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Home My WebLink About623 HAMILTON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DiiIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 623 HAMILTON ST Suite: A Vicinity: ROOF, UNITS A AND B Primary Occ: R Parcel Number: 42213115 Type of Construction: V-N Zoning: Stalus: ISSUED Applied: O6/09/2005 Issued: 06/09/2005 qpp�icanr. BERTOLINO, PIERRE JACQUES ISSUED BY: Address: 1014 ARBOR ST � ' ' - . - . , , _�-�c . _. - - . - - Phone: 949-735-7075� COSTA MESA; CA�. - � �t ' � Zip: � 92627-4113 r ' , _ . . . , ' � . , - Owner. BERTOLINO, PIERRE JQCQUES � � ' ' Address �'1014'ARBORST, � f '. � - - " ` ' � - �., , � . �> - � Phone ' . ` . . _ � �_/ " _ - � - .� � - : � ' -�.COSTA MESA, CA%:�., - � Zip: 92627-0113 -� � � Convactoc OWNER=BUILDER �, � . � Address:� i'� "� �� / � !�� ji e` .'.,A�*. _ / � i f � i� ;,: .'' Phone: .:�\ , � i - Zip: � � � iicense:. �000000 � . , , KArCh : ` ' - , - . � Eng: , � �- _ Address: , � , � "`��;3' , '. .. �--.Address% ' � � � , . . . � , i � � Phone: � , .,--i' • � , Phone: � '.� , , ••�� .. �. �. � ..'� ' ' `Zip: ,� , � % License: �,� License: ' � "� � �� . SCOPE OF PERMIT"if ', ';:�' ,`• � �TEAR OFF EXISTING,ROOF. INSTALL 1+LAYER OF 15# FELT, 20 YEAR-COMPOSITION SHINGLES; AND REPAIR/REPCACE SHEATHING AS NEEDED. 27 S�UARES FOR DUPLEX. UNITS A AND B. � - - � -� � " , - - - � , ' � - � ,;� ' - FEE SUMMARY -' ' Plan Check: $0.00 Calc Valuation: � ,' . � Permit: � � $97.25 ��i j" Claim Valuation: !','� � SMIP Res: . � ` $0.50 � � ;' �� _ SMIP Com: $0.00 - - � . Other: � �$0.00 � � _ . "�� Inspection: $0.00 " " ;� ' �'' " z ' ��`a - ;'' � �Total: $9775'.>^� ," :. .;,' ,� ' _ � , �" '�, ;�. - ^ , . ' =�� . � � ` "j� /f \ �h ��_PLANNING�& ZONING ,i' `,'> �.'/ !� " \ w�1� c . .�l . ` / . . SETBACKS� �':. -_/i,' � i � \ ._ �_ . � �_ _ _ � i� � ;, , , �� MAINSTRUCTURE�FronD, 0-�0+.�,� , -'Rear -0-0,--- --- �� =Le%�-" 0-0-J Right��.0-0� i , �� . �. � i . . � - - ' � ` ��; , f ' `, ACCESSORY Front'��0.�0-, , Rear � 0= 0 ' � _ �. Left ",- 0- 0 � �j � Right ,0- 0 '� ' - r �-.--: . . , � - _ �,�� . PARKING Exl_stin4: 0" ` `_Re uired: 0 � \�„ Proposed: " 0 ' � � -' sa,000.00 \ $a,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectfons and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiratlon of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaae�ns (woo) WORKERS' COMPENSATION DECLARATION: — I hereby attirm under penalry of perjury one ot the fWlowing tleclarations: ❑ I have end will malntain a certifwate of consent to self-Insure for workers' compensation, es provitletl for by section 3700 of the Lehor Code, for Ihe pertormence of the wOrk for whiCh this pertnit is issuetl. ❑ I have anU will meintain workers' compensa6on Insurance, as requireE by section 3700 of ihe Labor Catle, for the pertortnance of Ne work for which this pertnit Is Issued. My workers' compensallon Insurance cartler enA policy number are: Certier. Policy Number: (Thl3 section need nof be complefed i! the permit is ve/ued at one huntlretl dollers ($f 00) or /e55.J �ertify that in the peAortnance of the work for which ihis pertnit i issueQ i shall not employ eny person in any manner so es ro become sub�ect to the workars' compansation laws ot C ia, and agrae� shoul0 e ubJect to the workers' compensation provlslons of Sectlon 3700 ot the Lebor Cotle, I s�all fo�hwith compty with t�ese proh i s. � ��f� 1i�LURE TO SECURE WORKERS' COMPENSATION � OE IS UMAWF'�UL AND SHALL SUBIECr AN FMrPLO�BTO�CRIAIINAL� TEO � L FlN� TO