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Home My WebLink About527 BERNARD ST - Building Permitspta) 75a-5273 • Fax (7ta) 75a-4858 • wvnv.ci.costa-mesa.cag�J�LDING PERMIT �� rAm unrvc, wa i r mcar, �.n aeoeo Job Address: 527 BERNARD ST Status: ISSUED Suite: Applied: 70/112006 Vicinity: APTGARAGEONLY Issued: 7 0/1 1 2 006 Primary Occ: U-1 Private GarlCarpoNShed � Type of ConstruIXion: V-N Parcel Number: 42210334 Zoning: App�ieant: PARKER, DON Address: 5791 SANTA CATALINA Phone: 714-023-9228 ISSUED BY: GARDEN GROVE, CA _ - - - - � �Zip: ; 92845 — -' ; ��%%. -.� _ - _ /..�>�� - -- . ' . - "_ � Owner. KAPLAN, - - - Address 2399 VIA M '�. � /�� i , — _ ' \ //�l% �)� ' iZip: J � j ��J - % , . . � � / %J�� . ' " ✓, � , � REROOF FLAT-ROOFED GARI � � �FIBERGLASS BASE S�HEET, G, ) — �� 1i\�� j�_.. i-,Ji / � , Plan Check: �J $0.00 � � � �; �, Permik�- � $83.25 ' � .SMIP�Res � i ' $0.50 ', �'�, SMIP-Gorri � L�_ $0.00 �� ', �1`S Other ', $0.00 � �� Inspechon:' ' $0.00 .WEST � , , ., � i � •��_;��. �� \ � � �1 � � Phone: ��; `�i, � i � '� �\� i �, �� _ ' � - . _Zip 92856� i/ �� \ � i� _ ;; /,j,� � � � �,,. �,,\�;��,��,�, '�"% � �; '�.; � j \� �� Phone: A� � � �� \�\�,� .� j � ..,��. License: �� .�� -�. �A�' , Eng: , � Address: ; � � Phone: . -��, �� ;\ rl� � - . icense' � �.% - � ��/ ,- . - - _ - - . SCOPE OF PERMIT --; Y: T/O EXISTING BUR, REPAIR/REPLACE SHTG AS �LEX NAILS - GAF 4.5 MIL BITUMEN MEMBRANE. 11 � �-rr� -- . , - � i � �;� �� --'_ -_- - � �� _ � �i�, ��,- - ,�� I � �`�� Total: �� E83.75 V�, ��, A\ `;A�; � / � .. �� ,_� . %�-�� `;�Phone: ] `. I, ( � � . r '� � License:�" .i�, - � . . �/ � � � iTALL NEW-METAL''EDGE; 28#�V : �� ,, �, ; �, ,, � � �, EE'SUMMARY � �r _ �� ; ' ; � , / :� j � ; � �� , � ��C810 Valuation � �' " �� 62,650.00 � -- Claim Valuation: � � 32,sso.00; `Y I , I i � , �' � : ' - � �!n' ' i _� +' — �-� '1-* � ;�, � _ '�;; i _ - � _ ..�� . � � . � _ / /� - ��i � � `� „ . \ ,�%/ /<�_\J/ /'// V�� PLANNING & ZONING � ; ,' / ��.� �� ', � GG , '� / � r , � i �'� . i- � -Front�� Rear �0 0`� ��,� o LeN 0�0 Right 0�0 �� %� S\� - -_ . � -. _ . ,.� r . i�� > i /� 0. \\\ \ Rear 0. 0> ; leR � � 0 0 ' R gh� ��0- p � � /,) � / ,-� � „�/i , � . Existina.�.0 ��;Re uired: . 0�� ; Pr000sed: 0 , --%' �l �;� /�, / � �� _� ��v . �. _ �_�,� �� / i � �� i \\��i � ,` 1 \, � \� ��, //�J � � ��, _ , _ ' "; �� i � � -__ ` �' �'\�_ '� _ ,;;=5 �•� ��- ��- � - - � � � �T ',%_� ' r .... � .� , .'�' ._ NOTICE: The work euthorized by this permit shall comply with all applicable handicap eccess requlremante under Calilomia statutes and related ragulations. (OM. No. 92-28, § 1, 12•27•92) EXPIRATION: This permlt shall automatically expire end become void if wark is not commenced withln 180 days, or ii work Is suspended or abandoned tor a perlod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be consldered legal, such woAc must comply with all eppllcable cades, antl all requlred Inepeetlona