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250 16TH ST - Building Permits
CITY OF CO' MESA PARK FEES Fee Payment Receipt N22 049 Project Address ,rSO c5 /o Park Area 3 A. P. No. /' 7 —/9, — Oa_ Building Perm,[No. ,5900-0 Owner's Name l /n 7Ct IdY E 1U//e n/' er /�J Mailing Address�Tn 6, 16`1 �f. 4szi ill/ esa - FEE Single Family * No. of Units @ $338.27 = Multiple Family ** No. of Units .--1, @ $238.78 = Tl `/ ' / Total,Fee/ T 77 5. Planning Department Approval Da/�}�e�/� /0 — �7 77 By LC/ 43 P6- Applicant's Signature i/1/ Lt * City Ordinance 72-44 •• City Ordinance 72-45 OOSU t K'a • illi -J1'74uisti vn�o00 529Rd****o . CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No. 117 1 1 : Bldg, Permit No. 2 p .3 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 25') C. 1Fth Strent n r iiD-.L-..�. Owner's Name Bachelor or 1 - Bedroom Units 1 @ $25.00 = !25.11 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = 429.0n Total Fee Total number of Dwelling Units 1 Planning Department Approval Date f_r-7n' Park Area No. 2 By Applicant's Signature ice, A, - OWNER ;:HUEBNER. D. E. DATE 7-8.70 JOB ADDRESS 250 E. 16th Street BUILDING PERMIT NO. 32032 4t __GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Residence 1. / t. 117-J91-02 LOT (por) 1 TRACT 251 FIRE ZONE VALUE $16,268.00 IA_. ECTIONS Si Qnature Date GROUP I TYPE V ZONE R-2 SOIL ,4 7-?t 20' SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER4'.(sY /h.c;2_, --7/ �f/� -f_'7 -� Plumbing ROUGH PLUMBING ,I,/ //1s/` / 76 ® •�- 7 I /a .5:4, PROP. SWR. LINE (HOUSE CON. V /✓1.53'/9 7( A ,trstiV //' '' f SPRINKLING SYSTEM �` MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING A/4 S/2_)r7d TEMPORARY SERVICE OR POLE UNDERGROUND 9 COWER ❑ ROUGH WIRING �/ /.S•/ _ Heating and V nt TRENCHES 9 FORMS 9 STEEL REINF. 9 �� Vt /L(�. ,J�/a I d. /�2570 7/0�.� FLOOR SYSTEM '/ (fes! BOND BEAM 9 STEEL REINFORCE 9 /n� fff,,, SHEATHING / ee r/e,t/ FRAME AND FLASH! TK e_ $s-J7i LATHING - IN OUT IN G � 'PI '°TER, BROWN COAT Q - 7 5. TURAL, FINAL //�� � � ���Electric..ii.. � q HEM'ING, VENT., REFRIG. AND A.C., FINAL OS'4�Jj "Q-7/ dL.C.cP n .CI 7/7-7 .q4, PLUMBING. FINAL AND GAS TEST 9 J -q-7/ ELECTRIC, FINAL ' 1l-5-If BUILDING. FINAL AA H-Q-7a • 32032 • JUL -8-70paIg 0 ** COSTA MESA BUILDING-SAFETY DEPARTMENT cxsA� 528* *y�•5� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely cy {� p y 1 a . 2 S o a l b e 1 !1' / Tem CE/o DATE/ 3 ISSUED/b BUILDING \I ADDRESS t OWNER E, H 0tP074&C A.P.NO. //7-/12 0.2.. PERMIT NO. /�, BUILDING MAIL ADDRESS/"''SA-WI' / �i�EK �/ r^ ADDRESS asv e /6 g z w L.0 d U CITY `-/V U 67tQ•j I( Z- TRACT /�// LOT'/ BLOCK Z NEW ADD ALTER IsREPAIR (MOVING DFMOI ISH CONSTRUCTION MD— N� II O N LENDER 0DCO - J D BRANCH _ '/ _ p yQ J V] - OWNER`). c. YJULL' /)ivc am J LU ADDRESS ./r.