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Home My WebLink About3042 CEYLON RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��,sCTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 3042 CEYLON RD REAR YARD Parcel Nunmber: 13918108 Applicant: I 1 I.Q�,1�� ryr� (_�v,�� Add 3042 CEYLON RD Status: I SS U E D Applied: 11/04/2005 Issued: 11/04/2005 ress. � ISSUED BY: �:,Phone: 714-241-8056 -". COSTA MESA, CA �' �'�y;. Zip • 92626� � o�.. " ..: '. . . _ � .r .. . . . . . � Owner. �,(�(iY�"� ..�_,�/"ic!.. . •.: . - � .. Address 3042CEYLON�RD ; �- � - � ; � �. �. s - . ;Phone. _ . :�y _ .,,, COSTA MESA,�CA '�.'� , Zip: 92626 � � �`;' r .asf.. � -�., - ��'� z- . . A �p � - � '� a ,° . ' ' Contractor. OWNER-BUILDER � , :. Address: ;"-;"`'� „ „ `�`� �"''. y.� "`, , : ' Phone:.- . . ' - - .. Z�P� .. . ". . �� ' : . . i ' .SERVICE PANEL UPGRADE TO 2 License:00000Q , � •�.;F . - - . , Y�� . , ' . ' ' S' M . : ., —- ,. � :t,.�r� . - FEE SUMMARY ': y „'� °�„ _ �' Quanldy-. - . . _ __ ---= > ,� � Quantiry u, - ISSUE FEE $23 50 �� `� r " Temp Dist System / LigMing �'� ,$0 00 �� 0 E.,;- , :.-�:-Tempservicelest �.�:�$0.00 .. � Busway/700k .,.: ' ,$000 ' � OE ;��"'IRes:a/cpackage ��$0.00 -� - - � �-Standing�Section- -_ $000 �� 0 ` �'�,�� New Res (1 2-uniis) . � I$0.00 0 Misc Electrical Equipment $0.00;'�;� 0� ',, �f;� �° New Res (3+umts) . - `��'�$0.00 0 � " Transtormers up to t kva/kw �� $0.00�� :0�� ,,1 ,' � � �„ ' �I�' ,, . . _ _ .. : � � . r, .e...,, �: ,, - Pool / Spe � ;'$0.00, . 0 "� - ..... . p to 10 kva/kw - -. $0.00� �' "0' Lighting Fi�Rs -,� q-;� $0.00 - . 0.�-- , ` "" _ c::. _.:..up to'S0 kva/kw �� $0.00, ` 0 � �� " - � .,,, . , g� � � � , Recept Outlets_ `� ' � „ $0.00 � - 0 � " . ...............up to 100 kva/kw- � $0.00 `_` 0� ,��' � " Switches . . . $0.00 0 ......... .......over100 kva/kw v $O.00,�f , 0 � '. � R- Non Res Appl ,:$0.00 0 Low Voltage Equipment ,$0.00. ,' - 0; � � Res"Appl '-$0.00 0 LowVolLWiringS'ystem/Ckt .$0.00;<' �0��'>` Service to 200a $30.50 ' 1 Misa Conduit � ,$0.00 - � 0 � _ . - Service to 1000a . =:; $0.00 0 : Misa Conductor -$0.00 � 0 � � Service over 1000a ' � -4 $0.00� 0 Cucus ( gen or ride) �$0.00 0 , Motors to thp , $0.00 �„ 0 _ � Circus (mech ride or lights) $0.00 -. � - 0 , Motors to tOtip $0.00 `� 0 � �, Christmas Tree-Stand $0.00 � 0� � Motors to SOhp ; - $0.00� ' , _0 -��' � � Flreworks Stand_• _. $0.00- 0 � _ � ',� Motors to 100hp- $0.00` `.-� � 0 � - Other Electncal-Fee . � $0.00 � Motors over 100hp _ $0.00� � � �. 0 - - - - - � Communicalion drops _ � .:� $0.00 '� �0 � . . -- Inveshgahon Fee'>� �' . $0.00 - - Sub panel to 200a � $0.00<` �.0. , . --Plan Check Fee =- . - .$0.00�..,- � Pole Light Pkg „ $0.00 0 '�• , � � �;`-Reinspection Fee. � � � �,$0.00�.�� Sign Circuits $0:00 ' ' 0 � . . � � �� , � ' Temp Pwr Pole - .- $0 00 +: , �n0 ,... � - - TOTAL CALCULATED FEES >• E54.00 Inlermed Pole - $0.00 t€ 0' " ` � ,s�,�%'a ". • � . COMMENTS / SPECIAL CONDITIONS • ' V`e t . 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 if work is not commenced within 180 days, or if work is suspended or abandoned tor 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 Inspections end final approval must be ob�ained. Failure �o obtain inspections and final approval will result in �he expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&48 (8/00) WORKERS' COMPENSATION DECLAflATION: � �� I hereby atlirm under penalry ot perjury one of ihe following declarations: � � . . ❑ I have end will meintain e cartiticate of consent to salf-Insure for workers' compensation, es provided for by seclion 3700 of ihe Labor Code, tor the pertormance of the work 1or which Ihis pertnit is issuetl. � ❑ I have end will maintain workers' compensation insurence, as required by sectlon 3700 of the Labor Code, for Ne pertortnanca of Ihe work for which ihis pefmit is issued. My workers' compensatlon Insurence wrner and policy number ara: � Cartier: Policy Number. (This section neetl nof be comp/eted i/ the permi� is veluetl at one hundred dollars ($100) or less.) n iha peAortnance of he worN Por which this pertnit is issued, I shall not employ any person in any manner so es to hecome subject to the workere' �n'laws of Illomla, ] egree t� Ii I should become subject to the workers' compensatlon provislons oi Section 3700 of the Labor Cotle, I shall torthwith lhese pr vi B r.