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HomeMy WebLinkAbout1104 SAN JOSE AVE - Building Permits CITY OF COSTA MESA � rotratcs.4 BUILDING DIVISION F. 111I $ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • w.vw.ci.costa-mesa.ca.us j FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER. P07-00577 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 11/06/2007 ISSUED BY: RMD JOB ADDRESS: 1104 SAN JOSE AV CM . Suite/Unit: Vicinity: GARAGE ' • SCOPE OF WORK: WATER HEATER CHANGE OUT, SAME LOCATION (HALLWAY CLOSET) FORA SFD. • • OWNER: NELSON, KURT - • Address: 1104 SAN JOSE AVE • PHONE: - 714-545-5242, City/State/Zip: COSTA MESA,CA APPLICANT: LITTLEFIELD,SCOTT Address: 24707 SAN FERNANDO RD : PHONE: 888-611-4328 City/State/zZip: SANTA-CLARITA,CA CONTRACTOR: AFFORDABLE WATER HEATERS AND PLUMBING License No. 627368 Address: 24707 SAN FERNANDO RD • PHONE: 661-259-7131 • City/State: SANTA.CLARITA,CA ZipCode: 91321 CELL: • PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: • $0.00 PERMIT FEE: $35.80 • TOTAL FEES: $35.80 a • • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODER INSPECTION TYPE DATE INTIRALS CODE! INSPECTION TYPE DATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing I I-AB^$-Cf(�j BEV 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign • 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's,. ,e. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-properly tai(bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - ❑ I have and will maintain workers'compensation insurance,as required by . section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: - person is required to descend,will be made in connection with work authorized --9-41 I-'-. by this permit,and that no building structure,scaffolding.falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This section need not be completed if the permit is valued al one hundred dollars($l )or less) 2,Art 2Sec.341,Title B,Califomia Administrative Code). Policy Number 'lob 7 0 '1 t ) d )_ ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I shall rth,w,i-tfh�co ply with these provisions. p l " i l_ 6 _40 '7 Division of Industrial Safety Permit Number: App l's Signature - Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# (p 2 7 (. Class# C 3 (Section 25533 of the Califomia Health and Safely Code, with some ,,,.,,�/ exceptions, requires registration with the Costa Mesa Fire Department by l'.0f'V 1� �/ (o - 7 each business which at any one time has on hand a quantity of acutely nvactors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required. has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safely Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which.requires a permit to .or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair,•any structure, -,prior'4o its . .-any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement"- .,(Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors:,, information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the Califomia Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). , completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjurythe did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING'WITH city ordinances regarding Hazardous Materials and Emissions. . LICENSED CONTRACTORS to construct the project(Sec.7044,Business and ' Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of gal Ownegsp Date 3057-4613/071Signature • Date rt n_e —'7Jj- ft--6 -07 And/ tboraed Applicant Date City of Costa Mesa INSULATION CERTIFICATION , Building Safety Division 110 `f SA/v_So SE CostA NES& OMkJ t Number and Street City County (oenS 3") Subdivision Lot Number 2t++t 1 DESCRIPTION OF INSTALLATION fie 3I B Z, ROOF T ( rt ah 1—zo_g3 Material t\( EA c.LASS Beal Brand Name d Wet rr f, Z-lR Thickness (inches) lO Thermal Resistance (R Value) 1 EXTERIOR WALL Material ttO(AVLKS 131411 Brand Name 0 UEA/S- �(tSJINC. Thickness (inches) 3%/tilt Thermal Resistance (R Value) IR— CEI LING Batt or Blanket TypeBt Brand Name Thickness (inches) _ _ Thermal Resistance (R Value) Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag lb. Area Covered (ft2) .Thermal Resistance (R Value) FLOOR, ELEVATED, 1 Material tU2CrtaSS Brand Name (' (4)(pjS CR OI la Thickness (inches) Ci 7+t 1/4 Thermal Resistance (R Value) R gNNG FLOOR,SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). l� AM3RA 2 $1 ) 50 1\) General Contractor(Builder) License Number :.