ONE HUNDRED TFIOUSAND DOLLARE (5100.000),IN ADDITIIXJ TO THE COST OF COAIPENSATION, �AAIFGES AS PROVIDED FOFi IN SECTION 3I08OF TME LABOR WDE, INTEREST, ANO ATTOfiNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn that I em licensed untler provisions ot Chapter 9(wmmencing wiih Sedlon 7000) ot Divislon 3 of the Business end Professlons Cotle, end my license is In tull torce end eflect Uc. x Class a � Cantractors SlgnaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby affirtn Ihat there is e construction lending agency tor Ne pertormance of Ihe woAc for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lendefs Address: Signature: Date: OWNER•BUILDER DECLARA710NS: I hereby eHirm t1�at under penelry ot perjury Ihet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor the tollawing reason (Sec. 7031.5, Busineu end Protessions Code: My dry or counry whic� requires e pertnit to construcl, alter, improve, demdish, or repeir eny structure, prior to its issuance, also requires ihe epplicant tor such pertnit to file e signed statement Net ha or she is Iicensed pursuent to �he provlslons of ihe Contractors License Law (Chepier 9(commencing wlth Sectlon 7000) of Division 3 of the Business end Pmfesslons Cotle) or t�at he or she is exempt theretrom and the besis tor tha ellegetl ezemption. Any violation of Section 7031.5 by eny epplicent for e permit �bJects the ep0�icent to e civil penelry ot not more than tive hundred dollars ($500).): , es owner of ihe property, or my employees with wages fls thelr sole wmpensetlon, WILL DO THE WORK, antl the strudure is not Intentletl or oHered for sele (Sec. �yI044, Business end Professions Code: The Cantraclors License Lew tices not flpply to en owner at properry who builds or improves t�ereon, and who does such woAc himsetl or herself or through his ar her own employees, provided ihat such improvements ere not intendetl or otteretl for sale. If, however, the building or improvement Is sold within one year of completian, the owner-builder will have Ihe burden af praving thet he or she ditl not 6uiltl or improve for purpose of sele.). • � I, as owner of the property, em E%CLUSIVELV CONTRACTING WRH LICENSED CONTAACTORS to construct the projec� (Sec. 70d4, Business and Protessions Code: The contracrors License Lew tloes not eppty to an owner o1 property who builds or improves ihereon, entl who contracts tor such pmject with a conlrectar(s) license pursuant to the Contrectors License Laws.). sea � l 1— _iZ Business ena Professlons Cotle tor ihis reason: Slgn'atu-r�eyi�.;�'-"b'F..J�i.. V��"6i�� -d Date: �eYiO`eri�by dnver's license. ❑ Yes ❑ No uvede�C e No. �Expir'es��'=�.,O,.1��B VedticallonolOwnershi b ��p�" _ y�"'�� p y(type ot document, i.e. - property taa bill or deed : DIVISION OF INDUSTRIAL SAFE7V PERMR CERTFICATION: ❑ I hereby certify tha� no eacavation five (5) or more tee� In tlepth into which a person is required to descend, will be made In connectlon with work euthorized by this permit, anC that no building strudure, scaXoltling, talsework, or tlemoliiion or Cismantling t�ereof, will be more Ihen Ihirty-six (36) teet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Ttle e, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ enyone to tlo work w�ic� would require a pertnit irom the Divislon ot Intlusirial Safery, as noted ebove, unless such person hes e pertnit to tlo such wark Imm Ihe division. Signature: Date: Division ot Indusirial Satery Partnit Number: CERTIFICATE OF CAMPLUWCE AND AUTMORQATON OF EMAV: 1 certily under penalty o1 perjury that I have read this application anC state thet the information given is wnect.JJy,,,,eeegree to wmpty wlt� steta lews a ry ordinances relaling lo building constructlon, and authorize representetives oi Ihe Ciry of Coste Mesa to enter upon t�e above-�ekCribed properry for' dion s egree not to accupy or ellow acupancy of eny building euthonzed by is pertnit until finel inspection. _K�a^'�'� - - �^'qJ � -O 4.