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Home My WebLink About100 CLEARBROOK LN - Building Permits.lob Address: 100 CLEARBROOK LN Suite: 100A Vicinity: Parcel Number: 41914104 BUILDING PERMIT Zoning: Status: ISSUED Applied: 09/13/2004 Issued: 09/13/2004 Applicant: MCCARL, TIM - - - ISSUED BY: cr Address: 126 COMMERCIAL WY- - - Phone: 949-548-5569 COSTA MESA„CA-,. - Zip: 92627 - Owner: REHFELDT, DONALD E TR Address /638 ALTURAS ST -Phone: - , �FACLBROOK, CAS, Zip: 92028 r Contractor: 'GL R ENTERPRISES INC/DBA CRANK BROTHERS ROOFING "Address:- 126 COMMERCIAL WY Phone: - 949-548-5569 - �- COSTA MESA, CA Zip: 92627 License: 828379 ' ,Arch i Eng: Address: - Address: Phone:” Zlp: - License: REROOF: T/O EXISTING HOT MOP.IROOF & REPLACE WITH Plan Check: Permit:' SMIP Res:, SMIP"Com: Other:.. Inspection: ,Total: $0.00 $181.25 $0.92 $0.00 $0.00 '$0.00 $182.17 SETBACKS" MAIN STRUCTURE -Front 0-0 ACCESSORY Front, 0-0 PARKING Existing: 0 NOTES: ./ . Phone: License: DE -OF PERMIT--, , -,. . MOP AND CAPSHEET OIV FLAT ROOF AREA-APPROX, 44 SOR'S FEE SUMMARY Calc Valuation: $9,230.00 Claim Valuation: $9,230.00 ,J PLANNING & ZONING Rear 0-0 0-0 Left0-0--; Right 0- 0/ Rear.. 0-0 Left 0-0 - Right 0-0 ' j; - Required: ';0 Proposed � 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 if work is not commenced within 180 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 Inspections 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 zaw4e law) PLANNING & ZONING Rear 0-0 0-0 Left0-0--; Right 0- 0/ Rear.. 0-0 Left 0-0 - Right 0-0 ' j; - Required: ';0 Proposed � 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 if work is not commenced within 180 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 Inspections 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 zaw4e law) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, For the performance of the work for which this permit Is Issued. My`�q' ars' C mpensation Insuranc artier and policy number are: Carrier: Policy Number: I.7 .� �, q 2 — 2 C IS (This section need not be completed if the pe/m/f is valued stone hundred dollars ($100) or less.) ❑ I certify that in the rfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation law f alitpr is, an gree that fri should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these si f .) Cr L/1 Applicant Signature: Date: �� / 0 WARNING: FAILURE TO SePURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOGARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is In full force and effect. Lic. q Class q Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cade: 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 or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 penalty of not more than five hundred dollars ($500).): ❑ I, as owner Of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions 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 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 completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, I.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made In connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous materiel? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ............................................................................................................................................................................................................................................................................................................-.......................................................................... 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes El No ..................................................................................... ... ................. .............................................................. .................""."................................................................................................................ .......................... ................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a.Lermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). ........................................................................................................................................................................................................................................................................................ ....................I..................................................................... 6 Will any pen of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes". the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ........... ........................................................................................................................................................................................................................................................................................................................ ........................................................ 