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Home My WebLink About3091 PLATTE DR - Building Permits� (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Number: Applicant: Address: Owner: 3091 PLATTE DR 14151119 BELL, RALPH MECHANICAL PERMIT Phone: 714-534-2593 Zip: LEFEVRE, DIANE MARGUERITE Address: TR COSTA MESA, CA 3091 PLATTE DR Contracror CRYSTAL AIR Address: 11801 MAC ST GARDEN GROVE, CA Arch / Eng : Address: CHANGE-OUT FAU. Quantity ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall HU Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Boz vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 70000Cfm AirHandlers> 10000cfm FloorFurnace Floor or Suspend Heater $23.50 $14.80 $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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: Zip: 92626 Phone: (714)534-2593 Zip: 92641 License: 655036 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY Status: ISSUED Applied: 01 /16I2001 Issued: Oi/16/2001 ISSUED BY: Repair / Alt Absorbtion Unit Repair / AI� Refrigeration Unit Ventillation System Evaporative Cooler Comme rcia l I ncinerato r Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/500kBTU 15To30hp/1,OOOkBTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp i5to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0. $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $38.30 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. �NSPEC710NS: In order for the work autho�ized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaawa �eioo) WORKERS'COMPENSAnONDECLARAnON: � �� I hereby ettirm under penelry oi perjury ona ot the tollowing tleGarations: ❑ I heve end will maintain a certiticate oF wnsent to sali-Insure for workers' compensatlon, es provided for by section 3700 of the Labor Code, for the PeAortnance ot ihe work tor which ihis permit is issued. � ❑ I have and will maintain workers' nsation insuranc s requiretl by sectlon 3700 ot Ne Labor Code, tor Ne partortnance of t� work for whic� s pertnit is issuetl. My workers' compensation Ins re e��jer a poll � um are: � Carrier: r � Policy Number: (This section need not be complefed i! the permit /s valu a one hundred dollers ($100) ar less.) ❑ I certity that in the peAormance of the work tor whi h is pertnit is issueq I shall not employ eny Derson in any menner so as ro become ' ct to tKe workers' compansatlon laws of Califomie, entl agree that if oultl Cecnme sub�ect to the workers' compensation provisions af Section 37qqq000 of t� bor Code, I shell fonhwflh comply_with�lhesepro� , � //� /� t� ica�gnature;� Date: _�� ! WAHNING: FAILURE TO SECURE WORKERS' COMPENSAT�ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND VIL FlNES UP TOONE HUNORED THOUSAND DOLLRRE (510D.000). IN ADDITION TO THE COST OF CIX.IPENSATION, DAMAC.ES AS PROVIDEO FOR IN SECf10N 3lOfi OF TNE LABOH CODE, IMEREST, PND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn that I am licensed torce end eHect Lic. q with Section 7000) oi Division 3 oi the Business and Professions Cotle, end my license