HomeMy WebLinkAbout789 16TH ST - Building PermitsFebruary 7, 2011
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRNE • CAUFORNIA 82628-1200
DEVELOPMENTSERVICESDEPARTMENT
Barbazza Real Estate, Inc.
Attn: Jason Piazza
2659 Elden Ave
-- - -- — - Costa Mesa, CA 92627_ __ -- - -- - • - — - - — ---- —. _ ..- ---_ . _ .__ .__�..---- - --
R�: CONFIRMATION OF BUILDING ADDRESSES
785 THRU 789 W. 16T" STREET, COSTA MESA
Dear Mr. Piazza:
This letter has been prepared in response to your request for confirmation of the building
addresses the City has on file for the above buildings. Please refer to the attached
exhibit, which reflects the current building addresses the City has on record.
If you have any questions regarding the above items, please contact me at (714) 754-
5611, or at mleeQ�ci.costa-mesa.ca.us.
Sincerely,
//'�"'` I�►�
MEL LEE, AICP
Senior Planner
Attachment
Building Division (71A) 754-5273 • Cotle Enlo¢emem (714) 754-5623 • Planning Division p14) 754-5245
FAX (714) 754ag5fi • T�D (714) 754524a • w.mv ci.cosla-mesa.ca us
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Pfl0.1ECTRDOHESS: �'jII�J W 16TH ST
OWNEfl'SNqME: DAVID VAUGHN �
nooxess: 17J6 MISSOURI ST
� COSTA MGSA .
r CA 92626
� ANCNIENGINEEN: �? 1 4) 6 4 1—B 6 2 5 ' �
. RDOBESS: -
UNIT:
flEG.NO.:
uxrt:
PEflMITTEE: DAVID VAUGHN ( 714 ) 641�-867_5
RUDBESS: 1'�i6 MISSOURI ST - �
COSTA MESA CA 9?_626
UCENSED CONTMCTOB OECUMTION: I here�y atlirm Iha� I am licensetl unaer pmvisions o� Chapier 9(wmmencinq with Section
7000) ol Divipon 3 of the Business anJ Pmfessions CoCe, anE my license is in full lorce antl eflec�.' ,
cin uc.: sTnTe uc.: cuss:
Oate: Sipnature:
WOBNEBS' COMPENSRTION OECUMTION: I Aereby attirm that I have a cerlifiwte of consem ro sell-insum or a certificate oi Workers'
Compensation Insurance, or a cetlified copy N¢reof (Sec[ion 3800, Lab. C�.
POIICY NO.: �� EXP. ORTE:
COMPRNY: . � ' '
i,rl CertifieA coDY is AereEy fumisheA. ❑ Certiiletl coDY is file0 witA the ciry Bulltling Division. �
`77ate: ' NDP�ican�:
IXEMVfION FlIOM WOXNEHS' LOMPENSIITION OECUMTION: (�Ais se�tion neetl not Ge complete� ii Ne permit is lor one huntlreU (5100) or less�.
1 cetlity that in the Dertormance of the work for whic� t�is permit is issue0, I sha�l not employ any person in any manner so as to become
su6ject to tAe Workers Compensation Laws of Califomia. .
Oate: ' StOnature:
NOTICE: I/, aiter makinA �his Oeclaration, you should hecome su61e� to ihe Warkers' Compensation provisions oi iha LaEor
CoOe, you must forthwit� comply with such Dmvisions Br tAis permit shall Ue deametl revoke0. �
CONSTflUCTION IENDING RGENCY: I hereby aRirm tlut them is a construciion lenaing a0ency for the petlormance Ot Ihe woB for
which tAis permtt is issue0 (Section 3097. Civ. C�. ; , �
LEN�EB: . • ' ' .
ROOflES3: ' - . �
OWNEq BUIL�EP UECUMTION: I here0y aflirm that I am erempt irom the Coniractors' State License Law tor Ihe followinp reason
(Section 7031.5 Business anU Protessional Cotle: My ciry ot counry which requires a Oermit to wnsimct, alter, impmve, demolish, or
repair any structura, pnor to its issuanca, also requires I�e applicani for such permit to file a siA�ea statement that hUsha is licensed
pursuant to tAe provisions of tAe Cantractors' State License Law (C�apter 9(commencinp with Section 7000) of �ivision 3 of Ihe Business
anA Professions Coae) or that he/she is exempt tAeatrom an0 the Easis for the allegeA exemption. My Nolation of Section 7031.5 6y
any applicant lor a Dermit suDle��s t�e applicant m a civil penalry ai not more than tive hunOreO Aollars (5500)..
