HomeMy WebLinkAbout2095 HARBOR BLVD - Building Permits OWNER WARWICK, DR. H. A.-. DATE 4-21-60
JOB ADDRESS 2095 Harbor Blvd. BUILDING PERMIT NO. 11825
GENERAL CONTRACTOR Century Neon VALUE $ 150.00
AP. No. 115-291-52 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Elec. Roof Sign
INSPECTIONS DATE I GROUP TYPE ZONE C-2 ,
Underground SolU.G. Water PERMITS ISSUE
Underground Gas — — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous _
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final _
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power //
Rough Wiring p'/e_ -t< Y L. . y- 2i - //Zoe
Trenches Forms Steel _
Floor System _
Steel Reinforce Chimney Re-Rod _
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final
OCCUPANCY
Form 210-5M-11-59 S-B P
-11825
ADDRESS OFBLILDIND: 2095 HARBOR BL UNT: CITY OF COSTA MESA — BUILDING PERMIT
owNEi N tEIF 1oml: DELBERT WARWICK I PERM NO: P 073921
ADORES% SAME I
PERMIT NO: P 073921 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MMLDIG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OREJCIEEDD: UC,NO.: JOB DESCRIPTION : INSTALL BACKFLOW DEVICE IN H2O MAIN SQ FT:
ARCH.OR ENG'S ADORESS: UNT:
CLAIM VALUE: CALC—VALUE : GROUP OCC : B-2 /
OONIRACTORSNAIt DIAL ONE AA ALL ROOTER ( 714 ) 540-8400 •
CONTRACTORSMAIWO 3042 ENTERPRISE COMMENTS: X
ADORES3: C.M. CA uc.No.: 467194 *fit*♦E*irk**lf%x-i(-♦EiEiE+t-3t****ifiElE***St*rt*iEdtifx-ifdE*fEiEiEX-****dEit-1ElEik*****1E***3t*************x-*#irk*
92626 WIT: F ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby elm under penely of perjury that I an,licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license is in full force and effect.
C LD.NO.: 039163 LIC.CLASS: C36 LIC.NO.: 467194 EXP: 07/96 MAIN BUILDING ACCESSORY BUILDING
7cp FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
'ate: �'(�'/S Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OW R BUILDER DECLARATION:I hereby affirm under penalty perjury that 1 am exempt front the Contractors License Law for the
b1 ing reason(Section 7031.5 Business and Prolessions Code:Any city or county which requires a permit lo construct,aver.improve, PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
ofah,or repair any structure.prior to its issuance,also requires the applicant for such panne to file a signed statement than he or she PLANNING NOTES>
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Dirision 3 of the
Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a permit subjects the applicant to civil penalty of nig more than the hundred dollars POOH. *******************************************************************************
❑ I.es owner of the properly or my employees with wages as their sole compensation.will do the work,and the Verdure is not intended DEVELOPMENT SERVICES REQUIR EMENTS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply loan Owner of property
who bolds or improves thereon,and who does such work himself or herself or through he or her own employees.provided that such
improvements are not intended or offered for sale.If.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
El t as owner col the property.am exclusively contracting with licensed contractors to construct the project(Section 704e,Busiest and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does nor apply to an owner of property who builds Or improves thereon and who
contracts for such projects with a convadoNa)licensed pursuant to the Contractors License Law). )
❑ l am exempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED BY: Ila DATE: , r -
********************** ********** . . . . **
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SIGMENT:N
I do hereby certify that I am aware of and wderstand the requirements of Calio is Health and Safety Code Sections 25505.25533.and
P55•N,andlhat n or any Mum building serpent win/wit not(circle one)need tocamply with said statemdea andthe requirements Is BLDG PMT PLUMBING ELECTI(IC MECHANIC FIRE SMIP/RES GRADING
a perm(for construction or modification from the AraireTyty emgement District.Residerael carer—action appicauken are exempt from these
provisions. PERMIT 7 . 00
Date: Applicant: 25$ SMIP/NON RES
PLAN 1
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of calory one of the following declarations: ISSUE FEE 20 . 00
❑ 1 neve and wil maintain a certificate at torment to self insure for workers'compensation.as proWied for by Sachs 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for which cher permit eissued. L TOTALS----> 7 .00 20 . 00 0 . 00 27 . 00 27 . 00 . 00
I have and will meinsn workers'compensation insurance.es required by Section 3700 of the Labor Code.for the performance of the
work for which this permit is issued.My workers compensation insurance wrier and poky number are:
Carrier: CALIF. COMP . EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 27 . 00 OVER/SHORT : .00
Policy Number: W95 /10902 / 07/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the name is for one hundred dollars(5100)or less) 27 . 00
certify that in the performance of the work for which this panne is issued,I shall not employ any person In any manner so as to
subject to the workers'compensation laws of California.and agree that if l should become subject lo the waken' *******************************************************************************
nsation provisions
of Section 3700 of the Labor Code.I shalt forthwith comply with those provisions. IND I V IDUAL F -E E BR E AK DO W N
D ec pa
S.,7 Z c/ Applicant /j,
aming:Fe/lunosecureworkeve'compensation coverage isunlit I,and shall subject anemployer tocriminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($1040001 In eddl to the cost of compsnse on,damage.as prodded or In
Section 3706 of the Labor Cod,Interest andalomey°lea PLU 1 BACKFLOW PREVENTER - • 7 . 00 7 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under Penally of Perjury that there s a construction lending agency for the END • OF' FEES
performance of the work for which this pass(is issued(Section 3097.CH.C).
