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Home My WebLink About2117 ELDEN AVE - Building Permits;, City of Costa Mesa 6u�lding Safety Department P. O. Box 317 Cwta Mesa, Califomia . CERTIFICATE OF OCCUPANCY ;� N° 2405 C The Building located at �Y �E'A A9Cl312C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances opplicable thereto for a Group � Occupancy. � Use of Building i� {i!!tt• A3�T�'�'°nt BILi�A.� Legal Description "^�'��"� - (See rever:e tide for Mntet and Bou�dt) Building Permit No. t39� Electrical PermiT No. �� Pl�mbing Permif No. 4�� - Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . required �nder Sec. 3301 (1) U. B. C. � ` 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be �sed or occupied �ntil the owner or operator has been issued o valid certificate of occupancy by �the enforcement agency. � (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion ihereof , � 2) The number of apariments or guest rooms ' 3) Ownership If Group H Occupancy, number of apariments and/or g�esf rooms as required under Sec. 77050.7 (d), California Administrafive Code, Title 8, Chapter 9, Article S. .. Number of apartments—� and/or guest rooms , ISSUED TO: Building Official �,13D �: � fA. br �j �i�: .�� .- �',, �;- � _;,! Date OCtQbt'=r 21s 1� - This �ertificaTe of Occupancy SHALL BE posfed in a conspicuous place on ihe premises and SHALL NOT BE removed oxcepi by the Building Official of fhe CiTy of Costa Mesa under Sec. 306 (e) U.B.C. Fom, sua+—iM—v-es—s-B r . City of Costa Mesa Building Safety DepartmenT P. O. Boz 717 . Costa Meso, Colifornia CER7IFICATE OF OCCUPANCY rj� • 2Qns C The Building located at ��Z �E`T� A�'rn'e has been inspected and found to comply with the provisions of a11 City of Costo Meso Ordinances applicoble ihereto for a Group � Occupancy. Use of Building � ��4�t �� Legal Description �"Q�'� (Sea rovane sida for Matet ond Bounds) Building Permit No. QQ�], Elecirical Permii No. ��'1�._ Plumbing Permit No. 4747�-- Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under $ec. 2308 U. B. C. . req�ired under Sec. 3301 (1) U. B. C. � 17050. CERTIFICATE OF OCCUPANCY. (a) No apariment house, hotel, or lodging house shall be �sed or occ�pied unt�l the owner or operator has been issued a valid certificafe of occupancy by the enforcement agency. (b) A new certificate af occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership � If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Tifle 8, Chapter 9, Arficle S. Number of apartments � and/or guest rooms ISSUED TO: Building Official 6f�an � r.n by�� , �'— Date _ OotaL�23.' 21� 195�i 'fhis Cerlificate of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed except by the Building Official of fhe Gity of Costa Mesa under Sec. 306 (e) U.B.C. Fo,,,, ava4-aM_l�-a�...s.s r City of Costa Mesa Building Safefy DepaMment P. O. Box 717 Costo Mexa, Colifornio CERTIFICATE OF OCCUPANCY N� 2407 C The Building located af '��1`i �� 11Vc�T�LLO has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group x Occupancy. Use of Building � ti1�� Ai�'GffEin't .�S�.it�f Legal Description �A�"� (See revers� sida for Mete� ond Bounda) Building Permif No._i�'��-- Elecirical Permit No.�jfl:� Plumbing Permit No. ��5'i Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. � 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment ho�se, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a b�ilding or portion thereof 2) The n�mber of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or g�est rooms as required �nder Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartmenis � and/or guest rooms ISSUED TO: Building Official F1AftA �i`.��' CO. bY . � � �...�—� Date OCsUI'!32' �S� i� This Certificate of Occuponcy SHAII BE posted in o conspicuous place on ihe premises and SHALL NOT BE removed except by ihe Building Official of the Ciry of Costa Mesa under Sec. 306 (e) U.B.C. Fo� avaa—�m—i�-a�s-s r G 1 T I V F U V D 1' H' ra .� � CALIFORNIA P� 0. BOX 120� - .. FY�om ,..�e OPfice of� the Planning DePBrt._..:nt 1 � �y 2' 19� j�7ard Development Compar�y 1920 Harbor Boulevard � , Costa biesa, California The City of Costa Mesa �+i.shea to advise you that in revising street addresaee� the numbere liated below were changed: Old Addreea New Addrees 2110 Newport Baulevard - Bldg. 5�� 9�-d 2117 Elden Avenue - Units 1- 35 �d '„ „ „ ' �� 6 a � 9 �✓ �� 37 - z oaa �� " '7 a�933- w �, u N 2- 3� �ren �9 H�.4 � e C� 9 � • � o� �� ""'c� For your convenience we are ii ir.,, :.ie sgencies b ox that ' we will notify oP this change. �n addiz_.,n �o those iisted� you may desire to notify your correspondentis of the change. : " Your cooperation in this matLer is appreciated. rlb cc: Southern Calif. Edison Co. Southern Co. Gas Co. Cos`,a Mesa Co. Water Diet. Pacific Telephone U. S. Post OPfice County Cierk (4j Public 47orks Dept. E:igineering Dept. Bldg. Safety 5treet File Pacific Facility Test Center Bond Department �-/y � G C � -_-_/ �_-_. �...