The URL can be used to link to this page

Home My WebLink About828 PRESIDIO DR - Building PermitsCITY OF COSTA MESA � BUILDING D/VIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us C FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBE 07-00970 PERMIT TYPE B ROOF2 STATUS: ISSUED - --. DATE ISSUED: 10I10/2007 �� . � ISSUED BY: RMD JOB ADDRESS: 828 PRESIDIO,DR�CM '. ;. : Suite/Unrt ` Vicinity: HOUSE AND GARAGE '�� Squares: 2100 � � °- 5 � �- ' Valuation " -� $5;557.00 /-� f � ��. � i:- . �i• SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL i LAYER OF 36# FELT ON A 4�72 OR GREATER PITCHED ROOF, REROOF WITH 30 YEAR GAF TIMBERIINE�SHINGLES ON AN ATTACHED HOUSE AND GARAGE,:APPROX 21. r`=,; SQUARES. REPAIR AND REPLAGE SHEATHING AS NEEDED. . ��;:f . ' ., a .. � - ,. - k , OWNER: MARKERT, THOMAS C�TRp � Address: �� 2761 MENDOZA DR� �+ s t ` A�`�� Unit: PHONE: "- -� ° Ciry/State/Zip: ,COSTA MESA, CA' . �,�' APPLICANT: MARTIN,JERRY �'E L:i:�=�" �Address: 3103GINGERAVE"�"� ,, � _ �-�� Unit: :UNITA PHONE: - 714344-1002 �' _ City/State/Zip: COSTAMESA,.CA �'� ��'�� _ . . , ; . .. . ,: .".,__. .. ... .....:... .. . . .. - , . :�� .- �;, CONTRACTOR: MARTEC ROOFING CO � , � : - � � � � - , - -. License.No: � -' 752008 � �::;.; ;;.:.� - . -�. � . � . . _ ..� ; � �_�, 02 . Address: 3103GINGERAVEUmk UNITA��- �' PHONE 714d44-10 City/State/Zip: COSTA MESA, CA �' 92626" .. � � CELL: .... .. .�. .. . ..... �: ,. � ARCHITECT: . � .. :� �'. " ,-�. . . � � License No. " ' � , � � � - , ...,"� PHONE � , t + n ;� ENGINEER: � . LicenseNo. � � � - - � PHONE:i�� FEE SUMMARY ' j ' Reroof Plan Check: ��.4 $0 00 �. -�� _ ` � � �� Reroof PermitFee: $12525 a� � � ,,.. -'�� - - , � Reinspectian Fee: $0 00� TOTAL FEES $125.25 � � NOTICE: The work authonzed by lhis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiration of this permit. C0� INSPECTIONTYPE 1616 FixeO System Final Fire Prevention 1268 Pool Spa Final 200 Final Re-Roof 201 202 203 Final BIocWRetaining Wall Final Faclory Fire Place Final Sign 204 Final Demolilion onre O-/S- ixnnus COOEp INSPEC110NTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 2t2 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Fina18uiltling/Occupancy OpTE INTITIRLS WORKERS' COMPENSATION DECLARAT�ON:� I hereby atfrm under penalty of peryury one of the tollowing declarations: ❑ I have and vrill maintain a ceM1ifiwte ot �onsent lo self-Insure for workers' � compensation, as provideE (or by section 3700 of the Labor Code. for tne �pe ormance of the vrork for which this permit is issued. - � 1 have antl will maintain wnrkers' compensation insurance, as required by section 3700 of the Labor Code, for tha perto�ance of the work (or which this pertnit is issued. My worke�s' compensation Insurance carrier antl policy number are: �j � �'fk1 I � CcU ,o �5 ��7Y�t �jEartier. (Tliis sGUion neetl irof be mmpelaJ e perm�i is va� af ine hunWM W9ars (Ef00) w less.) PaIlcyNumber ❑ I certify that in the peRormance of the work for which this permit is issued, I shall n�nploy any person in any manner so as to become subject to the vrork� pens tion laws of ali(omia, antl agree that if I should become s bject h rkers' wmp sation provisions of Section 3700 of the Labo Co , I sh o vnt e pmvisions � d Ap ' �1'cSiBnaWro—�'- ( �a� -'> L�_ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and eftect. � Lic: # .'S26o Glass u'� G^ 3 cl �— �. .O_ �Convactor'sSignaWre �� --' CONSTRUCTION �ENDING AGENCY: ❑ I hereby affvm that there is a con5tructbn lending agency for the perfwmance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). lender's Name: Lender'S Addre55: OW NER-BUILDER DECLARATIONS: I hereby affirm Nat under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for [he �o�lowing reason (Sec. 7031.5, Business and Professions Code: Any city or counly which requires a permit to construct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also require5lhe applicant for 5utn