HomeMy WebLinkAbout2720 CARDINAL DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 2720 CARDINAL DR
Suite:
Vicinity:
Parcel Number: 13952425
Applicant: ZUNIGA, VIRGINIA M
Address: 2720 CARDINAL DR
COSTA MESA, CA
Owner: ZUNIGA, VIRGINIA M
Address 2720 CARDINAL DR
ConVactoc
Address:
Zip:
Arch :
Address:
COSTA MESA, CA
Phone:
2oning: R1 R1
Phane: 714- 549-4073-
' Zip: 92626
Phone:
Zip: 92626
Phone:
License:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: OS/24/2002
Issued: •OS/24/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXIST COVER INSTALL 1/2" PLYWOOD SHEATHING WITH 40YEAR COMP. SHINGLES. MINIMUM CLASS C
FIRE RATED.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0. 0
sa,000.00
sa,000.00
NOTICE: The work authorizad 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 180 days, or if work is suspended or ebandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapectlons and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
aaaaas �aroo�
WORKERS' COMPENSATION DECLARATION:
• .
I hareby aMirtn under penalry ot perjury one ot the following tlaGaretions: ,
❑ I heve end will maintain e certificate of consent to setl-Insure for workers' wmpensation, es provided far 6y section 3700 ot the Labor Code, lor Ne Dertortnance ot Ihe
work for which thi5 DBrtnii is issue0.
❑ I heva and will maintain workers' compensation insurance, as requiretl by section 3700 of t�e Lebor Cotle, for Ihe perfortnance of Ihe work for whiU Ihis pertnit Is Issuetl.
My workers' compenseUon Insurence carriar antl policy number are:
CafnBf: 9
Policy Number:
(This secfion neetl nof be completetl il the permit is velued at ane huntlretl dollers ($100) or /ess.J
❑ I certih/ t�et In the pertormance oi the work for which Ihis permit is issued, I shall not employ eny person in any manner so as to become sublect to the workers'
compensetlon laws of Califomle, entl agrea Ihet It I shoula becrome subject to t�e workers' compensatlon provisions oi Section 3700 of the Lebor Code, I shell lorthwil�
comply with thesa provisions.
Applicant Signeture: Date:
WARNING: FAILURE TO SECURE WORKERS' WMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TFKK15AN0 Dd1ARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DNMGES AS PROVIOED FOR IN SECTION 31O80F iHE IABOF CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm thet I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0l Ihe Business and Professions Code, end my license is in full
force end etteci. Lic. N Class N
CONradofs Signeture: Date:
CONS7RUCTON LENDING AGENCY: �
❑ I �ereby eNirm that �here is a construc�ion IenCing agency tor the pertormance of �he work for w�ich this pertnit is issuetl. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Address:
Signature: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn Ihet untler penalry of per�ury Ihat I am EXEMP7 FROM TME CONTFiAC70RS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professions
Code: Any city or counry which requires e pertnit to construct. alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the applicant tor such permit
to flle a signed statement that �e or she Is licensed pursuant to the provisions at !he Cantractors License Lew (C�apter 9(commencing with Sectlon 7000) of DlWsion 3 of the
Business end Professions Cotle) or that he o� she is exempt Iherefrom end the basis for Ihe ellegetl exemption. Any violation of Section 7031.5 by any applicant for a pertnit
sub' is ihe epplicenl to a clvil penalry of not more than tive hundred dollars ($500).);
I, es owner of Ihe proparty, or my employees with wages es iheir sole compensetion, WILL DO 7HE WORK, antl the strudure is not iNentletl or ottered lar sale (Sec.
7044, Business and Professions Code: The Contractors License Law Ooes not apply to an owner of pmperry who huilds or impmves Ihereon, antl who does such work
himself or hersalf or through his or her own employees, provitled that such improvements are not Intended or oHeretl tor sale. If, howevar, the bullding or improvement Is
sold within one year oi completion, the owner�huiltler will have ihe burden of proving that he or she did not builtl or improve for purpose ot sale.).
❑ I, es owner of the propeRy, am E7(CLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to constmct the project (Sac. 7044, Business and Pmtessions
Code: The wntractors License Lew does not epply to an owner of pmpeny who bulltls or Improves ihereon, antl who contrects for such project wlth e contrector(s)
license pursuant to ihe Contractors License Laws.).
�exe t undgr sea, Business antl Professions Coda for this reeson:
a e: �-- te: S- 2 3- O Z—
ner ID verified b drivers license. ❑ No nvefs Lic se � E i�85� -v //- O 3
VedNcetlon of Ownership by (type ot document, i.e. - pmperty ta: hill or deetl): _
OIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATION:
❑ I hereby certity that no excavation five (5) or more fee� in tlepth Into which e person Is requiretl �o tlescend, will be matle in wnneciion with work euthorized by Ihis
permit, entl tha� no building sirucWre, scaftolding, falsework, or demoli�ion or dismantling ihereof, will ba more than thirty-six (36) leet high. (ChaD� 32, Gry 2, An 2, Sec.
341, Ttle B, Calitomle Adminisiretive Code).
❑ As owner-builder, I wlil not employ enyrone to tlo work which would require e pertnit trom the Division ol Industrial Setery, as noted ebove, unlass suc� person hes e
pertnit to do such woB from the division.
