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HomeMy WebLinkAbout929 DARRELL ST - Building PermitsL I •"� ' '+� �� ,,, �.- ✓ � APO��cant to fill in all s0aces except those within M1eavy bortler lines antl sign all appropnate tleclarations. . . � ' t�=-__ .,__. •� _ �.....�.. ... _ __ .--- - --- - - _-- � -- �- ; Y �2216-:2/II/87 "' 136.65 '�ky, cirv �eos'ra Mesn CON TRUCTION'PERMIT�; � P MIT O. � �TRACY NO. • LOT NO. ' UNIT NO. � � -� � �- � i. 7 � (� i . .ProlectAddressF �G.� -".���L�� „�E�;-27-306 2�-i� 'V' ' i q . 1 ' . , , t - + � ' " _ . ' ' - ' ' � j : .; 1 . AppiicanYS Mailmg Addfess . � TVPE OF CONSTRUCTION NEW- 'ADO ALTERATION , REPAIR � � � � � Ownef'S Name �� � T�c1�LL' • " � : O CONVERSION� ❑�DEMOLISH�O OTHER � A P # ".22� �L - + LL,,: � Zone `. _' '�� . � Phone ' SCRIPTION F WORKNSE OF B oc -' � E- ' AHE AQ _' . . 3 � � �. � Address �%� 9 (79 QE! 1 %'�'jC'7,rJ (f�'� �"�j . � �' � y� �� Qtc� �.: ��NO,e 'Q�A/�Q$ /,p t S Main Building: � F r Accessory Building: -. ' . f Arch�Eng� � � License.No.` � � i�:�TVPEAFPERMIT GRADING FOUNDATION '❑� STRUCTURAL . � T �Front� 23�Z'� � � � '�- � ( � " �. O' Addre55 � � � � � � � '��,� .'� TENANT� ❑ �ELECTRICAL�.� PLVMBING ❑ MECHANICAL - � B Rear . y�y ^ � � ' r N COOLIdCtOr'S Nafil¢ I . ' S "�� p����,..,� � i� ❑ OTHER . � i r i � . 4 i - i i , � - �A �� 1' { ' : - � . ' Phbne-l-`-�'�.il-p8 � � - 'C RigFt ...I.-_ i. � ...y._„.... .. . G. � � ' / - � PROJECT DESCRIPTION . 5a.'F � oCCUaArvt ' Address (mailing) 3/�G, m , 9'aZ.7. - . � - �, �j���,-� •K - - � • �� , � � i � . 'f� GONSTRVGTIONTVPE � V � ' VALUATION$_��� S Left , S� 1. - ' i . � , q. • � City License No. � � 7 �� � 20NE� � . GRADING CU. VD51" t ` ACRES - Pln Ref. # ' � ' Parking�Req./Provided � E t LICENSED CONTRACTOR DECIA T b 5 %, - - �� 9' ' Q t I M1ereby affirm that I am licensed untle� provis} ns ha� e� 9(mmmenci�ng � Remarks � � � � - � . _'Plannin NOLeSt ,(,� r j� � }, M � ! with�section ]000) �of'Division 3 0( t Bu'fi tl Pr fessions Cotle, antl � � � '� � 9 � ' + T my,license is in full lorce antl et ' / ' �^ r- i . p � . �- ' � = � � . � ' f 'Jcense Class ' - � ns No ' ��� t ' ` ` � J ' � ' � � � � � � � � � - - $ Li �ate' ' Si9nature ' •s� ��+ • • . PLUMBING _ � ' +�FEES; : ' n. i � ; ,i: � .f ;� ; ' . i . ' . _S 'WORKERS'COMPENSATIOND ARATION � � ; a _ - _ ' , � _ .. . � �� ' � C� - I hereby aftirm that'I have a ca� icate of consent to self-insure or,a certlficate � Bar'Sink ; ��.i • Showers; . � 1 i � t � -�� � �� ELECTRICAL � � •�— FEES . ' �of VJotke�s' Compenzation Inm�ance, or a.certifietl Copy the�eof (SeGiion BackflowPreventer � $erviceSmk 4 ' 'a ' f� 3800, Lab. C.) - : � )� , . .: .. f' . - i �P.utomatic Washer' - � Transformer"� 15 50 KW . � �0 Q Pol' y No. �EA%��NCj � ooin � L-�3- '� ' Backflowlrn afion � ' � � - ' ' - � � ❑ 50+KW' _ Iv � , _ 9 � -_ � Sewer Cap � - r - ConstrucUon�Pole Sub t ' � , � ' � � ,��. - - � Cerhfietl copy a hereby fumishetl. - � ' ' � _ , - -' - �, Certitje co ,y 'Iedwith;the city B ' i " ,a � Bathtu6s '' ' � ' -� � Sewer Connection , j r, � �' Cooking Unit � ' , , � � Meter ❑up to 700 amps yy • Date G W ' APPlica � . ' - - ' � EXEMPTIO�qKERS' PENSATION DECLARATI � Clanfiers � j� { i. � Solat Collectorst; � � �� Dishwasher �, ' �'` • Meter, �over 100 amps � = (�1 �(Thissection neetl not be W etl if the per,mit i5 for one huntlr¢tl (y300) o� -_ i , �� � ' �� � 1;, less). . � � . � � . � Dishwasher Solar Piping { + ' . ' " . Dryers`�.OGas �DElectnc ' ,. Sub Panel. � - . .I tertify that in the performance ot the work lor which this perm�t is iSsuetl, I T - ' ' ' '�� `� shall not employ any pe�son,in any mannei so as to become subject [o the ��� Diinki0 �FOuntdip5 ' � r � ' , ; i, , 9 � . Solar Tank _ Fan �� �� � ry Motors DO-t HP 01 f. - 8 . Workers' Compensation Laws•ot California. • � • � � � Date. � � Signature. - � � - � '• Floor'Drains ' ' ` • Swimming Pool w/Spa � �: '- F.A.U." � '' � � Inc�Solar �9�15 HPi�16-15+' . - � NOTICE: If, after-making�thi5 tlecia�ation, you.5houltl become SubjecLto-the � - ' — ' - - - - - Wo�ker5' Com0en5atlomprovi5ions o( tM1e Labor Cotle, you must forthwith • FIOOcSinkS . � U�inal � ' � PixtU�¢5 ' MiCrowav¢ ' ' ' 'comply with such•prOvisions or this pe�mit shall be tleemetl rewketl. CONSTRUCTION LENDING AGENCV � � ' � . " "' " - � . - , . . • � • ' Gas Service � Outlets -� Water,Closet 2 O Device,Boxes ` Pole Li ht� � I hereby atfirm�that there is a construction lentling agency foi the oerformance � � . 9 1. �' of the work'7fo� which this' pe�mit is issuetl (Section 309]r Civ. C.) �- ' � +' � - � � - - - Lenaer's Ivame ! � Interceptors ,(!�^ n �y�, . WaterHeater � 2 Outlets;' Range �. . �, � .. . . . � . `.. . _. . _ . • �ender's Atltlress —.: . .