LENDER'S NAME: EXPIRED
LENDER'SreADDRESS: La__�y` }�ED .
Ind sty that have rend b�a ng cont and cine that above iize re nese is correct ecloses comply wish at Sy and county ordinances
�f{lJ`
and stale rows relating hugdkhg construdlon and hereby authorize representatives d this city to enter upon the above meruioned propend t5 I �'y/� 1
for inspection proposes. b _ • — 1 9. V
THOMAS MILLER
Print Name
{ OF 03?8o956-00188°`6 TOT 27.00
7 Signature of aug
ownewAwkw oder" 23 9S DATE: 03/23/9S TIB 14:53
•
,) (51 1<6.WP) Wile-Buldig&Safety:Green-Fb:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor '
CONSTRUCTION AND PLANNING PQi SPA
APPROVALS Permit# • Date Inspector APPROVALS Permit#. Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3..,Electrical Conduit Utility-Undrgrnd. 54. Forms, - •
'47 Electrical Conduit^Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. . •
60. Backwash Lines, P-Trap, 0 Undcgrnd.
10. Structural Floor System - • 61. APPROVAL TO DECK
11. Property Sewer Line& House'Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System -Final
14. Rough Plumbing 65. Etectricat-Final '
15. Rough Electrical-Conduit _ 66: Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval •
17. Rough Wiring Sign _ 68. APPROVED FQ R-P LASTER ING
18. Rough Electrical-T Bar Ceiling -69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - .. - APPROVALS Permit#
21. Ducts,in Structure _ 70. .Underground Hydro
22. Ducts, Ventilating 71. Product Piping b Gas 0 Oil ;a
23. Gas Pipe-Rough & Test • 72. Underground Flush
24. Roof Framing . 73': Undergrnd.Storage Tank,❑Gas OOil v a
25. Roof Sheathing 74. Overhead Hydro rr...- .
^rc
26. T.Bar Ceiling (Structural) & Monocoat 75. Dry Chemical u
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing& Siding -: 77. FIXED SYSTEM FINAL
29. Insulation 78; FIRE PREV. FINAL
30. Drywall Nailing - '.HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - - 79. FINAL INSPECTION
32. Electrical Power Meter-Final ' • 80 FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34, Final Heating Sc Air Conditioning _.1 I
-13;"--9S7 5
35. Final Gas Pipe-Test .: . -t Z O.tL/ 69
36. Hood or Canopy - t -
37. Final Factory Fireplace
38. Final Plumbing ' ' •' •
39. Water Service-Final
40. Gas Service-Final-
41. Solar Domestic-Final • ' '
6-
42. Backflow Preventer •
-
43. Backflow Irrigation . • -
44. Landscape Irrigation System , .
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING r
48. FINAL PLANNING
1~
49. Electric Release to Edison ti - '
50. Gas Release to Southern California Gas Co s'`'
51. CERTIFICATE OF OCCUPANCY
No. Date
(4
• 13183 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT Z 3 196V
` P.'O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT..
