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Home My WebLink About3224 MICHIGAN AVE - Building Permits4C, 5� MF 9 o, ' � > _ r J � v�'�`� CITY OF COSTA MESA B!/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fa�c (7/4) 754-4856 JobAddress: 3224 MICHIGANAV Suite No Vicinity: Parcel Nunmber: 13907337 Applicant: NOCK, RON Address: 11612 KNOTT ST CA GARDEN GROVE Owner: PLOESSEL, RALPH L Address 3224 MICHIGAN AVE �COSTA MESA, CA Contractor: NOCK PLUMBING Address: 11612 KNOTT ST CA GARDEN GROVE ArchlEng: Address: 8 WATER HEATER CHANGEOUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect (Ice,Soda,eic) Dental Units ' Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (7-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PLUMBING PERMIT Phone: (714) 895-1246 Zip: 92841 Phone: Zip: 92626 Phone: (714) 895-1246 Zip: 92847 License: 707775 Phone: Zip: license: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation 50.00 P-Trap 50.00 Pressure Regulator $0.00 Process Piping (per 70 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect 50.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor 50.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) 30.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RMIT NUMBER P99-00681 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/6/1999 Issued: 12/6/1999 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $12.30 50.00 50.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 TOTALCALCULATEDFEES: $35.80 COMMENTS / SPECIAL CONDITIONS��• ��a�� `iIi'PE _-_--- -- QTY 0 0 0 0 0 0 0 0 0 0 i 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Calitornia statute�, and related regulations. (Ord. No. s2-2e, § 1, 7241-92) 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 180 days. 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 inapeetlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I �ereDy aflirm under penelty of perjury ane at t�e lollowing declaretlons: ' ❑ I have anA wlll melntain a certificate of cronsent to sell-Insure lor workers' compensatlon, as provitled for Dy sectlon 3700 ot tho Lebor Cotle, lor ihe Dertormance of the w fOr which ihis pormit is issued. I have and will meintain workers' campensation insurenca, es roqulretl Dy section 3700 0l the Lebor. Cotle, for tho petlortnance of Ne work lor w�ich t�is pertnit is issuea. My work�compen;atlon Iqsuren _�apier end poli number nre: c � �/� �� Q (� Cerner �� d �� Policy NumOer. � �(�(_A�'1� � / � T � (lhis secfion need not be comp/efed i! fhe'permi( is veluetl af one hundred dollers ($100) or less.) � I certity t�at In t�e peAormance of the work for which thls permit is Issuetl, I shall not employ any person in any manner so as to becoma suDject to the workers' wmpensetion laws of C mia, and agree that if I should become subject to Ne workers' compensation pmvisions ot Section 3700 of Ihe Labor Code, 1 shall forthwith compty with these pr ision G �7 ApplicamSignawra: � �_.