Signeture: Date:
Division ot Industriel Safery Pertnit Num�er:
CER7IFlCATE OF COMPLIANCE AN� AllTHORIZA710N OF ENTHV: I certify under penalry of perjury that I have reatl ihis application end state ihat Ihe Informelion given is
correcl. 1 egree to comply wlth all ste�e laws entl ci�y ordinances releting to building constmction, end euthodze representatives ot the Ciry of Coste Mesa to enter upon Ihe
above-d� cnbed prqperty lor inspection rp4 es. I agree not �o° Gpy or allow Qccupancy ot any building authonzed by this pertnit until finel inspection.
,l //,/�tSL/.iLv� L L�/�c� � /.� J� - � = d �z—
SigneNr OI Legal Ow r(s) ^ D f�
� �
Antl/OrAUlhorized Applicant ate
COOE t. INSPECTIONTYPE
1616 Fi:ed System Final Fire Prevention
1266 Paol Spe Finel
200 Finel Re-Roof
201 Flnal BIxWRelaining Well
202 Final Factory Fire Place
203 Final Slgn
204 Final �emolition
PAIE 1t�9L5
—f7—a L�
eaoe� iNsvernoxTrve
206 Final Mechanical
208 Final Plumbing
210 Final Elactrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Oaupancy
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�nnnessaau�arc: 2720 CARDINAL DR
ownexsr,u�cicaavm: ZUNIGA, VIRGINIA M
�oo�sx 2720 CARDINAL DR
COSTA MESA,CA 92626
�va.. �u�n+c �noxFss:
urcxrtEcr oe u+mi¢n:
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urcx on �xi•s �ooaess:
uc. r�o_
UNT:
uxr:
c«rtnacTarsrw�NOCK PLUMBING (714)895-1246
CWfXALTOR3YN1II1G 11612 KNOTT ST
nuo�ss GARDEN GROVE CA ucxo: 707775
92841 owr: 17
110EN5EU CONTfl4CTOR4 DECUPATION: I Mreby dl�m uMx pm�ely d peejury ihet I em lieenvsd uMer pwlaions d Cheqx 9
(wmmenan0 xq� Sectian )000) d Dimion 3 d Me &n'vw aM Pmleaviau Cods. ud mY 4cam o n lutl Mw vd dlw.
cr�,uc.No.:050386 quc(.�cuss:C-36 uarya�j70 5 EXP: 02/98
oma: %�/ �l ' / d cavwa: � :
OWNER BUILDER DECL�HITION: I henby elfirm uMx pandy d q�jury Ihel I am exemq Imm tM Gonlradwe Licenee Law lor ihe
fdbw*q resaon (Setlian ]W IS &viwe erd Rdmebna COEe: AM �fi' a ouuaY �fiich myw�+ s G�u to omsWCY. elter.'vnprwa.
demd'nh. p repv erry atrudve. prin m a uaence. eho reQium �M apptireN la wrli pemW to fib e ipneE �WW smnl Mel hs a ahs
m�.aa w� �o �n. a�o a ub cwureeo„ uoa,.. i.w �cnap« e l�«dro wun s.aoo �aaol a w.eoo e a m.
e�� �e aa�� cmal « imm �. «.n. n uemq tAsahwn vd ihe bavis la �he dbped vamqion. My violetbn d Ser�ion
)OJt.S Ey vy epp4uN In a pe�mu rbje�v IM npplieenl to a dW penMy d iw maa then IFe hundreE EaOee� �5500�.
� I.novmvGiMV�YamYemployemv.inwapesn�MiodeaomDe��.wi�dolMMak.endNs�MctunenaliMended
«dleraE I« eeb (SecUon 10u. emrcv eed PMoea'vu Code: The Caniraeas lioenas lew dau mt evVNto en ownera popeery
wAo ddds n inpw» Oie�ean. end Wn dom �ueh whlimdl a Mnof n Nruqh he a hse own m+W Jw. p�� �1� wM
imp�o�aenmb me nal'vumded a dlaad la eels. tl. howewr. tM bwN'vq a inpownw u uld xitivn awY� d oompMion. tM
o�,�..e�u. mn na.b ina w�d.o a wo+��ro n. «.n. ea m wa o. Mww. �« me wm�. d.de�.
❑ I. ro oxner d iM pWMY. am u�4�'MY oonlrotln0 x5h IicanaeE contrectm p mmuue Ne p9� (Satlion'lOu. &s'vws vM
Pmfe�n� Coda: TAe Cavreem liroros lew Eoea nal eoNY b en owrw a D�W+�Y wM builtla « impw'a �lvson end xfio
mntrecn tar aM' pqMa xE� a aaurmMs) 4camad P�� �o iM Camrmve I.krua lnrvl.
� I em eFamq under Sectbn: B. 8 P.C.. br Nis reeaan:
I Eo hereby �sIM Nal I em awers d ud �vdeniaM Rn n0uinmWa d Cel]aNe 4beM end `uelnY COEe Sseom 25.505. 25 ntJ. eM
]5531. end Mm I a enY haun buJtivq ammeia wiA / wil mi (drele one) naad �o wmGh wYh uid mta mdu vd tha nGu'vam Ws lar
aG�el«muvuWion«modifmionhan�MAi w�y enWamaXDiqritl.RmidWielmW�utlianaPVirmiaroenvanptromtMes
,.�..
ome: �op�um:
WONKEH'S COMPENSATION DECLAFATON: I Mreby elfiim under pariMy d psjury ms d Ne tolbwinp AWuuum:
� I heve W W me'vuaT e eaWiule d amem io �aMrmun br xakeea' mmpaiWian. n pwided Iv by Seeqn J"!00 d iM leEu
coee, i« m. oenam�. a iro wk io..d:�n mh v� �. �".d.
