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Home My WebLink About2401 VENIER WAY - Building Permits w9 CITY OF COSTA MESA BUILDING DIVISION a• ` DEVELOPMENT SERVICES DEPARTMENT PER NUMBER � PERMIT 05-01323 " ,,,R, (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBLiHLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2401 VENIER WY Status: ISSUED Suite: Applied: 08/05/2005 Vicinity: ROOF,4-PLEX AND ATTACHED GARAGES Issued: 08/05/2005 Primary Occ: R Type of Construction: V-N Parcel Number 43914336 Zoning: Applicant: DEBORAH SIMMONS Address: 9582 HAMILTON AVE �y SUITE 281 Phone: 714-960-8329 ISSUED BY: HUNTINGTON BEACH,CA Zip: 92646 Owner: FANG, TCAI LIAN 13f\CC-t k 4 „ .. Address 2494-VENtER-WAY - -7--I '.. :T.QV(1' t 6L- 1-1:r .C - ' Phone. C 'TOSTN, Pi ct 2?plc 6S�MESA,.CA" Zip 926E7r Contractor HIRSCHMAN RP &SONS INC • Address. /9582 HAMILTON AVE SUITE 281 Phone: 714-960-8329 - HUNTINGTON BEACH,CA - Zip: 92646 License: 781923 . Arch : Eng: " Address: - , • Address: Phone: t = Phone: ,Zip: ' .' E-License: License:- SCOPE OF PERMIT TEAR OFF EXISTING.ROOF..INSTALL 1 LAYER OF 15#FELT,40 YEAR COMPOSITION SHINGLES,-AND REPAIR/REPLACE SHEATHING AS NEEDEI SQUARES FOR 4-PLEX.4 PLY BUILT UP SYSTEM FOR ATTACHED GARAGES. 15 SQUARES.' UNITS 2401 THRU 2407 VENIER WY. * _ il' • r .. FEE SUMMARY • Plan Check - $0.00 ' 6 Calc Valuation S24'697.00 00 Permit $391.25. Claim Valuation $24,697.00 iY t SMTP Res $$2.47 SMIP Com �' '$0.00 Other: $0.00 Inspection: � $0,.00 . Total: $393.72 PLANNING &ZONING SETBACKS.' MAIN STRUCTURE Front 0-0 Rear 0:0 Left 0 0 Right 0-0 m wee fi • ACCESSORY ;.Front 0 O,a..,. Rear 0-Ort" -,Leftl-- 0 0 e Right 0 0 PARKING Existing 0 Required. 0 Proposed: 0 - <<• • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12.21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-06(WOO) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I'have and will 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. G ----Mc workers'compensation In urance nler and policy number are: -Cartier245--bilL V"l[ PolicyNumb •:&a,20-02‘,05 ,( hls"section need not be completed if the permit is valued et one hundred dollars($100)or less.) ❑ 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply ith,ihese prPvi-siopns. - ` 8/o /O 5 Applicant k SlgnaWre:�-T-.C.f7lg'4'- � �Kinntle›l.(L rDate:1� (WARMNFAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPCOVERTOCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm.thaCI'am ite�my u9Qeerr,provisions of Chapter 9(commencing with Section 7000)of Division 3 of the BusinessAandd jpfessions Code,and my license Is in full -toren";effect..Lic..$ % �/d=S _ l Massa GYY Y J -Cori tractor Signature: d( D�H$(�X�t� /XYl/YYI/�NA� �Detd: RJ,�7/CJ5 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,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 is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 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.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,end who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: • Owner ID verified by drivers license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title e,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses whicfl are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aPermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. S.nature Of legal Owner(s) 673...y235. I/7 do / .: I, tad illj4Ii ' „moria: {Aut brined PPPlicant---�� ,,Deta, — CODE INSPECTION TYPE PATE INTRIALSCODEX INSPECTION TYPE MIL MAO 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final �►� 208 Final Plumbing *Th I 200 Final Re-Roof ,��'!/ 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place - 220 Final Planning Approval 203 Final Sign _ 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy • CITY OF COSTA MESA 4 ' BUILDING DIVISION F , DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER PERMIT 601-00936 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2401 VENIER WY Status: ISSUED Suite: Applied: 06/19/2001 Vicinity: GARAGE ONLY Issued: 06/19/2001 Parcel Number: 43914336 Zoning: Applicant: HANSEN, DUKE ISSUED BY: Address: 260 E.ALTON AVE Phone: (714)557-7440 - SANTA ANA,CA Zip: 92707 Owner: BACKBAY GARDENS HOA Address 960 CALLE AMANCER Phone: (949)498-1129 SAN CLEMENTE,CA Zip: 92673 Contractor: ROSS & BARROWS INC. Address: 260 E.ALTON AVE Phone: (714)557-7440 SANTA ANA,CA Zip: 92707 License: 327802 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF GARAGE FOR EXISTING CONDOMINIUM.TEAR OFF EXISTING ROOFING&INSTALL NEW BUILT-UP ROOF SYSTEM. PERMIT TO INCLUDE 2401 &2403 VENIER WAY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,050.00 Permit: $83.25 Claim Valuation: $2,050.