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Home My WebLink About3090 GIBRALTAR AVE - Building PermitsCITY OF COSTA MESA (.��pMEq BUILDING D/VISION >`�� 77 FAIR DRIVE. COSTA MESA, CA 92626 • p14) 7545273 • Fax (714) 754-4856 • www costamesaca.00v ° � � FOR INSPECTIONS CALL: (714) 754-5626 �`°"°�°^°'� PERMIT NUMBER: E11-00253 PERMIT TYP� ELEC STATUS: ISSUED APN: 13915612 DATE ISSUED: 11N412011 ISSUED BY: KJB JOB ADDRESS: 3090 GIBRALTAR AV CM Vicinity: Suite/Unit: SCOPE OF WORK: SERVICE UPGRADE TO 200 AMP AND RE-WIRE: 16 LIGHT FIXTURES. 30 OUTLETS AND 20 SWITCHES. NO RELOCATION OF SERVICE. OWNER: COX, ROSEMARY R TR PHONE: APPLICANT: GOETZ, BLAINE PHONE: 949-588-3777 CONTRACTOR; CURRENT ELECTRIC - SANDY BOYD Address: 26804 VISTA TERRACEUnit: EiTy/State: LAKE FOREST, CA ZipCode: 92630 ,af ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $92.40 f�Binspeaion Fee 50.00 TOTAL FEES $92.40 :; Address: 3090 GIBRALTER AVE Unit: City/State2ip: COSTA MESA, CA Address: 26804 VISTA TERRACE Unit: City/State/zZip: LAKE FOREST, CA License No. 488263 PHONE: 949-588•3777 CE�L: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21A2) 'EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ''�1WSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all �fr'equired inspections and Fnal approval must be obiained. Failure to obtain inspections and final approval will result in Ihe expiration o( this permit. � ,�A CODEp, INSPECTIONTVPE DATE INTITIRL CO�q INSPECTIONTYPE ORT NITITIALS 1616 Fixetl System Final Fire Pievention 206 Final Mectianical 1266 zoo 201 202 203 204 Pool Spa Final Final Re-Rop� Final Block/Retaining Wall Final Faclory Fire Place Final Sign Final Demolition 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sile 250 Final BuildinglOaupancy X ia-ai-i� Rt3 WORKERS' COMPENSATION DEC�qRA710N: I hereby aKrm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certifCate of consent lo self-Insure for workers' co pensation, as provided (or by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. I have and will maintain vrorkers' compensation insurance, as required by se ion 3700 of the Labor Code, for the pertortnance of the vrork for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: -Gairier:%�' Amev,'c�„v G�AranTGP (ihis secfion �etl iro( be wmpletetl d Me permit is varuetl at one h��pretl dollars (8f00) o� lezs ) �yr�umber: lA/G� 660 �-� ZOd ❑ I certify that in the peAormanCe of Ihe work for which ihis permit is issued, I shall not employ any person in any manner so as to become sublect to the workers' compensalion laws of Califomia, and agree that if I should � become subject to Ihe workers' compensation provisions of Seclion 3700 of the Lab r Co B, I shall forthwi i comply wit eseprovi �ons. � ' t'e�s!BrraWre �. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLqRqTION: I hereby affrm Ihat I am licensed unqer provisions of Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code, and my license is in full force and effect. C�� ' (5 -=--i{arci ' �� lrqgvLs igna ure CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn that there is a construction lending agency for the perfortnance o( the vrork for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler's Address: SignaWre Oate OWNER-BUILDER DECLARATION$: 1 hereby affrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions Code: Any �ity or counry which requires a permit to cOnSlmcl, aller, improve, demolish, or repair any s�rucNre, prior to i�s issuance, also requires Ihe applicant {or such permit to file a signed statement