—. - ._ � . �' ; -. Kitchen Sink= " ^ ` . _ . .. ' ' " ' " - ' ' ' � ♦ OWNERBUfLDEROECLARATION � ' .r if" _ WaterService - �-� -� �Switches- - � 'Sign� • i" 'j'0 �Q � I heieby affi�m that:,Cam�exempt from the Cont�actor'S LicenSe L'aw fOr the Lavatorie� �•' '?r"+ :� ,.� _ quto.Wash? • - Garbage�Disposal � 1 Standing Sections �:{� � _ following reason (Section ]031.5 Businessantl Professional Cotle: Any city,or ' ' ' ' ' " `- ' ' �S`� � • - � Oounty which requires.a.permit to construct: alter, Improve; tlemolish or repair P-T�d ', "' .: "� . "- " , '' t T�dSh COm dCtO� ' � any sducture, prior to.its�issuance, also requires the appliwnt for such permit P `'% ',Y. •e - ' Laundry Trays Generator �0-5 KW; �5-15 KW � p . � �� to fiie a si9netl statemeht tbat he/Sh¢ is licensetl pursuanl to tM1e provisions of ROOP D�2in5•��;., �1.1 i i -�l � . • � r. - i ' ' - � the Con[ractor's LicenSe Law (Chapter 9'(commencing with Section.9000) of . ''��S . '!�� �.� � x':e ' � Division 3'ot.the'Business antl.Professions Cotle) or'that�he/sne is-exempt'^ - - . � �,ry -� - - � , • - � _ theretrOm antl the ba5i5 tor the allegetl exemption. Any violatlon of $ection ' ' ' , . 7031.S.by any applicant tOr a permit Subjects the aOP�icanl to a civil �� ' ' � penaity oi not more than five huntlretl tlollars ($500).;,, � : , $� 3 � - � � ' ' LJ I, as owner ot,the properry or my employe¢s with wage5 as their sole 'ReinSpettian F¢B $15 '<' ' IssuO F¢¢ ' , ', ' compensation, will tlo.the work, antl the structure is not intentled o(ofteretl Reinspection Fee $15 Issue Fee � � $ 3 for sale (Saction' ]044, Business antl -Professional Cotle: The Contractor's . .• t , ' MECHANICAL - �FEES 1 � � � � � License Law tloes notappty to an owner of a property who builtls or improves � ,� _ �} • tnereom. and who tloes such,work ttimself/herself or through his or her own . � , � � DEVELOPMENT SERVICES REQUIREI�ENTS: � � �� ' ¢mployees, P�ovitletl that such improvemenls are not intentletl o� offe�etl for Boile� _ '� HOOd O� Typ21 ❑ � . . ' Z_ 11_ � � sale. It, however,�tM1e builtling o� improvement is soltl within one year of com- � Cd00py � TypE I I ❑ . Zoning Approved By� 7L �'��� Date _�'� : �� pletion, [he'�owner will have the burtlen of proving he/she tlitl nol builtl or im- DUct - Und2� Ground � � � �. Bullding ApprOvad By 1 ' � � ' �'Date '_p�ov¢ fo� the pu�pose of sale). : : . . �.- � - � " � � , � � ❑ I�, as owner oi. the property, am exclusiveiy convacting �with licensotl con- ' Duct -Structural � , Refrigeration System � ' �Appliration Issued By ' � � Dat �9�.�� /, ' [racrors [O construct tbe project (Section 7044, Business antl Profe55ions Cotle: - • � . 1" � , The�Contractor's' License .Law tloes not appty to an owner oi pmperty.who �., � Duct- Ventilating � ❑0-700,000 BTU ❑100,000 BTU -. �,� � _ � „ SUM ARV OF FEES S ' - f 0.6�' . builtlsorlimpraves thereon, antl who contracts�for su[h_projects with d'con- • � ' - ' - � � � � � � - ' � � 1 tracror(sl'uwnse�pursuanLto ihe Contractor's License'L5w). I am awaresthat; �,'' ' ' - ' BUIL•DING PERMIT� $_ S SMIP _�$ proof of,thev Worker's Compensation insurance shoultl be provitletl'to me. Exhaust System �� Multiple ❑ 'System�Repair/Alteration _ �. � � �. � . , " � PLAN CHECK , $: -� PERMIT 1 . ❑ I am exempt untler.5ecti_on '- - �e. & P. G �or this reason�. � Firepl/Fact. BIt: ICBO # - � F.ire Dampers ' ' - � � PLUMB WG . . � �$ � �O 'ISSUANCE ` $' t . _ �. � Date # -Ovuner � Heating System'& Ducting Registers ' . - _ � ; �•Q�' ENERGV P C $. - - y PLAN CHECK 25% $ i'hereby certity that i have reetl'th' ap i ion a state that the above , ❑0-100,000 BTU �100,OOOBT ' '- 'ELECTRICA.L � �$ �.`�D'i ' GRADING $= � , information is,corre 'ir��o co I.� II citY ntl muntY ortlinances - ' . �. antl,state lawrr i o buil n tr i n ereEy authorize repre, . , � - - i. Q,'�Q' - MICROFI�M� 5 - � ' sentaiives ot t is t u n -mentionea' pmperty tor : , � � . �_ _. ( � . : i • . - ' - PLAN CHECK - 50% $ . , inzpection purp - • . ' ' - ' ' ' � MECHANICAL � $ TOTAL FEE ��'$ /��''6� ,[. Si9nature; ' t . :Dala � 't ' t i-. ' . . -- . . . _ . . � � � � , - . • orivers' nse 55'� — �� � Reinspection Fee • �$15+ �ttue Fee ' $ 3" � PLAN CHECK 25/ $�� � � r - �CMF 0865-46, rev. ]0 84 White - Builtlin Canar � A Iicanq Pink - - � � } � � ' / 9i Y PP Acwuntin9; Goldenrotl - Assessar � ' , � ' POO L & SPA � CONSTRUCTION�AND�PLANNING " ��*� � ..3, "' - '� �f' Date �: Inspector � � �� � � � ' • ' � Dafe � Inspector ' APPROVALS Permrt.# - + � �. � � APPROVALS �Peimit #� a 1.� Temporary Electrical Service or Pole . � � ' 52. Pool & Equipment Location � ' � 2. Soil Pipe-Undrgrnd. r� ' �..f%Z (�!J' 53` Steel Reinforcement' .. . .3. Electrical Conduit UtilitY-Undrgind. ' 54. Forms . � - � ' 4. Electrical Conduit-Undrgrnd. ' � i � 55. Electrical Bonding � ' ��, � � . 5. Steel �Reinforcement ' - 56. Rough Plumbing & Pressure �Test � R� ± . 6. Electrical UFER Grnd;^ , ' .-57. APPROVALTO COVER-GUNITE - - . 7. Footin s ..�: . . . . i , g, _ ( � � , i� . 