permit to file a signeC statement that he or she is licensed pursuant to tlfe provisions of the Contractors License Law (Chap[er 9(commencing with 3ection 7000) of Division 3 of the Business and Professions Code) or [hat he or she is exempt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any appliwnt tor a permit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and lhe structure is not intendetl or oftered (or sale (Sea 7044, Business and Professions Code: The Contractors License Law tloes not apply to an ovmer of property who builCs or improves thereon, and who dces such vrork himself or herself or through his or her ovm employees, provided that such improvements are not intended or oflered for sale. If, however, the building or improvement is sold within one year of completion, [he ovmer-builtler will have the burden ot provinq that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H UCENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professions Code: The cont2ctors License Law dces not apply to an owner of property vfio builds or improves thereon, and �o contracts tor such prqect with a cont2cla(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason:. SgnaWre . Dale �05]-a6�J10]) s *' • Owner ID veri(ed by dnv e. ❑ Yes ❑ No Driver's License No. Expires: ' Verification o( Ownership by (lype of documen[, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ❑ I hereby certHy [hat no excavation frve (5) or more fee[ in depth into which a person is required to descend, will be made in connection with work authonzetl by this pertni[, and that no building structure, scaffGtling, falsework, a demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, TiUe 8, Califomia Administ2tive Cotle). ❑ As owner-builder, I will not employ anyone to do work which vrould require a pertni[ from the Division of Industrial Safery, as noteC above, unless such person has a permit to do such vrork from the division. ApplicaN's 519^alure Date Division of Industrial Safe[y Permit Numbec _ _. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuNre builtling occupant need to fle antl certify a Business Plan for emergency response lo release or threa[ened release of a hazardous matenal? � Yes ❑ No (Sec[ion 25505 of [he Califomia Health and Safety Cotle requires, with some exceptions, [hat a Business Plan be filetl vnth the Costa Mesa Fire Department by every business which has at any one time tluring a reported year a quantiry of hazartlous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at s[andard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration fortn �or acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of ihe Califomia Health and Safety Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by eac� business which at any one [ime has on hand a quantiry of acutely hazardous materials equal [o or grea[er lhan a weight ot 500 pountls, or a volume of 55 gallons, or 200 cubic (eet of compresseE gas at �stantlard temperature and yressure). 3. Does or vnll Ihe applicant or present or /uture 6uilding occupant need to prepare an RMPP (Risk Management antl Prevention Progrem for acutely hazartlous ma[erials)? ❑ Ves ❑ No (Section 25534 of the California Health and Safely Code provitles that the Costa Mesa Fire Department may require ihe preparation, certifiwtion and filing with [he Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Seclion 25534 of t�e California Health antl Safery Code been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or future building occupant require tor the work which is the subject of this application a permit for such construction or modificalion from the Sou[h Coasl Air Qualiry Management Distncl or (rom any other air polWtion control distnct or agency7 ❑ Ves ❑ No (Sectbn 658502 of the Califomia Govemment Cotle requires [hat the requested infortnation be fumished on applications fa noo-resitlential builtling pertnits). 