HomeMy WebLinkAbout3165 GIBRALTAR AVE - Building Permitsi
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(714) 754-5273 • Fax (714j 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 3165 GIBRALTAR AV
Suite:
Vicinity:
Parcel Number: 13913517
App�icane SHULMAN , JOSEPH
Address: 7821 SEAGLEN DR
HUNINGTON BEACH, CA
Owner: TOLEDANO, JAMES
Address 3165GIBR4LTARAVE
COSTA MESA, CA
Contractor: SHULMAN ROOFING
Address: 7827 SEAGLEN DR
Arth :
Address:
Zip:
HUNINGTON BEACH, CA
Zip: 92648
Phone:
License:
BUILDING PERMIT
Zoning: R1 Rl
Phone: (714) 536-5176
Zip: 92648
Phone:
Zip: 92626
Phone: (714)536-5116
License: 690617
Eng:
Address:
NUMBER
N 829
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 11/1711999
Issued: 11/171i 999
ISSUEDBY: �/1�`-
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXIST. COMP. SHINGLES INSTALL 2 PLY. 15 LB. FELT UNDER 25 YEAR COMP. SHINGLES. INCLUDED
THE ATTACHED GAR4Gp.
Plan Check:
Permit:
SMtP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$111.25
$0.50
$0.00
$0.00
$0.00
$111.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Reouired: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
��Z � � ol
OR'1�
$4,250.00
sa,zso.00
NOTICE: The work euthorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No, 92-28, § 1, 12•21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
fo� a penod of 180 days.
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and ell
requlred Inepectlong and (inel approval must be obtained. Feilure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626 �
WOFKERS' COMPENSATION DECLARATON:
I hereby ettirm under penalry of perjury one of t�e following Oeclarations: .
❑ I have antl will maintain e certificate ot consent to self-Insure for workers' compensation, as provitletl br by section 3700 of ihe Lebor Cotle, for ihe pedormance of ihe
work for which ihis pertni� is issued. �
�I have antl wiil maintain workers' compensation insurance, as requiretl by section 3700 of ihe Labor Code, for the peRonnance of the work for which this permit is issuatl.
My workere' compensation Insurence carner and policy number are:
Carrier: Policy Number:
(This section need not be campleted i! the permit is velued af one hundred dollers ($700) or Iess.J
❑ 1 cenify thet in the peAo nce of the work for iich thi5 permit is issuetl, 1 shall not �e pIG�Leay person in any manner so as to become subject to the workers'
com sation laws of )i omia, and agrea thg I shoulp becnme subject er�' compensation provisions of Section 3700 of the Labor Code, I shall lorthwith
com I9 wi�r se pr fons. / ^\ // //�_^��
ApplicentSi naWr —� Da�e: ) � 1 l
WAqNING FAIWRE TO RE WORKERS' COt�APEN5AT10N �VERAGE IS UNLAWFUL AND SHALL SUBIEC� AN EMPLO O CFIMINAL PENALTIES AND CIVIL FWES UP TO ONE MUNDRED
THOUSANDDOLLARE OO.00O�,INaODRIONTOTHECOSTOFCOMPENSAiION,DAMAGE5A5PROVIDEDFORINSECTION3]O60FTHELABORCODE,IMEREST,M1DAiTORNEV'SFEES.
LICENSED CONTRACTORS OEGLARATION:
of Chapter 9(commencing with Section 7000) of Division 3
eHect Lic. k ,
r's Signeture:
Dete:
Business�ntl �fe�sions Cotle, and my license is In full
CONSTRUCTION LENDING AGENCV:
❑ I hereby ettirtn thet ihere is a conSWc�ion lending agency for the pedormance of the work tor which �his permlt Is issued. (Sec. 309�, Civil Code).
