HomeMy WebLinkAbout361 MONTE VISTA AVE - Building Permits`� , Applieant to fill in all spaees except those wit�in �eavy Gortler Iinas antl sign all apPropriate tleclantions.
CITY OF COSTA MESA ' PERMI NO. � TRACT NO. LOT NO. BLD . . � �
' CONSTRUCTION PERMIT �/,30�� ' 9984 5/07/84 5.0� •
PrOlect Addre55 � TVPE OF CONSTRUCTION NEW � ADD ALTERATION REPAIR _ -
AppliCanYS Mailing Addr^!� � �q���� ❑ CONVERSION ❑ �EMOLISH ❑ OTHER A.P. # - ' Zone . - .
Phone�?L_!L� DESCRIPTION OF WORK � - Y 9.
Owner's Name ' . 5 Main Building: Accessor Buildin Z
��.��.8 ' . . - E �
Addreu - , ' TVpEOFPERMIT GRADING�OUNDATIOrv 'STRUCTURAL T Front - � - • N
ArCh/Eng. LiCense No. . ❑ TENANT ❑ ELECTRICAL CVMBING ❑ MECHANICAL B Reaf ' - �
q N
Address ' ' ❑ �OTHER C Right ' ' G
Contracto•'� N=m= � AG �- ✓ Pho �� y��s PROJECT DESCRIPTION Sp. FT. OCCUPANCY K' L¢it R
-Q CONSTRUCTIONTVPE VALUATION$ $
Address (m 'I' 1 �s �� � •'-_ /1 w.Ir.. d�,� �r 2i/� E
ZONE GRADING CV. VDS. ACRES Ping. Ref. � Park.Fees $ ' ' �
Ciry License No. ��% y2,�t ' ' �
LICENSED CONTRACTOR DECIARATION Remarks: � Parking Fieq./Pmvided �
I her¢by at(irm that I am licensetl uneer provisions ot Charter 9(commenUn9 Use of Buildin � " R
with sec[ion 7000) of Olvislon 3 of lhe BuSiness anU Professions Cotle, antl . 9� E
my.licenze is in tull force antl effe �L � �
Llcense Cla se No.�d PLUMBING � - FEES P�anning Notes: ' M
Date Signature , E
WORK RS' SATIONDECLARATION BarSink ShoWe�s T
I.hereby aftirm tnat I have a mrtlOcate of consenl to self-insure or a certificate Backflow Preventer Service Sink ' ' S
of Workers' Compensation Insurance, or a cerUtietl copy thereot (Sectlon
3800, Lat. C.) � Backflow Irrigation Sewer Cap - ELEC7RICAL FEES
Policy No. Company . .
eCertifietl copy is heraby tumishetl. Bathtubs Sewer Connection Automatic Washe��� Transformer ❑ 15�50 KW
Certifietl copy is filetl with thC city Builtling �Ivision. ' � ❑ 50+ KW
oate Appucant Clarifiers Solar Collectors Construction Pole Sub.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION DiShwasher Solar Piping � � Cooking Uni[ Met2� ❑up [0.100 amps
(Thissection nBetl not be completetl if the permlt is tor one huntlred ($300) or �,
Iess). Drinkin Fountains ' '
I certlfy that In Ihe Dolfolmanta of tlle wolk foI which this permlt is issuetl, I 9 SOId� T2nk Dishw25h¢� • MEI¢I ❑Ov¢I 100 3mp5
Shall nOt employ any persOn in any mannGr as to become su ct o th ,
Workers' pa io Laws of Ca1Ho���� ��`� Floor Drains Swimming Pool w/Spa , ' Dryers ❑Gas ❑Electric Sub Panel •
Date _Ik����5lgnature ��
NOTIC . Ifaf e� m mg this tlecla�ation, you Shoultl become subject to the FIOOf $i�k5 U�in31 F3n ' MOt0�5 �41 HP 01'/x- 8
Workers' COmp¢nSatiOn Provlsions Of the Labor Gotle, you must forthwith
comply wlth such provisions or this permit shall be tleemea revoketl. Gas Service Outlets � Water Closet F.A.U. Inc. Solar 09-75 HP �16-15+
CONSTRUCTION LENDING AGENCV ' • �
I nereby aftirm that there is a construction lending agency for the performance Interceptors � Water Heater Fixtures Microwave
of the work for which� thls permit Is Issuetl (Section' 309� Civ. CJ
Lentler's Name Kitchen Sink Water Service Device Boxes Pole Li9ht
Lentler's Atltlress Lavato�ies
OWNER BUILDER DECLARATION Outl¢[5 fldng¢
