HomeMy WebLinkAbout3037 HARDING WAY - Building Permits(714) 754-5273 • Fax (774) 754•4856 • www.ci.costa-mesa.�.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
.lobAddress: 3037 HARDING WY
Suite:
Vicinity: ROOF
Parcel Number: 14113322
Applicant: KRIS WATSON
Address: 2219 W OLIVE AV
SUITE 282
BURBANK, CA
Owner: RODGERS, PATRICK A
Address 15152 MARNE CIR
IRVINE, CA
Contractor. MODERN ROOFING
Address: 2219 W OLIVE AV
SUITE 282
BURBANK,CA
Zip: 91506
Arch :
Address:
Phone:
Zoning:
Phone: 888311-7663
Zip: 91506
Phone:
Zip: 92604
Phone: 888-311-7663
License: 607881
Eng:
Address:
Status: ISSUED
Applied: 11/04/2003
Issued: 11/04/2003
ISSUED BY: � �
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL DOUBLE LAl'ER OF 30# FELT, CLAYMAX TILE, BERMUDA BLEND IS THE COLOR, 5.8 LBS. ICBO #3523.
25 SQUARES INCLUDES AN ATTACHED GARAGE. �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other.
Inspection:
Total:
$0.00
$153.25
$0.74
$0.00
$0.00
$0.00
$153.99
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: 0
Rear 0- 0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
g�,aoo.00
s�,aoo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 ,
?448-48�8/00)
WOHKERS' COMPENSATION DECLARATION: �
I hereby ettirtn untler penalry ol perjury one of the tollowing tleclaretions:
❑ I have end wlll maintein a certilicate ot consent lo self-Insure for workers' compensation, es providetl tor by sectlon 3700 of the Labor CodO, tor lhe pertormence of the
work for which this permit is issuetl.
�[� I have antl will maintaln workers' compensetlon insurance, as requiretl Dy sectlon 3700 of Ne Lebor Code, for Ne peAortnance of ihe work for whlU this permlt I5 Issued.
My workersI' compensation Insurence cartier and policy number ere:
Carrier. SiZ�.OL �-Jnf� PolicyNumber. OBO I�$�'ZOG2
(This section need nof be comp/ete0 /l fhe permif /s ve/ued et one nunOred dollers (5700) or less.)
❑ I ceRity that in the peAormance of the work for which this pertnit is issued, I shall not employ eny person in any menner so as to become subject to iha workers'
compensation laws ot Calliornla, end egree Ihat If I should becoma sub�ect to the workers' compensation provisions oi Section 3700 0l the Wbor Code, I shell forthwith
comply with these provisions.
Applicent Signature: � Date: i 1 L/ J0�7
WARNING: FAILURE TO SE URE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED
TFKKISAND DOLLARE (5100,000�. IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PFiOVIOED FOR IN SECTION 3lOfi OF THE LABOR CODE, IMERESi, PND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Prolessions Code, end my license is in full
force end eflecL Lic. N %0%$8 � Class N [r
Contreaor's Signeture: � Date: __J� � 0'l
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is e constmction lending egency lor ihe paAormance of iha work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender'S Name: Lantler's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirm thet under penelty of perjury thet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business entl Professions
Cotle: Any city or county which requires a permit to constmd, eller, improve, demolish, or repair any stmcture, prior to its issuance, also roqulres Ihe epplicant for such permit
to file a signetl statement that he or she Is Ilcensed pursuant to the provislons of the Coniracrors License Law (Chapter 9(commencing with SecNon 7000) 01 Dlvlsion 3 oi the
Business ana Professions Code) or thel he or she is ezempt therefrom end the besis for the alleged exemption. Any violatlon of Section 7031.5 by any epplicent for e parmit
subjecis tha applicam to e civil penelty of not more then five hundred dollars ($500).):
❑ I, as owner of t�e properry, or my employees wlih wagas as iheir sole compensation, WILL DO THE WORK, end the strucWra Is not Intentled or offered lor sele (Sec.
