HomeMy WebLinkAbout1672 LABRADOR DR - Building Permits " .a
PROJECT ADDRESS: 1672 LABRADOR DR UNIT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049493
OWNER'S NAME: SANDS, JAMES D
ADDRESS: DELMAN JUDITH J PERMIT NO: B 049493 PLAN CHECK NO: N GOVT: N SUPP: N
1672 LABRADOR DR
COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
1 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF RESHEET & REROOF SQ FT : 5, 000
ADDRESS: UNIT:
CLAIM VALUE: 5, 000 . 00 CALL—VALUE: 5, 000 . 00 GROUP OCC: R-3 /
PERMITTEE' PETRONELLA ROOFING ( 714 ) 548-1645 •
ADDRESS: 2626 NEWPORT •MMENTS: T/OFF REROOF W/ BUILT UP
COSTA MESA CA • 627 ******+E *******x** xar>ExaE>E>EyEa6**a6 r6**+Ex1E7R*+E****x************* ***** >E*1EBE*****>Ey6>Ex
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed • - prey'': s of Chapter 9(commencing with , on Z ON ING REQUIREMENTS
7000)of Division 3 of the usiness an rofessions Code.and my li •• • is in f .ce and ellect. SETH ACK S
CITY LIC.:032 5 S ELIC.:00460 : `•'ss:C 39
Date I/n G— Signatur . _ MAIN BUILDING ACCESSORY BUILDING
}YORKERS' MPENS ON DECLARATION: thereby -•n . - ate of Consent to self in •oraCe ' ate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
ompensalion Insurance.or a certified copy thereof(Section 3800.Lab.Cf. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: - FT IN
DLICY NO.: 1079987-90 EXP.DATE: 07/01/91
MPANY:STATE FUND �
Or
CO •ARKING REQ: PROV: PARCEL: 42248109 ZNE: REF NO:
❑ Certified copy is her= y furnis' O. 21 Certified copy is fifer ' —city Building Division. PLANNING NOTES>
>
Date: C APPlican *******************************************************************************
EXEMPTION F''M WO' ERS'COMPENSATIONOECLARATIO'. - r mpleted if the permit' rtone hund ($1110)or less). DEVELOPMENT SERVICES REQUIREMEWTS
I certify that in the performance of the work for which this permit is issued,I shall not employ any perso n any man -r so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
DATE:
Date: Signature:
NOTICE:It.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Cede.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 B • - — DATE: /0 /
*
which this permit is issued(Section 3097.Civ.C). *********************-11•. :VP—- n'.r ALc • - • •****************7* **
LENDER: ********************************** 3****************3E**********************
ADDRESS: LEGALIZATION:N F E E UMMARY STRUCTURAL SEGMENT:Y
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELEC • IC 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 72 . 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 , 5 0
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($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
), _I structure is not intended or offered for sale(Section 7044,Business and Professional Code: the Contractors'Stale License Law TOTALS----> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 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: 72 . 50 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property 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 .*.µ*.*******.7E*de-06.7E***de*****.7E*****..Ie. .)♦**.*.)1..**.**.***x.****.***.******.*.**.7E**.*.N.****k********
That proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
0 I am exempt under Section: B.E.P.C.
lor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR 5000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 5, 000 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any lulme building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. /t"'
Date: Applicant:
I hereby certify that I have read this application and state that the above'• .r on is correct.I agree to comply with a y and county
ordinances and state law relating building construction and hereb . . 'representatives of this city to enter upo 'above-mentioned
property for inspect purpo .
Dater /6 0 Signa .: _ 0I 00072153-60072154 TOT 72.50'
Driver .cense Social Security C4719612 DATE: 10/16/90 TIME: i.3:45
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue,Goldenrod—Assessor
CONSTRUCTION AND PLANNIrvoJL& SPA •
✓ Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1. TemporaryElectrical Service dr-Pole
52. Pool & Equipment Location
2.,Soil Pipe-Undrgrnd., , ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.' I ' 54. Forms ' 0'
•
'4:: Electrical Conduit-Undrgrnd."" 55. Electrical Bonding •
, 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Griid. 57, APPROVAL TO COVER-GUNITE .
