HomeMy WebLinkAbout2433 LITTLETON PL - Building Permits CITY OF COSTA MESA
p„on 44t„ BUILDING DIVISION
Ftl a 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
, , FOR INSPECTIONS CALL:(714)754-5626
•
PERMIT NUMBER: B11-00241
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 41913311 DATE ISSUED: 08/15/2011
ISSUED BY: AP
JOB ADDRESS: 2433 LITTLETON PL CM Suite/Unit:
Vicinity:
Squares: 0 Valuation: $9,500.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF OF WOOD SHAKE, INSTALL 7/16"RADIANT BARRIER 058 PLYWOOD.REPLACE ALL
DAMAGED WOOD.INSTALL 1 LAYER OF 30LLB FELT AND 30 YEAR COMP SHINGLE TO INCLUDE GARAGE.
NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s)is provided for
verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card
OWNER: HALVERSON,GARY L TR Address: 2433 LITTLETON PL Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: ACENCION CUEVAS Address: 5022 W 5TH ST Unit: :
PHONE: 714-554-0267 City/State/Zip: SANTA ANA,CA
CONTRACTOR: SUPERIOR ROOFING License No. 908238
Address: 5022 W 5TH STUnit: PHONE: 714-554-0267
City/State/Zip: SANTA ANA,CA 92703 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
„'P1.AGE P•
Reroof Plan Check: $0.00
Reroof Permit Fee: $181.25
Reinspection Fee: $0.00 ricdt ' C:4.0
Bldg Std Admin Fund $1.00
Unit:
TOTAL FEES $182.25
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. Prohibitied 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 M. INSPECTION TYPE DATE INI111ALS COMM INSPECTION TYPE DATE ' - INT1T1ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /� 208 Final Plumbing •
9./(0•/i 200 Final Re-Roof A r2/]'6J 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
.203 Final Sign 222 Final Site
1'1'll3' 1r1 ir'�
.204 Final Demolition 250 Final Building/Occupancy 1
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive, _.tcense. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: ,Driver's License No. Expires: r
❑ 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
s aai?n 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' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are' ` person is required to descend,will be made in connection with work authorized
bXX this permit,and that no building structure,scaffolding,falsework,or demolition
__a4I. ! A tee " Cu • i a Yc?'dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Gm
11S section need na be compleed if the'erma is valued at one hundred dollars(S100)or less.) 2 Art 2Sec.341,Title 8,California Administrative Code).
Ral4latzmi; I R 03-2()7
0 As owner-builder, I will not employ anyone to do work which would
O 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
becom> subject to the workers' compensation provisions of Section 3700 of
the •.or Code,I shall forthwith co I I. hese provisions. Applicant's Signature Date
-- -- -- Al );��/S ,)/( Division of Industrial Safety Permit Number:
�npperant's SignatureDate 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 0 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. a registration form for acutely hazardous materials? ❑Yes 0 No
/..• I s 4 g v r i P6 '-3 7 (Section 25533 of the California Health and Safety Code, with some
_ exceptions, requires registration with the Costa Mesa Fire Department by
�"z4>—_SftO 217 1c' each business which at any one time has on hand a quantity of acutely
comracmr's S, ature ate 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)? 0 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? 0 Yes 0 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? 0 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 0 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 sate(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
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
employees, provided that such improvements are not intended or offered for 8. (If"yes", attach certificate of compliance from the appropriate air pollution
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
❑ I 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.
ignature of Legal Owners _ Date
Signature Date - A I
3057-46(3/07) a— a 1
'Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Residential Alterations (Page 3'of 5)
Project Name: Climate Zone II tl of Stories
• Name:
3 L;i- k A'�. Any, 1i . Me 1
General In forma/inn
Site Address: G A . .Iatt
Ent orcemenl Agency: Date: /,_ ,U6I,St S1 �I tee('11
Building Type a Single Family 0 Multi Family Circle the From Orientation:N,E,S,W,or degrees �t
Conditioned Floor Area(CPA): Project Type: 0 Alterations 0 Envelope D Fenestration IL^'Roof 0 HVAC
_Replacement or Change Out 0 Duct Replacement ❑Water Heater
NOTE:This finwi is not lei be used far Newly Constructed Buildings or Additions
• Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
0 Opening of framed cavity alone-Alterations that involve the opening of/he framed cavity of a wall, ceiling, orf floor must install the
mandatory minion in insulation value per§150 for the altered assembly. Fill in Columns A-C and enter mandatory insulation value in Column H.
