The URL can be used to link to this page

Home My WebLink About2203 MINER ST - Building PermitsADP�icant to fi�1 in all spaces ezceot those within heavY borEer lines anG sign all ap�aropriate Eeclaratlons. -' � PERMIT NO. TRACT NO. LOT NO. UNIT NO. � CI7Y of COSTA MESA CON/S�TRUCTION PERMIT �ryi G7 A.P. �f`- Zone �Project qddress ��y � ` 4.J./IAf2Y: _ `� � ` � � � 7 E Main Building: Accessory Building: Z Applitanl'S Mailing Atldfe55 O 7YPE OF CONSTRUCTION NEW ADD ALTEAATION REPAIA Owner'SName , � �� rPyh�o�ne� � CONVERSION ❑ DEMOlISH ❑ OTHER T F��t O tova I b�' DESCRIP�i`I�rJ N�,OP WORK/USE O�F�'��.QGf I 6 Rear N Address �� I`(�L}tar. ��21!�,_�OflfyX( R-' ��^ ,(r'(rJ/rJ"t— wT7N70Ci �1�n `r.e.le A . � Arch/Eng. License No. TVP^E OF PERMIT U GRADING ❑ FOUNDATION TRUCTURAI � K Right G Address LI TENANT ❑ ELECTRIGAL ❑ PLVMBING ❑ MECHANICAL S Left p ❑ �OTHER . Pln Ref. # Parkin Re Convactor's Name � Phone 9� g q./Provided E PROJECT DESCRIPTION 5�3. FT. OCcuPANCv n Address (mailingl n Planning Notes: M CONSTRUCTIONTVPE VALUATION$ ��D�� T City LiCenSe No. 20NE GRADING CU. VDS. ACRES S LICENSED CONTRACTOR DECLARATION I hereby-afti�m that I am licensetl untler provi5ion5 ot Chdrte� 9(comm¢ncing Remarks: �,` � wi[h seqion ]000) oi Oivision 3 0} the Busine5i antl V�ofessions Cotle, dntl my license is in tuu force antl effect. � ELECTRICAL FEES License Class License No. PLUMBING FEES %�utomatic Washer Transformer ❑ 75-50 KW Date Signature WORKERS' COMPENSATION DECLARATION Construc[ion PoleSub. � 50+KW I hereDy ai(irm that I �ave a certificate of consent to self-insure or a certiflcate Bar Sink Showers oi Workers' Compensation Insurance, or a certified copy thereot (Section Backflow Preventer - Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Poiicy No, Company Backflow Irrigation Sewer Cap Dishwasher Merer ❑over 100 amps eCerti�i¢tl copy is nereby fumisnetl. Dryers �Gas ❑Electric Sub Panel Certi��etl copy is filetl with the city Builtling Division. Bathtubs Sewer Connection '+� Date Appiicant Fan Motoro d0-1 HP 01'h � 8 EXEMP710N FROM WORKERS' GOMPENSATION DECLARATION Clarifiers SOldf C0112ctOf5 (Tbi55eCtion neetl mt be <ompletetl if the permit is tor one huntl�etl ($300) o� F.A.U. " Inc. SOId� 09-15 HP �16-15+ � - less). Dishvrasher Solar Piping I tertity that in tM1e perfo�mance of the wo�k fOr which thi5 p¢rmit is i55uetl, I shall no� ¢moloy any person in any manner so s to become subject to ma Drinking Fountains Solar Tank Fixtures Microwave Wo�kerS �ompe 7Sation Laws o( Califo� ' Date �- 1 i_r4Q Signature Floor Drains Swimming Pool wlSpa Device Boxes Pole Light NOTIC@: �f, afler making this tleclaration, you s iltl bemme subje<t [o tna OuHets Wo�kers' �ompensatiOn provisions of th¢ Labo� ode, y0u Tust tOrthwith FI00! Si�kS U�inal Range comply witn suth p�ovi5ions o� thi5 petmit Shall be tleemetl �evoketl. SWitche5 CONSTRUCTION LENDING AGENCY ,' GaSSeNiCe OUtletS WatefCloSet Sign I hereby af(I�m that there is a mnstruction IenGing agency fo� the performanc¢ (�i3�ba of the wolk tor which this Dermit is issuetl (5¢ction 309] Giv. C.) If1tEfC2pLOf5 W3t2� H¢3t¢! 