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Home My WebLink About3213 MINNESOTA AVE - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa•me5a.ca.uS 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 32'I3 MINNESOTA AV Suite No Vicinity: HALL CLOSET Parcel Number: 13908108 npplicane SWIFT SERVICE Atldress: 1357 E POMONA � SANTA ANA, CA Owner: WANSAK, EDDY Address: 3213MINNESOTAAVE - COSTA MESA, CA , Contractor. SWIFT SERVICE CO Address: 1351 E POMONA SANTA ANA, CA MECHANICAL PERMIT ISSUED BV: Phone: 714-560-0700 Zip: 92705 Phone: ' Zip: 92626 � Phone: 714-560-0700 Zip: 92705 � License: 725240 Status: ISSUED Applied: 11/02/2006 Issued: 11lO7J2006 SCOPE OF PERMIT CHANGE-OUT OF A FAU IN AN EXISTING SFD. 1 INST FAU < 100K BTU NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair/Alt CoolinglHeat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech F�chaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relowte Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 so.00 $0.00 $0.00 so.00 50.00 50.00 Quantiry FEE SUMMARY Repair / AIt Absorblion Unit RepairlAlt Refrigeration Unit Ventillation System Evaporative Cooler Commercial Incinerator Domestic Incinerator Compressors / Absomtion Svstems Uplo3hp/100kBTU 3 TO 15 �p I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 8TU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee ' - Plan Check Fee Reinspection Fee TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS Quantiry 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 b0.00 0 so.ao 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 so.00 $0.00 E38.30 NOTICE: The work authorized by this permit shall compty with all applicable hantlicap aceess requiremenis urWer Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) El(PIRATION: This permit shall eutomatically expire and become void if work is not commenced wilhln 180 days, or if work is suspended or abantloneG for a period of 180 days. INSPECTIONS: In order tor the work authorized urMer this permit to be considered legal, such work must comply with all epplicable codes, and all requlred inepeetlona and final epproval must be obtained. Failure to obtain inspectio�s and final approval will result in the ezpiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5628 za�ae leioo) WORKERS'COMPENSAnON DECLARATON: � I �ereby aMrtn unOer Denalry of parjury ona of the tollowing dedarations: ❑ I have antl will meintein a certificete of consent to selbinsure for workers' compensation, es pmvided tor by seciion 3700 of ihe Labar CoAe, tor the pertortnance ol Ne ork tor whith t�is pormll is IssueU. -1�have and witl maintain workers' mmpensetlm insuranca, es requlred by secUon 3700 0l Ne LaOor Cotle, lor Ihe perfortnance ot the work lor whiU Nis pertnit is Lssued. ��'My workers' compensetlon Insu� carrler entl Dolity numDer aro: ��/ Carrler;, .