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Home My WebLink About388 MAGNOLIA ST - Building Permits(774)754-5273 • Fax(774)754-4856 Job Address: Suite No Vicinity: � CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 388 MAGNOLIA ST Parcel Nunmber: 11729210 Applicant: RON Address: W/ NOCK PLUMBING owner: TRIPP, BARBARAJUNETR Address 6329 E MABURY AVE ' Contrector: Address: ArohlEng: Address: ORANGE,CA NOCK.PLUMBING 11812.KNOT7 ST GARDEN GROVE,CA .` DISHWASHER CHANGE-OUT ISSUEFEE�� , Backflow irrigation Backflow Pre4enter Bathtub Clarifier System Connect (Ice,Soda,elc) Dental Units � Dishwasher � Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qrv 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 PLUMBING PERMIT Phone: 714-895-1246 Zip: Phone: Zip: 92867 Phone: 714 895-1246 Zip: 92841 License: 707775 Phone: Zip: Lfcense: SCOPE OF PERMIT . r i i 1 i Y �� PERMIT NUMBER P98-00845 77 FAIR DRIVE, COSTA MESA. CA 92626 Status: ISSUED Applied: 17/10/1998 Issued: 11/10/1998 FEESUMMARY� _r _ nMT � Qrv Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trep - . .�$0.00 0 Pressure Regulator -- $0.00 � 0 Process Piping (per 10 ft) $0.00 - �0 � Receptors - . $0.00 0 Septic Tank ' $0.00 0 Sewer Cap for Demo , $0.00. � 0- Sewer Conned ., $0.00 ' 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial� $0.00 0 Sink, Floor $0.00 0 Sink, kitchen $0.00 0 Sink, service/mop $0.00 0 Spa (private) $0.00 0 Spa (public) $0.00 0 COMMENTS / SPECIAL CONDITIONS �� SumpPump " . Swimming Pool � Trep Primer . Urinal VaCuum 8rkr BkFlow(1-0) Vacuum Brkr BkFlow(5+) Wash Basin ' Wash Basin Set � Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Soflener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $30.75 QTY 0 0 0 0 0 . 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure �o obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) �5q-5626 WORKERS' COMPENSATON DECLARAT�ON: I hereby affirm untler penalry ol perjury one qt the follovnng tleclarations: ❑ I heve entl will maintain e certificate of consent to self-Insura for workers' compensetion, es provided tor hy section 3700 oi t�e Labor Cotle, tor the pertortnance oi the - /work lor which ihis pertni� is issued. � I have end will maintein workers' compynsation insurance, es required by section 3700 of ihe Labor Code, for ihe perfortnance ot lhe wofic tor which this permit is issued. My workers' compensation Insura-nce \Carrier antl policy number ere: ,1.,` �C ,` T Cartier. e�OLJ7�] �o�..F� PolicyNum6er N�N�� ( i 3 Y �v�� (!h/s sectlon need nat be complered I! fhe parmit is value0 at one hundred dollars ($ f 00J or less.) ❑ I certify Ihat in the pertormance of ih0 work tor which this permil is issuetl, I shall not employ any person in any menner so as to become subject to the workers' wmpensation laws ot Califomia, end 9g�ee that if I shoultl bacome subject to ihe workers' wmpensation proNsions ol Sedion 3700 oi the Lebor C e, I shell lorthwith compty with these provisions. �� , �/ C Applican�SignaWre: \I Y\� — l Date: -/ L � WARNINO: FAILUFE TO SECURE WORKERS' CO�.�pENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENA�TIES AND CIVIL FINES UP TO ONE HUN�RED TqUSAND OOLLARE (5100.OW�. IN PDOITION T07ryE COST OF COMPENSATION, OAMNGES AS PROVIDED FOR IN SECfIIXJ 3/060F THE LFBOR CODE, IMEREST, AND ATTORNEYS FEES. 110EN5ED CONTRACTORS DECLARATION: I �e�eby effirm ihat I em licensed torce and eHecL Lia a Contractors Signeture: � (commencing with Section 7000) oi Division 3 of the Business andla�igps Code, entl my license is in tull qass a G� U � i Date: // - / 7-- CONSTRUC710N LENDING AGENCY: ❑ I hereby aKrtn that thare is a construct{on lentling agency for the perfortnance of the work tor which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lender's Address: � Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby effirtn ihat untler penalry oi perjury ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires a p4rmit to consiruct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, elso requires the epplicant for such permit to Nle a signed statement thet he or she is lir,¢nsed pursuant to the provisions of lhe Contrectors License Law (Chepter 9(commencing with Section 7000) ot Division 3 ot the Business entl Protessions Cotle) or that he or s�e is exempt therefrom and the basis tor the allegad exemption. Any violatlon ot Section 7037.5 by any applicant for e pertnit sub�ecis the applicant to e civ�l penalry of not more than five hundred dollars ($500).): ❑ I, es owner of Iha property, or my employees wi�h wages as their sole compensation, WILL DO TXE WORK, and the structure is not Intended or offered tor sele (Sec. 7044, Busineu antl Professions Code: The Contractors License Lew does not apply to en owner of property who huiltls or improves thereon, and who tloes such work himseli or herseli or through his or her own employees, provided ihat such Improvements are not intentled or ottered for sale. tl, however, the bullding or improvement Is sold within one year ot wmpletlon, the owner-builder will have the burden ot proving ihat he or s�e altl not builtl or improve tor puryose oi sala.). ❑ I, as owner ot Ihe property. em EXCLUSIVELY CONTRACTING WI7M LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business and Prafessions Cotle: The conirectors Licensa Ww does not apply to en owner of property who builds or improves Ihereon, and who contracts for such project with e contrecbr(s) license DursuaN to Ihe Coniractors License LawsJ. ❑ I am exempt untler sec. Business and Professions Code for this reason: Signature: Date: Owner ID venfietl by dnvefs license. Q Ves ❑ No Dnver's License No. Vediicetion of Ownership by (rype oi document, i.a. - property tac bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICA710N: Expires: ❑ I hereby certlly ihat no excavetion fiv0 (5) or more feet In tlepth into which a person is requiretl to tlescend, will be mede in connection with work euthorizetl hy this pertnit, antl thet no building structura, g�gttolding, falsework, or demolition or dismantling thereoi, will be more than thirty-six (36) feet high. (Chep. 3.2, Grp 2, An 2, Sec. 341, Titla 8, Celifomia Administrative Code). ❑ As ownerbuilder, I will not employ enyone to do work which would require e permit from the Division of Indusiriel Salery, as notad ebove, unless such persan hes a pertnit ta do such work tram Ihe tlivision. Signature: Date: Division of Industrial Safey Pertnil Number: CERTIFlCATE OF CAMPLIANCE AND AUTHORVATION OF ENTFiV: I certify under penalry ot perjury thet I have read thls application end state ihet ihe iniormetion given is wrtecL I egree to wmply with all state laws and city ordinances relating