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Home My WebLink About1780 SANTA ANA AVE - Building Permits r PROJECT ADDRESS: UNIT: OWNER'SNAME: 1780 SANTA ANA AV A, B,C CITY OF COSTA MESA — BUILDING PERMIT PFRM NC1• F 070A,R7 ADDRESS: VAUGHN JANE TR 2052 LA CUESTA PERMIT NO; E 070687 PLAN CHECK NO; N GOVT; N SUPP: N SANTA ANA,CA 92705 • CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REPLACE FIRE DAMAGED SERVICE " 3 METERS SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-1 / ADDRESS: F.D.R. & SONS, ELEC . ( 714 ) 582-0239 A266812 �LAt'SSIE�RRA DR r•1- q q'I COMMENTS: ELECTRICAL WORK ORDER: fi WAQ lr Dip M��Cn QI * iEiEifitr***ritatkitatitif#itetlEitttiEieititxif****riFifatititit** shit*itatif********#itiFiErie***k#atifitifat***** LICENSED CONTRACT I er a that I am licensed and vis n a er 9(commencing with Section 7000)0l Division 3 of the Business and Professions Code,and my license is in full force and effect. ZONING R E Q U I R E M E N T S CITY LIC.: STATE LIG.: CLASS: SETBACKS ate .� 7 5673 ( Gl6a4e1C /93 MAIN BUILDING ACCESSORY BUILDING ERS COMPNSATION DECLARATION: I hereby affirm that I have a certificate o consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.ora certified copy thereof(Section 31300.Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PoucY NO.: 12 418 0 3-94 EXP.DATE: 0 5/30/95 CDMPANY:STATF6 FUND PARKING REQ• PROV; PARCEL; 42501420 ZNE: REF NO: ❑ Cerdied py is here y furm Certified copy is!Bed with the dry Building Division. PLANNING NOTES> Date / / Applicant: /44:447 > ******************************************************************************* MPTID FRO WORKERS'COMPENSATIONOECLARATION: Olt seGmneed not becompleted ifthe permit isforone hundred4100)otless). DEVELOPMENT SERVICES REQUIREMENTS 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 . DATE: Date: Signature: • NOTICE:II.alter making this declaration.you should become subject to the Workers'Compensation provisions of 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 fending agency for the performance of the work for which this permit is issued(Section 3097,Civ.CI. APPLICATION ISSUED BY; DATE: C) Ill ************************************** **3E******....3r***.*..**** . . . . . ac* LENDER: ADDRESS: ********************************************************************** ******** LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate 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 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 33 , 00 pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 11)% SMIP/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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 15 . 00 I. as owner of the property or my employees with wapes 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----> 33 . 00 1 5 , 0 0 0 . 00 4 8 , 0 0 48 . 00 , 0 0 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 employees.provided that such improvements are not intended or offered for sate.II,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 TOTALS--> COLLECTED: 48 , 00 OVER/SHORT; 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 48 . 00 ❑ and Professions Code: The Contractors'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 ******************************************************************************* that proof of their Worker's Compensation innsurancee should should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 3 SUB—PANEL 11 . 00 33 , 00 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes 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: 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 stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inchi purposes. 