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HomeMy WebLinkAbout421 WOODLAND PL - Building Permits(714) 754-5273 • Fax (77a) 75a-aB56 • wv+w.ci.costa-mesa.��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 421 WOODLANDPL Suite: Viciniry: ROOF Parcel Number: 42624105 Applicant MORIN, MICHAEL Address: 1013 E WALNUT ST SANTA ANA, CA Owner: HARNOSS, SHIRLEY C TR Address 421 WOODLAND PL Zoning: Phone: (714) 7313425 Zip: 92701 Phone: COSTA MESA, CA Zip: 92627 Contractor: WEATHERLINE ROOFING INC Address: 1013 E WALNUT ST SANTA ANA, CA Zip: 92701 Arch : Address: Phone: (714) 7313425 License: 729560 Eng: Address: Phone: Status: ISSUED Applietl: 11/12/2002 Issued: 11/12/2002 �l / Phone: Zip: License: � License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 15# FELT, 30 YEAR, COMPOSITION SHINGLES. 2,500 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 � Rear 0- 0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existinq: 0 Required: o FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,100.00 $3,100.00 NOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 7 BO days. INSPECTIONS: In o�der for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 - 2a4fid8(8/00) WORKERS' COMPENSATION DECLARAiION: � �� � , 1 hereby aflirtn under penelty of perjury one oi the following tleclaretlons: ❑ t have entl will maintain e certifiwte of consent to seli-Insure lor workers' compensetion, es pmNded tor by section 3700 of Ihe Lebor Code, tor the peAormance of Ihe work tor which t�is permit is issued. � I have entl will maintain workers' compensation Insurance, es requlred by section 3700 of the Labor Cotle, for Ihe pertormance of the work for which Ihis pertni� is issue0. My wo wmpensation�rance carrier entl policy numbar era: Carrier: TF. �.t r✓d Policy NumCer. _� 4'3.i 1�c/ — �%�i- (This section neetl not be cromple(etl i! (he permif is ve/ued at one hundied dollars ($700J oi lessJ ❑ I certify that in the performance ot lhe work tor which I�IS pertni[ is issued, 1 shall not employ any person in any manner sa es to become sub�ect lo the workere' compensation laws of Calitomi , entl agree that if 1 shoultl become sub�ect to Ihe workers' compensation proNsions oi Section 3700 0l the Lebor Cale, I shall forthwith comply with ihe���s¢¢¢yyy///�����Aov���i ans. Applicen� Signe�ure: �___�O"��—� Date: �1 I ��-I a Y WARNING: FAILURE TO SECU E WORKE PENSATION COVEPAGE IS UNI.AWFUL pND SHALL SU&IEGT AN EMPLOYER TO CRIMINAL PENAL IES AND CML FlNES UP TOONE HUNORED THOUSAND DOl1ARE (5100, ), IN ADDRI TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SEGTION 31O80F THE LABOR WDE, IMERE57, AND ATTORNEI"S FEES. UCENSEO CONTRACTORS DECLARA710N: I hereby aflirm that I am licensed under provislons ol Chapter 9(wmmencing with Section 7000) of Division 3 of the Buslness and Prod torce end ettecL Lic. a a 5(.'