HomeMy WebLinkAbout2520 ANDOVER PL - Building Permits�
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JobAddress: 25R0 ANDOVER PL
Suite:
Viciniry: BATHROOM
Primary Occ: R•3 Dwellings/ Cong Res <10
Parcel Number: 1a141234
Applicant: JIM BIZZELL
Address: 2130 NATIONAL AV
Type oi Conslrudion: V-N
Zoning:
�
Phone: 714�04-8377
COSTA MESA, CA - .� Zip: . gZg27 ISSUED BY:
' �„il . � , ` � ' � " ' _
Owner: WEST, FRED"OTR-:;, � � � _
Address 2820 ANDOVER:PL � � � - �
, � �; �'� � � � � �- � , Phona:� � � -
COSTA MESA, CA; �_.'" � - � Zip: � 9262 337
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Contrador ,JIM.REPAIRS - , � �
Address `2130 NATIONAL AV - ' - - �
% � Phone: 714�04-8377 � ��,: ' , � � �
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,` ` ��� COSTA.MESA; CA � �'� A �� !, �
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� � Zip: 92827, ; Licansa: 771363 -
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Status: ISSUED
Applied: 12/152006
� Issued: 12I15/2006
Arch �
Address: ,. i�� � ,% � ,i
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Phone:
' Zip: , - ' - �License:
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"BATHROOM REMODEL FOR SHOWER,WALLS IN AN
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Plan Check: ' $0.00 ; ,="�;�'��,' "f '
Permif:' � $15325 � � • . .�
SMIP Res: $0.80
SMIP Com: $0.00 �' "
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ng.
. Address: ^ , �
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FEE SUMMARY
_ . , ; , ; � ,,'Calc Valuation:
j • = � �- ' � _ u-Claim Valuation:
Other: $0.00 -
Inspection: r, . $0.00 �. �_ , ._ : - , -- . '
�� . _. ,.. _ ,1 , � - .
� / ,- �
` ���' � Total: ����� �, $154.05 � %
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SETBACKS � �.;'. � � �� �� ��',' -
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MAIN STRUCTURE �ront ��0, 0 . Rear �, 0'- 0-
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ACCES80RY � � Front � �0� 0; , ''�' � �SRear 0. 0, .
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PARKING �xistin :i� 0� ;Re uired: 0' -
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Phone:
License:
as,000.00
sa,aoo.00
Lefl � �0-0;� Right 0-0.�-�
Lefl� �0-D '` ' �`Right �,0•0 .
Pr000sed: � p � � .
. . . . � � . . � � .
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- _ � - �
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NO710E: 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 780 days, or if work is suspentled 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 Inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALI-: (714) 7545626
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WORKERS' COMPENSATION DECLARATION: �. i- .,,e,-�r�.� p ,, � � �n � r� � �; � .,; „ "
�IAerebyaHirmunderpenalry,ofperjuryoneofihefollowingdeclaietlons:�`��f�y'��-:� �"�u�;�'�,�A�'r:'.��i:� �
❑�= f heve end"will�meintein a certificete of consent lo self=lnsure fo� workerslcomPerisation; as pro4iCad for by section 3700 of the Lebor Code, for the pedormance of the
r work for which this permit is issuetl. -: qq �r, � �
:� hava and will maintain'workers' c�pensetlon insurance, as required 6y sectlon 3700 ot the labor Cade, for the pertormance o� the work Por which [his pertnit Is issued.
'�""�My work rs' co penst�(Wrrinsur nca cerrier end policy numher are: , /�O, (�
CeMBf. � ��v � �•.'�'� ,Palicy Number: � C� / ^ O � �� I -/ �
(This section need not be completed il the peimit Is valued et ane hundred dollars ($100J or less.) '�__ ._,. � T�'
❑- I certily thet in the performence ol the work for which4his permit is Issued, I shall not employ any person in eny manner so as to become subject ro the workers'
compensetlon la of Calliomla, a�tl�a ree that if I should become subject ro the workers' compensetion provisions of Sedlon 3700 of the Labor Code, I shail forthwith
_= mplywith.�hes ovisions. % ' �
Applicant Signeture: � � ��� oaca: %S � �12. — ( S —o m
WARNINO FAILURE TO S C RE WORKER$' C PE SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVEP TO�CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TNOUSAN��OI.LARE(51 , ),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFOflINSECTION310fiOFTHELABORCODE,INTEPEST,AN�ATTORNEV'SFEES.
