Loading...
HomeMy WebLinkAbout1067 SANTA ROSA AVE - Building Permits ADDRESS OF BUILDING: 1067 SANTA ROSA AV DMT` CITY OF COSTA MESA — BUILDING PERMIT OWNERiNfeBEIFKNOWN: TAMAN BARBARA MAUD TR FLOOD,: AH-38 PERM NO: B 083221 ADDRESS:4 1067 SANTA ROSA COSTA MESA, CA 92626 PERMIT NO: B 083221 PLAN CHECK NO: N GOVT; N SUPP : N 540-4987 APPL.SWUNG ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UCNO. JOB DESCRIPTION : T/O SHEATH & REROOF 2300SF W/COMP SQ FT: 5, 000 ARCH.OR ENG.'S ADDRESS: INT: CLAIM VALUE: 5, 000 . 00 CALC—VALUE; 5, 000 , 00 GROUP OCC: R-3 /U-1 CONTRACTORS NAME COVER RIGHT ROOFING ( 714 ) 832-0113 cONTRACTORSMNIJC 14262 ALLMAN PL COMMENTS : REROOF 250SF W/BUILT—UP SMOKE DETECTORS REQUIRED PERy944UBBCC 'alms' S .A. CA LICND.: 615852 if***se********' ******************4ik*i **** 3E3tftit ***** k its HeleAE,� (fes DETE 1 iaw, 92705 wit ZONING R E Q U I R E M E N T,.,S:\f:7 . �C v LICENSED CONTRACTORS DECLARATION:I hereby affirm underPr penalty of perjury that 1 atm licensed under fe of Chapter 9 SETBACKS ELL F�U[RED (commencing with Section 7000)of Divisum S d the Business and Professions Code,and my license is in full force and effect $ rj, CITY LIG.No.: 0 0868 LIC.CLASS: C_39 IX.NO.: 615852 EXP: 03 /98 MAIN BUILDING ACCESSORY 1 NG y Dalt lit/�T��i7 camerae Coc'o t /S /vi/t :y7<✓'s FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN 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 Comrades License Law for the following reason(Section 7031.5 Business and Professions Code:Any city or county Mich requires a permit to construct,alter.improve, pealdemolish,or rapes any structure,prior to its issuance.also requires the applicant for such pel to fib a signed statement that he or she PARKING REQ: ,, PROV; PARCEL : 41205209 ZNE: REF NO; . is licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencing with Section 7000)d Division 3 d the PLANNING NOTE > ` Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section i> 7031.5 by any applicant for eprmit subjects the applicant toacivil penally of not dollars l$ more than live hundred 500]). ****fete#feleiE****;if 44*********44 ie.** e****iefEfEfe§E kfEfe lE)EiElE****fE#fefeMN#fEiefeiEfefEfEf ***,fHe###**LE*** ❑ I.as owner of the property or my employees with wages as thei sole compensation,will do the work,end the structure is not intended or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of propery D E V E_L O P M E N T SERVICES REQUIREMENTS who builds or improves thereon,end who does such work himself or herself a through he or her own employees,provided that such improvements are not intended or offered for sale.H,however,the building or improvement is sold within one yew of completion,the awnerbuilder wit have the burden d proving he or she did not build or improve for the purposed sale). ZONING APPROVE[) BY DATE; • o I,as owner of the property,am exdusivey c ntractig with licensed contractors to construct the project(Section 7044.Business and Professions Code:The Contractors License Law does not apply 10 an Owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.&P.C.,for this reason: APPLICATION ISSUED BY; DATE: ., iE ff II Date: Owner: fefefEfefE#fefefEfEfE***X****fE#fEfEfE#fEfefE****fEfEfEfEfE*******iE iE fefEfF)EfE)E3E*********k** **2*** I do hereby ceddy that lam aware of and understand the requirements of CaliforniaHealth end Safety Code dia Sen's 25505.24441, end LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 25534,end that I or any future building moment will/wil not(circle one)need to comely with said state codes and the requirements bar e permit for construction or modifcationfrom the Ai uey anegement Onlrid.Residential construction applications we exemptlromthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 99 . 75 . 50 Date: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the blowing declarations: PLAN ❑ I have end wall maintain a certificate of consent to self-insure for workers'compensation.as provided for by Section 3700 of the Labe ISSUE FEE Cade,for thepedameaeothewwforwhichthispermitisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE O Have and voil maintain workers'compensation insurance.as required by Section 3700 of the Laba Code,for the performance of the TOTALS----> 100 . 