HomeMy WebLinkAbout211 WILSON ST - Building Permits _ __ __t—_ __ 7..______.,‘._ _ _ _ ..,.. -.-----_ Applicant to•fill in all-spaces.except-those within-heavy border-lines-and sign all-appropriate declarations.-- T - -. - ---r-'- - — . --- i 1 r :•r-—I— r'-r-'-`
PERMIT NO. '- 1 I "' TRACT NO..'4 a LOT.NO:, e '_UNIT NO :? I 1 !hr. i t f
I CITY OF COSTA MESA • 'CONSTRUCTION PERMIT .S 2 6r f1 n -j-7 A ,— ' 1 r, I % I ••Ya ' t ti i W , - ,• ••53Q4 6/1'6/26 ' co o I,_b CSC L
I IIro)ect'Addres -'�Il'/ LJ• N%:J Seta 154. G4V�'G /tle54,rC/J. -/-)c .041f,at • i 1 ^ t ., . _ 1. : , •'. . : .- I i n' ) t :M ri,f • • ( , . , I •.• I I ,,,- t f' p= I :
'App4.bpants Maili Ig Addr•ess `•• / 0.6'•TU�q ro D1• ;eco SSG N414J VJ. TYPE OF CONSTR UCTIO _U NEW-U ADD Li ALTE RATIO T- ❑ REPAIR- • - �,
'Mt- �• I _lir Z'jt('�"❑ CON VERSIONS DEM OCISHC❑ OTHER = I I "4 Owner's Name'r �4/LL, /t'f '�42 `: , Phone)7(l/ L� _ t, - A.P.AP # _ . . 1 c i "' I C I Zone .'-, g. y.
(� -1'l-^-6/I1 ^DESCRIPTIONOF.WORK/USE.OFBLDG.' '•,Q '-' i
•I Address / 0 6 Tit 1 Y7 'Dl-. 'r - r I = i r. _ ;t 4 :v j _ I : ! r -1- S• Main Building • - Accessory'Building:`.: ' ; ' - , i I
j Arch/Eng., • - ' License No. ' I TYPE OF PERMIT ' '❑ GRADINGS ❑ FOUNDATION .❑ STRUCTURAL • .7 eT Front- E - ( ._• I c' • - ; _ j _ Di
• Alddres5 ° ' i, = - '-'t , ❑'TENANT _❑ ELECTRICAL-❑ PLUMBING I❑ MECHANICAL't - _ - g - -' N
p� i • Rear ! ),- :a f t i.
I Contractors Name O t•(1 IA-e11 /R 6„.. 1 J� • Phone' l 1 r❑ 'OTHER; ` .. 1 1 •`` 7 ) ( ,•. C • Right ( i ; N i - - 1 I. I N
-• I 1 . ' - 111�� l I PROJECTiDESCRIPTION SQ. FT. / el u„ ^'ti V'i ' OCCUPANCY
Address(mailing) °• I I i _ M 'K r r� • • G 1
,-, I _ • ) CONSTRUCTION'-TYPE ^VALUATION$ ; /q'ou - s Left , ; 7.1 . • R 1
City"License No. •. ZONE• • - ' GRADING CU. ! ACRES I - ,
LICENSED CONTRACTOR DECLARATION s - ; r •
i , Ping. Ref.•# , • : Parking Req!/Provided �. .c; E
Thereby affirm that I am licensed under provisions of Charter 9.(commencing I Remarks: I j ( I4. I I ' 1 ` 1 1 • { • Planning Notes: i •I• t t i ,, ,- f- 1
With section'7000) •of tDivislon 3 of the Business and Professions Code,and I - 1 ' I i 1• M -
mY licenses In full force and effect. 1 _ 1 , 1 i 1tj. • - I t 1 . i e; I i I ! i' 1 • 1 - ! - ( - 1 T: i
License Class - •• • License No: 7 I
Date` ' ' 'Signature ' i • ! I I PLUMBING; I I I I FEES r � 1 Ct. I. _ I .
