HomeMy WebLinkAbout2710 GANNET DR - Building Permits�
„""", 2710 GANNET DR
a'sxeMe: WHALEY
�ooeess: SAME
FBCNIENGINEEB:
�oouss:
NEO.NO.:
uxn:
unrt:
PE"MmEE' WHITNEY ROOFING ( 714 ) 548-0769
"o°"Ess' p0 15396 (�
110ENSEO CONTMCTOPDECIAMTIOX: I �ereGy attirm that I am IlcenseU unEar pvis'ion2oiCAaper 9(commencinp wit� Seciion
7000) of DlNsion 3 al �Ae Business and Vralessia� CoGe, aM rtry Ikerise Is in lull lorce aM attect.
ciTruc.:028035 sr�reuc.:406022 cuss:C-39
Dale: SiAnature:
WOBKEBS' COMPENSIITION OECIAM710N: I hereby aflirm that I hava a certilicate ol consent to self-insure or a certifica[e oi Woders'
Compenutlan Insurance, or a cenifie0 capy Inereol (Secuon 3800, LaD. CI.
voucrno.:2g5900000328 �Po"TE:O1/O1/91
coMv�xr: STATE
—' CeNiieE ropy is Aereby fum¢AeO. Q Certife0 copy ¢ NN with tha dry Buildin0 OMsion.
Uate: p7V���:
E%EMPIION Fl10M 1VOHI�HS' CONffNSA7tON OELIAM710M: (flis seam nceE roI Ee mmqetW il tle D�1'a fa one AudaA (f70� rc less).
I certity Wt in Ne perlarnwnce ol tAe wark for wtuch tNs pemut a �ssue0, I stutl not empby a�ry persan m arry manrrer so as to Oecoma
5u0jecl to tAe Workers' Compmsation Laxs ol CaGfamia.
' oare: Signamre:
xmlcE: If, aner maldno � 4�'+�. Y� �� �^� �WM �o Ihe wohsrs' Compe�atbn prmdsbns ol Ne Lahar
CaEe, you muSl foMwiN comply vnt� such D�ons or thh permit shall Ee EeemeG rerokeU.
fANSTINLTION LEMDINO �GENCY: 1 OereOy atfirm Wt ttrere ¢ a cwiswctian IenOinp apem.y Ia the pertormanu of t�e work br
which ttus perMi is i55ue0 (Section 3097, Gv. CI. �
LENOEH:
RUONESS:
OWNEB BUILOEB OECIAlUTION: I �em0y aflirm that I am exempt trom tha Cantractors' State License Law tor tha lollowinp reason
(Saction 7031.5 Business anE Pralesvonal CaOe: My dry oi counry wtnU� repWres a permit to wnslnrcL alter, impmve, Uemolish, or
re0alr any stmewre, prior lo Its Issuanca. also repulres ihe apD�iwnt for sucA DerMt to lila a 51pneE statement tlwt ha/she is Ilcense0
pursuant to Ihe Omvislons ol tM Contractars State Licerisa Law (Clupter 9(commencinp wit� Section 7000) ol 0ivision 3 of t�a Businass
an0 Prolesslons Catle) a Itwt M/slie I5 exemD� Nerelmm aM tAe Oash lar I�e allepe0 exemD���� �Y WOWtion ol Section 7N1.5 Uy
any applicant lor a Darmit suElects Ihe applkant to a civil penalry ot not moro IMn INe �unOreA Gollars (5500).
I, as owner ol tAa D�DaM a�' empNyees wiN wapn az tlieu sde compe�aGon, wi0 Oo t�a woA, an0 the
❑ strucNm is nol NlanEeG or otlere0lor sala (SeCtbn 70Cd. Business and Prolesslowl Code: The Contactors' Stata Ucense Law
Eoes not apph/ to an ovmer ol a Droperty wM DWIAs ar improve5 [�eraon. uM vAc Uas suc� woM �imsetll�ersell or t�roup�
Ms or �er own employees. OrovWeE WI wc� imD«�� ��� NIeMaE ar ollera0 lor sale. It, Mwever Itw Duil0lnp or
ImD�ovement is sd0 witNn one year ol mmpetion, tlre ormer will luve IM Durtlen ol D�0 w� OiE not UuiW w imprwe
, lor IAe Durpase ol salel.