�V /Lt.aAq Obi WM 4:-ti —$7 !l� ,Signature and Title Date Pi Cels iNsin_Rt10(-, 02S Oto'-t CM Sub Contractor(Insulation Applicator) License Number N,1 — CJWut12 - g Signature and Title Date CMF 1106-46 PROJECT ADDRESS: 1104 SAN JOSE AV C.Lo" UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 065929 DINER'S NAME: GRANT, EUGENE J P • ADDRESS: C/O CORPORATE TRANSFER PERMIT NO: P 065929 PLAN CHECK NO: N GOVT: N SUPP: N WATERFORD PARK MANNESOTA 505 N HIGHWAY 169 # 355 CONSTRUCTION TYPE: V-5 PERMIT TYPE: PLU PURPOSE: REP 612 ) 593-9300 55441 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE; CORPORATE TRANSFER SERV. ( 612 ) 593-9300 ADDRESS: 505 N HIGHWAY 169 # 355 MINNE COMMENTS : WATER HEATER REPLACEMENT PLYMOUTH MN 55441 ***************************************************+ +r* *********>F** ***+r****>f* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS 70001 or Division 3 o1 the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR : FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV; PARCEL : 41204322 ZNE: REF NO: ❑ . ,. is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> 4 Date'.... _ Applicant: ./ —.;/U// > ******************************************************************************* VI E, IN ROM W RKERS'COMPENSATION DECLARATION: (This section need not be ringleted if ilu..rermit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMEN TS certify tha in the performance of the work for which this permit is issued.I shall not employ a T rson in any manner so as to become subject no the Workers'Compensation Laws of California. ZONING APPROVED BY : DATE: Date: Signature: NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE; Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: which this permit is issued(Section 3097,Cif,. *********************************** • * ** *********************** ' ** *** *T LENDER: *********************************************************************** *** *** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 7,00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alteged exemption.Any violation al Section 7031.5 byi any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 20 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors State License Law TOTAL S——--> 7. 00 20 . 00 0 , 00 27 , 00 27 . 00 . 00 I II does not apply to an owner 01 a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sate.u,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 27. 00 OVER/SHORT• . 00 improvement e)hln one year of completion.the owner will have the burden of proving he/she did not build or improve forthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner oI the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27 . 00 Ill and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reas TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: q!_�// owner I_ �/ PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00 •o here r jenny hal I a aware of bid understand the requirements of California Health and Safety ni notions 25505,25533,and END OF FEES 25534 and that I o any fut re building occupant will/will not(circle one)need to comply with said state ci7p nd the requirements for a permit for construction or moddication Irom the Air Quality Management District.Residential construclio lications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned prop : -'ation uposes. Dae:_ _-a__ Signature:_ ` a,�b DATE! 02/03/94 TINE: 15:49 GI 00134500""-00134503 TOT 27.00 'river's Lice'se or So cal Security 164146 Write—Building:Green—Code EnlorcemenC Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL d SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ; 1 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - • 3, Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. - • 55. Electrical Bonding ;r 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd-, Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, G Undrgrnd. 10. Structural Floor,System 61. APPROVAL TO DECK - -• 11. Property Sewer Line & House Connection 1', _ 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains -_.) 