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Home My WebLink About2060 GOLDENEYE PL - Building Permits(714) 754-5273 • Fa�t (714) 754-4856 CITY OF COSTA MESA - BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT .lobAddress: 2060 GOLOENEYE PL Suite: Vicinity: BACK PORTION OF ROOF Parcel Nunmber: 13954318 App�iwnt: HATFIELD, MATT Address: 8941 MINT AVENUE WESTMINSTER, CA Owner: KEMPINSKY, GERALD A TR Address 2060 GOLDENEYE PL � COSTA MESA, CA Contractor: CALIFORNIA ROOF LIFE Address: 8941 MINT AVENUE WESTMINSTER, CA Zip: 92683 Arch : Address: Phone: BUILDING PERMIT Zoning: R1 R1 Phone: 847-7663 Zip: 92683 Phone: Zip: 92626 Phone: &97-7663 License: 509623 Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: O6/10/1999 Issued: O6I70/1999 Phone: 2ip License: Zip: License: SCOPE OF PERMIT TEAR OFF 8 RE-ROOF (BACK PORTION OF ROOF ONLY) WITH 1-LAYER OF 15# FELT & 25 YR. COMP SHINGLE. (8 SQ.) Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $48.50 $0.50 $0.00 $0.00 $0.00 $49.00 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0. 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0. 0 Left 0. 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 .57,450.00 51.450.00 NO710E: The work euthorized by this permit shall comply with all applicabla handicap access requirements under Celifornia statutes and related reguiations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In order for ihe work euthonzed under this permit to be considered legal, such work must comply with all applicable codes, end all requlred inepectlone and flnel approval must be obtained. Failure to obtain inspections end final approval will result in the expiration of this permit. fOR INSPECTIONS CALI: (774) 754-5626 WORKERS'COMPENSAnON DECLARAnON: I hereby atflrm under penelty oi per�ury One of Ihe following decleretlons: ❑ I heve entl will melntein e certllicate ol consen� to self-Insure lor warkers' compensatlon, es provitled lor by section 3700 ot the Labor Code, lar the pertortnance of the work tor whlch this permit is issuetl. �� liava and wlll meinteln workers compensation insuranca, es required by secUon 3700 0l ihe Lebor Cotle, fw ihe peAortnance of tho work far which this pertrtit Is Lswetl. My wor�ers' nsetlan Ins nce cern and poliry number are: � � rti..�--�• ^ (� Gartier:- ..i�,i-, l� .,,.. Poliry Number. .�� l.' f7. � I — 7 �ls�sect7on need nof be camp/eretl i! the perMf /s uetl et one hundretl tlW/ars ($ I00) or less.) �'^'-- �''—' �' '� ❑ I certity thal in t�e peAormflnce of the work tor which this pertnit is issued, I shall not employ any person in any manner so es to become subject to the workers' compensation laws of Califomia, antl agree that if I shoultl become subJect to t�e workers' compensation provisions of Sectian 3700 0l Ihe Lebor Cotle, 1 shall forthvnth comply with these pravisions. Applicant Slgnatura: Date: WARNINO: FAILURE TO SECURE WORKEFiS' Q7AIPENSqT10N WVERAGE IS UNIAWFUL AND SHPLL SU6IECT AN EMPLOYER TO CRIMINPL PENALTIES M!D CIVIL FINES UP TOONE HUNDRED TTIOUSAND OOILARE (5100,000�, IN AODfiION TO TNE CQST OF WMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31W OF TME 1A90R CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECIARATON: I hereby eHirm thaLl.am�licensed und �rovisions of Chapter 9 brce and efle jCic; k' Contracto/sSigneWre: ' CONSTRUCTON LENDING AGENCY: wil� Secilon 7000) ot Dlvlsion 3 of Ihe Business antl Prolppslons Code, entl my Ilcense is in tull _ Class N ' � ?Zr _ D'aie:_� .�. G, _ //J — ❑ I hereby eNirm ihat ihere Is a consWction lending agency tor the pedormance ot the work tor which Ihis permit is iuued. (Sec. 3097, qvll Code). Lendefs Neme: Lentlefs Atldress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I here6y effirm Ihat untler penalry oi perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reasan (Sec. 7031.5, Business entl Professlons Catle: Any ciry or counry which requlres e pertnit to consWct, alter, improve, tlemolish, or repelr eny sirucWre, prior to its Issuenca, also requlres the epplicam tor such pefmit to file a slgned stetement Ihet he or she Is Iicensetl pursuent to t�e proWSlons of the Contrectors LJcense Lew (Chapter 9(cammenGnp with Sectlon 7000) of DiNsion 3 of Ihe Business enC Prolessions Code) ar that he