6. Will any part o( the facility to be cons[ructed under this pertnit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the facili[y must meet [he requirement of Sections 25534 and 42303 of the Cali(omia Heallh and Safery Cotle). 7. If a pertnit from the Sou[h Coast Air Quality Management District o� other air pollution control disMct or agency is required for lhe wvrk which is the subject of this application, have all of the disclosures prescnbed by California Health antl Safery Code Section 42303 been made? ❑ Yes ❑ No 6. Qf'yes", attach certificate of compliance from the appropnata air pollution contml afficer�. - -CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information qiven above is cortect. I agree to comply with all state laws and ciry ordinances regarding Hazardous Matedals antl Emissions. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certify untler penalry of perjury that I have read lhis application and stale that the infortnation qiven is wrrect. I agree lo comply with all state laws and city ordinances relating to Duiltling construclion, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-descnbed propeM1y for insDection purposes. I aqree not [o occupy or allow occupancy of any building authorized by this pertnit until Mal inspection. ure Mme� ate � (O .O_ _ `—AnEI utFonzeEAPGlimnt_: �pV°.___'_' . __ . __. . - - ADp�icant to fill in all spatts except t�ose-wrthin heavY borGer lines antl sign all appropriate-Oeclarations. CITY OF�COSTA ESA ' C NSTRU T�ON PERMIT � : PERMXf NO. - � TRACT NO. �LOT NO. - uNi7 Nn � � Project Address r� � ' � � Ap��licanYs Mailinq],,yp�)dress) f �' V� ' Owner's Name- :T, ,�//�P�� Phone . Address ' . �. ArchlEng. ' License No., Atldress Contractor's Name � hone Address ( mai I i ng) � City License No. LICENSED CONTRACTOR'DECLARATION �, I he�eby atfirm thal�l am licensetl untler provision5 of, Charte� 9(commencing wi[h sectidn ]000) oi Division 3 of tM1e Business antl Professlons Cotle, antl mv �Icense is in fu f antl effect. ' ' // . LICEl152 Id55' I O. � nate 'Siqnature � 1RKEH5'COMPENSATION DECLARATION � areby aifirm that 1 nave a certi(icate�ot mnsent to selLinsure or a certificate „i Workers'-Compensation Insu�ance, ot a certitletl copy thereof (Section' 3800, Lab. %,p�/'] . /�� ' Policy No.��7�;L.Q [Q� Company�m�L('S ' ��yI�ertifietl coOY Is M1ereby furnishetl. 1G Cer ' le op tiletl witM1 the city gpptl�pgy'�yi�o �� . Oate • Applicant /�1(L� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -�� (This seciion need not be completeC it the permit is for one huntlretl ($300) or less). ' . � ' I cerllfy Ihat in tM1e perto�mance of Ihe wOrk for which thi5 permR i5 i55uetl, I. shall mt employ any person in iny manner so as to become subject to the , Workers' Compensation Laws oi California. - • . �ate ' ' Signature � 'NOTICE: If, aftet making this tleclaration, you shoultl become suCject m tne Wo�ke�s' Compensation "O�ovisions ot tbe Labo� Cotle, you must forthwith comply � with such i provi5ions, or thi5 permit shall be tleemetl revoketl. CONSTHUCTION� LENDING�AGENCV � � � � � ' I hereGy afFlrm ihat tbere is a construction lentlinq agency for the performance of the work "for which this permlt•is� issuetl (Section 309] Civ. C.) LPntlet'S Name� � , Lentler's Aatlress ' OWNER BUILpER OECLARATION � ' ' ' , I hereby affirm that I am exempt from the Contractor's License'Law tor the followin9 reason (Section 7031.5 Business antl Professional Code: Any citybr couqly whiCh requlres a pe�mit to construct, alteq Improve, tlemolish or repair' any.structure, prio� to it5�is5uance, also requi�es the applicant for such permit � b file a signetl slatemenYthat he/she is licensetl pursuant to the provisions of , �e [onvactor's License Law fChaoter 9 Icommencing wi[b Section ]000) of � � �an��. i �i TYPE OF CONSTRUCTION rvEw LJ aoo � • ALTERATION LJ'REPAIR -❑ CONVERSION'❑ DEMOLISH ❑ OTHER p�p # - � ' +�DESCRIPTION OF WORK/USE OF BLDG. , ._ g Main