58: �Electrical Conduit-Undrgmd. , , � - 8. Fountlation ,� ' � -�- � � � 59�. Gas Pipe; 0 �Undrgrnii., Test . M'� � � � � .,. � .. 9: Water Pipe-Undrgrnd. �,� . - � - � - � 60. Backwash:Lines, P;Trap, � Undrgrnd:� � ; � ! 10. Structural Floor System � - ''i' . . � � � 61. APPROVAL TO DECK , , ' ' . , i t. Property Sewer Line & House'Connection . � 62. Backwash & ReceptorFinal ��; �' ' ' � � , � 12. Sewer Cap . . . ' . � ' � . 63. Heater & Vent-Final � ^' - ' - ' "131.RoofDrains " ' . � � ' � 64. PlumbingSystem-Final; � ' �"'-'<_ '�'t' 14. RoughPlumbing _� � a�•(3 i� (.1��; 65. Elecirical-Final � �� � i � . 15.'Rough Electrical-Conduit . 66. Solar,System=Final � �'._ �16. Rough Electric Wiring " ' � � "' � , `� " � 67. Fencing &,Access Appro'val � �' � 17. Rough Wi�ing Sign- � '" � `" � ��, , ; 68. APPROVED'FOR PLASTERI�NG�� � � " ' ,l, 18� Rough Electrical-T Bar Ceiling � � � � � "- � � � �,�,:� _�. 69. POOUSPA SYSTEMS�FINAL . , . 19. Rough Heating & Air Conditioning '. � � � j FIRE DEPT. REQUIREIVIENJ 4': '�� � ` ', � 20. Rough Factory Fireplace " � ,. � APPROVALS ' Permit # � �'� _ � 21: Uucts, in Strucwre. . ' � - ' i 70. Underground Hydro' � � � "' � "• � � ` �+ ` 22. Ducts, Ventilating , � � � ' 71'. Product Piping O�Gas OOiI ' � �. 23. Gas Pipe-Rough &Sest . . - "' ' 72. Underground Flush , � ' ' � 24. Roof Framing _... _',�� �- 3, � '�G 73. Undergrnd.StorageTank OGas ❑Oil J� �. 25. Roof Sheathing � � - "' � 74. Overhead Hydro � � ,< i , '� ' , � , � - - Z26! T-Bar Ceiling (Structurall�&�Monocoat �� . �75.. Dry Chemical ;, . , , � �Y' r � � 27. Frame and Flashing � • . � � 76. Dry Standpipe � � � ' , ' ' 28: Lathing & Siding � � , ' � � 77. FIXED SYST,EM FINAL�. � fr�1 � � . . • _ � 29: Insulation ' � � ' 78. FIRE PREV. FINAL � �. � ,1� . / � HEALTH DEPT-:�REQUIREMENT 30. Drywall Nailing � (� , ,' - � 31. Plaster Brown Coat' •� . - o G�'� 79. FINAL INSPECTION ' -. 32. Electrical Power Meter�Final ' � - 80. •FOOD CERTIFICATE ISSUED ' ., . . ' • 33. Final Electric_ � �� . . % � � Notes:,. �,� �,� �; �� � ' _ 34. Final Heating & Air,Conditioning• � � y��'-� � � � 5y • �� �, �' � 35. Final Gas Pipe:Test � �� i - ��� n 36'�Hood or Canopy . , : � � � • � � ' 37-, Final Factory Fireplace. . • - � • - � � ' f ,: 38t Final Plu�mbin9�. . . ', �!D-�i% L� � . �. � � . �. . . , , 39. Water Service-Final �- ' .� . ' - . � . . i,. . i , � . . � �, � �40. Gas Service-Final - ' � � � . ' ' , � ,. ' � . `" , ".. � ,. . } . � 4,1_, Solar pomestioFinal : . � � ',` �� � � �,� �. ' . . ' . � � J 5�42:'_Backflow Preventer '. . .. � . - � ' . ,. , �� : " � f � . ;43: Backflow Irri ation •� - � ' . � ? . -"`�� � ` � i'- ` , � 9 . . -. tr � : "� - [ � � .'4�4. ,Candscape Irrigation System �` . . , ��+ � t " _ ; •� - �"�. • ; �' . � � � ',. � -+- �%45. Sound�.Attenuation • . � . ' �� ! �� ' � . I. � 46. Handicap Regulations . � - ' , � � ' � - .- � � � � . t � . • . ;47.� FINALSTRUCTURE & BUILDING � 7 � . - - � � . , � . _ � ��. ' � . '�'48.'Special'RequirementsCompleted� - , � �!� - ,•. i/_ . ' � ' �' � , .49.•Electric Releaseto Edison � � � ' �- • � � � � - � r. ',50., Gas.Release to Southem California Gas Co � �' � ' � � � � � '�• ' '�51. �CERTIFICAT�E OF OCCUPANCY � . . ' � � ' � ' - � � -. . � , I , . . • � �?, . . , � � � No. ' ' Date, _ .. . ' _. . . . . - - .. � ��� �\' . • ' . - � - . - . ' _ . . . . . . . . , . r . _ � . r `_., , �_. ` _ry _ __� .,�- V^ ' Ap0licant to fill in all s0aces except those wilhin heavy bortler lines antl sign all approD��ate tleclarations. ' __ ' _ _ L ' ! Girv oF, COSTA'MEsn � CONSTRUCTfON•PERMI�T ' . PE MIT NO. ' TRACT NO. ' . � LOT N ' . �UNIT NO. � � ' � 4 � ; � � , ,��.2�� � �,.2� �, � ��8� ; - i � I %.eSO � TL � t .�-'27 30'7 2�;�3� � ; , � ' ' � ' F1iD,ject Address ' � � ' � , . � � : , - � � � � ' , � " � 1 , { j , . � � � �- � � � ' �'p� � . � TVPEOFCONSTRUCTION � ' NEW �noo ALTERATION REPAIR - � � � Applicant's Mail� g Add ess �/T� �� � � Owner's Name R•//. s O��J��-�-- � • Ph�oa ' '' : . ; � CONVERSION ❑�DEMOLISH ❑ OTHER = . _ _ _ �' � 3S 3- ��0+ � f Zone_ , + ' _. __ . .A.P. #. • .. � � _ . ..' _ ' p�� y���� � -- . . DESCRIPTION O�{C NSEOFBLDG.- � '- - Address ��-y" J�Zti� �-� � � � � . : ��/CQQ�� � . � i' � S Main Building: � ; � Accessory Buildin9: � ' � � Arch/Eng � � ' License,No. ? ' � � TVPE OF PERMIT GRADING ❑ FOUNOATION ' STRUCTURAL , � �T Front Z3� '�'� � � � . � . � � ^+ � ' AddreSS � � � � � (y } . �,TENANT ❑ ELECTRICAL O PLUMBING ❑ MECHANICAL � � B Reaf �' � �� ' � ' i ' , � � ' N Contrac(or'S Name 1 =S � Phone /`L-�f 6303 i . ❑ OTHER. . . -' : � � i . .� . A . 'Y. ^ ' 4 ' "' ' - ._ _ I � � PROJECTDESCRIPTION-5�� 7�• � oCCVvaNC {C Right ��'i�;'" f i , ,�' N� Address Imailingl �7.�. ? �R�P% �L)3,�� ' `�-ZCx. , ' . - � __._E� 'K • i � . . ; , : ' . c t � ��f�� / CONST�RUCTIONTVPE � � ; VALUATION{$ ,� O� 'g Left � ,-rj . . � , I ? R City License No. '����/ , ; ZOfVE • - � GRADING CU. VDS.