HomeMy WebLinkAbout217 21ST ST - Building Permits PROJECT ADDRESS: UNIT:
OWNER'S NAME:
217 21ST ST CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 064631
ADDRESS: PUHLMANN WALTER S
12113 LOVA RIVER AVE PERMIT NO: B 064631 PLAN CHECK NO: N GOVT: N SUPP: N
FOUNTAIN VALLEY,CA 92708
10. CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
:ARCH/ENGINEER: REG.ND.:
" ADDRESS: UNIT: JOB DESCRIPTIONSQ
T/OFF EXISTING REROOF W/COMP SHINGLES FT: 3, 150
CLAIM VALUE: 3, 150 , 00 CALL-VALUE; 3, 150 , 00 GROUP OCC: R-3 /
PERMITTEE: STRAIGHT LINE CONST ( 714 ) 968-4316
ADDRESS: 20121 MAYPORT LUNAR COMMENTS: REROOF A DUPLEX W/COMP SHINGLES
H.B . CA 92646 ******�r�r+t�E*xE**+Ea**sr�r*+t**kE+ESP*+r*******+Ear+c**IEarNN*�r�e*******ir�rl�wpv��Et��.� it *�rx+r*Trr*+r*x
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E � pew
70001 of Division 3 of the Business and Professions Code.and my ease is i un fort nd ettec Q U I R E M E N T DETECTOR ECT®R
CITY LIC.: STATE Lc.: 392761 0 . B ,� S E T B A C K S R nr 'A.r•.QE
Date:_tib - ay_ ♦ e, Signature:_ 1ST lar-.4 MAIN BUILDING ACCESSORY 1138 NYRE-D-----
* WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sellinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.Or a certified copy thereof(Section 3800, Lab. C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING RE PROV; PARCEL : 42620216 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES>
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Date: Applicant: ********************************************************* *********************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thisection need n e com leted if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this perm) issued.I not y any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED- BY •
y Dale: /0 - r - C 3 Signature: -.. _.a. --/ Qi DATE;
NOTICE:If.alter making this declaration,you should become subject to the Workers' mpensation provisions of the Labor BUILDING APPROVED BY DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; 1
DATE: l0
which this permit is issued(Section 3097,Civ.C). ***,*N,**,*,*,*,***,*,**,***,*,**,***,*******************, , *********** ******** **
LENDER: **********************************************************it********************
ADDREss: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I em exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
PERMIT I T 6 3 . 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed . 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation. win do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 • 00 0 . 00 63 . 50 63 . 50 . 00
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 employees.provided that such improvements are not intended or offered for sale.If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 63 , 50 OV E /SHORT: •
. 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO GRADING- PLAN-CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 , 5
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *****.*.**.*..)E*..**.***.**.x,*****.********************,************** ********************
that prool of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKD WN
roams reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 3150 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 150 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Airuatity Management District.Residential construction applications are exempt from .
these provisio0s. •
Date'. Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and slate laws relating to building construction and he by authorizer presenlatives of his city to enter upon the above-mentioned
property for inspection purposes.
9 Date: /CI — S- 93 Signature: -/C-i.-.4--4,.......„....._ 01 00149576-00147577 TOT 63.50
Driver's License or Social Security a: 57DATE: 10/25/93 TIME: 14:35
1641-46 Whue—Budding;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
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CON?(R:t7SON AND PLANNING POOL PA
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.
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8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
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10. Structural Floor System I 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash Si 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 1 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 0Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing !p-L6-?j &4/61 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 •
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46. Handicap Regulations --
47. FINAL STRUCTURE-&BUWDING /f-3-R3 64,44- 5L A S 01-` (O
48. FINAL PLANNING
AS
49. Electric Release to Edison i
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER BOULEVARD INVESTMENT (/ DATE 1-25-55
JOB ADDRESS 217-219 21st Street BUILDING PERMIT NO. 851
GENERAL CONTRACTOR Owner-Builder VALUE $ 142560.00
l 243 BLOCK TRACT Newport�1� Heights Duplex
GROUP I TYPE V ZONE R4 FIRE DISTRICT 861
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench . 2/4-C
Foundation Forms and Grade to Garme
Rough Framing �c—c ��r
Plumbing,R3ugh to SIa3eat (7� l_S cGn r -?vr J.' -/7- f /S /pa 'R1 ACu .-i
h
Plumbing,Rough Complete,O, I - 3-Sr/ A// i.„ a 7-Sr is c
Temporary Pole J� /y r '�, / /- 27-CS 7/f
e
Wiring,Rough cc-A - g-0 ' --a 5 - 3-SS 77!
