HomeMy WebLinkAbout3265 NEBRASKA LN - Building Permits�
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PNOJECT ADOPE55: 3 Z 6 S N EBRASKA I:N
owNeesName: KINCAID, PATRICK
aooeess: KINCAID SARA
3265 NE�RASKA LN
COSTA MESA CA 92626
714) 641-6479
AHCHIENGINEEP: flFG.ND.:
nooecss:
uxir: _ CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 068250 PLAN CHECK.NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
uxir:
PEflMITTEE: MARK ANDREWS ( 714 > 639-7138
aooncss: 1801 E LA VETA 130
ORANGE CA 92666
LICENSEO CONTXPCTON OECIAflAT10N: I �ereby a�hrm thai I am li ense0 untler Omvisions of C�ap�¢r 9(commencinp wi�� Section
7000� ol �rvision 7 al ��e Business anA Pmlessions Cotle. ana my ens is in lu �arce anA eitect.
a�srereuc.:66540 ss EXP:
ie._ ����9� signamre:—
PS' COMPENSA710N OECIANAtION: I here�y affirm inat I have a certilicate ol consent ta self-insure or a cenificate af WaherS'
om0ansalion Insurance, or a cetldiea cooY inereof (Section 3800. Lao. C�.
POLICY NO.: E%P. UATE:
COMPFNY:
❑ Cerlifie0 coOY is �ereEy furnis�ed. ❑ Cenified copY is file0 wit� t�e ciry Building Oivision.
�ate', ApPlicant:
E%EMPTION FflOM WOflMEflS' COM7ENSATION OECLAPATIOR Qhi55¢c� n tl na16e tOmpl¢t¢4 i� Ihe pe�mil is lar ane �undred (E1W) af less).
I terlily Ina� in I�e pedormance ol ��e work lor whic� ihis permi� i' e� s�all not ploy a Derson in any manner so a5 io become
su - o Ihe Workers' Compensation Laws ol Calilomia.
ate:. �ag� Signature: �
TILF: II. atier makinq ��is Geclaralion, you 5hould Aecome subje[I to I�e Workers' Compensation pmvisions o� Ihe la6or
COae. y0u mu5i IOMwit� COm01y vni� SUc� �masions Or lhis permii Shall b¢ aeeme0 revokeE.
CONSTBULTIDN LENOING RGENCY: I �ere�y alfirm �ha� I�ere �5 a con5imcti0n IenGing agenty for I�e pedorman[e Oi I�e woM1 for
w�ich t�is Oermiiis issue� �Section 3097, Gv. C�.
LENUEfl:
ADOflESS:
OWNEfl BUILOEN DECIABRTION: 1 Aerehy alli�m Ihat I am exemp� imm ��e Comraciors' State License Law for tAe fallowinq reason
�Seclion 703L5 Business an0 Prolessional Code: Any city of county whic� reQuires a permit to con9mc6 alter, improve. Aemolis�, or
repair any Slmclure. prior �o ils issuance. also require5 t�e applican� lor such permit Io lile a signetl statemenl 1tw1 hpJshe is IicenSeG
Oursuam lo I�e pmvisions oi the Comracmrs' Slate license Law (ChaO�er 9(commencinq wi� Section 7000) ol 0ivision 3 0l IAe Buvness
anU Pmfesvons Cotle) or tlwl �e/she is e.¢mpt I�erelmm anG ihe basis far t�e alteged exemption. Any violaiion oi $eciion 7031.5 by
any appliWni IOt a Oermii SUUjeciS �hC apDlitanl Ia a civil penalry af noi more Ihan live hundreE dallars (f500).
I, as owner ol t�e pwpeny or my employees with wages as t�eir sole comDensation, will tla ihe wOrk, and ihe
❑ simcwre is not inrendetl oi oneree lor sate (SetliOn 704E, Bu9neu antl Pwteuionai Code: The ConVaClorS' SIai2 License Law
tloes not appty to an owner ai a pw0any who huilds or impmves tAerean, an0 who tloes suc� work �imselV�erselt or tAmugh
his or her awn emp�oyees, pmvitle0 ihat such imDmvements are not imentle0 or otfered lor sale. II, however the buildinp or
imOmvement is soltl wilM1in one year ol completion. the owner will have ihe 6uttlen o� pmving he/she OiU not huiltl ar improve
lor I�e purpose ol sale�.
I, as owner of I�e propeny, am e�clusively coniracting with license� coniractors to canstmci ihe projecl (Section 7044, Business
❑ ana Prolessions CoOe: The Comractors' State License Law does not ap01y to an owner oi pmperty who builtls or impmves t�ereon
an0 who coniracls for such pwlects wil� a contrac�or(s�license DurSuanlio Ihe ConVaciors' Slale License Law�.l am awa�e
Inal proof of their Worker'S Compensalion insumnce shoultl be pmvided Io me.
� I am exempt unEer Section�, B. 8 P. C.
IOr IhiS f¢d50n:
�aie' Owne[
I tlo nereUy cenity I�at I am aware ol anC untlerstantl Ihe requirements ol Catifomia Heallh antl Safety Catle Seclions 25505, 25533, anC
2559< and Ihal I or any tulure building oc[upanl will/will not (circle one) neetl lo comply wit� saitl s�a�e coEes antl I�e �¢quirements lor a
permit lor consimclion or motlilicalion Imm ihe Air dualrty Management DiSVicL Resi�enlial con5�mciion ap0lication5 are exempi Imm
inese Dmvisions.
