HomeMy WebLinkAbout181 BROADWAY - Building Permits A
ADDRESS OFBUILLIND: 181 BROADWAY UMT: CITY OF COSTA MESA - BUILDING PERMIT
°"'NEBSN"REIFIwaINSTONEMAN, JIM PERM NO: B 073373
< "D0" STONEMAN, JANET
0° 1921 E ALTON PKWY PERMIT NO: B 073373 PLAN CHECK NO: N GOVT: N SUPP : N
RVINE, CA 92714261-0106
MRL.Mul1N0 MDREss: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OREIKINEER: =NO.: JOB DESCRIPTION . T/OFF & RE-ROOF W/COMP SHINGLES SQ FT: 4 , 500
MCH.OR ENG'S ADDRESS: UMT:
CLAIM VALUE: 4 , 500 . 00 CALC-VALUE: 4 , 500 . 00 GROUP OCC: R-3 /M-1
CONm"CTORSNAME; LEE ROOFING OF COSTA MESA ( 714 ) 642-7223
COTRACT0RSMAILINO 1653 SUPERIOR COMMENTS : SMOKE DETECTORS ARE REQUIRED AS PER 91UBC, REROOF y2900SF RESIDENCSy
MDRESS: COSTA MESA CA DC NO.: 349686 *******************�E*+A*i�*+E•*******�r*****+E�Eat***** -**stet-***x**.."E�.IYIIJ►� C 1 VR,
92627 UNIT: ZONING R EQUIREMENT S` 7
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g SETBACKS ` REQUIRED
(commencing with Section 7000)d
Division 3 of the Business and Professions Cade,end my license is in lull force and effect.
CITY LIC.NO.:028 51 LJC.CLASS: C_39 LIC.NO.: 3 , • awe EXP : 03/96 MAIN BUILDING ACCESSORY BUILDING
eiy/ � / �� �_ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Data: ` �5 Contractor: >,. r = LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER UILDER ECLARATION:I hereby affirm under penalty of per(u -. I am exempt from the Contractors License Law for the
folcwkq reason(Section 7031.5 Business and Professions Code:Any c • county which requires a permit to construct,atter,improve, PARKING REQ: PROV: PARCEL : 42523211 Z N E: REF NO:
demolish.or repair any structure.prior to is issuance.also requires th- -•dicant for such permit to fib a signed statement that he or she Q
is licensed pursuant to the provisions of the Contractors License , [Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for.permit subjects the applicant loacivil penally of not more than Me hundred dollars MOOD. *******************************************************************************
❑ I,as ow er of the properly 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 Professions Code:The Contractors License Law does not apply roan bwnerd pD E V E L 0 P M E N T S E R V I C E S R E U I R E M E N T SoperyQ
who builds or improves thereon.end who does such work himself or herself or through his or her own employees,provided that such
improvements are mol intended or offered for sale.f,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE:
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ Las owner of the property,em exdhmvsiy contracting with licensed contractors to construct the project(Section 7004.Business end
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a«sgradogs)licensed pursuant to the Contractors License Law). ` a�
❑ Iamexemptunder Section: B.A P.C..for this reason: APPLICATION ISSUED BY: ( *? DATE: / 2' Z--
Dea: Owner: *********************************************** E *�F**********7F*' **
LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and
ap mit famsMal mKfoon«rmdificatiihng onfomtheeAiOwill
ualyMana9menDeatrcle one)h".Resied to iddenticonstruct'onapplcationsareexseinptrequirements these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 72 . 00 . 50
Date: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN
❑ I have and will maintammaintaina certificate of consent to self-insure for workers'compensation.as provided for by Section 3700 d the Labor ISSUE F E E
Code,for the pedonnceofg»work for which this pemmis issued. BUILDING-DIV. > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Ihaveandwillmeintai,workers'compensation insurance,as required bySedim3700of the Labor Coda.for the performarradthe TOTALS----> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 50 . 00
ii work for which this permit is issued.My workers'compensation insurance carder and policy number we:
Carne: CTATP Fripnn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 72 . 50 OVER/SHORT: 00
Policy Number l ?OQDp_Dc 06 /30/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the permit is for one hundred dollars 15100/or less.) 72 . 00 . 50
❑ I pertly Chet in the performance of the work for which this permit is issued,I shall•• . ploy any person in any manner so es to
become subject to the workers'compensation laws d California, and eg ecomebje
suctto the wvMans' *******************************************************************************
compensat�n prmns sof Section 3700 of the Labor Cod .h on f4' i bt • ...:provisions.
