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Home My WebLink About920 Olive files (1)city of *Aq lu � 5- �� _ fy .-. .-.J... "..1. 1--1 ... �l Project Address 920 OLIVE Assessor's Parcel Number 001-202-010 Legal Description CY SLO PTN BL 73 & ABD ST Project Description ROOF - NEW SHEATHING FOR COMP SHINGLE Permit Type X Building Mechanical Electrical Plumbing Sign Demolition Grading Property Owner PATEL RAMESH Occupant/Business Name HOMESTEAD MOTEL Mailing Address 920 OLIVE ST Architect/Engineer City/State/Zip SLO CA, 93405-2360 License # Contractor STOUT & STURDY ROOFING Contractor's Phone No. 805-349-8374 Mailing Address 323 CAPITOL DRIVE Contractor's State Lic. No. 804367 City/State/Zip SANTA MARIA CA 93454 Project Manager LES STOUT Project Manager's Phone No. 349-8374 Lender Name Lender Address U.B.C. Group R-3 U.B.C. Type V-N Stories 1 Codes: UBC 1 NEC 1 Census number 434 Residential Alteration or Addition Dwelling Units 0 Motel Rooms 0 Valuation Residential Alteration/Addition/Conversion 4,000 $4,000.00 Building Permit Fees Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit Miscellaneous Charge/Credit Investigation Fees Microfilm Subtotal Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Fire Safety Surcharge Construction Unit Tax Water Impact 0.00 Area - Water Meter Installation Wastewater Impact 0.00 Area - Traffic Impact Affordable Housing Public Art 104.25 0.00 103.75 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Fees 104.25 Balance Due payments 0.00 Amount Date Receipt Payment #1 104.25 03/10/03 8279 Total Paid 104.25 Application Number030250 Application Date 03/10/03 Permit Number 17750 Issuance Date 03/10/03 Total Building Value $4,000.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: ❑ 1, 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project Not applicable. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. Certified copy is filed with the City. Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE 1 certify that in the performance of the work for which this permit is issued, hall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of California ❑ Not applicable NOTICE TO APPLICANT' If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city 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. Unless noted under "Special Conditions" this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: Comments: f Address File Authorized Agent or Owner D01v =JUu0-1. BUSINESS No. iiilllillP�l�ldCIty of $aC, tuis "`^"Y" �v�,� BUSINESS TAX CERTIFICATE APPLICATION Finance Department a (805) 781-7134 a 990 Palm Street / P.O. Box 8112 ■ San Luis Obispo, Ca 93403-8112 Application for: ❑ New Business ❑ Change Business Name ❑ Change of Location Change of Ownership ❑ Change of Mailing Address * Confirm with Community Development that the business is consistent with city regulations prior to establishing your business location. Community Development Department - (805) 781-7170 - 990 Palm Street - San Luis Obispo, CA 93401 • Lower Level City Hall X Business Name / " •"]C '- 3 C'; c -' u ' !c..�'� - 7 Business Phone Doing Business As (DBA) OR In Care x, Legal Status (Corporation, Partnership, Sole Proprietor] 2 o 1 Business Location Suite No. City State Zip Mailing Location U 0 C' Suite No. city- State ZIP } Owner Name �r�C y ' r 1': �� lr C_ _ Social Security No._ _ State Franchise No. Federal ID No, State Sales Tax No. State License No. (if applicable) Business Open Date Gross Receipts List names, home addresses and SOCIAL SECURITY NUMBERS of all principles in the business (use additional pages if necessary) Type of Business: ❑ Retail ❑ Wholesale ❑ Professional .