or she is exempt t�erefrom and the basis lar the ellepetl e:emption. Any violatlon ot Sectlon 7031.5 Dy any flpplicant tor e permit sub�ects Ihe epplicant ta e civil penalry ol not more than fiva huntlretl dollarg ($500).): ❑ I, es owner ol the propeny, or my employees wi�h wages as iheir sole compensation, WILL OO THE WORK, entl the siruciure Is not Inlendatl ar aNered for sale (Sec. 7044, Business and Professions Code: The Comreaore License Lew does not epply ta en owner oi properry who 6uiltls or improves thereon, and wha does suc� work himselt or herseli or through his or her own employeas, provided thet such improvements are not imentlea ar oHeretl for ule. If, hov+ever, Ihe builtling or improvement is sold within one year of completion, the ov.ner-builtler will have ihe burden ot proving that he or she tlitl not build or imprwe lor purpose of sele.). ❑ I, es awner ol lhe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTFACTOfiS to consiruct the praject (Sec. 7044, Buslness end Professions Code: The conirectors License Law does not epply to en owner of pmperry who builds or improves ihereon, antl wha contracts tor such praJect with e contrector(s) license pursuant to the Conirectoro License Wws.). ❑ I em exempt untler sec. Business end Professions Cotle lor Ihis reason: Signa�ura: Date: Owner ID vedfied by drivels license. ❑ Yes ❑ No Ddvels Licanse No. Vedlicetion of Ownership by (type ot tlocument, i.e. - properry tax Dill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: E:plres: ❑ I hereby certiy thai no excavation five (5) or more leet in depth into which a person is reqWred to descend, will ba matle in connection wlih work euthorizetl by this pertnit, antl thet no huilGing sWcture, swflolding, falsework, or demolition ar dismaniling thereoi, will be more ihan thirry-six (36) teet high. (Ghep. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to tlo work which woultl require e permit trom the Division of Industriel Salery, as noted ebove, unless such person has e pertnit to do such work Irom the tlivision. Slgnature: Date: DlWsian of Industdal Sefery Pertnit Number. CERTFICATE OF COMPLIANCE AND AllTHORIZATION OF ENTRV: I certity untler penal�y of perjury �het I heve raed this epplication enC s�ate the� the intortnetion given is wrrect. I agree to comply with all stare laws and ciry oMinances releting to bulltling construction, end authodze represen�atives ol tha Ciry of Costa Mesa to enter upon Ihe ebove-tlescd�ed prapeny br Inspection purposes. I egree not to occupy or allow accupanty ol any bulltling euthanzed by Ihls pertnit untll Ilnal inspectlon. GQOE I, INSPECTIONT'1Pl'i� / 1816 Fixed System Finel Fire Pravention 1266 200 201 202 203 Pool Spa Final Flnal Re-Raol Final Blxk/Reteining Well Final Fectory Fire Plece Final Sign 204 Final Demoli�ion 2N&48 � I�� CODE I INSPELTION TYPE 206 Final Mechanicel 208 Final Plumbing 270 Final ElecMcal 212 Final Fira Preventlon 220 Final Plenning Approvel 222 250 Pinal Site Final Builtling/Occupancy Date � Appliwnt to 11II In all spaees azCapt thOse wlt�in �aavy OorCa� Ilnaf anE �Iqn all apOroOriata Eecla�atlonf. � CITV OF COSTA MESA '�� g's'OO CONSTRUCTION PERMIT Applicant's Mailing Address— Project Address / 54G �L� Owner's Nama �� i.!-r� �n � U.-- ��Ln Phone • Addreu Arch/Eng. Licenm No. Address Contractor's Nam � hone 5�-3N13 � Addresslmeiling) �� 4) 'pn�'n� r License No. �q�� O LICENSEDCONTRACTONDECWRATION �I nereby a1OrT that 1 am IlcenSeO unEer Drovlsions ot C�arter 9(commencin9 with section 7000� ot Dlvislon 3 ot l� Busin ss anC Profezsions Cotla, antl my Ilcense Is in full to e a tl a fBct. � Licenu C a s � 3 Ice o.