64, Plumbing System Final •- 14. Rough Plumbing -t 65. Electrical-Final - r 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# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73, Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75, Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 Electric Notes:• ��''�� 34. Final Heating& Air Conditioning 7±3 .yL IL \ �i r-r at-� � (r:4 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING l'• • 48. FINAL PLANNING _ --- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r�. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r.••• ` OITV,DF COSTA MESA CONSTR CTION PERMIT PERMIT NO. TRACT�N-IO. LOT NO. UNIT NO. 30R0 I/I,l/ Project Address d� S�t�r c 'a 6. Th / Ell 19 2.1 . ` 9 ��{�I TY' a F CONSTRUCTION U NEW ADD �i SII A.LyT,E.R�A�TION U REPAI Applicant's Address S�- tel El 'IC- ��/�K./ �/�s/h -y (' ��7�G /, CONVERSION / q•p•# 2 Zone Ov' me• 2 '1 Phone LT� • —�aD - 1 e•1✓Q_rr /Tr / 7 CJ /1-r �, ' ©43 - ZZ _ Pp�--moo _� DESCRIPTION OF WORK/USE OF BLDG. G i Address 1,trs( ` q,`Jf ,�+ S Main Building: ' Accessory Building: V. Arc /E p +t'N�� �r pA' License No. -u-1'7'3 TYPE OF PERU GRADINC� FOUNDATI �ST RUCTU RAL T Front ZQ .Address yf,� ,/�,/�� V yJ ..p U TENANT ELECTRICAL PLUMBING ECHANICAL B Rear N DIi4NW 1[A4• I-IJG • Phone�n'c "I'O77� L1 OTHER C RightI Contractor's Name o ) V g — • N Address(mailing) `782 G1I�S NSTo'.. Ub PROJECT DESCRIPTION SQ. FT. OCCVPA-rv�cyV /.7q 9 ..CON ST RUCTION TYPE VALUATION$ +W��t�)• $ Left R !� City License No. !! ZONE GRADING CU.VOS. ACRES f LICENSED CONTRACTOR DECLARATION • r Ping. Ref.# Parking Req./Provitled E cl, I hereby affirm that I am licensed under provisions •f Charter 9 (commencing Remarks: PCS '„ 2-1 — .gf` Planning Notes: -�(µ�.._ 0 with section 7000) of Division 3 of the Rusin s .nd ProfessionsqpCode, and 1 sp `/., ,r M my license is in ce and effect. LD �7`�\ VI_y • T tLicense Class ic= e No. S V $ Date I •` 7 i' Signature .PLUMBING • FEES - WORKERS'COMPENSATIONDECLARATION Bar Sink Showers ELECTRICAL FEES "•ereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section , Backflow Preventer Service Sink Automatic Washer • Transformer 0 15-50 KW X800, Lab. C. ,ylicy No. lc—.2a Company�(ITC VO� . Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW • /j(JyJ Certified copy is hereby furnished. ; Certifietd$ropy i1 ed with the ci (I DIittile 11 ' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date I •'I L"- 3 Applicant • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I - shall not employ any'person'in any manner so as to become subject to the - Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'/.-8 Workers' Compensation Laws of California. - Date .• Signature Floor Drains Swimming Pool w/Spa / F.A.U. Inc.Solar 09-15 HP ❑16-15+ 3 DO NOTICE: If,after making this declaration, you should become subject to the - - Workers' Compensation'provisions of the Labor Code, you must forthwith Floor Sinks Urinal , Fixtures Microwave - comply with such provisions or this permit shall be deemed revoked. 3 IS CONSTRUCTION LENDING AGENCY E Gas Service Outlets " -Water Closet I hereby affirm that'the a is a construction lending agency for the performance - 4 00 Device Boxes Pole Light •^- of the work for whir+/ /Wend is Issued (Section 3097 Civ. C.) /Iiterceptors Water Heater 2 DO Outlets. j O o Lender's NameRanga r Lender's Address Kitchen Sink Water Service 4 Switches` Sign. ,y o4. OWNER BUILDER DECLARATION .. I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash • • Garbage Disposal Standing Sections . . following reason (Section 7031.5 Business and Professional Code: Any city or - ' - . county which requires-a permit to construct,alter,improve,demolish or repair P-Tiap" • Laundry Trays • • Generator 00-5 KW,05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit • to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains - ' the Contractor's License Law(Chapter 9(commencing with Section ]000) of - ,. , 'f - 'ivision 3 of the Business and Professions Code) or that he/she is exempt ,erefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil •- ' penalty of not more than five hundred dollars($500). / O I, as owner of the property or my employees with wages as their sole "Reinspection $ 3 G. iFee $15 Issue Fee compensation, will do the work, and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee ,.