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2378 RUTGERS DR - Building Permits
4" f CITY OF COSTA MESA BUILDING DIVISION f. -�. , DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER �. i''--11s t °. PERMIT ! B03-01181 • +y NoMro" (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cbILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2378 RUTGERS DR Status: ISSUED Suite: Applied: 07/11/2003 Vicinity: Issued: 07/11/2003 Parcel Number: 14147228 Zoning: VV Applicant: UNKNOWN ISSUED BY: F—�'� Address: Phone: Zip: Owner: TORRIBIO, MICHAEL J Address 2378 RUTGERS DR Phone: COSTA MESA,CA Zip: 92626 Contractor: Address: Phone: Zip: License: • Arch : Eng: - Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 243 SO.FT.PATIO COVER AT THE FRONT OF THE PROPERTY-27 FT.FROM FRONT PROPERTY LINE TO POSTS. FEE SUMMARY Plan Check: $63.21 Calc Valuation: $3,917.16 Permit: $97.25 Claim Valuation: $0.00 SMIP Res: $0.50 • SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 - Total: $160.96 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 27-0 Rear 25-0 - Left 5-0 Right 9-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 2446-48(6/00) DECLARAT/ONSC'l I �-1 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 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. . ❑ I have and will maintain workers'compensation in,ur ce,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensa n I n rn r licy number are: S -11 Carrier: ff Policy Number: ctlon need not be completed if the permi v-Il r at one hundred dollars($100)or less.) certify that in the performanc ,a ••rk I this4ermit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of . - ' I should *come subject to the workers'compensation provisions of Section 3700 I the or Code,I shall forthwith comply with these provisio V y ApplicanlSignature:. Calif , `/ • / Date: / It 0� • WARNING:FAILURE TO SECURE 0 ERS'. 'E CATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI L RNES 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,and my license is In full force and effect.Lie.# Class# 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). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 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 subjec 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 pro.,rty��I:r1' E SIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions ,I� Code:The contra or. Li e Axis not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuan`• • - e Laws.). ❑ I am exempt )a �RI Business and Professions Code for this reason: __ • i ,Signature: Ii I Yi1IOW I' fl 7 Owner ID venire.