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HomeMy WebLinkAbout814 16TH ST - Building Permits! Aov��cant to fill in all soacez except tnose within neavY oortler lines ana si9� all appropriate aeclarations. uTY 0'� cosT,a MESA, CONSTRUCTION PERMIT . ProjectAddress $��• bV �(e�h S% G.M dpplicanYsMailingAddress ���'�' w <<e{� S�' Owner's Name Rw.!+ r^�{ r Phone%SO'%9 H2 Address � W �� ��° i�' S'f Arch/Eng. Licenu No. Address Convactor's Name Phone Address (mailing) City License No. LICENSED CONTRACTOR DECL HAT ' 1 hereby aHiim that I am licensetl ntler rovi510n5 Of Cha�te� 9(commencin9 with Sec[ion 7000) a1 Division 3 of the Bu5ine55 antl Profez5ion5 Cotle, antl my license is in iull larce antl e(fect. License Class Llcense No. Date Si9nature WOHKERS' COMPENSATION DECLARATION 1 hereby aifirm that I have a certificate of consent to salt-insure or a ceriiBcate 't workers' Comoensation Insurance, or a certitied copy tnereoi (Sectlon ' 300, Lab. C.) Policy No. COTpany BCertifietl capy is hereby tumisnetl. Cer[ifietl copy i5 BIEtl with the city Builtling DIVI51on. Oale APPlican[ EXEMPTION FROM WORKERS' COMPENSFTION DECLARATION (This sec[ion neetl not be compl¢tetl i/ [he permit 75 (or one huntlreC ($300) or less). I cerlity ihat in the pertormance of lha wo�k fot wttich thi5 perm�t i5 i55u¢tl, I shall not emplOy any person In any mann¢r o a5 ta om� suDject to the Workery-C9TPR�Si1�Ao—�ws o1 Calitom' / "NOTIC� 11, bff'er making lhis tleclar o you snould come subject to lh¢ WO/ke�s' ComOensal�on proviilons f e Labo� Co e, you mu5t torthwilh comply with such provi5ions o� 1h15 permll Shall b¢ tl¢¢me0 �evoketl. CONSTRUCTION LEPoOING AGENCV 1 M1ereby af(Irm that [here is a,mnstruction lentlin9 aqency for the performance ot the work tor which tn15 permi[ iz issuetl (Section 3097 Civ. CJ Lender's Name Lenaer's AaCress OWNER BUILpER DECLARATION 1 her¢by aHirm tha[ I am exempf from lhe Contrac[or'S License Law for th¢ following reason (Section ]031.5 Business antl Protessional Cotle: Any dty or county which �equire5 a permit to conitruct, alte�, improve, tlemoli5h or �epai� any structure, prior to its issuance, also requlres Ihe applicant for sucn permit to /ile a slgnetl s[atement that he/zhe I5 lit¢nsetl pu�suant to the Provi5ion5 Of the ConlraCtor's LicenS¢ Law (Chapter 9.(commencing wi[h SecHon ]000) o� Division 3 ot the Businezz antl Professmns COGe) or that he/she is exempt •herelrom antl the basis for the alle9etl exemplion. Any vlolation of Sectlon � 031.5 by any applicant fOr a pe�mit zubjec�s the aOP�i<ant to a Civil e alty of not more�than fiv¢ huntlretl t1011ars (E500). I, as owne� of �he prope�ty or my emplOyees wllh wage5 as thei� sole ompensation, wiil tlo the work, ana tne structure is not intentletl or ofteretl tor sale (Section 7044, Business antl Protessional Cotle: Tha Contractor's License Law tloes not apply to an owner of a property who builCs or improves tM1ereon, antl who tloes such work nlmself/herseli or through his or her own emploYees, pvovltletl that such ImDrovements are not Intentletl or ofteretl for sale. It, however, the builtlin9 or improvement is soltl wllhin