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Home My WebLink About208 BROADWAY - Building Permits • E r CITY OF COSTA MESA• 4 • BUILDING DIVISION >y„ • DEVELOPMENT SEI1VICES,DEPARTMENT (16B04-02015 NUMBER F t PERMIT J ikTh.ostatoe (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 208 BROADWAY Status: ISSUED Suite: Applied: 11/30/2004 Vicinity: Issued: 11/30/2004 Parcel Number: 42540303 Zoning: Applicant: CRISTIN, MICHAEL ISSUED BY: Address: 10951 S WONDERVIEW DR Phone: 714-871-4300 ORANGE,CA Zip: 92869 Owner: CRISTIN, MICHAEL Address 10951 S WONDERVIEW DR Phone: 714-871-4300 ORANGE,CA Zip: 92869 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF INSTALL 1/2"PLYWOOD, 1-30 LB FELT AND 30YR COMP.SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,475.00 Permit: $83.25 Claim Valuation: $2,475.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Lett 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for 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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 • 2444-48(6W) DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers:compensldon,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed I7 the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that ifI should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED THOUSAND DO.ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Uc,• Class 0 Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit sub cts the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • II 1,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions e Law does not apply to an owner of property who builds or improves thereon,and who contracts for such• oject with a contractor(s) license pursuant to the•. nse Laws.). • am exam•t nder sec. Business and Professions Code for this reason: _s CI re: ILAl Date: ET er ID vedfie t1 !Tj•(:veYZEcense. it: - ❑No D Sap /♦ Expi .5: / o i 0 Verification of• rership by(type of docume t,i.e.-properly tax bill or deed): _ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8.California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: 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 certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No - (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). Does or will n need _.._ materials? No -—2 or will the applicant or present or future building occupant need to file a registration form for acutely hazardous ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greeter than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully compiled with? ❑Yes 0 No— swill-the e_ 5 Does or So the tcAir or present a future building occupant at requirehr for the work which is the subject a Yes e0Permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If ryes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 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 this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No c .__ 8 (If yes-,attach certificate of compliance from the appropriate air pollution-cconird officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: _ CE•• ATE 0' COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is cor :ct. agree . - ws and city ordinances relating to building construction,and authorize epres ntatives of the City of Costa Mesa to enter upon the abo :-•' cn TT-• - I�-•-- rposes.I agree not to occupy or allow occupancy of any building puth zed b this permit until final inspection. ,.. 3U Sign •re Of Legal 0- er(s) 64.-C---33 ` ?te And/or Authorized Applicant Date CODE• g1SPECRON TYPE PATE Its CODE• INSPECTION TYPE PATE MI MLS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing $ 7,/ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place • 220 Final Planning Approval 203 Final Sign _ 222 Final Site 204 Final Demolition 250 Final Building/Occupancy arm • 9 CITY OF COSTA MESA a> 6 BUILDING DIVISION i 4 :y DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Is F 1 vii l PERMIT J !-'�, • P03-00015 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 208 BROADWAY Status: ISSUED Suite No Applied: 01/10/2003 Issued: 01/10/2003 Vicinity: <aifil Parcel Nunmber: 42540303 ISSUED BY: Applicant: ADAM, JIM Address: P 0 BOX 43279 Phone: 800-464-7586 LOS ANGELES,CA Zip: 90043 Owner: CRISTIN, MICHAEL Address 10951 S WONDERVIEW DR Phone: ORANGE,CA Zip: 92869 Contractor: JACK STEPHAN PLUMBING & HEATING INC Address: P 0 BOX 43279 Phone: 800-464-7586 LOS ANGELES,CA Zip: 90043 License: 194130 Arch / Eng: Address: Phone: Zip: License: SCOPE OF PERMIT PLUMBING TO INCLUDE:4 GAS(1-4)OUTLETS. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkfow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS rt,) .i) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 1 r.have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'compensation Insure0ce Cartier and policy number are: /(2 2 X.. 9 - c.92 T artie1 GI-PV Jct vl GL Policy Number: (/ j is section need not be completed it the permit 1s'valued at one hundred dollars($f00)or less.) O I certify that in the performance of the work for which this permit Is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I s id a subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these Provisio //0 Applicant Signature: Date: /rl/q/L WARNING:FAILURE TO SECURE ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIM PENAL ES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100.000) ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under pr tlogspf Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code and my license is in full force and effect.Uc.a_ 1 7 11 ,0 Class x C Z V )Cl G H1 G Contractors Signature: l-�/IA37. v. a4V0 Date: I//(2/(,J CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Dale: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business and Processions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale,If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,wit be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: 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 certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applkant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department, 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes u No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). _ �..._..._ob__c.nstruced._.._der .e.. d.._.._ _..._ _.._ _..