HomeMy WebLinkAbout363 MONTE VISTA AVE - Building PermitssoonessaFem�ara: 363 MONTE VISTA AV
qYNER5NM1E1FpqNN: SCHWALHE JEAN E TR
A0°"�� 2860 ALTA VISTA DR
NEWPORT BEACH,CA 92660,
IVPL. YIJUNO I�UOIIE54:
IiNCNrtECT Ofl FNtlNFER:
PCN.OH ENO.'S �NORE59:
uc. xo.:
uNr: GARAG
UNT:
ca+m�crarsrun: ROSS S HARROWS INC. (714)557-7440
- CRRXACTORSMY0N0 2 6 0 E. ALTON AV
�,00�ss: SANTA ANA CA uar+o: 327802
92707 uxr:
IJCENSEO COMF�CTON4 OECLAfl�TION: I haroby M'vm uMm pnely d psijury UW I un Ikmssd undm prwiwns d Cheqr 9
(mmmemiip vmA Sanqn ]000) d Divieion 3 W Ne &xi�wu vd PMxdme CoEe, erd my tironro u in tull laa uM eMae.
cmuc.no.: 040929 �o.��g: C_39 uc.No.: 327802 EXP: 11/96
� o�< ,� � 5� - 9� ��a: �1�,�G-�u.-�.
OW NEP BUILDEN OECLCR�TION: I haieby tlfiim uMer perely d perj�m� tM� I em easmq Imm iM ComrWon Lirome lew la the
fdbxiq reawn (�� ��1.5 Bueneas eM Rdepiom Code: rl�ry aty a mun1Y �� �0uiroe e pertnn to oonf Wc1. ella. impove.
demdah, or repei mry airuclure. qiar lo na ewenm, ebo �puim iM applirenl far wch peimX lo file e ag�wE HelemeN Nel M a eM
4��a w�u m ins vo��. a� cw�na«. u�� �. �cnaqa s lo�a,m,a .mn seao� �0001 d w.e� a d �b
Biairoa eM Prafaeeona Codal a �Mt M a ahe a eaemV �hvehom uM �he Eeau la Ne eAeOb e.emqian. MY vabibn d Seaun
�osis M d+r wd��� �«. w,ma •�nrod+ �� aod�� m e aw ae�M d �a mo�. m.� r. n��a,ae ddW. Issooll.
❑ 1, es ow�ror d Ihe propaMw my empbYeee wth wnpoa ea Ihai sde rompanemian, xill do �M woh, anE ihe e�ruciure e rwi iniended
w oflared far eeb (��� )�. Buv�aerd ProleaaionsCOEs: TM Conlrepon Licen�e lew doee rot epplytoen awnxd propaity
M'1q �49IXTWPI!! 11HfBp1. Clb 1Mq QOl� tllCll WOI�I �11111fpM IX �1MG� O! 1�1lWQ�1 �1G 0! hG! OWT GTqV�'Gl�. �OI�Bd I� <�l
impv.emmM ve nd'weMeE u dise0la eW. tl. howwer. iM huiNinp a inpwemeM o wW wilhin one Y� d oxnpW ian. IM
owiwr-0�ilder �i0 heve iM Eu�den d V�+�O he or ehe Eitl nol bwM ar'unPra+fv �M WTaa N vbl.
� I, ea oMner d �M popeny, em udusively conireqiq xilh 4mnwd oonUeclae lo cansbutl IM qqM (Setlion ]014. Bwiiwae eM
am�e�iore coae: rne comrena. uceme te. doe. �a wWr io en owmr a werony wno anua « impwm mermn ena wno
mnlrecb lor sWi prqaqs wilh e mmrma�e) IkenaeE punueni io ihe Canirmon liorua lewl.
� I am uemq uMer Senian: 8. 8 P.C.. In ihia rsasm:
DAe: - �+mer.
�
I do hereby cenity thei l em ewera d enE uMersieM Na mpuiremana d Cdlomu HeeXh eM Salety Code Seaiona 25505, 25533, eM
P553a, arM Mei I a eny Mwa buikirp omipent will I wll Iw1 (dreb ono) neeE io camply wIh eeid qeie mEea eM �he reQuirtmenb lor
e pa�millammUupian ar maGfKalian hanlMA'r�ity I.relapamant Oipritl. RaeiEeNiel mmrveun eppirstian ere exemq Imm IMae
wa+ssiane.
