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Home My WebLink About345 OGLE ST - Building PermitsCITY OF COSTA MESA BUILpING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT G��/ PERMIT NUMBER P98-00642 (714) 754-5273 • Fex (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 345 OGLE ST Suite No Vicinity: Parcel Nunmber. 42521227 Applicant: GILBERTSON, ED Address: PLUMBING PERMIT Phone: 800-80&7374 Zip: owner: HUMPHRIES, JOSEPH CLAYTON , Address TR � � � . 7835 NEWPORT BLVD Phone: SUITE 152•D 2ip: 92627 Contractor: MASTERSERV INC : Address: 3502 N VERDUGE RD � ' Phone: 818-957-8985 GLENDALE, CA - 2ip: 97208 ' , License: 580017 ArchlEng: Address: WATER REPIPE. � ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier Syslem Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Orain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1� outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Qn Phane: 2ip: License: 8COPE OF PERMIT FEE SUMMARY- - AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Conned $0.00 - Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, servicelmop 50.00 Spa (private) $0.00 Spa (public) $0.00 on 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 08113/1998 Issued: 08113/1998 Sump Pump Swimming Pool Trep Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater I vent Water Piping (Inst or Rep.) Water Re-pipe ' Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 80.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTRL CALCULATED FEES: $30.75 aN 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if vrork is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this pertnit to be consltlered legal, such work must comply with all applicable codes, and all required Inapectiona end final epproval must be obtained. Failure to obtain inspedions and final approval will result in the expiration ot this perm0. FOR INSPECTIONS CALL: (714) 754-5828 WORKERS' COMVENSATION DECLARATION: I hereby effirm under penalry of par�ury one of the following tleclaretions: ❑ I �eve end will meintaln a certlllcete ol consent to selt-Insure for workers' compensetlon, es proNdetl 1or by section 3700 01 the Lebor Cotle, for Ihe pertortnence o1 Ue which thls portnit Is issued. I have efM wW me�nteln wwkers' campensatim insurance. es requlreC by sectlon 3700 of Iha Lebw Code. for the pe�fortnance af Ne wwk for which Mis pertnit Is IssueC. CertleMy workers' comp�t�ln,s��ce Ce�e�� cy r�umber ere: pdky Number. ) z 70 / T- v/ ( j CSL (TM1Is sectlm nead not be canp�efed� imlf /s ed et one hundred tlollars (5700) w less.) ❑ I certiy that in the peAortnance oi the work lor which Ihis permlt Is issued, I s�all not employ eny person In eny manner so es to become sub�ect lo Ihe workais' compensetlon Igws of Celifomle, end egree thet if I should Demme sub�ed to t�e workera' compensetlan proNsiong ot Sectlon 3700 of the Lebor Code, I shall forthwlth com he3eA r 5i0n9. /� �-�j�j I� ' 4�.�Gn..)