The URL can be used to link to this page

Home My WebLink About927 SENATE ST - Building Permits* CITY OF COSTA MESA � J ' BUILDING DIV►S/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) �54-5626 PERMIT NUMBER: B08-00152 PERMIT TYP� B ROOF2 STATUS: ISSUED APN: 42238319 DATE ISSUED: 05/1312008 ' ISSUED BY: RMD JOB ADDRESS: 927 SENATE.ST CM Suite/Unit:,,,, Vicinity: HOUSE AND GARAGE ROOF �- � � � . � ' - Squares: 2200 � �� - , Valuationi ' �� $5,000.00 � . ,� - �. , . . . SCOPE OF WQRK: TEAR OfiF.(E)�ROOFiMATERIALS, INSTALL A MINIMUM OF 2 LAYERS�OF 15# F,ELTON A 3:12 PITCHED ROOF, REROOF WITH 30 YEAR TIMBERLINE-DIMENSIONAL COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 22 SQUARES.�REPAIR AND REPLACE SHEATHING AS NEEDED. ��^}„ `. . �� OWNER: VAN OTTERLO,.JOSEPHtNA C TRUST Address: TR � � � . Unit. COSTA MESA, CA .. " , . - - ' . � - - � PHONE: , - _ , City/State/Zip: 927 SENATE ST - �- APPLICANT: VAN OTTERLO, JOSEPHINA C�� Address: 927 SENATE ST �. � �� ,. . Unit: : PHONE: 949-646-6871 - � � ' - � - � _ City/Stale/Zip: COSTA MESA, CA �- - CONTRACTOR: CREATIVE DESIGN CONSTRUCTION . � License.No. --.63�783 Address: 7632 HALDOR�PLUnit: �-� PNONE: .- 714-827-2902 - ; CitylState/Zip: BUENA PARK; CA � �� 90620 � � - - CELL: � - � ARCHITECT: . " � - �_ License No. � PHONE: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES License No. • �o.00 $11125 $0.00 5111.25 � . . PHONE: NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Califomia stalutes and related regulations. (Ord, No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval mus[ be obtained. Failure to obtain inspections and final approval vrill result in the expiretion of this permit. 04 Det. INSPECTIONTypE DA INlIMLS � INSPELPONTYPE DAIE IN7771R15 1616 Fized System Final Fire Prevention 206 Final Mechanical 1266 Pool SOa Final . 208 Final Plumbing 200 Final Re-Roof � � 210 Final Electrical 201 Pina181ocMJRetaining Wall 212 Finai Fire Prevention 202 Final Fadory Fire Place � 220 Final Planning Approval 203 'Final Sign 222 Final Site 204 Final Dem0lition 250 Final 8uilding/Occupanty , WORKERS' COMPENSATION DECLARATION. I hereby aKrm under penalty of perjury one of the follovnng declarations: ❑ I have and vdll maintain a certificate of conseN to selbinsure for vrorkers' compensation, as providetl !or by section 3700 of the Labor CoOe, for the perfortnance o� the work (or which this pertnit is issuetl. ❑ I have and will main[ain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pedortnance o( Ihe work for which this pertnit is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier: (This sMion need irof Oe mnpktetlllhe pnmQ a raNetl al one �urMretl cb0ars (Ef001 a less.) Policy Number: �❑ I certify that in the performance of the work for which lhis 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 ihat if I should become subject to the workers' co sation provisions of Section 3700 of Ihe Lab ode, I sy,(A forthwith c I wilh Nese provisions. �� LCYYI O5. 12. O 8 ApWiWnfs Signalure Dare WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLP,WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: I herehy aKrm that I am licensetl untler 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 e((ect. Lic. # Class # Gontmctor'S SigiuWre CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm ihat there is a constmctbn lentling agency for the performance of the �+ork fa wfiich lFtis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender'S Atldress: Sgnalure Date OWNER-BUILDER OECLARATIONS: I hereby affirtn that under penalty of perjury tha[ I am EXEMPT FROM THE CONTRACTORS LICENSE LAW /or lhe 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 slrucWre, prior to its issuance, also requires the applicant for such permit to (le a signed sta�ement Ihat he or she is licensed pursuant to the provisions of lhe Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Code) or Ihat he or she is exempt there(rom and ihe basis for the alleged exemption. Any violation of Sec[ion 7031.5 by any applicant for a permit subjects Ihe applicant �o a civil penalry of not more Ihan five huntlred tlollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, and the strucWre is not intended or ofleretl for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law tloes not apply to an ovmer of property who builds or improves thereon, and who dces such