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Home My WebLink About586 YORKSHIRE ST - Building PermitsApPlicant �o fill in all spaces except those wit�in �eavy �ortler lines antl zlgn all aDD/opriate tleclarotions. B2� I 4/09/84 S��[J T� CITY OF COSTA MESA CONSTRUCTION PERMIT Pioject Address � Appliwnt's Mailing Addreu/� _ Owner's Name(� S �� ` �R D °^^�^��' �'Z Address h h (.iJ��'�/L��e'�'�" ' ""'�J Arch/Eng. License No. Address �> Contractor's Nam Pho e54�6 Address (r � ' � � �2�� / � �� C('� C City Licenu No, -J� 9a"7O, LICENSED CONT0.ACTOR DECLARATION I hereby aftirm lhat I am Ilcensetl uneer provision4 of Charter 9(commencing with section 7000) of Dlvision 3 of the Business an0 Profession/s' Cotle, antl my Iicenze is in full /o e a f<t. ��Q Licens lass � Lce se No. Date- �� a-- Si9nature � WORKERS'CO PENSATION DECLARATION �' hereby a5flrm that 1 have a certiiicale of coosent to selt-fnsure or a c Nitate I Workers' Compensatfon Insurance, or a certifietl �copy thareof (Se<tion �800, Lab. c.) . Policy No. Company BCertifietl copy is hereby (umishetl. Certitietl coOY is illetl with the city Builtling Div�sion. Date APplicant EXEMPTION FROM WORKERS' COMPENSATION DECIARATION (This section neetl no[ be comple[etl if the permit i4 for one huntlretl ($300) or less) I certity that in the performance of tne work for which this perm�t it issuetl I shall not employ any person in any manner so as to b c me subject to t�e . Workers�' Cp�mpen�}1�lo,� Laws ot Calitomia. . Date �(.,LZ_LY�Signature � NOTICE: IF, a/ter�making thiz OeUaration, you shJultl become s bject p the Workers' Compen5ation provislons of the Labor Cotle, you must forHwith comply with such p�ovlsion5 or thi5 permit Shall be tleemetl �evoketl. CONSTRVCTION LENDING AGENCV I be�eby affirm tha[ (here i5 a<onstruttion lentlinq agenCy (o� the per(ormance of the work for whicn tnis permit is issued (SecHon 3097 Civ. CJ lender's Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby affirm that 1 am exampt from the Contractor's �icunse Law for the following reason (SeCtiOn 7031.5 Business antl PrOfe551onal Cotle: Any dty or county which reqW�es a pe�Tit to cOnstruct, alter, �mp/Ov¢, tlemoll5h or repai� any structure, D�ior to Its Issuanca, also requires tpe appllcant fOr such permit to tile a sianetl statement that he/she is licensetl oursuant to ihe provislons oi '�"erefrom anE the basis for t�e allegetl exemptioP. .4�Y ��oiaUon ot Sectbn �'�J31.5 by dny aoo��ant tor a permit subject5 �he applicant [o a civil enalty o( no[ more than (ive huntlretl tlollaa (E500). I, as Owner of the prop¢rty o� my ¢mployeCs with wa9¢S a5 thei� Sole com0ensation, will tlo tne work, antl fha structur6 is nol intentlee or offeretl for sale (Se<[ion 7044, Business antl Protessional Cotle: The Contractor's License Law tloes not apO�Y to an owner of a proOB�ty who builtls or improves thereon, antl who tloe5 Such work himz¢If/herself or throug� �Is o� he� own employees, provitletl that Suth improvemenis are Oot intentletl or o(Porotl for Sale. If, however, the bulltling or im0�ovement is so�tl within One yedr ot com- O�etion, the owner will have the burtlen of provinq he/she Altl not builtl or im- �rove'tor the purpose of sale). I, as owner ot ihe property, am ezclusively contracting with Ilcensetl con- [ractoa to mnitruct lhe project (Section ]046, Bu51nes5 antl Professlons COGe: Tne Contractor's License Law does not apply to an owner ot property who , builtls or Improves thereon, antl who contracts tor such o�o�ects wltn a con- [rac[or(s) license pursuant to tbe Cont�acto�'S LicePSe LawJ. ❑ I am exempt untler Section B. & P. C. for [his reason � Date Owner I nereby cer[ity that I have rea� information is correc[. 