HomeMy WebLinkAbout3198 GIBRALTAR AVE - Building PermitsPflOJECT AOONE55:
, OWNEIi'SNAME: 3SSA GIHRALTAR AV
aooaess:NICHOi.,SON DIANE ADELLE
3198 GIBR�LTER AVE
, COSTA MESA,CA 9262fi
PPCMIENGINEEN: � 7� 4 ) 64?.-4619
AODHESS:
NEG.NO.:
UNIT:
UNIT:
PEPMITTEE:
aooeess:D3198 GIHqRyALTAR ( (714)642-4619
LILENSEU CONTBPCT DEtI'Afl TION EI'IfeFeDy affirm Itu� 1 am licensed unQ2l'plovis18��CIfaD�e� B I�ommencinp wiin Section
7000� ol �rvivnn 3 0l t�e Business and Prolessions CoOe. and my license is in tull lo�ce anE ellecl.
CITY LIC.: STATE UC.: CUSS:
Dale'. SignaWre:
WaHKEPS' COMPENSATION OEClABa710N: I hereby allirm ihat I nave a cenilicate of consent b sell-insure ar a cenilicate of workers'
Compensalion Insurance, or a cetlilied capY Ihereoi (Section 3800. taE. C�.
POLILY NO.: EXP. URTE:
LOMPANY:
r] Cettdied copy is here0y tumishee. ❑ Cendiee covY is file0 witn the uty BuilJinA Oivision.
�ale: AOUlicanL
E%EMPiIONFpOMWOflI(Efl5'fAMPEN5ATI0N0EClF11ATI0N: (Thb neMwlOecwnWeteOi�thepermlkforonehuntlre0�41W�arless�,
I cetlily Vui in Ihe pedormance ol ihe work �o� wNc� ��is permii � issu d. I shall not employ any erson' ny Tanner so as t ecame
5ubjeci �o the �WjorkerY Compenub n Laws of Calitornia.
Date: v �/� �� Signaiure:
NOTICE: I�, alter making I�iS Oeclaraiion, you ShoutO betOme suble�t t0 l�e Workers' Cam em m� pmvisions of ine La�or
Coee. you must lonnvnth comDly witn such o�ovisions or tNs De�mit SAall �e OeemeG rewkee
CONSTNUC7ION LENUING AGENCY: I hereCy aflirm �hdt inere is a wnsiNction lenaing agenty lor ine pedormance ol ine work lor
wAiC� IhiS Oermil is i53u¢d (Setlion 3097. Civ. C�.
�ExoeR:
noon¢ss:
OWNEH BUILOEB OECLANRtION: I hereEy atlirm tnat I am exempl Irom t�e Coniractori State License Law br t�e I011owin0 �eason
�SeClion 7031.5 BuSine55 and Prale55ianal COtl¢: Any tiiy 0� COuniy vAitli repuir¢5 a p¢rmii lo tonSlNCI, alief. im0�ov0, A¢molish, or
iepair anY slmcmre, prior Io its issuance. atso reQuires Ine apDlicani lor sutn Oermil lo lile a siqne0 statement Inat ne/sne is IicenseA
pursuam m tAe Omvisians al tne Comractors' Siate Licrose Lm �CIwD�er 9 �comrtcencirp wt� Section 7000) ol 0idsion 3 0l t�e Business
anG Pmtessions Coae� o� t�ai �e/s�e ¢ e.emp� �ireretwm anE t�e Gasiz lor tne alle0� eAempiron. My nolation ol Seciion 7037.5 Dy
any aoP�icant lor a Oerrtpt suojMis Ihe aoolifant �a a qvil penally of nOt rtprt rtlan five huiMreO adurs (`3�1.
I, as owner ol t�e D�aOeny or my emqoyees vnt� wa9a az t�eir wle campensaUon, will do Ne work, an0 t�e
❑ simawe is noi intenueu or offered lor sale (Senion 70aa, Business anE Pmlesvanal Cotle: T�e ConVactors' State License Law
does not apD�Y 10 an owner 01 a DroOe�Y w� �uilds or improvu t�er¢On, anE wM Ooes suc� work �imsell/�ersel� or Nwup�
nis or �ei own employees. pmviGeG ttu� suc� imOrwemenis are wt intenGeC w ollereG lor sale. If. however t�e �uilding or
impmvemeni is wIC wil�in one year 0� tompletbn. 1he awner wtll tuvC t�e �urG¢n al 0«�0 �v�e Eid noi OuiM o� impwve
- lor I�e purpose 01 salel.
�I, as owner ol t�e O�oOeny. am eeclusively wntractinq vnt� licensea comrac�ors to construci ��e pwjeci (Section 704a, Business
` anG Vmlessions CaUe: The Comracmrs' SWte LRense Uw Gors irot aOdY to an o-xner ol OmpeM1y wlio �mlCs or imprmes �Aereon
and who tOnlracis �ar Suc� projttis xitll a tanttatlar�s) littnu put5uani to Ihe COnifa[lOrs' $iate Lit¢nse Law�. I am awar¢
illal pl001 0� illeir Y�Wker'S Comp¢n5diipn ip5ura�lte StqWJ Ee prOviGM Io m2.
I am e�empi unGer Section—: �/j � 8. 8 P. C.
Oat�r t s r son: //� /�//
.f?Sl.�i U� / Ji�er. l�J 9�/yj
I do AereUy certity t�al l am aware o� anG unGerstanG I�e reQuiremen�s ol Calitomia Healih and$alery COGe Seciion5 25505, 25533, an0
� 2553< antl Nai I or any imure building occupam wilVwill not girde one) nee0 to campN w+�� ��4 s�ate coEes antl Ihe mQuiremems lar a
�Ip¢rmil lor cons�mction ar moaifi[ation imm Ihe Ai� Oualily Managemenl USVitl. HeSiCentul Can5lmciion applications are eremp� imm
Ihese pmvisions.