Lenders Name:
Signature: _
Lentlers Atldress:
Date:
OWNER•BUILDER DECLAiiA710NS:
I hereby aNirm iha� untler penalry of perjury that I am EXEMPT FROM 7HE CONTRAC70RS LICENSE LAW tor ihe foilowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or wunry which requires a pertnit to consimct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicant for such pertnit
to tile e signed stetement t�a! he or she is licensed pursuem to the provislons of Ihe Comractors License Law (Chaptar 9(commencing wiN Section 7000) of Division 3 ot the
Business and Protessions Cotle) or that he or she is ezempt �herefrom end lha basis tor lhe alleged eaemption. Any violation of Section 703L5 by any epplicant for e pertnit
suh�ecis ihe applicant to a civil penalry of not more ihan five hundred dollars ($500).):
❑ I, as owner of ihe property, or my emDloyees with weges as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oHered for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law tloes not apply to an owner oi property who builds or improves ihereon, antl who tloes such work
himself or herself or Nrough his or her own employees, providad that such improvemeNs are not intended or oflered for sale. If, however, the building or improvement is
sold within one year of completion, Ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of ihe properry, am EXCLUSIVELV CONTRAC7ING WITH LICENSE� CONTRACTORS to constmcl the project (Sec. 7044, Business and Pmfessions
Code: The coniractors License Law does not appty to an owner of pmperry who builds or impmves thereon, and who conirects tor such project with a contractor(s)
license pursuant b Ihe Coniractors License Laws.).
❑ I am ezempt under 5ec. Business end Prote55ions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Ves ❑ No Dnver's License No.
Venfication of Ownership by (type ol document, i.e. - property tas bill or deea):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON:
Expires:
❑ I hereby certify that no ezcavation five (5) or more faet in tlepih imo which a person is repuired to descend, will be made in connection with work authorized by this
permit, and Ihel no building structure, scaHolding, falsework, or tlemolition or dismantling Ihereof, will be more ihan thirty-siz (36) feai high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Celifomia Atlministrative Code). '
❑ A5 ownerbuiltler, I will not employ anyone to tlo work which would require a permit tmm the Division of Industnal Safey, as notetl above, unless such person has a
permit to do such work from the division.
Signeture: Date:
Division of Induslrial Safery Permil Number:
ICERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OP EMAV: I ceni(y under penalry ot parjury tha� I have read this applicaUon antl state that Ihe informa�ion given is I
correcl I agrae to comply with all sta�e laws antl city ordinances relating to building consimction, and authorize represematives ol the Ciry of Costa Mesa to en�er upon Ihe
ebove-described propeny for inspection purposes. I agree nm ro occupy or allow occupancy of any building authonzetl by Mis permit until final inspection.
CODE �, INSPECTIONTYPE
1616 Fixetl System Final Fire Preventlon
7266 Pool Spe Final
200 Final Re-Roof
201 Final BIocWReteining Wall
202 Final Fectory Fire Placa
203 Final Sign
204 Final Demoli�ion
2d46d6
IN I L C�QQ�( INSPECTIONTYPE
206 Final Mechanical
208 Finat Plum6ing
210 Final Electrical
2tt Final Fire Prevention
220 Final Planning Approvel
222 Final Si�e
250 Final Building/Occupancy
Date
29IE INiIilALS
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PflOJECTA00flE5S: 3S6S GIBRALTAR AV IL!`i
awNeesxame TOLEDANO, JAMES � �
nooxess: 3165 GIBRALTAR AVE
COSTA HESA,CA 92626
979-5257
AflCH1ENGINEEB:
HEG.NO.:
UNIT:
RDONE55: UNIT:
PEqMinE¢: KEMNZTZ A/C G HEATING (714)953-8500
ADOPESS: IB8 TECHNOLOGY C
IRVINE CA 92718
LICENSEO CONTPACTON DFCLABATION: 1 �ereby aifirm �Iwl I am I¢enSed unEer Orovisions ol Chapier 9(commencinp wit� Sec�ian
1000� u� OiNsion d ol I�e Bu5ine55 antl Pmies ion C d an� my license i5 in full lorce anG e��eci.
CITY LIC.:I 1I ) STATE LIC.: � 9� �� 4 cuss: C— 2 0 EXP ;
�aie: _�.L41-Q I� �,— Signawre: _���-�,�--� � ��
WOflKEPS' COMPENSATION UECLABATION: I �ere0y alhrm Iha� I Oave a ce ilic te ot consent to seu-insure or a cenificare ol woders'
Comoensafan �1sYa��o� azce�t�dm�oy�inereoi (sectlan 38oD. Lat. �. O 1/ 9 S
Poucv r+o.: STATE FUND E%P. DRTE:
COMPANY: y
� Cenifie� copy is Aereby Wrnisnee. L� Certitie0 copy is IileC with tne dty Building Division.