one year of com- o�etion, the owner wlll have lhe buraen of proving he/she tlitl not builtl or Im- prove for the purpose of sale). . ❑ I, as own¢� ot the prOperty, am ¢zclusivery contracting with Iicensetl Con- t�actorsto cons[�uct the project (Sectlon ]044, BuSiness antl Professions Cotle: The Contra<lOr'S LlcenSe l.aw does not apply to an owner of property who builtls or ImOwv¢5 lbe�eon, antl .who COnttatti for such projecl5 with a con- tractor(z1 license pursuant to the Contractor'S Llcense �aw). I am aware that proot o� their Worke�'s CompensaHon insutance ShOultl be provitletl to me. ❑ 1 am exempt untler Section B. & P. C. for this reason /�T Owner that'I have reatl h' apolicatio ntl state that the above �rect. I aaree to co olv with a} citv antl countv ortlinances c /`7'J"(o � � � TVPEOFCONSTRUCTION NEWp� ADo ❑ CONVERSION ❑ DEMOLISH w` OTHER DESCRIPTION.OF WORK/USE OF BLDG.._�L'L REPAIR TVPE OF PERMIT�/ L7 GanDIrvG LJ FOUNDATION u STRUCTcran� ' ❑ TENANT LYI ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL ❑ OTHER � PROJEC7 DESCRIPTION SQ. FT. �� v oCCUaANGv CONSTRUCTIONTVPE VALUATION$ 'riGU� ZONE GRADINGCU.VDS. ACRES Remarki: Preventer Irrigation Dishwasher Drinkin9 Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Roof Drains ^ Reinspection Fee $15 Duct - Under Ground Duct-$tructural � Duct � Ventilating Exhaust System ❑ Multiple ❑ FirepVFact BIt ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000 BT sentatives o1 tn' to en r on tne above-mentionetl property tor inspection puroo . Signature Arl/ d/% � Da[e Reinspection Fee Drlvers' Li< 55 � � CMF 0865-46, rov. ]0/B4 hite - BWltlin9: Canary - Applicant; Plnk - Accountin9; GoltlenrOtl - Assesso� $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000eru ❑�oo,000e System Repair/Alteration Fire Dampers Registers laue Fae FEES $ 3 $ 3 a A.P. � S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref, qk Planning Notes: Automatic Washer Cons[ruction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eler Fan F.A.U. Fixtures Device Boxes OuUets Switches Garbage Disposal Generamr �0.5 KW C Fee 5336 6/21/85 Zone Accessory Building: Parkin9 Req./Provided ELECTRICAL � Transformer � 15-50 KW ❑ 50+KW Meter l�0up m 100 amps Meter ❑over100amps Sub Panel Momrs �0.1 HP � 1'F, - 8 Inc. Solar �9-15 HP �16�15+ Microwave ' Pole Li9ht Range ; Standing Sections 5 KW ,Trash Compactor $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: �Zonin9 APProved By Building Approved By 6aQG il FEES $ 3 SUMMARV OF FEES ' BUILDING PERMIT $ SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENEFGV P.C. $ ELECTRICAL $ �• Q U GRADING ' $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ �'OO PLAN CHECK 25% $ Z O N I N G R E Q M T $ . - CCNSTRUCTION AND PLANNING �� APPROVALS Permit # - 7. Temporary Electrical Service or Pole � 2. Soil Pipe�Undrgrnd. . � - 3. ElectricaPConduit UtilitY--Undrgrnd. �4. Electri�cal.Conduit-Undrgrnd. � .� ' 5. Steel Reinforcement , 6. �Electrical UFER Grnd..•' 7. Footings , _ _ 8. Foundation � � � 9. Water Pipe-Undrgrnd. - . � 70. StrJctural Floor System 11. Property Sewer Line & House�Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 77. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. �Rough Heating & Air Conditioning i 20. Rough FactorY Fireplace 21. Ducts, in Structure �-22. Ducts, Ventiiating 23. G'as Pipe-Rough & T,est 24. Roof Framing . 25. Roof Sheathing � 26. T-Bar C,eiling (Structural) & Monocoat 27. Frameand Flashing •- 28. Lathing & Siding 29. Insulation 30. Drywall Nailing � - 37. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow'Preventer • . 43. Backflow.lrrigation � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , , Date Date POO L PA Inspector p�ppROVALS Permit�# , � 52. Pool & Equipment Location . � 53. Steel Reinforcement 54. Forms 55. Electrical Bonding ' ' - 56. Rough Plumbing & Pressure Test � 57. APPROVAL TO COVER-GUNITE � 58. Electrical Conduit-Undrgrnd. � 59. Gas Pipe, O Undrgmd., Test �� 60. Backwash Lines, P-Trap, 0 Undrgrnd. ; •' 61. APPROVAL TO DECK , ' 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Appro'val 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL � FIRE DEPT..REQUIREMENT APPROVALS Permit# � 70. Underground Hydro ' 71. Product Piping 0 Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED � ��,J 7/ �. _ Notes: Qi � �..�. .. Date Inspector I - i i �. CITY OF COSTA ME.S.A_ FROM THE OFFICE OF THE DEVELOPMEIJT SERVICES DEPARTMENT/ BUIL�ING SAFETV DIVISION� ' ' — i 1 . ! CERTIFIED MAIL COMPLIANCE OR OCCUPANCY INSPECTIOfV REPORT Subject Address 814 W. 16th Street Date Rec'd. �Ill/83 Mail Report or Correction Notice to: Applicant Jen'9 Stroc'm � Telephone 1 � 646-5962 Address aa alvnm GOSt3 I�1G.4d. CA ZiP �ode 92627 Date ��'1 28� 1983 Compliance Inspection No. �8632 CMB No. 499 Site Location dS dbOVe At your request, inspection was made at the above-referenced address on J111V 12, 1983 , and the Code violations shown on the reverse side were observed. You will be required to correct the violations listed within fifteen (75) days after receipt of this letter. Failure to comply within the allotted time will result in a complaint investigation being initiated for compliance of the Codes. If you need assistance, please contact the appropriate Inspectors listed below: Structural Wallv E. Clcnxl �754. 5293 � Electrical (754� 1 Plumbing/Mechanical Very truly yours, Wally E. Clrnul Name Chief Builcling IHs,oectAr, Structural Title cc: Inspectors Property Owner CMF 3035-46 Whita-Bltlg.; Canary-Qerical (754� 1 �Q�a���4�M% C(aS� �Y � ��i9/�� � � � � ��_ 77 FAIR DRIVE (714) 754-5273 NOTE: SEE REVERSE SIDE � � Baat builrling is designated as an H-3 occ��ancy in the �979 Uniform Building Caie. 7n Table 5-A, exterior walls less than five (5) feet fran the property line shall be of 4 hour fise f+�sistive o�struction without openings; 2 hour fire resistive oomstruction less than ten (10) feet; 1 hrnar fire resistive oon- struction less than tv�ent;� (20) feet. One of your exterior walls is less than 10 feet and will require a txao hour fire .,' resistive s,rall, orne wall is less than 20 feet and will require a 1 hour fire 'resistiv� wall, and one wall is less than 10 feet fmn anather structure azui will . xequire a, 2 hour fire eesi�tive Frall . ', Yourwill be renuired t�o sulnut plans (tnree (s) oo�lete sets) to tt�e suiiai� Department for approval with walls oonstructed of the fire resistance mentioned ahove. The fire resistive ura].ls shall be ap�mved walI"s as set forth in Table .