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ADDRESS OF BUILDING: 2219 RUTGERS DR DMT A CITY OF COSTA MESA - BUILDING PERMIT
OWNER'S NAME IF KNOWN JAMES NOWLIN XPERM NO: B 07937
ADDRESS: PO BOX 5397
PERMIT NO: B 079372 PLAN CHECK NO: N GOVT: N SUPP: N
HUNTINGTON BEACH, CA
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: IX.NO.: JOB DESCRIPTION : REPLACE STRINGER & 1 HR CONSTRUCTION SQ FT: 400
ARCH.OR END'S ADDRESS: UHT:
CLAIM VALUE: 400 . 00 CALC-VALUE: 400 .00 GROUP OCC: R-1 /
CONTRACTORS NAME:
CONTRACTORSMMLDIG COMMENTS : REPAIRS TO RENTAL PROPERTY
ADDRESS: LIC.NO.: SE#iE iE 1E iE*iE iF dE iE♦E♦E iE♦E iE*SE♦E iE tt iE iE 4****iE iE iE RE#iE iE SE*#iE iE k iE*>>f iE dE dE 1E#iE#iE iE iE 4 iE iE iE RE iE RE iE SE RE SE**iF*iE iE iE RE RE##iE iE eE
DHT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby allkm Linder penalty of perjury that I am licensed under provisions of Chapter 9 S E TB ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my icenne is in full force and effect.
CITY LIC.NO.: LIC.CLASS: LIGNO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county whist requires a penult to construct,eller,improve. PARKING REQ: P RO V: PARCEL : 41906115 Z N E: REF NO:
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 d the PLANNING NOTES> c„,
Business and Professions Code[or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than The hundred dollars POOR. iEiEiFiE1E1EiE1(1EiEiEiEfFiEifiE1E1E#1E1FiElEiElEiE1E1EiEiEiFlE1EfE1EiE1E1E1EiE1E1E1EiE1E1FfE1fik1E#iEiEiflE#IbifiEiE1E#1ElEIEi(-ik#1EiEiE3[-1EiFiElklFiEJk
❑ I.as owner of the propeny a my emothyees with wages as thei sole compenamion,will do the work end the structure is not iMended DEVELOPMENT SERVICES R E Q U I R E M E N-'T S
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of properly
who buids or improves thereon.end who does such work limsef or Mosel or through he or her own employees.provided Thal such r
iimprovementsrere intended r offered ed for sale.ff.however,the buiMing inprovemema rd sold within one year completion.the ZONING APPROVED BY-• ' 1 A`(/A DATE: '
owner-builder will have the burden of proving he Or she did nor build or improve for the purpose of sale).
I,as owner of the property.am exclusively con'redkq with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY, . W S 75 DATE: 9 -3-96,
contracts for such projects with a conlreclr(e)licensed pursuant to the Contractors License Law). , ,// 9 �j
O Iamexamprunder Sedim: B.8P.6,for this Tt\corc APPLICATION ISSUED BY:.-. DATE:DATE: # r*fir-
/ Data: Owner \„_ - •' / #fEiFifiE1F#iEION3E iFiESU ElE fbB YlE iE dE if iE iE of if dE i(if iE iE lE lE if iE lE isle if iE iE lE iE iE 76 iE 3f iE iF iE lE iE iEAT EiEi(-1E iE1E iE iEM
fa1M LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
Ido hereby cerNy mal I M aware of aro undrrwll the requirements of amu health end Safety Cede lou 25505.25533,and
25534,and Mai I or any tenure building occupant will/will not(due one)need to comply with said date codes and the requirements la
e permit for conduction or madirvaten/menthe Ai3i Lia ananagement District.ReeidemN construction applications Nu
lions e exempt horn e BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING
provisions. PERMIT 21 . 00 . 50
Dale: Applicant SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affimt under penally of oneo perjury the following declarations: PLAN
ISSUE FE
o l have and veil maintaina certificate dDomaniDoani tosafinerre for workers'compensalle
n,as provided for by Sedion 3703 of the Labor BUILDING-
DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for mepedmperformance oanmNewn«lorwhichmiapemrleissaed. TOTALS----> 21 . 50 0 . 00 0 . 00 21 . 50 21 . 50 . 00