❑ Service ❑ Contractor (State Licensed) ❑ Manufacturing ❑ Property Rental (Residential) Does your business have non-profit status? ❑ Yes ❑ No ❑ Property Rental (Non -Residential) If yes, will you be doing,solicitations? ❑ Yes ❑ No If yes, the solicitations will be performed by: ❑ Owner ❑ Employee ❑ Volunteer ❑ Hawker ❑ Permit # (Issued by Police Dept.) Fully describe your business (Include type of goods or services offered, hours, etc.): Please check one: ❑ Ground Floor ❑ Upper Floor ❑ Number of Employees: full-time part-time Approximate floor area occupied by the business: square feet. Area devoted to outdoor sales or storage: square feet. Are you sharing with another business If yes, with whom: Name and address of Landlord as stated on If this application is for change of location, name, mailing address or ownership, complete the following: Previous Name or Owner Previous Applicant/Representative: I have reviewed this application and the attached material. The information is accurate to the best of my knowledge. I understand the issuance of a business tax certificate does not constitute proof -of compliance with other city, county, state and federal regulations, including but not limited to zoning, building code or other land use regulations (SLOMC 3.01:102). Signed 1q _ Title Date I t / U) Printed on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 0 0 0 0 0 e_. 2020-6313 BUSINESS NO. -J db LI' .�i�. iCity Of Shcl WIS OBISiJO � �'�"'"� ftl&l ��11111111I � BUSINESS TAX CERTIFICATE APPLICATION Finance Department • (805) 781-7134 • 990 Palm Street / P.O. Box 8112 • San Luis Obispo, Ca 93406-8112 Application for: ❑ New Business ❑ Change Business Name ❑ Change of Location I(Change of Ownership ❑ Change of Mailing Address Confirm with Community Development -that the business irss consistent with city regulations rir f oa establishing your business location. Community Development Department • (805) 781-7170 • 990 Palm Street San Luis Obispo, CA 93401 Lower Level City Hall Business Name) —�nAAAC scen , --Z _ Business Phone �'S S�1 �- � San Doing Business As (DBA) OR In Care of I� - Legal Status (Corporation, Partnership, Sole Proprietor) 504c firtpr Business Location ''f-ZU Suite No. — City �� State f�" Zip r,� 3'-k Mailing Location /\,36 Suite No. City, State Zip Owner Name e Efs 1 /,,¢. i FL Social Security No, State Franchise No. Federal ID No. State Sales Tax No. State License No. (if applicable) Business Open Date �� `r Gross Receipts List names, home addresses and SOCIAL SECURITY NUMBERS of all principles in the business (use additional pages if necessary) Type of Business: ❑ Retail ❑ Wholesale ❑ Professional k-drs-ervice ❑ Contractor (State Licensed) ❑ Manufacturing ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Does your business have non-profit status? .j Yes LWWo If yes, will you be doing solicitations? J Yes L3-go If yes, the solicitations will be performed by: ❑ Owner ❑ Employee ❑ Volunteer ❑ Hawker ❑ Permit # (Issued by Police Dept.) Fully describe your business (Include type of goods or services offered, hours, etc.): Please check one: ❑Ground Floor O Upper Floor ❑Number of Employees:_ full-time _ part-time Approximate floor area occupied by the business: 4 Oejo square feet. Area devoted to outdoor sales or storage: square feet. Are you sharing with another business -1' ;:: - If yes, with whom: Name and address of Landlord as stated on Lease If this application is for change of location, name, mailingaddressor ownership, complete the following: Previous Name or Owner Previous Location/Mailing i r) K " _' jX. \ Appiicant/Representafive: I have reviewed this application and the attached material. The information is accurate to the best of my knowledge. I understand the issuance of a business tax certificate does not constitute proof of compliance with other city, county, state and federal regulations, including but not limifed to zoning, building code or other land use regulations (SLOMC 3.01.102). Title 0 Date `f . Printed on recycled paper, ORIGINAL -Finance WHITE -Planning CANARY'- Utilities PINK -Customer �; � �� l.1 � S 2020-6313 city O f -4,an WIS OBI spOI Building & Safety Division • 9y0 Palm Street/Box 8100 • San Luis Obispo, CA 93403-8100 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 920 OLIVE Assessor's Parcel Number 001-202-010 