HomeMy WebLinkAbout2733 CANARY DR - Building Permitsu
PNOJECT AUUNE55: z'J j 3 CANARY DR
OWNEP'SNRME: BURGER, KENNETH M
ROOflESS: Z 7 j] CANARY DR
COSTA MESA,CA 92626
714) 631-2041
AflCHIENGINEEP: flEG.NO.:
FUOflE55:
UNIT:
UNIT:
reeminec: KENNETH BURGER (714 ) 631-2091
aooness: 2733 CANARY DR
C.M. CA 92626
L�LENSEO CONTNACTON OECLABaTIaN: I nereGy al�irm ina� I am licensee un0er pmvisions of CnaD�e� 9lcammencing witn Section
7000� al Division 3 0l I�e Business an0 Vmlessions Cotle, anC my lirense i5 in full force antl ¢tlect.
CITY LIL.: STRTE LIC.: CIASS: EXP :
Oate: Signa�ure:
WOHNENS' COMPENSR710N OECLANp710N: 1 �ereGy allirm t�at I �ave a cenifiw�e of conseni to sell-Nsure or a certificate oi Woders'
Compensation Insurance, or a ceniliea copY Ihereot (Section 3800. LaG. CI.
POLICV NO.: E%P. ORTE:
COMPANY:
❑ CeNheG caOY is hereby lumishetl. ❑ C¢rlilieC copY is IileO wi10 IAe city Builtling Division.
Oate: poV�icam:
E%EMPTIONFBOMWOflKEflS'COMPENSPTIONOELIAB�T10N: Q�i55eciionnee0notbe[ompleteUii(h erimtis�orone�unare0(51W�orless�.
I certily Ihai in I�e pedOrmante oi Ih¢ wo�k IOr whi�h IhiS permil is issqed, I Shall9p I employ an rson m any manner So as to �eCome
ea to �he Workers' Comoensati�Laws ol Calilomia-.r��1/ _//„ .
G `'�6�..'! !%%r �t-..
� SipnaWre:
NOTICE: II, al�er making IhiS detlaration. you Shoultl Uewme SubleCl �o Ihe WoBers' Compensation pmvi5ions ot ��e LabOr
Code. you musl lotl�with comply witM1 such pmNsions or Ihis Dermil 5hali �e AeemeU revoketl.
CONSTFOCTION LENOING AGENCY: I here0y allirm Iha� lhere i5 a ton5tmt�ion lentling agency for ��e pedormance of Ihe work for
w�ich Ihis Oermi� is issued (Seclion 3097, Civ. C�. -
LENOEfl:
ROONESS:
OWNEB BUILDEH OECLABRTION: I �ereby aifirm ihal I am exempt tmm I�e Contracmr5' S�ate License Law tor tAe followinp reasan
(Section 7031.5 Busine55 an0 Professional COUe: Any cily ol county whic� requires a De�mi� lo consimct, atlef, improve, demolish, of
reDau anV simc�ure. prior lo ils issuance. also requires �he applicant lor suc� permit to tile a signe0 sta�ement Iha[ he/she is Iicensetl
pursuan� lo I�e pmvisi0n5 Of Ihe ComraCiorS' Sia�e Li[ense Law (C�apter 9(cOmmenCinO ��h Seclion 7000) ot Division 30� Ihe Bu5ine55
and Pmiessions Cotle) or ihal �e/she is exEmpi IAerelmm antl t�¢ hasis for the alle9eC exemptian. Any violation al Sec�ion 7031.5 by
any applicanlfor a oarmit suUjecis Ihe applicant to a civil penalty of not more ihan Irve AunOred tloliars 135001.
I. as owner of Ihe pmperty or my employees wit� waAes as their sole compensation, will Go [he wofk, antl t�e
❑ s�mtlure is no� intenEetl or oifereE �or saie (Section 76aa, Busineu antl Pmfessional Co�e: The Coniractors' State �icense law
eoes not aOPly lo an owner ol a pmpeny wM10 builtls or im0�oves iherean. and w�o Goes suc� wofk himself/hersell or tllmuph
his or her own em0loyees. D�ovitletl I�at such imDwvement5 are nol intentled or ollered for sale. Ii, however ��e LuildinA o�
impmvement is sold within one year of completioq tne owner will nave ine euraen of Woving he/she tlitl not euilE or imD�ave
for t�e purpose ol 5aie�.
