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Home My WebLink About1151 SALVADOR ST - Building Permits I r • t - CITY OF COSTA MESA 4 BUILDING DIVISION •' •f p,. 4r1 . DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER `4. �s . PERMIT .r'-.p 06-01 592 itltbonarolfr (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SIaNLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1151 SALVADOR ST Status: ISSUED Suite:' Applied: 09/22/2006 ' Vicinity: REAR OF PROPERTY Issued: 09/22/2006 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 14161127 Zoning: Applicant: LAM, DAVID XIEU-BOI Address: 1151 SALVADOR ST Phone: 714-549-1417 ISSUED BY: 1y��-7UJyIL/ COSTA MESA,CA Zip: 92626 Owner: LAM, DAVID XIEU-BOI Address 1151 SALVADORST Phone: COSTA MESA,CA, -- Zip: 92626 Contractor. R IP 2 Address: Phone: Zip: - License: . Arch : Eng: Address: - Address: Phone: Phone: Zip: License: • - License: SCOPE OF PERMIT 24 X 12 FT SOLID PATIO COVER ATTACHED TO REAR OF RESIDENCE.TO BE CONSTRUCTED PER CITY STANDARD. - FEE SUMMARY Plan Check:- $72.31 -\ -• . - Calc Valuation: $4,642.56 ' Permit: $111.25 . _ . ' . - . ' Claim Valuation: $o.00 SMIP Res: $0.50 _ ' SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 - - Total: $184.06 PLANNING &ZONING SETBACKS - , MAIN.STRUCTURE Front . 0-0 Rear, 0-0 Left " 0-0.: Right 0-0 ACCESSORY Front 0-0 , Rear 0-0 Left 0-0 - Right - 0-0 PARKING Existing: 0 ' r..-Required: 0 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(8/00) ' . • r f • : , • L S 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 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: Carrier: Policy Number: • (This ction need not be completed it 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 Calitomi§ and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. .a / , \ ' �„ "Applicant Signature: ' an Date: I(�JW sI RM•G: AILT]RERETO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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,and my license is in full force and effect.Lic.# Class# Contractor's 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 su ' cts the applicant to a civil penalty of not more than five hundred dollars($500).): • X 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 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 LOG(sec. Business and Professions Code for this reason: T� 1 (-igni r : ;` I od).•-• L✓-,, c Date: "ryry t (slit D' 'Owns- •verified by drivers license. ❑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: I 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? 0 Yes ❑No (Section 25533 of the California Health end 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 ❑No (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 Califomia 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 appermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? PI Yes jJ 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 feel from the outer boundaries of a school? ❑Yes ❑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 for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes ❑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-descHad property for inspection pu doses.I agree not to occupy or allow occupancy of any building authorized by this p1rmit until nal inspection. -44 r . -%a---- is1 l'Li. D$° SignatSreOf L'egal40wner(s)A�? '' Date And/Or Authorited Applicant Date • CODE I INSPECTIONTYPE MI tNTMALS CODE f INSPECTION TYPE PATh INITIALS 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 Sign 222 Final Site �f� 204 Final Demolition • - 250 Final Building/Occupancy �/+f/LJ� I) . , . .. , - ........._..____ 71) /7-- I j/� al 1 — 1�/ '.lQ 4 nil :;1 ''1\!:N'N\ Id :Ii l AS –: •\C ?IddV U .S{ I I vHS' SNt�1.LJ_I,jH 0 Nt:i.L"_I'l1CI SNOI.LICTIOV ON '') )11d=1C1 '7CI`If1O-L.I:)3f1lS :MINI,\ICa f.), INN6d i C�`i1�1�_fiLCICI Va / 0 .7 • N • ji co .— /7 , ---� E_—_ z ,: • s N11'1 ovis\ocN�pFl00s MESA Q�� ' \.. 110 1 �. Ir. Ga1e rand i11s 1bN9 iV um' rnvon d Bu 1m5 Pb a• m1Ya;G v+nllcn po be an aPP'lav � _ Pr ISO vt,�� talc °1C am �,.-:pOnS Msamo h1d 10 V%"'"} 1 tS 1. lay, �1 Ilis eean'l`':r,5,z;C 11"01' tins SNP tl,esa 01,mance^' 1r,budm9 or alAr ^.. C+I s end st,c5V9ca Ctrl of Costa r;nu\1 and'j0'`1 1 7 end Satee{. 18p da ,(A.:;.)