--- ---------~--

CERTIFICATE of -------·------·-,

OCCUPANCY CITY OF GARDEN GROVE -PUBLIC WORKS 6 DEVELOPMENT

lHIS CEftTIFICATE ISSUED PIIRSliAN',. TO THE: IIEOUIItENENTS OF SECTION 306 OF THE UNIFOFiM BU!LDtt4(; CODE CERl'IFYING TI~AT, AT Ttt£ TINE Of IISUANCE, THIS STftUCTURE WAS IH COMPLIANCE WITH 'tHE VARiO!JS l"'lOIHAMCES OF Tlf£ CITY REGULI>l IN G CONSTitUCTIOM Olt USE FOR THE FOLLOWIMG!

JOB ADDReSS _l.ll1.l..-.JioM ________ _ ·- PERMIT N9 097753A

liSE OF BLDG. Ilfflce/WirehoUMa Mlnufacturfrtg GROUP_J=-?'---- TYPE ----~V~-_

BLDG. APPROVED BY _ _.No___..,.._.. ... n.._..E .... ~C ... ul.&]_.y_..e.Lr----- DATE 10·12~_USE' ZONE PUll

ZONING REMARKS _ __.puo'-MIOL...a]...,.QJ....c:Jlu6---------------------- ---

BLoo.owNER Naw HeiWII Incorp. ADDRESS 4665 Melrose Ave. L.A~

Rudy L. Rodriquez Depvt,y BLDG. OFFICIAL

P.W.0.-0012-11/?5

BY _______________ _ DATE 10·12•78

POST IN A CONSPICUOUS PLACE

----~--------·-------·-------------------... ·------------·-----.. ..

p ,£~ i?: .. "-.e _Ljff- :::· 7 6 --------------------------------------- ·VALIDATIOr~ -----------.~--.---------~----.-~~~~~~~

a.a.. SAN!, DIS., jJh ,jo.c. SANT. DlS.,///}/1/·i:!A~...fj 1~7~L ... FEE REQ o tuJt FEE: REa'o (/....J?- 1 2f/V/7r rc,L~

I PARCEL MAP

R/W DEDICATION

! REQ'D. PROViDED .I A·,_ ..

.. r '\.L • PRESENT ~

8R o=p-=oc:s:-:E:-:0::---------·--

IDENTIFICATION CODE BLDG. USE ____J__:_LDG USE

l----------~~r---~~~~l~~~~~~--~----------~~~=D=E~5=C=R=I=8=E=~=VO==~=K"~-=~==r=L==7=_= __ =L=~-=~bt=/o====~=~.= ... =.====,~~=========== . . .. --'---------'·TO BE .)t1NE FEES AND BONDS

.;_.,..,.) 1- r-- i .- - ~

-------------~-----~------.,.---f------;--- ---·------- --------·--·--- ··-------------V~ :l/1' "2...1 7 /Jt'J/:J CODE AMOUNT REC. NEW i:l

- BUILDING PERM IT CITY OF GARDEN GnOVf:'

.Public Works & Development

G.!J, Slt.NT. DIS. I"EE REQ'D , ·~

CODE AMOUNT

,··- ...

I certify that have read this application and that the above infer WATER BONO mation is correct. I agree to comply to all City Ordinances and State laws ____ _;,_"--~------+-------1--=----+----1 relating to building construction. I certify that in tho:> performance of the WATER .ASSMT. FEE

abcve work I shall n!>t employ any person in violation of the Labor Code -of California relating to Workman's Compensation Insurance. I further

-------------- +----------t~=-------f---1 agree to hold the City of Garden Grove free and harmless from any lia-

FIRE HYD. FEE bility arising out of injury or bodily damage resultong fro rn work per-formed relevant to this permit.

-------·--,-·-'-r----_..,---~-----1+-~---------t--""""'i . COI\ITRACTORS SIGN BELOW PARKWAY TREE FEE

PARK & REC. FEE(OIST.

DRAIN ASSMT, FEE (OIST. \I

P~N R.ETENTION FEE

BL.OG, PLAN CHECK

BLI;)G. PERMIT FEE

ST, MOTION tNSTR: FEE

IS8UAIIICE ·

I. INSPECTOR

I certify that I ;am a licensed contractor and that my license is in full force and effect.

----------------BY Contractor Authorized Agent Date

OWNER-BUILDER SIGN BELOW ·I certify that I am exempt from the provisions of Ch. 9, Div. 3, 6 and P Code (Contractor's License Law) because (check one):

.0. l. am the owner of the above prcoerty a.'ld will personally per.form the above work.

