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HomeMy WebLinkAbout3133 SHARON LN - Building Permits • ADDRESS OF BUILDING: 3133 SHARON LN UMT: CITY OF COSTA MESA — BUILDING PERMIT p OWNERS NAME IP KNOWN: SANTINI , WILLIAM T FLOOD : X 46 PERM NO: B 073996 1 ADDRESS: 3133 SHARON LN COSTA MESA,CA 92626 PERMIT NO: B 073996 PLAN CHECK NO: N GOVT: N SUPP : N x tAPPL.MINING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 3, 500 w ARCH.OR MG'S ADDRESS: UMT: CLAIM VALUE: 3, 500 . 00 CALC—VALUE: 3, 500 , 00 GROUP OCC: R-3 /M-1 W CONTRACTORS NAME: CCNTRACTOR'S MMLRIO COMMENTS : REROOF 2200SF RESIDENCE, SMOKE DETECTORS REQUIRED PER 91UBC w ADDRESS: DC.NO.: *************************************************************A**E_*************** • UNIT: Z ONING REQUIR EMENTS J OKE 11 LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S E T B A C K S .d.J �C'� (commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. __I�pp��-- O� CITY LIC.NO.: LIC.CUSS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILIIR14i© Epwy- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: EE AAVV 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 end Professions Code:Any city or county which requires a permit to conaauct,alter,improve. PARKING REQ: P RO V: PARCEL : 14102228 Z N E: REF NO: demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)al Division 3 of the Business and Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > �170,31.5by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars[S.500]). **********************************************************************,********* W I,as owner of the properly or my employees with wages as their sole compensation.will do the work,and the structure S not intended DEVELOPMENT SERVICES REQU IR E M E N -T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not eppty loan owner of propend r who builds or knproves thereon.and who does such work Nmself or herself or through his or her own employees.provided that such improvements are not intended or offered for sale.ff.howevr,the Wiling or inprovemeH issoldwlthin one year of completion,the ZONING APPROVED BY DATE: owner-budder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I,as owner of the propery,em exduaivey contracting with licensed contractors to construct the project(Section 7044, sine end BUILDING APP ROVED BY : DATE: t Professions Code:The Contractors License Law does not apply to an owner of properly •builds or improves 1•.reon and who contracts for such projects with a contractors)licensed pursuant to the Cont 7 w) ❑ lamuem under B.BP.C..faNunaim: / APPLICATION ISSUED BY: S DATE: , ''30 , O!j 3-y-�c � ************* W******************************* ****************** *** Date' owner: -- — LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do here y�la I am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,and 25534,and that I or any future Wilding eminent will/will not(circle one)need to campy with saidetete codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE/.. SMIP/RES . GRADING Gaemi for construction or modification hen i awry an n the Aagement District.Redconsoperations dentiel conn operations are exempt from Mese rprcions. PERMIT 63 . 