Loading...
HomeMy WebLinkAbout514 PIERPONT DR - Building Permits(�ia) �sa-sz�a • Fax pia� �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: CITY OF COSTA MESA � BlIILD/NG D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 514 PIERPONT DR 41803313 RON Address: W/ NOCK PLUMBING Owner: FISCHER, MARION M Address 514 PIERPONT DR COSTA MESA,CA Contractor: NOCK PLUMBING Address: 11612 KNOTT ST ArchlEng: Address: GARDEN GROVE . CA INSTALL NEW WATER HEATER ISSUE FEE Backflow irrigation Backflow Preventer. Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT szz.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY PLUMBING PERMIT Phone: 714-895-1246 2ip: Phone: Zip: 92626 Phone: 714 895-1246 Zip: 92841 License: 707775 Phone: 2ip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trep $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen - $0.00 Sink, service/mop $0.00 Spa (private) So.Oo Spa (public) $0.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS ��� PERMIT NUMBER P98-00831 77 FAIR DRNE, COSTA MESA, CA 92626 Status: ISSUED Applied: 11/09/1998 Issued: 17/09/1998 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1�) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 Qn 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorizetl untler this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 V WORKERS' COMPENSATION DECLARATION: — I hereby attirm under penaly ot perjury one ot the tollowing decleretions: ❑ I heve and wll6meintdln a certificete of consant to self-Insure tor workers' compensatlon, es pmvitled tor by section 3700 oi the Lebor Cotle, for ihe pertormence ot lha � w./ork for w�ich Ihis pBrtnit is issuetl. �,{/i nave antl will meintain workers' compensation insurance, es raquiretl �y section 3700 of �he Lebor Code, tor the pedortnance oi ihe woB For which this permit is issued. My workers' compenSation Insurance cartier enA pollcy number are: Cartier. � P> U%%� �J r."L� Policy NumDer: � UX'J�/- 7S 3 y �O �Z (This section neeC nof be oompleted i! the perm/t is va/ued ef one hundred dollers ($100) or IesS.J ❑ I certily Met in Me per(ortnance o( Ihe work (or which Ihis pertnif is issued, 1 shell noi employ eny person in any manner so es fo become sublecf fo ihe workers' compensation lews o� Calitomle, entl egree that II I shoultl become subJect to the workers' cnmpensetion pmvlslons of Sectlon 3700 of the Labor Cotle, I shell forthwith comply wit� t�ese provisions. SY Applicant Siqnature: �{\ 1--�� Data: //—/ z-- WAFiNING: FAILURE TO SECUpE WORKERS' COMPENSATION COVEMGE IS UNUWFUL AND SHP1L SUBIECT lW EMPLOVEfl TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED hKK1SAND DOLLARE (5100.00p), IN ADDf710N TO THE COS� OF CqAPENSATIqJ, DMMGES PS PROVIDED FOR IN SECfION 7N8 OF THE UBOR CODE, INTEREST, PND ATTORNEY'S FEES. LICENSED CONTRACTOpS DECLARATION: I hereby aflirtn thet I em Iicensed untler rovisions of Chepte mmencing wlih Section 7000) oi Dlvision 3 of t�e Business and Prafess'ur.s Code, and my license is in full force and eXect. Lic. p ��—� `%% 7 � Cless p G 3� Contractors Signature: __`� � �—�—� � Date: //-i 2_— CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn Ihet Ihere is a consVuction lending egency tor the peAortnence of the work tor which this permit is issued. (Sec. 3097, Clvil Code). Lentlefs Name: Lentlefs Atldress: SignaWre: Date: OWNER-BUILDER DECLqRqTIONS: I hereby aHirtn ihet untler penalry of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a partnit to construct, elier, Improve, tlomolish, or