HomeMy WebLinkAbout284 HANOVER DR - Building Permits`� ' N � � t
- CITY OP COSTA MESA
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> ,.... � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wiw.ci.costa-mesa.ca.us -
� � � FOR INSPECTIONS CALL: (714) 754-5626
�°'•°p^°'' PERMIT NUMBER: BC11-00072
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES_ALT DATE ISSUED: 02/0812011
ISSUED BY: RMD
�oe nooRess �284.HANOUER-DR-GM�-^� Suite/Unit:
APN: 14138118 Zoning: , , � �- - -
Vicinity: KITCHEN MASTER BATH . � � Primary Occ:
Const Type: V-B SQ. FT: 0 Valuation: $9,900.00
SCOPE OF WORK: MINOR KITCHEN AND MASTER BATHROOM REMODEL. WROK TO INCLUDE: REPLACEMENT OF KITCHEN
SINK, GAS LINE FOR DRYER, 1 BATH TUB/SHOWER, 2 WASH BASINS, 2 WATER CLOSETS, 1 KITCHEN HOOD, 1 VENT FAN, 5
LIGHT FIXTS, 2 OUTLETS AND 6 SWITCHES.
OWNER: CALAMARAS, GEORGE P TR
Phone: 760-879.6741
APPLICANT: LOCK, KENNETH
Phone: 714-902.3776
CONTRACTOR: K L C CONSTRUCTION
Phone: 714-902-J776 .
CeIL
ARCHITECT:
ENGINEER:
Address: 284 HANOVER DR _,
City/StatelZip: COSTA MESA, CA
Address:
City/Sta[e/zZip:
. .. :. � Unit:
License-No. 601217
Address: 6141 IROQUOIS ROADUnit:
Ciry/State: WESTMINSTER,�CA
Cicense No.
' � License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: "
Building Fees:
Electrical Fees: �
Mechanical Fees: -
Plumbing Fees: ` �
SMIP Residential: . �
SMIP Commercial:
Bldg S�d Admin Fund
TOTAL FEES:
"Refer to fee receiD[5 fof all fees naid fnr nrniect
$0.00
$181.25
$37.80
$41.40
$98.25
$0.99
$0.00
$1.00
$360.69
Monday thru Fritlay � 7:D0 am thru 7:00 pm. Saturdays- 9:00 am thru 6:00 pm.
New Years Dav. Memorial Dav. Indeoendenr.e Dav_ La6�
Unit .
ZipCode 92683
PHONE:
PHONE:
3/18/2010 - PER CMMC Sec. 13-279
�ited all hours - Sundays and the foilowing Federal holidays:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia sWtules and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
LODE k. INSPECTION TYPE DpTE IN1111A�5 CODEk INSPECTION TYPE OATE INTIPALS
1616 Fixed System Fina� Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roo� 210 Final Eleciriwl • �' I � �P�
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 Final Si�e
204 Finai Demolition 250 Final Building/Occupancy
�
WORKERS' COMPENSATION DECLARATION�
I hereby aRrm under penalry of perjury one of the following declarations:
❑ I have antl will main[ain a certifwte of consent to self-Insure tor workers'
compensation, as pmvidetl for by section 3700 of the Labor Code, for the
pertormance of Ihe vrork for which this permit is issued.
❑ I have and vnll maintain workers' compensation insurence, as required by
sectbn 3700 of the Labor Code, for the perfortnance of the vrork for which this
pertnit is issued. My workers' compensalion Insurance carrier and policy
number are:
Carrier.
(ihis sedion need iror be campletetl A tne permn is valued at one nurWied cVllars (3100) w less.)
Policy Number:
' 1 ceftify that in ihe pedormance of the work for which lhis permit is
issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' compe sati laws of Califomia, and agree that if I shoultl
become s ect�t ers' compensation provisions of Section 3700 of
the La �Code � al hwith comply with these provisions.
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�pl N's SignalOre �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm [ha[ I am licensed under provisions of Chapter 9(commencing
with Section 7000) ot Division 3 of the Business antl Professions Code, antl
my license i in (u I f rce and effect.
