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Home My WebLink About728 18TH ST - Building Permits;�. (714) 754•5273 • Fax (714) 754-4856 • www.c�.coata-mese.�liILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92628 JobAddress: 728 W 18TH ST Suite: Vicinity: ROOF Pnmary Occ: Parcel Number: 42417412 Applicant Address: Owner: Address Conlrador. Address: Type ot ConstruGion: V-N Zoning: ROSENGARTEN, MICHAEL J �o �y �e�5zb 'Pa��-, C�- ROSENGARTEN, MICHAEC J 723 TENTH STREET � .. � " . SANTA MONICA, CA ` - � OWNER-BUILDER ' Status: ISSUED Applied: 09/06/2005 Issued: 09/062005 Phone:(�2((��s�Z-�yI�ISSUEDBV: �/ [1,� Z'P �i I I{� Phone:. � - ' � - Zip: ' .�90402•2821� � � Phone: Zip: License: 000000 � . Arch : ' Eng: . . Address: - Address: . . Phone: � - � � Phone: . Zip: License:, _ � ,- - License: � SCOPE OF PERMIT T/O EXISTING COMP SHINGLES AND REROOF W/COMP SHINGLES ON DUPLEX AND ATTAHCED GARAGES. APPROX 30 S�UARES. REPAIR AND REPLACE SHEATHING AS NEEDED.' � - � _ �'' ' � � � , - , FEESUMMARY ;,, Plan Check: $0.00 -� Calc Valuation: �" 5s,000.00 Permit: $125.25 Claim Valuation: ' ss,000.00 SMIP Res: ` SMIP Com: Other: Inspection: Total• $0.60 $0.00 �O.QQ $0.00 $125.85 � 3 , PCANNING & ZONING SETBACKS >s,; .,<: '� " MAIN STRUCTURE Fwnt 0- 0� '" �^'Rear � 0• 0�` 'Left� 0. 0 -=- _�Riyht`. ; 0. 0 , -- -_ ACCESSORY °� �Front '0=0 "°Rear��=0=0 � `"Left' 0.'0 �" - - ,RigM 0-0 - � - -- . . � . . _ a. , _ . . , , . PARKING Existm :'-��"0 e��uired:.�` 0'_ � Pr000sed: =-0''- � _ �_ _ . „.> , _ _ . _ , � _ , ; _ NOTICE: The work authorized by this permit shall comply wlth all appllcable handlcap access requirements under Califomia statutes and related regulationa. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire antl become votd it work Is not commenced withln 180 days, or if woAc Is suspended or abanda� .1; for a period ol 180 days. INSPECTIONS: In order for the work eulhoAzed under this pertnit to be considered legal, such xrork must comply wlth alt epplicable ca�� :id all requlred Inepectlons end final epproval must be obtalned. Fallure to oblain inspeclions and final epproval will result in tha expiretion of th" .mit. FOR INSPECTIONS CALL: (714) 754-5628 zueee laoo) . WORKERS' COMPENSATION DEGLNiATON: ' I hereby eHirtn under penalry of perjury wie ot the 1dlowing deGaretlons: ❑ I have flntl wlll mainteln e certiflcate of consent to selt-Insure for workers' , , es provlded tor by sec0on 3700 0l the Le6or CoOe, for the pertortnance of the work for whlch this pertnit Is Issued. � ❑ I liave arM will meinteln workers' compensetlon Insurance, as requlretl by sectlon 3700 01 Ihe Labor Coae, for Ihe perfortnance of tha work for which Ihls pBrtnit I9 Issued. My worken' compensetbn In4urence cerder entl pallcy number ere: � Catrier. PWicy Number: (Thls secUon neetl not be conplefed �� Ne pertnl!!s velued et one hundred dollers ($100) or IessJ � I certify Ihat in the peAormaxe of Ihe work tor whlch Ihis pe�mit I5lssueQ 1 shell not employ arry person in eny manner ao es lo become SuD�eM lo Iha workers' ccmpensatlon lews ot Celtlom�e, entl eprea t�at tl I should become suD�ect to Ihe workers' wmpensatlon provisions of Sectlon 3700 of Ue Lebor Cade, I shell torthwlt� —�comply with these provisiona —'— �---- q / Appltcant'Slgne-- turet � U'p��e;_^ � ~• / �v� `�'S— WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION OE IS UNUWFUL AND SHPLL SU6IECT AN EMPLOYER TO CflIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED T/qUSPND00LURE(5100,000),INAD�mIXJTOTNECOSTO PENSATION,DAMAGESASPROVIDEDFORINSECilON31080FTNEUBORCODE,INTEREST,ANDATTORNEYSFEES. LICENSED