+y:�fl!r Icen�. ' J• 'es 0 No Driver's License No. • / Expires: , i L1Lo Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 9 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 ❑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 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)? o Yes 0 No (Section 25534 of the Calif omia 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 apgermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes LI No (Section 65850.2 of the California Government 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 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 end 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 Jr, 4ni,L1�•' 0.-h. 'Y: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 r:/ AT�rdf,1)r},Ir • . , fng•to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property tori , ,.J� (j 4r-rr.t o. cupy or allow occupancy of any building authorized by this permit until the. inspection. 'Sig .t. e Of e':l Owner(s) Date And/Or Authorized Applicant Date ;ODE I INSPECTION TYPE - PATE INTRIAL$ CODE( 'INSPECTIONTYPE ' - DATE CMS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing • 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Signm 222 Final Site /� /� 204 Final Demolition 250 Final Building/Occupancy W-0 SPAN TABLES 3I ► CE PATIO COVER R l's DESIGN LOAD: 5 PSF DL+ 10 P L,2�. 8 EDUCE SPANS 20% FOR HEM-FIR OR REDWOOD - g AFTg P- (MAX) HEADER SPANS(MAX) , DF NO E-' \ °4 t., DF NO2 SIZE DF N01 DF NO2 SIZE SPACIN 'o.c.) .m t eE SPACING("o.c.) 16 24 32 3 ggg 48 56 fig- 28 — 16 24 32 36 48 60 72 (2)2X6 9'-6" 8'-9" bn 2X4 10'-0" 8'-9" 8'-0" 7'-7,.1 '010" �T a 6' 1 9'-9" 8'-7" T-9" T-6" 6-9" 6'-3" 5-10" (2)2X8 12 '-1" 11'-3" 2X6 15'-8" 13'-8" 12'-6" 12'- '0" 1 $ 9'-6gg 2 15-4" 13' 6" 12.2" 11'-9" - 10'-8" 9'-9" 8'-10" 2 2X10 14-9" 13'-9" 2X8 - _ 18'-1" 16-6" 15'-T A,j " 1 '-$ £ 12'-K 2 - 1T-9" 16-1" 15-6" 13'-9" 12'-4" 11'-3" (2)2X12 1T-1" 16-0" 2X10 - - - 20'-Orf 1 '- 14'- 21 - - - 19'-6" 16-10" 15'-1" 13'-9" 4X6 10'-0" 9'-7" (2)2X4 10'-0" 8'-9" 8'-0" 7'-8"=1 6'6"9{06'-1 ' ( 2 9'-10" 8'-7" 7'-9" 7'S 6-8" 6-4" 5'-11" 4X8 13'-2" 12'-8" 2 2X6 15'9" 13'-9" 12'-6" 12'-0'In a1" 1 '- 'd39'-6" 15-5" 13'-6" 12'-3" 11'-9" 10'-8" 9'-9" 8'-11" 4X10 16'8" 15'7" (2)2X8 - 18'-1" 16-6" 15'-107.Q4 4" 1 - t12'-1 ( - 17'-9" 16-1" 15'-6" 13'-10" 12'-4" 11'-3" 4X12 19'-4" 18'-1" - z I}- E . s Co !II s Lip PATIO COVER N y T 11 DESIGN LOAD: 10 PSF ma 10 PSF La kO�i o a W UCE SPANS 20% FOR HEM-FIR OR REDWOOD c . F3N ( AX) HEADER SPANS(MAX) DFNO1 ' N ,� -g 2 DF NO.2 SIZE DF NO DF NO2 SIZE SPACING ("o.c.) w o Set SPACING("o.c.) 16 24 32 36 48 ( 16 24 32 36 48 60 72 (2)2X6 8'-3" 7'-8" 2X4 9'-1" 8'-0" , r 6'-10" 6-3" 5-10" 5'-6" 2X4 8'-10" 7'-9" 7'-1" 6-9" 6-2" 5'-8" 5'-3" (2)2X8 10'-6" 9'-9" 2X6 14'-3" 17-6" Ill-4210%10" 9'-10" 9'-2" 8'-8" 2X6 14-0" 12'-2" 11'-1" 10'-8" 9'-6" 8'-6" 7'-8" (2)2X10 12'-9" 12'0" 2X8 16-9" 16-6" 1S- 14-4" 17-9" 11'-6" 10'-6" 2X8 18'-6" 16-1" 14-8" 13'-9" 12'-0" 10'-8" 9'-9" (2)2X12 14'-9" 13'-10" 2X10 - - 19'-1" 18'-1" 15'-8" 14'-0" - 12'-9" 2X10 - - 17'-10" 16'-10" 14-7" 13'-1" 12'-0" 4X6 8' 10� 8'-4" _ 4X4 12'-1" 10'-6" 9'-7" 9'-2" 8'-4" 7'-9" T-3" 4X4 11'-9" 10'-3" 9'-" 9'-0" 8'-2" 7'-7" 7'-2" 4X8 C 11'aj 11'-0" 4X6 19.