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Home My WebLink About3005 GARFIELD AVE - Building Permits�/Q � Q O�— I' r.� eirY „(t�TA MESA CONSpTy-RUCTION PERMIT Pro^�'c'�tAr,j�.'.%yss �� «^-r��-�% A�F_ !e ' Ap'.�resilailingAddreu Sd-v1P dS A�g�/� Applicant to fill in all spaces except those witFin heavy Gortler lines antl Si9n all apOropriate Eeclatations. PESMIT, NO. Tji9CT J�01 LOT�,j�VO. UNIT NO. Address Arch/Eng. License No. Address - Convactor's Nam ' Phone 63 -� 26�7 Addresslmailing��Z4� MAA/4[��Q 4% l'�ditp$}�/ GEAVG City �icense No. LICENSED CONTRAGTOR DECLARATION 1 hereDy affirm that I am licensetl untler provisions ot CM1arter 9(comTCncinq wiro section 7000� of Division 3' of; the Business antl Professlons Cotle, antl my license Is In full force antl effect. � . Licanse lass ' lic nse No._�e_ Date� SI9 t �' WORK RS' COMPENSATION DECLARATION '�hereby affirm that 1 have a certificate of consent to self-insure or a certiticate ! Workers' Compensation Insurance, or a certifietl copy [heroof (Section ,800, lab. C.) - Policy No. Company �¢r[iti¢tl copy i5 heRby turnished. , � Certi i co f'letl with the citY ��'^ ^^ nJ 'nn A �� Date— - Applican[ �-"---r�� . EXEMVT ON F OM WORKERS' COMPENSATION DECLARATION (ThiS Settion neetl nol bc <Ompletetl if the 0¢rmit i5 to/ One huntl�etl (5100) or less). � I cerlify that in the performdnce of the work to� which fhis perm�t is i55uetl, I Shall not employ any petson in any manner so as to�ecome SubjeRtTBthe Wo�ke�5'�o_�nPen'yrtJ.(�LawSof�Califor� \ oate �- ' Ld � Y i Si9nature _ NOTICE. If, after�makin9 thi5 tlecla�ation, you shoultl becOme 5ubjeCt to the Work¢rs' Compensalion provisions o( the Labor Cotle, you musl forthwitb comply with Such provisions m[M1IS pe�mlt shall be tle¢mCtl revoketl. CONSTRUCTION LENDING AGENCV I hereby afflrm that there i5 a mnstructlon lentling agenty tOr the potfo�mance of the work far whlch this �e�mQ�it� Jssuetl. (Sec[ion 309� CW. C.) Lentler•s Name J b Lentler's AGtlress OWNER BUILDER DECIARP.TION I hereby affirm that I am exempt trom the Contracror'S License �aw for tne followin9 reason (Section �031.5 Businezs antl Pro(essional COGo: Any tlty or mu�ty wblch r¢quires a perTit lo wnst�uct, alter, improve, tlemolish o� rtpair any structure, prior to Its issuance, also requires the applicant for suth permit �, to file d Si9nCtl Statement that he/sne Is licensetl pursuant f0 the provisions o/ '� the Concra<tor's License law (ChaOter 9_(mmmencin9 with Section 7000) of �� OiviSiOn 3 of tne 6u5ine55 antl Profe55ians COCe) or that ne/Sh¢ i5 exempt �erefrom antl tne ba5i5 tor the alle9etl exemption. Any vlolatlon of Section J31.5 by any apP��ant tor a permit subjects tha applicant to a civil �ndlty of nol mom lhan five hvntl�etl tloila�s (5500). as owner ol the prope�ty o� my emo�oYees with wage5 as thel� Sole compen5ation, will Uo the work, antl tne structule is not intentleU of otf¢retl fo� Sale (Sottion 7044, Busine55 antl Professional Cotle: Tha Contractor's License 12w tloes nOt apO�Y �o nn owne� o( d property wno builtl5 Or Improves thereon, antl who tloes sucn work himsel(/herself or tnrough his or ner own eTPIOy¢¢5, prOvitletl [hat such