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Home My WebLink About649 DARRELL ST - Building Permits�veaecraooxess: 649 DARRELL ST OWNEN'SN1ME: MR: 'S MRS. WHITEFORD noosess: SAME AS ABOVE • 714/642-0986' RflCHIENGiNEEfl: � REG.NO.: RODflESS:— ' . I UNI7: uxrt: PEflMITTEE:"MR. G MRS. WHITEFORD (714)692-0986 ', nooxess: � 649 DARRELL STREET , COSTA MESA CA 92627 LICENSEU CONTMCTOB OECUfl�TION: I here6y atfirm tAat I am Iicense0 unUer Drovisions af ChaDter 9(commencin0 with Sec[ion 7000) of Division 3 ot ihe Business antl Prolessions Cotle, anE my license is in full force anG eflect. CITY 11C.: . STRTE LIC.: � ClASB: Oate: � ' SiAnature: WORKEHS' COMPENSATIOX OECIAMTION: I he26y affirm tha[ I Iwve a certilicate ai consen[ to sell-insure or a certifiw[e af Workers' Compensation Insurance, or a certilie0 wpY thereot (Sectian 3800, Lab. C). � �LICY NO.: EXP. DR7E: ' � OMP�NY: + L� Cehi�ie0 coOY �s herehy �umisAeU.,, ❑ Certifietl copY is tiled with �he ciry Builainp Division. , Da�e: Applicant IXEMPfION FflOM WONNERS' COMPENSITIOX DECWUTION: (ilus section need noi be comple�e0 i� M mi lor one huMreO (5100) or less). I cerli y t�at in the pedarmance af lhe work for whic� [his perma is iSsueG, I s�all not employ m, ¢rwn in y manner so as Io become suEject ro tne Workers/� Compensation Laws oi Califomia. . � Oate: l�.— � Z^- 1� SigreWre: NOTICE: If, after makinA �Ais declaratian, you shoul0 Oecome sublecl ro t e Workers' o atlon Drovisions of Ihe LaEor CaOe, you must forthwiN comply wi[h such Omvisions or ��is permit shall Oe tleemed e oked. CONSTBUCTION LENDING RGFNCY: I herehy attirm ihat there is a canstmction IenOinA a cy far ihe petlormance ai Ihe work for which ��is permft is issue0 (Section 3W7, Civ. C). • LENDEB: ROURESS: . . '" ' ,. , OWNEN BUILOER OECIAMTION: I here0y aKrm that I am exempt imm Ne Contactors' State License Law for ihe follovnng reasan (Seclion 7031.5 8usiness anE Prafessional CoOe: My ciry oi counry whic� reyuires a permit to wnstruct, alter, improve. demolish, or . re0air any structure, D�or ro its iuuance, atm repuires the aDPliwnt for such permit ro tile a siAneA statement tlut �e/s�e is licensetl ��. Dursuant ta the OmNsions af I�e Cantracrors'.State License Law (Chapter 9(commencing with Sectlon 7000) ol DNision 3 af the Business anE Pmiessions COUe) or that MJshe is exempt thereimm anC t�e Dasis for t�e allege0 exemption. My vialatian of Section 7031.5 �y � any ap0�ican[ 1or a permit subjecis t�e appliwnt ro a cNil penalry ol not mare ihan five hunare0 tlollars (5500�., �� I, � ' ' n, Will Oo Ille woM, and lhe stmcture is not inten0ed or o eretl for sale ( ectian 7044, Busmess and Profeuional Cotle: The Coniractars' State License Law aoes not apDly ta an owner oi a DroDerty who hmlds or imD�oves ihereon, anA who Oaes such work himuli/Aerself or ihrou0h ' ' �is or �er own employees, D�ovitle0 that such improvements are not intenJea or oifered for sale. It, however t�e huiltlinA or impmvemeni is soltl witAin ane year ot completion, the owner will have [he burden oi provinq he/she Ei0 not build or improve • � Por the purpase ot sale). � I, as owner ot t�e D�oDerty, am eKclusively contracting vnih Iicense0 cantradors ro constmct the Drole�� (Sedion 7044, Business ❑ an0 Prafessions CoOe: ihe Con[aciors State Licenu Law tices not appy lo an owner af propeM � bml0s ar improvcs thereon an0'w0o controcts lor suc� D�alects vrith a con[rac[or�s) license Dursuan� to the Contractors' State License Law). I am aware ttut pmoi of their WOM1er'S ComDensation insurance s�aultl Oe proviOeU to me. ' � I am exempt untler Seciion: B. 6 P. C. �or I11is reason: ' Date: ' � ��2-'"�'� Owner�� I tlo hereby certiry ihat I am aware ai ana understantl the requirements of Califomia Healih anA Safery COAe Sect 255Q5, 25533, antl 25534 an0 that I or any iNure buil0inp oicupant will/will no[ (circle one) neetl ro comply wi[h sai0 state cotles an e reQuiremenis for a permit for consimctwn ar ma0ification imm I�e Nr �ualiry Manapement Distnd. Hesitlential constmction apDlications are exempt fmm t�ese provisions. Oater Applicant I here�y certity