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HomeMy WebLinkAbout2951 PEPPERTREE LN - Building Permitsreaeirnooxess:,-�g51 �PEFPERTRfE i,rl;� �;_ ,��=,� uxir: �; " ' OWNEflSNRME.,�LARRY SAFF.nRD � '� "� � � - � * nooeess Zy51 ; FEEPGRTREE LN � � " � r: a "�COSTA MESA; I ^ t ' `> _ . ; ; � r,�: ;(:A�9%:527�',i .� t �. 's i=� �' ." ;.( 71'4 )' S 4 6 4 �4 3 5 ' ; , ,� ; _RBCN/ENGINEEB • � a _ ; � ' t i EG.NO.: � � . � ' c. �ODflESS: �� . Y r ' UNI7 � ''_ `_ �t1.. y ;, r ; , �. PEflMIITEE: AMRE .� + I.', �� . �� `� � ; i . � ( 714�),937=010_1 , �ooeess: • E20; N 'ECKFiOFF ST - ' � �' - ' ORANGE � i •, CA 92668 :'= � �' LICENSED CONTMCTOR DECIAMTION: I �erehy attirm tAat I am licensetl untler pmvisions oi Chapter 9(cammencing with Sectian ' 7000) nbDrvision 3 oi the�Business�and Pmfessions COAe,-an0 my�license is in fulPforce anE effect. ' : . ciTr�ic.:049126 srnTeuc.:47304j, cu � ' �. � • ' -� � �,.- �y��I /�%�/%¢. . , . i �Date: Z�� 7--� b. ' � SipnaNre:� `�', s�'L� ��� EJ 4 � • ; � ; WOBHEXS' COMPENSRTION OECUIMTION: I hereby attirm that I have a certifica[e ai consent to selt insure or a certihcata oi Workers � Compensation Insurance, or a certitieU co0 ��ereol (Section 3800` Lab. C�. .. - ••� r � roiicrxa.;RMWC112753� �'exr.o�re:�ll/,07.%90 ; � ��� ; ^ornrnNr.-NATL� UNION FIRE � ^ ; �' . �Cenilie0 coDY. is hereby fumisheE '�I Certifie0 copy is M1IeO with t� ciry BwlAin9,Drvisian. / y- t � i )-;{�/�J��///��-f� i Date 3 - % - ;9 D � qpPimzm:'�f��C�sC�L�"•�_ ,���� . _ E%EMPfION FBOM WONIIEBS' COMPENS1t10N DECUMTION: (ihis secfion neea not Ee com01ete0 A ihe Oermit is for one hu�NrM (E700) or less�' � - I certiry Inat id ihe peAormance of tne work for wAich inis permit is issue0, I shall not employ any person in any manner Sa as to �eCome ' subject to tAe Workers' Campensation Laws oi Caiifomia. j ' � � , , , .. . , . . . - , . .. . i . . .� .. 'Dater . ; . . . � ..r _ . � Sipnaturo: . ,....,. i .. . ` _ .. .:. � . . " ' ' " �NOTICE: II, aiter malting Ihis declaration, you shoultl become suble� �odhe,Workers' ComDensation prov�sions ot the La�or " COUe you must forttiwith comply witA suc� provisions or iMs�permit s�all be Ueemetl revoked • '1 p CONSTBUCTION LENDING FGFNCV: Phereby atlirm Iha[ ihere is a constmction IentlinA aAe�cy for �he pertormance oi the work for' wAich this permit a iuueG (SecLan 3097 Crv. C) � - • . � •• � lENOER: . � ' ' ' � . { ' . { t .. .' - �ODPESE: . . . �- . � p. - , i . _.y � _. ..