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HomeMy WebLinkAbout296 15TH ST - Building Permits ADDRESS OF BUILDING: 296 E 15TH ST UMT: CITY OF COSTA MESA — BUILDING PERMIT CWIIER'SNMIE IF KNOWN: COMBS, JOHN CRAIG PERM NO: B 075759 s ADORES& COMBS, SUSAN L 2231 HAYSIDE DR PERMIT NO: B 075759 PLAN CHECK NO: N GOVT: N SUPP: N CORONA DEL MAR,CA 92625 • APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: SIR PURPOSE: OTH ARCNRECTORENGNEER: UC.HO.: JOB DESCRIPTION : T/OFF & REROOF W/FIBERGLASS SHINGLES SQ FT: 9 , 763 ARCH.OR ENG.'S ADDRESS: WIT: ' CLAIM VALUE: 9, 763 . 00 CALC—VALUE: 9, 763 . 00 GROUP OCC: R-3 /M-1 CONTRACTORS NAME: JIM GURNEA ROOFING ( 714 ) 898-6988 CafinumoWsMuUN012733 WETSRN AV COMMENTS : SMOKE DETECTOR( S) REQUIRED PER 91UBC, REROOF 3400SF RESIDENCE ADDRES& GARDEN GROVE CA uC.No.: 494806 'xK'**BE*************+E*********'+E**********'x'********�E***** �} �*i}�y 92641 uMT: ZONING REQUIREMENSbC 'J LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury the I em licensed under provisions of Chapter 9 SE TB ACK S REQUIRED (commencing with Section 7000)of d Division 3 the Business and Professions Code.end my licensee in full force end effect. cry UC.NO.: 042464 UC.CLASS: C-39 UD 4948061 EXP: 05/96 MAIN BUILDING ACCESSORY BUILDING Deer: %7-Z /' 9 f5 Contract 0 El FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the Sowing reason(Sedanl031.5 Business and Professions Code:Any city or countywhicb requires a permitlo construct,alter.improve. PARKING REQ: PROV: PARCEL: 42516124 ZNE: REF NO: emdeh.or repel any structure,prior to Is issuance,Sen requires the applicant for such permit to file a signed statement that he or she n licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencing with Section 7000)of['Wigton 3 of the PLANNING NOTES> Business and Professions Coder or that he or she is exempt thwefrom end the basis for the alleged exemption.My vitiation of Section > 7031.5 by any applicant for a puma subjects the applicant to a cllpenaltydrat more than five hundred dden(S50OI). ******************************************************************************* o I.as owner o the property or my employees with wages as their sole compensation.will do the work.and the ebudure is not intended D E V E- L OPMENT S E R V I C E S R E U I R E M E N T S or offered for sae(Section 7044,Business and Professions Code:The Contractors License Law does nor apply to an owner of property' Q who buids or improves thereon,and who does such work Nmseff or herself or through he or her own employees.provided Had hsuch improvements are not intended or offend for sale.If,however,the building or improvement is Sold within one year of completion.the ZONING APPROVED' BY : DATE: ownwbuilder will have the burden of proving he or she did not build or improve for the purpose of sae). ❑ Las owner o the property.am exdueiwly contradeg with licensed contractors to conmud the psoled(Section 7044.Business and Professions Code:The Contractors License Law does nor apply to an owner d property who builds or Improves thereon and who BUILDING APPROVED BY DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.6P.C.,for the reason: APPLICATION ISSUED BY: DATE: *************************************************** *************** ` 2-dl " ** Date ClymerLEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y Ido hereby certify that dam aware of and understand the requirements of Calicine Haahh and Safety Code Sections 25505,P551,,and 25534,and that I or any future building occupant will/wit not(circle she)need to comply wih said state codes and the requirements for thefrom• for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING pro"3iens. PERMIT 117 .00 . 98 D ate: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of penury one of ed the following demtbm: PLAN ❑ I s Halve and certificate consent abor IUILE FEE Cofor the performance of mancethe workfowhchthispermiieew,ed. BUILDING—DIV PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Code ❑ Ihave and wiimaintain worked' mpenmm ationinnce,asrequiredbySection3700ofhelabowd Code, thepef rmancetM TOTALS > 117 . 98 0 . 00 0 .00 117. 98 117 . 98 . 00 ro work to which this permit a issued.My waken'compensation insurance caner and policy number are: caner: ST,qT FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 117. 98 OVER/SHORT: . 00 • Policy Number: 7R5-44SIINTT0984 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed a the swank is for one hundred dollars($110/a less.) 117 . 00 . 