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HomeMy WebLinkAbout656 SEAL ST - Building Permitsr IADDRESS OF BUILDING: 656 SEAL ST GMT: CITY OF COSTA MESA - BUILDING PERMIT avNEWs�'IAI ADDRESS EIE KNOWN: MOHAMED USMAN 2004 ARNOLD AV PERM NO: B 074486 C.M. 92627 PERMIT NO: B 074486 PLAN CHECK NO: N GOVT: N SUPP : N 714 ) 646-4032 APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: DEM ARCHITECT bENGINEER: UC HO.: JOB DESCRIPTION : DEMOLISH ILLEGAL STRUCTURES IN GARAGE SQ FT: ARCH.OR ENO:s ADDRESS: wit CLAIM VALUE: 300 . 00 CALC-VALUE: 1 , 000 . 00 GROUP OCC: R-3 /M-1 CONTRACTOR'SNATE: CONTRACTORS MARDIO COMMENTS : AS PER HOUSING CODE VIOLATIONS ADDRESS UC.NO.: 1EdE#iEiEdfiEdE9EdfkfdElE#dfdf3EiEiE3E#iE9EiEiE)E*dEREdE9Edfif**)f#df*RE***lEfE9Edf**dE)E#lE*)EfErt*fEdEdf#it*1E**4E9f)EdEiEiESfiEkdE+E-1f UNIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby elfin under penaly d perjury that I am feermd under provisions of Chapter 9 SETBACKS (commenting with Section 7000)of Division 3 of the Basins/sand Professions Coda.and my license is in fug force and effect. cm LIC NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Gale: Contractor LEFT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the (okaying reason(Section 7031.5&dileas end Professions Code:My ay or county which requires a monk to anagen,ewer.improve, PARKING REQ. P RO V: PARCEL: 42223113 Z N E: REF NO: demolish,or repel 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 PLANNING NOTES> Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation ol Section > 7031.5 by any applicant for a permit subjacs the appiaulo advdpenalty of not more than fere hundred dobn)SSOOf. !E')f!F#1E'%iflfiFiElflElE1E1EIf1E1ElEiEiC-i(-IE)E3E'lE'IEdF1f#iEiEiklf#1f3f1F9E1E3(-3EiE1flE'}F1ElfihlflEdE1E1F1F1E3EiE3E3h1EiEiE'1Ejf1E'1EiE#iE1EiE'1EdEjE)f')f3E'1E 0 I.as owner of the properly or my employees?rah wages es thee sole compensation.tell do the work.and the structure is not intended D EVEL OP MEN T SERVICES REQUIREMENTS or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not apply to an owner of propend who bold,or improves thereon,and who does such work himself or hermit or through his or her own employees,provided that such improvements ate not intended or offered for sate.it.however.the building or inpravement is sold within one yeas t/completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did nor build or improve for thepurpose of sale). • 0 I.as comer of the property,em exclusively contracting with licensed contractors to construct the project(Section 7044.Business and Professions Code:The Contractors License Law does not appy to an owner d properly who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for suchpursuant with a contractor(s)licensed to the Contractors License Law). _r." © exemtunder Secr^:Bp�44 B.APC.,for this reason:( NER APPLICATION ISSUED BY:9Ft...__ DATE: I J ice' \I' 3' U 4j \ OwnerOwner #dFiE****iElflE#3F3FiEit343Fil3tiiE#4EiEiiiE.ElEiE3EdE#if1E1E****... iF .3Eif#3f3FiE9f****bE1EIFifiElFiEiEiEiElEiEdfiE#*** 3t.,E* LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y reby certify that 1 em aware of end understand the requirements of California Health and Safety Code Sections 25505,25533.end 25534,and that I or any future building occupant will t will not(drab one)need to comply with said tate codes and the requirements for a permit for constructionor modifraionfomtheAs Duality Management Dierid.Residential construction applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING prONsions. PERMIT 25 . 00 Date: Applicant: _ SM I P/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby alfiod n under penally paths), d one the following decimations: PLAN • 50 1 I have and MN maintains certificated consent to self-insure far workers'compensation,asprovded for by Section 3700 of the Labor ISSUE FEE 7- . Code,for the performancedthe work for wlichthis permiisissued. BUILDING DIS > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE ❑ Ihave and wamaintamworkers'commmmainsurance. md performance TOTALS > 25 . 50 0 . 00 0 . 00 25 . 50 25 . 50 . 00 work for which the permit is issued.My workers'compensation insurance rancor end policy number are: Cartier REVENUE DIVISION TOTALS--> COLLECTED: 25 . 50 OVER/SHORT: . 00 Policy Number: - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed oldie perm'is kir one hundred dollars 15100l or less) 25 . 00 . 50 0 I candy that in the performance d the work for which this permit is issued,I shall nor employ any person in any maturer so a,to became subject to the workers'compensation laws of California,and ague that Bl should beanie subject to the waken' **IEIEIE*iE****3E3E3E****4E**4E1E*333333EiE)E*4E#1E k47E3E3E*3E)E*3EiEk 3E3EiE1E1EyE9E1ElElf*iEiEl ****#dE3E****'****ifif* compensation provisions d Sedion 3700 d the Labor Code.I shag forthwith comply with ton provi,idu. INDIVIDUAL FEE B R E A K D O W N Date: Applicant: • Warning:Failure to secure workers'compensation coverage Isunlaw?d,end shall subject an employer to criminal peruldes and TYPE QTY DESCRIPTIO Nx UNIT COST TOTAL COST civil lines hp to one lunched thousand dollars 0IO4000A In addition to the cost of compensation,damages as provided for In Section 3706 of the Lebon co0e,Interest,and etromav'sfees, NO FEES WERE SELECTED FOR THIS PERMIT CONSTRUCTION LENDING AGENCY: I hereby affirm under penally d perjury that there is a construction lending agency for the performance of the work for which the permit it issued(Section 3097,Civ.Cl. LENDER'S NAME: LENDER'S ADDRESS: `'{ 1 f� PIRED ee ItMS1 tor•-L , 6T T?r,, c ip� Cu.e, (Ll I stathatela have read this application and state that the above informationis airmail agree to comply with at dry and county dpropros and state laws relating to building ConWudion and hereby authorize representatives of this Sty to enter upon the above-mentioned property for inspection purposes. /�n/� y `, MOHAMED USMAN ^� ` YTV'y ` 18 ��I�1 DATE, I,i:Wt. 4 �1- qq Q-•� '7n; T 3T Print Name / i,/m �/1 2 \ \ J'n:t % :'1: 13/ ..."3l',t: .:r](i Date: era `. ly wenn mlhranVCAmrator (5151-4WP) White-131(961gA Safety:Green-Ale:Carry-Appliranl:Pink-Revenue:Goldenrod-Assessor vI • CONSTRUCTION AND PLANNIhrG VOL & SPA APPROVALS Permit Date Inspector • APPROVALS Permit Date Inspector "tr 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. f 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System .