improvements a�e not Intentle0 or ofi¢red fo� Sale. If, howeve�, the builtlin9 cr improvement is sOltl witM1in on0 y2a� of cOm- pletion, the owner will have the buraen of proving he/she tlitl not builtl or im- �ove tor the pur0ose of saleJ. LI I, as owner ot lhe property, am exclusively mntractin9 with Iicensetl con- IldCIOlS IO CO05[(UCl LIIE PfO�BC[ (S2CLIOO 1064. BOSIOE55 dOG PlOIC5510f15 COtlC: The Contractor's License l. w does not apply to an owner of property who builtls or imD�oves tnereon, antl who contracts Po� zuch p�ojects with a con- fracto��s license Oursuanl [o [he Cont�a[tor4 Licanse law). I am dware tnat proof o� thoir WOrker'S Compensafion insu�anGe shoultl bo prOvltletl to me. ❑ 1 am eaempt untler Section B. & P. C. lor this reason Date S Owner I hereby certify that I have rea0 this application antl state that the above information is correct. I agree ro comply with all city and coun[y ortlinances antl ztate laws relating to building constru<tion, antl hereby authorize repre- Sentatives Of thi5 citY to e te� upOn the above-mentioned P/ pq ertv �fo� inspectian p Signature � Date � .O/,� Drivers' License or 55 � '�� I TYPE OF CONSTRUCTION L..I NEW IJ ADD LJ ALTERATION LJ REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OTHER �DESCRI TION OF WORK/USE OF BLDG. GQ'-- ��--�'��-�� • �h�{^� �� 1-- TVPEOFPERMIT GRADI G FOUNDATION STRUCTURAI ❑ TENANT ❑ ELECTRICAL ❑ PIUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV CONSTRUCTIONTYPE VALUATION$ �—Zt �� ZONE GRADINGCU.YDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks � GasService Outlets Interceptors Kitchen Sink Lavamries P-Trap Roof Drains $howers Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Heater Water Service FEES Reinspection Fee I $15 � I . I�sue Fee I $ 3 Duct- UnderGrovnd Duct - Structural Duct - Ventilating Exhaust System ❑ Mulliple Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑ ai oo,000 eTu O i oo,000 Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑aioo,000eru ❑ioo,00asru System Repair/Alteretion Reinspection Fee I $75 � � Issue Fee I $ 3 CMF 0865-46, rev. 4/84 White - Builtlin9; Canary - ApP��ant: Pink - Accounting; GOltlenro0 - Assessor A.P. # S Main I E T Front B Rear A C Right K . _ Ping. Ref. # Planning Notes: Automatic Washer Construction PoleSub. Cooking Unic Dishwasher Dryers ❑Gas ❑Electric Fan F.A,U. Fixtures - Device Boxes Outlets Switches Garbage Disposal Generator O65 KW �5- � Reinspection Fee — DEVELOPMENTSER Zoning Approved By _ Building APProved 8y Application Issued By. �:953 7/2�/Bt: �.t�,!, t � Zane �'"' ory Building: , Z O _ �1 N I N _ ` ,1 G �, R Parking Req./Provided E � M T $. ELEC7RICAL Transformer ❑ 15-50'KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over700amps Sub Panel . �, . Motars OO-1 HP O.i'/=- 8 Inc Solar �9-15 HP �16-15+ Microwave � Pole Li9ht Rarige Standing Sections 75 KW Trash Compactor S75 luue Fee R EQUI REME NTS: FEES 3 3 SUMMARV 6F FEES O BUILDING PERMIT $ 3Z.� SMIP $ • S PLAN CHECK $ z�• � Z PERMIT PLUMBING $ ��UANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL § GRADING $ PLAN CHECK 50% $ MICROFILM $ �� 7 MECHANICAL $ TOTAL FEE $ =�L— PLAN CHECK 25% $ ,CONSTRUCTION AND PLANNING POOL .PA AAP VALS . Permit # Date Inspector p�ppROVALS Permit # Date Inspector .