- C] � neve ena xi� mei�u,n wonw.• oomro�wian i�v,renw... na�oee W s.aian arvo d u» l.nn. coa.. la. u,e w�«menoe d �he
1� wak /a whid� Mia D�� u ia+ued. MY waMn' camGe��ion v�wrenca unier W G�KI' wmEw ma:
c�a: GOLDEN EAGLE EXPIRES
Pd� N�mn«: 0 9/ O 1/ 9 8
(This sediun rreed mt M cvnplatM l Ne pemrR b b aro hundd ddWe (SI00) a Nnd
❑ I cenM �� in �he peNamenu ol tln work br xhch �Ns iwmu la iacued, I e1Wl � ampby eny penon in eny mennx eo s� m
becann eubjaq �a iM xarYwe' mmpenmibn kx� d CelJomie. epme ' eMuld becoms wbjw to �M r.vrbn'
comqnsetbn p�wi�bns d Seqoy3]� d tM labor Code. I NSU Yp n� mm MiN .
Wamlrp: Fellun ro wcun iroM�n'rompxu�tlon rov�rp� �wNl, �M �IWI �L/�cf en wnyrlonr ro crlMnel pen�ltlu erM
c/v/l flM� up ro om hunJreJ tMuxld tlolMn (Sf00,000A M edd/tlon b M� cwt o/ mmpxiutbn, Cenxps� u proHtlM br In
Sxtlon 9l(16 0l Ms LaDoi Code, Intxul. �iW afromsyY Iws.
CONSTNUCTION LENDINO �QENCY: I Mreby etfiim uMr panely ol perN�Y �� ��ro u e mratrudion brdi�p epenry la ihe
penormenca a �ne won� mr wnid, �nm ro�il la 6eued �seaun �OB), cH. cl.
LENUEH'S NAME:
LQlDER'S AODNESS:
I cenily thm 1 Mve reaE Nia epplicelion ud mme ihm Ne eEova inlamelion ia mrtea.l pree to comply wn� ell dryenE munry adinem.es
eM e�ale kvn mb�iq to WiMvp canp�uclon eM Mreby a��horue �spewntativee W IFtis dIY to mlv upon IM ebv.e�msntunad prope�ry
�Of1118�9C11qIpllfp0409.
� RON C�Q�
(515t-46.WP) WAne-Buikiq
Ome: � J ��lJ
Pink-Pewnue: (bldervo�Naaw
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: P 086456 �- PLAN CHEC]{ NO; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOH DESCRIPTION : DISHWASHER CHANGE OUT
CLAIM VALUE: � CALC-VALUE:
�000�
PEAM NO: P 086456
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
�r*+�*�**�r**�**********�**+�*****�*x��c+�**+r**�r*��r+�****�***x �r*�r*+��**��**��*��x�*x �*�r**
Z O N I N G R E Q 0 I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
�tNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13952425 2NE: REF NO:
PLANNING NOTES>
>
iE �! iE if iE iF 1E 1f if fF iE i! iE iE iE iE iE 1E fE iE IF jE iE �E iE af !E'k �E k ik it it iE if !F!! iE ik �k i! ik 1E iE if 1F 1F �E iE 1k fE 1f fE 1f !E iE'Ik iElF if iE i(� iklE iE fI' f4 f(' iE ff �ElF iF iF 1k if' iE 1E 1f
D E V E L O P M E N T S E A V I C E S =R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED HY : DATE; p
APPLICATION ISSUED BY: '" DATE: �B
iE1ElEitikiEiEikiEiEfkikiEikikifiFMiE*�EfE iE�flFiFiFik1E1F�f�E iF7f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 8.75
25$ SMIP/NON-RES
PLAN
ISSUE FEE 22.00
HUILDING-DIV-> PERMIT ISSUE
TOTALS----> 8.75 22.00
PLAN-CHECK TOTAL PAID DUE
0,00 30,75 30.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SiiORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
30,75
if if iE k 1E 1Fif 1E iE iF iF'lf if 1f iE 1f !f !E 1E'k iE if iF ik if 1F it iI�lE iF if iF iF'1F 1k iE 1E 1E iE 1k �E IElE if'1F!! ik ik iE fE iEik if iF iF 1E ik iE iE it k ik 1E fE ih �E 1E if'lE N iE 1f iE iE iE if 1F �k iF
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER 8,75 8,75
END OF FEES
81-IS-1998/89:SB IIM/f3B.75
RCPTq:�1-8818166
F'ERM I T : f986456
CONSTRUCTION AND PLANNING PdOL & SPA �
APPROVALS Permit # Daie Inspector qppROVAIS Permit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pooi & Equipment Locacion
2. Soil Pipe•Undrgrnd. �� 53. S[eel Reinforcement
3,;EIecVical Conduit U�ility-Undrgmd. 54. Forms � �
� 4. Electrical Conduit•Undrgmd. 55. Electrical Bonding
�5. Steel Reinforcement. � 56. Rough Plumbing & Pressure Test
�:6. 'Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ,
�-7. �Eootings � � 58. Electrical Conduit•Undrgmd.