work himself or herselt or through his or her own employees, provided that such improvements are not intended or ofteretl for sale. If, however, lhe building or improvement is soltl within one year ot completion, ihe owner-builder will have the burden of proving lhat he or she did not huiltl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro consirucl the project (Sec. 7044, Business and Professions Code: The contractas License Law dces not appty to an o.mer of property who builds or improves thereon, antl who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: yw • � OS•12•08 SignaWre Date o �a6(3/0>� Ovmer ID verifed by dri� .ic� ❑ Yes ❑ No� Dnver'sLicenseNo. � Expires: 4�•�� I Venfication of Ovmership by (type ol tlocument, i.e. - property tax bill or deetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlAy thal no excavation Me (5) w more teet in depth into which a person is requiretl to tlescend, vnll be made in connection with work authorized by this pertnit, and that no building structure, scaHdding, falsework, or tlemolition or dismanlling thereof, will be more than thirty-si�c (36) feet high. (Chap. 32, Gry 2, M 2, Sec. 341, Tille 8, Califomia AdminiStraWe Code). ❑ As ovmer-builder, I will not employ anyone to do work which would require a permit trom the Division of Industrial Safety, as noted above, unless such person has a permit to do such v+ork from Ihe division. Apoliwm's SgnaWre Division of Industrial Safely Permil Number: _ HAZARDOUS MATERIAIS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or future building occupant need lo file and certify a Business Plan for emergency response to release or threatened release of a hazartlous material7 ❑ Yes ❑ No (Section 25505 of the Califomia Health and Sa(ety Code requires, with some exceptions, that a Business Plan be fletl wiM the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity o( hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas al standard temperature and pressure�. 2. Dces or will the applicant or present or future building occupant need b file a regi5tration (Orm (or aw[ely hazaftlOuS ma�erials? ❑ Ve5 ❑ No (Section 25533 of the Califomia Health and Safety Cotle, with some exceptions. requires regislration with Ihe Costa Mesa Fire Department by each business which at any one time has on hanC a quantity of acutely hazardous matenals equal to or greater ihan a weight of 500 pounds, or a volume ol 55 gallons, or 200 cubic feet of wmpressetl gas at stantlard temperaWre and pressure�. 3. Does or vrill Ihe applicant or present or future building occupant neetl ro prepare an RMPP (Risk Management antl Prevention Program for acu[ely hazardous materials)? ❑ Yes � No (Section 25534 of the California Healih and Satery Cotle provides that me Costa Mesa Fire Depariment may require the preparation, ceAification and fling with the Fire Departmenl of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Depariment. 4. II an RMPP is presenlly required, has Section 25534 of Ihe Califomia Health and Safety Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicant or present or fWure building occupant require tor the vrork which is the subjecl o! this application a permit for such construction 0� modifGffiion (rom the Soulh Coast Air Quality Management District or Irom any other air pollution control district or agency? ❑ Ves ❑ No (Seclion 658502 of the Calitomia Govemment Code requires that the requested infortnation be fumishetl on applications fa ran-resitlential building pertnits). 6. Will any pan of the faciliry to be constructetl untler this permit be vnthin 1000 feet from the ouler boundaries of a school? ❑ Ves ❑ No (If'yes", Ihe faciliry musl meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permit from Ihe SoWh Coast Air Qualily Management District or other air pollution control dislrict or agency is required for the work which is the subjecl of this application, have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes", atlach certificate of wmpliance fmm the appropnate air pollution control officer). CERTIFICATE OF COMPLIANCE: I ceAify that under penalry of perjury the infortnalion given above is wrrect. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre Dale , CERTIFICATE OF COMPIIANCE AND AUTHORIZATION OF ENTRY: I � certify under penalry of perjury that I have reatl this application and state that the infortnation given is correcL I agree to comply with all slate laws and city ordinances relaling to building construction, antl authorize representatives o! Ihe Ciry of Costa Mesa to enter u the above4escribetl property for inspeGtion purpose I agiee not to y or allow occupancy of any builtling aul �i d by thi rmit until fin ��eyr� 05. IZ •OB SiB��ure of Lega1 Owner�s) Date Q MC/w A�thMzeE Appli�nl Dale ' -� Y OF COSTA MESA�/�CON 'Project Address �y5.� _ Aoo�icanYs Mailinn Address � PERMIT Applicant to fill in all ipaces except lhose within �eavY �orGer Iines antl sign all aoaropriate Ceclarations. Owner"s Name ./.1 �✓c - K�` � ! �I�:�� Phbne �/�7�D"' �"' (� � Add�eu —(.;�� '"�� Arch/Eng. Licenu No. Address ' Contracm 's Na e N,.�I Phon l�y� � Addresslr^';��^;� _ .��/ w� S�" � � City License No. �� LICENSED CONTRACTOR DEGLAHATIpN I hereby affirm tha[ I am licensetl untlei vl5ion5 hart¢r 9(comme cin9 with sectlon 7000) of Division 3 ot th usines n Prof sslons Cotl anE my Iicense is in full force tl qftect. t� Licenze las � ce e N ' � Date � � Slgnature IWOqKERS'COMVENSATION OECLARATION lereby aifirm lhat I have a certifiwte of cor�sent ro self-insure or a certiticate Workers' Compansation Insurance, or a�ertltietl cooY thereot (Section .00, Lab. C.) Policy No. CompaAY BCe�tifietl copY �5 hereby fu�nishetl. Certified copy is (iletl with the city Builtli�9 Dlvizion. Date ADP��ant EXEMPTION FROM WORKERS' COMPEN ATION DECLARATION (Thlsseclion neetl nol be completetl if the miI IS for ne �untlretl (E100) o� less). I cet�ity that In [h¢ perfo�mance ot the w r�or wh Is pe� �t 5 is I snall not ¢mploy any person in any ma so a ecoma �ec the Worker Fyrtf�ns lon Laws of Califor ` Date �Signature NOTI �: It, after makin9 this aeclaratlon, you shoultl Cecome subject to the Workers' Compensation provisions ot the Wbor Cotlo, you must forthwith comply wilh sucn provisions or thi5 pefmit Shall be tleemed revokeG. CONSTRUCTION IENDING AGENCV 1 hereby affl�m Ihat there is a conSt�uction IePtling a9enCy fo� lhe perfo�mance of the work tor �which IhiS permi[ is �SSuetl (SeGtion 309] Civ. C.) Lentler's Name Lentler'S Adtlre55 OWNER BUILDER DECLARATION I hereby afflrm Ihat 1 am ¢xemp[ trom the ConVactor'S License Law tOr the tallowing reason ($ection 1031.5 Buslness a�tl Professional Code: Any city or couaty which require5 d pe�mit to wn5[ruct, alte�, Imp�ove, tlemolish or repair any structure, prior to Its issuance, also reqNires lhe applicant for zuch oermit to file a signetl ztalement Ihat M1e/she is Iice�S¢tl pursudnt to [he p�ovisions o/ tne Con(ractor's Litense Law (Chao�er 9(mmmencing wlth Section ]000) of '1ivi5ion 3 at [Ile BuSin¢ss antl Pro(e55iOn5 Cotl¢) of tllat he/slle is e%empt =refrom antl Ihe baSis for the allegetl ex¢mptlon. Any violation of Section �31.5 by any applicant Por a permit subjects lhe applicant to a civll eenalty of not more [han five huntlretl tlollars (5500). LJ I, as owner ot the property or my err�Ployees with wages as their sole compensa[ion, will tlo tbe work, antl [he sivucture is not intentletl or offeretl for sale (Sectlon 7044, Business antl Professional Cotle: The Contractor's License Ldw tloe5 no[ apply to an owner of 9 Properry wha build5 or improves thereon, und wno tloes such work himself/nerself or tnrou9h his or ner own employee5, prOvitletl tltat suCh improvements are not Inlendetl or offeretl for Sal¢: If, howeve�, lhe builtling or improvemRnt I5 soltl wl[hin one year of com- ple[ion, tne owner will nave the buraen of proving he/sne tlitl not buila or im- ��ove for th0 pu�pose ot sale). I, as owner ot lhe proPerty, am exUusivery conlraCting wilh licensetl con- t�ac[on to consVUGt Ihe project ($ectlOn 70A4, Business antl Protessions Cotle: The Contractor's License Law tloes not apP�Y to an owner of Oroperty who builtls or improves tnereon, an0 who contracts for such projects with a con- Vac[or(5 ❑cenie purzuant to ihe Conlractor'S License Law�. I am aware that O�oof O� (haU Worker's Compensation inSJrance shoultl be provftletl [o me. ❑ I am exempt unaer Section B. & P. C. tor this reason Date Owner _ I herebvi cer 'f Ihat I ave reatl this above nances repre- ty tor TVPE OF CONSTRUCTION LJ NEW LJ ADD �K.LALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ � A P�. DESCRIPTION OF QR�K/USE O�F/�BLDG. 0�'' �C - �:-� YL.W(1-�= //).��n5R hid . �/�'i9.��'l7�-Cc Cl��fid _ !' 