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Home My WebLink About643 17TH ST - Building Permits.�„�, �, � . - - . � OWNER �STABLER, ROBERT ' DATE Z-ZO-56 JOBADDRESS (��yj W. ]_%tLt St. �" BUILDINGPERMITNO. 2%lOO GENERALCONTRACTOR G, T, McLau�hlin VAWE $ 6f9OO.O0 ��, AP 116-280-1 BLOCK TRACT Machine shop s.vr�u�� PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBI Foundation Formsand Grade Rough Framing Plumbing, Rough to Slab � Plum6ing, Rough Complete � Temporary Pole Wiring, Rough Heating, Rough \ Heating, Final ;Sgwer, House' Sewe Septic Tank or Cesspool Lathing, In Out F aring Plumbing, Final, Fixtures Coi Plumbing, Final GasTest Wiring,Final T' Occupancy n FOflM 210 9M 10�93 . : (714) 754-5273 • Fex (714) 754-4856 • www.ci.eosta-mesa.ca.us 77 FAIR ORIVE, CASTA MESA, CA 92626 BUILDING PERMIT Job nddress: 643 W 17TH ST Suite: Vicinity: Parcel Number: 42430101 Applicant: EDUARDO FONSECA Address: Zoning: ,�� Phone: 949-548-5569 %-� � Zip: Owner. STABLER; MARIE A TR Addre55 �/oCIARK, VALARIE - ' . BALBOA, CA � . - Phone: � ,-1740 E OCEAN BLVD Zip: 92661 Contractor: CRANK BROS ROOFING CO INC Address: 726 COMMERCIAL WAY Arch : Address: Phone: �(949) 548-5569 COSTA MESA, CA Zip: 92627 License: 794724 Phone: Status: ISSUED Applied: 08I14I2001 Issued: 08114/2001 ISSUED BY: �/V � Eng: Address: Phone: �Zip: � License: License: SCOPE OF PERMIT_ T/OFF AND REROOF 3000SF COMMERCIAC BUILDING W/BUILT-UP ROOFING.� FEE SUMMARY Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.56 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Calc Valuation: 55,s�zoo Claim Valuation: $s,s��.00 Total: $125.81 � � PLANNING & ZONING � SETBACKS MAIN STRUCTURE Front 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 ACCESSORY Front � 0. 0 Rear 0- 0 Left 0- 0 Right 0- 0 PARKING Exis[inq: 0 Requi2d: 0 Proposed: 0 � NOTES: NOTICE: The work authorized by this permit shall comply wNh all applicable handicap access requlrements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) ' EXPIRATION: This permlt shall automaticalty expire and become vold if work Is not commenced within 1 BO days, or ii work is suspended or abandaned lor a period of 780 days. INSPECTIONS: In order for ihe vrork euthorized under this permit to be considered legal, such work must comply with all applicable codes, and eil requlred inapectlons and finel approval must be obtalned. Failure to oblain inspections and final approval will result in tha ezpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5828 zaae�ae �aoo� WOHKERS' COMPENSA710N DECLARATION: - I hereby aHirtn under penelry of per�ury ona ot t�e I011owing dedaraUons: ❑ I heve end wlll mainteln e cenificate o1 cansem ro sell-Insure tor warkers'rnmpensation, es providetl tor by sectlon 3700 ot the Lebor Catle, for the pertarmance of Ihe work tor whlCh Ihl9 pBrtnll is IsSueA. ❑ I heve end wlll malntaln workere' compensatlon Insurance, as required by sectlon 3700 of the Lebor Cotle, lor t�e performance ol Ne work for whitli this permit Ls Luuetl. My workers' com ensatlon Insurenca carrier entl poliq ryumber ere: / Cerrler: '.