HomeMy WebLinkAbout162 LEXINGTON LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERT N0. 3 !`,� TRACT NO, LOT NO. UNIT N0. •
Project Address 162 Lexington V w 71 61' I/ 13/6u SqC- R.
•Applicant's Mailing Address 10422 Trask Ave. G.G. 92642 - TYPE OF CONSTRUCTION LI NEW CI ADD LI ALTERATION U REPAIR.,' 4r
Charles Holliday 979-6805 111 CONVERSION CI DEMOLISH LI OTHER • r q-p,# Zone
Owner's Name y Phone DESCRIPTION OF WORK/USE OF BLDG. - f
Address 162 Lexington r S Main Building: Accessory Building: - •
Arch/Eng. • License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION E O
ffyy�� ❑ STRUCTURAL Front
Address ❑ TENANT ❑ ELECTRICAL L•J PLUMBING ❑ MECHANICAL B Rear N
530-2440A I
Contractor's Name A—aB)es Plumbing—Heatin hon¢ OTHER C Right N
10422 Trask Ave. G.G. 92642 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Address(mailing) CONSTRUCTION TYPE VALUATION $ S Left
City License No. 6664 ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided r
I hereby affirm that I am keens • • der prov sof Charter 9(commencing Remarks: Planning Notes: I c np M
with section 7000) of Divisl• 3 of the Busines and • •jssl• s Code, and Replace Water Heater RECEIVED JAN 6 iJES� T
my license is in Wnlorce an• f t. "0307 S
License.plass l• '3O Li—±en a 'o.
Date • • Sign�,.� PLUMBING FEES
WORKERS' COMPENSATIO DEC •T •N Bar SinkShowers ELECTRICAL FEES
\ I hereby affirm that I have a c= Mica • of c• sent to self-insure or a certificate
1• of Workers' Compensation In uran , a certified copy thereof (SectionBackflow Preventer Service Sink Automatic Washer Transformer -'
ry� 3800, Lab. C.)978832 Republic Indemit - 0 15-50 KW
' 1, Policy No. Company p y Backflow Irrigation Sewer Cap (Construction Pole Sub. - ❑ 50+KW
1 ® Certified copy is hereby furnished.
ce tif'�ed ppy is filed with the city uildi�g nand Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps
Date sL—�o Applicant �•••e$ ���bing EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ' Solar Collectors Dishwasher Meter Dover 100 amps • , I
(This section need not be completed if the permit is for one hundred ($100) or
-
less). Dishwasher Solar Piping I Dryers ❑Gas ❑Electric Sub Panel ,
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 Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01'/x-B
Workers' Compensation Laws of California. • - •
Date Signature Floor-Drains • Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
'NOTICE:If,after making this declaration,you should become subject to the — -
Workers' Compensation provisions of the Labor-Code, you must forthwith Floor Sinks 6 Urinal - Fixtures - Microwave ---' '
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet _ Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) • Interceptors 1 Water Heater- •, 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 L. 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 Laundry Trays Generator 00-5 KW❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit .
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 toa civil
penalty of not more than five hundred dollars($500). $ 3
• •
0 1, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
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/herself or through his or her awn Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered foryp Zoning Approved By Date
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0
proven, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By / ,,•, y Date •-•
prove for the purpose of sale). 0 /—I2 IVY I/f•/,
' 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System Application Issued By Date
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 00-100,000 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 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. _. PLAN CHECK $ ' PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PERMIT
ISSUANCE $ �
PLUMBING $• 4610 S.0�
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby cert' hat I have ad this •.••p1'••t'•n and state that the above ❑0.100,000 BTU 0100,000 BTU . GRADING $
information • correct. I agree o co y ,II city and county ordinances ELECTRICAL $
and stet. •ws relating to • ding ns a •n, and hereby auth•rpizr�e repre- PLAN CHECK 50% $ MICROFILM $
sentativ— of t-' • enter •o• / ab• • mentioned • oB lYr •
inspe t'. purpo •� r MECHANICAL $ -. TOTAL FEE $ 5_DO
Signa' /f—r� !a
Driver. ,/ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
CMF 086- 46,rev.10/8-"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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings . , 58. Electrical Conduit-Undrgrnd.
