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HomeMy WebLinkAbout2170 MAPLE ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. / .-.o - CITY OF COSTA ESA CONSTRUCTION PERMIT PERM NO. TRACT NO. LOT NO. UNIT NO. 9034 2I O/©'c 50�� TL t Imo' MAple st- P,�a l07 y Project Address I � '�j 3�'d,��/� (( TYPE OF CONSTRUCTION LI NEW Li ADD LI ALTERATION LI REPAIR Applicant's Mailing/g,/qd���d/ress .-Jo neU� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# ' Zone Owner's Name f o�,e4 Phone a-G S90 DESCRIPTION OF WORK/USE OF BLDG. Address Siti'e . S Main Building: Accessory Building: TYPE OF PERMIT U GRADING U FOUNDATION ❑ STRUCTURAL E Front Z Arch/Eng. License No. T 0 Address ,�//'' ������//////��'��'�ry�_ _ _ ❑ TENANT ❑ ELECTRICAL &LUMBING ❑ MECHANICAL B Rear N Contractor's Namdrl� . - a0 Phone _3 ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N It ((��((�� Address(mailing) �` ' a '' AN• ✓- CONSTRUCTION TYPE VALUATIONS _ S Left ( 1 I City License No. £939 _ ZONE GRADING CU.YDS. ACRES R OZ) LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E 0 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and T my license is in full for a • e ect. RFC( :IVED JAN Licen a CI. • . Licen • NopA/7�J7 - I S Dater'f- 'sty.- Signature Mr%Mg ••+- i PLUMBING FEES I WORKERS'COMPENSATION DECLARATION ; Bar Sink ShOWers ELECTRICAL . FEES 1 hereby affirm that I have a certificate of consent to self-insure or a certificate I of Workers' Compensation Insurance, or a certified copy thereof (Section o3800, Lab. C-) Backflow Preventer Service Sink Automatic Washer Transformer 0 15.50 KW yp Policy No. ��YYQ/� CompanyZ . /C, dasig Backflow Irrigation Sewer CaP Construction Pole Sub. 0 50+ KW \ ertified copy is hereby furnished. • Certlfi d$$o PO�� tiled with the city (ding 'visio Bathtubs Sewer Connection Cooking Unit Meter ❑up to,100 amps Date/ Ar-4•0 Applicant -- /C-awa�sv/ Clarifiers Solar Collectors C shwasher Meter Dover 100 amps EXEMPTION FROM WORKERS'COMPENSATION DECLARATION CEL D �iP (This section need not be completed if the permit is for one hundred ($100) or L` less). Dishwasher Solar PipirA�`'y I ��/l.p-� Dryers OGas DElectric ^— Sub Panel I certify that in the performance of the work for which this permit is issued, I C �j i Y— — shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank A`�., �� Fan Motors ❑0-1 HP 01%-B 'Workers' Compensation Laws of California. �{ . Date. Signature , Floor Drains Swimming Mei w/Spa F.A.U. Inc.$olar ❑9.15 HP 016-15+ • 'NOTICE:If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal FixturesMicrowave .comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance g of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater. - a _ Olp Outlets Range Lender's Name _ Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap LaundryTra s . ' . any structure, prior to Its Issuance, also requires the applicant for such permit y Generator ❑0-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof-Drains the Contractor's License Law(Chapter 9,(commencing with Section 7000)of Division 3 of the Business and Professions.Code) or that he/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 • _ oenalty of not more than five hundred dollars($500). - . I - 