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Home My WebLink About620 CENTER ST - Building PermitsOWNER iar r INSP SOIL GAS Ruth L. AIR COND OR POLE fiOUGH WIRING TRENCHES FORMS FLOOR SYSTEM BOND BEAM ❑ STE SHEATHING FqAME FND FLASHING LATHING - IN ❑ ( PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRI PLUM6ING, FINAL ANO � ELECTRIC, FINAI STEEL FEINF. r, TRACT FIRE DATE 7—y2-7] BUILDING PERMI7 VALUE $UBGONTRACTOR _ -� .� 33 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BpX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely \ )U112-71cns��0 950 E'+•;*a**�.i,� APPLICATION FOR BUILDING PERMIT HECEI p V D,/��ECE'1%ED D�TE��UI / ADDRE55 � Q� / � / //{ ?/ / OWNER � A.P.NO.I/IL/—VSJ'I P��S/ Z . /�� ADDRESS G�U ^/4i �'�Q.L� v. ADDRE S � �� d U CITV (�Q'Y�� 7�Z(/(L�� NO�. ��,J�%! TR C LO BLOCK ZQ CAN5TRUCTION � W O� LENDER �/ a m �� J � BflANCH �� '/ J � OWNER . �/ ' m J ADDRES$ �� VAWE /� J m ARCHITECT TEL. S L S � a OR ENGINEER �� N V N FIRE w� AD�RESS .��— 20NE TVPE - GROUP ` d W APPROV�D l'J W Z CONTRACTOR � BY DATE �I 2�/ J Q � m Z � _ � • �� ADDRESS � Zp NO.OF USE OF NEW w TEL. Z� CITV %� t NO. � PLAKS� BUILDING w� STATE CITV �ARDSAPPROVEO �'A.RDSAPPROVED N� LI0. NO. LIQ NO. MAIN BUILDING ACCESSORV BUILDING _� 512E / NO.OF BLIX'.S. (FROM C/L STREET) OF LOT 'S j'S NOW ON LOT ROM FT. FT. USE OF E%ISTING BLDG. FT. ' fT. � SIZE OF NO.OF Z NEWBLOG. ROOMS STORIES L.SID T FT. a E%TEFIOR WALL FOOF V COVEFING COVERING O/ O � EAR FT. a US OF BUILDING AND WOfiK TO BE PERFORMED OISTANCE BET. BET. MAIN & y t LL MAIN BLDGS. ACCESS. BLDGS. a �[,.,� C U P.16 APPFOVED � ~ APPROVED � , -i2- z 0 VI heraby ecknowletlga tha[ I have reetl ihis application antl 5[are � [hut [ha nbOva Into�matiOn is cOrroct entl apree t0 comply with � ull luwz rogulntin8 building cons[ruction, nntl I shall not employ � � nny porson in vlolution of tho workmen's compBnsetion Inws of y tha Staro of Celifornia. zI hereby certlfy ihat I am proparly Iicensetl as a conboctor untler SQ. FT. ' tho Smte of Californ(a Businass antl Professions Code, Olvizicn 3, THE AMOUNT SHpWN UNDER VALUATION IS FO C�eptet 9, nntl lhet such licenms aro in full force entl aftact, ar I THE PURPO6E OF ESTABL6NING A PERMIT FEE ONL\ nm exempt }rOm the provislonsOt [heStete ot CaIHOrnia Businou VALUATION ontl Profossions Cotle, DiviSion 3, Chapter 9. � PERMIT FEE 5 ' �� Sienature ot ��LC.��-�G/ � f'7�<��, / T /, GfJ .�- Pormhtaa L7 • // �u��LC/ $ ��•.�.. P�AN CHECK $ Au[hoAzatl Agant ,��J TOTAL FEE S ��"7� b O i ¢ N � m E 0 LL Costa Mesa Bnilding Department '.� P. O. Box 3!7 �� j . COSTA MESA, CALIf-0RNIA ' FOR APPLICANT TO FILL IN iildin9 / 1- . �n L J - Idresa �C.LO Costa Mesa, Californi� Arohitect or Engineer Address Q Address sf• No. Descriptlon � No.