HomeMy WebLinkAbout375 PRINCETON DR - Building Permitsr ' �
�
(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 375 PRINCETON DR
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Pa�cel Number: 14137338
Applicant: COFFEY, BRIAN
Address: 2428 NEWPORT BLVD
UNIT 5
COSTA MESA,CA
Owner: WARD, JOHN
Address 375 PRINCETON
COSTA MESA, CA .
Contractor. THE ROOFING SPECIALISTS
Address: 2428 NEWPORT BLVD
UNIT 5
COSTA MESA,CA
Zip: 92672
Arch :
Address:
Phone:
Zoning:
Phone: (949)722-8846
Zip: 92672
Phone:
Zip: 92626-6163
Phone: (949)722-8846
License: 734068
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 03/21/2003
Issued: 03/21/2003
Phone:
Zip: License: License:
,�> �c�, e�Q �►—
SCOPE OF PERMIT
RESIDENCE AND ATTACHED GARAGE: T/O EXISTIN�B.U.R. (ROCK AND HOT MOP); REPAIR SHTG AS NEEDED, APPLY 2 LAYER 30# FELT,
REROOF WITH "30-YEAR COMP SHINGLES" ON PITCHED ROOF AND "MODIFIED RUBBER" ON FLAT ROOF. 22 S� PITCHED, 8 SQ FLAT
Plan Check: $0.00
Permit: $125.25
SMIP Res: $0.57
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.82
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinp: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
LeR 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
$5,735.00
$5,735.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access iequiiements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 1 BO days.
INSPECTIONS: In order tor the work authorized under this permit to be consitleretl legal, such work must comply with all applicable codes, and all
requlred Inapections 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) 7545626
aasee�aroo�
WORKERS' COMPENSATION DECLANA710N:
I hereDy effirm under penelry ot perjury one of the following tleclaretions:
❑ I hava antl wlll mainialn a certiticate of consent to self-Insure lor workers' compensation, as proviaed for by section 3700 of the Lebor Cotle, lor the pertortnance ot the
�ork for which this permit is issued.
fiave and will maintain workere' compensation insurence, es required by section 3700 of the Lahor Code, for ihe peAormance of ihe work for which this pertnit Is issued.
My work c m �e �atlon !In�sura/nc rier and policy number are�. q
Cerner:���(�j r�� PolicyNumber. ��5 ���/'2��
(This secfion nBed not be complefed i! fhe Oermi! is velued ef one frundred dollars ($100J or less.)
❑ I certify Inet in the pertormence of the work lor whpIi ihis permit is issuetl, I shall not employ any person in eny manner so as to bocome subject to the workers'
compensa�lon laws of Califomla, erW egree ha I hould become sub�ect to ihe workers' compensetion provisions ol Section 3700 0l ihe Lebor Coae, I shall torthwith
. comply with these provislorys
( � �—�(���
Applicent Signe�ure: Date:
WARNING: FAILUAE TO SECURE WOR RS' COMP TION COVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FMES UP TO ONE HUNORED
TMOUSANDDOLVIRE(5100,000),INADDITIQYTOTHE TOFCOMPENSATION,DAMAGESPSPROVIOEDWRINSECTION3'IOfiOFiHELABORCODE,IMEREST,pNDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn (hai l em
forca antl ettecL Lic. a'
Contrectors SlgnaWre:
Chapter 9(commencing with Sec�ion 7000) of Division 3 of Ihe Business and Prole slons Cotle, entl my license is in full
Class a � G' 3�
Date: � i-7.�-0`%
CONSTRUCTON LENDING AGENCV:
❑ 1 hereby aF�'i� that ihere is a conslruction tentling aqency tor the pertormance of the work tor which ihis permit is issued. (Sec. 3097, Civil CoOe).
Lender's Name: Lenders Atldress:
SigneNre:
OWNER-BUIL�ER DECLARATIONS:
Date:
I hereby eNirm that under penelty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Cotle: Any ciry o� counry which requires e permit to construct, elter, improve, demolish, or repair any strucmre, prior to its Issuance, also requires the applicant for such pertnit
to tile a signed 5�atemeni t�al he or she Is Iicensed pursuent to Ihe provisions of Ihe Cont2ctors License Lew (Chapter 9(commencing wilh Section 7000) oi Divislon 3 ot ihe
6usi�ess aad P�otessions Cotle) or that he or she is ezempt lherefrom antl the tasis tor t�e alleged exemption. Any violation oi Section 7031.5 by any applicant for a permit
sub�ects the applicenl to e civll penalry ot not more than five hundred tlollars ($500).):
❑ I, as owne� of the properry, or my employees with weges as the�� sole compensation, WILL DO 7HE WORK, antl the structure is not Intendetl or otteretl Por sale (Sec.
