HomeMy WebLinkAbout3025 DEODAR AVE - Building Permits�
�DDP650F8NL0010: 3OZS UEODAR AV
ONMENSNM/EIFqqWN: DE FRENZA, ANTONIU TR
��� 2930 WINDWARU LN
' NEWPt�RT HEACH,CA 92660
261-8805
�vv�. �,ma«+�oo�ss
urcxrtEcr on v+m+�n:
coxmacrarswu¢ CIRCLE CITY ROOFING INC
CplfPACfORSY41➢l0 2670 NORCO DR
uc xo.:
u�: �.� � CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; H 084967 PLAN CHECK NO; N
UM:
(909)736-5252
.nox�ss NORCO CA uano: 674814
917 b 0 uNr:
110ENSED CONfP�RORS DEC�AN�TION: I henby tllim udar pero�y d pe�pvy Net I em Gcanaed uda prmi�oeu (d CMqr 9
(cwnmerrm0 �th Seciion )000) d Oiwion � d tha Budron eM P�Mme'vu Code. eM mY 6�ene a in hdl brte md eflrf.
cmuc.No.:pb 4z uc.cuss: C 39 �°NO' 4814 : 06/98
Gy
ome: �b / / cowmn:
OWNEH BUILDEN DECIARATON: I lweby dfirtn uMs penNy d perjury �hat I exemq Imm ihe Cavrecon liowe lew fa tM
�1loxip �seaon (Seqian ]rot S Busiim� rd Ralmvona Coda: MYW a awNY W� �eV� e G�u io mubw. Mr. impw+.
md"ah, u ropei erty suunurs, p'v �o m eaeMe, eL+o �epu'vm ihe eppliram ta ach pemm to fYe e eqned etetmmW tlW M a eM
. licamed Wn�� to ihe prwirima d iM CaMredon limme lew IChaqm e(�menefp wn� Setlun ]000) a�+'oion J af Ihs
Butl�ren enE Rdmbna Codel «tMt he a ehe b eump �tselmm enE tM bevs la Ne elbped examqian. My vcWun d Smion
)03t.5 by eiry eppirer�t tn e parmC wbjm+ ihe epyiceM to a wi penally d nal maa Uun frva huM�ed do0en �5500�.
❑ I.moxrndiMpopeMa�m/emWoMnwlhwepa+olMivobmmM�.wlldoNsxoh.ardNemucNn6naliMeMed
or aRareE fa eeb (Secfwn )OM, Buviiav erd PMeaeion� Cole: TM1e ConlraGae Limnee Lewtloae �w epply�om owmrd p�opMy
wM10 Wida a in0�� IMrem. uM Ma Eoes ��ch v.pk limeetl ar henetl u ihraqh he a hm own amV�Wbe. p�ed thel a li
imPa+mrm era nol iniadd a dMeE la veb. tl. Mwavar. �!n buitliM a inqwanatl u wld w4M one Yw d mmWe�ion. tlr
owr�erduilder will hm tM Euiden d povirq M or 4w did m� MriM a impwe Iw tM qvpna W eeb�.
� I. m or.rwr M iM poVeM. em eRtlwiveN conirw>q x'Vh IicroseE mnVectae lo mmirud IM D�ol� (Soqion ]041. &niere aM
Prdemone Cotle: The Gontream Licanss lew does nd epyy b en owner d p�opMy xM builds a impwr �he�aon ud rAn
mroena 1« aM yqetla wilh a maeeaor(e) Ir.anaeC Wnwm �o IM ConVadas liorae law).
� I em examq under Sectian: B. 8 P.C., M thie reeeon:
om.: u.,b.: _ . .
1 Eo �ereby cenily Nm I em ewere W eM wdenteM Ihe rpuirsmenb d Cdiwnu HeeXh eeM Sdery Code SeUbm 25W5, 255b, eM
255�4. enE Ihet I m eny Mura WilAi1q ooa�pem xill / wil nM (dreb aro) neeE lo compy wYh eaid ne�a mdee ud IM rpuiremenb fa
epartnnlammuuctionamoCificeiianhamlMAi ue�y erepemeniDimria.RmiEemielmmtructoneppf�eliame�eaxemqfmmtMn
parizma.
o�e: nvoi�em:
WOHKEH'9 COMiENS�TdI DEC WI�T10N: 1 heraEy efNm uMx penMy d prjwy ans d Iha Idbw'vp dedvatiom:
� I here arM hil mantein e tt�Acve d coneenl to seHimvn Iw warkeie' canpeme�bn, ea prwkeE la Ey Setlion 3)00 d IM Leba
Cale, la tM perlormar�ca W iM xak la which thia parmu le imued.
