HomeMy WebLinkAbout2044 NATIONAL AVE - Building Permits PROJECT ADDRESS: 2044 NATIONAL AV . - • UNIT. _ i _ ! • i I . , •{ • , CITY OF .COSTA MESA. i .BUILD,ING PERMIT - 'PERM I NO;:BEP, US V/9f ' l
OWNERS NAME': V ST .' : J • -.. t , I t . "' t _ r :• 14... - e
10 4 ADD•RESS' SMILEY M,MARGARET'
'TRU E t
7..408 MARGARET' DR': " , 2 PER,MIT• NO: BEE 051798 PLAN' CHICK; v0 N 1 T GOVTi:' +N SUrP .N':,
NEWPORT BEACH',CA 92.663 ' _ r T ! ' ' ' . I PERMIT ',TYPE:.E EL? PLU STR' I PURPOS��".I •REP { t
t • CONSTRUCTION ;TYPE:. $
646=9666 f . : I -
-.ARCHIENGINEER , .. . REG NO: ' 3, 000
I - , ' . JOB DESCRIPTION'' ' REPAIR. EDAMAGE I IN RESIDENCE, -R PLACE WIND , 4SQ .L' )V.
• ` i ADDRESS . ( • . '.- • • UNIT' • , r , ; t ) - z 1 r '
--iI PERMITTEE: I - i ,. + t ,s `CLAiIM I VALTJF :. • 3•,000 , 00 ..CALL'VALUE- ! " , i �3, 0601 00 e GROUP/ UCC.:; R-237' ' / 1 '
W1?•LIAM. SMILEY - • i ( 7'14) 646 .966'6 • I - •
r { . . ' i I , ., I c ( ' • i t I 1 { .
• ADDREss:• 2408 MARGARET DR . • • i COMMENTS: REPAIR WALLS & FLOOR' • • v ' ' I.t ' I
filly N. B . - � ' CA. 92663 .- .a ie **.:4{E**.Kti X*Xi le*k***•)Eifk***IE•)(* aiii�k•k14** Ek(9e'3iX3(44.1( !xK1ff-X*-Y.#{Ekv,liX- 1-)1( r#} ie-*,-)(aEN) %•1f k Y-7Yr • ,
LICENSED LONTRACTOR,OECIARATION: hereby affirm that am licensed under provisions of Chapter 9(commencing with Section I r ) - 7 'C) N I N G . RS E Q U I• R E M E I Ni •T S ' ' 7. �T
7000)of:Division 3 of the Business and Professions Code.and my license is in full force and effect I ,' l ,r , •i �• i " ' •• u f ,7
• 1 i I. • • • . - i I I. i '.;5 E iB A C K.. S k , y rz i i i •
CITY LIC.: , STATE LIC I CLASS: 1 .• , s • _- I l• - i + ++•
• I
Date: signawre: MAINtit t fBUILDiNG I i 1 • ' ACCESSORY BUIDDIN( -- —
WORNERS'COMPENSATION DECLARATION. thereby affirm that lhave acertificate of consent to sell insure oracertificate of WorkersI FRNT: I FT • IN REAR ; FT IN I FRNT�: FT : IN •REAR : : FT „ IN'+ ; i
Compensation Insurance.or;a certified copy thereof(Section 3800.Lab.Cf. , t I i - 3,,EF,T; i , ' FT,I • . IN RGH T• : ' ! FT . :IN-, - •I- LEFT 1 FT j IN `PCiH T:I ; fF T I _TN • {
0 POLICYINO.: ! • EXP.DATE: t i 1 I J ;t , • ,. 1 I i ` i 1 . { . '; ' t
•
'COMPANY: PARKING REQ: ->',.. PROV, ,PARCEL :` 422492 i2 ZNE: I REF NO: ( ' : f
] _Certified copy is hereby furnished; 0.Certified copy is tiled wilhltne city Building Division 1 t PLANNING NOT US>• • '._ - 1. _, ! _ _L _ , •w_ ,, _ •o • ' •
Dale: Applicant' iE**+'*ii****4.4*y'.};.)(4*** }'-**{r:-TF******)(IEY#•****-*{E**I #aert***k i,E*k***k*3xk*x-***} >rti4•444(4“iii-iek
• EXEMPTION FROM WORSERS'COMPENSATION DECLARATION:,(This section need not be completed if the permit is for one hundred WOO)or less).1 ; ,1 e1•
E i V 'E L 0 P'-M!E N T S :E -R V I! C }E_ S I .R' El Q 11 I R 1::• M E •N I' '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 become., ` ,• , r .1 I I , J
