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Home My WebLink About616 CENTER ST - Building PermitsOWNER JOB AD MISCELLqNEOUS FOUGM MQpTING AND AIR COP TEMPORARV SERVICE OR POL UN�EftGRbLINO � POWER ROUGH WIRING TRENCHE$ FORMS FLOOR SVSTEM ' BOND BEqM ❑ STEEL RE SHEFTHING FfiAME ANO FLASHING IATMING — IN n OUT � PLASTER, BAOWN COAi STRUCTUpAL,FINAL HEATING, yENT.. PEFftIG. AP PLUMBING, FINAL AND GAS l ELECTRIC, FINAL .O DATE SUBCONTRAC70R ew�uv�o:0 KEEFE JOHN ARTHUR "'�" 616 CEN�fER ST "0°"FSSiCOSTA MESA,CA 92627 714) 6467818 ecv�. �u�o �oo�u: u�cxrtECT oa �wa+vn: RCN.OR FNG.'S /iWNE54: CONTXACTpiS NA1�: cwm�cmxa�uuxo �nonEsx uNr: uc. No: uxr: ua xo: uMr: UCENSED COMPICTON3 OECLRPATION: I Mrolry ellim uMer pndy d pae'ryry Nal I em IiunaeE uMx pemi�oiu d CMqw 9 (wmmma^0 wi1M1 SMion ]WO) d Drvieun � W IM Buaron vM PiMmtlme Coda. W mY Ibma h inJuqqip en0 e11W. cm uc. No.: uc. cuss: uc. No.: z�tt• ov<: comrea«: OWNER BUILOEP DEC WFATION: I haeby dfirm uM1a per�elY d perjury iha� 1 am uemq Irom IM ContMm Licama lew la ihe Idbx+q raeaon (Setl'an ]W 1.5 Busiwa� uM Adaaei�* Coda: MY �Y a aounh whiM nVuires e De�mn io euaWCY. aMx.'vnVow. demd'nh. a rapei erry sV�ciun. p'v io ea e�uence. abu iWuirm iha epplimnt la euch parmil to fib e eqned eWanrn Nn M a eM o IiomaeA WA�e�� lo IM pwiaan d iM ContrmoR Li'aros lew �Gheqx B(commenerp with Setlion ]Oro) d Divebn J tl iM Buainem aM Prdeseione CaAe� a iMt M a Me is exemq Iherehom erd iM beais fa ihe dbped aaemqion. My viWelion d SWion 103t.5 by e�ry epplirant la e pmmil wbjed� iM epplce�� o e dvil penelly d �wl maa tMn IMs huMrod doAen �5500�). � I,uawnarWiheproperlywmyampbyeeev.ihweOeemlheiwlecompenWion,willdothaxoA,endiheaWCWrob�wllntended or oilmeE la vale �Sec�ion )016, Butlriea eM Prole+eion� COM: The Coniredon Licama Lewtloee iwt epplyto en amerd poparty wha buida or'vn0��e Ihereon, end xfio does eueh �«k NmeaM or henell or throuph hq or her oxn ampbyees, pmnded thet wch impavemmn ere not inleMed a Wered lor ede. M. �'sw. iM Euikirp a inpimrnenl u edd within ma yw d mmpblian, Ihe owiwr-0uikm xill Mn tM burdm d pmvirp he a� db � bwM a imprwe la IM qnpose d veb�. ❑ �. m o.m.r d me ww�r. ��ewireh ��e�u .mn �:e�..e oonvmioi. ro oonmua m. wp� (swon �ou. &�.ir�e.�d Prolenoro COEo: The Conlredon Licanro law A� �u eppN lo an ovmer d piapeity wM EuiMh a impovr iMrson ud xho contrecb Iw wM propr�e Wha apNerlotle) I'clneeE Wnuenl lo iM COMr C�• �,Wv°�'I LD E DY / V 9'1 C1 IIVGlt— I em exemp uMer Se ion: B, 8 P.C., lor �hb r : Det Z(% Owner. O^ �"� hereby ce�ily Mal em ewera d ud uMenunE IM roVui ems d Cdiomie lbellh uW Selery Co a Setlbro 25505. 