HomeMy WebLinkAbout1114 MISSION DR - Building PermitsADDRESS OF SUILMNO: UNIT:
OIFNEWS NAPE IF IWOW 1 1 1 4 MISSION DR
ADDRESS: DASSE, WILLIAM R
M
1114 ISSION DR
COSTA MESA CA 92626
APDL.6JUND MDRE54: (714)546-6671
ARCNRECT OR ENDDIEIA UC. NO:
.. An FNA •s ADDRES5: UNIT:
cNTRAMISMaWSNAVE
CQRRACTOWLEAKBUSTERS ROOFING (714)786-3571
ADDREi&
14252 CULVER DR M14M.-
IRVINE CA NP844y777((��
LICENSED CONTRACTORS DECLARATION: I hereby alfrm Iddhl �7G� a pdr that I am HoMeeA orcprwmahSM'd er c?f4 Y9
(camnarhonp Wh Section 7000) d Division 3 d the Busirnsa end Prokaaiorn Code. end my EPeroe a in Iu0 form arhd shed.
NO.
o�D.gl3olgC.u
uc.css: c�uc.No. 7 EXP:
ata
OWNER BUILDER DECLARATION: I hereby affirm u penalty of perjury Ihet I am axampl hon IM Cddwola Licence Lew for the
folb*elhg reason (Section 7031.5 Business all Proleeeim. Code: Any ety or county which requires a permit to obrbrucl. Mer, improv,
demolish, o raphe any ab dura: Prior to he I.... eao requires the applicant for each Femora to Rb a signed sbtemerd that he or all
I, fxronwd wrema to Ihe Prowpone of the Ccnuacton U. Lew IChapler s (commerhdrp with Section 7000) of D ion 3 of the
Bhmaew end Praeasare Code] or that be or all Is exempt thershdn and IM base for the dg.W axamption. Any v.W. of Section
W1.5 by any appD to a permh w*m the epplicea to a crd Fancy, of no mors Then here htaubad dollare ]SSW]).
j 1, as owror of IM properly o my ampbyeee Mir wages as their ede compeneatim, well M the work. and to evucturs is rod inleMed
or othead ler sale (Section 7014. Business end Proleesione Code: The ConlrWoe Lioense taw does WI appy poen owner of property
wM builds or irnpoves the., end! *fa dose such *ork amMM or heraa5 or through he o her own empkryem. Provided Ihat Mmh
imp soca ars not imeMed or dlered for sale. X, hawewr, IM Wiwi, or knproeernW or sod wXhin one year ot corepiak o. the
owrorLuiker *ill have be burden of prwinp he or Me did rc Wik or imgow for the wrpose of sale).
❑ I, as ovmer of the propaM. ae, axdwN* mnuad'ohg wnh licensed contra don to axhdrud the pru]W (Section rode. &"kava aW
Prolasvions Cade: TM Contredors License Lew does m1 apply to an owner d Property who builds or Mprovse thereon and elro
mntrac a to such projects with a comrador(s) Iconsed Wmrsol to the Conbactme Lunate Lew).
❑ e e scop(under Sedan: B. A P.C.. ler Iha roaaan:
Date: Owner
I do hereby cantly that I errh aware d aW uW Wrerd the requirements of California N h and Safely Code SWiom 255115, 255W, and
25534, aW that I or any, Mun WiMiN oowpanl will / wD not (omb ahs) need to oore* Mh vak pate coder, end the rwhdhamenu ler
apemd lomnmcionPr mWifWion hontMAiu3eOlty nhepnnml Diprid. Residmtalmmrwion eppiraliam .....Pt lmm 0hua
pvvmo e.
Data: Applcenl:
WORKER'S COMPENSATION DECLARATION: I hereby affre under parody of perjury one d the fo looding Mdaratiom:
❑IMeeaW W
COarf000 sa caf etsdmrwmlo aMinsora lerwoken'mrnperwation,nf+ovdad fa by Sadian 3700aIM Lebo
M, for the wdomercof the *ork to *dich this pomp is mired.
❑ I have end soil the parole
ins compemalian imurerhm, n ngnatu beSW ro O7W d poky labor Coda, ler the padmmanm a the
soak la whkA the pond) a wood. MY woken' oxnperoatign'apurarhce mrtier and nhvnber aro:
Carrier:
Poky Numbr.
sedian need nor M oa'ndr,rW d IM perms is M ase hwMed doles /Slab) a Asee)
I wily fled in the pedmname of the work for "id, this pemd is aeued, I .hell m1 WnPw y arty Person in am meow r so ea to
bosom eubjact to the xopears' corrmeroation ower d Cellona, all attrea that if I should lessor aubjW to car eorluwv'
mmp(e'n�r,a(�hm prww, a1iorm d SW ion 9TW d the labor Cob. I MMD/t *ith oornpl/ yehhthms pmea've.