subject to the Workers'Compensation Laws of California. %OWING APPROVED BY 3
t •
I_ DATE I
Date: ._ Signature: _ .. .__ .: �_ —__ 1 .._ _-.__ . . _ - - .• —_ir -�.. y
NOTICE:II,alter making this declaration you should become subject•to the Workers'Compensation provisions of the Labor BUILDING APPROVED ,BY ' ' i : ' ' DATE: I t s
,Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. - - '
' CONSTRUCTION LENDING AGENCY: I heretiy affirm that!here is a construction lending agency fon the performance Of the work for r APPLICATION rss WED- P Y; I , I `' I • I, DATE.: f `7/'{ `r I /
which this Permit is issued(Section 3097 Civ.C). ' ' ***,4**tE i4****M iE i(H•k-X• -**§1+0}:h$3(1cre*ee)f if 1 ***ie (....-.4****14.**,FT•I JEk#i4(-**h•X•Y- ✓V x- x•Ate
DOHESR: _I _ _ 46t•-*} Y{E**!c3.)-kvif•i?kieWy4k-,ieaf.)( B*ii•X. eiA*-1( kif-1i{e**X:14-1e-li- tEee ii•kX--Y{ei1{iNkit iFie>ar..:1(!) (-?e*iEh:>a /{tej('ee X.iE tYT4 .. _
ADDRESS:. • 1 F E E I S U, M 'M A R' Y ' SITRUC t'JRPL SEGMENT GMEN T i Y
f LEGAL I`LATI1 N . •' •
r y r :; It- ( r r i y ' � r -. I i I . I' f • ) 1 • , ) I
OWNER BUILDER DECLARATION:,,I hereby affirm that l am exempt from the Contractors'State License stwcl aw for file following reason 1;, , } ! BLDG PMT ! -PLUMB INC 1 ELECTRIC • MECHANIC : • 1 Fe RE " SM IPI/RES , GRADING
(Section 7031.5 Business and Prileusionzl Code:;.Any city of county which requires a permit tb construct,alter,improve,demolish,or —ERM I1'' , 5 4 :0.0' -- I '•- 6 OO + a 6 , 00 - + •
repair any structure,prior to its ontraie.also requires the applicant for such permit to fife a signed statement that he/she is licensed t 'J'O
D
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commenting with Section 7000)Of Division 3 of the Business r '4'15, I i S O I '• I S 1 P'/ N—R ES ' t
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' t .r ' t - - a,. i
any applicem for a permit subjects the applicant to a civil penaltyof not more than five hundred dollars($500). I rt -' ISSUE FEE- . + ''' - 3., 00- • ' 15 , 00 ' ' I ''-` ,"�I. 5+4.--
"I, as owner of the property or my employees.with wages!as,their sole compensation,•will do the work, and the, :'BUILDING—DIV—i> ' 'PERMI,T . t ISSUE • ,PLAN=CHECK ! TOTAL' T, )\-PAID-- . ' DUE' '
7�. structure is not intended or altered for sale(Section 7044,Business and Professional Code:.The Contractors'State License Law r TOTAL S---:> _ 166. 50 : 48 :00'4- ' . 1 0•, 00 '1 84 ,'-50- 8"4'''.„504-", ' , 00 i.
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or•through .- t� • t r, • ,
' his ocher.own employees.-provided that such improvements are not intended or offered Ior sale.II,however the building or - ` 1 • '
{. improvement is sold within one year of completion,the owner will have the burden o1 proving he/she did not build or improve, ,REVENUE, DIVISION. TOTALS——> COLL EC TED': 84 41, 50 0 OVER/SHORT: i.}} ( '.0 0 •• V !
