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Home My WebLink About361 OGLE ST - Building Permitsv - � CITY OF COSTA MESA ' � pMF BU/LD/NG D/VISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 7%-4856 • www.ci.costa-mesa.ca.us °.,i��. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER!'P08-00054 PERMIT TYPE PLUM APN: 42519203 JOB ADDRESS: 361 OGLE ST CM Vicinity: SCOPE OF WORK: ON SITE SEWER REPAIR OWNER: CONNOLLY,JOY PHONE: APPLICANT: COLLIN CASSOA PHONE: (310) 254-14�0 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 02I1912008 CAC Address: 357 OGLE ST City/State/Zip: COSTA MESA, CA Address: PO BOX 6970 : City/State/zZip: TORRANCE, CA CONTRACTOR: POWER PRO PLUMBING License No. 766254 Address: PO BOX 6970 PHONE: (310) 324•3661 Ciry/State: TORRANCE, CA ZipCode: 90504 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $48.15 $48.15 NOTICE: The work authorizetl by this Oermit shall comply with all applicable handicap access requiremenls under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order tor the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and fnal approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of Ihis permit. COpEt. INSPECPONTYPE ORi IN7lilpl5 COpEt �NSPECTIONME p�7 INiRULS 7818 Fized System Final Fire Prevention 208 Final Mechanical �p�./G 1268 PoW Spa Final 208 Final Plumbing .A �Lt� O / 7 J/ti,�� }� 200 Final Re-Roo( 210 Final Electncal , T� j� 201 Final Blak/Relaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site i 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARAT�ON: � hereby aKrm under penalry of perjury one o( Ne (ollowing declaratlons: ❑ I have and will maintain a certificate o( consent to sel4lnsure for workers' compensation, as provided for by section 3700 of the Labor CoOe, for Ihe pe j rmance of the work for whicti this permit is issued. [] � have and will maintain workers' canpensation insurance, as requiretl Dy spction 3700 of the Labor Code, (w the peAortnance of the v.ork fa which this pertnit is issued. My rkers' compensation Insurance carrier and policy �umberare: � �� (ink seam nefa irol oe mn�pere/�e anf-e p/eima k vaA.ee ar we m.Mree chlars'/5100) a/ess j Policy�Nurritier: C.%'Y l�� _- ❑ I certify that in the peAortnance of the work br vfiich this permil is issued. I shall not employ any person in any manner so as to bewme subject �4 the workers' wmpensation laws o( Califomia, and agree that i( I shoultl become suDjecl to the workers' com nsation provisions ot Section 3700 0l tha Labor Code, I tpco ply with these provisions. Z O� `� fs5ignatue C iDat WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CA�E, IMEREST, AND ATTORNEY'S FEES. O�mer ID ven�ed by tlriv ,ise. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ovmership by (type of document, i.e. - property Wx bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlify Ihat no excavation frve (5) w mae (eet m depth into wfiic� a person is required to descenQ will be matle in connection vrith wprk auihor¢eE ,by thfs pertnit, and that no builtling sWCNre, sc�fdCing, (alse�wrk, or demolilion or dismantling thereo(, will be more than thirty-s�c (36) (eet high. (ChaD� 32, Grp 2. M 2. Sec. 341. Ttle 8, Califomia Administ2tive Code). ❑ As owner-builder. I vrill not employ anyone in d� avrk which wvuld require a permit from the Division ol