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Home My WebLink About2220 STATE AVE - Building Permits 1 PROJECT ADDRESS: 2220 S TATE AV / UNIT' OWNER'S NAME: DENNO, DENNIS CITY OF COSTA MESA - BUILDING PERMIT PFPM Nil• II ()Haag: ADDRESS: 12352 HAGA ST PERMIT NO: B 064992 PLAN CHECK NO: N GOVT: N SUPP : N 1 GARDEN GROVE,CA 92641 832-3425 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: 0TH ARCH/ENGINEER: REG.NO.:ADDRESS: UNIT: JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 3, 000 X PERMITTEE: CLAIM VALUE: 3, 000 . 00 CALL-VALUE: 3,000 . 00 GROUP OCC : R-3 /M-1 ADDRESS: FRAME ROOFING ( 714 ) 730-0569 1561 MELVIN WY COMMENTS: REROOF 2900SF RESIDENCE & GARAGE W/COMP SHINGLES TUSTIN CA925c80 *********************Br�E+t*****�F9rx-***arac-�F****ar*******9E+r** -*�r*+e ******?E*******a;B:rF*-tc LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of hapter 9(commencing with Section ti q®�,py 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. Z ON ING R EQU IR EMENTS pxE y„ ®�C"��o� CITY tic.: STATE tic.:6 61 17 6 class: C 3 9 SETBACK S • �� Date: // '22 $3. Signature: �...-. x �- i'MAIN BUILDING ACCESSORY BUIRE�U Q WORKERS'COMPENSATION DECLARATION: (hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers'-711 FRNT: FT I N REAR: FT I N FRNT: FT Z N REAR: r�1" 'R-�1 N 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.: 1339231-93 EXP.DATE: 01 /01 /94 COMPANY: STATE PARKING REQ: PROV: PARCEL: 42207306 ZNE: REF NO: ' ❑ Certified copy is hereby furnished. Q Certified copy/iso filed with the city Building Divisi7 on. PLANNING NOTES> • Date: //-22 -53 Applicant: G•- ♦ .\ �.�-..-... ********************************************************************44*******Y* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). D E V ELOP M ENT SER VICES R E Q U I R E M E N 'T S 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 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 r l Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. DATE CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; II which this permit is issued(Section 3097.Civ,C). DATE: ,hj 2.2 (�j ********************** **`: - w*********-***********3F,:,E*** .431** LESS:ADDRESS: ***************************************************************#'*************** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I 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 SNIP/RES'. GRADING (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed PERMIT 54 . 00 5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars MOO). ISSUE FEE - - I, as owner of the property or my employees with wages as their sole compensation, wit do the worn, and the BUILDING-DI V-> 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----> 5 4 . 5 0 0 . 0 0 0 . 0 0 5 4 . 5 0 5 4 . 5 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through . 00 his or her own employees, provided that such improvements are not intended or offered for sale.If, however the building or :t 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 : 54 . 50 OVER/SHORT: . 00 for the purpose of sale), BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 1.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 , 5 0 ❑ 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 acontractor(s)license pursuant to the Contractors'State License Law).I am aware *,************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ f am exempt under section: B.3 P.C. IND I V IDUAL F E E BR EAKDOWN c for this reason- . TYPE QTY DESCRIPTIO N UNIT COST 'rTOTAL COST Date: Owner: SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3 , 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and , 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 END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: .