0 I am the owner of the above property and I will contract to have all of the above work performed bv licensed contractors.

·0 I am the owner of the above property. ancj wiU employ persons to per-form the above work with wages as thelr·sot&·compensation. I will furnish insur•J'lce form~ em~§.!'s as n;quired bV: the_Labor Code of California.

Cwne~'s Signature . ·' .,~~lilthlit~;~~~/·::; D-•te lt.work·1a not str.rted 120 davs from date of issue or if abandoned

DUE TO NEGU· CuRRECTIONS.

ADDRESS

--~------------------------------------------------------~----------------------------~ ------· INSPE9,TI_9_~_B_~C..Qfl;Q ___________ =t~-~----------·- _INSP]E;£f..!~ ~~CQ~_Q ______________ _

At>PROVAL PATE .. ·--~:EC_!9_,':1___ _ ___ APf'F~_I?~-~~- _ ----~ATE ---~-----~~SPE':2_9.__f:1 ___ _

FOUNOA,TK)N & LOCATIO:-' ----------- ~-?-~~9.~.~~!~~-'=-~-~--tf• N ------f---------_____ _ REINfORCiNG SMOKE DETECTOh

~ ft ~ --- -------

ROOF SHTG, PARKING ~

F:OUGH FRAME' LANDSCAPIW... - ... - rA.I7-:7_'l ~ -INSULATION, ENERG ;'

LATH OR C>RYWALL PLA$. BROWN CT.

LAND USE FINAL FINAL ------~-A·J.~....-.,,,,z..-=-,.·= '?."iJw-~(1}~.------·-

...

UTILITY RELEASE .... - \':') 7- _...., .I DATE BlDG. PERMIT # .../ I:-:. .•• ,'i -~·---+-------------------~----------------------------~--------

I

=t_· ---·:, ----------------. ·l :, :\

I •' •• •

·_i

---------------~---~-------~~--------------------------··

~~~--~-----~~~~~~-~~~~-------------~---------~------

·_··r.;;... _.;;...;;.._·.;;..·· ~ ' ~. ··~--.......--------,.,..... -..----i_··_ ... _ .. ~---------- .• . • . . j ' • ; ' . •f

~---·· _:_:...,.·_ ----1 !.'\ '"

I

---·~ ~ ! • '• I ·, ' , ..

·----...~~~~----'"'t-.. -~,...,... ...... '-'-'-...,....,,--;--';-'---------------.. --.. --

/

.. BUILDING PERMIT

I

\

PLOT PLAN Public Worlcs & Development Dept.

CITY OF GARDEN GROVE

PLEASE USE BALL-POINT PEN --·-····

-· -· ______ ., ________ .JOB Al:>ORESS PERMIT NO.

ll7 i I Kt.? tJ.I~-f;;:.c tA '517 7 s· 3 A-ASSESSORS PARCEL NO. "T~.~l'2rae:JTR;;;~9ti ~ JOI!I DESCRIPTION 1 PLEASE C~ECK I ptJ..OT PLAN -e.~~-

181'-New 0Addition D Alteration ORe pair 0Move Ooemoli~h I OWNER

~~~ DA'rE USE PERM:T VALUE

}.iG;.,J I~ 14-D~ 7? J UP U ~-r,;:..t4--'L Tt~-1-·vl, Z-!0 [!Oi.) < DIMENSION PLOT PLAN COMPLETELY SHOWING ALL STRUCTURES ON THE LOT AND THEIR USE.

~~Ili-JJ1IY -l-·-·: ~-r-· +--~ ~--

-·' .f.-J_ .. ; ' .....

+-; . ....,

i ~-l= ·l .. T.. ,. ~ -~ . ~- -t

/ ./ ~~

------.;. i

.I ... J I

I-·-+- ... ---,

:.:--=-~~~~~--~1.~--~--. -- ~-+-~-~~~-~~~?~"""'!,... .... ~,...~-\

--··+~--: .. · __ ,_ __ / V;

~~:·:~ ., __ L~t=;- -~~t,·: _-F~·_0E~~~:{~~ £ j : -I ! f::~~:~=-~~-:>(- - --~:/-c.1~L:0

;..

