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Home My WebLink About2432 SANTA ANA AVE - Building Permits . �StN RrF CITY OF COSTA MESA :4,1,411a.) BUILDING DIVISION PERMIT N ER ' �'''� ' DEVELOPMENT SERVICES DEPARTMENT "• o PERMIT BO -00137 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2432 SANTA ANA AV Status: ISSUED Suite: Applied: 01/31/2000 Vicinity: Issued: 01/31/2000 Parcel Number: 43913239 Zoning: yy� Applicant: LYLE COOTER ISSUED BY: /,/ Address: Phone: (714)978-7970 Zip: 92653 Owner: BRITTANY WOODS HOA Address 2432 SANTA ANA AV Phone: (949)756-2132 COSTA MESA,CA Zip: 92627 Contractor PRO-TECH WEATHERPROOFING Address: 23015 DEL LAGO Phone: (714)583-1858 LAGUNA HILLS CA Zip: 92653 License: 620476 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF COMPLETE BUILDING-NEW ICBG#ER-5218 STONE COATED STEEL ROOF OVER EXISTING ROOF. SUBJECT TO FIELD INSPECTION. ICBG REPORT TO BE AVAILAVBLE TO INSPECTOR IN THE FIELD. 2432, 2434,2436&2438 SANTA ANA AV. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $21,000.00 Permit: $335.25 Claim Valuation: $21,000.00 SMIP Res: $2.10 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $337.35 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 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 shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 r DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'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 section 3700 of the Labor Code,for the performance of the work for which this permit is I iced. My workers'compensation insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) ❑ 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,and agree that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(S100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IADOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Class Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves 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 sale.it.however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). - ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the Califomla Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (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 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 temperature end pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this Application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomla Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials end Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,end authorize representatives of 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 Legal Owner(s) Date And/Or Authorized Applicant Date SODE a INSPECTION TYPE PATE INT1110a SODEI INSPECTION TYPE PATE INTTALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /(o . / 208 Final Plumbing 200 Final Re-Roof 3 rO ' ! wK 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 2446-46 CITY OF COSTA MESA PARK FEES +� Fee Payment Receipt N 356 0- Project Address 4 3 2. z5a.vJ �(�v►�.a. A.P.Number 434 — /31 —11 )2 13 Park Area 3' Building Permit Number -lb X74 f fa; So/a2 Owner's Name Wad+f ct //,♦ ITO . Mailing Address '4 6s lona ce is u 0./yl FEE: Single Family ' Number of Units 2-Bedrooms or Less @ $ 702.70 = 3-Bedrooms @ 983.13 = 4-Bedrooms @ 1,260.33 = 5-Bedrooms+ @ 1,476.32 = Multiple Family " Bachelor or Studio @ 386.81 = 1-Bedroom @ 467.38 = 2-Bedroom 9 @ 718.80 = 7S0 3-Bedrooms+ @ 1,135.66 = 4.34069.80 Total Fee *0 39 820. 