I, as owner ol Na Droperry, am evduSNeN conVacfinp xiih IkemeA conlraciors Io Con5Wt1 NB D�Q�� (��uon 70ad, Business
❑ aM Prolessims Ca�: Tha Conirxtws' S�ate ticense Law Eces rol z00N � N�w al properry wM MnICs or improves tlrerean
antl w�o coniracis lor suc� Drol�� �iN a contnnm�s) ticense pursuant �o t�a Contractors' Sute L¢ense Law). I am awam
tlut prool ol ttrcir Worker's CampemxUan i�¢ururce sAONO De provlGM ro me.
� I am exempt uMer Sectbn: B. 8 P. C.
for Inis reazon:
' Date: (Mner:
I do herehy certlty tAat I am awam ol aM unOersianE Na repuirements al CalilomW Healih anA Salety CoGe Sectlons 25505, 25533, antl
25534 anOlnal I or arry lulura Ouil0in0 ��Pa�� �+IWrill not (drde one) nee0 to comply xitn uiE state coAes anOlne repuirements lor a
permll Por constmclbn or moAllication tmm tha Nr ualiry ManaOemeni Distdct. Fesitlentlal constructlon aODlications are exempt Irom
Ihesa pmNsions. _
Date: ApD�icani:
I �ereby cenity ttwt I twva reaa �AiS aDO��Gtlon and state Nat Ihe a0ova inlarmatlon is cortect. 1 apree to comON �� an ciry an0 counry
or6na�es an0 state Wws idatlnp ro Wi/Ln0 ���� ��rehy aulhmim rt0���� at thls dry lo enter upon Ne a�mo-mentianetl
pmpeity lor inspection puryoses.
Uate: SiOnaNre:
Dnver's License ar Social Secudry M:
Ap Icanl: Gink—Rwenue: GolOenroC—A�sessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048634
PERMIT NO: H 048634 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; REROOF SQ FT: 4,844
CLAIM VALUE: 4,644.00 CALC—VALUE: 9,844,00 GROUP OCC: R-3 /
COMMENTS; T/OF£ RESHT 6 RERF W/ CLASS "A" FIHRGLS
*�rx��r�r***x�t�t�t**�r***r***�r�r*�e�trt�t�t�t�t**at*�t***�t***�*�t*it�r�***+tx��r*f��****+��t+t�r***+r�t***�t�r�t
Z O N I N GS ERTEHQAUCIxRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 13947404 ZNE: REF NO:
PLANNING NOTES> .
�. � .
**�r��x��**�**�r*'�t�*��r+�*xx**+t�r�rx+r+t�*�r**��x��***�rrt��*****+t*��rrtrt�r+r*x****�r+t***+�+rx+t*�
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 .