- 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 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 Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-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. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: 34. Final Heating & Air Conditioning / lg�p _ [ [ 35. Final Gas Pipe-Test 36. Hood or Canopy 4 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 a� 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date I F � /1� JULY 28, 1995 SUBSTANDARD PROPERTY 686 SEAL STREET (//' 1. Portions of the roof covering, roof sheathing, and rafter ends are deteriorated. [H&S.Sec 17920. 3 ; U.H.C. Sec. 1001(h) ; U.B.C. Sec. 1708 and 3201] 2 . Furniture, appliances, auto parts, and miscellaneous junk stored throughout property. [H&S Sec. 17920. 3 ; U.H.C. / Sec. 1001(d) ] v 3 . Garages at rear has been converted to living area without required permits and approvals. [H&S Sec. 17920.3 ; U.H.C. Sec. 0 . 1 . le . • U. : .C. Sec. 301 & 502]`S Jw 7ohave o.4T. Plumbing Installations appear tbeen made with-u� required permits and approvals. [U.P.C. Sec. 30. 1] Electrical service lacks required dead front. [H&S Code Sec. 17920.3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 370-15] 6 Wall damaged or deteriorated at bedroom. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001 (j ) ] AiL➢� .-1", • Cabinets at kitchen/bathroom are damaged/deteriorated and/or insanitary. [H&S Sec. 17920. 3 ; U.H.C. 1001 (b) ] Ceilings at bathroom and bedroom are damaged. [H&S Sec. 17920.3; U.H.C. 1001 (b) ; U.B.C. Sec. 1708 and 3201] 9 . Flex gas piping to heating unit through wall not acceptable. [H&S Sec 17920. 3 ; U.H.C. Sec. 1001(b) ; U.B.C. sec. 1212] ✓10. Extension cord wiring at bedroom light fixture. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 110-8] 11. Sink fixture at kitchen leaks. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001(b) ; U.P.C. Sec. 319] Lk w it> m f oct ® Tub/shower fixture is damaged, deteriorated, and insanitary. [H&S Code Sec. 17920. 3; U.H.C. Sec. 1001 (b) ; U.P.C. Sec. 319] 13. Water heater lacks required seismic anchors and vent system does not meet minimum standards. [H&S Sec. 17920.3; U.H.C. Sec. 1001 (f) ; U.P.C. Sec. 1305, 1310, 1312-17] ✓ 14. Laundry standpipe lacks required trap heed.. [U.P.C. Appendix C] icVf �; / * t . l t.� 15. Laundry installed at exterior without permits and approvals. ✓ 16. Hazardous exposed electrical wiring at garage conversion. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 110-8] Permits are required for the above repairs and can be obtained at the Building Department between the hours of 8: 00 a.m. to 11:30 a.m. , and .1:00 p.m. to 4 :30 p.m. , Monday through Friday. ANTHONY WEIMHOLT ( - Housing Code Enforcement Consultant Wednesday and Friday 8: 00 a.m. to 10: 00 a.m. (714) 754-5619 t • • • • C. fav kJ) S Feb 4 '97 12:03 P.02 • T•�y C • }-e c,YUt,+,trd- 2)1 1q.a 7 tnis Ie- t+c-'t4 w itbc v► tvi HpiciZt a..+rl try) 1ke, n — Fa-du-CA 1'Ytx. J1 &9P SC21 t (VI (,c* 11\kAVY U. cu W e. W$t t,td. kkb to ;rift til. * r Wattrr o -tinr-2e- nnerrttVaS Iva e-fdsW to crrnsipikAc v3-77(1(-- y cct aM vcce es � T[�t g- ✓eec.3�8� 1� �, 4 vt c:w�t be ILAA c,�rn p to -rim., t klhlch& � 1f ct re,suvt a ' 1144,4 0 AAv 5 Tkt, 4ehti AA7(- was i n fbt ct -Feko wortrtc, a,w, wcxd% berg ►mac dt,A-, a cr oL t c,IAu.At k w\. fig.. ktrim-C -b c.om p C.R-- k,cb- C tJ Q \vs l\.,e. v\;c6.1 tot t� Q.J . �u 2 lvt.% e%-e.'t., • t0 . -RE u,a a v> . lle - tr ton Pw * Mo1ACt VW U9CV1 -744%°1 (okt —403)- lc el144 CO- ADDRESS OFBUILOWG: 656 SEAL ST UMT: CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAME IFIINO'M: MOHAMED USMAN PERM NO: P 074489 / ADDRES£ 2004 PRNOLD AV 1 C,M. *1027 PERMIT NO: P 074489 PLAN CHECK NO: N GOVT : N SUPP: N 71'U--'b46-4032 AlPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE : PLU PURPOSE: REP ARCHITECT OR ENGINEER: UC,NO.: JOB DESCRIPTION : AS PER HOUSING CODE VIOLATION SQ FT: ARCH.OR ENG.'S ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS NAME: CONTRACTOR'SMNUNO COMMENTS: SEE ATTACHED LIST ADDRESS: LIC.NO.: ******************************************************************************* UMT: ZONING REQU I REMENTS LICENSED CONTRACTORS DECLARATION:I hereby atlem under penalty of perjury that I ern licensed under provisions of Chapter 9 SETBACK S (commenting with Section 7000)d Division 3 of the Business end Professions Code,end my Scene is in full face and effect. • Cm LIC.NO.: LIC.CLASS: 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 RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any cfy a county which requires a permit to connect.atter.improve, PARKING REQ: P ROV: PARCEL : 42223113 Z N E: REF NO: demolish,or repair any structure.prior to its issuance,also requires the applicant la panni to panto file a signedthee statement t he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES> Business and Professions Coder or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of nor more than five hundred dollen ISSOOU. *******************************************************************************• ElI.as owner of the property or my employees with wages as thele sole compensation,will do the work,and the structure is nor intended D EV EL OPMENT SERVICES REQUIREMENTS or offered for sale(Section 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.H,however,the building or improvement is soil within one year of completion.the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I,as owner of the properly.an exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon end who BUILDING APPROVED ED B Y : DATE: _ contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). 