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�- �-�-- -���' SEPARATE PERMITS_ARE REQUIRED _ , _�._ ' �� �
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� r � OF �IAdS AND SPECIFICATIONS $HALL NOT, BE C�GLS1RNIiffm,
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� OF SHE CIN _ I_ I � �
�%� __i_ 1 _ ' �BE Ei�1FLOr�tD 6Jt SJi kai YHAT THE_ , , -�y�-_' � -•-� - �
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r- � - � - - ONLY , � _ .�- --- _ . _ • _ _ - - -- -- -- - - - --
_ _SEPARAT,E PERMITS �AftE- ftEfl�}iRED ` `-1- ` �- ; � A� P �P R-0 V E-D � � *
_ _Ti__ �. . �. �. FOR ELECTRICAI_, f=';i"?,-^ � � � - •-- - L -- -'— , - , ,- —
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-' HEATING; VEL'T f'F!,�G q �p ,Ci of Costa� esa Building Dept.
� 1`-�- '- �-{-- � -' - REFRIGERATION WORK ; ' i ! ' � ; � � 7 Lf ? . �
' + ' � � BY.. THESE .lOB A TI9.
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_ � . r _ i- : 1__ � . + -� �e�CBO�t 1L - [� ' . _ , _MAKE NO .CHANGES . WITHOUT- -PRIOR- -APPROVAL � - �
�rr OF DEPT. i
THIS .NUMBER M1�ST- AGC4;:1flANY i• '- i �- , -I- � t � -�- � _�- ,- �-L I --.-
� ��--�- -�____ , . � -
� � i ALL INSPECTION REQL'ESfS � THE ISSUANCE OR GRA'NTIN6 OF A PERMIT OR APPROVAL ;
- -� ' ! � I•� - - . . �-OF �PLpyS AN+J •SPEEIf1EdTi0N5-3ffALL'NOT-BE-CONSTRUED- *- -`
. I ` � µ � `- �' � TO 8E F PERMIT FOR; OR AN A;PPRO AL OF, ANY VIDViiION
"--�i-�- t---�-' -'- -�' - � " t -'- � -t .--!-- -+- -�OF ANY OF�THfl �PROVf510NS��OF'THI�COD�E. NO PERMIT PRE�- �-�
- � , � � � FOR BUlLDiNG5 ��H�u: F't.'S�;�S ARE TO �•� � � SUMING T0, GIVE AUTHORITY TO VIOLATE OR CANCEL TFiE �
.-.-+--�- -----1--. _ _ _BE-EMP-LOXED,: WE-v;�.� �f 7H�i THE " - � ` -� ��PftOVISIONS`bf THIS COD� SHALL �BE VA'UD. ECCEPT IN SO �
� STATE OF C,� LIFO i;j;� J:,';SION OF FAR AS THE WORK OR USE WHICH IT AUTHORIZES_IS_IAWFUL_ .
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-` -- � -` - - -'� ' -' - � ' � T � '` ' �- � = EL`IFICATIONS SHALL NOi PRE1�EryT ,7NE BWIDING OFFICIAL
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COSTA MESA BUVLDINGSAFETV DEPARTMENT ' APPLICATIO�OR STRUCTURAL PERMIT �
'•vyv^ „VV VVV•^'•"V^•V^`••v•'••^JLVLV RECEIVEDBV PERMIT NO 48486
For Applicant to Fill in Completely — Use Ink Only
UILDING d[� ZQL�Q ��j� A.P.NO. Ia„ t��QI
DDRESS { 7 r! rT / l �^
WNER OR . L//� /� ADDRE55 V 7 1
�ENANT �!�•rR�cf� M� GLT`J)
UNIT OR
MAILING /'� �_ � SPACENO.
ADDRE55 6(/KL.�/ TR.NO.��C LOT C/y BLK.
CITV �P.jQ� NOL�`OJ( J J �
NEW ADD ALTER REPAIR MOVING DEMOlISH
CANSTRUCiION
LENDER
BRANCH OWNER ��(� 'LG( ,
ADDRESS VALUE (�
ARCHITECT TEL. USE �R � S �J�
OR ENGINEER N
—�I�
ADDRESS ZONE I TVPE � GROUP V
APPROVED
CONTRACTOF BV DATE
ADDRESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. (FfiOM C/LSTREETI .
OF LOT NOW ON LOT FRONT FT.
USE OF "
EXI5fING BLDG. S T.
Separate permits are required for L. SIDE Fr.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
��./� DATE
I G � APPROVED
� APPROVED /� l� _ T y
(�.V M iV
I hereby ecknowledge that I have read thls application and state
that the above information Is carrect and agree to comply with
alf iaws reBuVating builtling <onstruction, entl I shall not employ
any person in violetion af the workman's compensation laws of
the Stata of California.
