HomeMy WebLinkAbout269 16TH PL - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lob Address: 269 16TH PL
Suite:
Vicinity:
Parcel Number: 42522105
Applicant: TOD RIDGEWAY
Address: 2804 LAFAYETTE AV
NEWPORT BEACH, CA
Owner: RIDGEWAY, TOD W TR
Address 1400 W BAY AVE
NEWPORTBEACH,CA
Contractor:
Address:
Zip:
Zoning:
Phone: 949-723-5854
Zip: 92661
Phone: 949-723-5854
Zip: 92661-1023
Phone:
License:
Status: ISSUED
Applied: 11/29I2004
Issued: 11/30/2004
�
ISSUED B .
Arch : Eng: VALENZUELA, CARLOS
Address: Address: 500 OLD NEWPORT BL
Phone: STE 204 Phone: (949) 548-2300
NEWPORTBEACH,CA
Zip: License: 92663 License: 44990
SCOPE OF PERMIT
REPAIR DAMAGED STAIR CASE LANDING
Plan Check: $45.01
Permit: $69.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $114.76
SETBACKS
MAIN STRUCTURE Front 0• 0
ACCESSORY Front 0-0
PARKING Existlnq: o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Lek 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0. 0
s2,000.00
$z,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiraments under Califomia statutes and related
regulations. (Ord. No. 92•2B, § 1, 1241•92)
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 ot 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
requlred inspectlons and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2G46d6 (8/00)
WORKERS'COMPENSArON DECLAFiAnON: ,
I hereby aNirm under penalty oi perjury one of the follrn.,,,y� Aeclaretions:
❑ I have and will maintain a certificate of consem to salt-Insure tor workers' compensatlon, es proWded tor by seciion 3700 of ihe Labor Code, tor the DeAormence of ihe
work for which this peRNt is issued.
❑ I have and wlll maintalr� workers' compensation insurence, es requiretl by section 3700 ot t�e Labor Code, for Ihe peRormance ot Ne work for which t�is pertnit Is Issued.
My workers' compensa�ion Insurance cerner end policy number are:
Cerrier. Policy Number:
(This section neetl nof be campletetl il fhe permit is veluetl e! one huntlretl dollars (5100) or /essJ
�I cenity Ihet In t�e DeAormence of the work for which lhis permit is issued, I shall not employ any person in eny manner so as to become subject to the workere'
�.Gompen5etlon laws oi Calitomla, end agrae [het If I should become sub�ect Io Ihe workers' compensation provislons ot Section 3700 0l the Labor Code, I shell torthwith
comply with ihese pro�1 ' � /'
Applicent SigneNre: Date: ��'. �ja —� �f
WARNING: FAI�URE TO SECUpE WOFKERS' G�MPENSATION OVERAGE IS UNUWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIE AND CIVIL FINES UP TOONE HUNDRED
TFKKISAND DOLLARE (5100.000)� �N ADDITIO THE COST COMPENSATIqJ, DMMGES AS PROVIDED FOR IN SECTION 37080F THE LABOR CODE, IMEREST, AND AiTORNEV'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aflirtn Ihat I em licensed under Orwisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe eusiness and Professions Code, and my licensa Is in full
force and eHect. lJc. M Class q
Comreaors Slgneture: Date:
CONSTRUC710N LENDING AGENCY:
❑ 1 heraby sflirm tfiet there is a consiruction lentling agency tor tha pedormanca ot the work tor which Mis permN is issued. (Sec. 3097, Clvil Coda).
Lender'S Nama: Lentler's Address:
Signa�ure: Da�e:
OWNER•BUILDER DECLARA7�ON5:
I hareby eHirm thet un0er penelty of perjury the� I am E%EMPT FROM 7HE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professlons
Code: Any ciry or county whroh requires a permit to consimct, elter, improve, demolish, or repair eny stmcWre, prior Io its issuance, also requlres ihe applicent for such permit
b tlle e slgned stetement Iha� he or she Is licensetl pursuent to Ihe provislons ol the Coniracrore License Lew (Chepter 9(commencing with Sectlon 7000) ai Divislon 3 of the
Business an0 Pmfessions CAde) or that he or she is ezemp� therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any eppllcaN tor a pertnit
subjects the epplicant to a ci�l penalry of rwt more Ihan live �undred dollers (5500).):
� I, as owner of the properry, or my employees with wages es their sole compansation, WILL DO THE WORK, end l�e s�rucNre is not intentled or oflered tor sale (Sec.
