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HomeMy WebLinkAbout1360 GARLINGFORD ST - Building Permits I V. PROJECT ADDRESS: 1360 GARL INGFORD ST UNIT: 0 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 048846 OWNEWS NAME JEAN NEUMEY ER - onus: SAME AS ABOVE PERMIT NO: P 048846 PLAN' CHECK NO: N GOVT : N SUPP : N CONSTRUCTION TYPE: PERMIT TYPE: PLU • • PURPOSE: OTH 714 /545-1734 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : WATER HEATER REPLACEMENT SQ FT: ADDRESS: UNIT: • CLAIM VALUE: CALC—VALUE: GROUP OCC : / PERMITTEE: GENERAL INSTALLATION CO. ( 714 ) 753-2541 ADDRESS: 6558 WEST BLVD. COMMENTS : MAIL—IN PERMIT . . LOS ANGELES CA 90043 **************->E>F*>FeF * * ****x**>F** * *1r* **********x***** *******x**** **> *444* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENT S • 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.:O 064 3 STATE uc.:1518 3 9 sr C Date: ' Signature: i , a_'� MAIN BUILDING ACCESSORY BUILDING v , y FRNT : FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS' MENSAT ON ECLAMT10N: Thereby affirm thatIhave ac ificateo ,}Fent to self-insure oracertiticate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT 'IN Compensation Insfuert�nnce�p�rrpyo@mjled copy thereof(Section 3800,Lab.C) POLICY NO.: $10 J U 4 EXP.DATE: 0 4 /0 1 /9 1 J"(MPANY: NMIC PARKING REQ: PROV: PARCEL: 41916428 ZNE: REF NO: CC edified copy is here• tumis ed. Zi Certified copy is filed Th the ci Building n. PLANNING NOTES> Date: Applicant: � / V ;27e-74---PJ EXEMPTION FROM WO'KERS' i MPENS TION DECLARATION: (This section need not be co if the permit is for one hundred(5100)or less). D EVEL OP MEN T SERV ICES { R EQU IR EMEN TS 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. ZONING APPROVED BY •• G DATE: Date: - - Signature: • BUILDING APPROVED BY : DATE: NOTICE:If,after making this declaration,you should become 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 hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : _ DATE: /Q ` which this permit is issued(Section 3097,Civ.C). ********************** F"1E. / Y****** LENDER: ***************************************************************j(-*************** ADDRESS: ' ' LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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($500). ISSUE FEE 3 . 00 I, as owner of the propeM or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE O structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS > 2 , 0 0 3 , 0 0 0 , 0 0 5 ,0 0 S , 0 0 0 0 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 sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 5 .00 OVER/SHORT• 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve ,!tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 . 0 0 • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ***************,**************************************************************** and who contracts for such projects<1th a contractor(s)license pursuant to the Contractors'State License Law). I am aware that proof of their Worker's Compens;tion insurance should be provided to me. INDIVIDUAL F E E BREAKDOW N . ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 I do hereby certify that I am 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 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. , • Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby oath ze r res n Ives o city to enter upon the above-mentioned property for ins chop rposes./ Date: �7/ �j signature: �/� �� " 01 00069320-00069320 TOT 5.170 Driver's License or Social Security • DATE: 09/12J90 TIM: 118.0u 1641-46 White—Building;Green—Code Enforcement;Cenery—Applicant Pink—Revenue;Goldenrod—Assessor • " %7 "CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PC SPA APPROVALS hermit # 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. RoughPlumbing & 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 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank CGas 0Oii 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace ' 1 38. Final Plumbing q/'jdQQ ^ /4/ t4 