HomeMy WebLinkAbout703 18TH ST - Building PermitsAOOFFSS OF BUROYla 7 0 3 W 18 T il 5 T °"T�
art+Exsxwe��+owx: SERGIO ROMERO
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:OSTA MESA,CA 92627714 548-5565
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LENDEN'S AOONESS:
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�«��•"tl�P�� SERGLO �MERO
15151J6.WP)
Date:
NTds-BNld�q 8 bda�Y: Onert-Fb: Ca�wY-�VGkeM: Pmk-Rerenus: (3dE�niod-Aswna
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: B 079263
PERMIT NO: B 079263 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPAIR SECOND STORY DECK ABOVE LAUNDRT P SQ FT: 500
CLAIM VALUE: 500.00 CALC—VALUE: 500.00 GROUP OCC: R-1 /
COMMENTS: REPAIRS TO DECKING
iF 1E iF iE jE ik if if if iE iE if 1f iE iE iE iE if iF iE ik iE 1Flf i6 iElE iE iE 1E jE iE if IE iE iE iF if iE iF iE �E �E iF if iE iE �E iF IE iR if if if i(-iF 1F i! IE iE ik iF if �E 1E iF fE 1F �E iFlE iE ihlF iE iE-IE iF if
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42405210 ZNE: REF NO:
PLANNING NOTES> i;
i �
iE �E IE ## if 1E 3E �E 3E if if 3f !E 3E 3f !f !f !f 3E 3f iF if if iF df df 3E iElE 3Elf 3E jE 3f 3f if iF �E if * �Flf 3F iE 3f �f 3f !f if 3Elf 3E 3f 9F ff �E {F �'-3F # fF X� iE iF+�E 3E+� i('iE iE �E {F *iE�l` iE ff �E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�,T S
ZONING APPAOVED HY (� /+� DATE: �
HUILDING APPROVED BY : W SB DATE: �'Z%— X/
APPLICATION ISSUED BY: �"`�+� lS DATE: �Z�(p
�*�*�������*�*�*���*�,� � � ���*�������-2 ,�.�
LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELEC�R-IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 21.00
PLAN
TSSUE FEE
BUILDING—DIV—> PERMIT ZSSUE
TOTALS----> 21,50 0.00
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PLAN—CHECK � �; TOTAL
. 0.00 21.50
50
SMIP/NON—RES
PAID DUE
21.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 21.50 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHAN�C ^FIRE SMIP/TOT GRADING PLAN—CHECK
21 . 00 :��: � _` , 50
ik iE k iE IE 1E ikiE ik iE iE �k iElf iE iE IE iE iE 3f iE iF iE it 3E !E iE jE iE iE fE jE 3E iE iE iE iE 1E iFiF,ik iE k it if iE 3E:1E aE iE iE iE iE it it iE iF iE 1E iE iE iF if it iE iF iE iE iE iE iE if iE �E iE iE if if 3f
I N D I V I D U A L P' E E�� B''R E A K D O W N
TYPE QTY D E S C R I P T I O N ^ F UNTT COST TOTAL COST
SFR 500 ALTER BY VALUE RESIDENTIAL � NOZONE 1.00 500.00
END OF FEES .'.
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CONSTRUCTION ANDPLANNING P001 'PA
APPROVAIS Permit,ah Date Inspector qppROVALS Permit# Oate Inspector
� t. Temporary Electrical $ervice or Poie 52. Pooi & Equipment Location � .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _
3. Electrical Conduit Utittcy-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Ro�gh Plumbing & P�essure Test
6. Electrical UFER Grnd. 57. APPROVA� TO COVER•GUNITE
7. Footings 56. Elactrical Conduit-Undrgrnd.
6. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrqrnd. 60. Backwash Lines, P-Trap, O Undr9rnd.