for the'purposeol sale). • : ' ' ' '. - ; t — - .r I = •- BLDG PMT PLUMBING ELECTRIC MECHANIC.. =IRE , S+MIP/TOT GR'AD'LNG?PLAN—CHECK ,
, I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business: - • 54 , 0 0. i 7 ! 9•. 00 ••••2 1". 00 ' ' 1 'I I • J�' ! , 50 , ,Y •;• "! ' ,
• ❑ ' and Professions Code: The Contractors'State License Law does not apply to an owner of propertywho builds or improves thereon • + • I _t ,, ' • ' I I i =: (i'
'and who contracts for such projects with a cantraclor(s)license pursuant to the Contractors'State License Law).tam aware 1(1E-{E*'as{ **(a.:*.k**;*****{e'*****a!*)fie**L*1**{e**};.a(.***,) *,********4..ii***4***4.44 ;a*4.:e E**?i;,,_._W.b'4(k I
' that proof of their Worker's Compensation insurance should be provided to me. t , , i
,I am exempt under Section: B.8 P C. , • ' I 1N D I V I D U A L F E i. B IR E A K D 'O W N i, :4 - 1
0.. for this reason - - 1 +
j IZ V TYPE 1 .QTY ' D 'E; S C R. Z ,P T I O; N i- ; UNIT COST i7 TOTAL CUs T
r //�� /
/4/,117( , 1 Owner: [.C.GL!/.- - 4 • I . . r ! - - ' • I -
Oale: / /J I 1 �' I
Idohereby certifthat Iamaware ofand understand the reu+rementsofCalilorniaHealth and Safety C •ode Sections 25505.25533,and J SFR 1 ' 3000 ? .1 ALTER 3Y VALUE' RESIDENTIAL NO'7,OAJt • { 11 . U0 • I . { 3,.000 . UO' >:
25534 and.that I or any future building occupant will/will not requirements
one)need to comply with said state codes and the requirements for a EL E. -- .I. . 8. .1 _ ..L "I ES LIGHTING 1' ST 2 0 EA, } •, '7 5 6 .00 1
• permit for construction or modification from the Air Duality Management District?Residential construction applications are exempt hunt' PLD ,•IB+.. ( --.. SI-NE, .K:TCHEN , , i 2 ,00 i 1 ;.� , 00 _ i
mese provisions. ; ! ' .t PID '1 ; WA RBC%OSE'T ( TOILET t I. , , ; 2 ,00 I I ' .UU
Date' - Applicant• , END OF =LES; "' { •
I hereby certify that I have read this application an tate that the above information is correct.I agree to comply with all oily and county• , E'XPIR'ED 1 , , I i { ,� +
ordinances and stale laws relating to building con uction and hereby authorize representativesot thi yto nter upon the above-mentioned' -• }- I - - -' '--Incomplete Inspections• : I + i
pr0pelly for inspection purposes.
��' + - I ' , t •
l t t • I
•
•
• Date: i112‘"/' /( ' ignalure: lX�„—'— _l I/ i (' • \ i ! . I i + J
1 Date Sig j
Drivel's License or Social Security
Applicant:Pink-Revenue:Goldonrdd-Assessor - - I ' - '—' -• i - _.. OR IE; O4'/25 9.1 TI%E: 16:3 �-• — t
•GONSTRUCTIONts�:PLANNING•,- = ___ - PO .SPA --- • - _ -�
j ,'-„ I ,� Date ` Inspector Date Inspector
L' ; ...APPROVALS Permit:# " _ ._ j _ APPROVALS .Permit # - -
I 7. :1.`Temporary'`Electrical Service or Pole i 52. Pool & Equipment Location • i - • -
2. Soil Pipe-Undrgrnd. - - 4. 53. Steel-Reinforcement . •
--•
•I 3. Electrical Conduit Utility-Undrgrnd. , _ 54. Forms , r '! ' .
4t Electrical Conduit-Undrgrnd. ; _ 55. .Electrical Bonding ,'_
i . 5. Steel Reinforcement - It: 56. Rough Plumbing`& Pressure Test - _ • ". `
r 6. Electrical UFERGrnd. . 57. -APPROVALTO:COVER-GUNITE
i 7. Footings 58..Electrical Conduit-Undrgrnd.
