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Home My WebLink About740 WEELO DR - Building PermitsApplicant to Iill in all s0aces except those within heavY bortler lines antl sign all aDC�oOria[e tleclarations. PERMIT NO. TRACT NO. LOT NO. UNIT N6 F cOS7A MESA CONSTRUCTION PERMIT ProjectAddress �yo ��C E�� .��,�' • Applicant's Mailing drness � Owner's Name �( v� �Phone ��' %� Address S�m � Arch/Eng. License No. Address - //� y/jp //��p Contracmr's NamedLL—L.2/[ ��'' - �' �/ I Phone � f Address (mailingl �-�� /''�' W ��Z' CitY License No. :��3 � 7' � LICENSED CONTRACTOR DEGLARATION I hereby aHirm [hat I am licensitl untlev provisions ot Charte� 9(commencing with section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in full f ce a tl effeat. ?„' ^ License Cla s � icen No. JV/ y Date % Signatur �� WORKERS COMPENSATION DECLARATION ' hereby affirm that I have a certificate ot mnsent to selt-insure or a certiticate ' Workers' Compensation InsUrance, or a certifietl copy thereof (Section .800. Lab. C.) W CZ" �(p� - ,[1�Ty�u/v�� ol¢y No. �Zgq27-n17 Company Certifietl copy is hereby furnishetl. Certifietl copy is filetl with the city By+�� g�� Date S^ii-g� qpplicant �'�„% EXEMPTION FftOM WORKER4� COMPENSATI DECLARATION (Thissection neetl nof be completetl it the permii is for one huntlretl ($I40) or iess). I certity that in tbe performancC ot the work for which this perm�t is is5uetl, I shall not empioy any person in any manner so as to become subject to the WorkerY Compensation Laws of Califomia. � Date Signature NOTICE: If, atter making this tlB��aration, you shoultl become subject to the Workers' Compensation provisidns of the Labor Cotle, you must forthwi[h romply witM1 such, provisions'o� this permit shall be deemed �evoketl. CONSTRUCTION LENO�NG AGENCV I hereGy affirm that there is a cm�struction lentling agency for the pertortnance of the work for which this permit is issuetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltl�ess OWNER BUILDER DECLARAYION I hereby aftirm that 1 am exemPt irom tM1e Contractor's License Law for the following reason (Section 703L5 Business antl Professional Cotle: Any city or county whith requires a permit to construct, alter, improve, Cemolish or repair any sVucture, prior to its issuapte, also requires the applicant for such permit �O 1112 d S19O2tl SSdSEfIl20L ibdl 11E/Sh2 is licensetl pu�suant to the p�ovisions of the Contractor's License Law (Cnapter 9(commencing with Section ]000) of , Divisian 3 of the Business and Professions Cotle) or that he/she is exempt ti:„'&herefrom antl the basi5 for the allegetl exemption. Any violation of Section `x`�;�031 5 by any applicant for a permit subjects the applicant to' a civil �enalty of not more than five nuntlretl tlollars ($500). � • LJ I, as awner ot.the propertv or my employees with wages as the�r sole compensation, will tlo the work. antl the 5tructu�e is not intentletl or offeretl for sale (Section 7044, Businezs antl Professional Cotle: The Contractor's License Law tloes not appry to an owner of a property wno builtls or improves thereon, and wno tloes such wurk himself/lierseit or tnrough his or her own employees, providetl that such improvements are not intentletl or offeretl