to building construction, and euthonze representatives of Ihe Ciry ot Cosia Mesa to enter upon ihe above-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by this permii until final inspection. �" n re Legal Oaner(s) — j� /' Dete�� Md/Or Authoryzed Applicant Date COOE L INSGECTIONTYPE 1676 Fized System Finel Fire Prevention 1266 Pool SOe Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Feciory Fire Place 203 FinalSign 204 Final Demolition 2446<6 PAff U1iID9L4 LOOE� INSPELTIONTYPE 206 Final Mechenical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Sita 250 Final Building/Occupancy OASE �t5 . I \I ``wupEssaew�anc: jgg �yAGNOLIA ST �'ERSNWEIFIWqYII: TRIPP BARBARA SUNE Tk r �o�u 6329 � t�IAHURY AVE ORr�NGE,CA 92667 998-5567 MM. WIIIIlG ADUPE55: MCNRECT OR ENf�lFEH: APLX. ON QM.'41W OHE55: LM. NO.: canm�crars wu� CONfNACiOP'SYYl1KKi � wo�ss: ua no.: UNT: e UNT: UNi: LICENSED COMflACTOqS OECL�XATION: I Mreby ell:m uiMar panely d parjury Met 1 em licenead uMer povieima of Cheqs e (wmmend�q xi�� Seclnn ]000) d Oivision � of �he Bua�wea vM Prtmeions Coda, ud my licame ie in hA Iwce vd sllec. CRY LIC. NO.: LIG CLASS: LIC. NO.: E�( F! ; o�a: OWNEF BUI�OEP DECLANIITION: I hereby dfirm uMer penepy d per'ryry Ihet I em exemq Irom the COMretlan ikense lew Iv ihe Idbw'uq rmsm (SeUian 1W t.5 Buaibaa eM Prdewione Ceda: Airy cry a cauny whitl� ny�ira.v e permil lo construcl. ellm. impraro. tlamoleh, m repei any awciure. pnar to ds eauence, ebo myuiree �he epplicent fa euch paimil to fib e sgmd atetemenl Net M a eM ie IicenseC W�uen� to �he praviaiona d iha Conlredon Licenu lew �Chepar 9(commendnp vrilh SeUion 10W) d Divbion 3 M Ib Buainev vM Prdeaeiom Code� a itat M a ahe b memp ihereM1om enE the beais la the dbped exemqion. My vide�ion d Setlion )C01.5 by eny appli anl far e permil wbptla ihe applicant to a wil panely d M mae Ihen Ma �unEreE EWlen �SSW]). � I.avowrcrdlMprope�yamyemplvyeeaxihwepaem�heieobcompensetim.willEotMwoA.eMlhest�ucturoorwlinteMed ' pwemenla are nd inleMeJ a a11seU ta seb. n. trowwx. ine bulNleq n mprwement u eatl �MM1in one Y� d oomplelion. Me V owmr-0uilder will heve tM hNen d pon�q M«she did ria build a impm.e la iM purpoee d eele). 'Q 1. m ow�r d IM pvperry. em e�Nuanay oonlrediq wilh lioemed wnvenae �o conmrua tM D�W� (�� )�. �+�a eed Pmiesaons Code: The Contreaas Lkense Law Eoes iwl epply b an owriar d popany xfio buike a impwee tlwaon uM x1q conVects Iw sud� Drqecla wilh e conlraqw(s) I'ranaed pureuent to ihe CaMredae licwiae lew). � I em exemp urder Section: B. 8 P C.. far Nu �a�an: /�. p / 1 Dme: � � // . � 9 / � Owner ��(J��L-R. il�=r �t� i ao n,�nv =en�� = a�e ��w�e ina rea��n a ceuo� �.nn �e smeer coe. o�,�a zssos, zssa�. �e zssaa. ene inv i«env nnure w�mme �v� �n i.ai �(c��b onal �e.d �o a«�W .m.�d �e mde..�e m. ncu.am«w ror epa�mnt«mmbuciionamoAi(rationhomlMRi u�y enepemm�Dielnd.RetiEeMielcansi'udionepplralbreenexemqiromihw yrwisiona. oma: Avd� WOFKEN'S COMPEN5ITION DECL1IN�TION: I hereby elfirm uMer panelly d pe�jury an W IM idbxirp Aetlareturre: � I heva vd xil meimen e cenA'ceb d mrem� to eeMineun M wdkan' canpenmion. o prwNed fa by Seaan 3]00 d tM Lebor Cade, lor the pe�loemance ol Na wak iw wM1ich thie partnA o isvued. ❑ ine��,dm��me:��n�.