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Home My WebLink About377 18TH ST - Building Permits(7ta) �54-5273 • Fax (7�a) 754-4ess • www.ci.costa-mesa.c BUILDING PERMIT �� hA�Fi UHIVt, GVAIA MCSA, GH `JZOLO Job nddress: 377 E 18TH ST Suite: A Vicinity: ROOF Parcel Number: 42502222 Applicant: PAT GRAY Address: 1015 E CHESTNUT . SANTA ANA, CA- ' � ' . Owner. ALDERSON, JOHN T Address 2239 HEATHER LN - AE NEWPORTBEACH,CA� Contractor. YOUNGS ROOFING CO, INC Address: 1015 E CHESTNUT SANTA ANA, CA Zip: 92701 � Zoning: Phone: (714)953-5444 Zip: 92701 i Phone: Zip: 92660 Phone: (714)953-5444 License: 568560 " Status: ISSUED Applied: 09/30/2003 Issued: 09/30/2003 Arch : � Eng: Address: - - - � „ � � Address:' � . � . Phane: Phone: Zip: , � : License: �icense: SCOPE OF PERMIT \ TEAR OFF EXISTING ROOF. INSTALL 20 YEAR COMPOSITION SHINGLES, REPLACE SHEATHING AS NEEDED, AND INSTALL 30# FELT. 1,600 S.F. INCLUDES ATTACHED GARAGE. FRONT RESIDENCE ONLY. � ' Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Fronl � 0- 0 , Rear 0- 0 ACCESSORY Front ' 0- 0 Rear 0- 0 PARKING Existinp: o Reauired: o FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Pr000sed: 0� Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 $3,000.00 a3,000.00 NOTICE: Tha work authorized by ihis permit shall comply with all applicabla handicap access requiraments under California statutes and related regulations. (Ord. No. 9248, § 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 780 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapaetlona end finel approval must be ob�ained. Failure to obtain inspections and final approval will result in the expiration of this permi�. FOR INSPECTIONS CALL: (714) 7545626 zaae�ae �doo� WORKERS'COMPENSAnON OECLARAnON: � � I hareby eHirtn under penelry of perjury one ot Ihe following declarations: � ❑ I have end will meintain a cenilicate ot consent to sel4lnsure for workers' compensatlon, as provided fa by section 3700 of the Labor Code, for the pedormance of ;?�a work for which this permit Is issuetl. � I have and vrill maintain workers' compensation insurance, es required by sectlon 3700 0l the Labor Cotle, for Ihe pertortnance of �he work lor whic� Ihis permit Is issuetl. My warke m ensatl In ce car+jer�antl pollcy number ere: � i �7 .f1 �e��a�: � ��i�r�` � � �� Policy Number. ( � �%�% / V ' O (This seclion need nat be complefed i! fhe pertnif Is ve/ued af one hundred dollars ($100) or less.) ❑ I cenity Ihat in the perto anc of ih ork for whic� this permit is issued, I shall not employ any person in eny manner so as to become subject to ihe workers' compensation lews oi C II or , a e ree that II I shoultl becoma subjact to the workers' compansatlon provi5ions oi Section 3700 of the Lebo� Code, I s�ell lorthwith comply with these prov' �i s. � ^�� D j O.� Applicant Signature: Date: j � WNRNING FAILUFE TO SECII WORKERS' C PENSA �N COVERAGE IS UNLAWFLL AND SHALL SUBJECT AN EMPLOYER TO CRIMINQ PENALTIES AND CIVIL FWES UP TOIXJE HUNORED TFKKISAND DOLLARE (E100,000). IN ADDITION TO THE COST OF CAMPENSATION, OAMAGES AS PfiOVIDED FOR IN SECTION 3'108OF TME LABOR CODE, INTEREST, M10 ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirtn that I am licensed untler provisic forca antl eNecL Uc. a Contractofs Signature:�� Section 7000) oi Division 3 ot the Bi _ Cless x _ Date: _ Cotle, antl my license is in tull CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there Is e constmction lending agency tor ihe Dedormence ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lentler's Neme: Lender's AOtlress: Signature: OWNER-BUILDER DECLARATONS: Date: I �ereby aNirm ihat untler penally of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Busineu and Professions Cotle: Any ciry or counry whic� requires e permit to consWct, elter, improve, demolis�, or repair any structure, O�or to ifs issuance, also requlres ihe applicant tor such pertni� to flle a signetl statemen� that he or she Is Ilcensed pursuant ta Ihe proNsions ol the Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of Divislon 3 of the Business enA Professlons Code) or that he or she Is exempt t�erefrom and the besls for the alleged axemption. Any viole�ion of Section 7031.5 by any applicant for e pertnit sub�ects the epplicant to a civil penalry of not mora then tive hundred dollers ($500).): ❑ I, as owner of �he property, or my emplayees wlth weges es their sole compensation, WILL DO THE WORK, and the structure Is nat intended or ottered for sele (Sec. 7044, Business and Professions Code: The Contractore License Law does not apPy to fln owner ot properry who 6uilds or improves thereon, and w�o tloes such work himselt or herself or through his or her awn employees, provitletl that such improvemenis are not Intended or aHered tor sale. II, however, the builtling or Impravemenl is sold within one year ol completion, the owner-builder will heve Ihe burden oi proving that he or she did not build or improve tor purpose of sele.). ' ❑ I, as owner of tha property, em EXCLUSIVELY CONTRACTING WITH LICENSED COMRACTORS to consiruct the project (Sec. 7044, Business end Professions Code: Tha cnmrectors License Law does not epply to an owner ol pmpany w�o builas or Impmves thereon, end who coniracts tor such project with e comrador(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Business entl Professions Code tor �his reason: SignaWre: Dare: Owner ID verifietl by tlrlver'S1iCen5e. ❑ V85 ❑ No Drivels License No. Expir85: Verificetion af Ownership by (type of dacument, i.e. - properry tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PEHMR CERTFICATION: ❑ I �ereby certify that no excavation five (5) or more feet in tlepth into which e person is requiretl to descentl, wlll De made in connection with work euthorized by this pertnit, and Ihat no building structure, scaHolding, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) feet hiph. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Calilornia Administretive Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require e permit trom the Division of Intlusirial Safery, es notetl ebove, unless such parson hes e pertnit to do such work Irom fhe diNsion. Signeture: Date: Division oi Industrial Salery Permit Number: ICERTIFlCATE OF COMPLIANCE AND AUTHORPATION OF ENiAY: I certify under penalty ot perjury Ihat I have read t�is applicaiion and state that �he infortnatlon given is I correct I agree to comply with all state laws end dry orCinances relating to builCing conswction, antl authorize representatives of Ihe Ciry ol Costa Mesa ro enter upon t�e above-described propeny for inspection purposes. I egree not to occupy or allow occupancy ot any building euthonzed by this pertnit until tinal inspection. COOE 1. MSPECTIONTYVE 1616 FixeE System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rooi 201 Final BIaWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitlon �g �� CQOE� INSPECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Final Elecirlcal 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Final Building/Oaupency PaIE !/ 3 OST�k! 'F�rojeci dress _ I P,pplicant's Mailing ! �Owner's Nam� �ddress � Arch/Eng. �F`/�F� Address � IT APVlicant Address (mailingl /'� 31 S .!�AF-/��- �. �Y • City License No. O ' LICENSED CONTRACTOR DE LARATION � I b¢r¢by aftirm tha[ I am licensetl U�tler OrOvi5ion5 of Charter 9(commencing with section 7000) oi Divisfon 3 ot tha Business antl Professions Coae, ana ' my Iicense is tn lull (orce antlxHect. License CIaSs � �Li No.� Dale y • Si9nature t�' � �- WORKERS' COMVENSATION DEC� ATION I hereoy atiirm that � have a certiflcate of conzent to selLinsure or a terUflcate �f Workers' Compensation InSuraPce. Or a certifietl coOY thereof (5¢ction 800, Lab. C.) �`' . � �p icy ryo. �'i/ l�-�_I � COmpany ��/(iNr% Certifietl copy is hereby furNShetl. �- Cerlified�oy 4 fi{etl wilh [he c�b BN�I i g-0' i ion. Date� 7 b y APPlicadt - EXEMPTION FROM WORKERS' COMPENSAT N DECLARATION (Thlz saction neetl not be tompleted It tha permi is tor one huntlretl (5100) or lessf. I c¢rlHy [ha[ in lhe performan<0 O( �he work fOr whith IhiS perm�t 7515suetl, 1 shall not employ any perion in aNY manne� 50 as to become zubject to the Workers' Compensation Laws of CHlltomia. . Date Signatura 'NOTICE: If, after making this tleclaratlon, you shoultl become subject to lha Workers' Compensation provisions ot the Labor Cotle, you must torthwith comoly with such provlsions or tnis permit shall be tleemetl revoketl. CONSTRUCTION LENOING AGENCV 1 hereby aHirm tnat there is a consVuctlon lending agency for the performance o( Iha work tor whlCh th15 p6rmlt i5 issuetl (Section 309� Civ. C.) �.entler's Name Lentler's Atltlress OWNER BUILDER �ECLARATION I hereby a1fl�m lhdt I dm exempt �rOm tho Conbactor'S littnm 12w t0� lne lollowing reason (Seclion 7031.5 9�siness antl Profe55ional Cotla: Any clty or �nunev wntrn .nmurec a oermi[ to eOnst�utl. a1tGr, imp�ove, Oemallih or ropair a exeept t�ose within heavy Oortler lines antl si9n all avoropriata Ovclaralions. TVPE OFCONSTRUCTION LJ NEW �A�D LI ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHF�R DESCRIPTION OF WORK/USE OF B�DG. �'�'•^c � TVPE OF PEFMIT IJ GRaDtNG ❑ TENANT �ELECTRICAL ❑ OTHER PROJECT DESCRIPTION 5�. FT._ YFOUNDATIO�N-y li�f-STRUCTU PLVMBING yiMECHANICAL CON STRUCTION TVPE VALVATION 5 20NE GRAOING CU. VDS. AC Remarks: Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Orains Floor Sinks GasService '7 Outlets Sink Root Drains IDlvlsion 3 0l Ihe BuslneSZ antl Pfomsnons i.oae� or mai � v� nn � n�yi � •herelrom antl tne basis tor the allegetl exemption. Any vlola Ion ol Suclion J31.5 by any applicant Por a Oermit subjects tha apPli<ant to a tivil ' I tnalty of nol more Nan tive huntlretl tlollars (E500). ❑ I, as owner of the properry O� my BmPloyees with wa985 as tbeir sole ReinspeetiOn FBe Componsation, will tlo Ihe wolk, a�tl th0 structure Is not IntOntletl oI otfBr¢tl tor sale (Section ]044, Buslness an� Protossional Cotlw The Contraclor's License Law tloes nol apply to an owner ol a properry who builtls or Improves LhorCOn, antl who tloes such wo�N hlTsllf/he�selt o� tlt�ou9h nls o� her own BOiIC! Cmployce5, provltletl that Suth ImOrOvement5 are nOt IntCnOetl Or oHere� tof sala. H, howaveq lhe builtling or Im�rOvement is sold wil�in ono yaar ot com- � plOUoq tha owner will hava tha bJrtlen ot prOvin9 he/Sha tlltl not builtl Or im- ' prOve to�the purp05< ol5alo�. � ❑ 1, as owne� o/ Ihe property, arY� axcluslvely contractlng with Iicenietl con- tractors to construct the projett (SCctlon ]044, Business ane Profazsionz Cotle: The Conttactor's Litense Law doo5 nOl a0�ly to an owner ol property who builtlt or improv¢5 Iher¢on, antl� Who conlract5 tor such project5 with a Con- \ tracior(s1 license