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Ray E. Johnson, Jr.
737 Lawn Dr., lot 39, North Park
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Permit #6346-79B�P,E,M(new single
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Ray E. Johnson, Jr.
737 Lawn Dr., lot 39, North Park
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Sub, Chico��
Permit #6346-79B�P,E,M(new single
°
family)
/1�d
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ION
7 County Center Drive - Oroville, California 95965 - Telephone (910. 538- 41 PERMIT NO.
APPLICATION AND PERMIT r s` 07.2 S
WESSOR" ARCEL UMB
r
47 0
ZONING
B LDING PERMIT
OWNER AL
D�
TELEPHONE 00/
(CJ
SO. FT, OCC. BUILDING VALUATION
rw
OWNER'S MAILING ADD SS 9
S I D b
CO CTOR'S NA TELEPHONE
3 l- 3
CO TORS MAILING ADDRES
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
I
ARCHITECT OR ENGItfER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILINGAD ESS
Penalty $
BUILDING ADDRESS
PERMITFEE $
sr, ov
PLUMBINGPERMIT Filing Fee 20.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: A 0 A A-4� 7 (�/��� �
T �
Mobile Home I S I GI W 1 920.00
PERMITFEE J$
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service000V OR LESS
( zooA OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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 effect.
-
License Class 39 Lic. No.
OWNER -BUILDER DEDECLARATIONEx
1 hereby affirm under penalty of perjury that I am exempt from the Contractors 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. ' It
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ( a ACC. BLDS. )
SO. "
3.52 FT.
NEW CONST.MULTI.OUTLET
CNS
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FUTURES )
20 @ I•50
BAL .00
Occup. OUTLETS
. ( (RESID.)EA.•) 5.00
Temporary Service
23.00
Mobile Home Facili s
20.00
Misc. Wiring
23.00
.
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier�Pnd olicy nupiber arg:
Carrier 57—/I i t.��7 h I l� r (�ttCl
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number :-7...t_ — /7 7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
4of
X / ! ti� �'�=�_ Date ��
Signature of Applicant - ❑ Owner ❑ Contractor] Agerl
An OSHA permit is required for excavations over 60" deep and demolition or construction4,
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ S -Si 00
HAZ.
1 D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD I HO
I ISSUE:
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/
By Date V/nk
PERMITEXPIRESON q//:3 /yj/
I 7D -w I
Receipt No.We,
WHITE-D.D.S.-B.D. CA ARY-A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,J1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDA538-41
7 County Center Drive - Oroville, California 95965 - Telephone (916) PERMIT NO.
APPLICATION AND PERMIT O?.2
ASSESSORPARCEL LIMB
_GO—() -3
ZONING
BOLDING PERMIT
OWNER - ` /)
TELEPHONE �d /
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADD SS
CO CTOR'S NA E
TELEPHONE
CONT TORS MAILING ADDRESSIQ a x0r—
.r v [
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
r OD
ARCHITECT OR ENGINEER
LICENSE NO.
- Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING AD Ess
Penalty $
BUIL.DINGADDRESS
PERMITFEE $
LOQ
L Al x t4
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.
SUBON510NS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: ��_���/��4�
Mobile Home S G W 1920.001
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filin Fee 20:00
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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 effect. �/
License Class Lic. No. , (�
OWNER -BUILDER DEG�ATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
.
3.50 SOFT.
NEW CONST. MULTI -OUTLET
NON-RES10. ( BRANCH CIRCUITS )
'
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
SAL .00
Ex. Occup. ( OUTLETS RESD.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation in ral rrierTand policy u ber ar :
Carrier .�1�(„j'
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number�? �s��
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth ith comply with tho a provisions.
c , ` // �
X _ Date `Z �/
Signature of Applicant - ❑ wner ❑ Contractor Age
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ ,S7�1
HA2.
1 0. FEES
I IMP I FLOOD
f_77_r;7
PO HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY A4 Date 04
/ is
(Date) o
Receipt No.PERMITEXPIRESON
WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
6346-79B,P,E,M
4 PERMIT NO.
PERMIT EXPIRES
t Ray E. Johnson, Jr.
MNER
CONTR. owner
r_ 44-38-102 port.