�../��9t �'v✓ �� J ( () n gnature: Date: O: FNWRE TO SECUiiE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SW1l15UBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNORED TLqUSAND OOLIARE (S�OO.00O�.IN ADDfTION TO THE COST OF C1�MPENSAiION, �MNGES PS PROVIDED FOR IN SECTIIXJ 3'lOfi OF THE UBOR COOE, INiEHE5T, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby ettirm Net I em Ilcensed under pro, �Isi� SlgneNre: (commendng with Section 7000) of DlNsion 3 of the Business and Prolessions Cotle, end my Iicanse is in full aass x _�St - - Date: �-l� CONS7RUC710N LENDING AGENCY: ❑ I hereby eHirm Inet there is e constructlon lending agency tor Ihe peAormance of t�e work for whic� ihis permll is IssueU. (Sec. 3097, Clvll Code). Lentlefe Nemo: Lentler'S Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby ellirm Nat u�er penafry oi per�ury that t am EXEMM FROM 7HE CONTRACTORS LICENSE LAW tor Ihe toilowing reason (Sac. 70�1.5, Business antl Profasslons Cotle: Any Gry or counry whkh requlres e permit to construct, alter, Improve, Oemdis�, or repelr eny strucWra, pdor to Its issuance, elso requires Ne epplicem tor such pertntl ro(le e signed sietemem that �e or she is licensed pursuent to Ne provlsions oi the Coniractara License Lew (Chapter 9(commendng wl�h Sectlon 7000) of Divlsion 3 of the Business entl Professi�s Code) or ihet he or she is exempt therefrom and the basb lor Ihe alleped e:emption. Arry vidation of Sectlon 7037.5 by eny ep011cent lor e pertnit subJects Iha epplicant to e Gvll penelry of not more ihen five hundretl dollars (5500).): ❑ I, as owner o1 Ihe property, or my employees with wages fls thelr sde compensatlon, WILL DO TliE WORK, end the structure is nm IntendeC or oNered tor sale (Sec. 70ad, Business 9nd Professions Code: The Cantractors Llcense Lew does not eppy to an owner oi property who builtls or improves Ihereon, end who tloes such work �Imsetl or �ersel� or thmugh his or her own employees, pmNtletl that suc� Improvements ere not intendetl or ottered for sale. Ii, however, the bulltling or ImOrwement Is sdd wlthin ona year ot completion, ihe owner-builder will have the burden ot proving that he or she tlltl not build or impmva tor purpose of sele.). ❑ I, es owner o1 tpe property, em E%CIUSIVELY CONTBACTNG WITH LICENSED CONTRACTORS to wnstrucl the prqec� (Sec. 7044, Business and Professions Code: The contrectors Ucense Lew does not epply to en owner of properry who bullOs or improves thereon, and who conirects for such proJect with a contractor(s) Ilcense pursuant to the Contrectors License Wws.). ❑ I am exempt unCer sec. Slgnature: Owner ID vediled by tld�els Ilcense. ❑ Ves ❑ No Business antl Professlons Code for ihis reeson: Vedflcetlon of Ownerenip by (rype ol dwument, I.e. - properry tav bill or deed): DIVISION OF INDUSTA�AL SAFE7Y PERMR CERTIFICATON: Drivefs IJCBnse No. Dete: Espires: ❑ I hereby ceNty Net no excavetlm flve (5) or more feet In tlept� into whlch a person Is requlred ta tlescend, will be metle in connectlon wlth work authodzetl by t�is permit, and thet no buildlnp siructure, scaftolding, telsewark, or Aemditbn or dismentling t�ereof, will be more then thirty-six (38) teet hlph. (Chap. 32. Grp 