= Class N L' — Contrectors Signatura: ✓JA � �n �"�— Date: _� Cotle, end my license is in full Z� CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm ihat there I5 a constmction lentling eqency for ihe Dedormance ol the work tor w�ich �his permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Lendefs Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby aflirm that under penalty ol perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ue following reason (Sec. 7031.5, Business and Profession: Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or reDair any structure, prior to its issuance, elso requlres the epplicant tor such pertnii to file e signed statement ihat he or she is licensetl pursuant to ihe provisions of ihe Contrectors License Law (Chepter 9(commendng wit� Sectlon 7000) ot Divislon 3 ot ihe Business and Professions Cotle) or that ha or she Is exempt therelrom antl Ihe basis br the alleged exemption. Any violetlon of Sectlon 7031.5 by eny epplicant for e pertnii subjects ihe applicant to a civil penalry of not more ihan live hundred tlollars ($500).): ❑ I, as owner of the property, or my employees wit� wages as t�elr sole compensation, WILL DO THE WORK, end t�e siructure is not Intentled or oXered tor sale (Sec. 7044, Business and Professions Code: The Contrecrors License Law tloes not apply to an owner oi property who builds or improves t�ereon, and who does such work himself or herseN or through his or her own emplayees, proviAetl ihat such improvements are not intended or oHered lor sala. If, however, t�e builtling or Impmvement is Sold within one year Of comD�etion, �he owner-builtlef will have lhe burden of proving Ihat he or she tlid not builtl or improve for purpose ot sale.). ❑ I, as owner of Ihe properry, am E%CLUSIVEIV CONTRACTNG WITM LICENSED CONTRACTORS to construct Ihe pro�ect (Sac. 7044, BuSiness end Professions Cotle: The coNractars License Lew tloes not epply to an owner ol property who builtls or improves Ihereon, antl who contrects Por such pro�ect with e contractor(s) license pursuant to tha Contractors License Lews.). ❑ I em exempt untler sec. 8usiness entl Prolessions Code for this reason: Signature: Data: Owner ID verified by drivers liCen56. ❑ Ye5 ❑ No Dnvefs Licanse No. Venfication of Ownarship by (type ol document, I.a. - properry tex blll or dead): Expires: DIVISION OF INOUSTRIAL SAFE7Y PERMIT CERTIFICATON: ❑ I hereby ceRify �hat no excavation five (5) or more leet in Cepth in�o which e person is required to descend, will be made in cannection with woAc euthorized by this permit, antl ihat no building swcWre, sceHalding, lelsework, or demolitian ar dismantling thereof, wiil be more ihan thirty-six (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 367, Title B, Califomia Atlmini5ira�Ne Cotle). ❑ As ownerbuilder, I will nac empioy enyone to tlo work whlch would requlre a pertnit irom the Division of Industdal Sefery, es noted ebove, unless such peraon has e permit to do such work from the division. Signature: Date: Division ot Industrial Safety Permit Number. CERTFICATE OF COMPLIANCE AND AUTFIORIZATON OF ENTRV: I certity under Denalty of Derjury that I heve read this epplication and state ihat the Informellon given is correcL I agree to comply with all stete laws antl ciry ordinences rela�ing Io buiitling consiruction, and authorize represeniatives ol the Ciy of Costa Mesa ta enter upon the ebove-described pmperty tor inspection purposes. I egree not to occupy or ellow occupency of any 6uildinq amhorized by Ihis permit until tinal inspection. COUE 1. INSPECTIONTYPE 761fi FIxeO System Final Fire Preventlon 7266 Pool Spa Final 200 Final Re-Roof 201 Flnal BIocWRetaining wall 202 Final Feciory Fira Place 203 Final Sign 204 Final Demolition pAg It�9LS //��Z !!/�l� t'_.