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Permit File 3807 O Avenue
Y C)'` : Cityof Anacortes Gj Invoice/Permit#: BLD-2017-0103 904 6th Street Applied date: 03/01/2017 P.O.Box 547 Issue date: 03/01/2017 1.- 10' Anacortes, WA 98221-0547ktV Expire date: 08/28/2018 Job Address: 3807 0 AVE Permit Type: Reroof Single Family Residence ANACORTES WA 98221-3926 Project: APN: P58761 Remarks: Replace three layers of composition roofing with one layer of composition. Owner: BEIRNES ROBERT L Contractor: MT BAKER ROOFING Address: 3807 0 AVE Address: 3950 HOME RD ANACORTES WA 98221-3926 BELLINGHAM WA 98226-9147 Phone: Phone: (360)733-0191 License#: MTBAKRI055ML General Information: Fees: Occupancy Group it-2 Building Permit Fee 167.25 Building Valuation 8810 State Building Code Fee 4.50 Total Calculated: 171.75 Deposits/Receipts: 0.00 Total Due: 171.75 22 a.ai 17 I n•.. r Z IAI it. N 4s. Q o-•,. *u QJ c-i F+ r. rl rh r+ I I IP CI ,-I- r, .71 0 M11 r- J I 74: "i .,, I M Ili sD e ;7 iJ "II TI THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS•'OR ,l CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCEI HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PFOVISIbN$ OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR,,NOT,` 1 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER;STATE__•QR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I I SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED re rn n ?' 2}-i (003 PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT rr . x , RE-ROOF PERMIT APPLICATION Mailing Address:P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360)293-1901, Fax: (360)293-1938 PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS RESIDENTIAL COMMERCIAL 0 PROJECT ADDRESS(Street,Suite#): PARCEL(s)#: 3 .1 aNi Psvivl Subdivision/Lot#: PROJECT VALUATION$ APPLICANT: Phone: Fax: M�' 13a,i�-:.r ►n 3100_733-0i411 Address(Street,City,St te,Zip): E-Mail Address: ti(14)0 1d-i%'rv+e. 22 , tat' Ilihjltyr4i4-1 1/1/0- ale Z2 fO rinYga ert nifba -rwrih y •GOw� PROPERTY OWNER: Done: Fax: ?)ccb 31a0- — tool Address(Street,City,State,Zip): E-Mail Address: Y� `' 7 0 V ve,1 Anti 141i-(4, 6I2221 V eIVI P-1 L CONTACT PERSON: Phone: Fax: Address(Street,City,State,Zip): E-Mail Address: CONTRACTOR:* Phone: Fax: til - 54,10-r - IZuJ- h..q b0-'133--f/�Iq 1 -133�'t !�i 2 Address(Street,City,State,Zip): E-Mail Address 361G 0 •Aurv►.e, 1Z.a, �i'�iir►c���tm1 W Y+ ' 2-26 ey)nv u,r✓®md-biked-roo,4-v, �d ontra or's License# Exp.Date: *All Contractors&subcontractors must have a valid City of MT 13 tifK-IZ �.{ +-- 5"Ll-1-1 Anacortes business license prior to doing work in the City. Business License#: Exp.Date: Contact the City's Finance Department at(360)299-1968. PROPOSED WORK: PIL✓vl0Vt. 2) IA.yw,rs 0-c GUripc ,;-ham r-00.[-'ihol 4444 i{ v'eji e GI.I.-f V YC'1-1;r'1 p( TYPE OF ROOFING: corn,p.5i-Aen. NUMBER OF LAYERS: '7) CLASS OF ROOFING: A ❑ B ❑ C NUMBER OF SQUARES: 2 I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Anacortes. Print Name: iCn'k't& ('l(A,Y ' Owner 0 Agent 114(specify): Signature: `.�AA,4,-)\ W"' Date: 1 ! 3()i Page 1 of 2 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT C.'� `� ' RE-ROOF PERMIT CHECKLIST r, y Mailing Address:P.O. Box 547,Anacortes, WA 98221 vi, ''P' F Office Location: 904 6th Street, Anacortes WA 98821 "' -'"" Phone: (360) 293-1901, Fax: (360) 293-1938 RE-ROOF: OCCUPANCY GROUP: ❑ OFFICE 0 CHURCH 0 SCHOOL 0 RETAIL ❑ RESTAURANT INSTALLING OR REPLACING SHEATHING: 0 YES N NO WORK SCHEDULED TO BEGIN: Ma��1,ti 11 WORK SCHEDULED TO END: M a/ik 2_0 f / ROOF SQUARE FOOTAGE: %�k 3'�pt!n - � agdm•WM .a J. h Ee t .y'�' }D °PE 63 B,,,, v �:t s 1w:. '-, t_h .?u, , s. .1 . , . ..,: .z .,.:! eig' 2. .,5t.1 .aaaz,.w.,..e.