HomeMy WebLinkAbout1586 MINORCA DR - Building Permits 4`p�MF 9 CITY OF COSTA MESA
BUILDING'DIVISION
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. • �i DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
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� PERMIT
;,� *' B06-00419
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1586 MINORCA DR Status: ISSUED
Suite: Applied: 03/21/2006
Vicinity: SIDE OF PROPERTY Issued: 03/21/2006
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number 13929411 Zoning:
Applicant: DO, KEVIN
Address: 1586 MINORCA DR
Phone: 714-241-7234 ISSUED BY:
COSTA MESA,CA Zip: 92626-4807
Owner DO, KEVIN -
Address 1586 MINORCA DR •
Phone:
COSTA MESA,CA Zip: 92626-4807
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
DEMOLISH ILLEGAL CONSTRUCTION OF 172 S.F.ADDITION TO S.F.D.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $500.00
Permit: $23.50 Claim Valuation: $500.00
SMIP Res: $0.50
SMIP Com: $0.00
Other $0.00
Inspection: $0.00 - - -
Total: $24.00
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
•
ACCESSORY Front 0-0 •. -Rear 0-0 Left 0-0 Right 0-0
PARKING Existinq: 0 ' >Required: 0 Proposed: 0 -
•
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.
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.
FOR INSPECTIONS CALL: (714)754-5626
•
2446-46(6/00)
DECLARATIONS, I" • fl
WORKERS'COMPENSATION DECLARATION: - 11
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ 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 workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S100,0??).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.if Class ft
Contractor's Signature: Date:
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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 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 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 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
(
----k
em e cern under s�}., Business and Professions Code for this reason:
I
Signature: \'- �ate:_�^,�7 f foie
Owner ID verified by driver's license. es ❑No r-Driver's License No-, �Expires��
Verification of Ownership by(type of docu a i.e.-property tax bill or deed):--_ �'�
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand 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 feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes LJ No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
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
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property jfor`in'sp inspection pufgoses.I agree not to occupy or allow occupancy of any building authorized by this permit until final ct
I inspection.
J/7p p ( I C2,
(CSignatuieOf Legal Owner(s) -- . ( Date ti
And/Or Authorized Applicant Date
ODE I QISPFCTION TYPE PALE 1NTfTIALE Lon INSPECTIONTYPE PA.-E INTtTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place • 220 Final Planning Approval
203 Final Sign 'A,}"/rte"• 222 Final Site
204 Final Demolition 1-5 . -y'". �-✓T 250 Final Building/Occupancy
. 1
, CITY OF COSTA MESA '
•t ;y'- 4, \ BUILDING DIVISION
' i•••• : DEVELOPMENT SERVICES DEPARTMENT
`� PERMIT PERMIT NUMBER
'Go,mw
B98-01366
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT •
Job Address: 1586 MINORCA DR Status: ISSUED
Suite: Applied: 07/31/1998
Vicinity: Issued: 07/31/1998
Parcel Nunmber: 13929411 Zoning:
Applicant: DO, KEVIN
Address:
- - ,/, Phone: 714-241-7234 .
2-; - , Zip:
Owner DO, TAO-P1-11.1 NHAT ,
Address 1586 MINORCA DR - , ..
-�//j'"/ C� ' - Phone. . _
O
. � COSTAMESA,CA _ Zip: 92626 -
./ - _ -A /, � �Nv=
Contractor
7/vi N /�',� -
Address: -
ti./ ir - Phone: •
% /</i .. Zip:
71 U� License: ��� , ,
Arch/Eng '- ' - - - ,
' Address; • ,1; t�._ r,- -- .I .\`.
/ ,--,%`‘ ..� ^Phone:_ _.• •- . - L
- .
License: ` ' '
SCOPE OF PERMIT • ,
�,170',
EXIST AND REROOFW/EW SHEATHING AND COMP SHINGLES.- •N
, / . '�- r . _ - .. .. - ,
FEE SUMMARY',7.