end flnel epproval must be obtained. Failure to obtaln Inspections end tlnal epproval will result In the explretion ol this pertnit. FOR INSPECTIONS CALL: (714) 75M5828 zaae�e �e�oo� WOPKERS' COMPENSATION DECLARATION: . I hereDy efllriri under penalry of perjury one of Ne lollowing deGaratlons: ' ❑ I have enC will malnfain e ceNficata oi cansent to selFtnsure for worken' compensatlon, as O��ded for by section 3700 at the Labor Code, lor Ne pertortnance of ihe p�� work for which Nis pertnit is issued. ILI� I liave anA will meintain workers oompensatlan insurence, es requlreE by secUon 3700 of the Lebor Coda, br Ne pertarmence ot Ne work fa whirli W5 partNt is lasuetl. 1 My worken' compensatlon Insurence rtier a tl pdi�y number ere: r��- �T�TE �cln�tD Po��-,��,,,�� 285 24si4 05 (7hls sectirn need not be completed H the pertNt (s veNeO et one �undred dollers ($100) or Iess.J ❑ I certlty �hat in Ihe peAortnance of ihe work for whi is permil is IssueA, I Mell not employ eny person in eny menner so es to becwne sub�ect to itie workers' compensetion laws ot Cellfomia, and ree that N sh Itl come suD�eci to 1he woAcere' compensetion provlsians o1 Sectlon 3700 0l Ne Le6or Cotle, I shall lorthwflh comply with these provisiwu. Appl� S n"re: �- ,�.� � Da� Lo - �l — o� WARNINO: FNLURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UMAWFLL AND SHNL SUBIECT MI EMPLOYER TO CRIAUNAL PENKTIES AND CML FlNES UP TOONE HUNDPED TMOUSAN� DOl1ME (5100.000� W AOOfT10N TO Tf1E 00ST OF COMPENS�TION. DAMAQES AS PRDVIDED FOR IN SELTION 3]OB OF THE IABOR COOE, IMEREST. M!D ATfORNEYS FEES. LICENSED COHTHACTORS DECLAHATION: I hereby eHirtn I�et I em Ilcensetl u tler proNsions ot Chepter 8(com d�q wlth SecUon 7000) oi DMslon 3 a, �t e, �Buslness and Professbns Cotle, erM my Ilwnse b N fu0 torca erk eflect. LJcSA�'i ��fiZ%�i / Clase,i�1 � Comr�9lgnetUra' � � Oat'"`'a�`.�' O � �� — �G� CONSTRUCTION LENDING AGENCY: ❑ I hereDy eMirtn �het there is a consWctlon lendirp epenry tor the peAoimenco of Ue work br wNch ��Is permit b LSsueC. (Sec. 3097, Civll Cotle). Lendere Neme: Lendefs AdEress: Signeture: Date: OWNER-BUILDER DECLAfiATONS: I hereby eNlrtn t�at unOer penalry ot per�ury Nat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business antl Professipu Cotle: My dry w couny which requires e pertnit to construct, elfer, improve, tlemdis�, w repeir eny slruIXuro, D�or to its Issuance, fllso requires the applkam for such pertnit to Ille a slgnetl stetement that he or ahe is Iicensed pursuant to ihe proWsbns af the Cantrectora LJtensa law (Chepter e(commendng wlth Section 7000) of DlNslon 3 of ihe Business antl Professions Cade) or Nat he w sha is exempt therefram arW the Eesis lor the ellepeE exomption. Any Ndation ol Seclion 7031.5 Oy eny epplirsnt for a pertnit sub�ecls ihe applicent to a dvil penalry af not more than frve hundred dollars (5500).): ❑ I, es owner ot Ihe properry, or my employees wiih wages