„t:,4{, zt Ufa Orelkiept 1 a ,-i .c a v%S E�z r,M �^ `-prod Pa ii a r t a X,&' � t"4 `��, , =e � ��t�, ' ,,,w.:_,.. ,i-01.4 44,-.., ve ..y.:,-,„-_-: ..,45!. „,,,,,w,k,- "3., rr, ..-., •'-. ;:_f,07,44.74-44.- ,i,4_ 4 re„.:'i,,,,.",' , ,i=„, '.-,40,DS-111--ge=-'"-;,„kia' ,,,, , . , , , _ ,,,i.,._,.,A,,,,„i:,, , iV -ti9 i ,, a e kg.$5 f sub zta?(Z a',.X...I. ,, . e gg azoitof K,„„ 0.;01 ," valt4dee,'...,..:WIVIANIAitti-tie4V11-114;40.f ..40ka,'1‘.4.0.01600;,..:Vit,.,-"z .Lt„,,,ii,"; "-';,. ', . :!,:.1',..„.65P.41;.* mpg,74-k',q,-,r A...!,.;? -Ail vi:41',44,,- ,,,,,,,i,':-#1,76 4.4,V.4„,rpors•,.6,*1, lop,%npril:,4:1 it& KIVit Ed,•'' „: , '.1,,,,,,Ri,',:ra-,Art, b 3 Re-Roof Permit Application 1 1 Site Plan 1 Pedestrian Safety Plan 1 Installation Specifications and U.L.Listed Roof Assembly 1 Building Inspection Prior to Work-When Deemed Necessary Final Inspection&Approval once Re-Roof is Complete- I j Performed by City of Anacortes' Building Inspector) 1. The applicant is responsible for providing a method of safely accessing roof for inspection. Page 2 of 2 a Engineering and Development Services \„ PO Box 547,Anacortes,WA 98221 Telephone 360.293.1920 t ' Fax 360.293.1938 E-mail engineering@cityofanacortes.org RIGHT-OF-WAY PERMIT APPLICATION Submit this application pp ation and $50 fee at least 14 days be fore efore the transport. (City completes shaded sections.) b__fS PERMIT �,1 `J1T 53 0 f\OC'rue__ NUMBER: -2O1O-0 ) CONTRACTOR INFORMATION OWNER IN ORMATI azyst1�z'LName . Name /1 /'e--- 1,e/'Zs ' Address / e, Address 4,, 2,7 ' `e ► City + "Wtj' ' City 44.4eeder State .,,..A-1;9' Zip 94M.. •� f State -- •" 7 Zip 9. '.2 Telephone 9'9. or,.,e) 4 Telephone ,z,"'3: .4 jf Cell Phone . efr ,yL4--- License Number dDce e_7-10 ft/od ,— Bond Number 4:54.119,t' PROJECT DESCRIPTION (Attach route map.): 71 - Continue on back of form if necessary. T IC CONTROL PLAN: r .0‘er SO' Continue on back of form if necessary. APPROVAL CONDITIONS: Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of- way must be bonded. The applicant and owner must use warning signs, traffic control, and barricades as necessary to ensure public safety. The applicant and owner must restore the right-of-way to previous ow condition. The applicant and owner are liable for damage to public and private property. •r,9 City Approval Signature D e Applicant Signature Date Proposed Developed Alley on Existing Undeveloped (-) Alley Right of Way 10' set back Car ' a Robert Beirnes —tst. 3807 0 Avenue Proposed Alley Dimensions 12' x 125' length. Excavate/remove approx 47 cubic yds dirt/debris Install approx 37 tons Lakeside 3" minus to make 6" compacted base. Install approx 12 tons Lakeside 5/8's minus 2" depth for compacted top driving surface. ,DurtWurks Beirnes Alley Drawing 12102009 All Gravel. . . 'yyn , DUR'T.,, ,,,.,--.,--., 'TURKS.. i/ $4,:t,„-,,,,4 41r-- . Torjrti\—TX‘ °°11‘ , te::,;; ....w ,..ioki:44,vii, \ 1...........7. Excavation w Concrete — Septic Installation 1004 Commercial Avenue #1047 — Anacortes WA 98221-4183 Phone 360-299-8706 — Fax 360-588-4625 — E-mail: durtwurksCyahoa.com December 14, 2009 City of Anacortes Public Works Right-of-Way Permit Application Property of Robert Beirnes 3807 0 Avenue Anacortes To Whom It May Concern: DurtWurks requests a variance to the Anacortes City Street Standards STR-15.2 for the proposed alley development listed on this permit. The 6" compacted base of Lakeside Industries 3" minus meets the subject standard and is acceptable for asphalt over paving at