�ate: ApDtiwn�:
I hereUy cenily Ina� I nave reaa I�is application an0 staie I�at ��e a ve inbrmalion is correct. I agree to c�mpfy vn10 all city and couniy
arUinancesanOstatelav2rela�ingtobuil�ingcons�m[�ionandher auonzerepresen�alivesoli'ciiy mer4aon��ea�oe�menlioneA
pro�etlY �oi nspeclion purposeS. —�
�a�e: ��g./ ��__— Signalure: �
Oriver's License or Socul Securiry �:
164t�a6 Whne—Butltling; Green—CoOe Enlarcement: Canary—AOOlicanC Pink—Revenoo: GoldenroE—Assessor
CITY OF COSTA MESA — BUILUING PEriNiT
PEkMIT NO; E 061948 PLt1N CHECK NO; N
CONSTROCTION 'TYPE; 5—N PERMiT TYPE; ELE
JOB DESCRIPTION ; LEGALI7.E LIGHT FIXTURE
CLAIM VALUE:
CALC—VALUE:
_ � 1
P�:kN (vU; t Obi<48I \
GOV:': N SUr�P: i�1
P(JRPOSE; 0':'H
SQ E�;;
GROUP OCC: R-3 /
COMMENTS• RE• B61447 PRIMARY BLDG, PERMIT,
#fF1k#f�k3fiF�fElEit#%�##if�#iE�l4ifiEiflf�iEi( iF#�l'riEififikiEif%fEif�ieif-#it#IEifib#if7FiF/4N�i'rlE1t1E###3f�ItKtkiE#kK!£k###�1fif##3fSfihlf�
Z O N I N G R E Q U I R E M E N T S
ssraAcxs
------------ MAZN BUILDING ---------- --------- ACCE550RY BUIi,DING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN kGHT; FT IN LEFT; FT IN RGHT; FT 1N
PARKING REO• PROV; PARCEL: 13913601 ZNE; RcF NO:
PLANNING Nt57'ES>
>
!F iF If it� # lE k�(� iE iE IF iE 1E iE k it ik 3E 3f� 3E 3F K� iF i(� # iE fE lf �IE rt# iE iE iE jt if iE iE ik lE i4 iE ih iE iE #lEiF�l(• iP N� iE il� %� !E # 3(� if �Jf N� i(� iF �1h if 3t �k �lE 3f # 3(� # iE 11� iF 1f iF i!� # 3E
D E V E L O P M E N T S E R V I C E S R E Q IJ I R E M E N T' S
'LONING APPROVED BY ,
DATE;
HUILDING APPROVED BY ; DATE;
APPLICA'PION ISSOED BY• DATE; � �
ifiElfaflfi%IElfififiEif'7I'iFlfiFi�lkalltikiFfs��'t ' X *-��', t' t if#lI'i%il'ifi�ifK'#it ' Nhlt,c cx1[il�iE
�r*�r�r�r�*�r**x��*�rx��xce*��xx�*�*K*+t*x���t�r*�r*�rx�r��*#�. 'xzu��r�r�r��#�tt#x*�r#xx*x�rce�r*uxx�t��r
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENi;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT �75
'`; 502 SMIP/NON—RES
PLAN �
ISSUE FEE 15;09
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK T'OTAL PAID DUE
TOTALS----> 0,75 15,00 . 0,00 15,75 15,75 ,00
REVENUE DIVISION TOTALS--> COLi,EC�ED; 15.75 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRiC MECHANZC F1RE SMIP/TOT GRADING PLAN—CHr:CK
15.75 � � �
/
it iE Ik it ik ik %� 1E i! iElElt if #!f iF 16 ik fElE iE ik #)f%!F iF #!E!E iE iFlE i4 iF 1E il;JF IE ih iE IF iF iE iF if i(� fE %� It iE -0f )f # 3(� iE Ik ik if �lf iF it # N-1(� 1h iF if IF ft k!f iE 3E if # �F 3F#
I N D I V I D U A I„ � E E B R E A K D O W N
TYPE QTY D E S C R I P T I O�Nn UNIT COST TOTAL COST
ELE 1 FIXTURES, LIGHTING - 1 S�' 20 EA, ,7S .75
E:ND OF FEES
EXP�RED� . " �
DATE • � ' ' `;
"�
;�.
i.! CONST"RUCT InN AND PLANNING
, APPROVALS Permit;r
� 1, Temporary Electncal Service or Pole
2. So;l Pipz�Undrgrnd.
3. EIr.cVical Cprduit Ct�'rty�IJnd�grr.�.
I 4. E'ectriczl Cortdu�t•Un�i�g�nd
s. si��� a..n;o•�zmE�t
� G, E�eelr�rJ UFEft Gmd
Z FcoUrat � .
� �. Fo�,.nu:t�o��
� 9. C.ater J�,pc�UndrGrnd.
` 10. 51�•�ctural Flaor System
, 11. p��p.•ly Su:ier Lire & Hnuve Conncctlon
, i9. 5;::��i G:p
r 13. Ho�4 Ora�ns
t 74. Fo,.�� �'lumh:ng
�15 Rough Eiect�.��-Co^tlu:t
� 7� G. Rou9h Etertric�7iring
� U. flough !Nvmq $ign
18. Rough Efectrita��T Bar Ceil�ng
19. Ro�5h Heating & Air Condi[�oning
20. Ro�qh Factory Firepisca
21. DuCts, in StrUc[ure
22. Ducts, Ventifanng
� 23. Gas Rpe�Rough & Tvst
24. Foof Praming
25. Root Shuathing
I26. �i•Bar Ce�hng (Structura�l & 6tonocoat
27. Frane aM Flashirq
28. lath.ng ci Siding
�29. Insul;,Lon
30. D�ye.a'.I \ailing
31. Pl;,ster Erp�vn Coa[__ _
I 32 Eiccu�ca� Power h"eter�F�nal
I 33. F�n�i Eiccvic
34. Flnal He:.t�ny & Hir Cond.tion���
35. Final Gas Pipe-Test
36. Hocd or Canopy
37. F�nal Fxctory P�replace
38. Fina� Plumbing i
39. �Vater Service�Final
40. Gas Serv�ce-Final
F-
I41. Sn:ar pomesiic-F�nai
42. Backflow Preventer
43. Backflow Irngat�on
44. �andscape Irnqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. �INAL PLANNING
49. Elect.ic Release io Edison
50. Gas Release to Southem Califomia Gas Co
51. CERTIFICATEOFOCCUPANCY
o. Dace
Date � Inspector
�
e
a
� POUL _ SPA �- � - .I
APPROVALS Permit;� � Date I Inspector I
52. Pool & Equipment Locat;on `>
53. Steet Reinforcement ` �
54. Fom�s ` . �
-+. __
55. El;ctrcal8ond,ng � �
I
56. Rouyii Plumhing & Pres;ure Tzf •� T
--i--
57. APPROV/�L TO COVER GU\iTF.• , I
-' �+ -
58. Electrical Cordult�U��dgmd. � , ' �
� � �__� _ -----{-?��
59. Gas Pip�, C Undrgrrd.,'i cat ;
-_ _-�_'-_t_.�_�
60. B�ckv,�ash Lines, P�Trcp, ,���drq���L I j+
-1---;- ;; �
61. APPROVAL TO DECK ` � �� �
- r
62. Backc�a:.h � P��a•pto��Fu�n� I �,�,� �
i
63. Heatcr & VunFFinai �-�-T�-
64. Plumbing SYstom � F�nal � '- ���
'- -� �.