Buildin�. �' E TVPE OF PERMIT GRAOING FOUNDATION STRUCTURAL' T Fronc.. ❑ TENANT ❑ ELECTRICA� ❑ PLUMBING ❑ MECHANICAL ' B Reaf r - ❑ �OTHER ' ' ' � -f A PROJECT DESCRIPTION SQ. FT. ' OCCUPANCV C Right -� K Left � CONSTRUCTIONTYPE VALUATION$ $ 20NE GRADING CU. VDS. � ACRES Ping. Ref. # Remarks: � . ' � •' � � ' Planning Notes: � � ' . PLUMBING' � ,FEES � Sink • <flow Preventer � � cflow lirigation ' itubs � ifiers_ . . _ _. Dishwasher � Drinking Fountains . Floor Drains FloorSinks ' "j Gas Service Outlets Intercepmrs. ` - Kitchen Sink ' . Lavamries- " •� ' P—Trap ' Roof Drains .neretwm antl the basis toc lhe alle9etl exemption. Any vlolatlon oi SecUon � . . � � �7031.5 by any applicant for a permit subjects the applicaM to a civil �enalty of not moie than five huntlretl tlollars ($500). -__ LJ I, as owner of the prOPerty�or my'employees witM1 wa9es as their sole � R¢inSpeCtiOntFee compensation, will tlo the work, antl the stvucture is not in[endetl o� offeretl ' tor sale (Section 7044, BuSinesS antl Professional Cotle: The Con[ractor'S' , � � License Law tloes:not apply to an owner oLa property wha bulltls or improves h' h $15 thereon, ana who tloes such work himseli/herself or through is or er own ._ emv�oyees, provitled that such improvements are not intenaetl or olfere0 for Boiler . � ' sale. H, however, the buil�in9br imptovement i5 soltl within one Year of com- , , plelion, the owne� will have tne bu�den of proving M1e/she tlitl not builtl ot im-' DuGt � Und¢� GrouOd � � � prOve for the purpose of sale). ' ,� ❑ I,.as owner o( tlie prOperty, am exclusively wnttacting with IicenSetl con- � DuGt-$L�uCtu�21 . traclorsto construct the project (SeQion 7044, Business antl Professlons COCe: TM1e Contractor's -License Law tloes not apply to an�owner ot property who DUct - V¢�til2tipy --- � - builtls or improves tnereon; antl,who contracts for such projects with a con- tractor(51 license pursuant �[o the Contracto�'s License Law). I am aware thai Exh2ust SySt¢T ❑ Multiple ❑ proof of their Worker'S Compensation insurance snowa be provitl¢tl to me. ' __ ❑;1 am exempt untler Section B. & P. C. fo� this reason FirepVFact: Blt. ICBO.# Date Owner. Heating System & Duc[ing � 1 hereby certify that i nave te5`tl this zpplication anC state that the abOve . ❑0.100,000 BTU �100,OOOBT information is <orrect. 1 aqree to wmO�Y with all city antl county ortlinances antl s[ate laws relating to builtlin9 construction, antl hereby authoriie repre- ' senlatives oi' hiscily to enter upon�tne above-mentionetl properTy for in5pettion p / Signature ' � Date_�/��w ' . Drivers'.License or 55 � Reinspection Fee GMF 0865-46, rev. 30/84 White � Bulltling; Canary - Applicant; Pink � Accountin9: Goltlenrocl - Assessor $75 i Showers Service Sink. ' SeWef Cap Sewer Connection Solar Collectors , . Solar Piping Solar Tank . Swimming Pool w/Spa� Water Closet - . Water Heater � ' ' Water Service _ ' sh , ; TreYs'. ' . Issue Fee�_ -' Hood or Typel' ❑ , Canopy Type I I ❑ - Refrigeration System - ❑0-100,000 BTU ❑ 100,000 B System Repair/Alteration Fire Dampers Registers � • tl Isue Fee Automatic Washer , Construction Pole Sub. Cooking Unit . Dishwasher- � . - - � Dryers ❑Gas ❑Electri , ¢�, 9�iei ' ei�_i �9� � _+r.., '. � . .r . �. ' Accessory�Building: � ' �.TJoO� . fi� Zone� r. ' ' , i ` ELECTRICAL ' � � Transformer � 15-50 KW ! ❑ 50+KW � Meter ❑up to 100 amps � - Meter- �over 100 amps� - Suh,Panel • � ' � Momrs �0-1 HP O1'f, = e F.A.U. � Inc,Solar �9-15 HP �16�15+ Fixtures Microwave Device Boxes , Pole Light � . Outlets , � Range � Switches ' Sign • Garbage Dispoul ; Standing Sections ' Generemr �0-5 KW 05-75 KW Trash Compactor . � Z O N I N G F E. Q M T $ $ 3. 1�' � ' � , . Reinspection Fee $15 luue Fee �$ 3 FEES `,:. DEVELOPMENTSERVICESREQUIREMENTS: � • , � . �� .Zonin9 APProved BY � , Date . .± •Building Approved By Date ' / Application Issued By � Data �� - �! �.� �, � SUMMARV OF FEES ' _ � BUILDING.PEFMIT, $ SMIP ; $ � � PLAN CHECK ' $ � PERMIT • � � � PLUMBING � $ .