HomeMy WebLinkAbout371 ESTHER ST - Building Permitsr�T�ir�Ysss: ' 371 �STI�ER ST
. _ owxen•sxnMe:JOHN .MALMQUIST
' ROOHESS: 371 EST'HER .�'iT .
' CM''
CA ` 9•2626
�
. . _. _. . UNIT: ..
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'RBCNIENGINEEB: R. THOMAS MOORE�' - � � pEc.No.:586991�5 '
, ,nooxess:249zZ VIA"SANTA ORTIZ . ' � uxq:
.'� • MISSION VIEJO CA 99993 ' ' • '
1�P pMiTTEE�-3Af�I�P� B(JURGEOIS ( 714,) 692: 5006'
nooness: 1324" SU.riSIX � , .
• NB ' � ' �' CA 92660
110ENSED CONTMCTOP DECIAMTION: I Aereby alfirm Ihat I am Iicense0 under pmdsions of Chapter 9(commencinA ��� Sactinn
7000) af Division 3 Oi the Business anGProfessions CaOe, an0 my li se 3i in lull torce an0 ettect.
cm uc.: 3. g sTare uc.:0'0 4 219 ' 6�ss: :` .
Date: � � � SipnaWre: ' ' • • ' -
WOqKE S'C IPENSRTIONDECUMTION: IAereUyaffirmt aveac ificateolconsenttoself-insureoracertificateotWOM1ers'
ComDensati Insurance, or a certifieA coDY �hereaf (Section 00, Lab. �
PoLICY NO.: � EXP. �1TE: .. ' �
COMPRNY: ' ' � .
Cetlifie0 copy�is Aere�y4umishetl.. ❑ Certitietl coOY �s fi�ed with the ciry Buil0lnp Division. ; ' '
Date. APDlicant:"-•. ..^. _ _ . . . . .
IXEMPfION FflOM WaRNEflS' COMPENSRTION OECIAMTIOM: •(This uc6an need not be completed i� Ihe permit is �or one hunOred �E100) or kSs�.
1 cerliTy that in tAe peRormance oi ihe xrork tor which t�is permit is i sue ,� Ifnot emplPy any De�on in any manner so as to �ecome
suhlect to t e Work rs' Compensation laws o1 Calilornia: � . .
� Date: O ' - - � Sipnawre: - � � —
� NO CE: I( aiter maltlnB this Ueclaration, yau s�aultl Deco u ject� IAe.WOMers' Campensation Orovisions of Ihe LaCor
: Co e, you must fonlrxitA comply wi[h sucn pmvisions ur perm' nall De tleemeC revoketl.
fANSTNUC710N LENDING pGENCY: I Aere�y attirm that tAere is a constmction IenAinp agency for tAe pedormanca of ihe work far
whicli.i�is permit is iSSueE (Section 3097, Civ. C). '
LENDEB:� ' � � � �
" . p0UflE33: ' " ' '- - '. .
OWNEB BUILOEB UECIAMTION: I hereUy aifirm tAat I am exemDt imm tAe Contractors' State License Law for the lollowinq reasan
(Section 7031.5 Business anE Prafessional Cotle: My ciry ol counry which requires a Oe�mii to consimc[, alter, impmve. Oemolis�, ar
reDair any stmcture, D�or to tts issuance, also repuires t�e aDPlicant for such permit to file a sipneC statement t�at he/she is Iicense0 ��
pursuant to Iha pmNsions ol t�e Contractors �State License Law (C�apter 9(winmencinq wil� Section 7000) of OiN4on 3 oi ihe Business
�anU Pmiessions CaAe) ar that he/sAe',is eaemD� ��eretmm an0 the hasis for tAe allepeA exemDGon: My violafion of Section 7031.5 6y
� any appliWnt for a permit suhlects ihe applicant to a civil penairy ot not moie ihan tiva hundred dollars (f500�.`; ' �
I, as owner at the property orimy em7Inyees with waAes as tAeir sole compensation, will Eo the work,•an0 the
❑ stmctum is not imenAeA or oifereU far sale (Section 707A, Business an0 Professional Cotle: The Contractors' State License Law
� Ooes not apPy ro an owner ai a D�oDeM who �uilOs ocimD�oves iherean, an0 wAa tloes such wark himself/herself ar thrauAh
' his ar her own employees, pmvitletl IAat such improvements are not inten0etl or oifere0 for sale. Ii, hawever tAe UuiltlinA or.
impmvement is so10 within one year,oi comDletian, the awner-will have ihe Uurtlen ot proving �e/she Aitl not Uui10 or imDrave
for t�e purpose of ule�. • , � _ ^ � '
�� I, as owner of tAe D�aPeM. am e�clusively coniractinp with licensetl concractors ta constiuct [he Drolect (Section 7044, Business
i� � an0 Professians CoOe: T�e Contractors' SGte License Law Uoes not aODry to an owner of propeM who bwlAs or improves thereon
' anE w�o contraps for suc� pmjecis with.a contractor(s)license pursuant ro t�e Conmctors' State License Law),I am aware
t�al praoi of their Worker's Compensation insurence ShoulE he pmviEed ro me. � ; '
� I am exem0� un0er Section: B: d P. C. _ . ' .
for t�is reasan: • � � � - . •
Wte: ' � Owner:
I Oa here6y cehity that I am aware of an0 un4erstanA the iequiremenis oi Califomia Health antl Safety CoOe Sections 25505, 25533, antl
25534'anU that I or any future DuiltlinA occupanl will/will not (circle one) need m crynply with saiU state coAes and ihe requirements for a
, permit for.consimction or modification iram the Nir Oualiry ManaOement OislricL PesiUential constmction applications are exemD� hom
I ihese pmvisions. . � . � . �
. � �
� . I hereby certity that I have read this application anU state ihat [he
"orEinances an0 sWte Wvrs relatin0 �o buil0inp constmqion anC �erel
, pmpetly lof i Spyetti puryoses. /
� Date:IO 1 � SiAnaWre�,
� Driver's icen or Socia�_ Securiry ,
� �1861-46 �, W�ile—Builtling; Greeri—Code Enlorcemen�; ena
eci. I iqree ro campty wil� all ciry anA counry
s ai INs ciry Io emer upon t�e aDove�mentioneU
PInk-Revenue; GoltlenroC—Assassor
C3TY ,OP COST'A MESA —,BUILDING PERMIT ;�' ' " � . " .