Date: 7 25 S"--- Applicant: / r\ I ND I V ID UAL F E E BREAKDOWN
Warning: alluretocure workers'compensation coverage is on. and she! •actenemployer tocriminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($1040O0),In eddy• to the cost of compensation,damages as provided for In
Section 3]Koythe Labor Cade,interest,and amorney'alees. SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 500 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: F Xt1�p1■ J
I certify the I have read this application and stale that the above information is coned.l agree to comply with at city and county ordinances y j ii hF•`R�
end state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly O �� /
C
for inspection purposes.
'& BURKE DATE
Pont • e
7 8 Ui 7;;Yr':i J„e?' f i -
/ Date: 3,
tLl Owner/Agent/Applcant'Contrad« •
ATE:' Cr!ir' _ r L4 T ICI ,s,
(5151-46 WP� White-Building A Safety;Green-File:Canary-Appicant;Pink-Revenue:Goldenrod-Assessor
7Iiir - I
CONSTRUCTION AND PLANNING POOL & sPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • ,
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement I
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • I
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE I
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,C l(ndrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Confection 62. Backwash & Receptor-Ficial
12. Sewer Cap I 63. Heater & Vent-Final '
13. Roof Drains I 64. Plumbing System - Final
i
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring l 67. Fencing & Access Approval I
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I
I18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F{NAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT I
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 'e _
25. Roof Sheathing 7..2r- ?f ‘....4/114 74. Overhead Hydro
n
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical y
27. Frame and Flashing 76. Dry Standpipe '
_ -a
28. Lathing& Siding 77. FIXED SYSTEM FINAL
: _
29. Insulation 78, FIRE PREV. FINAL Ce
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:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing •
39. Water Service-Final •
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer ' 7-2 5q5-- G _ ` r 1
�
43. Backflow Irrigation ' '
44. Landscape Irrigatiop`System CI/I ei I q(- L. 442-v ,0 be. 9e
45. Sound Attenuation? , IO t 9 O.. - *Mi n cc_-/- k-15
46. Handicap Regulations �" �T
47. FINAL STRUCTURE-& BUILDING
48. FINAL PLANNING _
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. ' Date
lA////
n`o,Rn MFs
CITY OF COSTA MESA
NOTICE OF PERMIT EXPIRATION
TO: JIM STONEMAN DATE: October 4, 1996
1921 E. Alton Parkway.
Irvine, CA 92714 PERMIT: B 73373
PROJECT ADDRESS: 181 Broadway, Costa Mesa, CA
Our records show that the listed permit(s) were obtained for property improvement or alteration at the
above address. According to our records, the permits have not had a final inspection. If you have any
information to the contrary, such as a signed off inspection card, please contact this office so that we
may correct our records.
The permits were obtained by:
( X) CONTRACTOR ( ) OWNER
Name: LEE ROOFING OF C.M. Phone: (714) 642-7223 License Number: 349686
To construct or install: REROOF
Permits are valid for 180 days from issuance or your last inspection, per Section 106.4.4 of the 1994
Uniform Building Code. If you do not contact us within 10 days, your permit(s) will expire on
October 18, 1996. Additional fees may be required to finalize the permit.
If you have any questions, please contact THE BUILDING DIVISION, at (714) 754-5273, between
8:00 a.m. and 4:30 p.m. and staff will be happy to assist you.
