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Home My WebLink About3209 WASHINGTON AVE - Building Permits. � • ' (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIF DRIVE, COSTA MESA. CA 92626 JobAddress: 3209 WASHINGTONAV Suite: Vicinity. RESIDENCE & ATTACHED GARAGE Parcel Number: 13J�96�6 Applicant: MOORE, JOHN Address: 262 WALNUT ST COSTA MESA, CA owner: HENDERSON, WAYNE C Address 3209 WASHINGTON AV COSTA MESA, CA Coniractor: WATERPROOF ROOFING Add�ess: 262 WALNUT ST COSTA MESA, CA 2ip: 92627 Arch : Address: Phone: Zoning: ISSUED BY: Phone: (949)631-1085 Zip�. 92627 Phone: Zip: 92626 Phone: (949) 637-7085 License: 738880� Eng: Address: Status: ISSUED Applied: OS/31/2007 Issued: OSI31I2001 Phone: Zip: License: � License: SCOPE OF PERMIT. REROOF: TIO ROCK ROOF, REPAIR SHTG AS NEEDED, 2 LAYERS 15# FELT, APPLY 25-YEAR COMP SHINGLES. 2500 SQ FT . Plan+.C�eck: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: -` - Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY - Calc Valuation: g5,000.00 Claim Valuation: Ss,000.00 PLANNING & ZONING � Left 0- 0 Right 0- 0 ieft 0- 0 Right 0- 0 Pronosed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commencetl within 180 days, or if work is suspended or abandoned Por a period of 1 d0 aays. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeGtions and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 zane-aeldoo) WORKERS' COMPENSATION DECLARATION: I herehy aHirm under penalry ol perjury ona of the following tleclarations: . ❑ I heve end wlll maintain e certificate ot consent to self-Insure tor workers' compensatlon, es provldad for by section 3700 at the Lebor Code, for Ihe peAormance of the . work tar which this permit is issued. � I hava antl will maintain workers' compensation insurence, as requiretl by section 3700 ot the Lebor Cotle, for t�e peAortnance of [he work la which Ihis pertnit is Issued. My workers' compensatlon Insurance carner and polity number are: Carder. (This section neetl no( be ❑ I certify ihet In the pe� compen58lion laws 01 compty with these Applicant Signature: � WARNINO:FAILURETOSEC RE TY%%ISPND Dd1ARE (E100. LICENSEDCONTRACTORS i/ the permit is veluetl at one of Iha work for which this pe i, enC egree that if I s� Policy Number. s ($f 00) or leu.) I shell not employ any person in any manner so as to become subject to Ihe workers' to the warkers' compensation provisions of Section 3700 of the Lebor Cotle, I ahall forthwiih oeie: J" "� I' o i COMPENSATION COVERApE IS UNLAWFUL PNO SHALL SUBJECT AN EMPIOYEP TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED I TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIqJ 3]Ofi OF THE LABOR COOE, IMEREST, MID ATTORNEV'S FEES. I �ereby eflirm Ihet I em Ilcensa der provisions of Chapter 9(commencing wlth Section 7000) of Division 3 oi �he Business and Professions Cotle, end my license Is in full force entl ettect. Lic. q Cless k Cantractors SigneWre: Date: �i — 3(— O� CONSTFiUCTION LENDING AG CV: ❑ I hereby attirtn that there is a wnsiruction lentling agency tor the pertortnance ot Ihe work for whic� this pertnit is issued. (Sec. 3097, Civil Cotle). Lendels Name: Lentler's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettlrtn ihat untler Denelry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7037.5, Business and Professlons Code: Any ciry or counry which requires a pertnit to construct, alter, improve, tlemolish, or repair eny sWcture, pnor ro its issuance, also requires the appliwnt for such permit ro tile a signetl stelement thet he or she Is Ilcensetl pureuam to the pmvisions ot the Contractors