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Home My WebLink About612 SEAVIEW LN - Building Permits PROJECT ADDRESS: 612 SEAVIEW LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 052673 OWNER'S NAME: MRS. JOHNSON ADORES*: 612 SEAVIEW LANE PERMIT NO: P 052673 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH 540-6021 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: AAMES PLBG & HTG ( 714 ) 530-2440 ADDRESS: 10422 TRASK AV COMMENTS- SMOKE DETECTOR REQUIRED G.G CA 90000 *******�E4*** *�E�E**+o*�E�E�r�E+E�N*E ************************ ******+ESE*** ************ * LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: 006664 STATE LIC.°0025030 CLASS: X36 L—Date:_7 ." f/ Signature:. _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of co toself.inssre or aceniticate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Cl- LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY No.: PC941094 EXP.DATE 03/01 /92 COMPANY: REPUBLIC PARKING REQ• PROV: PARCEL: 93405044 ZNE: REF NO: 0 Cenified copy is hereby furnished. IX Certified Copy is filed w the city Building D' ion. PLANNING NOTES> /�/ ,,// > o V Date: 7 !7 APDlicant; efsLi ..e......0Ld ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if t per it is for o e hundred(MOO)or less). DEVELOPMENT SERVICES :: REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ an per n in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BYDATE: Date', Signature: •, NOTICE:If.after 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. .----r— CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: ]1'�.\� 'Wl DATE: --]_ —� which this permit is issued(Section 3097.Civ.CI. ***************************** *** ****** ***************************** *** * ** LENDER: *************************************** ************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I 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 2 . 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'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 ollars($500). ISSUE FEE 3,00 I. as owner of the properly or my employees with wages as their sole compensation. will do the work, and the BUILDING—D IV—> 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————> 2 .00 3 . 00 0 . 00 5.00 5. 00 . 00 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 sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 5. 00 OVER/SHORT• 00 • improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for thepurposeofsale). 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 5. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who bonds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law).I am aware ******************************************************************************* that drool of(heir 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 reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: OwnerPLU 1 WATER HEATER AND/OR VENT 2. 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and That I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from (hese 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 o -5 city to enter upon the above-mentioned property for inspection purposes 01 0009139E-0009134fi TOOT 0 l/ Dale: 7 f 97 Signature: _ C .. i CATE: 07/03/T1 TINE: 14:03 Drivel's License or no dal Security Applicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING - POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Serve or Pole . - • 52. Pool & Equipment Location 2.4Soil Pipe-Undrgrnd. et a 1_ 53. Steel Reinforcement .L 3:7Etectrical CondtjiXUtility-UndrgrncCH 54. Forms W.- 4.rEiectrical Conduit-Undrgrnd. An 55. Electrical Bonding •;, '` > •xl Reinforceii)e.Lt _ 56. Rough Plumbing & Pressure Test ' > A >RnElectrical UFER-Clrnd. 