9E Di5p0521 Stdnding $¢CtIOnS lentler'S Name �entler'3 qaaress — Kitchen Sink Water Service Generemr �0.5 KW �5-15 KW Trash Compactor ' OWNEk BUILDER DEGLARATION . I hereby aftirm lhat I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Sec[ion 7031.5 Business antl Pro(essional Cotle: Any city or tounty which requires a permit to ConstluCt, alter, impfove, tlemoli5h ol fepol! P—Tfdp �yundfy Tl2Y5 � any sb�cture, prior to its issuance, also requires the applicant tor such permit to file d signetl sta[ement that he/she is licensetl pursuant to the provisions of ROOf Dfains the Goq�racfor's Lirense Law (Chapter 9(commencing with Section 7000) o( Divisfon 3 of [ne eusiness antl Professions Cotle) or that ne/she is exempt � Reinspection Fee $75 luue Fee $ 3 iherefrOm antl the basis f0� the allegetl exemption. Any violation of Sectlon 7031.5 by any applicant for a permit subjects the aOP�icant to a civil �e ty oi not more tnan five hundretl tlollars (5500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: az owner of the property or my emploYees with wages as their sole Reinspettion Fee $15 ISsue Fae mmpeq5alion, will Co the work, antl the Structure is not intepdetl o� off¢�etl ZOning App�Ov¢d By Ddte for sale (Section �044, eusiness antl Protezsional Cotle: The Contractor's MECHANICAL - FEES Buildin8 APProved By Date ,wcens4 Law tloes mt appty [o an owner of a Oroperty who builtls or improves � rl n�� thereoq, anG who Goes such work �himself/nerself or ihrou9h his or her own Applieation Issued By Date L employees, providetl Ihat sucM1 improvamen[s are not intentletl or offeretl fo� BOiI¢f HOOd O� Typ21 ❑ sale. If, nowever, tne builtling or improvement Is soltl within one year of <om- Canopy Type II ❑ ' SUMN1ARY OF FEES pletion �p¢ owner will �ave the burden of prOviOg h¢/she Oid not builtl o� im- DuCt - UndC! GfOUnd . l Noveforthepurposeofsale). � BUILDWGPERMIT $ 7Z Od SMIP $ .S�-/ L� I, as owner oi the property, am exclusively contracting with licensetl con- Duct -Strucmral Refrigeration Sys[em PLAN CHECK $ PERMIT tractors to construct tM1e project (Section 7044, Business antl Professions Cotle: 7he Cpntractor's License Law does not ap�lY to an owner of property who Duct- Ventilating 00.700,OOOBTU ❑100,OOOBTU PLUM8ING $ �SSUANCE $ builtls o� improves thereon. antl wbo [ontra<ts for such oroiEtts with a ron- tra<Sw�s1 hcense pursuanc io me Canvactors License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $ proof o( their Worker's eompensation insurance shoultl be pwvitletl to me. . ELECTRICAL $ GFADING $ ❑ 1 am exempt untler Section B. & P. C, for this reason Firepl/Fact. Blt. ICBO # Pire Dampers � . MICROFILM $ � PLAN CHECK 50% $ " oate ' " nw�Pr e�S .L�1 _ � Heating System & Ducting Registers ' MECHANICAL $ TOTAL FEE . $ � •✓`_� I herepy certify-that I have reatl this applicatlon antl state that the above ❑Q100,000 BTU �700,0008T ' informetion is cor�ect. I agree m complY with ail city antl county ortlinances PLAN CHECK 25% $ ' antl stdte laws relating to builtlinq cons[ructlon, antl hereby authorize repre- ' sentatiy¢� Of this <ity to ente� upon lM1e wbpve-mentioneq property f0� � inspection purp �e . �q ��p,, � �^Signztwe P w-Q� 4� l Date ".��[ peinspection Fee $15 Issue Feg $ 3 � � o�i�e�r u�e�se or ss � -�' O1 OC�.3755�-O�S(�'37556 `@'a37 't'1.5[� 1 OB65-46, rev. 5/80 Wnite - Builtling; Canary - qpplicant; Pink - Accountin9: Goltlenrotl - Assessor ' � �ATF� ��/��J'GS jlYl�+ Q�.QS ' ; CONSTRUCTION AND PLANNING POOL & SPA � APPROVALS Permit# Date Inspector qppROVALS Permit# � Date Inspector 1. Temporary Electrical Serviceor Pole .