�fJ�C� Block I¢ract (AttachMetesandBounds) l�(p•-1�� I i� � Na. of Bldgs. y Size of Lot �J� }( ((p S Now on Lot �.G 4uof ' Q$.V.e`qZ�{�;� No.ot No.c Existing Bidg. ��r}—I Famillea� I Roor Setback Llne from i� � Rear Yard _� Repafr I I Moving I I Demolish Building � No.af - Size //�j. 7�2`F Rooms % Stories Exterior Wall. I Rooi py�[;ivC` Covering $fi�p.co Coverinu 56�.,6s APPLICATION FOR PERMIT BUILDING � FOR OFFICE USE ONLY I, Receipt No. Permit N .�'6%� R'%-�:r,ety�d 6y pDate Rec'�d./ Date Issu� i�l 7—�"� —J o � ��-' X Building � � — � � �C ��t � Address Costa Mesa, California Nearest Plans 4 APPROVALS Foundation Loeation Inspector Forms, Materials, Under-Pinning Frame: Fire Stops, I hernby acknowledge that I have read this Application and state that the abwe is correct and agree to comply Lath. Int with all City Ordinances and State Iaws regulating building construction. �ath. Ext. Signaturaof %] � Permittee �/`�'lq ___. Plaster.lnt Valuatlon Permi! Fee � (� Mas �� Plan Check $ Bo� $ Total c`�� .� Fee / FIN NM 104 10�03 D. P. 1. O A � Z D r PI,OT PLAN 8how locatibn and distances from property Iine and 6etween buildinpa i�i u- f� .a. � o . 1 jl � 4,` . � ,, � ' �. 19890 EOSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 C09TA M69p, GpLIFORNIA For Appllcant to Fill In Completely TYPE OR PRINT BUILDINO � '_� ADDRE54 � COSTA MESA. CALIFORNIA � Noi.%�333 re�. �d�vh¢iT N -� ._� I' ��' .. �.�/ I NO. OP BLDOB. 6ETBACK LINB PXOM � CENTEfl OF BTR88T RHAR YAR / / SIDE YARDI LEPT RIGHT � DESCRIPTION OF WORK NEW ALTERATION X—I �EMOL BH REPAIR MOVINO I AND ��E RECEIV�� aux � z issa � FINANCE DEPT. APPLICATi�6iJ fbR �� MESA ' BUILDING w,;'.. fo� OHice Use Only R6C[IR NO. P[pMITlIp, � BUILDINO NO.OP �UB60P PLANB lUILDII �.eow� Y. '. NO. // b� lJ J J'- "/ J�%J^'s I'8: NO EAVE OVERHAN6 BHALL 88 LE88 THAN T ' TO 81DH B REAR P. L .OWED fU.B.C.REQUIRBMHNT' YARDSMPROVE� YARDSAPPROVHD MAIN BUILDINO ACGE890RY BUILDIN6 !OM GL BfREET) .n�r /i �. '7GA _. /, � rrr. D18TANCE BET. BEf. I MAIN BLDGS. ACCE � ypR. � DATE C. U. P. $ APPR� I HEREBY ACKNOWLHO08 THAT 1 X�VB RPAD TH�B APPLIC�TION AND STATE THAT THe ABOVe IB COHPEC} �NO AOR88 TO GOM� PLY WITH ALL CITY OqO1NANG8B ANO 6T�Tg UW8'Re0UL6TINO BUILOINOCONBTRUCTION. � SIaNATURE OP�� " � PERMITfEF / f( ��a""�'' AUTHORIZED'AOENT . `� _ �,�.`' S- ,� eo. �. TX8 AMOUNT BNOWN UNOeR VALUFT�ON IB POq TXH PURP08E OF 68TABLIBXIN6 A PEPMIT PHE ONLY. VALUATION �j PERMIT FEE $ /�4 ��,�,. �,�" � � $ C C _ n Apo��ant to fill in all zDaces excepl thoza within neavY DorEer lines ane sign all apD�opriate Oeclarations, CITY OF COSTA MES CONST�k1� TION P RMIT PERMIT NO. TRACT NO. LOT NO. ' UNIT N0. , .� ProjectAddress �� [� e-ti %' �,�� S`� 5769 8/�7/84 5v00 TI Applicant'S Mailing tlress 7� � _�� TYPE'OF CONSTRUCTION NEW ADD ALTE1iATION REPAIR OWnef'SName r"�`P/�C�/� Phone �CONVERSION ❑DEMOLISH ❑OTHER q,p,�'. 2one ��Z�AJ<'7_� /� G��'�� DESCRIPTIONOFWORK/USEOFBLDG: E ' � . 