�' lA I L liZ/ � Date CppE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Eleclrical 212 Final Fire Prevenfion 220 Final Planning Approval 222 Final Site 250 FinelBuilding/Occupancy QAIE II�IELB �-1 ��.w;�..;�., 'fi.s-w�.g -vo I�„ � 1 APplicant to fill in all spattz exte0t thase within beavY Oortler lines antl si9n all appropriate Ceclarations. CITYOFCOSTA�AESA 'gO TRU TI PERMIT � �FR�AITNQ __ TRACTNO. LOT.NO. IINITN(1 Project Address � W '�p/ Aptilicant's Maili�� Ad–y� //S f/ � L�./ / Owner's Nam S �/ P7hone � Address z � / ArchlEng. U u� LicenseNo. � Address � f y ' Contracror's Nam G�y ��� 1��"/C Phone Z OG Address (mailingl- -/ C� �, L•� City license No. LICENSED CONTRACTOR DECLARATION . I h¢reby atfirm that I am licensetl untler provision5 of Chdrter 9(commencing with section ]000) of Division 3 of the Business antl Professions Gotle, antl my license is in tull orce antl effecL �i Q, �� License,C,l n � Cens No' Date Signature WORK RS' OMPENSATION DECLAR 1 N hereby affirm that I have a certificate O onsen[ 0 5elf-insure o� a certifiCate Workers' Compensation Insurance, r a cerC fietl copy thereot (Section .eoo, �ab. c.� - � � Policy No. - Company �v� ❑ Certifietl copy is ne�eby (urnishetl. ' � ❑ Certifietl copy,is filetl with tne city Building Dlvision. Daie APPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl ii tM1e permit is for one huntlretl ($300) or less). ^. I certify that in tne performance of the work for ich thls pertn�t is issuetl, I shall not employ any person in any ma oecome subject to the Workers'.0 ��� iyn Laws ot Califom' . Date __�.Y�° LQI.�—Si9naWre - �NOTICE: �f, aftEr making lhis tle<laration, � shoul ecome Subject to the Workers' Compensation provisions of th bo� e, you'mus[ fo�tbwlth compty wilh such provisions o� this -rmit all be deemetl revoketl. CONSTRUCTION LENDING AGENCV � -' I hereby aHi�m that there is a construction IEntlin9 agency tor the performance of the work for whi n tn� p it is issued (Section 3097 Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER bECLARATION I hereby affirm that I am exempt from the Contractor'S Li[ense Law for the foilowinq reason (SecHon 7031.5 Business antl Professional Cotle: Any tlty or county which requires a permit to construct, alter, improve, aemolish or repair - any structure, Prio� to its issuance, alm �equire5 the applicant tor such perTit to file a signetl sta[ement that he/she is licensetl purzuant to the p�ovi5ions ot the Contractor's License Law (Cnapter 9,(commencing witn Section ]000) of 'livision 3 of the Business antl P�ofe55ion5 Cotle) or that he/5M1e is exempt erefrom and the basiz for tne allegetl exemption. Any violation ot Section J31.5 by any applicant for a permit subjec[s ihe applicant [o a civii �enalty of not more tM1an five huntlretl dollars ($500). I, as owner oi the properry or my employees with wages as their sole "mmpensation, wili tlo the work, antl Ihe structure is no[ Intentletl or otferetl for sale (Section ]044, eusiness anE Professional Cotle: The Contractor's' �� License Law tloes not apply to an owner of a property wM10 builtls or improves I thereon, antl who does such work M1imself/M1erself or through his or her own ' employees, provitletl that such improvements are not Intentletl or otfe�etl tor sala. If, M1oweveq t�e builtlin9 or