�i� n�iorary Electrical Service or Pole ' 52. Pool & Equipment Location � 4 � SoiIS'ipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Uhdrgrnd. 55. Electrical Bonding 5.� Steel Reinforcement � � z _ 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grncl. • . 57. APPROVAL TO COVER-GUNITE 7. Footings �� c� 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undfgrhd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural floor System . 61. APPROVAL TO DECK i i. P.roperty Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' � 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System - Final 14. Rough�Plumbing � 65. Electrical-Final 75. Rough Electrical-Conduit 66. Solar System-Final 16.�Rough Electric Wiring 67. Fencing & Access Approval 17;, Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe�Rough & Test 72, Underground Flush 24�. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: �"'- • /�x/ S 34. Final Heating & Air Conditioning a�� _ � 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 pomestic-Final 42. Backflow Preventer � 43. Backflow Irrigation . 44. Landscape Irrigation System ' � 45. Sound Attenuation _ 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING a o�gy d} 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY - No. � Date CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. At[ention Property Owner: An 'owner�builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provid.e.. �the major labor and materials for construction of the proposed property improvementI. � res ❑ No 2. I(have/have not) Adfn1''� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Na me " `." �v � "� Address 3 00 S' S City L877 f4 �'�C= $' �- � Phone (] ��-�1 ��" � —� �� Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name N� N t Address City Phone ( I Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired� the following persons to provide the work indicated: Name Address Phone Type of Work N I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance with this State law. Signed: �'�� Date:�� Name: i� lJ ��r �-fi O T-�j� (Printed or Typed) c.o.�. #o� s.s. # ��' , . � ,. • '` '� ' • ` i : i • " 7545273 ' CMF 3042-46 �`�� c l�� Building Dept, Costa Mesa, Calif. Re: 3005 Garfield Ave. C.M. 10/7/80 Dear Vic, The construction required to bring the existing room up to code has been done and conforms to the approved set of plans. Thank you for your cooperation. �" ` "Lee" Rodr' ez C.E� � L�`( CITY OF C05TA MESA CALIFORNIA 92826 P• O. BOX 1200 FROM THE OFFICE OF TNE DEVELOPMENT SERVICES DEPARTMENT/ BUILDING SAFETY DIVISION October 2, 1980 Mr. & Mrs. Charles Young 3005 Garfield Avenue Costa Mesa, California 92626 Re: Building Permit #50742 Letter of Compliance Dear Mr. & Mrs. Young: Based on Mr. Lee Rodriquez inspection, analysis, and conclusions regarding the condition of the room addition, we issue this letter of complidnce, subject to Mr. Rodriquez overseeing the repairs required in his report and his certification of completion, once accomplished. We will expect that certification report by lO.October 1980 in that Mr. Rodriquez states the repairs will be accomplished by 6 October 1980, Respectfully, ��C�; Victor C. Newton Director - Building Division VCN:nh 77 FAIR DRIVE (714) 7545273 `PPLICATION FOR A BUILDING PE�-'IT BUILDING PERMIT NO. Eiactriwi y Tract �� Block of'� Pormit No. � 6 Plumbing , � BuilEing . / � Ce�mlt No. � Atltlress O Q s �±L ` Cr055 A • `l � � Machanical a Area ��0.