25SV, end 25531, enE �het I or ury Mun Wikinp ¢wpanl xiil / w�l M icb me) r�eeE to canply wih uk neia cvdw end IM ipuimnaMs br eWrmillamuvuctionamodCrationhanlM�i3%u I�e�lOiqntl.Rs�idmliYaonp�utluneGO�omeneumP�tmmlMea pwieions. om.: Aod'��: WOPKER'S COMPEN9�TION OECLANATION: I heroM elfi�m unEer panelly M ps�jury wro W the lollowi�p dedaretians: � I heve enJ xil meintnn a cenJFate d mneenl lo eeMirouro br worken' compsnW ian, m povidsd fw by SeGbn �100 d iM Lebar Code, la IM peAorme w W ihe wark Iw wNch Inie pemin ia iuued. � I Mn ard wil meinlan xaken' wmpenwion irw��e�v. n rpuirod by Salian �JW d Ne lebar CoEe. b tM pa�ormenoe M tM work fa whirh ihh pam�n b ueueE. MY wakan' �D�� inwrence wrier vd pdiry numbar w: c�: Pdiry Numbar: (TNis sectiwr neetl irot M cwnpletW I �hs pem�! is !a wis h�nErM Gdlers /Stao� a bm.J � I cendy iM1tl in ihe perlamence d IM worlc br whbh ihie peimq 6 iesued, 1 ehatl �w1 emqq arc� peiem in ury mennx o a� lo became wbl� !o Ihe xoMn' cwnpanWbn lev.+ d Celilanu. uM ep�ee IMt tl I MouW Eemme wbjaa to �M wdken' cwnperiwian povuioru M Setlian i]00 d �ha lB�� de, l Mell tMhwnh mmpl� x'vh ihwe pm+uia�s. Dme: �oW� Wam/np: F�Ilun ro ��cun when'rompwu�tlan M'�dW �� I, �rr0 ilWl ulJlel �n Ntplqw ro erlMmlO�rop enJ elHl nnu tp ro on� nu�CiW tMuuM AdMn (St00.�1, In Wltlon ro M� eo�l ol nmpxwNon, Lu'rps �� prov10M br In 9�ctlon 9)OB o/ fM LeCor Cotiv, Infsroal. �rM �ttomsy i/su. CONSTfiUCl10N LENDINO AQENCY: I Mmby �rm uMm Po��Y d perlNiy ihat �Mm is e contlivabn bMirp epency br tM perlameme d IM xwk br which IM1i pemiY ie'v�ued (�� l. CN. Cl. LENDEN'S NNIE LENOER'S �ODNE59: I<Mih IM1e� 1 Mw nW Nn eod'emion mW ael� IMt dN ebove iMamNion u conee. I apias �o camply Mith eA ury end couniy adiroiww ( L� / .v P��, �. 6 zo �r Ume: SqrWweaf /IpsnVAppf�enUConlretla (5151-IB.WP) W�Be-BuiMng 8 Se1Wy.Orean-Fb; Cenery-AOW��: Pink-Revenue; Oddenmddneeesor __ r CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: E 072863 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE JOB DESCRIPTION : UPGRADE SERVICE PEAM NO: E 0728 3 GOVT: N SUPP: N PURPOSE: OTH SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: X �rit*at�*it+t+�+rie**ie+t*it*it�r*�r*atit**��*ieirit�*etit*iE�*��+rit***�eie*+�+�it�itx it*�r*x�ititx�+��**it�x�***ieit Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUZLDZNG --------- FRNT: FT IN REAR: FT IN PRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKZNG REQ• PROV: PARCEL: 42421227 ZNE: REF NO: PLANNING NdTES> % 1E 1E 1E IE 1E 1E ik 1E 1k fE 1E iE 1E 1E 7F 1E if 1E 1E i! 1E 1E 1f iE iE iF iF 1E 7E 1E IE fE 1F 1F 1E�1E It 1E 1E �E fE iE iP if if 1E 1E if 1f iE 1f 1E 1E 1F 1E 1E iE iE 1E if 1E iE i! fE 41E �f i! IE iF IE 1E �E iE IE iE iE if 1E D E V E L O P M E N T . S�,E�A V I C E S R E Q U I R E M E N T S ZONING APPROVED HY �•�' DATE: HUILDING APPROVED HY ; r��i��.��%�� LEGALIZATION:N F HLDG PMT PLUMBING PERMIT PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE TOTALS----> 31.00 15.00 . ��ru�u��:a� ELECTRIC MECHANIC 31.00 5�� '1�5.0� PLAN—CHECK 0.00 FIRE TOTAL 46,00 DATE: �� 1FiEiEiE�EiElE1E 1E1E STRUCTURAL GME T:N SMIP/RES GRADING SMIP/NON—RES PAID DUE 46.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 46.