HomeMy WebLinkAbout1929 MONROVIA AVE - Building Permits - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. .
I CITU OF COSTA MESA - PERMIT NO. ' - .- - 'TRACT NO. - - LOT NO. . BLDG.NO. - .. - . - • . • __ _._ ..
ICONSTRUCTION PERMITB'Y6?7 V1 17— _ ai0,' _ I 6311. 5/25/82, 46.70 TU
Project Address : 1 TYPE OF CONSTRUCTI9N If •'i ' '' ; '\F. �)sy; �7. - y. 4 - - si.
fel mcr,ri7y co_i ��"�jQ(�
Owner -f' -,' at"' • t epJ -- - - Phone a Z 3'_ EI NEW - ❑ ADD •[Y ALTERATION •" ' ' - - --
•
.-Address- 7 5(� n In o . ,
-•�l(1Q��0� C,M .7Z�,(p ❑-REPAIR CONVERSION. DEMOLISH
(`Arch/Eng^ - ----- -- -License-No. -- C OTHER'S' _ a
Address C f- `]`cc/- _ •..—N - DESCRIPTION OF WO _ Y
Contractor-r1 - - : TYPE:OF PERMIT: -"- - =_r - - • c -D N - T. - - T2 B EIRDI _Gly ARM :
• d •�•� <U- • { •: 'SETBACKC LST. PROP TY L
' Address IS Ott- G.- cnio61�(Q,•r S-,'A, -Z105� '-- - C•
GRADING .0-FOUNDATION - L)I'STRUCTURALt • ' -r51D tam-
- ••- - - - - II= ryry �- I- _l
,LICENSED CONTRACTOR DECLARATION _ - _C TENANT•C•ELECTRICAL-[PLUMBING-❑MECHANIC• I E-VARD -- --- ---- 9 b' _
n hereby affirm that I am licensed under provisions of Charter 9 (corn-. - • 1,
_ ,-C :j s - -- S RIGHT ( 'AID
- "� •
' •
. -mencing-with-section 7000)-of- Division 3- of-the -Business andL OTHER- • ,{L— Y,j
Professions Cod land my license is In full force and effect. - T + •REAR YARD(TO P/L) • (V_ • • : .
e•.�� _ { __ PROJECT:DESCR I PTI ON - r _
License Gips -sem y A.Lic se7S -' ` "- ' - '1 PKG:SPACE•RE t
} r -1 SQ-FT_• , h t Q V 'PROVIDED - - --
.Date
'Date-S-�Z'�37` Signature � ��+'- _ (Y - '
c,u(- z' _ -Pt-_ jST STREET WIDTH`,- ),/", PARK-FEE$ "" 1
WORKERS-COMPENSATION DECLARATION__ -- iJ OCCU PANCV ONSTRVCTION TYPE' / -
11 hereby affirm that I have a certificate of consent to self-Insure ora ,�s.s u r --- ZONING APP,ROVED'BY ATE.51711 (�
t VALUATION GL ZONE -_-. _- -^.- vl I, (--
chere f(Section
Workers'--Compensation C.). atlon Insure nca, or-a-certified copy _ _
thereof(Section 3800, Lab.C.). GRADING CU rDS. '' ACRES .- •SPECIAL-CONDITIONS: },„
p•.IiCY No: - _ __ .Co Company .. - _ -- _ _ - s_ (�f' _ - - _ - _ . - _ I
ertified copy is hereby_furnished. _ ._...-.-v,.._ - ,;_, _REMARKS U.Ia Y _ _ _ [�
edified copy is filed with the city Building Division. ^ 1 ' l �Izvl -� - - - - • , -.