�J inw.d,d���i�wo�w«.�o.���,,.z,.a.�w�.dMs.a�a�aodms�m.coa..oameo�d�.am.
work ta xfiich iM1is permn ie inueE. MY ��+A �Oe�� iro�raze ran4r ud pd'v.y number ve:
c��: AMERICAN �MFGS EXPIRES
Pdiy Numbs: ATi�d'�T�' 0 7/ 2 4/ 9 8
(This senivn need rrat M romckleOl tM 0�! ia M ms hurNied EMen R�aol n Na.)
❑ I cenM ihel in Ne pmlomurce d iM wwk la xfiich t�ie peim4 ia ueuM. 1• I ml emplvy arry pmm� in ury menMr eo av lo
Eecwro a4m �o ihe xoekna' wnpen++�ion lewe tl CeNaMe. enE Mt Y 1 ehauk becone wqy'��a ipy tM xwlmn'
cwnpmsq ��� 9roo a ine lmo. com. �.heo �ony yy�.�m+�/ !/ //
� �i".''=
Ove: ApqceM:
Wem/np: F�9un ro ucun nvr.t�n'rorrpw�wtlon rov�nW Is �mYrN( W s � I ubMct an �rrploy�r ro alm'rW p�ultlp uM
clHl Anu up ro wro h�nerM tlauxM OWhn (S104POOA ��Itlon ro tln cwt el ronpr�utlon � u povWM ror In
Sxtlon D]OS o/ Ms La4orCaA. /nfwul. enC ettomry'a Iw.
CONSTFUCTION IFNpNO AOENCY: I hraDY dfi�m uMx perotlY d pxjry Ihtl Ihas "v e mw�uaion bMinp ry�ency Por iM
DaAormance ol �he xoM tar w�idi �hc W�i u eurA (Setlion 9091. CH. C).
LENDEP'S NNIE:
LFNOEP'S AOONE54:
I C6N�Y �11BI � �19N IBBd I�W B��W 1110114 YtlG I� I�M BbP'! III�IXTNI011 O CIX1W. � GDIGG �O Cq11V�V WR�I G� fI`/Gfld NIIM`/ OI�YINId�
eM eW e IeMe reW ip lo Wik�p consbudion e�d herMy eNAw've nprmnlmives d Ihu tityto enlx upan IM aEwe-memcned peopen�
In un0adion W�WMe.
RAY RIKE
�
om.: �6 � �
gewura d Oxnar/IpenVAppirantiGorurmar
(515fd6.WP) WlNa-Buik�p 8 SdMy; drwn-Fb: Cuury-App5�'ent: Pink-Rs.emr: C�ddavo�Aum
PERM NO: B G849o7
GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF & REROOF W/BUILT—UP SQ FT: 7,750
CLAZM VALUE: 7,750,00 CALC—VALUE: 7,750.00 GROUP OCC: B /
COMMENTS: REROOF 9100SF "MONTESSORI SCHOOL" W/HOZLT—UP
ik iE jE iE if iF iF if if i("N' iF 1f iE iF if iF M if K if if if ** jE iE iF �f iE �E ik iF if ik if iE iF *�F * i(� iF if i(� iF iF iE iE iE iE iE i@ �F if 3E if'�E iF iE iF iF iE if if dE 3F IE iE iF 1E iF 3F if 3Faf if')f iF
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEET: FT IN RGAT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13920217 ZNE: REF NO:�•:��
PLANNING NOTES>, .�',.