Li�k— Cla s�k'�. s.��
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im'dc�or s Signalure" p�5te
CONSTRUCTION LENDING AGENCY:
❑ I hereby a(fvm that there is a conslrucl'an lending agency for the
peAortnance of the v.nrk fa wfiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Adtlress:
Oale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm lha� undef penalty O( perjury lhal I am EXEMPT PROM THE
CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5,
Business antl Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any stmcture, prior lo its
issuance, also requires the applicant for such permit to 51e a signed statement
Ihat he or she is licensed pursuant lo Ihe provisions of lhe Contractors
License Law (Chapter 9(commencing vrith Section 7000) of Division 3 of the
Business antl Professions Cotle) or that he or she is exempt therefrom and
the basis for Ihe alleged ezemption. Any violation of Section 7031.5 by any
applicant (or a pertnit subjec[s the applicanl to a civil penalty of not more [han
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 stmcWre is not intended or
oReretl 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 thmugh his or her own
employees, provided that such improvemenis are not intended or oflered for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of proving that he or she
did not huild or improve for puryose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTR4CTORS to conswct the pmject (Sec. 7044, Business and
Professbns Code� The contractps License Law does not apply to an ovmer o�
property who builds or improves thereon, and who cont2cts for such project with
a cont2ctor(s) license pursuant ro the Contractors License Laws.�.
� I am exempt under sec.
Business and Professions Code tor this reason:
SignaWre Date
305]-A6(3/Ol)
��
Owner ID verified by driv�se. ❑ Yes ❑ No
Dnver's License No. Expires:
Verifcation of Ownership by (type oF document, i.e. - pmperry tax bill or deed):
DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certdy that no excavation !rve (5) or more leet in depth into v.fiich a
person is requiretl [o descend, will be made in connectbn vnlh work authorizetl
by this pertnit, antl [hat no building structure, scaBdding, (alsework, a demolition
or dismantling lhereof, will be more than Ihirty-six (36) teet high. (Chap. 32, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Atlminist2tive Code�.
❑ As owner-builder, I will nol employ anyone to do work which would
require a permit from the Division of Industrial Safery, as noted above, unless
such person has a permit Io do such work from the division.
Appliwnl's SignaNre Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will [he applicant or present or fuNre building occupant need lo file and
certify a Business Plan for emergency response b release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Calitomia Health and Safety Cotle requires, with some
ezcepiions, that a Business Plan be fled with lhe Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantiry of hazartlous matenals equal to or greater than a weiqht ot
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at stantlard temperature and pressure).
2. Does or will Ihe applicant or present or fuNre building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Sa(ely Cotle, with some
exceptions, requires registration with ihe Costa Mesa Fire Department by
each 6usiness which at any one time has on hantl 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 teet of compressed gas at standard
temperaWre antl pressure�.
3. Does or will the applicaN or present or future building occupant neetl to
prepare an RMPP (Risk Management antl Prevention Program for acutely
�azartlous matenals)? � Yes ❑ No
(Section 25534 of the Cali(omia Health and Safety Code provitles that the
Cosla Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are requiretl
to register awtely hazardous materials with Ihe Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of the California
Health antl Safe[y Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
[he work which is the subject of this appliw[ion a permit (or such construclion
or modifcation from the South COast Air �ualily Management District or trom
any olher air pollution control distnct or agency? ❑ Yes ❑ No
(Section 658502 of lhe Cali(omia Govemment Code requires that Ihe requesled
information be fumished on applications ta rwn-residential building pertnils).
6. will any part of the faciliry to be constructed under this permit be within
1000 feet (rom the ouler bountlanes of a school? ❑ Yes ❑ No
Qf'yes", Ihe facility must meet the requiremen[ of Seclions 25534 and 42303
of the Califomia Health antl Safety Code).
7. If a permit from ihe South Coas[ Air Qualiry Management Distnct or olher
air polWtion control district or agency is required for the vrork which is the
subjecl o( [his application, have all of the disclosures prescrihed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
B. Qf "yes", altach certifirate of compliance from the appmpriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct I agree to comply with all state lavrs antl
city ordinances regarding Hazardous Materials and Emissions.
Signalure Oate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is covecL I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described property for
inspection purposes. I agre not to oycupy or allow occupancy ot any building
authorizedbyth' e it tilfna �R'spection.
S e er(s) e /
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IVIandatory Measures Summary 1l2�'-1�
Residential (�'%�^� � �i��l
Siu�Address: �71"� V!U`�� linfurenienlA�,ency: I)ale: _ (7/l��
� ��0'5�2�- %�'1"�2--- :s "r �
§ I50(j)4: Solar water-heatine svstems and/or collectors xre certified bv Ihe Solar Raliu<� vnd Ccnification Cnrporatiou.