25 0 . 00 0 . 00 100 . 25 100 . 25 . 00 work for which this permit is issued.My workers'compensation insurance carder and policy number are: Carder: rnT.T)Phl 1.Arr.7 EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 100 . 25 OVER/SHORT: . 00 Policy Number: MT'TCA2.188.70.Q 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed t the pont is for one hundred ddbns 1510010r less.) 99 . 75 . 50 ❑ I mdlfy that in the performance of the work for which the permit is issued,I shall not employ any person in any manner so as to becomesubjed to the workers'mnpnsation hissed California.Cand agree that H Idauldbecome)subject to thewarkeri ix%MffffffEf #ffEEei #%ffffeE#ffffff ###fE#kkEffi #fEfE3VEDEEEfi *MN- EE EiEfNEE%keMkE# Ff compen t' provisions d Section 3700 d the Labor Code.I shall forthwith comply with those provisions.", ` Dal : L� 7 Applicant: Cr1.4 FS err / y` . SNS INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'canterlesdon coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fires up to one hundred thousand dollars(5100,000),In addition to the cost of compensation,damages as provided ler In Section 3706 of the Labor Code,Interest,and attorney's less SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 000 . 00 CONSTRUCTION LENDING AGENCY:I hereby arm under penally of perjury that there is e construction lending agency for Ihe END OF FEES performance of the work for which this panne is issued(Section 3097,Ci.C). LENDER'S NAME: LENDER'S ADDRESS: I cediy That I have read this application end dale that the above information is correct.I agree 10 comply with all city and county ordinances and state laws relating to building construction end hereby authorize representatives of this Ow lo enter upon the above-mentioned property for inspection purposes. JERRY LARIMORC. a 7 P Efff7SY a 083221 06-09-1997/U:4C A4/5100.2 Pp 6/9/�/ RCGTN:d.-3r,37i Si. ��uredOwnw/AganVApptiLC canma Done:tred (5151-4.. P) While-Building&Safety:Green-Ale:Canary-Appicant: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. 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-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 w _ 25. Roof Sheathing 6-11-qi (OCG 74. Overhead Hydro 1 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown 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 11 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System, 45. Sound Attenuation • 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 6"!g`417 604-- 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. 'Date PROJECT ADDRESS: 1067 SANTA ROSA .AV Will; CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 052649 .OWNER'S NAME: TAMAN BARBARA • • ADDIfts5: 1067 SANTA ROSA AVE • PERMIT NO: P 052649 PLAN CHECK NO: N GOVT: N SUPP; N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: 0TH 540-1987 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CHANGE OUT WATER HEATER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: NOCK PLUMBING ( 714 )895-1246 ADDRESS: 11610 SEABOARD CIR COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME STANTON CA 90680 *************************** *************************************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 SETBACK S CITY LIG.: 050386 STATE LIC.: 511971 n CLASS: C-36 1 -Date: • —' iI -• 1 ' Signature:_-(-4 444-1 ,r, MAIN BUILDING ACCESSORY BUILDING r WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent o 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.: 116799290 EXP.DATE: 0 3/01/92 COMPANY: STATE PARKING REQ• PROV: PARCEL: 41205209 ZNE: REF NO: ❑ Certified copy is hereby furnished. furnished. [X Certified copy is filed with the city Building Di/viisi�on.. y� ('//�/ PLANNING NOTES> • Oatei Applicant' ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SER V I C E .S•.' REQUIREMENTS I certify that in the performance of the work for which this permit is issuedI shall not employ any person in any manner so as to become . . subject to the Workers'Compensation Laws of California. ZONING APPROVED BY `~'.. DATE: Date. Signature: - NOTICE:It.