__.. 8 Will any part of the lacliiry to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes".the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 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 this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (if Yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si6)dA_Ii .nature• Le. • ner(s) / /Q to And/Or A.thoriz::Applicant ate SOOE F . J�. i' all IKIMALS ND,,t INSPECTION TYPE 12611 21110ALe 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 1—)Y '03 187( 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildinglOccupancy COUNTY OF ORANGE BUILDING DEPT. Permit No 636 No.Broadway Id Permit Santa Ana,California Application for Building 34656/ Phone:KI 2-6211 AND FOR A Certific. .e of Use and Occupancy . /ootc4,S5 ,j. .�, Date---.� 1. OWNER'S NAME. - • /1 /rGLt��^ PHONE MAILING ADDRESS 6 -.ter-z-e a "'0 CITY. 4124 oZrellaM Name Nameaec (Architect or Engineer) _ (Contractor) Address Address -G- JJJ,./�.r F /r d- e City City mr"�'�'' — Lic.StaLic. N '7 e4 an L-. Lic. No Phone Lica . N /Phon . a7 d PROPOSED USE,;/ W`L. fell-,---e4`. /0 e��5f/(/moi , �itedlei9j f 2. JOB LOCATION.... _ .../oM? /"u"e- aLiier "L - (House No.) (Name of Street) (Town or School District), y� 3. LEGAL DESCRIPTION: Lot 'IS Block -_- act...- (Metes and Bounds Description—Use reverse side of form) S 4. CORNER LOT ( ) INTERIOR LOT (4---<- THROUGH 0 4 S OF LOT ( ) 5. SIZE OF BLDG.:.�t , /• AREA:.....re- SIZE OF LOT:. Q/t ZS t---AREA• // r 6. HEIGHT OF BLDG - �.-...r...-__..._......CEILING HEIGHT:..._..0�j / NO. OF STORIES 7. NO. FAMILIES l? t Size of Smal st Bedroom• /2- X /el Size of Kitchen /! /�- S. EXTERIOR WALL CONSTRUCTION: INTERIOR W LL CjjEtc.) GIq. (Frame, Stucco, Etc.) • // (Pla2 9. SETBACKS: Front Yard From Center Line .of Street ,j4459 / (.D� et / Nearest Side Yard ...Rear Yard / Z Distance in Feet Between Bldgs. on Same Lot 2 0/ / 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. r/ 0 11. For (a) Footing: Width Depth in Ground / Width of Wall Accessory /� Bldgs. and Similar (b) Size of Studs-.._ X4' Spacing �' "CC Material of Floor..ae-tcer', ' Structures: (c) Size of Floor Joists' le-e-e'7 "6Spa'efn-g"�`-0'R 'SCC (d) Size of Rafters- '2 77 Spacing 2 f,e "CC 12. VALUATION OF7licOPOSED W2ktK: Including all labor, plumbing, electrical wiring. heating, fire sprinklers, painting and sewage disposal $ .S4 . .r.,�.Vri 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signed (Owner) Plans Filed- ... 17 , - _ 'f, ' _ .,/,,?'J. ,! , : :e -- Zesf.e1te-t!L...:u.— (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: CHECKING BY Bldg. Permit $ e c70 GROUP APPLICATIO ._. .2EALTH Plan Check - $ /$Z7 TYPE RE �7 ZONING__ Total - - - $ 7', G/ DIST. _ MARSHAL Receipt No. q PLANS AND P �C, � l MAP ! SPEC'S STATE .r Paid to - - i� SHEET NO S— CORRECTIONS ENGINEER Date �,. -� VERIFIED CAL • ... 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C __ --L- :±pi- 1ii 1I 1��1�111N11111111�!lIINI 1�1�I-1 - - n . ■■■■.■■■■. 1 ■ ■ ■ ■■ ■ :_ -�,-ITF- , HJ 11111 I : n nIII991 : I1 1 : - n 111■■ u1■■■ U■■ .� ■Nnii _ ■ . . :■■ ■1n■■■ ■■:■ ■ ■ :■■ _�- - iii:u!iinHIlNliiIHhNu1ft: ::1 _L ■ ■ .. pp - 0 __E �_ ■1 1■ . ■ C1.■ ::C:: ■ _ 1 11 1 1 ill :■■ ■ 9■1■n.■ ■■ ■■- ■1 :■ 1111: ■ ■.. ...:.■::::■ :11■ :1 ■.■.■■■1�U■::..1...1. :' . .■ -- -Lf 'n' 1•i 1•: momma::■.::•M:1C::a■ C1:.:■■ k=_r_'...111•• _v .91n19n111111n9111119n 1111111- CI-Hi I iii I I BF 1 PRECISION C( . ._RETE & LIGHTWEIGHT �/ BUILDING BLOCKS and SUPPLIES - > ®C K CO. 8042 KATELLA AVENUE 2320 SO. MAIN STREET STANTON, CALIFORNIA SANTA ANA, CALIFORNIA Phone JAckson 7-2239 Phone Kimberly 5-6822 1 ok-oebaok-e--4), o „OL__ 'i -Ponvi e of t7 ›.7., (Bock ‘4 u Fe,- 0-4-s /rite d egn-el o b kti 7W vy wet t -4 Vim// Jv✓C o •e �( te- a. - /9 - c-, • • • • • February 4, 1959 • • • Mr. K. Bodenhoefer 470 Lenwood Circle Costa Mesa, California • Dear Mr. Bodenhoefer: An inspection was made of.the premises of, or controlled by you and located at 208 Broadway on February , 1959. The inspection revealed the ollowing violet o s of state and local regulations: 1. The in tallation of a oor furnace without ben it of permit inspection and with a d fective venting system, Section 16900 State Housing Act and Uniform Build g Code, 1955 Edition. Installation of a hot water heater located in the bathroom without benefit • of permit or inspection, Section 16900 State Housing Act and Uniform Building • Code, 1955 Edition. It is a requirement of this department that the corrections be made immediatly and the proper permits be obtained, also ' inspections be made prior to the use of the appliances noted above. Very truly yours, A. J. VOLZ &UILnINO OFFICIAL Dy: Dale C. 'Litchford Deputy Building Official • DCL:em • R.R.R. y