LICENSED CONTRACTORSDECLARATION: �
I heraby aHirm ihaLl.am licensed under p�o��slons W Chapter 9(commencing with Sectlon 7000) of Dlvision 3 of the Business ¢mj Protessions Code, antl'my license is in fuil
force and eftect. Lic. 8� �Class q` l'S
.ContractoYs Signature: � lDate: '�' r 2- r s—e��
. ,
CONSTRUCTION LENDING AGENCV: '
❑ I hereby aRirtn that ihere Is a con5�mction lending agency for the pedortnance of the work for which this permit is issued. (Sec.,3097, Civil Coae).
Lender's Neme: Lender's Address:
SigneWre: � � � . Date:
OWNER-BUILDER DECLAFiATIONS: �
I hereby aHirtn ihet under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE CAW for the following reason (Sec. 7031.5, Business and ProFessions
Code: Any city or county which reqWree a permit to constmd, alter, improve, tlemolish, or repair any strucNre, pnor to its issuance, also requires ihe applicanl for such permit
to flle e signed statement thet he or she is Iicensed pursuent to the provisions of the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
8usiness and Professions Code) or iha� he or she is exempt therefrom and the basis for the allegetl exemption. Any violation ot Section 7031.5 by any epplicant tor e pertnit
sub�ects the epplicaM to e civil penalty oi not more than Nve hundretl dollers ($500).): � .
❑ I, es owner ot the property, or my employees with wages es ihei� sole compansation, WILL DO THE WORK, anC the structure Is not intended or oHered for sale (Sec.
7044, Business and Profassions Code: The Contractors License Lew dces not apply to an owner of property who builds or improves thereon, and who does such work
himself or hersetl or ihrough his of her own employees, provided ihat such improvemenls are not Intentled or oflered for sale. If, however, ihe building or improvement is
sold within one year of completion. the owner-builder will hava the burden ot proving thet ha or she did not build oi improve tor puryose of sale.). �
❑ I, es owner of the properly, am E%CLUSIVELV CON7RAC71NG WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contractors License Lew tloes not apply to an owner oi propetly who bulltls or improves thereon, and who coniracts for such project with e contractor(s)
license pursuant to the Coniractors License Laws.).
❑ I em exempt under sec. Business and Professions Code tor this reason: ' '
Signafure: � � � Date:
Owner ID veritied by drivefs license. ❑ Yes ❑ No Onvers License No. Ezpires:
Verificatlon of Ownership by (type of doCument, i.e. - propeny tax bill ot deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - .
❑ I hereby certify that no excavatlon five (5) or more teet In depth into which e person Is required to descend, will be�made in connection with work authorized by Ihis
permit, end thePno building structure, scallolding, falsework, or demolition or dismantling thereot, will be more then thirty-siz (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title 8, Calitomia AdministraN�e Code).
❑ As owner-builder, I wiil not emplay enyone lo do work which wouid require e permit hom the Division af Indus�riel Safery, as notetl ebove, unless such person has e
permit �o do such work from the di�ision.
Signature: , ' Dete:
Division of Indusinal Safety Permit Number: .
CERTIFlCATE OF COMPLIANCE AND AUTNORI2ATION OF ENTRV: I certity untler penelty ot perjury that I.have read this epplication and state that the information given is
correct. I aqree to comply wllh all stare lews and ciry oMinances relating to building constmction, and authorize represematives of tha Ciry of Costa Mesa to emer upon the
above-described propehy for inspection purposes. I agree not to occupy or ellow occupancy o� any buiiding euthorized 6y Ihis permit unlil final inspection.
COUE N' INSPECTIONTYPE QAIE -
�.a�r.11fl i��� . . 1.'
1616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
GG'fk�C�m�6 � . . • .
200 Finel Fe-Raof
2d1Cr ;, ,iloal Blxk/Reteining Wall .
2�2.11m�Final Factory Fire Place ••
203 Finel Sign -
204,,..„,�,.Finel�emolilion;, _ „ - ,
INTRULS
( 2 -��,'�a�o�-
Date
COpE• INSPECTIONTYpE'
' � ' 20fi Final Mechanical . ;
208 Final Plumbing �
210 Finel Elec�rical �
212 Final Fire Prevention
- 220 . Finel Planninq Approval
222 Final Site
.. . , 250 _ Final 0uilding/Occupency •
PAIE IMRI�LS
�
Job Address: 2520 � ANDOVER PL
Suite No •
Viciniry: BATHROOM
Parcel Nunmber: 14141234
App�icant: JIM REPAIRS
Address: 2130 NATIONAL AV
COSTA MESA, CA' � ,'�' �
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Owner. WEST,"FREDO,TR,_
Address - 2520 ANDOVER PL' �
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! COSTA MESA, CA-�'
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Con4ractor: JIM REFAIRS
,
� AddfBss. 'r 2130-NATIONAL AV
. ," ' / -�,��
: � COSTA MESA, CA
- - ' ,���, � . . ,�
'- �'P6one: 714-404-8377-.'