7044, Business end Professions Cotle: Tlie Contractors Llcense law does not apply to an owner of properry who builds or improves Ihereon, and who tloes such work
himself or hersell or through �is or her own employees, provided thet such improvements ere not intended or oHered for sale. If, however, tha builtlinq or Improvement is
soltl within one year of completion, the owner-buil0er will heve ihe burden of proving that he or she did not build or improve for purpose of sale.). �
❑ I, as owner ol ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions
Cotle: The con�rectors License Lew doas not epply to en owner of pmpeny who builds or Improves thereon, end who coniracts tor such project with e contrectoqs)
license pursuant to the Contraaors License LewsJ.
❑ I am exempi under sec. 8usineu end ProleSsions Cotle for this reason:
Siqnawre: Date:
Owner ID veniletl by tlriver5licen50. ❑ Yes ❑ No Drivefs LicenSe No.
Venfication of Ownership by (type ol tlocument, I.e. - pm0erry taa bill or deetl�:
DIVISION OF INOUSTRIAL SAFETY PERMIT CERTFICATION:
ExD�res:
❑ I hereby cenify that no excavatlon Nve (5) or more faet in depih into which e parson is requiretl ro tlescen4 will be made in connection with work authorizetl by this
pertnit, end thet no building structure, scalloltlinp, lalsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Ttle B, Caltlomia AGminlstretive Code).
❑ As owner-builder, I will not employ anyone to do work which woWA require a pertnit �mm �he Division of IndusMel Sefery, as noted above, unleu such person has e
permit to do such work from lhe division.
Signature: Date:
Division of Indusinal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIJT}IORIZATION OF ENTRV: I cenity under penalry of perjury that I have read this epD���lion and state ihat lhe intortnetion given is
correct. I egrea to comply wit� ell state laws and ciry ordinances relating to builtling construction, and authonze representatives of the Ciry ol Casta Mesa to eNer upon the
ebove-dascnbed properry for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized Dy �his pertnit until tinal inspection.
Sign�re OI Legal Owner(s) Date
�— n �N�O;
And/Or Authorized Applicant �D ta e
COUE �. INSPECTIONTYVE
7616 Fixad System Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demoli�ion
PAiE It�ELS
/l �9-�3 �
COOEt INSPECTONTYPE
206 Final Mechanical
200 Final Plumbing
210 Finel Elecirical
212 Final Fira Preventian
220 Final Planning Approval
222
250
Final Site
Final Building/Occupency
� 1��
PflOJECT P�OHESS: 3 O 3% HARD I NG WY L
OWNEH'SNAME: RODGERS, PATRICK A
nooxess: RODGERS, JANET L
15152 MARNE CZR
ZRVINE,CA 92719
AXCHIENGINEEfl:
ADOflE55:
NEG.NO.:
UNIT:
uxiT:
PEHMITTEE: NOCK PLUMBING (714)895-1296
aooxess: 11610 SEAEOARD CIR
STANTON CA 90680
LICENSEO CONTBRCTOfl OECLAPATION: I hereby alhrm Iha� I am licensetl unAer pmvisions of Chap�er 9(commencing wi�� $ection
]000� ol Div��sion 3 of ��e Business anA Pmiessions Code. antl my license is in lull torce an0 eifect.
ciT„uc.'�8 6 sTare uc.: 5119 7 Yl cuss: �
�i¢% ?�y'—Q —��� Signature:�� ��7�� � � l —J�
-•�NEflS' COMPE SPTIOMOECLAPATION: I hereby a thhlfr a� I have a cenificate oi consenl to seli-insure or a certificate oi Workers'
Compensalion Insurante. or a cenilied copY �hereof (Section 3800. Lab. C�.
jroucvxo.:1167992-99 exv.oaTe: 03/O1/95
..toMraxv: STATE
] Certilied copy i; hereby lumishetl. [� Cerlilietl copy i e wilh ��e ciry Buii ng -'sion.
L%EMPTIONFflOM
I certily thai in IhE
su'1:7�yo I�e Wc
o�
nee0 not 6e completetl It �he permll ls far one hun�re0 (510�) ar less).
I, I shall no� employ any person in any manner so as ro become
��NOTICE: I�. afler m�nag�claration, you shaNA Uecome suGlect m lhe Workers' ComDensation pwvisions oi the Labor
Cotle, you mus� fo�hwilh comD�Y wi�h such pmvisions ar �his permi� shall be tleemed reroketl.
CONS7HUCTION LENDING pGENCY: I hereby affirm tha� there is a constmction lentlinp agency for ihe peAormance oi ihe work for
w�ich Ihis permi� is issue0 (Seciion 3097. Civ. C).
