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HomeMy WebLinkAbout645 SEAL ST - Building PermitsADDRESS DP BUILDING: 645 SEAL ST OWNERS NAME IF IINOMIN: JUNG, HERBIE ET AL ADDRESS: 1123 S FRESNO ST LOS ANGELES,CA 90023 APPL. MAIUND ADDRESS: ARCHITECT OR ENGINEER: NCH. OR ENG.'S ADDRESS: UC. NO.: CONTRACTORS NAME CONTRACTORS MAILING ADDRESS: LIC. NO.: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 074919 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE DINT. UW: LICENSED CONTRACTORS DECLARATION: I Mreby Affirm under penalty of Poway Net I am licenwd under pmviebu of Chapter B (ommencing with Section 1000) of Division 3 of the Budnea And Profesdom Cade. and my Eoenes is in fuD lace end effect. CITY UC. NO.: UC. CUSS: UC. NO.: EXP: Date: Cwraaor. OWNER BUILDER DECLARATION: I h.My y Mum under pelWy of perjury that I are exempt mom the Comndaa Loans. Law for the following reason (Section 7031.5 B Mea end Pmieabne Code: Any city or mirny whidt resuira a "Mh to 00115tmd, Most. improve, demolish, or repair any sauces. Prior As are asuura, Also Istows a the applireN for old permit to Be a signed wattement thea M or she, is liceneed W ream to the provisions of IM Connection, License Lew [Chaprw B (mmmertdng with Section 7000) of Drlsion 3 of the Businea and Prdeas'ms Code]or that he Or aha b exempt therahom end the basis for she eDeOee aamp1m. Any vitalm of Section 7031.5 by Any applicant for a Formal WbjeGs the eoiic.a to a ,isl penally of tM more than We hundred dollen ® I, a owner of the Property a Memployees with wages a lhek sole mrmFoneatiOn, will do the work. and the vrudun is tat intended or offered for was (Swan 70x1, Straitness end Profadoa Code: The CoNredory License Law doss, rat applyto An owners propend who Wida or inprova Ihxeon. end who does awh work limed) or herself or Nr.gh hls or her own pb,.. pnwidad Nat such improvemena we not intended or offered for sale. B. Mwsver, the Wilding or imp ors is add within one yew of compblion, the .eow ajld. sell have IM Wrden of proving M or and did not bubd or improve for the purpose of We). I, As 0wner d IM property. arc exduovey ontmxkg with iosaed conUadera b olYrud the pro.. (Sesion 701x, B bawl end Prdesai0tn Cada: TM Cotre war Lsoerse Lew does, ns, apply to an owner of property who Wild, or impmva thereon and wM oontraM for suds prowls with a cwgndw(e) Icemed punuaN to the Contractors Licosa Lew). I am exempr slyyer Sect B. 8 PC.. lar Nls Date: 7O NO 9S 0,sn,r: _ I do hereby cenay mal I sm awe. of Anti understand the nw ineme to of California Nee6h and Selly Code Slower 25505. 25533. ane 25531, end that I or Any Mure Wilding occupant MI / will not (ccmb one) need to comply wlh said IWe coda and the restatements W a Forma for coatnudlonor nroeRrelcn from the A,anaragamaral Gnarls. Resident W ccavwion eppics,ow we Attempt from mese Dore: Applissrv: WORKER'S COMPENSATION DECLARATION: I hereby alfiml urdw Penalty of p.jury one of IM Iolloeirg declensions: I have and will mei rmn a of the xl fix whir to affiaun is awti. 0ornnensation, n Wovlded ter by 8aabn 3700 d Iha labor Coate, b ill performance d Ns weak for which Nls permit b mtwd. 0 1 her end will maintainwodnta' o "Fo w Insane,, a Mulred by Sedion 3700 d Ne Labor Coda M tM Forbrmanca d Ihs work Ica whdr Nls FomN u lssued. My worken' oomFoosatcn norenca carder end pdiry camber we: Cam.: Policy Number: (this sedcn need of W compAvelf a the peml is Ar ore hundred doll.. (JT00( or Asetj I mrltly that in the ped.. of the work for witch this Formal h issued, 1 sW not employ Any person In any manner o As to become cows to the wclrkwa' compawdion Laws of California. And sOrvs thsa d I should becerne abject to IM worsali compensation provisipra of Sedbn 37W d IM Labor Cads. I Nell foMwhh mnpy with IMee provisions. Dale: Apgk:aM: Waminp: Fat/test M.oury worlr.. aompweation oyang.ls un/awful, and shall sttl)ot an emt to edminal penalties and Idyll Bre. rq to ons hundred thousand calls. ($100000A In sddmlon N Me cal of ompwaatlar, dweagaal As an ylded for /n Sotlon 3706 of Me Labor Coda, Interval, and a0omey's I .. CONSTRUCTION LENDING AGENCY: I hereby alRrm under We* of perjury Ihad Ihere is a conatmdion bnding