The URL can be used to link to this page

Home My WebLink About121 CLEARBROOK LN - Building Permits CITY OF COSTA MESA , 4 }•, I„r .� DEVELOPMENTBUILDING SERVICESDIVISION DEPARTMENT PE T NUMBER t. t .�� ofa. i PERMIT B05-01102 libmitumrso db (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.CUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 121 CLEARBROOK LN Status: ISSUED Suite: Applied: 07/05/2005 Vicinity: UNITS A, B,C Issued: 07/05/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 41914118 Zoning: Applicant: MC CARL, TIM -- - - - - ISSUED BV: ')/ Address: 126 COMMERCIAL WY - - '- - // ,i-':" - Phone: 949-548-5569 COSTA MESA,CA ;Zip: 92627,. - Owner BARTON WILLIAM-D \ _ `-' /` Address /518 FAIRVIEW AVE - ,. - - _ ' r / : / • \, _ Phoneme, /ARCADIA SCA , ' Zip 91007 _ Contractor: G L R'ENTERPRISES INC/DBA CRANK BROTHERS ROOFING -` Address: 12e-COMMERCIAL WY - _A 1,. . V-7 'Phone: 949-548-5569 -'. i COSTA MESA, CA irrr • Zi 92627' -License. 828379 - ` ' " ' ... ' +Arc ;. -- M-. ,Eng:, ' ;, h r-. p` ' Address: - - - Address: � �'" . Phone: •- Phone: Zip: �. - - ' ,\ -'License: \` License:. - ,- • --;,,,- v-- n- . SCOPE OF-PERMIT. ' REROOF BLDG WITH UNITS A,B,c,WITH ATTACHED GARAGES: FLAT ROOF MATERIAL AND REPLACE WITH CLASS A HOT MOP WITH CAP SHEET.45 SQUARES - - - - • . .„ FEE SUMMARYy ,";t ' Plan Check: $0.00 - -- --- Calc Valuation ', $13,889.00 , Permit:' ', $23725 " -" --' ` Claim Valuation. �/' � $13,889.00 ;,•SMTP Res: ` , $1.39 SMTP Com' $0.00 • c --''2I' 57'!r '. N. Other- \ `\\$0.00 r V../ h' Inspection v$0'.00 , r // :.a 4% i Total: ` ,;$238 64'V �9 ��\� �/ '/2 " > ; PLANNING-&ZONING ,_-,:',2,1<'" >)✓e/ ` /1�/,if SETBACKS\'` c//7-..,2/ -:� ` ;� \ ?,,:i1/7/ \1 / MAIN STRUCTURE Front 0- / r-,'', Rear:- -` Left. 0-=0 ----� Right." 0-0../ � ��-/ ACCESSORY Front,,c----.0'-_0,_ ,/ Rear 1030---, �- _ Left-,--0-;0-- n ' Right ' ' 0-0ii'H _ j is � 9 PARKING Existing: 0--; Required: 0`_. ;v, , 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)754-5626 2446.46(6(00) DECLARATIONS U L_J WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally of perjury one of the following declarations: ❑ I 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 viork for which this permit Is issued, 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 rk pensation Insurance cagier and policy number are: -cattleir e F(,1 Vt tit ''PONcyNOmber: 1-1269 92 — 2 00.5 _(12is:sectan need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the Orma•ce.•f1 he work for which this•:unit Is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation la. Calif•/, i-nda t If I sho •ecome subject to the workers'compensation provisions of Sectio 3700 of the Labor Code,I shall forthwith comply with ese• ovis': / / _ tApptIcam:Signature;— C JP Dat 7cr 0.5 WARNING,-rAICURE T•.CU- WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND COLLARE •0.• IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 otthe Business and Professions Code,and my license Is In full force and effect.U h— '? Sr " 1Ci d -3`T L• .. tractor's:slgna re :-"°" -; i n /�v„ ( Date: 7/ /!-, c— r CONSTRUCTION LENDING AGENCY: ❑ I 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). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting 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 fora permit subjects the applicant toe 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 end 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,em 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 driver's license. 0 Yes 0 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 material? 0 Yes 0 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? 