��°-'41- `�- �'s- �.._. TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL AND SHALL 5�61ECT AN EMPEOYEFlTO�CRIMINAL PENALTIES NND CIVIL FlNES UP TOONE HUNDRED E(E100.000�, IN ADDITION TO THE �T OF COMPENSATIdJ, DAMAGES AS PROVIDED FOF IN SECTION 3]O60F THE L4BOR COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Cotla, and my license is in full force end eflact. Lic. A Cless q Con�rectoYs SigneWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn fhat there is a construction lending agency tor the performance of the work tor which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Signeture: _ Lendefs Address: Date: OWNER-BUILDER DECLAH,'1TIONS: I hereby eflirtn Ihat under penelry oi pe.�ury ihat � am EXEMPT FROM THE CON7RACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7037.5, Business antl Professions Code: Any ciry or county which requi it to consiruct, alter, improve, demolish, or repair eny structure, pnor lo its issuance, also requires the applicant tor such permit to lile e signed stetement thet he or she Is� n4ed pursuant b Ihe provisions of the Contractors License Law (Chflpter 9(commencing with Section 7000) of DlNsion 3 oi Ihe Business and Profeuions Code) or thet he o`r sha is exempt Iherefrom and the basis for ihe elleged examption. Any violation of Section 7031.5 by any epplicant for e pertnit s_pbjecis.ihe�pplicant to e civil penalry oi not more than�fl&�u�ntlretl dollars ($500).): . �r :'c — 1; as�owner of the property, or my employees with weges as iheir sole compensation, WILL DO THE WORK, end the sWCWre is not intanded or oHeretl for sale (Sec. 7044, Business antl Protessions Code: Tha Coniractors License Law does not apply to an owner of properry who builds or improves thereon, and who tloes such work himseN or herselt or t�mugh hls or her own employees, pmvided that such improvements ere not inientled or oflered tor sale. If, however, the building or improvement is sold wit�in one year oi compfelion, the owner-buildar will have tha burden ol proving ihat ha rn she ditl not build or improve for purpose of sale.). ' ❑ I, es owner of Ihe Dropetly, em EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRAC70RS to construct the prolect (Sec. 7044, Business antl Pwfessions Coae: Tlie contrectors{,icanse Lew does not apply to an owner of property who bullds or Improves thereon, and who contrects for such pmject with a coNredor(s) licensa pursuent to thel4omractors License Laws.). ❑ I am axemp se Business and Professions Code for ihis reason: ignature I � Verificetion ot Ownership by (type of document i.e. - properry tax 6ill or deed): DIVISION OF INDUS7RIAL SAFETY PERMITGERTIFICATION: ❑ I hereby certify Ihet no exceve�ion fiva (5) or more feat in depth inm which a person Is required to descend, will be made in connection with work authorized by Ihis pertnit, and ihat no builtling structure, sca8olding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7tle 8, Celifomla AtlmlNsirative Code). ❑ As owner-bullder, I will not employ enyone to do work which would require a permit irom the Division of Indusirial Safery, es noted above, unless such person has e pertnil ta do such work trom the division. Signature: Date: Division oi IndusMal Sefety Permit Number: Ij�Q�t INSPECTIONiVPE D�[ I RIA COpE� INSPECTIONTYPE . Qejf, �$ I 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Poal Spa Flnal 200 Finel RB-Rooi 201 Final BIocWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 208 Finel Plumbing . 