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Home My WebLink About1630 BAKER ST - Building PermitsApplicant to fill in all spaces exuepl those within heavy border lines and sign all appropriate declarations. -CITY OF COSTA MESA - - - CONSTRUCT dON PERMIT 6. Project Address Applicant's Mailin�fAddress • Tra9 ve. G.G. Owner's Name-. •'r. Young Phone 546-7009 Address 1630 Baker St. ' Arch/Eng. License No. Address. A -aures Plumbing-Heato - contractor's Namr one Address (mailing) t 10422 Trask Ave. Gar en Grove City License No. 6664, ' LICENSED CONTRACTOR DECLARATION I Hereby affirm that i am Iicensetl u a revision f'Charte�commencing with section 7000) of Division f the Bu51ne55 sd ro E55 ns Code,and mi license �iss in full force and of lJcenst .C�axs— Lice o bate L ( 519natu NORKERS' COMPENSATION 13 L.AR 1 N I hereby affirm that I have a centilicaro of consent to self -Insure or a certificate of Workers' Compensation Insurance, or a certified, copy thereof (Section 3800, Lab. C.) Policy No. (3pB30761119 Company prvmnnt Certified copy is hereby furnished. 6 eertifigd tgpY KAiled with pplicantcity Dat R -VI Od"VIVffibing-Heating , EXEMPTION FROOM) WORKERS' COMPENSATION DECLARATION (Thisseclion need not be completed If the permit Is for one hundred (5100) or less): f I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to tete Workers' Compensation Laws of California.' Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with; such provisions or this permit shall be' deemed revoked. CONSTRUCTION'LENDING-AGENCY- i ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit, Is Issued (Section 3097 Civ. C.) Lender's Name Lender's Address. OWNER BUILDER DECLARATION I hereby affirm that I am.exempt from the Contractor's License Law for the followina reason (Section 7031.5 Business and Professional Code: Anv clty or 5 by;any applicant for apermlhsubjeets the applicant -to a civil y of not more than five hundred dollars.($500).' as. owner of the property or my employees with wages as their sole ,nsation. will do the work. and the structure is not Intended or offered Law and y..,, provided trial sucn Improvements are not Intended or Offered for I. however, the building or Improvement Is sold within one year of com- n, the owner, will have the burden of proving he/she did not build or Im- for the purpose of sale). I ' as owner of the property, am exclusively contracting with licensed con- rs to construct the project(Section 7044, Business and Professions Code: :ontractor's License Law does not.apply to an owner of property who bullus or improves thereon, and who contracts for such projects with a con. tractor(s) license pursuant to the Contractor's License Law). ❑ J.am exempt under Section B. & P. C. for this reason Date Drivers' `ic -se or SS 5 CM F.0865-46'rev. 7/83 _ J �;e - TYPE OF CONSTRUCTION LJ NEW LA ADD ALTERATION 0 REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK ReplyEzmia nt _ef FAU - A,P.0 S Main Built: TYPE OF PERMIT 11 GRADING ❑FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ -OTHER - E T B A Front Rear ' PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $ C K S Right Left ZONE I GRADING CU.YDS. ACRES Ping. Ref.'/(= Remarks: - Parking Req./Provided Use of Building: or neecilhl¢ I eau I Planning Notes: Sink Preventer Irrigation rinking Fountains loor Drains, loor Sinks , as Service Outlets Kitchen Sink Lavatories , P—Trap Roof Drains Reinspection .Fea- Showers Service Sink Sewer Cap Sewer Connection Solar Collectors ' Solar Piping - Solar Tank Swimming Pool w/Spa Urinal Water Closer t Water Heater _ Water Service t $25 Issue Fee` Boiler Duct- Undei Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑, Firepl/Fact. Blt. ICBO * 1 Heating System & Ducting 96100,000 BTU ❑ 100,000 BTL ~ / �� I I Reinspection Fee I $25 ite - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type II ❑ Refrigeration System E10-..1oo,000 BTU 0100,000 System Repair/Alteration Issue Fee IMEE III' EN IIT® Ems Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Zone ssory Building: Park.Fees ELECTRICAL Device Boxes Outlets , Switches Garbage Disposal Generator ❑0-5 KW ❑5.15 KW Transformer ❑ 15.50 KW I Cl 50+KW Meter ❑up to 100 amps - - Meter Clover 100 amps ) Sub Panel Motors ❑ 0.1 HP Ell % - 8 Inc. Solar ❑9.15 HP ❑16-15+ Microwave 'Pole Light Sign Standing Sections Trash Compactor O N . I N G R E Q _ U I R E M E Reinspection Fee $25 'Issue Fee $ 3 PUBLIC SERVICES REQUIREMENTS: Zoning Approved By - Date Application Approved By Date SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK $ MICROFILM $ ' MECHANICAL $ A,Do TOTALFEE $ 7 00 $ 3 PLAN CHECK $ _ CONSTRUCTION AND PLANNING' APPROVALS Permit # (Ylga • Date. - Inspector P�„L &SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 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. Steel' Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE 7.'Foot i ngs .. 58. Electrical Conduit-Undrgrnd. - 1 8. Foundation • `, ; 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 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 Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - - - 66. Solar System -Final t 46..Rough Electric Wiring, - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling ', 69. POOL/SPASYSTEMS FINAL 19. Rough Heating & Air Conditioning i FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace �= - 21. Ducts, in Structure - t_. 70. Underground Hydro 22. Ducts, Ventilating •' I 71. Product Piping EI Gas El Oil ,23. Gas Pipe -Rough & Test j 72. Underground Flush ' 24. Roof: Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing 74. Overhead Hydro - 26. T -Bar Ceiling (Structural) kTonocoat 75. Dry Chemical ' 27. Frame and Flashing. 76. Dry Standpipe 28. Lathing & 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 Notes: 3 34. Final Heating & Air Conditioning 2 gdkl 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 Domestic -Final , 42. Backflow Preventer ' 43. Backflow Irrigation ' 44..Landscape,irrigation System 45. Sound Attenuation 46. Handicap Regulations , 47. FINAL STRUCTURE BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison --- - ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date AODRFSS OF BUILDNO: 1630 BAKER ST UAN` CITY OF COSTA MESA — BUILDING PERMIT OWNERS ME IF 04": MC GUIRE, DANIEL T PERM NO: B 08472E ADDRESS MC GUIRE ABIGAIL M 1631 COSTA MESA, CA 92626 "PPL ""jjNGAO°BESs: .^ CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTH a ARCHITECT OR ENGINEER: LIc NO, JOB DESCRIPTION ; T/O ROOF RESHEATH INSTALL COMP SHINGLES SQ FT: 4,000 ARCH OR ENG.'S ADDRESS: UNIT: CONTRACTORS NA ME CONERACTORs MMWW ADDRESS: UC NO.: IR: LICENSED CONTRACTORS DECLARATION: I hereby affirm oMer pamAy of p iuq Net I ra licaued udr oovmore of Cheoar 9 (ammapinp with Section 7000) d Deeen 3 of the Bueirom end Prdessime Code. and my llo me is in U larce end aMrA. LRY LIC. NO.: uC. CLASS: uC. NO, EXP: ' Date: Conketloc. OWNER BUILDER DECLARATION: I hereby M. ,mole, preAy of perjtry that I am e>ampt I. the Contractors Limine law for the Iollowirp reason (Sed. 7031.5 Sul. rd Not. Cade: Arty by or ooeay which natural a pane to owstruq. Na. knppve. demolish. .,.p& any wbp ha., prior b a, esmre. aho requires 1M applicant In rrlr Formal to Be a signed stetanwe that M n she I. Aoasad punur9 to IM proris. of the C meops Lk ema Law (CMptr 9 (oommaoMp Mth Srpion 7000) of DMelad 3 of the Romain and Ndms. Coda] or IW he or sire la ewemq threhpn ed IM bale lar the.0epd exemption. Any vnWiort of Sedi n MIS by any applicant for a pmol mb]eoe IM applimm to a dyg Perely of not more then two lardmd do0me (i500p. ❑ I.mofm l (SO