HomeMy WebLinkAbout760 NEWTON WAY - Building Permits�
- - - - - � -
Ciry of Costa Mesa
: �
BuildinB Sefety Depertmant C E R T 1 F I C A T E O F O C C U P A N C Y �"� •
P.O. Box 7200
I Caste Mese, Celifornie
The Building located at
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable therato
Ifor a Group__ - Occupancy.
Use of Building
Legal Description
�
(Sea raverse side for Metae and Bounds)
Building Permit No Electrical Permit No. Plumbing Permit No
ISSUED T0:
Number of apartments and/or guest rooms
Building Official
Date
This Cercificare of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by tha
Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C.
Form BU 34 Rev. 11/70
�
^ ' ' �
City of Costa Meu
, BuildingSafetyDeOartment CERTIFICATE OF OCCUPANCY . ��_;�.'
P.O. Box 1200
Costa Mesa, California
The Building located at � -
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group Occupancy.
Use of Building - ' �
., . .
Legal Description -"" -"- � ' -
(See reverse side for Metes and Bounds)
Building Permit No Electrical Permit No. Plumbing Permit No.
Number of apartments and/or guest rooms
ISSUED 70: BuildingOfficial
by
' Date I
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by tha
Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. , •
Form 8U 34 Rev. 11/70
�
City of Coste Mese
Building Sefety Department
P.O. Box 1200
Cos:a Meu, California
CERTIFICATE OF OCCUPANCY i J ���-g
The Building located at YcJ . .�: �. .
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto '
for a Group__,�—% Occupency.
Use of Building -�--.� ..:��:.��:-). .� ti.lc�i_��. I
LegalDescription —"�'—��"� : (k!
(Sae reverse side for Metes and Bounds)
Building Permit No Electrical Permit No. �����-:' Plumbing Permit No. ' � I
Number of apartments . _ and/or guast rooms —
iSSUED 70: BuildingOfficial
� ��
b ' , '
y f:..(�, ?.} �� /I~ ;','"i �l l.-. '' +
� .i: .ln'-. .
D328 � •y� 1 Y^
This Certificare of Occupancy SHALL BE posted in a conspicuous place on tha premises and SHALL NOT BE �emoved axcept by the
Building Official oT the City of Costa Mesa under Sec. 306 (e) U.B.C.
Form BU 34 Rev. 11/70
✓ ^
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._ Applicant to fill,in all spaees except thoze withinYieavy,bl�tler lines anC si9n all a0V�o0riato tleclarations.. _ . ._ _ .,, ._ .
CITY OF COSTA MESA _' . , rERMIT NO. TRACT NO. LOT rvU. BLD . .' . . � 'I 963 6/ I I/B4 '- ' SO•�SO ` T�.
� CONSTRU�TION=PERMIT . , ' 3S -�/ � ` -,-`- • : ' . , ., . . ,
Broj2ttAddress� '�� �p �T.YPEOFCONST UCTION' NEW ADD ALTER TION. PAIR �� -
pplltent'SMailin�gA�/dd�E55`. -� CONVERSION ❑ DEMOLISH ❑ OTHER ' � �Z+�
A �Gi�O i iQLTU%l/ �/�'!� � � A.P.� ' . : Zane. _ .