repair eny structure, pnor to its issuance, also requires the applicam tor such pertnit ta lile a signed statement thet he or she Is IlcenseA pursuant to the provisions ol the Gontredore License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Profeuions Code) or Ihat he or she is exempt theretmm and Iho basis for Ihe allegad exemption. Any violatlon oi Section 7031.5 by any applicant tor a pertnit subjects ihe epplicent ro e biv�l penelry ol not mora then tive hundred dollars ($500�.): ❑ I, es owner ol the properry, or my employees wlth weges es Iheir sole oompensation, WILL DO THE WORK, and the sWcture is not intentled or oHereU for sala (Sec. 7044, Business and Professions Code: The Contrectors Ucense Lew doas not appty to en ownar ot properry who builds or impmves thereon, and who does such work hlmsalf or hersell or ihrough hls or har own employee9, prOvitled thet such Improvemenls ere not intendetl or offereA lar sale. If, however, Ihe building or Improvement is sald within one year of completion, the owner-builtler will have ihe burden oi praving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of ihe D�oparty, em EXCLUSIVELY CONTRACTNG WITM LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business end Professions Code: The con�rectors License Lew tloes noi apply �o an owner of pmperry who bullds or Improves Ihereon, antl who conirects for such project with a coniractor(s) license pursuent to the Contrectors License LewsJ. ❑ I am e:empt untler spc. Signature: Owner ID verified by tlriver`s licen5e. ❑ Ves ❑ No Business enA Protessions Code lor ihis reason: Vedficetion oi Ownership by (rype oi document, i.e. - propeny tex bill or deed): DIY7SION OF INDU57RIAL SAFETY PEHMR CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby ceNfy Ihat no e:cavetion Ilve (5) or more teet In tlepth into which a parson is requiretl to descend, wlll be matle in connection with work euthorizetl by 1Ns permit, antl Ihet no b�iltling structure, ecettolding, felsework, or demolitlon or Aismantling thereof, will be more then thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifornie Adminisiretive Cotle). ❑ As owner-bullder, I will not employ enyone to do work which would requiro a pertnit irom the Dlvision of Indusirlel Setery, as noted ebove, unless such person has a pertnit to do such work iram the division. SignaWre: Date: Dlvision of Indusinel Sefery Pertnit Number: CERTIFlCATE OP COMPUqNCE AND AllTNOFiVATON OF EMRY: I certity under penalty o( perjury that I have read this application arW state that the intormation given is correct. I agree to comply wit� all stete laws antl ciry ordinences relating to building construction, end authorize representatives oi the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by ihis pertnit wtil tinal inspection. Signeiure OI Legel Oaner(s) And/Or Aulhonzed Applicant COOE I. INPVECTIONTYVE 1616 Fixed Syslem Fi�el Fire Prevention 1266 Pool Spe Finel 200 Final Re-Root 201 Finel BlocklRetaining Well 202 Finel Factory Fir� place 203 Final Sign 204 Finel Demolitlon 2446-46 �� �� �QpQ,( INSVEC110NTYPE 206 Finel Mecheniwl 20B Final Plumbing 210 Finel ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy QAg URIDdLS � � • � Pf0.1Eti AOOPESS: S 1�I P I ERPONI' DR OWNEP'SNAME: FISCHER JOHN G aooeess: 519 PIE{tPONT DR COSTA MESA,CA 92627 NBCHIENGINEEB: ADONESS: HEG.NO.: IINIT: UNIT: PEflMITTEE: ALL—COAST ROOFING ( 714 ) 650-2244 FDOflE55: '2SO7 WALLACE AV &O�T�� �1F�SA CA, 92E��7 LILENSEo CONTflACTO OE 10 here�y affirm I�a1 I am Iicense0 untler pmvisions of aD�e� 9lcammencing wiN Section 7000� oi Dirsion 3 al �he Business anG Pmlessions Coae. an0 my license is in Iu0 tarce anA efiecl. CITY LIL.: ///���G STATE LIC.: ClASS: i n� 192 598440 C39 ���� Date: ��.