- . d S�" ��" ature Of '" Owner(s) Date r —�-��` � And/Or Authodzed ApD�kent , Dete COOE I. INSPECTIONTYVE 1816 FixeC System Final Fire Preventlon 1266 200 201 202 203 204 Pod Spe Final Final Re-Roof Final BIocWRetaininp Well Final Factory Fire Place Finel Sipn Flnal Demolitlon � lt�� f�-Z�t-O�� COOE� INSPECTONTYPE 206 Final Mechenlcal 208 Final Plumbing 210 Finel Elec�ncel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Flnel BuildinglOccupency .. � C� °� L'aQta ��e¢a �u�;�'d.i� 2�iuidia� OVVIVER-��,IILDER VERIFICATIOI�{ Address: (O ��. � -b J �M, .'� � ' ' .. Permit #:-. m A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building pertnit, require [he completiou and require the retum of, an owner- builder verification. � ' Attention Property Ow ner: An bwnervbuilder' building permit has been applied for in your name and beanng your signature. Please complete and retum this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildin¢ permit will be issued until this verification is received. l. I personally plan to prov�d he major labor and materials for construction of the proposed property improvemen[. �Yes ❑ No 2. I(have/have not) �'1 %}� � signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constniction: Name Address Phone ( ) City _ Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person ro coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) d�e following persons to provide the work indicated: Name 1042-46 (Rev.tl/a4) Address Phone Type of Work (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 623 HAMILTON ST Suite: C Vicinity: ROOF, UNITS C AND D Primary Occ: R Type of Construction: V-N Parcel Number: 42213115 Zoning: npp�icant BERTOLINO, PIERRE JACQUES Address 1014 ARBOR ST � �� - � Status: ISSUED Applied: 06/09/2005 Issued: O6/09/2005 issue� sr. �� - � . - Phone: 949-7357075 COSTA MESA; CA. . � • " Zip: . 92627-41'13 � . � ' �'� ' � , . �, ;� `/. . . _ , Owner. BERTOLINO, PIERRE JACQUES - Address ��10'14ARBORST , - - -_ _ � _. - _ � � ' . � � ' . _-��" " Phone: � _ . _ . , - �COSTA ME3A, CA'.!� ��'-� � Zip: 82627-4113 -� - � - • - � Contracror OWNER-BUILDER � � _ . � � Address: � �i : " � � � � , _ ' . , , ;�"�� Phone: � . � �. %�ii �i . � . � , ' ✓�i/ , ��. . , �.�. � � . . '_- . , . . . � _ Zip: , fLicense: • �; 000000 . - . - � Arih' : . ' . � , � . . Eng:. � � � ' , Address , , - , , � . Address. � . . � . Phone: �- � . � � Phane: � Zip: � �-' License: , License: � _ r' � � - - - . . . ' � �' - ;y :'� SCOPE%OF PERMIT �; ". :,-; t ` ' TEAR OFF EXISTING ROOF. INSTALL 1�CAYER OF 15#�FELT, 20 YEAR COMPOSITION SHINGLES; AND REPAIR/REPLACE SHEATHING AS NEEDED. 27 S�UARES FOR DUPLEX. UNITS C AND D " " - � � � � � - � � FEE SUMMARY ,� � . � � , Plan Check: $0.00 , f _ �, _ Calc Valuation: , Sa,000.00 Permit: $97.25 Claim Valuation: �- - Sa,000.00 � SMIP Res: � � $0.50 �= -� , ' � � SMIPCom: $0.00 - --- , . Other. `$0.00 . Inspection: $0.00 .. � ';. �� - , - - ' ,� � j ' Total: - $97.75� +-.- �� - � � � '.; �, . . ._ . , �. . , �. „ `� , PLANNING & ZONING - ` �� SETBACKS � - :��. _ ' � - � ✓ � / ��, MAINSTRUCTURE�Fronl. 