., uanu; e— �j :r ' u1 any bre°m wahm 5 7 me elamP`".'ntn. `'acy4t°vV;un'� I�m�la.0na �091d) u2by 0\c�^n of the violai�°n°5 a ed a�mamVaNed acuve Pr• (� I' fiese Plan`OO i p°(R'IS fw1 {� Ai Jyd,9 < 0z- - �1 A .)AVI4) x. /Ail . c-a-fTA} k( j4 6/9 (iii' , s( Sl vad . v /2 c aE- SPAN TABLES ti_XITICE ITATK) COVE=N ,- -(- 1)E:13101\1 L:/':/: : '+' :i!_ � 10 :r,I- I-I I RI'ili•' :f ::I '+ J < "/o I CI= i'�114-i�I //Ie, ;f-fV1( r ,fi , ... I:n,lt@i' o,t'n N$ 1M/+'_.; i •T I!iv1U1_R .'ll'F1 _. 1 i (Mni' . ';I•'.,;IIJrr -:I:• I„ - �— . I— r .I :XC I • I • • • • I ! I •r 11 I I427.2. H 7 DESIGN I_(i,11). 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I1 r I AY!; 1 11 S: 1151 SALVADOR ST • UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 068442 dAME: LAM, DAVID XIEU—BOI ADDRESS: 1151 SALVADOR ST PERMIT NO; B 068442 PLAN CHECK NO: N GOVT; N SUPP : N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT 549-1417 flEc.ND.: ADDRESS:ARCM/ENRESS: UNIT: JOB DESCRIPTION : T/OFF RESHTH & REROOF W/EAGLETILE 5 . 5PSF SQ FT: 8, 700 CLAIM VALUE: 8, 700 , 00 CALL—VALUE: 8, 700 . 00 GROUP OCC; R-3 /M-1 PERMITTEE: WINEGARD ENTERPRISES (714 ) 673-2535 ADDRESS: 2033 SEVILLE COMMENTS: SMOKE DETECTORS REQUIRED I .0 B .0 4660 BALBOA CA 92661 **************************** se*****4sE+t+E+E44******* *********i ***x** ***Tr******* LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CIT C.: 59,567 STATE LIC.: 669749 Cuss: C39 EXP; 00/00 /Q/LIcf Signature:_ � MAIN BUILDING ACCESSORY BUILDING r' ERS'COMPENSATION DECLARATION: I hereby affirm) .(ave acenificat cuf'onsent to sell4nsure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN wmpensation Insurance,or a certified copy thereof(Section :rr.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN 7 POLICY NO.: 1345674-94 EXP. DATE: 04 /01 /95 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL : 14161127 ZNE: REF NO: ertified copy is hereby furnished. a Cenilied copy is filed with the city Building Division. PLANNING NOTES> 'Dat D//I /GI/ Applicant: ( ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This on need not be comple if mitis for one hundred WOO)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit ued,I shall not empl y person in any manner so as to become sublet;to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: • Date: Signature: NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: 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:whichthisPermitisissued)Section3097.Civ.CI. ********************** **,ELENDER: **********************************************************************/jj1t' ******** ADDRESS: LEGALIZATION;N F E E SUMMARY - STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'Slate License Law for the following reason BLDG PMT PLUS ING ELECTRIC MECHANIC FIRE $MIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 . 00 VPO K E DETECTOR8 7 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'State License Law(Chapter 9(commencing with Section 7000)of Division 3 al the Business SM I P/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 R EQU I REU any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE Th' 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 sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 108 . 87 0 . 00 0 . 00 108 . 87 108 . 87 . 00 does not apply to an owner of a properly 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; 108 ; 87 OVER/SHORT: 00 for the purposeol sale). • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 . 00 . 87 ❑ 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'"Stale License Law). I am aware {e*{E**.**.**{E******.***ie*.*.***.******.*****.{e*.)f*{L.{y.)f.7e.)f*.**.*.**{6****.*.*.*.*.*.**.****.**.***.**.*.**.**. that proof of their Worker's Compensation insurance should be provided to me., INDIVIDUAL F E E BREAKDOWN ❑ I am exempt underSection: B.&P.C. • for this reason: - • TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: •: Owner: SFR 8700 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 700 . 00 I do hereby certify that I am aware of and understand the requirements al California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and ttr t I or anY foWre building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for:gpnstructidn or modification from the Air Duality Management District.Residential construction applications are exempt from these provisgns.:,r, : . • Date: _ Applicant: I hereby certify that 1 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 relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned pit.