65. Elcctricai�Fin„1 � ' �
--T_ � ��
66. Salar System�Finai
67. Fencing & Access Aoproval
68. APPROVED FOR PLASTERi�\'G
69. POOIJSPASYSTE��75FINAl
FIRE DEPT. REQUIREMENT
APPROVALS Permit;� _
70. Underground HYuro
I1. Product Pipin9 O Gas t� Od
72. Undergrouncl Flush
73. Undergmd. Storag� Tank ;1 Gas � 0
74. Ovenc�ad Hydro
75. Dry Chemical �
76. Dry Standplpc
77. FIXED SYSTEPo9 F�,�'AL
�
�
78. FIRE PREV. FINAL L_�_
HEALTH DEPT. RE�UIREP.IE?;T �
79. FINAL INSPCCTIOV � j I �
7
80. FO00 CERTiPICATE ISSUED '
(�pA�,- -� - 1_ -_ -.
Notes: I�r //�S N�""�-'1__..�2 ��)�-[w.�e
�T' �---- . �-�. -��y
�
��lS�_9_�
----�---�
z�C--�
i
I
veaccrqooless: 3198 GIBRALTAR AV
owNexsr,'ne:NICHOLSON DIANE ADELLE
� aooi��S:319$ GIBRALTER AVE
• COS'PA MESA,CA 92626
RHCNIENGINEEfl:
RDOflESS:
HEG.NO.:
UNIT: �J
/..a v
!
UNIT:
' veeMmee:TIMBEFiL.INE CONSTRDCTION ( 714 ) 557-7 722
nooRess: 30RR KILLYBROOK LN
COS":A MESA CA 92626
LICENSEO CONTPRCTaP OECLAHATION: I �ere�y allirm tha� I am licensetl under O�avisions ol ChaO�er 9 �commencing with $ection
7IXp� ol Oiv,sion 3 al I�e Business antl Pro�essions CaEe. antl my license is in �ull force antl effeci.
cirvuc.:05�43q3q0 STpTELIC.SSG4%9� us
�ate: ��� SignaWre: _� _ _
WOflNENS' COMPENSRTION OECLl�PRTION: I �erEDy afli�m Iha� I �ave a c¢rli�ica eni �o Sell�insur¢ Or a tetlilitale o� Work¢fs'
Compensationin� rbnc�.�rd� nd��oov ��ereoi Iseceon 7eoo, �an�)� � 1 i 9 3
POLICY NO��STATF FUND E%P.ORTE:
COMPANY: }�,
❑ Cemlietl copY is nereby lurnis�ed. iJ CenilieU copY i �ilea wiih ci�y Buil 'pg �iv 'on
Jalel� _� � APDlicanC � /
E%EMPTION FPOM WOHKEflS' COMPENSA➢ON OELIRflATION: Q�i55ec0on need no16e comp 0'� n perrtti� is lor one �mMred �4100) or less�.
I cenity ��ai in ��e petlormance o� Ihe work tor whic� ��is permil is issuea. I shall not e y erson in any manner so as �o become
subject lo I�e War4eR' Compen5aiion Laws o� Cali�omia.
Oate: Signaiure:
NOTItE: It, alter making this Aeclaration, you s�ould hecome subjecl lo t�e Workers' Campen5ation O�ovisions af ihe Labor
Caae. you must lonnwilh comply witn sucn pmvisions or inis permit shall be deemeU revoketl.
CONSTflUtTION LENOING RGENCV: I heieEy a��irm t�al I�ere is a cons�mction Ienaing aAency br ��e pertormance o� I�e work for
w�ic� Ihis permn is i5sue0 (Section 9W7. Civ. q.
lENOEfl:SMOK DETEC PER 1991 ED
aoosess:OF UAC
OWNEfl BUILOEB OECLABATION: I �ereby alfirm �hat 1 am exempi imm I�e Coniractors' State License Law for Ihe following reason
�SecOon 703L5 Business antl Pwiessional Code: Any ciiy ol counly which r¢quires a De�mi� lo conslruc�. aller, impmve, demolisb, or
�e0air any slmclure, prior lo iis issuance, also reQuires t�e applicani lor SucA permi� to lile a signed 5lalement I�al he/she is licensed
Oursuam to the piavi5ion5 0l �he Canlracmrs' Siate License law (Chap�er 9(commencing wi�h Section 7000) o� Uivivon 3 0l �he Business
an0 Professions Code) ar that helshe is exempt therefmm and the basis lor ine allegee eKemo�ion. Any Wolation of Section 7031.5 by
any apD�icani for a permit SUDjec�s lhe appliwnt Io a civil penaliy o� not more Nan �ive Aundretl tlollars �5500).