� . � Zip: 92627 . .
� � Phone: ^ "
Zip: 92626-6337 �
Phone: 714<04-8377
Zip: ;92627
' �f.'License: 771363 `�
i,
� • Status: ISSUED
, Applied: 12/15/2006
Issued: 12I75Y2006
ISSUED BY:
� ' ' %� ` %` � " '' " SCOPE OF PERMIT _ - . � � --
, . ., �BATHROOM�REMODEL FOR SHOWER WALLS IN AN EXISTING SFD. � � - � � " � � • ', '
, REF: 806-02137 "� , �,
. , ; 1 SHOWER, 7 WASH BASI_N, 1 WATER CLOSEL . . . . ' �
� -�t��-n - - - ..- .- - '
- „ -. , �..'� . _ �v%FEE SUMMARY !`' � '' � - �
� ' AMT ,� � �� AMT � ,�N - AMT �
ISSUE FEE . $23.50 . �. Laundry Tub / Washer $0.00 0- Sump Pump 50.00 ' 0
Bickflow irrigation� � $0.00 � 0 � � Candscape Irtigation . $0.00 0 ', Swimming Pool $0.00 .0
BackflowPreventer � $0.00 0 _��_P,Trap-:,_ � ..�$0.00..�.0�� �_ ." TrapPrimer ` $0.00 0
Bathtub�' . , , . $0.00 0 �.. .- PressureRegulator.- ' $0.00" 0_ _ ... � Urinal " . $0.00 0
Clarifier System . $0.00 0 Process Piping (per 10 ft) '$0.00 ' 0 Vacuum Brkr Bktlow(t-4) $0.00 0
Connect (Ice,Sada,etc) ..'. $0.00 0 � Receplors $0.00 � 0 � Vacuum Brkr Bkflow(5+) - $0.00 � 0
Dental Units .�, $0.00 0� Septic Tank $0.00 0 � Wash Basin $9.80 �
Dishwasher , ,,�:, '$0.00 0 Sewer Cap for Demo '� �$0.00 - 0 Wash Basin Set . $0.00 0
Drain, Floor . .�$0.00 0 Sawer Connect -, $0.00 0 Waste and Vent System $0.00 0
Drain,�Rainwater � `, $0:00 0 Sewer Private L'ine �� �$0.00 0 Water Closel (Toiletj -$9.80 1
Drain, Roo(. �� �`§0.00 0, Shower,� '� -� ° "$9.80 1. Water Healer/ vent $0.00 0
Drinking Fountain � � - � $0.00','.,, 0 � Sink,�bar � � $0.00= � �� 0 Water Piping (Inst�or Rep.) $0.00 0
Expansion�.Tank $0.00'� � �0 j _: �;,,,,k Sink; wmmercial $0.00 0 . � � ,.. Water Re-pipe � $0.00 0
Gas EaAhQuake Valve� $0.00 � �,0;. - `�- Sink, Floor $0.00 0 ' ' � Water Service � $0.00 0
Gas (t-4 autlets).��,�. i $0.00 �0�.. �; � Sink, kitchen `< - $0.00 : 0 . Water Softener � $0.00 0
Gas (Over4 Qutlefs): � � �$0 D0� 0 � ���,, Sink, servicelmop" . $0.00 � 0 � �� OTHER"- � � $0.00
Gas Repipe � '� �� $0.00 / ��0 - .:'Spa (privalej t �- � � , $0.00 0 � VIOLATION� � � �.''� � $0.00
Gas Service \ �` ��$0.00� � 0%-�� `�Spa�(public)-_ -; $0.00 ' 0"'- � �PLAN CHECK � � ;' $0.00
Interceptors (Grease, Oiq� �.$0.00 �:` 0 % ; �,� � � . �- - . � ,', REINSPECTION - $0.00 0
Interceptors (Sand Auto )'�, $0.00 �' �0 • � " � - �
� - , � ' ' � � 1 � _ � _ , � � TOTAL CALCULATED FEES: E52.80
' COMMENTS / SFECIAL CQNDITIONS
- - � >; . . �
NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become voltl if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized unde� this permit to be considered legal, such work must comply with all applicable codas, and all
requlred Inepections and final approval must he oblained. Failure to obtain i�spections a�d finaf approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
zawae (aroo)
wuMRtnS �.umrenswi�unuc�uanwi�vn: c4P'4�X.,,�.4'^j.W ` �c`r;Zg,c,; nt1•xi ,� .
l�hereby affirm under p'enalry"�of perjury one of the following tleclarations: 4�N .l'i��:v1 ti'�J tiu,.�.mw, u'�n�'�'. . . .
