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Home My WebLink About3249 NEBRASKA LN - Building Permits(714) 754-5273 • Fax (774) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR oRNE, WSTA MESA, cA szszs BUILDING PERMIT JobAddress: 3249 NEBRASKALN Suite: Vicinity: Parcel Number: 13906408 Applicant: JOHN SHEATZ Address: Owner: HARRISON, COLIN D Address 3249 NEBRASKA LN COSTA MESA, CA Contractor: THE ROOF GUY Address: 2129 N.PINE ST ORANGE,CA Zip: 92865 Arch : Address: Zoning: Phone: 714-921-1520 Zip: Phone: Zip: 92626-2254 Phone: 714-921-1500 License: 638593 En9: Address: Status: ISSUED Applied: 02/10/2004 Issued: 02/10/2004 ISSUED BY: � Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF 24005F RESIDENCE W/COMP SHINGLES. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,500.00 $3,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � , � INSPEC710NS: In order for the work authorized under this parmit to be considered legal, such work must comply with all applicable codes, and all requlred inapections and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiiation of this permit. FOR INSPECTIONS CALL: (714) 7545626 aae�ae �sroo� WORKERS' COMPENSATION DECLARA710N: I hereby aMirm under penalry of perjury ona of the following declarations: ❑ I have and will maintain a certificate ot consent to se�f-Insure for workers' compensation, es provitled for by section 3700 of ihe Lebor Cotle, for the pertormance of Ihe work tor which (his pertni� is issueE. ❑ I have end will maintain workers' pensation insurence, as requiretl by seciion 3700 of the labor Code, for the pedortnance of the work br which this pertnit is issuetl. My workers' co ens tion Insu nce wrrIie�,r antl policy number are: (—"7 "� C� Carrier: �� (//�/�/ / PolicyNumber: � //J �� (Thissecho�notbecomplet AtheOe iNsveluetlafonehunOreddo0ars($100Jorless.) ❑ I certity that in the petlortnance of Iha work for which this permit is issued, I shell not employ any person in eny manner so as ro bacome suDject to the workers' compenselion Iqws of Ca' ornia, and egree that if I should become subject Io the workers' compansation provisions oi Sec[ion 3700 of Ihe Labor Code, I shell forthwith compty with these pro �/�/� �� / Z (C �- !/ � ApplicamSigneWre: �,/:� / / Date: WARNING: FAILURE TO SECURE WORKERS' MPEN � ON VERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE MUNDRF TFIOUSAND DOLLARE ($100,000), IN ADOITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIOED FOR M SECTION 3]W OF THE LABOR CAOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CON7RqCTORS DECLARATION: I I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 ot the Business and rofessions Code, and my licensa is in full torce antl ettecL Lic, q �.� �5�.3 � Class p G— ✓� � Contracmr'sSignaWre: �--" � Date: Z" C�G � CONSTRUCTION L�NDING AGENCY: ❑ I here6y attirm that Ihere is a consimc�ion lending agency for Ihe pedormance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER qECLAflATIONS: I hereby aHirm that uhder penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Protessions Cotle: Any ciry or coanry which requires a permit to constmct, alter, improve, tlemolish, or repeir any stmcture, prior to its issuance, also requires Ihe apD�icant tor such permit to file a signed staterhent that he or she is licensed pursuant to the provisions ot Ihe Contracrors License Law (C�apter 9(commencing with Section 7p00) of Dlvision 3 ot Ihe Business and Professions Code) or that he or she is exempt ihere(rom and the basis For the alleged ezemption. Any violation of Section 7031.5 by any applicant for e pertnit subjects the applicanl to e civil penelry oi not more then five hundred dollers ($500).): � I, as owner o� Ihe property, or my employees with wages es their sole compensation, WILL DO 7ME WORK, and ihe siructure is not intended or oHared for sela (Sec. 7044, Business end Professions Code: The Contractors License Law dces not apply to an owner of property who 6uilds or improves ihereon, and who tloes such work himself or hersplf or ihrough his or her own empioyaes, provided that such improvemenis ere not intended or oNeretl for sale. It, however, ihe building or improvement is sold within one yeer of completioq the owner-0ui�der will heve ihe burden of proving that he or she did not builtl or improve tor puryose of sale.). ' ❑ I, as owner of the propetly, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS m construct the project (Sec. 7044, Business and Professions Cotle: The conirectors License Lew does not apply m an owner of propeny who huilds or improves thereon, and who contracis for such project with a comracror(s) license pursuaqt m tbe Contractors License Laws.). ❑ I am exempt uqder sec. Business and Professions Code for this reeson: Signature: Date: Owner ID veritied by tlrivers licen5e. ❑ Yes ❑ No Onvers License No. Verification of Ownership by (type of tlocument, i.e. - propeny tax bill or daetl): DIVISION OF INDU$TRIAL SAFETV PEflMIT CERTIFICATION: Expires: ❑ I hereby certify that no excavation tive (5) or more feet in depth imo which e pereon is required to descend, will be matle in connection with work amhorized by Ihis pertnit, and ihat no building swcture, scaffolding, talsework, or demolition or disman0ing thereof, will be more Ihan ihirry�six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ti�le 8, California Atlminis�rative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Industrial Sefety, as notetl above, unless such person has e pertnit to do such work from �he division. Signature: Oate: Division of Intlustrial Safery Permit Number: CERTiFICATE OF COMPLIANCE AND AUfHORVA710N OF ENTRY: I certiy under penairy of perjury that I have read ihis application and state Ihat Ihe intormation given is wrrect I agree to cO�m� ly with all sta�e laws and city ordinances relating to building conswc�ion, and authonze represematives of t�e City ot Costa Mesa to enter upon I�e above-descnb�dpr6jiqhv f^� inspection puryoses. 1 egre_e,no4to'ocwpy or ellow occupancy oi any buildinq authorized by this permit until final inspection. CODE �. INSPECTIONrypE 1fi16 Fized Sys�em Final Fire Prevention 1266 Pool SOa Finel 200 Finel Re-Roof 207 Final BIocWRetaininq Well 202 Final Factoty Fire Placa 203 Finel Sign 204 Final Demolition �g �NTITIALS Z_/G ` � Uate / Date CODE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final BuiltlincyOccupency YdIE Irmn��5 � � - -- - ' -- - -- -- - - - - — - - --- ---- ---- -- -- �-- -- - - - • - - -- - - J��z ,=� w � -/�z.