HomeMy WebLinkAbout1108 EL CAMINO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
i
PLUMBING PERMIT
Job Address: 1108 EL CAMINO DR
Suite No
Status:
ISSUED
Applied:
09/05/2003
Issued:
09/05/2003
Vicinity:
Parcel Nunmber: 14161217
ISSUED BY:
Applicant: HALAJIAN, VAL_! 0 —
Address: 7338 ETHEL,
Phone 800-444-8865
NORTH HOLLYWOOD CA Zip 91605
Owner 1' BOYER\ROBERT CTR
1�
Address 1108 EL CAMINO DR
Phone:
i \\
COSTA".MESA, CA Zip:-92626�`\�
ONO
Contractor: ALAPASSOCIATES GIP
,�.
., Address: 7338 ETHEL
Phone: 800444-8865
( NORTH HOLLYWOOD; CA Zip: 91605
License: 771905
Arch / Eng
Address:. - -- — ' -. ..--� _. L
i' • ' \ Phone:
i
zip: ,
� _
License:',
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
2446-46 (WOO)
SCOPE OF PERMIT
WATER HEATER CHANGE OUT. -`�'
+ t
FEE SUMMARY
:.
AMT.I, OTY-AMT..
? �j j
-` AMT
QTY
ISSUE FEE�_'�,
: $23 5050: �' -
Laundry Tub/ Washer. ;_
e+OTY
' $0 00 `'a0
,
sump Pump c-',�
i $0.00
0
Backflow irrigation
- ` $0 00 X..� 0
. • Landscape Irrigation ..
$0`00 - ` 0 - 'r : Swir-mimg Pool r
"'
," ', $0.00
0
Backflow Preventer
$0.00 10 <
_ P -Trap `
$0.00 0
,Trap Primer �
u,$0.00
0
Bathtub
$000 0�
.Pressure Regulator --
$0.00 "0
Unnal, "-j �, i ;:
",$0.00
0
Clarifier System `��
'-"$0.00-/. 0 .
-� Process, Piping (per 10 ft)
' $0.00 0
Vacuum Brkr Bkflow(14)1'
$0.00
0
Connect (Ice,Soda;etc); y� $0.00 " 0 .
�' Receptors'
$0.00,.-_0
,.Vacuum Brkr Bkflow(5+)
$0.00
0
Dental Units
�\ 1$0.00 �� \,
`-
`
�\ i/
Dishwasher
.0 ; i
`'$0.00
Sewer Cap focDemo �- -~
$o.00 0
Wash Basin"S
$0.00
0
Drain, Floor
� 6� i %
-Sewer Connect
$0.00— �.0 ; `� \
`UWaste and Veni System
$0.00
0
Drain, Rainwater
$0:06S 0 �,'',
,Sewer Private Line-.. `.
'$0.00 -_ 0 1_; ;
`$0.00
Water,CGsef (Toilet)
$0.00
0
Drain, Roof
$0.00 "0. -
Shower ;
�_ 0 -
Water Heater / vent
$12.30
1
DrinkingFountain
$0.00 0 �-' =
-
..-__Sink, bar'-- ! .r \�, �: "
:.$0.00`"- 0
.-"-
jl / Water Piping (Inst or Rep.) $0.00
0
Expansion Tank
$0.00 0 '�.._„
Sink; commercial
$0.00- _,OJ-
Water Re -pipe
$0.00
0
Gas Earthquake Valve $0.00 0
`Sink, Floor - - _,
-. $0.00"_" 0
Water Service
$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
2446-46 (WOO)
DECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
w for which this permit is issued.
ehave antl will maintain workers' Insurance,
canpensatlon as required by section 3700 of the Labor Code, for the performance of me work for which this permit Is Issued.
y wo,r.ke�nr corn ens`ittlon In ante carrier and policy number are:
Gamer. `.iY�[/✓�'✓_ Polity NumberLVCZc('7- '3 g'L✓` /
(This section need not be completed It the Permit is valued at one hundred dollars ($100) or less.)
