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HomeMy WebLinkAbout1798 SANTA ANA AVE - Building Permits a • CITY OF COSTA MESA A(,ep MF4q BUILDING DIVISION ;' . S�e 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us R «. C FOR INSPECTIONS CALL: (714)754-5626 %O PERMIT NUMBER: BC10-00490 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: GARAGE DATE ISSUED: 12/15/2010 • ISSUED BY: KJB - JOB ADDRESS: 17.98-SANTA.ANA- AV CM) Suite/Unit: . APN: 42501421 Zoning: , Vicinity: GARAGE Primary Occ: Const Type: V-B SQ. FT: 237 Valuation: $19,434.00 SCOPE OF WORK: ADD 237SF TO AN EXISTING ATTACHED GARAGE WITH 2 LIGHT, 3 OUTLETS,2 SWITCHES, 1 MOTOR< 1 HP FOR GARAGE DOOR OPENER. OWNER: ROBERT COLUCCIO Address: 369 FLOWER ST Unit: Phone: 949-510-2594 City/State/Zip: COSTA MESA APPLICANT: ROBERT COLUCCIO Address: 369 FLOWER ST Unit: : Phone: 949-510-2594 City/State/zZip: COSTA MESA CONTRACTOR: License No. Phone: Address: Unit: Cell: City/State: ZipCode ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $208.81 Building Fees: $321.25 Electrical Fees: $35.95 Mechanical Fees: $0.00 Plumbing Fees: $0.00 SMIP Residential: $1.94 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $568.95 —Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday•7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day,Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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. CODE S. INSPECTION TYPE DATE INTITIALS CODE k INSPECTION TYPE, DATE INTInALs 1616 Fixed System Final Fire Prevention 206 Final Mechanical •1266 Pool Spa Final 208 Final Plumbing 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 ')C3—Q--uOIPb11L _ a WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Exjjires: A El I have and will maintain a certificate of consent to self-Insure for workers' ' Verification of Ownership by(type of document,i.e.-property tax 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. • O I have and will maintain workers'compensation insurance, as-required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy 0lI 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 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 tithe pe nis valued at on h mired dollars(3100)orless1 2,Art 2,Sec 341,Title8,California Administrative Code). Policy N ber: 0 As owner-builder, I will not employ anyone to do work which would I certify that in t e performance of the ork for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless d, I shall not e !est a - •-rson in any manner so as to become subject such person has a permit to do such work from the division. to the workers' 0<•ems. io•. .ws of Californ'., -nd agree that if I should become subje the,‘ ers' c•r •-nsaf provisions of Section 3700 of - -- r Applicant's Signature Date the Labor Co r- sh. fwith . rely with ese provisio s. jDivision of Industrial Safety Permit Number: Ap• cants !ure .ate 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? ❑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? ❑Yes ❑No Lic.# Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractor's 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)? 