HomeMy WebLinkAbout1805 PITCAIRN DR - Building Permits . .
CITY OF COSTA MESA
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' BUILDING DIVISION
Fv„,��n.,..1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.0
kwFOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBE B08-00140
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 13934119 DATE ISSUED: 05/05/2008
ISSUED BY: RMD
JOB ADDRESS: 1805 PITCAIRN DR CM ' Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF — , •
Squares: 2400 . Valuation: � $9,800.00
A. ,-; •
SCOPE OF WORK: TEAR OFF(E)'ROOF_MATERIALS, INSTALL 1 LAYER OF 30#FELT ON A 4:12 PITCHED ROOF AND REROOF
WITH 30 YEAR GAF COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 24 SQUARES.GENERAL
CONTRACTOR ALSO PROVIDING-WORK FOR 3 OTHER TRADES; PAITING TRIM, NEW CARPET AND BEDDING.
PLANTS. REPAIR AND REPLACE SHEATHING AS NEEDED. - , .
OWNER: POWELL, DOROTHY A - Address: 1805 PITCAIRN DR - Unit:
PHONE: 714-545-2885 City/State/Zip: COSTA MESA,CA
APPLICANT: MCKINISH%JERRY - Address: 915 LAKE ST • Unit: :
PHONE: 714-404-9846 CELL ."" - -, City/State/Zip: HUNTINGTON BEACH, CA
CONTRACTOR: J K CONSTRUCTION License No. -450297
Address: 915 LAKE STUnit: PHONE: 714-404-9846 CELL
City/State/Zip: HUNTINGTON BEACH,CA . - - 92648 CELL:
714-960-7052
ARCHITECT: License No. PHONE:
ENGINEER: License No. -. . PHONE:
FEE SUMMARY •
Reroof Plan Check: $0:00 • .
Reroof Permit Fee: $181.25 "
Reinspection Fee: $0.00
TOTAL FEES $181.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
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 this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODES. INSPECTION TYPE DATE INTMALS CODEC INSPECTION TYPE, pAFT INTITIALI
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final n . 208 Final Plumbing
200 Final Re-Roof P//L lj//�i/oi/ UG)N" /Wr, 210 Final Electrical
201 Final Block/Retaining/Wall U 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
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WORK&RS'COh1PENSATION DECLARATIO, Owner ID verified by dr lice t]Yes 0 No
I hereby affirm under penalty of perjury one of the Following declarations:
'Driver's License No. Expires: 1 •
0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. '
O I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: •
section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. M workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: J person is required to descend,will be made in connection with work authorized
Carrier: 04— r(/w (// by this permit,and that no building structure,scaffolding.falsework,or demolition
(This section need no(be carpeted 9the permit is valued at one hundred dollars(5700)or less) or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
Q 2.Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: Q — 0
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safely,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensati.• laws of California, and agree that if I should
become subject to the wo•trs' coy .ensation provisions of Section 3700 of
iiiiT.or Code,I hall foil Applicant's Signature Date
A' ,rh c• ply with these provisions.
� 55576 -Division of Industrial Safety Permit Number:
Al Applicant's Signature D e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
fNI
re' FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
NLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan (or emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
• LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in fullCLo_rce and effect, a registration form for acutely hazardous materials? 0 Yes 0 No
Licit J i Class# (Section 25533 of the California Health and Safety Code, with some
4111. ��/' exceptions, requires registration with the Costa Mesa Fire Department by
'� G each business which al any one time has on hand a quantity of acutely
.- tractor's Signature Dat UUU hazardous materials equal to or greater than a weight of 500 pounds, or a
s%Orvolume of 55 gallons, or 200 cubic feet of compressed gas at standard
STRUCTION LENDING AGENCY: temperature and pressure).
■ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
Lender's Address: (Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If yes attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑. I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.'
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and -
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors Ucense Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction,and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final insp- tion.
A,
azure of Le• • Date
Signature Date _ j/CA
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3057-46 t3/e71 And/ d Appcant - y(
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
- PERMIT NO. TRACT NO. - LOT NO. UNIT NO. 1680 10/06/05 5.0L TL
CITY OF COSTAMESA ' CONSTRUCTION PERMIT �y '
Project Address JOQ-r �/IVA/4)!J ( P� h7 ! 7 :- _ •
-
Applicarlt's Mailing Address . /F3 3 /Ai`i/U(f.0/)/ ' liA/ff'`12/ri . TYPE OF CONSTRUCTION U NEW H ADD ❑ ALTERATION U REPAIR "-
A (/4/d ❑ CONVERSION 0 DEMOLISH 0 OTHER A.P.# Zone _
Owner's Name / /�-w� /�O aJ e�� Phonea'af DESCRIPTION OF WORK/USE OF BLDG.
Address •�^l/// (r _ - S Main Building: _ Acceuory Building:
Arch/Eng. II ff Z
License No. TYPE OF PERMIT UGRADING�FOUNDATION ❑ STRUCTURAL • T Front - Z0
Address y�-�J/ / Mini
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear
N
Contractor's Name//7P 69-53 %/1ini A//� Zirephone770-'.)Y-7 ❑ 'OTHER C Right - - N
` PROJECT DESCRIPTION SQ. FT. OCCUPANCY G
r-\\,..� Address(mailing1�333_rhi /.(f eo//J echighe//i-jK
�o City License No. -7 / 3� •
CONSTRUCTION TYPE • VALUATION$ S- Left R
ZONE GRADING CU.YDS. ACRES EO
LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Parking Req,/Provided ' -
, I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is in full f• e and -ffect. $
Licen • Class - 3 - Licen e.N• ^ / S •
_
\ Date a -- v < ....p.Signatur- t� ar[„r• . PLUMBING FEES - -
WORKERS'COMPENSATION DECLARATION i
Bar Sink Showers ELECTRICAL FEES
' hereby affirm that I have a certificate of consent to selNnsure or a certificate •
rf Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -
3800, Lab. C.) '/ •''//,T, - . Automatic Washer Transformer 0 15.50 KW
Policy No. 0gr4-0 Company- e4V r .lAJS Backflow Irrigation Sewer Cap 0 50+KW
�ertified copy Construction Pole Sub.
is hereby furnished.