4eaca
rt.....7
Building Official
TCDB:ijh
CITY OF COSTA MESA, BUILDING DIVISION, POB 1200, COSTA MESA, CA 92628-1200
PHONE (714) 754-5273 • FAX (714) 754-4856
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA r� C STRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P # Zone
Project Address R 172..4.4-0 G':e/w -C/ F4-0502_
I / - S Main Building: Accessory Building:
Applicant's Mailing Address.* P/ 0 r IS OX 3 Z1057 C_
£t /`7 TYPE OF CONSTRUCTION LiNEW LI ADD LI ALTERATION CtEPAIR 1 E Z
❑ CONVERSION ❑ DEMOLISH ❑ Front
OTHER T _ O
Owner's Name ""I 2S !n�C=1M' J-[� Phone C
bei--, iel,996 DESCRIPTION OF WORK/USE OF BLDG. -- B Rear N
Address., out,-fs1' - — _.�5-lei; A 1
Arch/Eng.�aIM P License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL I C Right N
Address — ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ !Left R
557-/OPing. Ref. ParkingReq. rovided❑ -OTHER I # /PE
•
— Contractor's Name Phone 79 - — Q
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing) ' I - r •,v Planning Notes:
CONSTRUCTION TYPE VALUATION$ R M
City License No. 2-j 7783 ZONE GRADING CU.yUS. S .. - - T
'r LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: G,[�`r'Yf- r1w.11A Qt• h/_ !�t T's�a.-i
with section 7000) of Division 3 of the Business and Professions Code, and Ir�iT FE T Int EJ s✓1 J 0 V_t
my license is in full force and effect. ELECTRICAL FEES
License Class - 1License No. .S 0
Date 0 Signature c. Jr- PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS'COMPENSATION DELL•• •- Bar Sink Showers Construction Pole Sub. ❑ 50+KW
I hereby affirm that I have a certificate o •nsent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink •
Cooking Unit Meter ❑up to 100 amps
3800, Lab. C.) Dishwasher Meter Dover 100 a.••s
Policy No. Company Backflow Irrigation Sewer Cap —
fl Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
.te - Applicant —
Fan
Clarifiers Solar Collectors Motors I-1 HP D1½-S
, EXEMPTION FROM WORKERS'COMPENSATION DECLARATION(lThis section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. In olar ❑9-75 HP ❑16-15+
I certify that in the performance of the work for hich this permit is issued, I Fixtures
shall not employ any person in any manner so s to become subject o the Drinking Fountains Solar Tank icrowave
Workers' ^omoensati n Laws of California. `��.,� Device Boxes Pole Light
Date L• pLl Signature �- Floor Drains Swimming Pool w/Spa 9
NOTICE: If,after making this declaration,yo uld become subject to the e Outlets Ran
Workers' Compensation provisions of the La or ode, you must forthwith Floor Sinks Urinal g
comply with such provisions or this permi all' be deemed revoked.
`CONSTRUCTION LENDING AGENCY 1 Gas Service q Outlets7 a'+ Switches Sign
I hereby affirm that there is a construction lending agency for the performance Water Closet �' 9
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service • Generator Do- W 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays .
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 Roof Drains •
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee J $15 Issue Fee -
$ 3
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
enalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $
--mpensation, will do the work, and the structure is not intended or offered Zoning Approved By Date
r sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By r
Date
cense Law does not apply to an owner of a property who builds or improves
aereon, and who does such work himself/herself or through his or her own Hood or Type ❑ Application Issued By Z
Date I Cl Sti
employees, provided that such improvements are not intended or offered for Boiler -
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ SUMMA' OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration PLAN CHECK $ e..0PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating DO- 00 BTU 0100,000 BTU PLUMBING $ _ 5 ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con-
tractor(s) license pursuant to the Contractor'sENERGY P.C. $
License Law). I am aware that Exhaust System ❑ Multiple System Repair/Alteration I PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P. C.for this reason Firepl/Fact.Blt. ICBG Fire Dampers MICROFILM $
PLAN CHECK 50% $ _
Date owner Heating System acting Registers - 00
I hereby certify that I have read this application and state that the above 00.100, TU 0100,000 BTL MECHANICAL $ TOTAL FEE $ 0 --
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the abq e-rgeOtioned property for
Inspection purposes. d '��"� p j fir^ , _
Signature Q -•-
Reinspection Fee $15 Issue Fee $ 3 _ j-
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA •
APPROVALS Permit# Date Inspector 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 Reinforceinbnt 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
' 7: Footings ,. 58. Electrical Conduit-Undrgrnd.
8. Foundation 'I • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Unjrgrnd. • 60. Backwash Lines, 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 Plumbing 65. Electrical-Final
15_ Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17.E Rough Wiring Sign 68. APPROVED FOR PLASTERING
18! Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning .41 FIRE DEPT. REQUIREMENT
r
•
20: Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating • ' 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
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 1 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 80.1 FOOD CERTIFICATE ISSUED
33. Final Electric I Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �4/�/ y/ J
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final L�,
/�9"��` 1 " r�
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System .
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
Pry' Costa Mesa Building Departm'rt APPLICATION FOR PERMIT
P. O. Box 317 11.`148 BUILDING • 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
• FOR APPLICANT TO FILL IN Receipt No. Permit
mit No.