I hereby afflrm that I am ezempt trom the Contracto�'S License Law to� the p-7re
tollowinq reason (Sectlon 7031.5 Business anC Professlonal Cotle: Any city or P SwitchCs Sign
county which �equire5 a perml[ lo const�uct, alter, improve, tlemollsh o� �epai�
any structure, pdor to Its issuanca, also reqWres tne applicant tor such permit Roof Drains Garbage Disposal Standing Sections
to file a signed statement Ihdl he/sne Is Ilcensetl pur5uant to the� provisions of
tne Contractor's License Law (Chapter 9(commencing with Section 7000) o( -
Divlsion 3 of the Business and Professions Cotle) or that M1e/she is exempt Generato� 0.5 KW 5-15 KW Trash Compactor
therefrom an0 the �asis for the allegetl exemptlon. Any violation of Section
1031.5 by any applican[ for a permit sub�ects the applicant to a civil Reinspection Fee $25 Issue Fee $ 3
�enaity of nol more than five huntlretl tlollars (E500).
I, as owner of the property or my amployees with wages as tneir soie MECHANICAL Reinspeetion Fee $25 luue Fee $ 3
mmpensalion, will Uo the work, antl the struclure is not intentletl or ofteretl FEES
for sale (Section �0a4, eusiness antl, Professlonal Cotle: The Contractor's PUBLIC SERVICES REQUIREMENTS:
License Law tloes not apply lo an owner of a property who builtls or improves goiler Hood or Type I ❑•
tnereon, antl who tloes such wOrk hlmself/hGrself or Ihrough hIs or he� own 2oning Approved 8y DdtB -
employees, provltletl that such Improvnments are not Intentle0 or offeretl for Canopy Type I I ❑
Dutt - Under Ground
sale. If, however, the bulltlin9 or improvamen[ is soltl wi[hin one year'of com- 8uilding Approvad By Date
pletlon, the owner will �ave the bureen of O�oving he/she tlia not builtl or im- -
rove tor tne Durpose of sale). Duct - Structural Refrigeretion System Appliration laued By nat �
� I, as owner oi the property, am exclusivaly contracting wltn Ilcensetl con- ❑0.100,000 BTU ❑100,000 6TU '
tracmrst8 construct tha project (Sectlon 7044, Business anC Profeszions CoEe: Dutt - Ven[ilating • SUMMARV OF FEES �
The ConVaclOr'S License Law does not apply to an ownGr of property who .
builtls or imoroves thereon, antl who contracts (or such projects with a con- Ezhaust System ❑ Mul[iple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
tractor(s) Iicense pursuant to the Contractor's License Law). PLAN CHECK $ � PERMIT
❑ I am exempt untlar Section B. & P. C. tor this reason Firepl/Fact.81L ICBO # PLUMBING $�r� ��UANCE $
Date owner Heating System & Ducting PLAN CHECK 25% $ ENERGY P.C. '$
1 hereby certity tnat 1 have reatl thls appli<atlon antl state that the above ❑P100,O�OBTU �t00,000BT . _ GRADING $
intormation is correct. I agree lo como�Y wkh all clty antl county ortlinances ELECTRICAL , ,$ , ,
. and state laws relating [o bulltlin9 cons[ruction, antl hereby autnorize repre- � MICROFILM $
sentatives ot this <ly to e r upon�h�above-mentlonetl properl for , � PLANCHECK 50% $
Inspection pu 7�% ' MECHANICAL $ TOTAL FEE $�
Si9nature Date � � -
Drivers' License or 55 � Reinspection Fee • $25 � �ssue Fee $�3 PLAN CHECK 25% $
CMF 0865-46 rev. 12/83 Whlta - Builtlina: Canarv - Applicant; Pink - Accounfin9; Golaenrotl - Azsessor
...�CONSTRUCTION AND PLApNN �IN�G� POOL & SPA �. -,
.APPROVALS Permit #�G-C -�- Date Inspector p�ppROVALS Permit # Date � Inspectoi' .