� Street A 1 f�` Pormit No. � Owner d. Typa of Project: New ❑ Alter ❑ Atltlition � I Atltlrass O D s a� • Repalr ❑ Convert ❑ Demo ❑ OGcupancy Pmt. Ci[Y ��. • L P�� Ph�e�� 7 .P. $up. DiSt./ Insp. Area Architect/ ne $PI. Pmt. NO. Dezigner Llcanse No. Setbacks L Fronl C/L SL SVeet Witlth Atltlres5 Vartls Le 9�� ear City Zlp Phone ave ro�, g . . r Engineer License No. C a�k n9 Spates equ re ravi e overe p, Atltlress m Struct No. ot Na. of m City � Zip Phone Height Storles Famlly � LICENSED CONTRACTOR'S DECIARATION Park Fees Ves Fee m I hereby ettirm chat 1 am licansed untl¢r provisions of Chapter g Requlretl No C.T. Receipt (commanciny with Sec�ion 7000 of Division 3 of tha Business and « P�ofessions Co�e, antl my licensa is in full force and effectl. Zoning Approvetl 8 �ate 7� licanse Cbs Licenze Numbar T Daie Convector Misc. E Atltlress ProPosetl U58 of Strutture jy City antl Zip Phone w CONSTRUCTIUN LENDING AGENCV � I hareby aftirm thet thora ia a conz[niciion lantling agency tor [he a per(ormence ot the work for htch this pormit is issue (Sec. 309], Occ. TYpe Cotle : C�� ) Class Conzt Year y Lendeis Name �� USE/OCCUP NCV SIZE SQ.FT. C Lenoor's Adtlrazs J OWNER-BUIIDER ECLARA ION � y 1. 1 horeby aftirm that I am exempt from the Convactor's Licanse Law tO for tha following reason: � ❑ I, es ownor ot the proparty, or my employees with wages as their 2. sola tompensation, wlll tlo tha work, entl the siructure is not �L„ intentlad or oita.etl for mie. 3 � ❑ I, as owner ot tho proparty, am exclusivaly contrecYing with licensetl convactors to tonsvutt the projact. � ❑ I am oxempt untler Sec. , 8&PC tor this reason 4• a Da[ Owner E WORKERS' COMPENSATION DECLARATION Totai VaWation � I hereby effirm that I have n certiflcate of consent to self-insure, Encroachment Permit Requlretl ❑ Ye ❑ rvo « or e certificato ot Workers' Compensation Insurence, or a certi/ied C eopy ffier¢Ot.' G�atling Pmt. Gr Oing 'S Policy No Company .Requlrotl ❑ Ves ❑ No P t. No. a ❑ Certifietl copy is haroby furnishetl. Rough Gratlinq 9 Q ❑ Certified copy is filetl with Orange County, EMA, qpprovetl by: Oate � Data __ APPlicant 3 CERTIFICATE OF EXEMPTION — FROM WORKERS'COMPENSATIONINSURANCE Z (This seccion neetl not be mmpintatl it permit is tor $100 or lessl. � 1 certify that in t�e performance of the work for which this Rermit is � issuatl, I shall not omploy any person in any manner so as to become �p sub�oct to xhe Workeri Compensation Laws ot Califarnia. PERMIT FEES Data Applicant NOTICE TO APPLIC4NT: If, after making this Certificate ot SVuctural S Plan Check E Ezamption, you shoultl bacome subl�ct to the Workers' Compensation provislons o( the Lebor Cotla, you must forthwith comply with such SOecial EI¢ttriwl E Invest. s provisions or thls por�nit shall be tleemetl revoked. I