�_� � S- _T_ - - -- � - - -- - ---- - - -- - ' ----=- --3=6= �� -�- - -- -- - , - -- � ---- -- - - - - -- - - 4-/� /Zd-u-� ,--��-�%- WJ �./</_�� -- - -- --' ----- - - - - - I � "__'-----�/L�/_f(/I% �r/ ��5----- -. __. _ -- - --- ---�-- - _ � -- - - -- r- ----�?-.2�f �--/(�IZ�S.z��sK�_ _�vr,_. _ �GL� - - - --- - - - - - I -- -- lJl�,2�w1 _ � /3'� b �_6(0�/�-- -- - - - - - i -- - - - - � --- -/2i�?'�. _ 3- � -Q� - • - - - - - - - - --- -- --------- - ---------- ------- - ---�i - -Fees ��t�p — lL7_°� __C�S„� - - �-- ---- - -- - - - - - , - - - - - - - � �-� ��`"' ,f ecc i,wrt � e / 5 S u�e r� _ p � c- --- . --- ,- -- - - - - - - - - --- — - i /�r' 1 c -- --- -- - '-------vK�55 GrI� Gvt/J�7`jpI'LJ---- 6�- -_`�6uiBv�e_. _ _b�_��.._. �I ------ -- �--�-1-�----- - � - -- - - -+�� - - �`'�' �as % �-T' o"en-�7` �r /3- 07,��' S3 �e _�-.,�p_ll�ti I' . - - - --- --- - - - - -- - - . ---- - -- --- -'I ' - _ �I_ .%�/G�iv� �aJ/l'rePsS � -- -- - ---- - - - - - - �C - - - -- l%'�,�� . _ �y,��" _ _ � - � �� S �%3x /�v i �v �- Cr=� _ __ _ I,.I -- - - C�S�9 �ias.�i �- -�i% - _ _ �26 2 G - '�� S57 -7�9�� - - itt --- - - 7i1� - - - - - - il , - - -- - �� - - - - - -- - - - - - - - - - -- -- -- - - - - - --- - --- - ----- - - -- - -- I' - - -- - - -- - - - ' ----- --- - - �� _ _ �l _ -- ---- -----�{j --- �`��,,� y.�----- - �-- � - - - �' - --- - ' ---- � � �,00xasaem�axa: 3249 NEBRASKA LN uNT: w+rEaswwEAc�x'":MYHRE, DAVID W TR FLOOD: X 37 � _eooness:z785 WAXWING CIR COSTA MESA,CA 92626 �rvi. wuiu+c �non[ss: IurcxrtecTon�mun: AHCN.ON ENG'91�DDPE55: wNrn,�cTars rw�: CONfP�CTOfl'4YYlYC �noxrss uc xo: ua no.: UNT: uNr: IJCENSED CONTNRCTONS OECLANITION: I Mroby ellim uMa paea�y d parjury Net I em liemxtl uMm pwieiau d Chaqr 9 (cmunarcm0 vrilh Section )000) tl Oivuon � d Ns Busnev xk Pmlaasions Code. vtl mY icense'v in fu0lace eM dlea. cm uc. No.: uc. cuss: uc. No.: EXP : ome� comree«: OW NEfl BUILDEN UECIAFATION: I Mreby etfi1m uMee penNy d pmFNry �� I em exemq imm IM ConlreGwa Lieenee lew la iM Vbw�p ree+M (Setlion ]W I.5 &unesa anE Prdaaeiona Gode: A Y vY v ooun�Y xf�id� reV�irm a Ga�G to mmtrud. Mr. impove. YIIO�t1h� IX fl�Bf BI�' B�NCIUfl. pfq! 10119 CWBIICl. 0�f0 fBTyIR! I�1! B(Ij�lfil �b Alt�l �IBf1111110 �B 8&QIIBd HBIBRiMI� ��18� �1B IX t�l! ♦ lieeneed pu�euenl to Ihs poNeimf W �Iw Conlretlan lieenu lew �Cheqw 9(wmmenoeq wilh $etlun )000) d Oiucion 3 d IM Biaim�a enE Rdea"vu Codel w ilw ha n Me e uemq tMrehom eM �M beae fa Ne ellepaE uempian. My vidmion d Setlian ]091.5 by eny appliram la e permn aubjeee ihe apDlira�t to a mil panelry W m� mora Ihen ive huMred tlollan �5500�). •P I.aam�mrdiMpropMYamyampbyasswihwepeaniheiedemmpemetion.WldolMxwk.eM�haevuctuno�imeMed ��"' oroXereElorWe�Sec�im)00<.BuvnevenJPrdeeaionaLotle:TheConvedoreLicensalewdoesnrneppymenownerWO�WsM wlw puid� «inproves IMreon. ud Ma Eoea �uM wM MmseX a Iwnef n Nrouph he a Mr oxn amplv/eez, pwided �hm wch imo�'��e ere not inleMed «dlareC la eab. II, Mwever, Iha buikinp w'vnpovemem u aok wnhin wr ym d oompletion, i�a wnar-0uilder xill heva ihe buken d poviip ha or eha did � Wild or imprare la iM purpoee W xle�. � I, m awner M iha propaM. em a�dueively mnlredinB �� IicenaeE conirecion to cons�rua IM propcl(SeGion l01 , Bueineee eM Prdeasims COJe: TM Coniredon licerue Lew Aom �w eppy d popxlY � buika w impov eM xfio con�racu iw wM Prqecla wnh e mNreqw(e) licenaed pun w ihe nlrepwa Liceroa Lew). � I em uamp uMar Seytlion: B. 8 P .,1« Dela: 3 `� '��//J er� �� 1 Eo heraby ce�ity IM1eI I em ewere W eM uMentend iha repuiromeme ot CelAamie H eXM1 arM Selmy C na 25505, 25530, end ]553C, eM Ihe� I a xry lulun buiMiiq ooaipent wiil l wil ml �artb wn) nseE Io mmply wih eeid eM IM rpuinmenb M •peimnlammvuc�ionartaCifielionhwniM�iT itiy7rarepemeniOislrid.RmMmiidcvna eppirmianeneaempimmtlme plW1910119. Dme: Applicenl: WOFKEN'S COMPENSATION DECUP�TION: I Mreby dfim uMm peiuAy d paj�vy ana d tln Idbwirq JxLratbro: � I have end W ma'vuen e candkNs d meeni to sepimun la waken' cmwenmion, m yovded ta b� Se�non 3]W d iM leEa � Cole. la �M pa�lamerce d Ne r.ork lu wNc� thb peimn e ieeueE. 'I ❑ in...d,ewmew.:,.mw.•oomo��.�.m�a�,vedMsems�aoaem.iena,coe..wmavMa�din. work Ia r.fi'rA mis Vsrmil u mued. MY wnFen ewnGanamion imurar,e unier eM VdKY wmber ue: c.m«: aaKr��mn«: Rn;: ma�m mea �« w m�d.�.e � u. pwm. e ro, on. nw�ema ecaa. /S,00� u bn! � I mnN � in Ne palamence d the work la v.fiich thn pe�mn n'muetl. I aMtl nd empb/ amy penm in vry menrw n m io became uibl� lo �M1a wkm�' mmpanwian lern M Ce�Jomu. end e�jrea Uw Y I ehauld becane wM� to �M wMen' �o�� wa+�oM d sea� a�oo d me �n« coaa. i wn imn..vn o�pr •mn in� pa;.�. Dele: Aod�� WemNp: F�qun b ucun wnM1w�' mmp�ruetlon cov�rep� Is unlMul. eM �IWI uC/�cl an xnplayw ro crlMrW pm�ltlp eM dvll flMs �p ro one hwEretl tlwuunC Colbn (Sf00,P00A �� e�ClHon ro Ms co�f o/ comysiuetlon, Wmepu es proWtleJ br In Sxtlon 91f16 0/ tlr� la6o� Cods, InHrul. �ntl ettomsy's lsu. CONSTFUCTION LENDINO AOENCY: I hereW dfiem urder par�My d parjury tlim ihera u e mrwivaion kMiip apeney lor Na �,n�.� d me � i� wn�m me w�� n o�aa �sdao� �os�, c:+. q. LENDEH'S NMIE: LENOEH'S ADDPE55: I ceniN �het I Aeve reeC �hia epWicmian eid uma ilw the ebove intormmbn u carrea. I eY�� to camPM wnn e0 rnv ud mun7 adinenwa end slde lawe reletn0 �o W ilCinp canavudim eM hereby e�nMrae rtpreeantelives W this dty to enter upon Ihe ebwe-menlioneE pmparry �o, irevoea� w,00ses:. _.._.. .......... . o�a: � 6 - 9l0 (515t>s WP) WhXo-Buildvq 8 5dby; Oreeo-Fla; Cenery-AppYceni; Pink-Hevenue; Goldenrod-�aeamor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 076693 PERMIT NO: H 076693 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: OTH JOH DESCRIPTION : FINALIZE EXPIRED PERMIT FOR ALUM PATIO C SQ FT: 280 CLAIM VALUE: 30,000.00 CALC—VALUE: 10,906.00 GROUP OCC: R-3 / COMMENTS: 280SF ENCLOSED ALUM PATIO PERMITTED UNDER #50651 jE iE IE IE 1E 1E if If if iE 1F iE aE iE iE IE 1f 1E fE iE iE �F iF iElF if 1E 1E iE 1E if fE �1E fE iE 1E if 16 if 1E 1E 1E iE fE IE 3E