HomeMy WebLinkAbout552 BERNARD ST - Building Permits�noncssaeu�wa: SS2 BERNARD ST
OWNER8IUYEIFqqMN:SAMpSON JAMES
moness:CHRISTO�HER
UNT:
YHENDRICKSON, ALHERT
� 5071 CHESHIRE MISSION VIEJO,CA
�vr�.�uiaa .uonFss:
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AXCXRECTONFNOPlEFA:
JIq1.OR FNO.'S 100PE55:
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UNT:
CITY OF COSTA MESA — BUILDING PERMIT'
PERMIT NO: B 081377 PLAN CHECK NO: N
92692
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF SHEATH 6 REROOF W/COMP SHINGLES
c�m�ttarsrw�GOLDENWEST ROOFING ( 714 ) 827-5371
ca+m�crom�uiwa 6626 SEQUOIA DR
��%BUENA PARK CA ��= 432088
90620 ur+r:
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� ���°���MARSHALL DAVIS
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sb�.. a o.,.nro.u�maa
PERM NO: B 081377
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 2,890
CLAIM VALUE: 2,890.00 CALC—VALUE: 2,890.00 GROUP OCC: R-3 /
COMMENTS: REROOF 1500SF RESIDENCE W/COMP, SMOKE DETECTORS REQ PER 94UBC
��*�������*,�***�**�***��*�***�������*����*�***�*************SIVIOKE�����i t��T'OR
Z O N I N G R E(] U I R E M E N T S
S E T B A C K S oC
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILffPN{6��+11��
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT I14 RGHT: FT IN
PAR1(ZNG RE�• PROV: PARCEL: 42210215 ZNE: REF NO:
PLANNING N TES>.. �
i
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D E V E�I; O P M E N T S E R V I C E S R E Q U I R E M E N,T S
ZONING APPROVED•'BY DATE: ��"
BUILDING APPROVED BY : DATE:
APPLICATION ISS�ED BY: ��� DATE: �•2'l �
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LEGALIZATION:N F E E S U M M A R Y STRUCTURALrSEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74,75 . 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 0.00 75.25 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: .00
i BLD74PM5 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
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I N D I V I D U A L F E E H R E A K D O W N
QTY D E S C R I P T I O N
2890 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
(5151J8.WP) Whue-BWEYq 8 Se1MY: G�am-�Fb: Ge^vY-�GV��: Rnk-Rwame: CiaMenmd-Aaasa.or —_—_. _�
� ---�^"'���•��
UNIT COST TOTAL COST
1.00 2,890,00
� �� �
�� :lAN 2 91997.
� 0� COS�A ME�
. ,
CONSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit # - Oate lospector pppROVALS . Permit # � Date I�spector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -
� 2. Soil Pipe•Undrgrnd. ' 53. Steel Reinforcement �
-�3.�ElectricaiConduitUtility-Undrgrnd. 54. Forms
� - �-.