is in lull Class q Dete: � CONSTRUCTON LENDING AGENCY: ❑ I hereby aMirtn that there is a construction lending agency tor the pertormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). LenCefs Name: Lentlefs Atltlress: Sipneture: Data: OWNER-BUILDEF DECLARATIONS: I hereby afFirtn thet un0er penalry of peQury thet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Pmtassions CoOe: Any ciry or counry which requires a pertnit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, elso requires the epplicant for such pertnit to file e signed stetement �het ha or she is Ilcensed pursuant to lhe provisions of the Contractors License Lew (Chapter 9(commencing wit� Secllon 7000) oi Divislon 3 0l t�e Business en0 Profeulons Cotle) or Ihat he or she is exempt thereirom and the besis tor ihe elleged eaemption. Any violation of Section 7031.5 by eny epplicant br e permit suh�ects the epplicant to e civil penalry of not more then five hundred dollere (5500).): ❑ I, as owner of Ihe property, ar my amployeas with wages as their sole compensation, WILL DO 7ME WORK, and the structure is not intentleC or oHered for sale (Sec. 7044, Business and Professlons Code: The Conirectors License Law does not apply to an owner of property w�o builds or impmves thereon, end who does such work himself or herself or ihrough his or her ov.•n emDloyees, provided Ihat such improvements ara not intentletl or ofFered for sale. It, howevar, the building or improvament Is soltl within one year of completion, the owner��uiltler will �ave ihe burtlen oi proving that he or she did not build or improve for purposa oi sale.). ❑ I, as owner ot Ihe property, am EXCLUSWELV CONTRACTING WITH LICENSED CONTRACTORS to constmct t�a projact (Sec. 7044, Business end Professions Goda: The contractors.Llcense Ww Eoes not appty to an owner of proparty who builds or improves Ihereon, antl who contrects for suc� project with e contractor(s) license pursuant to the Contractors License Lews.). ❑ I am ezempt untler sec.� ..L' Signature: �� Owner ID verifietl by dnvefs license. � Vedfication of Owners�ip by (type of DIVISION OF INDUSTRIAL SAFE7Y _ Business antl Protessions Code tor this reason: Dete: No Dnvefs License No. ierty tav 6ill or tleed): Expires: ❑ I hereby certify Ihat no axcavetion fiva (5) or more feet in tlepth into w�ich a person is required to descend, will be made in wnnectlon with work euthorizetl by t�is pertnit, and that no building simcture, scaflolding, talsework, or demolition or dismentling t�ereoi, will be more than thirty-six (36) feet higR (Chap. 3.2, Grp 2, Atl 2, Sec. 341, Title 8, Calitomia Atlminislrative Code). ❑ A5 owner-builder, I will not employ anyone to do work which would requira a permit irom ihe Division of Intlustnel Safery, es noted above, uniess such person hes e pertnit to do such work from the tlivision. Signature: Date: Division of Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity under penalry ot perjury ihat I have read this application antl state thet the intortnation given Is correcl. I egree to wmply