0 57. APPROVAL TO COVER-GUNITE :C•7•. Footings 58. Electrical Conduit-Undrgrnd. r< -8.;Foundation '1"•' '' p 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 Lind& Hquse Connection • 62. Backwash & Receptor-Final . 12. Sewer Capt...: 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final • 14. Rough Plumbic§ c ^ 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final •r 16. Rough Electric-Wiring 67. Fencing & Access Approval 17. Rough Wiring 5`i9n 68. APPROVED FOR PLASTERING 18. Rough Electrittl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT.-REQUIREMENT u 20trRotigh Factory Fireplace , ,:,.n ¢ - 0 C _ :k *APPROVALS'_ Cpermit# :` �' '" U. to 5'= ; <.'r T - 5: , -'• < J 10J. - :,c - - 21 LAutts,in•Stryctt.ke .. .. �s S 0 i.;; w 70. Un "Fag droyn ;,a Hydro J 22. Ducts, Ventihtirtg x r s. * 1 r 5 a 71. Productryping L3G'as D''Oil 23TGa{Pipe'-;Rough& Test '- - `'' ' r i i `- %• •r < r-- tt ,72. Underground Flus t• - - Gas. 24c-RotaFraming as • .- _ 0 -- 1.- * 573YUndergrndt Storagrank'O Gas ❑Oil r^... ' t - > •,. fl 7 25. Rog! Sheathing . cr `; " ;` '* '; '74 5Overhead iiydrq, 26 T-Bar Ceiling (Stryciural) &44omocoat x ^ U, C tq�x. 't 757 Dry Chemical - %, -4 .,: d 27 S 'Frame ad Flashipt x t < '. ' 76`Dr Stan`-; a `^ 1} S - ir -28.`Latklin & Siding-tit : .e,..E x x > •• ..K :4777; FIXED S'lSTEtv7pIIIAL I 'i.J' .-' ,-1 .• •• > r : `n W 1• D * r. "29. Insulation S x 78EFIRE PREY. FINAL .v ,, x ti'30. Drywall •••.• ailing + ! t+ x -o- ;•HEALTHrDEPT REQUIREMENT •1' M'w . . I' .S- -T31. Plaster Brown Coat; - � ,,,t,. • + !' -]',` T. ,.79t••FlIVAL`aSP�.ECTION Y C ' d --32rrElectrics{Po�iyer ater-Final: :F u .k 1'B04-FOOD CERy 'TrTIFICATE ISSUED ,� s.33.tfirt�l Electric, - r, j cr, ! tit k , 'Nd es: 7 > _ C. '. x - :a ir34-Firs1 Heting& F,i;:elp itiof g-- •c. - i .t. - . u ...r ir -35C�'"Firia! Gas Pipe-Tey r° •• 'r ' - R yL. :yc -'S -" t' S;r ,n36'•Hobd or Canopy x 2 cr.. I •1 _ a t Y - - ' 37CFin31 Factory Firelclace.,. 51, ;t •I N.fryr, ' - r- -' xt. _38. Final Plumbing ;u 7 L. . K, • s .t39. Water Service-Final^ ; tr r w 40. Gas Service-Final ' . I l-• 11/4 -' pJ n it S .'. I X - ?J 1. ; x41. Solar Domestic-FinelS r •. n I 1" '-to H -r - 1-11 I • cic* ti ^7r.-, e ;r • •42:3Backf low Preventers ' '•J ` I ' tty ` Co-'; + R7 x - I 1' w •.0 _ .. -• :5 r 43. Backflow Irr atiorr b:« •••• * x x * Q 1;,44. Landscape kr igatidn System itT ', sl - c ,=x x : ti - ti :45.:,Sound Attenuation g: t ' :- - - - • r- - v t--k - - v. • •• 7 •r .01. :n - 1-• _ :c • ,.•-•.:- • .-` 546.•Handicap Regulatigns J ; • * [_ c C0 S 47.SFIt AL STRIjCTIAE & BLWLDING x I • . v fir ::f ^ w -t -, 48:'�INAL PLANNINL'i i top-. .r 0.1 � :' -4e + r', 3' _ , s.: � . = � - .. c49^Electric Release to•Edison I 1 .r i r -..250,-,Gas-Release to Southern Caljfornia Gas Co ti tv > - `- - • crr r _ 51. CERTIFICATE O OCCUPANCI" : ." • No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P RMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CCONSTRUCTIIO ON .2•� r —� A.P.# Zone Project Addressbsew, - �J l0 � 11 f✓ S Main Building: Accessory Building: Applicant's Mailsf Address TYPE OF CONSTRUCTION L I NEW U ADD Ii ALTERATION 1. REPAIR nn rppLLqq j} vs/• ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0 Owner's Name AmneinEW FkJNEowNCRS 'Phone Crl I ' ��E�ggCRIPTION QF WORK/U E OF BLDG. "r� Of N/^ �OIDF B N Sa�.��C /NS/A7.