` 4. Electrica� Conduit-Undrgrnd. 55. Electrical Bonding
. 5: Steel Reinforcement' 56. Rough Plumhing & Pressure Test
-: ,
6; Electrical UFER Grbd. 57. APPROVAL TO COVER�GUNITE
� �7. Footings - ' S8. Electrical Conduit-Undrgrnd. ,
��8. Foundation � - . 59. Gas Pipe, O Undrgrnd., Test
9. VJater Pipe-Undrgrnd. _� 60. Backwash Lines, P-Trap, O Undrgmd.� �
70. Structural Floor System 61. APPROVAL TO DECK
ii. Property Sewer Line�& Hous'e'Connection 62. Backwash & ReceptorFinal
12. Sewer Cap � - " 63. Heater & Vent�Final
13. Roof Drains 64, Plumbing System - Final
74. fiough Piumbing� ' 65. Electrical-Final �
15. Rough ElecVicabConduit ;. 66. So�ar System-Final -
16. Rough Electric!Niring ' 67. Fencing & Access Approvai
17. Rough �Viring Sign ' c 68. APPROVED FOR PLASTERING �
18. Rough Electrica4-T Bar Ce�ling . 69. POOUSPA SYSTEMS FINAL .
19. Rough Heating & Air Conditioning . FIRE.DEPT.REQUIREMENT -
20. -Rough Factocy Fireplace - - � - - " �- qPPROVALS= = Pgrmit # � - -
27. Ducts, i� Stru`cturf;: � " ' _ ,�. . _ � _ 70..�Underground Hydro �
22. Ducts, Ventilating ,. � i-, -.. ; 71, product�.Piping CJGas EJOiI
23. Gas�Pipe-Rough & Test - a' • � _ : 72, Underground FI�Jsh �, . - -
24. Roof Framing . � ' : 73. Undergrnd. StorageTank O Gas ❑ Oil
25. Roof Sheathing _� � ,O/%/�� 7q�,�Overhead Hydro._ °
^1-3o-9Z u�-
26. T-Bai Ceiling (Structurall & Monocoat 75. Dry Chemical � �
2�. Frameand Flashing� ' . ' "' 76. Dr Stand ipe �T ' . , _
Y P ,� _
-28. Lathing�Si�ng,_' ' ,� `'- � �� 77�, FIXED�SYSTEMFINAL- .
29. Insulation � • ' � 78,. FIRE PREV. FINAL .' -
30. Drywali'Nailirig _ - � ; ' �. - - HEALT,,H DEP.T. REQUIREMENT
: 37. Plaster Browri Coat - :' �� � r 7g. FINAL 4NSPECTION _
32. Electrical Power Meter-Final '- � 80. FOOD CERTIFiCATE ISS.UED
. 33. Fina� Electric �� � . r � Notes: .r � � ' - - :
. 34. Final_Heating & Air Conditioning . ` _ •� •_ " _
35. Final Gas Pive�Test - •• � �- � - �
Y �
36. Hood or Canopy ' - _ � ` � : . " _
r . o- . _
- 37. FinabFaciory Fireplace .: - � - � � -
" 38. Final Plumbing � _ " _ ' , - - ,-
39. Water Service-Pinal - � � - �
40. GasServ�ce-Final- - � �': � _ . � � _ `
' 41. Solar pomesticFinal -. � � - � - , - -, -
42. Backflow Preyenter ` ` ,- ,� ' _ � � .
43. Backflow trrigation .-� - .
"44. Landscape Iriigatioh System' . . ' ' �� � � , T : �
45. Sound Attenuation. � � � � � . � _ -- �. .
46. Handicap Regulations - - _ ' � - . � � _
47.-PINAL STRUCTURE & BUILDING Z-3-�? �/Li-- ' - '" �
48. �FINAL PLANNING - ` ° i,
49. Elecfric Reiease to Edison � - . "
50. Gas Release to $outhem California,Gas Cn " -
51. CERTIFICATE OF OCCUPANCY -
No. Date
�
enwccr aooxess:
OWNEP'S NAME:
nooxess:
RflCM1ENGINEEP:
' �oosess:
2 �RN1�D ST uxiT:
SON JAMES
STO�HER
3 LA QUINTA CIR
TAIN DALLEY,CA 92708
flEG.NO.:
UNIT:
r PAOOflESS:THE ELECTRICAL CONNECTION (714)854-4647
34 MORNING VIEW
IRVINE CA 92715
LICENSEO CONTqpCTON OECLABpTION: I hereCy allirm ihal I am li nse0 untler prmisions ol C�aD�er 9(commencing wilh Seclion
7000) ol Oivision 3 0l t�e Business ane Pmiessions Code, ana my li is lull orce an0 effec�.
cirru�.c�.:/_ srareuc.�58628
Date: vv — 01 � ��3 SignaNre:
WOPKEPS'COMPENSpT10NUEtlAMTION: Iherebyatlirmitutlty�eac olcomemmseli-insureoracertifiwteofWorkers'
Compensation Insurance. or a cenilied copy inereal (Section 38p1. La
POLICY NO.: E%P. DRT .