� � � ACRES - � • � ' - LICENSED CONTRACTOR DECL'' RA7�ON - ' ' ., Ping.�Ref..# �.. � � '' i � Parkirig Req./Provided : � � E I hereby atfitm that I am licensetl w�tle� p� �5ion , harter 9 (commencing Remarks: � ' ' � i � � } � , .y � ' ',PldMiog NO[Cii ',yy��l - � ' � � � � M , wit� section 7000) of �ivision 3 b� ilie d e ntl Professions Cotle, and � - ��� � ' � ' ' � , mY license is in fu force an ct � � ns . . � I `- � . ' � + � � .�Oo � � , ��- ' , � .. f � T . LicenseClass-�-�__�� ns o. � - ' ' . . • { _ .. ,. S I � oate��� Siqnat re ' i I': .PLUMBING FEES� -x � ! h.: ( ; I � � : ! � 1 .�.� ;�. WORKERS' COMPENSATION LARATION ' Bar�$ink" '] � ' $hOW¢r5 ' � � � � � rt E -. + �^ ' � + - � ! �1 hereby affirm tnat I have a ertitica�e ot cbnsent lo selt-insure or a certliiczte ! �. 1 y ` . U. ' ..;� ��;- ; ELECTRICAL �' �, .' FEES ;; of Workerz' Compensatiod Insu�anGe, o� a'certifietl copy thereof (SeCtion ' ' i ^, � ' Backflow Preventer � � Servme Sink ' �- � _ �.• �::"' qutomatic Washer Q• . Transformer� 0 15 50 KW `� � J' 3800. Lab. � i 1 r. i �� olicy No. ��A%��j Co'mpany S• Backflowlrrigation " - � � � Sewer,Cap - � �, " � � '' � �- � Construchon�PoleSub ` � : r !O 50+KW� �' ' �' � � Certifietl copy is hereby turnished. - � ,� . , _ , : - - � • ^ ' ` Cer !ie op �' iletl with the citY B ' , ; Bathtubs 'y � _ � ,i � � � SewecConnection' - -° Cooking Unit • - t � , Meter ❑up�to 100 amps! � ` , , r .� \ Date� ' APPlicant ' . . • . . ..r. .. , ,' _ ' ' " . : ( EXEMPTION FROM WORKERS' ENSATION DECLARATI � � - '� i Clarifie�s � • � d ! Solar�Collectors: . - Dishwasher `c , ._, 1 '.}'j � = Meter �over 100amp5 � _ - � �(Shissection neetl not be com0let f the pe�mit is to� one huntlr ($300 or _ , � ,� � - "� � . ' " _ less). �� t ; � � • �: � Dishwaslier . � . � � � Solar Piping . i ; , Dryers'�Gas �OElectnc ; ; ' � Sub Panel ; L I certify that in the pertormarce of che work tor wnicli this'perm�t is issuetl, I - ' � - - - � znall,not employ any person;in any mannei so as to become subject to the Drinking'Fountains � _ So12rTank �� i,{� _�' Fan�. j ' ' J i • ' ' Workers' Compensatian Laws�of Cautornia. ' � ; ' ' ' • - � ' r i , Motors �01-HP��1 / 8 , � � . Date� � � � Signature ' ' � � � , PloorDrains � " • � ' ' , Swimming Pool w/Spa � " � T- F.A.0 ' InaSolai 09-15 HP �1645+- i + ` 1- NOTICE:�If,afteo-makin9 this�tleclaration, you shoultl become•subject to�the--- ' ' ' -. ; ; � - � Y �I - -. ! _ _ ._ _ _ _ _ __ Workers' Compensation p�ovisions pf the l2bo� �Cotle, you mu5t forfhwith Floof SiOkS ' � • . ' ' ' ' � . � cOmply wi[h sucp; provisioos o� this permit shall be tleemetl revoketl. � i U�indl i I � ! FiXtuf¢5 �1 � � �� Microwave ' � � � O CONSTRUCTION LENDING AGENCV � Gas$¢rviC¢ OuU2t5' � WaterCloset,• . ' I. DeviceBoaes . ' � � � � . I M1ereCy affirmitha['there i5 a conztru�[ion lentlin9 agency for the performance ' ' �� � �s � . � � P��e Light�' . of the wo�k � tor� which this permit is issuetl (Sectlon 3097 Civ. C.) ; Int¢�c2pt0�5 � - � y^� 4 Water'Heater �� • j "' Outlets � � • � � Lentler's �Name � ,:..r � Range � . . -Lentler'sAtldress ��",i- � - � - - r � KitchenSink � ��y 'Water..Service"---,- - ' _ ' I. •. ._ - _ __ - OWNER BUILDER bECLARATION ' � ' r : . ' � � . . 'SwrtCh25-�-- • Sig�y-_ . -: ?•- I bereby affirm lhat I..am ezemp['f/om the ConVactor'S License Law for the�� Lavatories � '- � � Auto WashT � �' � � .�. 1 � ' • ' tollowing reason (Section"7031.5 BNsiness antl Professional Cotle: Any city or �'G" " - � �- � + � _>1 Garbage Disposal a '; - ; � �Standing Sections , f . county which reqwres,,alpe�mit to'construCt, alter', Improve, tlemolish or repair� �� p-Trap . � -� i-�^ "» , Laundr T�a 5 • �,.` ' ' ' ' . � �� , any structure, prior to.its issuanw, also requires tne applicant for such permit v" - Y Y � Generatoc �0�5 KW 05-15 KW TrasF Compacmr , , , ' ' to� tiie a signetl slatement that he/5Pe is licensetl pursuani to the provisions of � '� .. �" -';p^�{ �'/y� f ' t' . . ., t , . � I the Con[ractor's License Lawl(Chapter�9 (commencing wlth $ection ]000) of Roof Dreins ' �'+; � - � : , ,4�. � , ' 1 , � . y • �'Division 3- oi�the' Business antl Profeszions Cotle) or that'ne/she'is exempt' , . . . � ' . therefrom antl the'basis for the�alle9etl exemption. Any violation of'Section ' � � '' � • , : � 7031.5 by any applicant tor a'pe�mit subjects the�applicant to. a civil . � - - � ' � � ` �' � penalty of not�more than five buntlrBtl tlollars ($500). -" - . ' � .,. � � ^ . 