D Replacement of entire assembly-Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A-J.
-
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A - J • D I C D • E - l • F J G H.- . . -I. . F A
Proposed shots Standard Values From JA4 Table
I Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
IDI or Type' and Size or Other3 facto? Number' R-valuer _ R-Value7 Cell Values 1 U-factory
•
Note:For/cared assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
+Furring Construction table below.
1.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Spade,Doors and etc...Indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enier 2x4,2x6, or etc.., see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16•'or 24"OC;or Other for all other assembly description
such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc....
4. Based on the Climate Zone;enter the Standard U-factor from Table 15.1-B, C or D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing; other wise, enter "0".
7. Enter the Continuous Insulation 1?-value for the proposed assembly;otherwise, enter "0".
8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J
9. The Proposed Assembly U-factor, Column.l, nuts(be equal to or less than the Standard U factor in Column E to comply. •
Furring Strips Construction Table for Mass Walls Only
A Is C D I E _ F G I B 1 .1 K L M _
Proposed Properties of Masonry and Concrete ' Added Interior or Exterior insulation
Walls Front Reference in Furring Space from Reference
•
. joint Appendix Table 4.3.5,4.3.6.43.7 .faint Appendix Table 4.3.13 _
U u ,.-. -] U , 4 U
t
. m p. a c • it u1
0
, Assembly <- j fl o c .9 -4.-':t v ' F c oo ., u e, Final
Mass Name of JA4 Table 0, zt 7 E E 0 't r o f' c Assembly
F V
Thickness' Type' Number' < : Z w 5 E a l, u'. C 4 ': ns r U-faetol'e•r Comment ,
•I
.l , I
Registration Numher: Registration Dae/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Cotnplian esitlential CF-1R-ALT
Residentia!A/tgratian,r (Page 3 of 5)
Project Name: I Climate Zone It t4 of Stories'
ROOFING PRODUCTS (COOL ROOFS)§154012
When the area of exterior roof surface to be replaced exceeds snore than 50%of the existing roof area,or more than 1,01/0 fr', whichever is
less, the new roofing area may meet the ranting product "Cool hoof'regoiremenar of,§152(k)IH1, 152(b)IHIi, m'152(11)1Hiii.
Check applicable afternative or exception below if the roof alteration i.r exempt from the roofing product "Cool Roof"requirements. Note:If any
one of dee alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Eminence requirements for roofing products in
§1180) are not applicable. Do not fill table below.
❑ Coot Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roots Not Required in Climate Zones I through 9 and I b with a Steep-Sloped Roofs(pitch greater than 2'.12)and product unit weight less
than 5Ib/ft2.
Alternatives to §152(b)Illi and§152M)1111,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrfl''"F/Btu or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to §1.51(f)10;or
❑ In climate zones 10, I2 and 13,with I ft'.of free ventilation area of attic ventilation for every 150 R'of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least I1-30 ceiling insulation;or
Building has radiant barrier in the attic meeting the requirements of§151(1)2;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(h)111iii,Low-slope.roof(pitch 52:12)
❑ Building has no ducts in the attic.
Other Exceptions
. ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft'is exempt from the below Cool Roof criteria.
- Note: If no CRRC-I label is available, this compliance method cannot he used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number' < 2:12 >2:12 < 51b/fl' > 51b/ft' Tyoe' Reflectance'^ Emittance SRI5
❑ I (L. ❑ ❑^
❑ I ❑ ❑ ❑ ❑^
❑ ❑ ❑ ❑ ❑a,
O 0 0 0 ❑^
-
❑ ❑ I ❑ ❑ p^
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroottor /nroducs/search,nhn
2.Indicate the type of product is being medlar the roof top,i.e.single-ply roof asphalt roof metal roof etc.
3. If the Aged Reflectance is not available in.the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value front the same
directory and use the equation(0.2+0.7(piathat—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Refectancce is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet of Iota://wwm.enervv.ca,Rov/tide24/and enter she resulting value in the SRI Column above and attach escape of
the SRI- Worksheet to the CRIR.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§1180)4. Select the applicable coating:
0 Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 10 Other
•
•
Registration Number: Registration Date/Time: PIERS Provider:
2008 Residential Compliance Forms • August 2009
Prescriptive Certificate of Compliance: Residential CF-]I2-ALT
Residential Alterations - (Paste 5 of 5)
. - Project Name: Climate Zone it E' of Stories •
• HERS VERIF1 CATI ON SUMMARY The enforcement agency should pay special auemion to the HERS'Measures specified in this
checklist below A completed and signed CF-411 Form for all the measures specified shall be submitted to the but/ding inspector before final
inspection.