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : f DATE: • Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. V .. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• -- ,(5 DATE: .— IT which this permit is issued(Section 3097,Civ C) ****************************** ******** *** '.*********************** ***** * ** LENDER: ***************************************** . •********************************** • ADDRESS: LEGALIZATION:N F E' E SUMMARY STRUCTURAL SEGMENT:N 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 FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 ,00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 • SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and 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 than five hundred dollars($500). ISSUE FEE 3. 00 • 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 S ----> 2 .00 3. 00 0 .00 5 . 00 5. 00 .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.If, however the building or REVENUE DIVISION TOTALS——> COLLECTED: 5. 00 OVER/SHORT: 00 improvementis sold )hin one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose offsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK] 5,00 I. rf owner io s the property, Co tr dors' aLaense withw licensednot contractorstto construct the project hbuilds or ov, thereon '., ❑ and who contra Code:tfThe projects State License Law does not applyuato an ownerteoof property S who or improvesIathereon and who contracts for such protects with a contractors)license pursuant to the Contractors'State License Law),I am aware *'1F****************************************************************************fit' that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A,L F E E BREAKDOWN ❑ I am exempt under Section: B.&P C. for this reason: TYPE QTY D E S C R I P T I ;O N UNIT COST TOTAL COST Date: Owner: PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 .00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and '-END OF FEES 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 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from I // these provisions. 1 ' Date: Applicant: • I hereby certify that I have read this application and state that the above information is correct.I agree to com, with all city and county 01 00092429-000V2429 1 �. K ,.VL ordinances and state laws relating to building construction and hereby authorize represen olives of this city to a:.)lllion the above-mentioned , B^ property ler inspection Purposes. `eby auJL ,`, DATE:, U7,18/91 T1}1Y.: 10:P. �/ 9 Apace'1 Y— 1— �{ Signature. , , Driver's/ License or Social Security P. , 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA - •-,r Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# ' 1.. Temporary Electrical Servlte or Pole .3 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. ur c•k( 53. Steel Reinforcement 3:,cEti:ctrial Conduitr;lJtility-Undrgrndy'M 54. Forms ;, 4i-Electrical ConduiLUndrgrnd. r_, 55. Electrical Bonding e'er 5.'-$t`eel Reinforcement- 56. Rough Plumbing & Pressure Test • 57. APPROVAL TO COVER-GUNITE ` . ,i��.,Electrical UFE113'.�rnd. ..� "- '7:=.Fuotings Sc; 0. 58. Electrical Conduit-Undrgrnd. - r: C'i:E.:Foundation - 59. Gas Pipe, 0 Undrgrnd., Test '-' 9:Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ElUndrgrnd. 6 .ti '10.' Structural Floor System 61. APPROVAL TO DECK L. 11. Property Sewer Line& HouseConoection 62. Backwash & Receptor-Final 12. SeWer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbitg = 65. Electrical-Final . 15. Rough ElectriaJ-Conduit 66. Solar System-Final e: ' 16. Rough ElectricWiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrice_I-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.r-Roygh Fjctory replace ; i.m 4t-. �1 C ^ ', .APPR©VAtS.D Permit# .. G"c 21.>:0 ucfs,in.Stc�cture 1 . . :--IS = .' C r s. 70. Zinderggound Hydro 22. Ducts, Ventilating+ 5 x S ^"e =71. Product Piping OGas QOiI 23CGais PiptRo,ugh &'Test ;T . -' _ '� '' 72. Undergiound Ffystg C' 24;Rott &J Framing s:x :- Cr - - C o" `> r c.73 3 Undergrntf.Storage"Tank.O Gas 0 @41 _ r _ • - - 1. - 25. Roof S� athin •rt* ' ?7 x �'! 