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HomeMy WebLinkAbout3201 IDAHO PL - Building PermitsApD���ant to fill in all spaces except tM1ose wit�in neavY Oortler Iines anE sign all appropriata tlaclarations. 43I.6 6/�6/85 - �!�a`c�D j.� �_► . _� GTY OF COSTA MESA CON'j�ST�R)UCT19N PERMIT P RMIT N� ,/ T3 � a5 LOTl.NQ. UNIT N0. - - - -� • ProjectAddress Szo� �✓Q�1Q C�. L`G` . Applicant's Mailing Addsess � TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR <L_-- �� _ ❑ CONVERSION ❑ DEMOLISN ❑ OT� q.p.�6 �D8 � Zpne� Owner's Name ��lC.L'L Phone DESCRIPTION OF WORK/USE OF BLDG. �- Address ��I ( a�� �• " S Main Building: Acressory Buildin9: Arch/Eng. License No. TYP�F PERMIT GRADING FOUNDATION STRUCTURAL T FrOnt L' O Address � " TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Reef O� ' N Convactor's Nam Phone �'OTHER � . C RigM Q� � N Addreu Imailingl . PROJECT DESCRIPTION SQ. FT. �� OCCUvnrv�V/�.. . y CONSTRUCTION TVPE VALUATION $ �W S L¢ft �� G Ciiy Licens¢ No: - ZONE GRADING CLL VOS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E Q I her¢by atfi�m [ha[ I am licensetl untle�, provi5ions of Chdrter 9(commenCin9 Remarks: ' Planning Notes: wilh Section 7000) Of DiviSiOn 3 of the Business antl Professlons COtle, antl M my Ilcense is in full torce antl efiect. . . T License Class _License No. � � S Pate � Signature PLUMBING FEES ' • WORKERS' COMPENSATION DECIARAT�pN Bar Sink Showef5 1 hareby afflrm that I nave a cerfificate of consent to seli-insure or a certificate � . ELECTRICAL FEES i of Workers' Gompensation Insurance,' or a certifietl copy thereot (Sectlon Backflow Preventer ' Service Sink ` � � 3800, i.ab. C.) ' �lutomatic Washer Transformer ❑ 15-50 KW , i .• � SO+KW Policy No. " -Company Backflow Irrigation Sewer Cap Constr4ction PoleSub. 8 Certifietl copy is hereby tumishetl. � � � ' Certltietl copy I5 flletl with the city Builqin9 Divislan. BethtUbS $¢w¢f COnn¢Ctian COOkiny Uni[ Meter �up t0 1003mp5 Dat¢ AOP�Icant " EXEMPTION FROM WORKERS' COMPENSATION DECLFRATION Clarifier5 Solaf CollectOrs Di5hwa5her Meter �over 100amp5' � (Thissection need not be campletea ii tne,permit is tor one hunarea (E100) or Iess): .�'- Diihavasher , Solar Pipin9 Dryers ❑Gas ❑Electric �Suh Panel � � 1 cerlify tnat in the OerformanCe ot [he woYk for whith thi5 permlt I5155ueC, I � shall n t employ any person in any manner so ta be ubjett to the Drinking Fountains Solar Tank Fan Motors 00.1 HP �1'h- 8 Work s' C m ns ion laws ot Ca "t rnia, , . Date ' Si9nature ` - Floor Drains' ' Swimming Pool w/Spa F.A.U. � 'NOT C. 11, after making this tlecla tion, ypu shoultl become subject to the _ ��0. 5018� 09-15 HP 016-15+ Workersi Comp¢n5dlion provisions t the Lybol Cotle, y0u must tofthwith FIOOI SiOkS Ufindl - FI%Luf¢5 ' ' MiCfOwdV¢ � - comply'�'wilh such provisions or �this P¢rmit Shall De tleemetl revoketl. CONSTRVCTION LENOING AGENCV � ' " GdSServic¢ .Outl¢ts WetelClOie[ � • . DeviC¢BOx¢5 � , 1 hereby afflrm that lhere iz a construction lentling agency for the per/ormance � Pole Light oi th¢ wo�k .tor which, thl5 pe�mit is Issuetl (Section 3097 Civ. CJ Interceptors � ' Water Heater �Outlets : Ran 2 ' lentler's Name 9 Lenaer's Aetlress Kimhen Sink Wacer Service ' ., Switches Sign ' OWNER BUILDEN UECLARATION ! - � -- . ' I hereby affirm that I am exempt from the ConVactor•s License Law for the Lavatories � Auto-Wash ^'f Garbage Disposal ; Standing Sections ' • � following'reason (Sectlom•�031.5-Businessantl Professional Cotle: Any tlty or . _. _ ` _ ` � � county whicb requires a permit to wnstruCt,alter, improve, tlemolisb or repair P-Tiap' . '� Laundr -Tta s' 1 "- -- - - -- -- + any st�uGtuve, priOr [o its issuance, also �equir¢5 tne appliCant f0� SUCh po�mit y y Generator �65 KW 05-15 KW T�aSh COrtlpdCfO/-- - -- to /ile a signed statement that he/she i5 lipensetl pur5uant to the prOvlslon5 of Root Diains �^ � " � ' � � ?the Contractor's Lkense Law (Chapter 9(commencing wlth Sectlon 7000) of � • � ' Division 3 ot the Business antl� Professioqs Cotle) br that he/she is exempt - . _ therefrom and.tM1e ba5i5 for the allegetl eX¢mption. Any viOlatlon oi Section . � - . � � , 7031.5 by any appllcanl for a permit subjects the applicant fo a civil . - ' p�¢ Iiy of not more than five nuntlretl tlo118rs (5500).' . . � � � . ~ , ' .E� I, as' owner of Ihe P/operty or my-emPlOyees with wd9es a5 thelr sole ROinspectipn F¢B . $15 IsuB Fee � $ 3 ' . compen5ation, will tlo tne work, antl the it�ucture iS nOt intendetl o� offeretl . � ReinS ection F¢e for sale (Section 7044, eusiness antl Pr��essional Cotle: The Contracmr's ' MECHANICAL FEES P $�5 Issue Fee � $ 3 L1C¢n5E LdW tloe5 OOl apD�Y t0 an ownBf of a plop¢f[y wM10 bWItlS Of IffID�Ov¢5 ' - thereon, antl who tloes such work himselt�herself or throu9h hls or her own � - DEVELOPMENTSER/�VICESRp E �7y RE NTS: � employees, proviCetl lhat such improvemep�s are not Intentletl or ofleretl�for Boiler "• �'_ Hood or Type I ❑ �: ' Zo�i�B Approved By U���/ �'� w Date sale. If, however, t�e builtling br improvert�en[ is soltl wlthin one year of com- CanOpy Type II ❑ � � /, ] � oletlon, the owner will have the burtlen oi proving he/she Gitl not builtl onlm- Duct - Under Ground f8uilding ApproV¢d 6v �/ A Data �rOVG tor Ihe purpOse of sale�. I, as owner oi the oroperry, am exclusi'v¢ly mmractin9 wlth licensetl con- Duct-Sttuctural Reirigeration System � • Appliration Issued By ��� - Dat Vac[O�s to cOns[�uct the projec[ (Seclion ]b44, Busine55 antl Profes5ion5 Cotle: �" The Contractor's License Law tloes not apply to an owner oi property who Duct - Ventilating ❑0�100,000 BTU ❑100,000 BTU , SU MARV OF FEES � bulltls or Imp�ove5 Ihe�¢on, antl wh0 cont�ac[s for SUCh 0/OjeclS'witlt a con- ' �j. Sv �.Q tra<tor(sl Ilcense pursuant to tne contractor•s Licenze Law). I am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ `t� SMIP ,$ proot of thev Worker's Compensation insurance shoultl Ce provitletl to me. . P�AN CHECK $� I�' %i� ,- pERM1T ❑ 1 am exempt unaer Section _ B. P. C. for lhis reason FirepVFact.6lt. ICBO # Fire Dampers • PLUMBING $ �SSUANCE $ D t � — o ' �.-�- ' Heating System & Ducting Registers . � � 'pLqN CHECK 25%' $ � ENERGV P.C. $ , I her by certify-that�l have reaG is�application antl state that the above � -� ❑0.100,OOOBTU 0100,OOOBT •� - � � � �E�ECTRICAL � � GfiADING $ information is <orrecL I agree to c mply with ail tlty antl county ortllnances i � . $ antl-state laws relaling,to bulltling <onstr4ctlon, antl hereby authorize repre- , • . ' ,PCAN CHECK '50°,6 $' MICROFILM $� sentatives-ol this tlty� [ ent¢r on the above-mentionetl pro0erty tor . � inspectio rposes. ' // / y : � � ' MECHANICAL Signature �`� Date ta v � $ TOTALFEE � $ � �'23 Orivers' �License or�55 � $ Reinspection Fee $15 � laue Fee $ 3 'PLAN CHECK 25%� $ CMF 0865-4fi, rev. 30/B4 White - Builtling; Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Assessor � � CONSTRUCTION AND PLANNING ' POOL & SPA APPROVALS Permit# - Date Inspector ' qppROVALS. Permit# Date Inspector �1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � _ 2. Soil Pipe�Undrgrnd. � � 53..Sieel Reinforcement -� 3. ElectricaliConduit Utility-Undrgrnd. . 54. Forms � • 4. Electn'cal Conduit�Undrgrnd. 55. ElectricaJ Bonding �. � 5. Steel Reinforcement , ' ( 8 D� 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd'. ' �' •' 57. APPROVAL TO COVER-GUNITE � 7.-Footings d'.. �J, 7 gs 58. Electrical Conduit-Undrgrnd. „ � 8. Foundation 59. Gas Pipe, � Undrgmd�., Test 9. Water Pipe-Undrgrnd. - ' � . 60. Backwash Lines, P-Trap, � Undrgrnd. , 10. Structural Floor System . � 61. APPROVAL TO DECK ' 17. Property Sewer. Line & House Connection� � � 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final . 13. Roof Dreins 64. Plumbing System - Final 14. Rough Plumbing � � 65. Electrical-Final . - • � 15: Rough Electrical-Conduit - - 66. SolBr System-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 Conditioning FIRE DEPT. REQUIREMENT . 20. Rough Factory Fireplace , APPROVALS ' Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating '. , 71. Product Piping O Gas ❑ Oil ` " ' �23: Gas Pipe-Rough & Tes[ _ 72. Underground Flush �� 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Ba� Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28:• Lathing & Siding , 77. FIXED SYSTEM FINA� 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:� gS� � • j 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ' , _ O 36. Hoo[7 br Canopy . �.�.; " , � . �� � � 37. Final Factory�FirePlace . 38. Final Plumbing �� ., �r'; ' ' f. � 7 39. WatefSer'vice-Final �; � ' � � ' i r' 40. Gas Service-Final � � ' � � . 