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Home My WebLink About405 GLOUCESTER DR - Building Permits` � CITY OF COSTA MESA ' 4 ""' , BUILD/NG D/VISION i , . � 77 FAIR DRIVE. COSTp MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � �' F °. � FOR INSPECTIONS CALL: (714) 754-5626 �. ';' ,; i 6._:; �� PERMIT NUMBER: B,C09-001�03�� PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 04I06I2009 ISSUED BY: KJB �oe AooRess: 405 GLOUCESTER DR CM Suite/Unit: APN: a2s2aao4 �- Zoning: _ ' � ' . Vicinity: � � � - . � - � - � P�imary Occ: � R-3" � ��. ConstType: V-B SQ. FT: 0 Valuation: $40,000.00 SCOPE OF WORK: INTERIOR�REMODEL.FOR SINGLE FAMILY DWELLING. SCOPE-OF WORK TO.INCLUDE: KITCHEN REMODEU RELOCATION OF ONE INTERIOR NON-BEARING WALL, REMODEL OF MASTER BA'fHROOM. ADD STACKED WASHER AND DRYER IN HALLWAY. FtELOCATE FAU TO ATTIC. ADD AIR CONDITIONIIVG. UFGRADE ELECTRICAL T0�150 AMP. NO RELOCATE OF. � � � � � � - - � � � � - � � � � • SERVICE. ELEC TO INCLUDE;-15 CIGHT FIXT; 15 OUTLETS; 8 SWITCHES, SERVICE UPGRADE, A/C PKG. MISC CONDUIT FOR FUTURE ABOVE GROUND SPA. PLUMBING TO INCWDE: 1 DISHWASHER, 1 LAUNDRY TUB/WASHER, 1 SHOWER,�1 KITCHEN SWK, 1 WASH BASIN, t TOILET.� � � - � - - . � - � � - " .. • .. � . '•f.;nj_{;t�ii1��' OWNER: MACFARLAND, ED Address: 405 GLOUCESTER � - -� � Unit: ' �� ' � -' Phone: 949•280-0878 , � .. �� City/StztelZip: COSTA MESA, CA � - � : � �-� � APPLICANT: SPRENGER, STEVE � � Address: ' ' -. . � ��. � Unit : Phone: 949489-9463 - City/StateKZip: � � � � , � � �� coN7Rnc70R: ORION CbNSTRUCTION Fhone: 949�69-9463 � Cell: ARCHITECT: . �� ENGNEER: License No. 903655 � Address: 31602 VIA DULCINEAUnit: : � City/State: .SAN JUAN CAPISTRANO, CA �. � ,License No. � , . , , _ . . �- "-licenseNo. .-. - � - - � COMBINATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: �� $543.25 �- Electrical Fees: - -$123.50 Mechanical Fees: � $93.85 Plumbing Fees: $82.30 SMIP Residential: $4.00 SMIP Commercial: $0.00 Bldg Std Admin Fund $2.00 TOTAL FEES: $848.90 ;'Refer to fee receipts tor all fees paid for projact i�l.r � �ZipCode 92675 PHONE: �PHONE: ,-, �'H:�:i�i :r!�";�!.� .':�.L ;O 15i) � . .. C: CGi�lI:;U�I� POr? - . �.Uj'r."�;.�:1.:!iCH�b: , ;:;_`"i(7:,S�;i,�,. ;�. } dC : � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related � regulations. (Ord. No. 92-28, § 1, 1&21-92j ��, EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. '�"� �' 'NSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �\uired inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. '�i. INSPECTONTYPE ORTE INTITIALS COOEN INSPECTONTVFE � INPTIpLS � Fixed System Final Fire Prevention 206 Final Mechanical id �� Pool Spa Final 208 Final Plumbing �� `inal Re-Roof 210 Final Electrical � \sl BIocWRetaining Wall 212 Final Fire Prevention ': � r�:,:r'. \Factory Fire Place 220 Final Planning Appmval �'� "' �j-�-` \�8n 222 FfnafSte t`2� �� olition _ 25o Final Building/Occupancy �� "�Tz—___` � WORKERS' COMPENSA710N OECLARATIO� I hereby a(firm under penalry of perjury one of the following declarations: ❑ I have and will maintain a certifcare of consent to sel/-Insure for workers' compensation, as provided tor by section 3700 of the la6or Code, for the pertormance of the work for which this permit is issued. 1 L I have and will main[ain v.orkers' compensation insurance, as requiretl by section 3700 of lhe Labor Code, !w Ihe peRortnance of the vrork for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: Canier: �"�9Z"T �,,.i� (ihis setlpn nee0 irot be wmdete0 A lne pemr4 a varued at one nundietl tlollars (5100) a less.) PolicyNumber: DU'L2SCi �� r/ 6 ❑ I certify lhat in Ihe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa[ion lavrs of Cali(omia, and agree that if I should become subject ro the vrorkers' compensation provisions of Section 3700 of [he Labor Code, I shall (orthwith comply with these provisions. ''-i' �, p j� A lira sSig aWre a�e WARNING: FAIL E SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in full force and eKect. Lia # �'� Co . J Class # � �F�6/as conva r's aw e [�at� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn lhat lhere is a construction lendinq agency for ihe peAormance of the work fa which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business and Professions Code: Any city or coun�y which requires a permit �o construct, alfer, improve, demolish, or repair any sWcture, prior to its issuance, also requires lhe applicant for such permit to file a signed statement tha[ he or she is licensetl pursuant to the provisions of the Contractors License Law (Chapler 9(commencing wilh SectiOn 7000) of Division 3 of the Business and Pm(essions Cotle) or tha[ he or she is exempt lherefrom and the basis for the alleged exemption. Any violalion of Sec[ion 703L5 by any applicant (or a permit subjects the applicanl [o a civil penalty o! not more than five hundred tlollars ($500).): � I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmclure is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contracmrs License Law does not apply to an ovmer of property who builds or improves lhereon, and who does such vrork himsel! or hersel( or [hrough his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving thal he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professions Code: The conlractors License Law dces no[ apply to an ovmer of property vfio builds or improves thereon, and who contracts for such pmject with a contracla(s) license pursuaM to the Contrac[as License Laws.�. ❑ I am exempt under sec. Business and Professions Code for this reason: .i Owner ID verifed by dri s license. ❑ Yes ❑ No Driver's License No. Expires: Verifica�ion of Ownership by (type of tlocument, i.e. - property lax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I hereby certdy Ihat no excavation (ve (5) or more feet in depth into vfiich a person is required [o descend, will be made in connection wi[h work authorizetl by this pertnit, and that no builtling strucWre, scaffolding, (alsework, a demolition or dismantling thereof, vnll be more than thirty-Six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Cali(omia Atlministrative Code�. ❑ As owner-builder, I will not employ anyone to do vrork which would require a pertnii (rom Ihe Division o( Industrial Safety, as noled above, unless such person has a permit to do such vrork from Ihe division. Appli[anfs SignaWre Division of Industnal Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: t. Will the applicant or present or future building occupant need to fle antl certify a Business Plan for emergency response to release or threatened release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safety Code requires, with some exceptions, Ihat a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard temperaWre and pressure). 2. Does or will ihe applicant or present or fuWre building occupant need to fle a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 ot the Cali(ornia Health antl Safery Code, with some exceplions, requires registration with the Costa Mesa Fire Depariment by each business which a[ any one time has on hand a quanlily of acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume o( 55 gallons, or 200 cubic feet o( compressed gas at standard temperaWre and pressure). 3. Does or will the applican[ or present or fu�ure huiltling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? � Yes ❑ No (Seclion 25534 of [he Caffomia Health and Safety Code provides thal Ihe Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are requiretl to register awtely hazardous materials with [he Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Cotle been fully complied with? ❑ Yes ❑ No S. Does or will [he applicant or present or future building occupant require for the work which is the subject ot this application a permit for such construction or modification trom Ihe South CoaSt Air Quality Management District or from any oiher air polWtion control tlistrict or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires [hat the requesled infortnalion be fumishetl on applications for non-resitlential building pertnits). 