'Plan Check: ' :,$0.00 , � , '...-, /J/;t,, - _Calc Valuation: - - $3,000.00
Permit $74.75 --- �% ; 'Claim Valuation :$3,000.00
'SMIP-Res . ,.$0.50 / i
`,SMIP,Com: ,/,$0.00
\ Other:,` „ A$
,- 0.00
Inspection: ' ;$0.00
,ra
,.'Total: $75:25,
- . .
�.� �/
"\ '- -.`"71- ' `_, PLANNING &ZONING`' .
SETBACKS
MAIN STRUCTURE Front . 0-0 - Rear 0-0' ` • -Left- 0-0 Right 0-0 '' /
ACCESSORY Front. - 0.0 ;Rear 0-0 Left, 0-0 - , Right 0-.0
PARKING -Existing: 0 . ' Required: 0 Proposed: 0 ,
NOTES: -
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.
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.
FOR INSPECTIONS CALL: (714)754-5626
DECLARA IONS �J U
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty at perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit/s valued at one hundred dollars($100)or less.)
❑ 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 workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Uc.a Class Si
Contractor's Signature: Date:
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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).):
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 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 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the propertyram EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(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 contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I Ame
1t;;[t under-s_ec. Business and Professions Code for this reason:
—
'na r`e: ✓r UOV //q Datte:
�Y
Owner ID verified by driver's license. (es ❑No Drivers License No. r Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand 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 feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this.application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes 9 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
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
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described propertyyfor inspection purposes.I agree not to occupy or allow occupancy of any building authorized bythi�riit until final inspeclipn.
a_
Si azure Of Legal Owne s) Date
And/Or Authorized Applicant Date
;nu L II1,6PNT1nN TYPE laTh REELS Oaf DIVE r71014 TYPE DATE INLilAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof - 10 ' 210 Final Electrical
201 Final Block/Retaining Wall _ 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
. • .
, •
_
. 1. - C— - • - - . - . .... . . ... . . . -_.
• PROJECT ADDRESS: 586 MINORA DR' . • UNIT:
r . . 1 1 CITY OF COSTA MESA - BOLDING .PERMIT • PERM NO: M; 046388 : ,•
OWNER'S NAME tillm,4 .K....,HUYNH' , ... •:, -'.. • •. , , •
,, • ADDRESS: 1586 MINORCA DR ' . •
I PERMIT NO .M046388. .
• : . ,
- • •
_ . • PLAWCHECK NOi . N • GOVT: N S.UPP : . N
, . . . . „ .
' , .
COSTA• MESA, - , '- '. . • ' . . . .. ; . .., , ' •
CA 92626 ' ' ' 1 ' ' . • CONSTRUCTION TYPE: 5-N - - .. 'PERMIT- TYPE.: MEC., • • , PURPOSE:: IiEP
.
ARCH/ENGINEER: ( 714 ),,241-72341 ".• . , 1 -- •
• - I . . • .I • . ., .."• •-• . . • •
. ' : • - ' - '• •
MONO JOB DESCRIPTION ..: CHANGE/OUT1'FORCED ,AIR UNIT ,
-. ADDRESS:_ • • • ' . .UNIT: • ,- , _ v ,, ,,--1 ,
. - SO. FT
• • -.• -
•
- .. -CLAIM VALUE: 1 CALC-VALUE: . ? • • • • GROUP ;OCC: IR-3.- '/- •
, . . .
• PETITTEE:AUEE PLUMBING ' AND. HEATING ( 714 ) 75.9- •910i . • • , . ..
: . -
-- .
c-, ADDRESS:• 5457 CRENSHAW Bt.. . ,
- ; . : . :- . COMMENTS : . . • - '
• • . . - ; . .- .
,
. 1 . • .CA 90043 . . , ****************4**************4.*******4********.**‘**************************** -
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I art)licensed under provisions of Chapter 9(commencing with Sect& ; .. • Z 0 N I• N G REQUI, R EM1E 'NTS ... • I .
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect : . . ; '
• . ,
,.. -.S, E T B A C' K S : • . •.
