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HomeMy WebLinkAbout107 GEORGETOWN LN - Building Permitsa' PROJECT ADDRESS: 107 GEORGETOWN LN OWNER'SNAME: SPIELBERGER STEVEN F ' ADDRESS: 2885 VELASCb COSTA MESA,CA 92626 ARCHIENGINEER: ADDRESS: REG.11 UNIT: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P O BOX 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: 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. CITY LIC.. 059377 STATE LIC.: 4025 CLASS: C 39 EXP; 10/95 Dale Vo'C Signature: WORKERS' COMPE SATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Ig6u(Agqeor adegIdied copy thereof (Section 3800, Lab. C] 5 / 1 9 / 9 5 POLICY NO.: ]]tltll ``JJ ENP. DATE: 0 COMPANY: AI G ,,---vv Certified copy is heEX Qeby furnished. Certifiedcopy I5 iled with the city Building Division. Date: y Applicant EXEMPTION ER OM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I Sanity that in the performance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to became subject to the WorkersCompensation Laws of California. Dale'. Signature: NOTICE: II. 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 (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the 1:1structure 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 properly who builds or improves thereon, and who does such work himselflherselt 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). L as owner of the property, am exclusive)9 contracting with licensed contractors to construct the project (Section 7044, Business ❑ antl Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and wno contracts for Such projects with a contraclm(s) license pursuant to the Contractors' Slate License Law). I am aware that proof OI their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: — Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any Injure building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that) have read this application and slate that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city ju enter upon the above mentioned properly lot inspection purposes. Dale: I L /I i Signaturek Driver's License or Social Security a: 1641-46 While—Building, Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 06951 ?ERMIT NO: B 069515 PLAN CHECK NO: N GOVT: N SUPP; N =ONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: ALT TOB DESCRIPTION T/O RESTH s REROOF W/�G�yi�}�M 6 HOT MOP SQ FT; 2,508 -LAIM VALUE; 2,508.00 CALC-VALUE:, 2,508,00 GROUP OCC: R-1 / :OMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED 4if iF lF iF iF**iF*iF iE**iE*jEk iF BF%IflE iF 7E 1Elf iE dE 1E 1E 1f 1F ik IE 1f 1f 1E 1f BE iE IEk 4iE iE iE MBE 1f �E*iE*1F 1FM•iE iE iF*fE***iE iE iE BE if****iE*#k 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--------- ?RNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ,EFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL; 41916221 ZNE: REF NO: PLANNING NOTES> F**iE 1E 1ElF iE fEk**4**7E 1E 1f 7F*BF iE iF if kBE iE lE iF iE iE MiE iE iE kiE it JE riF lE iE it lF iE iE fE*iE iE 1F JE*it*4iE 1E BE 1f iF*riE 1f lE ia'4t iE it4 klE iE ft BE lE if 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: 3UILDING APPROVED BY DATE: 4PPLICATION ISSUED BY: DATE: 1! 1( **if iE iE iE*****iE fE 1E BE rE iE iE lE iE iE E i iE iE if lE BEaET E4 iE3F�F7 H ��aE f iE if iE Mit*iF 1E iE Rf kiE iE iE it iE it lE iE lE iE**iE+Ei * EiE iE 1E 1F 1E iE iE iE k iE iE iE r iE 1E*iE iE aEK iE 1E iE 1F 4 iE *�F 1f aE***1E*1E 1E fE*if iE iE iE iE iE iE iE aE �EGALIZATION;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 3UILDING-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: 100 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 54.00 ,50 k*iE kiF it lE iEM**M1E*1E*4iE iEkMk*iE 1f*kiElE 4it iE iF M iE kiE BE 1E iE BF 4iE iE iElE iE iE 1f4*ft iF fE lE iE aE iE lE it 4lE iE BE *1f iE iE 4Er it 4t 4tk BE iE 4EiEM 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 SFA 2508 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES 1.00 2,508.00 01 00170543-00170544 TOT DATE! 10/28/94 TIRE: 12:42 r 1 vw CONSTRUCTION AND PLANNING POOL PA 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 _ '3: Electrical Conduit �tility-Undrgrnd•+ 54. Forms ' 4., Electrical Conduit-Uhdrgrnd. 