For Applicant to Fill In Completely APPLICATIaIT * OW MESA
TYPE OR PRINT
BUILDING ��JJ `/�/j 1.�T (�( BUILDING
ADDRESS •G 0 7� , A'I 4 0 tg7ti '
COSTA MESA. /CALLIFO/R(NI�A r Ala
For Office Use Only
OWNER /7 .��C/I/ 2• /✓4%�P'/ /1 /'lei I RECEIPT NO. I• PERMIT
MAIL RECICZXY DATE R_E�JEI DATE ISS HD
ADDRESS I oK �d /_-/���
CITY (O c5 r4 nett.* NO. BUILDING
T L. ADDRESS
OR .ENErE�R 5044 (t.,/tri-��I'N,1 IS faE t/IL.F✓ COSTA MESA. CALIFORNIA {,./
ADDRESS c.[cle3 /y.c{ypaegr /�/j L kIL) FIRE
ZONE �TYYPE� �V// GROUP / ///y7,�
CONTRACTOR .?,/L/ a h /%I/�j(l r)(//V APPROVED / ,y L / ATE// JS/ e O
ADDRESS !./,2 .2 d /•G 1\/! NINGlIP�'� 41Ate,
4/4.e71/..°41
(� J ft /{ / , I EO�Y I NO.OI /� I USE OP NEW
CITY /�" '�� ///I r .!l kf//' •r PLANE / BUILDING
-A2'"40.>
//> .
LIC.TNO./Lf 3 7 .7 f)'o 1 NO. G -?... ✓ iS" DESCRIPTIO1JJ • i •/
SIZE /I / / NO. OP BLOCS. A ,
OF LOT 4 {Y /(� O I NOW ON LOT A.P.NO. t/ � fi ,,_.
EXISTING BLDG, / C/J,5/CAC ('U/C�)I A'/ti' APPROVED ( ALLOWEDE/VES
-4 � 'el�.-
SETBACK
CENTER OFLINE
STREETFROM
(p V REAR YARD .c j" FRONT
O(CENTER LINE ST.) LOFT. �/L- 1/"'+�I^'/"IK.
SIDE YARD I LEFT Lr/ I RIGHT l' R.SIDEcal•—FT. J.( )( I IN.
_ DESCRIPTION OF WORK •
f ea.{''yy
L.SIDE 7 FT.
/‘44
, IN.
NE%. I II ALTERATION I II ADDITION I X REAR J/C La LIFT. /?j/_IN.
REPAIR I II MOVINGNI II DEMOLISH I APPROVED .fh Y y // DATE 1D46
BUILDING / g T I I O. OF g `i f-,c-6.- (92-9/_-,
,.. 9.---- (
SIZEUI . 7 O 0 ROOMSOF .(� STORIES ..//--
CXTERIOR WALL{,�L//ice COVERING COM. /'. // �I /
COVERING � JO 6 0 .
USE OF BUILDING �D/WORK TO BE PERFORMED
f/C O 777 ,Q,I
A/F/�/C A / id 0/ L D//Y �C��j1.O�R �P)r ''4P19U�IRFM 'TS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TN6 AMOUNT aVN UNDER VALUAT IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION 144-
PIGNATURE OF • //, QDD 7PERMIT REE $ �![7/ N
PERMITTEE 01/ /
U �� X19
ctiiv!.d e J%/ ...... ..„,,',./ S PLAN CHECK S 02,2 -- 4
AUTHO IZED AGENT E
TOTAL FEE o
�
�� � V
COSTA MESA BUILDING-SAFETY DEPARTMENT EE REp,C--I,,EIU a1E w
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATId$ftoi fah MESA
TYPE OR PRINT BUILDING
BUILDING 1 yr ,,,,�,&o,e. 8t ' -
ADDRESS �j(/
COSTA MESA. CALIFORNIA
S For Office Use
se Only
OWNER �� • A/4- Iv94yie/` I RECEIPT NO. /WX
r5f.....-
CR....S, BY DATE RECEIVE� IODAlE DMDDRESSfgvpr _fr4�e/7 8��,. c_,z i- 6 -/ l/ od
CITY vU• r/ MiSA' NO. BUILDINGA %i-:Liim.^/ 4iA �/ -Le
AP 'TECT TEL. - COSTA MESA. CALIFORNIA
OI .INEER NO
ADDRESS • FIRE
////,�..II�.' ,�/�.• ZONE TYPE .A isa O�U{P//111' /1/ ,{
CONTRACTORR�/(iL-thra/ /Vied ed
APPROVED
62rDATE j '// (Jp
ADDRESS l'e X ~�T et"`a - ZON�IING J
N✓1/ nelf. ZONS1 NO.IDF I USE OP NEW 1
CITY /' / gel ��(( 1 ,` (� r PLANE l//'/ BUILDING
LTC.TNO.I / l �O� -CTS NO. i i.&-oZfrLDESCRIPTION // 5 C9 /--- 5- )"..----
SIZE I NO. OF BUDGE. "-----09
IJ, -
OF LOT NOW ON LOT A.P.N ,� //���/+1 , -I'PMEw'.,(i�i//
USE OF YARDSTTTT �,�,�'�' EV S
EXISTING BLDG. _ APPROVED ALLOWED
SETBACK LINE FROM ICENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT �FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. IN.
