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Home My WebLink About472 COSTA MESA ST - Building Permitsy �oonEssoceunuric: q7? _COSTA M S�' �T . ax�asn^�EiFroav,T+: BiiAF1THEN, ARI�J �� u:472 COSTA MESA ST COSTA.MESA,CA _ 9"1627 �nri. �uura wonEss: NCNIfECT OR EN(iNEFA: YiCN.ORENO.'SADDRESS: CONfN.�CTOR5NA1� camucroas �uuxc �ooaess . ... ._UNT: .. . ,...`«. �O—�/. ua xo.: ' UNT: uc. No.: uxr: LICENSEO COMPACTOXS DECLANITION: I Mreby eflim uMx penelly d perjury ihm I em IcenxA uMx poviebne M Chepx 9 (cammarian9 v.ilh SecWn ]000) d D'rv'vion J W iM Buarca ud PMeaeiona CaEe. eM mY limva e in IuA biee md W W. cm uc. No.: uc, cuss: uc. No.: E X P: - i om<: com�aa: I OWNEN BUILOEN UECLAfl4TION: I hnaby tlfi�m uMa pene�y d p'ryry ihet I em e�emq ham iM CaMretlaa licwe lew la IM Idbwig remm� (Sedion ]W 1.5 Busiess eM Prdmsiona Code: A�ry ciry a munry whidi reQuirea e psrmA �o canelriM. Mx. impow. � �amol'sh, w repei eny sVuclure, pbr b ila wwerce, ebo requirea the epplirant for euc� paimX lo fib e ey�d aletemsnl the� M or eM � licensed W nuem to iha po�an d IM Coniradora Licensa Lew �Chepter 9(oomme�n0 �h Seclpn )000) d 0'vuion 3 of the urima erd Rdettiona Code� a �het M or ehe is exemp thseleum uM the beaie la �M dbped mmmplion. My videton d Setlbn ]031.5 by enY a0d� tn a permn subpcta IM appliceN �o a rnM panelly d �wl more than liva hundrad Adlan �SSOpU. { �] �.avowmrdinepeowme,mr�Ww�a�•vnwap„m�ne:edeounv��.��eomexwk.enau�e.aw�n:nalmended w oflered br ede (SMion ]046; Buairov end Proleaeione Code: Tha Coniredon l'xerae law Eme iwl eppyto en owrierd propairy who butlEe a improvee ihareon, end who Eoes such vroM himseM a MnaM «throuph ho a har own empiqeee, pmvided Ihel wch improvemenb ere M iniaMed or ollereE lor sab. M. Irowevx, ihe buikirq «'vnpovemeM u sold wi�hin are yeer al compbtion, tM � owmrbuildar will heve IM Wrden d po+iip M or ahe d'd rwi build w impaw Iv Ihe WR�s d eebl. ❑ i. � o�� a ma wwam..m a.a�av �m�a:,a .nn iK«,�e �o-.ae w� m. wasa csaa� �o.�, a�.�....�d � F Prolmmme Coda: TM Conirmon licen» Lew Eaee M eppy lo oxire d pr e xiro budda'a imqwm ihseon aM who cronvecte M euM Orol� �Ih e conlrmor�s) Icensad pureuanl to Co ed eme lew)� ' l O.:' �7Nr ✓�� e.a�.�«� � �::` —..r�� 1 a I da hereby cenity ihet I em ewve d uM mMaretak Me requiremama W Celrtania Meellh eiM Sefey CaEs Seabna u5o5, 25593, enE I 2553a, end ihet I n eny INure builEinp «wpeni wiil / will nM (drob one) need to compN �h eeid �e mdu vd �M rpuiremmro for eparmitlaooneUuctionormodifi�aionhantMR'raueT�y ariepementDietnd.RmNenlidcanMrudionppimtiamenexemqhomtlim� ,.�s�,. i ove: nvd� WOPKEP'S COMVENS�TION DECL�FATION: I MreEy alfirm uMer pendry d pe�jury oiro d ihe bllowiip Eetlerelone: � � I hew aM W meimein a eenifrae d eauanl to aetlieaure f« xakeis' wmpenWion. m pwitled lor by Seabn 9]00 d tM LeEar � Gade. la the pMoemenee d the wak la w1Yeh ihie pamn b iuueE. ❑ � n.re end xi� meimen wonmrs� oomro�.mion IruureMe. sv rw�vne M seaia, slao a �ne tabo. coCe. iar �n. w�«menm a �n. wak Iw wliich tM1ie perm� ie iauad. My wnkera' mmpenaetian imurarice arrier eM poliry number era: c�.