iElE 1E �E 1E 1f iE 3E �E aE if �E 9f IE iF 1E 9E IF �E if �E iE iE fE iE if iE 1E iE IE 1E IE 1E Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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 REQ: PROV: PARCEL: 13906408 ZNE: R1 REF NO: PLANNING NOTES> i 1E 1E if 7E iE 1f if 1E 1E 1E 1E 1E iE 1E iE iE iE iE 1E iE IE iE 1E iE iE iE fE 1E 1E IE if Ik if 1E iF IE iF iE 1E iE 1E ik 1E iF 1k iE 1F ik 1k 1E iE 1E iE 1E if �F 1E 1E 1E iE iE iE IE 1E 3E 1E iE iE IE 1f iE 1f 161f iE itlE Ik 1E D E V E 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 ZONING APPROVED BY DATE: BUILDING APPROVED HY : DATE: APPLICATION ISSUED HY: � DATE: �� P 1Fik3iiEiEiEiElEiEiElEiElEiE�E�E3EiE�kiFiFiF��i��f��-3f�F��3F3f�f�f�f�if�F�F��f�{F ��$�iE1f1FlfiFiEififiEi(��iEif LEGALIZATION:N F E E S. U M M A R Y STRUCTURAL SEGMENT:Y f � . � BLDG PMT PLUMBING ELECTRIC `MECHANIC FIRE SMIP/RES GRADING PERMIT 126.00 ' ; i� 1.09 'r' - • �j'� SMIP/NON—RES PLAN ��,7� ,j �/ ZSSUE FEE •� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK'�� TOTAL PAID DUE TOTALS----> 127.09 0.00 0!00`'J 127.09 127.09 .00 / ..'.l REVENUE DIVISION TOTALS--> COLLECTED: ,' 127.09 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC •• FIRE SMIP/TOT GRADING PLAN—CHECK 126.00 .„' 1,09 1E1E3EIEiElEiFlEiEiEiEiEiFififiElEiFikififfEaEiElE3ElElElFiEiEaEiE1E1E1EiEfEaElF.if.iElE3E.1EfEiE1E1E1EiEiElEiE3ElEfElffEiEiE�EiE1FiEifiElEiEiElEiElEiEiEiEiE1E1E I N D I V I D U A L F.E'E .H �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 280 RES—PATIO COVER—ENCLOSED'PAT•IO 38,95 10,906.00 END OF;FEES j js . � `�� ! ' �.�`� _ � - . � _ :�l( �1' _' _ . � . � .- _ . . . . . :�' . ��CTION AND PIANNING PO � SPA '�7I APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspec�' -� i. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2, Soil Pipe-Undrgmd. 53. Steel Reinforcement 3, Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit�Undrqmd. 55. Electricat 8onding � 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 6. Etectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �7. Footings 58. Electricai Conduit�Undrgrnd. ' -g, Foundation 59. Gas Pipe, � Undrgmd., Test . 9. Water P�pe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK i 71, Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing System - Pinal 74. Rough Plumbing 65. Etectrical-Final 15. Fiough Electrical-Condu�t 66. So�ar Svstem-Final 16. Rough Electric 4Viring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING i$. Rough Electrical�T Bar Ceiling 69. POOI/SPA SYS7EMS FINAL 79, Rough Heating & Air Conditioning- FIRE�DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPftOVAIS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe•Rough & Test , " 72. Underground Plush 24. Roof Framing ' 73.. Undergmd.StorageTank OGas ❑Oil 25. Roof Sheathing - 74. Overhead Hydrp . 26. T�Bar Cefling (Structural) & Monowat 75. Dry Chemical � 27. Frame and Fiashing 76. Dry Standpipe . ZS. Lathing & Siding � � 77; FIXED SYSTEM FINAL - 29. Insulation � 78: FtRE PREV. F1NAl 30. Orywall Nailing - HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power MecerFinai ' 80. F000 CERTIFCCATE ISSUED 33. Final Electric No� s: 34. Final Heating & Air Cqaditioning � Y�_ 9/ � 35. Final Gas Pipe�Test _�i� - - - � 36. Hood o� Canopy _ ��/�� t1i-�i�- 'o _ . _ 37. Flnal Factory Fireplace 38. Final Plumbing . 39. water Service=Final 40. Gas Service-Final � � . 47. Solar pomestic-Final � 42. Backflow Preventer. • 43, Backflow irriqation , 44. Landscape irrigation System - � � � � 45. Sound Attenuatioa � 46. Handicap Regulations � 47. FINAL STRUCTUflE & BUILDING 48. FINALPLANNING � . 49, Electric Release to Edison ' - 50. Gas Releaie to Southem California Gas Co 51. CERTIFICATE OF OCCUPANCV No. Date . . nooxFssorem�arw: 3 2 4 9 NEB RAS KA LN uxr: wavexsnnue�+roawn:MYHRE DAVID W TR FLOQD; X 37 �ooxess:2785 %fAXWING CIR �._— 'COSTA MESA,CA 92626 �rv�. �uuxa wo�ss: dflCNRECTONFNC�NFEP: WMN.ON ENG.'S ADDIiE55: CONiHACTOffS NAYE camucToaswuuxa won[ss: ua xo: uc xo: UNT: UNT: LICENSED COMHACTOPS DECLANATION: I hereby eltvm under peneXy d perjury thet I em liceneed under pwiaom d Chepter 9 (eommmoiq vmh Senion ]000) d Dimun 3 d �M Bud�wn antl PMeaabna CoEe. eed mY linnea ia in lull laiea erd eXea. cm uc. No.: uc. cuss: uc. xo.: E X P: , oa�e: comrea«: OWNEN BUILOEP UECLAHATION: I hareby elfirm undar peneXy N parjury Ihat I em emmpt Imm �ha ConVedae Licenee Lew for IM 'Mbw'vp roewn (5edion )oJ1.5 Buanma arM Profession� Cods: �nY ctlY Q�ntY �� b0uiree e pe�mn to mn�vun. Ma. impme. emd'n�, or repei any s��ucture, pia io Na aweree, e6o repuiree IM epplireni Im wch pem�A to fib e egmC nabmenl thel M a eM o IicenaeE W9uen� ia �he pransiona d IM Coniredwe Licanse Lew �Cliepter 9(mmmend�q wilh Sedion ]OW) d Ovebn 3 W Ihe Bmineee eM PrMeeebru Coda� w thel M or eha is exempt Ihxeirom end iha bvie la �ha dbped exem0�� A�Y �bW nn W Sed'an J031.5 by eny eppllrenl iw e permil wbjeds ihe epplicenl lo e mil perely M rp1 mora ihen fNa hwMieE ddlen �5500�). }(Q I, es owiwr d Iha propany w my empbyeee xAh weges av Ihei eole mmpenaetbn, xill do Ne woA, end tM Mruc1ure'v nM intenEeE or oMared br eele (Seclbn 10ad, Buaness arM Proimaiona Coda: The Conlredon Licenae lew doea nN epplyto en ownero/ prapeny who Wids a inpmvas �hareon, enE xfio does auch wak MmmX a Mne� or ihraph hu or her own emplvyeee, qaviAed �hal euch imprwemeM� are ra inierMed or WemE Iw eab. M, however.IM WiMirp a inpwemeni ie aoM wnhin ane yser W oompletion, iM owner-0uiNer will haro Iha buNm d provinp ha or ahe d'M iwt build or improw Iw Iha puryoee d aele�. � I. a� owrer d ihe propeM. � exdwirdy con�radip wM 1' n ro mnurua iM projed 1�� ) . uaiwe anE Prolefsiau Code: The Conl2Gmt Licenaa Lew doea lo en o d popm�y wM WiIM a impov aM who omrecu br euch prol�s �h e mmrecla�e) Ike Ounueni io iha Can (aewe Limne w). I uemq uMer Seclion: . 8 P C., lor ie oeie: — i. «: � � i eo M�r �w i� e.