HUZLDING APPROVED BY :
APPLICATION ISSUED BY
iF1lik1f1EfElfiEilillkifititlt*3EiEiE�EiEkiEiFifMif1k1t1klEiFiklkifitlFitfE�tik1E*fF iklE�kiE
LEGALIZATION:N F E E S U M A R Y
HLDG PMT PLUMBING ELECTRIC M CHANZC
PERMIT 72.00
_ DATE:
� DATE: 1
DATE: U�ZO
iiiFiFiFiFitltiFiFiEiEiFiE�i�F�iFO
if it iF it 1f iE ft iklE �E if ik aF it 9f iF it iE M�E If M ik 3t �E
STRUCTURAL.SEGMENT:Y
FIRE SMIP/RES, GRADING
.50
SMIP/NON—RES
PLAN •
ISSUE FEE �
HUILDING—DIV—> PEkMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72,50 0,00 0,00 72.50 72,50 ,00
REVENUE DIVISZON TOTALS--> COLLECTED: 72,50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
72.00 ,50
3FikltkitikiFitikitMiFifikitiklEiEitikiflEifkifKlfiEififitik!likikl�iEitilltiEififikitfkiFiFiFikikiliFMill4kikiFiFititlEitiEitifiE3ElEiE3kikiEiEkakiiM
I N D I V I D U A L;� F E E b R E A K D O W N
i
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4844 REROOF BY VALUE RESIDENZAL NOZONE 1.00 4,844.00
END OF FEES
p
�J
�1 Q0057�70-0706737! T ��T 72.-��
DATE: QEi20/90 TifiE: ?1:Oi
� CONSTflUCTION AND PIANNING P��� 'PA
> APpROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
1. Temporery Electrical $ervice or Pole 52. Pool & Equipment Location
Z, $pil Pipe-Undrgrnd. 53. Steel Reinforcement
3. ElectricaV Conduit Utility-Undrgmd. 54. forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electriwl UFER Grnd. 57. APPROVAI TO COVER�GUNl7E
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. W2ter Pipe�Undrgrnd. 60. Backwash l.ines, P�Trap, � Undrgrnd.
10. Structural Floor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. $ewer Cap 63. Heater & Vent-Final
13. Roof Droins 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical�Final
75. Fough Electrical�Conduit 66. So�ar SYstem�Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Raugh Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DUcts, in Structure 70. Underground HYdro
22. Oucts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing � Q� � 74. Overhead Hydro
26. T�Bar Ceiling (Structurap & 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. EI¢ctrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric Notes: 8� �
34. Final Heating & Air Conditioning ��� .
r
35. Final Gas Pipe�Test ` � � �
36. Hood or Canopy � �
i"
37. Final Factory Fireplace � �
.
38. Final Plumbing
39. Water Service-Final � , '
40. Gas Service-Final .
41. Solar pomesticFinal
42. Batkflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations r
47. FINALSTRUCTURE&BUILDING
48. FINAL PLANNING '�'
49. Electric Reiease to Edison
50.�Gas flelease to Southern California Gas Cn �.-
51. CERTIFICATE OF OCCUPANCY
No. � Date
AOplieant to fill In all ipaeef except thosa wil�ln heary OorEer Iines and si9n all aoorooriata aaelantions.
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLD . .
CONSTRUCTION PERMIT �— $ p 3 , -
Applicent'S Meiling AddfBSs 1��� 'b�'ti ��'� �� , TYPE OF CONSTRUCTION NEW ADD ALTERATION 'REPAIR
ProjectAddreu � -•%7iO�..�Fwi�uG7��D� , ❑CONVERSION ❑DEM�ISH ❑'OTHER
OWner S Neme hQ�g erD DESGRIPTION OF WORK '��-A�� �'��T"P� - T�
.�1 cr/J ��
e
Addfess '��In ZN TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL ' A.P.qW
ArchlEng. � LicEnSBNo. ❑ TENANT ❑ ELECTRICAL �oLUMBING- ��MECHANICAL PLNG.REF.qM,
/� M
Addf2ss �� �r' "l ❑ �OTHER . ' TO BUILDING
Contrecror's Nem � Phone PROJECT DESCRIPTION Sa. FT. oCCUPANCY � PE v I
• ' CONSTRUCTIONTVPF - � VALUATIONS� LEFTSIDEVARD
Add�esslm8ilinp) - ZON€ - GRADINGGU.VDS: - ACRES PKG.SPACE.REQ. '
Licenze No: - l � � � .
IICENSED CONTRACTOR OECLARATION � � Remarks: � ' � . STREET WIDTH
1'haraDy affirm t�at I am Ilcensetl unCer pravlslons at Charter 9(commencin9 d t �5:�. � r— ai �s-��� w YY�. . �n t� ��1�__
witn section 7000) of Dlvlsion 3 ot the Buslness antl Vrofessions Cotle, ane .
my Ilcansa is in full /orce an0 e/tect. � , - .