that he or she is licensed pursuani ro ihe provisions of lhe Contractors License Law (Chapler 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis (or the alleged exemption. Any viola[ion o( Section 7031.5 by any applicant for a permit subjec[s the applicant to a civil penalty ot not more than fve hundred dollars ($500).): ❑ I, as owner of the property or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the strucWre is not intended or ofteretl for sale (Sec 7044, BusinesS and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herself or through his or her own employees, provided that such improvemems are not intended or offered (or sale. If, however, the building or iMprovement is sold within one year oF completion, fhe owner-builder wilt have the burden of proving that he or she ditl not build or improve for purpose of sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to cons��ct lhe pmject (Sec. 7044, Business and Professions Code: The contractors License Law does not appty to an owner of pmperry who builds or improves thereon, and who contracts for such project with a wntractor(s) license pursuaN to t�e Contrectors License Lavrs.). ❑ I am exempt under sec Business and Pmfessions Code for lhis reason: Owner ID verifed 6y drivers ucense. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by Qype of document, i.e. - propetly tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certily ihat no excavation five (5) or more feet in dep�h into which a person is required to descend, will be made in connection with work authorized hy ihis permi�, and tha� no building sWclure, scaffolding, falsework, or demolition or tlisman�ling thereof, will be more Ihan �hirty-siz (36) feet high. (Chap. 32, Grp 2, AR 2, Sec. 341, Title 8, Califomia Administra�ive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permi� from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from ihe division. Applicanfs SignaWre �ata Division of Intlustrial Safery Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan tor emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of ihe California Healih and Safety Code requires, with some exceptions, that a Business Plan be fled with [he Costa Mesa fire Department by every business which has a� any one time tlunng a reported year a quantity of hazardous ma[erials equal to or greater than a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to fle a registration form (or acNely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Cotle, with some exceptions, requires registration with t�e Costa Mesa Fire Departmeni by each business which at any one time has on hand a quantity of acu[ely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gailons, or 200 cubic feel of wmpressed gas at stantlard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutery hazardous materials)? O Yes ❑ No (Section 25534 of the California Health and Safery Code provides that the Costa Mesa Fire Department may require the prepara[ion, certifcation and fling with the Fire Department oi an RMPP by husinesses which are required ro register awtety hazardous materials with the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 0( the California Health and Safery Code been fulty comDlied with? ❑ Ves ❑ No 5. Does or will the applicant or present or fuW re builtling occupant require for ihe work which is the subject of this application a permit for such constmction or modifcation from the South Coast Air Quality Management District or from any other air pollution conUol district or agency? ❑ Ves ❑ No (Section 658502 of Ihe Califomia Govemment Cotle requires that the requested information be fumished on applications for non-residential building pertnits). 