Duct Sealing & Testing HERS verification is required kr this measure. •
D YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feel of new or replacement ducts are installed in unconditioned
space,the ducts are to be settled per§152(b)lDii and the newly installed ducts are to be insulated pet 1151(1)10.
D EXCEPTION:Existing duct systems that are extended, which are constructed,insulated or sealed with asbestos.
D YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system()NAG equipment and ducting)is replaced,the
ducts are to be sealed per§152(b)l Di.
D YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the replacement of the air handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
• sealed pet §152(b)IE.
O EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS
• verification in accordance with procedures in the Reference Residential Appendix IRA3.
0 EXCEPTION:Duct systems with less than 40-linear leet in unconditioned space.
D EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verfficatiat is required for this nteasw'c.
D YES D NO YES:in Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrierant charge measurement shall be verified per§152(611F.
Central Fan Integrated (CFI)Ventilation System and Fan Hiatt Draw
The ventilation requirements of§l50(o)do not aoo)v to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: AirfloW HERS verification is required/hr this measure.
- DYES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(H VAC equipment and ducting)is
replaced,the airflow and fan watt draw shall be verified per§152(b))Ci to meet the requirements of§15 I(i17B.
Documentation Author's Declaration Statement •
• I certify that this Certificate of Compliance documentation is.accurate and complete.
Name: Signature: •
�Pvt biOk en./4J
Company: I - Dale:
cr A5USA.- i a-o L1
Add es•: if Applicab 0 CEA or D'CEPE
} �1^ SR-- (Certification i!):
City/State/Zip: Phone:
Nadvhr,� nu& C 4 - o3 n ig\s sLi -dam`7
Responsible Building Designeels Declaration Statement
• I am eligible.under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specification::Io the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations,
• The building design features identified on this.Certificate of Compliance are consistent with the iniormalion provided to document this
building design on the other applicable compliance iotas, worksheets,calculations,plan:and specifictdions submitted to the enforcentem
agency for approval with this huildimt permit a rpt icotion.
Name: Signature: i f
Company: Date:
/ 1
Address: Liet:nse: /O A 0120
CitvlStatellip'. I Phone:
For assist or questions regarding the Energy Standards, contact the Energy Bodint• at: 1-800-772-331)11.
t................... ra t,,.,- 1(evistra,ioo Date/Tune: HERS Provider:
dd
8502 :' Liiri :i v
COSTA MESA BUILDING DEPARTMENT A C ISS
FINDEPT.
t�i�CE
P.O.BOX 317
COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 2433 Littleton Pl. BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
Highlands, RECEIPT NO. PERS 0?
OWNER Mesa Zghlands, Inc. L�JI�4V�J�
MAIL RECEIVED BY DATE RECEIVEDFEB.TE 133s 9559
ADDRESS 1555 Placentia �nqt a--.6----57 V Aye.,.•
CITY Newport Beach, Cal. No. MI 6-3227 BUILD! S
ARCHITECT LIC.
ORE JEER Same NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS gq,ne ZONE
jp�(j jJj'��I}j �{�{f{)op /� Co. CITY NDC. 1217 ZONE ' NO.OF TYPE' GROUP
co/WriAttUal
Vont. CPLANS / /^/
/J ���
ADDRESS sameNO. same APBYPROVED�—t 1/4
X DATE
LEGAL LOT 29 CORRECTIONS
DESCRIPTION NO. 2. BLOCK TRACT
A.P.NO.
SIZE 70 x 95 NO.OF SLOGS. O
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STREET 50 REAR YARD 20
SIDE YARD RIGHT 10 LEFT 10
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING _ DEMOLISH
SIZE
BUILDING 1611420
— � RMSOO6 STORIES 1
�1�
EXTERIOR WALL stucco ROOF jggod shake
COVERING COVERI
USELOFNGEW Res. & att. Garage
Plan 1-A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND The Amount shown un&r +Ja9atinn is fnr the
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only.
CITY ORDINANCES A STATE LAWS REGULATING BUILDING ONSTRUC.
TION. VALUATION r nn
SIGNATURE OF A / ♦ PERMIT FEE $ 35.000
PERMITTEE '61 PLAN CHECK s 17.50
s 15,967.00 52.50
AUTHORIZED A NT TOTAL FEE $ Wiwi