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Home My WebLink About331 20TH ST - Building PermitsCITY OF COSTA MESA � BUILpING DIYISION � , � DEVELOPMENT SERVICES DEPARTMENT � PEFiMIT PERMIT NUMBER �� M98-00398 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 331 E 20TH ST Suite No Vicinity: SFD Parcel Nunmber: 42629506 Applicant: HENRY MIRELES Address: 6131 NORBROOK - � CA ".�f�.. . ,,� i, � Owner: HALL;-RICHARD J ��' � � / r,'i � , Address: ,HALL; GERTRUDE ` � �, �i COSTA MESA,CA / � � ��'331.E20TH-STi" � � i \ i" - ` ' � �.�„%/.:- _ Contractor. - PLAYA HEATING & COOLING Phone: 714.848.1977 Zip: 92648 Phone: Zip: 92627 i� i � \. Addressi. �,� 6131 NORBROOK DR - ' Phone:� 848-4977 � . iY'„ y/, =HUNTINGTON BEACH, CA _ Zip:� 92648, .�, , � - � � � �License: . 714787_' . ,- , ArchlEn9: . � - „�� , - �-�� "�� Addreas: , - � �� _� ' ' � � � - ' �. , - � . r . , ISSUE FEE Inst FAU'<100 k BTU�. ` Inst FAU >700 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU � Refrig Sys >100 k BTU - Gas Piping � Factory Fireplace ' '� Hood w/Mech ExhausY VAV Box Vent Fan / Single Ducf � � � Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 70000cfm Floor Furnace Floor or Suspend Heater Status: ISSUED Applied: 0812 8/1 9 9 8 Issued: 08/28/1998 � Phooe: 2ip: � License: ` �i � , � -- ` SCOPE OF PERMIT _. _ . , _ � ATERATIONS TO HEATING�DUCT SYSTEM. ADD TWO SUPPLIES IN AN EXISTING SINGLE FAMILY DWELLING. ��, _ �, � � ,r. . � - FEE SUMMARY 4uandty � f quantity $22.00. Repair/.AltAbsorbtionUnit � $0.00 0 . $0.00 Repair/�AILRefrigerationUnit , � $0.00 0. $0.00 Ventillation System - � $0.00 0 � $7225 1 , , Evaporative Cooler � $0.00 , 0 � , $0.00 0 ' - Commerciallncinerator $0.00 0 �� "' $0.00 0 . ; " Domestic Incineretor - $0.00 ` 0 � �$0.00 0 �� - --- Compressors/AbsorotionSystems , ,$0.00 0- � ' � � � � Up to 3 hp / 100 k BTU � � $0.00 - $0.00 � 0 ' � ^� - � - 3 To 15 hp / 500 k BTU " $0.00 �$0.00 -0 ' 15 To 30 hp / 1,000 k�BTU $0.00 $0.00 �0� - . - 30 To 50 hp / 1,750 k BTU � ' � $0.00 -' $0.00 0 � ' � . . � � �., _ Over50 hp! Over 1,750 BTU ' , � . $0.00 $0.00 0 Boilers - � $0.00 . 0 � Up to 3 hp , � � $0.00 � _ - $0.00 0• ' � - 3 To 15 hp � $0.00 $0.00- 0 15 to 30 hp - $0.00 $0.00 0 30 to 50 hp $0.00 $0.00 0. � , , Over.50 hp $0.00 � $0.00 0 . Other Mechanical Fee $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES 534.25 COMMENTS / SPECIAL CONOITIONS � � � 0 0 0 0 0 EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 tlays. � 1 INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapactiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 ' WORKERS' COMPENSATION DECLARATION: I �ereby atfirtn untler penalry ot pe�ury one of the Following declaretions: ❑ I heve antl will melntaln a certHicate ot consent to self-Insura for workers' compensetlon, es provitled tor by section 3700 of the Lebor Cotle, tor the peAormenca of the work tor which this permit is issued. ❑ I have antl will meinlain workers' compensation insuranca, as required by section 3700 of the labor Cotle, for ihe perfortnance ol Ne work for whicli this pertnit is issued. My workers' compensation Insurance cartier end policy number ere: Certier. - Policy Number: (Thts sectlon need not be comp/e(ea ii the pertnif is va/ued at one hundred dollers ($700) or /ess.) ❑ I certiTy ihat in ihe pertormence of Ihe work for which ihis pertnit is issuetl, I shell not employ any person in eny manner so as to become sublect to ihe workeis' compensation laws of Cell omia, and agr at If I should become subject ta the workers' compensalion provisions of Section 3700 of Ihe Lebor Cotle, I shell forthwith comply with these pro �' s. r �ApplicemSigneture: � Dete: r' ��'�� WARNING: FAIWRE TO S E WORK S' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEF TO CRIMINQ PENALTIES AND CIVIL FINES UP TOONE HUNDRED TIIOUSAND DdlARE (5100,000), IN A�OfiIIXJ TO THE COST OF COMPENSATION, DAMAOES AS PROVIDEO FOR IN SECTIOfJ 310fi OF THE LABOR CODE, IMEREST, AND AiTORNEI^S FEES. LICENSED CON7RACTORS DECLARATION: I hereby eNirm that I em force and ettect. Lic. # _ ContractoYs Signature: ot Chepter 9(commencing with Section 7000) ot Division 3 ot the Businesgand ro ssions Cotle, end my license is in fuil Class k C� Dete: �� CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that ihere is e wnsimction lentling aqency for Ihe peAortnance oi Ihe work for which this permit is issued. (Sac. 3097, Civil Coda). Lenders Neme: " Lentler's Addrass: Signature: Date: OWNER-BUILDER OECLARA710N5: I hereby aRirtn that under penalry oi perjury thet I am EXEMPT FROM TME CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Buslness antl Professions Code: Any ciry or counry which reqmres a pertnit ro consWct, elter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicant for such parmit ro iile e signetl statement that he or she is licensed Dursuant to Ihe provisions of the Conirectors License Lew (Chapter 9(commencing with Section 7000) of Didslon 3 of the Business and Professions Code) or that he or she is exempt Iherefrom end the basis for the alleged exemption. Any violetion of Section 7037.5 by any