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Home My WebLink About458 FLOWER ST - Building Permits� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 458 FLOWER ST Suite: Vicinity: GARAGE ONLY Parcel Number: 11734112 Applicant: Address: Owner: Address ConVactor: Address: 2ip: Arch : Address: HOYT, BRIAN 3860 E EAGLE OR � STE B ANAHEIM,.CA, RIPPETOE, IRENE MARY TR 458 FLOWER ST , j� � � � COSTA MESA, CA , HOYTF200FS 3860 E EAGLE DR STE B ' ANAHEIM,CA 92807 Phone: Zoning: Phone: (714)632-6636 Zip: 92807 Phone: Zip: 92627 Phone: (714)632-6636 License: 606111 Eng: Address: ISSUED BY: Status: ISSUED Applied: O6I11/2003 Issued: O6/11/2003 Phone: Zip: � . License: License: SCOPE OF PERMIT REROOF GARAGE ONLY: T/O 2 LAYERS.OF COMP, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30# FELT, APPLY "30-YEAR GAF COMP SHINGLES " 500 S� FT � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 • $83.25 $0.50 $0.00 $0.00 $0.00 $83.75 •e SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0. 0 FEE SUMMARY Calc Valuation: S2,2oo.00 Claim Valuation: Sz,zoo.00 PLANNING & ZONING Left 0- 0 Right Left 0- 0 Right Re uired: 0 Proposed: 0 INOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia staWtes and related � regulations. (Ord. No. 92-28, § 7, 12-21-92) - EXPIRATION: This permit shall automatically expire and become void if work is not commenced wflhin 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2aae�ae (8�ao) WORKERS'COMPENSAnON DECLAHAnON: I hereby aHirm under penelry of perjury one ot the tollowing declarations: ❑ I hava antl will maintein a cenificate of consent ta salt-Insure tor workers' compensatlon, as pmvitletl for by saction 3700 ot Ihe Lebor Cotle, for the peAortnance ot the work lar w�ich ihi5 permil is issued. �I have entl will maintein workers' canpensation insurexe, as raquirad by section 3700 of the Labor Cotle, for ihe peAortnance of Ihe work for which Ihis pertnil is issued. My workerGs' �camper�etion I ance c-aI�ner entl Oolicy number are: �� J�� PolityNumber: � Carner. �/ � c_ �U � (This sectlon need not be completed i/ the permit is veluetl et one hundred dollars ($100) or less.) ❑ I certity Mat in the pedortnance of Ne work for which Ihis pertnit is issued, I shall not employ any person in eny menner so as to become suDject to Ihe warkers' compensatlon laws ol Celifomia, end egree thet II I should bewma subject to the workers' compensetlon provislons of Saction 3700 ot the Labor Code, I ahall torthwiih comply with Ihese provisions. 7 Applicant Signatura: �[b�dn� Deta: � �( � 4 l WARNING FNLIIRE TO $ECURE WORKERS' COMPENSATIdJ COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES PND CNIL FlNES UP TOONE HUNDRED TFKKISAND OOLLARE (5100.000), IN qDDITION TO THE COST OF COMPENSATIIXJ, DAAIAGES PS PROVIDED FOR IN SEGTION 3]OB OF THE tABOR COOE, IMEREST, AND ATTORNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby atflrm that I em licensetl untler provisions of Chapter 9(commencing with Section 7000) of DlWsion 3 of the Busineu antl Professions Code, end my Iicense is in full force end etlecL Lic. M n _(p (�j (� / L! Class M! �"�� Conirectors SlgneNre: _([�q ,� _ Date: f — r (- �O � CONSTRUCTION LENDING AGENCY: ❑ I �ereby eHirm that lhere is a conswction lentling agency for the pertormance ot the work tor whic� this pertnit is issued. (Sec. 3097, Civil Code). Lender's Nema: Lentlefs Address: Signature: Date: OWNER•BUILDER DECLARATONS: I hereby eMirtn that untler penalry of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business an0 Pmtessions Cotle: Any ciry or counry which requires e permit to conswct, alter, impmve, demolish, or repair eny structure, pnor to its issuance, also requires the applicant tor such permit to lile a signed stetement Ihat