agency for the perfermanKe of the w for wldN this paint as Ow Nd (Swion 3197. CM. C). LENDER'S NAME: LENDER'S ADDRESS: I candy that I Mva read this application end vete that the above iNottnetian as coned. I Agree to comply with AD caly and county aNinwgae and ease Ism relating to Wilding cunwnmacm And Mreby. ala tepreaenlativa d this dry to enter upon the Above-memionnd pm,,sny for tapedan purposes. SCOTT NORDELL Pni �, Ie �fp Sptwure db.wr nvAppirenuGomrmw LIN I (5I51d6.WP) Whits-Buildvg 8 Salary: Greeo-Fls; Canary-ApNot Pink-Ro-ronus: Goldenrod-Asaeaor PERM NO: E 074919 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : INSTALL A GARARE DOOR W/OPENER TO CARPRT SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: M-1 / COMMENTS: ENCLOSE OPEN SIDE OF CARPORT W/DOOR FOR PRIVACY, RE:#B74918 *dE 1E**iE iE*i6*BE BE iE*DE**RE***dk iE iE 3F SE%RF IE IF DE 1f iE**iE*RE BE Bk dE iFiE*iE iE dE IE IE*if 1E*iF♦E 1E iE*IE**1E RE iE BE*RE**d6 iE BE BE RF SE iE RE ir•dE Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- �� --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42223203 ZNE: REF NO: PLANNING NOTES> PLAN ISSUE FEE 15.00 iE***1E SE iE dE*dE 1E*fiE*RE 1E fiE 1E SElf*1E iE*ff ib***BF df BE iE**RE RE 1Elir DE DE i6 BE BF BE dE dE REkd6 irk 41E 1E iF lE irk iE iE 1E BE*RE iE Rf*BE RE**1E BE di**SE 1E Rfi* D E V E L O P M E N T S E.R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY 18.00 OVER/SHORT: •00 BLDG PMT PLUMBING DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �� ** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT .00 508 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 3.00 15.00 0.00 18.00 18.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 18.00 OVER/SHORT: •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 18.00 ii l6 oft iE 1E lE iF iE iE iE iE i6*RE iE*SE fE*SERE*****dE 1E****BF dE*BE SE*SE***RE iElElF1flfiE**RE*IE**iE iF**iE RE RE*1E iE iE iE iE*iE dE dE iE**iE dE IE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 0.0 — 1.0 HP 3.00 3.00 END OF FEES Fol Tr^ a !I- X7 GATE: :J,.' It; 1, :4::4 CONSTRUCTION AND PLANNING APPROVALS Permit# - I Date Inspector POOL & SPA 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 r14. Electrical Conduit-Undrgrnd. 55. Electrical Bonding S: Steel Reinforcement 56. Rough Plumbing & Pressure Test •'•6: -Electrical OF ER Grnd. 57, APPROVAL TO COVER-GUNITE ,,2. Footings 58. Electrical Conduit-Undrgrnd. -'8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ,A Water Pipe-Undrgrnd, 60, Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Jlroperty 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 _ T f FORE DEPT. REQUIREMENT APPROVALS Pe'limit #--L- 20..Rou h Factory Fireplace "<-t - ' _ 21. 21. -Ducts, in Structure 70.`Underground Hydro 22. Ducts, Ventilating - "- - - - � 71. ProductPiping O'Gas d Oil 23. Gas Pipe -Rough & Test t^ _ T < 72. Underground Flush 24. itooFra'ming" 73, Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof -Sheathing T 74! Overhead Hydro 26. T -Bar Ceiling (Structural) & McThocoat ' 2. -�_ 7 Dry Chemical _ 27..Frameand Fiashi" .. _ �-� 76. Dry Standpipe _. _ 28. Lathing Siding '- _'- •- `.* 77. FIXED.'SYSTEMFINA',L_. 29. Insulation' - Y. _ _ 78. FIRE PREV. FINAL - z. _ 30. Drywall [ailing -HEALTH DEPT. REQUIREMENT 31. Plaster Brown -Coat _. ' '* 79. FINAL INSPECTION •. 32.:Electricaf; ower M,et;et-Final 33. 'F inat;ElGc(rIG,` 80. FOOD CERTIFICATE ISS�JED a Notes: 34. -Final Heating & AB Conditioning= n 35.:Rinal Gas;Pipe,Test �- •• x - � ... ... .-. 36. _Hood or Canopy 37. FinaL Factory Fireplace - - - - j 38. Final Plumbing'- r _ 39. Water Service -Final L -.1 40. Gas Service -Final i 'Y - 41. Solar Domestic -F'` -nal " •• - , _ _. 42. Backflow Preventer 43. Backflow Irrigation ;- �• "' ., _ 44. Landscape Irrigation System- ' '� ;� r ` - '• c` �" ' ' 45. Sound Attenuati&, . 46. Handicap Regulations t - _ 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING" K 49. 