� Date Signatura Q. ^ `1":":RKER 'COMVENSATION DECLARATION ;«:: a�eby atiirm t�at I nave a cartiflcata of mnsent to self-Insum or a certifiwte �R 3�Norkers' Gompansstlon Insurance, or a cartlfietl � co theraof (Sec4on � �00, Lab. CJ Policy No. � ��_, �� Comp Certifietl copy IS �araby furnlSM1eU. Cer[i i p I/lletl with tha city Bu n 5io Date ApPlirant - EXEMPTION ROM WORKERS' COMPENSA ION UECLARATION (Thisseclion neeG not Ce COmplataE if the Dermit Iz tar,one hunCretl (5300) or less): � � - � 1 cerlify that in tha performance of tne work }or whic� tnis Oarm�t Is Issuetl I . shall noS employ any person In any manner so as to becama sub�ect lo t�e Workers' ComOenutlon Laws of Call/ornla. Date ' ' �Iqnaturo NOTICE: 1/, after makin9 tnis tlatlaratlon,�you Shoultl DetOme su��ect to lhe Workers' Compenwllon provislons of [he Labor Catlo, you must forthwith , ' compiy with� such provlzions or this Dermit ihall be tleemed revokeA; CONSTRUCTION IENDING AGENCV 1 hereby affirm that t�are Is a construction lentling a9ancy for the performance of the work 10r whlCh Ih15 permil Is IsSuetl (SOCtiOn 3097 Civ. C.) LenOer's, Name Lentler's Atltlreis � � � OWNHR BUILDER DECLARATION ' ' ' I hareby afilrm that I am exempt 7rom tho ContractorY Licansa �aw for the followinq reazon (Sectlon 7033.5 Businoss antl Professlonal Cotle: Any city or county wnicb raquiras a parmit to construct, altar Improve; Oamolish or ropair any structure, prlor lo Its Issuance, alio roqWros t�a applicant for such permit '�to flle a Slgnetl 5[atBmBnt jhat ho/she IS IlGensatl purivant lo lha provl51on5 of t,,.,Contractor's Litense Law (Chaptor 9(commoncing with Sectlon 7000) ot "'�'4�`,::.<�"�n 3 of tha Business antl Professlonz' Cotlo) or tnat ho/iho Is oxompt � �"5.,s,rom an0 tbo ba5i5 fo� lho allageC exemptian. Any vlolaliodo/ Saction . ".�,�".5 �y any aD711cant for a parmlt sub�e<ts tho apP��t to a civll ' �enalty o/ not more than five huntlrotl tlollars (E500�. ' I, ai owner of the properry or my omployoes with wagei as their sole compensatlan wlll tlo Ihe work, zntl tna strucWra I5 nol intantletl or offere0 for sale �(Sec4ion 7044', Business' antl Profettlonal Cotle: The Contratlor's ' License Law Coes not apply to an ownar of a Droper[y wt�o bulltls or Improvos �[�eroOn, antl wno tloe5'Such.wOrk hIm501f/hor5011 or lnrough nis or her own � amplay aes, provitlotl that such Improvements ara not intontletl or oftarotl for � sale. II, however, Ihe bulltling or Improvemant Is soltl within ona year of com- platlon, lhe owner wlll havo No burtlun o1 proving ba/sne tlld not builtl or Im- �rova lor lhe purpose of salo). I, ai owner of the Oroperty, am oxclusively contracting with Iicansetl con- traciors to construct t�e Droject f5action 7044, Business antl Rotesslons Cotla: Tha Contractor's License Law does nOt appiy to an owner Ot prope�ly who bullds or ImproV85 thBleOn, antl wh0 COntrdClS tOr Su<h pfof8tti wit11 d Con- tfattOf(5) Ilcania purivant t0lhe ContrdGtor's LICBn58 (yw�. � � i am exemv� ��tler SOCtIon B. 3 P. C. fOr thii �¢a5on Date Owner upon tne ?EOFCONSTRUCTION LJ NEW U ADD LJ ALTERATION LJ REGAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTMER DESGRIPTION OF WORK TVPE OF PERMIT LJ GRADING LI F UNDATION LJ STRVCTURAL ❑ TENANT ❑ ELECTRICAI LUMBIN6 ❑ MECHANICAL �. �OTHER PRQIECT DESCRIPTION 5�. FT. oCCUPANCv_ CONSTRUGTION TVPF VALUATION $ ZON� GRADING CU. VDS. ACRES_ Ramarks: Si�k Preventer Dishwasher - `! ' Drinking Fountains � Floor Drains � Floar Sinks Gas Service Outlets Kitchen Sink� Levatories ' . � P-Trep RooflDreins � � Showers . � Sink Dutt - Undar Ground' � Duct - Structural Dutt - Ven[ilating ' ExhaustSystem ❑ Multiple Firepi/Fact. Blt. ICBO � Heating System & Ducting ❑P700,000 BTU �100,000 Hood or Tvoe I ❑ DrlverY lJcense or 55 $ -� � I I Registers MF 0865-46 rev. 12/B2 Whita - Builtling; Canary - Applicant; Pink - Accounting; Gobenrotl - A55essor Solar Swimming Pool Urinal Water Closet Water Heeter Water Service Reinsvection Fae Issue Fee $15 S 3 ❑aioo,000sTu ❑ioo,000aru ' • Syatem Repeir/Altere[ion � . v Reifnpection Fee $15 i�,e F« � a s PLNG.REF. LEFT SIDE VARD PKG.SPACE REQ. STREET WIDTH SPECIAL CONDITIONS: Automatic Washer � Cons[tuttiOn Pole-' Cooking Unii ': Dishwasher Dryers ❑Gas ❑Electric ' Fan F.A.U. ` I Fixtures Device Boxes Garbage Disposal ' Generator 00�5 KW �5-15 KW Transformer �75-50KW ❑5U+KW Meter ❑up to 100 amps Zoning Approved By ApPliration APVtared By �y�� / Applimtion laued BV —hY� 4851 y/�p/E;; BUILDING REAp VARD (TO P/U RIGHT SIDE YARD PROVIDED PARK FEE E Meter LJoyer100amps Sub Panel Sub Pole Motors ❑0-1 HP �1h$ ' Inc.Solar �9-15 FIP 016-75+ 'Microwave Pole Light Trash Settions Reinspection Fea ' SUMMARV OF FEES BUILDINGPERMIT $ SMIP PLAN CHECK $ � PERMIT PLUMBING � $ �p ISSUANCE �PLAN CHECK $ ' GFADING EIECTRICAI $ � PLAN CHECK $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK. $ LESS . ADVANCEDPC ' FINAL FEE 500 i Tl. $ $ � ` i,C,ONSTRUCTION�AND PLANNING � �-.