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COSTA MESA BUILDING DEPARTMENT
P. O. BOX 317
COSTA MESA CALIFORNIA
C.L. OF STREET
' ��PROP. TINE _
r 10 FT. FOR 60 FT. STREET
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
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FOR APPLICANT TOnFlI.I. INev
BUILDING ADD ESS � a`1 ��"/Z_,d7�," l�
Owner —
Mail Address ..ca.�(�a
City ��Cg v��Q-�-��_Ph. No�_���
Contractor� Ph. No.
•City Lic. No. State Lic. No.
Size of Lot /G+ t� X 13 S� AP No. �� %'� �� O' O o'Z _
Setbacks: C/L Street_�fiC � Rear � ��
Side Yard - Righ ' '� Left � �
Type of Fence ��• ���
-/LT. � /ie r i .i� t e
I here�by ac�nqGiled fe that I have read ihis applicat�n and state �
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
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Received by Date Received Date Issued
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VALUATION �4-0
Permit Fee $ � •
� y� ' � Plan Check $ �
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
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ADOPESSOFBNLqNO: zO�i MONTE VISTA AV ��+T�
axr+ERs""�Ei�a'°"": LEVINE, JOAN LINDA TR
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� �o�u YSTEVENS JOAN L
SUITE 166-357
15111 N HAYDEN RD SCOTTSDALE,AZ 8526
. MPL. NAIIdIG iWOflE55:
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CONiNACTdI'9NAYE: ROSS & BARROWS INC. ( 714 ) 557-7440
CQRR�CTOR9YNIJNO 2 6 0 E. ALTON AV
�ooncsx SANTA ANA CA uawo.: 327802
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(St51dfi.WP) While-BuiNiq 8 Sefery; OreerrFile: Genery-Applifam; Pink-Pevenue: GdEenraFRseasmr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: H 076250 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
PERM NO: B 076250
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : T/OFF REROOF W/FIBERGLASS SHINGLES SQ FT: 1,884
CLAIM VALUE: 1,884.00 CALC-VALUE: 1,884.00 GROUP OCC: R-3 /
COMMENTS: T/OFF EXISTING AND REROOF 1400SF RESIDENCE W/FIBERGLASS SHINGLES
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Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- 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 REQ: PROV: PARCEL: 43918103 ZNE: REF NO: ;
PLANNING NOTES> �.
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D E V E„li�0 P M E N T S E R V I C E S R E Q U I R E M E N'T S
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ZONING APPROVED BY DATE: ��
BOILDING APPROVED BY : DATE:
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APPLZCATION ISSUED BY: ��� DATE: 2'I -Ib
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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
PLAN SMIP/NON-RES
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 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
43.00 .50
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I N D I V Z 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 UNI�T-='COST��1°972:TOTAti COST.�,-'�
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SFR 1884 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,,884,00
END OF FEES
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CONSTRUCTION ANO PIANNING POt Y SPA -
APPROVALS Permit # Date Inspecior qPPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location' �
2. Soif Pipe•Undrgrnd. 53. Steel Reinforcement -
-3. EleCtrical Conduit Utility•Undrgrntl. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steel Re�nfarcement 56. Rough Plumbing & Pressure Test �
6. Electriwl UFER Gmd. 57. APPROVAL TO COVER�GUNITE
�7r Footinqs - ' S8. EleMtical Conduit-Undrgrnd. ' '
8. Foundation �- � " 59. Gas Pipe, C Undrgrnd., Test
=9. Water Pipe�Undrgrtid. -_ ! 60. Backwash Lines, P�Trap, �'�i9ndrgrnd.