�aie: I I IIF.'/7 / AOPlicanL ��� ��i�"'P l..K�W
E%EMPTIONFflOMWOPNEN$'COMPENSRTIONOECNMTION: (ildsse[4mnttEnolOecompkteEilUkpam16taanehunEreE�51IX1)aless�.
I cerlity l�ai in Ihe periwman[e ai Ihe rrotk tor wNch IN5 permi� is i55uEE. I SAall n0i emD�N' any Derson in any manner so az to h¢mme
sublec� to ine worker5' Comoensation LavS at Cdli:omia.
Oale: S�g�awre:
NOTICE: Ii, alier makinq t�is Gedaration, yau siroul0 Oewme SuEject to t�e Wo�ers Compensation pmviswns of the LaOor
CoOe. yau must Ion�vnl0 camply with SucA provi5ions or 1td5 permit Shall Ce GeemeO revake0.
CONS7PUCTION LENOING pGENLY: I hereby atfirm t�at l�ere is a consimction IenGinp a0ency for the pertormance af Ihe wark lor
whicn tnis oermii is issuee ISeciion 3W7. Civ. q.
LENOEP:
AODflESS:
OWNFB BUILDEN UECUBATION: I �ereUy allirm that I am evempt imm ��e Contracmri State License Law for ihe lollowinp reasan
(Seclion 707f.5 Busineu ana Protes9onal CAae: Any city ol county whicn Rpuires a permit to cansiNct, alter. im0�ove. tlemolisn, or
r¢pait any Slmtiure, D��or Io ils issuantt. aISO re0uir¢5 I�e applitani tor SUC� permii lo tile a SipneG Siatemenl ��al �US�e is Iicensetl
pursuam io Ihe pmvisions ot i�e Comracmrs' State license Law (C�apter 9(commencin0 ��� Sectbn 7000) oi Oivisian J ol i�e Business
ana Pmlessions Ca0e1 a� Ihat he/sne i5 exempt iherelrom antl Ine OasiS lar Ine allepea e�em0�ion. My violation ol Section 7037.5 by
any aODliCanl lor a p¢rmii SuOjetlS i�e aD0liWnt Ia a tivil Denaliy 01 MI moro IIWn Ilve �unUreA OOIWrs (5500).
I, as owncr ot ��e pmDeny or my employees wit� wapes as t�eir sole comDensation, witl Go ihe work. an0 t�e
❑ simcmre is not imeiMetl or olferea lar ule 15Ktion 70aa. Business anE Professional CaEe: The Contracmri Stata License Law
aoes noi apDN �a an owner of a pmpeny wM OWES or imprwes t�ereon, �nA wtro Goes such wo�k hirtnetl/herself ar I�muOh
�is or �er own employees. provbeG tlut such imprwemems a�e not intentleA or oflereG lor sale. II, trowever ihe buildinp or
improvemem is so10 mt�in one yeai ol completbn, l�e owner will Iwv¢ t�e EurOen of pmvinq �e/s�e GiG not builU ar imprme
lor Ihe purpose ol salel.
1, as owner ol the D�openy, am ercluvvely wntractinq wii� IicenseE wntractars �o constmct t�e D�ole�� (Seclion 70aa, Business
❑ antl Pm�C55ion5 COEG: T�e ContraclOrs' Siafe Lit¢nse Law dces n01 appy Io an owner al properry �o �m105 Or impmve5 ihereon
ana w�o conVacls lor su[� O�ojetl5 wil� a conlracioqs�license pur5uanilo I�e Coniractors' SIa1e License Law�.l am awaw
Ihal pmol ol I�eir Work¢r'S Compensation insurance s�ou10 Ee promECU m me.
� i am eremD� unaer Section: B. 8 P. C.
tor Inis ieason'
Dale'. Qnner.