CERTIFV THAT 1 HAVE READ THIS APPIICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO Olumbing E COMPI.V WITH AlL COUNTV ORDINANCES AND STATE LAWS f7ELATING TO BUILDING CONSTRUCTION, AND HEFEBV AUTH- Mechanical E CRIZE REPRESENTATIVES OF THIS COUNTV TO ENTER VPON THE ABOVE MENTIONED PROPERTV FOR INSPECTION PUR- pre-Gratle POSE ' IO—� �_ � D InsDectlon s $igne[ur of Applica t or Agont Date PrE-G�atle S P¢�mit E � �/C � �D � �� Rec. No. Issue Print Applicant's/A�ant's Name All speces within this box mus[ be completed to process Plan Issuance Check BY: Approva0: CMF 0335-46 (BU-20) rev. 6/80 . CITY OF COSTA MESA GALIRORNIA 9282E P.O. BO% 1200 FROM TME OFFICE OR TNE DEV ELOPMENT SERVICES OEPARTMENT/ BUILOINO SAFETV DIVISION October 7, 1980 bir. �, htrs. Charles Yoimg 3005 Garfield Avenue Costa hfesa, California 92626 Re: Building Permit N50742 � I.etter of full corr�liance for room addition Dear D1r. F, h�s. Young: Dir. Lee Rodriquez has informed me that the necessary repairs and corrections have been completed on the room addition covered by the above listed pexmit. hir. Rodriquez has filed a letter stating that he has inspected those repairs and corrections, and that they are satisfactory, therefore, we hereby issue this letter of full compliance for the subject 11'7" by 24'6" room addition placed behind the garage at the above listed address. Respectfully, :� ��-�� Victor C. Newton Director Building Division VIN : nh 77 FAIFi DRIVE (714) 7545273 oWNER KOLL, K. W. JOB ADDRESS j00 Garf G6NERAL CONTRACTOR R A" No. LOT I. �GC'I'IONS k :r. bro�m rnat ve. tonry Cont.,Inc. TRACT I}2j2 FIRE ZON� �Signature� DA1'E GROUP nATE 2-27-62 BUILDING PERn4IT NO. VALUE S jl%.00 DPSCRIPTION OF WORK4d TYPf: V 7.ONE SUI3CONTRACTOR to re . i s4ss 'COSTA MESA BUILDING-SAFETY DEPARTMEN7 P. O. BOX 917 COffiA ME6A. CALIFORNIA For Applieanf fo Fill In Complefely COSTA MESA CALIFORNIA � MAIL ■ SIZE � 9flTBACK LINB FROM TEL. NO. OV BLD68. DESCRIPTION OF WORK BUILDING � '/ — / NO. OF SIZE 7� ROOMS EXTERIOR WALL ROOF GOVERING COVERII USE OF BUILDING AND WORK TO BE FEE ��,F��I�p. \�INANCE OEPT. CITV OF COSiA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only er COSTA MESA. CALIFORNIA FIRE ZONE TYPE ROUP APPROVED 1 '�I �I n L¢OAL 1CHNT6P LINB ZO'NING NO. OC] � I U6E OP NEw PLAN9{/ BUILDING � DATE �—� /V � � 1 HCREOY ACNNOWLEDO¢ TXAT 1 HAVB RBAD TXIB APPLIWTION TH6 AMOUM BHOWN UNOER VALl1ATION IB FOft TH6 AND BTATE TH/�T THE ABOVH 19 CORR5R AND AOft66 TO COM• pURPOBE OF EHTA�L�BH�N6 A PERMIT FEe ONLY. PLY WITH ALL CITY O CEB AND 6TAT8 LAW9 RBpUUTINO Bu1tnlNo eor+Ornu VALUATION �Q SIGNATURE O i PERMIT FEE $� 'PERMITfE S�/ /J� PLAN CHECK $ ,—^ AUTHORIZED AGENT / ___ 7 � OWNER yOUNG, CHARLES & ALSCE DATE 9 � , e.141-134-34 LOT 70 TRACT 4232 FIRE c�s W �TER ROUGH PLUMBING PROP. $WR. LInE r] HOUSE CON. � SPRINKLING SYSTEM MISCELIANEOl15 HOUGH MERTING ANO �Iq �pN01T10NING TEMPORRRY SERVICE Oq PpLE UNOERGROUNO � POWER � � ROUGH WIRING TPENCNES � FORMS STEEL REIHF � FLOOR SYSTEM 'i BOND BEAM � STEpL flEINfORCE [] r�it SHERTXING h FRAME ANO FLASHING � LATHING — IN ( P' ER. BHOwH CO�T N 5, ,�URAI, FIN�L � MEATING, VENT., REPRI aPLUMBING. FINFL �NO ELECTRIC. FINqI BUILOING. FIN4L BUILDING PERMI7 NO. SUBCONTRACTOR ' � 948k 9l24/80 1,50.82 ... . R ' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLI ION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RE IV PERMIT " For Applicant to Fill in Completely — Use Ink Only N° 5 0 7 4 2 BUIIDING A.P. NO. '� ADDRESS D ' � �� BUILDING j__ � OWNER OR /) _ A./I • ADDRE55 tJ(�) TENANT LKS(t,d. /�•.YC �-4.C� UNIT OR AOD0.E 5 3 oe � SPACE NO. ^--- - 7x O' T.