2, An 2, Sec. 341, Title 8, Celltomia AtlminlstratNe GOCe). ❑ As owner-bull0er. I wlll not employ enyane to tlo work which would require e pertnit from Ihe Division o� InAustnal Sefery, es notetl ebove, unless such Derson hes e pertnit to tlo sucB work fmm the tlivislon. Signature: Date: Division of Industrial Sa�ery Permit Number: CERi1FlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAV: I certity under penelry ol per�ury thet I heve reed �his epplication entl stete �hal the infortnation given is correct. I egree to wmp�y with ell stete lews entl ciry ortl�nances releNng to Eulltling constructlon, entl euthonze representeNves ot Ihe Ciry o1 Costa Mese to enter upan ihe ebove-UescriDetl prope�y 1at inspedfon purposes.l egree not to occupY or etlow occupanry af eny buil0ing aulhodzed by thls permfl unCO final inspoctlon. too¢ �, psrernoxrrre GA7E 1616 Flxetl System Final Fire Prevention 1266 200 �1 202 203 Pad Spe FNeI Flnal RaRoo1 Finel BIocWRe��ninq Wall Final Fenory F��e Place Finel Slpn 204 Flnal Demditlo� 2a8d8 1({�A{$ Lppfj INSPECTIONT'PE 206 Flnel Mechanicel 20B Finel Plumbing 210 Flnal Elecirlcal 272 220 Finel Fire Preventlan Finel Planning Approvfll 222 Flnel Site 250 Finel Bulltling/Occupancy 'i��"— L Dete Q�IF. It�9lS ■,7 AVP��ant ta fill in all sDaces except ihose witnin neavy Eoraer Ilnes antl sign all aDo�opNate tleclarations. ('i!TV OF COSTA MESA/ COnN TR UCTION PE MIT PERj�IT NO.� _, � TRACT NO. LOT NO. UNIT NO. Pro e l�4ddres5 ��%'S `�� 7i ��T �� Applicant's Mailing Address l�`S� �t1 �.�rz�N HU� . Owner's Name G(�iGY/LC�� i�/J�jiE'E�G1H)1i�phone r �'r z/ Address �;y.s ��v�— S � Arch/Eng. License No. Address p, Contractor's Nam ��S�n� �G��(/v phOne '�—��` l Addresslmailingl-��5� �i4u�7r%n� City License No. .3 3� ��,p LICENSED CONTRACTOR DECLARATION I hereby atfi�m tbat I am licensetl untler provision5 of Citarter 9(commencing with section 7000) of Divizian 3 af the Bu5ine55 antl PrOf¢S5ion5 Cotle, antl my license iz in fuJl .fmce a tl etfec[. /, /' �% License IaSS 1J -i�•� � - -�'icen,�/ �7' /�1 / Date �.1 J-- sie � L'�v .!�'�'�% sYG-• W00.KER5' COMPENSATION DECI.ARATION �4ereby affirm that I have a certiticate of consent to seli-insure or a certificate ' Workers' Compen5ation Insurante, o� a certi(ietl coOY thereot (Section d800, Lab. G._ ��+ Policy No. 1�� Company �„ 1 I( — Certifietl m0Y is �ereby furnishetl. ' , d�cesi;iea$�o�_v�Li� tl wAOPI can1tY � a��4qivf�J ��/J/7/`�l�Jh. -� / EXEMPTION FHOM WORKERS' COMPENSATION DECLARATION (Tnissection neetl not be comple[etl if the permit is for one huntlretl (E100) or less). I certify that in Ihe periormance ot the work tor which this oerm�t is issuetl, I shall not employ any person in any manner so as to bemme subject to the WOrkers' Compensation Laws ot California. Date Signature NOTICE: If, aiter making this tleclaratlon, you snoultl become subject to the Workers' Comp¢nsation provision5 ot the Labor Cotle, you mu5t forthwilh comply with such 0/ovisions or [nis permit shall be tleemetl �evoke0. CONSTRUCTION LENOING AGENCV I hereby alti�m that there is