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Home My WebLink About1718 LABRADOR DR - Building PermitsADDRESSOFSMLIIPIO: 1718 LABRADOR DR UNIT. OWNERS FUNE IF IQOWN:YURADA, CORRADO A 1718 LABRADOR DR COSTA MESA,CA 92626 754-7622 ADPL. WILING ADDRESS: ARCHITECT OR EIKd1EER: L1C NO: ARCH. OR ENG'$ ADDRESS: UNIT: COMRACTORSN r , CONTRACTORSMNIWG s y ADURE;S: UC. No. UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty d per ury did I son limrned under gdAsbns d Chapter P mm (co.., wish section 7000) of Division 3 of tM Business end Pnitess m Code. end mY It... is M IW lama and effect. CRY LIC. NO, — LNC. CUSS: LIC. NO, EXP: Data Comrador: OWNER BUILDER DECUBATION: I Mmby elfin under penalty of perjury IMI I on exempt Imre IM Codradws License Law fid Ills folbwiq mason ISedion 7031.5 Busneae and Prole cions Code: Any city or ewmty soikh rWutsm a Pem,d to mom., Mw, imprme, bmdah, or raper my slrutluno. poor to its emanro, WIM repuirea IM applicant lid such poond to Ids a signed stdemed Net M a and e licensed ,,noon, to tM pmisions of Ne Comradam License law jChegar 9 (oommendrig ooh Sedst, ]000) of Division 3 of this Busimss end Notodiam Code] or Ind M or sM is exempt Nseham aryl IM bass Inc thin dlaged exemption. Any violelion d Section ]031.5 by ty applcwa Iso re a pad subjega en IM applicant to a civil pally not nmote hn Inds hundred do5ers ]S50(,D. )p ar 1, m owner of lM pr Myw my wmloyeas wish wages as Omits soli, compenadbn. sots do Ne wok. asld Ns saloon is not"wAad w thenyl Iso cab (Semon loss. Bus. idyl Prdemcn. Code: TM Comradwa Limue Law doss not appy IP en owmr d prop" who Luide or anpreAa Im oso n. sod x110 does Such work lirnmff or menel w Wwph no or Mr oxo srnploraes, pmvded did Wldn imprwanads we not 4mMed w dlsso for Mist. U. however, the M1'lting is, knprownM is add solo, ono Yew of oomlelion, ONI awmry iter r� hexa 0r buMm d sown% M o sM ditl nd dots w improve Is tM PlOpms d sebl. ❑ 1, m owns d IM popery, on wdciidy, canusdarsg widi licemed conbaton to mlmlas Ne projea (seoion 70u, Bminms sod PMassbm Code: TM Cwaradm L"cane Lew rime not apply n an ower d prapwly solo beide w impovm Nseon sod w1p ffi�ee oda Iso arm prgeda scam a mired«(.) licensed W mosso to IM Cmrsltora limrde m exernp under Swim: B. 'PC la n del 3. /y- 9 4 �.by cenN NM I am aww d and udsamrd IM mpuinmew d Ce non a beQ /sod sdsy Code sed ore 25•A5. 25533, sod 2553x, idyl thw I w wry Moa buddkq OodnPam tl / wR rot (dmb sole) need to mtfpy wlth mid die cadre sod tM raauiremenn M a perm. Iso mwtruction w nnoddlraltonholn IM Aiaire tTyenegement Didrc1, fMakmuolmndrW ion eppimtiwn an mwnq Imre time provisions. WORKER'S COMPENSATION DECLARATION: I Mreby aNm under Pandy d p%iM sow d tM foOoMW dedwdbna: ❑ I hen end,rD maiden a mddnaa d Mnaenl Io ea9inaun Iso waken' corrimmeMn, m pwided Iso by $action 3]00 d tM Lobar Code, fid IM Mdwlmrca of Ne soak for wlich this mond is issued. ❑ I have aroyl wilt meimen workers' mnlremetm imurmm, m le0uired M Seaico 3]00 d IM Lens Code. br 1M pdwmanca d tM work Iso Mich Ne parrrvl a ®sued. MY workers' compenmlbn imureme mrMr end pdity numbs se: Carder: Pdry Number. (chis section msd no, Is, wanpleld d on, prima is m, sore hundred doUan (51wl or Ims.1 ❑ I mdN tlld n Ne Dodarnnenca d IM "ark /w whish IM perms a ®,red, 1 amyl nd armby soy parvo n wry mems a m to beano subjed to the sssmn' compens mo less of CMbsda, end epee Net 9 I sm dd morons abjW 10 IM sorkera' corltpenWion prwiaiwo d sadiron 3]00 d IM Labor Code. I Mall lwlhwon campy soli does Provisions. ode: Applirnd: Wambp: Falun m asinine wor4sn' oon somadon roverags Is unlawlut and still oiti cwt an employs to