�.— Signa�ure: _ _ _(J��—� WOflNEBS' COMPENSA�ION DECLAHATION: I ACreDy a�lirm Iha� I M1ave a Cetl ale a� tonSeni io Sell�in5ure or a te�i�itaie o� Workers' Compensaiion Insurance. or a cenifie0 copY �he�eol ISec�ion 3800. La� CI. POLICY NO.: E%P. ORTE: COMPANY: ❑ C¢riilietl capy is �ereby Iumi5�e0. ❑ C¢tlilied tapy is �ile� wi(h �he Ciiy BuilCinp Divisi0n. .e: Applicant: E%EMPTION FBOM WOPKENS' COMPENSATION OECIAMTION: (TNs sectqn nee0 no� GE comDlNeG il Ihe permi a la ane hmbrM (510U) or kss�. I[emty Ihat in ihe Oetlormance oi t�e work lar wlii�� I�iS permi� is issuea. I S�all nol ¢mpip/JQy pp{son m any manner w as to E¢come Subleci lo �he W rkers' ompensa�ion Laws al Califomia ��� �{ II/ / i i�� i Oacer � Siqnamre: �-�`-- NOTICE: I, after aking ihis declaralion, you shoule G¢come suEiect t 11 . Workeri ComOensation pmvi9ons af ihe labOr CaOe. yau mus� tarlhwiih compty wilh such provisions or I�is Oermii s �e tleemeA revokeU. CONSTflUC71oN LENDING AGENCY: I nere�y affirm Nat �neB is a wnstmction lenaing apency for tAe pedormdnce of the work for which �hrs oermitis issue0 �Section 3097. Gv. q. LENUEN: RODflESS: OWNEP BOII�EB UECLABATION: I her¢�y a��irm �Aat I am exemp� Imm �Ae COn�ratlOrs' S�ate License Law �or I�e lollowing reason (Section 7Q3L5 Business an0 Pmlessional CoUe: Any ci�y of county whicb repuires a permit ta consimci, alteL imprOve, Oemolish, or reOalr any slmclure, D�ior �o its issuance. also repuires tAe apD�icant lor suc� permit to lile a signetl statemem t�at Ae/she is licensed pursuani Io I�e provisions ol ihe ContracloK Stale License Law (Chapter 9(commencing wiih Seclion 7000) ol Division 3 of Ihe Business ane Pmlessions Code) ar that he/she is exempt iherelmm an0 I�e basis lor t�e alleqetl exemption. Any violation ot Section 7031.5 hy any applicam 1or a permit Suble��s IAe aDPlicanl Ia a civil p¢natly ol no� more I�an �ive AundreE d011ar5 (E500). I, as owner ol ihe pmpeny or my employees wi�� waqes as Iheir sole compensa�ion, will tlo the work, and Ihe ❑ slmcWre is not inlendetl or ollered �or sale (Section 70aG. Business antl Pmlessional CoOe: ihe Camrac�ors' S�aie License Law tloes not apply lo an owner ol a propeny who bmltls or im0�oves Ihereon, an0 wno tloes such work himsell/nerself or ihmugh �is or �er own empldyees, provi0etl thal such impwvemenis are not intenaed or offere0 for sale. II, however Ihe builtling or improvement is saltl wnhin one year ol completion, ihe owner will have Ihe hurtlen of pmving helshe di0 not bui10 or impmve tor �he Durpose of salel. ' I, as awner ol Ihe pmOe�Y. am e�clusiveiy conimcting wi�h Iicense0 conlractors to constmct the pmject (Section 7044, Business ❑ antl Pm�essions COUe: The Coniractors' Siale License Law Oocs nol apply lo an owner of propetly who �uAas or impmves Ihereon antl w�o tontracts lar 5ut� prole��5 wi�h a Canlrati0qs�liCense pursuanl �0 Ihe ConVaClOrs' Stale License Law�. I am aware IAaI pmol oI Iheir Worker'S Compensalion in5uranre ShoNA 6e OmviDeO la me. � I am exempi under Sec�ion: 0, 6 P. C. br ihis reason: �a�e'. Ownec I �o hereoy cenily inat I am aware ol antl understanU Ihe reQuiremenis af Calilomia Healih anC Salety Coee Sections 2550.5, 25533, antl 2553A an0 inat I or any luture Uuilemg acupant wilVwitl nol �ci¢le one) neea lo comply