WORKERS'COMPENSATION DECLARATION; : ' =., r , Bar Sink $how¢rs_ - I '
• -Ihereb kers rm that I have a•certificate'of consent to self-Insure ora certificate t f •'i . 1 1. 1 •
I i ELECTRICAL I I FEES
• '-workers.-Compensation•jlnsurance; or a 'certif ied:copy.theIr°21 (Sectlon'," - -' '- evente - - - ' - • - I - 1 - -"- -"--1-
,800, Lab- C.) I 1 : I - r Backflow Preventer ( i Service'Sink1 ( 1 ) Automatic Washer I Transformer ❑ 15-50•KW" ' I
t s
Policy No- - ` Company ) I • Backflow Irrigation ' - i Sewer Cap• f 1 + PoleI . . 0 50-+KW :
Certified copy is hereby furnished. ; • I Construction Sub. ' • o y , •
A
Certified copy Is filed with the city Building Division. L.'p ! Bathtubs • : I Sewer Connection I I j ' I Cooking Unit: i 1 1', Meter ❑up to 100 amps 1 1 I '
. ' Date I I Applicant' • ' ..a' , - ' 1 - ,.. 4 I
-EXEMPTION FROM WORKERS',COMPENSATION•DECLARATION- -I- --t - - Clarifiers.. 1 _ '- i •
•-Solar Collectors•L---;• Z- --- I -- Dishwasher-4--•-1--- --• ❑over!100 am 5---*"
(This section need not be completed if the per mit is for one hundred ($100 or M H. 't ' ' '} "' T "' •'Meter p` •T'•-^'I'__ f{{
less). ! • ra?' • ; Dishwasher i. , - I ) Solar •Piping) 1 ! ! Dryers ❑' Gas ❑Electric { i Sub,Panel - I +'r�+`' 1. I
I certify.that,in the performance.of the work for which this permit"is issued, I . - - ' ' t - . i
•
shall not employ any person in any manner so'as to become subject tolthe I Drinking Fountains, �- Solar Tank ( - j ' Fan I ' 1 • - I I '
Workers' Compensation Laws of California: I14' - • `_ f Motors 00-1-HP ❑1_% �8 ; ; 1
. Date Signature I- 1' • 1 ' ' • Floor Drains` • I S ) � ; Swimming Pool w/Spat . : _ i F.A.U. r i s - { I Inc.Solar.❑9,15 HP ❑16-15+ '
-NOTICE: If,after making,this declaration,you should become.,subject totthe I _ - _ _-_ _ _ , I 1
•Workers"Compensation 'provisions"of,`the',Labor"Code, you'must forthwith • - Flo`Oi$inkS; r- -1 i
'comply:with such-provisions,or;thistpermit; shall be;deemed revoked. i ' - - r _ ' Urinal / ; . , Fixtures( Microwave I j 1: I i } `
•
CONSTRUCTION, CE NDING iAG ENCV) _ ' - ,.J - O- -' i- - - - f
i . • Gas Service '.Outlets 1 -Water Closet i 1 .i • ' 1
I of the !affirm that there is a construction lending agency for the performance ^• - ' 1 Device Boxes I Pole Light .( 1 I 1
the work for *which- this permitris; issued'i(Section 33097.. Civ C) _ • ' - -! f
,. • i ; t - 1 Interceptors J, i _ ; - •Water Heater -,'{ I , CI ; Outlets
- Lender's Name• '- ' ' " -. - , Range , i • ,
Lenders Address •' • •' =- = I - I - 1 c I - ' i Kitchen Sink i� I• 2 I - Water Service + ;r+ ; L Switches` ` 't
OWNER BUILDER DECLARATION 1- ; 1 - } ., ' 1 r ; 1 ,. - ( - i Sign i 1 1
• 1 hereby aff,rmtthat I am.exempt from the Contractor's License Law for the -Lavatories ; +' I _ Auto Wash t, • . ' ar • Garbage Disposal ' I following -
reason Section-7031,5 Business and Professional Code: An cit or ' - --- g P i ','Standing SectIons ' t •
� ( Y„ Y. _ t • I 1.