�a d d,e ��anw�d ub rca��ems a ce�eomm Heenn ene sdey c ' s zssos. zssaa, ene , arM ihm 1 a e�ry iNun Wildirp em�peni xill / wil �(crcb aie) naed �o canply wih seid m ud �he raquiremenn lar eparmnlormnsl�uclionormodififelionham�twRi�Ou niy{IeneBemenlDiatAq.qesitlenlielmnetru nappimtioneane�emplmmlMee ove: nod��: WOFKER'S CONPENSATION DECUR�TION: I hereby effirm uMx peneXy d pa�ury aro d tha blbWrp dWuetuns: � I Mro eM xi/ meimen e cerliliceb d mnaanl lo eeM�inwn la v.aken' canpmvian, n pwNed Iw by Saqian 3)00 d tM labor COEe, Iw iM p�iwmence d iha �k la which Ihie parmd'n iaeued. � I hew e�M xil meinten woMere oompan+eiion inwreMa, n requireC by Saaim 3100 d tM Lebor Coda, for �M peAormance d tM wak la which Ihia parmil u reeued. MY waYan' mmpenwnn imurvice �emar eiW pdiry numbor ere: c� . PdkyrNumbsr �m�: sec�rc� �e.e �a ee comobroa � �M w�� n ro� on. nune�ee ewbrs Isiaul w �w� � I ronAy �het in Ihe pMormence M tM woA lor wi�ch ihie pe�mil ia ievuetl, I ehell nd employ eiry penon in eny menner eo m to becane aubjeq lo iM warkere' cwnpanwion levn d Celibmie. e�k epres ihel il I MwM become abjeq io �M xaM1en' mmpense�ion P�b^+ d Seaian 3100 d Ne Lebor Code. I ehell lanhwilh compy witli Ilwee Orovi�iona. Dete: Appl'rent: Weminp: F�llun ro�zun worka�' compxwtlom m�rp� b unlewNl, m0ilull �ub/�ct m xnp/oyo fo ctlMlul p�naMu enJ clvll One� W ro on� huntlrW tMuuiM do/Yn (5100,000/, In �ddltlon ro M� cwt ol romp�wHon, d�m1p� �� provltlW b� In S�ctlon 0106 0l M� Lebor Cob, Infx�st, md �ttomryY les,. CONSTNUCTION LENDIN� �OENCY: I Mnby effirm urAer penelry d perjury Ihet thare n e oonn�udian bMinp epency br tM pariamenoe W �he wM for which Ihc permt ie oaued (Saqun �O9), Cir. C). LENDEF'S NM1E: LENDEP'S ADDFE44: I eenity �hm 1 heve reed Ihis epd�� %�me Ihel �ha ebova inloemubn n eortep. I epree to eampy xilh ell My erd wunry ordineMes arM stele kws Me�iq io buiWinB Po��a^ ^^� hereby au�horrse �reaenietivea d �hc ity to enter upan �he ebwa-menlbnetl propaery Dme� S' � — / � 15151-98.W P) Whne-BuiWip 8 Smery: Greart-Fle: Canary-Appifent: Pink-Revenue: Goldanrod-Asaeaor CITY OF COSTA MESA — BOILDING PERMIT ERM NO; B 076697 PERMIT NO: B 076697 PLAN CHECK NO: N GOVT: N SUPP: N CONSTROCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : FINALIZE EXPIRED PERMIT FOR ALUM PATIO C SQ FT: 525 CLAIM VALUE: CALC—VALUE: 16,943.25 GROUP OCC: R-3 / COMMENTS: 3755F ENCLOSED ALUM PATIO PERMITTED UNDER & i50SF OPEN PATIO *x *****�at�tit*�***� ieieiE�at*iE� *ie*�***�*��iE+r+�+�**itat�*****x ��*ie*�***at*�*�*iEit***iE*ie****iE Z O N I N G R E g U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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 REQ: PROV: PARCEL: 13906408 ZNE: R1 REF NO: PLANNING NOTES> > !E iE iE iE 3E fE 1E 3E iE iE iE iFlf 1E iElE iE 1E 1F 1E iE iE if if iF IF iE if if !E 3f iE 1f 1E if 1E iE iE 3E IE 1E iE 1F'1E iF IE 1E 1E'1E IF �IE iE if 3f iFlE IE iE IE IE'lE IE 1E'1E if' if 1E 1E 3EiF�iE iE 9E'IE 1E fE iE iE iE D E V E 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'� S ZONING APPROVED BY DATE: �" BUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: � DATE: +�**�*�*�*��****��*****��s�� s��****�*� +� / LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EG ENT:Y BLDG PMT PLUMBING ELECTRIC ''MECHANIC FIRE SMIP/RES GRADING PERMIT 180.00 'S . 1.69 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE TOTALS----> 181.69 0.00 f � PLAN=CHECK f � . � � SMIP/NON—RES TOTAL PAID DUE 181.69 181.69 .00 REVENUE DIVISION TOTALS--> COLLECTED: 181.69 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 180.00 „ 1.69 iE �)E iE iE iE iE iE 3E iE iE iE 9E IE iE iE 1E �E �E i! 1! iE if fE iE 3E i! 1E iE fE iE �E iE iE IE iE 1E 1E iE 1E iE 1E 1ElE iE IE iE 1E 1E 1E iE iE it iE it iE 3E 3f iE �E iE 1E iE iE if iE iE iE iE iF it IE iE 9E iE iE iE �E iE iE 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 150 RES—PATIO COVER—POST &�TRELL•IS 15,58 2,337.00 SFR 375 RES—PATIO COVER—ENCLOSED PATZO 38.95 14,606.25 END O£ FEES • ' �+ r�'- -� � ,:L1'_50 T4—C^ . t rc ' CONSTRUCTION AND PLANNING � , PO� & SPA - A�oROVALS Permit # Date Inspector " AppROVALS Permit # Date tnspector �• t. TemporarY Electrical Service or Pole 52. Pool & Equipment Location 2. •Soil Pipe�Undrgrnd. 53. Steel Reinforcemenc 3.tElectrical Conduit UtilitY-Undrgmd. . r 54. Forms '• 4. �Electrical Conduit-Undrgmd. 55. Electricai Bonding ' 5. Steei Reinforcement 56. Roagh Piumbing & Pressure Test . 6. �E4ectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE • 7. Footin9s 58. Electrical Conduit�Undrgmd. 8. FoundatiOn �� 59. Gas Pipe, O Undrgrnd., Test '� 9. Water Pipe�Uodrgmd. 60. Backwash Lines, P�Trap, � Undrgmd. � � 10. Structural F1oor SYstem � 67. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. �Sewer Ca0 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System � Pinal '14. Rough Plumbing � - - 65. Electrical-Finai 15. Rough Electrical-Conduic �- . 66. Solar System-Final i 6. Rough EI¢ccric Wiring � 67. Fencing & Access Approvai 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEh9S FINAL 19. Rou9h Heat(ng & Air Conditiorting � . F�RE BEPT. REQUIREMENT 20. Rou9h Factoty F�replace ; � ' _ � , _ , APPROVALS . Permit # 27. Duccs, in Structure 74. Undergrourid Hydro 22. Ducts, Ve�tilating ' � � 71, Product Piping Gl Gas C10i1 23. Gas Pipe•Rough & Test � - 72. Underground rlush-� - 24, Roof Fram�ng � , 73. Undecgrnd. Sto{age Tank � Gas ❑ O:l 25.-Roof Sheathing �, " .-� _, 74, Overhead HYdto 26. T-Bar Ceiling (Structura1l & Monocoat ' _ 75. Dry Chemical '- , � . 27..�Frame and Piashing � � � , . . 76. Dry Standpipe ' - 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation � - 7E. FIRE PREV. FINAL 30. Drywall Nailing _ ' HEALTH DEPT_RE¢UIREMENT 31. Piaster Braw� Coat' � � 79. FINAL INSPECTION � 32. ElectricaFPower Meter-Finai 80. FOOD CERTIFICATE ISSUED . 33. Fina4 Electric.. ' � . Notes: � � `• 34. FinaCHeat�ng & Air �Conditioning ' � _'7=p/_ � (� �_� I /�� _/ _ / Gw vr�-K V T 35. Finai Gas P�Pe�Test " �, �� _S` l�, -_ /i�� 7' L� 36. Hood or'Canopy �o �,� � 01� _ /'�,,�_ !T (� 37. Final Factory Fireplace � � 38. Final Piumbing �. - � � 39. 4Vater Service-Finai � ' . , 40. Gas Service-Final . 41. Solar pomesticFinal ' ' ,� ' , , 42. Backflow Preventer _ . . . �3. Backflow Irrigation - � �� , 44. �andscape Irrigatibn System � . � 45. Sound Attenuation , � _ „ - 46. Handicap Regulations . 4Z FINALS7RUCTUflE&BUILDING j�(z-Y(p �(,�/� 48. FINA� P4ANNING � � � - 49. Electrie Release to Edison �� - � 50. Gas Release to Southern California Gas Cn . 