7044, Business and Prolessions Code: The Gontractors License Law does not apply to an owner of property who builds or impmves Iheraon, and who does such work
himself or hersetl or ihmugh his or har own employees, provitled that such improvements are not Intendetl or ottered lor sele. If, however, the bu�lding or Impmvement is
sold within one year ot completion, Ihe owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose of saleJ. �
❑ I, es owne� oi �he OroDerty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�act (Sec. 7044, Business end Professions
Code: ThB �mractors License Lew tloes not epply �o an owner of propeny who bulltls or improves t�ereon, end who conUacis br such pmject with e comrector(s)
license pursuent to Ihe Contractors License Laws.).
❑ I em exert�p� untler sea Business antl Pmfessions Coda tor lhi3 reason:
Signa�ure: Date:
Ownar ID verified by tlnveYs license. ❑ Yes ❑ No Dnvets License No.
Venfication of Ownership by pype of document, i.e. � pmperty tax bill or daetl):
Expires:
DIVISION OF INDUSTRIAI� SAFETY PERMIT CERTIFICATION:
❑ I hereby cd�ify that no excavetion live (5) or more feet in depth into which a person is required to descentl, will te matle in connection with work euthorized by this
permit, end that no builtling strudure, sca%olding, talsework, or demolition or tlismentling thereoi, will be more ihan ihiny-six (36) feet high. (Chap. 3.2, Gry 2, An 2, Sec.
341, Ttle B. Califarnla AtlmlNstreNve Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit Irom Ihe Division of Industnal Sefety, es noted ebove, unless such parson has e
pertnit to do such work irom t�e divl5ion.
Signeture: Date:
Division at InduBinal Satery Pertnit Num6er.
CERTIFlCATE OF COMPLIANCE AND AUiHORIZATON OF ENTFiY: I cenify under penalry of perjury thet I heve reatl IhiS application antl state that iha infortnation given is
correc�. I egree to comply wilh ell state lews end ciry ordinences relating to builtling construction, and authodze representeNves of the Ciry ol Costa Mesa to enter upon ihe
above-described p�oparty tor Inspection pu�pases. I agree not to occupy or allow occupancy ot any huiltling auNorized hy this pertnit until finel ins0ectioo.
CQOE 1.
1616
1266
200
Fixed Sys�em Final Fire PrevBnilo�
PoolSpa Final
Finel R9-Rool
201 Final8locWRetaining Well
202 final Fa��ory Fire Place
203 Final Sig�
204 Final D9molition
Q� �NTIfIALS
/L�///I � i�
Dete
?i -Z! -o '3
Date �
CO�E I INSPECTION TYFE
206 Final Mechenical
208 Final Plumbing
210 Final Electncel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupanty
p�¢ IMRI� 3
`,oness: 375 PRINCETON DR
I'SNFME: HAWN, BERNARD JOHN
nooxEss: 375 PRINCETON DR
COSTA MESA,CA 92626
ur+rt:
AHCMIENGINEEB: flEG.NO.:
ADOHESS: UNIT:
PEHMITTEE: ROY CHAFEY ROOFING ( 714 ) 636-1747
nooeess: 9692 LUDERS AV
GARDEN GROVE CA 92644
LICENSEU CONTflpCTOH UECLAXATION: 1 �ereby alfirm that I am licensetl unAer Omvisions of Chapier 9 �commencing with Sec�ion
�000� oi o��� �o o I e usiness antl Pmfe i ns Cotle antl my license i in lull brce antl flect.
O���i�� ��6624 C—?�
CITY LIC.: ' / STATE LIC.: S5:
Date: _��' �� Signature: — — — —
WOBREflS' C01�iPENSp710N oECNPp710N: I hereby aifirm t�at have a nificate oi consent to se insure or a certificate oi Workers'
Compensa6on i�¢uSa�e..m�a�njt�ey�c�vj�i rgotj,IS.�ection 3800, Lab. �1 /01 /94
roucr no.: S TAT E FUND E%P. DPTE:
COMPANY: }j
] Cetlified copy is her¢�y �umi5hetl. I_J� Cetlified capy i5liled wi e City Build �ivi'e
Dale: / AppliCan�:
EIEMPTION OMWOPKEflS'COMPENSPTIONOECIAHpTION: (ihi55ec�ionnee0not�ecompletetlif�h milis�o� ehuMrtd�5100)orless).