, �. ... '
PERMIT NO: BP 044541 ; PLAN CHECK�NO: 01002-89 S� �,! GOVT:'N�SUPPe�N
CONSTRUCTION T'YPE: V—N PERMIT TYPE: PLU.S,TR �. .� >PURPOSE:�ADD
JOB DESCRIPTION , : ADD FRONT HOACH , , ; - � - � � � �SQ FT: . 3,.500 , '
CLAIM VALUE: :� 3, 500.00.: ' CALC—VALUB: •.J, 500. 00 y.GROUP OCC:' R-7 .' % ,;'�
COMMENTS: PC#579--d9S PAID 40.95 101089 � �' . , � ,' i •., � � � - ' � ' '
' *****it��+t********�**�-*at***�*****�-+�*****�***x-**'*.***********�***�i�**+F****�**�r*rt*�x���
'L 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 � � '
----------=--- M?�IN BUILDING ----�----- --. --------- ACCE5SORY 'BUILDING' —,------� :
FRNT: 37 FT 4 IN REAA: FT 1 IN FRNT; F'T, � IN REAR:. FT IN
LEFT: 7 FT IN'RGHT: 18 FT; IN LEFT:' FT: IN RGHT; � PT �,TN
' . . . � i. � , • ' ,
PARKING REQUIRED:_ PARKING PROVIDED: . PARCEL: 42630306� 20NE: R1
PLANNING NOTE5> EX'I'END PRONT OP HOUSE,BY ADDITION OF FRONT.PORCH ATTCHED TO
— >�;FIOUSE . _. ,. _ . . . .._. . . _
iE iE iE �F iF iE%iE 3E iE iE jF iE iF iFiE.iE �F fE it 1k ff iE � iP iE iF jF �F �F �E 1E 1E 1E iE iF if iE 1E i6 it iE fE 3E iF iE jE iE-0f ff IE iE iE if # iE iE 1E iE 3t iF iE iE iE 1E iF iE iE if iF 1Eit7f 1f i(� fE iF �E jF
� D E V E�L .O . P M E N T S E R V/� I C E 5,.,. R E Q d'. I R E M E N'`F;_ S �
ZONING APPROVED�'BY . ' � ��(u-6l� .•. ` DATE: QT` —�
BUILDING`APPROVED BY : � Y�P� �"� `rZ-• ''? --, � DATE.: :�� ...
APPLICATION ISiUED.BY: �i�— ' . DATE: ��{_�/� �
iEiE�IE'1FiE3EfkiflE3EiEiFiEfE.iEiEdEiffEiEiE1F��` . . � � fE�IF�74it��iP�f9EiE3f'jE1Ei(���9EIf
ikiFit�l(�iEiFiEiFiEiFiE3EiFlEifiEiEiFiFiEiEifiFlEklEiEiFiFiFiEiEilik7EiE1E1FiEiE iElEifjEiEiEiE1E1E.ikitiEaE9EiEiEiEiEiE%�16itifiE.if�tiFiFl6itiEiEiFiE�lEiEiE
L�GALIZATION:N ' F E E S�;•U M M A R Y' '� :STRUCTURAL-SEGMENTFY
� .. , . _.'' l;i` , . .
'BLDG PMT PLUMBING ELECTRIC!�MECHANIC .FIRE SMIP/RES�,:� GRADING
PERMIT , ,_ ,63.00 .. 2..00 - „ ' ' S0 i .
- a � 25� SMZP/NON—ItES:
PLAN 40. 95 - ` r" !=` � ,
�,ISSUE FEE �3.00 � : �
BUILDING—D•N--> PERMIT ISSUE , PI�AN�CHECK TOTAL ,� PAID..i' . DOE
TOTALS----> ^. 65.50 , 3.0.0 40`:,95 109.95 109.45 . .OQ
� � r �` `� 68. SU OVER/SI�ORT:' .00 �
RE� ENUE UIC ISION TOTALa--> COLLECT�ED �.i' r� =
:DLDG PMT PLUMBING,ELECTRIC MECHANIC!� FYRE SMIP/.TOT GRADING'�PLAN—CHECK
63:Q0 . ,5.00 _ ` ` fn '.� .50 i , .
3E iE � 3E 3E fE jE if it 1E �E iE iE it iE if iE 3f iF if if 1E iF if !E 9E 3E iE iE 3E ik if iE iE if it iF iE.iE if iF1E iF 3E iP iP if iE iE iE *�it if iF iE iEiE if 3E�� if !E if K� iE 1E # if iF 1f if iE iF iE ff If iE if iE
= I N D I V I D U A L�':,� F� E B R E A K D O W N' � ,
. �*r .
•' �r:
TYPE QTY D E S. C R I P T; I O,N`; ' UNIT�COST'' TOTAL� COS7'
� .. . ' . . � r�` . . .
aFR 3500 S�TRUC.TURAL BY VALUE`�-�FR�,$'1:00 1.00' ;�:'J,SOU.00 .
PLU , 1 FIXTURE;SET.YTRAP W/ p,:CP,IN�:;`& AACKFLOW . 2,OU 2.00
, . EFID OP�IFEES ` ' '� �
- . r`: ' � . ' ' . ' . .
, • . ` � •�' . . - . .
._ . .._ _ .. . � _ /',y, �,y . . ' ' .
, ' L1� �L{��rG��'i—�.����1�] 7 (�4'�" . tr�.`;��,.