1, as awner ol lhe o�operty, am evclusivelp coniracting with licensea coniractors lo constmct tAe Dmject (Sectian 7044, Business
❑ ana Pmfeuions CoEe: The Contractars' State License Law tloes not apply io an owner ol pmperry who UuilOs ar impmves thereon
antl wno canvacts lor sucn prqects witn a contractorls) license oursuant to ihe CAniractars State Ucense Law). I am aware
�hai proai at I�eir WOMer'S COmpensa�ian insurantt S�oultl be DwhtleO to me.
� i am exemp� unaer Sectiun: B p 7 p 4 4 B. 8 P. C. /
m�m/rs,r�ea's7on: OWNER—BUILDER ..f'�s,v1TFTE/ �
ai . (i l0'� Owner. �1 /, h.i
i ao �ereGy cenify t�at I am aware ol antl unCerSianU ihe requirements oi Califomia Healt� anE Safery CoAe Sectians 25505, 25533, anA
2553� antl I�a1 I or any tWure UuilOing occu0am wilVvnll not (circle one) nee0 to campN ��h sai0 state coGes and Ihe requirements tor a
permil br consimclion oi moUilicalion Irom Ihe Aii uahty Managemenl UiSiritL Re5i4eniial ConSUUt�ion applicaiions are exem0� �rom
IAese provisions.
Oale: APPlicant:
1 nere0y cerlilythal I �avereatl I�is applicalion antl statethall�e a0oveinlormationis torrect. I agreeto comply w�t� allcity anE county
orEinancesanaslalelawsreWlinglo�uiltlinpconsimnionanGhereby ul�oraerepresen�alivnoflN prytoenteruponlheaUove-menfioneG
D erty lor inspeclion Durposes. �/
aie �+ �� � �� Sipnawre: �,2�"""' 'v
ori�ers License or Sociai Secudty a:
t6aFa6 W�ne—BwlGing: Green—CaEa Enlorcoment; Canory—Applicanl; Pink—Ravenue: GOldenroC—Assessor
CITY OF COSTA MESA — BUILDI;�G PEtiMIT PER�i NO: H 0678ti6
PERNIT NO: H 067896 PLAN CHECK i�0: 02ti0y-94 S GOVT; N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPOSE: CON
JOB DESCRZPTION : CONSTRUCT 143LF 6' HIGH BLOCK WALL Sl,� FT: 143
CLAIM C�ALUE: 3,000.00 CALC-VALUE: 2,b60,00 GROUP UCC: R-3 /
COMMENTS: 75' BETWEEN 27'27/ 2733 CANARY 6 68' ON 2733 CANARY INSIDE PROP.
#�+�*+r�*�r+r�rx�*#�*ir��r*+r**n***#�r****�-?r#�r*�r*#***�r�ra«�*�*x*��#n�-*�-*���:�r. w-n+��r�#� �r����#�r#r�
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 BOILDZNG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; F1 IN RGHT: FT 1N LEFT; FT IN RGHT: FT IN
PARRZNG REQ: PROV; PARCEL: 13952404 ZNE: R1 REF NO:
PLANNING NOTES> CONSTRUCT 6' HIGH BLOCK WALL 84 FEET LONG ALONG SIDE P/L,
> AND 68 FEET LONG ALONG REAR OF PROPERTY, 10 FT, FROM FRONT P
;r+t�;��#�rir���x+r�t##uir+r�r#��r*�r#u�r�r*�t*#t�t��-+t���r##x��r#�r#+tw�r�-*�r#*#�+r�#�#�ru#�*�*trr. �#**�-xi��r
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
ZONING APPROVED HY �(�-_ DATE: v � Q�
BUILDING AFPROVED BY : i�/U� DATE: �/ _� !