98 ❑ I cent hal in he pedormance of the work for which the permit is issued,I shell not employ any prison In any manner so as to becomesubject to the workers'compensation Laws ofCSlAomie and ..•me hal Hl should become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the labor Code,I r• h comply //��yy�.. Dane:� 2-2L' S f` Applicant' s,/I, �f/.l_ii IND I V IDUAL F E E BR E AK DOW N 3. Warning:Failure to secure workers'compensation coverage b unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tines Up to one hundred thousand dollars(5104000),In sddltlon to he cost of compar,stlon,damages as provided for In Section 37O6 of hs Labor Cob,htareaq and atromay.cess. SFR 9763 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 9 , 763 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that then Is a construction lending agency for the END OF FEES performance of the work for which this permit is issued Peden 3097,CN.C), LENDER'S NAME: LENDER'S ADDRESS: I certify that lhave read this applicationand stalethatthe above thorizamatloets conga.degree to campy with ad city and county ordinances h�w.�h�ijf and state laws relating to building construction and hereby authorize representatives of this dry to enter upon the above msMened properly for inspection purposes. tt//��jy GLENN PILLARS DATE� T � 01 C01 .'i, ;-;,229; t,3 ' ` Noma Q('e (lll rinTE: 1.' _ u i."Cv S_: _ 1Av/f,/1 Date:/2%�—7 'Y' Signature of Owner/Agent/AppicarNContreaor (5151.4e.WP) While-Building&Safely:Green-Fla:Canary-ApplcanG Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING PG & SPA APPROVALS Permit# - Date Inspector APPROVALS Permit # - Date InspeFtor 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement - • i 3: Electrical Conduit'Utility-Undrgrnd. 54. Forms • _ ;:4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test l _ I • - 61' Electrical UFER-Grrid. 57. APPROVAL TO COVER-GUNITE -7-r-Footings - -•;q 58. Electrical Conduit-Undrgrnd. '--'8:•Foundation :,' - t . 59. Gas Pipe,0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ; 60- Backwash Lines;P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TODECK • 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 -r 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final " 16. Rough Electric Wiring 67. Fencing & Acces's 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 r^ FIRE DEPT--REQUIREMENT 20 'Rough Factor• , .Firs lace - `_ • U' 7 9:• y -p _ -'� ,_ - APPROVALS- Permit# 21. Ducts,in'Structure.: • -'• - - ^" - 70. Underground Hydro 22. Ducts,Ventilating. - _ - r„ . • : 71. Product Piping Il-GasEa OiE :•.•,.rt 23, Gas Pipe-Rough & Test - _ 72. Underground Flush' _ 24. Roof Framing • - i - - ' 73'. Undergrn"d-Storage, '_-Oil '•-_� • 25. Roof Sheathing --• - I Z=L7-1 j 74:--Overhead Hydro -, E i i 26- T-Bar:Ceiling (Structural) & Monocoat ' ' 75. Dry Chemical - - I 27. Frame and Flashing -- - 76. Dry Stagdpipe `!'-' 28. Lathing&;Siding T i._- r "' ' ' 7Z-.- FIXED SYSTEM' FINAL i-" 29, Insulation - 78•• FIRE PREV. FINAL - • 30. Drywall Nailing .. _• - i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - - ' 79. FINAL INSPECTION • - 32. Electrical-Power Meter-Final , ' • 80: FOOD CERTIFICATE ISSUED , - 33. Final_Electric,. t- -2Notes: -J _ _ _ 34. Final-Heating-& Air Conditioning T ' „ 35. Final Gas Ripe:Test.' i ,: ' f i- -,36. Hood or Canopy ' •4 7 r _. 37. Final.Factory Fireplace r- ,-,- -- 38. Final Plumbing a rr - _ _ - _'---� 39. Water Serdice-Final . - . w . -._ - ,40. Gas Service-Final y i• ^' -- 1 - I* x - -41. Solar Domestic-Final' - - ' .. - - 42. Backflow Preventers .. r - ' 43. Backflow Irrigation, , - a • 44. Landscape Irrigation4System „ = • - - 45. Sound Attenuation W - 46. Handicap Regulations .• . _ - , - - j 47. F(NAL STRUCTURE & BUILDING - .. . r 48. FINAL PLANNING • - . • _ 49. Electric Release to Edison - I . - 50. Gas Release to Southern California Gas Co - _ - - 51. CERTIFICATE OF OCCUPANCY No. Date i _ • ,SI WIA • ADDRESS OF BUILDING: 296 E 15TH ST • I'. upT:" CITY OF COSTA MESA - BUILDING PERMIT OWNERSNAMEIF MOWN: COMBS, JOHN CRAIG \ a PERM NO: B 075755 ADDRESS: COMBS, SUSAN L , 2231 TAYSIDE DR PERMIT NO: B 075759 PLAN CHECK NO: N GOVT: N SUPP : N CORONA DEL MAR, CA 92625 AP PL,MAIUNG ADDRESS: CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH ARCHRECT ORENGNEER: UC NO.: JOB DESCRIPTION : T/OFF & REROOF W/FIBERGLASS SHINGLES SQ FT: 9, 763 ARCH.OR ENG.'S ADDRESS: UHT: CLAIM VALUE: 9, 763 .00 CALC-VALUE: 9, 763 .00 GROUP OCC: R-3 /M-1 compAcTowsetum JIM GURNEA ROOFING ( 714 ) 898-6988 p CONTRACTORS ADDRESS: 