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Home My WebLink About274 BAY ST - Building Permitsa � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 274 E BAY ST Suile: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 42621313 Applicant: ALEXSON, JACKIE Address: 1653 SUPERIOR qVE COSTA MESA, CA Owner: BU�E, ANDREW R Address 274 E BAY ST Zoning: Phone: (949)642-7222 Zip: 92627 Phone: COSTA MESA, CA � Zip: 92627 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR qVE COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949) 642-7222 License: 349686 Eng: Address: ISSUED BY: Status: ISSUED Applied: 04/13/2004 Issued: 04/13/2004 a . Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: RECOVER OVER EXISTING 1 LAYER 3-TAB ROOF, 2 LAYERS OF 303 FELT, INSTALL NEW FACIA BOARD, APPLY "40-YEAR ELK CLASS A SHINGLES." 27 SQUARES Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $139.25 $0.62 $0.00 $0.00 $0.00 $139.87 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0-0 PARKING Existinp: o Rear 0-0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $s,zoo.00 ss.2oo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRA710N: This peimit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requ(red (nspeotfons and ffnal epprovaf must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24d6�46 (6N0) WORKERS' COMPENSATION DECLARATION: I hereby aRirtn under penalry of perjury one oi the following declarations: ❑ I have entl wlll maintain e cenitiwte of consent to selFlnsure for workers' compensetion, as provided for by section 3700 of Ihe Lebor Cotle, for ihe peAormance of the for which Ihis permit Is issued. I have and will malniain workers' compensation insurence, as required hy section 3700 ot the Lebor Code, For Ihe Oerfortnence of the work for which this pertnit is Issued. � My workers' m ensatl n Insurence ce 'er and po/licy number ere: '`� �O �/ Carrier. �� Ol Policy Number. �� / (This section need nof be comp/eted e permit is velued et one hundred dollers ($100) or less.) ❑ I certity ihat In t�e pertortnance oi the work for which Ihis permit is issued, I shell not employ any person In eny mennar so es to become subject to ihe workere' compensatlon laws ot Celifomia end egree th I shoultl become subJect to the workars' compensation provislons ot Saction 3700 ot the Labor Coda, I shall forthwith comply with these p/ro� sions. (/ Appllcent SlaneNre: � / � Dete: � / ��'r%%� WARNINCa: FAILU TO UFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYER TO CRIMINqL PENALTIES AND CIVIL FlNES UP TOONE HUNORED THOUSNND 100,000),INA�DITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIOE�FORINSECTION3]060FTHEIABORCODE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I am licensed forCe and aHect. Lia # ContrectoYs Signemre:� CONSTRUCTION LENDING AGENCY: with Section 7000) ot Division 3 0l ihe Business and Professions Code, anA my license is in tull _ o�a55 « l'.3 y Lfic _ Date: C��? �� ❑ I hereby aNirm Ihat Nere is e consiruction lending agency tor the peRormance of �he work tor which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signature: Date: OWNER-BUILDER OECLAFiAT10N5: I hereby eHirtn ihet under penelry of perjury Ihet I em EXEMVT FROM TliE CONTRACTORS LICENSE lAW tor Ihe following reason (Sec. 7031.5, Business antl