0 Yes 0 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 0N (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 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a jaPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required fo7 the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (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 state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SI.g: Of Legal • '(s) Date `` - a -7 J5 ' nC -, d/Q�,�u Fe ze• .•,p!fcant /Date CODE I INSPECRON TYPE Oa u(IITW-S CODE 4 IBSPECTION TYPE DATE =Ma 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �+ 208 Final Plumbing 7 200 Final Re-Roof f -1L"Pr 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 Applicant to fill in all spaces except those within heavy border lines and sign_all appropriate declarations. CITY dr.COSTA MESA CONSTRUCTION R CTION PERMIT - PERMIT NO._ TRACT NO. LOT NO. UNIT NO. • • Project Address !a./ C/4-A 2 B/2 co�<- F t3 5 3( 9346 10/03/84 • 5.0C .i- • Applicant's Mailing Address • �7 ? /-� - - - TYPE OF CONSTRUCTION ❑ NEW H ADD U ALTERATION H REPAIR , RS SAN PIE• Phone63? 7`o-G� El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# • ,I Zone Owner's Name • M DESCRIPTION OF WORK/USE OF BLDG. In Address • S Main Building: Accessory Building: COArch/Eng. • License No. - TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL• T Front - -• • ZO Address I� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑'MECHANICAL BA Rear - N Contractor's Name A A' h P7 p5 Phone /t// ❑ OTHER C Right - N F A PROJECT DESCRIPTION SQ. FT. OCCUPANCY K. - - G Addr¢55(mailing) _ - L l - • •� �' 'x� IV CONSTRUCTION TYPE VALUATION$ - Left • • Cit License N. $ , R. Y ZONE GRADING CU.YDS. 'ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided - E- I-hereby affirm that I am licensed under provisions of Charter 9 (commencing . Remarks: ' Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code,and - . M my license is in tluII for and effect. o • - T License Class Lice se ��7�.r S. Date/6-Y-F Signature7A `�' .e irlx .� , PLUMBING FEES ' • WORKERS'COMPENSATION DECLARATION 1 - Bar Sink , Showers S treby affirm that I have'a certificate of consent to self-insure or a certificate ELECTRICAL , FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - ' ' Service Sink - - , • X00, Lab. C.) Automatic Washer - - Transformer-El 15:50 KW Policy No. Company• Backflow Irrigation Sewer Cap , ' 0 50+ KW • Construction Pole Sub. , • ❑ Certified copy is hereby furnished. ❑ • Certified copy is filed with the city Building Division. • I Bathtubs Sewer Connection I , Cooking Unit . Meter ❑up to 100 amps • Date Applicant ,, EXEMPTION FROM WORKERS!COMPENSATION DECLARATION Clarifiers Solar Collectors _ II Dishwasher Meter Dover 100 amps, (This Section need not be completed if the permit is for one hundred ($100) or less): .Dishwasher ■ Solar Piping i - � - NM Dryers ❑Gas. ❑Electric I IIISub Panel a I certify that in the performance of the work for which this permit is issued,I . shall not employ any person in any manner as to become subject to the Drinking Fountains Solar Tank Fan III • • Workers',Compensation,Laws of Calif rye. t Motors ❑0.1 HP ❑1'/z-B • _ �•r-FL/ • Signature on, s ecome Floor Drains Swimming Pool w/Spa F.At U. NOTICE:If,afteritking this declara Ion, you s ould become subject to the Inc.Solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must-fbrthwith Floor Sinks - - • - Urinal - Fixtures - - - - comply with, such provisions,or this permit•shall be-deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY - Gas Service 1 4 Odtlets -Water Closet. - g ' I hereby affirm that there is a construction lending agency for the performance • Z