tor sale. If, however, the builtling or improvement is soltl within one year ot com- pletion, the owner will have the burtlen of proving he/sM1e tlid not builtl or im- prove for the purpose of•sAle). ❑ I, as owner of the property, am exclusivety mntractinq with licensetl con- tractorsto construct the project (Section ]064, Business and Pwfessions Cotle: The Contractor's License Law does not apply to an owner of property who builtls or improves thereon, anA svho contractr for such projects with a con- tractor(s) I¢ense pu�suant to the Contractor's License Law). I am aware that proof of their Worker's Compensatian insurance shoultl be provitletl to me. ❑ I am exempt untler Section— B. & P. C. tor this reason Date Owner I hereby certify that 1 have reatl this application and state that the above information is correct. I agree t0 comply with all city antl munty ortlinances and state laws relating to uildyn9 construction, antl hereby authorize repre- sentatives of tnis n ��ff �Py� the above-mentionetl pro r y for in5pection purpose . R/�fi1 �.� �,7 Signature _ d 7 oate Drivers' License or 55 � � E 28�-03 � TYPE OFCONS7RUCTION NEW 'ADO ALTERATION REPAIR ❑ CONVERSION ❑'DEMOLISH ❑ OTHER A P # DESCRIPTION OF WORK/USE OF BLDG. 5 Main Buildi TVPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL E I�J� T Front ❑ TENANT IJ� ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER �A PROJECT DESCRIPTION 5c1. FT. ocCUPnNcv C Right� CONSTRUCTIONTVPE ' VALUATION$ � g Left ZONE GRADING CU.YDS. ACftES Ping. Ref. � Remarks: � Planning Notes: Bar Sink Preventer Irrigation Clarifiers Dishwasher� Drinking Fountains Floor Orains . � Floor Sinks Gas Service Outlets Interceptors Kitchen Sink - Lavatories P-Trap Roof D ms ReinspeMion Fee � $15 Duct - U r Ground Duct - Strucmr Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Du � g ❑P700,OOOBT 100,000 peinspection Fee � � $15 ICMF 0865-46, rev. 30/84 White - Building; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Soiar Piping Solar T S � ming Pool w/Spa Water set Water Heate Water Service Auto-Wash Laundry Trays Issue Fee � $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers-�Gas �Electric Fan F.A.U.e Fixtures Device Boxes Outlet5 . Swi[ChCS Garba9e Disposal Generator �0-5 KW �5-15 7578 5/08/87 Zone Accessory Building: Parking ReqJProvided ELECTRICAL , Transformer ❑ 75-50 KW t ❑ 50+KW Meter �up �to 100 amps Meter ❑over100amps Sub Panel Motors OO-7 HP O i%- 8 Inc.Solar 09'15 HP �16-15+ Microwave Pole Light Range Standin9 Sections Trash Compactor � Reinspection Fee .! $15 Issue Fee IANICAL FEES Hoodar Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS: Canopy Typell ❑ ' Zoning Approved 8y � Building ApproVed By iefrigeration S em . Appliwtion Issued By ❑0-700 B6BTU ❑700,000 stem Repai�/Alteration Yc�e Dampers ' Issue Fea � � $ 3 � . SUMMARV OF FEES - � BUILDWG PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% '$ � ENERGY P.C. $ ELECTRICAL $ �4' DO GRADING $ PLANCHECK 50% $ MICROFILM .$ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% .$ � 14000 TL FEES $ 3 Z O N I N G R E Q M T $ CONSTRUCTION AND PLANNING ' ,. POOL & SPA� - • APPROVALS Permit # Date Inspector qppROVALS -Permit # ' Date � Inspector � 7, Temporary Electrical Service or Pole � 52. Pool &'Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Elecvical Conduit Utility-Undrgrnd. 