1 a9ree to antl siate laws rela[inq to builtlin sentatives of this city to enter inspection purpos /Y) S�9nature ��• /�/� Drivers' Licerise or 55 $ —� CMF 0865-46 rev. 7/83 TVPE OF CONSTRUCTION IJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK TYPE OF PERMIT GRAOING FOUNDATION ❑ STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5�. FT. oCCUvnNCV CONSTRUCTION TVPE VALUATION $ ZONE GRADING CV. VDS. ACRES Remarks: Bar Sink Backflow Preventer Backtlow Irrigation eathtubs Clarifiers Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fae Boiler Duct- Under Ground Duct - Structurel Duct - Ventilating Exheust System ❑ Multi FirepUFact Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU �100,( Reinspection Fee W ni[e- Bulltlin9: Canary - AOP��anh Pink - Accounting; Goltlenrotl - Assessor 0 $25 $25 PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Heater Water Service laue Fee Hoodor Typel ❑ CanoPY 7VPe II ❑ Retrigeration System ❑o-ioo,000eru ❑ioo,000 System Repair/Alteretion Issue Fee FEES as $ 3 A.P. # S Main Building: E T Front ARear C Right S Left Pln9. Ref. # Parking Req./Provi� Use of Building: Plannin9 Notes: Automatic Washei Construction Pole Sub. Cooking Unit Dishwasher • , Dryers ❑Gas �Electric Fan F.A.U. F ixtures Device Boxes OutIeLS Zone Park.Fees $ ELECTRICAI Transformer ❑ 15-50 KW ❑ 50+KW Meter �up to 100 amps Me[er ❑over 100 amps Su6 Panel Motors �0.1 HP O1 h- 8 Inc. Solar 09-15 HP �16-15+ '� Microwave Pole Light Range Garbage Disposal ' � I I Standing Sections Generator �65 KW �5-15 KW Trash Compactor 2 O N I N G R E U U R E E N T I Reinspeetion Fee I$25 I �ssue Fee ' I $ 3 I PUBLIC SERVICES REQUIREMENTS: Zoning Approved By �ate Appliwtion Approved By pate Appliration luued By Dat�� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ � PERMIT PLUMBING $ ISSUANCE $ P�AN CHECK � $ ENERGV P.C. $ ELECTRICAL $ GfiADING $ PLAN CHECK � $ MICROPI�LM $ C�_ ' MECHANICA� �$ � TOTALFEE $ � PLAN CHECK $ r CONSTRUCTION ANDPLANNING . POO. oPA �. APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Feinforcement 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, O Undrgrnd., Test 9. Water Pipe-Unqrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System . . 67. 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 Electricyl�Conduit 66. Solar System-Final 16. Rough Electric Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24; Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathiny 74. Overhead Hydro 2E. 7-Bar Ceiling (Structurap & 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 Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test , 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing y /l�d�l•'� �� . 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Prev�nter • 43. Backflow Irriggtion 44. �Landscape Irrigation System 45. Sound Attenuation - ' 46. Handicap Regulations ' � , 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Eleciric Release to Edison . 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY ' No. ' Date ' � / 4` WVG'N}�' ApO��ant to fill In all spaces exeeDt lhOse wit�in heavY EorCar Iinas an0 si9n all apOroD��ale tleclaralions. PERMI O. TRACT NO. LOT NO. UNIT NO. CI7Y OF COS7A MESA ONSTRUCTI�O/N PERMIT A.P, qW zo�a Project Address �—�� Z�� Sr7i r.