�, J� VALUE o-0 J m ARCHITECT �— TEL. USES ' D / SA/ Zdf Q OR ENGINEER NO. U(/' FIRE w (S ADDRESS eV) h e ✓' ZONE TYPI'-_ -- GROUP d LL APPROVED /f� LU Z CONTRACTOR £—Tor / e r BY l�J DATE 7-e- 76 J C m Z J cc ADDRESS LU wTEL. ZON NO.OF USE OF NEW 0 r CITY �- NO. Ee • y2 PLANS 2 BUILDIN Z F /• Qi`_- I,✓2114litst•cc) LU-O STATE CITY YARDS APPROVED YARDS APPROVED N Ir LIC. NO. - LIC.NO. MAIN BUILDING ACCESSORY BUILDING r SIZE // / NO.OF BLDGS. (FROM C/LST EET)�1 OF LOT 6 �/J ^ ( g O, o , NOW ON LOT FRONT FRONT //JL v FT. -Li/L FT. USE OF EXISTING BLDG. IG e• 4 C�4�_G�'G _✓ R.SIDE _ _ _ FT. FT. F SIZE OF i i / et /A NO.OF 2 `/ 2 NEW BLDG. l0 ROOMS 4 STORIES L.SIDE V FT. FT. EXTERIOR WALL ROOF ���/�/z/��/z�� o V_ COVERING COVERINC�/�'t`` f , REAR fjTL�FT. FT. J USE 9. BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a aSf 0S-A/GG MAIN BLDGS. ACCESS. BLDGS. Q (Stir) `/ VAR.# DATE O O 1) �Le PG- ride/ �y'n7 / 17) C.U.P.# APPROVED F / APPROVED _ qp I- �Y � DATE (� ,© 15 I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with CC all laws regulating building construction, and I shell not employ [ F any person in violation of the workman's compensation laws of C y the State of California. m es D 4 //I hereby certify that I am properly licensed as a contractor under ‘ G SQ. FT. O I the State of California Business and Processions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o am exempt from the provisions of the State of California Business and Professions e, Division 3,Chapter 9. VALUATIONcc // F y Y p(/ PERMIT FEE $ l� ' OQ D Signature of �����/,fir /�� d,,7 S m ^ Permittee �5 2 6 re— PLAN CHECKS v E Authorized Agent TOTAL FEE $ v/ ,VrQ u a ... .. JOB ADDRESS 250 E. 16th St. BUILDING PERMIT NO. 37901 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Demolish Residence AP No.117-191-02 LOT TRACT FIRE ZONE VALUE $ 100.00 CTIONS Signature Date TYPE V GROUP I ZONE R2 so._ SUBCONTRACTOR PERMITS ISSUED 3 GAS Date INumber I Signature WATER Plumbing ROUGH PLUMBING ...A�SLt / PROP. SWR. LINE ❑ HOUSE CON. ❑ BGVo/•JL6cxx - c -if 6 3/ SPRINKLING SYSTEM e'29/� MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. 0 FLOOR SYSTEM BONO BEAM Li STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STn 1CTURAL, FINAL Electric F 4G. VENT., REFRIG. AND A.C., FINAL PLumBING, FINAL AND GAS TEST n ELECTRIC, FINAL �j.4 BUILDING. FINAL AIL%-y .27-7 ^CR -5-7L'F�`00 100;r ***;, . ce 5.50 37901 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APL ATION FOR BUILDING PERMIT For Applicant to Fill in Completely /J �j� //���� ,r�� R BY DATE RECEIVED DATE ISSUED _� ADIDRDelag -tifg E'r- I(,V�Ss�1•�'��/rJr'1rtGL' �,K cm i �/ ver _"7N�/ 1/ • • 11 V elf') IV EE. A.P.NO. /L7- /9/-0 PERM § 1 OWNER y MAILADDRES i G . I /0 5� AADDDDRREESS S Of& /�` Z . l IL d 0 CITY GO-5A MFS 4 NOLTErel tl�RACT.2 / LOT / BLOCK Z NEW ADD AI TER REPAIR MOVING DF I IS CONSTRUCTION /' D Are., OV) LENDER ,V Ct. m BRANCH / C J- V) OWNER .�G+ •,/ dd y ci m W ADDRESS 7,..„, VALUE r,/���} �/ -CO ARCHITECT ,y/J TEL. USE $/VJQ OR ENGINEER G uf/f G 2- NO V QFIRE O '?'z 7/ ZONTYPE / GROUPW� ADDRESSG- Ill // APPR Z CONTRACTOR I/ BY DATE?