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Home My WebLink About3129 MONROE WAY - Building Permits;O�p MF 4 .,.. .r � 0 > : J y�rUw�caYf'� 1 ' � � ... ... .... ..............�....�_.., CITY OF COSTA MESA ' ' -� '�'� �-- � � � ,..��.i ��c;�.�:;::i�: B{/ILD►NG DIVISION . _._._._.._...:.�_....�i 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us� ;., .. .� FOR INSPECTIONS CALL: (714) 754-5626 - � � �� , PERMIT TYPE: B COMBO Sub Type: POOLSPA :106ADDRESS:�312�RQEWY�C.M� -,� APN: 14165273 ---"�---Zoning:R1, , Vicinity: REAR YARD Const Type: SQ. FT: 460 PERMIT NUMBER: BC10-00332 , � i . STATUS: ISSUED ! ' ' ' �''' �� DATE ISSUED: 07@9/2010, _.,, � ^,,t\ �� ISSUED BY: ' Suite/Unit: P`i�nary�Occ: ' \� \ '� . �� : � rvr.; �Valuation: � $25,000.00 "" � '' � SCOPE OF WORK: INSTA�LATION OF A 460 SF IN-GROUND FIBERGLASS POOL WITH NEW HEATING AND ELEC?RIC,4L EQUIPMENT. - - . . . . . . .. __...._.......____ REFERENCE ESR 2723. SEE HIGLIGHTED AREAS ON THE ESR REPORT FOR ADDITIONAL REQUIREMENTS. .;- �t' �:'u ��.: � �OWNER: CREAN, CHARLES W AND MARIE C Address: 3129 MONROE WAY - . UniL•� � � Phone: 949-678-2228 . Ciry/State/Zip: COSTA MESA, CA , . � �� - �� APPLICANT: MITCHELL, JON Phone: 760-715-1769 Address: City/State/zZip: � � Unit• :... ...... ..� �_i,; 3�� CONTRACTOR: QUALITY FIBERGLASS POOLS � �Cicense�No. 361530 . . . , , , Phone: 951-926-6060 � Address: 32497HIGHWliY74Uni(•- ,�., � Cell: � . Ciry/State: HEMET, CA `' - � . � • � ZipCode' 92545�' ' ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: - Building Fees: � Efectrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund 70TAL FEES: License No. License No. $254.31 $391.25 $73.00 $41.50 $84.25 $2.50 $0.00 $1.00 $847.81 PHONE: PHONE: - - ' qu::i�L � ', HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 �'i, �: ,., „„�,�,� Monaay tnru Friday-7:o0 am thru 7:0o pm. Samrdays-&:oo am thru a:oo pm. Prohibited all hours -Sundays and the following Federal�holiilays!.�. New Years DaV. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeclions and findl approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit. _. ' '- ;-d�_� COOEtl. INSPEC710NTYPE �ATE INTITIALS CO�Ep INSPECTIONTYPE DATE'� " INI1TIRl5' 1616 Fixed System Final Fire Pr@vention 206 Final Mechanical �' �' ��. EY-f"/-�o NM ^� zoe F�naiawmtm9 9"l5"I Nfi � i266 Pool Spa Final )( __h� �'' ._ � b 200 F' I Re-Roaf 2 W Final Electrical '' ' � 201 202 203 204 ma Final BIocWRelaining Wall Final Factory Fire Place Final Sign � ' . . Final Demolition 212 220 Final Fire Prevention Final Planning Approval 222 FinalSite 250 Final Buiiding/Occupancy .. ____""_.=� '1�(':��'Y:�:�.+^_��G,� I � � WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of Ihe (ollowing tleclarations: ❑ I have and will maintain a certifca[e of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for lhe perf rmance of Ihe work (or which �his permit is issued. I have and will maintain vrorkers' compensation insurance, as required by sec ion 3700 of the Labor Code, tor the peAortnance of the v.ork for which this �pertn is issued. My vrorkers' compensation Insurance carrier and policy r�/.}t cl�luY'd (T�issect n�etlrrofbemmp'etedAtheperm4isvaluMatonehuntlredCollars(5100)oilessJ Policy Number: Qi �3% %�� ❑ I certify that in the pedormance of the vrork (or which this permil is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o( Califomia, and agree that if I shoultl become subject to the workers' compensation rovisions o( Section 3700 0( the Labor o I shall forthwith comply�wit lh e provision � � AF 1's Si re Date WARNIN . LURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENAITIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business an0 Professions Code, and my license is in full force and eftect. � ^ � d c�s n C; / -> 9 Contraa ' gnamre CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a conSWctbn lentling agency (or the peAormance of the v.ork fa which this permd is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: 1 hereby aKrm thal under penalty of perjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, tlemolish, or repair any stmcture, pnor to its issuance, also requires Ihe applicanl for such permit to file a signed statement that he or she is licensed pursuan[ to Ihe provisions ot ihe Contractors License Law (Chapler 9(commencing wilh Section 7000) of Division 3 of Ihe Business and Pro(essions Code) or that he or she is exempt Iherefrom and �he basis for �he alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects ihe applicant to a civil penalty of not more than frve huntlred dollars ($500).