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Home My WebLink About1047 CONCORD ST - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 77 CITY OF COSTA MESA �ONSTRCTIpN PERMIT PERMIT fJQ. �, y—�,.�, TRACT NO. LOT NO. UNIT NO. Project Address ��Y % oil 0. Of ( 03�n j;LS6( Applicant's Mailing Addre/ss -52'X C Owner's Name 3fip {1 T oAPhone' +r5 1_026 Address -Sans -C Arch/Eng. License No. Address Contractor's Nam Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. License Class License No. Date Signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company 8 Certified Copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). I cerldy that in the performance of on which IS p¢r it Is ie5ued, I shall not employ any person in anas eco subject to the Work rs' Com ansa t' Laws of CaDate O— SignatureNO CE: If, after making this declould become subject to the Wo kers' Compensa[ion provisior Cotle, you must forthwith comply with such provisions o shall be deemed revoked. CONSTRUCTION LENDIN E 1 hereby affirm that there is nstrg agency for the performance of the work for which his permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant t0 the provisions of 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 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 ena ty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole :ompensa t ion, will do the work, and the structure is not intended Or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for Sale. If, however, the building or improvement Is Sold within one year of com- pletion, the owner will have the burden of proving he/she did not build Or im- prove efor the purpose of sale). I. as owner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con. tractor(s) license pursuant to the Contractor's License Law). 1 am aware that proof P9 their Worker's Compensatjon in urance should be'provided to me. ❑ 1 am exempt under Section OO u B. & P. C. for this reason Date r —e CC72 o Owner -- I hereby certify that I nave r this ication and state that the above information is Correct. I acre co with all city and county ordinances Signature Drivers' L CMF 08656 ruction, and hereby authorize repre- the above-mentioned property for Date /-30'86 0401 1/OU/0b fc„ I While - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor TYPE OF CONSTRUCTION 0 NEW LJ ADD LJA ERATI N J ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. REPAIR A.P. # Zone S - Main Building: Accessory Building: TYPE OF PERMIT El GRADING 0 FOUNDATION El STRUCTURAL Ely TENANT IYJ ELECTRICAL ❑ PLUMBING '❑ MECHANICAL ❑ OTHER E T Front Z p B A. Rear N I I- PROJECT DESCRIPTION SO. FT. �✓DD OCCUPANCY CONSTRUCTION TYPE VALUATION$ 20rvE GRADING CU. VDS. ACRES '� C Right N S Left G R ping. Ref. # Parking Req./Provided E Remarks: Planning Notes: QM T S PLUMBING FEES Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50 + KW Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps Dishwasher Solar Piping t I Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 00-1 HP❑1%-8 Floor Drains Swimming Pool w/Spa L,1 .z F.A.U. Inc. Solar 09-15 HP 016-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range'22 Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator 1:10-5 KW 05-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee , S 3 - MECHANICAL FEES Boiler Hood or Type I ❑ Canopy Type I I 11 DEVELOPMENT SERVICES Zoning Approved By Building Approved By Application Issued By REQUIREMENTS: Date Date 1:5 Date 4=W_tJ6 Duct -Under Ground Duct - Structural Refrigeration System 00-100,000BTU 0100,000BTU Duct - Ventilating BUILDING PERMIT PLAN CHECK PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY $ $ $ $ $ $ $ OF FEES SMIP $ '- PERMITPLUMBING ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ - TOTAL FEE $ 4eao Exhaust System ❑ Multiple ❑ System Repair/Alteration - Firepl/Fact. Bit. ICBG# Fire Dampers Heating System &Ducting CIO -100,000 BTU ❑100,000 BT Registers Reinspection Fee $15 Issue Fee $ 3 While - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor .CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA 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 Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69w P060SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning C'� j� FIRE DEPT. REQUIREMENT APPROVALS Permit# ._ 20. Rough Factory Fireplace:.!'' 