-4---70-- ,.. J p m Z J 2 ADDRESS W W TEL ZON/��r IND.OF USE OF NEW Zi. CITY NO. 1[ -7- PLAI6-9HILOING .04 _....0...-4V.� —0 STATE CITY YARDS APPROVED ARDS APPROVED D O LIC.NO. LIC.NO. MAIN BUILDING - A C SSORY BUILDING SIZE t NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. sofUSE OF riq� EXISTING BLDG. *tee R.31DE f FT. I— SIZE OF NO.OF 'f)F Z NEW BLDG. ROOMS STORIES L.SIDE I• i T. FT. UEXTERIOR WALL I ROOF /fly _ COVERING COVERING REAR FT. FT. ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 MAIN SLOGS. ACCESS. BLOCS. a ���111 Q P.-trifle I� / CARAPPR 0ATE C.U.P.P,qW /� "APPROVED APPROVE / //P(/ ,a— 7 U) _nY 4�.// DATE c/ Z O UI hereby acknowledge that I have reed this application and state STATE D that the above information is correct and agree to comply with , / all laws regulating building construction, and I shall not employ 5 I— any person In violation of the workman's compensation laws of U) the State of California. CO AI( Z I hereby certify that I am properly licensed as a contractor under SQ.FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j Chapter 9, end that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; CC an, exempt from the provisions of the State of California Business VALUATION and Professions nee, Divi • 3,Chapter . m r B"' PERMIT FEE $ €7 N D Signature ofm Permittee $ /DV `- PLAN CHECK $ s — E 0 Authorized Agent u. TOTAL FEE $ UWNtt< HUEBNER, D. E. - Ce ` o id unit 1-23-70 JOB ADDRESS 250 E. 16th Street BUILDING PERMIT NO. 31317 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Detached Storage Bldg. APNo. 117-191-02 LOT 1 TRACT 251 FIRE ZONE VALUE $ 2,793.00 iI ECTIONS Signature Date GROUP J TYPE V ZONE R-2 SOS, PERMITS ISSUED NGAS SUBCONTRACTOR Dote Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRINGJ/ Heating and Vent. TRENCHES FORMS STEEL REINF. �, 'L,0- 7t FLOOR SYSTEM BOND BEAM n STEEL REINFORCE ❑ ,//A SHEATHING 'ijile 940A a FRAME ANO FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT . HT -TURAL, FINAL Fleetris tom` c1{igt,QO�. B� ? ? H JG, VENT., gEFRIG. AND A.C., FINAL '�.'C rF /�/n'‘� PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL Jl� . ry i� BUILDING. FINAL YH , ! /,,/ 31317 JAN 23 70[HSGPAIDOO 708* ****34.50 'COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE ,VED (({{�� GATE ISSUED BUILDING 260 E - I6 'S J'wj BY DATE RECEIVED I- (9-7b /- 23-70 ADDRESS PERMIT NO. OWNER D. Hutaft- Nr A.P.NO. i/7- 1c/1 D MAIL BUILDING a56 S got, ADDRESS �� �� � GSI,D'G� ADDRESS J)) ll (��,�r1O `� Z /� prS I LOT BLOCK WW // TEL./,�ttom� 0-0 CITY C/iv l NO. LQ46 I1D6) TRACT ZZ NEW ADD ALTER REPAIR (MOVING f1FM014SH Q CONSTRUCTION ..—t X/ O I- LENDER J( BRANCH � �( . / J N - G OWNER (JYIetet Q W ADDRESS — tL ARCHITECT TEL. USA • aY A-Nebi /VALUE m $--4.79 ,"Ij, `" J < OR ENGINEER NO. �( _/] U Q FIRE I� w M ADDRESS ,_.......