,.-.EMPTION'FROMWORKERS'-COMPENSATION-DECLARATION "-,--',.•-----L-'-.-- --- - •.--- -:' '' I,. "�
(This sectlon,.need,not.be-completed if the permit is for one hundred - L 4, r . t... - ,Lpr
-„($100) or less). I _. - >.. . .. _ _
I certlify that In the.performance of the work for which this permit is _ - i
. issued, I shall not employ any person-in any manner so s to become PLUMBING , t PLAN-CHECK' --' ' ^ _ .- - - _ -
subjecbto he W kers'Compensation Lawsaf_ -lift•r gy •1 _ _ - I - -ELECTRICAL' PLAN CHECK' - - ,
S�Z//84 {.��YJ'�jt.r_r`^ (_C(� BATHTUBS ' `••_ -•- - -SHOWERS _ _. _ _ - .UWtLLINb. - . _ . .�tsA HAbt _
'Date Signature -tJ . • -
'NOTICE: If after making this declaration, you should become subject „ ' , :TOILETS-, , , .1URINALS'---` .GENERATOR- - 0=1-KW_1-1 O.KW” '
to the Workers' Compensation provisions of the Labor Code,you must ;TRANSFORMERy
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-L'AVS-- ;APPLIANCE- - 10;50.KW_50;+.KW-- .. - -
!CONSTRUCTION LENDING AGENCY KIT:SINKS " DISHWf\SH ERS MOTORS ��.='O�1 iHP'_1d0'HPL- --
',I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - -',,,,SUMPS - - ' -^ -(INC.SOLAR) )-le-SO-HP--'SO+ HP- - _ C- i
formance of the work for which this permit is issued (Section 3097
•�Civ'C.): '--'^-'--- - -- - - --•- • - -- ---- - -FLOORSINKS -- "-FLOOR DRAINS'• 1FIXTURES^"- OUTLETS- 'SWITCHES --.- -- - -/
-Lender-s Name -
ILentler's Address
-'ORINKING'FOUNTAINS^"t • '- �� - �GASTUBE SIGNS-- -- -- - - --- - — - -
OWNER BUILDER-DECLARATION---- -^- - --INTERCEPTORS "- 'CLARIFIERS "-'- 'IIPOCE LIGHTS -- ^^ -- , i
I hereby affirm that I am exempt from.the Contractor's License Law for -
the following reason-(Section-7031.5-Business-and-Professions-Code:- -'SWIMMING POOL'- `-"P'TRAP' - cup's!HU_C lIUN - _
Any city or county which requires a permit to construct, alter, .POLES METERED +SUB - Z
improve;'demolish-or repair-any-structure;priorto its issuance,also-re-• -WATER'SERVICE- "- ALTERATION' 'PANELS" '-- MAIN _ - - SUB - - -
'quires the ap'�.licant for such permit to file a signed statement that he - - - a
'is licensed pursuanYfo't he provisions of the-Contractor's-License Law 'GAS SERVICE — '- •OUTLETS- - -'SERVICE - - - - -•-AMP' -- -
(Chapter 9 (commencing with Section 7000) of Division 3 of-the - -
Business and-Prdessions-Code)-or that-he-is-exempt therefrom-and the- --
basis
basis for the alleged exemption. Any violation of Section 7031,5 by - - - -
• -oplicant for-a-permit subjects-the-applicant to a-civil-penalty SEWER"CONNECTIONS' - _ ^ _- -' -'-- ---`-- "-'- - - - - -
Ii-.
more than five hundred dollars ($500). - - --'
' , as owner cif'tlieproperty,-or my em`ployees-with-wages as'their- "SOL:AR'TANK "' "-- 'COLLECTORS----- -- -•- • - -- " --- -- - -
su._,compensation„will do the work, and the structure is not Intendetl ----r•
_ _ --
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS).” - j; -- - - `ISSUE FEE '-`- -- - ' - -- I. '_-- (
Contractor.'s License Law.does not apply to-an owner of a property_ _ _ _ __ _ _ __ •
who builds or improves thereon, and who does such work himself or -' ISSUE FEE - - - - ;APPLICATION-APPROVED•BY----t` - DATE 9
through his own employees, provided that such improvements are not r v`
intended or offered for sale. If, however, the building or improvement' MECHANICAL PLAN CHECK
" - FEE$ - I
-is sold within one year of completion, the owner will have the burden 1 .