applicant tor e pertnit subjects ihe applicant to e civil penalry of not more then flve hundretl tlollers ($500).): ❑ I, as owner of the properry, or my employees with wages as iheir sole compansation, WILL DO THE WORK, antl the structure Is not intendetl or oHered for sale (Sec. 7044, Business end Pmtessions Code: The Contractore License Law tloes not appty to en owner of pmpeM who builds or improves ihereon, and who tloes such work himselt or herself or ihrough his or �er own employees, providad ihet such improvements are not intended ar afferetl for sale. If, however, Ihe bulltling or Improvement is saltl within ane year oi completion, the owner-builtler will heve Ihe burden of proving thet he or she tlid not build or improve for purpose of sale.). ❑ I, as owner of tha property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS lo consiruct ihe proled (Sec. 7064, Business antl P�ofessions Code: Tha wntracrore License Law does not epply to en owner of properry who builds or improves ihereon, and who contrecis For such project with e coniractor(s) license pursuant ro the Conirectors License Lews.). ❑ I am eaempt under sec. Business and Professions Cotle tor ihis reason: Signeture: Da�e: Ownar ID verified by drivers licanse. ❑ Ves ❑ No Dnver's License No. Ezpires: Venfication of Ownership by (type of tlocument, i.e. - property ta¢ bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereDy certify t�et no excavation five (5) or more feet In tlapth Into which a person is requiretl to tlescend, will ba made in connectlon with work authorized by this pertnit, end that no building stmcture, scattolding, felsework, or demolition or dismantling thereof, will be more than thirry-six (36) feet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Callfomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a parmit irom ihe Division of Intlustrial Satery, as noted above, unless such person has a permit to tlo such work from the tlivision. Signeture: Dete: Divlsion of Intlusinal Safety Pertnit Number: CERT1flCATE OF COMPLIANCE AND AUTHORVATON OF EMAY: I certify under penalry ot perjury ihet I heve ieed this application and stete ihat Iha infortnation given is conect. I agree to comply with ell state laws end city ordinances relating to building construction, and authorize representatives ot the Ciry oF Costa Masa lo enter upon 1he above-�scnbe property for inspection purposes. I agree not to occupy or allow acupancy of any bulltling authorizetl b� i� until final�pecti� �� ` � � i _� $i r n Date COOE t. INSPECTIONTYPE 1616 Fixad System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Finel BIocWRetaining Well 202 Finel Fectory Fire Plece 203 Final Sign 204 Final Demolition 2446<6 peg �{� �Qp�� INSPECTONTYPE 206 Finel Mechenical 208 Final PIum6ing 210 Final Electncal 212 Final Fire Prevention 220 Finel Planning Approvel 222 250 Final Site Final BuiltlingiOccupancy �g �� il% /�iS � n , . , CITY OF COSTA MESA _� i ; _ � BUILDING DIVISION � �i � DEVELOPMENT SERVICES DEPARTMENT �--v 1 �• PERMIT PERMIT NUMBER �� 69&0'1107 ✓ (714) 754-5273 • Fax (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626 ,1ob Address: 331 E 20TH ST Suite: Viciniry: Parcel Nunmber: 42629506 Applicant: Address: BUILDING PERMIT Zoning: Phone: • 2ip: Owner LUTES, TEENA � , Address �"� � //, , . .. i „i Contreclor:: - Address: � � � , Phone: 949-650.8405 Zip: Status: ISSUED Applied: O6122/1998 Issued: 09I01/1998 ` , � Phone: - � , . . Zip:�, � . . , License:i ; ' � . ArchlEng: „ �- �•�• i . Address: . ' i � ' � � � , . r .. .. � .. Phone: . � _ . � � . ,.�il.. . _ . . . . , � Zip: . . . � "� - License: - , � � " � SCOPE OF PERMIT . .ENCLOSE FRONT ENTRY (67 S�. FT.) AND ADD BAY WINDOW TO THE REAR OF RESIDENCE. ADD � .KITCHEN CABINETS, SKY LIGHTS AND PAINT. INSTALL SIDING TO FRONT OF RESID, REROOF . RESIDENCE ' ' ' � - ` � � � � � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $256.59 $394.75 $3.00 $0.00 $0.00 $0.00 $654.34 SETBACKS MAIN STRUCTURE Front 20. 0 ACCESSORY Front 0-0 PARKING Ezistinq: C NOTES: - � FEE SUMMARY �, - _ _- ; % � / 7 i Rear 1&0 Rear 0- 0 Re uired: 0 PLANNING 8 ZONING Left 18- 0 Left 0. 0 Proposetl: �0 Calc Valuation: Claim Valuation: Right 5-0 Right 0- 0 $30,000.00 330,000.00 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 of 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 Inapeetione end flnel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5628 WOPKERS' COMPENSAYION DECLARATION: 1 hereby efflfm under penelry of pe�ury one ol lhe tdlowing declarations: ❑ I heve entl will malntain a certificate of consent ta self-Insura far workers' compensetlon, es proWded for by sectlon 3700 of the Lebor Code, for the pertormenca of Ihe work lor which lhis pe�it is issued. ❑ I have arW will melntAin warkers' compensatlon insurance, a5 required by seclion 3700 of Ne Lebor Code, for the peAortnance of the work lor w�ich Ihis pe'mit is Issuetl. My workers' compensation Insurence cerrier end pollcy number ere: Cerriec � Policy Number. (Thls sec0an neetl not be Comp/efed i/ fhe peiml( Is velued et one hundred dollars ($100) or/ess.) ❑ I certity that In the pedortnence of lhe work tor which this pertnit is issued, I shall not employ eny person in any men�r so es ro become subjec\ b the workere' campensation laws o� Califomla, end egree thet It I shoultl Decome subject ta the workers' wmpensetion provlslons oi Section 3700 ot the Lebar Cotle, I shell forthwith comply wlth these pro�sions. Appllcant Signeture: Date: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAW FUL AND SHPLL SUBIEGT AN EMPLOYER TO CRIMINqL PENPLTIES AND CIVIL FlNES UP TO ONE HUNDRED TIIOUSAND Dd.LARE (Et00,Otl0). IN qDDRION TO THE COST OF COMPENSATION, OAMAGES PS PHOVIDED FOR IN SECTIIXJ 3]O60F THE IABOR Q70E, INiEREST. AND ATTORNEYS FEES. IJCENSED CON7RACTORS DECLARATION: I hereby eflirtn Ihet I em licensed under provisions of Chepter 9(commencing with Section 7000) ot Division 3 of Ihe Business antl Professions Code, antl my Ilcense is in full torce antl eNecL Lic. q Class a Conlractors Signature: Data: CONSTRUC710N LENDMG AGENCY: ❑ I hereby ettirm Ihat Ihere is a wnstruction lending agen�y for the Oertortnance ol ihe work far whic� this pertnit is issue0. (Sec. 30W, Civil Coda). Lenders Nema: Lendets Address: Signature: Date: OWNER-BUILDER DECLAAATONS: I hereby eMirtn Ihat under penalry oi per�ury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reasan (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry wnich requires a permit to wnsiruct, alter, improve, demolish, or repelr any structura, prior to its issuance, elso raquires �he applicant for such permlt to file e sl ned sletement tMat he or she ISllcensed pursuant to ihe provisions ol the Conlractars Ucense Lew (C�apter 9(commancing with Section 7000) of Dlvision 3 ot ihe Busi and Professions Gode) or thet he or she is exempt there��om and the basis for tha elleged ezemptlon. Any violation of Seclion 7031.5 by any applicant tor a pertnit s ects ihe applicant to e Givil penalry of not more Ihan tive huntlred Oollars ($500).): I s owner ol the properry, or my employees with weges es thelr sole compensatlon, WILL DO THE WORK, and the slrucWre Is not intenCetl or oHered for sale (Sec. 044, Business antl Professions Code: Tha Contractors License Law tloes not epply to en owner oi property who Dulltls or Improves thereon, entl who tloes suc� work himselt or hewelt or tnmugh Ns or her own employees, proNdetl that such Impmvemenls are not intentleA or otteretl for sele. Ii, twwever, the bulltling w Improvement is sold wlthln one year o� completion, ihe owner-bullder will have ihe burden ot proving that he or she tlitl not build or Improve for purpose of sele.). ❑ I, es owner ol the properry, em ERCWSIVELV CONTRAC7ING WITH LICENSED CONTRACTOHS to consimct t�e pmject (Sec. 7044, Business antl Professions Code: The contrecmrs License Lew tloes not apply to an owner of properry who bullds or Improves thereon, end who contrects tor such pmject with a contractor(s) Iicensa pursuaN to the Contrectors License Laws.). sec. ID vanfled by drivefs licen}e.�� Ves ❑ No Business and Professions CoOe tor this reason: Verificatlon ot Ownership by (rype of document, i.e. - property tax bill or deetl): Drivers License No. Expires: OIVISION OF INDUSTRIAL SAFE7Y PEHMR CER7IFICATION: ❑ I hereby certify that no axcavetion five (5) or more teet In tlepth Into which e pereon Is requiretl to tlescenQ will be matle in connection with work authonzed Dy this pertnit, end thet no buNltling slrucWre, scattolding, felsawork, or tlemolition or dismantling thareol, will be more than thirty-six (36) feet hlgh. (Chep. 32, Grp 2, Art 2, Sac. 341, Tltle 8, Celifomia Atlminlsiralive Cotle). ❑ As owner-bullaer, I will not employ enyone to tlo work which would require a pertni� Irom ihe Division of InduSMal Selery, es notetl ebove, unless such person has e permit to Co such work iram the division. Signeture: Date: Division oi Industnal Safery Permit Number: CERTiFlCA7E OF CAMPLIANCE AND AUiHORQA710N OF EMAY: I certity untler penelry of perjury ihet I have read this epplication and slate that the infortnation given is cortecL I agree to wmply With all stete lews and ciry ortlinances relating to building conslruction, entl euthorize representetives of the Ciry oi Coste Mesa to enter upon the above-deu praparry fo� inspectio urpasas. I agree not to occupy or ellow occupanq of any building authorized by �his pertn' til Tinal in ction. �'�� -� n re t Le Own r(s) Dete AnNOr Authorized Appliceni Date yqpFj, ixsnecnoxTrve 1818 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Flnel Re-Raot 201 Finel BIocWRetainin9 Wall 202 Final Feaary Fire P�ece 203 Final Sign 204 Finef Demotillon ,4 PAg II�1$ GGpEy INSPECTIONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Final Electricel 212 Finel Fire Preveniion 220 Flnal Planning Approvel 222 Final Site 250 Finsf BuNdinglOccupancy GAiE It�DEL$ CITY OF COSTA MESA _. ' BUILDING DIVISION } � � DEVELOPMENT SERVICES DEPARTMENT � PERMIT PERMI N BER .