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Home My WebLink About375 18TH ST - Building PermitsQ (714) 754-5273 • Fex (714) 754-4856 • www.c�.costa-mesa.r��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 375 E 18TH ST Suite: Vicinity: ROOF Primary Occ: R Parcel Number: 42502228 Applicant: BERBER, ISRAEL Address: 7675 S MINNIE ST SANTA ANA, CA Type of Conswction: V-N Zoning: Phone:--(714)836-8384 Zip: ` � 92707 .. . Owner. CHUANG, THOMAS T TR"%TOP REALTY INVESTMENT " Address INC _ � - 1641ELINCOLNAVE � � �� Phone:�.. �� ATTN PETER�SU' � � ,- � � _ � Zip:��,92865-1929 . Contracror. R B.ROOFING Address: 1615 S MINNIE ST , ' SANTA ANA; CA Zip: 9270Z '. Phone: (714) 83G8384 ! License: 772680 Status: ISSUED Applied: 0726/2005 Issued: 07/26/2005 � • • �'i / Arch .: . : , . . ; .. E�g: - . . ... . , ' Address: � � " . Address: ' " �' � - ' � - �Phone: " - - � ` Phone: � Zip: License: ' .. , . � 'liiense: � SCOPE OF PERMIT � TEAR OPF EXISTING ROOF. INSTALL t LAYER-30# FELT; 40�YEAR COMPOSITION�SHINGLES, G.A.F. TIMBERUNE. AND REPAIRlREPLACE SHEATHING AS NEEDED. 84 SQUARES FOR MULTI•FAMILY BLDG.. ': .> . .. .. �.. Plan Check: $0.00 Permit: ' $401.85 SMIP Res: $2.56 SMIP Com: $0.00 Olher: $0.00 Inspection: $0.00 Total: 5404.41 SETBACKS MAINSTRUCTURE Front ,0-0_- �� -Rear ACCESSORY Front �0-0 � ".� Rear PARKING Existin : 0� ` Reauired FEE SUMMARY Calc Valuation: . Claim Valuation: a PLANNING & ZONING • �.:s-:� ; :;;..•; =.. 0. 0, �� , �Left: �..-� 0- 0-'� Right 0.' 0 `-0•0� Left 00 p�:'t'-�'� Right -,0'-0 . _ ✓ � „ : l ♦�.. ,,. 0..:..� ....��.<P�000sed:'"_''0 .,5.,;��,• � �- � � .`.: ... ''s-��` azs,s�o.00 $25,570.00 NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if vrork Is not commenced within 180 days, or If work is susperWed or abarWoned for a period of 180 days. INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must comply with ell epplieable codes, and all requlred i�speetlons end flnal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (774) 7545628 [a+o-aa �aw7 WORKERS'COMPENSAnONDECLARAnON: . I hereby eHirtn under penalty of perjury one ol Ihe tollowing deGaretions: ❑ I heve end will maintain e certificate oi consent ro selt-Insure tor workers' compensetion, es provided tor by sectlon 3700 of Ihe Lebor Code, tor Ue peAortnence of the work tor which ihis permit 15155ued. ,�' I heve am1 will mainWn vroAcers' compensatbn U�wrence, as requheO Dy sectlon 3700 oi Ne Lebor Code, lor the peAortnance of the work for whidi W5 permit is i55ueC. My w�qs' pensatlon Ins�nce ceMq entl policy number ere: (/ ` Cerrier: �Q V �J Pollcy Number. �(1 OD �J� (Thls secrlon need nar be compleretl lr Ne permlrls velued er one nuntlretl tldlars (5700) or /ess.) ❑ I certly Ihat in Ihe peAortnance o1 the work tor wNch tAis permit is Issued, I s�all not employ eny person In eny manner so es to become subject to the workers' compensetion laws of Cefifomle, and eprae Nat If shoulC 6ecome sub�ect to Ihe woMers' compensetlon proNslons of Sectlon 3700 of the Lebor Cotle, I shell torNwlih compty with t�ese pr � ns. /-7 7 Applicam Signewra: � Dale: ' / .0 �n - r7 W�RNINO: FAILURE TO SECURE WORKERS' COMPENSFTION COVERAGE IS UNLAWFUL AND SHALL SU&IECT �N EMPLOYER TO CRIMINAL PENALTIES AND CM� FlNES UP TOONE HUNDRED TKKISAND DIXIARE (5100,OW), IN ADDRION TO THE WST OF COMPENSATION, DNMOES AS PROVIOED FOR IN SECTION 3708OF TNE UBOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATON: I here�y attirtn that I em Iice u r pr sions of ��a,pter 8(commenUng wIU Section 7000) of DlNsion 3 oi t�e Busine33an�° 1p7� ions Code, entl my Iicense is in tull torce end ettect. LJc. a G C1 Class p C-- J 7 ContmctorsSigneture:� g A� �� Dele: `7—� �— P).S CONSTRUCTION LENUING AGENCY: ❑ I hereby eHirtn t�at there is e consWqion Ientling epency for the peAortnence ol the work for whlch Ihis pertnit is Issued. (Sec. 3097, Clvil Code). Lendefs Neme: Lentler's AtlOress: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby eXirtn Nat unAer penelry of per�ury ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professlons Code: Any ciry or counry which requires e pertnit to wnstrud, alter, improve, demolish, or repair any strudura, prior to its issuance, also requires Ihe epplicant for such pertnit to tile e signetl stetement ihal he w she Is Ilcensetl pursuant ro Ne proNsbns of the Contractors License Lew (Chepter 9(commendng with Section 7000) of Dlvision 3 of Ne Business enO Profeuions Code) or that he or she is exempt Iherefrom entl the hasis for the alleged ezemptlon. Any violation af Sectlon 7031.5 by eny epplicant for e permlt subjects the epplicant to a ciNl penalry oi not more Ihen frve hundred tlWlars (SSW)J: ❑ I, as owner of the property, or my employees wlth wages es thelr sole compensation, W ILL DO 7HE WORK, and the structure is not intentled or offeretl for sale (Sec. 7044, Business and Professions Code: The Coniractors License law does not eppty to an owner of property who bullds or improves thereon, and who does such work himself or herself or through his or her or.n amployees, providetl that such Impmvemenis ara not intended or oNered for sale. If, however, the builCing or improvement Is sold within one year of complation, the owner-builder will have the burtlen ol proving that he or she did not builtl or improve for purpase of sele.). ' ❑ I, es owner at the pmperty, em E%CLUSIVELV CONTHACTING WITH LICENSED CONTRACTORS to construct the projed (Sec. 7044, Business end Professions Cotle: The conirectors License Lew tloes not apPN to an owner of propeny who builtls or Improves thereon, end who coniracts for such pro�ect with e comractor(s) license pursuant to the Contractors License LswsJ. ❑ I em exempt under sec. Business antl Professions Code tor this reeson: SlgnaNre: Date: Owner ID venfletl by tlrivers Iicense. ❑ Yes ❑ No Drivefs License No. Vedlication of Ownership Dy (type of dxument, i.e. - pmperry tan bill or Ceetl): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTFICATION: Expires: ❑ I hereby caNfy that no escavatlon five (5) or more teet in depth Into which a person is required to descend, wlll be matle in connection wlth work eut�orized by this pertnit, entl that no building siructure, scaHoldinp, falsework, or demolition or dismantling thereof, wlll be more than thirry-six (38) leet high. (Chflp. 