Oursuan( to Ihn Contrac[or'z Li<ense Law�. I am aware that � proot of their Worker•s Compensdt�on insurance shoula be orovltletl to me. ❑ i am exempt untler Section B. 3 P. C. t0� lhis reason Date � Owner I hereby cerlify that I have reatl tbls applicatiOn antl Sta[¢ lhat tha above � �z'�� NBING FEES Show¢rs Service Sink - Sewer Cap� " Sewer Connection Solar CollectOrS Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Wafer Closet Q i Water Heater Z Water Service Aum�Wesh Z Laundrv Travs $15 I I Isue Fee I � 3 Duct-UnderGround , Duct - Structural Duct - Ventilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # He ting System & Ducting 0.700,000 BTU � 100,000 Info+matlon is correct I a9ree to comply with al1 city antl county ortllnances antl state laws relating to builtlinq constru<tion„antl hereby authorize repre- - sentatives ot thi5'city to ente� upon the above-mantlOn¢tl PropGrty for inspectlon p rp sest Siqnature Date �oL��(>-5�� ' Reinspection Fee $15 Drivers' Litense or 55 � CMF OB65-46, rev. 30/84 White - Bu�ltling; Canary - qppii��; P��k - Accountin9; Goltlenrotl - Assessor Hootl ar Typ¢ I ❑ Cunopy Typeli ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers � Iswe Fee I FEES � A.P. �W C S Main I E T Front A Rear Ping. Ref. q{`-G Planning Notes: 4513 I�/�6/84 - d a -a a Zo�a g:yy Accessory Building: - �.� T - � B �� '�y Perking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit ' Meter �up ro 100amps Dishwasher Meter ❑over100amps Dryers ❑Gas lectric Sub Panel Fan Motors �0.1 HP � i X- 6 F.A.U. "� Ina Solar 09-15 HP �1615* Fixtures Microwave � Device Boxes Pole Light Outlets 5 Range Switches Sign Garbage Disposal ; Standing $ections ' Generetor �0.5 KW �5-15 KW Trash Compactor 1 Reinspection Fee i DEVELOPMEN75ER 2onin9 APProvad BY_ Building Approved By Application Issued Bv. $15 � . � luue Fee � EQU�,REMENTS: 87.d0 T�I FEES $ 3 � 2 O N I N G F E Q M T S SU�MMAR� Of-yFEES ,SO BUILDING PERMIT � $ �-+� ��MIP $ PLAN CHECK $ q PERMIT PLUMBING $ `.00 ISSUANCE $ . PLAN CHECK 25% $ �• SZ% ENEFGY P.C. $ ELECTRICALQ�'�§ '�'�g GRADING $ PLAN CHECK 50%�',.'�/O� if.�� MICROFILM $ ,��t�, ��— MECHANICAL g+--g�� ' ' TOTALFEE $ S� PLAN CHECK 25%' $ �� 3� Q 7. 30 - C/JNSTFUCTION AND PLANNING ' APPROVALS Permit # ' Temporary Electrical Service or Pole � �2. Soil Pipe-Undrgrnd. � 3. Electrical Conduit Utility-Undrgrnd. �4. Electrical Conduit-U�drgrnd. 5. Steel Reinforcement � 6. Electrical UFER Grnd. '7. Footings �8. Foundation � 9. Water Pipe-Undrgrnd. 10. Structural Floor SyStem . 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains ' 14. Rough Plumbing � 15. Rough Electrical-Conduit 16. Rough Electric Wiring l7. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling �r19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23:'Gas Pipe-Rough & Test ' Q4. Roof Framing 25. fioof Sheathing . 26. T-Bar Ceiling �Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding � 29. Insulation 30. Drywall Nailing •� 31. P�aster Brown Coat 32. Electrical Power Meter-Final 33. final Electric 34. Final Heating & Air Conditioning /..� 35. Final Gas Pipe-Tesrr� 36. Hood or Canopy: � 37. FinaPFactory Flreplace 38. Final Plumbing . . � � 39. Water Service-Final - � 40. Gas Service-Final . - 41. Solarpomestic-Final "s- 42. Backflow Preventer 43. Backflow Irrigation ' 44. Landscape Irrigation System - 45. Sound Atterivation � 46. Handicap Re9ulations � 47. FINAL STRUCTURE & BUILDING 48. Special RequiremenTs Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 57. CERTIFICATE OF DCCUPANCY Date Date �� bi InSpector C��J ✓v iv v� e� POOL SPA APPROVALS Permit # 52. Pool & Equipment Location ' S3. Steel Reinforcement 54. Forms � . 55. Electrical Bonding � 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Fina� 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 88. APPflOVED fOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPipingOGas ❑Oil 72. Underground Flush 73. Undergmd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Cliemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED i Notes: , 0 Date n5�pcip[ C�{V OF COSTMMESA C Project ACdress � . Applicant's Mailina qddress � 7 Owner's Name �L � ddress S � Arch/Eng.. '.. ADD��cant to fill in all spaees exceDt Inose wilhln heavy �ortler Iines antl si9n all aoo�opriate aeclarotions. ON PERMIT nse No. Addreu (mailing) �� Ciry License No_ � _ LICENSED CONYRACTOR DECIARATION � I hereby affirm that-I am Iicensetl untler provisions of Char[er 9(commencing with section 7000) ot Division 3 of the Business antl Professions Cotle, antl my Iicense is In fqll force �p elfect. License Class Lice sp�lyo�� I.Date � 5'9 t � �J � WOR �O SATION DECLARATION • 1 hereDy aftirm that I have a certiticate of consent o self-insure or a cCrtiticate it workers' Campensation Insurance, or a certitietl copy thoreof (Soction '800, Lab. q.)