--� � Date: j� � / ) WARNWC: FNLURE TO SECURE WORKEFiS' OOMPENSATION COVERAGE IS UNIAW FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALiIES AND G FlNES UP TO ONE HUNORED i/qUSAN� DOLI.ARE (5100,000), IN ADIXTIIXJ TO THE COST OF CAMPENSFTION, DAMAGES AS PROVIOED FOR IN SEGTIIXJ 3'lOfi OF THE LFBOR ODDE, IYTERE5T, ANO ATiORNEV5 FEES. LICENSED CONTRACTORS DECLARATON: I hereby eXirm that I em licensed torte arM eHect Lic. a Comraaors Signamre: _ (commencing with Sectlon 7000) ol Division 3 of the eusiness enG Profe sions Code, and my license is in full Class a /> � _ . Date: ) l, ^'-7 '—� � CONSTRUC710N LENDING AGENCV: ❑ I hereby aHirm thet i�ere is a consiruction lending agency for the pertormance of iha work lor which this permit is iss�etl. (Sec. 3097, Civil Code). Lenders Name: Signeture: _ Lentlefs Address: Dete: OWNEH-BUILDER DECLARATIONS: I hereby eHirtn ihat untler penalty ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe follawing reason (Sec. 7031.5, Business antl Prolessions Cotle: My ciry or wunty which requires a pertnit ro construct, alter, improvo, demolish, or repair any structure, pnor to its issuence, also requires the epplicaN tor such pertnit to file a signed stetement thet he or s�e is licensed pursuani to Ihe O�ovislons of the Contraaors License Lew (Chapter 9(commendng wlih Sactlon 7000) oi DMsion 3 ot the Business antl Prolessions Cotla) or that he or she is e:empt therelrom enA t�e basis for the elleged ezemption. Any violation at Section 7031.5 by eny epplicant tor a pertnit suh�ects tha epplicant to e civil penelry ot not more than 1'rve hundred dollars (5500).): ❑ I, e5 Owner ot lhe pmperty, or my employees wit� wages es Iheir 5ole compen5ation, WILL DO THE WORK, antl Ihe sWciure is noi intended or oflered for sale (Sec. 7044, Business and Professions Code: TTe Contractors License Law tloes not appy to an owner of property who builtls ar improves theraon, and who tloes such work himselt or hersell or thwugh his ar her own employees, pwvitled that such impmvements are not intendetl or oHered for sale. It, however, t�e builtling or impmvement is sold within one year oi completioq the owneo-builtler will have the burden of pmving that he or sha did noi builtl or impmve tor purpose o� saleJ. ❑ I, 85 owner of the proparty, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construtt t�e pro�ect (Sea 7044, Business and Pmfessions Catle: The contrectors License Law dces not apply to an owner ot property who builtls or improves Ihereon, antl who contrects lor such project with a comraaoqs) license pursuant to the Contreciors License LewsJ. ❑ I em ezempt untler sec. Businoss antl Proteuions Cotle for this reason: SignaWre: Date: Owner ID vedliod Dy tlnvels license. ❑ Ves ❑ No Ddver's License No. Ezpires: Venlicetion of Ownerehip by (type of daument i.e. - pmperty Iaa bill or tlead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby certity Ihe� no excavation tive (5) or more feet in tlepth into which a person is required to tlescenQ will be made in connection wi�h work authonzeC by this pertnit, entl t�et no building structure, swHolding, felsework. or demolition or dismantling Uereof, will be more than thirry-siz (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 347, Title 8, Califomia Administrative Code). ❑ A5 owner-builder, I will not employ anyone to ao wark which would reduira a permit irom the Division ol Intlustrial Salery, as notetl e6ove, unless such person has e permit to tlo such work from the tlivision. Si9neture: Daie: Division ol Intlustnal Safety Permit Number. CERTIFlCA7E OF