2 Addreu � Q / �+ C e0 S Main Builtlin9: Accessory Building: Arch/Eng. LicenSG No. TVPE OF PERMIT GRADING FOUrvoqTION STRVC7URAl T Frant - p Address � ❑ TENANT ❑ ELECTRICAL Q PLVMBING ❑ MEGHANIGAL A Rear � N I � ' � , ❑ OTHER: ' ' � Contrector'sNam Phone p� C Pight N �'� Address IF*�� ,� /j' /' PROJECT DESCRIPTION SQ. F7. oCCuvANCV K' G M . _—r ` l . � CONSTRVCTION TYPE _ VALUATION $ ' S Left . w City License No. ��.�b ZONE � GRADING CV. VpS. ACRES p � LICENSED GONTRACTOR DECLARATION Pln9. R¢f. # P3�king R¢q./P�OvidCd E � I h¢reby affirm lhat I am IicGnsed untler p�ovi5ion5 01 Cha�ter 9(coTmGncing , Remarks: , ' Pl2pniny NOfeS: � I with section 7000) of Divislon 3 of the Busine55 antl Professions Cotle, antl M �my Ilcense is in tull f ce a tl'e ct. �� T Litense ClaSz —' L' Snse N . ' , S. �ate ^ —��7} Signature PLUMBING FEES WORKERS'�� MPENSATIONDECLARATION ' BdrSink ShOw¢rS ' � ELECTRICAL , FEES I nereby aftirm Ihat I hdve a certi/iCa[e ot mnsent to self-insure Or a ce icate of Workers' Compens5tion Insurance, or. a.tertitietl •copy `hereo£ (Sectlon_ gackflow Preventer Servite Sink ' ' ' 3800, Lnb. g,) Automatic Washer � . Transformer C] 15-50 KW Ponty No�4y 7T� Company fLL/ h/lt[�e%� Backflowlrrigation Sewer W � ❑ 50+KW , P Construction Pole Sub. 8 Cerlifietl copY is hereby (u nishetl. � . � , , . Certifi tl co y is filetl with the city Bu' in Divis , Bathtubs Sewer COnnection CoOking Unit ' � Meter ❑up to 100 amps Date AppUcan[ � EXEMP ION RO W RKERS' COMPENSATION DECLARATIO ClBrifiefi � ' $olar CollectOfs Dishwa5h2r Meter �over 700ampi � (Thissection neetl not ba comple[eq if the permit is far one hundretl g100 or � � � ' iess) Dishwasher Solar Piping � Dryers ❑Gas ❑Electric Su6 Panel ' I certHy that In the Pe�}o�mdnce ot th¢ wo�k for wM1lch thii p¢rmk i5 i55uetl, I , ' zhall not employ any person in any manner so as to become subject to the Drinking Fountains - Solar Tank ' � Fan " Motors �61 HP �1'h - 8 Worker5' Gomp¢nsation�Laws of Celifomia. Date Si9nature - Floor Drains � $wimming Pool w/Spa F.A.U. Inc Solar 09-15 HP 016-15+ NOTICE: H, after makin9 [his tlaUaration, you shoultl become subject to the . Workers' Compensation provisions of the Labor Cotle, you must forthwith FIOOfSinks Urinal ' � Fixtures' � - + • - � complY 'N�th� Such OroviSions. o� this permit sball be tle¢metl r¢voketl. � MicroWav¢ CONSTRUCTION LENDING AGENCV' ' � GasService Ou[lets WeLefCloSet DeviceBoxes� � 1 hereby affirm that tnere is a mnstruc[ion lentling agency for [he pertormance ' 7ole Light af the wark for whicb. this permit is • issuetl (Section 309� Civ. CJ� ' � - LRnCer's Name Interceptors - _ Water Heater Outlets pange � �entler's Atldress � �� ' Kihhen Sink Water Service _ Switches Si9n ' OWNER BUILDER DECLA0.ATION - , I her¢by atflrrn tha[ I dm exempt frOm the ContraGlo�'s LiCCnse �L.aw fonthe ��dvetO�iCS - � Garbage Oisposal � Standing Sections � �ollowing reason (Sectfon 7031.5 Buslness antl Pro/esslonal Cotle: Any city or - county whiCh requi�es d Pe�mit to construc[, dlter, ImOrove, Oemolish or �e0air P—Tfd � any s(ructure, pdor lo its izsuance, alzo requires t�e