32, Grp 2, Ah 2, Sec. 341, Tltle B, Califomla Atlminisiretive Code). ❑ As owner-builder, I will not employ enyone to tlo work which woultl repuire e Oertnit from the Divislon ol Industriel Sefery, es noted ebove, unless such person hes e permit to do such work trom the division. Signeture: Data: DiWsion of IntlustAal Safery Pertnit Number. CERTIFlCATE OF COMPLJANCE AND AllfHORIZATON OF EMAY: I certlfy untler penelry of parjury ihat I heve reed �his epplica�ion end state thet the infortnetion given Is wrtect I egree to comply wllh all stete lews entl ciry ordinences relatinp Io building constmction, and authodze representatives of Ihe Ciry oi Coste Mesa to enter upon the ebove-descnbed praperty for inspeCtion puryoses. I agree not lo occupy or ellow occupanty of eny building authorized by Ihis pertnit until linel Inspection. �Ig�nat�ur/e OI Legal Owner(s � /�r Da�te7 ��;'�YAntDOt� lfi A ApP� n�lfl (�DaGY i^�J � Au o zed COUE /, INSiEtTqNTYPE 1618 Fized System Flnel Fire Preventlon 1266 200 Pool Spe Finel Flnel Re-Rool 201 FIneI BIocWRetalning Well 202 Final FeIXory fire Plece 203 Final Sign 204 Final Demoli�ion •.1 .1111.. � �7/� w CY/C�J � yODEt INSVECTONTYPE 208 Final Mec�enical 20B Finnl Plumbing 210 Finel Electdcal 212 Finel Fire Preventlon 220 Finel Plenning Approval 222 Finel SItB 250 Finel Building/Occupancy PAg I[�L9 �oowEssoreu�wxo: 37,5 E 18TH ST .. ,,,,. aKmERS xueE IF aawr�, L I N L E , . wowEu: 2 p�NDEROSA IRVINE CA 92714 "..552-123� wv�. �uiaa wo�ss: IRECT OR EN�NEER: OX EN6.'S i1DOFE55: .�.__ ,..., .� °.^.�T:...._GARAG. uc. ao: UNT: coNmncrarsxu� LEE ROOFING OF COSTA MESA ( 714 ) 642-7223 caxm�croxs�mwo . 1653 SUPERIOR - �p�s.COSTA MESA CA...�c� 349686 _ 92627 � - - - uNr: ,-- _. 11CFN5ED COHTR�CTOflS DECLAfl4AON: I Mroby ellim uMs peroly d pa�jury Na I em IkmnE uMx prwiuom d CMqx 9 (commaM.r,q wiih Sec�bn ]000) d Divi ion 3 d tha Buainea eM Vrduabna Coda, erd my Iweme u in IUA lau eM Nfetl. cmuc.no.: zg/7`51 uacuss: C_39 uc.No.: 3 86. ...EXP: 03/96 Deb: � 7 Conueem ' OWNER ILOE OECIAP�TION: I hasby eKum uMv pably d ' ry IMI I em ewnq Imn iM Caqretlm liume lew la tla 1 '�seson (Setlion ro31.5 Buei�ea� end Adxmna Cods: ♦ a wun�Y xfiidi nGu'va e G�+n �o muvuc4 Nr. Mpaw. ismdeh, a ropv vry n�uctura, pia b M e�uarws, e6o npui�m epplimn� la wch pwmit to Rb a dpnad NatamaM Net M a�M • ' • licemad W�a�� o iha prariebn� d IM GoNrepon Limiue lew �Cluqu 9(oommseuiiq wilh Setlion ]UW) d ONeian � d ihe I Buti�wSa eM RMeuioiu Catlal a IMI M u�ha e e�emq Ihxelmm enE IM bsw la Ne NbpsE eaamqion. My vbltlion d Sspion )O�t.S by ury epplimN la e qrmd wbptl� �M appfeaM lo a tihl pmelly d nal man ihm frv� Mmdrod doEu� �SSOOD. � I.uoxnerdlMpropMyamyempbyeeevA�wepxmiMicMcompemqion.WldolMxwk.udiM�wct�neew�iniaMW or on.�a r«.w �s«ua, �a.. e�...d,e v�a«�. cae.: rn. com�aa, uo�. �w me. �a mW �o ��« d po�ny who buida a inaowe tMnm. eM Wn dow �uch wk limrtl a MeW a Wouoh h's a Mr am Mnobrw. wwidsd �Am wM owmrb�ilder w�l heva Ih� WNen al pwi�p M a dro did nal buik a improw la iM puryros d Ws�. � I. n oww d �M D�WaH. un uC�'W oomMnO'Mtl� 4n�ueA conuxtan ro mnmud tM poNtl (8wion'lOM. &n4w� W ww..om. coa.: rn. cw�.ea. uc«w �..+ m.. �a woN e.� o.,•. a awnv ww wua. « impw« n,«.on w»no mnvM� la wN P9� xah e mmredM�) liconasd Wnuem lo IM ContraCa� Liw�ue Iew). � I em a�anq uMu Sxlion: B. 8 P.C.. br Nb eaewn: Dtla: �: i eo n.nw «Mr uw i.m ..... a.�e ��e.�w�e m. �+a��.«�«m a cdy�a tw.nn.�,a sn.n coe. s.aw�. zssos, zsxv..�e pySa1, eM tlW I u ury Mun Wild'up oowpun. vAll / wil rwlldreY ar) m�tl to oomply Nh uk pel� mG� end tM rpulmn�nb tor • W�� InmmNcfbn amoOtlfpliontran�M NSwT�eneprnw qqtid. RwMMW aonrtrudbn �OM�'�bm �n �srnq han Na� a�. om.: �cq�v: WONKEP'8 COMiEN9ATI0N CECIARATION: I MrW/ Nlrm uMr puutly ol pMuy on� d tM foAowlnp ErW�tbm: ❑ � mm�.�e M� �wmm. wnNr.b a omrm �o..na�wn ror wawm� oomv��on. e wo�le.e �w M eawn o�ro a �n. L.nu. COM, la IM prtamuic� d tM vk la Mvch Nb peMi h InwE, � ❑ i n....�e �.n �,.im.n.onw.' m�v�� wMo.. n nauwa M ew� a�ao a m. i.na coa.. i« m. o.�+«m.�o. a m. wak la w41rh Nb pwmE o iwud. My wabn' compnwbn Inwruic� m�ix ud pdky riumbv v�: c.m..: STATF. FUND EXPIRES Pd'ryNumbor. � �nnaaa-aa 06/30/96 �rnr, ..niu, m.d na a cand�nd y u. v«m� u ro. m. nunend em.n R�m� a Ma.) � I pnry Nel in IM porlormuKa W IM work br whkh ihb pomN h bu�tl, I WII nol �m loy erry qnan In ury menrw o s m bsmn�s wb�w m �M xvM1an' mnprntlbn Ir�n W C�Nm�4. W prM wN Woarw wE�W b IM xoM1an' canW�ian G�'^ � m M SMian a100 d �M lebor CoG, alh ' n poAd �. � Otle: Z Apq'raM: ` wun�� cunroA'w�'wrr�wtloncowrap�l�unYwM, J/Iyllllb/KlNMIy10/MfOCIIINIWptl11Mq�IIG cMl llms w ro am �unarw rhouund ewun /tia4000A In WJltlen tlr� ewt ot nmpwwtbn aunw u prov�ae ror in D�ctlan ]100 0/ tlr� LNorCa6, Intw4 �tl �rtomq'� Iw. CONSTpUCT10N LENDINO AUENCY: I MnEy e1Rrm uMr p�nMy al o�rjvy IIW tMn b� cmp�utlbn Iwdbp epa�y for tlM psrtpmano� d IM wak far wtJrh Ih's pwmY b'swM (�� . GM. GI. LEN�ER'9 NAME LRlOER'8 MDPE89: I cMiN tMt I hms �ed iha epplicetion uM qtl� �hat Ihe ebor� Inlamulon b eomp. l pns Io comp�y vMA all py enE oouMy aNinencu uM �Itla 4x1 rolmnp m Wild'vp COnqrupian end hxoby authwhs rpmonle�ivu d Ihb tily Io �nlx upon Iha ebws•mMlbmd pmpany la imqaion qiryw�a. M KE HURRE P' I Neme � Dets: un d OwmrlAp�MlApplrant/Coniredar (5151J6. 1 W�e-�+�d�q 8 SdMy: aneri-�b: Cenery-Applunl: Rnk-Rennw: Oddsnmd-Asww __._.,.__..,..,_: _.,,„,_._._.._-....__CITY„,OF__COSTA MESA -,BU.ILD.ING_PERMIT�. _.........T. ...._...,___.._�... __.- --- --_.._ ___,.-......_...__ _...._....-.__. _ PERM NO: H. ..076444 PERMIT_,.NO,: B, _ 07.6444._ _.__,_. _... PLAN CHECK _NO:., _._ ._ ._ N ., GOVT: N SUPP: N. CONSTRUCTION TYPE:, V-N _.__,�,T____,.P,ERMIT_TYPE: STR,.. __„__„_.�„_,�_�_,PURPOSE: _OTH JOH DESCRIPTION __:,_REROOF_W/COMP, SHINGLES_ OVER_EXISITNG ,_ _ ___SQ_FT: __. _ __ 700.. _CLAIM VALUE.:, ____ __ . 700.00 CALC-VALUE:__, _ , ]00.00. GROUP OCC: R-3 /U-1 ._, COMMENTS:_REROOE_4.O.OSF. GARAGE W/COMP_. �***�*****�r***********�c*�r*******�r******+r**��r**�*****�*�c***�r**�r******�***�cx***** ___ _.. __ 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 ----------r _MAIN _HUILDING --------- --------- ACCESSORY _BUILDING --------- �FRNT: ' FT _ IN,REAR: _ FT IN FANT: FT IN REAR: FT IN ,LEFT: _FT ..