41. Solar pomestic-Findl�•� . . . - , 42. Backflow Preventer� �`� �='�'' � 43. Backflow Irrigation � . . ' . i . �, 44.�LandscapelrrigationSystem• �' � � 45. Sound Attenuation� '� 46. Handicap Regulations � ` , . 47. FINALSTRUCTURE & BUILDING 48. Special Requirements CompJated ' � i 49. El�ctric Release to Edison. ,ra" � � i 50. Gas-Releise to Southern California Gas Co �, 51. CERTIFICATE OF OCCUPANCY _ • . � No: � ` Date ' � •, Aoolleant to fill in all spaees exceD� those witnin neavy Doraer lines ana sign all apDrooriate tleclarations. GTY oF COSTa n4ESa, CONS7RUCTION PERMIT P MIT NO. TRA T N � r 6565 3/ I0/p� 54,45 T� � � �� ��� � UNIT NO. -P�;9jei.lAddress 320�- �`�O . ' , . ' . , . AppliCant'SMailin ddres5 'f-�36 ���Psf1TEi�+�l0. G,M • TYPEOFCONSTRUCTION 'NEW ADD ALTERATION 'tEPA�R._ (� Ownef'S Name � Phone75'9•OL`�S � CONVERSION ❑ DEMOLISH ❑ OTHER ' A p #, , r� O� �. Zone. D RIPjlO OF WORK/US�p, F BLDG.�A�E wm� � ,'A•ldress 3L0 i =��i-�'� � G-^�� ���p � �l�'W prC..li S Main Buildin9: Accessor Building: �. � -_ . N`rnh/2ng., License No. TY E OF PERMIT GRADING FOVt�DATION STauCTURA� T Front p �Q TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL q(�•q Address ❑ OTHER A Reer a� N � Coniractor's Na A �1"� N � � �'3'3 Phone $�� Z ' . �. -LI �i� "W T�0�'Sa PRO�EC7 DESCRIPTION SQ. FT. OCCUPANC�Y/ C Right N Address (mailingl . CONSTRUCTION TVPE � VAWATION $ �� -/ ��� $ Left � � R CityLiCCnseNo. 2� � ZONE GRADINGCU.VDS. ACRES LICENSED CONTRACTOR DEGLARATION Ping. Ref. # � Parking Req./Provided � E I her¢by aftl�m [nat I am Iicense n rovi ' ns Cha�ter 9(commencing Rema�ks: ,� � � 1 1 � \/'� with se<tion 7000) of �ivisio 3 ot tne u ness Professions Cotle, ana Plannin9 Notes: y�� O �. W q.l ` M �� my licenie is in tull tor�antl f Gt. / Licenu las C-• LI s T $ Date Signal " � PLUMBING •FEES � WORKERS' OMPENSATION DECLA ATION Ba� Sink ' Showerz - � I hereby a/firm that I have a cartllicate of consent m sel4lnsure or a certiticate ELECTRICAL FEES � ot Worker5' Compenzation Insur , o � tl Copy the�eof (Section � � 3800, Lab.. C.� Z 6� 1 � I���� Backflow Preventer Service Sink � � 15�50 KW Automatic Washer Transformer \ Policy No. W COmpa �� packflow Irrigation Sewer Ca ❑ 50+KW P Construction Pole Sub. ❑ C�rtilie co0 is hereby fur Ishetl. \ ��Certjye \cpp i'led�with t city Bui � Iv s n. Bathtubs Sewer Connettion Cooking Unit Meter ❑up to 100 amps . Date 3 U 7 APPIiCanl , Clarifiers Solar Collecmrs EXEMPTI N F OM WORKERS' COpIpENSATION DECLARATION 'Di5hwa5hEr Meter ❑o�er 100 amps . M (This zectlon neetl not be complet¢tl If tl+e permit IS tor one huntl�etl (5100) o� less). ' — -- ---- --- � �����ef------ — —Solar-Piping— — Dryers ❑Gas ❑Electric Sub Panel 1 t2rllty tha[ in the perfo�mance Ot Ih¢ work tor which this pe�m�t is issuetl I , , shall not employ any person in any manner so as to becoma subject to tf�e Drinking Fountains Solar Tank Fan Motors HP �1'h - 8 Workers' Compensation Laws oi Californ�a. ' . Date Si9nature _ Floor Dreins Swimming Po01 w/Spa 'NOTICE: I/, atter making [his tleclaratitln, you shoultl become subject to the F.A.U. Inc. Solar �9-15 HP �16-15+ Workers' Compensation provlsions ot (he Labor Cotle, you must forthwitn Floot Sinks Urinal - � comply wilh such p�ovlsions o� [M1I5 permit Shall ba deemetl revoketl. FiXLWES MiCrowdv¢ CONSTRUCTION LENDING AGENC'�' GasService Outl¢t5 Wdt¢fC1052t D¢vicEBOx¢5 — I hereby afflrm that t�ere is a constructlOn lentling agency for the pertorman<e Pole Light Of lho work (or which thl5 permil �5 issuetl (Sectlon 3097 Civ. CJ I�L¢!c¢pt0l5 Water Heater OUtIEtS �entler's Name Range -Lentler's Atlmess ' ' Kitchen Sink ' Warer Service � . OWNER BUILDEft �ECLARATION SwiLchCS Sign I hereby,affirm t�at'I:am exompt from the`Contracror's License Law for the Lavatories � ' Auto-Wash , following reason (Section ]031.5 Buslness antl Professional Cotle: Any city or Gafbage Disposal $t2nding Sections counly which requires a permlt to construct, alter, Imvrove, tlemolish or repalr P-Trap Laundry Trays Generetor OQS KW �5-15 KW any struc[ure, prior;to its Issuance, also requires the applican[ for such permlt Trash Compactor ' to /ile a siqnetl statemenl [hdt he/She i5 ��cen5¢0 pulsuant to the provi5ion5 of jj001 DtdinS tM1e ContraCtor's