• ' ' � BNT�',14/,1'i89 1T.M�: t1!:'L
_ . , . . .. _ /'/9/�
v - E'% c.�;l
�CONSTRUCTION'AND PLANNING � . �'' POO. SPA � �_ , - -
' Date ' .Inspector Date Inspector
� APPROVALS ;Permit # ' . ' APPROVAIS Permit # .
y 1. Temporary Electrical Service or�Pole - � - � 52. .Pool.& Equipment Location .� ". -
2._Soil Pipe•Undrgindr. � 53. SteeLReinforcement . � '
� 3.-Electiical Co �dpirUtility-Undrgrnd. " 54. Forms ' � ' �
� ��4.-Electrical�.Conduii�Undrgrnd. . 55. Electrical Bonding � _ -
'•`5 =�Steel' Reinforcement ' ' 56. Rough Plumbing & Pressure Test
. ,.:. _•.:.�..:
.;.�6.-'Electrical UFEFi'Grnd: � ' ' � � 57. APPROVAL TO COVER�GUNITE �
J�7=Footings�S„�� - . B 58. ElectricalConduit-.Undrgmd. �
i
8. Foundation ' ` ;� 59. Gas Pipe, O Undrgrnd., Test "
9. Water Pipe=Undrgrnd. . � � 60. Backwash Gine;, P-Trap, O'Undrgrnd..� �
10. Structural;Floor System �'- � �� . 61. APPROVAL TO 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 Plumbi�g . �. 65. Electrical-Final ' �
15. Rough Electrical-Conduit 66. Solar System-Fi�nal
16. Rough ElectricWiring 67. Fencing & Access� ApP�oval -
� V. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
}g, Rough Electrical�T Bar Ceiling � ' 69.� POOL'/SPA SYSTEMS�FINAL '
.. .. . _ .... . ..... . . .. . . .
19...Rough Heating &�Air Conditioning �- �. -, , r : rFIRE.DEP_T. REQUIREMENT. -
20.rRough Factor,y F.ireplace . St• - .. '-� c r n: 'AppROVALS ��-Permit # � r,"
� S- r ��= _ 's c -�. -, et
21 cDucts, in;Structuie� ' " � - - J � x � �' � ,
._ , - �: _ ;�a�.� -70. Undergiound Hydro
22 _Duct3, Ventilating , ._. � �� t "' � , �� < ��77, product Piping O,Gas OOiI
23."Gas:Pipe"-Rough & T,est � r., ' - ` r' _ [�,; ��" y -72. Underground Flush"_�; ;� . -
24�; Roof Fiaming ��: _� ��� ^ F � � -• � - ^73_�Undergrnd. Storage-Tank O Gas ❑ Oil
- +•
25.,Roof $heathing � ' � � i' � ' 3 _ . i ', 74 � OverFead Hydro- _ �
26ssT-Bar Ceiling (Structural) &�MonoCoat. � +: .- `J* � 75::Dry Chemical ' �•'-
27L�Frame arid Flashin ' - ' - �" �` -' ` �
9 � � ';• 76. Dry Standpipe _ .z r, - -
�,.28. Latfiing & Sitling= r � -i ; = . 77^ FIXED SYSTEM F.��INAL� � � ,� �-.
����z �` 78�;F.IRE PREV. FINAL
"29. Insulation "� � - - " , �. � �.
-'30. Drywall-Nailing �A -+ .. '�'- - , � �J �`� � _ �. HEALTH'DEPT. REQUIREMENT
��.
31. Plaster Browri Co,af` -'� . '";� �'- ' � �'�� �' '79. FINAL INSP.ECTION �� _
o. .K c' i l• .
. �32-Electrieal Power.Meter-Final• � ,- �� � �' �.i x: ��80:-'FOOD.CERTIFICATE ISSUED -
.33�Final Electric �� , -� _ � � 5�, JNotes: � `�^ ' - . �� P_' " � ,
�;34._FinalHeating&Air„Conditioning- ' ! � %��'t � •= " `" -
-i 6. (" ii. � s s-a=- i►��a► ., e �
�35: �Final Gas Pi�pe-Test _ ' - ;�_14 �r���� ?� r. k
- �r � .�J: �;, - �/
-�36�Hood or CanoPY ; " , - . . ' i ����':�` . �. 7: %-.
•-'37��Final Factory Fireplacex - " <� i ��� `' " ' - , ���
- :I: -
.,38:�Final Plumbing , - � �+ i� - �� - � _
"�39._WaterService�Finaf� �" - i .':�'*� �� -- - ' . ' , �
- i� 'k ' - -
�"40..,Gas.Service-Final �` : _ ' ! �' ° ' '. - - `
. . .Y. - . �� i _ .
,•;41. Solar pomesticFinal - - � � �.' � _ -
- x -
�"42. BackflowPrevente�r . ' '� � - -- -,.
- .-... - � tYQ � 1 , • �
43. Backflow Irrigation, ` '�' � . • • _ _ �
+: � -
: � �. � :-� •� .: - -• _ .: �
44.. Landscape Irrigation System --r - � ,,;.• �;; :� �_ „ .- _ ..
45'Sound Attenuation •• • �� ���' = - - - • � � .
r ' +' r--a
46.`HandicapRegulations � _ � �� ,��: _ -
•K J_
47.'FINAL STRUCTURE & BUILDING� � � � •S .� ` �-. �
48:-FINAL P,LANNING - , _ (�!� ,; � : _ _. , a•
49.�.ElearicjRelease to.�.Edison � - _ :�' ." _ � � -� _ _ �
50rGas'Release to Southern Califo7riia Gas Co '' � �� �- ' x : � ' � _ ' � � = - -
51. CERTIFICATE OF OCCUPANCY - "
No. Date
�
�
PflOJECT RDDBESS: 3 7 S ESTHER ST
OWNEP'SNAME:�LM�UIST JOHN C TR
aooness:371 STHE{t ST
COSTA MESA,CA 92627
(714)646-5612
APCN/ENGINEEB:
XEG.NO.:
UNIT:
. FDOflESS: UNIT:
J PEflMITTEE:LEE ROOFING ( 714 ) 642-7223
ROOflE55: SES3 SUPERIOR
COSTA MESA CA 92627
LILENSED CONTBACTOB OECIAXpTIQN: I here�y a�hrm �ha� I am licensetl untler pmvisions o� ChaD�er 9(commencing wiih Sec�ion
71100� ol Orvision 3 1 he Business anA Pmi ssions o e. antl my license is in Iu0 �orce and eflem.
