HomeMy WebLinkAbout2407 RICHMOND WAY - Building Permits ,e L.gORE�0PBSILUNG: 2407 RICHMOND WY LINT: _, _.. - _ CITY OF COSTA. MESA — BUILDING PERMIT
ONNENSNAME IF KNOWN: LECKLITER, RANDY - ,
PERM NO: B 073607
ADmm LECKLITER, TAMI —
1121 CORONA LN PERMIT NO: B 073607 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
AP PL.RAILING ADDRESS CONSTRUCTION TYPE: VN PERMIT TYPE: STRPURPOSE: OTH
ARCNRECT OR ENGINEER: LTC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ARCN.OR Etl40.'5 ADDRESS: WIT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 . 00 GROUP OCC : R-3 /
CONTRACTORS NAME: STOUT ROOFING INC ( 310 ) 923-6775
CRRRACTORT MMLNG P 0 BOX 4309 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA UCNO.: 402536 ******************************************RE+tltxfE+E1EiEi(-+E1(dE1E1EiElEaEiE#fEitiEic***t4iflERfiE**3**dtiE
90241 UMT: ZONING R EQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penal),• • ury that I am licensed under provisions of Chapter 5 SETBACKS
(commencing with Section 7000)or Division 3 of the Busine and Professio •a.and my license is in full force and .-
Cmuc.No.: 055 77 , r4ss: 39 uaN• . 0253 '' EXP _0/9` MAIN BUILDING ACCESSORY BUILDING
//—r' F'NT: FT . IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: 7 Caerma: 4A./..,-/, i� J,� i!'/ FT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I ser exempt from the Con reams License w for the
following reason(Sedan 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,ah.,improve, PARKING REQ: PROV: PARCEL: 41916556 Z NE: REF NO:
demolish,or repel any structure,poor to its issuance,also requires the applicant for such permit to Be 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 PLANNING NOTES>5 --'
Business end Professions Code]or that ha or she is exempt therefrom end 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 then Ewe hundred dollars MOM. *********************************************************************,*r*****{E***
❑ II.o owner d the property or my employees with wages as their
sole compensation,will do the work,and the structure is nil intended D E VEIL
• OPMEN T SERVICES R E Q U I R E M E N -T'• S
offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property
who bolds or inproves thereon.end who does such work himself or herself or through his or her own employees,provided that such i 42'
improvements are not intended or offered for sale.N,however,the building or improvement is sold within one year of completion,the ZONING APPROVED/ BY DATE:
ownerbuilder will have the burden of proving he or the did not build or improve for the purpose of sate).
❑ I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE: ...-'.„,
Professions Code:The Contractors aLicense Law does notpu span to an owner of property who builds a improves thereon end who 7 _���
Professio for audit projects eo with a Lcenlicensed apply to the Contractors Licenseerryw Law).
bun
❑ lamexempt under Section: B.8P.C..for this reason: APPLICATION ISSUED BY: DATE:
******************************** * ****************************
DatOwner: LEGALIZATION:N FEE UMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Seaton 25505,244'n,and
25534,and that lar any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
permitiflacomuuclonormodirration from the Ai ualy anegemenl District.Residential construction applicatiorsareexempt from these
provisions. PERMIT 54 .00 . 50
SMIP/NON—RES
Date;- Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ IhaveerdwImaintaincedRicatedeonsenttosefiminreforworkers'compensation,asprovidedforbySecion3700oftheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for which this permit is issued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
C] I have and will manta;workers'compensation insurance,as required by Seeim 3700 of the Labor Code,for the performance of the
7S' work for which this permit is issued.My workers'compensation insurance canter and policy number are:
Caller: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Policy Number. 04494U0004b8 / 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed if the permA is for one hundred dollars k Cu/of less) 54 . 00 . 50
❑ I tardy that in the performance of the work for which this permit is •,I shall not employ any person in- ' annex so as to
became subj to the workers'compene tion laws of Califo agree that ' I should become . T' to the •• *******************************************************************************
COM provnam Se4;11.5..0' d the Lobar Cade.I pry Incas O INDIVIDUAL F E E BREAKDOWN
/g1 /ay - / /�/ s
Dae: Y'.....1 Applicant: r/ / -
Waning:Fallureto secure workers'compensation coverage Is unlawful.and shall subject an employer to criminal p,aides and TYPE QTY DESCRIPTIO N UNIT COSTTOTAL COST
civil lines up to one hundred thouserd dollars($100,000A In addition to the cost of compensation,damages as •sided for In
Section 3706 of the Labor Code,Interest andauom.Ys fees. SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2 , 99
9 . 00
' CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for vfiic h this permit is issued(Section 3097.Cit C).