❑ I have and wit maintain workers'compensation insurance,as required by Sectlen 3100 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:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 21 , 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHECK
(This section need not be completed Y the permit is for one hundred dollen WOW or bas.) 21 . 00 . 50
Ea I eerily 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
berme subject to the workers'compensation laws d Gaga-nit, agree Nate Id bled o the workers' *****t*****************************************M-*************************************compensatcompcompensation provisions isions Sadism 3103 d the e Lcode,I cowl Gam comply w uie INDIVIDUAL F E E BREAKDOWN
Dale: AfWlicent
Warning:Failure to secure workers'compensation coverage Is unlawful,and shell subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Wines up to one hundred thousand dollars($100,000),In sWldun to the cwt of compensation,damages as provided ler In
Section 3706 of the labor Cods,interest,and attorneys leu, SFR 400 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 400 . 00
CONSTRUCTION LENDING AGENCY: I hereby axon under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify(het I have read this application and male that the above infmnmion is correct.I agree to comply with all city and county ordinances
and stale laws relating to building construction end hereby audwaae represent/dives of his thy to enter upon the above-mentioned popery -
for inspection purposes. -
\ JAMS OW� .•
m Nem
Date 9 -3-96
IlbSignature of Owner/Agent/Ap• teContractor
\ (5151.48.WP) White-Building A Safety:Green-Rte:Cenay-Appicanl:Pink-Revenue:Goldenrod-Assesear
4
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. _ 53. Steel Reinforcement
a. Electrical Conduit Utility-Undrgrnd: 54. Forms
- - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
•
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
-6. Electrical UF ER 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-Finah
I
12. Sewer Cap _ 63. Heater & Vent-Final _ ) I
13. Roof Drains •
64. Plumbing System - Final -
1
14. Rough Plumbing ! 65. Electrical-Final . +
15. Rough Electrical-Conduit ._ is 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 Fi}eplace _ -, - . APPROVALS_ '- Permit# - _
21. Ducts, in-Structure r, - - 2 70.13nderground I-lgdro t '
22. Ducts,Ventilating i _ ;• .F 71. Product Piping Q-Gas 0 Oil
23. Gas Pipe-Rough &'Test r 7 72. Underground Flush
24. Roof Framing . • _ .• • 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing • „ T ' - `--a 7 7q, Overhead Hydro_ ' a
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical -
27. Frame and Flashing Y-(Y., C(O -.64/e- 76. Dry Standpipe•'- ;
28. Lathing& Siding c _ /` _. i61 77. FIXED SYSTEM FINAL _
• 29. Insulatiai - _ :. ' " PP 78. FIRE PREY. FINAL -
- 30. Drywall Nailingi -HEALTH DEPT:-REQUIREMENT
31. Plaster Brown-Coit x I - • . :'' 78'. FINAL INSPECTION - -
32. £Iectrical•Power Meter-Final _ 1 : : )7; 80. FOOD CERTIFICATE ISSUED
33. Final-Electric _ <: "' r- 1 Notes: _ - 1
' . 34. Fina -Heating-& Air Conditioning.- - ' '' .;. _ `'_ - "
35. Final Gas Pipe,Test w .. i I - _
36. Hood or Canopy F - - :'r7 g. - --
37. Final Factory Fireplace _ - - -
38. Final Plumbing - r; - .• _ -
39. Water Service-Final .. -
•
40. Gas Service-Final '-:
41. Solar Domic-Final - - - - - .,- -
est
- 42. Backflow Preventer , ' -- a ^ - • ,_
43. Backflow Irrigation _ - .
44. Landscape Irrigation.System, .l • - 4. r - -
-45. Sound Attenuation - fr - r • . ' i '': I
46. Handicap Regulations r -. -- _ ;' •
/
47. FINAL STRUCTURE & BUILDING /&-Y_cab' lbw :•-,
48. FINAL PLANNING' - _- • • -
49. Electric Release to Edison 1 -
50. Gas Release to Southern California Gas Co a • -
51. CERTIFICATE OF OCCUPANCY - . ,
No Date
ADDRESS OFBUILC04: 2219 RUTGERS DR . UMT, A CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF 10400/11: JAMES NOWKIN PERM NO: P 079371
ADDRESS: PO BOX 5397 !
