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Home My WebLink About1650 MINORCA DR - Building Permits �� . CITY OF COSTA MESA • :4 :4 ` 7 BUILDING DIVISION � / I-` - ' DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMIT NUMBER AP B98-01609 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1650 MINORCA DR Status: ISSUED Suite: Applied: 09/08/1998 Vicinity: Issued: 09/08/1998 Parcel Nunmber: 13928133 Zoning: R1 R1 Applicant: SWORD, LARRY Address: Phone: 714-751-7663 Zip: Owner: WELCH,-,ROGER E , Address 1650 MINORCA DR . Phone: ,COSTA MESA,CA Zip: 92626 Contractor: Address: - Phone: - Zip: , License: - Arch/Eng: - , • Address: - Phone: . Zip: License: SCOPE OF PERMIT , T/O EXIST ROCK ROOF AND INST 2 LAYERS 15 LB FELT,30 YR ELK COMP. • FEE SUMMARY - ` Plan Check: ' $0.00Calc Valuation: ` $7,289.00 Permit: ' $137.25 Claim Valuation: . $7,289.00 SMIP Res: $0.73 SMIP Com: $0.00 " Other: $0.00 . Inspection: $0.00 • Total: $137.98 PLANNING &ZONING • SETBACKS - MAIN STRUCTURE Front 0-0 Rear 0-0 - Left 0-0 Right 010 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 ' NOTES: • EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 • • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: •,. ❑ 'have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'.compensation Insurance carrier and policy number are: Carrier: Policy Number: (Thi ction need not be completed it the permit is valued at o e hundred dollars($100)or less.) I certify that in the performance of the work for whit is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws.of Cal' rnia,a agree that if I s d become subject to the workers'compensation provisions of Section nn3700 of the Labor Code.I shall forthwith p ' these rov' licant Sigri J/ Date: lCx' ING:FAILURE TO ECURE WORKERS'COMPENSATION VERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($110,100),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u •:r•r• 'sio• of Cha ter 9(•• encing with Section 7000)of Division 3 of the Business and Professions Code,and my licensS�s•ull force and eff: Lic.x d • Class a J / ure: - -'_/i!'9! Date: 9— /]— / (( CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5.Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation.WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors license Laws.). ❑ I am exempt under sec. . Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five (5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: . Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presentty required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? YeS LJ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF •MPLIANCE AND AUTHORIZATION OF ENTRY: • ify under penalty of perjury that I have read this application and state that the information given is cone-. I ogre= empty with all state laws and ordinances rel: : to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov: de • •roperty fo insp •• purpose agree not to occ,•'or allow occupancy of any building authorized by this permit until final Inspection. 'A S•n= • ner(s- ) Date And/Or Authorized ••plicant Date LODE I. INSPFCTION TYPF • DATE IN1m96S =DU INSPECTION TYPE all =ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final qp 208 Final Plumbing p 200 Final Re-Roof Q Z /- [!7 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446.46 / • • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.• - • CITY, F COSTAIMESA I CONSTRUCTION-PERMIT- PERMIT NO. I ! TRACT NO. i + LOT NO. i t mUN1T NO. l ' 7.a-y - II, P l / t I�1 i 2846 I. .. . Project Address I t0 5-0l r•-(��l/IyUttg1(G`S,L� Y r t ( t0�`�-1 '. • I • l ?p`l` 1 ' I f - ' , • I ,� Applicant's Mailing Address Ka.. ./s W . ..JX- A-6-LLt� ' _TYPE OF CONSTRUCTION ❑ NEW .U'ADD'%.4LTERATION LJ REPAIR • r•• r I - `/J OWne( • ry5 Name t1� I (� Ill CONVERSION ❑�DEMOLISH El-OTHER ER VIII- "'--- I AP. = : Zone • Ic19QAl1/4. t A7•C�-2�P'� '•-• 4� �b� DESCRIPTION'OF WORK/USE OF BLDG. ' - 7 - r r . .