•
8. Foundation , . r 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 PREV. 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
37. Final Factory Fireplace •
38. Final Plumbing CEO
39. Water Service-Final
jf.
40. Gas Service-Final
41. Solar Domestic-Final ��-
42. Backflow Preventer 0
43. Backflow Irrigation' cr.
44. .Landscape Irrigation System
45. Sound Attenuation 'r
46. Handicap Regulations
47. FINAL STRUCTURE & BUILIJING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
AODRESS OF BMLDNO: 162 LEXINGTON LN WIT: CITY OF COSTA MESA - BUILDING PERMIT •
aYNEWS NAME IF KNOyIN: COOK, SHARON S DPPM Mn- P 077791
ADDRESS' 162 LEXINGTON LN
COSTA MESA, CA 92626 PERMIT NO; B 072291 PLAN CHECK NO: N GOVT; N SUPP : N
"PP MING ADDRESSCONSTRUCTION TYPE; PERMIT TYPE ; STR PURPOSE; OTH
ARCHITECT OR ENfRIRFA: 11C. : JOB DESCRIPTION T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT ; 2, 924
ARCH.OR EHG'S ADDRESS: WIT:
CLAIM VALUE: 2, 924 . 00 CALC-VALUE: 2, 924 . 00 GROUP OCC : R-3 1
CONTRACTarSNAIIE STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORSMAJUNO P 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA MHO.: 402536 ****+r****ac****4 «* -*******a<acat*>E*****-tit444*acrr**+r-N****s**rxai•*****+r•*.*.x******s******
90241 UNIT: Z ON INC R EQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penaly d•.i or that I am licensed under provisions d Chapter 9 SE TB ACK S
•
(commencing with Section 7000)d Division 3 d the Business and Professions'Art..end my license is in full force effect
Cm LIC.NO.: 059377 /amu°'° C 39 L10.N`' 025 /: E3 10 95 MAIN BUILDING ACCESSORY BUILDING
Dale: S-jo-_/ _ C tadm 4 . £� ' / FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury the I am exempt from the Contractors Law ler the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to'. .:, • ern improve,
demdeh,a eim
repry structure,Pee to its issuance.also madras the applicant for such come to fib d
a signed that he or she PARKING REQ; PROV; PARCEL ; 41916432 ZNE; REF NO:
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(cumnendng with Section 7000)of Division 3 of the PLANNING NOTES>
Business end Professions Code)or that he or she is exempt therefrom and the bean for the alleged exemption.My violation of Section >
7031S by any eDpkcaafor a permit subjects the applicant toe ova(bnelrydnotmore than Ms hundred dollars[5500)). ************************************************,t******************************
❑ I,as owner of the property or my employees with wages as then*de compensation,will do the work,and the structure is no intended
or offered for sale(Section 7Ws,Busiross and Professions Code:The Contractors License Lew does not apply to an owner of prwPen), DEVELOPMENT SERVICES REQUIREMENCTS
who builds or improves thereon,end who does such work himself or herself or through his oremployees, ch
her own provided that su
improvements are rot wended or dieted for sere.D.however,the building or improvement is sold within one yea of completion.the
owner-builder will have the burden d proving he or e did not buildpurpose or improve for the purpose of sale). ZONING APPROVED BY DATE :
Ilipet I,as owner of the property,ant exduvrely contracting with licensed contractors to construct the project(Section 7044,Business end
' Professions Code:The Contractors license Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY - DATE; r —
contracts for contractor(s)such projects with a contractor(s)licensed pursuant to the Contractors License Law).