�.8: Foundation �, 59. Gas Pipe, O Undrgmd., Test �,
_ 9. Water Pipe�Undrgmd. ` 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Struaural Floor SYstem ' 61. APPROVAL TO DECK �,
t t. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final �
�Z..SeWe� CaP . 63. Heater & Vent�Final
13. floof Drains 64. Plumbing SYstem • Final ,
14. Rough Plumbing _ _ 65. Electriwl-Final '
75. Rou9h Electrical•Conduit •• 66. Solar SYstem-Pihai
16. Rough Electric Wiring � 67. Fencing & Access,ApProval
17. flough Wiring $ign . 68. APPROVED FflR PLASTERING
78. Rough Electricat�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19.�Rough 4ieating &�Air Conditionin9 �` - • FtRE DEPT:-REQUIREMENT
_ 7 .� . .. .. _
20. Rough FBctor�Y Fireplace � �u. "^ APPROV.AL$' t Petmit#'�� �_,.
. , •
21. Oucis, in 6truaure � ' • •'. r 70.. U�derground HYdro �
22. Duct's, Ventil9tin§' � �-' - ` ' 77, ProduCt Piping (7 Gas ❑ Oil
23. Gas �ipe-�tough & 7est . - � _ 72, Underground Flush ��
24. fioof Framing • , ' 7.3. Underyrnd.Sto��ajeTan� �Gas OOiI
25. Roof'Sheathing _- , ` � -�� 74. Overhead Hydro-- ,
26.-T•Bar Ceiling (Structural) & Monocoat - 75. Dry Chgr,�ical � ' ' . '
27. Frame and Flashing : � ' . 76. Dry Stanilpipe ,, . � ,
- 28. Lattiing & Sid�ng'- • _ _ � � 77. FIXED SK5TEM HNA�L � �
29. Insulation - - � � � , 78: FIRE PREV. FINAL • - .
30. Drywall Nailing � " " _- � =HEALTH OEPT. RE�UIREMENT
' 31. Plaster Brown Coat � : 79. FINAL tNSPECTION
32. Electrical'Power Meter�Final SQ. FOOD CERTIF.ICATE ISSUED
• 33.�FinaliElectric. � Notes: � . � � -
34. Final Heating & Air Conditioning : � -, ' r
35. Final Gas Pipe�Test " ' ' _ _, ' ' ..
36. Hood or CanOPY � � . . �
37. Final Factory FirepJ�ace ' ,.' v, � ,
� 38. Finat�Plumbing . • (!`�D P7.I � .
39. Water Service•Finai' =- - � -
� 40. Gas Service-Pinal � " - . . - � � �-, � " " - , . ,
41. Solar pomest�c-Final ' "
, -, -
42. Backflow Preventer � . : � , �- � -
43. Backflow Irrigation' � � � . .
,
44. l.andscape Irripation System _, ,� a J % , , ' �
45. Sound ACtenuation �� . _ � �" ' -. ' � o �
46. Handicap Regulations - . �� _ ; � , � '
47. FINALSTRUCTURE&BUILDING `� `" -
, � ,� . . „
48. FINAL P�ANNING „ ,. � - = �
49. Electric Reiease to Edison '�^ t � '-
:c�_ .
50. Gas Release to Sout6em Califoreia Gas Co , � . . -"
51. CERTIFICA7E OF OCCUPANCY -
No. Date
r,raecrnoosess: 2720 CARDINAL DR
OWNEfl'SNAME: �(,UNIGA VIRGINA
�/� AOOflESS: 2%zO C�+.RDINAL DR
COSTA MESA,CA 92626
714 549-4073
PflCHIENGINEEH: XEG.NO.:
RODRE55:
uxit:
uxiT:
PEHMITTEE: VIRGINA 'LUNIGA ( 714 ) 549-4073
nooxess: 2720 CARllINAL DRIVE
COSTA MESA CA 92626
LICENSED C�NTBALTOB OECLAflAT10N: I �ereby allirm that I am license7 untler provisions o� Chapter 9(commencing wi�� Section
]000) ol Oivision 3 of the Business an� Pmlexsinns Catle, anA my license is in Iuli lorce antl etlec�.
CITY LIL.: STpTE LIC.: ClA$$:
Oate: SipnaWre:
WOflI(Efl5' LOMPENSRTION OECLAfl4TI0N: I here�y afiirm that I have a ceni�icare of canseni m ulbinsure or a ceniliwte oi Worker5'
Compensation Inmrance. or a ceniliea copy I�ereal (Seciion 3800. Lab. C�.
POLILY NO.: E%P. ORTE:
COMPANY:
� CeNli¢tl CODY i5 A¢reby Wmish¢tl. ❑ Cehili¢G [opy i5 �ile0 wilh I�e city BuilEinp Division.
Oate: Applicant:
E%EMPfION FqOM WOflNEflS' COMPENSRTION DECUMTION: (Pus seciion neeG not be complele0 i1 �he perrtut is for one �untlre0 (510D) o� les5�.
I certify ihai in I�e peAormance ol the work lor whic� t�is permit is issuetl. I shall nal employ any person in any manner 5o as lo �ecame
Subjecl �o t�e Warkers' Comppensa�ion Laws ol Calitomia. ' • . �
9ate: �" Z— b Z-� Siqnalure:.�L��l/u"K �i4Ke1 =e
NOTICE: I�. atler making t�i5 Geclaratian, you s�ou10 Oecome su cl Io Ihe Work i mDensatio mvisions o� Ihe LaOor
Coae. you must tort�wil� comply wii� suc� provisions or t�i5 permii sAail he de ed revoked.
