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HomeMy WebLinkAbout2725 FREMONT LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Joti Address: 2725 FREMONT LN Suite: Vicinity: Primary Occ: R Parcel Number: 14155606 Applicant: STEVE JANOSIK Address: 1621 E S7 ANDREW P.L; Owner. Address i;i 2 SLIC SETBACKS MAIN STRUCT ACCESSORY PARKING 1621 Type af Construction: V-N Zoning: R1 €;�; `'`��i� �) Phone: > ) Zip: X� .-,. �..� �� �' Status: ISSUED Applied: 05/13/2005 Issued: 05/13/2005 ISSUED BY: ��'� �D5 � • �`�.,. ^�,r� � �� ��',� , ;,`�.�.� � �.� �� ?�..\ti'�,�,?.�. �g , . Phone: 714-435'-8060 � ' ti�SbP�w" �,..k �.�"�"' i���♦ \; CA - Zip: 92626-5607 �\/ �.'- " . "� �- �� � �'f, �,a' 1�,ROOFING SPECIALISTS/DIAL ONE WINDOW REP l IDREW PL ,�51 ���� I`�'Phone: (714)2535720 1�- � � CA � I�f v � . ..---�-. �.�� �,,.-, .. �t�.. ; `�ia= �• e. ;� ��$o:oo� '° 1l°�$167..25 � �L� �r($0.87 � ' � �$0{00 4l } l�o `oo�� . � $0:00" ' y �.��. $1f)12\�h�� • �,[icense: • a,.�Y�\ \ �`��� `,�.._,_ _ ,, r�-�c,,� ,a = ", �`°-�_ „r-� �" = o oo`�v ° � : �=�1,:: � �`' � ��1 d�Cl�'� �' � "� ��`""'::i t' ' ti0,r7� - �Y-�. ii (.'` R _ .�, ,. _ �+ 2 � � AND KITCHEN. Calc Valuation; ' Claim Valuation:': = ` ' /��)/ i : vk� fi a✓ /,r�� �-.:��`%��� � /�V t"/ '�1 �... "��. u...., v�: �i'. "' � , � � � '�..-.���c=;, �...;� ���-- � � FionP� 0= O:t r /Rear 0= 0�==_Le(t�,0=-0�Right�j C ��:..._ 1�% �. r��''� \��,...... � Pn \�\\ Front `0 0_ � Rea;r� � 0 0'� rv'�Ce(t"1 0=0 �\.,� Right 0 C �,`,,` �� - �' f �lj� �'} u:t i ��� ��` E x i s t i n g; 0 `'�\� R e q u i r e d: 0"'-- �_. l P r oo o s e d: 0 / 7 \r' � — ��� � �,� _>,—� ^��' -_ _ _ _ -----=`—r�.. � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is no� commenced within 180 days, or if work Is suspended or abandoned tor a period ot 180 days. INSPECTIONS: In order for the Work authorized under this permit to be considered lagal, such work must comply with all applicable codes, and all required inepeetlone and tlnal approvel must be obtained. Failure to obtain inspections arW final approval wi!! result in ihe expireilon ot thts permit. FOR INSPECTIONS CALL: (714) 7545628 ...;�.. a � � WORKERS' COMPENSATION DEGLARATION: � ' - � . I �ereby aflirm untler penalry oi perjury one ot ihe following declarations: �: ,. . � , � � I have and will malntain a certifiwte of consent to selbinsure tor workers' compensation, as provided for by section 3700 of tha Labor Code, for Ihe peAormence ot the �work tor which this permit is issuetl. - - � � � � , ., ' I'F�9ve antl will maiNain workers' compensation insurance, as requireC by section 3700 of ihe Labor Cotle, for Ne partormance of Ihe work for w�icli this pertnit is issuetl. � nay workers' com0ensation Insurance carner antl poliry number are: (� Carrie � S[tYTE �U r1� ;,Policy NumCerv . b�n�I 4'Z Q O� -� is�s - on need nof be completed i/ the permit is velued ef one hundred dollars ($100) ar less.) I certity that in the pertormance of the work for whic��this perrnit is issueQ I s�all not employ any person in any manner so es to becoine subject to'tfie workers' ' compensatlon laws oi Califomia, and agree Ihat it I should become subjecl to the workers' compensetion provisions of Section 3700 of the Lebor Code, I s�all forthwith comply with these provJ{io�n5. / qprNcenySgnatur��.