mor myempbywsrdhwagmmtheksdhe mp km,willNthewrk.rdpptylo iy lamddrdd noflemd la Sala (Section 701d, 8usimp ed ProtmCiae Coda: TM CoMedns limine LewNm rat eppylom owner d ProOay who Mads a kdpoVm Iheem, ed who dom suN work Fallsell a MrmE a NrouN M a hr own pnpkaem, pWidd the suN V ownerLdtde, will heva IM human of pave,; he or eM did int build or Impose b the prmma of We). ❑ I. m owm, d the prop". am mrhmyay aONrmnp wN 6cerusd can9actns M EOIMIItIM Na projr! (sant. 70m. Ba. rd m Nofeoree Codm s: Te Carmelo"' li e, law dmil onappy to anpropertyOer property who boldw s or kno« thee_. elect eho caabecte for a pojerss with a arvmmr(s) leanmd pnsund tb the Coraenare Lk.. law). ❑ I em exempt udr Section. B. A P.C., For the reeson� owner: hee enxd tlrrandy that em ewero d W edrsed Ne nauoanrom cl C con" erH Slaty Code iescsken 25505. 83539. ed 755.91. at I a mMuratmNv y Mbp 000mant will / wD oar (circleommad to o M canplY with mid atats codes ad IM raRrummam (p apermefnoammMx101ra modnretbnbantMAk e�y erapmwa DinM.RsedsaW omvruukn appiretareememq homthw Dat.: Apphoud; WORKER'S COMPENSATION DECLARATION: I hereby effort pdr penalty of paReY one of the loOOwkM detleratioro: ❑ Ihave rdheparl n of thratlo. wN toadimtm b,warkan'campasation,m pOddd In by Samoa 37004 the labor Code, to the pdmrrrv:a d the work Ip wMN IN. pemd o ivud. ❑ I have end wg nail«. wois twee aompreation'vsmap m ntprirred by Sagim 3 nd d Ne labor CON.Ior Ns padnnerrca d Or work /r wlddr the pemd u ealred. AfY worime' Cpmgouatipn kmrrerca wrier end pokey roartb.r rs: coal.,. pd'ry Numbr (This saclicn mod nor be oomp/rd l the perm] alar ane hundred da Rem [$1001 n bin.) x❑ I cerlyy Isu je the Pedo,mmae' Ihe work For which IMC pane aim a I at t ad pnploy .rry Amon si arty mere, Aa m to became subject a the a Section camemati a law d C. I shall end epee tltat e I NwM bacams aubjatl l0 1M warren' oompanadion ooveiom d Sedion 3700 d the labor CON. l Neo Inthweh Oenpy wN 9rom provisions. Data: Appfirare: Wourtm, Fauna her mese wrtr.' cerrpreaflon covas9e is rmlarM. rhe shsil stl)W en rrploysr to crlm4el prreMm and pMl Oma op re om heWrd thoosrd sidle (SI0R0001 N addl0en M the cast of carrywebn, drreps as provided M In Sscdon 3]05 of pe Lebo, Cab, IgresL mrd AN rMotf e f ala CONSTNNONON LENDING AGENCY: I hereby ahem under pmeby of pr*, time more b e oowruMion landing apency for the parlomance of the war b whits the Perna is eaud (Semon 3097. civ. C). LENDER'S NAME LENDER'S ADDRESS: I caddy that I haw rad Nb appfrnlibn ad tlae that Ns ebom bdomW ion is epee, l gpee to campy weh ape cry N pppXy pdne,aes rd seta laws reiaim M bugdkM mrmndion ad hereby amhorca npmamekvm ofthis city to arer upon the ebve memkmd property In imptlion pnpaa,. DANIEL MCGUIRE (5151.ea.WP) Whig-Buildkp A Safety: Geer le;CmW-AppEuml; Nnk- aeon: Oddempd-lain.«, CLAIM VALUE: 4,000,00 CALL—VALUE; 4,000.00 GROUP OCC: R-3 /U-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED ii YE ii iF iE ii iE ii ii et xiE iexxtxrx iF ii ii ii ii iix�ix fEie ie if is iE iF�iE ie je ie ie yi iter iF it iE iEtxit iF riii if it ie>rx iE ie ie<iFriic iix iE x><iE iexrixic iF ie iix ie 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 FRNT: FT IN REAR: LEFT: FT IN RGHT: PARKING REQ:.