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Home My WebLink About757 CENTER ST - Building PermitsCOSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDflESS / ;/ � GEII�fC,` J7 OWNER OR —�^A :^ K LJ�LL TENANT t/ MAILING ADDRE55 S,AM � CIT�' /- A [' YA /L�/��A NOL��{,} �� BRANCH ADDRESS M APPLICATION FOR STRUCTURAL PERMIT RECEIVE�BV P�ijMI�T �OOC J / f � . A.P. NO. it�— �ff ^� BUILDING ^��C�'/e� S� .. ADDRE55 / -�. { UNIT OR SPACE NO. TR;NO. LOT�� BL NEW A�O L7ER REPAIR MOVING DEMOL X, >C. ✓ OWNER JqGK �!L NK ` � VAWEs� USE APPROVED _ CONTHACTOR NC2 BV DATE ` ADORESS TEL. CITV NO. � STATE CITV NP7ROVED SETBACKS � UC. NO. � UC. NO. {s,j SI2E NO.OF BLOGS (FqpM C/L STREET) � LL OF LOT NOW ON LOT ' a USE OF / '� EXISfING BLDG. � �� FH i L Separate permits are required for � s E �FT. T'� 0 electric, plumbing and heating work. qEAR TJ FT. " E.W,.� USE OF BUILDING AND WORK TO BE PERFOFMED PLANNING ACTION a q DATE � APPROVED a � � . APPROVED �,� } — ..7 a W � 1 heraby ncknowNtlpa thet 1 have roatl this apD�iwtion antl ciato q� Mat t�e n0ova information Is corract antl aprea ta comply wIM a all law� repulatinp Ouiltllnp constructlon, an0 I ehell not amploy ' Z any Darwn In vloleilon of the workmen's compenaation lawe of � the Stata o5 CaliSomfe. / /J � 3 I hereCy canify that I am properly IkanseC as a contrac<or untler 3 3 o SQ. FT. / �%�• � tha State ot Californla Businea antl Protessions Code, Division 3, THE AMOUNT SHOWN UNDER VALU Chapter 9, and Mat such licenses ere In full force entl effect, or I THE PUFiPOSE OF ESTABLISHING A PER� am exempt from the provisionsof t�e5mta ot Californla 8uslnecs VALUATION PERMIT FEE E antl Profesaions Cotle ivision 3, haDter 9. PLAN CHECK S SiO�ature of � ' Permlttee � ^ $,3�37 �� TAX S AuthOrizetl ynt Date � (/ ` TOTALPAID S P n i m m �_ j iTION IS FOq m 11T FEE �NLV: � Y n m m O D, f U a Cn�+ Mesa Building Department / APPLICATION FOR PERMIT . * 111 EABT 20th 8TREET JA -/ A� B U I L D �� ' _ � COSTA MESA, CALtFORNIA 1l ILa . FOR �PPLICANT TO FILI. IN F'OR OFFICE USE ONLY Receipt No. I Permlt N Building Addreas 757 Center St• / Costa Mesa, �i8�11iOTll18, Received by I Date Rec'd. I Date Issu CrossSt. W HCe StPe� ow�er Sorensen Cor Mafl Address 419 E. 1%th. city Costa Mesa Arohitect or eng�neer Hugh Gibba Addreu LoII� BeBph Contraetor D�ke & COleg Address 419 E. 17th. ; Legal I Lot Description No. % I (Attach Metes and Bounde) Size oi LM � % 1� Use of Exfsting Bldg. Setback Line irom Center of Strxt S S� Address Costa Mesa, California Tel. Cross St. No. L3.8-ll59 zone i Me Demolish Covering (',pIDD 1s Reeiaence I hereby acknOwledge that I have read this Application and s[ate that the above is correct and agree to rnmply with all City Ocdinances and State Iaws regulating building constNcUon. signatureor p�KE ND COLEGROVE Permittee RS ERA� Authorized � Valuation Pav It Fee $ . Plan Cheek $ $ 8'r500 Tota� 25,00 Fee $ cl1RM 206 �-M 2M 3'34 Forms, Mat Under-Pinn Frame: Fire : Int Bond Beam FINAL CORRECTIONS � � APPROVALS O A � 2 D r , „� � r� , - . . , .. � z . . . , , .. .. . . ' ^t . . � . .� G m •Yp r�J CC1 ` " J ' .. ,.�.. J[ _. .. . ,. a - a APfl �4;�5.PD�s��56� *n**z5.00 . _ , C:oq� . . � . .e.. .: 'J'; . . ::C.. .. - - , . . '.S- .r . ... • c. , . _ - ' , -- t:o .,� . .. j; ;r - �..c^• -J.c_ •. �'C'.: . -; -' c. � • • r-- nl =- _ �_ �� . . i . � �i-, _ — . � Y: �. - . �. .a.