IndusMal Safety, as notetl above. unless such person has a permit to do such work from Ihe tlivision. AOPh��'s SiqnaNre Oafe Division o! Industrial Salety Pertnit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presen� or fuWre building occupant nee0 lo file antl certify a Business Plan for emergency response to release or threatened release of a hazartlous material7 ❑ Yes � No (Seclion 25505 of Ihe Califomia Heallh antl Safely Code requires, with some exceptions. that a Business Plan ba filed vnth the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantity o! hazardous materials equat to or greater lhan a weighl o( LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume o( 55 gallons. or 200 cuDic leel of compre55ed gas � hereby aHirm tha( I am ficensed wAer provisions o( Chapier 9(wmmencing al sfantlard temperature antl pressure}. with Section 7000) of Division 3 0( the Business antl Professions Code, and 2, Does or will the applicant or present or fulure building occupant need to fle my license is in full force and eflec[. a registration form for acutely hazardous materials? ❑ Yes ❑ No �Lic'.#� 7 Cless# .3 (Section 25533 of the Calitomia Health antl Safety Cotle, with some � exceptions, requires registretion with the Costa Mesa Fire Department by ,( ,� - each business wAich at any one time has on hantl a quantity ol acutely camaa«q�qoa �re � a�e . hazardous materials equal to or greater than a weight ot 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compresseA gas at slantlard CONSTRUCTION LENDING AGENCY: ❑ I hereby af(vm that there is a constniction lending agerKy for Ihe perfortnance of the work for wfiich tltis pertnit is issued. (Sec. 3097. Civil Code). Lender's Name: Lender's Address: Slgnature Daie OWNER-BUILOER DECLARATIONS: I hereby aff�rtn that under penalry o( perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5. Business and Pro/essions Code: Any ciry a Counry which requires a pemirt !o �onstruct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the applicant for such permit to file a signetl stalemeM Ihat he or she is licensetl pursuant to the provisions of the Contractors License Law (Chapler 9(commencing with Section 7000) ol Division 3 of the 6usiness and Professions Code) or thal he or she is ezempt therefrom and �he basis for the alle9ed eaemption. Any violation ol Section 7031.5 by any applicant for a permit subjects Iha applicant to a civil penalry of not more than flva hunaretl dollars (5500).): [] I, as owner o! Ihe property, or my employees with vrages as their sole compensation, WILL DO 7HE WORK, antl the sWcture is not intended or o(feretl for sale (Sec. 7044, Business antl Professions Code: The Contractors license Law dces not apply to an ovmer of property who builds or improves �hereon, antl who tloes such work himself or hersel( or through �is or her own @mployees, provided Ihat such improvements are not intended or offereC lor sale. I�, however, the building or improvement is soltl within one year of Completion, the ovmer•builder vrill have the burden of proving that he or she clitl nol builtl or improve tor purpose of sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct lhe project (Sec. 7044, Business and Professions Code: The wntractors License Law dces not appty to an owner ol property who builds or improves thereon, and who contracts for such project with a cmt2clor(s) license pursuaN to the Contractors License laws.l. (] I am exempt under sec. ' 9usiness and Protessions Code for this reason: i05]-d6(3I0]) temperamre and pressure). 