PERMIT NO: P 079371 PLAN CHECK NO: N GOVT: N SUPP : N
HUNTINGTON BEACH, CA 1 Li - p
APPL.WIG ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: La: JOB DESCRIPTION : REMOVE 6 REPLACE BATH TUB SQ FT:
ARCH.OR ENG.'S ADDRESS: DMT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
CONTRACTORS NAME
CORRACTORS MARpc COMMENTS: REPAIRS TO RENTAL PROPERTY
ADORESB: LIC NO_ ♦E*♦E♦EdE181E**iNdE1i18♦Ed81EBid8R84R8♦E181818iN#ibd818d8*18iEdEiE*ki8*ibiNiNiEBE*1818*♦E*Rh18♦F*iE♦EiE♦FdBiE*iE**#18*18rtde BE**BE18BE*iE
IMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under peneky of perjury that I am licensed under positions of Chaps B SETBACKS
(commenting with Section 7000)of Division 3 of the Business end Professions Code.and my lironse is in full force and effect.
CITY UC.NO.: LIC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: COnead«: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
folks/nu reason(Season 7031.5 Busbies and Professions Code:Any city or county which rwdee a pwmb to construct.alar.improve. PARKING REQ• P RO V: PARCEL: 41906115 Z N E: REF NO:
rash.or repel any saucers.prior to its issuance.also requires the applcere for such Pane to Me a oiled stalemate that he or she
is"sensed pursuant to the provisions d the Contractors License Law(Chapter 9(commenting with Section 7000)d Division 3 d the PLANNING NOTES>
Business end Professions Code)or that he or she is exempt therefrom and the baro for the alleged exemgm.My vdelion of Section > _
7031.5 by any applicant for a permit suWeds theappicara toaraw penalty of not more than Me hundred doled[SSO0D. iEiE1EiE181818iE1818#1818#iE18iE#iF#iE#181EdE1k18R8181E18181E#1E1E1818#18181F1hiEiE181E1h#tyi1E18i8#181E##1818i8iE18iE181Ei8181818iEd8181818#1E1E18
El I.as mmer or the VeiPerlY or rnY eMPloYeee vish wages as their sole compensation,will do the work,end the stnicture is not intended DEVELOPMENT S E R V I C E S' . REQUIREMENTS
or offered tor sale(Section 7044,Business and Professions Code:The Contractors License Law does nciipply to an aswd progeny
who buids or improves thereon,and who does such work himself or hared or through his or her own anpvyees.Provided that such
improvements are rd intended or offered for sale,I.however,the building or inpmamaa is sold witNn one yew of completion.the ZONING APPROVED BY •
DATE :
•
ovma-0Wder will have the burden el proving he or she did not build pd or improve for the tpoed e sate).
D] I•asowner of the powdery,gun exd.nwe contracting contrcontractorswlmensed contractors to construct (Section prosect(Sen Ta •Business and BUILDING APPROVED BY : _ DATE:
Professions Code:The Contractors License Law does not appy to an owner d who bdkla«improves thereon end who -
mntracta for such projects with a mntredorlsl licensed puts o the Contractors ^J � 9 -3—v�
CI t am exempt ands Section: B.d P.C.,/« - APPLICATION ISSUED BY: ) DATE: /'T
BEBERER8REd8R818R8i818iEiER81E1Ei81EifiR****1E1F18#iE#******** E#if#1E#1FiE 184818#iE1E181E1Ed81E1ER8ifdE#i8iE18***18 *d81E
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I ern aware of end understand Na requirements of Catomia Health end Safely Code Sections 25505,25533.and
25534,and that I or any future building occupant will/will not(circle )need to comply with said date codes and the reqummelt for
a permit for construction or modification from the A'v a�O-Tity Management tid.R ' coast wgi:mi«d are exempt from Nee PERMIT . BLDG PMT PLUMBING ELCTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. /1 `
5
Date: Applicant: •• 25% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under of perjury one of the following dedarali s: ISSUE FEE 22 . 00
o Ihave end veil maintanacertificate of consent toself-insure for workers'c«mpensation,eaprovided for bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.mrmeperformance
wthe work rorwhnhtbmini! issued.
