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HomeMy WebLinkAbout2480 ELDEN AVE - Building Permits PROJECTADDRESSo 2480 ELDEN AV UNIT: " CITY OF COSTA MESA" — BUILDING PERMIT PERM NO: B .046313' ,OWNER'S NI: TEDDY R. HOMER , • " o."ADURE : 375 VIA LOLA, PALM SPRING ' PERMIT. NO: B 0,46313 PLAN CHECK NO: N GOVT: N SUPP: N CA, 92262 ' ' CONSTRUCTION TYPE: ' • PERMIT TYPE: STR PURPOSE: ' OTH. *ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : ' REROOF 2000SF FLAT ROOF , SQ FT: 1 , 065 • ADDRESS: i .UNIT: - • . ' CLAIM VALUE: 1 ,'065 . 00 CALC—VALUE: 1 ,065 .00 GROUP OCC: R-3 / PERMITTEE: CRANK BROTHERS ROOFING ' ( 714 ) 548-5569 , ADDRESS: 126 COMMERCIAL WAY COMMENTS : • a. C.M. • CA 92627 ,E*************�E**a ******�rar**********ii***arx**�e****ar****iEai� FEE* F • UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section • Z O N I N 'G ' R E Q U I R F. M E N T S ` r '�CTO. Ft 7000)of Division 3 of the Business and Professions Code,andp y license is in full force and e S E T B A C' K $ CITY UC.: 0599 STATE UC.: 086771 CLASS: C3 . ' REQUIRED Data: -3"�' go _ �KJ' , MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereb I have a certificate of consent to self.insure or a certificate of Workers' FRN T: FT I N REAR: F T I N FRN T: FT I N REAR: FT I N Compensation Insurance,ora certified copy thereoSignaler,00,Lab.C). LEFT: FT IN RGHT: ' FT IN 'LEFT: 'FT IN RGHT: _ FT . ' IN' PqucY ND.: 28522490 UP,DATE: 01 /01 /91 • , .OMPANY: STATE . • PARKING REQ: PROV: . • PARCEL : ,43929112 ZNE: REF NO: , Certified copy is hereby furnished. CR Certified copy is filed with the city Building Division. 4 PLANNING NOTES> cy� / / L O > Date: r�— / O 1 APDllcanl: C� T�*i'•' C Sec, * *******************************************************************iE********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less), DEVELOPMENT' SERVICES R E Q U I R E M E N T" S . I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to became ' subject to the workers'Compensation Laws of Califomu. ZONING APPROVED BY DATE: Date: • Signature: - - - . . .. . . . - , NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation 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: DATE: •�'I a 3. *.* . which this permit is issued(Section 3097,Civ:Cl. ******** ******************************** **************************,***** LENDER: *********************************************************************ie********74 ADDRESS: LEGALIZATION:N ' " F E E- , S, U 'M' M A R Y STRUCTURAL SEGMENT:Y " ,x:. OWNER BUILDER DECLARATION: I heieby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRI'C (iq 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, PERMIT27 . 00 , : ' , . ;.: • • 50 ' • repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed •S M I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN - • �../ 7: any applicant for a permit subjects the applicant to a civil penalty of not more than Me hundred dollars(5500). ISSUE FEE • 1 W - 'I as Winer of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT " ISSUE PLANrCHECK • TOTAL ' ' PAID DUE ❑ structure is not intended or offered for sale(Section 7014.Business and Professional Code: The Contractors'State License Law TOTALS——-'—> " - 27 . 50 0 . 00 - r 0,. 0 0 27. 50 C27 . 50 • . 