CONSTHUCTION 1EN01NG RGENCY: I hereby atlirm �hal ��ere is a conslruction lentling agency lo� the pedormance ol Ihe work tor
which �his permi� is issued (Settion 3W7. Civ. C�.
LENOEfl:
RDOflESS:
OWNEB BUILOEfl UECLAflpTION: I herehy allirm I�al I am ex¢mp� �rom the Conlraciors' Slate LiCenSe Law for lhe lollowing reason
(Sec�ion 7031.5 Business anU Pmlessional CoEe: Any city oi coun�y which requires a permi� to conslmci, al�er, impmve, demolish, or
repair any slmcture. prior lo ils issuance, also repuires Ihe applican� lor such permil to file a signetl italemenl ��a� �elshe is Iicen5e0
Oursuani to Ine provisions of Ne ConVanori' Slaie License Law (Chapter 9(commencing wilh Seclion 7000) af Division 3 of Ihe Business
anG Pro�essions Cotle) or thal he/she is eaemp� Iherelrom and t�e Gasis �or Ihe alleged exemption. Fny violaiion ol Seciion 7031.5 Uy
any applicant IOr a permii SUClecis Ne applican� to a civil penalry ol not more lhan five hun�retl dollars (5500�.
❑ I, as owner ol ihe pmperty or my employees with wages as iheir sole compensation, will do ihe work, an0 ihe
simcture is not intenGeU or ollered for sale (Section 70a4, Business anJ Pmfessional Cotle: T�e Coniractors' State �icense Law
Goes nol ap01y to an owner o� a pmperiy wfq builUs or impmves thereon, an� who does suc� work himsell/hersell or �hmup�
�is Or her Own emDloyee5. prOvi4eA Ihai Sut� impwvemen�s are nol inlendeJ or Oftered lar Sale. Ii, how¢v¢r Ihe OUiltling or
impwvement is SOIC within one year oi com0letion, the awner will have ihe hurGen a� pmvinA ��SAe Oitl not Oui10 or improve
for ine ouroose ol Sale�.
I, as owner ol t�e D�oDerty, am exclusively comrac�ing wiih IicenseA conlractors �o constmct I�e prole�� (Seclion 7044, Business
❑ and Pmfe55ions COJe: The Coniractors' State License Law does nol apDly to an owner of propen w�o Gmltls or improves ihereon
anG who Coniratls �Or Sut� O�OIe��s wi�h a fAnlraGtor�s) li[¢n5e pursuani IO Ihe ConVattors' �tate License Law�. I am aware
Ihat prool ol their Work¢r'S Compensation insurance SMuld Ge provided �o me.
}� I am exempl un0er Section: ,�,I, jfQ B. 8 P. C.
bor inis reason: RK H�[ OWNER _�..
�6ate'�7 Z— � Z Owner. •
I Co �ereGy certify rtut I am aware ot an0 un0¢rSlanG I�e repuiremenis o� Califomia H Ilh and Salery Co e 5� tions 25505. 2$ J8, antl
2553a aM I�al I or any Imure UuilUing occupant wilVwill nol (circle one) neetl m comp xim said state cbefantl ihe reQuirtmErms for a
permit lor conslmction or motldicalion Imm Ihe Air uali�y Managemen� Oislnct. flesidential wnsimction apD�icatans are e�emp� Imm
I�ese pmvisions.
Oale: ADplicanl:
1 �ere�y ceriily I�al I hav¢ rea0 ihi5 application ana 5tale itwt ��e aGwe information is corr¢ct. I agree IO Co pty vnth all ciry aM counry
ordinances anC s�a�e lax5 relating lo UuilAing consimclion antl here0y auttbrize repre5eniatives of Ittis ciry la en�er upon Ihe a�ove�mentioned
pmpetly forinsDe���on pur0oses.
Dn1e�.�_�-- / Z— SignaWre'. 'Li'C�.�'���'/__� �-
i
oriverS License or Social Securily x:
�6aba6 W�i�e—Bmltlinq; Graon—Cotle EnlorcemenL Canary—AoolicanL Pink—Fevenue: Golaenrod—Assxsenr
CITY OF COSTA MESA — BUILDING PERMIT �ERAf�77��8'�9�
PERMIT NO: B 058891 PLAN CHECK NO: 03902-92 S �aVI�STiPI� I
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION : 221SF OF CITY STD PATIO COVER SQ FT: 221
CLAIM VALUE: 150,00 CALC—VALUE; 3,270,80 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIREll IN THE HOME
x�r�r�******�r**�r*��x****�**�r* *********+t+�+r**�t**+�*+tx*��r�r�r*�+r�*��*�t******����*�*xx�*x
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: 90 FT IN FRNT: FT IN REAR: FT IN
LEFT: S FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARICING REp • PROV: PARCEL; 13952925 ZNE; R1 REF NO;
PLANNING Nf7TE5> 221 SQ. FT, PATIO COVER ON SIDE OF EXISTING SFR,
i
�e*x*x�r*�*���r�r**�***�*�r*�r**��*�*�r*�rx*�r****�t��t**x�***+�*****��r�r��r�*+r�t*� �.'�+�*�t�r�t*�t*�
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•i"i S
20NING APPROVED BY � � DAT£: L,
BUILDING APPROVED BY ; � DATE: � 2 Z
APPLICATION ISSUED BY: ` DATE:
1FiliFlEiF1E1F3FiEiE1EiE1ElFlFiE1F3FiE±PiEiE iE1fiE�EiF1FiEiEikik K�iF
iEiflEiEiE�EikifiklElflfiFiFjfiElfiEifiE�EifiEiF*ftlPikiEiFfFiE3E1EiFlEiElE�fili!lE�E 1E1EiEiElEiEifiPiFiFiEiEklFiElEiFiFifiEiE161EifiFif1F1E1!lE1E1EiEiF
LEGALI2ATION:N F E E• S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES,` GRADING
PERMIT 63.00 SMIP/iJON.'.—RES
PLAN 40.95 �
SSSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID -"' DUE
TOTALS----> 63.50 0,00 40,95 104,45 104,45 +� ,00
REVENOE DIVISZON TOTALS--> COLLECTED: 104.95 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING P.LAN—CHECK
63.00 ,50 �.% 40.95
if ik iE iF 1k �f iF 1E 1E iF iE * �E �! iElE �F iE If 1F 1f 1E �F iflE if 1E if if jF iE If iE if if 1f IE ik iE ib if 3f iE if if iE IE �f iE iE IF iE 1E iE iE iFlE if iE iE 3f ik 1f if �E iE jE if V#.!6 iE,�f iF iE aF �E �E ih iF
I N D I V I D(7 A L F E E B R E A K D O W N .