cirru(J�:028�5�1 rnTeuc.#49��6 q��/�cias:C-3+q^�, /'_,,,,
Date: _/ _��— / � SignaNre: "� / + �,�"'' , `
WONREBS' COMPENSpTION UECIAflATION: I hereby a��irm Ihai I have a t ih Ie of consem m sel4insur ar a wrtifica�e ot Workers'
comuensatio�i�i�ey�seuii�t�ooy inereoi �section 3soo. �abQ;�r� 0/ 9 3
aoucv xo.:STATE FUND EXP. UATE:
COMPANY: }�
� Cetlifie�d1colpy is hereby �umishetl. Ll Certitie0 copy is filetlj wi�h ��e ciry Bmltlin rvisian. A�..c�
Date: � `� �// � ( � APVlicanL I/I /Y � Y/�"I— �� Lv� r,/.�� `�'� '
E%EMPTION iPaM WOflKEflS' COMPENSATION OEQAPRTION: Qhis sec�on n^C na �e completetl i� Ihe permii is la one hunOreO (311p) or less�.
I cemty Ihal in Ne pedormance ol Ihe work lor which �his permi� is issueE, no� employ any person in any manner so as to �ecome
su�letl to Ihe Workers' Gompensation Laws of Califomia.
Oa�e: SignaWre.
NO7ICE: It, after making ihis tleclaralion. you should become subiett lo the Workers' Compensation provisions of the Labor
Code. you musl �orlhwith comply wi�h such pmvisions or ��is permit s�all be deemetl revoked.
CONSTBUCTION LENOING pGENCY: I here�y aflirm that there is a consimction lending agency for ihe periormance oi the work for
which Ihis permit is issuee (Settian 30W, Civ. C�.
LENOEN:
aooness:
OWNEN BOILOEB DECLAflRTION: I �ere6y aflirm Ihai I am exempl Imm Ihe Coniractors' S�a�e License Law �or Ihe �ollowing reason
�Seciion 7037.5 Business and Prolessional CoOe: Any ciry o� county which require5 a permit �o cons�mc�, alter, improv¢. tlemofish, or
re0air any simcbre. pnar ta its issuance. also requires �he applicanl for such permi� �o lile a signetl s�atemen� ihat Oe/she is license�
pursuanno �he pmvisions oi the Contrac�ors' S�a�e License Law (Chap�er 9(commencing with Seclion 7000) ol Division 3 ot �he Business
an0 Prolessions Co4e) or ihat helshe is exempt I�erefmm antl Ihe basis lor the allege0 exemption. Any violation of Section 7031.5 hy
anY applicaN �or a permit sub�ec�s the applican� to a civil penalry ol no� more �han five hunOreA tlollars ($500).
I. as owner ot ihe pmpetly or my employees wilh wages as their sole campensation, will tlo �he work, and �he
❑ stmclure is nal mlentletl or o�feretl �ar sale (Section 7044, Business antl Pm�essional Cotle: The ConVacmrs' S�aie License Law
Does not apply to an owner ol a pmpetly w�a builds or improves ��ereon, an0 who tloes such work himselfl�ersel� or �hmugh
his or her own employees, pmvided �ha� such impmvemenis are no� in�endetl or o�feretl �or sale. II, however lhe huilding or
impwvemen� is sola wilhin one year ol completion. �he owner will have Ne bur0en o� pwving he/she Oitl nol builtl or impmve
lor Ihe purpose o� Sal¢�.
I. as owner of �Ae pmpeny. am exclusively conVaciing wilh Iicense0 wnlraclors lo cons�mct t�e pmle�� (Seclion 7044. Business
❑ ana Prolessions Cotle'. The Coniratlors' S�a�e License Law Ooes noi apDly Io an awner o� property w�o builtls or impmves thereon
antl who toniract5 for Sut� pmjetls w��� a tonVac�or(s) license pursuanl Io �he COnirat�ofs' S�ale License Law�. I am aware
Iha� pmof of Iheir Worker'S Com0en5aiion insurance s�aula be pmvitletl to me.
� I am exempl under Semion: B. 8 P. C.
for ihis reason:
oaie: ow�e�,
I do hereby ceriity Ihal I am aware ol antl undersland ihe reQuirements ol Cali�arnia Heal�h ana Safery Cotle Sections 25505, 25533, ana
25534 antl Iha� I ar any �uture building oCcupant will/will n0i (tirde One) nee0 i0 tomplY wi�h saiA Sla�e CotleS anA Ihe reQuiremenis fOr a
permi� lor con5imction ar motlificalion Imm Ihe Air Oualiry Managemenl Dislrici. Fesiaential mns�mclion apDiications are exempi fmm
ihese ptovisions.
Oa�e: Nppl¢ani:
I �ereUy cer�ily Ihat I have reatl �Ais application antl s�ale Ihal the a�ave inbrmalion is corBct. I agree �o compty with all ciry antl
ortlinzncesantls�atelawsrelatinglo0uddingconsimclionantlhere aulhorizerepres ta�ivesoft ci�yloenleru0on� ea -[
pmperly1for inspec�ion //pu��rposes.
Daie: i ( /U/ � SignaWre: ^' " ' ' "
Drive�'s �icense ai socia� Secuniy
t6aFa6 Whne—Builtling: Green—CoEe Enlorcement:
GoltlEnrOd—A55255or
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO; B 060758 PLAN CHECK NO: N , ,
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE: AL'f
JOB DESCRIPTION : T/O,REHEATHI/2"CDX 6 REROOF W/COMP 30YR SQ FT: 5,000
CLAIM VALUE; 5,000.00 CALC—VALUE: 5,000.00 GROUP OCC: R-3 /M-1
COMMENTS; SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC.