�,�4>� -.�y,.. . ...�lT�/�G�- ��_ Very truly youre, W. L. Dunn Director oY Planning By • ,,iSJ��'� �. [_� �. oi� � 1— — Planning Technician �U' cr.�c-�—PJ 0.� � �'� C�� ,-,� �/�,��;� __ �-_- _ . >-- .-_ -- �: :;?r^;^' —�.--•-�—.�,�� r, aY :. ., . .-. _Ffi F'r's.nTy� ,,,Rr--r.�, _ . . _ __ - 4,r�•;�.�i}' y'�'��p� �"_'-.-. ... �t! .. � ,I ,'.'::,.i'"",; / . i � (774)754-5273 • Fax(714)754-4B56 .lobAddress: 2117 ELDENAV Suite: 5 Vicinity: BUILDING 5 Parcel Nunmber: 42612109 npplicant: DAVIS, SAMUEL Address: 984 N ELM CITY OF COSTA MESA BI/ILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ORANGE,CA Owner: WARD, BARBARA G TR Address 116 KINGS Pl NEWPORT BEACH, CA Contractor: DAVIS ROOFING CO ,Address: 984 N ELM' ORANGE,CA Zip: 92867 Arch : Address: Zip BUILDING PERMIT Zoning: R3 R3 Phone: 774-628-9525 Zip: 92867 Phone: Zip: 92663 Phone: 714-628-9525 . License: 509824� Eng: Address: Phone: License: Zip: SCOPE OF PERMIT TEAR OFF, RE-ROOF WI7H BUILT UP. Plan Check: $0.00 Permit: $112.25 SMIP Res: $0.52 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $112.77 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Lek 0- 0 Proposed: 0 PERMIT NUMBtR T7 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: � Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 Status: ISSUED Applied: O6/1 511 9 9 9 Issued: O6/15/1999 Phone: License: ss,�so.00 ss,iso.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRA710N: This permit shall automaticelly expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all requlred Inepeetlona and flnel epproyel must be obtained. Failure to obtain inspections and final approvel will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 750.5626 WORKERS' COMPENSATION DECLARATION: I her6Sy et/irm under penalty o/ perjury one of the tollowing tleclaretions: ❑ I heve and will maintein e certificate of consent to self-Insure for workers' compensation, as provitletl tor by section 3700 ot the Labor Cotle, tor tha partormance of the work tor which this pertnit is Issued. . ❑ I have end wlll maintain workers' compensatlon insurance, as requiratl by section 3700 ot the Labor Code, br the pedortnance oi �he work for which this pertnit Is issuetl. My wolk� rs' c�pensat�n Insu�ynce carrier and policy number are: Carrier., IT(4� T7Ail �� PoliCy Numbef: (��L Z-�'/ (This secfion need not be campleted 1! fhe permit is velued ef one huntlred dollers ($100) or less.) ❑ I cenity that In tha pedormence of the work for which Ihis permit is issueQ I s�ell not employ eny person in any manner so es to become subject to the workers' compensation laws ol Califomia, and agree hat ii I should becrome subject to Ihe workers' compensation provisions of Section 3700 of the Lebor Code, I shall forthwith comply with these prov ions. /' � G Applicant SlgnaNre: � — � Date: !�— � S ' / WARNINO: FAILI/RE TO SECUR WOFiKERS' COMPENSATION COVERAGE IS UNL4WFUL ANO SMALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000). IN ADOITION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE IABOR CODE, IfJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirm Ihat I am lice�tl¢'r pr�ovisions of Chepter 9(commendng with Section 7000) of Divislon 3 of �he Businas entl Pri� essions Cotle, and my license is In full force antl eMea. Lic. p.� X` �/ ii7 Cless a �' �> ConVectofs Signawr � � �—r Date: _ _ � `/ S � 9 `i CONSTRUCTION LENDING AGENCV: ❑ I hereDy attirm ihet there Is e construction lentling agency lor Ihe peAormence of Ihe work for w�ich ihis permit Is issuad. (Sec. 3097, Civll Code). lendels Name: Lentlefs Adtlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm that under penalry of perjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a pertni� b consiruct, alter, impmve, demolish, or repair any structure, prior to its issuance, elso requires the epplicant }or such pertnit to tile a signed statemem that he or she Is licensetl pursuaN to ihe provisions of t�e Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of tha Business and Professions Cotle) or