'Heating,Rough ��//��
Heating, Final tt—64 , 4 2,/r,6, /-; 7, f;r /..,`.‘
Sewer - '� 1
'Septic Tank or Cesspool `
' L 1g 14) 1 (7-vt,p.. IM-// r'
Plaatering "JGG/J /
Plumbing,Final,Fixtures Com ete/''LJJ��/G. 7-_i j
Plumbing,Final Gas Test/s /\\I-!% -/7-,ry( cece� ,.
`
� , � - )3 -S GC
? ,/j
am
Wiring,Final �i -3 c7-3 j / I ' (
Occupancy >j/t-L, '23-S‘
Form 210 G-H 1M 12-59
^1 Costa Mesa Building Department APPLICATION FOR PERMIT
" ,. 111 EAST 20th STREET BUILDING
- COSTA MESA, CALIFORNIA •
•-•
`' FOR OFFICE USE ONLY
r FOR APPLICANT TO FILL IN
Receipt No. I Permit� %o.
ABudildidress H ng.2/7 _,f/ I _:,'I‘ O I� YJr
Received by
Costa Mesa, California ,D'ate Recd.
Nearest ,,t „ .�;.1 I Date Issued
SAN 2 5 1955
Cross St. of/ �[y L, BuildingdY
ii/(///»>�bbb RNea�r� ...ii> Address - . -
Owner X ti,--e-/ Costa`1V1esa, California
Mail O Lir //''
K4Address 3G I 2 - Nearest
j //// Tel. - Cross St.
City �C'�-tt / cA.-4- No.A/ f'j/� • Zone y ,/ I No.of
I Type . I Group ,
Architect or Lic. / _
Engineer No. Approved
:• by Date
Address A CORRECTIONS
.tractor. / .c.c-.��// //- No. Lic.
Address 34l L -1 4. a4.-.�/ /7
DescriptionLeLot
l I No. .c y3 I Block I Tract 44-
(Attach Metes and Bounds) 7t T V--.
No.of Bldgs.
Size of Lot op g Q I Now on Lot t I O
Use of ,/ No.of No.of ` , a
Existing Bldg. /�/(l/t/t-4— I Families I Rooms
11:.)_.
��� 6
Setback Line from f Rear Vard� , / .v 5 Z
Center of Street 0 Side Yard C / i i i , - 4it'- 5 y
DESCRIPTION OF WORK �2� �� r
New 7( I I Alteration I I Addition I ��� OF COSTA MESA
Repair I I Moving I I Demolish I
Building No.of `''
Z Size ft %LX ']fit"Rooms �e- Stories
i ,ringrior wall l Z/c.� I Covering (cf//7i0� • APPROVALS
L__of New • ,,,„(1,‘„___r_..„,.
/�
Building �,// ly..-,— Foundation Location Inspector Date
c�� i �'�� " Forms,Materials,
1-/-77,4e;p A�..,_« 4 Viz(lQ�—d� . r. Under-Pinning
/ ': Frame: Fire Stops,
Bracing,Bolts _
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I hereby acknowledge that I have read this Application Lath.Int.
and state that the above is correct and agree to comply -
with all City Ordinances and State ws regulating Lath. Ext
building cons[pctiop. / l
Signature of / Plaster, Int.
Permittee _ ��'
- - — a n-- Plaster, Ext.
Authorized Agt.
' Masonry Reinforced
Valuation �0/ Permit Fee $
$ IS )
Plan JTotal heck $ 3y_.—:--_-o Bond Beam
Fee $ .37 - FINAL
FORM 204 0-H 2M 5-54
- ' _:
O - 6 -
L -
. 'L .\ -
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. �-4
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•
• - Street..__. .