7:'Footings •-�. - 58. Electrical Conduit-Undrgrnd.
r ,
8, Foundation 59. Gas Pipe, ❑ Undrgrnd., Test
19. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. f
10. Structural Floor System % - , ! 61. APPROVAL TO DECK •
11. Property Sewer Line,& House Connection 62. Backwash & Receptor-Final 1
•
12. Sewer Cap63. Heater & Vent-Final
13. Roof Drains64. Plumbing System - Final
,
14. Rough Plumbing 165. Electrical-Final
15. Rough Electrical-Conduit 66, Solar System-Final
16. Rough Electric Wiring I,;// /,
�", , / 67, Fencing & Access Approval •
17. Rough Wiring Sign ' , ' ' ' 68. APPROVED FOR PLASTERING
18. Rough ElectricaIT Bar Ceiling rr 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning i FIRE DEPT. REQUIREMENT
-t
20.,'Rough Factory Fireplace `-i •.• ' ., ' ;-' t 'APPROVALS.'. ': Permit# ;
-
21..Ducts,in-Structure•'. �t -1 ' j0, Underground Hydro ii.
22. Dudi. Ve'nti lating : I. :71. Product Piping 1:f-has OOil
23.'Gas Pipe-Rough& Test n:: r 'a • 72, Underground Flush, ! • -)
24. Roof Framing' ' p "�i ; = .' !r k 43. :Undergrnd:Storage Tank 0 Gas 0 Oil
25. Roof.Sheathing 4•C ,. .j. I - 74. Overhead Hydro
26..T-Bar Ceiling (Structural) &•Mohocoat i
, '•" '' "^ 75.. Dr'y Chemical `y '-• �,'�
27-;Frame and Flashing - . . Z'I , 76, Dry Standpipe •-I -
28. Lathing& Siding ' - l`}1-• } ' " II- ' 77• 'FIXED SYSTEMIFINAL' „
29. Insulation . . 'I,\ 78:-FIRE PREV. FINAL '
.f `3 '" HEALTH DEPT/REQUIREMENT
ENT
30. OrywallNailing _ r : ! • , .. , M
31. Plaster Brown Coat•, 7 $
! .:,,i, i-l,i i 79. 'FINAL INSPECTION i, -
,y32• .,-Electrical•Power Meter=Final ' ! ( ;;114 ` !'80. FOOD CERTIFICATE ISSUED ,`
.33. Finall Electric, - e 1 p{ ( . Notes: - - ! ' -11,;;; -,. , • ',Jr;
34-1•Final Heating&Air`Conditioninizi y, ` i'Iji3 : Cl ,.1 -"-I
✓
35.-iinafGas,Pipe;Test,. y_ .. ,- [' .;-t, _1 •• ) r^ _ •'' '
.36, Hood or Canopy •• !" - 'i r ' 1" ! . .D • '
`37,'Final:Factory Fireplace . , ' t I ; Jr, . , • , .
38. Final-Plumbing V:, ' • r, -
39. Water Service-Final' ,C.. 1
•
!,40. Gas Service-Final - I i • ;! )
41. Solar Domestic-Final -' . ; -
42.•'8ackflow Preventer, ! ' ,
, , .! -..
43. backflow Irrigation • ' - -
44. Landscape Irrigation System • ii;-.i ' ' -! .' - ' ^) --
45,,Sound Attenuation .14:i 1 -• ' -
' 46. Handicap.Regulations _ •' '
47. FINAL STRUCTURE & BUILDING 5/.4CG� I -'Pv fl •
_
48. FINAL PLANNING N '• '.3
49. Electric Release to Edison '
'50. Gas Release to Southern California Gas Co ! - 1-
51. CERTIFICATE OF OCCUPANCY !. ' 1 -
No. Date
OWNER MESA VERDE ESTATES DATE 12-9-58
JOB ADDRESS 1672 Labrador Dr BUILDING PERMIT NO. 8209
GENERAL CONTRACTOR L. G. Robinson VALUE $ 15,662.00
AP. No. LOT 74 TRACT3115 FIRE ZONE DESCRIPTION OF WORK Res & Att/gar
GROUP 1 & d TYPE ZONE Al PLAN NO. 4209
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Prtoems r Steel r L-h / /947
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam &j a- ,f y
Frame and Flashing Q/ ¢.7i7
Lathing, In Out 'f'I TS P1 2-2a • !t7/ fl\
Plaster, brown coat /:. T2-' e LZ. f(i•..l''/
W
Underground soil L. W/G Pipe Tesj ./5/:- A S-7
Top Out l-a'cy
Furnace NH$ 3-,4-s-e/ 9. ,.a�t..,,.. /lir3- s-- -sS /7313 3 / i
Gas Vents n
Rough Plumbing MI( 7-4'-5-q /G)-11J.4 ray. :.- - ., •,
Cesspool Septic ToTank n /
Prop. Swr. Cane. Hot6rf'Con. St. Swr. 9/71)1 I"-c--t&c* 3(7/ ) s-S-q y \ '
Sprinkling System ` i I
Heating Final 45,S S-/SS-9 1'If
Plumbing Fixtures, Final/..4 /WS.r--/5--6-Q
Final Gas Test /j .441s S=ts=S9 t
Construction Pole
Underground Power /
Rough Wiring -" _ 7-n 2:20,11C--,-- eL,2*•ice� —1- - i - '
Fixtures, Final I'
OCCUPANCY 7T)y _ /y-)_ I
Form 210-5M-1-57 I
i
•
8209
DEC 9 1958 Ve
COSTA MESA BUILDING DEPARTMENT „'I��M1E FIDEPT.