�7 "��' T£. �dl�f'iTi]/S/4TlO/� �/li S.. ��% Policy NumDer. l V1 ��i �j � � (Thls secNon need not be canplefed i! the permif Is velued ef one hundred dW�00) or /ess.) ❑ I certNy ihat in the pertormanca of t�e work lor whic� this pertnit Is issued, I ahell not employ eny person In eny mennei so es lo become su0�ect to the warkers' wmpensetlon lews of Califomia, entl egree that II I s�oultl Decome sub�ed to t�e workeB' compensatlon proNsions o1 Section 3700 of Iha Lebor CoAe, I ahall forthwit� wmply with ihese provls ns. /f �� ApPllcantSipneture:��y �[�4-,�,✓�.i / Dere: Q^ ��/'O� � v� WARNINO: FAILURE TO SEWHE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL M'D SHALL SUBJECT M! EMPLOVEN TO CRIMINN. PENALTIES AND GVIL FlNES UP TO ONE HUNORED TFKKISAND DOLIARE (E100,000). IN FODRIIXJ TO THE COST OF COMPENSATION, OAMAGES hS PROVIDED FOR IN SECTION 7/08 OF THE LABOR CODE, INiEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I I hereby eHlrtn that I em Ilcensetl wMer provislons af Chapter 9(commenGng wilh SectlonJAUO) ol Dlvlslon 3 oi t�e euslness end Professlons Code, end my Iicense Is in full mrce ena ettect. uc. x C c�ass x �= 39 � CantrectorsSlgnature: �� G� � �/ � Dete: �—/4�— (9� � CONSTRUCTON LENDING AGENCY: ❑ 1 hereby eflirtn t�at t�ere Is e consW ction lendinp egency far Iha pertortnence oi the work tor which t�ls permit is Issued. (Sec. 3097, Civll Code). Lendels Neme: Lenders AdEress: SignaNre: Date: OWNER•BUILDER DECLARATIONS: I hereby ettirtn thet unOer penalry of per�ury Uat I em EXEMM FROM TNE CONTFiACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Business entl Prafessions Cotle: Any ciry or couny which requlres e permit to construct, elter, improva, demolish, or repalr eny structure, prlar lo Ita issuanco, elso requires t�e apD��< <or such pertnit to file e signed stetement thet he ar s�e Is Ilcensed pumuem ro ihe pravisfons of Ihe Contradors License Lew (Chepter 8(commencing with Sectlon 7000) ot DMsion 3 of t�e Business and Protessions Code) or that he or she is exempt Uerelrom antl the �asis for the elleged ezemption. Any Wdation of Section 7031.5 by any applicant for a pem+' sub�ecis ihe ep0�� ro e cldl penalry of nat more then live hundreO tlollars ($500).): ❑ I, es owner oi Iha property, or my employees with wages as their sole compensation, WILL DO THE WORK, end the structure b not intended or otteretl lor sele (Sec. 7044, Busines9 and Protessions Cotle: The Contrectors lJcense Lew does not epply to an owner of praperty who builds ar improves Ihereon, end who does such work himselt or herseN or thmugh his or her own employees, provided that such improvements ere not intended or oMered for sale. If, however, the builtling or impmvemem Ls sold within one year o1 completion, the ownervbuilAer will have the burden ot proving that he or she did not buil0 or Improve lor purpose ot saleJ. ❑ I, as owner oi ihe propeny, em EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to constmct the O�oJect (SecJ044, Business antl Pmfeulons Code: The wmrectors License Lew tloes not appty m en owner ol property who builds or improves ihereon, antl w�o contracis for such pra�ect with a conirector(s) license pureuenl lo Ihe Coniwctors License Laws.). ❑ I am axempt under sec. Signeture: Owner ID venlietl by tlAvers Iicense. ❑ Ves ❑ No Business end Professions Cade far this reason: Vedticetlon o1 Ownership by (rype o1 documem, i.e. - property tax blll or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Dnvafs License No. Data: Expires: ❑ I hereby certlly Ihet no excavation fNe (5) or more