-.. _ . . . t . . , r A .. � r- � ' � .., �� ; .� , „ •';; ; ,.�� ...:'. - �-�i� -, �,.-. �g, OWNEX BUIWEB OECIAMTION: I hereEy atlirm tAat I am eaempt irom tAe Contacrors' State License Law tor I�e folloxvnp reason + (Section 7031.5 Business antl Prbfeuional Catla: }My city of coumy which reqwres a Dermit to constmct,�alter, improve, tlemolis� ai repair any slmcWre, prior�to its issuance, also.requires ihe aDDlicam for suc� peimit to lile'a siAneU s[a[ement that he/she is licansed.� ' r mm n in with ection 7000 �of Division 3 of the Business pursuant ro the Omvisions of ihe Contrac�ors' State License Law (Chapte 9(co a c A S � anO�Protessions Code) or that he/s�e is'exem0� �herelmm antl ihe hasis for ihe alle0etl e�emption:,Nny violatian of 5¢ction 7031:5 �y �, any aDPlicant for a Dermit subleits the aOPlicant to a civil penalry oi nut more tAan live AunOreU tlollar5�5500).` I^ �,�,. i!; � �� { � . . i � . , "I, as owner�of�tAe:.pmperry�ormy empluyees wilh.waAes as�tAeir sole,compensabon,�will da;the wark„and ihe , ;� . structure is not intenAeO ur offeretl lor sale (Secnon 7044, Business antl Prufessional CoOe. The Contractors' State License Law • • Joes not appty to an owner.a(a DroDerry who builtls or impmves therehn, anU w�o tloes such work �imseli/herself or NmuAh �'his or per own�employees, proviOeU I�at such imD�ovements are not intende0 or offeretl for s51e. II, however tha huilUinp or '�improvemen[ is solG mtAin one��year of cdmDletion, ihe�owner wi0 have the burAen af D�oving he/she Oitl not huild or impmve � ��laf ihe�purpoSe oi ule):, , � . , _ ? + • , , , j' - ! I, as ownei oi ihe D�operry, am exclusrvely coniracting wrth IicenseA wntrzctars to�consVuct the prole�� (.��tion 7044, Busineu �� an0 Pmlessions COAe: The Contractors' State License law Eces not apDty ro an owner ol OruDeM �o Gmlds or imD�s tAereon { anA who contracts for such prolects witA a chntractor(s) liiense pursuant to the Contractors Sta[e Ucense Law).�I am aware . � that prool of their Worker s ComDensatian msurance shoultl be�proviAeA�to�me. , ; . � � i''! � . � � i �� Yam exemDt unCer Sectmn� i � - 8 8 P C �'� S� � ' � for this rezsan �. . F ,, • ' ,; - 1 ' � � � i. . '� . ' � � � . ' 1' - � . ' �. ^I Da�ei � � � � � � � Owner � a' ' , I tlo hereby certiry that I am aware of an0 un0eistand t�e repuirements of Califomia Health xnd Safery CoEe Sections 2550.5,� 25533, antl � 2553a anE that I or any tuture GuilOinA occu0ant vnitivnll not (circle one) neeE m comply wuh ui0 state wJes anE t�e reQuirements /or a: permit br constmciwn anmoUifiwtion imm tha Nr Uualiry.Management DisincL HesiGential consirucGon aDDlications are exemp(irom i theu provisions. " � � . � � ' ; � � , . . • ; Date:' 2 .. . •. { FpDlicant: � ` r' � � � � •1 Aere�y ceniry that I have read this application antl stxte Ihat ihe a�ove iniormatmn is coirect I aA�ee �o campty wit�� all city antl counry � �oMinances an0 sWte laws relating to CuilUinp constmction and Aereby aNlwnze re rasentatives of this cdy ro enter�upon Ne a�ove-m¢ntionea � proOenYPorinspectianpuryoses ' ' �� . j ��' /— � �t{. . . Date� 3— 7—� 0:. SiqnaWre�'��, �/��� � i_ . t. �' _ ' Oriver's Lcense oi Sociaf Secunry + � c � .. ' .. .� W�ite-8uiltlina: .. - . . . , - = - - --r--- -'- "�r� �`:' ��{ ��CITY OF, COSTA MESA - BUILllING PERMIT' 4.� PERM NO( B? ,;046385 ��` ,_ PERMIT NCJ FB ;�046,389 � . �... PL'ANiCH£CK�NOi �u., . �_ , NR ' :S�GOVTc N, SUYPy � TI � . , �CUNSTI20C1'ION TY£E 5-N : � �'. ^= YERMIT; TYPE STR ° c { ' � ' 4 � • . PURPOSE � OTEI ' � ' . '. �'t�, t i � ." � . -i � :i. : 14� , � . f ' .' � � j � � � � C . ^ + . � �. , � . . J.OB DESCRIFTION iNSTALL EXT' �VINYL SIDIN(>. (ICBOtt •3663) .` SQ FT�.f� 6 500 ._ i;,•; � ,r � . . . . , � :i �CliAIM �VALUC i 6, 500 00- � CALC-VALUk:: i -� 6, SOO.OA `GROUP lUCC:s R 3.r� /,, i`-' Ri6.. . �.., '+. �. .. _� .S'. t t'•'.` ::�.�- a. � �'.:�.(:?;i�...�-y ,j.-�'� �', COMMEN'CS':'{SMOKE ;UETECTOR ( S ) REQUIRED "IN� HOME'.. � ' . . ' :: t `. „ _ - ° , . �:. [ 1 ;'-" t ; - '-�,*�**�e**�**��*��*�*�cxx*�e****�**�*'�r*�+�*��r��******��r**�+�*�**�**�'**�r�***�ir***�*�r** : �• . ..^, .Z Q N T'.N G� R-E�Q U I R E M L,�N T S i:v; .•.�, ��- �•..�' ; .. s ; i 'd . ,S' E T. H A C K�S ' . , � , . _> ,`r� - I., � i d i . ., - ` . �.. � . . � � . { � . � �. . .{ . � k., � f y ; . � : � ; - �'3 ,-;-' MATN BUTLDING ----- : �- � =--- �ACCESSORYrBUILliING� - '-� t "FRNT � Ff ;IN� REAR: FT � IN'� FRNT: . .FT. IN REAR: �, i FT i' �]N�` ��: '. LEFT , � F L �� 1N� RGH f t, "FT ;.. IN ��{.LEF,T; i FT, ti PN RGHT e i„ t FT } �] N . .i : _ A ��• � . ., -s r i; . y. "PARKING.REq � PROV � � PARCEL:�42424129 ZNEi� ' �REF NO' . � ',;� � � PLANNING NOTFS> r ' , ; , . � . :, � ` � ;� �".1 '.t' ._ i �_ 1 '. . ,..