HomeMy WebLinkAbout1996 MAPLE AVE - Building Permits CITY OF COSTA MESA
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,pp BUILDING DIVISION
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I � 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BX11-00018
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42209221 DATE ISSUED: 01/19/2011
Zoning: ISSUED BY: RMD
JOB ADDRESS: 1996 MAPLE AV CM Suite/Unit:
Vicinity: RENTAL OFFICE Primary Occ: Const Type :??
SQ. FT: 0 Valuation: $4,885.00
SCOPE OF WORK:
ALTERATION TO APARTMENT RENTAL OFFICE DUE TO VEHICLE DAMAGE. WORK TO INCLUDE REPLACE LIKE FOR LIKE
FRAMING, STUCCO, DRYWALL, PATIO DOOR AND 1 OUTLET LOCATED AT CORNER OF OFFICE.
OWNER: MARIMAN RUDY TRUST Address:: 1996 MABLE AVE Unit
City/State: COSTA MESA, CA Zip Code:
Phone:
APPLICANT: COX, DONALD Address: Unit: •
City/State: Zip Code:
Phone: 714-827-2334
CONTRACTOR: COX CONSTRUCTION License No. 354421
Address: 8891 WATSON ST Unit: UNIT
103
City/State: CYPRESS, CA
Zip Code: 90630 Phone 714-827-2334 Cell:
ARCHITECT: License No.
Phone
ENGINEER: License No.
Phone
FEE SUMMARY
Building Plan Check: $0.00
Building Permit: $111.25
Electrical Permit: $24.50
SMIP Residential $0.00
SMIP Commercial $1.03
Bldg Std Admin Fund $1.00
TOTAL FEES $137.78
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE S. INSPECTION TYPE DATE IN1nIALS CODES INSPECTION TYPE DATE INOTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ('
200 Final Re-Roof 210 Final Electrical x �t 2-o //
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 MPS
WORKERS'COMPENSATION DECLARATION: . Owner ID verified by driver's license. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' corppensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: ,
m� (./-L/� person is required to descend,will be made in connection with work authorized
Carrier:
' by this permit,and that no building structure,scaffdding,falsework,or demolition
u or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This section need not be completed tithe permit is va ued at one hundred dollars($100)or less.)
/ 2,Art 2,Sec. 341,Title 8,California Administrative Code).
Poli Number 0 0 ( 6 7 - z C-) / C� ❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division,
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' .mp:'sation provisions of Section 3700 of
r Applicant's Signature Date
the Labor C•.-,I shall forthwi m. /,. these provisions.
i
_Z -" (/ Division of Industrial Safety Permit Number:
Applicant's Signature I Date? HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. /I l a registration form for acutely hazardous materials? ❑Yes ❑No
, // lass#-T /3 (Section 25533 of the California Health and Safety Code, with some
A YY//y// exceptions, requires registration with the Costa Mesa Fire Department by
1 zO `(_Z-(-r( each business which at any one time has on hand a quantity of acutely
o .etor's sig nature r - o 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.), certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Date
Signature Date ( I
21- (
306746(3/07) LAn.lor Authorized Appti ( _.Date
PROJECT ADDRESS: 1996 MAPLE AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: 2 062005
a DWNEBSNAMErpEDERSEN JAN MARIE
ADDRESS: 5141 CHATEAU CIR PERMIT NO: B 062005 PLAN CHECK NO: N GOVT: N SUPP; N
IRVINE,CA 92714
CONSTRUCTION TYPE; V-N PERMIT TYPE: STR PURPOSE: ALT
642-4593
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/OFF REROOF W/CLASS A SHINGLES SQ FT: 2, 700
ADDRESS: UNIT:
CLAIM VALUE; 2, 700 . 00 CALC-VALUE: 2, 700. 00 GROUP OCC: R-3 /
PERMITTEE:R.C. ROOFING ( 714 ) 534-6205
ADDREss: 11782 REVA COMMENTS: REROOF 2300SF 2-UNIT FAMILY RESIDENCE W/SHINGLES �p
GARDEN GROVE CA 92640 *****SEE*********•***************************%**********$*****4•'**p*p*,'•..�" `E""Www -1
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS S�OKE` D ETE
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LICa�.K:-04]04f,26 STATELIC.:456490 CLASS:C39 REQUIRED
Date:_✓ "3 —I Signature: </l� MAIN BUILDING ACCESSORY BUILD_.T
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate al Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation{nsurance.yr ce(Qre threof ection380.Lab C LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.:2S 3-7.5 Vt"l + Lbi EXP.DATE: 01 /01 /94
COMPANr:STATE FUNDPARKING REQ• PROV: PARCEL: 42209218 ZNE: REF NO:
r�
3 Certified copy is hereby furnished. r'J Certified copy is filed with the city Building Division. PLANNING NUTES>
>
Date: 5-3-4'13 Applicant:P *'*****'**'*'*'*'***s't*#******************4•***************************#************SF**
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not to completed it the permit is for one hundred(5100)or less). D E V E L O P M E N T S E R V I C E S R E Q U I R E M E -W ' S
I certify that in the pedermance of the work for which this permit is issued.I shall not employ any person m any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE; .'