- $ a - for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES - - . . License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Boiler Hood or TypeDEVELOPMENT SERVICES REQUI N •- ISS employees, provided that such improvements are not intended or offered for I ❑ Zoning Approved By - - Date I—� -t70 sale. If, however, the building or improvement is sold within one year of com- Canopy Type u ❑ pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By Date prove for the purpose of sale). f-13-�� ❑ I, as owner of the property, am exclusively contracting with licensed con- 7 Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- BUILDING PERMIT $ ��•tiv SMIP $ I. tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration Lke proof of their Worker's Compensation insurance should be provided to me: _ PLAN CHECK $ PERMIT 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ 0 SSUANCE $ Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ '11 a ENERGY P.C. $ I hereby certify tha I have rea• I application and state that the above / 70-1 QU,000 ETU ❑100,000BT9170 ELECTRICAL $ 'Y 2;( GRADING $ • information is corre• . I agree to •ly with all city and county ordinances (C�!•27 Ci and state laws rel. Ruction,. uction,and hereby out orize repre- PLAN CHECK 50% $ _ MICROFILM $ sentatives of th', -r •••n .e above-mentioned • oper , •i- inspection rinspe<tlon purpo•w - . 1 4 MECHANICAL $ 2 . O TOTAL FEE $ 4360• 3'i Signature r :��_� Reinspection Fee $15 Issue Fee $ c1 PLAN CHECK 25% $ • ,e Drivers' License SS _ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING. POOL& SPA APPROVALS Permit# Date Inspector APPROVALS 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement �,¶ r- 118_4g G1" s 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings • - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑'Undrgrnd., Test ,- 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System .29_002_707-0 a/3/ - �-/J. 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final • • . 14. Rough Plumbing 1-Ara 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 97/,j4 67. Fencing & Access Approval • 17. Rough Wiring Sign /fSJ�A7 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 2-i Pig an 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# . _ 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O Oil 25. Roof Sheathing 74. Overhead Hydro •26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 34/i�p # 76. Dry Standpipe 28. Lathing & Siding �0 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-FinalBVD, / 80. FOOD CERTIFICATE ISSUED 33. Final Electric p�R' JJG,/ger Notes: 34. Final Heating & Air Conditioning/441A 145, if `\re;c1441 "It 35. Final Gas Pipe-Test- . _ Lq�^L•f,/,f;,[�/�� V(G•�v�`-' 36. Hood or Canopy 37'. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-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 / I - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • • CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant T n/•bi- .�, ) 1%1 L. Address : fl b 12 I�SIti� �1tjL ftAJk2 \�ict_sti 4tJ Telephone Numbertj" ,)b731)- 1 % a Tract/Parcel and Lot Nuiimber(s) : i� -` � '�' k OZ', � jt_ LO('ne31 Location of Project : 1 \ Oy C � �ioSg �`Ve-�, CV' 4n Number of Square FeetofynI q �fEib Residential Space �l�J l x $1 . 50 Total-70-5'0-5' - Number of Square Feet of Commercial and Industrial Space x $0 . 25 Total The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to' be made payable to Newport-Mesa Unified School District . Business Manager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/Applicant agrees that if it is later determined that such representations are not true then this certificate shall automatically terminate and the appropriate ty/County shall be notified . Date : / - / Z& Developer/Appl cant PROJECT ADDRESS: 1104 SAN JOSE AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 053557 OWNER'S NAME: GRANT, EUGENE J P ADDRESS: GRANT BARBARA M PERMIT NO: B 053557 PLAN CHECK NO: 03229-91 S GOVT: N SUPP: N 1104 SCAN JOSE:: AVE COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N • PERMIT TYPE: STR PURPOSE: ALT 4 ARCH/ENGINEER: 641-0839 REG.NO.: t t 1 n ADDRESS: UNIT: JOB DESCRIPTION : PUT WINDOW IN EXISTING CLOSED f�. i"N1 SQ FT: 400 PERMITTEE: T CLAIM VALUE: 400 . 