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Home My WebLink About961 JUNIPERO DR - Building Permits, Aop�icant to 1i11 in all spatts except tnose within heav_ Y_�ortle7'line.�a�.u�a�qn-an aoo�oo��ate aeclarations. GTV`0{' COSTA /M�ESA CONSTRUCTION PERMIT ' I ;Project Address `'� � •�� N i P�RO � Z� Applicant'sMailingAddress SRI'�'�L Owner's Name �� S Phone �b"0419 Address �b� `�UNi`�'QO �OST (:'� �iZb� � Arch/Eng. a � a' —License No. Address Contractor's Nam N � none Address Im 'i' „� City License No. LICENSED CONTRACTOR DECLARATION I hereby alfirm Ihat I am Ilcensetl untle� prO�isions of Charte� 9(commencing with section ]000) of Dlvision 3 of the Business antl Professlons Cotle, antl my license is In tull force antl e(fect. License Class license No. Date Si9nature WORKERS' COMPENSATION OECLARATION •ereby attirm that I have a certlticate of consent to sel6insure or a certificate Workers' Compensation Insurance, or a cartlfletl copY thereof (Sectlon J0, Lab. C.) Policy No. GompanY 8 Certifietl cooY �s hereby furnlshetl. CerHfietl cobY is tiletl with [he City Builtlin9 DiviSion. �ate APpli<an[ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissectian neetl not be completetl it the Oermlt i5 for one huntl�etl ($100) or less). I certify ihat In the pe�fo�mance of the wo�4 �or whlch tM1is pe�mlt is ISsuetl, I shall no mploy any person in any ma ! so a� to become s �ect to the Worke Com e Sa ion Laws of Califo a � Dat 4" Y�S�9nature ��-�-r{�a - —��= NOTICE: If, Iter a�ing this tleclaration, y0u snoWtl become subject to the Workers' Comp¢nsation provislons of the 12bor Cotle, you must torlhwith romply wilh such p�ovi5ion5 or this permit Shall be tleeme0 revoketl. CONSTRUCTION LENDING AGENCV I hereby afflrm tnat there is a consiruction I¢dtling agency tor the per/ormance of lne wark for which this permit is �Tsuetl (Section 3097 Civ. C.) Lentler'S Name Lentler's Atltlress - OWNER BUILDER �ECLARATION 1 nereby aflirm [hzt I am exempt from the ConVactor'S Licenze Law tor tbe followin9 reason (Section 7031.5 Business antl PrOt¢SSional Cotle: Any city or county which �equire5 a petmit lo const*utt� dlt¢q �TProve, Qemotish or repai� any structure, prior to Its issuance, also reqWres the applicant tor such permit to lile a signetl statemef�t thd[ he/She i5 1ice0setl purSudM to the provisions ot t�e Contractor's Licen"se Law (Cnapter 9(cmnmencing with Sectlon ]000) of Division 3 of lhe Business antl Professions Cotle) or tnat ne/she is exempt 'e(rom antl [he basis tor thC all¢getl exefnPtion. Any violatlon Ot Section l.5 by any applicant for a permit 54bject5 tM1e applicant to a civil .alty of nol more than five huntlred tlollars (g500). ii9 1, as owner of the prooerty or my emPloyees with wages az their sole compensatiOn, will Eo the wo�k, antl the StNcture i5 not intentletl o� ot(eretl for Sal¢ (Section ]044, Business antl Prot¢SSional Cotle: The Contracto�'s License Law tloes not apply to an owner of a Property wno bulltls or improves thereon, antl who tloes such work himselt/neReli or through hls or her own employees, provitletl that such improvements arc not intenEetl or oiteretl tor sale. It, nowever, tne builtling or improvement Is soltl within one year ot com- oletion, the owner will nave tne burtlen ot proving he/she Citl nol builtl or im- p�OvO fot the purpose oi sale). ❑ I, as owner of the property, am exclusively contractin9 �+ith IlcenS¢d con- tractor5to constructthe project (Section 7064, Business antl Prot¢Ssions'COtle: The Contrattor's License Law dOes no[ apPly to an owne� of p�ope�ly who Duiltls or Improves tnereon, antl who conVicts for such 0/oject5 wilh a ron- tractor(sl