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Home My WebLink About2873 BOA VISTA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 2873 BOA VISTA DR Parcel Nunmber: 13944210 Applicant: MELROSE, JOHN Address: 1525 MACARTHUR BL. COSTA MESA, CA Owner: MONTANO, ELMER D TR Address 2873 BOA VISTA DR COSTA MESA, CA Contractor: C AND R DRAINS INC Address: 1525 MAC ARTHUR BL. COSTA MESA, CA PLUMBING PERMIT Phone: (714)647-1545 Zip: 92626 Phone: Zip: 92626 Phone: (714)641-1545 Zip: 92626 License: 531746 Status: ISSUED Applied: 02/10/2005 Issued: 02/10/2005 ISSUED BY: SCOPE OF PERMIT ' REPLACE EXISTING GAS IN-GROUND FROM METER TO EXTERIOR RESIDENCE WALL. 1 GAS OUTLET (1-4) NO OTHER WORK AUTHORIZED WITH THIS PERMIT. a ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Unils Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) AMT $23.50 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 aTY FEESUMMARY. AMT QTY Laundry Tub! Washer _ $0:00 � 0 Landscape Irrigation $0.00 0 P-Trap , - $0.00 0 Pressure Regulator. � - $0.00 0 Process Piping (per'10 k) �$0:00 a- 0 Receptors �, $0.00 �0 . Septic Tank $0.00 ' 0 ` Sewer Cap for Demo $0.00 0 Sewer Connect � $0.00 � 0 Sewer Private Line .� $0.00 0 - Shower $0.00 0 . Sink, bar - ' ` $0.00 � 0 Sink, commercial $0.00 0 � Sink, Floor , $0.00 � 0 Sink, kilchen � $0.00 . �0 � � Sink, service/mop . $0.00 �0 Spa (private) $0.00 0 ' Spa (public) $0.00, c. 0 � SumpPump � Swimming Pool � Trap Primei , � - Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin - Wash Basin Set - Waste and Vent System . ' Water Closet (Toilei) - WaterHeater/vent '. Water Piping (Inst or Rep.) , Water Re-pipe.' '� Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it 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 under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aaare �doo) i WORKERS'COMPENSAnON DECLARAnON: . ` I hereby eflirtn under panalry of perjury one of the following declaratians: ❑ I heve end wlll melntaln a certiiicate of consent to self-Insure for workers' compensetion, es provided for by section 3700 of the Labor Cotle, for ihe pertormance of Ihe �v/ for which this permit is issued. I ave and will maintain workers' compensatlon insurance, as required 6y section 3700 of tha Lebor Code, for the pedortnance ot ihe work for which this permit is Issued. My work rs' wmpensation Insurance carrle/r ana policy num er are: �� .-�7'% rl //�_ l�Ml.. e_ SS!/lP�'�G' ��C� PoB umber: �/% �� (Th/s sectlon need nat be crompleteU il the permit is velued et one hundred dollars ($100) or /ess.J � ❑ I certily ihat in the peAormance ol ihe work for which this permit is iuued, I shall not employ any person in any manner so as to bacome subject to the workers' compensation laws ot Callfomla, entl egree thet it I s�oulC become subject to Ihe workers' compensatlon provisions of Section 3700 ot ihe Lebor Co4e, I shall torihwith comply with th n pi visio 7 ��7 — App�netur : Dete � G– ^ ��%� WARNING FAIIU SECURE WORKEFS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU�ECT AN EMPLOYEFi TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED THOUSAND E(5100,0OO�.INADDITIONTOTHECQSTOFCOMPENSATION,DAA4IGESASPROVIDEDFORINSECTION3]OBOFTHELABORCADE,IMEFEST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensad under provisions of Chapter 9(commencing with Section 7000) ot Division 3 oi the Business and Professions Qode, and my license is in lull torce end eflact. LI� � CIE¢4:N � — 3�� Camr ta' �" wre: �� -L �► � _—/O —�J CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aHirtn that there is a consiruction lending agency for Ihe pedormance of the work to� which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lenders Neme: Lender's Adtlress: Signature: OWNER-BUILOER DECLARATIONS: Date: I hereby affirtn that under penelry ot perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Cotle: Any city or county which reQuires e permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the appliwnt for such permit to lile e signed sletement ihal he or she I5 IicenseC pursuant to tha provisions of the Contrectors Licensa lsw (Gheptar 9(commencing with Sectlon 7000) ot Divlsion 3 ot the Business end Professlons Cotle) or ��ai he or she is ezempt therefrom and the besis tor Ihe allegetl exemption. Any violation o� Section 7031.5 by eny applicant for e pertnit subjects the applicant to e civil penelty ot not more Ihan five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensatlon, WILL DO TME WORK, and Ihe simcNre is not Intended or oflered for sale (Sac. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves ihereon, and who tloes such work himself or herseli or Ihrough his or her own employees, provided thet such improvemenis are not intendad or oHered for sale. If, howevar, the builtling or improvement Is sold within one year of completion, the owner-builder will have ihe burden of proving that he or she ditl not builtl or improve for purpose oi sale.). ' ❑ I, as owner of Ihe pmperty, am EXCLUSNELV CON7RACTING WITH LICENSED CON7RAC70RS to constmd tha prolect (Sec. 7044, Business and Professlons Code: The contrectors License Law does not epply to an owner oi propeny who builds or improves thereon, antl who coNracts for such project with e conirector(s) license pursuant to the Contrectors License Wws.). ❑ I em e:empt untler sea Business end Pmfessions Code for Ihis reason: SignaWre: Date: Owner ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No. Veriticetion of Ownership by (type oi tlocument, i.e. - properry tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N: Expire5: ❑ I hereby cenity �hat no excavation five (5) or more feet in depth into which a person is requirad to descend, will be made in connectlon with work euthonzed by ihis pertni4 and that no building simcture, scallolding, falsework, or tlemolitlon or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle B, California Administrative Cotle). � ❑ As ownerbuiltler, I will not employ anyone to do work which would require a permit irom ihe Division of Industrial Safery, as noted above, unlass such person has e permit to do such wark trom Ihe division. Signature: Date: Division oi Intlustrial Safety Permit Number: CERTIPICATE OF COMPLIANCE AND AU'THORIZATON OF ENTRY: I certity under penalty of perjury that I have read this application entl state thet the infortnation given is correct. I agree to comply with all stete laws and cily ordinances rela�ing to building construction, end authorize representatives of ihe Ciry oi Costa Mesa �o en�er upon the ebove-described property for inspection puryoses. I egree not to occupy or allow occupancy of eny building euthorized by this permit un�il final inspection. CODE �. INSPECTIONTYPE 1616 Fixed Sys�em Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Root 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition �� T L Date Z%D —z� � COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 272 Final Fire Prevention 220 FinalPlanning Approval 222 Final Siie 250 Final Building/Occupancy � INTITIALS a-i�-os r�N AOP�� to fill in all soaees ezceo< t�ose CiTY OF COSTA E �7CO TRU� /TI N PERM,IT PER^^iT No. ,. , n Project Address �.