-ni.,�, ,._ -r.
�{� I�.Heva antl wUl�matotain a cartiticate W consent to self-lnsure f6o,wwkeFs'�cdmpensatbn, as`providetl iw by section 3700 of the Labor Coda, for the partormance oF the
�ork for which Ihis permit is �ssuetl. .;'� ��u �
have an0 will maintaio workers' compensation insurance, as required by section 3700 of the Labor Cotle, for the peAormance of the work tor which this�pertnit Is issued.
My wo�kers' p nsation I s ce ca er and policy number ere: ^�, /�
Cerrier. ���� � � �.� Pplicy Number: �� �/ Q�� �'"i �
(This section need not 6e camplefed Il the permif is velued at one hunqred dollars ($100) or /ess.)
❑ I certiry ihat in t peAormence ot the work for which ihis permit is iuued, I shall not employ any person in any manner so as to 6ecome subject to the workars'
compBnsation I of Calitorni an agree �ha� It I should become subject to ihe workers' compensation provislons of Section 3700 of the Labor Coda, I shall forihwith
complywitnthes rovisions. n
AppliceN Signeture: Dete: i L—� S— 6�
WARNING FAILURE TO 5 URE WORKER PENSATIIXJ CAVERAGE IS UNLAWFUL AND SHALL SUBIECT qN EMPIOYER TO CfiIMINAI PENALTIES AND pVIL FINES UP TOONE HUNOFED
THOUSAND �LLARE (S1 ,000), IN ADDITI TO THE COST OP CAMPENSATION, DAMAGES AS PROVIOEO FOR IN SECTIqV 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: ' �
I hereby eHilm ihat I em nsed under provisions of Chapter 9(commencing with Section 7000) of Oivisian 3 at the Business �rotessions Code, and my license is In full
force end eHect. Lic. A Cless N �
Comreaor's Signature: Date: 12 —1 �'— a 6
CONSiRUC710N LENDING AGENCY: �
❑ I hereby aflirm that there is a consiruction lending egency for Ihe performance of the work }or which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Naf�e: Lender's Address: �
Signature: Date: '
OWNER-BUILDER DECLARATONS: '
I hereby aftirm thet untler penelty of perjury that f'am EXEMPT FROM THE CONTflACTORS UCENSE LAW tor the following reason (Sec. 7031.5, BUsiness and Professions
Cotle: Any city or county which requires a percnit to constNct. 'alter, improve; tlertrolish, or repair any structure, prfor to its Issuance, also requires Ihe applicant to� such permit
to file e signBd statement thet he or she Is licensed pursuant to Ihe provlsions of ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of Ihe
Business and Professions Code) or thet he or she is esempt iherefrom end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for e pertnit
subjacts ihe applicant to a civil panalty ot rrol more ihan tive huntlred dWlars ($500).):
❑ I, as oWner of the property, or my employees with wages as thelr sole compensation, WILL DO THE WORK, and the stmcture Is not intended or offered for sale (Sec.
7044, 6usiness and Professions Code: The Contractors License Law does not apply to en owner of propeny who huilds or imp�oves ihereon, and who dces such work
himself or herself or ihrough his or har own employees, provided that such improvemen�s are not Intended or oHerad for sele. If, however, �he building or improvament is
sold within one year of completioq the owner-buildel will have ihe burden ot proving ihat he or she tlid not build or improve for purpose of saleJ.
❑ I, as oWner of the property, am�EICCLUSIVELV CON7RACTING WITH LICENSED CONTRACTOPS to constmcllhe project (Sec. 7044, Businass and Pmfessions
Code: The conlrectore License Lew doas not epply to en owner of property who builds or fmproves ihereon, and who conirecis for such project wfth e comraclor(s)
license pursuent to the Contraaors License Laws.). � . �
❑ I em exempt uMler sec. Business antl Protessions Cotle for lhis reason: � �
Signatura: Date:
Owner ID ve���atl by tlnver's license. ❑ Yas ❑ No Driver's Licanse No. Expires:
Veritication of Ownership by (type of documenl, I.e. - property tax bill or deetl): �
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: �
❑ I here6y certily thet no axcavatian five (5) or more feet in depth into which e parson is requiretl ta descend, will he made In conaection with wak euthorized by this
permit, end that no building slructure, scallolding, falsework, or tlemolition or dismantiingqhereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomla Administrative CoUe). � .