cdmhwl poddWas and cldl pma rpt as ass hundrsd thousand rolls. ($10%000). In add/don W this col of mrrpmmtbry dismiss as povMsd no, In Secdon 3105 of Na Lobo, cob, Iderset and Mormys /ms. CONSTRUCTION LENDING AGENCY: I MrMY aNm undid Pe1nN of Perjury Nd IMis o e cionstrwbn Won .may fid this mdormerce of the soak far whits the Forme is sad (Sedco 3087, Ci, CI. LENDER'S NAME: LENDER'S ADDRESS: I teddy then I Mm rad the appliod,on end die Ihd Ne above information is coned. I apse to eomply with all dry and Pointy adinwloss ed clda lord rddnp to bonding oo ion and Mreby authori..pemnlativas of this city to enter upon IM eboa madiwwd prtgen, fid ine°w'ipl Pwpaaea.CORADO /YI}RADA (515146.WP) WMe-Bu_Id,,,A`Sdey: Groan -file; Cwlery-AppNanl; Pink -Revenues GONenrod-Asmamr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: H 076771 PERMIT NO: B 076771 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: 0TH SOB DESCRIPTION T/OFF ROCK ROOF 6 REROOF W/COMP. SQ FT: 2,400 CLAIM VALUE: 2,400.00 CALC-VALUE: 2,400.00 GROUP OCC: R-3 /U-1 COMMENTS: SLOPE SHOULD BE AT LEAST 2:12 FOR ASPHALT SHINGLE APPLICATION Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING --- ------- FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN PARKING REpp• PROV: PARCEL: 13915216 ZNE: REF NO: PLANNING NCdTES> > 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 N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: 4aaAPPLICATION ISSUED BY: %7� DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.0050 SMIP/NON-AES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 54.50 0.00 0.00 54,50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 54.00 .50 ############################################################################### I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2400 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,400.00 END OF FEES 01 00202439-00202440 '6 CIT 74_5� DATE: 03/14/95 TIME: 09:28 I ADDRM2FBUILOM 1718 LABRADOR DR OWNERS NAME IF lolawN:YURADA, CORRADO AODRES 1718 LABRADOR DR COSTA MESA,CA 92626 754-7622 APPL. MAIM ADDRESS: ARCNITECT OR ENGMEER: ARCM OR END'S ADDRESS: 11C NO.: COMPACTORS NAME: C01,1IRACTORSMAILIN0 ADDRESS UC, NO.: UNT: UNIT: um. LICENSED CO WRACTORS DECLARATION: I hereby dlnn meter pendy of port, that I m, fKarve i undw provisions d Chapter 9 (.ry uq wlth Section 7000) of Division 3 of Uv Busraw reel Pnimsbm Code, are] my linins b t1IW force end effect. CITY LIC. NO.: LIC. CLASS: UC. NO.: EXP: Dole: Cameo OWNER BUILDER DECLARATION: I hereby eNrro under penury d perapy IMI I am eompl frown the Codredm Have Lew la the idfowtg realm (Sedco 7001.5 &vimes red Prdmeiav Code: Ami ty or ore .Y efdth remrim a Perrot 10 mnmAa, Alta. irogaw, deroanh, or repai try Alitame. prior m to ioerm e. Aho Muiree IM app&aN he earl, perrm to fele a sgned aetemem Mot M a eM e ltcervea Wrouen; to the provatbm of Me COruedors limes law (Chapter 9 (avl,Iesai9 wvh Section 7000) a Division 3 d IM Busirme end Prdemiom Code] a [her he a sheIe memq therebom end IM bava la the eMBea memprion. Arty vidaion Of Sed1W 7WIS by eery apgired for a Perrot .6jthe aPamrd toe ovi PerMBY d red mon that file hm&tel ddm ISSOOD. •!