Date: Applicant:
I �e�e6y ceNfy Ihai I �ave reaa I�is appli[alion an0 slate Ilial Ihe a e inlormation is corrett. I agree to wmply vn�� all city anE coun�y
oiainanc¢SanaSta�elawsrelalingloDuil4inqconsimctionanOhereO tlro re0�esem rvesafi/tyJ-5 ury�oemeruponi�ea�are�men6oneE
p" br inspeclion purposes. �/��lA-9/ \
Daie� � 7—a'�' % y SignaWre: �
�efs License o� Social Secunty x:
i64t�46 Whno—BuilOing: Green—CoOe Enlarcement: Canary—AOPI¢am; Pink—Revenue; Golaenrotl—Assassar
PERM NO: B 068250
GOVT: N SUPP: N
PURPOSE: OTH
JOB,DESCRIPTION .; T/OFF S_RESATH 6 REROOF W/COMP. SQ ET: 6,500
CLAIM VALUE; _6,500,00 CALC—VALUE; 6,500,00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTORS ARE REQUIRED PER 1991 UBC �! (�� ���TO R
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Z O N I N G R E Q U I R E M E N T S ��
s E T e A �" S REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; 6T IN
LEFT; _FT_ _IN RGHT; FT IN LEFT: ET IN RGHTi PT IN
PARKING REQ: PROV: PARCEL: 13906412 2NE� REP NO:
PLANNING NOTES>
> _.
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� D_E V_E L O P_M E N T S E R V I C E S R E Q U I R E M E N T S
_ZONING_APPROVED BY DATE;
BUILDING APPROVED BY ; DATE: p
APPLICATION ISSUED BY; DATE: 1
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kMiFMMMifltiFiFiFM1lM1fMltihfki!lfltillkftitffkitMilifiFlFiEiFik iFitilikMMifklklliFlkMMMMMkkMM/t1FfF1tMM1F1tM1FikMtEikMlFiklfifiF
LEGALIZATION:N ___ F E E S..0 M N A R Y STRUCTURAL SEGMENT:Y
BLDG PMT_..PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
_PERMIT._ 90.00 _ .65
SMIP/NON—RES
PLAN
ISSUE FEE _ •
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL pAID DUE
TOTALS----> 90.65 0,00 0.00 90.65 90.65 ,00
AEVENUE DIVISION TOTALS--> COLLECTED; 90,65 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTAIC.MECHANIC FIRE SMIP/TOT GRADING PLAN—CBECK
_90..00 . � .65
_41k1Fk1k1kikiEiflFiFMMMMM1kkMklEifitifiFlFM1fMM1f1FMil1F1l1E1lMMlfiflflElFfkMM1EMlfMilMifMlflflt/k/EiF1F4fkM1Fif1flf4ltlEiF!!1klF1flk
���'� � � I N D I V,I D U A L F E E B R E A K D O W N
TYPE __^QTY._ D E S C R Z P T I O N UNIT COST TOTAL COST
SER. 6500. REROOF BY.VALUE RESIDENTIAL N020NE 1,00 6,500,00
END OF FEES
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CONSTRUCTION AND PLANNING ' POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit #
7. Temporary Elecvical Service or Pole 52. Pool & Equipment Location
y, Soil Pipe-Undrgrnd. 53. Steel fteintorcement
qt, t' r
a;.��St��4al Co�dsi�l�ility-Undrgmd. 54. Forms
r�f�.;�le¢.",�,ical Condw�.;.;drgrnd. 55. Electrical Bond�ng
�b�.�,f�P,,'-'r�einforce�i�t 56. Rough Rium6ing & Pressure Tes.
=E,��rSaiUFE;'trnd, rp 57. APPROVALTOCOVER�GUMTE
�-£ca--r. .0
,��3� r2C�41cys "� � 58. Etectrical Conduit�Undryrnd.
��_C,�a, �n% 4
`��' Fcjindation q `" 59. Gas Pipe. Q Undr�rnd„ Test
--lT,
59. Water PIpe�Undrgmd, - 60. Backwash Lines, P-Trap, � Unc:yrnd.
10. Structurel F�oor System 61. APPROVAL TO DECK
17, Proparty Sewer Lin�y Hor:.e Connection 62. Backwash & Receptor�Pinal
72. Seroi Cap W 63. Heater & Vent�Final
��
13. Roof Dreins � 64. Plumb�ng System � Final
14. Rough Plumbi�g '"� T 65. Electrical�Final
15. Rou9h Etectsic�+�Conduit 66. Soiar System-Pina1
76. Rough Electric.LViring 67. Fencing & Access Approval
17. Rough Wiring S�� 68. APPROVED FOR PLASTERING
18. Rough Electrict{„'+T Bar Ceiling 69. POOL/SPA SYSTEMS FINA�
19, Rough Heating & Air Conditioning FIRE DEPT. RE�UIREhtENT
-C ,. . . �7 C T ='. m e-� �: o :-' �
20.;rioi�h F�toi-3' FG3:-place i�c�7 Q�7 k O� es t celppRC7JA�5�:�0'ermit # n ?' ��
� i ,� i cy_7�.4 � C#%:"J CC SU�-+F '� Y C G
2j. ,�^ UC�.If S2f`SU�* I`'E' �� � H i '7i # 4�-#.. �'-JT^J- I'1 fi iT]
� !x;� I HS R S �'r� X'S0. Wdergr;a.be;Hyg:o ■
-t+; , fi-si R-% �+-F--�£:i-�D .
22. Puc�. Vantirati�¢+x (JS # S'C� 7� ��1. Product'P�*i�M9 f_��s ��il
� . ,.� ,,� ° . -i <L -cx_* '�^ 57.0 �' �
23. ��.,,asFPipe`-�i;o %7n &..'st � c� fi c �-+�. k F+, ro� Oo x v. �'.;
.� � i ?: �!'�t C^ K C�� �t: H 2. Undergro�t� Flii=i�v r F n�
i � "S"`_7_[T'P'--T:J � - ro->---�-k'-� �
24,;�Eio�Fry�inn• f. , ;.F ^F *> O +' `'J3�1Jnderymo-''StorJn�ank �7Gas ❑O?
a '�
25. Ro ShQthin '� % £ v O �`_. O., v riFo r.
�'y, S 9- � v�����j .,�# x/4.�erhead Hydro� t
: : `; '�"f7 "�7 �'...