he or she is Ilcensad pursuan� to Ihe provisions oi the Coniradors License Lew (Chepter 9(commencing with Section 7000) af Dlvision 3 of the Bu5in85s end Professlons Cade) or that he or s�e i5 e:empt therefrom Bnd the besis for the allegatl ezemption. Any violetion ol Section 7031.5 by eny applicant for e pertnit subjects the epplicant to a civll penally ot not more than five hundretl dollars ($500).): ❑ I, es owner of the property, or my employees with weges as iheir sola compensation, WILL DO TME WORK, end the structure is not intentletl or oMeretl lor sale (Sec. 7044, Business end Professions Code: The Contrectors License Lew dces noi apply to an owner ol property who 6uilds or improves ihereon, end who does such work himsetl or herself or ihrough his or her own employees, provitled that such improvamenis ara not intendeA or oNeretl for sale. If, however, Ihe building or improvement is soltl within one year of completion, ihe owner-builder will have�iho Gurden of proving ihat he or sha did not builtl or improve for purpose ol sale.). � ❑ I, es owner of tha properry, am E%CLUSIVELV CONTRACTNG WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Prolessions Code: The contractors License Lew tloes not apply to en owner ot property w�o builtls or improves thereon, and who wniracts tor such pro�ect with a contrectar(s) license pursuant to the Contracbrs License Lews.). ❑ I am axempt under sec. _ Siqnature: Owner ID verllied by driver's license. Verilicetion ot Ownership by (type of Business end Prolessions Code lor Ihis reeson: Ves ❑ No i.e. - property Iar blll or deed): Drivers License No. �ate: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation live (5) or more feet in tlepih into which a person Is required lo descend, will be matle in connection with work authorized by this permit, antl �hat no building structure, scaflolding, felsework, or demolition or tlismantling ihereot, will be more Ihan ihirry-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Tiile 8, Celllomia Atlminisiretive CoOe). ❑ As owner-builder, I will not employ anyone to do work which woultl require e pertnit trom the Division of Indusinal Safery, as noted ebove, unless such persan has e permll to da such work Irom ihe divisian. Signature: Date: Division of Intlus�rial Safety Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUTHORPATION OF EMRY: I certify untler penaly ot perjury that I hava read thLs applica�ion and state that the intormetion given is correct. I egree to wmply with all stete laws entl ciy ordinances relating m building wnstruclion, entl euthodze representetives of Ihe Ciry ot Costa Mesa to enter upon the ebove-described Dropeny for inspection purposes. I agree not to occupy or ellow occupancy oi eny builtling euthonzad by this permit un�il final inspection. Signature Of Le al Owner(s) /� �� And�07Authorized Applicent � r Date ' CODE �. INSYECTIONTYPE 1616 Fixetl System Final Fire Preventlon 1286 200 FkL Pool Spa Final Final Re-Root Final BIocWRetaining wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demalition QejF IMITIALS (d 17-d3 � COOE♦ INSPECTIONTYPE 206 Finel Mechanlcal 20B Finel PlumDing 210 Finel Electricel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy PAIE I�RITIALg * � ; (7ta) 75d-527s • Fax (7�a) 75a-ae56 • www.ci.costa-mesa.�.