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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 $ /'" �� � �