6. Will any part of the facility to be constructed under Ihis permit be within 1000 feet (rom the outer boundaries Of a sthool? ❑ Yes ❑ No (If'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permit from the South Coast Air Quality Management DiSVict or other air polWtion control tlistrict or agency is requiretl for [he work which is the subject of this application, have all of the disclosures prescrihed by Cali(omia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes", attach certifiwte of compliance from the appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify ihal under penalty o( perjury the information given above is correct I agree to comply with all slate laws and city ordinances regarding Hazardous Materials and Emissions. Signawre Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the in(ormation given is correcL I agree to comply with all s[a�e laws and city ordinances relating to builtling conswction, antl authorize representatives o [he Ciry of Costa Mesa ro enter upon the above-described property f inspection purposes. I agree not lo occupy or allow occupancy of any buildi aulhorized by this permit until fnal inspection. �aW egalOwneqs) SignaWre Daie 309-a6(3/W) n �orAuth etl p0�icant Anolicant to fill in all soaces exceot those witnin heavr bortler lines ana sian atl aoorooriale tleclarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA SA CONSTRUCTION PERMIT .4.P. � zone Project Address � Gloucester, �S� �Sa� Ca 92627 3� 3� �' � � � s Main Building: Accessory Building: - ' -` TVPE OFCONSTRUCTION NEW �ADD ALTERATION REPAIR E Z AppliCanYSMailingAddfes5 ❑ CONVERSION ❑ DEMOLISH'❑ OTHER' T Front " � Q Owner'sName ��mc f� Phone��_Q—��9 DESCRIPTIONOF'WOFK/USEOFBLDG. - I A Rear � .. N Address � Q �jK �� Eq'j� f{j}��: 6� Q'�(3� � - I C Right � ' N Arch/Eng. License No. TVPE OF PERMIT GRAOING FOUNDATIOrv SrRUcrURAL . K _ G Addre55 • ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL ' g� Left ' R Contractor's Name- ��ro P' /loe.,ri o+oc Drv�fir�n p�e � ��OTHER — , p�ng. Ref. # Parking Req./Provided �- E PROJECT DESCRIPTION 5a. F7. oCCUaArv v Q Address�mailingl�D�Q v� 1M P�� Moc_�_��ao.�a_L�'�'� CONSTRUCTIONTvvE VALUATION$ 3�03.00 PlanningNotes: ' M T City License No. �� ZONE GRADING CU. VDS. ACRES ' $, LICENSED CONTRqCT00. DECIARATION � 1 hereby affi�m IM1at I am licensetl untler p�ovislons of Charter 9(commencing Rema.k�: Tear off shakes and lace with Class B Hardi Shakes � WIIII SEC[IOfI J000) Ol DIVIS�OO 3 Of Ih2 BIISIpQ55 dfld Professions Cotle, antl . my license is in (ull(�o antl efiect. - ELECTRICAL FEES � License Class `�—� nse No. �� ' Date!—��ture PLUMBING � FEES Automatic Washer Transformer '� 15-50 KW WORKERS'COMPENSATIONDECLARATION ' ConStrUctiOnPoleSub. �50+KW � , I�ereby aflirm that I have a certiticate ot consent to self-insure or a certificate Bar Sink � Showers Vorkers' Compensalion Insurance, or a ceriifietl copy thereo� (Section ' Cooking Unit Mete� ❑up to 100 amps 1, �ab. CJ Backflow Preventer Service Sink Poiic No. WC21610302530'�$m an Libertv M.�tual Insuranc gackflow Irri ation ' Dishwasher Meter ❑over 100 amps v P Y 9 Sewer Cap 8 Certifietl copy is hereby fumishetl. Drye�s ❑Gas ❑Electric Sub Panel Certifietl mpy iz,fil '�}jh the city Builtli g_ _O�iv�isig n�� Bathtubs Sewer Connection Date /—�—oapplicant�dllGB�t1iZ��S�f11lTTnr Fan Motors00.tHP�1'/:-8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clafifiefs Sola1 C011eCtors (Thi55eclion neetl not be completetl if [he permit is for One-huntlretl ($300) Or Dishnvasher • , F.A.U: Ina Solar 09-15 HP 016�15+ � less). Solar Piping I czrlify that in the Performance of the work for which this permit