teet in depth into which e person is requlred to descend, wlll be mede in connection with work euthorized by this pertnit, entl t�at no building sWMure, sceMdding, telsework, or demolition or dlsmentling thereof, wlll 6e more Ihen Ihirly-sia (38) feet high. (C�ap. 32, Grp 2, Atl 2, Sec. 341, Tltle 8, Callfomla AdminlstretNe Cotle). ❑ As owner-builder, 1 will not employ enyone lo tlo work whic� woulA reQuire a permit irom the Division oi Indusirial Sefety, as notetl ebove, unless such person hes e pertnit to do such work Irom tha diNsion. Signeture: Dete: DiNsion oi IndusMel Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMAY: I certity under penalry at perjury thet I heve reed Ihis epplicetion end state that ihe Infortnation given is I wnect I egree to mmpty with all state laws and ciry orCinances relating to Cuilding constructlon, antl euthodze represeNatives oi t�e Ciry ol Costa Mesa to emer upon Ne ebove-described properry tor inspection purposes. I agree not to accupy w ellow occupency ot eny building euthonzed by Ihis pertnit uniJ final inspection. CQOE /. IH4iECTIONTYPE 1818 Fixed System Finel Fire Preventlon 1288 200 Pool Spe Finel Final Re-Roof 201 Finel BIacWRetaining Well 202 Final Fectory Fire Pleco 203 Flnal Slgn 207 Final Demdltlon �.I JIII.. ��' !..� x—c COUE 1 INSPECIION TYPE 208 Flnal Mochenlcel 20B Finel Plumbinp 210 Flnal Electdcal 212 Flnal Flre Preventlon 220 Final Plenning Approval 222 Final Site 250 Flnel Bulltling/Occupency aeg u�s (7t4) 75a-5273 • Fax (��a) 75a•aese • www.ci.costa-mesa.c�s ILDING PERMIT �� FAIH UHNE, GOSiA MtSA, GA 92ti26 Job Address: 643 W 17TH ST Suile: Vicinity: ROOF Parcel Number: 42430101 Zoning: Applicant: ERIC PETERSON Address: 1653 SUPERIOR AVE „ Phone: (949)642-7222 COSTA MESA;.CA � - Zip: 92627 Owner. STABLER, MARIE�ATR Address %CLARK, VALARIE BALBOA, CA Phone: 7740EOCEAN�BLVD Zip: 92661 Convactor: lEE ROOFING OF COSTA MESA Adtlress: 1653 SUPERIOR AVE Arch : Address: Phone: (949)642-7222 COSTA MESA, CA Zip: 92627 License: 349686 , \ Phone: Eng: AddreSs: ISSUED BY: Status: ISSUED Applied: 07I14I2003 Issued: 07I14I2003 Phone: Zip: , �License: license: SCOPE OF PERMIT REMOVE EXISTING ROOF. INSTALL 30# FELT, 30 YEAR, DIMENSIONAL, CLASS A SHINGLES. 3 SQUARES FOR RESIDENCE ONLY. Plan Check: $0.00 Permit: $44.85 SMIP Res: 30.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $45.35 SETBACKS� � � MAINSTRUCTURE Fronl ,0=0 �� Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existin : o Required: o NOTES: FEE SUMMARY PLANNING & ZONING LeR 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 S1,2oo.00 $1,200.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 7241-92) EXPIRATION: This permit shall automatica�ly expire and become void if work is not commencetl within 1 BO days, or il work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under ihis permit to be consitlered legal, such work must wmply with all applicable codes, and ell required Inspeetlona antl Iinal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 �ae-as lyoo� WORKERS' COMPENSATON DECLARATION: �/ ,� I hereby eNirm under penalty of perjury one of Ihe fWlowing dadaretions: � ❑ I hava entl wlll maimain a certllicate of consent to sell-Insure tor warkers' compensation, es provlded lor by section 3700 0l the Labor Code, for the pedormence ol the wark