t�a[ I Aave read t�is aDV��ion an0 state Ihat t�e aDove intormation is correct I aqree to camply vnih all ciry an0 caunry ordinances and st5te laxs relatinp to Cuil�in0 eonsimcfion anE �e2�y authorize represenU' enler upan the a0ove-memioneE proDeM �orinspection purposes. Date: U7 �� 2—� (� SiO�ature: oriver's License or Social Securiry x: 1641-46 White—BuilEing; Green—Cotle Enforcemem; Canary—Ap0licant; Pink—pevanue; Goltlenrotl—Assessor , CITY OF COSTA MESA — HUILDING PERMIT. PERM NO: H P047711 PERMIT NO: B 047711 PLAN CHECK NO: N. , GOVT: N�SUPP: N . ,, . ' CONSTRUCTION TYPE: PERMIT TYPE: STR ,• PURPOSE: AliT JOB DESCRIPTION : REROOF � SQ FT: 2,000 CLAIM VALUE: 2,000.00 CALC—VALUE: � 2,000.00 GROUP OCC: R-3 / COMMENTS: � , ,, " � -, ' *x �r�r��r*��****�r��r*�*�**�r��*x �r�r�*��**��r*�e�r**�*�r��r*�r***�r*x *x *��+�*x �r+r**��r*�**� �r* , Z O N Z N G R E Q U I R E M E N T 5 , s s T B A c x s -----=------ MAIN BUILDING ---------- --------- ACCESSORY�HUILDING ------=-- FRNT: FT IN REAR: FT IN ,FRNT: FT IN REAR: FT �IN LEFT: FT IN AGHT; FT IN LEFT: FT IN RGHT; ,FT� IN PARKING REQ: PROV; PARCEL; 42215310 ZNE; REF NO: i PLANNING NOTES> , � � > - - - - �--• �r*�r�*�*x � *�*�r*��r*� **��r��***��****�r*x � �r�r+��*�***�r***�*��r**�r********�+e********x * D E V E L O P M E N T 5 E R V I C E S R E Q U I R' E M E N�T' S� � , ZONING APPROVED BY � DATE; ''��' �� t .. • .. BUILDING APPROVED BY : DATEe� APPLICATION IS3UED�BY: �DATEi, � G' 9fiEiPififjt�lE*ikiEiE*iEiE*i(�jEiEiFiFiEiE jE�EffiE3Eak9Eif�Eif. , ifiE 1E iE k iE iE iF iE iE iE iE 3E it itlF ik iE iF i(� iE if if iF ik i(-if if !E iE if iE iE'lE if if iElE iE iF iE iElE iE if iE 1Elf !E iE iE jE iElE 1E iE fE ik 1E iF iE iE iE iE iE iF ik iE iF iE iF iF��E 3ElE �F 9E if 1E if iF LEGALZZATION:N ' F E E S U M M A R'Y STRUCTURAL`�SEGMENT:Y . . , � BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE �SMIP/RES , GRADING PERMIT 45.00 ' SOJ SMIP/NON,yRES PLAN ' � .'l , ISSUE FEE ' ��' BUILDING—DIV=> PERMIT ISSUE PLAN—CHECK TOTAL PAID %";' DUE TOTALS----> 45.50 0.00 0.00; ' 45,50 45.50 � ,00 REVENUE DIVISION TOTALS--> COLLECTED: 45,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 45.�� .S� ,��• !E jE it iE it ik iE iE iE iE �f iE iE iE if iE it iF iE if iE if if it iE it if it iE iE 1E ik 1E 9E i! i! iE ik iE if ik iE 3E iE �E ik iE dE dh �! iE jt if iE if !! 1E 3f fE it �k 3E it iE i6 �E iF iE * if iF iE 3E �)E jE iE iF iE% I N D I V I D U A L F E E B R E A K D O W N �� r� % ' TYPE QTY D E S C R I P T I O N UNIT' COST, i'-�TOTAL COST SFR 2000 REROOF BY VALUE RESIDENIAL NOZONE 1.00 F: 2,000,.00 END OF FEES ' � ; ./�, ;%� � y/` �� r ,,: i � r �. E� �� , Qk 110D629bo—�0062967 T CtT n�r�: osii?ivo rir�E: �.:�y u �r.r1� , , ^ -- . F _ & SPA CONSTRUCTION AND PLANNING - . � � � .! APPROVALS Permit # Date Inspector qppROVALS Permit # � Date. Inspector 1. Temporary Electrical Service or Bole �� . 52. Pool & Equipment Location. � � 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�UncJrgrnd;, Test � 9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. , 10. Structura� Floor SYstem -�. 67. APPROVAL- TO �ECK . 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final �- , . 12. Sewer Cap • . �� 63. Heater & Vent-Final `: . . , 13. Roof Dra�ns - 64. Plumbing System • Final' ' � 14. Rough Plumbing � 65. Electrical-Final -• ' 15. Rough Electrical-Conduic ' � � 66. Solar�System-Final � 16. Rough Electric Wiring 67. Fencing & Access�Approval 17. Rough Wiring Sign ' - . 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling - � ` 69. POOUSPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning � � FIRE DEPT. FEQUIREMENT 20. Rough Factory Fireplace �� . � . APPROVALS� Pesmit # � 21. Ducts, in Structure �- � � ' 70. Underground;Hydro 22. Ducts, Ventilating - . 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test •- .� 7Z, Undergrourid 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. PINAL - � 30. Drywall Nailirig . � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat , 79.� FINAL INSPECTION -32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �. � Notes: � �� a. . 