6. Will any part of the faciliry to be constructed under this permit be within 1000 feet from the outer houndaries of a school? ❑ Yes ❑ No (If "yes', the facility must meet ihe requirement of Sections 25534 and 42303 o( the Califomia Health and Safety Code). 7. If a permit from the South Coast Air Qualiry Management District or olher air pollution control disMc� or agency is required for the work which is lhe subject of this application, have all of the disclosures prescribed 6y California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", aflach certificate of compliance irom the appropriate air pollution control oKcer). CER71FtCA7E OF COMPLIANCE: I certify that under penalty of peryury the infortnation given above is correct. I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. SgnaWre Data CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the information given is correcL I agree ro compy with all state laws and city ordinances relating to building construction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. 5' �alOwn Da1a SignaWte Dale v/ 305]<6 (3/0]) �' nNo'�A�nfmrizeC'/+GPliwn� L13t0— . / / � rssaem�ara: 3U50 GIHRALTAR AV WWEIFppWN:COX PAUL R dUDNE5R3OJ� GIBRALTAR AVE COSTA MESA,CA 92626 APPL.WIUNO ADDPER4: APCNREC70AFHOMFFA: ACIL OR ENO.'S ADDNE59: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B Uf31035 PLAN CHECK NO; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR � � IJOB DESCRIPTION YNT: car�macra+swu� PERFORMANCE ROOFING CO. ( 714 ) 645-2382 CWfPACi0R8M41W0 2476 NEWPORT BL moxess:COSTA MESA CA ucno.: 6G1267 92627 uNr: 1/2 LIGFNSEO COHTPACTOflS DECUN�TION: I hmeb� dlim �.Ms parely d pa�wy Mm I em Ikmeetl uMer pevAdon+ d GMpa 9 (canmseKuq wah Saciion ]000) d Div'vun 9 d Ne Buoinw end P�dauuu Code. ud mY lioenae w in IW bm aM sAetl. cmuc.No 7923 uc.cuss:c-39 uc. .�2 EXP: 12/97 Dme: � r � Cormaer. OWNER ILDEfl DECLIR4TION: I IweEy aff ivWx penely d perjury Ihet I em ezam uon lireroa law la ihe Idbwep �eewn (Seaion ]031.5 8ueiroea vd PNeeebrm Coda: Am c'ry a munry whidi e pamil lo mmhucY. Ms.'unpow. �+emdeh, « repei eiry suuclurt, pia io ua 6eue�re. e6o reQuims ihe epplimm tor wc� pamE lo fib e eqmd �imemmi thm he a eM cmneed wm�w �o ms ww'vo�a d me caureaan um�+e �w Icneq., s(mmmenuna wan seco, �000) a o�+sa� a a nr �ea �e vra«.�o coal o, mu n. «.n. m..�,q mar� d,e m. mm mr u,e •e�.d �.�w�. ti+r wimo� a s.ao� imis W enr eoW�� « a rormn wbiws me morrau �o a da v�r d na ma. m.� rna n�me�ee moen �Ssoop. � I.mow�nrdlMpopeMamYa^W�Ja^e�hwapeamlMisdammpenWion.xilldotMv.oik,eMNe�NwYunenoliMeMed a oMamd la eeb (�Ibn ]ON. Busro» eM Pmfneiona Code: The Contretlan liceme Lew daee mi eppyta en ownmd prope�ly wAo WIEa a inwa+* iMroan. eM Mn daee euM v.wk Fimeetl m henM w Nraqh he a M am emDbM�. padded ihe wch impaanmXa eea roi in�endeE a W«ed ta eab. tl. Mwsnr. the W�lliiq a mponmem u sald Mi1Nn arYw d comWe�m. tM owror-0udder will !uw Ihe buiden d pwi�q M rc sM did nol duM a impwe la �M purpaa tl vle). � I. m oxmr d iM v�M. d^ axduwey conlreqiq wi�h liwnaed wnvactore w conavwa IM pojed (Sadion ]W�. Busiw� eM Proleaiane Gado: TM Conlredwe License Law doea nat epp�y io en ovmer d qapMy w1w Wiltle a impovm �herson enE Mn camrern br eudi prqae� wii� e conUmor�e) IicenseE W��^I lo iha ConUafwe Ucerua lew). ❑ I em examq unCm Saclbn: B. 8 P.C., tar Nq �msan: Deie: �a: I do Mnby cMily ihtl 1 em ewere d W uMeniend the requiremenb d Celilomu Heellh xd Sdety Code Setlbn� Y5505. 