COMPANY:
� Certilied rnpy k nereby furnishe0. ❑ CerlilieE copy a lilep wi�n IIM Gty BuAOing Divaion.
Daie: Appliwnt:
EXF7APfI0N FNOM WOPKEFIS' COMPENSATION DECIAflATION: (itu55eCL i�n 0 nol canuq a ii ure �enm a ta me nunarea �stool a iessl.
1[etlity tM1al in I�e petlormance ot the work �or wltit� �ttis p¢rmii i5 i a s11au empi ny person in any manner so as to become
SuUI�� �o I�e Wark¢r5' Compen5alion LawS at CaAtomu.
Da�e: �� — � — (�I�J Signamrt:
NOTICE:Ii. alter making i�is aedaration, yau slauld De me SUEjec he o ers' Compensation prwisions of t�e Lahor
Cotl¢. you mu5� �arl�wil� tomply wilh Suc� pmvision5 ar Ihis per 5� e metl fevoketl.
CONSTPUCTION LENUING RGENLY: I AereOy aHum ihat t�ere is a constmction IenEinq aBency for �he petlormance of ihe woM for
whic� i�is permi� is issued �Section 3W7. Civ. C�.
LENOEfl:
FD�NESS:
OWNFB BUILDEP OECIANRT10N: I �ertGy affirm ihat I am eKemp� Irom �he Canuaclors' S�ate Lkense Law far the lollovnnp reason
(Seclion 70J7.5 9usine55 ana Pmlessional CoGe: Any cily o� county w�ich reQuires a Dermit lo construc�, alter, improve, aemolistl, or
repait any slmcWre. O�b� lo ils iRuance. alto repuires t�e aOVliWni tor suc� permit ta lile a Si9n¢E statement tllat he/stle i5 IicenseC
pursuam Io tne omvisiws ol me Comranors' State License Law (Chapier 9(commencinA ��� Sectian 7000) ol Oivision 3 0l t�e Busineu
ana Pioies4on5 Coael ar Itut �Us�e is e*empt t�erefwm an0 t�e hasis for t�e allepe0 e.emptiw. My violaiion ol Section 7031.5 by
any applitanl �or a ce��� su0jecis ine appli[dnt to a[ivil penalry ol not more than live nuner¢G aollars (u�1.
I. as owner ot tne oropeny w my empioyees wiN rrape5 ss Neir sole mmpen5ation, vritl do the wark, an0 Ihe
❑ 5lrutmre is na� intenOed or olle�eE lor sale �Section 70a4, B�iness anE Proleuional CoUe: T�e Contrapors' S�ate License Law
Ooes not aDoN to an awner of a Oropeny wM Mdtls or imw� l�ereon, anG wln Ooes suc� woM himsell/�¢rseli or t�mu0h
�is or �er own em0�oyees, provi0e0 t�at suc� imprOvemenls are not intenGCE or aflereU lar Shce. II, however I�a �uilEinA or
impmvement R solG vnt�in one ywr ol wmpletion. t�e o-xner vrill luve i�e OurUen ot 0«+�0 ���e db not bui10 or imprme
lo� Ine purpase of Shce�.
I, as owner ol t�e pmperty, am eKcluvveN comractin0 wiih pcenSeC camracmrs �o constmci Ihe pmjeci (Seciion 7041, Business
I❑ anG Pmlesvau CaOe: The Loniractors' State Lke�e law Q� �qt a00N �a an wmer al pmpeny wla Umlas ar imOrmu tAereon
anE who conVacls lor suc� O�olecls wit� a conira[lar�s) liCense pursuanl ta Ihe Canlractors' S�a�e License Law). I am aware
Nat prool ol tlleir Woder's Camcenution uisurance s�aultl Ce D��+OeE to me.