. - .
. CITY UC.: 030203 STATE 1.1C.:.. 4 01 8:6" CLASS:P9-20 • . . . . •
. • . ., , • , . . .
• . :I
Date' 7 — t --f C> kignatiir •e. .0-1/47 662,4”-le--1- •
' -. .F. : , MAIN BUILDING , ACCESSORY BUILDING' .
• . . ; :' ' ' ' : . . : r ; -
WORKERS COMPENSATION DECLARATION: I hereby affirm that 1 ha)Wa ceffificate of consent to sell RN T insure or a certificate of Workers' • FT IN REARFTIN FRNTFT INREARFT IN
Compensation Insurance pr a certified copy thereof(Section 3800,Lab.c).., LEFT: • FT IN. FT IN ' LEFT: ; FT : IN RGHT: FT IN ,
hucro.: 68698789 ' EXP.DATE: 0 5/0 1 /9 0 •
• u . . • .
• 1 , . ,
corentSTATE FUND • 1
C . . , PARKING REQ: 1 PROV: • PARCEL : A1905201 ZNE: . REF NO: •
. 1 •
0 Certified copiis hereby furnished.' IX Certified copy ffi fil d 'th the city Building Division. • • , PLANNING -NOTES> ' . • 1 • •
•-• 7 '--- ,cfc
?I Applicant - /41, (A .-1
C- , --4
-- -:'-
... . - .. .. . . . ..'... .
- . .._ . . . . ,_ ' •
- - •
; ******** ********************************************** *********4****** ******
EXEMPTION FROM WORKERS'COMPENSATION DECLARAI1ON: is se4aneed hot be completed if the permit is for one hundred($1OO)or less). • DEVELOP •M -E N T SER :V• ICES 11 •E. Q- U I. REMENT ' S
•
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 • . .
• • • . -I.
subject to the Workers'Compensation Laws of California. ' , ZONING APPROVED BY .
• • - ,- . .
., DATE: • 1 . :
: . •
„........ ,
. •
Date:• - ' • --Signature' -- - .• . .. .. .. . . . . .. . , .. . . . .
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor . BUILDING APPROVED BY . : .
- : a ...i. ,• • DATE:
DATE: ..3 -: jar
. 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 periormance of the work for 11:PPLICATION ISSUED' BY • --4” 4 jiiir
_-_, ,
'
which'this permit is issued(Section 3097,Civ.Cl. .
**********************YW - WIC . - -w— . • v • • •* -- • * -4-g**********X-4-4-0?* fir**
.. .
LENDER: • t ,
• • *.,-**3E**2****Mit****************************** ,f **************************'********C* ' .
ADDRESS -
- - - - -
• . • • LEGALIZATION: N ' - - : - . . FE.-E . .S .UMMAR' Y ;- - . - STRUCTURAL-SEGMENT N
.. . . .
. • . - .
- . •
. , • - . - . . • .
'OWNER BUILDER DECLARATION: thereby affirm that I am exempt from the Contractors'State License Law for the following reason ' . • ' 'DI
DG •PMT PLUMBING ELECTRIC MECHANIC •
FIRE ' SNIP/RES GRADING .
, .
(Section 7031.5 Business and Professional Code:'My city of county which requires a permit to construct,alter,improve,demolish,or ' PERMIT .`
• 9 . 00 • ' • 1 ,
repair any structure,prior to its issuance,also requires the applicant for such permit to ffieja signed statement that he/she is licensed j-
' 25% ' ; SMIP/NON-RES
• ' . , •
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ' ,..,...,.A,,, • • . _.
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemptiormAny violation of Section 7031.5 by ff..1..iESPI . . •
r , . •
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500) • ISSUE FEE ' -
. .. .. . . _i-1 . 15 . 00 • • ,
' •
. 1 • -BUILD LNG-DIV-> ' PERMIT I .... •I•ar'S,C1E ' PLAN-CHECK TOTAL .