�� (r.aC. L— �Pd.icy,Number. � SA��r(.lY'Tll1�� (lhls secfion need not be comp/efed il fhe permlf is velued et one hundred tlollars ($100) or IessJ ❑ I certity Ihat in Ihe peAortnence ol Ihe work for which this pertnil is issueQ I s�ell nol employ any person in eny menner so es to becomo subject �o tho workers' compensation laws ol Calll mla, an �ee ihat It should becomo sub�ect to tha workers' compensatlon provisions ot S c�lon 3700 01 IhB Leba� Catle, 1 shell forthwlM comply with �hoso pro / �� Applicent Slgnature: Data� i O-i WARNING FNLURE TO C RE WORKERS' COMPENSATION COVERAGE IS UNL4W Fl1L AND SW1LL SUBIECT AN EMPLOV R TO CPIMIN41 PENALTIES RND CML FlNE$ UP TO ONE HUNDRED TTIOUSM1DOOlLARE(S .00O�.INADDfTIONTOTHEWSTOFCOMPENSATION,DMMGESlSPROVI�EDWRINSECTION3%OBOFTHELI.BORCODE,IMEREST,ANDFTTORNEI^SFEES. LICENSED CONTRACTORS DECLARA710N: I hareby ettirtn Ihat I am license�dy �d�er provisions ol C�epter 9(commencing with Section 7000) ot Division 3 0l Ihe Business and Prafesslons Code, and my license is in tull torce entl eMect. Lic-a. '?iC.S...0 V f-� n r.mu u L`2 C� CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm t�at there is a consWction lentling agenry for the pnAormance of the work for w�ich Ihis permi� is issued. (Sac. 3097. Civil Cotle). Lendofs Name: Lendels AOdress: Signature: Date: OWNER-BUILDER DECLARAT10N5: I heraby affirm that under penalry of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business end Professions Cotle: Any city or county whic� requires a pertnit to construct, alter, improve, aemolish, or repair any structure, O�or to Its issuance, also requlres I�e epplicent lor such parmi� to lile n signetl slatement Ihet he or she is Ilcensetl pursuant to Ihe provisians ol Ne Contrectora LJcense Lew (Chepter 8(commendng wlth Seclion 7000) oi Dldsion 3 of Ihe Business entl Prolessions Cotle) or ihet he or she is exempt theretrom end Ihe besls lor the elleged ezempNon. My WdeNon of Sectlon 7031.5 by eny applicent for a pertnit sub�ects Ihe epplicent to e cMl penelry of not more than five hundred tlollera (5500).): ❑ I, es owner ol t�e propeRy, or my employees with wages as their sole compenution, W ILL DO 7ME WORK, en0 Ihe structure is not IntenCed or oMared lor saie (Sac. 7044, Business ana Protessions Cotle: The Coniractors License Lew does nm apply to en owner of property w�o builds or improves thereon, and who Ooes such work himselt or �ersell or through his or her own employees, providetl ihat such improvements ere not intanded ar oHered for sala. If, however, the building or improvement is sold within one year of com0letion, ihe owner-builder will heve t�e burden of proving that he or she did not build or improve lor purpose ot sale.). ❑ I, es owner ol tho property, am E%C WSIVELV CONTRACTING WITH LICENSEO CONTRACTORS to construct the pro�ect (SocJ044, Businesa end Professions Code: The canlractors License Lew does not apply to en owner ol property who bulltls or Impmves thereon, entl who contracis lor such pra�ect wl�h e contrectar(s) liconse pursuant to �he Contractors License Laws.�. ❑ I em exempt under sec. Business end Professions Gode tor this reason: SlgneWre: Date: Owner ID verilied Dy tlnvers Iicense. ❑ Yes ❑ No Drivefs License No. Expiras: Vedliwtlon ol Owners�lp Dy (ype of tlacument, I.e. - properry tex blll or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hareby canify that no exwvatlon tive (5) or more feet in depih Into which a pereon Is required to descend, will be matle in connection with work euthodzetl by this permit, end that no building sirucWre, scattdding, falsework, or Cemoliiion or tlismantling thereol, will be more than thirty-siz (36) teal high. (Chap. 32, Grp 2, A� 2, Sec. 341, TWe B, Calllomla Atlminisiretive Codo). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit from the Division ol Indusirial Sefery, es noted ebove, unless such person has e permit to tlo such work from tha divisian. Signature: Dale: Dlvislon ol Industnal Satory Permit Number: CERTIFlCA7E OF COMPLIANCE AND AllTHORVATION OF EMAV: I ceriity under penelry of perjury that I have reatl t�is epplicatlon end state iha� tho Infortnation given Is cortecL I agree to compy wilh ell state laws anC ciry ortllnances relating to Duiltling constructlon, antl authodze representaiives of ihe Ciry of Costa Mesa to emar upon Ihe ebove�described properry tor inspection purposes. I a9ree not to occupY or ellow occupancy of any building eu�ho�ized by this pertnit unlil linel inspection. CODE t. �NsvttnoNtrve 1618 Fixad Sysiem Final Fire Preventlon 1266 Pool Spa Finel 200 Final Re-Rool 201 Final BIocWRetalning Wall 202 Final Fectory Fire Place 203 _ Final Slgn 204 Final Demolition ppTE IMIilALS �QQf,1 RISPEGTONTIPE 206 Flnal Mechaniwl 208 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Finel Planninp Approval 222 Final Site 250 Finel Bullding/OCCupancy �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.$�qLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3213 MINNESOTAAV Suite: Vicinity: Primary Occ: R3 Type of Construction: V-N Parcel Number: 13908108 2oning: qpp�icant: LISENBEE,HENRY Address: 4455 TORRANCE BLVD. TORRANCE,CA SUITE 412 Owner: WANSAK, EDDY Address 3273MINNESOTAAVE COSTA MESA, CA Contrector: ONE L INC Address: 4455 TORRANCE BLVD. TORRANCE,CA SUITE 412 Zip: 90505 Arch : Address: Zip: Phone: License: Phone: 310-456-0115 Zip: 90505 Phone: Zip: 92626 Phone: 310-456-0115 License: 307563 Eng: Address: SCOPE OF PERMIT TEAR WOOD SHAKE INSTALL 7/i6 OSB 1 15 LB FEIT AND 40 YR COMP. SGINGLES FEE SUMMARY Fi&il Gilb�.k: $O.OG Permit: $153.25 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: 5154.05 PLANNING 8 ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0- 0� Rear 0- 0 PARKING Existina: 0 Re uired: o LeR 0- 0 Left 0- 0 Pr000sed: 0 ISSUED BY: Stalus: ISSUED Applied: O6/152006 Issued: 06/75R006 Phone: License: ' Calc Valuation: se,000.00 CIOim V81Udti0n: 58,000.00 Right 0-0 Right 0. 0 NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 7, 72-27-92) EXPIRATION: This permit shall automatically explre and become void if work is not commenced wlthin 180 days, or it work is suspended or ebandoned for a perlod of 1 BO days. INSPECTIONS: In order for the work authorfzed under this permit to be considered legal, such work must comply wlth all applicable codes, and all required inspeetlona and flnel approvel must be obtalned. Failure to obtain inspections and linal approval will result in the expiration of this permlt. FOR INSPECTIONS CALL: (714) 7545628 zuaae �eroo� WORKERS'COMPENSAnON DECLARAnON: � � I hereby aKrtn wttler penalry ot pe�ury one of the tdbwing tledarations: . , , ❑.I heve end will maintain B cerliTicaie ot consanl Io sell�insure tOr workers' compensatlon, as provided for by section 3700 of Ihe LeEor Cotle, for Ne peAarmance of the work for w�ich this permit is issueA. e antl wN maintain wwkers' compensation insurance. es requiretl by section 3700 ol the Lebor Cotle, for ihe pertortnance ot Ne work for which this pertnit Ls Lssued. My w rkers'�°% pan tlon Insurance carnq and pdic.y number flre: < /' [� Cartia � i� !