34. Final Heating & Air Conditioning " -� - -" _ < 35. �Final Gas P�Pe�Test . , . - . 36. Hood or Canopy - ' i� � ` ' - ' '-- �,, 37. Final Factory Fireplace . ' . 38. Final Plumbing ' � ' ' � ' � 39. Waier Service-Final . . 40. Gas Service�Final ' ' - � . � 41. Solar pomesticFinal - . , � - � . 42. Backflow Preventer . � � - 43. Backflow Irrigation� ,' � _ - . � ,, , 44. Landscape Irrigation System '- , � � � . ' - • � � • � � 45. Sound Attenuation . , � � - 46. Handicap Regulations � - _ 47rFINALSTRUCTURE&BUICDING �z ya � � ,� 48. FINAL PLANNING � , !� � •' 49. Electric Release to Edison , : i� � - 50. Gas Release to Southern California Gas Co � �'�/��+ - - . '� 51. CERTIFICATE OF OCCUPANCY � - 'v No. Date � PPOJELT ADOXESS: 6A 9 DARkELL ST owNEasxnme:WORTHING, ROHERT LEE aooness:WORTi�ING KATHY ANN 649 DARR�LL ST COST'A MESA,CA 926?.7 AXCNIENGINEEfl: AOONESS: flEG.NU.: uxiT: UNIT: PEflMITTEE: KATHY WORTHING � ( %14 ) 646-6339 FDDHESS: ([}9 DARRELL ST C.M, CA 92627 UCENSEO CONTPACTOP UECLABATION: I hereby alfirm ��at I am licensetl unaer pmvisions of Chapter 9(commencing wiih Section 70001 0l Oimsion 3 of �he Business antl Pmfessions Cotle. antl my license is in fullforce an0 effecl. CRY LIC.: STATE LIC.: CLASS: Date: SignaWre: WOBKEHS' COMPENSFTION OECLAPATION: I hereby a0irm ihat I have a certi�icate ot cansem m sell-insure or a cetli�icate o� Workers' ComOensalion Insurance. or a ceni�ied coDY Ihereoi (Sec�ion 3800, Lab. C�. POLICY NO.: E%P. OATE: COMPpNY: ❑ Cenilietl copy is herehy fumishe0. ❑ Cenified copy is filetl with Ihe city BuilOing Divisian. �ale: APOlitani: E%EMPTION FHOM WORREBS' COMPENSRTION DECIAPATION: Qhis sec�ian nee0 not �e completeA if Ihe permit is for one huntlretl ($100) ar less). I cenify Ihat in ihe periormance oi �he work for which this permA is ued, I hall no� employ any person in apy manner 5o as to become subl I to ihe � kerS:C fn nsa n Laws o� Calilo - ..i /�i/��i�� •-� � Oale: � Signaiu ' A .!! N TIC : If, afier� aking this dedaration. you should ecome su ' c� to the Workers' Compensation mvisions ot �Ae labor COde. yDu mu51 tohhwit� comply wit� such pmvisions or IhiS permit S�all be deemetl revoke0. CONSTflUCTION LENUING AGENCY: I hereby allirm t�ai �here is a cons�mction lending agency �ar the pedormance ol ��e work tor wnich Ihis pe�mit is is5ue0 �Seclian 3097. Civ. C). LENUEfl: nooness: OWNEfl BWLDEB UECIABATION: I hereby a�hrm �ha� I am exemp� �mm Ihe Contraciors' State License Law for �he following reason (Section 7031.5 Business and PmieSsional CoOe: Any cily ol wunty which reQuires a permi� to construct, alier, impmve, demoli5h, or reDair any slructure, pnor to its issuance, also requires the aOD�icant lor such Dermit to file a signe0 statement ihat he/she is licensed pursuanl io Ihe pmvisions ol Ihe Convacmrs' State License Law (ChaO�er 9(cammencing wi�h Sec�ion 7000) ol Division 3 0l �he Business and Prolessions Cotle) ar Ihai he/she is exempl thereirom antl Ihe hasis lor �he allege0 exempiion. Any violation of Sec�ion 7031.5 by any applicani for a De�mi� suDjects the applicani Io a civil penally of no� more �han �ive huntlretl dollars ($500�. I, as owner ol �he propetly or my employees with wages as Iheir sole compensation, will do the work, and ��e � 5lmciure is not in�en0ed or ofiered for sale (Sec�ion 7044, Business and Protessional Catle: The Comracmrs' Sta�e License Law tlaes noi apply lo an owner oi a pmperty who builtls or improves thereon, antl who Does such work himsel�/hersell or �hmugh his or her own employees, pmvitletl t�ai such impmvemenls are not in�entled or offered br sale. II, however �he huilding or impmvemenl is soltl within one year of campletion. Ihe owner will have I�e bur0en of pmving �e/she tlid no� build or impmve br Ihe purpose of sale�. I, as owner ol Ihe pmDerty. am exclusively coNrac�ing wiih licensetl conVactars to constmct the pmletl �Section 70dA. Bu5ine55 ❑ antl Pmlessions CoOe: TAe Contracrors' Slale License Law Ooes no� apO�Y �o an owner o� praperiy who builtls or impmves Ihereon antl who contrac�s �or such pmjects with a contraciaqs)license Dursuan� lo the Contractors' S�a�e