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS • fl I r WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ` [� I have and will 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'rkcampensatio Inss�nce carrier and policy number are: Carrier: J Number: D V —0( C al (41,-ert (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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 Califomia,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prove s. _ Applicant Signature: 4 _._>�o (act - - _Date:Date: - ' —7-C-07 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licens undtp rovCisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full effect. force and Lic.# / d!07_ p Class# 'C.3 C Contractor's Signature: ; Date: —f9-nr CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,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 is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 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.It,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,Art 2,Sec. 341,Title B,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: - Date: _ CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. L /)7Signatu re Of Legal Owner(s) ., Date 6 iE And/or Authorized Applicant ' Date CODEINSPECTION TYPE QAIE Ift�W.S CODE I INSPECTION TYPE PAIL INTITIALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final p 740:14-41- 208 Final Plumbing 200 Final Re-Roof 6.-214740:14-41- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER DOYLE & SHIELDS Development Co. ,Inc. DATE 6-3-63 JOB ADDRESS 21101 Venier BUILDING PERMIT NO. 19726 GENERAL CONTRACTOR Doyle & Shields Dev.Co. ,Inc. VALUE $ 16,790.00 AP No, LOT 142 TRACT 3433 FIRE ZONE DESCRIPTION OF WORK Res.v/att.gar. INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-2 Soil Ea- PERMITS ISSUED• ' , Gas / /` L SUBCONTRACTOR DATE NUMBEK Water Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating /4..76 /I-q JIJL_2z 1963 Rough Plumbing /1445 /off-✓, �-�0- 6_t�.? .' Miscellaneous _ ' Prop. Swr. Line DI House Con. trSt. Swr. 0/1474-I //-g-13 $p .a2gzie�. c. /0= 3 63_4/_226i _ Sprinkling System /� Construction Pole L✓ i1'722t Ly,(ae/1/e$. .r2i-G9 -gm- Underground Power ❑ / .6?_ - Rough WiringWiring f3—� _ , , 4. i 5--3n-h3 ,-*(r) 7 4-.5-— Trenches Forms Steel Reinf. ❑ /- Floor System A—f'-/ $ Bond Beam 0 Steel Reinforce 0 Sheathing .2- S - G_3 1 Frame and Flashing I-.5--,;c3 / yr Lathing- In j Out,Z-- J/-�/6 ' b Plaster, brown coat /`( in / Refrig. ❑ Air Con. ❑ Final °✓ - �� _ Heating, Final .1/- /- 30-6,9 1 Plumbing Fixtures, Final /,S- a-g-44 Final Gas Testy g 2-Sr-Cel Electric Fixtures, Final7,,_, Building, Final 44/-5- 2 S`Zq OCCUPANCY HOLM FOR SP-nit r P"^U:.^.rNr7NTS • Form BV4-SM-3-63-S-B P -' V ' 19725 FEE. RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT �p 8 P.O.BOX 317 COSTA MESA)CALIFORNIA FINANCE DEPMESAT• II �y SOSTA For Applicant to Fill In Completely APPLILs�T10 F R PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING a I � / n -- , & n ADDRESS l/.vP v`-r/ 1 RECEIPT NO. COSTA MESA, CALIFORNIA 1772t /tlt RIC 74 EDB DATE REC Iv DATE ISSUED OWNER S • _ S f • _ds B • _ 1 • I�U �- •//-b'3' ' ,.,TUN 13 1983 BU 4,TNG ai/0/ YY//_-frl C� e ADDRESS 831 So. Manchester Ave.MAILLING 2g }A'a/ (�1[/1 TEL PR FIRE ZONE TYPE Y GROU CITY Anaheim NO. 2-8020 ']1� APPROVED OR ENGINEER Hai C. Tan NO. 6ARCHITECT (OhOg 10 BY DATE ZO _ NO.OP ZONING OP NE ADDRESS 4100 W. Commonwealth PLANS I USE DUILDIN��( ]((�4�`��'" CONTRACTOR SAmP ^'- � (/ LEGAL Lot 142 Tract 3433 ADDRESS Same DESCRIPTION ' CITY Same A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SLC.TTNO. 151-250-B-1 NO. PR 2-8020 E TEL. Sr TO SIDE 4 REAR P.L. EAVES SIZE OF LOT 33 x 53.50 I NOW ON{OTOF B -- ALLOWED (U. B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. -- (FROM C/L STREET SETBACK LINE FROM CENTER OF STREET 20.501 REAR YARD -- FRONT FT. FT. SIDE YARD LEFT I RIGHT R.BIDE O FT. FT. DESCRIPTION OF WORK L.SIDE (-/FT. FT. I NEW X ALTERATION ADDITION REAR p FT. FT. DISTANCE BET. BET.MAIN Q REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. VAR.# DATE BUILDIN p NO.OF 6 SIZE 1x53. }O ROOMS STORIES 2 C.U.P.$ APPROVED EXTERIOR WALL.F1 it..! ROOF nial449$11$0 i. Lr APPROV� COVERING RIrAFlDWn I COVERING PERFORMED BY DATE V /�T/�_I�'-� USE OF BU ILDI ORK TO BE PERFORMED _RP47r1Pnre w/attached garage Model 32G N 1558 so.FT. AfYrd " I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT Se UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF T LISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION B BUILDING CONSTRUCTION. nol STSIGNATURE P :01,1,.\ S � ` 26 PERMIT FEE $.5 � 9 $ / /(o PLAN CHECK S �� o �A 1' a AUTHORIZED AGENT J3 /I,yy�, TOTAL FEE $ (F./