PAID ' • DUE
• ,_, I, as owner of the properly or;my employees with wages es-:their sole'comperffiation, ;v111 do the work, and the
U structure is not intended or offered for sale(Section 7044,Business and Professional Code: -The Contractors'State License'Law , TOTALS-.---i> 9 ;00. 15 . 00 . . 0 . 00' 24 .20 214 . 00 . . 00 •
does not apply to an owner of a property who-builds or improves thereon,and who does such work himself/herself or through . ' . '- • 1 , • . .
,his or her own•employees,provided'that such improvements are not intended or offeredjor sale. lf,however the building,or , REVENUE. DIVISI044 TOTALS";> , • -
.COLLECTED.: . .
24 . 00. • OVER/SHORT: • • .
- °°' •
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 - '
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
' ",.and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 'L : . BLDG TNT PLUMBING ELECTRIC.. MECHANIC
. .
. . .
. -
, . 24 . 00 •
,
' • FIRE SMIP/,TOT 'GRADING PLANCHECK
• - .
• •
,
•.
• .
,
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).lam aware • -,****-If-1(********************************if**************************************** •
that proof of their Worker's Compensationinsurance should be provided•to me: . . •
IND I VIDUN L F E E •B R E A K :D 0 W N i •' ; ,-
, . - " - • • „ , . .„ • I f -
o I am exempt under Section: j , ` B.8 P.C. .
. , . , ' • • ' • . •
for this reason: . QTY. . D E S C.. 11 .D. P T I 0 N , • •
.
1 ; •
• .
, ' f „ - TYPE
. ; •
• • UNIT COST' . TOTAL COST
Date: . Owner. ., '
' • .
. , MEC 1- INSTALL FORC/AIR FURN <= 100 K BTU/H 9 .00 - ' 9'. 0b
I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and . . .
END OF FEES . . • •
• . '
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a . . . ' .. . .. ' '
' , , • • i ..
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ., ' •
' .
these provisions. ' • . 1 . , , • . - . , • - • ' . . •
. •
, • ' .,
-
Date: ' ' ' . j Applicant: ' „. .
. . . ..
. . .
I hereby cenify that I have read this application and state that the above intOrmation is coirect.I agree to comply with all city and county I . • . . . - • . .
ordinances and state laws relating to building construction and hereby a Maize representatives of this city to enter upon the above-mentioned,i . . . • : , .
property for inspection purposes. t ' ' , • • t .
•
01 00055614-00055614 TOT '
• . • i •
1 . , .
"Daie: i- 7--pe) , . .
Signature: • Pt"- •
2../C-4-4".-r...e.f I
' • • ' . i •14 60
. .- .
• .
, . DATE: 03/07/90 TIME: 13:28 :
. . .
•
.
•
,
Driver's License or Social Security 4: . 4 • . ' ' .
• . , •• ' • • .
, . . • • ' •
•
, .
1641-46 White-Efuildina:Greittn-Cade Enforcement:CanervtApolicant:Pink-Revenue:Goldenroe-Assessor . . • - . .... -.. . . _ . . .
. . • . .
•
•
'
CONSTRUCTION AND PLANNING- •
POOL ! >
, APPROVALS Permit# I "Date Inspector Date • Inspector
- APPROVALS Permit# 1
1--•Temporary Electrical Service or Pole , " 52. ,Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - c:'� •
c L_ •- - , 53. Steel Reinforcement - - ,•
.f
.3.--Electrical Conduit.Utility-Undrgrnd: - •- . 54. Forms - y " ,
_ /1.
4.-Electrical Conduit _
Undrgrnd. • - - - 55. Electrical Bonding • - '
' = 5`Stee6Reinforcement - `56. Rough Plumbing & Pressure Test r'
2 6.I Electrical UF ER Grnd. a; • _ 57. APPROVAL TO COVER-GUNITE _?
.r•7. Footi gs cr c - - 58. Electrical Conduit-Undrgind.