license Law). I am aware ��ai pwol ol Iheir Warker's Compensa�ion insurance 5houltl be OmviOed �o me. � I am erempt untler Section: B. 8 P. C. 3�rj`��''� � � �ate �� wner' "✓ I do here6y tetlify I � I am aware of an� un0ers�antl Ihe reduiremenls o� Calilomia Healih a fl Safe�y Code Sections 25505, 2553 , antl 25534 antl Ihai I or anY �uWre builtling occupan� willlwill nol (circle one) neetl �o comply with saia s�a�e cotles and Ihe requirements for a permit lor conslmctmn or motlAicaiion imm ��e Air �uabry Managemenl �istricl. Residen�ial conSVuction applica�ions are exemp� �mm N¢5¢ p�Ovi5i0t15. �ale: ApP�icani: I hereDy ceruty thai I have rea� Ihis ap0licalion ana slale �hal Ihe above inlormation is correcL I agree b comply wil� all cily an0 ordinances antl 5talelawsrela�inglo builtlmg cons�mction antl tlere6y authoriz represen�atives ofthis cirylo en�er upon e above�me properly br in50 �ion purpose � �a�e: ✓ SignaWre: ori�ers �mense o� sociai secumy n: 164ba6 While—Builtlingl Green—Co�e Enlorcemenl; Canary—Applicanl; Pmk— evenue; GolOenrotl—Assessor CITY OF COSTA MESA — BUILDING PcRMIT PERMIT NO: H 061383 PLAN CHECK NO; N CONSTRUCTION TYPE: PERMIT TYPE; STR PERM NO; H 061383 GOVT: N SUPP: N PURPOSc; DEM JOH DESCRIPTION ; DEMOLISH ZLLEGAL BATHROOM INSIDE GARAGE SQ FT: CLAIM VAI,UE: 1,000.00 CALC—VALUE: 1,000.00 GROUF OCC; M-1 / COMMENTS: NO OTHEk WORR AUTHORI2ED BY THIS PEkMZT ****��r�*��**�*�*x*xz�xx�r�**�*�r�r*� �r�*�-xx�**� x�-��**�r*��rx*x�*xxx�xx-#**xx*�*��r 2 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 ------------ N.AIN BUILDING ---------- --------- ACCESSORY BUILDING ------ -- FRNT; FT IN REAR; FT ZN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN kGHT; FT IN PARi(ING kEQ • PROV; PARCEL: 92215�10 7.NE; REF NO; PLANNING N(57'ES> i if iF it iE K- iE # iE �If iE �iF iE �)k 1E iC� fF iF # iE %� %%iE �F iE iF If �if iE 3k �k iE k iE iE 3E IF 1F �lf iF K 3F )f iE lf jh IF �F lk �lh M� if iEif }E�34 �F �)k �% M� N� iF �k� 3E 1F 3[� 3E 1E if�iF k 3f i6 i(� # 3F 3F i(^ ?E U E V E L, O I� M E N T S E k V I C B S R'r; Q U T A E M E.tJ- �T S 20NING APPftOVED BY DATE; BUILDING APPROVED BY ; DATE; � : -1___.____. APPLICATION ISSUED BY: DATE; 3��`� 1flE3hlEiElElhiEiEaElEkifiFiEialEiE#3Eif�lEiE�F��F7fit3tiFi�%iFiF7iiF7FiF�F3FiiiFiFTF � -�it�R—ifitiFi�iFRiFiF1E3E1o,Y�ih3fK-i(�iFff x1r �t1t 3(�ik iE iP rt iE iE ih ik i( iE it f! iE rt 1E iE ik iE if lE 3E iE 3t iE 3E iE 3E it if� 3F iE iE �It iE iE iE if it i(� i(- 3F-%-�h 1E jh iE iE # 3t i4 iE k�1E 3E iF it-iE iE it iF 3E �(�-IE fE iP iE iP i(� K� �(� #�)(� �7F �1E i(� iI� lf # ii- 3E LEGALIZATION;N F E E 5 U M M A R Y ST'RUC7'URA7. SEGMENT;Y BLDG PNT PLUMBING ELECTkIC MECHANIC FIRE SMIP/RES GRADING PERMIT 25,00 SM I P /i�ON—RES' PLAN ,50 ISSUE E'CF' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK T01'AL PAID DUE TOTALS----> 25.50 0,00 0,00 25.50 25,50 .00 ftEVENUE DIVISIO�� T'OTALS--> COLLECTED; 25,50 OCBR/5"HORT: ,00 HLDG PMT PLIIMBING ELECTkIC MECHANIC F'IRE SMIP/TOT GRADTNG PLAN—CHECK 25,�0 ,J� iF it iE 3f i� iE �)t fE 1k ic ff 3k 1( i! it±E ih iE iE iE iE �If fh iElh iE iE 1E iE iE i!' �lE-IE 1! iE-lE iE fE it iE 1E iElf iE �%1E if �f if iblE iF iE i6ib !E'IF 7E db iF iE iE i(� 3F iF 1( iE?6 iP iF iE IE �(� if %� K� �)F 3(� iE 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"c: S C R I P'C I O N UNIT COST TUTAL COST NO FEES WERE SfiLECTED FOk THIS PERMIT Q: �.Ui�`r!�-.�i_.. _J . ' '. 1siTL: U;,- �r:�'. i . ?�: , i _ �. � CONS7RUCTION AN� PLANNING . � PG.,� & SPA APPROVALS Permit# � Date - Inspector APPROVALS Permit# Date i�spector, i. Temporary Electrical 5e�vice or Pole � 52. Pooi & Equipment Loration • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .' ,� 3. Electrical Conduit UtilitY•Undrgrnd. � 54. Forms 4. Electrical Conduit�Undrgrnd. :� 55. Elect�ical Bonding - • 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Elecvical UFER Gmd� � . 57. APPROVAI-TOGOVER�GUNITE 7. Pootings � 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. � Gas Pipe, O Undrgrnd., Test - 9. Water Pipe-Undrgrnd. ,�-� 60.. Backwash Lines, P�Trap, �7 Undrgrnd. � 70. Structurai Floor Svstem 67. APPROVAL TO DECK � 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Pinal . . 