Owneri Name �.(� � N � hone .�-//%/ � DESCRIVTION Oi WORK : � . , . -
'lr� � �- � - ' S" Main Building: Accessory Building: Z
Address �.Zi �A � b' f" ..LY/iv/✓h � ' � . � E . , , � � - �
. ' TVPE OF PERMIT � �GRADING . FOUNDATION' STRUCTURAL T, Front � � N
ArCh/Eng. LiCenSE No. ❑ TENANT � ELECTRICAL ❑'PLUMBING ❑ MECHANICAL . � B . - ; r , � � . �
. . . Reai . . � . . . . ' N
AddiEis . ' � ' •. • ' � ❑ OTHER � � � � � � : ' � A- . �
Contrector's Nam ' Phone ��y'��� - PROJECT DESCRIPTION SQ. FT.' SG�� .F?P1. pCCVaArvCv C Right � i � � � - I� � G
> K , R
Addre55�meiling) C � CONSTRUCTIONTVPE � VP:LUATION$ `r � � Left • i
3,�/r £ �r . i'dL� �S-n'J, s , e
Q � , 20NE � GRA�ING CU. VDS. ACRES Pln Ref. # Park.FeeS $ '� �- � n
City License No. ' v b�,eZ U' , 9� - U
LICENSED CONTRACTOR DECLARATION ' Remarks: " " � ' ' Pafking Req./Plovlded • - - � , I
I h¢rEby affirT that'I am Iltensetl untler provizlons of Chart¢r 9(Commencing , _ R
a with section �000) oi Divislon 3 of Me BuSiness antl Grolesiions Cotle, anC - � , , ' . � , � �Use of Building: ,� �, ; - E
� my Ilcense is in full iorce antl etTect. ' -
`�2%/A'�Z . � . � PLUMBING �Plannin No2es: ' � • M �
1� ucense Ciass— ' LI nse No. ' FEES 9 '
�� Fl�te �-�/"lti 519nature . . , , E 7
�"�;.wRKERS' COMPENSATION DECLARAJ,1 BafSink ShOWers �
'�'��ireby affirm tnat I have a cartiflcata o��mnsent to selT-insuie or a certlticate , gackflow Preventer ' Servite Sink � " - ' - " ' " ' - " ' - ' ' ' ' " " ' S
.' Worker5' Compen5atlon InSuran<e, or a certifietl copy t�ereol (Section
3800, Lab. . � `� J,, � Backflow Irrigation Sewer Cap � - ' � . ELECTRICAL � � � IFEES
aoucv no. �d/edS3/-'�3 Company ' � ' '
Certitletl copy is hareby fumishetl. � ' Bathtuhs • Sewer Connection � � Automatic Washer • Transformer ❑ 15-50.KW ,:
Cartlfl tl capy is /lled with tha'dty Bui` I�g Dlvislan. • � � ❑ 50+�KW �
Date �'��'B( App�i�a�� �,,.,�.,� t ' ClerifierS Solar Collectors ConstruCtion POle5u6. '
EXEMPTION FROM WORKERS'�COMPENSATION DECLARATION � r
(Tnis 58ctlon naetl not be completea If tne permit is tor, one huntlrea (Sloo�, or DishN2sher - ' Solar Piping . ' � Cpoking Unit � � , � Meter ❑up to 100 amps! �
fess). . � � , , . . . . . , . • �
' 1<ertlfy that �in tM1e pertormance Of Ihe work for which thls parm�t is i55uatl I D�inking FOUntains Solar Tank 3 ' DiShwasher ' ' Meter' �over 100 ampi'� �
s�alP not employ any person in any manner so'as to become subjec[ to t{�e . � � ' ' '
Workers{ Compansatlon laws of Calltornia.� Floor Drains • �' Swimmin9 Pool w/Spa 1 � { Dryers �Gas � �Electric Sub Panel � ��/'
, t �- �
Data � Si9ndtur¢ ' ' ' ' - - ' ; � �;
_ .
NOTICE: If,iatter making tnis tlaclaratlon- ou shoultl become sub eci to the �' -- - FIOo� SinkS � - -•- --� - � U�inal �' . "' -'�"' �" -" " " ' ' + � - �� '-• -- -- - ' F . .