L'ICan50 Class L�Lense No. � �
Date Signatura
ORKERS'COMPENSATION DECLARATION �
'� �preby aftirm that I.have a,certiflfate of tonsent.toselfansure or a certiticate
*��- Workars' Compensatlon Insurance, or a certltietl coOY �hereot (Sectlon .
00� l.ab. C:) � �
Policy No. ' Company
BCertifletl copy li hereby furnisnetl.
Cartifletl copy Ii tilaC wi[� the city Builtlin9 Division. � �
Date ' � APPlicant �_ ,
EXEMPTION FROM WORKERS' COMPENSATION DECLARA'fION
(Thizsectlon neetl not be complatetl If tna permit �5 far ana huntlretl (E300) or .
less). • � � ' � '
� certlfv that In the oer/ormanca ol the work !or whith this o¢rml( is issuetl. I
Date _/ ���'b� Signatura x '!� ••��1.j����
NOTICE: I/,-a/tar makin9 �his tleclaration, you�5houltl bacon
Workers'� Componsatlon Orovlslons,at the Lnbor Cotle, you
comply with such Orovizloni or tM1is' Dormlt snatt be c
CONSTRUCTION IENDING AGENCV
1 ho�eDy alfirm Ihat there IS a COnst�uctlon�lentling agency�tor
o! the 'work for, whicn this permit Is IssuoO (SecUon
Lentlnr's' Nama�
Lentler'i Atltlress . �
OWNER BUILDER OECLARATION�
I herebv aHirm that 1 am exemol IroT I�B COnt/act0/'s LIc
an0 the basls lor tne aliegoa exort
any aoV��cant for a parmit sul
not more tnan /lve huntlretl Eollars
wner of the�Droparly or my om�
lon will tlo tno wOrk, antl tha Stn
iacfion 7044, Busineis anE Profa
w tloes nnt aoolv to an owner of a
tne
ts tna aDP���ant to a civu
001. • .
fes wit� waqes as thelr sole
�e I5 nol IntenOed or offereC
oal Cotla: Tha Conlractor'i
oerry wlio Eulltls ar improves
If or Ihmuyh his or her Ow0
nol IntenOetl or offeretl for
_"_.. -.._ __.._...o -. .. ____ .__ ._ soltl wltnin one Year of com-
Owner'wlll hav0 th0 bUrEen of provin9 h¢/She Oltl not builA or Im-
f purposa of Salo). ' ' - �
❑ I, as owner of l�a pro0arty, am oaclusively contractina wit�'licenietl con-
traclors to construct [nd.Oro7acl ISecUon,7044, Buslnass
T�e Contractor's Licenso Law does not apply to an o
bulltlt Or ImOroveS [neraon, and w�a contracti for 5uc
tracior(s) Ilcenia purivant to the Contractor's Llcenze L
❑ I�am exempt untler Section B.
Data Owner
Drivers'
�
rev.12/82 Whi[e-Bulltling:Gnary-Applicant;Pink-
reason
a� bove
tl
Sink �
kflow Pre'venter - - --
kflow Irrigation •
htubs '
ifiers �
iwasher ' . '
Sinks -
Kitchen.Sink ' �
lavatories, � �
P—Trap
Roof Drains �
Showers .
Service Sink -
- Under Grt
- S[ructural
Sewer Cap
Sewer Connection'. — . . .
Soler Collector5
Solar PiPing . ,
Solar Tank
Swimming Pool w/Spa
Urinai
. . � Water Heater - - - . --
�Outlets . WaterSer'vica , - ""
r .
• i.