• ZONE TYPE GROUP �/. n'ul "� APPROVED ��t-p/yy�/ ��jj JZ CONTRACTOR •'' (pun er BY . / ✓ DATE/-L3- /O Z J i J cc ADDRESS w W TEL. ZONyE� NO.OF USE OF NEW Cc.Cti' Z r CITY NO. A 2 IPLAN9 AZ BUILDING s<' V W- D STATE CITY YARDS ED ACCESSORY OVED N 2 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D OSIZE / NO.OF (FROM C/L STREET) --tt ��jj OF LOT (.O� i•-• 4O .O NOW ON LOT I FRONT FT. ,.-- 6-...FT,/ USE OF C.-c.c. �,J yy EXISTING BLDG.Q Ay te/JC O�' _R.SIDE FT. \tet 7 FT. ZI- SIZE OF NO.OF Z NEW BLDG. �O t 1 t ROOMS I `I�STTORIES I L.SIDE FT. .y /i FT. t..l COVERIOR ERIING ALL Iditr..0RDS ROAFPPtOk' l0 REAR FT. ,, 3 FT. -i J USE O/gt ..y LDINYYG�� sANOOD W R TO BE PERFORMED DISTANCE BET. BET.MAIN& a /f [__C.CicS J Co r get MAIN BLDGS. ACCESS. BLDGS. a l _ C VAR.# DATE 0 <-[-O/L _ 1�[ C.U.P.# APPROVED N FIJI APPROVED �/ _,// / zI R� E ��rt DATE ( - 0�.3-70 O ((// VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of Hthe State of California. 15'8 cd m I hereby certify that I em properly licensed as a contractor under SQ. FT. - o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 6 CC am exempt from the visions of the State of California Business and Professions Cod Division 3,Chapter 9. VALUATION � /y,�� r PERMIT FEE $ 3:I/ t/ 3 Signature of q m Permittee $c>7t 793,5-1 PLAN CHECK $ / I• J 0 E Authorized Agent ---- 50 u TOTAL FEE $ 4.34. UWINER "�""' •" •) �"' '��' - UMIE - -' . JOB ADDRESS 250 B;. I6cn St.* A&B BUILDING PERMIT NO. 39050 GENERAL CONTRACTOR owner B1dr. DESCRIPTION of WORK Duplex w/att.Gar. AP [lo.1l 7-191-02 LOT TRACT FIRE ZONE VALUE E 47,800.00 GROUP I & J ZONE R2 14v,,,,.A CTIONS Signature Date TYPE V etre.- sr U-7-- " SUBCONTRACTOR PERMITS ISSQED ,'3 GAS Date Number Signature WATER R'a ii-S-,'q Plumbing > ROUGH PLUMBING 'O f��I7 /-�-� lj(/ /'�/�{•171 ib.1-7)1 eg‘,J/y/ PROP. SWR. LINE ❑ HOUSE CON. � S e/ - / r / SPRINKLING SYSTEM MISCELLANEOUS Angfv!/-.�,s..y f15 ;trey ROUGH HEATING AND IR CONDITIONING V ' ! / -/7-z5" TEMPORARY SERVICE OR POLE ✓ - UNDERGROUND ❑ POWER E L ROUGH WIRING ){// ��¢.-7�3I Heating a Ve t. TRENCHES 0 FORMS 0 STEEL REINF. L-// - U • / n/eZ 1/ /-p //t�97,-- FLOOR _SYSTEM 77'. t7 il./,,7U /� BOND BEAM STEEL REINFORCE • SHEATHING / 1� /0- % FRAME AND FLASHIN / I ,'{1/1^/'y,A CtZ'"�.y-9 V LATHING - IN OUT Ifl•'}/ /p� �/'{ u" 3.�J-l-ii PLASTER. BROWN COAT STP""CTURAL, FINAL EleCtr'- H, G, VENT., REFRIG. AND A.C., FINAL K/O SIN♦ )i. ,._r.. a • -to , P La..81 NG, FINAL AND GAS TEST yz /�j7 - 1/ t- , ELECTRIC, FINAL /1I Ci 4... /1 `// BUILDING. FINAL / �� - 39050 PAID riCT -2-71-1—S,00 112* ****76.60 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ATION FOR BUILDING PERMIT For Applicant to Fill in Completely r BUILDING 06a G //_ Lr A REG 1 E BY /DATE R-CEIV DATE ISSUED ADDRESS 'J'�_ ,s r� Ci Ruffen,' FJQ., �/ //�yy ^A- 7r� P I /p-/�ry� OWNER •t.. ,,,,,,As"....0,•6. rIULen,'e� A.P. NO.!! - /!