License Lew (Chflpter 9(commencing with Sectlon 7000) at Divislon 3 oi the Business and Profeuions Code) or that he or she is exempt therefrom end the basis lor the ellegad exemption. Any violation of Section 7031.5 by eny applicant tor e permit sublecis ihe epplicent lo a civil penalty of not more than tive huntlretl tlollars ($500J.): ❑ I, es owner oi the property, or my employees with wages as their sole wmpensetlon, WILL DO THE WORK, and the structure is not intentled or oHeretl lor sale (Sec. 7044, Business and Prolessions Code: The Con�ractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or hersalt or Ihrough his or her own employees, providetl that such improvemems ere not Intendetl or oHered for sale. tl, however, the building or improvement is sold within one year ol completion, the owner-builder will hava the burden of proving thet he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the pmject (SeC. 7044, Business and Prolesslons Cotle: 7�e contracbrs License Law does not apply to an owner of propeny who bulltls or Improves ihereon, entl who contracts for such pro�ect with a contrector(s) license pursuant to ihe Contrectors License Lews.). ❑ I 8m exempt under seC. Bu5ine55 8nd Profe55ion5 COde for ihi5 re95on: Signeture: Da�e: Owner ID verifietl Dy tlnvefs Ilcense. ❑ Ye5 ❑ No DriveYs License No. Ventication of Ownership by (type of document, i.e. - property tax bill or deed): Eapires: DIVISION OF INDUS7RIAL SAFETY PERMR CERTFICA710N: ❑ I hereby certity Ihat no excevation fNe (5) or more feet in tlepih inio which e person is required to descend, will be made in connection with work euthonzetl by ihis pertnit, and Ihet no builtling sWCWre, sceHolding, lalsework, or demolition or dismentling ihereot, will be more than thirty-si: (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, 71t1e B, Califomia Atlministretive Code). ❑ As owner-builder, I will not employ enyone to tlo work which woultl require e pertnit trom tha Division ot Indusirial Safery, as noted ebwe, unless suc� person hes a pertnit to tlo such work Irom Ihe division. Signature: Date: Division of Indusinal Safery Partnit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I certiy undar penalry of perjury that I hava read ihis appliwtion end state thel the informetion given is correct. I agree to comply wlth all state laws end city ordinances relating to building consimclion, end au�hodze representa�ives of �he Ciry ot Coste Mesa to enter upon the above-describetl property (or inspection purpases. I egree not to ocwpy or allow wcupancy ol eny building authonzed by this permit until /inal inspection. CQOE I, INSPECTIONTYPE 7616 Fixed System Final re Prevention 1266 Pool Spa Final 200 Final Ra-Rool 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolition Appliwnt OATE INTRIALS -7-0 / tl.�� 5�3�'�i Data GODE� INSPECTIOHTYPE QajE �L 206 Finel Mechanical 208 Finel Plumbing 210 Finel EletMcel 212 Flnal Fire Prevention 220 Final Planning Approval 222 Finel Si�e 250 Final Building/Occupancy 4 V i AOPlicant to fill in al1 so��es ezceo� those witnin neavY �oraer Iines ana sign all aoo�oorlate aeclarations. CITY OF COSTA/� MqESA CO STFjUCTION�T Project Address �J� � 3h r%1 - ,�_ Aaplicant's Mailing Address � � �-y�/�� Owner's Name �/�� /' ' Phonec7_�7��7 Address _�Q/_�!�/!_J_Y1��QJq�-�`�— �/ ArchlEng. Licenu No. Address /� / �f Con[ractor'sNam6'1�1OwPa./ T.n-,_��. Q.'T/J_��_Phone��-:cG.