0 0 does not apply to an owner of a properly 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 wit have the burden of proving he/shedid'notbuildorimprove REVENUE DIVISION TOTALS--> COLLECT-:ED:: ,, ' 27. 50 OVER/SHORT: 00 v - r 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,Businessr ' 2 7 . 0 0 z . 5 0 • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - i. . and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware ***************************** **16*******iFif*********************if**************** that proof of their Worker's Compensation Insurance should be provided.to me. • I N D I V I D U A, L .' FE E 13R E A K D O W N• ' ❑ I am exempt under Section: B.&P.C. k ,• / for this reason: TYPE QTY D E S C.R 'I P T I 0 'N v , UNIT COST TOTAL COST Date: owner. SFR ' 1065 REROOF BY VALUE RESIDENIAL ' NOZONE 1 . 00 1 , 065 . 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 future building occupant MIIA.411 not(circle one)need to comply with said state codes and the requirements for a • • permit for construction or.modificatlon from the Air duality Management District.Residential construction applications are exempt from • • ' these provisions. " :• p • Date:' ' _ Applicant: .! E 01 00055152-00055152 TOT 27.00 I hereby certify that I have'read this application and state that the above information is correct.4ftOru; ovmentied ply with I city and county \ DATE: 03/01/90. .TIME: 10:50 ordinances and state laws relating to building construction an y authorize representatives of . Q `\\ •grope mspegion pu es. • t v -1 -0 ( J Date:_ Signature: \ }' D 01 0005515j-0055153 TOT .50 Driver's license Or Soda)Security • DATE: 03/01/90 TIME: 10:51 164146 White—Building:Green—Cope En einem:Canary-Applicanb Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND'PLANNINGf' . PO .' SPA - APPROVALS• Permit# Date Inspector APPROVALS Permit _ Date Inspector a • 1. Temporary Electrical Service or Pole-` 52. Pool & Equipment Location !2. Soil Pipe-Undrgrnd; - 53: Steel Reinforcement • =•3:vr- .Electrical CondtlirOtility-Undrgrnd- - 54. Forms :;4_Electrical Conduii-Undrgrnd. `• 55. Electrical Bonding 5. Steel Reinforcement x 56. Rough Plumbing & Pressure Test ? • r .c'; Electrical UFER:Grnd. 57. APPROVAL TO COVER-GUNITE _ • ' , d_ r7,.+Footings t. / - 58. Electrical Conduit-Undrgrnd. _. 8.7 _ - F 59. Gas Pipe, O Undrgrnd.,Test B._Water Pipe-Undigrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10 'Structural Floor;System ' -.' 61. APPROVAL,TO DECK 11._Property Sewer'Line,& House Conrrection ^ 62. Backwash & Receptor-Final 12 Sewer Cap C. ! ' 63. Heater & Vent-Final 13. Roof Drains L, - -r.' , - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electridal-Conduit i' 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 Conditioni2g - ,FIRE DEPT. REQUIREMENT 20.=Rough Factory Fiteplace r t.*• -'APPROVALS,-Permit # - - - 21`Ducts,iRStruau7e„ sy * P _, -), k 70. Underground;Hyiro * 22_Dudts, Ventilating x f', 4: o a ;'J -=* e -71. Product-Piping O'Gas OTO iI 23.•Gas:Pipe<RoUgh& Test * - IT <' c* * X72. Underground Flush- k !- " 24. 'Roof Framing r ty; - " ) fr. F•r :.73._Undergrnd Storage-Tank a Gas 0 Oil 25.,Roof Sheathing - r., " 4 - " •n " ••• ' 74:-Overhead Hydro_1_4 _ 26=T-Bar Ceiling (Structural) &-Monocoat �• - r'a a - - + :g 75.�Dry Chemical ;, 27-Frame and Flashing yTtr x ^ ' x k 76. Dry Standpipe 7- - ;28. Lathing`& Siding -: r _ k 7 y 77.- FIXED SYSTEM FINAL'. ^29. Insulation • z ti =• •• 4 - I I s Y 78. FIRE PR EV. FINAL - -- - r 'xi:: - ) r,. is r. T• . 