� I hereby certify that I 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 property for inspection purposes. �/j� r� Date: (l�Z7�'S 5 Signature: Ci'�"` ) '/"`—`- 01 0015103S-00151039 TOT 54,50 Driver's License or Social Security DATE: 11/22/93 TIME: 09:59 164146 White-Building:Green-Code Enforcement Canary-Applicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit ?k 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. a 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 {{ 25. Roof Sheathing l &-2)-47 4 4'6'- 74. Overhead Hydro 1 26. T-Bar Ceiling (Structuratl & 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 Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation r 44. Landscape Irrigation Sysjem 45. Sound Attenuation 46. Handicap Regulations ; ' Y 47. FINAL STRUCTURE $r BUALAING �/... 43 - L 1J ,Q., ea. 48. FINAL PLANNING t-:,. ��C,_ Off{" f6ut�� 1 Cr e w� 49. Electric Release to Edison,, t� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date _. . . _ , — - . , ' IT - , „ - • .- . -' ' • " ' / . . . • - - -- • - - - . . . , . - - - . . . . _ . . ' • , MWW"1?"'ait 2220 STATE AV • . UNIT: ' ! CITY OF COSTA MESA 7- , BUILDING PERMIT PERM NO: E ;046734 • •.. . OWNER'S NAME: DENNIS' M DENNO' , . . •, , . . . . . , --. ADDRESS: 171JBROOKSHIRE • . . ' - ,.; N. GOVT: N SOPP : N • . PERMIT NO: E • 046g34 ' , PLAN CHECK NO: : • TUSTIN Cl' 92680 . .. . .• ' . , • , . ' ' • . . . . . • • CONSTRUCTION TYPE: - : , . .. PERMIT TYPE: EIE : PURPOSE: 0TH ' • . . • , . : ' - • . . . 832-3425 • ,.. - . ' • • . • - - - • . • . . . . • ; • ' ARCN/ENGthEER: • ' - • . ' l.i REG.NO.: . . '00B DESCRIPTION : REPLACE 200 A MAIN ' SQ .FT: • • .- ADDRESS:: . '• • .• . . . ' UNIT: ' . , . • • • , , • • I . . - . . ' • • ' - .. . . . . ''I, ._, R OCC • . . . • : -3 . -4 . : ' % '• , l ' ' • ,... CLAIM VALUE: CAL( -VALUE: -: , ' GROUP , • .. .-- mmirra: DENNIS' M •DENNO ( 714 ) 832-3425 Ama"P , ''' • . , ' . • - - , t . : 1711 BROOKSHIRE . • COMMENTS: 'REPLACE 200 A MAIN' PANEL ' . - . • , .. . ,,, , • -• . . . . ...., TUSTIN: . CA 92680 1 -.. ., LICENSED CONTRACTOR DECLARATION: I hereby affirm that Ian;licensed uncle):provisions of Chapter 9(co-rnmencing with Section - ( • ' :Z 0 VING- . R . EQUIREHENTS , of, 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. . • ... : • . ' ' . • . S• E •tBACHS : . • . . ' • - • . • CITY LIC.: STATE UC• . . CLASS:• • l . , ' • • . ; • • .. - . . " ' . .• • , . ' . . . .. Dale: 1 . .. . Signahini: - . ------H----- MAIN BUILDING : ACCESSORY BUILDING : ' , : . WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a cenificate of consent to self-inure or a certificate of Workers" FRN -T•• FT IN. REAR : FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C), - LEFT: . -FT It RGHT: FT IN ,LEFT: FT. IN RGHT: FT ' IN: t : . i . . - POLICY NO.: . :, • EXP.DATE: . . . ' . . I , . PARKING REQ: PROV: : PARCEL : 42207306 ZNE: REF NO: COMPANY: l . .. : : . , . . 0 Certified copy,is hereby furnished.. 0 Certified copy is filed with the city Building Divilion. ' , : PLANNING NOTES> . . ' • - • - - • -,- - • - - - • • . .... .. .. . . .. , - - • ;i ' • l .,Date: • • , Applicant: , •. • ., . • EXEMPTIONROM WORKERSCOMPENSATIONDECLARATION (This section n:,.-•not be completed if the pe•••• '- or one hundred($180)or less). DE ,VE. I. O. P. MENT 57E 'R 'VICES REQUIREMENTS • , • , I certify that in the performanc of the work for which this permit is i -••i .hall not employ any.-son in:ny manner so as to become . , " • . 4 subject to tlfV ZONING APPROVED BY:ers•Co nsation Laws of California. • . DATE . ; • , • —_ Date: ' 471e9 flo — Signature:* / 011- A 4, ...,- 4 . -, - . . ,.... . . ' ' • • , i. ... . . , ,...--....._ I NOTICE If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor ; BUILDING APPROVED BY : ,. - DATE: ;a Code,you must forthwith comply with such provisions or this permit shall be deemed revoked., , • - .se- , CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction ending agency for the performance-of the work for APPLICATION ISSUED. BY . s • • -_-=ss - DATE: >;r4,.. 