Workers' Compensation provislons ot �the Labor Cotla, you must� torthwith. ' � t Fan � � -Motor5��0.1 HP �i %= 8"" '
comply 'wim such . provlsions ,or � this ,permit shall be tleemetl. revoketlE� ' Gas Service Outlets �� �� Wate¢Closet ^ r � F.A'U. ' � ' ' Inc. Solar �9�15 HP.016-15+ � �
CONSTRUCTION'LENDING AGENCV' ' � ' ' - " `
I hereby affirm that there-Is a constructlon lentlln9 a9en<y for the performan<e Interceptors � � � Water Heater � '� , 7 Fixtures ' � Microwave �� _ - '.i
of the wark for whicn;.this permit is issuea �(Section � 3097 •CW: �CJ � ' _ ��� : �
Lenaer's Name� ,.� •, _ ;-;t - _ . Kitchen Sink Water Service „ Device Boxes �- Pole Light �
LentlerS •Aatlress � • - ' ' L•avatories '
OWNERBUILDERDEGL`ARATION ' '."�' � �� - � OUtlets � � " ,Range � -�
. 1 hereby, affirm t�at I�am exemp4 from the'Contractor's Llcense Law for the . _ , . � .,
tollowing reason (Sectlon 7031.5 �Buslnass antl Professional Cotle: Any clty or , P-Trap ' C ' ' �]; i � Switches � '� � � �Sign' ; � ' � .� � 4
county which reqWres a pe�mlT�to construct, alter, improve, tlemolish or'repair . � , � , . ._ . , ' ' ,
any structure,'prlor to Its'issuanca, also rapulres the'applicantfor such permlt ' Roof Drains '��- ' �' Gar6age Disposal • i, . �,Standing Sections �
�}IIB d�5lgnBtl Stdtemini';tndt he/Sh¢ IS Ilcensetl pursuant to the provislons of , ' ' � '- • ' �-
`: Contractor's License Caw,(Chapter 9 (<ommencing with SectlonJ000) of � ' � ' ' - � � ... ' � � , � �
�`��Ision, 3'of the•Businass antl vrofesslons Coae) or enat ne/sne is exempt ' i. � � t= i-� � r� ' t„ � Generator O0.5 KW O5i15 KW Tresh Compactor � , "� ,
V."rafrom�anE the�bazls for:the allegetl exemption: Any'vlolation of Sactlon � . .. n � . '� �. , ; � , �
�.:'V�31:5 by any appllcant tor;a:permlt'subjec[5.the�aDP�ltant to a=civll ��qeins Ction'.Fee�� ' � �"5 -'\$ 3� �' +� t
' �eenalry olpot more tnan five huntlreC tlollars (E500). . • . _ � Pa .3 $Z5 i , =. . . ; .Issue Fee . � ` , � „ '
LJ I;�as.owner ot the.property or my amployees with wages as thelr sole • �� ,Reinspection Fee •$p5 �uuelFee � .$:3i �
compensatibn win' do the work, antl the structureJs nob intantletl or offerea �' f � " „- ' E.. MECHANICAL I � �FEES � - �� �
7or sale (Sec{lon 7044, eusiness antl Protessional. Cotle:' The Contractor's � . . . ' PUBLIC SERVICES REQUIREMENTSi ' ' � � t�
Litense Law tloes not apPly to an'owner'Of a properly,wnn:builOs or. improves I gOil¢f ' �{ �� i. .� Hood or � Type I! 0' � �' • � ' .
thereon,ian0;who;tloe5 su<h work,hlrt�selt/herselt or through hls or her own � '� ' • j ;�" � ZoNng App�oved By �� � Date • �� • �
employ eas, provltletl tnat such�improvements are not intentlatl or offeretl for � '' - C2nOpy Type II ❑ � - ,
sale. If, howeveq the builtlin9 or improvement 15 soltl withinrone year.of com- � Duct'- Unde�,Ground- � � i � � � Building'Appraved;By ' Date� ' — .y�
pletlon, the owner wlll;have,the burtlen ot proving ha/she tlltl not builtl or im- � , - -- , - • ' � ' • -'-ry
�rove for the purpose ot sale). - � , , ; ; • � ' F _ Duct - Structural Refrigeretion System �• . ' Appliptiori Issued By � I � � Datw���// �!' � � .
LJ 1, as ownar of the property, am excluslvely contracting wlth'llcensetl con- � ❑0.700,OOOBTU ❑100000,BTU � � -
�. tractorstb construct Ihe pro�ect.(Saction 7044,.Business antl Professions Cotle: , _ _ Duct - Ventilating ,_,,,,,, . _ . , . . . _ � ' ,� � � SUMMARV OF, FEES � . � ' �
. The Contractor's Lltense Law tloes not apply to an owner of properry who�..� i� � ' - . BUILDING PERMIT '!$ S�• �0 U SMIP � , $ '`r�
bulltls or Improves thereon, antl who contracts tor suth projects wHh a con- ExhauSi System ❑ Multiple �, System RepaidAlteration � �- ' . - , •
� tractor(s) Ilcense pursuant to tne Contractor's License Law): ' , , ., ' PLAN CHECK • � � $ ' PERMIT .� � i' , . .)