-I I. oe Owner d the props" te mpWM y emees h wem U,i pm ode mamcn npv. eM M ft .k. ad wumom the e b bomcled X" adlaed for sate (Somm70w.BusimveM PMmeime Code: The Cammam limine law dour mapgy loan ow,w d popery wet bide a tnproaA Iherem,. aM wt,o dour Aad, wok fenoatl a MnN a thrash his a Iter own empbram, prweted That euph 'unpro+emede me nOt.aenaed a dlaed la rob, tl. horew. tN blriMtm a tnprwernm b aaM within err yea d cerririplaion, Ute owmbelder nT hew IM huden d prov'up M a Ahs did m bifid a tnprpw for Un purpme d vis). ❑ 1. ae owner of IM Wpem. em mdu try oo e e tp cath DcwuM caWactae to mmaua me .pied (sect. 70w. Bminms a a p,demiery Coat: The Cmream Lome Law dour m appy to m ownw a property whe brim or Improvee thenoo Ana whe I<BLY! for sad, pdoda wah a mnraaa(s) fcenmd presued to the COrarredae liwrva I e>a,tq uMer Section: B. A P.G.. for on: ' nby whey Chet I er„ twat d ad u,elmMM Un Ipdnmedo d Cellmh Ana Salary Cone Sedbm 25505, 25533. ree] 2553W, Bret Uw I a eery Mae brimp omgw wT / wD na lacat oml reed m wih ori ares mlm e,el the teUdreraerm for a perms Ire Omemationa mod4iutenhOlnUn At�iaSiy Elavperlwd Obtriq. Reeiaavul mrmmqun eppiratiaven eoanq Imm Uma pro+eiwn. Dae: Applicam: WORKER'S COMPENSATION DECLARATION: I hereby affmm meter panalty of penury rev of Uv Idlovrin9 decWelbm: ❑ I have and wit meimei, a cendiule d mmere Ip aatlimurs tar workwi mr„pematen, m prorided la by Bactv, 5]00 d the Leber Cods, la IM pMomvnce d the work la wlriM Um Demi b ataued. ❑ I neva ata w:3 made:, wa.her mnpec olian imanaK., m r.m osr hc s.aim, 3utd poky labs twe: w IM I»dm,a,ra a the wak la whits that Demi b paced. MY wakere' mnprumtian imaenoa rnrrwr W POUaY camber we: Cada: Pricy Number. (Me eect. 1Med m a mnpbrod d Un Perms a M, rev hvr n dotlas ISIMI or AmJ ❑ I cenly UW in Ute pMm,re,ce d IM work la whch Ihb Perrot b bsuM, I ahal m employ ap Dream H eery manner ec m Io becona subject 1. the workers' mropenetlipn leve a Calorie, ere] epee the d I ehmdd become mbiect 10 Me waken' canpauaion mvleir m of Seam 37M of IM IAbre Code. I ehelt lalhwth cempy with Uvm provisions. Dae: Apq.sd: Weil flus Apure ro secure wi thous cprnpematlon OADODA a la urlhort uta Wll arllect en arrAplpyw to ales; ovitfixf f aM doll flroa W of me hundred tMuseM ddhra Alto,, Wel M addltlpn ro the cost pt ronpanmtbrt Gmaga as provided roe In Sectlm 3](N of tl,e Labor Cook, IntensL arts amrm7a lana CONSTRUCTION LENDING AGENCY: I thereby Wim ure]er d jury pmaty perthiohe tn is a oonamction le,e irro AI;mcy for IM cerimot. d the work for whtd, IM perms b bona Isoci on 3087. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I cenlly thio I M.e reed Info eppI ceIim and date that Me above iaaroatim a m,ed. I .gree 1. mropty cath al dry and muni, ordi.. and We W. relebq to w 1rov mnaruaim reel hereby euMortr. gasenlaiaa of that dry W entw upon the abm rrvm reed property for impedion Wrpoces. CORADO iYIURADA Dae: :� — /� (5151-w.WP) While-ui�M &W. GreemFle: Cerey-Appkanl; Rnk-Ravenna; Golden Asssoow CITY OF COSTA MESA — BUILDING PERMIT ERM NO: B 076771 PERMIT NO: B 076771 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH 70B DESCRIPTION T/OFF ROCK ROOF S REROOF W/COMP. SQ FT: 2,400 CLAIM VALUE: 2,400.00 CALC—VALUE: 2,400.00 GROUP OCC: R-3 /U-1 COMMENTS: SLOPE SHOULD BE AT LEAST 2:12 FOR ASPHALT SHINGLE APPLICATION # ♦E dE * aE aE aE aE aE aE of aE dE aE aE * * aE dE ii 8E aE of iE.E ae af.E.f aE aE *;>E * * of iE aE aE * aE iE aE aE * dE aF.E iF dE.E ♦E i(' dE of aE * aF aE aE aE aE dE.f * ae.E iE iE.k a4 * aE.t aE of dF.E dE Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13915216 ZNE: REF NO:. PLANNING N TES> I N D I V I D U A L F^E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST *af BF aF aF iE ♦ERE♦E*dE dE iE aE iE*aE aE**iE aE aE aE aE RE*aE aE aE aE aE*aE RE iF ie*aE if iF*aF aE iF iF aE aF RE aE dE*dE dE RE iE*aE iEiF aE aE aE aF**aE RE**aE ai iE*8E**3F* D E V EL O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED -BY DATE: BUILDING APPROVED BY : DATE: _ APPLICATION ISSUED BY: d(• * 1E.E aE iE aE * iF dF iE aE dE aE ♦E ♦E ♦E dE ♦E aE 3F of LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 54.00 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN,—CHECK TOTALS ---- > 54.50 0.00 0.00 DATE 11 STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING .50 SMIP/NON—RES TOTAL PAID DUE 54.50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .50 ♦F * 1E.F iE aE aE aE dE * aE dE.F aE * df dE.E aE iE * aE ate * ate 1E dE aE if aE * * *.E iE aE aE IF ♦E 1E aE aE * k aF if aE aE iE if aF aF at aF iF.E ik.F at at aE 8E at a6 dE ar.E * dE at * iE fit dE.E aE * N- aF I N D I V I D U A L F^E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2400 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,400.00 END ,OF •FEES , "CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA 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 LIFER 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0011 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - �Z•R..gb &G4. 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 36. Hood or Canopy (r t -mo CA. L./ - 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. FINAL PLANNING 49, Electric Release to Edison 50. Gas Release to Southern California Gas Co 51., CERTIFICATE OF OCCUPANCY No, Date CITY OF COSTA MESA BUILDING DIVISION OWNER -BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner -builder verification. Attention Property Owner: An 'owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement. ❑ Yes ❑ No (have/ ave not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: �y Name G'k EG': Rrll Ts yYO�� Address City Phone (7/y ) 7"1?- 28 FZ Contractor's Lic. No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code completed the above information to the best of my per- sonal knowledge, i compliance wit h' State law. Signed: Date: Name: cDRRAD0k(/(Z,{Dl4 (Printed or Typed) C.D.L. # or S.S. # ,01246 ' 754-5273 OWNER 4ESA VERDE ESTATES DAT) 12-9-58 JOB ADDRESS 1718 Labrador Drive BUILDING PERMIT NO. //8189) GENERAL CONTRACTOR L. G. Robinson VALUE $ 14,319.00 AP. No. LOT 54 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res watt ear, GROUP T & J TYPE V ZONE Al PLAN No - INSPECTIONS I DATE SUBCONTRACTOR I DATE NUMBER coat Final Gas Test 8189 COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA DEC 9 19,58 4""' FINANCE DEPT. Clry OF CMTt1 P1IESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING �1p ADDRESS 1718 L, brador Dr. COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT OWNER Mesa Verde Estates pNO. pl O MAIL RECEIVED BY DATE RECEIVED GATE ISA ED ADDRESS 1 O1 Gisler St. '' Y1� _ a-- S ,l TEL. p� r/ CITY Costa Mesa NO. $i 5-1751 BUILDING ADDRESS ARCHITECTLIC. ^ ?.1.70 OR ENGINEER f.R.Shell No. G— COSTA MESA. CALIFORNIA ADDRESS WL &iik13i G26rltill�yCAM- Ore 9mognA t FIRE ZONE CITY LIC. ZONE p0. 05 TVP GROUP Al CONTRACTOR L.G.Rohinson NO. v�112 EL. Si 1751 1701 Gisler St. APPROVED ADDRESS DATE `EGA` 4 11 5 CORRECTIONS DESCRIPTION NO? 54 BLOCK TRACT3 A.P. NO. SIZEp lM 70 100 NO. OF BLOBS. none OF LOT A NOW ON LOT USE OF EXISTING BLDG. SETBACK LINE FROM u 501 l��4V CENTER OF STREET REAR YAR Plusy SIDE YARD RIGHT �pSLR LEFTrj51 plug T DESCRIPTION OF WORK NEW i A ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING Lt NO. OF 6 1 SIZE j,� •C 1i• ROOMS STORIES FXTER '0R COV ERIN WALL stucco CO VV RING Asphalt & Roc _ROF USE O Residence & Attached Garage BUILDFNGEW 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPPLI TION AND STATE THAT THE ABOVE IS CORRECT -AND AGREE TO COMY WITH ALL - C ITV ORDINANCES AND STATE LAWS REGULATING 8U IL G CONSTRUC. TION. // VALUATION 1 C $ SIGNATURE OF / a -JA PERMIT FEE /-� % � Y S IT, 3I�7, �•� PLAN CHECK s i7' FEE S AUTHORIZED AGENT TOTAL