55. Electrical Bonding t5t'Steel ReinforuTnOnt 56. Rough Plumbing & Pressure Test - '•E% ctrical UFEfi•Grnd. U 57. APPROVAL TO COVER-GUNITE - 7•. Footings ... 58. Electrical Conduit-Undrgrnd. ::,8. Foundation ,•y 59. Gas Pipe, ❑ Undrgrnd., Test d- Water Pipe-Unargrnd. 60. Backwash Lines, P -Trap, Ll Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK 1 Y. Property sewer Line .& House Connection 62. Backwash &Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final a. v 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 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -APPR©VA-LS•:!, =.Penmit # '^ 20. -:Rough Factory Fdepiace I. L•7 ri _ r.: t 21 ,,buts, in.St�_uctu, ,• ;" ;y _ �t ; 70. lTnder9 b n Hyciro o. 22 Ducts, Vent(kating.. .i'=_ C .71. Product`P[Ping �'Oas DOiI 23:`Gad-Pipe""_°Rot7ih &'Test n, ''� ` 72. Under roti d H.:3 •-1 J ' - 24.rRootl FramiA9 vi C.F• • '- :i c :73:"Undergrnd:Stora�e"fank QGas 00i1 25. Roo` Sheathing ! ��' qlt ��� ' 74.',Oyerhead�Hvdro�""' 'y 26 =J -Bat Ceiling (Structural) & Monocoat :r -7 •. 75: Dry Chemical 't r '-• Cr u: c , 27'%Frame and Flashin.'g; "' -- - �' 76:`Dry Standpi.ee _ .-t., - . -28.'La-,6g& Siding-- ; ,. yam.;; . Z 77` FIXED SYSTEMOMNAL, r '•29. Insulati� �' ° `i '" t 78., FIRE PREY. FINAL - .30. DrywalhrNailwg !� _, �' HEALTH,DEPTa REQUIREMENT 31. Plaster Brown ` ; 79. 'FINAL INSPECTION '1 .; �Coat'i 't" , 32.-Electricaf•Power MeterJFinal' • { ; "�; -80. FOOD CERT FIT IGATE ISSUED Final Electric = i c' "% Notes: - q33. • it '34.Fin Heatingi& Av;Cotlomont�g R 35.:FinaiGairPipe-Tests 'T' "'� , �` ' • • `-� :'t't-' n' -`: ; ,36.'Hood or,'Cit_Wpy„ �• . p• `t•i '37. Fina9'•Fa'ctotly Fireptace ' "t r• n, ^ f {' r - _38. Finals Plumbing u • `' . ( �• r -- 39. Water se'evice-Final- r . 40. GasService-Final' xn, uS. i .T. - rxt I I I tr r = '• ten: :41. Solar Domestic -Final 12. Backflow Preventer I , yF a n fi 43. Backflow Irrtgatidn. C. 1.44. Landscape lrrigati64 System t, �j T r '*t '' " ` t a.-. '45. Sound Atterwation+ y16.'Handica':RegirlatOAs J .=' •• r - .J, �• -� r < ij t 47.-f.IN.AL STRUCTI,.RE&BUILDING L1, 46.:EINi'LPLANNING' 49.`Elecgic Release to Edison i r � ;• • >; r '- `- $O..Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY' No. Date ' I s Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declaration s. t CITY OFICOSTA'MESA 'CO T T :PEP1MIT PERMIT NO. - TRACT NO. LOT NO. UNIT NO. r I Project Address Applicant's Mailing Address 1 Q Owner's Name Phone / Address I� ' Arch/Eng. I License No. Address I Contractor's Nam - Phone S Address (mailing) jVZ /7 City License No. L �X� S LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in fu and effect. License las is n N Date Signature ' WORKE S' OMPENSATION DECLARATION I I' 'iereby affirm'that I have a certificate of consent to sett -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof ($action polisLab..ry/1n ,rg_ y� Policy Nal. jam' C+L!/ Company d•V t ❑ Certifielldff copy Whereby furnished. ' I ' '�fT ❑ Cert" filed with the city Date_ Applicanl5���J/tel - (� EXE PT hlROM WORKERS' COMPENSATION DECLARATION o! 1 This section need not be completed if the permit Is for one hundred ($100) or less).' 