00 CALL-VALUE: 400 , 00 1ROUP OCC : R-3 / ADDRESS: EUGENE GRANT (714 ) 641 -0839 1104 SAN JOSE COMMENTS: WINDOW IN FRONT OF BLDG CM CA 92626 *4c>ExTk*r,Ei-***-**###*#*r: **** •a<**** *#,�rE�F�ETc �E*,(*1:TET(xk ****+( ( *Tc*>f***:i ,r.>E**><*#x>E# LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section •j, ONING REQUIREMENTS 7000)of Division 3 al the Business and Prolassions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: ' ---- MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR : FT 1N Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN ' POLICY NO.: EXP.DATE: COMPANY: PARKING REO: PROV: PARCEL: 41204322 ZNE: PDRI. REF NO: Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING N TES> ADDING TWO WINDOWS TO FRONT OF EX. DWELLING. > Date: Applicant ******#***##**Ii-ii*e)t###****?E*BE#***iL?f?E-1r***##!!E##3x-*44kite*i?#f4f'###**1i*##it+E R#- +#**k+-*if Yfeb EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1O0)or less). DEVELOPMENT SERVICES REQUIREMEN S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become • subject to the Workers'Compensation Laws of California. ZONING APPROVED BY '' C-<__ - 1 DATE: - Date: Signature: hru: _-1- NOTICE: e. U.alter making tcio declaration,with S cop should become subjectemis the Workers' rempensalion provisions o1 the Labor BUILDING APPROVED BY Code.you must forthwith comply with Such provisions or this permit shall be deemed revoked. DATE: CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• DATE: O .3 which this permit is issued(Section 3097,Civ.C). **************#**#***a u .xr, .rKx xa-/r-n-r+ra**.it3t-4444.********0#1E.'*i;Mkt s/R.M..* LENDER: *.****ie~*3E*#*?E***iF#*##0*449f***it-)c******44**#*'' *M******#****** *******#1i* ****i'Se#*i:lH ADDRESS: LEGALIZATION:N F E E FUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELF'TRIC MECHANIC (Section 7031.5 Business and Professional Chute: Anycity of countywhich requires a permit to construct,alter,improve.demolish,or FIRE SM 1 P/RE$ GRADING repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 15 , 00 . 50 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 9 . 75 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as.owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ,." DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 15 . 50 0 , 00 9 • 75 25. 25 25 . 25' . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through 41� his or her own employees. provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOT. LS--> COLLECTED• 25. 25 OVER/SHORT• 00 for the purpose al sale(' BLDG PMT PLUM ING ELECTRIC MECHANICPIKE SHIP/TOT GRADING FLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15 . 00 • 50 / 9 . 75 ❑ and Professions Code: The Contratutrs'State License Law does not apply to an owner of property who builds or improves thereon , and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******#********* :?E*********iF*.****************iF******************36**aE1t •1F#*1G 3`**•*#K that proof of their Worker's Compensation insurance should be provided to me. . am exempt under Section: B.a P.C. I N D L V I D TJ A L •F f. E B R E A K D O W N BP7U44 for this ALL WORK BY OWNER TYPEQTY DESCRIPTION S C R I P T I O N UNIT COST ,// �ti3— -TOTAL COST Date: 0/4- 3 f/('�/ Owner I do hereby certify that l am aware of and understand the requirements of Calif , earth and Safety Code tions 25505,25533,and $FR 400 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 400 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale cods and the requirements for a ' END OF FEES permit for construction or modification from the Air Duality Management District,Residential construction applications are exempt from these provisions. • Date Applicant: _ /P. I hereby certify that I have read this appbcatign and state that the above information is cor'ct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representati �ity to'nter upon the above-mentioned property for inspection pwposes. ib I ..—Date'. 8/2Signature: �j1_b.'_.� _ Driver's License or Social Security#: DATE, OL/2c/91 TLt.c: )4: (a 1641'46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING PO•SPA APPROVALS Permit Date Inspector APPROVALS 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 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# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I 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 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations / 47. FINAL STRUCTURE & BUILDING l0_r`If 46.4t - 54<,19,04 neW, o/ --6064P. 