�: ❑ I, as ovmer of ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intendetl or offered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law tices not apply to an ovmer o! property who builds or improves lhereon, and who does such work himself or herself or through his or her ovm employees, provitled that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, lhe ownervbuilder will have the burden of proving [hat he or she did not build or improve for purpose of sale.�. ❑ I, as ovmer ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pm(essbns Code: The contractors License Law dces not apply to an owner of pmperty who builds or impmves thereon, and who contracls for such pmject with a contrecta(s) license pursuant to ihe Contractas License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 305)L6 (3I01) � t 1 V Ovmer ID verifietl by tlriver'S license. ❑ Ves ❑ No � Driver's License No. Expires: Verifcation of Ownership by (type o! document, i.e. - properly tax h�l or tleed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: �� ❑ I hereby certi(y that no excavation frve (5) or mwe feet in depth iNo which a person is required to descend, will be made in connection with work authorized by this permi[, and thal no 6uilding sWcWre, scaffdtling, falsework, a demolition or dismantling thereof, will be more lhan thirty-six (36) feet high. (Chap. 32, Gry 2. M 2, Sec. 341, Ttle 8, Califomia Administ2tive Code). ❑ As owner-builtler, I will not employ anyone ro do work which woultl require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such vrork from the division. Applirants Signa W re Division of Industrial Safely Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file and certify a Business Plan for emergency response to release or threatene0 release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of Ihe California Heal[h antl Safery Code requires, wilh some exceptions, that a 8usiness Plan be fled with [he Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantiry of hazartlous matenals equal to or greater than a weight o( 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at s[andard temperature and pressure). 2. Does or will the applicant or presen[ or future building occupant need to file a registration form for atutely hazardous materials? ❑ Yes ❑ No„�„ (Section 25533 of the Cali(ornia Healfh antl Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at standard temperawre and pressure). 3. Does or will the applican[ or present or fulure building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safery Code provides lhat [he Costa Mesa Fire Department may require the preparation, cerlifcation and fling with the Fire Department o( an RMPP by businesses which are required lo regis[er acutely hazartlous materials with the Fire Departmenl. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been Nlly complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupaN require for Me work which is the subject of this application a permil tor such cons[rut[ion or modiication from the South Coas[ Air Qualiry Management District or from any other air pollution control disirict or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that Ihe requestetl information be fumishetl on applications fa non-residential builtling permits). 6. Will any part of the facili[y t0 be constructed untler Ihis permit be within 1000 teet from the outer boundaries of a school? ❑ Yes ❑ No Q('yes", Ihe (acility must meet Me requiremen[ of Sections 25534 and 42303 of Ihe Califomia Health and Safety Cotle). 