�� _ S Main Building: Accessory Building: Applicant's Mailing Address � TYPE OF CONSTRUCTION rvEW ADo � A�TERATiON REPniR E Z �—��y �� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front � Owner'sName��Q ^ Phone�L7_.[.�TG DESCRIPTION�'WflRK/USEOFBID�.— �� A Pear N Address /wR�e{� �,_1.__, ��,r,Z'(.( � ��_P Arch/Eng. LitenseNo. �TVPEOFPERMIT �IGaaDf(aG IS��FOVtaDATION S7RUC7VRAL IK Right G Addre55 � � TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g Left R Contractor's Name�%��r%�^��% �(•t/�� ^�� Phone 7 i!�/L� � o7HER ' Ping. Ret. # Parking Req.IProvided E / n p S �y � ��;� �� PROJECT DESCRIPTION Sq. F oCCUaAraCY Q' 3 Plannin Notes: � Addresslmailingl—fr�.Ll p ��r--��/�Q—,d—r) CONSTRUCTIONTVPE VALUATIONS 9 T CityLiCensCNo. �,�_�..�_/ ZONE GRA�INGCU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S� I hereby ailiim Ihdt I dm li<ensetl untler p�ovi510n5 of Charter 9(<Ommenting Remarks: with seclion 7000) 01 Divislon 3 ot the Business antl Professlons Cotle, antl my license is fn t JI /or<e antl eltect lf ELECTRICAL FEES License CI SS ` GL8O58 NO. ��` ��l� ❑ 15-50 KW �'� � � Automatic Washer Transformer oate i�� Signature � � PLUMBING FEES WORK 5' COMPENSATION DF,.CLAR �ON ConstfuCtion PoleSu6. ❑ 50+ KW 9 Bar Sink Showers I nereby aitirm tnat I have a certificate of onsent to solf-Insuro or a certlticate `Norkers' Compensation Insurance, or a cerUlietl topy lhereot (Saction Backflow Preventet Service Sink Cooking Unit Meter ❑up to 100 amps ). Lab. C.) dcy rvo. Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps 8 Certifietl cOpy iz he�eby tu�nizhetl. Dry¢!S ❑G35 ❑E12ctfic Sub Panel Certifietl copY 1s filetl wi[h the tlry Builtling Divislon. Bathtuhs Sewer COnn2ction Oa[e APPlicant Fdn EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solaf ColleCtors MotOrs 00�1 HP O1'h - B ississection neetl not be comoletetl i( the permit is for one huntlretl (5100) or Dishwasher Solar Pipin9 F.A.U. Inc. Solar 09-15 HP �16-15+ 1 certify thal in ihe perlormant¢ o� [nG wo� o� wltich [hls pe�mR i5 issued, I shall not employ any perzon In any mary er o ay becoma subject to the Drinking Fountains SOIa! Tank Fixtures MicrOwave Workers' o en i n Laws of California • e� - ,� Device Boxes Pole Li ht Date Siqnat�rc Floor Drains Swimming Pool wlSpa 9 NOTIC :, att making this Oeclara on, yo houltl become subject to tha Outlets RBn e Workers' ompensalion provisions tne or Cotlo, you must forthwith Floor Sinks Urinal 9 mmply wilh su<h provlsions or IhIS p¢�ml[ Shall bo tleem¢tl rewkCtl. GONSTRUCTION IENDING AGENCV G25ServieE Outlet5 WaeerC1o52t SwitchCS Sign 1 hereby aHirm that there I5 a mnstruclion Ientling agenCy fo� the pB�tormdnce Garba C Di5 0521 ot the work for wnicn tnis permit is issuetl (Section 3097 Clv. C.) ��terceptors Water Heater 9 P Standing Sections LxnGer't Name Lentler's Atlaress Kitchen Sink Water Servite Generetor 065 KW 05-15 KW TraSh Comptctor OWNER BUILDER DECLARATION I hereby affirm inat I am exempt trom tha Contractor's Llcense Ldw for the Lavatories Auto-Wesh following reason (Seclion 7031.5 Business antl Pro/essional Cotlo: Any city or counlY whith requirei d permll to ConStruCt, alter, ImprOvO, demolish Or ropai� P—Trap �gppdry Tfey3 any sVucture, prior to i[s Issuance, also raquires the applicant lor such