as their sde compensetion, WILL DO THE WORK, and the structure I9 not intended or oHeretl for nale (Sec. 7044, Buslness antl Professions Code: The ConVectors License Lew tloes not epv�Y to en owner of property who bullds or improves thereon, and w�a does such work himselt or herself or through his or her own employees, provitleC Ihet suU Improvements ere not Intendetl or ottered lor sale. If, however, the bullding or improvement Is eoltl wl�hin one yeer ot completion, the owner-builder will heve the burden ot provinp ihet he or she ditl not builtl or improve for purpose ot sele.). ' ❑ I, es owner of ihe property, em EXCLUSIVELY CONiAACT1NG WrtH LICENSED CONTRACTORS to construct ihe pro�ecl (Sec. 7044, Business entl Protessions Cotle: 7Te wntreMors License Lew tloes not flppty to an owner ol property who bulltls or Improves Ihereon, end wha wntrects tor such proJecl wiih e contrector(s) licenae pursuent to the Contractors llcense Lews.). ❑ I em ezempl under sec. _ SlgneWre: Ownar ID veritied by drivefs license. Veriticatlon of Ownership by (type at eusiness antl Professions CoAe for this reeson: Ves ❑ No i.e. - property t� bill or deed): DIVISION OF INDUSTiiIAL SAFETY PERMR CERTIFlCATION: Drivers License No. oace: Eryires: ❑ I hereby certlty ttiet no e:cavatlon Ilve (5) or more feet in tlepth into which e person b requiretl to descend, wlll be mede In connecUon wilh work euthodzeO by Ihls pertnit, end that rw bullding sUUMure, scaftdtling, falsework, or tlemolltlon or dumantling thereot, will ba more then thirty-Six (38) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celliomla AdministratWe Cotle). ❑ As owner-6uilder, 1 will not employ enyone lo do work whic� wauld requlre e pertnit from Ihe Divislon of Intlustrial Selery, as noted ebove, unless such person hes e pertnit lo tlo such work Irom the divl9ion. Slgneture: Dele: DlWslon of Intluslrial Safery Permii Number. CERTIFlCATE OF COMPLUWCE AND AUTHORVATON OF EMRY: 1 cenify untler penalry of perjury t�et I �eve read Ihls eppllcation entl slete thet the informatlon gNen is correct. 1 egree to comply witn ell stete laws antl dry oNinences relating ro bullding consWdion, entl euthodze representetives ot ihe Clry of Coste Mesa to enter upon Ne eDove-dexribed property tor inspection Durposes. I agree not lo occupy or ellow occupency of eny building authodzed by thu pertnit untll Ilnel Inspectlon. W LegalOwner(s) � � i � i. Q"—.^�. A r uthonzed plicent COOE �. INSVECTqN TYPE 1618 Fixed System Final Fire Preventlon 1288 Pool Spe Flnel 200 Finel RaRoof 201 FIneI8locWRetelning Well 202 Final Feaory Flre Place 203 Final Slpn 204 Final Demditlon PdIE It�li / � �/ i � i /(:. / ��—I�-2_QOG. ■17eteti" CODEI INSPECTONiYVE 206 Finel Mechenicel 20B Final PlumEing 210 Finel Eleciricel 212 Finel Fira Preventlon 220 Finel Planninp Approval 222 Finel Site 250 Finel Bullding/Oaupency OAIF R{�ALB (�1a) �5a-52�3 • Fau (��4) 75a-aess • www.ci.costa-mesa.ca�J�LDING PERMIT 77 hAIM UMIVt, GVJIA MCSA, GA 8LOL0 Job nddress: 527 BERNARD ST Status: �SSUED Suite: Applied: t01712006 Vicinity: APT BLDG GARAGES ONLY Issued: 10I11/2006 Primary Occ: U-1 � Private GarlCarpoNShed � Type of ConstruIXion: V-N Parcel Number: 42210334 Zoning: npp�iwnt: PARKER,. DON Address: 5791 SANTA CATALINA Phone: 714�23-9228 ISSUED BY: GARDEN GROVE, CA . - -- -- �" ' Zip:= -92845 /� � �(/% i% ..