improvement is soltl within onc year of com- pletion, tne owner will have the burtlen of proving he/sne tlitl not builtl or im- p�Ove to� Ihe purpose ot sale). ❑ I, as owne� of�the property, am exUusively contractln9 with licensetl com fYdCSOISLO COf15[IUCL IM1C pIOj2C� ($2CLIOII J044r BUSIf1255 dOC� PYOf0551005 COdZ: The Con[ractot'S License Law tloes not apPly to an owner of p�ope�ty who builtls or improves therean, antl who contrac(s for such projects with a con- tractor(s) license pursuant [o [tle ConVactor's License Law). I am awa�e [hat proof of thei� Wo�ker's Compensation insurance shoultl be provltleG to me. ❑ I am exempt untlet $ection B. & P. C. tor this reason Dale Owner ' I hereby certify that I n ve reatl [his application antl state that the above information is correct. r to comply with all city antl county ortlinances antl state laws rel in iltling�consVuc9on, antl hereby autnorize repre- Sentatives of ci en r upOn tbe above-mentionetl pr per to� inspection pur / j Si9nature Date Drivers' Cfrenze TYPE OF CONSTRUCTION L1 NEW Lpl ADD LJ ALTERATION Ll REPAI R ❑ CONVE{3510N ❑ DEMOLISH ❑ OTH R q,p, � �� � DESCRIPTIONOFWORK/USEOFBLDG. �`�� �J ��' S Main Building: TVPE OF PERMIT GRADING FOUNDATION � STRUCTURAL T Front s�y ❑ TENANT I�I ELECTRICAL PLUM8ING ❑ MECHANICAL B Rear ❑ OTHER A � PROJEC7 DESCRIPTION S�.FT. oCCUP y C Right � K Left CONSTRUCTION TVPE VALUATION S�� S �'O � ZONE GRADING CU.YDS. ACRES Ping. Ref. iF Remarks: „ PlanningNotes: ����/� Bar Sink Backflow�Preventer Backflow Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks � � Gas Service Outlets Kitchen Sink Lavatories • � P—Trap Roof Drains � � � P Reinspection Fee $15 Boiler Duct - Under Ground . Duct - Structural Duct-Ventilating � Exhaust System ❑ Multiple ❑ PirepUFact.6lt. ICBO # Heating System & Ductin ❑0-100,OOOBTU 0,0006T Fee � $15 cMF 0865-46, rev. 10 4 � hite - Builtling; Canary - APPlicant; Pink - Amounting; Goltlenrotl - Assessor Showers ServiceSink - Sewer Cap Sewer Connection Solar Collectors Solar, Pipi n9 Solar Tank • Swimming Pool w/Spa Urinal � � ' � Watef CbSei Water Heater Water Service Auto-Wash 2 � - Isue Fee ' $ 3 iANiCAL FEES .. Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000 t00,0008TU Sy Repair/Alteration ' Fire Dampers Registers Issue Fee � '� $ 3 !'6'103 5%@3%86 i^,ir.... - _' Zone Parking Req./Provided ELECTRICAL Aummatic Washer - Transformer ❑ 15-50 KW Construction�PoleSub. � 50+KW Cooking Unit, � Meter ❑up to 100 am"p5 Dishwasher Meter ❑over100amps Dryers ❑Gas .�Electric Sub Panei � Fan ' j Momrs �0.1 HP �1 %- 8 F.A.U. . ' Inc.Solar �9-75 HP �16�15+ Fixtures � � � Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal � � ;Standing Sections Generator �0�5 KW �5-15 KW Trash Compactor Fee Zoning Approved By _ Buildin9 Approved By Aoolication Issued Bv_ $15 Issue Fee j53.(7 TL FEES $ 3 Z O N I N G R E Q M T S SUM A V F FEES :f� BUILDING PERMI7 $ d SMIP � $ � . ` PLAN CHECK $ PERMIT � � PLUMBING $ OO ISSUANCE � $ PLAN CHECK 25% $ i7 'ENERG� P.C.- $ ELECTRICAL � $ GRADING �$ PLANCHECK 50% $ MICROFILM $ MECHANICAL 3 TOTALFEE � $ � PLAN CHECK 25% $ � , \� CONSTRUCTION AND PLANNING POO� ;PA Date Inspector Date Inspector APP�iOVALS Permit# APPROVALS Permit# H. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �P� q G 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Plpe-Undrgrnd. � 60. Backwash Lines, P-7rap, � 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 i6. Rough Electric Wiring (s �CJ C/� 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 Strucwre '� � 70. Underground Hydro 22. Ducts, Ventilating , 71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test --- 72. Under9round Flush 24. Roof Framing � 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � � vC� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �3 �` �(� 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation '� ( �l/ 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �� � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD ERTIFICATE ISSUED 33. Final Electric 9�0 G Q Notes: ��� � rQ,�,� 34. Final Heaiing & Air Conditioning ' I �' � �� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 9ro �'G �('% 39. Water Service-Final 40. Gas Service-Final i 41. Solar pomestic-Final , 42. Backflow Preventer � r • � � � � , 43_ Backflow Irrigation � � 44: Landscape Irrigation System 45. Sound Attenuation 46? Handicap Regulations 47� FINAL STRUCTURE & BUILDING , (� 48. Special Requirements Completed 49. Electrie Release to Edison • . 50.i�Gas Release to Southern California Gas Co � � . 51,' CERTI F ICATE OF OCCUPANCY '- No � Date ! ' '" � CityofCostaMesa INSULATION CERTIFICATION� euildingSafetyDivision' 12� `��o����L ���' ��' `r Number and Street � City Coun Subdivision DESCRIPTION OF INSTALLATION ROOF �. O Material Thickness (inches EXTERIOR WA Material � Thickness (inches CEILING / L Batt or 8lanket Type � 7 Thickness (inches) Loose Fill Type Minimum Thickness (inches) Area Covered (ftZ) FLOOR,ELEVATED Material Thickness FLOOR,SLAB �/ Material � ��// ��� Thickness (inches� Width (inches) FOUNDATION WALL Material Thickness (inches) Lot Number Brand Name �*/ , � Thermal Resistance (R Value) Brand Name (,/�lPif/ ! !7�/i/�/�� Thermal Resistance (R Value� %���� Brand Name (/�/PN �O/7/1� Ai� Thermal Resistance (R Value) ��(� Brand Name Number of bags Weight per bag Ib. Thermal Resistance (R Value) Brand Name Thermal Resistance (R Val Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) DECLARATION i hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Codel. Si9nature and Title CMF 1306-46 �����y� License Num�ber � � � Date License Number Oate oWNER Ray & Shirley Harnoss DATE 8/2�/59 JOB ADDRESS �421 WOOd12rid Pl. BUILDING PERMIT NO. 102%12 GENERAL CONTRACTOR OWrieP VALUE S 19L. 1� TRACT 25y8 FIRE ZONE DESCRIPTION OF WORK blOCk w311 I�"�ECTIONS DATE I GROUP J _ :rground SoIl U.G. Water —I SUBCONTRACTOR .' � :' � � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 31] � COSTA MESA. CALIFORNIA fOR APPI/CRNT TO F/L[ /N COMPLfTELY TYPE OR PRINT BUILDING ADDRESS Z COSTA MESA. CALIFORNIA ■ aTr Y LEG1L I LOT l I I�L��J �YS oescwirnon NO. BLOCK TRAC7'� A.P. NO. 512E I NO. OF BLDGB. / OF LOT NOW ON LOT USE OF EXISTING BLDG. SETBACI( LINE FNOM �{y- � CENTER OF 9TFEET J O � REAR YARD q 1I SIDE VARD LEFT �/ RIGHT DESCRIPTION OF WORK BUILDING SIZE EXTERIOR WALL "x � . _� �-- x - 4 �. 1 HEREBY ALKNOWLEI AND $TATE THAT TI{! PLY WITH ALL CIT�Y C eUILDING <ONS/TKuC{T� SIGNATURE� PERMITTEE AUTHORIZED AGENT NO. OF ROOMS ROOF COVERING � � LYe�.rm>. ,� THAT HAVC qEAD THIS APPLICATION OVE 1 OHRECT AND AGREE TO COM- IN6NCE�ND STPTE LAWS pEGULhTING , , �,�,�a`�,I�`► �� ' ,I..'