�- <.L-SS R F( ' ' LAS A Rear Address 'J r'1 /I�/a TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION STRUCTURAL I C Right N Arch/Eng. License No. K - G Address IQ/7ENANT ❑ VALECTRiCAL ❑ PLUMBING ❑ MECHANICAL $ LeftR 7 SVA / IJ OTHER ee • /CODE re I Ping. Ref. # Parking Req./Provided R Contractor's Name A �. L Phos •lO�� ` /��s5 7 - PROJECT DESCRIPTION SQ. FT. 3(100 OCCUPANCY Q Address License eilingl l7(/Q C�/�/�1/�] Q L' s cOO& Planning Notes: CONSTRUCTION TYPE VALUATION$ M ��y73 T LIC NEDNo. ZONE GRADING CU.YDS. ACRES _ S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and ELECTRICAL FEES my license is in full force nd effect. License Class C' L e N 9/O O Date2' _ Signatur PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIDBar Sink Showers Construction Pole Sub. ❑ 50+KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' Compensation Insur nce, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Opp to 100 amps 3800, Lab. C.J, ,/ �/' .�1, M Policy No. /Wig 7// 'O Company'/vt7i 1::(403 Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps — Wgrtified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel r tied copy i find with the cit Itli 0 vis Bathtubs Sewer Connection Date ` = /`I - (f / Applic A Fan Motors 00-1 HP 011/2-8 EXEMPTION FROM WORKERS'C M ENSATIO DECLARATION Clarifiers Solar Collectors lThis section need not be completed if the permit Is for one hundred ($100)or F.A.U. Inc.Solar ❑g-15 HP ❑16-7$+ ess). Dishwasher Solar Piping M I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave X71.1 shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. Device Boxes Pole Li ht Date Signature Floor Drains Swimming Pool w/Spa 9 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 Outlets {tango comply with such provisions or this permit shall, be deemed revoked. CONSTRUCTION LENDING AGENCY —Gas Service Outlets Water Closet Switches Sign ' k. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Address Kitchen Sink Water Service Lender's Name Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 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—Trap Laundry Trays 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 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue'Fee $ 3 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 $ 3 DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By compensation, will do the work,and the structure is not intended or offered 111 nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves 2 RI thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By Date employees, provided that such Improvements are not Intended or offered for sale. If, howaver, the building or Improvement is sold within one year of corn- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEESOF prove for thetpurpose of sale). BUILDING PERMIT $ -I Z ti‘. SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ • PERMIT tractors to construct the project (Section 7044,Business and Professions Code: ❑0.100,000 BTU ❑100,000 BTU The Contrac'nr's License Law does not apply to an owner of property who Duct-Ventilating PLUMBING $ ISSUANCE $ builds or imaroves thereon. and who contracts for such oroiects with a cnn- tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Fjepair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ -- proof of their Worker's Compensation Insurance should be provided to me. C v ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers E Date OwnerHeating SystemDuctingRegistersInCOinp e Il io�.C`-10^�= PLAN CHECK 50% $ MICROFILM $ & MECHANICAL $ 7 1 I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL • TOTAL FEE $ information Is correct. I agree to comply with all city and county ordinances I �..�PLAN CHECK 25% $ and state laws relating to buil• •,' structs•• and hereby authorize repre- Date �- 6 -' Inspection of [hi city • est is y .-ave-mentioned property forDATE: 02/14/89 TINE: 15:24- Inspection I,'it sy Slgnatu - U 4�_ Reinspection Fee $15 Issue Fee $ 3 (poic ' *DUPLICATE RECEIPT* 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 1 01 E: 02/14/894/ TIME6286 15124T i?,4[f DATE: TIME: 15:24 Y . CONSTRUCTION AND PLANNINGPOOL &SPA i 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.:Electiical Conduit Utility-Undrgrnd. 