-
z 8=-Foundation " - - 59. Gas Pipe, b Undrgrnd., Test -
9. Water Pipe-Undig nd. - + • 60..Backwash Lines, P-Trap, 0 Undrgrnd. '
10. Structural Flooi:System 61. APPROVAL TO DECK
11: Property Sewe`-.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 Electrial-T Bar Ceiling 69: POOL/SPA SYSTEMS FINAL ' •
•19. Rough Heating & Air Conditioning` - tr • _FIRE DEPT. REQUIREMENT
20`:Rough Factory Fireplace . ' _ •� . r ;APPROVALS _,Permit# - ` '.7.
21-Ducts, in Structu_re'- - - " _ -t •- lc ' -170. Underground Hydro •
g .22.-Ducts, Ventilating ; ? y - ; j:71. Product-Piping El Gas 0 Oil
23.•Gas-Pipe-Rough & Test • rr.-- r, '-' "a; * : _'72, Undergrotind•Flush-
24 TRoof Framin -
9 y _� . :.73:--Undergrnd.Storage-Tank t Gas ❑Oil
•
25. Roof Sheathing �" t x _ _ -2 Hydro::e' 74:-'Overhead Hyd ' -
26`'T-Bar Ceiling (Structural) &-Mbriocoat r _ C. a * 75 Dry Chemical . -
27.vFrame and Flashing - - + _• -1: 4 76 Dry Standpipe _' -
--.28. Laffiing`& Siding 42• _'�4 -R * 77, FIXEDSYSTEM FINAL _
29. Insulation P'▪ •....
' r - - k ix t 78,:FIRE PR EV. FINAL , - - ;-
-30. Drywall:Nailing _ r� _ HEALTH.D EFT{, REQUIREMENT
L
aa:
�' r'
_31. Plaster Brown Coat. 5 ' rr ik -79. _FINAL.INSP-ECTION
' 32YElectrical Power Meter-Final'. • *'• , . 'L:x z '80'.'FOOD CERTIFICATE TE ISSUED,
_33_Final Electric r i▪ :: t r. , rc `Notes: a . -n' -it - '- 'tFi
34I-final Heating& Aid Conditionings ?j b .. 4. - T.t.-;
/. r c,<- fi
35'-Final Gas Pipe-Test. - x :-• .p/% r. - • : ;•
36. Hobd o7_CanoPY y -' - - .< % >- s - _ - .-
4-0
- 37.:Fina1 Factory Fireplacex ,- - I n' t; _ 4: _
-38. Final Plumbing _^ , I •1, ,` '1` - ' - '' '' �•
39. Water Service-Fini. C. ' • rr -- -
Service-Fine
40. Gas Service-Final G+ '- m ' ,i: -` - = 1:: ,' -
c.�. r' q .0 J r 3 '..
41. Solar Domestic-Final- s 7i; Cr‘ �;` 7. ,j; r.:' :....,'
- . . . -"--
-
42.--Backflow Preventer. - r--, 'r :: =i-- i--
.
rigation: t., w 4.- * "'`
43. Backflow IrJ
X44. Landscape Irrigation Systemic=. - - r " -1 -' K x : _ ='a t 4.
^ r'
.. -,h,'71 C .s n 5. .-_, 'b '_• -,
--45:Sound Attenuation • . ; 1 ri E
46 Handicap Regulations - s = s
r-:j.
•
47=FINA L STRUCTURE & BUILDING r J. x ' "
49_FINAL PLANNING ` R'• ) is r - -- G �• -- - -
- c r
49- Electric Release to;Edison • i'
r/ - c
t.
50._Gas'Release to Southern California Gas Co /7 : - • - - -I-
-- - - - - - ., sJ o
51. CERTIFICATE OF OCCUPANCY ri
No. Date
1
nlumEGnr.r: i •, WINI .1.1t1-1-C. y �S 0-1--
vv JOB ADDRESS 1.586 Minorca Drive BUILDING PERMIT NO. 27557
'�] GENERAL CONTRACTOR Wayne Howard DESCRIPTION OF WORK AM Bedroom to Res.