�� 7 brl V�cs�°� � � ( /'r .�ee Cen� • . - i , AppliCan�'s Mailino �AyA/drPcc/ ' Owner'sName�� _Lll�1lTG�e Phone' - '�6 I /iddfC55, � � ~ 1� . i : �^ Arch/Eng. � ' License No. `dJ Address ' � Contractor's Nam ' Phone ��$� � ,AiidressVmailing� �7� �, � ✓, ` City License No. 7� 7�� LICENSED CONTRACTOR DECLARATION - � � �\\I�hereby affirm that l am licensetl untler provisions of CM1artcr 9�(commencing �vith sectlon )000) of Division 3 of the Busine55 antl Prote55ions Cotle, antl ��y license is in fu I f rce antl eftect. � ! ' cens�Class �, L' ��I�� .J5te �R-AQ�Signature_ a�//�/ ' WORKERS' COMPENSATION D CLARATION�� --� I hereDy�af/irm that I have a certificate of consent to s¢If-insure or a certificate ot Workers' Compensation InSurance, or_a certif d.copy thereof (Section� 3800; Lab. C. ^ I 'D, icy No. �� Company ' Certitietl copy is hereby fumishetl. ' � ' Cer,(�(ie copy nis �filetl witM1 the city Bui ' 9�D�va/-s.ior�c� ' Date s—�g'p3—Applicant �� --� r'_1�� EXEMPTION FROM WORKERS'�COM EP NSATION DECLARAT.ION ' ' (Thissec[ion neetl not be completedif"the permit is for one huntlretl ($100),or �ess�. , . 1 certify that �in tne pertormance ot lhe work forwhich this perm�t is issuetl, I shall not employ,any person in any manner so as to become subject to the Workers', CompensatiOn� Laws of,Califomia. � � Date � Si9nature � 'NOTICE: If, afte� makinq this tlecla�ation,�you sM1oultl become subject to the Wo�kers' ComOensation Orovisions ot -tM1e. Labor Cotle, you must forthwith mmply'with such provisions or this permlt shall be,tleemed revoketl., CONSTRVCT.ION�LENDING�AGENCV ' ��` ' ' 1 hereby affi�m that theie is a'const�ucti��g agency for the pertormance � of the �wark tor which this permit etl (Sectlon, 309� Civ. C.) Lentler's' Name- ' �enGer's AaEiess - OWNER BUILDER OECLARATION • ' - � " 1 I hereby'affirm.that I am'exempt frbm the Contractor's License�Law fortne' following reason (Sectlon 7031.5 Businezs and �rofesslonal Cotle: Any city or . � countv which reQuires a permi[ t0 conztrucq'alte�, improve, tlemolish or repair a reirom and [he basis tor'the allegetl exemption. Any, violatlon of Sectlon 71-.5 by any applicant for a permi[ subjects the applicant to a civil mlty of,not more tM1an five huntlretl tlollars ($500)., s � I; ai owne� of tM1e property�or�my em0loyee5 with wages as thei� sole npensation, will tlo the work, antl the structure is not intentletl or otferetl � sale` (Section 7044, Bu5ine55 antl Protessional'Cotle: The Contracto�'S � ens¢ Law tloes not apply to an owner ot a property wbo builtls o� improves rk�hi self herself o� throu h M1is o� her own reon � antl who tloes such wo m / 9 ployees, prOvitletl that such improvements are not.intentletl or o/feretl{fo� `I!, howeveq the builtling o� improvement I5 soltl within one year of com-� [ion, the owner, will have Ihe burtlen of proving h¢/she tli0 not builtl or im- �ve�torthe purpose of sale). � � � . I, as owner ot the prooerty, am ezclusivety mntracting with licensetl mn- :torsto consVuct the project (Section ]044, Business antl Protessions Cotle: � Con[ractor's LicenSe Law does not appty to an owner of property who • Itls'or improves tM1ereon,,antl who contracts fo� such Orolect5'with"a con- � ctor(s) 6cense pur5uant�to the Contractoi'S Lic¢nse Law). I am aware that �of of tM1ei� Worker'S Compensation insurance�shoultl be provitletl to�me.' 1 am exempt untler Section . � A� B. 6 P. C. ror this reason '� oa�e I hereby certi�y-that 1 Y information is correct. I � antl state laws �elating t[ sentatives of this city t inspection purposes.