1 �' ; t . • 1 - � �� � , ❑ I, as owner of the property or my employees with wages'as�their sole � Reinspectian Fee' $15' � y, , ISsue Fee -. � , $� 3 I ' { ' � compensation; will tlo the work, antl the structure is mt mtentletl or offeretl - �• . ! � , - MECHANICAL; - ' , � Reinspection Fee � „ $15' . ' �ssue Fee ' : �� $ 3 for sale (Section' ]049, Business �antl �Professional Cotle� �The ContractoYs •, PEES � LicenSe law tloe5 not appty lo an oWner of a property who builtls o� improves . . �. , ' • thereon, and who tloes such work himself/herself or throu9h nis or her own . , � - � ' � L �; eDEVELOPMENT $ERVICES REQUIflEMENTS:' �-, ' � employees, provitletl that such improvements are not inientletl or olferetl for ' gOilef '• .. HOOd O� Typ¢ 1 ❑ _� • �.� ; O` ,� , ' �� t 1-�I-9� � . sale., If; howeveq�the ouiltlin9 or imP�ovement is sola within ane year ot com- � - Canopy � Type 11 ❑� ' '- �Zoning Approved 6y Date '- � � -pletion, the awner will have the bWtlen of Oroving he/she ditl not builtl or irn- � DUCt - Und2f G�Ound � ; _ � ( ��� BUilding App�OV¢d'Bv ' '� � Data '� ' 'p�ova fo� the pu(pose,of sale). � , � • .. . ' ' _' ' . , . . // � � , � ' � I', as oviner �of. Yhe property, am ezclusiveiy contractin9 �with licensetl mn- ' Duct -Structural ` , , Refrigeration System 3 , . �Applit2tion luued By � Dat ' . tractors to construct the p�o�ect (SeG<ion ]044, Business antl P�otessions Cotle: ' � • -- Tne ConVactor's L'icense Law tloe4-not apply to an owner ot�property wno Duct- Ventilating' . T' '❑�-100,000 BTU, ❑100,000 BTU - , �_. i"', SUMMARV OF'FEES �; • �� �� °% `� r � builtls'or. improves'tnereon, antl wMo contracts for such projects with a con- � � ' � - _ � ', � ! � , �'• t tractor(s)n¢enze•pursuant to.tne Contractor;s License Law). I am aviare that ' �"� � ' BUIhDING PERMIT $� %7. OA ,�SMIP 1$ - �� S�'� : ' Exhaust System_ �' Multiple 0 System Repair/Alteration , , , . , , , proof;of�tneir, Worker's'Compensatlon insurance stioultl be provitletl to me.'� . �:� - '� , � - . ' � - � , . � PLAN CHECK. .$ :PERMIT � - . � " j ❑:I�am ezempt untler Section—; B. &-P G for this reasorc . Firepl/Fact. BIL.ICBO �k ' . Fire�.Da'mpers �� � r� PLUMBING � 1'� $ �` �SSUANCE $ Date � � • Owner � - .. � Heating Sysrem�& Ducting � Registers .� � > � := - ' � i �;�� , ,,,_ ' ,' ENERGV�P,.C. $„�� � ' • � , ' ' ' � � " - PLAN CHECK . 25% $' - i I hereby certi(y'tliat I have,reatl t•�s `� i antl state that the above_� �0100,000 BTU �100,0006T . .; �,' - . ' $, � - .. GRADINGi ' �$ � iniormation is corr .'I to c Y � aIP ity antl countybrtlinancer ' � . i. � f � . � 'ECECTRICAL? y � , , _ , antl state laws re i o bui i ns n ntl hereby author¢e repre- _� � �- . � � P�.qN CHECK'; 50% $' ' �" � MICROFALM $ ' �- ` sentatives� of IhiS ' P vermentwned-properiyyfor � _ " . � • _ , � r ' � • j ,� , f s f � � MECHANICAL � �.$� 1TOTA.LFEE` ,$ , SO' mspection pur - � ' . i + � � � � t Signature Daie'�1���. ' •• �� � . : , • - � -� _ _ _ . , + Reinspection Feet � �$15 :. luue Fee G -$ 3 - PLAN CHECK�- 25% �$ ' � � yOrivers' se 5 p � � % _._..___". '__ " .. "__ _ "_' __._' ___ �_..... _ .__.. . __ ___. _�� _.. ._" A.' _" _ '_ _..__ .._ . . .. _ . . .._ . . - CMF OB65-46, rev. ]0/B4. White - Builtlinq; Canary � Applicant;. Pink � Accountinq; Goltlenrotl - Assessor _�„�_ ' '' � • : -.� - ;. -. �.� . � - - - .. .. :_. . - ,- ' POOL & SPA�. � . •'- � ` ' � Y , ,CONSTRUCTION AND`.PLqNNING � ' � � � .. _. .. ; .�. .i.. , , .., . , , .. . � � . " ��Date • Inspector � ' "' � ��, � �Date � Inspector APPROVALS ��Permit#�� " � � � APPROVALS Peiniit# , � . � 1` Temporary Electiical Service or Pole , �' � . � 52. Pool &� Equipment Location � } - � t. . .,.. -'- -... � . 2. Soil Pipe-Undrgrnd:.Y� ' ' - � , � '�53. Steel Reinforcement�� ' ` i . .� , ' ' 3. Electrical Conduit Utility-Undrgrnd�. ' ' ' � �. 54. For,ms� . ' . ' � � ; ' i �� 4. Electrical Conduit-Undrgrnd. � � -55. Elec{rical Bonding - -� �„ . •. � `t �5,.Steel �Reinforcement ' . • i ' � 56. Rough Plumbing & Pressure�Test s � ' ' '�� 6. Electrical UFER Grnd� ' , � , ; � ' - 57. APPROVAL TO COVER-GUNITE ` ' � � 7. Footings L ' � , �� ' ' . � = � �' 58. Electrical �Conduit�Undrgrnd. ' � I 8. Foundation ',.+ � . ' ' � - -•� " � 59. Gas'Pipe; � ,Undrgrrid., Tesi � ' ' � '� �� � 9. Wat�er Pi e-Undr rnd. . .'� . � , � '-- ' + � - . , • } . � � i� .. P g .. . � � 60: Backwash Lines; P,-Trap„�>Undrgrnd.; � n 10: Structural Floor SYstem .� - � �. ' 61. APPROVAL TO DECK _ � � � �� . � 11. Property Sewer Line & Ho'use�Connection' r ;� .�i ' 62. Backwash & Receptor-Flnal > �y " ' � - , ' 12.�Sewer Cap � . � : 63. Heater'& Vent-Final � � . ! - ��� �, 13.'Roof. Drains � � � �. ' • . � � , � � 64. Plumbing System - Fi'nal �y. •: =; ;�� , � � : 14: Rough:Plumbing ' . , � .' - 65. Elecfrical-Final' + '��� ' r � � � i I ' �- 15. -Rough Electrical-Conduit � '� � i ' �� � ' 66. Solar System-Final� :- ' � �• � � , , � . 16. Rough Eleciric Wiring ''. � � � 67. Fencing &'Acces3 Approval � ��" � � � 3� _� � ' 17: Rough Wiring Sign . � ' ' � � 6S.��APPROVED FOR PL`ASTERING � � ' � - .. . . . '.. . .,.,.. - _. .. . . � . �� 18! Rough Electrical-T Bar Ceiling �.