1273E WETSRN AV *****+NE**#• **9Mf****D+**********•Ir#*I�*+Ir**Dx•*******B*kit•*SEL•****+E***0**�F****D****�E**�E*** ADDREss: GARDEN GROVE CA uc.No.: 494806 92641 tiNT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby afim under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS ' (commencing with Section 7000)of Division 3 of the Business and Profession Code,and my license is in lull force and effect. cm LIC,NO.: 0424fi4 uc.m.eum: C-39 LIQ' 94896 EXP: 05/96 MAIN BUILDING ' - ACCESSORY BUILDING /J / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Ode: /�-Z G' `/ Contract � 0 �� """Y LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt front the Contractors License Law for the Rowing reason(Section 7031.5 Rosiness and Professions Code:Any city or county which requires a permit to construct.alter,Improve. PARKING RE(Q� PROV: PARCEL: 42516124 Z NE: REF NO; rmoleh,or repel any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> a licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Season 7000)of Divbn 3 of the Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > .- 7D31.5 try any applicant for apermit subjects the applicantto a civil penalyd not more than fte hundred dollars 145001). ******************************************************************************* ❑ I.as owner of the property or my employees with wages as their sole compensation.will do the work,and the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:Th Contractors License Lew does not apply to an owner ef progeny who buids or improves thereon.and who does such work himself or herself or through his or her own employees.provided that such r 4 improvements will have theebuurden offeredforM«'she ltnot,Ihe buildilding pave fprnrihepuposeof pale). yeard`an°legwt the ZONING APPROVED BY Ufl DATE: 1 ❑ I,es owner of the properly.sin exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not eerily to an owner of property who builds or improve thereon and who , contracts for such projects with a mtracmr(s)licensed pursuant to the Conlredors License Law). - - ) ❑ I am exempt Under Section: B.AP.C..lorthis reason: \� APPLICATION ISSUED BY: DATE: 1 LC/ PL. - e Date: Owner: - ************************************************ * **************** ** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,p5511,and 25534,and Nat I or any future building occupant will/wig not(circle one)need to comply with said cote codes end the requirements for . a permit for construction or modification• am the u3 anw egenm DistrictResideticongaction appfDornthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING lionsere exempt Dorn PERMIT 117. 00 . 98 • Date: Applicant: 'PLS SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedaratbs: ISSUE FEE • ❑ !have and wfmaintain aoverrate dconsent tosNirasitsbt scompenWbn•asprovednn e ' idedfabyS3700ofthelabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE code,forlh penpedN am.m .wakf« thiswtdchthispermitNlan.d. TOTALS----> 117 . 98 0 . 00 0 . 00 117. 98 117. 98 . 00 ❑ I have end MI maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.or the performance of the work for which this permit is issued.My wakes'compensation Insurance abler end policy number are: Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 117. 98 OVER/SHORT: . 00 Poky Number. 7R5-4SIINT`f0411,4 ' 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed a the penal is for one hundred dollars MOO)or lea./ 117 . 00 . 98 . o 1 anN that in the performance of the work for which this permit is Issued,I stall not employ any person In any manner so as to became Naiad to the waken'compensation laws d Caiifornta and that f I Id become abject to the woken' ******************************************************************************* compensation provisions of Section 3703 of the lobar Cade, coma& INDIVIDUAL F E E BREAKDOWN 3Dae: / 2.