of proving he did not build or improve for the purpose of sale). ;, ,
HEATING SYSTEM 0-100,000 BTU .PERMIT
C 1,- as owner-of-the property, am-exclusively .contracting with qND DVCTING -"-1) - __._ _ - _$ �:dPER V_ �$
licensed contractors to construct the project (Section 7044, Business 100,000,+BTU 'PLAN CHECK $ - .711_- ..PERMIT. a -
and Professions-Cotle:-The Contractor's-License-Law does not apply to •
an owner of property who builds or improves thereon, and who ton- REFRIGERATION 0-100,000 BTU ,------
$ - - I -
ttracts heCofrom-such-projects-with a contractor(s)-licesned-pursuant.to SYSTEM- -- - - V- - - _ .•-• '-GRADING"$"' •-
the Contractor's License Law): 100,000,p 13TU �- '-- -----H ,8; i -,41 ' ;.iFit ,-. '
C I ain exem t under Section --" - "`-'-' ••••••`13.'& P.C:for - ' - '--_ - - -- ' " ' - - $ 1
p BOILERS BTU ELECTRICAL' $ • r --" -
reason-- - -- ---- -- .. - _ ra•, ,1. .MICROFICN $
SYSTEM REPAIR,ALTERATION
Date Owner •PLAN CHECK' "$ -- •y- TOTAL FEE$ ' '
.MECHANICAL^:$ - '- -- - -• - -- '' . -
I hereby certify that I have read this application and state .PLAN[HEC K $;.
that the above EXHAUST SYSTEM MULTIPLE r n 1i 1 LESS AD- • 'js
information is correct: I agree to-comply with-all-city and-county I. - VANCE'PC"'$_ - •-
ordinances and state laws relating to construction,and hereby authorize - . , -
representatives of' this ci s• ter upon'the ,-above- mentio ed • .. ' - • •' • i,
property fo i•s•ecti:l.•5 •-se7to
-� 572-5-- - • -- ®, , FINAL FEE $ 710.7
Slgnatu - V• _ Date L - - -
Drivers'License or S5 �� "-- - ISSUE-FEE - - - . . _- _ __ .. __ _- . .. . •
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - _-----
l
• CONSTRUCTION'AND PLANNI G • . POOL&SPA
APPROVALS Permit# 3��7 Date Inspector APPROVALS Permit# Date - Inspector
-
•
1. Temporary Electrical Service or Pole • , . 43. Pool & Equipment Codation -
•
2. Soil Pipe-Undrgrn .: 44. Steel Reinforcement - - - - -- - •
3. Electrical Conduit Utility:Undrgrn -. . . . 45. Forms• • - .. • •
4. .Electrical.Conduit=Undrgrn _ - , ' . , 46. .Electrical Bonding • • - - - -• - - . -
5. Steel Reinforce911- 47. Rougli-Plumbing& Piessure Test
6. .-Electrical_UF.ERGrn , . __ _ _- , _ ? , 48. . APPROVAL TO COVER-GUNITE -- - - ' . - _
7,.. Footings , • _ _ _ -_ -. 5 2$_S> R yy 49. Electrical Conduit-Undrgrn .
50. +Gas Pipe,-CI Undrgrn,Test • - •• -- ' -
9.- -Water_P.ipe-Undrgrn __..__ _ ti..:._:. _ _ 51. Backwash Lines, P-Trap, ❑Undrgrn "' '' " • - - ,
10. Structural•Floor_System -. ../-.0...-6-=.:. ..' 4,97-04-_ga- pry•t7 , . . 52.- APPROVAL-TO DECK"
1 11.._ Property Sewer Line.& House Connection_ - _ - - ... 53' Backwash. & Receptor-Final ' • - " • ' ' ^ ' r
•_ 12.'-Street Sewer. Connection . ..-_ '. ... -. . . ' .+ - - - - - - 54.- Heater&Vent-Final - -
'_13.. Rough Plumbing _. .: . ' -- Plumbing System -Final _ •• -
14. Rough Electric-Conduit - - '- '56. Electrical-Final- ' -•• .•I • - , - . , • I.
15. Rough Electric-Wiring :• -- . ... - - - -57: Solar System-Final - - . ' . . •
-`167 Rough Heating&-Air Conditioning- - - - :-- - - ----- - - 58. Fencing &Access-Approval . - „ '
•
17: Ducts, in Structure__ - -- r . _ • - - 59. APPROVED FOR PLASTERING ' ' ' v
18.- Ducts, Ventilating - - _ ...- '•' - . _ • _ '
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL ' .. _
-20> - Roof Framing - o. • • r . . . . .