1 p : exemptu .rSection: 2p70 ' B.AP.C.,for thi reason: C SI APPLICATION ISSUED BY: 1� •°t DATE: o — — `�1 /0 U ( Owner ************************** *** ********i *****' *"*"**iE?F3EiE♦EiE*** *** LEGALIZATION:N F E E SUMMARY M A R Y STRUCTURAL SEGMENT: N 1••hereby cern, that I am. are of end understand the requirements of California Heath and Safey Code Sections 25505,25533,and 534.and thatloratryrd bationgom om them will/wil he fyMa(gemeM Dineedteidnpywihaaldonapldesns areerpvinmmndfa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING ep34. tnt that f or an tut . retbn paspant l/iiyfot(demeoe)nie toeiompyential pih sidoate code ndteexempt eme is fr provisions. PERMIT 19 , 00 Date: Applicant: 25% - SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN r IEl have and wil maintain certificated consent nsent to seneurs kcompensation.r waken'copensation.as provided for for by Section 3700 of the Labor U I L E N G- 2 0 • S 0 Code,for the performance of the work forwhchthispermiisissued. BUILDING DIC > PERMIT ISSUE PDAN CHECK TOTAL PAID DUE ❑ Ihave end vdlmaimairworkers'compenwoninsurance,asrequired bySection 370001the Labor Code,orthe Performance ofthe TOTALS > 19 . 00 20 . 00 0 . 00 39 . 00 39 . 00 OU work la which this permit is issued.My workers'compensation insurance carrier and policy number are: 4-e- Carrier: REVENUE DIVISION TOTALS--> COLLgCT,ED: 39 . 00 OVER/SHORT: .00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed f the canna is for one hundred dollars(5100)or lest.) 39 . 00 .. ❑ 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 rn become subject to the workers'compensation laws of California. and agree that B I should become subject to the workers' ***.)E****.)E*****************N.****.)f{[•*.K.**.7(,*{E*************************************** compensation provisions of Section 3700 d the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL .F. E E BREAKDOWN Date: Applicant: warning:Failure to secure workers'conpsuation coverage is unlawful,end shall sub/.ct en employer to criminal penalties and TYPE QTY D E S C R I P T I O N , UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($104000),In addition to the coat of compensation,damages as provided for In Section 3706 of the Labor Cods,Interest,and attorney's fees PLU 1 LAUNDRY TUB OR WASHER 7 . 00 7 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the PLU 1 WATER HEATER AND/OR/WENT 7 . 00 7 . 00 performance of the work for which the permit leissued(Section 3087,cH.c). PLU 1 GAS PIPING SYS OF V 1; TO 4 OUTLETS S. OEXpIRE�5 . 00 LENDER'S NAME: END 'on FEES +ii+1+ }I LENDER'S ADDRESS: • DATE,Icerlity that thew read this application and reale that the above information is wned.fagree m comply with dlmyend courtly ordinances ,rJ.-+�/ /�1A n.n�/ IA ' n nC"DATE,C?) R and state laws relating to building construction and hereby authorize representatives of this ply to enter upon the above-mentioned property ppE.'( 7`/1')514„„rr/k� 162r4f�lf/ pby r.3^ cI�C BeiceL �I i/ �i '�( o ' - - s x for;nalxrdion pumout. MOHAM`'D AUSMAN / WrS T) P��V' / �- / N B -L /. (! l/RLQ. t;,`'1Lr5z• i:('a: Q4 /// SiI / III p r, ���I-/P Date: �/ /� ! 7 /y AN [((%/. •/ /i, Signature: ,•en Ppcen✓Contmda / / l-.' g 2�A/51, ( ,-,,, f�',�I / I (5151-46.WP) Whit. :.'.ng&Safely:Green-Ale:Canary-Applicant Pink-Revenue:Goldenrod-Assessor 7, I[', L/J 7 _ �DAIFTRUCTION 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 4. Eletrical Conduit-Undrgrnd. 55. Electrical Bonding 5. ICI Reinforcement - 56. Rough Plumbing & Pressure Test • 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation / 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 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 Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-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. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /-/c._ C6 a,t R c t�1/4453 34. Final Heating& Air Conditioning ,, r , / / _ _►�- 35. Final Gas Pipe-Test /„ _� f 3 /t• (CCS r.-- 36. Hood or Canopy 37. Final Factory Fireplace - • 38. Final Plumbing 39. Water Service-Final ' i 40. Gas Service-Final 41. Solar Domestic-Final ' `.' 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System b° ¢ 45. Sound Attenuation ( 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING _ 0'1 49. Electric Release to Edison ' Cal 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date ADDRESS OF BUILDING: 656 SEAL ST UMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF MOM: MOHAMED USMAN PERM NO: M 074488 "ADDRESS: 2004 ARNOLD AV ss C •M. 92627 PERMIT NO: M 074488 PLAN CHECK NO: N GOVT: N SUPP: N • MK.MMUNO ADDRESS: 714 ), .646-4032 CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: REP ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : AS PER HOUSING CODE VIOLATION SQ FT: ARCH.OR ENC.'S ADDRESS: UM: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTOR'S NAME: CONTRACTOR'SMAURO COMMENTS : LAUNDRY VENT ADDRESS: UC NO.: ******************************************************************************* WIT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Divisbn 3 of the Business end Professions Code,end my license is in full force end effect. CRY LIC.NO.: LIC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Date: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I ant exempt from the Contractors License Law for the following reason(Section 70313 Busoses end Professions Code:Any city or county which requires a permit to conswct,alter,improve, PARKING REQ: P RO V: PARCEL : 42223113 Z N E: REF NO: demolish,or repel'any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement thin he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 or the PLANNING NOTES> 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 lore permit subjects the applicant toacivil penaltyofnot more than lire hundred dollen MOOD. *****************i(,***df**************************if-***********VP**********it******* ElI,as ownerofthepropeiyormyemployeeswithwagesastheirsolecompensation,willdothework,andthestructureisnalintended DEVELOPMENT SERVICES R E U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply lo an Owner of property Q who builds or improves thereon,and who does such work Nmseff or herself or through his or her own employees.provided that such improvements are not intended or offered torsofe.f,however,the building or improvement is sold within one yeas of completion.the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve tor the purpose of sale). ❑ I.as owner of the property.am esdusiveN contracting with licensed contractors to construct the project(Seaon 7044,Business and 7 Professions Code:The Contractors License Law does nal apply to an owner of property who builds or improves thereon and who BUILDING APP ROC ED BY : DATE: p. such p such projects with a contractor(s)licensed pursuant t th fm racier License law). (' M 9under��e/aiomBP70c4 B.aP.C..forI o ** APPLICATION ISSUED BY: DATE: o_ '— y e : / (0 /Owner. - ************************************h,'.rtxlf************************** ate LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N do hereby certify that I am aware of and rand the requirements of California Health and Soley Code Sections 25505,25533.and 25530.and that I or any Allure building occupant will/w0 not(circle one)need to comply with said pate cedes and the requirements for apermit for conulnotionormodificatonfrom the Arty arepement District.Resit«Nialconstnudonappimtiorn aro exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING previsions PERMIT4 . 50 Date: Applicant: 25* SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN ( , have andeil maintain a certificateconsent toseff-insure f«workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE 15 . 00 ❑ d Code of aacelhewoM1t« this BUILDING—DIV—> PERMIT ISSUE PIAN—CHECK TOTAL PAID DUE El have and wit meintab workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the TOTALS > 4 . 5 0 15 , 0 0 0., 0 0 19 . 5 0 19 . 5 0 00 work for which this permit is issued.My workers compensation insurance carrier and policy number are: ('� Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 19 . 50 OVER/SHORT: . 00 Policy Number: _-- BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the permit is for one hundred dollars($100j or Sul 19 . 50 ❑ 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,end agree that i I should become subject to the workers' ***.K.**************iF***ifif#ififififif*ifififififififiEiFififif*ifif******#if*ifif*if***{f**************** compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. IND I V I D U A L- F E E BR EAKDOWN Date: Applicant: 1 Warning:Failure m secure workers compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tines up to one hundred thousand dollars(5/00,000).In addition to the cost of compensation,damages as provided for/n Section 3705 of the Labor Code,Interest,and attorneyafees. MEC 1VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury the there is a construction lending agency for the END OF FEES gronnance of the work for which this permit is issued(Secton 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: /r,,/ < //� S I certify that I have read this application and stale that the above information is coned.I agree to comply with all city end county ordinances s�N �� l/^'� U`�n .c y -1 and ause taws rowing to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. '7' (!1L p i 7{/ • �- i • MOHAMED USMAN / 7 ✓ L7` �` 44TEM • �j3 , I, • i0-i, t,„)9ri?E. TCT Q"1 � pig,f urs• • .r/ •ent/AppicanUContraaor /3 7b77 I (5151-46.WP) White-Building A Safely:Greer-File Canary-Appicanl;Pink-Revenue:Goldenrod-Assessor 1 L/.//�/-c— (� 7 / r . 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 . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd, ' 57. APPROVAL TO COVE R-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • 6 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor Systcin- - 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 Elect?oa-i-Conduct y 66. Solar System-Final - - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough W.hirrg'Sign;; - _ -:,-.2- . -68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceili4 ' • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air,Conditic,rin9 FIRE DEPT. REQUIREMENT 20. Rough Factory FireplaceAPPROVALS' Permit* 21. Ducts, in Structure -. 70. Underground Hydro '-• L.,. 22. Ducts, Ventilating - - • ' 71. Product Piping ❑Gas G Oil 23, Gas Pipe-Rough & Tecr- •- - 72-:-Underground Fluth -- 24. Roof Framing 73. Undergrnd.Storage Tank .0 Gas ❑Oif 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 I INAL • 29. Insulation - 78..FIRE PREY. FINAL - ,- . - 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT • - 31. Plaster Brown Coat . - 79. FINAL INSPECTION 32. Electrical Power Meter-Final ' ; 80.`FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: /-_/4-_94, fr, 34, Final Heating&:Air Conditioning . - •-. t " '., - 35. Final Gas Pipe-Test /A r f�CyL.�_ 1- ' 36. Hood or Canopy ._ - L=.l%•' _ f( _ ,- 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 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING l l 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co ~ • 51. CERTIFICATE OF OCCUPANCY No Date 4 ed JULY 28, 1995 SUBSTANDARD PROPERTY 686 SEAL STREET 1. Portions of the roof covering, roof sheathing, and rafter ends are deteriorated. [H&S.Sec 17920.3; U.H.C. Sec. 1001(h) ; U.B.C. Sec. 1708 and 3201] 2 . Furniture, appliances, auto parts, and miscellaneous junk stored throughout property. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001(d) ] t.4. Garages at rear has been _converted to living area without required permits and approvals. [H&S Sec. 17920. 3 ; U.H.C. Sec. 0 . r• is • • U. : .C. Sec. 301 & 502] S , tai a }t)a VAI I I T.A4c 7 h OCT '_ _ho—, Plumbing installations appear to have been made without required permits and approvals. [U.P.C. Sec. 30. 1] p Electrical service lacks required dead front. [H&S Code Sec. 17920.3 ; U.H.C. Sec. 1001(e) ; N.E.C. Sec. 370-15] 6 Wall damaged or deteriorated at bedroom. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001(j ) ] y,C Cabinets at kitchen/bathroom. are damaged/deteriorated and/or insanitary. [H&S Sec. 17920. 3 ; U.H.C. 1001(b) ] Ceilings at bathroom and bedroom are damaged. [H&S Sec. 17920.3; U.H.C. 1001(b) ; U.B.C. Sec. 1708 and 3201] Flex gas piping to heating unit through wall not acceptable. [H&S Sec 17920. 3 ; U.H.C. Sec. 1001(b) ; U.B.C. Sec. 1212] ✓10. Extension cord wiring at bedroom light fixture. [H&S Sec. 17920.3; U.H.C. Sec. 1001(e) ; N.E.C. Sec. 110-8] 11. Sink fixture at kitchen leaks. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (b) ; U. P.C. Sec. 319] 0( wa-.. T*C r o , Tub/shower fixture is damaged, deteriorated, and insanitary. [H&S Code Sec. 17920.3; U.H.C. Sec. 1001 (b) ; U.P.C. Sec. 319] 13. Water heater lacks required seismic anchors and vent system does not meet minimum standards. [H&S Sec. 17920.3; U.H.C. Sec. 1001(f) ; U.P.C. Sec.1305, 1310, 1312-17] ✓ 14. Laundry standpipe lacks required trap heed. [U.P.C. Appendix C] lomuc 4.� 15. Laundry installed at exterior without permits and approvals. ✓/16. Hazardous exposed electrical wiring at garage conversion. (H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 110-8] • Permits are required for the above repairs and can be obtained at the Building Department between the hours of 8: 00 a.m. to 11:30 a.m. , and 1: 00 p.m. to 4:30 p.m. , Monday through Friday. ANTHONY WEIMHOLT Housing Code Enforcement Consultant . Wednesday and Friday 8:00 a.m. to 10:00 a.m. (714) 754-5619 E. Itc v • • 2c4:' [ I ADDRESS OF BUILDING: 656 SEAL ST LINT: CITY OF COSTA MESA — BUILDING PERMIT OWNER'S ONE D KNOWN: MOHAMED USMAN 'PERM NO: B 073991 ADMREB& 2004 ARNOLD AV C .M. 92627 PERMIT NO: B 073991 PLAN CHECK NO: N GOVT: N SUPP: N 714 ) 646-4032 APR•IIMUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STIR PURPOSE: OTH A ARCHITECT ORENNNEER: Lit Pa: JOB DESCRIPTION : T/OFF & REROOF W/COMP . SHINGLES SQ FT: 1 , 500 ARCH.OR ENG.'S ADDRESS: WIT: .lCLAIM VALUE: 1 , 500 . 00 CALC—VALUE: 1 , 500 . 00 GROUP OCC : R-3 / CONTRACTORS M/iN10RRSNAI* COMMENTS : DETECTORS ARE REQ. IN EVERY BEDROOM & HALLWAY "HOUSING CODE VIOLAT GONfRACTO ******************************* *********************************************** ADDRESS: UC.NO.: LINT: Z •O K INC REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty d perjury that I em licensed under provisions of Chapter B SETBACKS (commencing with Section 7000)of DMsion 3 of the Business and Professions Code,end my license Is In full force and effect. ^.IrY UC.NO.: UC.CLASS: LJC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN cats: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty Of penury NM I am exempt Iron the Contractors License law for the following reason(Sworn 7031.5 Business and Professions Code:Any city or county which requires a permit to cawwd,alter.Improve. PARKING REQ: P RO V: PARCEL : 42223113 Z N E: REF NO: demolish,or repair any structure,prior to los issuance,oleo requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> ' is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7030)of Divebn 3 of the Business end Professions Codel or that he or she is exempt therefrom end the besis for the alleged exemption.MY violation d Section :> 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than lire hundred dollen M5DD1). ******************************************************************************* ❑ I,as owner althe yormyemWaaeewOhwagesestheiWecompenWbn,silldothewo&adtMMMdureisnotintended D E V E.L O P M E N T SERVICES REQUIR EMEN TS or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to en owner of property who twice or improves thereon,end vein does such work himself or herself or through his or her own employees,provided that such knproements are not intended or offered for sale.Lhowever,the building or improvement is sold within onethecompletion, ZONING APPROVED BY DATE: owner.buitder will have the burden of proving he or she did not Wild or import for the purpose at sale). ❑ I.Gowner ofth properly,am exclusively licensed uw° pr orsooMthepjed(Se°mn7044.Businessend BUILDING APPROVED BY : DATE: - Professions Code:The Contractors License Law does not apply to en owner of pref erly who builds or improves thereon end who S: > contracts for forsuchpropelcontractor(s)with acontractor(s)licensedpursuant to the Contractor. cense Law). am eampt under Section:BP 7044 e.a P.C.,for this reason: OWN ER APPLICATION ISSUED BY: DATE: a �FF' / ************************************ * ************************** 4, ** j! ' } U - 9 � owns ✓V1v�tw�w1.P0� SI �-- LEGALIZATION:N F E E U M M A R Y STRUCTURAL SDGMENT: Y ,ohereby certify gut I am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,end ' 25534,end eat l or any Muni building occupant will/wil not(circle ons)need to oomph/with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit foreonstmdion or modificationfrom the Ar Quality Management District.Residential construction apploulonsare exempt from these PERMIT 35 . 00 . 50 provisions. Date: Applicant: SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty al perjury one of the following declarations: ISSUE FEE . 3 I have and ON maintain a cenificate ol consent to seff.insure for workers'compensation,as provided for bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for the perfonnsnedthe work for which this pentaIssued. TOTALS----> 35 . 50 0 . 00 0 . 00 35. 50 35 . 50 . 00 ❑ I have and will maintain workeri compensation insurance.es required by Section 3700 of the Labor Code.for the performance of the work for whish Nis permit compensationnsendM a pa 'aed'My workers' Insurance rue` policy number are: REVENUE DIVISION TOTALS--> COLLECTED: 35 . 50 OVER/SHORT: . 00 Caner orny Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed r the panne is for ane hunched dollen($100)or leas.) 35 . 00 . 50 ❑ I coney that in the performance of the work for which the permit is issued,I Nall not employ any person in any manner so as to become cubed to the workers'compensation laws of California. end agree dui B I should became subject to the workers' ******************************************************************************* convene/can provisions d Swipe 3700 of the Labor Code,I shall forthwith comply wah Noes provisions. IND IV IDUAL F E E BR E AKDOWN Date: Applicant: H Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminalpenalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clW1 fines up to one hundred thousand down(3704000)In addition to the cost of compensation,damages a provided for In S.ction3706ofth.LaborCods,lnterest,andartomey'slees. SFR 1500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 500 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there I.a construction lending agency for the END OF FEES performance of the work for which this permi is issued(Section 3097,Ck C). SMOKE DETECTOR LENDER'S NAME: i. _ LENDER'S ADDRESS: • I certify that l have read this application end state that the above information is correct.I agree to comply withal city and county ordinances REQUIRED . and stale laws miming to building construction and hereby authorize representatives of this Sty to enter upon the above-mentioned propend for inspection purposes. MOHAMED US A (Name i 1 - i.T :ti' ,;C79.