• O ' Address `t•p STD mA.iVCiJ-'tiC- r\ ' '' , - - ' YI •E Main Building - I Accessory Building: ,Z �A• tch/Eng. I ' - - License'N6 'ttgS -' 4 TYPE OF PERMIT. ❑ GRADING ❑ FOUND TION ❑•ST,RUCTU RAL. T Front - ;• i, ' q ' - El TENANT ❑ ELECTRICAL, O PLUMBING • MECHANICAL �B ; r - + 1 N I Address r -c - •. gear �3S`fa� ( ❑ BOTHER ' • _ i _ r i -I A I • 'Contractor's Name H�,A.A/1�.ti.�0 1 I�X..r.1'.,�-ts'r Phone �P - • Cr Right ! _+ I . i - N .I a I• •- _ r PROJECT DESCRIPTION SQ. FT. ' • . OCCUPANCY •• __ - f G • Address(mailing/ aa3 --w• -�-*_ �' : i . K I . 9 ; .3{ ❑p ty r , CONSTRUCTION TYPE ' VALUATION $ _ ' Left • - . ' ' ' l ,� , City License No.. 1 D O ._.. - ' 1 - - S. R{ I - I j ° { ZONE • ' GRADING CU. • ACRES Pl ng.,Ref.(# i f ! Parking Req./Provided tE' i IICENSED'CONTRACTOR DECLARATION 1 G i I hereby affirm that rem licensed under pro(isions of Charter 9 (commencing Remarks: i , ' Planning Notes:. I_ M I ;with section 7000).of:Division 3 of the Business and'Professions Code, and - - • T my license is in full for$e and • fect. �' 1 • .• S ' I License Class `--— -410 y s Lice !N•. - • • �, (Date i l =I L S�•Signal i �_ l ' PLUMBING ' •„ • FEES' -1 I I 'I I WORKERS'COMPENSATION DECLAR• ION , • i , + ! 1 1/ I I hereby affirm that I have a certificate of consent to self-Insure ora certificate , Bar:Sink Showers; ! , ELECTRICAL 1 'FEES of Workers' Compensation Insurance, or a certified copy.thereof (Section _ Backflow Preventer - �• - -- -Service Sink - - - I- ' - ' -r - Automatic Washer -- - _ ' Transformer- -15-50 KW ” i r 'icy No. Set Company Backflow Irrigation Sewer Ca 1 ' 0 50+ KW I I 1 P - Construction Pole Sub. l +, 1f Certified copy is'hereby furnished. • s' ' ]Sd Certified copy Is filed with the city Builtlin iv Ion. ,/7' I Bathtubs • Sewer Connection, �• Cooking Unit I , i 1 Meter ❑up to 100 amps. r , Date 1-- I G. -A.�'APPIic t �r�-.. - _ EXEMPTION FROM WORKER ' OMPENS TIONDECLARATION' Clarifiers ' • Solar Collectors I - Dishwasher Meter ❑over 100 amps • • . (This section'need not be completed if the permit is for one'hundred ($100)or - , �)" .less)-' Dishwasher Solar Piping ' Dryers ❑Gas ❑Electric Sub Panel •1 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 subject to the ; Drinking Fountains 1 Solar Tank • i • Fan Motors DO-1 HP ❑1'/x-8 ' I 1 ,Workers' Compensation Laws,of California. , - - - !Date Signature - • , ; Floor Drains • SwimmingPool w/Spa + '- ,NOTICE:If,-after making this declaration,you should become subject to the 1 p f F.A.U. Inc Solar 09-15 HP 016-15+' Workers';Compensation'provisions of the Labor Code, you must forthwith -. . Floor-Sinks -.--. L _ _ Urinal--t- s Fixtures - - - + - ' - - - - - - comply with such' provisions or, this permit Shall be deemed revoked. T + - I , , "( Microwave .CONSTRUCTION LENDING AGENCY' - • Gas Service Outlets ,-, Water�Closet r• i - - Device Boxes ' ! I Hereby affirm that there is a tonstructionlentlinq agency for the performance` ' "' - - Pole Light' , 'of the work, for which this permit is issued (Section 3097 Civ. CJ • i - - _ ' (Lender's Name - •- I .h . Interceptors _ •_ Water Heater' r,- ' I ' Outlets Range ' I • •Lender.'s Address' • _ Kitchen Sink Water Service I _ , Switches Sign' ' OWNER BUILDER DECLARATION -- I -• - ' I hereby affirm that I am exempt'from the'Contractor's-License Law for the Lavatories- I . Auto-Wash ' ) , - I Garbage Disposal :Standing Sections , I ' following reason (Section 7031.5 Business and Professional Code: Any city,or .1 ' , county which requires a permit,,to•construct,alter,Improve;demolish or repair. - P-Trap <' + - , Laundry Trays'r 1 , ,•. , „ Generator 00-5 KW.05-15 KW Trash Compactor •any structure;prior to its issuance, also requires the applican Lfor such permit • - - - , ' to file a signed statement that he/she is-licensed pursuant to the provisions of ' ` . , - - , Roof Drains +� } __ . I ' -the Contractor's Busi Law 'arofe 9(commencing with Section is x)of .