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MCNrtECT di ENUNEEN:
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uxT: CITY ut CGSTA MESA - bUiiuiNv FEkMIi ��— �/
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PERMII NU: E "v8�94b PLAN CHECI{ NV: iV GOtii: ti SUfr: ri
CuNSIRUCIIGN 'IYFE: FERMZT TYPE: ELE ri.iRPGSE: G'iA
uc xa:
UNT:
cor+m�crarsw� �RUVAAK SIGNS 6 GRAFHICS i562)861-8510
CONfPACTOR5YMl1N0 R535 FGN7AN1: 57
�op� LVWNtY CA ��_ 54V527
9u291 �M:
UCENSED COIRPACTOq3 DECIAX�TION: I hereby ellim wMx peiW y d perjury Nel I em IicemeE uMer prwinaie ot Cheqx B
(mmme�rq Mlh Seclion ]Ooo) d Divieion 9 d Ne &�sa,m]E Pmla+uons C�amd.mYJ�we u in � Jufs end eMetl.
cm u�� r� C� ��c. cuss: `cavw�: 1`io� I' � 7Cdr.�—�
Dete: �
�
�W NEN BUILDEfl DECLANRTION: I Iweby dfimi wder panely d perjvy tlal l em exemp Imm IM Caq�aqm lbxae law far tM
bwinB rmwn (Sarlion )091.5 Bwime ud Rdevebne Code: My cry a cvuniy xfiid� rapuim a parmil lo mmbucY. eller. imprws.
mdah, a repei erry svuUure, prior b es uauaza, abo eaQimm �he appGmeY la wrA pemN to fib e ayned altlawX Net ha a aM
. licenaed W��� lo iha prwaau d IM CoNretlua Liurea lew ICMpa 91��M �h Sed'an ]000) d DivYbn 3 d �he
Buainem eM Rdmeione COEaI a Ihet he a ahe b memq tMehan vd tM Mdn la ihe dbped uemqion. My vnluion M Setlbn
]a31.5 by mry eppliwY fa e pemm ubpus �Iw ecd' � m e dxl penetly cf m maa Wn fiva hund�eE ddle�e �SSOD��.
❑ tmowie.a�neporo�r«mr�oM��•,enwpue.�ne:.d.00mo�...,umu.wvkeneu,eanww�e:naiMend.d
w dlared br seb (Seciion ]060. Buvmsa vd P�deseionnCotls: The CoMretlon Licevs Lew dox mt eGVN�oen amard VpWM
who Wide n inP�+� tneman. vd wfq Eoea �udi xvrk Funaetl n henY a Mra9� h'v a het ovm amObRee. Aa'� Ihat wrh
impwemmta ere nd inlended a oHenE far sab. tl, howawr, �b bwldi�q a'enpuwneN u wN xilhin ane ymr d compbtim. IM
owner-0uiker xdl heva tM Wrden d prwi�q M or ehe 6tl na1 EwIE a impwa la ihe WNae a�1.
❑ i.,, o,,,b, or ine a�osm..m ..�.sww wm�:�a �.an co�e oo�u�m�. ro�mw me o� �seeo� ra.. e�.�...�a
Pmteavwimie COEa: The Cavrmm licerea lew don m eDMY m en ormer rJ P�Y wM huld� a'viwwm Ihasan and Mn
canvecls M wM P�M�� �Ih e mvmeMs) IiwroeE WnueM to Iha ConVedae Lkenae lawl.
� I em exampt uMer Sectian: B.8 P.C.. br Me nswn:
Deb: �TKK
i eo ne�nr �N uw i em a.m. a.�e �.d.aw�e m. �.a�«m a c.uom. wmn .d s.r.�i coa. s.eian. uws. assaa..�w
u551. eM Ilw I« enY Mun WiWinO �M^� xin / wil rw� (acb ane) neeE 10 ednON w1n vaid tlNe wda� md �he �pWmmmro M
eP�nlaaomdueiionwmoET�ionhan�MAi�i +�Wd�Oiurid.RnidM�ImeutvaioneGOkmoroanezemqlmmllws
WOPKEN'S COMPENS�110N DECLAX�TION: I Aereb� dl4m udr pruly d pemvy ane d IM b0ow'vp Mdeid'va:
� I heva eM wil me'vu� e ttelEieete d mmM lo satlrnwve lor woM1a�e' m�qr�Wion. u qwiEaE In by Satlion 9lW d IM leba
Code, fa IM parlmnenc� d Ne wdk la wFich thu pamw u usued.