DESCRIPTION OF WORK
L.SIDE .....-'94T. IN.
NE\ I I ALTERATION I ADDITION I REAR `'A�/'-/{%//_T. (i
IN.
REPAIR I II MOVING I II DEMOLISH I BYPRO 1 -r DATE Y' '-?/-O
BUILDING NO. OF (/ 0 c.v.?
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING I
USE OF BUILDING AND WORK TO BE PERFORMED
�Gg�72<G ,f'/G.t/ � / Jam,
t
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEB ONLY. '
PLY WITH ALL. CITY OROINAN AND STATE LAWS REGULATING
BUILDING CONSTRRUCCTTI, . VALUATION 2
_____-
SIGNATURE O j ore L {1 OU/ PERMIT FEE $ -
PERMITTEE Aft
/V/ ✓ e_
✓ $ (� PLAN CHECK $ '�
AUTHORIZED AGENT ) 2
TOTAL FEE $ ry E
✓ .
•
#30 peel
k.
•
Sy
y990M h��--- — mar
-SOPIWIN3 _\
, z 1
arON193V/1 1.1
� r " /
.,T..
5933
EEE RECEIVED
COSTA MESA BUILDING DEPARTMENT \\,I✓
P.O. BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA (;IOE,(; jj MESA
FOR APPLICANT TO FILL IN APPLICAYTION�SFORPERMIT
BUILDING
Q. 7? NAdr®o4' eZ 1/40 BUILDING
COSTA MESA. CALIFORNIA •
FOR OFFICE USE ONLY
L �JL / p RECEIPT NO. (PE4! T NO..
OWNERc4i hK�/./f 4 k'A4'Y/6 Ilia ✓ / ZS
MAIL RECEIVED //BqATE RECEIVEDu, DATE ISSUED,,,
ADDRESS �n /O 23 V-7 (�-- 1 L. )7
TEL.
CITY pp INO. ADD ESS 2O ¶ lid•-t- 170 �,
OR INEER9, ,Er I1/Ll't AA-4;g:I-'/'37/J/ rFIRE
COSTA�{ MESA. CALIFORNIA
ADDRESS AWm/ t'ilI' ZONE /
"/�_ / /L� 201/r/ NO.OF TYPE GROUP
CONTR ea/A/700 E /&##.2i1: I - PLANS _�
.ADDRESS ' w I . 'O• • r NO. / O-IOy BY ROVE .
fiLyw DATE G '-q O/ ' 'I.
LEGAL LOT r IONS
DESCRIPTION NO. O BLOCK .
A.P.NO. I)/ 45-..-.-;.• / /.- U / ` y{. /'� ]yy y�
SIZE ! ^ /,i O NO.WO F B LDGS "oze. (in CPP R OVA C ■
OF LOT Q NOON LOT NN ALJ AM ••ll V JFJ■
USE OF
EXISTING BLDG. -ItA. CITY OF STA MESA
SETBACK LINE FROM /f /$ ./ PLC,NNIKG DEPT.
CENTER OF STREET e C. /D, REAR YARD y/ SUBJEC1 TO Ett'OG. DEPT. REG
SIDE YARD RIGHT LEF /91
DESCRIPTION OF WORK , "'tee--a�7e-E frA//5P DATE /0"--;--;):\,57
PLAN TLCM�ly,e1
NEV XIALTERATION IADDITION
REPAIR MOVING DEMOLISH
BUILDING'{Witt)
t 70,/G NO.OF
SIZE .J/ p( rJ ROOMS �/ STORIES /
ROOF
COVERIN
EXTERIORG rrJJ WAL L;T0C`0 COVERING Gelm p
USC/7 / CrI/ /� •//� (/�J
BU/EL�L�L�OF 777IINNGEW V / G A��I C // t.G 4 3. i Di _
('O/`Er 9... tVr1.,, ,:i< 0fYC!-w.1t /c'%,14•`L
\\• ftv#Ie1. OSA/ flak% D.� ON r- -m nate( „%w H)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
I CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION
SIGNATURE OF / PERMIT FEE $ 3 Z
PERMITTEE
/Z5
/- f `/A w w „ I v $/3�99s PLAN CHECK $ / �//�
AUTHORIZED AGENT ✓vf/��(/Y l./ TOTAL FEE $ yJ `iF
Costa Mesa Building DepartmentAPPLICATION FOR PERMIT
t
111 EAST 20th STREET BUILDING
1
,• - COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
Building V want Lot S�LJ Cor. f7,422._i +TnII --- -.Receipt No. Permit No.