01 00174736-00174786 TOT 43.00 `//5/f2' GATE: 01/11/95 TIME: 13:56 Il / Signature: / I els ¢ens or Social Security 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue: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 T, 3 €letrical Conduit j,,ltflity-Undrgrnd 54. Forms -4r Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement` 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. l 57. APPROVAL TO COVER-GUNITE 7:•Footings : . _ 58. Electrical Conduit-Undrgrnd. l8.-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 ;. 9 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wjring 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. RpugH Factory-Fireplace ' '�j 3;,- ` _ - - ApPROVAL$y Permit # 21. libels;in Strusture_ -• •• _ k 70. Undergralnd Hydro . 22. Ducts..?Ventilating --.. - i.z, 71. Product Piping 0 Gas 0 011 23. Gas Pipe-Rough& Test - _ --1 _ 72. Undergro�?rtd Rush 24. Rbof Framing _ - - 13. Undergrnd.StoragOrank CZ Gas 00i1 25. Roof Sheathing - -- .• 74. Overhead Hydro _ i 26. T-Bar'Ceiling (Structural) & Monpppat i - .r; 75. ,Dry Chemical • 27. Frame and Flashin - g- : r - • ' s , 76. Dry Standpipe ri .. 28. Lathing & Siding _ •• 7 i 'r .. 77. FIXED SYSTEM-FINAL - -- • • 29. Insulation - . - •• 1 l 78. -FIRE PREV. FINAL? - - 1 - 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai * 7 NAL INSPECTION . 32. Electrical Power Meter-Final 1-12-9� G%' t _,OD CERT CATE-ISSUED _I "'LLL...LLL .1 33. F.inal;Electric /...4_951;f:2- 9 La! _�otes:� - ,• :j . _ 1-ice- . 34. Final Heating & Air Conditioning'T. - i r, 35. Final Gas Pipe-Test „ •, 36. Hood or Canopy ._ V. Final Factory Fireplace-- 'i'. .» _ 38. Final Plumbing . • -• i- - 39. Water-Service-Final - . ' ': - 40. Gas Service-Final - > - - _. - - 1 1 . - . _ i , . 41.. Solar Domestic-Final i. • -- • -r lr ' 4 J 42, Backflow Preventer ;0 -• i ' 43. Backflow Irrigation : ? ,.:• �- 44. Landscape Irrigation System • • - - - '' ' - 45. Sound Attenuation •- -• r 46. Handicap Regulations .+ - • 47. FINAL; STRUCTURE & BUILDING '' ' 48. FINAL PLANNING • - . ,• 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • • 51. CERTiFICATE OF OCCUPANCY -• No. Date oy ,� CITY OF COSTA MESA 'p ,\^$ CALIFORNIA 92626 P.O. BOX 1200 t .!: 4's FROM THE OFFICE OF THE DIRECTOR OF PLANNING CRPOFGiE- April 23, 1973 Mr. Gordon R. Stansell 14681 Hyannis Port Drive Tustin, California 92680 Dear Mr. Stansell : The City of Costa Mesa Planning Department has accepted a cashiers check in the amount of eighteen hundred dollars ($1800.00) from you. This is to insure completion of certain conditions of your building permit no. 34925 and Zone Exception Permit No. ZE-72-25, at 1780 Santa Ana Avenue, Costa Mesa , California. This will allow this Department to release the special requirements on your structure for utilities and occupancy purposes. The conditions to be completed are as follows : 4. Tree planting in the City parkway under the direction of the Parks Department. 6. That all planters be separated from the driveways and parking spaces by a 6 inch high concrete curb. 7. That all planted yard areas he furnished with irrigation facilities under the direction of the Planning Department. 9. That a 5 ft. high block wall be installed on the easterly and northerly property lines. 10. That all planters and landscaped areas on Santa Ana Avenue be densely planted under the direction of the Planning Department. Also, the trash enclosures must be completed, as shown on your plans, to the satisfaction of the Planning Department. The money will be returned to you upon completion of the above conditions, to the satisfaction of the Planning Department. The return of your money will involve having these conditions exonerated by the City Council and the money being released by the Cities Finance Department. This procedure may take several weeks after the conditions are complete. If you have any questions , please feel free to call me at (714) 834-5245. Very truly yours, wiz to_ l-;c-.t,i. Robert D. Brittain Assistant Planner RDB:ag cc: Finance Department Building Dept. CITY OF COSTA MESA PLANNING DEPARTMENTPp1°OO 87511d***120.00 SEPzZ"7L�MSA A.P. No. 147 2'o. Cl Bldg. Permit No. PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1780 A. B. G C SANTA .",AA AVENUE. C. n. Owner's Name C3RD0N STAZLLL Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units3 @ $40.00 = $120.0^ 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total number of Dwelling Units 3 Total Fee $120.00 Planning Department Approval Date 7-17-72 /// Park Area No. 8 By 14.1.0. Anne Applicant's Signature � � nlaq OO.OSs �'f};iYa.izS'8 60..