❑ 1 ceNty 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 California, and agree that if I should become subject to the workers' compensation provisions of Ion 3700 of the Labor Code, I shall forthwith
comply with these provisions. / \J
Applicant Signature :4����8 Date: ��
WARNING: FAILURE TO CURE WORKERS' COMPENSATION OOVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE ($10D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full
force and effect. Lic. a Class a
Contractor's Signature: ,:�Z I. ,�s� - Date: i
CONSTRUCTION LENDING AGENCY:
❑ 1 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: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLAqIN S:
I hereby affirm that under penalty erjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or, ty which as 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 Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he Or she L3 exempt therefrom and the hasts for the alleged exemption. Any vlolallon of Section 7031.5 by any applicant to a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
u !r �,
❑ 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-builde(will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 1, 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.):
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, Le. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceNty 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).
❑ 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? ❑ Yes ❑ 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 to fled 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).
..._._......................_..............................o.r...................____...-......__.._......................anit..........d. t-...f-1-0..................................................................................__........................_...... ............................__..........�.._...__......_..
2 Does or will the applicant or present or future bulltling occupant neetl to file a registration form for acutely hazardous materials? ❑Ves ❑ 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).
._._.._.___.....orwil...__........o:....._.._..........................rfut__..........._.._.......__..............................................................an't..............._.._.n_tiof........_._._...f-o'r,..._............................_......._._._.._._..
3 Does or will thea plicant or present or future building ocapflnt need to preparean RMPP (Risk Management andPrevention Program for acutely hazardous materials)?
❑ Yes ❑ r -P
(Secliw 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
....._.......___....MPPi........_..,....._...quir....., has............................................................__..._.__�__._....................................._moue..........._._.._.... __..............................
.........
............
..__.........
_........_
4 If an RMPP Is presently required, has Section 25534 of the Califomia Health end Safety Code been fully complied with? ❑Yes ❑ No
5 Does m will the applicantor present or future building occupant require for the work which Is the subject this a plication a rtnit for such construcllon or modification
from the South Coast AirirQuality Management District or from any other air pollution control district or agency?
agency?Ves LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building
...B.....___W....I.I.I...a..n...y....p..a...rt....o...f.permits).
................................ __.............._._...__—_................................................. _..____.........................................._.... ..........................-...............__......_....
_...__.....
the facity
to be constructed under this permit be within 1000 feel from the outer boundaries of a school? ❑Ves ❑ 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? ❑ Yes ❑ No
............................... ..... _........._�—'_......_"........ __........ _._._.._.................................................._...._._._....._...................................___...................................._.............. ____ _... _...... _........ __.......... _.............
8 (If yea', attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury me information given above is correct. I agree to compty with ail state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Dale:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity 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 dry 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.
- n Sfgnetu ed Of Legal Owner(s) 5 y't]Q5
And/Or Authorized Applicant I Da
CODE If INSPECTION TYPE JIM INTM9L5 CODE] INSPECTION TYPE UM jam$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing -.
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retelning Well 212 Final Fire Prevention
202 Final Factory Flre Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
(714) 754-5279 • Fax (714) 754-4856 • www.ci.costa-mesa.'A'UILDING PERMIT
Job Address:
1108 EL CAMINO DR
Suite:
01/29/2003
Vicinity:
SIDE YARD
Parcel Number:
14161217
Applicant:
GROSSMAN, DAVID
Address:
915 PRESIDIO DR
COSTA MESA, CA -
Owner:
BOYER, ROBERT C TR
Address
,1108 EL CAMINO DR
COSTA MESA, CA
Contractor:
Address:
Z1
Arch :
Address:
Phone:
Zip: License:
CONSTRUCT 15 LINEAL FEET OF BLOCK WALL ON
MORE THAN 6 FEET IN HEIGHT.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$15.28
$23.50
$0.50
$0.00
$0.00
$0.00
SETBACKS
MAIN STRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existing: 0
Zoning:
Phone: 714-556-6378
Zip: 92626
Phone:
Zip: 92626 ., .