/-oft 110.7 ' AMAILDDRESS LBW /SihMG� B0'-/T-2&0 6-74 Sr 46 a O CITY � r NOTEL: Wp'7/(9,C TRACT 25 J L'OY� BLOCK Z CONSTRUCTION �� ON LENDER NEW ADD ALTER REPAIR MOVING DEMOLISH ><` / I' /� �) Q . //'yJ Jon BRANCH _ 'OWWNNE Omo,/ J C/ESANS2___ a w ADDRESS .----- CO --+ /J r7 C, �] 2 yVALUE ,aa� GINEER Ce�'r C/UNI�eJ'M NOL/ZX^�1 r USE �uPL�! /Arr-C7�,c.$ �{77#D w i FIRE Z a /C)�/ K 72��,� ,. {C• i A ZONE T P G ROU/P/%}Z//��j�// /�J Z¢ ADDRESS �//` 7 'T I�CP� fU L IQ/ tl ut r47 APPROVED _ W Z CONTRACTOR GI./sI&'11 c BY DATE m Z J¢ ADDRESS /9'N(G / W W TEL. 20r/�/ n NO.OF /j USE OF NEW^ L,yy/• /[ /�j ZCITY '� NO.—� j1 y PLANS�j BUILDING//L pkx 4# tom'//�... O STATE CITY YARDS APPROVED YARDS APPROVED NCL LIC.NO. LIC.NO. -- MAIN BUILDING ACCESSORY BUILDING D O 512E y NO.OF SLOGS. (FROM C/L STReepp.,� c/ OF LOT 6,' K(Li- O, 07 I NOW ON LOT FRONT JO PT?"' /K. . /- FT. USE OF EXISTING BLDG. S'Pia. ( R.SIDE T. FT. I— SIZE OF 2ti NO. OF g n ..�• Z NEW BLDG. (/ �b S I ROOMS a STORIES t L.SIDE 5 FT. FT. Q EXTERIOR WALLt If(aL- IROOF U COVERING J-/C-1--o COVERING Cl(fArd, rCS REAR Q '/lT,Ae41 FT. i -J USEr OF BUILDING AND WORK PERFORMED a 6 arca' 73 f DISTANCE BET. BET. MAIN O _ Cr VAR.* DATE �} �1 egoc'z- MAIN BLDGS. ACCESS.SLOGS. o cJ --1777--c-t-t(� (,.J e,z44—__✓✓� C.U.P.#W APPROVED I- I APPROVEgi fn� /y,,A.�,,// z _ BY 4JjL` DAA/� ''11�__Pif''1Y 0 I hereby acknowledge that I have read this application and state D that the above information is correct end agree to comply with CC all laws regulating building construction, and I shall not employ I- any person in violation of the workmen's compensation laws of • CO the State of California. m a2 " L'= 528' z I hereby certify that I am properly licensed as a contractor under D. FT. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT S WN UNDER VALUATION IS FOR Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 Cr am exempt from tie provisions of the State of California Business and Professions Cnna, Division 3,Chapter 9. VALUATION m PERMIT FEE $ ry D Signature of r [.(` �}�VI/ ,�/r 2r m Permittee ���, - $T7�/N// PLAN CHECK $ 1� E �- VV o Authorized Agent u. TOTAL FEE $ • •�9Q✓�/v . ET 17-712-clic-JIG 745 e5*=-*146.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT , RECEIVED BY DATE RECEIVEDDgTE ISSUED BUILDING E .jJyb'/� __/ (C ADDRESS 777(� 'Oo y P OWNER ?'sv t.. L A.P.NO. L MAIL (I BUILDING ADDRESS a�o /Z Z ADDRESS ill 91 TEL. TRACT I LOT BLOCK 0. U CITY NO. 777 CONSTRUCTION NEW ADO ALTEtEPAIR {MOVING , DEMOLISH O F LENDER 0. m J r BRANCH _I U) OWNER c5l7%Cd/f 1t, / I / tt CO J ADDRESS VALUE CO ARCHITECT TEL. USE 11/freylb $ J Q OR ENGINEER NO. O N FIRE e �- w K ADDRESS ZONE TYPE l GROUP L s/ a tL APPROVED W Z CONTRACTOR .—'A. BY DATE JQ — CD Z J ¢ ADDRESS 7 W w TEL. ZONE 1 NO.OF USE OF NEW C)= CITY NO. PLANS BUILDING Z H WO STATE CITY YARDS APPROVED YARDS APPROVED In LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 0 0 (FROM C/L STREET) SIZE I NO.OF BLOCS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE Ft FT. F SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. —"\ CC EXTERIOR ROF V_ COVERING ALL COVERING REAR FT. FT. — J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& LLqz MAIN BLOCS. ACCESS BLOCS. 