��t'•ss viz d^ Grit roD PCO 00;,3;r.CC 471 CITY OF COSTA MESA PLANNING DEPARTMENT SEP 22-72M-00 875Rd* 20.00 A.P. No. 117-243-n7 Bldg. Permit No. / PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1780 A. 6, 8 C SANTA ANA AMCttUC, C. M. Owner's Name CORDON S?AttSCLt Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units3 @ $40.00 = $120.00 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 .- or more Units @ $75.00 = Total number of Dwelling Units 3 Total Fee $120.00 Planning Department Approval Date 7-17-72 Park Area No. A By .W.L.D. Anne Applicant's Signature 7i //s . "r/ l`OWNER S'TAIVSELL, Gordon DATE 5-7-73 JOB ADDRESS 1780 Santa Ana Avenue BUILDING PERMIT NO. 36602 GENERAL CONTRACTOR same DESCRIPTION of WORK Block Wall ,'P No. 117-243-01LOT 1 TRACT 389 FIRE ZONE VALUE $ 400.00 •INSPECTIONS Signature Date GROUP 3 TYPE III ZONE R2 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number Signature ,WATER Plumbing QtROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND Q POWER 0 ROUGH WIRING Heating and Vent. TRENCHES n FORMS 0 STEEL REINF. Ij - 45 '1C r 1.73 FLOOR SYSTEM • BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL Pie BUILDING, FINAL i e N /5"- 7 3 366u2 PAD; • "{Y 7 7SE;...00 336 ;r;:x;:;.5.5C • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely pp //rr-- JJ /� RECEIVER BY DATE RECEIO DATE IS UBU �Z ADDRESS G/ZOQ /0/•-y/p �/'t6/ 902KOi/ca'Aro, J 7 �L- ✓1 y // PERM ( rte OWNER (/L'/��MAILrn�H �/U HI Gam^' • L A.P. N- 0.�� 7�r3 �0/ `'C11 '! ADDRESS /46- /t aer,j p/•/ Jill f/n ADBUIDRESS LDING /�� -rein'�// F LULUZT� / b7 p �j OQ ELL) CITY w1T//v NO./flint i/ t TRACT JO/ I LOT / BLOCK I- Z -a. I LENDERRUIONy f/ 6y 3 _ NEW ADD ALTF�OFPAIR MOVING DEMOLISH JD BRANCH /enf�J%�te 4v' !� ✓/ -1N _/ /J OWNER CO/cop,/ S�NSELL a J ADDRESS b oo Are mcn.c/ SJL//. '� /l) ALUE G'[//��, e...- .„, ARCHITECT TEL. USE -OG(G Cti/A l=-L $ / (TU Q OR ENGINEER NO. Z N FIRE w D: ADDRESS ZONE TYPE GROUP n 0_Uri // APPROVE W v� ...111�� Z CONTRACTOR / IjrL J- ' 14 BY DATE W- O b • Z L. ADDRESS W w LU LLT TEL. ZON NO.OF USE OF NEwf'}co K ZF CITY NO. f�-IPLANS�- BUILDING AL(r - O STATE CITY YARDS APPROVED YARDS APPROVED Ill to CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF SLOGS. (FROM C/L STREET) ' Zp OF LOT 65-Jt/3 a NOW ON LOT FRONT FT. - FT. USE OF r/ / 0 EXISTING BLDG. //"r/2/� O y R.SIDE FT. FT. I- SIZE OF NO.OF 2 NEW BLDG. ROOMS STORIES L.SIDE FT. //v FT. UEXTERIOR WALL ROOF �J �.�^ _ COVERING COVERING REAR FT. /C//� FT.YJ6 / Y ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& d 1 6MAIN BLDGS. ACCESS. SS BL DGS. Q 6 DATE /dn y4'GC et l /oC A cv¢//. C.U.P.# APPROVEDO / AP ROVED� WyL DA ' -n UC /' ^ ' o ��z / STATE UI hereby acknowledge that I have read this application and state //1 0 that the above information is correct and agree to comply with tl CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of `AK CO the State of California. - In z n I hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CC am exempt from tl.a provisions of the State of California Business VALUATION and Professions Cone, Div' io ,Chapter 9. G co ry ..-..-•.--- PERMIT FEE $ Signature of QG --. m Permittee $ [/go PLAN CHECK $ E • /J COO p Authorized Agan u ,. TOTAL FEE $ 34925 r ' - Y.-1 -n, 267 :. ;.69.62 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP' I►ATION FOR BUILDING PERMIT For App/kant to Fill in Completely R'C I rY DATE RECEIVED D E ISSUED ADDRESS p i � 1112652,:4,...., OWNER !-• !