' county which requires.a permit to construct;alter;improve,demolish or repair] I-i PTTra I , I fn ,. ' " s - ( I i
v - i _ P, , i •j , Laundry Trays. "' ( " .t-, Generatoe ❑05 KW KW .�
-any structure, prior to;its'issuance, also requires'the applicant for such:Permit Trash Compactor
':to file a Si ned:statense La arihe she is Ilcensed pursuant to the provisionspf •ss -
--the.Contrector's License.Law(Chapler;9-(commencing with Section is f - 1• 'Roof,Drains _ '. I ' ! ( r [•-1. 1 t ! • i I. 1 •
. I '
rGivieion 3 of the Business for.
and Professions Code) or that he/she.is exempt ' • - _ - - - - - '
'erefrom and the basis for the alleged exemption. Any violicant of Section , 1 _ Z. ' - , • (0 • ' ' I 1 : r: I . t ` • I •
• I I
)31:5;by: any applicant for a 'permit subjects the'applicant to.e civil - ' • a ! •. a I , - i - -I ' I • 1 '
' „denalty of not more than five hundred•dmiarployee)1 I 1 ' . 1 - I:•) ; _. I ; (- .. .,s 1 ( I i ,( 1 .
• 44 as owner of.the property'Or.my-employees with wages a5 their sole 1" , ,R¢inspection Fee I } $15 ; . Issue Fee', I %• $.•3 ' I
compensation, will do the and the structure-isnot intended ed or offered ' - Reinspection Fee ' l -
' for sale (Section 7044, Business and Professional Code: The Contractor's I ( - . l ,MECHANICAL - I , I•', FEES P I $15 Issue Feet $ 3
License;Lawlwoes!nol apply,to an owner of-a property who builds or improves ( -- - t ' I I - ' ,i. i I
thereon; and;who does such work himself/hersel norllhrough his on her own , - er } r - ' - DEVELOPMENT SERVICES REQUIREMENTS: , l • •
employees, ever,provided that such improvements are not,intended or offered for • Boiler j . Hood or Type I ❑ 5 - t t I 1,-
sale. If, however, the building or improvement is g- a/she n one year of com- ;: 1 ,: ' ,s - .Can Opy! Type II '❑i I ,� 'I' 1 Zoning Approved By ( 's - I Date F s '
pletion?the owner will;have the burden of proving.he/she did not build or im Duct-Under Ground ' ' ,• I ' i ' ; • - i t
Prove for the purpose of sale). I - , . ; . i • i I• ) 1 Building Approved By, „Ser Date �J�////
•
❑ I,,as owner of lithe property,em exclusively-contracting with licensed con- : Dant-Structural 1 , Refrigeration System 1 . Application Issued'By Y---I I • nate, !f "0f
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-Ventilatin • - -- 0P700,000 BTU-210'0,000 BTU --f I I , •
. builds or improves thereon;and who contracts for such projects with a con-) ) 9 I t I �' ' 1$ M ARY 4F FEES I ) I 1
tractor(,) license pursuant to the,Contracter's License Law), I am aware,that Exhaust System 0 MultipleS stem Repair/Alteration � r OE,'" ' i
(( 0 y p ! I I- 1 BUILDING'PERMIT $ ',MIP 1 $
proof o their WOr ken's Compensation insurance should , proved. to;me., t. ., _ ) f •, ,
❑ll amlexempt under Section ' B• .& P.C.for this reason ; Firepl/Fact iBlt. ICBO,# , I Fire Dernpers • 1 I , 1 PLAN CHECK $ • PERMIT I • I 1
` ) - ' ' ' - , - - - 1 PLUMBING ISSUANCE . $
Date' �'// h (.fib owner, W Ll_ M dj `fe,f7 • i ' ' 1 ' Heating System& Ducting I- I ' .Registers 1- i t i. I I PLAN CHECK ,25%) $ I I ' • ;ENE RGY•IP.C.! $ I '
I hereby certify that I have read this application a d,state that the above C 00100,000 BTU ❑i00,000 BT i I t 1 '
information is correct. I agree to.comply with all city and'county ordinances 1 - f A • II i I •. 1 ~i1 i 1 ' ELECTRICAL 1 $ 1 1 GRADING $ f
andl.state laws reiatingtto building construction;and,hereby authorize repre- 1 ) I . ' i I I 1 I •
I PLANICHECK 150%1 $ I MICROFILM i $ I I
sentatives- oft this, city, to enter upon the above-mentioned :property ;for , ,
inspection purposes. t r/ 6 y i i . q
Iy" s ' • Dater a 1 I r ) I ' i MECHANICAL I $ i I I I tel I
Signature 1 • I' L' - 11 d -! ; I TOTAL FEE $ 0 v
Dri vers'ILicerise or:SS t t ' •' ' - . -• • ; , Reinspection Fee i $15 ... • � -. Issue Fee ^i_ _ a $ 3 PLAN CHECK 125%I $ 1 I 1 f I ' I I
CMF OB65-46,rev.10/84 white - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
_ , - - - • _
' CONST8UCTION'AND PLANNING • - - -• - • . _ _POOL PA
_ n,
Date ' 'Inspector - ' - , Date :Inspector- .ri
• -APPROVALS Permit# - - APPROVALS • . Permit#• ' - - ..