I, as a'wner af ihe pro0erty or my employees vnih wapes as t�eir sole campenutian, will Oo Ihe work, antl the
❑ siructure is no� intenAed oi ofle2A tor saie (Section 7044, Business antl Pmfessional Catle: The Coniractors' State License Law
tloes not appty to an owner of a D�opeM who huil�s or ImD�a�es Ihereon, an0 who Jaes such xrork himsetl/Aersetl oi through
his ar �er own employees, OroNAeO Ihat such improvements are not intenAeE ur oilereE lor sale. II, �owever t�e EuilJinp or
improvement is SoIA within one year o� completioq Ihe owner will have the burden o� proving ha/she did not 6uild or impmve
•for ihe Duryose oi sale).
I, as owner of the property, am exclusively contractinA with IicenseA contractors to constmct the pmlect (Section 7044, Business
� and Pmfeuions CoOe: The Contacrors' State License �aw does not apply ro an owner oi DmpeM �0 6m105 or improves tAereon
anC,who contracis �or 5uch prole�ts wit� a contrac�or(s) license pursuani to Ihe Coniractors' State License Law). I am aware
��a� proo� af their Workar'S Compensation insurance shoultl be provi0e0 to me.
� I am exempt under Section: . B. 8 P. C. - � , �
forihis rea5on: G (
Date: � r '3/ /7 Q Owner: `
I Oo hereDy certiry that I am aware ol anU understand Ne reQuiremenis of Califomia Health anA Safery Code Sec ns 5505, 25533, anA
25534 an0 i�at I or any fuNre buil0ing occu0an� will/wi ot (circle one) neea to comply with saitl s�ate cotles antl equiremenis for a
permit Por wnsiruction or,moAification fmm tAe ' uali anaAement Oisinct. PesiOential consimction applications are exem0<<mm
IheSe O�ovi5i0n5. � �
�ate: • AOPlicant:
I here6y cetlity thai I have reaa t�is ap0licaUon antl state Ihat the abuve information is correcL I a comply wiih all ci�y and counry
or0inances an0 state laws relatinA to huildinp construclia 0 herehy nze repreuntatNes al ttns ciry ro emer upan ihe a0avartcentioneA
pmpetly far inspec�ion purpases. �
Date:,,�3l�9D _ Signature: I . .
Dnver's License or Social Secunry p: '
1841�C8 W�ita—BuilCing; Green—Coda Enlorromenl; Canary—Applicanl: Pink—Bevenue; GolCenroO-Asaeswr
� CITY OF COSTA MESA -- BUTLDING PtiktMIT
PERMIT NO: Fi 045901 . , PLAN CHEC.K NO: N
CONSTRUCTION TYPE: 5 PERMIT TYP�: STR
JOQ DESCRIPTION ; ADD STUCCO SYSTEM TO EXISTING BLDG,
.CLAIM C�ALUE: 25,000.00 CALC�—VALUE: 25,OOO.QO
PERM NO: B 0959U1.
GOVT: N SUPF: N
PUKFOSI:: OTIi
SQ F'f: 25,000
GROUP UCC: ,B-2 /
COMMENTS: '
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• Z O N I N G R E Q U I R E M E N T S
sE'rBAr.xs
----------- MAIN BUILDING --------- ------- ACCESSORY AUILDING ---------
FRN'1': � F'T ' IN REAR: FT IN FRNT: FT IN REAR: ' F'T IN
LEFT: FT IN RGHT: ET IN �LEFT: " FT iN RGHT: FT IN
PARKING REQ: PROV:. PARCEL: 4241:i107. 'LNE: • REF NO:
PLANNING NOTES>
> � . . . .