Device Boxes Pole Light , • of the work fq. pisf9is p It s• issuea� (Section- 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name �yy/'.L{i/��7`Iji �"L� Range Lender's Address GT'r2•. /• Ci0,"/.4"/C'Z7 Kitchen Sink - - Water Service Switches Sign • OWNER BUILDER DECLARATION ; - ' ' -- - I hereby affirm that I am exempt from the Contractor's License•Law for the Lavatories - - Garbage Disposal I. following reason (Section'7031.5 Business and Professional Code: Any city or 9 P 'Standing Sections county which requires a permit to construct,alter,improve,demolish or repair • P-Trapt Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit P -to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' -the Contractor's License Law(Chapter 9 (commencing with Section 7000) of • ''ivision 3 of the'Business and Professions Code) or that he/she is exempt • - - ' ierefrom'and the basis for the alleged exemption. Any violation of Section - - - 031.5 by any applicant for: a permit subjects-the applicant to a civil • malty of not more than five hundred dollars ($500). • I LI 1;-as owner of the property or myemployees with wages as their sole • Reinspection Fee I $15I Issue Fee $ 3 - • compensation, will do the work,and the structure is not intended or offered I Reinspection Fee I $15 - Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL , .i= • 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for • Boiler Hood or Type I ❑ sale- If, however, the building or improvement is sold.within one year of com- Canopy Type 11 ❑ Zoning Approved By Date • pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under GroundBuilding Approved By ' Date ' prove for the purpose of sale). - 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - . Application Issued By Date (S tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's. License.Law does not apply to an owner of property whoDuct-Ventilating ❑0.100 000 BTU ❑100,000 BTU _ .SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- - tractor(s) license pursuant to the.Contractor's License Law). I am aware thatExhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ - SMTP $ ' proof of their Worker's Compensation insurance should be provided to me. 0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. !CBO# PLAN CHECK $ PERMIT PLUMBING $ • S-C-tp ISSUANCE $ Date • owner. . Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and-state that the above ❑O-100,000 BTU 0100,000 OIL - ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances - and-state laws relating to building construction,and hereby authorize repre- • PLAN CHECK 50% $ MICROFILM . $ sentatives of this- city to enter upon the above-mentioned property for • • inspection p .o es. - • MECHANICAL $ Soo Signature .. Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • 1 1 /CONSTRUCTION AND PLANNING .POO. SPA -- APPROVALS Permit# - Date Inspector APPROVALS Permit#• - -Date 'Inspector f 1. Temporary Electrical Service or Pole - - 52. Pool & Equipment Location •• . +2. Soil Pipe-Undrgrnd. • 1 53:- Steel Reinforcement - • 3. Electrical Conduit•Utility-Undrgrnd. - 54. F.orrns -• • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 1. 5. Steel Reinforcement - • , . ' 56. Rough Plumbing & Pressure Test ' -. c 6. Electrical UFER Grnd. - - _57. APPROVAL TQCOVER-GUNITE _ ' , .7. Footings 1 ` - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,D Undrgrnd:;Test - "9. Water Pipe-Undrgrnd.* . - 60. Backwash Lines, P-Trap, 0 Undrgrnd. i 10' Structural Floor System - 61 P 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 ' 69. POOL/SPA SYSTEMS FINAL . • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70..Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test - 72. Underground Flush ' , 24. Roof Framing' - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. ,Roof Sheathing 74. Overhead Hydro ' - ' 26. T-Bar Ceiling (Structural) & Monocoat75. 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 y : • 'Notes: lJ . 34. Final Heating &-Air.Conditioning 35. Final Gas Pipe-Test - /p/L`O1/ C, . 36. Hood or Canopy t • 37. Final Factory Fireplace . , - 38. Final Plumbing 39. Water Service-Final ' - 40. Gas Service-Final ' 41. Solar Domestic-Final ' - 42. Backflow'Preventer • - i 43. Backflow Irrigation; -- . - . - 44. .Landscape Irrigation System - , 45. Sound Attenuation - 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 - City of Costa Mesa O A Building Safety Department CERTIFICATE OF OCCUPANCY N? 0'3 P. 0. Box 317 Costa Mesa, California The Building located at 121 Clearbrook Lane, Units A, 111 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 with attached garage Legal Description-- .1211-3213-03 (See reverse side for Metes and Bounds) Building Permit No. _ Plumbing 44078 2 7 Electrical Permit No. 2xu0 Permit No. Floor Load Signs have been installed as Room Capacity Signs have been instated 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 apartments— 3 and/or guest rooms ISSUED TO: Building Official CLFAE33R00$ LANE COPPORAtirttd. by/2-r--4 Date_ l+trnrl+ 25, X915 ,,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-11-63-5-s P —r. 22827 FEE RECEIVED • AUG 17 1964 COSTAMESABUILDING-SAFETY DEPARTMENT ' FINANCE DEPT. P.O.BOX 317 COSTA MESA,CALIFORNIA' ' CITY OF COSTA MESA For Applica Fill In Completely APPLICATION FOR PERMIT ' OR PRINT. /-h' BUILDING • BUILDING ! ) /f' Vit- �) 1( For Office Use Only ADDRESS vCrYL �'� p7 RECEIPT NO. 228G COSTA MESA. CALIFORNIA RECEI BY c�O�+ REC81 !D I'DATl.88 E ,t OWNER (Lei RbRoolt 14 e CoRpoRAT/o n/ 'F' y UU �96`t' MAIL Y/� L BUILDING ADDRESS /04/r . 1 /rM ESO R BUILDING A I ,'\/ TEL TYPEeVt- GROUP lam('e+/ CITY f✓ESAI/9oPr ge4th -NO.(O7 JZyD ZONE 3 �1 APPROVED ARCHITECT • TELOR ENGINEER L AMA'A/Ab S - Not-72,-700 BY DATE 3y n ZONING • ADDRESS th R D�O� TQ we wpen- L?E A({J • LI.r�„l, Z N 2 NO.OF U8!DI NEWS A_ I 3I PLAN BUILDING �I jI A, CONTRACTOR I'd 0 C O I./Sr; G U, ��' JJJCCC _ ( , �(' A ,I LEGAL / G.I_- i ` / / 7 ADDRESS /aVS-- �J Ary`b0 pee DESCRIPTION �L�`{`' Z Z fJ �]� CITY Ne lgwpoR T QeACh _ A.P.NO. ( I- 1 3 -3 • - p� � +.�•7 Ti / a-'YNOTE: NO EAVE OVERHANG SHALL BE LESS THAN 2 LIC..N O./J / Ir O. 673 - lo '30"TO SIDE B REAR P.L. • LU• EAVES SIZE //,� I / '/ C NO.OF BLDGe.�� ALLOWED (U.B.C.REQUIREMENT) {L1 OF LOT I oL —SU 1( "t/ NOW ON LOT�C LC LC USE OF YARDS APPROVED ' YARDS APPROVED EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING . (FROM C/L/ NM STREET/ w SETBACK LINE FROM 7/ FRONT ,G V FT. • FT. CENTER OF STREET REAR YARD D //_ F . 'C. FT. SIDE YARD LEFT C/ /j 1 RIGHT J L/ / RSIDE `•= LI DESCRIPTION'OF WORK • L. SIDE `}JP FT. FT. FT. a NEW `• ._=..--' ALTERATION ADDITION ( R I' F'• N ! • DISTANCE BET. - BET.MAINS J REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. IL BUILDIN // .OP VAR.JC DATE a SIZE /Ok ? x.�9!911VOM8 / ) STORIES C.U.P.* APPROVED /, / X EXTERIOR WAIA.. ROOF n `' 'APPROVE /, * t,C. COVERING ,/&LCD I COVERING /` 0e- BY .1 DATE 8 USE OF BUILDING AND WOR%= E PERFORIQED I� _Q Q4 • [J�JI TeViigX AWP,-!- iNy{F V 91fJ / / ir 70:3 el &A-R AACKNOWLEOGETHNTT A-cAT I HAVEhEADTOHIB APPLICATION 2.q97 it FT.SHOWN UNDER 7T�A ION IS FOR m• I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ` �yf`( a BUILDING CONSTRUCTION. PERMIT FEE $ Y�+ N SIGNATURE OF • J �y+�� PERMITTEE / ^ $ 2_6 /1 .7_ PLAN CHECK $ !/•''—¢ AUTHORIZED AGENT / 1 il Aect --(/ / TOTAL FEE $ i. VA.50 d