�_; _. t . : i f_._ ,__': . _ ' . . . . ! iE if iE iE if 3E'iF 3tlE it iE 1E iE iE if iE iE,iE iE iE if it iE �f if iF iE iF iE iE ib k iE.1! ff i! f! if �f 1E if iF iF )E iF iF iE k�iE iF iE iE iE�1ElE iF 3E if if iP if 3F.M�,iE iE 3E iE iE jE 1f'jf iE iF fh i! ik it IE k•• ' DIE V E,I;"O�P:M EN-T.; �S E.R•V;I":C E.S 'R�E Q U I R�G M E�N'T.�S � F. ' ' � ' � ' . . � ' i ' � . . ` :%-i• [ t �. .' 7.ONING APPROS�EU ,HY , ' ; � � . • • iDATE: �y�'�;i �� ,�' j.;. ' ' " .. . � .' , _.. ,.. . _ - ._i. _ 1....�-.. ' .i. � � . —' _ . B,UTLDI'NG� APPROVED BY l: ' '� �r' � DATEi ? a i' ^ E �APPLIC�'ATION IS5UF.D�RY:-^--- -- � , �— - — �.i ' ` DATE:1{'3.�.'7����G'{- • at;iEiEiEitatitiFifkkiEiEiEx�iflEiE*3tit�lt�i kitk*1EitiEifiE1ER�"TF3Fi��F3�" �iFK�iE . iF.iEiE3Fik3EiElEiEiEiFIFdFiEififlEiEiEiEiEiE3E.if.�ffEifiEfEiE4iEik'3E3ffkiEifiFiEiFiEiElEiE 7t�ffklk3EfFiE3f.iFlfiEifififiFfE.iE*#IE3EiE3E'ifiF�f'IflfkiElE.k . . LEGALIiZATION:N .�' ?''�' i":'P E-E S U'M"M A R Y ":�'STRUCTURAL'SEGMENT:Y-'.� � �` i-li '. ! � . :� ' '. . ' �. .' ,' � r,� ; t ., . ' - , - , � � ' . '.i: � �. ��, , c; ' BLDG PMT 'PLUMBING .ELECTRIC 'MECHANIC , ''FIRE� :SMIP/RES ,•:�GRADING �PERMIT�' � i 90?00�: l ' + i =�' +', -- E ' � .5.0 , ':• ` �.�' , ' � �SMIP�%NON'=.R�S . ,f. ".�I.r.�N�. 5 J .� I �' 1Y , . . l.. i` X. � - 1''%d F :I _,, f . .,, . _- , f' f,. '�. . ,c. . . 1� :o-�. .� �• „ISSUE �EEE �T ry , ' a" �" ,' �, , . � , lyx, '� .�'; �BUILDIING--llI�V~� >•� PERMI`T � E`ISSUE :"?�PLAN-CIiECK1 :� i i TOTAL � r PAID � ra DUI:a. h' " � TUTAliS---->' •a " . 90. 50'' 1 , '0' 00 :-': �,.r,f 0: 00' ' , 90. 50 ' . 90. 50 ` � ' � . OU • - . �o . . _ .. . �' A` : . ,1/i,; � � . .. . . ..i - ' . _ ' li...q' . - � �"� : 'RE[E.NU,E DICISION TOTALS =>.':, 160LLECTF.D: 90.501 OVER/SIiORTe'�,�.,^ :.00"� � ',��, '. FLUGp 'PMT�'PLUMHING ELECTRIC- MF.CHANIC-�.,; .FIRE SMIP/TOT "iGRADING PLAN-CHrCK; , . � �;.:, . Y ' � �:JO . OO 1 , } ` , 1� ' f ` e . . " . SO " . . r ' ' y . _" t � ti r : ' ' , .� 1 _ . '' . � � . ,. , t . rjEiE�FiE�lfk#iE�tifklfiEklF�1FiE3fk3EkkafiElElEiElEiE.�Flf.iE�ifi4fkilikiFiFiFiFiE�iFiE9EiEjE�fffifiliE�7f-ifiEiEiElEif�iElFiFlf�i!'ik1E1E3klFiEaEiE�1E�1E1EiE;fE1EiE . • �-.. ,,�' �� t,;, ,I�N, D I'V �I.'D U A' li� F ESE� .;H H�'E A�'K;D O W N� G ; . ;,, : - - `� � �. , t ', � • ,+_ `TYF'E . t� Q1Y .` ` �',D,E S C. R'I': P T".I` O N„G'�' ;�`. �' • UNIT COSTr ,r�',, TOTAL�:.COST• �•r;e �.' ( ' �• ; � '. . . .. • : �'i' � � - , j . : - ' . . � r : ' �� r SFR � , 6500 � ..