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Home My WebLink About364 GENOA LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite: Vicinity: Primary Occ: Parcel Number: 364 GENOA LN ROOF R3 TPN00577 Type of Construction: V-N Zoning: Slatus: ISSUED Applied: 10/10/2005 Issued: 10/10/2005 Applicant: SIMMONS, DEBORAH Address: 9582 HAMILTON � / �� STE 281 �' 'Phbne� 714-960-8329 ISSUED BY: N`" / HUTINGTON BEACH CA��'�- � � � � � � . "� � Zip '�� 92646 R0840718 �� "':'' "' ,.. w �-. M�. _. owner: BACK BAY GARDENS �� =+� Address 364GENOA_LANE ' - . sc . � ` Phone `' COSTA MESA, CA 2� ` _ <� Zip.� 92627 '` � � „ � a:- - . ..... . ��:r . ,. , .,: E `� , ' _ , .. Contractor ,�,HIRSCHMAN; RP & SONS INC � � �,� , � Address. -��9582 HAMILTON AVE,� , . ' � � SUITE 28� " � Phone: 714-960-8329 HUNTINGTONBEACH,CA �N YL�� Zip:,� 92648%'�'. - 'Arch . Address: i � �' .,. Z�P''� - . Phone: License: , � a License: 781923 En9: Address: �� .' i, f"" ��- , � ',.Phone: �:��. - � �� y,-� licen� . SCOPE OF PERMIT � ` � �..=�� ,; � - Yt.. T/O EXISISTING ROCK ROOF,AND INSTALL NEW 4 PLY BUILT UP ROOF SYSTEM ON CONDO UNITS 364 370 GE APPROX 70 S�UARES. �. � ` ` � ° ��- FEE SUMMARY f. ` �, "�� Plan Check �$O OOr�' ,�^ . Calc Valu Sn,`s�s.00` ; Permit ��! ��$293 25 , - � " �� -� Claim V � $n,s�e.00: E SMIF�Res = � �$1 77 <- i�, SMIPCom. `�$O.00.r�� , . "x� �ThBf r o. $� D�u. .� ,_ . s.�.._,, r � ' Inspection Q $000" �� ;�, j'� " , � h.: �Total �_=S295A2 _ �. ` � PLANNING & ZONING SETBACKS * :° ,� r� ;� � , MAINSTRUCTURE�Front 0,'0 Rear 0-0 �� Left?� 0 0 x-= � Right '0-0- � - .._.-_ ,; , °- . ,y� . _ .� ACCESSORY Front 0-�0�-r� r �Rear ,0;0"`� �.LeR. 0 0 ` ;"' Right .. �0.0 .. " , , .- ` - ,�, r ... �_. ,,- . R Q > PARKING ��xistin . � 0 Re uved 0 Pr000sed 0�:' "' ,�a ° . �.�. �� -� � �,� = •h� y._, .. a-. _ H- s.. ' p,r _ _. ., _ , �� . rr � � �� .- The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related ;. (Ord. No. 92-28, § 1, 12-21-92) )N: This permit shall automatically expire end become void if work is not commenced within 780 days, or if work is suspended or abandoned '� of 180 days. ' INS: In order for the work authorized under this permit to be eonsidered legal, such work must comply with all applicable codes, and all spections and llnel approval must be obtained. Failure to obtain inspections and flnal approval will result in the expiration of this�permit. CTIONS CALL: (714) 7545826 � WORKERS'COMPENSAnON DECLARAnON: _ � . . I �ereby efflrtn under penalty oi perjury one of the following declaretions• � �. . j� � � � ❑ I have end wlll maintain e certificate of consent to sel4lnsure for workers' compensation, as provitletl tor by section 3700 of the Labor Code, tor the peAortnence ot the w rk for whiCh this pertnil is is5ued. �� I have antl will maintain workers' compensation insurance, as requiretl by sectlon 3700 of ��e Lebor Cotle, tor Ne pedortnance oi the xrork br which this pertnit Is issued. My workeyrs' w,m��pe sati�^ suran ca�rri�r �nd policy number ere: /� !� / �� Cam.er:: -�,�Y� �/�/V�ti PoliSy,NuiDbg¢"r�•�D�C�S �J ' fTMs section neednot be comp/eted iLfhe pertmNs valued ef one hundred dollars ($100) or less.) _ . , , . ❑ I certity that In the peAormance of Ihe work br which ihis pertnit is issued, I shall not employ eny pereon iri any manner so as to become subject to the workers' ' compensation laws ot Califomia, antl ag�uld become suDjAct to t�e orkers' compensatlon provisions of Section 3700 of t�a Lebor Code. I shell forthwith compty with Ihese pr'o/v%�ions. l� ignatura: y3,V p� �� :.....,, ��/�=! WARNINO: FAILUPE TO SECURE WORKERS' GYkAPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EM Oi'ER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED hKK1SAND OOLLARE (5100,0OO�.IN AODITION TO THE COST OF WMPENSATION, DNMGES AS PROVIDED FOR IN SECTION 3lOfi OF THE IABOR CAOE, INrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aHirm �hat I am licerh�tl�[�e�rRvisi�s of Chapier 9(commencing witfi Section 