HomeMy WebLinkAbout1936 RAYMOND AVE - Building Permits - 4 _ - - _ -, _ _ Applicant to fill in all spaces except those within heavy border lines and.sign.all appropriate declarations. _ _ _ _ _ - _ _ _ _
• CITY Q.`-COSTA MESA CONSTRUCTION PERMIT PERMIT ���/�j TRACT N0. LOT NO. I - I
1938. RaymondUNIT NO. 1 it 7872 1 !/25/86 5e08`—lL
Project Address
. : a 7a7J 1 a i
Applicant's Mailing Address 10422 Trask Ave. ' TYPE OF CONSTRUCTION ❑ NEW ❑ ADD U''ALTERATION H REPAIR' - '
Owner's Name LameIitOn ❑ CONVERSION ❑ DEMOLISH A p #
Phone 6460963 ❑ OTHER t
DESCRIPTION OF WR
OK/USE OF BLDG.
Address 1936 Raymond I - I ! $ Main Building: .Accessary Building: ti
2
' Arch/Eng. • License No. • TYPE OF PERMIT ❑ GRADING' FOUNDATION ElSTRUCTURAL T Front : O
, Address ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear , .. . • , r N
I
Contractor's Name A-Funec' PLnmhing Heatinghone 530-2440 ❑ OTHER - - - --- - - - C Right 1 N
PROJECT DESCRIPTION `SQ. FT. OCCUPANCY - G
Address(mailing) 10422 Track Atte - K -
CONSTRUCTION TYPE VALUATION$ s Left , •- ,
City License NO. 6664 ' R
,ZONE • ,G RAGING CU.YDS. ACRES "' ' ' ' E
' LICENSED CONTRACTOR DECLARATION ^ Ping. Ref.# ,Parking Req.[Prmate
1 hereby affirm that 1 am licensed untl- •rowsi• of Charter 9 (commencing Remarks: Replace Water Heater ' Planning Notes: 1- {('� 1A /RQLW�• - Q
with section 7000) of Division 3 • the rusiness ntl Pr• • '.n Code, and P '! RECtIVFO NOV:2 M
l(�� T
my license is in full force and effe _ _ _ _. -
License clan -36 I 'cense nit II _ _ S !
Date 11-20-86' Signet Ian— - a. PLUMBING .FEES i
IMa
WORKERS' COMPENSATION 0' LAR' ' Bar Sink Showers - •
I hereby affirm that I have a certi ic. e of consent to self-insure ora certificate _ _ •
ELECTRICAL • I FEES
of Workers' Compensation Insu ance, or a certified copy thereof (Section Backflow Preventer Service Sink - -
M3800,• Lab- c.) Automatic Washer Transformer ❑ 15-50 KW
Y t.
Policy NoI 978832 Company Repub.]." Tndemi Backflow Irrigation , Sewer Cap - - •
❑ 50+ KW J I -•
Et Certified copy is hereby furnished. A _ DOnatrUCtl00 Pole Sub. - • -• -.•
• Cer(if))'ed cppy,$filed with the city Building Divisj,Q LC d'HCBL Bathtubs Sewer Connection Cooking Unit Meters❑up to 100 amps r
' Date 11-28-Ob Applicant A-ames 7 Ju ing- >_ng - — - '- '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers' - Solar Collectors • : , . - - , , Dishwasher -• • ' 'Meter'Dover-100 amps; ,
• (Thissection need not be completed if the permit is for one hundred ($100)or - - • _-
less)., Dishwasher - Solar Piping -Dryers ❑Gas ❑Electric - 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 I •-
- ,Motors❑0-1-HP ❑1X-8 :k
Workers' Compensation Laws of California. - - ' 1 -- _ k
Date Signature Floor Drains' Swimming Pool w/Spa - F;A.U.• - Inc Solar 09-15 HP ❑16:15+
' NOTICE:If,after making this declaration, you should become-subject to the- - . — - •• •
-- --
' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal ' Fixtures •
' comply with such provisions or this permit shall be deemed revoked- _ MiCroWav¢ •
CONSTRUCTION LENDING,AGENCY I Gas Service .