TYPE QTY D E S C R I P T I O N UNIT COST ,TOTAL COST
SFR . 221 RES—PATIO COVER—POST 6 TRELLIS 14,80 �3,270.80
END OF FEES
�
��ONSTRUCTION AND PLANNING _ POOI e SPA � �
• �:1PPROVAlS Permit# Date Inspector p�pPROVALS Permit# �ate Inspector
�
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe•U�drgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
_ 4. Electrical C�nduit�Undrgrnd. 55. Elecirical Bonding ,
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgmd. �
8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, � Undrgmd. .�
70. Structural Fioor System 61. APPROVAL TO DECK '�
11. Property Sewer Line & House Connection ' 62. Backwash & Receptor�Final �_
i�
12. Sewer Cap 63. Heater & Vent-Final � .
73. Roof Drains 64. Plumbing System - Final '
14. Rough Plumbing 65. Electrical�Final .�
15. Rough Electrical-Conduit 66. Solar System-Finai - �
16. Rough Electric Wiring 67. Fencing & Access Approval .
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Elea�icabT Bar Ceiling 69. POOUSPA SYSTEMS FINAL �
19. Rough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace APPROVALS Permit #
27. Dutts, in St�uctu}e - - - � 70. Under'ground Hydro -
22. Ducts, Vent�lating " 71. Product Piping OGas OOiI
23. .Gas Pipe�Rough & Test . �� 7z, Underground Fiush
24. Roof Framing �: - 73. Undergmd.StorageTank �Gas ❑Oil
25. Roof Sheathing . . � 74- Overhead Hydro
26. T-Bar Ceiting (Structuraq & Monocoet i 75. Dry ChemicaV
27. Frame and Flashing , , 76. Dry Standpipe '�
28. Lathing & 5�ding ; ' i i � 77. FIXED SY$TEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing , HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat ;':�..,�� 79. FINAL WSPECTION
32. Electrical Power Meter-Final �� �! �� 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' �1, �''� �� � Notes: -
34� Final Heatin9 & Air Conditioning �.;' -
, �
35. Final Gas PiPe-Test - � '�
i ;.: ,
36.- Hood or•CanopV " + ' �i � .
_ � '-
37. Final FactorY Fireplace � �
38. Final Plumbin9 �, �
39. Water Service-Final
i
40. Gas Service-Final � ' '
,
41. Solar pomesticFinal � � �
42. Backflow Pteventer � � -
i
43. Backflow Irrigation � _ �
44. �andscape Irriqation Sysiem �
45. Sound Attenuation
46. Handicap Regulations ,
47. FINAL STRUCTURE & BUILOING � �� �,. � /_� „�,y� �� _.
�' t� l/° "
46. FINALPLANNING � ,� �`
�
il � ��: ' �
49.-Electric Release to Edison '" i-�
50. Gas Retease to Southem �Ca{ifor�ia Gas Co ' �!�! ��, ,
51. CERTIFICATE OF OCCUPANCY
No, Date
20un,ROOF CONNECTION
DETAILS
CONT.
LED
CONT.
LEDGER
ID BLOCK
I/2�� DIA. X 5� LAG SCR.
A7 32�� O.C.
DETAIL I
CR 8 CL ��TECO��
GRIPS OR JOIST
HANGER
j/g° DIA. X 5�� LAG SCR.
aT �y" o.c.
DETAIL 2
IOi�OR LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2�X FAC�A-MIN.REO.
RAFTER
APPROVED METPL
HANGER
DETAIL 3
o�toPn�nrr e
s�c�s n�v�zir�rr
BUII,DIT]G SAFETY DIVISION
OWNER:
ADDRESS�
CONTRACTOR � —
ADDRESS:
R AFT ER S
CARPURT, PORCH OR PATIO
NOT '.�UPPORTING CEILING
SIZF. SPACING �SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32" 6'-0"
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6" .
48" ,8'-0"
2"x8" 24" 15' -6"„ y �
32" 13'-6" ' ..