Date: —L / 3 V { Q Appfcam: 5--1�1—
Wam/ng: FMun h7 oscura "ilrera' oompe+Medon eoverepa la unf 4 Wel atoll arbpa en aotPIOW fa dfm'rol Paoadd"Wel
dyll ft. rat to am h o tnoueeM d Ura ($IOAMA M Wdfl/on ho rhe cwf of mmperuaUo" derwpa u prevMW far In
S.11. 9785 of tln Labor COM, fnMaat aod "Mirowe Iwo.
CONSTRUCTION LENDING AGENCY: I hereby Mi. undo parraDY of Perjury thaf then a a mnatruction lendrp perry ler the
pW.. of the work len which the Pam, a eeuW (Sedan WD7, Cu. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I eeNN that I here nab thia eppbm on and pale that the above lotoob wnaconW.I gree to POmply with all dty end murdy ordir.
arc sale awe rehearing to Wilding mnstrudion arhd hereby eaMrbe rwreaentatives of this city to enter upon IM ebme manlbned properly
for inspection wrIboses.
CTD MARTIN
Pont Nemo
Date
Spnat.,�-� 9 �3 ola�
ure of Oxno/ApanVApvlimnl/Conuedor
(515146.WP) WhM-Buildip A Safety; GroemFle; Canary-App&ant; Pink -R ata: 0oldenrod4usaaawr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 079692 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/O WOOD SHAKES,APPLY 1/2"CDX PLY & COMP SQ FT: 6,325
CLAIM VALUE: 6,325.00 CALC—VALUE: 6,325.00 GROUP OCC: R-3 /U-1
COMMENTS: APPLY 40 YR "DIMENSIONAL" COMPOSITION ROOFING ON NEW SHEATHING
r1E 1E lE 1E lE 1f 1E�E�E+F
Z NS�EE�PT�FARS aE�M+F Ear IVI*�DE
Z O N I N G R E E Q U U I R E M E N T TEtMR
S� p Q1pr:
------------ MAIN BUILDING ---------- --------- ACCESSORY BUtU&_ LF—► -4 —
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 REO• PROV: PARCEL: 14156236 ZNE: REF NO:;'
PLANNING N TES>
1E IE dE IE IE 1E IE 1E IE IE 1E IE 1E dE IE IE * IE It dE IE iE iE iE 1F dE iE iE if IE 1E dE 1E ♦E 141E iF dF 1F 1F iE iF 141E IF ♦E 1E If if iE 141E 1E iF 1E 4 iE 141E 41F IE 1E IE * IE 1E 1E * iE qE iF 1E 1E iE dE iE qE 1E
D E V B'L 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
'71
ZONING APPROVED BY DATE:
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY:`
v
DATE:
3 O
*IE*Ir ilk1E14*IE* 1E1E1E1EIEIEIEIEIE*IE
14iE14IEDAT EI:
iE*
LEGALIZATION:N F
E E S U M M
A Y STRUCTURAL
SEGMENT:Y
BLDG PMT PLUMBING
ELECTRIC MECHANIC FIRE SMIP/RES
GRADING
PERMIT 124.75
63
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE
PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- > 125.38 0.00
0.00
125.38 125.38
.00
REVENUE DIVISION TOTALS-->
COLLECTED:
125.38 OVER/SHORT:
.00
BLDG PMT PLUMBING ELECTRIC
MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
124.75
.63
iF iE 1414 iF 1E ii IE*1E IEiEiFiEIE*dE dE qE iE lE iE dE dF i4 iE i4 dE iE**iF dE iE i4 Ki4*iF*iEit*1E iE 14 i4 iFiE 1E i4■i4*iE i4*i4 iE i4 iEiE iE i4iE i4***iE***IEM IE IE I4*
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 6325 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,325.00
END OF FEES
01 00215923-00215924 TOT 125.38
DATE: 09/30/95 TIME: -10:35 f'
CONS:'RUCTION AND PLANNING
APPROVALS Permit
Date
Inspector
POOL &
APPROVALS Permi.-if
Date
Inspector
1. Temporary
Electrical Service or egle
52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. f
53. Steel Reinforcement
3. -Electrical Conduit,IJI lity-Undrgrnd.