is issued, I Fixtures snail not employ any person in any manner so as to become subject to the Orinking Fountains Solar Tank Microwave Workers' Compensalion Laws of Calitornia. - , Date � Si9nature Floor Dreins Swimming Pool w/$pa Device Boxes Poie Light NOTICE: If, after making this tleclaration, you shoultl become subject to the Outlets � Workers' Compensation provisions ot the Labor Cotle, you must forthwith Floor Sinks Urinal Ran9e , tomply with such p�ovisions or thi5 permit. shall be tleemetl vevoketl. ' CONSTRVCTION LENDING AGENCV_ ' GasSerVice OutletS : WaterClo52t SwitChes �Sign . 1 hereby affl�m tnat the�e i5 a construction lentling agenGy !or the perTormance - ot the �work tor wnicn this permit is. issuetl (Section 3o9] Civ. CJ . Interceptors Water Heater .. Garbage Disposal Standing Sections I Lentler's Name , � Lentler's Adaress Kitchen Sink Water Service Generaror DO-5 KW �5-15,KW Trash Compactor � OWNER BUILDER DECLARATION ' , , I hereby affirm ihat I am ¢xempt from the Contractor'S License Law tor the LdvdtOrieS AutO-Wash 1 foilowin9 reason (Section ]03L5 Businezs antl 7rotessional Cotle: Any city or , � munty which requires a permit to construct, alter, improve, demolish or repair P—Trep Laundry Tra'ys �any sVuclure, prior [o i[5 issuance, al5o requiies the appliwnt for such permit Io file a signetl Statement that h¢/she i5 licensetl pursuant to the piovi5ions of ROOf D�dinS the Contrac[or's License Law (CM1apter 9(commencing with Section �000) of rv��ision 3 of the Business antl Professions Cotle) or that he/sne is exempt � � Reinspection Fee $15 Issue Fee $ 3 •from antl the basis for Ihe alleqetl exemption. AnY violation of Section . 5 by any applicant for a permit subjects [be applicant to a civil lty of not more tM1an five huntlretl tlollars ($500). - 3 DEVELOPMENT SERVICES REQUIREMENTS: . , LJ I, as owner of the property or my employees with wa9es as their sole ReinspBttion f¢B $15 � ISSua Fee $ Zpning Approv¢d By Date compensation, will tlo the work, antl the s(ructure is not intentletl or offeretl tor sale (Section �044, Business antl vrofessional Cotle: Tne Contractor's MECHANICAL FEES Building Approved By Date License Law tloes nol apply to an owner ot a property wno builtl5 or imprOves T t6er on, and who tloe5 such wo�k M1imself/h¢r5¢If or through hi5 or her own ' ApplicatiOn ISSUBd By �0t8._.L�� empgoyees, provitletl tnat su<n imorovements are not intentletl or ofteretl Por Boiler - Hood or Type I ❑ ' saie. Ir, nowever, tne builtling or improvement is soltl within one year of wm- Canopy Type II ❑ SUMM RY OF_FEES - --'p pletion, tM1e owner will have the burtlen of prOving he/she tlitl not builtl or im- DUCI - Und¢� Ci�0u0d �- . �' —__ piovetorthepurposeofsaie). , BUILDINGPEPMIT $ SMIP , $ _yi ❑ 1, as owner of the property, am exclusively contractin9 with licensetl mn- Duct -Structural . Refrigeratfon System •' VactGrsto constru<t the project (Section 7044, eusiness ana Professions Cotle: PLAN CHECK $ PERMIT The ConVactor's License Law tloes mt appry to an owner oi property who Duct- Ventilating ❑0�700,000 BTU ❑100,000 BTU 7LUMBING $ ISSUANCE $- builtls or imoroves tnereon. antl who contracts for such oroiects wrth a r.on- - tractor(s) Imense pursuanc to me Conttactors License Law). I am aware thax Exhaust System � Multiple ❑ System Repair/AI[eration PLl1N CHECK 25% $ ENERGV P.C. $ proo( ot their Worker's Compensation Insurance shoultl be provitlea to me. ELECTRICAL $ ' GRADING $ ❑ I am exempt untler Section B. & P. C. for this reason Firepl/Fact. Blt. ICBO �k Fire Damper5 � � pLAN CHECK 50% $ MICROFILM � $ rn Date - owner ' HeatingSystem&Ducting � Registers MECHANICAL $ TOTALFEE $--_`.�.�L I hereby certiry that I nave read this application antl state that the above ❑0.100,000 BTU �100,OOOBT -' ' pLAN CHECK 25YO $ info�mation is Correct. I agree to comply with ail city antl county Ortllnances ' antl'state laws relating to builtling wnstru<tion, antl hereby authorize repre- . sentatives of this city to r upon the above-mentionetl Property for inspection purpos $i9nature oate 7-12-A9 GS O�G3]�7?