00 Date: Applicant: ' SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dWeratons: ISSUE FEE ❑ I have and wit maintain a Cedif Sate Of consent to self-insure for workers'compensation.as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALPAID DUE Code, am theperfenceothewokfawNchhepanne isissued. TOTALS----> 63 . 50 0 . 00 0 .00 63 . 50 �' .63 . 50 . 00 o I have and wit maintain workers'compensation Insurance,as required by Section 3700 of the Labor Code.for the performance of the • work for which this permit is issued.My workers'compensation Insurance caner and policy number are: (2 s Carrier. REVENUE DIVISION TOTALS--> COLLECTED: 63. 50 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need notal completed l the permit is for one hundred dollars($100)or lees.) 63 . 00 . 50 ❑ I cetdy that in the performance of the work for which this permit is issued,I shell not employ any person in any manner so u to become subject to the workers'compensation Laws of California,and agree that H I should become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,1 shell forthwith campy wlfh thou provisions. INDIVIDUAL F E E B R E A K D O =W N Date: Applicant: Warning:Failure to secure woken'compensation coverage is unlawful,and shell subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines W to one hundred thousand dollars/51040001,In addition to the Cost of compensation,damages es provided for In • Section 3706 of the Labor Code.hntsnst,and attorney's fees. SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1 ,00' 3, 500 . 00 CONSTRUCTION LENDING AGENCY: I hereby effnn under penalty of perjury that there is a construction lending agency for the END OF FEES 1 performance of the work for which this permit is issued(Section 3097,Civ.Cl. v LENDER'S NAME: e LENDER'S ADDRESS: • I certify that I have reed this application and state that the above information is correct.I agree to comply with all city and county ordinances end state laws relating to building construction end hereby authorize representatives of this city to enter upon the above-mentioned property •/r for Inspection purposes. 4 WI IAM SANT NI 00139133-00189334 d 13.51-1 � Pnnti✓ DATE; 08/39i9!' TIME; 10:34 Date: 16 Signature dOwner/Ag ppgcanUCanimdor (5151-46 WP) White-Building A Safety Green-File:Canary-Appicant;Pink-Revenue:Goldenrod-Assessor 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 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, G' 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.n Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank El Gas 0 Oil 25. Roof Sheathing q2'��'S6 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 76. 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 35. Final Gas'Pipe-Test - • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ( Z Z�Gy �� 71.• 44. Landscape Irrigation System - ! 420-2.-- (S' K - 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING C � 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co r _ 51. CERTIFICATE OF OCCUPANCY No. Date BUILDING PERMIT PROCESSING LOG EMPLOYEE: ADDRESS: 3133 ‘1,,,A4 imv PERMIT NUMBER: 3"1 3qq(, TYPE OF PERMIT: VALUATION: s 3S S0• cv SQUARE FOOTAGE: PERMIT FEES: 4 (o 3,So Ca DATE: TIME IN TIME OUT ACTIVITY l30 ,. v0124 . y1 QSSUnW < ( 4-Z2--qr x;09 8.: /S kted— ems 5-47 &c,6C �' 1-25--/C `/� 3S 544, icfts ;odrs 2o mn . ., !