7000) ot Division 3 of the Business anf�ProJryssjops Code, end my license Is in lull CONSTRUC710N LENDING AGENLV: ❑ I hereby affirtn that Ihere is a consWction lending agency for the performance of the work for which Ihis partnit is issued (Sec. 3097, Civil Code). Lentlers Name: Lentlefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penalry of perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sac. 7031.5, Business end Professlons Cotle: Any ciry or counry which reduires e permit to construct, alter, improve, tlemolish, or repair any structure, prior to iis issuance, elso requlres the epplicant tor such permil to fle e signed stetement that he or she Is Iicensed pursuent to the provisions of ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) of DlWsion 3 of the Business and Professions Gotle) or that he or she is exempt therefrom and the 6asis tor Ihe ellegetl ezemptlon. Any violation ot Section 7037.5 by eny epplicant for e parmit subject5 the applicant to e civil penalry of noI more than tive hundred dollers ($500).): ❑ I, es owner ol the property, or my employees with wages as their sole compensation, WILL DO THE WORK, end the structure is not intentletl or otteretl for sale (Sec. 7044, Business antl Professions Cotle: The Cont2dors License Law tloes not apply to an owner oi property who builds or improves thereon, and who tloes such work himself or herself or Ihrough his or her own employees, provided ihat such improvements ere not intentled or oRered far sale. If, however, tha building or imp�ovement Is sold within one year ol completion, ihe owner-builder will have Ihe burden of proving ihat he or she did not builtl or improve for purpose of sele.). • ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct t�e pmject (Sac. 7044, Business end Professions Code: The coniraaors License Ww does nm apply to an owner of pmperty who bulltls or Impmves Ihereon, end wha cantracts lor such pro�ea wlth e contrector(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code tor Ihis reason: Signature: Date: Owner ID venfied:try`,drivels license. ❑ Yes ❑ No Dnvers Licensa Na. Expires: Venficatlon of Ownle�rs�hjp by (rype of documem, i.e. - pmperry te�c bill or deed): aa.wcs v DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: +e ❑ I �ereDy certify that no �excavation tive (5) or more feei in Cepih into which a parson is requirad to descend, will be metle in connection with work euthorized by Ihis permit, and �hat no building swcWre, scaHdding, falsework, or demolition or dismamling Ihereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec 341, 7tle e, Celitornia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit imm ihe Division ol Industriel Safery, es noted ebove, unless such person hes �� pertnit to tlo such work; rom Ihe 8ivision. Signature: Division of Industnal Sefery Permit Date: HAZARDOUS MATERIALS AND EMISSIONS'.CER7IFICATION: 7 Will the applicant or present or tuture bulldng occupant need to file end cenity a Business Plan for emergency response to release or ihreatened releese of a hazerda matedal7 ❑ Yes ❑ No '�� (Section 25505 of the Celifomia Healih and Sefery Cotle requires, with some exceptions, thet a 8usiness Plan be tiled with Ihe Costa Mese Fire Depariment by ev business which has at any one time during a reportetl year a Quantiry oi haiartlous matenals equal to or greater then a weight ot 500 pounds, or e volume oi 55 gello or 200 cubic fee� ot wmpressed gas at stantlartl temperature antl pressure). ......................._......._._........................................................_................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or future builtling occupent neetl to fila a registration form for ecutely hazardous materials9 ❑ Yes ❑ No (Section 25533 of the Califomia Health end Safery Gode, with some exceptions, requires regishation wlth ihe Caste Mesa Fire Depertment by each business w�ic� et one time has on hantl a quantiry of acutaly hazertlous meterials equal to or greater than e weight oi 500 pounds, or e volume oi 55 gellons, or 200 cubic fe� compressed ges et standard tempereture end pressure). ..._...._._....