51. CERT{FfGATEOf OCCUPANCY No Date � � . . , ��9') , ; COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICA'I70N FOR STRUCTURAL PER�11T ' V.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RE IV 0 PERMIT 1�10 5Q651 For AppGcant to Fill in Completely — Use Ink Only tv ADDRESS � R S A� µ� BUILD�NG OWNEA OR n. ADDRESS TENANT L � " UNIT OR ' ' � � . MAILING y9 �� SPACENO. � ,' ADDRE55 TR.N �Z LOT 2 . BLK. TEL. �J I� CITV OS' NO. S 3 COWTFUCTION ` NEW ADD LTER RE�AIR MOVING DEMOLISH iLENDER O �� I � BRANCN � ' dJ�J � � OWNER ��( ADDRESS �///�"/� /� 7� U � ARC C ��' V1�LL' 'TEL. ' ' U5�/"r.� /T// s O GINEER ADDRESS S' ZONE TVPE GROUP ' ' APPAOVED � ' . CONTRACTOR S• Cd BV DATE ADDRESS y � - 1 = .:' D � � �- ' � ' • TE L. -' CITY . � �NO. � � � F STATE CITV A�ROVEDSETBACKS LIC. NO.� / 3a IIC. NO. � SIZE - NO.OF�BLOGS, (FAOMGLSTREET�' 0. OF LOT NOW ON LOT qpNT '�.�. EXLSTING BLOG. N C nih I C I� ' `. . . �� 2 � �� Separate permits are required for �, i� Fr. / � electric, plumbing and heating work: qEAR r' FT. ��` ' � , � USE OF BUILDING AND WORK TO BE PERFOFMED PLqNNING ACTION Q � DATE Q, JO C (,J APPROVED � APPROVED �//� � } Ci ..1 K ' O�.' -Yc<�++'r...."`__ rlit'"T�P;t�rl�: �7AU p� 0 I�Ter'e6y ack�owlatlqe•that9Tave reatl�this epplicetiom�e�d nate ` � Mia[ the ebo`ve Infar`mdYon_Ii,coireci��e�`e8r0e�tq�Comply wi[h ,. a all�laws rpulaHnp Eviltlinp.corisirvcilon, entl I�shell not employ � z eny parwn in vlolaUon of Me-workmen's:corr�pensation tews of ° f+� �Li�ll L VY�� .. .: S M�Stete of Californla. m 3 I raCy certity t�at I am p�oDerly license��tl es i � SQ. FT. N th State of California,BCinna•en0`Pr'Ofession"' s Cotle,��i o'� .��Tj}I�AMOVNT SMOWN UNDER VALUATION IS FOR m C�ptdi'N, en thai su�h Iicenms.ereUn�tWl�tarci;dnd Nte pr 1� � T FURPp$E OF ES"fABL6HING A PERMIT FEE ONL�: am�x�p� �ro ,, e:Or'ovisions of'th¢.Staie�of , y"n(5 Buiinecs''� •- �� y antl7r }¢ssions otle,-Division %Ch� ef :-��,y ydt�� "'�l�'W TION PERMITFEE f�� m $ip atvr� W�' ""'�1�. �`��: .�.��..�C � �1, "�Q,(� �B PLANCMECK S D.O o � , ..� �� 'Jf' (�.;��.��%17'� Permlttee . .• ' ' "�'�.� . — � - n(; 'S!. LL � Or �Id...ai...._--- ]UL.. � -:- . ' � TAX y � autRor�zaa kq�ei`�CD, e t Cl"`/�— �O.r`��u"'JC:."' D.�.� u ��_,_tt TOTALPAID S < QN7c.., �.._ �1�- �,.', .1W:...�..1. ._..^',_•- r!?:`-::Ci;� � .y`; 7.:11".1:?�,JW. _,r-� �M.�;l.� ..�.ii.� ' _ . 'f�,-��.�b�l._,�,.o•iv-� �'TOTAL FEE � �a �---. _. � �� -� � 30,= s i o��.;u�i � �i-f�� ' z�N�� c�-�-1 _ �rrla,l �� 1� (�u�rr� vUc��f- L� �ti� f�pr� �'�'� � �3� f/�`tGl� �fi 7 :� u-T � ��{��{f�"`�.� I S ;3�� '�, �� 1�� '�_ y��`t�r�� ' ,)"r/�- ^ j 8u��a�� ► �'�� ►=�� S �r _ � : _ ._ - - . --�,a� __ � � : _�r�l� r� �`�"�---� - ,�,�-. .�,c�'�� TNz�- .: gvr�oi�ty �F�/-� -�'t-1� ,��r� � - ��"� � �-+�t r�rr� r�tc�- ��;��J �� f�� l�- -A��eiz�n/ . �,thq _S /�t b (A!i � 7t-rA�N �v3 l3�' G� �� v��Tt�- .� ��' -�� ' . � . DM3ION OF BUII.,DING SAFBTY CRY OF OOS1'A MESp __�. . i �' ►, 'yY��r +�ir...rn.�� 1tiMdM� edA�K MU9Ybe I�pt an Nsbb �t Mliw •d1�OW11b�rMptd�nget a►0�rallan an eame �dia pM111b1owMOYYAaalBui�prd Satetq� t�' d tk�l�ip Thrt�rtlpYOdtlA�o��d � SHALL WOT be he(d fDpqOt sroe�eey�.pp.rorB.LLa.er N�naanparovisionsmart�rA�raooq. ��M11n4141rMY��. TIM68 p�i!!d D� S�t9� 9Iph8 Cy �f11I8tlai dtW bflCORle rttld 2tid Vdd d Qie buHdtrg a tiOAc Is iro1 commer�ce0 and mafntained ac�ive psr UBC §303 Icq wredn tfio eays of kss,e�,ce. �� i �VPL.WUl1N0 ADURE59: �PCNITECTOflfNdNFfA: IJiCN.OP fNd'8 AWNE59: CONfNACTOR9NAYE: CMfP1CTORSYAl1IIq �100HESA 9 NEBRASKA LN uNi: E, DAVID W TR ELOOD: X WAXWING CIR A MESA,CA 92626 uc r+o: UNi: IlC ND: CITY OF COSTA MESA — BOILDING PERMIT 37 ERM NO; M 076700 PERMIT NO: M 076700 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH UNT: LICEN4ED COMP�CTONS OECLAPITION; I Mroby Nim uMr panely d par'ryry pW I am IiqroW undx pwnian d Chepter D (eomm��^0 xah Sxtion 1000) d Oirvion � d tlw B�aroq W Pmlo�im� Cods. W mY Gcanw b in fW brt+uk Nlea. cm uc. No.: uc. cuss: uc. No.: EXP : o.i.: coou.aMa.: OW NEH BUILOEN OECLARATION: I Mnby tlfiim u�r pxWy d pmj�ry Ihtl I am �Remq from IM Comrmon lioen�e lew la t�a Idbv.hi0 rwaon (Sadion ]W1.5 &nnna and Prdawio�u CUM: MYW n epuuY wtif� rep�wu e G�Y to mmbud. etlx.'unpro.e. demd'eh, w ropei eny eWcturo, p'w b Cs iauana, eho repu'um IM epamnl tor drJi pam! lo fik e opned Memenl �IW M or aM is lioenrod punueN Io �M pOvuiuu al tlw CW�edO�� li[w! faw �CMplr 9(wnnetq'p v.ilh Satlion 1000) a�'m� � d IM BuviMa erd Prdepian COMI a Ihel M a eM e uamq �Mrehan W �M bmu in Ne eAeO� usmd'on. Nrv vuW an d SMbn ]OJ1.5 EY NY aVO� Ia a W�^v g�KK+� �M eppfwi lo a ci W�7Y d M mwe Nm �xs huMAd do0uf �5500�. x❑ �.mohn«ao»o�wm«�n.�'...•.n.,.0e..�m.:.wcvmv�.weou»wh..mth..mmn�nn�v«wae w dlaed tar aeb (Section )oaa. Bmron W Pmlaa�ioieCOEe: TMCmt'euon licxue lew Eom not eDdYto en oxrn d pwaM wAo WiEa a inG�'as Iherean. and Wc Ooaa tud� wh limsetl a henN a IFra9h he a Mr am r�qlv�s». Va'� Ihet uv:h imwd+emaae ere ra wend.a n an«ea ta we. d. noww«. �ne ewid'uro «:�n�«e u eda wiinu, one vser a oomowun. Ne owmrLuhla r.in ha�a iM WNan d painp M a Yr GiJ nol ddd a'vnpwe ta Ne qvpms d vk/. � I. m o+mer d tAe D�W�Y. em e�A�'M' aomre4�q wdh 4oenaeE aon m mmua the p9� (Sauon l . Bus'vwa en0 Prdevime COEo: The Conireaon Licenae lew doee m� ep o en o er d propeM �� a impov I ereon eM who wnlrecu la wcM1 proptla Mh a wtlretlohf) li[etuM I Ihe ntrMaa li��ss lewl. em exemq uMm Se�fbn: B. 8.., lor ela: _ �p �. '(� � � �. I aaW caniM Nm I om .wve a vk inaraivrd Ne nGw�am d Celtmde HeeEh eM `+NSY nm 25505. 