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co . I 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1360 GARLINGFORD ST UNIT: OWNER'S NAME: GEAN NEUMEYER ASGRESS: SAME 545-1734 ARCHIENGINEER: REO.ND.: : ADDRESS: UNIT: PERMITTEE: MIKE KILLEEN QUALITY ROOF (213)429-3398 ADDRESS: 3819 CANEHILL LONG BEACH CA 90808 LICENSED CONTRACTOR 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. CITY LIC.: 050596 STATE LIC.: 590508u"a. 3 Date:�4 6 Signature: /��–D,-o- �� WORKERS' COMPENSATION DECLARATION: I hereby affirm that I t certificate of consent t self -insure or a certificate of Workers' Compensation Insurann a or a c rtifietl copy thereof (Section 3W,, Lab. �I POLICY Ni - 19 0 90 EXP. DATE: k1 4/ 0 1/ 9 1 COMPANY: STATE N Certified copy is hereby furnished. ❑ Certified copy is tit h the i Build, Divisi -ete:Applicant e EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (this need not be complet if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit' issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: It, 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 Prolessional Code: Any city of county which requires a permit to construct, after, 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 (3500). 1, as owner of the property or my empDloyees with wages as their sole compensation, will do the work, and the 1:1 structure 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 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 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business 13 and Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects eith a contractor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Com unisction insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: 1 do hereby certify that I am aware of and understand the requirements of California Health and Safety Cade Sections 25505, 25533, and 25534 and that I or any noun 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. Date: Applicant: 1 hereby certify that I have read this application and state that the above information is correct. 1 ae I ith p city and county ordinances and state laws relating to building construction and here thortzre latifis in anti (above-mentioned propeM for inspection purposes. ?^ Date:_1 Signature: Driver's License or Social Security x: 164/d6 White—Building; Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047316 PERMIT NO: B 047316 PLAN CHECK NO: N r GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/OFF & REROOF SQ FT: 3,000 CLAIM VALUE: 3,000,00 CALC—VALUE: 3,000.00 GROUP OCC: R-3 / COMMENTS: T/OFF RESHEET /INSTALL COMP SHINGLES 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--------- FRNT: 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: 14163338 ZNE: REF NO: PLANNING NOTES> > D E V E" -I. 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: BUILDING APPROVED BY : DATE: Q APPLICATION ISSUED BY: DATE: LEGALIZATION:N F E EU M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELF—TR,— MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—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: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .50 ############################################################################### 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 SFR 3000 REROOF BY VALUE RESIDENIAL NOZONE 1.00 3,000,00 END OF FEES 01 00060849-00060849 Tqa T 5c,5J DATE: 05/15/90 TINE: 10:06 CONSTRUCTION AND PLANNING APPROVALS Permit 4# Date Inspector POOL TA APPROVALS Permit# 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, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. - r. 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 -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 4#- 20. Rough Factory Fireplace 21. Ducts, in Structure 21. 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping L1Gas []Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 43. Undergrnd. Storage Tank O Gas ❑ Oil 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: 34, Final Heating & Air Conditioning J 35. Final Gas Pipe -Test �/ 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation �. 