0-0. �: ��;�Rear � 0-0`-� �-Ceft 0"0�� Right :0-0� �,;;%. V��\ _� . � �� ,�,- ACCESSORY Fronh_ 0=�0� ,� Rear -0-0-� - , Cefl .0-0 ' Right ,0-0''�' ., - . . . . .. . �� . . PARKING Existinq: �0 _ Re uired: �0 ' � '�V �_ Proposetl:' �0 � NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considerad leqal, such work must comply with all applicable codes, and all requlred inspeetions end tinal epproval mus� be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-66�6/00) WORKERS'COMPENSAnON DECLAflArON: �' I hereby aftirm under penelry oi perjury one oi ihe tollowinq declaretions: ' ' - ❑ I heve entl wlll maimain e certificete oi consent to self�lnsure tor workers' compensatlon, es provided lor by section 3700 af Ihe Lebar Code, for ihe pertormance o1 the wofk tof w�ich ��is permil 15 i55ued. ❑ 1 have end will maintan workers' compensation Insurance, as requireA by section 3700 of tha Lebor Cotla, for Ne peAortnence of the work for wMch this pertnit Is Issued. My woMere' compensatlan Insurance carrier antl policy number are: Cerrier: PoliCy Number: (7h/s sectlon need no! be completed il fhe permif Is velued af one hundred dallars (5100) or /ess.) rlify Ihet in lhe peAortnance of iha work for which Ihis permit is issued, I shall not employ any person in any manner so az lo become subject to the workars' pensallon laws a i la, antl egree t I shoul be a sub�ect to the wolkers' compensation provislons of Seclion 3700 of the labor Cotle, I shell torthwith comply with these p i �t �� s e,c�,�_ ��Jl�t-w� � - �►S,. • 8 4 � 03' NARINN�.'FALUREYO SECURE WORKERS' COMPENSATON COVERAGE IS UNLAWFUL AND SHALL SUfl1ECT AN �MINAL PEW�LTIES AND GVIL FlNES UP TO ONE HUNDRED T/IOUSAND DOILARE (5100,000�, IN AOIXiION TO THE WST OF �MPENSATIXJ, OAMAGES AS PROVIDED FIXi IN SECTION 310fi OF THE LABOR CODE, IMEREST, AN� ATTORNEY'S FEES. LICENSED CONTAACTORS DECLAPATION: \ I hereby eHirtn th I em licensed under provisions oi C�apter 9(commencing with Section 7000) of Division 3 of Buslness end Prolessions CodO`end my Ilcense is in full f0lCB e fhC , Y-°•.:' �- e� � g�BhlfB'�'-"'�s. D8t83 � � CONS C710N LENDING AGENCY: � ❑ ereby atfirtn that there is a wnstruction lentling agency for the performance of Ihe work ior which this pertnit is issued. (Sec. 3097, Civil Code). Le efs Neme: Lendefs Address: Signatura: Date: OWNER•BUILDER DECLARATIONS: I hereby aNirm ihat under penelry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Protesslons Code: My dry or county which requires e permlt to consiruct, alter, ImDrove, demolish, or repair eny struaure, prior to its issuence, elso requires the epplicant tor such pertnit to flle a signetl statemem ihat he or she is Iicensed pursuent to Ihe pmvisions at ihe ContreMors Llcense Lew (Chepter 9(commendng wit� Sectlon 7000) of DlWsion 3 of ihe Business and Profeuions Code) or t�at he or she is exempt therefrom antl the hasis for the elleged exemptlon. Any violetion of Section 7031.5 by eny applicent for e parmit �sub� the epP��en� �o e civil Oenalry of not more than five hundred dollars ($500).): owner of the properry, or my employees wiih weges as their sola compensation, WILL DO THE WORK, end the siructure is not intended or ofleretl tor sale (Sec. �7044, Business antl Protessions Code: The Contraaors License Lew does not epply to an owner of property who builds or improves ihereon, anO who does such work himself or herself or Ihrough his or her own employees, provided �hat such improvements are not Intended or offered tor sale. It, however, the bullding