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - compensation, will do the work,and the structure Is not Intended or offered 1 - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By nate prove , the owner will have the burden of proving h¢/she did not build or im- Duct-Under Ground Building Approved By ,C�, Date prove for the purpose of sale). (v��)%� ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application,I55ued By Dat tractors to construct the-project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- ' tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ _ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ID �(� ham exempt under Section B.8, P.C.for this reason Firepl/Fact. #Blt. ICBG Fire Dampers PLUMBING $ ']B-J•etSS UANCE $ Date ' Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00100,000 BTU D100,000 BTL - $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- sentatives of is city to enter pon the above-mentioned property for inspection p ses- 11 MECHANICAL $ p 0� Signature --. Date4t�4d-- TOTAL FEE $ t ' Drivers' License or SS# ' ' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink-Accounting; 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,6.10 ity-Undrgrnd. .i 54. Forms - 4. Electrical Conduit- nUdrgrnd. ,,1 , 55. Electrical Bonding 5�,Steel Reinforcement ; r/2-2- 'Mill C Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTf'Mill PERMIT PERp't11T(,LOB 9 ,Sg_ TRACT NO. LOT NO. UNIT NO., , • Project Address 2/7Z /4� l-ef /yJ� //�Jv.Jl Y - - : •Applicant's Mailing Address, I—�_ 7j __c_ ; filleize COYPE OF CONSTRUCTION U NEW H ADD U ALTERATION H REPAIR 0836 '1 /26/87 R,nu 'TL y's('N�S/i/Z Phone.byZ -a ` CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# • _ Zone _ Owner's Name ,,Vf /d DESCRIPTION OF WORK/USE OF BLDG. 4 Address 21 7 2- I IApe6_ r ., • - S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL T Front O Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear • N Contractor's Nam- / ii! Phone __ 0 OTHER A q PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) /may? �� �•�..." CONSTRUCTION TYPE VALUATION S S Left R LICENSED CONTRACTOR DECLARATION City License No. ....../4(.,a7l....../4(.,a7ZONE GRADING CU.YDS. ACRES - Ping. Ref.# Parking Req./Provided E - Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M ' with section 7000) of Division 3 of the Business and Professions Code,and u Planning‘ my license is in fu force . d of ect T License las -_I' Lice• N.. (/ S bo Date ..y`r Signature .ir"018/1/Oii�Jt—_ _• PLUMBING • FEES • `^' WORKERS' COMPENSATION DECLARATION 13, .` A• Bar Sink •Showers Ihereby affirm that I have a certificate of consent to self-ensu e or a certificate ELECTRICAL • FEES Workers' Compensation Insurance, or a certified copy thereof (Section . \ Backflow Preventer Service Sink - Automatic Washer Transformer 0 15-50 KW 1 Polic, Lab. C.)„-_,.... /72- s chn 1 Policy No. l �3 Compo !