%lf)r�ao ^ QSte:"'�'"`.�'-�(1�/G� RWa".a:,la.. y. ��— �,.i�.- �A - AINRE TO SECURE WOPo(E PENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYEHTO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED 'TO 9�D DOl1ARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOH IN SEGTIqJ 7/O60F THE UBOfi CODE, INTEREST, AND ATTOHNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: I he[eby:affirm Macbamdicensed,under pmvisi^ns ol Chapter 9(commencing with Section 7000) ot 0ivision 3 of the Busines�ntl Professions Code, antl my license is In full CONSTRUCTION LENOING AGENCY: " ❑ I hereby aHirm ihat there is a construction lending agency for the pedormance of tha work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lentlers Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn that under penalry of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Profeulons Code: Any ciry or counry which requires a permit to wnstruct alter, improve, tlemolish, or repair any struclure, prior to its issuanca, also requires the applicant for suc� permit to file a signetl statement that he or she is licensed pursuent to the provisions of Ihe Contreaors License Lew (Chepter 9(commencing wlth SecGon 7000) of Dlvision 3 of the Business and Professions Code) or Ihat he or she is exempt Iherefrom and ihe basis for the ellaged exemption. Any violetion of Section 7031.5 Dy any apP�icent tor e pertnit subjecis the epplicant to a civil penalry ot not more than tive huntlretl tlollars ($500).): � I, as owner of ihe pmperty, or my employees wit� weges as t�eir sole compensation, WILL DO THE WORK, end tha slrucWre is not intendetl or oHaretl for sele (Sec. 7044, Business and Professions Code: The Contraciors License Law does noi apply to an owner of properry who builds or improves ihereon, and who does such work himseN or hersell or through his or her own employees, provided that such improvements are not intended or offered for sale. N, however, the building or improvement Is soltl within one year ol completion, Ihe ownervbuilder will have ihe burden ol proving ihat he or sha did not build or improve For puryose of saleJ. � ❑ I, as owner of ihe pmperry. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the projeci (Sec. 7044, Business end Protessions Code: 7Te conirectors License Lew tloes not eppty to an owner of propeny who builtls or improves thereon, and who contracts for such project with a coniractor(s) licensa pursuanl to the Contractors License Lews.). ❑ I am exempt under sec. Business and Professions Code lor this reason: Signature: Date: Owner ID venfietl by tlrivefs license. ❑ Ves ❑ No Drivers License No. Expires: Ventication oi Ownership by (type ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certify �hat no excavation five (5) or more feet In depth into which e person is required to tlescen4 will be matle In connection with work authorizad by Ihis pertnit, an0 that no building siructure, scaflolding, falsework, or demolition or dismantling ihereof, will be more Ihan thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Calitornia Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would raquire e pertnit trom the Division oi Indusiriel Selery, es noted ebove, unless such person hes e pertnit ta do such work trom �he division. Signature: Oate: Division of Industnal Safery Permii Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRY: I cenify untler penalry of perjury that I have reatl this application and stata that the information given is wrrect. I agree to wmply with all state lews end ciry ordinances relating [o building consiruction, and authonze representatives of cha Ciry of Cosia Mesa to enter upon ihe above-descnbed property for inspection purposes. I agree not to acupy or allow occupancy of any building authonzed by ihis pertnil until tinal inspection. COOE.I'� INSPECTIONTYVE' ��� � " � 1616 Fixetl System Final Fire Prevemiom 7266 Pool Spa Final 200 Final Re-Root ' � ' ' " 201 Final elocWRa�aining Wall 202 � Final Factory Fire Place � 203 Final Sign 204 Final Demolition � _..n A�C.Y9� 1pplicantat�t�..,« '.. BAIE . IMRIALS • •• COpE�' INSPECTIONTYPE " � � ` •� '- Q�F � � f� � � 206 " � Final Mec�anical ^ . � - � 208 Final Plumbing � � � ` 210 � Final ElecMcal ' � '�- � 272 _ .. . � . .. . ''t .220 . � . '. r ' �: . 222 250 Final Fire Prevention ' Final Planning Approval � � � ' Final Site ,�,_'u_�,� Final Building/Occupency ' ' � yy� � � � won�ssovsm�axc: 27z5 FREMONT LN av��ruuEiF�+a^": DUNCAN, CHARLES WARREN �' ��p� DUNCAN, HELEN ^- 2725 FREMONT LN 'OSTA MESA,CA 92626754-6235 �vv�. wuw/c nooxEss: u�cxrtecr on �rax�n: AIICN.OX ENG.'S �DDXE55: CONfFACiOP'SNWE CALTON ROOFING cwrn�cronswuur+c 3125 MCKINLEY UNT: uc. xo.: UNT: (714)549-2725 �ooness: COSTA MESA CA ucra: 587704 92626 uNr: UCENSEU COMHACTORS DECNflRT10N: I hareby aAFm vMm peneYy d perjury tlat I em Icanaed under prwisbns d Cheqm 9 (mmmena�g xi�� Sec�bn 1000) d Uvision 3 0l �he Buainees arM Prdmsbns Cab, vd my licenm is in lull fwce eM aXen. cmuc.r+o.:051149 uc.cuss:C39 ���No 5877 4 10/96 . o�a: 7- z r- 4G oo��,ado�: �%.,,., .r._yD� OWNEN BUILOER �ECIAflRT10N: I hareby elfimi unCer paneXy d perN�Y �� �+m eRemq irom Iha Contreaon Licenee taw Iw �M ���Mbwing roeaon (Sedion ]0�1.5 Bueiiesa vM Prdeasions Code: Any c1y a munry wfiidi eeq�ires a parmX lo msVucl, eller, imprwe, nd'sh, a repeir any aVucWre, qior to na'seueMe, alve raQuirea the appliranl Iw euch peime to Rle a egmd atalemaM ihel M or sM �,��d wrs�� m ma wo�� d in, com,ena.a u�,�„ tew Icnewa� s(�m,�,o�u �;in sea� �aoo) a oHo� a a�b ,si�<ss ana Prdeasaru cadal o, imm �a «sne m evemw �naal�om d,a �ne neb. rw ine elb9ed e.amw�, nm •b�von w s«�on >OJ�.S W ary epplirani for e parmil eubpds Ihe epd� lo e dvil penely W rpt more IMn liva huMreE ddlen �55007). � I, es owrer d IM prope�y or my empbyees Mh wape5 av Ihe'r aola mmpansa�ion, x'ill Eo ihe �wA, end tM elructuro e rot inteMetl or artered lor seb (Saction )oea, eusiness ena PMeasiom cada: iM conireaae l'xense Lew daae not eooN �o en owrwrd poqrry wM10 bulda or'vnqoves IMrean, ad xfio tloea sucF wo�lc Nmxll or MrseC a Ihrdph h's w Mr own employeec, povided Ihel wch impwemenw ere rol imenEatl a dfered 1« aeb. H, howaver, IM1e