•• for inspection purposes. •. / gq Signature:s'T7 ..a... 01 00165776-00165777 TOT 108.87 Inver's License or Social Security.: DATE: 08/11/94 TIME: 11:13 164646 White—Building:Green—Code Enforcement:Canary—Apptica Pink—Revenue:Goldenrod—Assessor 4STRUCTION AND PLANNING hv.3L & SPA PROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector I. Temporary Electrical Servile or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement • 3..ElectriialCondmt,Uiility-Undrgrnd. " 54. Forms i % .,4. Electrical Condpitjiodrgrnd. 55. Electrical Bonding ' S. Steel Reinforcetent4. . - 56. Rough Plumbing & Pressure Test - -6,'tE ctricalUFERGrnd. 57. APPROVAL TO COVER-GUNITE 7=. Footings - 58. Electrical Conduit•Undrgrnd. . r 1 ''B;:Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. . - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 101. Structural FloorSystem ', 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap -tl , 63. Heater & Vent-Final 13. Roof Drains .: r. 64, Plumbing System - Final 14. Rough Plumbing •, 65. Electrical-Final 15. Rough Electrical-Conduit c 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 ri - -, - .V - APPROVALS'. PermSt # 21.'Ducts,in Structu ., - iC t _. ` F4j* .1 p0. Uaderground3-lydro . 22. Ducts, Ventilating. ,. - - 7 _ 91. Product Piping 0 Gas 0Od 23. Gas Pipe-Bough &•Test I..: 72. Underground Fluslt - `. 24. Boo Framing• ' 1- - - '- -73. Undergrnd`StorageTask 0 Gas 0Oi! 25. Roof:SheathingI. ; ,7 es/ . .7q- -O'erhead Nydro._ -' 26. -T-Bai•Ceiling (Structural) & Monocoat -' ---:!! ' . 75. -Dry Chemical -I •. r' . m 27. 'Frame and Flashing o ' I'. 7) - r - 76. Ivry $tandplpe ;) 28. Lathing&Siding:. < - - ' ••1 77. FIXEDSY-STEMFINAL* 29. Insulation n a i i " ' 78. FIRE PREV. FINAL , - 30. Drywall Nailing • I I• II II . •-1 HEALTH DEPT.rREQUIREMENT 31. Plaster Brown Coat I I ' `; , .79. 'FINAL INSPECT1O51 , - - t I 32. Electrical Power Meter:Final I i I• 80. FOQD'CER FICATE ISSUED 33. Fiinaglectric- i j ' ''Note.'' t•• '' ,�'Jn l r C.J AA/ 34. Final?Heating Air.bondi.tio Ing - r/a7• {y_ ; „�„-7• Y` // 1 35. Fnnal-Gas= 24 ' . 1 '- ¢" 2 x 6 RAFTER 24" O.C . 1 ' q " • t 1- • 2 X 6 LEDGER • 0 — 4 X 1 POST 4 X 6 HEADER / -m m I N -� 3 7 6' 3r, 8 ' 7 '-'' 3 " s.,3r, 0-4 . . DIVISION CITOF WILDING LOF IIME)SA SAFETY AAIt (1VQI; D nl �(O WALL mm A' �5�4 � Dal �v_� ohWlunu ham—:th- be kept on lens too.1 ,•. vnNoU'flatten tnrmr;v r,t,0r a".�'n s�`'n of Smbv y This Se 5 ,lav`,s',sse•ation nns ame? b ut' ar••aIIGn;on same cvaa: 20240 COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RE C E I V/E D \ P.O.BOX 317 COSTA MESA.CALIFORNIA 5 Meg For Applicant to Fill In Completely qI�ALPPLICATI N OR PERMIT 1-111+-‘11"U TYPE OR PRINT BUILDING ' BUILDING C1'for00fEioe TFlsA4O�ly ADDRESS 1151 Sal vn Anr street , RECEIPT NO. ^ I�NO COSTA MESA, CALIFORNIA 'J UI RE Y E C IV DATE ISSUED OWNER Mesa Del Mar Development Co. � • � ��L2 4 1963 p BUILDING ADDRESS 3800 E. Coast Highway ADDRESS CITY Corona Del Mar,Calif. NO OT'101e FIREi"ZONE TYPE GROU�Y� 3 ARCHITECT trrlDie APPROVED DATE THL. lOBY OR ENGINEER MaCco Realty CO. NQ,3 4920 ZONING --- ADDRESS Same as above ZONE NO.OF USE OF NEW 5111 1• Pte. % R-1 I PLANS 2 I BUILDING w/ att gar. CONTRACTOR MaCCO Realty Co. LEGAL Lot 37 Tract 5023 ADDRESS Same as above D CITY Same as above A.P NO. none I SO-TO SIDE @REAR P.L. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL- 207343-A-SB-1 NQ.Oriole 3-4220 LIC. SIZE No.of BLDGB. ALLOWED (U.B.C.REQUIREMENT) OF LOT 651 x 971 I NOW ON LOT 1`NOne EAVES YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. None (FROM C/L STREET) SETBACK LINE CENTER OF STREET I,t I REAR YARD 3l 1 FRONT 1/(FT. FT. SIDE YARD LEFT 61 I RIGHT 51• R.SIDE SFT. FT. DESCRIPTION OF WORK L.SIDE b FT. FT. NEW X ALTERATION ADDITION REAR 3 / FT. FT. ' DISTANCE BET. BET.MAIN @ 1 REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF 8 VAR.# DATE SIZE 541 X501611 ROOMS 8 STORIES 2 C.U.P.# APPROVED EXTERIOR WALL Wood g ROOF Shake APPROVED. COVERING Stnrro COVERING Shingle BY w.L•D• DAT F 7-22-63 USE OF BUILDING AND WORK TO BE PERFORMED L1/v ingle family dwelling w/attanhed dwelling 29714 S i. garage. Plan 600-BR Garage 453 S.P. N SQ.FT. . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. nn ry SIGNATURE OF y�� PERMIT FEE $ /� N PER MTE 'i al y GO. 3 7( 0 Q By:MIT $ 23,985.00 LA HE J O AUTHOR ED AG T 1 /IC,PSQ' LL TOTAL FEE $