Nat he or she is exempt Iheretrom and the basis for the alleged exemption. Any violation ot Sedion 7031.5 Dy any epplicant tor a pertnii su6jecis 1he applicant to a civil penalry oi not more than tive �untlretl dollars ($500)J: ❑ I, 85 owner of ihe property, or my employees wiN wages as their sole compensation, WILL DO THE WOPK, entl Ihe simcture is not intended or offered for sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Ww does not apply to an owner of property who builtls or improves thereon, antl who tloes such work himself or herseH or through his or her own employees, providetl t�at such impmvements are not imended or oHered for sale. If, howaver, the bullding or impwvement is soltl within one year oi completion, Ihe owner-buildar will have ihe burden of proving iha� he or she did not build or improve for purposa of sale.). ❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTiiACTORS to conslruct ihe proiect (Sec. 7044, Business and Professions Code: The comractors License Law tloes not eppty to an owner of properry who builtls or improves ihereon, and who contracis tor such project with a crontractor(s) license pursuant to Ihe Coniractors License Laws.). ❑ I am exempt under sec. Business antl Protessions Code for this reason: SignaWra: Data: Owner ID verified by dnver's license. ❑ Ves ❑ No Dnver's License No. Venfication ot Ownership by (type of document, i.e. - properry ta�c bill or deetl): 6 pires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION: ❑ I hereby certity ihet no excavetion flve (5) or more feet in depth Into which e person is required to tlescentl, will be made in connection with work authonzetl by ihis permit, and thet no bulltlin9 structure, scaffolding, lalsework, or demolition or dismantling lhereol, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Titla B, Califarnia Adminisiretive Code). ❑ As owner-builtler, I will not employ anyona to do wark which woultl requlre a permit tmm �he �ivislon of Indusiriel Sefety, as noted above, unless such person has e permit to tlo such work from the tlivision. Slgneture: Dete: Division ot Indusinal Sefery Permit Number: CEFiTIPICATE OP COMPLIANCE AND Al7THORIZATION OF ENTRY: I certity untler penalry ot perjury that I have read this application antl state that the infortnation given is correct. I agree to comply with ell state laws end ciry ordlnances releting to Duilding wnsirucUon, end authonze represen�a�ives of �he Ciry ol Costa Mesa to enter upon the ebove-descnbed pwperty tor inspection purposes. I agree not to occupy or ellow occupency of any building authodzed by this permit untll linal inspection. aS wre Ot Legel Owner(s) ^_/ �_ D�te„ �,. . 1/ h r f� AnNOr Authorized Applicent Date COOE I. INSPECTIONTYPE 1616 Fixed System Finel Fire Preventlon 1266 Pool Spa Flnel 200 Final Re-Roof 201 Finel Black/Reteining Well 202 Finel Fectory Flre Place 203 Finel Sign 204 Final Demolition . 2446d6 QdIE 1I�45 r.��-i� ., , COOEI MSPECTIONTYPE 206 Final Mechanicel 208 Finel Plumbing 210 Finel Electdcal 212 Final Fira Prevention 220 Finel Plenning Approval 222 Finol Site 250 Final Builtling/Occupancy PAIE Iti�LS �� `o � �.� �� Q�� , ` ��; � .� O. �-1 rce� � �, ��'�� a �� sgs ,�' I,yS"D°� z _ _-, .� =— � _ _ .• ;. �i�e� St .� �ai�7 � � � � � (774) 754-5273 • Fax (714) 754-4856 Job Address: 2117 ELDEN AV Suite: 6 Vicinity: BUILDING B Parcel Nunmber: 42612109 Applicant: DAVIS, SAMUEL Address: 984 N ElM CITY OF COSTA MESA BIIILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ORANGE,CA Owner: WARD, BARBARA G TR Address � � 116 KINGS PL � �� NEWPORTBEACH,CA Contracror: DAVIS ROOFING CO . Address: 984 N ELM' ORANGE,CA . Zip: 92867 Arth : Address: Zip Phone: BUILDING PERMIT Zoning: R3 R3 Phone: 714-628-9525 Zip: 92867 Phone: Zip: 92663 Phone: 714-628-9525 - ' ' License: 509824 Eng: Address: License: Zip: SCOPE OF PERMIT TEAR OFF. RE-ROOF WITH BUILT UP. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $87.25 $0.50 $0.00 $0.00 $0.00 $87.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Status: ISSUED Applied: 06I15/1999 Issued: O6/15/1999 Phone: License: $3,750.00 $3,750; 00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutas and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is nof 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 requlred Inepectlona and tlnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOfl INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: . ' ( I hereby afllrm untler penelry ol perjury one of the followinq declarations: ❑ I have end will malntain a GeNlicate oi cnnsent to setl-Insure for workers' wmpensetion, as pmvidetl for by section 3700 0l Iha Labor Code, for the peAortnance of the work for which this partnit is issued. �I have antl will malntain workers' compansatlon insurence, as required by section 3700 of ihe Labor Cade, tor the pe�ortnanca of the work tor which this permit is issuetl. My workers' compensalion /In� e�nce ca%r'�er and policy number are: /' Carrier.