�: F adw N�mne.: is .maion neee na m comM�ae r rne w�e is rw orro nune,ee dwbn R+ao� w hv.l � I ce�ty Ihel in Na peRortneMe W iM xroM fa wTkh Ihis peimn ia iewed, I e1Wl M ampby any pseon m any menna eo n to nxome e�nim �o ine won�re• c��w�o� ie.e d c�na„�e, e,w earee mm n i enoub exome euqea �o me waimn• � compenulion pmviebna W SeGion 3]OO W iM Lebor Code, I ehell fMhwilh mmpy wnA �Ima provieiona. '' oae: �ow�: Wemlrp: FeNun ro sxuro worksri rompwuetlon rovlreps Is unlawlul, antl Nsl/ wb/�ct an emplryx to cNMixl poneltlu eM . clvll flMa'p ro ons himJretl MouaanC JO/Nn (Sf00,000), M atltl/fbn ro Ms coat al rompemaflort tlamepu �� provMeL br In Swtlan JRI6 0/ tl�s lebor Code, Inta+aq aiM ettornsy� Isu. � CONSTfiUCT10N LENpNO AGENCY: I MreEy alfiem �Mer peneMy d perjury Ihet Ihae b e wuvueion Wdi'p pmry la tln � peAormerce d Ihe xwk M whi h �h'v paimi ie ewed (SeUion 3091. CN. C�. � LENDEP'S NAME: LENDEH'S ADOPESS: I cenily thet I hm read Nia epplireiion eM pele IM1m the ebave inimnetbn ia wrred. I apiee 10 canpF/ v.ith all tlry erd mumy adireiKw uM ste�a bwe rebt^9 M WJd�6 �^�utrWian ard hereM aNlwr¢a nWa��e�rvas d �M tltY M mter uVu� �M ebwe-men�unetl qopMy i«mao��w�o�s-A BR HEN . . �' �/Pnn b� Ome: �Y� �"7 sw�d�„ a erlRpeM/App4ranVConlrad« (5151d6.WP) Whne-BuiN'np 8 Sele�y: Green-Fla: Cenery-AOd��I: Pink-Rwenue: Gddenmd-bmmor �. . , . . . , _,CITY ,OF.COSTA MESA _-_B.UILDING,f�.ERMIT_, • - i' PERM NO: P 08057 �, . ERMIT NO: P 080679 ,. PLA�I CHECK NO: N. GOC�T: N SUPP; N ONSTRUCTION TYPE: •PERMIT TYPE; PLU ,.. FURPGSE: OTff OB DESCRIPTION ._.: REPLACE SHOWER 6 GAS LINES SQ FT: LAIM VAI�UE:__�_, CALC—VALUE: GROUP OCC; R-3 / OMMENTS:_NO OTHER WORK AUTHORIZED BY THIS PERMIT +f�+�**+�**+�*�x+��c � ��***jt*it+titx�*******�t***�at***ar*�r�x-�*x�**��**�r*�-xtt*+e+t*fe***at�r*x-�tft 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_BUILDING ---------- --------- ACCESSORY HUILDING --------- RNT: FT�_,�_IN REAR: FT IN FRNT: FT , IN REAR: , FT IN EFT: . ' FT_ ____IN RGHT: FT IN LEFT: ; FT _� IN AGHT: FT IN ARKING REQ; _ PROV: PAACEL: 42632205 ZNE: REF NO; LANNING NOTES>Y ' � � � if ik 1f if 1f 1E 1F if if if iE IE iE iE 1E iE iE 1E 1E iE iE 1E fE 1E 1E iE iE iE iE iE if if if 1E iE 1E 1E if iF 1E 1E 1E 1E 1f 1E iE iF IF fEiElE iE 1f i! iE iE 1E 1E 1E 1E 1E if IE 1E 1E �E IE iE 1F iF iE iF iE 1E if iE iE iE �� 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 V-� ONING APPROVED BY 'o �" DATE: UILDING APPROVED BY : - DATE: �� ' ll ( �-2 �(,L PPLICATION ISSUED BY: - �� DATE: � ft i� * it f� i� i� * r iE i� rt i� * 3E i[� fE i� i� i� iElFlF3F3FiF'{F7F7F7F iF7FiF'{F7F�F±F7F�FiFiF7FiF £7Fi�'iFiF�'�"�'�iF7F iF i� if i� iE * iE if if iEii�'iFiFiE iE EGALIZATION:N _ F E E S U M M A R Y STRUCTURAL SEGMENT:N �n 'C /' BLC�G PMT PLUMBING ELECTRIC- MECHANIC FIRE SMIP/RES GRADING ERMIT. . .. 