7 If appermit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this applicallon, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ B (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all slate laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig t a Of Legal nor(s) Date --AndICTWiLthorized Applicant Dat CODE I. INSPECTIONTYPE 20 j[QLIALS CODE1 INSPECTION TYPE P U jy$IAL9 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof v 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Y _ - Applicant to fill in all spaces except those within heavy border lines and'sign all appropriate declarations. �.ITY _OF:COSTA MESA CONSTRUCTION PERMIT- PEF1r yD� 12 TRACT NO. -LOT NO. UNIT NO. P�ect F�ddress 1b0 C «A?Z 960& Z_ AJ 1// `i Applicant's Mailing Address Owner's Name . i2 6 %.l 9k,4J f'ZI_bT Phone Address Arch/Eng. License No. ' Address Contractor's Name A A. Phone'' %J_lZ/ Address (mailing) S�'Z >_ 2 4e _ City-LicenseNo. _ '7 LICENSED CONTRACTOR DECLARATION ' I 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 Jorce and effect. License Classy - se No. L Dat �iC��C�DI Signature 1 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.) I I t Policy No. Company e Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Date ' Applicant I -EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). all not hat in the performance n the work f which this permit is t to t, 1 shall not employ any person if any manner o as fO.become subject to the Workers' Compensation Laws of Calif Date Signature �' Mme su NOTICE: C after making this ions -a ion, you should become subject to the ' Workers' Compensation provisions -of the Labor Code, you must forthwith comply with such provisions or th is,_permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY` - Ihereby affirm [hat there is a onstruction lending agency for the performance of the work for w h is p . �-is issue (Section 3097 Civ. CJ, Lender's Namer — Lender's Address %-) 74 J „�A%i'r✓� 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 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 permitsubjectsthe applicant to a civil enalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and 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- rove for the purpose of sale). 1, 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 license pursuant- to the Contractor's License Law). I am aware that proof Off their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner - I hereby certify that I have read this application and state that the above Information iscorrect. I agree to comply with all City and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city D to enter upon the above-mentioned property for Inspection purpo s. �p � Signature bp S;. ./L /:FL:arA--.tip( ate d� t ' 0318 10/16/84 TYPE OF CONSTRUCTION LJ NEW (J ADD LI ALTERATIONLJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - _ Zone DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: E TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front _ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL _ BRear El OTHER OTHER - - PROJECT DESCRIPTION SQ. FT. OCCUPANCY - C Right K' CONSTRUCTION TVPE VALUATION 5 S Left ZONE GRADING CU. YDS. 'ACRES Ping. Ref. # r Parking Req./Provided' Remarks: - Planning Notes: ' PLUMBING i FEES Bar Sink ' Showers I Hood or Type I ❑ Canopy Type I I ❑ - — Backflow Pre venter T Service Sink, ` - - ' Backflow Irrigation Sewer Cap - Duct - Under Ground Bathtubs Sewer Connection Duct -Structural Clarifiers Solar Collectors ' Refrigeration System 00-100,000 BTU,'❑100,000 BTU Dishwasher Solar Piping Fan " Drinking Fountains Solar Tank Duct -Ventilating Floor Drains Swimming Pool w/Spa Fixtures - Floor Sinks - - Urinal - - Device Boxes 1 Gas Service Outlets -Water Closet 2 Interceptors - Water Heater' Switches, - Kitchen Sink .,Water Service - Garbage Disposal Lavatories - P—Trap Roof Drains Reinspection Fee I $15 Issue Fee - S 3 FEES $ 3 Z O N I N G R E Q T Boiler I r I Hood or Type I ❑ Canopy Type I I ❑ - • t ELECTRICAL Automatic'WasFer; Construction Pole Sub. Transformer 1:1 15-50'KW ❑ 50+KW Duct - Under Ground Meter ❑up to 100 amps Duct -Structural Meter ❑over 100 amps' Refrigeration System 00-100,000 BTU,'❑100,000 BTU Sub.Panel Fan " Motors ❑0-1 HP ❑ 1% - 8 Duct -Ventilating - Fixtures - Exhaust