� 1 am esempl unaer Settlon: B. 8 P. C.
for Inis reason:
�ale: OwneC
I tlo nereUy certily t�at I am aware of an0 unCerstantl I�e repuiremenls af Californid Healih anJ Salety CACe $¢ctions 2550.5. 25593, antl
2559a and inat I or any iWure Duilaing occupanl willhxill nol (circle one) neeG lo com0ly wilh sai0 state coAes and t�e repuiremenls lor a
permitl0t ConSlmQion 0� mOEili[ali0n ttOm IOe Art Ouaiity Manaqetnenl DiS�nGl, flCSiCenlidlfAnSiru[tion apP����ions afe eeemp���am
I�ese provisions.
Oate: MOhwm:
I �¢reDy [¢iliiy I�al I �ave ieaE I�is appliWiion an0 51aie �hal lhe abpv¢ inPormd(iM i rreC gr¢e [omply with all Gly antl COunly
oi0inancesaMsiatelawsr¢IaungloOuflCingconsvuc�ionananereGydultprhereWes �i es �h ary rerupont�ea6ove�mentione0
prapepy latinspltlion putpOSpes.p �
Daie: �� 0� — C 1 13 Signamre:
Dd�ers Gcense oi Sociai Secunty .: /
t6aP<6 WM1ne—Butlaing; Green—CoOe EnlorcemenC Canary�ApplicanC Pmk—Revenue; GolOenroO—Assessor
. � HUILDING PERHIT
PERMIT NO; E 062418 __..��CnECK NO; N
PERM NO: E 062418
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE: OTH
JOB DESCRIPTION : REPLACE METER PANEL SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS; NO OTNER WORK AUTHORIZED BY THIS PERMIT
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2 O N I N GS ERTEH�AUCIxRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
pARKING RE(� • PROV: PARCEL; 42210215 ZNE; REF NO;
'PLANNING NOTES>
� •— x
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D E V E L O P N E N T S'E R V I C E 5 R E Q U I R E M E N T S
'' -
ZONING APPAOVED BY `*i� DATE:
BUILDING APPROVED BY ; � _ � DATE;
jAPPLICATION ISSUED BY• ��` DATE•
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LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
PEANIT BLDG PMT PLUMHING ELE18R50 MECHANIC FIRE SMIP/RES GRADING
�Ot SMIP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT -ISSUE PLAN—CHECK TOTAL FAID DUE
TOTALS----> 18.50 15.00 0.00 33.50 33,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33,50
ikiFiFitMifififkifikifiEkiflFltiFMklt4ikikMkiliFifififkiflEiflfitiFifiFlklfiFiflEif�FIFMIE�lk�fikifMiflfkkMiFkififiElFltMlFkiflfiflfkififiE
I N D I V I D U A L F E E H R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE i SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18.50
END OF FEES
o� aoi�ozio—ooisozio rC� r 33,50
OATE= Ob/Q2/q3 TIHE: 16�16
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CONSTRl�CT10M ARD PLANN(NG rJOL & SPA �
APPROVALS Permit-r Date Inspector AppROVALS Permit# Date Inspeccor
1, Temporary Elecnical Service or Pole 52. Pool & Equipment LocaLon
2;-SWG,Pipe•Undr�u�d., 53. Steel Reinforcement '
� - -
_�$te�ical Cnndurt lli�lity�Undrgrnd. � 54. Forms � �
����,`e�er,ttical CondWtlSj3drqrnd. 55. Elec[rical Bonding �
�7'7�"---'T-S.
�i 5r 5t�£:,�Re�nforce�l�t 56. Rough Piumbing & Prassu�e Test
�•�'-i----- '
''(3.-:�t¢E�ric,�JL'FEFi�'ynd. „ 57. APPROVALTOCOVEN�GUNITE
E?'_� �
C,�; F�pr'n�s ��i� 58. Electricai Conduit�Undr�rnd.