2553�, eM T55�1, uM ihat I«vry tNure Wikuq aanPent will / wil mt (arcb ma) rread to comply wIh eeN deb mEm vd ths �puimmeme br a Wrmu loraominwyiona modifratianhom�MA��ly6rerepe^b^� Di&nd. ReddeNW mwwion ePO�'�ian ua memq Irom �hws yo.:ebn•. Uele: APG�� WOflKEN'S COMPENSATION �ECIARATION: I hmoW aN uedr parehy d parjury one d ihs Idbwi�p dedumiona: � I Mw aM wJ meieuan e mMiuts d oduani b�aAimura tor v.akac' wmpe�t'a�. n prwideL 1a by SWim �1W W tM laba coa.. i« in. v«+w�. a u» .� i« w�:�n w. o� a m�,ae. �I hew end x�l mvnten xroNeis' aompeveiion ireureze. m iam�ired by Sedian J]00 d tlw lebor COEa. br IM pe�lormanro d �M wwk lor whitli Ub pe�mu u mueE. MY ��n �^Ge^^di^^ imureMa wrier erd pdiq numbar vs: c.� STATE FUND E}CPIRES v�,.rmmn« — 01 /01 /98 nb swim nesa �wr w romdMee r tns u�� e ro. me nuneiee eodars �Srwl n kes.l � I ceNy Nei in iM peRmrorr.e d iAe waF lor xfikh iM1a pemiu u m I MaY�y emplo ny pareon In vy manmr m m to becma ��hjeq a iM worFen' mmpanwian lewa d Celilomie. E ise tl�/J I e becoms abjetl lo IM wahrs' ion D' ioro d Saeion 9100 d tM lebar COAe. I dieY nh � mn 6yWh pwaar. 3 S „�,,, �. od.: w.mliro: F lun ro•�cun wortri mnpwu�tlon cm'n+w b I, .na LWI xnM�r.n qwiro [IimTrl M^eWu uM GHl llnu ip ro am �uMrW IhouvM Od4n (S10q000A M^��n ro tlx cwf ol M1 A�m�p�� u poHLM br In S�ctlm 9106 0/ M IaDor Co6. InfwL ��msy� Iws. CONSTilUCT10N LENOIN(i 44ENCY: I hraby e1Nm �nEs pmetly d per'Wy thm Naa e e onwrwian bnNnp q�enry far Ne parlamerim d �M xaM1 la wM1itli Ihu pmmi o asued (Smion �08]. Cv. GI. LENOEF'S NAME LENDEN'S ADDNES9: I canily thm I heve ned i�u eppl'rstion aM mma ihm Ne ebwe iNormetian c cortea. I pree to canpty wnh eA rny W ooumy atlinenw� enE eteie kws mlelnp lo buJdvq eonpewion end M1meM einMrixe representelivee d Ihc d1Y �o enler upon iM abow-meniiawd pmpeiy ��,��'°"p�'�°��°�"�.fE Y D' LA RUZ � q �� l. v �� D�e: / inneluro W OxnedAgenVA v a (5151-18WP) V WhnsAuildipBSdery: Rnk-Revamw: (3alEeniaE-Nwor : T/OFF & REROOF W/ 25 YR COMP PERM NO: B 081035 GOVT: N SUPP; N PURPOSE: OTH SQ FT: 4,900 CLAIM VALUE: 4,900.00 CALC—VALUE: 4,900.00 GROOP OCC: R-3 /U-1 COMMENTS: RESIDENTIAL REROOF PER 1994 UBC ***�*�****�*�x*�**+�*��*+r��********x��+��***�*�***+�*+�x*�*�x*x��******�rx* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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: PARCfiL: 13915612 ZNE: REF NO: PLANNING NOTES> > " iE iE iE iE iE ik iE 3E ik �E iE 3E iE if iE iE iE iE 3E iE iE iE iE iE 1E iE iE iE iE IE iE iE 3E if iE If IE iE 3E iE �E iE iE 3f !F iElE iE iF iE IF if if 1E iE it iE 1f iE it 3E ft iE if iE iE iF it 9E iE iF 1E 3E �)E iF iE IF ik iE 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: BUILDING APPROV.ED BY :� DATE: APPLICATION ISSUED BY: DATE: 'I"-� ik�(-1FiE1E1E1EiFiEiE'IElEiEjElEikiEiEiEiEiFiE3f3FiiTFiFif3Fif3F3Fif3f3F�FiF3F7iTF7FiFTf3FiFiF ��iFiElEiEiElFiEiEiEiF1E iEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING PERMIT 99.75 50 PLAN - SMZP/NON—RES ISSUE FEE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 100.25 0,00 '0.00 100,25 100.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99.75 ; .50 if 1E k k'lE 1E fE iE iE 1E iF fE �E iE if if iE jE iE iE iE iE iElE IE if 1E'IF iE iE 41k IE iE iE iI' 1! 