10. Structural Floor SYstem 61. APPROVAL TO DECK
11. Propercy Sewe� line & HouseConnection 62. Backwash & Receptor�Final .
72. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing Sys[em � Final
14. Rough Plumbing 65. Electrical�Finai ,
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sig� 68. APPROVED FOR PLASTERING
18. Rough Electrital-T Bar Ceiling 69. POOL/SPA SYSTEP�IS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. fiough Factory Fireplace APPROVALS Permit #
21. Ducts, in StruGture 70. Underground Hydro
22. Dutts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rou9h & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling (Structuraq & Monocoat 75. Ory Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywali Naiiing HEALTH DEPT. REQUIREMENT
31. Plaste� Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Final S0. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air Conditioning �=��/,_.p� ��`L � C��� �„_G
G G �-G�-
35. Final Gas Pipe-Test �� ��_
36. Hood or CanopY
37. Final Factory Fireplace Y_ 3 �Gl� �����. D GU� ������� �
38. FinalPlumbing !�!'�,o��� Q_�� �j4.�
39. Water Service�Final
40. Gas Service-Finai
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap RegU�ations
47. FINAL STRUCTURE & BUILDING Q_�Z-G� �(,�/�
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48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern Cali(ornia Gas Co ' �
51. CERTIFICATE OF OCCUPANCY
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CONSTRUCTION AND PLANNING . . - PO• �SPA �
APPROVALS Permit # Date I�spector qppROVALS Permit # Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locat�on
2. Soii Pipe�Undrgmd. - 53. Steel Reinforcement
3. Electrical Cpnduit Utility�Undrgrnd. 54. Forms
4. Electrical Cond�it•Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNI7E
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�U�drgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor Svstem / 61. APPROVAL TO DECK
t t. Property Sewer �ine & House Connection 62. Backwash & Receptor�Final •
72. Sewer Cap 63. Heater & Vent-Final .
13. RooS Drains 64. Pfumbing System - Finaf �
14. Rough Plumbing � 65. E�ectrical-Final
15. Rough Elect�ical•Conduit 66. Solar System�Final
16. Rough Electric Wiring 67. Fencing & Access Approval ,
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Elect�ical•T Bar Ceiiing � 69. POOLlSPA SYSTEMS PINAL
79. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Facto�Y Fireplace APPROVALS Permit #
21. Ducts, in St�ucture 70. Underground Hydro
22. Duas, Ventilating 71. Product Piping rJ 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 Cefling (Structuraq & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Siandpipe .
28. Lathing & 5iding 77. FIXEn SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nai�ing 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 �
35. Finai Gas Pipe-Test
36. Hood or Canopv
37. Final Factorv Firepiace
38. Final Plumbing j,�Ajt/t NVqtkl:.R$ $-Jj`I(� �1�
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Ir�i9ation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTUFE & BUILDING
48. FINAL PLANNING
49. Electric Re�ease ro Edison
50. Gas Release to Southern California Gas Co
51. CERTIPICATE OF OCCUPANCY
No. Date
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PHOJECT ADOHESS: �] O 3 W 18 TH S T
OWNEF'SNPME: ALLEN MILHERT
nooaEss: 3179 CORTE PORTIFINO
N,B, 92660
COSTA MESA CA 92627
71A) 640-1316
AflCHIENGINEEH: BEC.ND.:
AOOPESS:
UNIT:
uxir:
PEHM1ITEE: ALLEN MILBERT ( 714 ) 640-1916
aooness: 3179 CORTE PORTOFINO
N,H. CA 92660
4�CENSEO CONTBACTOB OECLAHATION: I OereDy aifirm Ihat I am IicenseG untler provisions o� Chap�e� 9lcommencin0 wi�� Section
7000� ol Division 3 0� Ihe Business an0 Prole55ion5 COAe. anA my licens¢ �5 in lull lorce ana eflecl.
c�Tr uc.: sinrc uc.: cuss: EXP :
Daie: Signamre:
WOPNEHS' COMPENSp710N OECIABRT10N: I hereby aHirm t�at I have a certificate ol consem to sell�insure or a certificate oI Workeri
ComDe�sation Insurance. or a rertifietl copY ihereof (Section 9800. Lab. C�.
POL{CY NO.: EXP. UATE:
COMPRNY:
❑ Cetli�ieU cOPY is �ereby furnished.. ❑ Certilietl copy is IileO wi�� I�e ci�y 9uilding DiNsion.
pate: ApplicanL
ENEMVfIONFBOMWOBKEB$'COMPENSRTIONOELUMTION: Rhiisec�iOnnE[dnoih¢COmDIeteGi�IhepermiliSloronehwqfe0�5100�ofkss).
