The URL can be used to link to this page

Home My WebLink About111 MORRISTOWN LN - Building PermitsPROJECT ADDRESS: 1 1 1 MORRIS TOWN LN OWNER'S NAME: DE VALLE EUGENE G ADDRESS: 111 MORRfSTOWN LN COSTA MESA,CA 92626 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06950 PERMIT NO: B 069503 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P O BOK 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing "In Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: 059 377 STATE LIC.: 4025366 CLASS: C 39 EXP 10/95 Date: 10 I(vJ� CA (A Signature: WORKERS' CaMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Ir�u�r�e2or6a�eTlified copy thereof (Section 3800. Lab. 65/19/95 l. 5 / 1 9 / 9 5 POLICY NO.: tl L `J EXP. OATE: V COMPANY: AIG ❑ Certified copy is hereby furnished, CK Certified copy is filed with the city Building Division. Date: NAdApplicant: EXEMPTION Ffl M WO KERS' COMPENSATION DECLARATION: (Tis section need nol be completed if the m.t is for one hundred ($100) or less(. I cenity 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: ll, after making this declaration, you should become Subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/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 owneroI 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 (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such wore himsell/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 will have the burden of proving he/she did not build or improve for the purpose of sale). - - - — - - I.as owner of the property. am exclusive ry contracting with licensed contractors to construct the project (Section 704, Business IDano Professions Code: The Contractors' State License Law does not apply to an Owner o1 property who builds or improves thereon and who contracts for such projects with a Contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be crowded to me. ❑ I am exempt under Section: B. 6 P. C. for this reason: JOB DESCRIPTION T/O RESTH S REROOF W/CBPP 6 HOT MOP SQ FT: 2,508 CLAIM VALUE: 2,508.00 CALC—VALUE: Y 2,508,00 GROUP OCC: R-1 / COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 41916204 ZNE: REF NO: PLANNING N TES> > M M M kM M M M M Mk M M M M M kM MM M kMMM M M MM kM kk k k kM k M M M MMMM MkM k kk k k M M MMMkk k Mk k k M MM M M k k k M kMk M k 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: 'r APPLICATION ISSUED BY: DATE: kkMMMMMkkMMkkkkM*MMM**MMM****MM*��R� k k kMM k MM MMMM MM MM M M M M M MMkM M M M M k k M Mk M k M M M Mk kM M MkM kM MM M MM Mick k k Mit M MM Mk M M Mick M kM M k LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54,00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0.00 0,00 54,50 54,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT_:_ ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 ,50 iE it k ik ifMMifMMitMMMif itkM kit it 4t ick Mit it it Mit it it it iFM iE itM Mitts Mit iF M itkMMMMMMMMMMMMkkMMMkkkMMMMMMkMkMkk 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 I P T I O N UNIT COST TOTAL COST Date: Owner: I SFR I do hereby cenity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and will I 25534 and that I or any future building occupant wilnot (circle one) need to Comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale lava relating to building construction and hereby authorize representatives of INC city to enter upon the above-mentioned property for inspedi n purposes. �1 Date 1 Signaturr�/ Driver s License o Social Security r: 164146 Whee—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor 2508 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES 1.00 2,508.00 01 00170527-00170528 T C1 T 54.50 DATE: 10/28/94 TIME: 12:37 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 0f1lpctrlcal Conduit Utility•Undrgrnd'. 