�� S� � Company � y No. t�� Certi(ietl copy is hereby furnishetl. Certifie0 copy Is liletl with Ihe cily uii ng �vi io Date ��' S'� AOPlicant � � EXEMPTION FROM WOFKERS' COMPENSATION CLARATION (ThiS section neetl not be completetl if the pe�mlt is r one huntlretl (y300) �o� I¢ss). I certify that in tM1e performance of the wo�k �or which Ihis pe�mk is issuetl, I shall� not emPloy any pe�son in any manner 50 as to become subject to jhe Wo�kers' Com0eq5ation Laws Of Calitornia, . . Date S�9�ature � 'NOTICE: It, after making Ihis tlecla�a[ion, you shoultl become Subject to ttte Worke�s' COmOepsation provision5 Of the I„abOr Cotle, you must fortnwith Comply wlth SUch provlSionZ or thl5 p¢rmlt shall be tlGemetl rewketl. CONSTRVCTION LENDING AGENCV� • 1 be�eby affl�m tryal tbere i5 a mnst�uction lentling agency for tbe pertormance of the work tor which tnis permit is issuetl (Section 3a97 Civ. CJ Lentler's Name Lentler's Atltlress ' - OWNEft BUILDER OECLARATION I be�eby aHirm that I am exempt from lhe Conlractor's LlcenSe Law for the following reason (5¢ction 7031.5 Business anC ProTessional Cotle: Any city or wunty whicM1 r0quires a pe�mit to con5truct, altEr, improv¢, tlemolish o� repaii any strucWre, prlor to its issuance, also reqWres tne applicant (or such permit rn fiie a slanetl xfatement that he/she is licensetl'pursuant to the provisions oi �heretrom antl the basis for-the alle9etl exemption. Any vioiauon o� xcuon 131.5 by any applicant fo�' a pe�mit zub)ects [he .aOPlican[ to a Civil .nalty of not rtiore Ihan five nuntlretl tlollars (5500). .� I, as ownar of the Property or my ¢mployees with wa9es as their sole Compensation, Will do the work, antl the structure is not int¢ntletl Or offeretl for sale� (Section ]044, Business antl Professional Cotle: The Contractor's License Law tlo¢5 not applY t0 an owner ot a property who bulltl5 or Improves thereon, antl who tloes such work hlm5elf/her5elt or throu9h his or her own employees, proritletl that such Improvem2nl5 are not Intentletl o� of(eretlrtor sale. If, however, [ne building or improvem¢nt is soltl witnin one year of com- pletion, tne owner will have tne burtlen of provtn9 he/she tlitl mt builtl or Im- prove forthe purpose o(sale). ❑ I, as owne� Ot the property, am exclusively contracting wlth licensetl Con- t�actorsfU constiuct Ihe project (Section �044, Business antl PrOfessionz Gotle: The Contractor•s License Law tloes not apply to an owner ot property who builtls �or im0�oye5 lltereon, antl who copt�acts fo� SucM1 proj¢Cls with a mn- traclor(s) Ilcense pursuant�to the Gontractor'S License Law). I am aware thaf proof o( [beir Worker's ComPensation insu/ance shoultl be provltletl to me. ❑'1 am exempt untler Seclion B. & P. C. for this reason Date Owner I.hereby certify that I have rea� intormatlon is correct. 1 agree [o antl state laws relating to builtlir sentatives flt tAis�city to enter inspection pnN s � / Si9nature �� ,`'-'—/'�'7J DrWers' Licenze�or 55 �F � [ate Ihat tne above tl counry ortlinances :by authoriz¢ repre- ionetl Property f0/ • Date ��•� S _ �.� 22� , TYPE OF CONSTRUCTION NEW ADD ALT,ERATION ,REPAIR — ❑ CONVERSION ❑ DEMOLISH ❑ OTHE p�p. �6 DESCRIPTION OF WORK/USE OF BLDG. � 'e1"�`� , S Main Buildi E TVPE OF PERMIT� {� GRADING �FOUNDATION $TRUCTV RAL . T Front ❑ TENANT IL7 ELECTRIGA� PLUMBING �CMECHANICAL B Rear - ❑ �OTHER' ' A PROJECT DESCRIPTION 5a. F7. oCCVPANCv C Right CONSTRVCTIONTVPE VALUATIONS ��OGb S LCft 20NE GRADING CU. VDS. ACRES ping, Ref. # Remarks: l � �� q \ Planning Notes: 3ar Sink 9ackflow Preventer ' - 8ackflow Irrigation Bathtubs Clarifiers ' Dishwasher Drinking Fountains � , Floor Diains Floor Sinks � Gas Service Outlets Interceptors 'A' - Kitchen Sink � - Lavatories P—Trap Roof Drains � . Reinspeetion Fee $15 Bailer Duct-UnderGround Duct - Ventilating % �, Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO �k Heatinq System & Ducting S� 100,000 BTU O 7 00,000 Reinspection Fee CMF OB65-46, rev. ]0/B4 White - Builtling: Canary - Applicant: Plnk - Accountlng; Goltlenrotl - Assessor PLUMBING ShOwCfS Service Sink - -- - Sewer Cap ' Sewer Connection' Solar Collectors Solar Piping Sola� Tank Swimming Pool w/Spa Urinal _ _ . . . Wdt¢r ClOset Water Heater. ' Water Service - ' ' Auto-Wash . LaundryTrays ' Isue Fee inNicn� , Hood or Typel ❑ Canopy Type I I ❑ Refrigeralion System ❑o-ioo,000aTu pioo,000aTu System Repair/Alteration Fire Dampers Registers � � Issue Fee � FEES $.3 $ 3 Automatic Washer � Construction Pole Sub. Cooking Unit Dishwasher Dryers OGas ❑Elec Fan F.A,U. Fixtures - Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW C 6010. I/17/85 Zone Accessory Building: Parking Req./Provided ELECTRICAL ,Transformer ❑'15-50 KW ❑ SO+KW Mecer ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �61 HP � i'h � 8 �Inc. Solar �9-15 HP �16-15+ 15KW Pole Light � ' ' ; Standing Section� Trash Compactor 23.60 TL '' Feinspection Fee �$15 I I luue Fea I �$ 3 I DEVELOPMENTSERVICESREQUIREMENTS: � Zoning Approved 8y Date Buildine APProved By • Date Appliotion Issued By Date ��—1 7 i SUMMARV OF FEES , BUILDING PERMIT $ � SMIP - $ ' : PLAN CHECK $ ' PERMIT - � PLUMBING $ I$$UANCE $ PLAN CHECK 25% �$ � ENERGY P.C. $ ELECTRICAL $ 1 J�� GRADING $ PLAN CHECK 50°6 ,$ S-OO MICROFILM $ �. , MECHANICAL '$ �:� TOTALFEE $ 2 •b� PLAN CHECK 25% $ - 2 O N I N G R E Q M T S � � 'CONSTR�CTION AND PLANNING ' POOL ,PA , , ' APPROVALS � Permit# �Date Inspector APPROVALS Permii# Date Inspecror ��i � Temporary Electrical Service or Pole - 52. Pool & Equipment Location - 2. .Soil Pipe-Undrgrnd. � � , 53. Steel.Reinforcement 3. �Electr,ical Conduit Utility=Undrgrnd. 54. Forms � � � . 4. Electrical Conduit-Undrgrnd. . � � 55. Electrical Bonding •,5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6• Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. FOotings 58. Electrical Conduif-Undrgrnd. 8: Foundation � . 59. Gas Pipe, d Undrgrnd., Test 9. Water,Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK " 1�1. 