I tlo nere�y certity tnal I am aware al ana untlerstand tne revuirtments ol Calilomia Heallh an0 Safety Code Sections 25505, 25533, ana
25534 antl i�a� I or any lumre builaing acupant wilVvnll not (drUe one) nee0 to camDN �+�� �i0 stale coCes antl ihe repuiremenis br a
permil for const�utlion or rtwailicalion Imm t�e Air Oualiiy Manaqemeni Oisiritl, fleSiCentul constmciion applications are exemp� Imm
inese provisians.
Date: pOO�KanC
I �eteby ttrtity I�al I tuut read lhi5 applicatian an0 5tate llul Ihe aEove inl0rmaii0n i5 COrreti. I a9�¢e Io Comply vnlh all Ciiy anA COuniy
orCinances antl s�ate Wws reWting �o OUAding constmction arb hereby autnorixe reo�aen�a�ives af tltis Ciry m emer upon �he above�mentionetl
o�ooeny m�in pection OfQO5C5. c� /' /�
oale: v�` SignaWre: ' l �� w ��'
od�er's Lirense o� Saiai Secunty .:
16a1-a6 W�ile—Builtl�ng: Gteen—CoEe Enforcemenl: Canary—Applicant: Pmk—Revenu9; GolOenrOtl—NsSesSor
CITY OF COSTA MESA - BUZLDIPlG PERMIT PERH NO; M 064942
PERMIT NO: M 069942 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH
JOB DESCRIPTION : FAU CHAP]GE-OUT SQ FT:
CLAIM VALUE: CALC-VALOE: GRODP OCC; /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
iR 1L il-Y� JF 1� if if'If'If'M if iF if M M' iF iM if iFY' iF V M' iF �f Y df 1f 1f ih if if 1f'If ik Af ii �f M' iF iF Y iM'M' iF iF i�' �fY' if Y ii AF Y iG �f 1F'K-1f 1FY iF 1R iF if i/ �F iF Y ii iF iF Y-if Y jF iG ih
Z O N I Dl G R E Q U I R E M E A7 T S
S E T B A C K S
------------ MAIN bUILDZNG ---------- --------- ACCESSORY BUILDZNG ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IA7 AGHT; FT IN
PARKID]G P.EQ; PROV: PARCEL; 14103702 ZNE: REF NO:
PLANNING NOTES>
>
N' iF iF iM1 if iF Y"II' Y' ih'I(' i(� Y' Y' M y if iI' 1! if 1R iF Y tF if'M' MY M M�I-1F �I' iL jf M if i� 1f iF'IF 1f 41F aM 1F'IF'1f i(' if if Y' �f if 1f iE iE �E �F if i4 JR ii �f iM Jf Jf Jf �L {F X"If iF iF iF'YY-iL iF
D E V E L O P M E Dl T S E R V I C E S P. E Q U I R E M E N T S
ZONIDJG APPROVED HY DATE:
BUILDZNG APPRt�VED 9Y : DATE:
APPLICATION ISSUED BY;aTl-� �rtT��� 3T-f���—,�9�'CT� TDATE; ����1�
Ifif'If'M'�FM'M"1FIF1fM'MY'�flfMYMM'ifMN"TTSF'1tY'M�TF�i�'Tf'jR�f�fiF�F�IfF+.F�TTF�YL�F�h3i—TiL'�fMiEffY'iFlfaf�fY M i(� ,f�r�r-
1f i!')f iE lfif if 1f if ih if if �f if if 1F if if if 1! iFiF if if 4 M if if 1f')f if if 1f�f-if'IF ifi! 1E M 1Fi! V iFii ifit 1f * sf iF Y M 4 if'If M 1f ifif'I(-if 11��M Y 4+f 1� Y 1f�1f iF if i4 11 if if iF i4
LEGALIZATIOP];N F E E S U M A9 A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC NECHANIC FIRE SMIP/RES GRADIA7G
PERMIT 9251 SMIP/P70N—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 IS.00 0.00 24.OQ 24,00 .00
\
'✓� V" :.":!"'L'- r > COLLECTED; 29.00 OVEP./SHORT; .00
'���=��iu� ��,�... }uS�i i��fi��s--
�'LD�_ PMI' .�'�'�.�FP�ITYi; E:Lac'.i`�'sC hi&i: A� FIP.E SMIF/TOT GRADING PLAN—CHECY.