54. Forms - ' , 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. • ' 57. APPROVALTO COVER-GUNITE, � 7. Footings , 58. Electrical Conduit-Undrgmd. � $. Foundation . - , 59. Gas Pipe, O Undrgrnd., Test 9. Water pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK � it. Property Sewer Line & HouseConnection - 62. Backwash & ReceptorFinal � i2. Sewer Cap , 63. Heater & Vent-Final 13. Roof prains � 64. Plumbing System - Final ' 14. Rough Plumbing . � 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 76. Rough Electric Wiring G� 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 ❑ Oil 23. Gas Pipe-Rough & Test . � 72. Underground Flush . 24. Roof Framing , 73. Undergrnd�.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro . 26. 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 MeterFinal � S0. FOOD CERTIFICATE ISSUED � 33. Final Electric � G pJ 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 � ,r� " 41. Solar pomestic-Final • - � . . . 42. Backflow Preventer � ' � , 43. Backflow Irrigation - � � � � . , 44. Landscape Irrigation System i�� . 45. Sound Attenuation +� 46. Handicap Regulations - , � : 47. FINALSTRUCTURE&BUI�DING ' �. 48. Special RequiremenYs Completed . - � 49. Electric Release to Edison . - 50. Gas Release to Southern Califomia Gas Co � 51. CER7IFICATE OF OCCUPANCY No. Date �. AUDFESSOFBVILdHO: �]QO WEF.I,O LjR «v�Easru�EiFaaw�+: gEEKER, ELVA woncss:740 WEELO DR COSTA MESA,CA 548-5371 �vn. wmao �no�ss: AIICXffECT Oq FNtlNEFA: 1qCN.OR FNO.'S AUUHE55: 92627 UNT: uc. ao: UNT: coxm�narsruuE: WHITNEY ROOFING ( 714 ) 548-0769 CWLPACiORSNNl1N0 �90 �IEWTON WY mo�ss:COSTA MESA CA uarw.: 6022 92627 uM: 110EN5ED CONfN�CTOHS UECLAFATION: I hereby all'rm uM« pero�y d I em I' uM« pmdciana d luqx 0 (mmme�rp Mih Saclion ]000) d ON6ion � d IM Bumroa eM Vmlea ' . eM mY � b m lull bm eM afl . cmuc. /p.:028/0��^5 uc.cuss:C 39 uc.No.:40 02. /97 Dele: —1 I —I / COMraGoc OWNEP BUILD�CU TION: I Mreby e/firm uMer paneYy d perlury thel em exemp Irom iM Conlrufae licenea law la Ne folbx+q reeaon (Seaion JW 1.5 Buaiiesa arM PMeniona Cade: Any ciy a m ty whidi reyuiree e parmil to caroVucl, ellar, improve, damd'oh, or npei eiry sVuctura, piw �o na eauence. ebo requim tM appli�anl ta euch paim� �o file a ap�wd etelenronl Met M a aM � licenaed punuenl lo IM pwisiom M tM Conveuon lioeme law �Chaqer 8(comme��q xilh Sepion ]00p) d Di.�6ion 3 d �ha luzmea eM Prdmvre Cadel or ihel M a ehe u memN �hereM1an aM �M betie lar Me eAe9� eaemWun. My vidmun d Sed'nn )W1.5 tr/ enY eVd�� for e permil arbjws �he eppliunt to e avil pemlry of np maa Ihen Me hundretl Edbn �55001). ❑ I.movmerdthaprapeM�mYa^d�i��hwepean�heiedecomperue��ion.WlEothav.wk.vMNeel�ui.Yurec�'vuaMeE a Mered tor eeb (Seclion ]o1d. Busirb»eM P�almsianCaAe: The Caureeae Limiw lawdoa mt wW b an owwr d pweM who Wdpa «inpwan �herean. eM v.1w doee euch wark himeeH v M�ae� a IMouph he or Mr ovm empbyee�. pwiEed �het wch �mw��a��. �a �a m��d «on,�e �e,..b. n, ne.