•mmo��.m�a�u.aMsw�ona�aoame�ee«coee.rormero��am. woM1 lor which ihie parm� ie iaeued. MY ��n �mpenamion iruurarrw univ ud poliry number era: c� . PWkyrNumber. ,Tis section neeJ nm be mmpb�e� d �M peimit is M aro hvnMe! Cdlers /SI001 a bn.) [] I cenity thm in tM pe�lamenro d IM work fa v.hbh Ihb Po�� g laeustl. I s�eX M emplvy vry paean m art/ menmr eo n to Eacoma eubjeq to tM xwkera' compenaeiion lewe M Calibmie, end eprea tlW il I tlwuN barome wEjeii lo tM wvFnn' erv�eiian qovuom d SeGion 9'/00 d iha lebor CoCa, I ehdl nhxilh/�%m�py ��Mh �Ihoae pmvivo s. , Dete. . Applcenl: /AiI/W+i'� �/iif Wa y: F�Y� b s�curo rorkeri rnnpevuetlon corxeps li unl�wN( �nd Mtll �uCJect an smp/qw ro�� clvll flns� up ro om huntlretl fho�uM Jelkn (S10QOOOA In adllfbn ro tln cwf ol mmvauetbr4 tlemepes es provWM br In Sxtlon 9l(16 0l Ms Le6oI Cotls, lnrons( enC eMrnsy'a Iss�. CONSTHUCTON LENOIN(i 10ENCY: I he�eby eMem uMx paiWiy d pe�'ryry thm �here u e oonrrud'an bMiip epenry lor tlro parlortnence ol �he vroh /w whid� ihu peemY ia'swetl (Sedion 3091. C'v. C�. LEN�ER'S NAME: � LEN�EWS AOONESS: I caMy �he1 I haw reed tha epplicetion eM slele thm Me ebove iMametbn e wirea. I ep�ae to mmpty wilh ell d1Y ��uMy ordinuina ' entlaie�elewsrele�inplobuildmgcanavuaionendhmebyaWwrizeeapeaentetivosdihiacirytoentmupontMebo�re�mantionaEpoperly I �or impeqion purposea. BAP,�ARA TRIPP ,I - � %APiint Neme %a/(�� / � 1_ // /�-✓I Deb: sq�uredo.ned o�m�ucomreaa �5151<B.WP) Whne-BuildinO85dery:orear�Fle;Canary-App5can�;Pink-Revenue;Gddsneo�Aveaaeor CITY OF COSTA MESA - BUILDING PERMIT FERM NO: B 08371N PERMIT NO: b 083718 PLAN CHECK NO:'02760-97 L GOVT: N SUPP: N CONSTROCTION TYYE: V-N PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION : NEW WINDOWS/SOFFTT/NEW SIDING SQ FT: 3,000 CLAIM VALUE: 3,0OO.OU CALC-��ALUE: 3,000.00 GROUP OCC: R-3 / COMMENTS: VENTS IN SOFFITS/ NEW FRONT DOOR & FffAME iE if jE if �1f 9E iE 1f 3E 3E jE �1; jE iE �E-Y.- �E 3F iE-1E jE jE 3f jf 3f iE iE �E 1E iE iE 3E 3F jk dE i(� �f iE iE jE dE it if iE iE iE iF iF iE iE iF 3F iE if iE �E iE iE if 1E jf jE jElE 3E dE iE ik �f'F 9E � jE jf i�' � iE �E?f Z O N I N G R E Q U I R E M E N T S S E T B A C K S ----------- MAID1 BUILDING --------- ------- ACCESSORY BUILDZNG --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING kE�: PROV: PARCEL: 11729210 ZNE: R1 REF NO: . PLANNING N TES> kE5IDEHOOSE 6REF+LACE FASCIA BOARD SOFFIT, NEW WINDOWS-' � ! iF �E 1E �E �lE iE if jk?f iElF ik jf ?E 3t?k it iE�.kalf ?E iF iE iF iE ik iE �lf?f ?f ik iE iE if iE jE �IP ac fE 3E±f �f iE ?' jE iE ih-1E iE fE df 3ElE� iE iE �f fE il� �E �1E iE �)E iE if 3E iE �f ?f 3E if iE if iE if * df 3f 3f 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 �'N E N; T S ZONING APPROVEP BY `.� ; I1.'�MP�� DATE: �' I� -97 HUILDING APPROVED Bis} : uVs$ DP.TE: Z" �� "9' APPLICATIUN ISSUEU b�'.Y: �'""`'` PATE: �; II- 97 ifjE�lf3Eif�E*3('�EiF*iE3fiE�1E�f'3F3Eif jf'kiF3iiF�?F�i�F�F3Fif�Fif3FiFiF�i'�iF3FiF�if3Fi-F��E- ot�r�iF3FiFiFiF3E3E3Eicif3EiE3E�:iE�F�iF'i•��'1F+!' LEGALIZt?TION:N � F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT� PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING PERMIT 74.75: " .50 t , SMIP/NON-itES PLAN 48.59� ISS'UE F'EE �' � BUILDING-DIV-> F�ERMIT ISSUE PLAN-CHECK TOTAL � PAID DUE TOTALS----> 75.25 0.00 48.59 123.84 Y 123.89 _00 REVENUE DIVISION TOTALS--> COLLECT£D; 123.84 OVER/SHURT: •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING ?LAN-CHECI{ 74.75 ..