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Home My WebLink About238 PALMER ST - Building PermitsQ , CITY OF C6STA MESA BUILDING SAFETY DEPA.RT.ME:iT CERTIFICATION As the tmdersigned, I am fully aware of the responsibilities as awner builder. I hereby :.ertify that the personnel listed belw, vho are presently performing work at are employed by ne. I vill withhold Social Security deductions, Sta[e and Federal income taxes. They are also covered by Workmen's Compensation Insurance as prescribed by tae State lac..s of CaliFornia. NAI� 6 ADDRESS Date � . ,;Z ,� /�i�l J OCCUPATION X ci�e . - - � � i%� 1 \ Address:` ��.�-1��a, -CITY OF COSTA MESA PARK FEES N' . 10 6 Fee Payment Receipt Projec[ Address �.3� P�4�/)')E/` SI'� A. P. No. I I / —I ��}. —�0 Building Permi[ No. Owner's Mailing FEE Single Family * Mul[iple Family ** Planning Departmen[ No. of Units No. of Units / ' .. -ai— Applicant's Signature ' i .c� • Clty Ortlinance 72-44�, . ' •"' Clty Ortlinance 72-45 •`* City Resolutlan 74-124 Whlte - Planning; Canary • Planning; Pink - Finance; Goltlenrotl - APPlicant Pt10 S.PR ?_8-75��.,—«,0� 98Q o� `*321.�2 Park Area @ 5455.20 = @ S321.32 = �3�L' /. � Total Fee 3 Z�. a� y�sy GJL� Py � ��--�-t � . CMF 0174-26 � �� 1 ��9 4 OWNER POLKINGHORN CONSTRUCTION C�O. / ` DATE �12-13'SS JOBADDRES3 L3S Palmer St• � BUILDINGPERMITNO. 2156 GENERALCONTRACTOR Polkinghorn i�i0I19t. CO. VALUE$ 9�SJ2•�� LOT 3 BLOCK TRACT 27a7 Residence & garage GROUP I SC J TVPE V ZONE RIl FIRE DISTRICT ZZ6I1 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Footing Trench Foundation Forms and Grade to Plumbing, Rou Temporary Po� Wiring, Rough Heating, Rougl Heating, Final Sewer, Ho� Septic Tank or Lathing,ln Plasterino �✓I'/G / '. !i,°ela lrk�/J' 1=i lete l�jy� — / -! -s �u � �� — � Sewer, St. �? ,{ t�_ Plumbing, Fin,al Gas Test Wiring, Final Occupancy Fnrm 210 (:-H 15001 5'. C� Qoata Mesa Building Department ,%ir' • 171 EA8T 20th STREET ,�:�, � COSTA MESA� CALIFORNIA FOR APPLICANT TO P'II.Y. IN s�uai�9 Y .� Addresa Costa Mesa, California Nearest /. (1 L • � 1 ■ Owner 'Address Contrac' Address of Lot �f ting BI ack Li er of 8 B New size - "(� o Exterior Wall Tel. No. LiC. No. City � I ei�k i ��7 unda) No. of Bldga ( 3 cy I NOW on Lot Q � INo.of No.of Familiea Rooms ��f RearYard �<_� PPLICATION FOR PERMIT Bd11LDiNG ' FOR OFFICE USE ONLY I -Receipt No. -Permft No. � d? /�� d by Date Rec'd. Date Issued � � /�- � i—.1� !.Z �%� — Costa Mesa, California f I Plans I TYP¢ )/ Grou�� / V l�1�\ p I] � �l y . _, � 2 D 'ncrfl ��: . "" �.n. 7►!Ci CoveNng Ji (iGC � Covering ,(`/� (�PPR,0�7��' BuildfnNew Foundation Location Inspector 9 q r- C Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application � and state that the above is correM and agree to rnmply Lath. Int. with all City Ord' �ances and St Laws regulating building rnnst � Lath. Ext. Signatureof . Permittee Plaster,�lnt Authorfzed Ag � Plaster, Ext Valuation Permit F� $ r�y�- `� Masonry Reinforced � .