or Improvement Is solA within one year at completion, Ihe owner-builtler will have ihe burden of proving that he or she did not builtl or improve for purpose of sele.). • � I, as owner ol ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business entl Profeuions Code: The contwctors License Lew does not apply ro an ownar o1 properry who bulltls or improves Iharaon, and who comracis tor such pro�ect with e contrector(s) �9 e�ptirsuapL(o tha Contracto�ense LewS.L. sec. by drivers license. ❑ Ve5 ❑ No Busineu and Pmfessions Code for this reason: Vedfcetion of Owners�ip by (type of document, i.e. - property tax blll or DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more feet in depth into which e person is required to descend, will be mede in connection with work authodzetl Dy INs pertnit, and Ihet no builtling structure, scattolding, lalsework, or demolition or dismantling Ihereof, will be more Ihan thirty-sl: (36) fee� high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title 8, Celilomia Atlministrative Code). . � ❑ As owner-Duiltler, I will not emplay anyone to do work which would require e pertnit from the Oivision of Industnel Sefery, es noted ebove, unless such persan has e permit to do such work from the division. Signature: Date: Division of Intlusirial Safery Pertnit Number: CERfIFlCATE OF COMPLIIWCE AND AllTMORVA710N OF EHTRY: I certify under penelty of per�ury that I have read this epplication and state Ihat tha informetion given is conecl. 1 agrae to wmpry with ell stete laws and dry ordinances relating to builtling constructlon, entl euthodze represenlatives of tne Ciry of Casta Mesa to enter upon the ebove-0escribed property tor inspectlon purposes. I egree not to acupY or ellow occupancy of eny builtling authonzed by ihis pertnit until finel inspection. CODE L INSVECTIONTYPE � 1618 Fixetl System Final Fire Prevention 1268 Paol Spe Final 200 Final Re-Root 201 Final BIocWReteining Well 202 Final Factory Fire Place 203 204 final Slpn Finel Demolltlon PAg 1t�9L$ � •� /� Date le —�C_ .e�r CO�E� MSPECfIONTYVE 206 Finel Mechanical 208 Final Plumbing 210 Finel ElecMcal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Flnel Buildlnp/Occupancy � � �� a�� O ER-��,I6L�ER 1./ : � ,� _ �� ►- Address: (O �J 6 J�M � I'lY� �%/ Permit #: A city or county, ��hich is required to give notice pursuant to Section 19N30, shall attach to such notice, and, as a condition precedem to issuing a buildine perniit, require the completio�� and require the retum of, an owner- builder �erification. Attention Property O��ner: An 'oH ner-buildrr' building perniit has hcen applied for in your name and bearing your signature. Please complete and return this inforniation in the emelope pro�ided at your earliest opportunity to acoid imnecessary delay in processing and issuing }vur buildin�_ pem�il. No huildine pern�it will be issued until this �erification is received. I. I personally plan to proa�d� he major lubor and materials for constniction ot thc proposed propert}' improvemcnL �l'es ❑ No 2. I Ihacc/have not) �'1 �� signcd an application for a building perniit for the proposed «'urk. 3. 1 hare contracted «ith the follo�rinc person (finnl to pro� ide ihe proposrd constn�ction: \an7e t�(j(�ftSS Phone ( Clh' Contracior's Lic. \u. �. I plan to pro� idc portions of the �+ork, but I ha�c hircd thc follo�rine person ro coordinatc, supctl'isc and providc thc major ��ork: Name :�ddress Phone ( City _ Convac�or's I_ic No. �. 