Profasslons Code: Any ciry or counry which requires e permit to construcl, elter, improve, demolish, or repair eny structure, pnor to its issuanca, also requires the applicant for such pertnit to file e signed statement Ihat he or she Is IlcenseA pursuant to the proNsions ot tHe Coniractors License Law (Chapter 9(commencing wi�h Sectlon 7000) of Division 3 oi ihe Businass end Professions Code) or ihet he or she is a:empt iheretrom and the basis for tha alleged exemption. Any violation of Section 7031.5 by any applicent tor e permit sublects the epplicent to e civil penalry of not more than five huntlred dollers ($500).): ❑ I, as owner of the property, or my employees with weqes as iheir sole compensation, WILL DO TME WONK, antl the siructure is not intentletl or offared for sele (Sac. 7044, Business antl Professions Code: The Contractors License Law does nol apply to en owner of property who 6uiltls or improves thereon, and who does such work himself or hereelf or through his or her own employees, provitletl that such improvements ere not Intended ar ottered for sale. N, howevar, tha builtlinq or improvement is soltl within one year ot completion, the owner-builder will have the burden oi proving ihat he or she did not build or improve for purpose of sale.). � ❑ I, as ownar of the property, am EXCLUSIVELY CONTRAGTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The conirectors License Lew does not eppty to an owner of propeny who builds or improves thereon, and who contracts tor such project with a contrector(s) license Dursuant to the Contractors Litensa Lews.). ❑ I em evempt undar sec. Business end Professions Code for this reason: SignaNre: Date: Owner ID veritietl 6y driver's license. ❑ Ves ❑ No OriveYs License No. Expires: Vedficetion oi Ownership Dy (type at Aocument, i.e. - property tas bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PEFMIT CERTIFICATON: ❑ I hereby certify ihat no excavetion five (5) or mora feat in depth into whlch a person is required to tlescentl, will be mede in connection with work autharized by this permil, antl Ihat no builtling structura, scaffoltling, falsework, or demolition or dismantling ihereof, will ha more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Titla 8, California Atlminisirative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e pertnit irom the Division oi Indusinal Sefery, es noted above, unless such person hes a permit to tlo such work from the tlivision. Signeture: Date: Division oi Indusinel Safery Pertnit Number: CERTIFlLATE OF COMPLIANCE AND AUiHORVJ1TiON OF ENTRY: I certity under penalry ot perjury that I have read this application and state ihat Ihe intortnation given is correcL I egree to compty with ell state laws end ciry ortlinances relating to building consiruction, antl authonze representatives of Ihe Ciry ot Costa Mesa to enter upon the ebove-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until finel inspection. COOE Y. INSPECTON TYPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Root 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Finel Damalition Appliwn� �751�1.7TJ1.1Fj �i3�y Date COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Finel Eledrical 212 Final Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel BuildinyOccuDency �g � i /, �� i �. � ACP��Cant to flll In all s0aees witltln haavy bo�Ca� lines anE sign all aoV�oo��e aeclaratlons. -CITY OF COSTA MESA• PERMIT NO. � TRACT NO. LOT NO. BLOG. NO. CONSTRUCTION PERMIT M SR�R ' ' Ownet ru • uvy � Address • ei • ArchlEng. Address ' concraccorp_8mes Plumbing ; Address�.p422 •Tra.ak-Ave: LICENSED CONTRACTOR DECLA I heraby aftirm th:.t I am Iicenietl un menGing. wil�. secllon 7000) of �❑ .Professions Cotle, �antl my Ilcense Lltense Class ' Dale ��e��Q�' $i9nature ' 'ORKERS'CO_MPENSATIOND l i¢r¢by aHiim tbat 1 have a certlfii Phone License No. TVPE OF CONSTRUCTION ❑ NEW ❑ ADO O AITERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER ' vho�e 530-24 TVPE OF PERMIT ' � ❑ GRADING ❑ FOUNDATION ❑ STRU of GhSr[er 9(tom- '� TENANT O ELECTRICAL OPLUMBING �', tne us ess antl' ❑ OTNER - � �orc d eftact ,pROJECT DESCRIPTION� ' , _SQ fFjL . ... v � � L _ OCCUPANCV_CONSTRUCTIONTYPE _ to zelftin5ure,or a _VALUATION ZONE �r a tertifietl topy � _ • r � . ' �: ZOI A.P.'� ZONE SET ACK T. RAL � ID VARD - E GiANIC SI flF V � - � � � "`�tg�Zi!%E74'ii "''' Fremont GRAOING,CV. YOS. ACRES Policy No. �9 Company ' - � �Certifietl copy ii hereby furnizhetl. REMARKS:' ' _ �' _ _ _ _ _ _ Certltietl copy is filetl with the ciCy Builtlin9 Divisian. EXEMPTION-FROM�WORKERS'-COMPENSATION•DECLARATION - �� (This soction neetl not be completetl It tne pe�mit is fOr one huntlratl � i �E300I or lassl."_' ' ' ' � _" " "" ' __.'" _ ' _" _ _' ' <e/tlfy that ln th¢ pertOrmanC¢ of thG wo�k for whiGh thi5 pe�mit Is issuetl, I shall �not employ any par5an in any manner so as to become PLUMBING �_ PLAN CHECK- ' sub)ect to tbe Workers' Compensation Laws of California. ' Date Si9nature ' BATHTUBS ` "-- SHOWERS ' - " NOTICE: If alter making t�is tleclaration, you snoultl become subjac( . TOILETS ��-URINAl.S - �� to tha Workers' Compenzation provisions of the Labor CoOe, you musl� �� . fortnwith compry wi[h suc� provis(on5 or this perTit Shdll b¢ tleemetl �VATORIES , DOUBLE LAVS - --- - isvokeG. • � �CONSTRUCTION�LENDING-AGENCV' ' - '�' KIT. SINKS - - -- - DISHWASHERS-�• " '- - - I hereby ailirm that [hera is a tonstruction lentling agenty br the por- SERVICE SINKS SVMPS ^• � - formanCG O/ Ih8 work fo! which [hiz plrmi[ IS ISSueU ($ettiOn 309] Clv. C.)._ � .. . _. _ - - - - -- FLOOR SWKS -'FLOOR DRAINS' '�' Lentler'i Namo Lentler's Adtlress � - ' DRINKING FOUNTAINS � � - � - OWNERBUILDERDECLARATION 'INTERCEPTORS " CLARIFIERS "' ' ' 1 hareby attirm [hat I am axempt irom tho ContraUor's Licenze law 1or the tollowing. reason .(Se[tion 7031.5 Buslnois antl Pro(e551on5 Cotle: . SWIMMING POOL- •- •- P TRAP - Any clly Or COunty whiGh reqWfei a pelmll tD construct, al[CI, improvo, tlemollsh.or repair any s[ru<lute, Driocto iti.is5uante, a15o re- yyqTER SERVICE ' "� 'ALTERATION '� qulrei LhC apFlicanl for such permlt to lile a signttl stattm¢nt that be 5 Ilconsetl purSuanLto.the proN5ion5 of the.ContracloCs License Law • GAS SERVICE'" ' OUTLETS - ' (CM1apter 9(commencin9 with 5ettion 7000) ol Division 3 of the BlI51f1855 dOtl.R'O/CSSIOpS.COtlO) O[ thdt hG I50zCTpt lhCrGfrOT antl.the. yyq7ER HEATER$ - BTU OUTPVT � - basls for tnu alle9atl exemptlon. Any Wolatlon o( Section 7031.5 Dy any appliwnt for a.permi[.subjects Iha aDP��W�t to.a Nvil penalty �SEWERCONNECTIONS - ' - - oi