1., C _i.c. 'I, - - "- :e �, 9 ;,;v ,_ L" ''74;=Overhead Hydra. C - 1 ''•F r :5..CP 26:L,T-bar Ceiling (Sttugtural) &Aonocoat • :n C. Mr. :a 75:Dry Chemical :t H--' .. Z - 27:'sFrameand Flashing '` r„ y 'r 7& DryStani(pipe Os. al ,> n re” 1w 2-1;5 •i ,>- 7:K mix^ i n. a �.. ,� x y:r < is-- • y. to Cl.:' ;-28. Lathing"& Siding_.,. ,. ,;11:-.1. ^ :, .- .-;. :< 77, - FIXED SYSTEWLuYNAL_ 29. Insulatron .1' `n tx .„ 78 FIRE PREV. FIN,FPL <.t, n. :i; I I. oir�1 n-30. Drywalk(Nailing :11* •- r -L. -. HEALTH+ . REQUIR DEPT .E.dVIENT t31. Plaster Brow1n coil: ,_ • . F.,, r.,r 4 - j r :,79•tnNAL=1N}SPECTfpN *: _ - rr '0 dpi r t`�71T x. ( I FOOD Cr#TIFFC�TE ISSIJEDr i- :_32;�.Electri Power eter-Finals �• y ;,� . 1 80,- 33:-Final EI trLc e ..t. ',1-4 I } n r.Notes:'/Ltgl no.Oe/eH_Q117_( CZCfl 'i020-• L.co a r t- a r cr II ` -. -s i. . �. 34: .Fin31 Heating.& i�C-`oriditidriingi ;, i t; _>c 35 Final Ge's Pipe-Test I - Cr„.::: • Cr SO .x36"Hood otcCanopy,.. .,- - a, x ^. I I_ e . P o tr -37,-Final Factory Fireplace ! S�r `� x `•`' i I `y - * T .r .. .. I 4./.�:F - C., Final Plumbing f, '"{� I - - rti2f n,, i wycto * J '39. Water Service-Finale ':' + I �r ° -c -' 40. Gas Service-Final % I r. - - a. , tr! ...Cwt.-- x :^ I t- , L%v on; -1. r - _ a S•. .T H ›-41. Solar Domestic-Finals •• x Ca I a: . n;a * .. + x .r 'CO cr r s; � 42�Backflow Preventel" �- :V • '=, ( Ir_ ' ^i "' 43. Backflow lunation - %NS .k sr-- v_ C. r. y -r x s / n -44. Landscq a x}i ation S stem �`I' � r r -- .e. `i - P 9 Y �,n F- n tom' �7.t - l' `� 07 �L f;: 1, :: - 45,;Sound Attenuation 1-- x:-- n. - i-3, rt '-j X46;.Handicap Reyulatidns ' ` t' ' ..N• , -• '- __ . ^s -47,�FINAL STR:UCTUkE & BUILDING • ' j I ---it .+ rd ; ' •-, i .'t 1 I..' _ 48',Fft5AL PLANNING ; t'-'h- x3 tli I_ _,4. r -u }..L.. - .x,49; Elegtric Release to4tdison i I kr +: > u i w- •;r50,,Gas-Release to So4hern Cal'fornia Gas Co ` I ' hr. " E. `_ • ` I - I h' - 51. CERTIFICATE OF,OCCUPAf�CY :� r ,; - C; - No. Date - - 2957? COSTA MESA BUILDING SAFETY DEPARTMENT JAN -7-60"-0PAI0 209 ****135.5l P.O. BOX 1200 COSTA MESA, CALIFORNIA 9282E For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING /f For Office Use Only BUILDING ADDRESS 1067 Santa Rosa (220 • RECEIPT NO. P T O. COSTA MESA, CALIFORNIA 2,4 t7 RICE VED SY � a [I SII I D6 OWNER Hpltzer Enterprises-Costa MesaMA '/ BUILDING /06 7 i� ADDRESS 144 South La Brea AvenueFIRE ADDRESS Y/ 1CA¢ca/ TELI TYPElir GROUP I�T- CITY Los Angeles No.9 36-1104 ZONE ARCHITECT TE (714) APAPPROVED DATE OR ENGINEER Frank Gonzales NOL.532-6878 1336 E. Chapman Avenue ZONING ADDRESS Orange . California 92668 ZONE NO.OF USE OF NEW Res. w/ CONTRACTOR George J. Heltzer & Assoc. R1 I PUNS 2 SUILDINOAttach.Garape ADQRBSS 144 South La Brea Avenue L DESCRIPTION Lot 52, Tract 6637 CITY Los Angeles , California 90036 A.P.NO. None NOTE: NO[AVE OVERHANG SHALL BE LESS THAN UATE TEL. C.NO. 201098 NO. 936-1104 90'70 SIDE REAR P. SIZE I NO.OF SLDGS. O VES ALL WED SU.B.C.REQUIREMENT/ OF LOT now ON ton YARDS APPROVED YARDS APPROVED USE OF • MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L;17RKET) SETBACK LINE FROM JL(/ CENTER OF STREET REAR YARD 221 FRONT /PT. FT. SIDE YARD I LEFT 51 I RIGHT 161 R.SIDE "�GFT. FT. DESCRIPTION OF WORK L.SIDE / FT. rr. NEW IX ALTERATION _REAR 222-"KT- FT. lII Qf� ADDITIVN DISTANCE BET. BET.MAIN& MAIN BLOOM, ACCESS.BLDG& REPAIR __MQY1NG _DEMOLISH BUILDING NO.OF VAR•# DATE SIZE ROOMS STORIES 1 C.U.P.* APPROVED EXTERIOR WALL ROOP APPROVED IfA/�/n/ )7-101 COVERING stucco I COVERING wood shingle BY 6'v vY E USE OF BUILDING AND WORK TO BE PERFORMED a Dwelling and Attached Garage 07 Plan 401CR - T,ot 52 1 j/a`>',3 SQ.PT) 996 x 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT EH N UNDER VALUATION IS POR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. Z13 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION /-2_ BUILDING CONSTRUCTION. PERMIT FEE 5 �" PI del PERMITTBF SIGNTUREOF T �/ /J so w $ / r/ 05� PLAN CHECK S �� AUTHORIZED AGENT - O !'SO TOTAL FEE 4