^i ��,� ` :� ` Owner. KAPLAN, ELEANORi�'�. �� --- _'- - _- _;� _��.� � - , . ' , ' '. - , �? �\ Address 2399 VIA MARIPOSA:VJEST - `, � �j , �, � 7 . � , . LAGUNA HILLS, CA � � � ' Phone � ��,/ j / � -A � UNIT#3G"/ ��\ � � ) . _. Zip 92656� �� . ��''� � �' / � i � � � � Contractor:/TILL�RO ING� �� " � � `"�� '�� }\�� 0 � �l i � i / /� ' V�`� . � � �� Address: 5791 SANT � TALINA' % -�� , �� -' � , % �� -� �� Phone: 714-423-9228�� = � � �� GARDEN�GROVE;CA �� V��1 /' ,� �� Zip: 92845 �%� License: 833820 \ ` \\�� / '. \�\ /i �. ii A��A �� Arih i i irii rr� En A'��A ,�� i / �i / � 9' �\ � � �, � . Address:� `) ��j� �� Address. � ��;�� :� t � ,/// Phone: ��.,, � •�, � "'^ - ��Phone —� \�,� i _ '__• �. � � � _ , � �\ . ( \ � � l �✓�� '� � it� ^'i �; � `'�� '' � � , , � Zip�� i ��j - . License:,>� ��/__ �� ; � : , �. License:-�- � ��l `� , � � l 'I �i d / � � � �� . .. �. : , _' ' _' . . �--v , � ., ��_ ` , . � 1 n� REROOF FLAT=ROOFED.GARA( 1 „ FIBERGLASS BASE SHEET, GAI i ,� , �, A (1j � / �� I �' '/ ' I��!� _/ � ; ; Blan Check�� -- $0.00 � ; � � Perrriit:�' i $8325 � �� { SMIP,Res'' I � $0.00 ti, �- SMIF Com %��-.� $0.00 � �'� ' V �th@f �� . $0.�� '� � Insp,ectiori:��° $0.00 "', i '�� , � � `"��Total: A�?. F, $83.25 ^ � .avvr� vr r��nu� . . ONLY: T/O EXISTING BUR, REPAIR/REPLACE SHTG AS NEEDED�IN; SIMPLEX NAILS - GAF 4.5 MIL BITUMEN MEMBRANE. 11.5 SQUARES i � � �r '�� - " -� - - FEE SUMMARY _ —" - � �- � - � /1�7,-,-n,T rrn �r�, . � 'Ji�7-r �� .�:'i Ll �.`:q ��:�:r.'� �_ir�.��•�CalcValuation. -_- - =_- - - -_ - - -ClaimValuation u� � % \ /\%1 � � � , - , �. ��/\ . t_= — ,�� ; � �A � � -� ! ��"'� _ - � i ` ' _" ` _- % �� -.__. .i I ' < ��/ �i � -'_��- %, � , -`c� � � / <\ V `/ ` �A � PLANNING 8 ZONING � �=" SETBACKS� ��` � -'=°��.>. ��... l �ii;� ,_ s. �i .a � � , ; _ , . MAIN�STRUCTURE�Front�\0-_0 Rear s 0-0- � � Left- 0-0�--� Right 0�Oi'%� � � �� ✓-� ��'�,!-�.- 5's_..r ) " � ,� .S. ��, 7; �/ ACCESSORY Fro t, 0. 0��1 Rear� 0. 0� Left - 0- 0' Right //� /� � � VA� � /�`� �,��A , ' '�„ /, � PARKING �1 �� Ezistina�; 0 Reawred . 0`� Pr000sed 0 � ,�'; �;� � �_� � � � - � ✓ � _/ ��A �% �' � ��'��,�� . .� / �A � . \� � �� 1 . �` �� ` � \\`��j '\��r�� / r' ;' '� i \.," ///� ��C��Jr � � � - . _,� - ,?