54. Forms
_
. '4.�Elecfrical Conduit-Undrgrnd.
55. Electrical Bonding
- 1
5 -.:Steel Reinforcement -
56. Rough Plumbing & Pressure Test
"ElectricalUFERbind.
57. APPROVAL TO COVER-GUNITE
- 7. Footings .. -
r _ -
58. Electrical Conduit-Undrgrnd.
''$,,-F&ndation
59. Gas Pipe, 0 Undrgrnd., Test
= 9. Water Pipe-Undrg7nd•
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10, Structural Floor System
61. APPROVAL TO DECK
11. Ptoperty Sewer Line & House Connection
62. Backwash & Receptor -Final.,
12. S6wer 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
r
18. Rough Electrical•T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS _ ^Permit #
20. Rough FacSpry-Firep face
21. Ducts, in Structure.80.
UndergPouhd; Hydro -
22. Ducts --Ventilating =,v
S
- 71. Prod uct-P+pi ng 0Gas 0Oil
23. Gas Pipe•Frough& Telt ,.;
o
"'
72. Underground Flu;(t
24. Roof 'Framing^• • .
i73.=UndergrnCI.Stora9STank OGas 0Oil
25. Roof $heaEhing - `�";Z•,-616
`
�(� a
4' -Overhead Hydro:' '
26. T-Bar.Ceiling IStrucl6ral) & Monocoat
-
_ T
75. Dry Chemical _- -
27. Frame and Flashing * _
*
76. -Dry Standplpe
28. Lathigg &_Siding
77.^FIXED SY$7EM'EINALs
'29. Insulation F,' ""
; '1
`
78 FIRE PREV. FINAL < -
=30. Drywall Nailing n1•V y
't -
{ fs{
.. HEALTH 0EPTt REQUIREMENT
_31. Plaster Brown Coat,' -
•'
.79.lFINAL INP_ECTIO'N '•• _
32. Electrical Power Wtel.-Final
80; -FOOD CERTIFICATE ISSGED• r
33. Fiftal£lectric
TINotes: -_ -
34. Final. ealing & Aif-Conditioning-
xr 1
_ ,
it t :• -
35. FYnal Gas Pipe -Test,-
36. Hood`or Canopy - -
z ~-
-37. Final -Factory Fireplace-
38. Final Plumbing-
39.Water Service-Finat::_-
`,
-40. Gas Service -Final
41. Solar Domestic -Final-
42. Backflow Preventer
43. Backflow Irrigation
-
44. Landscape Irrigation System ..
p - r
45. Sound Attenuation_ . - -� c`- -
g c:
,•
-� -
46. Handicap ftegulatigns;
47. FINAL STRUCTURE & BUILDING
48. F,1NAL PLANNING'
49. Electric Release to Edison -
- -
50. Gas Release to,$outhern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMITNO. gC,T NO L UNIT NO.
CITYOFCOSTAMESA CONSTRUCTIONPERMIT L� A.P.# -C
Project Address ///4
MlssiaN OIZIVV- -
Backflow Preventer Service Sink
Cooking Unit
Backflow Irrigation Sewer Cap
Dishwasher
Bathtubs Sewer Connection
Dryers ❑Gas ❑Electric
Clarifiers Solar Collectors
Fan
!/1 �Z M IaSI6N .O'RI V E
TYPE OF CONSTRUCTION Uf4lEw LJ ADD
LJ ALTERATION LJ REPAIR
Applicant's Mailing Address
Floor Drains Swimming Pool W/Spa
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
P-</ S r,!Id• C II f2_
Name U 11r_a/AM
R. 9`rJDi'TM 1% Syb-66��
Switches
�---
Owner's
one
DESCRI TI NOF WOR / SE OF BLD
JJ
Lavatories Auto -Wash
Address t/l /V�13S IDN
D2.lV�
[-a�f'-r ,o
Gillyr
License No.
TYPE OF PERMIT ❑ GRADING NDATION
STRUCTURAL
.Arch/Eng.
Address
_ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING
-❑ OTHER
❑ MECHANICAL
Y
Contractor's Name Phone
Address (mailing)
City License No.
LICENSEDKO�ITRACTOR DECLARATION
1 hereby affirm lha ensed unde provi51on5 of Charter 9 (comm¢ncing
with Section ]000) of Division ess Code, and
my license Is in full force and effe
License Class License No.