I. as awner ol ine OmDeriy or my emVloyees with wages as ��eir sole compensation, will tlo �he work, ana Ihe
❑ vmcmre is not imenUeO or olleretl for sale �Seclion 70da. Business antl Pm�essional Ca�e: The ConVactors' State License Law
1 Qoes no� apDly �o an owner ol a D�opehY w�o Euilas or improves �hereon, antl who does sucA work himsell/hersell or t�mug�
�is ar her mvn employees. provi0etl that suc� improvemems are not inten0etl or olieretl lar sate. Ii, �owever ��e builtling or
impmvement is soltl wi�hm one year ol com0le�ion. ��e owner will �ave Ihe burden o� pmving Ae/5he did nol Uviltl or impmve
br tne vurpose of salel.
I. as owner oi Ine propeny, am e�clusively conVaclinq vnt� IicenseE comraclors Io conslmct �he pmjeci (Seaion 704d, Business
❑ an0 ProleSsions CoCe: The Conlratior5' Sta�e License law Eoes not apDly to an owner oi pmpeny w�0 DutlAS al impmves lh¢reon
and vAo comraqs lor sucn pmi���s wit� a con��acioqs� license pursuanl �o ��e Con(ractors' S�aie Licenu �aw�. I am aware
thai O�oal of IAeir Worker'S Compensation in5uranre 5�ou10 be pmviaeG m me.
� I am eKempi untler Sec�iore 8. B P. C.
lor Ihis reason:
�a�e: Ownec
1 no �ereby cendy Iha� I am aware oi an0 untlerslana ��e repuiremenis oi Calilornia Health and Sa�ery Code Sections 25505. 25533, an0
2553d antl Ihai I or any luwre building actupani wilVwill noi (Cirtie ane) ne¢tl lo comply wit� SaiU Stale wdes and I�e reQUiremenis �or a
permil loi cons�mciion o� mo4ilicaiion �mm Ihe Air �ualiiy Management OiSVic�. fleSiDenlia� constmction aD0lication5 are eaempt tmm
mese o�a�sions.
�ate: ADOlicani:
I �¢re0y cerlilV Ihal l �ave reaA IM1is apP6calion an0 Slale Ihat Ihe above inlormalion is correcl. I agree 10 compty wiih all city and county
orainancesanastaietawsmlaiing�obuiloingconsimciionanGnere� m�orize seniaiiv.olt�iscirytor eru0ont�eabove�memioned
pmper�Y �0� in5petlinn purpo5e5.
�
Oale: �__. � Signamre: _
oii�ers t�cense oi saciai secudty n:
164Ld6 While—Bmlding-, Grpen—Co02 Enlorcemenf. Canary—Applicanl: Pink—Rev¢nu¢; G010¢nrod—ASsesso�
CITY OF COSTA MESA — BUILD'iNG PERN.ZT
PERMIT NO: B 061297 PLAN CHECK NO: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR
JOB DESCRIPTION ; T/0, RESHEATH S REROOF WITH COMPU
CLAIM VALUE: 4,400,00 CALC—VALUE: 4,400,00
Nr:HM NU; tl Ub1L5/
liV� 1; N SUl'Y; N
PURPOSE: ALT
SQ FT: 4,400
GROOP OCC: R-3 /M-1
COMMENTS: REPLACEMENT OF EXIST,3/8"PLY OR IF P,I,�i IS 24/0 6 EDGES ALOCKED
�*�*****�**x�� ��*�x ��**��+��*�x *��r**��r�c�*���*x �x*�a� x�x*#x �xx�x x�*� � x�� �x u x x-x�x x cex�c ��+
Z O N Z N G R E Q U I k E M E N T S
S E T B A C K S
------------ NAIN BUILDING ---------- --------- ACCESSOkY HOILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKZNG RE • PROV; PARCEL; 13913601 ZNE; REF NO;
PLANNING N TES>
�
iE iE iF i!� �1E i! iE if �1f �k it 7f k!E i(� it lElF !f it k if ik # if iFiE IE %� K� if iE if �E if k iF iF iE if iF ik k ih 1( ii 1P it� if iE if k#!E iF it # iE iE%# 3E iE ##�lf ff k!(� # 3f 3E �E ## i( !f �)f if
D E V E L O P M E N T S E R V Z C E S R E Q U Z R E M E N T S
ZONING APPROVED BY
DATE:
BUILDING APPROVED HY ; DATE;
APPLICATION ISSUED BY; DATE• ��
IEitrihifiEititikiElEifiEfkiEiE3ElEkiEk%�1E tr . -x.. . r �. . . ia . . x �ri xf� �itt�ifiEkjf�7EiFiFiE3Ei(� � rt x��r�r lhiF
!f iE IE i4 3E it k iE 1E ik N� iE if iE dE 1F iE if fE ik 1E iE it it iE k it k iE if iE ik If it K� %� IE if%!E K� i(� iF ik iF f! i? if��)f 3E 1E ih 1F iE �N• ik k lE ft iE it �N� ff If k�lF ii� fFiE # iFlE %� ihlt K� iE iP
LEGALI2ATION;N F E E S U M M A rt Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMHING ELECTR�C MEC�iAN�fC FIRE SMIP/RES GRADING
PERMIT 72,00 � 50
� '� SMIP/NON—RES
PLAN � � j �
ISSUE FEE `
BUILDING—DiV—> PERMIT ISSUE PliAN�CHECK 'y, r, TOTAL PAID DUE
TOTALS----> 72,50 0.00 •. 0,00;,; 72,50 72,50 ,00
REVENUE DIVISION TOTALS--> COLLECTEU; —�72,50 OVER/SHORT; ,00
BLD7zPoo' PLUMBING ELECTkIC MECHANIC FJIk'E SMIP/TOO GRADING PLAN—CHECK
" ii i^.l
k 1f 1E 9E 1E �%!E if !k ih iE IF 1f 1E iF ih iF 1f ik ih !f iFiE iF i(� 11� !E if !E iE lE if �7h �lf � iE iE fE k!f !!� if iC i(��.i�' �1(- K�ltdf 1(� N�lF !l� ihlk N� iE M� 3F �6 iE �%� iE !f 1F M� f(�!E!F i4 i! # 1E iF !E 1F iklf iE
I N D I V I D U A li. �-R -� E �'�,, R E A R D O W N
TYPE QTY D E S C R Z P T I O N�S:� -��^!�(J UNIT COST TOTAL COST
SFR 9400 REROOF BY VALUE RESSD�NTIAL ' NOZOTJE,. 1.00 4,400,00
ENDi"OF' FEESF -��
• � '
� � �
EXPI E �� �� ' �
DRTs q la �
. �
CONSTRUCTION AND PLANNING
�APPROVALS Permii �
`
i�� porary Electrical Service or Pole
� Soil Pfpe-Undrgrnd.
