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Home My WebLink About946 GOLDENROD DR - Building Permits(774) 754-5273 • Fa�c (714) 754-0856 CITY OF COSTA MESA BI/ILpIN6 OIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 946 GOLDENROD DR Suite: Viciniry: HOUSE & GARAGE Parcel Nunmber: 41221319 Applicant: TOZCANO, AIDA VALENCIA Address: 946 GOLDENROD DR .. r- i,� ,� , " � Phone: p14)437-0093� , COSTA MESq, CA , � � � . Zip: 92626 , � , _ i � ownec TOZCANO, AIDA`VALENCIA Address 946 GOLDENROD DR- �� - � _ ., . -, %i�� , . . . �Phone: - _ - . � . . ' , �- i � � n � �� /„ �'COSTA MESA, CA , � Zip: 92626 � ��,--. �. . � - \:�� .� . .A�� / Cont�actoi ,�Oy� ��;2 � . / , , � i �� -Addreas. �V � i� �' � �� . �vj ,'� �� i `�" bV''�. v / y�� Phone . . � \_ . � � ' ! ; / /�;.��/ �� ` .. ; , '� `� : / ' �.- . . � Zip: , . License: � _ . . - , . . \ . Arch : - , - . � . . Eng. � - Address: � �- , ,� ; � - � � Address:_ � , � ' � j� , ; ' r� , � � ,�_ .'Phone: �. - ' � , , � � Phone: - _ ' '. ' r : ( �- . -, �� ' � �._,� , �_ „�. �- � Zip , ,Y—., - � Llcense: Zip: _ � �License: ' , � � � \ . � , � �� % ' SCOPE OP PERMIT � , - � REROOF-T/O, INSTALL NEW COMPOSITION SHWGLE ROOF OVER 1 LAYER 15# FELT, USING EXISTING PLYWOOD �� . . SHEATING. ' ' - . _ . _� , � . .• _ . , � . � ` FEE SUMMARY ` Plan Check: ' $0.00 . � � � -- � = � Calc Valuation: gs,000.00 � ` Permit: ", $99.75 — -- � �" � � Claim Valuation: '. � � $s,000.00� , SMIP Res: . ,; $0.50 _ -- � � i � ' � �SMIP Com: � $0.00 - � � , � �� Other: $0.00 � - , Inspection: $0.00 , �„ `" �,,Total: $100.25 � - � � , - _. , , �, ' .. ' �t' . � ,�t,� . '_ ._ _ %i . �'� � � ;�'rr` ' PLANNING 8 ZONING � �- � " ,� � � � ` �� ' �� _ . , ". SETBACKS � � � � , � � � / % , , � MAIN STRUCTURE- Front � 0- 0 Rear 0= 0` � �Left � 0- 0 Right - Oc 0 , - �; � ACCESSORY Front 0- 0�. Rear 0- 0 � Left 0- 0 , Right 0- 0�, ., • PARKING Existin :' 0- , Required: 0 Pr000sed: 0 � ��iTl�� r.I�L�� D NOTES: � . . . D�+'�� / � i % �� J /�� BUILDING PERMIT Zoning: Rl R1 Q NUMBEH 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/01/1999 Issued: O6lO1M999 ISSUED BY: ��_ 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, 12-21-92) EXPIRATION: This permit shell automatically expire end become void if work is not commenced within 180 days, or if work is suspendad or abandoned for a penod of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona end finel approval must be obtained. Feilure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARA'�ON: � � � ' I hereby aRirtn under penelty of perjury one ol tha following tleclarations:.' 4i ^�, , „, .,'; F'� [] � I have antl will maintein a certificata Of consent to selF,lnsure for workers' compensation; es providetl for by sectlon 3700 of the Labor Cotle, for the pertormanca of the work for which this permit is issued. ' �- ' ❑ I have and will maintein workers' compensation insurence, as required by section 3700 of Ihe La6or Code, tor tha performance of ihe work tor which this permit is issued. My workers' compensation Insurence carner and policy number are: Carner: Policy Number: (fhis section need nof,be completed i/ the peimit is valued at one buntlred dollars7$100) or les9.) " ' "' - ❑ I certity that in the