� 43-B of the Uniforn� Building O�de, 1979 edition.. ;. , .. �.. STl?UC'�V/IE �liC/�/v'� ./��L �Q/1%S /�/_'/�20!/,�d/ �aOM�I/��al� C°%�S�c� %"l�s c�hT�C �� `��-` °� ��/y/�-�' . �� c.,uall�l, ���u.�►�y I �1 � l `�By �Nca y9� , „ „ Kaou�,.:, G c�� Cac.r2s�: -r/� r yoP� �?E iva T S'u�+.a-�� c,u i� P�e� wvrzK c�v�� �k�ec , Y TNcau6NT � i� s��.v A-i.���G /� CaFy a►� �t�r.= 1.c�ra� :� cuRo�r� -rz� e��cEsi� ,t��j! Jus�- wi+�u'�D YGr,� �v Kn.ksu� r.u�tr4� �u�+s t���vls a:u FRc�vj ii�is Ex,D : � TRuW I�PF wc� e�•u �,,�a2K vu'r 7�,s QRobl�w� ri;;� �► w�f 71�,a�i is s✓3fls�ic-l�� �fv !�// C'a,c.�'EiP:c.��v, i-Iv� -n+;s �i,�.�S �/�. �N �i� soi�ir �'/f���lk I� .� _ :�� � � �;, `}^•,r��.!�-�'J I ( �_ i`l�: , �tf?�� /liS. 1�,:'r'[l)/ �: . 1. 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Ct:i,i.lc� ��� �[:,� rJ� . = S TN£T'.E 5��.�rtt W f4Y T�It 5 F'E'o!)l�n� C_c�!.tld �7� S� � As�Dc in��-i� ibV?ti�/ �/L(NC PF T}H5 `i�/"� AT Gc�(fiLi� 'i'Iw,E lRt`` Qnf�.3ci`� 1.�ii�� �Jc FfNiS�nt`l; �? Lu.il �J= U�I.r.ATiiI;C "'rkL tV��Ft2�V � A.r�.� �1k �r cCIL.-YM1 W,II r�r'+c'_ S�.'Iv_(? I'�ScIF? 3 i.u::ttiicl (�r��t�cC�r`•'fe �?�.'� I�IG Oi AOG�iLc �c�� �%%�tY' h:� AhIE �!-u C--tu� 11a� rti: -ru�,5 �•trYr�t-�.. ?F � C.an.: `�P�.c�r[�= A,v�/ Fur_nl�i; r,�,.���,�a;���; �� Yi� �tc-��� [;�ii rvic r�T 6yG�5iG;Z o� G��-rf%yL- LUEr�in� b 5 . " S r r.;C.e •;:tl y , �7�r�=� �'�� ., CITY OF CQSTA MESA PLA�NING DIVISION P. O. Boa 1200 Costa Mesa, California 92626 (714} 754-5245 MUN1ClPpL CODE VIOLATION a� FLLt�1P — �'c`C�� s� • Date '9 �— �-� . ../ � / // .� i // / /� r� i . //L.� ' � . T�0/��l�� � . �. /.///� This office has become aware of the following violation(s) of the Costa Mesa Municipal Code at the above referenced location:' ' ❑ Abandoned, wrecked, dismantled or inoperati��e vehicle(s) or paRs thereof .._ (Section 11-65) -� Non-residential use in a residentia] zone (Section 13-310) � Outside storage or display (Sections 13-237. 13�20) ❑ Outdoor activity (Sections 13-237, 13-420) ❑ Excessive noise (Section 13-711 et seq) ❑ Unauthorized use of mobile home; trailer, camper, motorhome, or bus (Sections 10-194, 17-6) ❑ Illegal sign(sl (Section 5-118 et seq) ❑ Other (Section(s) ) ✓ Description of violation: _ ��L�/ //� !.1 �i �"P.5/O� You are hereby requested to: � • ' ,� .Remove the above-referenced vehicle(s), storage, tlisplay or sign�s) . ' � Discontinue the above-referenced use, activity or noise �' ❑ Other within � days of your receipt of this letter. ❑ The Planning Commission may authorize approval of a Conditional Use Permit for the subjeci use upon finding that the use woold be compatible with other uses permitted in the area and would no[ be detrimental to neighboring,properties or to the public health, safety and general wellare.- . Should you choose to apply for a�Conditional Use Permit, it is recommended that you contact a Carrent Pianner at 754-5245 as soon as possible to dis�c�us.rys �the.