� � � E98-00943 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 � Job Address: Suite No Vicinity: Parcel Nunmber. � Applicant: Address: Owner: Address 331 E 20TH ST 42629506 HERMANS, JIM LUTES,TEENA COSTA MESA,CA 331 E 20TH ST Contracror:, JAMES ELECTRIC INC Address: 8567 HOLLY WAY ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole BUENA PARK, CA ELECTRICAL PERMIT Phone: 714-22&9911 Zip: Phone: Zip: 92627 Phone�' 714-229-9911 � . Zip: 90620 , License: 64198� SCOPE OF PERMIT REF B98-Ot 107. REMODEL. 18 LIGHT FIXTURES, 3 OUTLETS, 4�SWITCHES. $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18.00 $3.00 $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $a.00 $0.00 $0.00 $0.00 Quantity 0 0 0 18 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting -Busway/100 R Standing Sectiori Misc Electncal Equipment Transformers up to 1 kva/kw ...........:....up to 10 kvalkw .................up l0 50 kva/kw .................up to 100 kvalkw ..................over 100 kvalkw Low Voltage Equipment Low Voll Wiring System / Ckt Misc. Conduit Misc. Condudor Circus ( gen or ride) Circus (mech nde�or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee investigation Fee Plan Check Fee Reinspeclion Fee $0.00 $0.00 $0.00 $0.00 so.00 so.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E47.00 COMMENTS / SPECIAL CONDITIONS status: ISSUED Applied: W/04/1998 Issued: 09/0411998 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D EXPIRATION: This permit shall automatically expire and become void if work is no� commenced within 180 days, or If work is suspended or abandoned for a penod of 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 Inapeetiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSATON DECUIRATION: - � I hereby affirm unaer penelty of perjury one of the tollowing tlaclaretions: ❑ I heve entl will meintain e certiticete of consent to selt-Insure tor workers' compensatlon, as provitled for by section 3700 of ihe Labor Cotle, tor the peAormance oi ihe woAc for which this partnit is issuetl. I heve antl will meintain workere' compensation insurance, as reduiretl by section 3700 of the Lebor Code, for Ihe peAortnance oi ihe work for which this pertnit Is Issued. My workers' compensation Insurance carrier antl licynuplber are: Cartier. -y` L�-Xx� Policy Numbec (7lris secfion need nat be comp/eted il the permit is v lu d at one huntlred tlollars ($100) or /eu.) ❑ I ceniy ihat in the peAormance of Ihe work for which this pertnit is issued, I shall not employ eny person in any mannar so as to become subject to ihe workers' compensetion laws of Calitomie, a d agre�aultl become su6ject to the workers' compensetion provisions of Section 37� T� / r� e� I shell fotlhwith comply with ihese mvisions. /a ApplicantSignature: � Date: � � WARNING: FAILURE T ECURE WORKERS' COMPENSATION COVEiiAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ANS D qVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE��5100,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIIXJ 3]06 OF THE LABOR CADE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm Ihat I am licensed under pr�isia force antl eNect. Lic. #-�- � Contrectofs Signeture: �'A/Wo 9(commencing with Section 7000) of Division 3 ot the 8usiness and Professions �ode, and my license Is in full Class a i / � Date: - �f' l/1 CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that Ihere is a constmctlon lending agency for �he pertortnance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lendars Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet untler penelty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Buslness end Professions Coda: Any ci�y or county which reduires a pertni� to consWct, alter, improve, demolish, or repair eny struclure, pnor to its iuuance, also requires the applican� for Such pertnit to tile a signetl stetement Ihat he or she is licensetl pursuant ro the provisions of t�e Contrectore License Lew (Chap[er 9(commencing with Section 7000) of Division 3 of iha Business and Professions Code) or thet he or she is exempt theretrom and ihe basis for the alleged exemption. Any violation of Section 7037.5 by eny appliwnt for e pertnit subjects ihe eppllcaM ro e civil penalry of not more than five huntlretl dollars �$500).): ❑ I, es owner ot the property, or my employees with wages as iheir sole compensetion, WILL DO THE WORK. and the structure is not intended or o%eretl for sale (Sec. 7044, 8usiness end Professions Cotle: 7he Contractors License Law does not apply to en owner of properry who builds or improves thereon, end who does such work himself or herself or Ihrough his or he� own employees, provided thet such Improvaments are not intentled or oRared for sale. If, however, Ihe builtling or Improvement is soltl within one year of completion, the owner-buildar will have the burtlen of proving t�et he or she did not build or improve tor purposa oi sale.). ❑ I, es owner of iha property, am E%CLUSIVELY CONTFiACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business and Professions Code: The conirectors License Law does not apply to en owner of propetly who bullds or improves thereon, antl who contracis for such project with e conirector(s) license pursuant to ihe Coniractors License Laws.). ❑ I am