TOTALS----> 8 . 75 22 . 00 • 0 . 00 30. 75 30 . 75 .00
ID I have and veil maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the -
work for which this m
permit is issued.issued.My workars'compensation
insurancemaand
caner: REVENUE DIVISION TOTALS--> COLLECTED : 30 . 75 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completedy permit the pais" one hundred dollars[31001 or less.) 30 . 75
nI certify that in the ped«mance of the wok for which this permit le issued,'shell not employ any�0asQ�n any manner so as to
become subject to the workers'compensation laws d CMHarn' .end agree should subject to 1M MAIMS. 18181E181E18#181E18i8i818iEi81818i81E1Ei818181818i81Ei8181E1818181Eif18#1E181818181E181818181EN-18i8i818181E18181E1818#181818iE1818i8##1E181818i818181E18
compensation provisions of Section 3700 of the Labor Code,I hwbh mm d\wits[✓„/�1 INDIVIDUAL F E E BR EAKDOWN
Date: APplicant:
warning:Failure to secure workers'compensation coverage Is unlawful and shall subject an employer to criminal penalties and TYPE QTY D E S C R I P T ITO N UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars TSlOD,000),In addition to the cost of cornperaarlon,damages as provided for In
Section 3705 of the Labor Code,Interest and atromey'a Tees. PLU 1 BATHTUB i
8 . 75 8 . 75
' CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of Perjury that there is a condmdnnn lending agency for the END OF FEES
Performance of the work for which this pmol is issued(Section 3087.Civ.C).
LENDERS NAME:
LENDER'S ADDRESS:
I certify that I have read No application and state that the above int«mation ls cared.I agree to comply with all dry and county ordinances
and stale laws relating to building construction and hereby authorize representatives of this ray to enter upon the above-mentioned properly
for inspection purposes. JAMES NOWLIN '
Print Nem 9-5-9&
j 9 •
`,....L Signature of anAyen - Breda
5151 d5.W P) W Nd'Bu Wrg 8 Safety:Gram-Fe:Canary-Appicni: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, 53. Steel Reinforcement - +
-3. Electrical Conduit Utility-Undrgrnd. 54. Forms =
4. EI-ectrical Conduit-Undrgrnd. 55. Electrical Bonding
•
• Sc Steel Reinforcement 56, Rough Plumbing & Pressure Test
• 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE f
7. Footings 58. Electrical Conduit-Undrgrnd..
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60, Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � ' 61. APPROVAL TO DECK t --
11. Property Sewer Line & House Connection 62t Badkwash & Receptor-Final
12. Sewer Cap 1 63. Heater & Vent-Final
r
13. Roof Drains r1 64. Plurnbing System - Final I
14. Rough Plumbing )t% P:4 - 65. Electrical-Final r
15. Rough Electrical-Conduit • -23Vt.A 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 Strutture ' ' 70. Under,`grdund Hydro •
