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Home My WebLink About3008 GRANT AVE - Building Permits. a PERMIT TYPE CITY OF COSTA MESA BIIILD/NG DIV/S/ON 77 FAIR DRIVE, COSTq MESA, CA 92626 •(714) 754�5273 • Fax (714) 754-4856 • www.ci.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 JOB ADDRESS: vicinity: �� 1��D �� PLUM oAz� o a 3008 GRANT,AV CM , . PERMIT NUMBER: P07-00452 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 0 7/0 912 0 0 7 RMD SCOPE OF WORK: WATER HEATER CHANGE OUT FOR SFD. � OWNER: TANTOD, SHUKDEV � � Address: %TANTOD-SHUKDEV ESCONDIDO, CA PHONE: � � . �- Ciry/State/Zip:�- 1965 WOODLAND HEIGHTS GLN APPLICANT: HICKS, KEVIN Address: 360 MEMORIAL DR : PHONE: 866-293-3031 •� City/State/zZip: CRYSTAL LAKE, IL CONTRACTOR: PLUMB IN TIME . Address: 360 MEMORIAL DR � City/State: CRYSTAI LAKE, IL ZipCode: 60014 PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: $35.80 TOTAL FEES: $35.80 $0.00 License No. 868068 PHONE: 866-293-3031 CELL: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and relatetl regulations. (Ord. No. 92-28, § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all appliwble codes, and all required inspections and flnal approval must be obWined. Failure to obtain inspections and fnal approval will result in the expiration of this permit. 40pE�, INSVECiIONTYPE D� IN A �QOEt INSPECTIONttVE 0� INTITIplS 1818 Fixed System Final Fire Preveniion 208 Final Mechanical 1268 Pool Spa Final ' 208 Final Plumbing 200 Final RaRoot - 210 Final Electncal 207 Final Blotk/Relainiig Wall 212 Final Fire Prevention 202 Final Factory Fire P�ace 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSA710N DECLARATION: I hereby aKrtn untlar penalty o( perjury one of the �. ..�ng declarations: '� �' ❑ I have antl vnll maintain a certifcate of consent to sel(-Insure lor worker5' com0ensation. as provi0etl tor by seclion 3700 of the Labor Code. lor Ihe peAortnance of the work (or which this pertnit is issuetl. � ❑ I have and will maintain workers' cwnpensation insurance. as requiretl by section 3700 0( the Labor Cade, fw the peRormance of lhe v.ork (w which this pertnit is issued. My wnrkers' compensation Insurance carrier and policy number are: Carrier. ��),S' . �I �� Y�Sl7�ilNrb (TN5 sedrn neatl �rroJ1 oe oonmpktM( �/tna pemut a ^vn�NeE ut ana nu�Motl tlo0ars fSt00) a less ) PolicyNumOer. �(�71� 0-1 � �9 7Nc� ❑ I certify Ihal in the peAortnance o/ the vrork lor which this permit is issuad, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws o( Califomia, and agree that if I should become subja to the v.nrkers' compensation provisions of Section 3700 of Ne L r e, I shal oh with comply with these provisi0ns. � ie� �l�la� Appliwnfs SigreWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLP.WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO iHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afflrtn thal I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Prolessions Code. and my licenpse is in full fo/rce and eRecl. I'� 2) Lic. # o lD Class # l._....L../ `�lq �U7 Comrac�or's ignawre Daie CONSTRUCTION LENDING AGENLY: ❑ I hereby aKrtn that there is a wnstmction lentling agency for the pertwmance of Ihe work fa wfiich ttds pertnit is issuetl. (Sec. 3097. Civil Code�. Lender's Name: Lenders Address: OWNER-BUILDER DECLARATIONS: I hereby affvm that untler penalty o( perjury Ihal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe follovnng reason (Sec. 7031.5, Business and Protessions Code: Any city or county which requires a permit to constnlcl, alier, improve, demolish, or repair any sWCWre, prior �o its issuance, also requires the applicant (or such permit to file a signed statement thal he or she is licensed pursuant ro �he provisions o( the Contractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 0l Ihe Business anC Professions Code) or that he or she is exem0� ��erefrom antl the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant for a permit subjects lhe applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner o! the property, or my employees with wages as their sole compensation. WILL DO THE WORK, and Ihe structure is