exampt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verifietl by tlriver's license. � Ves ❑ No Driver's License No. Ventication of Ownerehip by (rype ot document, i.e. - properry tsc bill or deed): Ezpires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: � ❑ I hereby certity that no excavatlon five (5) or more feet in tlepth into which a person Is requlred to tlescend, will be made in connectlon with work euthotlzea by this pertnit, end that no building sWcture, scalfolding, talsework, or tlemolition or tlismantling ihereof, will be more ihen thirty-siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celifomla AtlmlNslretive Cotle). � , ❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom Ihe Division of Intlustnal Safery, as noted above, unless such pereon hes e permit lo tlo such work irom the division. Signeture: Date: Division of Indusinal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty of perjury that I have read ihis epplication antl state ihat the iniormation given is correct I egree to comply with all stete laws and ciry ortlinances relating to building consWction, end euthorize representa�ives of ihe City ot Coste Mesa ro enter upon the ebove-described properry tor inspection purposes. I agree not to occupy or ellow occupency of any building authonzed by ihis pertnit until final Inspection. � yQpEJ, INSVECTIONTYPE 1616 Fixetl System Finel Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Rooi 201 Final BIocWRetaining Wall 202 Finel Fedory Fire Place � 203 Final Sign 204 Final Demolitlon zaae�ea PAg UIIDIAlS cooe� wsvernoNTrve 206 Finel Machenical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy 5C °�ec oa�e � � �� •y,�.. i '.:.�:: i " �' (714) 754-5273 • Faz (714) 754-4856 Job Address: 331 E 20TH ST Suite: Vicinity: Parcel Nunmber: 42629506 CITY OF COSTA MESA - sv��N� o�v�s�oN DEVELOPMENT SERVICES DEPARTMENT PERMIT Appliwnt: MINER, ANDREW Address: 2400 EAST COAST HIGHWAY #10 NEWPORT BEACH, CA Owner: HALL, RICHARD J Address HALL, GERTRUDE COSTA MESA,CA 331 E 20TH ST Contractor: ANDREW MINER Address: PO BOX 1338 � � NEWPORT Arch I Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: BUILDING PERMIT Zoning: Phone: (714)645-5666 Zip: 92660 Phon Zip f\ hane: 949 548 900 \� � Zip: 92663 ' � �v license:,' 328 2 ' \ V �� \\ Phone: .. . . : 698-01107 PERMIT NUMBER 77 FAIR DAIVE, COSTA MESA„C�A 92626 � ISSUED �d: O6/22/1998 R,�fTj �.d: O6/29/1998 � ENCLOSE FRONT ENTRY (67 SQ. FT AND ADD BAY WINDOW TO THE REAR OF RESIDENCE. ADD KITCHEN CABINETS, SKY LIGHTS D PAINT. INSTALL SIDING TO FRONT OF RESID, REROOF RESIDENC ' SETBACKS MAIN STRUCTURE ACCESSORY PARKING NOTES: I $256.59 $394.75 $3.00 $0.00 $0.00 $0.00 $654.34 20- 0 0- 0 0 Rear 18- 0 Rear 0. 0 Re uired: 0 FEE SUMMARY Calc Valuation: sso,000.00 Claimed Valuation: Sso,000.00 PLANNING & ZONING Left 18- 0 LeR 0. 0 Proposed: 0 Right 5- 0 Right 0. 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorizad undar this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlone and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSP,71pN DECLARATION: I hereby affirtn untler penelty of perjury one ot the tollowing declaretions: ❑ I heve entl will meintain e cenlficete of consent to self-Insure for workers' compensetion, es provided tor by sectlon 3700 of ihe Labor Coda, for the pertormence ol ihe work far which this pertnit is issued. ❑ I have antl wlll meintain workers' canpansetian insurence, as required by section 3700 of the Lehor Code, for ihe partortnance oi ihe work for which Ihis pertnit is issued. My workers' compensation Insurence cartier end policy number ere: Certier. Policy Number (lhis sec6'ar need not be comp/etetl i/ the permit is velued et one hundred dollers ($100) ar Iess.) ❑ I certify ihat In the pertortnance of the work for which ihis pertnit is IssueQ I shall not employ any person In eny manner so es to become subject to ihe workero' compensation lews of Celifomie, entl agree that ii I should become sub�ect to the workera' compensetion proNslons af Section 3700 of Ihe Lebor Cotle, I ahell forthwlth comply wlth these provisions. Applicant Signeture: Date: WARNING: FAILURE TO SECUPE WORKERS' OOAIPENSATION COVERAGE IS UNUWFUL AND SNALL SU&IECf AN EMPLOYER TO CRIMINAL PENA�TIES AND CML FlNES UP TO IXJE HUNDRED TiVOUSAND DOLIARE (Et00.W0), IN ADDfTION TO THE C06i OF COMPENSATION, OAMAGES AS PRONDED FOR IN SECiION 31080F TME UBOR CODE, INTEREST, PND FTTORNEV'S FEES. LICENSED CONTRACTOpS DECLARATION: I hereby afFirtn ihet I em licensed under provisions at Chapter 9(commencing wilh Sectlon 7000) ol DlNsion 3 af ihe Business and Pratessians Code, and my Ilcense Is In tull force antl eHed. Lic. # Cless N Contradofs SignaNre: Date: CONSTRUCTION LENDING AGENCV: ❑ I �areby eHirtn ihat ihere is a conswction lending egency for the peAortnance of the work for w�ich t�is permil is iuue0. (Sec. 3097, Clvll Code). Lentlefs Neme: Lenders Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I �ereby attirtn ihat untler penalry of perjury �het I em El(EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollawing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry whiCh