'8. Foundation 59. Gas Pipe, 0'Undrgrnd:;Test .I
, 9:Water Pipe-Undrgrnd. 60. .Backwash Lines,.P-Trap, D Undrgrnd.
f 10. Structural Floor System ; , 61. APPROVAL-TODECK /1
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final ' . _ t I,
12. Sewer Cap 1 - •„
63. Heater & Vent-Final
r 13. Roof Drains :if - 64. Plumbing System - Final•
l..r
14. Rough Plumbing - 65. Electrical-Final •• : !'yl t
15. Rough Electrical-Conduit • 66. Solar-System-Final
i ;7'216. Rough Electric Wiring _ 67. Fencing & AccessApproval ,t.'' - _
' 17. Rough Wiring Sign = 1"::_ ' 68. APPROVED FOR PLASTERING'
8 ?
18. Rough Electrical-T BarCeiling t ; t' ,
F �� 69.-POO LlSPA?S.Y.STEMSIFINAL ,, „-
I
- '19. Rough Heating &"AirConifitibnirig` " r -• ••"' . ' - FIRE DEPT.-REQUIRENIENT
20. Rough Factory Fireplace APPROVALS 'Permit#
21. Ducts,in Structure 70. Underground Hydro .
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test - _ ,, '72. Underground Flush .
24. Roof Framing •� u
- - • • 73• Undergrnd.Storage Tank CI 0OiI a
25. Roof Sheathing • - - 74. Overhead Hydro
•
26. T-Bar Ceiling (Structurall-& Monocoat • • t 75. Dry Chemical ' '
27. Frame and Flashing. . -r '76. Dry Standpipe , ,- -
17 r
28. Lathing & Siding _ - 77. FIXED SYSTEM-FINAL
•29. Insulation, . 78.-FIRE PREV. FINAL ,�
•30. Drywall Nailing .. HEALTH DEPT. REQUIREMENT Iv' - `%
31. Plaster Blown Coat • 79, FINAL INSPECTION , . , . 'L i
32. Electrical Power Meter-Final • • 80. .FOOD CERTIFICATE ISSUED •
33. Final Electric - ' Notes:
34.-Final Heating& Air Conditioning , - - - � •�••
--35. Final Gas Pipe-Test - : -
• 36. Hood or Canopy
37. Final Factory Fireplace • _ .•••\ •
38. Final-Plumbing + ' ' -
39. Water Service-Final
' 40. Gas Service-Final • ' • E - -
41. Solar Domestic-Final. - • •• -
42. Backflow Preventer., . , , • -
_ 43. BackflowT Irrigation •- - 1 •-•R ,
44. Landscape Irrigation System . . - +, t, „ t
45. Sound Attenuation - C X P I R C D - .
Incomplete Inspections
46. Handicap Regulations , •
47. FINAL STRUCTURE & BUILDING . =,.Date'r2 SS$ /
48. FINAL PLANNING -• '
49:. Electric Release to Edison -i.' i -
50. Gas Release to Southern California Gas Co ,r7' 1 _ _
51'. CERTIFICATE OF OCCUPANCY -
No. - Date,:
•
E . - -. .
71411"111111
CITY OF COSTA MESA _A
•
• 11"711
BUILDING DIVISION j
• OWNER-BUILDER—VERIFICATION •
-
•
• A City or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention PropertyOwner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
•
1. I personally plan to provide the major labor and materials for construction of the pro-
• posed property improvement.„Yes 0 No
2. I (have/have not) AAU/ • signed an application for a building-permit for the
• proposed work.
3. I have contracted with the following person(firm)to provide the proposed construction:
Name • •
•
Address City
• Phone ( ) 'Contractor's Lic. No. •
•
4. I plan to provide portions of the work,but I have hired the following person to coordinate, •
supervise and provide the major work: •
Name
Address City
• Phone ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted(hired)the following persons to pro •
-
vide the work indicated:
Name Address Phone • Type of Work
pp PArn,i io
• e-X r5 Ti v Si,/lvc1✓2e
,04ii,o • 'o iJ y *AA/ EA-
72
•
•
• I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
• sonal knowledge, in compliance w th this State law.
Signed: '” l/ Date: 9/ q /9/
Name:
(Printed or Typed) -
C.D,L. # or S.S. # % •
•
•
754-5273
1042-46
•
OWNER THOMPSON :R: -W:-- DATE 12-5-56 _.� ..
JOB ADDRESS 2044-National Ave.. BUILDING PERMIT NO. #4018
GENERAL CONTRACTOR Owner Bldr. VALUE $ 396.00
AP115-377-9 •
LOT 215 BLOCK TRACT 1712 Cony. carport to gar.