� I hew erd wil meiiven MVNen' amipeieetion ivu�erce, n epwfed by Setlian J]00 tl tha labar COAe. lor tM perlamercs d IM
wnn� �« wnid, mu oemia is'v.uee. Mr wa.�w.� odnommNon mwrerc. mrri. ene wfw.i� mm,n...�e:
c.�;.,:
Pdiry Nwnbr.
,.nian need mr ns canderod r w o�r b ro. aa n1uwvd aywa Isrool a M.J
I mnh' �Iw in Ns o�ormercs a iM wak for whic� �nu pemw u�ueE. I tlWl na amWW eny Va� n env mv�ner n u io
Decwne eubjed to tM xarkme' oomprmtian lews d Cefilami , d yns tlW Y I ehouk beronn wEjsa to IM xaken'
ep/n�prupe�tio/n'�/��^'ueu d Setly' /q�]OD d �M labor CoM. I b wtlh aompfy MiN Ym pvNdau.
Oms: rY. l� l/! .� U/ MW'ra�e:
^V'�
Waminp: FeUun ro i�cun norMn'ro��tlan eorvp� li �np Mdl wbHe! �n'rrplo�w� ro cNM�ul pw�Wtlu �nL
cnn nn.. w ro om n�nene rnou,w m�r. lJio4000A m.mdon ro m. cw� or mrr�rwwn �w a aAvn.e ro. m
Sxflan 31f16 0l l�� leborCotls, IntsnsL en0 ertomsy i/r�.
CONSTFUCTION LENDINO AOENCY: I Ivaby elfi�m wEer penMy d psjury ihet IMn u e mnYrunion kMiiq pan�y M tM
peAormeMe d iM wak la whitli �hc pmmi u ewM (Seeion �041. Cw. C�.
LENDEP'S NAME: '
LENOEfl'S MUNE%:
I cenM �lat l heve n i Ne epp'cation aM nma thet iM ebv.a iNametion e cartea. l yne to comW wdn aA alf' end w+Mv ordiiw�oee
eM atab lawa reletip to bu'Jdv�p camtruCbn end herebY euNor¢a �eprmanulrvaa dihie dry b eNer upon tM ebo.e�meNbneE pmpery
�° P°°'°^o°'^°°'° iiICHAiiu tLVKt.S
Pmn Neme �
DmE�/��
nat�re d O�wr//peWAppicanJCavreaa
(5151-06.WP) H'M1�e���dM 85etely: G�w�1�e: Cmu�MppFanl: Fmk�iavenue: GaNemoE-Mxna
JG& LtSCRIYIIVN ; t(GfIVVK ELfiCI. rG t.lilSillVli CAu31vfiT 51%N 5;1 rT:
CLAIM VAiUE; CAiC-VIu,UE: GRGUP Oi:�: b i
COMMENTS: NO UTFIER W(JRK AUTHURIZEL BY I'HIS FERMIr
if w'v'r ii iF ie iF'sF if ii iF i't iF ii iF iF w ir z s. w w"sF ie w ii ii w ii iF w ii'ti w iF w i'r iF iF i' ie ie iF ii iG i't it ii'sf ii'si ie w ie i'r i' i't it it+F if +e iF ii w'vf ie if ie if if ie ir "sF�R iF w ir ii
Z O N i N G n E� U I tc E M E N T s
S t. i b A C Fi 5
------------ hil�11%1 BUILLING ---------- --------- ACCESSuRz iSU1LLl[VG ---------�
FAIvi: Fi IN AEAFt: FT IN FRNi; FS IN ke.rin; r i IN
LEFY: Fi IN hGi-iY; Fi Iiv LEFT: rT IIv RGriT; FI Itv
FtlkKING kE�: FROY': 'rAFcCEL: uGGOGOG"v ZN�: kEr NG:
FLANNING NurES�
�
ie ii iE ii� �k ie iE if ie iE iP ii i'iE ii it if i'r i't iP iF it iE iE i'r if ie iE ii iE ii� ie ii if ii iE iE ie ib ii ie'te iF i'r iF ii iE ii iP is+e iEie iF iF ii ie iF ii ie i'r'sE iE iF if ii ii iP ie i'r ir ii iF ie ie ie ii ie ii
u n J E L i� P M E iv I' S n R U I i: fi S k E i,� il I k E M E N i 5
ZUNING APPk�tiEL bii ,
bUILLING AFPKuVEL 'aY ;
AFPiICAiIGN ISSUEu bY
ie ae iiie ie ii iF ii ie if ie ie ie iF ii iE iF iF �lE iF if
iEGALIZATZuN;N
bLuG YMi rLUM&I1vG
F E� 5 li M M A k Y
ELfiCTKIC MECiiANIC
FERMIY 2L,UV
�Vi
PLAN
ISSUE FEE 22.0�
bUIiLING-LIU-� PERMZT ISSUE PLAN-i:HECA
TOTALS----> 2�,00 22.00 0."v"v
REVENUE uIVISIUN TU'IALS--� CVLLEIIGL:
BLLG FMT PLIIMbING ELECTRIC MECHANIC
44.G"v
0
i!Ait;
LATE:
L.4iE: 10 �2��`1%
R�ti�ifxXxxxXiExxxX�xi x x
SrkUC'i iiiiAL StuMENi : iv
FTRt SMiPit'tc5 GR)wING
SMlY % NVIV-1ttS
'IOT:9i, FAIL uUfi
44,"vu 4d,0u ,Gu
94 , "vv GvctiiSriGRT; , uG
r IRE SMIPi'iu7 i,RAuIIVi; YiAN-CHECIi
ii ie've ii iiii ii ii iF iP iu iE if if ie iF ie iF � iF iF if iE iP iE ie iE it i'r ie iE ii ii if ie ie iF ii ii iG ii� iP ii iF iF i'r ie R ii ii'si iF ie if �i'r ii ii ii ii iE ii� iE "sF iE iE iE iF ie iF �7E �lE �i iF i'r i' i' ie ie x
I N L Z V I U li A L F E E b A E A K L U i+i N
TYPn Q2'Y L E S C R I P T i u N UNII i:OSi TCi'iAi CGSi
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1 SIGNi uiJiLlNn LlGiii s'Y'S Glv 1 ak CIkC 22. "v"v
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LL,VV
10-28-1997/18:08 AM/f44.88
F'ERMI TPT085446
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� �CO�7RUCTION AND PLANNING P� ' SPA
APPROVALS Permit # - Date� Inspector AppROVALS Permit # Date inspector
� t. Temporary Electrical Ser4ice or Pole. 52. Pool & Equipment Location �
2. Soil Pipe�Undrgmd. � 53. Steel Reinforcement -
�. 3._Electrical Conduit Utility-Undrgmd. 54. Forms . -
� 4:,Electrical ConduibUndrgmd. 55. Electrical Bonding . �
',� 5.. Steel�Relnforcement' � 5&: Rough Plumbing & Pressure Test �
','�6'�Elecirical UFER�Grnd. 57. APPROVAL TO COVER�GUNITE
i;; 7. Footings ,� � 58. Electrical Conduit-Undrgrnd. -
8. Foundation • � �•. . _ 59. Gas Pipe, O Undrgrnd., Test �
9.� Water Pipe�Undr§rnd..' ' � - 60. Backwash Lines, P•Trap, � Undrgrnd.