� � � � � . �rr�, .. (1`I R �[� . -"' ' � — . � . � I - Street " � � � �' `• ' �� ,. ir,,�, . , , � • - �_ i' n -, PLOT PLAN —=-- -- . ; �� .'"_ `� �,�' . ---. - - - , . , 3bow locatlon and dlshancea from � �•-�� ' - -• - - . � property line and betwetn buildings. ,, , � , �,-�.,�.�� , � .,.� . �. :�i' i: . � i . . � � � �... 1�r.: ""' "' _" '.'_ - . _.�. �� .-., � P.. ., .. . . ' _ . ... ' o�rnc, or r . ,. i. . -� - -;,._ ,a�' __-,�,.,. .��. �o:.';.i::. •,'� ci , . , , . �,- - . . . •' , , .. c_- . . . ,., . . � •. . J . . . � �� " � 1 �(��'/�. . ' 1fi.� OU.?: � O�C�.. . . ,: u� F � W C. Q � � F , COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT . .. .. ...... ...... ............_........._.. ......... ,.____ RECEIVE BV PfiRMIy (y�^'l/^Cl �Q[ 9� For Applicant to Fill in Completely — Use Ink Only ADDRESS �S EII� C �� A.P. NO. �`�� [��G� BUILOING � OWNER OR � v �, J/ ADORE55 TENANT �` f_4_ UNIT OR MAILING SPACE NO. ADDRE55 TEL. �[ TR.NO. LOT�� BLK. CITV � A NO � TO NEW ADD LTER REPAIR MOVING DEMOLISH CONS7RUCTION LENDER � �/ BRANCM �.I /4 G 1\ C L OWNER ADDRESS NK ` A-' VALUEs/^ O^ ` ARCHITECT TEL. USE �� -3 S OR ENGINEEF ��' ADDRESS ZONE TYPE V GROUP � /� APPfiO V ED \ CONTRACTOR /�/C/� BV DATE �' O� V ADDRESS TEL. CITV NO. STATE CITV F�PPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLOGS. IFROM C/L STREET) OF LOT NOW ON LOT OM ' USE OF . / �( E%ISTING BLDG. E� Separate permits are required for L. SID �FT. �— electric, pWmbing and heating work: ' REAR �FT. ��I USE OF BUILDING AND WORK TO BE PERFOflMED PLANNING ACTION DATE APPROVED � APPROVED �� -3�-� I hareby ocknowlodpa t�et I hava reatl this application antl sinta � ihat the ebova informetion is corract and eprea to comply wiM � all laws repuleting buildinB constructlon, and I ahell not employ _ � any permn in v(olallon of Ma workman'� compensetion lawe of m Ma State of California. / /J�/ " 1 hereby cartify that I em p�o0erly Iicansetl as a contractor untlar 3 3 c� SQ. FT. / Q J/• �� Me Steie of Calitornia Business anG Ptofeaions Cotla, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0 Chapier 9, antl thet such licensez are in full farce antl eftact, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: � am axampt from i�e provlslons of the State of Cellfornle Businen a VAIUATION PERMIT FEE E and Profeuions Cotle ivialon 3, hapter 9. � m PLAN CHECK E m Slgnature of � Permlttee � $/3037. �� TAX E Q�• LL or ' / I .�0�' u AuthOrizetl t Date G TOTAL PAI D S Q 2� � 4'. � . t� , ��369 , COSTA MESA BUILDING-SAFETV DEPARTMENT P:O. BOX 7200 COSTA MESA, CALIfORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only BUILOING ,� .... .._. ��. _� n !.' \ f F C OWr a � � .Ti F W I" a � a a > r � a w a 0 � O� �{i,� CI'. 3 OWNER MAIL CITV BflANCH ADDRESS ARCHITECT TEL. NO. '� CONTRACTOR �� N/�/ f� ADORESS TEL. CITV NO. STATE CITV IIC. NO. �, � LIC. NO. SI2E � � NO.OF BLDGS. OF LOT� �� `�S I NOW ON LOT USE OF � �/� EXISTING BLDG. j.