sometime in the future. (City has been using same for sewer replacement on city streets. The 2" of Lakeside Industries 5/8's minus (compacted) will provide a fully usable driving surface for intermittent alley traffic. Both layers will provide pervious surfaces for water drainage. Requiring 2"Asphalt per the standard will make the project economically out of reach for Mr. Beirnes, as it adds over$4000 to the project cost. Please consider and accept the variance outlined herein. Thank you for your consideration in this matter. Sharon C. Smith Managing Member LLC DurtWurks Cell: 360-840-4145 U 't8'- ANACORTES PUBLIC WORKS DEPARTMENT f \ JIM BALDWIN, PUBLIC WORKS INSPECTOR y P.O. SOX 547, ANACORTES,WA 98221 PH (360)299-1972 41,7 E-MAIL: iimb@citvofanacortes.ora FAX (360)293-1938 12-21-2009 To: Sharon Smith-Durt Wurks, Managing Member LLC From: J.M. Baldwin , City of Anacortes Engineering and Development Services RE: Request for Variance—City of Anacortes Street Standards(STR-15.2). The proposed construction does not increase the value of Mr. Biernes' property by 150% Your request for a variance to requirements as stated in above referenced standards concerning road base and asphalt paving is hereby granted. 1\1\ *. :::›G—C)aj ‘'--- J.M. Baldwin, City of Anacortes Public Works Inspector -- --------------- • (3) STREET STANDARDS JANUARY 2009 STR-15.2 Minimum Thickness ■ As an alternative to the thickness computed by the design procedure, the minimum thickness of in-place, compacted surfacing of all Public Streets shall be as follows: *Minimum Structural Requirements Over Well Drained, Stable, Compacted Subgrade 3-inches Class B Asphalt Concrete Arterials and Adjacent Shoulders Pavement over 3-inches Crushed Surfacing Top Course or Asphalt Treated Base over 8 inches Gravel Borrow 3 inches Class B Asphalt Concrete Non-arterials and Adjacent Shoulders Pavement over 3 inches Crushed Surfacing Top Course or Asphalt Treated Base over 6 inches Gravel Borrow Concrete Sidewalk Adjacent to Vertical 4 inches Portland Cement Concrete over Curb 4 inches gravel base Concrete Sidewalk Adjacent to Rolled 6 inches Portland Cement Concrete over Curb and Driveway Sections 4 inches gravel borrow **Non-Motorized Bike/Pedestrian Paths 2 inches Class B Asphalt Concrete and Access Roads Pavement over 4 inches Crushed Surfacing Top Course 2 inches Asphalt over 2 inches Crushed Alley Surfacing Top Course or Asphalt Treated k Base over 6 inches Gravel Borrow * The City may require enhanced roadway sections designed with a 40-year life and a 2 percent growth factor based on an analysis of the load-bearing capacity of soils and the traffic carrying requirements. ** Where a pedestrian path is incorporated into the road shoulder, use the road shoulder standard. STR-15.3 Additional Requirements ■ All Plan submittals shall be accompanied by the soils and traffic analysis on which the design was based. All minimum surfacing requirements assumed are acceptable, well-drained, stable, compacted subgrade. ■ Additional measures will be required if evidence exists of unstable subgrade, In all cases, the total base thickness, including crushed surfacing base course or equivalent, shall not be less than 12-inches. Alternate base materials such as asphalt treated base, cement treated base or gravel base may be used when supported with an approved pavement section design and the total thickness is not less than 12-inches. CHAPTER 3 STR-9 ,w '. r _ ~ 9c • 0Q r i - ,.,4, a • Aa. el{1,. JO • . 0 '110 4* r ..•44:441',...iiiis.,.4 ? 111111 Vi. ditiQiN 44, PI tr 1 i 4 _� �iiii. • .. 3?fA a 1 • a 1116 is • I. 1 M a Q 44 C:24109 ek S 40 o- .