peAormance oi tpe work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws of Calitornia, and egree thet if I should become subject to the workers' compensation provisions oi Section 3700 of the Labor Cotle, I shall tonhwith comply with these pravisions. Applicent SignaWra: Date: WARNING FAILURE TO SECIIRE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE Hl1NORED iHOUSANO OOLLARE ($100,000), IN ADDITION TO TME COST OF WMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE L480R CODE, IMEREST. ANO A'f�ORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed untler provislons of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotla, and my license is in full torce antl eNect Lic. # Class # ConiractoYs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn that there is e construc�ion lantling agency for the pedormance ot the work tor which this permit is issued. (Sec. 3097, CiNI Cotle). Lentlets Name: Lentlefs Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirtn that untler penalry of perjury Ihat I am El(EMPT FROM 7HE CONTRAC70R5 LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a paRnit to construc[, alter, improve, demolish, or repair eny strucWre, pnor to its issuance, also requires ihe applicant tor such permit to tile a signed statement thet he or she is licer.sed pursuam to ihe provisions of the Contrectors License Law (Chapter 9(commencing wlth Section 7000) of Division 3 of the Business and Professions Cotle) w that he a� she is ezempt tharefrom and the basis for Ihe ellegad exemption. Any violation ot Section 7031 G by any applicant tor e permit �jects tha applicant to e civil penalry of no� more than five hundred tlollers ($500).): I, as owner of ihe propetly, or my employees with weges es thelr sole compensation, WILL DO THE WORK, antl Ihe stmcWre is not Intended or ofleretl tor sale (Sec. 7044, Business entl Professions Code: The Comracrois License Lew tloes not eppty to en owner of propetly who builds or improves thereon, and who does such work himself or herseN or through his or her own employaes, provitled ihet such impmvements ere not intentled or offered for saie. If, however, ihe building or improvemem is soltl within one year of completion, the owner-builder wi0 heva the 6urdon oi proving thet he or she did not build or improve for purpose ot sale.). ❑ I, as owner of the property, am EXC4USIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Protessions Code: The coNrectors License Law does not appry to an owner of property who builtls or improves thereon, and who contracis for such project with a contracbr(s) license pursuent to the Contractors Lieense Laws.). � ❑ I am exempt und r se . Signature: G,� i�a � Owner ID veritied by driveYs license. Ves ❑ No Business antl Professions Cotle for this reason: Verification ot Ownership by (type of documBnt, i.e. - proparty taz till or tleed): OIVISION OF INDUSTRIAL SAFETY PERM�T CERTIFICATION: Date: ' Driver's License No. �!