�_,ri��%"� f-'t/K�l PolicyNumber.�� (9.��ZZ7 (This sectian neeU not be complB�etl il fhe permif is velued ef one hundred dollars ($100) or less.) ❑ I certly that in the peAormance of tha work for which this pertnit is issuetl, I shall not employ any person in eny manner so es to become subject to Ihe workers' compensation laws of Celitomia, and agree ihat ii I should become subject to ihe workere' compensation provisions of Sectlon 3700 of the Labor Cotle, I shall forthwith comply with Ihese pro � ons. / l Applicent Signeture: �z .c-.-.�✓/� — Dete: v ��S —�� WARNING: FAILURE TO SECUPE WO�ERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SYJ4L SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($t00,00D), IN PDDRION TO THE COST OF fAMPENSATION, DAMAGES AS PROVIOED FOR IN SEGTION 3]O6 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTOpS D6CLARATION: I hereby aHirm that I am liceysed unde r visic rorce entl eRect. Lic. a S Coniredofs Signeture:_ of Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Profe ions Code, end my license is in full Class x "" S� � Date: �—/ i`� � 0 CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirm thet thare is a construction lending egency lor ihe perfortnence oi �he work for which this permit is issueA. (Sec. 3097, Civll Code). Lenders Nema: LenGers Addrass: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalry of periury Ihat I am E%EMPT FROM THE CONTRACTOHS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to construct, elter, improva, demolish, or repair any simcture, pnor to Its issuence, also requires the applicant for such pertnit to tile e signetl statement ihat ha or she is licansed pursuan� �o Ihe provisions ot �he Conirectors License Law (Chepter 9(commencing wlih Section 7000) of Division 3 oi Ihe Business end Professions Cotle) or Ihet he or she is eaempt therefrom and the �asis for ihe alleged exemption. Any vlolatlon of Section 7031.5 by any applicant tor a permit sub�ects the appllcant to e civil penalry of not more than live huntlred dollers ($500).): ❑ I, es owner of Ihe property, or my employees with weges es Ihelr sole compensetion, WILL DO 7HE WORK, and the stmcWre is not intentled or oHered for sela (Sec. 7044, Business and Protessions Code: The Coniractore License Lew does not apply to an owner of propeny who builds or improves ihereon, and who tloes such work himself or herself or ihrough his or her own employees, providetl thet such improvemems are not intended or oHered for sale. If, however, the building or improvement is sold within ana yeer ot completion, the owner-builder will heve ihe burden ot Droving ihat he or she tlitl not build or imprave for purpose of sale.). ❑ I, as owner oi the property. em EXCLUSIVELY CONTRACTNG WI7H LICENSED CONTflACTORS to construcl the prolect (Sec. 7044, Business and Protessions Code: The conirectore Lica�se Law does not epply to en owner ot OroPerty who bullds or improves thereon, and who contrecis for such project with a con��actor(s) license Dursuant to ihe Con«ac�ore License Lews.). ❑ I am exempt under sec. Busineu end Protessions Code for ihis reason: SigneNre: Date: Owner ID verlfiatl by tlnver's license. ❑ Ves � No Dnver's License No. Ezpires: Venfication ol Ownership by (rype of daument, i.a. - pmperty tax Dill or daed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certlfy thet no exca�atlon five (5) or more feet In tlepih Into which e person is required to descend, wlll be made In connectlon with work eulhorized by ihls permlt, end thet no builtling stmcture, scaffolding, falsework, or tlemoli�ion or dismamling thereot, will be more than ihirry-six (36) teei �ig�. (Chap. 32, Grp 2, Art 2. Sec. 341, Title B, Celifornia Atlmi�isiretive Code). ❑ A5 owner�builder, I will not 9mploy anyone to do work which would requlre a permit irom the Division of Industrial Salety, as notetl ebove, unless such person has a permit to do such work from ihe division. Signawre: Dete: DiNslon ot Industnel Setety Pertnii