'� 1. Temporary Electrical Service or Pole:,: � 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. ' , � .53. Steel Reinforcement . � ' '
3. Electrical Conduit Utility�Undrgmd ��1 - � 54. Forms ' -_ .
.
4. Electric�l Conduit-Undrgrnd. � 55. Electrical.Bond.ing �
� �
5. Steel Reinfbrcement `. � � � : 56. Rough Plumbing & Pressure Test :, � � �
6� Electrical UFER Grnd. �� � ; 57: APPROVAL TO COVER-GUNITE � --�
, .
7. Footin j � �• � � ' - � 58. Electrical Conduit-Undrgrnd. ' �r' �
8. Foundation � ' - . 59. Gas Pipe, O Undrgrnd., Test`- .`, �'
9. Water Pipe-Undrgrnil:. . � 60. Backwash Lines, P-Trap, O Undrgrnd,
10. Structural Floor System - 61. APPROVAL TO DECK _ '
11. Property Sewer Line & House Connection �.62. Backwash �& Receptor-Final
.
12. Sewer Cap • �. � -63. Heater & Vent-Final i�
13. Roof D'rains � . ' � � ' 64. Plumbing�System - Final . � .
., v
14. Rough'Plumbing •� � .� � 65. Electrical-Final - - '
15. Rough ElectYical-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 � � APPROVALS Permit # �
21. Duc[s; in Structure' �-'•� '� ' 70. Underground Hydro
� 22. Ducts, Ventilating � '� 71. Product Piping � Gas ❑ Oil � � ,
23. Gas Pipe�Rough & Test ��";' 72, Underground Flush � �
24. Roof Framing , - ' 73. Undergrnd.StorageTankOGas ❑Oil ;
25. Roof Sheathing r� � 74. Overhead Hydro - -
26. T-Bar Ceiling (Structurall &�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 Na�iling �� , � HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat � : 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes:
34. Fina6Meating�& Air Condifioning �
35. Final Gas Pipe-Test ' � ' .
. � o
36. Hood or Canopy � � - �
37. Final Factory Fireplace � - ' • • . _
38. Final Plumbing �/8/( (��� , -
39. Water Service-Final � '
40. Gas Service-Final . ' ' ' - , - � '
41. Solar pomesiio-Final � - .
. � .
42. Backflow Preventer � ' ' ' �
,
43. Backflow Irrigation . �
44. Landscape Irrigation System � "
45. Sound Attenuation � - ' .� � -
46. Handicap Regulations � �
47. FINALSTRUCTURE&BUILDING I ' . - -
48. Special Requirements Completed ' , � �' '
49. Electric flelease to Edison � - � - � •
50. Gas Release to Southem California Gas Co ' � . � ��
57. CERTIFICATE OF OCCUPANCY � ,
No . . � . . Date - . . . . • "
ADP�leant to fill in all soatts eaceot tnose within heavr Eoraer lines antl sign all aoaroDrlate Eeclarotions.