- 111 7.4 . le DRU-• 20Q9 DigitalGlobe Q Imagery Date- Sep 7, 2006 48'29'i21.5:82"N- ',.122°36'48 42"W elev 171 It Eye art 834 It Ve-21 /6/4P 1°‘ /42/4/ ))1() 406 rks- ''' 64.1b/ of . NMI- dlIMENIIIIIIII. _ . . . ) 20'4 °(..) . . .. .„, . . .... , „id. . .. ....c. . . ': .. Jr• . ... ‘'....1: iyitli21 .- , 0;11.14 01211.? 1.3 SO C . . . . iiq -1-- 141126 ... . .. • . . . _ . . ,• .•0:01 . . ,.„.. , . ,..,..„.. .,•_. _ _,„ A, ,„, , . • ,14 ' ••••• ......I. • ‘• 0.1 i:':; . • .. . / iS . 0" I." it• . r I irif-. 1, if I es ea e I ' 1/4 1.11111: , 4 •' I' . . 4 4', ' 4 4 II•• ,I••,4.. . 4$$ 0 eg•• `^•1110 :;‘.*4" I r * IN F 4 4 , MR c ii• '.. I . ‘N• ‘ i ill1‘ . Ill' * . I ' . A X .. . . . . - i I- 0 . . .1 •f . 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Excavation .N Concrete — Septic Installation 1004 Commercial Avenue #1047 N Anacortes WA 98221-4183 Phone 360-299-8706 a Fax 360-588-4625 N E-mail: durtwurks@yahoo.com January 20, 2010 Mr. Mark Burpo 3818 Commercial Avenue Anacortes, WA 98221 Dear Mark, Thanks very much for attending the meeting, in the pouring rain, in regard to the intended alley improvements that DurtWurks has been contracted to complete. It resulted in a workable solution for all involved. This letter is our notice of intent to begin construction work on the alley the first week of February. In order to accomplish this, all personal property needs to be removed from the area. We appreciate your cooperation in this matter and look forward to completing the project in a timely manner. Please feel free to contact me directly with any questions or concerns. My email address is durtwurksAvahoo.com, and my cell number is 360-840-4145. With very best regards, cc: Don Measamer Steven Lange Sharon Smith Jim Baldwin Managing Member LLC Robert Beirnes dba DurtWurks % Y U _ City of Anacortes Permit#: BLD-2009-0116 904 6th Street Issue date: 04/20/2009 _ P.O.Box 547 Expire date: 10/17/2010 %t/%,, Anacortes, WA 98221-0547 Zia 4,7,' (360) 293-1901 Job Address: 3807 0 AVE Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3926 Project: APN: P58761 Remarks: Install carport per plans Owner: BEIRNES ROBERT L Contractor: Address: 3807 0 AVE Address: ANACORTES WA 98221-3926 Phone: Phone: License#: General Information: Fees: Building Valuation 2000 Plan Review Fee 21,13 State Building Code Fee 4.50 Building Permit Fee 32,50 Total Calculated: 58.13 Deposits/Receipts: 0.00 Total Due: 58.13 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY 41111111.11mmir 411 •41G_ Rounded Roof 14 Gauge �*6'Wide X 21 Long 6' Leg Barn Red with White Trim Our open Carports come in a variety of shapes and sizes. Whether you need a single, double, triple stall, or an extra tall carport for a RV, motorhome, boat, or racing trailer. We can help. Our carports can protect your vehicles from the worst of conditions. No more scraping ice or snow off of your windshield and no more getting into a sun-baked car during the summer. We offer a variety of colors and sizes with free installation on your property, with our exclusive 20 year limited warranty . What a great investment to protect your other investments! CITY OF ANACOR T ES FERMI I :.CENTER APPROVED PL.milb 3ERMIT ADURESS APPROVED SUBJECT TO FIELD INSPECTION. OvERSIGlift OR V`•01-APON! OF CODE IS NOT INCLUDED. • / DRAWING REV 4.0 10' Set Back from Alley East Property Line 22':x 21' • 4" concrete slab light broonsh, 3' set back from South property line. , k }ry sv Robert Beirnes 3807 O Avenue ,s- x � � 724 Anacortes WA k" rib ,< HOUSE � 1 tr. t 'd w Rilik:.non „is_ Excavate hill side t5 k� Bring to