___IN.RGHT: ,_. FT ZN LEFT; FT IN RGHT: FT IN PARKING REQ:__ _ PROV:__ PARC£L: 00000000 ZNE; REF NO: PLANNING NOTES>.., � `., 1E 1k iF if �f 1E Ik 1E 1E 1E iF if 1F 1f 1k 1F if 1E 1! 1F 1E 1E 1E 1f if iE 1f i!'IFlE 1k k 1E if if if ik ik iE 1f ik 1klE 1E fE IF IE k iElE 1E k iE iF it ik iF iE 1E 1E 1E i!!E if if� iE 181E 1E�161E 1f iF fE 1E 1E iE M 1E 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 APPROVED BY DATE; _� BUILDING APPROVED BY : DATE: � APPLICATZON ISSUED..BY: iE M M iF if 1f 1f ik iE 1E iE Ik If iE if ik 1E iE ik 1k if iE�iF LEGALIZATION:�N. _ �,,_, , _ _ . .BLDG_PMT PLUMBING PERMIT �.,_ , 19.00 f af_�i4��iriSi;� i'a ELECTRIC MECHANIC FSRE DATE: � �LS I 1FiEifiElfiEiFff k1E STRUCTURAL SEGMENT:Y SMIP/RES GAADING .SO � SMIP/NON-RES PLAN ' ISSUE FEE.._- . BUILDING-DIV-> PERMIT ISSUE PI;AN-CHECK TOTAL PAID DUE TOTALS----> 19.50 0.00 ;' 0.00 19,50 19.50 ,00 � REVENUE DIVISION TOTALS--> COLLECTED: 19.50 OVEA/SHORT: .00 BLD19p00 pLUMHING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN-CHECK q ik ik 1f iF 1f 1f !F iE if 1f k 1f 1f if if 1E i6 if ff 1f !f iElf 1f iflElk fflE 1t 1E IF iE 1E if if fE 1E 1E iE iE fE 1F iE 1Elk iE 1E if 1E 1f IF 1f 1E iE 1E 1E fE ff iflF iElF 1E 1E 1E iE iE k ik iE iE iE 1E iE iE iE k iE I N D I V I D[J A, L� F, E E. H R E A K D O W N TYPE QTY D E S C R I P T I O�N UNIT COST TOTAL COST SFR 700 REROOF BY VALUE.RESIDENT.IAL_ NOZONE 1,00 700,00 _.END OF FEES Di tivZCt 5'Is-i i�. �'C�h74 'F'f_i i7 d�,sJ Dsie: U7�±`�45- 'SP:n ��:4y • .�..- � - „ CONSTRUCTION AND PLANNING P00� .. SPA � APPROVALS Permit #- Date Inspectur qppROVALS Pennit # Oate l�sqector . 1. Temporary Electrical Service or Pofe I 52. Pool & Equipment Location . , 2. Soil Pipe-Undrgrnd. "� ' 53. Steei Reinforcement • ' ' �3.�ElectricaiCondui�t-Utitity-Und�grnd. 54. Forms " - ' ' 4��lettrical Condujt�Un,`tlrgrnd. � 55. Electricai Bonding � J y ,, 5.-5teet AeintorcemeDt � � 56. Rough Ptumbin9 & Preswre Tett - `• 6:-'EjectriwlUFE�Cupyj. 57. APPROVALTOCOVER�GUNITE � (J •+. - 7. �otings _ � 58. Eiectricai ConduioUndrgrnd. � 8. Foundation T T z ��+ 59. Gas Pipe, � Urrtirgmd., Test , 9. Water Pipe�U�dr9rO�� c� � � • 60. Backwash LinesrP�Trap, O Undrgrnd. 70. 5truttural Floor System 61. APPROVAL Tp:DECK . � 7 7. Property Sewer Line & House�on ection 62. Backwash & Receptor-Final � �2_ SeWe� CaP p-' ; 63. Heater & Ven[-Final •• 13. Roof Orains _, ` 64. PVumbing System • Final 14. Rough P�umbing-, f� . 65. Electrical-Final � .. 15. Fough ElectricahConi7uit : , 66. Solar System-Fjnal 16. Flough Electric Vl?iriri.g; � 67. Fencing & Acce'ss Approvai r.t7. f?ough Wiring $ign 66. APPROVE� FQR"PLASTERING i: �,78. Rouqh Eiectiica�T Bar Ceiling` 69. POOUSPA SYSTEMS FINAL t9, Rough Heatin�,& Air Conditioning `, ` Y M, �, FIRE D,EPT.�{EQUIREMEI�,T �, 20. F?ougb F�}orjrFir�p�ace _ �� "� � � _� * +APPF�,bVA�L'�;_ ` Peiinit # � � � 21. Buct�in Structur c � •• • - �� ` � * ' � 70. �l7nderg�ovod Hydro � 22. Oucts,.Venti�dtin -x .- - ^ ' L _ ." ,. . 9,.. . a� C�a: F Y.' 77. Produc[PiPing O6as �Oil 23. (`ias Eipe-Rougti & Test :T _ r p^ ^ y; ;;K 7z, Underground Fipsh" ' '� r� 1� C ci � 24. Roof�raming �. •r �'` � �' - - � � C � w. - � � r . " � : u :+ x� �. �- 73- Undergmd. Storay�Tanki� Gas ❑�� 25. Roof.SheaYhing _ r -. �� Y! � 7 �* 74-.Overhead HVdro _. 26. T,:Bar'Ceiling (Str��t�ra�) & WFoanc,'oat ;' G } � T { 7� R�Y Che�cat - - ; � �. 27. Frame an�Flashing. x ^�� t � r a' 76. Dry Stan�'{Ape =- "- = �r � . r. �28. Lath�ngBCSiding'�"k - =�� *`' � 'yx 77r FIXEDSXSTEM'�FINAL�- � 29. Insutation� � tr J _ •• �� 7� pIRE PREV. FINAL ;'' " "30. Drywall Nailing �r�' '� r, ` S -HEALTN.DEP7. REQUIREMENT � 37. P�aster Brown Coat. �. � * �s t 79. FINAL INSPECTfDN _ � '.32. Electrical�ower Met�r�Fiqai ' ` �` �i t�'80't:FOOD CERTIF}CATE ISSUED. . • X l • � � t'. _33. Final,-:Elearic,:, .�;, cr; , a ac � w� Noies: Z/y' 6` O O , _ � ��,� _ � dv�� 34. FXnal'HeaE7ng$�Air�onditionin`g=> ' ; �t+ �: 5 � � . y�. s � o- r� 35. FinafGae1Pipe.Test ,;•- y � . r. ' h:.' � ' � ' ` 4�r' _ �_ C36. H9od or C�noPY _ ' "� - - � : k � : �C . � �T ..; K .r ;� a' c �*' _ " ' ` �� ~ � -37. Final Facfory Fireplace -�-� % x� A ��38. Final'Plumbing ¢ �� ` ^ , ' S - ^. z . - f.. 4 � �k u M `39. Water�Ser ice-Final �� `'" " , � � � � � r �� _ . » I# ' ,�; -� n� tc40. Gas Service�Fifial n" ," - - �""� � {y z"-' � ` ` R � i., -' � . . ' 41. Solar Oomestic=Final� ' =,, �� `' �� pr. � a . x p 42. Backflow Preventer + t " n' ; ' t i* ' � ' s. J . 43. Backflow Irrigavon x . K; T, >. � � fl - 44. Landscap€ IrriqatiomSystem ?� �,� = s °� � � `: . �'' �'� '� ' _ `'' ' ` - r• a d� £ � G" �� h � , - ; - Z'r� C*' >• z c- r� � • ,. � 45. $pund Aitenuation � - .. .. y - i±+� � c _ 46. Handicap Regvlatiom - � ^ �� Q 'S � � �` - . " � i� �t ;, �r'_ _ . � 47„ P(NAt STRU�TURE & BUICDING � �I �. '�. ; � � -� i �• r �-. : _ _ � �=1� �. �. 48. RtNAC PLANNING � -- r" �!` ' A E" �. i i d X d 4g. �ectna R�lease to Ecjison j '�t* - - : 50. G�s F%leafe to Southem Califomia�6as Co F � �* � ' ' _� _ C� ` K � `� • 51. CERTIPVCATE OP OCCUPANCY ` � " �� - - • " No Date � �I �� oonEssaeuxaxp: 375 E 18TH ST O�YNERS NRNE IF IQlOWN: L I N L E �� • ADDPESS 2 p�NDEROSA IRVINE CA 92714 552-123� APPL.IWWq ADONEA4: ANCNRECTONFHC�NEEN: RCII OR ENQ'8 �UURE59: uNr: 6 uc. wo.: YNT; w"'^"°t°"'s"""E LEE ROOFING OF COSTA MESA ( 714 ) 642-7223 ca+m�crom�uiwo 1653 SUPEAIOR _. ��p��COSTA MESA CA �� 349686 92627 uNT: 110EN9ED COHfR�CTORB DECL�X�TION: I h�nby Nkm unMr pvWy d pr�ury �htl I un IWroW urMx prwitlon� d Cheqa Y (canm�ndn0 wilh 6eclbn ]OW) W D'rvbM J W IM BudMn W PNp�im� WO�. W mY Yaiw b In hA bm ud MW. cmuc.No.: z8�51 uc.cuee: C_39 uc.No.: 6 EXP: 03/96 om.: comnem . � OWNER 8 ILOEN ECLAR�TION: I M�W/ dRmi u�Mu p�ruly d pv�y 1!W I am mmq hpn �M Cpnretlon lJwro� lew la tlr �dbwhV �won (B�abn ]0]1.5 Bu�iw� md VMmbm CaM: �ny0(Y a munN xfildi �Nuim � M�mq m eomtluct. �Ilv. ImMav. emd'sA a npei ury �vucwn. prbr b b� 6wuia. Wo nqulmYS apqbsnt la aeh p�rmq �o MM � dpnW Mrnent Ihtl M a�M , iw.