__ ......................................................__............................................................................................_.......................................................................................__.............................................................................._............ 3 Does or will Ihe apD�icant or present or tuWre 6uilding occupam need to prepare an RMPP (Risk Management end Prevention Progrem for acutely hazaMous matena ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safery Code pmvides that the Costa Mesa Fire Department may require the preparetion, certiticetion end tiling with ih¢ Depertment of an RMPP by Dusinesses which ere required to register acutely hazertlous mate�ials with the Fire Depertment. 7 B u an HMYY �s presently requirea, nas SeCuon 255:i4 ot Ine Galnomla Healtn ena Setary coEe Deen fulry complle ...._......_............_ .............................................................................................................................................................................................................. DOes or will Ihe appliraN or present or tuWre bulltling occupant require for ihe work whlch is Ihe subject o� t�ls from lhe Soulh Coast Air �uality Management District or trom eny ot�er air polWtion control di5�nct or egencyt (Section 658502 ot the Celifomia Governmenl Cotle require5lha� �he reques�etl intormation ba furnishetl on ap{ _....._..._ ....................................................................._.._..._.........................................................................._...._._...._..._.................................................. Will any part ot Ihe faciliry to be cansWctetl under this permit be within 7000 teet from the outar bountlanes of a (II yes", the faciliry must meet tha requiremem of Sectlons 25534 antl 42303 ot the Califomia Healt� antl Satery CER7IFICATE OF P regartling Hazardous Signature: oi oismc� or egency a2303 �een made? No OO 8 PBfrtlli IOf SOCfI COfISWCIIOp 0� �J No for nomresitlentiel builtling parmits). _______._ ..... NO ance trom the eppropnate eir polWtion wntml oHicer). I certiy that untler penalry of perjury the iniortna�ion given above is correct. I egree to comply with all steie laws antl ciry ord Emissions. Date: CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENTAV: 1 certify under penalry of perjury that I have read Ihis epplicetion end stete thet the informatlon cnrrecL I egree to comply wit� ell state laws end ciry ordinences relating to hullding construction, entl authodze represemetives oi the Ciry of Caste Mese to enter above-descnbed properry for inspection purpases. 1 agree not to occupy or allow occupancy oi eny Duiltlinq authorized by this pertnit un�il final inspectlon. CODE t. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roo1 201 Final Block/Retaining W ell . 202 Final Factory Fire Place � 203 Final Sign 204 FinalDemolition� • - �' COOE� INSPECTIONTYPE 206 Finel Mechenicel 20B Final Plumbing 210 Final Electrital 212 . Finel Fire Preventlon 220 ' Final Planning Approval 222 FInelSite , - 250 - Finel BuiltlinglOccupancy � PAiE �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DFIVE, COSTA MESA, CA 92626 JobAddress: 364 GENOA LN Suite: Vicinity: Parce� Number. 43914239 Applicant: HABSEN,DUKE Address: 260 E. ALTON AVE SANTA ANA, CA owner: BACK BAY HOA Address Contractor. ROSS & BARROWS INC. Address: 260 E. ALTON AVE SANTA ANA, CA Zip: 92707 Arch : Address: :'�' Zoning: • ISSUED BY: Phone: (714)557-7440 Zip: 92707 Phone: 949-498-1129 Zip: Phone: (714)557-7440 � License: 327802 Eng: Address: Phone: License: Status: ISSUED Applied: O6/26/2001 Issued: O6/26/2001 Phone: License: - SCOPE OF PERMIT TEAR OFF BUR , INSTALL NEW FOUR PLY AND BUR AT THE GARAGE. TO INCLUDE UNIT 366 GENOA. , FEE SUMMARY Plan Check: $0.00 Permit: $83.25 SMIP Res: $0:50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Caic Valuation: Claim Valuation: r Total: $83J5 � � . � ` ;� �, PLANNING & ZONING > � %,,` " � ' � SETBACKS, •� � � � _ � �:, � ; MAIN STRUCTURE-Front 0- 0, �_ _ Rear 0- 0 Left 0- 0" '� Right �� 0- 0,� , ACCESSORY Front . 