for which thls pertnit is iuued. �I/I have arW wlll mainfain workers' compenSaUon insurerca, es raquired by sectbn 3700 of the Lelwr Cotle, for the perfortnance of Ihe vrork for whicA this pertnit I5 lswed, � My workers' compansatian Insurance cartier antl policy number era: p ''{ Cerrier: � '�� C �-v v�� Policy Number. � Ci l� - Z � � i (This section need not be ple(etl i1 fhe permif Is valued et ane hundred dollers ($100) oi /ess.) ❑ I certiy thet in Ihe perfortnenro1i�NW ork lor which Ihis permit is issued, I shell not employ any parson in eny menner so as to become subject to the workers' compensation laws of Cq1i o�la, entl egr�h If I should become sub�ect to the workere' compensation provislons ol Sectlon 3700 0l ��e Lebor Cotle, I shell forthwith comply with these provisiZi i ApPlicantSipnature: -��1 Date: Z l�Vl 1O 3 WFRNING: FNLURE TO SEIXIRE WORKERS' C�OMPENSATION COVEMOE IS UMAWFUL AND S WLLL SUBIECT AN EMROYER TO CRIMINAL PENALTIES AND CML FlNES UP TO pNE HUNDRED T/1WSNJD OOLLPAE (51 W,000� IN ADOITION TO THE COST OF QOMPENSATION, DAAMOES AS PROVIDED FOR IN SECTIIXJ 3%OB OF THE LABOR CODE, INiEREST, M1D ATTORNEYS FEE$, LICENSED CONTRACTORS DECLARATON: I horeby affirtn Ihat I am force en0 eNect. Llc, a_ Contrectofs Slgnalure: Chepter 9(commencing with Sectlon 7000) of Divlslon 3 of the Businoss end Professions Cotle, and my Ilcense is In full class a Date: � � A � CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm thet lhere is a cansWctlon lentling agency tor the pertormance ol ihe work for which this Oermit Is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby effirtn Ihat un0er penelry ot perjury Ihet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professions Code: Any ciry or wunty which requires e pertnit to consWct, elter, improve, demalish, or repalr eny structure, pnor to its issuance, elso requires the appliwnt lor such pertnit ta tile a slgned stetement ihet he or ahe is Ilcensetl pureuent to the D�ovisions of the Comractors LJcense Lew (Chapter 9(commenGng with Sectlon 7000) of DlWsion 3 of t�e Business end Prolessions Cade) or iha� he or she is axempt therefrom entl tho basis far the ellegetl ezemptlon. Any violation oi Section 7031.5 by eny applicant tor e pertnit sublecis Ihe epplicam ro e civil penalry oi not more than frve hunOretl CWlars ($500).): ❑ I, as owner of tha properry, or my employees with wages as their sde compensetion, WILL DO 7ME WORK, end ihe siructure is not IntentleO or ottered tor sale (Sec. 7044, Business antl Professions Cotle: The Contrectors License Law Coes not epply to an owner of property who builds or improves t�ereon, end who does such work himself or herselt or through his or her own employees, pmWded that such improvements ere not Intended ar ottered lor ule. tl, however, the building or improvemem is sold wit�in one year ot completion, the owner-builtler will �eve�ihe burden af proving �hat he or she did not build or improve lor purpose of sale.). - ❑ I, as owner of the pwperty, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to constmct the project (SecJ04a, Business antl Professions Cotle: The contrectors license Law does not apply to en owner of properry who builds or Improves thereon, and who contracis for such pro�ect wii� a contrector(s) license pursuant to the Contraciors License LawsJ. � 