3. Does or will the applicanl or present or fuNre builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes � No (Section 25534 of the Califomia Healt� an0 Sa(ery Cotle provitles that lhe Cwta MeSa Fire Departmen( may require ihe preparalion, Certificalion an0 (ling with the Fire Deparlment ol an RMPP by businesses which are requiretl ro register acutely hazardous matenals with Ihe Fire Depanmem. 4. II an RMPP is presently required, has Section 25534 0( the Cali(omia Health antl Safery Cotle been fully complied with? ❑ Yes ❑ No 5. Does oi will the applicant or presenl or luWre building occupant raquire for lhe work which is ihe subjecl of this application a pennil (Or SUGh cOnSINCIiOn or modification lrom tha South Coast Air Qualiry Martagement Di5[ritt or from any other air pollution conlrol distnct or agency7 ❑ Yes ❑ No (Section 65850.2 of the Califomia �ovemment Code requires that the requestetl infwmation ba fumished on applicatbns tor rqn-residential building permit5). 6. Will any part of the faciliy to be consWctetl under this permil be within 1000 feet from lhe outer bountlaries o( a schaol? ❑ Yes ❑ No Qf yes", the facility must meet Ihe requirement o( Sections 25534 and 4230J ol the Califomia Health and Safay Code). 7. II a pertnit Imm the South Coast Air puality Management DisMcl or other air pollWion comrol disMct or agency is required for the work which is the subject of this applicatioq have all ol the tlisclosures prescnbed by Calitomia Health and Safely Code Section 42303 been matle? ❑ Ves ❑ No 8. QI'yes", altach certifcate of wmpliance from the appmpriata air pollution conirol oKcer). CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury the infonnation g'rven aDove is carecl. I agree to comply wilh all state laws antl city ordinances regardinq Hazardous Materials and Emissions. SignoWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I certily under penalry ol perjury that I have read [his application and s�ate that the information given is correcL I agree to comply with all state laws antl city ortlinances relating lo building constmction, antl authorize representalives ol the City of Costa Mesa to enter upon the aboveEescribetl property (or inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. �S tu Ypy� pa� .�`-%� z, � CAn0l0lputhonzCC OlfLnl e ! . �- �i � AVD��cant to fill in all s0aces e CITY OF COSTA MESA / CONS RUCTION PyE�RMIT Project Address � t�- � 4 I e #f"1 ,^I Applicant'sMailingAddress �d'35��S�l' rn�)�F��.�..�p p�v. Owner'sName �'''��j,�._��_�" �� Phone`pf¢SLEo7� Address 6CC[�Y7L1' � Arth/Eng. License No. Addresz Contractor's Nam y� /�� - (>( Addreulma'I'nal- ��J�sy.� r�i' �� 1-1�• (da- Cily License No. __ yg ��g�.((�� LICENSED CONTRACTO� DECLARATION I hEreby afflrm Ihat I am IlcCnsetl untl0r provislons of Cha�9J� (�Qp�{p�q g/ wttb section 7000) ot Division 3 0l t�e Buslness antl Pr�C�9c�hd�4TK��lY my license is in lu tor antl atloct. ��,�� v q� t lJcense Clasi � License No. ��^ ! = ��^ � Date�=4�$_ S�9nature _ ' WORKERS' COMVENSATION DE ARATION I hereby altirm tnat I have a certlli<ato of consenl -insure or a certiticate ol Workers' Compansa[iOn InSuranca, o� a co�tltietl copy t�e�eof ($eclion \3800, LaD��O�'y1 1 �/y� 1 _ Policy No. �dmpany ��n��P. 1 � IL�7� Ccrtilietl coDY is hereby turnishcd. ertifi¢tl op 5 flletl wlth thC City Bi� ' Wisi f. ate�_ Applican EXEMPTION F0.0 WORKERS' C ENSATION LARATION (Thissection neeU not bn complatetl it the permi[ is fo o huntlretl (5300) or Icss�. 