LENDER'S NAME:
•
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances
and state laws ratable to building construction end hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection pur•
TARL ENE HURFO� 01 Wioi692 00i1769 T++T 54.50
Pnnl Name '. 9 DATE: 08/04f?`i TIDE: 09:26
l / Dater
Signature of Owner/Agent/Applcant/Contresa
•
(51St.4SWP) White-Building&Safely;Green-File:Caney-AppfcenC Pink-Revenue;Goldenrod-Assessor (/
� _
CONSTRUCTION AND PLANNING POOL & SPA -
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location_:
2. Soil Pipe-Undrgrnd. y • 53. Steel Reinforcement ' ' •
-
'I
- -3E-Electrical Conduit Utility-Undrgrnd. , 54. Forms .
;;,4Y Electrical Conduit-Undrgrnd. - ' 55. Electrical Bonding ` - -
m
.-;-5.siael Reinforcement 56. Rough Plumbing & Pressure Test
•?^6:'•Etectrical UFEI,j.G*nd. • • 57. APPROVAL TO COVE R-GUNITE , T
-_:-7_,F'oo'tings _.s � 58! Electrical Condui Undrgrnd.
-17-3..Foundation ^�, ' c• + 59. Gas Pipe, 0 Utit1 rnd.,Test cc
•
`9. Water Pipe-Und[{cnd.a 60, Backwash Lines,F$Trap,0 Undrgrnd. -
10. Structural Floor System ; t 61. APPROVAL TO DECK
11. Property Sewer Line.& House Connection 62. Backwash &-Receptor-Final
12. Seer Cap
a,-;„-",/ 63. Heater& Vent-Final J
Sewer , '
13. Roof Drains __ 64. Plumbing System - Final •
14. Rough Plumbing- :*: - • 65. Electrical-Final �'i
15. Rough Electrical-Conduit T. •, ; 66. Solar System-Fri,�a1 ;i'
_ _ /
16. Rough Electric Wiri6 ^. �� -67.. Fencing & Acca's Apprdval'. •
17. Rough Wiring Sign •_ 68. APPROVED FOI%:PLASTERING
i'
18. Rough Electrital_T Bar Ceilingy 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Aii Conditioning rv. , rn a G, (T, FJ,RE,DEPT_REOUIFIEMEN_T v,
20. �f3ouFactory FIc9e lace --�: `' ' �- ,� ` c i�r' T � >- -
gh y, * ,� n•v APPFSbVA :r, Peimit#
21. Duds, incStrutture' •• •• '-+= !'
tr; <� •
_ ,�., T _ 70. Undergrpr�d F1Jdro r
22. Ducts, Ventil3tin •J � t S r.t - s
9-rt '. -1 a' ,1 i-et c 71. Product:Piping b-Gas GOTH _
23. Gas Pipe-Rough & Test t^5 *yF. rl a C O • 7. 72. Undergrau d F�tish'� ^ o'
24. 'Roof°FraFltin ' -,=:.:::. � ' ••" ` '� - n 'a"' Co •
9 - ��.� T, r: a; rix ? 7W: Undergrnd.Storage_Ta ni• t;O Gas OOil
25. Roof-Sheathing :r'- 'PP-9y -et- -
F 74t 40verhead HydrR.,�.M1 i
26. ',I-Bat Ceiling (Strtrctbral) & Moaocoat E1. 7i.cDry Chemical _ ;rl• ,
27. iframe and Flashing:t - Y 76. Dry Start' pipe lr-.'ci ; -� '0
: 28. Lathing &'Sipt�J19 C i tiCw U •• ••; 77; FIXED, TEM iNAt�- r='
_ Y - ,
29r. . Insulation• J; cu _ ^ I• 4- 7$ FIRE PREY. F,N L >'
30. Drywall Nailii(9 :'; u • I ,�^� crl-fEALT11 DEP,.REQuIPr£MENT
_sr - r c.:
`7
31. Plaster Brows-Coa >- = • •T-• f I a. ? 79. FINAL iNSPECTTON x D
r -, �_ . r. . , c - _ r.