- 52. Pool & Equipment Location i- 2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement , 3.;Electrical Conduit Utility�Undrgrnd. 54. Forms � � 4^Electrical,Conduit-Undrgrnd. 55. Electrical Bonding � r, 5'�Steel�Reinforcement 56. Rough Plumbing & Pressure Test � � 6.„Electr�ical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �. � 7';;Footings' ' 58. Electrical Conduit-Undrgmd. `� 8'.Foundation 59. Gas Pipe, O Undrgrnd., Test ..• � 9` Water Pipe-Undr9rnd. �� 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. St'ructurel Floor System _ 61. APPROVAL TO DECK � 11. Property�Sewer Line & House Connection 62. Backwash & Receptor-Final -� 12. Sewer'Cap 63. Heater & Vent-Final 13. Roof�Drains 64. Plumbing System - Final f 14. Rough_Plumbing 65. Electrical-Final � ' 15. Rough Electrical-Conduit 66. Solar SYstem-Final 1�61 Rough Electric Wiring 67. Fencing & Access Approval 17� Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. RoughiElectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19> Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20; Rough Factory Fireplace �� APPROVALS Permit # 21. Ducts, in'Structure �"J' 70. Underground Hydro 22. Ducts, Ventilating �. 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test �:, 72. Underground Flush 24. Roof �Framing '�,� 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overljead Hydro 26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical 27. �Frame and Flashing ' 76. Dry Standpipe 28. Lathing`& Siding 77. FIXED SYSTEM FINAL 29. Insulation � � 78. FIRE PREV. FINAL 30. DrYWaII1Nailing ' ' HEALTH DEPT. REQUIREMENT 31. Plaster.Biown Coat l� ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final"� 80. FOOD CERTIFICATE ISSUED � 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Flreplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final f 42. Backflow Preventer Lt 43. Backflow Irrigation 44. Landscape Irripation SYstem '� ' 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING pgZ4p� SWt01� �J • c71L 48. Special Requirements Completed 49. Electric Release to Edison � 1_ 50. Gas Release to Southern California Gas Co � (; 51. CERTIFICATE OF OCCUPANCY �, y No. Date ' , �� _ , _ � LIMITED STATEMENT OF RESPONSIBILITY TO WHOM IT MAY CONCERN: ZZc�3 Y�1,tn� Street Address Bldg. Permit # This Permit H AP Number I, e-�ri5 L� h,��, , as Owner in TiUe of the above referenced property, do hereby authorize: .�an i�l �ov�ps b44=3 3��/ Name Telephone No. � y 0 �,J . w� k � a pa to obtain permits in my behalf, as ownerlbuilder, for r� �oo`=�„�o at the above referenced property. Should anv en rson become an e�nio�ee engaged in the improvement of the property, I shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. AS owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. I agree to indemnify and hold the City of Cosia Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties. —�i W l� il 11� rn. �. Lf�k Printed Name ��,,:a.`�n � 0�)9-bs, rev. 6I0] �l� 21�i �� Date � �. Georg�: � ', .