not more lhan five huntlretl tloilars (5500). �' ❑-I, os owner �of tne property;�or my�employees witb wages�as their �SOLAR TANK -• COLLECTORS - � sola compensaHon, will tlo Ih0 wOrk, antl the st�ucture is not )nlentletl of oHtrOtl IOr SdIG. (SCCtiOn ]044, BuslnMs antl RofeS5ion5 COGG: Th¢ SOLAR PIPING SVS. - '' " ' Contractor's License Law tloes not appty to an owner of a property who-builds or im0�oves-tnereon, antl' who Ooes such work bimself�or ' ISSUE FEE ''- '-' --�' t�rough bls own ¢mD�DY¢e5, provitl¢tl Ittat sucb Imp�Ovlment5 a�e noI � intentletl� or ofteretl for sale: Ii; �owever- the Uulltling orimprovement MECHANICAL � PLAN CHECK is soltl wilhin ono year of completlon, the owncr will have the burtlon of provinq ho tlitl nat �bulltl or Improve for the purpose of sale). HEATING SVSTEM 0-]00,000 BTU a{� /. ❑ I, as owner o/ the property, am, extlusively coniracting wilh qND DUCTING- --- - •Ne.� licen{etl �contracEors to construct the �projocl (Sectlon 7044, Business 100,000 +�BTU� antl Pro�essions Gotle: The Coniractor'S Ucenso Law tloes not apply to - _ an ownOr-of prOperty who builtls or ImprOvei Ihereon, dntl wh0 Con- REFRIGERATION 0-100,000 BTV tracts trom zuch projectz. with a contra<tor(5) Iicesnetl _purzuant to SVSTEM . ' � the Conlractor's Ucense Law). �� 300,000:?'BTU' �-� � ❑ I am exempt untler Section B. 6 �: C, tor ihis - � •- • -- BOILERS BTV reason . _ ._ _ Datc Owner _ SVSTEM REPAIR,ALTERATION • 1 herebycertiy[hat I� reatl this ap�tlon antl state Ihat the above E%HAVST SVSTEM MVLTIPLE inbrmalion is co3ect. agre�td<o ply wi�h all City� antl couNy ortlinances ana siQt s reNrndfo nztructlon. antl here�v authorize �• >�gnamr - � Driv¢rs'�Li ensc� 5 � � - - ISSUE FEE, .. . -. • .. .. _ - � CMF 0865-46 While-Builtling; Unary-Appliwnt: Gink-Accounting; Goltl¢nrOtl-Assessor 21tl4 12/�7/B2 y IING REGULATIONS PLNG. REF. � ' REAR VARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONING APPROVEO BV SPECIAL CONDITIONS: D�{O�P��I�Y� LI NE � PROVIDED• ' ' .PARKFEEE.� DATE' 7o(lu Tt ELECTRICAL - - � PLAN cHECt� . -' _ _ _ _ _ i SO_FT. Sn.FT_ GENERATOR - 4=1 KW_ 1-10 KW - - TRANSFORMER - AP7LIANCE�' •30-SO�KW_50 � KW •_� - -- •MOTORS � 01'HP=1d0 HP'_ �(INC.SOLAR) .]0-50HP=..50.+HP_ FIXTURES' �' OUTLETS ' SWITCHES' ,GAS TUBE SIGNS - �- - - - - � POLE LIGHT$' - "'-'" - - . - '-' PANELS ' '-MAIN '- SUB ' $ERVICE -' ' - �- - - AMP' � 155VE-FEE` -- - '� ' �APPLICNTION APPROVED BV - - - SUMMAFVOFiFEES', • BUILDING - - � PERMIT � y- � - _ . . '�SMIP ~ . �$ � PLAN CHECK y PERMIT � ' ' . - . �- - ISSUANCE � PLUMBING S ' GRADING '.S - �� PLAN CHECK 5 ' � � , . ECECTRICAL S - � ' ' ' s �PLAN'CHECK 5 /.7^ �MICROFILM 9� � 'MECHANICAL �/�W"OTALFEE_E _ PLAN CHECK� �§ - - LE55 AD-. ' • VANCEPC '§_^ , � , FINAL FEE b �� . i � � . . . CONSTRUCTION AND PLANNIN/G{ POOL & SPA ��. � ' APPROVALS Permit # '� Date Inspector qppROVALS .� Permit # " ' Date ' C'^ Inspector t. Temporary Electrical Service or Pole ��. 43. Pool & Equipment Location � _^.c' - . `C "' Soi ipe-Undrgrn 44. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgm - ' o o: '-' - :- 45. Forms, . � 4. Electrical Conduit-Undrgrn '46. �Electrical Bondin - . tee ein orce 47. Rough Plumbin & Pressure Test - � 6. Elec[rical UFER Grn 48. APPROVAL TO COVER•GUNITE �� " � � " 7. ootings � 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test ., � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn� ' 10. Structural Floor SYstem 52�. APPROVALTO DECK 11. . Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final ' �� ' �" '" 13. Rough Plumbing 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring 57. So�ar System-Final ' i 6. Rough Heating & Air Conditioning - � encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING - 18. Ducts, Ventilating - � " 19. Gas Pipe-Rough & Test ' 60. POOL/SPA SYSTEMS FINAL . 20. Roof Framing 21: Roof Sheathin ' - 22. Frame and Flashin NOTES: 23. insulation 24. Lathin & Siding • � 25. Drywall Nailing � 26. Plaster Brown Coat � � 27. Electrical Power Meter-Final � � 26. Final Electric 29. Final Heating & Air Conditioning �,4y�3';t ' 30. Final Gas Pipe-Test � 31. Final Plumbing 32. Water Service-Final - - - . 33. Gas Service-Final 34. Solar pomestic-Final ' � ' 35. Landsra e S rinklin S stem � `� 36. •Sound Attenuation � 37. Handicap Regulations � ' 38. FINALSTRUCTURE&BUILDING � 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY No. Date . , , . , , �� :.:�; - 61�2 �OSTA MESA BUILDING DEPARTMENT P. O. BOx 31� COSTA MESA. CALIFORNiA BUILDING AOpRE55 OWNER� MAIL nooaess CITY ARCHITECT OR ENGINE AOORE55 FOR APPLICANT TO FILL IN 27k"t3av Street COSTA MESA. CALIFORNIA Ana Ranchos :��:� R�C�iVED ii-a9•s`� - �'c� � �. . cm oF cos1A � APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIVE� 9Y D/�TE RECEIVED D l+19 E. 17th Street COSta Me58 TNO. LZ $—].1 9 qODRE155 Cole LIG. ' COSTA MESA. CALIFORNIA NO. FIRE ZONE �Y LI 20NE p�'NS tYPE e �`dnc.7333 No: Li 8-u59 ByPROVED DATE �E�A� �or 3� CORRECTIONS o[scn�nnorv NO. 2� BLOCK TRACT 0 A.P. NO. SIZE ' �� X d(� NO.OF BLDGS. OF LOT Ov �IOW ON LOT none USE OF n E%ISTING BLDG� none SEt64CN LINE FPOM C ecvren or s1Aee1 lO� REAR C� SIDE YARO RIGHT� / LEFT ZS� 5!/` DESCRIPTtON O� WORK NEW d ALTERATION ADDITION REPAIR MOVING DEMOLISM BUILDING a�a NO.OF SIZE L S 11i ROOMS STORIES E%TERIOR WALL ROOF COVERING StUCCO COVERING COIIlp� A � Pl.an No. 74� I HEREBY •CNNOWLEDGE TM4T 1 NAVE FEAD THIS APPLICATION �Np ST/�TE TN4T TXE PBOVE IS COXRECT nND /�GREE TO COMPLV WITH nLL CITT ORDINRNCES �rvO ST L�WS FEGULnTING BVILDING GONSTRUG TiON. VALUATION nn SIGNATURE OF �� PERMiT FEE $ Q�w PERMITTEE M PLAN CHECK $ ZS�W 5 12�78k•00 C M AUTHORIZED AGENT DIKE AND COLEGROVE INC TOTAL FEE $ 4J�w ''�� COSTA MESA BUILDING DEPARTMENT P. 0. BOX 317 COS7A MESA CALIFORNIA C•L. OF STREET ' ��PROP. TINE _ r 10 FT. FOR 60 FT. STjtEET I � � 50 f I UJ � I N I LL I o. � �--: � m ��z `I V IN� IW Id 10 � °c a EY QR � PROP. LI Y�b � _ JiPROP. LINE __ _= C.1.. OF STREE si u � I � o z� �m 'L ^ ' 4 o V ] U � ~ aW z m \ J N °� r m � � � I � � -�-------� �, � W W K H N � O J U MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 fT. FENCE MAY BE PLACED ON SOLID LINES I '�15� I � FOR APPLICANT TO FfI.L IN � p Sy-- � BUILDING ADDRESS� 7� pd� � Owner (4��(tfy��-_.1wII—� Ed P %'�C� �� I y ` T— �� Mail Addres� a61k/� IQi v�. _c ��/e Dri �e � d I �o � City _ �b S'I-g _/S/Ie Sa - - - -Ph. No.L / �_ 375°/ _ v� — - O I^ ¢ o Contractor �W/VF'r Ph. No.� ��'�7�� I � Address ,��1 R��vP7s�'e F�*/`i�� I � � City Lic_No. _ _ _ _ _ _ _ State Lic. No. _ _ _ _ _— �� Size of Lot �/5 �k �.0 � AP Nof� i^—� TR•��]n I Setbacks: C/L Street �� '� Rear�— � Side Yard - Righ Lef I / / Type of Fence � (�� l.