❑ Gam exempt untler Se<tlon ' B. & P. C. for this reason � Fiiepl/Fact. BIt. ICBO # ' � " � � � ` '� � ISSUANCE : $
i * � + ? PLUMBING' � �'+$ � �
Date � - . ownert - � Heating,System & Ducting �'� j � ( ' i - i ' „ PLAN CHECK 25% ' $ � �� ENEFiGY P.C. � $ � � .
.I hereby�certlfy that�l nave reae�tnis appllcation antl state•triat the above : �- ❑a700,000BTU �100;OOOBT��- • - p.�-• �. - --i ... • GRADING �$ � • � �
Informatlon Is torrect. 1 agree to comply with all Nty antl'county ortllnances ; � � � : ! ELECTRICAL $ . ,
antl�state laws relatingyto bulltlin9 construction,�an0 hereby authorize repre- � - � . '' . PLAN CHECK 50°,G � 'MICROFILM '$ '� � '
sentativas of � t�is; clty� to enter pon the above-mentionatl pfoperty tor '-� I � : '$ 1� O, {�
Inspectlonpurpozes � ,� . ! ' ' MECHANICAL . i$ � � TOTALFEE ,$ �
. �
Si9nahre � � ' Date ��ly � ' 1 - ' ' - + � � � � ;
� Drivers' Llcenie or.55 � � Reinspection Fee - .} "'$25 � � , � laue Fee - ` � $ 3 . PLAN CHECK 25%� I $ - � � .
.." ._. _ _ ._. _. . ' '�_"'_. . ' ' _.._ _ ' _' .. _ _. . _
CMF 0865-46 rev. 12/83 Whlte - Bulltling; Canary - ADP��cant; Plnk • A¢ountlng; Goltlenrotl - Assessor ' _ - �� - � � � � �� `" ' '�' �
. . - � , (~ .1 I
►
_ _
� ` .'r -.. f P06 $RQ' . r .^�__ ,4� ,^ �
7 CONSTRUCTION�AND PLANNING r + . ,- � - . < ,� � - � �,. .-; . a,� : � . _; "� t
� Date . �Inspector � - -� -=- ' �- -" '.Date n �Inspector,{,'
APPROVALS Permi4# - - -�ARPROVALS:..�Permit:# - - �r .� -
� ..�- ' - �t�:a-" - nc�: - � �n i
�'.1.� Temporary�Electrical Service or Pole r ' T � ='�C' ��52' Pool &�Equipment Location� � = <.� ;^ ,- _, � � � ,. - - , ��'�; -
2=�6Soil Pi e-Undr rnd. . - , �.�. � - � ' � _ � • ` � ' " .. = a'� �.. � - - .
. p v g � �.� ,f . :�53� Stee`I Reinforcement _ ,,:y ; - ' ! �
-� 3. Electrical Conduit Utility-Uridrgmd. A1 • - -, 54i Forms � � �� . _ '- �� � :.�+`_-�'-`. - r� ^ -� � "_? '� ' �,�'-
� �: i -
4�� Electrical Conduit-Undrgmd. � - d � � � - Y 55r Electrical Bonding�� �. ' ^�` - � '`� i� i '
' �„� ' - -' - ' - ^ ��• n f I .
.. . � �56. Rou - ...- .. . : •�-. . � �.: ' T
5; Steel Reinforcement. ' ' - ' � �, ^ . ' ! gh Plumbing�_& PiessureTe'si ; " - ', i ;" ; �,11 � 7
6. Electrical'UFER Grnd.' `- � � � : 57;=APP,ROVAC'TO COVER-GUNITE�� ' `� ' " � � '
F � f' �
7. F.00tings . ' i '� ' - .58. ElectricalCoriduif:Undrgrnd:?'=�' -O� . , - ' f �
i . , ` � J � .. . r ., r. .. . . ' �. i
8. Fo�ndation . . � � : � � � 59. Gas Pipe,:O-Undrgrnd.; Test ' - ,a � � � � , -�.,
9. Wate��Pipe-Undrgr d.��, j. :�� � � . `60. Backwash Lmes,�P;frap, O�Undrgmd `. = p ;=� � j�
10. Structural�.Floor System . �• � . 61. APPROVAC TO.DECK � �� � -.'+ � • _ - ��I -�
-- - r�- �..�
�,+_:� . - -
11.PropeFty.SewerLine&HouseConriection � �62.Backwash&�ReceptorFinal-T'��:" "�: � �� •�
•i - �f ',�
12.SewerCaP,�, _- . � �. - � -'63. Heater&Vent-Final,� -. ?.:gS - ' _ � i .:7�, �'