3. Electrical Conduit Utdrty-Undrgrnd.
4. Electricat Condwt-Undrgrnd.
5. Steel Reinforcemenc
6. Etectrical UFEF Gmd.
7. Footings
8. Foundauon
9. Water Pipe�Undrgmd. �
70. Structura� Floor System .
t t. Property Sewer Line & Hous6 CAnnection
12. Se�ver Cap - .
13. Roof Drains '
14. Rough Plumbing �
75. Rough Electrical•Conduit
7 6. .Rough Electric 4Viring
17. Rough 4Viring Si9n
18. Rough Elecirical-T Bar Ceiiin9
19. Rough Heating & A7r Condiuomng
20. Rough Factory Fireplace
21. Ducts,in Structure
22. Duccs, Ventilatin9
23. Gas Pipe•Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ce�ling (Strucwral} & Monocoat
27. Frame and Flashing
28. La[hing & Siding
29. Insulation
30. Orywall Nailing
37. Plaster Brown Coat
32. Electrical ?ower Meter�Final
33. Final Electric
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 pomestioFinal
42. 8ackflow Preve�ter
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regu�ations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Ct
51. CERTIFICATE OF OCCUPANCV
Date
POOL ?A
Date Inspector AppROVALS Permit �k
52. Pool & Equipmen[ location
53. Steel Reinforcement
54. Forms
55. Eiectrical Bonding
56. Rough Plumbing & Pressure Test
57. AQPROVAL7000VER�GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, l7 Undrgmd., Test
60. Backwash Lines, RTrap, � Undrgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor-Finai
i' 63. Heater & Vent-Final
64. Plum6ing System - Final
65. Electrical-Final
66. Sotar Sysiem-Pina�
67. Fencing & Access Approval
68. APPftOVC-D FOR PLASTERING
69. POOL/SPASYSTEnlSfiNAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit -�
70. Underground Hydro
71. Product Piping [J Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storayc Tank O Gas .'-'. Ol
74. Overhead Nydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTERI FINAL
� 78. FIRE PREV. FINA�
' HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTiON
� -
� 80. FOOD CERTIFICATE ISSUED
; Notes:� , � l� ,
� I 0 F� � i$�9�• COK..
' � �l. ri� � 3 �1G./42 .�'-7�
(2-I - 4�- ��
N�[�C. / /� J�
Date �Inspector
I '
r�
�
r�
!N
�
aue xas�e: 3198 6IBRALTAR AV
a� eess:NICHOLSON, DIANE AD6LLE
3198 GIBRALTER AVE
� COSTA HESA,CA 9267.6
IIHLNIENGINEEB: � 7 1 4� 6 4 z-4 6.1 9
ADOflE55:
HEG.NO.:
UNIT:
UNIT:
� 'Epmi"EE:DIANL•: NICHOLSON . (714)642-4619
aooncss: 3198 GIBRALTAR
COSTA MESA . CA 92676
LICENSEU LONTBRCTOF OECLANATION: I hereGy allirm t�at I am li[ensed untler pmvisian5 0l Chap�er 9(commencing with Seqion
7000) a� DiviSion 3 0l Ihe Business and Pmlessions Cotle. anC my license is in lull farte and el�ecl.
CRY LIC.: STqTE UC.: CLASS:
�ale. Signamre:
WOFNEflS' COMPENSFTION UEClAflATION: I her¢by aifirm tlui I �ave a ceriilicate ol con5eni Io selbinsure or a certilicale of Workers'
Compen5aiion Insurance, or a certihetl copy Ihereol (Section 3800. Lab. C�.
POLILY NO.: E%P. DATE:
COMPqNY:
❑ Cerlifie0 toDY is hereGy Wmi5�e0. ❑ Certilied coDY is filetl vnt� the ciry Building Division.
Dale'. ApplicanC
E%EMPTIONFPOMWOBNEflS'COMPENSATIOXOELlAflATION: (Thiss ne¢tlnolbetomDletedil�h¢p¢rmlistoro�h�nAre0�S100�ar1¢55�.
I ceriily Ihai in Ihe petlormance o� Ihe wark �or w�ith Ihis De�mi - i� , I shall nal emplo n p on in any mann so as to become
5u61eci �o Ihe Wo iers' Compensation Laws of Califamia- ; '�� �, J
�ate: `� � SignaWre: p�i�1Li � �A /lC..GiGo �
NOTICE: I�, afler making this Geclaraiion, you 5�ou10 Oecome suU�tttio lhe orkers' C�mpensation pronsions o�lhe Labor
CoOe, you must Iotl�vnN compty vn�� such provisions or INs permit shall be Ueemea revoked.
CONSTNOCTION LENDING AGENLY: I �ere�y afiiim Nat ��ere i5 a consiruction leneing agency for Ihe perlormance ol �he work �or
which ihis permil is issuetl (Sectian 3W7, Ci¢ C�.
LENOEP:
AOONE55:
OWNEN BUILOEH OECUBRTION: I Aereby aflirm Ilw� 1 am exem0� Imm �he Coniractors' State License Law for the I011owinA �eason
(Seciion 7031,5 9usiness anA Pmfessional CoGe: Fny cily of counly wNc� 20uir¢5 a permil Io cons�mct, atler, impwve, tlemolish, ar
repair any stmcWre. O�ior la ils issuance, also reQuires ine applicant tor such permit lo lile a sipneA statement Ihat nelshe is licensee
pursuant la �he pmvisions of �Ae ConVacmri Siare License Law (Ctupler 9(cammencing vnt� Setlion 7000) o� Oivision 3 ai ihe Business
anA Piolessions Code� or t�ai he/ihe is enemp� �Aertimm an0 I�e Oasis far I�e allegeA eremp�ion. Any Holalion ol Seclion 7031.5 6y
any apPlican� �ar a permii m�lec�s ihe appli[an� lo a ciWl penalty ol not mort Ihan live �unOred Eollars (5500�.