�r�*�*�e*��*��r�r***�r�r***��r�*��r�r +r**�e�r***��+�*�r�*+��r*�*�***�*�r***�r**�**�r�r****�***�r*�r�
2 O N I N GS ERTEBQAUCIKRSE M E N T 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 REQ• PROV; PARCEL; 42630306 ZNE; REF NO;
PLANNING Nt3TE5>
i
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D E V E'I, O P M E N T S E R V I C E S R E Q U I R E M E N T S
��-• .
20NING APPROVED'BY DATE; i"
�
BUILDING APPROVED BY : DATE: ,�^�
APPLICATION ISSUED HY• � DATE•' �..' �
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LEGALIZATION;N F E E S;U M M A R Y STRUCTURAL'!SEGMENT:Y
�-� .�
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES�� GRADING
PERMIT 72.00 �, _ 50
SMIP7NON=RES
PLAN !� '1
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN,—CHECK TOTAL PAID �� DUE
TOTALS----> �z.so o.00 %;�'•o.eo �z.so �z,so � .00
% n
REVENUE DIVISION TOTALS--> COLLECT,ED: 72.50 OVER/SHORT: � ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
%2. �� 4n . 50 /J��
0
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I N D I V I D U A L'� jF E E B R E A K D O W N
i;
TYPE QTY D E S C R I P T I O�N%� UNIT COST TOTAL COST
f y�.
SFR 5000 REROOF BY VALUE RESIDENYIAL N020NE 1.00 ;'��5,000.00
END ,O) FEES �''
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! ��- PO. & SPA
CONSTRUCTION AND PLANNING � .
APPROVALS Permit # �- .Date Inspector APPROVAIS Permit # Date Inspector
7. Temporary Electrical Service or Pole'_ - 52. Pool & EquiPment Location .
,-2,. Soil.Pipe-Undrgrnd; � . � 53. Steel Reinforcement � �
`-3C£lectrical Coriduit Fltility�Undrgrn�j.� 54. Forms . �
=a;Eleci(+calCon�uit-l7nd�gcnd. ��,'� 55. Etectricat6onding
=�'5:Stee1'Reinforcement • 56. Rough Plumbing & Pressure Test .
,,_. -
�� �6`. �Iecc:icalUFER�Gtnd. _ 57. APPROVALTQCOVER�GUNITE �;
�.`T �Footings ��i ' S8. ElectricalConduit�Undrgrnd. •c
" 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test �
9. Water Pipe�Undrgrnd. , - ' 60. Backwash Lines, P-Trap, O Undrgrnd. �
7'0. Structural floor System ., •' ' � 61.'APPROVALTO DECK �
i 11. Property Sewer �ine & Flouse Connection 62. Backwash & Receptor-Final I
12. �ewer Cap - �, ' 63. Heater & Vent•Final
13. Roof Drains �. i. 64. Piumbing System - Final '
14. iiough PlumbSng � 65. Electrical-Final
15. Rough Electrical�Conduit � � . 66. Solar Sy:tem�Final '
�- 76. Rough Electric Wiring '" 67. Fencing & Access Anpruval -
77. Rough Wiriny Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
i�� Rq,ugh �ieating $� Ai� Conditioofng„ . 2� F�IRE.DEPT.AEQUIR.EMENT �
2' Ritu h Factor F��ep ;; � " � � -
� 9 Y lace .y � J"; ,; r'� APPROVQ,k:S': " Pe,�mit #-
2'1: Duyts, in Structure � " " ' '` � _ �' ' � 70.'.Under9round H�}dro ,
22. Ducts;�er�Eilattng; i �" � ° . � - 71. Product:Pipin9'OGas �011
23r GBs Pipe-Rough &i'Test � Y �S l� r r >;. .- 72. Undergrsur�d Fftislr' ^ ` ,�
- .�
24. Roof Framing i� '; � `-`" �� ' � �' • _ ° ' ': 73: Undergrnd. Sto.ey9e:jank:0 Gas ❑ Oil
25. Roof S6eathing •-- t v �,� .,, ���% v 74.'�Overhead Hyd�� '
.. ��:�CiF - Y � : - - . .� t
2fi. T•Bar Ceifing IStructuraq & Pvaoaocoat �, .� 75.�rY Chemical `
2J� Frame.and 6lashirag ,� .:... - • 76. Dry Standuipe- =- � � .
C ' -
28. La`thinc&Sidiqg`" `y;' - i��'„` 77_, FIXED�SYSTEM=FINq��_ - R
JM' .... . __
29. Insulation •. i •• � j;' :: 78. FIRE PREV. FINAL T�
c_ _ . . _ .
30. Drywat7 Natiing�; . �' x, � HEALTM DEPT.RE�UIRyEMENT
�� 37. PlasteclBroYnn Coat 5 �.� �� t � • 79. FINAL INSPECT.tDN • '
32. ElectriEai Power_MeterFinal ;. ^ � •� R 80. POOD CEliTIF-I,CATE tSSl:lE4
,. ;., i. � . . , i -.
_ 33, Finai Electric ^ - � < ' � . �, � Notes: - _� � L� �----F
- ° G_�-�l_C . ¢v_-� iQo /� _t_KS _
' 34; Final Heatirtg & Air Conditionirig � ' � � p� -' -
" - " ` / M � %'%Y.v �� `� C 2!?lL_� J-
35( Final Gas Pipe-Test, ` .. j; �x K - � � ;,_.-� - �• '
. �
.. 36. Hood dr CanoPY : � _ • 1 d `� _ ' `
r
� 37: Fiiial P�ctory Fi7eP�ace, �' �� . � � + ��i
38. Fiijat Plumbing -'" • ! �i�`�-` - " . - - �
.,
39. WaterService-Fin�Jy � ' _, I � � .. .. '
40. Gas ServiceFinaf �• ^ ' � - T� � '.1= :; ` r r _t
� 41. Solar pomeStic•Fina�' i �` ` �` - ` _ -
� ir , n : r„
42� Backttpw Preverlter � ; � � ' ' - � .>
Y '
43. Backflow ir�igation '�'S'`' �: �~ . ' .
`. .