Phone:
License:
Eng
Address
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status:
ISSUED
Applied:
01/29/2003
Issued:
01/29/2003
Phone:
License:
i vrc yr rmmrvu i
SIDE OF EXISTING HOUSE (10 FT ON RIGHT SIDE, 5 FT ON LEFT SIDE) NO
FEE SUMMARY
PLANNING & ZONING
Rear 0-0 Left 0-0
Rear 0-0 Left 0-0
Required: 0 Proposed: 0
Calc Valuation:
Claim Valuation
Right 0-0
Right 0-0
$300.00
$0.00
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
�m646 (6100
DECLARATIONS
WORKERS' COMPENSATION DECLARATION: ,
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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. ,
❑ 1 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 carder and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued atone hundred dollars ($100) 011.1a.) I
❑ 1 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 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 provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE (E10o,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect. LIC. # Class #
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 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).
Lenders Name: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
1 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)orthat 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).):
❑ 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.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ NO Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 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 S. 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? ❑ Yes ❑ 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 ❑ 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 o1
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 filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire . . Department,
I .
._.............. . i.................. ........................................ _.......... _..............
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 a plication aggermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
............................................................................................................................................................................................................................................................................................................................................................................................
6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ 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? ❑ Yes ❑ 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.
ign re Of Legal Owner(s)
te
A Or Authorized Applicant c / Dale
CODE r. INSPECTION TYPE 2AN INMALS SAES INSPECTION TYPE gig gNITTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 .Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
i
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
• THIS SKETCH S FOR INFORMATIONAL PURPOSES • SOLID WALLS/FENCES BETWEEN 2'-6'& B IN HEIGHT SHALL
ONLY. APPLICANT S RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LANE.
AN ACCURATE REPRESENTATION OF THEIR PROPERTY
IN CASE THE SHAPE AND SITE DO NOT CORRESPOND . I • SOLID WALLS/FENCES SHALL NOT EXCEED T VIN HEIGHT
WITH THE INFORMATNON PROVIDED ON THIS StmEr WITHIN 10 OF THE FRONT PROPERTY LINE (NOT CURB LINE).
• VERIFY DISTANCE FROM CURB TO PROPERTY LANE
AND SHOW ON PLAN. VERIFICATION FROM THE CITYS
ENGINEERING DIVISION S REQUIRED. CAIS. (714) rA-- LT
FOR INFORMA'l�QN.
X03 -0c;,/v7
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OF BUISDING SF
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Date
at all Mmes d � ung �
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lens and cdicatlons UST i
This osl of pias V alleretfon on
ma snY o(CostaMesa. I NOT�holdto rtnl rtoheana n
and afaly,CNY cet a Loan andlorIs le
9/Dg The lamp) of this P� an vi Ions I an CNy of 09 and bid it the b bit
/ of 1 e viol tion of any P Itatbn end Deco 93 days of i w
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'•..................... ....... !_ _._% ................... ----------------------
BLOCK
__._..._____..._.__-
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
law.
J; ��
DECLARATION OF AUTHORITY
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
Street Address:
1. I (we),
referenced real property, and that I (we) hereby authorize:
Name: '.1 4a ,J `o
Bldg. Permit# ? v. _ 0OnL
This Permit #
AP Number:
declare that I am the Owner of Title of the above
Telephone Number: 1595.66
Street Address:
l1,5
/nn/ ee / �2 r'
City:
l State:
Zip:
to obtain permits in my behalf, as owner/builder, for
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I (we) shall immediately provide Workers
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. 1 agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa.
5. 1 declare under the penal of perjury that the
-foregoing is true and correct.
Executed this day of J 20 jo *3 at � � r
Print Name:
Signature: t�
Date:
Note: This authorization does not grant authorization to perform the work as owner,
it solely provides for limited power of attorney to secure this permit in any behalf.
0]]9-46(w.11/00)
California.