�d Christine M. Link _�03 Miner Street Costa Mesa, California 92627 August 23, 1989 Building Inspector City of Costa Mesa Dear Madam: As per our conversation this morning over the phone, both my husband and I work and are unable to give you access into our house to check our smoke detector. We have just purchased the home last year and a new smoke detector was installed at that time. We have checked it to see if it was still working and it is. We are also very happy with our re-roof job that our roofer did for us. Thank you for your help. Very truly yours, �� . Christine M. Link /cml � AVVlicant to fill in all spatts excepi t�ose within heavy borEer lines antl si9n all aoo�ovriate tleclarations. � . CITY (iF COSTA SA CONSTRUCTION PER PE IT NO. l TRACT NO. LOT NO. UNIT NO. A P# , Zone � � Proje �Address ��o� m f,v�2 � � S� TVPE OF CONSTRUCTION NEW ADD ALTERATION EPAIR S Main Building: Accesso�y Building: Applicant's Mailing Address ��_'�i,l7�I /h/�i( ��J E Z ❑ CONVERSION ❑ DEMOl.15H ❑ OTHER � T Front � �Owner's Name Phon Off�o-Fl DESCFIPTION OF WORK/USE OF BLDG. A Rear N Address��(�✓%'%L � Arch/Eng. ' LicenseNo. TVPEOFPERMIT GRADIrvG ❑FOVNDATION S7RUCTVRAL �iK Right G � % ��/ ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g Lett R Address�� i -,/s�� ❑,oTHEa ! Ping. Ref. # Parking Req./Provided E Contractor's Name Phone Addresz (mailingl PROJECT DESCRIPTION SQ. FT. ��1/�/� oCCUvaNCv/�-- n -�v��--- �y�� Planning Notes: M CONSTRUCTIONTYP �. VALUATION$_dI_�Y]iLC-- T Cit License No. ^ � Y ZONE GRADING GU. V 5. ACR 5 $, LICENSED CONTRACTOR EC A 10 I hereGy affirm [ha[ I am li n5 u tlp ovisions of Charte� 9(commenGing Remarks: �� witn section �000) of D7vis 3 t t eusi ess antl Professions Cotle, antl ELECTRICAL FEES my license is In tull torce antl eftect LicenSe Class LiGense No. Date 5i9nature PLUMBING FEES /automatic Washer Transformer ❑ 15-50 KW WORKERS• COMPENSATION DECLqRATION Construction Pole$ub. � 50+ KW I hereby affi�m thdt I hdve a ce�titicd[e O( consent to selt-insure or a certifiGate Bar Sink $hOW2f5 of Workers' CompenSatiOn Insu�ance, o� a certitietl mpy the�eot (SeCtion COOki�JU01t Meter ❑Upt01�03Tp5 3800, �ae. C.) Backflow Preventer Service Sink Policy rvo. Company Backflow Irrigation Sewer Cap - Dishwasher Merer ❑over 100 amps eCertifietl copy Is hereby furnlsheG. Oryers ❑Gas ❑Electric Sub Panel Certitied copy is flletl with [he city guiltling Division. Bathtu6s Sewer Connection Date Applicant _ Fan Motors �0-1 HP O i%- S E%EMPTION FROM WORKERS' COMPENSATION DEC�ARATION Clarifie�s Sola� Collecfors (Thissection need not be completetl if the permit is tor one huntlred (S30o) or Dishwasher Solat Pipin9 F'A�U� Ina Solar �9-15 HP �1645+ less). I cxrtify that in [he perto�mance of tne work for which this pe�mii is i55uetl 1 Fi%tll�¢5 shall not employ any oe�son in any ma re so as to bec e subj to T�e Drinking fountains Solar Tank Microwave Workers' Com nsa . Laws of Califor ' Date � Signatur Device Boxes Pole Li ht Floor Drains Swimming Pool w/Spa 9 NOTI : f, after maki�g Ihis tleclara ' n, you s iou ec subj ct to tM1e Outlets Ran e Workefs' COmp¢n5dtion provisions of the Ldbor Gotle, yy mu5t for[hwltll FIOOI SinkS UIIOdI 9 tomply with suc� prOvi5iOn5 o� th{5 pErmit shali be tleemetl �evoketl. CONSiRUCT10N LENDING AGENCY Ga5 SerVice Ou[lets Wate� Cioset Switche5 gj9� 1 hereby aHirm lhat ttlere i5 a const�uction lentling agency tor the pe�to�mance - of the work to� which this permit is issuetl (Section 3097 Civ. C.) Int¢�C2pt0�5 Wdt2� H¢dtE� G3�bd(]2 Di5pO5dl Standing Sections lentler'S Name �entler's Atlaress Kitchen Sink Water Service Generator O0.5 KW �5-15 KW Trash-Compactor OWNER