requires a pertnit ro construct, elter, improve, demolis�, or repelr eny structure, pdor to Its IssuancB, 815o requlres IhB Bpplicent br such permlt to fla e signed stetement that he or she Is Iicensed pursuant to the prm�slons at Ihe Coniractars License Lew (Chapter 9(cammencing with Sedbn 7000) of DMsion 3 of the Business and Profeuions Code) or ihat he or she is e:empt Iherefrom and the Desis tor Ihe ellegeC exemptlon. My Wolatbn of SeMion 7031.5 by any epplican� for e pertnit subjecLs the applicant ro e civil penalry of not more Nan five hGndred dollars ($500) J: ❑ I, as owner of t�e properry, or my employees with wages es their sole compensatlon, WILL DO TME WORK, end the structure is not Intended or oltereC for sale (Sec. 7044, Business and Professions COAe: The Contrectors License Lew does not apON �o an owner of properry who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provlded Ihat such Improvements ere not intendetl or oXeretl for sale. II, however, tha bullding or Improvement Is sold wit�in one yeer of completion, the awner-bullder wlll �ave the burAen oi praving that �e ar s�e ditl not bulltl or improve far purposa ot sele.). ❑ I, as owner of Ihe properry, em E7(CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construd tha project (Sec. 7044, Busineu entl Protessions Cade: The wntredors License Lew does not epply to en owner ot proDerty who bullds or Improves thereon, and who cantrects for such project wlt� e contrector(s) license pursuant to the Contrectors LJcense Laws.). � ❑ I am ezempt under sec. Business and Professions Gode tor this reason: Signeture: Date: Owner ID verifietl by drivers license. ❑ Yes ❑ No Drivers License No. Verification of Ownership by (type of document, i.e. - property lex blll or deetl): � DIVISION OF INDUSTRIAL SAFETY PEFMR CERTIFICATION: Ezpires: ❑ I �ereDy cenity ihet no excavation live (5) or more feat in depth inio which e person is requlred to Aescend, wlll be metle in connectlon with work euthorized by this pertnit, end Ihet no Duiltling structure, scettoltling, felsework, or demolition or dismentling Ihereoi, wlll be more then thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Celtlomie Administrative Cotle). � As owner-bulitler, I will not employ anyone to do work which woultl require e pertnit trom the Dlvlslan of Induslriel Sefery, es noted ebova, unless such person has e pertni� to do such work hom the divLsion. Slgnature: �ate: Division ot IndusMal Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AURIORVJITION OF ENTRV: I certify under penal�y of perjury thet I heve read Ihis epplicalian end stete tha� ihe infortnetlon given is wrrect. I egree to comply with all stete lews end ciry ordinances relating to bullding wnstruction, and euthorize representetives of the Ciry of Casta Mesa to enter upon the ebove-tlescribed properry for inspection Durposes. I egree not to occupy or ellow acupancy at eny builtling authorized by this pertnit untll linal inspeqion. Signature OI Le9al Owner(s) • AnNOr Authorized Applicen� GppEy IxSGECTIONTYVE 1616 FxeC System Flnel Fire Preven6on 1286 Pool Spa Final 200 Finel Re-Root 201 final Block/Reteining Well � 202 Pinel Fectory Flre Place 203 Final Sign 204 Final Demolltlan zmere � 1�� cooe� ixsvecnoNrrre 206 Finel Mechanicel 208 Finel PlumDing 210 Flnel Eledrlcal 212 Finel Fire Prevenlion 220 Flnel Plenning Approval 222 Finel Site 250 Final Building/Occupenty UAg It�ALS 06/31/1998 14:51 7146458279 „ � 1 �i 1 4 GENERAL CONTRACTOR IICCNBE NO. ]]lOaa August 31, 1998 CITY OF COSTA 11'�SA 77 Fair Drive Co�e Mesn, CA Arin: Building Depactraent RE: Petmit #B 98-01107 331 E. 20th Street Coste Mesa, CA To Whom It May Concan: PAGE 02 Sent Vls F#ciimik � U.S. Ms11 I, Andrew L. Miaer, General Contractor, hercby revoke the above nkrenced permit at the project oa 331 E. 20th Street, Costa Mesa, CA. I am no longer the geaeral crnmactor on this project. Very ttuty Miner ALM: jd GENERAL CONTRACTOR zaoo w. cossi r+�nwey, s�rce io, rbwpon eeaon. ca e2ss3 (849) 645-5666 • FAX (949) 845-8279 MaUing Adtlresa: P.O. 8ox 1338. Nawpon Beacn, CA 92863-0336 98/31I1998 14:51 71a6a58279 . - �, \ GENERAL � ��'� CONTAACTOR 3 � uCEN9E NO. JZOMT DATE: TO: C0111PANY: SiTBJECi': FACSIMILE TRANSMISS[ON SHEET August 31, 1998 Building Dept. CITY OF COSTA MESA 331 E. 20th Sueet Coab Meoa, CA TIME: FAX N: 2:50 PM (714)754-4856 PAGE 01 Total m�mber of pages 2. including cover sheet. ...............................•................,..............a.a...... CO�NTS: Origuula t0 fo!!ow via U. S. meil. If you do nat receive all pages indicated above, please call as soon as possiblc. Andrew Mma Transmitter 2400 W. Coast Hlphway. Stute 10, NewpoA Beacli, CA 92883 (949) 844.6� • �AX (9491845-8279 Matling Atltlrees; P.Q 8ox 1336, NpWP� ��h. CA 82883-0336 70 �� FROM �� g�e CITY OF COSTA M�SA BUILDtPlG SAFETY DEPARTMEM P.O. Box 317, Costa Mesa, Cr_6if. 331 S. 20th Street M)dway 6-2411 SUBJECT: �p� Cp�trg,C�oi - Ilnth07ry $Con °"" .MESSAGE Aovember 26, 1963 Dees' l�d� I beli@`�e tlus ia tne gool you menti�ed this �rning. 