PROJECT ADDRESS: 1108 EL CAM I NO DR
OWNER'S NAME: BOYER ROBERT C TR
ADDRESS: 1108 LL CAMINO DR
COSTA MESA.CA 92626
ARCH/ENGINEER: 540-0768
ADDRESS:
REG.NO.:
UNIT:
UNIT:
PERMITTEE: NOCK PLUMBING (714)895-1246
ADDRESS: 11610 SEABOARD CIR
STANTON CA 90680
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my li a iS in full force and effect.
c.: %p 03 6 STATE LID.r 51 19 71 CLASS: C--3�
ate' 1(i+-4_� Signature: _ _
W ERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers'
ompenstuddn Insurance, or a certified copy thereof (Section 3800. Lab. C).
POLICYNO.: 1167992-94 EXP. DATE: 03/01/95
f�MPAxe: STATE rrte�..
rtitied copy is hereby famished. L,q Certified copy is d ilh the city Buildin Division.
e
<11 vt� � Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be camplel the permit is for one hundred ($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 WorkersCompensation Laws of California.
Date: Signature'.
NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
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 (Section 3097, Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure, prior to its issuancealso requires the applicant for such permit to file a signed statement that helshe is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that helshe 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).
I. as owner of the property or my employees with wages as their sale compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own 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 will have the burden of proving he/she did not build or improve
for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ antl Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section: B. & P. C.
for this reason:
Date: _ Owner
I do hereby codify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any Injure building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Dale: Applicant
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county
ordi es an 0 state laws relating to building construction and her Ihorize representatives of this city to enter upon the above-mentioned
pr Cfly lar inspPCll pnfpnses.
at 'y I Q Signature:
Iver's License or Social Security r:
164146 White—Building: Green—Code Enforcemem: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 067139
IERMIT NO; P 067139 PLAN CHECK NO; N GOVT: N SUPP: N
:ONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
rOB DESCRIPTION : WATER HEATER SQ FT:
'LAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
.OMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
Z O N I N GS E R T E B Q A U C I K R S E M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
`RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
.EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
LARKING REQ: PROV: PARCEL: 14161217 ZNE: REF NO:
)LANNING NOTES>
> .n
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
:ONING APPROVED BY DATE:
3UILDING APPROVED BY : DATE:
Av< IPPLICATION ISSUED BY: �� �/ DATE:F----- ;F ��{;F3F$�iFiF �F�FiF if3FiF 3F#iF###iE #iEA#)E iF#
,EGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
)ERMIT 7.00
)LAN 25% SMIP/NON—RES
ISSUE FEE 20.00
3UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
COTALS ---- > 7.00 20.00 0.00 27.00 27,00 .00
tEVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00
1'
I N D I V I D U A L F E E B R E A K D O W N
CYPE QTY D E S C R I P T I O;N UNIT COST TOTAL COST
?LU i WATER HEATER AND/OR VENT 7.00 7.00
END OF FEES
01 00160419-00160419 T3] T
DATE: 05/12/94 TIME: 13:02
27.00
1 CONSTRUCTION AND PCANNIt G
APPROVALS Permit #' Date
Inspector
POOL ,PA
APPROVALS Permit
Date
Inspector
1. Temporary Electrical Service- a.Pole
52.- Pool & Equipment Location
- .
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
-�
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56, Rough Plumbing & Pressure Test 1
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit -U ndr grnd.