-PROV: PLANNING NOTE> ----------------- ACCESSORY BUILDING --------- FT IN FRNT: FT IN REAR: FT IN FT IN LEFT: FT IN RGHT: FT IN PARCEL: 13919234 ZNE: REF NO: D E V 5,L O P M E N T S E R V I C E S ZONING APPROVED�BY BUILDING APPROVED BY : APPLICATION ISgUED BY: ie ii ie iE ie iEhik iE iF ii iExii ii ii it ie <3F'rr sit ii*nit irrif x R E Q U I R E M E N(T S DATE: LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 87.25 PLAN ISSUE FEE DATE: �T DATE: �l, 7 x is xicxxxle ix ii iE ii iFx xxxxxxxif ii STRUCTURAL�SEGMENT:Y FIRE SMIP/RES GRADING .50 SMIP/NON-RES BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 87.75 0.00 0.00 87.75 87,75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 87.75 OVERiSHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 87,25 .50 iixwiE ii iF ik iE iexxxii xieri iE if iiitxxie ii iF ii iE iF ii iF iF iE ie iE iE krixxrtri;c iE it if if n>f rtRie iE ie ifririix ix iE is it iFxriii it ie r, iE iE ix �tixix is iE xii sari I N D I V I D U A L F E E B R E A'K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,000.00 END OF FEES 09-16-1997/03:30 Pn/887.75 WT0:01-D-512351 PERMIT:084728 CONSTRUCTION AND PLANMv niG APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole .. 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrital Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd, 5. Stet Reinforcement 55, Electrical Bonding 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, ?-Trap, 0 Undrgrnd. 10. Structural Floor System r 61. APPROVAL TO DECK - 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 Plumbing - 65. Electrical -Final _ 15. Rough 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 Conditioning - FIRE DEPT. REQUIREMENT APPROVALS Permit 4#- 20. Rough Factory Fireplace 21. Ducts, in Structure 21, 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing ( / !1� `*,�e, 74, Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & 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 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace •� 38. Final Plumbing J 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer -43. Backflow Irrigation - 44. Landscape Irrigation System 4d. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co _51. CERTIFICATE OF OCCUPANCY No. Date OWNER HELEN YOUNG DATE 7-26-79 JOB ADDRESS 1630 BAKER ST. BUILDING PERMIT NO. - 48498 No. "ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HBATING AND AIR CONDIT! TEMPORARY SERVICE OR POLE POWER BOND BEAM I _I ST SHEATHING FRAME AND FLASHING LATHING — IN (� PLASTER. BROWN COA HEATING, VENT., REFRIG. AND A.C. PLUMBING. FINAL AND GAS TEST [ ELECTRIC, FINAL Ruu nlur. FINSI E SUBCONTRACTOR GENERAL CONTRACTOR Owner/Bldr. VALUE S MOM Unaergrouna Doll V.U. waLei SUBCONTRACTOR Underground Gas --- PERMITS ISSUED DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing _ Miscellaneous Prop. Swr. Line House Con. St. Swr, Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough g TrencheWsirinForms Steel 11-3 D 15 Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, al Building, Final J / OCCUPANCY Form 110-5M—I1-59 5-B P - 1101 QOWA;.Z-Q,• 1-(".1 DATF. JOB ADDRESS 1D}U BaKer cTo BUILDING PERMIT NO. %SUS GENERAL CONTRACTOR Dike And Gdbgrovej LnC. VALUE $ 14,.3b7.00 AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK es.w att-:Gar. INSPECTIONS �q �� DATE I GROUP TYPE ZONE Underground Soil/yµ5 U.G. Water/M}-5• SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE _ NUMBER Overhead Water and Gas s(P:./ •�,-� Rough Heating Rough Plumbing Miscellaneous Prop. Swr.4:ine- HouSQ Con. F Swr, Sprinkling System I 2if-i5�ii�77a//�/�,c�inl 7 /y' /n-Y� , /9'/_3 - Heating, Finaly,��_ Plumbing Fixtures p- 5-7 ' Final Gas Test LS- - MfS ffdl-,5-v Construction Pole Underground Power _ Rough Wiring„ 7 lf.•G6 d-� 7-/-.7 y SS.ti / Trenches( orms ✓ Stee 0/ Floor System Steel Reinforce Chimney rRR Bond Beam Sheathing Frame and Flashing �'✓' 7- l y 5 Lathing, In ✓ Out Plaster, brown coat -ti - Plumbing Fixtures, Final Electric Fixtures Final Building, Final OCCUPANCY Form 210-3M-4.59 r COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA fOR APPL/CANT M HLL /N COMPLETELY TYPE OR PRINT ADDREISS 1630 Baker COSTA MESA, CALIFORNIA JbrO; 195. OPT_( . APPLICATION FOR PERMIT BUILDING foR ONCE USE ONLY RECEIPT NO.E MIT NO OWNER fi L MAILc� REC ED BY DATE RECEIVED DATES ISSUED ADDRESS 419 E 1 St TNO.IS81159 BUILDING