� $Ignature above . �ances repre- v tor a heavY DorGer lines antl sign all ap0/oD/Iate Gecla�ations. VO. LOT NO. . . UNIT�V6, I , � �/01_ TYPE OFCONSTRUCTION LINEW ' ADD� ALTERATION„ 'REPAIR — . `�CONVERSION O�DEMOLISH ❑OTHER AP# ' DESCRIPTIONOF.WORKNSEOFBLDG. � � ' � . � � • - ' � � - S Main Building: - TVPEOFPERMIT ❑GRADING �FOUNDATION STRVCTURAL . T Front� . ' ❑ TENANT "❑ ELECTRICAL PLUMBI G�� ME,/CH�ANICAL .- B Reaf ' � � . �� OTHER " - �'�r� � l I p' PROJECT DESCRIPTION sp. F7. � oCCVanrvcv � C Right � • CONSTRUCTIONTYPE - �VALUATION$ � S �eft . . ZONE ' GRADING CU. VDS. �� ACRES p�ng. Ref. # � . i Planning Notes: Remarks: ' � ' � BarSink � � ' � Backflow Preventer . � Backflow Irrioation � � 0 loor Sinks . - ' - 35$EIVICE � :�UtICLS It21c¢ptOIS ' � . .. Lavatories ' Reinspection Fee� � � � $15, � . Boiler Duct--UnderGround Duct - Structural Duct- Ventilating_, � - � _ � Exhaust System ❑ Multiple ❑ FirepUFact. Blt ICBO,# � Heating System & Ducting ❑ o-i oo,aoo sTu � i 60;00o eTi IDrivers' License or 5� � I Reinspectian Fee CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assezsor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors , Solar Piping� Solar Tank - Swimming Pool w/Spa Urinal ' �Watei Heater � � " ' Water Service - _ Auto-Wash � 1 a��ndrv Travc � Y 9 ' Issue Fee CHANICAL j � - Hood or Typel' ❑. � CanOpy � Typell ❑ . Ref�igeration System � ❑0�700,OOOBTU ❑100,OOOB System Repair/Alteration Fire Dampers . � . Regiiters $15 I I � i � �uue Fee FEES 037.7 4/DI/85 ' � � -Accessory Build Parking Feq./Pn Automatic Washer Construction Poie Sub. ' Cooking Uni[ � Dishwasher , . , n.,,e.� f-Ir �� Flc�io....:,. � 5,�R � TL ; une � � � ELECTRICAL - , � � Transformer ❑ 15-50 KW � ❑ 50+KW , Meter ❑up to 100.amps , Meter ❑over�100amps;- �- Fan � � '� ' F.A.U. Fixtures Device Boxes Outlets Switches � - � Garbage Dispoul . Generator �0.5 KW �5-15 KW Sub'Panel . ' nno�a�s oa, HP o, x;a I nc Solarf � 9-15 HP � 16-15' Pole Light � Range Sign ; Standing Sections Trash Compactor $ 3 Reinspection Fee $15 Issue Fea� . FEES : DEVELOPMENTSERVICESREQUIREMENTS: � , ' Zoning Approved 6y � ' r Building Approved By � A liption Issued B � PP Y ' � _ 0 $ 3 tl u Z O � N ' I� - N G ' � ; � ` � : E � Q � � . ` M ! T S FEES ; � - SUMMARV OF FEES � � � . BUILDING PERMIT � $- � SMIF � $ PLAN CHECK $ PERMIT � PLUMBING $ ' S��U - �ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $� !'-. GRADING $ ELECTRICAL � $ PLAN CHECK 50%,$ ' • MICROFILM $ MECHANICAL $ TOTALFEE $ ' S�%O PLAN CHECK 25% • $ � t_ • • .. ' . . � . . .. .' � ' . • J ' CONSTRUCTION AND PLANNIN . 1 . - . , P(..,� & SPA - ' � ' -- "- ' Date' � Inspector - '� - - � Date Insp?cmr - APPROVALS Permit # � � � ' . APPROVALS � �Permit # . � fL Temporary Electrical Service or Pole - ' 52. �.Pool & Equipment Location ' � - � - : '2. �Soil Pipe-Undrgrnd. . , , - 53. Steel_Reinforcement � � - � - . ..� :3"�Elec{rical Conduit Utility-Undrgrnd. . ' � 54. Forn:; • , - _ � " ' <4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � . � ' . ..5:� Steel Reinforcement' � 56_ �Rough Plumbing & Pressure Test " . ,.. . 6�• Electrical UFER Grnd. � - �� 57�. �APPR�OVAL TO�GOVER-GUNITE .7. Fobtings ' " � 58. �Electrical Conduit-Undrgrnd. � . - ''8:�,Foundation � :59. Gas Pipe; O Undrgrndi, Test ` - 9:- Water Pipe-Undrgrnd. . ' 60. Backwash Lines, P-Trap, O Undrgrnd. � ' . 