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D, E V E L O P M� E N T��` 5 E R V I C E 5 R F. c� U P R' E M E N'I' S
ZONING APPROVF.D DY -----_------------------- DATE; ---,•-----
FIUILDTNG APPROVGD BY :_ ___ ' _ _ A-O %�___^___ DATE: _"� _____,__ '
APPLICATION ISSUED DY:�' ������;_¢���� DATE: ��'3Fre�t�
*ifiFdFiEif�lEiFiE3EjFiEiFiEfEiE�kiE3tlEiEk�F� 7���idi�3}�� �iF .� �iFitiFdkdF3ElhiEiFdEiEii iEiEiF
16iFiF�IfikiEiEiEi'iEitifiEiF�EiE�EiEiEiE3EiEiElE�6ik3tiEiFiE�EiEiE�E#iEiE�FiE�fiFiE ik�E3EikiE�F#ififiElf�tiEiFiElEiEfEiEiE�IE�%1EX�fE�ElE1FiEiFiEiEiF�fik
L'EGAL I'LATION : N ` F E E S IJ ` M M A R Y STRUCTURAL 3EGMENT': Y
DLDG PMT PLUMHING F:LECTi2IC . MF•,CIIANIC FTRE >MIP/RES GRADING
P�RMIT 252.00 -
, ''r' � aMIPLNON-R}iS
PLAN ' • J.75
ISSUP: FEE � � '
BUILD'1'NG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DOli
TOTALS----> 255.75 0:00 . 0.00 255.75 255.75 ,00
RLi,�ENUE DIVIS:CON TbTALS--> - GOLisECTEn: 255.75 OVER/SHORT: ,00
HLDG PMT PI,UMBING ELECTRIC MECHANIC FIRG $MIP/TUT GRADING PLAN-CHECK
�Ji.00 � ,)" : 3.�%5
K if iE%iE iE iE i6 �1E �3f it 1E IE �If �lE iE �t iE iE iE iE if iE iF iE K� iE if �1F k iE ii iF iE f�.iE iE �)F �lE �lf �lE if i4 if iE �� �X� iE ik iE iF #�14 3k if iE if iE If it if iE if # iE �)k �If 3E iE lE �lE # ik #* i(� iE iE M
� I rl D I V.I D U A. T. F E E fl R E A R D 0 W N,
TYP� QTY D E 5 C R I P T T O%D7' ONIT CUST �TOTAL COST
i'
SFC Z5000 ' AL,TER F3Y C'ALUE COMMERCIAL NOZOAIE 1.00 25, 000.00
ED]D pF FE£•.5 ,
O1 �0053003—OQ�53�04 TOT 255.75
DATE: 01/3i/90 TI11E: 04:2E
e
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CONSTRUCTION ANDPLANNING POOL ,PA
APPROVALS Permit# Date Inspettor APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. �Pool & Equipment Location . .� ',
2..Soil�Pipe•Undrgrnd. 53. S[eel ReinforcemeM �
3. Electrical Conduit Utility�Undrgmd. 54. Forms ','� r. ,�,
4.�Electrical Conduit�Undrgrnd. , . 55. Electrical Bonding � �
5..Steel Reinforcement' 56. Rough Plumbing & Pressure Test
�` 6: _Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE ^
� 7.�Footirigs 58. Electrical Conduit�Undrgrnd. � _'� � �
' B.�Foundation . 59. Gas Pipe, O Undrgrnd., Test '� '��
:> _+
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undigrnd. � ��� +
� h .e
10. Structural Floor System. 67. APPROVAL TO DECK �� �� �
.
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal { j ��� .
12. Sewer Cap - 63. Heater & Vent�Final � �
-.
73. Roof Drains • � �i '
, 64. Plumbing System � Final ^ , �
14. Rough Plumbing 65. Electrical-Final � �
s G•
75. Rough Electriwl-Conduit 66. Solar SVstem-Final / �� .
16. Rough Electric.Wiring 67. Fencing & Access Approval �' '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling 69.-�POOL/SPA SYSTEMS FINAL
19..Rough Heating &,Air Condi[ioning , FIRE DEPT. REQUIREMENT
20.�Rough Factory Fireplace _ - - , �APPROVALS ` , Permit # - _
21. Oucts, in�Struc[u7e � � ' ' �70. Underground Hydro
5 .
22.�Ducts,Ventilating " , - � . �;77. Product-PipingOGas ❑Oil
23.�Gas Pipe�Rough & Test � ! - : ' � 72, Undeiground Flush �� , ' -
24. Roof Framing �, - �' ,�� ,.73. Undergrnii. Storage Tank O Gas ❑ Oil
25. Foof Sheathing . � � '• 7q. Overhead Hydro'� ..
26. T-Bar Ceiling (Structuraq &�Monocoat . .-. , . 75„D.ry Chemical .
27. Frame and Flashing�. �-- ��� 76. Dry Standpipe ' ..
-28. Lathing & Siding _ � ' � 77.- FIXED SY.STEM;FINAL .