License Law (Cbapter 9,(�ommencing with 5e<tion ]000J of ,'� Divlsion 3 ot the Business antl Protes5ions Cotle) or that he/she is exempt lhere(rom antl [he basis fo� the alleged exemptlOn. Any viOlation ot Sectlon . �031.5 by any ap0��cant fOr d perer�it subjeets [he applicanl to a Civil �enalty of not more than five nuntlretl dollars (E500). I, as owner ot the property or my employees with wages as their sole ReinSpeMion Fae $15 Isue Fee $ 3 � compensatiOn, will tlo the work, antl tne st�uctu�e Is not IntentleC or o(feretl lor sale (Sectlon �oa4, Business antl Professional Cotle: The Convaccor's MECHANICAL Reinspeetion Fee $15 Issue Fee $ 3 License Law tloes not apoN �o an owner of a property wno builtls or improves FEES thereon, antl who tloes such work himself/herselt or throu9h his or her own Boiler Hood or T . DEVELOPMENT SERVICES REQUIREMENTS: em0loyce5, provitletl [hat such improvements are not Intentletl or offeretl fo� VPQ � ❑ S� 5 ��`� sale. It, however, tne builtling o� Impro�ement issola within one year of com- Canopy Type II ❑ Zoning Approved By Date pl¢tion, lhe owner will have tha burtletl of proving he/she tlitl not builtl or Im- Ouct - Under Ground prova tor the purpose of zale). Building Approved By Dat ❑ I, as owner oi the property, am exclusivery mntracting with licensetl con- Ouct - Struttural Refrigeration System Appliretion laued By ' _DatA��� %1R� tractors to construct the project (SeCtioO �044, Buslness antl Protessions Cotla: The Contra<ror's LicenSe Law does no� apply to an owner of oroperty who Duct - Ventilating ❑0.700,000 BTU ❑100,000 BTU , builtls or Improves thereon, and who Eontracts tor such projecfs wrth a con- . SUMMARY O EES , tractor(sl iicense pursuani to the Contractor's �icense Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUI LDING PERMIT $ 33 •'�X7 SMIP �$ . S—� proo/ of their Worker's Compensation msurance snoultl be provitletl m mo. _ PLAN CHECK $ �"� `�%�7 pERM1T � ❑ I am exem ntler ctlan e. & P. C, for this reason Firepl/Fact. BIL IC80 # Fire Dampero pLUM81NG $ ISSUANCE $ Heatin S PIAN CHECK 25% $ ENERGV P.C. $ Date own g ystem & Ducting Registers � I her y certity that I 1 ve tni a lication antl state that the above ❑P700,000 BTU O100,0006T GRADING $ Inio mation is correct. I 9r to <o ith all clty antl county ortlinances ELECTRICAL $ an state laws relating o iltlin nstr ti n, antl nereby aumorize epre- PLAN CHECK 5096 $ MICROFILM $ Sen atives ot thi5 cit t ent n abOv -mentiOnetl p opef f�/ � � ISgn�ctlonpurposes. pate3 /a jj MECHANICAL $ TOTALFEE $ s y•y.s Reinspectian Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' Licenze or 55 � CMY Otl6S-46� fCv. 30/84 WhifC - Builtlin9: Cdndly - HPpIICdOt Plnk - ACCOIIlILng� G0108��00 - HSSf5501 ,` lCONSTRUCTION AND PLANNING ' POOL & SPA � I APPROVALS Permit # ' Date Inspector qppROVALS Peimit # Date Inspector � ic Temporary Electrical�Service or Pole 52. Pool & Equipment Location � � j i- 2. Soil Pipe-Undrgrnd. ���� ' 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �� 5. Steel Reinforcement:. 56.� Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � ' 57. APPROVAL TO COVER-GUNITE 7. Footings - "" � .3 �,5� 58. Electrical Conduit-Undrgrnd; 8. Foundation. � �. � 59. Gas Pipe, O Undrgrnd., Test�• -- 9. Water Pipe-Undrgrnd<% •' 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System` 61. APPROVAL TO DECK � . � 11. Property Sewer Line &IHouse Connection 62. Backwash & Receptor-Final ,, 12. Sewer Cap 63. Heater & Verit-Final .i 13. Roof Drains 64. Plumbing System - Final � i.'. 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SVstem-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �n � 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 O Gas ❑ Oil � � � 23. Gas Pipe-Rough & Test 72. Underground Flush /�; 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil . 25. Roof Sheathing 74. Overhead Hydro •� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical i ;' � 27. Frame and Flashing 76. Dry Standpipe � y. > 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' � i 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 & Air Conditioning � �.� 88 (� K' � �� J _� �, � !� 35. Final Gas Pipe-Test � � 36: Hood or Canopy � 37.