21. Ducts, in Structure ---• /70.� Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 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 r . 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 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation i 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 To: CITY OF COSTA MESA BUILDING DI VISION P.O. BOX 1200 COSTA MESA, CA 92626 p PERMIT EXPIRATION FORM Date: 1-95 / rS� Permit # AY ('W # 7-7.4 1A # Project Address: s , -D , # Our records show that the listed permit (s) was obtained for property improvement, or alteration, at the above project"address and the project was not properly completed. This (these) permit (s) have expired on (date) / , and was (were) canceled on (date) /„ r/g Az The permit (s) was (were) obtained by, .®'Contractor ❑ Owner, Name - 'Xei a4,0W101) Address471?e JA&WIA64 G7111J>J0,(lb/d �i1 Phone e7'90' 613 0 License Number Classification To construct or install El Please Please contact your contractor and instruct him to resolve this problem. Please be on notice that without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. If you need assistance in this matter, please contact inspectoriJLJ1Jd at (714) 15Z/ —.SE 9-" between -7:30 and 8:30 a.m. or -3:30 and -4:00 p.m. Y e/ Sincerely� t si V.C. Newton Assistant Development Services Director/Building Safety u �r I C /� �, By /' �' �.c ( Deputy Building Inspector White copy- owner, Pink copy- Building Division, Canary- Zoning CMF 0985.46 _:!�`I 7 V2 GS Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITYOFCOSTAMESA CONSIRUCTION PERMIT Project Address 41--1 Cain's Mailing Ad dress �Q Vr 616 AJ CA GA SST. Ct G 11vne s'�`+;;me u/J' Phone -f•,tJcNN6 6 6�. Address Arch/Eng. _ License No. Address C—A• Contractor's Name Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 htrMy��I rm that I am licensed under provisions of Cha mencing with sectionn7IIDB ivlsion 3 Of the Bus rofesslons Code, and my license is in full force an License Class License o. 0 to Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit Is issued 1 shall not employ any person in any manner o as to beep re subject to tke Workers' o pens i n Laws of Californ' �ti_ 7 Date%Signature NOTICE: C after along this declaration, you hould Cod becomes eo to the Workers' Compensation provisions of she Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY herebyrthat there is a construction agency for the performance work of the workk Issue for which this permit is Issued (Section 3097 Civ. C.) Lander's Name Lender's Address OWNER BUILDER DECLARATION ITereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code; Any city or county which requires a permit to construct, alter, Improve, demolish or repair 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 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 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 ¢ ty of not mor¢ than five hundred dollars ($500). ,� as owner of the property Or my employees with wages as their sole pensallon, will do the work, and the structure is not Intended or offered r sale (Section 7044, Business and Professional Cotle: The Contractor's ense taw does not apply to an owner of a property who builds or