I certily I�al in I�e petlormance al t�e work for w�ich ��is permit is issue0. I shall no� empioy any erson in manner 5o as to become
sublect lo ihe Wor4er5' Compensalion Laws o� Cali�ornia.
�ale: Signa�ure:
NOTICE It. afler making ��is tleclaration, you s�oultl 6ecome subleci Io Ihe Workers' Compensaiion D�o�isions o� the Labor
Cotle. you musl totl�with comply wilh suc� pmvisians or Ihis permii shall be tleemetl revoketl.
CONSTflUCTION LEN�ING AGENCY: I �ereby affirm that there is a constmction lentling agency lor �he pedormance oi the work for
whicM1 �his permii is i<suetl (Section 3097, Civ. C).
�exoen:
aooAess:
OWNEB BUILOEfl UECLAXRTIDN: I hereby allirm ihat l am exempt lrom �he Conlractors' State License Law �or IAe tollovring reason
�Sec�ion 703L5 Business and Pmlessional Code', Any ciry of coun�y which �eQuires a permit �o con5�mci, atleL imprOve, demolish, or
repair any simcture, prior to its issuance. also reauires the applicant lor such permit to file a signeU statement ihat he/she is license�
pursuanl Io Ihe provisions ol ihe Comracmrs' State License Law (Chap�er 9(commencing with Section 7000) oi Division 3 ot �he Business
an0 Pmlessions Cotle) or Uat �e/she is exemp� Iherelmm antl �he basis for Ihe alle0ed exemp�ion Nny violation oi Sec�ion 7031.5 by
any applicant �or a permit su�lec�s ��e applican��o a civil penalry oi no� more Ihan �ive hundre0 Oollars ($500�.
I, as owner of the propeny or my employees with wages as ineir sole compensation, will tlo ihe work, antl the
I❑ stmcmre is not intended or olferetl for sale (Secnon 7044, Business an0 Professional CoOe: The Contractors' State License Law
tloes not aOPly �o an ownel ol a D�operiy who builtls or impmv¢5 fhefe0n, antl who does SUCh wo�rc him5eltlhersel� or Ihmugh
his or her own employees, pmvitled t�a� such impmvemenis are noi intentletl or oifere0 for sale. Ii, Aowever t�e huilding or
impmvemeni is soi0 within one year of completion, ihe owner will have Ihe Ourden of pmving nelshe aiA not Uvild or impmve
�or ihe purpose of sale�.
I, as owner of the pm0ehy. am exdusively conVacting wilh IicenSeU coniractors Io constmc� �he pmlect ($ection 70Ad, Business
❑ anJ Pmfessions Code: The ConVacmrs' S�a�e License Law tloes nol aDDly �o an owner of properry wAo hml0s or impmves �Aereon
antl who contmcls br suc� pmjecis wi�h a conirac�oqs)license pursuan�lo �he ConVac�ors Slate LitenSe Law),I am aware
thal pmai of Iheir Worker'S Compensa�ian insurance should Ue proviaeU �o me.
� I am exempt un0er Seclion: B. 8 P. C.
for �his reason:
Oate: Owner.
I do hereby cenify ihat I am aware oi anC understana the requiremenis of Calibmia Healih antl Safery Code Sections 25505, 25533, antl
2559a antl ihat I o� any luture builtling occupant wilVwill not �circle one) need to comply with said stale codes and I�e repuiremenis br a
permit foi cons�mtlion or modificalion Imm �he Air Ouali�y Managemen� �i5iricl. Resitlential constmc�ion apPlicalions are exempt �mm
these pmvisions.
�aie: ApphcanL
I hereby certifytha� I have reaa Nis aDPlicalion and s�a�e tha�ihe a
oreinances antl s�a�elaws relaiingta �uiltling consimction an0 hereby
pmperty �or in5pecii purposes.