`�� .. � �: �� -- „ -. : : POOL �PA- ; . . . . . •Date � Irispecfor , "�� . Date Inspector � �APPROVALS, Per'mit#- ' � _ . APPROVALS,=� Pe"�5'rt# ' [4� - " r ' _ ' . � '� �1�: Temporary Electrical Service or.Pole � _� r� _ z,� 1.{52:, Pool &�E ui ment Location .. � ' 9 P. �? 2! 'Soil �Pipe-Undrgrnd,` . - - � . • ."� � � '� 53� Steel Reinforcement - _ . . � ' , . , J= � 3! Electrical Conduit Utilitv-Undrgrnd.. ,. ' - - - • � 54�s Forms �� . - ' „ ' ' ?� 4. Electr,ical Conduit-Undrgrnd�. - � � � - ��55:. Electrical,Bonding� ' ' ' r�� i � i - 5: Steel Reinforcement . = " ,,' � " � . �;56. Rough Plumbing�& Pressure Test - , ` � s: �Electiical UFER Grnd.' �. • � ' 57".'. APPROVAL TO?COVER-GUNITE � 7. �Footing; � � � t� : � ' ; - � . 58.� Electricah�nduif-Undrornd.. - r , 8. Fiiundation , ' _ � � ^ � . � -59. Gas Pipe, O Ondrgrnd., Test ' - ' 9. Water Pi�pe-Undrgrnd. � • � ' � � � � .60. Backwash Cines',�P-Trap, O Undrgrnd. _ 10. Sfryctural Floor System ' � = - - � . 61. APPROVAL°TO'DECK - � ' - 17. �Property Sewer Line &;House �Connection. � 62. Backwash'& Receptor-Final - 12. Sewer Cap I ; ' _ ' . � 63. Heater &',Vent-Final � 13. �Roof�Drains . � ' � �:64. Plumbing System - Final . ' � i ' t 14. �Rough Plumbing � � - ` -�� '� 65. Electrical-Final - � - � � ' 15; �Rougli ElectPical=Conduit �-- � -' - -'� "'" + - ' -- - - 66.. Solar Sysiem-Final ' � � ' � - - � �� :� � i ' , :�.16.;.Rough ElecfricWiring . � ^ ' �"-'-�� -� - . - - . -- - . ,,, � � � � �- I � � 67 � Fencing &�AccesrApproval _ ; 17.'�R�ug zWiring Sign` � � i� - � �. ' � � , �68. APPROVED FOR PLASTERING � .`-' ;; 18.}�F1'ough.Electrical`T'Bac Ceiling� �� i ' � _ � � � � �69.� POOL/SPA SYSTEMS FINAL � � � - M� 19.'Rough Heating & Air Conditioning i _;,a • . 1' �, FIRE DEPT.'REQUIREMENT� � ' -:: . . � �� 2Q. Rough;Factory Fireplace; - � i ' ' , � � � APPROVALS; ' Permit # _ , � � : 21..Ducts;in Structure , . � ;, �� . � ' . , � , 70. Undeiground Hydro „22. Ducts, Ventilating � � ' ' • 71.� Product Piping � Gas � Oil � � 23. �Gas�Pipe-Rough & Test a = � � T 72.' Underground Flush � , • 24. �Roof Framing � � �, �� . ' �' , � - , � ; ; : 73. UndeFgrnd. Stoiage Tank �O Gas ❑ Oil !' 25.. oof Sheatfiing , � � � ; . � � - 74.i Overhead Hydro � -26. T-6ar Ceiiing (Structurap & Monocoat - - � 75. Dry Chemicel . - - � . - !n �� 27. �Frame and �Flashing - � � ' - � 76.- Dry Standpipe ' � � . � � 28. Lathing & Siding' �� j 77. fIXED $YSTEM� FINAL � 29: Insulation - '� : ' � � . � . , i �78. FIRE PREV. FINAL y J: . , • � 30.,Drywall Nailing . Notes:� (,��T- �/zp_ 1��y �� r -r - - . . - _•_ . ��31.,PlasterBrownCoat ' ' i i � / 2 �,f- (�,�FyS�if,� ENT?.�f. L.EG). „��32.'�Electrical.PowerMeter-Final � i� I , yi,pK w�� Or �,�- (v1Q, yT(,� (.�� ^ h� 33._�inal Electric � � ' , ' � � = 34. Final Heeting &�Air Conditioning � � � � � 1 ' " i 35. Final Gas Pipe=Test' ' � � �� 36. Hood or �CanoPY :' . - � � � . � . ' � . . � ' - - 37. Final F�ac[ory�Fiieplace� � - ^� � � i � ' . - � � , - � - � t � . � � , . . . 38. Final Plumbing � � '• . - �7f{ (,�� ' , - ' '- _ � '- " 39. Water.Service-Final' , � '� , � � � � � ' _ � ' � r 40. Gas Service-Final , � � � , ' � � I 41. Solar pomesticFinal � � � � � ' � � � � ' : ' � n � - �� - - -- -., y . 42. Backf row Prevenier � � � , , , . . +-_ .. __. _. ' � _ _ . � � . 43. Backflow Irrigation , � � � � � � ' ' • _� � 44. fandscape Irrigation�,System _ � ' ' � � . ' � � 45. Sound �Attenuation ;��' '� ' 'o ' �` � ' � ' �' ' � � . � i 46. Handicap, Regulations � -. ; ' : � � . i � � . � � ' 47. FINALSTRUCTURE&BUILDING,` = � ' ' � ' � , � 48. Special Requirements Completed � . � � � � i . 