level with ' Lawn. Install 3' x 6" x 70ft 1. . .. r�3 Xy+•1yYe'�t Retaining wall. Pour 12' x 4" x 70" Driveway Approx 2' flower garden against Retaining wall. space next to house. x �r BSc City 20' Front Right of Way i 3 ? { �� *- Front 6'8" Approach 6" Thickness 4:.fr tP s G�` Y C) - City of Anacortes Permit#: BLD-2003-8652 904 6th Street Issue date: 05/08/2003 x 547 Expire date: 05/07/2004 Anacortes, Anacortes, WA 98221-0547 as. �? (360) 293-1901 Job Address: 3807 0 AVE ANACORTES WA 98221 APN: P58761 Permit Type: Single Family Alteration/Repair Permit Project: Remarks: Construct storage shed onto existing residence. Applicant: BEIRNES ROBERT L Owner: BEIRNES ROBERT L Address: Address: Phone: Phone: Contractor: KISER CONSTRUCTION Addressr: 2301 11TH ST ANACORTES WA 98221 Phone: License#: General Information: Fees: Building Valuation 500 Building Permit Fee 10.00 Plan Review Fee 6.50 State Building Code Fee 4.50 Total Calculated: 21.00 Deposits/Receipts: 0.00 Total Due: 21.00 v a� Jtu THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS. Applicant Signature Issued by oafr I nr 1 CITY OF ANAC--CrRTES BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY N2 _ - 408 THIS IS TO CERTIFY that the (description of building or structure)! 40111ea FLAWS/ CRMAA124A44 OwnerliMIttetwase94-6414Mettisit CO Street and No • 3%02- Cro-Amt Contractor: .frthdiel.tiater Fire Zone- 3 Building Permit No • 314,s— Occ. Group: r. Use Zone: has rerinspected and occupancy is hereby authorized: ./6-to 1917 (Bale: pector CITY OF ANACORTES BLDG. 0 PLUMBING ❑ MECHANICAL ,i PERMIT 2565 ANACORTES, WASH. DATE J PERMISSION hs HEREBY GRANTED TOE, OWNER ,l .AAat.rA4 STREET �/ ADDRESS 75 8 n / — 0 n A-t LOCATION WHERE WORK IS TO BE DONE CONTRACTOR 644.-1-0,-h- TO ERECT ❑ INSTALL (a OR REPAIR 0 IN THE F91,19WING MAER: �� ` �i +.Jia_st a.f�_ PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE NOT 0 WERE SUBMITTED Q� WORK TO BE DONE BY OWNER © CONTRACTOR 0 RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: TYPE APPROXIMATE VALUE OF WORK PERMIT FEES ISSUING -Ial= BUILDING --�- GAS PIPING ---- f PLUMBING AND W.S. -- SEWER CONNECTION INSP. ---- I 3 WAI PLAN CHECK FEE MISC. ---- ---- TOTAL I a_r Dr) 6, LE • L DESCRIPTION r truLA CM. INSPECTOR n r BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD92-0098 P.O. BOX 547 APPLIED: 07/27/92 ANACORTES, WA 98221 ISSUED: 07/27/92 (206) 293-1901 EXPIRES: 07/27/93 SITE ADDRESS: 3807 0 AVE ASSESSOR'S PARCEL NO. : SEATTLE PROJECT DESCRIPTION: reroof — OWNER — CONTRACTOR — LENDER KATHERINE WILSON 3807 0 AVENUE ANACORTES WA 98221 293-7389 TYPE OF WORK •REP AREA (sf) VALU. . . $: 1300 TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY •I' 1ST FLR • 0 FRONT 0 ft ZONING 2ND FLR • 0 SIDE • 0 ft :? BASEMENT • 0 REAR • 0 ft OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING-- :R3 : 7 : 7 : ? OTHER 0 TOTAL • 0 TYPE OF CONSTRUCTION HANDICAPPED: 0 :5N :7 : 7 : 7 NUMBER OF UNITS • 0 COMPACT • 0 OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf 0 : 0: 0: 0: BUILDING HEIGHT. : 0 ft — FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 22.00 MG 07/27/92 43938 STBC $ 4.50 MG 07/27/92 43938 TOTAL $ 26.50 I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with aLL ordinances and laws regulating activities covered by this permit. Issued by Applicant or Owner's Signature 24 Hour Notice Required For All Inspections bldfirmt, Rev: 06/11/92 ADDRESS c7 0 Q Lir.7Rl,J..SL, LEGAL DESCRIPTION ASSESSORS ACCOUNT NO. PERMIT NO. DATE DESCRIPTION DATE FINALED 3)45 -3-77 otto �e�cJe� 3P5a' 3-15 -77 `r . p. S 377 Set,yr PoDK- cce PS(05 is ia--&ID boar, „-e--