COMPLIANCE AND AUTHOR¢ATION OF EN7RV: I certity undar Oenalty of per�ury ihet I have reetl ihis epplication end state that the inbrmation given is correct. I agree to comply witN'all state laws and city ordinances relating �o builtling wnswction, and euthorize represonlaiives of Ihe Ciry of Costa Mesa to en�er upon the ahove-descnbetl pwpeny tor inspection purposes. I agree not to ocapy or allow occupancy of any 6uilding euthonzed by Ihis permli untll Ilnal Inspection. aNre Of Legal s) ` � .7]dte� � / � � � —��nNOr Au�honzed Appliwnt Date COOE �. INSPELTIONTYPE 1616 Fixed System Finel Fire Prevention 1266 Paol Spa Final 200 Final Re-Roof 201 Final BIocWRelaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demolition 2b18�46 �. JIII: _. COUE� INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Elecidwl 272 Final Fire PrevenNon 220 Final Planning Approval 222 Pinal Site 250 Final Building/Occupancy QA..€ INiRIAlS � g� �onEssoFem�oo+c: pLOESSEL, RAL'. ss OYMERSNAMEIFqlOMN: 3 Z 2 4 M I CH I GAN eooness: COSTA MESA, CA 434-7509 �vn. �.uuno �oonEu: urcxrtEcr on �an�x: AqCII OP ENG.'SIWDPESS: NOCK PLUMBING mxm.crarsN.�: 11610 SEABOARD CIR COtRIIACTOR'SMAIIJNG STANTON "D°"�' 9 0 6 8 0 FLOC}i�i�`: X 37 92626 uc. wo.: UNT: (714)895-1246 CA 707775 uc. xo.: uxr: LICENSEO COMH�CTONS DECUflATION: I hareby ellim under perely d perjury tIW I em IicenxE uMer pv.van� al Cheper e ��,��w ,�ibs3`C9��5w w,;,:M 3 w�„ aL�,,,3°6" P,w,.u�„ `°PO°,p�'7"3�„ u �� "1Cp °� °CJ2 / 9 7 cm uc. No.: uc. cuss: uc. No.: otl, �t�, �s �., ��,� �� P��.��.��;� �,,,�� OWNER BUILDEH DECIANATON: I heraby etfirtn u�Mar per�ely d per'ryry tha� I em uemp Imm �M Conlretlm lirome law lar ihe Idbw'vp �saean (Sedian ]031.5 &nrose and Pruleeaiom CoCe: Airy e1Y a�unry r.fiitli npui�ae e peeme �o mmbud. Mer. imDrove. Aemdvh. a rapei e�ry nructure. por lo ea oweMa. eleo rpuina ihe epd�t la euch pemitl to fib e eqmd etmamem �hei M or eM u licemed W�am lo �Ae pmviam d Ne Convmpv Liceros Lew �Cheqer 9(�mentlnp wnh Saeqn 1000) d Oi+eion � d iM `mnm eM Prde»ana CoEe� a �tiei he or ahe is eaemq ihaehom end the beae fa Ihe elbpeE evemqbn. My v'oleiion d Seuion �1.5 b/ vry epDlirent lor e parmm subjetle iha eppfcem �o e cv� penelry W� mwe ihen (va hundrad Edlen �SSOOp. �] 1, ea owmr d tha pmpartyar my empbyeea xiih wpee m �hei ede mmpenaation. Wldo the xoM. eM ilp evucMe i nM imenEed or WareC br aab (Seciion )011. Bus�wea vtl Prdeas'vo COEe: TM Contredon Limi+e LewAoea rwIMWY �oenownar d propeny .no wba «inw� �na�o�..�d ww eoas sua wo�x w�seu «n�ae «waqn ne «nm own emperoa. a� �nm.ucn �w�me�u are �a �i�a.a a ona,ee �« eaie. n. nowev«. ine w�u�m «mwwem«n b.ow w�mm one ymr a oa,�Wma,, ma ownmbuiMer wi�l heve iM WrAen d pmvieq M w ehs d'd m� build m impwe lor tM pu�ee d eele). � I. m owner M ��e pW�Y. em e�W+nM' oonlredn0 �.nh IironeeE con�renws ro cmmuct Hro Omlecl (Sectbn ]OU. Buvimee eM Vrdeveiom Co4e: TM Caqrepcn licenu lew Eros nal eppty to en oww d propwly Mro WiNs a impwm 1lweon uM v.fio canvene Iw axh pqea� v.ilh a mureea(e) IrereeE punuant to Ihe CoMreaars Lirorue Lew). � I em eaempl uMer Setlim: B. d P C.. br Nu reeeon: o�.: o.�, I Eo Mreby ceNN � I em eware d end uMenierM Ure repuiremew d CelCana HaaEh erd Sefery Cade Seeiom 25505. 