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Home My WebLink About652 ROSS ST - Building Permits t - y . F 9 CITY OF COSTA MESA 4 BUILDING DIVISION >elk. �1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F t :��.a. i t4I�� . • PERMIT E03-01004 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 652 ROSS ST Status: ISSUED Suite No Applied: 10/27/2003 Vicinity: Issued: 10/27/2003 Parcel Nunmber: 42223214 Applicant: FIGUEROA, BENITO ISSUED BY: Address: 652 ROSS ST Phone: 949-642-6223 COSTA MESA,CA Zip: 92627-3412 Owner: FIGUEROA, BENITO0,01.9 Address 652 ROSS ST �� Phone: 4c. COSTA MESA,CA Zip: 92627-3412 Ql"r Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 SCOPE OF PERMIT UPGRADE ELECTRICAL SERVICE TO 200 AMPS. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 • Pool/Spa $0.00 0 - up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 • Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $30.50 1 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand • $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 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 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sell-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. ❑ I 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 workers'compensation Insurance carrier and policy number are: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) 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 to the workers' compensation laws of California,and agree the'if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: `- > ' J !t 2 C✓ Date: /0 —Z 7- O g WARNING:FAILURE TO SE -E WORKERS'COMPENSATION COV'-. GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($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 I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect.Lic.d Class a Contractors Signature: Date: 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(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 sybjects the applicant to a civil penalty 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(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 ec. Business and Professions Code for this reason: Signature: f i ii Ue a Date: AC — 27 — C Owner I: an led by driver's license. ►1 Y=- 0 No Driver's License No. Expires: 0/-di'-ea Verification of Ownership by(type of docu• end,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, 1 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 et 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 ❑N0 (Section 25534 of the Califomia 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? ❑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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? iYes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 for 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? ❑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 prope or inspection u oses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. G - - , &roc - ,n -2' - 03 Signat r f Legal Owner(s) Date And/Or Authorized Applicant Date CODE t INSPECTIONTYPg PATE 1NTmAL5 CODE! IfISPECTIONTYPE PATE MALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Flre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site • 204 Final Demolition 250 Final Building/Occupancy r , • e / - _ _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. . - •*CITY OF COSTA MESA CONSTRUCTION PERMIT PERMI O' TRACT NO. LOT NO. UNIT NO. 7 /� .�• , N a3 '7 z 5010 5/13/3= ii. Project Address 65Z -l��J 3/ '' II TYPE OF CONSTRUCTION ❑ NEW U ADD U Rgp71Fl�/1yl�REPAIR • Applicant's Mailing Address q ❑ CONVERSION ❑ DEMOLISH ❑ O,T�SR / /�` �' A.P.