48" 11'-6"
4"x6" 24" 17'=0:'
32" 15.':0"
36" 14'-0"
4"x8" 24" .,. 21'_0"
32" 19'-0".:
36" _ ..,18._0"-. ---
48" 16'-0"
4"x10" 32" 22'-0"
36" 21'-0"
48„ ���_Q��
)2" 17'-0"
PATIO COVEF''�
TYP. PLANS
DATE�_
PHONE� �
LIC. N0. -
. PHONE �
RAFTERS �APPROVED FOR
LIGHT WEICHT ROOF COVER OF BUILDING PERMIT
LATH, FIBERGLASS, ALUM. By Date
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24" . g�_���
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
- 32�� • - 12�_���
48" ' 10'-0"
2"x8" 24" 19'-0"
32" ?5'-6"
'. .^ 48" 13' -6"
; ,..,.
HEADERS
LIGHT WEIGHT ROOF ONLY
SI?E POST SPACING
4x4_ .. 6'-0"
' 4x6 = 9'-0"
4x8 ' 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 . 5'-0"
4x6 B'-0"
4x8 LO'-0"
4x10 12'-6"
�ENERAI. NpTES: .
1. These pl'ans'must be
liept on tfie job at
all time during
construction, ,
2. All fFaming to be
Douglas 'Fir. N4 �
gtade minimum,
3. Rafters may not
attach to facia ex-
cept for 10]Iuroofs
as shown on details;
ZQlb�roofs must use
a continuous ledger
attached as shown
on details �k1L•'�2.
4. Light weight roofs
may a[[ach"[o f'acia
for 14' span max.,
spans over 14 mus[
use a continuous
ledger as shown in
detail 1i3.
� CI�l9�U
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
Af�P
� of dost�
BY �
THESE P ANS
NO CHAN ES W '
THE ISSUA E Cq Gq
PLANS AND SPECIFIC SI�
PERMIT FOF, OR AN p
TN[ PROVISIOI:S OF
AUTF{OqITY 70 VpL TE
CODE SHALL BE VAL E;
WHICHITAUTHOFIZE IS
7HE ISSUAkCE F
SPEGFICATION$ SHA��
FROM Tl1EqEAPTER P,CQI
SAID PLANS AN� Ei
�UICDING OPEP.ATIDY. , �
IN VIL�A71pN OF THIS CC
THECITY. ,
c
r �V E D Perm #
THIS N MBE
sa Building pt. pLL INSPI
DATE � 7g Z..
� 0 JOB AT A L TIME MA �
P CF APFR r Lcr i.
w�9 c::°; �:..;4..�� G. 4r� Ht ' L
4i L N� �!:P G�NS' NuED TO GE A
:::L OF Fi�1 y),iLlQlOhf Cc q>JY OF
DL hU :,GRAf!i P!lE°iPAI":C (G 61Vf
CAD:Ci:I �Hi= PAOVISICNS GF THIS
'71,7SOFAHASIF�[ WGH'l,ORUSE
PEFA!1T l3ASED UPON PLA;:S A/:U
P PflEVENT THE GUILClPiC G^FICINL
ING TN[ CDni7fCTi1r�VZT� IiROFS IN
OR OF A: i i
�������r�RREC(\ONS S ENS
„ SM
P�pl"(10NS, �O � � S;i�=�1,P•;,i;1�;G �EPP�
�` i
gE p4v�0 -
ACCOMPANY
REQUESTS
/
• Z���� ���oP'i�
+ � rIALL
i-�.. �,�
c T�r Sa•5626
r� =pr'L or
�i'�� �����i��Irp 754-5627
REQU (F$E[�.�..�PLA IV
N
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N
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2
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X
W
SEE DETAILS ON REVERSE SIDE
ROOF SHEATHING
OVE
_X—RAFTERS
AT, O.C.
_X_ BEAM
T-STRAP EA. SIDE
FOR POST- BEAM
CONNECTION.
m
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J �
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DROP PqTlO � w LL i
� FLOOR 2' p o �
0
'a
fSLOPE TO DRAIN I� �
-�.
�o:..: o:r: . a .:.o, : : � �
. . . . . . . . . .' �,.di I p
ll�
�
N � �
�L__J
PIERS 12�� SO��
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a F U
¢ z =
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N d �
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x � i
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\ � V
26 GA. G. 1. FLASHING
WOOD FLOOR
CONSTRUCTION
SICE ELEVATION
CONSTRUCTION DETAILS
W
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2 �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
AP LI T N
For Applicant to Fill in Completely — Use Ink Only qEc o
BUILDING /7 /
ADDRESS / U RY d/ n' �'/ �''
OWNER ON � Z N/
� A.P. NO.
MAIL BUIIDING /�%
ADDRESS �L� /- ���N�¢� D^ ADDRESS L
. , � .