:L 8. FIQi.�5laUon _� � 59. Gas Pipn, O Undrgrnd., Test
9. l',�!e� ?�pe Und''cd��d. __ � 60, Backwash Lines, P�Trap,'�1 Und�9•rd
10. Structural FIoa�System :.• _ .� 61. APPROVAL TO DECK � _�
-r: -
11. ProNy�ty Se.ier Lir�& Hcv�^.Connection :5 62. Back�rash tL ReceptorFin�l
---i
� 12. Senn�r Cap _, N - 63. Heater & VenPPinal ';
lr� 3. Root Dra•ns � 64. Plumbing System - F�nal '_
74. Aaugn P;umbinq 65. Electrical•Final
75 Rough Electri�=Contlurt 66. Soiar System�Final
16, fiouc�h Electri �c-�^liring 67. Fencing & Access Appru�al
17. Rough W�nng SLyn 68. APPROVED FOR PLASTERING
18. flough Electricel.T Bar Ceihng 69. POOL/SPA SYSTECiS FINAL �
19. Rou h Hgatin & ir Condi[ionin
C l� �'•9 x t r:.�% 7C v. 4�� :- F��,�.€PT. F�EQUIREMEiV)_ z, �
T ,t , i r, -' .. ,,, �+ < r , " ' . 1! ^ � _ v _ i i �
20.';�Ro:�,ih F�cto�/ F�r.i.ace i S:r eC3 a y - c�..':�PPR%.(WF�6�:: •�erigrt;r
21.!'f)uVtS,irvSVSct�s' •..•. �i��- x S:• .l�xl,�0. lTndergrSLr!c�jHy�'o � I
-. J t^ �
1.2.�u•'F^. �.�t�'-`m �c,.� x s �� � c a
e' r is' (�;�. � �„ :� 4 q - r x�71. Produc.^�,�aing .. GJs COiI
r-c'a-�-� �e- � --�"' > -'
23.�3c�-?�p'+-Ao h&'F�st i_� 'T1� �'t CT � JK���2. UndergroSndFlu3��•
t_J -1 b
�C ' L: -? � [ :_ _ � ' -i �i > � �
24. Rol� Fnrning �, '�:,i � � .; r R.� s)3 :Undergrnd. Storay�-Tank �] Gas L: 0�' �
-:'--L�-E.�'�^-3_-c_ . 4 .
25. RootSHSithinq �� �: �� n _ •_ � :U* � �7qg��erhead Hydro� t __ {I
26.`T�B�; Ce;fing IStr,�irxurail &�l�rtacoat t�. Y�`" 'v-'�� < 75.`y-Dry Cherq;Fcal `� ` i; I
,
.?7.•�r, me z� FleshLt4!' ^ � F ;, v, -�Y �r.. r �-�� �
� �ry .� y�r 76. Dry Stand�'�iie J�
L;,thma Sidm "� `" � Z''' � '' E ' "'� ` ` _
-�' 3.;� ti,�� r,� t .c •c 77.;FIXED Sl��"E6(; �NAI�.; . .q
ntulati6h �+?' � S .. *'_ I « 78r�_-FIRE PREV. Flhl+`� `• � � �
a -, ,. �
�yv.all�lailing =� � , R._ 4 K y �LTF�DEPT_.RE�CIR�':IER�T
--�-_---�u---2. I ----- -1
i�stc� :�iwrtACJl:> � � rn' =t ' *99. �FINAL If�tSl'_ECTI(TfV . - 3
... _� _. . . � - ' /� _ � ,r�--,.:i�_'.0 `__ � ' T - _ - _ -y
:Icctr�cifP�����Yc�Fina�� � (J]� �i ;'t'$O.�OODCERTIFI�AT`CIS�`liC-D. �` '�
�ir�i Ele(.tri� ;: n � �S "; �� `/ lV� �< < NOSB�� -��� .'' + _ r_ •r �
.+_ �,-' . � � . . . ' '
,�in� H�"ting;� kfr Cto�iU�t�oh�� � ' x . -� �.� �� - • .� 1
�� . � � .. .� ,fU .T7 r > 's � . _ c .:. � �T . .r �
f35.�final Gas PiFii�Teg.: �.` .: * , - : x � ` •�o � --K� Z?