# Zone Owner's Name C L OVQ Sr PhoneC /� p Wp IPTION OF WORK/USE QF�B�I.DC, /F-/7- 044 6O VEL- Address 6$Z FOSS / • ✓Nope_ ,� (,LT ( �F/' - -_ gp. a� tz oil S Main Building: Accessory Building: E Z TYPE OF PERMIT . GRADING U FOUNDATION M STRUCTUl1 ff— Front CI Arch/Eng. License No. ❑ TENANT ❑ ELECT AL ❑ LUMDtNG ❑ MECHANICAL ,,e,rtia.R N e�'7•' Rear Address — ^� ' �,,�/ /Ry/e✓ ' Contractor's Name DR�v 1z2tc Phone 77S-HS? ❑ 'OTHER /\G—At C Right N /� /��y PROJECT DESCRIPTION SQ. FL—l�'Des OCCUPANCY g Address(mailing) ZD /xi. 5r 54 -••' � �/ K Left • G p q CO N ST RUCTION TYPE VALUATION 6__`j� — $ City License No. ��/� ! ZZ03 R 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: QM with section 7000) of Division 3 of the Business and Professions Code, and - my license Is in ful lore• a - ••ct. o6 r/2 T License v= — L •e% a No. Q J S ate Signature �� a �— �V� PLUMBING FEES /ORKE 5 C• PENSATION DECLARATION Bar Sink Showers ELECTRICAL . FEES 1 hereby affirm that I have a certificate of consent to self-incur.certificate of Workers' Compensation Insurance or a certified copy t f (Section Backflow Preventer Service Sink ' 3800, Lab. C.).�/O tot_ Si ,/ �0 Automatic Washer Transformer ❑ 15-50 KW Policy No. - ` • Company .i//f/ l� Backflow Irrigation • Sewer Cep i Construction Pole Sub. 0 50+KW ertified co' is reby furnished. ertifi�4 y s V• with the city Bul. ng ••Ivis' ' �, Bathtubs Sewer,Connection Cooking Unit Meter Opp to 100 amps ate ! i Applicant , EXEMPTI. F- •M WORKERS'COMPENSATION DELLA' N Clarifiers Solar Collectors - Dishwasher - • Meter Clover 100 amps (This section nee. not be completed if the permit Is for one hu f ($100) or ' less). Dishwasher Solar.Piping, Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this pe t is issued, I ' - t - shall not employ any person in any manner so as to become ubject to the Drinking Fountains ' S• olar�Tank Fan Motors❑0.1 HP ❑i%-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa r— F.A.U. Inc.Solar ❑9-15 HP ❑1615+ 'NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit snail be deemed revoked. — Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes 1 hereby affirm that there is a construction lending agency for the performance - - Pole Light e of the work for which this permit is issued (Section -3097 Civ. C.) interceptors Water Heater OutletsRan ¢ Lenders Name 9 *• Lender's Address Kitchen Sink - - Water Service Switches Sign r OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - Garbage Disposal 'Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or I county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays fly structure, prior to its issuance, also requires the applicant for such permit Generator 00-5 KIN 5-15 KW ,Trash Compactor file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains - i ,e Contractor's License Law(Chapter 9(commencing with Section 7000) of — ;a : 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 c 7031.5 by any applicant for a permit subjects the applicant to a civil -•r en - alty of not more than five hundred dollars ($500). '3 O I, as owner of the property or my employees with wages as their sole Roinspection Fee $15 Issue Fee $ , compensation, will do the work,and the structure Is not intended or offered - Roinspection Fee I $15 Issue Fee-� $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • I FEES - License Law does not apply to an owner of a property who builds or improvesj. - _. . ._ .. - 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 0 r y, sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date ',lotion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By /"� Date prove for the purpose of sale). �/YI1, 0 I, as-owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By Dat 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 Duct-Ventilating 001 00,000 BTU 0100,000 BTU SUMMA V FEES builds or improves thereon,and who contracts for such projects with a con- — tractor 51 license $ , e<N 'S 0 ( pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT SMIP $ proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. IC80# PLUMBING $ ISSUANCE $ Date Owner - ' Ducting , Registers PLAN CHECK 25% $ ENERGY P.C. $ I 1 hereby certify that I have read this application and state that 'the above ■0-100,000 ■ tsr sr : 