-1_, icad C• 7 f, Appl WernIng:Failure to secure worken'compensation coverage la unlawful,end shell subject en employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines'p to one hundred thousand dams($104000),In addition to the cwt of compensation,damageprovided se for In Section 37osof neLabor Code,Interest,rid attorney's fast SFR 9763 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 9, 763 .00 ' CONSTRUCTION LENDING AGENCY:I hereby elfirnn under penalty of perjury tat there I thee construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Cb.C). LENDER'S NAME: r LENDER'S ADDRESS: I certify that I have read this applcalon end stale that the above information S correct.I agree to comply with all city end county ordinance • end state laws reWisg to building consoudion and hereby authorize representatives of this city to enter upon the ebove'mentloned property for inspection purposes. • GLENN PILLARS DI 197186--00197187 01995 7I87: 15:11T 117.98 {��/f v`5i*Nems (,(t \ /7 �(i�/'/� Data:/2.72-6-(/^ �P ✓ Signature of Owmr/IpentlAODEcanUComrador (5151 d6.WP) White-Building A Seery;Green-Ric:Canary-Appian;Pink-Revenue;Goldenrod-Meeesor --. tlf �� HILLIARD & BRICKEN 79/541 = 25- _Si John Hilliard • Consulting Acoustical Engineers • Gordon Bricken June 11, 1979 JUN 141979 Mr. Bob Palmer 424 Old Newport Blvd. Newport Beach, California 92663 Subject: Plumbing Inspection at 15th and Santa Ana in the City of Costa Mesa. Dear Mr. Palmer: we have examined the plumbing installation and find that the pipes in the party wall have been isolated from the frame of the wall so that the plumbing does not detract from the STC rating of the wall as required by the City of Costa Mesa. P 0FEssio , • :Jo n �K. Hil i d, D.Sc. .i> <ECTR\GHQ ,c? /d "lie of CAS\FAN 1538 East Fourth Street 0 Franklin Square 0 Santa Ana,California 92701 0 (714)835-3728 ;i CITY OF Ct \MESA . 1 PARK FEES Fee Payment Receipt N! 795 Project Address�'�fq 0,99R �/ /4-14577 A.P.Number // �— 7/ — �.` Park Area Building Permit/Number 733 Owner's Name 4 / .7" .GICs. -69 .► I 4-\ 6� e �/Mailing Address '7 / fje. ) t , it -{` i FEE: Single Family 41 Number of Units 2-Bedrooms or Less @ $ 861.76 _$ 3-Bedrooms @ 1,205.67 = yti 4-Bedrooms @ 1,545.62 = i • 5-Bedrooms + @ 1,810.50 = Multiple Family ** Bachelor or Studio @ 474.37 = 1-Bedroom @ 573.18 = U 2-Bedrooms r @ 881.51 = / V6) 3-Bedrooms+ t`� @ 1,229.38 ca 9 Total Fee �...�.l7er( Planning Department Appro ate Alt Ceedf'c-�-" — Applicant's Signature ' City Ordinance 72-44 SCI Ordinance 72-45 *" City Resolution 78-116 gOiS ��tl CMF 017442 Rev.6/79 V(/h- —Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant II�fN•, o . OWNER (IOWAN. tilt= DATE 1 3 1957 DATE 10-10-56 JOB ADDRESS 298. E. 15th Street BUILDING PERMIT NO. #3810 GENERAL CONTRACTOR Owner Bldr. VALUE $ 300.00 AP117-181-10 AS PER U. B. C. Lo, 1 BLOCK TRACT 0, A. Hari,. Enclosure for Workshop in n'' 1'' gar. GROUP J R1}TYPE V ZONE FIRE DISTRICT 38aµ INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage /�p Rough Framing a„ gyp, I L7!''` Plumbing,Rough to Slab Plumbing, Rough Complete . Temporary Pole Wiring,Rough FEB 1 ae.6.-.... (/n 1957 VCB mYto e,1.-Y7 Cxil. ./--,2/-S-7 3 d'ee7 -- Heating,Rough Heating, Final Sewer, House Sewer,St. SeraTank or Cesspool , Lat.. .g, In Out f�!�y,7(,vpTl^Y'/�— Plastering • • -/ Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final tEb _11957 VCB Occupancy `/aa7yh(,rV( ' " •—' ..,o..,,., ,.. 3810 OWNER WEST BAY DEVELOPMENT DATE 2-20_79 JOB ADDRESS 298 East 15th Street BUILDING PERMIT NO. 47J42 �AENERAL CONTRACTOR John Dodd Company DESCRIPTIONofWORK Demo Res. And Garage ' 117-141-01LOT TRACT FIRE ZONE VALUE $ 500.00 IN, -CTIONS Signature Date TYPE V GROUP I d J ZONE R-2 Th. OIL SUBCONTRACTOR PERMITS ISSUED cvAS OI Date Number Signature Ann Plumbing n ^ `y� y C ''''''���ROUGH PLUMBING 084A 1.123 . Z40)y 75xS'/ "PROP. SWR. LINE ❑ HOUSE CON. ,S a 6 799 II PRINKLING SYSTEM `, MISCELLANEOUS // ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND in POWER 0 ROUGH WIRING Heating and Vent. . TRENCHES 0 FORMS 0 STEEL REINF. 0 FLOOR SYSTEM BOND BEAM ED STEEL REINFORCE ❑ . SHEATHING k FRAME AND FLASHING LATHING - IN_n OUT in PLASTER. BROWN COAT BI IRAL. FINAL Electric HEA•...G. VENT.. REFRIG. AND A.C., FINAL F PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL osta Mesa Building Department APPLICATION FOR PMIT 41 --- -� 111 EAST 20th STREET _.. _•-`1 ' COSTA MESA, CALIFORNIA --• BUILDING r • FOR APPLICANT_TO FILL IN Y OR OFFICE USE ONLY cy Receipt No. Permit_No. �+ Building G / g' /� � a �, 513 $c Address i • n • • Receive by. Date Re6'd. Date Issued •• • Costa Mesa, California SEC 2 9 illhi Nearest (+ y .e„ DEC 24`t`t53 Cross St. • cr./7770 .oi- c, ,oitI' ;:' /• =- ',� A1' Building_.9' - , sc // - I Address 6f- i .. Owner )1.0/ :", - .p'; -: Costa Mesa, California .. Mail1 . - 1f Address 4 C/k. _.t !r1, - - ~'-P� Nearest • • ,,, `/ Tel Cross St. .. City /OOLg (3 i.4 ejG! No. Zone No.of Type I Grou Architect or Lic. - / �� 'I Plans�0/YI I p2 . Engineer /7201-) 1. No. 7 Approved -• . by - / • �/ Date 1 dress CORRECTIONS City Lic. tl Contractor Q�`,,fj(// w V No. • • ' Address ,�/{� , Legal I Lot ( rAkcP/s,l - . • Description No. Block Tract ' (Attach Metes and Bounds) q' No.of Bldgs. 