�� Address (mailing) _�i �ai $��L City License No. _Q L LICENSED CONTRACTOR �ECLARATION 1 hereby af(irm Ihat I am lic¢nsetl untle� provisions of Char[er 9(commenCing with section ]000) oi Division 3 of the Business antl Professlons Cotle, antl my Iicense is in f I for e antl eftect. License CI 5 li No. Date � � Si9nature � __ WORKE 5' COMPENSATION DECLARATIO 1 hereby atfirm tnat I nave a certificate of consent ro self-insure or a cerNticate ^f Worker5' Compensation Insurance, or a certifietl Wpy thereof (Section '00, Lab. C.) � C� olicy No. ��/ 9��— Company�' S� F Cer:ifietl cooY is �iereby furnisnetl. Cer£ i tl c py f' d with the city tl' 'vI ' n. D te Applicani EXEMP 10 F OM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl if the permit i5 tor one huntlretl (g100) ar less). i certi(y that in the pertormance ot the work for which this permk is Issuetl, I shall not empioy any person in any manner so a5 to become Subject to the Workers' Compensatlon Laws of Califomia. Date Signature NOTICE: I(, after making [nis tleclaratlon, you shoWd become subject to the Workers' Compensation provisions of tne Labor Cotle, you must torthwitn comply with zuch provisions or Ihiz permit shall be tleemetl r¢voketl. CONSTRUCTION LENDING AGENCV I hereby a(tirm that there Is a construction Ienain9 a9enty for the performance of [he work for wnich this De�mil is issuetl (Sectlon 3097 'Civ. CJ Lentler's Name - Lentler's Atltlre25 OWNER BUILDER bEGLARATION I hereby dHlrm thai I am exempt trom the ConVaclor'S lic¢nse Law for the following reazon (Sec[ion 7031.5 Bu5ine55 antl Pr0lesslonal Cotle: Any city or county which requires a permit to conztruct, alteq Imorove, tlemolish or repair any st�uctu�e, Orio� to it5 i55uanGe, also �equires Ih¢ applitant tor $uch pe�mit to file a signetl statement [hat Ite/sne is Iicensetl Pursuant to the proJisionz ot the ConlraCtor's LiGense Law (Chapter 9(commencing wi[n $ectiOn 7000) O/ Division 3 of lhe Business antl Pro(ess�ons Cotle) or tnat he/she is exempt t�ere/rom antl [he basis tor the alle9etl exemptlon. Any vlolation of Section l.5' by any applicanl tor a petmit subject5 lhe appliGant to a clvil � Iry of not more tM1an five nuntlretl tlollars (5500). � i, as owner of tM1e property Or my <mPloyees with wage5 d5 lhQir sole compensation. will tlo Ihe work, dOtl Ihe St�UCW�e IS not intenGea or offeretl fo� Sa18 (SCttion ]044, BuSinesS antl PrOfe55ional Cotle: The Conlractor'S license Law tloes not apply to an owner ot a properry who builOs or ImDroves theraon, antl who tloes such work hlmseli/nerself or throu9h hls or her own employees, provitletl that such improvements are not intentletl or oflere0 tor sale. It, however, the bullaing or improvement iz soltl within onc year of com- plelion, the ownC/ will have the burtlen ot p�oving he/she tl10 no[ bulltl or iT� �1rOva fOr Ihe purpose of saie). u I, as owne� o/ lhe property, am exclusively Con[rac[ing with IicenSetl Con- lraGto�sto cOnitructth¢ proje[t (Section 1044, Business antl P�otessions Cotle: The Contractor's License Law tloes not avP�Y to an owner of property who • bulltls o� improves IM1ereon, antl who contract5 for such prOlects with a con- traceor(sl I¢ense pursuant to tne Contractor's License Law). I am aware that proof o( their Worker'S Compensation inm�an<e ShOultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner — 1 hereby certify that 1 nave reatl this Intormation is correct. 