Outlets Water Close[ Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued. (Section. 3097; Civ. C.) Interceptors Water Heater
• Lender's Name - p I - • 2 00 Outlets Range
I- Lender's Address - - .• - - - Kitchen Sink -- - -- Water Service - - - - -'-' —
OWNER BUILDER DECLARATION - _ _• - Switches Sign - ,
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • Garbage Disposal Standing Sections j •
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 Com actor
any structure, prior t0 its issuance, also requires the applicant fo prochspermit p ,-
• to file a signed-statement that he/she isaicensed pursuant to the provisions of Roof Drains - f
the Contractor's License Law (Chapter 9-(commencing with Section 7000) of - - _- _ _ _^
Division 3 of the-Business and Professions-'Code) or that he/she-'is exempt. -" . . - -� -" - -- - �t -" "
therefrom,ann•the basis for the alleged exemption. Any violation of Section • , l ' '
7031.5 by any applicant for a permit subjects the. applicant to a civil -
' penalty of not more than.five hundred dollars($500). i II - • I /
•
0 I, as'owner of thefliropeity or my employees with wages as their sole - Reinspection-Fee V $15 - .Issue Fee $ 3 - - -
compensation, will do-the work, and the structure is not intended or offered _ I — Reinspection Fee i I $15, 1Issue Fee I ;,$ 3 ...
for. (Section 7044, _Business and Professional Code: The Contractor's i MECHANICAL 'FEES
License Law does.not apply to an owner'of a property who builds or improves ' c _
thereon; and who does.such work himself/herself or through his or her own - - F ; - DEVELOPMENT SERVICES REQUIREMENTS: '
employees, provided that such improvements are not intended or offered for Boiler - Hood or Type I El - ,
sale:If, however,-the building.or improvement is sold within one year of corn- , - - • Canopy ,Type I I 0 Zoning Approved By I Date
pletion, the owner will have the burden of proving he/she did not,build or Im- Duct-Under Ground • Building Approved By - ��• ' Date
prove for the-purpose of sale). - _ //� ) "/ i��,
❑ I, as owner of,the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System' I _ Application Issued By s.lL,i+ • Date
i 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 ❑0-100,000 BTU ❑100,000 BTU " ' SUMMARY OF FEES - 4
, builds or improves thereon,and who contracts for such projects with a con- - • - ' , s.
' ' tractor(s) license pursuant to the Contractor's License Law). lam aware thatBUILDING PERMIT $ �SMIP I -. $
. proof of their'Worker's Compensation insurance should be provided to me.• Exhaust System 0 Multiple 0 System.Repair/Alteration - _ n _ ,
I - - PLAN CHECK - $ c -PERMIT
❑ am exempt under Section' 'B.& P.C.for this reason • Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING - $ 'an.
ISSUANCE $
Data' - Owner - - _ Heating System& Ducting -. • Registers ' ' PLAN CHECK X25% $ ENERGY P.C: $: _
I hereby certi - e read this application and state that the above- ❑oiloo,000 BTU ❑100.000BTL' " ' 1 -GRADING ' $ ') -
' information - correct:y agre- tor th all city and county ordinances - ELECTRICAL . . $' -
•and_state I ' s relatin :to b •ditr retie , and herebyauthorize repro-. — - - - - - - MICROFILM - $ , ' '
•sentative /•f this c'9 o enter - the�.:.ve-mentioed• property for. - - . •, - - -- _ PLAN CHECK 50% _- . • � , s
inspectio, pu '® ,
- - Reinspection Fee $15 - • Issue Fee - $ 3- - PLAN CHECK 25% $
CMF 0865-.6,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
.71111
•
CONSTRUCTION AND PLANNING - . - ' - - POOL&SPA-- - `
APPROVALS Permit# ;Date 'Inspector APPROVALS Permit Date Inspector %
1'. Temporary Electrical Service or Pole , 52. Pool & Equipment Location
1 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,
• 3. Electrical Conduit Utility-Undrgrnd. - • ' 54. `Forms' + .
Cu .
4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
5. Steel Reinforcement • 56. Rough Plumbing'& Pressure Test '
6. Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE • '
7. Footings - 58. Electrical Conduit-UndrgrnccT: 's
8. Foundation - . - 59. Gas Pipe, 0 Undrgrnd., Test' . • • ' s .. •
•r
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, OiCndrgrnd.