.�
iF ik if �f iE 1! iF 3E ft iF if iF fF 3F if iFM if if if if 3E'k �E iE iE 1F �F ff iE fE if 1f iE 1t �E iE 1F iF iF iE 1E iF iF if iF iE ik �t if if iE it if iF if it iF �f 1h �F ih iE �F fE ih if �E iE �i aF it iF if if �f iE if �1E
D E V•E,. L. O P M E N T S E R V I C E S R E Q U I R E M E N' T' S
_L �
ZONING APPROVED BY DATE;
BUILDING APPROV,ED BY ; DATE: —�
.% � p� � �
APPLICATION ZSSUED HY: >-1�ffi DATE;
3hafaF3F3kiFiFiFik'7Fil�ifkiFiF�lEiFiFiFif'st3F'i�'�'3i�iFiF'1Fi�iFiFiFiFiF��F3F3F�±F3FiFiF9F��±Fif�FiFiFiFiFikifif�ifiElFiFiF3E i(�1E
LEGALIZATION.:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 137.25
PLAN SMIPiN63—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 138.88 0,00 0.00 138.88 138.88 .00
REVENUE DIVISION TOTALS--> CVLLECTED: 138.88 OVER/SHORT: .GO
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
137.25 1.63
iE iF iE iE 1E iE iF 1E if iE if� %if if if iE iF iF ik iE iF iF 3F if M ik If !f 1f'1F if iF'1f jF * iE iE iF * iE iE iE i(� 3f iF iF i'r iE �f iF 1f if if if if if if iF fE 3fjiF iE ih it jF if if iF iF 1E 3("lE jf if IF 1E �E iE �1F
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 R I P T I O N UNIT COST TOTAL COST
SFC 7750 REROOF HY VALUE COMMERCIAL NOZONE 1.00 7,750,Ot�
END OF FEES
IB-81-1997/18s�1 pM/�13S.ge
PERNI T�sT98qg1�
.�__
CONSTHUCTION AND PLANNING ., PO' l SPA
APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector
7. Temporary Electricai Service or Qole 52. Pool & Equipment Location ��
2. Soil Pipe-Und�grnd. . �, 53. Steel Reinforcement •_ ,' j
3. Electrica� Conduit Uu���Y-Undr'�rnd. 54, Forms i' f�
�4. Electric8� Conduit-Undrgr�d. 55. Electrical Bonding ��
5. Steel Reinforcement 56. Ro�gh Plumbing & Pressure Test `
-'��6. Electrical UFER GFnd. 57. APPROVAI TO COVER•GUNITE
7. Footings - 58. Elecvical Conduit-Undrgrnd. �
-8. Foundation _ � 59. Gas Pipe, � Undrgrnd., Test ��,�
.9 Water Pipe-Undrgrnd. �� ' 60. Backwash Liney P�Trap, O U�drgmd. �
10. Structural Floor�System �,�� 67. APPROVAL TO DECK �-;•
. ,
11. Property Sewer Line & 4ouse.Co�l+nection 62. Back�vash & Receptor•F.irSalr� �
12. Sewer Cap ` 63. Heater & Vent-Final ! '
13. Roof Drains _ /� 64. Plumbing System - Finai �
14. qough Piumbing, ,� 65. EI>ctrical�Finai �
i
15. Rough Eleccrical-Cor�duit 1'=�� 66. Solar SYstem�Final f^ �
� '�
16. Rou9h Electric Wiripg � ' 67. Fencing & Access-ApprodBP� .
77. Rough Wirin9 Sign �! . 6$. APPROVED FOR`PLASTE�flING � �
�
18. Rough Electrical�T Bar Ceiting t � � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ' ��: _ F7RE EPT._[iEQUIREMENT ,
' �,�- -
20. iiough Factory Fireplace � F� �� :. 4- APPF�DVaIS;, Pe2mit #� �
,r . � -
� 21. Ducts, inStruCture� � •• •• - � = � ' • -� 70. Undergravnd Hydro '