1 ag�ee to comp Signature �� Drivers' license or 55 = above IdOC25 repr¢- v tor TYPE OF CONSTRUCTION LI NEW L.J ADD LI ALTERATION LI REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLOG. TYPEOFPERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.FT. oCCUPAivCv CONSTRUCTION TVPE VALUATION 5 ZONE GRADINGCU.VDS. ACRES Remarks: Sink <flow Preventer tflow Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Intercentars Kitchen Sink Lavatories P-Trap Roo( Drains Reinspection Fea � $15 Boiler Duct-UnderGround Duct - Sttucmral Duct - Ventilating Exhaust System � Multiple FirepVFact. Blt. ICBO # Heating System & Ducting ❑0�100,000 BTU �10�,000 Reinspection Fee � $15 CMF OB65-46, rev. 30/84 White - Builtling; Canary - Applicanq Pink - Accounting: Goltlenrotl - Assessor Showers Servite Sink $ewer Cap Sewer Connection Solar Collectors Solar Piping � Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Issue Fee Hood or Type I ❑ Canopy Type II ❑ Refrigeration System ❑o-ioo,aooeTu ❑ioo,000 System Repair/Alteretion Fire Dampers Registers Issue Fee FEES A.P. # S Main Building: E T Front B Rear A C Right g Left Pln9. Ref. q� Planning Notes: 9051 _/G./�7 � ��L � Zone Accessory Building: Z O N I N G R Parking Req./Provided E Q M • T S ELECTRICAL Automatic Washer Transformer � 15-50 KW Construction Pole $ub. ❑ 50 + KW Cooking Unit � Dishwasher . Dryers ❑Gas ❑Electric Fan F.A.U. - Fixtures Device Boxes Outlets Swi[ches Garbage Disposal Generator �0�5 KW 05-15 KW Merer ❑up ro 100amps Meter �over 100 amps Suh Panel Motors �0-1 HP �1'f. - 8 IncSolar �9-15 HP �16�15+ Microwave . Pole Light Range Sign Standing Sections Trash COmpactor FEES 5� Reinspection Fee $15 Issue Feo $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By � Date Building Approved 8y Date Application Issuad By Date �� SUMMARV OF FEES BUILDINGPERMIT $ SMIP $ PLAN CHECK 3 PERMIT PLUMBING g ' �� ISSUANCE S � PLAN CHECK 25% $� ENERGV P.C. 5 ELECTRICAL $ GRA�ING S PLAN CHECK 50% $ MICROFILM 5 /^ �/� MECHANICAL $ TOTAL FEE S ��c� $ 3 PLAN CHECK 25% $ - CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qpPROVALS 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 Reinforcemeni 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GI��IITE 7. Footings 58. Electrical Conduit-Undrgmd:"' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test�� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O,Undrgrnd. r 10. Structural Floor System 61. APPROVAL TO DECK ��' 11. PropertY Sewer Line & HouseConnection!. i�.. - 62. Backwash & ReceptorFinal:':' 12. Sewer Cap 63. Heater & Vent-Final 7 3. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing . . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing ' 76. Dry Standpipe 28. La[hing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 37. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. FinalElectric Notes: (p-2LSi7 (�pa-"7"'(,,Q�p�p L.Q-li 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing J7 n(�� 39. Water Service�Final � � 40. Gas Service-Final 47. Solar pomestic-Final ' . 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • ' 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed � � � - 49. Elec[ric Release to Edison 50. Gas Release to Southern California Gas Co " 51. CERTIFICATE OF OCCUPANCY - No. Date � � OWNER �p�ggON W JOB ADDRESS 3209 Was ,��GENERAL CONTRACTOR � Ap No. 139-0 — LOT ECTIONS s..�� Gn5 �WATEP ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON.� SPRINKLING SVSTEM MISCE��ANEOUS ROUGH HEATING AND AIF GON�ITIO TEMPOftARY SEFVICE OR POLE UNOERGROUNO � POWER � ROUGH WIRING TRENCHES ❑ FORMS � STEE F�OOR SVSTEM BONO BEAM ❑ STEEL REINFOF SHEATHING FRAME AND FLASH�NG LA7HING - IN [, OUT n PLASTER,6ftOWN COAT 5`��'CTURAL, FINAL 1 NG, VENT., REFRIG. ANO A.0 PLUMBING, FINAL AN� GAS TEST � ELECTRIC, FINhL DATE BUILDING PERMIT N0. JUPJ TYPE SUBCONTRACTOR A� �� 33 I 84 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1T00 COSTA MESA, CALIFORNIA 92626 For Applicanf to Fi!l in Campletely lUil?