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 46,�� 1t if 1E 1f iE IE i6 if �k �E 1E 1E iF 1E if 1E iE 1f if IE iE iE fF iElE 1F iF ik 1E iE fE 1E iE 1E 1E 1E 1E if if !E �E iElElElE 1E 1F 1E 1E 1E 1ElE iE iF iE iE �E iE 1E iElElElE 1E 1E �)E iE 1E 1f 1k iE iE iE 1E iE fF iE if 1f I N D I V I D U A L. F E E B R E A K D O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST ELE 2 RECEPT/OUTLET � 1 ST 20 EA. .75 1.50 ELE 1 SERVICES HELOW 600 V 6 BELOW 201 AMP 18.50 18.50 ELE 1 SUB—PANEL 11.00 11.00 END OF FEES �7 Gi]134,5"_-OL'1544``^. � niT •.'.Q=' DATE: 06�2J:9: TItiE^ Gd-52 _r �CONSTRUCTION AND PLANNING . POOL & SPA APPROVA4S Permit #� Date Inspector � qppROVALS Permit # Date Inspector 7. Temporary Electrical Service or Pole ;• 52. Pool & Equipment Location 2. Soil P1pe-U�drgmd. "� _ 53. Sieel ReinEorcement � 3�. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit•Undrgrnd. (J 55. Electricai Bonding 5:-Steei Reinforcement 56. Rough Plumbing & Pressure Test � 6..Electrical UFER Grnd. 57. APPROVAL TO COVER�GUN�TE 7, footings 58. Eleccrical Conduit-U�drgrnd. 8. Foundation - .59. Gas Pipe, O Undrgrnd„ Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. - 10. Structural Floor System � 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap - 63. Heater & Vent�Final 73. Roof Drains - 64. Plumbing System - Pfnal 14. Rough Piumbing - . „�' 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar System-Finai 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign - 68. APPROVED FOR PLASTER WG - 78. Rough Electrical-T Bar Ceiling 69. POOI./SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning . . fIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace : -. - ' � RPPROVALS�_ Permit # 21.'Ducts, in Structure� _ �, � - 70, Underground.Hydro . 22. Ducts, Veqtilating , ., � � 71. ProductPipin9�OGas .00ii 23. •Gas Pipe-Rough & Test - ' - - ' - 72, Underground Flush ! , , . 24. �Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil a 25. Roof Sheathing � �� 74, Overhead Hydro _ � 26. T-Bar Ceiling (Struciureq & Monocoat - - � � �75. Dry Chemical � 27. Frame and Flashing :7 .- . � 76. Dry Standpipe 28. Lathing & Siding � '-' ' -' '- � J.7. F�XED SYSTEM FINAL� �� 29. insulation '� � � -78. fIRE PREV. FINAL - 30. Drywall Nailing _ � �, �HEALTH DEPT. REQUIREMENT � 37. Piaster Brown Coat , ��- 79. FINAL INSPECTION � '�. 32. Electrical Power Meter�Final 80. FOOD CEflTIFICATE ISSUED 33. Final Elecuic � � • Notes: -��j y Q.� 34. Final Heating & Air Conditioning • � � ' � . � 35. Finai Gas Pipe�Test � � . r � � � � ; i �� _ -� + , � �� 36. Hood or Canopy ' _ � � _�_ 37.-Finaf Factory Fireplace ^ � . �. � � , 38. Final Plumbing ^ ' � ,� � _ 39. Water Service�Final , - 40. GasServic&-Final • - - � r - � - r • 41. Solar pomestic-Final - � 42. Backtlow Preventer - * . ' � ' ;.� no-,r� i::- • 43. Backflow Ir`i atiom; ^1 �' `' �:c � �` `. 9 S' fi7` ;��] �:44. Landscape Ir'riqation System� �� "� '•° �'� d � �� -" f: m.' ? tl : : ^J r •T . : . a �-i � � � 45. Sound Attenuation � .. . ' �• � - • , . 