CONTRACTORS DECI-ANA710N: I �ereDy aKrtn that I em Iicensed under proNsions ol Chapter 9(commendng with SecUon 7000) ot Divisbn 3 at the Business and Professions Cotle, and my license is in tull force end eHed. LJc. p Class p Contrectols Slgnature: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby flNirtn that there is a G�shudion lending agency br ihe pedormance ot the work Por which Uis permit is Issued. (Sec. 3097, Civil Code). LendeYs Name: Lentler's Address: Signature: OWNER-BUILDER DECLARATIONS: oace: I he�eby aHirtn thet under penelry oi Der�ury thet I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Profe55lons Code: Any ciry or counry which reqUlres e permit to construct, aller, Improve, tlemolis�, or repalr eny structure, pnor to Its Issuance, also requires �he applicent for suc� permit to file a signad stetement that he or she Is IlcenseC pursuent to ihe proNslons of the Contrectors LJcense Lew (Chepter 9(commandng wiN Section 7000) ot Dlvislon 3 of the Business end Professions Code) o! thet he or she Is eaempt therelrom end the basis for the ellegeA e:empUon. My Ndetlon ot Section 7031.5 by eny epplicent for e permit ,subJect e epplicant to a civil pen8lry of no� more ihen tive hundretl dollars ($500).): '�,—Ilas owner oi Ihe property. or my amployees wilh wages as their sola wmpensation, W ILL DO THE WORK, entl the siructure is nat inientleO or otleretl for sale (Sec. � 7044, Business and Prolessions Code: The Coniractors License Lew d0es no� apply to en owner of properry who Cuiids or Improves thereon, end who Coes such work himself or herself or through his or her own employees, provided Ihet such imprwemenis ere not intended or oHeretl tor sele. It, however, tha builCing or imprwemen� Is solA within one year ol wmple��on, Iha owneo-buildar will heve the burden ot proving t�at �e or she did not builtl or Imprwe for purpose of saleJ. ' ❑ I, es owner of Ihe properry, am E%CLUSIVELY CON7RACTING WITX LICENSED CONTRACTORS to cansiruct ihe O�o�ect (Sec. 70aa, Business en0 Protessions CoOe: The wNractors License Lew tloes not eDPly to en owner ol pro0eny who builds or Improves thereon, antl who conirects lor suc� pro�ect wlih e contrector(s) license pursuent to ihe Contractoro License Lews.). ' ❑ I em exempt untler� �� Buslness end Pmfessions Cotle for Ihis reeson: �s�emre: -_ ��/A Loare:--�-- 9- c- u r 'Ownei ID verifletl D tlrivefs Iicense. ��es ❑ No �'DrNeYs�Lkanx No.—/ �Expires:_ `% B—^� Veriltcatbn ol OwnershtP �Y (�YPB ol tlocumertt. l.e. - P�oPerty tax Clll ar deetl)- —'_.,_ __�_ �.��-- . DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I hereby certity Ihet no eacave��on Nvo (5) or more feet in dapth Into which e pereon Is required to descend, wiil be mede In conneIXion with work euthodzed by this � permit, end lhet no building sWciure, scaHoltling, felsework, or demolition or dismantlinp ihereot, will be mora Ihen Ihirry-six (36) teet hiph. (C�ap. 32. Gry 2, Art 2, Sec. 341, Title 8, Celitomla Admini5��ative COOe). � As owner-builder, I will nat employ enyone to do work which would require e permit Irom ihe DMsian oi Industdal Sefery, as noted ebove, unless such person hes e pertnit to tlo such work tmm IBe division. � SignaNre: Da�e: Division ol Indusirlal Salety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRV: I certity under penelry ol perjury that I �ave reetl this epplication and state thet the Informatlon given is cartecc I egrae to comply with all slate I s end clry ortlinances relaling to buil0ing construction, antl authodze representetives ot the Ciry ol Coste Mese m enter upon Ihe above-described praperry tor inspec �e ses. I e ree to xcuDY a� allow occupancy of eny building authorized by this pertni/t �until finel inspection. SlgnawreotLegaLO ner(s). .._.