70. Structural floor System f' 67. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer CaD 63. Heater & Vent-Final
13. Roof Drains �� 64. Plumbing System - Final �, ,
14. Rough Plumbing ,. 65. Electrical-Final
75. Rough Eiectrical-Coi+duit .. 66. Solar System-Final
76. Rouqh E�ectric Wiring _ 67. Fencing & AcceSs�ApProval
17. Rough Wiriog Sign 68. APPROVED PQ�i PLASTEFING �
)8. Rough Electrical_T Bar Ceiling 69. POOUSPA SYSTEMS FINA�
79. Rough Heating & Air Conditioning . _ pIRE pEPT. REQUIREMENT
20. Rough Faciory Fireplace .: .',�, ." _ c APPROVALS Permit #
21. DuCts, in�Structur0 - ' - � 70. �Undergfound HYdro
22. Ducts, Ventilating_.' � ' � .. 71. ProduetPiping OGas ❑Oil
23. Gas Pipe-Rough & Test �- _ 72. Underground FIOsh �
24. Roof- Fram�ng" : - " / 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � . �:7//7(, /�/��-- 74, pverhead Hydro. �
y,7• �_. -
26. T-Bar Ceiling (StruCiurel) & Monocoat � ' ' `� , 75. Dry Chernical . _
27. frame and Plashing = . , ' . . 76. Dry Stansipipe �� - _
�28. Lathing&Siding� '' ' " � � " 77. fIXEDSYSTEiv1-PINAL •
29. Insulation �� ' - • ' 78, FIRE PREV. FIN-7>L �
� 30. Drywall Na���ng ' �` � . HEALTM DEPt. REQUIREMENT
31. Plaster Brown Coat � � •� 79. FINAL INSPECTtDN
'-.32. Electrical Power MeterFinal `� 80. FOOD CERTIFICATE ISSUED
T .�
�33. Final�Electric - • � � . Notes � '
34. final Heafing & /��r Conditioning , " � � ,
35. Finai Gas Pipe�Test �. , � -
36. Hood or Canopy �� , • - � - - .
� 37. Final Factarv Firepiece '�. , . _. -
38. Final Plumbing ` - ` , _ - . ' -
39. Water Service-Final ' • • .� � �
40. Gas Service-Finai ` � ' - .
` 41, Solar OomescicFinaf, , -
42. Backflow Preventer ' � _ - -
43. Backflow I���gation � � � `
Q4. Landscape IrrigationSystem -' ��_ � - '
45. Sound Attenuation � . .. ,. � -- ' � r �_ � • , �
46. Handicap Regulations _ � ; � �
47. PINAL STRUCTURE & BUILOING z �y�qd �c�d�- � . �.
48. FINAL PLANNING ^ � ' �' --
49. Electric Release to Eiiison �
50. Gas Release to Southem Califomia Gas Co . -
51. CERTIFICATE OF OCCUPANCY
No. Date
J-' � � 60��
� OSTA MESA BUILDING DEPARTMENT
P.O.BO% 31)
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
eui�oiHc __ . __ . ... . „
I OwNER
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COSTA MESA. CALIFORNIA
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LIC.
NO.
iao:7384
AooRE552430 Ne ort Blvd. �oLI 895388
OESCRIPTION NO, lor. BLOCK TRACT 3OO
A.P. NO. I/ � I/ ��� � �
SIZE I (� No.OF BLDGS.
OF LOT O V MOW ON LOT
USE OF �
E%ISTING BLDG.
SETBiCN LINE FPOM � ' O (
CENTER OF SinEEi � REAR YARD
SIOE YARD RIGHT _ / LEFT /
� DESCRIPTION OF WORK
NEW X ALTERATION N ADDITION
REPAIR MOVING DEMOLiSH
BUILDING,� � NO.OF �
SIZE � ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
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,��E �ECEiiI�D
If � � S . � �
FINA�!CE DEPT.
CIIY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
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COSTA MESA. CALIFORNIA
PLnh
�/s GJ DATE
CORRECTIONS
oe�T. Rec.
G U � � � �
1 HEREBV ACKNOWLEOGE TMiT I HAVE READ TMI$ .�PPLIC�TION LNO / S�1�
STATF T114T THE PBOVE IS CORRECT �ND cGREE i0 COMPLY WITM �LL •J J�J �
CITV OROIN/.NCES �Np $TwTE L�W9 NEGUL�TING BUILOING CONSTXUC�
'�o�. VALUITION
SIGNATURE OF �J,` PERMIT FEE S �Q '�
PERMITTEE `/ � �L �/p
y�Ui4AR k�ui � E/Zj � [� i�i� PLAN CMECN 5 /{y =
2q� 5 � �'S �j
nuTHdRI� o N�W �o�GO Y� M/= / TOTAL FEE 3 �� � 9"'r
OWNER ROMERO, J. B, DATE 3-10-58
)OB ADbRESS 201t Monte V1St8 B[IILDING PERMIT NO. (Jy9fl
L ONTRACTOR VALUE$ 1 O 00
No. LOT TRACT F[RE ZONE DESCRIPI'ION OF WORR Wood Fence
GROUP TYPE ZONE PLAN NO. '
If ECTIONS I DATE I SUBCONTRACTOR
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