26.- �B�ry Ceiiing (Str�:xurall & jry':..,.ecoat s x C� ^ix k 75.�ry Chemical "y �' '+ � Q
27,�-pra e a d FI3 'ish iy* � ' ` `� �` x 76. t�ry Stand=i �E x 5 :n -:
..� `�. u : , � � g'z s a >+ cD r x .., �_�r-�+-x-'^-^?9-�O
� � � % ~ 77.^FIXED S1'£>�ENh64NAL�
�8. �ati�+ng t§� Siding;. � n �-7 �t T. x k F_ • i� * x tT'
=.-e..=,. �- �-x-f�-G Lt E. �. � c i r x i-. n
c> =.' r O r� .. .. � � r•7 � ' y :.�- t �
%29. Insulatioh ,���. q; � �; 78.�*-IRE PREV. FIt�F,:!y # � G�,
�._'ZS-.� �� .�, . --'7-a�--
�,�c0. Drywall Nailu:3 Cs S f t r+ NEALTH-�EPT�e�R-aQ�c4RpAENT
� ,�tcs � � .S
�1. Plasrer 84;?wrhCos� � s i _, r : �` « �;;9.��INAL If�P.kCTI�J � � a
����-�'�' I� r. A TJ- :i-,r,".7__4_P'
-Z2,plectnca ot'�rt}4t}e��inali *!u >i70.Ca00DCEFiTIFIf7YSEIS3UED.^ ^
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a� . c' �� m - x. L', c'/ r�� F., _m,l�
'�3.�in`�Elec�:ric� y r t i .r r ac �0�� //%:s riP-��- ^� YmdSY"GC_
''��4.�Fina�He�i� A��;o �itiorji�s ;, �� . lx..}. Sp/-��L'=`/� C�`/,�; x S C�O
- . -t ' '- Y( i//!4� � '��
35.:l�in�ihGas�'ipe�Test � 7 � ' �' y/ �5 * �' �O
x. . s: x� :�- � .-.O O r-� u F� l*'
.�6. noo3:.or'�anoPY �s _� � cn": -• s c� r; E S :�o �� r� C;n
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�8. �in.jlyPl�e+bin9 •.�> iv 1 c :r S �-+ � � '�
tl-1� � �-. .r v
c39.Water.Secoice�=in�* i -� ' ii ic+7 fx v!
'L �. I K'J.' x T O S
�'40. Gas Service-Fl%al"�' '� � '�--�--�
n. v ,r, [i3 'S??' S fi th > JO 'JC�: �
}- ' .-1�.X ,..r
g7. yoiar pomestfia-Finak 5 ;� � •• +'=a { T � J � * � �
�2. �ackflow Preventer � F" � �' Q jH . * - �-'�
43. Backflow Irri �tiont � xSS �' ' � Q`"'� � � `"
Y. " . N � F .� •
�4. Landscap� Ir�,patioq�Systemy,;;n � ;�.; p p Os S a; N S[J * ru o
s5. �5ound At1en%8tionx�.' �.^:h tT' X E E-� F � :-� �-+ -�o v;�q �
_- * m,T m� i c_rn 4 t-.o s
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47, �IN�,L STRI�:�TURE &�U-It1JING r � , N�'Ls X
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46. �INSL PLAl�7KI�NGy .�, ;`ET.,E�., y p; I �;=7 ti 4� ��
49. c�leciryic Release to 6di
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�. ?as Seie�e to Soutk�ei
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� International �onference of BuildingGfficials �
e�3���i� e��nm��Y�� ;����m�g���ac��
81ilS'fOLCC7i SKYLlGH'CS, S�IO&7d }IA1'CFIES
AKll ACCEtiti fIA"fCIIG$
RIi151'OL F7I3GIIL1'fG INDU$'1'RIES
J°IID SOU'CI�f IIALLAUAI' S'CIIF,E:'C
SAN1'A AM1A, CALIFOIi�IA 9'_i05
1. Subject: Bri<lolile Skylights and Smoke and Aoms Halches.
ll. Descriplion: A. Cenernl: The Fiberglass Domes ere fabri-
fatcJ in one piece of a 3ounre, 60-N fiber�las� roving impreg-
nnted with a polycster resin. Thc skyligh[ sudace is in the fortn uf
a.•aul:ed arch, and n l�-inch-�vide shoe designecl ro res[ on the
roof curbing. A 2Ys-inch•drrp akirt is formed monolithically wdth
the domc to act ns a counterH�shing on al� (our sides of the root
opening. In addilion, acq�lic domes nre fnbricated through e
fherm-O-\\'eld" `�rocess and are uttached ro the same fiKerglass
sl:irt. The acqdic domes are made o( Sw�edtasf 900 Acrylic Ylastic
as indicated in Rescarch Repmt Ko. 3576 or Rohm and Haas
Ple.tiglass l: xs indicated in Re�rnrch ReQort A'o. 1094. 7'he fiber-
glass domes �re 0135 inch thicA and the ecry-lic domes are 0.150
inrh thick. ��
B. Skylights: The ilp•lights are xvailable in various sizes as
set lorth in 1'able tio. 7, up to a maximum u�idth of 4 leet 45z
inches, a maximum IengL� oE 8 feet 4Vz inchcc. The slp•lights are
cSesigned For moimting on 9-inch �rood, melal or aluminum curbs
supportrd on �hr roof fra me or to installation of thc sky ig�it,--
ie rw�'ApVed�an� e�sayl ght' et do vn over the open-
7'he curb is hot mo
ing and the akirt is nailed or screx•ed securely to the curb on all
four sides by means of Ihree 6-penny common nails or enuivalent
on 4-foot sides and larger and hvo 6-penny common nails or
equivalenc on the others. The skylight. nre a.•xila6le with a�'entilaF
ing loucered alwninum frame.