• 1 - - - ) ( i I 1 I I . therefrom and 'of the .Business and'Professions Code) or that ais exempt - - - therefrom antl the basis for the allegedperm exemption. Any violation of Section ' _ - + I ' '031.5 by, any applicant for a permit-subjects.the applicant •to' a civil t ' - '�' ' • - _ natty of not more than five hundred dollars($500). . - . . - _ ' - . .- I • " - - - : - , , 1 1•L as owner of,the property or my employees'with'wages!as their sole ' ' Reinspection Fee 'I 4 $15 Issue Fee `' i •$ 3r I 1 _ , • compensation, will do the work,and the structure is not intended or offered ' - ' Reinspection for sale -(Section 7044, Business'and Professional Code:!The•Contractor's ' r' , Fee ` $15 Issue Fee 1 i •$ 3' _ r. MECHANICAL; FEES ' License Law 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 - 1 - - . 'DEVELOPMENT SERVICES REQUIREMENTS: i 1 • employees, provided that such improvements are mot intended or offered for ' Boiler -' • _ Hood or - Type I '0 .. I sale If, however, the building or improvement is sold within one'year of com- CauOpy •• Type II ;❑ I Zoning Approved By • - Date , I pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground I ! • _ I Building Approved By ; - • t Date • ' prove for the purpose oflsale): ' .. , • ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • ) ' Refrigeration System - . . i Application Issued By ' I 4 I I Dat: .. i I . `tractors RS construct the project (Section 7044,Business and:Professions Code: - , The Contractor's License Law does.not apply to an owner of property who Duct-Ventilating ) D0-100,000 BTU 0100,000 BTU • I - ' SUMMARY OFIFEES I • I-builds or, Improves thereon;and who contracts for such-projects with a con -• - -- "' - - • ' '—_- _ I + i I tractor(s) license pursuarit to•the Contractor's LlcensehLaw).-I am aware that ' Ex)iaust System 0 Multiple 0 (System Repa a/Alteratioh t BUILDING PERMIT $ • SMIP I �$ _ I proof of.their Workers Compensation insurance should be provided to me. • + 1 I 1 I , • I , )— - - I - ! PLAN CHECK $ PERMIT '0 1.am exempt under Settlor; e:&P.C.for this reason Firepl/Fact.Blt. ICBG# Flre'Dampers 1 I ISSUANCE I$�- ' 1 • • I ' ' I 1 - ; PLUMBING , '$ I Date 1 Owner i I - i ` rHc3ee__ating System&Ducting '_ I Registers I ? - - PLAN CHECK 25% $ i )• 1 • ENERGY P.C. �$ I I 1.I hereby;certify that I-have.read;[his'application and state,that•the above ' '- :OD-100,000 BTU•0100,000 BTL" • - --- -- - I t GRADING; ,$ _ • t information islcorrect. I:agree to comply with all'city'and county ordinances - y/'' 11 . 1 ELECTRICAL '$ , and state'laws relating t. building constru 'on, and hereby authorize repre- I - ; i - I ' MICROFILM $ • •• I ' sentatives of this c'. '1. enter 'u'on t above-mentioned property for I ) - 1 ! Il f I I PLAN CHECK 50% $ I i 4 Inspe t' n purposes; f C7 � '/ '8, I + MECHANICAL . ,$ • +' °� z- [ _ (a_ `/ • TOTAL FEE i$ _ ��s LJ Signa re_ 1 • _ Dat • ' • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% '$ • • l , • �Dri rz' Lir•se or �f ' - _ " .i _-.v __. ._ CMF 0965-46,rev.10/84 White ' Building; Canary -Applicant; Pink -Accounting; Goldenrod-Assessor CONSTRUCTIONANO. PLANNING ' - ti r POOL.i. A ' - ' ..APPROVALS : Permit - Date Inspector` s APPROVALS. •Permit# Date Inspector 1. Temporary Electrical Service or Pole - . - • 52.-Pool & Equipment Location , i 2. Soil Pipe-Undrgrnd. _ I - 53. Steel Reinforcement • - 3. Electrical Conduit Utility-Undrgrnd: 1 54. Forms - 4. Electrical Conduit-Undrgrnd.' _ .' 