�, � � �� � ' � 69. POOUSPA SYSTEMS�FINAL � r� . � . � � � 79. Rough Heating & Air Conditioning ' � � , FIRE DEPT. REQUIREMENT r;; ' �� =' i 20: Rough Factory Fireplace , � �� � . , ' APPROV,ALS ; Permit # _ � ' ' ' 21' Ducts,�in Structure ' . �. ,; , - 70. Underground Hydro � � ' -�� �` � ' ; 22. Ducts, Ventilating ` . , � � ' 77. Product Piping OGas OOiI . - ' f. 23: Gas Pipe-Rough & Test� ' ' � � - ; ' 72. Underground Flu`sh f . ,, � � ' �: t"�"` � 24. Roof Framing � - _ . ' ����3 � G'�i_ 73. Undergmd.StorageTank D�Gas OOiI � ' � 25. Roof Sheathing � � - _ , 74. Overhead Hyd`ro �, � � � � � - - P, � 3 !3 : , � � 26. T-Bar Ceiling;l5tructural).& Monocoat . . , i . 75. Dry Chemical� ; � � '�. � � '�t '� . 27'�Frameand Flashin� � V ' � � � � � ' � � � � �" E 9 ' �r/ ' 76. Dry Standpipe , � , - p..� . �`.' - 28. Lathing & Siding • �, _ ` � � 77. FIXED SYSTEM FINAL ^ }� .' ' - � 29: Insulation , . - 4 ' . � r . 7$, FIRE PREV. FINAL . • ' � �- � ".a � � � 30. Drywall Nailing � ' � : � ' - .� ` . � HEALTH DEPT. REQUIREMENT . : � ? , ,i 31. �Plaster Brown Coat � � . � 79. FINAL•INSPECTION � ' � � ; ',�, . � ; 32: Electrical,Power'MeterFinal � . 80. FOOD CERTIFICATE ISSUED �_� �_ Q� �33. Final Electric � � ' � � . - ��� � Notes: „ , ' � - '� � � , � t i 34. Final Heating & Air Conditioning �- , i . - . ' ' - . �, � ,� ; : 35. Final Gas.Pipe-Test ' • � � ' ; ' . � - � " � �36. Hood or Canopy , . . . ' � . , � 37.J�.Final Factory Fireplace , . � � , ^ ,- : ' . � ;� . , , ' � � ' ' . 38� Fihal Plumbing '. . . , !^...' �:'' � ' � -�' • � . '�] � � 39. Water Service-Final. , , � - : - - , ° , - � � ", � ' . y : i ' j.' 40. Gas.Service-Final ' � . . + : ,,;.h. . � .. . . � ;r'41. Solar pomesticFinal,• , _ • . � „ ' � .' � i - � ' , + . . _ - . � 42::Backflow Preventer . . . ' . . � - !� , � � .t r � 43.� Backflow lirigation � . - � � . � , �., � , � � �! a,;t. - 44. �L'andscaPe IrriQation System_ �, " � . � r:� . , i (', . ', � � �': � '� � �• ty . � ,_45,Sound Attenuation ' ' . .. , , - . �� �, � ' � � . , ; 46. Handicap Regulations � .. - ' - � ' " , n _ � • - ' � � �' - „ '�47.F,INALSTRUCTURE&6UILDING� �'��A/ ; ' _ ' . � . � � . � � _ `� I " "48. �Special Requirements Completed '.� - �• "- � ' . . . ' ' � ! . ' � _� , . . � �,49'.-Electric Release to. Edison . � � - � - _ _ „ . .'� �' - � , � • ; � j �� 50.`Gas Releaseto�Southem California�GasCo . , �_ •': - . � . ' , � " : 57. CERTIFICATE OF OCCUPANCY . � � . . . '? ,. � r .� .� . . , . .. �-_ . No.- � � Date _ . . . . - . . . - - •�-- - - - � ' �`�� , - . . .. . . � ,_'.'+ �.<.a . � . . � . . � . ,_� . . . . ... � ,. .-_ .. � -, . , � ,. / . . . • . , . . ' .. e ' . � r �` ` _ � ROOF�:COVERING CERTIFICATION ' ' � �-�� " " ' 2730 ' ' � �' - Permit No. � � ;, , � Property addres��� _����G�_ ��/� �%�� , ' Owner �%����� ' GTC� ��'_ " . . Contractor �� �,� /'�_��g�� , , • State Contractor License Number� ��{'�3 �� � Classification R�� i. . , . I hereby certify that, h.have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter'32, and Section 1704 of the 1979 Uniform Building Code, as amended in Section 5-1Z Title 5 Costa Mesa Municipal Code, and the installation instructions of the� " ' , . manufacturer.:. ' ' " ' . .' � , , � ��, �❑ .I further certify�that I am the owner of,the p�operty: (Owne'r-Builder permittee only�. .. O I further certify that I am: . ' � ,• � � Owner of sole proprietorship company ' • � _ ' ,❑� Full partner of the company , ^ � '' •, 0-' Limited partner of the company ' �� ' � ❑ Officer of the corporation , ' � I certify that as an authoriied officer or agent of the company or corporation, I am empowered to • , �make this certification, which'shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy, of this Certification to the above listed owner, after submittal of form to the • � Building Division for acceptance. „ . , , , � • � • � ' . . , • . . . . . C �. . , , ' ' - . . 3 �'. � � . ' p�, �}- .�(',� a /� 1 �-.�y .� /.r�� . � ' ' . ' �f.iL/ L�.,`-,/d`1.G9� �%—�%OK�%/GiC7 F--�.f%� /vVli/rl , „ • , , • , . Compa y or Corporate Name '� . / ' �� , " "� ' ' ' . . ���� J�1�i1�Q,� ,�f�9�� . . - - . , � � , , qtltlress . _ � � . . . . . ' /'�Cz1'�9 L29�54 . �� �� Z� � Received by Building Division by: � �re . . . ozce - � � 2��'��' 7 ' , . �' . . INtial ' - Date � ' Printetl or Typetl Name� - . . , � � � �• Spae¢ for Nolarial Statement for authorixeE�officer or agenl � � - - ' ' . • ' . � � . ' . . . � • . ', , � . ' � . . .. •.�� t . � . . . • . , ' r . � . . . . .. .��- ' . .- ' , • ... ' i , . � .. . . .. • . . . . � + .. ' . . . ' . - I ' .. ' ' ' . . ' .. . . . ` . . . . � . . , . ' • � .. . . t '. . . . . � , . � . � ,� CMF 0990�46 Whi[e - Builtling Div.; Canary -Contractor: Pink - Owner , , `� -! ; , . � ' � . � . . . � "ti'e . , . . CaU ON THE - .3 S3 - TVPE � GFOUP :i,�� = M: : / BVILDING qDD`�ES$ �,� _ 92 �-a-�;-zL� TRACT 28;7.3.,:_ : ,:` , ;. :�NEW -. �ADD ALTEfi REI `,s., - IIESA .