%r Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW Certified copy is hereby furnished. ' � ( Certif ietl o y Wiled with the city B di wi I ''--',``.,__(/^^�/,,(JJ����,,,�/ Bathtubs • Sewer Connection • Cooking Unit Meter Cup to 100 amps Date r1� , Applicant '�e ^ Q�.L/ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • Dishwasher Meter Cover 100 amps (This section need not be completed If the permit is for one hundred ($100)or . less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel '' I certify that in the performance of the wor'for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank • Fan Workers' Compensation Lawsotors 00-1 HP 01%-B California.Californid. - Date Signaa ture • Floor Drains Swimming Pool w/Spa -' F.A.U. NOTICE:If,after making this declaration, you should become subject to the Inc.Solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' comply with such provisions or this permit shall be deemed revoked. Fixtures Micrgwave CONSTRUCTION LENDING AGENCY Gas Service 3 Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance / 9 . of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range - Lentler's Name 9 Lender's Address - Kitchen Sink Water Service Switches ' Sign - . OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the i� Lavatories • Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap • any structure, prior to its issuance, also requires the applicant for such permit Laundry Trays •Generator ❑0.5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of ROOf Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of tivision'. 3 of the Business and Professions Code) or that he/she Is exempt - - - ierefrom,antl the basis for the alleged exemption. Any violation of Section • - . 031.5 by any applicant for a permit subjects the applicant to a civil - ' penalty of not more than five hundred dollars ($500). i,,ds'owner of the property or my employees with wages as their sole Reinspection,Fee l $15 Issue Fee $ 3 - - compensation, will do the work,and the structure Is not intended or offered - -' - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL FEES License Law does not apply to an owner of a Property who builds or improves . thereon, and who does such work himself/nerself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ - I sale. If, however, the building or Improvement is sold within one year of com- - Canopy Type II ❑ Zoning Approved By Date prove the owner will have the burden of proving he/she did not build or im- Duct-Under Ground 'Building Approved By • Date Dro prove for the purpose of sale). - ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued Byal Dat tractors to construct the project (Section 7044,Business and Professions Code: • The Contractor's License Law does not apply to an owner•of property who - Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU - SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust SystemUILDING PERMIT $ - -SMIP $ proof of their Worker's Compensation Insurance should be provided to me. V ❑ Multiple ❑ System Repair/Alterationepaif/AlLefatiOn PLAN CHECK $ s•ob PERMIT ' ❑ I am exempt under Section B.