7-Ar:•*-,,Q . which this permit is issued(Section 3097,Civ:C), : • • *,***************.****ie*.WR rinn(-)Eini7732-7-inf4( yr '.• -T(.7F-41F********.14 i 42: in- 7-1. 1 , LENDER: I(.*******************TUT**TT***TT*ifilk.l+,44 TE 4* . . . .•• ADDRESS: - "•-• — • ' - •• • . • L EGAL I•ZAT IOW: Y • •• F,.- E cE , S U.. M A R. Y ..:- . , STRUCTURAL SEGMENT :N t • . . , • . 1 cii, • . , , . ... • , . • . . - OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Lacy 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 : . . 37 : 0 . : . repair any structure,prior,to its issuance,also requires the applicant for such permit to file-a signed statement that he/she is licensed • .- • . , :30 % SMIP/NON/NON---RES' pursuant to the provisions of the Contractors'State license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business .A, . ' ' , and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ' Plt.a14 - • .' ' _. ' . . • . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundrekdollars($500)• . : : : ISSUE FEE - ; 15 . 0 , , • . . ' '" • , . r • SD I, is owner of the property or my employees with wages as their sole'compensation;will do the workBUILDLVG-plAT-> PERMITISSUE PLAN-CHECK TOTAL PAID DUE , and the ' • 52 sU stnicture is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS-7— A. 7> - ,- 37 . 00. -5 . - 0 . 00 . 00 52 . 00 . 0000 . does not apply to an owner iiat a property who builds or improves thereon,and who does such work himself/herself or through ' . . • • • ' -; -, his or her own ethployees,providerPthat such improvements are not intended or offered for sale.If.however the building or , REVENUE DIVISION TOTALS---> ' COLLECTED : ' ' 52 ,00 OVER ' . . 00 improvement is sold within one.year of completion,the'owner will have the burden of proving he/she did not build or improve ( for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK • , i ,, • ,.: . . . . , '.52 . 00 , I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business , ' , • , f • . ' 1...1 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'State License Law). I am awarefi(*******x)4**********Mr*** • . TOTAL COST that proof of their Worker's Compensation insurance should be provided to me. : . • .• I 1,1 b I v I D U A• L F E E BREAKDOWN, • , . LE I am exempt under Section:704 ti B:8.P.C. ' • , • • - • • tor ihis rea n: /IRING LIC. CONTRAC DB i: /1., : TYPE ' QTY DESCRIPTIO V ; . - UNIT- COST, 29 0 - 7. a . • . , . , . . - . , ...-- Date: 4 3 Owner: • 1350. . ' I. SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 . . I do hereby certify that I am aware of and understandfthe requirements of California Health and Safety Code Sections 25505,25533,and : ELF: . , • END OF .FEES . - . • . • s : - 1 '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 • • - . . these provisions. . , , . .. . - • ' , . . . . • • • • . . • • . , . Dater • . , ' ' • • ' • Applicant: . . . • . ' • • I hereby certify that I have read this application and state that the above i i ation .correct.I agree to comply wi' . ci and county . . , ' ii . , ' , , . ordinances and state laws relating to building construction and hereby aut.-rim represe•atives of this city to enter ui.• the abo --mentioned , , . ,. . . . • ., , property for inspe ion pure es. . . • ' 7 , . . .. , . 2 , • , • , 52.00 _ ate „../ 9 9a . • Signature: • /0' A... 4 • _, A , • , . • • . Oi. 00057316,00057316 T Cer . • . . . DATE: 03/29/90 TIDE: 10:43 • Driver's License oi Social Security . . • • , • • . . , • • • • . • , , '1641-46 White—Buildino;Greea—Code Enforcement:Canary—applicant;Pink—Revenue;Goldenrod—Assessor - • - . ... . • • . . .. .— .- . • . CONSTRUCTION AND PLANNING - POOL & SPA - l� . • Date Inspector Date Inspector r . 1 APPROVALS Permit# APPROVALS .Permit# , j.1. Temporary Electrical Service or Pole • - - .- . 