' J.:Temporary Electrical Service or Pole ; - .52.,Pool &'Equipments Location - 2
; 2. •oil Pipe-Undrgrnd. :. _ - - 53.- Steel Reinforcement •• ` -,
3..Electrical Conduit Utility-Undrgrnd. ' _
." 4..Electrical Conduit-Undrgrnd. - - • - 55.-Electrical Bonding.; - . - ,.
5- Steel•Reinforcement �. ; 56.; ough: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 • • 1 -
9. Water Pipe-Undrgrnd. - 60.. Backwash Lines, P-Trap;'O Undrgrnd?
10. Structural Floor System - APPROVAL
T9 61. APPROVAL DECK . - _
11 Property Sewer Line & House Connection 62r Backwash&'Receptor-Final" - •_
12. Sewer'Cap • �i61�6 art _63. Heater& Vent-Final - 1
13. Roof Drains ' •
- ' ,� 64.-Plumbing,System- Final' - • , • s
14. Bough Plumbin g •
9 9 • 1 - �. 65.aElectiical-FinaP
'15. Rough Electrical-Conduit -- - -- -• - •- - - . --I , . 66: Solar System:Final - - - - - - ' '- ' - '
X16.- Rou h Electric Wirin - - .a.. • , • - r
9 9., _ - ' ' F 67:-:Fencing & Access Approval 1
,17. Rough Wiring Sign t t I - :; t t _ ,. ; = ' :. 68. APPROVED;FOR PLASTERING - .
°18. Rough Electrical -T, Bar Ceiling y - ' I . . - • 69. POOL%SPA SYSTEMS FINAL • . - '
h9: Rough Heating& Air Conditioning: 'r ' t . FIRE DEPT. REQUIREMENT .
420' Rough Factory Fireplace ' 1 ' APPROVALS ' Permit#- " '
' ,21. Ducts, in Structure • , , 70. ,Underground Hydro. - ' • • -
22. Ducts, Ventilating : , ; 71. Product Piping 0 Gas ❑Oil -
23. Gas Pipe-Rough &Test - i -1-.t•,' .72. Underground Flush
24. Roof Framing . - , - 73. Undergrnd.Storage Tank 0 Gas '❑Oil
•°25.•Roof-Sheathing. ', I '
9. i 74. Overhead Hydro i
' `2,6. T-Bar`Ceilin (Structural).& Monocoat - + I '
9 75: Dry Chemical _
27. Frame andtlashing '• i - ' 76. Dry Standpipe -
28. Lathing'& Siding' I ,, ''; 77. ;FIXED SYSTEM FINAL; f
}29. Insulation. ' ' , I i78. ,FIRE PREVIFINAL
' 30. Drywall Nailing ' i 1, 1 HEALTH DEPT_. REQUIREMENT ,
31. Plaster Brown Coat :, I t 79. FINAL INSPECTION - -
,32. Electrical Power Meter=Final , 1 i 80, FOOD CERTIFICATE_ISSUED .
33. Final Electric • ' , ,1 . , Notes:
' 34. Final Heating& Air,Conditioning ' - .
'35.-Final Gas'.Pipe-Testi -;• I • - ' r . ,
36. Hoodor Canopy ' , •; � . - '' i - . ' - , t - - -
.