, 44. Landscape 1rrlgatibn System' i � � .: - _ - '< •- "
r �
45} Sound .Attanuaii6n -. . � `" � � J �.� . � , ,.
' � 46. Handicap Regulations - •7 � � i 1 � � . _ ' : �
-�- �/
47� FIjJAL STRUCT�RE & BUILDING t'�`= '` '
z,y�?'s i, ;. ' .- s_��fo'� Oa.�"i o�,
48i FINAL PLRNNING - •'� .;�" � _ r - ' r
u
49. Eleotric"Release to Edison , � �% • Y - -
�: , t
, 50, Gas Release to Southem Califomia Gas Co � � i! r* r •��
- :i
� � 51. CERTIFICATE OF OCCUPANCY + - •• � - ' - -
No. Date
\ � ��- AD��icant to fill in all spaces except those within heavy bortler lines antl si9n all apprapriale declarations.
1
• Chf! OP COSiA i CON TRU , N PERMIT ' PER •No TRACT NO. . LOT NO. UNIT NG. �
Project� daiess �' � �.'« Q.�� � � +%'�7 9 0? �8 � ,, . �
'� / � � / TYPE OFCONSTRUCTION NEW �ADD ALTERATION REPAIR
Applicant's Mailin Address s3 3 N/ � fYi� • � ❑ ❑ ,
CONVERSION DEMOLISH OTHER p�p #
Owner'sName - d�AJ %i!a�It9'�7R�!//�ST"� Phone "�C •DESCRIPTIONOFWORK/USEOFBLDG.� � �� �
Address � A r✓I � // � III���III � - - S Main Building: .
Aroh/Eng. LicenseNo. TVPEOEPERMIT � GRADING�FOUNDATION ❑STRVCTURAL T Froni •
Add�¢55 ' � ❑ T,ENANT ❑ ELECTRICAL, V PLVMBING ❑ MECHANICAL � B Rear �
� Contracmr'sName r �� � � Phone7%� �-3`{�� �PTHER _� ' - � � . . A
/� /� / PROJECT DESCRIP710N SQ. FT. ' '� C Right�
Address (mailin9l /5 �3 �� �-/ A� � �.V Cy-�A/1L/ //7 . OCCUPANCV K
CONSTRUCTIONTVPE ' VALUATION$ g Left
CityLicenseNo. � � �3.Q � ZONE GRADINGCV.YDS. ACRES . Pln 'Ref.# ' '
LICENSED CONTRACTOR DECLARATION ' � i 9'
1 hereby affirm that 1 am lirensetl untler provisions of Charte� 9(commencin9 Remarkii .. , . ' ' Pl2nnin9 NOL¢5�:
with section 7000) of Oivlsion 3 of the Business and'Professions Cotle, antl ' ' '�
my license is in 11 fQrce antl effect.
Licen/� Class �� ,i�o ' �' � �> ni / %�.��
Date(O-� J-�� Signature /��a/M
WORKERS' COMPENSATION DECLARATION .
� I he�e0y atfirm thal I have a certifiwte of consent to self-insure or a CertifiCate
f Workers' compensation Insurance, or a certifietl mpy thereof (Section
800, Lab. C.) 0,/ rL� / e�) ✓eM L�✓S.
Policy No. �Q Company
�Certitietl cooY is hereby turnishetl. '
Cert�fietl copy i)❑letl with the city Jtling Di isioj; � l
Date �s `/'7 -.7" % APPlican(/����-�- -� A �7�-✓/
EXEMPTION FROM WORKERS' COMPENSATIOf�IDECLARATION
(Thissection neetl not be completetl if fhe permit is for ane huntlreG ($100) or
less). •
I certify that in the performancebf the work for which this perm�t is issuetl; I
shall not employ any person in any manner so as to become subje<t to the
Workers' Compensation Laws�of California. . .
Date � Si9nature �
NOTICE: If,.atter making this tlecla�ation, you sboultl become sublect to the
Workers' Compensation provisions ot the Labo� Cotle, you must forthwith
compry with sucM1 provi5ion5 or this permit shall be tleemetl rewketl.
CONSTRUCTION LENDING AGENCV
I herety affirm that there is a construction lentlin9 agency tor the pertormance
of the work tor which thi5 permiP is issuetl (Section 3097'Giv. CJ
Lentler'S Name
� Lentler's Atltlress '
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor'S License Law tor the
following reason (Section 7031.5 Business antl Professianal Cotle: Any city or
county which requir¢5 a p¢rmit to construct; alter, imp�ove, tlemolisn o� �epair
any structure, prior to its issuance, also requires the aoP�icant for such permit
to file a signetl statement that he/she is licensetl pur5udnt to the prbvisions of
tM1e Contractor's License Law (Chapter 9(mmmencing with Section-7000) of
., pivision 3 of the Business antl Profe55ion5'Cotle) or'4hat•he/She�is exempt-
' ,I;�erefrom antl [he basi5 tor the allegetl exemption. Any violation ot Section
.`."i3LS by any applicant for a'permit subjects tne apPllcanl to� a civil
�"'inalty of not more than five huntlretl tlollars ($500). �
1�; L� I, as owne� of the p�operty or my employee5 with wages d5 their sole
compensation,.will tlo.the work, antl the structure is not intentletl or'offeretl
fonsale (Section 7044, Business antl Professional Cotle: The Contractor's �
License Law tloes not apply to an owner of a property who builtls or improves
thereoo, antl who tloes such work himselt/herselt or througn his or her own
employees, O�ovitletl that such improvements are nOt intentletl or otteretl tor
sale. If, however, [he builtling or improvement is soltl within one year of com-
pletion, the owner will have Ihe bu�tlen of proving he/she dItl not builtl or im-
prove for the purpose of sale). �
e clusivel contractin witn li n on-
❑ 1 as owne� of Ihe ro ert am z Y ce Setl C
P P Y. 9
tractors to const�uc[ the ptoject (Section ]064, Businezs antl Professions Cotle:
The ConVactoYs License Law tloes not apply�to an owner of property who
builtls or improves thereon, antl who contracts for such projects with a mn-
tractor(s) ucense pursuant to the Contractor's �icense �aw). I am aware that
proof of their Wo�ke�'s Compensation insu�ance shoultl be provitletl to me:
� I am exempt untler Section B. & P. C. for this reason_
Date � Owner
I hereby certity that I have reatl�this application antl state that the above
information is correct. I agree to comply witn all city antl county ortlinances
antl state Iaws relatin9 to builtling consYruction, antl hereby authorize repre-
sentatives of thi5 citY to en[er UDon Ihe above-mentionetl' proDertv for
Preventer
i,ieniiers �
Dishwasher �
Drinking'Fountains�
Floor Drains
Floor Sinks �
Gas Service
Interceptors
Kitchen Sink .