2 0 Planning Department Dat: It " he 7: By GSW/Q A D Applicant's Signature • * City Ordinance 72-44 • t dlnan'e7 --5t. �" C t •',solution 77-89 LCMF 0174-32 Rev.7/77 White—Planning;Canary—Planning; • nit—Finance;Goldenrod—Applicant Cos t.,nitI UWNtN IJtWAN tOSUUNbitUUTIUB UUHY. UAIt .1..1-10-(4 JOB ADDRESS 2432 Santa Ana Ave. BUILDING PERMIT NO. 39235 GENERAL CONTRACTOR S.J. Cook & Sons Inc. DESCRIPTION of WORImemolish Res. P No. 119-381-04 LOT TRACT FIRE ZONE VALUES 600.00 SN INSPECTIONS Signature Date TYPE V GROUP I ZONE 122 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dote I Number I Signature WATER Plumbing ROUGH PLUMBING ,d. O �led�(-6.10n- J i �7'9�16,1(yw/ PROP. SWR. LINE El HOUSE CON. 0 "('/7 V SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER El ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS d STEEL REINF. 0 . FLOOR SYSTEM BOND BEAM El STEEL REINFORCE El SHEATHING FRAME AND FLASHING LATHING - IN ni OUT n PLASTER. BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL^ PLUMBING, FINAL AND GAS TEST I . P.a3 J -z_04-q ELECTRIC, FINAL J BUILDING. FINAL 275 itSa!I-AA 39. 5 ,. , •COSTA MESA BUILDING-SAFETY DEPARTMENT ��,� 1B-71IrrPAiJdO 555::- f:** *�',5L P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT 2 a. RE BY DATE kpf i- IV-• • I BUILDING - 7r ADDRESSp � ,,`` 2 A ' / S a .. r OWNER MARINERS SAVINGS & LOAN ASSOCIATION . DATE 12-2-77 JOB ADDRESS 2432 to 2458 Santa Ana Avenue BUILDING PERMIT NO. 45164 GENERAL CONTRACTOR Woodtree Development Co.DESCRIPTION of WORK Building Foundations 3,4,5,6 AP No. 439-131—]1, LOT TRACT FIRE ZONE VALUE $ 500.00 INSPECTIONS 12.13.15.30 sign Date TYPE V GROUP H ZONE B-2 sou_ SUBCONTRACTOR PERMITS ISSUED GAS • Date Number I Signature WATER Plumbing' ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. fl SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND fif POWER ❑ ROUGH WIRING T ]1 'Heating and Vent. TRENCHES FORMS 0 STEEL REINF. u . FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n ' SHEATHING FRAME AND FLASHING j/j�� A til F` _ LATHING — IN n OUT n 'I . .11II /9� ra n PLASTER. BROWN COAT If t_Ik IIA it • ' II It I STRUCTURAL, FINAL \:- iii dd W\ If v t .{ I If HEATING, VENT., REFRIG. AND A.C., FINAL d U V ` / PLUMBING, FINAL AND GAS TEST n - 1 ELECTRIC, FINAL I BUILDING. FINAL e ` .�. 4II 41 fl N ' PAID . _ 461 3 BLDGS# 3, 4, 5, '6 I -2-77c sp00 147* *5.50 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP'LIC TI'/N FOR STRUCTURAL PERMIT For Applicant to Fill in Completely - Use Ink Only _ RE.El s B GATE RECEIVED DATE ISSUED BUILDING .y. / jam /. - / /01 , 2%7 / ADDRESS . .! .4 a, a l✓_/A . ^^ s� pC / 439 — . , '1 013 PERMIT.30NO. OWNER Mariners Savings & Loan Assoc. A.P.No. l BUILDINGMAIL RS 32 k. 2452 __I ADDRESS 1515 Westcliff Dr. ADDRESS. ' ,�'yJrJ TEL. TRACT 10148 LOT BLOCK CITY Newport Beach ND.642-4000 CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH LENDER Same ac above BRANCH ,,e_.., ,✓�/ 314 45 Sat OWNER ADDRESS ,VALUE t di. _ ARCHITECT TEL. USE ( $ Y/// —g- OR ENGINEER Roy Kiter No, 549-4002 Suite H FIRE ADDRESS 17931 Sky Park Circle, Irvine ZONE T PE /ROUP jai APPROVED CONTRACTOR Woodtree Dev. Co. BY DATE ADDRESS 1665 Placentia Ave. ZONE // NO.OF USE OF NEW CITY Costa Mesa TEL. o 646-1164 /C 'Z.�PLANS BUILDING�t� • • STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. 336725 LIC.NO.14664 MAIN BUILDING // ACCESSORY BUILDING WI SIZE 'NO.OF BLDGS. (FROM C/L STREET)/ ,/''/ L OF LOT NOW ON LOT FRONT FT. �/— FT. a, Various ///Qaa y USE OF EXISTING BLDG. R s-. FT FT, V) \ 1 H .permits are required for L.is- if FT. electric,plumbing and heating work. R FT. FT. {sl OFBUILDIN AND Ofl BE PERFORMED F • � ;�[ DISTANCE BET. BET.MAIN& 'IC V�{ I/k�— Lll4:Pali }11� vt,r, A 4_I CI- MAIN BLOCS. ACCESS.BLDGS. VAR.