APPLICATZON ISSOED BY: (�/f1—� DATE; � � �
��t*�t*xitir*it+�**it**�**�ititrtx��*�*+r�rirxx�**w��* a �*�r� ** ;r��r ��tx�*+tx*it**x� +t : �x * �
#iEiFiElFiEiFih#iEiE1E�1k1EiEi(�!E#it#!k#1E#iEiFiFi(�#EifiEifiElfiEfE�EfF#iFifiEiPik#iEiF##iF�FlfKlfifitiM1ffitlF#iEifiFiM1lF�Fitic# iF1Fic%�itic#il�ir
LEGALIZATION:N F E E S 0 M M A R Y STRUCT[JRAL SEGMEyT:Y
BLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/RES GRAL�ING
PERMIT 54.00 ,5p
PLAN 35.10 � 5MIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 54,50 0.00 35.10 89,60 F,9,60 .QO
AEVENUE DIVISION TOTALS--> COLLECTED: 89,60 OVER/SHORT; ,UO
BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SF]IP/TOT GRADING PLAN—CHECK
54.00 .50 35.10
i
it#****#it#at*�*itit�+rat+�u�#*+r#*�-#**#ir��r�ir#��+e*x�x�it���r��� wr ��r�t�t**��wic���t�*�r�x �*���-��****�
I N D I C' I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R 2 P T I O N UNIT COST iOTAL COST
SFR 143 RES—CONCRETE BLOCK WALL / FT. 20.00 2,860.00
EPIIY,OF FEES
�" �i a016�ib3-OOIb317D T n T
i DATE: Ob/30/96 TI11E� 0&:43
84.60
CONSTRUCTION AND PLANNING POOL & SPA
-APFROVALS Permit# Date Inspector APPROVALS Permit� Date Inspector
1. Temporary Electncal Service or Pole 52. Pool & Equipment Location
2. $ail Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd. 55. Electrical 8onding
5. Steel Reinforcement ��'., y'rJ /�(r[d 56. Rough Plumbing & Pressure Tzst
_�
6. ElEctrical UFER Grnd. 57. APPROVAI. TO COVER�GUNITE
7. Footings ?��„q(,f �rN� 58. ElectricalConduit�Uncrgrnd.
B. Foundation 59. Gas Pipe, O Undrgrnd., Tes[
9. Water Pfpe�Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgmd.
10. Structural Floor SYstem 61. APPROVAL TO DECK
11. Prope�ty Sewer l.ine & House Connection 62. Backwash & Recepror�Final I
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains . 64. Plumbing System • Final
74. Rough Plumbing 65. Eiectrical-Fina�
15. Rouyh Electrical�Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wirinq Si9n 68. APPROVED FOR PLASTERiNG
78. Rough Electrical-T Bar Ceiiing 69. POOUSPA SYSTEP,M1S FINA�
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
2p, Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground HYdro
22. Ducts, Ventilating 77. Product Piping �Gas OOiI
23. Gas P�Pe�Rough & Tes: 72. Underground Fiush
24. Roof Framing � 73. Undergrnd. S[orage 7ank O Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Struttural� & Monocoat 75, Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Laching & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drytvall Nailing HEAL7H OEPT. REQUtREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Elzctr�cal Power Meter�Final 80. FOOD CERTIFICA7E ISSUED
33. Final Elec;ric Notes:
34. Finai Heating & Air Conditioning -7� �� ri1(� �� �� r� ^
( "[ �
35. Final Gas Pipe-Test � ��'/
36. Hood or Canopy
37. Final FactorY F��QP�ace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Soiar pomesticFinal
42. Barkflow Preventer
43. Backflow Ircigation
44. Landscape IrriGation System
45. Sound Anenuacion
46. Handicap Regulations
47. FINAL STRUCTURE & BUII.DING �-.a..Gj(,� ��
48. FINAL PIANNING
49. Electric Release to Edison
50. Ga5 Release to Southern Califomia Gas Cn
51. CERTIFICATE OF OCCUPANCY
No. Date
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
COUNTY OF � �C � U ��-
On \1 lC Vi � O� /. �/ 7 Y before me, /� L� v� u���Y ��eil� � c�� �„
, Notary Public,
personally appeared /� � �n I,i � -�- � /vj • � u H
�
� —�-ca � � � �e, � _ � r �.