55. Electrical Bonding , 5. Steel Reinforcement' - - 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. it:. - - 57..APPROVAL TO COVER-GUNITE - r 7. Footings' 1 I ' s-,C : - ' *58, Electrical Conduit-Undrgrnd. 'L 8. Foundation - • . !; -.59.-Gas Pipe, ❑-Undrgrnd.,'Test 9. Water Pipe-Undrgrnd. ' ' ' - _ . 60. Backwash Lines,P-Trap, 0 Undrgrnd. ti 10. Structural Floor System - 1 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 'Ix<• 62. Backwash & Receptor=Final" - ' 12. Sewer Cap 1 ' - !• I - 63: Heater & Vent-Final , - _ 13. Roof Drains - 64. Plumbing System: Final - 14. Rough Plumbing 65. Electrical-Final - • • 15. Rough Electrical-Conduit - • - 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 Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace r • APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro _ 22. Ducts, Ventilating - i • . ,71. Product Piping ❑Gas- 0 Oil ' 23. Gas Pipe-Rough & Test _ - X72. Underground Flush 24. Roof Framing. ' • ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing _ - ' 74: Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - - - - 75. Dry Chemical • - 27. Frame and Flashing , 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - - . •78. FIRE PREV. FINAL 30. Drywall Nailing - i r . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat' 79. FINAL INSPECTION r 1, 32. Electrical Power Meter-Final - • 80. FOOD CERTIFICATE ISSUED 33. Final Electric - , _ Notes: •• 34. Final Heating & Air Conditioning /z7 c 35. Final Gas Pipe-Test _ • - •- - 36. Hood or Canopy ' 37. Final Factory Fireplace - , r - - 38. Final Plumbing 39. Water Service-Final - ' • -t. - 40. Gas Service-Final - ` 41. Solar Domestic-Final :' - - - 42. Backflow Preventer _ - I - • 43. Backflow Irrigation • - - - - • " 44. Landscape Irrigation System . • - - , - 45. Sound. Attenuation • ' , r - 46- Handicap Regulations I • , • . - - - 47. FINAL STRUCTURE & BUILDING. 1. I 1 ' , , 48. Special Requirements Completed: - , :' . - 49. Electric Release to Edison • 1 : ' : r , -., '50. Gas Release to Southern California Gas Co • , 51. CERTIFICATE OF OCCUPANCY - - - -, - - - - No. Date - _ . - - - . . . - --- - . - - 10775 • FEE RECEIVED ,,i-S .S`I V L . . COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA - CITY OF COSTA MESA . fOR APPLICANT TO f/LL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 1650 Minorca Dr. �A COSTA MESA, CALIFORNIA . fOR OFFICE USE ONLY OWNER G19 nverde Homes, Inc• RECEIPT NO. PERMIT NO. _ MAIL Box 65 - RECEIVEDBYDATE RECEIVEEDq DATLS{�ISSUED ADDRESS / � - / /. .2r5/ I no 6 1g ici CITY Balboa Island TEL.OR 3422 BUILDING/ /,- /, 5 NO. ADDRESS /C.p 5C1l6". �✓ / - ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. IRE ./ �//� /� ADDRESS _ ZONE TYPE GROUP V 74 MACCO CORP STATE 98808 APPROVED CONTRACTOR - LIC.NO. BY DATE ADDRESS BOX 65-'Balboa 'Island ZONING 3487 ZONE ^ NO.OF I USE OF NEW ^. DESCRIPTIONL IPTION NO. /LOT 98 I BLOCK I TRACT /,(`J PLANS // BUILDING /yu/f/ A.P.NO. �fM BBYPROVED 44.1.79DATE // ,4 /-y OFSIZE LOT /000 I NO.OF BLOBS. YARDS EVES / / NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.)_ EXISTING BLDG. FRONT .5 O FT. IN. SETBACK CENTER OFI DATE NE FR .SO REAR YARD 31 R.SIDE FT. . IN. SIDE YARD (LEFT 5 (RIGHT 5 L.SIDE S^ FT. IN. DESCRIPTION OF WORK REAR �) FT. IN. NEW 1 X ([ALTERATION I I1 ADDITION 1 /1//4-4'0.4 A--al ✓/ .- rt It///#in / REPAIR I MOVING 1 II DEMOLISH 1 ....0.....-. 71-2., 0/... Day BUILDING 1504 430 RNO.OFOOMS 8 STORIES 1 i( y/_''/, "�/�/�/ SIZE COVER NGEXTERIOR �tluC'C'0 I ROOF COVERING ROC USE OF BUILDING AND WORK TO BE PERFORMED Dwelling „dr „ • . so o / ,i.. lam @jzti% /i L--r7 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 OF ESTABLISHING A PERMIT FEE ONLY. ` BUILDING CONSTRUCTION. VALUATION QO a /, a O TEE 7___erde ones, Inc. 39,,,c--.- PERMIT FEE $ i3 r �(- Ii- C $ / D 76-- PLAN CHECK $ J /: CO , AUTHORIZED O " TOTAL FEE $ 5 i