21. Roof'Sheathing -_ �- - -. - - - _
22. -Frame and Flashing• - - 6-10-•57 l3'>.'7 • NOTES: ;,
- 23. Insulation - ;• .. - - • -,
-24. Lathing & Siding . - - _ : _ _ . -
' 25. Drywall-Nailing . - - , , . - . .- . -- . - _ - - _, -
-26: Plaster Brown Coat • - -
-27. Electrical Power Meter-Final -- _ _. •_ _ __ ,. _ - - -
28. Final-Electric - -- - - __ - --- -- - - .. - _. -i.. •. - -.
29, Final;Heating & Air Conditioning - - • - , -
1 30. Final'Gas Pipe-Test - _ _ . _ -.e�. .. ._ _-. -- - - -
•- 31. •Final.Plumbing - - - - - - ._ - - -- _ - -,
r' 32. - Water Service-Final - - - - -. .....,... : . ' - '-
-33: 'Gas Service-Final' - •
34. Solar Domestic-Final - �" ... .
35. Landscape SPrinklvrq System _ _ .r. . . _ _ ,
36. Sound Attenuation • - . - - • .. _ _.. ._ - . . - '
37. Handicap Regulations ' . i
38. FINAL STRUCTURE & BUILDING `-' 6_/p_�•Z _LB K. , i ' ' • • i
39. _ Special Requirements Completed • - _ • - - - -- ' -�- -
40. Electric Release to Edison " ' . . • - - - - +
41. Gas Release to-Southern California Gas Co. - :- - .. - -
r 42. CERTIFICATE OF OCCUPANCY - _ -
- Na. Date : - -
__ Applicant to fill in all spaces except those within heavy border linen and sign all appropriate declarations.
-
CITY OF•CO$TA ME CON RUCTION PERMIT PER `' NU3 72'54( TRACT NO. LOT NO. UNIT NO. •
Project Address ' , D 0 6
• //�/ TYPE
Applicant's Mailing A d ess /r►t . / �L • • • • -
J��77dI �1 /J Zone
•
Owner's Name AI/VN/Z Phon-4 v • • 0 • • 0 • A.P.# -
NIL
Address S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF 0 GRADING E FOUNDATION Ell STRUCTURAL_ T Front 0
Address . TENANT 0 ELECTRICAL 1 PLUMBING 0MECHANICAL B Rear N
T F LN LS A l)TR e_phone9Oa3Y9 OTHER A • •
Contractor's Nam¢ /1 2LuiDC „, Q C Right -
•
Address(mailing) /i c'3 3(�/ W •CONSTRUCTION• • • •CCUPANCY
VALUATIONK Left '
G
City License No. J�3b S R
• • Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION - - Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Planning Notes: - RECEIVED MAY 2 7 1988 M
with section 7000) of Division 3 of the Business and Professions Code, and
T
my license is in f f. c: and effect- /��`_� S
Licen - Class ,- TL- se N V -
Date .7r Signature SEW ..a AAA- PLUMBING . FEES .
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
......> I hereby affirm that I have a certificate of consent to self-insure or a Certificate
\ Workers' Compensation Insurance, or a ce fed copy thereof (SectionBackflow Preventer Service Sink • Automatic Washer Transformer ❑. 15-50 KW
)0, Lab. C. (r� 2
16. .slicy No. nyfrUD company Ir 1�a cm • Construction Pole Sub. ❑ 50+KW
Certified copy is hereby furnished. z
!f Cer Iep copyd,s-filed with the city Btfil g D'visi nj1 as l�� \ Cooking Unit Meter ❑up to 100 arms
Date.-—ID'X4 Applicant /"/1 I/ /(NY(a/
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher - • Meter' Dover 100 amps
(This section need not be completed if the permit is for one hundred($100) or
less). • Dryers ❑Gas ❑Electric ' Sub Panel
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 subject to the • Fan Motors i00-1 HP ❑1'/-8
Workers' Compensation Laws of California.