7. I( a permi[ (rom the South Coast Air Quality Management DisMct or other air pollu�ion control disMct or agency is required (or the work which is the subject of this application, have all of the tlisclosures prescribed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance from the appropriate air polWtion control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the in(ormation given above is cortecL I agree to comply with all state laws antl city ordinances regartling Hazardous Materials and Emissions. 9gnaWre CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I certify under penaltybf perjury that I have read this application and state that the information given is correcL I agree to comply with all state lavrs antl ciry ordinances relating to building constmction, and authorize representatives of the City ot Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy o( any building authorizetl by lhis permit until fnal inspection. �y, • �'' i. LiLa��%v. :i ��... .� � � 'r . � ESR-2723 Issued September 1, 2008 � This �eport is subject to re-examination in two years. ` ICC Evaluatioe Service, Inc. w�vw.ico-es.ora DIVISION: 73—SPECL41 CONSTRUC710N Section: 13150--Swimming Pools REPOR7FfOLDER: SAN JUAN PRODUCTS 2302 LASSO LANE LAKELAND, FLORIpA 33807 (863) 6663020 wwwsanivanpools.com kenb�sanivannools.com EVALUATION SUBJECT: e�sm�aw anre . 53so wawrw� n� rtoaa, wniwa�, cerrtm:a sowi .�ssz) es2osas Reg� oqioe . soo hbralaF Rnaa, s�:te a��nxJ�a*�, alamna 9szia •(z2W) sssaeoo Reyn�i otreoe. eos+ wes� � Raaa. camnrcw,o rxxs. nw�as soo�a o p�) �ssz3os FIBER REINFORCED PLASTIC SWIMMING POOL SHELLS 1.0 EVALUATION SCOPE Compllance with tAe following codes: ■ 20061ntema6onal Building Code� (IBC) ■ 2006 Intemational Residential Code� (IRC) ■ 1997 UnAorm Building CodeT'" (UBC) PropeRies evatuated: . Physical properties m Ourability 2.0 USES The San Juan Products pool shells are pertnanently installed inyround and are intended for recreational use as Swimming pools in residential applications with water circulated through a filter in a closed system. The pools comply with ANSI/NSPI- 5 as Type O or Type 1 pools. 3.0 DESCRIPTION The San Juan Products pool shelis consist of one-piece fiberglass construction shop-fortned over a mold. The pool shell Is minimum'/, inch-thick (6.4 mm), fiberglass-reinforced plastic (FRP), composed ot vinylester resin, fiberglass mat and woven roving. The surface finish is neopenryl glycoUisophthalic gel Wat. 7he overall dimensions, depths and capacities of recognized motlels are shown in Table 1. � 4.0 INSTALLATION The swimming pool shelis must be permanen8y installed irF ground in accordance with this report and the manufacturers published instaflation i�structions. All plumbing and electrical work must comply with the applicable codes in effect at the construction site. Subjec! to the code officia!'s approval, the San Juan ProducLs pool shells may be installed without a soil investigation by a registered design professional, provided none of the followirg condifrorts is encountered at the site: 1_ Thee�cistenceofgroundwaterwithintheexcavation,where the pool floorwili contact the soil at the time of installation. 2. The existence of uncompaded fill in contact with any portion of the pool sheil. 3. The.exislence.uf.any.expansiv�tyAe _soils. 4. The existence of any soil types with an angle of repose that will not support the walls of the excavation at desired slopes. 5. Oanger to adjacent structures posed by the proposed pool location. If any of the above conditions is encountered, excavation must cease immediately. The specified conditions at the site must then be reviewed, and recommendations made by a registered design professional. The code ofticial must approve the registered design professional's recommendations before work is resumed. Details specfircatly for instatlaiions in expansive, day, or adobe soils apply only when supported by the registered design professional's recommendations and approved 6y the code official. The pool excavalion profile must coincide with the contours of ihe paol. The overexcavation must be minimum of 6 inches (152 mm) on the sides and a minimum of 4 inches (102 mm) at the bottom. The bac�ll for the