/ Expires: ❑ I �ereby certlty ihat no eacavation five (5) or more feet in dapih into which a person is requiretl ro tlescentl, will ba matle in connection with worK authorized by this pertnit, and ihat no building simcWre, S�eRalding, falsework, or tlemolition or dismantling ihereoi, will be more ihan thirty-six (36) feet high. (Chap. 32. Grp 2, Art 2, Sec. 341, Title e, Califomie Administrative Gode). ❑ As owner-builder, I will not employ anyone to do work which would require a permi� irom iha Division of Industriel Safety, as noted ebove, uniess such person hes a permit to tlo such work from ihe divisian. SiqneNre: Date: Division of Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE ANU AUT}IORIZATION OP ENTRV: I certify under penalry of perjury that I have reed this application and state that ihe information given is corract I agree to comply with all state laws end ciry ordinances rela�ing to building constructioq antl authonze representatives of ihe Ciry of Costa Mesa to enter upon tha above-tlescn6ed proparty far inspection p rposes. I agree not to accupy ar aliow occupancy ot eny building authorized by this pertnit until tinal Inspectlon. � //�.l �.- � - /' �' SignaNre Of Le9al Owner(s) Dete ' AndlOr Authorized Applicanl Dete COOE 1' INSPECTION TYPE . . • ` �h ... ..INLLp3- . - . 1616 Fised System Finel Fire Prevention " 1266 Pool Spa Final 200 Final R8-Roof � - 201 Final BIocWRetelning Well 202 Final Fectory Fire Plece � ' 203 Final Sign � � 204 Final Demolition � �. 2M6i6 COUE1' INSPECTIONTYPE ' 206 � ' Final Mechanical 208 Final Plumhing 270 Final ElecMcal 212 Final Fire Pravention 220 Finel Planning Approval 222 250 Final Site Final Builtling/Occupancy p9IE ' iHrmn�s PflOJECTRU0flE5S: 946 GOLDENROD DR OWNEH'SNRME: TOZCANO AIDA VALENCIA noosess:946 GOL�ENROD DR COSTA MESA,CA 92626 UNIT: AflCHIENGINEEfl: NEG.NO.: RDOflESS: UNIT: PEflMITTEE: GEORGF.. BRA7.IL ( 714 ) 535-790� aooaess: 3022 N. HESPERIAN IvY i 01 SANTA ANA A 92706 LICENSEU CaNTHALTOP DECLAf1ATI0N: I �ereGy atlirm tha� ., licem.a er pmvisions o� Chap�¢r 9(comm¢ncinq vni� S¢[Iion 7000� o� Divismn 3 oI lAe Business ana Professions Cotle. -'�y lic ., m full force anA effect. c�r.uc.:029919Q sTaTeuc.:4430 � cuss:C-36 �ate: �"" �� /—� Signature _ WOHKEHS' COMPENSRTION oECLANATION: I hereby ., rm thai 1 have a cenilicaie ol consent to sel4insure or a cenificate of Workers' ComPensaiion�iutu�c� � a�rgr�ie� coDY Ihereof (Seclion 3800. La�.,C1S � O S I9 2 roucrwo.:UNITED PACIFIC oarc: � COMPANY: ,a� � Cenifie0 copy is here�y furnished LY CeNhed c ea with the ciry BuilOinA Oivision. oace: _�=� � � ( 1 APplicanc E%EMVTION FBOM WOflNEPS'COMPENSPTION OECLAPATION: (Thisseclion neea not0e complele0ilthe permili5loronehundretl�S100)orless�. I cerlify t�al in Ihe perbrmance oi IM1e work �or w�ich t�is permit is issued I shall not employ any person in any manner so a510 �ecome SuDlec� �o I�e Workers' ComDensation Laws ol Calitomia. �ale: Signa�ure: NOTICE: II. after making �his tleclaration, you shoultl become suble�� a ihe Warkers' ComOensalion D�Ovisians ol Ihe Labor Cotle, you mus� lo�hwnh comp�y with such pmNsions or t�is permit shall �e Oeemetl revaked. CaNS7PULTION LENDING pGENCY: I hereby alfirm ihat ihere is a constmction lenaing aBency for Ine Dedormance al ihe work for w�ich this permii is issuetl (Sec�ion 3097. Civ. C�. LENDFfl: aooRess: CITY OF COSTA MESA — BUILDING PERMI'P PERMIT NO: P 050695 PLAN CHEC3i NO; N CONSTRUCTION TYPE: PERN,IT TYPE: PLU JOB DESCRIPTION : INSTALL NEW GAS LINE