�LDING PERMIT �� hHIM UF11VC, GVJIH MtJH, l.H am<o Job Address: 458 FLOWER ST Suite: Vicinity: SIDE PROPERTY LINE Parce� Number: 11734112 Applicant: RIPPETOE, IRENE Address: 458 FLOWER ST COSTA MESA, CA Owner: RIPPETOE, IRENE MARY TR Address 458 FLOWER ST COSTA MESA, CA Contracmr OWNER-BUILDER Address: Zip: Arch : Address: Phone: Zoning: Phone: (949) 6313371 Zip: 92627 Phone: (949) 631-3371 Zip: 92627 Phone: License: 0 Eng: Address: ISSUED BY: Status: ISSUED Applied: 0 211 5/2 0 01 Issued: 02/23I2001 Phone: Zip: License: License: SCOPE OF PERMIT . . , CONSTRUCT 177.5 LF, 6' HIGH BLOCK WALL ON RIGHT SIDE PL. ' _ ._ Plan Check: $54.11 Permit: $83.25 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $137.36 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ' $2,360.00 so.00 NO710E: 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, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. - , INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure �o obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-06 (6/00) WORKERS' COMPENSAnON DECLARATION: � I hereby aftirtn untler penalty of perjury one of the following declarations: ❑ I have and will main�ain a certiticete oi consent to self-Insure for workers' compensation, es provitled for by seclion 3700 of the Wbor Code, tor ihe pertormance of the work far which this permit is issued. ❑ I have antl will maintain workere' compensation insurance, as required by section 3700 of the Labor Code, br the Dedormance ot ihe work for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: Carrier: Pplicy Number. (This section need not be completed i/ the permit is valuetl e( one hundretl tlollaro ($100J or less.) ❑ I certity thet in tha peAormance of tha work tor which this parmit is issuetl, I shail not employ any person In eny manner so as to become subject to Ihe workers' compensatlon laws of Califomia, and agree that if I should become sublect to the workers' compensetion provisions of Section 3700 of ihe Labor Cotle, I shall forthwith comply with these provisions. Applicant Signature: Dete: WARNING FAILURE TO SECURE WOFKERS' CAMPENSATION CAVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND QVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARE �$100,0�1. IN ADOITION TO THE COST OF CAMPENSATIdJ, DAMAGES AS PROVI�ED FOR IN SELTION 3)O6 OF THE L40pq CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTtlAS OECLARATION: �. I hereby aMirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Divislon 3 of ihe Business and Professions Code, and my license is in full force and eHacL Lic. # Cless a ComractoYs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm tha� there is a consiruction lending agency for the pedormance of the work br w�ich �his permit is issued. (Sec. 3097, Civil Code). Lender's Neme: " Lentler's Address: SignaWre: Date: OWNER-BUILDER DECLAAAnONS: I hereby affirtn ihat untler penalry of parjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county whic� requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also �equires iha applicant for such pertnit lo lile a signetl statement ihet he or s�e is licensed pursuant b the provisions of Ihe Comracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business entl Professions Code) or Ihat he or she is exempt theretrom and the basis for the allegetl exemption. Any violation of Section 7031.5 6y any applicant for a permit subjecis ihe applicant to a ��I penalty of not more than tive hundretl dollars ($500).): ❑ 1, es ownar of the praperty, or my employees with wages as iheir sote compensation, WILL DO T11E WORK, and ihe swcWre is not imentletl or oflered tor sale (Sec. 7044, Business and Pmlessions Cotle: The Coniracrore License Law dces noi apply to an owner of properry who builtls or improves thereon, and who does such work himsetl or hereelf or ihrough his or her own employees, provitled that such improvemenis are not intentled or ottered for sele. If, however, the Duilding or improvement is sol/within one year of compietion, tha owner-builder will have ihe burden ol proving that he or she did not �uild or improve tor purpose ol sale.). =1, as owner of tha properry, am E%CLUSIVELY CON7RAC71NG WITH