LOCATION (A.P. )
737 Lawn Dr., lot 39, North Park Sub,Chico
w1 -
F
rt
Temp. Powe/PIe
I Called PG&E
R' Temp. �'ea Serv. 2
Ca Ped PG&E
/FI�NALED
Gas Serv.
alled PG&E y '
�t /zo
Q �l
(Date)
• � ,dry, ; `
t
(Signature)
tea.. _ ^-L'� iMe. ��a9.��`Y'-'-�' • g.�.. .
h
.? ERSET
pp COMPANY s
BS LICENSED CONTRACTOR
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date 19
)u 'v
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
O
STATE OF CALIFORNIA, IN THE BUILDING LCWED AT:
Street Lot Number
Tract No.
EXTERIOR WALLS �
Manufacturer ®v
��
Thickness/Type
R Value
CEILINGS
Batts: Manufacturer Thickness ,p
Blown: Manufactu Thickness A`)
R Value
No.
gs Wt./Bag
Sq. Ft. Covered /
R Value
FLOORS
Manufacturer Thickness/Type
R Value
SLAB ON GRADE
Manufacturer Thickness/Type
R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type
R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TI LE DATE
INSUL ON TRAC LICENSE NUMBER
TITLE DATE
I DATE)
ACCEPTED
SAVE ENERGY - INSULATE!
KeproWntatival
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED :IN CQNFORMAN�/ 1 WITH CURRENT ENERGY CONSERVATION RECU LAT IONS
(location)
BUILDING PERMIT NO. `7 �? ,%j
.
A. P. NO. 4-11- sdv/U Zs
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS!
•
(Check each item or write NIA if not applicable)
INS ULAT ION : GLAZING:
Slab Edge. Single Glazed ✓
Fdn. Walls Special (Insulated)
Floors r CEta'. & LABELED WDS..
Walls - / & SLIDING DUS.
Ceiling/Roof ee-1 Y WEA'PIIJ:t\,sTi,,m,cD DN.S.
Ducts BACK DANL'1?E21'::D PANS
Circulating Pipes INl'ERMI'1TEN1' 1.CNIT:ION DEVICES
APPROVED HEATER Mf V J�4wC1:1:1'. Al'tL7.r1Ni:L':; I%
APPROVED IJTR.11T "—
I DECLARE THAT ALL REQUIRED ITEMS' A -S NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUWAIT ED.
Insulation Applicator Name
Signature of: (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name & �-,- knw���
Signature of (please print)
Ceneral Contractor/Owne Date
Sta Contractors
Li ise No. 3 C.&
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUN-rY 0P iptUVTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING .) I BUILDING (Cont'd)
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab% --
Piers
Garage
Footings i
Stemwa I I
Slab l — 7
Carport
Footings
Slab
Patio
Footings
Firewall
Parapets -
Restroom Finish
Windows L�
Siding Ll
Roof Sheathing LI
Roofing
Fdn. Vents --
Garage Vents
Insulation
Prov. forphy sically
handica ed
Conformance of e3
FIREPLACE
Footing
TI......f 7 irrf�..�•.!t
z-, v
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out
Water Piping
Sewer
Fixtures
Water Htr. 'tom
Heaters
-------
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
ELECTRICAL
Bond Beam y I I FIRE SPRINKLERS I Motors
rraming / _l /---.#- l T ( C// I Test k. X I Water Htr. /
Stucco
FI
mesn I MECHANICAL Grd. Fault Prot. [____
Scratch Heating Service .....
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final ZZ2,1Final
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE if RKS OR CORRECTIONS
52
069
(NOTE: An entry must be made on this form each time you vislt the job site.)
V
COUNTY OF BUTTE~- — DEPARTMENT OF PUBLIC WORKS
t r• 7 County Center Drive — Oroville, California 95965
" Telephone: 5�4-4541 ��
APPLICATION AND PERMIT
authorize represe&ve5o.,rne,,iounty of Butte to enter upon the
�v - nedection purposes.
Date ,9�ture oft
Receipt N .
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By_ Date —
Z/ilding'
permit expires Date
BUILDING
Owner
���-�SQ�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 700
S0d
C C
Tel %No.