applicanl for such permit P Generator �0.5 KW �575 KW Trash CompacYor ' to �il¢ a signatl statement Iha[ -0e/she is lic<nsetl pursuant to [he pmvi51on5 of Root Drains � the Contractor's License Law (Chapter 9(mmmencing wi[h Section 7000) of ' Divislon 3 of lhe Business antl Protessions Cotle) or that he/she is exempt . . tbmobom antl the ba5i5 fo� th¢ allegetl exemption. Any violation Of Section ' - - . ' 7031.5 by any applican[ for a permit zubjects tM1e �appli<ant to a civil 'eenalty ot not more tban five huntlretl tlollars (E500j. . " ^ � ' LJ I, as� owner of the Oroperty'or my employees with wages as their sole Reinspection Fee $75 Issue Fe9 $ 3 compensation, will tlo the work, antl the sVucture Is not intentletl or ofteretl � Reinspection Fee � $15 155�e Fee . $ 3 �or salo (Snction ]044, Buzinass antl Protessional Cotle: Tne Contractor's ' 'MECHANICAL ' FEBS Lic¢nSe l2w tlOes not dpO�Y l0 an ownet of a p�operly who builtls o� imprOves thereon, antl w�o Goes such work himself/nerself or lhrou9h his or her own - DEVELOPMENT SERVICES RE�UIREMENTS: � ¢mployee5, provitletl that Tuth ImprOvemenls are nol intenaatl o! o(feretl tor BOil2f HOOd Of lyp¢ I ❑ - Shce. If, tlowev<r, the bulltling cr ImprOvem¢nt is SOItl wlthin One yedf of com- (�.BflOpy Typ¢ I I ❑� Zoning ApplOvBd By Ddte ' plation, tne owner will have tho burtlen of orovin9 ne/she tlitl not builtl or im- DuCI - Under Ground ' Building Approved By � Date �iove for the purpose of salej. U I, as owner oi the property, am exclusivety conlractln9 witn licenzetl con- DuCt - Structural Refrigeration System APplication Issued By ��A�' Date Q, ,�_ tractor510 conitruct N¢ project t$ection 7044, Business dntl P�ofeszionz Cotle: � 7he Contrattor's License Law does not apply to an owner of property who Duct � Ventilatfng 00�100,000 BTU ❑100,000 BTU SUMMARY OF FEES Ouiltls or irpprove5 thereon, antl who mntraCts for Sucn projects with a con- tractor(sl li<ense pursuant'to the Contractor's License Law�. I am aware that � ExhaustSystem ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP '$ prool ol their Worker's Compensation insurance shoultl be provitletl to me. ' PLAN CHECK $ PERMIT ' � I am exempt untler $ection B. S P. C. for this reason Firepl/Fact. Blt. ICBO �k � PLUMBING $ �•Gi� ISSUANCE �$ Date Owner ' ' - Heating System & Ducting � PLAN CHECK 25% $ ENERGV P.C.' $ 1 �ereby certiry that I havb reatl this application antl state that tne above ❑6100,OOOBTU �100,0008T ELECTRICAL GRADING $ information is correct. I a9ree to <omply with all city antl countY ortlinances � antl ztate Iaws relatin o ouilaing construction, antl h reby authorize re0re- PLAN CHECK 5096 $ MICROFILM $ sentatives of this y to ent r� n above- tionatl ,Oroperty for , � inspectlan PurPas .' �7 � ' R4ECNANlCAL $ 70TRZ FEE $ s:-� Si9�ature ' Data Reinspection Fee $15 laue Fee $ 3 PLAN CHECK 25% $ • � Drivers' License or 55 �# � CMF 0865-46, rev. 4/84 White - Builtling; Cana - Applican[: Pink - Accountin9; Goltlenrotl -Assessor � CONSTRUCTION AND pLANNING � POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# � Date Inspector 1. Temporary Electrical Service or Pole' �� `� ' 52. Pool & Equipment Location . '. ' 2. Soil Pipe:Undrgrnd. -..