8. Foundation
59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd. -
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House nnection
`�
62. Backwash & ReceptorFinal
12. Sewer Cap
t1
63. Heater & Vent -Final
�•
73. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing ��
i
65. Electrical -Final
15. Rough Electrical -Conduit I
'
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
1
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
t
69. POOL/SPA SYSTEfV1S FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
•
APPROVALS Permit #
I
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping ❑Gas E) Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd.Storage Tank ❑Gas 00il
- i
25. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling 4Structuratl & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
i
28. Lathing & Siding
77. FIXED SYSTEM"FINAL
29. Insulation
78. FIRE PREV. FINAL
1
30. Drywall Nailing
-HEALTH DEPT. REQUIREMENT I
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED~{
33. Final Electric
34. Final Heating & Air Conditioning
-
Notes:
35. Final Gas Pipe -Test
36. Hood or Canopy
-
37. Final Factory Fireplace -
38. Final Plumbing
39. Water Service -Final
l
-�
I
40. Gas Service -Final
41. Solar Domestic -Final
,--i
42. Backflow Preventer
43. Backflow Irrigation
-
44. Landscape Irriqation System
1
i
45. Sound Attenuation
46. Handicap RegVlations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
•"'
-'
49. Electric Release to Edison
50. Gas Release to Southern California Gas Go
51. CERTIFICATE OF OCCUPANCY
No. Date
V
I DRESS: 1108 EL CAMINO DR UNIT:
aW . NAME: BOYER ROBERT C
ADDRESS: 1108 L -L CAMINO DR
COSTA MESA,CA 92626
5400768
ARCH/ENGINEER: REG.ND.:
ADDRESS: UNIT:
PERMITTEE: ALUM ROOFING SPECIALISTS (714)558-0678
ADDRESS: 1529 E MCFADDEN
S.A. CA 92705
LICENSEO CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
CITY LID.: 033/7723 STATE 10 CLASS:
GDate: "/ 6 r/ Z Signature: �T Q r . --
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensatian Insurance, or a certified copy thereof (Section 3800. Lab. Q.
PoucYNO.: 046923117 EXP. DATE: 01 /01 /93
COMPANY: STATE
❑ Cooled copy iis`!?Z
s' hereby furnished, Cendied copy is filed with the city Building Division.
�Date: — ( h - Applicant. & L'- l n.O
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($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 WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
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 (Section 3097. Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500).
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 (Section 7044. Business and Professional Cade: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own employees. provided that such improvements are not intended or offered for sale. tf, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: 8. 8 P. C.
for this reason:
Date: Owner:
I do hereby certify that I am aware of and understand the requirements at California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or publication from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
herebycertifyand that I have read this application and state that the above rite nares is correct. f agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorise representatives of this city to enter upon the above mentioned
property for inspecti/o'n purposes. ,(� /�/n
Date: �_ /b•-Cl2 Signature: e il ca& -A
Drivers License or Social Security n:
1641,46 White-Builtling: Green -Code Enforcement: Canary-Agolicant: Pink -Revenue: Goldenrod-Aesessnr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059112
PERMIT NO: B 059112 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH
JOB DESCRIPTION : T/OFF 28 SF SHAKE RR W/ICBG#31.47 SQ FT: 7,000
CLAIM VALUE: 7,000,00 CALC—VALUE: '1,000,00 GROUP OCC: R-3 /
COMMENTS: REROOF W ICBO 43147
9f # iF BF 4F%i(' 1E iF BF-%iE-)0 lE iE aE 9Elf x1E xiF%if 3E 9f K-dF iE iE iFM-9FiE kiE dE 1FiE lt x iF 1F iEi(-df #if jF 9E iE 1F iF x-dE lE x lEx iEx)E-IFiE x I( 1F lE %�FiE 3f x-iE xi(-%K iF
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
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 REO• PROV: PARCEL: 13940114 ZNE: REF NO;
PLANNING N TESr> y
BE iB iE SE 3F 9P Bf iE iE dE 9C-x•SE xx *+E*xSF*RE SE TS SE *SE-x•SE * Is SL yS% x']E
D E V Es -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
ZONING APPROV9D BY DATE:r `
BUILDING APPROVED BY : DATE: It
APPLICATION ISSUED BY
xiF iE i8 iE iE iE 9E 3E 9E 3(-jk iE iGdi• IE 3(- 3E iE iF ik
LEGALIZATION:N
iE 9E 8(K-iE iE jE x-i09EiE 8FiE iE 9E lk if iF#ae 3E aF 9E Bf iE#
F E E S U X M A R Y
9010 B8 3P * 3E BP 9E if
SEGMENT•: Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIh1E v!MIP/RES.' GRADIN(
PERMIT 90,00 ad 70
1 S�MIP/NON—RES
PLAN T
ISSUE FEE Rr: /�'
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL iFPAID DUE
TOTALS ---- > 90,70 0,00 0.00 90.70 Lf ,90.70 .O(
r
REVENUE DIVISION TOTALS--> COLLECTED: 90,70 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GYADING PLAN—CHECF
90,00 /17 0
iF iE SE 1F i49F iF * 9F iF BF BE lE iE %1E 9E 9F ik 9E iE * 9E 98 iE * ifiF 98 N 9F iE # iE iE 1E IE iE iE if iE lF iE IE 9f iE iE 3E BE ie 1t 3F iE iF BF lE iF�BE# 8E iF 8Ei* 3E BF 9E 9r if tE 98 iE 9E 9F 9E if iF # * 1
INDIVIDUAL FEE B R E A K,p,O WIN
r"
TYPE QTY D E S C R I P T I O N UNI,' COST TOTAL COST
1.
SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE IL'1,00 7,000,0(
END OF FEES j?
r F n
'1
j >
OiYi On/1G n'2 707
7Ti. 1):`•t]
Y
CONSTRUCTION AND PLANNING
Date
APPROVALS Permit # _
Inspector
POOL ,PA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool &- Equipment Location
2. Soil Pipe-Undrgrnd.
53, Steel Reinforcement
'
3. Electrical Conduit Utility-Undrgrnd.
-
54. Forms -
4. Electrical Conduit-Undrgrnd. '
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
-
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical C6nduit-Undrgrnd.
"
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor, System
-
61.-APPROVALTO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
!
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing -
65. Electrical -Final -
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18, Rough Electrical -T Bar Ceiling
-
69. POOLISPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS -Permit 41-
20. Rough Factory Fireplace
-
21. Ducts, in Structure
21.
-
70. Underground Hydro
22. Ducts, Ventilating
.-
,71. Product Piping ElGas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
-73. Undergrnd.Storage Tank 0Gas 0Oil
25. Roof Sheathing[!
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical - --
27. Frame and Flashing
76. Dry Standpipe -
28. Lathing & Siding. - -
r
77. FIXED SYSTEM FINAL
29. Insulation
I
I
78. FIRE PREV. FINAL
30. Drywall Nailing
!
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
- ,
! `
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric -
r
' Notes: ,
34. Final Heating & Air Conditioning
1
35. Final Gas Pipe -Test
36. Hood or Canopy
j
37. Final Factory Fireplace
38. Final Plumbing ,"
r
39. Water Service -Final
40. Gas Service -Final
•41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
` Q
A-4-
L J 4
46. Handicap Regulations
47. FINAL STRUCTURE&BUILDING `
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
1
51. CERTIFICATE OF OCCUPANCY
No. Date
COSTA MESA BUILDING -SAFETY DEPARTMENT r \� jl
P.O. BOX 917 COSTA MESA, CALIFORNIA r 1 U
For, Applicant to Fill In Completely5
�L14�LIC1TIO98"N FOR PERMIT
TYPE OR PRINT F!NANOWILI13TG.
❑ILDIN6 ..,.n �_ _ _ _ :CIIlF01OUTSTA6PP:Rnly
N COSTA MESA, CALIFORNIA r
LIC HO. 207343 A -SB -1 TEL•oriole 3-4220
srzE 721 x 971. I „°�°"w ,L°°@'one
nFlnr
SETBACK LINE FROM [Oj ']f jj
�LV
CENTER OF STREET % REAR YARD 35
SIDEYARD LEFT 101 RIGHT 81
DESCRIPTION OF. WORK .
L
USE OF BUILDING AND'
Single 1
Plan 500-0
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
SIGNATUREOP
APPROVED
RECEIPT NO.
ZONING
ZONE NO, OF UEE OF NEW S -ngl • Y
R-1 PLANE 2 BUILDING W /AF.F A
Lot 8 Tract 5023
IIfION
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
YARDS APPROVED YARDSAPPROVED
M I ACCESSORY BUILDING
DISTANCE BET. BET. MAIN Q
MAIN SLOGS. ACCESS. BLDGS.
VAR.* DATE,
n
Sq.
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9
PURPOSE OF ESTABLISHING A PERMIT, FEE ONLY. O
VALUATION - O D u
PERMIT FEE $
6 23,925.00 PLANCHEII 5G37 C