....
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PLOT PLAN - =
Showa location....and!distances :from -.
,J , - ,
property line and between buildings. r. -
i._- _ .. - - - .r.
. - . � 4
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1\ `'
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OWNER W1bITT.TfrS. DATE 10-22-59
JOB ADDRESS 219 E. 21St Street BUILDING PERMIT NO. 106110
GENERAL CONTRACTOR own er .uilder VALUE $1,531,00 _
AP.No.i 1 R_100_30 LOT 2),3 TRACT Not Hts FIRE ZONE DESCRIPTION OF WORK bedroom & bathrm.
Irk ?ECTIONS DATE GROUP TYPE ZONE add.
1:;,4yground Soil U.G. Water — SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr. _
Sprinkling System
Heating, Final �( Q
Plumbing Fixtures C! r5 f
Final Gas Test I ,
Construction Pole
Underground Power7_4_
Underground
Wiring r /u L.-Cc ,47.55`"!�1t4.e, ,c.E' AA, A2-/-f7 ///7�1 Y/
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sbything
114,::e and Flashing
Lis ng, In Out
Plaster, brown coat •
Plumbing Fixtures, Final - -. >.
Electric Fixtures, Final ic1_51.� .14,04CGcE-Q� Mn.��Jv ��i�, Q, }LL1 1 oZry
Building, Final
OCCUPANCY
Form 410-3M-4-5? 106Lt0
10640
GtOSTA 'MESA BUILDING-SAFETY DEPARTMENT i •
,EE RECEIVED
P.O.BOX 317 COSTA MESA. CALIFORNIA /O r ,s,2, _3--/
FOR APPLICANT TO FILL IN COMPLETELY APPLICATIONv�FL l�
O EPERMIT
• TYPE OR PRINT CBUILDING I�
�j MESA
ADDRESSG�� / olC/ .2/,5T 1'
COSTA MESA. CALIFORNIA FOR OF`/CE USE ONLY
/�/ 4)7;
A I RECEIPT NO. I_ 0n40
. OWNER (�•[ �� h2 �'V/3. 7:
d Iii
\J(I rLC
ADDRESS /9 E �/ S RECEI-'7VED BY' I DATE/0--RECEIVED _ I DATE/C ISSUEDQ
�t,/�� 72 TEL. BUILDING q 't'�9/7 T
CITY E/�J/�( �0/�S l NO. ADDRESS ,C / 9 . ,j"S/ - s //
ARCHITECT LIC. COSTA MESA, CALIFORNIA
OR ^"GINEER NO.
ADLc
.. SS
FI E NE TYPE GROUP
ea
9dicA _ 3]1/ STATE APPROVED
CONTRACTOR �V 4/C�.LIC.NO. BY DATE
.. ADDRESS ZONING ,3 ,
LEGAL LOT /� /,././�Ny/" ZONE//��/ NO.OF -1 _ USE OF NE f L/
DESCRIPTION I NO. I BLOCK _ ' W T tl", UU/11 I PLANS//� I BUILDING ef_Se.
A.P.NO. I O D ABBYPROV[q/ �/ ` // /Onisi
�jJ�//� I [-
���,L,////,,,,�(�(`(`( id
LY r E` ES TE (tJ -CS9
SIZE t i '1 A 3oD I No.OF SLOGS. / YARDS V J
OF LOT / �Qei NOW ON LOT REQUIRED ALLOWED
USE OF ,/ (CENTER LINE ST.) n
EXISTING BLDG. R► esdieel/C G FRONT C 07e FT. IN.
. SETBACK LINE FROM "T,
' CENTER OF STREET //'� REAR YARD R.
R.SIDE �FT. IN.
' SIDE YARD I LEFT �CO ' I RIGHT ! , L.SIDE /(5-4T. 4- IN.
DESCRIPTION OF WORK
REAR ---VS-Fr. IN.