§ I50(m)I: All air-disvibution system ducts and plenums instnlled, are sealed and iosulated to meet tl�e reqiiu�ements of CMC Sectinns 601, 602,
607, 604, 605 nnd Standard 6-5; supply-air and return-nir ducts and pleu�ims are ii�sulated to �i minimum installed level of R-4:2 or
enclosed entirel y in conditioned space. Openings sl�all be sealed witl� mastic, tupe or other duc�-cl�sure systein thai mects Ihe applic�ble
requfrements oTUL I81, UL I S I A, or UL 161H or aerosol sealunt thai ineets thc reqwrements of t1L 723. tf mastic or tape is used to
seal openings greater than 1/4 inch the combinetion of mastic and either mesl� or tape sball be used
§ I50(m) I�. Building cavities, support platfonns for air handlers, and plenums deGneJ or constructed witii materiais other than sealed sheet metal,
duct bo�rd or flexible duct shall noi be used for conveying conAitioned •air. Building cavities �nd sup�wn platforms map contain duc[s.
Ducts insta�led in eavities and support platforms shall not be compressed to causc reduetions in the cross-sectional aren of ihe ducts.
§ I50(m)2D: Joints and seams of ducl systeins and tlieir compone��ts shall not be sealed with c)oUi bacl: rubber adhesive duct tapes unless such tape
is used in combinatiou with mastic and dra�e bands.
Exhai�st fen svstems have hack draft or aummatic
Graviq- ventilating systems serving conditioned space have either automatic or reudily accessible, manually operated dampers.
Insulation shall be protected from damage, including that due to sunligh�, moismre, equipmeiii maintenance, and wi6d. Celiidar fonm
insulauo�� shall be protected as above or painted with a coating iha� is water re�ardant and provides shielding from solar radiztion lhat
§I50(m)10: Flexible ducts cannot have porous inner cores.
§I5�(o): All dwelling units shall meet the requirements of AN51lASHRAE Standard G2.2-2007 Ventilation and Acceptable ]ndoor Air Quality in
Low-Rise Residential Buildings. Window operation is not a permissible met}��d ofprovidingthe Whole Buildine Ventilalion required in
Section 4 of that Standard.
Puol and Spa $eutinC Svstems and T,quipment Measures:
§1 ]4(a): Any pool or spa heating system shall be certified to have: a Ihermal efficiency Ihat complies with the Appliance EfLciency Regula�ions;
an on-off switch mounted outside of [he heater{ a permanent weatherproof plate or card with operating insvuctions; and s6a11 not use
electric resistance heating or a pilot IiFht.
§114(b)1 �. Any pool or spa heati�g equipment shail be ins[alled with at Ieast 36" of pipe between filter and heater, or dedicated suction and return
§ I ]4(b)2: Outdoor pc
§114(b)3: Poolsshal
pro�ramn
§I50(p)�. Residential
Residential LiQhti
§ISOQc)I�. Higheffic
Table 15C
§150(k)3: The watta
have a heac pump or gas heacer shall have a cover.
al inlets that adequatel�� mis the pool water; and a time
�I svs[ams or equipment meet the
Measures:
luminaires or LED LiCh( EnR�ne
and vatve
Sinic has au ef�icacy that is no
sball be de�erminecl ds
pumps to be set or
contained in
§ 150(k)4: Ballasts for fluorescent lamps ruted 13 Watts or greater shal) be electr�nlc and s6a11 li�ve au outpui irequci�c}� no less than 20 kHz.
§150(I<)5: Permanently inst�lled night Iights and nigh� lights integral to:i permanently installed luminaire or exl�uusl fun shall contnin only high
efficacy lamps meeting the minimum efC�c,�cies contained in Table 150-C and shall nol conlaii� n line-voltage socke� or line-voltage
Inmp holder; OR shull bc rated to conswne no more than five watls of power as detennined by ¢ 13U(d), und shall no� contaiu a medlum
in inoms otlter t6an kitchens, shall meet the nonlicnblc remurements of & 1
¢ I 50(Iep: All switching devices and controls shall mee� lhc requirements of t I SOQc)7.
§I50(IQB: A minimum o(50 percem of the total r.LLe<I wattuge o�pennunentlp inst�lled lighting in Ieitcl�ens shall be high efficacy.
EXCEPTION �. Up to SD wa4s for dwelling units less lhan or equal to 2,500 flz or 106 watis for dwelling units larger than 2,500 ft' mEp� bc exempl
from ihe .50% high cfficacy requirement when: all low effmacy luroivaires in thc Icitchen are contralled by n manual on occupnn�
sensor, dimmer, energy managemen� syslem (GMCS), or a multi-scene progrnnunable control system; and aII permanenlly inslalled
luminaries in garages, laundq� rooms, closets grcnter than 70 squarc feel, and utility rooms are high efGcacy and controlled by a
manual-on occupant sensor.