CLAIM VALUE: CALC—VALUE: �PERM NO: P OSU69` GO T: N P ; PURPOSE: OTii � SQ FT: GROUP OCC: / COMMENTS: * ;�*�*��t*�*�x-***��x*�x****x��******�r**�x�***�**��t**x*x�**� u�x�*�*��**�*�*�x�*�c��r* Z O N I N G R E Q U I R E M. E N T S S E T B A C K S ------------ MAIN HUILDZNG ----------- --------- ACCESSORY BtJILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT iN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 41221319 ZNE: REF NO: PI,ANNING Nt7TES> > j(� iF !f i(� 3F �F it 1f 3E 3F IE X IF iE N� it IE aF 14 iF iE-1F iE %3E iE lF )E iElf iE jE if jE iF iE 3(� IE jF iE if 1E i(-%dF.IF IE'if iE iE i(� IEik if iE if !f �E If iF if at iE iF IE 3(� if iE if iE �E if aE 1F?E 1E iF lE iE D E V E L O P M E N T S E R V I C E S. R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; APPLICATION ISSUED BY: • 14�1EihiEiEiEiEiEiElE�1FiE�lhiEifiEiElF3EiEiFifiF£' �e t � �r i6 36 3F fk 7f 3E �F 3P if �F �1!� jE ib ib iF *** 3F iE iElf iE IE iF 3E �f 3E iE 3E iF �E 3E 1E 9t 3f LEGALIZATION:N F E E S OwNEN BUIIUEB oECIABRTION: I hereby allirm mat I am exempt imm ihe Comractors' Stale License Law for the followinp reason B LDG P[iT (Sec�ion 7031.5 Business anA Prolessional Coae: Any city of coumy which requires a permit to constmm, atler, impmve, demolish, or P ERM I T repair any Slmcture. prior lo ils issuance, also re0uires ��e applicani lor such pe�mil �o file a signea sla�ement t�at �e/she i5 licensetl pursuant Io Ine pmvisions ol I�e Comracmrs' Slale License Law (Chap�er 9(commencing wilh Seclion 7000) oi Division 3 0l ��e Business pLAN antl Professions Cotle� or Ihai he/she is exempi Iherefmm anA I�e basis br Ihe allegetl exemplion. Any violaiion o� Section 7031.5 Dy any applicani tor a Oermil Su61eti5 Ihe applican� Io a tivil penal[y o� not more �han �ive hunOreO O011alS (5500�. I SSUE FEE PLUMHING ELECTRIC zzsi 3.00 % DATE; DATE: /��6�� rx..��..��cFa`re�csc�n�x�rxrciffElfif3f�iflE3ElfiF�F' iFif'�l�iEif iE iE If i6 3F if �1� iF *iE iE if �lf if #)F �E iE 3E iE jf 1E iE �E if �7f N��f� 3f IE �E # IF �E If 3E if iE M M A R Y STRUCTi]RAL SEGMENT:N MECHANIC FIRE SMZP/RES GRADING SMIP/NON—RES i, as owner oi tne propeny or my empioyees witn wa9es as ineir soie com0ensation, wiii tlo me work; ana ine HUILDING—DIV—> PaRMST ZSSUE PLAN—CHECK 'I'OTAL PAID DUE ❑ simcwre a noi inteneen or ouerea ror saie ISection �oaa, susiness ana Pm�essiona� code: ine Canvaciors' State �icense �aw 1 OTAL S---- > 2. 0 0 3. � 0 �. � � S. 0 0� S. 0 0 . � � tloes nol apply to an owner ol a pmpetly who builds of impmves lhereon, antl who does such work himsell/hefsell of �AwuAh ' nis or ner own empioyees, provieea tnat such impmvemems are not imentletl or onered lor sale. u, however ihe �uiitlinA or REVENIJE D I VI S ION TO l ALS--> COLLECTED • 5. 00 OVER /SHORT • 00 impmvemen�isso�dwi�hinoneyearalcomp�e�ion,�heownerwillhave�nehurdeno�provinghe/snediano�builaorimpmve $j�DG �MT PLUMBING ELECTRIC MECHANIC FIRE $MZP/T�T GRADING PLAN—CHECR lor Ihe purpose of salel. I, as owner of the pwpeny, am exclusively contracting with licensetl contractors m consimct the pmlecl (Section 707d, 0usiness 5. 