23.00 � , -` ��. ' — 25$ — . •' ' SMIP/NON—RES LAN . _ . �, ^/ `Y SSUE EEE 22 , 00 -� �- � �"/ �, UILDING—DIV=> PERMIT ISSUE PLAN�—CHECK TOTAL PAID DUE 'OTALS----> 23,00 22,00 0.0,0 45.00 45.00 ,00 I� EVENUE DIVISION TOTALS--> COLLECTED;",�;� _ 45,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC.-, ' FIRE SMIP/TOT GRADING PLAN—CHECK 45.00 — .. . ' ^ _ � �. w ' 1f iE fE iE iF iE 1E 1E 1E IE if if IElElf If 1f k iF 1E 1E 1ElE 1F iE iE k fE 1E 1E 1E iE 1E 1ElE iE iE 1E iE 1F 1f iE 1f 1E fE iE 1ElE 1E 1E iE 1E 1E 1E 1ElE 1E 1E 1E fE 1E 1E i! 1E 1E 1! 1E iE iE 1F 3E iE iE iE iE iE jf iE I N D I V I D U A�L �F E E B R E A K D O W N 'YPE_ QTY D E S C R I P T I O Ny,'�� i,— UNIT COST TOTAL COST � 'LU 1 SHOWER �� K 8.75 8.75 �LU 1 GAS PIPING SYS OF� ':1 TO 4 OUTLETS 5.50 5,50 'LU 1 GAS RE—PIPE i= �" 8,75 8.75 END�OF FEES _ r ti � Cy ./'7 �- _, r �. � - _: ,--�,il.� . - �-- �-, :— . , ;' /— �''� ei oozzoass-ao2zaosz TC�T a�.oA-� �RTE: 11/27/95 TIliE: 35:52 � CONSTRUCTION ANDPLANNING. � P�� Pa D'ate I�spectoc �• Date Inspector APPROVALS Permit # _ APPROVALS Permit # �� 1. Temporary�Electrical Serviceor Pole� �',i' 52, Pool & Equ�pment �ocat�on '�- . ,� , F 2. Soil Pipe-Undr9rnd. � ' 53. Steel Rei�nforcement -�r ` 3. Electrical Conduit Utility-Undrgmd. � 54. Forms �� _ 4. E�ectrical Conduit�Undrgmd. . 55. Electricai Bonding ' � � ^ r. ,; 5. Steel Reinforcement 56. Rough Ptumbing & Pressure Test 6. Electriwl UFER Grnd. 57. APPROVALTO COVER�GUNITE �_• � 7. Footings , 58. Electrical Conduit-Undrgrnd. - � :��,�9. Foundation 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrg�nd. ,�� 60. Backwash Lines, P-Trap, O Undrgmd. *T6. Strvcturaf FVoor System " r'• 61. APPROVAL TO DECK � . 17. Property Sewer �ine & House Connection ' 62. Backwash & Receptor-Final ' 12. Sewer Cap �' /' 63. Heater & Vent-Finai 73. Roof Drains � .64. Plumbing System - Final 14. ftough Plumbing I/�.b'C?b _ M � 65. Electrica6Final � � � 75. Rough Electrical-Conduit - � 66. Solar System-Finai 16. Rough Electric W��ng 67. Fencing & Access ApProval `�1 77. Rough Wiring Sign 68. APPROVED FOR-P�ASTERING • 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEPAS FINAL . �' �, 19. Rough Heating &%�� Conditioning FIRE DEPT. REQUIREMENT . 20. Rough Factory Firepiace � - . = • � APPROVALS: .' Permit # � - ' 21. �Ducts„ in.5tructure . ^ _- - �; ' ' � 70."'Und'ergro'und Hydro � ' ' 22. Ducts, Ventilating .' _ = 71. ProducLPiping'D�G.s �Oil 23. Gas Pipe-flough & Test ' �. _ 72. Undeiground Flush _. 24. Roof Framing _ .- - - �_ 73. Undergrnd. Smrage Tank � Gas t7�0i1 � 25. Roof Sheathing - � K ,�. ' 74. Overhead Hydro ` : 26. T-Bar Celling (Structural) &�Monocoat .'• � . - - 75. Dry Chemicat - �- ' 27. Frameand Flashinq _ � �, _ � 76. Dry Standpipef,;= ;' , ` �y' �`� 28. -Lathing & Siding� � `q� r . _ . � � 7�7t FIXED-SYSTEM'FINAi � ' 29. Insulation - " "' ` � � �' 78. FIRE PREV. FINAL ' 30. Drywall Nailing � " � � �._HEALT.