�i/S� ��SSUANCE � $ ' , -�' PLAN CHECK 25k� S ENERGV-P.C.'. $ ,n ELECTRICAL $ � GRADING S . ' � , PI.ANCHECK �50% $ � ' MICROFILM ' $ �y�� MECHANICAL � 1 $ �filJ _ TOTALFEE $ $ 3 PLAN CHECK 25%� $ � , CONSTRUCTION AND PLANNING PC SSPA .. APPFiOVALS �Permit.# Date Inspector p�ppROVAL�•` Permit# Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location . - 2. Soil Pipe-Undrgrnd. - 53. Sieel Rei�forcement 3. Electrical Conduit Utility-Undrgrnd.. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � � . 5. Steel Reinforcement � - 56. Rough Plumbing & Pressure Test 6.' Electrical UFER Grnd. � . 57. APPROVAL TO COVER-GUNITE . 7. Footings , � 58. Electrical Gonduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. • 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO DECK �. 1 t: 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 Eleatrical-Conduit � 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign , 68. APPROVEO FOR PLASTERING 18.� Rough Electrical-T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure . � � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ��Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing �. � 73. Undergrnd. Storege Tank O Gas ❑ Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical � 27. Fra"me and Flashing . 7fi. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � � 78. FIRE PREV. FINAL 30. Drywall Nailing HEAI.TH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIF�CATE ISSUED 33. Final Electric Notes: $''�L-�% LE�T C,qp.f�. LTcO 34. Final Heating & Air Conditioning a-'��jj? (,d:�`(G�CL, l�s P�� 2�t•� U PG �..IE� 35. Final Gas Pipe-Test 36. Hood or Canopy _ - 37. Fi�al Faaory Fireplace . 38. Final Plumping � 39. Water Service-Final � 40. Gas Service-Final y - 41. Solar pomestic-Final ! � i �'• - i 42. Backflow Preventer i"ri � � "' ' 43.� Backflow Irrigation ��?'; ;-; 44. Landscape Irrigation System . � ;�rt 45. Sound �Attenuation � ' 46. Handicap Fegulations �� 47. FINAL STRUCTURE & BUILDING . 48. Special Requirements Completed�'7 � 49. Electric Release to Edison - � � - � • � � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � - ' � No. Date � ��z�� FEE RECEI�ED COST:4 MESA BUILDINGSAFETY DEPARTMENT ] C��`(� P. O. BOX 977 C08TA MEBA. CALIPORNIA � F�I:AIY�L'V LI T. For Applicanf to Fill In Comple+ely APPLICATION F��tTYp�jtfj„�j�OSTA MESA TYPE OR PRINT LOt � S� gUILDING BUILDING ' p1,dII_(�B ADDRE6S � COSTA MESA CALIFORNIA �FOr Office Use Oniy RECEIPT NO. P O. OWNER Mesa.Del Ma ADDRESS ' S11�C8 1� 3�VQ �. Coast Highway AECEIVED 9Y I ATE qEC-1VED I ATE IiBUED� O cin Corona del M atr rio`:� 34220 BUILDING preaidio Drive ADDRE6S 828 ORCENGENeER �Ymond Levanas No; OI 3%OIO COSTA MESA, CALIFORNIA woosess 3432 Vi8 OpotCo� Newport-Beach FIRE ZONE NPE GROUP CONTRACTOR M$CCO COTPOraC�.OII � APPROVED _ _^ ADDRESS C Hl I1W8 ZONING C'TM ZONE I puN9 I BUILOWGEW �icTNo. 98808 No'�' 34220 �EG'U- Lot 58 Tract �k 3749 oeecx�rnoH OF LOi 70 x 93 I NO. OF BtDGB� NOW ON LOT q, p, NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED 88TBACK LIN6 FROM ICENTER LINE BTJ � ced'rEn or srneer � ' S� REAR YARD 3'S FRONT FT. IN. 61DE YARD ILEF7 S IRIGHi S R.SIDE FT. IN. DESCRIPTIOtd OF WORK L.SI�E FT. �N. NEW I X IIALTERATIONI IIADDITION I REAR FT. N. , REPAIR I�'.IIMOVING I IIDEMOLISH I BYPROVED DATE SIZE DING 6� R'j7 ROOMS 7 STORIE6 1 COVER'INGwA L.S�d�CC� COVERING Wood Shingl /Cr/ p. USE OF BUILDING AND WORK TO BE PERFORMED' � o ° �- �. Construct Single FBmily Residence with attached garage 1 HEREBY AGKNOWLEOG6 TN i HAVE ReAO TH19 APPLIWTIQN TXE AMOUM BXOWN UNDER vALUAT�ON IB FOR TH¢ AND BTATE THAT TH6 ABOV IS CORRECT ANO AGPEE TO OM- PURPOeE OF EeTABLIBHING p PERMIT FEE ONIY. PLY WITH ALL CItY ORDIN GE8 A 8TAT8 REO TING amLDING coNeiRurnoN. � VALUATION BIGNATUPE OF / PERMIT FEE $ 3�i.00 PERM177E � � rroject t�fanager $ 14,563��0 p�pN CHECK $ �'7•0� � AUTXORIZED AGENT TOTAL FEE SL.00 4