I¢ense pursuant to tne ConVattor's license L.aw). I am aware that prooi of tbei� Worker'S Compensation inSWance shoultl be p�ovitletl t0 me. ❑ I am ezempt untler Section B. & P. C. tor tnis reason Date ��C• I2;Q� Owner � � � I nereby certify that I have read this applicatlon antl state that the above iniormation Is correcL I a9ree to comply with ali tlty antl county ortlinances antl state laws relating to builtlin9 �onsVuctlon, anA hereby authorize re0re- sentatives oi this city to enter upon Ne above�mentionea property for inspectionpurposes, pateiU6IJ �87 Signdture �— Drivers' License or SS � � TYPE OF CONSTRUCTION' LJ NEW lJ ADD LJ ALTERATION f1Sl REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p# DESCRIPT�ON OF WORK/USE OF BLDG. . S Main Buildi TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Fron[ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL n B Rear �OTHER IZE'(ZOD�-'�f� ' ry.3 A PROJECT DESCRIPTION 5�. FT. �� OCCuvnNCV RiS� C Right K CONSTRVCTIONTYPE VALUATION$3CYY�i S Left ZONE GRADINGCU.VDS. ACRES p�ng.ReL"iF- aemarks: jtE1N0 E W0017 Sl}/}�.E �NST/}LC `I�L�/WOd� S/�/f7}7KiNe Planning Notes: Gt�ty �L SllFf'i c�hSJ "R�, u/� �omA�r7iW SH�NGi.ES. . PLUMBING FEES 3ar Sink 3ackflow Preventer 3ackflow Irrigation 3athtubs �larifiers Jishwdsher Jrinking Fountains =1oor Drains °loor Sinks 3as Service QUL�EIS InterCeptoYs Kitchen Sink -� Lavamries P—Trep Roo( Oreins Reinspectio Fae S15 Boiler Duct - Under Ground Duct - $tructurel Duct � Ventilating Exhaust System ❑ MWtiple ❑ FirepVFact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU O10 , OOBTi Reinspection Fea � $15 CMF 0065-46, rev. 10/B4 W�ite - Builtling; Canary - Applicant; Pink - Accountinq; Goltlenrod - Assessor $hoWEfS Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet.• Service laue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 Sysrem Repair/Alteration Fire Dampers luue Fee $ 3 FEES $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes OUHeiS Switches Garbage Dispou Generaror -5 KW C�5-15 3882 G/I°/`:7 ' '.r � zo�a Accessory Building: Z O N I N G R Parking Rey./Provided E Q M T S ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up [o l00 amps Meter ❑overi00amps Sub Panel Motors�0.1 HP01X-8 Inc.Solar �9-15 HP �16-75+ Range $ign Standing $ections Tresh Compactor � Reinspeetion Fee �$15 � I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By Buildin9 Approved By P�ao�i�tion Issued By FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ 3 g.SD SMIP $ • SiJ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM S MECHANICAL $ TOTALFEE S 3�.OJ PLAN CHECK 25% $ ' CONSTRUCTION AND PLANNING POOL & SPA , APPROVALS Permit# Date Inspector AppROVALS Permit# � Date Inspector 1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 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. APPROVALTO COVER-GUNITE � 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor SYstem 61. APPROVAI 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 � 16. Rough Eleciric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Elecirical-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 Struciure 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��Gas ❑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. Electriral 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 39. Water Service-Final � � 40. Gas Service-Final . 47. Solar pomestic-Final • 42. Backflow Preventer - . 43. Backflow Irrigation , ' � 44. Landscape Irrigation System � 45. Sound Attenuation ' � 46. Handicap Regulations __ 47. FINALSTRUCTURE&BUILDING . 