4 C Size of Lot /g,C5( 5 O I Now on Lot - - - -- - O Use of I No.of I No.of at Existing Bldg. Families Rooms • 6 Setback Line from Rear Yard - -- - - 2 a Center of Street Side Yard y DESCRIPTION OF WORK r New I I Alteration I I Addition I � t. Repair I Moving I Demolish I ,. Building No.of DEC ' 9_1 "' •.e _ Rooms Stories terior Wall I Roof covering Covering •. . \% t Use of New 77�- ••,• •'. ' �r Building fett• e; Foundation I i • , V.-• ' to Date `='— Forms, Materials, __Tittchs 4- a' /X/1/ p. Under-Pinning • e tar- Frame: Fire Stops, ""� Bracing,Bolts • • I hereby acknowledge that I have read this Application Lath. Int. "' and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating • building construction? Signature of Plaster, Int. ' Permittee ?.c//7/71./.1 �� •' et1• '- � `- Plaster, Ext Authorized Agt. affir -,za..../ �, Masonry Reinforced ' Valuation Permit Fee $ '/' Plan Check $ Sc" Bond Beam $ �QU Total 1 Fee $ , 5-1) FINAL _ Donn 204 G-H 1:+11:+112-5 • C Y c ` C. J C\? a-. •1 -� a. #. gyno 06 sinlettreet ✓ N ,0 PLOT PLAN Show location and distances from property line and between buildings. r , OWNER Ed.Coffman� DATE 12/29/53 JOB ADDRESS 298 -15th Street BUILDING PERMIT NO. 36 GENERAL CONTRACTOR Owner-Builder VALUE $ 500.00 r LOT 1 BLOCK TRACT O .H.Harris / i)e( ya.—s-�- - GROUP I TYPE V ZONE R4 FIRE DISTRICT 7' Se/ INSPECTIONS DATE SUBCONTRACTOR PERMI ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing Plumbing,Rough to Slab Ad i ition .1 Patio Area 1411181 Plumbing,Rough Complete Same o have 510 Side yard to Santa An% Ave . Temporary Pole Wiring, Rough Heating, Rough - —_ Heating, Final Sewer Septic Tank or Cesspool Lathing Plastering Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring, Final .. Occupancy I V -p Pone 210 G-H 161 12-68 Cosa Mesa Boding Department r.. .�R�AAPPLICATION FOR PERMIT COSTA MESA, CALIFORNIA t Ill BUIIDING . FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Building I Receipt No. �I� Address ,29k, E , ISS STREET Costa Mesa, California Received by I Date Recd. `Date I u Nearest ttt il�C.liP /2 7O L lr` Cross St. IS 5T: AA1 D MAMA AVA Building �J Address Owner ea l;JAR I) C o FFA.?AM Costa Mesa, California Mail Address,9 A E, /5 ll- S f; Nearest n �n c Tel. Cross St. City C D STA ESA No. Li c{,Sj)24 Zone�J /,I I Plans of I Type - Group() Architect or �y�.��- jj''''��ii�� ,1 Engineer,°w�f'�NL, Approved by Date iress F it Lie. .rtNS Contractor. —WAIL OWNE4o'' a�,� I' "se E., I AddLegal Loress �p� rr,,', CITY OF COSTA MESADe Description I Not ),�Block j T8'I-M RIS PLANNING DEPT. SUBJECT TO (Attach Metes and Bounds) I 1 -7- /?I--I Q Size of Lot 70r X I No.of B1 gs. �t BY ��/ -A2 DATE 1' ' Cr-1 Nowoh Lot O'er./ Existi g Bldg.CtA RJ)GE se of I Families No.of I Room§ PLAN ICCrI�j�/ O- Setback Line from r K . Rear Yard Et r✓a Pty a 4—Q- �. a Ril es Center of Street F_ A . Side Yard ' /� r79 > DESCRIPTION OF WORK 4 ' �` `Y• / 8 .c� 4/ = i . i 8 6 we New -. I I Alteration IT I Addition I ,-. I %oZ.G (��p- e r Repair 'eke- Movi�yerp, g Demolish I /,, N` _.I o,dlding ,7 x O.of —"U- for S,_ Yom= . h+ e 8 Rooms Stories .terior Wall Roof ��p� — Coveringide YarI VEL APPROVALS I Use of New Foundation Location Inspector • Date Building 9 Forms,Materials, -5A/CLA5 ORI= FOR I.CJOR K - Under-Pinning - •S H O P i N C,A R/ C E. Frame: Fire Stops, N Bracing,Bolts C I hereby acknowledge that I have read this Application cnr l and state that the above is correct and agree to comply Lath. Int. h with all City Ordinances and State Laws regulating h building construction. /� o �/ Lath. Ext. S Pe m ttee nature of ��LLAt to C- r ,Wente[.v✓ Plaster, Int. . Authorized Agt. //,/' '/ Plaster,Ext. 0 sl Valuation Permit Fee $ a' Masonry Reinforced ,0 3 O 0 Plan Check$ Bond Beam Total L.b _J Fee $ pi '-- I FINAL O air FORM 204 10.55 O.P.G S. r T - : .3 c u -L _ , 9 0 • W Rid o. WD • 4 ' as' • )11 37 • v •0 n - •••:, r4111 , •DLJELLIUQ- •L JS�N Street K • 70' PLOT PLAN Show location and distances from �. ti property line and between buildings. C. A y A: 1 C_, Ifi C e. • • AAr/ t1 ;) q 1 /'TIE 2632 1/29/79 190.61 TL COSTA MESA BUILDING-SAFETY DEPARTMENT 2632 1 /29/79 190eBICKjO P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 2632 00004473 38 III YjAri AP I A ION FOR STRUCTURAL PERMIT For Applicant to Fill iin. Completely Use Ink Only REc D DAT cEly a ADDRESS 294 C // L 7'�-' ///-Fief /-0- OWNER . - � DATE ISSUED BUILDING '^�j / A pr /��Q� MJ/ _( A.P.NO. / 17-/0 7-/F/ — i ° PERMIT NO. OWNER �2�L(j,[�)yyJ�� �i'� p ' / c ADDRESS T Z¢ (�c.p 4A��� r tea? ADDRESS / �J C C . 