P.O. BOX 317 cm 07 n"-A. E,ESq .
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 1572 Labrador Drive _
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Mesa Verde Estates ra--°
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 1701 Gisler St. y14 7-)1 . ,2._-9 -s$ .r /7.--9-57'
BUILDING
CITY Costa Mesa TEL.NO. KI 5-1751 ADDRESS
ARCHITECT LIC.
OR ENGINEER J. R. Shelley No. C-2170 COSTA MESA. CALIFORNIA
FIRE
ADDRESS Long Beech GE 9-0908 ZONE
CITY LIC. ONEOF
PLOANS TYiPF�� GROUP
CONTRACTOR L. G. Robinson NO. I I23 • 7-1 i _u- '*' ,4-'i
1701 Gisler TEL. 5-1751 APPROVED DATE
ADDRESS .
LEGAL LOT311CORRECTIONS
DESCRIPTION NO. 74 BLOCK TRACT 55
A.P. NO. �rje /p_
SIZE d� __PUX 973? NOW OF SLOGS.
OF LOT ) _____O / YJ NO. ON LOT None
USE OF
E%I STING BLDG.
SETBACK LINE FROM
CENTER OF STREET 50+ REAR YARD 2`�'
SIDE YARD RIGHT • 5 + LEFT
DESCRIPTION OF WORK
NEW X ALTERATION II ADDITION
REPAIRlie) MOVING 711f DEMOLISH
NO.OF
SIZIEDING 1578 ROOMS 7 STORIES 1
EXTERIOR COVERING WALLS
ALL Stucco COVERINGROVF
Rock & Asphalt
USE OF NEW
BUILDING Residence & Attached Garage
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISPPLIC TION AND
STATE THAT THE ABOVE IS CORRECT ANO AGREE TOOMP WITH ALL
CITY ORDINANCES AND ST TE LWA REGULATING BJJ1ILDI CONSTRUCT
TION. VALUATION
SIGNATURE OF 1PERMIT FEE S ti�b , G---
,N,
PERMITTEE ., A` -�� ''t'�'L� ,T-0
S /� / 4,2 -0L-0 PLAN CHECK S //. ✓
�6 FEE S ' �' '
AUTHORIZED AGENT TOTAL V� .
OWNER wn1LLVNp MAIII
DATE .5-5-0f
JOB ADDRESS 1672 Laborador Drive BUILDING PERMIT NO. 26736
GENERAL CONTRACTOR Ronald Nation DESCRIPTION OF WORK Add Living room
AP No.149-13S-08 LOT TRACT FIRE ZONE VALUE $ 8,000.00
4 NSPECTIONS Signature Date GROUP j TYPE ;,fir ZONE �R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line WI-louse Con. ) (!.- i - nTl /1-1(1 ,Se>NI3 747 f-tir;f.,
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring ,/?/h'7 717--gr Heating and Vent.