46. Handicap Regulations � � ' � • . - 47. FINAI STRUCTURE & BUILDING ' � � 48: FINAL PLANNING � . ' 49. Electric Release to,Edison y , 50. Gas Release to Southern California Gat Co j � ' 51. CERTIFICATE OF OCCUPANCY . ' • No. Date � �� _ �.03�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7q MESA, CALIFORNIA 92626 For Applicant to Fi// in Completety BUILDING ADDRESS 616 Center 8ri Q�TB• OWNER Laverna Varney MAI l ADDRE55 SHTIj� TEL. c�TvCosta Mesa�Calif "o. CONSTFUCiION None I FNIIFR BRANCH ADDRE55 ARCHITECT n_�_� TEL. ADDRESS (�16 Center cJ�.• TEL. cirv Coata Mesa,Calif. No. STATE CITY LIC. NO. LIC. NO. 512E �+�IX l�r� INOWONLO�T ,� OF LOT � � ezis°iNce�oc. S3ng1G Family Dwe113t1g NEW BLOG. 16XZO ' qOOMS � STORIES 1 EXTERIOR WA� 91di OOF A8 9Yi�I1, COVERING OVERING P USE OF BUILDING AND WOqK TO BE PERFORMED P4[L Y *�^*4 �tif i3-75�y��0 �ie.. 3Q.5Q APPLICATION FOR BUILDING PERMIT RECE VE Y ATE IV p �� / P A.P. NO. � �%Jr3 � � � � ADDRE S ��G �G�l�G/` S / . Ne�oxtMesa , __LL02 .,. __ FIRE 20NE APPRO V E ZONE q NO.OF USE OF NEW Keb h� �L PLANS Z- BUILOINGCA,Q� VARDSAPPROVED VAROSAPPFOVED VAR. qW FT. DATE AGPROVED neTc a ��J ' STATE 1 heraby acknowledBe that I have reetl thiz epplicetion antl stata thet the above informetion ig correct and agree to comply with all laws ragulatin8 buildlnB �Onsvuction, entl I shall not employ any person in violation of ihe workmen's compensaHon laws ot the Staie of Celifomta. ' m I hereby certify ihai l em proparty Iicansetl as a conttactor under SQ. FT. O the State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR C�epter 9, antl t�at such licenws ara in fuil fotca entl effett, or I TNE PURP06E OF ESTABL4SNING A PERMR FEE ONLV: ¢ am ez¢mpt from the provisions of t�a Smta ot Celifornia Busineu VALUATION antl Pratessions ae,�vision�9, � m PERMR FEE $ � � j SIB^atura ot ^ � m Permlttee Q' $�('�.O �- PLAN CHECK $ Q`�� o �i� Authorizetl ABent � LL TOTAL FEE $ COUNTY OF ORANGE � 6UD,DING DEPT. 636 No. Brondway Santa Ana, CaG(omia Pl�one: KI 2fi21 I 1. �7WNER'S MAILING ADDRESS__.`.�._.o...�. Application for Building Permit AND FOR A Certificate of Use and Occupancy Nxme. - -- -...._-../_T!�!_n'1�.-- ._.__._....---'- _....... (Architect or Enginecr) Addre=_s -------------------------_....--'--._................-'-----...-----'--------.._..... C`�Y - ---........ S�ate Lic. No.__....... I'ROPOSED 2. JOB LOCA7 � Permit No...�...�.r...�l � •- �-2� -s-� .............. PHONE: -�--------------- . � CITY.. ...- --....----....�..�..�� Name .- ..`..�'-c��.'�-'C,...-..---- -- --- -----� ....... .......... (Convattor) Address.. -....._..._ .....................'--'-...........---....._......."----'-'------.. City .... State Lic. No. Phone......-� .............................. (Housc No.) (Name of Strcet) �' (7'own oi School District) LEGALDESCRIPTION: Lot---..�i�..�A-�- ---.........._.Block ..... ..................�- ............. Tract...--- -- ............._- --�•-- (Mc;es and 9ounds Description—Use revcrse cide of form) CORNER LOT ( ) ]NTERIOR LOT ( x) � THROUGH LOT ( ) SLOPE OF LOT ( ) SIZE OF BLDG.!`.�.�,(...✓ _.1...!/. `.��- �.........S]ZE OF LOTc_/�.. /1.f..�lQ..�s'.AREA:. _../� A.S ....... REA:. . L�... .. HEIGHT OF BLDG.:...1.�`'.........� ...............CEILING HEIGHT:........D...C.....�..�� __...NO. OF STORIES..........J........