��, LOT Q BLK. CITV �►a�Q.� � NO�syo NEW ADD LTER REPAIR MOVING DEMOLISH CONSTRUCT70N LENDER BRANCH OWNER ADDRESS • vALUE '/� ARCHITECT TEL. USE k.• S �� OR ENGINEER I' �� ADDRESS ZONE � TVPE GROUP APPROVED 7 p Q CONTRACTOR BV DATE vV ADDRESS TEL. CITV NO. STATE CITV %�PPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OFBLDGS (FROMC/L TFEET) OF LOT NOW ON LOT qOM FT. USE OF �A EXISTING BLDCa Separate pemrits are required for L SIDE`--k"1' Fr. �� electric, plumbing and heating work. !�� HEAR FT. VSE OF BUILDING AND WORK TO BE PEfiFORMED pLqNNING ACTION � D.4TE /1PPROVED APP VED ' 1 hareby acknowledpa thet I heva reatl thia appllcation entl rtate t�at the above intormailon is correet entl eproe to comply wli� ell lews ragulatinp builtling connrucNon, antl I shell not amploy any permn in violation of the workman's compenmtion laws of the Stace of Celitornle. I he ertify that I am proporly Iicanwtl as n yc G�ctar untlar �� S�. FT, tha State o�i usinesa entl Pr siOfiCotlo, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chaptar 9, antl thet s�eh I tull tOrce and effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: a�pt tro ovisions of the Stete o tHe'wia8ysinesa V ALUATION PERMIT FEE S ZD, 00 end ons Cotlo, DlWcton 3, Cheptar 9. SIB�nture of • PLAN CHECK E 3Q,00 Parmittee $ /� 67� O o n TAX S AuthorizetlA9ant ��e `3 TOTALPAID E 0�82 T4 'o 0 ) 0 D �DBL n i LoT 70 ;�:.z.-1 � '� � � ��":J°�i COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO7C 917 COBTA MBHA. CAL�70RNIA For Appl7eanf fo Fill In Complefely 1 AP '8GT CASTA MESA CALIFORNIA TEL. iic No. 611 No: M I i> 22 SIZE NO, OP BLD68. OF LOT �n � X� nn � I RR I G. now ox �or USE OF EXIBTING BLDG. NONE eere�eec uxa rxoM cermw ov enuer � REAR YARD � 61DEYARDILEFT � �� RIGHT �0�� DESCRIPTION OF WORK NO. OF p ROOM6 U WALL I GARAGE �`E.� RECEIVED y' SEP 271961 � FINANCE DEPT. CItY OF COS1A MESA APPLICATION FOR PERMIT BUILDING For Offite Use Only ReC6�PT NO. ,(� PERM�T NO p ;�i r�' l �. RECE D 9Y �AT¢ PECBIVlD I D�TE 189118 �C I �i-:1—r i.lr e� Fa z 7 �s BUILDING ADDRES6 COSTA MESA. CALIFORNIA FIRE ZONING ZONE NO. OF UB8 OP NBW S/h � ��..r I PLANS Z I BUILG�NO (p/�if�_ � _` �a�e,�.,�u _�-7' 76 7�P y Z 3 z �caemw ur+e s�.> � FRONT -5 Z- FT. 1 R. SIDE � FT. � I L. SIDE �� FT. � I /f � REAR FT. I — AeYPROVEO (�/�� _ oaTF //26 1 X8R88Y ALKNOWL8D6H THAT 1 XAVB pGD TXI6 APPLIGTION THeUMOUNT BHOWN tINDER VALUATION IB FOR THH ANO-BTATH THAT THC ABOVE 18 WRPHGT AtID AGRE6 TO CON- pURPOBE OF EBTA9L19N�NG A PHRMI� P¢¢ ONLv. PLY WITH ALL CITY OflO1NANC66 AND 9TAT6 LAW6 PEOULATING eU�LDINO CONBTRULTON. VALUATION J SIGNATURE OF PERMIT FEE $ _7 � PERMITTE /� 3ao_ '7 �o m ' S � PLAN CHEGK $ //• F AUTHORIZED AGENT `L'- L'U Z iOTAL FEE 7 i.J � LL