-S Mazzo ICJ." �: , cc Tiny Sen- 7; iretc, ONLY ONE ADDRESS PER SHEET—TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES OWNER nru%nun MILL' Ur mint; ritUMr br 1N(;. DATE DEC 1 1 1962 �- JOB ADDRESS 31- 3 Sharon Lane BUILDING PERMIT NO. P A- �j-.^;.•.) GENERAL CONTRACTOR L1fetildCRer7131-d Corp. VALUE SIT;O75.00 AP No. LOT 14 TRAC'h355 FIRE ZONE DESCRIPTION OF WORKReS.w/att.Gar. INSPECTIONS Signature DATE GROUP I 84-11 TYPE V ZONE1 Soil ([/ ' PERMITS ISSUED Soil !N SUBCONTRACTOR DATE NUMBER Water bat/ / � Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating i7 3/S -fl - ._ , - '- „?-c?6-63 /3-67 ----- Rough Plumbing S 3-7'4-03 i / f el..___/cJ 1-6!.2. 3737 Miscellaneous Ti h.•i.e/• al-,26_a 3p7a/_'ry— Prop.Swr.Line 0 House Con.A1 St.Swr. 0 /'k5 1-71‘-C.3 G /% r �i l� ,y Sprinkling System -Lail re�.1��.L_sL..�l` -'6. ConstructiOno1e Underground 0 Power 0 J(�—d' ,J tough WiriTh.__ -//-C 3 Me,l.Lc� /!/�OFio rri' 3��r`-1i,3 �.'7 rent es l- tee em . �' i2-2 -/oY- Floor System ail /-/Ce-6 Bond Beam 0 Steel Reinforce 0 Sheathing 2 -a S- (,3 Frame and Flashing g-20-63 Lathing — In aOut CA' /f ei-o_—{' Plaster, brown coat 5•'f-( Refrig. ❑ Air Cond. 0 Final Heating, Final / /$51-62 Plumbing Fixtures, Final ,.'� . -/7'en Final Gas Test /)-.-. Lt '2-/23 Electric Fixtures, Final 174 /",r/on Building, Final _ _ _ Dr--, - -i7-C7 a. -I 18423 - FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 41, Tract 4355, Plan 400-A P. O. BOX 311 COSTA MESA. CALIFORNIA DEC 111962 FINANCE DEPT. • For Applicant to Fill In Completely APPLICATM KIRCUIRWITAESA TYPE OR PRINT - BUILDING c BUILDING ADDRESS /•3.� 'S���-/>,-1 2.0:41 G COSTA MESA. CALIFORNIA For Office Use Only OWNER Harbor Hall of Fame Homes, Inc. I RECEIPT NO. Ill MAIL RECEIVED By I DATE RECEIVED DATE ISSUED ADDRESS P.O. Box 2066 .----T, a -,0 /4.1)/ /F,-, - DEC 1 1 1961 11,�,, CITY Santa Ana NO1CI 9-2204 ADDRESS ENGINEER Jamison NO ARCHITECTTEL OR 5L4-0040 COSTA MESA. CALIFORNIA FIRE ADDRESS 225 IIDII St., Tustin ZONE TYPE rGROUP4 t CONTRACTOR Lifetime Residential Bldg COI IBYPROVED DATE ADDRESS 2131 So. Artesia ZONING CITY Santa Ana ZONE� PLANS a BUILDINO�S'- �a. -! I I L.„/ 4... /.., • LIC.TE No. 208676 TEL. NO. KI 9-2204 LBGAL L n [�3.S�.S� DESCRIPTION O y� T� SIZE NO. OP SLOGS.^ OF LOT 6000 NOW' ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG.None __. APPROVED ALLOWED SETBACK LINE FROM 1 1 11 (CENTER LINE ST.I CENTER OF STREET 53 REAR YARD 33 6 FRONT S3 FT. IN. SIOE YARD I LEFT 51 I RIGHT 51 R.SIDE r FT. IN. DESCRIPTION OF WORK.- L.SIDE 'S FT. IN. NEW I X II ALTERATION I II ADDITION I REAR 3 FT. 6 IN. REPAIR I II MOVING I II DEMOLISH I APBYPROVED ape p,, DATE /6/2..s.-/C'L BUILDING NO. OF &J SIZE 186081 ROOMS 9 STORIES 1 EXTEOR F COVERINGW Y1H6 ter I COVERINGROVShake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence *s , . ,..„n /.5-- .2 ,, �a0 a , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN ER VALUATION IS FOR THE AND STATE THAT THE •VE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY •'• .ANGER DST E LAW REGULATING BUILDING CONBTRU�P VALUATION ��j SIGNATURE PERMITTEE OF _ PERMIT FEE $ d /� to $ //J Oji -- PLAN CHECK $ I5/51.5--.