7044, Business antl PYofessions Code: The Conirectors License Law tloes not apply to an owner ol property who builds or improves thereon, and who tloes suc� work
himselt ar herself or ihrough his or her own employees, provitletl �hai such improvements are not Intended or otteretl lor sale. If, however, Ihe building or improvement is
sold within ona year oi completian, the owner-�uilde� will have tha burtlen ot proving that he or st�e tlitl oot buiW ar improve For puryose ot sale.). '
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslrucl tha project (Sec. 7044, Busine55 end Profession5
Cotla: The conirectors License Law does not apply to en owner of property who builds or Impmves thereon, entl who contracis for such project with e contwctor(s)
license pursuent to the Contractors License Lews.).
❑ I am ezempt ec _
Signatura: _�
Ownar ID verifietl Dy ddver li ense.
Verificetion of Ownership by (�ype oi
_ Business antl prDfessions Coda tor Ihis reason: i
/�% Date� �� " � �'
❑ No Driver's License No. � - (� E:pires: C�S—�
i.e. - property taz blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICA710N:
� I hereby cenily thet no excavatlon five (5) or more feet In depih imo which e person is required to tlescend, will be made in connaqion with work authodzetl by Ihis
pertnit, antl ihat no building structure, scaftolding, falsework, or demolition or dismantling thereol, will be more than thirty-six (36) teet high. (Ghap. 3.2, Grp 2, Atl 2, Sec.
341, Titla e, Califomia Administrative Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require e permit from Ihe Division of Industrial Safery, as noted above, unless such person has e
permit to do such wark ��om the tlivision.
Signature: Date:
Division of Intlus�rial Selery Gertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity under penalry oi perjury that I have read this application antl state t�et the intormatlon given is
correct. I agree to comply wi�h all state laws and city ortlinances relating to building construction, antl authorize representatives of the City of Costa Mesa to enter upon the
ebove-descnbad pr p fo inspection purposes. I agree not to occupy or allow occupancy of eny builtling euthonzed by this pertnit until finel inspe on.
- i/-30- D�
SignaNre Of wner(s) Date
AncUOr Authorized Applicent Date
CO�E 1, INSPECTIONiYPE
1618 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-Rooi
201 Final Block/Retainin9 Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Dertwlltion .
PA7E 1NIf➢Al5
COUE I INSVECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final ElecMcal
212 Finel Flre Preventlon
220 final Planning Approval
222
250
Final Site
FinalBuddinq/Occupa�cy
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avNexswweiv�avr+: BARRINGTON, WILLIAM
' �� B506IKEEON�RBONNIE A
.RUNA L�EL MAR,CA 92525594-045<
1�vv�. Yuuxc �oo�.ss: �
urcxrtecT on uxx+�+:
urcx. on er+a•s woness:
BEST ROOFING
CONf"ACiOP'S""'� 765 ST CLAIR
caimecrarsxuuxo COSTA MESA CA
ADo'�� 92626
uHr:
uc. r�o.:
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l714)557-4040
603323
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LICENSED COHrF1CTOfl5 DECLAflATION: I lrereby aR'vm uiMer penMy d pmjury �Aet I em IceneeE uMer povieione W Cl�epter e
(oommerc �q 'x+l `I ^..eUwrt�]GOW d Divieun � d the Bwrtiea� arq Pmleaenm Codo mEiny lia nee ia in Wll.lvn eM dio0. � 9 5
cm uc. no.: v� i i o uc. cuss: �' —� 7 11C. NO.: O I.J J t]C i' V 7
o�, y.�� �s � ��,�a
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OWNEF BUILOEH DECUflATION: I hereby �rtn unEer peneXy d perju ihet I em exem � Irom tM Canveaan Liceme Lew Iw �M
idbxip reazon (5etlion )0]t.5 &pi�efa eM Pmimeiona Gode: Am/ ciY a muntY �� uirae e pmm! lo construcl. ellu. impove.