�150(k:j9: VermanenNy insmlled lig6ting that is internal to cabinets shall use no morc Ihan 20 wntts of power per linear I�aoi of illwninated
cabineL
§ I50(k} 10�. Permanen0y instulled luminaires in bathrooms, attached
2(IOS lie.sidenlia! Conryliance Forme�
ga[ages, laundq� rooms, closets and utility rooms
�tugus� 2(/09
� �� � �` ! ._._ _ ___: �.---�,_._�,i__ �--__ ;
BXCEPTIOid 1: Pennnnen[ly ins�ulled low efficucy luminaires shall bc allo�vecl provided tliat they arc controlled by .i mauuxl-ou
occupant sensor cartified to comply with thc applicabic roquiremenis of §I 19.
BXCEPTION 2: PerumuenNy installed low efficuc}' luntivaires in closets less than 70 square leet are not required m bc controNed by a
manual-on occupam sensor-
§1SD(I;)11: Yermdnently ins�nlled luminairea located in ronms or ueas oiher th�in in Icitchens; bathruoms. gerages, laundry rooms, closels, und utiliq�
rooms shall 6e high efficacy luimnaires.
BXCEPTIO� I: Fermanently installed lo�r efGaicy luminaires sh.11 be nilowed provided they :ve contrulied by either a dimmer s�ritch
that complies with tlie applicable requirements of � I 1 J, m- by ;i mannul-on occupam sensor th�u complies with the
applicable requirements of § 119.
EXCEPTION 2: Lighting in de�ached storage building Iess than 100U squnre fee� locuted un u residential site is noi required to canply
with �I50(IQI1.
§ I50(Iql2: Luminaires recessed into insulated ceilingsshall be listed for zero clearance insulmion contact (IC) hy Underwriters Laboratories or
other nationally recognized testing/ratiug Inbomtory; and have a label thai certifies Ihe I!miiunaire is ainighi with air leal:nge less then
Z.0 CFM at 75 Pascals when tested in accordnuce wi4i ASTM G253; and be sealed with a gasket or caulk between the luminaire housiug
and ceilin �.
¢15D(1;)13: Lmninnires providing owdoor lighting, including lighting for private patios in Iow-rise residential buildings with fom� or more dwelling
.. units, entrances, balconies; and-porches, �vhich are permanently mountetl �o T residential building or to other buildings un the same lot_
shall be high efficacy. �
EXCEPTION I: Permanenlly ins�alled outdoor low efficacy luminnires sha�l be allowed provided thet they are contmlled by a manual
onloff switch, a motion sensor uot having an override or bypass switch that disables Ihe motion sensor, nnd one of the
following controls: a photocomro! no� having an override m� bypass switch that disabJes Uie phomcontrol; OR an
astronomical time clock not havin@ an override or bypass switch that disables the astronomical time clocl:; OR an
energy management�control system (EMCS) not having an override or bypass s�vitch that allows the luminaire to 6e
always on
EXCEPTION 2: Outdoor luminaires used to comply witli Exceptioni to § I50(k)13 may be controlled by a tempo�ary override switch
which bypasses t6e motion sensing funetion provided tha� the motion sensw� is automatically reactivated wiffiin sis
hours.
EXCEPTION 3: Permanently installed luminaires in or amund swimming pool, water feawres, or other location subiect to Anicle 680 of
the Califomia Electric Code need not be hi h effmaq- Iwninaires.
§I50(k)14: (nternally illumina�ed address signs shalf comply wit6 Section 148; OR nol contain a screw-base socicet, and consume no more tiian fve
waris of ower as determined according [o § 130(d).
§150(k)15: Ligl�ting for parking lots and carpons wit6 a total of for S or more vehicles per site shall comply witli the applicable requiretnents in
Sections 130, I32, 134, and 147. Lighting tor parkino garages for S or more vehicles shall comply ���ith the applicable requirements of
Sections 130, ]31, 134, and 146
§I50(k)16: Permanently installed lighting in the enclosed, non-dwelling spaces of Iow-rise residential buildings with four or more dw�elling units
shali be high effcaey luntinaires.
EXCEPTIOA': Permanently insialled ]ow efLc�cy luminaires shall be allowed provided tbai tliey ure controlled hy.an occupam sensor(s)
cenified to comply witli the applicable requiremeMs of 4119.
?OOk Rea�ide�v�inl Cumpliurvice Fnrma� �l ttgara'i 30(1J
COSTA MESA BUI�DING DEPARTAAENT�
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� BUILDING ADDRESS 28 ¢ 'I�/�NO ✓R.,Q�
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Mail Address z �i ¢ �f�NO✓�,e [7,C
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Type of Fenc� /3lse/l � •S✓�C-t-1' �Rle_.