�..d w�� m m. a�� a u. com�.m. �b.m. [.w Icn.a« u I�p+d+a wan ewwn moo) a w.nkn a a n,. Buur�a vk Fdxiwu COGI a Ilut M w �M b wmp IMrNmm ud IM !uN la M�14p�E u�mqbn. My vbWbn W Bwun ]03t.5 W enY eiV�� lor � parMl aaad� IM epplceril lo e dAI p�nelly ot nq mon ihen Ilv� huMnd ddlu� �5900p. � I.nmmardlMpaqnyamyMnplWs��MhwpnslMiwl�mmpmqbn.uillEotMwork.end�Irn�ucwnb�wllmaMed ar ollarM br Ws (SKIIm )Ou. Bulnm end Prola�bmCoG: TM ComreCon Llan�� lew doa nol Wpym en bww d pops�y who EuiG a inpwn tMnm. and Na doa �uM work Nmrtl a MnN a Waph hu a Mr axn xnM�+��. V�b �htl w<h ImpovamaM ua ra Imend�d a d1r�d Iv ub. tl, lpwwar, tM buitlirp a inpaanaN u wtl wkMn pr yw d canplation, tM �,..amia.� �;u n.w m. wb.� a ww��o n. «.n. au �a wim « imww. �� n. wma. a w.). � 1. n ormer d �M pWeM. un ezdvairaN mntrenn0 �fi Icru�E canvenas m mmvua tlr pdb (8aeun ]ON. &w'vr� end Prolwime Gode: TM ConlMm licanr Lew Eam ml epply b en owner d paqrly who Wi1J� or Impo.•u IMnan vM Ma mnVacu ror wtl� W9ae xiN e mvrenvlp licem�d p�nuua m IM Gwracw� License lerA. � I un uemq wdr Sxtbn: B. 8 P.C., br Nb �aeaon: Dme: �++r: i eo n«env �nav wm i� a..a. a�a wd«.w,e ub na��«m a cdeo� wsnn.�e snNr caa. s.ao�. zuos. us.v..�d ?55�. md Nm I a enY Mun drikuq amipeN will / wil m� (�vcb an) rced io camWV wih veid eeis mdu eM tM nyu"vemmb M eW�nlacacebuciionamoCificelionhwnihe�i�y ereWmenlDipiid.RevEeMielm�MiudioneVpN'e�iomvsaaemplmniMee �� - Da�e: AVd�'au: WOXKEN'SCOYVENS�TIONDECIAii�TION:IMrebyaff uMxprWlydper'puyonedNslo4wi�pEWerdiom: � I have eM xil mei�uen e caKbtle W m�venl to �ellinun M xakas' oompenwion, m pwked la Ey Setlion 3]00 d iM leCm COM. la tM peetmmrce W Ihe wM la wl'r.h Ria pamii w ivwd. — � I hevs end wil meimen xohen' compemmion imureMe. n required by Swun J)00 d tM lebor COAs. br tM pM«merca d IM work frc NUN Ne D�e e usued. MY walws' wmw�wian imu�arice farrwr ond odicY rumbr me: c.�.: STATF FrTun _EXPIRES raKrN�mn�, - -'T�nnoea_aa _06/30/96 (rno.mdmmeeiareecomr+�earrn.w�eeroimewnmeeeamrs/5laolahnd ' ' . ❑ � mn+r �nm in u,e o.�omiuc. a iM w«x �« .rncn tnro o�e b bau.a. �.nell m� .meM rrv v� �� r m�, .o ro �o pacome wbjea to �M xorFme' canpanaetian IeMe d�eM V�ee I et ! I 4wN bxmie Mletl �o iM xwVra� , compens 'on pr 'aiom d SeUion f)00 d �he lebor I 'vh wiN � pm�soru. .. Dme: bD� � •� � Wemlrp: �Nu b wcun ivortsri ron�owwtlon eov�rep� I� u il, �nC aN/I Hdllcf �n �mplayw ro WMiu/ pwltlu �rW. r, GHI fl w� nu�ene mou,e�r edun lsialoroA M Idon ro M� cwl ol wmpxwtbA ��W p P+o�1W0 br In � Sxtlon 91P5 0l Mr Ldor COM, /nfrs,4 anAettomq i lsu. CONSTflUCT10N LENOINO AGENCY: I he�eby elfirm uMm penepy d perjury ihel IMre u e aaW�udion Wdiiq percy la the �' p.nwmeiae a m..mk rar wnie� mc v�+ m ewee (seaon aas�. ci.. cl. LENUEfl'S NAME: LENDEWS AOORE55: I cenEy Ihet I heua iead iho epp'r,etbn end Ceie �htl tM ebova iNametbn e cortaa. l pne to compy Mith M tiry enA cauMy adirorce� vM sle�e bxe rdel'vp b buiMiq tonaVutlon etd hmeby eNlqrrze iepeasnlelrvae W �lut dly to enlx upon Ihe ebwa�menlionad qopeM �Of 1114Gedp11 pI1fPJ9B9. Dma: WA4e-Buik�q d SefetY: Oraert-Fb: GwrY-AGG�'+��: Fnk-Rermw: Oakanea0.Meeev CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 076443 PERMIT NO: H 076443 „ . PLAN CHECK NO: .. N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N, pERMIT TYPE; STR PURPOSE: OTH JOH DESCRIPTION : REROOF W/COMP SHINGLES OVER EXISITNG SQ FT; 2,940 CLAIM VALUE: 2,940.00 CALC-VALUE: 2,940.00 GROUP OCC: R-3 /U-1 COMMENTS: AEROOF 2100SF RESIDENCE W/COMP **�r*�t�tx��e�tft*�t+t�tit+t*�tft�tit�t�t�tx�itx��titx��**�tx��*�r*�rr**�t+t*�**it�r*�x��r�r�titit�t�tit�t�t�t+t*�t�r�t+t�t�t***�t�tit _ 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 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAA: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING RE • PROV: PARCEL; 00000000 ZNE: REF NO: PLANNING N TES> � � � •—• iF 1F if 1F iE iE 1k iF 1k ik 1f iF if 1E 181E 1E 1f 1E 1(� ik iE iE iE ik 1E IE 1E If 1E 1E 1k IE M IF 1f' k if 1E �f k 1f 1f 1f 1f 1f iF 1E 1F IE 1F if 1E if 7f if 1f iF 1E 1E 1E 1E 1E 1F iE iE 1f If iE.lk 1E li 1ElE 1E IE 1F iF 1k D E V E L O.P M E N T S E R V I C E S R E Q U T A E M E N`T. S ZONING APPROVED BY � BUILDING APPROVED BY ; APPLICATION ISSUED BY; iE 1E 1E 1E If 1E iF %ik if iE if if 1f if If 1E IE 1E iE if if DATE: DATE: %-'s DATE: ,/ �r��*�**+rTi'iF��: '��i�r+� LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:Y .� BLDG PMT. PLUMBING ELECTRZ,C MECHP.NIC FIRE SMIP/RES GRADING PERMIT 54.00 - �; � 50 i;l'�» ,. SMIP/NON-AES PLAN _ , .,; � . � ISSUE FEE ' - :i % _HUILD,ING-DIV-> PERMIT ISSUE PLAN-CHECK /„ TOTAL PAID DUE TOTALS----> 54.50 0.00 ,-' " 0.00 54.50 54.50 .00 � � j � � REVENUE D,IVISION TOTALS--> , COLliECTED: c 54.50 OVER/SHORT: .00 BLD54p00 pLUMBING ELECTRIC MECHANIC �-FIRE SMIP/TOO GRADING PLAN-CHECK � �� . ? ik iF iF iF fE 1E 1E 1E 1E fE 1E 1E 1E 1F IF 1E 1E if 1f 7E 1E 1f 1E IE IE 1f fE If IE 1E 1E IE 1E iF i@.iF'Iklf ii 1f 16 if i(� 1f 1F 1E iE 1E fE 1ElE M 1f 1E 1E 1f if 1f 1E IElE ik IE 1F k 1E 1f iE iF IE 1! iE iE 1f 1E 1E k iE ik . ��. __I N D I V I D U A�li`; F E E� B,R E A K D O W N �,TYP,E„_,__QTY��_.D__E_S C R_I_P. T. I.O.N_ __`, /� -� UNIT COST TOTAL COST .SFR, ,,, _ 29.40,_, ,,,,REROOF BY_ VALUE _RESIDENTIAL !�NOZONE 1.00 2, 940. 00 . � END .OF ,FEE�� ..� ^ • �) r, : .� ' i G1. i'u"'l:l_'S'li "�.. �%i� i 9_�:7 5•'r.�i, [rRT�: �iil:/�i ' _. Lv:.J .. _ CONSTRUCTION AND PLANNING POG. . SPA S�PPROVALS Permit # Date Inspector pPPROVALS Permit # Date Inspector � 1. Temporary Eleciricdl Service or Pole 52. Pool & Equipment Location . -. . � 2. $oil Pipe-Und�grnd. � - 53. Sreel Reinforcement ��Ekctrical Condu�t-�lt�ity-Un�grod. 54. Forms '• � a."Hgctricaf Conduit:U�g*nd. 55. Eleclrical 8onding ' _�5�ieei Reinforcement ;: 56. Rough Plumbing & Pressure Test - 6=ETearical UFER$r�n8. 57. APPROVAL TO COVER�GUNITE < < � 7.``f,�ootings �' ", ^ 58. Electrical Condwi�Undrgmd. -: 8. F.uundation m S � � 59. Gas Pipe, O UnUr�rnd., Test 9. VG�ter Pipe�Undrgcnd. � _ � 60. Backwasb LinesrP`Trap, � Uridrgrnd. 