GITY OF COSTA� MESA �� UC � ON PERMIT PER T NQ,� � O�� TRACT NO. LOT NO. UNIT NO. A P� Zone
Project Address � . a S Main Building: Accessory Building:
!�22// # TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E 2
�Applicant's Mailing�g/q dreu U.s.�F ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front �
Owner's Name J-L � Phone �� �� DESCRIPTION OF WORK/USE OF BLDG. A Rear N
Address _ �� � �
TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL I C Rlght N
Arch/Eng. License No. ' K G
Addre55 ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL � g� Left
❑�OTHER Ping. Ref. # Parking Req./Provided E
Contrac[or's Name Phone -
PROJECT DESCRIPTION 5a. FT, oCCUPnNCV �
Address (mailingl � Planning Notes: ry�
CONSTRUCTION TVPE VAIUATION $ L 1 T
CityLicenSeNo. ZONE GRADINGCU.VDS. ACRES UL IJ S
LICENSED CONTRACTOR DECLARATION
I hereby a/�i�m lhat I am li�ensetl Untlet p�ovision5 of Charter 9(comm¢ncing Remarks:
with sectlon 7000) of Division 3 of the Buziness antl Protessions Code, antl
my license is in lull � a effect. ELECTRICAL FEES
LJcense Class 3� ."c ns Q �
Datc Si9nature � PLUMBING FEES Automatic Washer Transtormer ❑ 75�50 KW
WOR ERS'COMPENSATIONDECLARATION �n5tructionPoleSub. �50+KW
I hereby alfirm that I have a certiticate of consent to seli-insure or a tertNicate Bar Sink Showers
� of Workers' Compensation Insurance, or a certtiietl copy thereoi (5 tlon Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. )/� �I ,.[/ ' DiShwasher �.� Meter ❑over100amps
P,.-o,lyi y No.�N�Q�.p. y'Xd Company � Backflow Irrigation Sewer Cap �
},YCertifietl copy is hereby furnishea. Dryers ❑Gas .�Electric $ub Panel
YJ Cer i e �q pv�� Iletl with the city y�2q iy�y+ or���/ Bathtubs Sewer Connection
Date�S�.:d_9__ Appiicant �/LLL(�'V�/�� Fan Momrs �61 HP �7 %- 6
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOldf COII¢CtOfS
(Thissection neetl not be completetl if the permit is for one huntlreG ($300) or Dishwasher Solar Piping F,A.U. Inc. Solar �9-15 HP �16-15+
less).
1 t¢r[ity lhat in the pertormanG¢ Ot the work for whith lhls p¢rmR I5 issuetl I Fi%tUr¢5 MiCrOwav¢
shall not emo�oy any person in any manner so as to become subject to t�e Drinking FOuntains Solar Tank
Workers' Compensation Laws of Galifornia. Device BOxes ."
Date Siqnature Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: It, atte� making thi5 tlecla�atlon, you ShOUItl become subject to the OUt12[5 Range
Workers' Compenution provizions of the Labor Cotle, you must torthwi[h Floot Sinks Urinal
comply with such O�ovisions o� IhiS p¢rmit sball be tleemetl revoketl.
CONSTPUCTION LENDING AGENCV G2sServiCe Outlet5 WatefCl05et � SwitCheS Sign
1 nereby atfirm [hat there is a construttion IenCing agency for the performance �
ot tne work �or whicn tnis permit Is Issuetl (Section 3097 Civ. C.) Interceptors Water Heater � Garbage Disposal Standing Sections
lRnCer'S Name
LenCer's Atltlress Kitchen Sink Water Service Generator �65 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby aftirm lhat I am ¢xempi trom the Con(ractol's License Law fOr tbe LdvdtOfi25 AUtO-Wdsh
following reason (Section 7031.5 Businnss antl Professional COGe: Any city or
county whlcn requires a permit to construct, alter, Improve, tlemolish or repalr P—Trap Laundry Trays
any Structwe, priOr to its issuanG¢, also �eqW/es the applicant for Such pe�rtNt
to file a signetl 5[atement tha[ he/she i5 licensetl pu/suant to the p�ovlsions of ROOi Df0105
the Cont�a<tOr'S License Law (Chapter 9(commencing with Section ]004) of