-,y�( IM� � Separate permits are required for electric, plumbing and heating work. USE OF BUIIDING ANO WOIiK TO BE PEFiFOFMED I hareby acknowledpe thet I have reatl this application and rtata that ihe ebove Informaiian is correct antl agree to comply with all lews regulatinp bulltling consiruction, end I shell noi employ any parson in vfolatlon of Ma workman's compensatian laws of the SSaie af Celifornia. I hereby certify that I am properly Iicensatl as e cantractor under ihe State of Celifornle Busineu end P�ofessions Code, Dlvlsion 3, Chaptar 9, and that such licensez are In f�ll force antl affacc, or I am ezempt from the provislons ot the Steta of Californla Businass antl Profecsions Cotla, Dlvision 3, Chapter 9. / / SlBneiure of Permittee �%l.rit�I�� / Authotized Aqent �+. BUIIDING ADDRESS PAIU JUL 21-77cras��0?_432� **�*�10.50 FOR STRUCTURAL PERMIT ZONE — NO.OF � PLAN$ � VAFDS APPROVED /'7� / REAfiJ V DI5TANCE BET. Si USE OF NEW' BU�LOINC� YARDS APP ACCESSORV BET. MAIN & ACCESS. BLP DATE THE AMOUNT SHOWN UND� A U THE PURP06E OF ESTABLIS (IV RI VALUATION PERI $ �� PLAN CHECK � $ TAX $ TOTALPAID E �� n m m' m � e a ui m n 0 i U ApP��cant to fill in all spaces except those within heavy CorCer Ilnas anE si9n all appro0riate Geelara�ions. P R T NO. TRACT NO. LOT NO. UNIT NO. CiTYOFCOS7AMEsAc_ ONSTRUCT�I.,O�+NPERMIT ��o3C1 A.P.� Zone Project Addres^ ,_ V��r"' `�� 7_ _ S Main Building: Accessory Building: Applicant'S Mailin�g Addf255 " �� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Z �iy/ ♦ (/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front p Owner'i�lnrne �"' �� Phone63 " Z/ DESCRIPTIONOF WORK/USEOF BLDG. A Rear N Address 7 � � C��^'t�U� TVPE OF PERMIT GRAOING FOUNDATION STRUCTURAL � C Right N Arch/Eng. License No. K G Addrez5 ❑ TENANT ❑ ELECTRICAL �Q PLVMBING ❑ MECHANICAL g� Left R Contractor's Nam hone � OTHER Ping. Ref. # Parkin9 Req.(Provided E PNOJECT DESCRIPTION 5�. F7. OCCUParvCV Plannin Notes: � Addresslma��'n�l CONSTRUCTIONTYPE VALUATION$ � 9 M T CityLicenseNo. ZONE GRADINGCU.VDS. AC0.E5 $, LICENSED CONTRACTOR DECLFRATION ' � I M1ereby aftirm that I am Ilcensetl untle� provi5lon5 of Chart2/ 9(comm¢ncing Remarki: ° with section ]000) of DlviSion 3 Ot the Business antl Pro(e55ions Code, and my iicense is in tuli torce antl ettecL ELECTRICAL FEES License Class License No. � Date Signature PLUMBING FEES %�utomatic Washer TransfOrmer � 15-50 KW WORKERS' GOMPENSATION DECLARATION COnStfuctiOn POI¢SU6. ❑ 50+KW 1 M1ereby aHirm that 1 �ave a certificate ot tonsent to selt-insure or a certificate Ba� Sink Showers of workers' Compenzation Insurance, or a certitietl copy thereof (Sectlon Backflow Preventer Service Sink CAokin9 Unit Meter ❑up [0 100 amps 3800, Lab. C.) . Poiicy No. Company Backflow Irrigation Sewer Cap - Dishwasher Meter ❑over 100amps 8 Certifietl cooY �s hereoy turnishetl. � Dryers ❑Gas ❑Electric Sub Panel - Certitied copy is flletl with the <ity Bulltling Division. Bathtubs Sew2� ConnectiOn Oate Applicant . Fan Motors�P1HP�1'h-8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarlfiers $o13r CoIICC[of5 (Thissection neetl not be completetl i( the permit is tor one huntlretl (8300) or Dishwasher $olar Piping F�A�� Ina So1ar 09-15 HP 016�15+ IessJ. 1 certity ihat in the pertormanca o1 the work for whlch this perm�t is issuetl, 1 ' Fixtures � shall not employ any oerson in any manner so as to become subje<t to the Drinking Fountains Solar Tank � Microwave Work ' m tion 5 Ot Califo�M_ �f1 -, Date P�__.