� . / I hereby acknowledge that I have read this application and state that ihe above is correct and agree to comply with all City Ord- inances and State Laws regulating building construction. VALUATION S, FOR OFFICE USE ONLY Per � Date Received at� i—r)—sS 7 Permit Fee $_ / � 7 i � Plan Check $_ TOTAL FEE $_ USE REVERSE SIDE FOR DETAILS ��•-Scy �/ c�'-v ✓ �� ► ' J � COSTA MESA BUILDING-SAFETY DEPARTMENT P.o_ HOX 1200 COSTA MESA. CALIFORNIA 92626 Z . aU Z Z Q O v~i am J � J N p] J J m Q U � Za W � aw W Z J Q m Z J � W W � Z �- W � y ¢ � Q '�AY 7_5-70cnsn001048 0*-'�*10.00 APPLICATION FOR BUILDING PERMIT For Applicanf to Fill in Completely RECEI V D Y DATE RECEIVED D�j T�E ISSUEO BUILDING � � i �71� S��G�� AODRESS „L ✓ / ( - - 4 �p v �WNER A.P. NO. MAIL (-� BUILDING �J t ADDRESS l ADDRESS oC� (� TELI _ C TRACT.7p� /// LOT BLOCK CITV NO. CANSfRUCTION W A� P LENOER BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. S 5 OR ENGINEER N FIFE y.'� ADDRESS ZONE TYPE �� GROVP APPROVED CONTRACTOR - BV DATE ADDRESS S . ZONE —/ NO.OF �J USE OF NEW � NQ�' PLANSp�..� BUILDING .(/�P�� CITV •- STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDCaS. (FROM C/L STREET) /� OF lOT NOW ON LOT � ROM FT. FT. USE OF �/ EXISfING BLDG. FT. : SIZE OF NO. OF q NEWBLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF � COVERING COVEFING REAR FT. USE OF BUILpING ANp WOFK TO BE PERFORMED D15TANCE BET. BET. MAIN & MAIN BLOGS. ACCE55. BLDGS. ;� VAR. # DATE C.V.P.�b APPROVED APPROVED O I hereby acknowledBe that I have reatl this application entl state that the ebove infofmation is correct antl agrea to com0ly with all lows regulating builtlinp construction, antl I shall not employ . any pe�wn In violai�on ot Me workman'S com0ensation laws ot the State ot CalitoMla. � v �� f" � wr A I hereby cerNfy tha[ I am proDerly licensetl as a conttactor ontler SQ F. V a the State of Celifornie Business entl Professions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VAIUATION IS FOR Chapter 9, end that such licenses are in tull force antl effact, or I THE oURPpSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt (rom thm Provisions of the State of California Business / ¢ entl Professions Cotls. Divislon 3, Chapter 9. VALUAT�ON ��) PERMIT FEE S ( D � ��f/ SIB^amre of ,/ �- � Perm(rtee � — §/ DD4 P�AN CHECK $ E 70 - ° A�tnorizetl A6ent LL TOTA� FEE $ OWNER HOY. ALBERT DATE 5-25-70 JOB ADDRESS 274 F._ Rav Street BUILDING PERMIT N0. 31890 J GENER -s AP No. � INSPEC SOIL GAS � WqTER PROP. SWR. LINE U HOUSE CON. SPPINKLING SYSTEM ROUGH HEATING AND AIR CONOITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING � TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BOND BEAM n $TEEL REINFORCE (-I SMEATHING FqAME AND FLASHING LATHING - IN n PLRSTER, BROWN COA STRl1LTURAL, FINAL HEATING, VENT., REFI PL11M61NG. FINAL AN[ BUILOING, FINAL SUBCONTRACTOR f�°J� A./6erY < v �ranees OWNER ALHLRT L. & FRANCES P. HOY DATE 7-1 )os awD�ss 274 6av Street suiLDsrc rEanuT rro. 7156 GENERAL CONTRACTOR Owi12p VAL[IE $ 556.00 AP. No. LOT 2� TRACT 32']OFIRE ZONE •' DESCRIPTION OF WORR Concrete Fence GROUP � TYPE ZONE PLAN NO. ' INSPECTIONS DATE SUBCONTRACTOR P�RMITSISSUED coat Pinai Gas Test 7l