54. Forms : 4.Aectrical Conduit-ghdrgrnd, 55, Electrical Bonding z 5.'Steel Reinforce itht 56. Rough Plumbing & Pressure Test - rl •i ;. 6.- Electrical UFER Grnd. 57. APPROVAL TO COVER GUNITE - �.botings 58. Electrical Conduit-Undrgrnd. u '•8.'Foundation 59. Gas Pipe, ❑ Undrgrnd., Test - 9. -_Vater Pipe-Undigrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK 11. Pfoperty Sewer Line & House Connection 62. Backwash & Receptor -Final 12. SeWer Cap 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 r• 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT rAPPROVAtS' ', Permit # 20.;8oGgh Factory Feplace r` • _ 21 PucJS, in.Structu[.q ;; ;, - - -70. CTpderbround Hydro 22. Ducts, Vent(fatir%94 _ -71. ProductiPiping CSGas OOil, 23. -Gas PipelRoiibh &'Test ', - ' _ 72. Underground Fluslc - •r 24..RoofFramin5 x 3 • :73:'Underyrnd.StorageTank Gas 0O11 25. Roof Sheathing ;` li.2 �' `Ty (lGl,A<, • 74, --Overhead Hydro 26 .';.T-B2r Ceiling (Structural) &;Monocoat a _i :r, t 75..'Dry Chemical t 27. Frame and FlashiRigi r d 76."Dry Standpipe r, •_ ��' _28. Lathing & Siding., - . t: a: „ • 77..' FIXED SYSTEMFINAL' •29. Insulation 78.iFIflE PREY. FINAL 30. Drywall Nailing s "' HEALTH DEPT. REQUIREMENT X31. Plaster Brown Coat' " ; FINAL INSPECTIQN _ ,,,79. 32.-Electrics}Power Mete)Final -� r •�- ifW,"FOOD CERTIFICATEISSUED 33. _Final Electric 71 t '• I 'i "Notes: r34. -Final Heating & Air:Conditionipg- '• 35.'Final GaSPipe-Testi '1 n t36. Hood or'Canopy •.. .. •,• 37. Final Facto'r'y Fireplace 38. Final Plumbing : , y '39. Water Service-Finalr " X40. Gas Service -Final. , t '•' _ ' -41. Solar Domestic -Final •• '• r ' 42. Backflow Preventer 1 . 43. Backflow Irrigation >_ r ,44. Landscape Irrigation Systema't-, .h ,; C p tt I L45. :Sound Attenuation, -• �'• • o' -- -' * ' ' ri a16.-Fandicap;Regulations _ "'1 _ s u _ •• - C 47. -FINAL STRUCTU:RE&BUILDING 48. FINAL PLANNING; 49. electric Release to Edison '50. Gas Release to Southern California Gas Co 51. CER_ IFICATE OF OCCUPANCY' No. Date October 1, 1967 Mr. Les Barnes Board of Governors -Monticello Homes 111 Morristown Lane Costa Mesa, California Dear Sir: Y We would like to advise your embers that covering patio areas with plastic panels or at�y s of roof is governed by the requirements of the City of Coa Mesa_Building Code and state laws. Certain 1 t and vents tion standards must be met as well as structurand fire protection standards. A building permit is requir d before construction is started and plans must be provided efore a permit can be issued. We wouldreciate it if you would make your membership aware of these equirements so that these patios are not erected in viola ion of city ordinances. Very truly yours, RICHARD HANHART Director of Building Safety RH:dh Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA CONSTRYCTION PERMIT PER T NO. TRACT NO. LOT NO. UNIT NO. Project Address - TYPE OF CONSTRUCTION NEW ADD ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. REPAIR Applicant'sMailing#tres1s� n Owner's Name �s'�if fL�s��_�L-� _ / Phon�� Address A,P-# Zone S Main Building: Accessory Building: E Z (� C]I1L.1` \ Arch/Eng. License No. Address TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL LJ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ O'LHER PR6JECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS ZOryE GRADINGCU.VDS. ACRES q T Front G B Rear N ��qq n1 -1n n Contractor's Na ` o /V6 Ph / /O -- /� Address (mailing) �� + • L1,A)e iii �'] City License NO. �2 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 ns Code, and With SCCLIOO 7e00) 01 DIVISIOn 3 Of the BpEIn<s5 and P101<SSIOnS Code, and my license Is In full f C< 99��effect. ^ �q1 /� n Lice L/ x(06 /. C Right N K S Left G Ping. Ref. # Parking Req./Provided R E Q Remarks: Planning Notes: `J M i ; - S It as .