10. 5truciural Floor System 61. APPROVAL TO DECK
i i. Property Sewer Line & House Connection �62. Backwash & Receptor-Final
12. Sewer Cap . ' , . 63. Heater & Vent•Final _
13. Foof Drains _ ' - 64: Plumbing System � Final ,
14. Rough Plumbing 65. Electrical�Final ,
15. Rough Elecirical-Conduit . � 66. Solar System-Final �
16. Rough Electric Wiririg ' 6�. Fencinc�_& Access Approval ' I
77. Rough Wlring Sign � � � +'68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiiing �' � - 69: POOL/SPA SYSTEMS FINAL
y _ -
19. Rough Heating & Air Conditionmg - FIRE DEPT. REQUIREMENT
� _ ' ' � ,t .r e r' ..�qt., r
20::Rough uacro�y Fiieplace ' : � � ; '� � ?' �� � APP�RO�t.A����� P.ermit #�T ; _'
21: Duces, i�•Svuc[u�e> • •� � � r _ � •- k : 70:' UndeFgrvCr�d,�ydro '
- " i -
22._Duc[s, V�ntilatintJ�� , _ r - � F i �i, productjPjping�L�Gas �OOiI
23'�Gas_Pipe-Rough & Test .�; 5 , - y _ e- 72, Undergr'ound Plush � �
24:' Roof Framing �� "- k� �'� ~�= 73. Undergs d. Stora9e Tarjk O Gas CfOil
25. Roof Sheathing = i � . � �:' 7R. Overhead HycGo r
26. �T-8ar Ceiling fStruttural) & MOrlocoat ` �r - ^ `� � "'� - �
�, � „ � b 75. Dry Cllemical„ � , _
27iFrame and Flashing, � e� a i. 76. Dry StSrldpip�•.c k _.
28. Lathing & SidingF �''' 7 r- '• 4- �"; " e Z�• FIXED $YSTEM FINAI�_ �
29. Insulation i j � � .� r� i � �t 7g, FIRE PREV. FINAL '- , �
' �30. Dcywall'{Vailin9 ' � Y � '� �� � .. � FiEALT.H DEPTRE�UIFiEMENT
- 31. Ptaster Bio�vn Coet� �, .. ; � ;� �. 79. FINAL INSPECTION i. �
32.'Electrical Power Nlete"r Final Y•'� i� " 80. POOD CERTIFICATE;ISSUEO - ;�- �
T 1• � 'i I 1 l ) "1 w � V
33: Final Electnc . r • + � � r fdotes: n �. �� r . _ _ . �_
. 34 ��Final Heating & Air Conditioning; " •� � i� %: • �� • S -�'y s� •s - �.-�'
c . a � � ..� -a � 7 � i' +r
35..�Final Gas Pipe�Test� - z „ � i I `� �. � � � !j� J :-i � r - �Z '
- 36. Hood or-�CanoPY : ! : � T' .. - r '. j i �x :' ." '�.� i .
- ' f• r _ t c r�. i: i
' Y � ' n � R r � �c ' t�
37.�'Final FaCtory Pireplace� � _ _ 4 ',. • �'
38. Final Plumbing '� i �� , - < ' � ' � � c - ,. . _
C k � -1
39. Wat�r SeSvice-Pinai� - � � !, ;} �' ' " .
40. Gas Service-Final . - - . � r r, i � ':. � = � V �� '
i �� .- s e S
47. Solar pomesticFinal' " ' - ( � ' - ; �
a�. , . .. ' -
42. BackfloNi Preventeq -i { '� - - 1 = -
� - ' n
- 43. Backflow Irngation � � � ' � F ' - �:
P :_
;44. Landscape IrrigationSystem r' � +' -� �� "' '� = �� �; ' '
? T ' 4 '
`45.-Sound P,tteeuation -i- � _ f " . : � " "i ` �
� . .. r ` •, n T� �: - r -. . i
=46..Handicap Regulations - - � •_ ' ' '� - �
47. FINAL STRUCTURE & BUTLDING +; ; ' ' � '
48. F�NAL PLAN.NING � ' ,R r • -
, i
� 45.: Electric Release to�. £dison � � � I� �- '. �� � ,
r r • •
50. Gas-Release to Southern Califomia Gas Co + i + � � � � � � _ •
, �
51. CERTIFICATE OfrOCCUPANCY • . •� - '
No. Date .