���'" 32. Electriwl Power Met .�al ' IIVISION � ���`�� . 33. PinalElectric � � � ` IO�J •P���IG �"':��- -� 34. �Final Heating & Air Conditioning� -" -"". "� �OB ,��.-: 35. Fina� Gas�Pipe-Test , 7.S�jj -.: - _ <,_ 36. Hood or Gnopy end tlm :106 ADDRESS TION.`..CALL 7545627. 37.'Final Factory Fireplace I JOB �►T ALL TIMES. � � 38. Final Plumbing_ • � DATE su 3g, Water Service-Final - /� d� % MIT o. 40, Gas Service-Final ' - 2%��6 ,: , 41. Solar pomestic-Final • � 42. Backflow Preventer � � BLOCK �� ," 43. Backflow Irripation � MOVING "DEMOLISH � �; �pdSGPC �fflJ3tlOf1 $YSi0R1 . 45. Sound Attenuation � ' 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed _ � . POOL & SPA U � , � SETBACKS , � " APPROVALS Permit�k e .� Front Yd.23 ' Z`-Side Yd. L 2�._ R�� -� Rear � 49. Pool & Equipment Location -�� ., � Side Yd. L- R Rear 5p, Steel Reinforcement .. . CONSTRUCTION AND PLANNING 51. Forms � - • APPROVqLS Permit# Da[e Inspeetor� � " 52. Electrical Bonding � - 1. ��Temporary Electrica� $ervice or Pole 53. Rough Plumbing &,Pressure�T¢st . 2. SoilPipe-Undrgrnd. 3-lj-Y L2E1> 54. APPROVALTOCOVER-GUNITE, 3. EleMriral Conduit Utiliiy-Undrgrnd. 55. Electripl Cor�duit-Undrgrnd. 4. Electrical Conduit-Undrgrnd. �� 56. Gas Pipe, � Undrgrnd., Fest � - 5. Steel Rein orcement � � 57�. Backwash Lines, P-Trap, O Undrgrnd. 6. Electriral UFER Grnd. 58. APPROVAL TO DECK 7. Foqtings 59. Backwash & Receptor-Final � 8. Foundation 60. Heater & Vent-Final ��' � � 9. Water Pipe-Undrgrnd. 61. P�umbing System - Final �� 10. Structural Floor SYstem � 62. Elearical-Final - �`- - 71. Property Sewer Line & House Connection 63. Solar System=final �� 12. Sewer Cap 64. Fencing & Access Approval . 13. Roof Drains 65.. APPROVED FOR PLASTERING 14. Rough Plumbing ' ���-47 L�,tj 66. POOL/SPA SYSTEMS FINAL ��, ' 15. Rough Electri�al-Conduit � FIRE DEPT. REQUIREMENT 16. Rough Electric Wiring 3� G ppPROVALS Permit # � 17. Rough Wiring Sign 67. Underground Hydro 18. Rough Electrical-T Bar Ceiling 68. Roduct Piping ❑Gas QOiI 19. RoUgh Heating & Air Conditioning . � gg. Underground Flush 20. Rough Factory�Fireplace 70. Undergrnd. Storage Tank O Gas OOiI 21. Dutts, in Structure ' 71 . Overhead Hydro 22. Ducts, Ventilating � � 7y. Dry Chemical 23. Gas Pipe-Rough & Test � 73. Dry SWndpipe . 24. Roof Framing - 74. FIXED SYSTEM FINAL 2B. ' Robf Sheathing -� � 75. FIRE PREV. FINAL 26. T-Bar Ceilin9lSfruauraq & Monocoat Notes ��� L RviL�.iw �1� ' 27. Frame and Flashing �. 28. Lathing & Siding � 3 3 �i Zg. Insulation ' '� 30. Drywall Nailing �� 6 31. Plaster Brown Coat 3� (�,✓ f ^9 �i .� L (�e reverse for additional rrotes) a .r l.._.......- -- - �- - -.. _ . . . ..-'.--- ,_. .. . . ----� nTv n� r- BUILDI SA ETY �S�S�� PIC Cgj]QN_ _THE_ A. NO. 22-353 -8 TVPE �- GROUP v ,2-3 _� BUILOING ADDRE55 PLACE 32. Electrical Power Meter-Final 33. Pinal Electric' - 34. Fi�al Heating & Air�Conditioning � � ._35. Final Gas Pipe-Test, _. . . . . 36. Hood or Canopy nd the JOB ADDRESS ION: CALL �54-5627. 37. Final Factory Fireplace JOB AT ALL TIMES. 38. Final Plumbing , DATE V o gg. yyater Service-Fina� 2 /r 87 aenn�ir No. 40, Gas Service-Final .8 - 27 307 28 73 d' NEW ADO ALTER REPAIR M ow� � �� USE^ - � ��� r F t_ �� (787 �' SETBACKS Front Yd. Side Yd. L- Side Yd. L _ CONSTRUCTION AND PLANNING � APPROVALS Permit# R Rear R Rear 1. Temporary Electrical Service or Pole 2. .. Soil Pipe-Undrgrnd. , . 3. Elec[rical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings " 8. Foundation , 9. Water Pipe-Undrgrnd. 10. Structura� Floor SYstem 17. Property $ewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Elpctrical-Conduit 16. Rough Elpc[ric Wiring 17. Fiough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts,in Structure �--� 22. Ducts, Ventilating j��: 23. Gas Pipe-Rough & Test�� , q�'„� 24. Roof Framing � 25. Roof Sheathing - 26. T-Bar Ceiling (Structurai) & Monocoat 27. Frame and Flashing . 28. Lathing & Siding 29. insu(ation ' " 30. Orywall Nailing . 31. Plaster Brown Coat CMF 0559-46, rey. 12/82 41. Solar pomertirFinal " 42.�Backflow Preventer � � - 43. Backflow Irrigation - � 44. landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Speciat Requirements Compieted POOL & SPA APPROVALS Permit# Date �Inspeetor 49. Pool & Equipment Location � 50. Steel Reinforcement 51. Forms 52. Electrical Bonding 53. Rough Plumbing & Pressure Test 54. APPROVALTOCOVER-GUNITE 55. Electrinl Conduit-Undrgrnd. 5Fi. Gas Pipe, � Undrgrnd., Test 57. Backwash Lines, P-Trap, � Undrgrnd. 