I cetlify ��ai in I�e petlormanc¢ o� the wo�k b� which t�is pe�mi� is issueJ. I 5hall not em0�oy any D¢r50n in any manner so as �o become
5u�j¢ci lo I�e Wa1rkers Compen5ation LawS ol Calilornia. 1 /�_' ^-�1�, '
Pa�e: � d ` J � - �� SiAna�ure: f `��%� �L' \ N � 1 "-U `-�
NOTICE: II. after makinp t�is tleclara�ion. you s�ould become sublecl to Ihe Workers' Compensation pmvisions o� Ne Labor
CoEe, you mus� torihwit� tompry with sut� prOvision5 or tNs permi� shall be Oeemetl �evoke0.
pONSTflUCT10N LENUING RfiENCY: I �er¢by allirm Iha� t�ere is a con5lNtiion IenUing agenty fOr Ine pedormante 0� lhe w0�k lof
w�ich Ihis permit is i<sued �Sec�ion 3097.�Civ. C�.
�ENUER:
aooeess:
OWNEP BUILOEN DECIAPFTION: I �ere0y aflirm t�at I am eeem0� �mm ihe Caniractors' State License Law for ihe �ollowinq reason
1�ction 703t.5 Business antl Professianal COtle: Any city al county w�ich requires a permit to consiruGt. alter, impmve, AemolisA, or
Bpair any slmcWre. prior lo ils issuance. also revuires the applicant for suc� permit Ia Iile a siBnetl statement ihat Ae/sne is Iicenu0
pursuant to I�e pmvislons ol t�e ComractoK Slate License Law (Chapter 9(commencing with Seciion 7000� of Oivision 3 oi Ihe Business
,sntl Pmfessions Cotle) or tha� he/she is erempt therefmm ane the basis fo� �he allege0 exemption Any violation ol Section 7031.5 by
any aDPli[ani 10� a permit Su�lects I�e apDliWnl lo a civil p¢nal�y o� no� mOre than live huntlretl dallafs (E500).
1, aS owne` ot t�e Woperty o� mY employees w�th wa9es as ldeit mk wmpertsatiurt, vriU Eo the w�tk, anU lhe
❑ simaure is not imenGea or ofiereG lor sale (3ec�ion 7044, Business antl Pm�essionai Caae: T�e Coniractors' State License Law
does no� apply �o an owner ol a propertY who builOs or imDmves Nereon, an0 who does such work himself/hersell or thmuAA
�is or �er awn em0loyees, pwvieetl t�at such improvemenls are nol intendetl or ottered lor sale. If, however the UuilJinp or
improvement 15 soltl wi�hin one year oi completion, Ihe awner vnll have Ihe hurEen af pmvinp M1e/she tli0 no� huilA or impmv¢
lor ihe purpose ol salel.
I, as awner of ihe pmpeny, am ezclusively Conirac�inp wit� IitenSeG ConVac�ars la canstmCl IAe pmject (Set�ion 70E4, Busine55
❑ anU Pmlessions CoEe: The Comractars' State License Law Goes rrot apDN �o an owner al Droperry wlw OalOs or improves iherean
anA wh0 conVac�s la� suc� pmle[IS �Ih a conVacior(5) license D��suanl lo ��e Contractors' S�te Licenu Law�. I am aware
Ihal pmot al �heir Worker's Campensaiion insuran[e shoul0 �e pmvi0etl �o me.
,� i am exemo� unaer SecGon; $ p 7 0 9 4 e. a P. C.
�ormi2srea/son�: pWNER—BUZLDER
Daie: I � i 1` ��( �,�e�: A.1-1 �►� �S Y1'�l I�i � I�
do nere�y cetlity thal I am aware oi ana understana the requirements oi Califomia Health anU Salery Cotle Sections 25505, 25533, and
2553a an0l�at 1 or any luture �uiltling accu0anl will/will no� (circle one� need lo camply with saitl slale codes an0 ihe reGuirements tor e
permit for can9�uction or modilicalion Imm i�e Air Oualiry ManaAement Disinct. flesiEential consimction applitations are exempt Imm
�h¢SP OrOvi5ion5.