DiviSion 3 ot the Business antl Profezzions Cotle) or that he/sne is exempt Rainspection Fee $15 laue Fee $ 3
therefrom antl the basi5 for ine allegea exemption. Any violation of Sectlon
]031.5 by any applicant for a permit subjects tha appllcant [o a civil
�enaity ot not more than tive huntlrea tloiiarz (E5o0). $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of Ihe property or my employees with wages as their sola Reinspection Fee $15 laue Fee Zo�i�g qpp�oved By
� compen5ation, will tl0 the work, antl th¢ sttuctur¢ I5 not intentleC o�-oft¢�Btl DetB
(or sale �Section 7044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Building ApP�aved By Date_.J �_
License Law tloes not apply to an owner of a Oroperty who builas or improves q lieatian luued B �����r�
lne�eon, antl who tloes such work him5¢If/her5¢If o� through his o� h¢r Own Boil¢� HOOd O� TypE I ❑ PP Y _ Data__t_/_����
employecs, provitletl tha[ such impwvements are not inlentled or offer¢tl fo�
sale. It, however, the builtling or improvement is soltl within one year of com- Canopy Type I I ❑ SUMMARY OF FEES
plelloq Ihe owner will nave the bu�tl¢n of proving h¢/She tlitl not builtl or im- DUCt - Und¢�'ii�OUnd
rove for the purpose ot saie). BUILDING PERMIT $ SMIP $
� I, as owner of the property, am exclusively contracting with licensetl con- Duct -Structural Refrigeration System PLAN CHECK $ PERMIT
tra<torsto cons[ruct tbe Oroject (Section 7044, Business antl Profe55ions Cotle: �
Tne Conirac[or's Litense �aw does not apply to an owner ot properly wno Duct - Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $��� ISSUANCE $
builtls or ImD�o�es the�eon, antl who contract5 �o� 5uc0 o�oiects with a ron-
tractor(sl I�cense oursuan� co �ne Contractor's License Law). I am aware thac Exhaust System ❑ Multiple ❑ System Repair/Alteretion PLAN CHECK 25% $ ENEflGY P.C. $
proot ol tneir Worker's Compensatlon insurance shoultl be provitletl m me. ELECTRICAL $ GRADING $
❑ I am exempt untler Section B. & P. C. for fhis reason Firepl/Fact. Blt. ICBO �k Fire Dampers MICROFILM $
PLAN CHECK 50% g
Date owner Heating System & Ducting Registers MECHANICAL �
I here0y certi/y that I have reatl thls avo���ation antl ztate tnat the above ❑0.100,000 BTU �100,0008T $ TOTAL FEE $
, intormation is correct. I agree to comply with all dty antl county ortlinances PLAN CHECK 25% $
antl state laws relatlng to builtlin9 �onstruc[lon, an0 hereby authorize repre-
sentatives of lnis city to enter n lha above-mentionetl property for
I InSDattionpu� e=. laa��
1 Signa[ure Oate
�\ Drivers' License or 55 Reinspection Fee S75 Issue Fee $ 3 0? U0023553—OOOZs�bE T��� S.Qj
h 0865-06, rev. 5/88 White - Builtlin9: Canary - Applicanp Pink - Accounting; Goltlenrotl - Assessor ��T�: O1I04/II9 Ti7�% 11.7?b
)
. . . . . ,, . . �� .. .. .. .. .. .. . . ... . . _ _
,. �
� CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
� 1.,Temporary Electrical Service or Pole 52. Pool & Equipment Location
'� 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduii Utility-Undrgrnd. 54. Forms ,
4.•Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE •
` 7. Footings 58. Electrical Conduit-Undrgrnd. "
8. Foundation �� . � 59. Gas Pipe, � Undrgrnd., Test ,
9.�Water Pipe-Undrgr'nd. , 60. Backwash Lines, P-Trep, � Undrgrnd. +
10. �Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewer Cap � ' 63. Heater & Vent-Final
73. �Roof Drains 64. Plumbing System - Final .
14. Rough Plumbing 65. Electrical-Final .
�15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Elec[ric Wiring 67. Fencing & Access Approval
,.� .