� / � � �� i_:�.A. - � � �� ,_,' �� \� �_ _, _ , --;;_ .. " � _ " �, ;i, ;% "� ' METAL�EDGE; 28#� I �,.,d1 1__-�� 1 -., u -, NOTICE: The work aulhorized by this pertnit shall comply with all eppllcable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: This pertnit shall automatically ezpire and become void if work is not commenced wlthin 180 deys, or if work is suspended or abandoned for a perlod of 180 days. ' �, �� + \� INSPECTIONS: In order for the work aulhorized under ihis permit to be consldered legal, such work must comply with all applicable codes, and ell requlred Inspectlons end tinal approvel must be oblained. Failure to obtaln Inspectlons and final epproval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: Q14) 7545828 za+e-�e (arool WORKERS'COMPENSAnON DECLARATON: I hereby eHirtn untler penalry M perjury one ot the foVowing dedaratlons; ❑ 1 heve entl will malniain a certillcate of consem lo selt-Insure tor workers' compenseUon, as provided for by sectlon 3700 ot Ne Lebor Code, tor Ihe peAortnence of the work lor whlch this pertnit is fuuetl. p�I have entl witl meintain workers' compensatbn insurence, as requiretl Dy secfion 3700 ot Ihe Lebor CoOe, tor Ne pertortnence ol Ne wwk for whkh Mb pertnit is IssueE. Myworkers'campensatlonlnsurencte`cartlerantlpollcynum6erare: ^ (r�� n�� Certl��_�� r UM� Pol�cl r.Nu r. Lt) L• 4 (Thls sec0on need not be completed!! fhe permifls veNetl et one hundred ddlars (5/00) or less.) ❑ I cently Ihat in Ihe peAortnance af the work lor w' Ihis pertnit is issuetl, I shall rrot employ eny pereon in any manner so es ro become sub�ect ro Ne workers' canpenseUon lews ot Califomia, en ree th t 1 5 ultl Eecome sub�ect lo the workers' cronpensetlan proNslons ol Sectlon 3700 0l the Lebor Coda, I shall IorthwlN mmply with these Provisions. ��s��: � 10— Ll— OCo WARNINf3: FNLURE TO SECURE WOR1�0.S' CO�.�ENSATION OWEPME IS IAdAWFlJL NID SIULL SUBJEGf Ml EM0.0VER TO CRIAUNAL PEriLLT1E$ AND QVII FlNES UP TOONE HUNDRED TIIOUSMID DOLLARE (5100,000), W AWRION TO THE COST OF CafMEN5ATI0N, DMMOES AS PqOVIDED f-0R IN SECfION 31080F THE IABOR CODE.INfERE5T, AND ATTORNEYS FEES. LICENSED CONTHACTORS DECLARATION: I hereby eMirm thet I em Iicensetl untler proNsbns of C�apter 9 mendn0 wl�h SecUon 7000) of DMsion 3 o11he Business enQProtgss� CoOe, end my Ibense Is In full rorce e�a enen.G�rc�YA,� �t'�j�i �� ,r . ccia » , G � - - CONSTRUCTION LENDINO AGENCY: ❑ t hereby eXirtn thet lhere is e constructlon IeiMing e8enq for Ne pertwmence of �he work for wNch IhLq permit is luued. (Sec. 3097, Civil Cotle). LerWeYs Neme: LenCers AAOress: Signetura: Date: OWNER-BUILDER DECLARATIONS: I �ereby eHirtn thet under penelry of per�ury ihat I am E%EMPT FiiOM TME CONTRACTORS LICENSE LAW for t�e lollowinp reason (Sec. 7031.5, Business entl Professions Code: My dry or counry wNch requires e pertnit to construcl, elter, imprwe, tlemdish, or repeir eny atmcture, pdor to its issuance, elso requires Ne flpplicent tor such pertnit m Ne e signed atetement Nat he or she is licensed pursuent ro Ne provlsions at Ihe Cantreclors LJcense Lew (Chapter B(wmmenGng with Sectlon 7000) ot Dlvlsion 3 of ihe Buslness and Professions Cotle) a ihet he or s�e is exempt tlierehom