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Home My WebLink About670 COVE ST - Building PermitsV 1 C� N F Applicant to fill in all spaces exceD� those wit�in heavy boraer lines ana sign all aoC�ovriate declarationz. CIT�;OF COSTA ESA CQAJST,F}UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address LI� rrE �J6 Applicant'sMailing dress ^ �� %�� "�Y Owner's Name Ph� Address � � U� Arch/Eng. License No. Address - jy/�/� Convacror's Nam - ,�yC1�L.C? �.i'� Phonel�k�� Addresslm �� „1 ��D.�Q L� ,� . ' <', 77�1 . City License No. � � �� LICENSED CONTRACTOR DECLARATION I hereby affi�m tbat I am Iic¢nsetl untl8r provisions ot Charter 9(Commencing with section 7000) of Division 3 0( tne Business ana Professions Cotle, antl my 4icenze iz in tull tor�=a f,ct. � LICEOSC CIdSS CC(15� oate.� ID• �s'g t �/'� �{ WORKERS' COMPENSATION DECLAR TION ' I hereby aHirm that I have a certilicate o< <onsent to seli-insure or a certificate of Workers' Compensation Insurance, or a certitietl copy ther�(Saction 3800, �ab. C.) ''}�� p Policy No. `^' � COmpany � �Cer[ifietl copy Is hereby furnishetl. � Oate%rt/h'e��PYV �� WAPPI can'tY I'h9 rsion. �C6.J EXEMPTION FROM WORKERS' COMPE ATION DECLARATION (Thissection neetl not be complatetl if tne permit is far one huntlretl ($100) or less). ' I c¢rtdy inat in the p¢r(ormdnce of [Ite work for whith thi5 perm�t is i55uetl, I shall not employ dny pe�son In any rt�anne� so as to become subject to the Worker5' Compensatlon' Laws of California. �ate Si9naWre NOTICE: If, afte� making thi5 tleclara�ion, you shOultl becOme subje<t t0 th0 Workets' Compensation provislons o1 the Labo� Cotle, you must forthwith comply with such provislons or this permit shall be Aeemetl ravoked. CONSTRUCTION LENDING AGENC`� I nereby atfirm that there is a construc[lon lentling a9ency tor the performance ot thB work for which thi5 permit is i55uetl (Settion 309] Civ. C.) I..erttler's Name . Lentler's Atltlr¢55 _ OWNER BUILDER DECLARATIOfJ� I hereby alflrm that 1 am exempt tron� the ConVactor's License l.aw for the foilowing reason (Section 7031.5 BuSiAess and Professional Cotle: Any city or coun�Y whi<h rEqui�es a Oermit to cOnS«uct,_alter, imprOve, tlemolish o� �epalr to file a si9nea statament that he/she iz licensetl'pursuant to tne provl4ons ot the Contractor's Licenze Law (Chapter 9,(�ommencing with Section �000) o( �-Oivision 3 of lhe Business antl Prote4sions CoOe) or that he/she is exem0� tM1erefrom antl thC basis ior [he allegetl exemption. Any violatlon ot Section ]031.5 by any applicant fo� a perrni[ Subjects the _applicant to d civil �nalty of not mo�e than tive huntlretl tlolla�s ($500). I, as owne� of [he pro0erty o� rr�Y employees with wages a5 thair sole COmpensation, will tlo lhe w0/k, antl tne s[ruc[ure i5 nol in[entletl o� of(eretl br sale �5ection 1044� BU51(1855 antl Professional Cotle: The Contractor's LicenSe Law tloes not aoP�Y to an ownCr of a properly who builtls or improves , thereon, antl who tloes such wo�k hirl�self/herselt or through his o� he� own em0loyees, pwvitletl tha[ such ImprOVCmenls are not intentletl or offeretl br Shce. It, �owBver, the bullOing Gr ImptO�ement is Soltl within one year of com� pletlon, the owner wlll have tho burtle� Of proving he/she tlitl not builtl or im- �ova tor the purposc