01Yes CINo (Section 25534 of the California Health and Safely 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 Safety Code been fully complied with? ❑Yes ❑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 to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished 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? ❑Yes ❑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 California 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 California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution 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 perjury the 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. LIC SED 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 int. •ves thereon,and who contracts for such project with CERTIFICATE OF C e PLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license urs.ant to the Contractors License Laws.). certify under penalty of •-rju hat I have read this application and state that ❑ I am exempt u• nd- se the information given i corre• . I agree to c•mjply with all state laws and city ordinances re:ling t• •uildi•• co ti cti••, and authorize representatives of Business and Prof- si• s C�•- •r this reason: the City of osta es%• ent/ups the above-described property for inspection • •o s. I .tee no occ•• or allow occupancy of any building A // authorize. • t.' per) until is inspect.'n. i71l %lJs, z //v\ ��..L wn s I Za/a ♦ V Signa r.of leg •wn s a Signa ure D.te 3057-46(3/07) And/or Authorized Applicant Date (760)_757-0556 Cell: (949) 370-7922 Fax: (760) 757-1064 MIDGET A Professional Inspection Service 365 Mainsail Road, Oceanside, CA 92054 REGISTERED INSPECTORS IR REINFORCED CONCRETE 0 STRUCT STEEL ASSEMBLY )21OTHEREh)XY REPORT OF: 0 PRE-STRESSED CONCRETE 0 HIGH-STRENGTH BOLTING be w L' C 5 tI REINFORCED MASONRY ❑RE-BAR WLDING ❑SHOP hELD JOB AD RESS /f BUILDING PERMIT NUMBER PLAN FILE NUMBER /Y1 ' SAA1lAANA 4,�� 6s1,, /1134 A, g('o-Det/4a OWNER R PROJECT NAME //�� ,/ ARCHITECT ,j / -- (, 2u€ ri P14-14,40i 4,,m/%�,; 4 /r /� /twa/ ;Q ,/"rP/4 irPf DESCRIBE MATERIAL( IX DESIGN,R-BAP GRADE 8 MANUFACTURER.WELD-ROD,ETC.) ENGINEER / / r ' `� eadA GEN RALCONTRACTOR _J/III C,.tl I2 endA. L.)A 04.S�f� ��� / / 7 CONTRACTOR DOING REPORTED WORK . Qie4i };Ati /FA,4: INSP'N. LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN. WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS. ETC. " DATE INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER TYPE 8 IDENTIFICATION NUMBER'S OF TEST SAMPLES TAKEN.STRUCT CONNECTIONS.WELDS MADE.H T BOLTS TORQUED.CHECKED,ETC. it IF e 1 yrt1 ekenell 6/4N isc'-n%1 73 d /? t t c11 P /145 PI el Itei,✓ Lr %',,-.)AlAeJJ',Iyr' sled s ft/AN/LP/s ) as Ds+xylef.'s At-6 L 5/561 she thin/s. 6// ,/n Ai A ,t f. / //noels �J�jsef✓eci id, fG,.Y f/Air •�/ ax�.r //n els i/*/ /6- 11 / / I I q....2:::y, I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK,UNLESS OTHERWISE NOTED,AND TO THE BEST OF MY ABILITY, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,,, S ECIFICATIONS,8 APPLICABLE BUILDING LAWS. GNATURE OR REGISTERED ly$PE R<26" DATE OF REPORT REGISTER NUMBER SP 27-7;M001078R E***120.00 CMSp CITY OF COSTA MESA PLANNING DEPARTMENT 117-243-01 A.P. No. Bldg. Permit No. PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1798 Santa Ana Ave. Units A, B, 8 C Owner's Name Gordon Stansell Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units 3 @ $40.00 = $120.00 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = $120.00 Total Number of Dwelling Units 3 Total Fee Planning Department Approval Date 9/12/72 Park Area No. 0 By W.L.D. Bob Applicant's Signature icylarti-ed'r CITY OF COSTA MESA PLANNING DEPARTMENT PAID 117-243-01 SEP 27-7? 001O78Rc,**120.00 A.P. No. Bldg. Permit No. &5-04 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1798 Santa Ana Ave. Units A, 8. 