not intendetl or offered for sale (Sec. 7044, Business antl Prolessions Code: 7he Contractors License Law tloes not apply to an owner ot propeny who Duiltls or improves thereon, and who tices such work himself or herself or through his or her own employees, provitled'that such improvements aie not intended or oHered for sale. If, however, the building or impmvement is soltl within ona year of completion, Ihe owner-builder will have the burden ot pmving thal he or she did not build or impmve for purpose of sale.). ❑, I, as owner of the property, am EXCLUSIVELY�CONTRACTING WITH LICENSED CONTRACTORS to construd the project (Sec. 7044. Business and Professbns Code: The contractors License Law dces not appty Io an ovmer of propeny who builtls or improves thereon, antl who contractslw such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for this reason: Sipnawre Daie ]OS]�46 (]N]) Owner ID venfed by tlrivi ,ise. ❑ Ves ❑ No ` � Driver's License No. Expires: Verification of Ownership Dy (type o( documenl, i.e. - pmpeny lax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . ❑ I hereby certRy Ihat no excavation frve (5) or more feet m depth into which a person is required to descend, will be made in connection with uork authorized by this permit, and that no builtlinq strucWre, scaffdding, talse�wrk, or demolition or dismantling Ihereof, will be more than thiny-siz (36) feet high. (Chap. 3.2, Grp 2. Eill 2. $EL. �1, TI(�B 8, i�.2�I�OR112 i1df111f115Ifd�1VC COdB�. ❑ As owner-builtler, I vrill not empl0y anyone Io tlo work whiGh would require a permit from the Division of Industrial Safety, as notetl above, unless such person has a permit to tlo such work from the division. Applicanfs SignaWre Division of Intlustrial Safety Permit Number: _ HNZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle antl certify a Business Plan tor emergency response ro release or threatened release ol a hazardous materiall ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fira Department by every business which has at any one time during a reDorted year a quantity ol hazardous materials equal to or greater than a weight ot 500 pounds, or a volume o( 55 gallons. or 200 cubic feet o( wmpresseE gas at standard temperaWre and pressure). 2. Does or will the applicant or present or Wlure building occupaM need to file a registration form !or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 0l the Califomia Health and Safety Cotle. with some exceptions, requires registretion wiN lhe Costa Mesa Fire Departmenl by each business which at any one time has on hand a quantity of acutely hazartlous materials equal lo or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at slantlard temperaNre and pressure). 3. Dces or will the applicaN or present or future building occupaN need to prepare an RMPP (Risk Management and Prevention Program for aculey hazardous matenals)? ❑ Yes ❑ No (Section 25534 0l tha Califomia Health antl Safery Code provides tnat t�e Costa Mesa Fire DepartmeM may require the preparaGon, cenifwtion and filing with the Fire Department ol an RMPP by businesses which are required to register acWely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0l the Calilomia Heal[h and Safety Cotle been tully wmplied with? ❑ Yes ❑ No 5. Does or will the applicanl or present or future builtling occupant require for ihe wOrk v+hich is the subjecl o! this appliwtion a permit for such construction or modifiwtion from �he South Coast Air Dualiry Managemenl DistriGt Or (rom any other air polNtion control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemmem Code requires that the requestetl inlortnalan be fumished on applications fa noo-residential builtling pertnits). 6. Will any pah of Ihe faciliry to be constructed under this permit ba vri�hin 1000 feat from the ouler bountlanes of a school? ❑ Ves ❑ No (If yes', the (acility musl meet lhe requirement of Sections 25534 and 42303 of the Califomia Health and Safery Cotle). 