of sale). LI I, as owner oi the property, am ex��usively contracting with licensetl con- tracto�s to con5fruct the project (Section 1044, Busines5 antl Professions Cotle: The Contractor's License Law �loes not apply to an owner of property who buil�s o� improves ttte�eon, antl who contract5 for Such projects with a con- tractor(s license pursuant�to the Contrac[or'S Licenze Law). I am aware that proof o� their Worker's Compensation insurance sbould be provitletl to me. ❑ I am exempt untler Sectlon B. & P. C. 1or this reason DaR cerlify m isa Owner have reatl this application antl state thai the above agree to comp�Y w��n all city antl county ortlinances o builtling c �structlOn, antl here�y au[ho/iie repre- to en r u n�he above-mentionetl OropertY tor �' ��a� t Dat �� _ CMF 0865-46, rev. 4/84 White - Builtl��9: Canary - APOlicant; Pink - Accoun[ing; Goltlenrod - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Clout Water Heater . Water Service /f i.., Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refriqeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Isue Fea FEES $ 3 FEES $ 3 A.P. # 5 Main Building: E T Front B Rear A C Right K S Left Ping. Ref. # Plannin9 Notes: Automatic Washer� Consttuctior Pole Sub. Cooking Unit .� - Dishwasher Dryers ❑Gas ❑Elec' Fan F.A.U. � Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW C Fee 9842 10/10/B4 I1.00 Zone Accessory Building: Z O N I N G R Parking Req./Provided E Q M T S. ELECTRICAL ❑ 15-50 K W ❑ 50+ KW ' Meter ❑up [0 100 amps Meter ❑over100amps Sub Panel MomrsOO-1 HP�iX-B � Inc.Solar �9-15 HP �16-75+ Microwave • Pole Light Range �. 'Standing Sections 5 KW Trash Compactor $75 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By � Building Approved By Application Issued By � FEES $ 3 SUMMAFV OF FEES BUILDINGPERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ l - O ISSUANCE $ � PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL S GRADING 5 PLAN CHECK 50% $ MICROFILM $ � p�� MECHANICAL $ TOTAL FEE $ _��-lbL PLAN CHECK 25% $ a ' CONSTRUCTION AND PLANNING POOL & SPA iAPPROVALS Permit# Date Inspector qppROVALS Permit# Date _ Inspector 1. Temporary Electrical Service or Pole 52. Pool &� Equipment Loca[ion 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � � 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test � ' 9. Water Pipe-Undrgmd. 60. Backwash Lines,�P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem�Final � - 16. Rough Electric Wiring � 67."Fencing & Access Approval 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � � � 39. Wgter Service-Final 40. Gas Service-Final p � j - 41. Sqlar pomestic-Final 42. Backflow Preventer 43. Backtlow Irri9ation . . � � � � 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. S�ecial Requirements Completed 49. Electric Release to Edison � 50. Gas Release to $outhern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date IPflOJEtTADOflE55: �7D ��VE $7� '' ,�OWNEfl'SNPME: SNYD�R EARL I{ k 4 aooAess: 6�U COt1E ST � I CQSTA M£SA,CA 92526 , RNCHIENGINEEfl: NEG.NO.: ROOflESS: UNIT: UNIi: PEflMITTEE: ETRI� SNYDER ( 77.4 ) 54A-6707 ADONESS: (� �(� C(�VE ST C057'A MESA CA 91027 UCENSED CON7HACtON UECIABAT10N: I hereGy aflirm inat I am licensea unUer provisions ot ChaO�e� 9lcommencing wilh Seclion 7000) of Division 3 of ihe