'electric Release to Edison 50. Gas Release to Southern Califomia-Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ` PROJECT ADDRESS: 6 4 5 SEAL ST G N UNIT: OWNER'S NAME: 47UNG , HERB I E 1. AL / ADDRESS: 123 S FRESNO ST LOS ANGELES,CAr _ 90023 818-982-9618 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: KICKS PLUMBING (714)752-2875 ADDRESS: 234 VICTORIA CM CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code. and my license is in full force and effect. clTYuc,007749 STATE LIC.: 1597511ss 36 EXP; 06/95 Dart: _(—L—y5— Signature:. -T-y �dl WORKERS' COMPENSATION DECLARATION: I hereby affirm that I F e a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a dertiled copy thereof (Section 3800, Lab, C). POLICY NO.: EXP, DATE: COMPANY: ❑ Cenified copy is hereby furnished. ❑ Cenified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I cenify that in the performance of the work for which this permit is issued, I sh of employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date. �—U— 7 Signature: NOTICE: It, alter making this declaration, you should become sub! t to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this p it shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which his permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 070635 PERMIT NO: P 070635 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION ; REPAIR 6 REPLACE GAS PIPING SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED UNDER THIS PERM **MM MMM MM MM MM MM MMMMMMMMM�itr�6�r�E**�E�E*�E*�r***yrwr�r***�r*r**r***r�r*iE*�Er**�E�E�*+E*+ESE*�*�rx Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ BLDG MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ• PROV: PARCEL: 42223203 ZNE: REF NO: PLANNING N TES> his or her own employees, provided that such improvements are not intended or offered for sale. If, however he building or REVENUE DIVISION TOTALS--> COLLECTED • 25.00 OVER/SHORT• 00 > BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). MMM M M MMM M MM M M M M M M M M MMMM M MMM MM M MMM M M MMM M M MM M M MM M MM M M M MMMMM M MMM M M M M M MMM M M MM MM MM MM D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY : DATE; DATE; APPLICATION ISSUED BY: DATE: MMMMMM MMMMMMMMMMMMMMMMTF�ii'iF3FiFiF3FiFiFiFiF MMMMMMMMMM MM MM M MMM M MMMMitMMM M*M MM M M M M M MMMM M M MMMM M M M MMMMM M M MM MM MM MM MMM M M M MM MM M M MM M MM M MM MM M MM M LEGALIZATION l F E E S U M M A R Y 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 5 .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 2 5!k SM I P / NON—RES pursuant to the provisions of the ContractorsSlate 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 alleged exemption. Any violation of Section 7D31.5 by ISSUE FEE 20 00 any applicant for a permit subjects he applicant to a civil penalty of not more than five hundred dollars ($500). BUILDING—DIV—> • PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I, as owner of he properly or my employees win wages as their sole compensation, will do the work, and he 11 structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law TOTALS ---- > 5,00 20,00 0.00 25,00 25.00 .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 he building or REVENUE DIVISION TOTALS--> COLLECTED • 25.00 OVER/SHORT• 00 improvement is sold within one year of completion. the owner will have the burden of proving helshe did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 25.00 exclusivel contracting Lath licensed contractors to construct the project Business I, as owner ons C de: Th, Co builds Prov ❑ and Professions Code: TheContractors'State License racto s)law dees nse ot apply pursuant aware license pursuant to the Contractors' State License Law). I am aware and who contracts for such protects with a to the Cerof grapewhokens La.). MMM MMMMMMMMMMMMMMMMMMM MM MM MMMMMMMMMMMMMMMMMM MMMMM MM MMM MMMMMMMMMMMMMMMMMMMMMM MMM nsu ante should that proof of heir Worker's Compensation insurance shoultl be provides to me. I N D I V I D U A L F E E B R E A K D O W N ❑ I am exempt under Section: B. 8 P. C. TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST mnhisreason: Date: Owner: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS' 5,00 5.00 I do hereby cenify that I am aware of and understand he requirements of California Health and Safety Code Sections 25505, 25533. and 25534 and that I or any future building occupant willtwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from