10. Strucmral FloorSystem 61. APPROVALTO�ECK ' 5i. Property Sewer I,jPe $� HouseEonnection 62. Backwash & Receptor-Pina7 ' i 72. Sewer Cap ii � 63. Heater & Vent-Final � 13. Roof Drains ' 64. Plumbing System - Final 14. Rough Plumbing� � 65. Electricai-Final � 75. Rough Electrica66onduit _ 66. Solar SYstem�FiqyL � _ �, 76. Rough Elecvic �tiXiri� C- 67. Pencing & Accea Approval � 77. Rough Wiring Sigr� y � 68. APPROVED F�}4�LASTERING 18. Rough Electrical,`T Bar Ceiling�' ' 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 __ H x _ �p�RE Q„EfT. �,EQUIREMENH �, T�4 - 20. t�yug�Fae}or� ir�p�ce ' `�'� � ' * � _ ,?,'� �APPFi,OVI�L$;._,r,Permit#�._ 21. ��i'icts,in 6tru¢ur�;: .. . �;' . _ V -- =70. t?hdergiovh,i} Hy�ro � - . 22. Q.ycts='Vefttilat,;ng �f • � = i � v�; : r q r �* .71. ProducL,�tPing C16as C�OiI 23. as P,ipe-E1�ouyti & Tect . tr d q e 72, Underground Flusfi�^- - - � � . 24. �of�ramin9" �x �" � � a; � � � �� `73ajUndergm'B.StoraQe:TankbGas ❑Oil 25. Roof Shea�hing .`•+x aj ��• x' C � u x 7q�:Overhead Hydro'; r � 26. T-9ar.�eiling (Svuc�i?�al} & MapoGoat y V " �� 75�Djy Chemical �-� *�' _ 27. F�ama.and Pla�hing, t �:,� w� ;.� - 76.�Dry Stantlpipe C�-�.� � . -28. Lath�ng &�SidF�g v� � � � �^ � x F- "� "� 77,��' FIXED SYSTE�f'INAL � �, r '�29. Insulaiiorr � r�. `� 5 � 1� � I R� 78€FIRE PREV. FINAL T - ?30. Drywali N�iling� H:� �„� 'y F ; , s HEALTHYDEPT' REQt71R�NtENT � �j37. Plaster Brm,vniEoa�i7X� S ;+�!T + 1 � ;1- *79��FINAL IPLSPECTION + � - _ � ^32. E7ectrical�owe� M�(er-Fin�l * �� 80 �FOOD CERTIPICArE IS��IED,. r;. T' . J � j: I ,• 2 ��-../ /J s33. f�`�hal.�leQ�ric� ,yx _, .y 'Nates: � ,d � ,��% / CFOLINlr QY�ldi . � ^� _ _. i � i � . . ,134. F.inal%leating &Air COnditionin§'S .^ "- � , 'x "� �� 1 � � cr� .� -, n x - � � • . i �� +�'L.S_� ! �_ '- e; �. ,,. �' 35. F+nal''Gas:tipe`�Tesr�" :` � � .. � ,., ' . ' .Le �� -� 8 `� +-� �6. Hood:er CanoPY x � -- o � C , , '�� - � ^ * -'°' � � , s : -, � « 3`L��> a �'t � s��t� � � .F /?� :37. Fiqal�F.act9�v Fireplacer . - - _ : � � �. a ��C /(/(G✓�y/�„- i ,v�_ - .38. FinalP.lumbinc�^ .r �� '•' � � �1: � ` r r r r - . � , .u:` �39. Water'SerJ(ce-�inai � - y � i � :� ��40. Gas Service-Final �-. �:��T T:*� p: nc -� � x c r„ c.� m 1 �i' . G' `�G, >41. Solar pomesticFina�* � '�` � �'T � j -. �,,� ^ r � _ 42. Backflow Preventer s� i�• P V � ' ?- �� •° G � •� � _C� F i � x i� 43. Backflow Irrigaiion * rSs �,-, _� = y C' • Q4. Landscape'Jrriqation�System �" ^~ - x ,m, � � -. - �: 2 " + � = ....�... -r C 'n - = t } 45. Sound Attent{ation =..,„ h L ��;;y , --r �„�. f:G r 4fi. Handicap RegulationY - C ' * - = '=� - � - ' Y T L � C+ 1'. 47. F[Nq'�STRUC7URE.&BUILDING ��_c/ ��}: _ " ' t- i. �., �n� � 48. �jidAf.PIANNING �• : k � ' - * _ _ �; '. � � > 48. Efectr•ic Refeas�[o Edison , ' �` '- '' " ' ' `i d - T - 50. Gas Release to-Southern Califomia Gas Co r. � �•� '- �•�' � ' ' _ .. _ 5L. CERT.I:FICATE OF OCCUPANCY k ' �� . ' �' -• • .- No. _ Date __ _______. �1%�Dp�0f�11k°1N0 375 E 18TH ST vxxfaswweiva�owr+:LIN, LE "0°"� 2 PENDEROSA IRVINE CA 92714 552-123§ �cr�. iwuxc wo�ss: urcxrtccrw+�a+�+: �xcx on ��s �oox�ss: ue. rio: uNT: 6 UM: caNmacrarsxu�: LEE ROOFING OF COSTA MESA ( 714 ) 642-7223 CWfN�CTORSYNIWO 1653 SUPERIOR �op� COSTA MESA CA ��.: 349686 92627 ��: 110EN5ED CONTRRCTONS UECLAP�TION: I hereby � uMm peeaty d pa�jury Nq I em IkanmE under pavmnu d Cheqr B (canmmdno wan sec�im l000) a qwon a a u�e euvnsm ena vmestlav code. end mr 4mma o in n,o raca m,e anaa. c.No.:02 751 uc.cuss:C-39( �uc.No.: 86 EXP: 03/96 oma � `L com�.aac/ /C�i E BUILD P DECIANRTION: I heMy elfirm undar perWy d peJ' ry thel I un ezemq Imn �M CoMrWm Limnss lew la �hs tpYowip (Swion ]W 1.5 Bwiwss eM HMm�'vn Code: ��ytlY a oouvY xfiid� n9� e P�u �o omsvud. eEs.'unYova. bmd¢h. v repei erty �buctuie: prur b ba ewvm. e6o rWuree tM eppliuN la wch pxmil to fiN a epned palaneM tlut he a�M • lieensed W� to iM pwmau d ihe GoNeapon Liunae law �Cheqm B(�m�'q �h Satlion ]000) W Div'sion 3 d ihe 'Bimmse end Rdwaioro Codal a ihm he a eM u uamq ihereivn uW tM Eeaa la Ns eAaYb uamqian. Mrv vidmion N Sspian )W 1.5 tr/ ay epplirant tw a prmn wbptla iM eppfraM to e dvY perolly d nol maa then IMe �und�aE AOAen �5500��. � 1. d owriar d ihe propeM a my ampbyeee x1� wepea a� iMi wle mmpemmion, will Eo IM Mwk. erd iM evuclun u� imaMeE wMered la eda I`�� . Buaron uM PMavabna Cada: TM CmVxlon Licwua lew dom mt xpply�o en owrwr W popsily who buida a inprovm Ihe�eon, mM Mfio Eoes �uch wvk Nm�ell a Mne� or Nraqh hu a her own ampbysn, pm.iEW Ihel wc� impwemeMa va nal imeMed a a11seA Iw ub. p. Mwever. iMluiNirq a inp�v.ameM'w wld wilhin ona Y� d mmpMion. Ne owrerbuitlx witl heva �M dvdm d paifq M a sM did m dtiM p impews la �M Wryroe d aW�. ❑ i. a. o.o« a in. ww.m..m e.a�ar m��.c�ro .mn cw�»a oo�v.��a. m conww u» vmi.e Iseaa, �a.. ae:,m. w vide.,iom coa.: m. cav�.eon Li«,» l.r m« m wcN w.n ovnw a v�v .ro w�O. «'nnpw« in.nan w wro wnVedn la aM qM�� wiN a mmreeM�) GeemeE Wnueni lo IM Cam�mas lJmeua lawl. . � I un aaemq uMx Seciion: B. A P.C.. la Nis ramon: Dete: �� i ao n�er �r uw i��.�e a.m w,d.�.w�e ��«ro a c.ieom. H..en �e s.bn coee s.a�. uws. usaa..�d RSSN. W tlet I a enY Muro dnkiM �+P^b rriA / wil rwi (artb oro) naetl to eamW wih uid M� mM� W �M rMwemaeN tar s pe'mY tamfuuwr�ima mo0ifimtionhom�MAi�wiFiy . a�epxiront D'etnd. RmiEwaiY mvuueun appirs�broen usmq Imm Nna povisiona. Da�e: MO�� WORKEN'S COMiENS�TION OECLARA710N: I Mrsby elfim� uMr qnMy ol pajury pp d Ma blbwinp Eedeiet'vu: � ha.aerdWmeintenaeMRratedmnwnito�WinaweMxaken'eampaeuelion.nprwiEWlab�Sermi9]Wtl�Mlaba code. �n �ne o.rtam.ncs d m. Max �« wNch ino o�a u b.�ee. � n... w w meimen.ake.• m�c��, �wrarc.... �+a�a.e M swo� amo a m. �.eo, coa. w �n. w�«�ww. a m. wark ta whid� Ne W� u usued. MY waken' mmv�ion Luu�eze urtix aM W�.Y numEr me: c�«: STATE FIINn EXPIRES ��m� 13DD99.A—Q'� 06/30/96 (lAis mcfion nesd rwW mnda� 1 Ns Po�] u b ms hundred Od/vs (JI00/ ar Iw.) � bI aucgrl�iya Nel in IM pMomier�ce ol iM wak la which Ihu�p��'ymn pb inemu�ed, Irge/1WEl ynal ampby ury pason in ury manrw �o u to ! wRodumwan wo+ievu al Sed'on� W al tM lebar a CGo�'�4��l��ph'EM(oW x'vh pvs wwidms. v�4a �o �M wwkrs' ml Fel�Gn ro ufun roilr�ri romp�u�tlon rovsnp� li un �nO�IWI �uE/M m wnvlyw ro u1m'rW pwMu �n! c � w ro m. mnd.w mou..ro edrx. lsioo,00aA a fbn b tln cwt ol ro�wnutbM1 Eunpy u provWM bi In 5 tlon 9l(16 0l tln Lebor co�. IrRsn�4 �ne �trormy'� I � CONSTHUCTION LENDINO AOENCY: 1 M�eby dfirm uMar paiuAy d pe�jury tIW Ihan u e mw�uaion Wdiip epancy lor Ihs pertam� a ins �m ror wnid, m: w�i u ewee cseaon x��. cH. cl. LENDEN'4 