-�QOs775: �"CtF RainspeaionFee $15 �uueFee S 3 GATE: �7/13,84 1iP!*�� ll._3 �j�7� Drivers' License or 55 ' r �• � 08fi5-46, rev. 5/08 Canary - APplicant; Pink � Accounting; Goltlenrotl - Assessor ; �= . r \I C . . ... . CONSTRUCTION AND PLANNING POOI 'PA APPROVALS Permit# Date Inspector qppROVALS Per��ii# -*-� _ Date Inspecto� 1. Temporary Electriral Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms � �ji 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � � 5. Steel Relnforcement 56. Rough Plumbing & Pressure Test , J,� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. Footings • l'� 58. Electrical Conduit-Undrgrnd. "�� .�, ' r .. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, O Undrgrnd. � .� 10. Structural Floor System C� 61. APPROVAL TO DECK 11. Property Sewer Line & House Conri� ion 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Final . 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1G.� Rough Electric Wiring 67. Fencing & Access Approval 1.7t Rough Wiring Sign 68. APPROVED FOR PLASTER�NG 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 OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: . - 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 pomestic-Final � 42. Backflow Preventer :; 43. Backflow Irrigation � �+' 44. .Landscape Irripation System ' ` � 45. Sound Attenuation ' 46. Handirap Regulations � � 47. FINALSTRUCTURE&BUILDING yZ SMo��E p� o` 48. Special Requirements Completed i 49. Electric Release to Edison � `"" 50. Gas Release to Southern California Gas Co � � � : '. 51. CERTIFICATE OF OCCUPANCY " No. Date � � L� � rtt rct�tivtu . • 2 � Ci�R . . i�- flOV 2 7�1963 � COSTA MESA BUILDING-SAFEfY DEPARTMENT FINANCE DEPT. �. � P.O. BOX ]f7 C08TA M86A. CALIFORNIA CITY OF COSTA MESA � For ApplicaN /q Fill In Complafely APPLICATION FOR PERMR G� TYPE OR PRINT � BUIIDING � Fo. ok��a use o�►y BUILDIN6 -�QS �'�oucesL�er J�i-ive ADDRE58 R[CnR n0. �kqTl�'y'}(�. COSTA MESp, CALIFORNIA . - � L��1�•� . P[C[IV GT OAT R[CCI [D OAT8169O60 � �%- �-� i�-a-� owNER _S ries Inc - BUILDINO Ao R�$$ 504 No. Ne ort Blvd � "°° �Ss F�Re �,T;, Newport BeaCh,'�C2'11f. No';fi469341 =oNe rrPe cRouP L�� APPROVED AQRCHITECEERBTeTIT S T be . No.liY46 BY DATE ' � ZONING A. /3 � ZO NO. OP � U6C OP NfiW /// /, ALAND , �Y(LWN � / �� CONTRACT Ca e��Series Il]C.; i.�, �. � LlOAL � ADDRESS 504 No� Ne ` rt Bl d °° °^'�"" �Lot, 4 Tract 212 -� ��TY New ort Beacti Calif A• P• NO. � ' L L NOTE: NO BAVE OVERHAN6 SHALL BE LESS THAN LI•G?NO._221233 � NO.v4v�9341. /� 90'TOSIDE@REAR .L EAVES oF�o,41:83x44.33x5298 I NOwoNLOTe.o� ALLOWED <U.B.C.REQUIREMENT) YARDSAPPROVEO YARD9APPROVED USE OF - _ - MAIN BUILDING ACCESSORY BUILDIN6 EXISTINGBLCG. 1] ❑e'• � ' � (FROMC/(L.BfTREET) . �"' HETBACK LINH PROM �,� �'/ ��(/J FRONT v FT. PT. � CENTEP OF BTREBT ��ly / � REAR YAR i'Q IC/ - �J ` � 61DE YARO LEFT �� R16HT � � R. SIO I.S� � F7'. l!�! DESCRIPTION OF WORK �•s�o 'S Fr. d NE" _� ALTERqT10N ADDITION RHAR � FT. Ff. � ^f. � ' DISTANCE BET. . BET. MAIN B ' ,] REPAiR MOVINp .. �- DEMOLIBH MAIN BLD 8. ACCE55. BLD08. ir 1 VAR.4j . DATE I.) S ZIE DIN(.iOHO S. fT. pOOMS � STORIEB 1 C. U. P. APPR VED �"� G. EXTERIORWA�y,� ROOF �" ' y, ' APP "'�C -G3 � COVERING .SSLUCCO- COVERINCiCedaY SI1Ske BY V "�'"\ i DATE � US6 OF BUIlDIN6 AND WO@K TO Bfi PERFORMED ' -(j sin le famil residence �- . A ,� O 1080 so. �. m � 1 HEREBY ACKNOWLEDQE TXA7 1 XAVH RHAD TXI6 APPLICATION TXH AMOUNT BXOWN UNOEq VALUATION 18 FOH THE � i ANO eTATE THAT THH ABOVG.�9 CORRfiCi AND AOREE TO COM. ' PUFPOSE�OF fiBTABLIBXINa ♦ PERMIT FEE ONLY. � PLr WITH ALLCITY OF�INANCgp ANp 9T�T6 LAW6 q80pL�TINO yqLUAT10N � BUIL�INO CON8TR11CTION. N 61GNATUREOFG�P�' � �� $9990.�0 �'ERMITFEE s32.97 � PERMITTE m $ LA C OO O AUTHORIZE�AGENT ' '32.f1^] �` TOTAL FEE � �