2553�. aeq 2553a, uk thd I or eny Mum buld'mp aaupent xiil / wil rw1 (drtb one) nead ia cwnpy w�h eeid ¢bte codea end IM �epuiremenu br epeim�lormneirunianamotlifimunhom�heAi�Bu t�anepemeniDimna.ResEenlwlmiMiudionepORmiomenexemptirem�hme Dets: MpbeN: W ONKER'9 COMPENSATION OKLAP�TION: I hsreby elrum uMer penelty d per�vy an d tM fdbxirp MCWeliom: ❑ � neva ena w meim.n. �.w�. d mm«n io.w:�w.e w, worka: comvemmon... nwie.a rw W seaia, a�ao a in. �em. CoJe, lw lha parlorme�Ke d Ne xvA lrn wlvch Nia peimu u inued. jCJ i na,� �d.�� m�.onea �o�*m� ��. a, �.e��ree M s.a� a�ao a me �no� cod.. ro� ub w�e«m.�. w ma .�«ia„nKnmroo�nnn.�e.Mr.�.a.wA�t'B9�'£.'l�°'�A'�ffE^c°"w��me�.�: EXPIRES c°^"� AlTd6'�3�&�1�0 09/01/96 Pdcy Numbar: eection nead nM Os canpatM l Ne permAie br ons hundrs0 Gdlere �YtOJ/ w Im.) .1 mnty ihel in �M prlmw�ca d IM wwk la r.Ach ihe permil b ieaueE, I ehell na amplry vry pweon In vry manner eo m to bscome auaea io iM v.aMe�Y canpemetion lew� d Ca4�anls. e�M episs Ntl tl I W ba.vns wbjse to IM Mwken' wmro��V^/�^.o�,. d^�/poJ� a�oo a m. �n« cods. i.nvi ionn�;/myu�/D�wnn i �.. Dme: � / Z � / /� �Pdiceni: / "l/ . . Wemlig: F�I/un ro wcun waikwi ro�axwtlon covsrep� l� vnkwlu, rW slull sub/�ef �n Nnploy�r ro crlMrW p�niltlw e cm� nn.. w ro on• nurd..e tlau,.m aonen (s�oq000A m.ee�rron ro ms co.t or corripsrwnon a•mey.. u pavmw ro. �n S�ctlon JI08 0l Ms LeOor Co6, InMnaf, siM elromry's Iw. CONSTFUCl10N LENDINO F�ENCY: I hxMy el(vm undsr penMy d perNrv �� IMn b e aonelrWbn bM"uq q�ercy M Ns peAamenca d tM xwk lor whitli Oin M�me ia ewed (`waion �OB). Cw. C). LENOEP'9 NMIE: LENDEP'S ADOPESS: I cenity Ihe� I hew raed No epqicetion uM qme iM1et iM ebo.a Wame�ian ia cmed. I apme to comply xnh all ery erd mumy adinarcee aM etete lexa rele�irp to bwld canmruclion end MreEy eWhwrze repr»antalnee ot ihp ory b eMer upon IM abwe.meMbned popeM tniruveab�p�rwxs. RO� j�jQCI{ Pnnl Name z /) �� Deie: 7 �- 71 qnel�rlRGen✓RPC1wYiConireda (StSt-16 WPI NTne-BuiWip 6 SefetY: Green-Fle: Cenery-RppGrent: Pink-Raronue:OOlEenio�baeera CITY OF COSTA MESA — HUILDING PERMIT N G , , PERMIT NO: P 076920 PLAN CHECK NO: CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU JOB DESCRIPTION : DISHWASHER C/O SQ FT: PURPc�SE: OTH CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT *��+�**+��**x��*�*�**�*+�***��**+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 BUILDING --------- -----�--- ACCESSORY HUILDING -------- 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; 13907337 ZNE: REF NO: PLANNING NOTES> 1 �E iE iElElF iElE 1E IE 3E IE jE aElE jf 1E 1E if 1E iE iF if ik iF iE iF 3ElE iE �f iE iE iE �ElE 1F iE iElE fF 1F iE jE iE iF �f 1E i6 iF if If if iF fE if 3E 1E fE iE iE 1E If IE �f 3f iE 3ElE iE 1E if if iE IE IE IE iE iE �E D E V E L O 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 ZONING APPROVED HY DATE: BUILDING APPROVED BY : DATE: f � APPLICATION ISSUED BY: �� DATE: ,3 Z4 / 6 1EiE1ElE'1E1E1E1i1EiE1E1EiE1ElEifiEiEiEiF1E1E�{F �E1E�f�flfififf(�3E�E ifif LEGALIZATION;N F E E S U M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 251 PLAN ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 7.00 20.00 0.00 REC'ENUE DIVISION TOTALS--> COLLECTED: HLDG PMT PLUMBING ELECTRIC MECHANIC 27,�� TOTAL 27.00 SMIP/NON—RES PAID DUE 27.00 .00 27.00 O��ER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK iE 3E aE IE �E IE IE iE 1ElE 3E iE iF if i6 iE iE i6 iF iE if !k if if iE iF 1f if �f iE if iF if iE 1f iE �E 1E iE IE iE iE iE iE !E if if if if if iF 1E 3f iF 1E IE fE IE iE IE 9E 1E iF 1F iF 1E 1E iE iE iE iF if if iE 3E aF 1E iE i6 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 PLO 1 DISHWASHER 7,00 7,00 END OF FEES [.