Num6er: CERTIFlCA7E OF COMPLIANCE NdD AUTHORVJITON OF ENTAV: I certify under penalry of perjury ihat 1 heve read this appliwtion entl state that ihe information given is correci. I agree to comply with all state laws end ciry ordlnances reletlng to building constmction, antl authorize representatives of the Ciry oi Costa Mesa to enter upon the above�describad property tor insp0ction purposes. l egree oot to occupy or allow occupancy ot any building euttwrizetl by th�s pertnit until flnal inspection. COOE 1. INSPECTIONTYPE t616 Fixed System Flnel Flre Prevention 1266 Pool Spe Final 200 Flnel Re-Roof 201 Final Block/Reteining Wall 202 Finel Fettory Fire Plece 263 Ffnal Sign 204 Finel Demolition zaawe aeiE li�e�s 6 — j5, - s�� Date CODEt INSPEC710NTYPE 206 Finel MeChenicel 208 Final Plumbing 210 Final Electricel 212 Final Fire Preventlon 220 Final Planning Approval 222 Finel Site 250 Finel Buil 0 �d � � � o �N � �,.� � u �r� � �v � �,�5 ' ; _;�I ��;�� ,y-1,2� ,�� t� ico�� 0 ,� I,Ys"o � 0 z _� � -�-, .- --- _= _ ;, . �- lc( eN s� � S � �.. 5$s , � � � (714)754-5273 • Fax(714)754-4856 Job Address: 2117 ELDEN AV Suite: 7 Vicinity: BUILDING 7 ParcelNunmber: 42612109 Applicant: DAVIS, SAMUEL Address: 984 N ELM CITY OF COSTA MESA BI/ILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ORANGE,CA Owner: WARD, BARBARA G TR Address 716 KINGS PL � NEWPORT BEACH, CA Contractor: DAVI5 ROOFING CO . Address: 984 N ELM ORANGE,CA Zip: 92867 Arch : Address: Zip BUILDING PERMIT Zoning: R3 R3 Phone: 714-628-9525 Zip: 92867 Phone: Zip: 92663 Phone: 714-628-9525 � License: 509824 Eng: Address: Phone: License: Zip: SCOPE OF PERMIT TEAR OFF, RE-ROOF WITH BUILT UP. Plan Check: $0.00 Permit: $112.25 SMIP Res: $0.52 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $112.77 SETBACKS MAINSTRUCTURE Front p-p ACCESSORY Front 0-0 PARKING Existina; o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 Status: ISSUED Applied: O6I15/1999 Issued: O6/15/1999 Phone: License: $5,150.00 $5,150.00 NOTICE: The work authorizatl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 72-21-92) EXPIRATION: This permit shall autometically expire end become void if work is not commenced within 180 deys, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for the work eWhorized under this permit to be considered legal, such work must comply with all applicable codes, and ell requlred Inepeetiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (71q) 7545626 W'bBKERS' COMPENSA710N DECLARA710N: . � � I �ereby ettirm untler penalry of perJury one oi the tollowing declarations: . ^ ❑ I heve antl will meintain a certifiwte of conseN to self-Insure for workers' compensation, es providetl for by sectlon 3700 of the Lebor Code, br Iha peAormence ot Ihe �( wOrk for which this pertnit i5 issuetl. I� I heve end will mainWin workers' compens8llon insurence, as required by sectlon 3700 ot Ne Labor Code, for the pedortnence of Ne work for which Ihis pertnit is issued. / My w�kp rs' compensation Insuranc carna� end policy number ere: Cemer� �i�/ ,Lo .C'cA-t � Policy Number:�Z�S G�Y'7/ 2,'7-�/ (Tlils secfion need nof be completetl !l the permif is velued af one huntlred dallers ($100) or lessJ ❑ I cartity that In �he pertormence of the wOrk tor which this permit is issued, I shell not employ eny person in eny menner so 2s to become sub�ect ta the workers' compensation laws of Califomla, and agre6 ��at if I should becnme subject to the workers' rnmpensation provislons oi Section 3700 of ihe Labor CoCe, I shall forthwith comply with these pro � ons. / /+ AppliceM Signet O� Date: �h �'�-� — 7� WARNING:FAILURE OSECUR WORKERS'COMPEN�T�OMCWERAGEISUNLAWFULANDSFUl15UBJEGTANEMPIOVERTOCRIMINALPENA�ilE5M1DCNILFlNESUPTOONEHUNOFED THOUSAND OOLLARE (Et00,OW), IN AODITION TO THE WST OF COMPENSATION, DAALIGES A$ PfiOVIDED FOR IN SECTION 37060F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTHACTORS DECLARATION: I hereby attirm �hat I am licensetl untler rovislons of Chapter 9(commencing with Sectlon 7000) of Division 3 oi ihe Business entl Prof sslons Cade, antl my license is in full forca entl eNect. Lia tt -�� i� �1 Class a G�� Conirec�oYsSlgneWre:� � Dete: /S^-�5�� CONSTRUCTION LENDING AGENCY: ❑ I hareby ettirtn ihat there is a consWction lending agency for the peAortnance of the work for which this permit Is Issued. (Sac. 3097, Civil Code). Lentlefs Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm ihat under penal�y of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he