Oate: pOPlicam:
I hereDy wnily ��at I have read this a001ication an0 s�ate t�at t�e above inio�mation is correct. I apree to camply witA atl city anA counry
artlinances antl 5�alelawsrclating�o building consimc�ion antl here�y au��orizerepresentalives of�Ais ciryio enter upon�he a6ove-men�ioned
pmper�y lor inSoeCiion purpoSeS. \.{�J�
Oate: `� �� �'��� Sipnalure: �/ `-� ` ���L�
oriver's License or Socia� Securiry a:
�(WLab W�ite-Builtling; G�een-Code E��orcemenq Canary-Applicam; Pink-Revenue; GolOenroE-Assessor
CITY OF COSTA MESA — BUILDING PERPIIT PERM NO; B 06970
PERMIT NO: B 069703 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; C�—N PERMIT TYPE: STR PURPOSE; REP
JOH DESCRIPTION ; REPAIR WALLS 6 RETAINING WALL SQ FT: 400
CLAIM VALUE; 400,00 CALC—VALUE: A00.00 GROUP OCC: A-1 /
COMMENTS; TIiIS PERMIT TO COVEA REPRIR WORK
ir�r+ru�*�r**�r*�r*fr***�r**x***fr*****��rr�r�r�r�r*�r**�rr*�r+r+******+t**r*+r*******�r*�r+r+r*x��r*�r****�r
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR:. FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN f2GHT: FT IN
PARKING REQ: PROV; PARCEL: 42405210 ZNE: AEF NO;
PLANNING NOTES>
1
MM1Fit1f4MikiElfiFiFiflfiliFltilitifiEiflfiF4if�Ejf�fffkMlfjF1lifkikMkjEifi�MifififYif4if4iEillEifififififififiEifklFaf�EafiflfiEiFifMiFiElEit
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING RPPROVED BY DATE;
BS3ILDING APPROVED HY : DATE:
APPLICATION ZSSUED BY: DATE; �R��
itlfiEifififififiEiliflfiEifilififMltlli4if ifififiFif�EififiFiF {E
if fE if if it ff it 1E iE i! if if ff iE if 1f ft if if i! iE jf if k if jf 1f 1t iE if iF if if ik 1f jR iF iF iE iflf M 1ElF #F if iE iF if 1f iF 1E if 1E iE it iE iE 1f it iE iE ik it 4 iE iF it iE M�E �E iF iE iF if 1E iP ik
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 15,00
PLAN
ISSDE FEE
FIRE
f
SMIP/RES GRADING
.50
SMIP/NON—AES
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ' PAID DUE
TOTALS----> 15,50 0.00 0.00 15,50 � 15.50 .00
REVENUE DIVZSION TOTALS--> COLLECTED; 15.50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CI-IECK
15,00 .50 ;
• ',
1E * it if iF if it 1E �F 4 i! it iE if ik iF M iF 1�F iF 1F %if if iE IF if if if 4 iF if iE iE �F 1f 1f M if it iF i! if 1f iF if if if if jt it 1f if �f if it i! ifiiE * if ftlf if,ft 1t if #f K 1f 4 if if iF iE 1f ft iF if
I N D I V I D U A L F E E B;R E A K'D O�"W N'
TYPE QTY D E S C R I P T I O N UNIT��OST TOTAL COST
SFR 400 ALTER \VALUE RESIDENT.IAL NOZONE 1.00 ' 400,00
END OF FEES
���� � �
��i� �- 8 5
D? OOi�$7I—��i7Q372 T�L"eT
DATE: ii/O1/94 TIME: 16:t�3
i?. .=o
_ ,�;�
CONSTRUCTION AND PLANNING POOL 'A
APPROVALS Permit # Date Inspector APPROVALS Permit � Date Inspector
1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undigrnd. 53. Steel Reinforcement �
3. Electr�ca� Conduit Ulility-Undrgrntl. 54. Forms '
4. Etectrical Conduit•Undrgmd. 55. Electrica� Bonding �
5. Steel Reinforcemenc l� 2(-�C� Ej(,a�/ 56. Rough Pfum6ing & Pressure Test
6. Electr�cal UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings /�� Z/_9� �c��- 58. Electricai ConduiFUndrgrnd.
8. Foundatio� 59. Gas Pipe, Q Untlrgrncf., Test �
9. Water P�pe-Undrgmd. 60. Backwash Linet, P�Trap, � U��drgrnd. .
10. Structural Floor System 61. APPROVAL TO DECK ' _
i t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final •
12. Sewer Cap 63. Heater & Vent�Final
13. Roof prains 64. Piumbing System - Final
14. Rough Plumbing '� 65. Electrical�Final
75. Rough Electriral,Condurt 66. Solar System-Final
76. Rough Electric Wiring 6). Fencin9 & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ce��ing 69. POOL;SPA SYS7EMS FINAL
19. Rough Heating & Air Conditioning FIRE DEP7, REQUIREMENT
20. Rough Factory Fireplace .� � �APPROVALS � Permit �
27.Oucts,�nStructure . � 70. Undergroynd�Hyd�o �
22. Ducts, Ventilating 77. ProducCPipin9 ;� Gas D Oii
23. Gas PiPe�Rough & Test � � � 72. Underground Flush t,�,,-
.
24. Roof Framing � 73. Underymd, Smra;�e Tank O Gas ❑ Oii t.• �° "
25. Roof 5heathin9 ' 74. Overhead Hydro ,� `�
Gw«- /
26. T�Bar Ceiling (Structurall & A4onocoat 75. Dry Chemical �
27. Frameand Flashing ,, 76. Dry Standpipe ' �i"S �'
28. lathing $� Siding 77. FIXED SYS7EM F�NAL y `
29. Insulacio,n � - �' � 78. FIRE PREV. PINAL '� i
30. Dry�va�� Naili�g HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coaj ' 79. FiNAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIfIGATE ISSUED
33. Fina� E�ectric Notes:
34. Final Heating & Air Condition�ng '
35. Final Gas Pipe-Test � �
.36. Hood a� Canopy , .
37. Finai Fac:ory Fireplace ,
38. Pinal Plumbing � � -�
39. Water Service�Final - �
�40. Gas Service•final . � ' •
41. Soiar pomestirFinal • ..
42, Backfiow Preventer . �� zZ e�¢:� ��
43. Backflow Irrigation �. ' //,/;,�,,;�-
�-`��y
44. Landscape IrriGation SYstem � , - �
45. SoUnd Attenuation �' � ( 2.3 -��- E, 1/ � 9 ���i �C��
LCP• � �[�r
46. Handicap,Regulations � .
47. FINA4 STRUCTURE & BUILDING �
48. FINA4 PLANNING • �
49. Electric Release to Edison '
50. Gas Release to Southem Catifomia Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
i., . '
?' i02�2
I COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPUCANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING � ,
ADDRE55 —
. COSTA MESA, CALIFORNIA
b f l�
■ CONTRACTOR
c cwacc �
irJ(' �/f7'r' _�ic.
�✓ �h�. f I NO. OF BLDGB.
SETBACK LINE FXOM �
cENTER oF srrseer � REAR YARO/
/ f
SIDE YARD ILEFY ��i IRIGHT ��
DESCRIPTION OF WORK
.C?
AND WORK TO BF
r�p ,L .... �y
�JP:Os� �% ..
1 HEHEBY ACKNOWLEOGf THAT 1 HADF. qE1D THIS APPL�EATION
RND STATE THAT YNE ABOVE IS CORRECT qNC AGREE TO COM-
PLY WITH ALL QTY OHUINANCES AND STATE LAW9 ftEGUTATING
6VILOING CONSTRl1CTION.
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
AU � 2 ti 1959
APPLICATION FOR PERMIT
BUILDING
3C� vp'�u.,�
FOR OfF/CE USE ON[Y
IRECEIPT NO. I PENMIT NO.
RECEIVED BY �eTE RECEIVED DATE ISSUE�
--�....o I Y_: u_.—o In�i� n o,��
GOSTA MESA, CALIFORNIA
APPROVED
IPL�NB
APPftOVED
BY
YAROS
REqUIRED
(CENTER LINE ST4
FRONT �[
R.SIDE .S
REAR
"I BUILDINO
DA7E
EVES
v7
- " �G — /(f
j.S"`l iL ` t - �i_�
�' 7 7 - L�a`• - �.
THE �MOUNT BHOWN UMDER VALII�TION ! OR THE
PUHPOBE OF ESTABLIBHING A PEFM�T FEE ONLY,
VALUATION �y
PERMIT FEE S �j
5 f���� PLAN CHECK S �CJ. SZ
(/'
TOTAL FEE S �y �, S f7