Improves a thereon, and who tloes such work himself/herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year Of com- pletion, the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law tloes not apply to an owner of property who builds or imoroveS thereon. and who contracts for such protects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation In urance should be provided to me. ❑ 1 am exempt untler Section �� B P. C. for this reason Date 7-4q o ..... a.r-c information certify that I have read tt 15 application and to that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to builtling onslructiOn, and hereby authorize repre- sentatives of this cit I, enter pen the above-mentioned property for inspection purpose Signature mr: Date 7 /� `f9 Drivers' L' a 55 y,` TYPE OF CONSTRUCTION LJ NEW LITADD ❑ CONVERSION ❑ DEMOLISH DOT DES.CRIPTIQN OF WORK/USE OF BLDG. HE TYPE' OF PERMIT IJ GRADING LJ FOUNDATION )KI-STRI ❑ TENANT CAELECTRICAL ❑ PLUMBING ❑ MECHAN ❑ OTHER PROJECT DESCRIPTION 5 OCCUP. CONSTRUCTION TYPE V ALU ATION S ZONE_ GRADINGCU.YDS. A( Remarks: -7.17.. PLUMBING R FEES Bar Sink Showers S Backflow Preventer Service Sink E T Backflow Irrigation Sewer Cap B A Bathtubs Sewer Connection -' CKS Clarifiers Solar Collectors `J Dishwasher Solar Piping Ping. Ref. # Drinking Fountains Solar Tank Floor DrainsS ming Pool w/Spa Floor Sinks Urinal ISSUANCE Gas Service Outlets Water Closet -PLAN CHECK Interceptors Water Heater • $ Kitchen Sink Water Service $ Lavatories Auto -Wash P—Trap Laundry Trays GRADING Roof Drains PLAN CHECK Reinspection Fee 1 $15 I 1 Issue Fee S 3 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG dk Heating System & Ducting 00-100,000 BTU 0 100,000 B3 Reinspection Fee I $15 0865-46, rev. 5/88 White - Building; Canary - Applicant: Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 110.100,000BTU 0100,000 System Repair/Alteration e Dampers Registers Issue Fee ES $ 3 A.P. 0-W S Main Building: E T BUILDING PERMIT$, B A �J� • CKS tRig1htt "PLAN CHECK Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Cooking Unit Dishwasher Dryers ❑Gas ❑ Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Zone Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter Dover 100 amps, Sub Panel Motors 00-1 HP ❑l % B Ina Solar ❑9-15 HP ❑16.15+ Microwave Pole Light Generator 00.5 KW El 5-15 KW Fee 1 $15 DEVELOPMENT SERVICES Zoning Approved By Building Approved By /1L Application Issued Bv_d Standing Sections Trash Compactor Issue Fee 77- FEES O N I N G R E O M T S. SUMMARY OF FEES BUILDING PERMIT$, �J� • SMIP $ "PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ -PLAN CHECK 25% • $ ENERGY P.C. $ ELECTRICAL $ �-y • �-.S� GRADING $ PLAN CHECK 50°,6 $ MICROFILM S MECHANICAL $ - -TOTAL FEE $ Z 73 • 62 PLAN CHECK 25% $ r CONSSRi1tTION AND PLANNING APP1�VAiS Permit # i Date Inspector POOL & SF t APPROVALS Permit # Date Inspector j. Tem�6rary Electrical Service or Pole 52. Pool & Equipment Location ✓ 2.. Soil Pipe-Undrgrnd. 53. Steel Reinforcement q 3. Electrical Conduit Utility-Undrgrnd. 54. Forms Electrical Conduit-Undrgrnd. 55. Electrical Bonding 3'tteel Reinforcement t ' 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. i 57. APPROVAL TO COVER-GUNITE -i 7;, Footirig9 % / �1 58. Electrical Conduit-Undrgrnd. '• 8. Foundation 59. Gas Pipe,❑ Undrgrnd., Test j , 9.' Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10.E Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12. Sewer Cap br^ 63. Heater & Vent -Final y 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing ` 65. Electrical -Final r 15. Rough Electrical -Conduit 66. Solar System -Final r1'6. Rough Electric Wiring Fencing & Access Approval •;17�. RoughMliring Sign 68. APPROVED FOR PLASTERING X18: Rough Electrical -T Bar Ceiling- _ 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace '_ - 21. Ducts, in Structure _ 70. Underground Hydro 22. Ducts, Ventilating , �'„ 71! Product Piping 0 Gas 0 Oil j 23. Gas Pipe -Rough & Test X72. Underground Flush 24. Roof Framing {�'� _ _ 73. Undergrnd. Storage Tank 0 Gas DON 25., Roof Sheathing) t -.26 �j 74. Overhead Hydro ! 