1, as owner of Ihe O�oOerty or my employees with wages as their sole compensation, wi0 Ao lhe wo�k, antl I�e
❑ slmcWre is not intenOeA or olleretl for sale (Section 70d4. Business anE Pmfessional CoOe: The Contracims' Slale License Law
Aoes not appty to an owner of a D�openy wM EuilEs or im0�oves Nereon, anG who Aoes such work �imself/herseli or thmuAh
his or her Own employee5. pmvi0e4 Iha� SUt� imprOvemenis are no� inl¢nCetl or o�lered �Or 5ale. If, howev¢r t�e �uilaing or
improvement is SOIC vnlhin one year ol completion. ihe owner vnll have ihe buraen ol pmvinB hGsne Oitl nol builtl or impmve
lor Ihe Durpose ol Sale�.
.� I, as owner ot t�e D�oOerty, am erclu5ively coniracling with licensea coniraclors to cons�mct I�e pmjeci �Seclion 7044, Business
and Prolessions Coae: IDe Conlraclors' Stare Licensa Law aoes nai a0�ly to an owner ol pmperty who �uilas or improves ��ereon
i an0 who comracls lor suc� pmjecis vnih a coniraclor(5) license pursuant lo i�e Loniractors' State license Law�. I am aware
Iha� pmol af Iheir Worker'S Compensa�ion in5urance ShoWd �e pmvi0e0 I .,�
� I am eeemp� mMer Seclion: B. B P. C.
lor �nis �rejason: } �
Daie: _.5���r��f 7 Owner � /
I Oo �ere�y cenity t�al l am aware of and w4erstanG �he requiremenls o� Calibmia Healt� anE Salery Cotle S �ions T5505, 25533, antl
25534 ana Ihdt I or any lulure builtling occuDani will/will noi (cirtle one) need lo compN wit� saiG s�a�e cOdes anA Ihe requiremenis for a
permi� lar con5imction ar moailication imm I�e Air �uaLiy Managemeni Ustncl. Re5i0ential wnsimction applications are exempl Imm
Ihese omvisions.
Oaie: AOO�icanl:
I here0y certilylhal I have reatl�his apPlica�ion antl state th e boveinlormatmnis corr cl.l gree lo comply with alicity antl counly
or�mancesanaslalelav5relalingtoOuildmgtonsimtti0na here'U� aultwnzerepres¢n �ive o SCirytoeAl2rup ntheabove-men�ionetl
pmpeny br inspection purgposes.
Da�e: �J��"/'3 Signamr ° �
�river's License or Sotial Security e: �.,� �,� �_ ��
t64i n6 White—Building; Green—Gatle EnlorcemenL Canary—Rpplicant; Pink—Revenue: GolQenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 061447 PLAN CHECK NO; N
CONSTRUCTION TYPE; S—N PERMIT TYPE; STR
JOB DESCAIPTION : LEGALI'ZE 50LID ROOFED PATIO COVEk
CLAIM VALUE;
PERM NO; B 061447
GOC�T; N SUPP; N
PURPOSE: AL.
SQ FT; 360
CALC—VALUE: 5,32f1.00 GROUP OCC: R-3 /
COMMENTS• �'
1f iF 1k ik )b �)k )k ii- iE if k# iF iE �)f 1E # iE N-!f if iE%i(� fh # iE IE IE?f �fE if ik if i!- k i4 �E iF 1! if if iF �lE if� if !E N� 3f % 3P #�f iE 3f if� 3h�IF 3h �M� # IE lE # lE 1(�!F If iE iF if #!E 7F i(� 3f 31� t! �lE
2 O N I N GS ERTCBQAUCIKRSE M E N T S
----------- MAZN HUZLDING ---------- --------- ACCESSORY B(IILDING — — ------
FRNT; 20 FT ZN REAR: 25 Fi 8 IN FkNT: FT IN REAk; FT !:N
LEFT; 20 FT IN RGHT; 5 FT IN LEFT; FT IN RGHT: FT IN
PARFtING REQ • PROV; PARCEL; 13913601 ZNE: R1 REF NO:
PLANNING N15TE5> PROPOSED LEGALIZATION OF 360 SQ,FT, FATIO COVER ATTACHED TO
> TH& HOUSE AND GARAGE.
�x��r**��r*�r��� �c u �*�**�-**�*�**�ce**�*x x*�r*�x****#x x*x********�c*x x�� �r�**�r**x�� *x �c�c-*�
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
20NII3G APPkOVED BY � ��� I� DATE; -z �� �
BUILDING APPRO�!ED BY ; �� DATE: 3� 3
APPLICATION ISSUED BY; DATE; '�
k"Ifi4ifll'1F1f14i%�tl%1l'i('ifiF!hikifil'lfifi(' ' .�ci! 1cR 'k '_ xf l'1' ' t1! A]'ft tltft tftfk fffhi/'ifi{'.�{"1f1('itiEil'iftF Yc %x3� ftfFlfii
lEiEiElEIEiE%�1F1Elfl(�#!(�lFiklEifiFlEiElF##fElk##fE1tiElElfiE-1E#%1E�k7FiEiE#iEfEi M�IfiEfEiElFlh!L�ik7ti(�kiklFiFiElt-If1E�7EiEiF###iE#JF##M�li�#3F
1,EGALIZATION;N F E E S U M M A R Y STRUC'fURAL SEGMENI;Y
BLDG PMT PLUMHING
PERMIT 81,00
PLAN
ISSUE F'EE
BUZLDING—DI�'—> PERMIT ISSUE
TOT;4LS----> 81,53 0.00
ELECTRIC MECHANIC
,_j .