3Elf 1k iE 1f if iE fE iE 1E iE 1E iE 1E if iE iE'lE iF 1f if iE iE if iE 1E 1F iE if 1f iE'lE if iE iE'IF if 1E IE if 1f iE I N D I V I D U A L �-F E.E B R E A K D O W N TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST SFR 4900 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 4,900.00 END OF FEES �� 01-83-1997l03:54 PN/f180.25 kCPlq:61-u2�6855 PEkMI7:081035 ' �CONSTRUCTION AND PIANNING APPROVALS Permit # L Temporary Electrical Service or Po.le� � 2. Soil Pipe•Undrgmtl. - 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Etectrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe•Undrgrnd. � 70. Structura� Floor Svstem ' 7 i. Property Sewer line & House Connection 12. Sewer Cap � • • 13. Roof �rains ' � � 74. Rough Piumbing �, 15. Rough Electrica�-Conduic 16. iiough Electric4Viring i7. Rough Wiring 5ign 18. Rough Electric�l-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Firepiace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-iiough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Mpnocoat 27. Frame and Fla5hing 28. l.athing & Siding 29. Insulation 30. Drywail Nailing 37. Plaster Brown Coat 32. E�ectrical Power Meter�Final 33. final Eiectric � 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-Flnal 41. Solar pomestie�Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regu�ations 47. FINAL STRUCTURE & BU�LDING 1 48. FINAL PLANNING 49. Electric Release to Edison 60. Gas Release to Southern California Gas C[ 51. CERTIPICATEOPOCCUPANCY No Date Dete r POO( PA Inspector qppROVALS Permit # 52. Pool & Equipment Location� -- 53. Steel Rein(orcement �• 54. Farms 55. Electrical8onding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical ConduirUndrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVAL TO DECK� ' 62. Backwash & Receptor-Final 63. Heater & Vent�Final 64. Plumbing System � Final 65. Electrical�Final 66. Solar System-Final 67. Fencin9 & Access Approval 68. APPROVED FOR PLASTERING fi9. POOUSPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Under9round Hydro 77. Product Piping OGas OOiI 72. Underground Flush �73. Undergrnd. Storaqe Tank � Gas O Oil 74. Overhead HVdro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECT�ON 80. FOOD CERTIFiCATE ISSUED Notes: , r�.��9� _ Date � inspector ADDRESS GENERAL CONTRACTOR Gibraltar Avenue BUILDING PERMIT NO. �SjY VALIIE 5 15.662.00 AP. No. LOT lOLI TRACT 311�IRE ZONE DESCRIPTION OF WORK Res. & Att. G2T. GROUP I&J TYPE V ZONE A1 PLAN NO. 'ECTIONS coat Gas Test DATE I gUBCONTftAGTOR I PERMITSISSUED DATE NUMBER ;J •� ; 9 .;; /! ' C'i�ui.i� �,4 MESA BUILDING DEPARTMENT P. O. BOX 31'/ COSTA MESA. CALIFORNIA FOR BUILDING TO FILL IN )90 Gibraltar Ave. COSTA MESA. CALIFORNIA ADDRE55 Z�OZ G QTY Costa Mesa ARCHITECT OR F NEER ADDRE55 I Sti• TEL. No. %i LIC. ,y No. (`,.. Ge CRY LIC. NO. LEGPL LOT /�� oESCAIPTON NO. ��Jy BLOCK A.P. NO, Srze rvo. oF e�ocs OF LOT 7O ii LOO Inow orv �or n( USE OF EXISTING BLDG. SETBACK LINE FFOM cenrEa or srAeEr _$O� ]JLi�S REAR YARD ZO� SIDE VAFD RIGHT57T�u� LEFT �iTjug DESCRIPTION OF WORK NE' x ALTERATION AODITION REPAIR��OVING DEMOlISH SIZEDING lr 8 S .�. NO.OF ROOMS STORIES EXTERIOR WALL ROOF COVERING StuCco coveRiN� Asphalt BUEI�FNGEW ROsideIICe & Attached Ga.rF I NEREBY ACKNO STPTE TMAT T � CITT OIiDI A ES TION. SIGNA E OF ZED AGENT ,^. , _f'._ � �, l„ �� 1_ �0 to b'�uo ��-" �, � r,tv � � r-�n; �;et o�Pr`�"" `�� .: �`;lC'in PIFCh1 APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. P(i��`Ol J� l L/IJ�JI ftECEIVEO BV OATE RECEIVEO pnTE ISSUEO ��-�-�✓ �a -.� �-..r�' � E c s 1 r a BUILOING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE 20NE� NO.OF TYPE �/ GRO� PL/ NS L APPROVED 0V DATE CORRECTIONS WITH 4LL CONSTPUC VALUATION d� / PERMIT FEE .$ � 'L� t� $ /� / /�7_ PLAN CHECK 5 �%, s � f> 4J� TOTAL FEE 5 �( a,3 � v°'"F r