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc ' 1 51. CERTIFICATE OF OCCUPANCY No. Date OWNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 1962 JOB ADDRESS BUILDING PERMIT NO. n qsl 04 GFNERAL CONTRACTOR ' Lll"etltne Ites.tuag. Corp. VALUE $ lf,0f7•UU - I lo. LOT2 TRACT 435FIRE ZONE DESCRIPTION OF WORK ties•w/✓att(`+aT• INSPECTIONS Signature DA'Z'E GROUP I J TYPE V 70NE RI Soil 7_ SUBCONTRACTOR PER 1l'I'S ISSUED G� �!/ DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing i -`�_ �1 _ % =a ,37. Y Miscellaneous Prop. Swr. Line E] House Con. St. Swr. ❑ - _, Sprinkling System 4z Construction Pole 7faff Underground ❑ Power p Rough Wiring -/Q•( 'r - — - - ' rcne es [� corms Q teel Reinf. ❑ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Fr?, -e and Flashing -,C ly- L -,g - In Et- Out Yr Pl.er, brown coat i - e ng. ❑ Air Cond. ❑ Final Heating, Final Plumbing Fixtures, Final (.? _. . 18404 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR OR PRINTBUILD NG ADD EISS / 3(o COSTA MESA. CALIFORNIA Lot 22, Tract 4355, LEE PEIVED A DEC 11 FI ANCE DEPT. APPLICATION FOR PERM T COSTA MESA BUILDING For Office Use Only OWNER Harbor Hall of Fame HomesECEIPT Inc,Ine. gH{yn IIP e NO. (i.C7 tfC� MAIL RECEIVHD BY DATE REC61 !D DATE ISSUED ADDRESSP.O. BOX 2066 /a /� 6 DEC 111 1962 Santa Ana NODI -220 AUILDING CITY DDRESS ARCHITECT TEL. OR ENGINEER Jamison NO. 544— COSTA MESA. CALIFORNIA 225 IID11 St., TUSt1II FIRE ADDRESS ZONE TYPE GROUFWQ(2)r CONTRACTORLlfetime Residential Bldg Cor APPROVED BY DATE ADDRESS 2131 SO. Artesia ZONING Santa Ana ZONE NO. OF UBH OF NEW S1;1 i+.. /GY CITY rj -/ PLANE Z BUILDING STA LIC.NO. 208676 No: KI 9-2204 LEGAL L.,'1 2 Z T/j y3s DESCRIPTION SIZEM NO. OF BLDG e. 60W I 0 OF LOT NOW ON LOT A. P. NO. USE OF -None YARDS EVES EXISTING BLDG APPROVED ALLOWED /t1y�� UNE FROM 521 44.801 INTER LINE ST.) - Z CSETBACK ENTER REAR YARD FRONT FT. IN. SIDE YARD ILEFT 51 (RIGHT 5' R.SIDE f� FT. IN. DESCRIPTION OF WORK L. 61OE FT. IN. NEW I X ALTERATION I II ADDITION I REAR FT. IN. REPAIR I I MOVING I II DEMOLISH I APPROVED GATE BUILDING NO. OF l SIZE 1608 ROOMSTORIES EXTERIORWAL{, ROOF Shake COVERING YlaSteT COVERING USE OF BUILDING AND WORK TO BE PERFORMED Single famil residence 1 HEREBY ACKNOWLEDGE TH 1 HAVE READ THIS APPLICATION HAVE THE AMOUNT SHOWN UNMR VALUATION I8 FOR THE AND STATE THAT THE ABOV IB AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PER ONLY. PLY WITH ALL CITY O INA EB AN AT WS OULAYING VALUATION BUILDINa CONSTRUCT N. SIGNATURE OF ` PERMIT FEE $ 'J L_ G PERMITTEE^� $ /% � 5- PLAN CHECK $ .21J S AUTHORIZED AGENT 1 TOTAL FEE alnar. 4-ZV-07 BUILDING PERMIT NO. AP Nn ILLI -mP -no TQT TR&pT VTPP 7nMV VAT.IIF C line nn I ECTIONS Signature Date GROUP J TYPE V ZONE 1 Sou ( SUBCONTRACTOR PERMITS ISSUED GaS Date Number 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 Rou h Wirin Heating and Vent. _ Trenches Forms 0 Steel Reinf. ❑ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing .7 cr Frame and Flashing Lathing — In 0 Out 0 Plaster Brown Coat St ural, Final Electric HL ...g, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final Special Requirements 23900 r COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 817 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR. PRINT BUILDING -�, -d ADDRESS COSTA MESA, ALIFORNIA 'CITY STATE LIC. NO. - TEL.--�_ NO. SIZE OF LOT D OF BLaGB. NOW ON LOT USE OF EXISTING BLDG. GS/C/E A/C e - SETBACK LINE FROM CENTER OF STREET �J EL pp / REAR YARD o28 EIDE YARD LEFT / I �O i RIGHT J / DESCRIPTION OF WORK NO. OF ROOMS ROOF 6 I 'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. CffYG' CvSTAMESA APR 20 1965 kPPLIcj,$b�A-FICj 1g11T BtJiLD For Office Use Only RECEIPT NO. I _ PERMIT NO. ZONING NO. OFU6! OF NEW PLANE BUILDING inI �0 r a-1- -f-2 /L1/ -/'i--)-)- (f)� 'E OVERHANG SHALL BE LESS THAN YARDS APPROVED MAIN BUILDING VAR. # YARDS APPROVED ACCESSORY BUILDING DATE -6 a SO. FT, m THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION 420ry PERMIT FEE' $ j m PLAN CHECK 5 AUTHORIZED AGENT / ©6 7 IE $ C