�H DEPT RE�UIR�MENT � 31. Plaster Brown Coat � ! �" 79.=FINA`L I�:NSPECT.ION ' • � ' 32. Electricai Power Meter-Final �-� ' � � .,: 80, FOOD CERTIFICATE ISSUED 33. �Fina� Electric � ' �` "� � J. � Notes: <. r- �`��C-�-Cc�fifi6cTlON oro�icE (3�( 34.,final Heatinq.& Air Conditionirig_ � ;, ` ' ; � ' '�� n �pS - - ,�lo-q RouGH� Pt=um6 nr r�(1J " 35. �Pinat Gas Pipe-Test � :-�0� 6 y- l.'�NE f '(•t, �+ � K- - 36. Hood or Canopy � ,;-� : .; - •�� ' r �''y� Jj _ •i ."a' IIWTJ �L.i� V��/�/ %��r (�� 37. �Final FactoryFi�eplace ' �i � "` +� T � ' .�, T - -O 17 �(��I:z(� � ' � (� p,� I •� _ � - ( �-�_F- � 3� Final Plumbing - �- ;...� - ,i� . 39. Water Service-Final - - , .r. � • . � n -� r 40. Gas Service-Final � ' ' ' � ' _ ' ' _ � 4�. S0�8f �OffI0S21C-FIl13� ' .. , . -. k 42. Backflow Preventer � ` � � - ' . a. . -- - . � 43. Backflow Irrigation - _ _; � ' -. t " . 44. Landscape Irrigat�on Systemr �' 4 - ' ' ' . ' ', ' - 45. Sound Attenuation �.- � . , - � �� ` _ _. n � _ . " � �� "46. Handicap Regulations = � ' " - . ' "� ' ' 47. FINAI STRUC7URE & BUILDING - ' - ,._ ' � 48. FINAL PLANNING � _ � : 49. Electric Release to Edison . ; � _ � - , -, 50. Gas Release to Southem California Gas Co , ', = ,'_ 51. CERTIFICATEOFOCCUPANCY ; : . , No. - Date COUNTY OF ORANGE BUILDING D&PT. 636 No. Broadway Santa Ana� California Phone: KI 2-6211 Application for Building Permit AND FOR A Certif�cate of Use and Occupancy Permi[ No.--_-a� �YJ-Q_L---•-- . Dace.-----fQ�j��(--0--------------_"_ 1. OVVNER'S NAME-- - �QA$T--O�Aiii�T4 Eir`.A'.�--------- -- -- ---- - ------ - - ----- PHONEa68_0__011__B��Z- - MAILING ADDRESS----i�..�i•--i.rlLYi--StY`a9fi--------------------------•--- CITY ---�iOH�_M9�a-------------- \ame Address cry - State Lic. No. (Archi�eet or Engineer) Phone PROPOSED USE: ----AOfi�,G�nA�B------------------------- Geor o t�t. Holetein & 8ons Name.---- �----- '-----------'------------------------- (Con[ra<tor) Address _ZQQ _�''�--1%L'Y:---S�'il'9Qi'i----"-------------------- c«Y �oe2a_2ieea ------- $tate �8�� 8 _ L��. I3�. - -- -- -- - - -�' -- -- Phon�oaoon__8297--_- z. Jos LocnrioN---------._'�`TY---E---�.r_r__•►----i"ls�f.4---.sr----_QneC�._Iieea- (House No.) (Name of Saeea) (Town or School Dis�rict) 3. LEGAL DESCRIPTION: I,oc ..__��o _ '� � ---------------------Block -----.._..-----------------------Tract----N----------------------'�--- (Meres and Bounds Description�Use reserse side oE form) 4. CORNER LOT ( ) INTERIOR LOT (�) THROUGH LOT ( ) SLOPE OF LOT ( ) '^ 5. SIZE OF BLDG.: .�C_h.._�_%__AREA:-____��-G------ ----.SIZE OF LOT:_d-./ k_�r3J_ .-� AREA: _%��o-lI _�_-._..__ 6. HEIGHT OF BLDG.:.___.�A�__________._____.CEILING HEIGHT:..___89.._______._____ NO. OF STORIES__..._�____.___.__ 7. NO. FAMILIES .______]r-_,. Size of Smallest Bed.room: .�..`.�_/Q_._ Size of Kitthen: .p__ }C_.__/�jL `_____ 8. EXTERIOR WALL CONSTRUCTIOI�i�SIIB__+SL.tiOAt!_._.