�Si9nature ,/'%�' /�^^--�� Floor Orains Swimming Pool w/Spa Device Boxes Pole Light . NOTI E: 1f, atter making this tleclaratlon, you ihoultl bewme subject to the Outl¢ts RBn e Worker5' Compen5dtion Orovi5ion5 of the LdbO! Cotle, y0u mu5l fOlthwltFl FIOOf $i0k5 Ulin81 9 comply with such pwvi5iOn5 0� this pe�mlt Shall b¢ tl¢¢metl revoketl. CONSTRUCTION LENDING AGENCV G35SefvlCe Outlets Wat2fCloset SwitCheS $ign I bereby atllrm tnat lher¢ is a construction lentlin9 agency for the pertormance ot tne work for wnicn tnls pnrmit is issued (Section 3097 Civ. C.) Interceptors Water Heater � Garbage DispoSal Standing Sections Lentler's Name Lentler's Aaaress Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor OWNER BUILDER DECLARATION � I hereby alfirm lhat I am exempt lrom lhe Contractor's License Law for the LavatOriCs AutO-WaSh following reason (Section 7031.5 Business antl Protessional Cotle: Any city or county which requires a permit t0 cons(ruct, alte�, improve, tlemolish o� repai� p—Trep �dUndfy T�eyS any structure, prior to its issuance, also requires the applicant for such permit to tile a signetl statement that he/sh¢ is IicenSetl pU/suant to th2 provisions of Roof Drains tne Con[ractor's LicenSe Law (Chapter 9(tommencing with Section �000) of ' Division 3 of the Business antl Professions Cotle) or that he/she is ezempt Rainspection Pee $15 Issue Fea $ 3 therefrom antl the basis for the alle9eC exemptlon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more Ihan five nuntlretl tlonars (5500�. 3 OEVELOPMENT SERVICES REUUIREMENTS: � I, as ownel of Ihe pro0erty o! my omploye¢5 with wage5 a5 theil Sol¢ RBIfISpBctiOn FBB $15 ISSuB FBB $ compensation, will tlo the work, antl the structure is not intentletl or offeretl Zoning Apploved By Date tor sale (Seclion 7044, eusiness antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date Lirense Law does not apply to an owner ot a property who Euiltls or improves liration Issued B thereon, antl who tloos such work himsclf/hersalt or [hrough his or her own APP Y Det � � employeR Provitlea tnat such improvements are not Intentletl or otteretl for Boiler Hood or Type I ❑ n saie. tl, however, tne builtlin9 or fmprovement Is soltl within one year of com- CanOpy Type II ❑ Ilp jy� SUM RV �F FEES . pletion, the owne� will hav¢ the bur0en O( proving h¢/She tli0 not builtl o� Im- DUCt - Ufld¢� i�i�OUnd IZ' _ prove tor the purpose ot saie). BUILDI PERMIT $ SMIP $ ❑ I, as rwner ot the property, am extlusivery tontractin9 wilh Iicensed ton- Duct -Strutaral Refrigeratfon SyStem � PLAN CHECK $ PERMIT tractorsi�construct [he project (Section 7044, Bu5inG55 antl Profe55ion5 Cotle: ' Tne Con[ractor'S LicenSe Law does not appty ro an owner of oroperty who Duct - Ventilating ❑4100,000 BTU ❑100,000 BTU PLUMBING � $ ISSUANCE $ builtls o� improves Ihe�eon. antl wM10 cont�ac[5 to� Such oroiecfs with a[on- tractor(s) Lcense punuane ro me Cmvactors License L.aw). I am aware thai Ezhaust SyStem ❑ Multiple ❑ System Fepair/Alteration P�N CHECK 25% $ ENERG�' P.C. $ proof o( cheir Worker'z CompensaHon insurance snoultl be provitletl ro me. ELECTRICAL $ GRADING $ ❑ 1 am exempt untler Settion e. & P. C. for this reason Firepl/Fact. Blt. �C80 # Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date - Owner = Heating $ystem & Ducting Registers �T� �06100,000 