(or proved to me on the basis of satisfactory evidence) to be the erson s
whose name(s) �Jare subscribed to the within instrument and acknowledged to me that ijefskefthey
executed the same in Misfwer�their authorized capacity(ies , and that by�risfHeNtheir signature(s) on the
insirument the person s or the entity upon behalf of which the person(s) acted, execuled the
instrument.
WITNESS my hand and official seal.
a
�+ t
Signature Z o �
"= �, MARY E. NIcFETRIDQ€
�� COMM. #972227
� 6 NOTMYPUBLIC�CALIFORNIA
ORANGE CAUNTV
�'' AAy Gomm. Fxpim Atp, Z0,1996
(Seal)
SF-9470-8 (Rev. B - t/91)
m
:
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this Z�� day of
Ju/�=' _, by and between—L1�nh�7� � �uYq�lr
hereinafter referred to as "LANDOWNER," and �o✓� � rGP�.s
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between
Z733 ��rlc�ir
e N-�.o� z7 z7 N,
of Adjoining Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
r
in Book z1�/ , Page �l"� of Miscel�aneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach � f ?'ICS�CCr/ij(
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LANDqWNER
(sign�"" Lj� 4
���
. �1(����� � .8u�q ��
•'�""�'Name (Typed or Printed)
Z733 �a���y 'ridG
(AddreSs)
190G46
ADJACENT PROPERTY�
��
/Lc,m Zv�
( ignature) —�
d .�bv.A�O�t�i��i
Name (Typed or Printed)
o�%a% � �2.
(Address)
NOTARIZATION REQUIRED
b
�I
W
�
N
�
�� �
�
���i- 6 ' ��.;� I�
DIVISIrJN OF BUILDING S Q I,
CITY OF COSTA MESA
. �nn APPiJTVEP I�i# `�.23 l
�i nls se! -�� c!�ns ar:y speciticatwt� MUST pg
� an0uis��•:,n:;i+��makeanyctW1�80f81e1.
O �� Permw�;crit;r .��ailrvisionotBu9dYtp�1108C
� The stam.;��r.q oi :n�s ytan antl sPeCdip64118F
� or to be an �pyrpval of Ihe vfoledon dmyp�p
L � Mesa Ordinatu�e and/or Stale law.
/\
J �_�\� ihese plans antl Demtil shae e�irg by i111�p�
_��x; the buifding oi woAc is noi commenpgd anp m�l
(d) wifhin 180 Eays of issuance,
�— �nr'J/�J
T
R[tID[NC[ �h
`
r
a-, �5 y
IItfIDfMCL I �
���-7
m
�
11[f10ENCE
� �P� ��ySTREET �
REfIOEMCL
k ESA
PT.
PS. Ci0
. I �'�.� 4.
�..�9 7
���
pIL.
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Outional' �
Channel Block With 13/8�
Horizoatal Top of alh---'�"" � '
fences � , ��. j..
For Fences 5' or Less�
Vert. Bars 3/8"yi atR�-0" O.C. �
For Fences Higher Than F,�',�„�„�.�
Vert. Bare 3/8"� at 32t' O.�C.,�$
Fill Cells Solid With G�o�¢�p�v
Where Steel Occurs S!1►i�Au7
Reinforcing $teel Sha ��p�j
Confo�m to Sec.A-15-�39�,*�s
A.S.T.M, � � ^
All Steel to be Lap ����
24" or to Code ���
NATURAL G'RAD'E �_
TWO 3/6"¢ BARS ��
CONTINUOUS TOP �
& BOTTOM
HORI2.STEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
[n:�
,�.`bY'>"'r' .. ���'.�i �
�
] o -
d p N
u A - -
D
�W'IDTH
p SEE CM�
'+ BELOW
oIQ
FOOTING REQUIREMENTS CHART„
GENERAL- NOTES
MORTAR: p�e pa�} plastic Cement, and
Three Parts Sand
GROUT: One Port Cemenf Three and
One Half Parts S�and
COPING: One Part Cement, Three
Parts Sand '
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Maz. of 7- I/2 Gollons of
4Vafer Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELIS WHERE S7EEL
OCCURS.