Trenches l Forms 9 Steel Reinf. p V7, j-!c-a7
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing Fig-----3-,-,-6 7
Frame and Flashing flivita 3"3o'G7
Lathing— In ® Out ® tea- j/-1--E7
Plaster, Brown Coat EF/M4 v-"7- 67
Structural, Final Elec
Heating g. and A.C., Final ' �7 ' ash I (7 -
Plumbing, Final and Gas Test ❑
Electric, Final 1,7V673 .f=1.3-C 7
Building, Final aVIst 6-i6-C_-7
26736 FEB 28-67PASDOO1 O14 -**40.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
I_�I I Aint-2
/'� ,/• For Office Use Only
ADDREIS9 IV j� L.1'1(yJI? F�1lor< Ar;
RECEIPT NO. PERMIT NO. /
COSTA MESA. CALIFORNIA 2t ' 7 36
1` t ' { ` to ` REDS, /I DAAE-' t/IIIAJED,,_ a'6
OWNER �1v MAILW [Z' ` I\),,\�J7CJ��1 ((��..���nj (/INC �j /�Y' /y��/'7
ADDRESS I(0-21)– (.��2A VCJ1� ADDBUIRESS // / / /1�41
/"�
CITY 1' FIRE f/ GROUP
1
TEL. ZONE TYPE
ARCHITECT ,\VbWL NO (Li/��;yV B APPROVED //�/ � DATE 3-- ('
OR ENGIN11EEErR9qr.. q� J ((�a� /'
ADDRESS_I SY K-. 1 7.C�/veTa-c\NAZONING
^,��J ZONE NO.or USE OF NEW V
CONTRACTIOR MONACO `y1(7t0A� �1 I-�r•ILANSS/�f 2. BUILDING A.t
ADDRESS I�,�3c;- 1 . 1_/j - _DESCRIPTIOn%L-�"'!�+ �j •{'��//_l
3
CITY �//���/)`I�T\ A- r'�j`(�'\ w ( A.P.No. / / -/A � -�J
LIC.NO.Oa I(.0 1 I � ;E�y7–S2-O C 90NO"TO HIDE a REAR P.E: NO RAVE EAVES
OVERHANG L.
SHALL BE LESS THAN
O Q I NO.OF ELDGS.
NOW pN LOTALL WED (U.B.C.REQUIREMENT)
(V18-0T
YARDS APPROVED YARDS APPROVED
USE OF
EXISTING BLDG.%l0`1C,Lt NIL-) S%V�C$ MAIN BUILDING ACCESSORY BUILDING
n I (FROM C/L/W�i )
SETBACK LINE PROM (1 OI 14. L FRONT 5L FT.
c[nT[R OF STREET O1 REAR YAJID I
I / L, C R.SIDE J /FT. FT.
BIDE YARD LErr G RIGHT J' yy.�y
DESCRIPTION OP WORK L.SIDE//[( FT. FT.
V REAR 1 // FT.
FT.
NEW ALTERATION ADDITION —
DISTANCE BET. BET.MAIN&
MAIN BLDG'. ACCESS.BLDGS.
REPAIR _MO/INO DEMOLISH
BUILDING ^h NO.OF / VAR.* DATE
SIZE floor' ROOMS (/ RIES I C.U.P.# I APPROVED
EXTERIOR WALLQpm ROOF APPROVED /
COVERING JI W��I COVERING _ _ el, �� DATE G2 1�7��(G7 .a
(-LISE OF BUILDING AND WORK TO BE PERFORMED
' 1 IJ(di. �M,L-' 0\TA) 0 ►J m
I.\\3 fl• 3 r) J , At.
SQ.PT. $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE T T THE A •VE IS CORRECT'AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL TY OR• NCES AND STATE LAWS REGULATING
BUILDING CONS VALUATION .n ro iii //�Pr
SIGNATURE OF ,`��� (//�qqqq//// /� eee PERMIT PEE $ 0C / � 01
C�PERMITTEE
PLAN CHECK S /J - .5 d u'
AUTHORIZED AGENT /
. .. .).::•„; .,...r:.. TOTAL FEE $ 442..
/Di Sd
OWNER WRIDDON, RONALD DATE 1-29-62
JOB ADDRESS 1672 Labrador Drive BUILDING PERMIT NO. 16251
GENERAL CONTRACTOR Frank C. Palmer VALUE $ 200.00
AP No.113-532-9 LOT TRACT FIRE ZONE DESCRIPTION OF WORK block fence
INSPECTIONS Signature DATE GROUP TYPE ZONE R1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Rcfrig. 0 Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous _
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power rfi
Rough Wiring
Trenches LiY Forms p' Steel Reinfrici eet. 1-30-a--
Floor System t
Bond Beam 0 Steel Reinforce 0 1'
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrlg. ❑ Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final iQ 2.-S. G°"
OCCUPANCY
FORM 8114-5M - 761 16251
162• 51 FEE RECEIVED
qY JAN 2914$2
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA
• CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR ^PRINT f' BUILDING
ADD ESS ILO 1!� I. �!1!/."..P bP-
COSTA MESA. CALIFORNIA For Office Use Only
/�UA1 A I-` U�14 i b^L'n> I RECEIPT NO. r 1 8251°
OWNER K IV\ f, r G
MAIL ,` RECEIVVEDDBBYDATE RECEIVED DATE ISSUEDIS
ADDRESS i 19 I_A Bias IbbP_ (.\(�. ./7 - o /' o1- favi /- J--/-G 2/
C TEL. BUILDING
CITYM NO-KI-}-3190 ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. .