�— I ns� o: Date d'� %�Y- signature / y �n i PLUMBING FEES Bar Sink Showers ELECTRICAL FEES WORKE RS' C OMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -Insure or a certificate Backflow Preventer Service Sink Automatic Washer Construction Pole Sub. Transformer 15.50 KW EI3800, ❑ 50+KW Q of Workers' Compensation Insurance, or acer ietl copy thereof (Section Lab. C�J//(,// "r Policy No. n/YX 4D Company ❑ Certified copy is hereby furnished. er $c p I E d with IhC City Bull I IWsiofl Backflow Irrigation g Sewer Cap Bathtubs Sewer'Connection Conking Unit Meter Cup to 100 amps Date Applicantel� / / /' DI/ z.n EX EM PMP IO RKERS' COMPENSATIO DECLARATION (This section need not be completed if the permit is for One hundred ($100) or less). Clarifiers tars Solar Collectors Dishwasher Meter Cover 100 amps Dishwasher . Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, shalt not employ any person in any manner so as to become subject to the Workers' Compensation Laws Of California. Drinking Fountains I Solar Tank I Fan Motors 00-1 HP ❑1'/a- 8 Floor Drains Swimming Pool w/Spa — F.A.U. InC.Solar 09-15 HP 016-15+ Date Signature NOTICE: If, after making this declaration, you Should become subject to the Floor Sinks Urinal Fixtures Microwave Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet Device Boxes Pole Light 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 (Section 3097',Civ. C.) Lender's Name Interceptors Water Heater Outlets Range an9 Kitchen Sink Water Service Switches Sign ' Lender's Address - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or Lavatories Auto -Wash Garbage Disposal 9 P Standing Sections P_Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor county which requires a permit to Construct, alter, improve, demolish or repair any structure, prior to its issuance, also reggires the applicant for such permit to file a signed statement that he/she IS licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/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 5 erally of not more than five huntlretl 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 forsale (Section 7044, Business and Professional Code: The Contractor's Lite rise 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 employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- _ pletion, the owner will have the burden of proving he/she did not build Or im- Move for the purpose of Sale). Ll I, as owner of the property, am exclusively contracting with licensed con. tra Ctors to construct the project (Section 7044, BusineSs and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contra Cts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof Off their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason ROOF Drains Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Approved By Date Building Approved By Dale Application Issued By Dat Boiler Hood or Type 1 ❑ Canopy Type II ElZoning Duct - Under Ground Duct - Structural Refrigeration System ❑0-100,000 BTU ❑100,000 BTU Duct - Ventilating SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT PLUMBING $ 5 C6 ISSUANCE S Exhaust System ❑ Multiple ❑ System Repair/Alteration _ Firepl/Fact. Bit. ICBO # Fire Dampers Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ 1 hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of t is .city t r upon the above-mentloned pr per fpr inspection pur /A O(j Gt/ Signature Date Drivers' License or SS ❑0-100,000 BTU 0100,000 BTL ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ GRADING $ S MICROFILM $ $ TOTAL FEE $ Reinspection Fee $15 Issue Fee $ 3 ei 5001715500171524-0017084u4—�170�� TOT u7r: fn/fL/RC True! l)! r S.0�t J CMF 0865-46, rev. 10/04 White - Building; Canary - Applicant;Pink -Accounting; Goldenrod - Assessor A CONSTRUCTION AND PLANNING APPROVALSPermit Date Inspector POOL &SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical'Sei�vice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i 5. Steel Reinforcement 56. Rough Plumbing & Pressure:Test + 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R -G UNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test• 9. Water Pipe-Undrgrnii- 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor Systerfi 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 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 fi,� 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ElGas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing i�. 