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 Plumbing 65. Electrical-Final � . 15. Rough Electriral-Conduit 66. Solar System-Final - - '� 16. Rough Electric Wiring �� 67. Fencing & Access Approval ' -" 17. Rough Wiring Sign 68. APPROVEO FOR PLASTER�NG 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20. Raugh Factory Fireplace APPROVALS Permit # 2L •Ducts, in Struaure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping �Gas ❑Oil - 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing ' t r 74. Overhead Hydro 26. T-BarCeiling IStructural) & Monocoat ' 75. Dry Chemical � 27. FrameandFlashing Z� 76. DryStandpipe 28. Lathiny & Siding � . 77. FIXED SYSTEM FINAL 29. Insulation � 78, FIRE PREV. FINAL 30.. Drywall Nailing _ HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION 32: Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED 33. Final Electric , . L''C Notes: - � i i 34. Final Heating & Air Conditioning '� ,f-� L' L 35. Final Gas Pipe-Test . 36. Hood or Canopy � 37. Final Factory Fireplace ' � 38. Final Plumbing � 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final . _ . _ � 42. Backflow Preventer 43. Backflow Irrigation � � � 44. �Landscape Irrigation System ' � � 45. SoUnd Attenuation • 46. Handicap Regulations ' , , . 47. FINALSTRUCTURE&BUILDING - - 48. Special Requirements Completed . , t ' ' � 49. Electric Release to Edison , - , - � , ,- 50. Gas Release to Southern California Gas Co , '. 51. CERTIFICATE OF OCCUPANCY . � _ . Nn. Date � - _ ADO��ant to fill in all s0aces accept those within heavy Go�Ge� lines anE si9n all approo��ate aeclantions. , CITY OF COSTA•MESA � ONSTRUCI�N yPERMIT. �. _ PERMiT ,./� ' i 'TRACT NO; LOT NO' V : UNIT NO. , � , � � �_ -!444' 2� I�3I�5 �.-. I.�sOL�. L Project Address ' � / � . . .. . f � , - ' ' Applicant'S Mailin Address " :TYPE OF CONSTRUCTION NEW ADD �TERATION -. REPAIR - � � , � ❑ CONVERSION �❑ DEMOLISH OTHER � ��= qp *, ' . � - � . � Zone ' Owner's Name hone DESCRIPTION OF WORK/USE OF BLOG. - - Address . ' ' � ' ' ' - S Main Building: ' ' Accextory Building: ' E. Z Arch/Eng. � Licen52 No. .TVPE OF PERMIT(-� GRADING � FOUNDATION ,STRUCTURAL' - T Front ' ' - _ ; p Add/e55 � ❑ TENANT QSd ELECTRI L LUM�BIN�G�, ❑� MECyH�ANICAL '� A� REef� �� . '_ �� - ' N ❑ �OTHER � � .C/JZd,.6liCiG�C- Contractor's Name_� hode � pROJECT DESCRIPTION "5o. FT. _- C. Right . � ' - _ � � �N ' Address (mailing) • � � ' v�r o K1 Left - � ' ' � ' • - � G . CONSTRUCTIONTVPE VAWATION'$�N S � R � Ciry L'icenSC No. � ; ZONE GRADING CV. VDS. ACRES - � � � - ' � ' LICENSED CONTR C OE LARATION ' ' PIl1g.�R¢f..# P3�king Req./P�Ovid¢d � � E 1 hereby affirm that lam licensetl untler provisions ot Charter 9(commencing Remarks: ��'� � ' Planning Notes: � - . n wit� sec[lon 7000) ot Divislon 3 of Ihe Buiiness antl. Prot¢SSions Cotle, antl � _ . _ M my Iicense Is in full forcgyntl effect. ' � � � • ' , , � ' � . � , - �. T � Licen e CI ' /7 icenSe,No � � ' . ' . . , - _ � ' S Date � � /� � � Signafure � ' � PLUMBING i � FEES• ' - ' � WORKERS' COMPENSATION DECLARATION � BefSink � � $hOwers � � nereby aftirm that I have a certifibate of mnsent to self-insure or a certl(i<ate � � i � I ELECTRICAL i ,FEES �f Workers' Compen5ation Insurance, or a certlfietl <opy't�ereot (Sectlon BackflOwPteventer ' $CrviceSink - � _ ._. ' . . _ _ Automatic Washer � - Transtormer � 15�50 KW- -. ' 3800, Lab. � p � -' �,(�, y, " • aoncy No. ��! �� Company�� vN� . - Backflowlrri ation ��p- � � � . � � . ❑ 50+KW • 8 Celtili¢tl copy is hereby tulmshetl. , 9 '$¢w¢f Cd COnStluC[i00 P012 Sub. : Cer ittep co y i iletl witti tne city uil �^ g �e�i iz�io�n/ .A I/ /n�%/' � Bathtu6s Sewer Connection Cooking Unit � Meter �up m 100 amps' � Date��" �� APPlicant ��"��'�^"'�-- . . � . � EXEMPTION FROM WORKERS' COMPENSATION D LARATION � Clarifief5 $olar Collectofi Di5hwa5her . Meter �over 100 amp5 (Tnis section neetl not be completetl-ii tne permit is foi ne huntlratl �(E300) or � - -- � - -- - , � iess) ; . Dishwasher . Solar Piping Dryers ❑Gas ��Electric Sub Panel' , , , I certify that In th¢ perfo�mance o/ the work fo� wnich thi5 pGrm�t is Issuetl I . � � , shall^.not emo�oy any person in any manner so as to become subject to t�e Drinking Fountains Solar Tank ' Fan � . Workers' Compensation Laws ot California. ' Motors �0.1 HP 015-8 '; .. Date ' Si9nature � � � , Floor Drains � ' Swimming Pool w/Spa ' � p,q,U. Inc. Solar �9-75 HP �16-15+ 'NOTICE: 1f, a(ter mdkinq Ihis Ceclaration, y0u shoultl become Subjecl [o Ihe ' � ' . � ' Workers' CompenSation Provisions of the Labor Cotla, you must fortltwith Floor Sinks � Urinal . ...� . Fixtures �.. ' � compty with ,zuc�� piovi5ion5 or this pe�mit Shall be tleemetl revoked: " � - - j- -- - � �MiCrowdv¢ - - -- - - - ' CONSTRUCTION LENDING AGENCV - ' ' ' � � Ga5 Service � OUtl2t5 � Water CIOSEt . � � � Device Boxes � � Pole Light� _,^ � � � � � ' 1 hereby af/irm that there is.a constructiomlentlin9 agency-for the performance- � ' ' ' ,ot Ihe work' for.whlCh Ihis permi[ is issuetl (Settion 3097 Civ. C.) ' Int¢rce t0l5 . Wdt¢uH¢dt¢r � ' ' • � ' ' - _ - p OuHets ,Range � ' Lentler's � Name' � - . ` . . . _- . . . . ��. . , � LenOer's Atltlress � � .. . . - . , Kitchen Sink - Water Service' � - Swi[ches . _f � � �Sign; ' ��.d� � t + � OWNER BUIL�EH DECLARATION � � ' - ' � ' � ' � ` � I hOreDy afll�m �hat 1 am ex¢mpLt�Om the ConVacto�'S License Law tor the LavatOfi¢S ' - AUtO-WdSh . - � G2�62g2 Di5p0521 � ' Standing Sectionsr �.j � ' ) following reason (Section �031:5 Business antl Professional Cotlo: Any city or ' - _ . , � county whiGh r¢qW�es a pe�mifto const�uCt, alteq improve, tlemolish o� �apai� � P-Tfdp " L2und� Ti0 5� � � � ❑ � any structure, prlor to its issuance, also requires the�appliwnt br such permit � _• � Y Generator 65 KW �5-�75 KW Trash Compactor � ^� � to lile a signod Stat¢menl that he/she Is IicenSetl pu�suant to the p�ovisiOns oP � ROOF.DIBinS ' �� " -� � � � '� - � ' ' � � the Contractor'S License Law.