_._._........ NO. FAMILIES.........%1� ...............Size of Smallest Eedroom:..._� �/j............. Size of Kitchen %� ."...�.. � �� .. EXTERIOR WALL CONSTRUCTION:....�Q�Ld..N..'��......... 2IOR WALL COVERING_..... ... �?...�....�.�_..... ��- (Framc, Stucm, Etc.) • � (PlasterDrywall: Etc.) /_Z. SETBACKS: Front Yaid From Center Line of Strect...."��.......:._........ _ ...................................... Ncarest Sidc Yard__._�V..� ..�.RCar Yard..i...!�_ v......Distance i�Fcet Betwcen Bldgs. on Same Lot .......................................:.... A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. / /t ' / // . /, K ' For (a) Footing: Width....-L.-?.-_�'-.-.-_------_--Depth in Groun��."'`...l.�......Width of Wall'�`�------------------_... Acce<_sory r Bldgs. and b Si:e of Studs:..�".�--- - / I/�/' ��' Similar � � �........Spacing....lt.._� .............:'CC Material of Floor.....�.,�---...---..._..._.......-----.--..- S[ruttures: � / / 4. � ' " �i f'J (c) Size of Floor Joists:...,��..ti? ....................._Spacing...----...---............_�.........•,CC �jy�/ �y� %r � (d) Size of Rafters:....C.�1..7. y �..--.......Spaci�:L1......��........C�" � "' .........--- �- �---... / 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, }reating, fire sprinklers, pain[ing and sewagc disposal S ..............}.r.. C�...,�.�... r�.'.�.�........ 13. I tiEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BEL]EF '�HE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OP THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signed ��.ci.✓..!!.:___�. �-.'..��N�.--Ci1t'.`...' `..::�.:f..�..-._------- ,� � — S � (�wner) Plans Filed:..... - �ZF. _� . ............... - .............._........ Bldg. Pcrmit Plan Check Total • • Receipt No. Paid to • Date ......_... (Au[horized Agen[) � FOR DEPARTMENTAL USE ONLY DATE ..............�f„�....:... �. U.^_� I GROUP. DIST. MAP-_.C..--_ SHEET NO....... APPLICAT I ON . ............. �"----- ZONING --�----..... -�-- .. PLANS AND `�--...... -- -- �- SPEC'S........----�� -......... - CORRECTIONS ... ...._. VERIFIED... ----- ----------- PERMIT ISSUED BY: NOHU I� HEALTH.. -�- ..................- FIRE MARSHAL ........ ................ STATE . ............................. ENGINEER lt�SPcCTOR SM-2.31 I / /5�� I � ��' 0 ::.EPUTY � (i 'i J• COUN'I'Y OF ORANGE '' BUII,DING DEPT. 636 No. Broadway � , Santa Ma, California � , Phone: KI 2�6211 t . OWNER'S Name Application for Building Permit AND FOR A Certificate of Use and Occupancy (Archicect or Engineer) Address ........... �� City..............._._-----'---._................----------`- State Lic. No .....................----.....--'--- Phone------ YROPOSED USE:.._...... 2. JOB LOCATION....__�. 3. 4. i. G. 7. Permit N�..7...C:. v-.� D,t�......._.: z��.,/...�� - _........ -- / A I�y . . . � -/PHON :f.'.�'� S i /Z � ........./ ........_._.........__.. ................. -� ---- ._. � _. - -- -- ._.._ -- ......-- CITY Y ............... •..��..'� "...-------- Name (Contractor) Address----....__....�l.....'.'...�....