permil to lile a zi9neE itatement tnat he/sho is Iiconsotl purivant to the provlsions o/ ROOf D�ains the Cm[ractor's License Law (Chapter 9(<ommencing with Settion 7000) ot Divlsion 3 0l ine BUSiness antl PrOtession5 COEe) Or Ihat he/ihe i5 Oxempt Rein5p0ction fee $15 ISSUB Fee $ 3 -'�efrom and lhe Dasis tar the alieged exempUon. Any vlolation of Sectlon LS by any apP��an[ fOr a pe�mil Subfoc[s tho apD��anl to a civil .alty of not more man five nunaretl tlonars �f5o0). g 3 DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner ol tne pro0erty or my omployoes with wa9os as thair sole Reinspaction Fae $15 Issue Fea Zoninq ApProved By Date com0ensation, will tlo the work, antl tha structure is not intentletl or oHeretl tor sale �Section 7044, Business antl Profe55ional Cotle: The Contractor't MECHANICAL FEES Building Approved By Date License Law Uoes not appy [O an Owner Ot a properry wno bulltl5 or improves t�creon, an0 who tloes Such wO�k bim5¢H/her581t or tbrougb �IS or her own AppliWti011 ISCUBd By pt 1 employ ecs, provitlCtl Ihat such ITprovomunls ara not intantlotl or ollatetl tor BOiI¢� HOOd O! Typ@ I ❑ saie. I/, however, tne builtlin9 or improvement is soltl within one yoar ot com- �nopy Type il ❑ piction, the owner will have the burtlon ol proving he/she tlIU not builtl or Im- Duct - Under Ground SUM ARV OF FEES prove tor lhe purpose ot sale). BUIIDING PERMIT $ SMIP $ ❑ I, as owner oi tne property, am exclusively contractln9 wltn Iicensetl con- Duct-Structural Refrigeratlon System PLAN CHECK $ PERMIT Vactors ro construci lhe p�oject (Section ]044, Business antl Profe55ionz Cotla: The Connactor's Licanse Law daes not apv�Y �o an owner oi Oroperty who Duct-Ventilating ❑0.100,OOOBTU ❑100,000BTU PLUMBING $ ISSUANCE 5 builtl5 ot improves [hereon. antl who conVacts for SUCh oroiettz wlth a r.om tractor�s hcenze pursuan< <o �ne ConVactors License Law�. 1 am aware lhat Exhaust System ❑ MWtiple ❑ SyStem Fiepair/Alteration PI.P.N CHECK 25% $ ENERGY P.C. $ proof o� their Worker's CompenuNon insurance shoula be provitletl m me. ELECTRICAL $ GRADING S ❑ I am exempt unaer Section B. & P. C. for chis reason Firepl/FacL BIL ICBO # Pire Dampers MICROR�M $ Heatin S stem & Ductin Re isters PLAN CHECK 50% $ t, Date Owner 9 � 9 9 MECHANICAL $ ��7 '�%� • d ' I hereby certity tnal I have reatl tnis aoP��et�on antl state that tne above � �'0-100,000 BTU �t00,0008T TOTAL FEE $ information is correcL I agre o comply with all tlly antl county ortlinances PLAN CHECK 25% $ antl state laws reJ a�nq to il ing con5truttlOn, antl he�Cby authONz¢ /epre- 52ntatives of this LLy t4 ¢p er upOn lhe above-mentlOnetl p�oparty IOr ��hee �-�r<,�-.�CG inspection purposa ._ / • � �i� Date � 07 D9vers'rLi� nse or�5 ��'% �� '�:] � � ReinsPection Fee $15 luua Fae $ U41�P1J'I��U-:4. �lj�� :_t_. . -_ 0865-46, rev. 5/86 WI11tC - BIIIItliO9: Cdfldry - HppllCdp[; PIOk - ACCOU�L�9: G01a20roO - H55¢SSOI CONSTRUCTION AND PLANNING - POOL 'PA APPROVALS Permit # Date Inspector p�ppROVALS Permi[ # Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduii-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, O Undrgrnd., Test �. 9. Water Pipe-Undrgmd. , 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor SYstem 61. APPROVAL TO DECK � i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final ' 74. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16 Rough Electri �Wiring 67. Fencing & Access Approval -17...Rough Wiring Sign 68. APPROVED FOR PLASTERING � Y8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL i 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.,Rough Factory Fireplace APPROVALS Permit# • . . �21. Ducts, in�Structure 70. Underground Hydro 22. Ducts, V'entilating i: 71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Fcaming 73. Undergrnd.StorageTank OGas OOiI : . 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27.�FrameandFlashing 76. DryStandpipe 28. Lathing,& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � 30. Drywatl�Nailing HEALTH DEPT. REQUIREMENT 31. Plaster'Biown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - i 33. Final Electric Notes: ' � � 34. Final Heating & Air Conditioning � C� L�Q 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final i 40. Gas Service-Final ��.� 41 . Solar pomestic-Final 42. Backflow Preventer ,�� ' � 43. Backflow Irriga[ion ._� ,. 44. Landscape Irrigation System , j rf 45. Sound Attenuation c;� � 46. Handicap Regulations !�� 47. FINALSTRUCTURE&BUILDING t. 48. Special Requirements Completed 49. Elecvic Release to Edison �� 50. Gas Release to Southern California Gas Co 51.CERTIFICATEOFOCCUPANCY � �� No. Date �` �� , . t' ADDRESS BUILDING PERMIT NO VALUE TRACT PQ2E ZONE DESCRIPTION OF WORR G. 1P j TYPE p ZONE RI� PLAN NO. SQ73 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER 7'cenches Parmg S[ecl Nloor System Stecl Raaforce Chimuey Re-Rod Bond Bcam Framc and Plashin9 O—� � Lathing, In Out Plastcr. browv coat Final Gas Test �' , � 52'73 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� � COSTA MESA. CALIFORNIA FOR APPLICANT 70 FILL IN BUILDING F"��[-� %nz�.�;�lf'c� /l.il�J�7P ADDRE55 !% X (O COSTA MESA. CALIFORNIA OWNER �� I�Cf/�,/ <Yeh��RF MAIL ��{� 'li %/ Z�� ADDRE55 O!O ��'J�G J TEL. CITY l%� � �y NO. / ARCHITECT LIC. OR ENGiNEER NO. iAODRE55 � N.i' LEGPL ILOT � � DESCRIPTION NO. I A.P. NO. �� S�ZE � OF LOT USE OF q�'/ �EXISTINGBLDG. �lO� SETBFCN LINE FNOM �CENTER OF STREET � -r % NO.OF 9LDG5. �IOW ON LOT � SIDE YARO RIGHT L,J D/ LEFT •O / .DESCRIPTION OF WORK NEW X ALTERATION AODITION REPAIR MOVING DEMOLISH SIZIEOING ��L �� ROOMGQ.%Te STORIESI%� EXTERIOR WALL ./�� ROOF 9 �/ COVERING H� COVERING_ OGZ�L(ti USE OF NEW ��G.�.y r �—" BUILDING �./_�� ` /�0 _ �S i %� �� F RECEIVED 3 i9 �"�- �� INANCE DEPT. CITY OF COSiA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PESMIT NO. ��.�6 c•RE EO BY /y/TE RWENF�D /OATE 155UEO 1/� L_ ti ��% 4-i'2 [�7 BUILOING L Q/ (�� `��i. ADDRE55 eJ LrJ(� / �� COSTA M SA. CALIFORNIA 20NE CORRECTIONS SUBJECT TO T DEPT. REG. __ � �� EXF;9T TCIINOWLEOGE TMFT I NRVE RCnV TION PNp STFTE THAT THE tBOVE IS CORRECT PND AGREE TO COMpIY WITH iLL CITY OROINPNCES ANO STFTE LPW$ REGUI�>TING UIIILUING CONSTRVC- iiOrv. VALUATION SIGNATURE OF /1 � PERMiT FEE $ PERMITTEE �� [S�-J 5 �O-� PLAN CHECK S AUTHORIZED AGENT TOTAL FEE $ � ; � � �., JOBADDRESS ILDING PERMIT NO. GENERALCONTRACTOR Dike & Cole�-rove VALUE $ B�OOO.00 � 3 e�ocK TRACT 2313 Residence and Caroort GROUP I TVPE V ZONE j�,�y FIREDISTRICT 965 �INSPECTIONS DATE SUBCONTRACTOR PERMITSISSUED . DATE I NUMBER Foundation Forms and Grade to Garage Rough Framing �� Plumbing, Rough to Slab ��ai , � •Plumbing, Rough Complete Temporary Pole L x Wiring, Rough Ci' r"� T- eating, Rough T— Heating,Final lL4 E�` Sewer p,,�.