P�rAri-cxEcx
j 0,00
FIRE SMIP/RES GRADING
53
SMIP/NON—RES
TOTAL PAID DUE
81,53 R1,53 ,00
REVEN[]E DIVISIUN TOTALS--> COL��CTSD; 81,53 OVER/SHORT; 00
BLDG PMT PLUMBIhG ELEC'I'RIC M CHI�NIC FTRE 5NIP/TOT GRADING PLAN—CHECK
81.00 i'� ,� .53
�It if iE fF iF 1F X� )t if ik lh 7f iE iF fE ib M� iE !t!E ilif 1E if 1f 1E iE if iF fE it+�lE if X� !E jF-lE if iE 1f'IE 7t �3E ib iF if� if iPif iF 1F 1f�ik iE iE iF?E if iF I(� �IF�3E %�-IF IF # 7E # iF # fE 3f 7(� iF iE ik �F i4
I N D I V I D L7 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 COS'P
SFR 360 RES—PATIO COVER—POST b SOLID ROOF 14,80 5,328,00
F.i�ID OF FEES
EXPIRED R�
DATE Ip ,�-,
Ccl.,-:."' ' _ ...
'� CONSTRUCTION ANO PLANNING
ARPROVALS Permit r`-
��Temporary Electnca' S�rvia- or Po!e
2. So�l Pipe-Undrgrnd.
3. Eiectrical Condwt Ut i.ty-Undrgmd.
4. Electrica� Candurt•Und�g�rd.
5. Steel Remforcement
6. Electric2� UFER Gmd
7. Footings
B. FoundaUon _
9. Water PiPe�Undrgrnd.
10. Struetura� Floor'SVster�
11. Property Sevrer Lin�� R� Hou�e Cnr.rtchon'
12. Setver C8P ,
13. Roof Drains �,
14. Rough Plumhing '
75. Rough Electncal-Conyw;
16. Rough E�ectricl'!iring
77. Rough Winng 9gn
18. Rough E�earicai•T Bar Ceil�nq
19. Rough Neaung & A�r Ca�d�uon�ng
20. Rough Factory Firepiace
21. Ductt, ir+ Structure
22. Ducts, Ventilating
23. Gas PYpe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ca�ling IStructural! & l: or.oco.it
27. Frame and Flashing
28. Lathing & S�:ding
29. Insulati0�
30. Drywail Naihng
37. Pluster 8ro�vn Coat
32. ElecViwl Porrer Meter�F�r�'
33. Final Elettric
34. Final HeaUng & A�r Cond,romrg
35. Final Gas Pipe•Test
36. Hood or Canopy
37. Pinal Factory fireplace
38. Final Plumbing
39. YVater Service-Final
40. Gas Sero�ce-Final
41. Solar pomestiaFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqatior. System
45. Sound Attenuation
46. Handicap Regulatio.^.s
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southem Cal�fornia Gas Cv
51. CERTIFICATE OF OCCUPANCY
Date
0
O
e
Inspector
� i�
;
POOL _ aPA
APPROVALS Permit ;?
52. Pool & Equipm�nt LocaGon
53. Steel Reintorcement .
54. Forms
55. Electrica18onding
- ---�-
56. Rough Plumbing & Prostwe Test �� �
57. APPROVAL 70 COVFR�GU�G i F i
58. Eloclrical Conduit�Undrgmd.
59. Gas Pipo, l: UnUrgrnd., TeSt
60. Back�vash I_in�s, P�Trap, C7 Undrgind
61. APPROVAL TO DFCK_�
62. Baekc�asii tir Rec�Prcr Fuial �
/.
63. Heater & Vent�Final
64. 'lumbing System � F��al
-- - --��
65. Elactrical�f;nal '
-- -__��'�_'
66. Solar Syetar�-Fin.:' - �
-- r �' �
67. Fencinq & Acwss Appro�al �� j
68. APPROVED FOR PLAST�iiI1G � I
:^""-'_r-
69. POOUSPASYSTE�'SFINAL � ',
FIRE DEPT. REQUIREMEPIT �" '
I
I
APPROVALS Permrt;._ �
70. Underground HY����o �
71. Product Pipin� C1 G.�s U Oil
72. Underground Flush
73. Undergrnd. Storar,e Tanl< (7 Gas �] Od � �. ;,
74. OverheaU Hydro ' ��
75. Dry Chemical
7G. Ory Standp:Pe
77. FIXEO SYSTE�\! FINAL
78. FIRE PREV. FINAL �
HEALTH DEPT. REQUIREPAENI
79. FI�ALINSPECT10� �_ �
80. FOOD CERTIFICATE ISSC!:D �
Na�aT: �a� �� _P.�.
Y -
Date � I I 1
�
�IOTE� SHOW AND DIMENSION
PATIO COVER AND YAI
a' ��,'d � sr � J 8 6 1
—.— I _- �
—�—
F0� d���P���,
CA.L�
754-St2b
cr
. u'_r 4 P;
R�Rr��a�6F� er�� � . �o� ���tl�Ng baA66
��/�+"SQVEU @Y fiHc Nlkn�Vi IG DEPARIMEj��
I THIS NUMBER MUST ACCOMPANY
ALL INSPECTIOiV REQUESTS
SEE DETAILS ON REVERSE SIDE
ROOF SHEATMING
1N3WI.�fara;� r;,,,,, �:�•�,i �s�� i.i :., ` t;dd u ��
e� i :i1.� I�II '` �1OI1104tl
�� 99UFi��Fr:oil:,�;.�c�; � 2
'�+ y t"� 1�`1' X RAFTERS
4V I ���IY � ATZ�OC.
W
¢ l- m 2 v J`�� pN
� a ��� ���,;
m.
�-ci 7Q•
� y,� �" � /0�
�- x. m � /
� � i
i :
_� � I'i''�
�
� `
� � 9;
Q v
vr -
����5 I
w
�
�
STREET
PL�OT PLAN
� i e.. ���
-" I CITY OF COSTA
eioa.
