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HomeMy WebLinkAbout897 CENTER ST - Building PermitsApplieant to fill In all spacas aacept l�ose wit�in �aary EorEar Ilnas anE �Ign all aDV�oorlata Ceclarations. CITY OF COSTA MESA ' ' . ' pE T NO . TRACT NO. LOT NO. B . CONSTRUCTION PERMIT • � - � ' O Z Applicant'S M2iling AddO�ess ' , � TVPE OF CONSTRUCTION � NEW ADD ALTERATION F ProjectAddren ��/ % ���� ��NTPR• C�oST9qi�f* Qa�S�A� ❑ CONVERSION ❑ DEMOLISH ❑ OTHEH , O�ner'sName � RRY �%�AdPR� PhoneCl/�✓O DESCRIPT�NOfW�ORK � �iC (�V � AHdreu.,� /� 7�PNTPR ' TYPEOFPE�GRADING J'oVNDATION STRUCTURAL ArCh/Eng. •� � L'ICen58 NO. ❑ TENANT ❑ ELECTRICAL C9�PLUMBING ❑ MEGNANICAL Address � "� �OTMER ' Contmctor i Name- ��.� -M P�� 'Phon�yUG-/1-� 7 FR0.IECT DESCRtPTION 5�. FT. � OCCUPArICv_ Addresslmeiling) �%'�! ���f'R' �nS'TiQMNSA- 'CONSTRUCTIONTVPF ' VALUATION$� ' � - . ZON� � GRADINGCU.vDS. �ACRES_ License No. UCENSED CONTRACTOR DECLARATION Remarks: • � - � � ' I'�ereby al/irm that I am Ilcensetl untldr provlilons of �Charter 9(commenNng vAth iectlon 7000� af Dlvislon 3 ot the Buslneu antl RoPozslons COde, dntl _ ' � ' ' , � `r�iy Ilcense Ii In full torce anO�elfecL � ' YJcense Class Llcenm No. - PIUMBING � � - Data � • SlqnaWre � � � - WORKERS• COMPENSATION DECIARATION � Bef Sinit Sewef Cap ' � I.heroey affirm-that I.nave a certltiwte.of consent to selNnsure.or a urtl/i�ate ' gg�kflow Preventer � - Sewer ConnMtion` ' " 01 Workars' CompBnsaUon Inwrante, Or a cBrUfIBC CoOY theroof (SettlOn ' - 3800, Lab. G:) � " ' � ' ' Backflow Irrigation � $plar Collectors � Polity No. � - � ComOany ' � � - - " ' ' eCertifiea coov is nereey fumishea. � ' � � : , � � Bathtuhs � � Soler Piping � ' Certl/ie0 toOY �s tile0 with th8�tity BUIItlin9 DIvlSion. � , Date � AppucSnt � ' � � � Clarifier's Sotar Tenk � . E%EMPTION�FROM WORKERS' COMPENSATION DECLARATION ' Di5hWe5hef � � ' SWimming POOI W�SDB � (Thissectian neatl not be completetl it the permil is /or one huntlretl (5100) or � less) • . ' . : . J I cartHy that In the periormanca oi tha work ior,whith this parm�t Is IssueA I Drinking FOuntains � � U�inel 1 � shall not employ any person In any mannel zo,as [o be<ome suD)ecl to l�e � -� � � WorkarsLGomnansatinn Laws of CalltcrMY/ �> • � . Floor Dreins . Water ry��+' ' 'CONSTRUCTION LENI � I �eroby 0/}Irm thdt th<r! '� o} t�e �work for whit �.00OBf'S� i'�dTB _ . lantler'S AOOress OWNER BVILDER DEC I �ereby afTirm that I ar Hlowinq reason (Se<tloi �unty which'reqWros a ry Struttura, prlor to it r�. .o iile a slgnotl riatemen antl I,�aS d5 or � tnls vermit : AGENCV � �nstruttlon 1¢n01n9 '�� parinll Is Issue� 'v-V� TION ipt from the Conti .5 Business antl Pri 4o const�uct, alter OCB� d150I84U1l85 S he/She IS IlCenseE { napter 9 (comman i' Professions CotlE e allagatl axemptla _a permit