Deie� /.oW���:
WOqKEN'S COMPENSATION DECL�P�T10N: I Mroby eHrm wdx penelly W pajury me d IM lolbxiiq EeWraliom:
� I Mve vM xil meinten e unAicae d wnseni to eellinwre la xwkma' wmpeneetion. ea pwkeE Ia Ey Sadion ��0 d �M Lebar
Code.lor tM pe�lormeMe ol �M wA Iw whicn Ihi� permn u ipueE. . .
�I heva end wiA meiman woilwn mmpanaeiion insurerca. ea requireE by Soc�im �]00 d the lebor Coda, la t�e parlamenm d �he
xroM la whiM IM1ie permil ie issueC. My worFen' wmpenm�ion ineurenee cemer eed poliry number era:
c.�.: FOUNDATION EXPIRES
Pdicy NumEor 0 7/ O 1/ 9 6
(This settion need not be complered H �he parmR is br one hundroC EWlers (SIOV) w leu.)
� I cenily ihm in iho pe�lormenca W iM work br whch IM1ie peimi� i� iuueE, I elall nM emDloy nny pe�eon in eny menner eo d �o
Lxame wbjep to �he xwkeri canpeiuetbn lewa d Celilomu. eM epree Nv H I ahouk becama wbjea to tM wohars'
<omo�/mf� wo�+:� qa s<a� a�ao d ino �m. coaa, i.�nd�i mn^n�mm �wmch wnn p�oK,ov.
Data: r's� � - /C ROWranc %F--� J-TJ'w"w'
—��
Weminp: Ftllun fo i�curo xrorka�' companuUan rowre0� �� unl�wlul, �nG �lull �ub/�cl �n �mploysr fo ctlm/rulOen�Me� en�
crvu nM. up ro om nune..e mous.nd ewdra (sioo,aool, �� •���n ro m. eo,� oi comp.wem�, e.m.p. o poMd.a ro, m
Sxtlon Jn15 0l !he Lebor COM, InMva�, end �ttomey i less.
CONSTPULTON LENDING AGENCY: I MreEy �rtn unEer panaly d perN�Y �� ��� ia e mnstruaion lerdi�p epency br iM
�nomie�ce d�na waM io, wn�m mo w�� m es�ee �saam� sosi, cH. c).
LEN�EN'S NAME:
LENDEH'S ADDPESS: �
I ronity ihei I have reaE �hia epplcmian eM pete ihei tha ebove intormetion ia romw, l eprea to mmply with ell oy eM oounry adinarcea
enE siate le� relmmg io building cansvuaion eM M1owby amMriza mprexntetrvm d Ihis rity b enlor upon Ihe aEove-mm�onod pmpeM
��•��"�p�'�"�� NANCEE KILBOURNE L�
��//�/1� � �-�(�� ���JM Nun. /� r � �
%/I!Y/�cit.C��-/'C .(�C �-ni. Deie: �J � �l
• Sgrewreo.PnnarlRgenURppifinVton4eaw �
(5151i6 WV) WhnsAvikrq 8 Selery; �raeo-Fle: Cenery-AppiranC Rnk-Revenue:l3olderwd-Nae�wr
CITY OF COSTA MESA — BUILDING PERMIT
• PERM NO: H 076292
PERMIT NO: H 076292 PLAN CHECK NO: N GO�*T: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION :, T/OFF REROOF W/BUILT—UP SQ FT: 1,850
CLAIM VALUE: 1,850,00 CALC—VALUE: 1,850,G0 GROUP OCC: U-1 /
COMMENTS: T/OFF EKISTING AND REROOF SOOSF GAAAGE W/BUILT—UP
�t�*+t*+�x�x�**�r+r***�t+r*x�x��r�t*x��x��rx**x*x*�r*�r+t*�rx�*x��xx�**x�*x��***���***x�*�*#� *�**�r��*+r�*�
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 HUILDING ---------- --------- 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 RE(j: PROV: PARCEL: 43914102 ZNE: . AEF NO:
PLANNING NOTES>
%
*�****�r***it�rieif*x�itit�t*fEat*�*�r*it**�t*it*rt***ie�ticiE*ifx��t�rit*erit*+t*�iEte*iEitiFit*ititieie*itieieie#ititie*ie#