49. Elear�ic Release;to Edisonl � � _� ' , �_ � � 50. Gas Release to Southem California Gas Co � � ^' � - � �i i , i 51. CERTIFICATE OF, OCCUPANCY • � _� _' _ , _ _ � � . . . « � No. ' Date � � . , , � y � e� 0 PflOJECTN00XE$S: ZQ6O GOLDENEYE PL OWNEP'SNAME: KEMPINSKY, GERALD A � ADDHESS: zOGO GOLDENEYE PL COSTA MESA,CA 92626 APCHIENGINEEP: AUOflESS: flEG.NO.: UNIT: UNIT: 7ENMITTEE: NOCK PLUMHING ( 714 ) 895-1246 aooaEss: 116J��1T0("�SEABOARD CIR (� LICENSE� CONTHACTOA�Cl7fliAildFlN I h¢reGV allirm tha� I am licens¢4 un0¢r pr�avisip95�of�h8ap%r 9 �cOmm¢nting wi�� Section 7000� ol Division 3 0� Ne Business antl Pmlessions CoAe. antl my bcense is in Iull brce and eliect. CITY LIC.: Q STATE LIC.: S 1 1 9-� 1 cuss: C 6 Oate: 0 � Signalure: _ _ — � ��— WOflKEBS' COMPENSA ION OECLAflATION: I hereby al�ir at I have a cenificate of consent m seu-insure or a centlicate oi Workers' Compensation Insurance, or a ceridietl copY �hereol (Sectmn 38W. Lab. C�. roucrxo.: 1167992-93 E%P.OpTE: O3IOS/94 COMPANY: S TATE ❑ Certifietl capy is here�y furnished. �} Ceei�ied capy /is y'/I�0 wi�� the ciry B� �ivision. Oa�e'. ppplican'��'��Rp�—_ E%EMPTION FBOM V OflKEPS'COMPENSIITION �ECIAPATION: Q�isseclion need notbecompletedi�the permilisiorane hundretl�$100�orless). 1 cerlify �hal in the peAormance o� �he work �or w�ich Ihis permii is issuetl, I shall not employ any person in any manner 5o as �o become subjec� to ihe Workers' Comoen5aiion Laws al Califomia. Date: SignaWre'. NOTICE: Ii. aller making �his tleclaration. you shoultl become su�lec� lo the Workers' Compensa�ion provisions ol Ihe Labor Co�e. you must fotlhwith compty wilh such pmvisions or �his permi� shall be Deemed revokeA. CONSTflUCT10N LENOING AGENCY: I Aereby allirm Ihal there is a constmclion lentling agency lor Ihe pedormance of the woB �or which Ihis permil is issued (Section 3W7, Civ. C�. LENOEfl: p00flE55: OWNEH BUILOEB UECIAXATION: I hereby aifirm that I am exempl Iwm Ihe Contractors' Sta�e License Law lor the follawinA reason �Seclion 7031.5 Business and Prolessional CoOe: Any ciry o� caun�y which requires a permit to constmci, alter. impwve, aemolis�, or repair any 51mclure. prior Io its issuance, also re0uires Ihe applicanl lor such permi� Io lile a signea statemen� �hat he/she is Iicen5e0 pursuam Io Ihe pmvivons ol the Contmc�ors' S�a�e License Law �Chapler 9(commencing wi1� Sec�ion 7000) of �ivision 3 ot �he Business and Pmiessions Code) or I�at �e/s�e is erempl Iherelmm and ihe basis for Ne allegea exemption. Any violation oi Seciion 703L5 by any applicani �or a Oermil sublecls the applicani �o a crvil penalry ol not more [han M1ve �undred Oollars (5500�. I, as awner of Ihe pmpeny or my employees with wages as Iheir sole compensaiion, will ao Ihe work, an0 the ❑ slmciure is noi imentletl or o��ered for sale (Sec�ion 7044, Business antl Pm�essianal CoOe: The ConVacbrs' Slaie License Law Uoes nat apply �o an owner af a pmDetly who builtls or imOmves Ihereon, and w�o tloes such work himselG�ersel� or Nmugh his or her own employees, pmvitled thal such Impmvement5 are nol intende0 or oneretl lor sale. II, however Ne building or impmvement is sold wi�hin one year ol comple�ion, ihe owner will have �he burtlen of pmving helshe ditl not build or impmve for Ine ourpose o� sale). I. as owner oi Ihe propeny, am exclusively conirac�ing with licensetl conVactors to cons�mct the prolect (Sec�ion 7044, Business ❑ and Pm�essions CoOe: The Comractors' State License Law Ooes not apP�Y �o an owner ol DmpehY who builtls or impmves �hereon antl who contracts for such pmlec�s wiih a contracior�s)license pursuan�lo Ihe Contractors' Slale License Law�.l am aware thai pmo� ot their Worker'S Compen5aiion insurance shoultl be provitled �o me. � I am evempi under Seqion: B. 8 P. C. for this reason'. �a�e: Ownec I tlo �ereby cenily Ihat I am aware of and untlersland Ihe requiremenls of Caidomia Heal�h ana Safery Cotle Sec�ions 25505, 25533, and 25534 anA Ihat I or any lulure builaing occupani willlwill not (circle one) neetl �o comply wilh said siate codes antl ihe requirements lor a permi� for conStmcUon or motltlicalion imm Ihe Air Ouali�y Management DisVict. Fesitlen�ial wnsimc�ion applicaiions are exemp� trom ihese pmvisions. oaie� Aooi��a��: — I hereby ceitifYthal I have read ihis applicalion antl s�a�e N� or0inance5 antl slatelavarelatmglo building cons�mction ana pmperlY �or inspociion pur ses. Oate'. � SignaNreG �riv¢rS Litense Or $ocial $¢turily ?: is correcL I agreeio comply wilh all city antl counry ata4� a� �his cily Io enter upon [he a�ove-mentioned 1fiat�a6 W�i�e—Builtlmg; Green—Cotle Eniorcemen�; Canary—ApPllcan�; Pink—Revenue'. Goltlenmtl—Assessor CITY OF COSTA MESA - HUILDING PERMIT PERM NO: P 064512 PERMIT NO: P 069512 PLAN CEIECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH JOb