Landsca e S rinklin S stem � ' •�j= ; � � - ' � � ' � • ' ' � " " - -:1 � �
:36. ` Sound Attenustion � � � � � " � • ' � ' � '- � �� � � ^ i ,^. '"'- `
,37. HandicaP Regulations -:.,i �• . . ` ' ' � , . t.o. � : �.�. . • .., � �. �. � . .. � -, - . , .
'`i38. �FINAL ST,RUCTURE & BUI.LDING � � - �t .., . � . • •�^• - . .•�� : � ' ; �;.
-39. �SPecIal�RequirementsCompleted'"•... '. ' -�'d : � � . � .;` . . . . .. ` � ,. � � - ` -,�-�.... � . . ' r. �T
�40..Electric-Release�toEdison--- � - - ..;.�- �,'r`H� . . -_^„�- - . -
�47. Gas Release to Southem California Gas.Co. _ ' - � � - - '` - � �, �,
.42 �CERTIFICATEOFOCCUPANCY � y "� _ . '-_' . •� '� . , .'�*''`'�..'1•._ :':-�'- .,"-� ' .',s
' No Date . , . • _ . . � ' � :t :.r. '�"`.�-.ti.�� _ -�^�1��• ^ a��_a,
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' � � � 774/997 • 2651 213/697 • 9882
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� � CL���i2� CONTRACTORS LICENSE NO. 308348
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I , , CA/%� : CONTRACTORS LICENSE NO. 308348
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PROP. $WR.'LINE � J HOUSE CON.
SPRINKLING SYSTEM
DATE
IRE ZONE VALUE E 6,500.00
TVPE - V GROUP I
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TEMPORRRV-SERVICE-OR POL'E - -
UNDERGROUNO � POWER �
ROUGH WIRING �t.�T M�...:�....�A V��• i
SHEATHING
FqqME r1N� FLASNING
LATHING - IN n 0�
PLASTER, BROWN COIT
STRUCTURAL, FINAL
NEATING, VENT., REFRIC
PWMBING, FINAL FNO G
ELECTRIC, FINAI
9UILDING. FINAL
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. _ COSTA MESA BUII:DING-SAF.ETY DEPARTMENT ��
� P.O. BOX 1200 COSTA MESA,.CALIFORNIA 92626
45'��1�f4' �'�
. For Applicant to Fill in Completely — Use Ink Only �'
_ ' BUIyLDING' � C //� � S�
. . ADORESS •
. . � 'PAfJ • . .
• � ,'4AR30-7G���.;�01557� '=��*�E(}.50
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APPLICATION FOR STRUCTURAL PERMIT
OWNER . � �� � . � ,•��/ � , A.P. NO.//� �(!3U "O
MAIL . . - BUILDING ' (� /_. �,(
ADDRESS' - /�/,� � ' � ADDRESS � !Y i
_ ` � `' ' . TEL. 6�2 � — '. •.
CITV. '' � � ��'r(� . . NO. tj /'C/,3
CONSTRUCI'ION . . .. . ' .
LENDER - ' N= /✓L � �
BRANCH .. . � . �- �� ' . ..
ADDFESS . - . . • � • � .•
ARCHITECT - . , '. TEL. � ' �
OR ENGINEER ' NO.' ' '
ER
9
�e �PERMITNO.-
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jQ.�t�1 �T � . .
LOT C� BLOCK
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' VALUg / ��
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' . . .- , � . .FIRE ' %� . �
ADDRESS�: � '� ' �ZONE TVPE �K[ GROUP
,� " ' � ` APPROVED O
CONTRACTOR ' 8��+' '- � ' � B�' ' DATE
• � ADDflESS . � �' y „ � �. �
'. '' " ' TEL. �QS ZONE NO.OF USE OF N W
D �'/'., PLANS BUILDING/
' .. .CITV . NO. �`r . •
' F STATE .1 CITV ' ' ' VAqDSAPPROVED VARDSAPPFOVED
- � LI0. NO. _� �' Z 97p% LIC. NO. ,�CJ' �� '�=�MAIN BUILDING . l ACCESSORV BUIL
,{,y . SRE � ' � NO.OF BLDGS. . .. (FROM ShTREET)
"' 0. OF LOT , S � �',Z , j� -` � NOW ON LOT FRONT �' V FT. �' FT.
' � USE OF ' - . � ' . -1 ' ` .
EXISTING BLDG. i,EJ ��,F�((G/F' - 'S � T. FT.
_ y J
F �� � Separa'te permits are.required for � ' � �. sioe :/ T. - FT.
�'
� electric, plumbing and heating work. � � ' `��� - � �
�: . .. . ' .' • �REAR ' V FT. � .. ' � � FT.