& P.C.for this reason -Firepl/Fact.BIt. ICBO 4 Fire Dampers PLUMBING $ ISSUANCE $ HeatingSystem& DuctingRegisters 1 Date Owner V PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I ave re.. thi • Kati• estate that the above ❑0.100,000 BTU El 100.000 BTL GRADING $ information is corm A agree /cot_ county ordinances - • - ELECTRICAL $ and state laws rel dr r g 5 si• y authorize repro- ' •-I1 Tis' PLAN CHECK 50% $ MICROFILM . $ sentatives of t e ��' r toned property for inspection pure// •Ls'/i O� ('// � MECHANICAL $ TOTAL FEE $ �'�� - Signature se or - _ Reinspection Fee $15 Issue Fee $ 3 - - PLAN CHECK 25% $ a CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; 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, 0 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 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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 78. FIRE PREY. 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 q /xi! v Q �� 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 • 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co fS 51. CERTIFICATE OF OCCUPANCY No. Date OWNER ' MOORE, Robert, Jr. DATE 11-13-57 _ JOB ADDRESS 2170 & 2172 Maple Ave. BUILDING PERMIT NO. 6039 u RALfONTRACTOR Moore e6 VALUES 1112662.00 �. No.. 163 LOT 33 TRACT78a1-gFti& ZONE DESCRIPTION OF WORK Duplex w/att gar. GROUP I & J TYPE V ZONE alt PLAN NO. 6012 'ECTIONS DATE PERMITS ISSUED SUBCONTRACTOR DATE NUMBER TrenchesForms Steel ,/:"S S7 . Floor System - Steel Reinforce Chimney Re-Rod Fmd�enmrfr ,,i Frame and Flashing ,,�� � Lathing, In (Pet-Out �"J� .10/,r'� Plaster, browncoat �- /./O-f Underground soil MN S W/G Pipe Teal/n/9%S//-1-6.-s-2 • Top Out //-)L-S7 Furnace ((p!f J'4H-S /17A-t-, 0Z- ° 1% 1 //-.t-O -c7 /-II 21. 'er Ges-gents in.t,r8.-9,4„, at- /(�, G --'4 //,9- IT-,£r _/.23-70 ✓ Rough Plumbing /v)/{$ ICI-7 [1—r? /.}.Q - .,j.,,:o, -2O-S7 191 22- A,Cesspool Septic Tank I Prop. Swr. Line..-----House Conte St:S S4C 1 i i OW ✓V ""1. ' /it q 1 ne f 7 t rt- 7 Sprinkling System Heating Final /Y//FS 2-21-Xi' _ II * Plumbing Fixtures, Final M/iS 12-2/-s t' O F. Gas Test yo-7.,d Mht5 2-2/-4-9'I ,��,� C. .vction Pole L J Underground Power ✓ki Rough Wiring r fl—)Cr-Cr`I?./3, ,e.4.,r� fa -23 F7 593r / t �� Fixtures, Final' . e 7 _2 4 1`�/ /,N"/� 1� OCCUPANCY V Form 210-5M-1-57 /'P ( 6039 • 6012 l ,,, ousre3ln4cc5finr• 57t COSTA MESA BUILDING DEPARTMENT VLc P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING2-179BUILDING ADDRESS /217 N/RP,[E Yy� • L- �� . COSTA MESA. CALIFORNIACAFOR OFFICE USE ONLY R !4 OG�Pt • J /e . RECEIPT NO. PERMIT OWNER iTE 3(((%)pMAIL 'L ('� 11 C. REC BY SATE R5E'CEIVE��EDD ILS FEQADDRESS �2sU SV, �A/4/4. Jr aALV! /ar/' . // ' /2V / / j 5'7 S),Nrc A NA TN �/� ADD EISS / CITY ^� 7 2/ 7E: .� At�PrL d9 /h. ARC, CT LIC. I OR ITER NO. COSTA MESA. CALIFORNIA ADDRESS • FIR �{ ZONE FIRE I ITY LIC _ zoN NO:NS J, TVP GROUT CONTRACTOR //Daps /710/4•13Y NO.. 5 2 /3 ADDRESS 4.2.5-0 -To /AN/4) ' TEL.NO. BYPROV • ��. DATE (/�Ki / LEGAL LOT ea DESCRIPTION No. BLOCK R CORRECTION A.P.NO. // C o 7e..) -- -'/ H OSIZE F LOT f 5G / X / 95 / NO.OF BLDcs. APPROVED NOW ON LOT UE OF ��(i L'LE EXSISTING BLDG. X CITY CF STA MESA SETBACK LINE FROM / `�' re TIIJ' NT J DEPT. CENTER OF STREET 6 'C REAR YARD 5 SLIRJE.CI TO G, DEPT. REG. .¢ r<<c o per VI�J- SIDEYARD&4b6SRIGHT , ,7 G LEF /0 ad i zz,eeAt/ DESCRIPTION 'OF WORK BY U/-�•1) ' DATEj PLAN TLCH - NEW X ALTERATION I ADDITION REPAIR MOVING DEMOLISH S ZE BUILDING / 7q 'ROOMS /O STORIES / EXTERIOR WALL ROOF ll COVERING STt'CCO COVERING 'e°Cd . USE OF NEW 'l Id /A 4�)/l�4x ._ /) 1/� A/-:(J BUILDING e! /4-Z'/1-yam L .4/ /I s. Ui76 (' Woe T. (;.i/e a c 8t/ - /7�2 `' ea. S / - • 601.2 / li COSTA MESA BUILDING DEPARTMENT �c P.O. BOX 317 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDESS 2'7O/217Z MRP,(E C/A , BUILDING 'COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY ��77 RECEIPT NO. PERMIT }fl. OWNER P 4l C'C/Pt . YK . 