� n� _ .�_ v ' n.�i'. ��- .' .. . .. CONSTRUCTION AND PLANNING POOL 8 1 APPROVALS Permit# Date Inspector qppROVALS Permit# Date I�spector 7. Temporary Electr(cai Service or Pole 52. Poo� & Equipment Location , 2. Soii Pipe-Undrgrnd. . 53. Steel Reinforcement . ' 3. Electrical Conduit Utility�Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgmd. • 55. Electrical Bonding '� I 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test •� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. EleMrical Conduit�Undrgrnd. 8. Foundat�on 59. Gas Pipe, O Undrgrnd., Test ,�� 9. Water Pipe-Undrgmd. • 60. Backwash Lines, P�Trap, L� Undrgrnd. � 10. Structural Floor Syscem 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal ' 12. Sewer Cap 63, Heater & Vent-Final 13. Roo1 Drains , 64. Plumbing System - Final , 74. Rough Pi�mbing --� 65, Etectrical�Pinal '+- . 15. flough Electrical-Conduit - 66. Solar System-Final � 76. Rough Electric Wiring 67. Fencing & Access Approval /' 17. Rough Wiring Sign -. 68. APPRpVED FOR PLASTERING � 79. Rough Electrical�T 8ar Ceiiing 69. POOLlSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning . _ FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . APPROVALS Permit # � 27. Outts, in $tructure 70. UndergrQund Hydro 22. Ducts, Ventilating , 77. Product Piping O Gas O Oil 23. Gas Pipe�Rough & Test � 72. Underground Flush � 24. Roof Fram�ng 73. Undergmd.5torageTank OGas �Oil 25. Roof Sheaching 74, Overhead Hydro 26. T�Bar Ceilin9 lStructurei) & Monocoat 75. Dry Chemical 27. Frame and Flashing ' 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPEC710N 32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heat(ng & Air Conditioning .� � 35. Final Gat P�Pe�Test � � 36. Hood or Canopy ' 37. Final FaMorY Fireplace 38. Final Plumbing RT/y/j�p�f/j��° � �p �N . � 39. Water Service-Final. � 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. landscaps Irriqation System � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL S7RUCTUflE & BUILDING , 46. FINAL PLANN�NG � . 49. Electric Release to Edison 50. Gas ReleaSe to Southern California Gas Co 51. CERTIFICATE OP OCCUPANCY No. Date OWNER GILLSSPIE� Mr. & Mrs. JOB ADDRESS 322 Michigan Av Gf ?AL CONTRACTOR Hallmark B AP no. 1 -0 -1 LOT INSPECTIONS SOIL GAS W ATER i10UGX PLUMBING PROP. SWR. IINE Q HQUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING RND Alq �ONOITIONING TEMPORAftY SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES FORMS STEEL REINF. FLOOR SYSTEM BONO BEAM STEEL REINFONCE SMEATHING FRqME ANO FLASHING L/ 'G — IN OUT PL LR, BHOWN COAT STRUCTURAL, FINAL HEATING, VENT., REFR�G. AN� A.C., FINAL PLUMBING, FINAL ANO GAS TEST ELECTRIC, FINAL nun niur. civa� DATE 1-28-71 BUILDING PERMIT N0. SUBCONTRACTOR Z . o- U Z Z Q O v~i am J � J � Q W Q] J - [f] J Q U N Z a W � d W wz J � m Z J � W w � _ Z � W O �O :�26?3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING /j y� (� /�.