15 �� CITY h�,UPo� ,27' NOL.01.4 `i TRACT S L&• •IS LOT BLOCK I CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO!ISH LENDER -/y.�J BRANCH R /, r reAy ,Q� ^ OWNER {///V�/�y/ r a ADDRESS dry ARCHITECT ?,[/ L6i f .cw.i USE PUPL-G/f VALUE OR ENGINEER `F FIRE /1 ADDRESS ZONE TYPE GROUP f'T APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONERZ (NO.OF USE OF PLANS BUILDING NEW Du PLiX CITY NO. F. STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING id SIZE NO.OF BLOCS. (FROM C/�'Lt S O. OF LOT NOW ON LOT FRONT KY.^TtREET) -FT. 0 FT. < USE OF EXISTING BLDG. R SIDE rFTI O FT. CA "±" t3 Separate permits are required for L.SIDE FT. 0 FT. c-C electric,plumbing and heating work. REAR 5 0 FT. CU FT. US F BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C Pl. MAIN BLDGS. ..e. J a ACCETESS.BLOCS. r QCU.P,''''# -CC "' /4 ///OL APPROVED 11/3 /7 .'.4 ROyeq DATE/3 / a GGG / w 0 I hereby acknowledge that I have read this application and state o r. a that the above Information is correct and agree to comply with IIOLD FOR SPECIAL REQUIREMErl i a m all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of 0 0 Ste. the State of California. (,/c I hereby certify that I am properly licensed as a contractor under 3�3 J "O• FT. ry VN,_ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m s17 Chapter 9, and that such licenses era in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt from the provisions of the State of California Business VALUATION PERMIT FEE a e and Professions Code, Division 3,Chapter 9. h v _/ PLAN CHECK $ iPK ^I Signature of /���/��,�° (� :/ ` o Permittee C7 �`"'�► 'h/ Sqj� .♦�1 TAX $ / y� d/CIOAea"/ ✓6���� (J (JU(f WWW RV U Authorized Agent TOTAL PAID $/� /) y f r/ . 47338 7 COSTA MESA BUILDING-SAFETY DEPARTMENT 'it 3409 2/14/79 283.00 Tl P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • 3409 2/14/79 283.00 KTO APL AT ON FOIt3T12UC3T(iRS17PtflT I A For Applicant to Fill in Completely — Use Ink Only �L u/R I ED Y DATE RECEIVED DATE IS UE BUILDING /S f CoT & ADDRESS 079,0 g J d ,,/?e! A.P. ERMIT NO. OWNER Ala:,Vine �t iy Pie0p/ft(y .P.NO. MAIL .s �� -/'-.Itsy BUILDING [� ADDRESS YrT ��'O 'Y/GW/U/���e!/.+� ADDRESS �.1 7 �s — '' //yy�� �( 'r TEL.s (�j TRACT LOT BLOCK CITY n2Zeb907cr Si NO. (3, .. V // CONSTRUCTION NEW ADD ALTER REPAIR MOVING f)FMOI ISH LENDER BRANCHOWNER r/p/ier`/G 27,0s ADDRESS 'I ��Q VALUE ARCHITECT TEL. _USEoec /. $ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE IND.OF USE OF NEW CITY NO. PLANS BUILDING — STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING - ACCESSORY BUILDING i SIZE I NO.OF BLDGS (FROM C/L STREET) O. OF LOT NOW ON LOT FRONT FT. FT. USE OF 41 EXISTING BLDG. R SIDE ET. FT, CA .±" Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. J r" REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& G MAIN BLDGS. ACCESS. BLDGS. VAR.$ DATE ', C.V.P.# APPROVED APPROVED _AV DATE C. ILIa 0, I hereby acknowledge that I have read this application and state n e4 that the above Information Is correct and agree to comply with m CI. all laws regulating building construction, and I shall not employ i Z any parson in violation of the workmen's compensation laws of m 'WS' the State of California. m I hereby certify that I am properly licensed as a contractor under SO. FT. �.' ry the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ' m Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLYF:(/�'e am exempt from the provisions of the State of Ca fornia Business VALUATION PERMIT FEE E .-J�{ -� and Professions Code, • on 3,Chapt: 9. !^Gr M PLAN CHECK $ "I Signature ofo Permittee �/ $ TAX $ E Authorized ABenT TOTAL PAID $� n A rt •` ~` I 2633 1 /29/79 18.50 T7L • COSTA MESA BUILDING-SAFETY DEPARTMENT 2633 1729/79 18.50LIyF0� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 2633 0000L u73 39 I•A Cn//�� A P C TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only ��/`-��• RE EI BY ATE CEI DATE ISSUED ADDRESSG 21/�! /SL " a� 'p r-v�ST�y ,1 4€7 A.P.NO. l ' —'p - 0 PERMIT NO. OWNER ''77 qr /y /� 4/Wgar fjq �) �t '/ [+ ` ADDRESS Z!// ex. '(�Vi/� f'1//t/�'/` &sap ADDRESS aZT T C • �,7 BUILDING th S1'` CITY ti�� 3C/t NOLa.47// A�ACT�RSu 3 LOT Z.. BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH OWNER ADDRESS pp//JJ��,�yy����p.� //+A n� C E ARCHITECT Q}.te�rr�• Jlr.r .es•—^r4EL.