LICENSED CONTRAC70RS to construct the prolecl (SacJ044, Business antl Pmfessions Code: The contractors License Law does not epPly to an owner of property who builds or impwves Ihereon, end who contrects for such project with a conirector(s) license pursuan� to ihe Contractors License Laws.). ❑ I am e mpt under sea , Date:_ 11 OwnerlDverified by dnvei s licen�. ❑ Ves ❑ No Dnver'� s Lice`se Not�) Evpires:—? G 3 Venficetion of Owners�ip by (�ype oi document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat �o excavetion tive (5) or more teet in depih into which a person is required Io tlescend, will ba made in connection with work euthorized by Ihis permit, and �hat no building stmcWre, scaHoltlinq, falsework, or demolition or dismantling ihereot, will be more then thirty-sia (36) fset high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Atlminisirative Code). ❑ As owner-builtler, I Will not employ enyone to tlo work which would require a permit from ihe Division of Industrial Safery, es notetl a6ove, unless such person has a permit to do such work from the division. SignaWre: Date: Division of Indusirial Safely Permit Number: CERTFICA7E OF COMPL�ANCE AND AUTHORIZATION OF EN7AY: I certify under penalry of perjury that I have read this application and state that the information given is correct.�ee to comply with ell s�ate laws antl ci�y ordinances relating to building consWction, and authorize representaiives of Ihe Gity of Costa Mesa to enter upon �he above-tl nbed property 1or inspection purposes. I agrea not to occupy or allow occupancy of any building authorized by th-is p/ermit until linal inspection. i eJ'�_ �/L3 �o / � Si�Of Legal�Owner(s),._.�-- DatL e_—�'�, �—��_ And/Or Authorized Applicant Date CODE �. INSVECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Paal Spa Final 200 Final Re-R0o/ 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition peg iNrmu : �/ COpE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Electncal 212 Final Fire Preven�ion 220 Final Planninq Approval 222 Final Site 250 Final Building/Occupancy PAIF 1ti�LS ' iHiS SI�TQi LS FOR INFORMAi70NAL PURP06L3 ONLY. APPIJCANT IS RFSPONSBLE FOR PROViDINC AN ACCURATE RFPRFSINI'A7ION OF h�i PAOPFRTY QJ tASE TF� SHAPE AND SIZE DO N07 ODRRESPOND WII'H TItE WFORMA170N PROVmID ON 1]flS Sf�l'. NOTE EIODITIONS, IONS, OR CORRECTIONS SHALL BE APPR VE BY THE PLANNIMG DIVISION I R 1 �� RC90CMCE � ��m aa �r--- �. ' � ; _ � a i� � RC9DEMQ R[90EN ygZ � �.:��oy �� -- � � a � unwm� w i v�:.. � r i:;�( :9 (� ;t C�1 �itlS I0J 2� dd 14f125 �ri�'VIY13110� �•�1Pj r r i K?d �.`,. ' 1 �dTd ^� :� sT.i l. i(i i"••. .•• ^ -� :�'I3+�r.^.5 �:: ti6::�l� rn�. 7�.19?:;?lF.Y.^7"� t'';AISi� T R SIA c • so�m w,U.u�r��s ae�w�.r z��• � s w rmcrrrsrui..i. BE SETBAIX AT LFASf 10' FROM FROM PROPFR7Y LINE. • gp1ID WALIS/FFNQ�S SHALL NOrC SIC�D 2' 6' IN F�IGHT WRFIQJ 10 OF i}{E FRONf PROPFRTY IAIE (NOT CURB IAIE�. • VERIFY D67ANCE tROM NRB 1'O PROPERIY LINE AND 910W ON PLAN. VERQ�7G170N FROM hiE QIYS FNGQJEHtA1G DlYSION 6 REQUIRED. GI�. (71I) 754534i I�R INPORMATION. C'voi- av 2iz �APPRO� cirr oF cosTa - - --�t�rr� � .Nl ' Y/' � - -/�J S � G� �'i � . RC40ENQ � V,TREET ;.� %,, „ ✓ , �r� �� . i,t ti �4ni E�.ri�'Frr::4ir�ratv�d�lji,`ff11i1 %r<1J7��i"�U��rr i '� � .(1r��':8^•COAtIQ�Of$121@V1W. is i s�{li' qi4�i-t � .�S,e;i .��i'� r, �:�,.�.�.�.ryil,1+�1�16i7111¢1iy�Cf ��;;:';s;�:';':.";,�,,..�.5, BLOCK��WA�L�,;LAYO�� FOR BUILDING PERMIT PLANNING DIVISION 'D � fi�� __.rF. ,3 TYPICAL ; Cemenl Cuping OP��a�al_ Channel Bbck Wi�h i-3/8�,� Hariiontal Top oi all y Fences For. Fence� 5' or Less ven. ears a/s"¢ a� a' _o'� o.cr! For Fences Higher Than 5' ��J �y Ven. Ban 3/8"Q at 32" O.C`..