subject �nErea tlollars (S51 y or �my employe LJ 1 am axampt untler Sactlon— i Dale - � Owner 1 �ereby certHy that I� hava �rea� Informatlon is correct. I agree to antl�stata laws relatin9 ��o builGir sent5tivai o! tnis city.,to anter Signature�, ' Drlvers• IJcense or 55 = CMF 0865<6 rav. 32/B2 Wnite - Builtling; Canary e -488me0 mvOkaO. /or t�e' GarTormante ion 3097 Civ. CJ witn [h0 � r or Dalr mii � IS ti18�f 50�8 � tl or Of(eiatl _ontractor's or Improvei . or har own ofteretl far ' rear of com- bulltl or Im- � i ; Icensea con- B. 6 P. C. for tbis reason ritl-state�tnat-tha above ! y antl county orCinanceT �ereby aut�orile ro0/o- nentloneG Droperty ,for _ oate. �-/ .Z �3 , \pplifant: Pink - Accountin9: Sinks . � - Water _...__ � n...�_._ . w�.e. 1 P-TraP .� , �(+I Roof Drains •- � �- Showeri �� ' i Service Sink' • � � ' � � Boiler � � '. Duct �- Under Ground �� Duct-Structurel ' ' Duct,- Vemila[ing � _ Ez�eust System � Multiple Firepl/Fact BIL ICBO # � ' Heating'System & Ducting ❑6100,000 BTU 0100,000 � � Hood or Typel ❑ ' Cano . T' e I I ❑ ' Registeis � ' � IIEBOIOd - A558520f , �..�.� Reinspection Fee I Isue Fae Refrigeration System ' . ❑4100,OOOBTU ❑100,0008TU Syztem Repair/Alteration I . .. _ _ J- ' ' S 3 � Reirtspeclion Fee. $15 � , Iswe Fee , i S 3 R A.P.�W W PLNG. REF. qW _ -TO BUILDING I - LEFTSIDE VARO PKG.SPACE RE�. STREET WIDTH �king Unit • . iwa5her ' ers �❑Gas � � � U. i i i� tures � � � . S8a3 �3/I1/D"a � � REAR VARD (TO P/L) fiIGHTSIDE VARD � • PROVIDED � • �PARK FEES � - I ; ..U.i TL . tLtI:IXII:AL • . ' - • ' Meter_ over 100 amps � ' , � �Sub Panel � � ' ' i 'Sub Pole � ' Motors 041 HP ❑1X-8 � � Int.Solar 09-15HP�01645+ � .Microwave . ' Ranga _ Trash Generetor OO-5 KW 0545 KW ' � � ' . � Transtormer ❑�5-SOKW . - � ❑5U+KW • � Rein'spectionFee � 515 Meter ❑up to 100 ampe ' laua Fee� � '- S 3 Zonin9 APProved By , ' Date ' ApPlimtion ApProved BY ' eti ' Appliwtion Isued By ' ��ata � � 7 , ' SUMMARV OF FEES . , BUILDINGPERMIT $ SMIP � $ PLAN CHECK' S PERMIT � � � PLUMBING , ' S � �SSUANCE $ �PIAN CHECK $ 7 GFADING � $ ELECTRICAL $ $ - ,PLAN CHECK S ' � MICROFILM i. $ � MECHANICAL $ � TOTALFEE. E LESS ' � 'PLAN CHECK S � qDVANCED PC i$� ' • � ; � FINAL FEE ' $ ' /� 00 � � , . :� '� •CON$T�tUCTION,AND�PLANrviN� ` . " - : °_ . � . ^' " -.. � dL & SPA� �. - - �� � � .� � � ;_ � �= ,- � - c : ' r � � � a V �Date �� - I nspector' � ` � . , � .. . � i `�Date � '' I�nspeeior � _APPROVALS ; Permit # _ - - APPROVALS ` Permrt # . � . r� ' ' � ,1.: Temporary Electrical SerJice or:Pole � � r F• , '� c _ � 52; Pool &�Equipment Locafion _ . - "" ' � 2i �Soil Pipe-Undrgrnd._ � _ ' ' �: � '��� ' 53�,Steel Reinforcerrient _ - � � ' .