I hareby certify that I em properly Iicensetl es a contractor untler SQ. FT.
tha State of Californ{e Business and PrPfessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such licenses are In full force and effect, ar I THE PURPOSE OF ESTABLISHING A PEiiM1T FEE O
am ezempt f�om the provisions of the Stete of California Business VALUATION PERMIT FEE $ �
and Professions Cotle, �ivision 3, Cheptor 9. . � ��
SiBnature o !-=�i /��'"' /J L� PLHN CHECK b
Permittee � ���� $�
or TAX $
AUTho�izedABent Date 7^� � TOTALPAID $
owNER PATRICK CHERF DATE 7-24-79
JOB ADDRESS 949 Zd ea Dr BUILDING PERMIT N0.
"'e,4$'��qR'•N1L�L1J�V1 �� JV
I��4��CTIONS
501 L
GAS
WATE0.
ROUGH P4UMBING
PROP. SWR. LINE � NOUSE CON.
SPRINKLING SVSTEM
MISCELLPNEOUS
ROUGH M6ATING AN� plR CON�ITIONING
TEMPORFAY SERVICE OF POLE
UN�ERGROlINO [] POWER �
ROUGH WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM -
BONO BEAM J STEEL REINFORCE �
SHEATHING
FRAME qN0 FLASHING
LATHING - IN n OUT n
PUSTEF. BROWN COAT
ST TIIRAL, FINAL
Hl �G, VENT., REFPIG. ANO P.C., FINAL
PlUM91NG, FINAL RN� GAS TEST ❑
ELECTRIL. FINAL
of
SUBCONTRACTOR
309�� �
3OLC COSO. BOXE 200 UCOSDTA M SAFCALI ORN�IA 9 626 T
For Applicant to Fi(I in Completely
BUILDING /
ADDRESS
OWNER LAffi1IN SOUTH CALIFORNIA, INC.
MAIL 16255 Ventura Blvd.
Z ADDRESS
a cWi cirv Encino, Calif, nTio�� 986-889
BRANCH 16255 Ventura Blvd.
ADDRESS Encino, California 91316
ARCWTECT .___ . . TEL. .
ADORESS 9100 Wilshire Blvd. B.H.
CONTRACTOR Larwin Southern California
nooaess 16255 Ventura Blvd.
TEL.
��TY Encino, Calif. N�� 986-889
STATE " CITV
��c. No. 191311 LIC. NO. B-.],
SIZE NO.OF BLOGS. -O
OF LOT ( O X ZOZ NOW ON LOT
USE OF
EXI5TING 9LDG.
NEWBLpG. 19H% Sf NO.OF
ROOMS STORIES 1
EXTERIOR WALL ROOF
COVEflING Stl1CC0 COVERING WOOCl shing7,
USE OF BUILDING AND WOflK TO BE PERFORMEO
Single Family Res./Garage
I hereby acknowl¢tlge that I have reatl this application antl state
that the above information is correct antl agree fo comply with
all laws reg�latinB builtling consvuciion, entl I shall not emPloy
anY Person in �iolacio� of fh¢ workmen's compen5aiion laws of
th¢ State of California.
I hereby certify that I am properly licensetl as a contrector untler
the State of Califomia Business and Professions Code, �ivisicn 3,
Chapter 9, antl that such licenses are in tull forca antl effect, or I
am ezempt from the provisions ot ffie State of California Business
and Prolessions Cncie, Oivision 3, Chapter 9. �
$ipnatureA�/��I��l/V �
Permitte`�v��'���, D. Downs
Authorized Agent '
PA10
:UL-5-73�,isA60 295� ***113.40
APPLICATION FOR BUILDING PERMIT
tEyl �D BV D{�.TE RECEIVED DATE ISSUI
%i} (D'o'ZO-%J `7-�,=
BUILOING
ADDRESS
TRACT
OWNER �
5 l.."'u �
FIRE
ZONE
APPROVE
BV
ZO� NO.OF
PLAN$
VAPDS APPROVE
MAIN BUI�DING
DISTANCE BET
MAIN BLDCS.
VAR. #
C.U.P,#E
- THEAMOUNTSH��
THE PUFiP�E OF E
VALUATION
3�� �
8
.�O I BLOCK
DATE
USE OF N
BUILDING
VARD:
BET.I
ACCE;
DATE
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0
VALUATION IS FOR �
A PERMIT FEE ONLV: m
¢
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_ $ rv�a� ry
7
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ic $ '�.�—$+' E
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CITY OF COSTA MESA REQUEST FOR OCCUP,. ,Y � i� ��•
TRACT N0. � S �' ' � DATE � ! / �
�T :�o. �8
�D�ss �'�9 ,�2zc:r.9 i��2.
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tzact has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen:, acknowledges that
(he-sh they (was or were)_��' `= advised that this tract has
ot een iven fiJ�ection nor has it been acce ted b the Cit of Coeta Mesa
n b g p p y y
as having complied with the condiiions of approval which were impoaed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions.protected by surety bond.
The undersigned agrees to'indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
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BY , �� �
� Purch'" e
�� ' � ��
BY �� �°��._ �^. .-/�- lli'!!�i �(�"�
Developer and/or authorized
representacive •.
( �
BY �2�z�Gf�i� .�i /j�u.
L�nder :
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