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T 5
ZONING APPROVED BY
BUILDING APPROVED HY
APPLICATION ISSUED BY
iE if'Ih'1h 1Elf 1('1('41E'N' 1E 1("!f i! �lf 1E ik'lE iE 1E
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE
DATE:
DATE:
DATE: Z- ��
iEiEiFlEififiFiflF ik�E
STRUCTURAL SEGMENT:Y
PERMIT 43.00 SMZP/R50 GRADING
SMIP/NON—RES
PLAN
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL a PAID DUE
TOTALS----> 43.50 0.00 0.00 43.50 43.50 .00
REVENUE DIVZSION TOTALS--> COLLECTED: 43.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
43.00 .50
IE# iE 1E if iF 1k if 1f� #iE if IE iF iE iE 1E 1E 1l� 1k 1k iflF iflE if 1Fif i!� if i(� # iE iF 1FIf�iEit if 1f if 1f iF 1f iE 1f� �lf If iF 1EiF 1l' IFiEiE II� ii IEif�if'1(' if IE 1E'� �IEiF if �E iE1! 1E 1F 9F iF1E1f #�f
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 COS'C
SFR 1850 REROOF BY VALUE RESIDENTIAL NOZONE 1.00
END OF FEES
0
1,850.00
DI QD19986D—Q0199861 T C�'F 43.Sp
OATE= 02/OS/95 TINE: 12:45
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aeaiura 363 MONTE VISTA AV
'E"'P'D'""' SCHWALBE, JEAN E TR
"DOqE� 2860 ALTA VISTA DR
NEWPORT BEACH,CA 92660
�vv�. Y,uuxo �ooaesx
I UICXRECTORE1XpEEq;
� urcx oe oa.�s �ooncss:
uc. No.:
uNr: GARAG
UM:
CONi""°T0R8N� ROSS 6 BARROWS INC. ( 714 ) 557-7440
cam�eroxe�uuao 260 E. ALTON AV
���a SANTA ANA CA uc.xo: 327802
92707 uNT:
LICEN9EC CONTpACTONB CECL�PATON: I hmEy N'rm untlo p�n�1y q p�r�ury thY I un IbmMC uMe proWtbm W Cluqn Y
(aanm�ntlrp wfih Bctun IOW) ol ONbbn � oi th� &nimp �nd Pmlw�lam Cod�, uM my Ilpnw b In lutl lae� mE dbe.
cirruc.xo,: 020924 uc.cuas: C_39 uc.No.: 32780'7./ EXP; 11 /96
od.: � '��1� cwn,.eor. �.[�C�Lc:.,�r
OWNEF BUILCEP DECLANITON: I hmby Wirtn untl�r pvuly ol p�rwry IhY 1 un mmq Irom ih� Comndon Lbm� law lor IM
���^0 �(��'/�1.6 &qkwn uM Pmlp�bru CoM: Nry aYY a eounry wfildi rpuim � pvmh lo oomVuc6 �Ibr. Imqan.
Gmd'sh. a npLL vry �wcWn, prbr b M� b�wnw, Wa rpulrx IM Wpllunl lor wch qimX la Ilb � NpnM tltl�m�M N�1 M a �M
n IlanuE W��t lo IM yovlWm d N� Conlnpon Upn�� l�w �Cluqv Y(oomm�ndip wNh BMbn ]000) W DMbbn 9 d �M
BuNnm aM Prdmbru Cod�� a Nel M w�h� h�x�mq Ihrahom end Ib bub la iha dlped �x�mplbn. My vbletbn ol BW bn
10�1.6 b/ erry �pptlunl Iw � pumd wqrL IM epplkenl m� dW pxWyW nq man Ihen 14� huMnd dollu� �SE00�).
❑ I,uowmrWlMpop�nyvmyxnpbyw�wllhwepaut�NrwMoompnutlon,wi11Eo1Mwrk,eMlhenvcWnbu�ImaWW
wno wW y mpvro� I�ar�on, W xiro Oom �uU �k NmwX v Mner or �hrauph �b a her own �mployw�, pwWW IIW wch
Impwam�nu u� nol InbMM a ollmd la �W. H, how�wq tM Wiklnp a YnprovemeM b�dtl xi�hin on� yw d mmplNbn, the
ownarbuitler MY hm IM luMen d pwinp M or Ns did nd buiW or Imqwa Iv �M W�� a w�i.