�' %��OS� �._--^—' �' "'� AnNO! Authonzotl App icent Date ""' COOE 1. INSPECfMN TYPE 1816 Fixed System Final Fire PrB�enOon 7266 Pod Spe Finel 200 Final RaRoof 201 Finel BIocWRetaining Well 202 Final Feciory Fire Place 203 Finel Sign 206 Final Demoli6on PAIE 1[QIDELS F.Q�,( INSPECTIONME 208 Finel Mechanical �/ '�L 208 Finel Plumbirg � ��l.�7��yM�+ 210 Finel EleCtncel �p / Q 212 Final fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy QAff. II{�L5 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 728 W 78TH ST 42417412 Applicant: KHADEM, ABE Address: 168180HMS WAY COSTA MESA, CA Phone: (949) 631-8777 .. . : Zip:.92627 _ Owner: ROSENGARTEN, MICHAEL J Address 723 TENTH STREET � ' � � - � � . . • . . ' . ��. � - - � � Phone: � . ,� SANTA MONICA, CA � Zip: 90402-2821 Contractor. NOOR"EL'ECTRICAL SERVICE Address: 16818.OHMS WAY � � , COSTA�MESA, CA' . ` Phone� . (949) 631-8777 Zip: _92627 '• , •�License:;�z452774 ' ISSUED BY: Status: Applied: i«��an ISSUED 10/28/2002 �nnnnnm SCOPE OF PERMIT �; CHANGE OUT ELECTRICAL SERVICE AT 6 UNIT APARTMENT BUILIDNG. CHANGE OUT 6 SUBPANEIS `� �". . ' '. �ALSO. . . . . .. .. .. : �:_� :,: . . ... . ;� , � � . . � " , , -. . � _- , _ �._ . , , FEESUMMARY -- 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 1000a• Service over 1000a� Motors to 1hp � Motors to 10hp , Motors to SOhp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Quantiry. " � $23.50 ,. ' -��' -��' TempDist�Sys[em%Lighting` .. $0.00 - -."�. . - - - -- - -Busway /100�ft � ; _ $0.00 � � Standing Section $0.00 0 Misc Electncal Equipmenl $0.00 0 Transformersup-to 1 kva/kw , $0.00 0 ...........-.....up to 10 kva/kw � $0.00 . 0 � � ...................up to 50 kva/kw ' ." $0.00 0 .- .:. „;� ...(::..... .... up to 100 kva/kw � . $0.00 0 � ��' .............::...over 100 kva/kw ''$0.00 , 0 o-� �,'` �� Low Voltage Equipment $0.00 � i _� -0 � ��'� � . - Low Volt Wiring System /,Ckt , $783.00:� �, .6-. , _� Misc.Conduit " . $0.00 �� 0 ' .. �Misc. Conductor � . ; � $0.00 '-� 0 � ==- , - ; Cirws ( gen or ride) - $0.00. � . ��^ �0 � -' � - Circus (mech ride or lighls) ' $0.00 � � � � 0 ' � � Chnstmas Tree Sfand � $0.00 . � 0 Fireworks Stand � , � $0.00 ' � 0 � Other Electriral Fee � � $0.00 . ' 0 , , • . , � � $0.00 -� �� 0 - , Irnestigation Fee $183.00 ��, ' -�6; . � ` . �Plan Check Fee � � $0.00 � 0 -- � � . Reinspection Fee . � Quantiiy - � � $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 - 0 $0.00 0 $0.00 0 $0.00 0 "$0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 �. . : $0.00 $0.00 $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 iha work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit �� FOR INSPECTIONS CALL: (714) 7545626 � zaas-as �sroo� . . WORKERS' COMPENSATION DECLARATION: � , � I heraby ettirtn under penalry o1 perjury one of the following tleclaratlons: ❑ I ave entl will mainta(� e ceRiNwte ot consent to setl-Insure for workers' compensaiion, as proviGed �or Dy sectlon 3700 of ihe LeDor Code, for Ihe pertormance o� Ihe ork lor which t�is pe�il is issuetl. I have end wlll meintei� workere' compensation insurence, es requireC by sectlon 3700 of the Labor CaCe, for the pertortnance af the work for which this permit is issued. My workers' compensation Insurance carner entl policy numb ere: I Cerrier. � PoliCy Number: (This secNon need not 6e rAmplefed i! the pertriitls valu� tbne hu j tl dollars ($100J or IessJ ❑ I certity that in the pedortnence ot the work i, hic� thl r yyys Issuetl, I shall not employ any pereon In eny manner so as ro become s blact lo Ne workere' ' compensation lews of Calitom' , entl a at lt 1 s �CQme sub�ecl lo Ihe wolrcero' compensation proNslons of Sectlon 3700 of �h Labor C ,1 ahall fortfiwflh comply wlth these pro�isio / /� I Applicant Signature: � / Date: v i s WARNINO: FAILURE TO S EW ERS' SATIdJ COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AN CIVIL Fl S UP TOIXJE HUNDRED THOUSAND DOLLARE (5� 000 �DITION THE COST OF CO�APENSATION, DAALIGES AS PROVIOED FOR IN SECT�ON 3�080F THE U80R CODE, IMEREST. AND ATTORNEV'S FEES. / � LICENSED CO ACTOHS DECLARATION: I hereby aHirtn that I em licensed under provisio f Ch�(commencing with Section 7000) of Division 3 ot the Business antl Professions Code, end my license is in tull tarce end eMect. Lic. p � Cless N ContracroYs Signetura: � Dete: � i CONS7RUC710N Cq11 AGENCY' / ❑ I hereby a' haf there is e construction lending egency for the peAortnance of the work for which this permit Is issued. (Sec. 3097, Civil Cade). Lentler's Neme: � Lender'S Atldress: i Signature: Date: � OWNER•BUILDER DECLARAT�ONS: , I hereby eXirtn that untler ponelry ol peryury lhal I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, Buslness antl Professions Cade: Any cily or counry which requires a pertnii ta construc�, alter, improve, demolish, or repair eny strucWre, pnor �o Its Issuance, elso requires the epplicent lor such pertnit lo file e signed stetement that he or she Is licensed pursuam to the provlsions ot Ihe Contradors License Lew (Chepter 9(commencing with Seclion 7000) ol Divislon 3 of ihe Business end Professions Code) or that he or she is exempt �herefrom antl Ihe basis For the elleged examptian. Any vlolation oi Sectlon 7031.5 by eny applicent for e permi� subjects Ihe epplicent to e c�� penelry of not mora Ihen fiva huntlretl Aollaw ($500)J: � ❑ I, as owner of the property, or my employees with weges es their sole compensation, WILL DO TT1E WORK, enC the structure Is not intentled or oXared lor sale (Sec. 7044, Busineu antl P�ofessions Code: The Contractors License Lew does not appty to an owner of O�operry who builds or improves thereon, and who does such work himself or hersetl or Ib�ou9h �is or her own employees, provided that such improvements ere no� IntentleG or oHered tor sela. tl, however, Ihe bullding or Improvement is sold within one year o1 �P�etion, ihe owneabuilder will have the burden of pmving that he or she did not build ar improve br Duryose of sale.). ❑ I, as awner af ihe proparty, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTqACTORS to wnstruct Ihe D�oject (Sec. 7044, Business entl Professions Code: The comrectors License Lew tloes not apply Io en owner of propeny wha builds or improves ihereon, end who cantracts for such project with e coniredor(4) license pursuent to tho Comrecbrs Licensa Lews.). '� ❑ I em exempt untler seo. Business antl Professions Code for this reason: Signature: Date: Owner ID veniletl by drivele Ilcense. ❑ Yes ❑ No Drive/s Licensa No. Expi�es: � Verification at Ownership by (rype oi document, I.e. - property tas hlll or tleod): � DIVISION OF INDUSTRIAL SAPETY PERMR CERTIFICATON: I 0 I hereby certlfy Ihat no excevetlan five (5) or more teet in tlep�h Into which a person is required to descend, wlll De matle in connection with work euthorized by t�is pertnii, antl Iha� no builtling slrucNre, scattdding, felsework, or OemWition or dismamling ihereof, will ba more ihan t�irty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Celitomia