29. Insulation � • f>•,� 7$� FIRE PREV. PINAL �
30. Drywall Nailing � � ';. - MEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat - '- � ' 79. FINAL INSPECTION ""
i r
�32'Electrical Power MeterFinal � ,G; �. ,. 80:_FOOD CERTIFICATE ISSUED
"33_Final Electric• � �' ` t Notes: G��L
L-a- o
�:34: Final Heating�& Air Conditioning - ° T , T ` � - � '
. �: �
35.. Pinal Gas Pipe-Test. _ � , �'<i� r �� - g� : �� �
�� �'-
,, . ,
_ 36.,Hood or Canopy " �� � ' � � %. � � - . . ;
>�
37. Final Factory Fireplace- �- ,;.; �. -
�38. Final Plumbing , ,_ ' � �• _ ,
39. Water Service-Final. ;_� � . � `
40. Gas Service�Final :. � ' - , � ' .
,41 . $olar pomesticFinal - , , - - ". - . -
42. Backflow Preventer � - �' � -
� . .
43. Backflow Irrigation,� _ -" i , � .
� 44.. Landscape lirigation System ` •� � � "� �� � �� • - � ' . � �
' 45 �=Sound Attenuation � � : . � - ^ 'y > , . � -•
46. Handicap Regulations � - _ . ' ' ' - .- '
_47.'FINALSTRUCTURE&BUILDING :t,-.,� '�� .
, _ ` !O �O �t/ � . .
48."FINALPLANNING --- l�' � '
i.,
49. Electric�Release to Edison ; (i , , - . �
�, .
"50.�_Gas"Release to $outhern California GasCo � � � ' � ' '
51. CERTIFICATE OF OCCUPANCY ' -
No. Date
owrvee__�,�� W_ MAR 11 1957 DATE g_��_5(,
JOBADDRESS %8% w• ],bt}l-$t. MAY 1 3 �g5� gU1LDiNGPERMITNO. 3%3Z
GENERAL CONTRACTOR O{1f18T VALUE $ (��ly�Q.00 �
Heat Treatin Steel Products Only
��,� AP 116-j110-23 BLOCK TRACT Ad�tion t0 �7[. Hllt1eT Bldg
GROUP (} TYPE IV ZONE ML FIREDISTRICT 3738
PERMIT$ ISSUED
INSPECTIONS . A i TE� SUBCONTRACTOR DATE I NUM6ER
Footing Trench
Foundation Forms and Grade
Rough Framing
Plumbing, Rough to Slab
Plumhing, Rough Complete
Temporary Pole
Wirinq, Rough
H
��
In
Plumbing, Fin.al GasTest
Wiring, Final
Occupancy
FORM 210 3M 10-�9
St.
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'% , Eosta Mesa Bnilding Department :�PPLICATION FOR PERMIT
`� �".� ' P.O.BoY3�� �'��8 BUILDING �
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
� FOR APPLICANT TO FII.L IN Reeefpt No. Permft No.
a���d��s ��' /Gz'� � r I .373a�
Addresa
Received 6y Date Rec'd. Date Isaued
Costa Mesa, California �.I�^' � q +�
u.._ __� _ � � /�'Y6�' � �� � � /' oC �'� �
No.
tlon I No. 7/� I Block
MetesandBaundsl �fEE
F3
rvo. ot uitlgs / o�,
Size of Lot Gl ,Y /%�J/ Now on Lot
l�seof '/ G I No.ot OI No.of
Existing Bldg. ,y�qr�,(�jNj,y Familles Rooma %i
Setback Line from � Rear Vard �
Cente� ot Stroet zJ s Side Vard D�d,i?!_�
New I I A��eration 1 I Addition I�'
Repair I I Moving ( I Demolish I
Building No.of
size .32.t S�Q Rooms � Stories �
� terior Wall Roof
�erin9 �T��L I CoveAn9 ��j�r[, /,
�se of New r ec p� o✓r�s onr c
� BWIdin9 /N� .�
E ia r i o
'I hemby acknowledge that I have read this ApplicaUon
and sta[e that the abwe is rnrrect and agree to comply
with all City Ordinances and State Iaws regulating
bullding rnnstruction.