tollowing reason (Sec. 7031.5, Business antl Profes5ions Code: Any city or counry which requires a pertnit �o construct, al�e�, improve, demolish, or repair any sWcture, pnor to its Issuance, elso requires ihe epplicant for such permit to file e slgnetl sta�ement ihat he or she Is licensed pursuant to ihe provlslons oi the Conirectors License Lew (Chepter 9(commencing wlth Sectlon 7000) oi Dlvlslon 3 ot the Business entl Professions Code) or that he or sPe is exempt Iherefrom end the basis tor Ihe alleged exemption. Any vloletion of Sectlon 7031.5 by eny epplicant for a pertnit sub�ects Iha applicant to a civil penalry of not mote than five hundred dollers ($500).): ❑ I, es owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl ihe siructure is not Intended or oHered tor sale (Sec. 7044, Business and Professions Cotle: ThB Contrectors License Lew does not epply ro en awner of property wha builtls or improves thereon, antl who does such work himself or herself or through his or her own employees, prodded ihat such improvements are not inienAetl or ottered for sele. It, however, ihe building or improvemem is sold wit�in one year ot completlon, ihe owner-builder will have Ihe burden ol proving that he or she did not builtl or Improve for puryose of sale.). ❑ I, as owner ot lhe pwperty, am EXCLUSI�ELY CONTAACTING WI7H LICENSED CONTRACTORS to construcl Ihe project (Sac. 7044, Buslness antl Professons Code: The contractors License Law tloes �ot appty to en owner of property who builds or improves thereon, entl who contracis for such project with e contractor(s) license Dursuant to the Contractore License �-ews.). ❑ I em exempt uneer sec. Business and Professions Cotla tor this reason: Signature: Date: Owner ID veritied by dnvers license. ❑ Ves ❑ No Dnver's License No. Expires: Verificetion ot Ownership by (type of tlocument, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFEtt PERMI7 CERTIFICATION: ❑ I hereDy certify �hat no eacavetlon tNe (5) or more feet in depth into which a person is reQuiretl to descend, will be matle in connectlon with work authonzetl by ihis permit, and ihat no builtling structure, scaH0ltling, falsework, or demolition or tlismantling thereof, wlll be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, Title 8, Celifomia Atlminlstrative Code). ❑ As owner�builtler, I will not employ anyone to tlo work which woultl require a permit from the Division ot Intlustnel Safery, as noted above, unless such person has a permit to tlo such work tmm Ihe division. Signeture: Date: Division of Industrial Safery Pertnit Number. CERTFICATE OF COMPLIANCE AN� AUiHORW710N OF EMRV: I certity under penalty of perjury that I have read Ihis epplication and state that the information given is correct. I agree to compty wi�h all state laws antl ciry ordinances relating to building consiruction, and authorize representatives of the Ciry ot Costa Mesa to enter upon Ihe above-describetl propeny tar inspectlon purposes. I agree not �o accupy or allaw occupancy of any builtling eu�honzetl �y t�is permit until finel inspectlon. i u Oi Legal Owner(s) Da �+ cr� � S -�7 �p And/Or Authonzetl Applicant � I Date COOE I. INSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final Block(Fafaining Wall 202 Final Fedory Fire Placa 203 204 2d48-48 Finel Sign Final Demolition 4Ag .1111: 1�3�"i'�"."L� cooe� ixsvecnoxrrve 206 Final Mechenicel 208 Final Plumbing 270 Final Elecirical 212 Final Fire Preventbn 220 Final Planning Appraval 222 Final Site 250 Final Building/Occupancy Q�, �NiIIlALS Vu -e �,-� � u �� v � � J��'; c � i2e c4c� l /CD��'� � �� Z �� _� -- � _ ;, . �=1a(eN st �`ari� 9 S � �- 5 �`S � � � . , -' 23Q�0 CITIf OF C�STA MESA � ' COSTA MESA BUILDING-SAFETY DEPARTMENT APR 29 1965 � P.O. BOI ]1] C06TA MBHq, CALIFORNIA For App�Icont to Fill In Completely APPLI�j�C� �,1R TYPE OR PRINT BUILDING � . �J� (� ✓ FOI Office (�SB �O� ADDRE55 �Y YI. � q6C[IP�NO. P�)i(f COS7A MESA, CALIFORNIA � �j R[C E BY REC IV6D� DATEISSUED � OWNER 4Jard Investment Co. �Z � ��(os MAIL v ADDRESS �% AD�RH68 1 2� f1�b�T �l�d. THL. 20N8 TYPE OROUP arr Costa Nlesa No. 642=202 ARCHITECT THL. BYPR�VgD DATB — O o� � � Ean Morris & Lohrbach No. AD�.�<ESS 18121 Fourth St, � Tustin ZONINCi ZON NO.OP UY80�N[W l � PLAND 2 lWLDIMO � b� CONTRACTOR - � wooaesa 2110 Newport Blvd. ��°�^'""°" �((' I ` /r�� TY costa Mesa Ca1if• A.P.NO. I VT �✓�v� NOTE: NOEAVEOVERHAN65HALLBELESSTHAN STATE TH�. 