Mmd'nh, w rapei eny s�ruaure, prior �o ile ueua�ce, elco requirm ihe epplimn� tw euch permil �o Rb e egrrod eletemaM Met M a sha
� IiceneeE punueni io Ihe provisiona d tlw Contrmon Licenae Law �Cheqer B(camme�ip wilh Sedion )000) d Divbion 3 of �b
srreae arM PrWessiwu COEe� or ihe� he ar eM ia eaemp Ihnelrom arM �he buie /w tha ellpad axemqun. My volmun M Seaion
�ai� s W em aoc��m �a. vame wbjeaa ine rod�em �o. dvi� ymeMy d na m«a inen �we nuMrea ed�en R�U.
� I, av owmr d tha paparry a my empbyaea xdh wepes ea thav eob cpnpeneetbn, will Eo iM xoA. eM IM eWcluro b �wl iMeMed
ar oXerad br eele (Seclbn ]Oaa. Buanesv end Prolesabns Coda: TM Comree«e limnae Lew daae rwi epply ia en ovmer M Prapeny
wM Wids a mpovae �haieon, md xfio doea auch vurk IimeeM a hereep a Nraph Iw a hm own empbyaea, pwideE �M1el wch
impovememe are rd inteedeE a oHeieC fa seb. tl, howa�x, tM buitlifp v inqv.emeM ia aaN xqhin aa yeerW eompW un, the
wnar-0uiNer vnll heve Ihe burdan d O��iip he a she EiE nd Wik w impraro ta Ihe WN�< d sele�.
� I. es ox*rr W iM qWaM. am ead�ren+M mntrerfM xnh IioenseE convenaa �o wnarud tha pqee (Sedion TW. Bwiwe erd
adeevon. caae: rne camreao�e ts«ue �ew me. �a mvN w e� oxne, d wwa�v wno win. a imww.. �ne,em end wno
contrecls Ia euM Pr9�n wnh e oonlredor(al licenead Wnuent to �M Coniretlws Limroe Lew�.
� I em uemp undar SecUon: 9. 8 P.C.. fa No �eeaon:
ome a.�,
I do heieEy cenily Uw I em ewere d end uiMersleM ihe iepuiiemend W Celianu Heetlh enE SNeIY �de SeUians 25505. "2uJ�, en0
25531. eM ihv 1 a enY Mun buiNiiq om�pent will / wil irol (aich ane) mod to cwnply wih eeid mta mdea vd the �aqui�emann br
e permn lormmvuction a modifcetbn homtheAv�arepement Oiqrip. PmkeMid caMiudion eppFulipm eie eaemq Imm IMaa
wo�eiw,..
Dma: Applcenl:
WONKER'S COMPENSATION OECLAPATION: I Mreby eifilm uMer panelty d pr'ryry ane M tlw blbxi�p Aetlusone:
� I here eM wil meinten e cendwe d mneanl lo seq�vun M wAara' canpsnwion, ea prwiEed f« by Samon 3)OD d tM lsbar
Code, fa IM paAormence W iM xnA lor which ihia paimil ie iasueE.
� 1 heva ard wil meimen w«ken' mmpenee�ion inwrerce. a� repuinA by Smion 3]00 d tM LeEn Cada. br tM pMamenca d tM
.�n�awnw�mav�nq�„sa.Mr���°'P'p�°P$""'P'9941�°"°cdwv��mte..,.: EXPIRES
P��rv�mn«: �&'�7��_^—°^ 06/Q1/95
is secvion reee nw ee canob�ed r �ne v�a z�a oire nundiee aa�ersls�ool a hv.)