` 3, Electrical Conduit Utilitv Undrgmd, � � _ ' ��54 � Forms ' ' � ., � : . . - . - � - � ; � �Y 4�, EI§ctrical Conduit-Undrgmd� : �, o ' ' � � _ , � 55. Eleotrical Bonding � � � � ` 5: S[eel^�Reinforcement � � � ;' �= ' ' �, , : � -� _ � . :' 56. Rough Plumbing�& Pressure Test 6: I'Elect�ical UFER Grnd.� .�' J�`^ � 57: APPROVAL TO COV.ER-GUNITE ' � 7. Footings t . , ; � •-, _ �� _ � ' � 58: Electrical Cqnduit-Undrar�d. � . ' i� , . ; . ;p _ . _- - _ 8. Founilation ' - �: � ; ^59. Gas Pipe,=O:Undrgrnd., Test . - , � - � - 9. Water Pipe-Uridrgind.,. , � � `- ' ' 60. Backwash �Cines; P-Trap, O Undrgrnd.- � � _ -"I ., _ 10. Stiuctur,al Floor Sy,;tem ' - : � - 61. APPROVQL`TO DECK " ' 11. Properry' Sewer Line & House Connectiom ' �,62. Backwash & Receptor-Final _ , � �. 12. Sewer Cap ;. . j, ' 63. Heater & Vent-Final i • r � � . � :� � � . . . . , 13. Roof;Drains ' , , � � - '64, Plumbing;SYstem•,Final'�� � � � 14. Rough P.lumbing ' , ' - . 65. Electrical=Final � � � � � `- 15. RouqhElectrical-Conduit-, " " -�i' ( 'r ��-'�--�'j' � - -,66..SolarSystem-Final . "� ' "' � ,;16. �Rough Electric Wiring�, ., ; '� �� '-1 ; .- - '67? Fencing & Access Approval - - ; -. i.� .`�, c �s 7. �Rougli_Wiririg:Sign? ,- l ' : � �i ',°' ! �- ; ; � �F � :. � ; ��,68.� APPROV,ED FOR�PLASTERING � - � - : �� 18��Rough�Electrical;T;Ba��Ceiling� ' " ' i � I. ' �69. POOUSPASYSTEMS•F�INAL � � •� . 3 79.`iRoiigh Heating & Air Conditioning � � i ; FIRE DEPT. REQUIREMENT i � - � 20. iRough;Factory Pireplace ,' � I � �, � APPROVALS � Pe�miY# ' ' _ 21. .Ducts, in Structure � . { ; � . � � 70. Underground Hydro � � � � 22, �Ducts, Veo4ilating •' ' + '" " � ' � i ' ' � �71.' ProductrPiping�� Gas ❑ Oil . ' � � ,_ . : � ^ : - �--r.-... - -.. __' '.' '. -- „ - • - _ +`23.'Gas.Pipe: Rough & Test ; � '._; i� � � �; �72, Underground Flush� � 24. `Roof Fra'ming � � � � 't � � • � • , , i 73., Undergmd. Stwage Tank O Gas ❑ Oil � � ,_' 25. .�Roof Sheattiing ; � , �F �� - � , � ' ' " � ;74. Oyerfiead Hydro i � -26. .T-6ar Ceiling (StructuralL & Monocoat' � ; � � � - , . ; � 75! Dry Chemical • + - . . _ .27. Freme'and Flashing � � � ' : ; � ' � � � ' 76.' Dry Standpipe � • � ` h 28. lLathing & Siding' ^ = ' � � ;i � ' '77. F�IXED SYSTEM FINAL : _'� 29. Insulation ; : ' 'i `� � `� I' ; � � ' . � •78: FIRE PREV. FINAL . ' � � � � � . i , �30. �Drywall Nailing I �� � � •� � � � � , �Notes:� ,�(�,,� QK� �,,� 3 �r��� ' � !, 31. -,Plaster Brown Coat � � � ! I; � - � ��- � - r - , . ,. . - . . . . . �, � � i ! � � _. F 32. Electrical PowerMeterFinal � ; � � � ' � , �M,�� � � , � � , - � � � i -�, 33. �Final Electric � � � � I,: t i � - . ' � 34. Final Heating &'Air Conditioning � � � ' � . t � 1 • r • 35. Final Gas'Pipe-Test ' ' , ' ^ � , ' ' � ' ' � I'' � , _ - ,• i'.. 