__._ INTERIOR WALL COVERING __Pi�;Bx.B]?__._..__._____ (Frame, Smccq Etc.) r� (Plasrer-Drywall, Em.) 9. .SETBACKS: _Front Yard from Center Line of Streec____�J-___—_ � - - - - - — -- - ___-_--_-_________________________.___.__-_"______.__.__._____..__ _.__-_-. __ Pi . . Nearest Side Yard_____...Q.�______...Rear Yard-__.._��'______.Distance in Feet Between�Bldgs. on Sauie Lot _.._�Q.___.________ lU. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For . ,(a) Footing: �X/idth __1�N--____..___._.._____ Depth in Ground.____�2.a--��---------�Width of WaII ____.Qa___..__..... Accessory � Bld s. and (b) Size oE Studs: _.�_..$_gt-----_____.Spating._lg_ �j �@@.� CONG , Simglar ` �----------�— "CC Material of Floor ----------__"-._.- -_-----_ Structures: � ..�/� (c) Size o£ Floor Joists: �'____-_�_. Spacin�•.��'---__..._____._"CC r- : / d � Jize oE Rafters: ___._ _ � ..________ S acin _ _. . _._`;CC O 2 x-�S� - p g 24"--- -- --- 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paino- ing and sewage disposal �__�j.�_7_�_n'=�__....____ �� 13. I HEREBY CERTIFY THAT TO THE BEST OF b1Y KNOWLEDGE AND BELIEF THE INFORMATION IN - THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY pF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. • Si ned:.--------- -- --�` ---�� .� - - --- ------ 8 / j (Owner) Plans Filed:----`�-��-- --'�--- --=r�-------'---- -------- gY;.-------:� - - -- - -'-------------- ---------------------------- (Auahorized Agenc) FOR DEPARTMENTAL USE ONLY FEES: Bldg. Permit - Plan Check - Total - - - Receipt No. - Paid ro - I_�7:7 SM.-9-50 $---�6-�----- - �mB. �-------/O d0 ----- GROUP_____.� TYPE ----- �---- ---- DIST. /� �l � MAP--------��y- ------ SHEET NO.__�_.__.____ CH�;CISINC; Y3Y �//�AS �-_�� APPLICATION _______ HEALTH.._.__.__________.____. �� FIRE ZONIIVG - --- --- --- MARSHAL. -- --- - - ------ - PLANS AIVD SPEC'S.- - ---------- -- STATE - ---------- - - -- CORRECTIONS E[VGINEER VERIFIED ----- -- -- CAL. -------- -------------- - - PERMI �3�}�L'1-$YI�O�� CGUfJTY GU LC'NG �� iU � INSF�CTOR �EPurv G�j COUNTY OF ORANGE BUILDING DEPT, 636 No. Broadway Santa Ana� California Phone: KI 2-6211 � Application for Building Permit AND FOR A Certificate of Use and Occupancy Permit No.--_-�1_6_ �_�---_ Date.------�- /O-� � _ ��--------------- 1. OWNER'S NAME-----QOAS _ OA,AiiCiE--`A-��-�-�--------- - ---- --- - -- -- PHONE:BQ&OOA-�.�.�� --- --- ---- MAILING ADDRESS---_ - ZGCI--Es---�.'%Ca�i_��@&L------------------------------- CITY ---COBLA- +Sk}J� ---------------- I`ame' aeor�e :,:. -Hol �air�- -Snsm� - -- -`--------------------------------------------------------- Name. Q ��- (Architect or Engineer) ' ' -j on�ractoeJ .. Address ----- ---------- -- - -- --- Address -1-�-- "ee._ �.�.ii�,l._�'GP13Qti- - ----- '-------------- City - S[ate Lic. No. - - - - ---- - - City --%�F3ii8-::00:3---- - - - - --------- - ---�- -- ------- � $tate Phone ----------------------- Lic No�.�w�------�.