System ❑ Multiple ❑ Device Boxes 1 System Repair/Alteration Outlets - Range I i - Switches, - F irepl/Fact Bit. ICBO# Garbage Disposal Standing Sections t Trash Compactor Heating System & Ducting ❑ 0-100,000 BTU E3100,00013TIL ' Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: ' Zoning Approved By 1 Date_ Building Approved By Date_ Application Issued By Date_ FEES $ 3 Z O N I N G R E Q T SUMMARY OF FEES r BUILDING PERMIT • t ELECTRICAL Automatic'WasFer; Construction Pole Sub. Transformer 1:1 15-50'KW ❑ 50+KW Cooking'Unit . - Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps' Dryers ❑Gas ❑Electric I Sub.Panel Fan " Motors ❑0-1 HP ❑ 1% - 8 F.A.U. Inc. Solar 09-15 HP C1 16-15+ Fixtures - Microwave Device Boxes 1 Pole Light Outlets - Range I i - Switches, - Sign Garbage Disposal Standing Sections Generator 00-5 KW ❑5-15 KW Trash Compactor Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: ' Zoning Approved By 1 Date_ Building Approved By Date_ Application Issued By Date_ FEES $ 3 Z O N I N G R E Q T Drivers' License or SS # I I Reinspection Fee I $15 I I Issue Fee I $ 3 I I PLAN CHECK 25% $ CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor �rNSTRUCTION AND PLANNING 'APPROVALS ' Permit # Date Inspector POOL & SPA t'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. - 64. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .5. Steel Reinforcement - r 56. • Rough Plumbing & Pressure Test - 6. Electrical UFER 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, Q,Undrgrnd.,. 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final- eceptor-Final12.. 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 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ i FIRE DEPT. REQUIREMENT. APPROVALS Permit # 20. Rough Factory Fireplace ,' 21. Ducts, in Structure 70. Underground Hydro" 22. Ducts, Ventilating 71. Product Piping ❑ Gas D Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank DGas O0il 25. Roof Sheathing 74.E 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test C-gp - 36. Hood or Canopy- �7. Final Factory Fireplace , 38. Final Plumbing e" 39. Water Service -Final - 40. Gas Service -Final 41. Solar Domestic -Final •• 42. Backflow Preventer ' • 43. Backflow. Irrigation' 44..La:ndscape Irrigation System - 45. Sound Attenuation '. 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed a 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N° 2275 C P. O. Bax 317 Costa Mesa, California The Building located at -100 Clearbrook Lane - Units A, Bj, & C _ has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group --H–&--J— Occupancy. Use of Building triplex residence with attached garage Legal Description 141-343-3 (See reverse side for Metes and Bounds) Building Permit No. 22815 Electrical Permit No. 23248 _ Plumbing Permit No. 44101 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartme and/or guest rooms ISSUED TO: Building Official Clearbxoolt Lane Corporation by47 Date March 91p 1965 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form Bu34-1M_11_63--S-B F 228!5 CC;STA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MRSA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING //.�' ♦✓ COSTA MESA, CALIFORNIA GL.e!/ RbRoD �A.ve 1E�uppl&j4VED FINANCE DEPT.: 01 01 COSTA iwsp APPLICATION FOR PERMIT BUILDING For Office Use Only RBCS IPTNO. FwRM RxCv BY BUILDING ADDRESS FIRE a OR ARCHITECT ER 4 U NO.� %0 O BY' DATE J ��.. ul o' r ,. c( Np ZONING _ a o Tr- ONNO. 61 J OF PLANE / _ L/ USE OF BUILDING EW AI i'<CL/ C {` I CONTRACTOR `� (I Y.. GrO. AL /./.-.�� LEGAL ;� "J T S G DESCRIPTION •'yI. . ADDRESS O / A. P. NO. CITY NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 80' TO SIDE a REAR P.4. EAVES ALLOWED (U. B. C. REQUIREMENT) STATE .TEL• / LIC. NO. / NO. / D OSIZEF LOT Ti ,+•{ _ I NG. OP BLDG.. vi NOW ON LOT YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING USEOF + EXISTING BLDG. SETBACK LINE FROM Z - ^ CENTER OF STREET R YARD .. (FROMG/L STREET) FRONT .; � FT. FT. SIDE YARD LEFT RIGHT IO J r R. SID 14"- - FT. L. SIDE % FT. FT. DESCRIPTION OF WORK NEW �� ALTERATION ADDITION AR FT• DISTANCE BET. MAIN BLDGS. BET. MAIN 8 ACCESS. BLD 9. REPAIR I MOVING DEMOLISH VAR.# C. U. P. DATECL APPRO ED BUILDIN$$ 0 •+ +JJii O. OF / SIZE /O �% 71 1 O M8 / K- STORIES EXTERIOR WALL ROOF COVERING ` F I COVERING GI+! APPROVED B �E DATE' USE OF BUILDING AND WORK TO BE PjgtbNEQ f/ /�. (� / e(� �Y ✓ LL.11'�v Q Ct I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. AUTHORIZED AGENT 711 300 THE AMOUNT SHOWN UNDER VALUATION 1E FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D VALUATION PERMIT FEE $ a N $;26, t 7 MAN CHECK 3 TOTAL FEE