36. Hood or CanoPY='`� ' . � > :i i I - . ' � - � . . � • � . . � , ,' _��>� ,� . ���__ . _ 37. Final Factory Fireplace` � . ' � : � ' � � �� � I � � 38. Final Plumbing I ' � °� 9 � �j; , �` ' . .. . - , . I. 39. Water Service-Final� ' ' � , '� � � � � . � � � ' � a i i � i �_ 40. Gas Seivice-Final I � � � � � ' 1 � � � � ! � 1 I 1 � � 41. Solar pomestio-Final � � � , '' � i _F_ _'_ _ � _i � i ,_ 42. Backflow Preventer � � ; ; � � � � ' . � � _ I . ' ,. . - � . . � � 43. Backfl'ow Irrigatiod i_ � �� . . � Ji r 44. Landscape Irrigation, System � � � � • � ` _ ,' � � �_ � 45. Sound %Attenuatiori ' ' � ; � � � I ; -' � , � `-. � : � � .� 46. HandicaP Regulations � � ' �" ' -- - ' • , • � � . - . , �'i 47. FINAL STRUCTURE & BUILDING ' ' � . • ' ' ' � � � ' . i . . � . 48. Special Requirements Completed � � � � i � � � - . . ,. i 49. Electrrc Release to �Edison� ! , j . � � ; _ � " � , � , � 50. Gas Release to Southerrm Califomia Gas Co ' � , . . � � � 51. CERTIFICATE,OF OCCUPANCY '� � ; . � , . . . __ . ' � No. � Date � , ; Applicant to°ii11 in all ��aees wilhin heavy bortler lines antl sign all approDriate aeclarations. CITY OF COSTA MESA � ' PERMIT NO. � - TRACT NO. . LOT NO. BLDG. NO. � . ' - , ` ' .. � � ' -' ' � CONSTRUCTION PERMIT � ,j� //o� � � ,. . ,. . „ . . ProjectAddress c' - TVPE OF CONSTRUCTION � ' ' , I �7�1 ; I �/�]/f1r� . �ii���1 7� ' OWnef .� PhOnC' .B� .� �NEIN ❑ ADD O ALTERATION , �, � �, . . . . -Addres - � 2, ❑�REPAIfjrOCONVER510N ❑DEMOLISH . ZONINGREGULATIONS� � � � ArchJEng: ' � - �-License No. - ❑ OTHER . DESCRIPTION OF WORK � A'P' � � ' ' ' ' Address . -� . . . . . . , ZONE - PING. REF'. � . .. �Contracta� ' - � Phon ` .TYPEOFVERMIT� � ' � Tpg�/ il.pING - `AddfEsi -� . ' � '- ' �SETBACKC T. PROPERTV LINE '.:�< � C+' ❑ GRADINGyyy��,,((( ❑ FOVNDAT�IO,(N• �STRUCTURAL 5 YAR� , �LICENSED CONTRACTOR DECCARATION- ❑ TENANT ¢(I�ELECTRICAL XJPLUMBING ❑MECHANICA SIDE VA � � • - - � - � I h¢reby aifirm th;.t I am liG¢ns¢tl untler pfOvi5ion5 0( Charter 9(Com-. ��� /` RIGHT ' ' ' mencing. with section_7000) of'Division 3 of the Business� antl� ❑ OTHEft - . . , t Professions Cotle and my Iice se Is in tull force anG etf t. , ' REAR VARD (TO P/L) � - ./ li.;-F� PROJECT DESCRIPTION. . � .s .-.'. s -�/ . / _ Lltense Clas ' Icense No.�_L�_�__ � � � � �� � ��� PKG. SPACE REQ. � � PROV IDED . Date� Si9nature • ` . SQ. FT. ' •. �_ _ _' ,. ' . _ . _ . . . _ � STREET WIDTH � PARK FEES �ORKERS' COMPENSATION DECLARATION - . � OCCUPFNCVT�_CnNGTRUCTION TVPE ZONING APPROVED BY ". DATE ' r�ereby atfirm that 1 have a certificate o( consent to zelf-insure or a '�^ �4�3 �— � � - - titicate of Workers• Compensation Ins nce, or a certifiee copy VALUATION�fd�ZONE 7� '�reof (Sectio(� 00 Lab.� J. - GRA�ING.CU. VDS. ACRES - ' SPECIALGONDITIONS: � � � . pOl'iey o:4✓ } Company. - - � - - _ - � � - ❑ rtifietl copy is h¢r¢�y turnishetl.. . . _ ' REMARKS: � � . ' . _ �tietl copy is filetl witn the city Builtling Division. � ��--- � � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION " " - ' ' ' ' - � (This section neetl not be complef¢tl it the permit is (or one huntlretl . � _ . . . ' .'