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVEC�BY 'PR91M3 1 ��,id4 7 481 ^ 4 30 TU For Applicant to Fill in Completely—Use Ink Only //A X ry r BUILDING A.P. NO. Lb P_y o/4.2---L3-1/45 — ADDRESS 1104 San Jose Ave. BUILDING TOEN ER OR Wimbledon ASSOC . ADDRESS 1104 Spin .-Ince Ave. T OR MAILING SPACE NO. ADDRESS 1470 Jamboree Rd 37 TR.NO. LOT ELK. CITY Newport Beach No�640-680 10275 37 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER Imperial Savings & Loan X BRANCH Pasadena OWNER Wimbledon Assoc /52049 ADDRESS 61 S. Lake Ave. VALUE � .,��—+ ARCHITECT TEL USE pRD = $6 q.r�ov OR ENGINEER Corbin/Yamafuji NO.J49-712 ADDRESS 17992 Mitchell So. , Irvine ZONEPOR_—/—r TYPN GROUP R— 3 APPROVED CONTRACTOR McLain Dev. Co. BY DATE I 24,3/ ADDRESS 1470 Jamboree Rd CITY Newport Beach N1&40-6800 F. STATECITY APPROVED SETBACKS LIC. NO. 273875 LIC. NO. 18873 {z) SIZE NO.OF BLOCS. IFROM6Ft-Si-RaET) PC- 0. OF LOT NOW ON LOT 0 FRONT 90 FT. USE OF cis EXISTING BLDG. R SIDE v FT. 0 FSeparate permits are required for L.SIDE V FT. G electric,plumbing and heating work. REAR 1/ FT. (W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a DATE o �� 78-3'% APPROVE�7 (n 9 PRD - New Construction a Single-family dwelling APPjpVE0. � DATE r� 8t r B�OaLlD}FOR SPECIAL RE IRE ENT: m 0 I hereby acknowledge that I have read this application and state n a that the above information is correct and agree to comply with as all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of // Zthe State of California. (/es-SO. FT. SOpS ry I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SH�UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to— am exempt from the provisions of the State of California Business \ VALUATION PERMIT FEE $ e and Professions Code, Division 3,Chapter •. �. n \ Signature of PLAN CHECK $ o /:// /r., , rt, o Permittee ��!// �aY $'i�1LI/may TAX $ 1"' U, U a. Authorized Agent Date TOTAL PAID $ .30 MKT � OD S - . _ • N ,/ ' i :; assaut 1' • ,N :111 , � ■ Y 11 5 / / t Od Ol t ,ic— '.s•Q/,-640 bb b1 f1 If rLirJexo `O ° -6• 0 bS640 p•)‘>'.':>0-14. l l6,1i � ;ic0y1. .�i' , ,,C, 1,,y,, / ,' C ..y 0- , -;'� . o`4.,���� y p91qfC4b�y�G.Jb y '\ 1 1:17::,./i ; 9lO.. e \ � rlyJybYryoVyby, f �O �� 6o ' ` emr! 'jb aOJSSysSe; bit J APPROVED NOTE • ADDITIONS, DELETIONS, OR CORRECTIONS SHALL • City of Costa Mesa Building Dept. BE APPROVED BY THE PLANNING DEPARTMENT • BY DATE OS2 3 19�tir w 9o93Z3 r+- • THESE PLANS MUST BE ON JOS AT ALL TIMES MAKE " t /�UPRO j� Permit NO CHANGES WITHOUT PRIOR APPROVAL. OF DEPT. ( ru • C #. • (^ n+Do THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF ";SIT O THIS NU. -.-ii..R MUSI. A,;COMPANY. PLANS AND SPECIFICAI IONS SHALL NOT BE CONSTRUED TO BE A P lNING �L • Mi IMSPECAON REQUESTS t. PERMIT FOR, OF AN APPROVAL OE ANY VIOLATION OF ANY OF • Ti IF PROVISIONS OF 11115 ROUE.NO PERMIT PRESUMING TO GIVE OW TO ITP'Or N --- • AUTHORITY 10 VIOLATE F. OR CANCEL THE PROVISIONS OF THIS .'J�,. I ,! - } • - CODE'SHAi.L BE VALID EXCE.'T IN Sc!FAR AS THE WORK OR USE I r�� ' • WIIICH If AUTFIORIZEiS IS LAWFUL. - ' THE ISSUANCE OF P:RMIT Y.t,;_U ILP,:;N PLANS AND IOU I Q1i) SPECIFICATIONS SHALL NOT PHEV;:1':' TIIF Fi;'r_DING OFFICIAL • VVV(((///✓✓✓ f i " PROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN :INN I,�( ��j,j �11 '�Iii ee� - _TrT Fit. rs,�Is n ''� --• • , X01 R v�y • .i". 0 : , .s f Nsi ' ::P%%%it?:' ' - . - 'Y • • in • I • • 1 i . . , 1p ... . • _ L .....2 .f i i.• •rl I _ • • • I' '{\1A\v \y , I' 1 Y r i I • • 1 _ I I I j ; p ` i • ( I I I I � F • 0. 06 �^ni/ ^,.. ; ei r; / e.;/(S.,,,,,. / .j'Ji ay piAOO 'fib „' ,! 'v. / • S C' v" O0 ‘."‘1.)c12t is el IND [„ Isrrr '• iv , tL.O I.:: / , _- --._----- --. 1,11 _.. 11'1' ...5 - I ii n..�. _ �. 1.4 tl • 1 ,: . c „tyr::,r_e.-......,_.7.7... .- :Jr -4-:,...-....-4 ti ill.k4. .I il 11); n ' _ Eiop Y_YT,l f.- ...::i„ .�C 4 4 11. liiiii ` ' ;i - r i,Jb+.64; Pel:►- -city i�: 4ftT PO I. ( 1. - 1,//C—. K‘. Ii 4 ' . 4 a : 01 0 ' :' — - ,s1..„..- civ t ,� - ~ h _ si Q _ L G� I r1 L off- Cop ' _ Lillis 4t •t.o' � R1.S i4oit-� _-_2, ,_ raw: loop � 11. : - I- L Pte_ 7rci' 6�-�r''�r - _ v,a�.h off_ f -'t 1 dl�D+��1 — - I7,-o ± &\ Y, 1 Aso t $11+(e)