Signatureo'_��!� _�/
Permittee �lYl4 iBi�
Valuation �� PerrttifFea $ � � �
���// � � Pian Check $ ��'
$ �Y�to.,� Total
Y'..v" $ � �
Fee
arn aw io.sy o. v. e s. -
Address � � '
Costa Mesa, California
Nearest
REG.
APPROVALS
Forms, Materials,
Under-Pinning
•ame: Fire Stops, i
Bracin9. Bolts
I nt
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QL�—
PLOT PLAN
6how Iooation and distances Trom
property Iine antl between buildings
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OWNER
IOB ADDRESS '
DA
BUILDING PERMIT NO.
E AL ONTRACTOR James E, F1.S11 VALLIE $ 1,100.00
. o. .LOT TRACT FIRE ZONE j DFSCRIPTION OF WORB Addition - Rest Rooms
F^'�UP F-2 q'YpE N ZONE Ml PLAN NO. S�iBO
In,.PECT10N3 I DATE I SUBCONT.RACTOR
Floor
and
brown coat
P. Gas
J'�\
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COSTA MESA BUILDING DEPARTMENT
r�o. eox 3 n
COSTA MESA, CALIFORNIA
FOR APPUCANT TO FILL IN
�
a���o�_89 �b +C [�—
AODRE55 � .�`�,F,'['
COSTA MESA. CALIFORNIA
OWNER
MAIL
ARCHITECT
OR E�"=1NE
ADDr._�5
TEL.
NO.
LIC.
NO.
LEGTL � LOT {,..5 l � �' �--
o[stairnov NO. _ BLOCW�A1�`.:�LTRACT��
A.P. NO.
_ 3 � SUB �TO ":.DG. Ve
SIZE F alOG6. „
OF I.OT n ON T�
EXIST�ING BLDG. u� PLA—`
SETBACH LINE FROM � �
CENTEP OF STREET REAR VARO /
S�DE YARD � RIGMT � LEFT �
J
DESCRIPTION OF WORK
NEW qLTERATION AODITION
REPA�.. MOVING DEMOLISH
BUILOING NO.OF
SIZE ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERING
nay� ».��.�
. �'�. �����.��sF�B 2 �I`�59
��
EINa1lCE DEPT.
GITV 0� C!?STA C1ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
OATE
7 �
COSTA MESA. GALIFORNIA
Z (/r�+ /r 11 DATE
CORRECTION
is for the
STTTE TN1T TNE 190VE IS CORRECT AND .�GREE TO COMPIY WITM 1LL rur ose ot es�ablisniag a permn �CG VII17•
CITY OROINANCES AND $T�TE L�WS NEGUL�TING BUILDING CONST1iUC� Y �
iior+. VALUATION D�
SIGNATU(iE O �\} PERMiT FEE S Q
PERMITTr� —�_ �. �+ /�
5 //,�lA, ,/ PLAN CMECK $ �
U � �
Al1THORIZEO AGENT / TOTAL FEE 6��� i
t!
OWNER
- ROUGH PLUM6ING
PROP. $WR. LINE � HOUSE CON. �
SPRINKLING SYSTEM
MISCEILANE0U5
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND � POWER �
ROUGN WIHING
TRENCHES � FORMS STEEL REINF.
FLOOF SYSTEM
BONO BEAM ❑ STEEL REINFORCE ❑
SNEATHING
FRAME AND FLqSHING
LATHING - IN n OUT ❑
PLASTER, BROWN COAT
ST� URAL, F�NAL
HE. �, VENT„ REFRIG. ANO A.C., FINAL
PIUMBING, FINqL NN� GAS iESi �
ELECTRIC, FINqL
DATE . 9-24-
BUILDING PERMIT
DESCRIPTION of WORK Ekterior St
FIRE ZONE VALUE S ,5«
GROUP F- TYPE
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37319
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fill in Complete/y
BUILDING Q ,U { �r /JQ �% A�/ .
ADDFiE.^.S ( / �� � /'C
OWNER �
AD�RESS Z jC(� /d S /6 �
Cds/ R� TEL.
CITV NO.
ODNSTFUCTION
LENDER S / � �C.