255a'f. vd . eM Nel I a ury Mun duWiiq momen� xill / wil m� (�b an) roeG b ampy wi� eeid md iM ropuiromeMs la eD�'^Hlnmrol�uctiannmoEJreicntromlMAi�ly.en^Oa^�Oitttin.RedAeNielamHtutl' iamuaummqfromlMea ao��. DW: MV��: W OHKEN'S COMPENSATION OECUN�TION: I hsrW/ afbm �tlr pwEy d payry ms d Ne Io0ow4p dsdvviom: � I Me xd W mmiven e cenA'uta d muru �o utliemv� br wukan' mnpew�bn. n pwidad I> Ey Saeion ])00 d �M lebar CoM, lw iM ps�amvca d Ne Yaek lor wfic� Nb pama e Wued. � IheweMwJme'vXenwwken'mmW�+mon"vmauo.mrpuvWWSetlian1l00dlMleborCods.latMDWamenroWiM w«k la xNc� iNe Va� b iwuW. MY �aMeii mmW��bn'vuurerca rartier vd W��' number va: Ce�risr: Pofiry NumEs: �fiia esctiarr nss! nd h mnpbfeC f fM prtnt e b aa huntlred LaMva /fiW/ a bss.1 � I corlN Ihel in Iha p�o�marica d IM wo�k br wM1c� Ihb pemN u ivuetl. I Mell np smpb� vry pereon m enY menner p ea lo Cecams euEjed lo IM xoM1are' canpanation lew d CeNanie. enE eyres Nel ! I tlqWE lecmie aEjad lo �M woMen' canpenwbn pimison+ d Seeian �)00 d iM lebw f:ods. I JWI IOMMah mnpl� wh thoes qo`voru. DUe: Md� w•minp: F.uw ro ucun woikw�i �umpw�Non cw�rp� Is urWwRq uM �IWI �uD/�cl �n wrplqw ro MMNI pxi�lflu .ne elrll nnu w ro am n�ntlnd thouwntl Edlan !st W aooA M tllldon ro tl�. cw� o� miro�wtron d�m�p�s .. puvhM ror /n S�ctlm J1G5 0l llr� L�Dor COCe. INr�� uW �ttomn"I fw. CONSTilUCT10N LENDING AGENCY: I Iwoby el6m uMr ps�eEY d prNy Ilw rtiers e e omrteudion 4dirp q�enry tar Ne p!l1IX111NR! f� 1�! MIXk �Ot M�IIfi1111O Ve�� O YtIMd (JCfIM'.1081. {�rN. �i�. LENOEP'S N�YE: LENUEN'4 ADORE55: I cmity It�m 1 hma �eed Uu eppficmim end stma Ihel iM ebwa iNametcn o cortsd. l qpse ta canply xnh M ary W coumy wdinerKav eM slma lewe �NelinO a b�iNiq eon9rWnn eM Mreby eNharixa npeeeenleW» dthif tl1Y lo anler upon IM ebova.mentuneE propeM '°"n9ped�''"`�°'DAVID MYHRE � .� � PNu r+ame � Dme: �— L "� fo' (St5ta6WG) NTuo-ButldnG85efery:Giseriie:Caury-Appfraa;Rnk-Hermu»:GdEeneo�Naem DESCRIPTION : FINALIZE EXPIRED PERMIT FOR ALUM PATIO C SQ FT: M VALUE: CALC—VALUE: GROUP OCC: R-3 / MENTS: REF: B-76697 ik 1E 7F ik 1F 1F 1F ff 1F 1E IE iE fE iE if iE 1k fE 1E 1! 1E 1E iE 1f if if 1E if iE 1E 1E 1E IElE if if 1E IE 1E fE 1E iE 1! iE 1E 7E fE 1E 1E if 1E 1E if ik If 7E 1E 1F Ik if iE iF if if 3E 1E 1E 1E iF 1k 1E iE 1E 1E if 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 ---------- --------- ACCESSORY BUILDING --------- 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 REQ• PROV: PARCEL: 13906408 ZNE: REF NO: PLANNING NdTES> � ' ' 1E ik �F iE �E 1ElE 1f iE iE 1ElE fE 1E �f �E 1E �E fE fE iE iE iE 1E 1E iE 1E 1E 1flf iElf iE if fE 1ElE iF 1E iF 1f� if 1E if if 1E iE if� iE ik iE iE iE if 1E iE iE iE iE fE 1E iE fE iE 1E 1Elf iE iE ik 1f iE IE fE iE if If 3E iE D E V E L O P M E N T S E R V I C E S R E Q CT I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY : APPLICATION ISSUED BY: ..�. 'If'IE ih 1E iI' 1h # if 14 i4 i%iF iP if 1E 1E if iE iflE if if LEGALIZATION:N F E E S U M M A R Y DATE: c� DATE: J � iElE3EiE1F�EiE3E iE STRUCTURAL EG ENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 25t SMIP/NON—RES PLAN r ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9.00 15.00 � 0.00 24.00 24,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ��24 . �Q PE QTY 1 ib IE iF i%i4 iE iF if IE if �f if IE 1E k ih 1E ih if 1h iE ih ih if 11' ii' iI' 1F iF i%1E ih if if i4 ih iE iE i411' ih i(' ih iE ih 1%1h iE ii 1F ih 1f iE 1E i41I' IE 1%1f K iE iI' IE I N D I V I D U A L_ F E E H R E A K D O W N D E S C R I P T I O•N UNIT COST REPAIR/ALT HEATING •UNIT/SYS W/CNTLS 9,00 _ END OF FEES TOTAL COST 9.00 �CONSTRUCTION AND PLANNWG , APPROVALS Permi[ # '1, Temporery Electriral Service or Pole 2. '.ioi1 Pipe-Undrgrnd. � 3. Electrical Conduit Utility�Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcement 6. Electrical UFEft Grnd. ' 7. Footings g, Foundation 9. Water Pipe-Undrgrnd. 10. Structural Fioor Svstem 11. �Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Orains 14, Rough Piumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiri�g 17, Rough Wiring Sign 18, Rough Electricai-T Bar Ceiling 19. Rough Heatiag & Air Conditioning 20. Rough Factory Firepiace 27. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test - 24, Roof Framing ' 25. Roof Sheathing 26. T-8ao Ceiling (Structural) & Monacoat 27. Freme arW Flashing 28. Lathing $ Siding � 29. Insulation � 30. Drywall Nailing 31. P�ascer Bmwn Coat - 32. Eleciriwl Power Me[er�Final 33. Final Electric 34. Ffnal Heating & Air Conditioning �� 35. Final Gas Pipe�Test ' 36. Hood or Canopy 37. Final PaCtory Pireplace - . 38. Final Plumbing 39. 4Vater Service-Final � 40. Gas Servic¢-Final � � � 41. So�ar pomestic•Final 42. Backfiow Preventer , 43. Backflow Irrigation 44. Landsca�Se IrriqatlonSystem - � 45. Sound Atrenuation' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILOING 48. FfNALPLANNING� 49. Eiectric Release ro Edison 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF OCCUPANCY NO Date Date P00� & SPA lnspector AppROVALS Permit # 52. Pool & Equipment Location 53. Steei Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgmd. 59. Gas Pipe, � Undrgmd., Test 60. Backwash Lines, P�Trap, O Undrg.nd. 61. APPROVAL TO DECK ' . 62. Backwash & Receptor-Finat 63. Heater & Vent�Final 64.�Plumbing System � Final 65. Electricai-Final 66. Solar SYstem�Final ' 67. Fencing & Access Approval 68. APPROVED FOR PIASTERING 69. POOL/SPA SYSTEMS fINAL - � FfRE DEPT. REQlf1REMEfSf _ � APPROVALS Permit # ` . 70. Underground Hydro 71. Produc[ Piping O Gas ❑ Oil 72. Underground Flush � �73. Undergrnd.S[orageTankOGas �Oil � � 74. Overhead Hydro 75. Dry Chemical � , " 76. Dry Standpipe 77. FIXED SYSTEM FINAL - 78. FIRE PfiEV. PINAL � HEALTH DEPT. REQUIREMENT 79. FINRL tNSPECTION _ 80. fOOD CERTIFICATE ISSUED Notes: �,dti �G�" % s�_� , i„` Date � tnspector � ssorawiaxc: 3249 NEHRASKA LN u�r: x,u�E+ra+vxx:MYHpRE, DAVID W TR FLOOD: X 37 �DDNE55:2%pS WAXWING CIR „ 'COSTA MESA,CA 92626 MPL. MAll1NG WONE55: AfICNRECT OP FlKiNFEP: AfICN.OP ENG.'S ADDXE55: ua rw.: mrrm�cTars ru�: cam�cTorcs �uuwo �ooaEss: � uc.ao.: UNT: UNT: LICENSED COMPACTOXS OECLAPRTION: 1 henEy eflim uMm pe'aly d peijivy i1W I em fcxued uMx qwmau ol CAeqp 9 (mmmaridip wnM1 Seciion )000) d Orvision � 0/ �he Bumneea eiM Pro/eniana Cade, ud my limve n in lull lorca vd eHed. cm uc. No.: uc. cuss: uc. No.: EXP : ome: comrea«: OWNEF BUILDER DECIARRTION: I hereby �rm under penety d perN�Y �� em exemq Imm Ihe Camrmae L'aense lew la tM Idlow'viB reeao^ (�� 0�1.5 Businese end Pmleeaiona Coda: R�ry eYy v muMy xfiieh eayuiree e parmil to eonelrud, eller, improva. demd'nh, ar repei eny sWpun, pnor io e� ewenca, e6o reywres iM epd�� a �h pmmu �o file a eqmd ewemoni �Iw M or �he u liceneed Wn�� Io Ihe porivma d Ne Coniredare lironae law lCAeqa 9(�ma��q �h Ssqion )000) d Di+eion � d �b Buamen eM Prdem'vre Codel a �hm he a Ma o uemq iMrehwn enE iM beau lar iM eAeG� enemqion. My vidmion d Seeun ]dl1.5 by eiry epplifani iw e parmn eubpae �M epW'rant io e tivil perelry d �wl more IMn frve �uMred Edlen �5500�). x[] I.eaawnerWlhepropeny«myempbyeaewYhwepeaav�heiwlemmpaneetim,xdlOoNewwk,aMNeeWCWnindinleMeE rc oMeretl fw veb (Seclon )Oas.Bwinv erd Proleaauna Coda: Tha COMreqan Liceroe lewAom nd eppy lo en ownerd prapeny wiu butla a inprnea �Meon. enE Mn Oom eutli v.wk Fimaetl a MnM aWaph he a M oxn amWv�'w. pm'iEed thm ax�li "pnpovemeNa va rwt iMerded a WdeE Ip aeb. tl. howwx. tM Eui ' a inptwemeM u tdd wukn ona Y� d oomplelion. Ne wner-0uiAter will heve IM burden d povinp M a Me d'E ar im Ia iM WTas d vab). ❑ I, m ovmer d iM popeM. ��tlwivery cont�fiq ' xxneed conVxY b mrMrW 1 qaptl (`�� Buaineee erd PMesaioiu Cade: TM CONreaan Licenae lew eGVN �o an owror D�W�Y ilde ar' a M�eon anE w1a mni�ern lor aMi YMeda wuh e meurmMa) lie W�ueM 1 M Comr e t'ewl. uamq uMer Sxtion: B. P.C.. la a Oela: Ownar: r � I eanEY Net I em ewue d eed urdeniuM �Iro nW'vemenU d CaYmtie HmEh ud SdW 25505. 