54. Forms • 4. 1Electfical Conduit-Undrgrnd. - 55. Electrical Bonding 5!.Steel Rei'nforcen4nt . 56. Rough Plumbing & Pressure Test 6.)Electrical UFER Grnd. • ,re 57. APPROVAL TO COVER-GUNITE 7� Footings -! • 58. Electrical Conduit-Undrgrnd. 8,Foundation • , / ! 59. Gas Pipe, 0 Undrgrnd.,Test 9.-Water Pipe-Undt rnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System . �. 61. APPROVAL TO DECK 11. Pro erty Sewer Line & House Connection ' P 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 Factorytireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ID Gas 0 Oil 23. Gas Piper-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. Insula;lion _ 78. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. ,Plaster Brown Coat , 79. FINAL INSPECTION 32. ElectricaI Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Finalit:lectric 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 EXPIRED Incomplete hupcctionf. 45. Sound Attenuation pppp��/ , 46. Handicap Regulations Date __ ( I/ Sig -,_.,m._ 47. FINAL STRUCTURE & BUILDING (/ 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 7 51. CERTIFICATE OF OCCUPANCY No. Date t. O`✓��iA/� ,/ - - . I` 38Q9 Pa_�, 'itR 10-712- 00 526* ***105.49 ctiCOSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT o p icon to F7l in m lately* ' RnED BY DATE F}ECEf�(E4 DATE ISSUED BUILDIN �r CV¢f/ r�i�( •�/ �[T� ADORES . 3QQ Ii OKVIE OWNER HELTZER ENTERPRISES-BROW A.P. NO.k - 3 l1 • BUILDING MAIL ADDRESS _ ADDRESS 740 N. La Brea Avenue 213- p • Lu O CITY Los Angeles, CA 90038 NO. 937-2171 TR 2-44/ ( LOT BLOCK Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH O l- LENDER United California Bank J D BRANCH Main Branch ,,0- 03 Q� _irnOWNER / 1 r l m LU ADDRESS 600 S. Spring St. . L. A. 90054 //))�� // /ALE x/j�/ d m ARCHITECT TEL. US E�lAIDLI�/fer 44 "�$ UDCt D OR ENGINEER Fields & Silverman NO. 653-0160 111— _--1 <U Q FIRE WCC ADDRESS 113 N. San Vicente, Beverly Hill ZONE TYPE% GROUP ]/�'{/.. 0. W APPROVED JJ J O CONTRACTOR George J. Meltzer BY DATE CO J cc ADDRESS 740 N. La Brea Avenue Wu' TEL ZrOV NO.OF USE OF NEW 8 C-ODo o i- CITY Los Angeles, CA 90038 NO. 937-2171 AS PLANS Z BUILDING Nt�kg- O STATE CITY YARDS APPROVED YARDS APPROVED co CC LIC. NO. 3144 LIC.NO. MAIN BUILDING ACCESSORY BUILDING O 0 SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT None FRONT +2-B FT.L14r FT. USE OF Q EXISTING BLDG. B.SLOE 3g FT. ' FT. I- SIZE OF NO.OF Ip ��{�. Z NEW BLDG. ROOMS STORIES 2 L.SIDE 1 FT CL FT. Q EXTERIOR WAL ROOF /� U COVERING LPlaster COVERING WOOd REAR 37 FTJ,11' FT. -i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& y Read. [�7/jpntial MAIN BLDGS. —23-9 ACCESS. BLDGS. Cr 9 ?JAI/>� ./y (,ry `lA�r� VAR.s 3�r APPROVEDY-.2a-73 0DATE // _ C.U.P. F" APPROVED (A _BY DATE Z ,l�S'TAATF.� VI hereby acknowledge that I have read this application and state r-fr /� 7 that the above information is correct and agree to comply with t7 cc all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of fn the State of California. ale /1,3‘.5 r+� o zI hereby certify that I am properly licensed as a contractor under SQ. FT. 7 ,� o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 1� Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: {{II[[77��- _/IIII"JI am exempt from the provisi ns of the State of California Business VALUATION and Professions Code, Divisi 93,Chapter/ 9. (],UA VALUATION and PERMIT FEE $ yr' I� itli Permittee Signature of //E �J,/`4 '^�/�7 i� ` $ !J ✓i1 o0 PLAN CHECK $ /�f/�S o Authorized Agent IJ l%%9�11F�^// u TOTAL FEE $