0. 0 ' Rear 0- 0 Left 0- 0 '�� Right �- /� 0- 0, PARKING Existinq: 0� Required: ,0 Proaosed: 0 � NOTES: $2,050.00 $2,050.00 �E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related �tions. (Ord. No. 92-28. § 1, 12-21-92) IATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or it work is suspended or abandoned eriod of 180 days. 'C7IONS: In order ror the work authorized untler this permit to be considered legal, such work must comply with all applicable codes, and all 9d Inspectlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. ISPECTIONS CALL: (774) 754-5626 voo) WORKERS'COMPENSAnON UECLARArON: � I hereby aHirtn under penalry of perjury one of the following Oeclarations: ❑ I heve and will maintain a certificate ot consent to setl-Insure tor workers' wmpensetion, as pmvitlatl for hy section 3700 of t�e Labor Cotle, tor the pertormance oi the l,..,!waj tar which ihis permlt is issuetl. W�i�liave entl will maintain workars' compensation insurance, as required by section 3700 of Ne Lebor Cotle, for the peAormance of t�e work br which this pertnit is issued. �� rkers' wmpansatian Insurance carngr,�d policy number are: �— �—� — O' ��O Cartier.: - S�� :i`� �� > PolicyNu� mber.� � ,(fhis section needndf be comp/eted Athe p��ued at ane hundred ddlars ($f 00) or /essJ ❑ I certity ihat in t�e pedormanca of the work tor whic� tMs Dertnit is issueQ I shall not employ eny person in eny manner so es to become subject b t�e workere' compensation laws alifomla, and egree Ihet it I should becoma sublect to the workers' compensatlon provisions ot Section 3700 ot the Lebor Code, I shall forthwith �mplyw�.ihers� o sions. / 'ApplicenCSigneture: �� , �� . Dale: — TZ G' 8� W�RNINO: FAILURE TO SECURE WORKERS' WMPENSATION WVEMGE IS UNLAWFUL PND SHALL SUBJECT AN EMPIOYER TO CRIMINAL PENALTIES AND GVII FlNES UP TOONE HUNDRED TLKK15rW 0 �OLJ.ARE (5100,000). IN ADDRION TO THE COST Of COMPENSATION, DFMNGES AS PROVI�ED FOH IN SEGTION 3]O6 OF THE LABOR CAOE, IMEPEST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby e%irtn thaPl em�.L`censed und r ovi f force and effect�L�c M --?i,�.� �D � o� hapter 9(commencing with Section 7000) ot Division 3 ofC t�� a�ssions,G�pde_an� my license is in full � �� rr Date:--�Z �---�1� CONSTFiUC710N LENDING AGENCY: ❑ I hereby attirtn that there is a consiruction lending aqency for ihe OeAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Address: Signeture: Date: OWNER•BUILDER DECLARATONS: - I hereby aHirm that untler penelry ot perjury Ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business entl Pmtessions Code: Any Ury or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuence, elso raquires the epplicant tor such permit to file e signetl stetement thet he or she is Iicensed pursuant to Ihe D�ovisions ot ihe Contrectors License Lew (ChaD�er 9(commencing with Section 7000) of Divlsion 3 oi t�e Business end Prolessions Code) or Ihat he or she is exempt therefrom antl ihe basis tor the alleged exemption. Any violation of Section 7031.5 by eny epplicant lor e permit subjects the appliwnt to a civll penalry of not more than five hundred tlollars ($500).): � I, es owner ol Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and tha swcWre Is not intentletl or oMeretl for sale (Sec. 7044, Business and Professions Cotle: The Contraciors License Law tices not apply to an owner of property who builds or improves thereon, and who tloes such work himself or herself or ihmugh his or her ov.