WiMinB or'unpewamem ie eaN wnhin aro yeer d eomplation, tM ow�wrbuiNer xill here iM Widen d provin9 ha or she Ck iwl buik « improva lar Ihe WN�e W celel. � I. es oxirer d �M properry. em exdusrvety mnteed'm9 �h IieenaeE eonlreeton to eonmrua tha PrM� (`�� ��M. Busi�wss eM Professions COEe: The Con�reppe Leense Lew daes nd eppry to en owner af p�openy who builde w impovas IM1ereon aM wM mnVacls fw wch prqeda wnh e coMreGor(a) IicenseA Wnuent io ihe Conireqon License lewl. � I em exemq under Seniort B. d P.G, Iw Nc reeson: Dale: Owner: i ea nereW cennv �nm i em a.�.e a�e ��aare��d ina rea���an: a ca�e�e �nn .�e se�en coae seaiona nssos, zssa�. e�,e 2553C, enE tM1Po I or eny Mure WiMinp oxupenl will / wEl nM (arcb one) ereetl to comply wYh aek de�e eodo end Ihe reQuiromeMe Ia eparmnioroonslructbnwmodfiraiionhwnthe�i-0 teTyl�erepementDislnd.Rxidemielaona�ruaionappYcetiomereezemptlromlhese provisiom. oe�e: noW�: �i� WOHKEN'S COMPENSATION DEttAPATION: I hereby e/firm urMx panelly d peijury me d the bllowi�q dedaeeliwn: � IheveanEwilmanlaiiecenilratadconsantioaeN-insurebrwaMen'canpenvtion,uprwNedtwpySedion9lWdlhalabar Code. for Iha paAormence W IM xak Iw wlvch �hie pemiil is iseueE. n I heva enE vril manlen wakers companxlion inwranm, av requirad by Seclion �10D d IM Labor COEe, b ihe pa�lormence M tM 2� work fa whirh Nn parmn ia ivuad. MY worMere' oompenaeiian inwrance reiner end pdiry number are: ce„��,: TE FUND EXPIRES Pa�r N�mn�,: - O 1/ 01 / 9 7 Rn;s �nro� I,�d �w ne comdaree r ma v�e �s ia w�e nvndree ddiarslsiool w k:,.� � 1 ceniry �he� in tM perlwmence d tha woik lor xfiich thia Po�� ia haued, I sIW I roi amploy eny penon in eny menr�x eo m m becane sublecl to ihe xvrkers' companselion lews M Celitomie. end epree Ihel X I ehou bacoma wbjea lo iM v.o�ice�s' mmpenmtan pravbro ol SMnn 3]OU d the Lebar Coda. I eM1ell lprl wilh mmptyixnh 1 pwiaiarra. �fi7i / /� Dele: 7 "� � '— � � ADDlkenl: � � ���/ /� / D' Wemlip: Ftl/un ro secaro workxs'romperwtlon roverps b unNrNl, siW s/Wl udjwt an omploysr ro ctlMiul pxultlu enC nvn nl», up ro irrs nuner.a rrwus.ro edrn (s�ao,owA in .eei'ron ro ms co.r or romo.�ua�mn, a.mep. u p�ovw.e ror In Swtlon 9III6 of Me Leeor COCe, Inhnat, entl attomey'a M1sx CONSTflUCT10N LENDING ROENCY: I hareby elfi�m under penelry d perjury thei ihsre is e mnnruaian bMinp epercy lor iM pBf�Of111BfICB O�IhB WOIF.�OfW�llVllh6 plf1111 6 69UBd ($BCIUf1309��riN.Ci�. LENDEN'S NAME: LENUEfl'S RDDflE35: 1 cenity �hei I I�eve reed this epplcetion arM sleta ihel �he ebove inlorme�ion is cortep. I eprea lo canply wnh ell city aM counry oNinenus eM staia kws reletip to builCing consYrudion erd Mreby eu�lwr¢e repesan�alives ol thia rity lo entm upon IM ebove�mentuned propery forinspeclion purpmea. MIKE CALTON � Pnn� /`'/ca.,� � �. � oma: 1 `7.2 = 5 � s�o�ewm a ownennqa�unnau�ucoovee« (515�ie.WP) WM1no-Buikip85elery:Green-flle:Cenery-qDDGfent:Vink-Revenue:GOMeniod-Reaeva ` CITY OF COSTA MESA - BUILDING PERMI'C PERMIT NO: H 076520 PLAN CHECK NO; N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR JOB DESCRIPTION : T/O RECOVER W 25YR COMP _�_ - PERM NO: B 076520 GOVT: N SUPP; N PURPO5E: OTH SQ FT: 3,200 CLAIM VALUE: 3,200.00 CALC-VALUE: 3,200.