LENDEB:
I RDDHE55:
OWNEB BUILDEB DECIAHATION: I hereby atlirm thai I am exempt tmm Ihe Contrac�ors' Slaie License Law for Ihe lollowing reason
�Seclion 703L5 Business an0 Prolessionat Coae' pny city o� county which requires a De�mit �o cons�mct, alter, imD�ove, tlemolish, or
repai� any slmcNre. prior �o ils issuance. alm requires I�e ap0lican� far 5uch permii to fil¢ a signetl statement t�ai helshe is licensetl
Oursuant m t�e pmvisions of i�e Coniracm�s' Stale Ucense Law (CAapler 9(commencing with Section 7000) of Division 3 oi the Business
ane Pmfessions Cotle) or ihat he/sne is exempt Iherefrom and the basis for the allegetl exemption. Any violation ot Section 703L5 by
any applicanifor a permi� suUlects �he applicantio a civil penal�y oi nol more ihan Irve hun4re0 Uollars (5500).
I, as owner o1 t�e propehy or my emDloyees with wages as Iheir sole compensation, will tlo the work, antl the
❑ stmc�ure is no� intendetl ar olferea �or sale (Seclion 7044, Busmess an0 Prolessional COAe: The Contractors' State License Law
tlaes no� appty �o an owner oi a property who builds or impmves �hereon, and who does such wo�k himself/herstl� or lhrougA
his or �er own employees. pmvidetl ihat suc� impmvements are not intenae0 or otteretl for sale. If, however ihe �uilding or
impmvemen� is 5010 wilhin one year of comple�ion, the owner will have the 6u�0en oi pmving he/she tli0 not build or impmve
br the purpose ol sale�.
1. as owner o� �he pmDe�y, am eKtlusively conVac�inA w��h licensetl conirac�ors Io conSUuct the pmleci (Section 7004, BuSinesS
� ana Pmtessions COAe: T�e ConVacmrs' Slale License Law Ooes no� appry m an awner af pmperry who builOs or impmves thereon
. antl who contrac�s lar such pwlects with a conirac�or(s�license pursuan� to �he Conl�actors' S�ate LirenSe Law),I am aware
' ��at prool o� iheir Worker'S Compensa�ion insurance 5hou10 be pmvi0etl to me.
I� I am e�empl untler Sec�ion�. 6. 8 P. C.
for ihis reason�.
Oaie: Owner.
I tlo here�y cenily Iha� I am aware ol ane unders�antl Ihe re0uiremenis of Calibmia Healih and Safe�y Cotle Sections 25505. 25533, antl
2559a and tha� I or any �uiure Ouilding occupant wilVwill not (circle one) need to comply vnih saitl s�ate co0e5 an0 �he repuirements for a
permii lo� conslmc�ion or mo0ificaiion tmm ihe Air �uabry Managemen� OistricL Residenlial cons�mction aDPlicaiions are eaempi �mm
Ihese provisions.
�aie', ApplicanP..
I hereby cer�i�y Iha� I have rea� I�is applicalion and s�ate
ortlinances and slate laws relating lo Oudeing mnsimc�ion ;
pmpeny lor inspecti n purv ses.
�� 311 � g �,G �,��,,,,.o�
in�arma�ion is correc�. I agree �o comDly with all ci�y antl counry
�rize repre(2�iCLti�o� ��is ci�y to emer upan ��e a�ove-men�ionetl
�6rivers ticense o� sociai�seariiv a: �
16anG6 Whne—BuAdmg: Green—Code En�orcemenL Canary—ApPlicant: Pink—Revenue', Goltlenmtl—Assessar
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: P 066263 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION ; DISHI�JASHER CHANGE-OUT
CLAIM VALUE:
CALC-VALUE:
PERM NO: P 066263
GOVT: N SUPP; N
PURPOSE: OTH
SQ FT;
GROUP OCC: R-3 /
COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT
+�+��r********+�+r***�**+t***�x�**+�***�t****+t+��c****+��**�r*******i�***x*+�****+t��*****-�*�**x�
Z O N 2 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 ZN FANT; FT ZN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN
PARKING REQ: PROV: PARCEL: 92233312 ZNE: REF NO:
�ANNING NOTES>
> -
+�*x�rx*�t�c�c***x*x��r���***�r�t*****�t**�r*�**�*� �t�x***��******���t+���r*+�*�r��+t*�*+�*�**�r***
D E l/ 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 APPAOVED BY .
DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: //� ' DATE; �j
*�***�*x��*�**�f*���f**** 'k�r�'€iFiFx'iFiFif��F'iF3F;FiF�c**r��c?��t�c**�!d �*-x�
i6 if il� if 1E iE if iE i6 iE iF �If �1E if iE iE if iE �(- 3E ih iE jE iE if #�f iE it iE iE iE * iF if jE 94 if if iF i(- if iE 1E iF iE if N� 14 iF if if iF if� �M 9E iE iE iE iF iE �1E iE if %i4 jE iE iF -lE+f dE i' �7El� ih i4 i6-)F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT HLDG PMT PL[JM�I00 ELECTRIC MECHANIC FIRE SMIP/RES GRADING
258 SMIPlNON-RES
PLAN
ISSUE FEE 20.00 `
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID L�UE
TOTALS----a 7,00 20,00 0.00 27.00 27.00 ,00
REVE�]UE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
27,��
iE iE �f if iE if iE iE 1E iE iE iE fE iF if fE 1E iF fE iE if ik?41E iF iE if ik if if 1f if if �E iE if �E if if 14 �E iE if !E iE �E iF 1E if if �l(� af if ff af if if if if 1f if iE iE i£ jElF iE if �A' df !f if �K jF iE iE iR �l'!t
T_ 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
PLU 1 DISHWASHEA
END OF FEES
UNIT COST
7.00
TOTAL COST
•^•1 001`hb?b-00156b7'u T l7 T 27.00
DATE: D3/07/94 TIME: 09:i4
CONSTRUCTION ANDPLANNING � PO� .rSPA
qPpROVALS Permit # Date __ 7nspector qppROVAIS Permit � Date Inspector
1. Temvorary Electrical Service or Pole 52. Pooi & Equipment Location
2, $�il Pipe-Undrgrnd. 53. Steel Reinforcamenc �
3. Electrlca; Condu�t Ut�Nty-Undrgrnd. 50.. Forms
4. ElBctrical Conduit-Undrgmd. 55. Electrical Bonding
5. Stee! Reinforcemenc 56. Rouyh Plumbing & Pressure Tast
6. � _-_si UFER Gmd. 57. APPROVAl.TO GOVER-GUNITE
7. Footings 58. Electrical Condwt�UnJrgrnd.
8. Foundation 59. Gas Pipe, � Undryrnd., 7est
9. Water Pipe�Undrgrnd. 60. Backwash �ines, P-T�ap, V Undrgmd.
10. Structurai Floor Svstem 61. APPROVAL TO DECK
17. Property Sewer �ine & House Conneciion 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System - Finai
14. Rough Plumbing . 65. Electrical�Finai
15. Rough Electrical�Condu;t 66. Solar SYstem-Final
16. Rough E{ectric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18. Rough Electrical•T Bar Ceiling 69. POOUSPA SYSTEi;15 FINAL
19. Rough Hesting & Air Conditionin9 FiRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVAIS Permit �
21. Ouccs, in Struct�re 70. Underground HYdro
22. Duc'.s, Ventilating 71. Protiuct Piping C7 Gas i.=J Oil
23. Ga> PiPe-Rough & Test 72. Undergroimd Flush
24. Roof Framing 73. Undergrnd.StorayeTank OGas 00+
25. Roof SheaThing 74. Ovarhead Hydro
26. T�6ar Ce�iing (Structural) & A4onocoat 75. Dry Chemical
27. Frame and Flathing 76. Dry StandpiPe
28. Laihing & Siding 77. FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINAL
30. Dr4waN Nailinc� HEALTH OEPT. REQUIRE?47[NT
37. Plaster B:ovon Coat 79. FINAL INSPECTION
32. Electrica! Power Meter-Finai 80. FOOD CER7IFICATE 7SSUED
33. Final Eiectric Notes:
34. Finai Heating & Air Condi=,ioning /�. _ �'� _ �LL ,�'1 t'1 . `J �
1 �/�� './ �
35. Final Gas Pipe�Test '
36. Hood or CanopY �
37. Final Factory Fireplace
38. Final Plum6ing � -`'� -�y � ��
39. Water Service-Final
40. Ga5 Service-Final
41. Solar 6omettic-Final
42. Backfiow Preventer ���
43. BaGkftow Irrigation � �
44. La�dscape irrigation System
45. SoUnd Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAIFLANNING •
49. Electric Release to Edison
50. Gas Retease to Southem California Gas Co ,
51. CERTIPICATE OF OCCUPANCY
No._ Date
�OT 33 TRACT 4Z 2
_ ' E ;�=���.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BdX 91] COHTA MP$A. CALIFORNIA
For Applieani fo Fill In Complefely
TYPE OR PRINT _ •
COSTA MESA. CALIFORNIA
FEE REC E�IVED
�INANCE DEPT.