2Y�ue tlsexe �s a 2etter vritten to the llnthcmyr peaple � Jtme 27, 1963 regarding the lar teat. Bear in minri tre received the f3rat in8ication af n�-compliance by test report J'une 22, 1 3. Ue received the day teat Ju�y 2, 1963, some 19 days aPter the cit�y test. Th3e ie s�eat ls,pse oP time betveen tlme oP teat and date received - very nees impossible to do much about takiag corrective action cts undmibLec'i�Y the poal was in eervice. The day test ekiws a teet oP 1875 lbs. pei, ]25 lbs. belw the +�»i*m+� reqv3reme�. I ha,<i cantaclzd Bud Ae4ebprovgl�, sus�erinteadant for Aatho�y Pool.s, x�gp:rding this particular gool. In a3 much ss eo �y proDlems were invalved and the test vse that close, I ass»ed that the pool met the V@2'jt ffi�*+3n^n^ requirements. Check to see if fenc3.nf; and all other matters are legal prior to pez2].ia� .tob snd rm.kin� ec�plete. REPLY 81GNED 91GNED M. erwe+owpo rowM ��oo � RECIPIENT: RETqIN WHITE COPY, REPLY ON PINK COPY' pECErvi eiwrvowwo IOPM9. jryt.� pJllu. 90. P�. ' lETTER-LIMINATOR '� SENDER: SNAP OUT YELLOW COPY ONLY. SEND WHITE AND PINK COPIES WITH CARBON INTACT. m� i m -� � . IDt�� ./ L A B O R A T O R 1 E 5, I N c.� � r. �^' ,JBJiin!! aR�Jn,f`jectiOn l'n�in6erJ � � ✓� �MR �`� 6; �� e � ��y ✓ COMPRESSION TEST EPORT (.�"C`�p t�r� � � � �"��''��3 � � �" a�'� � Test made for Anthony Pools $ zo�� r�,. � Job Identification 331 EAST 25�?i—sT. , Costa Mesa (C. Borus) � ly��"��/'r ��,'� `� e"rr� Location in Structure S4VIM PO(�L EAST BOND BE.4M ��'�o ��nt��N, Laboratory Number Mark Date moulded Date tested Age, days Weight per cu. ft., Ibe. Dimensiona, (inchea) Area, aq. in. Compressive Strength Total I.oad Ibs. Lbe. per aq. in. MIX: Cement Sand No. 4 No. 3 No. 2 Water 1: 4-1/2 / TJS/��<�zs / y � �,� o � �a°Q� �� v�,,,,e� v �J� LABORATORY DATA a��rLv�a „�/)�,�"" ,µ°=rYl t14214 84212-A 6/7/63 6/7 6/14/63 7/5 7 28 6.1x11,8 6.Ox12,2 29,22 2Fi,27 32,000 31,�^� 1„095 ! �.,?:�o FIELD DATA �1%Ahl e � ? 84212A � w , �� 10 6/7 �� is b ��vf� . 28 � 6.Ox11, 28,2 7 53,000 i,e�s 2,� �963 ot Costa Mesa ,a;�Q DePt. Speci(ied Sf,rength a 28 daYs 2000# � Slump i Admix�urc Rendy ntix Ylant Cyls. made by Anthony Pools (tvillie Jetter) llate cyls. delivered By Laboratory 6/10/63 1- Anthony Pools , � —�1- Gosta Mesa Bldg. Dept. Respectfully aubmitted, RAYDfOND G. OSBORNE LABORATORIES, Inc. CF-2 By------------��-�- o--------------- ------------ 235 WEST TWENTY�SEVENTH STREEI� • LOS ANGELES 7. CALIFORNIA • RICHrnor+o 9-3111 n . � mTm -� , ry-- L A B O R� A T O R I E S, 1 N c. m �s �eo� ,Jeafin9 and�ne�becfinn `1»9inearo Test made for COMPRESSION TEST HEPORT � A n t h o n y Po 01 s—; j��/ �/�..�:�^i,�/ �� •�"-��`�� i Job Identificetion 331 EAST 2�7'H ST. , Costa PAesa (C. Borus) �94%�J' Location in Structure S�VIM POC'�L EAST BOND Bc.4M GUNITE LABORATORY DATA LaboratoryNumber , t�q214 84212-A Mark A B C Datemoulded 6/7/63 6/7 6/7 Date teated 6/14/63 7/5 Age,daye 7 28 . �� Weight per cu. ft., lba. �� Dimenaione, (inches) 6.1 x 11, 8, 6. Ox 12 , 2 6. 0 x 11, 9 � � Area,sq.in. 29,22 2d>27 28,27 � �i Compresaive Strength _ //� � p ,,Yj (l� Total Load lbs. 32, 000 • /y l'l� I ( Lba. per sq. in. 1„095 MIx: Cement Sand No. 4 No. 3 No. 2 Water 1: 4-I/2 � 1- Anthony Pools �,,,.�L Costa Mesa °ldg. Dept. CF-2 FIELD DATA Speciffed Sfrenqth @ 28 days 2000# Slump Admixtw•e Ready Mix F'lant Cyls. made by Anthony Pools Date cyls. delivered �y Laboratt� Reapectfully su RAY�fOND G. m (lvillie Jetter) �3 ' RECENEO �` JUN 2°,�, 19E3 .'—` Ci.ry of Costa Mesa � Buiiding Dept � ABOHATO , Inc. � 235 WEST TWENTY-SEVENTH STREEI • LOS ANGELES 7. CALIFORNIA ••RICMMOr�O 9-3111 � C I T Y 0 F C 0 S T A M E S A CALIFORNIA P.O. BOX 1200 FROM THE OFFICE OF TI� PLAMJING DEPARTMENT Auguot 3� 1964 ttr. C. Ba�u3 331 E. 20th street Coata bleso, CallYoraie Dear Pool Owner: The Costa Mesa Planning Department has been notified of the completion of your swi�ing pool. So that your pool will be a safe one and Por the purpose of advising you oY your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298•9� 1. No swimming pool shall be constructed closer than five (5) Yeet to any property lines, measured From water line of pool. 2. No swimming pool shall be conetructed under any electric power lines or on any electric power easemeat. 3. No swi�ing pool shall be constructed unless the.yard surrounding such pool is completely enclosed by a Pence six.(6) feet in height and have a self-closing and locking type gate or gates. �ye courtesy letter is directed to you so that you will be aware of our ordinaaces and can make a complete safety check of your pool area. Sincerely yours, /� �� , :� �� c� �` ,�%r�;,�, ,(°' U•U,.