Oa1e: _ 2 Signamre'. �
Dri�er's Licen. or Sociai Security
is
16aLa6 `/��ne—Builtling: Green—Code Enlorcemen�; Canary—Applicanl: Pink—Revenue: GolOenraE—Asussor
an0
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B 064997 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF AEROOF W/SAME, BURS SHINGLES
PERM NO: H 06999;
GOVT: N 5UPP: N
PURPOSE: ALT
SQ FT: 3,400
CLAIM VALUE; 3,400.00 CALC—VALUE: 3,400.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
�r**�*+����e���r*�r****��r�*�r+�**��*�r+���*�***�****��****���*****��*��***+c��+�****x�***#*
Z O N I N G R E Q U I R E M E N T 5
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HOILDING ---------
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: FARCEL: 14137341 ZNE: REF NO:
PLANNING NOTES>
1
iF iE iF �lt #'� iE iE 1� 1F if iE 1F iF'!k iE M iF it if iF iF i: iE j4lf 1t iE iF if fF iE i! iE iE #' iE iE if if if it if !t ik iF jf 1E it 7F iF 1FlF iE #!f !f 1E # if If if i! iE if ?E fF 1F �1F �E iE iF �k jf 1E?E!E 1E iF i4
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
20NING APPROVED BY DATE:
BUILDING APPROVED BY : PATE:
��..********�t�t���x*�*i�tD*H*�f ir�,r"�i-�`� �*�r*pA**�c*�!-����..�(�F"�
'N"N"N"1f 9E iF iE iE Y')h iE iE 9E i! if if iE' 1f iI' iF �%ih 3E iE')f' iE'N' i¢'IE iE iE')E iE 9i' ah')h')I' jE'% IE 1F 1E iF iE'K 9F iF �E i�' i�' i(' ih �F ah if'K K'IF'If 1E'N' iE iE IE'X' iF jE i: iE 3E iE'1E')i'-X�'I('1E'N' i4 iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 63.00 .
PLAN .
ISSUE FEE
bUILDING—DIV—> PERMIT ISSUE PLAN—CHECR,
TOTALS----> 63.50 0.00 0.00'
REVENUE DIVISION TOTALS--> COLLECTED:�
BLDG PMT PLUMHING ELECTRIC MECHANTC
63,00
FIRE SMIP/RES GRADING
.50
SMIP/NON—RES
TOTAL PAID DUE
63.50 63.50 .00
63.50 OVER/SFiORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iE 1F jE if ic if iE 1E iE iE # iE iF iE iE iE iE if if if 1E # if �lE iE iE iF iE if #-iE i! iE 3E iE iE iE ii� if'It iE k�lf if 1F iE if iE if M if �lf iE af iE if �If % 1f if ### i! iE �)t iF # if it if -IE -%� �1F iF if �lt aE 9f
I 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 Z O N UNIT COST
SFR 3900 REROOF BY VALCTE RESIDENTIAL NOZONE 1,00
END OS FEES
SMOKE DETECTOR
4�.:.. ��Cl��G H��
TOTAL COST
3,400.00
O7 D[t351�v0-007:10`3 T L+T 63,Sf
DatE: 11122/�3 TIME: 11:OS
-�ONSTRUCTtON AND PLANNING PO� , SPA '
