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HomeMy WebLinkAbout1617 PONDEROSA ST - Building Permits ,STP MF €ITY'OP COSTA MESA 4 BUILDING DIVISION > • ,. DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER PERMIT B06-01768 y bocamio`#* (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.Btl1LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1617 PONDEROSA ST Status: ISSUED Suite: Applied: 10/18/2006 Vicinity: HOUSE AND GARAGE ROOF Issued: 10/18/2006 Primary Occ: R3 Type of Construction: V-N Parcel Number: 13931202 Zoning: R1 Applicant: GARGAN, PATRICK,v Address: 2246 NEWPORT BL SUITE 1/2 Phone: 949-548-6337 ISSUED BY: COSTA MESA,CA Zip: 92627 Owner: TAKATA, YOSHIHIKO Address 1617 PONDEROSA ST Phone: COSTA MESA,CA Zip: 92626=>� ;Cc'; Contractor: NEWPORT COAST ROOFING AND WATERPROOF! Address: 2246 NEWPORT BL SUITE 1/2 Phone: 949-548-6337 COSTA MESA,CA Zip: 92627 License: 653201 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF(E)ROOF MATERIALS,INSTALL 2 LAYERS OF#15 FELT ON A 3 1/2:12 PITCHED ROOF AND REROOF W/30 YEAR GAF DIMENSIONAL SHINGLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 23 SQUARES.REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,200.00 Permit: $125.25 Claim Valuation: $5,200.00 SMIP Res: $0.52 _ SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0, Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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: This permit shall automatically expire and become void If work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 244e-4e(ele0) DECLARATIONS WORKERS'COMPENSATION DECLARATION: - . I hereby affirm under penalty of perjury one of the following declarations: • ❑ . I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: - Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) 2'rertify 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' – coinpensation.laws of California and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith � _comply with these prove vim. , --r� �— (a:- r1, - ©G t. Applicant Signature: � Data: WARNING:FAILURE TO SEC 0111.rORKERS'COMPENSATION COVERAGE IS UN 01rSHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,00),IN ADDITION TO THE('nST OF COMPENSATI••, PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provi ' ns of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profession Cc4e,and my license is in full fo�ce end.ettectiLic.N- S Z-0Class x - – '7 Con-tragctock Signature:'r ( / a _ __ � date: _ b U ✓ de 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.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 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).): O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves 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 sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business end Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety.as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? IQ Yes LI No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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 inspection. rCure• Legal Owner(s) ate Aliot r •ndiOr Authorized Applicant Date . CODE I INSPECTION TYPF RAIL IMnALS CODE F INSPECTION TYPE Pali INITBA45 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final1# i i 208 Final Plumbing fi 200 Final Re-Roof 0®0 r 2 L 210 Final Electrical 201 Final Block/Retaining Wall 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 CITY OF COSTA MESA 4 / BUILDING DIVISION Y i� r.,' ` DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 ��%' i PERMIT 111104 %+.aaana`4` P02-00607 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1617 PONDEROSA ST Status: ISSUED Suite No Applied: 09/25/2002 Issued: 09/25/2002 Vicinity: EXTERIOR OF DWELLING&ATTIC Parcel Nunmber: 13931202 ISSUED BY: Applicant: RIETSCH, KURT Address: 1525 MACARTHUR BL. Phone: (714)641-1545 COSTA MESA,CA Zip: 92626 Owner: TAKATA, YOSHIHIKO Address 1617 PONDEROSA ST Phone: COSTA MESA,CA Zip: 92626 Contractor: C AND R DRAINS INCORPORAT Address: 1525 MACARTHUR BL. Phone: (714)641-1545 COSTA MESA,CA Zip: 92626 License: 531746 Arch / Eng: Address: Phone: Zip: License: SCOPE OF PERMIT PLUMBING TO INCLUDE: 1 GAS(1-4 OUTLETS),CAP FIREPLACE OUTLET AND 1 GAS REPIPE LOCATED IN ATTIC AND S.F.D.EXTERIOR. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(lce,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 244646(6&oo) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ��--My workers'compensation Insurance surer and policy number are: Oerrier: 1st 9 L F :nrl-r.cc P-L g�.LU. Cfz-S �' vC-' Policy Number: (t:L uc '1 c0Oo0C) (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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 Cali grnla,an gree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pro vlViorib _ • wSat rf\¶j'�.'^• � : '1 �� 2i ING:FAILURE TO SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLIARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 o4the.Business and Professions Code,and my license is in full rforce and effect.Lic.a 6 3 1 9 Cless-x C 3 L 111 C. l<r/ 'S -Contractors Signature: �ata:�—' 0I'25--0 L 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.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toe civil penalty of not more than five hundred dollars($500).): O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves 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 sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: El I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Calif omia 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? (J Yes j�No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (It'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No B (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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 inspection. Signe ••: • Legal Owner(s) Date ul'ZS^O 7i 'n• • 'uthorized Applicant Date CODE« INSPECTION nil PAIL INTRIALS CODEINSPECTIONTYPE DAA pSEMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical -1 1266 Pool Spa Final 208 Final Plumbing 9 NC -o.a {3/y 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 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 • , 1.0 5 COSTA MESA BUILDING-SAFETY DEPARTMENT FEE" RECEIVED P.O.BOX 317 COSTA MESA. CALIFORNIA J(- 1- 3-7 FOR APPLICANT TO FILL IN COMPLETELY APP~ D P HERMIT TYPE OR PRINT C Cit. NG t3} BUILDING 1617 Ponderosa rA COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER Knightwell Land Company _ I RECEIPT NO. I C PERNIT 'O. ADDRESS 419 E. 17th Street RECEIVE B DATE/ RECEIVED DATE SSS- ll-y s9 DNOV 619FC CITY Costa Mesa, Calif. TNo.LI 81159 BUDRESS V ` ARCHITECT Carlson et LIC. COSTA MESA. CALIFORNIA OR ENGINEER flddlcbsook NO. Garden, GrOVe FIRE / ( - ADDRESS ZONE TYPE V GROUP �(//' � 1ike &N RACTORCOIC'grOVe, Inc. COLIC.NO.167293 BY DATE DATE ADDRESS 419 E. 17th St., Costa Mesa ZONING LEGAL LOT 3487 ZON ( NO.OF USE OF NEW DESCRIPTION NO. 78 I BLOCK TRACT PLANS /�I BUILDING A.P.NO. APPROVED (t/./� DATE ) 1-3---,BY /� SIZE 1 x 100' I NO.OF BLOBS. None YARDS 0.44-EVES OF LOT 89 NOW ON LOT REQUIRED ALLOWED USE OFNone (CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. SETBACK LINE FROM C G n 9. CENTER OF STREET 501 REAR YARD 251 R.SIDE ! FT. IN. SIDE YARD I LEFT 71 I RIGHT 221 L.SIDE _ 77. • IN. DESCRIPTION OF WORK REAR Fl. 3 FT. IN. NEW X II ALTERATION I II ADDITION J REPAIR 1 II MOVING 1 I DEMOLISH I BUSIZE DING 1647 NO.OF ROOMS 7 STORIES 1 EXTERIOR WALSLtucen IROOF Rock �� L COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED tin Single family residence with attached garage Plan 760 AR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CON6TRUCTIOJT). 7 I VALUATION SIGNATURE OF C./7/� �f4`/,� / /J� PERMIT FEE $ 36 .GG PERMITTEE -2094 $ 16,862 PLAN CHECK $ 18.00 Dike & Co _egrove, Inc. AUTHORIZED AGENTIFAIP133eTOTAL FEE S 54.00