AdmlNsiretive Code). ❑ As owner-builder, I wi�� not empioy anyone to do work which woultl require e pertnit iram the Divis�on of Induslnel Safery, as rwted above, unless such person has e permit to tlo such worl< <<om �he division. i SignaNre: Date: Division of Induslrial Sefery Pertnit Numbar: MAZARDOUS MATERIALS �1D EMISSIONS CERTIFICATION: �� 1 W III Iha epplicant or present or fuNre building occupent naed to file end cenify a Business Plan br emergency response to releese or ihreatened releese of e ha�zerdous metedel7 ❑ Yes ❑ No i (Saction 25505 oi the Calitomia Health and Setery Cotle requires, with some exceptions, Ihet e Business Plan be tiletl with the Costa Mesa Fire Depanment tiy every business which has at any one time tlunng a reported yaa� a quentiiy ol hazardous matenals equel to or greater �hen a weighl oi 500 pounds, or e volume o155 gallons, or 200 cuDic leet of comp�essed gas at stantlard temperawre antl D�essure). "_' ..............................._.............._�....._...._..................................................................__............................__................................_........................................._......._................._. ...._..._........... ............................_.._.............. 2 Ooes or will the applicant or present or future builtling occupant nee0 to lile e registretion fortn lor ecutely hazarEous metenals9 ❑ Yes ❑ No (Section 25533 ot the Calilomla Health and Satery COCe, with some excaptlons, reduires registretlon wllh the Casta Mesa Fire Depertment by each business which el eny one tlme hes on hend a quaniiry oi acutely hazerdous metedals equal to or greater then e weight ol 500 pounds, or e volume ot 55 gallons, or 200 cubic feet of compresseG ges et standertl tempereture an0 pressure). � 3 Does or will the epplican� or presem or tumre Duntling occupani neetl Io prepere an RMPP (Risk Menagement entl Prevention Progrem tor acutely hazerdous materiels)7 ❑ Ves ❑ No (Sectlon 25534 of the Galifomia Health and Safery Code provides that the Costa Mesa Fire Department may raquire Ihe preparaGon, certiticatlon end liling with the Fire Depanment oi an RMPP by businesses whiU ere required to register acutety hazartlous materials with the Fire Depertment. ,__..._.._� .............._............._.�._.............�._...._...................'_'___...................._............................_._......................._'_........................... ........._..._........ ........._.__................._._..__.._........ 4 It en RMPP is presently requireq has Seciion 25534 ot the Calitomie Healt� entl Safery Code been fully complied wit�7 ❑ Ves ❑ No � ......._ .................................................................................._..........._...._.._.,_....................................._................................._................................_.............................................................._..........................................................................._.._.. 5 Does or wlll ihe epplican� or present or fuNre bullding occupent requlre br Ihe work which is Ihe subject ol Ihis e plication e, permit tor such constructlon or motlificatlon irom Ihe South Coest Air Oueliry Menagemen� Distdct or irom eny other air pollution control district or agency7 � Yes LJ No I (Sectlon 658502 of the Califomia Govemment Code requires ihet ihe requested information �e fumis�etl on epplicaHons for nomresitlential building permits). ' ..................................................................................................................................................................................................................................................................................... ...................... .... ........ ................. 8 Willen p �� y part of Ihe feciliry to be constructed under this ermit be wlthin 1000 feet from the outer bountlanes ol e schooll ❑ Yes ❑ No . (If yes", the taclliry mus� meet ihe requirement of Sectlons 25534 antl 42303 0l ihe Califomie Heelth an0 Safery Code). � _.._ ....... .___... ____ ........ . tlisciosures �al tlistdct or egency is required lor the � 42303 been me0e? ❑ Yes ❑ No 8 (If "yes', ettech certiticate ot complience trom �he eppropriete air pollution conirol oflicer). CERTIFICATE OF COMPLIANCE: I cartiry that under penalry oi perjury the intormation given ebove Is correct. I agree to comply with all state lews end cly ortlll regartling HaeaMous M?terials anA Emissions. � Signature: Date: CERTiFlCATE OF COMPLUWCE AND AUTHORIZATON cortect. I agree to comply wi�h all state laws end ciry or ebove-descnbetl propertytor��spection purposes.l� CQOE �. 1816 1266 zoo 201 202 203 204 Fiaetl System Final Fire Prevention Pad Spa Finel Flnal Re-Roof - Final BIocWReteinin9 `Nall Finel Factory Fire Place Finel Sign Final Demolition �� TRY• ceM1ity untler penalty of perjury that I �ave read t�is epplication antl stata ihat Ihe Infortna0on given Is � leting to Duilding constructlon, and authodze representatives ot ihe City of CoSta Mesa to enter upon �he acupy or allow occupancy of any building euthonzetl by this pertnit until final inspectlon. j I�LS S�ApFE INSYECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 270 Final Eleddcal 212 Final Fire Prevention 220 Final Plenninp Approval 222 Final Site 250 Final Building/Occupanty � Mesa Bnilding Department 717 EAST 20th STREET ' OSTA MESA� CALIFORNIA �+� APPLICANT TO �IN Building ' � � � / .y � Addresa p Costa Mesa, Cadifornia y Nearest � Cross St Owner � �..`d "l �C.(�t ,�t�w A�C/�(i� aaare� � 7 9 ��1�..� _ � ArChttector ` Lic. Enginee� No. Address cic; ��tractor No. Address Loi No. Block of LOR Bullding Size E�cferlor _ �ring � _ of N� Addition Demolish I hereby ar]cnowledge ffiat I have read this Applicatlon and state that the above is correM and agree to comply with all Clty Ordinances and State Laws regulating building rnnstruction. Signature of � Permittee �-. APPLICATION FOR PERMIT �`�'� BUILDiNG � FOR OFFICE USE ONLY / . I Receipt No. � Pertnit N y'9L� �L�/I�' � � � l-�J5 � $�y.�� naaae� 7��'- C,L - 1 S'�./.t1�/,7 / Costa Mesa, California j� � Nea�est i! /J ,—.0 . CORRECTIONS APPROVALS iundation Locatlon Inapector Forms, Materials, Under-Pinning •ame: Fire Stops, Valuation . � Pe�mit Fee $ 7� y/G� C Masa �-" $-�'. � � _P_lan Check $ C \b � Bond � `' Total ��; — Fee •-- FINF FORM 204 S-HP 2M b55 Int Ext Date � � �� •.' .' . ri.vi sa.til� Show Iocation and diatances from property Ilne and behveen buildinga ��, �. �$�� a�'.v : � -> , �. —,-----�—� � . ' . a`. . � ' �� . l _. ' - - _.. '� "1;` � ._ � �� . , -- �_' - . i. . ��' \ •�osta Mesa Bnilding Department P - 111 EABT 20th STREET c ,,. CO$TA MESA, CALIFORNIA - FOR APPLICANT TO FILL IN Adddre� � �,�/ % � ` • Costa Mesa, California t� Nearest /�� Cross St � w"-�C Arohitmt or Enginee� Address 'ractor Addrcss Size of I Use of Existing Setback Cmter c New I�� c L B Tel. IO O �� f Bli on L Demolish � APPLICATION FOR PERMIT �`�8 BUILDING � FOR OFFICE USE ONLY • � Receipt No. P/ermit No. I I / J�� ! ecefved;by Date Redd./ Dato Issued " �L� ,�-sz—�S s-�s's 1 Buildin9 Z —�� 4f� U' �, Address Costa Mesa, California /j-;Z - r� APPROVAIaS :Ion Lxation I Inspeeto s, Materials, •-Pinning Fire Stoo9. I hereby aclmowledge that I have read this ApplicaUon and state tha2 the above is correct and agree to comply Lath. Int with all City Ordinances and State Iaws regulating building cOnstcLLCt[on. Lath. Ext 8ignatu�eof Permittee' — Plaster, Int Authorized Aat. �5/��.,n �s.hQ � �.