e�M Ihe basL9 lor the ellepetl ezemptlon. Any NdaUon of Section 7031.5 by eny epplitent fw e pertnit sublecis the eppllrant to e dvil penelry of not rtwre than five hundred ddlero (5500).): ❑ I, es owner oi the property, or my employee9 wilh weges es [�Bir sole compensetion. WILL DO THE WORK, end the etNclure i9 not IntBnCeO or oflered 1or sele (Sec. 7044, Business and Professions Cotle: The Coniractors LJcense Lew does not epply lo en owner o1 property who builds or improves Uereon, entl who Goes such work hlmself or herself or ihrough his or her own employaes, providetl Ihet such Improvements ere not IntentleA or oMered lor sele. If, however, the bullGing or Improvement U eold within one year of completian, Ihe awner-builder will have Ne burden ot proving thet ha or she Aitl not bulld or imprwe for purpose of eala.j. • ❑ I, as owner of the properly, am E%CLUSIVELY CONTAACTINC WITH LICENSED COMAACTORS to con9truct the pro�ect (Sec. 7044, Buslnesa end Professlona Code: 7he contrectora License Law tloes nat appy ro an ownar ol property who bullds or Improves thareon, end who contrects for suth pro�ect wilh e wntracror(s) Iicense pursuant to ihe Contractors Llcense Laws.). ❑ I em exempt under sec. Business and Professions Cade tor this reeson: Signeture: Dete: Owner ID verlfletl by Arivers Iicense. Yes ❑ No Drivefs Licenso No. Expires: Vediicetlon o1 Ownership Oy (rype of tlacumem, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETV VERMR CERTIFlCATION: ❑ I hereby terlity lhet no excaveUon live (5) or more feet in dep[h into which e per9on Is requlred lo de9cend, wlll be metle in connection wlth xrork euthoAzed by �hb permil, entl lhet no building structure, scaHoltling, falsework, or tlemolltion or tlismentlinp thereof, will be more then t�lrty-slx (38) feet high. (C�ep. 32, Qrp 2, Art 2, Sec. 341, Tttle 8, CalHomla Adminisiretive Codej. ❑ An owneabulltler, I will not employ enyone to do work whlch would requlre e permit trom the DlWsion of Industdel Sefory, es noted ebove, uNeaa auch pereon �es e permlt to tlo such work from the divislon. SlpneNre: Date: Divlslon ot Industdal Satery Pertnit NumDer. CERTIFlCATE OF COMPLIANCE AND AIfTHOHQATION OF EMiiY: I certity under penelty oi perjury thet I heve ree0 thb epplicetlan end stete Ihet Ne IntomieUm given l5 cortect. I egree to compty wlth ell stete laws and dty ordinflnces relating to builtling constructlon, anO eut�oriza representetives of the Clry of Coste Mese lo enter upon the ebove-describetl D�aPerry lor inspectlan purpases. I agrea not to accupy or ellow occupancy oi eny building au��orizetl by Ihis permit unlil finel inspection. OfLegalOwner(s) �O _11 DateO� t COOE �. INSVECTONTYPE 1616 Fi:etl Syslem Final Fire Preventlon 1288 Pool Spe Flnal 200 Finel Re-Rool 201 Flnel Block/Retelnlnp Well 202 Flnel Feaary Flre Plece 203 Flnel Slpn 20C � FIneLDemditbn � I�� w / i '�L • �/ CO�EI INSPECTIONTYPE 208 Finel Mechanical 208 