1 certify that in the performance an the work fpr which this permit is issued, I shall Workers' employ any personLaws of any manner so as to become subject to the Workers' Compensation Laws 1 California. Date Signature ' _ NOTICE: If, after Compensation g,rov declaration, you sh Code, you subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith comply with such) provisions or: this permit shall be deemed revoked. CONSTRUCTION LENDING' AGENCY I 1 hereby affirm that there is a construction lending agency for the performance issued i of the work -for ,which this permit, is issuetl (Section 3097 Civ. CJ Lender's Name -'F _Lander's Address". OWNER BUILDERS DEC LA RATION 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 i 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 Contractor's License Law (Chapter 9 (commencing with Section 7000) of _ii vision 3 o the Business and -Professions Code) or -that he/she is exempt- rerefrom and the basis for the alleged exemption. Any violation of Section/ ,031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500). -11 1, as owner of the property or my employees with wages as their sole 7 I compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a,property who builds or Improves thereon, and who does such work himself/herself or through his or her, own employees, provided that such improvements are not intended or offered for zsale. If, however, the building or improvement is sold within one year of com- e ypletion, the owner will have the burden of proving he/she did not build or im- rove for the purpose of sale). '.y - .1. as owner of the property, am exclusively contracting with licensed con- tractors to construct the project ((Section 7044, Business and -Professions Code: t The, Contractor'sLicense Law does:not apply to an owner of-property'who builds or i in proves. thereon, and who contracts for such projects,with a -con-. II tractors) license pursuant to the Contractor's License Law). I and aware that pr o_of of their Worker's Compensation insurance should be provided' to me. ❑,tam exempt dnder-Sectionr B. P.'C. for thii reason- - f Date' Owner I ha hereby certify that I kava"read this application antl sta to(tt thel above information Is correct. "I agree to comply with all city and county ordinances t and ;state laws relating to building construction, and hereby'authorize repre. i sentatives Of -this city to enter upon the above-mentioned property'.for; VPE OF CONSTRUCTION NEWLJ ADD 11 ALTERATION PAIR I I ' i:❑ CONVERSION! ❑;DEMOLISH ❑ OTHER Sink - ,Showers _ _ _ _ _ _ _ J`DESCR A.P. # �• I PTION OF, WOR Or BLDG.' ' _ Sewer�Cap„ _ nubs, - , S Main Building: YPE OF PERMIT G ❑ F RADING NDATION STRUCTURAL . F E T Front ' °y❑rl'ENANT' ❑ ELF�CTRICAL UMBING El �.. B Swimming Pool w/Spa OTHER " 1 I A Rear , ROJECT- DESCRIPTION SG. .FT.' OCCUPANCY C" Right' : I CO N ST RUCTION TYPE I VALUATION$ S Left I I`ZONE I GRADIN G CU. YDS . ACRES +"� Ping. Ref. # -_ / " emarks`. I /2 A-) Planning Notes: Floor Sinks Urinal Gas Service 1 Outlets ( PLUMBING Sink - ,Showers kflow Preventer - Service Sink a. kflow Irrigation ' _ Sewer�Cap„ _ nubs, Sewer"Connection ' ifiers .- Solar Collectors ' iwasher' _ Solan Piping eking Fountains Solar Tank _ ar Drains Swimming Pool w/Spa Floor Sinks Urinal Gas Service 1 Outlets ( I Water Closet I Interceptors Water Heater Kitchen Sink i - Water Service Lavatories Auto -Wash. ' P -Trap Laundry'Trays Roof Drains I Building Approved By Reinspection'Fee $15 y Issue Fee Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple C Firepl/Fact, Bl[ _ICBG # Heating System .& Ducting E10 1 100,000 BTU ❑ 100,000 BT I Inspection p ose - - '- ` Signature Date �© Q _- yDrivers' lu e e or 55 r—tReinspectipn Fee CMF'0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor $15 Hood or Type ❑ - Canopy . Type I1 ❑ ' Refrigeration System ❑0-100,000 BTU 0100,000BTL System Repair/Alteration Fire Dampers - Registers - - Issue Fee FEES 6237 10/29/-86 -T - t J ' _ - . _. _ _-I I- I Accessory Building: I , I j "3 •Parking'Req-./Provided 1 ' I � . I ' Automatic Waslier.