C. Smoke Halches: 7he Bristolite Smoke Hatch Dome is e
� conversion of the standard akylight malel. The fibergla>s or ucrylic
-dome is used in conjunction x•ith n 1- 6y 535- by 2i'.-ineh es•
Iruded aluminum channd Game. An aulom�tic, corrosion-resistant
release mechanisrn and hinge aseembly are added to the fiberglass
or acry!ic dome unit, .chich is designed to be activated by the
: xparafion of a 1G0°F. (usible link. 'Ihe fusible link is instulled
with stainless slcel ra61e nttachments behveen corrosioo-rrsi>Wn[,
spring-opented Iever artns, designed to pull "ball-]ok" !i-inch-
diameter (2-pound activuting force) >tainless sleel restraining pins.
The mstraining `>im are inscrted through the Game ond into re-
lainer rir,gs in<tal!ed on the dome skirt, and are witLdmwn by the
springoperated lever arm action, permitting the dome to he Iorced
oPen by tonion bars, Thc hinge as�embly concists of :�n aluminum
piano hinge with a shinless stcel P�� running the IenF�h o( t6c
respective hatth up to 8 fret (or lhe largest. The hinges are tivr[ed
[o the dome sAirt sn ns tn permit a full 90° opening of the dome.
Attaehed to the curb nre thr 34•inch-diameter stninless strel, he�P
Report No. 2469
Octobcr,19i6
Ircatcd, torsion bars uxd ro open Ihr unokc halcd�. T��n ln:;ion
b:�rx :uc required for all models. The bars nro bent to pro��id•: u
levrr nmi having a length cqual to threc quaAcrs o[ t6e dome
widlh :icling fl:t �gaim[ die in5ide oi the �Omc shoc, jusl lo lhe
uul�idc n( lhr curL.
1'hc 3tandard smoke hatch is primarilv the same ns the smoAe .
hatch Jume as described above except 1}iat the dome is rcplaccd '
by a.UG9-inrh-thick fonned s6ert of ;duminum. }lnth maleh. :uc
nvailnble with n ventilatlng louvered aluminum Erune and with
two doors.
The uni6 are delivered to the site preassembled aMl erc installed
I�y nailing through' predrilled holes. After installatioq the smoke
hatch mechanism is required to be adjusted and tested to assure
mrcect operaUon to its ful(g opened po5itlon without 6inding,
warping or Misdng. The smoke hatch is suUject to lesiing at other
specified intervals to be de[ermined by the Huilding Official.
D. Aceess HuMhes: The access hetches consist of 1- by 515-(nch
or 10- by 23i•inch exWded aluminum channel frames .vith .090•�
inch-thick formed nluminum covers, n core of fiberglass insulaGonj;
and a bottom pun o( .090.inch aluminum. The access ha�ches arer
instnlled similar ro the slylights described above. C, �
E. Identification: The s�.ylightr and smoke end aecrss hacchn'
are idendfied by en attached decal apecifying the name and eddress
of the manufaMurec end the Research Recommendalion number.
IIL Evidence Submitted: Load tests, descrip:ive data and ea4
culations are submitted.
Recommendation '_ �:
IV. Recommendation: That the Bristolite SkylighLc end Smoke;_ .
Hntches ns described in this report nre manu[ec[ured lrom an np�
pmved material as defined in Section 5202 of the UniForm Building
Code subject to the (ollowing rnnditions: -
1. 7he slrylights nnd smoke hatches e�e installed in eccnrduice
w•ith the requirements of [hfs repoK ertd Scction 5?OS of�thr
Code. �
2. Thc fiberglass slp'li6hts and snoke ha[ches are essigned a.
flame-sprced clusificntion of ]I nnd the acrylie domes nre .�:
assisned a classificatian of III. � .:,±;
3. The roof live load nnd snow load for the ckylipjits �hall not
exceed 20 pounds per squere iooL A;
4. 7he dimensians of the skylights nnd �moke nnd exe
hntrhes oomply with thb v�lues set forih in Table Nn. I. ¢�
5. 71ic wood curb detail is used only in connection with T� b'
lil or Typc V comtruction. �
G. The smokc hutches nre no[ iemmmended in gmRr+P��
areas subject to mow loads.
This recommendation is su6jec[ to nnnual rceaamination.
3A ItNDA
'ARTMEM1'
; AND SPECIFl-
KEP,f ON THE
. AND IT IS UN•
:HANGFS OR
�U7 wRfTTEN
fHE BLDG. DE• -
IS��PLAN ANO
�LL NOT BE
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PflOJECTR00flESS: 3z6S NEBRASKA I.N
OWNEfl'SNAME: KINCAID, PATRICK
nooxess: KINCAID SARA
3265 NE�RASKA LN
COSTA MESA CA 92626
PPCMIENGINEEN: 714� 641-6g79 qEG.NO.:
AOOflESS:
UNIT:
UNIT:
PEXMITTEE: SARA ICINCAID ( 714 ) 641-6979 �
aooncss: 3265 NEBRASKA LN
C.M. CA,.92f�27
LICENSEO CONTFACTOfl OELNPATION: I �ereby af�irm ihai I am licensetl under O�omsmns oi haD�er 9(commencinp wi�h Seciion
7000� ol Divs�on 3 oi Ihe Business an0 Pmfessions Code. and my license is in full lorce and ¢flecl.
CITY LIC.: STATE LIC.: CIASS: EXP ;
Da�e: Signature:
WOPNEHS' COMPENSATION OECIAflFTION: I here�y ailirm Ihal I �ave a cerlilitaie 01 tonsent l0 Se14in5ure or a certilitaie 01 WOrk¢rs'
Compensation Inmrance. or a certi6ed copy I�ereol �Seciion 3800, Lab. C�.
POLICY N�.: EXP. �PTE:
COMPANY:
❑ C¢rtiliea copy is hereby fumis�eQ ❑ Ceni�iea coDY is IileO wiih IAe city BuilOing OiviSion.