GROUP J- • TYPE V ZONE R1 FIRE DISTRICT 4067
PERMITS ISSUED
INSPECTIONSDATE SUBCONTRACTOR DATE - NUMBER
,�..//��
Footing Trench n•-"Ig-t /a —.7—r
•
Foundation Forms and Grade to Garage
Rough Framing -ev4 .2—6
Plumbing,Rough to Slab
Plumbing,Rough Complete
Temporary Pole
Wiring, Rough
Heating,Rough
'Heating,Final
Sewei', House Sewer, St.
Septic Tank or Cesspool •
•
o _
Lathing, in Outx��/!�-a t -.2t, 3
Plastering 5-- 7 .
Plumbing,Final,Fixtures Complete _
Plumbing, Final Gas Test -"
Wiring,Final •
Occupancy .0 7`S 7
' FORM 210 3M 10.55 4018
Costa Mesa Building Department . u APPLICATION FOR PERMIT
111 EAST 20th STREET BUILDING
COSTA MESA, CALIFORNIA ��� Q1y
i FOR OFFICE USE ONLY 1
FOR APPLICANT TO FILL IN 'I / 11 __Receipt No. , _ P mitrNo.o. !
Buil"Address a o T'I !V � / / it h K I.. rim : ' . ' -' 0 737
• ` ' a Received by: Date R.c'd. / Da ssu 4-
CrossSt.
Costa Mea CaliforniaNearestk3 ? • Building /z `4J D v 'i Address /�e1c771 /Q4O4/2„,e,f , t/;Ji-
Owner R. W ..0„ d )-„i'D S a RI Costa Mesa, California 1
Mall
Address a o hH- /)/a7`I () A n t- A ye • • Nearest t
�/I Tel, y // • Cross St. •C�- yy/� i
-City t� a S'ta Me S Z N0,10-$-h)1 ` Zone No.of Type Group Q.
Architect or Lic. f� r I Plans _/� I n,
Engineer No. I.
Approved '
by . Date
Address CORRECTIONS
City Contractor 41-ar a y Deal No. Lie
,/ ej�jG � _ cr 5 -e� '
Address - .EJ- C
LegalLot 2 I ) J P; " !
Description I No. [,Cr Block Tract —__. — ,
(Attach Metes and Bounds) ' )/•5 _3 7 7-7 a ; : ti r ,.to .., ,. ? + r i
No.of Bldgs. /
Size of Lot (A X I Now on Lot CITY OF COSTA MESA
0
Use ofNo.of No.of Pl.7oNN 11•1G-ULY - -
1. _. - 21
Existing Bldg. ■ . .I Families I R•- s av:fp..-•'r.. - • - O
Setback Line from Rear Yard 'rimae'
Center of Street � Side Yard p r `— - -- - - j
DESCRIPTION OF WORK r _�. r•�� r
BY TiT .
�/ f L,,,:TC:;r•-•-C.-
New "I' I Alteration I /\I Addition I . .... . _.... la,... u,oiiraciwofb
v
Repair • I I- Moving I I Demolish I }.. r.i1.;iud n svdsd 1..':nrit taogol4 C-1
BuildingizeitX'�� No.of I
Size ! Rooms Stories
Exterior Wall ,... Roof t� '
Covering „s' U C L U I Covering `X 15T1 hcii APPROVALS z
Use of New
Building ry t' a A �, ' - Foundation Location Inspector Date
�C Nt4e 2. /.0 Forms,Materials,
iQf C - Under-Pinning
PG ' re Qu Frame: Fire Stops, N
Bracing,Bolts O
eatI!. O.
'-I hereb acknowledge that I have read this Application!s Lath. Int.
Alaa''
and state that the above is correct and agree to comply;;., Lath. Ext.
with all City Ordinances an. State Laws regulating,
building construction. •
Signatureof/ ���, Plaster, Int.
Permittee ui 1. -.i"J-a r. Plaster, Ext.
Authorized Agt. IA
;•,,S.-
Masonry Reinforced
Valuation Permit Fee $
sr?