DESCRIPTION ; CHANGE OUT OF A WATER HEATER SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK A[ITHORIZED HY TAIS PERMIT if if iF i! M if i! �E if f4 if iE Ik k if if iE if 1E it iE 1f iE �E if if iE if iE iE �E iE �)f 1f 3E it iElE iE fE iE iE fE 1E 3E iE if if if iE if 1Elf if iE %1ElF fE 1E iE iF iE � 1E iF 9E iE �E if if if 3E iE if 1� if jE * Z O N I N G R E Q 0 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: 13954318 ZNE: REF NO; PLANNING NOTES> > ' *�t�t+r****x�**ir+rx�rxx�r�r*�****�r*�r**�**+t**�r*+r******ir**+�****+r****�*�+t*+r*+�***+�***x*�*** D E V E L O P M E N T S E R V I C E S;4 R E Q U I R E M E N T S ZONING APPROVED HY . DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: '..' DATE: �� ,��,��,��*��*��*** ��*��*,�� 9 ** iE 3E jE �E �f jk 9F iE iE 1f iE iE i! iF iE fE fE 1k iE i! if iElt if if if iE if if if iE if if if iE iF iE iE iE fE jf iE �E �E K iF �f�lE 1E af iF iE iE if fE if iFlE if ff 1F iF if �f iE jE iF 1F if jF if if if iE if if iE if if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMZT 7,00 258 SMIP/NON-RES PLAN ISSUE FEE 20,00 BUILDING-DIV-> PERMIT ISSOE PLAN-CHECIC TOTAL PAID DUE TOTALS----> 7.00 20.00 0.00 27.00 '17.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CHECK 27,00 if �E iE iE if ik 3F iE it if 1E iE iE jE �E af fF i! 1f !E 1E iE jt iE if M 1E if if iE iE * iE if fE �f jE ff !E �14 iE if iE iE if 1t iF iF * if iF if �E if 1E IE iE 9E ff ak iE iE iE iE iE #: jF iF ff iE af aE 1E if aE �ElE iF iE Z N D I V I D U A L F E E H 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 PLU 1 WATER HEATER AND/OR VENT 7,00 7.00 END OF FEES �J1 0014?1�2-LOi�41S2 T n T 27.OU DRTE: 10/19/93 7ItIE: 11:44 �CONSTRUCTION ANDPLANNING POOL PA � APPROVALS Permit # Date Inspector AQpROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . � " 53. Steei Reinforcement ,3. Electrical Cond�it.UtihtY�Undrgmd: ' � 54. Forms 4. Electricai Conduit�Undrqr�d. 55. Electrical Bonding 5. Steel Reinforcement . 56. Rough Piumbing & Pressure Test 6.. �lectrical 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. 60. Backwash Lines, P�Trap, G� Undrgmd. iQ. Structuwl Floor Syetem 6/. APPROVAL TO DECK 7 t. Property Sewer �ine & House ConneCtioq 62. Backwash & Receptor-Final � 12. Sewer Cap . - 63. Heater & Vent-Final 13. Roof Drains � � 64. Plumbing Syscem - Final . 14. Rough Plumbing 65, Electrical�Final 75. Rough Electricai-Conduit ' 66. Solar SYstem-Final 76. Rough Electric bViring 67. Fencing & Access Approval 17. Rough Wiring 5iyn 68. APPROVED FOR PLASTER WG � 18. Rough Elearical-T Bar Ceiling 69. POOUSPA SYSTEMS FMAL � 19. Rcugh Heating & Air Conditioniny FiRE DEPT. REQUIREMENT � 2Q. Rough Factory Firepiace � � APPROVALS ' Permit �` � 21. DuMt, in Structure . 70. Underground Hydro 22. Ducts, Ventilating - 77. Pruduct Ptping O Gas ❑ Oil 23. Gas Pipe-Ro�gh & Test - 72. Underground FIuSh . 24. Reof Framin9 '• � 73. Undergrnd. Stora�ye Tank G Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T�Bar Ceiling (Structura�l & Monocoat � 75. -Dry Chernicai . + 27. Frame and Flashing 76. Dry Standpipe � 2$. Lathing & Sidirg ��' . • 77. PIXED SYSTEM�FVNAL 29. Inwla[ion ' � 7$. FIRE PREV. FWAL � 30. Drywai! Naiiing � HEALTH OEPT. REQUIREMENT 37. Plaster Brot✓n Coat � � 79. FINAL INSPECTIO.N 32. Electrical ?ewer MeterFinal �- � 80.-,FOOD CERTIFICATE ISSUED 33..Pir�al Electric , � � Notes: � 3A. Firal Heating & Air Conditioning � � , � 35. Final Gas Pipe-Test � � . ' , . ,. 36. Nood or Canopy � , � 37. Finai Factory Fireplace � �� ' . ; 38. Finai Plum6ing � � /O�/�/+�� , --_ �/ 39. Water Service-Final - ' 40. Gas Service-Finai � � 41. Solar pomeetio-Final � � . - ' 42. Backflow Preventer � 43. Backfiow Irrigation _ 44. Landscape irriqation System � � � 45. Sound Attenuation 46. Handicap Regulations � ' � � . � � ��' 47. FINAL STRUCTURE & BUILDING �, � � 48. PINALPLANNING �� 49. Elecaic Release to Ediso� � 50. Gas Refease to Southern California Gas Co 57, CERT(PICATE OP OCCUPANCY No.