..', —
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. BOX 12M COBTA ME9A, CALIFORNIA 0282d
For App11rnM fo Flll In Complshly
TYPE OR PRINT
°"°�"� 7 f�io l.c� Iq Tl�
DDNHYG
COSTA MESA, CALIFORNIA
wr�en �i.0 -!�' w S 2�2 � Z
s uere�cK
ql q rEr���a��
�-s �
THL
DESCRIPTION OF WORK
w•, •
� Hmcev �cKxax�
AND 9TAT6 TUT T
■LY WITX /�LL CITY
euao�qo eoxernw
HIONATURG OrG
�
TNAT.1 MI1Y6 11fAD
DEC27-66 0o s7o# ****13.50
ArPLICATION FOR PERMR
BUILDING
For OH)n Uw Only
7JOC ow,s/G—z3
ZONING
r u�sornixr
i� su�coiNa�
cf",��—T-a�f �O,
—3��—s /
6RHAN0 BNALL �6 L688 THAN
YARDO MPROVlD
MAIN BUILDINO
tOM GL YTR[lT)
vwn. #
YARDBAPPROVHD
ACC6880HY BUILDINO
DATB
2-Z3-
a
m
�
eo. Rr. �
n�� wrour�r �xowH uwosn v��u�noN ie �ort n�s �
'UI110li O� tITApLIGNINO A P61iYlT P[6 ONLY. �
VAWATION a
�Q PHRMIT FH8 � D � �
s /�00 � �� €
w
TOTAtP[B ���0
. . 2�'�998
�COSTA AAESA BUILDING-SAFEfY DEPARTMENr
P.O. BOX 720p COSTA ME$A� CALIFORNIA 82820
For AppllcaM ro F(U In Comp/N�ly
TYPE OR PRINT
uaoiNa �7�'iCl Vl%./�� S/ i
noReae L
_ COSTA MESA, CALIFORNIA
TRL
6@TpACR tJN6IR0�
DESCRIPTION OP WORK
Wi
1 XHR60Y ACNNOWLtDO�
AND BTAT6 TMAT iNi A!
PLY WITX ALL C�TY ORO1.
OYILCINO CONDI'l1URIOM.
BIONATUR! OI
P8RMI7T8
AUTMORIZ[D AO�N[
OR
NAVt 11{AD TY�1� AP'LtGTON
COqp[C} ANO A0116[ M COY.
AI/D RAii U1M� RLOYtATINO
/•% �
� CITY GF �; �� 3t� i�ESA
DEC 16 1965
IJPLICATION FOR PERMR
R[C[IIT NO.
ZONINO
ZON[ ; MO.OI UO{OIN[W
C ILAN� � OQILDINO
ui�imoK r� �P � o� i9� ao
. e..., 1 i C� •�� � i ���
Hore: No
YARDB MPROV FD
MAIN BUILDIN6
v�n. #
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3 �'
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ea �eee rH�uv
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YARDB MPROV 6D
AGC6880RY BUILDINO
DAT6
(f � l 6�
. �
BQ. F►. l-r/ /i'i � �
TNi AYOYM �HOWN UNO6R VALUATON 10 ION TN[ �
►YRPOG[ 01 iRAG4GMIN0 A P[11YIT P[8 ONLY. �
VAWATION / 5
PBRMIT F!6 � �
a ,�OOU 9— w
J
,. __ .,-. 't3f�52
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
GOSTA MESA. CALIFORNIA
FOR
NG � /
COSTA M
MPIL
ADDRE
QTV
ARCHITECT
OR EN�'VEER
ADDRt_a
LEGPL ILOT
�ESCNIPTION 1N0.
A.P. NO. I
�
5aE 5.�, S`
OF LOT
USE OF
E%ISTING BLOG.
TO FILL IN
, ��
CAUFORNIA
�
LIC.
NO.
4�
LIC.
Q !� Q NO. I�
�� BLOCK �_ TRAC
_ �y =sz
7 X /N� �O.OF 8LDG6.
�IOW ON LOT
SETB/�CI( IINE FROM /
CENTER OF STREEi ��Q REAR YARD �J !
NEW
REPAIrt
BUILDING�/
SIZE
EXTERIOR W,
COVERING
USE OF NEW
' RIGHT � LEFT
DESCRIPTION OF WORK
ALTERATION ADOITION
MOVING DEMOLISH
/�� ROOMS I STOFIES
S�✓CC O COV�ERING
��-� ' �
SiniE T1jfT THE 4BOVE IS CORRECT AN� t
CITY ORISINFNCE$ ANO $TATE L�WS REGUL
TION. J
SIGNATURE OF �J � � �
��� R��I��� `
� mu�a i r �
�� ��i. � ,,..