-
Certi "ed ropy i}filed with the cit Building Divisi n. //��'' I Bathtubs Sewer Connection • Cooking Unit Meter ❑up to 100 amps
Date ' d/ {-f App licanU�il.('.6(_� //"�N�s - •
EXEMPTION FROM WORKERS'COMPENSATION D CLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred($100)or
less). Dishwasher . Solar Piping Dryers ❑Gas DElectric Sub Panel '
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 Drinking Fountains Solar Tank Fan . Motors 00-1 HP 01%-B
Workers' Compensation Laws of California. . _ _
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
'NOTICE:If,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. Floor Sinks Urinal Fixtures
Microwave-
CONSTRUCTION LENDING AGENCY Gas Service. Outlets Water Closet - Device Boxes Pole Light •
,1 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,'s Name Interceptors / Water Heater p2 VQ, outlets Range
Lender's Address - • Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or. ,
county which'requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit P
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of -
_Jivision 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
11031.5 by any applicant for a permit subjects the applicant -to a civil '
enalty of not more than five hundred dollars($500). • Ir 3
LJ I, as owner of the property or-my employees with wages as their sole Reinspection Fee I $15 Issue Fee $
compensation, will do the work,and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 -" - _ - -� DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By - Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By _ _ Date
• LJKaye for the purpose of sale). ,(1 J —(p
1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural J Refrigeration System Application Issued By t® . Date /f9 Q,
tractors to construct the project (Section 7044, Business and Professions Code: ,
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTUSUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- '
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ - SMTP i$
. proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 'System Repair/Alteration PLAN CHECK $ -` PERMIT
HS•
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Wt. ICBG# Fire Dampers PLUMBING $ JT d-r/ ISSUANCE $ 'r J
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTLELECTRICAL $ GRADING $ •
information is'correct. I agree to comply with all city and county Ordinances • - •
and state laws relating to building construction,and hereby authorize repre- - MICROFILM $
sentatives of this city to :nterr pon the' above-mentioned property for
PLAN CHECK 50% $
inspection�' 15es. MECHANICAL $ ' TOTAL FEE •$ -i r -�
Signature. .. :�/ �Ia..a Date(J r� �F� • -
Drivers' License or 5S#• ' ' ' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ -
la
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - i -
•
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CONSTRUCTION AND PLANNING POI. & SPA
APPROVALS Permit# Date Inspector 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. Electrica e +:-U•t%Undrgrnd.
8. Foundation .•tea - 59. Gas Pip-, U' �1,-irg.pd.1 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-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
20. Rough Factory Fireplace APPROVALS Permit# •
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 0 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 PREY. 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 • • •
38. Final Plumbing 41y[0-A (,0
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. Special Requirements Completed - -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date
FEE RECEIVED
. -1 sTI139 D.; JUL 311901
COSTA MESA BUILDING-SAFETY DEPARTMENT i FINANCE DEPT.
P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING I:itrira/ m � � PA.ADDRESS v
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Pacesetter Jt. Venture I RECEIPT NO. I -9 `R IT NO.
��O
MAIL - 1653 Minorca Drive RECEIvyyD BY SATE RAC¢IVED DATE ISSUEp
ADDRESS /C �/-01`--6/I 7-1,1-4
NG
CITY NO. Ki 9S ADDRESS
COOta Mena
9"y+
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS ZONE FIRE TYPE /I/ GROUP-12 (J/�IL(�/
CONTRACTOR Mesa Verde Builders Inc. APPROVED
BY DATE
ADDRESS 1A53 Minnrra Drive ZONING
Costa ZONE NO.OF USE OF NEW,/sJ.9Q'yy
CITY Mesam-1 I PLANE 2 I BUILD INDO_ W/
LIG.TNO. 181269 TEL
Ki 9-0395DESLEGACpIPTIONSIZE � !�6 Tjf. gee'
OF LOT 7500 Sq.Ft. I NO. OP Te.Q
NOW F LLOOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM 50S".40.05 (CENTER LINE BT.) O
CENTER OP STREET REAR YARD FRONT FT. IN.
SIDE YARD I LEFT 5 I RIGHT 5 R.SIDE S FT. IN.
IpI !DESCRIPTION OF WORK L.SIDE S —�
FT. N.
NEW I x ]11 ALTERATION I II ADDITION I REAR Im, 0 5 FT. —^ IN.
REPAIR I V MOVING IV DEMOLISH I APPROVED juBY .. .9. DATE /it/6
BA=LDING 1620 SqE .Ft NO. OF 6 STORIES A�Pa-
MS
EXTERIOR WALL 7/Stucco ROOF Shake /
COVERING . 1 ..• COVERING • • I • • /(0 °/
USE OF BUILD••G AND WORK BE PERFORMED
Single family residence ani'garage , Dir
Standard Plan No. 620-AR Attached garage 445R 450 Sq.Ft.
I HEREBY AC-4.WLEDGE THAT I HA R THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE T THE ABOVE IS COR ELT A D A SE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH A I ITT •,-•GLANCE A D STA REGULATING
BUILDING C•N•viU ON. VALUATION p
SIGNATURE • / PERMIT FEE $ sir_
PERMITTEP I //J` 10V /y'
$ //Oy PLAN CHECK $ aN
AUTHORIZED •GENT E
TOTAL FEE - --' LL