12. Sewer Cap 63. Neater & VenbFinal ' � ' . ., 13. Roof Orains , 64. Plumbing SYsrem - Final . 74. Rough Plumbing 65. Electrical�Fina� � � 15. Rough Electrical-Condult �� 66. Solar System-Final � ��'' i6. Rough Electric Wiring 67. Fencing & Access ApProval �, '� 7( 17. Rough 4Viring Sign 68. APPROVED FOF PLASTERING � 18. Rough Etectrical-T Bar Ceiling 69. POOI/SPA SYSTEMS F�NAL � " 19. Rough Hea2ing & Air Contlitioning FIRE DEP7. REQUIREMENT 20. Rou9h Factory Fireplace � - APPROVALS Permit �` 21. Ducts, in Structure 70. Underground Hydro 22. Duas, Ventilating 71. Product Piping L� Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Undergrountl Flush � 24, Roof Framinq 73. Undergrnd. Storage Tank G Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Celing (StracturaU & Monocoa; 75. Dry Chemical 27. Frame and Flashing 76. DrV Standpipe i 28. Laihing & Siding � i 77. FIXED SYSTEM FINAI ' 29. Insulation 78: FIRE PREV. FINA� �� 30. Drywail Nai�ing � HEALTH DEPT. REQUIREMENT 37. Piaster Brow� Coat � � � . 79. FINAL INSPECT�ON 32. Electricai Power Meter-Final � � I 80. FOOD CERTIFICATE ISSUED � 33. Fina1 Eiectric � , � Notes: 34. Finai Heating & Air Conditioning , , 35. Final Gas Pipe�Test � I � 36. Hood or Canopy I � I 37. Final Faaory Fireplace � .` , � 38. Final Plumbing � ' `-' �-�-- I �I 39. 4Vater Service�Final i � 40. Gas Service•Final � � ' 41. Solar pomestic-Final � i , 42. Backflova Preventer � i � 43. Backflow Irrigation � 44. Landscape Irripation SYsiem � ' 45. Sounil Aitenuation , 46. Handicap Regulations � i i � 47. FINAL STRUCTURE & BUfLDING � � ' 48. PiNAL PLANNING � �- � 49. Electric Release to Edison ; ' i 50. Gas Release to Southem Califomia Gas Co ; ' , 55. CERTIFVCATE OF OCCUPANCY No. Date I , CITY OF COSTA MESA PLANNING DEPARTMENT i A.P. No. .,-� >- Bldg. Permit No. PARK AND RECREATIONAL FEES - Apartment Fee Payment Receipt Project Address �„ L�P�_��s� , , Owner's Name �__.__ ., . ... 1��-7��Ac�OO 68uiv**�*25.�0 ts Bachelor or 1- Bedroom Units @$25.00 = s�5.�:� 2 - Bedroom Units 3 - Bedroom Units @ $40.00 = $55.00 = 4 - Bedroom Units @ $70.00 = S - or more Units @ $75.00 = Total number of Dwelling Units Total Fee ��5.(70 Planning Department Approval Date . Park Area No.�� •-��.,- r. $y . N.l..i:. Rli Applicant's Signature ._ _. _y Received b; Made by:� Against:— Directions: Nature ofif Complete: Yes No COMPLAINT INVESTIGATION < Complainant Yes� By:— Interviewed: No Date: C Date �� . . ' . .! -_ � . .. � . � _ ' . � _. _ . . . J - ' f \. �rt� _ . � ' �, .w - � . � . • • ' v . / �f ' _ . . . � _ . . ? a w . . 'r A. !. 3 ' , _ �`_�K `r .. . y� . . ' . . ' ' ' . Yi � ♦ . . . ' . . .. .� �. � � ` "' ' ' . . •' f . ' .. _. . ::F4��P ' - - , : - - . . . ^ . �n3j,I:tu G4E6[i �7::GC_F.�Z • • . ' c,ICH'.�(�D H`dG1H9k.S . , - ' ' , . - ` ' . : _ ` � r?rcezc �h Anctia' . - ' . .;,our _s-_6^• . � . . . , ' r - . . , . . . .. • . .. .� ., . �� c+nc os.i_v��i�z ��uq csu.`„sy,d s� c��L��Le 2�[sc� ri�cc�c o� T.�n% . _ . d�i}*2 jsttez i2'nrzGcrc� « aur.:.qu'o�: ycc r,�'*: Ann n7jr ne :r?�5, cnbA o� r.prcii �a, ��[sc;�eG..-: � � ,. - . � . - fU6 CO2�9 ;j62J y!fi:S�'C;'P',J �GfjG� AiG iti{Gl�i1n: EP.46G{-';''+17 ilUS� =' . �. ., �yn-2rui; �on nF ?.:a�,✓e2Louz;crrr�:�.te��q�v� Gi76 zednrLc�tte'u:��R-( . . jD `�/(j;il j�l`T[ �n��/rif I�iTT �6-R�2:7�6 pU6 ?ll0 {�'i Fi!6 �%PC�CY?F, �.r� � '. . ' arr.n�r s bzin�cs �f�Tr�c�;irE Lonr�nu k�rtc hcnbe.rx- - . ' V Fr,�rart,n beciu�� j�vz.•p:ecr zzzn,c�.�-c 2nnGP Coaz_�.bnera r��c:u- ' • . ' : �c,:ri �rc: " , _ }. �� . . ,;v.2� *�6z+�' C�r?�c'zuz�' dSASP, .. . � . - - '.: w � � �G.d �nstL: 1 F 2:iS�i � - � -. . . : . , . . . ' . . _ xtr • �Cr_-ou�ti�. i,m.a� o :-_` . � �' -. . � . . � . � . . , , � �'P � -- • . �_ ' . �. . , . . - - � � . ' - � - - . . � . . _ � ' . - . . . {6��R�:f: r' �ri�� ' • ` ` .; - - - . �� r ,� � .-�! _ , � : . _ : _�. <i .t _ . �1 . f � ' , . :� � � , - CITy OF COSTA MESA PLANNING DEPARTMENT A.P. No. ;,- � �,- Bldg. Permit No. PARK AND RECREATIONAL FEES - Apartment Fee Payment Receipt Project Address cen n,,.,n`�{ �,..,..,... .. . r�4�.1 � V • 1 • Owner's Name e,._,._ .,.. �- .. , � �_��n bs�.