22. Ducts, Ventilating ' - -. • • 71. Product Piping. 0 Gas 0 Oil
23. Gas Pipe•RoLgh & Test - 72, Underground Flush -
24. Roof Framing. r - - - . - _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro ,
26. T-Bar Ceiling (Structural) &Monpcoat - -. 75. Dry Chemical -
27. -Frame and Flashing _ ' - G- • 76. Dry Standpipe •= _ -
28. Lathing&Siding _ 77. FIXED-SY--STEM FINAL
29. Insulation 78. FIRE PREY. FINAL ,'
30. Drywall Nailing - -. , HEALTH DEPT. REQUIREMENT
31. Plaster Brown,Coiit:. _ r ' 79. .FINAE INSPECTJQN
32. ElectricalrPower Meter-Final E.
1- -, ' 80. FOOD CERTIFICATE ISSUED
33.:Finai Electric m , r tic -- Motes.9_18.9i, ;F'NA 1.E D - BrW
34.(Final Heating-84 Air,Conditioning • X 1 r - - -
•
35.Final Gas Pipe-Test- . - - - T
. 36. Hood or.Canopy 4, -. _ - ' .
37. Finat'Factory Fireplace = -
38. Final Plumbing .• _, 9-2.94 @M_ - '
39. Water Service•Final ' I C. - -
40. Gas Service-Final • . - - - '
- 41. Solar Domestic-Final ! - r _
42.-Backflow Preventer' ' r .. -.
43. Backflow Irrigation - - . _
44. Landscape Irrigation System ; .. �
•45. Sound Attenuation, -- • -
46. Handicap Regulations - - . •' - - - .
47. -FINAL STRUCTURE & BUILDING •
48. FINAL PLANNING. - .
49. Electric Release to Edison , -
50. Gas Release to Southern California Gas Co i
51. CERT IFICATE OF OCCUPANCYa -
No. Date
8®66
1( Laciblic-j:_--
COSTA MESA BUILDING DEPARTMENT FINANbE EPT.' •
P.D.BOX 317
COSTA MESA. CALIFORNIA CITY OF COSTA C.ILSA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADD
BUILDING
2219 Rutgers Drive A, B, c BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
T IncRECEIPT NO.
OWNER Towne Estates. I
MAIL 1555 Placentia RECEIVED BY DATE RECEIVEDp DA ISSU
ADDRESS n_l11FF 6-3227 �✓ �f //q-.jl-!-/JJ O f/ Z Ste(` .
CITY Newport Beach. Cal. TEL.NO.y.1 ADDRESSUILDING `/ / ' \ J e et__
_S
owner LIC.
N
OR ENGINEER NO. COSTA MESA. CALIFORNIA
FIRE 3
ADDRESS ZONE
�roT aC4911 Const. Co. NO. 20NEa NO.OF PE vGROU� ,
CITY LIC. 8534
II PLANS
OF
TEL. APPROVED /
111
ADDRESS same NO. same BY - enA/• DATE // / /
LEGAL r� �r�p
DESCRIPTION NO. I BLOCK TRACT 2288 CORRECTIONS
A.P. NO.
II ,7 r
SIZE L NO.OF BLOBS. V • I [{ I`A
OF LOT 60 x 100 HOW ON LOT O 2 (I A Ii t ';J.
USE OF
EXISTING BLDG. F� p R� in. j pII I:71,~ii W F'1\
r SETBACK LINE FROM t� liC` II vi d_a ji ]y.''A Itid :-.0I CENTER OF STREET 45 Ft REAR YARD 10 �.L
. i
SIDE YARD RIGHT 10 LEFT 10 C. 1 ', . .- �. Ley
DESCRIPTION OF WORK ��p� DATE '^�
ll
VAR. NA"PPfVED /a/ S(�
NEW % ALTERATION P ADDITION
REPAIR 1 MOVING DEMOLISH
5 ZIE DING 2480 sq ft ROOMS 12 STORIES 2
EXTERIOR WALL ROOF
COVERING StUCCO COVERING hot mop
USE OF NEW
BUILDING Apts. Triplex and attached
3 car garage. uito
-
•
<
‘/O - ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY OROINAN . ND STATE LAWS REGULATING BUILDING CONSTRUC•
TION' VALUATION
SIGNATURE O .4722‘-..t../L...- PERMIT FEE S �� �U
PERMITTEE \ COS 2/ fi-/L7� PLAN CHECK S �(J�J
AUTHORIZ D ENT — JTOTAL FEE 5 /f• SV 9MF