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I hereby acknowledge that I have read this cspplication and state
that the above is correct and agree to comply with all City Qrd-
inances and State Laws regulati building construction.
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FOR OFFICE USE ONLY
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JOBADDRESS Q�j HanoVer Driva BUILDINGPERMITNO. /�(1(�6
GENERALCONTRACTOR $arhOr CnriG},t.��rtipn � VALUE 5 1Q�(i00.OQ
I 3jr BLOCK . TRACT �i66 $ac�W�att gar
GROUP I Sc J TYPE V ZONE FIRE DISTRICT �'j'2�"j
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Footing Trench
Foundation Formsand Gradeto
to Slab�:�de= r.tics' Iz�-z���-/, I�ly„-,,./ 'Ys.v� l.� ._.7:�,,.� IZ✓_ i—.� 7 I kS/O
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Wiring Rough .! �� �1J_ �(,ULZ/�'..ew ,�p.wC
Heatina. Rouah i`n °l� S 6-}O'S7 .� afp 7he�0.�.�.
Heating, Final �/1�{/; 7 / V
eewer, House ��� sewer, sc. JyL�"S -�S''S'7
Septic Tank or Cesspool `_
V"" `ng, In Out � %�
f ring i
Plumbing, Fina1, Fixtures Comptete �/ �ytj zj'�' �T
Plumbing,Fin.alGasTest/� ��� 0.}J:.i'y t�. •�9_ ' C �
Wiring,Final ���� (�/ _
occupancy � ��pr)„(�S'�
FOflM 210 3M IO�iS
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CCUS7l4 MESA BUILDING DEPARTMENT
,* � P. O. BOX 31]
COSTA MESA, CALIFORNIA
FEE RECEIVED
� �,�. _� � _► � r�
FINANCE DEPT.
riTY [1F COSiA MESR
�
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
eui�oiNc BUILDING
aooaess c
cosrn MESA. CALIFORNIA FOR OFF.ICE USE ONLY
PECEIPT NO. pER 1 �
OWNER COLLEGE PARK NO. ���
RECEIVE� BY DATE PECEIVEO DATE ISSUEO
MA�` 2 I So Ma i rv S lL � — P,tAR 1 2 195
AD�RE55
TEL. BUILDING
CITY ' AN A I F NO.K � ADDRESS
ARCH"'ECT uc. COSTA MESA. CALIFORNIA
OR' JEER - NO.
FIRE
ADDRE55 20NE
CITY LIC /�] �ONE p�qNs TYPE ,/// GROVP
CONTRACTO NO. LLOG� � v �
TEL. APPROVED �
ADDRE55 NO. BY -OATE
��E�A� �or - CORRECTIONS
oEscAiPnorv NO. BLOCK TRACT � i 66
A.P. NO.
SIZE / NO.OF BLOGS.
OF LOT pO X I�G rvow orv �01
USE OF
EXiSTING BLDG. '
SETBACK LINE FROM �[ '
c[rvi[R oF SiR[[T O REAR YARD •
SI�E YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOlISH
BUILOING I ' NO.OF �
SIZE �j (� ROOMS STORiES
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW �
BUILDING Rr. DENCE & ATTACHED
r
I MEflEBY RCKNOWLE�GE TNAT I HAVE PEAO TMI$ APPLICiTION ANO
STATE THAT THE �160VE IS CORFECT AND wGFEE TO COMPLT WITH ALL
CITY OPOINANCES AND STFTE LFWS REGULLTING 91111�ING CONSTRUC-
ilorv. VAWATION
SIGNATURE OF PERM�T FEE $ �rJ�
PERMITTEE PA �� �
�' ^' I oo • PLAN CHECK $ jJ/^
� 4 �Lc
AUTHORIZED AGENT TOTAL FEE $ I U�' ���
OWNER PHILP� t2oYD � MAR 2 1959 � �
DATE 10-3-5A
JOB ADDRFSS 284 Hanover Driv� BUILDING PERMIT NO. ��22
GENERAL CONTRACTOR S01S VAL[IE $ 3�4.00 �
AP. No. � LOT 75 TRACT 3�66 FIRE ZONE DESCRIPTION OF WORK B1oCk & R811 Fence
GROUP . TYPE � ZONE PLAN NO. �
, ir
CTIONS
coat
Pinal
F' �' Gas Test
l uction P<
DATE I SUBCONTRACTOR I PERMITSISSUED
DATE NUMBEI
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