Al'\ No. 139-294+-11 LOT 35 TRACT 3487 FIRE ZONE VALUE $ 2,800.00
I*-"ECTIONS Signature Date GROUP I TYPE V ZONE R-i
PERMITS ISSUED
I
SUBCONTRACTOR
Gas Date I Number I Signature
Water • Plumbing
Rough Plumbing
Prop. Swr. Line':0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power -0
Rough Wiring 12(r9 /7-7-
2p /7-7 67 Heating and Vent.
Trenches 14 Forms Ii] Steel Reinf. ® a7 to-i..r-C-f
Floor System "JO- AP-2e-7
Bond Beam 0 Steel Reinforce 0
Sheathing /4 112-6•
Frame and Flashin zw-- ' ,i 11-g-Lathing— In Out p Fal it-741-6i
Plaster, Brown Coat Me /2,9-c9
Structural, Final Electric
/:/
I 1g, Vent., Refrig. and A.C., Final g.4y ti./ // z7 2777/
I. .Ding, Final and Gas Test ❑ _ _
Electric, Final /FA? ,-97C-S7
Building, Final ,e449 t-,-_f-61-
- _ -
1
27557 •
P4,_
SEP 13-G7c�ur,00 755-, to".'' ••' 1[-1-00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92029
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE ORPRINT BUILDING
-Du1LIN For Office Use Only
ADDRDESSa J4/ 26 ,-, C,FL Co O'
RECEIPT NO. PERMIT N .
COSTA MESA. CALIFORNIA ---,
R [YgpY 9- /5n �/I5 NOWNER / iva; k/ 4.4-A,4 Ieez e } �
AADLRESS /6-9 4. /_ d .joa LOTa' viz AflHS jJ8IC / 2,$)eset.,
y7
•
CO
11 �• �r /L 9 FIRE44
CITY ( ,OS74 /«Tl i�4 NO. s,' 'j ZONE `� /T)YPE GROUP �j�
ARCHITECT /�'+/�++ C TEL' /./� BYAPROVED /��//> / DATE '��7
OR ENGINEER /' (YG'isQ NO.
(tel // l'�
RISS /11A 44) •/111(/lnet J. .Ust -ZONING
zox[ HD.Or U9[OPN[ '
I I PUNT I euILO1N0��- ,
CONTRACTOR lU $ NO(red Ora .�ter _ yq /('�/J7�/
ADDRESS L/1 iiii? t 4/24 tig, )/d/YI� o[aCRIRION i !�`{rl.�' SS�j 'r 61( �Y(�' 7
CITY .rIg 'GTL - OT net • A.P.NO. / a 7 ` d"1 �— //
2� D NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
LIC..NO./- " g $V'a NOL ,?
5fr 6714 Sr TO SIDE&REAR F.L.
EAVES
SIZE
OF LOT Am O . K 7o ' I NOW ON LOT . I ALLOWED (U.B.C.REQUIREMENT)
C /AV / YARDS APPROVED YARDS APPROVED
USE OP
EXISTING BLDG. `re`
s!/, E/<`AEI MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREEW.
SETBACK LINE FROM 1q/ f ' FRONT" L./ Fr.
J
CENTER OF STREET J REAR YARD .2 - '
I5'' I 6 / R.SIDE GFT, FT.
SIDS TARP LEFT RIGHT
DESCRIPTION OF WORK �/ //�L.SIDE E P . FT.
ALTERATION ADDITION /� REAR n PT' `� // RT'
DISTANCE err. BET.MAIN Q
III MAIN BLOCS. ACCESS.BLOCS.
IR f MOVING DEMOLISH
V
BUILDING /f{'lig ROOMH { STORIES CAU,P.# APPROVED
SIZE
EXTERIOR WALL f aCCOI BOOP C4 ChitaMPRve, 10 '13
3 4,1
COVERING /' COVERING S/P/ Isr9> w 1 LSAT[ 9 I , CJ
USE OF BUILDING AND W�ORKK TO SE PERFORMED f) Ajon Asi- a//
a9G74 i
pc
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEB ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. /Q��
PI
SIGNATURE OF W(tt LtKf �'/e(glAO� Za.y,//lr4'L PERMIT FEE $/ •(/(/
PERMITTEE 7 - �/J /� /Q�
i„,/�Uv `� P.