�50 48. 59 j4 ie * if if iE if 3F jk?E iF iE!h if iE df if 3E?F iE iE?E IE iF it jE 3E 3E iE iE if !E �X- iE?E jE jE iE * 3E iE 3E iR?E iE if iE iE �E?f iF iE iE 3E iF jE jE jE iE dE iE 3f �)f ?E iF iE iF * iE iE iP 9E if ik iF %iE jE iE I N D 2 V I P U A L F E E B R E A K D, .O W S� TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 300U ALTER HY VALUE RESIDENTIAL NOZONE �''1.00 3,0OO,OU END OF FEES i '' (% - r ��,; D � - � r � � JUL 111997 O !� ;,<; �ITi' OF COSTA MESA ' i _�. � CONSTRUCTION AND PLANNING - P�� '•PA - -. r APPROVALS �Permit # Date Inspector AppROVALS- Permit-# Date Inspector ' i' 1. Temporary Electrical Service or Pole � - �.52. Pool & Equipment Location ' , • � 2. Soil Pipe-Undrgrnd. - , ' � 53. Steei �Reinforcement � � � ' 3. Electrical Conduit Utility-Undrgrnd.- � � ; 54. Forms � " 4. Eiectrica� Conduit-Undrgrnd. �� 55, Electrical Bonding ' ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � � 6. Electrical llFER Grnd. � 57. APPAOVALTO COVER-GUNITE ' 7. Foo[ing5 � � -58: Electrical Conduit-Undrgrnd. - � � 8. Foundation , - . 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe�Undrgrnd. .60. Backwash Lines, P�Trap, L��Clndrqrnd. 10. Structurel Floor SYstem , � ,. .67, APPROVAL TO DECK ' 11. Property Sewer Line & House Connection _ - . ��62. Backv+ash & Receptor-Final � 12. Sewer Cap . . .. .63. Heater & Veni-Finai , 13. Foof �ra�ns �' - 64. Plum6in� System - Final� ' � 74. Rough Plumbing . � . � 65. Electricai-Final � , � ' 55. Rough Etectr;cal-Condu4c �- � 66: Soiar System-Finat - • 16. Rough Elearic Wiring � _ �- ,�67: Fencing & Access ApProva� � � 77. Rough Wiring Sign . . .�� '68. APPROVED FOR PLASTERING - � 18. Rough E�ectrical-T Bar Ceiting �'` '69. POOL/SPA SYSTEMS fINAL 79.'�Rougfi�Neating & Air Conditioning' � ` - � ' -pIRE DEPT. REQUIRENIENT � � -� 20. Rou9h Factory Fireplace APPROVALS Permit # 21. Ducts, in St�uaure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Tesc 72. Underground Flush 24. Roof Framing 73. Undergmd.5torage'fank D Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing ��(.(. ��. _. y��,,,�p�pe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insuiation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. pEQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final - 80. FOOD CERTIF�CATE ISSUED 33. Final Electric Notes: 34. Final Heaiing & 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 -i 47. Solar pomestirFinal 42. Backfiow Preventer �=z'7=47� �Q�-_��v� / / C i '�!i �43. Backfio<v Irrigation ,�,,,,.. 44. LandscaPe IrriqationSystem � �k.�` ' �`:_ 45. Sound Attenuation > "''� � ' B�c .� i^..�, 46. HandiwP Regulacions � . � ,t��x ..� �"' 47�. FINALSTRUCTURE&BUILDING I/:3 7�f{/f{� �-`.� _• c�, �- r �-- 48�. FINAL PLANNING � Z �� <<'�', 49. Electric Release to Edison . � � ._t 50,. Gas Release to Southem California Gas Co �`"�-�� 51!.. CERTI F�CATE OP OCCUPANCY . No. Date � OWNER TRIPP�-GERAiD DATE 1Q—]-5( � � JOBADDRESS 38$-Ma�nolia BUILDING PERMIT NO. #L�OZII GENERALCONTRACTOR Boster CORSt.. VALUE $ ].�OOB.00 AP117'292-10 ., � 10 ' BLOCK A TRACT 836 Gara�e GROUP J TYPE V ZONE Rly FIREDISTRICT µO%µ PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Pootina Trench ._ �!m /Z. /3 ' Rough Framing � - Plumbing, Rough t� Plumbinq. Rough C Wi Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool _ ' L g, In Out �' �� F :ing " _ Plumbing, Final, Fixtures Complete Plumbing, Fin.al GasTest - Wiring,Final — � Occupancy i FORM 2IO 9M IO�•vS Costa Mesa �ailding Department APPLICATION FOR PERMIT P.O.Box3�� d��-�<n BUiLDING ' l -�� COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLdCANT TO FII.L IN I Receipt No. P mit No. aui�d�ne .