-0" 16-7" 15'-1' 14'-6" 13'2" 12'-2" 11'-6" 4X6 18'-7" 16-2" 14'-9" 14'-2" 12'-10" 12'-0" 11'3" 4X10 - 14-4 13'-6" 4X8 - - 19'-9" 19'-1" 17'-3" 16-1" 15-1" 1 4X8 - 16'-1" " 14-8" 14'-1" 12'-9" 11'-10" 11'-2" 4X12 16'-9" 15'-8" - 1997 UBC 2733-46 Tables / r , AP-Th11 iiire.00 74r, rm. :li: ,,r4 i it. ....':e Li dt! 'V'i)fl}{c)$1T, .t' 1 ! • • `r' .J.dLt.z„r'w'Ninaeil1Bh .. rt.. 11%r • hM:u ',:1 t II111 . . .. -.J pi:.14'iCJO1'nvr5 r4ii.:t' . J' [r - . r��. t CUP>ra,..,o'. nett g110 1, q' - / J t i ., II l it I / I 11 kI - - V ' k x -\\,\,.._ ;1 C i . I ) . ;i6rN,..NN i AckitECSIXO . etS;Ak -er-y,74-(7 _----------7-titm_7-_,.. -nE__-:-.__ it 1 C< Ckp41-4 --- APPROVEDLE �z - SUel '' CITY OF COSTA MESA - --_SUBJECT BLDG. D I. 74( PLANNING DIVISION B] TO EPT. REG. _:NOTE:ADDITIONS, DELETIONS, : OR-CORRECTIONS SHALL BE • ,' - • —APPROVED BY THE PLANNING DIV.: , ( �) I =�' 'BY /(_ </u!'l.� DATE: l(1 t la I C,z (i) r� 1 y _ I. - tiSPi .moo, fG 01 _ ma �f Vo iii�' -'� -.a 't - '"� t Oc. L �, ,a I' cre �' m a.• sf co �4dr L" iiiik—tv ` a st 6� G i 'to i �( `F # s- 0-. r e.r..r-s. \. e C' - (3 �s2 j. o„ ai t . 9 ti.{� I Id _ iwoS ?:Q 2,1 If ,p ^^ to,10:634,1` "� .rI lel, �,d- ZS-� � 7 , ��y�bar w t S� dt I.II 6 wa°a- / �j �f !y J_ lK �� !- _ • earl Cil% 011 II� 5ailottnc f tive than NI ° BUILDING PLAN REQUIREMENTS SIM 01� FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) ❑2 P.L. Feet © © 4, J e ❑ Post ■ • ■ Edge of) � PROPOSED STRUCTURE ID d l patio cover LL I t ti House a a I • Q I 2 d E Nit m Garage ❑ tai: 'i .•:I ! h A.uU 1 'v ,�. -n t :i 7 net 1 1, • a ' ) .,u 1 `i, i'a,.•. ri -." • - El NZ" IIy Street Owner N8 Orft V ... c• In'.n_ Address'. . ,to, MM.' .CL?LCM;�'KO rtsm n .lhr • . I _ 3 t ctal,46 hi°v5r � ❑s b3arm e: n : Scal INSTRUCTIONS-3 COPIES MUST BE SUBMITTED Using this as an example draw your own plot plan on a separate drawing. 1❑ Show owner's name, project address, north arrow and scale. ❑Z Show and dimension all property lines, easements and driveways. ❑3 Show locations of existing and proposed structures, including all setback dimensions ® Show dimensions of proposed structure. ❑5 Show setbacks from property lines to proposed structure. (3'-0"min.; verify if Planning Dept. requires greater setbacks) © Dimension overhangs 2733-46 is M Rafter Header Header(s) Rafter(s) / 1 CI_MNINI CI_/—�".—= _— •—u s ■—illI/ .� ■—MV— DETAIL OPTIONS ■nIC� Check the ones that apply: ■—U INIMMELattice Cover: IIMMEM■ ■ �� � S❑olid ❑e ■ ❑C ❑D ❑E ❑F �M— Al • . �A ❑D ❑E �F ■—m— ■—.nimw ■—.NOMW IN—Na ■—.p v ��—S . . . . - . .;N/MAAN.MA Post EXTERIOR WALL OF HOUSE Anchor Post Lattice Cover Solid Floor Cover Roof Covering • 6'min 26 Ga. Roof Sheathing . Footing Lattice FRAMING PLAN Flashing-----.... Depth Roofing \+, 12" Sheathing J PAD FOOTING A Lattice — O d 7507 max per post Post 1 ■ _ 6'min Rafter d Header i ': Rafter Joist Hanger _- ._ Joist Hanger Post Ledger SLAB Ledger . a c d . o SLAB FOOTING B E.3 19 2% Slab '-- to io ^ Slab 2% 2x6 Min 2x JoistJ Slope _ • Slope I!