# DATE .-i C.U.P,gls APPROVED .>.f SAP F,Dwe DATE/2-2�`J CC.s�(rdd E/2-2 -77 w S O I hereby acknowledge that I have read this application and state n N pf, that the above information Is correct and agree to comply with a ., all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of o the State of California. 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a, Chapter 9, and -such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — to am exempt f m provisions f the State of alifornla Businessa VALUATION PERMIT FEE $ S • and Profess] ns C de Div slo ,CI1�pter 9. J II a, r PLAN CHECK $ mo Signature o ( Parmlttae ( 7.0 $ z•'� TAX $ 5o 2 �J v �` U ff5e) Authorized Agent TOTAL PAID $ y pAm «� •� • 4 51-1 BLDG # 1 C —7-77c 00 369: *t *102.47 •5 , COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely-Use Ink Only RECEIVED BY I DATE RECEIVED DATE ISSUED BUILDING lit3?_ Jzamt ADDRESS Ct j-/0 7F/ �/� RMIT NO. OWNER Mariners Savings & Loan Assoc. A.P. Nd f3/-4/z1/3 �}-� MAIL BUILDING�i.-sem �� v 0.- ADDRESS 1515 Westcliff Dr. ADORES r� (�(/J�L TEL. TRACT LOT BLOCK my Newport Beach NO. 642-4000 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER Same as above• ?.' BRANCH - / ADDRESS •WNE J /,/ - VALU �C‘iterfr." ARCHITECT TEL. s '4 J/,, if, / • $ /'i OR ENGINEER Ro lCiter • • •-• •• WI ite llFIRE ADDRESS 17931 Sky Park Circle. I}rivnH ZONE $ / GROU r APPROVED CONTRACTOR Woodtree Dev. Co. BY DATE?-410 � / ,O /"' ADDRESS 1665 Placentia Ave. ZONE,z NO.OF USE OF NEW CITY Costa Mesa No646-1164 R2 IPLA15 C.- BUILDING NEW/144142f t E'- STATE CITY YARDS APPROVED YARDS APPROVED gLIC. NO, 336725 LIC.NO. 14664 MAIN BUILDING ACCESSORY BUILDING W SIZE INO.OF BLDGS. (FROM CIL STREET/ Oe OF LOT Various NOW ON LOT FRONT 47FT. C( FT. a USE OF 30 4 EXISTING BLDG. R.SIDE FT. 7// Ai' FT. Fce) /� r V Separate permits are required for L.SIDE go FT. FT. electric,plumbing and heating work. Gi REAR c472 FT. 8 j FT. , IQ I..i USE qF 1BUIL'DIING/SND WO K TO BE PERFORMED DISTANCE BET. BET.MAIN& Go AL VIII i I/y(, MAIN BLDGS.. ACCESS. BLDJG/.S..J'/� ^� DATE e itL.'t- l'/1�025 CURP t3 77^� APPROVED 7Fi re —7 2 .?' 1 -1- 6AIL d 5 b W —AAVPROVE n /2•O. DATE ..J� GOA a tIP Ad. 11l�.Zi, ( IC W ! HOLD POR SPECIA S> Q I hereby acknowledge that I a read this application and state REQUIREMENT.__ n C4 that the above Information is orrect and agree to comply with m C• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of ,. the State of California. ,� 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, a • t a such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exemp rom the1provi I s of the Ste g of California Business.i VALUATION PERMIT FEE $ eP and Profe on e,Divi i Chapter CPI na Signature •f ��,•�----PLAN CHECK $ 00./49 o Permittee I $52 TAX $ 4.9 O \u. ` Authorized Agent ✓✓/ Cl�� TOTAL PAID $ 20 7 • COSTA MESA BUILDING-SA ETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ]129 31111/79 APPLICATION FOWSTRUCPURAL PERMIT!39°00 1 For Applicant to Fill in Completely —Use Ink Only I 14„OgCKT RECEIVED BY DATE:RECEIVED1•DATE'ISSUED I BUILDING ADDRESS e1�e5,� PERMIT NO. OWNER H VJ' Ledo A.P. DN MAIL BUILDING ADDRESS ADDRESS TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW ADD ALTER (REPAIR MOVING DEMOLISH LENDER BRANCH / OWNER [ ✓a .. _d/, • I ,/.i i.,•:- .a. i ADDRESS ,� •` ?VALUE /( ARCHITECT TEL. USE vT(/.