4[S S Main Buildi fi TVPE OF PERMIT LJ GRADING FOUNDATION STRUCTURAL � T F�ont ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A PROJEC7 DESCRIPTION SQ. FT. ,Q �� ocCUPAN�CV/-��-- C Ri9ht CONSTRUCTION TYPE VALUATION S �iC.LGW. S Left ZONE GRADING CU. VDS. ACRES ping. Ref. # Remarks: Planning Notes: Bar Sink Back(low Preventer Backflow Irrigation Bathtubs Jrinking Fountains � =1oor Drains =1oor Sinks 3as Service � Outlets Inrerceptors Kitchen Sink � � Lavatories ' '-Trap Root Drains Reinspection Fee $15 Boiler Dutt � Under Ground �Uct - $LrUCmrel Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fect. Blt. ICBO # Heating System & Ducting ❑ a ioo,000 eTu O i oo,000 eT� I Signature � � � 'V at II � u� � Drivers' License or 55 � _ Reinspeetion Fee CMF 0865-46, rev. 10/B4 WM1ite - Builtling; Canary - qpp�icant; Pink - Accounting; Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wesh �aundry Trays laue Fee Hood or Type I ❑ � Canopy Type I I ❑ Refrigeration SVstem ❑aioo,oaoaru ❑ioo,000 System Repair/Alteration Fire Dampers Registers . laue Fae FEES $ 3 $ 3 Automatic Washer Construction Pole Sub. Cooking.Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Bozes Outlets Switches Garbage Disposal Generator 00.5 KW C Fee 7491 II/19/86 Zone Accessory Building: . Parking Req./Provided ELECTRICAL . Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter �over100amps Sub Panel Motors �0.1 HP �1'h � 8 Inc. Solar 09-15 HP 016-15+ Microwave Pole Light � Range Standing Sections 5 KW Trash Compactor $15 Issue Fee DEVELOPMENT SERVICES REQUIHEMENTS: 2oning APProved By Building Approved By —� 25.�0 TL� $ 3 2 O N I N G R E � M T $ ' SUM�M� VpO�/E�FEES � BUILDING PERMIT �$ �'LL{1 SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ � PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL 5 GRA�ING 5 PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ �.�, v PLAN CHECK 25% $ /C�O�NSTRUCTION qND PLANNING POOL & SPA '. APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary ElectriC81 Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnc�. 53. Steel Reiriforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit,Undrgrnd. 55. Electrical 8onding 5. Steel Reinforcemeni 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, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 1Q. Structura! Floor System 67. 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 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. 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 ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Ftush Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. o f Sheathing � 74. Overhead Hydro ' . 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 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 pomestic-Final 42. Backflow Prevent�r • 43. Backflow Irrigation 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations , ' 47. FINALSTRUCTURE&BUILDING r�j /S • 48. Special Requirements Completed � � 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY � No, Date � GENERAL CONTRACTOR Same AP. No. ' LOT KF, TRACT 4l i GROIlP TYes V INSPECTIONS coat -t_/ VA' ? S 9a$7fi_(ttl !IRE ZONE DESCRIPTION OF WOkn Rr�a w�att �-, ZONE �RIl PLAN NO. �,9f1'3 DATE � SUBCONTRACTOR PER � .� 520� COSTA MESA BUILDING DEPARTMENT P. O. 80% 31 � COSTA MESA, CALIFORNIA MAIL ADORE55�/ CITY IL1 AftCNITECT OR ENGINE ADDRE55 FOR APPLICANT TO FILL IN MESA. CALIFORNIA � FEE RE; :IVED MAY 2 1 196i •� FINANCE DEPT� CITY OF COSTA.MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY �NO.�� /�'/d� BUILDING [ � ADDRESS ��c. COSTA MESA. GALIFORNIA NO. FIRE ZONE ADDRE55 �� C�— �ecn� LOT j /� OESCRIPTION NO. `� v BLOCK A.P. NO. SRE OF LOT SETBACN LINE FROM CITY LIC.� NO OF BLOGS. Q I ON LOi REAR YARD � / SIDE YARD RIGHT LEFT F � � DESCRIPTION OF WORK NEW ALTERAT�ON I ADDITION REPAIR I�1 �MOVING IOEMOLISH 5 ZiE �ING / / </ � �` ROOMS � STORIES / EXTERIOR WALL ROOF ,1� + rnvcAivr. i - �LCt-n COVERING ✓�'�'��- ( yt ci .C� //�L>��24 CORRECTIONS .�LLL J� �"I� �- I MEREBV /�CNNOWLEDGE TNPT I H�VE REPO TMIS RPPLICtiION <NO STpTE THFt THE PBOVE IS CORRECT /�Np AGREE TO COMPLV WITM wLL CITY ORpINFNCES wN0 $TwTE L�W$ REGUL�TING BUILOING CONSTRUC� T��^'� � � I VALUATI ON SiGNATURE OF � �1�� LDA,. / II��j�jL� PERMIT FEE $ oZ �' PERMITTEE �"�� ' �'7 �1 X�/ � PLAN CHECK $ g C1 10 ! AUTHORIZE� AGENT TOTAL FEE $ 36 � veMr