717 R C BY ATERECEIVED E IIF.jl�MAIL ` ,�%$O SADDRESS /'RSC` So, /AA/n1', ST f7. A //�/� ��� / � / / CITY /I/�'T� ANA TN&k. 7a." ADD EISSi S' 2 7� 2. til/iP[c' 61✓r ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA ADDRESS • rFIRE Q ZONE ZON NO.OF TYP OROUP ITY LIC. Pte.,( ANS I r CONTRACTOR //I(L,C6 /1If•N/C NO. �2 /J r - le ADDRESS /..ZS [' S1.' IAS/A)/^J NO. BYPROV MGI-.• DATE !//�E Jj EG"` LOT 5 CORRECTIO DESCRIPTION NO. I BLOCK i A.P.NO. /7 S= s / o ' ///j ` SIZE ) / r'/••��_ / NO.OF BLOT APPROVED OF LOT / rC' x /J1J Now oN wi G EXISTOING BLDG. -�L /71L-X CITY i.r ? ST.A MESA.. SETBACK LINE FROM / 5-02 • G•/ '• J"'• r' CENTER OF STREET S"c REAR YARD c0a SIUI1 • . II -m-t,3 el-_%T. REG. ,�'.F'T -c,4 /7 '6 eT-C eta. SIDE YARD!SA L:BRIGHT G' LEF r ewe eA DESCRIPTION 'OF WORK By W-7.z • DATE//-1--2-Sj FLAN T.c11 - NEW X ALTERATION ADDITION -- REPAIR MOVING DEMOLISH S ZIE DING / 79 �. 'ROOMS /C STORIES / EXs 2-i. C/L ROOF ICI C . l COTERIORVERING WALLCOVERING USE OF NEW ^7 �A/n aP & «x i /�- .:1T/ r(( !(1, BUILDINGL' :: 44/3/(1/4 T/✓/ ((i li//r T. (;i1/C/.4G=, ` G. /1c�7,Lri /21 c_ S" ..` /2 77F ° T-7.7t L sf 1/71/ I HEREBY •CKOE THAT I HAVE READ THIS APPLICATION ANO STATE TH•T THEE AABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING BUILDING CONSTRUE. TION. VALUATION / z �7L �_ , PERMIT FEE S i4/ y �n SIGNATURE OF ?ye?C PERMITTEE .-----j // if '2 PLAN CHECK S / 7 aro AUTHORIZED AGENT TOTAL FEE 5-A• / , ® r A' OWNER - MOORE, Robert, Jr. -ATE 11-13-57 _ JOB ADDRESS 2170 & 2172 Maple Ave. BUILDING PERMIT NO. 6039 usEZBAfONTRACTOR Moore HOnee VALUE $ 111,662.00 P. o.. GG LOT 33 TRACT?aaaiirms ZONE DESCRIPTION OF WORK Duplex wiatt gar. GROUP I & J TYPE V ZONE Rh PLAN NO. 6012 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches fyt'y;.Forms Steel /t'3 5 7 Floor System Steel Reinforce _ Chimney Re-Rod Rand-Bone r at. Nil•4r Frame and Flashing 4'0'7,-11-- � e7/�' � Lathing, In ti)#out ' -t " /!�j/3 1... brown coat 4 ....,o-rat soil//JHS W/G Pipe it A-1.c.-J.:). Top Out //-)6-57 Furnace /1':• : `: .i ;r r. -; l22-t{'o..t f.��e- ,....A._:,_.. N-d4 -37 /.2/.?1. '� . Rouvents 66..�y, .A.ys,.sE' ff- 0 �u«w" ,0- /1-51 /asro ✓ Rough Plumbing >v HS (L' 0-4 7 I2, - rty 11-.20-57 /21 22- ✓ Cesspool Septic Tank 0 Prop. Swr. Line..----Hou-se Conti St.Sett t I t OW .4N./N`•44. ' f(1 •t 1 re 17 I t- 1 Sprinkling System _ Heating Final AV: f 7-.•1-t_,Y-f Plumbing Fixtures, Final 44i•' r J •-Cl Final Gas Test 'Lp- 9_u AVIS 2 -2/-s-7 �� t Construction Pole ` Underground Power ,// 1. I; Rough Wiring Tl' I� 10.r-F.R./3• ,%:w. /} -a3-57 S%3arI k ' v Fixtures, Final iii 2 —a�f f eta' t�' OCCUPANCY f ; i y Form 210-5M-1-57 / 6039 cr, ON 01 co co 0 VI ON 1 rot O `i3 ir), N I I I t 1 crl W ON W W W J I -I', N N r r 1 1 N to N N v p OI t w V •d ma,rn I .0 a `\, N N ~ g O 'NIP* \to IIo roit H D ,yv Y - -- Nzz - nn nc_ X x E v'— U: ® 1 1--• C t- c r- O\ O\ t... ro V.