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BRANCH . L �'- /.
nooAess
AFCHITECT TEL.
OR ENGINEER N .
ADDRESS
CONTRACTOR S U / E�
ADOftESS ����_ C V I� T
/� TEI. �'
CITV S I:� �yA/✓ NO.Z�I'3
STATE CITV
LIC. NO. ],� � LIC. NO.
SIZE � NO.OF BLDCS. `
OF l0T � NOW ON LOT �
VSE OF r
EXI5TING BLDG. {
S12E OF NO. OF
NGA`LMLTA� ICOV�ERING MC�/7
BUILDING �+ND WORK TO BE PERFORMED
;rP 2�i-73�M5°00 855� ***+�62.10
FOR
A.P. NO.
BUILDING
ADDRESS
Z
PERMIT
FIRE
ZONE YPE GR UP �
APPROVED
gV DATE �
ZON NO.OF VSE OF N
PLAPS UILDING `�N
VARDSAPPROVED VAqDSAPPROVEO
MAIN BUIL�ING ACCESSOFV RIIILDI�
DISTANCE BET
MAIN BLDGS.
VAR.#
I hereby acknowletlge that I have reatl this application antl state
that the above intormation is correct and aBree to comply with
all laws regWatinB builtlin8 construction, antl 1 shaN not amploy
any person in violatio� of .the workman's compensation laws ot
the State of California.
I hereby certify ffiat I am properly licensetl as a conttactor ontler SC
the State of Californ�a Business antl Professions Code, Divisicn 3, THE AMOUI
Chapter 9, and thai such licanses are in tull force antl effect, or I THE FVRPOS
am enempt from the provizions of the State of Calitornia Business VALUATION
and Professions Cnoe, Division 3, Chapter 9.
Signature of y� �1 /�� / .
Perminee L �T%J /�QGS_J71/f i $ ���
GJ �/J
Authorized Agant
FT
BET. MAIN &
ACCESS. BLDGS.
DATE
� 7qx / m
\�� '°
0
HOWN UNDER VALUATION IS FOR �
ESTABLISHING A PERMIT FEE O/�NLY: ¢
/� m
PEfiM1T FEE $ �
% �
/] /� m
PLAN CHECK $ j�f/ � E
�r�� LL
TOTAL FEE S
/
:.;f �" 4
COSTA MESA BUILDING DEPARTMENT
P. O. e0X 3 t]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
n�,����� / 7 ,� -� -
ADDRESS
COSTA MESA. CALIPORNIA
OWNER , `un-, , D
MAIL
AODRE55
TEL.
ciT �Qj C G No.
OR ENrENf� � ,�GrFRoeO'Q N"�/•G l
ADD�. �p� I.rCI- ' Tp �/�. L
� � ���.1-6.�
�oNT GGOL No.
i�._ /f fi TEL.l1_ �.
L
A.P. NO.
SIZE
— -z U —
=N',y �/' NO. OF BLOGS.
y�f How on �or
$ETBACN LINE FR /.
CENTER OF STFE � REAR YARD �Q� y
4�i._� r
SIOE YARD RIGHT /I2„ LEFT Z�7TI 'L t
DESCRIPTION OF WORK
NEw X ALTERATION II qDDITION
REPA�. MOV�NG _ � DEMOLISH
BUILDING/��, NO.OP
SIZE �'/(J �D ROOMS STORIES
EXTERIOR LL ROOF )
COVERIN ORtG/ZEY�L= COVERING 1/{,T I/V C
USE OF NEW /`
BIJILOIN[: //J/IhCTO/4i— Il/6/1FiLAhfr
P�� ���i�,����
ft�t �&Eg s�
� �"t �'�l3 MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
E
/�
COSTA MESA. GALIFORNIA
�///J3{c � DATE �//%YIf
CORRECTIONS
BLDG. DEPT. REG.
STnTE TNFT TME /�BOVE IS COAAECT �NO aGREE TO COMPLY WITX RLl
CITY OflDINANCE �NO 5 TE ��W$ GUL�TING BU DING CONSTRVC�
iioN. � VALUATION �a
SIGNATURE O PERMiT FEE S �
PER
�y"� �O
3 /^�� PLAN CHECK 5 oZ 'J •
s R p
AUTHORIZED l TOTAL FEE 8 01 S�,'"