' _ �►LANNINO
��
(/n� ���� •""' / /
^A'';�gn''�r�K^ b�
��'1/"V vvV V'
N
0
�
F
�
c�
Z
0
J
7
m
�
X
l�(�
3�d
OVERHANG
_ X_ BEAM
T-STRAP EA. SIDE
POR POST- BEAM
�CONNECTION. w
APP�O�/ED � �
City of Costa PAesa�uilding P�e�
BY � J �AT�(_/,_z
THE �� ���ST B°.��"`'•i .iz� �,T ALL TI?AcQ
NO HA�����'�THOU'o c � aocqpV%�.��'a:
� o
, a y aI. , • � ,�;, �
� 'T� �O���I�N�� � I i PCATE:',1,r'�.:�•,.,
ia,:a. ..,... �eanvc�sreR�
W
� Z
a
¢ �
�
Z O
� 'A
����OD"�F�r,}A$HING `��i �O�AF AS TF:C '.�eN;;: �' R �y j
vnti. �
L06R " ��-- J
C��1$Fg,1�4G,TiAN;F ;, : �.r+ns.:P.16R9 12���SC=� Auo w
SPECIFICATiCiJS SHA:L i:.�.T PFrVENT 1HE GUiLC•it.: OFFN'IAL �
a
FROIA Tii(iRrAF7ER REOU:iii?dG ihE CORRECI'IGN O�- Efif?ORS M �
�A: PLANS AP:D 9PE.^.IPICA'fiGPiS U'n FR�S F%iEVENTING � W
ING OPERA'LIONo BE�i:G CARWLD 04 THERE{1NU[F YIHEN =
!'i�ll:� �ON OF �IIS WDE OR OF FNY OTH[R URDINA�:CE OF �
IDE''ELEVATION ,._.. _
CONSTRUCTION DETAILS
20ltn.ROOF CONNECTION;
DETAILS
CO EDGER I� O�ID BLOCK
I I\��2 DIA. % 5�� LAG SCR.
AT 32�� O.C.
DETAIL I
CR 9 CL ��TECO��
GRIPS OR JOIST
HANGER ,
CONT,
LEDGER
RAFrfq ,
3Ig° DIA. X 5�� LAG SCR.
aT �y" o.c.
DETAIL 2
IOte:sOR LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2�� X FACIA-MIN. REQ
, �
+� RAFTER
APPROVED METAL
HANGER
DETAIL 3
DEl7EL,OPh�NT
s�cEs n�rarrr�r
BUIId�2AIG SAFEPY DIVISION
OWPIER:
ADDRESS� —
CONTRACTOR:
AODRESS�
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZF SPACING SPAN
2"x4': 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32" 6'-0"
48" S'-0"
2"ic6:' 12" 16' -6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" 8'-0"
2"x8" 24" 15'-6" _,.
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" �19'-0"
36" 18'-0"
48" 16'-0"
4"x10" 32" 22'-0"
36" 21'-0"
48" 20'-0"
72" 17'-0"
PATIO COVER �
TYP PLANS
DATE : _
PHONE �
LIC. N0.
PHONE�
RAFTERS
LIGHT WEIGHT ROOF COVSR�OF
LATH, FIBERGLASS, ALUM.
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24�� 8 � _p��
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32" 12'-0"
48" 10'-0"
2"x8" 24" 19'-0"
32" 15'-6"
48" 13'-6"
HEADERS
LIGHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 S'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
APPROVED FOR
BUILDING PERMIT
By Date
GEf1ERAL NOTES:
1. These plans must be
kept on the job at
all time during
construction.
2. All fFaming to be
Douglas Fir N4 � .
grade minimum.
3.. Rafters may not
attach to facia ex-
cept for 1011uroofs
as shown on details;
2Qibsroofs must use
a contlnuous ledge.
attached as shown
on details dkl�#2.
4. Ligh[ weight roofs
may attach to facia
for 14' span max.,
spans over 14 must
use a continuous
ledger as shown in
detail 1i3.
� Q�U ����
TYPE
1 PLAN NO. RRC
I I I DATE PERMITSNUM ER
'ECTIONS DATE SUBCONTRACTOR
coa[
Fi^-� Gas Tut /S�
C vction Pole
. .. s8�� �
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDREI55 s I �� //�i�lS�(T,�'
OWNER ��/�
MAIL
A�DRE55 �U
CITV �¢
AftCHITECT
OR EN^�NEER
ADDh�.,�
COSTA MESA. CALIFORNIA
�i
fEL.
NO.
�IC.
NO.
coNTancr�UMAR BUILDERS, 11'�� N�o,
nooaess C�gT'0' MESA. CAUF. TE�.
8 NO.
tccn� LOT �
OESCRIPTION NO. � / BLOCK TRAC
A.P. NO. / � _JI � O /
SIZE /� �j �� ��'J [%Cj NO. OF BLDGS.
OF LOT �/, / // now or+ �or
USE OF
EXISTING BLDG.
SETB�CK LINE FROM /
CENTER OF SiREET O REAR YARD '
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPA�.. MOVING DEMOLISH
SIZIEOING/�L�� �I ftOOMS STORIES �
G
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEWi/ J�.__ ' v' y� ��
BUILDING 7� J�F���U`4'>/ /
�
ST1TE TH�T THE �BOVE IS
CITY OROIN�NCE$ LNO STI
TI ON.
SIGNATURE OF
PERMITTEE
�—"�
AUTHORIZED AGENT
inc w�
u�i�� R�C�i�9�� �y
3—a�—sS uc,�
��^e� �.
�� Y( �� �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
s��y s
Es.EIVEV 9Y .q TE RECEIVED DATE ISSUEf
L�.,..n/ ?—�� S-'// ���-.ti
FIRE
ZONE
COSTA MESA. CALIFORNIA
SUBJECT TO BLDG. DEPT. REG.
r.o ,
wrvo ecass ro coMP�v wirN nu purpose of estabtishl{I� a permit iee only.
REGUL/.TING BUILDING CONSTRUP
/ VALl1ATION �
i _ /� �� // l�a� � PERMIT FEE S �Q �
�.c_ �...ffCf / U
V
E � V PLAN CHECN S IS ',
5 _
�a Jri�%� TOTAL FEE 5 ,j � �edr