-------- Phone _$ • e&i+uR �'4N7 PROPOSED USE: - -�ARAI}E ---- ---- - - ------- --- ----- -- ------- --- --- ... -- - - --- - - z. JosLocATroN.--�--�7y--f--�sr�t---�''JfsA--S�----- --Qos't_a_i:ese------- ---- (House No.) // (Name�oE Street) (Town or School Districa) 3. LEGAL DESCRIPTION: Lot ___t/.(�r_----------__-_-___-_---Block ...----_---_-----. _--Tr�cc _- � "`_`----- - -- ��- - ----- -- -- (Meces and Bounds Description—Use reserse side oE Eorm) " 4. CORNER LOT ( ) IIVTERIOR LOT (✓) THROUGH LOT ( ), SLOPE OF LOT ( ) 5. SIZc OF BLDG.:--�--_�-�---_-.AREA:__��-_�-_�...__.SIZE OF LOT:.f�-.k--/3,`-AREA:.��__-_--_ 6. HEIGHT OF BLDG.: _._�'48_________....____.__..CEILING HEIGHT:.__.____.______._.___._.___.__. NO. OF STORIES.__x _-_____--- 7. NO. FAMILIES _________._._.___.________...Size of Smallest Bedroom: ..._._....____...____ Size oF Kitchen: _.___..... 8. EXTERIOR WALL CONSTRUCTION:_I�BQ19_.HL1LOqp._._ INTERIOR WALL CO VERING __._______. (Frame, Stucco, Etc.) � (Plas�er-Drywall, E�c.) 9. SETBACKS: Front Yard from Center Line of Street--_---._--____--__--_---_-----___'_-___-_--_.__--_----_---_------____-'_. ? / � Nearest Side Yard..___et______..Reat Yard____________.__=.Distance in Feet Between Bldgs. on Same Lot.._._:l�Q---_ ]0. A COMPLETE PLOT PLAN IS REQUIRED, SHOWIIVG ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width ._l�p_._..____....__.. Depth in Ground.._3,;?�_..____.___Widch of Wall _.SR__._______. Accessory � Bldgs. and � b Size of �Studs:.___z-_�`' � � �--"CC Macerial of Floor. -___ ( ) _____._____.$pacing._..._______. .____'__ �iOQC11�Qii9 $imilar $tructures: . (c) Size of Floor Joisu: -____-_____._--_--_------.Spacing ___ "CC (d) Size of Rafters:.------ �"--$--�----------._Spacing ------`5�,. �------------` CC 12. VALUATION OF•PROPOSED WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- --- Qo , � ing and sewage disposal �_-�,?Q_ -----___-----_-__-_---_-_---- I'>. I HEREBY CERTIFY THAT TO THE BEST OF MY K[VOWLEDGE AND BELIEF THE INFORMATION IIV THIS APPLI�ATION IS CORRECT AND THAT THE COLVSTRUCTIOIV WORK WILL CQNFORM TO ALL LAWS OP THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. ----Signed:------- - - --�v/-�-- - -------------`--�---�------------ wae�)' .' Plans Filed:__-_�Q_.-�_'�_________- - --- -- - BY:..--------------- -,._------ �----- --- - - -------------------------------- (Au[horized Agenc) Bldg. Permic Plan Check Tocal - - Receipt No. Paid m Date ....__.... DA SM-'1 50 FOR DEPARTMELVTAL USE ONLY GROUP --- -N.-- _ -- - ---- TYPE--- - V- ---- --- DIST. /� A�/ MAP- -- -(.�C�/- SHEET NO..___ V ___� __ _ ___ Ce7^'V' ' ING BY APPLICATION...___.._._ . HEALTH _________._____.__.__. � FIRE ZONING._____�-_---. MARSHAL PLANS AND SP�C'5-------- ------ --- - STATE -- -------- --------- CORRECTIONS ENGINEER VERIFIED --- - -- - -- CAL. ----- --------- ----- ---- PERMIT T�St 1Fi) RY• i ccurar�� ec : " ^ Ci. W. �D�it�EiuL, I\��_:,Tor-, � C E P'_ " ' C%N./