CITY OF GARDEN GROVE Public Works & beveiopment

INSPECTION RECORD

ELECTRICAL PERMIT Inspection Requests 638 3771 General !nformation C38-6661 FEES For Applicant to Fill in

'---=~..,..

r·.;;INCiLt: '"HA::it: ::>t;RVlCE !;ILt: c.J UG o OH ·------u.--.-F-N_O_T_L_I_S_T __ E_D_B_E_L_O_W __ ,.--...,,,.-..,.-- ADORFSF! ,e...o.s rr/716£/-=---

1 Wiring - Rough 1--1-7 -;---! '-f.,fl..J S0ub-1 fan.·~-~ ~ $ 11 .1:---:--"-•':Z i-- . ;/(1__~~ ~~·:~EO,." ~~~-;!~~N.,"'L ",,'',.'~~oNG ··loccRu.;~;~c~ .j ~::~ ._.:;~ }----- ------- . .. . .. . .. Q . ; ____ .,..,__ - - .. _utJetS __J_/_{:J~':_~=I---·· -*~~) •:~ SQ. FT,! sQ. FT. - t;~.J"'":""~t'-1f-6-Heater I F oxtures ~~ f'> : .;A~ - ~ t: ~' IJ'f "// (/ I F -z..... !.t.~, '"'S t;: "'./

I .,. M 0 1 " ; , .....:. • . VM.JoATJoN --- - - -.... _ ·J. .. ... _ . ..• .. . . oc•x:tures. ere. uar z, etc. . ..,.- 1 ~-~ ,_, 6 D ... . . _

/ix~ur~sf_Tri~ y...,)..,7r .. ll"- :::::r-Not Over 1650W i ~ :r.&e Jt.. _, ~ I _ _ '"""'- Dryer . • -~---~---~ = --- I J F.LECTRJCAL coNTRACTOR l STATE uc. NO. & TYPE I

-'-· ... , ___ .. Hot Water H8ute.. r I I I ! Dish~h;;-- I flfp'ftJRNC> 7./st:..f.Ail:., __ i fJ-8~ -D36

... _______ ........ ..1

1

~:::::c Range or Oven .. J ADDRESS i2. f 1

~Tv 19 I PHONE-1-'-:......;;.:.;;.;.._:____;~-+----'-~-'-"--+---'--"-"''--'--'-'---'l Pow..:r Apparatu•-H.P., K.W. or ) ')[) / OZ ·....£.~it lf,l........../( >J, ' l

, • I:IEATI\6, v-ENTILATING, REFRIGERATION & AIR COND. PERMIT

Cl.TY OFo GARDEN GROVE

INSTRUCTfOH1 USE T'I'P'EWRITI!R OR BALL. POIN1' PEN, PRESS l"lfiiML.V, flE SURE ALL COPIES .. RE LEGIBLE, NO ER .. SURES I"I!RMITTEO. A DOUBLE FEE WILL BF. CH.Io.RGED IF WORk IS STARTEO BEFORE PERMIT IS ISSUEO, !PL.E .. SE PRINT!

Inspection Public Works & Development Gent~r~~l For Appllc;ant to Fill In (PLEASE PRINT! Requests Information ADDREss =aa.::=.:::&7.:...::7-=-1----r___,_I=DE=N::..:T..:.::IF-=..ICA=r,T..:.::IO::.:;N:....::C=-'=O:.:D:.:E--,----!63~8~-866=1.:........jl /tf'// ~IYA~ --========--~--='======~~==~6:-=.z=e=====-====~====~-•c~ .. :~ ~OTNO.