Dale: Fpplicant:
E%FMPTION FNOM WOflKEflS' LOMPENSATION UECUMTION: �T�a secuon nee0 no� b¢ wm7leted i� Ne permil b Ior On! AuMreO �5100� a kss�.
I certify thal in t ped rmance oi t�e wOrk for w�ith t�is p¢rm1 is i5Sue0. I 5� I nol employ any1Person in any mannef 5o a5 io b¢cOme
subleci�� �kers Compensation Laws a� Califomia. 1.. -A �� ,
Y�Oate: Signa�ure:
NOTICE: t, a r making tnis aeclaration, you snoultl bewme uLject la the Workers' ComDensation pravisions oi Ihe Labor
Code. you must lort�v+ilh comply wil� suc� O�ovisions or �his permit slWll be G¢¢med revokeC.
CONSTHUCTION 1EN01NG AGENCY: I �ereby alfirm Ihal Ihere is a con5imction lending agency Por Ihe Dehormance Of l�e wo�k lo�
w�ich I�is permi� is issuetl �Sec�ion 3097. Civ. C�.
LENOEN:
PODHE55:
OWNEH BUILDEP OECLAFRTIDN: I �ere0y a�lirm �hai I am exempi �mm ttl¢ Conlfatlor5' State license Law for the lallowing reason
(Section 70.31.5 Business and Pwiessianal Code: Any cily o� couniy which repuires a permil �o mns�mcl, alter, im0�ove, tlemolish, or
repair any simcture. o��or ro its issuance. also repuires ine apD�iwni lor sutA permii to Iile a siAnea statemenl tlwt ne/sne is licensed
pursuam m ��e pmvisions ol the Contracmrs' Slaie License Law (Chapter 9(commencing with Seclion 7000) of OiviSion 3 oi I�e Business
ana Prolessions Cotle) or Ihal nelshe is exempt inerefrom antl ihe easis for Ine ailepe0 exemption. Any violation ol Section 7031.5 Uy
� any apD�icant br a Dermi� SuDle��S t�e applicanlia a ciMl penalry oi no� more �han live AunJred tlollars (E500).
I. as owner o� Ihe D�openy or my employees wilA wages as iheir sole compensalion, will Go ihe wafk. an0 Ihe
� simcture is not inren0e0 or ofleretl lor ule (Section 70aa, Business an0 Protessional Cotle: T�e Contracmrs' State License Law
does nol aOVly la an awner ol a D�operty who builUs orimpmves tAerean, an0 wlw does suc� work himself/her5eii orihrouB�
�is or �er own employees. pmvi0etl t�at such improvements are not intentle0 or olfere0 for sate. II, however I�e DuilJinA or
impmvement is sola within one year of campletion. ihe owner will have the Uurden oi o�ovinp he/she tli0 not Ouiltl or impmve
Ior ine purpose of salel.
I, as awner ol the pmoeny, am eKclusively conlrading witn Iicense0 contractors lo consimct ine o�ojetl (Section 761a, Business
❑ and Pmlessians CaAe: The Coniracmrs' Siate License Law aoes not aDDM �o an owner ol O�oDe�y who bwl0s or im0�oves Nereon
ana who tonttat�s lor SucA pmletis vril� a coNratroqs) liC¢nse pur5uan� l0 �he fqnlraCiors' Slate Litense Law�. I am aware
�hat D�ooi of I�ei� Worker's Campensa�ion insurance StroNE be pmhde0 �o me. 1
� 1 am ¢cemp� un0er Sectian: B. 8 V. C.
�ar��� \ ,n
��� 1 \
Date: \ Owner.
I eo nereby cenity Inal l am aware a� ana untlerstantl ihe repuiremenis ol Calibrnia Healtn an0 Salely ' Ee Settians 25505, 25533, anU
25534 ana �hal I or any IUWre OuilOing occuDant wiil/will nol (circie one) neeA to comply with saitl s�aie codes an0lhe reQuiremenis �or a
permi� for con9mciion or motlilication �mm ihe Air Oualily Managemen� DiStrici. flevdential wns�mction aDDtica�ions are exempllrom
��ese pmvisions.
oaie: ADD�icam:
I �ereby cerlilyl�a�l �aver¢adihls aOVlicalion anE s�ale Iha��he above inlormalion is [orrecl. legree to camply vn�h all ciry and county
orEinancesanG �alelawsrelalingta�uil0ingcroslmciia antlherebyaNhorrzerepre5enlaliveSOlthacii IoenteruDonthea6ove�menlione0
pmpeny for ins ^tion �es. n�\„ � � �� �
� � ��r.���
Date: Signaiure ��yy�z_ �
Oriver's License or Socim $ecunly .:
1Wt�a6 Whne—BuilEmq; Green—COEe EntorcemenC Canary—ApplicanC Pink—Revenue; Gokenro0—Assesaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: IB 068362 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; OTH STR
JOH DESCRIPTION : REINSTATE EXPIRED PEAMIT �46270
PERM NO; IH 06836
GOVT: N SUPP; Y
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
��*w*k**fr�e+Et*****Dir+PriEt�iMrilt*+r*�*�r*��**�*+Ttir�*�******i1r�*4***B�w***f9titfr*r**�i�+�*�r**x��r**�r
Z O N I N GS ERTEH�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAA; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 13906412 ZNE; REF NO:
PLANNING N6TES>
i
1f 1E 1f iF iF iflFlk 1! it 1t 7t 1! 1t it 1t 1E 1E 4 it 1f 1t 1k k 1t k 1t 1k ft ik iE 1f ff 41E 1ElF k 1f M fF 1f 1E iE if !F i! 1F iF k!F!k!F it M M i! if 1E 1tlF 1E iF if ft i! 1f 1ElF Ik iE 1t i! 1f iE it if iE 1F
D E V E L O P M E N T S E R V I C E S R E Q U i R E M E N T S
ZONING APPROVED BY ,
BUILDING APPROVED BY :
DATE: _
DATE;
APPLICATION ISSUED BY; DATE: ,��F��
iEifffftMkk!l7fiflfiFifiFMiFfFMMiFiFM 7FifiFiFiEkMiFiFM iEiE
1lkif fFifitikilikiFitfFiFikltk/FMMitifififif itfEfEltMkitkiFiFiFiFiEMillklfiFMiF7t%lFMiEiEitMitkiFitiFiElEiliElEiEkltMiElE7kiflFfFiFitiF%iEiEfE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 30,00
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 30,00 0.00 0.00 30.00 30.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 30.00 OVEK/SRORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
30.00
tk itlfltlf 1f 7f tk 1f 1f 1f 1F 1f ff ft k 1f k f! fklklk 1E 1t!! ff 1k it fFlf 1f M fE k ik k!t tk 1f If !F tF 1E 1f 1E f! fFlf !E 1f 1E k fk fk 1E 1f 4!f M!F 1! IE fk k 1f fF f! 4!f 1FlF ik if fE 41f M iE ih
I N D I V I D U A L F E E H R E A K D O W N
TYPfi QTY D E S C R I P T I O N UNIT COST TOTAL COST
INS 1 HUILDING RE—INSPECTION FEE 30.00 30.00
END OF FEES
OS 0026`377—�p1653?7 T Cl T 3,.,,�
DATE: �E/04194 7IME: 09:47
. , .