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co "') 51. CERTIFICATE OF OCCUPANCY . No. Date ' y� CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATIQN A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the comp�etion and require the return of, an owner-builder verification. Attention Property Owner: . An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest oDPortunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. �fes ❑ No 2. I(have/t�c) — signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construc[ion: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired-the following person to coordinate, supervise and provide the major work: Name Address City Phone ( 1 Contractor's Lic. No 5 I will provide some of the work but 1 have contracted (hired) the following persons to provide the work indiwted: � Name Addreu ' Phone � Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of Ca�ifornia Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance with this State law. Signed: �� /��- ��t � �' %��=--! � Date� Name: �N � � � i A M �, � �n � T\-k (Printed or Typed) C.D.L. #or 5.5. # CMF 3042-06 7545273 Applicant to fill in all ipaces exce0� those wilnin heavY boraer Iines ane sign a11 aooroDriate aeclarations. CI7YAF cOSTA (M�ESA CONSTRU TION PERMIT � Project Address a J�^ ) I`^ AppliCanl'S Maili(na� A�ddrrcc o/ . l a , lJl J� %� Owner's N�� I�.dJ_ ` � hone. Address � ArchlEng. License No. Address I 1. �. Contracto�'� N,m�� '�•,Ph�� Address (mA �� C[X v• �� Q' � City License No. �'�� LICENSED CONTRACTOR DECLARATION I hereby affi�m that I am licensetl untle� provisions of Cna�te� 9(commencing witn Settion 7000)�oi DIvi510n 3 O( the siness antl Professions CoOo a E my Iicense Is in tull rce tl fect. � WOR �IS�OMPENSAT�I�N O CLAFATI �� • I hereby affirm tnat I nave a cert Icate of con ent to selt-insure or a certlficate / Workers' Componsation Insuran<e, or a certifietl copy tnereof (Sectlon . 800, Lab. C.) C��' Policy No. '•J Company � artifietl opy Is her by furnis tl. i �ty�. p etl wl t t ui d 9 Date A a t ' EXEMGTD�RKERS O ENSATIO D CIARATION (This sec[ion neetl nol be comple[etl H e peimit is Tor one huntlretl (SI00) or � Iess). I certlfy that In tne per(ormance of the work for whi<h thiz perm�t is issuetl I shall n0[ emD�oy any p!/son In any manner so ds t0 b¢tOme suDject to t�e Worke�s' Com0en5atiOn LawS of CalifOrnia. Date Signature 'NOTICE: H, atter making this tletlaration, you shoultl become sub�ect to'fhe Wo�ker5' Compensallon prOviSions ot the Labor Cotle, you mu5t fort�wltlt tomply witn such provislons or this permit shall be tleemetl revoketl. CONSTRVCTION LENOING AGENCV � " I her¢�y affirm that there is a mnstruttion lending agency for the pertormance ot the work for wnicn this. permit is issuetl (Saction ,309� Civ. CJ. Lentler'S •Name Lentler's Atltlress � . , . OWNER BUILDEN �ECLARATIOfJ • ' I hereby aHlrm lhat I am examp[ t�om the ConVacto�'s,LicenSe Law fo� th¢ ' following reasOn ($ectlon 7031,5 Bu51nez5 antl Profe551onal Cotle: Any clty o� county which req Wr¢5 a pe�mlt_t0 cOnst�uct', alt¢r, iTp�ove, tlemolish o� �epalr any structure, prlor to its i55Uance, also requires the aOP��cant fOr such permi[ to file a signetl statament that he/she is Iicensed pursuant to the provisions of the Con[ractor's �icense Law (Cbapter 9(commencin9 ��h SectionJ000) of �ivision 3 of [he Businezs antl Professions Cotle) or tM1ai ne/she is exempt �refrom antl the�basis for the allegetl exemption. Any violation of Section � 31.5 by.any applicant for a permit suDjects the applicant'to a civil .