� W� USE OF BUILDING AND WORK TO BE'PEfiF(7AMED
_ � . F � „y -' �-DISTANCE BET. BET. MAIN & ' �
, q ' - - � ° � MAIN BlDGS. . ACC6S. BLOGS.
' j "F '•� ' ' _ VAR. # - DATE '
a ,X S, dP C.U.P.� ] (� APPROVED _
' � 5 � �4 `� a�L� .
: � . , APPRO E
, � ' � ' - . . . .
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� I'heraby acknowletlga thet I have reatl�chis application entl state ' ` . � - .
y�. that ffie above information is correct and agree to comply with i
� �' all laws regulating bulltling consttucxion,�entl I shall noTemploy ` � � � -
Z any�person in violation �of,the workman's compensation'laws of- ' -
� �, the State'of Califomia. . ., , : ' � , � . .
� n 3 • I heraby certify that I sm properly licensed as a contractor under SQ. FT. =
. the State oi Californie Business antl Professions Cotle, Divtsion 3, - THE AMOUNT�SHOWN.UNDER VALUATION
� Chapter 9, antl that such licenses are In full foFce and effect, or I THE'PURPpSE OF ES�A04SHING-A PERMIT F
�- am exempt from,the provlsions ot the State of Cellfornia Business VALUATION
" ' antl Profassions Cotle, Division 3, Chapter 9. - . PERMIT FEE '$
. � Si natureof }/– . - // r� PLAN�CHECK .$
' . Permittea ���s'/ ��/ /i.✓YG� - ' § ../il ��O TAX $
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Auffiorizad Agent . - ' ' � � ,. , TOTAL PAIO , $
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JOB ADDRE55
��GENERAL CONTRACTOF
�AP No. � �S_(�ply_p5
�INSPECTIONS
SOIL
�GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON
TEMPORARY SERVICE OR POL
DATE
BUILDING PE
iri+� � DESCRIPTION oi WORK Room addition and bath _
TRACT ziAs FIRE ZONE z. VALUE 8 � orn nn
SUBCONTRACTO.R
- UN�ERGROUNO U —POWER'� �' --- -- �"--�"`I—" - � '
ROUGH WIRING 1� /,O•� Hnnfinn nnA V.��.
BONO BEAM � STEEL RE
SHEATMING
FRAME ANO FLASMING
LATHING — IN 1
PLASTER. BROWN COAT
VENT., REFRIG. AND q,C., FINAL /
, FINAL AN� GAS TET n /%� /�Z -�° -
"DT i �.
' .3_T%t O " aa��O01264+� **,ta35.00
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, COSTA MESA BUIIDINGSAFETY DEPARTMENT .. . . ' � " � -
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 , � � '
APPLICATION FOR BUILDING PERMIT �
For Applicant to Fil/ in Completely . �
RECE TE R EIV?�D D E IS ED
BUILDING �� � /� L '- l �L .'�'% .
ADDRESS I
OWNER ��
A.P. NO. IIS — 0.r R ZINO.
MAIL . BUILDING �
Z '.
A�ORESS ADDRESS �
.dU CITV � NC�y2-SIq3 ' TRACT � �S', , LOT BLOCK� �
F, Z '
Z Q CONSTRUCTION . � • . . '. N W D A R P
O� LENDER N M�.� C�i �� ,
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J 7 BRANCH C .
J N OWNER
Q W .ADDRE55 ��8 ry ' : ' ' / UE
mQ ARCHITECT� � �� . : TEL. � SE S �� -
N OR ENGINEER N .
U Q . - . ' ' FIRE � .
w� ADDRESS � ` 20NE � TVPE ' GROUP
d W . . . - APPqOVED � �9 - % >
w Z CONTRACTOF Z� BV .�� �ATE ` �
JO .
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J� ADDRESS � Q ��E ' (/�:
W W ' ZONE NO.OF USE OF NEW
Z= QTV C. �. :"�� � NpL. ��� PLANS �BUILDING E� y-1J
r � i�
—� STATE �� CITY � ��'ARDSAPPROVED VARDSAPPROVEO
N¢ IIC.NO. 6 LI0.NO.p�9 • MAINBUILDING � ACCESSORVBVILDING
� � SIZE � r NO.OF BLDGS. (FROM GLSTREE
OF LOT �� , J NOW ON LOT RONT F /
USE OF
, EXISTINGBLDG. �,�j i�/VC� S ST. � FT.
H SI2E OF NO. OF -
Z NEWBLDG. �S• qOOMS STORIES 1.51DE ' FT.