COSdSTRUCTION AND PLANSVlf1G POOI & SPA
APPROVALS Permit #F Date Inspector p,ppROVAIS Permit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location , ,
2. Soil Pipe-Undrgrnd. 53. Steel Reiniorcement - �
3�. Ele�(ji�'al ConduiL.�ulity-Und�gmd. 54. Forms �� ���
�� te �cal Conduit•q�ndr nd. 55. Electrical Bondin
�i �� � V 9� 9
�5 94d'e�ReinforcemgFlt 56. Rough Plumbing & Pressure 7zst
'r � �_
?6. Et�ct*��t UPEE�r nd. 57. APPRQVALTO COVER�GUNITE ��
�7>"Eo'Ot� = N 58. Electrical Conduit�Undrymd.
�$', Fonndation ` - 59. Gas Pipe, � Undrgmd., Test
=.9. Water Pipe-Undrgt9d. 60. Backwash Lines, P�Trap, t� Undrgrnd. �'
10. Structural Plaor System ' 61. APPROVAL TO DECK -. �
17. PropP�tY Sewer Line & House Connectlon 62. Backwash & Recep[or�Final � •�
12. Sewer Cap � 63. Heater & Vent�Final -
� W
13, Roof Drains -u 64. Plumbing System � Final � `
14, flough Plumbing ' �' 65. ElectricabFinal �`
15. Rough ElectriwT�Condu�t 66. Solar SYstem�Final -
16. Rough Electric Wiring 67. Fencing & Access Approval . -
17. Rough Wiring Si�n 68. APPROVED FOR PLASTERING
7g. Rough Electrical�T Bar Ceiling 69. POOU'SPA SYSTEMS FIUA�
19, Rough Heating & Air Conditioning FIRE DEPT. RE�UIREMENT
��
20.'Rougji FaFtor� Fi<BPlace :; � �%, � J � ^_' vyppROVAtTS�_��1?ermit # _ � �'
- r� r-� ' ^ - ':1�� + 'J
21.T)uCtS in_SIrll�tUrL'.'K ��'� T.S X -� •7 "JT� C �J-.�i T7 r,: ,r,
F. �.. yr .. .. ,y5 # S 7 �.- < �0. ,Rdergrou;a��'Iyti10 n
22.�Ducts,Ventilating-.i: ' cJ� �� � ti`: , t. Product�Pi�iriyCiU%3� Gbil
23.GasPlpe�Roug�&Tgst m5 .� C S�,:. �2. Underground�Flu,s.q�'�� � �7
J� � ' 1.• 1 t t. M _' 3. + ' ,
24. Aoo�rraming.: ;�x , ;-.�, .• � .r.> � e� ��t: s �3.?�lndergmd?Stora�e?`�k �Gas ❑ON•
25. Roo�Sheathing ".. • " "'' `l '� "' y '74.ryXerhead F�ydro n`'� ;.�
'[n Q vv:� 7 > ..;;'
26. �{.�B�tCeiling IStructural) & fy,naosoat �� � ci �q* K 75. Dry Chemical r�� � x'
27.PrarpeandFlashin���; � � r' D *' 76.'�ryStand�f� �x r " � '�
r. , �SJ'. TF �- i� q:i'.
28. -lathing &Siding z,� :: .y�� r� - •. ..x ;�- 77. =FIXED SYS�FEM'S��IVAL� J �+