° �JrJ/5 e 4- AUTHORIZED AGENT Y5 J5-O 0 TOTAL FEE $ (((ill Lla'LV Li. l asU%SLLa/U U• V�� C VL ' "'JOB ADDRESS 3133 Sharon Lane BUILDING PERMIT NO.39562 GENERAL CONTRACTOR Owner E1dr. DESCRIPTION o{WORK Inter.Alterations AP No. 141-022-26 LOT TRACT FIRE ZONE VALUE $ 600.00 INSPECTIONS Signature Date TYPE v GROUP ZONE R1 SOIL PERMITS ISSUED Rj GAS SUBCONTRACTOR Date I Number Signature WATER Plumbing_ • (/�"J ROUGH PLUMBING �3`c-�}• elet, �G(� a-3-7s 6617.2 7 PROP. SWR. LINE E HOUSE CON. ❑ &-tc"7�y �� a—it 7y'�, 675 7 _ 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 rl SHEATHING FRAME AND FLASHING , LATHING — IN n ^OUT I i PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT.. REFRIG. AND A.0., Sal,,FINAL p PLUMBING, FINAL AND GAS TEST We' e� 1/ .t?lI ELECTRIC, FINAL BUILDING, FINAL EPS // .tie.74 PA:., R 3 7.`r �0 • 021 ****t6.50 39562 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • For Applicant to Fill in Completely PL CATION FOR BUILDING PERMIT �_p,, �/ // L RE CCE/ V BY DATE RECEIVED DATE ISSUE BUILDING 3/3g �j`ITKP'/r �194c Jt/ +�•. _ ADDRESS /7 �� I /t OWNER rpmoQte-S J. aBie cg, A.P.NO.,/4u/ _l7 PERIyI9 , 2 MAIL G BUILDING 3133 fes_ JJ // ADDRESS C. /�S!}nl�J / .[ ADDRESS Si-IFi'YLeL) L . , LU Li; 0. 0 CITY C. til, NOL' "t'�4(5 TRACT']3 LOT L/ BLOCK Z Z•FC CONSTRUCTION NEW ADD ALTER EPAIR1MOVING DFMfII ISH LENDER am JD BRANCH }�.(� �7n J to I OWNER A2j_G% 'I I Ia'CJQ'c�l U� m J ADDRESS I//� tact, -t-L. ^VALUE // �e,�/{ ARCHITECT T �Ay A� TE L.o1Q {� USE t�EYY)DDEI. '/ATH (Cl/, $ (�J(rfl ,.� -1a OR ENGINEER FICmet i• ' 0)0 it NOa3 ..50 OU) �1 t`�_ SrIRE I Z CC ADDRESS /ha Jp s 6. QEQ s!• -CA . ZONE PET GROUPI� `�I^I W Z CONTRACTOR 12/0451C 1/l.tAa APPROVED ALAC--- DATE -- ✓" /.-- --- JO 03 -Tim ADDRESS W UI i TEL ZON NO.OF USE OF NEW bob O= CITY NO. PLANS BUILDIN Z 1— ) ul STATE CITY YARDS APPROVED YARDS APPROV D In CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING OO SIZE INO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT / FRONT FT. T. USE OF EXISTING BLD(ics^(t). te Y If R SSDE _F -el F JJ�ZY'ff f F SIZE OF SENZE NO.OF 1 / Z NEW BLDG. ROOMS STORIES L.SIDE F // Q EXTERIOR WALL ROOF V COVERING (COVERING _REAR T. J US OF BUILDING AND WORK TO BE PERFORMED • DISTANCE BET. Illi BET.MAIN& a. I - z . ' MAIN BLDGS. ACCESS.SLOGS. Q" ' CAR. C.U.P.4DATE APPROVED VEDO / APPROVED�l{ n p� N RDATFOZ .-3`/U C O / STATE UI hereby acknowledge that I have read this application and state D that the above information is correct end agree to comply withK _ i et all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of TAX GO the State of California. m ? I hereby certify that I am properly licensed as a contractor under SO.FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses ere In full force and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b CC am exempt from the provisions of the Stat of California Business VALUATION / 1" to and Professions Co e, Nlsion 3,Chant PERMIT FEE $ [J/ :-..