� Date �ooaesswaw�arn: z060 GOLDENEYE PL uNr: a+n+Easru�EiFa�a�x: KEMPZNSKY, GERALD A TR FLOOD: AE-46 �op�*+ 2060 GOLDENEYE PL COSTA MESA CA 92626 714) 549-2b61 LPPL. M/JIIN� 1DDNE59: I�PCNRECT OP FHtlNEFA: IJICN.OP ENQ'S AWflE59: uc wo: UNT: ca�m�cTarswu� CALIFORNIA ROOF LIFE ( 714 ) 847-7663 cwm.croxs�uiwo 8 9 4 1 M I NT AV �ooaess WESTMINSTER CA ucw: 509623 92683 uxr: LICENSED COMN�CTON9 OECLANATION: I Mrtby allim iuNs pe�Wy d pee}vy Nn I am fronwd udr pai�'vu d CMpm 9 (comme�q xnh Sectian ]000) d Oiv'vun a d tlr &�wv eM PMmdam Cade. ud mY fmns e in M lan ud eAaa. �vrr .NoQ.: 422 5 uc.cuss: C-39 uc.No.: 50962 � 00/00 o� : /! S� co�v.a� OWNE BUILOEN UECLAfleTON: I Iweby dfvm uMer pvWy ry Ihd I am eRemq ham iM Comroeon Limnee lew la Ne 1 �aewn (Sepian "!W t.5 &niwa end Prdmiau Code: a mvYY v.tirh iF�^a e D�d lo m�eWcl. Ws.'enYwe. doh. m rapai enY e��s. p� b u'swenoe. e6o rap ' eppY�au la ach pa�me �o fib a epred swmem Net M«she � i��.<e w�� o ine a� a u» com�mo�. ��,e �., �cn.a« e �o�,m�ro wnn sae� �000l d o:e� 3 a�ti Bus'vron eM Rdm"ve Code� a tlw M a tlr e eremq �herehom ud iM bas'v tn Ne a1peC easmqin My vulmun d Smun '!W t.5 M�Y aDP�+M la e Gd� �I�+ Ne WWicW �o e cri V�Y d nd mae �Mn �x� MUMiaE AoOen �SSO011. � I.movmwMlMpW�YamY�DbRa�xtM1wrypniMidawmD��.wiGdoNeMvkeMNeavuctu�euml'vqeMeE a olleead la eeb l5eelion)Ou. Bmneu end Pmleaa'vnCode: TM Caurmwe Liemua Lawdow ra epplytoa� owrer d papaity wla EuiOa a inpwae �haean. end xM dow uxi� wak 1"vnntl a henM a Wuql+ho a ns orm emNoY�. P�� M1m vucn impa'e^eW ve mi imaMeE a aMad lu ub. tl. howaver. iM dddiiq a inpownM u soN xdlun ans Yev d aomWetion. tM owmrbuilder xi4 Mw tM EuNen d pwinp M a eM ditl nd dak a'unprme In Ne Wm�e M eeb�. � I. aa oww d tM D�DeM. un udi�'M' mntren"rq wiN Ycm�W convecmn io mmua Ne q4� (5afun )OM. &nmma eM Frdeaona code: TM CaMrwa+ L'swue law doe� nd mMi ro en ownar d G�W�Y Ma dulda « inc�'m �heroan end x1n wwecb br axi� MNa� wN e mmretlale) licavad P�uvx to �M CaMrada� l'crose LeM. � I em vanq uMar Sxtian: � B. 8 P C.. br Nu iaeaon: Dele: �> I do henN' uniA' Nel I am awva d vd wEenuM Ilro rsVw�emmn M Cel/aree IMN� eM Sele7 COEs Setlionv 25505. 255�. eM 255:f1, end Me� I or vry Mure Wikrtq ommani xill / wil m� (arcb me) med to epnpy w�A eek mta eadm vd tM iapuieemenie br e Deemn la mnuuclion a moEdmion homtte M3wTtyRl—anepamW DiYnd. RadAentW mMwion WV�iom ue eaemq Imm �heae wwidona. ome: �c.�+: WONKEF'S COMPEN911TON DECL�F�TION: I IwraEy elRrm urdar pemXy d pejury me d Me blbxirq Eedueiiom: � ineveend.Ame�men.oenacn.amnsenim..nJ�uu..�a.�wa:canroowon.mwwiaea�o.Ms«riana�ooame�em. Gade. far �M pMwmuce d iM r.wk Iw wlich �hu prmn n iaued. ❑ � nm. ene m� meimen w�u.• oomv�o� �anvxz. m �w�=.4 M s.a:n a�oo a me �.nar wa.. �« ine o�«meze a ine wwM la xNeli iM peemn u'wsueE. MY waYeii oompenWion bmuranea ums W poW.y rwmber ue: c�«: Pdiry Number: �Thia ascrion nsed na bs mnpbtM! Ns prmt'v br arro nvMred edlen �Siool w bnJ g] 1 cenfy Nel in IM porlwmenca d tM work br whch iAb permu b mueG, I WB np amplvy vry penon in vry maru�or vo ee �o exome .ubjea m �n. �orkaa� cwnw�.mbn lew a celilanb. ene eu� Yw e �.nwk necoms aue� m ine woixers' compenaiion ' d Seaion �)00 d tM laEor Code. I Ne0lmhx' xW tMn .. /� p r om Y7 a�il �[ S ncacam: �mlrp: F�llun ro��eun woikm'rompwwtlan eor�rp� l� u.nn na.Nn.ue/.e�.n.mp�oy.. ro eAm�.� pn.mu.ne n.n nnsa w ro on. n�urw+e emuune ewr.n (t�aqaaoA M• ��n tM ro�t ol rompuu�tbn a�p+ o provMM br In s�ctlm 9)P6 oI N. LMor Cod. Intwut �ntl.mrrHY'. tw. CONSTIiUCTION LENUINU RdENCY: I herW� elfirm unMr d pe�jury thet �Mn's e cmnivaian bndi�q epeM.y br IM peRamenu M �M w'k W whiN Om D�� u ewed (Swin J091. CM. C). LENDEN'S NAYE: LENDEF'S �OUflE55: � <,��,� � �.�. � � ��,.� dm.,� n,..�, ��, e �. ,.�.,, ��,�� . ud aime le.n mbtiq b datliq eortmuucn eed AarebN �¢e eeperueYws d iAn aryb mux upon tM ebo�a�mervurrd poperry "`��'°�"'�°�"' JOEL ISFELD � �— -� r s�. Dafe: wlma-Buid^0 8 Sde�f': Grw�Fde: Cmmy-�DG4'+�d: Rnk-Mveu�e: Galdervo�M»a+n CITY OF COSTA MESA - HUILDING PERMIT PERM NO: B 073958 PERMIT NO: B 073958 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH JOH DESCRIPTION : T/OFF RESTH 6 REROOF W/COMP. SHINGLES SQ FT: 3,400 CLAIM VALUE: 3,400.00 CALC-VALUE: 3,400.