BTU 0100,OOOBT MECHANICAL $ TOTAL PEE $�,z_�— I h¢reDy certity that I hav! rlatl �nis application antl stat! that the above PLAN CHECK 2$9{� information is correct. I agree to compry with all tlty antl county ortlinances $ antl state laws relating to bulltling construction, antl hereby authorize repre- . sentatives of tnis tlty o en[er upon the above-mentionetl Oroperty tor � inspection pur � � �c/q Signature "-� peinspaetionFee $15 IaueFee $ 3 U`. U�� +�%r7_-(1�Qyf942 E�t� ' _, Drivers' License oi SS � � UiiTt= D/��6�89 �){.�: ��:::'r�� 0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor CONSTRUCTION AND PLANNING POOL & SPA . APP,ROVALS Permit# Date Inspector p�ppROVALS , Permit# - Date Inspector 1. Tem�orary Electrical Service or Pole �' 52. Pool & Equipment Location ��:` ^P�� 2. S�il Pipe-Undrgrnd. � 53. Steel Reinforcement � . �� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � /'� �;.ElecVical Conduit-Undrgrnd. " 55. Electrical Bonding - i*Y- 5. Steel �Reinforcement 56. Rough Plumbing & Pressure Test r •,' : ' 6: Electiical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , :'! 7' Foo�ings -'1 58. Electrical Conduit-Undrgmd. - � 8� Foundation 59. Gas Pipe, O Undrgrnd.. Test ' r 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, � Undrgrnd. , � 10. Structural Floor System . 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ;=� 72. Sewer Cap 63. Heater & Vent-Final 13. Roof�Drains 64. Plumbing System - Final i. 14. Rough Plumbing i 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final �16. Rough Electric Wiring 67. Fencing & Access Approval �17. Rough Wiring Sign �. 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT �20. Rough Factory Fireplace �•` APPROVALS Permit # 27. Ducts, in Structure ,� 70. Underground�Hydro � . 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test . 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical � 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding , 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing ;� . HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat :`� � 79. FINAL�INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final ElecVic - Notes: 34. Final Heating & Air Conditioning p/�f2 . 35. Final Gas Pipe-Test 36. Hood or Canopy . �' 37. Final Fac[ory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final ' 41 . Solar pomestic-Final 42. Backflow Preventer �, 43. Backflow Irrigation �-. � 44. Landscape Irrigation System 45. Sound Attenuation 46. �Handicap Regulations 47. FINAL STRUCTURE & BUILDING � � 48. Special Requirements Completed � 49. Electric Release to Edison "-� � 50. Gas Release to Southem California Gas Co � •� � �" 51. CERTIFICATE OF OCCUPANCY � No. Date `•� OWNER JpGK BELL DATE 4/30/80 JOB ADDRESS 757 Center Street BUILDING PERMIT N0. 