-.� � ��.J c+ � olityNu b r. �✓ G� �7 // rs section neetl nof be comp/et it (he permit is valued at ane"fiundred dollars (5100) o� Iess.J ❑ I ceniy that in the peAomiance of Il�e-work to htr w''ch Ihis per�nit is i55ue0, I shall not employ eny person in any mannar so es to become subject to ihe workers' co ws ot Califomia, and agree thet if I shouid come subje the workers' com ns ' � ons ot Sec�lon 3700 of Ihe Lebor Cotle, I shali tonhwith � Ih provi5ions. / icem Si e: L� ��. S —' �� W : FAILURE TO SECURE ORKERS' ENSATI Ll7J GE IS UNLAW FUL PND ShULL SUBJEGT Ml EMPLOYER TO CRIMIW�L PENALTIES AND CML FlNES UP TOONE MUNDRED THOUSAND DOLLnRE (5100,000), IN nDD1T10N T TH OF COMPENSATION, DAMAGES AS PROVIDED F-0R IN SECiION 3)OB OF THE IABOR Cq�E, IMEREST, AND ATTORNEYS FEES. LICENSED CTORS DECLARATON: I he ' licenfgtl� � r proasions ot Chepter 9(commenpng.with Sedlon 7000) ot Di ision 3 0l Ihe Business a99 Professbns Cotle, antl my license is in tull aa � i% `� A � JS o �u :�� i �s'"_ �dS�� CONSTRUCTION LENDING AGENCY: ❑ I herehy aKrm that there is a cons Lontler's Name: Signeture: OWNER•BUILDER DECLARATONS: IenCing egenq tor t�e pertormance oi Ue work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lentlels AtlUress: Dare: 1 hereby eMirtn Ihat under penalry of perjury that I am EXEMPT FROM T11E CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7037.5, Business and Professbns Code: Any City or counry w�ith requires a perrttit to ConSWct, elter, improve, tlemdish, or repair eny siructure, prior to its iuuanco, elso requires �h9 eppliCant tor such pertnit to Tile a signetl statement thei �e or sha b IlcenseA pursuant to tha provisions ol ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) ot DiWsion 3 of the Business antl Prolessions Code) or Nat �e ar she is exempt theretrom antl t�e basis tor the allegetl ezemption. Any violation oi Section 703t.5 by flny applicent tor a pertnit subjects the applicant to e civil penalry ot not more than live hundred dWlars (3500j.): ❑ I, as owner ol the pmperty, or my employees vrith wages es their sde wmpensation, WILL DO TME WORK, antl the structure is not intentled or oHered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law tloes not appy to an owner ol pwpeny who builds or improves thereon, and who does such work himselt or herselt or throug� his or her own employees, provided Nat such improvemems are not intentled or oNeretl br sale. If, however, tha building or imprwement is sold vrithin one year oi completion, the owner-builtler will have the burden of proving Ihat he or she tlid not build or improve for pwpose ol sale.). ❑ I, as owner of ihe property, am E%CLUSNELY CONTAACi1NG WRH LICENSED CONTRACTORS ro constmct the project (Sec. 7044, Business anA Professions Code: The contracmrs License Law Aoes not appty to an owner ot pmperty who builtls or Impmves thereon, and who coniracts tor such project with a contrector(5) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID ventietl by drivers license. ❑ Ves ❑ No Busineu and Professions Code for this reason: Vedfication ot Ownership by (rype of document, i.e. - properry tan bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Driver5 Licen58 