'- 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
� 78. Rough Elearical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
�19. Rough Heating & Air Conditioning FIRE OEPT. REQUIREMENT
-�
20. Rough Factory Firepiace APPROVALS Permit #
21. Ducts, in Structure 70. Under9round Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 HEALTH DEPT. REQUIREMENT
31 � Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Elecvic Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing � L�
39. Water Service-Final �;
40. Gas Service-Final � �
i,
41. Solar pomestic-Final."=�
,i
42. Backflow Preventer .� "'
43. Backflow Irrigation "� ��'�
,� i
44. .Landscape Irrigation System � �
45. Sound Attenuation • �.
46. Handicap Regulations�'
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ' f:-
51. CERTIFICATE OF OCCUPANCY
No. � Date �
OWNER BOVEE, Mi'S. N.. F. �� ��
PERMIT NO.
VAUiE
PIRE ZONE DESCRIPTION OF WORK
ZONE
INSPECTIONS I DATE I SUBCONTRACTOR I P�RMITSI9S
T�i� _.
md
brown coat
Pinal
JOB ADDRESS
INSPECTIONS
Beam
Form
Dev.Co..Inc. VALUE
SUBCONTRACTOR DATE
� 4 � 1-tt KtI;tIVEU
COSTA MESA BUILDING-SAFETY DEPARTMENT JUN 3 19fi3
P.O.BO%91] Q06TAMFHA,CALIFORNIA �ANCE DEPT.
For Appllcan! to Fill In Completely AP�(�.j47�I��j�P�
TYPE OR PRINT BUILDING
, For Office Use Only
BUILDINQ �
AO�RE59
11[C6�IT NO. ���
COSTA MESq, CqLIFORNIA
'`(^/1� q[C VBDOY pAT[RHCHIVBp DATEIBBUHO
OWNERUO C � JI� iGI�S .J.W. n�' 'r Z�y`� 3 /I
ADDR8S8 J . I„A�Y� �nPjrG� iTJ E AU ES9 �� I�/V/-yU-l'J��(Gll Y
I ay FIRE �,
CITY , CM'`�. NO. ^c2970Z ZON! TYPE 6ROU
APPROVHD
ARCHITECT �; TEL. �/_��s BY DATE
ORENGINEER C T0.n NO.
�/� /� ZONINC;
ADDRE89 `/"1 0o U%Q—S�' I,OMF+On1w.�'�-��
ZO NO. OP� U8! OF NE
S�r1� PLAN• pUILOI
CONTRAGTOR
S(�w.� � uo�� � o+' 3 �►'a c.�' 3y._?
ADDRHIIB D6GCIIIRION
CITY (� Vti �- A. P. NO�-
STATE � THL p NOTE: NO EAVE OVHRHANO SHALL BE LE59 THAN
LIC.NO.�S�'�����'�'I NO.� ��0 V�-'� 90'TO6IOH8REARP.L.
� / EAVES
SIZE q �/ �J I NO.oIeLDaf. ALLOWED fU.B.C.REQUiREM6NT
OF LOT -;J. T J, �i � now oH LOT ��
YARDSAPPROVQD YAROSAPPROVED
USEOF MAIN BUfLO1N6 AGCESSOftY BUILDING
EXISTING BLD6.
� (FROM C/LSTREET)
9HTBACK LIH[ IFOM
cenienovcine.rt /'O REARYARD PRONT Ff. Ff.
SIDE YARDI LEFT RIGHT -�� R. SIDE Ff. Ff.
DESCRIPTION OF WORK L.SIDE rr. Fr.
NEW ALTERATION ADDITION REAR Ff. F1'.
OISTANCE BET. BET. MAIN 8
REPAIR MOVIN6 DEMOLI4H MAIN BLD08. ACCESS.BLD65.
BUILOIN6 �/ � �NO.OP VAR..$ DATE
SIZE `�� S.�%SO ROOM9 � STORIE9 � G. U. P. APPROVED
EXTERIOR WAL�.�.. ROOP A APPROVE 6
COVERING .�/ V�-�-O COVERINO �O`! 1- O B`/ DATH "��
USfi OF BUILDINC ANO WpRK TO 8E PfiRFOq/M HQ �1
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PLY WITH �LL CITY ORDIN�ryC88 AND 9TATl LAWY N6OULATINO yALUATIOd .
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SIGNATUREOP / //� PBRMITFEE $
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TOTALFEE $