+ALTER BY. VALIIE � ;RESID'ENTIAL �NOZONE'• -' 1 :'00 ' 6; 500�. 00 �;�'� _ ... • �. , i. � s j nEND:�OE .FEF.Si: . . � : � i` : r. ._} . . :; " , ' � i ' ` :%tr r' ' ' . r , i` * . . { j. � � . . . < c 7; �' �i .� ., i fi t, �% . . . .. ` • d ' . i ~ .. . � ��' t,r: ' � ' � f t�� f:' :n � . ; . : , � .i . �- . . ' - .t,;,, . . . .�� �. t� . • �. ' _ ,�'? � � , . . , r r t- . - i•_ �...._ .-r ' t , t . " 1�. � � . � . � . ( ' ,. i . . .. ' � . . ` . ; . i.� a ; • r r � r �. . . �.,. , � .,. �� . � � i ;.a 'I � ; . i :; � , . . , � , y. � ''. . ` � '�.1 .'' . ' �71��0055ti17-OQ05561E T��T. I �.�4ti 50E �. , . `' � , ` ` ' I i s ':,� ` ; . �, DATE:. 03/,07/90'�'TI%E 13:i8 ' .( ,r _ � � � �_ ; �. ' . � �� . . , � . . . , . . . . 'uoiaenraa—nssesaor ,... . . . .. • _ .. , i _ . .. • .._ . - ..."' . _ � " '"^'!� . .. "_ _ " ' " " . � � . �. : ,._ _ . _ .l:_.J.., .._ . . . . ' ' ' � � . � . . ' . . . . . . . .. . ' �� ._ . , . - . � . . . . . . i , ' j , ' . . ' ' ' . . 1 � � �; CONSTRUCTION�AND PLANNING�.' , = � - ' = , ,� . �'4 .v� POl . SPA . _ � . �. „ ` Date : 'Inspector ` `" � � . Date ' ,Inspector< =- AP.PROVALS Permif#� ' [.; �, � - �APPROVALS . .Permit.# _ . � i,y � r F .a G . • . : �i.�Temporary, Electrical�Service or:Pole { , f . � . , , ��. ; 52 � Pool-& Equipinent Location - . . P,. - 2:,_.Soil-Pipe-Undrgmd; � .'. -;�" ; ; �- � � - �- i -'.` 53.� Steel�Reinforcement � � � - � �- � r:r3.�.ElectricalConduit.UYilify-Undrgrnd�� ' �' � �• ' �54.`�Forms•-� �'- "'�� " -! (f� a 'c : -'�4'.,Electiical Conduit=Undrgmd. '� - �'� � .. � ' - 55. Electrical Bonding - � - � . �, . ,i..=...��-_ ; ; 5:rSteel-Reinforcement - - . '-?! - ; - ' ' � 56.a�Rough'P.lumbing & Pressuie Test. � � � � � �''6.`-=Electncal UFERJGmd: � � � ' `-' • ' �t 57.:APPROVALTO-COVER�GUNITE 'J" � .�.i: - '� - .•. : ,-, , .. -- . . ; �� 7;;,Footin`gs � - �� ,, ;a �' � ` . . 58.vElectncal Condwt-Undrgrnd. � .� � :, =J 8.� Foundation . � • ' . . _ _ . '59:"Gas Fipe, O Undrgind:. Test . , _ " �. - r � -9.-WaterPipe�Undrgmd.;;� ,%�J � , � �� _ 60.'Backwash Lines,P�Trap,O Undrg'rnd. ' �� -• 10. Structural Floor System' -� � ' �'-' ' "r �' �i � •�- � � 61.;AP.PROVAL TO DECK"�-� � � , 11. Proper Sewer Linef&� House Connection �'. � � � 62.`.Backwash & Receptor-Final � - - � _ z - . �12„Sewer r,,:. _, � i^' o, � i:� : - i, � 63.��Heater& Vent=F.inal. i: • , � �; , t'i " r� .: .,` . . . . •. : . . � i , i:,13.>RoofDrains __. „7.;'^ �,r� •'��, : � , 64.