7. If a permit from the South Coast Air Qualiry Management District or ot�er air pollution coNrol tlisMct or agency is required (or the work which is the subjecl ot this application, have all of the disclosures prescribetl by California Health and Safaty Code Section 42303 been matle? ❑ Ves ❑ No 8. Qf yes', attach certiflcate of compliance from the appropnate air polWtion control offcer�. .. CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the intormation given above is covect. I agree to comply vnth all slate laws and city ordinances regarding Hazardous Ma(erials antl Emissions. �� CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read ihis application and state that the infortnation given is correcL I agree to comply with all state laws and city ordinances relaling to builAing construction, and authorize representatives o( the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by [his permit until final inspection. ' aWreolL her(s), Date � � �9/a � AnOlw AWM1mzM Apdipnl polp CITY OF COSTA MESA . BUILDING DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 7544856 • www.ci.costa-mesa.ca.us �. ` FOR INSPECTIONS CALL: (714) 754-5626 �N'6� PERMIT NUMBER: P08-00258 � PERMIT TYPE PLUM �j��CKl�'� STATUS: �ISSUED APN: 14113344 DA,� J�� DATE ISSUED: 11I1312008 ISSUED BY: YH JOB ApDRESS: 3008 GRANT AV CM viciniry: Suite/Unit: SCOPE OF WORK: PERMIT TO LEGALIZE INSTALLATION OF GAS WATER HEATER INSTALCED W/OUT PERMITS. OWNER: PHONE: APPLICANT: PHONE: TANTOD,SHUKDEV BRIDGES, ELIZABETH 323 552-0178 ' CONTRqCTOR: HOME DEPOT USA INC Address: 12774 E FLORENCE AV City/State: SANTA FE SPRINGS, CA ZipCode: 90670 ARCHITECT: ENGINEER; Address: "6TANTOD-SHUKDEV ESCONDIDO, CA Ciry/State2ip: 1965 WOOD�AND HEIGHTS GLN Address: CitylState/zZip: . - LicenseNo. 602331 ''�� 'PHONE: 562-981-1600 � . CELL: License No. License No. PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $35.80 $35.80 PHONE: PHONE: � � � � .... �.: � NOTICE: The work authorized by this permit shall comply with all aOPlicable handicap access requiremenLs under Califomia statutes and related regulaiions. (Ord. No. 92-28. § 7. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permil to be considered legal, such work must comply wiN all applicable codes, and all required inspections and final approval must be obtained. Failure lo obtain inspections and final approval will result in the expi2tion of this permit. 40DE1, ixs�cnoNTrre nrz i is � wsrEcnoNTree p�g x�� 1816 Fiked System Final Fire Prevention 208 Final Mechanical 1288 Pool Spa Final . 20b Final Plumbing Z00 Final Re-Rool 210 Final Electrical 201 Final Blotk/Retaining Wall 212 Pinal Fire Prevention 202 Final FaUory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site � 204 Flnal Demolition � 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalty of perjury one of the following declarations: ❑ I have and will maintai� a certificate of consent to sel(-Insure for wnrkers' wmpensation, as provided �or by section 3700 of the Labor Code, for the �Rormance of the v.ork fo! w�ich this pertnil is issued. I have antl will maintain workers' compensation insu2nce, as required by section 3700 0( the Labor Gode. lor the pertortnance of the vrork fw which Ihis permit is issued. My workers' wmpensation Insurance wrner antl policy number e: `\ ^ _ _ Cartier. ��.Q . C`18'twA �1/J . (This Sec(im neMnof(b�e� mn(YefeC Illre pemY k iaArtCat b�e �videtlM4ai5 (5/00) n/eu ) Policy Number: � —\ � � � � � ❑ I certi(y Ihat 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 vrorkers' compensation laws of Califomia, and agree that i! I shoultl become subject to the vrorkers' compensation provisions of Section 3700 of the bor Code, I shall fotlhwfth wmply vrilh these provisions. �'� \\ - � 3- o �i ApWi�anfs SignPWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL7'IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($iQ�,UOd), IN A�DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licsnsed untler provisions of Chapter 9(commencing vnth Section 7000) of Division 3 0( the Business and Professions Code, and my licens1e is in full force antl effect. �(1 Lic. Cd i� 233� Class# `.