Bus�ness and Pmlessions COEe, anG my license is in full lorce ana eflect. CITY IIC.: STATE UC.: ClASS: Oate'. � Signaiure: wOXNEflS' COMPENSA7ION oECLAflRTION: I hereby affirm ihat I have a cenificale af tonsent Io self-insure or a cenificate of workers' Compensation Insurance. or a cer�diea copy Ihereol (Section 3800. La�. C). � 'OLICY NO.: E%P. ORTE: , COMPRNY: , �] Cenitietl copy is hereby Iumishe0. ❑ Certiliee capY is �iled wiih Ihe ciry Builtling Oivisian. Oa�e: Applicant: E%EMPTIONFpOMWOPREPS'LOMVENSFTIONOECLABRTION: (T�isSeclannee0nal0etromplete0ilthepermi�isfaronehundre�(5700�ar1e55�. I tetlity I�ai in I�e perlormance Of Ihe work �or whic� t�is perrttit is is5ue4 I 5�ail not employ any person in any manner 5o as to becOme subjec� Io �he Warkers' ComDensation Laws ol Cali�omia. �ate: Signamre: NOiICE: II, atler making tnis aeclaration, you shoula befAme subiett �o the Workers' Compensation provisions al �ne Labor CoOe. yoU muSi �orthwii� tomply wit� 5uch pmvi5ion5 a� Ihis permi� Shall be Ge¢meA revokeA. CONSTflUCTION LENOING RGENCY: I �ereby aitirm Ihal ��ere ii a con5imt�ion lentling agenty �or ��e pedormanCe oi the work �or whic� IAis Oermit is Issuetl (5¢ction 3097, Civ. C). LENOEfl: aooeess: OWNEP BUILUEB DECLAflRTION: I �ere0y afiirm Ihal I am ¢xemD� ��om ��e Conirac�ors' State License Law lor tAe followinp reason (Seclion 7031.5 Business and Pmlessional Cotle: Any ci�y ol coun�y which reQuireS a p¢rmi� to conSlNCL al�er, improve, demolish, or repair any slmcture, prim lo its issuance, also requires the applicanl for such permii lo file a signeC statement thal helshe is licensetl pursuam io tne pmvisions ol lhe Contracbrs' State Lirense Law IChapter 9lcommencinp with Section 70W) ol �ivision 3 oi the Business and Pmlessions Cotle) or Ihat he/she is e�empt iherelrom ane tne easis for i�e alle0e0 exemption. Any violation of Section 7037.5 by any applicantlof a Oe�mi� Su�leC15 I�e appliCan� to a tivil penally ol n01 mOre Ihan �ive hUntlred tl011arS (5500). I, as owner of �he D�operty or my employees wit� wages as tAeir sale compenution, will Oo ihe wark, antl Ihe ❑ slmcWre is not inten0etl ar ofleretl tor sale (Seclion 7U44, Business ana PmieSsional COAe: The Contracmrs' Slaie License Law aoes nol apoty ta an owner of a o�ooany who ouiids or improves Inereon, ana who tlaes sucn work himsell/nerself or tnmuBh . hi5 or her own empl0yee5. OroviOeU iha� 5uth impmvemenis are noi intend¢J af aHeretl �af sal¢. II, howev¢r Ihe building Or impmvemenl is so10 within one year ol completion. Ihe owner x81 �ave t�e burAen ol Omvinp he/s�e ditl not builtl or impmve lor Ihe purpose al sale). I, as owner ol ttle D�oDeny, am eKclusivety contracting vnih IicenseA caniractors Io constmct i�e pmlect (Section 7074, Business ❑ antl Pmiessions Cotle�. IDe Comracmrs' S�a�e License law Qoes not apDly to an owner at pmpeny w�o builtls or impmves t�ereon antl who coniracis lor suc0 pmjecls wii� a comracmqs�license oursuan�la Ihe ConVactors' State License Law�.l am aware ihal prool oi ineir Worker's fAmpensation insuranre snaultl be orovieea ta me. �,+ � am exemp� unde� Sec�ion: B P 7 �� 4 B. 8 P. C. mr ims reasoo: ALL WORK BY OWNER Date: _/�� Owner: !