No. Da�e: Erylres: ❑ I hereDy certify that no excavation tive (5) ar mare feet in depih Into which e person is required to descend, will be made in connection with work autharized by Ihls pertnit, end that no building strudure, swfloltling, falsework, or demolition or dismantling thereol, wlll be more ihan thirry-six (36) leet hig�. (C�ap. 3.2. Grp 2. Art 2, Sec. 341, Title B, Califomia Administrative Code). ❑ A5 owner-6ulltler, 1 will not employ anyone to tlo work which would require e permit Irom the DiWsion ol Intlustriel Setety, es noted ebove, unless such person has e permit to tlo such work tram Ihe division. Signature: Dete: Division ot Industnal Satery Permit Number. CERTIFlCATE OF COMPLIANCE AND AIlTNOR¢A710N OP ENTRY: 1 certify under penalry ot perjury that I have read this application and state that ihe Information given is conect I agree to compty with ell state laws and dry ordinances relating to buildinq conswction, entl authorize representatives of Ihe Ciry ot Cas�a Mesa to enter upon lhe ahova-described properry tor inspection purposes. I agree not to occypy or allow occupency ot eny building euthonzed by Ihis pertnit until fnel inspection. CODE �. 1616 1288 200 P� U�9L5 Fixetl System Flnal Fire F�revention Pool Spe Final FinelRe-Rool ' �''?'Z'6 �R,� 201 Finel BIocWReteining Well 202 Final Factory Fire Piece 203 Final Sign 204 Finel Demdition � � CODE 1 INSVELTION ttPE 206 Final Mechenical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Slte 250 Final Builtlinq/Occupency PdIE It�dLfl UnIYCR nry\LYM�� r+• JOB ADDRESS 3z1,� M�x�nesota Ave. \'IH�rEc710N5 � SOIL �j GAS C\ WRTEP �C ROUGM PLUMBING � PRpP. SWA. �INE ROUGH NERTING ANO RIR CONOITIONING UN�ERGROUND ROUGH WIRING HEINF. FLOOR SYSTEM BOND BEAM �I SHEATNING FRqME AND FLASNING PI'^�EF.BROWN COAT 5 fURAL, FINr1L UAIt SUBCONTRACTOR �-� :;a �E9 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 A PL Fo� Applicant to Fill in Completely REC IV B BUILDING /�/ �' D ADDRES$ �� / �/�N /S 07'A � OWNER�_� • V�/ � A.P.NO. MAIL /J BUILOING Z ADDRESS �/ / / � spj /J C . ADDRESS d U CITV �' G G✓ TE f/�� TRAC Z Z Q CANSTRUCTION ^/ W ADD �� LENDER /' d m J � BRANCH JN OWNER .�—i, m J AD�RESS m ARCHITECT TEI. 5 9 J N OR ENGINEER V Q FIRE w � ADDRE55 ZONE aW w Z , APPPOVED J O CONTRACT �%lQ �L.v � B�' J�¢ A�DRE / � , ./AJ �"t� Z= CIT�/j.( TF� S/ n a ZONE N F �J� ra,. „ . „ ,,,. �,-7� �.. n �;,�-t ; ,. �.,: :c1.5: TION FOR BUILDING PERMIT DATE RECEIVED OATE SS ED - 8'/ - o E3`�t 9 /`�%ic ,� l- pp�s LOT BLOCK A F P NS VALUE �-. o g TYPE - GROUP DATE O.OF _ USE OF NEW =�� IP.Ii WD STATE �j�y CITV �'ARDSAPPROVED j O LIC. NQ� 3 p- r� LIC. NO �� MAIN BUII�ING S12E NO.OF BLDGS. (FROM C/L STPE 1 OF LOT NOW ON LOT ROM USE OF � `� EXI5TING BLDG.�/— '� a (' ) S F"' SIZE OF � NO. Z NEWBL � ROOMS STORIES L.SIDE G' U EXTERIOR WALL ROOF COVERING COVERING REAR FT. J VSE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. a MAIN BLOCS. a /� 0 / bC � SG�iL'Gp�J % 4% � O C URP. alE ~ C D � � �ROVED N Z O UI horeby ecknowletlga [hat I have raetl this application antl stere � that the above Intormation Is corract antl apree to comply with � all lews reBulotinp buildinB �onstruction, antl 1 shall not ¢mploy F„ any persOn (n vtolatlon oi the workman's compansxtion laws of y the Staca of