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR RE�UIRED PER 91UBC ��`��O�j- �o%�T �t/o.,p��'7��p/ �RL'�'"i ***�-*+r�-x�******r+�****x-****x�* *�rx*x�**�r**i�-it***irx�x� **x�* * **i�* �-*** x-*aF�r�*��*�� Z O N I N G R E Q U I R E M E N T S '�N�i ' 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: 13954318 ZNE: REF NO: PLANNING NOTES> - > 1(� iF 1E jE iF if jE if * iE ff iE if if 1E fE �F af 1E 1E 1E if iE if ik if 1E if fE iF 1E 16IE ik iF 1f 1E iElE fE jf 1E fE �E iF 1E �E fE iflE 1E iE fE �)E 3E iE 1F iE iE iE iE �F fE iE �E 1E 1E 1E iF iFlE IE 3E iE iE iE 1F if iE 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 APPROVEH BY DATE: BUILDING APPRO,VED BY ; APPLICATION ISSUED BY: LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBZNG ELECTRIC MECHANIC PERMIT 63.00 � DATE; DATE: I L�� F***��**��,�� * STRUCTURAL SEGI�IENT:Y FIRE SMIP/RES GRADZNG 50 SMIP/NON-RES PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 63.00 .50 iF iE iE 3E iE IE IE iE �E iE IE iE iE �k iE jE iE fE iE fE iE iE iE iE iE iE 1E iE iE 1E M iE IF 1E iE IE if if i61E 9E iE �E IE!! 9E iE iE �ElE iE 1F iE �f iE �E iE iE iE fE IF ik �E iF 1E i61ElE iE iE iE iE iE iE 1E 1E IE �f iE 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 3400 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 3,400.00 END OF FEES SMOKE DETECTOR .. ��QUIRED Di QOlfi?:'6-^0189t1� T4:� 1�' �3.S�J ehTe. e��s�s� TT.r.E. a;eu � POG SPA �� CONSTRUCTION AND PLANNING qpPROVALS Permit# ' Date Inspector APPROVALS Permit#� Date Inspector 7. 7emporary Electriral Service or Pole 52. Pool & Equipment Location 2. $oil Pipe•Undrgrnd. 53. Steel Reinforcement 3. �lectrical Conduit Utiiity•Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Sleel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Elettrical UFEF Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Co�duii-Undrgrnd. 6. Poundation 59. Gas Pipe, � Undrgrnd., Test ' 9. Water Pipe•Undrgrnd. 60. Baekwash Lines, P�Trap, � Undrgrnd. 10. St�uctural Floor Svstem � 61. APPROVAL TO DECK it. Ptoparty Sewer Line & HouseConnection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Ven[-Final 13. Roof Drains 64. Plumbin� System' � Final 14. Rough Plumbing 65. Electrical�Finu� 15. Rough Electriwl-Conduit 66. Solar SYstem�Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. RouSh Electriral�T Bar Ceiling 69. POOL/SPA SYSTEkiS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVALS Permit # 21. Oucts, in Structure 70. Underground HYdro 22. DuMs, Ventil3ting 71. Product Piping D Gas ❑ Oi1 23. Gas Pipe�Rough & Test . 72. Underground Flush 24. Roof Praming 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 8-z,�-QS�(v�L 74. Overhead Hydro 26. T�Bar Ceiling (Strucwrall & Monocoat 75. Dry Chemical 27, Frame and Flashing 76. Dry Standpipe 28, Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 3p, Orywaq Nailing . HEALTH DEPT. REQUIREMENT 37. 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. Finat Gas Pipe�Test . � 36. Hood or Canopy ' 37. Final Factory Fireplace � 38. Final Plumbing �. 39. Water Service�Final-� 40. Gas Service-Final 41. Solar pomestic-Pinal .�'. 42. Backfiow Preve�2e�• �:: 43. Backflow Irrigation„ :=+ 44. Landscape Irriaa[ion Syscem � '� 45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Q?.�l_G��"��6/ v 48. FINAL PLANNING . 49. E�ectric Release to Edison - 50. Gas Release co Souihern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ` 28056 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 31] C09TA M69A� CALIFORNIA � For Appliccnf fo Fill In Complately y5492 i'�'PE oR PRuvr P1. 68-AR ��oiNc oRess 2060 Goldeneve Place COSTA MESA. CALIFORNIA 'NER Mesa Verde Builders !,e�ee 2850 Mesa Verde Drive ■ ARCHITECT ADDRfiIIB 2850 Mesa Verde Drive �,r Costa Mesa, California ucTrEio. 181269 rTio' 549-0395 size 6$ X 105 wo. ar e�oae. � OF LOT NOW oN lAT USEOF �aeR'" 5Z � REAR YARD 31 � I �e� 5' I RIQHT 5.75' . DESCRIPTION OF WORK _ X II MLOVE QTION I DEMOL 8H II �+612 Sq� annr�aa 9 arno�ea2 I1 HEREBY NN� BTAI PLY WITH am�o�rvc ■ AUTHORIZlD AOENT THAT 1 t LAWD H80ULATINO BUILDIN6 L80AL �n+,�-s�oe 468* **+� 154.50 APPLICATION FOR PERMfT BUILDINC± for Office Use Only ZONING NO.OI Yfi60rN6W PLANB .� OUILDINO _ OVBRHAN6 SHALL BE LE35 THAN YARDB MPROVE� MAIN BUILOINO fFROM GLSTREET) FRONT ��FT._ R. s�oe �u�' /�rsr. L.81DH / Ff. REAR y � PI'. 1 D18TANCE B6T. MAIPo BLD68. VAR. Si TH! AMOUNT PUHP09H OF YARDSAPPROVED ACGESSORY BUILDIN6 BHT. MAIN 8 ACGESS. BLI DATE V' {J' a 0 UNOEp VALUATION IB ROP TN8 F IBNINO A PERMIT FE6 ONLY.M � ✓V m PERMIT FEE S /D� � � S� m PL!N CHEGK $ L�i � ,� ., .� �