• Fascia to Drain to Drain ❑ Existing a Anchors El . Footing Lattice Solid Roof wall& 2,-0' e'-0'roof Cover Cover Max Max Span SECTIONS EAVE CONNECTION C CONSTRUCTION MATERIALS 1/2'x 5' Joist SPECIFY LUMBER: 0 DF Redwood 0 Hemfir DIVISION OF B' Lag Screws J� CITY OF COSTA MESA ®1s o.c. SPECIFY GRADE: ❑ No. 1 0 No. 2 • APPROVED CONCRETE: 2500 psi min. @ 28 days sting Joist Ikla1 4 176 all Hanger CONNECTIONS: ICBG approved or equal �� ay�Jq�� Ledger 8y MIL CONNECTION D 1. Roof covering: SOLED Sl platSebsDedlkall°naMUSTbekeptenthlaj°Ib�abinll�llmedaroaD °� ° 2. Roof sheathing: make BAytht gflP1� DneemeWithatAVitin I Lattice lattice: x @_"o.c.: and Sei Y8t- d 2 1�0� NDTOehekfl°petmfl°rtobear :g.rrovat Bolts solid: "CCX plywoodpor "lumbeThe stalt�ALIAWV"pWn el 9nY DkY M Costa Mesa OMinance andlor�t Rener' Lill 3. Rafters: Z x @ {D Q o.c. Singlet �9 PJI� Ind axdroOY I m17lbn find become t0 andvoid II IM ummy Post a a... ng or —Support Post 4. Header: c( x Singlev40 Is 814 nced andmakealnedactivepetu3L49113(j) 180 dayso'b6Beyond 5. Ledger: 'Lx O (2x min vrodtlsnottx>mme g ) RAFTER/HEADER E 6. Fascia: x (2x6 min) 7. Post: _(Q x (4x4 min) Raise 1"min above slab surface Roof% Sheathing or Lattice 8. Footing: x 18 12"x12"min for up to 66 sf tributary area; 18"x18"min for 67-150 sf tributary area Rafter depth (Expansive Soil Zone ) Anchors n 9. Slab "thick(Expansive Soil Zone ) Each Block T 10. Connections: a. Joist to Ledger -Metal hanger Header 2 x Blocking 9joist9 Post Column Cap b. Joist to Header -Solid blocking with framing anchor c. Doubled joist or header to post -(2) 1/2"dia.thru bolts w/washers JOIST/HEADER F d. Joist to Fascia -Metal framing anchors each side -- (min. capacity=0.5"joist span'joist spacing' 15) e. Header to Post -Column Cap f. Post to Slab or Footing -Metal Anchor/Post Base g. Roof Sheathing -8 d @ 6"o.c. Edges and 12"o.c. Field 2733-06 back .� 1997 UBC o rel�"✓aZ 70yA✓2- CaM(3 -OWNER AMfERST DEVELOPMENT CO. DATE 11-13x57 _ JOB ADDRESS 2378 Rutgers Drive BUILDING PERMIT NO. 6020 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 14,1!16.00 AP. No. LOT 63 TRACT2953 FIRE ZONE DESCRIPTION OF WORK Residence Watt gar• GROUP I & J TYPE V ZONE Rill PLAN NO. 6051 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches` xForms Steel rent_ ifj,) Floor System I Steel Reinforce Chimney Re-Rod Bond Beam y • Frame and Flashing c .H /1-sT Lathing, In3a of Out 'yj - V'/-S"g Plaster, brown coat 77" '/�/,2' Underground soil/*Car W/G Pipe Testi:A9-I,+h n/n -Top Out v - Furnace /IYKC 2-n-SR' 11111Mie-��r., � j7:-aPs't .'J -" a' .. • Gas Ventsx /1I -� Rough Plumbing ,22,641-C y,_,5--tcj( - NOV 1 3 195/ 1 Cesspool Septic Tank _ Prop. Swr. Line House Con.fllSt. Swr. /—4 " •I i 4 /—/J—_sr /3/2 9 Sprinkling System / Heating Final 41,4‘s N.C.S' /• Plumbing Fixtures, Final Al C to?