0- Cr10talit-rbirt C,UVAP. DATE 0 C.U.P. APPROVED $— APPROVED N BY DATE Z 0 I hereby acknowledge that I have read this application and state Al that the above information Is correct and agree to comply with /r D f/ CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of to the State of California, to zI hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; • et am exempt from the provisions of the State of California Business VALUATION ��j/�� and Professions Code, Division 3,Chapter 9. //r 0 n PERMIT FEE $ 171�Wii Signature ofao Permittee $ PLAN CHECK $ _ E 0 Authorized Agent u ` TOTAL FEE $ / ► � �oonrssaewiron: z50 E 16TH ST QYI�RBNAYEIFqqM'k HART, RAY "�"�% 250 E 16TH ST � � COSTA MESA, CA 92626 �vr�. �uiaa �ss uicxrtEct on exa+ffn: urcx. on on•e �oo�a: uxi: uc w: uxr: B S C I CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 080008 PLAN CHECK NO: N �T�g� HART, RAY GENERAL CONSTRA (714)645-3869 eam�crone �uimo 2 5 0 E 16 TH S T �ooness: COSTA MESA CA ue.rio.: 647755 92627 �: tICEN4ED CONTPACTOfl3 DECLAPATION: I hereby N'vm uMx panely d perjury tM� I em ticenaed under pa.ieiane M Cheqm 9 (mmmmenG rmA beclion )000) d Oivuion � W iM Buumo end Pmlmac Code, end mY limme o in IW tau eM aflM. cmuc.No.:0/63377� uc.cuss: g uc o.: q�� �p; 10/96 4 De�r L• �! � � / / `� Canretlor: OWNEP BUILOEN DEClAfl1TION: I lweby dfimi uMu pauly d par'Wy �hel I am axemp han �M Caaieam liwns lew la IM 'dbwiq nemn (Sx1nn'l031.5 Busiroaa eid Admians COAe: My c�y a muMy xfiitli �epuim e pennp lo aom0ucl. Mx.'vnpow. smd'eh. a rapi erry evucove. p'v io aa 6euenca. ebo nywm tM appirenl la arJi pmmd to Ns a vqnd mieme�a tlut M a Ns . W.w.,.a w�^^� �o �ne powim+ a eie cnmrea«. Licen.e l.i. �GA.q« 9(mm,enero .an swian loao) a oNuia, a M ��. Busiram end Rdeniam Cade� n tlal he a eha u saemq therNmm enC tM Emu la tha eAepeA memqion. My vidtlion d Ssa'vi )031.5 Ey mry eppiu'u ta e per'rcl abpn+ IM eppl'rsM to e dvi pmaCy d nal maa ihen fxa huMred ddW� �5500�. ❑ i.e.a.me.ain.wow�r«mr�Ww«swmweom..in.:.d.mmv���. ndom..«k.mm..wn�o.:�a:n«dw «dlersC M We (Seciion'IOM. euvimm ud Prolnebra COEe: The Comrmae lioenes LewEam nd MWYto en owrrd paperry wM buida u inP� Iheieon. vd wfio Eoea audi xqk h'vn+etl a hand a Ihraql� hv a!w own mW�Md. pa� �M wch imprwemenn ere nal imeMad a d1ereE la eeb. p, howmx. �M buiNiep a inpiweinom ie edd Mnhin ms yaer d oompMnn, IM owner-0uiNer will heve the WrEan d proviip M a ehe Ek ml Witl m improva la iM WT�e d xle�. ❑ I. n owner a �M pw�Y. em uduerveN conlred'nY �^In limmsd wnVecron ro wnmua Ms peib (Seaun )WI. Bwins� and Prolanione Cotla: The Comreaon Licenae lew doea nd epply io en ovmar d popeny vAa Witle ar impwm ihraon aM who canUxb tn oiM prqetla