•n employees, providetl that such impmvements era not intended or oHerad for sele. It, however, �ha building or improvement is sold within one year oi completion, the owner-builder will have the burden ot Droving ihat ha or she tlid not build or improve for purposa ot sale.). ❑.I, as owner of the properry, em E%CLUSIVELY CONTRAGTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions Code: The contrectors License Law does nat apply to en owner ol pmpeny who builtls or improves ihereon, end who coniracts tor such proJem with e contrector(s) license pursuant to the Cantractors license Laws.). ❑ I em e:empt under sec. Business and Professions Code for lhis reason: SignaNre: Date: Owner ID verified by tlrivets license. ❑ Ves ❑ No Drivers Ucense No. Expiras: Venficatlon of Ownership by (rype of Cocument, i.e. - property ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihat no exwvetlon five (5) or more feet in depih into which e pereon is required to descend, will be matle in connection wilh work aut�orized by �hls permit, and �hat no building structure, sceHoltling, talsework, or demolition or dismantling Ihereoi, will be more than ihirty-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Californie Adminisirative Code). ❑ As ownervbuiltler, I will not employ enyone to do work which would require a permit irom ihe Division of Industnel Setety, es noted ebove, unless such person has e permit to da such work irom ihe division. Signawre: Division o1 Industrial Satery Permit Number: Date: Will the applicant or present or future building occupent need to file end certify a Business Plen tor emergency response to release or Ihreatenetl releese of a hazerdou: matenal7 ❑ Ves ❑ No (Seciion 25505 of Ihe Califomia Healih and Safery Code requires, with some ezceptions, tha� a Business Plan ba liletl with the Coste Mesa Fire Depanment hy ever busineu which has at any one time tlunng a reported year a quanti�y oi hazardous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons uoes or wm me appucam or presem or mture ounaing occupani neea to tne a registretion mrtn �or acutely nezartlous meteriels7 lJ Yes ❑ No (Section 25533 of Ihe Calilomia Healih antl Safety Code, with some e:ceptions, requires registration with Ihe Costa Mese Fire Deperiment by each business which et en one tima has on hantl e quamiry oi ewiely haeartlous metenels equal to or greater than e weight of 500 pounds, or e volume of 55 gellons, or 200 cubic feet i compressetl gas at standard tempereWre and pressure). ..........................................................._..................._....................................................................................................................................................................................................................................................................................... Does or will the ePpliwnt or present or Future buildinq acupant need to prepare an RMPP (Risk Management and Prevemion Program for ecutely hazardous materials)' (Section 25534 of Ihe California Health and Satery Code provides ihat ihe Costa Mesa Fire Department may require Ihe preparetion, canification and tiling with the Fi DepeRmeni oi an RMPP by businesses which are requiretl to register acutely hazardous matenals with ihe Fire Department. ............_.........._........_ ............................................................................................................................................_.............................................................................................................................. ............................................................. a If an RMPP is presently required, has Section 25534 of iha Californie Health antl Safery Code been tully complietl with7 ❑ Ves ❑ No ..................__..............................................................,................................................................................................................................................................................................................ 