theAirAir 0ualny Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct. l 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 he above-mentioned property for inspection purposes. ��/y/ Date, G �� Signature "l Driver's License or Social Security 0: 1641.46 White—Building: Green—Code Enforcement: Canary—Applicant; Pink—Revenue: Goldenrod—Assessor END OF FEES .1� fi 01 00174585-00174585 T13 T 25.00 DATE: 01/06/?5 TIME: 15:12 D V CONSTRUCTION AND PLANNING POOL & SPA - APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1, Temporary Electrical Servile or Pole 52. Pool &Equipment Location 2, Soil Pipe-Undrgrnd. �_ 53. Steel Reinforcement Electrical Condujh�tility-Undrgrnd. 54. Forms " 4.,Erectsical Condbit'-Undrgrnd. 55. Electrical Bonding Reinforcement 56. Rough Plumbing & Pressure Test _,'5.,,S.teel "B 4tectricalUFER-Grad. 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. ° I F�r�.idation '- 59. Gas Pipe, O Undrgrrd., Test -� -� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Pioperty Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap o, r� 63. Heater & Vent -Final 13. Roof Drains T 64. Plumbing System - Final 14. Rough PlumbiiF)g ;, 65. Electrical -Final I 15. Rough Electrical -Conduits 66. Solar System -Final I 16. Rough ElectricWiring 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 'APPFLDVALg:'-Permit 20::Roggh Fact0y fireplace 21. --Duns, in Stn_;cture. • ^ - 7 '- } t70, t-lndergY0uNd Hud ro 22'rDu@ts, Vamijptirj�, - ` _ :;71. Produ5th5ping nGas GOd , 23'; Gai.j'ipe;Rou41h •Test , n-, - - 72. Undergrorntd FlosM 24 -Roof Framing `73_' Undergrrrcr'.StoragcTank'GGas 70111 .74,= 25. Roof Sheathing ti^ Overhead Hydro. 26.,T -Bar Ceiling (Structural) &'Alanocoat t7:1,: ' 75 Dry Chenucat _ 27.'1-raMe aad FlashiP$-� n• , - �� to a 76:�Dry Standpipe `.. I 28. Lattfling.-& Siding' '; 1z 77.'; FIXED SYSTEM FINAL r 29. Insulatipn - :. , I 78:�FIRE PREV. FINAL _. 30. Drywall'Nailing r - '-' HEALTH'DEPT. REQUIRg;MENT 31. Plaster B own Coat ! a r79. FINAL IN$pECTt�N : ,32:'Electrical Power Metei•Final `''% ( 'BO?FOOD CERTIFICATE ISSUED 33:.Finai E1Gctrlc ,. I ,. '. a �Noies: ^:34.,Firlaj Heating,& 1ji4ConditioningP' e-Ar'en-72D^ EIS 35.15iAl GA Pipe -Te$;' 36. HoodocCanopy -, I I '31 L1 Z'Q�.s�aLY�ti -7 .�37:•Fin6l Fa_ciory Firg{7Jace _ Final Plumbing•+± �'-, •fit% 39. Wafer Service -Fidel',.. I I' 1 _ ' -`75 ,40. Gas Service -Final : _ I I (- S s�~ . - Zz=f 7- -:-41. Solar Domestic-Final- �� 27=c 7 J ' 42.'Sackflow Preventerr, -•�U - t t�-e �_ (4E 43. Backflow Irrigation' -44. Landscape Irrigation System-, .i -, .. _ +• ;? • + _' `45. -Sound Attenuation 46.I,Handicap Regulations', 47.;FINAL STRrJCTURE & BUILDING 48.'FIN, L PLANNING -• - I (- - '49.-Eleatric Release to Edison =50, .Gas Release to Southern California Gas Co ,51. CERTIFICATE OF OCCUPANCY - No. Date AODPE55 OF BUILDING: 645 SEAL ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT DlINERS NAME IF IOgwN: JUNG, HERBIE ET AL PERM NO: B 074918 ADDRESS: 1123 S FRESNO ST LOS ANGELES,CA 90023 PERMIT NO: B 074918 PLAN CHECK NO: 04417-95 S GOVT: N SUPP: N APPL. MMUNG ADDREM CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC. NO.: JOB DESCRIPTION INSTALL A GARARE DOOR W/OPENER TO CARPRT SQ FT: 600 ARCN.OR ENG.'S ADDRESS: UNIT: CLAIM VALUE: 600.00 CALC—VALUE: 600.00 GROUP OCC: M-1 / COMIRACTOR'S NAME: CONMACTORSMNUNG COMMENTS: ENCLOSE OPEN SIDE OF CARPORT W/DOOR FOR PRIVACY ADDRESS: UC NO.: dE lF Sf SF fE SE 1F iE * 9E IE lE iE * iE 9E 9E * SE lE iE 9E ♦E iE * iE iE SE SE 1E SE SE 9E * 9E iE 9F iE 1E iE * 1E dE 1E if !E SF * rt iE iE it iE dE * *!E * 1P * *!E iE ie 9t * * 9E iE * * 1E iE 9(-iE * * if SE UNIT: Z O N I N G R E Q U I R E M E N T S LICENSED CONTRACTORS DECLARATION: I Mteby dlnn under penalty of century that 1 am licensed under provisions of Chapter S S E T B A C K S (commencing with Sarson 7000) of Division 3 of IM Business and Professions Coda, and my license is In full tome end affect. CrryUC. NO.: UC.CLA!l LIC. NO.: EXP:------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN OWNER BUILDER DECLARATION: I hereby atfinn under penalty of perjury that I am exempt from the Controctore Llceme Lew for the following reason (Section 