wiN a murmor(e) IcenaW WnueN lo �M Conlratlan Licame Lew). � I em eKemq undar Sectim: B. 8 P.C., M i�i� �mm: WIe: �: I Eo herobY ��h Net I em aware d and wdrauM Na npwremar�b d Celimtie Ileetlh antl SdelY CoCe Ssqiom 25503. '�. eM TSSL. mM Me I a M' haure diltln9 � Y/ wil m� (emh one) naed ro mmPN w'th emd mts md�� mE IM npmaman b eV�laoombunbnamodifmionhvmiMAi u3��iy ero0��0inrip.Rridanolww�ueionaGV��oroenmsmC�hamthwe nai+on+. Det�: Applirsm: wan�n•s eorva.a�noN oEcun�nor+: i n..ey m� � o.Nur w wm,r a,. w u» moo.my amm�.: - PERM NO: B 080008 GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; T/OFF REROOF W/BUILT—UP SQ FT: 2,000 CLAIM VALUE: 2,000.00 CALC—VALUE: 2,000.00 GROIIP OCC: R—J / COMMENTS: REROOF 16005F DUPLEX If iE if iF �1F if if -IF% IE i(� 1E )f If if 3f if 3E �E 3E if iE if if iE if if if IE iE iE iE iE �E iE iE iF iE �1FlF 1E 1E �If iF 1E 1E iF iE fE If IE iE IE iE 1f -IE fE iE �1E �If iF 1E 1E� 1E iE iE iE iF if 3f 3E i4 iP �lE iE �lf iF if iF 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 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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 REQ• PROV: PARCEL: 42226225 ZNE; REF NO: PLANNING NdTES>. :� iEiFfFlEiEfllEillllkiEiEiE9f.lf.iflfiEitlFifiEiEiE�fiE1E1E1EfEfllEjFlEiEfFlE3EfEjE3EiFfElfiflFiEffiElEiElFlEikfElEiE1f1F1EiE1EiE�EiE1F1EiE3E1EfEiEiElEiEiE1E1EiF 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 DATE: BUILDING APPROVED HY : DATE: APPLICATION ZSSUED BY: DATE: 1 ��+"�� 3E iE ff iE 1t iF iF 1F 1E if iFlE 1E iE 1E iE iE iE 1E 3E �E iE �� �E�������f�iF if��E �E� �� �E�� if���f���f�1E �E iE ik fk iF iE iE i! IE���� fF� f� �F3F3F iE �E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 62,25 50 SMIP/NON—RES PLAN I ❑ in....�w.,u�m.:�.�.nn�aa�,»mw.w.�,nro,..w�d:wmpenWan,npwMMlabySafbn3]OOdiMLebar jSSUE FEE � cee..i«m.v.no�.ama.«x/«..�n�.v.�en.�e. HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I"I in..�..oe»�e�m.:�won�eA•�o.�wo��ow�,..�.ao��.aMsea�a�oowm.i.no.coe..i«m.ro�«md+�.am. TOTALS----> 62.75 0.00 0.00 62.75 62.75 .00 7� work la whirA I�b O�B o wsued. M' wvken' mmWnW bn inwrenca farier end V�Y wmbar ero: c�«: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 62.75 OVER/SHORT; .00 POIcyNumber. 17�71F.7-4S 12/O1/96 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK , fTMr..sa;.M �e.e �a ee m�d���e � m. v�� � ro. a,. n�,n,se edm. Isiool a,e...i 6 2. 2 5 . 5 0 �� ❑ i cenM u�m m m. c«'wmence a me .on� i« .mcn mu n� b� ..iwi na m+abi o� M.m m.�w .o .. m . e.can. w4a �o m..wk.n• cano«�.mon m... a cvae,N.. �a . mm � i.n e neod,».yb�.e m m..onw.� *�tit**itiEititifitit%iti�-ir+E+f�riEx-�t-lEiEit**itit*itftitft3tihiEiE�t*it*ititit�trtitit�lEitititit*iE�1Eit*�t*+pitiEiE**�tif-it*�(-it*it*rt1E+t � mmpenWion provianm d Setlian 3]W d tM lebor COAe. I ' mmpy wn t� �qwi�ia ! �� I N D I V I D U A L F E E B R E A K D O W N Ode: � � � Ci �4 Ma�: w�m��ro:s.u�.ro..��...n�t...'��n.�..uo��...v.