-�PlumbirigSystem.FiriaL�'. . t , � , ' 14. Rough Plumbing , - � � t 65.. Elecfrical-F.iria� -� ' � ' �, s' � .15.� Rough Electrical-Conduit " � : ' 66. Soler SYstem-Final " _ . � ' . .16. Rough ElectricWiring� � I';>:�� ' ` � � ' ' �' ~ . - 67. Fencing & Access ApProval i ,� _ .. :. � 17. Rough Wiring Sign _ - . ' =�'�'� � � 68.'=APPROVED��FOR PLASTERING " � - � i 16. Rough Electric`al�T Bar Ceiling '= ', _i �'�� 69:-'-POOL'/SPA�SYSTEMS FINAL � � . . - ' 1�9:-'Rough Heating &�Air.Condi'tioning":��' "`' ����`�A ; � � � � ,FIRE DEPT. REQUIREMENT �� � 4i�� � � ,.. - � - - .. . . c r,. �_. ; � - -• ti a: = � .. ._ � ,, _, , . l i ; ' 20;iRough F.ectory Fireplace �:,T, . - -- �APPROVALS,..., _,Peimit # - _ 21:-Ducts, i �-Structure�+� ' . •� �• -- x � S' =� � �'� a� ,70. Undergioanil Hydro � � � � � ' � t ' i: i.T. . 22 _DucYs. Ventilatin' ` - . '��� �.�: -' �;'�: �r� � ^ -.. ��•. l .:� . . '- 9;:; �� ;:'�' ,-,�r.:�! ;]J. Product-Piping�Gas O,OiI � .� ...:. . ... ; :'.. . . 23.•Gas.Pipe�RoUgh�& Test' � _ : �. '•� _�`<'++ :'�7z. Underground Flusli%�} � "" ' - �-, _ �.. a. ' ' ' 24=Roof Fra�ming �5;,'�� � . � � - � "`. �;r ' - y � '73r:Undergmd�. Storage;Tank �O Gas ❑ Oil �. 25. Roof Stieathing �^- �� � +� � � � • +� �7q;�Overhead Hydro_�_ ' • r,t. • .26�T�Bar Ceiling (St�uctural) �&-Monocoat }` � : '. �={; � 75:�Dry Chemical . - '� " �� � � . •27`�FrameandF.lashing; � - - xi;� - :'�+�.; ��76 DryStandpipe ��u �' _� �� ��" ' �'28. LatFiing"��& Siding�:�' " - '� ; � . " ' ""` �'' 77;- FIXED SYSTEM F,INAC�; �. . - �. s. �--. �..�� rx t: ' � � 29. Insulation � %r J- �� ' '• �� 78„FIRE PREV. FINA�L . ^ � '�30. Drywall,Nailing `"'�� u . r;R � ��;�;1 :=' ;HEALTH:DEPT'REQUIREMENT .._., , ' �37. Plaster B�own Coat� � � c- - . � ' � � .`_l�* ��' -�7g,'�FINAL INSBECTION a � � � r, � ' -32�Electrical Power�Metei'-,F,inal: � "' `7i., . "�''"� �SOi_�FOOD CERTIFICATE ISSUED` � � v,. G>� q: - ..H .. _ i ,r• : t � � •� � �:... � 4, .. =-.33�,Finai Electric �+• ,.,:; � �� ;� �Tr �p ��Notes:� �i • -�;^ .e. , :�J f.:1-:; � ' � �'34^Final Heating!& Ai'rConditioning= +�' }' ^ � '� �' ?� � !-� = -' �. . _% 'i :,!i� i. �lAi 1 Y�S: T' 35�-Firial.Gas PiPe-Testr �J` � .. . i �� ); i� � �• . ' � � - a . �T• .. �36.. Hobd orCanoPY' ` - • "; a � r� �, � �e S'. +. ^ . T,e \ ` _:O� r� - f:.r ' :,f a ,i >i r. ,r_• �j ; e� _.q �. � .-.� .