�alty of noYmore than five nuntlretl tlollars ($500). � -� . L� I, as owner of'the proper[y or my employees wlth wa9e5 as tneir SolO wmpensatlon, will tlo the work, antl the structure is'not intenaed or offerea for sale (Sectlon 7044; Business antl ProtesSional"Cotle: TM1e Contraclor'S' license Law tlo¢5 nOl appty to an owner Ot a Oioperty who bulltls or improves thereon, antl who tloes such work himself/herself or through his or her'own ¢mployees, providetl lha[ such improvements aro'not intentletl or offereC tor � sale. If, however, the b W Itlin9 or Improvement is solG within one year of coin- • oietion, me owner will have tho burtlen of proving he/She tlitl not bulltl o� iM1�- prOve tor thc Pu�pose oh5ale). � ' � � i' � . � I, as owner o( the property, am eKclusively conVacting with'IicenSotl con- � tractors to construct the o�oiect (Sectlon ]044, Business antl Pwfessions Cotle:. The Contractor's Licenze Law tloes not apply to an owner of property wno . builds or imp�oves tn¢reon, antl who cont�act5 for sUch pro)ects wlth a Con-' �. tractor(sf Ocense pursuant to tbe Contractor'S License Law). I am aware [hat • proot o4 tnelr Worker's Compensation insurance shoultl be provlaetl to me. ` ❑ I am exempt untl¢r Section B. & P. C. tor Nis reason � . Date Drivers' LI CN1F OB65-46, Owner above ...,,.,,...... ZZ .........._. __...... �_ I TYPE OF CONSTRUCTION" NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER ` A:p # DESCRIPTIONOFWORK/USE¢�81.n._ �� -y` S Main Building: E TVPE OF PERMIT GRAOING FOUNOATIO STR CTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �MECHANICAL B Rear ❑ OTHER %� .pROJECTDESCRIPTION S�.FT. oCCUCANCV C Right M K Left CONSTRUCTION TVPE VALUATION $ $ 20NE ' GRA�ING CV. VOS. ACRES p�ng. Ref. # Remarks: ' Planning Notes: Sink Preventer Irrigation tubs Drinking Fountains Floor Drains Floor Sinks � Gas Service Interceptors Kitchen Sink - Lavatories � P—Trap Roof Drains Reinspection Fee $15 Dutt � Under Ground, � Dutt-Structural � , � Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact BI[. ICBO # � Heating System & Ducting � ❑ o�i oo,000 eru O i oo,aoa —� �� I I Reinspection Fee I $15 :or55� 30/84 White - Builtlin9: Canary - Applicant; Pink - Atcountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w/Spa � Urinal Wacer Closet - � Water Heater Water Service � Auto-Wash ' �ewm�y i aya. � � Issua Fee 1 $ 3 ' IANICAL FEES Hoodor Typel ❑ ' Canopy , Type I I ❑ a frigeration System 700,OOOBTU ❑t00,0008TU�, �(� System Repair/Alteration Fire Dampers Registers � ! ' laue Fee � $ 3 Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes � Outlets $WItC�1C5 - Garbage Disposal Generator �0-5 KW �5-15 0 9093 3/11/85 Zone Accessory Building: • Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter, �up to 100 amps Meter ❑over100amps 0 Sub Panel Motors�Pi HP�1'r5-8 Inc.Solar �9-15 HP �16�15+ Micrbwave - - ' Pole Lighr Fiange Sign • ', Standing Sections Trash Compactor 0 � Reinspection Fee �$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By Building'Approved By � Application Issued By �" 7oC TL FEES i $ 3' 0 Z O N 1 N G R E � M T S � SUMMARV OF�FEES BUILDING PERMIT $ � SMIP ' S � PLAN CHECK $ PEFMIT PLUMBING . $ ISSUANCE S � PLAN CHECK 25% $ ' ENERGY P.C. $ ' ELECTRICA�L $ GRADING $ � � , PLAN CHECK 50°,G $ MICROFILM $ I � � MECHANICAL,,�� TOTALFEE $ � . PLAN CHECK 25% $ i • CONSTRUCTION AND PLANNING - POOL .PA �,APPROVALS Permit#, Date Inspector AppROVALS Permit# Date Inspector 1. 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. APPROVAL TO COVER-GUNITE �, YI I 7. Footings � .' 58. Electrical Conduit-Undrgmd. - � 8. Founda[ion � � � ,� - 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. � .-`"' 60. Backwash Lines, P-Trap, � Undrgmd. . 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 � i. . 