Lavarories
P-Trap .
Roof Drains
ReinspeMion Fee
Outlet5
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating •
Exhaust System � 'Multiple
Fiiepl/Fact Blt. ICBO # '
Heating System & Ducting
❑aioo,000 eTu �iao,000
Inspettion pu es.
Signature . b A� Date --� /D-,F � '
Drivers' License or 55 �, '�� ' �- i Reinspection Fee ' $15
CMF 0865-46, rev. 30/84 White - Builtling; Canary - AppliGant; Pink - q�counting; Goltlenrotl - Assessor
Showers
ServiceSink ; �
SewecCap �
$ewer Connection '
Solar Collectors -
Solar Piping
Solar Tank
Swimmin9 Pool w/Spa � '
Urinal �
Water Closet
Water Heater
Water Service . -
AUtO-WdSII
Issue Fee
Hood or Typel ❑
Canopy ' Type I I ❑
Retri eration S stem �
9 Y
❑0-100,000BTU 0100,000
System Fiepair/Alteration '�
Fire Dampers �
Registers � .
� . Issue Fee $ 3
A
Aummatic Washer
Consttuction.Pole Sub.
Cookinq Unit .
Fan -
F.A.U.
Fixtures
Device Boxes
�%�� �7/�E/�% '
Zone �
Parking Req./Provided
� 1 .
�ELECTRICAL ' -
' Transformer ❑ 15-50 KW
❑504KW
Meter ❑up to 100 amps
� Meter ❑over100amps
� Sub Panel ,
Mamrs OO-1 HP O1'/: - 8
' , InaSolar 09-15 HP �i6-15+ '
Switches ' -�- � � -
Garbage Disposal
Generator �0-5 KW �5-15 KW
Pole Light
Ran9e
Sign
Standing Sections
TrasF Compactor
� Reinspection Fee I$15 I � Issue Fee :
DEVELOPMENTSERVICESREQUIREMENTS: �
Zonin9 APProved BY .
Building Appraved By
Aoolication Issued Bv
FEES
$ 3
�
Z
O
N
1
N
G
R
E
Q
M
T
S
' '� SUMMARV OF.FEES - ' .
BUIL'DING PERMIT $ SMIP $
PLAN.CHECK $ PERMIT ' .,
PLUMBING � $ � �SSUANCE � $
PLAN CHECK 25% $ , ENERGV P.C. $ �
ELECTRICAL. � $ �-.GRADING $
PLANCHECK 50% $ -MICROFILM $
MECHANICAL '$ TOTALFEE _ $ � '�m
PLAN CHECK 25% $ � ' . .
�l
CONSTRUCTION ANDPLANNING � POOL&SPA
APPROVALS Permit# " Date Inspector AppROVALS Permit# �"' Date , Irispector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ��'= �
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �, '
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms� �•�:<i� .
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding -` �
��:
5. Steel Reinforcement ' � � 56. Rough Plumbing & Piessu7e�t7'est �� • ` .
6. Electrical UFER Gmd. . 57. �APPROVAL TO COVER:Gk9NITE . .
7. Footings ' � 58. Electrical Conduit-Undr'ynd�. �
8. Foundation - 59. Gas Pipe, � Undrgrnd; , Tes��
9. Water Pipe-Undrgrnd. - 60.� Backwash Lines, P;Trap, fO'Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK ���%
i t. Property Sewer Line & House Connection � 62. Backwash & ReceptorFinal �
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 .
i 6. 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 J APPROVALS Permit# ! _ .
i
21. Ducts; in Structure� l; , 70. Underground Hydro
22. Ducts, Ventilating � � 77. Product Piping OGas ❑Oil .
23. Gas Pipe-Rough & Test , 72. Underground Flush
24. Roof Framing ; 73. Undergrnd. Storage Tank � Gas ❑ Oil '
25. Roof Sheathing � � �� 74. Overhead Hydro � ,
26. T-Bar Ceiling (Structurap & Monocoat ,� � 75. Dry Chemical .
� 27. Frame,and Flashing . 76. Dry Standpipe �
28. Lathing & Siding 77. FIXED SYSTEM FINAL -
. 29. Insulation 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 � . Notes: 9 � � � SL/a ' �d�c .
34. Final Heating & Air Conditioning . � . � � -t•
35. Final Gas Pipe-Test � -
36. Hood or Canopy
37. Final Factory Fireplace . , _ �
38. Final Plumbing , - fz �r/ � � � .
39.' Water Service-Final � , . -
40. Gas Service-Final � , �.
41. Solar pomestic-Final - �
42. Backflow Preventer � . �- �
. 43. Backflow Irrigation . , . � . ' •7
44. Landscape Irrigation System � � I
45. Sound Attenuation � "' � . � +
46. Handicap Regulations . � � � � � _ ' (-''
47. FINALSTRUCTURE&BUILDING , � �
48. Special Requirements Completed � � � � l:
I:49. Elec[ric Release to Edison ' . ��
Jr4
, 50.°Gas Release to Southern Califomia Gas Co 1' ��� /t�
_51.c.CERTIFICATE`OF:OCCUPANCY . �` J
�� No. ' . Date . - �
u �
OWNER
INC.