22. Ducts, Ventilating"' ' �_ _. - �' � � •
y i.. . 71. Produci Fjipin� Cl Gus Q Oil
23. Gas Pips��tough & Test ti ' " - 72, Underground Flush - ' -
24. �Roof Framinf I �_ " ' " ' � _ X �k ! 73� Undergriid.Storage.�iank OGas ❑Oil
25. Roof Sheathing : . % �B/3��-�%�L',� , 74:�Overhead Hydro � -
26. 7-Bar' Cei!ing (Scructurall & 1416do2oat ,: j �. 75:. dry Chemitat _ � �
27. Frart�e and Pldshing. •_ � r, � 76. Ory Star�pipe� . p h� �
28. Lathing SS Si�ing .�" '_ �= - "' 77. FIXED S°�STE(vxf INA�.
29. Insulation • � �• � � i+, 7S fiRE PREV, fiNAL � - "
30. Drywall �Vailing A _ � :. � �' ;HEALTH DEPT. REQUIREMENT
37. Plaster 6cown Coat �- .. i 4*. • 79. FINAL I.NSPECTtON 4" � _
' 32. ElectricaGPower MA{er�F4ral �' 8(� FOOD CERTtF.lCATE ISSUED, -
*� �. - .: -. � � ' -
33. Pinal Electric� � F Notes: - � ' -++
34. Finai-He'�ting & Aii Condi[ioning - , - - � . �'
r -
35. Final�Ges Pipg:Test � . � . � - - -
� , " �,,
' 36. Hood or Canopy - - ` " '- �- ' ' "
A l• 1:
; 37. f.ina7.Factory Firepldce . ` �� i .� . , r� . V ':�
38. Final Plumbing � � � . � , r - ---
�',
39. Water S¢rvice�Final � , �, - ` . �_ , '
, 40. Gas Service�Pinal � - � ' T' ' � -. -s •
_ ;
41. Solar pomestic�Finai ' �' ' ' , �� � ,
« : ._ .
42. Backflow Preventer . � n = - + ' -
�
. 43. Backflow Irrigation � , ' , � ; ,
d4. LandscaPe Irrigation System ' ' Y = � ' ' ' �
45. Sound Attenuation ' ,. � . � �
46. Handicap Regulations � � - ' � , � " pp
47. FINAL STRUCTURE & BUILD�NG /%B��f( • � aw
�. V ..�.�
48. FINAL PLANNING � - � • s� •'
49. Electric Release to Edison ; - ' ��m
50. Gas Release to Southern California Gas Co � � . - • ;;� �
0
51!. CERTIFICATE OF OCCUPANCY � � ' �_ m6,'�
No. Date
Y
EDWARD J. NELANDER & ASSOCIATES
2372 North Glassell Street, Unit H
Orange, California 92665
714-998-2560
Ja�ivary 2G, 197G
Job iJo. 7G-107-Z
James E. ;tizcll 4 Associates
445 I:. Seventeenth Street
Costa btesa, California .
Subject: Pre-school i3uilding
(13uilding Pad Oiily)
3121-23, 3025-27 lleodar Street
Costa blesa, California
llear Sir,
This letter is to report tho results o£ t',ie density tests
performed durins tlie graclinfi of t}ie above:mentione�l project.
� ♦3t
The Lill ti�as comPactecl a�ith a smooth lrun vit,rating roller to
obtai�i tlie required relative compaction. 'f']ie cletisity tests ti���re
tal:en in aceorSance i��ith A.S.'P.PI. Test Piethocl li-1:iSG-70'l. 'ILe
tests were comParea to the maximum deusity as cletermined in the
laboratory in accordance ti��ith A.S."1'.;�i. 'I'ests i�icthocl L-1557-70"I'.
'I'1ie results of the density tests' are presentecl ou the attach-
ed "1'ai�le of 1'est Results", witli t}ieir approximate locations s:ioiy�i
oii ti�e attacliecl Plot Plan.
� It is recommended by tliis firm that thc suLgrade be tlioroug'i-
ly iaette�l, prior to tlie pouri�ig of the concrete slab.
If _�ou liave any questie:ts, pleas2 do not tiesitate tc ccntact
this firm.
LJN:UIfP:bJY
, .,
Very truly yours,
I:DIVARll J. YIiLANDIiR Fa �ASSOCI.�TI?S
Edw� �:Jer� er
Presilent
���. �'�
,�3via ��. Pylos
' R.C.L'. k24��34'
n
�— 36�
�
�E-19 '
�4
Buildin�
Pacl
I �
I �3
L7
�
�
t7
— � , �o � I
Scale: 1" = 20'
Approximatc 7'cst
Locatio�is: �
Jo� Pdo. 7G-107-Z
,
-I —
Proper
Line
I
�
� �
TABLt OF TEST RESULTS
Test Test �adg.