�` � 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd.� � � � 54. Forms _ �- 4'.�Electrical Conduit=Undr"gind. . 55. Electrical Bonding ' 5. Steel Reinforcement �� , ' � 56. Rough Plumbing & Pressure Test , 6. ElecYrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,� 7. Footings- ' �: ", 58. Electrical ConduiDUndrgrnd. � � , B,.Foundation ., ' 59. Gas Pipe, O Undrgrnd., Test � � 9. Water Pipe-Undrgrnd. � - 60. Backwash Lines, P-Trap, O Undrgrnd. � r�� 10: Structural Floor System - �.i, 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final . 12. Sewer Cap ,- � ' „ �, 63. Heater & Vent-Final � . _ 13. Roof Drains '�• "' ,. r; i; 64. Plumbing System - Final ' ' 14. Rough Plumbing 65. Electrical-Final � � - 15.'Rough ElectricabConduit - 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 Faciory Fireplace APPROVALS Permit# 21. Duc[s, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test . ' � 72. Underground Flush � 24. Roof Framing 73. Undergmd.StorageTank �Gas ❑Oil . . 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structurgl) & Monocoat � 75. Dry Chemical 27. Frame and Flashing' 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insula[ion � , 78. FIRE PREV. FINAL ' 30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT 37. 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 � 8�(�fry � � , �� 39. Water Service-Final ' � 40. Gas Service-Final � . � 41. Solar pomesticFinal - • � � 42. Backflow Preventer • ' 43. 8ackflow�lrrigatiom . „ _ . � - � � � 44. ,Landscape Irrigation System 45. Sound Attenuation � ' � 46. Handicap Regulations ' 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison . � , ., 50. Gas Release to Southern California Gas Co ' � 51. CERTIFICATEOFOCCUPANCY No. Date COUN1'Y OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ma, CaGfornia Phone: KI 2-6211 - Permit Application for Building Permit AND FOR A CertiFicate of Use and Occupancy Date-----R;�. _E... /.. _. .-....�. OWNER'S I�'AME -�.LS�;fI% �l� \�i...LL".LFI.L�..L.L�}� ------- � -- - ... PHONE:..�Q/}.��b%��I MAILING ADDRESS....k.�-�..C� -C:!�!....L:...-Q....12L...iZ1( . - � 1.' -- - --...... CITY.(..:.L!.S.�i�..l :c..4_5 !�. - �---... Name.... �..9..%�f.�-----------------.........--'--"_ (Archicea or Engineer) Addres=_ Ci2y .--_ ' State Lic. No, Ph on e-------...----------`---------- Name --------c.�-�- �i---�---'- .............._.. . (Contrac[or) Addre=_s .....::............... City-------------------.. Scate Lic. No..-------------------- PROPOSED USE:.D.�t'.�_/�DO.Yh.S_ -�� u-t" -:� �- � �-��- � — — - -- ...._ .....:........ ... --- -- - - - -�-- r � , .y � � - - C-�_S.L..r.9. - .�'%.Q.S:I.