CITV /,.�f.��_�:a.. No`.�999-Y9 TRACT"Ji
Paiu�03036"� Z�.SC
�n�i �n-�����, ���.:
FOR STRUCI'URAL PERMIT
(.���R�L ��
. LOT� BLOCK
� �Ifi✓�!S�G/'���
BiyANCH � ' K: ZIJ�UI
� - . �. ' ' �OwNE
ADDfiESS /,�,�O VALU /
' ARCMITECT '." ' i � • TEL. . ' SE �/� • ��
OR ENGINEER
' . ' � FIRE ,r, ' '
ADDRESS � � ' - ' � ZONE' • TV E - GROU
' � APPROVED-i
CONTRACTOR�' � � �4 N� ' . BV DATE
ADDRESS �- U /N �� �I-,' I
TEL. ZONE NO.OF• USE OF N
p PLANS BVILDING
CIT1' lo r T� � No. y�y� 99» . 2�
F STATE CITV � �'AflDS APPROVED VARDS API
�� LIC. NO. � � ' i i CIC. NO. MliIN BUILDING; .ACCESSORV
{yj 512E NO.OF BIOGS. �(FROM GL STR E
�. OF LOT NOW ON lOT RONT f
a USE OF ( (�.//
.N,� E%ISfING BLOG. SID F. V F
� � /1�
FSepara[e permi[s are required for L, SIDE FT. v F
Q elec[ric, plumbing and heating work. REAR � ' Fr.� F
�.W., USE F IL MG AND WQRK TO BE PERFnaeesD DI5TANCE BET. BET. MAIN &
QAIN BLDGS. ACCESS. BLDG
� \i ,( �, VAR.# DATE
�� I O C � C.U.P.q(� APPROVED
a � �
7 APPROVED '
} � i
..l
a
w
� I hereby acknowlatlpe that I heva reatl this applicetion antl smte
(k thnt the ebove Informetlon is correct and epreo to comply with
� ell lews reBuletinp bullding consttucNon, antl I shell not employ
Z nny person In vlolatlon ot the workmnn's compansation Inwa of
� tho Steto of Californla.
x � S�. FT.
3 I hereby cortHy that I am pro0arly Ilcansatl as a coniretTor �nEer
ihe Stete of Calitornia Business and Professions Cotle, Dlvlsion 3, THE AMOUNT SNOWN DER VALUA
Chnpter 9, anC that such licenws aro in full forca entl atfoct, or I THE PURPOSE OF ESTABL A PERM
am axempt trom the Droviilonf of the State a( Celifornia Bus(ness V ALUATION PE IT FEE b
entl Professlons Cotlo, Divislon 3, Chapter 9.
� PLAN CHECK E
Signatur.y � � /7r �•��� /
ParmittoelC �"'°/ /C v �T_ 5 � TAX 5
AuthorizodAOa�t TOTALPAID 5,
G
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0
LL
f
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Q�--( '��lc�' �C�!(.��t.t vF- qt�� �i�y�� C�'i�, -d-bt�''�
-�1� ��lc� C�-� v�+wvi.c� nk�y- 13� I�ti�J
��c.+� r�� ��t--�- -i�-� A� �ac.e-�� ���
� � .��M' a� � �-. E4��r�_ . Z�r�-�
, ,�'�-- �S L���.vC� c�'�-ML'��Sf� /v�1�rn1� ;s�-�J�`L.
!�` A vf�c�b+n►t� �►�► C61�' 1��'��i -".t-�.1-A�t- �tbt�s i'��v.ue
-� ��v+C� �t�t-ip � �P-�.> (��j� ��
' � ' �� `�C� f�s � t.x3t— ��C-��i� c(� ���w��u.eC�
R+�� �-A�i v.e6�i�l� ��wqAY� "� "�`►t.t2�t� l��D
'.�s ��-�� ���—(i�--U tii�' � ��DKCI�'Al ��
(�U VJ���, TI�► 33�j�,°%� � -1"�9� �� �-Vb� �-
0
��
Lot 59
�r. 5�a �4�n(1
' COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O.qO% 91] C08TA MH9A.CALIFOHNIA
For Applicont fo Fill In Completely
TYPE OR PRINT
euao�rva
ADDRESS 2720 Cardinal Drive
COSTA MESA, CALIFORNIA
�u,NFa Pemba Subdividers. Inc.
;RE.G.Kaltenbach No`.54780
1823 E. 14th St.Santa A
�R Pemba Subdividers, In
2850 Mesa Verde Dxa+e
Costa Mesa
187318 No 5490395
n� __� nn I NO.O�BLD06.
BETBACK LINB pROM
CENTBR OP BTqEBT 23 � REAR
SIDBYARD LEF7' 9� I RIGHT
DESCRIPTION OF WORK
N�,,,. � x I� .. �ee....... � I� .,,..
42 '
12�
IOOM9 1� 6TORI88 �+
ROOP }yoodShin
GOVERINO
K TO B! PERFORMHD
•esidence with
1 HEHBBY �CKNOWLEDOH TNAT � XAV6 HHAD TNIB �PPLICATION
AND 8T/�T8 TN�T THS ABOV6 I9 CORRHCT AND AOR88 TO COM-
PLY WITN �L� C�TY ORDINANC[I �ND YTAT[ LAWB qQODUTING
BUIlO1N0 CONBTpURION.
SIGNATURE pp �
PHRMITTB /n " r-''
AUTHORIZEbA6
Cfi�Y �g� ��ST� �9€5�
MAY 11 1965
nectlR n0.
onre
ZONINf3
NO.OP Y660R
� PUN6 Ctl(LDINO
�eo�� li�T �
O@BCPIriION
A. P. NO. '�T
NOTE: NO EAVE OVERHANO BHALL BE LH59 THAN
30' TO 61DE @ REAR P. L
EAVES
ALLOWHD <U.B.C.REOUIREMENTI
YAROBAPPROVE� YARD3APPROVED
MAIN BUILDIN6 ACCESSORYBUILDINO
(FROMGL6TREET) /1 A
1Z
VAR. #
eer. i
ACGE
DATE
i`
D�3- "
80. �. �
TM! AMOUNT BXOWN IINOHP VALUATION 19 POH TX8 ='
PlIRP088 OP BBTABLIBMINO A PHNM�T F!E ONLY. p
VALUATION �' ��,5'p m
PERMIT FE8 $ �
�z 'y m
$z7,s39 �
^� 4
TOTAL RE8 %