6l,2-5452 90' TO SIDH B R6AR P. L. LIC. N . NO. EAVES SIZE �c 165 X 6C�SNo. oPetaOs.l ALLOWEO (U. H. C. REQUIREMENT) OF LOT NOW ON lAT YARD9APPROVED YARDSAPPROVED USE OF n MAIN BUILDINO ACCESSORY BUILDINO E%ISTINa BLDO. $hOy . j (� (FROMC/LSTREE 86Tl�CN LIHH FROM Y� ' FRONT O{T, �� {�T, CENTER OP YTRE6i RE R YAR� SIDE VARD I LEF7' � I�/ I RIONT�I � R. 91DE � FT. Ff. DESCRIPTION OF WORK �. sioe I� Fr. Fr. NB x AITHRATION AODITION RHAR �� , FT. H . DI6TANGH BET, BET. MAIN Q 2 REPAIR VIN6 DBMOLIBH MAIN BLD09. ACC856. BLDG9. � BUILDIN� NO OP VAR. iF ^_� ` DATB ^ R size 45`x180 aooMs 54 eron�ea 2 c.u.r. � APPROVEDd�-��-�� LL� °- EXTERIORWAIL I ROOR t APPROV6D (�._�7' 6� � COVERING COVERIN6 C (C y� B7 DATH 7 USEO BUILDIf�QAf1DWORKTOBHPGRFORMHD L T 't � C S � J ¢ U s0. F�. o W = a i HEHHBV ACKNOW�eO08 THAT 1 HAVH PBAD THIB �PPLICATION TX8 AMOUNT BNOWN UNDHfl VALUATION IB FOfl TX8 = Vf AND 9TAT8 TNAT TH6 ABOVB IB COHRBCT AND AORHB TO COM� PlIRP09H OI HBTA9L18HINO • PBRMIT FEE ONLY. PLY WITH ALL CITY OHOINANCBG AND BTAT{ LAWB R[OUyyy��TING �� BUILOINGCONBTHU�{ N. _ // VALUATION � /C�`7 !h m O j� PERMIT FEE $ ( / / Jv � � PERMITTE E OF .' ' d �y �/ / o �� G /� /J i jj �� /� i7 � u c O m � a / / ,Q�p(/ 0 AUTHORIZED AOQNT f�'O /� (� `^-"'-' . /' '4 �` _ TOTAL FEE S b � 23931 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BO%91] C08TA M6HA, CALIPORNIA For Applicant fo Fill In Completely COSTA MESA. CALIFORNIA Ward Investment Co. s 1920 Harbor Blvd. Costa Mesa 'T,o � 6� �NEER MOTi15 & Lohi'bach Na � s 18721 Fourth St., Tustin A�DRESB 2110 Nerrport Blvd.� �,T� Costa Mesa, Cr31.if. STATE�., TE'-. �64z-545z LIC. N . NO. OFLOT 165 X 605 �„o;°g,��°a�l 6ETBACK UNE FNOM �y�� ({ � C � CENTER OF STREET N� � / `" �^ REAR YARD SIDEYARDI LEFf � -� I RIGHT ��Q;% DESCRIPTION OF WORK S ZE�'Ng 3� X� g$ ROOM9 z� BTORIEB 2 EXTERIOR WALL ROOF COVERING �`�+t7SCC0 COVERIN6 comp. FL 'fi USE OF�UILDINC AfID WORK TO BE PERFORMHD 1 HEH¢BY �CKNOWLEOO! THAT 1 HAVB PBAD TXIB �PPL�C�TION �NO BTATe TN�T TH! wBOVH 18 CORq6CT AND �OREE TO COJ� . PLY WITH ALL CITY OPDINANC89 ANf� 6TAT8 UW8 HEOIILATjAIO BWL�INOCONBTqUGl19N. � // /� �� // ■ AUTMORIZED A6ENT CITY Of COSTA MESA APR 29 1965 'PLICA�I��E� I ---Biiiit111dB For Office Use On1y �/�� onre {y —�u—� ZONIN(3 �I ` NO.OF UBHOPNEW C • 1 PUN6 � BYILO�NO �� rtioH i�OY I r� / �� io. �/�^03�—�'� NO EAVE OVERHANG BMALL BE LE39 THAN YARD9APPROVE� I YARDSAPPROVED MAIN BUILDINO ACCESSORYBUILDINO REAR V �. � �. � j"' DIBTANCE BET. BET. MAIN Q z MAIN BLD S. ACCE55. BLDO9. W VAR. jj DATE � / k1 G. U. P. C' 6` ` APPftOVED `�:� �bS � APPROVEO 4 y � BY DATE / �� / —�S d - ✓ � L ,i! � ' „�t - y 9 L� u S� dO6C. FT. � � W o a. _ � THH AMOUNT BXOWN UNDER VALUATION 18 POR TN8 YUnvO3H OP fiBTABLIBHINa A P6HMIT FE! ONLY. p CL VALUATION m� / , � N O PERMIT FEE $ I f� j Q y� •i � m �7 s.��3�v E p o � ^ 7y LL x TOTALFEE $AI� • " 23�32 COSTA MESA BUILDING-SAPET`! DEPARTMENT � P.O. BOI917 C08TA M88A. CALIROHNIA For Applicanf fo Flll In Complefely TVPe wr BUILDINO ADDRE55 ' COSTA MESA, CALIFORNIA OWNER Ward Investment Co. M��L 1920 Harbor Blvd. OFCQ I STATE LIC. NO SIZE OF LOT USE OF Costa Mesa �«e Morris & TEL. ta Mesa, Calif. `� � No' 642-5452 X 605 I u�Wo�r�e�ooe. 1 9UILD1 ADDRfi PIRE C;TY i��r I;�STA Mf APR 29 1965 � R6C[III'NO. PEHMIT NO. ZONH NO.OP UB80RNHW '" ^""' C� PLANe �, BUIL�INO uN � r< ✓ �e.� l�r � �/2. `jC�6 DEeCRIPTION A.P.NO. IIS^O32 �.�D NOTE: NOEAVEOVERHAN06HALLBELE89THAN 90^ TO SIDE 8 REAR P. L EAVEB ALLOWED (U.B.C.REQUIREMENT YARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDIfJO f FROM C/L$'fREE'j�{, �J, DESCRIPTION OF WORK . �. si�e � 3 Fr. ��-Q �� Fr. Q� �r N' X ALTERATION AOOITION RHAR FT. •.X� F7'. z REPAIR MOVIN6 DEMOLIBM DI6TANCH BEf. BET. MAIN 8 %L MAIN BLD09. ACCE59. BLDOS. � BUILDINO NO OF �Q VAR.SC / DATE ^ [� / n% SIZE 3o x 176 ROOM9 'W 87'ORIEB z C.U.P. C� C`�+�� APPROVHDd_�J _`S = EXTERIOR WALL ROOP n� ,t APPROVBD d COVERING STivr.rtn COVERING CD�IID OC b118 BV DATE � �� w 1 HEREBY ACKNOWLEOGe THAT I HAVH RCAD TMI9 �PPL�CATION •NG BTATE THRT THH RBOVB 18 COPRBCT AND AORHB TO COM- PLY WITH wLL CITY OqDIN�NC88 M 9TATH l.�We qBOpLA ING BUILOINa CONBTHU ON. 91GNATUREO - - PERMIttE AUTHORIZEDAGENT �� J Q U w �(7 h(ao � a i so. Fr. " �f � = TX8 AMOUNT BHOWN UNOER VALUATION 19 POP THC ('� PURPo98 OR 88TABLIBHINO A PHqMIT PE¢ ONLY. O O VALUATION �0 m LL' PERMIT FEE $ � � � � ' 1 m � $I�� F = E LL 6� .,, � 7 r • �3535 COSTA MESA BUILDING-SAFETY DEPARTMENT ♦ P.O.BO%9f] C08TAM6HA.CALIPORNIA For Applicanf fo Fill In Completaly r MA�� COSTA MESA. CALIFORNIA Ward Investment Go. .s & Lohrbach No' Fourth St., Tustin Costa Mesa 165 X 605 642-5452 '6ETBACK LINE FAOM Y' 1/. !