30. Drywall Nailing %; x r_ ! �r. - HEALTH-DEPT' REQUIREMENT =.31. Plaster Brown Coat' c • `r t , 'n79. FINAL INSPECTION - 732_Electrical Power Mi`te�-Final t r ' - •r y '80'FOOD CERTIFICATE ISSUED_ - r '=335-Final Electric x '- t '4 4 •Notes: `= ".T- - _ r'!-• •'34k •Finial Heating& AiCConditioning• e L� '` Le 35r4Final Gas Pipe-Tes0 esnioict, 07- tr. Cr .: i x ^- - T' 3_z �l�sis � 36._Hooii oF-Canopy 4• P T` Y. (} t a ;,' 'vyJ _ r C -:37.-`Final Factory Fireplace- ' x • it z - _38. Final Plumbing .t r_ -.. -�, (�; :�. _ '5. c- * " ., '39. Wilier Service-FinalY : ,_ } ,,, * _ '40m. . Gas Service-Final ` r, C r'tr $ n- I T ::^t s -41. Solar Domestic-Final' •• a' '- I x '`. r. �c L- ' 42 Backflow Preventer' - o� l-F * >t--, - ' =- - e. :J r.,•-•-•I-4 *- _ :n A Cri C 7..-1 a t.. 43. Backflow Irrigation.. >, .�. t~ z ,. ter-., - 44,- Landscape IFrigatidn System:• y; e * fr O l j;Z _ r`. l--- `.c: 5 r i,:- 4002( 04 `45 Sound Atte uatiorl y .. .. . ty* h, : �- S: ,-.r L(� 46.• Handicap Regulations _ G 3+ t: ! z ^ •5 r'c _ <. P r .• t c r r it Y- L' M 7_i G a- -47-'FINAL STRUCTURE & BUILDING ,&-/q/ I�'( Vo4:,' "'v; , - • 48-FINAL PLANNING . FE- * CU . q MI <' - - ' ;;:49~Eldctric,Release to'Edison • ` .'R ', _ f _ - 507Gai Release to Southern California Gas Co ' - `-• ' - T. * '- --51. CERTIFICATE OF OCCUPANCY t r. i - - - No. Date • COUNTY OF ORANGE • _ Application for Building Pen. . . - BUILDING DEPT. 44?-<<0 alsr Permit No — 636 No.Broadway AND FOR A Santa Ana,California Phone:KI 2.6211 Certificate of Use and Occupancy Date December / /— I. OWNER'S NAME Dike..8c C.oleave PHONE: Bea..722.5 MAILING ADDRESS 15th. h Trvine Sts. CITY Newnort, Beach • Name Name Dike & Colevrove (Architect or Engineer) (Contractor) , Address Address 15th, & Irvine Sts. City City Netincrt Beach, Calif State State Lic. No Phone Lic. No 12520a Phone Bea, 722 PROPOSED USE: Reside.noe k, 4ttP.ched GaragP 2. JOB LOCATION 2480 Elden Ave. Costa Mesa, Cali .00 (House No.) (Name of Street) (Town or School District) NAME OF AND DIRECTION FROM NEAREST CROSS STREET The SW 65' of the NE 169' of Lot 83 Tract 300 3. LEGAL DESCRIPTION: Lot Block Tract (Metes and Bounds Description—Use reverse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( X ) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.L2 U5 AREA 1050 SIZE OF LOT• 65 X 140 AREA- 9100 6. HEIGHT OF BLDG 1/ ' CEILING HEIGHT: .2.1 .Z" NO. OF STORIES 1_ 7. NO. FAMILIES I Size of Smallest Bedroom: .10 X..J.0.!.6" Size of Kitchen 10..X. 10 8. EXTERIOR WALL CONSTRUCTION- Frame & StAlc00 INTERIOR WALL COVERING Hasteir (Frame, Stucco,Etc.) (Plaster-Drywall,Etc.) ROOFING COVERING Como, & Doloraite 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH None 10. SETBACKS: Front Yard From Center Line of Street 5(1' Nearest Side Yard 5 ' Rear Yard 60 Distance in Feet Between Bldgs. on Same Lot ISICP7e (Property Line) (Property Line) A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 12. (a) Footing: Width lh." Depth in Ground 12" Width of Wall 6" (b) Size of, Studs 2.X. L. Spacing 16" "CC Material of Floor WQmi (c) Size of Floor Joists- 2 X 6 Spacing 16" "CC (d) Size of Rafters- 2 X 6 Spacing 21," "CC 13. VALUATION OF PROPOSED MQRK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and " sewage disposal, $ 7000 