/ Plan Check $ -- Bond Beam O
$ '� (� Total0
Fee $ A -•- FINAL
1'FORM 204 0-14 214 5.59 `'
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• a_ , .41; ii-r., ..-1:,-. youl
ORANGE COUNTY BUILDING DEPAR?MENT• .APPLICATION,FOR PERMIT •
- 636 Narth Bidadwoy _ ) - • _
.. ` -:- - -SANTA ANA, CALIFORNIA }- __
,. ...,,_:11.UIi.L.D.I.N.G-.-- - - -1 1
FOR. APPLICANT TO•'FILL IN- I ' . f--FOR_OFFICE.USE.ONLY---1..,- i
- - - R EIPT NO.. PERMIT. NO.
,. BUILDING 2
• ' _
'ADDRESS 2044 National Ave. - . . �: '� �; ' U .�n3 ,�({/�
SCHOOL DIST.OR TOWNRECEIVED BV DATREC . 2 DATE ISSUED
NEAREST' Costa MP BR ,^? ') •
9".r
r E 'D
i (J 3 q' 3 `1j'�- 'JV11
' CROSS ST. . ••Onk St_ - -
1� •
BUILDING ''ll ,'II�� �/'� -{ _'//n
OWNER Mohawk Home s• Inc.. • ADDRESS 1 aV �T.'- 9 Ia�(�'YL.Q� , I
• ADDRESS 9363' Wilshire Blvd. .- SCHOOL DIST. Eta_ I. tt tt
OR;TOWN 1 \- /-Q� _.•I f
• TEL.
CITY tun Aa c r1 y WI 1 1 q NO. CR 54:151 CROSS NEAREST
T.1 9
ARCHITECT SR . nn� ♦R v IC. ZO NO. OF TYP GROUP ,
'ENGINEER us in & MoKerrnc r / '.I I PLANS .
ADDRESS E I •
/x
2110 WA1 n,lt-Pgsanena PPROVEDI
/nom /_
LIC. BY. 'ISL.. .Imo- DATE -f '
CONTRACTOR Newport Vi ntn NO. 1 R5RR2 ( ( CORRECTIONS
ADDRESS 9363 Wilshtre-Be verly Hill: I . , . - . i ,
DESCRIPTION I NO. 2151 BLOCK I TRACT 1712 ,
I ( j I
(ATTACH METES B BOUNDS) - • I
c NO. OF SLOGS. ' . -
SIZE OF LOT 66 J( 110 I NOW ON LOT 0. ' ii
•
USE OF NO. OF NO. OF - I I
EXISTING BLDG. .I FAMILIES I ROOMS 1 r-.- -T -• ----','--,
I
SETBACK LINE FROM: -. REAR YARD {.h(I n - ++••• •
50
CENTER OF STREET T t SIDE YARD- - )", ,
DESCRIPTION OF WORK • $
NEW I g [ALTERATION I ' I ADDITION I %7Ia4d`d Itt).:"1 2
REPAIR _ I .- I.MOVING I _ I DEMOLISH I `ono(I ,c4Jl(Luc( i a„u V
I, ,1:4-.1,31 VY lel m r
•
• ..;-:11:...: '.....- ...s..;;1.......- .-.-.:1 ..:.........+
SIZIED11`034 -sq
4.t,NROOOMS, 5 STORIES _l . .
EXTERIOR WALL- - ROOF Lo p9 '
COVERING St,lcnnl COVERING �flingle • .
USE OF NEW .
BUILDING - '.Residence-Att_Carport •
. ' . •
APPROVALS
"FOUNDATION: LOCATION INSPECTOR DATE •”
' . I HEREBY ACKNOWLEDGE THAT '1 HAVE READ THIS FORMS. MATERIALS, /•J�(/J ;/-V�)L
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING (� !-1 '2
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. ' -'
BRACING, BOLTS /�Z.G�
j --TJ T •�' //'-I/F A�..5
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT. //� I /ni ri �`v
' SIGNATURE OF /f LATH. EXT.
-C
' - PERM ITTEF Newport Vie o. PLASTER, INT.
•
'AUTHORIZED AGT ` / \ PLASTER, EXT. 1 J1 D L�'p-
' PERMIT.FEE $f 2, MASONRY REINFORCED . .
VALUATION . $ 4830.00 PLAN CHECK $ -
` � BOND BEAM {' �•
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