❑ I. m ownar d IM peoparty, em utludwly wn�repip wn� kpenyE eonleeeton to mnadua IM pro�aq (Saqion 1014, &ninaa erd
PMsuons Code: TM CmVaCm Licanes lew Eou nd epyy b en owiar d qopMy who buiNs p impovw �Mnm and who
conuecb lor udi prqetla wnh e mMretlor�e) Ikanaed punuent lo Iha Conlrarfae lbnes Lew).
� I em exemq u�Mar Seaian: 8. 8 P C.. lor I�ie roaun:
Date� Owirr:
i m ne�M �anav � i� aw�.e w�a waarsw�e ine reawremem. a cd�omie Hmnn e�e smmv cod, s«aons zssos. usaa, m,e
255�s. enE ihm I or vry Mun buiki�p ouvpent will / wil m� (o�ch ona) nsed io comDN w�h eeid etele mEea vM �he reyuimmenb M
. c«mu �wan,uu�an«moaaraianhomineA.�'a�emeni Unria. aesk.m�l mwnwion
wovisione. eVG�'e�ioman aaemq Imm Neu
Date: qpp�iwy:
WONKER'S COMPENSATON DECLPfl�TiON: I Mreby elfirm undar penelty M perjury an W Iha lollowi�q Cetleretiwu:
� I haw erd xii meintan e ttrNiraie d can»n1 lo eeHinwre lor wakers' wmpenambn. u pravidad Iw by Setlbn �100 d tha lebor
CoAe. la the pMormeMe d the r.o'k ta which ihn pe1mn ie iaued.
[] I hera W xil meiMen wwken' ownpen�etun iroureMa. av rapuirad bY �im 9)00 M tha Lebor CaEe. lor the parlom�enca d the
7C wak Itt wftidi tlds parmn e isue0. My worknra' oompemation imurvice remer erd pdiry number are:
c�,,: FOUNDAT70N EXPIRES
Pa(cY�br: W9571 �t 3'�� 07/01/96
(mis .senion m.d na ee mmdHee � �he v�/ u b' ms nwdi.e adreis /siou/ w bs,.J
❑ I mnly pim in �he pMmronea a Ihe woek 1« which �Ns pemM b nsued. I ehell ral mmploy elry peimn in eiry manrier o m lo
becane wbpf io the xwkera' mnpeneeiion kvn tl CalEwnie. erd ¢grea thel d I shouk bacmie wpjee �o tM xarFas'
�o�� w��. d s�o� s�oo a me ian« Caae, i enao ionnwnn �oM� wnn /m9+.. c�av.
Dme: � �.� �� AVW'rant: ��ifiC/ITf?tLtiLi1
Wem/iq: FePun h wcuro wortx�'rompmqtlon rovxaps b unbwNl, entl • II �uD/�ef en employx ro eAm/ntl paneMu enJ
��H� nn.. ,y ro me nuwnd �nou,.nd aarn lfiWmnA �n seeiwn ro m. eo.� or mmvau.�ron dam.w+ u wdv�dee ro. �n
S�ctlon 9� ol 1�� labor COW, Intw�st, end attomsys M1u.
CONSTi1UCTON LENOINO A6ENCY: I Mreby � undar paWry d perN'Y �M1e� �M1e� is a oonx�uqbn bMirp epercy I« ihe
perlamence d IM xdk la whiN Ihe pem� ia ewed (Seeion �O9), C'r+. C�.
LENDEq'S NANE
LENOEN'S ADDqE%:
I cenily Ihet I Mw ree! iNe eppliutian eed pale tAet ihe eppve inlpmeibn n owrep. I epiae �o comply wnh ell pry end wumy orEirerKes
ud eWe lexs �Nm�q to buJd�p cone,�qion eM hereby aWwrue ispeeenieiMea d Ihb tlly to mim upon IM eEava�meniuewd popeny
Io�inspacYqnpurpoias.