-Final Factory Fireplace -- • � ' 38..Final Plumbing ; ;%� , . � ' 39. Water Service-Final �� � � � - �� ; 40. Gas Service-Final, �i ' . � 41. Solarpomestic-Final i , �_ `; ' , 42. Backflow Preventer � . .' 43.�Backflow Irrigation , '- ,^ . , . ..44. _Landscape Irrigation System � � '- . � � . '�45: Sound Attenuation � -. ' . , • �� , 46.-Handicap Regulations , ' " i 47. FINAL STRUCTURE & BUILDING p � � , ; : .+• , , 48. Special Requirements Completed �-- , � 1 , 49. Electric Release to Edison � -� ' 50. Gas Release to Southern California Gas Co ' �� . N 51. CERTIFICATE OF OCCUPANCY � •-� 1 No. Date � � • ���. �� . . � � Of COSTA M� PLANNING DEPT. i17UEC7 70 B1DG. DEVT. wEG � 6Y����.�C�DATE(� �� DI O� PUNNINO � � 302.0/ II[SID[NCE APPROVE� of CoslptA,�sa Buitd:r� C f' THESE PLANS MUST BE C:1 JOB pf L TI MAKE NO CHANGES . WITHOU7 Pfl�OR PPRC OF DFFf. THE ISS!!ANCE OR GRAN77N3 GF A PERv.;! C t h^.^RD`/AL UF PtAt�S FND SPECIFICPTIONS SHALL N�! f- COV=TR7Ep 70 BE A PFRMIT FOR, OR F.Y l.F� ROVAL CF, A^I'! V!.^.'A;ION � MY dF THE PRQU�iO\S CF TH13 CC��=. M] fCRNI� PRE• SLNdAY; i0 GIYE AUTHORITY TO YtOLATE OR CF�CE! THE ��:iS Of THIS CODE SfiALL BE 1'ALID, L%CFP( IN SO FARlSiHE WONK OR USE N'HICH IiAUTHOR1Zi..i IS IANtU4 '6Yff lSSURNCE Of A PERNIT BASE9 !;^C`7 FlA.YS I4YD �' F710NS$HALL M10� I'$EVEi:T THE P':ILDI.�� Of:'1C1P.L ; R2�17[iHkLl,FTER pEQUIRIN6 7HE CC'3CCtqA CF C.LiG,tS � �6I�RIDpI1kNS F�D SF[CIFICATO::; f3I'�:A F3^IEY(L'�� .'BII�L71�('�iORERATIONS BEING CARR:ED CV THER�lY05i Y,';i[ ! '�N�VroL7�lp{�.OF 7HIS CODE OR OF ti:.! OtHEi 0,=_ �'7HE'&I7� ... IIpID[NC[ ,_� srrreer a _ ' S7RUC7U,9AL APPROVAL ONLY SFPARATE PFRh111:S q,4F F.r:p�IAEO FOR F�s;?,;,,�n,l !'>i.'t✓rt�IP1r, HCQT�i'dt, �L". * � r -,.� ;z1,� �?��Ii�U4,J,'�'.', , ' '( �� �°��� , � :._�./. �'io_?_��..'.1'� TN!:,:,; .,, , j !.___`..._ _. _. ..... ._..«_a,� FOi&:�, _. _. _..._._ IMFI'u'�> �; • . ' 'r,'[ CAlIFUF , . . � . .. `.�I:Or BE C6c::,::; "'"s:•1�AFETY RE�WhEMEiV7S. ''"'� "=�ITIONAI �uacrca tl; � W F�. � ' Cement Coping Optional � Chan�l Block With 0� �8°� Hori:ontal Top oi all : Pences-- -� - -- - - for Fences 5' or Less - Vert. 8ars 3/8'�. at 4' -0" O.C. For Fenoes Higher Than 5' — Ven.9an 3/8'�:at 32" O.C. Fill Cells Solid With Grout — W here Steel O ccu rs Reinforcing Stael.Sha11 ConfOrm to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 16 " o � to Code NATURALGRADE TWO 3/8" BARS ' CONTINUOUS TOP B�BOTTOM TYPICAL 6�� �I.Oe O N / O _ _ b WIDT � ' SEE C1 p BELOW �� O � CONCRE�E BLOCK FENCE FOOTING REQUIREMENTS GENERAL- NOTES MORTAR: p�e port Plastic Cement, and Three Paris Sund GROUT: , One Port Cement Three and One Hoif Parts S�and COPING: One Part Cement, Three ; Parts Sand CONCRETE: Well Mixed Ic 2� : 3%2 Max. of 7%2 Gallons of YVater Per Sack of Cement � GROUT MAV BE POURED FROM THE TOP OF THE FENCE � CELLS AND AREAS OF HORI20NTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN 6 FREE OF ALL MORTAR OEBRiS, ETC. BONDSSHALLBEPROVIDED BY LAVING BLOCKS IN S7RETCHER COURSES SO 7HAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. 'H OF EARTHTCOTH I/3 THE HEIGTH OF FENCE S�LOW BOTTOM OF FOOTING. SCALE: I/2�� = I' WALL HEIGHT 6' � 5'. " 4� 3� WIDTH �F FOOT�NG 14�� 14�� 12�� 12" THICKNESS OFFOOTING . �0�� 10" 6" _ e" DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14� 16� I6� OWNERS NAME; _ _ _ — _ _ ._. _ _ City of Costa Mesa, California J0e ADDRESSI _ _ _ _ _ _ _ _ _ _. _ _ _ _ Building Department � 7-6-84 ��C OF COSTA M� PiANNIIYG DEPT. auueer To ewc. uewr. aec er�.�����c�aF 6�5�5 a�eera or ru�tr�iNo i — i� 7D/ do?o/ •EfID[MU � . � " -i�v %� • II[tID[MCE II[�IDLMCF TREET A _ �nwcre� . .. • Cement Coping Optional � Channel Block With Orre .�8��r¢ Horizontal Top o1 all � -Fences � �� �� � For Feoees 5' or Less - Vert. Bara 3/8'� at 4' •0" O.C. For Fences Higher Than 5' — Vert.Bars 3/8'� at 32" O.C. Fill Cells Solid With Grout — Where Steel Occurs Heinforeing Steel.Shall Conform to Sec.A-15-39 A.S.T.M. AllSteelto be Lapped IS " or to Code NATURALGRADE TWO 3/8" BARS � CONTINUOUSTOP & BOTTOM TYPICAL 6�� CONCRE�E BLOCK FENCE 00 OI v. ��LD .z3 —WIDT SEE CF BELOW FOOTING REQUIREMENTS GENERAL- NOTES MORTAR: p�e Part Plastic Cement, and Three Parts Sund GROUT: . One Purt Cement Three and One Half Ports �ond COPING: One Part Cement, Three Parts Sand CONCRETE: Well Mixed I: 2� : 3%2 Maz. o� 7%2 