52. .Pool &Equipment Location ' • J ,2. Soil Pipe-Undrgrnd. - - 53. Steel-Reinforcement _ ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - - ., 4.:Electrical Conduit-Undrgrrtd. - - 55. Electrical Bonding • 5. Steel Reinforcement - _ 56.' Rough Plumbing & Pressure Test • - 6. Electrical OF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings - • - 58. Electrical Conduit-Undrgrnd. 8. Foundation _ - 59. Gas Pipe, 0 Undrgrnd7, 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 - / I 64. Plumbing System - Final , ,'.- I 14. Rough Plumbing - r-. 65. Electrical-Final' / 15. Rough Electrical-Conduit66. 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'F I NAL - - • 19. Rough Heating 8-Air Conditioning - - - - - _ FIRE DEPT. REQUIREMENT - ' 20. Rough Factory Fireplace - - APPROVALS Permit# 21. Ducts, in:Strueture - • 70. Underground Hydro 22. Ducts, Ventilating • . - - • 71. Product Piping 0 Gas' 0 Oil 23. Gas Pipe-Rough & Test - - -72. Underground Flush • 24. Roof Framing ' 1 _ .73- Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - - 74. Overhead Hydro. - , 26. T-Bar Ceiling (Structural) &Monocoat 75cDry Chemical _ 27. Frame and Flashing- - ';. 76. Dry Standpipe 28. Lathing& Siding _. I 77.- FIXED SYSTEM FINAL 29. Insulation ' 11-. 78=FIRE PREY. FINAL •• , 30. Drywall Nailing - 1/7 - . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat_ . . ' i! . FINAL INSPECTION 32. Electrical Power Meter-Final iontp - . FOOD CERTIFICATE ISSUED- . 33._Final Electric •- .1.41.4 - - 34. Final Heating & Air Conditioning -. i 1r - 35. Final Gas Pipe-Test .. • i'!+'4 - = - ' 36. Hood or Canopy _ 4 /;f +� = _. - • ' . - -37, Final Factory Fireplace- r-• .1.--`r 38. Final Plumbing ( ' '` _ ' r39. Water Service-Final, , v I '\' . - , 40. Gas Service-Final - . -41. Solar Domestic-Final - - - • - - 42. Backflow Preventer ' 43. Backf low Irrigation.. , 44. Landscape Irrigation System r - - . • ' 45. Sound Attenuation 1 - - • •46. Handicap Regulations • • - -• - • - _47. FINAL STRUCTURE & BUILDING I.•/' • ' 48."FINALPLANNING • ' • • 49. Electric Release to Edison . - � ' 50. Gas Release to Southern California Gas Co �F_ - - ' 51. CERTIFICATE OF•OCCUPANCY s No. Date .1I . . • 125(x7 FEES cFED COSTA MESA BUILDING-SAFETY DEPARTMENT cam' P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATICY ONnFORUSTA P RMI T TSA TYPE OR PRINT 1G� BUILDING ADDRESSILDINr� 2220 State .t.t r , COSTA MESA. CALIFORNIA For Office Use Only OWNER Columbia Homes, Inc. RECEIPT NO. 112 qpE 5177 MAIL RECEIV BY I DATE RECEIVED DATE ISSUED ADDRESS 1533 Baker St. f I: TELBUILDING .(7131.1. L """' CITY Costa Mesa, Calif. NO.. K19-115- ADDRESS ARCHITECT Carlson & TEL. COSTA MESA. CALIFORNIA OR ENGINEER Middlebrook NO. LE977L7 ADDRESS • Garden Grove FIRE ,/ p/�,I� 7� 7�p ZONE TYPE / GROU / vy CONTRAlt+th7 & Colegrove, Inc. APPROVED 1969 BY IDAEt 1 � �, ADDRESS 1533 Baker St. ZONING Costa Mesa, Calif. zO NO.OF ^ ' USE OF NET} I� W CITY 1 '�_,� I PLANS 4/' BUILDING L 1 ' / /Y !TATE 167293 TEL KI 9-1151Lot 6 Tract 3717 61� 6 LIC.NO. LEGAL DESCRIPTION � SIZE 6o NO. OF BLDD OF LOT w x 10G NOW ON LOTtho ne A.P.NO. (Th----(,L- }L USE OF YARDS EVES none EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.I / .� CENTER OF STREET 45r REAR YARD 231 FRONT ,/ 3 FT. IN. SIDE YARD LEFT 5' I RIGHT 51 R.SIDE ILII FT. IN. DESCRIPTION OF WORK L.SIDE 3 FT. IN. NEW I X I ALTERATION I V ADDITION I REAR ."JS3 FT. IN. APPROVED 1 ^� \ REPAIR MOVING DEMOLISH BY \Ar) J DATE ,--? 105) SSIZIELROOMS 10 STORIES 1 C' EXTERIOR WALL ROOF ll// COVERING Stucco I COVERING comp rock USE OF BUILDING AND WORK TO BE PERFORMED Multiple family dwelling with attached garage (two living units) Plan C Gar 420 sq. ft. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONBTCRUC710 ..,Q MKT t L _ / VALUATION SIGNATURE PERM IMFOF i "/,"` `/� PERMIT FEE $ 37.00 111, Dike & C egrove, Inc. $ 17,926120 PLAN CHECK $ 18.50 AUTHORIZED AGENT E TOTAL FEE 3 55.50 0