58. APPROVAL TO DECK 59. Backwash & Receptor-Final 60. Heater & Vent-Final 61. Plumbing System - Final 62. Electrical-Final � 63. Solar System-Final 64. Fencing & Access Approval � 65. APPROVED FOR PLASTERING 66. POOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 67. Underground Hydro �� 66. ProductPiping OGas ❑Oil 69. Underground Flush 70. Undergrnd. Storage Tank � Gas ❑ Oil 71. Overhead Hydro � 72. Dry Chemical 73. Dry Standpipe 74. FIXED SYSTEM FINAL 75. FIRE PREV. FINAL Notes (see reverse for additional notes) nr. xo. 115 � INSPECTIONS OCCUPANCY , C. R. ' - rrell St. 3 Oc,mer/Bldr. LOT THACT I DATE ��� 2 1 1960 FIRE ZONE DATE VALUE S � DESCRIPTION OF WORK SUBCONTRACTOR 3-15-60 Form 210—SM-11-59 5-B P � - � - 1177� � - , ' = �':. 1�-�7� � ��E RECEfVED COSTA t�ESA BUILDWGSAFETY DEPARTMENT , 3' �5 =�' o_�4 P. °. B°" 9„ `°�" "'�". `""F°R"'" FINANCE DEPT. For Applicanf fo Fill In Complefely ��AyPP�L�CA�7I�bN'FOR' PERMIT � TYPE OR PRINT BUILDING BUILDING r ' �� ' - ' ADDRESS � COSTA MESA, CALIFORNIA � , FOf Office Use Only � - � nA,/ .. rsece�rr NO. I PEH�Lr„t�o� - OWNER -� C/!� •'b ' . MAIL . • 'aeCEJVEp BY' I '��^/E��OI �TE I63U8�v ADDRESS � U�^ S TEL. BUILDING ' � CITY ' NO. ADDRESB � ancHiiec7 ' • ' ie�: � - COSTA MESA. CALIFORNIA OR ENGINEER � NO. ADDRE55 . }, ' FIRE � ' � L ZONE TYPE � GROUPCT- CONTRAGTOR APPROVED BY ATE ADORESS " � - � Z I G . ' . l. � E NO.OP U6E OF NEW � CITY � ' � � I PLANB �I BOILOIN� I STATE . TEL. � - LeGAL �J� �. n � LIC. NO. NO. oe6CRIPT�o (/!�-� s— SIZE xo. oF. eLpcs. � ,5 OF LOT I NOW ON LOT I q. p, qp. " V� - USE OF . .. � � , ' EXISTING BLDG.. - YARDS EVES APPROVE� ALLOWEO � 68TBACK LINB FROM � � � f�NTlH LINE 9TJ CENTER OF BTPEET ' REAR YARD FRONT T IN. 9IDE YARD ILEFT= IRIGHT ' R.SIDE � FT. ' IN. DESCRIPTION OF WORK �. S�oE ' FT. ,N. � NEW i/` I IIALTERA710N I� IIADDITION I REAR ' FT. IN. REPAIR I II MOVING I �II DEMOLISH I BYPROVEO ./ �` � DATE _ 7� � � BUILDING NO. OF ' � �///r SIZE ROOMS �STORIE6� ` � ' ' • (_/ �� / ' EXTERIOH WALL ROOF � � COVERING ICOVERING - ' � � � US BUI ING ANO WORK TO B�PERFOR D - - 1 HEPEBY ACKNOWLEOO¢ THAT 1 HAVE RG� TH18 APPLIGTION 7HE AMOUNT SHOWN UNDER VALUATION IB FOR iHE AND BTATE TXAT TXE ABOVe �5'GORqECT ANO FGREE TO COM- PLY WITH ALLCIlY OROINANCEB AND BTATE LAWB REpUTATING " PUPPOBE OR, EBTRBLI8XIN6 A PERMIT FEE ONLY. ' Bu11.oiNG eoxernurn VAWATION - � � SIGNATURE OF �O� �� PERMIT FEE $ N PERMI7TE m � � . ' � $ PLAN CHECK $ - AUTHORIZED AGENT � ' � - ¢ � TOTAL FEE � � u- , OWNER �ristol Estates � onre 4-18-56 - JOBADDRESS 929 llarrell St.' " BUILDINGPERMITNO. Z819 GENERAL CONTRACTOR S.V.Hunsaker VALUE $ 8,856.�� LOT 1i6 BLOCK TRACT 2873 Single Res. W�att �ar GROUP I g' J TVPE V ZONE "'+ FIRE DISTRICT 28�15 � PERMITS ISSUED INSPECTIONS D T� SUBCONTRACTOR i DATE NUMBER Footing Trench � -��- � Foundation Forms and Grede to Garage � ,,�/ Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer„Ha'use%,A,/�,f SeH Septic Tank orCesspoo7 Lathing,ln Oi Plastering Piumbing, Final, Fixtures C Ptumbing, Fin.al GasTest Wiring,Final OccupanCy FOftM 210 3M lO�vS -C,v.�2� c1�i/,1L X., � �,� �Y .�, " ti, � / ..�l: ;' % _3 - �� .� ..� /__�-�tti s-7 -�i 3 --. •,- �•osta Mesa Building Department �:�PPLICATION FOR PERMIT �.J� P.O.Boz3�� �8�� BUiLD1NG ' % f COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN eeceipt rqo. I�e���No Building Address � Z. �/k12(Z,�l,(._. �, Costa Mesa, rid�IliOP1118� Re e' d by Date Rec'd. Date Issued Nearesk �� 8,.� �- �-.�b crossst.�L.RGGtUT/A l)� . Building Address Owner � u �2�� "� Costa Mesa, California Mail / t� Add�BSs�/J�(o C�'y— � !tr� � i)1�1�C .Ilp � Neares2 � . - . Lia No. Address Address 4�/��� Legal Lot / � 'Z Description No.�cO Block I Tract (Attach Metesand Bounds) SizeofLot �a�� X ib6� I NowonlL t� ( 45eof No.of No. Existing Bldg. �'� I Families I Roo Setback Line from ( Rear Yard -�� Center of Street � � Side Vard .� DESCRIPTION OF WORH New /� I I AlteraYion I I Addition r�� I hereby acknowledge and state that the abo with all City Ordin bu3lding construc� SignafureoT � Permittee Authorized Agt. � Valuation $ �/ ���, � 6 ! � RM 20G 10�55 D._P. 6 5. NO.of � R � Sf ' Cross St Zone No.o1 I Plans Approved' by ' CQ r ' ooms ones �O IRoof CoveNng �pG� ApPR.QVf��s ; �q,������iy����� Foundation �ocation �nspector Forms, Materials, � � Under-Pinning �` Frame: Fire Stops, Bracing, Bolts that I have read this Application ve is correct and agree to comply Lath. Int. � ances and State Iaws regulating � Lath. Ext. � "'� �'� _. Plaster. Int Pe�itFee $ z�Z-� O Plan`Check $ I I • O Zi Total Fee g '3 � , O O l_ t " _� J�" Date O A � 2 D r e ��•..i Street PLOT PLAN ' Show Ixatlon and dtstances Trom properly Iine and between builtlinga. _ — — ,.ti. _-- � IL. i..0 _ � ._ ';, �'. i �. ,; � _ i.,��� (� C057'�C� �! r . ,. , r.il"ai-Ei".r.�l'��i£S'..""�f�i� ���'':`:f''J�.nn - -. �- h. I . - ... � ") 1 - � �"'� / � . .. . . , , . t ' . . . . � � � .,'� �_ - `; ; . . .. . ''I i ... ..i . l . . , ' � �' . _. `, ' . � - - . : . _ ....i1 ``.�__ � . �_ ;;'. j � .., , ._'�,� .�. ``i "� _, , . .:.i . , .._�i .r, .l�.t., ; �� � i � � __ . ' . 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