AP�LIC�ATTC7N�OR PERMIT.
BUILDING
FOR OFFICE USE ONLY
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE � pOPN$ TYP�/ GRO}
APPROVED /��
BV LL � DATE J�I�+
� CO RECTIONS'
1=�9 � :='U' n z- y�'
CtTY o.� CS?A MEsa
.ni n..v
SUBJECT TO ' LDG. DEPT. REG.
BY
The Amount shown under valuation is for the
vv� c�riorv arvo �
�oMP�. w�,� .« purpose of es�ablishing a pecmit iza on �.
ILDING CONSTRUC�
VALUFTION
PERMiT FEE $
� Q PLAN CHECK $
$��pQ,�
[ TOTAL FEE S�
�er'r
_ Costa Mesa Bnilding Department APPLICATION FOR PERMIT
. • P.O.Box3�� .,a�a Bl11LDING 1
PLO'T PT.AN
Show ixatio��antl disCances from
proparty itne and between buildin9a
s
� �
CO5Th ' a N.:s,A.
�u,a �7•s�PDatsp 7ca_a =Z.no
, . ��
, , ,: .
., , �
� Costa Mesa Building Department APPLICATTON FOR PERMI
' .. �� 111 EABT 20lh STREET !,�6 B U I L D �� N G � +��
y �•` � COSTA MESA, CALIFORNIA
FOR APPLICANT TO FiLL IN �OR OF'FICE USE ONLY .-
. Receipt No. Permit No. �
Building � ` /,� O/ �
Address �t :i.�. � •v .�-a
Costa Mesa, Cfl�1fOPII1& Receive�y Date Redd. Date Issued '�
Nearest �% . S�— S= S �� J—,S"
CrossSt ��1Cen �� Building
Address
Owner ��„ . � ��- Costa Mesa, Caiifornia
Mail
Address (,ii, Nearest
Tel. / Cross St.
Cft p No. ��—b z�3 Zone No. of Typey-�/�► I Group
Arohitector Lic. I Plans I ` vi � �Z
Engineer No. Approved �
b Date
-` �� CORRECTIONS
� City Lic.
Contrector wri�r `� • No.
Address , � i. n1 'C�
Descr ption I No. / � OI B�ack I Tract �/ .
(Attach Metes and Bounde)
� y/a � I No. of Bldgs. -
Size of Lot �T Now on Lot / Q
Useof C �.-� No.of No.M -- � - 77
Existing Bldg.�J�LI�e I Families I Rooma . . �j
Setback Linefrom G V RwrYard /� :�r r Z
CenterofStreet G^� SldeVard C �����• �
DESCRIPTION OF WORH
New I I Alt6retlon I x I Addition I G(C
Repair I I Movfng I I Demollsh I
Building . No. ot
_''-^ G Rooms Stories
:rior wa I Roof il APPR�VALS
�..verin9 j,j��j0 � I Coverfn9 {�oe � .
Use of New ] 1 t
Building �,� r� �*�Oni :'ry � YF. t�, �. F Foundation Lxation Inspector
Forms,.MateNals, q
;� •� Under-Pinning
Frame: Fire Stops, �,� �
� Braeing, Bolts
in
I hereby acknowledge ihat I have read this Application� �ath. Int. �
and state that the above is correct end agree to comply Lath. Ext. �IN
with all City Ordinances and State L.aws regulaling
building construc ' n. �n
� Plaster, Int. iv
Signatureof � � .
Permittee _�[L ./ � O
Plaster, Ext PR
Authorized Agt. ,�
Masonry ReinTorced r,
Valuation � Permtt Fee $ cf„ o v k
Plan Check S Bond Beam �
$ �j oo� Total � , .
Fee $ .S , � U FINAL _�
FONM 204 G-H 2M e-S4
���
� � _ ��.��s
COS'fA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 COBTq MEBA. GALIPOf2NlA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING ^�.-� �j \ q
ADDRESS � U a W . ` � �(C � � •
COSTA- MESA. CALIFORNIA
OWNER H e 1� � t, � a.