7031.5 Business and Profamione Code: Any city of county which requites a parmX to construct, enter, improve, PARKING REQ: P RO V : PARCEL: 42223203 Z N E : R1 REF NO demolish, or nums any structure, prior to its announce. Wo tequim the Wheals for such permit to fila a signed statement that ha«she PLANNING NOTES> INSTALL GARAGE DOOR ON i END OF EX PORTE COCHERE, BACK END s licensed pursuant to the provision IM Contractors Umme Law [Chapter B (comatiiowith Sedan 7000) of Division 3 d the Businexe and Prolsaii Code] or that M of she is exempt lherehom and the basis for the alleged exemption. Any violation of Section > (F/ACESS TO 2 CAR GARAGE)REMAINS OPEN;AUTO DOOR OPERNER PROV 7031.5 by any soplicant for a permit wisps the applicant to a civil moaffy, of not more than /ova hundred dollar, 155001). SE 9E SE RE RE 9E*SE iE iE iE BE*iE if*1E iE SE iE iF iE 9E 5E St ii SE SE SE iE SE iE SE*♦ESE*iE fEiE***1E{E7E1(-{FlitiF{E{E{p{E{({E{E{0{E{(•{E iE IE iE lE iE i[-if-iE iE iE if iE iE lE lFiE iE 1F �( 1, as owner tithe property or my employees with wages as their are oompanaeMn, will do the wank, and the structure is no imended D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S or offered for sub (Section 7044, Business text Profession. Code: TM Contractors Li ense Low does not appyto an owner of properly whe Wide «improves thereon, sol who does such wool, Novel or hereeff or through he «her own employees. provided thin such 'I innisonaments are no aterxted «offered for sale. ff. however. IM balding or improvement is sold within one year of complrion, the ZONING APPROVED BY DATE :O' •?ju �(. owner-bolder win have the burden of proving he or she did no Wild or improve for dM purpose of sale). ❑ I.mownerdIMpropend.amexrrourvalycontractingailhlicensedcontract.roconstrWtheproject(Section7oW.Businamand BUILDING APPROVED BY : DATE.7) Profession. Coda. The Contractors License Law does nox appy to an owner of property who Wilds or improves 11hers on and who, contracts for wait prolerls with a oonirador(s) Iceneed pursuant to the Contractors License Law). ❑ tomezemprund on:/ ! B.SPC.,1«tho APPLICATION ISSUED BY: DATE: i0 l� O ! 4s T .� 1E iE rtiE iE iFBEie*irk*iF*iE iE iE 3E*iF iE lE iEiF7FlF7F if7f7Fif3F7FiFiF7F 3F iF7F7f 3FiF3E3EiF 3F�F�F�FiE3E7FiFdE iE it iE iEiP 9E iE BE* i * Date Dov"" LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y 1 do hereby candy that I ser aware d and understand the re,uinamen s d Cadoma Neellh end Safety Code Sections 20505. 25533, and 25534. and that l« any future building occupant win/win not(d.le one) need to comply with sad rete codes and the requirements for BLDG PMT PLUMBING ELECTRIC', MECHANIC FIRE SMIP/RES GRADING �1� lit formm atmdam« oddossiontrorr 's ua6 yliiy ar_ nrx nl Distnd. Residential mrtmmeion appiraicroareexampt from these 50 PERMIT 17,00 a ^� 2 Data; Acolcanl:SMIP/NON—RES PLAN 11.05 WORKER'S COMPENSATION DECLARATION: I hereby affirm under panaly of perjury one of the following detlerelions: ISSUE FEE ❑ Ihaveandwilmeindecacerlffcaed«xaendroaeHinwrokrwarkers'c«npawlian,esprwkedf«by5edion3)OOdlMlebor BUILDING—DIV—> PERMIT ISSUE PLAN1 CHECK TOTAL PAID DUE Cane. for tMpedarm.ofthe sort, for wNahthis pannhi.iesued. TOTALS ---- > 17,50 0.00 `11.05 28.55 28,55 ,00 ❑ have end coli this Fe workerewed. My nation dna«encs, m requited lay Section 3 nal o the Labor cede. for the penlormmce d IM (r wo6f«whorl title Parma i. i>seed.Myw«ken 4omron.attion Insurance wrier ane policy number are: REVENUE DIVISION TOTALS--> COLLECTED': coder: ) 28,55 OVER/SHORT: ,00 Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (mix section need nor be completed y the perms is for one hundred dollars ISIOCI iv lass) 17.00 " .50 11.05 ❑ I mniy thin in IM performance d the work for witch Ihia permit u issued, I sha11 rat employ am' perm in any mann« w m to r �, become cabled to the wokars' compensation awe of Caifoma. end agnea thin R 1 ahould become curies to IM w«mro' IiP SE 1E SF 3E 9E 9E SE lE 9E 9E*rtif 9E if**1E*iF iE if iE SE 9E iE*iE*1E iF*SE iE*irk iE-iE 9E iris**iE 1E*♦E**iE*9E iE St SE 1E iE*IE*IE 1E 9E***1E iE 1E*SE SE 9E 3E iE**if fE ..mpemwhon provisionsdSect.Se37W r m[m e or Code. I shall forthwith comply with those provisioner. I N D I V I D U A L ;-F E E B R E A K D O W N Del.: Applicant ' i Warning: Fallon to.score workers'compnuedo. coverage is unlawful, amd shell subpar an.mpl.w to criminal P.M. and TYPE QTY D E S C R I P T I O N .. 