29. Insulation "x " -"' ' �. � I �. , 78.�IRE PREV. FIN(1;ka x t; r�
,`-30. Drywall N"ailing px' J ' �* � '' HEALTHAEPT.•R:6QUIREPA[NT
. : -, f
=31. P�aster Btpwn.Coa�t y" �. � _�,,, � .' .Z9. FINAL IN�'�CTI�A Y ` �
32. E�lectrica�o��r Mater�,final i � r.,; � �':90. �OOD CERTIFICA,T:'c ISS{/ED
Y. T it. ��f ... T K .-1
33. Fina�Elec�rc_� "- r.7 � � I b_ ,'�Vote'�: ,7 7I�7 : J F:�
�34. �}ina{�NeAting�F� Air',Conditionin9;i i x h � �s "�: � :�a: 3• •� 7:�
,
35. F;nal-GaS',Pipe-'ies�'a r ry � � z � :� � � x:� �T�-, * �r G
� y •. L; � • T • � �
�. HooU.pr CanoPY �.* � i n.�, � : cl t� � . <: !' � , �v � ��
�
3�. �na���Factory Pire`pla�"�cei^ � -, r o ^ �� � :� ; � :� �
r
3B. Final'Qlumbin9 :�; 1,,, �•.• � r� � � ri * --�
39. Watei-5ecvice-FinaC : . : .. i � � ` � � . � .''� ` .
40. Gas Se:vice-Final ^ ,:, . ;,. S r r•, ' �� ;� � ,,,: - �
43. Solar �omesticFioaf� -. t�� ^ + � , `� < �= ` _ _
x � -! -. i' :
42. Backflow Prevente�:: '� �,j '�'" � , � �� r, �, �-.
43. Backflow Irriga'[ion-` - - " _ �'� : ' � .
� .i
4A. Landscape trr�atio �System -.,�:;,� �� ;� - � �;> � 1 �; _ �. 3 v =
� •
4b. Sound Attenuation �' ^c'~ • �� f '"' " '` r, ' •�' c� x'Z `
� ir .1 [s7 , m C' ej, . ..r k
46. Fidndirap'f?egu�ationi ,,. .. . �' F� `�' . .. �- -� � �� �
47. F7NAL STRUCTURE & BUILDING �y/�L/ � � �', '� - �- � '
�� � �
4'$. E{NAL PLANNING � :.�, > : � - �-�- � ;-+ -'r, �i � �
49. Etec¢ic Release to Edison i � �' ^: � ''
i . �y �
50. Gas Retease to Souther� CaiiforniaS,�as Cn X i"�� �� .', r; . `,-,� n � •
51. CERTIFICATE OF OCCUPANCY'' - � � �i a;.� , . ',
No. Date '
: �uz�
COSoT BOXE 200 UCO�IA M SAFCALI ORNpIA 9 626 T
For AppGcant to Fill in Completety — Use lnk On�y
BUILDING ,t - ���. \<e �
ADDRESS .Z�
OWNER \ � �
MAIL � j�
ADORESS ���4+� TEL. �y�C
CITV C¢a`a �- �� NO. �',y L3R
BRANCH
ADDFESS _� TEL.
� •
r'65-Z0: ,;.6/23/79 5.50 Tl:
APPLICATION FOR STRUCTURAL PERMIT
pECEIVEDBV DATEFECEIVEO D�TE�S^UE
PEPMIT NO.
e
i/ �'1�
ADORESS ZONE NO.OF USE OF NEW
TEL. p�AfS BUILOING
NO.
CITV - VARDS APPROVED VARDS APPROVEO
[r C�TV � MAIN BUILDING ACCESSOR'� B LL�ING
STATE LIC. NO.
� LIC.NO. (FROMC/LSTREET �7
NO. OF BLDGS. � �! •' FT.
y OFIOT(oS/ ���%/ NOWONLOT � '�
� F
a USE OF �7 �
� EXISTING BLDG. \l1� `�Q"'�¢
V1 L S FT.
x Separa[e permits are required for
E"' electric, plumbing and heating work• aEAq F'T. F�
(j BEf. MAIN & �
F USE OF BUILDING AND WORK TO BE PERFORMEO �InANgCLE�'BS . A��. BLDGS.
Q VAR *, DATE
C) �' � 1c ` C.U.P.i /WPROVEO
�•�
a �� .�.�. qpPqpVE �
� ��Lvo w--
'„ , i...
� �
a �
a m
� I hereby acknowletlga thet I ha�e read this apGllcation entl steta '
y� that Yhe above informetion Is correct antl aB�aa to comply with V
L all laws reBulatlnB bulltling cons�ruction, anC I snn�tlon I waI of =
,'Z any perwn in ��olation of Ne workmen'a compe m
� N
ma scec� of camo��ia. sn. FT. �
3 I hereby cartify that I am Oroperly Iicensetl as a conttector untler TME PURPOSE OF ESTABLISHING A PERMIT FEE ONIV:
tha State of Califarnia Buziness and Profeulons Code, Dlvislon 3, THE AMOUNT SHOWN UNDER VAIUATION IS FO �
q
Chapter 9, and ��at suah�V�iSe�n�ofetheS[ telot CallfomlafBuziness VALUP.TION PERMIT FEE E � m
am exempt t�am the P Che te� 9. /�
entl Professiona Cotle, D���vion 3, P f F,� � pLAN CHECK S o,_�.
/ Ii- /-7� LL,
Slpnature of �`� �oe L $`y l 1��•.' TAX s J v �
Parmlttea �� �.���� � �
TOTALPA�D S
Authorizad Agent
OWNER gEACH. B. DATE6-23-78
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�WN� LUWHY� llOR Lna� c 1� �7
JOB ADDRESS �(5 Nebraska Iane BUILDING PEftMIT NO. 23570
GENERAL CONTRACTOR A. R. Const. DESCIiI�PTION OF WORK Add den to res.
SUBCONTRACTOR � Date I Number
Forms �' Steel Reinf.
Final
-''` 235 r �?
�COSTAi MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 917 G09TA M69A� CALIPORNIA
For Applicanf to Fill In Completely
TYPE OR PRINT
BUILDIN6• �
ADDRESS
COSTA MESA, CALIFORNIA
OWNER Q
MAIL �1 / � D n . .. � 1 . .r t • :
TEL. �—
NO.
�
NO. OF BLO06.
USE OF `
EXISTING BLD6.
6ETBACK LIN6 FROM �[
CENTEP OF BTREET p O�O REAR
SIDHYARDI LEFT " I RI6NT
DESCRIPTION OF WORK
BUILDIN6 NO.OR
SIZE . ROOMB
EXTERIOR WP� I ROOP
GOVERING - COVER
USE OF BUILDING AtiD WORK 70 BE
F�� R�cEiv�o
FEB 1 6 1965
flNANCE OEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offite Use Only
P8C61PTN0. � P�NMR!