Califomin. - zI hereby certify thnt I am proDerly Ilcansetl as a convector undar SQ. FT. the Sta[e of California Businesa and Profeuions CaCe, Dlvisicn 3, THE AMOVNT SH01 Chepter 9, antl thet sueh licanses aro In tull forca and effect, or I THE PVRPOSE OF ES am exampt trom [ha p�ovisions of the Stete ot Calitornla Business VALUATION ontl Profe55ions Codo, i islon 3, Chapter 9. , s�9�ec�,o o, , /.3./ `� � "- Permittee �� C% �� $ �' AuMorizetl Apent �� r APPROVED FT DATE � 0 ER VALUATION IS FOR ^ NG A PERMIT FEE ONLV: � ¢ 0 FEE 5 � � , m HECK S � E `o LL FEE $ � OWNER WANSAK. E. � DATE 11-15-61 AP No. I� 'rCTIONS � LOT 1, TRACT ' �Signature VALUE g ']00.00 'S TIRE ZONE DESCRIPTION OF WOf�jm.blk.wall DAT6 GROUP TYP� 7.ONE A_i SUBCONTRACTOR ,, ,_= _ , � �, �:,� � _ 5�_�� -� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C09TA MESA, CALIFORNIA For Applleanf fo Fill In Complefiely 7YPE OR PRINT COSTA MESA, CAI.IFORNIA 0 �1` CONTRACTOR S FFN4 ` LO A�DRESS o F� iM i N ' F ��,� A STATE ' TEL. � � 2� LIC. NO. NO. J 61ZE NO. OP BtnGe. OF LOT rvoW oN �or USE OR EXISTING BLDG BETB�CK L�NE PROM ce'tiea op �+e� REAR YARD SIDE YAfiD I LEFT I RIGHT DESCRIPTION OF WORK NEW I n ALTERATION 1 II ADOITION I REPAIR I IIMOVING I IIOEMOLISH I BUILDING NO. OF 97ZE ROOM9 STORIES EXTERIOR V✓ALL ROOF COVERING COVERING USE OP BUILDINC AND WORK TO BE PERFORMED / � / f �2 � I H8P8BY �CNNOWLBDGH TMAT 1 M�V6 HBAD THI9 APPtJGT10N ANO BT�TC TH�T TH8 ABOV¢ I6 CORPHCT AND �6FE8 M COM- PLY WITX ALL CITY ORDINANCEB AND BiAT¢ LAW9 RBOUTATINO BUILDINO CONOlAUCTION. / SIGNATURQ OF� / PERM17TE° / / / � Al1THORIXED AGENT FEE R�C�IV�b \s NOV 1 51961 ;� FINANCE DEP�T, APPL{CATIOFII'FO(tFP�1� MESA BUILDING For Office Use Only NECEIPT NO. CHMIT r/NO�..—�/ �l7 �T J o a. I %%�eS`"=G� �"%�"iS UI COSTA MESA, CALIFORNIA APPROVED ZOPIING NO.OF '!� I�UBH OF N8W PLAN9 �j��BU1LDIN0 L80AL YARDS APPftOVED (CENTHP LINH BT.1 EVES TX8 �MOUNT BHOWN UNOER VAWATIpN 18 PpR THE PUIiP086 OR ¢BTABLI8HIN6 .� PHRMIT P88 ONLV. VAI.UATION �� PERMIT FEE S g 7UD x pLqN CHECK $ �— s C u LOT 4 --IRACT �bL7 ,� ��. ��..�� COYtA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSTA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BU7LDING 32�3 MINNESOTA AVENUE ADDR8B6 COSTA MESA. CALIFORNIA oWNER KENKOL CONSTRUCTION CO• nooRess �555 PLACENTIA AVENUE c�TM NEWPORT BEACH ;,o�i 6-3zi ARCHITECT TEL. OR K.W. Ko�� SrJS PLACENTIA AVENUE NENPORT BEACH 6ti95 No rtt 6-3zz� O X � OO I NO. OP BLDOB. O cear[aOn�ernea*M S�� REAR YARD 20t 5' 5` SIDE YARD LEFT RIGHi DESCRIPTION OF WORK BUILD(NG �5g5 SF NO.OF 6 t SIZH ROOMS STORIES EXTERIOR WALL STUCCpIROOF OODSHAKE COVERING COVERING U8E OP BU�y DING ANQ WORK TO BE PERFORMED SINGLE-YAMILY KESIDENCE AND ATTACHED GARAGE II HeRlBY � AND BTATB PLY WITH . BUILDINO � OP A6EM FIRE 20NH APPROVED BV zoxc ,, , — �fLl� L80AL t yV�.. ►�iV�n�IL.I! ..��: �� -13-rc �I�6C,�CE QF��. (,`.I�Y 0`' �OS�A !'+4�5'1 _Y APPLICATION FOR PERMIT BUILDING For Office Use Only COSTA MESA. CALIFORNIA ZONING no. ov uae ov Nsw auNa � BUILD�NG EVES uxe nr.> ] -// THAT 1 HAVB RBAU TH19 APPllGT10N }Hg AMOUNT eHOWN UNOeH V�LUATION Ie IOP TNH DV6 18 COIiAHCT AND AGNE6 TO GON- pUPP086 OP EBTABLIBHING A P6RM�T p¢e ONLY. NAN AN� 6T\ LA 6ULATNO VALUA710N � ��` PERMIT FEE $ S/�J �� PLAN CHECK S I V �� _'_"" ___ .. .�--