1 UNIT COST TOTAL COST civil fines up or we hundred thousand "hwa (510q OOl In sddidon to the cost of compensation, damages m provided for In S«uon37MofMcLaiCoalInreaat.andallomay'.fms. SFR 600 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 600,00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury Ihet them is a oondmdion lending agency for the END • OF FEES conformance of the work for which than pend is owed (Sed'on 3097, CN. C). LENDER'S NAME: LENDER'S ADDRESS: I codify That I have read this application end state that the above information is torted. I agree to complywith all city and county onchoucee and state laws reading to building construction and hereby adhw¢e repreaenrotive. of his my to anter upon the above mentioned property, ' for imapealom purlhesea. SCOTT NORDELL i Told oT I CYuwS'l Dae: Sgralure of Owns ent/Aopicant/Conn « (515146 WP) Whhe-BuiNig A Safety: G\ ,Rl.; Canary-AppMan; Pink-Revenue; GaWenrad-Assasmr ir- 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 Electrical Conduit-Undrgrnd. 55. Electrical Bonding r- �. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I° ' :-67 Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE .=T.,Footings 58. Electrical Conduit-Undrgrnd. - -_8. Foundation 59. Gas Pipe, U Undrgrnd., Test � 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 e, 67. Fencing & Access Approval r 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT #APPkbVALS_,E. Pe nit# 20.T,joug`hFactoryFiKeplace }S� ;a *: ? crt- v 21. Ducts, in Structure) •' - 70. 1-Undergr6b7it Hydro 22. Ducts, Ventil@ting'; ' IP 9 P' 71. Produc in 'ftbias t- tOiI 23. Gas PipetRough & Nest . ;., o; r� r ` 72. Underground Flush-• > ' 24. Roof Traming 71. Undergrrid, Storate Tank O Gas ❑Oil 25. Roof Sheathing 71_ 11.1 74 --Overhead Hydro, v ' K 26. T•Bar Ceiling (Structural) & M64ocoat 75.:Dry,CheFnical 27. Frame and Fjsshing , - F'S -11 76. Dry Standpipe - 28. Lathing &;Siding s' •'I -"k 72'"., FIXED$,I�STEM-FINAL^; ' 29. Insulation, - - - l' a: ,t 78. FIRE PREV. FINAL - 30. Drywall Nailing - a. :HEALTEFDEPT.-REQUIREMENT �. -. 31. Plaster Brown Coat'. c ' .•I- 76. FINAL IfJSPECTtON .. ' 32. F_lectrica_FPower Meter -Final ^' i ''' 1801 FOOD CERTIFICATE ISSUED a 33. '�inai'Electric - ., q Nptes: e 34. Final Hearing& Air Conditioning"- _ �+ _ . 3inal"Ga:F;eTest. ` - .. �� ' 36. Hood -or ,CanoPY _ 37. Final Factory Fireplace -7, ' •;. " �• .38. Flnal.Plumbing y, J39. �„- Water Service,FinaF•-".". 40. Gas Service -Final - 41. Solar Domestic -Final. T I 42. Backflow,Preventyu{ 43. Backflows Irrigation t« 44. Landscape Irrigation,System 45. Sound Attenuation ,46. Handicap Regulations5 k' - 47. FINAL STRUCTURE & BUILDING q 48. FINAL PLANNING, Ur 49. Electric Release to Edison a = n. Gas Release to Southern California -Gas Co V= - 51. CERTIFICATE OF OCCUPANCY '^ No. Date Doorway To Remain Open - (No Door) \� Existing Side Door Proposed ,, Garage Door w/ Electric Opener r Electric Opener I I Existing I I Garage I I Structure I ,_No Obstruction_ I I To Either Side I I I Existing 1 I Door I I DIVISION OF BUDDING SAFETY Vie From Interior CITY OF CO TA MESA — — —I g, 2„ TMs set Of plans and spedfications MUST be kept on this job at � times �I And It Is to ecMh���q - 'u^ration on same without written permission IMM the ZMttia�l�„�ttMAafety. City of Costa Mesa The btampm9 �� P speci.�iceabons SHALL NOT be held to permit or to be an approval Of ft violation of © any provisions of any City of Cosfa 171 i Mesa ordinance andrar Stale law. 17 1 , t Q i These pian; and permit shall expire by limira•;cr and be I,l` the build or wo is not cn,T-r. n^ „ . , �� and void it A C�aragpPoory pener'19C f,103 Seeandary-Light— B, C - Motion Sensor Light, Exterior D� Switch NOTE APPROVED 1C RO 9' ED ,Off- CITY OF COSTA MESA PLANNING DEPT. �SU,% T TO ELDO. DPT -,M Ll� Xi DATA /� S Qin w ft —..:? ADDITIONS, DELETIONS, OR CORRECTIONS SHALL har-, dOU � BE APPROVED 6Y THE FLAiVidlfdG DEPARTMENT !