-'----'----'----- ............... City- -- - -. J...--......... - .............. " -- -........... Statc • Lic No. -- ..._._._......__ -- _......_... Phone.. ..: -- ---'- - - (House No.) (Name of 5 eet) (Town or School DisMc[�)/ . -p_ LEGALDESCRIP'TION: Lot. _y�-'�-_ . ... .................BlockG�t��f.�.w..y7Z'.��..... TractC��.}�.!..��2�d'Z}.'% (Metes and Bounds Description—Use reverse side o{ form) JC %(��' . :��<,`'"" � c CORNER LOT ( ) INTER OR LOT ( n) THROUGH LOT ( ) SLOP F LOT ( ) !/ x q� AREA:......3 ��_SIZE OF LOT:'f S n.L.�J� F�_ AREA:_%�L.J--� . SIZE OF BLDG.l..Fz...L.!_!�".. ... /J,�j HEIGHT OF BLDG.:_j`. ..._....._ ..................CEILING HEIGHT:_...P....l...:........._._ NO. OF STORIES......._..1..._._.......... / NO. FfIMILIES......---..'�^-_.._...Size of Smallest Bedroom:-___.. _-_.--_-.-- Size of Kitchen.._--_ ..............._-_....--_ fi. EXTERIOR WALL CONSTRUCTION :�� ...................INTERIOR WALL COVERINGl.Sr4."!�.�._...................... (Frame, Stucco, Ete.) � ......... (PlasterDrywetl= Ete)- 9. SETBACKS: Front Yard From Center Line of Sveet..,._��_._. ...._. ... _..._........� .............. Ncarest Side Yard.�!.._��.Rear Yard..��.-..!......Distance in Fcet Betwee� Bldgs. on Same Lot._�_� ....................... 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. ]1. For Accessory Bldgs. and Similar Struaures: � � (a) Footing: Width...._ �........_� � ................Depth in Ground...��:: �.--.-----...Width of Wall......�.........--............ (b) Size of Studs:. .l....X.(............Spacing---`�.��'.-.-..--_...."CC Marerial of Floor ............................_--_--.---.----.. _r- (c) Size of Floor Jois[s :............_----------.......---......Spacing..------------- ........_...... „CC �d Size of Rafters :................... J ' " ) � X.'1........'___...---_'._.Spacing." '......_..-�µ._--...._...... CC 12. VALUATION OF PR9 PO D�RK: Including all ]abor, plumbing, electrical wiring, heating, fire sprinklers, painting anJ sewage disposal $--------e7--�...._._._.....---- ]3. I I-IEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION 1N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNI APPLICABLE T ERETO. Signed:-_C/�i�LM' .� � C� - - - - — ` -' --- - - - M (�wner) Plans Filed: -- - --- -- ..._... - - �- - --�� - - - - By:.. _ _.... _..---......... _...... _.. _...----......... ---.......... _------------... _.. ----------' `----" . (Authorized Agent) Bldg. Permit Plan Check Total - - Receipt No. Paid to • Date ........... FEES: � � $ 3... ., a/ � .............. FOR DEPARTMENTAL USE ONLY GROUP. -I �,..........-- - TYPE.............X..... - .......... DIST. /� MAP........S..r...� ............. SHEET NO.......�-- ............. ��K1N(G BY APPLICATION......._. HEALTH ............................ ZONING ........................ FIRE PLANS AND / MARSHAL ......................... SPEC'S....- -----�y �.�� STATE..._--.......-- ' ��------ CORRECTIONS ENGINEER -- �- • '" •=_""� _�r 1NS�PEC� O�R DATE.....-�f.-��S �---._— •--�.._...��..��--...�..."�.`�G.�. DEPUTY v M-8-v1 ��