PERMIT FEES

~~~T~Y~P~E~O=-F~F~I~X~T~U~R~E~O~R~I~T~E~M~==~==~NFO~-~E~A~-~~T~O~-·~FA~L~jowNER •/-, .I _ _. Furnace to lo lnci•Jdlng 100,000 B.T.U. T 5 ·-·- 5" ~ -· . /YJ;- W ~F~ I"J'p--.;.-

OWNER'S ADDRESS Mora th;m 10o,ooo it im:!uliing soo,ooo B.T.u. '![ ''}J, JJ'Ita;! .rA!'?l!! :-:Mo_re---:t-:-n_;an_· -:-so--::-o-:,o-:-o--::-o-:-&:---in---c:_lu::.:d:_in---'g::..l.:.;•:..:.o:..:.oo.:.;•:..:.oo.:.:o.:.:e=-:..:.T:..:..u=-.=--+--+--l--l---ll HMTI.~~ ~N_,.;F:cT~ :.. _.,., _Mort th~n 1,000,000 & including 2,000,000 8.1 .U fit!) _A"'.,.._, ,/FL. I'_:,._ ,; _,.. /.1"/.::>N /.A/I;· More.than 2,000,000B.T.U.,_,.... -----·--+--+---1-------t--liC'J'!TJ!.';r~OR;,S AD~~~ .. - • _" A CITY ' I nstallatlon or Relocation of Floor Furnace Jr.';;'' CJ'=' ·~./i=-___..6--¥---J./'J'----"IA.P~' 7~ L"_::.§o' Boiler or Compressor to 1o including 15 Horsepower T_ - -, w

-+-'---+-''----------1-~-Absorption System to & inc;luding 500,000 B.T ,U~ __ PaRMITTEE '/:; DATE • ,

Boiler or Compressor to&including 30 Horsepow~r I~J(CTION RECORD ---- ---t--+--1F=~======o;:=:'====& ...... 9==~====j=========='===== ,_ APPROVALS - DA'.-,;: INSPECTOR Absorption ~ystem to&including 1,000,000 B.T.U.

lk!iler or Compressor to&including 50 Horsep

. :• Ci_TY OF GAI'DEN .GROVE · Pl.lbltc·Warklao.~t !.··1.

PLUMBING PERMIT Inspection Requests 638·6771 General Information 638·6661 For Applicant to Fill in

I certify th3't· ·1 have re-ad . thiS. appliC3ti00. anci" Sfate- tn·at the 3bcive·-ioformat1on iS correct. 1 agree to comply to all City Ordir.ances and Sta~e laws relating to building construc:tion. I certifY that in the performar1ce of

, .. th~ .. a~_o.v~. w.~(k.1 ~t")atl __ oot .~.mpJoy any P~.~son ;n_ violation a.~ the l,.ab.;:H· Code of California relating to Workman•s Compensation Insurance. ! further agree ·to hold the City of Garden Grove free and harmless from any I 1 . . . . . . lii.bilitY a_r_isin·g· ou_ t of_ in-jury. or bodily da_m_ ag_e :-esultmg 1rom work

. . :!II I I _ ' .,.,.,,. '-"'c•a• 1 I I -.J-.. I?."~!_t>!_ITie.d re~ev_a_nt tothis permll. . . _ T l\ .V , / &ckflow Protective De\rices 1 CONTRACTORS SIGN BELOW I I certifY that I am a licensed con1ractor and that mY license is 1n turs fo,.ce and effect. EX•.

·. W.'C~ • O.llTC

DATr

OWNER-BUILDER SIGN t5E.LOW

~£-" ~j "~ . • . ~ '"" ~ . 4 ~ •" . ~ . ~ n • ~I' 'I" . r ' ~ ~ t.';'il!'o!~lid..:~ ~;~,o;· ~:~r~~~.:.or:::::': g:.r: '· o.. '· B '"' • -~ -~-- ; -- - · . · · ,_ . . 0 "f am the owner of the above property and wall person .any perfor:-n t~e -.. 1 , : .. :. ~ t~bove work. 1 certify that tn the performance of tne worw for wh1cn thrs

' · \ ·_. . . - ----- permit ts issued, I shaH not employ any persGn 1n any manner s,r, a-s ~o

I ' ] ~ ., ; ~-" • X • ,~ • 0 < ~'" • "~ :. 0 • • ·= -- ~''"'' .. '"' -·-·· .. ··~··"·~ ""'"""' , .... ~ ' . ~./ /J 't'IJ- /} J . . · : · . . . -. . . . California • . ~ AL.-=--.;·"'---=~---=- - __: .;/~-.JI1:,--~..-.-='"I""f '--it¥_~--:-:,.,f-:-~--:=:---:--~r'w1~ e:.::~ _ ~r-·,~lCJN ~-:·;.· ~--""mit-.·' .. ·' .-:. -..: _ .;~~= •.· ((c-~·· ·-· 'furnish lnsurnnce for my ·employees as requlre'.l bY the Labor Cede o1