��. ab
iili Y% X K N if� iF i� it �F 1F if 1F 1f if� 1f if i� if iF aF'M K 1f iR iF iL if iM-IE')E if"'�f af af if iF Y if �f �f M if M i4 if if'M� If %1f if M 4 if� Y 1f iF M M-if ar iL Y if M w 1f'k V i! 1F �f if iF �f #
I N D I V Z D U A L F E E B R E A K D O 4I N
TYPE riTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GP.AV FURA7 <= 100 K BTU 9.00 9,00
END OF FEES �
�Di3Pi..ICATE REGE3F'Y:f
7i �Ull1808-CJ?71808 TnT 24.t10
oa?F: i��io�94 ?It9E: 10:05
CONBTRUCTION ANDPLANNING POOI �A
APPROVAlS Permit # Date Inspector qppROVALS Permit # Daie Inspector
1. TemDorary Eiectnral Servics or Pole 52. Pool & Equipmanc Location
2, Soil Pipe�Undrgmd. 53. Steel Reinforeement �
3. Electrical Conduit Uil�ity-Undrgrnd. 54. Forms �
4. Electrical Condurt-Undrgrnd. 55. Electrical Bonding i
5. Steel Relnforcement 56. Rouc�h Plumbing & Pressure Test �
6. Eiectricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Foov�gs 58. Electrical ConduirUndr�md.
S. Foundation 59. Gas P�pe, O Undrgmd., Test
9. Wai¢r Pipe-Ur.drgrnd. 60. Backwash Lmos, P�Trap, L7 Undrgrnd. i
10. Sxructural Floor System 67. APPROVAL TO DECK �
11. Pr�pe•ty Sewer Line & House Connection 62. Backwash & Receptor•Final �
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Plumbin� System � Final
1d. �,c�,�� ' .mbing 65. Efec[r{c21�FinaV
15. Fough Electrica6Conduit 66. Solar SVstem-Final
16. Rough Elecvic Wiring 67. Pencing & Access ApProval
17. RouBh Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiiing 69. POOL/$PA $YSTE615 FINAL
19. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIREMENT
20. Ro�gh Factory Fireplace APPROVALS Permit #
27. Ducts,in Structure 70. Underground Hydro .
22. Ducis, Ventilating 71. Product Piping O Gas ❑ Oil
23. Ga> Piae-Rough & Test 72, Underground Flush
24. Roo( "rrammg 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Fioof Sheathing �4. Overhead Flydro
26. T�Bar Ceding (Structurall & h-0onocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Laih�ng & Siding 77. FIXED SYSTEM FiNAL
29. Insulation 76. FIRE PREV. FINAL
30. Drywall Naihng HEALTH DEPT. REQUIREMENT
31. Plasier Brown Coat 79. FINAL ftdSPECTiON
32. Electncal Power Meter�Ftnal 80. FOOD CERTIFICATE ISSUED
33. Fina� E�ectric Notes: �,� -�(S ���,Gs-� � �
34. Fina� Heating & Air Conditioning �._� 9� �'
35. Fina� Gas Pipe-Test
36. Hood or Canopy �
37. Fina� Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas 5ervice-Final
41. Solat DomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation Sysrem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
A8. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER � SUMNII';RLANU LAND CO. DATE 3_26-57 -
JOBADDRESS jj(�5 ,ibral . r ArP� BUILDINGPERMITNO. #(1%S(j
GENERAL CONTRpCTOR OSdII2T Bldl'. VALUE $ 11��iZJ1.00
I 13f� BLOCK TRACT 2353 Res, w/att. �3T'•
GROUP I& J TVPE V � ZONE �y FIRE DISTRICT J1%89
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER
Footing Trench
Foundation Forms and Grade to
Plumbing,RoughtoSlabCl)y,�e.e��'�-�'-S I�-�_'s�'Yllrrt I'e.,V�,�S.cu� I,�-��-
Pole
r, House (,(�L Sewer, St.
c Tank or CessDool
����ing, In Ou C�Z"✓ro 5
F :ring G
Plumbing, Final, Fiktures Compiete %V(.G S_ �
Plumbing, Fin.al Gas Test �<i �� S �
Wirina.Final �� , ' )
1'�`
FOPM 210 3M IO�vS
✓
�. .