wittl SdiO state co0es and the reQuiremenis for a permil lai canstmction or moddica�ion Irom �he Aii Oualny Management Disiric�. flesiaen�ial con9mc�ion applica�ions are exempi Imm Ih¢SC D�OVI51005. oa�e: ADolicanc _ Ihereby tetldy IAdI I hav¢ reaa I�iS appliCa�iOn antl SlalelM1al Ihe ordinanres and state laxs relating to builaing twsimclion an01rere1 propeny lorinsp°Cuon purpOses. Dale: _ __%'�`a_L��l_j_— SiAnaiure: � Driver'S 6ce � e ar Social $etuniy x: I agree to camply vn�� all city antl coun�y Ify�Uty �o enier upOn Ihe a�ve-meniionetl i5q��a6 Wnne—Bwltlrt�g: Green—Cotle Enlorcemenf. Canary—ApO�iwn�; Pink—Revenue: oltlenrotl—Assessar CITY OF COSTA MESA — HUILDING PERMZT PERM NU; B 05523 PERMIT NO: H 055236 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; INSTALL 20 YR FIBERGLASS SHINGLES O/COMP SQ FT; 2,100 CLAIM VALUE: 2,100.00 CALC—VALUE: 2,100.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN AOME, q�r�t �y�-�r *��� ******�r��tx�t�r�+r�t��***�r*�e*�r*+t�** �r*�r*�r�t�t**�r*������*�t�t*�r�r�t�ru**�f�C lJC�li 1 L.�4'i Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- ------- ACCESSORY BUI���� � � FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PArZKING REQ• PAOV; PARCEL; 41803313 2NE; REF NO; PLANNING Ni3TES> > . iE �E iE iF iF 3E iE iF iF iE�F if iE iE if iE iF 3E ik iE 3f 3f 3f iF if if if �f k 1F if it iP ik iE if iE iE �E �f iE iF iE iF iF%iE iF iF iF iE 3E )F jE if 1E If #F if iE iE fk iF 1E iE 1E iF if iF if 1E iE !f iE iF if if if 1E 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 APPROVED BY : DATE: , APPLICATION ISSUED BY• � DATE• /// �t*�r�r********������*��t� *�r*�*�***�t�f�x* iE�EiEiFiF�EiF1EiEiEiEifiEiEififififiFlEiflElEifiElE�FiElEifiEifitiE3F±f1E iEiF ifif�EiffFiElfiEififlfikiElfiklfiFiEif1E1E3EififiFiElEiEifif)E�firlflf#iF LEGALIZATION:N F E E S M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54,00 ,SO SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 59.50 0.00 0,00 54.50 54,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 54,50 OVER/SHORT; ,00 BLD54P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK iE iE jf ik iE iF if iF 1F 1F �E �E iE it iElf iF iF iFlf 1f 1f iF if iE k IE 1F iE iE If 1E �F iF iF if Ik fF N�iElE iE aE iE if IF 3E 1F fE k aF aF iP 1F iF 3E jF iE iEif iE iE if iF if iF if iE #� iF iF iE iE i4 * lE if af af 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 Z O N UNIT COST TOTAL COST SFR 2100 REROOF BY VALUE RESIDENTZAL NOZONE 1,00 2,700,00 END OF FEES . � � - = � : : . . : � -� � .M. ; � CONSTRUCTION AND PLANNING • POO�. A APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector , 1. Temporary Electrical Servic S_,r.Pole �,.� 52. Pool & Equipment Location - + 2. Soil Pipe-Undrgmd. w- 53. Steei Reinforcement ': � . 3.• Electrical Conduit LDlity-lfn�rgmd. ' 54. Forms � 4. Electrical Conduit�Urfdrgrnd. 55. Electrical Bonding 5',StGel Reinforcentei[�t? 56. Rough Plumbing & Pressure Test i 6. Electrical UFER Grntl. 57. APPROVAL TO COVER�GUNITE � I' 7i �Footings ;�� -. 58. Eiectrical Conduit-Undrgrnd. � 8;� Foundation �_ `� 59. Gas Pipe, O Undrgrnd., Test l � 9. Water Pipe-Undrgrnd. �• 60. Backwash �ines, P-Trap, O Undrgmd. � � 10. Structural Floor System - 67. APPROVAL TO DECK , 11. Property Sewer Line & HoUie.�onnection 62. Backwash & Receptor�Final '� 12. Sewer Cap '�' _ , . 63. Heater & Vent-Final 13. Roof Drains - .-. .� 64. Plumbing System - Pinal `-' '� 14. Rough Plumbing . . 65. Electrical-Final ' 15. Rough Electrical,Conduit 66. Soiar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval . 17. Reugh Wiring Qign 68. APPROVED FOR P�ASTERING � 18. Rough Electrical;T Bar Ceiling 69. POOUSPA SYSTEMS FINA� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - t.- , 20. Roug"h FactorY Fir.eplace � •� �-" � ' •� + AppROVA'LS� "' Rermft # ?� � .� ?. . � .\ �• . S .♦ . x . J - k t 2L;Ducts,inStruLturej; ' -, `� � ' � ; " +� ' ��, � ' `� _ ,. i0. Undergroupd- ydro . 22. Ducts, Ventilating - •_. _ �� � q7, Product Piding �`Ga5 ❑Oil 23. Gas'Pipe-'Rough &'Yest . , " - . 72. Underground Flush: - - � 24. Roof Framing� �•%� � • � 73.'Undergmd?Storag�'Ja�nk OGas �OOT 25. Roof ShCathing � _ �" ' �� ' _ '� � � �q,��Rrhead F;ydro; � . 26. T-BanCeiling (Structural) & Monocoat �- �' _ � � • 75.cDry Chemical ' - - '•�' 27. FrameandFlashin�g, '.u.,: ' _ - . � 76. D'ryStandgipe ,. � ' ' - �28. Lath�ng & Siding� •! . r s • •• • � . 77; -FIXED SYSTEM�INAL� " 29. Insulation , . �'� � ...• �• . ��� ; . 78.yFIRE PREV. FINAL Y . � �. _ , .30.DrywallNailipg --� � , . :i: e HEALTHDEPT.REQUIREMENT 37. Plaster Brown Coa,� �, ; , 79. •FINAL IN.$P,ECTIQN - - „ r � 32. ElectricalPower Meeer-Final � ` � - � ' y � �� .80. +f00D CERTIFICATE ISSUED ! � 33. Final Electric '' � � ' �� � 'Notes: - ` �34. Fina� Heating _& Air Conditioping,. � � � �, �. . _. ; - � � _ - - 35. ,Einal Gas Pipe-Tesi t"'- • ` ' • ' '� ' _ �i.:' �36. Nood or CanoPY j 1 � . � ':� t . ., , . �e> F w 37. •Final Fac[ory FireplBce _ ' � �' ` %�` ' ' , 1 � � �x' r � 1 38. Final Plumbing . �� �� � . � ' �� � . . ' "39. Watei Service-Final • � ! � ' - ' 1 n i . � ',40. Gas Service-Final , . �� ` � ' � , . ,. ' . . � . , . :41. Solar pomesNcFinal � � + '_ � � • ` � ,f � , a � '42.�Backflow�Preventer� , , , � . ` 43. Backflow Irrigation � ' � '+ • ` '}. . - i. .- •l F ' � • f � ,44. Landscape IrRigation System, . - , � L - -. -a ,. 45. Sound Attenuation ' ' - - � � � � .( • 46. �Handicap Regulations , � � .j- � • - � , 47. FINAL STRUCTURE & BUILDING S 4 fL -�` � 48.'FINAL PLANN�NG � . '.� . ' . ' 49. Electric Release to Edison : , . , • ` , i� i 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF �CCUPANCY . . ,. - . . , �- No. Date UrvNtK DATE 1-1 BUILDING PERMIT N0. AP No. LOT TRACT FIRE ZONE VALUE V °.CTIONS Si n �re Dare GROUP I& J TYPE �As � � _�� SUBCONTRACTOR PROP. SWR. SPRINKLING ROUGH HEATING AND AIR CON�ITIONING TEMPORARV SER�ICE OR POLE UNOERGROUND ❑ POWER � ROUGH wIRING REINF. STEEL REI FqAME ANO FLASNING IATMING — IN � � PLASTER. BROWN COAT N IG, VENY�. REFRIG PLe��BING, FINA� ANO G ELECTRIC, FINAL BUILDING, FINAL -i� 28095 C05TA MESA BUILDINCrSAFETY DEPARTMENT P. tl. BOX 120! G09TA MESA, CALIFOANIA 97826 For AppBmM'fo Fill /n Compbfdy TYPE OR PRINT R'oB S \4 ���lz Po�1T CO3TA MESA. CALIFORNIA M aere�cK uN� rnor DESCWPTION OF WORK 1 XCPE�Y ACkNO p{ AND BTATC TNAT � [ � PLY WITH ALL CI O!J OYILUINO CO ` 8I6NATUR6 Or rarunirre• � AUTHORI=[D AO[M e�eos. Z iNAT.I X�Y¢ R{AO MI� A�lNCI.TON pVi ID COJ(��CY ANO AOR[[ M COY. VAl/Cf� �(/D\tT�T[ tAW/ RLOYLATINO � l�ti te-6 `�s—°'DflO 663• ***•90.00 ArPLICATION FOR PERMR BUILDING � f0� Offlc� UH OIIIy 3 N� ZONING I�' / MO.O� UO[OIN �� rLAN� y OUILDINO „ /' w uo,.� � U f � '7 % �� S� %r� DUCRIRION A. P. NO. NOTE: NO EAV! OV ENHANO 6NALL E8 Ll88 THAN 90' TO 81D8 d REAX P. L EAVEH ALLOWHD (U.B.C.RECUIREM[NTI YARCBMPROVlD YAHOBAPPROVBD MAIN BUILDINO ACC6880RY BUILGIN6 VAR. Sj TI[ AMOYNi ►YRIOOt OI VALUATION s�� BkT. MAIN ACCE59.8 DATH � a � i ��0� � yw�u�noH ie ron n�e � l� P6RMIT �[8 ONIY. � � 7 IT FH8 � � � 3d � w _ Pse s 9a .—