- No. Date c1
1 1/2?/ "
� ,� ��
�
3 �� ��
4 1/23 "
� �, ��
Elevations Opt. Max. Field Field 8
Test Nat. F.G. Moist. Dens. Moist.Dens. Max. Rmks,
98.4 100.0 100.0 18,8 105.G 1S.3 104.0 9�.� Footin
�� �� �� �� �� 13. 7 103. S 97.9 ��
" " " " " 15.3 9�.4 �0.4 f;ative
100.0 ---- " " " 15.9 95.0 90.0 Fill
�� ---- �� ,� �� 15.3 94.9 90.0 ��
Job 6 LocationneFrenza ��-1���` Field Technician�'. �elf '
• 4(�6t !'f � nC.T-?-75���=00 ?F9'� *xn1R6.7�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
AP C ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECE ATE RECEIV D TE 1 ED
BUILDING �� � � � _
ADDRESS
y�—/��)� T
OWNER {�.�py�,tr- ^^-�-,/' A.P.NO.I '�Z�O2
MAIL 1 B BUILDING I��
ADDRESS o+�p • r.�s�+�.^[ �+DORESS �JZS �
CITV � � NOL �G TRACT �I LOT�� BLOCK
CANSTRUCTION � W
LENDER �
BRANCH
� OWNER
A�DRESS � B�� /J � � VALU$ �
ARCHITECT / TEL. LJI
OR ENGINEER
� � FIRE 2
ADDRESS ZONE TYP GFOVP �-✓
i APPROVED
CONTRACTOF BY DATE '
AODRESS"T �� � �
TEL. /�S ZON NO.OF IJ USE OF N
CITV 4z�'�J NO. � P�� C�- BUILDING �SC L
F STATE CITV �'AFDS APPROVED YARDS APPROVED
� LIC. NO. LIC. NO. MAIN BUILDING ACCESSOFY BUILDING
{ii SIZE �ao,.�iao.' NOW ON LOT (� (FRQOn�M C L STRET?) FT.
d OF LOT jF
a USE OF
� EXISTING BLOG. � 5 � FT
y
� Separate permits are required for L SIDE �FT. FT.
e]ectric, pWmbing and heating work.
WREAR � � FT. FT.
(.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANGE BET. BET. MAIN &
QQ MAIN BLDCS. ACC6S. BLDGS.
'� d6I� d�....f_ ��� G URP. �`�� /�E�j. APPROVED O' W�
a
� APPROVE J , �2 (_ �/
�, -�c.a b
W HOLD FOR PECI L REQUIREME o
0 I hereby ecknowled0e t�at I heve raetl thia epplicatlon enG ttate
N �
y� thai the abova Informetion Is corract antl aprea to comply wlth m�
�+ ell lews reBuletlnp builtlln0 conttfuCtlOn, antl I ihall not employ
z any Derwn In vloletio� of Ma workmen's compenaation law� of o^-
5 the Stete of Celifornle, m�v
3 1 he�oby emtlfy t�et I em proparly Ileanmtl ea e contractor untlar SQ. FT. rv
tha Steta of Callfornie Buslnao antl Profauions Cotla, Dlvidon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m f
Chaptar 9, entl that sueh Ilcenees are in full force antl elfact, or 1 THE PURPpSE OF ESTABLISH�NG A PERMIT FEE ONLY: "�
am exempi trom the provlalom af the Stata at CnlUnrnla eualneu y
VALUATION PE0.MIT FEE 5
end Profes5ions �����On 3, Cheptar 9. m
� • � PLAN CHECK E O�O ^��
SlBneture of ��:C� � � / o
Parmlttoe �"`�^ �/ - m`� $ ��OoO LL
� TAX S � f
u
Authorizatl Apant TOTAL PAID E
F
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Onjy
OWNEP4�.SL��^� �.."�' �i`-'v�
MAI�
ADDRESS
TEL.
CITV NO.
CANSTRUCTION
LENDER
BFANCH
ADDRESS
AfiCHITECT TEL.
ADDRESS •
CONTRACTOfi
ADDRESS
TEL.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and hea[ing work.