(Chapter 9(commencin9 with Section 7000) ot - i .�� j Division 3 of the Business antl Profess�ons'Cotle) or tnat ne/sbe�is exempt � c� _ � • , , herefrom antl Ine ba5i5 for the allegetl exemption..Any vloldHon of SeCtlon , , ,, i - _ ' � ' r � )033.5 by'any applicant- fo� a 'pe�mit Subjects' Iha ,applicanf fo� a clvil � � " . � - - �'r '~' . enalty of nol more inan five nuntlrea tlouars (y500). ' $ 3 ', w/ � � .� I, as owne� ot tne P�operty o�.my employee5 with wages'as tbeir Sole RBinSpeCtiOO F¢B . $15 � Issue Fee ' - , ' compensation, will tlo tne work, antl. the structure ii not inlentletl or offeretl Reinspection Fee ' $15 laue Fee •'�' $ 3 for sale'(Soction 7044; Businesz antl Professional Cotle: The.Conlraclor'z � i MECHANICAL � ' FEES ' �- � � LlcenS¢ 12w tloes not apply lo an owne� ot a p�operty who builtl5 or Improve5 � . thereon, antl who tloes•such work himselt/herself or throu9h his or her own goiler �� Hood or T ^ ' DEVELOPMENT SERVICES REQUIREMENTS: � •: �` �'� , � employ¢es, 0/ovidetl Ihat such'ImO�ovement5 are'not in[endetl o� offerGd /o� yp¢ I ❑� . , • � sale. If, however, the buiming or improvement is soltl within ona year ot com- Canopy , Type II ❑ . Zom�B Approved By Date pl¢tion, the owner will bave the bu�Gen Of Proving h2/She tlIC nol builtl or im- DUCL= Und¢� i�i�0und Buildi0g App�OVed By ' �rove tor the purpose ot sale). ' � �' 'Date � LJ I, as owner ot the oroperty, am exclusively contracting with licensetl ton- Duct -Structural Refrigeration System I 'APp��m��a� ��uad By �`r' Date r.i� t�acto�s to mnstruct the pro�ect (Section ]064, Bu5ine55 antl Professlon5 COtle: - . �_ The Con[ractor's License l.nw doez not apply m an owner oi property who Dutt - Ventilating �6100,000 BTU ❑100,000 BTU L e_ SUMMARV OF-FEES �'j ' . builtls or improves [hereon, antl who. contracts for such projeGls with.a COn- . '� , lractor(sl license Pursuant�to the Contractor's License Law�. I am aware that ExhaustSystem � MWtiple ❑ �System Repair/Alteiation � BUILDING P�$ �y7-OU SMIP ;$ proot of their Worker's Compenwtion inzurance showa be p�ovitled to me. PLAN CHECK � $ ' PERMITJ.� � � � ❑ I zm exempt unaer 5ectlon B. 6 P. C. lor this reason ' Firepl/Fact. Blt. ICBO # � Fire Dampers � pL�UMBING $ ' � ISSUANCE ��,$ ' Date 1 r Owner • � - � Heating System & Ducting ' ' Registen � ' ENERGV P.Ci $ j I hereby;certity tnat I,have�reatl.this'aoolication antl sta�e that the above 06100,OOOBTU,�100,OOOBT _ � _ _ P�NCHECK 25% $ � � information is wrrect. I a9ree to como�Y with all'city antl county orCinances � , ELECTRICAL � �$ GRADING �$ � � ( � antl state� laws relaeing to builtlm9 �onstruction, antl hereby authorize repre- � , � , ' ' i � � PLAN CHECK 50% $ i ' � � MICROFILM �$ � Sentatives O� this city to n er �upon the above-menlionetl ProOerty (o� � • �� ' , � . � , � �,�� yinspection R14rp sos� , � ,, ' i MECHANICAL I $ T,OTAL FEE $ !� ( �Si9nature /// Cti Date��/ �� 1 . . , � i ' I t t ' � � orivers' License or 55 � Reinspeccion Fee $75 laue Fea $ 3 I PLAN CHECK 25% �$ � � I CMF 0865-46,-�ev. 10/84 White - Bulltlinq; Ganary - Applicant: Pink - Accounting; Goltlenrotl - Assessor � � t � � � � � � � - � ,i� � - CONSTRUCTION AND PLANNING � � '� � " P00� & SPA � -i APPROVALS Permit# Date Inspector f qppROVALS � Permit#� Date Inspector: � 7: Temporary,Electrical Service or Pole � ' �52: Pool & Equipment Location ' � ,-2. Soil�Pipe-Undrgrnd.� - - _ . �- . � �- 53..Steel Reinforcement . ' . _ 3. Electrical Conduit Utility-Undrgmd. - ' - 54. Forms - � � � , ' '�4: Electrical ConduiriUndrgmd. � - � . 55._Electrical Bonding � . _ � � ' _ �_ �b.�Steel Reinforcement , ' -, • 56. Rough Plumbing & Pressure Test • 6� � Electrical UFER Grnd. ' ' � �57. APPROVAL TO COVER-GUNITE 'J. Footings � , . . �. ' 58r Electrical Gonduit-Undrgrnd. . .. . ,8. Foundation � ' � ,l ' ' �` � - 59. Gas Pipe, � Undrgrnd., Test � . ' 9. Water Pipe-Undrgrnd. � � 60.±Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System �• 61. APPROVAL TO DECK � :11. Property' Sewer Line & House Corinection . � ' 62.: Backwash & Receptor-Final ' 12. Sewer Cap - . � i -' � 63.� Heater & Vent-Final , . 13. Roof Drzins "� �• • '' 64. Plumbing SYstem - Final - 14. Rough Plumbing 65. Electrical-Final � � � �15�.. Rougfi Electrical-Conduit � ' � ' . 66. Solar System-Final ' � 16. Rough Electric Wiring ' . � � ' � 67. �Fencing & Access Approval ' , 17., Rough Wiring Sign -� . ,' ' � 68. APPROVED FOR PLASTERING � � 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL -� 19. Rough Heating & Air Conditionin9 , FIRE DEPT. REQUIREMENT � 20ti Rough Factory Fireplace .� � ' � qPPROVALS Permit# � ' � -� 21. Ductr,in Structure '� 70. Underground Hydro �� 22. Ducts, VCntilating , � 77. product Piping O Gas ❑ Oil , �' 23. Gas Pipe-Rough & Test . . - ,+ ' � 72. Underground Flush - 24. Roof Framing � . ' � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing . � 74. 