�] I cenry thet in IM perlormenca M Ihe woM i« v.Tch iha peimil ie ivauetl. I ehall nd emplq e�ry pereon in eiry menner eo es �o
n«o�re wqm m ina .w�a.� m�w�.�� mws a cdnom�e. e�d w,a mm e�.n a eso�. w�qm �o m. won�e�.�
mmpemetbn proviaionapL.SeUion 3100 d the lebor Cada. I ahal /Mhxil� mp�y �' I e qotis'va.
o�,: y� i,� . g� A��,:
wam�ny:F.nunroa.eu�.won�en•wmpxuanoneov«.p.�.0 w�ul.ndan.nwbl� een.mp�oy..roenmwp.n.mu.nd
c/vll One� W ro one huntlrM tMuvM doll�n (S�aqaooA �� �� �� ro N� cwt ol ro t�on, d�mip� �� proHrled roi In
Sxtlon J1P6 0l tlrs Lebor Cotle, Inhnit, erW efromry's Isu.
CONSTNUCTON LENDINO AGENCV: I Mmby eifiim uMx paneM1y d perjury �hm �heie re e mnArudion bMirq epmry 1« Me
partormeMe ol lne wurk Iw whidi ihc perml is oweG (Sed'an �9]. C'v. C). '
LENOEF'S NAME:
LENOEfl'S 10DflE55:
1 cenily �t� I he+a med thia eppliraiion erd ume Ihet iM ebove inlamatian b mrtae. l epiee to wmpF� wilh ell dly eeM counry wdire�rae
eM state lews releimg to WiMvg consUuclion eM heraby aWwae repreaenteiives M Ihe ary ia entar upon �M ebwa.memioneE popeM
lorinaqdion Wrpasas. / _ �
om,: � �0
(5t5�-aB.WP) W�ne-Buikip d SelalY: GreemFb: Cenery-Appiram: Pink-Rerenue: GdEenmA-beea.mr
CITY QF CUSTA ME.S'A —&UILUIPIG PERMIT
PERM P70; B 07184 �
PERMIT NO; H 071846 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: OTH
JGb UES'CkIPTIt�N , T1t�FF 6 FtERUGF W/CUMP SHIA]GLES SQ FT; 2,6?4
CLAIM VALUE: 2,674,00 CALC—VALUE: 2,674,00 GROUP OCC: A-1 /M-1
COMMENTS: SMOKE DET, REQ PER 91UHC, REROOF 2000SF 4—UNIT APARTMENT TA/COMP
*x�*it**�t�t�t�t**+ti��t*+rrr*r�c*+**r�t*u**�tit***r�uac*+t�c***�tf�+�*�-u*�*x*+t�ir*�c*�c+c»r+r»**x��t*�t***�c*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRP7T: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IP] LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 42522105 ZT7E; REF N0:
PLANNING NOTES>
i
if 1f iF 1f iF if if if if iE iE ffiF if 1f M if �! it jf af if jE 14 iE i4 �f1f iEif ifiRif Y1f jf % if if jf fF if if ff 1F aF{F ifiF M 1F jf if jf ii jfif if i4 ifiEif iF �f jF iR 3E i4 1f if �f K iE ififY 1E if jf
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 M E N T S
ZONING APPROVED BY ,
BOILDING APPROVED BY :
APPLICATION ISSUED BY:
DATE;
DATE:
DATE
+cs'x+x+'x�.+cR+'w-zwtex�rxx�ewxftyfwxirfrir+tir-itwr�iciFi�-icriticici/i:�cifiFric;F3F3Fii3i�i3F�f1E?f�lEififjFj.'ifac��Rif
LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBIr1G ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 59.00 .50
.SMIP!NON—RES
PLAN
ISSUE FEE
BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 59.50 0.00 O.OU 54.50 59.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
54.00 .50
jE 1f %if if �f if if iE aF fR if iF iR af iE M if iF If 1F %if 1f 1f %if iE Y� %�F if 1F iR if if if ai iF Y 1f M iE if �F 1f M M if if if j4 iF iF af ak if if iF iF if iP iF 14 if aE 4 iE i! i4 if iF iE 1F iF if ac Ac af
I N D I l,' I D U A L F E E B R E A K D O[d N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2679 REROOF BY C'ALUE RESIDENTIAL NOZONE 1.00 2,674.00
END OF FEES
�sl �]6179646-0017954�7 TQ"}' S4.5Q
DA7E: O4.'i�7/95 TIhE: I3:2;
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CONSTRUCTION AND PLANNING POOI 'A
APPROVALS Permit # Date Inspector qppROVALS Permit # Date inspecior
L Temporary Electrirai Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. ' 53. Steel Reinforcemcnt �" �
3. Etectrical Conduit Utility-Undrgrnd. 54. Forms i �
4. Electrical Conduit-Undrgrnd. 55. Elactrical Bonding �
5. �Steel Reinforcement 56. Rough Piumbing & Preuure Test I
6,- Eleczrical UFER Grnd. 57. APPflOVAL TO COVER�GUNITE
7. Footings , 58. Electrical Conduit-Undrgmd.
8. Foundation • 59. Gas Pipe, O Undrgrnd., Tesc
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � l.�nd:grnd.
10. Structural Fioor SYstem �• 61. APPROVAL TO DECK �
1 i. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final �
12. Sewer Cap -- 63. Heater & Vent�Fina! � '-
13. Roof Drains 64. Poumbing SYstem - FinaF `
74. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar SYstem-Final
i6. Rough Electric4Viring. 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18. Rough Elec[rical�7 Bar Ceiiinq 69. POOL/SPA SYSTEP�iS PINAL '
19. Rough Hea!ing & Air Conditioning FIRE DEPT. REQUIREMENT �
20. � Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in $tructure 70. Underground Hydro
22. Ducts, Vencilating . 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test - 72. Underground Fluth
24. Roof Pramin9 � ' �. ' 73. Undergmd.StorageTank �Gas QOiI
25. Roof Sh"eathing � �2�j1; C�' �(,l{�jC. 74. Overhead Hydro
26. T-Bar Ce�ling (Structurall & Monocoat . 75. Dry Chemical �.
27. Frame and Fiashing 76. Dry Standpipe �
28. Lathing & Siding. ,. " 77. FIXED SYSTEM FINAL
29. Insulation - � 78. FIRE PREV. FINAL
30. Drywall Nailing � HEAL7H DEPT. REQUIREMENT
31. Piaster Bro�vn Coat , 79. FINAL.INSPECTION � .
32. Eiectrical Power Meter-Finai 80. FOOD CERTIFICATE'ISSUED
33.-Final Electric , � Notes: � � .
34. final Heating & Air Conditioning , . � .
35. "Finai Gas PiRe-Test ,
� 36. Hood or Canopy.� : � , �
37. Final Factory Fireplace. , �
38. Final Plumbin9 •
39. Water Service�Final • ' '
40. Gas Service-Finai � -
41. Solar pomestic-Final .
42. Backfiow Preventer .
43. Backflow Irrigation � - .
44. �andscape Irrigation System � ' , �
45. Sound Attenuation
46. Handicap Regulat�ions
47. FINAL STRUCT.URE & BUIIDING L(a,g �� '
48. FINAL PLANNING ' .
49. Eleciric Release to Edison -� �
50. Gas Re�ease to Southem California Gas Co •
51. CERTIFICATE OP OCCUPANCY �
N0. Date
JOB ADDRFSS 269 �. 16'
GENERAL CONTRACTOR OI
AP. No. l'i 7_� 9l _l 4 LOT
F
OCCUPANCY
Form 210-SM-11-59 5-B P
TFtACT
� DATE
VALUE
FIRE ZONE DESCRIPTION OF WORK Demol.res. .ear..
OUP 7 Fr J TYPE V ZONE R-Ii
SUBCONTRACTOR I __ �'ERMITSISSUED__
�� � 1��5�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MEBA. CALIRORNIA
For Appllcanf fo Fill In Complefely
TYPE OR PRINT
COSTA MESA CALIFORNIA
/., i. _ _ '
TEL.
� BHTBIICK LINF PROM
NO. OF BlDaB.
pESCRiPTiON OF WORK
PXTERIOR WALL
COVERING
U8E OP BUILDIt�
I Hip6�Y ACKNOWL8D08 TXAT 1 HAVE ft6�G iH18 APPIJGTION
AND 9TATE TXAT THE ABOVB �8 COfiRECT AND AORE! TO COM-
PLY WITX ALL CITY OqO1NANC86 AND BTATH I.�WB p80UlATING
BUILDINO CONBTRUGTION.