-' ._ I Construction Pole Sub. Cookinq.Unit a Dryers LJGa Fan F.A.U. Fixtures Device Boxes Outlets ELECTRICAL - " FEES Transformer 1:1 15-50 KW 1 . ❑ 50+ KW' Meter ❑up to 100 amps 1 Meter. ❑over 100 amps - Sub Panel Motors ❑ 0-1 HP E 1%- 8 I nc.Solar 09-15 HP Ell 6-15+ Garbage Disposal Generator ❑0-5 KW ❑5-15 KW Pole Light• Range i Sign Standing Sections , Trash Compactor ' Z O N I N G R E a M T S Reinspection Fee I $15 1 1 Issue Fee $ 3"- DEVELOPMENTSERVI CES REQUIREMENTS: Zoning Approved By Date Building Approved By ! Date - Application Issued By Data SUMMARY OF'FEES - BUILDING PERMIT $ -SMIP '$ PLAN CHECK $_��> __PERMIT. / " PLUMBING ISSUANCE '_ ,$ PLAN CHECK 25% $ V I ENERGY P.C: $; - ELECTRICAL $ 'GRADING' - $ - • PLAN,CHECK 50% I$-. ' _ MICROFILM $ - MECHANICAL. - $ I - TOTALFEE $ S� PLAN CHECK 25% $:- '' CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # I Date Inspector 1. Temporary Electrical Service 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 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas. Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 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 ,� 69. POOL/SPA 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 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas OOil 25. Roof Sheathing - 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: 2-Z-9-? Lspr C42o. LAD 34. Final Heating & Air Conditioning A 64 1Z2 44 a/ZlkJam4dm sde� 35. Final Gas Pipe -Test 36. Hood or CanopyAV 37., Final Factory Fireplace 3 inal I ' 39. Water - inal 40. Gas Service -Final J ' 41. Solar Domestic -Final - 42. Backflow Preventer - 43. Backflow Irrigation - t' 44. Landscape Irrigation System' ') 45. Sound Attenuation t 46. Handicap Regulations 47: FINAL STRUCTURE & BUILDING 48. Special Requirements. Completed 49. Electric Refease to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date GENERAL AP No. LOT 3,�5 TRACT 51bQ FIRE ZONE DESCRIPTION 01' WORK res Watt d� ISCTIONS Signature DAT GROUP =&J TYPE V ZONE R3 SO` -L SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Com. Refrlg. Ai, Cond. p Rough Heating Rough Plumbing _ Miscellaneous ' Prop. Swr. Line D House Con. St. Swr. D "tC 1463 4 Sprinkling System Construction Pole Underground D Power,D i Rou h Wfrin Trenches Forms Steel Reim. Floor System Bond Beam D Steel Reinforce D Sheathing o- O Frame and Flashing Q.. _ a / Lathing — In Out P' ',r brown coat I, ,. D Air Con. ,D Final Heating, Final y / S=. Rzq. S,u,f d Plumbing Fixtures, Final ,� . Final Gas Test Electric Fixtures, Final _ z^ -.6 - /� Building,Final OCCUPANCY ov ar FEE RECEIVED ���� COSTA MESA BUILDING -SAFETY DEPARTMENT HAY 19 P. O. BOX 917 COSTA MESA. CALIFORNIA T. ((��''TTFIINppANC((;;(E�� 'APPLIC7iTfONFFOP%XSA For Applicant to Fill In Completely TYPE OR PRINT BUILDING For Office Use Only BUILDING , ADDRESS 107 Geor etown Lane RECE,pT NO• P rryyT rvo. COSTA MESA, CALIFORNIAif�Q,F`2 . RECEIV D Y DA�EC[1V DATE ISSUE_ San Vista Building Co.' / II1 49P.4 OWNER BUILDING - MAIL 1166 E. 58th Street ADDRESS ADD ADDRESS FIRE `,�` CITY Los Angeles 11 Calif.NO'AD 37187 ZONE TYPE GROUEL •L v APPROVED ARCHITECT Raymond LeSanasNO •OR 37010 BY DATE OR ENGINEER ZONING ADDRESS 3432 Via 0 onto New ort Beach 1. Z NO. Op I USEOF PLANS EUILDI O CONTRACTOR San Vista Building Co. LEGAL Tract 5160 - Lot 3 5,/ ADDREss 1166 E. 58th Street DESCRIPTIO N A.P.NO. ,� CITY Los An3zeles 11 Calf. •_ NOTE: NO EAVE OVERHANG SHALL BE I#SSTHAN STATE SO' TO SIDE a REAR P. L. I LIC. NO. 192782 NO. AD 37187 EAVES SIZE 2O X 7O NO. OF 01.1306. G ALLOWED (U. B. C. REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDSAPPROVED USE OFMAIN EXISTING BLDG. None BUILDING ACCESSORY BUILDING (FROM L TR.EET) SETBACK LINE FROM FRONT FTFT. CENTER OF STREET 13' REAR YARD SIDE YARD I LEFT 0 I RIGHT 0 R. SIDE FT. FT. DESCRIPTION OF WORK .SIDE F -r. Fr. G w X ALTERATION ADDITION 'REAR FT. FT. DISTANCE BET. BET. MAIN a MOVING DEMOLISH MAIN BLDGS. ACCESS. SLOGS. FRFPAIR NO. OF VAR.# fTly-` DATE/CROOMS STORIES 2 C.U.P. APPROVEDL ROUP. APPROV tUCCO COVERING hl 1 BY DATEING AND WORK TO BE PERFORMED St PS C7 � till Irj1 u 3 SQ. FT. - Q O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UN VALUATION IS FOR THE F AND STATE THAT E ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISIS i0 A PERMIT FEE ONLY. O PLY. WITH ALL, TY RDINANCES AND STATE LAWS REGULATING BUILDING CO TRUCT ON. VALUATION q ' PERMIT FEE $ N ' SIGNATURE O PERMITTE LA EC � / 0 AUTHORIZED GE T 7 7e 4 TOTAL FEE S