Gollons of Water Pe� Sack of Cement GROUT MAV BE POURED FROM THE TOP OFTHE FENCE � CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF AlL MORTAR DEBRIS, E7C. BO NDS SHA LL B E PRO V I DED BY LA V I NG BLOCKS IN STRETCHER COURSES SO THA7 VERTICAlJO1N7SALTERNATE�IN EACH COUfiSE. - . -H OF EARTHTCOTH I/3 THE HEIGTH OF FENCE �LOW BOTTOM OF FOGTING. SCALE: I/2�� = I' WALL HEIGHT 6� � 5� 4� ' 3� WIDTH OF F007'ING 14�� 14�� 12�� 12�� THICKNESS OFF0071NG , 10'� 10" 8�� 8'� DEPTH OF EARTHTOOTH 24" 20° 16° 12° SPACING OF EARTHTOOTH 12� 14� 16� 16� OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ City of Costa Mesa, California ��B AooREss: _ _ _ _ _ _ _ _ _ _ _ _ _ _ Building Department 7-y-B4 TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Optional — Channel Block With t-3/8� Horizontal Top of all Fences For Fenees 5' or Less Vert. Bars 3/8"�at 4' -0" O.C. For Fences Higher Than 5' Vert.Ban 3/8"� at 32" O.C. fill Celb Solid With Grout Where Steel Occure Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 24" or to Code NATURALGRADE TW0�3/8"� BARS G--1 CONTINUOUSTOP, + ' & 80TTOM - -�_� JiORIZS7EEL MUST BE TIED IN PLACE AT TIME OF TRENCH INSPECTION. x � � w x z � 0 f on �D � W IDTH p SEE CHA v BELOW o' I ING REQUIREMENTS CHART GENERAL- NOTES MORTAR: p�e Part Plastic Cement, and Three Paris Sond GROUT; One Pcrt Cement Three and One Holf Ports S�and COPING: One Part Cement, Three Parts Sand C�NCRETE: Weil Mixed 1:2-I/2:3-I/2 Max. ot 7- I/2 Gallons of Watflr Per Sack of Cement GHOUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELIS WHERE STEEL OCCURS. CELLS AND AREAS OF HORI20NTA� REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF AlL NIDRTAR DEBHIS, ETC. M OP EARTMTCOTH I/3 THE HEIGTH OF FENCE �OW -80TTOM OF FOOTING. SCALE: I/2��= I' WIDT�H� . . . . . . . . . . . 14" 14': . . . . . . . i. 12". . ., .. 12",' _ ._.__. . . . . ;. THICKNESS . . . . ' - . . .10��. . . . . 10° . . . . ° 8 . . . . . . .�. . . . 8„ . DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . . .20" . . I6°. . . . . . 12° SPACING OF EARTHTOOTH . I 14� . . . . . . 16�. . . . . . . . . . . 16� '- OWNERS N �y S City of Costa Mesa California ��B ADD ESS � � - - - - � - _ _ _ � ---- � FERMIT NUMBER:_ _ i----�� Building Department $IGNAT RE _ _ — __- _ _ . _ 4 . .. . _-r. _, _,.:. �ZEVIS6D Nov. a2 'y ��P�01�E� City of Cos9a Mesa Buildin� D�p1. BY ��� —Y" .._ DAi: �U 74 �$ TH�SE P!.�:t`15 MUS7 EE ON 1C9 AT ,'vLL 7iMF.5 IAAhE NG:.'`iAt•i+a;�5 \h'iTFi0U7 PRiO? AFPF.OVA!. GF �°� T. �' 3 2„5-.S� TN:�,SSi!A�iCc O� ,^RH;d'ii�:i'vF L. ^.*',7!!� CR 1?7F,G'/AL Gf PkP.tw, ?t:t; SrcC:i�l;Ti!';.�I�'y Slifi:l P'iiY 6E CON9.iRLi�:%TO P.E n FER1hl7 iCR. �-%i F�; h-.�?RQ': al. JF, hFZ� Y1CCn:lr.t: ;i` !.W'i O: THE AROViSI ,:•!ti OF l;-iiE CUD�. PK> �: i:N.�'� Pic55Uhv'td'.�'C1 o1V� AUfriC;tl?Y T�1 v;bLtiC O4 ;;AtiC6: 7HE Y'i'OY1510:JG LF ?HI$ CUi� :HA'! Fr',�q�_ .::C'r' 4,, .: f; t+5 tH� v:�:�K: Uft UC' WH;C`I lf A:ii:1O�'.��c��`. tqv..'FUL iHE �Sc:JGN:f CF P.. PFy�VJF "45E�� UPOI4 :o-c:' r.�VD SPEGiFl<:t�'�n>.75 -d.:l n:,'�7 PR"tVEf:r iN.: ilUli;;r�:i ;:•F���IhL FROM 1HE'n::z�Tr4�i:£C?UIF;\v?!!'r w�i4iicrT;'ryy C% kk::G3:.11� SAID Fts.fa5 A:10 SF@C:NCAiIL�:$ PP.vht zTt"V7PiT1� i� BUILPiNf Oic>'.AilDrti'-°. B�!NG C�RAicD�CY, � iHFRcUN�fY'['N�hfu! M NIOLATION'OF 7HI5 CODE OR OF hNY OLNLR OR[)',Nf.i:CE Cf rNe an. 70 � —� RE8IDENC[ 3�f STRff T , ` __. � �. . ` d � �c � � b�o�k c.s��V� �� I" ��� iii (11 d�fl ��r CIT`/ OF COSTA MESA PLANNING DEPT. �6JECT LO BLOG, DEPT. RE4. �_ 4---� ��,.� r.� ME610EMC[ tll A W W N ` � -_ _ r3a:.r�^�:�r�s:�n a,;i .� / ZtIIS A(i2EEMEN'P, made arrl entered _ intn this day of . /9� � i99�3. by ard between hereinafter referred tA as "LAND OFII�IER", and hereinafter referred to as "AA7ACE�PP PROPERTY Q+1NER". It is hereby agreed that a party wall will be oonstructed on the property line be�een (Address of Adjoining Properties) in the City of Costa Mesa, Coimty of Orange, State of California, as per map recorded in Book , Page Coimty Recorder of said Coimty of Miscellaneous Maps, in the office of the The party wall shall be permitted to encroac3� IN WI2NESS �d-IEREOF, the parties have entered into this Agreement the day ard year first ai�ove written. : � � �..�� : �Qn 4 � � i.. n nn �,. ,dtt� (S gnature) �,L � �iUR RIS1 D'E Name (7j�ped or Printed) I ��c� � �e�r��-�o P�.r�e.