210 Final Electrical 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site � " 250 �' Final Building/Occupancy (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3042 CEYLON RD Suite: Vicinity: REAR OF PROPERTY Parcel Number: 13918108 Applicant: DIVINO, LINDA Address: Owner: DIVINO, LINDA F Address - 3042 CEYLON RD - COSTA MESA, CA Contractor: OW N E R-B U I LD ER Address: Zip: Arch : Address: Zip: Phone: License: Zoning: R1 R1 Phone: 7�4-444-4653 Zip: Phone: Zip: 92626 Phone: License: 0 Eng: Address: SCOPE OF PERM " INSTALL A 10' BY 32' LATTICE PATIO COVER BEHIND AN EXISTING�SING EXTENDS 4' INTO THE 10' REAR SETBACK (5' EAVE OVERHANG PERMITTED). FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $90.51 $13925 $o.s7 $0.00 $0.00 $0.00 $230.43 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fronl 0- 0 PARKING Existin : 0 NOTES: , _" - Rear 10- 0 Rear 0- 0 Required: 0 Status: ISSUED Applied: O6/12/2002 Issued: 06/'12/2002 ISSUED BY: �� Phone: License: FAMILY RESIDENCE. EAVE OVERHANG Calc Valuation: Claim Valuation: PLANNING & ZONING � � Left 8- 0 Right 28- 0 Left 0- 0 Right 0- 0 � Proposed: 0 $6,705.92 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. I INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all I�' required Inepectfona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 . a.a6�a5 (5roo) WORKERS'COMPENSAnON DECLARAnON: I hereby eftirm untler Denelry oi perjury one of the lallowing declarations: ❑ I have antl will meintein a ceeilicate of consent to selt-Insure for workers' compensation, es provided tor 6y section 3700 ot the Le6or Code, for ihe pedormance af ihe work tor which tliis permit is Issuetl. ❑ I have end will mainlain workers' compensetlon insurance, es required by sectlon 3700 of Ihe Lebor Cotle, tor the Oerfortnance ot lhe work for which this pertnit is issued. My workers' comp�hsation Insurance caMer end pollcy number are: Cerrier: . Policy Number. (This secNon need nof be crompleted il the permit /s valued et one hundred dollars ($f 00) or less.) '�bcertiy that in the peAortnance oi ihe work for which ihis pertnit Is issuetl, I shall not employ eny person in any menner so as ro become subject to the workers' compensation laws of Callfomle, end egree that if I should become subject to Ihe workers' compensetion Drovisions of Sactlon 3700 oi the Labor Code, I shall forihwith comDly with t�ase provi ns. , Applicant,SignaNre: zr�re��-.� Date:-._�a 2� WARN G: FAILURE TO S UR WORKEfiS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMP�OVER TO CRIMINAL PENALTIES M1D CIVII FlNES UP TOONE MUNORED T}IOUSAND DOILARE (Et .OW), IN ADDRIIXJ TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED fOR IN SECTION 31W OF h1E LABOR COOE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl untler Drovislons oi Chapter 9(commencing with Section 7000) of Divislon 3 of the Business antl Professions Cotle, antl my license Is in tull ' force antl eHect Lic. a Cless A Contradofs Slgnature: Date: CONSTRUCTION LENDING AGENCV: � ❑ I hereby aXirm Ihai ihere is a construction lending agency for Ihe performance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). '� Lenders Neme: Lendefs Address: Signature: Date: OWNER-BUILOER DECLARATIONS: I hereby ettirtn thet untler penaly ot perjury thet I am EXEMPT FROM 7HE CONTRACTOHS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professions Cotle: Any ciry or counry which requires e permit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicant for such permit to flle e signed statement that he or she is Ilcensetl pursuent to the provislons of the