'Overhead Hydro � � � � 26.�T-Bar Ceiling (Structural) & Monocoat � - , 75. ,Dry Chemical � ' ' - � � ' . - 27. Frame and Flashing 76. Dry Standpipe - 28., LaEhing & Siding , , . 77�. FIXED SYSTEM FINAL , 29. Insulation �.- �� ' 78. FIRE PREV. FINAL 30. Drywall Nailing ' ' � , HEALTH DEPT. REQUIREMENT 31. P.laster Brown Coat 79. FINAL INSPECTION 32r Electrical Power Meter-Final i ' 80. FOOD CERTIFICATE ISSUED - 33. Final EleGtric I Notes: ' ' t 34. Final Heating & Air Conditioning . � � , .: . � ". " � � 35. Final Gas Pipe:Test 4 , " ' ' �- � � 36. Hood or GanoPV - . � , - . • - 37. Final Factory Fireplace � ' - ' , � ' 38. Final Plumbing . � , ' , • . • � � 39. Water Service-Final � ' ; . � � ' � - � 40. Gas Service-Final � . � ' � � 41. Solar pomestioFinal . .. -- � ' 42. Backflow Preventer , _ . � � _. � _ . . _ �. 43. Backflow Irrigation � ' - . , � , . � •. � 44. .Landscape Irrigation System � � . - � , ; � r . 45. Sound-Attenuation • � � - � 46. Handicap Reguletions , . , � ' • . , . ' p 90 I 47. FINALSTRUCTURE&BUILDING .� �' 30 ' t a � ��-- 48. Special Requirements Completed . � ' � ' � ' � ' � �, � ' � � � 49. Electric Release to Edison' - �' - �� ! � � ! �� -�! � ��' . 50. Gas Release to $outhem California Gas Co � 1 � � i ' � ' � � ' ' 51. CERTIFICATE�OF OCCUPANCY-, -- -�-- • -�� -' • ;--��- -; - K -• � ' - - i . � i `�o. � Date- � � . ._ _ . � - ' . . _�_ . _ _ . ,- � . - � . � � - - � � 13�� COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 917 GOSTA MP$A. CALIFORNIA For Applieanf io Fill In Complefely TY f�R PRINT BUILDING i ¢ ADDRH68 '._J C05TA M A CALIFORNIA OWNER � MAIL py ADDRE65 . f"� A TEL. GITY •/� .S NO. AR� 'EGT TEL. OR '�INEER NO. A�DRESS � . � i � � E RECE1 �/ED � Nov 2 s tsso APPUCATION FO� ��Efjtv�IT�f DEpT BUILDING �� OSTA MESA For Office Use Only � neceirr xo. vervnyF�� /.3 6D BY I�//-a-��Ga � I�' �te"E$d G 3 COSTA MESA. CALIFORNIA � TYPE ` .� GRO �� BTATE .. . TEL. c .y / / \ LIG. NO. NO. J 3S oeBCnlrTiox � �.f� h � � .� �� SIZE � NO. OR BLDOB. ('^ OP LOT • O O O I NOW ox LOT y�' A. P. NO. �� .� —' �1 U6E OF � YARDS EVES \ E%IS71NG BLDG F� APPROVED ALLOWED M 8RB4CK LIN6 FHOM � 3T�✓ / (C6NiHF LINH BTJ ` CeNTeR oP BTrte6T O� � REAR YARD O�r FRONT I) SFT. ^/ IN. � / / � 61DE YARD LEFT RIGHT R.81DE :JFT. IN. DESCRIPTION OF WORK L. BIDE % FT. IN. NE �IIALTERATION I IIADDITION I REAR � FT. i /' �N. REPAIR I IIMOVING I �DEMO�ISH I BY"R�VED �, DATE -!l BUILDING� X 3 NO. OF g�Zg Q /2 2ZROOMS STORIES � ¢ PJCTLRIOR W ROOF � COVERING O GOVERING �//L (/ UBH OF BUILDING AND WORK TO BE PERPORMED � .v� .�- I%WF_ ..C.. ,v a.o 1 M8R8BY ACNNOWLlD08 THAT � NAVB H6�D THIe APPLIWTION THg AMOUNT BHOWN UNOER VALUATION I6 POP TNe AND 8TAT8 THAT TH6 ABOVS 18 CORRECT AND AORCB TO GOM• pUflPOB6 OP E8T�9L18H�NG A PEHNIT FHG ONLY. PLY WITX ALL CITY ORDINAN�B ANO BTAT! LAW6 R86ULl�TINO Bu1ta{No COH6TRUCTfON. , VALUATI�N � BIGNATURE O //�� PERMI'f FEE $ / � PERMITTC /�J �J%� � p ��' /-�/ p $ � � PLAN CHECK $ �•� AUTHORIZHD AGEN7 `��J TOTAL FEE �S U� 0 a � ' 133�9 COSTA MESA BUILDING-SAFETY DEPARTMENT p. O. BOX 917 COSTA MEBA. CALIPOiWIA For Applieani fo F711 In Completely - 'Q�PE OR PRINT COSTA MESh ■ SIZE TEL. TEL. NO. TEL. unw�.F...B�oae. ,�' GBTBACK ��NB FROM � �Msp pp BTRe¢T /3 /L% REAR YARD � / / 61DE YARD LEFI' � ftIGHT '�J DESCRIPTION OF WORK ROOF �C°CQ COVERIt AND WORK TO BE � HgqQgY ACKNOWLEDGe THAT 1 HAVB RBAU THIB MPLIGTION ♦NO BT�TB TMAT THE ABOVB 19 CAPRECT AND AGR66 TO CON- P{.V WITH ALL CIiY OROINANCCB AND BTATE lAWB REOUTATINO BUIID�NP �N9iRU�GTp10N. 81GNATURE OF -`f-� .�... ! ... _.� /� _.�T n AGENT APPROVED Z9NE LEGAL FEE RECE11/Ep �l�� NOV 2 g �g60 �FINANCE OEPT. APPLICATION �A�lh �DERNll3iq MESA BUILDING For Offiee Use Only RECEIPT NO. Ms� NO. �e�G7 % �%� CY DA RECEIVEO OATE;85UF�D` � ��'7��Li� �� Y ��/Y COSTA MESA. CALIFORNIA � TYPE GROV � %' onr 'L — G •- \ . Z NING • � INO. OP ^ `UBE OP NEW ` PLANS � I BUILOING �/J � � � .��r� ��'"l �-d� � � � cz.�f �t.' . _ �-Yt�Ty� C'^ l ! -7- � k :�-- i .� EVES � n� i nwcn ICENTlR LIN[ OTJ C. � J TNE AMOUM BXOWN UNOER VALUATION 18 FOR TH6 PUPPOBH OP EBTABLIBHING � P¢qMIT FEE ONLY. VALUATION /� PERMIT FEE $ � � $ � / ��/y PLAN CHECK $ /fi � �/� TOTAL FEB $ �� - � � ' 13�N0 COSTA MESA BUILDINGSAFETY DEPARTMENT p, O. BOX 917 C08TA MEBA. CAI.IFORNIA For Applieant fo Fill In Completely TYPE OR PRINT BUILDINO / � (7 �� ADORHSB COSTA MESA. CALIFORNIA 1 nRr ��E RECEIVED �"� NOV 2:31960 �FINANCE DEPT. CIiY OF COSTA MESA APPLICATfON FOR PERMIT euauiN� For O#ice Use Only RECEIPT NO. PlRMIT NO. � —�— � �� c, R8C61V BY � T8 RBCEIVBO DATE IBBUBO s�-- �/i/ �%-�i��'C� I 1.� - E -(c TEL. BUILDING NO. AODRESS TE�. COSTA MESA. CALIFORNIA NO. FIRE - r//� � ZONE TYPE GROUP `� �S � ABYPROVED � DATE� k'� �� ,- �3�.,,v Z ING �, ��, � ZONE I NO. OF I U9H OP NEw % � g— , `e PLANB BUILDIN6 � t� \ fiTATE TEL. I �n "' L�a�t �- � ("� LIC.NO. NO. 4< J OESCRIPTION �'�� /` ��G �1 �I 61ZE / /� NO. OP BLD08.� \� OF LOT LP�! X 3� C� I xow oN Lm LJBH OF � EXI8T1 G BLDG �F- C BBTBACK LINi IROM / CBNTlR OP �lBT REAR YARD � SIDE YARD I�EFT �� IRIGHT � , DESCRIPTION OF WORK A. P. NO.�� J -. .� k .i� — � `-� M YAROS EVES APPROVED ALLOWED IC6MeR LINH 6TJ � FRONT IO FT. � � "/ IN. � U IIMOVING I IIDEMOLI6H I• BYPROVED . �� D iE �L (� 3� NOOMS STORIE6 _L� � /� � /J�_r/�+ � �� f/[�PO COVERING �✓�'� :� ._ J � � AN� WORK TO BE PERFORMED .