10. Structur2l Floor System - 61. APPROVAL TO'DECK .. � . 11. Property Sewer Line & House Connection "' 62: Backwash & Receptor-Final 12. Sewer CaP • • � � � ' 63. Heater & VenbFinal - � _ � � • 13. Roof,Drains ; • - 64. Plumbing System - Final- ' � ' � 14. Rough�,Plumbing � 65. Electrical�Final � - . - a - 15. Rough� Electrical-Conduit � - 66. Solar System-Final " -,' ]6. Rough Electric Wiring � 67:' Fencing & Access-Approval � . ' - 17. Rough Wiring Sign� 68. APPROVED FOR PLASTERING . � 18. Rough Electricaf-T 8ar Ceiling , 69. POOVSPA SYSTEMS-FINAL � � �, 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �� ' 20. Rough F�ctory Fireplace APPROVALS Permit #� � � 21. Ducts, in Siructure ' 70.. Underground Hydro . � 22. Ducts, Ventilating 71. Produci Piping �Gas ❑Oil �" 23. Gas Pipe-Rough & Test � � � 72. �Underground Flush � 24. Roof Freming � . 73. Undergmd. Storage Tank � Gas ❑ 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 � 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: Y/ �� [��GT' �,� `�� i 34. Final Heating & Air Conditioning � ' � � 35. Final Gas Pipe�Test � .. � � 36. Hood or Canopy � � � ' � , . � , 37. Final Factory Fireplace ' � � � . , � , . 38. Final Plumbing �5' �L� � � � - � � 39. Water Service-Final , � � � � ' 40. Gas'Service-Final . • � , , . ' , ' , • 41. Solar pomesticFinal r .� -". i' - 42. Backflow Preventer ' � � � � ' 43. Backflow I�rrigation�� ' .. � � �� . - , �. 44. ,Landscape Irripation System , ^ � ' • � , � � � � 45. Sound Attenuation . • � .'�� ' , ! , � . . ' " - . 46. Handirap Regulations ' . � , ' ' � � ' � - .� 47. FINALSTRUCTURE & BUILDING , � - � �� . � 48. Special Raquirements ComPleted ' - ' ' , - � , , . � 49. Electric Release to Edison . - - i - , � � --• - - . ,. � � , 50. Gas Release to Southern California Gas Co ' , , � ' � ' � • ' � • . , 51. CERTIFICATE OF OCCUPANCY .. ' ._ y ' , � ' ' . ' . � � _ - --�� . . - �- �'- . . . N�. ' . . , Date � . . , i. y . SAMAR CONST.CO. DATE r��V � !�63 ve INSPECTIONS b'orms PX Steel BU�SM-3-G3-S-B P Fl FIRE ZONE DESCRIPTION OF WORK . DATE GRO��T' TYPE ZONE 'Z- � suscorvri;ncz�oa DATE�I ' � 0857 EOSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 COBTA M69A. CALIFORNIA Por Applicant to Fill In Comple►ely Tr. 4341 ryPe OR PRINT �Ot �20 eui�oiNa wooaess 2 73 �a. Vista Drive COSTA MESA, CALIFORNIA Itenbach ADDR688 CITY � ��TNo. 197838 NO OP LOT 7O X � OO I NOW ON LATe V USE OF EXISTING BLD6. — 6ETOACK LINi FROM • �J cENTER oF BTREHT � REAR YARD J SIDEYARDI LEFT J ' I R16HT 5 DESCRIPTION OF WORK � USE OF 1 XEREBY ACKNOWLED02 THAT 1 HAVE READ TXIB AND 6TAT6 THAT iHE ABOVe IB CORRECT ANO AG PLY WITH FLL CITY OFO�NA C6B ANC 8TAT6 LAWf BUILOINO CONeTRUGTiON. ,/ / SIGNATUREOP �/fw,.,i�. /! FEE REC�IVED pl;l 1 7 IyOJ FINANCE DEPT. APP[ICATIbt�'F'LiR� �Iuf1T BUILDING For Ofiice Use Only BY ZONINQ� 2Q�i� NO. OR U8E OF NHY� ' j(1 PI./�Ne 2 I BUILDINO j/Y'Q$ • W/ '�°"'- Lot 120 �, 43��arage DfiBCRI'TIOIi 1 A P. NO � NOTE: NO EAVE OVERHANO SHAIL BE LE35 THAN 90' TO SIDE @ REAR P. L. � EAVE9 ALLOWED (U.B.C.REQUIREMENT. YARDBAPPROVED VARDSAPPROVED MAIN BUILDIN6 AGCESSORY BUILDING (FROM WLSTREET) FRONT O'FT. FT.� R.SIDE �FT. FT. L.91D � FT. -FT. e�.e .�L �. � � VAR. �F 2 . f 11. P DATE _ i `f—G �' a�.3�a. �. � �� D ��. ��,� � � � TH! AMOUNT SHOWN UN�EH VALUATION 18 FOR TX8 � PURPO56 OF 86TABL18NIN4 A pERMIT FEH ONLY. 0 VALUATION - m PERMITFEE $ � j $��/oao �� 3v- o /� . ' TOTAL FEE / / �— � � ,,