13. R�oof Drains � � � ' � 64. Plumbing System - Final , 14. Rough Plumbing . 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 6S. 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 O 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-8ar 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 Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:�� -��7�Q �� ',a- G� ' 34. Final Heating & Air Condi[ioning y d7� `�/i 35. Final Gas Pipe-Test 36. Hood or Canopy , 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer � . 43. Backflow Irrigation � . 44. Landscape Irrigation System 45. Sound Attenuation � - ' 46. Handicap Regulations � . � .47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � � . 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATEOFOCCUPANCY � No. Date Owr7ER SMITH Hilliam JOB ADDRESS 9 1 Juni' GENERAL CONTRACTOR( ne rro. i4i-335-03 Lo INSPECTIONS g�.a ( Wu�er OCCUPANCY TRACT nnTE lo- !`►C] FIRE 'LONG Di'sSCRIPTION Or WORK Add Att.PBt.CVz e� DATL GROUP J TYP� \7 7.ON� R-1 SU13CON'CRACTOR 1:7DIi7 ,T, - ,' � ' .t sos5 CtlSTA MESA BUILDINGSAFETY DEPARTMENT r. o. eox �» COBTA MEBA. GLIPORNIA For Applicani fo Fill In Complefely TYPE OR PRINT C05TA MESA � 68T9�GK LINH FROM E%TERIOR COVERING USE OF.BI �� F�Fai!'_J OCT 301962� FIN"��!Ct �JtPI �.� A�PPLI�CATI�ONkFOR� PERMIT BUILDING U�� For Offiee Use Only R8G81PT NO. PP/t11f1 6UILDING A�DRESS COSTA MESA. CALIFORNIA ZONING zoxe , \ / I rur�e �eu��.o�n �aw� � I T T OP B1D06. � I oN LOT p, p, NO. L VARDS APPROVE� I/'1 � tcaema uHe er.� .� DESCRIPTION OF WORK BE � � � 1 H6ReBY ACKNOW��48 THAT 1 H�VE HEAD THI9 APPLIGTION •ND 8TAT8 THAT YNQ ABOVE IS CORREGT AN� AORH6 TO COY- PI.Y WITX ALL Cli'� NGIN�ANCE�e �"NiD HTATE WB ftHOULATINO BUILDINO CONBTitV � �ynr/�/ p � ��i� i SIGNATURE OF /1/� � d � PERMITfE (Cf SI APPROVED � �, y�., J � V 0 Y � � TXE AMOUNT BXOWN UNOBq VALl1ATION IB POP TMH PUfiPOBE OF EBTABLI9HING A PERMIT F88 ONLY. VALUATION PERM17 FEE $ � N S�S � I D O PLAN CHECK $ ,J �J o '` S TOTAL FEE ♦�v y OWNER JOB ADDRESS AP No. INSPECTIONS C W amr 0 coat DEL MAR DEVELOPMENP COMPANY nipero Drive R Macco corp. LOT 10 TRACT �72E0 PIRE ZONE � Signaturd DAT� GROUP DATE 3-12-62 BUILDING PERMIT N0. � VALUE s 18z768.00 DrSCI2IPTION OB WORK T0S TYPE v 7.ONE S013CONTI?ACTOR gar . �r� issos �E`E�/ RECE{VED Ci�'STA MESA BUILDING-SAFETY DEPARTMENT � N' MAR 7 1962 j'Ot 10 - Tract 1�260 P. O. BOX 9f7 C08TA M88A. CALIPORNIA 1FINANCE OEPT. Plan 450-IIR For Appliean+ +o Fill In Complefely ITY OF C(}�Tp��q�ON FOR PERMIT TYPE OR PRINT BUILDING � ' BUILDING AODRESS 961 Juninero DZ�1�2 COSTA MESA. CALIFORNIA For Offlce VS@ �11��/ OWNER riesa De3 i4ax Development Co. � ""`��T "�. �"° ueu _ _ . ___ . � R[G81V[O BY I DAT6 12C61YLD I DATL IBBUC 1 riar,Calif. NaR 3-42 Olsten & Na`:a ;�_l? � T r�. Florence Ave. Downey o Corooration a *' OF LOT C)�]_O S.F. USE OR EXISTING BLDG iS n BHTBACN LINE FROM 1'r�' i 1 EXTERIOR oR 3-4 I NO. OI I LEFT S� I RIGHT � S� DESCRIPTION OF WORK 1�10° aooMs roca IROOF 1iCC0 COVERIt AND WORK TO BH COSTA MESA. CALIFORNIA ZONING ZONe I NO. OF I UBH OP N8W S/n9 �jn R—� ntwne Z euitotna w�aYF Qa� LOAL L o 2.` / o T,Q 4 z 6 0 o¢sew�Mmv YARD6 EVES APPROVHD ALLO tarmn uxa er.� ' 2!' FRONT y Z FT. � R. BIDE S PT. L. SIDE �� FT. � .,.,.., 30 __ I XEPHBY ACKNOWLED6H THAT 1 HAVE RlAD TX18 APIlJGT10N AH� 9T�T! THAT THE ABOV¢ IS CORP¢GT AND A6R88 TO COM- PLY WITN ALL CITY OPDINANCE6 AND BTATE UW6 R60ULATNO BUILDINO CONBTIIUCTION. ' SIGNATURE OF ytPSa Del I�?ar Develooment Co IAUTHOR ZED IN. IN. IN. 2 �N. TE 2�2� I�OZ Covered Porch !t2 S:F. TH8 AMOUNT lHOWN UND6N VALUATtON IC �OR TNZ PUiiP088 OP C9TABLJBHINO A PERMIT PH8 ONLY. $ ].8, 768 �OO PLAN CHECK � ¢ 0 6 