� ,I�� 1�_]j APPLICATION � FOR PERMIT BUILDING fOR Off/Cf USE ONLY IRECEIPI NO. I� ���Q� NECEIVEO BY I OATE NECEIVED _I OATE 185UEC COSTA MESA. CALIFORNIA APPROVED � BY DATE ZONING ZONE NO.OP USE OF NI � ' PLANB BUILDIND APPROVED BY l�J,� DATE o�'�� YARDS EYE3 � REqUIREO ALLOWED ICENTER IINE ST.1 _ � � THE AMOUNT BHOWN UNDER VALUFTION IB FOH TNE PURP08E OF EST/�BLI6HING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ pZ r �� $ /� � �Q PLAN CHECK S TOTAL FEE S � - �J OWNER HARNOSS JOB ADDftESS , DATE GENERAL CONTRACTOR G. L. Grover VALUli S 259•0� AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK block walll__ IP'�PECTIONS I DnTE I GROUP Q TYPE %i� ZONE Rl SUBCONTRACTOR .. - .. 9892 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPUCANT TO f/[L /N COMPLETELY TYPE fOR PRINT BUILDING �_ / fA _ _ _. . � ^ COSTA MESA. CALIFORNIA LEGAL LOl DEBCRIPTION NO. SIZE NO.OF 0LDG8. OF LOT NOW ON LOT r 5¢TBI.CK IINE FROM � DESCRIPTION OF WORK BUILDING NO.OF SIZE ROOMS EXTERIOR WALL IROOF r I HEPEBY ACNNOWLEDGE THAT I HAV6 REqO THIS APPLICATION NNO BTRTE TMAT THE ABOVE I CORRECT ANp �IGPEE TO COM- PLY WITN ALL CITY ORDINA AND BTATE lPWS HEGULATIN BUILDINO CONSTRVCTI N SIGNATURE OF . /f/ /J] _ �� .� AGENT _ rz . ' . . .�. .e._..:._. . . .,- ' �l'Jl 1 � 195�5 Fll�'.P'CE J�:�'�i. ��T`! �� ��:'"` � �.o,� APPLICATION FOR PERMIT BUILDING fOR OFF/CE USE ON[Y APPROVED BT I `AT6 COSTA MESA, CALIFORNIA ZONING NO.OR q UBE OF NI PLANB 1 BUILUINO xv�y (CENTER LINE 6TJ FRONT R. 51 DE TNE AMOUNT BHOWN UNDEN VALUATION IB FOR THE PUHP09E OF EBTABLIBHING F PEHMIT FEE ONLY. %ALUATION PERMIT FEE S � - S�G��__ PLAN CHECK $ �J TOTAL FEE 5 � � OWNER FJLIRWLN� H(1�S �PTC DATE 1—Z7-51 _ IOB ADDRESS L�'t Lr,.,.ai .,..a vi.,,,., BUILDING PERMIT NO. fi)i7Fi GENERAL CONTRACTOR BgV Constr VAL[IE $ 16�177 (1f1 AP. No. LOT 1� TRAC'1' FII2E ZONE DESCRIPTION OF WORK RP.4_ W at.t,�ar ��OLIP r a. .i � TYPE n ZONE pi PLAN NO. oi.-,c �..dPECTIONS I DATE � SUBCONTRACTOR � _ __ PERMITSIBSUED Gas Test r A w1 , ' ��_ / � ♦, COSTA MESA BUILDING DEPARTMENT P. O. BO% 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN OUILDING ADORE55 �i 2 i � neo �,v.�. �9� COSTA MESA. CALIFORNIA IOWNER CITY /V .I' ARCHITECT OR ENGINEER ADDRE55 IC LEGA� LOT DESCRIPTION NO. A.P. NO. SIZE OF LOT C Sf TN�Mi� � �QNS� �iC. N o. PL�ce•�-r�N it fr1� � Cm NO. � O� TEL. `�� N(l. v IBLOCK TRAC �� NO.OF BLOGS. MOW ON LOT SETBiCN LINE FPOM l. �, � • CENTER OF STREET �� SIDE YARD RIGHT DESCRIPTION NEW K ALTERATION FEPAIR MO BUILDII:G �/oO � SIZE 6 E%TERIOR WALL COVERING USE OF NEW �i �S BUILDING R REAR YARD � � LEFT S I OF WORK I II nooirioN I II OEMOLISH NO.OF ROOMS STORIES r� .. .�: � l'��L� G� ��-.IJLLu �'J .s,�J �' �JAN 2 71959�,r� FINRP!CE DEPT. "ITY OF GOS?!1 ;.9ES� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. p{PmIT NL BUIIDING ADDRE55 COSTA MESA. CALIFORNIA APPROVEO CORRECTIONS The Amoun I NEFEBY FCKNOWLEDGE TNAT I H4VE PERO THIS qPPLICFTION RND pur ose STPTE TXAT THE /BOVE IS CORRECT ANO RGREE TO COMPLY WITM RlL D of esfablishing a permit fee onl . CITV ORpINRNCES l�ND $T/�TE L<W$ REGVLATING BUILDING CONSiRVG� TiON. V A W ATI ON SIGNATURE OF PERMIT FEE S � 6 -� PERMITTEE // /''f - PLAN CHECK S ��' �^ n 3 �O/ ( '/ eirrunvi�rn ercur � Q���_ {'In i'. u-..� TOTAL FEE 5 J y�— �sM� �