` � �i ��? -' J Plan Check $ '�" � � Bond Beam � 3, > � Total c o Fee ', �• FINAL .� z s-sr aas s-ss . ,_ . . _ .- . _ . : .. ' .. ' : _ .: . . . � �► ti,� --- --- �.� -- - ='..'` =_. _ �-�: -� . . ..� .- , _' ' ___'_ ` . � �. _ c J �"•' � . • � COSTG - --- �-- , DEL.��—�S�o�E�h.:.4�..��z�.�o -- - � . _-_- -__ _..-- -- �: _ .. �,_ _ = l , -:- . � — �, -� - -,:� — ,. , , -.. ; _ - - -; - .-- - - . . _. - �� - PYA� PLAN ,, . . - - - , _ ; - - - 8how location and distances from - . •� � `� � , property Iine and between buildinga � - -,` _ � ! -- _ . . .� _. � ' ' . . ._ ...., - - - �'- -' -��1�5^0�' �------ -- , . . .._ . , . � »s-�...v:.... ' , . _ _ , . .. ...i � .. . ..3 .. " � _ _ : }'. — _ . _ ._— - _ ' .��i� •• , -' � ' _' "� ' ' ' _ ' �_�_ ' �,�i " _ . .'i: •.i' _ ' '_" _, � \ .. .' . _ _ ' , . . "' _ . "�.<.�_ __ ' _ ' . . . "' ' " ' ' " ' . ' .iL^ . _ .. _ . . . . _ . .r � . _ �M f. , . � �. ,.� . . , " ' " ' _ _ _ _" . ' .. ..^.�U;; ,.:�... t:, ... , .r�' . : . . . ' , :'„ ' . , . ' 1 . .�. ._ .�_. .�� ' ' • - 1= .J��i . .i i .. _. . -_. -- ._ . . r -- . ._. .._.. . ' .' ' - _ ' -. -- . _ , _ . . _ . : .. ' _ ' , : - . _ `�' � - _ . �� --- , �= . � _ ' . ._ _ ._ _ . . -_ ~ .� ._ � ., � ' ' -- .��'=:1i::-..- r� . ,-.. � ! . � ..-t" - . . � ^' ' •_'-�' . ' ' _ . . _ _ �" " _^._i - '_ '.." ' I l � ' 3977b ; F~_ ..;:,•�;_�; c� , •,�,-,-7��;�.oc o�t.> ,_.;.�., . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ForApplicant fo Fill in Completely . P I TION FOR BUILDING PERMIT REC DATERECEIVED D ISSV BU�LDING ADDRESS pt P R 1Y NO. � OWNEfi -} • A.P. NO.I � � MAIL BUI�DING 2 � ADDfiESS ADDRES � W W . TEL. +p TRACT LOT BLOCK d(J CITY - NO. 54p' O Z Q CpN5TRUC7�ON W AD O � LENDER � p1 J � BRANCH J N OWNER m J ADDRESS N� �� VALVE ' J Q ARCHITECT TEI. �� $ OR ENGINEEF S � N S— V � FIFE W �.' ADDRESS �y P '� �{ ZONE TVPE GROUP d � APPROVED JO CONTRACTOR L�� BV DATE � md+ ADDRE55 %j � ` W y� � ZO NO.OF USE OF NE ' ZY CITV (�l.t_GZs� N�L�S] 55 � pLANS gUIL�IN �1' J] W O STATE � ` CIT�' M.4FDS APPROVED VARDS APPROVED Q y a LIC. NO. � N� LIC. NO. �'�('y�} � MAIN BUILDING ACCESSORY BUILDING 70 (FROMC/L5T EET) SIZE NO.OF BLOGS. ` OF I.OT �� j� � NOW ON LOT }, ROM FT. USE OF + EXISfING BLDG. � �N '� ST. FT Z NEWBL�. i5, a' ROOMS STORIES � 1.51DE T. FT. a EMEFIOR WALL FOOF �! COVERING IACG COVEftING � REAR T. FT. J U E F UI fNG AND WORK TO BE PERFORMED DISTANCE BET. gET. MAIN& a � � i 5. MAIN BIOCi$. ACCESS. BLOGS. � a VAR,� DATE a � C.U.P.