5 Does or will the applicam or present or fumre builtling xcupant reqwre for tha work whic� is ihe subject of ihis a,pplication a permit for such constmction or moditicati from the South Coast Air �ualiry Manegement DisMct or fwm eny other air polWtion control tlisinct or egeno/7 �J Yes �.J No (Section 658502 oi the Califomia Govemment Code requires ihat ihe requested informa�ion be fumishetl on applications lor nornresidentiel Ouildina oermi�a�. a any part or me iacniry co oe cc es", the faciliry must meet the have all ot the di5clasures ..............................................................._.......................................................................................................................................... 1er �his pertnit be wi�hin 1000 te6t from Ihe ou�ar bountlanes of e school? ❑ Ves ❑ Nc ot Sections 25534 and 42303 of the Celifomia Health and Safety Cotle). . ..................................................._...............__........................................................................................... danagement District or ot�er air polWtion control district or egency i5 required for ihe work 3d 6v Catifornia Health and SafeN Cotle Sectlon 42303 been matle7 ❑ Yes fl No CEFiTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the iniormation qiven abova is correct. I agree Io comply with all state laws and ciry ortlinan regarGing Hazartlous Matenals and Emissions. Signature: Date: CERTIFlCATE OF COMPLIANCE AND AU7TfORVATION OF ENTRV: I certify under penalry of perjury that 1 have read this application antl state that the infortnetion giv� correct. I agree to comply with all state laws and city ortlinances relating �o building construction, entl authonze representatives ot ihe Ciry of Costa Mese to enter upa ebove-described property for inspection purposes. I aqree not to occupy or allow occupancy of any building euthorized by this permi� un�il tinal inspection. CODE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1286 Pool Spa Finel 200 Flnel Re-Rooi 201 Flnal Block/Retaining wall 202 Final Fectory Flre Place 203 Finel Sign 204 Finel Demolition � ��7J1�1:111141�, CODE I INSPECTION TVPE 206 Final Mechenical 20B Final Plumbing 210 Final Elecincal 212 220 222 250 Final Fire Prevention Final Planning Approval Final Site Final BuildinyOccupency � '-0� 1� ' . ! 9684 COSTA MESA BUIIDING-SAFE(Y DEPARTMENT P. O. BO% 81] C08TA M66A� CA�IFORNIA For Applicant �o Fill /n Completely TYP� OR PRINT ILOIN6 �� n -�� DRESS hw� COSTA M�SA. CALIFORNIA c�rv Anaheim Calif No`PR 2802 ORENGIN ER H87. C� Tan No��1-281 AD�RE33 4100 West� Commonwealth CONTRAGTOR ame � AOORESB � SaIRe CITY .53R1E � LIC,TNO. 1S��ZSO"'�8�1 No' PR 28020 S'zE 33 x 53�SO HO.OPBLDOB. � OF LOT � Now on �oi � qM GO�.SO � REAR EFT ~ I RIGHT DESCRIPTION OF WORK 33x53. $0 "o. oF g .<�F9�I Model 32 G I HEREBY ACKNOWLEOOQ TryAT 1 XAV6 qEAD THIB APPL�CwTION ANO STATE THAT TH8 ABOYl, I➢ CONHECT RNO AGR¢i TO COM. PLY WITH ALL CITY OHDINI�NCED ANO 9TAT6 LAWB N80ULATING BOILOINQ CON9TRVO�CTION. n ^ SIGNATUREOF�,y��C11�4 �u�•(�•C�.. PERMITTE a-�.2 �' �.� �tl �� AUTHORIZED A�� .C(�� FEE RECEIVED ��H s ►� � �INANCE DEPTS CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only I' R[C[RT NO: I R 9Y 0 I65UE0 1963 ZONING Z � NO. 01 I UeC OP N8 runa ' em�o� a I D68CRIPl10N Lot 100= Tract 34 3 A.P.NO.� NOTE: NO EAVH OV ERHAN6 SHALL BE LESS THAN 90' TO SIDH @ REAR P. L. EAVES ALLOWED <U.B,C.REqUIREMENT; YARDSAPPROVED YARDSAPPROVEO MAIN BUILDING ACCESSORY BUILDINR (FROM C/ � �EET) ve��r k R V AR. $C DATE APPROVED OATE 5��—b 1558 so. Fr..l� �i4� Q � THE AMOUNT SH IINOER VALIIATION IB POR TXE PUflP096 OF E ABLI6NIN0 A PERMIT FEE ONLY. VAWATION �� /a,�� PERMITFEE $ /"� S PLAN CHECK S �� DOYLE & SHiELDS Develomnent Co..2nc. DATE GENERAL CONTRACTOR �le.& S hieldS Dev.CO.,Inc. VALUE $ 16,_790.00 AP No ' LOT 100 TRACT 34�i� FIRE ZONE DESCRIPTION OF WORK INSPECTIONS . � Sienature I DATE � GROUP IR� T TYPE V ZON � . a-1nrn FnR APPCT�i SUBCONTI2.ACTOR �� r��i:��vcan�o�a �v