�. 4.�w.rw�. hn.�.ro'w.ro�nmwo.�.ror.�e TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST uvn nn.. w ro m. mnane mowend eaw lsiu4oaoA N.mmn ro m• ro.� or connrn.uon e.�.. n pvvuw ro• m 1 S�ctlm910Bo1lMI�orCa6,lnfen�4N���mry'�Iww SFR 2000 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 2�000,00 �I CONSTAUCf10N LENqNO RUENCT: 1 heraby dfum uNer pe'Wry d pmjvy �het IM�e e e mut�udion Mndvp epanq br IM � peAormvwe d �M wk M xfiiT Ihi W^^i n eeuad ISepion �OSI. Civ. CI. LENDEN'S NAYE: LENOEX'S ADDPESS: I cMily I!W I law ned Nis eppliution W stme iM1al tha ebova inlamdian e cortee.l epiies lo mnyy rN� eA �Yy eM cautly admum� aM etda levn relmip lo W iMvp wnqr�qion uid Mn�y eWiwaa �ep�seenitliwe A �hia dry �o amer upon IM ebwe�menilard popam/ Iwinepeqion purpoeee. AY HART Pnm Neme / 5,,., �\ om.: %J/ / �. �' (o Sqrewm d pmiedlpeeu/Rppk�enUCmirma (5151-16.WP) Wt�ile�BuilS�p 8 Selery:O�w�-�b: Ceiwy-Appfuitl: Pink-He.xwe:Oddevo6J�ase�w END OF FEES EX� ��,1ED DATE '��"l� 01 00217315-00217316 T�]T 6?.75 DATE: 1D/16/95 TIItE: li:g� CONSTRUCTION ANDPIANNING . PO '�SPA � !�°PROVALS Permit # Date 'In:pector pppROVALS Permit # Date inspeitor 1, Temporary Electrical Service or Pole 52. Pool & Equipment Locaoon �' 2� il 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. Electricai UFER Grnd. � 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgrnd. . 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor 5vstem ; 61. APPROVAL TO DECK" !� 1 t. Property Sewer line & House�Connection 62. Backwash & Receptor�Fnal , 12. Sewer Cap � 63. Heater & Vent-Finai . 13. Roof Drains " ' 64. Plumbin9 Sysiem - Final � 14. Fiough Plumbing 65. Electrical�Final . 75. Rough Electrical-Conduit � 66. Solar System�Finai � 76. Rough Electric Wiring 67. Fencing & Access ApProval �� 17. Rough Wiring Sig� 66. APPROVED FOR�PLASTERING .. 78. Rough Electrical-T Bar Ceiling , 68. POOL/SPA SYSTEMS FINAL � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 27. Outts, in Struau�e � 70. Underground Hydro 22. Ducts, Venti�ating � 71. Product Pipin� OG.s �Oil 23. Gas Pipe-Rough & Test 72. Undergrou�d Flush 24. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing /D�/�'6 � 7q. Overhead Hydro 26. T�Bar Ceiling (Structurall & Monocoat / r 75. Dry Chemica� 27. Frame and F�ashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEtvt FINAL - ^�- 29. Insulation � 78. FIRE PREV. FINAL � A 30. Drywall Nailing HEALTN DEPT. REQUIREMENT ' 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Fina� Electric , Notes: =7' 34. Final Heating & A�� Conditioning - ' 35. Final Gas Pipe-Test 36. Hood�or Canopv 37. Final Factory Firepiace 38. Final Plumbing � J 39. Water Service-Final . � 40. Gas Service•Finai . 47. Solar pomestic-Final 42. Batkflow Preventer - 43. Backflow Irrigat(on � 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING •' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 5L CERTIfICATE OF OCCUPANCY NO Date