NEW I VALTERATION I II ADDITION I Y
;, REPAtn I, II MOVING I II DEMOLISH I
, BUILDING /,D )04i NO.OFJ9 •
SIZE ROOMS OF. STORIES
EXTERIOR WAL ,, )) ROOF
COVERING �T N9I COVERING�°efPP''
USE O6UIj. ae vbORK TOE P R,i
ellt
• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STAT LS REGUL 'H� ` PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
AW
BUILDING CONBTRu/�/Q`N. / JALUATION
r PERMBUILDING
TURE OF . /I [ /// PERMIT FEE $ l
V` $ /S- 3 / - PLAN CHECK $ 5
AUTHORIZED AGENT -
TOTAL FEE $ /pZ —
C. A
OWNER BUSCH, ARTHUR DATE y - 7
JOB ADDRESS 217-219 E. 21st Street BUILDING PERMIT NO. 24714
GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Block Pilasters & Wood Panel
t` Al'AP No. 118-103-46 LOT TRACT FIRE ZONE VALUE $ 50.00
'ECTIONS Signature Date GROUP J TYPE III ZONE 13-1
y__ I
Gas PERMITS ISSUED
SUBCONTRACTOR Date 1 Number 1 Signature
Water Plumbing
Rough Plumbing
• Prop. Swr. Line 0 House Con. 0
Sprinkling System
?lN Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power p
Rough Wiring Heating and Vent.
Trenches 0 Forms 9 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In 0 Out 0
Plaster, Brown Coat
9' -tural, Final Electric
mg, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final e9I. 1 7,74245-
'w;
24714 CITY OF C3STA MESA
F COSTA MESA BU COSTA MESA. CALIFORNIADEPARTMENT
P.O. BOX 1200 COSTA MESA, C 92626 2 G65
For Applicant to Fill In Completely APPLICATION 2.0 19
TYPE OR PRINT FoV_ I
BUILDING �' ��' 1/eV�LI_J6�7 LLLp���nJJJ`l,,v
ADDRESS -22 a
RECEIPT NO. P[pMIT,774/
COSTA MESA, CALIFORNIA J'') '/]/
RECEIV SY DA [C VED [ISSUED +
OWNER
iAvr 1' . S/.sed 1' ��0 ��
BUILDING
MAIL ADDRESS
ADDRESS /5969 �C. y A'/c4e .,./
FIRE
////''}} TEL/L�. ((�� ZONE TYPE / GROUP
CITYL(��Q29P NO./CPO Oi
ARCHITECT TEL BPPROVED
9NGINEER NO. BY DATE
ZONING
ADDRESS
i0 NO.OP USE or NEW
,/� �[ /� / PLAN[ a i BUILDING l
CONTRACTOt6��/ Zogarg,4L( .ft,9 areweY LEGAL Pena 413
3 I .
7 4 g „it. DESCRIPTION
ADDRESS 4:29.47/I4 /�/�_7,T,11//
erre /Qny/°r CP .4/C-•
A.P.No. ,//P —/0 3 - Y6
J� p NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
LIATE
C.NO. •� N0 2On.53Q q 80'TO SIDE a REAR P.L
EAVES
SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT Now qN LOr YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
GETSACK LIN[FROM FRONT PT J r O
CENTER OF STREET REAR YARD
SIDE YARD LEFT I RIGHT R.SIDE PT. FT.
DESCRIPTION OF WORK L.SIDE PT. FT.
F THRATI N _ ADDITIONRte_ PT.
FT
.DISTANCE BET. BET.MAIN
REPAIR MOVING - DEMOLISH MAIN BLOC'S. ACCESS.B S.
BUILDING NO.OF wart.* DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL I ROOF APPROVED
COVERING COVERING BY DATE
USE OF BUILDING AND WORK TO OE PERFORMED P.
W
K7
SQ.PT,
I HEREBY ACKNOWLEDGE THAT I HAVE nem)THIS APPLICATION TME AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. iJ3
PLY WITH ALL CITY OR• SCRS AND RATE LAWS REGULATING VALUATION `— DN
BUILDING CONSTRU•.�(T'� -
SIGNATURE OF _/� �, PERMIT FEE $ 'T
PfiRMITTHF / �� 5D . — b
_ ���JJJJ PLAN CHECK S
AUTHORIZED AGENT ci
., _ TOTAL FEE $