•
SIGNATURE OF _I,'
PERMITTE OZ�_
AUTHORIZEP AGENT
FEE RECEIVE9�
APP� A����t ���11T
BUILDING
For Office Use Only
�necerveo ar owre xecerveo I o�.re
�+— 7— � / /�i
COSTA MESA. CALIFORNIA I �
��
APPROVED
ZONING
I NO. OF � I uae ov s
_ � PLAN9 BUILDINO
L1N8
APPROVE�
THE AMOUNT 6HOWN UND6R VALUATION IB FOR THE
PUPPOB6 OP EBTABLIBHING A PERMIT FEE ONLY.
VALUA710N �J �p
e�e PERMIT FEE $ "'�'
S /O/. ` ✓ PLAN CHECK $
70TAL FEE $ �' �O
' �7t�A.4siJ � r
OSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX S77 COSTA MEBA. CALIPORNIA
For Applieant to Fill In Completely
�OSTA MESA CALIFORNIA
L��AM G. CA�A/S S,
�
'USE OF ...{�
EXI6TING BLDG.' / • QG `
6ETBACK LINe PROM t_ �
,�C�Ff� RECEIVED
'� �; �rar i � �r
� � FINANCE DEP%
cirr oF�C�TA ,�E�
/ APPLICATION FOR PER
BUILDING
For Offlce Use Only
as�e,� NO. P r, No.
;a5
aeC81VHc ev oAT6 Hecelvao owT, �98u¢o
..� I � =,� - F/ I � -.�;- /.
��
BUILDING
ADDRE83
COSTA MESA. CAL'IFORNIA
20N6 � NO.OP �'YOB4OFN81
PLAN9 ��� �BUILDINO
LlOAL /. _�;�.i—�n.•
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ioT A. P. NO. � . .
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APPROVED ACLOWED..
�IC6M[R YNC 6T.1 ^
� FRONT I.�FT.
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SIDE YARD I LEFT I RIGHT /l/ R. SIDE FT. IN. A
DESCRIPTION OF WORK L. SIDE c� �. -�„.
NEW I IALTERATION ( IIADDITION (�%FT. IN ,
REAR
RHPAIR I IMOVING I NDEMOLISH I BYPROVED pqTE �O `
S ZE�1NG % 4/ ROOMS � STORIES / Q�
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EXTERIOR WALL � ROOF �O /y0 �e,. G � � 3 ,�.c.
COV8RIN0 -S�IK 0 COVERING ,V n . �
UBE OP BUILDING AND WORK TO BE PERFORMED � �
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C .337L��`�"L`cv �
1 H8R6OY �GKNOWI8DG8 TNAT 1 HAV6 RBAD iH18 APPLIGTION TNB AMOUNT BHOWN 11NO8p V�LUATION 19 POR THH
ANp 9TAT8 TX�T THg A�OVB IS CORREGT AND AOR88 TO COM- pURP088 OP 89T�9L16HIN0 A PBpMIT PH6 ONLY. '
PLY WITX �LL CITY O��NANGEB AND BTATB L�WB Ii80ULATINO
BUILDINO EON9TIiUCY�ON VALUATION �/
SIGNATURE OF /
PERMIT FHE $ T� 6�
PERMITTL� � , // � a
s( /I/f� � PLAN CMECK $ ��' �� 3
AUTHORIZED AGENY ,f TOTAL FEE �• c� y
.,Y ,� �-;
j"i"; �°-? t_� °`'-0 �,i .� t
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Reco�ended Yor approval.subject to the following
conditions:
1._ Installation of residential siderralks by the applicant,
, at his expense, under the direction oY the City Engineer.
2. Two Por one off-street parking ratio� under the direction
o� the Director of Planning
3. That the applicant, at his expense, constructs a decorative
wall along the Pront oY the property to screen the parkiig
from the Street, under the direction of Director o£
Plannin� in accordance with Bldg. Department Requirements•
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