14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFONZAPPLICA THERETO. Signed• ( er) Plans Filed• By• ( •uthorized Agent) FOR DEPARTMENTAL USE ONLY FEES: _CANKING BY GROUP T APPLICATION. HEALTH Bldg. Permit • $ 6e) Plan Check • $ TYPE ZONING FIRE Total • • • $ 1_3 a DIST. LI_ c/ MARSHAL PLANS AND Receipt NoMAP. /C7C r2 4)A- SPEC'S STATE Paid to - - SHEET NO CORRECTIONS ENGINEER Date / —17 VERIFIED CAL P1; IC/COUNTY LUIL;114ii- t —r/ iNsTreleci DATE 5000-7-52 h PA •1 I •J --''' _I 111010111111 111111111111111111111 _ 1 = -- ,Costa Mesa Building Department APPLICATION FOR PERMIT rTh 1 111 EAST 20th STREET 242 BUILDING 1 r` COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN / FOR OFFICE USE ONLY `JJ rr � / y, Receipt No. Permit.n �[ No. ...- Address 2 9-7(1 P L.rn(tA 4 Y/L.� • -I O� / .3/ Received by Date Recd. Date Issued Costa Mesa, California Nearest q � 77-7-yoA -a-o -y 6 3-a-JC cross st. /,) /p' 1[ V/ S J,�-- / Building Address _ Owner ../elf/ L---7C1 h, //()a L1.-•Et az- Costa Mesa, California Mail ! � Address ,G',q-,g,bf t_n e, ' 69 d Nearest Tel. .., Cross St. City (Ili() 4'rig 2,72E/.J No.Li 4' 5/0$7 Zone ,, // No.of Type up Architect or Lic. •F' I Plans I [� I GroT.f\ J. Engineer No. Approved by Date Address CORRECTIONS r City Lic. -- ttracto�U'4l J - ,g illLf7NO. Address . De crption I No. A ,, I Block I Tract 360 -- , (Attach Metes and Bounds) /-P //f7- ,o 6,0 Sg _ No.o{Bldgs ! , _ ( U :- Size of Lot (O.S / I`/e` I Now on Lot Use of I No.of , No.of Existing Bldg.RL- f Qe�,'Q�¢i Families / I F Rooms I) Setback Line from y� f if Rear Yard is r7' GIIY nr l'!K•rh P7rr%n Z Center of Street (g//77 O Side Yard . i#/d -- `w in IVI._ efl D DESCRI)�TIb ON OF WORE r New I I Alteration Ix I Addition I x Repair I I Moving I !� Demolish I BuildingNo.of / Size Z 07,Z 3 Rooms Stories - `erior Wall Roof ering 5Tuccp¢ C IA Covering /1;e n/i'aSiTioh, APPROVALS 'Use of New (y Buil I i7 e padon, FSH TA, ye,..IX-. Foundation Location Inspector Date Forms,Materials, �r,Lr/ - C cam,,// �t ter f 5 Under-Pinning Q(�'G� 2 �(Y-L( FrBraci Bame:racing,Boltsre Inspector I Lath. Int. I hereby acknowledge that I have read s Application and state that the above is correct and agree to comply Lath.Ext. with all City Ordinances and State Laws regulating building construction. Signature of ' 1 Plaster, Int. Permittee 1, it4i Z'� r /� Plaster, Ext. Authorized Agt Masonry Reinforced ValuationPermit Fee $ /D - z ' $ aC� .� Plan Check $ S : = ' Bond Beam _ / / Total c O 1 Fee $ /S FINAL CORM 204 0-H 2M 5-54 r. - - _. _ .- _- t U C U - J .0 _ t . ,."if • - -1-j .. _ 0. ... f- -- - -- -- - - Ira 2n:56rurin- :;5 7c--x't15.0nYESwa - -- - - I -- • .. ` • n•i. - . . .b, - - 'r. -� -_ - . - Street - :-r-, - r-', - is ., ._ •,,• PLOT PLAN . Show location and distances from - ' „_. , . - ".. • - property line and between buildings. r Ur • _ _ .__ -r-. : •. , _ r . . • '� . r . . . . _ , - 9 , - • v a • - .. _ _ \ .. ;► 21448 FEE RECEIVED I 1 COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 1 6 1964 014, P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT. IITT�A O��a For Applicant to Fill In Completely APrrP[IR TYPE OR PRINT BUILDING BUILDING n For Office Use Only ' ADDRESS v BD 4 _ ,\ ' � RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA // RECEIV DOY 1TR6�SIVEq ATT ,UEy. OWNER e,/yf.i,_, 1C`1l-r�V4 Di //11//GG N/N/ / Lit S`e6 / i - BUILDING apa z , ADDRESsv/ n 6 ADDRESS LJ /) r- A FIRETEL - // CITY /��/9-4'%/ted•- ZONE TYPE _ GROUP C7`� +L�, NO. .,/L, ARCHITECT / / TEL BYPROVE• I.