-t I . Final Gas Test /,5 /HNC P-2.3-A-Ir 1 Construction Pole Underground Powerqq ,'y-. /yy[[ ' 1 ill Wiring f lT . /44- d .c.iuZijV 1 1 • • •• it l /I/ , Fixtures. Final F -T J--2.47-4( ' it/ 'OCCUPANCY 41.5I-g k-.21-i;p I I Form 210-5M-1-57 1.7 / ✓.. 6051 CLE RECEIVE.© (COSTA MESA BUILDING DEPARTMENT r/ - /3-5 7 L` R 0. BOX 317 COSTA MESA, CALIFORNIA FIN�AFNCE DEPT. FOR APPLICANT TO FILL IN APPLICAATTIYON PORTA PERMIT g_RDEIENsG 2378 Rutgers Drive BU I LD I N C TD �TCOSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER -' erst Development Co. RECEIPT NO. emhP ND0 _ . � MADIL 1A�, o RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS 9 E. 17th St. I ..J , $ • 7 TEL. BUILDIN CITY Costa Mesa NOI 8-1159 ADDRESS ARCHITECT Carlson & LIC. COSTA MESA. CALIFORNIA OR ENGINEER Middlebrook NO. FIRE ADDRESS Garden Grove ZONE Dike 20 NO.OF TYPE GROU CONTRACTOR and Colegr8 ;o: 7333 PLANS i/L vie ADDRESS E.Costa Mesa limit_O. LI 9-1159 BYPROVED DATE LEGAL LOT Q CORRECTIONS • DESCRIPTION NO. 6J BLOCK TRACT 2953 A.P.NO. SIZE 1 941 x 102! NO.OF BLOCS, OF LOT O NOW ON LOT none USE OF hone L EXISTING BLDG. SETBACK LINE FROM , CENTER OF STREET MC 501 REAR YARD 23 5' 5* SIDE YARD RIGHT LEFT DESCRIPTION OF WORK ' NEW X ALTERATION 1 ADDITION REPAIR MOVING DEMOLISH MELDING 1658 sq. ft. NROOMS 7 STORIES 1 EXTERIOR WALL stucco ROOF _COVERING COVERING COMM, USE OF NEW BUILDING Single family residence, garage attached. Plan No. 760BR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS ORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND ST LAWS REGULATING BUILDING CONSTRUC. TION. / ^ VALUATION SIGNATURE OF PERMIT FEE S 34.00 PERMITTEE 14,146.00 $ PLAN CHECK S 17.00�y� ,AI'T.40RIZED AGENT Dike and Colegrove , Inc. TOTAL FEE $ 51.00 N,Ab I OWNER TURNER, Robert DATE 0-15-0f <JOB ADDRESS 2278 Rutgers Drive BUILDING PERMIT NO. 27167 GENERAL CONTRACTOR A. Rottmarm DESCRIPTION OF WORK Enige.Playroom • AP No.115-134-02 LOT TRACT FIRE ZONE VALUES 1,000.00 _ INSPECTIONS Signature Date GROUP I TYPE V ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con.0 Sprinkling System _ Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power 0 Rough Wiring /tel N T717-67 Heating and Vent. Trenches Cl Forms 0 Steel Rein'. ❑ � '7— Floor atem P Bondond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing 6-70-67 Lathing— In 0 Out 0 _ Plaster, Brown Coat f, ai v Cr O K _ Structural, Final Electric Heating, Vent., Refrig. and A.C., Final SDS CL cc 7,ei C 6-13-67 27222. Plumbing, Final and Gas Test 0 Electric, Final /121e 21114. 7 Building, Finales las: 7