Dae: Signature: •
BUILDING APPROVED BY : DATE:
NOTICE:y:N.Aust making wit this declaration,wiyouhshould become subject the Workers'mCompensation provisions of the Labor
Code.you must AG comply with such provisionsroat this permit shall be deemed revoked. ' .J3 /R
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• t DATE: 4211
which this permit is issued(Section 3097.Gv.C). **********************dr***k rent k****It yr-yr is u*xx se •. iv u R'*Iv x x><sesz srfir**********i sr**foxk rx sr**
LENDER: *******************3F*iF******************************************** K*iC***g-TS#**
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
(Section 703t.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 , 00
50
repair any structure,prior to its issuance.also requires the applicant for such permit to fee a signed statement that he/she is licensed
SM I P/UON-R E S
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7010)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My 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(3500). ISSUE FEE
I. as owner of the property or my employees with wages as their sae crompensation, will do the work. and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such Improvements are not intended or offeree for sale.If,however the building or REVENUE DIVISION TOTALS--> COT LECTED• 54 . 50 OVER/SHORT: 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 54 . 00 • 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).I am aware ************************************************************if#*********4*******
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C.
mr this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 2700 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 700 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a •
permit for construction or moduication from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Elate: Applicant:
I hereby certify that I have read OFFS application and state that the above information is correct.I agree to comply with all city and county
ordinances and state Wws relating to bedding construction and hereby authorize represe tatnes of this city to enter upon the above-mentioned
property for inspection purposes. ' '' �J
y Date: 5-- -1-3 Signature:A MMXAA/,�
/ Driver's License or Social Security II: 01 00138392-00138393 TOT 54.50
DATE: 05/03/93 TINE: 14:18
1641.46 White—Rmtding:Green—Code Entorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
. .
Ir CONSTRUCTION AND PLANNING i
POGO"& SPA
Date Tlnspec br I Date Inspector
APPROVALS Panit APPROVALS Permit
I -- -__ _- _le- -___+_ i___.
Tare I 1. Tapzerary E: tr c . Z. . e.r o• Pole 1 52. Puoi fa Cod'•n_nt Locet ':n 1
'2. So P,p .Un❑r ;rnc 153 St,..-el limn .'
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8. Foundation ^. 111 , 59. Gas P.pe, •_: Urdrn•-•d . Tc'.r
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16. Hoer c:ec, c .',rlrl 67 Fencin„ LL Arc 4r
17 FoLgn G:,r,rg S,yn --- - ----- --- 68. APPROVED FOR i'L'\ Nn..Si. '` r -
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4E. Electric R^'easy to _d.sdri .---I--- ------- ----- - -----.
5C. 0:, Re:ease to Southe•n ;n!Ifo•nia Gas GII
f 51. CER-TIFICATE OF GCCUPANCY -y--- - - . _
-- - --- -- - - -
IR'o. - O'r.e - -
OWNER WEISEL/ MARGARET DATE 12-26-61
JOB ADDRESS1996 Maple Ave. BUILDING PERMIT NO.139/19
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 11511-0.00
AP No. 115-301-55 LOT TRACT FIRE ZONE DESCRIPTION OF WORK3 Car Carport
INSPECTIONS Signature DATE GROUP J TYPE V ZOI }
Soil PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
V\
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑ _ -- - _ _ _ /
Rough Wiring q ��a c ��lr-6Y /7f/
Trenches C� Forms � Steel Reinf. 0 +l 3-2-67,- •
Floor System _
Bond Beam 0 Steel Reinforce 0
Sheathing /6 o- 1.1. �. — Co ).-
Frame and Flashing yr)o- 9-_ — G
Lathing — In 0 Out ❑ m` 4t --I. 7 -
Plaster, brown coat /o. -1 j '7 —. � �—
Refrig. 0 Air Cond. 0 Final
Herding, Final
I )ing Fixtures, Final
FI....1 Gas Test
Electric Fixtures, Final 'Z1 (: trz,f Z
Building, Final u{j Y
OCCUPANCY
FORM RITE-5M - 7.51 1 SQILQ
OWNER 47EISEL, MARGARET DATE 12-26-61
JOB ADDRESS 199E Apts. ,6 Maple Ave. BUILDING PERMIT NOS-593r
GENERAL CONTRACTOR Owe- T'Br• VALUE $2r580'OU
AP No115-301-55 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Duplex
INSPECTIONS Signature DATE GROUP I TYPE V ZONE RA
Soil /�.2z>i/ PERMITS ISSUED
G. R-t/..SG,- SUBCONTRACTOR DATE NUMBER
L /Y /z 27-x/
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating //Z .Zg/i r- 7 _ -�
Rough Plumbing grog_aal/ _p i4_2 t_{i V32_i_`a`-fa'-mo i
Miscellaneous ��t 4� -6-e.�&, , 7
Prop.Swr.Line 0 House Con. 0 St.Swr. ❑ •bZ �Yst. ..