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 ity to enter upon 7 e above-mentioned pro rly or r�J\ inspection p pos MECHANICAL $ O Signature 4 A ,CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • r• 4 CONSTRUCTION AND PLANNING -& SPA APPROVALS Permit Date Inspector 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 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, 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 O 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 3J/0/ G 491,401 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 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster grown 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 -71 42. Backflow Preventer 43. Backflow Irrigation EXP 1 R ED I Inspert1o05 44. Landscape Irrigation System /te1-� 45. Sound Attenuation Rate to- 5►8 Iv(/ 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - I ' • 51. CERTIFICATE OF OCCUPANCY No. Date i,/OWNER HARBOR ESTATES DATE 7-12-55 0 • JOB ADDRESS 652 ROSS Si . BUILDING PERMIT NO. 1503 GENERAL CONTRACTOR Dike & Golegrove VALUE $ 8,Soo.00 _ LOT 82 BLOCK TRACT 1986 Residence & Garage Plan 27C GROUP I TYPE V ZONE FIRE DISTRICT i523 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED yDATE NUMBER Footing Trench r-t4 Jr9 CJ Foundation Forms and Grade to Garage • r Rough Framing �p„ ,L A,t,- 9* _6 s _ Plumbing,Rough tis Slab{rtr tel meq %I, ,1, Plumbing,Rough Complete/0,op...giG� f•-,�S"t, Li cost. PIA-. c 23-J-f .` 2 rl1 Temporary Pole / I /I tii Wiring, Rough ov�J ,e-31-S 7-- ,./-_c /-6i7 U `ro-f ii Heating,Rough C- �� Heating,Final tC t 1/ - ��'im�17%A5� i,..:. 4 - -( c2 1 Sewer, House Sewer,St. .P.e �wifd,llN j-ii-cis- ,J a 7 6 _ Septic Tank or Cesspool n / !Lathing, In OutX er 6 c�-i_ Plastering G1Py�L�� /Of_/`SY/ Plumbing,Final,Fixtures CompJ�t //. C_4✓5 Plumbing,Final Gas Test j/,- -j // Q_ t� �� Wiring,Final 114- '! �J/ sy--7-�Iy-_ Occupancy //- T`J/ Lr......01nr iJ1C/1/lt CC Costa Mesa Building Department 7 APPLICATION FOR PERMIT r 111 EAST 20th STREET 1.a523 _____ _"B_U I_L-D IN G__.__--__'.. . • COSTA MESA, CALIFORNIA vi •FOR APPLICANT TO FILL IN FOR OFFICE USEONLY_ ; IReceipt No. Permit No, j Addina ress 652 Ross Street . /..5-0 3 , Recei d by, Date Recd. Date Issued Costa Mesa, California ; . 3 ry _li Nearest 19th Street �� '��` �� -Ssi Cross St. Buildin Y . Address 1 , Owner Harbor Estates Costa Mesa, California Mail • Address 419 East 17th Street Nearest Tel. Crows St. t ; City Costa Mesa No. LI 8-1159 Zone No.of I Type I Group L Architect or Lie. } I Y ift Plans Engineer Car]Sop & midd ebrodle. Approved } by . I Date Address Garden Grove ' CORRECTIONS • City Contractor Dike & Colegrove No. Lie 7.301 I - Address 419 East.17th Street - kern-- �, IlL _ 9 t c De r Legal I No.Lot 82 I Block I Tract 1 86 'I C (Attach Metes and Bounds) _ ��-!�-- l2 1!-55No.of Bldgs. - ' Size of Lot 56 X 110 I Now on Lot none H --- - ----- -Q��;��[—p- - ---- Use of No.of No.of I _ /1"IYI�JA A Existing Bldg. none • Families Rooms r r I) Setback Line from ,.,..,. Rear Yard 3Q1 _ ""'"—' - - "-- - --- --- -- 5 Center of Street 50 Side Yard t DESCRIPTION OF WORK r, ' ,.;i ` " r New I X I Alteration I I Addition _Repair I Moving I I Demolish - . .. .,. . Building No.of 1 _Size 1157 sq ft Rooms 63 Stories 1_ Exterior Wall I Roof — Covering atnce0 Covering GOmpt _ APPROVALS Use ofFoundation Location Ins ector Date Building New ng Dlan No. 27C P Forms,Materials, Single family residence and garage. Under-Pinning Frame: Fire Stops, -- Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. . Signature of Plaster, Int. Permittee Dike & Cole:rove fi A / / er Plaster, Ext Authorized Agt. l_. ,, Masonry Reinforced ilkk Valuation ' Permit Fee $ a A, c ce Plan Check $ 3. p o Bond Beam $ 8,500.00 Total , - Fee $ as , d0 FINAL • • C o • • J C J a o, - :x:JUL!3.2:55 Pum,,A .476(T. •u-?S, ,'"O • n . • - - _ ) • • Street • PLOT PLAN Show location and distances from • property line and between buildings. • ' - - f • • _,-1: '