�., me n��e�� «�aw�an a aaa wnn�o o� y� a�o�o�. ub ownarEuitler �II have tha buNen W qovin9 he or ehe dk iwl WiIA a improva Iw tM WT�a d eele). � I. ee owner W ihe propeM. d^ e�dueiveN ��ream8 �h licensad conveclwe to wnsvud Ne piajM (Seqion 1004. Buai�s end a�wesuom com: rne com.mo�. ucenea iaw eoe. nm eaWr �o e�, o�., d worem � w�u. « imwo.ee mereo� and wno wn4ecb la wdi pqecro xilh e coMredor(e) licensad punuent to ihe CoMredon lioense law�. � I em eRemq uMer Saction: B. 6 P.C.. br Ne reeaon: Dme: Ownx: I Eo he�eM anM Nm I em ewera d ard uMenleM iM reauiramenb W Cellomie IIaeM enE `ualelY CaEe Setlioro u5o5.?5533. anE 25531. aM tl� I a enY �um buiMiiq ampent will / wil �(rirch aie) � to mmply wih eaid nata mdss aM iM mQuiramenb br apermnl«wnam tunormoEikztionhanlMA'raueTyl%repemaniDatrip.Rmidmlielconst�utlonepp&atbmenuempltmmtheae yovisiona. Date: ApplicaM: WOHKEN'S COMPENSRTION DECIAP�TION: I hereby elFrm uMer penelly W pe�jury pre d tlre Nbwi�p dedaralione: � I heve enE wil meinlan a cMRicme d mneam ta eaX�inwre br wohse' cpnpeneetion, sv prmided lor by Swlion 9)00 d tM Lebor Cole. iw IM pMamence of Ne wwk In wkch ihia pxmn o iaeued. • n I hew eM xil meinlan xoM1e'e' wmpa�wun imuranm. a reQuieed by Seifon 3]00 af ihe Lebor CoCe. br �M pe�nmence d iM K••• wwk /« xiiidi �hie P�� o is�ueE. MY waFeie' �nPo�se�ion imurence rarier ad GdwY number are: Cg�y�; .]Z1�Y-�"C111VU ad�rN�mna: .his ucYion rreeC rrof 6e canpbred I IM pxmA u b me hundred ddlen �SiW . � I cenily Ihe� in IM perloimenca d tM xrork lor whch ihia peimit is' ued, I ehall no d�Y Ge� �� en�er w m to becoma eubl� to Iha woMere' canpenution lawe d Celilamie, enE apree I R I ul e1�q b IM xvMen' compena ion �mviso nd• dion �100 dlheleborCode,lahellloMh�tith h u' yq/ Deta: AOd�� w,.n�re: aouis ro,.wi..oN«i mnw�•aon mr•i+w �, w��.»m0, .ne.l�.��.ubN�r.n wro�oy« ro errmrw vawa« ene c/Hl flnu'q ro ons h�.ntlred flauvnC tlo/Nn (SIPq000A M aMltlon (o fM cwl o/ ro�vmuWR e��p� u proHGSE br In Sxtlon 9](A6 0l IM La6orCotls, /ntre�l, eM ettom�ys /esa CONSTAlICl10N LENOIKKi AGENCY: I herej�f uMx peealy d perNrv �M1e� ihee b e conn�udion bMi�q per�cy br tln peAamenm d Ihe v.ork la wAidi ihe oy�r9/(eued (Saeion 3081. CH. C�. t[•T �� nm. inm iM ebove inl«me�ian ia conan. I e0rea io mmoN vMn ell rnY erd muntv okinencea n entl Mraby eWwrza iepeeentetivee d thie aty �o en�er upon Ihe ebove-maMionad qopeM WHITNEY m N.ma /� v/ . _ .. __ ome: � / Whne-Buildin0 8 Selety; Orear�-Flle; Cenery-AppYren�; pink-Revenue; Goldenm�bxsxr CIT'Y OF COS7'P. NIESA - BUII�UING PERMI`C PERMIT NO: B 082266 PLAN CHECK NO: N PERM IdO: H Oti22GG GOVT: N SUPP; D1 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF 6 REROOF WITH COMP S BUILT-UP SQ FT: 5,565 CLAIM VALUE: 5,565.00 CALC-C�ALUE: 5,565.00 GROUP OCC: R-3 / COMMENT'S: REROOF 3700SF RESZDENCE W/COMP, REROOF PATIO AREA W/BUILT-UP **��***x�t��c�**�*#��t*��**x��t***+�*+t**�**********��*�*+��c*�x****�**�****+�*�**�***� Z O N Z N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY f3UILDING -------- FRNT: F'1' IN REAR: FT IN FRNT: FT IN REAR: FT IN I�EF'T: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 42417302 ZNE: REF NO: PLANNING NOTES> , ) iF 1E * iE iE �1E 1(-iE iE iE iE if 1E IE #E 1E iE �)E 3F iE �E 1E �ElE'1F'lE'lElElf 1f IE 1E iE iE iElE IE ik if 1E 1E iE if �)f iE 1E iE IE IE 1E �I(-1E iE �7E IE If If iF iF 1E 1E IE �E �E 3E 3F �E iE IE if�lE iE IE iF 1(-�)E iE # 1E D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N'f S /' ZONING APPROVED BY DATE: ' BUILDING APPROVED BY : DI�TE; '+ APPLICATION ISSUED BY: 5-�— DATE: �� f1E1E9ElE1ElE1EiE1E�EfEiEiElE9E�E3EiElEiffE �iFiElElkiElfiEiE3t1fiE3F 3ElE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112.25 - ,56 SMIP/NON-RES PI,AN � ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL ; PAID DUE TOTALS----> i12.8] 0,00 0.00 112,81 � 112.8i ,00 REVENUE DIVISION TOTALS--> COLLECTED: 112.81 OVER/SHURT: ,00 BLLIG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ].12,25 :56 :� 1E 1E iE iF jF iF jE fF 1E �E iE if iF 1k iE 1f iF �E 1E iElElEl6!( !f iE 1F iF �E 1E 1k if 3E * fElE 1E 1ElE iE iE iE 1E If 1E 1E 3E �E if if if df if * ik fE IE iE 1E 1E IE if IE iF 1F iE 1E iE iFlF 1E iE if iE i6 iE 1E K- iE I N D I V I U U A L F E E B R E A K`D O� F! N TYPE QTY D E S C R I P T I O N UNI,T COST TOTAL COST SFR 5565 REROOF BY VALUE RESIDENTIAL NOZONE ,1,00 5,565.00 END OF FEES 84-BI-1997/88:26 AM/f112.B1 RCPTq:81-08A4219 PERMITe@82266 CONSTRUCTION AND PLANNING APPROVAIS Permit # t. Temporery Electrical Service or Pole 2, Soii Pipe�Undrgrnd. � . 3. Electrical Conduit Utifty-Undrgrnd. 4. Electricai Conduit�Undrgmd. ' 5. Steel Rei�forcement � � 6. Electrical UFER Grnd. - ' 7. Footings � � 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structura� Pioor Svstem i t. Property Sewer Line & House Connection 12. Sewer Cap • 73. Roof Dreins 14. Rough Piumbing 75. Rou9h Electrical-Conduit � � 76. RoughElectricWiring 17. Rou9h Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditionin9 20. Rough Pactory Fi�eplace � 21. Duc2s, in Structure - 22. Dutts, Ventilating 23. Gas Pipe-Rough & Test - 24. Roof Framing 25. Roof Sheathing G 26. T-Bar Ceilin9 (Structuraq & Monocoat 27. Frame and Flashing , 28. Lathing & Sidin9 29. Insu�ation 30. Drywall Nailing 31. Plaster 8rown Coat 32. Electrical Poiver Me[erFinal 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � _ 37. Final Factory Firepiace 38. Final Plumbi�g 39. Water Service-Fi�al 40. Gas Service-Final 47. Solar pomestic-Fi�ai 42. Backflow Preventer 43. Backflow irrigation �44. Landscape Irrtgation System 45. Sound Attenuation 46. Handicap Reguiations _47. FINAL STRUCTURE & BUILDING � 48. FINAI PLANNING 49. Electric Release to Edison 50. Gas flelease to Southern Calitcrnia Gas Ct 51. CERTIFICATEOFOCCUPANCY No. Date POO PA Date inspector qPpRQVALS Permit # Date Inspeytor 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms ' 55. Electrical Bonding � 56. Rough Plumbing & Pressure TeSt � 57. APPROVALTOCOVER-GUNITE 58. Elearical Conduit-Undrgrnd. � 59. Gas Pipe, O Undrgrnd:, Test 60. Backwash Lines, P-Trap, � Undrgmd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. Heater & Vent•Final 64. Plumbing SYstem - Fina� , . 65. ElectricabFinal � 66. Solar System-Final - . 67. Fencing & Access Approval � , � 68. APPROVED FOR PLASTERING 69. POOL!SPASYSTEMSFINAL . FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas C Qil 72. Underground Flush 73. Undergrnd.StorageTankG�GaS ❑Oii �-q� (,J 74. Overhead Hyclro ' 75. Dry Chemical - 76. Dry Standpipe 77. FiXED SYSTEM FINAL 78. FIRE PREV. FINAL . HEAITH DEPT. REQUIREMENT 79. FINAL INSPECTION � $0�. FOOD CERTIFICATE ISSUED Notes: �� is �I i , OWNER �LIVEI?.