with all state lews end ciry ordinances relating to Dulltling wnsiruction, antl authonze representatives of the Ciry ot Coste Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy ar allow accupancy at any building authorized by this permit until finel inspectian. CQUE t. INSPECfIONTYPE 1816 Fixetl System Final Fire Preventlon 7266 Pool Spe Finel 200 Final Re-Root 201 Finel BIocWReteining Well 202 Final Fectory Fire Plece 203 Finel Sign 204 Finel Demolilion / /�D � � � ate Qdjj I�S� �� INSYECTIONTYPE 206 Finel Mechanical 20B 210 212 220 Finel Plumbinq Final Electncal Finel Fire Prevention Final Planning Approval 222 Final Site 250 Final Builtling/Occupency PHOSECTAOOPHS: �jO9S PLP.'tTE DR OWNEB'SNPME: LL`EVRL� D.I.ANE M aooeess `iOG1 PI,ATi:, DR COSTA NcESA,CA AHCN/ENGINEEH: 7�'�`- 54l]—��7�i4 pUOflESS: I1NIT: 926?6 BEG.NO.: � ' UNIT: PEflMITTEE: �.�NERAi INSTALL � (: i3)753-25�1 aooxess: � S S fl ldEST u iVI) . L0.5 ANGEL&S C_A 90043 LICENSE� CONTFACTOB OECIABATION: 1 hereby aifirm ihat i am licensed un0er pmvisions of Chapter 9(commencing wi�h Section 7400� of DMsion 3 of �he Business antl Pmtessions Code, and my license is in lull �orce ana et�ect. cirruc.:U0E�95i3�s.nTeuc.'iSi839 n�l�l�3i� i��.,...__� -- WOflREBS' COMPEIf5pTI0N OELUINBTION:"I here�y aflirm tha� I have a Certi�icate of consent m seli-insure or a cetlificate o� WOBers' Compensalion Insurance. or a cerlilie0 cnpy t�ereol (Seclion 3800, Lab. q. � � roucrNo.:73WC0069690004 E%P.OATE: OGIO1IyJ comrnNv: ;,�A'fIONi� iD� ❑ Cetlilietl coDY �5 hereby fumished. � Ce�ified copy is fAetl wi�� Ihe c�uiltliny Division. E%EMP710N�FROM WOBREBS' COMPENSNTION OECIANpTION^�This seciion nee0 nol M�e�mpletetl i� me permi� i5 ior ane hundrea ($100) or less�. I certify Ihat in ihe Oedormance ol the work �or w�ich Ihis permi� is issued, I shall no� employ any person in any manner so as lo �ecame subjeci lo ihe Workers' Compensa�ian Laws o� Calitornia. ' Oate: SignaNre: ' NOTICE: Ii. afler making Ihis tleclaration, you should become sublec� to ihe Workers' Compensation pmvisions o� the Labor Cotle. you mu9 latlhwith camply with such pmvismns or �his permit sM1all be tleemed revoked. CONSTflUCTION LENOING AGENCY: I �ereby a��irm that �here is a constmc�ion lenaing agency �or Ihe pedormance of Ihe work for wnich �hls permii is i=.suea (Sectian 3W7. Civ. C�. � lENOEN: �p�OPESS: � OWNEF BUILOEB OECIAXATION: I hereby aitirm that I am exemp� �mm �he Conirac�ors' S�ate License Law �ar Ihe �allowing reason (Sec�ian 7031.5 Business and Pmiessional Code: Fny ci�y of counly whic� requires a permrt �o cons�mc6 al�er, impmve, demolish, or re0au any StmcWre. prio� to its issuance. also requires ihe applican� �or such permit Io �ile a signea slatemeni tha� he/she is licensed pursuam io �ne pmvisions ol ihe Contractors' S�ate License Law �Chap�er 9(commencing with Section 7000) of �ivision 3 0l t�e Business antl Pmfessians Cotle) or ihat helshe is exemp� Ihere�mm antl I�e �asis �or Ihe allege0 exemption Any violalian of Seciion 7031.5 by any apP�icant lor a permi� sublec�s �he applican� to a civil penalry o� no� more Ihan �ive hundreA dollars (5500�. I, as awner o� �he pmpetly or my employees wi�h wages as �heir wle compen5ation, will do Ihe work, and Ihe ❑ stmcture is nol inlen0etl ar otferetl for sale (Section 7044, Business and Pmfessional Code: The Contracmr5' State License Law does not applylo an owner of a propehy wno builds orimproves ihereon, and who tloes such work himself/herself or thmugh his or ner own employees. D�ovitled tAat such improvemenis are nat intenae0 or offered for sale. It, however ine huiltling or impmvemenl is sold wi�hin one year oi complelion, I�e owner will have �he bmeen af pmvmg he/she Ditl no� �uiltl or impmve for the purpose of sale). I, as owner ol ihe pmpetly. am exclusively conVacting wi�h licensed conVaclors to conS�Nci I�e prolecl (Section 7044, Business ❑ an0 Pmfessions CoAe: 7he Canvacmrs' Stace License Law does not apD�Y �o an owner of pmperty who builtls or impmves tAereon and who coniracls lar such pmlec�s with a conVactor(s�license pursuant�o the Contraclors' S�a�e License Law),I am aware Iha� pmol ol �heir Worker's Compensation insurance s�oultl be pmvitletl to me. � I am e�empt untler Sectian: 8. 8 P. C. - ' for ihis reason: Oate: Owner: - I �o hereby cenily Ihai I am aware ol ana untlerstantl �he repuirements ot Califamia Heallh ann Salely CoOe Sec�ions 25505. 25533, and 255J4 an� Ihat I or any IUWre builtling occupani will/will no� (circle one) need lo compty wi�� said sta�e codes and lhe requiremenls for a permii for mnslmclion or moAiticaiion Imm Ihe Nir Oualily Management DiSUic�. FesiOen�ial conslmclion applications are exempt Imm Ihese pwvisions. �aie: Applicanl � I hereby cetldy Ihat I �ave read this application antl sta�e �hai Ihe above iniormalian is correc�. I agree �a comply wi�h all ci�y and coun�y ordmance5antl5ta�elawsrelaiing�obuiltlingcons�mdionandhere�yautharizerepre5jp�a�rvesa Ihiscilyloenterupontheabove�mentioned proper�y br in�p¢rJfon purpase}� _ , /_ �//� � Onvei's License or Social Securily a: Canary—Applicam; Pink—Revenue; GolOenmtl—Assessor CITY OF COSTA MESP. - BU�LDING PERMI7' Pr:RN NO: P U51'o5` PERMTT NO; P U516S7 P�AN CnECn NO: N GOVi: N;iUPP: N CONSTRUC3'IQN 1 YPE: L'-N PERMIT TYPE: Piil PiJRi�pSE; QT?i JOFi DaSCR1P'I'TOiU : rZEPLACE WATER iiEATER SQ FT; CI,�IM VAL[7E: CALC-VAI�UE; �• GROUP UCC: R-�3 / COMMENTS: �iMUKE DETECTOR ItE�IUSRED � dt�1f��1E�YiE-Y}!if�%fiSM�1fNY�Y.-?41E-YIE�If%�1F%��lE�1FYdE ��K�N��if�lE�lf�%:Y��1f4E%-M�1i�MiE-ifaE�k#X�X-%�%IE�Y.k�Yr#Y;ie#V7i..R.l.kbi��V.��f.�i!��lf�lfif'}.`Y(��iE%%� 'L O N T N G R£, �,) U I R"r: M E N T S s f: � A� r. x s ------------ ?�FAIN BUII,ll1.NC> ---'---'--- --------- AC.C.'ESSORY HUIi.D1NG --=------- cRN'C: I"P IN REAR: 'r'T IN FRNT; cT I(�t RF.AR: Fi "iN LEFT: rT TN Rr�7; FT SN LE.rT: ci 7N RGHT; =T IN' PARKINt� RF.Q; PROV; PARCEL: 7.4? 511? 9 ZN.