��•�,�� USE ('ISI IY' c 5 . OR ENGINEER /.SG,p�. NO.C7TT�Y]►' FIRE ADDRESS ZONE TYPE GROUP y_ • APPROVED CONTRACTOR BY DATE ADDRESS CAC /_ 9 TEL. ZONE NO.OF USE ON NEW y PLANS P L. CITY NO. RBUILDING I+ STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STREET) (�� //�-� 4 OF LOT I NOW ON LOT FRONT FT. lir, FT. 0 USE OF (CrCC EXISTING BLDG. 9,SIDE F_T. / FT, { con E—• Separate permits are required for L.SIDE FT. 5FT. O electric,plumbing and heating work. REAR FT. /Z FT. b USE OF�B•eUI DI_ Nl(9 AN ORK TO BE PERFORMED ��//JJ DISTANCE BET. BET.MAIN& C aA r Fl.K- MAIN BLDGS. ACCESS. BLDGS. ^ -4 tQ���� VAR.+ DATE rl /!A C.U.P.s APPROVED Q RYP qp1l ''J E/( 4 DATE co77 -7 -/ Ix / W pI hereby acknowledge that I have read this application and state HOW FOR SPECIAL REQUIREMENTSta 64 that the above Information is correct and agree to comply with m M all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 14 /{ the State of California. �� m I hereby certify that I am properly licensed as a contractor under 5 J�J SO. FT. Nv the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business y and Professions Code, Division 3,Chapter 9. VALUATION cut' PERMIT FEE $ h ro •.o,�',.'6�`/ /4x(J //�J� PLAN CHECK $ 1�et' 'n Signature of/s%2£ r/r�7` C. _iE�� $ SC/ `' TAX $ � o Permittee �`� 4 Ftd J U Authorized Agent TOTAL PAID $ 7 9.3 0 s COSTA MESA BUILDING-SAFETY DEPARTMENT 0 31410 2/14/79 36.00 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 Nl'34ID 2/14/79 36_.000KTO For Applicant to Fill in Completely — Usee Ink Only A L AT'I/9N FQ]tl$IDRUUf[JIf d17F�HFMIT I A �� ADDRESS BUILDING 0.29 s� P. g`tz yJ R I EO 87- DATE RECEIVED DATE ISSUED l:Y— lNes-n 9) ?/Z(:/ '4,c nig. C// �PERMIT'(rL3N0.1 OWNER MAILt/ �r / A.P. NO. /)�' ADDRESS 5,27' 0047 .A1 -1,01610 Kr�/'� [� ADDRESS BUILDING2 4/ L /5 �,I` . CITY/y,E(.zj, c ec Stag/1014 TNO. 63f 93� TRACT I LOT BLOCK CONSTRUCTION NEW IADD ALTER REPAIR I MOVING DFMOLKH LENDER /.,' n` .� BRANCH OWNER L)G.Li SAT RA'opL/ !a‘ ADDRESS /1w� VALUE -0 ARCHITECT TEL. (Ar �/ OR ENGINEER NO. FIRE ADDRESS ZONE T.jIPE GROUP ,y ���+++ APPROVED /J 2—`S —/f CONTRACTOR BY / ` DATE tY ADDRESS ZONE INO.OFF USE OF NEW TEL. PLANS BUILDING CITY NO. F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING BUILDING W .SIZE 'NO.OF BLDG (FROM C/L STREET) A. OF LOT NOW ON LOT -ONT FT. FT. USE OF TA EXISTING BLDG. R.SIDE FT. FT. C', H Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q MAIN BLOCS. ACCESS BLOCS. VAR.* DATE "� C.U.P. APPROVED 7 APPROVED >.1 . ,BY DATE EX w . a I hereby acknowledge that I have read this application and state N N a that the above Information is correct and agree to comply with co L all laws regulating building construction, and I shall not employ i Zany person In violation of the workman's compensation laws of 2 x the State of California. m I hereby certify that I am properly licensed as a contractor under S0. FT. N the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE NLY: - -" am exempt from the •revisions of the S e f California Business N^ iO and Professions ••a, v ivision 3,Cha r 9. VALUATION PERMIT FEE S / cc 1n Signature of PLAN CHECK S o Permittee S,x/ TAX 3 LL F Authorize• A. t TOTAL PAID S ! COSTA MESA BUILDING-SAFETY DEPARTMENT 2634 1/29/79 243.71' • TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 - - 1 PP CATION FOR STRUCTURAL PERMIT IUI'f6N/ For Ap a t to Fill in Completely — Use Ink Only a R I ED V DATE F€CEIVEQ�DATE ISSUED BUILDING C. �'�{fT �'T �.fY1S'QTT1 (• .2-Y-7 i`j ADDRESS L ^�.� bs�I45 t✓� (/CGf�/� �ArG57S4V P��e�/f'5 A.P. NO. I /1 -/Ff I-I L7 PERMIT NO. OWNER aF��/ BUILDING Q � AMDADILRESS 414 VP /� z /P ADDRESS a2 e. /S CITY 40jJ2!{ a 7 .1/ NOL6 /....a �4A 0 to R 1.I TRACT StN'! LOT I BLOCK CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DFMOI ISH LENDER BRANCH OWNER Warsy& � Y r n ADDRESS �p (.� � ARCHITECT t� /S• CE TEL. — .SEX 6A Tr� rr� FIRE • ADDRESS S./T i.NM/Pen �Uj). _NO, 4v1 ZONE TYPE.gerGROUP 14t'T APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE," NO.OF USE OF NEWS.. n r CITY NO. 7► PLANS BUILDING /RI rLC'/ F STATE CITY c YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLOCS (FROM C/L ST EET S OF LOT NOW ON LOT FRONT C2.3 FT. 7 FT. ve USE OF EXISTING BLDG. R.SIDF /C FL 6 FT. Ca '.±.1 Separate permits are required for L.SIDE S FT. O FT,. electric,plumbing and heating work. ///�. / ` 'r REAR S FT(/ .[/ / 1 ez FT. 1 Q DISTANCE BET. BET.MAIN& USE OF/B/yILDIN ,ND WORT( y-LO BE FORMEp � MAIN SLOGS. ACCESS. p ACCESS.BLOCS. (y \`_ ��Tlir P (�z !