CELLSAND AREASOF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
�N GF E4RTHTCOTH
V3 7HE HEIGTH OF fENCE
��LOW BOTTOM OF FOGT�NG
SCALE: I/2�� = I'
WIDTH 14'� . 14" ... 12��. . 12��
THICKNESS . . 10�� . 10�� . . . . . g". 8��
DEPTH OF EARTHTOOTH . . 24�� . . . 20�� . . 16��. . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' ..... 16'. . 16'
City of Costa Mesa, California
Building Department
[�=_v.�ep �-1ov. aw
owtvr:tt_ P�gA SUBDIVIDERS INC. DATE 7_29_65
�JOB ADDRESS Q'� C3xla.Ty DTiV2 BUILDING PERMIT NO. 2�7�F
GENliRAL CONTRACTOR Pemba $tlbdlv3dCTe DESCRI�PTION OF WOBK Exterior i�.t.0T8t.j.0I1 _
AP No. LOT 45 TRACT 5781 FIRE ZONE VALUE S�F50.00
�INSPECTIONS � Signature � Date GROUP J TYPE ZONE
SoH I PERM[TS ISSUED
r.,,e SUBCONTRACTOR n��„ i�,,,,,�,o,. � c�a„�r��.,.
�t �.� 24474
�COSTA MESA BUILDING-SAFEf`( DEPARTMENT
P. O. BOX 91] C09TA M69A. CALIFORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
BO.:.eDIN6 7 r7� � /'���,,n.l�l a�,r..�.��
■ MAIL
COSTA MESA,
�FM73A Su
TEL.
FNOM
G
0
C�li�� vu�lfi IYI�JN
JUL 28 1965 �
—:J1-
L84AL
FOr Offite UsB Only
� PHeH�Pt n0.
ZONINf3
no. op use or
�urva � auaon
�
NOTE: NO EAVE OVERHANQ 3HALL BE LE55 THAN
' 6395 90'TOHIDEBREARP.L.
EAVES
rvO.ORe�nOe. ALLOWED <U.B.C.REOUIREMENTI
NOW ON LOT
VARD9APPROVED VARDSAPPROVE�
MAIN BUII.DINQ ACGESSORY BUILDIfJG
(FROM WLSTRE�TI
DESCRIPTION OF WORK
BUILDIN6
SIZE
EXTERIOR WALL
BE
VAR.jC onTe
C. U. P..}j n APPR�
APPROVED I / /I I/ I
1 HEHEBY ACKNOWLE�OE THAT 1 MAVE NEAO TH18 APPLICATION THE AMOUNT 6HOWN UNClH VALUATION �9 FOq TH8
AND STATE THAT THE ABOVE 19 CORRECT ANO AOpEE TO COM. PURPOSE OF ESTABLI6HIN� A PEHMIT FEE ONLY.
PLY WITH ALL CITY OqO1NANCH9 ANO BTATB LAWB REOULATINO ypLUATION
BUILOINO CON9TRIICTION: PERMIT FEE S �
SIGNATURE OF ' /�
PERMITTE / �"" s'/ ���_. LA C EC
AUTHORIZE AGENT / �c�
rnr.� rrr e 'i _/
�rv+v� LVVY�n� �Uri1V H. ' i^i� 7 GV Vo _
JOB ADDRFSS 2733 Canarv Drive � BUILDING PERMIT NO. 257q8
GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Slump Wall _
:RE ZONE VALUE
GROUP J TYPE
SUBCONTRACTOR
— In ❑
' 25738
� COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 7200 COSTA MESA, CALIFORNIA B2E20
For AppflmM to Ftll In Complofafy
TYPE OR PRINT
No �7�3 [�fi.t��F/'�y
on
COSTA MESA. CALIFORNIA
.Jo rr � A- Ga � r�-r�
...Z 7 3 3 C.rn/ a-X-q �.v
L
OETlACK LIN61nOY
wo. or e�oo�.