1 am exempt untler sec. Business an0 Professions Cade for this reason: Signature: Date: Owner ID veritied by drivers license. ❑ Yes ❑ No Dr'rvefs License No. Expires: Vediication ot Ownership �y (type ol CocumenL i.e. - properry tex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFILA710N: ❑ I hereby Cerlity Ihet no excevation five (5) or more leet in tlepth into which e persan is require0 lo tlescentl, will ba made in connedion wit� work eu�horized by Ihis pertnit, end thet no building struqure, scalloltling, lalsework, or demolition or dismantling ihereo�, will be more than thirty-sis (36) teel high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Celifomla AdminfsiraiNe Coae). ❑ As owner�builtler, I will not employ enyone to do work which woultl reqWre e permit from ihe Division of Indusirial Selery, es notetl e�ove, unless such person hes e pertnit to do such work irom 1he diNsion. Slpnature: Date: Division of Industrial Satery Pertnit Number. CEHTIFlCATE OF COMPLIANCE AND AllfHOR¢ATION OF EMRY: I cenity untler penalry of perjury that I have read this epplication and state t�at the information given is correct. I agree ro compty wit� ell state laws end ciry ordinences relating 10 bullding wnswctlon, end euthonze representatives o1 tne Ciry ol Costa Mesa to enter upon the above-descdbetl property for I,speeCionpuq�oses. I egree noI Io occupy or ellow occupancy ot eny building euthorizetl by this permit umil linal inspection. COOE L INSVECTONTYPE 1618 Fixotl System Final Fire Prevontlon 1266 200 201 202 203 264 Pool Spe Final Finel Re-Roof Finel BIocWRetaining Well Final Factory Fire Place Final Sign Finel Demdltlon QE� It�lli � �Oj !o�'.^, ��_ /� Z ate O — ata COOE I INSPECTION TYPE 206 Finel Mechanlcel 208 Finel Plumbing 2t0 Final Electricel 212 Finel Fire Prevention 220 Final Planning Approval 222 Flnal Site 250 Final Bulltling�0aupancy � It� Costa Mesa Building DeparLment t '_r 111 EAST 20th STREET �-• COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Building Address � � W / � rf/ _ S %i Costa Mesa,, California Cross St S �f Owner� 0 ./3 , T nddress/)d0 pC citY 13 .� .a Architect or ene�neer a N �C. Address ractorG• % /'/ �iC A AddreSs /�Jf i�C�/� Legal I Lot Deseriptlon No. (Attach Metea ai d Boundi Size of Lot�t" Use of Existing HId9�/fU!/A/6 Setback �ine from Center of Street � E DESCR New I I Alter Repair I I Movii a��d��s3d x�o Stze F ��rlorWall APPLICATION FOR PERMI'1' ��2� BUILD�NG ' FOR OFFICE USE ONLY Receipt No. I Permlt No. a OG Received by Date Rec'd. Data IssuW � �30 -�S 6 0?- 020—.� Building Address � Costa Mesa, California - Nearest Cross St. �' Zonp ,/ I No.of .z I TY I,E u3 /`� Plans O S�C7 ;k � Tract � � ..� _ % No. ot Bldgs Now on Lot I No.of No.of Familles Rooma Demolish I hereby acknowledge that I have read ihis Application and state that the above is mrrect and agree to rnmply with ull City Ordinances and State Laws regulating building construction. /- Signatureof�jy- M� a� � Permitter/�7 �� Valu,ation s G �'0O• FORM 20� G-H 2 6-5a Fee m � � r APPROVALS m Lxatton I Inspectoi Materials, E�R. � Reinforoed O 77� � Z a r ' "' "�' . . . � .. . . . . . _ ' :n �. . f 1. ' t . .. �. ' . . : - .-I _ . . ... .. .� • " • " . '_�. .. � 1 '` _ _ _ _ ' " _ " _ ' _ ' ,' � •. ' COST,^ 'Tn?n.ssPll., . ��':P`� r•:..��,y�n � . , • — -- - ..-1 - --- , - .