,: �
- 1 �; a
13. Roof Drains � � � + _ . 64. PlumbingSystem - F,inal� -.';.> - '�r
14. Rough Plumbing , � � '�65. Elzctrical-Final" - _ -�i � �� � �- ; -
15. Rough ElectricaRConduit" - - -� ' ' -' � 66.� Solar�System=Final-� ---- - ' ��'-- "-� ' '"`?' � '"�'-" � .
�_�_i �
16��•RouhElec[ricWirin � - J-'� ' `-r�t�- - --i--�---!'-
r 9 9 '67. Fencing & Access Approval' . : � � � -'�, ,.. �, s . , _
- , 17,�Rough�Wiring Sign. - � � ' ' ' � ' 68.. APPROVED FOR P,LASTERING� ; .� � ' � � ' � �' - ' '
- . i c ' �
' ig;� Rough Electrical-T Bar Ceiling � � . - � 69.� POOC/SPA SYSTEMS?FINAL � ; i ,: � ` I �^ ' 1- ; + � � : '�
� 1�9yRough Heating & Air Conditioning 'I �, FIRE DEPT. REQUIREMENT � � j I i r'�� � � �� �'
rr `
20. Rough Factory Fire'place "�� � � ' APPROVALS� . Pe�mit�# �� � � ^' ' ��, �'- I�,. �,•."� ' J I
i '�
_ 2j.. Ducts,�in Structure �� •i . �70.� Unde{ground Hydro �� a i �� � i ` '� ! _ ` � i � �
22. Ducts, Ventilating . � - � 71.i Prqduct Piping OGas�.00iI � i � i�-� � j !' � ��''
,�
� . -T"r-1 : ..: _ �I "_�_ , "�._..', _� _
��23. Gas Pipe-Rough & Test � � � ^ � 72' Unde�ground Flush � � � I � i � � �
� - � �
/ �24. Roof Framing � . . . � � . , , � 73.� Undergrnd.StorageTank;OtGes`OOiI., I `� � I i ;
�"-� 25. Roof Sheathing � . � .' r ;74.' Overhead Hydro '"r'„ o � � '' ' ` � � �
�� .V
' 26. T-Bar Ceiling (Structural) & Monocoat • ' - ° 75.� Dry�Chemical - ' !
�' - '' -i
:.! i '. 1 1 '
27. Frame and Flashing , ' � 76. Dey Standpipe � � , H _ � ` = � � � � ' " �
,
� 28. Lathing & Siding � ' • ' . � � '77.' FIXED SYSTEM F�INAC ,�'�� ' � .-. t ��; i , �
29, .Ins@!ation - � - � � � j• �78: FIRE PREV. FINAL ' .,; ! � ; ; �' � � �
30. Drywall Nailing ;� � � , � � � F i � � � �HEALTH�DEPT. REQUIREMENT { � j. , 1
31. Plaster Brown Coat `,, ' ` " ,
� � � � , i 79.� F�NA�LINSPECTIO�N � i � �-��-�- - �- -.,
- 32. �Electrical Power MeterFinal • +�� � 80.� FOOD CERTIFICATEISSUED ' � � � ' ' -
33. Final Electric � �� ' � . 'Notes: � F � � � � ' � � �
�,: � t i
.- -. , . _ . ._ .. ..... , ,.�. .,...: � ., ..._'_.._..'.' ...._- -- '
34. Final'Heating & AirConditioning' � � � �+ � { . ` ° � � �. -J �.-.%i' � �
i , � � � a....�_.�-"-- y��
. .. . ' _ _--� v i u � o � � r. _ - r
35. Final Gas Pipe-Test � , - ' i � ' - � j4 .' *, � s � � �1 •.; - - Y
�� �J ..t
36. HoodorCanoPY� ' ' . . _ �' � �rn 11'%ji:�^ .i � `�:a� � _ .� _ � �'x m �'r}
� '_
37. Final Facfory, Fireplace � ` , � , � � + '� �+_, �- � `%t: g, aii � ,�, ` - - " ,;.
;rl� -
38. Final Plumbing � � , �` � , � � } � {. � - x i ' ., r �" •'� ,-^ , . �'' '' ; ..
39. Water Seryice-Final ' i ;, ' ' , + - � � `. �=_ ! ' ` ,_ `v -.
,
� � � � ` �.�c t t ;+n . . f , .. "' ,
40. Gas Service-Final ' ' � ' � ' ( � � ' � � � �- � � � � � �� �. - �
� ' G i°�; ' ". i.