� " Fill Cells Solid Wi�h Groui �� ; WnereSteelOccu�s � Rnolorcing $leel $hall , Cunlorm to Sec.A�15�39 - i . A.S.7.M. t � All $leelto be LaPPed 24" or to Codc � NATURALGRADE TWO7/B"OBAR$ � CONTINUOUS TOP 6 BOTYOM . y �'- HOQIZSTEEL MUST BE TIED IN � PLnCE AT TIME OF TNENCH r INSPECTION. a 0 a x 4 F a> Y W R I > z a 3 '� W O u '- Z w n � N �KIDTH ' SEE LMt BEIOW 6�� CONCRETE BLOCK FENCE -�- FOOTING REDUIREMENTS CHART WIDTH 14. iHICKNE$S ' ' . 10�� DEPiH OF EARTHTOOTH ,'24� SPACING OF EARTHTOOTH 12' 14 10" 20" 14' BUILDING DIVISION 9" 16" 16' GENERAL- NOTES MORTAR; p�e Part Plastic Cement, and TAree Parts Sond GROUT; One Part Cement Tlvee ana One Hol/ Ports S�and COP�NG: One Part Cement, Tnree POffS $O�d C�vCRETE: Weil M�aed 1:2-I/2:3-V2 Ma� of 7- I/2 Gol;ans ot Water Per Sack of Cement GROUT MAV BE POUREO FROM THE TOV OF 7HE FENCE IN CELLS WHERE STEEL OCCURS. CEL�S nN0 AREASOF HORIZONTAL REIN FORCEMENT SHALL BE CLE11R, CLEAN b FREE OF ALL N10RTI1P DEBR15, ETC. 11 L� C4NTMTCOTH VJ hiE NEiGTM 0< <ENCE �LOW BOTTOM 0< <OGTiNG SCALE: I/2��= 1' I2 8" 12" i6' • 12549 COSTA MESA BUILDING-SAFEN DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT BUILDING�`� C/�We� �� ADDRE55 J r C05TA MESA. CAUFORNIA F/owe�- %'%C sa e�- - t�u. ��ar FEE RECEIVED �- ��(-�v FlIYANCrE DEPT. v �' �lAPPLICATfON �PERMIT BUILDING For Office Use Only • HECEIPT NO. / P[g _/ If - _- - � COSTA MESA, CALIFORNIA FIRE ZONE TVPE' GROUP BYPROVED �1 . 'OATE� I � !�'� � v> ,. "Zb ING ' ZONE / I NO. OF USE OF NEW VLAN9 BUILDING . LEOAL ..: � � � _ /� �.. _ � . _ . / SIZE �O � � / / � � � I NO. OP 0LDG8. ^ . '� OF LOT � NOW ON LOT G• A p N� : E)(ISTING BLDG. �e/%�� Q� e pppROVED BCTBACK LINE FROM � [—n ICHNTBP LIN CENTeH OF sTite5T SO ± REAR YARD �7C � FRONT SIDE YARD I LEFY �' I RIGHT /�' R. SIDE DESCRIPTION OF WORK — �-�s�i— EVES ALLO � � FT FT. /,�• •�l FT. f �-.� BUILDING NO. OF �J'/�/ SIZE ROOMS STORIES EXTERIOR WALL�CCO ROOF �M S�i> / COVERING COVERING G USE OF BUILDING /�ND WORK TO BE PERFO MED �� J�wm//;.� . od ,'�; oh Q s .J�� w.; ., 1 H¢R¢BY ACKNOWI-8��8 TMAT 1 X�V6 P6AD TH�9 MPLIGTION ANO 9TATE THAT TNB ABOVB IB CORP6CT AND A6REE TO COM- TXE AMOIINT BHOWN IINDER VALUATION �8 FOR THE PURP09E OP E8TABLIBHING /. PERMIT FEE ONLY. PLY WITH ALL CIN ONOINANCEB AND BTATE LAWB p6GULATINO eUuo�No CONeTRU �ox. VALUATION �} � � SIGNATURE OF A PERMIT FEE $ y(/�. PERMITTE ////// ///;;; ///'''��/ � ��, � e $ �( % //J (/ PLAN CHECK $ AUTHORIZED AGENT v/��' , TOTAL FEE �� 4 � ; i sa COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 817 COfffA MEBA. CALIFORNIA For Applieant fo Fill In Complefe►y TYPE OR PRINT BUILDING �SS /"/Dl✓� �` S� ADDRESS COSTA MESA. CALIFORNIA OWNER Fa�.-c/ P� I a7`'a e MAIL �� /OWC/' Sf ADORFSF ul�i C� OF LOT �� K �2 � ` USE OF hw`// � � < EXISTING BLDG. �� SfiTBACK LINfi FROM F� ��CE��'�� fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMiT BUILDING For Offiee Use Only RECE�PT NO. pFJ[MIT NO. BY DATE RECEIYED DATE �- %/�-/$'�c �/-/, �.5 � .��z� � COSTA MESA. CALIFORNIA Z�X NO. OF U86 OF NEW r_ PIANe � BOILOING LEGAL 9 "� /�` // DEBCRIPTION I II� [i. % ti� NO. OP BIDG6. � � NOW ON LOT q, p, NO. � �Q �4 @ YARDS EVES APPROVED ALLOWE 10ENTeR Llxe er.) � � I LEFT �� 6 I RIGHT /� DESCRIPTION OF WORK APPROVED BUILDING�a x O g NO. OF SIZE �� ROOMS / STORI EXTERIOR WALL 5'�(V��.pIROOF /� COVERING COVERING�r �' USE OF BUILDING AND WORK TO BE PERPORMED /)'e w� q¢ i-a g�— v"F 7a �!, y � " i HEREBV ACKNOWL¢OGE THAT 1 HAVE REAO TH18 APPLIWTION THE M OUNT BHOWN UNDER VALUATION 18 ROR THE AND STATE THAT THE ABOVE IS CORRECT AND AaREE TO COM- pURP08E OF E6iABL18HING A PERMIT FE¢ ONLY. PLY WITN pLL Cltt OItDINANCE6 ANU 8TAT8 LAWB REGULATIN6 BUILOING CONBTRUCTION. VALUA710N SIGNATURE OF �R u��, PERM17 FEE $ .%/[. AUTHOR ZED AGENT��yf�� ' ��O1 � O PLAN CHECK $ ry. S� i 7 .-- �. � C O LL