�� ;�:�,;a:z:25.o0 - �„ opments Bachelor or 1- Bedroom Units . @$25.00 = � ,'�"r.5.�J0 2 - Bedroom Units 3 - Bedroom Units @ $40.00 = $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total number of Dwelling Units Total Fee J�25.00 Planning Department Approval Date Park Area No. �* /-1 -!:. � �T' By W.L.G. �d Applicant's Signature ' � / 2� ti � s ��_�"� � �`�o� Twininq Laboratories �,f ��,«E�==.,= c��<<t�,=,=«_, �r„�. a.o. eox <� . 33io P.iePoe� wA: . �o,v� senc�. cnuF. �o�a ._�,� _. eul ��o-z3so . piq� eae-e<3z =_x�N: �� nFqca- TESTING isi•.or+o..�,:i,,,..:�.,�� ..�� ,c�,�.�:�..�. c s.,�.m n,< ceu::�.:,�ary '1 �`.. -,o:�: r�=o 6..� w. �" �:1 �7iq9�.]u5 y � ,'ncn.Ge��•—_eoeC9lYplelel]6e �+��-�� r March 7, 1975 Ezamination: SC)5-1100 COMPRESSION TESTS OR' GUNITE CYLINDERS Hr. Errol F. 1leesch 12921 Aspem+ood Lana Garde� Grove, California 926A0 PROJECT ADDRESS SAMVIE FROM AIlCMITECT ENOINEEP MIX DATE CAST DATE TESTED CYLINDER NO. ° COMPRESSION TOTAL IOAD, 4B5. POUNDS PER SQ. IN. COMPLIANCE CYLINDERS Swimmtng Poot for STEVE BUEKER 649 Darrell Street, Costa Mesa Gunite Sw(mming Pooi 4-1/2 [O 1 2-28-75 3-7-75 1 7-Day 127,000 4,i4o CONTRACTOR Steves Pool Supply SUlCONtN�CTOR Grove Gunite Co. SPECIFIED STRENGTH SIUMP 3-7-75 2 7-Day 122,000 3.97C 7-day test eonpites wtth speci`ications. r,uo[ ar Tom oisrei�uTioN: Costa Mesa Flldg. Dept. Grove Gunite Co. E. F. Heesch - 2 DF4VEYFD er E. Neeseh 2,000 p5i 3-7-75 3 7-Day 122 , 500 4,335 a¢cerveo oH 3-3-75 C��i � ��E v�""""._"� G�--r`�-) � i �� .�� aceours .nc sve«rtrm ..s rNc corvviac�+*�.i vnoccnt� or cuc«rs. wrHoa�z+*�oH ron aue��u�ww or ouw ncvon�s, corc,uswvs, on �v. TA�CLS fROM OP REG�MDIM1G TM[M IS 9E5[wVfD VENDIML OUA M'�+�iTCM �PYPOV�L �5 � MVLII�L VPOtECTION i0 CIIFNTS.TNL PUpLIC �ND OURSElVES 330 i2 � , OWNER JOB AD Date SUBCONTRACTOR �0 � ' _ � � . . 26 I 89 � ,:. COSTA MESA BUILDING-SAFETY DEPARTMENT + P.O. BOX 720! ' COSTA MESA� CALIFORNIA 92E28 For App►laan0 to F111 In Complefaly TYPE OR PRINT . �UILDINO � ' �( ADORHDD COSTA MESA, CALIFORNIA nwuwe L Q LtIOCA//1 �' -«. �7/=!A// J �� TE4 � B6TBACK LINR PflOM DESCRIPTIOM OF WORK ALTBMTION I ADD WALL f ROOP ` c ) ^ �0 �"J� �//l. � MCit6GY ACKNOWL6D0[ T11AT.1 V6 pGD YHIO M►LIGTON ANO BTAT[ TMAT iM[ ApOV�IG COftR[CT ANO AORR6 TO COY- PLY WITX ALL CITY OROINANCp A�iD OTAT[ LA1M� RQOYLATINi OYILDINO CONS}RYRI � r � AUTHORIZ[D A6HMt SEP 26-66 00 604 �***'°*3 0` ArPLICATION FOR PERMR BUILDIN6 FOI OFfIM Uf0 OnIj/ II6C61A'NO. �[R1 11[CiIY[C PY MT[ 118c[IV6 I MT6 - Z-G -lo� - L ,��a � `�9 �� 1� r e / )DRi9D B PROVQD �� DAT6 / 1� �Yc ZONIN(i mna xo. o� u.a or Haw J �uNs � � em�c�xo . V' �a„� Lnf /� - T - Z�/S�' D[BCRIIf10N A.P.NO. ./Id � (O�Z ` Z� N0T8: NOEAVEOVERHAN68XALL�BLlH6TXAN 90• TO HID6 @ REAR p. L � EAVEB ALLOWBD (U.B.C.REQUIREM6NT) YARDSMPROVED YARDBAPPROVHD MAIN BUILDIN� ACCH880RY BUILDIN6 i VAR. # �i BET. MAIN Q �/ ACCESS. BLDOB. DATB �j APPROVED �—�% I � n�r¢ /�Z(e'(o a m — � ac. rr. � T1Q AMOUM �NOWN YNORq VwLUAT10N IB POR THe '� ' ►UPPoe[ O! tITAGLI8XIN0 A �6RMIT P6t ONLY. � VAWATION ' p QE"/ PERMITFEE . �IOD � 2 0� _" ; E � w TOTALP6E �rOO v�ri�Cu1 .... ........� .. .. . . LA.1.�. .. ..i, , .. V� �a JOB ADDAESS �re • SUII.DING PERMIT NO. �9GENERAL CONTRACTOR AiY'-Vent AWniri� DESCHLPTION OF WORKAdd A1tun.Sunshade to Res. �`j AP NO 1 l�6l'�-'�l LOT TRACT FIH.E ZONE VALUE $ 5BE). 00 INSP�CTIONS I Sianature I Date � GROUP .7 TYPE 1V ZONE �21 SUBCONTRACTOR , 23��2 � •COSTA MESA BUILDING-SAFETY DEPARTMENT i P.O.BOX9f] C08TA MEBA,CALIFORNIA _-_ .� .-. ;�f �,,;;�� 's":9�SA APR � 1965 � L owN�x LTPPUNER, NICK nnTE 9-30-59 JOB ADDRESS 649 w. Darrell St. BUILDING PERMIT NO. 10�55 GENERAL CONTRACTOR Owner-Bldr. VALUE $ 379.00 INSPECTIONS I on7E I GROUP J TYPE i ZONE SUBGONTRACTOR �.n%Iriri , , , .