�• $ /U OR ENGINEER NO. (,// FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTORgladatei / BY DATE ADDRESS • TEL. ZONE, INO.OF USE OF NEW CITY NO. PLANS BUILDING IF. STATE CITY YARDS APPROVED YARDS APPROVED si LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING ' (FROM C/L STREET) ca SIZE NO.OF BLOCS. C• OF LOT NOW ON LOT FRONT FT. FT. a USE OF EXISTING BLDG. R.SIDE FT. FT, V) HSeparate permits are required for L,SIDE FT. FT. 0.7 electric,plumbing and heating work. REAR FT. FT. E.y USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& G MAIN BLOCS. ACCESS.BLOCS. 7.1 • VAR.# DATE 5� _ _I . • / �! C.U.P.# — APPROVED APPROVED >. ..__EY DATE PP P4 4 t] I hereby acknowledge that I have read this application and state n P0 that the above information is correct and agree to comply with m 04 all laws regulating building construction, and I shall not employ [Z any person in violation of the workman's compensation laws of I the State of California. m I hereby certify that I am properly licensed as a contractor under SQ.FT. •v the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN 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: am exempt from the provisions of the State of California Business e VALUATION PERMIT FEE $ and Professions Code,Division 3,Chapter 9. ! / m PLAN CHECK $ e Signature of o U. Permittee 3 �' TAX $ Cr //V O Authorized Agent TOTAL PAID $ ` 4669. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 Iiir 459 92 1 �/)s 9e A: 'i r TI r FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only R: I DATE RECEIVED DATE U �^ (t BUILDING cis C v /f/✓/�. /T u, f-7---/1 ADDRESSSs'/,fir Y J �-�.J) !'/ • OWNER//' V`i O rr 0 U.4?A.P. NO. 413 9—/ 3/ —3 7 PI I .... •. / /5 / c tt{i/I// J .0 ii BUILDING ADDRESSMAIL / /t�N �[ ADDRESS - - �sZ •, CITY C 03 fg FS, NOL 6 ( oum._ TRACT /0/ 8 LOT 39' BLOCK CONSTRUCTION f NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER ',',J�((\\// Filr L • BRANCH T .'1 / - r OWNER 4)oD C.t. / /v/y/y/.,/'. ADDRESS ,n) z1J /e,L�� /✓ V ARCHITECT TEL. USE .(4 ./Side OR ENGINEER NO. - - - FIRE ADDRESS ZONE - YPE GROUP APPROVED IT� 9/� CONTRACTOR V 41- � --- • N 19 41 BY /♦� DATE/ Y! 7/ ADDRESS 0 - he . A S I l/ yy�r TEL ZONE NO.OF USE OF NEW .GO G/. E.- .... CITY S�y d 9�, NO.S3/CWQI R.L. PLANS lBUILDING wR �L VED YARDS APPROVED LIC. NO. 2 901/1/ LIC.NO. 0/36 y5 MAIN BUILDING ACCESSORY BUILDING ici SIZE INO.OFBLDGS. (FROM C/L STREET) Ci. OF LOT NOW ON LOT FRONT FT. 6 FT. Q USE OF �,Q� C4 EXISTING BLDG. R.SIOE y r i. 7 V FT. rn E F Separate permits are required for L.sf" FT. electric,plumbing and heating work. rti REAR 1 j•_rf)✓ FT. �� FT. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. + 3 v I „ / f • Q MAIN BLDGS. / /./�� VAR. ' DATE /{ C.U.P.t{'+ APPROVED 9/zi t APPROVEDC�.J e/ -a RY l.. DATE -d ce Q I hereby acknowledge that I have read this application and state in r. LL that the above information is correct and agree to comply with m a all laws regulating building construction, and I shall not employ ,Z any person in violation of the workman's compensation laws of o t. the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. N,- the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN 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; e am exempt from the provisions of the State of California Business VALUATION 9 and Professions Code, Division 3,Chapter 9. PERMIT FEE $ ago m / In t PLAN CHECK $ m Signature of 1... /f q vr/ /• a Permittee �e/ c! void; $ A �f l TAX $ S 2 (1 v'(/ aV 0 Li Authorized gent TOTALPAID $ Os57,