Legal Description CY SLO PTN BL 73 & ABD ST Project Description UPGRADE ELECTRIC METER TO 100 AMP Permit Type _Building _Mechanical X Electrical _Plumbing _Sign _Demolition _Grading Property Owner MJD INVESTMENTS INC Occupant/Business Name HOMESTEAD MOTEL Mailing Address 1621 SUNFLOWER Architect/Engineer City/State/Zip SANTA ANA CA,_92704- License # Contractor ACME ELECTRIC Contractor's Phone No. 544-0700 Mailing Address 557 STONERIDGE Contractor's State Lic. No. 511630 City/State/Zip SAN LUIS OBISPO CA 93401 Project Manager CLIFF LOPES Project Manager's Phone No. 544-0700 Lender Name Lender Address U.B.C. Group U.B.C. Type VN Stories 1 Codes: UBC 91 NEC 90 Census number Dwelling Units 0 VALUATION FEES Building Permit 0.00 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 27.25 Grading Permit 0.00 S.M.I.P. 0.60 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Administrative 7.75 Miscellaneous Chg/Cred 0.00 Investigation Fees 0.00 Microfilm 0.00 Comments: Subtotal 35.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review 0.00 Fire Safety Surcharge 0.00 PAYMENTS Construction Unit Tax 0.00 Application Number 50551 Amount Date Receipt Water Impact 0.00 Application Date 07/13/95 Payment #1 35.00 07/13/95 8687 Water Meter Installation 0.00 Wastewater Impact 0.00 Traffic Impact 0.00 Permit Number 10164 Total Fee Calculated 35.00 Issuance Date 07/13/95 Total Paid 35.00 Balance Due 0.00 LEGAL DECLARATIONS OWNER BUILDER DECLARATION: I am exempt from the contractor's License Law for the following reason: _ 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. _ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Alot applicable WORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of Workers' Compensation insurance, or a certified copy hereof (Sec. 3800, Lab. C) _ Certified copy is hereby furnished. _ Certified copy is filed with the City. 1,-Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE 4:n<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 Worker's Compensation Laws of California. _ Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city 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. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. SMW Conditions: Signaturc of rae[nr, Authorized Agent or Owner Date Address File .a ' IIIIIIfIIfII�IIIflllllll�'ff �IIIIII city Of `c-an WIS OBiSPO Building & Safety Division • 990 Palm Street/Box 8100 • San Luis Obispo, CA 93403-8100 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 920 OLIVE Assessor's Parcel Number 001-202-010 Project Description REPLACEMENT FREE STANDING SIGN Permit Type _Building _Mechanical X Electrical Property Owner MJD INVESTMENTS INC Mailing Address 1621 SUNFLOWER City/State/Zip SANTA ANA_CA, _42704- Contractor A LIGHTING & NEON SERVICE Mailing Address 820 PEARL DR City/State/Zip ARROYO GRANDE CA 93420 Project Manager JIM OR JANET CRAVENS Lender Name U.B.C. Group U.B.C. Type _ Census number VALUATION Legal Description CY SLO PTN BL 73 & ABD ST _Plumbing X Sign _Demolition _Grading Occupant/Business Name HOMESTEAD MOTEL Architect/Engineer License # Contractor's Phone No. 481-4740 Contractor's State Lic. No. 640590 Project Manager's Phone No. Lender Address Stories 0 -4%40 Codes: UBC 91 NEC 90 Dwelling Units 0 FEES Building Permit 0.00 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 22.00 Grading Permit 0.00 S.M.I.P. 0.00 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 74.00 Administrative 0.00 Miscellaneous Chg/Cred 0.00 Investigation Fees 0.00 Microfilm 0.00 Comments: THIS PERMIT IS ISSUED TO REMOVE AN EXISTING NON -CONFORMING SIGN AND TO Subtotal 96.00 INSTALL A NEW CONFORMING SIGN WITH A MAXIMUM HEIGHT OF 25' ABOVE GRADE. Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review 0.00 Fire Safety Surcharge 0.00 PAYMENTS Construction Unit Tax 0.00 Application Number 50564 Amount Date Receipt Water Impact 0.00 Application Date 07/19/95 Payment #1 96.00 07/19/95 8773 Water Meter Installation 0.00 Wastewater Impact 0.00 Traffic Impact 0.00 Permit Number 10186 Total Fee Calculated 96.00 Issuance Date 07/20/95 Total Paid 96.00 Balance Due 0.00 LEGAL DECLARATIONS OWNER BUILDER DECLARATION: 1 am exempt from the contractor's License Law for the following reason: _ 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Not applicable WORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of Workers' Compensation insurance, or a certified copy hereof (Sec. 3800, Lab. C) Certified copy is hereby furnished. Certified copy is filed with the City. Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE NOTICE TO APPLICANT: . If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city 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. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: _ 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 Worker's Compensation Laws of California, 1 U f 1 _,No[ applicable Signatu'r of Contractor, Authorized Agent or Owner Date Address File city of lNn WIS OBI SPO Building & Safety Division • 990 Palm Street/Box 8100 • San Luis Obispo, CA 93403-8100 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 920 OLIVE Assessor's Parcel Number 001-202-010 Legal Description CY SLO PTN BL 73 & ABD ST Project Description DEMO 7 FIRE DAMAGED RMS/2 ACCESSORY BLDG Permit Type _Building _Mechanical _Electrical _Plumbing _Sign X Demolition _Grading Property Owner MJD INVESTMENTS INC Occupant/Business Name HOMESTEAD MOTEL Mailing Address 1621 SUNFLOWER Architect/Engineer City/State/Zip SANTA ANA CA, 92704- License # Contractor OWNER Contractor's Phone No. 714 Mailing Address Contractor's State Lic. No City/State/Zip Project Manager JITENDRA DOSHI Project Manager's Phone No Lender Name Lender Address U.B.C. Group R-1 U.B.C. Type VN Stories 1 Census number 648 Demolish 5 or more unit Apartment Units demolished -7 VALUATION Comments: PAYMENTS Application Number 50497 Amount Date Receipt Application Date 06/15/95 Payment #1 55.00 06/15/95 8325 Permit Number 10108 Issuance Date 06/15/95 Total Paid 55.00 LEGAL DECLARATIONS OWNER BUILDER DECLARATION: 1 am exempt from the contractor's License Law for the following reason: _ 1, 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. _ Not applicable WORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of Workers' Compensation insurance, or a certified copy hereof (Sec. 3800, Lab. C) _ Certified copy is hereby furnished. _ Certified copy is filed with the City. Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE 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 Worker's Compensation Laws of California. — Not applicable -241-0590 543-7700 Codes: UBC 91 NEC 90 FEES Building Permit 0.00 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 0.00 Grading Permit 0.00 S.M.I.P. 0.00 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 55.00 Sign Permit 0.00 Administrative 0.00 Miscellaneous Charge/Cred 0.00 Investigation Fees 0.00 Microfilm 0.00 Subtotal 55.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review 0.00 Fire Safety Surcharge 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Traffic Impact 0.00 Total Fee CaLculated 55.00 Balance Due 0.00 NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city 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. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Spc p6al Conditions: PERMITS ISSUED TO CORRECT CODE VIOLATIONS SHALL HAVE WORK COMPLETED WITHIN 90 DAYS. Signature of Contractor, Authorized Agent or Owner Date Address File AlQllll city of san tins osIspo�! 