Sprinkling System -14
1100
Pole nwl°
Underground ❑ Power ❑ _n' "� � / b_ 'GIbi
Rough Wiring 2, 1-(1 ` _ry4_e_g±._. ,2_7_& _ /68 S/;/- � I
Trenches @- Forms NI Steel Reinf. i���7- -g
Floor System I-3- 6.2.-
Bond
ZBond Beam 0 Steel Reinforce 0 _
Sheathing _8 m 1 Z _-7'— 6 s
-�Frame and Flashing 0 - —7 — _
Lathing — In 0 Out ❑ �� .2 —- o ys
6
Plaster, brown coat ✓YL t°— 4.4--. 4t 6
Ret rig.0 Air on . 0 Fina
Heating, Final �yWAt F•4G
P 'lingFixtures, Final
P. _ Gas Test /7 _ 'l/ ?s =—
Electric Fixtures, Final
Building, Final — 2 �� ,
OCCUPANCY •
FORM BU4-5M — 7-61 15937
., FEE -RECEIVEU-
DEC 1 1961
COMA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA Si
For Applicant to Fill In Completely APPLICATION FOR PERMIT II .
TYPE OR PRINT
BUILDING.1.994-Apt s. 1 ,2, 3,4::2apae Ave BUILDING ZZZ---
ADDRESS 1996_.;•,1= 1 3 4 _
COSTA MESA. CALIFORNIA For Office Use Only
71 RECEIPT NO. , Z9 9 NO. l
OWNER argaret .:easel I.c /. .. i
MAIL IQC/[IIVED//Y /7-77.7 I DAT[ ILOULD Ii
ADDRESS 106 N. Highlail t'� aye_. f . Jc�1FR G / n:c li
I la 1.
6T
TEL REBBI/7AY l/ 9? // Ap2 // ;Q !
CITY �
Los Angeles 3G No.9-3811 ADO
ARCHITECT TEL.
OR ENGINEER C. ^Is No.3-1221 COSTA MESA. CALIFORNIA 'Yiil
i ADDRESS L)(t(iiin
71?n D 3Nne" FIRE #iI ir
ZONEATYPE �� GROUP J'f�CONTRACTORV BBYPROVED DATE / IriADDRESS ✓ iI --a -.ve . I ZONING P
ZONe NO.OF USE OP NEW r
CITY .-..,s-7:..flZ P 3J :�v IPLANS (BUILD'IN'G lrr,
STA TE /I / 5 7 TEL 17: Fi-7284 DSE�I\��\,�''_� �-�..." ' a� IV 1� 4 Pry INC
CRPf�ArLAAID / l IN
OF LOT Q Oq j 41 I NOW ON LSIZE MO. OP OT N7FIP 'ILII //.5 .--- 30 / - ..0 S�
Z gG Y A.P.NO.
USE OF r
EXISTING BLDG Nine. APPROVED AL`ECS444WED
CEN ERK LINE FROM ICVlTT LIMt ST4 Q)1 II I
CENTER OP STREET REAR YARD 0 FROM AA FT.k_ IEM.r('}r/L•Vy` IN.
SIDE YARD I LEFT 12 I RIGHT 10 R.SIDE f0 FT. IN.