- ` '' . SE300) or lessl. � ' . � . . . . .. _ .' .. . . ce�Lfy that {n the pe�foimance of the work,fov which this permit IS . Issuetl, I'shall no[ employ any person in any manner so as [o become PLUMBING� .� "'� .PLAN CHECK .. � ELECTRICAL' '' �' P�AN CHECK �� ' SubjGct to the Workers' CompensdtiOn LawS of Cdlitomia.'.� .. _ . Date Si9nature � ' B/�THTUBS SHOWERS � ' ' ' NOTICE: If after making this tleUaration, you shOultl b¢come zubjac[ TOILETS. - VRINALS' '-' �".' '.GENERATOR '�0-1 KW 1-lO�KW to the Workers' Compensalion provisions ot tne labor Cotle,you must �� TRANSFORMER � .� for[hwith comply with such provisions or this permit 5hall be tleemed LAVATORIES DOVBIE lAVS AGVLIANCE ,�f 30-50 KW_SO+KW � - - �evoketl. , " ' __" ' ` • . - . .. _, . ' ' ' ' KIT. SINKS ' ' � DISHWASHERS '" ' ' ' "' ;MOTORS .', -. ' p-1 HP_1-30 HP " -' "" ' ' ' � .CONSTRUCTION LENDING AGENCV � � �� � 'I her¢by aftirm [hat there i5 a construction lentling agency (or the perv 'SERVICE $INK$ ^ SVMPS- "' � UNC. SOLAR) -•30-50 HP 50 t HP � -�- �tormance of the work tqr which this permlt is issuetl (SeCtion 309] ' ' " - -- � Civ. CJ. _ .. . /j 1 • ' � ' . FLOOR SINKS � FLOOR ORAINS . - - FIXTURES - . OUTLETS' SWITCHES �Lentler's Name � �LentlerY Atltlres� � � ORINKING FOUNTAINS - ' ' ' , GAS TUBE.SIGNS " - ' "' " - � OWNER BUILDER DECLARATION ' " � INTERCEPTORS � CLARIFIERS � - � .POL'E LIGHTS " . _ . _ -. " j I hereby affirm [hat I am exempt trom the Contractor'S License Law for -� r� •� the �ollowing reason (Section �031.5 Business-antl Professions:Cotle: -SWIMMING POOL P'TRAP ' ' - �-• ' - - Any city or county which reQuires a permit to construct, alter, ' POLES METERED SVB. - improve,-tlemolish or repair any structure, prbr to its issuance, also re- yyqTER SERV ICE - AITERATION ' �PANELS" . MAIN ' - "'SUB "' � nuires the ap.licant tor Such p¢rmit to tile d Si9netl stalemen[ that he ' .' qf_�Jtensed purzuant to the provlsions of the Contrattor'S License Law� �GAS SERV ICE ' OUTLETS � ,SERVICE ._ ' -• --, AMP ` apter 9(commencing with Section 7000) ot Division 3 of [he ' ''�$iness antl Aofession5 �Cotle). or that ne is exempt therefrom antl the y,�qTER HEATERS �BTU OUTPUT . f' ' . ' . ' -- i ��sis for the alle9etl exemption. Any violation of Settion ]031.5 by - any applicant-for a permit subjects the applicant to a clvil penalty SEWER CONNECTIONS -� "' . " ' ' . - . ' - ` - ' - "- ' - - ot not more than five huntlretl tlollars (E500). " ' ❑ I; as owner of the property, or my employees`with wagei as thelr SOLAR TANK ' COLCECTOR �� - " . , . . - -. ' ' , ' . . 