1
Reinspection.Fee
� Isue Fee ' ,
Exhaust System LJ Multiple
Firepi/Fact. Blt. IC80 �Ik
Heating System & Ducting
�0-100,000 BTU �100,000
Haod or Typel ❑ ,
Canopy Type II ❑
Registers � � �
❑a�oo,000eru ❑ioo,000aru
Sys[em Repair�Alreration '
$15
$ 3
� ' Rainspection Fee, $15
Ittue Fee ; § 3
SPECIAL CONDITIONS:
_ .2525._ 7/c0/d9
BUILDING
- REAR VARD (TO P/U
j - RIGHTSIDEYARD_
PROVIDED
� ' �PARK FEE $
41eii i
utomaiic Washer • Meter LJover 100 amps � '
on5[ruction Pole�', . Sub Panel . � :
ooking Unit ; � , Sub Pole '
ishwasher � ' iMotors �0-1 HP �1X$ �
ryars ❑Gas �� �Electric • InaShcar �945 HP �76-15+' - '
en' ' �Microwave '
.A.U. ' . � �Pale Light , �
�.....e� . �-. . ^__'_
Oevice Boxes ' ' Sign
Outlets � Stanc
Switches � � Trash
Gerbage Di5po581 � '
Generator LJ0�5 KW LIS-15 KW
Trnnsformer �15�50KW '
� ❑5U+KW � ReinspettionFee $75�
Meter ❑up ta 100 amps � daue Fee � ' S 3
Zoning Apptoved By pate
i
Appliotion Approved By ate
Appliption Issued BY ' �ate �6
, I � � SUMMARV OF FEES � ��—
BUILDING PERMIT $ SMIP $
PLAN CHECK $ ' � • PERMIT �
�PLUMBING $ S'OO ISSUANCE . $ �
PLAN CHECK, $ , GRADING � 8 ;
ELECTRICAL � $ ' � ' .'$ �
PLAN CHECK. $ MICROFILM . $ '
�MECHANICAI ' $ . TOTAL;FEE� . $ '
IPLAN CHECK� ' $ I � LESS • � �
. � , , % ADVANCEDPC . $�
1 ' ' � . FINALFEE� . $ �,j�oo
� , �CONSTRUCTION.AND PLAN IqN G �� `-. ,; � - : � ��� ''�` ' � � � ,- � '
-APPROVAIS } Per'mit#� ' y.vd-3' � <Date Inspector •APPROVALS Permit# - � Date Inspeetor
1. Temporary Electrical Service or_Pole -� �"52.-: Pool & Equipment Location � - - .
� 2. �Soil Pipe-Undrgrndi • - - 53.� Steel Reinforcement -
3: Electrical Conduit Utilitv-Undrgrnd. -� - � 54. -Forms' � . �
`. 4. �Electrical Conduit-Undrgrnd�. _ 55. Electrical Bonding �
5: Steel Reinforcement . , '"" `' � � - � 56. Rough�Plumbing & Pressure Test
�6: Elect�ical UFER Grnd. . 57. APPROVALTO COVER-GUNITE
7. Footings ' �, - - . _ . 58. Electrical �nduit•Undramd.
8. Foundation �' , •- . , . 59. Gas Pipe, � Undrgmd., Test .
9. Water Pipe-Undrgrnd. : ,' . ' 60. Backwash Lines, P-Trap, � 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-Finaf
75. Rough�Elect�icai-Conduit �' ""-� ` ' ��- � '- � 66. Solar System-Final "
�
i 6. � Rough Electric Wicing , ' � ' - _ � '�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 '
�_
20. Rough Factory Fireplace ` � AP,PROVALS Permit # �
21. Ducts, in Structure� . � ` , 70. Underground Hydro
' 22. Ducts;'Ventileting - � � 71. Produc[ Piping OGas ❑Oil �
23. Gas Pipe-Rough & Test _' � � ' 72. Underground Plush
24. Roof Framing� • ' ' .. 73. Undergrnd.StorageTank OGas ❑Oil
25.�� Roof Sheathing � � , � . , 74. Overhead Hydro �
26. T-Bar'Ceiling'(Structurall.& Monocoat . 75. Dry Chemical
27. ��Fiame and Flashing ' � '� � 76. Dry Standpipe
,28.' L"athing & Siding - ' � � 77. FIXED SYSTEM FINAL
29. Irisulation � . � 78. FIRE PREV. FINAL
30. Drywall Nailing , ' � , Notes:
31. Plaster�Brown Coat ��
32.��Electrical Power Meter-Final � � . . ' ' '