-o.L p � L �� _ Septic Tank or Cesspool � L� g Plascering �,= � � Plumbing,Final,FiuturesComplete 6� T Plumbing, Final Gas Test /S' - 6 Wiring, Final .r Occupancy �GL � Farm 210 GH l➢1 1&69 �osta Mesa Building Department APPLICATION FOR PERMiT '�• � COSTA MESA? CALIFORNIA g�� B U 1 L D �l N G � FOR OY'FICE USE ONLY FOR APPI.ICANT TO I�'dLL IN e' rvo. Perm�t t�o. Building — Address $6 York h r Costa, Mesa, Ci8,�017118� Received by Date Ree'd. ate Issued Nearest �_� � CroSSSt. HBmllton Building Address Owner B B. Costa Mesa, California Mail Address 419 E. 1%tl'1 St. Nearest Tel. Cross St. Cfty QOStB ME98 _ No.Ll 8-1159 Zone I No. of I Type I Group � Arohitector 82' 90II Lic. � Plans engineer Middlebrook No.Le— 1 80 P.pproved by Date Address Garden Grove. Calif. CORRECTIONS City Lic ContractorDike & Colegrove No. 1301 Address 419 E. 17th Straet., Costa Mesa De cr ption I No. 3 I Block I Traet 2313 (Attach Metes and Bounda) No, ot Bldga sizeot�ot 93 x 99•22 I rvowo��ot None �_� 0 Useof I No.of I No.of � � z Existing Bldg. Familiea Roome � Setback Lfne from Rea� Vard — Center o1 Street 5� � Side Vard t s new I X I Alteration � � nadtcto� � Repair I I Moving I I Demolish I � Buflding No.oT Size %1 s.f't. Rooms Stories 1 Exterior Wall Roof Coverin9 Stucco Coverinq Comp APPROVAL.S Use of New Building Residence 8T1C� C8T'p02`t �Foundation Location Inspeeto Forms, Materfals, Under•Pinning Frame: Fire Stops, Bracing, Bolta I hereby acknowledge that I have read this Application Lath. InL and state that the above is rni'rect and agree to comply Lath. Ext. with all Clty Ordinances and State Iaws regulating building construction. SignatureoT Plaster,lnt Permittee 1 — Plaster, Ext Authorized Agt. _ - Masonry Reinforced Valuation Permit Fee $ �. Plan Check $ Bond Beam $$��.�� Total Fee $ ,y5, FINAL . .v � J " n a ; � : �" " _ �;. .;::: _ i � Strect I -� PLOT PLAN � Show locatlon and distances from � property line and betv✓een buildings. t ._.... - .", __ , i.� . ._' _' . . 1 ' __' ' ,.' ' _ � ... . . _ . _ . , , r �. '. . r', " � -. �:v� .r, . 1 � '. ' � . � _ : � � . r. . . : ' .i _ . '� r � - '. \�r r • 17734 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA MEBA. CALIFORNIA For Applicant fo Fill In Completely TYPE OR PRINT BUILDING C D O K� h�� // A�DRE6S �� COS7A MESA. CALIFORNIA MAI� ADDRESS fITV �-J TEL. NO. —� TEL. ,�� ADDRES� �� ,� �o,�TN M e s,4 s T cirr C � LICTNO. / / 4 NO.�� " _��'�/ 61ZE I NO. OP BtD08. USE OF ryU' � EXIHTIN BLOG 6HTB/�CK 4�NL PROM CeNTeN OF eTpBeT � REAR YARI 6IOE YARD I LEFT I RIGMT DESCRIPTION OF WORK NEW I II ALTERATION I ADDITIC REPAIR 1 IIMOVING I IIOEMOLI: BUILDING NO, OF SIZE ROOMS STOI EXTERIOR W�1�L IROOF �LC1 <,:E� �L�J ,:/ �� /- l�,�i F��l��T FINANCE DEP� Au� 3 o t� P,�TIt QfiQ6@TAIl�9Dnly RHLHIPT NO. I �T�NO. 4 necerven er o�a ecerveo o�T¢ i¢eueo � 9- �-�o -6 �- � � - 3c -b z- a�� g� � R�� . ADDRE66 �+C/}l� � C05TA ESA. CALIFORNIA ` J FIRE . )�� _1� BVPROVED /�T /� �j ` DATE U '/ � /� � ZONING zopk� _� I pu eP O I eu �o na e� �% LEGAL / /� DE6CRIPTION +1 V� � �/T �- � eeN„ �/�—.�7'2--l� (CENiHN LINH �ro � �, � � ;�i�� 00 1 HEH68Y AGKNOWL80G¢ iHAT 1 HAVe RfiAD TH19 AMLIGTION AND BT�Te THAT TH6 ABOVH 18 CORREGT AND A6qH8 TO COM- TMB AMOUNT BXOWN UNO6P V�LUATION IB PON THH PURP08H OP EBTAOL�BHING A PEqMIT p8fi ONLY. PLV WITN ALL CIT' OHDINANCEB AND 8TAT8 LAW9 RCOULATING ewLDINtl CONBTRUCiIo Q VALUATION BIGNATURE OP Jw.�.....i. PERMIT FEE $� �G PERMITTE ��V ,/� g /(�S �D✓ �'LAN CHECK $ ^ AUTHORIZED AGENT �'OO TOTAL FEE i i i\ y