1 cerli/y that In the performanta Of t�e work to� which Ihis perm�t i5 i55uetl I shall nol employ any person In any Tann¢r So as to become subject to [�e Workers' Compensation Laws of Calitornla. Date Si9naluro NOTICE: If, aller making �his tlecla�ation, you SM1OuItl baCome subject to tM1e Workers' Compensatlon provisions of tna Labor Cotle, you must forthwith comply with Such provi5lOn5 or thl5 pOrmlt sball be Oeemetl,revoketl. CONSTRUCTION LEN�ING AGENCV � � 1 M1¢r¢by affirm thal tbere Is a mnsl�uction lentling agency tor the Oerformance oi tho work Por whiGh th15 permit is issuetl (Settion 309� Clv. C.) Lentler's Name Lentler's Atltlress OWNER BVILDER UECLARATION 1 hereby aHirm thdt I am exempt from the Conlractor's Llcense Law for Ihe following reason (Seclion ]031.5 BuSiness antl ProfeSsional Cotle: Any city or couniy wnich requires a perTit to construct, alter, Improve, tlemolish or repair any Structure, pNor to Ils Issuance, also requires [he appliCant for Such pe�mit [o tile a sign¢tl s[a[ement Ihat he/sh¢ i5 IitenSetl pursuan[ to the p�ovisions of the Contractor's License Law (Chapter 9(commencinq with Section �000) of Divisian 3 of the Business antl Professions Coae) or [ha[ he/she is exempt theretrom antl tbe basis for the allegetl axemption. Any violation ot Section 7031.5 by any applicant for a permit subjects the applicant to a civil �endlty o/ not morn than five huntlretl t1011arS (E500). I, as owner of t�e property or my employees with wagei as thei� sole compen5ation, will tlo the work, antl the SVucture is nol Intentletl or offere0 tor sale (Section 7044, Business anC Professlonal Cotle: The Contractor's LJttnSe Ldw tloes not avP�Y �o an owner oi a property who bullas or �mproves thereon, antl who tloes zucn work hlmseH/harself or through nis or her own employ ees, provitlod tnat sucn imorovements are not Intentlea or ofteretl for sale. II, how¢vGq lha builtlin9 or improvemanl is soltl within one year of com- o�etion, tne owner will have Ihe bur�en oi proving h¢/She tlitl no[ DWItl or im- prOve torthe purpose ot sale). ❑ I, as awn¢r ot the p�operty, dm ¢z<IUSivuly Contracting with liGensetl con- VaCtorz Ic mnstruct Ihe project ($ectlon 7044, Bu5ine55 antl Pmtessions Cotle: The ConVactorY Licensa Law tloei nOt apply to an owner o/ prop¢rty wh0 builaz or Imoroves thnreon, antl wno contracts tor suth projects witn a con- 1raClor(Sl ��censo pursuan� to Iho ConVa<tor's License Law). I am aware [hat o�ool o( their WorkOr'S COmp0n5dtion Inzuranc0 Shoultl �� provltletl to me. ❑ I am axempt untlCr SeC[lon B. & P. C. fo� IhiS r¢asOn Date Owner 1 nereby certlly that 1 hava reatl this appliwtion antl state that tne above inlormatlon is corrott. I agree to comply with all city antl counry ortlinances dntl State laws ralating lo builOing ConStruCtion, antl hereby authorli¢ r¢pre- sentatives ol t�i Uty to ontor upon ina above-menUonatl property tor ins0ectlon pur ' Slgnature - Accounting; Goltlenrotl - Azsessor ihose within �eavy Dortler lines an0 zi9n all appropriate tleclarations. . TRACT NO. LOT NO. UNI7 NU. TYPE OFCONSTRUCTION C�IVEW IJ ADD U ALTERATION IJ REPAIR ❑ GONVERSION O DEMOLISH ❑ OTH R p DESCRIPTION OF WORK/USE OF BLDG. -�t%Cy(T�.k��Y� �'=� -�'-'� � TVPE OF PERMIT �J'GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAI �LUMBING ❑ MECHANICAL � ❑ OTHER PRQIECT DESCRIPTION 5�. FT. OCCUPANCV_ CONSTRVCTION TYPE VALUATION S 20NE GRAOING CU. VDS. ACRES_ Sink Prevenrer Irrigation Drinking Fountains Floor Orains Floor Sinks GasService Outlets Inrerceptors Kiichen Sink lavatories P-Trap Roof Drains fleinspection Fee Under Ground Struciural S15 Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Duc[ing ❑0.100,000 BTU 0100,000 Rainspaction Fee � S75 Showers Service Sink Sewer Cap Sewer Connec�ion Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Warer Closet Water Heater Water Service Aufo-Wash Wundry Trays Isue Fee Hood or Typel ❑ Canopy Typell ❑ Retrigeration System ❑0�700,OOOBTU ❑100,000 SVstem RepairlAlteration Fire Dempers Regiscers laue Feo FEES A.P. � S Main Buildi E T Front B Rear A C Right K �eft S Ping. fief. $E Planning Notes: 3398 I/19/BO Actessory Building: ELECTRICAL Automatic Washer Tronsformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 emps Dryers ❑Gas ❑Electric Sub Panel Fan Motors 041 HP �1'h-B F.A.U. Inc. Solar �9�15 HP �16�15+ Fixtures Microwave Device Boxes Pole Light Outlets Switches Garba9e Dispoul Generator �0-5 KW OS-75 KW Zone , Sign Standing Sections Trash Compactor $ 3 Reinspection Fee 515 Issue Fea FEES DEVELOPMEN7 SERVICES RE�UIREMENTS: 2oning ApprovBd By Buildin8 APProved By Appliration Issued By $ 3 5000 TL Z O N 1 N G R E Q M T S F $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PV1N CHECK �.�p�. PERMIT � PLUMBING � ISSUANCE $ PLAN CHECK 25% 3 �— ENERGY P.C. $ ELECTRICAL S GRADING $ PLAN CHECK 50% g MICROFILM $ MECHANICAL S TOTALFEE $ � PLAN CHECK 25% $ CONSTRUCT�ON ANDPLANNING POC SPA Date Inspector Date Inspector APPROVALS�� Permit-# APPROVALS Permit # 1' Temporary Electrical_Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �`� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms L' � i., �,. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ^•i -. 5. Steel Reinforcement, 56. Rough Plumbing & Pressure Test� ... � i� 6• Electrical UFER Grnd.' 57. APPROVAL TO COVER�GUNITE _ .^� 7. Footings 58. Electrical Conduit�Undrgrnd. -I! 8. Foundation • 59. Gas Pipe, O Undrgrnd., Test � 9. Wa[er PiUe Undrgrnd. 60. Backwash Lines, P�Trap, OtUn�rnd. � � 10. Structurel`Gloor System 61. APPROVAL TO DECK L'-� 1J � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYs[em-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 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. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 1 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 , / �.f/ � . ' 39. Water Service-Finai ' 40. Gas Service-Final ' ' • ' . 41. Solar pomestic-Final • 42. Backflow Preventer ' V 43. Backflow Irrigation � S 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations ' . 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison ' � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , .\ � ` OWNER t,rrr,r.an�.r� ennrs��p en )oa wnaEss 361 O�le Street AP. No. GR011P INSPECTIONS browu coat Final Gas Test 5 FIRE ZONE TYPE V ZONE DATE � SUBCONTRACTOR DATT' q_)�_KR — BUIL. ,G PERIviIT NO. 7491, VALUE $ 13�767 WORK Dup1E]� PLAN NO. PERMITS DATE I `7:3;�� COSTA MESA BUILDING DEPARTMENT P� �. BO% 31'] COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN UILDING 361 Ogl.e Street DDRE55 COSTA M�SA. CALIFORNIA WNER IdILGROWE CONSfRUCTION CO.� INC. DDRE55 11933 Stanton Blvd., AUC26-58P. ;��'207a *�*�48.00 I APPLICATION FOR PERMIT Bui�or�v� FOR OFFICE USE ONLY RECEIPT NO. PLHMIT NO iTv AnBheim� C8lifot'nia TNo TW-3-3135 qooaEss RCHITECT uG COSTA MESA. CALIFORNIA R ENGINEER NO. fRACTOR T. P• GTE,'gg CITV NO. 3Ess ll933 Stanton Blvd. TNo:'�� 3-3135 RIPTION NOT � RI flf'N TRG(".T �� A.P. NO. OF LOT SZrSS X 13S.O% USE OF EXISTING BLDG. SETBACN LINE FPOM 50} CENTER OF STREET SIOE VARO 1� RIGHT NO.OF BLDGS. �IOW ON LOT qEAR 1S LEFT 58T DESCRIPTION OF WORK NEW n ALTERqTION I ADDITION j REPAIR I IIMOVING OEMOLISH I SIZIEDING ZS X(�*5'7 ROOMS � STORIES 1 EXTERIOR WALL X1��CC0 ROOF COVERING J1U1I1� COVERING CO 115E OF NEW _ _ STATE THAT TXE wBOVE IS CITY OflDIN,�NCES ANO $TA TION. / SIGNATURE OF _ l. ZED PGENT sND PLA DATE CORRECTIONS � !O COMPLV WITH �LL , BUIL�ING CONSTflUU VALUFTION PERMIT FEE S �a � 3 /`J P�AN CHECK S � 6 � 5 �, l� , 7 TOTAL FEE 5 �� veMr - APR 8 1960 O�VNER GLAVIN� D.E. ' DATF C'2%'SS JOB ADDRESS 361 Ogle St. BUIL� _.G PERMIT N0. 9�1j3 GENERAL CONTRACTOR Owner-Builder VALUE $ 2�00�.00 AP. No. 117-272-1 T TRACT FIRE ZONE DESCRIPTION OF WORK Gdt8�@ i02' Ih1p123. INSPECTIONS � DATE SUBCONTRACTOR Tes[ Farm 210-3M-4-59 I;� � .. ��33 rEE RECEI�E� COSTA MESA BUILDING-SAFETY DEPARTMENT �✓�' R�AY27 �� P.O. BOX 3I] COSTA MESA. CALIFORNIA . fINANCE DEPT. fOR APPUCANT TO f/[[ /N COMP[ETELY APPLICATIONOFORSrpE�MIT TYPE OR PRINT BUILDING BUILDING / � ADDRE55 r COST ESA, �CALIFORNIA FOR OFFICE USG ONL/ I PECEIPT NO. I PERMIT NO. OWNER MAIL RECEIVED BY DAT RECEIVE NT ISSU ADDRE55 E \ I S �L S S Z� S / rs TEL. BUILDING\ �J CITY ,/ .„ NO ADDRE55 J G � � �t ARCHITECT �� 'K�y LIC. � oa er+cwEeR No. COSTA MESA, CALIFORNIA � � FIRE 2 r� � ADDRE55 � O E 5 � .' A ZONE / C„[J(Z7\VrLL STATE APPROVED' �� CONTRACTOR �, `V � e Z- LIQ NO. � BV C�� ` OATE � Z� ) nooRess � �� ZONING ZONE NO.OF USE OF NEW LEGAL LOT �_ � ��l� �i I p�,AN9 ��_BUILDING ��R y--� L' OESCRIPTION NO. �� BLOCK TRA T 0� t� APPROVED A.P.NO. �/✓ � BY DATE .2 J� SIZE � Ino.ov 6LDG5. „ ypRDS EVES OFLOT �C�� X'31.G NOWONLOT �� qEOUIRED ALLOWED USE OF ICENTEH LINE ST.) J ExiSTING 6LOG. ��-� �Ciz'r FRONT S r R. IN. SETBRCK LINE FROM PJEtiMCHy c[rvrEwovsineei SS"pLDI�S. REARYARD �' p,$IDE � FT. IN. t SIDE YARD I LEFT �� I RIGHT 3�• L. SIDE FT. IN. DESCRIPTION OF WORK REAR FT. IN. NEW ✓ I II ALTERATION I II ADDITION I REPAIR I IIMOVING I IIDEMOLISH I BUILDING �ll, x y�; ROOMS STORIES SIZE �'�' EXTERIOR WALL ROOF 4� COVERING �j�«C COVEftINGC�=Y�U�(SdO�LiS USE OF BLJILDING AND WORK TO BE PERFORMED ��JL �� 'Z S � I HEREBY ACKNOWLEOGE TXAT 1 XqVE PEAD THIS APPLICATION AN� STRTE THAT THE RBOVE 19 COPfiECT RNO AGREE TO COM- THE AMOUNT 6MOWN UNOER VALURTION 19 FOR TME pLY WITH qLL CITY OpDINpNCE6 ANO STpTE LAWS REGULFTING PURPO6E OF ESTABLISHING il PEHMIT FEE ONLY. BUILDING CONSTRl1CT10N. /� VALUATION � �`__ SIGNATURE OF U� ��`I �� PERMIT FEE $ p PERMITTEE G // $ Z`" �� PLAN CHEGK S C/ ^� AUTHORIZED AGENT— fl I v._J��-- r TOTAL FEE $ �rz ��