NAYE: LENOEX'S �OORE55: I cenEythet I hew me0 Ne appliratim end uma ihm Ne eEwe'uJame�ion u wrtsq. I apise lo canpy xilh eA tlryeM aounly atlinentts 911� 9�G 18WB 10�91�19 �O H.IIIbFi MIISUIIf}IOII yN 1KKB�`/ BY1�IIXRG �lplMlll�B�1Wf a ��10 (�' 10 GNY u�l� ��106�I!'TlMMlflld pTOBIn' la imP�� WrW�s. M� BURKE � r�i �-. . � ome: Z'/L7, WM1ile-Buik'vp 8 SdelY: Oiear�Fb: Cebry-�ppifanl: Rnk-Reven�e: Ooldmrod-bww CITY OE' COSTA MESA — Bt)ILDING PERMIT PERM NO: B 076579 PERMIT NO: H 076579 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTfi JOB DESCRIPTION : SUUPLEMENTAL TO B-764A3 SQ FT: 3,250 CLAIM VALUE: 3,250,00 CALC—VALUE: 3,250,OQ rROUP OCi;; R-3 /U-1 COMMENTS: 3 LAYERS EXISTING PER INSPECTOR T/OFF WILL BE RE�UUIRED 1E1E1EIEiElE3EkIFiEiEiElEfElElE1F1EiE1EfE�E3Eik1E1E1k;flElEiffflflfiE1E1E1EiEfE1EiE1E1f1E!l1E1ElEiE1E1EiE1fiFlE3EfE1E if1E1E1E3E1EdEiE1ElE�E1EaE1f�EiElEiEiE Z O N I N G R E Q U I R E M E N T S S E T B A.0 K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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: 00000000 ZNE: REF NO: PLANNING NOTES> i l„ A� -- 1E 1E 1E 1E 1E IE 1E 1f 1f 7F �E 1E 7E 1E 1F.iE 1E 1E 1E if 1E if if IE 7f 1F iF 1E 1E 1E iE iE 1E iE 1E 1F 1E iElF if if 1E iE if fE iE iE iE fElElE 1Elf 1E fE 1E 1E 1F iElE 1E IE iE 1E if 1E 1E 1E if 1f'1E iE iE fF iE iE If iE iE 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 APPROVED BY DATE: HUILDING APPROVED BY : DATE: '% �� APPLICATION ISSUED BY: DATE: 1Fk1F1E1EiE1E1F1k1f1E1ElEiElE1E1E1fiFlEikik iE1Eif1ElfIFiE1EiE1E *{f � LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMEN :Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 50 PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 63.50 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 63.00 SMIP/NON—RES TOTAL PAID DUE 63.50 63.50 ,00 63.50 OVER/SHORT: 00 FIRE SMIP/TOT� GRADING PLAN—CHECK 1f 1F 1E 1f if 1E 1f 1E 1f 7f iE 1k 7E 1E 1E 1E iE tE 7t iE 1E if 1E iE it ik iE 1E 1E iE iE 1F ff 1f 1E 1f !! tE 1ElE fE if iflf 1! 1E 7f fF iF iE fE 1E fE 1F 1ElElE iE fE 1E if iE ik it 1k iE iE 1E iF if'k!f iE 1E iE iE iE if 1E I N D I V I D U A L F E E B R E A K D O W N �E QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3250 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,250.00 END OF FEES :��_ -; � COSVSTRUC710N AND PLANNING j POO� d SPA �� r� APPROVALS Permit#� - " Date Inspector APPROVALS Permit#� � ' Date inspector � � 1. Temporary Electrical Service or Poie _ 52. Pool & Equipment Location '. 2. Soil Pipe-Undrgrnd. ' ' 53. Steel Reinforcement � � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . � � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '`5. �Steei Reinforcement 56. Rough Plumbing & Pressure Test 6.•ElectriwlUFERGmd. 57. APPROVALTOCOVER-GUNITE 7. Footings 58. Electrical Co�duit•Undrgrnd. � g. Fou�dauon �� 59. Gas Plpe, O Undrgrnd., Test' 9. Water Pipe�Undr9md. 60. Backwash L(nes, P•Trap,�O Undrgmd. 10. Structural Fioor SYstem 67. APPROVAL TO DECK ' 11, Property Sewer Line.& House Connection 62. Backwash & Receptor-Fi,.nal ' 12, Sewer Cap � 63. Heater & VenbPinal - 13, Roof Drains 64. Olumbing System � Final .� 14. Rough Plumbing " . • 65. Electrical�Final 75. Rough Electricai�Conduit 66. Solar SYstem-finat 16. Rough E�eMric Wiring _ 67. Fencing & Access Approval � � 17. ftough Wiring Sign �� 68. APPflOVED FOFi PLASTEflING ' 18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Condrtioni�g - FIRE DEPT. REQUIREMENT . 20. Rough Factory Fireplace � . � APPROVALS Pecmit # ., r 21. Oucts, in Structure '� �' - ,' 70. Undergroun,d Hydro � 22. Ducts, Ventilating + � 77. Product Fiping O Gas CI Oil 23. Gas Rpe-Rough & Test _ _ - ' • _ . � . 72. Underground Flush � 24. Roof Framing r . � 73. Undergmd.StorageTank•OGas DOiI 25. Roof Sheathing ., 3/j �l�` �-�- 7q' Overhead Hydro � 26. T-8ar Ceiling �Structurai) & Monocoat �� 75. Dry Chemical . ' 27. Frame and Flashing �' � ' �6. Dry Scandpipe � . 28. Lathin & Sidin - �- , ' . - 9 9 . .- • 77: FIXEDSYSTEM.FINAL�- 29. Insulation -. ' ' 78; FIRE PREV. FI,NAL ' � 30. Drywall Nailing �• . +I.EALTH DEPT. REQUIREMENT � 79. FINAL INSPECTION � _ ,k - . � �80. �F000 CERTIFICATE ISSUED� � '. Notes: ,� _ ' ' - ,� . . , . �, .- _ �. . _ r_ - r y • + ,1 I ///y� � - ' {�i / }/ '. � i85 CO � � .. - ' AOp�ieant to iill in a11 svaces ezcaot thosa within heavy GorGer lines anE sign all approvriate Ceclantionz. CITV OF COSTA MESA CC�ON�yST UCTION PERnMIT , r PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address �7t�4, la �Si�e �T K�%Fl� HbUS E Applicant's Mailing� ddress S �/rn� `r � Owner's Name !'�'�u � A r f.'i" t Phon�y�-��y Address s"�✓�'�T Arch/Eng. License No. Address f � Contractor'sNam R �f' �' Phone ��S31�d0 Addreulmailing) �� • 1�0 k Z'Zi^� C�$iY✓11NSrGLL Ciry License No. � I tT��' ' LICENSED CONTRqC70R DECLARATION I hereby alfirm that 1 aM licensetl untler provisions of Cbarter 9(commencing with section ]000) ot bivlsion 3 of the Buslne55 antl Protessions Cotle, antl my Ilcense is in ull' or g ana fie<t. � Licen�e_CI��s's� 1 _ — License No.`�,a'y�'�� Date�,C�� SignaWr ��"� WORKERS' C6MPENSpTION DECLARATION � hereby atiirm that I ha�e a cerlillcate of consent to sel/-Insure or a certitiwte ' Workers' Compensation Inzurance, or a certHieC� copy thereof (Seclion f00, Lab. CJ ' C /1 .� Policy No. Comoany � �Y rti ' tl wpy is berBby fumisnetl. m[ifietl c D i5 filetl with the ciXBuiltling ivl5iory� ' T p,��,� i�i� � �-[lsir � Oa[e Applicar f J ��( EXEMPTION ROM WbRKERS' COMPENSATION DECLARATION (Thissection neetl not bp completed if the permit is for one huntlretl (E100) or iess). I certi(y that in the per�ormance of the work tor whlch thls perm�t is issuetl, I � shall not em0loy any person In any manner so as to become subject to the Workers'•Compensa[ion �yws of California. . � Date Signalure NOTICE: If, after maki�g this tleclaration, you shoultl become subject to the Wo�ker5' GomOensation p�oviziOns ot the L2bo� COtle, you must forthwl[M1 ' complY with such prpyisions ar ehis oermlt . sha11 be tleemetl revoketl. CONSTRUCTION LENDING AGENCV � ' 1 nereby aHirm tha[ ther¢ is a conslruction lentling a9enty (or the performance of lho work for wMCh this permit is IsSuetl (SeCtlon 3097 Civ. CJ Lentler•s Name - — Le�tler'S Atltlre55 � - OWNER BUILDER DECLARATION ' I hereby.affirin�lhat I dm oxempt from the Contractor's �icense Law fbr the � � tollowing reason (Section 7031.5 Business antl Professlonal Cotle: Any city or � counly which require5 a permit to Construc[, alter, ITpvov¢, tlertiolish o� �¢pai� any struclure, prior to ��5 issuance, also /eqWreS ttte applicant (or such'p0/mlt to file a si9netl Sta[ement tnat he/she is IicenS¢tl pur5udnt to th¢ P�ovisions ot tne Contractor't License Law (GhaDter 9_(cammencing with Section �000) of ' i ion 3 of the Business antl Profe55ion5 Cotle) o� thdt h¢/she is exempt Ow5 •ereirom anC the ba5{5 for [he allegetl exemption. Apy violation ot SeCtion 131.5 by any aoo��cant to� a Pe�mlt subjetts the appllcant to a tivil �enalty ot not more thdn five huntlretl tlollars (E500). ❑ I; as owner oi� tne� property or my employees with wages as their iole com0ensatlon, will Eo (h¢ work, antl the structure Is no[ intentletl or o(ferea for sala (Section �04q, Businass antl Protessional Cotle: The Con[ractor's License Law tloes nol dpply to an owner of a property who bullOs or improves thereon, antl wno tloeS such wo�k himself/he�self or tn�ough his or he� Own iemployees, Orovieetl Ihat suth improvements are no[ Intentletl or offeretl for ' : sale. II, however, the builtlin9 or Improvemant is soltl within one year of com- ' pletlon, the owner.wlll havo the burtlen Ot proving h¢/She tlitl not builtl or Im- , prOve to� �he purpose Of sale). - ❑ I, az owner of the property, am ex<lusively contractin9 with licensetl con- � tractors to construct [he project ISection 7044, Business and Professions Cotle: � The Contractor's License Law does not applY to an owner of property who builtls or imoroves th@reon. antl who contracts for such oroiects with a mn- lractor(s1 I�cense pursyan[ m ene ConVactor's Licenx Law). I am aware that proof of their Wo�ker•5 Compensation in5urance ShOU10 ba provitletl to me. ❑ I am exempt un0er 5¢ction B. & P. C, for this reason Da[e Owner i 6w.aM1vi certitv that I M1ave rea zentatives oi mis u� inspectlon Our os - Signatu Drivers' �icense or 55 0865-46, rev. 5/88 upon TVPE OF CONST�UCTION LJ NEW L1 ADD L�ALTERATION lJ REPAIR ❑ CONVIERS ON ❑ DEMOLISH ❑ OTHER DESCRIP(fl0 OP WORK/USE OF BLDfi. _ TVPE OF PE T I.J GRADING LJ FOUND'ATIO�N IJ�ST�RUCTURAL ❑ TENA T❑ ELECTRICAL MBING Ls1mECMANICAL O OTHER PROJECT DESCRIPTION Sq. PT. OCCUPANCv �3 CONSTRUCTION TVPE �� VAIUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: above I 1 iances L �ep�e- v for Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks � . Gas Service Outlets, Interceptors Kftchen Sink � Lavatories ' . P-Trap Roof Dreins . Reinspection Fee I $15 Dutt= UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact elc iC80 # Heatin System & Ducting 00,000 BTU 0100,000 Reinspaction Fee � $15 Whi[e � Bulltling; Canary - Applicanq Pink - A¢ountin9: Goltlenrotl - Assessor 14�i� /`S �- ��i ( Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Soler Piping Solar Tank Swimming Pool w Urinal V�later Closet Water Heater Warer Service Auto-Wash laue Fee Hood or Type I ❑ � Canopy Typell ❑ Refrigeration System �0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers � • Isue Fee FEES A.P. qp S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: P.utomatic Washer Construction Pole Sub. Caoking Uni[ Dishwasher Dryers �Gas ❑Electric Fan F,A.U. Fixtures Device Boxes ' " Garbag'e Dispoul . Generstor �65 KW i• ,L � . .� �_ _ ; , Reinspectian Fee �• $ 3 Accessory Bui Parkin9 Req./Provided 2one . 2 O N I N . , G R E Q T S. E�ECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW Meter ❑up to 100 amps Meter ❑over100amps Suh Panel Motors�OlHP�tY,-8 � Inc.Solar �9-75 HP �16-15+ Microwave ' le Light Range , Standing Sections 5 K W Trash Compactor $15 � � laue Fee DEV ELOPMENT SER VICES REQUIREMENTS: Zoning,Approved By Buildin9 APProved BY -��_.�� _ �� SUMMARV OF F ~BUILDING PERMIT $ _PLAN CHECK $ � ^PLUMBING $ �' �PLAN CHECK 25% $ 'ELECTRICAL $ PLAN CHECK 50% $ � � MECHANICAL $ �y O� �_ . .'-PLANCHECK 25%� $ � �'1 FEES a 3 :r.6 � SMIP $ PERMIT ISSUANCE $ .ENERGV P.C. $ � GRADING $ MICROFILM $ TOTAL FEE $ ' . O U 0 Ol �0021727-OU021727 'TtiT 2;.00 OATE: 12/II9/EE TIME: 14:07 '� CONSTRUCTION AND PLANNING � t POO. . SPA APPROVALS Permit # Date Inspector AppROVALS Permii # Date Inspector 1. Temporary Electriral Service or Pole _ 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. '�, ' 53. Steel Reinforcement �.. Electrical Conduit Utiliiy-Undrgr.nd. " 54. Forms - 4� Electrical Conduit-Undrgrnd. 55. Electrical Bonding , �5� Steel Reinforcemerit . 56. Rough Plumbing & Pressure Test �� ;6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 1�) � -7. Footings , 58. Electrical Conduit-Undrgrnd. � .f� 8r Foundation � � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. J 60. Backwash Lines, P-Trap, O Undrgrnd. ' 10. Structural Floor System . �� 61. APPROVAL TO OECK 11. Property Sewer Line & House Connection , 62. Backwash & Receptor�Final 12. Sewer Cap � � . 63. Heater & Vent�Final ,' 13. Roof Drains � . 64. Plumbing System - Final �' 14. Rough Plum6ing ' 65. Electrical-Final 15. Fough Electrical-Conduit . 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING t.: 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning F1RE DEPT. REQUIREMENT � 20� Rough'Factory Fireplace �" � APPROVALS Permit # . i 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating �� . 71. Product Piping OGas ❑Oil 23. Gas Pipe Rough & Test � i� � 72. Underground Flush � 24. Roof F�aming 73. Undergrnd.Storage Tank O Gas ❑ Oil 25. Roof Sh"eathing , 74, Overhead Hydro 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27.�Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding ' ' 77. FIXED SYSTEM FINAL 29. Insulatjo.n 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. EVearica{ Power �Meter-Final 80. FOOD CERTIFICATE ISSUED '� 33. Final Electric " Notes:(Z -�2_f� Y f.�0 QK� �yyr�- L��,p 34. Final Heating & Air Conditioning � Z- 27-2sk . L�GT�L�� i�Li 35. Final Gas Pipe-Test [�_7,.�q' ('�ILty��T Fj��i'�(� Q-B P¢fL_ 303 � 36. Hood or Canopy ' �� L� 37. Final Factory Fireplace , 38. Final Plumbing � . 39. Water Ser�ice-Final 40. Gas Service-Final � .