�-'.; R'r:r NO; PI�A,tiNING Nt�TES> . > - +F iF 3f ii� IF 1E iE �Y� k iF !E # M 3r ff-�E �ii # �i 3F it� IF 3E N- 7f i2 ii if i'r Y� if Y f4 i4 >?E iE #� fE 1E iF;i� if;4 #'� k� 3(� 1c }. i' 9F M� 1�� ii� 31-}; k iE IE iE iF 3f >:4 �Y s*�!'r # 1E j(� 3i� iE iF #:- ac #)f +f D'G V E L� O P� E tv T S E R V I C E S"• R E Q i7 I R c M c N T S � 70NING APPROVED 3Y , "" DATE; BJITDINt:; APPROtrED BY ; APPLIC.AT70N ISSiJcll $Y; �//� ��/('Y(d IF � ic iF iF 1�- Y. �{.� �F Y if iF .. #� % N� if Y ic'k'� afTt'�' 'i'"ir'�#��'M > iE 14S�T�i� r' ie if� ii� if i(� 3e #E-k� M iE N%?4 i�;t Y- i� * i( Y� iF 1f �E iE 1t #E h�� iE If K Y� iE iE i4- N-iF ai iE i'r i' t� i'r, LEGALI7ATION:iV F E E 5 tJ M � ___`_ L)P.TE; ' � DATE:g I R .�.� .�.��.'�iF�se3f?Ei�3:..�.x.y.:�..7�.r .,�.�F�;�.3E . }�' Y.X. . '-'Y Y ii .. >. Y - iEkY'!i-l:if .a1f+E . KK' �it ... , .. ?f ![ 3c +f' .. .. ?( 1e � R iF �}? }:� A R Y .^�TRUCTURAi S�GN,cNT;N BLDG FMi PLITMHTNG EiE;C'CRTC NECHANIC FIRE SNIP/RES GRi�DTNG nr..'�%'ir: z , o0 :t5� • SMTP/NON--RBs �zaN . � 3SSE7E rEE 3.U0 i� HUiLilTNG-llIV-� PERN.I?' LSSUE' PLAN-Ci�ECK TOPAL PAID Dlifi' 'lOTAi,S----> 2.00 .3.00 0.00 :,.00� S.UU .00 REVENUE n7V7SZON TOTALS--> COT.,I,EC'TEl): 5.00 OVEK/SrIURT: 00 dI�DG PM1' PLUMEING ELEC'I'�:iC MECHANIC FIr�F. SMIP/TO'i GRADIiVG PLAN-�I-iECK J.�� f X ai. M..?f ## if 1E §E lY if k i(� 14 iF %� 1E �k iF 7h 3h li� iE ?4 1E ii� rt# ii� iF i; a; i!�.-N�-0i !F 7E �%� �1E �tc?f K� K� N� if ii� N.Y #"- }�.; iF aE 3F ii� ?E ii iE # i!� Y- R?e ?f }:- if � i!� iF iE �lE iE N� 7F ► f't �lE fE I N D I V I D II A'L� 'r" E E B ft c, A It D O W N TYPE �,iZ'Y D E S C R I P T I b N JNI'i' COST "CUTAI. �p�'i PLu 9. WATER HEATER AND/OR VENT 2.00 . ;�,pp ��U UF� `�r.S� t' � < G? �St�03533 �-r04u=�33� '8'�'S ",q� ef:T€•' ��Qji�'v`i T:"�: i�.o3 - � CONSTRUCTION AND PLANNING ' �� SPA '. - APPROVALS Permit # Date Inspector APpROVALS Permit # . Date Inspector � 7. Temporary Electrical Service or Pole . 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. . / 53. Steel Reinforcement - 3. Electrical Conduit Utiliry-Und'rgrnd. 54. Forms � ' 4. Electrical Condui[-Undrgrnd. , ,j 55. Electrical Bonding � 5. Steel Reinforcement, � � , 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. - 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, � Undrgrnd.. Test 9. Water Pipe�Undrgrnd. , 60. 8ackwash �ines, P-Trap, O Undrgrnd. 10. Structural Floor System � � � � 61. APPROVAL TO DECK � ' 11. Property Sewer Line & House Connection 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 Electrica��Conduit 66. Solar SYstem-Final . 16. Rough Electric Wiring � ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - � FIRE DEPT. REQUIREMENT " 24 Rough Pacmry 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 Fiaming 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (StructuraQ & 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. REQUIREMEN7 ! .:� 31. Plaster Brown Coat / 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �' �j ;; Notes: Y_�_�� l0 p�(��}Cyn�„ ��7pi('�P¢fl_L,�p 34. Final Heating & Air Conditioning - � �i? . . 35. Final Gas Pipe-Test f�. - • � 36. Hood or CanopY , � � � J'� A 37. Final Factory Fireplace � �� - 38. Final Plum6in9 ( �,!% 39. Water Service-Final . . 