Address •
and Harhnr, �09� ti.0 o-2/ tr l S
Costa Mesa, California Received by Date Rec'd. Date Issued
Nearest Hamilton I 17,.•y5 }
Cross St. Building
Address 2-0 77 NA le,s QA. •
Owner Mrs. Edna M. Davenport • Costa Mesa, California
Mail
1752 Plaza Del Norte
Address Nearest
Tel. Cross St.
City Balboa No. Zone 4 I No.of I Type / I Group
Architect or Lic. a.�'Yt'Plans VI
Engineer No. Approved
by Date
Tress CORRECTIONS
City tic.
Contractor Dike & Colegrove No. 2707
Address 419 E. 17th St. Costa Mesa
Legaltot ,
Description I No. I Block I Tract _ P� % T I.
(Attach Metes and Bounds) •1,
No.of Bldgs
Size of Lot I Now on Lot 2b 19550
Use of I I A
Existing Bldg. IIOIIB Families Rooms _ _
E)
Setback Line from Rear Yard
Center of Street Side Yard - CITY OF COSTA MESA
DESCRIPTION OF WORK � r
New I I Alteration I I Addition I
Repair I I Moving I I Demolish I "' '
Building No.of
e Rooms Stories
errorWall Roof APPROVALS
Covering Covering
U
Buuiildingof Foundation Location Inspector Date
g Forms,Materials,
Temporary 81 x 121 sign Under-Pinning
601 from Harbor, 501 from Hamilton Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext
with all City Ordinances and State Laws regulating
building construction.
Signature of Plaster,int.
Permittee DIKE AND COLEGROVE
(� C�
'�i�, I .t/1 Plaster,Ext.
Authorized Agt. _
Masonry Reinforced
Valuation Permit Fee $
Plan Check $ / 're" Bond Beam
$ 48.00 ,TotalI. D i � -Z S3'-
Fee $ FINAL
Ff1RM 204 G•H 2M A-54
J .._ - c -
o d.
a. - — . @ .
0. .
•
COSTA
r . • .41-q. 2`:55FI SA•94aR f^'•:t i.5C
rpp•
- ' � Zr . .
•
_. _ . - - J -
'c = - ,
t
• h. -Sa • > _. . _ . _ _ _ . .
__
Go} -
Street Vc.. . -
,. -y •
' 1 -
•_.___ _ - - -.-
PLOT PLAN ,
' Show location and distances from n-. - , . r. _ _ _ _ . - .
property line and between buildings. .�r
.•❑
i . 4 . . } } -
. t,•.' I - .. 1
., .r'a: v
- - - . ..
...•1 .. .. . . -
•
. .. •
•rr
r;.•• •^.
C STA MESA BUILDING DEPARTMEN- • . -
111 N st 20th Street _ S' S ���
Costa Mesa, California / �
Date 7/ /.r `�`
8
CITY OF COSTA MESA
CERTIFICATEhh _ OFSCCCUPANCY /ad..XX�.',j
so
Building Permit nn}Jo•�.!�Y&f5.Electrica/l Permit�lNoS74 ./ Plumbing Permit No
Use of Building..Lll.QS7.L..0 W' .0 0 F C�ee f
jaThe building located at. . VFW"1e..So�Q ,I i .".C.2#4.&
O k'oo- n..1%T.sIi 4a /4.9..�c7-r,F.4.... itn7.erret. e tr-ei A7Z
itpasc, 2 o �t i P / e f.. : ufcw L J
Lot Bloelf`S .e I..�' 1'Tract....I� 4 t R.1�J
(See reverse side for Metes and sounds)
has been inspected and found to comply with the provisions of all City of Costa Mesa Or-
dinances applicable thereto for a Group.. a Occupancy.
ISSUED O: .,,[ A. J.9io .
'� R/ .:� w .' /nb of Building) �J i€0 -- /2(Owner
CC: 0 Original—Owner 0 1st copy—Gas Co. 0 2nd copy—Edison Co. p2fd copy—Flle
Form 206 GH 1M 12-99