�issues and procedures involved. � If,you have any questions, please feel free to call me at 754-_�a�'�Cd'' � SincereJy, _`^ ' , �� � ��,�� ����/' 7itle - CC: VrOperty Owner � CMF 0951-30 Wnite - qCtlressee; Can�ry - Vrooerty Owner, V�nk - Flla _ " u.. . .._'.-� r Agem]a - Plannirg Crnunission Meetirg of Jime 13, 1983 7. NII4 BUSINESS: (Gontinued) c. RESOLTUION PC-83-10, A RESOLUI'ION OF TIIE PLANNII� COMMISSION OF Zi-lE CZTY �' COSTA MESA, CALIFl�RNIA� SUPPORTING ADOPPION QF ALTERI�Y�TIVE H-2 (EASTERLY ALIGAMEP7f-T.�- PRESSID RETAINING WALIS) CF' T[� %)[TPE 55 TRANSFORi'ATION S'IUDY I%2AFT E. I. S. d. ZONE F�CCEPTION PERMIT ZE-81-185A for John W. Watts, for Butler ibusirx3 Cr�zporation, auttarized agent for �e State of Cali- fornia, 2501 Harbor Boulevard, for an artendnent tt� a previwsly approved apart- " ment project, � allaa an increa§e in density fran 14.7 inits per acre; to 20.7 �m its per acre, and to allaa a diange in wiit mix and phasing; located at.the aUwe a��ess in an I&R zone. Ehvirorr- mental Determination: Negative Declara- tion xlopted for ZE-81-185. < � >.. ' e.'"ZONE EXCEPPION PERMZT ZE-83-77,��for Jerry '�=Brown, auttnrized agent for Marie Thom3s, �505 E1�Modena Avenue,-Newport Seach, for a Conditiona]. Use F� rmit tn allow boat buildirx3 on a nonconconfounirg residential pr�r y, and a Conditional Use-�rmit to allaa out�oor building of boats located at 814 West 16th Street in an MG wne. Envi- rormental DeY_ennination: : F�canp�.' � a � L 1 .. . � . ' �... .. . . . . � . . . . ' �.. . 5 � i . . � . f. ZONE EXCEPTION PERMIT ZE-83-78, �for Dunna � Iarrlon, authorized a3ent 5�r Sa�r Busi- ness Plaza, Inc., One Brookh�llow Drive; Santa Ana, for a Corditional Use. Rrmit to allow a resta�ant in an existing in- dustrial buildirx3 with a Conditional Use • Permit tt> allaw an outdoor eatirx3 area at 151 italmus Drive, in a PDI zone. " Errvirorr- mental Deternunation: Exenpt. � RECQM�TION BY PLTINNING ST PUBLIC HEARII� FINAL ACfION Adopt Resolution F�-83-10 PUBLIC HFARING FZNAL APPF�VAL Apprwe, subject tn conditions -PLIBLIC [�ARING FIt�L ACTION Approve, subject to conditions : • PUBLIC HEARING FII�T� ACTION , Approve, subject to conditions - : _� PIANNING DIYISION STAFF RE�ORT SITE LOCATION 814 LJeSt 16th Stseet APPLICATION N0. AGENDA NO.� ZE-83-77 Ap # 424-112-10 MANDATORY ACTION DATE �Y 18� 19t14 APPLICANT �ie Tlrn�as AUTHORIZED AGENT Jeriy Bm�� (Owmr of Recortl) ADDRESS 505 E1 Modena Avenue ' ADDRESS 819 WeSt 16th Stseet ' Ne+.�ort Beach, C4 92660 Cbsta Mesa, CA 92627 ilpyiiwi�t IS ffiT�ilC2� �2( G�i G��li�biitxi 6nu ibyuidfiu�o �'�'�' governing the use of the land or buildinp�s) to which this PREPARED BY eppliwtion pertains must be complied with whether speci- fied herein or not. REQUEST: FINAL COMMISSION ACTION: J� 13, 1983 .�� � ' APPLICANT NOTIFIED � DATE 6/15/83 CITY OF COSTA MESA, 77 PAIR DRIVE, COSTA MESA, CA 82626 (714) 754�245 CMF 0360-30, nv. 1/BY i CITY OF CDST1! �IESA ^CALlFORNIA 0�628 r.0. MX 1200 DEVELOPMENT SERVICES DEPAR7MENT January 9, 1964 _� CEfi'I'IFIED MAIL Marie Thanas . 