} a Ai�� rVnI' L (II : ;S of r any DMe: eg Sq ua (515146.WP) While-Building a Safety:Green-Flo;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor A CONSTRUCTION AND PLANI'..•G - POOL & SPA Date Inspector Date Inspector • APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 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 Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating, 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing p �j�/� 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing I // / .���'�' _ 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 1 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric • - Notes: ¶-GF n..,� /.,., KCtear 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 Cr"! ' • 42. Backflow Preventer (`. • 43. Backflow Irrigation ' MI 44. Landscape Irrigation System ! i"r 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /� 3 48. FINAL PLANNING • - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 4 7141 ADDRESS OF SUILIM 656 SEAL ST DIT: CITY OF COSTA MESA - BUILDING PERMIT OWNER'S WV IF KNOWN: MOHAMED USMAN PERM NO: E 074487 I ADDRESS 2004 ARNOLD AV C.M. 92627 PERMIT NO: E 074487 PLAN CHECK NO: N GOVT: N SUPP: N 714 ) 646-4032 • APPL.MNLINGADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: REP ARCHITECT OR EMSINEEB: UC,NO.: JOB DESCRIPTION : AS PER HOUSING CODE VIOLATION SQ FT: fit ARCH.OR ENG.'S ADDRESS: UNT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1 CONTRACTOR'S NAME CONTRACTOWSMNUNG COMMENTS: HAZARDOUS EXPOSED ELECTRICAL WIRING AT GARAGE ADDRESS: UC.NO.: **.**************************M Mt************************************************* UHT: ZONING REQU IREMENTS UCENSED CONTRACTORS DECLARATION:I hereby aim under penahy of perjury that I am licensed under provision of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • CITY UC.NO.: LIG.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dam: OO1tr°dor` LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly d perjury that I am exempt from the Contractors License Law for the foffowig reason(Sedion 7031.5 Business and Professions Code:Any city or wnmty which requires a permit m construct.Sher.improve. PARKING REQ: P ROV: PARCEL : 42223113 Z N E: REF NO: demolish,or repair any structure.prior to es issuance.also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencing with Section 7203)d OlisiOn 3 d the PLANNING NOTES> Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031.5 by any applicant for a permit subjects theapptkant to a civil penalty dndmorethan five hundred dollars MOOD. ***!E****'1E********1(j(-**************'1F****'lE*******************7E*'1E**********if**M'*1E** ❑ I.as owner of the property or my employees with wages es their sole compensation,will do the work.and the stmcture is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does not apply to an owner of properly who builds or improve,thereon.end who does such work himself or herself or through ha or her own employees,provided that such improvements are not intended or offered for sale.If.however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE : owner.buiter will have the burden of proving he OF she did nos build or improve for the purpose of sate). ❑ I,as owner of the popery,em exduaively contradiq with licensed contractors to canstnnn the project(Section 7044.Denise,,end Proleaebns Code.The Contractors License Law doe°not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a mNrador(s)licensed pursuant to the Contractors License Law). �T I I ' — ��- am �o�n:Bi7044 B.AP.C.,fd ///: dW ER APPLICATION ISSUED BY: 1 '- DATE: J — at°' LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT: N hereby artily that am aware of and understand the requirements d Calidnie Heath and Safety Code Sections 25505,25533.and 25530, that I or en Mure building occupant will I wit not(dmle der)need to comply with said sere cedes and the requirements M apemne for construction o modifcationfrom the eu ty aregment Matria.ResideMiW Residential constrionapp&eluro an exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 11 . 00 Date: Applicant: / 50% SMIP/NON-RES PLAN WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 15 . 00 ❑ I have and MI maintain a certificate of consent to self-insure for workers'canpenseticm,asprovidedforbySedan3700dlhelabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the p.rm� oamgedthe sock for which this maaa pe .aed. TOTALS----> 11 . 00 1.5 . 00 0 . 00 26 . 00 26 . 00 . 00 ❑ I have and wit maintain workers'compensation insurance,as required by Sedan 3700 of the Labor Code,for the performance of the work for which this permit a issued.My workers'compensation insurance carder end policy number are: Carder. / REVENUE DIVISION TOTALS--> COLLECTED : 26. 00 OVER/SHORT: . 00 Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This sectkm need nor be completed i the panne is for one hundred dollen($too)or las) 26 . 00 4r ❑ I may that in the pedonnance el the work for which Iha permit a issued.I shall not employ any person In any manner so as to become subject to the workers'compensation laves of California, end agree the it I should become subject to the workers' ******************************************************************************* conpenalion provisions of Section 3700 el the Labor Code,f shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Dara: Applicant: • Warning:Failure to secure workers'compensation coverage le unlawful,and shell subject n employer to criminal paned°,and TYPE QTY D E S C R I P T I O< N UNIT COST TOTAL COST civil Ones up to one hundred thousand dollars($tO0,000),In addition to the coat of compensation,damages as provided for In section 3705 of the Labor code,Interest,and alromaye feet ELE 1 MISC APPARATUS NOT LISTED REO PERMIT 11 . 