1�cill pro�'ide some of tlie work but I ha�e contrac�ed (hfred) the follo��ing perSons to provide die work indicated: Name Address Phone 7'}�pe of ��'ork t0e2.4G IR=.: t ��0�) OWNER MISTRETTI SALVATORE DATE 3-,2 - � JOB AI3DRESS 23 ��'111tOri A& B BUILDING PERMIT NO. BB62 GENERAL C�NTRACTOR QWpep - Bv� lder VALUE $ 16.oh6.00 LOT • TRACT. FIRE ZONE DESCRIPTION OF WORK IJt1D1EX W J I �ECTIONS brown wat Fi^-� Gas Test/Z- DATE I SUBCONTRACTOR I PERMIT515 DATE NU - � ��ti,`� COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA_MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING � ^ � ��M r L r�N'/i1 �R�. aooRess COSTA MESA. CALIFORNIA � ♦ IOWNER IARCH�TFCT - / LIC. OR ' 'EER NO. CITY LIC.� CONTRACTOR � NO. i TEL. e� AODRE55 ��' 4+ NO. •y LEGhL LOT �'/i oESCIiIPiION NO. BLOCK RAC A.P. NQ ^' / S .. SIZE J'�/� No. oF aLOGS. OF LOT � C� �l TV Now ov �oi USE OF / � EXISTING BLDG. SETB4CN LINE FROM � ��' CENTER OF STRCEI REAft YARD SIDE VARO RIGHT � IEFT 4� � DESCRIPTION OF WORK NEW ALTERATION ADDITION � REPAIn MOVING DEMOLISH BUILDING +rj ( NO,OF '�� SIZE 7 ROOMS STORIES E%TERIOR WAI IG"�.�! . �.. ROOF _ I� _ � I/ aAH 19-S��r��sr.� i 3i e*�a54_�� "�-�CBST?C=.•��u=.,v....-�a � � ..r* �; ,-�. APPLICATION FOR PERMIT BUILDING . FOR OFFICE USE ONLY ADDRE55 (J `/ /( "�`��// y' COSTA MESA. CALIFORNIA FIRE Y1�-�.I•,:�'�lT\U L�LI��. a oermit tee STATE THI�T THE ABOVE IS CORRECT AND nGREE TO COMPLY WITH nLl HOLD FOR PEC�AL REQU R£MENT,S CITY ORDINFNCES �1ND ST E L4�N5 REGULGTIN LOING CONSTRIIC� riorv. � VALUATION SI SIGNATURE OF PERMiT FEE $ PERMITTEE ' �/ � ,J �� ' / / Q . i• PLAN CHECK $ �i'_ S /� !L/-' S � /�/// ny ��q" w � AUTHORIZED AG �! �� "- f J(O TOTAL FEE 6 � ♦� �"_ � v�� OWNER MLSTRETTI, SALUATORE- DA'rE 3-27-59 � ]OB ADDRF;SS 623 Hamilton- G& D BUILDING PERMIT NO. BB63 GROUP �ECTIONS LOT 1'RACT f 'rvPE V coat FIRE ZONE DATE DESCRIPTION OF WORK SUBCONTRACTOR DATE � PERMITS ISSUED �- � i�� .�•�-' . �a�� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] - , COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDINI G /�� . 1� �w •e i I Tw1/ �� COSTA MESA. CALIFORNIA OWNER �} y r /Y/��C I I�IGI T--%—ITT�I MAI l ` ADDRE55 y�. S� /� ( � EL. CITV ' � [ 4 '� NO. ARCHITECT LIC. OR F' 'NEER - NO. AODi. .� . ' . CITV LIC. �� "��C��YED r� 3/� 9�5�: f�iVc� �t. �ati 9� �► t� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY ' RECEIPT NO. MIT C � � ECENEO BV [�PTE RECEIVE� �T � / �'l. . �. / Z �. i/i . — COSTA MESA. CALIFORNIA GROUP IEGRL LOT /Y�IK�IC rv ' " "C�O�RF7E�T16NS � oesceiPnorv NO. BLOCK TRA T C t: .j p{ � ,y ' A.P. NO. � ' � J^• ,i•: �� t..�i q � '^� �' t '� � I, H SRE p q rvo. oF e�ocs. . OF LOT � �� ✓ /{�� now oN �01 / �(% 1F�L USE OF — — EXISTINGBLOG. � �. / ��TF. SETBPCK LINE FROM �• � S j',!,^�!:. i•in.�? '?:�OVtD ._ '('�� c[Ni[a or srvEe. � / �RF_EAR YARD � — --- •� /� n_ SIDE YARD RIGHT r LEFT � y V/ Q( 9�'t DESCRIPTION OF WORK s �?. � � ��: � CITY Or CG:jT.a r;;'c;;a NEW ALTERATION ADDITION � qr,1��AI(' 71Ai1"I' REPAIn I moviNa ❑EMOLISH SUBJECT TO BLDG. DcPT. REG. BUILDING �n pOOMS �,( STORIES / SIZE EXTERIOR WALLp ROOF COVERING . J �� COVERING C PLAN T:CH. +�. 1 �1 1� �USE OF^NEW I/�.�Li+/� C2s ' I�� r I HEftEBY ACKNOWIEDGE TXPT 1 NPVE REnO TMIS PVYllcnllOn nrvU . STPTE THAT THE ABOVE IS CORRER RNO TGREE TO COMPIY WITM ALL purpose of establishing a perr�it iee oniy. CITY OPDINFNCE$ TND ST<TE L�1W5 REGULl�TING BUILUING CONSTflUC� iior+. � VALLIATION J / SIGNATURE OF • PERMIT FEE $ ✓ (J PERMITTEE - � � p $ /�/ �C�� PLAN CHECK $ �O (�/��'j��/ �p �v AUTHOR¢ED AG C.� (J '�� '` � TOTAL FEE 8 ��'� �°'�� 'f/ /(i.. �-FTn/ •