�eitla , Plaster..E�ct Valuation �' ), � Permit Fee $ 3 H •" lY � o .Plen Check $ b $ � j�3; ,� To�, . � .� Fee $ � gbi 2P5 SSP 2D1 8-5$ � � Show locatlon and distances from property Iina and between buildings 0 0 0 ✓ � ��; COS�TA� MESA BUILDING-SAFEfY DEPARTMENT P.O. BO%91] COSTA MHBA� CALIFORNIA For Applican� fo Fill In Completely TYPE OR PRIN7 ADDRHS9 �ZS ��.� �./��{ COSTA MESA, CALIFORNIA -. ,_ W.�- .'�RM _i NH. � NR ,., .. OWNER` C C �� j �/ S . MAIL �V �I ' � .��! �/H .. - �. . .. _ _ ADDRE88 .. . •., .. • . c�rv C�l�'QnI.+C �F.f. . MAQ :.HOL�.4S�n0. r • ■ ARCHITECT :,.. . _ Al .59 (.6 c iawcTon � � G � � '/�' '' ADDRE98 J3'�OI�eJ� j{^- �UI � �� cirv �Ek%��a2T D�/�� /� STATE TEL. / _ � � 3�' LIC. NO. N IC SIZE O'i� .. � _ . � I NO.OPBLDOB. � ■ BETBACK EFT ' ' I� RIGMi DESCRIPTION OF WORK � wALL I1 HEpEeY ACKNONL8D08 TH�T 1 MAVB RlAP T1�6 APPLIGTION AND BiATE TMAT TH8 ABOVE I8 CORRECT AMO AOqEE TO COM� PLT WITH ALL CIiY OqDINANCHB AND BTAT&L� WB RHaULATINO BOILCINOCONBTqUGT10N. �/ ALITHORIZED �i��i�� ` � FEE RECEIV�D OCT 11964 � FINANCE DEPI. cirr oF cosrA MEsa APPLICATION FOR PERMIT � BUILDING i - for'Office Use Only ".'" � '-' � � 'p8CE1P1'NO. PlRMITN� d ECB�V BY DA PlCHIVfiD • pAT 99t1 � � � � . �.i' % 4.f �. '.COINO -]' ' �' f !' ' �. �' - .. I JRES3 i e J8 TVPE' ' '�GROUP 'ROVEO • •. • • - O DATE / r .: ' ' ZONINCi • . eq �fi0.'01. � 'U860RNlW;9(�ll� y �Z: PLAN9 z OUIL�INO / c�irricn �� G•r`(o a y /L�"h'/T T/� . ,� �. No. /�� — �O�i — � �-- '�L 'E: NO EAVE OVERHANO BHALL BE LESS TNAN YARD8APPROVED MAIN BUIL�INO ( FROM C�/�/`Sy�TREET )� FRONT /y"/ � P4,�' 7 R. SIDE �FT. L. SIOH `�—O FT REAR Z'y �, DISTANCH BET. MAIN BLD68, VAR.SC IO p � NOLD rxe �MOUNT 9X1 PURP086 OP E9 VALUATION �5� �3�z �O U. B. C. REql11REMENT) :� YARDSAPPROVED � ACGESSORY BUILDING �,Y rr�- �• \! • BET. MAIN Q ACCE55. BLI DATE rJ/ APPROVED ..._� 9/� �60 � vw�uwnon IB�FOH THB F A PEHMIT PHH ONLY. � �%� �� H , TFEE $ v � cxecK s.� 5. S z' o — % i�R 6 � 'sl.i ' T � ^1 1 .' _. _. �.. . - . .. - - . . . ........ . . l t :� '. . � u _�f , ..t �. f � �—,. _,. . ' _ -' - )f • •.,'. _:�= - _: : . _.. .i d ;i't.. . =', . ��i:sfi ?��;{41i� ,_ . - . • .- . ,, „ . d?j'� h7'L0� iG t�IJ = ' ,...__ -- - -". s�cznL xEQu��Errrs: - --- . . __:.s. � _, ,.'. . . 1: One C1ass�A Fire Hydrant to be •instaLled�,per-�Fire-Department ,.' '. requirements as indicated on plot plan;�',.'_' �.: `: -� • 2. ' Must�meet.,a17: the req6irements of the'1961_Uniiorm Fire Code; 3. A1T �areas not .presc�ibed for,-park-ing�-to be marked:-='No.-Parkiig .' .. �r---,4.-,-_Tree�planting compatible_with the area as indicated on the. . \� � `.i� Plot Plan. � ` � J �T• • � - - �. ` 5_. In§tallatioif of . residential ;sideyralks � snd .concrete� dr-iveway _' :. -,approaches by the.applicant; at his expense, as,per �. � standard sp'ecifications of the City of'Costa Mesa.-'" -"" - .6. $creening of..tfie parking.-in�the_front_as'�.per.,stanaara___._ . _. . _ _ .__._ �. 'specifications_ of .the. City of Costa Mesa. . .' _ :^ � - •. , � -- ..__..'_��_. . ` �..� .._'_�.��_ �._ _'4 i .�j' , ' � . \ ; \. � ' . . �� u ��..��.�.. . . . . � 1 � ... �e . • ' t " ' ' ...�...�._.... 1 '• . . . 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