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 Electric Notes: 16.2$•$8 1 Arrr C.OZO. LEr) r f 34. Final Heating & Air Conditioning iF-1re _' / ,-.r,- 6w-.;)6+1& f,4� G� 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing an ' 39. Water Service -Final .p 40. Gas Service -Final - 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation +(�, 44. Landscape Irrigation System { . 45. Sound Attenuation 46. Handicap Regulations _ r 47. FINAL STRUCTURE & BUILDING j 48. Special Requirements Completed -, 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co + 51. CERTIFICATE OF OCCUPANCY No. Date ' OWNER SAN VS3PA'BI)IIDINC COMPANY DATE 6-1-64 JOB ADDRESS 11.1 Morristown Tane BUILDING PERMIT NO. 2241.5 GENERAL CONTRACTOR gBTae VALUE $ 13,895.00 AP No. LOT 332 TRACT 5,7,60 FIRE ZONE DESCRIPTION OF WORK re6 W'&tt i INSPECTIONS Signature I DATE I GROUP M.T TYPE V ZONE R4 Soil _ Gas SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Cq9i. Refrig.'L3 Ahr Cond. ❑ Rough Heating— Rough Plumbing / Miscellaneous -\ Prop. Swr. Line 0 House Con. WSt. Swr. 0 (i„�� (!' ��„,. Sprinkling System Construction Pole y Underground ❑ Power,p Rough Wirm - L - Trenches j Forms Steel Reinf. ❑ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing_ .z Lathing — In Ont Plaster, brown coat ci R.efrig. ❑ Air Con. 0 Final Heating, Final I J— c'^ . ,; Plumbing Fixtures, Final ULI Final Gas Test lemei. o Electric Fixtures, Final Z- Buildin Final i OCCUPANCY Form BU4--SM-3-63--S-B P -- __ . _ ........•nr-a ar. wlTC 2231, COSTA MESA BUILDING SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 111 Morristown Lane BUILDING COSTA MESA, CALIFORNIA CITY Los Angeles 11, Calif.No'AD 37187 ZONE APPROVED OR ENARCHIG NEER Ra mond Levanas NEL OR 37010 BY ADDRESS 3436 Via Oporto,' New ort Beach N CONTRACTOR San Vista Building Co. LEGAL ADDRESS 1166 E. 58th Street DHECRIrtIoI FEE RECEIVED &Y 18 FINAFFNCrrEnnCC pp P��T..��pp APPL�T4� A 9PRTPERN[Il"' BUILDING For Office Use Only ReC81PT NO. PHRMI' %i BY DATE RECEIVED mnATEi! ZZOONING �) No. Of / 1 USK OP ' EXISTING BLDG. one ( FROM C/f 6ETBACK LINE PROMt 1 FRONT 1 CENTER OF STREET REAR YARD SIDE YARD LEFT 0 RIGHT El R. SIDE C DESCRIPTION OF WORK L. SIDE 1 BUILDING SIZE q O O EXTERIOR WALL ROOF 2 I VAR.# a 11 o DATE / 11 A. P. NO. 80. FT. - O CITY Los Angeles Calif. THE AMOUNT SHOWN OER VALUATION IH FOR THE ANO STATEOVE IS CORRECT AND AGREE TO COM. PURPOSE OF HSTABL SHINO A PERMIT NOTE: NO SAVE OVERHANG SHALL BE L SS THAN STATE 192782 NEL. AD 37187 IREP. L. 90' 70 SIDE S C EAVES SIZEI ZO X 70 NO. OF BLDaS.D ALLOWED (U. B. C. REQUIREMENT) OF LOT !/ t J NOW ON LOT -1�^/•YAUTHORIZ YARDS APPROVED YARDS APPROVED I USE OF N TOTAL FEE $�i�0 MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. one ( FROM C/f 6ETBACK LINE PROMt 1 FRONT 1 CENTER OF STREET REAR YARD SIDE YARD LEFT 0 RIGHT El R. SIDE C DESCRIPTION OF WORK L. SIDE 1 BUILDING SIZE q O O EXTERIOR WALL ROOF 2 I VAR.# a 11 o DATE / LF Zf . 80. FT. - O 1 HEREBY A120 THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN OER VALUATION IH FOR THE ANO STATEOVE IS CORRECT AND AGREE TO COM. PURPOSE OF HSTABL SHINO A PERMIT FEE ONLY. PLY WITH ANANCES AND STATE LAWS REGULATING VALUATIONBUILDING C PERMITFEESIGNATUR lPERMITTE1i !/ t J -1�^/•YAUTHORIZ TOTAL FEE $�i�0 k J