pool bottom must consist of a layer of bedding sand formed to match the pool profile. This sand layer must be compacted using a manual tamper and water. The pool shell must sit firmly on the sand and be within 1 inch (25.4 mm) of level. Simultaneous watertill and backfill operations must then commence. The sand must be compacted with a tamper and water. The installer must ensure that the backfill Ievei and water level are approximate�y the same throughout the filling procedure. After complefion of the backfill, the bond beam and decking must be installed in accordance with the manufacturer's published installation instructions, and approved by the code official. 5.0 CONOf710NS OF USE The pool shells described in this repoA complies with, or is a suitable attemative to what is specified in, those codeS listetl in Section 1.0 of this report, subject to the following contlitions: 5.1 The pool shells must be constructed and installed in accordance with this report and tbe manutacturer's published installalion instructions. In the event of conflicl, b this report govems. � ��` 5.2 Electrical and piumbing instaltations must compty with the adopted codes in effect at the construcfion site at the time of construction. 5.3 Clearances of the pools from slopes set forth in IBC Section 1805.3, IRC SecGon R403.1.7 or UBC Section 1805_3_3 must be observed. are not m be ron�vurd m represnitiny. arrrMrics or anv oder aetnbrun mrc syeeijm/h� addreveJ. ro. ure they ro de mlulrved as an erdonemeN ofthe subjxlofiMreportwo �ecomrnerdatianjoriu ure. there'v � wanvnrvbvlCCEva/�wtionService.lnc. ey.-eu us imp(ieq ru� menyfinding m�o�hr�mnnerinMir Wrr.ormioanv�� trocercdQvtAereport. Copyri9hl O 2008 Pege 1 of 7 � lPage 2 of 3 ESR-2723 5.4 A barcier must be installed in accordance wkh IBC � Section 3109, IRC Section AG105, or UBC Appendix Chapter 4, as applicable. 1 5.5 Slip resistance is outside the scope of this evaluation report. Reports of slip resistance tests that demonsUate compliance with SecGon 8.1 of ANSI/NSPf-5 must be submitted for approval by the code official. 5.6 Diving equipment may only be installed on Type I pools and must meel the requirements of, and be installed in accordance with, Section 5.8 of ANSIINSPI-5. 6.0 EYIDENCE SUBMiTTED Data in accordance with lhe ICC-ES Acceptance Criteria for Inyround, Residential, Fiber-reinforced Plastic Swimming Pools and Pertnanently Insta�led Plastic Spas (AC274), dated December 2006 (Editonally Revised August 2008). 7.0 IDENTIFICATION Each pool shell, at the skimmer area, bears a label with the San Juan Produc[s name; manu/acturing plant iocation; senal number for traceability and the evaluatio� report number (ESR-2723). A permanent sign, bearing the following statement, must be attached to the pool pumping equipment: NoNce: The poo! mus[ remain ful/ of wafer af a!! Nmes. Pool may be damaged if the water level is allowed to drop below the skimmer. When app2ciab/e drawdown is noficed or if it becomes neczssary to drain the p00% cnntact San Juan Products or its dealers for insbucfions. A permanent label must be attached adjacent to the above sign indicating the name, address and telephone number of the San Juan Produds distributor. 7ABLE 7 •, ;Pa,ge 3 pf 3 ESR-2723 TABLE 1 (Cont{nued) #3 REBAR 12" O.C. GRID TIED ATINTERSECTIONS BONDED PER CEC 2007 WATERLINE FiBERGLASS SHELL 1 18" MIN COARSE SAND OR 3/8" MAX DIA GRAVEL BACKFILL FOR EXPANSIVE SOFLS #3 REBAR 60NDED PER CEC 2007 LOPE 1/4" PER FOOT MIN. 4' MIN: � a...:.. e I� � � � C6t57G P' � � CG'3012011 , -. . .. –��—�� —��r�—��—��- 3Aa8I9 Jl�. 