�� e� ScJott Nordell Hm 650-2880 _ Bus 896-3311 x 71687 Springs, . attic{Jt.'�f.r•• // yt{�.r•r•r.J / / / 1 Opener — — — I c" it 4d al W416c" N stand orb be an Mese onrK. ThmPLM ft buikltrtg (to Wmin is I roof beams [ON OF BUILDING SAFETY CITY OF COSTA MESA APPRO VED 4 speelffcatfats MUST be kept on this job at all tinges nake arty changes or alteration on same without written Dlvislon of Building and Safety, Citv of Coste Mesa. Plan and speOicauovs St- ILL 1'. )T be hold to permit of the violation of any p, .�icr, of an, City of Costa or state law, 10 shall Upue by lo!tati, ),corn•;,e end void if not commenc..1 X10to it, 1 ac,. ,�� U8C §303 issrance. DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS 645 SEAL STREET Street Address Bldg. Permit # This Permit # AP Number 1. 1 (we), HERBIE JUNG , declare that I am the Owner of Title of the above referenced real property, and that I (we) hereby authorize: SCOTT NORDELL 714-650-2880 Name Telephone No. 645 seal street Street Address COSTA MESA CALIF. 92626 city State Zip to obtain permits in my behalf, as owner/builder, for GARAGE PERMIT at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. 4. 1 agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. 1 declare under the penalty of perjury that the foregoing is true and correct. Executed this 5 day of OCTOBER 19 95 , at LOS ANGEL FS, California. HERBIE JUNG__ OCTOBER 5. 1995 'S Printed Name n Date NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. NOTARIZATION REQUIRED OM -46 (Rev. 2/91) OWNER AMBURGEY, ORVILLE/TRANTUM, W. E. / DATE 3-16-56 JOBADDRESS 644 Ross/645 Seal BUILDING PERMIT NO. 2507 GENERAL CONTRACTOR Owner VALUE I{ 240.00 LOT 80/91 BLOCK TRACT 1986 � 601 fence nI GROUP J TYPE III ZONE FIRE DISTRICT 2529 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench ;-14-6 C Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Stab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, In Out Plastering Plumbing, Final, Fixtures Complete _ Plumbing, Final Gas Test Wiring, Final _ Occupancy d AS 44 FORM 210 3M 10-55 HARBOR ESTATES JOBADDRESS DATE 7-12-55 BUILDING PERMIT NO. 1514 GENERAL CONTRACTOR Dike & Oolegrove VALUE $ B4OOO OO LOT 93 BLOCK TRACT 1986 Residence Plan 13B GROUP TYPE V ZONE R4 FIRE DISTRICT 153h INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench 8 Foundation Forms and Grade to Garag Rough Framing I Q 6!' _ Plumbing, Rough to Slab JJ — g '/ --f 2r, Plumbing, Rough Complete o-ZT Temporary Pole Wiring, Rough Heating, Rough F l Heating, Final � 3' ca�� 70 Sewer, House / Sewer, St. '9 /./—s::;—' �4z $� Septic Tank or Cesspool Lathing, In Out Plastermg / - Plumbing, Final, Fixtures Com I Plumbing, Final Gas Test / Wiring, Final Occuoancv sta Mesa Building Department APPLICATION FOR PERMIT ill EAST " COSTA MESA2, CALIFORNI0th STREET A 1534__.._B.U_!_L.D I.N. G__..__.__ FOR APPLICANT TO FILL IN FOR OFFICE USE _ONLY Receipt No. Permit No. Building Address SPS r -e osta Mesa, California _ Nearest Cross St. 19th Street Receiv d bg, Date Recd. I _ i y" `� Date Issued L " B ' d ng , Address Owner Harbor Estates � � Costa Mesa, California ' i Mail Aadrcas 419 East 17th Street Newest I „ Cross St. Tel. City Costa Mesa No.LI 8-1159 Zone / No. of _ �a-/ Plans Type , / I Grou j y y Architect or Liq. Engineer Carlson & 2�iiddlebrmltlt Appro e ! by Date Address (:a,rien (strove CORRECTIONS City Lic. Contractor Dike & Colegroye No. 1301 Address 419 East 17th Street _ Legal Lot Description I No. 93 I Block I Tract 1966_ x. (Attach Metes and Bounds) No. of Bldgs. Size of Lot 60 X 110 Now on Lot pone Use of Existing Bldg. nonp Nii; f Families No. of I Rooms —n _ CITY OF /�rn- flliro-K � Z �+-t-t--Z7f-1ne/w'i p,)YILOM D r Setback Line from Rear Yard 601 Center of Street _501 Side Yard St DESCRIPTION OF WORK New ][ I Alteration Addition Repair I I Moving I Demolish V ' 't Building No. of -Size ____q73_- ft, Rooms 5 Stories 1 Exterlor Wall Coveringg}„C0 Roof Covering comp APPROVALS Foundation Location Inspector Date Forms, Materials, Under -Pinning Use 0 New Building Plan No. 13B Single n family residence i Frame: Fire Stops, Bracing, Bolts Lath. Int. . I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with, all City