PLAN CHECK $ 'V (/ w
AUTHORIZED AGENY�j VI�VVV �y
` �E3� 1 tB TOTAL FEE $ P
VWiNran jai, DAVID La.I..Ci y GG-Ot
JOB ADDRESS 586 MinorcCONTRACTORa'Drive- BUILDING PERMIT NO. 27630 OFWORK Blue Haven Pools DESCRIPTION Pvt. Swim Pool
AP No. 119-294-11 LOT 35 TRACT 31187 FIRE ZONE VALUE $ 2100.00
Ir"ECTIONS Signature Date GROUP J TYPE III ZONE R-1
SUBCONTRACTOR PERMITS ISSUED
Gas Date Number Signature
Water
Rough Plumbing ,l//4y f ! ,Pa,y.2 2-/o/ /an,
0Prop. Swr. Line 0 House Con.
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning ""�,
m .der c _: ..,_Power
24,00,-440/ / ,1,;:-.,./.4„,r
Underground Power 0 `
Rough Wirin //-L9'G 7 Heating and Vent.
Trenches a- Forms 0 Steel Reinf. Cd/ ///7-17.
Floor System / set
Bond Beam Steel Reinforce 12- //1 f7 good �e^`e;, 4
Skee�aeg -c�vt.Ce. (air /1-2fre-? to yne,w`,
Frame an Flashing 1
Lathing — In 0 Out E0
Plaster, Brown Coat
Structural, Final /� Electric ,y/
1 ig, Vent., Refrig. and A.C., Final _ _ 1�/j1i/iej,s&S 7-29.47,27 ,n
I_ .oing, Final and Gas Test17221P454 ,i , �/ - ��
Electric, Final ��iY' Y
Building, ! �/
Final , ,
4-' - 27630SEP 22-67rlAID00 622* :*:`18.1iC1
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9292E
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
'g For Office Use Only
1YDDRen10 1 526 6 N1 1 rO 0 R C fl .r-
R[CEIPT NO. RMIT D.
COSTA MESA. CALIFORNIA 5.ev 3.0
RECEIVED SY DATE RECEIVED - DATE ISSUED
7.ZZ—LI C _22-L7
y.
� OWNER split"('p K A flirt)eI ELS I / Q
ADDRESS 1� r I r I /n RCC t)^
• MAIL �+ ADDRESS / h
ADDRESS S Q rn Q
.., CITY Q • n'1 '' No". MI-374 ZONE 17rr_ GROUP r.
/� '_ / APPROVED/�//A/�/// 7�J-
r' OR ENGr -1--( PA C I YI /'(A NO.
BY
/{' / l/\ DATE7—A,-67
LEIS (`7lU Y3 . L a R ;eo—. ZONING 2, ,,�//II
ZORE I I POOP l'H 1---
um(LDI NEW ii_ '
4.
(I^'/ 1/ PLANS SNLDI NO iv
1 CONTRACTO(RC3 I Ll.e'Q2 1 rA S-I �j e�•�
". ADDRESS Iaap.1,e �j C� �i u(A vSCRIPTION LC 1Sr et, 4- ? 1
CITY G-. C IC ci A.P.NO. / 31 a / 7 - //
n ((��((�� ��/� �'1 NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
': LC.NO.ATE 14 3� It i+tea-/ I Ili' /� EAV 80 SIDE/A REAR P.L.
SIZE I NO.OF RENIS. 5 ALLOWED (U.B.C.REQUIREMENT)
OF LOT r NOW ON LOT '
YARDS APPROVED YARDS APPROVED
• USE OF E\� MAIN BUILDING ACCESSORY BUILDING
., EXIHTING BLDG"� d Pk.0 Q-.. (FROM C/L STREET) �T. �/^'nlA,- / �F
SETBACK UNE PROM FRONT PT. )- F
CENTER OP STREET REAR YARD
MDR YARD! LEFT I RIGHT R.SIDE PT, 36 PT.