- \ �- . _ . ./ �/ I H6H8BY ACKNOWLED08 TXAT 1 HAVB RHAp TXIB APPLIGTION THH AMOUNT BHOWN UNDER VALUATION IB POR TX¢ AND BTATB �NAT THB ABOVB IB CAPRlCT AND AORHB TO CON- PLY WITH �LL �TY OPDINANC66 AND 9TAT6 LAWB R60UlATINO PUMOBE OP HBTABLIBHING A PERMIT FEE ONLY. Bu1LDINo �NBTtuCTION. VALUATION / i PERMIT FEE $ � � SIGNATURQ OP . � �� PERMflTE � � � y o J�/ � $ � PLAN CHECK $ /�1' '� AUTHORIYED AGENT �J{ TOTAL FEE r�� n ,�. � �sao • C�OSTA MESA BUILDING DEPARTMENT P.O.BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN ADDRE55 ��J~/ � ��5� /Q `� ✓/ COSTA MESA. CALIFORNIA OWNER / / �I� �ARCH�TECT ,OR F VEER ��fl CN/C D =� sT TEL. NO. LIC. NO. !3/—%<f3E CITV LIC. �/E� N O. I ADDRE505��/�'�C�O(+,�ANTPr TNO/1I-��J/Z �ew� �or sj NEw•:ORT oESCaiPriO�+ NO. �X G BLOCK TRACTN�GNr A.P. NO. / � (J '� / S�ZE � 0� X�o o' �o. oF a�o�=. � oF Lor n now on �or useoF t-7//JC•N(/= E%ISTING BLDG. c�. SETBPCN LINE FNOM � �� CENTER OF 9TXEET R R YARD /� / I / SIDEYARD FIGHT. �1,� � FT DESCRIPTION OF WORK NEW �i ALTEFATION ADDITION REPAIR MOVING DEMOLISH SIZIEDING/•�� y2O / FOOMS � STORIES � /� .1 COVERIINGWALJI,J�N�T COVERING Sy�/:UGIC/� USE OF NEW p�� R�C�IV�� 7�� APPLIC,�710N�FOR�P� MIT BUILDING FOR OFFICE USE ONLY —�yo 0 XECEIVfO BY �RTE RECErvE D�Ty 155U1 �'"7p 0 `L 7 -S� ro/i 7/ eui�oiNc pI.7�� '� ADDRE55 y COSTA MESA. CALIFORNIA V•��OH�� 11 DATE �� -�r CORRECTIONS `•: � CITY OF �STa AAESA F��c„`rdt� BE{'T. SUBJECT TO DG. DEPT. REG. g� DA— �� $TATE THAT TXE ABOVE I$ CORPECT 1NO 1GflEE TO COMPLY WITH 4LL CITV OROINANCES ANO ST/�TE L�WS REGVLATING BUI�OING CONSTflVC- i�ON. ( VALUNTION SIGNATURE PERMiT FEE $ PERMITTEE // PLAN CHECN $ � rj / (�/.,�� / �i TOTAL FEE B AUTHORIZED AGENT .� i ;: ' �:_�� COSTA MESA BUILDING DEPARTMENT P. O. BOX 31'! COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN �� • COSTA MESA. CALIFORNIA i _ � A - OWNE(i /�y MAIL 11 ADDRE55 /l QTV ' ARCF"�ECT OR ! VEER LEGr�L OESCRIPTION i q,p, NO. SIZE OF LOT USE OF EXISTING BL SETBRCH LINE TEL � �C+Ea No. �; u c. NO. CITY LIC. (J�!//� � NO. TEL. NO. BLOCN TRAC � �� — /� ��/� 1�fI •�E�Li. I`J I � OW ON LOGS. CENTER OF STNEET REAR YPRD SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEV� ALTERATION qO�ITION REPAIR MOVING DEMOLISH BUILDING ) NO.OF SIZE / �L.. FOOMS STORIES E%TERIOA WALL ROOF COVERING COVERING USE OF NEw � BUILOING Ol /A .N J �� (��6�� 9 I959�,,,. FIi�ANCE DEPT. ClTY Of COSTA �7f�! APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEiPT NO. pERMI(i �NC �r)`i� �� RECEIVl� 9Y [�nTE nECEIVED � 04TE ISS f .�� - y .�-y �- 9 -� BUILOING wA . r� �� ADDRE55 .tT_ � �/ COSTA ME A. CALIFORNIA P�RNS APPROVE� BY DATE CORRECTIONS F'!., �,��:�t;•:u UErT. ` � nder valuation is for the I MEREBV FCNNOW�EDGE TM4T 1 M4VE RE<D TN�S NPPLICATION iND $TRTE TMAT THE /�BOVE I$ CORRECT ANO RGREE TO COMPLV WITX 4LL purpose of establishing a permit tee ony. CITY ORDINANCES AND STATE L1W5 FlEGUL4TING BVILOING CONSTRUC- TON. n VALUATION SIGNATURE OF C/ PERMIT FEE S �� PERMITTEE GGG�� )7 /� ✓ PLAN CHECK 5 $ � �% � �. AUTHORIZEO AGENT TOTAL FEE $ �� 9M� 1 , 1��0 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 � C09TA MEBA. GLIPORNU For Appllcanf io Fill In Compleiely TYPE OR PRINT I BUILDING COSTA MESA CALIFORNIA _ __ _ �� % . TEL. 1 AR�' 'ECT LIC. NO. NO. SIZE � NO. OP BlDa9. OF LOT � OX .� O D I NOW ON LOT � SHTBACK LINB FROM DESCRIPTION OF WORK � BUILDING A n . i n . NO. OF ic f'o�iiP � PERFORMED I XBHEBY ACKNOWL6D08 TII�T 1 HAVB RBAD iNi6 MPLIGTION AND 8TAT6 THAT TH8 ABOV6 19 COPHECT AND AOREe TO COM- PLY WITX ALL CIiY ORDINANC86 AN� BTATB LAWB fi80U1.ATIN6 BUII.DINO CONBTRURION. �� P RMA�e E OF �� / 'G� � pi � , ; -�� AU7HORIZED AGENT `EE RE��VC�o FINAN E DEP�t.� APPLICr,/�'�ICLt�( F�Q.1&T�E�IIT' y�� BUILDING For O}fiee Use Only aece�rr no. ,g¢q�uni BUILDING� /7 �/ ' /� 7 � / L AODRESS / / [� /J COSTA MESA. CALIFOF{NIA 20NH IPOAL ZONING NO.OP U98 OP NI PLANB O BUILDINO �o�C. LvTi� � — � �G� EVE6 (CBNTHR LINH 8T.) THe AMOUNT 6HOWN UNDeR VALUATION IG POR TX[ PURP09E OP CBTABLIBXIN6 A PeRMIT P88 ONLY. � . � . 133�_ � COSTA ME5A BUILDINGSAFETY DEPARTMENT P. O. BOX 917 C06TA MgBA. CALIFORNIA , For Applicanf fo Fill In Completely TYPE OR PRINT BUILOINC /J y � ADDRESS J / 9 COSTA MESA CALIFORNIA � MAIL ■ BTATE TEL. NO. TEL. f FIRE ZONB /Y'E L � TEL. / O S� L60AL NO. (O DBBCR � _ i � _. � NO. OP 9LD08. / USE OF EXIBTING BLDG � BBTBAGK LINB FROM /f / p � CeMHp OP 9iRC8Y /V �G ^ UTN REAR YARD O / � 81DE YARD LEFT RIGHT DE5CRIPTION OF WORK ■ E%TERIOR AND � -� tu ��NOV 2;1960 FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMI7 BUILDING For Offiee Use Only RBCeIPT NO. %8�11T N % � �� l BY DA HC V6D DAT¢ 188UBO . I �li �i,.-� rI , ., _ � _ Lo COSTA MESA. CALIFORNIA TYPE GROUP � � ��-G- DA7 u NING n,�„�, . � � I PLA eF ��BUIIDINO �� \ t� V� '% .y�� , � ' �� ' �_ � l � VARDS ^•,^_ APPPOVED ICBMBP LINB 8T.1 � J �•r�rr I H8P8BY ACKNO�/�DGB TH�T 1 XI�V6 RGD THIB APPLIGTION TMe �MOUM BXOWN IINDEP VALUATION Ip POH THH M1D 9TAT8 THAT TX6 ABOVH 19 COPR6CT AND AGR86 TO COM- PUPF09H OP H6TABLI9HIN0 A PeqMIT P6E ONLY. P6Y WITH ALL C�N OROINANG89 AND BTATH IaW9 R80UUTINO BUIttINo coNaYQYrnaN. VALUATION y/� PERMIT FEE $�` � 81GNATURE O ' t' � ////yyy /j/ " 7. PERM3ITE [�' { i j � �\ �' �;�� J _ — $ / I PLAN CHECK $ / AUTNORIZED AGENT � � TOTAL PEE