50039 GENERAL CONTRACTOR p�ner-Builder DESCRIPTIONofWORK Room Addition ' AP No. 116-043 ;Q° LGT 7 TRACT 2394 FIRE ZONE VALUE f 13 037,00 J INSPECTIONS Si narure ' Doro TVPE GROUP —3 ZONE �-Z soi� SUBCONTRACTOR T c�s n.,.. u..m�_. c:.._..:..... I�PPOP^ $WRmLINE r� MOUSE CON. � �SPRINNIING SYSTEM �mISCELl�HE0U5 �� ' �tiS' V �Qj`ROUGH HE�TING ANO �IR COHDITION JTEMPORr1RY SEHVICE OP POIE UNOERGROUN� � POWER � �ROUGH WIRING RENCHES �_ FOPMS STEEI ' LOOR SYSTEM I^ BOND BEAM ��] STEEL REINFON( -�jVSHEATHING �`FRAME r1N0 FL�SMING �—,/'�� JL4THING =1N OUT �/'i �^� �L�STER BROWN COnT TRUCTURIL, FIN�L �NE�TiNG. vENT.. REFRIG. �NO �.C. PIUMBING. FIN�L ANO G�5 TEST r ,�ELECTRIC.fIN�I BWLOING. FIN�L SPECI�L REOUTAEMENTS UTILiTY NOTIFIEO, G�5 n ELECT A CMF 0486-46 (BU 4) i F � a Q .Ni H 7'. F 0 W F a 0 :� a > � a x w �. � 4 Z � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Completely„— Use Ink Only BUILDING T'J�{ J /�, .y � �/�, ADDRESS / � / [...Li�/L,` S7 OWNER OR `�--A � K BE'LL TENANT MAI LI NG ADDRE55 ��1� � /� �� TEL. �/ CITV /" n � �A /Y/I � ^�iA NOI�S'L� BFANCH TEL. ADDRESS CONTRACTOR �y�(f/',/G/t ADDRESS TEL. WTV NO. STATE CITV LIC. NO. LIC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTINGBLOG. � ME Separate permits are required for electric, plumbing and heating work. USE OF BUILDING ANP bVORK TO BE PERFORMED I hereby acknowletlpe tnat I ha�e reetl this applicetion antl stata that the abova info�mat�on is correct and ap�ee to comply wlth all laws requlotinp builtlf�p �on5t�ucNon, antl I shall not emplay any parwn in violetlon o1 tt�e workman'e compenution laws of tha Stam of Calitornla. I hereby certlfy that I arn Properly liconsetl es a contractor untler tho Stata of California Business antl Proteuions Cotle, Division 3, Chap[er 9, antl Ihat such licenses era in full force antl eHect, or I am azampt irom the pra��sionz of the Stete of Cel(fornia Businets antl Profeszions Cotle Wialon 3, hapter 9. Sipnature of � ' 6/ /� Permlttea l / � /� AuthOrizetl{r0ent Date ��»� `' ��' / ,( ' 50039 APNLICATION FOR STRUCTURAL PERMIT RECEILV�E�BV PERMIT l�OO\.J � _� A.P. NO. ��i� C��j'—�, BUILDING �s7 �'e..�,fer Sf " ADDRE55 UNIT OR SPACE NO. TR.NO. LOT BLK. 7 �, � ! / NEW ADO ALTER REPA�R MOVING DEMOLISH /�. 7l. ✓ OWNER U5� APPROVE APPROVEDSETBACKS (FROM C/L STREET) L.SIDE "�-(OFT, i' �� ( � FEAR '-"� J FT. C/� PLANNING ACTION VALUE E DAT m n 'v 336 SQ.FT. / 037. m J THE AMOUNT SHOWN UNOER VALUATION IS FOR m THE PURPOSE OF E5iA8LISHING A PERMIT FEE ONLV: � VALVATION PERMIT FEE E a N � PLAN CMECK y '^ 0 $ /3037- TAx � LL �� U TOTAL PAID b �i� � / 0 OWNER JACI{ gELS, JOB ADDRESS 757 Centei Street GENERAL CONTRACTOR pWner-Bui AP No. 116-043-09 LOT 7 INSPECTIONS SOIL GA$ WATEH ROUGM PLUMBING PROP. $WR. LINE � HOUSE CON. SPRIHKLING SYSTEM MISCELL�NEOUS �p � aS AY, S�_ HOUGN ME�TING �ND �IR CONOITIONING �,J�... TEMPOR�RY SEAVICE OR POLE UNUERGROUNO � POWER � ROUGH WIRING �TRENCNES ( FORMS STEEI REIMf. LOOH SYS�EM BOND BE�M [] STEEL REINiORCE ❑ SMEATHING ' fR�ME �N� FL�SHING LRTHING - IN rj� OUT � �A PL�STER. BAOM'N CO�T STRUCTURIIL. FIN/�L XEATING. VEHT.. NEfRIG. �ND �.C.. FIX�L DATE 4/30/80 SUBCOHTRACTOR OWNER MpyrypgD� LE47IS JOB ADDRESS 757 Center Str GENERAL CONTRACTOR Owner-E AP No. 11 -0 3-09 LOT INSPECTIONS soa pA5 W�TER ROUGH PlUM81NG PROP. SWA. LINp ❑ HOUSE CON. SPRINKLING SYSTEM MISCELl�NE0U5 ROUGN MEATING ANO AIR CON�ITIDNING TEMPORARY SERy��E OR POLE 11NDERGROUND � POWEN � ROWM WIRING TRENCHES FORMS STEEI REINF. F�OOR SYSTEM BONO BE�M � $TEEL REINFORCE ❑ SME�TMING FRAME �ND FL�SMIMG LATMING - IN OUT n PL�STEP,BROWN CO�T STRUCTUR�L. FINAL HEATING. VENT., REFPiG. �ND �.C., F�HAL PLUMBING. FINAL �MU GAS TEST ❑ ELECTRIC, F�N�� BUILUING. FIN�I eeCf�el oCn111qcucuiC onTt 7_21-77 BUILDING PERMIT N0. SUBCONTRACTOR