O -7,10
I��
Contractor OU) N
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee tso, 00
Building Address
Plan Checking Fee&/or Penalty
Permit Fee s ! o- (:>D
(� O(
13
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 73 j(:)D
Each Traa 1.50 aO
t'
HRW S046 ��GD
Repair drainage or vent piping 1.50
A. P. o. _3 9 — 102 (P60)
�z
Zoningla
Water piping 1.50 t. So
Each gas water heater or vent 1.50
Wes I
C. I S n�' iGi In
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50 1570
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
0' R/W
Im r
p ovemen
Each additional outlet .30
Building sewer 5.00
�]
Bldg. Plans ec'd
Parcel ApEroval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 117, 56$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,0Q
Main service 10av OR LESS
100 AMP OR LESS 5•00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. G OCCUP.'I
OR ADDNS. DGS. 22Sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEN RESID. BRANCH CIRCU
NON-RESID. � BRANCH CIRCUITS 12.50ea
NEW CONSTR. POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES) g L@;
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification St
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ,'ID
$ 3 et I—X
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 31: 00
Heating M 41op If. Oo
Q Q RE
Cooling 'r 4.co L4,Q
Ventilation
Hood 2.00 QO
Permit Fee $ �3,Qp
$ 1-
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relatinq to buildinq construction, and hereby
Land Development Fee
$ .�S • a
TOTAL PERMIT FEE
$�.i.7 �(
authorize represe&ve5o.,rne,,iounty of Butte to enter upon the
�v - nedection purposes.
Date ,9�ture oft
Receipt N .
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By_ Date —
Z/ilding'
permit expires Date
COUNTY OF BUTTE —'DEPARTMENT OF'PUBLIC WORKS —BUILDING DIVISION
7 County Center Drive — 0roville, Cali-t-ornia 95965 — Telephone 534-4541
PERMIT APPLICATION DATA SHEET,.- 1%
if
I—z- _3_0 Permit No.
OWNER e,%
" A.P. No.
Proposed Building Use
Permit fee based upon,� Complete Contract Price " ti ✓ DPW Valuation
Building In;
At time of
issuance:
11.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
;pector 7A- iV % VfiA">/ Date /0/
permit application, I was advised the following data must be submitted prior tor perm it processing and/or
DATE RECEIVED APPROVED
14
15.
16.
All items have been submitted...................................................................
Plot plans in duplicate/triplicate...............................................................
Complete plans in duplicate/triplicate...................................................
Complete engineered plans and calcs.....................................................
Plans with Energy Design Compliance Statement ............................
State Energy Forms No. ....................
Statement of Intent for Non -Heated & AC Buildings ...................
Feesof $..................................................
Letter of signature authorization.............................................................
Sanitation approval from Health Dept....
Planning approval for .............
Certificate of Workmen's Compensation Insurance ........................
Contractors License Information (no., name style,
classification) ...............................
Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
Pre -inspection for required. Pre-inspec. request to
Other bldg. inspector (date)
When you issue the perm.i.t, process as follows: Mail to owner Mail to contractor.
VTelephone d r l `I and hold for pickup at C14fr o office. Deliver w/inspection.
Other f
z..
Date^;
Copy of plans sent Health Dept., -Fire—Dept., — Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
By,
Plans checked by Date
Plans approved by /'_ - Date
OTHER:
r—/r)pw
Telephone
Mail
Other
Date
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Flr �x_p7,_.11 r ''.'`=yi 1't•Ll; L _ V
ylLvn <<•yll� rs., �. �� .,fir, ' .,, •. f ;
0.
This set of plans and specifications MUST bb . ••/' ' • ,;
W, ;:, ` �� �,." ; kept on the job at all limes and it iS t-Ih`
make any changes or altercf? ions on %dmQ wl#N#
�arritten permission from the Dopartmen# A RAIi@
Warks, County of Butte. '
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�6if;�}h��{�L�i Wit' � • '�7. ,. /' ��� � , / � t . II '
yR F�>!y�l
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a� / ��'YYY '�, t, 41,'•l
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"' ��4a{f•;• 1r O .. � l8¢ ��i �/�'V, 2o'i�d /� ^=1`�<'i�rs•.
�
The Bldg. g. Setbacks I e 5 ft, from the
side 'property lin 50 ft. from the , , ''' 1 -" ` ,• 'r'" `'
centerline of the r , permitting a maxi
mum of a 2 ft, e overhang b
1 g ut entirely
r' ,
t aut of ail eas ts. BUTTS'OU111T '
ri tl r ILDINGDEPARTMN
RT
41;x;„I;Y"i + ��' O • ,_ �, ♦,'EDIR 0
NO H
�,,
J 4
00
ee Master Plan on file Tor building ' •,
plans.