/YJLTLS•/-�� CU.P.ae '70 'ISI ADATEPPROVED //il3/70 taQ AP PRO AP -- _ DATSZ —/3-7 7 SS I I Px I hereby acknowlatlga that I have read this application and state HOLD FOR SPECIAL REQUIREMENTS N. LS that the above information Is correct and agree to comply with / m till S 12. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of L[] the State of California. y'/ �{' I hereby certify that I am properly licensed as a contractor under •4.0. FT. 4c) —I 1 w the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR G Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a Q% am exempt from the provisions of the State of California Business VALUATION v S/jMiJ's and Professions Coda, Division 3,Chapter 9. . RMIT FEE S y m Signature of f / gal PLAN CHECK S � �Lo Permittee C• S I g Vs+ / J/s6 ✓tcL Airrne P ( TAX S !///D�`�� U Authorized Agent TOTAL PAID 5 ..f$. 7/ 4 73� COSTA MESA BUIL ING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 a��1L1I APP IC ON FORSt'ItUde11 /1.7l9ERMIT 359.00 It For Applicant to Fill in Completely — Use Ink Only �'f // /�- REC I D DATE RECEIVED DATE ISSUEDBUILDING /p ADDRESS ..049t� 2y , / 7 s " /A3 _;/ at OWNER (�/t 51-$1t J' fix Qt 7 A.P. NO. PERMIT NO. MAIL L' (/ (� hit(1/2 BUILDING ADDRESS T2 T- �+,Q..t� ,pp ,�/�L[V,L ADDRESS CITY /y r /✓t t NOL �CV1-93, TRACT LOT BLOCK CONSTRUCTION NEW , ADD ALTER REPAIR MOVING DEMOI LSH LENDER ��y`/`1 rr�� � yyJ�,,�s�I y��.,s��//�� BRANCH OWNER I4/.—J'/ ✓/Cerrier7e 3 ' \ ADDRESS _ /�j7 { VALUE�j ARCHITECT TEL. USE '^ arra^k.._ $ v OR ENGINEER NO. FIRE ADDRESS ZONE P GROUP n APPROVED E�7 > ////3^ cs CONTRACTOR BY DAT ADDRESS ZONE INC.OF USE OF NEW TEL. PLANS BUILDING CITY NO. F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING - ACCESSORY BUILDING W .SIZE INO.OF BLDG (FROM C/L STREET) C$, OF LOT NOW ON LOT FRONT FT. FT. .2 USE OF 4 EXISTING BLDG. R.SIDE FT._ FT. V] FSeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. , REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& c C MAIN BLOCS. ACCESS BLOCS. VAR.* DATE "'1 C.V.P.0APPROVED a APPROVED j. BY DATE wl fX Al A. I hereby acknowledge that I have read this application and state N N g4 that the above information Is correct and agree to comply with m L all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of xTW the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. T the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR co Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:,`�- am exempt from the provisions of the State of California Business % and Professions C e• !vision 3,Ch er 9. VALUATION PE IT FEE $ J N m Signature of /1PLAN CHECK $ o Permittee $ TAX $ ti. f Authorized ntU TOTAL PAID $ 3 . . 04.7 .49 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626ti 3701 2/20/79 5.50 TL' APPLICATION OR•STRUCTURAL•PEANUT • • -•• For Applicant to Fill in Completely —Use Ink Only A I RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING F• 9 �/ E JO jJ D�_� ADDRESS % (� am) / / /' OWNER r'✓ /j [J. ) wcn� 1PERMIT NO. A.P. NO. II —I L/� - of MAIL (J ) �/ ADDRESS 0BUILOING 29 8 F. I S- S—I-. ADDRAESS'//'J/ � ' ^q // "WI' cITY,---rTA4�9J s`5 NOTE`C3/- y3// TRACT .GPfrPAIR 3 LOTS BLOCK CONSTRUCTION • ..-------"' N€W ADD ALTER MOVINGDFMr1I I5H /LENDER ` / BRANCH / / OWNE'_ /• "1 _ ADDRESS ALOE , 6� TT ARCHITECT TEL. USE , OM1 /J .� � $ OR ENGINEER NO. / FIRE T ADDRESS ZONE TYPE • ROUP l / APPROVED CONTRACTOR -----•—v., ...Q rii1 Cr BY DATE ADDRESS )9.2-./ L Jeer TELZ13 ZONE .s NO.OF USE OF NEW CITY 7.4.:4„..- 13 13 t-o<A- 9 on 2._ NO.YU G•% y-0 R ` PLANS Li BUILDING Dema F STATE e CITY YARDS APPROVED YARDS APPROVED LIC.NO. ' C /0C /' U3 2-9 r LIC.NO.0057'I MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. )) (FROM C/L STREET) O. OF LOT NOW ON LOT /— FRONT FT. FT. Q USE OF ) cs, EXISTING BLDG./1:47-4.4-n 17''..-42'.1/4- 13.3IDE FT. FT, H FSeparate permits are required for L.SIDE FT. FT. es- electric,plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& G MAIN BLDGS. ACCESS.BLDGS. VAR. DATE a0-4,-✓WL1,-,- � Y --c v-- A-4-^a, C.U.P. APPROVED >r . 7 �-_e^ 0-,--,---1-' ,./t_ • _ APP Ry FT DATE a ./az// p , l ix W 0 I hereby acknowledge that I have read this application and state us N. IX that the above Information is correct and agree to comply with m a' all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 2 the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt from the provisions of the State of California Business 'O VALUATION PERMIT FEE and Professions C e,D iivision 3,Chapter 9. $ O© I �/ / / PLAN CHECK $S - — m Signature of 7A/ �,t.-� o Permittee e � $ fit 4) TAX $ cZ LL f U Authorized gent \ TOTAL PAID $ �. CO