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF RESIDENCE ��*���*��x��*�r*���+�*+t*�r+t�r�r����r�+��t*�+�**�*rt�**�rx ��*�*x�*****�+�*�+�****�**+�****x *�rt*� Z O N I N G R E Q U I R E M E N T S S E T H A C R S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- 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: 19155606 ZNE: REF NO:,�- PLANNING NOTES>� > iE 1E 1E 1E 1E iE 1E iE fE fE 1E 1E 1E fE 1E 1E fElE 1E 1f k 1E iE iE if 1f !f IE iF iE fE iE 1E 1E 1E IE 1E 1E 1F iE 1f 1E iE iE 1E 1E 1ElE if 1E 1E 1E iF iE iF if 1E iE iF fF iE 1E 1E iE iE iE if 1E ff fE iF �k 1E 1E iE 1E iE �F 1E 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 BY DATE: • f •-.l BUILDING APPROVED BY : DATE: ',�� APPLICATION IS$UED BY: � DATE; Ii ZZ- (/o �tit*fe***i�*f�ie*�t**�tfe***itatTaiFTE"iFTE3FTE"iF�SFTE�F3F'iFi€�FiFiF'iFiFiFiF�FiF3F�#3F. -TE���tit*�t*�-it�t*f�* ee it� *it* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIAE SMIP/RES GRADING PERMIT 63.00 � ,50 SMIP/NON-RES PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL ��r' „PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 � 63.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT . GRADING PLAN-CHECK 63.00 .50; 'r 1f if �f iE 141f iE 1E 3F 1f i(� iF 1F iF 1F iE iF IE IE if 1f ib iE if If iE if ik 167E iE 1E IE IE 1E iE iE iE 1E iE IE IE IE IE iE iE iE iE fE 1ElE 1E IE 1E if iF iE IE if if iE iE 1E iE 1F 1E iE iE iE 1E if IE fE iE �7(� iE �IE iE if I N D I V I D U A L F E E H A E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3200 ALTER BY VALUE RESIDENTIAL NOZONE 1�:"00 3,200.00 END OF FEES i'. . �� /1' bl QDf_Ui^v4-0020�C�50 '! Ot7- 4Aict Q3/2?�'.. j'�iC; �..,�u - �.-: • • . POO� 6PA G:')NSTRUCTION AND PLANNWG � i APPROVpLS Permit # Date Inspector qppROVALS Permic # 1. Te�nDorary Electrical Service or Pole _ 52. Pool & Equipment Location ` 2. SoifPipe-Undrgrnd. _ •-' .� 53. SteelReinfortement_ _ =3�EIeCtrical Conduit Utility-Undrgmd. _ 54. Forms. _ '-;4��•Electrical Condufi�Undrgrnd. 55.- Electrical Bonding � ;�� , �5 $teel Feinforcemer_rtg 56. Rough Piumbing & Pressure Test ; 6_ �lectrica� UFER.Gmd. 57. APPROVAL TO COVER-GUNITE ;�7�;�Fbotings - - � 58. Electr(ca� Conduit-Und�grnd. .'S�F'bundation .� -� 59. Gas Pipe, O Uniirgrnd., Test -i-. �9 . Water Pipe-Undrgrnd. �� r 60. Backwash Lines,�RTrap, �,Undrgmd. 1�0. Structural Floor System ":. . 61. APPROVALTO,DECK �! � 1.1. Property Sewer �ine & House�Go,r'rr'ection � 62. Backwash & Receptor-Final f- � 12. Sewer Cap ' i 63. Heater & Vent=Final �� � ; 13. Roof Drains _ 64. Plumbing System�� Finaif . 14. Rough Plumbing .:: �.� 65. � Electricai�Finai � 15. flough ElectricabConiiuit �.- . 66. Solar SVstem-Piqal /}'' � i 6. Rough Electric Wiring _ 67. Fencing & Access Approvai 17. Rough Wiring Sign • 68. APPflOVED FOR'PLASTERING 78. Rough Electrical•T Bar Ceiling° 69. POOUSPA SYSTHI�S FINAL 19. Rough Hea[ing & Air Condi[ioning f ,y FIRE OEPT..BEQUIREMENT , 20. RoughFaetory-Fir.epiace _. ' - _ -� `,� �AppROVA�LS�_FPermit# � - 21. Ductsr in Structure' • " " = F - - ' �' 70. 