BUILDER DECLARATION . I hereby affirm lhat I am exemp[ from the ContracroYs License Law tor the Lavatories Auto-Wash following reason (Sec[ion �031.5 Business antl Professional Gotle: Any city or County which requires a permlt to <onst�uct, alte�, improve, Oemolisn o� r¢pai� P—Tfdp LdUndry T�dys any structure, prior to ifs issuan<e, alEo requires the applicant for such permlt . to file a signed statemen[ tnat he/she i5 licensetl pursuant to [he p�ovi5ions of Roof Drains the Contractor'S License Law (Chapter 9(commencing with Section ]000) ot Division 3 ot the BuSiness antl Professions Cotle) or that he/she is exempt Reinspection Fee $15 luue Fee $ 3 therefrom antl tne ba5is for Ihe alle9Etl exemption. Any violation of Section 7031.5 by any applicant tor a permit Subjects the applicant to a civil penalty of not more Ihan tive nuntlred tloiiars (g500�. $ 3 DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner ot Ihe property or rny employees with wages as their sole Reinspection Fea $15 Issue Fea compensation, will tlo the work, antl the structure is not intentletl or ofteretl 2oning Approved By �Data for sale (Section 7044, Business anry Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date--,� -�/-=/ License Law tloes not apply to an owqer of a property who builtls or improves thereon, antl who tloes SUCh work himself/IlersElf o1 through his or hel own HOOd O� Typ2 I ❑ %�PPIit8ti011 ISSUed By � D8t employees, provitletl that such improV¢ments are not intentletl or ofte�etl to/ B��e� ■ sale. If, however, [he bulltlin9 or Improvement is soltl within one year of com- Canopy Type 11 ❑ SUMMARV F FEES ' pletion, the owne� will have the bu�dQn ot proving he/sM1e tlitl not buiitl or im- DUct - U�d2� Grou�d � �---�- . ro for the purpose ot saie). BUI LDING PERMIT $ � s-� SMIP �$� V s owner of the property, am exclusively contracting witn licensetl con� Duct-Structural Refrigeration System p�p,N CHECK $ PERMIT �actorsto const�uct tbe Oroject (Section ]044, Busine55 antl Prote55ion5 Cotle: The Convactor's �icense Law does not appty to an owner of property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ �SSUANCE $ builtls or impwves Ihereon. antl who contracts for SucM1 oroiects with a mn- tractor�sl limnse pursuane ro one ConVactors License Law). 1 am aware that Exhaust System ❑ MWtiple ❑ System Repair/Altera[ion PLAN CHECK 25% $ ENERGY P.C. $ proof of tneir Worker's Compensatiqn insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $ �-1 am exempt untler Section B. & P. C. tor this reason Firepl/Fact. BIt iC80 dk Fire Dampers MICROFI LM $ PLAN CHECK 50% $ Date owner — — Heating System & Ducting Registers MECHANICAL $ S. S� I hereby certiy Ihat I av reatl his ap cation antl state inat the above ❑0-100,000 BTU Ot00,0006T TOTAL FEE $ 1___ information is cor ct agr e to <omply itp all city antl couMy ordinances PIAN CHECK 25% $ antl state laws to iltl�ng co �uctian, and hereby authorize repre- Sentdtiv¢s of y[ n the bove-mentionetl p�operty inspection pur os . �� Signature Date o�ive�z' i or ss _ Reinepection Fee $15 Issue Fee S 3 CI OCO?R49J-¢00's5591 �"1=4 ;j �5,:,, 0865-46, rev. 5/88 hite - Builtling; Canary - Applicant; ink - Accountin9: Goltlenrotl - A55essor .�.t�T�: QT:?7,/�� j�f'!F; j�•?: CONSTRUCTION AND PLANNING POOI & SPA �� APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement .� 3�;�Electrical�ConduitUtility-Undrgmd. � � 54. Forms - i . �4. 1Electrical.Conduit-Undrgrnd. 55. Electrical Bonding ' � -5. �Steel �ieinforcement , � ' 56. Rough Plumbing & Pressure Test i 6; Electrical UFER Grnd. - � 57. APPROVAL TO COVER-GUNITE 7;.Footings � �.-� �;`�f' 58. ElectricalConduit-Undrgrnd. � ' 8. "Foundation ,� � � 59. Gas Pipe, � Undrgrnd., Test � � 9:'Water.Pipe-Undrgrnd. �'� 60. Backwash Lines, P-Trap, O Undrgrnd. � . � 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewer,Cap 63. Heater & Vent-Final �� 13. Roof Drains �� 64. Plumbing System - Final ' .; 14. Rough Plumbing 65. Electrical-Final � � � 15. Rough Electrical-Conduit 66. Solar System-Final • 16'" Rough Electric Wiring 67. Fencing & Access Approval C%' � 17; Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �.� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Firepiace APPROVALS Permit # � 21. Ducts, in Structure . /r'• 70. Underground Hydro , r`� - 22. Ducts,Ventilating �` 71. ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test -y�'' 72. Underground Flush 24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ,� 74. Overhead Hydro 26. T-Bar Ceiling (Structural} &�Monocoat 75. Dry Chemical 27. Frame and Flashing ;: 76. Dry Standpipe 28. Lathing & Siding ��J 77. FIXED SYSTEM FINAL 29. Insulation % 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT �� 31. Plaster Brown Coat�•`- �� 79. FINAL INSPECTION 32. Electrical Power Meter-Finaly�r� 80. FOOD CERTIFICATE ISSUED 33. Final Electric ��•' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � 't .' � ' 43. Backflow Irrigation ."7 � 44. Landscape Irriqation System � 45. Sound Attenuation 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 0/�� S/q��6 IJ� U/Z � 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co � a .� 51. CERTIFICATEOFOCCUPANCY ;` No. ' Date _ � • OWNER O�CONNOR. Frank J. � DA'I'E 7-9-57 JOB ADDRESS 2Z03 MiIIeT St. BIIILDING PERMIT NO. 5�i10 AP. No. F[RE ZONE & J 1ypE V ZONE RL� PLAN NO. INSPECTIONS I DA7E I SUBCONTRACTOR �22_ TeSt Res. w/att. Gar PERMITS � ' . 5352 , �COSTA MESA BUILDING DEPARTMENT . r.o.aox 3i� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN �203 ��11E2 �f. COSTA MESA. CALIFORNIA MAIL ADDRE55 CITY ARCHITECT OR ENGINE. ADDRE55 �L cu . /�r �`y S % CITV LIC. NO. LEGRL LOT OESCRIPTION NO. /� B A.P. NO. a'F �oT � -Si x l67 �°.� �o.=. EXISTING BLDG. SETBnCK LINE FFOM /JJ�� CENTEF OF 5?REET J �/ FEE RECEIVED � �� I ��19�'�--�� `', INANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFF►CE USE ONLY PECEIPT NO. PERMIT NO. 6 �o ECEIVEO BY OATE FECEIVE� OTTE ISSVEO I �io-�..i_s � � %Cl f� % — G— .t i ILfJING DRE55 COSTA MESA. CALIFORNIA FIRE ZONE /�� 20NE n �G '� APPROVED BY 3a3 4 / / /ARD I�/ -/ / �� SIOEYAftD RIGHT IY`� LEFT � DESCRIPTION OF WORK NEW ALTERATION r I A�DITION . REPAiR MOViNG � f �� DEMOLISH SIZE DING Jl z y i/ � RdOMS � STORIES / J r, y.c. EXTERIOR WALL C�� RdOF ��/ COVERING .J �X% CO�ERING (��d1O BUELDINGEW �,�,�PiS � ■� � V "��' ^ _ O "�-� 1 NEFEBV 4CNNOWLEOGE TH1T I NR�'E RE4O TXI$ RPPLIC<TION PND STwTE THnT TME ABOVE IS CORRECT PND AGREE TO COMPLV WITN tLL CITV OADINANCE$ I.NO ST E L�W$ PEGUL/�TING BUILOING CONSTPVC� noH. VALUATION SIGNATURE OF /l�� PERMITTEE �9 �7j/ 5 7 �/ 6 AUTHOFIZED AGENT CORRECTIONS PERMiT FEE 5 � '��' �'� PLAN CHECK S IZ ^- TOTAL FEE 5 �� eir