501¢ COTp¢n5ation„will tlo the wo�k, and. the St�ucture is not intentle0 or offeretl for sale. (Section ]044, Busineis antl Aofeisions Cotle: The SOLAR PIPING SVS. � �SSUE FEE' " " - - O � Contractor'S_LJcense Law tloes not apply to an owner ot a D�operty qPPLICATION APPROVED BY '-' - �DATE �who builtls or improves thereon, antl who tloes such work himselT or ISSUE FEE � � � Q� _ lhrough his own employees, provitletl that such improvemen[s are not Intenaee or oHeretl tor sale. If, however, the builtling or improvement MECHANICAL PLAN CHECK " ' SUMMARY OF FEES . .''' �� IS Soltl within on¢ yedr of completion,.the own¢r will hdva th¢ burtlen, � of proving he tlitl not Duiltl or improve tor tne purpose of sale�. HEATING SVSTEM Od00,000 BTV � - BUILDING '�_ '" - � ���' PERMIT ❑.I, as owner ot the proper[y, am exclusively contracting. with �-qN0 DUCTING ' '" ' � - -� . _ E SMIP., . E� � 11<ensetl coMractors to construct the project (Section 7044, Business 300,000 t g7U �' . PLAIV CHECK E � PERMIT " ( antl Professions Cotle: The Contracror's License Law tloes not apply to - -- �'ISSUANCE- S- an owner o( properry who builtls or improves thereon, anE who con- REFRIGERATION� 0-100,000 BTU ""' •PLUMBING E•�' �� � '" ' [ractrirom such_projecis wi[h a contractor(s) Ilcesnetl �Owsuant to SVSTEM - -� GRADING� E� [he Contractor's License Law). 300,000 + gTV ' � PLAN CHECK E •' ' " � . � : , - ❑ I am enempt untler 5¢clion � B. 6 P. C. for Ihis gOILERS BTU ' ELEGTRICAL 5 l� � ��� E rea5on _: MICROFILM;E- Date Ownar SVSTEM REPAIR, ALTERATION PLAN CHECK S .. `�, TOTAL FEE E: - I herebycerti(ythat I have reatl this application antl state that the above EXHAVST SVSTEM MULTIPLE MECHANICAL':5 ` . , - in(ormation is correct. I a ree to com I wi[h all cit antl count PLAN CHECK" , LESS AD- � _, 9 PY Y Y E.' VANCEPC �E�_�_ � ortlinances a state laws relatin9 to cons[ruction, antl hereDy authorize ' ' ' t � representati �of liis city to enter upon the above mentionetl - - � ' GT% prop¢rty_ n spe lo purposes. '/2��., - ' FINAL FEE §_� Sl9natur /' Dat Drivers' License or 55 � ' 155UE FEE . ,_ -- - . � ..- - . - . ��""-'^^�t-a��Whit¢-Buiitling; Gnary-Applitdnh Pink-Accounting; Goltlevotl-As5eS5o� t .. . .�.,.i . .- t • . . �. .Y�. .i� 1 . � . . � •.�nt. _ . . _. . . .. _ . ._. _ _ _ . � . ♦ . . .. � i • . . . -c .r ' ' . � 1 " OWNER GL� aos AnnftEss 897 Center St, INSPECTIONS Form Y16-3M-4-59 DATE -59 � Gordon & Le Tourneau vnLUE S3�7vu.� LOT �cZ TRACT 26YZ FIRE ZONE DESCRIPTION OF WORK SUBCONTRACTOR d R 2 � � PLICATION FOR BUIL- DIN� PPLICANT TO, FILL �1 AREA WITHIN HEAVY TOWNORSCHOO � � DISTRIQ �' 1 �, � � �� OWNER (�u:i% • Y! MAIUNG ^ ADDRES$ ��/. ✓ �.It/�LN QTV / ('.!�!� (,L(J AFCMITECTOR '� • ENGINE�R AD�RE55 �O ��p ��� CONTRACTOR /�,.(.c ADOAE55 ���� ��(%( � P�RMIT �°�s.°� LINES �ONLY. �OUNTY O� ' ORANGE / ' DESCRIPTT9N-OFWORK NEW LK ADD ❑ ALTER O� REPAIR ❑ DEMOl15H ❑ 512E n C NO.OF �/ NO.OF SO.FT.K�p�(L�J �p�O40 STORIES ` FAMILIES� USEO�—r� .