��,- . �� v[:r,'r � � . .. . 'J.G:9 ' " • � . . . � '.�r'^. 5�.-_ . . . .. . .. . , _ ' . . . i. . _ . . � . ;'r .. ia �i "_"" ' _ _ • .. � , _ '_ "_ ..'1- .. ' ' , ' . a 1IV1 1 L[11� .. �, Show locatlon and diatancea from . .....� . _:t �rn"._ - - � Property line and between bufldinga , , � �, �,�„ � . � , � . � �� . .,+�. -,.,oi. .. '_' _ �-�.._ " _ _ � _'_ _'_'_ _ . ,�,'rr .. - , i' : ��_ . . . , . ' . . �ir . _ . (.r . . . ._.. .._. . __ _ '_' _ ___ . ..'0' - . _:�C ] • I .�o.. � . �L ..' nn.� � � � . , .. .,.^ � � i 4C .� • ' � . " ' ' .�, -( • . _. . � .. : l. . 1 _-_ _.. . _ - ____...�._ -�_ . . . . . , . , � .. � . 1. . , � . . L . � .. .. � . , I. r . .� .1' . • I1' �l . . ' • . � .. � . . ' � . ; � r I : . I _'.._. ._ _._. . . �,1= / � . 1��82 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO% 317 COSTA MESA. CALIFORNIA fOR APPUCANT TO f/LL /N COMPLETELY TYPE OR PRINT BUILDING �y� /� r� (� ADDRE55 V COSTA MESA. CALIFORNIA OWNER /( /^ St9S<EP ADDRE55 7� Z E/ OCE N I/ ON � CITY ��"' �� O.� �/ I _ AIaCH'TECT /��O LIC. OR ! VEER / / NO. ADDRE55 �.a[ CONTRACTOR Y.ILr ��u�'NE�L CTNO. LEGRL I LOT �O I �I� � D[SCRIPTION NO. BLOCK AC� A.P. NO. �4J " � �Q ^ D I SIZE fJ^/ �/ /�� O I NO.OF BL�G9. OF LOT JC) (\ / rvow orv �or use oF /7BC�//yF�%�O/� EXISTING BLDG. 6ETBACK LINE FROM C. i C DESCRIPTIbN OF WORK REPAIR I II MOVING 1 II DEMOLISM I BUILOING NO.OF �/ SIZE � X O ROOMS J STORIES � EXTERIOR WALL-�/f�f LI ROOF ��Op COVERING U�OC rl COVERING!/l�0 BY L. � �� , �ECEI�E� r�,lJ. %: / � - 5� � APPLIC�TiU�(4 POR�•PERMIT CIT(�UF �i�j�V�� fOR Off/Cf USE ONLY I PECEIPT NO. I PE� RMIT Nt J iveo ev I owre necerveo I� cwr� issm v 5!3 •U. �7u�- COSTA MESA, CALIFORNIA ZONING NO.OP U8E PLANB BUU r 4� ./iylflO��X /ti/f)t i I HEREBY ACKNOWLEDGE T AT I MNVE HE1D THIS APPLICATION THQ AMOtINT HHOWN UNDEF V�LUATION IB FOR THE AND BTATE TH�T THE h00VE 18 CORRECT AND AGREE TO COM- pUNP08E OF EBTA9LISHINO A PEHMIT FEH ONLY. PLY WITM ALL CITY OqDIN�NCEB NO STATE L�WS REGULATING eui�oirvc cOrvainu/C�yy H/. VALUATION SIGNATURE OF /// �/ *� �� PERMIT FEE S �� PERMITTEE (L �� / - s PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE $ � ' � �" 3..4�8'� CJSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX S77 COBTA M6HA. CALIRORNIA For Applicanf fo Fill In Complelely TYPE OR PRINT ADDRESS 643 � �7� �YQO� COSTA MESA CALIFORNIA OWNER Robi' L.� Mar�e A. � 6�er TEL. CITY NO. O ,^.ecH'*�cr�e 1 _ L _ D :E� • 41. �� LIG.NO. �`I NO.��134'=- � s�ZE is� x �aa � w�W��..a�aa. OF 1 11T ■ earewcK uwe cxor DESCRIPTION OF WORK ' NO. OF � U98 OF BUILOING AND �tBABF� �E8 P�AN• 1 HEREBY ACKNOWLlDOE THAT 1 HI�VB RP.�O TXIB APPLIGTION AND 8T�T6 THAT THE AOWE IB CORRBCT AND AGPEe TO CON- PLV WITM ALL CITY OfiDINANCEB AND BTI1T6 LAWB 1180ULATNO DUILDINO CONBiRYCT10N. 81GNATURB OF r,i' '� ��, �,..� r C� � a. cn �� FEE RECEIVED � ¢�ar26� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RlCB�PT NO. PHMMIT NO. necerveq er . I cw Z_'a�G I� wr � s !r/ BUILDIN6 ADDRESS COSTA MESA. CALIFORNIA FIRE ZONING ZON6 � NO. OP � I U88 OP NEW ��; PLANB / BUILDINO L80AL / nw `' //_ I %..C/ % / f �'�'1L F`�•7�% � /F�T. /'J�allt . �iC/'€T� ` ',: _.