-- e' Signature of /� ,/� m Permitteei ' C14 $ �"'// PLAN CHECK $ E V o Authorized Agent a TOTAL FEE $ Q UWNtK NAUlK.LUB. t.118111.6.5 J. UAIt ,} tY-L7 JOB ADDRESS 3133 Sharon LaneBUILDING PERMIT NO. �q�•• GENERAL CONTRACTOR User $ '• DESCRIPTION of WORK Ada. Searm. & ram. •t,l, ttA P No. 1r+1-022-2t1 LOT TRACT FIRE ZONE VALUE $ 12,000.00 INSPECTIONS Signature Date TYPEV GROUP I ZONE Rl SOIL SUBCONTRACTOR PERMITS 15S ED GAS Dote Number J Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE O HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS 'W / I, ROUGH HEATING AND AIR CONDITIONING w� I{r/J1}r TEMPORARy SERVICE OR POLE UNDERGROUND 9 POWER 9 . ROUGH WIRING �J G 9.i7_15- Neatin and Vent. TRENCHES FORMS 0 STEEL REINF. t . n ,`/JL./^, ' . 3--41-73 //C c/410C n jL j FLOOR SYSTEM rll Al BOND BEAM fl STEEL REINFORCE n SHEATHING R.C) 4jN6 _ FRAME AND FLASHING LATHING IN OUT AIM.--e" PLASTER, BROWN COAT A C- r STRUCTURAL, FINAL Rrr ,4"-- —75 Electric / HEATING, VENT., REFRIG. AND A.C., FINAL n-,ZG 5--c-75 eitin{ij 91--r, 3.-/y-J-R g gLZar------ PLUMBING, FINAL AND GAS TEST n /' ELECTRIC, FINAL tC, ,c-c-is BUILDING, FINAL i ' r 7-?"J t"- ' AR 4 7 Pte..b 18 x o.. • 39709 1 SCI:c � • _ ... .F�. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely _ RECE RATE RECEIVED DATE S ED BUILDING vJ/D ' X c0A) � I^ ' 0. I - 5-/ / -7c ADDRESS//c��, J+J aj.�f(fT �,,/L� /�(sJ Y/- / �/ n n p/ F�q/��(1y�� Q OWNER /s-'Ip5 V• !4a ahr;d A.P.NO.19/-&JG(�-eat P✓ obi , MAIL 1 BUILDING / I ADDRESS S/tr11 J ADDRESS�.is 3 S(arow a U CITY cm z TN OLS�(r./' f TRACT t, fr LOT51/ BLOCK Z Z d CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI LSH --N LENDER 0- m BRANCH J- N �j ,sT IP,{.glLuwu./�t co J ADDRESS-CO �j y9 r ]��Q Q ���1 !J j(/KiyY✓ VALUE , '• }� Jd OR ENGINEER frf I/l ariz e` 4n¢#) NO... "r'�/3f �rn E 12Iw`t/ V Q 7,/ ^ FIRE T W CC ADDRESS / / / co. arra ) l r S/7/ ZONE TVP GROUP `r— S ty / p /l APPROVED y 3 /� J Z CONTRACTOR Q/vN6fe — �{,-t / BY / %/.. DATE / CO J cc ADDRESS IS W TEL. ZON NO.OF USE OF NE„W J�� ZCITY NO. , PLANS BUILDING 1 �m /Y!/7 w-0 STATE CITY YARDS APPROVED YARDS APPROVED�'4� to K LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOCS. (FROM C/L SjE ET) OF LOT NOW ON LOT I FRONT a FT. • USE OF ������ EXISTING BLDG. B.SIDE OC.7FT._ FT. I— SIZE OF 420r, 3o/ NO.OF 2 Sr.NEW BLDG. /` ROOMS QST�O,R,STORIES EES / L.SIDE / SFTFT. < EXTERIOR IN WALL��o�O ROOFCOVERING ei-0 REAR `3 FS FT. COVERING J USE OF BUILDING AND WORK TO BE PERFORMED O. /fM't ff*. /3 EO coop+ /3fx -O• MAIN BLDNCE BET. BET.MAIN& d r MAIN BLDGS. ACCESS.BLD/f(y5. DATE VA O }1/11Ly ."1IOM /7 "A z _C URP. ?�i APPROVED [J-1v�/�y� ZROVED�� h DATE -PIPS Q i•� r.— ts,� ►_ V I hereby acknowledge that I have read this application and state D that the above Information is correct and agree to comply with 6VCC all laws regulating building construction, and I shall not employ I" any person in violation of the workman's compensation laws of i 0 CO the State of California. 0ITA)( '9 ZI hereby certify that I am properly licensed as a contractor under 0 SQ.FL 2 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R em exempt from the provisions of the State of California Business !/ and Professions Code,Division 3,Chept 9. VALUATION O m §/� r PERMIT FEE $ O�_ N Signature of �,(/ 0� o Permittee i1' $ /7IW PLAN CHECK $ 30 E 90a� ° Authorized Agent /� u TOTAL FEE $