[)j l am exempt under Section: B.a R.C..Ion thisreason: APPLICATION ISSUED BY; 51MDATE ; ," -/2 --93r—
Rate:lista: Owner. ************44***********44*44 I do hereby certify that I am aware of and understand the requirements of Cal/an lleallh ad Soley Code Sections 25505.PCS'''.andLEGALIZATION:N F E SUMMARY R Y STRUCTURAL SEGMENT:Y
a 534.perm Idnd Natdo ormrebuilonfg rom thA oueioyl ranagreaerw)neadmidnplyccastnd date mdesnsamthe empltromthse BLDG PMT ELECTRIC MECHANIC FIRE SMIP/RES GRADING
permit Id coat Ior an fmoedbxtiinthent Quaky Managerneoe)nie toslomply w th said t ecodeiard exemptemosthese PLUMBING /
prosons. PERMIT 54 . 00 . 50
Date: Applicant SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the hAowbg declarations: PLAN
❑ have and wil mental,a certificate d consent to self-insure for worker:compensation,asSectiond provided for by 3703 the Labor ISSUE FEE
I n
ae..f«thepenpm.w.d he crkt«w:ntnapend sassed. BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
have end will maintainworkers'compenashen insurance,es required by Sediw 3700 o the Labor Cade,for the performance of the TOTALS----> 54 50 0 00 0 . 00 54 50 54 50 00
dk for whim this permit is issued.My workers'c mpenealion insurance carder end polity number ere:
Gather: err. _ EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 54 , 50 OVER/SHORT: . 00
Policy Number: SG '7'3c Ga 05/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed if the perm!is For one hundred dollen 131001 or lett.) 54 , 00 . 50
o I candy that in the perfomance d the work for which this permit is nes I shall not employ any person in saner es as to
become subject to the workers compensation laws of California, ree Nat' I should become to the **************************4444***********4***4444*******4**********4*4*4*4**4**
compensation previsions of Sedan 3700 of he Labor Code, J • h ph �thoJse provisions
Date: ,5-1-W-9J Applicant: `��p2' I N D I V IDUAL F E E BR E AK DOWN
Warning:Failure to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal roes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
doll fines up to one hundred thousand dollars($104000),M addition to the cost of compensation,damages as sided for In
SectIon 3706 or use Labor Code,Interest and attorney's fees.
SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 924 . 00
CONSTRUCTION LENDING AGENCY: I hereby elfim under penally of perjury hat there is e construction lending agency for the END OF FEES
performance of the work for whits this perm a issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read Na appTcation end dab that the above information is conedt l agree to comply with all thy and countyordinan es
and stale laws tela' building construction and hereby authorize
/•..•...Mathes of
this ay to�enteer Noon
/�ha above-mentioned popery
for inspection Purpme� lir
/F 1 !yr /l. /C—
/ w
Print t.! � - / 01 00181946-00181847 TOT 54,50
L r P-271(------
t2 JGJ� DATE: 05/12/98 TInE: 15:43
_/// t_r L=`L. i /
� sale:
Signature of-Owner AgenVApplwnlyC• tractor
(5151-46.WP) White-Buildkg A Safety:Green-File:Canary-Aplcenl:Pink-Revenue:Goldenrod-Assessor
• CONSTRUCTION AND PLANNING 'POOL& SPA
APPROVALS Permit# Date I is�iector 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 I 56. Rough Plumbing & Pressure Test -'
6. Electrical UFER Grnd. ! 57. APPROVAL TO COVE R-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 r • •'
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 5 25_gcj tom; 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
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 /r j-q( 6144-
48. FINAL PLANNING
•
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY .
No. Date
OWNER sainaulding CO. DATE OCT 3 0 1983
JOB ADDRESS 1(Q laxingbotnutrte BUILDING PERMIT NO. 2061i0
GENERAL CONTRACTOR Can Vi ita 3iildi _Cn. VALUE $ 14.,$35.00
AP No. LOT 156 TRACT 5150 FIRE ZONE DESCRIPTION OF WORK Res.Hiatt.gar
INSPECTIONS Signature DATE GROUP ma TYPE V ZONE R_3
Soil ,i 44' J'17 SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water 1:77.—//-42-47
Rough Com, Refrig. 0 Air Cond. 0
Rough Heating
/-/f_4y " •-i.f-6 fr .2 -2D
Rough Plumbing %/o-6y g /d-3/-C3 596 6 —
Miscellaneous
Prop. Swr. Line 0 House Con. 0'St. Swr. 0/e )-/3-G9' ewe_ �'f' tUN 1 3 1963 - •-'.