41. SolarpomesticFinal � ; - . - - ;----'- !- �-��.�---,'� k Y`,. �.,. � i � `..'
42. Backflow�Preventer . r ! ` � -�, - -��' �- - - i � _ ; 'p. x: �. � , f !
�t --r-r- 2� '
43. Backflow Irrigation ' .. • : �.[, ! ' �. - , - � � I � � �,, � ` I � ' l. 1 � , . � .
44. ,LandscaPe Irri9ation SYstem � ' . ^ '? f _'' '; , - i �_ � , � _, � l � � �' � , ih .�'• � � r
45. Sound Attenuation � � ' � �' v' � r _ ' i . � . �� i� ._ :,';� � ` - C
. , ; ' i . � � . , ; - _
46. HandicaP Regulations ' ', � . � i,' �: 1 ` � , . � � , • � " r i ;� 1 ,` (� ;` r; �
47. FINAL STRUCTURE & BUILDING � 8 �- ; _ � i _' �' 4 . �. ' � .� � � . �," ' ; t �� . ^ "' '.
48. Special Requirements Completed, � , � � ! !, �,- � i j � I � ,� ' �+ �" " <+ " ;` ,. j�
49. Electrie Release to Edis"on �- "� � � - i ' " 'Y"-""'�" �"" I "" '"' ' ' ` � � � � ' V�
� I
50. Ga3 Release to Southern Califomia Gas Co � ' �� � � ` ` , � ' � � � � � - � � , • • �'
' � � �. (:aif � .�„ I ��
51. CERTIFICATE OF'OCCUPANCY � � � �- --- --•S1-�-r �?- -;- �-- �r-T-.- ��--f--,--,-y +%'!{l_ ^' ,
No. � ' Date - ' i ' ' -i- �') ' -" _' "-. _. �. �� '-' - ,. +ti . � . , � � . � i
. . _ ^ i .i. " Y= �7:..�' _ ..... .7
. �
OWNER
JOB ADDRESS 7 p , �ewton ,
GENERAL CONTRACTOR H. D. �
AP No. 116-211-07 dLOT
INSPECTIONS nR
SOIL
GAS
WRTER
ROUGH PLUMBING
PROP. SWR. LINE �'Ff0U5E CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPOftARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING y��.�/��//,
TRENCHES � FORMS � 5T EL R INF
FLOOR SVSTEM :n � �n ! �
BOND BEAM ❑ L ITEI IFO � �
SHEATHING
FRAME AND FLASHING �
LATHING - IN � OUT
PLASTER,BROWN COAT
STftUCTURA�, FINAL
HEATING. VENT.. REFRIG. ANO A.L. FINAL
DATE
SUBCONTRACTOR
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33464 �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�„�� Far Applicant to Fill in Completely
OWNER
MAIL
'�\��i►,1�
..- .
BPANCH
ADORESS'
ARCHITECT
CONTRACTOR
—�
ADORESS
CITV
STATE '
LIC. NO.
SIZE
OF lOT
USE OF
EXI5TING BLDG.
EXTERIOR W
COVERING
USE OF BUI
TE
pTV /J
LIQ NO.` �j/
NO. OF BLDGS.
NOW ON LOT
NO. OF
ROOMS
ROOF
COVERING
WORK TO BE PE
0
NAi� �-
1U129-7i�N5,.��2761 a*::*,�%iS.�.i�
APPLICATION FOR BUILDING PERMIT
'�EIV.�% BV J DATE RECEIVED DAZE ISSU
P"t.at 7-23-�1 �/�//-.
A.P. NO. - �U.