505 E1 Modena Avenue ' Newp�rt Beach, California 92660 Re: Zone Exception PeTmit ZE-83-77 614 West 16th Street, Oosta Mesa Dear Mr. Tt�nas: On Jw�e 13, 1983, Plannir� C.a�mission apprwed ZE-83-77, a Corx3itional Use Permit tn allaa a boat building business on a nonconfozming resi- dential property and a Corclitional Use I�zmit m allaa ou�oor buildirg of boats on the subject proQerty, subject to 7 Conditions of Approval. Corr]ition of Apprwal No. 2 required that the 2 boats existirg on the praperty be approved ard all outr3oor work be ceased by December 13, 1983. However, �en inspectirr3 the property on January 5, 1984, Staff. fo�d that the boats ha9 not yet been removed. 7herefore, yaa will have two weeks fran receipt of this letter � renove the boats or you wi11 becone subject � citation by a Code Enforcement Officer. Should you have any f�sther questions, please do not hesitate to call ire at 754-5153. __ ._.. ___ . Sincerely. _ _._.-. ,.. ���.,�� LIA H0iJ4�7S Assistant Planner WB:hwm (C-4-29) cc: Dave Wilson, Jeny Brown " Code Enfiorcement Officer 814 West 16th Street Costa Mesa, California 9262'7 � Code Enforcement/Business License (714) 754-5234 Building Division (714) 754-5626 Planning Division (714) 754•5245 77 FAIR DRIVE B�DIAIG SAFETY DEPARTMENT NO 1446 �� P, O. Box No. 317 Costa Mesa, California Date �£3- � 1%L/ CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No ��� n Electrical Permit No Plumbing Permit No. Use of Building %J1 Ci . ',�, ;� i C C/✓�% The building located at ��� �� W� 1�, T' h� 5� Legal DesCrlptior (See reverse side for Metes and Bounds) has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group �� Occupancy. ISSUED TO: , City Baild� g Oificial � CL v� � Y i• T r L� /� S -���i A.A �/ ' (Owner of Building) By� '��"� ,"• '��'� n�1 CC: ❑ Original—Owner ❑ lst copy—Gas Co. ❑ 2nd copy—Edison Co. ❑ 3�copy—File Form 208 SB P 1M I-60 /� � �_3?�0 COSTA ME5A BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSiA MEBA. CALIFORNIA For Applicanf io Fill In Compleiely TYPE OR PRINT BUILDING O /il / / � S ADORE66 .3J LV E. COSTA MESA CALIFORNIA � MAIL cj Q TEL.� N0.3 ct TEL. FIRE � EE� RECE�4! � �3 �rY NOV 2 91960 FINANCE DEPT. Cli`( OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only HEC8IPT NO. PBMMIT NO. 333� ev I owTe,naceiyen_ 1 o�iF �esuqo COSTA MESA. /� SON NO.OP CITY 'tiJ V� � � � PLANB STATE . TEL. �4�� p�� LIC. NO. NO. oEBCPIPT1o�LiV p SIZE NO. OP BLDGB. � OF LOT �� x �SO I NOW ox LOT A. P. NO. U6E OF � /// �_ YARDS EXISTING BLO � � � `� M APPROVED BGTBACK LJN¢ PHOM <C6MT6N LAN[ a`i.t CeNTSN OP BTREEY REAR YARD FRONT p SIDE YARD I LEF�' I RIGHT R. SIDE DESCRIPTION OF WORK . _.__ � BUILDING 3a y� � BIZE EXTERIOfl WqL �T� COVERING / US8 OP BUILD NfiAND .'� U C C o z icT. S z �u•o ��/L.E 1 HBqHBY ACNNOM/L8�Q8 AND BTATH TNAT TMB Afi P�Y WIiH ALL CITY Oqpl BUIlDINO CONBTllUGT ON 816NATURE� —OF / PERMITTEE�.� AUTHORIZED AGENT l UBE OP N[ BUI LD�NG � �2-=� ) ,— �-� IVES LLOWEO O�T• � �-y9-6 � ReAO THIB APPLIGTION TM6 AMOUNT BXOWN UNDHR VALIIATION 19 IOR THe T AND AOP88 TO COM• pypp088 OP 89TA�LIBHING A PHRMIT PH8 ONLY. TAT6 UW9 p¢OUIJ�TNO VALUATION �q 6C PERMIT FEE $ V — S�1��D � pLAN CHECK $ J � o ¢ TOTAL FEH /��� y �