ADDRESS ZONE TYPE / GROUP =,----
CONTRACTOR FR(411)W. C 7: 1-✓R e.R. APPROVED
BY DATE
ADDRESS I G-ICI. fru RIoaCA V a- ZONING
CITY C Wl ZONE() POOP BUOF NEW I.; i�/� /, n
r J/_l I PLANS 2 I BUILDING ✓ YVtX"D�y'�+/-ql.
/^ (fir Z Wa
STATE TEL.
Q J o� G 7 NO. /t'I " -7 _/�ti )� LEGAL y� l J /.S- 7/.
y //��y/.�/I DE6CRIPTION `ll [�'
SIZE //`F / 4/1 75Cpl J I NOW ON LONO OF T 1 A.P.NO. 1 I ;– S-3.2_ —
OF LOT .i 9 / �V I!
USE OF �// YARDS EVES
EXISTING BLDG. /YOd 5e Y.�RCAG/. APPROVED ALLO ED
SETBACK LINE FROM (CENTER LINE ST.)CO � y
CENTER OF STREET REAR YARD FRONT S FT. �"7 • IN.
SIDE YARD I LEFT I RIGHT R.SIDE /0 FT. IN.
DESCRIPTION OF WORK 4_t WACV -IN
L.SIDE
NEW I II ALTERATION I II ADDITION I x REAR (/- FY c-----
IN.
REPAIR
II MOVING I II DEMOLISH I BY
/2
PPROV C J r DATE / I.(
BUILDING NO. OF
SIZEROOMS. ,Y�STORIES [l�/Tt--- '
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
t44A '.J x •11i6/,r/e %F.ueof:
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 STATE LAWS REGULATING PURPOSE OR ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.l /, VALUATION �0
SIGNATURE 021}.(.A•IILi�-`I ea a1P0.E— -o PERMIT FEE $ �- n
PERMITTEE «�/l�/�
A. $ /10-0. PLAN CHECK $ 47
AUTHORIZED AGENT oZ �O G
TOTAL FEE $ v.
OWNER /ESA VERDE ESTATES DATE 12-9-58 _
JOB ADDRESS 1722 Labrador Dr. BUILDING PERMIT NO. #8188
GENERAL CONTRACTOR L. G. Robinson 'VALUE $ 14,319.00
AP. No. LOT 53 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
GROUP I & J TYPE V ZONE Al PLAN NO.
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE _NUMBER
Trenches L- forms `Steel Ails/2-2Y-Sf'
Floor System
Steel Reinforce Chimney Re-Rod n
Bond Beam c-cc E z : —
^q
"P ]
Frame and Flashing _ 7 - rr
Lathing, In Out
Plaster, brown coat L� 4 ' /i .7.7-
Underground soil/VMS WIG Pipe Tes;41 •/y 23-5p '
Top Out /a-'W38 a
Furnace yr 2/0-s• T��j/�1/G - - i - SAM
Gas Vents /
Rough Plumbing /14.4C .t-I/—S9,4Z et-lA n--/U-C f /(O 7 '3 ' f�
Cesspool Septic Tank ,
Prop. Swr. Lim Hous n. St. Swr. 4'g-Urr ,F;&,«.,F-- en-t- 7--Aft ' /i-705`
Sprinkling System ry
Heating Final 9-27,- o
Plumbing Fixtures, Final /alS 9--7 \ f
Final Gas Test/S MKV-27..51 - I e r
Construction Pole s '1
Underground Power \'
Rough Wiring I - -W A . .tin .� • 07— ` r /Aral
e
Fixtures, Final - 17-19 '
OCCUPANCY 4 ' � (/- J U1
Form 210-5M-1-57 I