�.: -- ... - -- - 2. J013 LOCATION ---� �_.Q...........- - - -.LU. ��' � � - - - - - - (House No.) (Name of Stceec) (Town or School Diatrict) ;. LEGAL DESCRIPTION: Lo�_�t�Y.-o2.-r.�—,---------_.......Block -------------- Tract.._----------------------------.... — -- - - -' � (Metes and Bounds Description �'Use re�verse side of form� � �t. CORNER LOT ( ) INTERIORZ6T ( k) �H�ROUGH LOT ( ) SLOI E OF LOT ( ) i. ; SIZE OF BLDG.:-----(-�_X. �. �.AREA:------ Z---L--(-----------SIZE OF LOT:---'�`5 �-%C-.� �? �5 /---_AREA:..._��-O. ��.5- �------- 6. HEIGHT OF BLDG.:......L.,3.� ----------------..CEILING HEIGHT:....---� �----------..-- :NO. OF STORIES-------.G7�--------- 7. , NO. FAMILIES....._n_��_�r�........_.........Sizc of Smallest Bedroom:.__/�'.�._:�i_�7-.�._........ Size of Kitchen......�..�..� 1�% � - ' S. EXTERIOR WALL CONSTRUCTION:.....�.�.'�.L.�..�.._____INTERIORWALLCOVERING....__.L'L_�S_�_¢_R.______.,,, ; (Frame, Stucco, Etc.) � (Plaster-Dr wall, Etc.) - 9. SETBACKS: Front Yard From Center Line of Street----------�� --_----------------------_--_-__._...._Y..........--------.----......................,...----- �t � ....Rcar Yard �.......��. �. Distance in Feet Between Bldgs. on Same Lot_._........:�. �. ; Nearest Side Yard.._.... ......_ . ...._ � ... 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. j�p� �� 11. For (a) Footing: Width...:...�P.��..ii.�!/��.�-_-------Depth in Ground---_-�ft.S�------_---.Width of Wa1L----.v.?.•. X.��_� •. Accessory . � / � Bidgs. and �r :,�, ,t„ �. . .. . , ' Similar �b) Size of Studs-------------_� -.--...._Spacing---_---:_�-----_----_- CC Material of Floor...---.W.Q..Q..C�................_. . Struaures: q„ � y (c) Size of Floor Joists:--..d--.X_��.��...----------Spacing.-----....../..�G--�-----"----- �CC JU {J. , . ., ' � �� . �o (d) Size'of Rafters: - � - 'Y �.•- - - ---_.Spacing -- � � ................."CC 12. ' VALUATION OFf�L'jR0 OSED WORK: Including'all labor, plumbing, e]ectrical wiring, heating, fire sprinklers, painting and sewagc disposal $-----.�.��? �-'-��------'----" 4 �, l3. I HEREBY CERTIFY THAT TO THE EST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. � P ---Signed:.------------------------------- ---- - --lC�C--..ii:"C1 , J� ... -_. - - � _ . a (Owner) . ]ans Filcd :............. � ..---f- -------------------------- .. ; ; - - -By:-----------------'--'---' --- -------------------.......---`-` ..............._..-----'-=---- � ' � ' ' (Autharized Agent) ' FOR DEPARTMENTAL USE ONLY FEES: Bldg. Peimit Plan Check Total = - Receipt No. Paid� to • '. ' l DATE......`P.�/!��Y. 5 M-8-51 v GROUP...... ..__. ---- TYPE-- -- -.......... --------- DIST. MAP----�- _'�-_-4-- SHEET NO.... -��. --....-- - ,Kt1tlU BY r APPLICATION. . �. . t I �IEALTH ....................:....... ZONING L„� FIRE � PLANS AND MARSHAL .................:...,.., � SPEC'5--....- -�- --- -- STATE....-- -- .... -�- - CORRECTIONS ENGINEER VERIFIED -- ............... CAL. - �