� Aaaress� C oSi'� P�� S'bl �. V'�� AATACENP PROPEF2Ti' Q^1NER ��� (Signature /3�N/�Ro T �On�N.��c � N�ne ('Ij�ped or Printed ) 3aa� N,�/3'�'� �Krl !� L/1 C x (Address) C'osrA /r/�SA, C'/�ci�- (NOTE: Please see reverse side for notary's statertent) I � ,_ ' S�1T� (F CALIft�RNIA } : ' ) ss. �UNZY OF ORAN(£ } • on before me, the imdersigned, a NotaYy and fvr the Coimty of Orange, State of California, personally,appea� )mown t�o me to be the pers�n(s) whose name(s) is subscribed tn e within � instrurnent azrl acknowledged to me that (he/she/they) exewt the same. WIZNESS my harc3 arxi official seal. � Sic�ature Name (typed or printed) STATE CE CALI�18�7IA ) ) Ss. COUNTi' �' ORAN(� } On Public in and for the Cq(S, (SEAL) in , before me, the undersign�l, a Notary of Orange, State of California, personally appeared imown to me to be e person(s) whcse name(s) is subscribed tn the within instriurent arcl cknavledged to me that (he/she/they) executed the same. WIZNFSS my arcl and official seal. (SEAL) or ADDREss 3201 Idaho P1flCe BUILDING PERMIT NO. Z'(' ERAL CONTRACTOR M. S. Cleea CO. DESCF2IPTION OF WORK Add bedrm.to T'E6 SUBCONTRACTOR c, ' 2 0�)�� NhY 22-67Paio001153�z *�* *22.50 LMSA COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX 120D � COSTA MEBA. CALIFORNIA Y2620 For Appllcant to FIII In Complefaly APPLICATION FOR PERMR TYPE OFZ PRINT BUILDINCi For Offlm Ute Only eu��oiNa 32.0 � I D�-1 H o .(, � ADDRE88 11K[IRnO. PERMITNO./ COSTA MESA, CALIFORNIA (j 7 e e� r u p[ccrv[n o�n iasuco ownen IVIQ. MILS. I�L-? Lt� iwio�-�vi S e? S-Z-�-� MAIL �^�,� BUILDINO �i 2o Q/'O ADDRe6f .�xJ I I D'� �'� �% AOOR68Q � T!L -s��o ^ RIRH '/ CITY ��h NO. 3(SU =ONQ TYPH V 6ROUP ARCHITECT TQL eYPAOV[D ��J DATE J'2�'-� OR ENOINEHR NO. ZONINfi ADDREBB ion Mo.o� uc[o►New CONTRACT011 I,/�.'1 �L-E�iL- � . �ueu �- euucino �( )� L[OAL i ADDRBY� 'TIO �li• =6�`JT R�. �C111moN \ •< anr t`1 r�"�� � P. No. -3 9.-�`i 8'3 ~/ �{ N0T6: NO 6AVR OV[RNANO BHALL B8 Ll89 TXAN �C. NO. a�S`Y�-� NQL �7S -a� �Z s0' TO 81D[ 8 RBAR P. L OFLOT'Z�r�DX�� haW��!���• AALLOW¢D (U.B.C.REqUIRHMHNTI USE OP /j YARDD MPROVHD YARCB MPROVHD EXI3TINOBLDO. I�'�/l(��% MAINBUILDINO ACCP-➢aORYBUILDINO �frROMG/LiT 6[T) YETlACK LINt I110Y � � � �OM pT �� CCMCR OP �TR6R X�AR Y D 1 �� � BIO[YARD I.QFT �D `�' � RIOlTT — � R.9ID6 !T. �. o�sc�urnoN oR wowc �. p�o � 5�;�.'` .�. �/ .� NEW T[11AT1 N ADDITI N RGR �C�PT. PT• DIQTANCt !R. BR. MAIN Q REPAIR O IN 6M 6l6 MAIN BLD AGGESD.BLD08. BUILDINO �i NO•�r I V�'# DAT6 61ZE �S RODMB 1 ' C. U. P. APPROVHD EXTERIOR WALL ROOr S H//� G �.� �pROV[D COVERIN(i STi1uV COVHRINO er DATE ���� tlDH OP BUILDING AND WORK'ro BQ P[RFORM[D 0. � GC� ""� � �q C � U �/ � � � � _5'ea. Rr. � i HHR6BY ACKNOWL[D06 TMAT I�Vi RlAD 1ry10 1VPLIGTION TM[ AYOUMT ONOWM YNDtR VALU�TON IB IOR TX6 AHD 6T�T8 TXAT TX6 ABOV6 ��� 11R6R�AND AOR[Q TO COM• IUAMG06 OP [RAGLI9N�N0 A PPJ1Yli I88 OHLY. PLY WITN ALL CRY ORGJtU JAND 11T{ IAW� R[OULATIXO yALUATION /�__ � BUILOINO CONlTIiYCT10� 816NATUR80P � � PERMITFEE C PBRM17T8 � 3�a X / ��b w s J/ AUTNORIZiDAO[NT 'i�, �a TOTAL FE8 '�� OWNEA VT.LLLTAMS� PALZ R. � DATEll-10-60 JOB ADDRESS 1 2 O . BUILDING PERMIT NO. LOT OCCUPANCY Form 210—SM-11-59 S-B P DATE SUBCONTRACTOR I PERMITSISSUED 13273 c, � 2 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. GLIFORNIA For Applfcanf fo Fill In Complefely TYPE OR PRINT BUI�DING ��' ADDRESB � U � v� T . �. COSTA MESA CALIFORNIA �y� / OWNFR /AAL X� /t%.�/I��m_S � MAIL Y FEE RECEIVED� NCE DEPS. AP.�� �j�QjjE$PfRMIT GI BUILDING For Office Use Only RBCEivi NO. P[JtMI �� ' PCCEIV6O��]'� I �/ �V/Y�! � o•�_s;�5°�n � V TEL. BUILDINf. ' NO. .S� ADDRE86 7E�. COSTA [�v1 A. CALIFORNIA NO. FIRE � // � ZONE N. . TYPE GROUP / � C — � APPROVE BY ' OATE I , J i ZONING �/1 ZON! NO.OF 116E OI N6W � r � � o�a I a�����o lU ,G�. �a„� �` �/ 1- , T R . 3 � .�.5 � — ozxwix�eu BIZE I No. op etnos. OF LOT NOW oN LOT U6E OF FXISTING BLDG. HBTBACK LINE FROM DESCRIPTION OF WORK BUILDING NO. OF 81ZE ROOMS 6TORil EXTERIOR WALL ROOF COVERING GOVERING USE OP BUIL�ING AND WORK TO BE PERPORMED rYX ''�� 'S� ��X %J�'� �%JLA i NttC YARDS APPROVED fCENT6R LIN6 8TJ APPROVEO C� BV � e EVES ��� 1 HHRCBY ACKNOW�mde TMAT 1 HAV6 nuc n�ie AMLIGTION TM6 AMOUM 6XOWN UNOeR VALU�TION IB POR TX[ ANO BTATE THAT THE ABWe IB COPR[GT ANO AGRBt TO COM- pypp�q OF EBTABLI8X�N0 A PERM�T I68 ONLY. PLY WITX ALL CIYY OqDiNANCEB AND HTATH LAWg pgOU4TIN0 Bu1LDINo coNeTRUCT1o\N. VALUATION q/ SIGNATURE OF �j��x� � PERMIT FEE $ �l� I PERMITfE .