a const�uction lentling agency fo� l�e Oerfo�mance ot lM1e work for whi[h thi5 permit i5 i55u¢tl (SeGlion 309] Civ. CJ Lentler's Name Lentler's AOtlress OWNER BUILOEN �ECLA0.ATION I here0y affi�m lhat'I am exempt trom the Contractor's License Law for the followin9 �eazon (Section 7031.5 Busine5z antl Professional Cotle: Any city or county whkh requi�es a permit to Construct, alter, improve, tlemolisn o� �epair any ztructure, p�io� lo its issuance, also requires Ihe applican[ fo� such permit t0 tile a signetl Stalem¢nt tna[ he/she IS Iicensetl pursuanl to Ihe prOvisions of tM1e Contractor's License Law (Chapter 9(commencinq with Section 7000) o/ '�ivision 3 af the Buslnezs antl Profe55lon5 Cotle) o/ tha[ he/she I5 exempt heretrom antl the ba5i5 for the allegetl ez¢mption. Any violation of Sec[ion �031.5 by any applicant for a permi[ subjects tM1e applicant [o a civll penalty of nol more than live bundr¢tl dollars (5500�. ❑ 1, as owncr ol the oroperty or my employees witn wages as their zole compenSatiOn, will tlo tho work, antl the 5[Nctufe i5 not Inlentl¢tl or otfefetl for Sal¢ (Section 7044, Bu5ine55 antl Protessional Cotle: The Conlraclor'S License Law tloes mt aoPly to an owner of a property wno bulltls or improves thereon, antl who tloes such work nimself/herself or througn his or her own employees, provbetl (hat such improvement5 are nOt Intentl¢tl ot otferetl for sale. If, however, tbe bui�tlinq or improvement is soltl witnin one year of mm- pletlon, tne owner will have tne burtlen oi proving he/sh¢ tlitl not bulltl or im- prove forthe purpOse of sale). ❑ I, as owner of the proper[y, am excluzively conUactlnq with lic¢n5etl con- Vaclors to conslrucl the project (Section 7044, Business antl Professlons Cotle: The Coniractor's License law does no[ apply to an owner ot property who builtls or improves thereon, antl who conVacts (or such projects witn a con- tractor(5I license purzuan[ [o the Contractor'S Licenze Law). 1 am aware that proof of tneir Wo�ker's Compensation insu�ance shoultl be provitletl to me. ❑ I am exempt under Section B. & P. C. tor this reasan Date Owner I hereby certify that 1 have reatl thls appliwtion antl state that the above information is 5qrrect. I agree to comply with all tlty antl county orGinances antl state IaWS�rglating [o builtli g ConSlruction, ntl hereby authoriz¢ repre- sentatives of/tlfis city�tL eyt por the ab ¢�mentionetl O�operty f.q[,.� inspection p r 65es- /� ,/ /� "�/'�l Signaiure �'�'^' �' 1 �fJ4��C Datz'� ��JC� / �rivers' License or 55 � � ��`�� TYPE OF CONSTRUCTION LI NEW LJ ADD LI ALTERATION VxREPAIR ❑ CONVERS�ON ❑ DEMOLISH ❑ OTHER T �1 DESCRIPTION OF WORK/USE OF_BLDG. !