- � DATE "-Zi �// OR ENGINEER ' NO. A ZONING ap AL -SS - �, �I��� a. r ,____ i iAtn^-_--_ IIIIKII�s� �i CONTRACTO- i/ 1 �', : r I; /� DESCRIPTIONLEGAL • O� 0 6 '- ADDRESS �,•,2-44yh/jd /� a--tAe, /I /"T/--- -,may. CITY LMY"B� .. -4---3- - .//A.P.P.NO. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE ff 94/ Ot0, TEL. 80"TO SIDE ft REAR P.L. LIC.NO. /J! 7 7+f' NO. EAVES VE G�✓ / /L{y ( NO.OF BLDG'S. ALLOWED (U.B.C.REQUIREMENT) OF LOT l4-( '7 -II NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C i-�IJ2�E6I _ SETBACK LINE FROM { ,I /)!� FRON ' �jl�_j ' FT. CENTER OF STREET -n` O I' REAR YARD'(0 7 I/ SIDE YARD LEFT 7I TJ~ I RIGHT "D I r R.SIDE/R FT. ,J/�,.,, FT, `^ DESCRIPTION OF WORK L.SIDE 'r I- h?� ^/ / re NE". ALTERATION _ ADDITIONX REARf RT./j FT. DISTANCE BET. BET.MAIN R: REPAIR _MOVING DEMOLISH MAIN BLDgS. ACCESS.SLOGS. VAR.# DATE. BUILDING /D {+ IC- RTC% / STORIES / C. P. APPROVED SIZE A EXTERIOR WALL I ROOF P- A IAA" I A / —/r -r�i COVERING c i COVERING(/o""' B I✓ A l DATE USE OF BUILD! G AND WORK TO BE PERFORMED ��.ay.cal 1a- - , Ya N BQ.PT. 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTI • /f�� VALUATION /� a SIGNATURE OF j /'///C 4 /O�_— PERMIT FEE $ �Y sU , PERMITTER f�! [// m S PLAN CHECK $ ¢ a AUTHORIZED AGENT a �`D TOTAL FEE 5/ J + a 23388 FEE RECEIVED '4 COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 8 1965 P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICQI1116N9i6RO I4 ESP TYPE OR PRINT BUILDING BUILDING..� n For Office Use Only ADDRESS %�eL' ride, RECEIPT NO. PERMIT NO.. COSTA MESA, CALIFORNIA :Z 33&S RE Y DATE B5¢ry / D e ISE73 OWNER ^_A Ci . . pin �S nom" "%�� BUILDING /,Q : •)11 '' { MAIL • ADDRESS `_ , r ,•f S4 /' ADDRESSp • FIRE GROUP '� city C�CZ��1iS�yA r 2E4-t NO. g/('F DIY ZONE TYPE AlPROVED / �3 i/•M ARCHITECT L.NEBY EE�� DATE I) I IIINN OR ENGINEER NO. A ST_ ZONING n AL. _SS ^ ` =2 ' 1...„ I PLANS 1....... I BUILDIINGwZGaA�)T� "�Aa CONTRACTOR GCCGIMF j LEGAL �V A -41 43 ' '4 f b . ADDRESS /arAf.../112- .CITY Ce7 ` A.P.NO. / I 4 - a (J I / /V STATE TELNO80"rE: NO EAVE TO SIDE S REAR P.LNG SHALL BE LESSTHAN LIC.NO. NO. SIZE • EAVES I • 11 r.„,-0.7-LOT". O.OF BLDae. ALLOWED (U.B.C.REQUIREMENT/ OF LOT �S•� - �0 A 0• Now ON LOT I YARDS APPROVED YARDS APPROVED USE OF rr I MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. cQ. 1/V[�i, YARD (FROM C/L STREET/ SETBACK LINE PROM P/... Z 7•0“ FRONT �� FT. / FT. CENTER wSTREET ,y R Y/AR�D/-Td/p✓ �ffl, SIDE YARD I LEFT 9 /4 it I RIGHT 7y (f/ / ' R.SIDE ail.. l.• ...Q../ FT. DESCRIPTION OF WORK L.SIDES (3�FT. PT. NE" ALTERATION ADDITION REAR I �i FT. FT. I DISTANCE BET. BET.MAIN B MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH 776 i F VAR.�C DATE BUILDING (lf NO.OF -y SIZE ROOMS` STORIES Z C.U.P.# APPROVED EXTERIOR DIAL a COVERING APPROVEDS ) / //n a / f...r, 2-6 COVERING .N/N Illi LLL /DjV1'�El/(I USE OF BUI DING� AND///yyy//yARK TO BE PERFORMED / _Lc NI . 14 77'4 SO FT/ I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.. D PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION C' p BUILDING CONSTRUCTION. N • SIGNATURE OP 1�G nO PERMIT FEE $ O PERMITTEE ..fli11M' P// ✓✓✓///� /05 J' `, m / 8 / (D PLAN CHECK $ o AUTHORIZED AGENT / y/d <`4 L TOTAL PEE $ / • V