�fA�. oeee veee� 27 �ev.ee nv v.eee. l) L6.S' R75+ � EFT �' •� RIGHT DESCRIPTION OF WORK 1 BUILDIN621 X (jl NO.OP 1 SIZE ROOMB ST RIEB EXTERIOR WALL ROOF COVERING r. COVERIN6 CO USE OF BUIlDIN6 Af�D WORK TO BE PERFORMED ��eS � /� C 1 HEPEBY �CKNOWL8O08 TXAT I HAV2 READ THI9 APPLICATION ANO BTATE THAT THE ABOVE IB CORRECT ANU AOpEE TO COM- PLY WITH ALL CITY ORj�INANCH9 AND BTAi UJWe HH6ULATINO BUIL�INO CON9TRUCTJ6�l. � // ( / � 0 AUTHORIZED A6EIiT CITY OF C�STA MESA APR 29 1965 For Office Use Only BY I � I/�Z /lP� �✓ O�//'ig`/D5 NO.OF U9¢OFNEWp eg PLANS BUILDINO I O � � T � T� SD F, /R"-032—�0 'E OVERHANO SHALL BE LH35 THAN YARDSAPPROVED VAROSAPPROVED ,*IMTBUILDINO ACCE660RY BUILDINO !OM GL STREET )NT FT. - Ff. '7C �(1 , � REAR � I PT. � Ff. F" z oisrwNc� err. eer. mn�n e w MAIN BLOG9. ACCE8S. BLDGB. � VAR. # OATE ` � c.u.r. C—L` .S APPROVEO�'�'S`_•• � APPROVEO _ � Q� BT DATE �� Q U q W �' /� ^ G. SO. FT. � �/) TM8 AMOIINT 6HOWN UNOER VALUATION 19 FOR TH8 S � PUflP088 OF EBTABLI9HIN0 A PEHMIT FEE ONLY. O O VALUA�ON �� 68 m � PERMITFEE $ � j [� /� m s J�� A G O O i _ . Gf% u �` 23936 COSTA MESA BUILDING-SAFETY DEPARTMEM � P.O. BO%9f] C09TA MHHA. CALIFORNIA �oe For Applicant to Fill In Completely TYP�O� �tINT � _....- ,-� �i „ �� c� �� COSTA MESA, CALIFORNIA �.rd Investment Co. � MAIL OPc V�GI EER1�=4rS15 & Lohrbach no � AD..rtE33 18121 Fourth 8t., Tustin CONTRACTOR / �� C ADDRE48 2u0 Newport Bvd. � �„�.. Costa Afesa oF �aT 165 x USE OF EXIST�N6 BLO6. $h' BETOACR LINE FNOM DESCRIPTION OF WORK x II .. _'_._._..I II .__ S Z'E DING 'Zl X 1zO ROOM9 EXTERIOR WALLSu ROOF . COVERING tQ I COYER USE OF BUI�DING Af�O WORK TO BE 1 II XEqEBY ACKNOWLEOOE THAT 1 MAVB READ TH18 APPLICATION FND 6TATE THAT TH8 FBOVE IB COHHECT /�NO A0RH6 TO COM� PLY WITH wLL CITY ORDINANC88 AND BTATH �We NeOIILATINO BWL�INOCONBTRIIC'jjO�i. �J � AUTHORIZEDA6ENT APPROVEO CITY Of Ci;S tq MESA APR 29 1965 �TION FOR PERMR BUI 5�� runa �� eui�oirva �g�.�F �9 r / �'OZ 9 C� E� �k—p,72— �O /E OVERHANO SNALL BE LE55 THAN YARDBAPPROVED ',WY4BUILDINO � VAR. # 1 ■ VARDSqPPROVEO AGCESSOftY BUII.DINO THE AMOUNT 6HOWN UNOEA VALUATION �B POH TH8 PURP08E OP ESTABLI8HIN0 /� PERMIT FE6 ONLY. VALUATION DO L PERMIT FEE $ J � $ j 6� �� r TOTALFEE � F Z ¢. . � W K � a W a a a V o W a c � S O � 0 Q ] � 0 S Gl LL �. _ , � �5999 ,. , ` COSTA MESA BUILDINCrSAFETY DEPARTMENT P.O. BO% 7Y00 COSTA MEBA, CALIFORNIA 91626 For Applicart! ro Ftll In Completo(y TYPE OR PRINT BUILDINO i /) . _ � AODREBH vr�1i COSTA ME3A, CALIFORNIA � :'n:.beaa �//IJ .1/O/II�D /I`—/�"/. �R D�l /1 �"' �� rv� U6E OP EXISTINO BLDO. YCTpACK LIN[ IIIOY �� csNiu oR /in[R RGR YA D � 8108 YARD LHRT RIOFfT DESCRIPTION OF WORK BUILDINO �� SIZE EXTERIOR WALL �� i N0ilBY ACRNOWL6DO6 AND BT�T[ THAT ! PLY WITN �LL C�I�/� OR HLILDiNO CONSiR�CT10N � AUTHORIZHD AO[NT YTORII 0.UG IU'bb UU 777n -^^ "o.vv AUG 10-66 00 5994�*****6.00 APPLICATION fOR PERMR BUIIDIN�i for Offica Use Only ZONING / [ NO.O� Ut[OIH[W C�ueu euao�n �� r o 6 cnimoN �. No. � � � " � � � �Ci f6: NOt/1V60V[RHAN08HALLD8LE88THAN ' TO 81DH a RiAR P. L �ea .OWiD (U. B. C. RlGl11NBMfiNT'. VARDOMPROVHD YARDBMPROVBU MAIH BUILDINO AGCELSORY BUILDINO � VAR.# BBT. MAIN a ACCESY. BLI DATH OrLIJ • /' � lY r DAT! (/— a w � ��v� � � � �� w. Rr. � n�a �rouxr sxawr� uHoen v�w�non �e rox n�s � ■URPOBH OP [YiABLI8NIN0 • PlHYIT /!8 ONLY. VALUATION � � PERMITFEE p / � o s �� --_ w Oy% TOTA.L FEH $ • 2 ' COSTA MESA BURDING-SAFETY DEPARTMENi P.O. BOX 1ZOtl COSTA ME9A� CALIFORNIA 9262E Fo� Appllmnt fo Flll In ComplsNly TrPe oa PRINT STATH LIC_NC size OF LOT USE OR MESA. CALIFORNIA wo. or e�nos. DESCWPTION OF WORK WALL 1 NCR6eY ACRNON1tD0[ TMAT.1 HAV[ R�11p'1�11� AP�LIGTON AND BT�T6 TNAT TN[ AGOVC,10 CORR[R ANO A01166 M COY. PLY WITX �LL CITY OROINANC�i ANO �Tl1it tAYW R[OYL11TN0 OVILOINO CONBTRULTIOM. BIONATUR! Or _ AUTMORIZ[D AO[NT �by � �kIJ AUG —7-67��;sA00 505<: t� `:: `:1 `5C ArPLICATION FOR PERMR BUIIDING for Of(ico Us� Only ncc[�rt rvo. � APPROV6D BY' DATB _ �_ � ZONING :o i Ho. o. u.c or n[w ruNs z eu��o�xo,�� .eowt Q� D[YCRIRION Q� A. P. NO. // � O ybc —�D NOTH: NOlAVlOV6RHANOSHALLGBLl88TXAN YARCO MPROVED MAIN BUILDINO DIHTANCQ BR. MAIN BLDOB. VM.# YARDeAPPROVlD AGCH880RY BUILDINO DATfi 0� W � �. �. � TM6 ANOYHT tXOWry IINOLR VALUATON IB POR TX6 � YURP08t 0► [CTAGYeHIN� A PGR41T PC6 ONLY. � VALUATION 7 LY% PBRMITF88 � � �� E � /3�D w TOTAI. PEfi /�. �D