4" MIN. THICKNESS COMPACTED SAND OR 3/8" MAX DIA GRAVEL FOR EXPANSIVE SOILS. WALL SECTION - EXPANSIVE SOILS SCALE 1"=1'-0" DATE 07-30-10 DRAWN BY KLB REVISION Ql OWNER gr�pIICIE� � JOB ADDRESS 37�q GENERAL CONTRACTO A� •�o. 141-652-73 I, iCT10N5 sm� GAS WATEP ROUGN PLUMBING PROPf $WR. L�NE I� HOtISE. SPRINNLING SYSTEM �- ROIIGH HE�TING ANO �IR CONDITIONING TEMPORAPV SERVICE OR POLE ! UN�ERGROUND � GOWER � NOUGH WIRING �TRENCHES FORMS STEEL RE FLOOR SYSTEM BONO BEAM [� �STEEL REINFORCE [ � SMEATHING FRAME AN� F�qSHING LATHING - IN r� OUT n PLASTER, BROWN COAT 'TURqL, FINAL 1. �G, VENT., REFRIG. ANO R.C., FINAI PLUMBING, FlNAL ANO GAS 7E5T n ELECTRIC, FINAL DATE SUBGONTRACTOR � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. eOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fdl in Completely — Use Ink Only BUILDING ��Zq �q6hl2o€ (.uAY AODRESS OWNER �JOSL(�j� gUaIKII. ADDRE553 ��1ON�OE, G(.7�,� CITY COS 1 rl. M(r NOLJYS ` CONSTRUCTION LENDEF BRANCH ADDRESS OR ENGINE R�-f�USS�C�R• A NTO�J TEL. ADDRESS CONTRACTOR_� F._IANAIST[Y.I '7�1 �o �.7' ADDRESS II'I� IV,, KKHeIII�.It IS�VU. qTV A��N�II�'\ N0�.7�� L C NO. "��9 �i 12 LICYNO. ,�� 512E NO.OF BLDGS. OF LOT 'l—� I NOW ON LOT USEOF - S•F �J�l�' �e C�Ri�C::� EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED raio SEP=1-77cnsn�0 078# **'�*Z9.0� APPLICATION FOR STRUCTURAL PERMIT A.P. N�T. I�'i BUILDING t ADDRESS TRACT FIRE ZONE APPROVED � -]� I PERI411T NCY � �f0rl1�E WAY LOT [U BLOCK ��i� K�LS VALU$�qp—�, ��S E GROUP DATE / �� I ZONE NO.OF n USE OF NEW �l.l.L PLANS (� BUILDING P�`' � VARDSAPPROVED VAROSAPPROVED MAIN BVILDING ACCESSORV BUILDI (FROM /LSTREET) RONT FT. / �'� I FT. ' . . L. SIDE / FT. � FT. �/� ii REAR L�tW FT FT. DISfANCE BET. BET. MAIN & � MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE C.U.P.�h APPROVED APPROVED�� _ . __ "�1 — I � I' I 1 hereby acknowledge that I have �eatl this application antl state . � ihat ffie above intormetion Is correct and agrea io comply with � m all lews re8ulatinp builtllne �onstruction, and I shall�not employ , ' � any person in vlolation of the workman's compensation laws of m the State ot �Californie. . • I haraby cer<ify that I em properly Iicensetl as a conttector untlar SQ. FT. H tha State of Califo�nie Business ontl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end ihat such licenses are in full torce and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FE ONLV: � m exempt from the provisions of the Stete of Celifornia Business VALVATION a PERMIT FEE $ end Professions o IB, ivision 3, Cheptef 9. . /D J� ' m PLAN CHECK $ M Signaiure of �// ^' � 0 � Permlttee � �� $ ' ��/� TAx $ r �Q � �`� U AuShorizatlAga TOTALPAID $ � QO ` 18723 , COSTA MESA BUILDING-SAFETY DEPARTMENT� � P. O. BOX 917 C08fA MEBA. CALIPORNIA For Applieani fo Fill In Complefely TYpE OR PRINT BUILDING 12 mo,�.� e� wG ADDRESS COSTA MESA CALIFORNIA OWNER OCC.f.dClLf� LOQR U!R QR ADORESS � 2� H�bva U�Vd� �,T,. (��ta �l�a �0`5460505 e� ■ ARCHITECT TEL. cin Q2v2 sra :E� 1 �f 1 � HHTBACK LIN6 FROM ■ BUILDING R.n.P1i �. fC�P�4UlLR 1 l3enedtc.i (�a�vn Va C(f ��4� C¢�.(.�U2RL1 55 � No:C�-68940 INO, OF BLDGB. NOW ON LOT DESCRIPTION OF WORK I X II e� TFRATION I II ADOITIO vod & Ro FORMED 7 4aZacz e. FIRE ZONE APPROVED � E �E��VED FEB 1 9 1963 fiiVANCE BEPT. CIiY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only fi¢CEIPT NO. PEp1.�1�T�JQyi � /J �� BY OATE NECEIVED OATE �65UEO i FEB 1;s tqs� ��„ ,. . ��a ' COSTA MESA, ZONING ZONE / NO,OF U8E OF R-- PUNs z auito�N LEGAL / y-- z D T/ oeeca�vriox �O A. P. NO. YARDS ;} EVES APPROVED ALLOWE (<ENT¢R LINE 8T.) � s� G Y FRONT S FT. —� IN. R. SIDE -s� FT. IN. L.SIDE � FT. IN. REAR 3 � FT. IN. APPRO �� — av "�i �a A,��,., „erF � —/ X —G � 1 HERE6Y ACKNOWLEOOE TNAT 1 HAVB PEAO THIB MPYWTION AND BTATE THAT TXE ABOVE IS CORNECT AND AGREE M COM- PLY WIiH ALL CIIY OMINAHCE6 ANO BTATE l.AWB PEGULATNO BUILDIN6 CONBTRUCI'ION. . 61GNATURE OF . :�=5" � .� -/%5�"�� . � �/s�7 r. TXE AMOUNi BHOWN UNOEH VALUA ION I8 FOR THH PURPOBB OF ESTABLI9HING A PERMR FEE ONLY. VALUATION ///� / PERMIT FEE $ 7 v '� $�� / I/ PLAN CHECK $ ,� G � ! TOTAL FEE $ L% G -� 0 � 0 p 11C � '' �� , �`j�"'"� ,, . i � , ; � � , i . � , ; � , , - � , � , + � � I ��! ', , � '. + � �� __. 1 � � ._ . 1 .. _- _ - - _ , ... ✓� 1 �l'v i I I , � �.> � ` I �J¢� CI�J.l'y � ' ' ��,f� . � ��,.� � � j �i � �� , �� °/' � E i i�--� -- i � � L�TJ�c.I_('CRn1 � ', � 1 "'_` d , i6U-� ' � � � � � � � � � �t � �- 1�1 ��i �-t-b- ; _ _ ._ _ �-e � •l�,�c � - - -- � - �y ; - - , -/y� - � �� . i � �. '. . . , � . : , . j � ' � , C'v��r�'�l � � (f5;?' ��.. �) . . 1 ; � � ! 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