� C ��' \�' C7p Cwtractor'sSi name Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affcm that there is a construclion IerWing agency for the perfortnance of the v.ork for which this pertnit is issued. (Sec. 3097, Civil Code). Lender'S Name: � �' Lender's Adtlress: Date OWNER-BUILDER DECLAWITIONS: I hereby aKrm Ihat under penalry o( perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAN� for the following reason (Sec. 7031.5, Business and Professions C�e: Any city or wunty which requires a permil to conslruct, alter, improve, tlemolish, or repair any structure, prior io iis issuance. also requires the appliwnt !or such permil to file a signed statement lhal he or she is licen5ed pursuant to the provisions of 1he Contractors License Law (Chapter 9(commencing wi[h Section 7000) of Division 3 of Ihe Business antl Professions Cotle) or tha� he or she is exempt therefrom and Ihe basis for Ihe alleged exemption. Any violalion ol Section 7031.5 by any applicant lor a permit subjects the applicant to a civil penalty of not more than fve hundred dollars ($500).): ❑ I, as owner o( the property, or my employees wilh wages as lheir sole compensation, WILL DO 7NE WORK, and the structure is not intentletl or ofiered (or sale (Sec. 7044, Business and Professions Code: The Contrectors license Law does not apply to an ovmer of property who builds or improves thereon, and who doe5 Such work himself or herself or Ihrough his or her ovm employees, providetl that such improvements are not imendetl or offered lor sale. If, however, the building or improvement is soltl within one year of completion, the owner-builder will have the Durden of proving that he or she did not build or improve for purpose of sale.�. ❑ I, as ovmer o( the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTR4CTORS 10 construcl the project (Sec. 7044, Business and Professbns Code: The contractors License Law tices not appy to an rnmer of property who builds or improves Ihereon, antl who cont2cts for such projecl with a contrecta(s) license pursuant to the Cont2ctps License Laws.). ❑ I am exempt untler sec. Business and Protessions Code for this reason: Sig�lure ]OS]<6 (710]) Ovmer ID verified by driver's lice. � Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype of documeM, i.e. - pmperty tax bili or deeC): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) w more (eet in depth into wfiich a person is required to descend, will be made in conneclion with work auihorized by this pertnit, antl that no building sWcture, scaffddirg, (alse�wrk, a demdition or tlismantling thereof, will be more Ihan thiny-six (36) feet high. (Chap. 3.2, Gry 2. M 2. Sec. 3A1, Title 8, Callfomia Administrative Code�. ❑ As owner-builtler, I will not employ anyone to do work which woultl require a permit trom the Division of Industrial Salery, as noted above, unless such person has a pe�mit to do such work from the division. nppliwnfs Signmure Oa�e Division of Intlustnal Safe�y Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file antl certify a Business Plan for emergency response to release or threatened release of a hazardous material� ❑ Yes � No (Section 25W5 ot 1he Calitomia Health antl Safety Code requires, with some exceptions, that a Business Plan be filed with the CosW Mesa Fire Department by every business which has at any one time during a reporteE year a quantiry of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ol compressetl gas at standard temperature and pressure). 2. Dces or will the applicaN or present or fuNre builaing occupant need to file a registration form for acutely hazardous materials7 ❑ Yes ❑ No (Section 25533 of the California Healih antl Satery Code, vnm some eaceptions, requires regislration wilh the Costa Mesa Fire Department by each business which at any one lime �as on hantl a quaniity of acutely �azardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at stanEartl temperaNre and pressure). 