•
37. Finan Factory Fireplace ' i - - t ° ' . . 'la ,
38. Final Plumbingr t ' • . - : • , , t - _
39. Water Service-Final
i I -
. 40. Gas Service-Final t r ' I I ' - , '
1 +
i . : • - '
41. Solar Domestic-Final ( : ; _ _, _ _ -- _ _. --. .t --1- - •
42. Backflow•Preventer 'I I I _ '. ..I ' ' •
43: Backflow Irrigation ', ._F _ . - - ,
•
44. .Landscape•Irrigation{System 1 . i : 1 ; 1 ; ' •
45. Sound 'Attenuation 1 `. ' i ' . I ' ' - t 1•11 ' . r
46. Handicap;Regulations - - ; -
47. FINAL STRUCTURE & BUILDING , 1/g����7/, '
48. Special Requirements Completed 1 - - - - .
•
49..Electric-Release to Edison _ f •
_.- •. .-;- --t- - -- i ,--.:-- `: I )
_ - ; - -- ---
50. Gas Releaseto'Southernt California - ; 7 ; I I , A.
; - •
51. CERTIFICATE OF OCCUPANCY: • 1 '
t'-
No.. •c .fDate '' i I : �1
APPROVAL OF THESE
STRUCTURAL PLANS DOES
OF PLUMBIN ,
NOT CONSTITUTE APPROVAL t� j� [�
ONTiNGE!Ta INSTALLATIONS.TRICAL OR 1 R A DEj M VRE
. REAL'[ y
Permit Il _ S Personalized Real Estate Service
THIS NUMBERMUST - _.._.._
ACCOMPANY 625 S. EUCLID #1 ANAHEIM, CALIF. 92802
ALL INSPECTION REQUESTS PHONE (714) n6-
6660
FOR BUILD; WHERE IV , .S O '7
N;S ,vd_Rt PERSONS ARE TO
S EMPLOYED, WE SU.;CEST THAT a 1
THE ; o
0,' CAL11 ;itl;A DIVISION OF
INDUSTRIAL SAFETY BE CONSULTED EOR a
ADDITIONAL REQUIREMePITS.
7 a?
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1 A} •JN
¢t.- $It&- U�er& S' 92. Bldg a' N •
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---------163—) --
CITY OF COSTA MESA
PLANNING 11 \
SUTO C
R/ECT DEPT. E'i/x-{i��ct
LOG. DEFT. REG. I
•
BY. DATE 7� PJrK/h.
DIRECTOR . - • '•--/---
I `NNING
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37,
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•
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N° 2261 C
P. 0. Box 317
•
Costa Mew, California -
The Building located.at 211 W. Nilson Street
has been inspected and,found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group P 2 Occupancy.
Use of Building • Commercial Building
Legal Description A. P. 11115-173-1B .
(See reverse side forffMetes and Bounds)
Building Permit No. - 23249 Electrical Permit No. 23898 Plumbing Permit No. --
Floor Load Signs have been installed as Room Capacity Signs have been instated as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a.building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
•
Number of apartments— and/or guest rooms
ISSUED TO: • Building Official �
ANION JACOBSEN by U/3.
Date •
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Faun Bv34-1M-11-53-5-B P
JOB ADDRESS 211 W-: Wilson St. _ _ BUILDING PERMIT NO. 2321FObe
GENERAL CONTRACTOR Owner-Builder /- 1f— 6 r VALUE $ 200.00 Conv./Res.
AP No. 115-173-18 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK . to CoMIlIercial
I ECTIONS Signature DATE GROUP F2 TYPE III? ZONE Cl
P SUBCONTRACTOR . PERMITS ISSUED
Gas DATE NUMBER _
Water •
Rough Corn. Refrig. :0 Air Cond. 0
Rough Heating
Rough Plumbing
MiscellaneousAA
Prop. Swr. Line 0 House Con.0 St. Swr. 0 JJJJ JJ
Sprinkling System
Construction Pole
Pole
Underground 00 Power 0 '— 1l0
Rough Wiring- 7_ic.,4, `r'��. _ , _i,,-6r ,93J'9�
Trenches 10 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing ge2-�./fo(G
Lathing —In,C Ou L7�("/l 46
P''-'er, brown coat /-"
I ;. C0 Air Con. CI Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test - - _ _ _
Electric Fixtures, Final __ _ �___ I.2re-6S •_____._________ __ _ —
niiilrlimr Final -__ ._. _________—. _iciP 1.--4-7-71:k"
rtt RECEIVED •
23249 ,.
- : NOV 2 7 1964
COSTA'MESA BUILDING-SAFETY' DEPARTMENT -. - ' ' FINANCE DEPT.