10. Structural Floor System61. APPROVAL TO DECK f-- '
ii.,:
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 O Gas 0 Oil
25. Roof Sheathing • 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing - - .r - - 76. Dry Standpipe .` .
28. Lathing & Siding 77. FIXED SYSTEM FINAL .
29. Insulation 78. FIRE PREY. FINAL i
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
. r
c
37'. Final Factory Fireplace r ri -
38r Final Plumbing . "/l/PY f . `
• 39. Water Service-Final 4 H -
ri_ - . •
.40. Gas Service-Final - •"' • '
'41. Solar Domestic-Final •
42. Backflow Preventer
43. Backflow Irrigation • - 0 . '
:44.• Landscape Irrigation System rl
45. Sound Attenuation . -- +'� ''
' 46.i Handicap Regulations • c i,- P• - •
47; FINAL STRUCTURE & BUILDING _ .,
48.,Special Requirements Completed t. '� • • - .-
'491 Electric Release to Edison ; r - - • I •
L-
• •50. Gas Release to Southern California Gas Co .
51: CERTIFICATE OF OCCUPANCY . - ' - • - ---
No. • Date - -
ORANGE COUNTY BUILDING DEPARTMENT - APPLICATION FOR PERMIT
636 North Broadway ^'� .D - --- -
SANTA ANA, CALIFORNIA G .
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
I RECEIPT NO. PERMIT NO.'
BUILDING //�5 ��Ay ,.^ d /7 3�S3 5 � �r
ADDRESS / r/ /„ IC•/ K/3
OR HOW DIST. /�J° 51,9
4 6_S jf RECEIVED BY DATE RECD. DATE ISSUED
OR TOWN (f///y �7 - //�/// > // (/
NEAREST / / 51- j i/ VJ / fly/�n1 ///ils".
CROSS ST.//�� ' / /� /� / p /
OWNER /Uy /4J � yrR/J'///.//I BUILDING( /7 J ,
y/`�•y o ADDRESS • / c Giem.AJ7•-/
MAIL /7y .Roc e/ESteR it SCHOOL IIST. I
OR ADDRESS / �]�
CITY Co s it-61 pie /T TEL
NO 13E1/J ] NEAREST i f J
CONE"T.iN 11/9--In ).J A
ARCHITECT OR LIC. ZONE- 1 NO. OF t I-1 T=IP, I GROUP` ❑1
ENGINEER NO. R I i PLANS /J fJ/
ADDRESS ///-
APPROVEDi .(� JA E
CONTRACTOR 3 A m NO/,A.Ali BY)
L L / ///O'n iTE�1� i 1
co; ' ECTIONS /
ADDRESS - - _ - - -- - -
LEGAL
DESCRIPTION I NOT//d/ZI BLOCK I TRACT I -!�
I
(ATTACH METES & BOOUNDS):/ ' -
NO.OF
SIZE OF LOT/ /, PO I NOW ON LOTS O _- -- - - -1
• i
USE OF - NO. OF NO. OF _ I -- I
EXISTING BLDG. I FAMILIES I ROOMS • - l4
SETBACK LINE FROM: // REAR YARD N24 t I _
CENTER OF STREET �J SIOE YARD ,3-1. ' - - ;p'. '
DESCRIPTION OF WORK 0
O
NEW I X ALTERATION I I ADDITIONZ
..1'
" D
REPAIR I I MOVING n I DEMOLISH I `, 1,g - r
SIZE ILDINGn� y / 3 NO. OFROOMS O STORIESn //- V �� Nt..,'
sir- Q C L- of Y, �v
CO ERING(WALL Cl��C C I EF foci\ - J� "�\ C { Lit
CUSE OF OVERING �t ,,/ �/ O ) i J�.� �`T
BUILDING NEW
V NF �/' Y ✓ ' 4/t� •`:z� t• ~gc `.1U `A
/IVA 0 `
�f
‘",Pe i� ;� 'rte ;,
3 64
I t PPROYALS ,r
FOUNDATIONjLOCATI \rtCINSPECTORt DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIA `-� 0i1J • > '� s .
UNDER-PINNING TK w� /�� /�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT r
FRAME: FIRE STOPS, nn
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING, BOLTS y wo /„z S/ Ci
AND STATE L REGULATING BUILDING CONSTRUCTION.
LATH. INT. /2147/2 // 7 f IF
-SIGNATURE OF LATH, EXT.
PERMITTEE
PLASTER, INT.
AUTHORIZED ACT. PLASTER, EXT.