� . / ADDRESS �J �,'�iK J �//!f [ F%/4fiA/ U l7 _p� OWNER �R�- ////QS � �'J/�(�D/%' MAI l ADDRE55 ��/��(yJ/' // TEI. CITV / �C .Q lT7c C/D NO.S�{Y�Q� �{I BRANCH ADORES: TEL. CONTRACTOR N9h �Crnqc /t i(5Ui � d�—/�S A�OftESS qD� N .CJR�S�Q/�. CITYSAN��Q /YA/fi N�Ld��E� STATE ��a ��, CITV LIC. NO. LI0. NO. OF LOT � S � JC �J O NOW ON l.0 � USE OF � � 7 EXISTING BLDG.��G� L(,/ ��g'j(}-�. SIZE OF . / � � NO. OF � � NEW BLDG. �� ROOMS STORIES EXTERIOR WAL ROOF /� � �� — COVERING �UGGO CUVERING SNA—hN USE OF BUIIDING AND WORK 70 BE PERFORMED ��r � � rate ,�. ,�,�t��, 1 JAH 27-77tnsaQO 807• 3 a.50 APPLICATION FOR BUILDING PERMIT RECEIVF� BV � T� EC'IV� DATE ISSUEI /O /ll l.// iT �' �' )�7 PEflMIT/� O. A.P.NO. } —U�7 —/ `P BUILDING � / I,� ADDRESS � 1 a y �✓1 •L�C� L TFACT `Z�I � � L0T3 6LOCK R FIRE ZONE APPROVED Z NEJ NO.OF // PtAN$ � VAFDS APPROV ED MAIN BUILDING (FROM GL STRF,(E -ti BET VAR. ,$ C.U.P. # APPROVED 2J � APPROVED RV BUILDING BET. MAIN & ACCESS. BLd DATE I hereby acknowletlge that I have reatl this application antl state that the ebove intormation is correct and agree to comply with all laws regulatin8 building ronstruction, antl I shall not employ any person in violation of the workmon's compensaSion laws of the Stare of California. � � °J � I hereby certify that I em properly licensetl as a conSractor under SQ. FT. O the State of California Business a�tl Professions Cotle, Divisicn 3, T E AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licensas are in full torce and attect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: v am ewem t from the ffie State of Calitornia Business ¢ p provisionsot VAIVATION antl Professions Cotle, Division 3, Chapter 9. � �) N „,� PERMIT FEE $ i!J'f/ ] Np/ � m Signaiure of � l �% ' Permittee �� Lii /l�lJ $ /J(� �g PLAN CHECK $ . �� E ��J qa�f� � /. L `o AuthorizetlAgent TOTALFEE $ V_/rd� LL � OT - TR �Z � '� ` 1��'; �_ COSTA MESA BUILDING-SAFETY DEPARTMENT P. o. BOX 9fY CoBTA MEBA. GLIFOfU11A Fo� Applicdnt fo Fill In Completely TYPFi OB PRINT BUILDING 3224 ,c ' QVENUE ADDRESS COSTA MESA. CALIFORNIA owNeR �K INVESTMENT CO.� INC. raplL �Sr�S PLACENTIA AVENUE snnwaac IA c17Y NEWPORT [iEACH I.ALIF. �`c". No. 61195 No: M � 6-32z7 OP LOT O 1%� � �� I NO. OP B1D08.o NOW ON LOT BBTBACK LINB PHOM �01 '24/ cBNTeR OP Hine6T REAR YARD $1 -7 I SIDE YARD ILEF7 RIGHT I DESCRIPTION OF WORK FEE RECEIVED �' A'pR 2 4 t9� �FlNANCE MDEPt. APPLICAG�gN"FOR�PEi��v(ff� BUILDING For Offiee Use Only rsece�vr no. _ re�G1IT N� er BUI COSTA MESA. CALIFORNIA APPROVED ZONING ZONH I NO. OF I U88 Op NCW /• jj_1 vur�e 'L ouuo�na W BtY. DEBLffIPiION LiJt � 1 � �SCt �7G_) n. r. No. none YARDS EVES APPROVED ALLOWED (CENTIA L�NB BTJ .�_y� APPROVED EXTIRIOR WALL STUCCOI ROOF W�OD .iH I NGLES COVERING GOVERING USH OP BUILDING AND WORK TO BH PERFORMED i SINGLE FAM�LY RESIDENCE AND i3 ATTACHED GARAGE PLAN N0. I H[RBBY ACKNOWLZOOE TXAT 1 HAVE PEAD THIB APPLIGTION qH6 AMOUNT BHOWN UNOBq VALUATION IB POR THH AND BT�Te TH�T THH ABOVE IB CORPECT AND AGRlE TO COM- pUliPOBE OP EeTABL�9H�N0 I� P¢PMIT PE¢ ONLV. PLY WITH ALL CITY ORDINANCEB AN� 8TI1TE 6 H60UlJ1TN6 eu��INo CONernu oN. VALUATION �j 61GNATURE OF �� ' PERMIT FEE $ .-J�� PBRMITTH /� �^,/� Q S PLAN CHECK $ I v � AUTHORIZEO AGENT 1� �