01 �, I I u - GUARANTEE TO THE CITY OF SAN LUIS ORISPO (with Promissory Note, ❑ Letter of Credit or ❑ Certificate of Deposit) I, the undersigned, hereby place on deposit with the City of San Luis Obispo, in the form of a promissory note, Letter of Credit or Certificate of Deposit, the sum of $ guarantee:_ O T- 1�-n f jm A IMIX AI CLDP 11� n ry , o -�f at the property commonly known as �` to G- within days from this date. If I fail to make these improvements within said days from this date, the City is authorized to make these improvements. If the City has to proceed with these improvements, I agree to pay the City for all costs incurred by the City, including attorney's fees, for the enforcement and/or installation of these improvements. APN:' 1 "��1Lot Block Signed "'"fzy na!'a.lute [ Print rh l u Z� Address _L!Z� [ S u nC�d� 4 67t Phone Tract City of San Luis Obispo Relea" Requested By: city or San luis OBISPO FOR CITY FILING: PROMISSORY NOTE issued to The City of San Luis Obispo, payee (hereafter "City") by c' M 2 / AI C _, maker(s) (hereafter "Maker") who, in consideration for the City issuing a permit or contract involving a construction project under the regulatory control of the City, do(es) hereby promise to pay to the order of the City, upon demand, the su of dl fi dollars ($ FURTHER, the makers hereto waive notice of dishonor, presentment and protest prior to collection on this note. It is the intention of the parties hereto that this Note constitute a negotiable instrument under Division 3 of the California Commercial Code. While this Note is given by the maker as security for an act or work on a particular construction project, demand for payment is not in any way conditioned upon a failure of performance or governed by any other agreement between the maker and the payee. Date Date WITNESS , Maker , Maker (if signed at city counter, a city Date employee shall sign here, otherwise the note must be notarized) If this Note is signed by an officer on behalf of a corporation, the following mustQaalso ber co_mpp'lJeted. U � I,1 _ " � -�9'`-�� /V ��l,„ —,Maker Date As an Individual and not as a Corporate Representative WITNESS Date 58-90 V,;k1%D ISCS CX A%te ;;Voa� COPY n �� . ! MY of San Luis o gIspo PLEASE ISSUE A REFUND CHECK IN THE AMOUNT OF $ 560.14 TO: NAME Jatin Shah ADDRESS: J.M.D. Investments Ltd. 3820 Plaza Drive, Suite D Santa Ana, CA 92704 DESCRIPTION REFUND CHECK REQUEST ACCOUNT NO. Refund 80% of building fees collected, recei t #9632, for building permit #6744 issued 001-0011-017-01i (permit withdrawn) 10-2pt "/- �D � ,QUESTED BY: 'JEST DATE AMOUNT 560.14 APPROVED BY: U I ; � 0 CHECK NO. �� r) ATE I 31-85 /A PERMIT SUMMARY & FEES. This side for office use. Project Address qpr i F Building Suite/Unit Assessor's Parcel Number ,I01 _. _ I_Pop_;3r; - Legal Description ;' M; ; Prly R! -a L �.D, ,c.T Project Description FT F D aQ RFM1iU ! RFFTFF Permit Class �!�ll3ji lE H Permit Type k Building Mechanical Electrical l: Plumbing Sign Demolition Grading Other Property Owner P Y !-qT 1M eTy E7NT:C : TID LTD W.:! i.eaC 0�!!I C.e!ij L.J L I' � HAS -TIN r�_,,Fr7 .'I ?'!iIS Mailing Address 'r; �;?D - FL-1ZH ,�D CltylState CANT A q)j Phone Number Zip Codeg?7,4-00 3 Occupant) Business Name Phone Number Business Owner's Name Contractor's Name :_iA;¢;1�- 7�•' �•1� Licensed Contractor? (Y/N) Mailing Address City/State/Zip Contractor's Phone No. Contractor's State Lic. No. Project Manager/Architect ily�_ '±iLjLlY L j ="�— Project Manager's Phone No. _ 414 ! Lender Name Lender Address U.B.C. Group R.-j U.B.C. Type ;3E! Subject to Flood Zone Requirements Census Census Census Number Description A=Area AID/Y Bldg. Value Units No. of Number Sub -Code D=Dollars per Bldg. Code per Bldg. Bldgs. Y = Yards l,'O7 YJr�i:'-f�Lyiv�?!Tt:._ -•' C *f1�.= Thl n-i T1nrR f r!jiv_1;: �_!. -�vl��`u:t ..!, t, !r! v 45,i,;3.: _ A p r•.t _ f J M� 1 � � r :F �i :.�:a.l �: L: : _ .. _ e Total Bldg. Value Total Bldg. Area or Yards of Grading Height (ft.) Stories Plan No._ �?I_-i'.j.&_ iitih.-.y 'FF 4^r,L .;+ :fT T - ^- p.lhjrC_ Vt_Fitn� . _ 'C. , CCC i,:Cf - - PERMIT )0.5,0 rj-'C't'l tITrEWT �L -� r U lT_iR: l_laT? TIEh FiL E rTRiCL..A Fr-6';T ;; t c :fR NG .CG pT r; C: .i:F': 1C ^< CALF Fq _.__.. .FuJ '.] im rj*i F^.GC- p ki f Lin--K r Ej ALANCL.,E .-3 s Special Conditions: Permit Number�- Issuance Date Authorized Department Representative Date r. ,1 #� Application Number c Application Date j Activity Code Activity Date ='R` Roil