U EXTERIOR WALL ROOF� , /� '
COVERING S C' COVEPING OG REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED - �
a DISTANCE BET. BET. MAIN &
y MAIN BIOGS. ACCESS. BLDGS.
Q �� • . ,. VAR. # � ' DATE
, O � O 'C.U.P.# - MPROVED
N, /L � 'APPROVED �
Z' - , . ' .,] � " - .
�'
VI hereby acknowledge ffiat I have reatl this application antl state • - -� ' . .
•� that ffie above intorination is�wrrect and agree�to comply with .
� all laws regulatinB building consbuction, antl 1'shall nOt employ . •
� any�person in violation of,the workmen's compensation laws ot
. y Me Sta2e ot Califomia. � � , r � �
zI heteby. certity [haTl am �properly, licensetl as a contractor untler `J SQ. FT. ' T/U( o
the State of�California Business antl Professions Code, Divisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR �-
. Chapter 9, and that such licenses are in full force antl eftect, or I THE'PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am� exempt from ttie�pruvisions ot the State of California Business ,- ¢
�antl Professions Cocie, Division 3, CM1epter 9. , VALUATION �� �_ �
BO 7ERMIT FEE $ �
/ � �
SiBnamre ot - / ' [/ �j m
Permittee �C�fl� �� ��1� " $ 2 % � �F PLAN CHECK $ � E
_ � } �0 `o
Authorizetl Agent � �-5 � LL
:t TOTAL FEE $ /
. �
[
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°J 5�'72 .
.,
COSTA MESA BUILDING DEPARTMENT
P. 0. 80X 31 � �
. COSTA MESA. CALIFORNIA .
�F.EE RECEIVE�
e�ar z i �ssr `� >
FINANCE DEPT.
FOR APPLICA TO FILL IN APPL7CA�fON F�R PERMIT
A�DREI55 8q� /f /T/��-� S%� �.BUILD�ING �� �
� COSTA MEsn. cn�iFORrvin�. . .' FOR OFFICE USE ONLY
��.'1 - FECEIPT NO. PEpNIj�ljy^
OWNER � � % Su� ' ' �r1ll�J
MA'L �'J� RECEIVE� BY OATE RECEIVEO ' ORTE ISSUED
ADDRE55 / � S� �-S 69AY 3 1 19 �
� ' //�J� TEL p� T7 BUILDING
QTV L.L NO.�T�'�/'��S/� ADDRE55 ' -
nRcr+irecr ' - ���c. ' ' ' COSTA MESA. CALIFORNIA
OR ENGINEER � ' NO. � � :�1
FIRE
ADDRE55 ' � - ' ZONE '
l'� CITY LIC. �/ Z��E PLiNS TYPE '/ ,GROIIP
CONTRACTOR �T„[�' �NO:i��U�O I' � //
']v�
TEL. �.y� APPROVED
A�DRE55 ��n� � ' ' NO.- BV ' OATE '
LEGAL ? y
�or 'J � Q CORRECTIONS
DESCRiPTION NO. " S BLOCK 'TRACTJ��+ 0.'1'~, '
A.P. NO. . ' ' � . . ,
OF LOT � I �`�/ Z. �O / nOw ON �ois LJ 1. ., .
USE OF � i � ' ' , ' '
EXISTWG BLDG. . " -' � '
SETBtCK LINE FPOM +� � ' /, � � .
CervieA oF STeEEi �Jb REAR VARO ' }� -
SIDE YARD RIGHT � Z ' LEFT �S / / " '
. . DESCRIPTION OF WORK., . -�' � ' ' � .
, .
NEW - ALTERATION qODITION� fi '
� � � �
REPAIR MOVING OEMOLISH ry '
SIZEDING )/�r% ROOMS � S -STORIES � �' •
/ d
EXTERIOR WALt�.-� ROOF ' � / / . . � -
COVERING c�/U Q COVERING ' �/ +�.�
USE OF NEW�\�% ' �
BUILDING �J � '
W
�
I MEflEBY LCNNOWLEDGE THPT I HPVE REAO THIS APPLIGATION RNO ' .
ST/TE THAT THE ABOVE IS CORRECT FNO nGFEE TO COMPLY WRH 4LL ' '
CITY ORDINANCES AN� STATE LP�NS FEGVLATING BVILOI ONSTRUC:" '
nOrv. � � . / . .. .. VALUATION � .
�� PERMIT FEE Y^+ �J
SIGNATURE OF //1/ O�- ^
PERMITTEE w ' � .
. /'� . $ .� �,� � PLAN CHECK $ �'d �-.
%�/
AUTHOR¢ED AGENT j %' • � � ' . TOTAL FEE $ `j �
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