� qPPROVALS Permit# Date Inspector AppROVALS Permit# Date inspector
�, Temporary Electrical Serviceor P.ole , 52. Pooi & Equ�pment Location �
i
2, Soil Pipe�Undrgmd. -� �� 53. S[eel Reinforcement +�
3. Electrical Conduit Utility-Und'rgmd. 54. Forms
4. Efectrical Condvii-Undrgrnd. 55. EVectricai 8onding
5. Steel Reinforcemenc 56. Rough Ptumbing & Pressure Test
6. Eiectrical UFER Gmd, 57. APPROVR� TO COVER�GUNITE
7. Footings 58. Electricai Gonduit�Undrgrnd.
$. Foundation � ' 59, Gas Pipe, � Undryrnd., Test i _
9. Water Pipe-Undrqrnd. ��, � 60. Backwash Lines, P�7rap, C Undrgmd.
10. Struc[ural Fioor System . ' 61. APPROVRL TO DECK
15. Propeity Sewe* tine & Ho�seConneciion , gQ, Backwash & Recepmr�Finai
12. Sewer Cap - -� 63. Heater & Vent-Final
73. Roof Drains � � ^ 64. Plumbing System - Final
�, _
74. Rough Piumbing '� �, 65. Electrical-Firal �' ��
15. Rough Eiecirical-Conduit ' ` 66. Solar SYstem-Finat �
16. Rough Eleciric Wiring ' 67. Fencing & Access Approvai
17. Rough W�ring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Celiing 69. POOUSPA SYSTEMS FINAL
19. Rough Heatir.g & Air Conditioning FIRE DEPT. RE(IUIREMENT
20. RoughFactory'rireplace APPROV/ALS Permit�
21. DuCts, in Structure 70. Undergrour,d Nydro
22. Ducts, Ventiiating 77. Product Piping f�Gas ❑Oii
23. Gas Pipe�Rough & Tes2 72. UndargrounG Flush
24. Roof Framing 73. Undergmd. Storaye Tank O Gzt ❑ Oii
Z5. Root Sheathing l%.3v- 74. Overhead Hydro
i
26. T-Bar Celing (Structural) & R4onocoat 75. pry Chemical
27, Frame and Fiashing 76. Ory Star�dpipe
28. Laihing & Siding 77. FIXED SYSTEM FINAL .
29. Insulation 7g, FIRE PftEV. FINAL
30. Drywali Nailing HEALTH OEPT. REQUIREMENT �) ,_
31. P�aster Bro�t�n Coat 79. FINAL �NSPECTtON � '�
- � �'
� 32. Eiectrical Power Meter�Final 80. FOOD CER7lFiCATE ISSUEC -_ �
r-t .. ,
33. Final Eiectric Notes: i^', = �
34. Pinal Heati�9 & Air Cond'+tioning , � �-' ,�'
,
35. Final Gas Pipe-Test i .�p - 3 �D� Q `)� '
! 9- -_� �=
36. Hood or Canopy `,'.
.i
37. Finai Pactorv Pireplace ,
38. Finai Plumbing
� 39. Water Service�Finai
40. Gas Service-Final
4}. Solar pomesticFinai
42, 9ackflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILD�NG �� -j�q � �(v
46. FINALPLANNING -
' ^..
4g, Electric Release zo Edison �
5�. Gas Release to Southern Califomia Gas Cn `� -
51. CERTIFICATE OF OCCUPANCY �
No. Dare
OWNER COLLEGE PARK - DATE 1Z-1.1._5C�
JOBADDRESS 375 Princeton D2'1V8 BUILDINGPERMITNO. #�yO�73
GENERAL CONTRACTOR H3TUOT COII3t. CO• VALUE $].]„ZOO�OO
L., '� BLOCK � TRACT p�p6 Ree. w/det. gar.
GROUP I& J TVPE V ZONE +.µ FIRE DISTRICT I.}].].8
� PEHMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
� � 1 . DATE I NUMBER
Footing Trench
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab v
Plumbing, Rough Complete
Temoorarv Pole
-S'
...� �..y� ..,...y�� me+n ��y- -� .—
Heatino. Rouah �//Y/S / //. _: �..._ .a � ¢'•.. 7 -
Sewer
S•-•�c Tank or Cesspool
L �ig, In Out
Plumbing, Final, Fix
Plumbing, Final Gas
Wiring, Final
Occupancy
FORM 310 3M �0�55
L
✓
✓
✓
Mesa Building Department APPY.ICATION FOR PERIVEIT
117 EAST 20ti �REET L�.'I'A 8 B� �� D,t N G '
enarn Mcce_ r. Fnwni�e
"� FOR APPLICANT TO FILI. IN �OR OFFICE USE ONLY
'` I Heceipt No. Permit No.
Addre� PRINCETON DRiVE �673
Costa Mesa, California Received by Date Ree'd. . Date Issued
Nearest 1�-���-5� 2-��-5,�
CrossSt. HARBOR BLVD. Building
Address
Owner Ci O L L E G E P A R K IV O. 2 Costa Mesa, �i`d�OTI118�
Mail
ndaress 2 I � 6 So . MA I N Sr , Nea�est
Tel. Cross St.
CifySANTA ANA CALI F. No. K % 20 � No.ot I Typ up�
Architector Lic. Pfans �
Englneer No. Approved
b Date
Address CORRECTIONS
atY u�. 61
Contractor HARBOR CONST,CONo.
Address $AME
Leg�al Lot I
Description I No. 2 Block � Tract2726
(Attach Metes and Bounds)
X No.ofBldgs
Size of Lot X � � I Nowon Lot 0
Useof I No.of I No.of �
Existing Bldg. Familiea Rooms yj
Setback Line from Rear Vard Z
Center oT Street � Side Vard y
DESCRIPTION OF �VORH `'
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No. of
Size � Rooms Stories
Exterior Wall I Roof
Covering Covering APPROVALS I
Use of New Foundation Location Inspector Date
Building FiESIDENCE c� DETACHED Forms,Materials,
G AR A G E Under-Pinning
Frame: Fire Stops,
Brecing, Bolts
I hereby acknowledge that I have read Uus Application
and state that the above is correct and agree to comply Lath. Int.
�
with all City Ordinances and State Iaws regulating —'i[ �
building construction. Lath. Ext.
Signatureof
Perm�ttee HARBOR CONSTRUCTION C0. p�aster,�nt.
Authorized Agt. Plaster, E�ct '
Valwation Permit Fee $�g'� Masonry Reinforced
Plan Check $ � � Bond Beam
$ � � �200, Total
Fee $ 02 — FINAL
FnRM RO4 C_RP 2M fi-55
r
c'7
�
...
PLOT PLAN
Show locatlon and dietaneea from
propeHy Iine and between buildings
O
4
�1