". 32. ElectricaTPowgr Meier-'Fioal ; 't' 1 •!t 85' FOOD CERTIF-GATE ISSJJEp.. x - -• ..
tis :1
- 33. EinakElectric,, - tri - xrr, i rt• + y' • Notes: * '- C nri
- 34„Einar Heating` t Ail copditionings r ` i ± i., r_-i S r d '. S X17
r r _
35. Final'Gas"Pipe,Test, a s i �•t C 1 . .. F -
= C t 1- r . rn -
`•36. }loon or Canopy - •'' 'a t c 1 ' R = nr- x <IT
137. F4na1•Factory Fireplace ^ i -i+- T * i I i
r
C 38. Final Plumbing r, trici ;v a a b 1.1 S .* _ v_.
- 39. Water•Servicerfinal y ; i ` ; tz • , i- s
= - _ •-, t ' _R, PI
40. Gas Service-Fvrtal r• n LT - -�` .
+ - i- s c 1
m -
c
"41. Solar Doestic-Final ` :r -• , ` :r '-o r -
42. Backflow Preventer ` • v x - ,..4. '0'. =p-• • * O t-' '
43. Backflow Irrigation* > s. •
is c m . > r. 0
•4'4. Landscape Irrigatior:System mini ^ 4" - `�* x.�,' , ',; `�
5. Sound Attenuation
'4 . T, ti :T1# c .?+ ).:":'.--t
"46. Handicap Regulation's * c' np r
47. .PI N&LSTRUCTURF&BUIL'O1NG /(piy4f 44'4.6 "_4; p, *
48. FINAL PLANNING: '• a- - * CO " e. M C' `• " "'
C 0.' S +. e
,49. Electric Release to Edison
50, Gas Release to Southern Califo?rria.Gas Co , F' 0 o'',1 1: •
51. CERTIFICATE OF OCCUPANCY - 3 .4
No. Date
PROJECT.ADDRESS: 2407 RICHMOND WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT r PERM—NO—a--
OWNER'S NAME: RANDY LECKLIDER J'- --
ADDRESS: 1121 CORONAPERMIT NO: 8 058089 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: REP
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SLAB REP. 130SF SQ FT: 130
ADDRESS: UNIT:
CLAIM VALUE: 1 , 100. 00 CALC—VALUE: 130. 00 GROUP OCC: R-3 /
PERMITTEE: MORALICE MASONRY ( 714 ) 548-4752
ADDRESS: 2526 UNIVERSITY DR COMMENTS: CONCRETE SLAB REP.
NEWPORT BEACH > CA 92660 ****************�6 *****>E*****y6>E *******************N Exa ****** yE****x***dED6**>Eyr**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that.(am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIR EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK S
•
CITY LIC.: 0482$7 STATE LIC.: 538369 ciLAS: C-29
01'e: 7— 8-71- Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby at firm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING RE PROV: PARCEL; 41916556 ZNE: REF NO;
❑ Certified copy is hereby furnished. a Certified copy is filed with the city Building Division. PLANNING ING N TES>
; / —
Date: - Applicant: ********iE**********************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(6100)or less), DEVELOPMENT SERVICES R E Q U I R E M E N%'T S
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject totheWorkers'Compensation Laws'of California. �_ ZONING APPROVED BY DATE
�'L ills • 'u i
�..Belc — Signature: �—
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE: 1/ '
Code,you must forthwith comply with'such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. •� DATE• L
which this permit is issued(Section 3097!Civ.C). .17 ***,*********************** * * **** ****.***1E*-R*,****is*****,*****jE* *..lE
•
LENDER: **********)f*****************************lf.****i6****************************k****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT; Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRESNIP/RES1. GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 . 00 • 50 '
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 Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business $MIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE --1
I. as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ', DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----'> 15. 50 0 . 00 0 . 00 15 . 50 15. 5 0 . 00
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. It,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 15. 50 OVER/SHORT; �.. 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG, PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15 . 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware ***********************************************************B:;********7E******3t•***
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST ,TOTAL COST
,.