*,. r , t- z- COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA fOR APP[/CANT TO F/C[ /N COMPLETELY TYPE OR PRINT BUILDING �� /// /1A02�LC j��. ADDRE55 Y/ (�"IF COSTA MESA, CALIFORNIA OWNEft Nlc<r LiPPuN�� ADDRESS ��`9 �'%� �AL''�tc`' f% CITY ��T'A ��C�� TEL/ �I 6' NO. '� ORC N'GENEER � rE�F LIC. NO. SE��' AD�RESS �ESCRIPTION I NO. I` I BLOCK I TRACT' S A.P. NO. SRE^ d�x/'V-(J INO.OFBLDGS. � USE OF EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET REAR YARD SIOE YARD ILEFT IRIGHT DESCRIPTION OF WORK NEW I IIALTERATION I IIAODITION 9llILDING NO.OF SIZE ROOMS STORIES EXTEftIOR WALL IROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED 4/! f'cZ�T ¢"f3r_�:Gif:JAlt Y ��Y�G2�/=t'� e Kd'kI6 %2e�.�i,�iiu4 _ ^ +.Wtc � I NEREBY ACKNOWLEDGE THAT I HAVE REpD THIS APPLICATION AND STATE THAT THE ABOVE IS CORflECT AND AGREE TO COM� PLY WITH ALL QTY OROINANCES AND ST�TE LAWS FEGULATING BUIL�ING GONSTRUCTI N. J �/ SIGNATURE OF '_. /,. �/ / PERMITTEE ��«� M �'-;�� \ � AGENT FEE RECEIVED -�� %F-i-�9 ��nN� pDNEPT�.pR CITY UF ��IH hICJA f'ERMIT BUILDING foR officE usF aN�y I RECEIPT NO. I��q�� v FECEIVED BY /D�5yTE RECEIVEO DATE ISSUED �.'�/L� U�f.� �_. r�% I��% �/� 1 FIRE ZONE ZONE COSTA MESA. GALIFORNIA I � ��Z.ONING - YO. OF //�� USE OF NEW , I '/ n/ PLAN9 ' // BUILDING � � p y / l�"\ �. ��/ DATF �'l J O�S YARDS (f�� EVES REQUIRED ALLOWED (CENTEN LINE STJ �/� / FRONT LJ ✓FT. y- R.SIDE FT. W REAR �a THE AMOUNT SHOWN UNOER VALUATION IS FOR THE PURPOSE OF ESTA9LISMING A PEFMIT FEE ONLV. VALUATION �Q PERMIT FEE $ ai 3�y� � - $ PLAN CHECK $ , � I TOTAL FEE $ � -OWNER IOB ADDRESS l� ' V 9-30-58 . xo. 7665 GENERAL CONTRACTOR� D1k2 & CO1B¢TOV@ vatuE $ - 13,919.� AP. No. LOT 72 TRACT 2215 F� ZONE DESCRIPTION OF WORK S171g1E ReS. Att., G22'. NO. INSPECTIONS I DATE I SUBCONTRACTOR �Pinal Gas Test PERMITS I '7F�65 MESA BUILDING DEPARTMENT P. o. eox 3 n COSTA MESA, CALIFORNIA �EE RECEIVE� , �'-30 -s� �ici{►�� c�t. C.lN Af �TA � FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 649 W. Darrell St. � BUILDING ADDRE55 COSTA MESA. CALIFORNIA FOR OFFICE USE OIVLY RECEIPT NO. PE�TVE\� OWNER SantaAna Ranchos �� - - ' RECEIVED BY DATE PECEIVEO pATE ISSUED MAIL c L J SEP ;; ADDRE55 t� y Costa•Mesa V$]_].f• TNO. BUILDING ciTv j,j,. $� nooaess ARCHITECT uG COSTA MESA. CALIFORNIA O OR ENGINEER d ebrook NO. � FIRE qooaEss Gardenp� �'O4e ZONE 7� OC CITY LIC, ZONE pOqr05 TVPE // GROUP q�$ T_ // CONTRACTOR 10 OVB 111C� NO. � y- AD�RE55 �9 �• 17th St• TNO�• O�� BVPROV O . , DATE "`"` �oT]2 r1 CORRECTIONS oescaivnov NO. BLOCK TRAGT< A.P. NO. SIZE rvo.oF e�ocs. oF Lor 6]. ][ ],QQ now oH �or none • USE OF E%ISTING BIDG. $.iL, $ETBACK LINE FPOM �� cerviEw oF s1ncE1 2� REAR YHRD I SIDE YARO RIGHT 6� LEFT � • DESCRIPTION OF WORK � NEW � ALTERATION AODITION � REPAIR MOVING DEMOLISH � 5 ZIE DING 13�5 3 P600M5 6 STORIES E%TERIOR WALL i ROOF COVERING Sb COVERING BUELDINGEW Si 10 f3ID11 I'83' with attached garage. ' Plan 110AR � I MEREBV FCKNOWLEOGE TMFT I HAVE REPD THIS APPLICATION AN� STPTE THFT THE ABOVE IS COFRECT trvD 4GREE TO COMPLY W�TN wLL CITY OFOIN>NCE$ FNO STATE WS REGVIATING BUILDING CONSTHVC� nOrv. .VALUATION SIGNATURE OF PERMIT FEE � PERMITTEE /�/� /�^ ' � �73,919�V�/ PLAN CHECK �16�W AUTHORIZED AGENT�ke & Colegrove� Inc. TOTAL FEE a�yc�.00 �M. �OWNER �1EKER, STEPHEN JOB ADDRESS rre �GENERAL^CONTRACTOR S APNo115- 1 -11 LOT Pool Location � Forms Main Drain Steel Reinforce Elec. Bond � Approval�-to Cover Underground Electric Gas Piping Test Filtering System Lines Backwash Lines and Recep. _ Electrical Final ' Heater and Vent Final Filter System Final Backwash and Recep. Final Fencing Final TRACT DATE 2-3-75 BUILDING PERMIT N0.39: s DESCRIPTION of wORK Pvt.Swim Pool FIRE ZONE VALUE $ 4 000.00 Date GROUP III TYPE J ZONI 3—b%� SUBCONTRACTOR PERMIT: Date Nu Electric � - - — � �cs�a�' 7�oaPci- - a-3- �S 3 8: Plumbing �, -i c _ , ��aa� �e�e�a� .�-3-7s / 6 . � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � For Applicant to fi1! in Completely OWNER ,� �f � L ADORESS �-� S I - � Z . W W y� TEL. a U CITY }.