CITY ADDRESS ARCHITECT Carlson & LIG' COSTA MESA, CALIFORNIA OR ENGINEER NO. Middlebrook FIRE Y ADDRESSSqGarden Grove ZONE TyDeV GrOUD j SATECOIQi CO]egrove, Ino. 167293 ED itCTOh LCT NO. BYPROV DATE ADDRESS 419 E ZONING LEGAL I LOT I 2822 20NE USE OF NEW DESCRIPTION NO. BLOCK TRACT I PLANS PLAN9 BUILDING I APPROVED " A.P. NO. BY DATE 2 SIZENO. OF SLOGS.YARD EVES OF LOT 60 0 NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE 8T.) J� EXISTING BLDG. FRONT U FT. IN. SETBACK LINE FROM CENTER OF STREET t REAR YARD 251 R. SIDE FT. IN. SIDE YARD (LEFT 1' (RIGHT 1 L. SIDE FT. IN. DESCRIPTION OF WORK REAR FT. IN. NEW IX ALTERATION I ADDITION REPAIR I MOVING DEMOLISH BUILDING NO. OF 6 SIZE 1430ROOMS STORIES 1 EXTERIOR WALL (ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORME attached/garage. ou e Plan 1 CD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ APPLICATION THE AMOUNT BROWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT ANDD AGREE COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ATING PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILOI NO CONSTRUCTION. VALUATION SIGNATURE OFPERMIT FEE $ 34.00 PERMITTEE PLAN CHECK 17.00 S17 -00 $ AUTHORIZED AGENT Dike & ole rove Inc. TOTAL FEE M COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA - FEE RECEIVED I FINA E OtYI. "iWRMIT FOR APPLICANT TO RU /N COMPLETELY APpoll $f{ G1'Y TYPE OR PRINT BJUILDING BUILDING ADDRESS FOR Off/CE USE ONLY COSTA MESA. CALIFORNIA A I RECEIPT NO, PERMIT NO, OWNER 0 .1/ - Jr ll� MAILaO l C2 RECEIyEp..EY I DATE RECEIVED I D T ISBN EE ADDRESS i /••( C TEL J CITY NO. �l BUILDING ADDRESS ARCHITECT LIC. OR ENGINEER NO. COSTA MESA, CALIFORNIA ADDRESS FIRE ZONE ZONE TYPE GROUP G A APPROVEDBY CONTRACTOR LIC.STTE NO. DATE ADDRESS ZONING LEGAL LOT 2g4 ZONE I NO. OF (�P/LANyS/�%/ USE OF NEW I DESCRIPTION NO. BLOCK TkA_CT BUILOINO A.P. NO. BYPROVED DATE SIZE u /d -0 of BLDG.. YARDS OF LOT Vd rv.W oN LOT REQUIRED ALLOWED U$E OF Y (CENTER LINE ST.) EXISTING BLDG.FRONT FT. IN. SETBACK LINE FROM owl_ SQ 'f' O CENTER of STREET REAR YARD R. SIDE FT. IN. J SIDE YARD I LEFT Q � RIGHT L. SIDE FT. DIN. DESCRIPTION OF WORK REAR FT. IN. NEW ALTERATION I I ADDITION REPAIR MOVING DEMOLISH BUILDING NO.OF SIZE ROOMS STORIES EXTERIOR WALL (ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED fln Lein/ " 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC ON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT BROWN UNDER VALUATION 18 FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CON STRUCTIQN VALUATION SIGNATURE OF ��i��jj�//��--'y]y] U �j " ' PERMITTEE (( �I AQn / Oij q PERMIT FEE 5 p. PLAN CHECK $ �� TOTAL FEE S 9 AUTHORIZED AGENT I COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 I APPLICATIOI § R0&WA9L PERMIT 7.50 TL .o. RECEIVED EMIT 1�T0 48498 1�1 For Applicant to Fill in Completely — Use Ink Only BUILDING A.P. NO. �3 ADDRESS OWNER OR TENANT(�G�% ]/�) // y� ADDRESS MAILING UNIT OR SPACE NO. ADDRESS TEL. lj TR.N LOT BLK. J CITY NO. / N EW I ADD ALTER REPAIR IMOVING DEMOLISH CONSTRUCTION LENDER BRANCH OWNER_/�x) ADDRESS VALUE ARCHITECT TEL. USE $ Lj OR NGINEER ADDRESS ZON ITYRE GROUP CONTRACTOR �D APP V BY ATE ADDRESS TEL. CITY NO. STATE CITY APPR DTBA Sr 1 LIC. NO. LIC. NO. SIZE NO. OF BLDGS. (F OM C71_ STREET) 40 OF LOT X �� NOW ON LOT ` ONT FT. ej USE OF EXISTING BLDG. 9R. SIDE F Separate permits are required for L. SIDE FT. /'/,7 electric, plumbing and heating work. e, REAR FT. USE OF/ BUILDING ANDWORK TO BE PERFORMED PLANNING ACTION 11,161A4 (EP/{ DATE APPROVED APPROV I he/eby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the -provisions of the State of California Business and Professions Cc D'aSlon 3, Ch Ser 9. VALUATION PERMIT FEE $ Signature of / ,UO PLAN CHECK $ Permin... $ TAX $ di Cly LJ Authorized Agent Date TOTAL PAID $ O i 1