Date Signature
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of Consent to self -insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section
1^00, Lab. C.)
Cy No. Company
Cer tilled copy is hereby furnished.
U certifietl copy is filed with the city Building Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit Is for one hundred ($100) or
less).
I certify that in the performance n the work for which this permit is t to t,
shall not employ any person In any manner so as to become subject to the
Workers' Compensation Laws a California,
Date Signature
NOTICE: CompensationIf, after making this ions f on, you r Cod become subject t0 the
Workers'ithsuhprprovisions of the Labor Code, you must forthwith
comply with ON provisions or this permit Shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that [Here is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Under's Name
Lender's Address
� OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
County which requires a permit to construct, alter, Improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any vl olation of Section
7031.5 by any applicant for a permit subjects the appliCant to a civil
ally of not more than five hundred dollars ($500).
as owner of the property or my employees with wages as their sole
.npensalion, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
Sale. If, however, the building or improvement is Sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im-
pr a for the purpose of sale).
Bd I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Plofe$SIOns Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon. and who contracts for such orolectS with a .on-
tractor(s) license pursuant to the Contractor's License Law). I am aware that
proof o their Worker's Compensation Insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
O d d�
I hereby certify that I have reatl t is application antl state that the above
information is correct. 1 agree to comply with all city and county ordinances
and State laws relating to builtling construction, and hereby authorize repre-
Sentatives of this city to enter up the above-mentioned property for
Inspection purA ,, A lQ , w 0 Date 7-25 ti g
Signature es. Al s[ _
Drivers' LI o SS %P
0865.46, rev. 5/88 White - Building; Canary - APPlicant; Pink - Accounting; Goldenrod - Assessor
PROJECT DESCRIPTION SQ. FT. OCCU IS
CONSTRUCTION TYPE VALUATION
ZONE GRADING CU.YDS. ACRES
Remarks: a A-- 1)_ _ w__ m �_
— _ O—. 1. ...._
P
Bar Sink Showers
Automatic Washer
Construction Pole Sub.
Backflow Preventer Service Sink
Cooking Unit
Backflow Irrigation Sewer Cap
Dishwasher
Bathtubs Sewer Connection
Dryers ❑Gas ❑Electric
Clarifiers Solar Collectors
Fan
Dishwasher Solar Piping
F.A.U.
Drinking Fountains Solar Tank
Fixtures
Floor Drains Swimming Pool W/Spa
Device Boxes
Floor Sinks rinal
Outlets
Gas Service Outlets Water Closet
Switches
Interceptors Water Heater
Garbage Disposal
Kitchen Sink Water Service
Generator 00.5 KW 05.15 KW
Lavatories Auto -Wash
P—Trap Laundry Trays
Roof Drains
I Reinspection Fee I $151 I Issue Fee I$ 3 I I
Boiler
Duct- Under Ground
Duct - Structural
Exhaust System ❑ Multiple
Firepl/Fact. Bit. ICBO 4
Heating System & Ducting
110. 100,000 BTU El 100,000
Reinspection Fee 1 $15
Hood or Type ❑
Canopy Type I I ❑
Wrigeration System
:10-100,0008TU 0100,000BT
System Repair/Alteration
Fire Dampers
Registers -
Issue Fee
FEES
$ 3
S Main Building: Accessory Building:
E
T Front L
ARear
C Right /
K
S Left 2q
Ping. Ref. Parking Req./Provic
Planning Notes: �,,,
Zone
Z
N
G
R
E
O
M
T
S.
ELECTRICAL FEES
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+ KW
Cooking Unit
Meter ❑up to 100 amps
Dishwasher
Meter ❑over 100 amps
Dryers ❑Gas ❑Electric
Sub Panel '
Fan
Motors 00.1 HP ❑1Ya - B
F.A.U.
I .Solar 09-15 HIS ❑16.15+
Fixtures
Microwave
Device Boxes
Pole Light --
Outlets
Range
Switches
Sign
Garbage Disposal
Standing Sections
Generator 00.5 KW 05.15 KW
Trash Compactor
Reinspection Fee I $15
DEVELOPMENT SERVICES REQUIR
Zoning Approved By
Building Approved By
Application Issued By
Issue Fee
SUMMARY OF
BUILDING PERMIT $ 7Z.ew
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
$ 3
TOTAL FEE $ 72
11 OOJ35h3?-0003Ab62 �f1y :.t!
WE` 137/2L/20 TIU: .::7
S
SMIP
$ •
PERMIT
ISSUANCE
$
ENERGY P.C.