USE OF BUILDING AND WOfiK TO BE PERFORMED
REC
BUILOING
ADDRESS
TRF
APPROVED
ZONE
PAID �iY'kbZ77.��
JAN 2fi-76cas^�0 930 0
FOR STRUCTURAI, PERMIT
DATE RECEIVED D TE ISS EC
7_ �r._-
VALUE
DATE
NO.OF USE OF NEW
PLAN$ BUILDING
'ROVED VARDSAI
ROM GLSTRE
DISTANCE BET
MAIN BlOGS.
VAR. #`
C.U.P.�`-
APPROVED
BET. MAIN &
I haraby ecknOwletlpe that I �ava �eetl this application entl stete
that che ebova Informetion is correct end epree to comply with
all laws reB�leting bulltllnp co^rtruetion, antl I shell not employ
any parwn in vlolatlon of Me workmen's eompensation lawz oi
tha Stata of Californie.
I haraby cartify thet 1 em properly Iicencetl aa a conirector untlar SQ. FT.
ihe Stete ot Cellfornie Buslnesa entl Profeuions Cotle, Oiv(aton 3, . THE AMOUNT SHOWN UNDER VALU
Chepter 9, and Shet such Ilcenaes are In lull torca and affact, or I THE PVRPOSE OF ESTABLISMING A PERI
am exempt from the provlsions of thaState ot Cellfornia Buslness VALUATIO j PERMIT FEE b
antl Professions Cotle, Olvision 3, Chapter 9.
PLAN CHECK §
Slgnature of ///
Permittae $ /�A TAX 5
Authorizatl AOant / TOTAL PAID b
N
n
m
i
m
m
N
IS FOR m
ONLY: �
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• �
n
0
LL
f
U
_ , 42390
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
� BVILDING � . _ _ .11 % _ �
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OWNER �. /C�Q /� �i�/✓�C�
MAIL S�/nG -
ADDRE55
� / TEL.
CITY %%niY./ �n �'!.2 NO.
BRANCH
ADDRESS
ARCHITECT
ADDRESS�� � ��J�f�S C�• /�i.
CONTRACTOR ///� z!%�/ � �SS� •
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ADDRESS .lL�� � /,L�{,. S�
/ �f /F
cirvl %pS7�•j /�%/. sY/ No`'
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STATE CITV
LIC. NO. 5 LIC. NO.
SIZE NO.OF BLOGS.
OF LOT NOW ON LOT
USE OF �)� �
EXISTING BLDG. /'f�v �S/Y?t!J
Separate permi[s are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PEflFOFMED
G(j�� /J-LL..
��G F G.�? N �
BUILDING
ADORESS
OWNE
FI
ROVED
PAlu
nq 30-76�„<-�0'494fi �*tr *4Q.10
FOR STRUCTURAL PERMIT
DATE RECEIVED E SUFyG
�� '
.... _� �' PERMITNO.
VALUE
TE ���0
)� NO.OF USE OF NE�W
PLAN$ 2 BUILDING�,
VAROSAPPROVED VAROSAPPROVED
MAIN BUILDING ACCESSORV BUILDL
ROM GL STREET) _ . _
DIS7ANCE BET.
MAIN BLDGS.
VAR. qW
0.U.P. qW
APPROVED /�I
I heraby acknowledBe thot I heve read this opPlication antl state
that ihe above Information is correct nnd aproe to comply wiM
ell lews repulatin0 building consttucUon, antl I ahell not employ
eny oarmn In vlolatlon of the workman's compensetion laws of
the Stata of Calitornia.
I hereby certity that I am properly li<ensed es a contrector under SQ. FT.
the Stata of Californla Business entl Profeaions Cotla, Division 3, THE AMOUNT SF
Chapter 9, entl that such licenses are in full forca antl atfect, or I THE PUfiP06E OF
em exempt from Me provlsians of the Siate of California Buziness V ALUATION
antl Prof¢ssions de, Dlvislon 3, Chaptet 9.
SlBneture of' ��r A S� � ( � �
Permittea � $ ����
BEf. MAIN &
��
n
m
i
m
m
N
VN UNOER VALUATION POR m
'ABLISHING A PERMR FE NLY: �
PERMIT FEE S e
♦ �n
m
PLAN CHEGK S "�
0
TAX E O LL
�
u
TOTALPAID E O