CC PERMIT FEE $ MASONRY REINFORCED
VALUATION $/.3O(JJS0-
PLAN CHECK $ ✓- BOND BEAM , 1 0
TOTAL ��NAL ?,W i2 '3
` 'Z3
L FEE $3 S
z _
W '
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rC _ ` o '\., 1', 1. *1.'•' ,,/S ti. \ '
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,..5.00 - r "NOV 4 =53 c \�-- `:: X1 '1 ;;, ,t ;� ,
A - 0;0 lit-
BAUD. "} r -Cs.',, `.\ ,5I.'. >
•
STREET - -
- c•L, - - _-_
lr
PLOT PLAN - ! "__ _
Show location and distances from -
property line and between buildings.
fieltj SW /ZS ' ff
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OWNER T,AMERTON, AUBREY DATE 12-7-70
(� JOB ADDRESS 1936 Raymond Avenue BUILDING PERMIT NO. 32544
\ GENERAL CONTRACTOR Standard American Bldrs DESCRIPTION of WORK Extend Bedroom in Residence
APN0. 118-212-11 LOT(por)11&12TRACT 499 FIRE ZONE VALUE $ 1,680.00
INSPECTIONS Signature Date GROUP j TYPE V ZONE q_�
'�f' SOIL SUBCONTRACTOR PERMITS ISSQED
(
GAS Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. H
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER
ROUGH WIRING (''?/ Heating and Vent.
TRENCHES FORMS STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE fl (�
SHEATHING j'7.G-(v� /233 o--, L {
ib
FRAME NO IN [At4 fj
LATHING OUT
PLASTER, BROW,INNtCOOAT
STRUCTURAL, FINAL 1//, ./� -EI }ri ��J -/[�
HEATING, VENT., REFRIG. AND A.C., FINAL / ��11� p' a1�'",�
PLUMBING, FINAL AND GAS TEST n (/ /
ELECTRIC, FINAL 2 -3- 71 �.
BUILDING, FINAL j� 1-2'-'-7f
32544
PAID
CNSA410* ****_
?' DEC X0-00 75.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
� RECEEIIV//ED/By GATE RECEIVEDV� DATE ISSUED
BUIADDRESS Rya✓b RNhibt `-•VTC ✓ C diA /�-7'."!4' 2 - 7- ,1)
..� PERMIT NO.
OWNER E T.41. L, L - I A.P. NO. - -
BUILDINGMAIL
�J ,O/�
Z ADDRESS � � - - ADDRESS /[s1 `S3 d `FY oleo
// `Lf
W W TEL.
d CITY NO. /
TRACT s/f9 LOT /.2._ BLOCK
Z
Z
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
O N LENDER k
0- m `' /^/ �^
J cn BRANCH OWNER &' '�� 01/29,..,..„,,,,x„
< W ADDRESS' /����///,
m•CO ARCHITECT TEL. US El'�Y/!X VALUE /�A dl
J < OR ENGINEER NO. (' //
O Q FIRE
W CC ADDRESS ZONE TYPE GROUP it
APPROVED
W Z CONTRACTOR S�b1J��QbAyE1 \ti 1l ;/ , / DATE/L-7 4
Om
- --- -
Z
JCC ADDRESS `4C LI. &tom'1tE Ic'iµ �
€ LS. IO.
W W TEL. ZON NO.OF USE OF NE �j�'�Y/ fg�✓l�
O= CITY A •1�l A►-FEIu NO.4"3Jd PLANS BUILDING AIArt
Z 1-
WO STATE �y � CITY /� r' YARDS APPROVED YARDS APPROVED
CO CC LIC.NO. .- S 4LOzj LIC. NO. j94i _ MAIN BUILDING ACCESSORY BUILDING
7 O / (FROM C/L STIWT)
P
SIZE NO.OF BLDGS.
OF LOT '' I NOW ON LOT FRONT�,Il/ .../6j./ FT.
USE OF 9
EXISTING BLDG. R.SLOE / / FT. FT.
H SIZE OF NO.OF
2 NEW BLDG. /2 X 16 ROOMS i STORIES ' L.SIDE FT. FT. _
Q EXTERIOR WALL ROOF BUIL."[ LA P `/'f
C._) COVERING CoCOVERING COO/post tsu L, REAR uV rT. FT.
J USE OF BUILD NG AND WORK TO BE PERFORMEDDISTANCE BET. BET.MAIN&
1
a ' MAIN BLDGS. ACCESS.BLOCS.