$
GRADING
$
MICROFILM
S
TOTAL FEE $ 72
11 OOJ35h3?-0003Ab62 �f1y :.t!
WE` 137/2L/20 TIU: .::7
CONSTRUCTION AND PLANNING
APPROVALS Permit#
Oate
Inspector
y POOL 8 \
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 Reinforeempnt
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
-
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
i '
9. Water Pipe-Undrgrnd. a
60. Backwash Lines, P -Trap, 0 Undrgrnd.
tr
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
r ,
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 #
20. Rough,Factory Fireplace
21. Ducts, in Structure ��.
70. Underground Hydro
--22. Ducts,•Ventilating t-1
y•
71. Product Piping 0 Gas 0Oil
'2$. Gas Pipdi Rough &Test ^--
72. Underground Flush
24. Root Framing r�
73. Undergrnd. Storage Tank 0Gas 0Oil
25. Roof Sheathing.= ^-
74. Overhead Hydro
26. T -Bar Ceiling (Structural) &,Monocoat
75. Dry Chemical
L27. Frame•and Flashing
76. Dry Standpipe
28. Lathing &'Siding "
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
30. Drywall -Nailing 't
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat•1•.
79. FINAL INSPECTION
32. Electrical Power ,Meter-Final1
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
,.36. Hood or Canopy
f37. Final- Factoryl Fireplace
38. Final Plumbing
39. Water Service-Final,l_
/"'40. Gas Service -Final
41. Solar Domestic -Final-
42. Backflow Preventer.t
43. Backflow Irrigation �'
"• '
a
44. Landscape Irrigation System
.'"• �_
45. Sound Attenuation
46. Handicap Regulations
,
47. FINAL STRUCTURE & BUILDING
r
Z •L'
'
48. Special Requirements Completed
49. Electric Release to Edison
r
V0..Gas Release to Southern California Gas Cc
ti
51. CERTIFICATE OF OCCUPANCY
No. Date
'7
I" '
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 817 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
COSTA MESA CALIFORNIA
rtt nCL)LI& -81981
Lot 36, Tract 4, Plan 3-B
14 FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
Co
RECEIPT NO. P.-HwRMIT O.T,
�LaJIu�
OWNER $d 1 Mar Development
/
MAIL
Coast
RHCHIW!D BY I o R8 1Vg13 DATE IBBUED
I
ADDRESS OO E Highway
/ -(o aiP u 1961
Ma ' Ca f 220
BUILDING
CITY NO.OR
ADDRESS
ARCHITEG7 TEL
OR ENGINEER Macco COT oration No.OR 4220
COSTA MESA. CALIFORNIA
CoaB-t-HjgbLV-ay
FIRE D /
ADDRESS
ZONE TYPE k1 GROUP
CONTRACTOR Macco Corporation
APPROVED
BY DATE
ADDRESS Coao:t HighwLay
ZONING
CITY
ZON
�.�
NO. OP
I PLANS
USE OF NEW L
BUILDING P i
ucTNo. 808 -<SB -1 NO.TEL'
OR 4220
G
LEALIPTION
DESCR
SIZE NO. OF BLDGB
OF LOT 620 S F I hone
NOW ON LOT
A P. NO.
USE OP
EXISTING BLDG - none
YARDS EVES
APPROVED ALLOWED
SETBACK LINE FROM
IOENTHR UNH HT.) /�
CENTER OF STREET r) N REAR YARD 1511
FRONT 7 FT. IN.
SIDE YARD LEFT 71
I RIGHT 51 -
R. SIDE 'i— FT. IN.
DESCRIPTION OF WORK
—
L.SIDE FT. IN.
NEW I XX II ALTERATION I II ADDITION I
REAR -3 FT. IN.
REPAIR I II MOVING I II DEMOLISH I
711A
BY4t9 DATE
BUILDING NO. OF 1
50'X541611 7
SIZE ROOMS STORIES
EXTERIOR WALL StUCCO ROOF COmIJ.
COVERING COVERING
1467 S F
USE OF BUILDING AND WORK TO BE PERFORMED
Garage 476 S F
Sina ce
area
w/attached garage
Covered Porch area 38 S F
I HEREBY ACKNOWLEDGE THAT I HAVE READ THI8 APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLV WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION.
SIGNATURE OFent Co.
PERMIT FEE $
/
PERMITTE
l6 084.
$ F
BY
"J
.7(/
PLAN CHECK $ / /
AUTHORIZED
TOTAL FEE -00