�� i ao hereby cendy Ihal I am aware ol antl unaerstan0l�e �epuiremenis ol Calilornia Meallh an0 Salery Cy. Seclions 2550.5, 25533, antl i 25534 antl Ihal I or any Iuiure Cuilding occupan� will/wi�l nol (tircle On¢) neetl to tompty wit� saitl s�a�e cotles and Ihe repuiremenis �or a Ipermil for conslmclion or moailication Irom �he Nir Oualily ManaAement Oi5Vic1. Residential consVuciion applications are eKempt �mm �hCSC pfOV1510115. Date: Applicani: I nere�y cerlily��at I have reatl �his a00��a�ion antl slalethai Ihe aboveinlormalion is correct I agree to compty with all city antl counly ortlinancesandSlatelavrsrelatinglobuilJingcon5lmclionaM�ereOyaulhor¢erepre nta�ivesolthiscirytoenteruDoniheabove-memionetl pmperry lar inspetlion purposes. // Oaie: �� Signalure�E✓C��/� � �river's License or Saciai Securny a: t6dt�46 Whne—Bwltling: Green—Cotle EnlorcemenC Canary—PpplicanL Pmk—Revenue: Goldenwtl—Assessor CITY OF COSTA N,ES`A - BUTLDING P�RMIT F'ERM i�U: P U51'725 FERMIT NO: P 051721 PLAi� C:HECK NO; N GOl'i: P? SUi'P: ;; CUNSTRUCTION TYPn: S-N PERMIT TYFE; F�LI7 PJ3PUS2; U'iH JOB DESCB.IPTION ; GAS REPZPE GF A Si'NGLE FI?:NTLY DW$LLSNG SS Fi; C1,AZM VAI,UE: CAI,C-VALUE; GRQ[iP OCC; R-3 ! COMi�lEN"I'S: ( ) % Ip N� u 3'r i(� i( IF �!f if Mi N 3f 1f !'r K}�. }:� if� #� ?h 1F N� IF! if ?E 3f lf lF �c �i ii ii��k %� if�'i }; L. 3f If iF ii� !E )f'{• 1'r'r !E it 1i k iF Y a. k:F ;E ii� k�M'� �k <•?� i'r # k u if ic �E 14 3i k ii� j: it. 7, O N Z iv G R E[i U I R E M � N T S S E i B A C K S -----------�- ,HAIN HJILDING --- ------ --------- ACCESSORY BIJZLDING ---------- FRNT: cT �I� REAR: F1' IN =RNT: �T IN REAR; FT IN I,E:'i: FT IN RGHT: rT IN LaFT; FT IN �GHT: F'P IN PARY.iNG kE�: PAOV: PARCr.L: 422239Q5 ZNE: REF NO: �LANUZNc NaTas> 7 • If iF �l'r 3i�-X.� }'� #:� Y� ii� d'e �If i�'n� }"- k iE 3: jf� 3F 3f f'� }:� IE iE 3i 34 Y� i� 3�: iE 3E k�k iE iE iE k ie if- {� R� ie if �Y'� 3(� �IP �1F �1E i'� K�-Y ak } fi }.1f 'r%if if } ie Y iE iE iE #- ic IE fe %� if iF :a'.!E ?f� 3c ii-if � D c V � L O P M E N T S E R V�I C E s R �� U 7: R �'N E N T S 'LQNiNG APPROJ'nD BY � �� DATE; BUILDING APPROVED 3Y ; DATE; APFLZCATION ZSSUED BY;i � � c�,�, DATE; ��b� iP16#�?�;P�(.tF?e!'.-kdFiEN-x�?Fibi�iPM�4FiPiP%'�'Ifr 1Fi 't�v:+. . �'",r i%'��i�3F\`t"i�F7F�YiF'r#Fi�dE?F�1Fif��l�-r�'F...��£Yi: N�-A:?i-iFii�if�lc#iiM%#�3E3Ei!�Y'�ifiF�'.%�iiif�ic?(-!!�#:iPxr�:v.lfiFiElE#7i-1E�v.iE#'�iEie#i r�IM1li�iERitii�ii�-1Pii�?'ti:»�x�lE#'i't'iiElFii��ifiFiE7FiiM'�iF#�'�Y� LEGALIZATIUN:N F E E S U N N A R Y .:,TRUCTiIRAi, ScGMcNT:N YERMIT BLDG PMT PI,UMBiN�o ELECTRF.0 i�iECiiANTC rTRE 5MIP/Rr.S GRADING 25S S,hIP/NON-RES PI.AN ZSSUE FE� 3,00 HUILDiNG-DIV-> PERMIT ISSTJe. PLAN-CHECK TU3AL PAID D[7E TOTALS----> 2,00 3.00 0,00 S.OU 5.00 .00 REVENUE llIVISION TOTALS--> COLLECTED: 5,00 OV`r:k/SHURT: 00 ALDG PMT PLUMBING ELnCT'RIC MECriANTC :IRE SN,IP/TOT GRADING PLAN-C3ECR J,OO �u {:. fE'k iF �If 3E �Y K� iE }:� ii� �k V� �7(- }'..h. y. �t. j{. u�ti {F ri� ii k� N� 1�� k if� K� 3: if k� ie if� iM1 aF jf� �'� 1F iF L: iE �lf lf�:i� M�N-+:� iE �f 14 ?P 1E M'� M:� i�� i. 3�'� ?: iE 3e x� If.y 1E Y� r. +f � N. i'. u. i!� 1E ti-%} I N D i V Z D U A L F E H B R? A K D O W N TYPE �TY n E S C R I F T I O N IINIi COST 'TUTAi COST PLD ] GP.S RE-FIPE ��,00 2.00 e��D OF r EaS �f ��-'R4�—�C`�''•,;.�:`� i i-� ' C�TE: U4%is,92 iZK�' i•�1: ' + .dS�RUCTION AND PLANNING P�.._ � & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrqrnd. 