8 C Owner's Name Gordon Stansell Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units a @ $40.00 = $120.00 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = $120.00 Total Number of Dwelling Units 3 Total Fee Planning Department Approval Date 9/12/72 Park Area No. 8 By LL.D. Bob Applicant's Signature WNER STANSELL, Gordon DATE 5-7-73 JOB ADDRESS 1798 Santa Ana Avenue BUILDING PERMIT NO. 36603 'GENERAL CONTRACTOR same DESCRIPTION of WORK Block Wall No. 117-243-01 LOT 1 TRACT 389 FIRE ZONE VALUE $ 120.00 :INSPECTIONS Signature Date GROUP J TYPE III ZONE R2 4SOIL PERMITS SS E' -- SUBCONTRACTOR GAS Date Si!nature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. D SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE _ UNDERGROUND ❑ POWER u _ ROUGH WIRING Hearin. and Vent. TRENCHES E FORMS STEEL REINF. i Aye .. . _g•73 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL Ina BUILDING, FINAL '�4_.C_,I. r , COSTA MESA BUILDING-SAFETY DEPARTMENT ?PAIL' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ".'N -7-7. [ 00 337' *:-"�-5.50 ACION FOR BUILDING PERMIT For Applicant to Fill in Completely p ///�,++ /�/� � .,/ /y REC V DATE ECEIVESD. D�AjTE7SSU7ED ADDRESS// 7ADDRESS� rte// ///r4 „ehc (Ol/Q/ rn. �'7 fC�":7-/7� l /PERMITNb. 3 OWNER LYG/e/-! .J%, t ccLr A.P.NO///."o% 3 0/ •-)A...) / cm in BUILDING '7 s L//"It /v ADDRESS/46r( / vain✓/// Ai�/ 732 p MAIL ADDRESS//9�/J 1✓r// Nt/C O.0 CITY T//'7'j1 z ! NOTE`. p9,7, TRACTS/22 LOT / /BLOCK ZZ CONSTRUCTION i, './ .- j /J L /f NEW ,AADDD ALTER REPAIR MOVING DEMOI ISH O- I- LENDER n 1 / Bonn. gore;oKQL✓. / _JD BRANCH �eryrc4G7 . OW C°442-,14 � J _lin �/J -/ /J OWNER C�°F4' OO/`� STA1)SELL / ADDRESS 3000 CO -1Aero-An ezn O////� /./[J� VALUE �l s OK J Q ARCHITECT TEL. USE !�/r--0CA �AG.t/ $ // c/ OR ENGINEER NO. 0< FIRE Z ZONE TYPE GROUP W CC ADDRESS Q tL LI/ APPROVE ‘z Z CONTRACTOR 4/1/01 fjQH}el/. BY / ij DATES ' 7-Z75 J 0 CO /p toot' �J ! J cc ADDRESS/4' / /4 p/1q/' r/Qf . W Ltz ZONE NO.OF USE OF NEWa.gGa, Z= TEL. ,-7 _ N5� I- CITY 7`(/171///. NO. VELA BUILDING Garll— W O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING _0 SIZE S 1 NO.OF BLOCS. (FROMC/L STREET) / OF LOT GX/4,3. INOW ON LOT FRONT agg FT. C FT. USE OF �/ /�� EXISTING BLDG. /`/� CX• R.SIDE FT. (." FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. ‘.9.5) FT. UEXTERIOR WALL ROOF COVERING COVERING REAR FT. Q FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O' a MAIN BLDGS. ACCESS.BLDGS. Q / // / / / VAR.# DATE O L6/7S/1/l/C/ /� °Lee eAlo Z . C.U.P.# APPROVED I— ///I / (/ �r'�-/��//lam// APPROVED 9 Z oC(/ �� 1( /` _liY L/uis//�Jyr D D6 '&;1•-re - 73 O (// _. UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with 7441 cr all laws regulating building construction, and I shall not employ i- any person in violation of the workman's compensation laws of Cr) the State of California. mW ZI hereby certify that I am properly licensed as a contractor under SQ. FT. o 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: e am exempt from 0a provisions of the State of California Business [\ m and Professions Corte.Division 3,Chapter 9. VALUATION PERMIT FEE $ \,../ 7 Signature of /t,Vi mPermittee �` $ PLAN CHECK $ _ E Authorized Age t5 u TOTAL FEE $ SE207-72u- s�00io�� � * 168.00 s , 7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 P 'P I ATION FOR BUILDING PERMIT For Applicant to Fill in Corn•letely REjoy�BY D�• E RECEIVED. D•TE ISSUED ..- BUILDING MAI_ /i , ! /i�ir k5 . v �. ADDRESS �'/^I _ {,� OWNER I(Y/oi i L. 4 s —0 iii�71— MAIL BUILDING /777 \Q/4 4 • A J�,�� Z ADDRESS ADDRESS// /y Vvaf r�t'�'Q/ W_ U TEL. TRACTI LOT BLOCK Z CITY NO. ZQ CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMNI ISH O m LENDER J r BRANCH OWNER L <C LII ADDRESS /y���s.,, ��y,/� �.