40. Gas Service•Final y . 41. Solar pomesticFinal ' - � - � 42. Backflow Preventef � � . 43. Backflow Irrigation � ' ' 44. Landscape Irripation System . . 45. Sound Attenuation � � 46. Handicap Requlations � � • , i_ 47. FINAL STRUCTURE & BUILDING ! 48. FINAL PLANNING � . ; . 49. Electric Re{ease to Edison -� � ' � •L 50. Gas Release to Southern California Gas Co '�' .- 51. CERTIFiCA7E OF OCCUPANCY ' No. Da[e � t OWNER 1QORTfiGATE -••• DATE �UL 5 1963 JOB ADDIiESS 9 t� �i� BUILDING PERMIT N IT� `ECTIONS a SUBCONTRACTOR DATE I NUMBER Y' I� A' . .. � � STA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX9f7 C09TA M6BA,CALIFORNIA For Applican► to Fill In Completaly. -7'YPE OR PRINT J1891y�7 ss ��1� �l, �Trr� �2 COSTA MESA, CALIFORNIA Golden West �ster, Cal. �o• 897- :E3}'.a )R BOIIS9T COIL9tiT• IT1C 133l�1 Golden West Westminster. Calif. S�ZE 60 x 102 ��° OF LOT No USEOF EXISTIN6 BL�O. � 6ETBACK LINE FROM ' CENT6ROPeTREET Ot REAR SIDEYARDI LEFT �� -I R�GHT DESCRIPTION OF WORK 1 XEPEBY ACKNOWLEDOp ANO 9TATE THA PLY WITH A CITT BIlILO1NOC NBTRII 10 } /ya g' RGO TNIB APPLIGTION CT ANO /�OREE TO COM. TATB LAW9 RfiO11LATINO FEE,:.RE�,G�fVED APPLICATION FOR PERMIT FINANCFs�Tia CITr � �S'FR M£�SAo��r I PHCHII! NO. I P'� BUILDINO ZONING ZO�',} ,+ NO.OR �A1 U860R \K � / PLANB / I BpILDI! ncn�w I ��%--!'7�eY �vnex YARDSAPPROVED MAIN BUILOING 8HALL BE LE58 THAN fU.B.C.REQUIREMENT: YAR�SAPPROVED AGCESSORY BUILDIN6 L.81D8 . i FT.� � Ff. REAR � ( FT.+ FT. DI&TANCB BET. BBT. MAIN B MAIN BLDG9. ACGE55. BLDOB. VAR.aj - DATE ' C. U. P. APPROVED Bl'PROVfi LI.1.1� pATE � ~/� i�s.� s4.�.. �° �.. �Q m. TH6 �MOUNT eHOWN UNOER VALIIF ON 18 FOR THE F PURP09E OF EBTABLI9HINO A vERMIT FEE ONLT. � $ �� i � AUTHORIZED AGENT ' ' '%>>/�s s �OWNER LEI`IOFL �JOB ADDRESS GENERAL CONTRACTOR � AP No, l 1-511-19 \�, I*"-�ECTIONS \; — , _: ' • _� Gi� DATE JUL 2 4 196b BUILDING PERMIT NO.�� VALUE S 162.00� SUBCONTRACTOR 22577 ,.�r'OSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 91] COBTA M68A� CALIFORNIA For ApplicanT to Fill In Completely � TYPE OR PRINT � � ' BUILDINO " ADDRESS % � COSTA MESA, CALIFORNIA � STATE LIC. NO SIZE OFLOT USE OF a , EXTERIOR WALL FEE RECEIVED JUL 2 9 196� FINANCE OEPT. APPCfCATION"FO�R' PER1Mtt BUILDING Por OHice Usa Only � � ZONIN(3 8 NO. OP Ue! OP NEW . � � PLANB y BIIILOINO �t �� . ' L80AL � L �/ oeecrt�rnox l b , . �A. P. NO. — / NOTE: NO fiAVE OVERHANQ SHALL BE LESS THAN - EL. �•L7 •� � 90" TO SIDE @ REAR P. L. NO. / I EAVES No.onei.nos. A�LOWEO fU.B.C.REQUIREMENT' NOW ON LAT YAROBAPPROVED YARDSAPPROVED � � MAIN BUILDINO ACGESSORY BUILOIN6 OF WORK . � : �� ' U VAR. #' oATE C. U. P. # APPR APPROVED / p $c. Fi. 0 1 HEREBY ACKNOWLEDOB TXAT I HAVB�HEAO TXIB �PPLICRT�ON TME AMOUNT SMOWN UNOER V�LUATION 16 POR TX6 F ANO 6TATE TXAT TME ABOVE (H CORR6Ci AND AGREE TO COM- PURPOBE OP EBTABLI6MIN6 A PEHMIT FEE ONLY. Q PLY WITH ALL CITY ORDINANCfiB ANO BTATB 8 R UI.ATING ypLl1ATION �' BUILDINOCONBTR � . ,� �O N SIGNATURE OP 1l PERMIT FEE $ � PERMITTE . Ip( - m s 1w E� a Q 4 AUTHORIZED A6ENT � TOTAL FEE $ �