❑ As owner-Duiltler, I will not employ anyone to do work which would require a permit irom Ihe Division of Indus�rial Setety, as noted above, unless such person has e
permiuo do such work from the tlivision. -
SignaWre: � Date:
Division of Industrial Safety Permit Numbar:
CERTIFlCATE OF COMPLIANCE AND AIITHORIZATION OF ENTRV: I certify under penalry of perjury that I have read this applicalion antl state that Ihe intormation given is
correct. I agree to comply with all state laws and ciry ordinences releting fo bufltling consiruc(ion, and authotlze representaUves of t�e Ciry of Costa Mesa tu eater upon the
ebove-described properry for inspection purposes. I egree not to occupy or allow occupancy ot eny building euthorized by this permit until final inspeclion.
LOpE A, �N�cECTIONTYPE
: ��.ial �•n
1616 Fixad System Final Fire Prevention
1286 Pool &pe Final , '
r,nn:�r•,r,a[ ' � �
200 Final RaRoof
201F,�� Floal BIocWReteining Wall
202 �;-i�FInalFactoryFirePlace
203 FInaI5i9n .
204,,,,,,,,Final, e olition„_, , � ,,.
jl/ljf 1� LODE �
206
208
2io
212
220 ,
222
►�.� yr a �,
Date
INSPECTION TYPE
Final Mechanical
Final Plum6ing
Final Electncal '
Final Fira Preventlon
Final Planning qpp�oval �
Final Site
250, FinaLBuilding/Occupency �
pzE Inrm��s
�-!o ,e� �w
1. !' . � . ... � . .. ,
"`� . �o�o ����� V��C�s�l��
COSTA .MESA BUILDING DEPARTMENT ��'�n APR z 1 1959
P.O. BOX 31] F�N��NCE nEPT.
COSTA MESA, CALIFORNIA (;.��V QF CQS�R !�tE�A
eui�oirvc
ADDRESS
FOR APPLICANT TO FILL IN
20 Andover Place
COSTA MESA. CALIFORNIA
OwNER Crown Homes
MAIL 1555 Flace�tia
ADDRE55
ci rr Newport lieachx
ARCHITECT $$ID8
OR ENGINEER
TEL.
N o.
LIC.
NO.
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
„ RECEIPT NO. PERMIT N^O.
CJ
FECEIVED BV DnTE PECENED �ATE ISSUED
_ Z ' J'
6-3227 ADDRE'S5
COSTA MESA. CALIFORNIA
FIRE
ZONE
COIISU CO� QTV LIG ��j(� �ONE HO.OF TVPE GROUP
PLANS
N o. 7i �
LEGAL ILOT /q
�ESCRIPTION NO 4�
A.P. NO.
APPROVED G
BY DATE
2g82 CORRECTIONS
SIZE ��1 X 10�1 IMO.OF 6L0G5. O
OF LOT ���� 1� NOW ON LOT
USE OF
EXISTING 6LDG.
SETB4CR LINE FROM S(�
NEW
REPAIR
BUILDING
SIZE
E%TERIOR
COVERING
USE OF NI
VARD ��'
RIGHT � LEFT S
DESCRIPTION OF WORK
g, ALTERATION AO�ITION
MOVING DEMOLISH
�7 � 6 ROOMS p STORIES 1
LL ROOF
stucco COVERING WOOd shingle
residence and att. garage
Flan 3—CR.
The Amount shown under valuation is for the
� HENEBY ACHNOWIEOGE THl�T I HAVE FEAD THIS APPLICFTION ANO
STRTE THqT TNE ABOVE IS CONflECT AN� FGREE TO COMPLV WITN r1LL Durpose of esta6lishing a permit ee on y.
CITY ORDINANCES I�NO ST4TE Lr1W5 XEGULAT�NG BUILDING CONSTRUC-
rior�. VALUATION 35 00
SIGNATURE OF
' PERMtT FEE � ♦
PERMITTEE
� $ 15,747��� PLAN CHECK $ 1��5�
eiiTunoi�cn nr.wnir TOTAL FEE $ 52'�J�
yOMf