�r /�,g8,- _i< m m ARCHITECT TEL. USE //VPs-G/s /r'r r6 ICVALUE62 OR ENGINEER NO i ((��(/ O thC 2 ADDRESS a FIRE t Q ZONE41-YY ..... • 1 GROUP X JiWo_ LyAPPROVED �JJ Z CONTRACTOR '• / L•`J' 4' BYDATE/_27 t' O - m / Z IY ADDRESS W W LLL TEL. ZONE NO.OF USE OF NEW 0= CITY NO. PLANS BUILDING Z_H w0 STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE INO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. F' SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. C.) EXTERIOR WALL I ROOF COVERING COVERING — REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& fl MAIN BLOCS. ACCESS.BLDGS. Q ,1� flr4 , _ VAR.# DATE O I/ C.U.P.V APPROVED CO / /` APPROVED CO ..__6Y DATE Z di , O H .• • U I hereby acknowledge that I have read this application and state O that the above Information is correct and agree to comply with / CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of I e Statof California.yt46-z, 7,1 7 to ZI hereby certify that I am properly licensed as a contractor underSO. FT. 7 !� o the State of California Business and Professions Code, Division 3, E AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Businesscc Di and Professions Code,Division 3,Chapter 9. VALUATION co PERMIT FEE $ e� lV 7 Signature of Perm litee $ �'' m PLAN CHECK $ cra E o Authorized Agent ✓ LL TOTAL FEE eir" PAID `!j q SEP 1 1 -725-ia0 302* 88.24 3538. 1 �*'"� • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in C.mpletel WJir5 'q' �'P C• ION FOR BUILDING PERMIT BUILDING s '%P- - ' ,f iran a • •TE ISSUED ADDRESS -/ v( / PERMIT NO. OWNER 4fJ/K�// ,�/J,/'J�GL• MEW Via- • O s O�. ,� 5� BUILDING AT flZ3 • MAILv ,/ ADDRESS r Z ADDRESS/460//J ' n,01/ Agri- T//J7/N • d U CITY Tari/v 926e/ NOL;3.2 Orr TRACT LOT BLOCK ZQ CONSTRUCTION .y // {, NEW ADD)ALTER REPAIR IMOVINn OFmni LSH ON LENDER �fT S� •[79�'l%/ ((• am J D BRANCH 4..effri'sa0/ a W ADDRESS �QOO MILL« ©`KI• / -1/°etre/_ OWNER i • YL �!i/(,/ • i '� CO J o/ /� / VALUE cr.'-CO ARCHITECT TEL. USE /h/ff( �Q—A2c $�O�7O JQ OR ENGINEER NO. n FIRE / W CC ADDRESS ZONE , EL w • //JJ � Q QQQQQQ r �/z W Z CONTRACTOR (///'e/' /fav/e4/r BYPROVED DATEC� e2 //� CCI O IIVV////(((((( 6Ttye_...--GROUP // JCC ADDRESS .414D//E. W W TEL. ZONE NO.OF USE OF NEW TTZI/+L+• • Z= /.CITY .11 NO. 1 PLANS BUILDING • E v.,1 G _F W STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 7O SIZE 1 NO.OFBLDGS. (FROM C/L STREET) OF LOT 6 3 NOW ON LOT RON7 .3 FT. FT. USE OF EXISTING BLDG. q : SIDE . FT. FT. Z SIZE OF 'Tto y .2 44 ROOMS /o STORIES Z. L.SIDE I C FT. FT. Z NEW BLDG. /` ^ / Q EXTERIOR WALL J ROOF ��/i o COVERING ,f'/J<re' COVERING -.alike , REAR 14 FT. FT. - J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. J BET.MAIN& 1 MAIN BL ACCESS.BLOCS. a =7;lc o I- /// • N • lye„ ^ .. APPROVED/ OAT Z �� / ci rG /LF(_f RY Itif (1 @ 7/moi• VI hereby acknowledge that I have read this application and state tIOLD • • , • that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ H any person in violation of the workman's compensation laws of y „ m the State of California. HE b • I hereby certify that I am properly licensed as a contractor under SD. FT. - - o the State of California Business and Professions Code, Divislcn 3, HE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9. end 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,Chapter 9. e) PERMIT FEE $ D Signature of c _ / Ca' �� o Permittee $//////V],L/,1 PLAN CHECK $ X E Authorized Agent �` a TOTAL FEE $