DFSCRIPTION OF WORK
lUct P�.__
1 X6P6GY ACKNOM1iC0[ TMAT.1 XAV6 pND YXI/ AP�LIGTON
AHO BTAT6 TXAT TII[ ABOVi IB COqR6CV ANO AOp66 M COY.
PLY WITX ALL CITY OROINANCf! ANO RI1T[ LAYW p[OYLATINO
oY1LO1N0 CONBTRUCiIOM.
AUTNORIZiD AO[NT
CITY OF Cv5 i� mr�H
MAY 26 1966
BUILDING
for Offlc� Us� Only
_ n�cairrno.
NO. OI
�LAN�
LdOAL
ewvea
ALLOWED
YARDB MPROV ED
MAIN BUILDIN�
DI@TANC6 BQT
MAIN BLDOY.
VAR. JC
Ut[ O� N[W
GUILDINO
L688 TXAN
YARDB MPROVED
ACCBSSORY BUILDIN6
BEf. MAIN 4
ACCES9. BLJ
OAT6
,,,.- � � a
w
ea. nr. �
�
TN[ AMOUNT �XOWN UNDLR VALUATION IG !OR TN3 �
►URPoBi O! YTAlLIGXINO A PlPMIT IE{ OHLY.
VAWATION �O �^ �
PBRMIT FE8
/ �n �
: 5 � w
c�.e
Lot 45 74�Ei?
Tr.S'r/81
�COSTA MESA BUILDING-SAFEf`! DEPARTMENT
O. D. BO; ]i] C09TA M69A, CALIPONNIA
For Applicant fo Fill In Gompletely
TYPE OR PRINT
BUILDIN�
AOORE58 2733 Canar DT'1VE
COSTA MESA. CALIFORNIA
�R E.G.Kaltenbach r,o'S47804
1823 E. 17th St.Santa Ana
�RPemba Subdividers, Inc.
2850 Mesa Verde Drive
Costa Mesa
CITY �i C;:�S3'A �flESA
MAY 11 1965
�
THL 90'rT0 S�IDE @ REAR F
187318 No. 5490395
EAVEB
67x97 I NOWONLoi� � ALLOWED
YARDSAPPROVED
BLDG. MAIN BUILDIN6
(FROMC/L.BTRH .
9ETBACR L�NB FPOM
cervT¢a oP arascr 22 � REAR YARD 18 T
81D6 YARD I LEF� 9� ( R16HT $ t
DESCRIPTION OF WORK
BUILDIf�x49 NO.OR 1� Z
SIZE ROOM9 RI 8
EXTERIOR W/�.I, ROOF
COVERING a�UCCO COVERING`YOOCISI11I1
U9fi OF BUILDIIIG AND WORK TO BB PfiRFORMHD
I HBHEOY �CKNOWLEOOe THAT I HAVB RCAU TM�B �PPL�CATION
•NO 6TAT! THAT THe ABOVe 19 COqqgCT �N� AOqHe TO COM.
PLY WITX ALL CITY OR�INANG[8 AND 6TAT8 LAW9 RtOULATiNO
BUILOINO CONBTHURION.
PERMITTE E OF � � � '
AUTHORIZ6DA T
R[C[IR NO.
ZONING
BHALL BH LHS3 THAN
YARDSAPPROVEO
AGCESSORY BUILDINO
� 'vDl �
R. 8I08 �.
LSI�6 d�.
REAR V FT.
DISTANCE BFT. BET.
MAIN BLO H. ACCE
VAR.# bATE
,7Dcl.�a. �. � ��f% � "
TN8 AMOUNT BHOWN 11NDEH VALt1�T�ON 18 FOR THB F
PYRP088 OR 88TABLI9HIN0 A PBflMIT FEH ONLY. �
VALUATION S. m
n
PERMIT FEE '
z °
s�27 �39 � s
4
TOTALPEE I