255��. W . eM Uq I a enY �uro Wiki�p omryvu will / wil nd (tiicb me) �raE Io campfy xYh uN aM IM ispuimnwN M epmnnl«ruui�ucUanamodifmionhamlMAi uV aT�ii arepement0ipritl.Reskeniielomp omenaxamqlmmNwa pfOM910119. Dete: �Vq�: WONKEF'S CONVENSATION DECIIN�TON: 1 henby alfiim undar prutly d pejury ans W Na b0ow'vp Eeduelum: ❑ I Mva uM wJ meimen e eaMcele d eonaeni �o seMiewun la xwkert eampenW ian, u prwkaE la Ey Seabn ])00 d iM lebor Coda, tu �M pMamerce d Ne xak la wlich thu permn ia musd. ❑ inew.�aw�me:,.aiw.�mmo«ma,v�w�erc..mnwb.eMsea:�,noowm.iee«cua..wm.o��dm. wwk ta wlwi� I�b pemin u iasued. My walen' oompemaion ieuu�vies mmar eM poGry wmber va: c�..: Pdiry Number: (T)v.w seim nesd m be mTdKed'I Ns wmR b b ms huMied doCers �Siwl a Nv.l � I CM�Y NPo in NB G�MMMG CI �M wIXk k! Whk� Ihis OM�u u itlued. I�h011 M anploy enV DMeon In ury mBrvs p tl �O becoms wEjed la tM xdken' campenWion lews d Cdtlomu, uq eprse IIW it I a1wM Eecmis abptl to IM �Fan' wmpanwbn pro.niom M Seqion 3)00 d Ihe lebor Cotle. l ehell IMhwnh mmpfy wnh tMm Oroviebru. Deie: Md'�� Wam/np: FiNun ro ucun woilrxi rompinutlon rovw�p� Is unl�wN( �ntl �IWI wU/�el en Mnplqw ro eNrNrW p�n�Mu uW c/vll flrw� iq ro om hu�tlrM lho�uM JolNn (S/0QOW7� ln rWltbn ro tl�� caf ol romprwfbrt a�p� u pvvWM b� In � S�ctlon 9nA6 0l Ih� Lebor Cob, lrrtasat +�e ��m�yi /ww �.� CONSTflUCT10N LENpN� AOENCY: I hereby eifirm uMer penetly tl perjury ihq IMn u e mutiutlian bMinp eyency br the wno�� a in. won� e«.n:� mm o.m++ ��e ls«,� aw�. e�. c�. �ENDEF'S NMIE: LENOEN'S AODNE55: II cerldy thm I he�e med Nu epplicmim eM gme ihm Ne ebwe iNmwion o mnea. I epns �o oomyy r.'uh e0 ary ud oouniy ord'uunm erd smt� to brikvq conatruCim and Mreb/ eNhorrse �eivemea M Iho �Y b eMer �V� IM abwe.men�bneE propeny oma: � ' b — � (5t5t<BWP) Wtme-BuiN�q83ile1Y•Gremm-We:CenarY-�CP�I:Pink-Re+enue:OddenroQbxmr CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 076699 PERMIT NO: E 076699 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOH DESCRIPTION : FINALIZE EXPIRED PERMIT FOR ALUM PATIO C SQ FT: CLAIM VALOE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS; REF: B-76697 �t***�t*�ratitat+rat*�t�t***x��*�**it*at*�t*itat�t�r******iei�**iE**x�*�t***�t**�t***atitat�t*ie+�i�iE**�titi�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 ---------- --------- ACCESSORY BUILDING --------- 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 AEQ: PROV: PARCEL: 13906408 ZNE: REF NO: PLANNING NOTES> i 16 if if 1E 1E �ElE 1E IE 1E IE 1E �E'IE 1E 1E 1E 1E fE 1E 1E iE iE �E i(� 1E IE 1E 1E ik 1E 1F ik IE 1EiE 1E if iE 1E IE ik iE 1f iE 1E iE if 1E IE �E if if if if iF iElf iflE 1E 1E fE iE iE iE 1f �f 1E 1E 1E �1f� iE IE iE IE 1E iE iE D E V E 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 ZONING APPROVED BY � DATE: BUILDING APPROVED BY : ' ___ DATE: I :�� * � STRUCTURAL $EGME15T:N FIRE SMIP/RES GRADING SMIP/NON-RES PLAN ISSUE FEE 15.00 HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 6.75 15.00 0.00 21.75 21.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 21.75 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 21.75 APPLICATION ISSUED if IE iE IE 1P IE fE iE IE 1E iE 1E IE iE �E ik fE iE iE LEGALIZATION:N BLDG PMT PERMIT i��'�i ys'tu'iei3'� PLUMBING ELECTRIC MECHANIC 6.75 SOt DATE IE iE 181E 1E iE 1E iE 1F 1E iE iE IE 1E 1E iE fE 1E iE iE IE iE 1E iE iE IE IE 1E iE 1f 1f if 1E 1E if if iE IE iE 1E iE iF ik 7f iE iE 1E 1E iE iE ik iE iE �Iflk �E IE 1E 1E if ik 1E fE 3E �E 1E iE 1f iE iE 1E 1F 1E 1f 1E if if iE 1E 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 ELE 1 FIXTORES, LIGHTING 1 ST 20 EA, .75 .75 ELE 8 RECEPT/OUTLET 1 ST 20 EA, ,75 6.00 END OF FEES t ..`1 T- � '._ . --. , . �-,_. _ r �:ONSTRUCTION AND PLANNING : APFROVALS Permit # ' 1, Temporary Elecvical Service o� Pole 2, �Soil Pipe-Undrgrnd. - 3. Electrical Conduit UtilitY-Undrgrnd. 4. Electrical ConduibUndrgmd. 5. Steel Re�nforcement 6. Electrical UFER Gmd. 7. Footings $, Foundation 9. Water Pipe�Undrgrnd. 70. Structural Floor System 11, Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing . 15. Aough Electrica6Conduit 16. Ro�gh Electric Wiring 17. Rough Wiring Sign t8. Rough Electrical-T 8ar Ceiling )9. Rougb Heat(ng & Air Conditioning 20. Rough Factory Fireplace . � 21, Oucts, in--Struaure 22. Ducts, Ventil5ting . 23. Gas Pipe�Rough & T¢st 24. Roof Framing _ 25. Aoof Sheathing 26. T�Bar Ceiling (Struccurai) & Monocoat 27. �frame and Flashing: 28. Lathing & Siding - 29. Insulacion - 30. Drywall Naiting � 31. Plaster Brown Coat ' 32. Elecirica-I Power Meter-Pinal 33. Final Electric' � 34. final Heat(ng & Air Conditioning 35. Final Gas�Pipe•Test 36. Hood or Canopy - 37. Final FaMorY Fireplace ' 38. Final Plumbing 39. Nlater Service-Final � , 40. Gas Service-Final 41. Solar pomesticFinal ` 42. Back4low Pseve�ce� 43. Backflow irrigation . 44. �Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . 47, FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Etectric Re4ease io Edison 50. Gas Release to Southern California Gas C 51. CERTIFICATE OF OCCUPANCY Date Date POO L & SPA Inspector qppROVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Etectricaf Bondiny � 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE � 58. Electrical Conduit�Undrgrnd. , 59. Gas Pipe, C7 Undrgrnd., Test � 60. Backwash Lines, P�Trap, O Undrgmd. 67. APPROVALTODECK 62. 8ackwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing 5ystem � Final � 65. Electrical-Final . . 66. Solar Svstem�Final 67. Fencing & Access Approval � 68. APPROVEDFORPLASTERING 69. POOL/SPASYSTEMSFINAI � - F1RE OEPT. REQUIREMENT , APPROVALS Permit # ` 70. Underground Hydro � 77, Product Piping OGas OOiI " 72. Underground P.tush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead HYdro 75. Dry Chemical �- � � 76. pry StandpiPe . 77. FIXED SYSTEM FINAL - 78, fIRE PREV. F1NA� ' , '� HEALTH DEPT. REQUIREMENT 79. FINAL (NSPECTIpN , 80. FOOD CERTIPICATE I$SUED - �,� Note,s: , " e Date � tnspector ROUGM pLUMBING PROP. SWA. LINE � HOUSE CON. � SPRIHKL�NG SYSTEM MISCELLANEOUS L AOUGH HEPTING ANO RIR CONOITIONING 11TEMPOR/RY SEBVICE OR POLE �UNOERGPOUNO � POWER p mROUGH WIliING �TRENCHES �� FORMS $TEEI REINF. }}{-�� FLOOR 51'STEM �BON� BE/M [] STEEL REINFORCE ❑ SHEATNING FRqME AN� FLASMING ,� PLASTE STa �rr �H li � PL__.� B I R�EIECTP BWLOIf pRAL, FIN ). VENT_, NG. FINAL 0 � FEFRIG. �ND A.C.. FINAL UAIt C BUILDING P RIPTION of WORK glclp< ZONE VALUE S 2 PE GROUP SUBCONTRACTOR . _.i ` COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT � • P.O. BOX 1200 COSTA MESA, CALIfORNIA 92626 + RE IV D PERMIT 1�T° .� 5Q651 , For Applicant ro Fill in Completely — Use Ink Only 1V BUILDING � G. R S A.P. NO.• � � ' • ADORESS � ' " BUILDING � OWNER OR ADDRE55 � -TENANT � L- - UNITOR - ' ' ' � � MAILING y9 �� r Q' • � SPACE NO; _ ADDRE55 L �v ., � T.F.N ��'� LOT ` / 2� � : B�K. TEL. J ��T� os � z No. S 3 , NEW ADD'^ LTER REPAIR MOVING DEMOLISH CONSTRUCTION . LENDER O IZ— 1 - BRANCH' . � ' ' � � //A � � OW NER �� ADDRESS U ARC C- .f-IAvJ.1LTL NEL. 70 J US�L� '��Q� s O GINEER ADORESS S 20NE TVPE GROUP � ' - ` �`APPROVED � ' . CONTRACTOR �� • �6` BV � DATE .� � �� ADDRESS �f � — -( % TEL. CITV _ S � NO.. 3 � � � F` STATE- CITV APPROVEDSETBACKS LIC. NO.� % 3a � IIC. NO. � �SIZE ' � " � NO.OF�BLIX'.S• (F.FOM GLSTREET)' � - - 6. OF LOT NOW ON LOT RONT � :L � EXISfING BLDG. N L AIYI J C /�A1 i T � " � � /J �j� tI FSepara[e permitsare required for - �.�sioe L FT. �✓ ' Welectric, plumbing and heating work. REAR , I- pT. , O� 1' �..,. VSE OF BVILDING AND WORKTO BE PERFORME� PLqNNING ACTION w,�. DATE �O C 1,/'CI �ROVED Q � APPROVED ��/` } CJ .d CG � � I hereby acknowletlge thet 1 have �eetl this appltcation entl rtete � a that the above intormation is correct and agrae ta comply wiih � all lews reBulatinB buildinB eonsttuction, entl I shall not employ � Z any person in violation of the workman's compensation laws of m � tha State ot Caliiornia. m 3 I hareby cartify that I am properly licensed az a contractor untl¢r SQ. FT. N tha State of California Business antl Professions Cotle, Division 3, THE AMOVNTSHOWN UNDER VALUATION IS FOF m Chaptar 9, and that such licenses ere in full force antl atfect, or I THE PURPp$E OF ESTABLISHING A PEPMIT FEE ONLV: � am ezempt fro e rovisions ot the Staie of lif nla Business VALUATION PERMIT FEE �/� and Professions otle Division Cha er . � E..[V� �n Signature of I �/ �y/ /�/�] �0 PLAN CHECK $ O Q a Pe�mittee C, �� 5.✓.f q A � TAX $ LL °` 4-/O- So ��. _._ � Authorized ABent Date TOTALPAID $ / � r � . , .• - .! I . f�7' �7J�1-7�' :�{��Li�la-te�J c� j�/�� z��v��crC� Ccrr�-j :�� /��i7+/I 't�'ia'�lyZl.'N (�-1/z1� � /�.�� %��ero'Td� <.-��.v� �"�, Wc�i�t c� �-I� �1�G��rtr�y �� ?� �� 7�3� �,rrl�7� c� �,7�f"� , t�=T � , �u�� ,��'�� / S j��r�rC� L-�� - ,��. � ,� �,4-��j � �,-��- ��c , ��.r ��/��"�u�Lc�� 9�9 �c.rc��.y�,,,��i UI�[� Tt�r r�-Qu"2�"� . � �,4 � � � �' T' �Y-��`J ��- z3t�/L�ixP� ��4 �1 /-�-v' ,Z.v-c�vz�.� I� -�-.:��D � �G��t lKT� T�1�- ��J �� -�fi�C� !� �fts- ..�nrTze„/ �iv'AS j�lo �,V'i� �.�t�nl �� 3�- o� Tt�L- i.v/�TIf . (� P7�� Lp7` �, " � - �� , _ _,� . AP. No. INSPECTIONS OCCUPANCY Form Y10—SM-11-59 S•B P LOT 13 T1iACT j%�Q FIRE ZONE DESCHIPTION OF WORK B1k.F � DArE GROUP TYPE ZONE SUBCONTRACTOR " , 148�� O,STA MESA BUILDINGSAFETY DEPARTMENT P. O. 90X 9f7 C06TA MEBA. CALIPORNIA For Applieanf fo Pill In Completely TYPE OR PRINT BUILDING � '1 � �� ADDRESB .L COS7A MESA. CALIFORNIA /9 i s � � MA1L � A' liTCTuo_ ��i0 %'7 ■ 88TB�CK LIN! FROM TEI.. TEL. NO. TEL. C�-]—L-J NO. OP pLDfiB. DESCRIPTION OF WORK FEE RECEIVED � 101901 ��fyiNANC�nE qtD�EP�yT►�. ��_ w� APPLIC'AT�"�i9R` P�R�T BUILDING For Office Use On�ly� ,y RlCHIVT NO. �[R IT�f�lO.' � HlCHIVHD pY DATH flflGH1V D D/�� 186 O e. I y_ie_�, I � 7//b G1 COSTA MESA. CALIFORNIA PIRE ZONE TYPE � GROUP� APPROVED y/ � f 6Y �� /. DATE ZONING o '_ I rao. ov I vee or nevj �uxa ��-- emtnwo L[OAL - /�J oeacninnoH �� A. P. NO. ��7J �� `� �_ YARDS 5VE5 APPROVED ALLOWED lC6NTtR LIN6 lT.1 _ r� •• APPROVED EXTBRIOR WALL ftOOF COVERING COVERING ' USE OF BUILDING AND WORK TO BE PHRFORME� .l� / / i W I H2R8BY ACKNOWL6P0H THAT 1 NAVB HBAO TMIB APPIJGTION TMg �MOUM BHOWN UNDlP VALUATION IB IOR TX! AND BTAT¢ THAT TH6 ABOV6 18 CORflER AN� �OIiH6 M CON• pUliP086 OV 88TABL19X�N6 • PBRMIT FH8 ONLY. PLY WITX ALL CIiY OROINANCH6 AND HTATB lAWB f186ULATHO ouiLoiNo coNeTiluCYION. nJ VALUATION CO 81GNATUHE OR �r� ��t=/� ' PERMIT REE $ PBRMITfE � A ` $ �OO � PLAN CHECK $ '�� AUTHORIZED AGENT �� O 70TAL FEE y �o r 13 . rR 372z ' • 13y_� � �C�STA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIPORNIA For Applicanf io Fill In Completely TYpE OR PRINT BUILDING 3z�9 NE�RASKA LANE ADDRESS COSTA MESA CALIFORNIA OWNER K B� E DEVELOPMENT CO.�INC. s'ze 62,49x80.85 I RR EG �� P a��s p OF LOT rvoW oN wr USE OF EXISTING BLDG ` BEfBACK L�Ne FPOM pO � 22 � cerrrea ow rrxs¢r REAR YARD / / SIDE YARD ILEFT � RIGHT S DESCRIPTION OF WORK BUILDIN " ��`� NO. OF 6 SIZE - S ROOMS E%TERIORW LL IROOF ROCK COVERING COVERING U8E OF BUILDING ANO WORK TO BE PERF BUILDING APPROVED 20NH R- �sawc FEE RECEIVED �� OCT 241960 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. , CLAk�T_NO. COSTA MESA. CALIFORNIA ZONING NO. OF I 119E OF NEW .4y. PLAN9 2 Bl11LDING `.J/ f�yy YARD6 APPROVED (CHMBR LIH! 8T.) -2i-6o I MHqlBY �GI(flOWLBDOB TMAT I NAV6• HHAD TMIB AVPlJGT10N TX8 �MOUM 9MOWN UNOCR VALIIATION 18 POP TN! AND 8TAT8 TXAT TX8 A9OVE 18 GORPHCT AND AGPHB TO COM- PUftP098 OP EBTABLI9HING ♦ PHqMIT I8¢ ONLY. PLY WITH ALL CIT' ORpMANCE6 • 9TATH WB pROULATINO eu�tDINO CONBTR o � VALUATIO��/ 61GNATURH OP PERMIT FEE $ ��/� PERMITTE � $ �� ✓ pLAN CHECK $ /C/ /� � AUTHORIZHD