--
DESCRIPTION OF WORK L.BIDE I e FT. �}��fp {1 IN�``
NEW I X II ALTERATION I II ADDITION I UY••
REAR /� /'{/ FT. `+r�++r'� IN. _
REPAIR I JI MpVING I II DEMOLISH I APPROVE
BUILDING QUI 9 ,'; ' NO. OF BY SYR' 4ti_ DATE �1 �/� I G
SIZE aEN't $ ROOMS :G STORIES2 (
EXTERIOR WALL, ROOF
COVERING .3 uCCO COVERING LOCI:
USE OF BUILDING AND WORK TO BE PERFORMED -v-,.. ie.
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-• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT BROWN UNDER VALUATION IS FOR THE
OR
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. I
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING [F
BUILDING CONSTRUCTION. VALUATION Q'/
SIGNATURE OF, ` - - PERMIT FEE S O 4L . i
PERMITTEF - n i
S�D 57.5) ./ PLAN CHECK S/IO(
AUTHORIZED AGENT / / _
TOTAL FEE Si 4 ,S_ 1 F
OWNERWEISEL, MARGARET _ DATE 12-26-61
JOB ADDRESS 199 4 Apts.l- & 1996 Apts.1-k Maple Ave. BUILDING PERMIT NO. 15933
GENERAL CONTRACTOR Owner-Bldr. VALUE $80,551.00
AP No. 115-301-55 LOT TRACT FIRE ZONE DESCRIPTION OF WORK 8 Unit At.Bd
INSPECTIONS Signature DATE GROUP-An TYPE v ZONE Rit
Soil S /2-2,7-Cyr PERMITS ISSUED
Gas r. �;•, - . SUBCONTRACTOR DATE NUMBER
\Vater 7V1-71-S' 12-�-�/
Rough Corn. Refrig. 0 Air Cond. 0 -
Rough Heating /a:g_3:14 /yLf_ � (-y i_)_(_Y- ."ri.
Rough Plumbing 'f:// /-0.:'&:-t - //�jj''��;;"";;�� ,.2,..26:41____3:2.7.4 �':i 8
Miscellaneous - _ ,,,i �1%r _ 3- _C t,� -3.:,“5_:.,.."
Prop.Swr.Line 9-House Con..D St.Swr. ❑ 4/! ' - _ Y •---�"�-- -.
—« r
Sprinkling System ? - / ------_ _�-&a1
Construction Pole _ • __ 4r1'__ i �'
Underground 0 Power D Litil.
Rough Wiring ,:` a. , 7r.zC.
. .,...0 Ft .. . /.2:94-4-t, ASV � ttre :
Trenches c- Forms Steel Reinf. r�_y• sr_ / tt
Floor System 1' P-. � _ • _. _
Bond Beam 0 Steell Reinforce 0 _
Sheathing /C1, d-- N — —C�
Frame and Flashing__ a- _�- s Z
Lathing — In 0 Out L' _3 2— - E p----
Plaster,
---Plaster, brown coat / C 2.4 - U .---3 ——
Refrig. 0 Air Con Final LL_
r_� _�_
Heating. Final - —lam^/
-
Plumbing Fixtures, Final r %_�i '�.--
Final Gas Test / �' —fj4" (.,-A'-•;.;
Electric Fixtures. Final -
Building. Final — - ---- - ------ — ------
OCCUPANCY
FORM BU4 -5M — 7-61 15933
•
•
OWNER WEISEL, MARGARET eco 1 62 DATE 2-5-62
JOB ADDRESS 1994-1996 Maple Ave. BUILDING PERMIT NO. 16358
GENERAL CONTRACTOR Larry Sade VALUE $4,565.00
AP No. 115-301-55 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Det.Opts.
INSPECTIONS Signature DATE GROUP J i TYPE V ZONE R4
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing ---
Miscellaneous • -- - _ - -�----- -- _- _
Prop.Swr.Line ❑ House Con. p St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power
Rough Wiring
Trenches R- Forms E✓' Steel Reinf. ❑ 'v ¢2^ ___
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing —�—G Z __
Frame and Flashing fl/c _,G�/. - Z"
Lathing — In 0 Out 0 e- Y
Plaster, brown coat - -- o- 7=G_Z�
Refrlg. 0 Air Cond. 0 Final
Heating. Final
Plumbing Fixtures, Final - ---------- "- -"--- ----"-- -"--
Final Gas Test
Electric Fixtures, Final _ _
Building. Final �i� � ��G � /'' ?Tr' _ �/g �� �/ -
OCCUPANCY OCCUPANCY i �— /' --- , ^.
FORM 004.5M - 7"61 16353