�f '� �. . / RE LEGAL I LOT� �� I BLOCK I T`'R JCT � DESCRIPTION � �C7 (PLEASE ATTACry METES AND BOUNDS) � I HEREBY ACKNOWLEDGE THAT I MAVE READ THIS APPLI• CATION AND STATE THAT THE INFORMATION 1 HAVE PRO- VI�ED IS CORRECT AND AGREE TO COMPLY WITH AL� COUNTV ORDINANCES AND 5 ATE LAWS GULATI BUILpING CON- STRUCTION. �� ,L+��',L,-e�% SIGNATURE OF PEftMITTEE �/'n "tt%✓tl'^'" � CHECNEO BY �O�TE—�I'�'�� O(Tf CLP�RpO�` � PLOT PL�N FU �Y OIMENSIONEOI YES �' NO �/ /� ALL BVIIO�NG4 SHOWN ON PLAN IPEH .�P 4C6NTIf �� yqLUATION S// L J �� M�IN USE1�. �CG USE_ZON � DIST. � O OCCOPANCY � GPOVP HEaVIRE� BVILOiNG SITf FPON�T/.GE�)�/� VES�_ NO BWLOING ryf�GNT STORIES./ L_YAND FEET FEOIlIREO L1N0 �PE1) YES O � V� APPAOVALS j FOUN�ATION: LOCI V�n1�NCE REO�III //E/�,�� •PPFOV[� NO O FORMS AND MATERI TNEETWIDT1i�� CORNERLO �INT�LOT REINFORCED eULLOING MASONftY OR CONC SET6ACN C/�ST. � PROPEHTY LINE./�_� SIOE YI.XO. XICNi��� E�vE PROJE /��/��/j.���/ ��(//��r'j��'{'�� BOND BEAM ` SIOE Y�RO. LEFT ' ' EAVE Va TION " � UNDERPINNING'Y i RE.�R YAPD �TO P/LI WIOTN OF /�LLEV ser�n�r�DH e[rw[en auuoines '�� • ROOF SHEATHING CHIMNEV IN NEOUIRED $IDE Y1RO PROJECT$ PORCN IN REOVIXEO YwnO VnOJECTS $TAIpS IN pE0U1PEO Y�RO PRO Ffjv��� FRAMINCa� " LO PAMI(1NG I� pEOV RE O CAV/�CITV. CApS �� LATH OR DHYWALL aEnwanS��f J�Jr /O�� INTERIOR n LATH �/In. _ .7%'_/ O/1 N _ /J/% / /�//-.. / E%TERIOR �NO. t�ll L' BY PLI�N CHECI PLASTER BROWNCOAT - FINAL FEE g U B.PT. y FEE INSPECTION RECORD OI.TE ON / / -�tCN NE<EIVT 1, pOl1TE IMMEOI�TELV 2. OFFICE 3. ST�TISTICS FILEi� TOINSPECION y/OFNCOPY A FORCOUNTERVSE � - � 30 - ��i ./'�OG� /N C'OJ C�,¢.�� w�tsL 6'zc OHIIE - SUPERINTEN 20d'/r N. BROnDW/�Y SFNTA RN1. CALIF. KI 3-93a1 �1 ENT OF BUILDING �NO SAFETY VALIDATION , DEC 11'Sf 1 094 08 99.00 1 ORTE PEXMIT NO. ,� PEflMIT FEE CO�E yp' ) 1 OF PERMIT SIGN/�TUXE � HAROLR L.GOLDY � ASSISTANT SVPENINTENOENT OF BVI�DING ANO SI.fETV 49.50 7 148.50# r�nH cHccn TOTAL • �L �t-�-o "� Y � .. ; �. ..�.�..� - . . _ -"--� : . u rL ; • _ -: . _ _ _ . � • • . � ; ,� .'.: � � r _. , _ • �.. W E S-r r-. % s3 o u�bJ- . _: � ' , . _ _ _ . • . . .. + ,'�ovNDBTio - -- � � � G Y�t c i� � � �____., . - �.�p-�...o.� \ / 1 6 /.f � . , ' . ABovt Rs-PPa.o�ne- �IS oy _ - C.° b*l 0 t Ti o N r'I �5 o u ri>� . v E�E�.r� �ttowN .� o N . .. � . ELf V�9'� o.�, oN WES �� � 5 t b�' N-P PR-ox yS� F�R.o►� . ��'Lo�T �S }6oT j3u�L7- � S iT w�L� �t2.MSEci^ � i�� �--o � � 5 t De �n-�'D . , _ .- � _.. :_ .- -..... � . � , '. y s . . _. ,. , -�- - — - ---� . 0 -_ . . r •� r ?PLICATIO BUILDING PERMIT APPLICANT TO FILL IN AREA WITHIN HEAVY LINES ONLY. TOWN OWNER �Il� MAILING ADDRES: ��rr L . ARGHITECT voR ENGINEER Ila ADORE55 1 O ADORESS Inv Callf, NEW I t12E {O. FT. ' xbAe=§�^ � � � COUNTY OF nanr.