MAIL .___ ' _ _ _
TEL.
'v-�-T.FIFCZQ\L� 1- SO�S
:4'� C �t� P �� � •.��c a.1v�
iic.'nio.>'qb'1 G "j. 'rio`: _ �5 4 � o
BIZE �/ �/�/ /1 � NO. OR BLDO9.
OF LOT /I / l� I�/ � HOW ON LOT
U6E OF CoH G
EX16i1NG BLDG.
86TBACK LINB PROM
� I LEFT I RIGHT
DESCRIPTION OF WORK
BUILDING NO. OF
SIZB ROOMS STOF
EXTERIOR WALL ROOF
COVERING COVERING CDY
U6H OF BUILDING AND WORK TO BE PERFORMED
�O1►\ � � G� NA r
-c� Q.00'� � ♦w,�rC-_2�r.
1 HENBBY ACKNOWLHOO6 THAT 1 HAV6 R¢AO TH19 MPLIWTION
AND 8TAT8 THAT TXE ABOVE IB GORREGT AND AGREe TO COM•
PLY WITN ALL CIiY ORO�NANC¢8 ANO 9TAT6 LAWB ReOULATINO
BU�lDINO CONBTRUCTION.
81GNATURE OF� _ \. . n . . � J
�AUTHORIZED AGENT
d=C� ����A�l��
FIIV�,�!CE DE T�. y.`� bo
CI':'r' Or C�STA iNESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
NECEIPT NO. PR�R1/IT J{O.
B�Zv. /� �
8TA MESA. CALIFORNIA
�
ZONE �� NO. OF ^ U8H OF NEW j
l� / PLAN9 /� BUILDINO �� �.
C I
LEpAL P� W'! OT I�I '�' �'O� �.
D6BCRIPTION ��E��TK� � Ii�
A. P. NO. I� S� ��/Y �����
(CBNTlR LINE BT.)
APPROVED
'.9i "/f!/I
�
TX! AMOUNT BXOWN UNOER VALUATION IB FOP THe
PUIiP08E OR HBTqBLIBXING A PEpMIT FEE ONLY.
VALUATION Ov ��' N
PERMIT FEE $
`_
$ � SOO PLAN CHECK $ � � o
� \ F ^
/J p /
TOTAL FEE �
— �
. . � � � g����
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 8f7 COBTA MfiBA, GLIFORNIA
For Applieani io Fill In Complefely
TYPE OR PRINT
BUILDING �8 p w• l 9"� .1' r
ADDRH88
COSTA MESA CALIFORNIA
9 "�
� 6HTBAGK IJNB PPOM
TEL.
i "� .ST.
;.
G�8-71112'�
INO. OP BLDa9. /
DESCRIPTION OF WORK
' � ��I.uTfAr� J ��
WALL ROOF
COVERING
IILDING AND WORK TO B8 PERFORMED
1 H8R8BY AGKNOWLHDOB TXAT 1 HAV6 A�fl Tf�6 MPIJGTION
AND 9TAT8 TH�T TH8 ABOV6 19 CORRQC� AND AOREB TO CON-
PLY WITH ALL CITY OfiDINANC66 AN� 61'AT6 1.�W8 p60ULATIHO
9UILDINa CONBTRII OH.
aicrvaruRe or �� �`�i,.^��
PERMITfEET
AUTHORI ED AGENT
�EE RECE8�1�'�
'��" FEB 1 6 1951
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
flECE1PT NO. ;lFZMIlNO��
V ��
BUILDING c�JX/� �/� /���
ADDRE56 / (J � "��
COSTA MESA. CALIFORNIA
APPROVEO
lE AL
YARDS
APPROVED
ICCNT6R LINB
ONING �',,;v(,
, ,
NO. OP U88 OP N W^ A�
PLAN9 BUILDIN6 /11W
'oK La f /9��ta
'/ b� 3 ��- s`-�—
EVES
THE AMOUNT BNOWN UNOBR VpLUAT10N 19 GOR TNe
PURP088 OF BBTABLI9H�NG A PeqMIT P6H ONLY.
cnecK S
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