00 ❑ anA Pmle55i0n5 Cotle: Th¢ CAniraclors' S�aie LiCenSe Law d0e5 noi aDDly �o an own¢r o� pmperiy wh0 �m105 or impmVe5lAef¢on 0 anOwhomn�ratl5�or5uthprOjettSwi��acOn�ractor�S�liCenSeDurSuan�lol�eContratlOrS'StateLicenseLaw).lamaware �"�'�*'*'**'.K'�"��'N'�'�'�'K'�'�'**"K"��'�"K'��'�'�'K"x"K'*'K'#i'�('3("K"K'i('x"K'%"1'rififlEiFl6ifN�ifIf3F7E-lF#itiEl6iFjEi(�iF�1f3EiE�N�3EM�3PififlElfifiFjEif ihal pwof ol �heir Worker's Compensa�ion inmrance shoula be pmvitleA �o me. I N D I V I D(7 A L F E E B R E A K U O W N � 1 am exempt unAer Section: B. 8 P. C. mrmisreason: TYPE QTY D E S C R Z P T I O N UNIT C05T TOTAL COST �a�e: Ownec I PLU I Oo nereUy cenily I�at I am awa�e ol anE unGerslana the requirements oi Calibmia Neallh anA Salery CaUe Sec�ians 25505, 25533, an0 2553A anE ihat I or any fulure building oaupani vrilVwitl not (circle one) neetl lo campry wit� Saitl state CaCes anC t�e rt0uiremenis far a Dermil br mn5imc�ion or motlAicalion Imm I�e Ai� Oualiiy Managemeni Di5lnci. NeSiEen�ial con5�mciion aODlication5 are Exempt �mm Ih¢S¢ pfOVl5ipn5. Oa�e. Applicam: _ Ihereby terli�yi�al Ihaver¢atl Ihis applicaiian an0 Slale 1� '.e arainances antl stalelavrs�elalingio Ouilding constmclion a^ ' .[ pro0etly farinspecuon purpoQses. / �ate: �_�� " (c/ Signalure _ oriver's license or Sociai Security a: matmn is wrrecL I aAree IO ComO�Y �'^�h all ci�y anE county repre5enlalive5 OfINSaiyla ent¢ruponlhe above�menlione0 �O6 WM1i�e—Butldmg; Green—Cotle En�orcemem: Canary—Applicant; Pink—Fevenoo: GoltlanroE—Assessor 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2.00 END OF FEES f�^ , i 7 � JAN 16 R� � CITY OF COSTA MESA 2.00 - CONSTRUCTION AND PLANNING P�� SPA 11 , APPROVALS Permit# � Date Inspector qppROVALS Permit# Date Insp�,�-� 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�Undrgmd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrital UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings �} 58. Electrical Conduit-Undrgrnd. - ., ---- 8. Foundation ��" � : �' 59. Gas Pipe, O Undrgrnd., Test -' �" ,� . / 9. Water Pipe�Undrgrnd: ,� � 60. Backwash Lines, P�Trap, 0 Undrgrnd. ' ,�j `� 10. Structural Floor System' � 61. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection 1 62. Backwash & Receptor-Final ' I 12. Sewer Cap � i 63. Heater & Vent-Final � 13. Roof Drains � � 64. Plumbing System � Final � 14. Rough Plumbing � 65. Electrical-Final � i 15. Rough Electrical�Conduit i 66. Solar SYstem�Final - 16. Rough Electric Wiring ' 67. Fencing & Access ApP�oval 77. Rough Wiring Sign ' � 68. APPROVED FOR PLASTERING 18. Rough ElectricaV-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Dutts, in Structure 70. Underground Hydro' 22. Ducts, Ventilating � 71. Product Piping OGas ❑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 (Structural) & MonocOat 75. Dry Chemical �k _ � r; , :'� 27. Frame and Flashing . 76. Dry Standpipe 28. Lathing & Siding • � 77. FIXED SYSTEM FINAL ' : ��; I 29. Insulation � ' � ' � `� i I ,� 78. FIREPREV.FINAL ,w.R.._ .,, 30. Drywall Nailing � �� HEALTH DEPT. REQUIREMENT `��•�ce�-='�� 31. Plaster Brown Coat � � , 79. FINAL INSPECTION � 32. Electrical Power Meter�Final j �� 80. FOOD CERTIFICATE ISSUED i . 33.FinalElectric . � ;��.r� Notes: � 34. Final Heating & Air Conditioning � � � . �,- , 35. Final Gas Pipe-Test • � (`j � (� ' . 36. Hood or Canopy � �� . � . 