3. Does or will the applicant or presen[ or (ulure huilding occupant neeG to prepare an RMPP (Risk Management and Preventbn Program (or acutety hazardous malerials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Sa(ery Code p�ovitles Ihat the Cosla Mesa Fire Department may require the preparation, certification antl filing with the Fire Depariment of an RMPP by businesses which are required ro register acutely hazardous materials with the Pire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complietl with? ❑ Yes � No 5. Does or will Ihe applicant or present or future Duilding occupant reduire tor the work which is the subject of lhis application a pertnil (o� suc� [OnSWction or modifica[ion from the South Coast Air Ouality Management DisVict or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 658502 0( Ine Califomia Govemment Code requires that the requested inlortnation be lurnishod on applications for non-resitlential building pertnits). 6. Will any part o! iha facility to be construclatl under this permit be within 1000 feel from lhe ou�er boundaries of a school7 ❑ Yes ❑ No (If'j�es". the facility musl meet Ihe requirement ol Sections 25534 antl 42303 of Ihe Cali(omia Health an0 Safery Code). 7. If a permit lrom the South Coast Air �ualiry Management DiSUict or other air pollution control tlisMct or agency is required tor lha work which is lhe subject ol this applicalion, have all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. pt'yes", attach ceAifcate of compliance from the appropriate air polNtion coMrol oKcer). CERTIFICATE OF COMPLIANCE: I certity that untler penalty of perjury Ihe information given above is correct. I agree to comply with all state laws and cify ordinances regarding Hazardous Materiafs and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat the information given is correct. I agree to comply with all state laws and ciry ortlinances relating to building construction, and authonze representatives of the Ciry o( Costa Mesa to enter upon the above-Uescribed property lor inspection purposes. I agree not to occupy or allow occupancy of any builtling authonzed by �his permit until (nal inspection. SignawreolLegalOwneqs) Date � � \ 3 • C � -�. —�n�c�� \\ - AnG/or n e oi�ca�- Oa�e AT' I1 or 1�7:W5 SUBCONTRACTOR ' 26064 � �OSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 1200 COSYA MESA� CALIFORNIA Y2l2E For AppllcaM 4o F(11 In Compbro►y TYPE OR PRINT AODRHGY O � 1" T COSTA MESA. CALIFORNIA I� MAIL @I 81ZE Mr�s�t o`.-5yb2yy TQL �— NO. �� re�. - Rr �N T / R6AR YMD O�P / S.r �,lFT J t RIOlIT / DFSCRIPiION OF WORK 1 M6R6GY ACKND [ TXAY�� NI1V6 PtAD ANO 9TA1E THA�TMI p011� IB COM�CY AI PLY WITN ALL ITY O INAMC/� Af10 RAi[ GUILGINOCO qYCil N, 816NATURl� �An. �. / � AUG 22-66 00 939 �*****6.�� A►PLICATION FOR PERMR BUILDINf3 FO► OH/c� U» Only Ip � �ji4'(� ZONING xo. o. u.� ►uw e�n v`%�' 5 � �� sHw�� es �ess rxu� YARDDMPROVED I �� YARDHMPROVHD MAIN BUILDIN6 � AGC6880RY BUILDINO � I � b: VAR. �j BET. MAIN AGGE84. 8 DATB a w 3 �. �. � TXe wMouMT �HowN unO¢p vALUAnon le Iop T11s ■URPOBI O! ifTML10HIN0 A PlRYIT IEt ONLY. VALUATION �y� � PERMIT FE8 � � E $ � W' TOTAL PEH � Lor 4�i TRacr 42 2 /` � �._�;��J COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 90X 917 COHTA MEBA. CALIFORNIA Fo� Applicanf fo Fill In Com,pql.evfely TYPE OR PRINT Q�!/ ,� q ti � MAIL COSTA MESA, CALIFORNIA APPROVED FEE RECEIVED � SEP 271961' FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only nECHIVT NO. PHpYI NO. .1L'v'`. ;.`�L: !Y I DATJyRBCEIV6D � DATH 18611lD- COSTA MESA, CALIFORNIA [ss I�iS,S PLACENTIA AVE. ZONING NEWPORT BEACH zo / I NO.OP I usa or newTin �� PLANB z BUILDINp(y o. 6 � i 95 NEo. M I 6-�227 '�°".e.a.,,.. y H T� `�' z 3 Z I OF LOT OO � X 1 OO � I NO, OP BLDG6. O NOW ON LOT BHiBACK LJNt PROM 1, � � C8N'fIIR OP BTR66T 4 n�nv o.c.. I� cer G � t It OF WORK YARDS EVHS APPROVED ALLO 2Q � 1' �� (CEM¢R LIN6 BTJ U 4 pRON7 � � FT. �1�� .�� 'i �� BUILD NG NO. OF p SIZE Oc�O _� ROOMS n STORIES I EXTERIORWAL�'jUCCO IROOF ROCK COVERING COVERING USE OF BUIL��NG ANO WOfiK TO BE PERFORMED��f4,/ �i.�� Rl��p((RQ( GARAGE PLAN No. 4A 1 HHp6BY ACNN�W�8G0H TF1AT I H�V6 PBAD TH19 MPLIGTION •ND BTATB THAT TNH ABOVB 18 CORP6CT AND AOPHB TO COM- PLY WITH ALL CITY OPDINANC86 AND BTATH U1W9 N60ULATN6 BUILDINO WNa�UCiION. BIGNATURH OP �' ^ '.' /1/�� PERMITTH "(__( AUTHORIZED AGENT s �FT. z8 �t y rHe AMOUNT BNOWN UNDBH VALUAT�ON �B POp THH PUAPOBE OR EBT�9L19MINa A PERM�T P88 ONLY. .UATION ^ PFRMIT FFF Q S�� $ / ��/!J '— P�AN CMEGK $