+. rz. : ,yu � yt. . . . �37.:Final Factory Fireplace�� ,-,_ �,,i :x � �+n - - _ � 7: . �• �, � '-38..Final Plum6sng . � � '.r ^- . i . �_ �'��;� _ :- . . � - ` " � . , 1+'. H r L: . "39. N/aiei Service�Final� � '�. � . M ;.. � �, ;t ^ .� . " . . . ' .;,�y� . y` _ � p;40. Gas Service-Final -v. i? �i.^.".' •'C . . �: ��� :� ' - ._ c; . . •. ' � tii' .t . 't41. Solar pomesticFinal`- `'� .. "�; � �g x :., - � :� - r .r � .i.. �. r• ^O 6 ^`42JBackflow Preventei� � r: � ' �t: ✓' ' . '� i: � . >:-�' � " `�% � - ;;� . ,n n.� � �, ' �.i� -�i.,; � �. � ~� . 9: S` r -; �K. y� . . i..: t-"� m' i ; - _ . �43., Backflow Iriigation� . ' � ,, ;;; , � �'� � ; � � �-'44.�,Landscape Irrigation System � � '" �;. = �� �� � � =� � � ^ ` " .. Y` ':� l^ .1 . i S' C: Ci �. <: C' .(--� , V�' !� 1' ' --:�y Y - ._ �: c..11' it 1 r ry -r[.. . . _ _ . �45:�:,Sound�Attenuation � ... ' � �:, �-, ::�'� - �� a' . -.0 . :: . ., .. � � `46r�Handicap Regulations' r' � . ;�, � � ...• x �? �= ��: ."` . . � .Y'. r.!:�.1�! 2= . C47-FINAL STRUCTURE &�BU��LDING n ��` " ' . " ; / o: ! .« , "48:=FINHLPLANNING ' �-•{-:� ' ;c(t: . ! f f'rir::� _ • i.-: - ✓ i-� �� . �+�: - ,�. n' < , , `"�494-Electrid:Release to`Edison � . ;� . � -� �,{`. �` y . °^ . .'�� ,,: - � ' - � ' ��50 _�Gas.Release to Southem California Gas Co f� ' ��.�� �' �Y =' • ��?' !� ' . � � � • . � - ' - .� � 51. CERTIFICATE OF�06CUPANCY � � � "' � ` �• ' ���' � � * '" ' . .� � No. � �Date � . : � . � � , . . - .. • • - . H. GENERAL CONTRACTOR CT FIftE ZONE DATE I GROUP SUBCONTRACTOR OCCUPANCY N0: Farm 210—SM-11-59.5-B P , � i 3 d�3,P : :: �'`� ;., . �3�3€i . . . -� Ff E RECEIVED � COSTA MESA BUILDING-SAFETY DEPARTMENT , , P. O. BOX 917 COBTA MEBA. GLIFORNIA . F � Cw� `�) ��^ FINAN�� Dki''�. . ��.v� For Applieanf io Fill In Completely 7�pp�l,Cy Ip,� F�p pERMIT ' YYPE OR PRINT � "'�T `��LU3iA IiIYSH . BUILDING aooRess ` c5 �� N . COSTA MESA CALIFORNIA . ' FOI' Office Use Onl y HECEIPT NO. ,, PEPM T NO. OWNER�i�. -M �. . • ' . ��� MAIL AEGEI ED 9Y DATE RECEIV D ' O TE I6SUEO/� ADDRE65 ' 9S � P�PP �iP�t �iN. I �� I - S�o� GITY COtST/� FL � NO. - BUILDING T/ ADDRE65 �� ARr' 'ECf . TEL. COSTA MES . / LIFORNIA � OP 'NEER . No. ' ADORE65 � . FIRE ZONE TYPE GRO CONTRACfOR'C Oii/% N A/TA�C. � A! . C- APPROVED �. BY DATE n ' ADDRE55 � /'� . s . �I� I/I/ ' ' ' ZONING ��. Z/N � IPLANe I9UILDIN6E cin d'%�N��Q �/1/ %� � ���TNo. /9s3o,3 NO. // � / ��.