(' � - $..[� L O. t�0 pLAN CHECK $ AUTHORIZED AGENT � � � TOTAL FEE S n OWNER WILLIAMS P. R. DAIt 10-�2-76 JOB ADDRESS 3201 Idaho Place BUILDING PERMIT N0. 42853 ..�..�...� .-....r...�r..n _ ' _ _ ' _ nce�omr�nu_twnov .�. ..___'- ..___ AP No. 139-083-19 LOT INSPECTIONS SOIL WS W �TER ROUGN PLUMBING PROP. $WR. LINE � NOUSE CON. � SPRINKLING SYSTEM 'MISCELLANEOUS ROUGN HEPTING �ND MR CON�ITIONING TEMPORARV SEPVICE Ofl POLE UNOERGROUNO � POWER � ROUGM WIRING 7RENtHES FORMS STEEL RE FLOOR SYSTEM BOND BEAM � STEEL REINFORCE [ SXE�TNING FRAME RNO FLRSHIN UTNING — IN � OUT ,q� iti PLASTER, BROWN COAT STPUCTURA�,FINFL HEATING, VENT., REFRIG. �ND A.C., FII PLUMBING, FINaL AND G�5 TEST n SUBCONTRACTOR . � . ��85� ^ COSTA MESA BUILDING-SAFETV DEPARTMENT P.O.BOX1200 CaSTAMESA,CALIFORNlA92626 For AppGcan[ [o Fill in Completely — Use Ink Only BUILDING /J �/?Dn�s 'pL PDDFESS .� dWNER W (�(1� MAIL ADDRESS � /il�.w No�s/c S'� C�TV .,t�w BRANCN T ADDRESS qDDRESS �r,1 � �•76�y�,`00 6� s� �*�� *54.54 FORSTRUCTURALPERMIT F� D� DATE REGEIVED D� �D PE A.P. NO. '� BUILDING � � A D�:a ESS � 36� �� W A A P OWN_�Y A(,V I C C(tjAw._4 • VALUE S ` $ FIRE 20NE TV GAC APPROVED A �J Q a-iz, TEI. ZON NO.OF USE OF NEW CITV O. PLANS BUILDING F STATE CITY YARDSAPPROVED VARDSAPPROVED L1C. NO. �j LIC.IdO. MAIN BUIIDING ACCESSORY BUILDiNG � SI2E NO.OP BLDCS. (FqOM GL STREETI �+ OF LOT NOW ON LOT M ��� FT. a USE OF � ..�. EXI5TING BLDG. I FT. FT. h FSeparate permits are required for L SIDE �—�r,—�— F-r. electric, plumbing and heating work. ' �� WREAR FT FT. E.. U OF BU DING AND WORK TO BE PEflFORMED DISfANCE BET. BET. MAIN & QMAIN eLOGS. � ACCE4,BLDGS. � /� / VAR.# OATE ', C.U.P.#E APPROVED a '7 APPROVE i` Q � ..� a. W p I hereby ecknowletlBe thet I have reatl thia eppllcetion antl state � N [4 ihai the above Infofmation Is correct entl aprea to comply wlth � a all laws repulating bu(IAInp conrtrucNon, antl I shell not employ z anY person in violesion of tha workman's compensation laws of m � tfie Staie of Californin. . � 3 I hereby certify thax 1 am prope�ly licansatl es a coniractor untler � FT. N the State of Californle Bustnass antl Profasslons Cotla, Divislon 3, HE AMOUNT SHOWN UNDER VALUATION IS FOR m Cnepier 9, antl that cuch Iicenaes are In full fOrca end effact, or I THE PURPOSE OF FSfABLISHING A PERMIT FEE ONLV: em exempt from the provls(onc ot the Stete of Colltornia Buslne¢s � VA4UATION PERMIT FEE S antl Protesslons Cotle, Divislon 3, Chap 9. ,� n 7LAN CHECK $ i ^� SIB�atura f � o Permlttee $ �D TAX E � U qythorizatl Agent TOTAL PAID S� UOT 42�-�TRACT 36z5 . �`. "� ,, 1�93"� . '' COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 817 GOHTA MEBA. CALIFORNIA Fo� Applleanf fo Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA KENKOL CONSTRUCTION CO. �555 PLACENTIA /�VENUE� ■ ARCHITEGT ■ SIZE x K.W. Ko�� 555 PLACENTI-A VENUE NEWP6i T BEACH t� 95 TE�. M� 6-3z27 NO. NO. OP BIDGe. %O X SO IRREG NOW ON LOT 88TBACK LINB FRON 60 [ CCNRR OP BiNGET t SIDEYARDILEFT IOi DESCRIPTION .._... I x II -. -----.- �..,r-� �rn,,�'�rf tL� t_-i� ��4u.��b. �J Lb `o`'}� j-i3•0e ..�....,._. .,__. ^i1.�J:1.�. iiL. . "��}' ,"' �1"�'.1 '���� APPLICATION FOR PERMIT' ' "" BUILDING For Office Use Only o�re BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONING ZONB�NO.OP U6E Op NEW v / ruHe eui�o1�y�, (��/ ce 156A1. "/, j // 1 t- T YARDS APPROVED 2O � (C6NTHR LINH 6TJ 2EAR YARD FRONT IGHT � O t R. SIDE WORK BUILDING NO. OF 81ZE " ROOM6 S70RIES ExTERIOR W L ROOF WOOD SHINGLES COVERING SI� CCO ICOVERING USE OP BUI DING AND WORK TO BE �'ERFORMED � SINGLE �AMILY RESIDENCE AND ATTACHED GARAGE PLAN 7-B EVES r� s- � XERHBY ACIWOWLBDG¢ THAT � HAV2 R6A0 THIB APPLIWT�ON THg AMOUNT 6XOWN UND¢H VALUATION 18 PON TNE ANO BTATC THAT THE ABOVE 18 CORHECT AND AGPE6 TO COM- pUpp098 OP e6TABLI8HIN0 A PERMIT pEE ONLY. PLY WITH ALL CITY ORDINIINCE9 ANo 9TI�TE uW9 q8611LATIN4 Bu1LDIN6 CON9TXurnON. VALUATION �J � BIGNATURE OF PERM17 FEE $ � PERMI7TE - $ I � / �v.' p�pN CHECK $ ���'� AUTHORIZED AGE .( L'�. � v N•' r-� c TOTAL FEE S � y