Conirectors License Lew (Chepter 9(commencing with Section 7000) oi Divislon 3 ot ihe Business entl Professions Code) or thet he or she is exempt theretrom end Ihe basis for ihe elleged exemption. Any Nolation oi Section 7031.5 by eny epplicent far e permit subjecis the epplicant to a civil penalry of not mare than tive hundred dollars ($500).): ❑ I, as owner oi ihe proparry, or my employees with weges as their sole compensation, WILL DO THE WORK, antl ihe structure is not intended or otlered tor sele (Sec. 7044, Business end Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or Ihrough his ar her own employees, D�a��ded thet such improvaments ere not Intended or ofleretl tor sele. If, however, the building or improvement is sold within one year of completion, the owner-builder will hava the burden of proving ihat he or she did not build or improve tor purpose of sale.). ❑ I, es owner of ihe properry, em El(CLUSIVELV CONTRAC7ING WITH LILENSED CONTRACTORS ta construct the project (Sec. 7044, Business entl Professions Code: The contrectors Licensa Law does not appry m en owner of propeny who builds or Impmves ihereon, and who contracis tor such project with e contractor(s) license pursuant to tha Contrectors License Laws.). Owner ID ved114S by tlNvers license. Veritication ot Ownership by (type ot Business�and Protessions Code for this reason: y— lDate:7 ! y �' L Yes ❑ Na LDrh/BY9'ClCense'No.. � �ExpifBs�%1 �- property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON: ❑ I hereby ce�ity the� no excevetian five (5) or more feet in depih into which a person is required to tlescend, will be metle in connection with work authonzed by Ihis pertnit, end that no building sirucNre, staHoltling, talsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Administretive Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit trom the Oivision ot Intlusirial Safery, es notetl above, unless such person has e permit to do such work from the division. SignaWre: Date: Division of Industrial Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF EMfiY: I certity under penalry of perjury �hat I �ave read this application and state that the infortnetion given is cwrect I ag�ee to comply with all state laws and ciry ordinances relating ro building constructlon, and autbonze representatives ol the Ciry o� Casta Mesa to enter upon the ebove-described prope tor inspection pirp�es. I agree not to occupy or allow occupancy of eny builtling authonzed by ihis permit until finel inspection. _- .� v,-�. �� /U ii ' - S�re.Otlegal.Owner(sJ � �DateJ i AnNOr Authorized Applicant Date COQE 1. INSFECTIONTYPE 1616 Flxetl System Final Fire Prevention I 1266 Pool Spe Flnel I 200 Final Re-Roof 201 Finel BIocWReteining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition Q�, IMRIALS COOEt INSPECTIONTYPE 206 Finel Mechanical 200 Final Plumbing 210 Finel Eledncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy PAIE ItII�A4S z—�'�%Z � Lattice Cover . Lattice � Lattice Rafter Joist Hanger Ledger � c 2% Slab ^ Slope to Drain Lattice COVBf Rafter Solid Floor Cover I� Roof Covering 26 Ga. L Rooi Sheathing FRAMING PLAN Flashing� Roofing — 12" Sheathing- _ v ' Header Rafter— Joist Hanger Post } . Ledger— � � � � � o U , � r � � Slab� E Footing SECTIONS CONSTRUCTION MATERIALS SPECIFY LUMBER: � DF � Redwood ❑ Hemfir SPECIFY GRADE: � No. 1 ❑ No. 2 CONCRETE: 2500 psi min. @ 28 days CONNECTIONS: ICBO approved or equal Solid Roof COVBf � 2% Slope to Drain t. Roof covering: Slope:_ 12 . � � 2. Roof sheathing: Maximum spans: lattice: _x_ @_" o.c.: 2x2 - 6'; 2x3 - 8'; 2x4 - 10' solid: " CCX plywood or _" lumber: 1" - 2' - 8"; 2"- 8' �- 0" 3. Rafters: x(e @�" o.c. �Single �'Double @ PoST 4. ead r: x ❑ Single ❑ Double 5. edgec 2 x �a (2x min� �b27QL 6. Fascia: _x� (2x6 min) 7. Post: �o x�o (4x4 min) Raise 1" min above slab surface 8. Footing: 1Zx �2 12"xt2" min for up l0 66 sf tributary area; 18"x18" min for 67-150 sf tributary area �^" dspth (Expansive Soil Zone _� 9. Slab �" lhick (Expansive Soil Zone ^, 10. Conneclions: a. Joist to Ledger �lo - Melal joist hanger b. Joist lo Header - Solid blocking with framing anchor c. Doubled joist or header to posl -(2) 1/2" dia. thru bolts w/ washers d. Joist to Fascia - Metal framing anchors each side (min.,capacity = 0.5" jo�st span 'joist spacing' 15) e.'' Header to Post - Column Cap f. Posl to Slab or Footing - Metal AnchodPost Base g. ROof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Field DETAIL OPTIONS Check the ones ihal appry: Lattice Covec ❑A ❑B ❑C �D ❑E OF Solid Cover: � ❑A ❑D OE ❑F Past Anchor Post � 6 min Footlng � .: . , Depth PAD FOOTING A 750# max perpost.... '. Post 6' min '� sua SLAB F0071NG B ?x6 Min � Jois7l Fauia / 6cis6ng Anchars wall8 2�_p� g�_p� I roof . Max Max Span EAVE CONNECTION C 1/2' x 5' Joist La9 Svews � 16' o.c. Existing Joist wall Hanger Ledger WALL CONNECTION D Lattice Bons Rafter -Dummy Post =Support Post � eeyona RAFTER/HEADER E Roof Sheathing or Lattice Rafter Framing Mchof Each Blocic Heatler ZXBlocking Post Column Cap JOIST/HEADER F 2]33-06 back 1991 UBC I' l33 46 �t � G��a�a �!e�a �u�ea� �u�a�a� BUILDING PLAN REQUtREMENTS FOR ATTACHED PATIO COVERS (Note: DeWched patio covers require an engineered designJ i Q i � i Post _ (bPJ � Edge of — 1 � � � patio cover °' -I i w 1 I I I i i J � � I � i 0 � � � � E � d � N � w � i i i � i i I � i ' i � . 1 � i I I I I � i �2 Rl. _ I House ❑3 Garage � � ❑Z I Feet Lul I —— —- —-a 02 P.L. Owner Street �j Address ❑� Scale:—"=— INSTRUCTIONS - 3 COPIES MUST BE SUBMITTED Using this as an example draw your own plot plan on a separate drawing. "I❑ Show owner's name, project address, north arrow and scale. 2❑ Show and dimension all property lines, easements and driveways. 3❑ Show locations of existing and proposed structures, including ail setback dimensions 40 Show dimensions of propased structure. 50 Show setbacks from property lines to proposed strudure. (3'-0" min.; verify if Planning Dept. requires greater selbacks) 6❑ Dimension overhangs • ,' II - �� c�� 9�:3_0 . . �r°' Csl�� e� t9b9 COSTA MESA BUILDING-SAFETY DEPARTMENT {-�(�ANCE DEPT. P.O. BOX 31] COSTA MESA. CALIFORNIA ��(�r �r- �nC'[�, P1�� FOR APPI/CANT TO f/LL /N COMPLETELY APPLICATION FOR PERMIT � TYPE OR PRINT BUILDING eui�o�Nc gO ADDRE55 7 COSTA MESA. ALIFORNIA FOR OFF/CE USE ONIY� OWNER S camore Land. Co. I RECEIPT NO. I 1[E� T�q� J !L MAIL 10835 Ssntamonica Blvd..� R� Ej.� �ED BY I OAT2 ECEI EO� I OqTE ISSVED AODRE55 h � � S o CITY LD$ Angeles TNo$r2328� pDDRE55 i% / Z. / C� �/✓ ARCHITECT LIC. � OR ENGINEER L.C. Major Np COSTA MESA. CALIFORNIA STATE CONTRACTOR Malgren C�n.4t y1C. NO%'�iS� d ADDRE5�0835 Santa MIDnica Blvd.. LEGAL ILOT �f I I � paswiPnov NO.' `� BLOCK TRA OF LOT98.47 X 87 .64 USE OF EXISTING BLDG. APPROVED ZONE [� (�!%�l��C DATE ` v ZONING NO. OF USE OF NEW PLANS BUILOING � C � DATE � no.oF BLDGS. O YAROS EVES � rvow orv �or REQUIRED ALLOWED fCENTEF LINE ST.I FRONT Gl SETBLCK LINE FROM �' {}�/ (' �O I CENTEF OF STREET '4�i -(q(� REAR YARD SIDEYARD ILEFT �Z� IRIGHT S� DESCRIPTIQN OF WORK REPAIR I IIMOVING I 'Il SIZiEDING1707 ROOMS / EXTERIOR WAL ROOF COVERING S�UCCO COVERINmIQ USE OF BUILDING ANO WORK TO BE PEF 1 �� FT. IN. FT. IN. FT. I N. /' v I HEREBY RCKNOWLEDGE THAT I HAVE RETD THIS APPLICRTION 7ryE AMOUNT SHOWN UNDER VALUATION IS FOR THE FNO STATE TNFT THE A90VE IS CORRECT ANO AGREE TO COM- PLY WITM qLL CITY OpDINANCES r�NO STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. eui�oirv� consieuc orv. � VALUATION �J SIGNATURE OF PERMIT FEE $ J C- PERMITTEE � $ //f� �� PLAN CHECK $ / � '\ AUTHORIZED AGENT � TOTAL FEE $ � y�,