26. T-Brarr Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing nt+ b yD 76. Dry Standpipe 28. Lathing 8iSi4tng 77. FIXED SYSTEM FINAL 29. Ins.0ation S /Ld 78. FIRE PREV. FINAL 30. Drywall Nailing �.� S ?rS HEALTH DEPT. REQUIREMENT w 31. Plaster Brown Coat-"; �� [� 79. FINAL INSPECTION 32. EI ctrical Powet Met "Final 80. FOOD CERTIFICATE ISSUED 33. Final'Electric fj Q Notes,4k ON o o 06 %delE 34. Final Heating & Air:Conditioning ,i• 47 35. Final Gas Pipe -Test o O a .!a 3:au - 3: is, .M - 36. Hood or Canopy v O 37. Final Factory Fireplace 38. Final Plumbing7, , O O v /O-u :39. Water Service -Final 40. Gas Service -Final .41. Solar Domestic-Finalyl 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation r ��,�+'✓ 46. Handicap Regulations 1 / 47. FINAL STRUCTURE & BUILDING % pr 48.`Special Requirements Completed 49. Electric Release to Edison �/. 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date L-. r. ' OWNER TRACT 4536 DATE INSPECTIONS Signature Date TYPE GROUP ZONE SOIL SUBCONTRACTOR PEPMITS ISS •D GAS i Date Number Si nature WATER Plumbin ROUGH PLUMBING James E. Thcmas3/12/8 79216 PROP. SWR. LINE [:] HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER F] ROUGH WIRING Heatina and Vent. TRENCHES FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE n p,CtlOtl SHEATHING FRAME AND FLASHING LATHING — IN I-1 OUT PLASTER, BROWN COAT STRUCTURAL,FINAL HEATING, VENT., REFRIG. AND A.C., FINAL _ PLUMBING. FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL � 1 Z S 3 101 8889 3/12/81 5.50 COSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT ' P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only RECEIVEDPERMIT BUILDINGO / ADDRESS '117 A.P. NO. /4/-47S:;7— /J OWJNAE TOR e.\oh J D BUILDINGn ADDRESS K. iJ UNIT SPACE N NO. MAILING / ADDRESS TR.N LOT BLK. TEL CITY NO. NEW ADD LTER REPAIRMOVING DEMOLISH CONSTRUCTION LENDER BRANCH . 11 OWNER N ADDRESS Na VALUE USE d E ARCHITECT TEL. OR ENGINEER ZONE TYPE GROUP ADDRESS JAMES E. THOMAS a CONTRACTOR4WO APPROV BY DATE ADDRESS t2A=(J ' TEL N . CITY O.) STATE�� CITY LIC. NO. LIC. N0. � APPROVED SETBACKS SIZE NO. OF BLOCS OF LOT NOW ON LOT FROM C/L STREET) , ROM FT. USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. L. SIDE FT. REAR FT. USE OF BUILDING AND WORK TO BE'PERFORMED PLANNING ACTION Y DATE APPROVED APPROVED RY MATS I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation Is of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professi ivisi ,Chapter 9. Signature of Permittee s SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION $ PERMIT FEE $ PLAN CHECK E TAX E or Authorized Agent Date TOTAL PAID $ 199067, MESA BUILDING SAFET (:DEPARTMENT P. O. BOX 817 COHTA MEGA, ALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 104 COSTA MESA. CALIFORNIA ARCHITECT OR ENGINEI ADDRESS R. E. NO. OF BLDG&. ■ 6ETBACK LINE PPO. DESCRIPTION OF WORK BUILDING SIZE EXTERIOR COVERING USE OF BU l_ IIHEREBY ACK ANO 6TATE TF PLY WITH ALL BUILDING CON'. AUTHORIZED AGENT F11,REVIVED J[N} �{l LN¢ PERMIT CIT1jm0P/%,6TgsMrdky RECEIPT NO. p DATEIBBUBD kill ZONING ZONENO. OF UBEOPNEW R-1 PLANS /� BY)LDINo W/ 8.t.t •g✓iT•• NOTE: NO HAVE OVERHANG SHALL BE LESS THAN 90' TO SIDE 9 REAR P. L. EAVES ALLOWED IU. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) FRONT J -- /FT. FT. -.-- 6 — 2 VAR. # DATE /37Y G FT. %3,�, T AMOUNT BHO N UNDER VALUATION 18 FOR THE PURPOBB Of ESTABLISHING A PERMIT FEE ONLY. �VAr-LN�UOA 1 J'J/f� PERMIT FEE $ g7a PLAN CHECK 7 TOTAL FEE $ /