Sprinkling System
Construction Pole /"n"
Underground 0 Power ❑ i /j11f/4Y
T
Rough Wiring ��/ � • „e • `h7`� .zb“-) /-3-“, a,7e v
Trenches❑ Forms 0 Steel Reiff. 0 :1_-- — G `� /1_p ,
Floor System /„Lk
Bond Beam 0 Steel Reinforce 0 /f/q1 (+
Sheathing oL y — �( 3 Ma-
i/'
Frame and Flashing �//L _// 7” L •f. •fa( " .- ,
Lathing— In t- Out[{/ arnr p faa iFf G r y ,_ get. , ,
Plaster, brown coat , . s 3 '•F ...nit ',i 1 -
Refrig. 0 Air Con. .❑ Final L
Heating, Final /./f S /
//_
Plumbing Fixtures, Final Ef. _
Final Gas Test ACP -MI 3-/ �I _ /
Electric Fixtures, Final - 73-/ -4l
Building, Final_3-/3-d/ `/ —
OCCUPANCY •
Form 5134--5M-3-0.3—S-B P HOLD P9R SPtLIAL RhQUIRLMENTS
20640 FEE RECEIVED
SEP 2 61963
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA
For Applicant to Fill In Completely CJJZ LI F AT ETO O RO IT
TYPE OR PRINT Lot 156 BUILDING
For Office Use Only
BUILDING
ADDRESS 16P -he'd neton Lane RECEIPT NO. 'PyWy1 Mp.,/�
COSTA, MESA. CALIFORNIA L 0E6401
- RECEIVED/9Y DATE RECEIVE DATE ISSUED
OWNER San Vista Building Co. !Zi y-a5- 3 OCT 3 0 1983
MAIL BUILDING' // �✓n I
ADDRESS 1166 E. 58th Street
ADDRESS /t0 Y '���
CITY
Los Angeles 11 TEL. AD 37187 ZONE TYPE {� GROUP / �
APPROVED
gr EHNIMVER Raymond Levans NQ OR 37011 -BY DATE
ZONING __ i
ADDRESS 3432 Via Oporto. Newport Beat Eo /I No.or ^ I USE OF N`0!/ ' Si
IA
/
- PLANe / BUILDIN { ,
CONTRACTOR San Vista Building Co.
PI
LEGAL
ADDRESS 1166 E. 58th Street DESCRIPTION IVT/-Tract 5160.6 - Lot/ 156 '- J
CITY Los Angeles 11, A.P.NO. • l I lie x
3 1 3'�/
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
ST TEN192782 TE. AD 37187 EO^TO SIDE a REAR P.L.
Q.
EAVES
SIZE I NOW ON LOTS O ALLOWED (U.B.C.REQUIREMENT) '
OF LOT 20 x 70
YARDS APPROVED YARDS APPROVED •
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. None
(FROM C/L STREET) _
SETBACK LINE FROM 13I 6110"
FRONT
CENTER OF STREET REAR YARD
SIDE YARD LEFT 0 I RIGHT 0 - _R.SIDE
DESCRIPTION OF WORK L.SIDE FTJ' FT.
NEW X ALTERATION _ ADDITION REAR 0
DISTANCE BET. BET.MAIN e
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING 20 X 32 NO.OF 5 Plan #3 2 VAR.# DATE
SIZE y ROOMS STORIES C.U.P APPROVED
COVEREXTERI NGR WAL`�C11CC0 I
COVERING Shingle BYPR� DATE 9V 8-63
USE OF BUILDING MID WORK TOayERFFORMED
Residence and carport
ima ,le-1,4 ---Her )
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION /HE 6/SCI.
SHAWN UNDER VALUATION IS FOR THE c
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF L€TABLISHING A PERMIT FEE ONLY. i
O
PLY WITH ALL CITY ANGER AND STATEULAWS REGULATING VALUATION /J G
cO
BUILDING ya VISTA BUILDING CO. /"a N
SIGNATURE OF PERMIT FEE '
PERMITTEE /� y//`J m
�LLLV� N.........._...7 ./. (/ JSP" PLAN CHECK $ 0
AUTHORIZED AGE aures N. Starbird
TOTAL FEE 5 702