�r_c AOD ❑ ALTER ❑ REPAIR ❑ DEMOLISH ❑ . �OO STORIES � FAMIO IES IEGAL DESCRIPTION SO. Anberteon BZVd L�A ��DED�IS CORRECT AND AGREE� O�COM1IPLY WITH�ALL COUNTY /� /� ORDINANCES AN T�y,LA REGULA�ING B IL% / " r V�$St li0nt Inc STRUCTION, pd,y(�(� ,i SIGNATURE OF Beverl �ZVLL L�A• PERMITTEE ZONING EGUTATIONS 6� _ ADORE55 CHECNED BY �/ D�TE CLE pEO �a C $ /]I] PLOT PL1N FULLV OIMENSION l YES� NO FEE [�(� OO •LL BVILOINGS SNOWN ON PLAN IPEft 6OPPLIC�NTII�2�_ MAIN USE�.�CC. lISF��ZONE��IST. 1.�/�_/< REOU�RE� p�ILOING $ITE'FqONTAGEf _ YES � NO ini.iir pU1LDING HEIGHT STOAIES�W ��� hND FEET FEOUIaEO LAND ANEA1 YES � NO ��yq VwpinrvCE FEOWNEDt�APPXOVEO �, �� NO � `� / $TREET WIOTM O � �f/OqNEF LOT INT.LOT/ � 6UILOING SETB�CN GL ST. /� PROPEHTY LINE_SQ�� §IOE YARO. NIGNT /O� EAVE PROJEGTIO� §IOE vwqD. LEGT ( ' E�VE PROJER�O WE�F Y�qD ITO P/U�� W�DTN OF 6LLEY $EP.�P.��ION OEIWEEN BUIlO1NG5 ' GMiMNEY IN REOVIrtFO 61�E V�HD PNOJERS yOflCM IN FEOVIqED YARO PROJERS ST�IRS IN REOVIqEO VARO PROJE /\ � / pARI(ING AREA REOUIXEO CAPACITY. CARS pEM/�pKS: �G S'�O �,�1, BY 1. ROlITE1MMEO1wTElV $.�OFFICE TO IN6PELTOR WONft COPV VALUATION $ OCCUP�NCV GAOVP •PPROV�lS REINFORCEp MASONRY OR G( BOND BEAM UNOERPINNING ROOF SHEhiHI� RDOFING FRAMING LATH OR DRYWt INTERIOR ��� urN L EXTERIOR OOO FEE $ 44� OO INSPECTION REGORD ].�wTI5TIC5FILE � 1.OWNEX'SCOPY FOqCOVNTERUSE OFPEHMIT C. �'d. DONOHUE - SUPERINTENDENT 1oe�/: r+. eno�owev s�qre sn�, c��iv. Ki a-g34i MAROLD L. GOLDY � OfP�NTMENT OF BWLOINC �ND SI�FETY VALIDATION ASSISTANT SVPERINTENOENT OF _ OU1401NG wN0 SwFETC C JAN 29'591 103 3 2 4 4.00 Y 22.00 7 66.00 # TELLEN OATE PERMITNO. PENMITFEE COOE PIANCHECR TOTAL � 9�0� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPUCANT TO F/L[ /N COMPLfTE[Y TYPE OR PRINT � ARCHITECT LEGRL � y � r�.�� .,u- COSTA MESA, CALIFORNIA LIG. $IZE I NO.OF BLDGB. OF LOT ��Zi �' /ZQ' NOw On LOT � USE OF EXISTING BLDG. •a SETB.�CK LINE FROM �-- � � / , / cEnrEa ov siw[ei ,� ✓��/- AR YARD �� p SIDE YARD ILEFT I� GHT � p r DESCRIPTION OF WORK REPAIR I BUILDING SIZE EXTEft10R WALL COVERING USE OF Bl11LDIM1 ROOF COVE tK TO I HEFEBY M1CKNOWLEDGE TNAT I HAVE FEAD THIB APPLICATION ♦ND BTATE THAT THE ABOVE IS COflR[R 1ND AGHEE TO COM� PLY WITN ALL CITY OflDINANCEB AND BTATE LAW9 HEGIILATING BUILDING CONSTNIICTION. SIGNATURE OF �, , �6 y ��� ��� R�A��I���� �FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING fOR Off/CE USE ONLY I neceirr no. I ��• � ll IIVEO�Y UATE HECEIVED DATE I8: �- �-J�i'—�-�-��� S-/� - ��� � .-,�_. d.��:��-�. , CALIFORNIA ��� i �'� ZONING NO.OF USE OF PLANB UILO11 l� \ REpUIRED ICENTEH LINE 8TJ SIDE lall IN. TNE AMOUNT SMOWN UNOEN VALUAT�ON IH FOR TNE PUHPOSE OP E6TABLISHING • PERMIT FEE ONLY. VALVATION � /7 PERMIT FEE $ �� "� $ J/ �. V `; PLAN CHECK S (G � TOTAL FEE S I (J �