� William L. llunn Director of Planning r�� , . C I T Y 0 F C 0 S T A M E S A CALIFORNIA, P.O. SOX 317 From the Office of the P2anning Department Regarding Suilding Permit No. 1�� Date: �8�1 15� 1�4 Location: 331 E. 20th 6t. Dear Pool Owner: The Costa Mesa Planning Department called at your property to inspect the Swimming Pool. Our interest in pools is for the purpose of safety and to be sure all provisions of Section 9298•9 of the Municipal Code have been met. Section 9298•9� l. No swimming pool shall be constructed closer than five (5) feet to any property li.ne, measured from water line of pool. 2. No swimming pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is complete�y enclosed by a six (6) foot fence or the pool itselY is enclosed with a fence six (6) feet in height and hav- ing a self-locking type gate or gates. Note: (Gate should close and latch on a free swing). Your pool will not receive final approval until the requirements of the aPorementioned Section o£ the Municipal Code have been completed. The following disposition is noted in reference to your pool: [) No one was at home. (g! No springs on gate. Gate needa raepiag. Q Improper latch or defective hardware. Q Wall surrounding pool not 6` high. ❑ Other. � Telephone 646-2411 and ask for the Planning Department so that an appointment.may be arranged. Since you have incurred certain liabilities through the installation of a pool, it is requested that these matters be taken care of as soon as possible so that your pool will be a safe one. �' � ��''�� Sincerely yours, � ��'"��''�a� �`� By G � o-�,� 4� �� Planning Technician ��. �c.L� C I T Y 0 F C 0 S T A M E S A CALIFORNIA� P.O. BOX 317 From the Office of the Planning Department Regarding Building Permit No: 194ii2 bate: p-p7-(�} Location: Dear Pool fhmer: E. 20th St., Coata Mesa The Costa Mesa Planning Department called at your property to inspect the Swimming Pool. Our interest in pools is for the purpose of safety and to be.sure all provisions of Section 9298•9 af the Municipal Code have been met. Section 9298-9: 1. No swimming pool shall be constructed closer than five (5� feet to any property line, measured from water line of pool. No swi.�ing pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely encloeed by a six (6) foot fence or the pool itselP is enclosed with a fence six (6) feet in height and hav- ing a self-locking type gate or gates. Note: (Gate should close and latch on a free swing). • Your pool will not receive final approval until the requirements of the aforementioned Section o£ the Municipal Code have been completed. The £ollowing disposition is noted i.n reference to your pool: I� No one was at home. • ❑ No springs on gate. ❑ Improper latch or defective hardware. [J Wall surrounding pool not 6' high. �] Other. [�c Telephone 646-2411 and ask Yor the Planning Department so that an appointment may be arranged. Since you have incurred certain liabiiities through the installation of a pool, it is requested that these matters be taken care of as soon as possible so that your pool 1 be��.///a safe one. 4�� s�� ps Sincerel Y Yours, , ��0`� �� "'�� \ � �"�� Planning Technician '�' ��--"4 t 6476 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MHBA. CALIFORNIA For Applicani to Fiti In Compietely TYPE OR, PftJNT �p 0 �" BUILDING 3'3 � E�y,�- �15 ,3�'n�� ADDRESS COSTA MESA CALIFORNIA � ARCHITHCf' TEL. NO. OF BLD68. etT9�uc L�xa RaOm �, REAR YARD CEMER OP BTii¢LT SIDE YARD ILEFT I RIGMT DESCRIPTION OF WOR NEW I ALTERATION I IIADDITION REPAIR I IIMOVING I IIDEMO�ISH BUILDING NO. OF 81ZH ROOMS STORIES EXTERIOR WAL ROOF COVERING l�LGO COVERING J USE OF BUILDING D W RK TO BE PERFORMED Q� ?G P A�_�//�_ T�4/V �EE RECEIVED �fEB 271962 fINANCE DEPT. , CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only R6GEIPT NO. PBRMIT NO. BY COSTA MESA. CALIFORNIA " ZONING ZONE NO. OP U88 OP N6W - R—� � Pu�a z a��o,�a � �o.� p L �- zas ,�,� oeacxirr�ox �I' a • P N(] I/V � I / / � �� / �f IC[HTlH YN6 BTJ FRONT y�• L R. SIDE � �. s�oe � 7 � e�se 1 7. 3 APPROVED GTF �I� � iJ I NEREBY ACKNOWLE�OE TMAT 1 HAYE NlAD TH18 MPUWTION TH6 AMOUNi BHOWN UNDER V�LUATION IB POR TH! AND BTATC THAT THB A60VE 18 GORRECT AN� AGREe TO GOM- pURPOBE Op EBTABLI6HING A PERMIT FEE ONLY. PLY WITH ALL CIT' OIiDIN�NCEB AND HTATE LAWB REOULATING BUILDINO CONBTRUGnON. VALIlAT10N SIGNATURE OF � �� PERMIT FEE $ ��— PERMI7TE 7 3 �S x (%L $ / / PLAN CHECK $ IO �✓ O � AUTHORIZED '. � OWNER BORUS. C. DATE JOB ADDRESS 331 E. 2OCh St. BUILDING PERM[T N0. 7�!}(�9 JP ,7 TYPE SUBCON'PRACTOR . �:.. :_ . , COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING AD�RE55 C05TA MESA. CALIFORNIA OWNER MAII S�E ADDRE55 .. _ T.E�I,I 841� ■ ARCHITECT 5871 FIRESTONE BLVD. ' SRE ^T 7 �J/��„ ��1 � u0. OF,BLDGB. � -� BFTBACB LINB FPOM �+ cENTeR OP 6TREET REAR YARD SIOE YARD I LEFT 30' 6" I RIGHi 1 S� DESCRIPTION OF WORK FIRE LEGAL ; EE �3�CEIUr� MAY20 1963� FINANCE DEPI CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only 331 E 2"OTH " COSTA MESA, CALIFORNIA TYPE , GROUP S DATE ONING � I PLAN6 �� I BUILD�NG EW � ICENTBP LIN! 6T.1 0 NEW I%�IIALTERATION I IIADDITION I REAR � FT. IN. REPAIR I IIMOVING I IIDEMOLI6H I BYPROV � TE %� V S=EDING ROOMS STORIES HOLD FpR SP _�„ EXTERIOR WALL ROOF � „�'�%= vii f.i�l� GOYERING ICOVERING USE OF BUILDING AND WORK TO BE PERFORMED PRIVATE SWIM POOL I HERHBY A OWI�DOe THAT 1 XAVE READ THIB APPLIGTION TXE AMOt1NT SHOWN UNDEP VALUATION �B FOR THE P Y WIAT ALL CIN �RDINANCES AN� e� A I.AW9 e6ULI.11 O PUflP098 OP EBTABLIBHIN6 A PENMIT FEE ONLY. '�� %J��,�. '$ Z�OO�OO PLAN CHECK S / AUTHORIZED AGENT C��:.N"`��'� J O TOTAL FEE 5 � _