Finel Plumbinp 210 Flnel EloctdCel 212 Flnel Flre PrevenUon 220 Flnel Plenninp Approvel 222 Flnel Slte 250 Flnel Bullding�Oxupenq Qalf. II{�ELfl Costa 1lqesa Building Departmen T ... APPLICATION FOR PERMIT � `� '—=-' �' 111 EAST 20th STREET �� ! �� _B_U_I..L.D_�l N-G-___- - �. ' COSTA MESA, CAL�FORNIA "— - y S FOR OFFICE USE O1VLY I FOR APPLICANT TO FILL IN i i' Rec �t No. Permit'No. ' Building `2� � I ' �� 3 { _ Addrcss 2 Received'by. Date Rec'd. Date sfued ' Costa Mesa, California ;� , ., 3 y�J 1 Nearest ' � J� Cross St. �v1.. qdd ress I� 2 /�� G�/� �� • Mallef L , Costa Mesa, California ; Addresa �/ % � �9� �r Nearest . � Tel. Cross St. I � City No. lp Zon�'j� No. oT Type I Group " Arohitect or Lie. /�-• �� I P�ans I � � Engineer No. Approved ' by Date ' % � nedress ORRE TIONS City Lic. , � - � Contraetor No. � / i � � Address ' 2 � � �% � � ,�id'�yr ' � i � �V�i.e�i De crptian � Not � I Bltl�k �j I Treet S Sj , (Attach Metesand Bounds) _ �� No. of Bldgs. � �Size of Lot y% X 2 03 I Now on Lat � _� ,s � -� ' - O Useof No.of No.of � ,t 70 ExistingBldg. ��ll,,,,,� I Familie�l Roome3 . � Setback Line f�om � RearYard 3 �� - ' " - ' - � � - '— ' � � — � � � Z CenteroiStreet SideVard y DESCRIPTION OF WORH Y� � New I I Alteration I I Addition I � Repair I I Moving I I Demolish I , �� Bullding ,1 � �. Size 's�-X SO� qoom4 G Stories / Exterior Wall Root Covering �ccp I Co�ering APPR Build�nNeW �,�,.�,e Foundation Locatio�i sp t r Date 9 Forms, Materials,V �, � _ Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is corr¢ct and agree to comply Lath. Ext. with all City Ordinances and State i.aws regulating building rnnstruction. � �( ..� Signatureof /) // P�aster,lnt. Permittee _ �QV� Plaster, Ext. Authorized Agt. Masonry Refniorced Valuation Perrnit Fee $ • .�- Plan Cheek $ ' Bond Beam S ( � �N-(1 Total � Fee S FINAL .nm. 9�Id 1:. 1M 19_.C] ..-' . ' '.'" .- -'- . - '..�.� ._....-. .. _ . ...: _ - , � +-� .• �. .. _ . . i . • - � -. . . . . ; , '. _ . - � . . . o � , � .. . - � , . _ .. . . . _ . _ . ' _ . c o J C . n j _ .. � ; �. >> . o: � }::.a:�' .. . , �. '. . � � a. � - n , -�- - -- -. -. . - r:. . , ' . t •'J._.':. ..�.��t ` ,'.. .� i . . . .._. �''._' " ' . - --- - ' - _ .. . � - ' �� , i..! _ • • , ♦ r .. , . ' ' ' ' � �:.. r ',� , • ... . , . � . i � . .. `. . � . . . . ' �` . _ =� � � Street � ' � , � � ' PLOT PLAN _ . . _ _ . : . . .. -- - - ' Show locatlon and distanees trom . ..,, � . property �ine and between buiidings ' �t • � - . -s'. .. .. .. , . _ -. . __ _' I � _ . . r . � . � . , . .. � � . . � � . . ._ _ , . " ; _. O WNER George S. Markel �� DATE 3-17-5L� JOB ADDRES3 �27 w. Bernard BUILDING PERMIT NO. 13% GENERALCONTRACTOR Markel Bros. VALUE $ 1S�OOO LOT 8 BLOCK B TRACT 553 2 duplex llT11tS � TVPE u Plaster PlYumbl Plumbl Wiring 5ut�' Formsand Gradeto Final Final, Fixtures Final Gas Test Porm '110 f,-H IM 12-68 ZONE FIRE DISTRICT I �� SUBCONTRACTOR f PERMITSISSUED