/ I n rr f liHfe.CZ /l / ;Vs P OWNER A.P.NO. ( z� ^�'0/ 4 MAIL /p BUILDING/7 O n � /1 �d /] ..E /OP tone] /.7 7 ADDRESSA Ro.0 /'TL ,I �'(( ADDRESS 7' / 0-11.1 L1J 0 CITY 7.2/1-Te/�/ SIZG, �V NOLnzn'S TRACT 37 LOT/ BLOCK ZQ CONSTRUCTIONNEW ADD ALTER REPAIR MOVING DEMOLISH 0 m LENDER /ST�f/T �di/� ✓/ 0-_ID BRANCH /f srdne Ce/ J N // / /J • OWNER £ 02mN STxFNSL LL m J ADDRESS C/A �K/neten�tirater4:7 /(4/ /�, VALUE f�// ,q J QARCHITECT / 7E`. USE 77e/ PLL C. $ /( 0w N OR ENGINEER N Z a FIRE ' 2 cc ADDRESS ZONE TYPE ROUP�� p / APPROVE. WZ CONTRACTOR ((/h e/r /J/l/< 6.- BY DATE r__„_)2.- _10 CO Z J cc ADDRESS „4,3" •O t '( W 111 TEL. - ZO NO.OF USE OF NEW(L/r Z 1- CITY NO. -2, PLANS /y BUILDING Cfrree U STATE CITY YARDS APPROVED YARDS APPROVED co CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D U 512E / NO.OF BLDGS. (FROM C/L STREET) / - / �f OF LOT /?2 G X 5 NOW ON LOT/ro/C. FRONTS3IS FT. 7L j __,y a. -rt-d WK. USE OF EXISTING BLDG. q y - R.SIDE Ig-FT. Pk FT, I— SIZE OF 2 NEW BLDG./�o.X.< 9 ROOMS .e, STORIES L L.SIDE SFT. FT. EXTERIOR WALLr ROOF //� / lj U COVERING ,../7111C0 COVERING -/t�J/(CS • REAR h C FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& f1 1 MAIN BLDGS. ACCESS.BLDGS. O C '1r�/L/Ct 727,LCJS Q// /lC CU.P.# -. /ro°5/ APPROVED/4—i 7—7.2-- 1- ./ H / APP RO,V,E t_,�/ /^� �j z42 /CIC.0 IaH L/0/2fss' �Y 8-1V i l! l,�t nA DATE /�/� O / / HOLD FO 1� SIIEC!AL REQUhC:.;CNTS 0 I hereby he a foon I have read this application co pl ith // A ... /1 'E CC athe abovelagbuilding information ildis correct and agree to comply a witho �Y�rK/'��r.�%c � all laws regulating builtl ing construction, and I shall not employ ~ any person in violation of the workman's compensation laws of (n the State of California. �j�� m b zI hereby certify that I am properly licensed as a contractor under - SQ. FT. .- the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3, apter 9. ii" /PERMIT FEE $ D Signature of �� /c- q- m Permittee $ liem PLAN CHECK $ ( ✓• 7 / E Authorized Agent / U. TOTAL FEE $ X0/2"5" ~' SEP ?2-72PASDL00 873 a*-*131.50 fN$ c COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • 'P IC•TION FOR BUILDING PERMIT For Applicant to Fill in C etely _ RE' ' — e D��jjjTE ISSUED BUILDING /7 `^ I,a 4 y • f� 7 7 ADDRESS (fX C%1/ Si) 7 kms/'/`.2— Z OtooN \ 4/7-) /9-a f 'SRP# zC OWNER ( V7%1NSEw A.P. DO. BUI MAIL ADDRES /7 la A61c3 404.4404.4eZ ADDRESS ADDRESS • W W TEL. d U CITY NO. TRACT I LOT BLOCK ZZ - Q CONSTRUCTION NEW 1 ADD ALTER REPAIR MOVING nFMOI LSH OU) LENDEfl ,/r`/` J D BRANCH /J�r \/r�r J N OWNERg✓aN cjit-q,SEZC.� co J ADDRESS �/•� ��J �z� /�/ALUE ['/�/'/� J CO ARCHITECT TEL. USE /!✓I/L` vL Vn Pant $ de"111 OR ENGINEER NO. /// Z C FIRE / Z ZONE TYPE GROUP Ili ) W ADDRESS J / y 9 APPROVED J, / DATE2.` 1 J/ J O CONTRACTOR BY III///IVVJ •l/+- /// CO Z JCC ADDRESS W(Li ZONE NO.OF USE OF NEW O= CITY NOL PLANS BUILDING Z 1-- WO STATE CITY YARDS APPROVED YARDS APPROVED to X LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING O O (FROM CH_STREET) SIZE I NO.OF BLDGS. OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG, ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING I COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 11 a ES MAIN BLDGS. ACCESS. BLDGS. 1,-E7/24Y- VAR.* DATE O I 7 C�'� ES C.0 P.# APPROVED Z APPROVED / U) �Y DATE '/^///AvR/Vw'�r'iVsN///yr/' 0 / V I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I"' any person in violation of the workman's compensation laws of 37f 0 0 N the State of California. co I hereby certify that I am properly licensed as a contractor under SD. FT. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Lr Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: `Yr am exempt from the provisions of the State of California Business VALUATION / and Profes ' to Sions Code,Division 3,Chapter 9. o PERMIT FEE $ /3 N D Signature of fi re Permittee $ e41 PLAN CHECK $ E /375-0 LL Authorized Agent TOTAL FEE $