Building !f �p 3 4�1'
Address �d UYOR�li/',�./�/
Costa Mesa, C lifornia Received by Date/Rev'd. Date Issued
Nearest -O -v 7'' -I'�
Cross St. ,,C)
Cross Buildin
66 Address
Owner ///t-S. /LIQa-i c U /{o c.�e $ Costa Mesa, California
Mail b o
Address /o o VYOetu..,Lny Tel Nearest
/' Ate
/ // Cross St.
City 6'5f, A e Sc✓ No.1-1 o/f.3 /4 Z ,/ No.of Type Group
Architect or i Lic. /°�- I Plans I t
Faglaeer martin- y�U c'��Yinf No. A .rnve4
b L
Address sill .29/4SF- Ai &ac.C� � >r O GyS
-p City Li
c "„^
Contractor lei r� J[11�Q,5 No. ,,, ��''d�'// _
pp JA
Address <1� iC+ k i 1;1A --SA-drtt4Gall PL '.NNING'DEPT .
Legal I Y Lot I SUBJECE TO BLDG. DEPT. REG.
Description No. 4 Block Tract 377' '/`
(Attach Metes and Bounds) /1711 1 H �` BY re DATP 7-4
No.of Bldgs (ant. PLAN T:
Size of Lot/35X SR G I Now on Lot a Q.s...&c) 0
-
Use of // No.of NB.of 5._ z
Existing Bldg. narrE/ I Families/I Rooms ?
L'/• 11 t^:� C)
_, Setback Line from i Rear Yard /7%+. 1 + F + ��� t- � '. 1 2
6enterof•8treet r:r- Side Yard d`'� 1 ; ,. . , \ <, ,i`. ,, I r
DESCRIPTION OF WORK • 7
New I "---I Alteration I Addition I .1;:i 9 •1930 i
Repair I I Moving I I Demolish
�/7 A A- P ,
Building No.of ,..,--.. n- nnn7Ie Pnr0 11
7 Size (0zb S9. Pr Rooms Stories / 'el!' X U1 cjtJJ in !iliL.Qn
Exterior Wall c Roof 3c !L - 11 —
Covering Sittccc r SIG+nt, I Covering fl+ ,c . Ln r APPROVALS
Use of New p / c/ 5L•^V--V
Building ✓e3! Pnc� /� /�/ Foundation Location Inspector • Date
Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and St.to La s regulating
building constru t. . Lath. Ext
Signature of •IA
Permittee /AtdatV . Plaster, Int.
Authorized Agt /z2.4 , j - Plaster,Ext.
: tT
/ Permit Fe .$ / Masonry Reinforced %
yb - Plan Check$ — Bond Beam
J Total
Fee . $ .9? / FINAL
FORM 204 10.33 O.P.&5.
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PLOT PLAN
Show location and distances from
property line and between buildings.
OWNER MOWFS, MRS. MARTF V. DATE 7-11-.5A
JOB ADDRESS 181 Broadway BUILDING PERMIT NO. 3325
GENERAL CONTRACTOR Richard Jonpg VALUE $)1,936_nn
A1)117-122-114
LOT 9 BLOCK A TRACT 377 Residence
GROUP T TYPE V ZONE j7,(t FIRE DISTRICT 'MA
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
e7
rr�� DATE NUMBER
Footing Trench &— -;'cs ,r 'fiP:`. 4+
Foundation Forms and Grade to Garag- y/3 f�
Rough Framing $$ I ,/ 9 /3
Plumbing,Rough to Slab C=a,, .�nlitre, •Di,l...?„.As-(�`,�-c C,4 A Q�lr->✓ 7-13-.5 /✓ r871 - -
Plumbing, Rough Complet ,,� Q/t/,g�i- V
Temporary Pole v
Wiring, "ugh---a_ 5-,7,1 1 runs- 2. &c,. p" 3 -S‘ rad 8.31—
Heating,Rough g2,i Com, 9,.,a 7—/3-r4 ,,,--e. 7 0-- .--
Heating, Final
Sewer, House Sewer, St.
Septic Tank or Cesspool
y t '..g.
i
Lathing, InX _ Out�t 'M,�- £ 8 -1i
Plastering" L.tS.a'A ., /%. •- et
Plumbing,Final,Fixtures Complet of ; ,,_ 1
Plumbing,Final Gas Test t�C ------� , �i , a'- /,
Wiring, Final ger
Occupancy - —c--,c
FORM 210 3M 10-55 3925