�'"- � . �`i $9
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADD e's"5 3165 GiUralter. tivenue
COSTA MESA. CALIFORNIA
OWNER
ARCHITECT
OR ENGINEER P.'
LEGI�L
oescniviov
A.P. NO.
S�ZE E-GOp
OF LOT
USE OF
E%ISTING BLDG.
SET9.�CK IINE FXOM /1
CENTEF OF STREET �11�
TEL.
NO.
LIC.
NO.
ecerlv-Lc
a arv �
O. r
3eve�1�
es. a .�
or e
ON
FEE RECEIVED
�V�,�..��, i�t�-5.�'� ,
fINANCE DEPT.
APIsLYG�l�1�n! 1�V� PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PEPMIT !�f
BUILf]I
COSTA MESA. CALIFORNIA
85 �`\i �c;' �G
e$�at a.e��� qppROVED
—oUGo av
__����
SIpE YARD RIGHT � 1 LEFT �- 1
DESCRIPTION OF WORK
NEW X ALTERATION qODITION
REF MOVING ' OEMOLISH
BUIL�ING NO.OF /
SIZE � ROOMS V STORIES
E%TERIOR WALL a ROOF
COVERING Sb1jCCO COVERING .�' OCk
USE OF NEW
BUILDING .Ql 1'10� P�I�?ttll � ZT 1iL'I!?� � l 1'10
V
CORRECTIONS
0
STnTE TMAT TNE FBOVE IS CORRECT �ND nGXEE TO COMPLY WItM wLL
Giv OFDINwNCES /.rv0 STeTE LewS BEGULaTING BUIL�ING C TRUC-
TION. VA�UATI ON
SIGNATURE OF PERMIT FEE 5��� OO
PERMITTEE G '��� �G ��� / n
� g// J PLAN CHECK $1��.� OV
AUTHORIZED AGEN� C��"��'�j TOTAL FEE S�}��OO
v��
owN�x DURIO, JOHN R. nAT� 11-30-61
JOB ADDAESS 3165 Gibraltar Ave. BUILDING PERMIT NO. 1592h
GENERAL CONTRACTOR p�er-builder VALUE $ 101.00
AY No.113-373-17 LOT 1'RACT FIRE ZONE DESCRIPTION OF �VORK IRt.ABTt.in
]NSPECTIONS
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DATE IGROUY 7 TYPE V 7.ONE
SUBCON'PRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C06TA MBBA. CAI.IFORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
1 MAIL
COSTA MESA. CALIFORNIA
TEL.
SIZE � No. o� aLDoe.
OF LOT (�)'D��D Now oN LOT
USE OF
EXISTING BLDG.
86TBACK LINC PHOM
cerrtea oF sineei R�1R YARD
SIDE YARD I LEFT I RIGXT
DESCRIPTION OF WORK
EXTHRIOR WALL IROOI
COVERING GOVI
USE OF BUIL NG AND W RK TO
n,�.v _ a�%an,,,%i .
FEE RECEIVED
NOv 30 1�3i
FINANCE DEPT.
APPLICAT�tjl (�ft���kII�E�
BUILDING
For Offlce Use Only
COSfA
CALIFORNIA
` ` ZONING
ZOH I NO. OF UBe OP NeW
� PLANB ^ � BUILDINO
DEBCRIPTION f--l/ I � / 1 / � \
A. P. NO. � � I � � —_�
YARDS EVE6 '
APPHOVED ALLOWEO
(CeNT[R LIN6 BT.1 (
2
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1 HEREBY ACKNOWLEOGE THAT 1 NAVE R4� TM�B A1PlJGT10N THE AMOUM BXOWN UNOeP VqLUAT10N IB FOR TH6
AND 6TAT[ THAT THB ABOVE 18 CORPHCT ANO AOR86 TO COM- pUliP09C OP 88TABIJBHINa A PEPMIT PEE ONLY.
PLY WITH ALL CITY OROINANCEB AND BTATS LAWB REOULATINO
01)ILOINO CONBTRUCTI N. VALUATION
81GNATURE OF D � j PERMIT FEE $ ��-
PERM I RE 1
$ / � PLAN CHECK $ '�-
AUTHORIZED NT '� �
TOTAL FHE