I ... , . . -r •• ' • ~,;-.f... '; a ' :,... .-. •.·. ~- ..... ~~-> '· ... "6.'•-'. - ~ c;;~~~~nta. ---'~:::":.::.T.:.~i:::.. ____ _

·: .. - -· ·-- Y·"-•"'-u~_T::,.::.,::~::,~~~"~""-,.:.-.,::-.::-_::,.::-,-----:.,:.-,.:.-_~. ,.::-"'·work Is hot started within 120 oays from date of Issue or H ~ban

..... ,,.' PLUMBING· PERMIT Inspection Requests 638-6771 General Information 638-6661 ..

'·

~~t . t ~ • ~ j -l l Ra 0 '""'" '"" "m ~:::.~:·~~;::.·:.~;.7,::..~~;'b~ '· DO• 1:;, · · · --- · · - · · ~ - . ~ , . .. , -·--- ., . _, _ -·· , ____ ;, ______ - •. , . _ . , ___ , -Code-(Contractor's·License L"w) because (check one}: ~ r ' 2 ' - ·o ;;; ~·;;; th.; ~wner .. ~f~the abo~e j);.;;;·erty and ,.;ill p~~sonolly pe~i.:.nn tile

! -t~bovl: ·work. I certijy that in the performance ot the work fer which this ~.' ' ~ · · permit is. issuedt I shall not employ any person ·in any manner so as to .~ • ~~ H u _ ~~ • , =- .... · .) --1 ·- ; · · -~ -. Of'JMt.: .. s.u_b.;.ct .. -.to--.tf.le.-.work~. n's.-compeowtiQn l~ws -of the..st .. t• .o~ -, ~r•na.-------.-: ~--~ --~----.- - ft - 6 -- =-- --- -- - -"- -- __ -~ - _ - C•Ufornta~

- - ' • --- I ---- ---- o·t.am the owner of th~ above property and I will contract to nave all ol .the ilbov~ work performed by licensed con tractor~. -~,,,._,!~,-~.;"' •·•··••·•• ~·••·W•~··••-"'"~""~'- ..... •' E)( ...

W.C.·• OAT~ : "r' ]) :. ~ . ' . jiJiil:};;j( ... .. '•'.;.: lP.i.i.Cbec:k .: ~ . ' ·'I -c.L ~ ., . -5"~ ·. r 0 I ·am 'tile owner of the above property and will employ pe••ons to ' . · . :"fftW- ' · --• .-..J:- -.. ... -.. •• ·- ,_ '- ·,_ ·· - . . -......, _ _., 6' · .. ·... ""' . . . .furnl$h insurance for my employees as reQUit-ed by the Labor Code o~ .Callfo.rnla. · o:xP. W.C.ot· OA'I'e

lf,~;iiiliii!!e.! .. ~-.~-- ,_j~;;,;;~~~~~-~---~~: ;..: .;~ .. ~-·:~ :_· .. . ·• .l';(J~AL 1"1:-~:S J ·t~~~ -~-~~.lt.lf.'.~J'!,N.~!UR'E .... : ··- y AVTMO,.IZ"DAGE:T . li =-P'.i'iMih -·-· ~· · ·. J.. _.(=.:;:;; . .,,v.lt>:•. '• '·· ·._· .. ·, ··, ;~~r, '""'~.!i .. - -.. If"'"'" •• ""'started wothm 120 days from date of lSSue or ot a!landoned OAT& 120 days, this permit will be null aoo vooa.

'

CITY OF GARDEN GROVE PtibriCfWori

CITY OF GARDEN GROVE ' Public Works & Development

USE ZONE

FIRE ZONE

PLANNING ACTION

ST. BONO

WATER BOND

TYPE

WATER ASSMT. FEE (ACRG.l

WATER ASSMT. FEE (FT.)

PARKWAY TREE FEE

PARK & REC. FEE !DIST.

DRAIN ASSMT. FEE (OIST.

PLAN .RETENTION. FEE

BUILDING PERMIT INSPECTION RECORD

APPROVAL DATE INGPECTOR

•··c:oNT"ACTO" AUTHOJITZED" AGtENT

OWNER-SUI LOER SiGN BELOW 1. certify that I am exempt from the provisions of Ch. 9,

BLDG. PLAfll CHECK I·C:_2-o ·.I· J:f.l..ll'l ~ 1 Gocte (Contractor's l.lcense L~':"l bec~use (che~k- one)_: ----,.-----1-f--2""'-...,.---,-t.--..!le!!!..'!

CITY .OF GARDEN' GROVE. Public: ,Wekki & Dewlapinet)t ··PLUMBING. PERMIT

Inspection Requests 638-6771

C:Jeneral Information 638-666'1

-----, - -- --·· -' --- ... _,....._., DA.,...i~; •x~I""TION 01\TV

7031.5 of tile Bus!n- and 9, C