54. Forms . . 4. Electrical Conduit�Undrgrnd. 55. Electricat 8onding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � �, 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. . , 10. Svuctural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ' 12. Sewer Cap 63. Heater & Vent-Final / 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • � 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Ba� Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Fattory Fireplace APPROVALS Permit # 21. DuC[s, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe-Rough & TeSt 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil � 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structu�al) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � NEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final �� 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning '� 35. Final Gas Pipe-Test 36. Hood or Canopy - ; 37. Final Factory Fireplace 38. Final Plumbing i� 39. Water Service�Final � 40. Gas Service-Final 41. Solar pomesticFinal � 42. Backf�ow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulation5 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING , 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co '� 51. CERTIFICATEOFOCCUPANCY . . No. Date OWNER jjAR$OR FSTATFS � DATE 7_J7_C�r JOBADDRESS 670 Cove BUI�DING PERMIT NO. GENERALCONTRACTOR D11LQ St COZ@gT'OVQ VAWE $ AyK�� oT 9 s�ocK TRACT 1986 Sin�le Residence i:ROUP I TVPE 0 ZONE �l FIRE DISTRICT I�16�%1 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Forms and Grade to Plumbi Pole Heating,Final/ «<-/'J - //�-�Z�-.LJ" (uvn.,rcc-n-�SL.. Y'�', j-J_�3.,�',( p( / - Sewer, House Sewer, St. ,QA ,L�Q,(/� k—l/- SS e7J`— � Septic Tank or Cesspool Lathina.ln Out� �%�2�� Plumbing, Final, Fixtures Plumbing, Final Gas Test Wiring, Final Occupancy r. „�•.., �n n r._u i Fnn i_s �,�, Costa Mesa Building Department 111 EAST 20th STREET �` � COSTA MESA� CALIFORNIA FOK APPLICANT TO FIId. IN Building Address (�70 Covp St _ Costa Mesa, California Nearest cross sc. 19th Street Owner HIIrhor Eatates Address 419 East 17th Street � �Carlson & Dike & C Address (Attach Metes and Bounds) No. of Bldga Size of Lot 62.34' x ll0 Now o� �ot none Useot No.of No.of Existing Bldg. riOP.B Famflies Roome Setback Line irom Rear Vard 3�� Center oT Sireet 55 � Side Yard t � Demolish ��LICATION FOR PERMIT BUILD,tNG '� k'OR OFFICE USE ONLY Crw� _ Receipt No._. Permit No. I �S U Recerv/� by Date Rec'd. �f. Date Issued � "i'�n., 7' �i �—J.0 I 7—.� > _ c- Crow St. 2on� Approved Costa D�desa, California Plans � {* � Date CORRECTIONS Size 'I 1Sl Rooms � Stories ], ExteNor WaII Roof Covering stucco I Covering omp APPROVALS Use of New Building Plan 27C?Z Foundat�on Location Inspector Forms, Materials, Sinele familv residence and �zi•a�e Under-Pinning Frame: Fire Stopa, Braeing, Bolts I hereby acknowledge that I have read this Application �ath. Int. and stute that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee n+�-� a !•..le....�...d Valuation $ 8,500.00 �..o.. o... �_.. �u n.na — Plaster, Ext. — Masonry Refnforced c 0 o Bond Beam o O FINAL Date ri.vr r�� 8how locatlon and disYances Trom property line and between buildings n,�z�-ssPDtlESAA ��a t-,iriYZS.�;O 3 . '' . .• J , n.