Date: Owner: 1
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1 30 . ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 , 130. 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District,Residential construction applications are exempt from
these provisions,
Date: Applicant:
•
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned /!
propertyfor--)-pecV purposes. f1
. —�— ��i �•^ •
Signature: i_`1�-1"1—C }�.•
01 00119051-00119952 WI-T 15.=0
Driver's License or Social Security 9: DATE: 07/02/92 TELE, 11 t5`
164146 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
fCONSTRUCTION AND PLANNING POOL & SPA C
- APPROVALS Permit# Date flnspector Date Inspector
APPROVALS Permit #
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 9-1 y &Ca/ 56. Rough Plumbing & Pressure Test
t
6. Electrical UF ER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation (l`Q/ `., 7-/-14'2:. .6h1_ ' 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 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 ---.1 a 78. FIRE PREY. FINAL ,
30. Drywall Nailing 1 HEALTH DEPT..REQUIREMENT
31. Plaster Brown Coat T 79.- FINAL INSPECTION
32. Electrical Power Meter-Final - Ci- 80. FOOD CERTIFICATE ISSUED
33. Final Electric I' Notes:
34. Final Heating & Air-Conditioning '"-K', • .
35. Final Gas Pipe-Test - t,
-
36. Hood or Canopy - - -
37. Final Factory Fireplace r^11•' • •
38. Final Plumbing �r J -
39. Water Service-Final - -
140. Gas Service-Final -
41. Solar Domestic-Final
1,42. Backflow Preventer
43. Backflow Irrigation • - -
144. Landscape Irrigation System, : . , _ -
15. Sound Attenuation
\6. Handicap Regulations •
-
7. FINAL STRUCTURE 7-{agi &w sa_c'be //i./� et-6--- 4 ¢,�/�
�f tel _
W. FINAL PLANNING
t Electric Release to Edison r
Gas Release to Southern California Gas Co I •%/' -.
\CERTIFICATE OF OCCUPANCY -
Date
I
•
22277 . FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT !F
P.O.BOX 317 COSTA MESA,CALIFORNIA • F}AYFF.pTT9 wit , ,
For Applicant to Fill In Completely APPLICAp]R/NMESA
TYPE OR PRINT. GG�I I I $$$JJI �IIIAA
BUILDINGt yog, LA_Itui .
• For Office Use Only
ADDRESS
RECEIPT NO. pp
COSTA MESA, CALIFORNIA P 2 ✓ n .
�\j/'� '(I-� (�//!����(^llI�1 /�j " R! D BY D/AI RE ED DATE ISSUED
OWNER VOVH �'I,LS G.1-4 '01 ` —j1"�y JUN 1 1Q Rd
y./� BUIL INO
MAIL I
DDRESS b I 1 (9. Le, ,s-p- yk ADDRESS
FIRE
ATYPE g GROUBrSr
CITY idle ii--• 1 / NO fD` Or ZONE
APPROVED
ARCHITECT TELd BY DATE
OR ENGINEER .pyap _ NL�O.. f9O l
}}�� q Ak.1-A-L i . ZONING p�,1/
ADDRESS .�Z3 V LV �3o,. ,,6
Q� ^n rn N NO.OF BU DI NEI(/ IJ
•L.ti. l � PLAN EW LDINO L
CONTRACTOR .Q�1 \JZ k. `I�"q lA '�/JA /J `L �//�/,.../J
ADDRESS i i b to a ,) U li i-1 LDESCRIrt..N{16/i/ .t�/wYT!0 h a /
CITY �c . ii A.P.NO. /��I —� L/C) I.