: J i# � � :" : < x (^ r T (�p �_ {r, r
_ 36 `}iood or Canopy . f
. T Tc :'� - '.�7 �- c a � r x0 :< . ";r -J
� Y � \ ^l \
-±37.:�inaCFactory Fireplace;� � -� - -+ � x �
•�8. Fina� Plumbing �-r R' � �" ; '" S -' � - ---
�- 3� n .� f I Y.A . r ,.
�39. tYaTei $eNiCe-Fi al,� s � , r x � a u� i •y .. •
:�
ca10. Gas Service�Finai " ^' �' � tr i � ?? r « C4. - -
,: r < s
�+it. Salarpomesiic-Finals r ' � t '��
r 42. Backflow Preventer� �I � � ' ' � - �
� n . �i r r ;(^ x ' -.
43. Backflow Irr�ation„ j.S� ,'; � � t, �'--�• i `: �
.2� _ ' = ..t- �
.*ti4. LandsW 'e IiiiqatioK Systemai^-�= ^ t �'" � '� � x `� x '% L ^ - . _
� f x' �t x V_ �; �
'*!5.`"wound �tte�atiori -��:`l ' :' r i� - - 4 , : r`'. ' �
- �-,�
i: �r .. .i. � S � : O �
�16.�•Nandica�Regulatiaras � _
w -
�47.�It��L STRUCTUR�E & BUILDING `, t t_ � '� f • ' . ;
48 CEINAL PLANNING -.- Y: �. ! < � '� � . --J _
: � :- .: r -
t K : 3� '
�49 `;�lecitic Reledse to .�dison � ', ; _ j . , S . -
_ _ , T� .
-50:1'ias,taelease to SouMem Califorma Gas Co ' i = � . " • " T - •
- x x -
tbl. CE0.TIFICATEOFaCCUPpNCY Y • ', << -T "
No. Oate
_ �.
owNER
�OB ADDRESS 552 Bernard BUI�DING PERMIT NO. Z133
`GENERALCONTRACTOR Hickorv Homes VALUE $ 6�50�.��
�or AP 115-3a1-23 e�ocK TRACT Residence w/att �ar.
Form 210 G-H 15001-55
Costa Mesa Building Department
' 171 EAST 20th STREET
� � � COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
Building rc�
Address �nrn �•• �B� :) .�1,�
Costa Mesa. California
Nearest
c�oss se. Bernard
owner Joseph Smith ST.
Mail
Address 195� Maple, Costa Mesa
��iy Costa Mesa No. --
Architect�or Lic.
Enaineer Hickorv Homes No.
Address
nddress 2156 NeWpoTt B1Vd� C.M.
Descrption I No. 1 I Block A I Tract
�j� S O / —.�
(nttachMetesa6dB�nda) C t.y Of C.M.
No. of Bldgx
size ot �ot 54 � 6�� X 130 rvow on �ot 1
Useof No.of No.of
ExistingBldg. Z`BS�CIQYICBI Families �Rooms 4
SetbackLinefrom RearYard �
center ot street 43' side vard 6
DESCRIP7.ZON OF WORH
New I X I A�teration I I Addition I
i $tories
APPLICATION FOR PERMIT
�38 BUILD�tNG '�
� d'OR OFFICE USE ONLY
- Receipt No. Permlt No.
; / 3j
Recei ed by Date Rec'd. Date Issued
y� _ i�x-,�T ia o? -s�s
Nearest
Cross St.
Costa Mesa, California
No. of � Type
CORRECTIONS
Coverinq s�tteee I CoveringhVV Sheke APP$,QV�.S`
Use of New
g�i�a��e residence w/att. garaqe FoundationLocation Inspeeto� Date
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolta
I hereby acknowledge that I have read this Application Lath. Int.
and sta[e that the above is correct and agree to rnmply Lath. Ext.
with al1 City Ordinances and State Iaws regulating
building rnnstruction.
Signature of Plaster, lnt.
Permittee
� Plaster, E�ct
Authorized Agt.
Masonry ReinToroed
Valu.atfon ermit Fee $ /
Plan Check $ ,. o�' Bond Beam
S 6����.�� Total o 0
Fee $ �/. FINAL
FORM 204 0-X 2M 5-54 �
0
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