Date Signature Floor • F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE:'1f,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith INFloor Sinks t Urinal ■
comply with such provisions or this permit shall be deemed revoked. FixtUr¢s Microwave.
CONSTRUCTION LENDING AGENCY Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the pe7.Civ. .) g •
of the work for which this permit is issued (Section 3097:=Civ. C.)
Lender's Name (� i1� Outlets Range
Lender's Address • • - - - -
OWNER BUILDER DECLARATION Switches - Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or -
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit Generator Do-5 KW D5-15 KW Trash Compactor •
to file a signed statement that he/she is licensed pursuant to the provisions of
Roof Drains - ,
the Contractor's License Law (Chapter 9 (commencing with Sectlori-7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt •
-
-efrom and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
Ity'of not more than five hundred dollars($500). .
' I, as owner of the property or my employees with wages as their sole $ 3 ,
' compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee ' ' $ 3
for sale (Section 7044, Business and Professional Code: The 'Contractor's . 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 .—. DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I
sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II ❑ Zoning Approved By Date
e the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
Drovfor t
Drove the purpose of sale).
LI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractorsto 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 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that NI Exhaust System 0 Multiple ■ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. •
❑ l am exempt under Section B. P. C.for this reason 1111s• IIIFireDampers PLAN CHECK $ c PERMIT
&
PLUMBING $ SDO ISSUANCE $ •
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ - -
I hereby certify that I have read this application and state that the above 00-100,000 BTU D100,000BTGRADING .$ -
information Is correct. I agree to comply with all city and county ordinances • ELECTRICAL $ - ,
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50°.6 $ MICROFILM $ -
sentatives of this city to enter lien the above-mentioned propert 7 •
inspection purp. • ! 7,/ /v (/ MECHANICAL $ ,1
Signature ,.
Reinspection Fee $15 Issue Fee $ 3 •
PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary 'Applicant; Pink - Accounting; Goldenrod - Assessor 01 00005333-00005333 TOT 5.01/A
STRUCTION AND PLANNING POOL&SPA
I . �- Date Inspector Date Inspector
AVALS Permit# - APPROVALS Permit#
iporary Electrical[Ser"vice or Pole • 52. Pool & Equipment Location •
it Pipe-Undrgrnd. 53. Steel Reinforcement
ctrical Conduit Utility-Undrgrnd. 54. Forms
�ctrical Conduit-Undrgrnd. 55. Electrical Bonding
eel Reinforceinent 56. Rough Plumbing & Pressurerest
lectrical UF ER Grnd. 57. APPROVAL TO COVER-G_UNITE
ootings 58. Electrical Conduit-Undrgrnd'
foundation 59. Gas Pipe, 0 Undrgrnd.,Test
frater Pipe:Undrgrnd. 60. Backwash Lines, P-Trap, 'Undrgrnd.
structural Floor System 61. APPROVAL TO DECK `-)
r: ,
Property Sewer Line & House Connection • 62. Backwash & Receptor-Final? •
I •
Sewer Cap • 63. Heater & Vent-Final
!Roof Drains - 64. Plumbing System - Final
1 Rough Plumbing 65. Electrical-Final
I Rough Electrical-Conduit 66. Solar System-Final
-
Rough Electric Wiring 67. Fencing & Access Approval
I. Rough Wiring Sign 68. APPROVED FOR PLASTERING `
i
I. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
d. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
P. Rough Factory Fireplace APPROVALS Permit#
1. Ducts, in Structure 70. Underground Hydro •
2. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
!3. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
126. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
127. Frame and Flashing I 76. Dry Standpipe
128. Lathing & Siding 77. FIXED SYSTEM FINAL
1 29. Insulation 78. FIRE PREY. FINAL
1 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � :
1 31. Plaster Brown Coat 79. FINAL INSPECTION 0'--.