NANCEE KILBOURNE
Pmi Neme /� r
� �� �- � Dete: n„[� J'�/
��Sqnmuro eeGpenVApp@enuGonVma
(5151de.WP) Whne-Buildip d SNery:Oree�rFk; Cenery-RppFcenl: Pink-Revenue; (loldenrad-Meeewr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 076292 PLAN CHECK NO; N
CONSTRUCTION TYPE: C�-N PERMIT TYPE: STR
/
PERM NO: B 076292
GOVT: N SUPP: N
PURPOSE; OTH
JOB DESCRIPTION : T/OFF REROOF W/BUILT—UP SQ FT: 1,850
CLAIM VALUE: 1,850.00 CALC—VALUE: 1,850.00 GROUP OCC: U-1 /
COMMENTS: T/OFF EXISTING AND REROOF SOOSF GARAGE W/BUILT—UP
x **�x�**�r*��x�*�**x ����rtx� � *x *+r+�*+�***� �+��*�*��*��**��*�**��+��***�*��� u���r******�x�*
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 BUILDZNG ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 43914102 ZNE: REF NO: i,
PLANNING NOTES> '
i
1ElE 1f iE 1E iE �E 1E iE iE �f iE iE 1k 1f'1f iE if 1E 1E ik 1E 1F iE iE if iklF iE ik i! i! iE iE iE iE iF 1E ik 1f 1k iE 1E 1E iE iE iE 1E if 1E 1E iE 1ElE iE 1E 1E 1E 1Elf fElE 1E fE fE 1E fElE 1f ik iE iE 1E 1E 1E 1F 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 T A E M E N T S
ZONING APPROVED BY DATE:
BUZLDING APPROVED BY : DATE:
�
APPLICATION IS$UED BY: � DATE: 2- ,��4
fE�E1E�lEiEiE3EaEiE1ElEiEiEfEiE�EiE1E1ElEiEiE��f3f��f3f���3f3F��iF�fiFiF�3FiF3F�� ifiFiF��f3F7F7F�FlFiEiE�ElE�EiEiEiE1F1E iF1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 43.00 .50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 43.50 0.00 0.00 43.50 43.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 43.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
43,00 .50
iE iE fE fE iE fE iElE if if if iE 1E iF if if i61F 1E 1F 1F iE 1E iE 7F 1F 1ElE iE 1E 1E If iE iE iE 1F 1E 1E IE �E IE iE iE iE 1E 1E iE iE if IE ff if if !k 1E it 1f if 1E 1f fE 1ElE IE fE iE k fE fE iE jE fE IE iE ff �E if iE 1F
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 1850 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 1,850.00
END OF FEES
l,- ' _- . .Si ... ..
�
� CONSTRUCTION AND PLANNING POOL & SPA i
APPPOVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporery Electrical Service or Pole 52. Pool & Equipment Location � �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemeni �
3. E�ectrical Conduit Uiility•Und�gmd. 54. Forms 1,, �
4. E�ectrical Conduit�Undrgrnd. � 55. Electrica� Bonding ' i� �
5. Steel Reinforcement 56. Rough Plumhing & Pressure Test �•
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
' 7. Footingt 58. Electricai Conduit�Undrgrnd. �
6. Foundation - 59. Gas Pipe, � Undrgrnd., Tesl
' 9. Water Pipe�Undrgrnd. • -- 60. Backwash Lines, P�Trap, � I�JrSdrgrnd.
10. Structural Floor System ' ,- 61. APPROVAL r�.jlf�jS-E -�:
t t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ��
12. Sewer Cap 63. Heater & Vent-Final
13. Rooi Drains ' 64. Ptumbing $Ystem � Final -
74. Rough Plumbing ' 65. E�ectrical-Final "
15. Fough Eiecv�cabCondu�t 66. So�ar SYstem-Final � .
16. Rou9h Electric Wiring 67. Fencing & Access Approval �
. 17. Rough Wlring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electricai�T Bar Ceiling 69. POOL/SPA SYSTEM$ FINAI.
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEf�fT
20. Rough Factory Fireplace �, ' APPROVALS Permit #
21. Ducts, in Structure • 70. Underground Hydro
22. Ouc[s, Ventileting � . � 71. Produci.Piping O Gas OOiI
23. Gas Pipe-fiough & Test • 72. Underg�ound Fl�sh
24. Roof Framing - -.73_ Under9md.StorageTank,.�Gas OOiI
25. Roof Sheathing Z,��(�_q� �(^� 7q;.p�erhead HYdro
26. T�Bar Ceiling (Structural) & Monocoat � � �., 75. Dry Chemical .
27. Frame and Flashing • 76. Dry Stantlpipe '� •
28. Lathi�g & Sid�ng � �' 77�. FIXED SYSTEM FINAL �
29. Insulation . 78, FIRE PREV. FIf�tAL '
30. Drywail Nailing �- NEALTH DEPT. REQUIREMENT
31. Pl;ster 8rbwn Coat 79. FINAL INSPECTION �
32. Electrical Power MeterFinal ' � �. '� 80.`_ FOOD CERTIFICATE ISSUED
-33. Finat-Electric , �Notes: - - � .