�; . . TYPE OF PERMIT LJ GRADING LI FOUNDATION LJ STRUCTURA� ❑ TENANT ❑ El_ECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sq.FT. CONSTRUCTION TVPE ZONE GRADING Remarks: � � ^ ^_� Sink <flow Preventer cflow Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavarories P—Trap Roof Drains Reinspection Fae � $15 Boiler Ouct - Under Ground Duct - Strucmrel Ouct - Ventilating Exhaust System ❑ Multiple FirepVFact Blt. ICBO # � Heating System & Ducting ❑ a i oo,000 sru � i oo,aoo Reinspec[ion Fee � $15 CMF 0865-46, rev. 10/B4 Wnite - Building; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor _ OCCUPANCV VALUATION S — Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin Solar nk Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays laue Fee EES $ 3 A.P. yW S Main Buildi E T Front B Rear A � Right K Left $ Pln9. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec� Fan F.A.U. Fixtures Device Boxes Outl¢t5 Switches Garbage Disposal Generator �0�5 KW C 2E97 7/=_./ ` � Zone Accessory Building: Z O N 1 N G R Perking Req./Provided E � M T S ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW 5�15 KW Meter LJup ro i amp Meter ❑0 100amps Sub P el �tors �0-1 HP O7 % - 8 Int.Solar 09-75 HP 016-15+ Microwave Pole Light Range Standing Sections Trash Compactor Reinspection Fee $15 Issue Fee IANICAL FEES Hoodor Typcl ❑ DEVELOPMENTSERVICESREQUIREMENTS: Canopy Ty I❑ Zonine APP�oved By Building Approved By �r7 /— / � iefri ion System -100,000 BTU ❑ 100,000 BTU System Repair/Alteration F ire Dampers Registers Issue Fee 5 3 BUILDING PEFMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAI $ PIAN CHECK 25% $ FEES $ 3 FEE� SMIP $ / SD PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ _^ :r.{,/�i �i}O TOTALFEE $ � CONSTRUCTION AND PLANNING POOL & SPA -� Date Inspector Date Inspector APPROVALS �Permit � APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment �ocation 2. Soil Pipe-Undrgrnd. 53. Sieel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor SVstem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System�Final 16. Rough Eleciric 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 Canditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro , 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FlXED SYSTEM FINAL 29. Insulation . 7S. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .• 33. Final Electric Notes: - 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System " 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING �'/�- 48. Special Requirements Cbmpleted 49. Electric Release to Edison • 50. Gas Release to Southem Califomia Gas Co 1 51. CERTIFICATE OF OCCUPANCY No. Date 'i JOB AnDxESS GENEIiAL CON1'fiACTOR ECPIONS Powcr y ✓1i7U�1 SUBCONTRACTOR `�. 23� �� Cf�STA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 9f] COSTA M6BA, CALIFORNIA For Applicant fo Fill In Completely TYPE OR PRINT � � � MAIL e. r. MESA, CALIFORNIA LIC.TNO. � ZJ NO. �� v SIZE C NO.OPBLD08. OF LOT V-' NOW ON LOT USEOF .. EXISTINO BLDO. 6ETBACK LINB PPOM �� cENTEP OF BTHHBT REAR YARD � SIDEYARDI LEFT ' 'I RIGHT DESCRIPTION OF WORK APPROVED �eoe� FEE RECEIVED OCT 2 0 1964 FINANCE DEPT. CITY OF COSTA MESA APPIICATION FOR PERMfT BUILDING For Offica Use Only R6C[IIT NO. ^P[pMIT NO. �[c�IIG r o�ri e�euvm oere iseuei /n,�� _/_� .n_�_ ZONING � � useopne euaorno / J�'� � �� - �3 a--',� lHAN6 8HALL BE LE33 THAN EAVES ALLOWED YARDSAPPROVED MAIN BUILDING BUILOIN6 NO.OF �' � VAR'# SIZE ROOMS STORIE9 C. U. P. E%TERIOR WALL ��I