37. Final Factory Fireplace � ' . 38. Final Plumbing f�'1 Q�, 39. Water Service-Final � I � � 40. Gas Service-Final � � ,. �� 41. Solar pomestic-Final- I I i 42. Backflow Preventer, � ' : - t 43. Backflow Irrigation - 44. Landscape Irrigation System � � 45.'Sound Attenuation 46. Handicap Regulations � . . 47. FINAL STRUCTURE & BUILDING j; 48. FINAL PLANNING , 49. Electric Release to Edison � '� .. C 50. Gas Release to Southern California Gas Co , , 51. CERTIFICATEOF,OCCUPANCY , . No. Date i- . . 3b415 . ' � , Ti-T�"-'00 •h��: ....•:,�?6.05 COSTA MESA BUILDING•SAFETY DEPARTMENT ZOL CR P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 z . ww a U F- Z ZF O �n dm J � J N Q W p] J J m Q U N Z¢ W p. W WZ J Q m Z J � W w �_ zF w� �� o APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI V er DATE RECEIVED DATEISSUEO BUILDING @ ../Q - / ` � ADDRE55 946 Goldenrod Drive P . �, OWNER Larwin Southern California A,P.NO. ADDRESS 16255 Ventura Boulevard AD' R1Ess ,<.�p TEL. TRACT �SS%B LOT �6 BLOCK CITY ncino California No�986-8890 CLOENDER�ON ��in Southern California W ADD BRANCH 16255 Ventura Boulevard / `ny^ ADDRESS OWNER �/�j�w�N S �fY"L Encino California b� OR ENGINEER ��lll S. Calif. No�'273-4464 �ES c*/ ifT7" 6AK�ALUS µU� FIflE Y AD�RE55 9100 Wilshire BLVa. � B2.V. �{1115 ZONE V E GROVP J CONTRACTOR �PWll1 Southern California ByPROVED DATE �/�� /� ADDRE55 16255 Ventura Boulevard TEI. Z� E NO.OF USE OF NEW S REJ W ciTv ncino California N� 986-5890 '� P�"�z BUILDING GA STATE CITV �'ARDSAPPROVED VAROSAPPROVED uc. No. 191311 LIC. NO. B�1 MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM Gl STREET) OF LOT GO X LOO NOW ON LOT O OM FT. FT. VSE OF EXI5TING BLDG. FT s�ze oF 1436 NO.OF 1 � NEW BLDG. ROOMS STORIES L SIDE FT FT. EXTERIOR WALL FOOF �/ COVERING StllCCO COVERING �700a SIl1R a:.L' REAR d"�FT. FT. USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. AOCESS. BLDGS. VAR. iW DATE Construction Sin Le Famil Residence c.u.a.# APPfiOVED APPROVEO /i� — � � //� �HOLD FOR SPECIA ENTS I heraby acknowledBe t�at I hava read Nis application entl stete that tho ebove into�mation is cOrrec[ antl aBrae to comply wl[h ali laws regulatinB builtlinB construction, and I shell not emplOy any Oerson in violation of tho workman's compansation lows ot T the State of Calitomia. J � I heruby carUty 2hat I am properly licensed as a contrector untlar � SQ. fT. the State ot Calitornia Business and Professions Coda, Divizicn 3, THE AMOUNT SH N UNOER VALUATION IS FOR Chnpter 9, antl that such licensos ure in full force antl effect, or I TNE PURPOSE OF ABLISHING A PEFiMIT FEE ONLV: am exempt from t0e provisions oi xhe State of California Business VALUATION antl ProfessiOns C e, Divicion 3, Chaprer 9. H.3.00 PERMIT FEE $ Stpnature o /)/ D. �OWRS Permittee ,�///� S Z2� 1�� PLAN CHECK 5 41. SQ AUMorizatl Agent 7p7q� FEE $ 1Z4.50 vmv�R 7,pg(qTZN So. JOB ADDRE55 GE�ERqL CONTRACTOR A� ,',. LOT IN�CTIONS SOIL GAS WATER ftOUGH PLUMBING � � PROP. SWR. LINE • HOUSE CON. SPftINKLING SYSTEM MISCELLpNEOUS ROUGH N�qTING AND AIR CONOITIONING TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING SHEATHINf, FRAME ANO LATHING - PL 5R� B 51 URpi VMIC � SUBCONTRACTOR �r_�id7l "s7%%I %�Z! ��//11'1/'✓�1II rd?J"�r� //.11.�'/'�� co �I�9