P.O.BOX 917. ''COSTA MESA,CALIFORNIA', - CITY OF COSTA MESA
•
For. Applicant to Fill In Completely, . APPLICATION FOR PERMIT
TYPE PRINT ' •- - BUILDING -
BUILDING 21/ k 1614504/ . , For Office Use Only
ADDRESS •
RECEIPT NO. PERMIT NO,
COSTA MESA, CALIFORNIA-; - ' 2324Q •
OWNER /Y/V'TON y.�P J ( (Ai! / /�
MAIL /' 0/VADDRESS <..t / l Cco A
ADDRESS 2/`/ .�i'eU/2-5 ' �j' �--� ,
n,,, _/� L �1 �_(// �f! FIRE
CITY'COS��7 -' // S, ' NO.(/ d�/(/�G 'ZONE : TYPE t GROUP __
ARrMITECT •
- TEL. '' . -APPROVED LQ l BC. DATE I. 7 CC! ' . .
O: TINEER NO. C
`7•lONING �1
ADINESS
'l^ '- /II,
` _=nix,. / I NO.OP I USEOFNEW'•
4 ��� '� .•- /T2 /2��� `/", PLANS OUILDINO
CONTRACTOR /VY.f _ q Jr� —T) '
//LL,� Z? 4,//„.........-,.°/ _ LEGAL U/ti' L n n ��-. lS J
ADDRESS N/�' a / DESCRIPTION
_ // ii/E:
//5 -/13 - 17 '
CITY 4015T/1i/�SH - A.P.NO.
/ NOTE: NO EAV E OVERHANG SHALL BE LESS THAN
STATE TEL. /// �7f SO'TO SIDES REAR P.L.
LIC,NO. NO. NJ
SIZE - EAVES. ' '
�9 �/ No.op BLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT dd A /a ' I. NOWONLOT /,
YARDS APPROVED YARDS APPROVED ,
USE OF, ' MAIN BUILDING' . ACCESSORY BUILDING
EXISTING BLDG: ,a0..5. L. •.
(FROMC/L STREET) -
SETBACK LINE'FEOM - ' ' . ' 'FRONT FT.' Q FT. "
CENTER OF STREET - REAR YARD �/
SIDE YARD LEFT - " r• ' �-( RIGHT - -' + R.SIDE -. FT. - '
T DESCRIPTION OF WORK L.SIDE
N - ALTERATION ADDITION ' REAR FT. • FT.
DISTANCE BET. BET.MAIN a
REPAIR -' / MOVING DEMOLISH - MAIN BLDGS. ACCESS.BLDGS. '
BUILDING p •'' -4, 'NO.OF r� )` VAR.# 1' DATE • '
SIZE jJ,.7 O' - ROOMS " J STORIES . . C.U:P.#' APPROVED
EXTERIOR WA LI�S� ��' ROOF cw // APPROVED. /' h .4 V
COVERING S1?-"C b I COVERING > jf1 BY ��/' " VG '^ 7
USE OF BUILDING AND WORK TO it;PERFORMEDj/
BatMS.
AN)
i%\ to ' �
Gb' , 96( ('91 gI C
`Lae- Co.44B72k C4C .- VSE. ' 7475 - 6o.FT. m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' THE AMOUNT SHOWN.UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY DINANCES AND STATE LAWS REGULATIN ypLUATION LQ 0
BUILDING CONSTR ON. - //'/� O� PERMIT FEE $
SIGNATUREO • ( ./ _ - _ -- O
PERMITTEE l!//Y//., co
/w(1� C CI
LL
AUTHORIZED AGENT ,..I - TOTAL FEE $ 3
OWNER TRADEMORE REALTY DATE 4-1-70
JOB ADDRESS 211 West Wilson Street BUILDING PERMIT NO. 31572
GFNERAL CONTRACTOR The Owner-Builder DESCRIPTIONofWORK Non-Elec. Pole Sifn
. 115-173-18 LOT TRACT FIRE ZONE VALUE $100.00
I, .CTIONS Signature Date GROUP J TYPE V ZONE C-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
_ Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING •
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES rti_ FORMS STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM Cf STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING^
LATHING - IN I I OUT El
PI -ER, BROWN COAT
URAL, FINAL Electric
H. .+G, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL 7�� J ry
BUILDING, FINAL 31' la /0
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