00 11 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a commotion lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,CN.C). r LENDER'S NAME: L((T c„„5 r 3..^ 3(C' in�(4I . LENDER'S ADDRESS: SSS��� y� 7 1a.� Icegy that have read this application and state that the aboveirdomatton a correct.I agree to coin*with ea dry andoounyordMeces 6\ -1-2,^) (IPL RC(N tXM )T �p and slate taws rotary to building construction and hereby authorize representatives d this thy to enter upon the abovementiced popery rfjsie' I �, M \ a1 'Jl.l: ___ i i h•. _I- for inspection sde I �IIrJp sod purposes. MOHAMED UiMAN (1"1-; I IN ��9s� /J P 1 fio�,a 5� �,,� 2 suis, _A% ilt / 7 ‘.I Date: / Signature• �e App i��r�lrar4d /J /Jprt'I- IS -41 (5151 se.WP) White-Building&Safety;Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor • •CCNSJRUCTION 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 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing &Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - - 8. Foundation 59. Gas Pipe, 0 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 67. Fencing & Access Approval f 17. Rough Wiring Sign • f 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 Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro } 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-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. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: -,Zs_9� �� �l �/'�.��J(7_QCU/1cE�GE'�9( 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 t 40. Gas Service-Final 41. Solar Domestic-Final ( 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 'C ti JULY 28, 1995 SUBSTANDARD PROPERTY 686 SEAL STREET 1. Portions of the roof covering, roof sheathing, and rafter ends are deteriorated. [H&S.Sec 17920. 3 ; U.H.C. Sec. 1001(h) ; U.B.C. Sec. 1708 and 3201]. 2 . Furniture, appliances, auto parts, and miscellaneous junk stored throughout property. [H&S Sec. 17920.3 ; U.H.C. / Sec. 1001(d) ] P . Garages at rear has been converted to living area without required permits and approvals. [H&S Sec. 17920.3 ; U.H.C. Sec. 0 . ,. es . ; U B.C. Sec. 301 & 502] ÷ a.---- 5P» NL VIII r_ )dam Plumbing installations appear to have been made with E required permits and approvals. [U.P.C. Sec. 30.1] LSC c c Electrical service lacks required dead front. [H&S Code Sec. 17920.3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 370-15] 6 Wall damaged or deteriorated at bedroom. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (j ) ) Daft-44 "-,‘ Cabinets at kitchen/bathroom are damaged/deteriorated and/or insanitary. [H&S Sec. 17920.3; U.H.C. 1001(b) ] AL Ceilings at bathroom and bedroom are damaged. [H&S Sec. 17920.3 ; U.H.C. 1001(b) ; U.B.C. Sec. 1708 and 3201] 9 . Flex gas piping to heating unit through wall not acceptable. [H&S Sec 17920. 3 ; U.H.C. Sec. 1001 (b) ; U.B.C. Sec. 1212] 1-10. Extension cord wiring at bedroom light fixture. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001(e) ; N.E.C. Sec. 110-8] 11. Sink fixture at kitchen leaks. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001(b) ; U. P. C. Sec. 319] Tub/shower fixture is damaged, deteriorated, and insanitary. [H&S Code Sec. 17920. 3; U.H.C. Sec. 1001 (b) ; U.P.C. Sec. 319] 13 . Water heater lacks required seismic anchors and vent system does not meet minimum standards. [H&S Sec. 17920.3; U.H.C. Sec. 1001 (f) ; U.P.C. Sec.1305, 1310, 1312-17] 4--".--14. Laundry standpipe lacks required trapheed. [U.P.C. Appendix C] `tV6or r, • yl 15. Laundry installed at exterior without permits and approvals. ✓ 16. Hazardous exposed electrical wiring at garage conversion. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001(e) ; N.E.C. Sec. 110-8] Permits are required for the above repairs and can be obtained at the Building Department between the hours of 8: 00 a.m. to 11: 30 a.m. , and 1: 00 p.m. to 4:30 p.m. , Monday through Friday. ANTHONY WEIMHOLT Housing Code Enforcement Consultant Wednesday and Friday •- 8: 00 a.m. to 10:00 a.m. (714) 754-5619 iv I , J BUILDING PERMIT LOG ' EMPLOYEE: ADDRESS: 1D Ii IF 5.(- PERMIT NUMBER: r> 724 Lin TYPE OF PERMIT: VALUATION: SQUARE FOOTAGE: / PERMIT FEES: 74 26:2.°0 DATE: TIME IN TIME OUT ACTIVITY e(- I-1,W-96 _ S -() SAnIIK.CIL d•Aiiirml CPJLIOX , (G avYrl1muArtn4Q IA , 5iNe a . , 11 i9 � � . ! JJ r I • Sec 00 ., '/7!'x `1 1048 w. ' ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES j 1 J JULY 28, 1995 ' SUBSTANDARD PROPERTY 686 SEAL STREET 1. Portions of the roof covering, roof sheathing, and rafter ends are deteriorated. [H&S.Sec 17920. 3 ; U.H.C. Sec. 1001(h) ; U.B.C. Sec. 1708 and 3201] 2 . Furniture, appliances, auto parts, and miscellaneous junk stored throughout property. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (d) ] 3 . Garages at rear has been converted to living area without required permits and approvals. [H&S Sec. 17920. 3 ; U.H.C. Sec. 301 and 1001 (n) ; U.B.C. Sec. 301 & 502] 4 . Plumbing installations appear to have been made without required permits and approvals. [U.P.C. Sec. 30. 1] 5. Electrical service lacks required dead front. [H&S Code Sec. 17920. 3 ; U.H.C. Sec. 1001(e) ; N.E.C. Sec. 370-15] 6. Wall damaged or deteriorated at bedroom. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (j ) ] 7 . Cabinets at kitchen/bathroom are damaged/deteriorated and/or insanitary. [H&S Sec. 17920.3 ; U.H.C. 1001(b) ] 8 . Ceilings at bathroom and bedroom are damaged. [H&S Sec. 17920. 3 ; U.H.C. 1001 (b) ; U.B.C. Sec. 1708 and 3201] 9. Flex gas piping to heating unit through wall not acceptable. [H&S Sec 17920. 3 ; U.H.C. Sec. 1001 (b) ; U.B.C. Sec. 1212] 10. Extension cord wiring at bedroom light fixture. [H&S Sec. 17920.3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 110-8] 11. Sink fixture at kitchen leaks. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001(b) ; U.P.C. Sec. 319] 12 . Tub/shower fixture is damaged, deteriorated, and insanitary. [H&S Code Sec. 17920. 3 ; U.H.C. Sec. 1001(b) ; U.P.C. Sec. 319] 13 . Water heater lacks required seismic anchors and vent system does not meet minimum standards. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001(f) ; U.P.C. Sec. 1305, 1310, 1312-17] 14 . Laundry standpipe lacks required trap head. [U.P.C. Appendix C] 15. Laundry installed at exterior without permits and approvals. 16. Hazardous exposed electrical wiring at garage conversion. [H&S Sec. 17920. 3 ; U.H.C. Sec. 1001 (e) ; N.E.C. Sec. 110-8] Permits are required for the above repairs and can be obtained at the Building Department between the hours of 8:00 a.m. to 11: 30 a.m. , and 1: 00 p.m. to 4: 30 p.m. , Monday through Friday. ANTHONY NEIMHOLT Housing Code Enforcement Consultant Wednesday and Friday 8: 00 a.m. to 10: 00 a.m. (714) 754-5619 OWNER HARBOR ESTATES / DATE 7-18-55 JOB ADDRESS 656 Seal Street BUILDING PERMIT NO. 151j2 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000.00 LOT 101 BLOCK TRACT 1986 Residence CROUP I TYPE V ZONE R4 FIRE DISTRICT #1557 PERMITS ISSUED INSPECTIONS _CC DATE SUBCONTRACTOR DATE NUMBER -/8SFFooting Trench - u* 8-1?-3- Foundation oundation Forms and Grade to Garage Rough Framing �1'`F/_fs/ ,a if---13Plumbing,Rough to Slab If ` G/``5/6 8g_A-a- Plumbing,Rough Complete . , L ' 7,/75, a ir 2.S Temporary Pole p Wiring, Rough d§M /0-3-7 ' --,� , /4L?,1" Heating,Rough Heating,Finals icol r _7 if IMI . lIa LS 4 -fl- ji qL p/�VtQ /e 1 Sewer, House ewer,St. O-4 0 n i— i Qin ) i/''.5- o{ / St v / Septic Tank or Cesspool - Lathing, In Out VC "M i -n- 4 Plastering - Plumbing,Final,Fixtures / 1910 f� 'H �j3J Plumbing, Final Gas Testi �el' 7 a, //6 qJ Wiring,Final n-6 —S3- p (� — O 7 Occupancy not /y —^ Vnrn,91n r._u 1cnn i. S f / Costa Mesa Building Department APPLICATION FOR PERMIT :/1 111 EAST 20th STREET R '- COSTA MESA, CALIFORNIA LU_I L,D_I.NG_..___. . FOR OFFICE USE ONLY r FOR APPLICANT TO FILL IN Receipt No. Permit:No. j Building ` AS-5c AddresI 656 Saal Strer-t ' - � :2., Receiv by, Date Reed. Date Issued i Costa Mesa, California p ' 7-•••/51-1.r. J O i ! Nearest i / '/J — 2---/F!'":"4,C! Cross St. 19th Street Building : 1 Address ' i Owner Harbor Estates ' • Costa Mesa, California i Mail i i Address 419 East 17th Street Nearest i i Tel. Cross St. I City Costa. Mesa No. T,T 8-1159 Zone Zio,,- No.of 1 Type I Group Architect or Lic. f r; Plans r ; 1 Engineer Ca rlson,R• Mi cirri ebrooNlo. Approved ' by ! I Date ! I Address Garden Grove I ` CORRECTIONS I City Li'1 Contractor Dike & Colegrove No. 301 • Address 419 East 17th Street f Description I No. 101 I Block Tract 1936 • (Attach Metes and Bounds) El No.of Bldgs. Size of Lot 60 x 110 Now on Lotnpne • - - - - Useof No.of No.of ::-1:-. 21 Existing Bldg. none Families Rooms � Setback Line from Rear Yard 601 - -'"—'-"'"'"' JL-y "195- -`� Z Center of Street 501Side Yard 5( ,r .7 ,t•_,+� t YJf1 r '.j DESCRIPTION OF WORK New I g Alteration Addition -• -OF COSTA:MESA . Repair Moving Demolish I 4 Building No.of • Size 971 so. ft. Rooms 5. Stories 1 Exterior Wall I Roof Covering s.tu"oo Covering comp APPROVALS Use of New p Building Plan llA Foundation Location Inspector Date Forms,Materials, Single family residence Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. - and state that the above is correct and agree to comply Lath.Ext. - with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee PikeR r 1--"rn c - " / Plaster,Ext. Authorized Agt. e G /_ . ,/..`,� Masonry Reinforced Valuation Permit Fee $ yO , 0 O `1 Plan Check $ a • a o l Bond Beam $ 3,00000 Total C d Fee $ ,2 3. FINAL Norm 204 C-H 1M 12-53 v._.1 1 .. r '.1 J u c •,.0 • 1.7.7. _ = et"�C p;. •it., a - tea " _ .. a tJi. 10-55 lira; " F7ah73:00 Street• PLOT PLAN — - k. _ Show location and distances from - property line and between buildings. - - :f.ir. . •_ - - n:c • .I: _ r.. '` - .. . .. _91.,.. JOBiCab YADDRESS ��656w NSeal Street BUILDING PERMIT NO. 214838 GENERAL CONTRACTOR Air Vent DESCRIPTION OF WORK Patio Cover AP No. 115-451-13 LOT TRACT FIRE ZONE VALUE $ 200.00 INSPECTIONS Signature Date GROUP J TYPE IV ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature 4 Water Plumbing Rough Plumbing Prop. Swr. Line C0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing AR 7/c/6$ Lathing— In 0 Out-0 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final /ie 74./fl1 If 24838 COSTA MESA BUILDING-SAFETY DEPARTMENT CITY CF COSTA MESA I P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 nn�� CCCC For Applicant to Fill In Compltldy AR GdAaIt6N196i PERMIT TYPE OR PRINT BUILDING r Only 6 S A ,ADDRESS i 'elufie HOW COSTA MESA. CALIFORNIA //'/� t"-r .. ,II I R[CSIY[g1V DA/T[R[ct/1�[✓B p//TE IISSUIS OWNER �n S H % N1`/�, L. (r/If/// 0( /'�-- 7O/ 2h�VS ADDRESSMAIL //�� 4 . 4 d e4 L / . ADDRESS 6 S C g A L S 1 . FIRE CITY GA CPEO _a G 20 U f; No.-Li 8-)64Y ZONE GROUP APPROVED //,',/ ARCHITECT / TEL BY' DATE AV (-.C., OR ENGINEER 4. PALE ! NO. "✓✓ / NINO / ADDRESS 3i7 1/L AJ . '/an- Yh.>J 1 L.A• y6R} I I NO.D►^ ' I USE OF HIV/dial/';T CONTRAGrQR_ A(.C1: -tc..a 1 X rL1W[ y BUILDING [%/p�/v"'� F n ,j- p ADDRESS ) 0 D % S• /�A✓Com.E Se_ Dncelmon f ft/ / /0/ l,?� IQ/16 CITY Ara AS`r,.F- : A.P.NO. �/s'tic/- /.'Y /ATE �/ NOTE, NO EAVE OVERHAND SHALL BE LESS THAN LIC..NO. a-)/ 7 ,4 3 no. a3o-33 66 SO'TO SIDES REAR e±._.. EAVES SIZE I No.or Buses. ALLOWED <U.B.C.REQUIREMENT OF LOT G Q Ho NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF V • MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. rC, r T /� • 4 (FROM C/L SITREETj/' SETBACK LINE FROM FRONT / �� CENTER Or STREET REAR YARD SITU, SIDE YARD I LEFT I RIGHT ,>.. / tin" a[Y. L. PT. DESCRIPTION OF WORK L.SIDE Q✓ Fr. FT. NEW _ ALTERATION ADDITION I ,,,X. REAR .3O PT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BUDGE. ACCESS.BLD08. BUILDING / NO.OF VAR.# DATE SIZE /3�X I of /ROOMS of r C.I.I.P.# APPROVED EXTERIOROINWALL I ROOF COVERING !PROVED )�, (a-1-6-6 ( a COVERING TE Chir Pr' USE OF BUILDING AND WORK TO BE PERFORMED Co.v sr. O c 4-+ AA,�• 4k -_. W Sll,.a4� L Ce O «z rL++.B J.--9 u 3 d L '//U.���.:. . t ."w cl SO.FT. ct 1 HEREBY ACKNOPDGE THAT.I NAVE READ/THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE C AND STATE THAT THE ABOVE IS CORRECT AND AGREE To COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION 7 Ct D SIGNATURE OF C co µ2 - J � PERMITFEE $ PERM mu, E e $ 2 CO PLAN CHECK S w0 AUTHORIZED AGENT '' =.'..Q12 Gc�— CO 3 TOTAL FEE $