CITY OF GOSiA MESR
APPLICATION FOR PERMIT
� � BUILDING
For Office Use Only
qECE1PT NO. � P[RMIT NO,
�Y
COSTA MESA. CALIPORNIA
APPROVED
ZONING
ZONE / � NO. OF I USE OP NEW S �d.
R�'( PLANB � BUIL��NO W/� o-
�J �
88CHIPTION S� �� TpP %Z 3 Z.
OF LOT OO � X � OO � I NO. OP BLOG9. Q
HOW orv �oi p, p, NO.
U6E OP YARDS EVES
EXISTING BLOG. APPROVED ALLC
9HTBACK LINB FROM � � �� (C6NT6R LIN6 BT.)
¢r+rew or sinceT O REAR YARD � 2 FRONT �� FT.
81DE YARD I L8� �7 � �� I RIGNT O� O�� R. SIDE s— FT.
DESCRIPTION OF WORK i
EXTERIOR WAL4 ROOF /�,�MPO SHINGLE
COVERING Stnrrn COVERINC?'
USE OF BUILDING AND WORK TO BE QERFORMED
REAR • � FT. � IN.
BYPROVEO� J� DATE /` Zb /L
/
i /
I HERHBY ACKNOWLEDGE TMAT 1 HAV6 RBAD THI9 APPLIGTION TMC AMOUNT 9HOWN UNUER VqLUATION 19 FOH THE
ANO BTATE THAY TH6 ABOVE IB CONRBGT qND AGP66 TO GOM-
PURPOBH OF EBSA9ll6NlNG I. 4ERM{T FEE ONtV.
PLY WITX �LL C�N ORDINANCE9 AND BTATE LAW9 R80ULATINO
Bu1tDING coHeTnucTON. VALUATION
BIGNATURE OF PERMIT FEE J$��j —
PERMITfE %� J�7
S /t./ ,/ ��� PLAN CHECK $ / /�S
AUTNORIZED AGENi t—� ..
_ ���" �..�����;
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX S77 C08TA M68A. CALIFO(1NIA
For Applicant fo Fill In Completely
TYPE OR PRINT
� ARCHITEGT
� STATE
cosTn MEsa
��/�a �"�W°�..a�T,.
� BHTBACK LIN6 PWOM
DESCRIPTION OF
WALL I ROOF
COVERING
qLDING AND WORK TO BE PERFORMED
. ___ r�,�,n.i A��n��
1 HeReBY ACKN�W���6 THAT 1 HAVE RGD THIB AWYWTION
AND 6TAT6 TXPT TXE /�BOV6 IB COPNEGT IWD A6qH8 M COM-
PLY WITX ALL CITY O CE6 AND BTATE LAW6 1180ULATINO
BUILDINO CON9iRU O � /'�.i//�u7// �.n, ^,
i / /!i%%%!
SIGNATURe OF
PERMITfEG l riG�aa�
AUTNORIZED AGEN7
F E RECE�VED
DEC 11 i96
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Qnly
ADDRESS��i'��
COSTA MESA.
�/
zoxe I NO. OP '7 uae ov Naw �^
�—/ PLJ�NB C BU�LDINO
' : �`,.,,.,� T� A� L � z �Y- �3
(C6MCR LIN6
(
i�
THE ANOUM BXOWN UNDER VALU�,(ON �6 POII THH
PUPPOB[ OF 88TABL18HING A PHRMIT PEE ONLY.
VALUATION �
PERMIi FEE $
$ / �v�
� PLAN CHEGK $
S
0
LL