� � y g� G �� ? -� .t. LL1 � � � a a =rUi/ ..7 � � w4. u � a IN. O =1N. �C]i IN. r- �'dAR. No. y��APPROVED ^�i`�'y�//../� THe AMOUNT BHOWN UNOBR V�LUATION l0 PdR TX8 PUfiPp86 OR HBTABLIBHINO A PBRNIT PH6 ONLY. VALUATION ' ��/ OD PERMIT FEE S.i d� $ �� PLAN CHECK $ /7 /�/ �� ' TOTAL FEE S ✓ / � �UILDING SAFETY DEPARTMENT �� 0 � e P. O. Boz No. 317 � Costa Mesa, Calit'omia � Date 7i.�I�? 1 � 1��. � CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No� Electrical Permit No Plum6ing Permit No Use of Bailding /�✓ �� ••1 L n� v 4 Ttie 6vilding located at �� dL� � N �7� Legal Descriptio� (See reverse side for Metes and Bounds) haR heen inspected and fouad to comply with the provisious of all City of Costa Mesa Oxdin- a�. applicable ihereto for a Group -� Z- Occupancy. ISSUED TO: City Building Official �nra� .. M.,R/� �TAl�JZ .�/ ; %% (Ow¢er of Building) B7 T ^ -,.,••.�. .'��A.� .. -�`�,r++�.Pn CC: ❑ Original-0wner ❑ lst copy—Gas Co. ❑ 2nd copy—Ed�cn Co. ❑ 3rd copy—b31� e Form 208 SB P 1M 1-60 � ' �k_ ��.��,'7 GOSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 COBTA MEBA. CAL�FORNIA For Applicanf to Fill In Completely TYPE OR PRINT ADDRESS �0�3 W � � �TH ST• COSTA MESA. CALIFORNIA OWNER �\O��T �—� STABLBP�. aoowccc 17Z2 1-• �GEAN �RoAfT TEL. rJ .B. Fin(DL V G W F�G' IG � �/GALn' C:/iLir 3 6 3 5 .i3 No 0 R 3- 4Z'7o NO. OF BLDGB. I✓�'�o X%83, NOW ON LOT 3 GBLDG.�M� CI-�CK SALE$ qMp az LIN6iHOM ^ � ____...__ �.�1 RO I LEF7 � I�-o I RIGHT �Jo FRo0.1.� DESCRIPTION OF WORK EXTERIOR WALL..1- IROOF CUMPO• ROOP COVERING ��«� COVERING USE OF BLIILDING �1ND WORK TO BE PERFORMED �UT 4�_,. P>F�PNT I�bNnnul /7PF_AIN(, � LL 4_n x F, �R - I�' F 2 Class�v.dt�W! 1 HEREBY ACKNOWLfiD6H THAT I HAVE READ THie APPLIGTION AND BTATE TXAT THE ABOVE 18 LORRECT ANO AGREE TO COM- PLY WITH ALL CIiY OA�INANCEB ANO BTATE UWe REGUTATINc BUILO�N6 GONBiROG9lON. 31GNATURE OF A 1 -!- f L.l-_ 1 l_. 0 AUTHORIZED AGEN�'��` `" y� � �� R�C�I�ED �'IfVANCE��i�t�l9.tss� � w� CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. ,� �Pl�MJT`N� V�j IiJ . ! / ` MESA. CALIFORNIA Z � L � ZONING no. or use oF H PLANS BUILDING )�� o�. - a '�o — o YARDS EVES APPROVED (C6NTER LINE BTJ APPROVED THE AMOUNT BHOWN IINOER VALUATION 18 FOR THE PURP08E OP ESTp01_18HING A Pfi0.NIT PEE ONLY. VALUATION ^'/ j' �Q PERMIT FEE S O^ $ / O� � PLAN CHECK $ �- _ ___ _ ' � � ' � �' ��o CASTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIPORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT /+ � BUILDING � !�� y�i' • ��TN Sf C-• � • • / ADDRE68 COSTA MESA. CALIFORNIA � I MAIL Z SIZE OF LOT USE OF EXISTING BLDG. serewcK uxe vaor FEE RECEIVED FINANCE��E�T61(�� AppLI�A�DN'F�RSPERM IT eua�iN� For Off)ce Use Only RlC81PT NO. EW [� • net /il � I l J re/JPCe1L, D� I �% TEL. BUILDIl�6 /�- NO. ADDRHSS � re�. cOSTA MESA. CALIFORNIA NO. � FIRE . �.. __ . _ � ¢ Z �%C NO. OP BLD08. DESCRIPTION OF WORK FXTERIOR WALL ROOR COVERING COVERING USE OF HU7LDI13G AND �4'OAK TO 9E PERFOAMED �/�� z't,;. o L�ti s�+- BY�Kovev ' . . DATE I ~ �� -1/ � � Z ING z e I No. oc ( uee or Ne ' �' ruxs sui�tdo � i.en�� a v DHBCRIPTION A.P.NO. `I O � d��Q �O I YARDS ' EVES APPROVED ALLOWED �utmn uMe sr.