ROOF APP COVERING COVERINO �-- BY - USE OF BUILDINO AND WORK TO BE PERFORMED I HEREBY ACKNOWLBOOE THAT I HAVI AN� BTATH THAT THE A OVE 18 GOqF PLV W�TH ALL QTY O AND BUILOING CONBTFU N. SIGNATUREOF � PERMITTE AUTHORIZEO AGENT YARDSAPPROVfiD :C66SORY BUILDIfJ6 I•1_Y��I \PPLIGTION TN8 AMOUNT eHOWN UNOER IEE TO COM. PUFP09E OP EBTABLI8HIN0 RHO�L�T�rvO ypLUATION / O .) PERN 7 ////// v $ /� A v� V ` �_ m IB FOfl THE z PEE ONLT. p � os.p b N 0 �� m � 0 JOB AADRESS u1LYLLLY•LRL\ ) U • O • SUBCONTRACTOR ,T ,- `� -� • COSTA AAESA BUILDINCrSAFETY DEPARTMENT P.O� BOX 1200 GOSTA MF$A� CALIFOflN1A 92E2E por ApplicaM to Flll In ComplNrly TYPE OR PRINT COSTA MESA, CALIFORNIA ,S .��oa6�ee STATE 66TBACK 4�N[ �ROM BUILDINO ��_ ,�.�..�- �� Q� no. or e�.oa�. 1 NOW ON IAT �� V� DESCWPTION OF WORK � I M6R[eY �CRNOWL�OO[ TiAT.I XAVI 11f11O TNI� IV�LIGTON AHD OTAI'Q TMAT Tf[ AOOVf,ID C011R[CT AND AOR[i M COY. PLr WITX wLL cITY O11yNAMCY AI�D �T�T[ tAM'� R[OYLATINO lUILDINO ��NBTRURJOIf.�� wuTHOR�zio wo�rtr FEE RECEIVED JAN 11 19� FINANCE DEP . CITY Of COSTA MESA ArPLICATiON FOR PERMR' 6UILDING Por OHic1 Us� Onty w ZONING �1 �/ SO NO.O/ U�[O►N6W/' � ^L IIAN� r �UfLDINO �o„� �.cst=3��T'R�a� 402 �R��aK �.P.No. —a3z — � NOTH: NOEAV80VHRHANOBMALLE6L688THAN 80' TO BIDB 9 REAR p. L. EAVEB ALLOWEO �U.B.C.HHOUIPEMHNT) � YAPDfAPPROVED YARDHAPPROVHD ^ MAINBUILDINO ACCHHSORYBUILGINO Z y (FROM GLffR[[T) �" rR NT 1'T. :LI ,� x R.��ID !T. 7 L HID Ff. I V Rf. � ReAR PT. , S DIHTANG6 BQT. BLT. MAIN Q ,J MAIN BLDOB. ACCE53. BLOOB. , VAR.� DAT6 'n C. . APPHOVH� � Z /1R�ROV[D � i/ � [ �[J 'L � :y� � L 4 7 6Q. rT. � TH6 IIYOYM �MOWry UNO6fl VALUATION 19 POR THB � ►U11MGi O► [f�AOYGNINO A PBRYIT P[8 OHLY. VALUATION � 5 PERMIT F68 �i m a � Ss� -- w � � 22967 .FASTA MESA BUILDING-SAFETY DEPARTMENT � P. O. BOX S1! C08TA MEBA, CALIFORNIA For Applicant fo Fill In Complefaly TYPE OR PRINT BUILDIN6 L'�^ l G A�DRESS U ��.c�+ COSTA MESA, CALIFORNIA IIWNFG �/ / � B��//G� M/W/VI � ARC�+ITECT S3y LIC. NO. QG a (Q NO. Z OFLOT � / y I NO.ORBLOGe. / NOW ON LAT l/ USEOF �;�� v EXISTING BLD6. BETBACK LINE FROM � CHNTE0. OP BTRE6T � O � O REAR YARD �// C l �� SIDHYARD LEFT �—� I RIGFIT� O 7' DESCRIPTION OF WORK BUILDING L%/� ✓ SIZE U EXTERIOR WAL � COVERING USE OF BUILDING Af�D W � �, 1 H2HEBY �CI(NOWLGDOB TN�T I AND 8TAT8 TNAT TH8 ABOVE IB PLY WITX ALL CITY ORD11j/��C89 BUILDINO CONBTRU�<yr A6ENT FiRe FEE RECEIVED� SEP 17 1964 �fINANCE DEP1. ��a�t��AoeE eP� nrr BUILDING For Office Usa Only R6CHI'T NO. PHf � r %8 GBY DATEABCBIYBD pAT J�i I_+/ I �LANB�V I CUILDINO 1//I �/' r ,y �` !l uR Co% 3, J�� a; crtimon �. NO. H / �—r �� 7 fE: NO EAVE OVERHAN6 SHALL BE LE55 THAN 'TOSIOEBREARP.L. �ES .OWED fU.B. ME YARDSAPPROVEO i YARDSA VEI MAIN BUILOING AGGESSORY BUILDI iOM WLSTREET) � VAR.�{' I �ATE � . C. U. P. jC APPR ! APPROVED � . /% : �J _ i .. TNIB APPLICATION O AOP88 TO COM. p � � .t / �O so. �. tlOo sS" q TNH �MOUNT BHOWN UNOHR VALUATION �9 FOP TH8 F PUHP096 OP EBTABLIBMINO A PHHMIT PHH ONLY. 0 VALUATION (�� !�' m PERMiT FEE S S � � % Q Q m s[ / p �C� � � o �/'` d �� TOTAL FEE $ '/ � �