� ��J� dG�YlO d � � � Address Costa Mesa, Califorr►ia /C,se�� y o e R Date Issued Nearest �" �2 � '�� '�" -7� CrossSt. U � yt� Builtling .(� _ . � � . Address ��O •— �ct cityC.--oS T� Architect or Engineer Address Contractor OS/p 0 Address �2 Z9fd,r Legal I Lot Description No. % Ki Size of Lot 4se of Wall ' Costa Mesa, aliforn , Nearest �7`� � / � Tel. Cross S . lLy,// �Y� No. Zone /� No. of Type / , :.. (/1 I Plans I � f 1y� �f CITY OF CCSz� rit�H � n pL<�[�:h :�� I Block f!. I Traeta-3� � � ZC�� T--Yc-r.-. R _L(: �> U�- �ya %� _ � INo. of Bldga BY Now on Lot t � O � � No.of J No.of m 'Hb I F,amilles �/I Rooma � � / Rear Vard 2�b �— Z SideVard g— � y [O OF WORH - � /�,��3� j-wee.n/' ation I I Addition I i9 I I Demolish I No. of � Rooms / _ �tories / ! �Roof �,� V �i� Covering 1�PPROVAI.S C Foundation Location Inspector � Date Forms, Materials, Under-Pinning Frame: Fire Stops, I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Iaws regulatlng building construction. /1 Lath. Ext. Permittee�f �� //�7/'� Plaster, Int. Authorized Agt Plaster, E�ct Val �t�� p �� Permit Fee $ � Masonry Rei G rJ Plan Check $ Bond Beam $ Total � � Fee $ �� O FINAL RM 304 10�!.4 D. P. 8 5. L Ll/1 L LLll� 8how Iocation and distancea from � property Iine and between buiidinpa � V � � � �n = ' n OWNER TRIPP. G. L. �aTE JOB ADDRESS 38H Ma�nolia BU[LDING PERMIT NO. �8112 1.{G�IYFiRA��ONTRACTOR p�er Bv.i lder __ VAL[IE $ 500.00 C7L AP. No. LOT 10 'rRacT 836 FIRE ZONE DESCRIPTION OF WORK F; replace UP I TYPE V ZONE � PLAN NO. .,,?ECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED DATE NUMBER coat Line ;�► �� OSTA MESA BUILDING DEPARTMENT P. O. BOX 31] COSTA MESA. CALIFORNIA - FOR APPLICANT TO FILL IN _�ING � RE55 3�� /�/� yuCirr COSTA MESA. CALIFORNIA MAIL ADDRE55 CITY�Qs/ � ARCHITECT O' GINEER A. .c55 � LEGFL LOT DESCRIPTION NO- A.P. NQ � � s¢e '�'1 0 � J OF LOT L/� �o�,' �.y: LIC. No. %�//iNe ��A�� IBLOCK �� 1 ITRAC — o�%,�— �O �, �� NO.OF BL�GS. riow oN �or SETB4CN LINE F � � c[HicA of' siaEErM � REAR VARD \ � SIDE YARO RIGHT � LEFT DESCRIPTION OF WORK NEW ALTERATION II AODITION REPAIn MOVING DEMOLISH SIZE DING I� ` y� r r NO.OF V�kl F ROOMS STORIES EXTERIOR WALL ROOF COVERING � COVERING USE OF NEW I� ._(i i. P �nl in Vl.cn uy�� C�6�E� /a 3�5'P �'= FiC�ANCE DE�1. CftY OF �;4a?A N'� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. /PJRMITjJC Eo ev "5 3FS'�»y�rv/< COSTA MESA. CALIFORNIA FIRE ZONE C�- � ZONE NO.OF TYPE�� GROUP PLANS / � /`� / / / !n C >� .,� y i �APPROVE(G - �'Y q �L BY O� q DATE J S a � CORRECTIONS � CITY O^ C ; ;T-� ti�'.-SP. an�r:� : , �; i�amcr To B �G. GcPT. REG. f � / ' � %/Y � F�f �/?f" i^�!, /� . � _ �Jne_. c� 0.•'C /�/ ' '" r I HEREBV ACNNOWLE�GE TXAT I NFVE READ TXIS APPLICHTION ANO STPTE THAT THE f�BOVE I$ CORRECT FND HGREE TO COMPLY WITM FLL purpose of esiablishing a permit iee only. Y ORDINPNCES AND STTTE LP�NS REGVL/+TING Bl11LUING CONSTRUC� rwrv. VALUATION SIGNATURE OF / PERMIT FEE 5 �'�� PERMITTEE � OQ � PLAN CHECK S S . e�ir..i.oi�r� errNr TOTAL FEE 5 �Ii �eMr