ADDRESS 3z� � nir-_grz,� �a
FIRE �'
ZONE � TYP�� 6ROUP
APPROVED /
BY � � �DATB /
NING
zo1 a/ xo. or usc oF rvew
1� I I PLANS n/ BYILDINO
L60AL /
\
oencninion ��) t � � � � � �
A. P. NO. / � q � ��/ �
NOTE: NO EAVE OVERHANO SHALL BE LE53 THAN
VARDSAPPROVED
MAIN BUIL�IN6
FROM WLSTREET)�
DISTANCE BET.
MAIN BLOGS.
VAR. iC
C. U. P. $�
APPROVED /.
YARDSAPPROVED
ACCESSORV BUILDING
oATE
I HEHEBY /�CKNOWLE008 THAT 1 HAVB HEAD TH18 APPLICATION TXH AMOUNT 6HOWN IINOER VALUATION IB FOR THE
AND BTATE TXAT iH8 ABOVE 19 CORqECT AND AGREE TO COM� PURPOSfi OF fi6TABLIBHING A PERMIT FEE ONLT.
PLY WITH ALL CITY OqD�NANCfie ANO BTAT6 LAWB NHGULATINO ypLUATION (�
9ultOlrvo coNSTqu N. A/� pERM1T FEE $ �J
SIGNATURE °'�J
PERMITTE ��v�111 (� ' , �
- $ � X Q � PLAN CHECK $
AUTHORIZED A6ENT 1 U n
� TOTAL FEE $ D�� y
OWNER gEA
JOB ADDRESS
APNo.139-064-
INSPECTIONS
ROUGN
nnISCELLnNE0U5
AOUGN HEniING �N
UNOERGROUND � I POWER
AOUGM wIPING
BONO 9E�M I J ST
SNE<TMING
FRaME eN0 FL45NING
PLASTER,BAOWN COAT
H
SPf[11L REOIIIREMENTS
DATE6-23-78
BUILDING PERMIT N0. 46270
DESCRIPTION of WORK Insiall skVlieht
FIRE ZONE VALUE S 500.00
TYPE GROUP ZONE
SUBCONTRACTOR _ PE M 5 SS
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C
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING __ _ . I ._
OWNER \�G
MAIL
ADDflESS �. Z
CITV �^��
BRANCH
ADDRESS
V
TEL.
NO. •
TEL.
ADDRESS �� M�
F-/-/
C -' A TEL.
CITV �-` NO.
STATE CITY
IIC. NO. LIC. NO.
SIZE `� � NO.OFE
OF LOT (p q �( \ OU NOW ON
USE OF �j �
EXISTNG BLDR, ��,pa � �Q�..�e
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILqING AND WORK TO BE PERFOfiM
I hereby acknOwiatlpe that I �ava reatl this applieetlon antl state
thai the above Informat(on is cor�ect antl agrea io eomply with
ell laws re0ulatlnp builtlln8 �onstruction, and I s�all noi employ
eny perwn In vlolation of tha workman's compensetion laws of
Ma Stata ot Celifornia.
I hereby cartify �hat I am properly Iicansetl as a contrector under
the Stete of California 6us(neu antl Professions Cotla, Dlvision 3,
Chaptar 9, anG t�at such Iicenses are In full for<e entl effect, or I
am exempt trom the provisiona of the Scate of California Busineu
entl Profe55ionA Cotle, Dlvision 3, Chapter 9.
Signature of J� p n
Permittee �..W _ ��P�v `
Authorizetl Bent
�'55�U�;;;�6/23/78 6.50 Tl:
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BV OATE RECEIVED ❑p,TF ISSUED
R
FIRE
I
T NO.
K
DATE��A �7
NO.OF /7 USE OF NEW
PLAfS �.L BUILDING .
DISTANCE BET. BEf. MAIN &
MAIN BLOGS. ACCFSS. BLDG
VAR.# DATE
C.U.P.qW APPROVED
APPROV E�B , r l�/ .. L i
N
n
m
i
m
SQ. FT. w
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISMING A PERMR FEE ONLV: �
VALVATION PERMIT FEE § d
- m
f�y VI..AN CHECK f ^�
o ,_�
$ � TAX § ['T �
�J � �,
TOTALPAID S
Lor j.
TR 37�; r �,�-
� , ����„�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C06iA MEBA. CALIPORNIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
■ STATE
COSTA MESA. CALIFORNIA
�Q�
�TEL.
NO;.OP'BIDGB. O
BUILDING
ZONB
R•
�eow�
� FEE RECEIVED
� OCT 241960
FIN�ANCE DEPT.
APPLICATION FC�C� �f MESA
BUILDING
For Office Use Only
CASTA MESA. CALIFORNIA
ZONING
xo. oe I use ov xew
PLAN9 2 BUILU�NO W/ att
USE OF YARD6
EXISTING BLDG. APPROVED
B8T6ACK LIN6 FHOM O � �]� 1 (CBNTEq LINE BT.)
CHMBR OP BTR¢eT 5 REAR YARD � FRONT
/ /
SIDE YARD LEFT RIGHT R.SIDE
DESCRIPTION OF WORK
BUILDINf� —"^" NO. OF /
BIZH 1 —HSE ROOMS O STORIEE
EX'fER10R WALL ROOP WOOD SHAKES
COVERING $TlICCO ICOVERING
USE OF BUILDINC AND WORK TO BH PERFORMED
'1 H6R6BY AGRNOWLCDGE THAT 1 HAVB PBAD TM19 APPLIGTIOH
AND 9T�T8 THAT TM8 ABOV6 18 GORR¢GT AND A6H86 TO CAM-
PLY WITN ALL C�TY OROIN.WC89 � 6Ti� LAW9 R80ULATINO
6UIL�INO CONBTRUOTION� `
� AUTHORIZED
APPROVED
EVES
TH8 AMOUM 6HOWN UNOEH VALUATION 19 POq THE
PUPPO88 OR HHTABLI8X�N6 A PepMIT PH6 ONLY.
VALUATION /
� PERMIT FEE $ ��i'—
S /� ��^ / � PLAN CHECK $ ��
_ _.5�/ —