•
NOTE:.NO EAVE OVERHANG SHALL BE LESS THAN
STATE i%7 2.._ ;EOL. 1137/a7 30"TO SIDE&REAR p.L.
LIC. E SS ®T / Q /
EAVES
OFF OT CPQ /1/7 D y /7 0 I NO.of SLOGS.D ALLOWED (U.B.C.REQUIREMENT) a
OF L / NOW ON LOT ^,
USE OF YARDS APPROVED YARDS APPROVED K1/
EXISTING BLDG. O T C/ TMAIN BUILDING ACCESSORY BUILDIN6�
SETBACK LINE FROM /3 / REAR YARD 0
/ FRONT FT.
FT. (' G/
CENTER OF STREET (`a l/
//�`�
I0R.SIDE 0 FT. FT.
SIDE YARD LEFT I'RIGHT 0 r CI'
• DESCRIPTION OF WORK L.SIDE 0 FT. Fr.
NEW X ALTERATION ADDITION REAR C) FT. th
FT.
DISTANCE BET. BET,MAINS Jr'
REPAIR MOVING DEMOLISI,H, MAIN BLDGS. ACCESS.BLOCS. Z
BUILDING NO.OF "1•RAN3 II •
q VAR.# ' , DATE {IJ
SIZE Q X Z-ROOMS STORIES 1- 0.0 P. APPROVED /
EXTERIOR WALL}- ROOF ^y�I, APPI)��7 5:7:•"/ 5--`[
COVERING t.M<.SZ I COVERING Y'w 9Y 1\ DATE ( 7- 5
OF SUI INC ANDWORK TO EPERFOR ED 999 V" QI
lL t��e J <
n r/, - Q. -
. a
;,C-ma SO.Fr. '070 N"4 IL i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWNDER VALUATION IS FOR THE CL
ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABL BRING A PERMIT FEE ONLY. VI
FLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION al IK
BUILDING C NBTRUCTIOry, PERMIT FEE e 411. a-0 ' 0
SIGNATURE 0 '/ m IL
PERMITTEE s Jti-fs A C E E Q
AUTHORIZED E - - H/ 4' Q
• TOTAL FEE 5 /�• Z
OWNER SMI VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS ,21407 RiShnond W-y BUILDING PERMIT NO. 22277
GENERAL CONTRACTOR Ramo VALUE $ 111,$35,00
AP No. LOT 227 TRACT 160 FIRE ZONE DESCRIPTION OF WORK res-w/att aar
INSPECTIONS _ _ Signature D• GROUP J&J TYPE V ZONE g3
soil e - / i� SUBCONTRACTOR PERMITS ISSUED
Gas _ ./ DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heatingl/ ri/ --
7S
Rough Plumbing ,://d •. 6�.. / .. -/-ei CG `r "
Miscellaneous - a'„1.to
Prop. Swr. Line ❑ House Con. ceSt. Swr. ❑ /, q e „.,.."4 .I (41,c..-._.X. �...� ;,EC Y M'3 4.0 77C✓''`,/'
Sprinkling System / P
Construction Pole i
Underground 0 Power ❑
Rau h Wirin i 1-y' 5-„ f t SEP 1 7 19b4 2 465
--
Trenches Forms Steel Reinf. 0 �/, _, Nifi
vt• n;ng oco� 5--
Floor System _ � �,�.vea�"' ,
Bond Beam 0 Steel Reinforce ❑
Sheathing �// . IC ., ra�r '
Frame and Flashing- J ' Ci C7I"�"'
Lathing — Int?" Out it d_ cc
Plaster, brown coat e- (0
Refrig. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final _ rSIFinal Gas Test
Electric Fixtures, Final
Building, Final . sJ V r -
OCCUPANCY �/
Form SU4-5M-3-63-5-B P II• = FOR c' IAL REQUIREMENTS