�� OESCqIPT10N •\��L� SIZE � NO. OP BLOG9. OF LOT � I HOW oN �oi A; p ND ' � � USE OF . � " � yqRDS EVES . � EXISTING 6LDG. � APPROVED . ALLOWED . BETBACK IJN6 FROM ' (CEHTEp LINE BTJ ceNien OP BTrseeT ' REAR YARD FRONT �� . IN. SIOE YARD�ILEFT IRIGHT ' ' R.SIDE �- Fi. ' IN. DESCRIPTION� OF WORK �. s�oe � ' rr ' iN. NE ��= I II ALTERATION I II A�DITION I REAR . FT. IN. � REPAIR I IIMOVING I IIDEMOLISH I BYPROVED � DATE / " BUILDING ' - NO. OF ' , SIZE- ROOM6 STORIES • EXTERIOR WALL IROOF - ' COVERING COVERING � USE OF BUILDING AND WORK TO BE PERFORMED , /� �� � �O � %. �J /�, � fF /� l!/ / l�� H-D � . L3 iv � • . . .. �/I �� � �,� . I HEREBY .�CKNOWLEDae THAT 1 XAVB R6AO TH19 APPlAGT10N � THE AMOIINT 6HOWN UNOER VALUAT�ON IB FOR TH¢ �ANO BTATE THAT THE ABOYE-IB CORRELT ANU AGREE.TO COM- � � PUfiP09E OR ESTABLIBHING �1 PERMR FEE ' ONLY. PLY WITH ALL CITY-OM�NANCEB AND eiATE LAWB REGULATINO ' Bultnlxa eoNernUciloN. ' VALUATION �� SIGNATURE OF ����^ +�/ �/ � PERMIT PEE $ PERMI7TEF I ./i � �L.�.. _ A� - _ �j/� /I7/ .. ' � . $ �C� PLAN CHECK $ 1 AUTHORIZED AGENT ' �� QU p TOTAL FEE 4 t ' .. � 96�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O: BOX 317 COSTA MESA, CALIFORNIA FOR. APAC/CANT TO f/LL /N COMPCETELY TYPE OR PRINT BUI�DING ...._. .. � _ COSTA MESA. CALIFORNIA ADDRE55 E 1 th S � TEL. CITY COF�'A MPCA NO. Carlson ceL LIC. _ Dike & Colegrove� Ihc'. srnTe CONTRACTOR LIC.NO. �IEGAL � I LOT �J�A I OESCR�PTION NO. <�O A.P. NO. � NO.OF USE OF EXISTING BLOG. � SET3ACK LINE FflOM c[NT[R oF sTaeET SO� REAR YARD �6� SIDE YARD ILEFT �� IRIGHT � � ' � - DESCRIPTION OF WORK � - NE I x II ALTERATION I . II AD�ITION I" ���E �������.� ��J� 1 �.... ?.Ir�,�,n�; [� � —,. �eCPt1�U� L/���. �i`: i`.': �.,ii;,::: =r.� �. APPLICATION FOR PERMIT ..BUILDING . faR ofFicF usF oacr I RECEIPT NO. I P.ERMIT NO BY COSTA MESA, CALIFORNIA APPROVED ZONE ' NO.OF �I PLANS / \ APPROVE� � p� BV i JE LINE USE OF NEW BUILUING II�■ BUILOING NO.OF � � SIZE- 1560 � ROOMS STORIES � EXTERIOR WALL ROOF ' COVERING StuCCO ICOVERING RO� USE OF BUILDING AND WORK TO qE PERFORMED . Sin le famil res'de c attached garage. � I HEHEBY ACKNOWLEDC,E THAT I HAVE NEAD THIS APPLICFTION �'HE AMOl1NT'SHOWN UNOEN VALUATION IS FON THE AN� STATE THAT THE ABOVE IS CORRECT AND AGFEE TO COM- pURPOSE OF ESTABLISHING R PEFMIT FEE ONLY. PLY WITH pLL CITY ORDINTNCEB ANO 9TqTE LAW9 REGLILATING � BU�LOING CONSTRUCTION. � . VALUATION SfGNATURE OF � PERMIT FEE � '� PEftMITTEE ' � . / . , ' $ PLAN CHECK $ ��- 15,571. - J,� y AUTHORIZED AGENT � . TOTAL FEE $"`�lp�6Yd