�. NO. , ZZ a CONSTRUCTION O N LENDER am J � BRANCH J N m J ADDRESS m ARCHITECT � NEL. �/ J a OR ENGINEEF � U N n w � ADDRESS J �� !v�(� / � aW JO CONTRACTOR.. � pQ(_ � �,(l m J � ADORESS g [ � W W TEL. Z= CITV j1 NO. b. F O� STATE CITV � y� LIC.NO. UOO �� .LIQNO _ � SIZE � ' NO.OF BLIX'TS. OF LOT � NOW ON LOT USE OF EXI5TING BLOG. F SIZE OF NO. OF Z NEWBLDG. ROOMS STOflIE: U EXTERIOR WALL flOOF COVERING COVERING J VSE OF BUILDING AND WORK TO BE PERFORMED a a Q 0 F y Z O F U � � H N z ' I A.P. NO. BUILDING ADDRESS E YARDS . MAIN F FROM GL VAR. � C.U.P. # APPROVED vr�_u I -�r -3-75� , �� o�,�,z ..... ::39.5G N FOR BUILDING PERMIT �ATE RECEIVED nnro icci i i IT NO. ' VALUE S VPE GROUP DATE � � ✓ � NO.OF USE OF NEW PLANS BUILDIMG 'ROVED VARDSAPPROVE BEf. MAIN & ACCESS. BLDGS. DATE APPROVED _"__ �i_.� _ I hereby acknowletlga that I have reatl this apPlication antl siete that the above intormation is correct and agree to comply wlih all laws regulating buildinB construction, antl I shell not employ � / eny person in violatio� of the workmen's compensation laws of the Statt of Califomia. `.a�"' � I hereby certity thet I am properlY licensetl as a contractor under SQ. FT. o the State of California Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl thet such licenses are in full fo�ce antl effect, or I THE PURPOSE OF ESTABLISHING �+ PERMIT FEE ONLV: Q am exempt from tha provisions of the Staie of Californie Businass VALUATION /� antl Professions Cade, Division 3, Chaptar 9. �� /��//'�/ PERMIT FEE S "' / �V fMa �! % 7 SiBneture Ot ' y(� m Permittae � G �iL �.�A�� $ � / PWN CHECK $ " E `o Autfiorizad ABent LL TOTAL FEE $ � OWNER B�R� STEVE DATE 7-10-72 � JOB ADDRE55 e='re • BUILDING PERMIT N0. 3 93 _ �GENERAL CONTRACTOR Hi-Lo Cons . DESCRIPTION of WORK e�• 1�•�es: _ AP No. 115- 1-11L0T TRACT FIRE ZONE VAWE $3. 00.00 INSPECTIONS SOIL GAS WATER FOUGH PLUMBING SE CON. � f CONOITIONING UNOERGROUND I I POWER FLOOR SYSTEM BOND BEAM � SHEATHING FRAME ANO FL� LA7HING - IN PIASTER, BRON STEEL REINF. REINFORCE HEATING, VENT., REFRIG. AND A.L, FINAL PLUMBING, FINAL AN� Gq5 TEST �I AOILOING. FINTL SUBCONTRACTOR ---�- ;: ��.: ,� � � , . -- 349�38 • rncTnenocno�u�nuinn.vrrv.�rn P:�n � 1�-?��r�-OC� o86+r �<,�x�39.25 AP IC TION FOR BUILDING PERMIT ' ForApplicant to Fill in Completely q CEI D V DATE RECEIVED D TE ISSUED BUILDING /' ,^ ADDFESS� ({9 ,Q �L� � D -/v `/�y� n P I NO. OWNER ��.J '�� F3(�t„sqL/.+ . A.P.NO. II. - � - I 5�� ' ADIDRIE 5 C l� {�� MAIL - Z AODRESS ' � � d U CITY �{ S�/l �JD /� NOLJ L��'GI TRACT �� S LOT 1� BLOCK Z ODNSTRUCTION r �y W �+ A ON LENDER . IY/ �/ L. L� r✓�\ a m� , t J � � BRANCH {} � ! /7 \ ,/j – 67 J ADDRESS � 3 .JIO �q/��IYC ✓N C OWNER '. '�U�- r VALUE `' /qJ o-0 m ARCHITECT . %� TEC. \� r,'_ �L� `��L S��Y� J N OR ENGINEER /� / N �% Q FIRE � W 2 ADDRESS ' ZONE TVPE GROUP a w APPRO E JO CONTRACTOR �— (^j �n% � �� BV ATE ��^ m Z �' / � J � ADDRESS `/ /�S /,f� L W W ZON NO.OP USE OF NEW L(.� � � Z� CITV �'�N / NOL S�7'�I7I � PLAfS BUILDING W� STATE CITV VARDSAPPROVED VARDSAPPROVED �� LIC. NO. �(� 'L IIC. NO. • MAIN BUILDING ACCESSORV BUILDING 7O � (FROMGL ETa' ' SI2E NO.OF BLD('aS. OF LOT l, I X I U L� NOW ON LOT / FROM T�r ' FT. USE OF 1 r, EXISTING BLDG. . i(/Q LL� r✓ `� F 1 FT. H SIZE OF /'� NO. OF ` Z NEWBLDG. X L ROOMS • STORIES � I.SIDE FT. FT. a EXTERIOR WALL ROOF ( ' �% COVEFING UCCO COVERING ' :�EAR I FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET.-MAIN & �' MAIN BLDGS. ACCESS. BLDGS. a o(--am , L. G C URP # APPROVED N ' APPROVED 1 � . 7 IOI%L l.. z O ZE VI hereby acknowledge that I have reatl this application antl state . � that ihe above intormation i5 carrect and apree to comply with � all laws re0ulating builtlinB �bnstruction, antl I shall not employ F eny� Derson in violation of the workman's compensation laws ot � y the State of California. Q � ? I hereby certity 2hat I am properly licensed as a contractor under SQ. FT. � o Me Stare of Calitornia Businass anE Professions Cotle, Divisicn 3, THE AMOUNT SHOWN�UNDER VALUATION IS FOR � Chapter 9, end thet such licenses are in full force antl ettect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am ezempt from the provii s of the State of Celitornia Business ¢ and Professions Cotle Di ' io , 1 pter 9. VALUATION �9 � PERMIT�FEE .$'o� `� � � Signatura of ' / b'ZJ °� Permittee $��OO PLAN CHECK $ � E � `a Authorized Agent _ 1 LL - TOTAI FEE ti