�5� P, N. OCT 2 8 1958 DATE 4-i8-58 JOB ADDRESS Zl�O Weelq Drive BLIILDING PERMIT NO. 66Z6 ' GENERAL.CONTRACTOR n..,,.o,+_A,,;IAc�- VALUE $ �AA_nn LOT 603 TRACT IN��ECTIONS Cr ZONE IZri�l DESCRIPTION OF WORK SUBCONTRACTOR Roo£ over Patio PERMITSISSUED � NUMBER 4 `� � � 6626 CO$TA MESA BUILDING DEPARTMENT .� "� P.0.90% 31� COSTA MESA. CALIFORNIP. FOR OW NER APPLICANT TO FILL IN �G VII�°�,L�l2 COSTA MESA. CALIFORNIA . � � �' 1'-p �"' c S �o jd,/ _�/e ►� 'a /I�� C a TNO. ARCMITEGT OR "�GINEER AD....d55 CONTRACTOR D u ADDRE55- LEG/.L LOT oEscAivr�oN., NO, C A.P. NO. �, �J •� SIZE C��/ LIC. NO. CITY LIC. NO. TEL. — ,..�-�-'D i NO.OF BLDGS. NOW ON LOT USG UY � EXISTING BLDG. $ET95CK LINE �ROM I 'J «� P P � CENiEn O� BieEEr �O ` REAR YARD SIDE VAHD RIGHT IS� LEFT $/ � DESCRIPTION OF WORK N�"-� ALTERATION A��ITION REF...ri MOVING I DEMOLISH BUILDING �V � NO.OF SIZE /�A ROOM$ STORIES E%TERIOR WALL ROOF (�) COVERING COVER�NG [ p t/ � USE OF NEW -� �' __ _ � � .f � iPR 1 ft•SBP�eos*n569a *�+�**2.(iQ tlESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY NECEIPT NO. PERMIT NO Gj � / IECEIVBO BV OniE RECEIVEO O E 159 �\^L� - /`� 8 5 � E'S5 / Y� LY�1 G/ O COSTA MESA. CALIFORNIA E � NO.OF � TYPE / G 11P � PL�N$ �� Y ROVE , � � C��^ « DATE T� , RECTIONS i CiTY O� STA MESA P�ai . ., �� St�BJECT TO UG. DEPT. REG. .. �..1 n ./ i � . � ne�'F � '- tSTK' - _ _.. ii�i= ♦ STnTE TMAT TNE �BOVE IS CORflECT ANO AGXEE TO COMPLY WITH /.Ll � CITY OH�INANCES arvp STaTE L�W9 GUNT�NG BUILDING CONSTRUU iiorv, � � yA�UATION SIGNATURE OF � ,y � , � PERMiT FEE $ PEFMITTEE � �VLC�_ � � �a � PLAN CHECK S d AUTHORIZED AGENT TOTAL FEE 5 9"" owrr�� OLIVEROS, PHIL JOB ADDRESS 7(yp Weelo GPNERAL CONTRACTOR - AY No. llfi-103-02 LOT IN5P�CTIONS � PI Fi. ANCY .SM-' coat TRACT RIR� ZONP �Signaturc� DATE GROUP DATL 10-10-61 BUILDING PERMIT NO. VALU� $ �,640.00 DESCRIPTION OF WORKAt TYP� V 7,ONE SUBCONTRACTOR ►i 8LL. ., .'� AS�� COSTA MESA BUILDfNG•SAFETY DEPARTMENT P. O• BOX 977 CO6TA MEBA. GALIFORNIA For Applieanf fo Fill In Completely TYPE OR PRlNT BUILDING � � � ADDRESS �(P COSTA MESA. CALIFORNIA OWNER i/ �� ` e r a 5 MAIL .- l e e/a r °� ADDRE6S ` C ( TEL. BUIL�ING CITY _ .Sn%(} P�/A NO. � 73 ADORE65 ARCHRECT / I ..... _ ._ TEL. �' �� 2 � BHTBACI( LINe FROM �EE RECEIUED FINANCE�d��T.�� CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only neceirT Ho. v_ egw)r Hq. ��"l �Y I DATB RECEIVBD ATE I68U[O iv�in-//� %b-ii�/ MESA. CALIFORNIA AP � ,� / /I G � �ATE NING ZO 8 NO. OP YBC OF NEW RAN6 �. I BU G TEL. �eoe� �� NO. oeeCxlrTior+ i � Ino. ov etnce. � I G� — � 7� T� � nOw orv lOi A. P. NO. 4 �— �%-�1/_ iiAi.n YARDS , EVES DESCRIPTION OF WORK EXTERIOR W�1Ll ROOF GOVERING COVE U9 P BWLDING AND WORK T �e o ro a r� fi� 1 HERBUY pCKNOWLBDOE THAT I XAVB ReAO THIB APPLIGTION FNO pTATB THAT TH6 ABOVE 18 COPR6LT AND ApREB TO COM- PLY WITH A�� L��'Y ORDINANC89 AND 9TAT6 1�W8 R6OULATINO BUILDINO G�N9TRU T{ON. BIGNATURB OF �� n�� PERMITfE� --�p AUTHORIZED AGENT IC[MHR LINE 8Td TH8 AMOUNT BXOWN UNO6q VALUATION 19 POH TH8 PUWOBE OP HBTABLI9NIN0 A P¢qMIT P8fi ONLY. VALUATION � PEHMIT FEE S S�/ '//) � LAN CHECK $ � (O `fi/ _a TOTAL FEE / f �