DATE
JOB ADDRES$ 371 Esther Street BUILDING PERMIT NO. 1]�'�
GENERALCONTRACTOR Doverspike VAW E $ $�S�Q.00 - -
i� � s�ocK TRACT pl�97 Dwelline and attackiedmgarage
GROUP I TYPE V ZONE Ml FIREDISTRICT 1].5B
� � PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER
FaotinaTrench LG . �`LJ-.1
and Grade to
Rough Framing
Plumbing, Rough to
Plumbing, Rough C
Temoorarv Pole "h
Heating, Final -
Sewer, House Sewer, St. '
Seotic Tank or Cesspool T
I ig, In OUt � b—
Piaetering
�Plumbing,Final,FixturesCom et�e �;
Plumbing, Fin.al GasTest � ��'/ �
Wiring,Final Gv Z`
Occupancy G±� � 7
1'nrm 270 G-H 15001-55
f —//'
�Z��i
/
� sta Mesa Building Department = APPLICATION FOR PERMIT
�• �.111 EAST 20th STREET �� B U I L D�� N G �.
_�� ��-�� COSTA MESA� CALIFORNIA V
, FOR OFFICE iJSE ONLY
FOR' APPLICANT TO FII'L IN __ __.__Receipt No. ___.permit No
Building
Address $ $ - /
Costa Mesa, California Received by Date Rec'd. Date Issuei
Nearest �- � � '
CrossSt. Tustin euilding
- Address 1 Esther Street
owner 1"le s twind Bu i l de rs �. Costa Mesa, California
naare�e 10 E, lath St. Nearest ' •.
Tel CrossSt. TUstiri
n:a.. I� TR ra..7.-s _R_�i R9 v....e i w�.. ..s i r....e i r_�......
ArchiteCt o�
Engineer
•ess
.ractor DOVO
Address i
Legal Loi
Description No.
(Attach Metes and
e O
Size of Lot--���'Jf
Use of
Existing Bldg.
Setback Line from
Center of Street
DESCI
New I X
�.
Block I Tract
+�' I Now on lot
INo.oi No.of
Families I Room�
� RearYard �i
3ide Vard
No. of
Rooms 6 Stories ],
la�ns � �,•- V � -
Date
CORRECTIONS
�:u�w�u�-
��.
rwr Wall Root .�ppROVAT C
ering StACCO Coverfng �'1p0C�
Use of New
Building Foundation Location - Inspector
Forms. Materials,
D a d Atta hed Gara 8 Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply
with all City Or�in ces and .State I.aws regula 'ng Lath. Ext.
building construc�l �
/ � Plaster, Int.
Signatureof� J�_ �'
Permittee G� � . 1 `C!'
!� Plaster, Ext
Authorized Agt. - � , ,,L �f
/ � � Masanry Reinforced
ValwaSion / / Permit Fee $ 22,
(� Plan Check $ Bond Beam
S g � SQQ, Total
Fee $ 2 . �� FINAL
CfIYM 2O6 G-X 2M 5-56 .
Date
�1
O
A
�
2
D
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OWNER �0�5+n
JOB ADDRESS 3� �
GENERAL CONTRACTOf
- �:£r.
�,,;� � :;•118-214-16
`�'--��F`��'CTIONS
_rng `
SOIL
GAS
WATER
ROUGH PIUMBING
PROP. SWR. LINE � MOUSE
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON
TEMPORARY SERVICE OR POL
UN�ERGROUN� I-I POwER
LOT 74 TRACT
TRENCNES �(� FORMS �1�.' STEEL
FLOOR SVSTEM
BONO 6EAM n STEEL REINFORC
SHEATHING
FRAME AND FLASHING �
LATHING - IN OUT
PLASTER, BROWN COP.T
5' "URAL, FINAL
H� ',G, VENT., REFRIG. ANO A.C.,
PLUMBING, FINAL AND GAS TEST ri
ELECTRIC, FINAL
BUILOING, FINAL
DATE
SUBCONTRACTOR
:". -
� COSTA MESA BUILDINCrSAFETY DEPARTMENf
� P.O. BOX 7200 COSTA MESA, CALIFORNIA 92828
For App(fcanf ro Ffll In Complaroly
� TYPE OR PRINT
ou��oiNa � 2 � . SC
ADDREGY
� COSTA MESA, CALIFORNIA
. . . ! _ .
� U9E OP
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� NO._ __
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tON �
er � R6AR
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DESCRIPTION OF WORK
7. OP
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ROOP
ttnx2l-be��00 584* ****22.50
ArPLICATION FOR PERMR
BUILDINfi
Fo� off�� u,. o�►y
R[C[1 1 �I} NO. I �
�uxi ' I ueao�r+�w
euuo�xa
A. P. NO. �
N0T8: NO EAVE OVERHANO BHALL EB Ll88 TNAN
.. � 80' TO HIDE Q REAR . L
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IONtAT
VARDf MPROVED YARD9 APPROV6O
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(FROMGLiT 6R1
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MAIN BLD68.
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AND BT�T6 TNAT TM6 ABOV�.IB CORp��'1' ANO AOp66 M COY. �VRPOeL O! 66TAGLI9XIN0 A PCpMIT PfiQ ONLY. �
PLY WITN ALL CITY ORDIWWCG� ApD RAn uMti p[OYLATINO ypLUAT10I�1
OUILDINO CONBTqUCT10N. /� � �
816NATURE OF • PBHMIT FEE !
PHRMITTH : �D� �J 0 W
AUTNORR6D A6HN'[ . O /
TOTAL PEE