Q VAR.# DATE
O %CO '2r AA �.r ►aS tec-1
G.U.P.# APPROVED
I- APPROVED u�(/ �
(n _HY ATE
2
O
H I hereby acknowledge that I have read this application and state
M that,the above information is correct and agree to comply with - _ - ---
all laws regulating building construction, and I shall not employ
CC
H any person in violation of the workman's compensation laws of
C/3 the State of California. ../.{ co
Z I hereby certify that I am properly licensed as a contractor under /`^ SQ. FT. - a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licensee are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R
am exempt from the provisions of the State of California Business
VALUATION �a
and Professions Code, Division 3, Chapter 9. 7" 'L'p N
PERMIT FEE $/7"
yM-,.� i j
O 1 m
Signature of 11 / 0 PLAN CHECK $ E
Permitteei�Q.LL+"L.� - • e $/ /se,
Authorized Agent pt��{,� r - G I/ �- u
TOTAL FEE $
Th.OWNER RINE ART, MARGARET AND LAMERTON AUBREY DATE 9-b-b5
JOB ADDRESS 1938-1936 Raymond Avenue BUILDING PERMIT NO. 2+�b86
II
GENERAL CONTRACTOR Al
tlma-KOO1 DESCRIPTION OF WORK Patio Cover
AP No. 118-212-11 LOT TRACT FIRE GONE VALUE $ 200.00
INSPECTIONS Signature Date GROUP J TYPE IV
ZONE R-1
A SoilPERMITS ISSUED
I
Gas SUBCONTRACTOR Date I Number ( Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0 _
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0 _
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final a.79/D /-?/. /6..
24686 t TA
MESA•CCOSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF C`JS 1 R
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92920
SEP 8 1965
For Applicant to Fill in Completely APPLICATION FOR PERMIT
a TYPE OR PRINT n1Y
ADDRESS // 30 - 3( illym ArV� tQ u 4
L R[cEirt NO. 3E MAY NOA
COSTA MESA. CALIFORNIA jy�55/y/�/v'
4.7�YR9 rt: R I Ng-i'.'i4 et Men n �AT�'r - �.
OWNER .Q4 RPy G L.oiT e.t fv A. //['J 7* !r-,�
ADDRESS S/l^2n -e-_,
ADDRRESS l �/ 3$L34 CNYA/IAJA/
FIREs i i
CITY C U T to M4 S �-- NO. ZONE GROUP /
APPROVED
RPbP/.//0 2 / BY' DATE aj
OR ENGINEER _7.sy'St J- N GO
ADDRESS 3/23 4/ ezz .S�• ONING
ZONE//�� NO.OI /) ma or taw 6-11-4021-'
,(� 1 P N/GG I BUILDIN
CONTRACTOR ejli.IT.e .. ��u cZ L r L l . /1j.�A J =-
ADDRESS
L / A. - [ 99toe- 7 Co ‘ ff1// Jf-. �clNFnoN ( /L L eL�C�L //
CITY " - /• A.P.NO. ✓ // D -X./,7_, /1
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE �q,.' /: NEL ^7rp—/ z.y ca 30"TO SIDE a REAR P.L
LIC.NO. /Y/ Sv NO. / (
T EAVES
SIZE I NO.OF 51.005./ ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LAT YARDS APPROVED YARDS APPROVED
USE OFJ MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 4.6,5. (FROMC�/ 8871
SETBACK LINE FROM FRGNT-`��L.TT. / PT.
REE
CENTER OF STT REAR YARD '/
et
SIDE YARD I LEFT RIGHT R.SIDI X FT. FT.
-
DESCRIPTION OF WORK L SIDQ2 FT.. FT.
NEW ALTERATION ADDITION 1,.0 REAR SC) PT. FT.
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
O,.y. / / VAR.* DATE
SIZE .. . .A'/
( D ROOMS NO.OF / STORIES / C.V.P.#
APPROVED
EXTERIOR WALL I ROOF
COVERING ROOERIN747/"•• AFR2
7
1 Y/ 1Y+c� TB Q/
%
USE OAFF UILDINS AND WORK TO BE PERFORMED (y
W/ii J-[-- P•j-T,-o (>dv.Pre- to
I
m
SQ.FT.
I HEREBY ACKNOWLEDGE THAT.) NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STATE THAT THE ABOVS.IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRU }
SIGNATURE OF s '/%/J _ PERMIT FEE $ 3 '� E
PERMITTEE /�"L/��e..0
S tyy.i PLAN CHECK S w
AUTHORIZED AGENT Kdo J 3 co
A—_ -,_�� TOTAL PEE $