'U�derground HYdro '� 22. Ducts, Ventilaiin „- " ' ' '- `' � 9' ,, �+ . �77. Product-Piping OGas C30i1 23. Gas Pipe-Rougti & Test �� -, 72. Underground Ftush � 24. Roof`�Framing" 's} ' ' � { .73-Undergrnii.StorageTank�'G�Gas JOiI 25. Roof �Sheathing - .. Z�-'L.,Z��p �_ 74! Overhead Hydro� Z6. T��Bar-Ce�l�ng (StructSral) & Moaocoat ,F � � 75: Dry Chemical _ . � r' -� 27. Frameand.Fiashinj�. _• . � : ti� 76. DryStaniipipe•�' '� 28. Lathing & Sidjng �� .- _ R E 'R 7Z; FIXED SY.$TEM FINAL . - - � 29. Insulatio�� � - • t • ' 7ff=: FIRE PREV. FINAL �K = _ 30. Drywall Nailing r � 4, "� S :NEALTH:DEPZ.'REQUIREMEN ��31. Plaster Brown,Coat '� _; ,- � �� •:� 79. FINAL INSPECTION - .. � 32. Electrical'Pow`ef Mecer•Final �, 1 .; ��80.. FOOD CERTIFICATE ISSUED_. v r -. . - - � 33. Final��Eleciric � � <' ' * � Notes: - -. < -. ' � 34. Final'Heeting'& Air Conditionirig - '� � , �� • � �� �' - '� . �;� r � L - �r.j t 35. Final�Gas�P�peTTest .� . ,c .- � "' � . ' � -_ _ _ 36. Hood� or Canopy =� "' �' _ ��' _ '� � _ - S t" L. =� v • • r :: . -37. Finaf,FaGtory Fireptace � ;� �r 38. Final Plumbin9 ' ' � � ✓ '- " - _i .- �-. , I 39. WaterService-Fnal i ^ � ' • �, s. ��� . . � � ' , , 1 40. Gas Service-Final - �, - ' � � '� ` y. ' l �' � C -41. Solar pomesLcrFinal. - '. < , �"= „� t _ -42. Backflow Preventer . �. � _ - -1 Y �L�'•. ' L 43. Backftow Irri�ation a' ��„- ' �x ,;� r Z Z _Gl� �� r �" I ' - - - - - � �� ' 44. �andscape Irrigation System ;� i� !" .�, � r l � -�- !G l45. Sound Attenua,tion ., � , ' - ��> r = = -' _ I ; I� 46. Handicap Regulations * - � - r,- q . I 47. FINAJ, STRU'GTURE & BUILDING ?--� ' � (�� ' f'' " - . _ .• ' 48. FINALPLANNING < '-�- � n . . _ 49. ElectPic Pelease to Edison '" . ' ` �: ` • - . 50. Gas Release to-Southem California Gas Co +, - -" � " � 51. CERTiFICATE OF OCCUPANCY � t • - - ' - No Date � � Date ( Inspector r Lot 27 Tract 4285 P1��� �ECEIVED i. '1 �`��ii " � � SEP b � COSTA MESA BUILDING-SAFETY DEPARTMENT FI(VANCE DEPT. P. °. B°" 9" `°�" "'�". °"""°""'" � CIiY OF COSiA MESA For Applicanf fo Fill In Complefely APPLICATION FOR PERMIT TYPE OR FRINT gU1LDING aooRe�ss 2725 Fremont Lane COSTA MESA. CALIFORNIA � . For Office Use �I1��/� del t CO. PEGEI D BY �Y1010 BUILDING � ADDRESS 3800 E. Coast Highway cin Corona del Mar ts.ic No.98808-SB-1 No:Oriole 3 s�ze 6510 S F I�o, or ei OF lOT NOW oN '. USE OF none EXISTING BLDG B6TBACK LIN6 FROM CeNTER OR BTRCET �}J � REAR YAR[ 1 SIDE YARD LEFT 5 RIGHT DESCRIPTION OF WORK IX II I II S ZE DING 5(� � 9��XSQ � ROOMS 6 EXTERIOR WALL WOOd ROOF COVERING d COVERING U8E OF BUILDING AND WORK TO BE PE sinele familv residence FIRE L6OAL DATE COSTA MESA. CALIFORNIA ZONING NO. OF� I U6H OP N PLAN9 9UILDING � [C6NT[R LIN6 8T.) 24 FRONT -�� 5'3" ,r R. SIDE L.SIDE 5— � aFeR 2 3 1 � � � 1405 O � Z Covered porches etc. rea 32 S F I.HEREBY ACKNOWLED6E THAT 1 HAVE R6AD THIB A�PLIGTION }HE AMOUNT 6XOWN ONOlR VALUATION 16 POq TX! AND 6TAT8 THAT TH8 ABOV¢ 18 CORR6CT ANO A6R6H TO COM- pUflP09E OP, bBTABLIBHING A PERMIT FEE ONLY. PLY WITH ALL CITY OROINRNCE9 AND BTATE LAWB REOULATINO emLoiNa coNeTRucnON. . . ' VALUATION �� SIGNATURE OF PERMIT FEE $ � S�� PERMITTE esa Del r. Develo ment Co. . p B�j: ''/ $ Lri,326.00 P�N CHECK $ / ��� � AUTHORIZE� T/(� � iOTAL FEE SZ.SO p x