� FRONT � FT. IN. r R. SIDE � FT. IN. L SIOE � FT. ' IN. � REAR �FT. �'� IN. APPROVED I / .I : 1 . � T"`I � BY OATE M1�'`� e � XGREBY ACKNOWLED(f8 THAT 1 HAVE plAD TXI6 APPLIGTION THE AMOUNT BHOWN UNpER VALUATION IB FOR TH! AND BTATE THAT TNE A90VC IB CORR¢ET ANC A6RE6 M CAM- pURP08L OP, EBTABLI8HIN0 A VERMIT F!E ONLY. PLY WITH ALL CITY OFDI�IAHCEB AN� 6TAT8 LAWB RE6UtATING eu��olNo consrnucnoN� � VALUATION j,y�J 0 SIGNATURE OF '�P` . PERMIT FEE $ • PERMIT7E S�pO � PLAN CHECK $ AUTHORIZED AGENT / . � � 70TAL FE � , �3�; � COSTA MESA BUILDING-SAFETY DEPARTMEM' P.O. BO%91] COBTA MHSA. CALIPORNIA For AppllcaN to Fill In Complelely TYPE OR PRINT ioRess G-' q 3 �f� �-j'YC' S� vee, COSTA MESA, CALIFORNIA . NNER �n{� I •��. �L4�{�V , ORE88 II��" �C�=�^""� �� EXISTING BLO6. BETBACK L�NB FROM CENTER OF BTAEE! RHAR YA 61OEYARDI L6FT RIQHT DESCRIPTION OF WORK NEV ALTERATION ACDITI REPAIR MOVIN6� DEMOL BUILDINO � (YO!% � ROOM9 � 8T SIZE tJ EXTERIOR WALL I ROOF GOVERING .COVERIN6 US6 OF BUIIDIf�B AND WORK TO BH PfiRFORMfi I HEREBY ACKNOWLFOOe THAT 1 XAV6 RF.�O TNIB APPLICATION AND 6TATE THAT TH8 ABOV6 �p CORRECT ANO AOREH TO COM. PLY WITH ALL CITY OpO1N/1XCE8 AND BTATB LAWH qBOULATINO . BUILOINOCONBTRURION. p01 0.Vy L`_� ti 'O � �T 61GNATUREOF��4' ` � a� P�RM TTEF � A ORIZEDA6ENT FEE RECEIVED FEB 1 1965 FINANCE DEPT. APPLICA��Or�FF��SA BUILDING Fo� o�r�e use o��y � R6CH1''f NO. PERMIT NC ZONING NO.O� U88 � �LAND DUII YARDS MPROVED MAIN BUILDIN6 � YAR. # ��rr��w��. �G S � � � � �� BE LE59 THAN YARDBAPPROVED ACCESSORY BUILDING DATE � �9 POH THE FEE ONLY. � � 3 �C Casta Mesa Building Department �2 APPLIpCATION FOR PERMIT • 117 EAST 20th STREET _p_U I L D,.�.N.G_ _ -.-'- � COSTq MESA, CALIFORNiA "-" ' ' FOR OFFICE USE ONLY �• v FOR APPLICANT TO FII.L IN i � Receipt No. PermitNo. � a�,�d;�g `'� �, /7� o�`' � ` /3.r o � �% � Address � � Costa Mesa, California Reeeived by_ Date Rec'd. Date Issued j � ' 3 . //=')��1 Nearest � '' CrosaSt Building 6'�3 � `��• . � Address Owner _ I Costa Mesa, California • ' mau �'oo� Addresa -�Q�y `/Zar� Nearest . _ ' ' Tel. Cross SQ � City No ��OG7 R Zone' � No. oT Typs� I Group Architector ii/ �E-d�.f Lie. ��• y D I Plans I �� - Engineer �7�� E� No. Approved - , (Attach Metes anq size ot �otJ'j�,r/ Use of OT Od _ � City Blotk I Tra J6-o2 - I Na. of Bldos. •-- i �LIRt// • ��/�� i � r . 0 . e , l Repair I I Moving � I Demolish ! Building 'f!� .a.. No.of Size �o�YC�p /O,r�(� Rooms � Stories � E� 'orWal✓/Jl Rooi _ C .ng / I COvering �/1�� ApPROVAL�.S Use of New _ n Foundation Location Inspeeta Buildin9 ��B'12 Forms, Materfals, Under-Pinning Frame: Fire Stopa, Bracing, Bolts Lath.lnt. S.hereby acknowledge that I have rcad this Application and state that the above is correct and agree to complp Lath. Ext. with all City Ordinances and State L.aws regulating building construction. � Plaster, Int. Signature of /p/�7// ,. � Permittee /=Y'_/�/ �,Y.Lr' / � Plaster, Ext. Authorized Agt. Masonry Reinforced Val ion Permit Fee $ ��c op Plan Check $ � — Bond Beam $ vO�� Feeaf $ ZZ "'� FINAL �.___ ,o, r._ ��.� ,.,.�, . .,. .. .. ��.,:, :_ - .,...-.`_ .. . � ...:::, . .. , .. . ShoW locat(on and distances irom property line and between buildings. r ; � OWNER RTAAT.F.R_ Reharf DATE � � JOBADDRE88 64J W 17� St'• BUILDINGPERMITNO. 2� GENERALCONTRACTOR a. T. MCI.SII�SII VALUE $ Tf��'� � LOT AP# 116-026-1 BLOCK TRACT St.OTB GROUP �3 TVPE � ZONE M�1 FIRE DISTRICT �� PERMITSISSUED INSPECTIONS QATE SUBCONTRACTOR S%C�� i.lJ < .. // _ I I DATE I NUMBER � Plumbina. Rouph to Slab Pole Plumbina. Final, Fixturea PIUmDIng.Flrlallia8lest/.1�67' /'/S•SF — ��. Wfring. Final GG/ ' � .s - Occupancy `� /3• Porm 2l0 Gft 1!1 12-68