34. FinaL Heating & Air Conditioning - ' '
�_,
35. Final Gae Pipe�Test • � ' ' _ .
36. Hood or CanoPY ' -
37. Pinai Factory Fireplace . -� - �
38. Final Plumbing - � '
39. Water Service-Final - --
40. Gas Service-Final . � � .
�4/. $olar Oomest�c-Final ' .
42. Backflow Pre�enter �
A3. Backfiow Irrigation � .
44. Landscape Ir�iGation System -
45. Sound Attenuation � ' `
46. Handicap Regulations - • . �
47. FINAL STRUCTURE & BUIIDING �'-�/ q� ��� z•
(�6
48. FINAL PLANNING
49. Electric Retease to Edison
50. Gas Release ta Southern Caiifornia Gas Co
51. CERTIPICA7E OF OCCUPANCY �
No. Date
p�.7Eg DOYLE & SHIELDS Develo�ent Co.,Inc.
VALUE
NO.
i FIRE ZONE DCSCRIPTION OF WORK
DATE IGROUP I&J TYPE V ZON
Gas � /Ti% ��.,. J. /n� SUBCONTHACTOR
� 19 9
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BOX 97� COHTA MRBA, CALIFOHNIA
Fo� Applicont To Fill In Complefely
TYPE OR PRINT
BUIL�INO � G� �_ __ -{�, �
AODRES9 � � W�l--t
COSTA MESA, CALIFORNIA
OWNER Dt� �.. - J//i�� J� DLU. l•. !
ADDR6S9 �J � �O� //10. Q.I�Pr 'I V
��r. �na�.�;ti� ra���- N�`'/�r?-,
�/»
-2.i0. j�-I NO. �!' �-J O='-D
��(, s3� y p I rvo. or e�ooa.
NOW ON lAT `�
3. '
�.OM f�/ /O /i
R REAR YARO '—�
H:'T' I RIaHT •
DESCRIPTION OF WORK
BUILDINQ 3,'3 � s s �NO.OP J
SIZE X� � RO MS "' STOR168 �
EXTERIOR WAL� I ROOF �
COVERING / UCC :+ COVERING O� O,
USE OF BU!lDiry6 AND WO�I TO BE PE{iF0 MED
2 �clEr�c� �'tf'u.c6.�� elwr,
I'l�o A.`1 3a. — '
1 NEREBY ACKI�OY��lDOH THAT 1 NAV@ pBAO TNIB APPLIGTION
AND 8TAT8 THM1T TH8 ABOV6 IY CORRECT AND AOREQ TO COM�
PLY WITH ALL CITy OpDINANC[Y AND YTAT[ uW8 qQOULA7�N0
Bl11LO�N0 CONBTqUR10N.
SIGNATUREOF / �c��,-D.% T_ N� C� .
PEftMITTE �« ti���-��w uw ia a�-�
AUTHORIZfiD AqENT L �'��y�
FE - RECE4VED
JU,N 3 1963
APPLICATf ��E�tM�PT
Por oif�Yb' Urs�c{h�TA MESA
11CCEII� NO. ���y0�.'
�V
!Y DATE11iC61Vg� DATEISSUHD
-� - (�3 JUN 3 }
3 � 3 7�Zazc-t ,c,�, Q
re� V/ �e�„e_4.c
APPROVED C
BY DATE
ZONING
�� b�_� �una,� eu �o� (lA � �� �.lt
LEGAL -�- �1 j r��-II ' 3 S
DEBCRIRION � O
A. P. NO.
NOiE: NO EAVE OVERHAN6 8HALL BE LH55 THAN
YAROSAPPROVEO
MAIN BUILDIN6
tOM C/L¢TREET 1
)NT v �.
uea � �r.
OIS7ANCE
MAIN BLP�
V Aft. �j
YAROSAPPROVED
ACCE650RY BUILDINO
DATB
::2 i
��J O SG.��i /" Q• �
0
TH! �MOUNT OWN UNOER VALUATION IB FOR TH! F
PtIPP05H OP 88TABLISHINO A PE0.MIT PEH ONLY. 0
VALUATION �� n
PERMIT FE8 S j
��� 790 �, a�- �, m
$ �
rc
0
^ `� LL
TOTAL FEE O �