1 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I y
ry
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 6/9/X6' L8D ,,
-
"
r-
39. Water Service-Final -
40. Gas Service-Final- ,
41. Solar Domestic-Final -
t.
42. Backflow Preventer • _
I : '
1 1.43. Backflow Irrigation ;f
I I-'44. Landscape. Irrigation System
,45. Sound Attenuation
• I
X46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING _ I , 'r
I f
48::Special Requirements Completed - i I
49. Electric Release to Edison - -
•
50. Gas Release to Southern California Gas Co r - '
51. CERTIFICATE OF OCCUPANCY
No. Date -
t
\ ` \ `.`
ORANGE COUNTY BUILDING DEPARTMENT . APPLICATION FOR PERMIT
. 636NorBroath F. - Et� i® N-G
SANTATA ANA,, CALIFORNIALI -
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY -
' I RECEIPT NO. PERMIT NO.
BUILDING .t
ADDRESS 1929 Monrnvi a Ave. 1 a-a /6 ,lcf a8-
SCHOOL DIST.
OR TOWN Costa MPRH R; D'BY DATE RECD. DAT ISSUED
NEAREST
CROSS ST. Arhnr Rt - �-9 -5 3 ET ea/ �.3
OWNER Choctaw Homes The,, ADDREISS : ,9' 2 7 6 o-
MAIL 9363 Wilshire R vAA SCHOOL DIST. J /
ADDRESS 1 'L OR TOWN 6.,,e t / ' ! r
TEL.
CITY ReXPr1X WI114 NO. np Rd4R1 NEARECROSSST.T . iv a_.,,,,„ , •
ARCHITECT O� ZONE GROUP
ENGINEER Cain & MCJJCrrACh7ur IPLANS
--� a _
ADDRESS 2110 E WAlnlit-PngadonP APPROVE i�IC. BY a-�� DATER.; _
Newport VistaN°. 135882
CONTRACTOR �' • CORRECTIONS
ADDRESS 9363 Wilshire-Rover,y Hi l 'L s .
LEGAL LOT I' d
DESCRIPTION I NO. 310 I BLOCK I TRACT 1 712 +y'
(ATTACH METES a BOUNDS) � �!
NO.OF BLOCS. I\USE OF
SIZE OF LOT g9.3A82.6I NOW ON LOT C
F
EXISTING BLDG. I FOILIES I ROOMS
SETBACK LINE FROM: REAR YARD i '
CENTER OF STREET Sn f't SIDE YARD 1 1-2F l • -
DESCRIPTION OF WORK 0
NEW I X I ALTERATION I I ADDITION I G>
REPAIR I I MOVING I I DEMOLISH I C r
BUILDING. a NO. OF.
SIZE -L210 s4_X-U OM$ -' A---STORIES 1
EXTERIOR WALL Opo
COVERING Stl1CCO I R
COVEOF RIN Q�imming1P
• USE OF NEW
BUILDING Resirip noP-Atte Car ort
S- P
•
APPROVALS
FOUNDATION: LOCATION INSPECTOR ,( DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS UNDER.PINNINGALS liL�j Ip -/ ,JT
APPLICATION AND STATE THAT THE ABOVE IS CORRECT TOPS, _ '�
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES _FRA BRACING.E: FIRE DOLTS i/r U/_']..'a
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT. _ /) ♦�, a, ,�
SIGNATURE OF LATH. EXT. ( ��I� -./—J
PERM ITTEF NPwrnrt V a C
PLASTER, INT. QQ �.f
AUTHORIZED AGT PLASTER, EXT. fi
//•-�"'�Q,f j;)
PERMIT FEE Silt ASONRY REINFORCED
VALUATION $ 5902.00 (PLAN CHECK $Silt
-1 BOND BEAM
TOTAL '� r
,ate FEE $!1 FINAL , -t4:,: ,.., / f-L.f �///
3M 3-30.33 i:`6:Y`w•:l�t. 1/'