Ordinances and State Laws regulating ' building construction. Signature of Permittee Alit 0018 TOVe_.r---- - � Authorized Agt. e'C;= r Lath. Ext. Plaster, Int. Plaster, Ext. Masonry Reinforced Bond Beam Valuation Permit Fee $ o3.0, D 0 Plan Check $ 00 $ g, 000.00 Fee al $ oZ , 0 0 FINAL W.._ 'ne ,:_L! '�, 19_6a I I TIImaq SIO l YIOITArNlJggA Insfu3zsgsQ gnib[ina czalal n1a Street PLOT PLAN Show location and distances from property line and between buildings. OWNER TRANTUM, WILLIAM E. / DATE 12-2-55 JOBADDRESS 645 Seal St. BUILDING PERMIT NO. GENERAL CONTRACTOR Owner -builder VALUE $ 720.00 LOT 93 BLOCK TRACT 1986 Pvt. garage 'GROUP i TYPE V ZONE Rh FIRE DISTRICT 21 CiA INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench ',Z g —j S Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final - Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, In Out Plastering ' Plumbing, Final, Fixtures Complete Plumbing, Final Gas Test Wiring, Final Oncunan" r— 91n f1_ W l Sflfl 1 -SS eta Mesa Building Department APPLICATION FOR PERMIT J 111 EAST 20th STREET ' COSTA MESA, CALIFORNIA 215BUILDING 5�� ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permit No. Building Address Costa Mesa, California Received by Date Recd. Date Issued NearestS`S� CrossSt.Building Address Owner — Costa Mesa, California Mail Address G- j Nearest Cross St. Tel. City No. Zonee. I No. of I Type Grou Plans Architect or Lic. Engineer No. Approved by Date Address CORRECTIONS City Lic. Contractor No. Address LegalI Description Lo Lot No. .3' Block Trac (Attach Metes and Bounds) No. of Bldgs. Size of Lot 6a `}c Now on Lot ii f r7 �l C��\ 1� O Use of No.of I No. of Existing Bldg. FamiesliRooms I— --_ - i,_I. , . Z r SetbackLinefrom Rear Yard _74-1• Center of Street /f - T Side Yard DESCJRIPTION OF WORK New I ✓ I Alteration I I Addition - Repair I I Moving I I Demolish I OF COSTA MESA Building No. of Size / K ' Rooms / Stories Exterior Wall Covering 0 I Roof i Covering APPROVALS New Build �AQ �'• LL— Foundation 'Foundation Location Forms, Materials, Under -Pinning Frame: Fire Stops, Bracing, Bolts Inspector Date I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. Signature of Permittee Authorized Agt. Lath. Int. Lath. Ext Plaster, Int. Plaster, Ext Valuate Permit Fee $ 6,0 C Plan Check $ G O $ • Total G a Fee $ Masonry Reinforced Bond Beam FINAL FORM 204 S -BP 2M 6-55 PFC-7 55��cosrr979, i�Esn PLOT PLAN I Show location and distances from property line And between buildings m d J � J d o c IL IL Street PFC-7 55��cosrr979, i�Esn PLOT PLAN I Show location and distances from property line And between buildings VWNCK VISZOIAY, Tidor UAlt 5-30-73 'JOB ADDRESS Qq Raa_l R+rept BUILDING PERMIT NO. 4F790 E ZONE 3 VALUE ROUP J TYPE SUBCONTRACTOR WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING Q-7 FRAME ANO FLASH NG LATHING — IN OUT 6c PLASTER, BROWN COAT HEATING, VENT., REFRIG. AND A.C., FINAL 7 PLUMBING, FINAL AND GAS TEST ❑ RIIII nimr FINAI 36720 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. 90X 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely rBUILDING ADOR ESS OWNER MAIL ' TEL. ' CITY 1 NO. CONSTRUCTION n. _2 _ ,I I I n BRANCH .y� ADDRESS ARCHITECT TEL. ADDRESS CONTRACTOR ADDR%EE1SS 1 �V� �/J• �jPA(TIiR7 ylT� . ACCESS. BLOCS. CITY[ V RA61 GF iiAL• NO-S401b STAT CITY LIC. C. Np. 27079'-5 LIC. NOC. NO. 17eY 512E�^ IND OF LOT X / S� ON LOS NOW ON LO LV rj n 1I iI EXISTINN G BLDG. EXISTING SIZE OF NO. OF NEW BLDG. ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from tt:e pr visions of the State of California Business and Professions Coae, ivis' 3, Chapter 9. Signature of Permittee Authorized Agent P^'°s0 NAY 30 73PMsp001547 ****27 APPLICATION FOR BUILDING PERMIT ADDRESS E -' YO /S■ � � C/J. -L y ZONE NO. OFSE OF NEW EJ,Vi' 4r .4 PLANS BUILDING YARDS APPROVED YARDS APPROVED MAIN BUILDING I ACCESSORY BUILDING DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOCS. VAR.# DATE C.U.P.# APPROVED APPROVED ay_STATE a -V 73 �7 MO � t4l sG. FT. TAX � ri THE AMOUNT SHOWN UNDER VALUATbN IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE Y: 2 VALUATION . as PERMIT FEE $//Lr ry 061 jp v- / $ leo PLAN CHECK $ �` E ^ -IQ V V o LL TOTAL FEE $