_t-71cFI,UOO105i4 �:t. APPLICATION FOR BUILDING PERMIT RECEIVED BV /DATE RECEIVED DATE ISSUED ADIDRESS d S /y O �1� u � Z/ _,� ��2� _7i OWNER Sa�'(% A.P. NO. /✓ .� O/(�� PERM i¢_ d� 4 BUILDING ADDPESS �j'/yE ADDRESS O a U CITV s' f%%� S/� NOL TRACT �p /� LOT BLOCK Z Q CONSTFUCTION P Oy LENDER ONE am J � BRANCH / _r^/ _) J � OWNER p /I [F�ON 4 ADDFESS �{ LpVALUE � ARCHITECT i/ NEI.. � ry9 �O V�Cl��+ $ D � OR ENGINEER G•�G ��a ,��J� V N /�j l FIRE J y wa U�i SD .BLE.J ZONE TVPE�GROUP � ADDRESS aW APPROVED ,/� J O CONTRACTOR � � BY .�'1� . . DATE � 'Lj °° Z 1. f �� U J � ADDRESS /N �.y� ZF CITV � �' NpLS J'�/�rI ZOR---� PIAKS a BUILDING E w � STATE / / CITV YARDS APPROVED VARDS APPROVED y K LIC. NO. {� '(p / ��. Na. ,2 2d 6 MAIN BU LDING ACCESSORV BUILD�NG � � SIZE �) NO.OF BLDGS. ( OF LOT O O[J NOW ON LOT / FT. EXISfING BLDG. �,yG LL � N F T Z NEWBLOG. �O /b �/�aC�,ROOMS STOflIES L.SIDE �FT. FT. a EMEflIOfi WALL ROOf V COVERING COVERING REAR �OpT. FT. J USE OF BUILDING AND WORK TO BE PERFOPMED DI5TANCE BET. BEf. MAIN & � MAIN BLDGS. ACCESS. BLDGS. t ,/ p VAR.3W DATE O O ✓ �/ C.U.P.qW APPROVED F APPROVED /' / ,� — 7/ V1 C l7 / Z O VI heraby acknowledBe Met I have reatl this a0�lication antl smte � that [he ebove intormation is correct antl a8/ee to comply wi[h � all laws regulatlnB bui�tlinB consvuction, antl � shall not employ F any person in vlolation of the workmen'S compenution lews of m y Ma Stata of Califomia. �y ZI �eraby certify that I am prop¢rly licensetl as a contractor untlar SQ. FT. o [he S[ate af Celitornia Business entl Professions Gotle, Divisicn 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR � Chapter 9, antl that Such licenses are in fuil forte and effett, or I THE PVRPOSE OF ESTABL6HING A PERMIT FEE ONLV: m am exampt irom tha provisions of the State of Celitornie Business ¢ end ProfesslonsCo , Division 3, Chaptar 9. VALVATION �� N � PERMIT FEE $ S ] SiB�eture of � / m Parmlttae � � V $ � PLAN CHECK $ E o � 3Q, � __.� LL Authorized ABent TOTAL FEE $��1 � �J � � . 1�L�'�8 COSTA MESA BUILDING•SAFETY DEPARTMENT 'P. O. BOX 917 COBTA MEBA. CALIRORNIA For Applicanf fo Fill In Completely TYPE OR P.RINT COSTA MESA. CALIFORNIA , OWNER D1�Se & Colagrove, IS1C• MAIL �9 Fi• 1(tiF3 S�'.• aoorxFac �E��E1CriUED '/ .J � ��(oG FINANCE DEPT. APPC[CqRIONi �ORiCR@RMIT BUILDING For Office Use Only NHCEIPT NO. PEI P¢G61�¢D-BY OATC REC81�(E�. A/' 3—J,� BUILDING (',,AI'130R Sc M1CI�CUI'O�' COSTA MESA. CAUFORNIA Garden Grove � F�RE eJ, ZONE TYPE GROUP Dike .& Colegroye� Inc. ABYPROVED c., A��ts.— 419 E. 17th St. , Costa Mesa NING ,,,, . 20N8 NO. OF�/ UBE OR NEW �sta Mesa t PLANe {� BUII.�INO z93 No: � g-1159 '�°"� See Attached .� oescniwrioH NO. OP BIdGB. � X GO � ....... .... . ... non _ _ .. _ .-. _ . _ a . EXISTING BLDG. S10R8 pppROVE� 98TBACK LINe PROM � �O � [cermq uNs BT.) CEMER OF BTR¢ET SO REAR YARD FRONT SIDE YARD LEFT %� I RIGHT �' R. SIDE DESCRIPTION OF WORK L. SIDE u�.., I X II .. _�e.r,�., I II .��,r,�.. I EXTERIOR WAL{., ROOF COVERING JtUCCO COVERING COIDC � U6E OF BUILDING AND WORK TO BE PERFORMED Sin le family residence with attached garage. Plan lOAR 1 HEPfiBT ACKNOWL¢DG¢ THAT 1 HAVE RPAD TXIB APPLIGTION •ND eTATE TNAT THB ABOVE IB GORH¢GT AND AGPBE TO COM- PLY WITH ALL CITY�TORDINANCE9 AN� HTATH,lAWB H86U TINO BUILDINO CONBTRU ION. /� � // 81GNATURE OF r // �� _ � ,. IAUTHORI2ED AGENT Dike & Cole�ov9� IriC. APPROVED � .� �(�� THE AMOUNT BXOWN UNDER VqLVAT10N IB POR THE PUfiP09H OF 88TABL18HIN6 A PERMIT FEE ONLY. VALUATION I1 rv� PERMIT FEE $ �T�w $ 14,179�W PLAN CHECK $ l��vV TIITGI CCP Q S��w