� 41. Sotar pomesticFinat • l 42. Backflow Preventer ' • � j �' _ 43. Backflow Irrigation •� � � � 44. Landscape Irrigation System � ' • 45. Sound Attenuation �, , ` '� 46. Handicap Regulations . , � 47. FINALS7RUCTURE & BUILOING � � 48. Special�Requirements Completed � 49. Electrie Fielease to Edison � �� 50. Gas Release to Southern California Gas Co � 57. CERTIFICATE OF OCCUPANCY �' ? x� No. Date . , �- 18855 - �� FEE RE(;El�I�� COSTA MESA BUI�DINCrSAFEfY DEPARTMENT \ � � � P.O. B01[ 911 C08TA MHBA� CALIRONNIA MAR 4�I963 � `�G FINi�NCL UtPI �'�� ` � For Appllcant fo Fill In Completely t� APPLICpTIO OR PERMR ��}y C l,llt UF -i �f}� i�Wr TYPE OR PRINT V/ Bu��N� � BUILDIN6+� � �O `�, , FO/ ONica Use Only . 3'� � ADDRESS c,7 S C• / - q[C[I'1' NO. PRRMIT NO. � COSTA MESA, CALIFORNIA ' 116C61V[D�Y yT[ [C V6D �T[188Y8� OWNER P �l/ AaI(M / U e J s 3 �'-a-G 3 BUILDINO MAIL ADOR6S9 ADDRESS � CC RW e P T FIR6 THL. ZONE TYPB GROUP CITY NO. ARCHITEGT TEL APPROVBD BV �/ DATB ORENGINEER NO. , �IONING � AL �S3 ZO NO.OP YBHOPNHW ,�1 PLAN9 OUILDI CONTRAGTOR � • W v / w •ti LBOAL M � � ADDRESS 3 C"�,vT Q oeecRlPnoN Q CITY Sl / N A. P. NO. II I�� `I / \ .� C NOTE: NO 8AV E OVERHANO 6HALL BE LESS TNAN LIC.NO. NO. J t �%�O � 90'TO81D8@REARP.L EAVEB � BIZE /� 304. �5 I NowON LAT � ALLOWED <U. B. C. RECUIREMENT] OF LOT L'CJ USEOF /� /� YAF�8APPROVED YARDSAPPROVED EXISTIN6 BLDO. N`=e • �J e'�`t� MAIN BUILDINO AGCESSORY BUILDINO ( FROM C/L STRE�T l 8ET9ACK LINC PpOM � CBrvTex oP eiRHei .SO RHAA YARD� FR NT PT. �,,,, z 61D6 YARD LERT RIOHT �� R.81D8 FT. � DESCRIPTION OF WORK �.s�oa �O� rr. � NE�'- _ ALTERATION A�DITION REAR !�PT' FT' d DISTANCB BLT. BET. MAIN R a REP..�N MOVINO DEMOLIHN MAIN BLDOB. ACCE88. BLDO9. , BUILDINQ �c0' �l p0 MH BTORIEB CAU.P. � APPROVEO � a SIZE 1 � l v EXTERIOR WALL ROOF APPRO . �� L r� COVERIN6 SiVU' COVERIN6 �DG BT DATH o � USEOFBUILDINOAN WORKTOBEPBRFOflMHD ' r � �� ' ��°. �f760 . . o, O p , x .] / I��Y Q� 64. FT. �✓ '. � q Q 1 HHREBY ACKNOWLHDOH TNAT 1 MAVH R8A0 TX19 APPLIGTION TMH I�MOUNT 8H N UNOBH VALUATION IB FOP THB � _ AND STATB THAT THE /�BOVB 19 CORRE AN� A6R6E TO COM- PUflPo9H Op TABLI9NIN0 M1 PEHMIT PEE ONLY. � PLY WITH �LL CITY ORDINANC89 �ND 8T s uwa qeouuTlNa � ypLUAT10N. /�� m BUILOIN6 CONBT n SIGNATURE OF PERMIT FE8 � PERMITTE m $ 6 Z.i°�D �j, `-o � AUTHORI2ED AGENT �O LL TOTAL FEE �� .� . � - ' �- �995� - � � � �^ �� . �� G�a �! COS7A MESA BUILDING•SAFETY DEPARTMENT JUL 22 �y�y P.O. BO% 317 COSTA MESA. CALIFORNIA FINAft'CE DEPT. fOR APPUCANT TO f/U /N COMPLETECY APPILICATIONAFOI%APERMIT TYPE OR Pf21NT BUILDING BUILDING ♦ �^ n / ' /�e- / ADDRE55 •• ( �l COSTA MESA. CALIFORNIA ryR OFFICE USE ONLJ OWNER \�Lo '/• I RECEIPt NO. I PERMIT NO. MAIL /� � S�lW C �L / REC81V D BY OATH flECE1VED DAT@ I88UF0 ADDRE55 v � ��1E� I a� I �a'�� -Cy ' � NO// •.S J BUILDI � CITY L� � �� • ADDRESS ARCHITECT ��c. COSTA MESA, CALIFORNIA OR .INEER NO. FIRE ADDnESS =ONE TYPE GROUP. STATE ' APpROVED `� CONTRAGTOR LIC.NO. gV � A�DRESS , ZONING L�' \ LEGAL LOT ZONE ' I NO.OF I U6E OF N V/ 1 ` OE9CMIPTIOM I P1O. I BLOGK T ACT PLANB � i;BU1LD�Nby�e _�'L � � �/ � �� APPROy A.P. NO. O� BY / /� �// �� DATE �, ^J \ SIZE � O„ � I No.Ov e�ne6. ypROS !� EVES �' OF LOT / How aN �oT REOUIRED ALLOWED USE OF IC�ren uHH BTJ �/� EXISTING BLDG. FRONT �} ✓FT, IN. � 6ETB�CH LINE PpOM ceniers OF BTREHT REAR VARD R. SIDE / FT, IN. SIDE VARD I LEFT I RIGHT L. SIDE (J Ff. IN. DESCRIPTION OF WORK � REAR � F'f, IN. NE�' I II ALTERATION I II ADDITION I ftEPAIR II MOVING I II DEMOLISH I �' BUILDING, NO.OF SIZE ' � ROOMS �+ STORIES EXTEftIOR WAL4'. . _ .. _.IROOF f+. _ . • I HERBBY ACKNOWLEDGE THAT 1 HAVE RGD THIS APPLICATION �— -- AND BTATH THAT THE ABOVE IS COHRECT AND AGHEE TO co�t- rHe AMOYNT 9HOWN UNOER VALUATION IB FOq THE PLY WITX M1LL CITY ORDINANCES RND $�(�TE L 8 NE L TING PURPOSE OP ESTABLIBNING • PEFMIT FEH ONLY. - BOILDING CON9TR ON. � VALUATION SIGNATURE OF L � � PERMIT FEE S/� PERMITTEE (j' $ G Q O� PLAN CHECK $ b AUTHORIZED AGENT TOTAL FEE S��/'. �' -' _. 18592 C06TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C09TA MBBA. CALIFORNIA For Applteanf fo Fill In Complefely TYPE OR PRINT BUILDING /i y S N � ADDRES6 J / � � COSTA MESA CALIFORNIA g'�p� TEL. LIC. NO. O NO. � 61ZE `/ .F� NO. OF BLDG6. OF LOT � U J� `S O C: NOW ON LOT USE OF " EXISTING BLDG B3TBACN LINB FROM 'n G(j �,/ ,�/ ICBNTeR LINB 9TJ -� REAR YARD �' FRONT °�'G RIGH7 R. SIDE OF WORK __ FEE RECEI�VED �fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. 1 NO� . HEC81�/6p BY I OAiipF l % �/ BUILDIN6 � � L ADDRESS COSTA MESA. BYPROYQiYI /JCI / DATE // ry !i 6 ��` l� ZONING � ZON� I I NO. OF I UBE OF NEV/� PLAN9 Y BU�LOIND `�°"� q,JPi 1�6rs a�t �or 1�6 DEBCP�PT�ON A.P.NO. II��Q � _ /� YARO6 EVES a QiN 1 H[RHBY �GKNOWL80a6 THAT 1 HAVE R6�� TH18 APPLIGTION ANO BTAT6 TMAT TX8 ABOVE IB CORREGT A!T AGREE TO COM- PLY WITX I�LL GIiY ORDINANCEB AND 9TAT8 LAWe REGULATIN6 BUILDINO CON9TRUCiION. BIGNATURE OF ��'�n(f��w�,�� AUTHORIZED 3 FT. [D •'1N. ^� FT. �] IN. �T. G �N. �.� DATE r-z 3 -� TX8 AMOUNT BXOWN UNOER VALUATION IB FOR TH6 PURP098 OP 86TABL�9HIN6 A p6qMIT FEE ONLY. VALUATION �7 /� / PERMIT FEE $ � $ `l �" � PLAN CH�CK $ ' TOTAL FEE $ � E O LL ,' , 19778 COSTA.,MESA BUILDING-SAFEfY DEPARTMENT � P.O.BOJ[317 C08TA MHHA�CALIPOHNiA For Appllcant fo Fill In Completely TYpE OR PRINT BVILDINO � `,S 6� l � ADORES9 � ( COSTA MESA, CALIFORNIA F E RECEIVED dUN s 1963 , FINANCE DEPt. CITY OF COSTA MESp APPIICATION FOR PERMR BUILDING For Office Use Only , RBCHIY6DpY I DAT8q6Cg1V8 � li 6� � L BUILDIN6 ADDRESB � FIRB .� / / ZONE TYPE // s APPROVlD DY ZONING SO 6 HO.OI UB6 � . � ruHe Y eu�� ::�:,..�.,.. � 0 R L_n� /� � � - - dOTE: NO8AV80VHR TEL. 90' TO eIOE 8 REAR P N IEAV88 n_o,oPeLoae. ALLOWEG �f—now oH r1 YAROSAPPROVED MAIN BUILDIN6 OF WORK ■ BUILDIN6 ./. V � ,. i% '1 HEREBY �CKNOWLBDOE YNAT 1 MAV6 HeAD.TH18 APPLIGTION ANO 6T�T8 TXAT TH8 I1B0�8 8 COqqeCT ANC AOHHB TO COM. PLY WITN �LL CITY OR�N ��j 9TAT��W9 pHOULATINO BUILDINOCONBTPU¢�16M � � / � AUTMORIZ6D AGHNT VAR. $C BHALL 6E LE89 TNAN YARDSAPPROVED ACCESSORY BUILDINO DATE q 6Q. FC. � TNH ANOIINT 9HOWN UNDEP VALUATION IB POF THH = PYHPO6E OP HBTABLIBX�NO I� PEHMIT P8E ONLY. 0 VALUATION m � PERMITFEE $ '� � m � /b , —�( o . s � / 4