33. Final Electric • �
34. Final Heating & Air Conditioning , , �
35. Final Gas Pipe-Test . ' � .
36. Hood or'Canopy , � - � �
37. Final Factor,y Fireplace . _' , � . , � - ,
38. Final Plumbing ; � � � 8 ' . -
39. Water Service-Final � ' � � � �
40. Gas Service-Final I �. .
41. Solar pomestic-Final � . _ �. , _ -
42. Backflow Preventer � ' � � �
r '_ '
43. Backflow Irrigation ' � ' . -' � . �
44. Landscape trrigation System '"' . . , .
45. Sound �Attenuation � ` �� ' . . � �
46. Handicap Regulations� ' �
47. FINALSTRUCTURE&BUILDING. � -
�'
48. Special Requirements ComDleted ., � � �
49. Electric Release to,Edison . . - _ _ _ _. -. _ . � �
50. Gas Release.to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY ,_ _ J. � •
� NO � Date � � � '
t
�,ot s � ? I P23
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 31] C08TA M66A, CALIPORNIA
For Applicant to Fill In Completely
TYPE OR PRINT.
� BUILDINO
r[C nt�tlVtU
lSAfl 31 1964
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDIN6
Por Offite Use Only
I NHC8IPT NO. F
COSTA MESA. CALIFORNIA
aecci ec er
:R Pemba Subdividers, Inc,
E38
2850 Mesa Verde Drive nooaess
Costa Mesa No 5490395 ZONE
ici EN HeE, G. Ka,ltenbach No 5478046 BYPROVED
Ess 1833 E. 17th St,, Santa Ana
ZON6
w�;.« , R-1
cerrna SLifi�O
I6TATE Lp731p
LIC. NO.
SIZE _QLFlq
OF LOT 4J �-"'
9ETBACK LIf�H FMOM 50t 30t
CEIVTEROFBTFE[T REARYAFiO .
SIDEYARDI LEFT ��t I RI6HT ��t
DESCRIPTION OF WORK
NFW I� II �1 TFW�TIl1N I II �nflIT10N I
I5 ZIEDIN� 2� 556 ROOMB V BTOR �8 �
I EXTERIOR WAL6 �nA ROOF D_ �ll�
House 2 004 sc.ft.
Gar e 552 s.ft, Plan 53-BR
1 HEREBY ACKNOWLHOOB THAT 1 HAVB RBAO TX19 APPLIWTION
AND 6TATE TNAT iN6 ABOVE 19 COHqECT AND AOq![ TO COM-
PLY WITH ALL CITY 00.DINA! CH8 ANU 9TAT6 LAWB p[OULATINO
BUILOINOCON9TPUCTION. " � /
SIGNATURE OP
PERMITTE
AUTHORIZEDA .
DATEISSUED
ZONIN(i
rvo.oe uc¢or
nuxs 2 euaou
IAt 9• TT'8.C't
SHALL BE LE55 THAN
YARDBAPPROVED I YARDSAPPROVED
MAIN BUILDIN6 AGGESSORY BUILOING
VAR. �j
•lSi=
l
p-C.
i��as4.�.���yo tl
THE AMOUNT 8H N UNDER VAIUATION 19 FOH TH8 F
PUHPO98 Op HBTABLIBHIN6 A PEqMIT FE6 ONLY. Q
VALUATION m
PERMIT FEE $ �
s�/3oG_ „ E � .SD o
/} LL
TOTAL FEE $ /'" �� � �