�W � qPPROVED (� � N �. � � �� APPqOVED 1 ^ � � � � MENY: UI hereby acknowled8e thet I nave reatl this applicaiion antl stete � � that the above information Is corract antl agree to camply with � all lews ragulating builtlinp construction, end I shell not employ F„ any Person in violation ot the workman's compensation laws ot � y the State ot Calitornia. � � . z I he�eby certify ihat I am O�operly licansatl as a contractor untlar SQ. FT. p HE AMOUNTSHOWN UNDER VA AT� 1 FOq ^ me Stare of California Business entl Professions Cotle, Divisicn 3, .� Cf�epter 9, antl that such licenses are M fuN fo�ce aad eftecf, or 1 THE PVR40SE OF ESTABLISHING A PERR311'FREE ONLV; m am enampt from the provisions of the State of California Business VALUATION ¢ and Professions C e, DiviNon 3, Chepter 9. r � PERMIT FEE $ ] Signature of � � � Q �'� e�% m Permittee � $ / � �Q PLAN CHECK $ '�i E `o Authorized Agent LL TOTAL FEE $ r�. � 3 ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Z . a cWj Z Za � N am J � J � p] J • Q] J Q U Q Z � W aw WZ J Q m Z J � W W � _ Z �-- W� N � 70 :�PP, [.8-75rns��0 981 ±�'x�*'SZbO APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Comp/etely RECEIVED BV OATE RECEIVED DA 1 E� BUILDING /%� AL �� ADDftESS G � � !�G A/11�ls�G Po PERMIT NO. OWNER A.P. NO. MAIL BUILDING ADDFESS ADDRESS TEL. TRACT LOT BLOCK. CITY NO. CONSTRUCiION ' W A� �+ LENDEF BRANCH OWNER ADDRESS VALUE AflCHITECT TEL. S $ OR ENGINEER N . FIRE ADDRESS 20NE TVPE GiiOUP APPflOV ED CONTRACTOR BV DATE ADDRES$ TEI. Z�NE NO.OF USE OF NEW CITY NO. PLANS BUILDING STATE CITV YARDS APPROVED VARDS APPRpVED LIC. NO. ' LIC. NO. MAIN BUILDING ACCESSOFV BUILDING SIZE NO.OF BLDGS. (FROM C/L STflEET) OF LOT NOW ON LOT RONT FT. FT. USE OF EXI5TING BLDG. S FT. FT SI2E OF NO. OF NEW BLDG. FOOMS STORIES 1.510E FT. FT. EXTERIOR WALL ROOF COVERING COVERING ' REAR FT. PT. USE OF BUIIDING AND WORK TO BE PERFORMED DI5iANCE BEf. BET. MAIN & MAIN BLOGS. ACCESS. BLDGS. y� VAR. � DATE �J � tf"' (% C.U.P.�I`- APPqOVE� ` w� APPROVEO r I herabY ecknowladge that I have reatl this application antl state that thB ebove intormation is correct and agree to comply with all laws �egulating builtlinB consttuction, antl I shall not employ � any Oerson in violetian of the workman's compensation laws of tha Stata ot Celitornia. ' - I herebVi certify ihat 1 nm property licansetl es e contraccor untler SQ. FT. the State of CalifOl�la Bu5ina5s antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS POR Cnepter 9, and xhet such licenses are In tull force antl ef£ect, or I THE PURPO6E OF ESTqBLISHING A PERMIT FEE ONLV: am exempt from H+e provisions of theState of Calito�nia Business VALUATION � and Protessions Code, Division 3, Chapter 9. PERMIT FEE $ � Signature ot ^_ Petmktee $ PI_P.N CHECK $ Authorized Agent ` �a TOTAL FEE E