BUILDING � /_
ADDRESS ((�
TRACT � J �
A A P
OWNER
�
FIRE
ZONE TVPE
� APPROVED
ts BY
J ZONE NO.OF
/�/J PLANS �
>
VARDSAPPROVED
' MAIN BUILDING
(FROM C/L STREET)
fiONT FT. L
„ �
1 1 /�
I hereby acknowletlge thet I have read [his application antl sta[e
that tha above information is correct antl aBree to comply with
all laws regulating builtling consttuction, antl I shall not employ
any person in violation of ihe workman's compensation laws of
the State of Calitornia.
I hereby certify that I am properly licensetl as a contractor under
the State of Calitornie Businass antl Profezsions Code, Divisicn 3,
Chapter 9, antl that such licenses are in full force entl effect, or I
am ezempt from th¢ provisions of the State of Californ' siness
antl Professi rtfC�B � Division 3, ter 9.
/
Signat re of / %'
P¢rmlttee l�
Authorizetl Agent
VAR. #
C.U.P. ¥
HOLD
THE AMO
THE PURPI
VALUATION
�
�� �`tW �
/�T._�' �
USE OF NEW /� (I n
BUILDING (i!'�'�� �
VARDSAPPRO D
ACCESSORV BUILDING
�� i
FT.
� �� � BET. MAIN &
ACCESS. BLOGS.
DATE
APPROVED �
%-30-7� �
iR SP CIAL REQUIREMEN'ft �
�
0�
0
HOWN UNDER VALUATION IS FOR �
ESTABLISHING A PEFMIT FEE ONLV: m
¢
m
PERMIT FEE $ �
7
-�/� 2.S'"_ m
t PLAN CHECK $ E
. s
TOTAL FEE
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�COSTA MESA BUILDINGSAFETV DEPARTMENT � ' '
P.O. BOX 1200 COSTq MESA, CALIFORNIA 92626 � '"
'- - ����-- � APPLICATION FOR BUILDING PERMIT
�•ForAp l' anfto�Fill.in'Completely RECEIVED BV . DATE RECEIVED DATE ISSUED
e�i�owc.. Newton W �,(
ADDFESS a'Y �/ r/ �
PE N .
OWNER P&Clf'1C EQLLI.j".lES �,� q,P, NO.
MAIL ' . ' BUILDING � -
ADDRESS . ADDRESS
TEL. TRACT LOT BLOCK
CITY NO.
CONSTRUCTION W A
IENDER
BRANCH
OWNEF
ADDRESS VALUE
ARCHITECT TEL. S $
OR ENGINEER N .
FIRE
ADDFESS ZONE TVPE GROUP
APPROVED
CONTRACTOF BV DATE
ADDRESS
TEL. Z�NE NO.OF USE OF NEW
CITV NO. P�� BUILDING
STATE CITY �'ARDSAPPROVED VARDSAPPpOVED
LIC. NO. LIC. NO. ' MAIN BUILDING ACCESSOFV BUILDING
SIZE NO.OF BLDGS. � (FROM C/l STREET)
OF LOT NOW ON LOT FROM FT. FT.
USE OF
EXISTING BLOG. F FT.
S�ZE OF '" NO.OF
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF '
COVERING COVERING REAR FT. FT.
VSE OF BUILDING AND W4RK TO BE PERFORMED DISTANCE BET. � BET. MAIN &
MAIN BLDCS. ACCESS. BLDGS.
Industri:al;p$ldg. vaa.# DATE
- C.U.P. � APPROVED
� . „ ' APPROVED
, . . di✓, . , ' .
; Wy:;:y,� .. ,_
''�I ihereby acknowledge,;that I have reatl this application antl state
"Niet�the above information is coriect antl apree to comply with
��ali lews regulaNng builtling�consvuction, enG I shall not employ
any�person in violatiori of the workman's compansation laws of
ffie Siate of Califomia. ' � .
..-a:.�. � ��
f'�hereby certity that I am proDerly licensed as a con[ractor under SQ. FT.
rtie Srete oi Calitornla Busingss antl Professions Code, �ivisicn 3, THE AMOUNT SHOWN UNDER VALUATIpN IS FOR
Chapter 9, antl Net such lice�s¢s are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am ezampt from the Orovisions of the S[ete of California Business yqLVATION
antl Professions Cotle, Division 3, Chapter 9. PERMIT FEE s 96 • 50
SiB�at�re of �0: Q� _��_
Pe�mlttee $ � PLAN CHECK $ /
AuthorizedAgent ' ' . � /o•/�
'TOTAL FEE $