DESCRIPTION OF WORK L.BIDE PT. , FT.
• NFW ALTERATION ADDITION REAR FT. FT.
1
N DISTANCE BET. BET.MAIN
IR - MOVING L DEMOLISH MAIN BLDGS. ACCESS.BLOCS.
IIIBUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.V.P. / APPROVED
'; EXTERIOR WALL I ROOF APPROVED L.I(�x ry . /�
COVERING COVERING YY V V ATE LL/I/ ��(/
USE OF SUI `1 eyND WORKTO BE PERFORMED '(yVL�. I.. SrtVV j��Ul l.�(;NTS 0.
R1
i fe.„4-t-e,
etSQ.RT. X
I HERESY ACKNOWLEDGE THAT.I HAVE READ TN PFYCATG THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STATE THAT THE ABOVE IS CORRECT ANAVIr-- TO 1-,...•
;' PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL'C� DINANC D STA i OU VALUATION
BUILDING CO O /� --� /1..2� Ri
1J�� PERMIT FEE $ W
z' `�-'e .PERMITTEF 2'Cv. (/ $09/6)V PLAN CHECK S (/�j W
• AUTHORIZED AGENT TOTAL PEE $ ��J
• 10713 '
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
P.O.BOX 317 COSTA MESA. CALIFORNIA - -"ti // /-4-9
fOR APPLICANT TO FILL IN COMPLETELY APPLItf I i� P MIT
TYPE OR PRINT BUILDING
•
BUILDING
ADDRESS 1586 Minorca Drive •
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
Y I RECEIPT NO. I7 ERMIT NO.
f2
OWNER Pfa leve, Inc. Ya1�1�
MAIL RECEI E BYDATE RECEIVED =DATEISSUED ,
ADDRESS 419 E. 17th Street - I /I- VINOVR 1959
CITY Costa Mesa, Calif. N16.1.1 81159 ABUILDING
,' •
UDRESS
ARCHITECT Carlson & LIC.
oR r"^INEER 'add'cbrook NO. COSTA MESA, CALIFORNIA
ALs Garden Grove - - FIRE � r
ZONE TYPE Y GROUP _T
—Dike & Colegrove, Inc. STATE 167293
•
CONTRACTOR LIC.NO. APPROVED
BY DATE
ADDRESS 419 E. 17th Street, Costa Mesa • ZONING
LEGAL I LOT 35 I 7 ZO4 I NO.OF I BUILDING
APPROVED Lu 1----1) DATE //- 3-
A.P.NO. BY
SIZE
OF LOT 70I nI No.OF BLOBS. YARDS B
X 100 Now oN Loi None REQUIRED ALLOWED
USE OF - (CENTER LINE ST.)
EXISTING BLDG. None FRONT 5V FT. IN.
SETBACK LINE FROM
CENTER OF STREET 501 REAR YARD 251 R.SIDE 5( FT. IN.
SIDE YARD I LEFT 51 • !RIGHT 51 L.SIDE //FT. IN.
DESCRIPTION OF WORK ,
REAR 7-rn. r IN.
NEW lic II ALTERATION I II ADDITION . 1 -
REI I II MOVING I II DEMOLISH I
NO.OF
SIZE BUILDING 1647 ROOMS 7 STORIES 1 -
EXTERIOR WALL ROOF - �/ a -
COVERING StllCCO_I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED I.,
Single family residence with G,a
attached garage / . .
Plan X760 B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE •
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING -PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.//'�', VALUATION
PSIGNATURE ERMITTEE OF /v Aili`L AIP
• PERMIT FEE $ 36.00
. - $ 16,862- PLAN CHECK $ ' 18.00
AUTHORIZED AGENT Dike & Col grove, Inc. ' j TOTAL FEE $ 54.00^-,.>