HomeMy WebLinkAbout939 PRESIDIO DR - Building Permits- CITY OF COSTA MESA
BUILDING pIVIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fa�c (774) 754-4856
Job Address:
Suite No
Vicinity:
939 PRESIDIO DR
WHOLE HOUSE
Parcel Nunmber: 14132509
Applicant: CARRANZA, MARIO
Address: 1518 ENDEAVOUR PL
ANAHEIM, CA �
SUITE'A
ownec LINHARDT, INGE
Address 939 PRESIDIO OR
COSTA MESA, CA
� contractor PMC PLUMBING CO
Address: 1518 ENDEAVOUR PL
ANAHEIM, CA . , �
SUITE A
Arch / Eng :
Address:
PLUMBING PERMIT
Phone: (714) 997-6481
Zip: 92801
Phone:
Zip: 92626
Phone:- (714) 991-6481
Zip: 92801
License: 735156
Phone:
Zip:
Cicense:
SCOPE OF PERMIT
REPIPE EXISTING SINGLE FAMILY RESIDENCE WITH NEW COPPER.
ISSUE FEE
Backflow irrigation .
Backflow Preventer
Bathtub
Clarifer System _
Connect (Ice,Soda,etc)
Dental Units
Dishwashei �
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outle[s) �
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
50.00
$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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
�P=Trap� $0.00
Pressure Regulalor $0.00
Process Piping (per 10 ft) � $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 So.00
Sink, Floor $0.00
Sink, kitchen $0'00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS I SPECIAL CONDITIONS
/
PERMIT NUMBER
P00-00248
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 05/12/2000
Issued: OS/12/2000
ISSUED BY:
SumpPump
Swimming Pool ,
Trap Primer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Ins[ or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: $33.30
QTY
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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
tor a period of 180 days.
INSPECTIONS: In order /or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlretl tnspectlone and flnal epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSATON DECLARAnON: �
I heraby attirm under penalry of perjury one of the following declarations:
❑ I have and wlll maintain a cetlificate of consent to self-Insure for workers' compensalion, as pmvidetl tor by section 3700 of the Labor Cotle, for the pertormance of the
work for which �hi5 pertni� is issuetl. .
�1 have antl will mainialn workers' compensation insurance, as requirad by section 3700 of Ihe Lebor Code, for ihe pertortnance of the work tor which this permit is issued.
My workers' compensation Insurence carner and policy number ara: ` --�-� ) �j
Cerrier: '�J�r�u-�� ! �.rCi �c�i��-� � n ..n.w1 � i-� , ' Policy Number: , ) Y .1 Jd Z��� � 1
(This sectlon n ed nat be complered i! (he permit is velued et ane huntlred dollars ( 100) ar less.)
❑ I certily Ihat in the peAormance oi the work tor which this permit is issued, I shall nol employ any person in eny manner so es to become subject to Ihe workers'
compansation laws pppf Califomia and agree that if I shouitl bewme subject to the workers' compensation pwvisions of Section 3700 of the Labor Code, I shall fonhwith
com0ly with Ihes��visiona �6—
Applicant SignaWre: — ! Date: s' � 2-�2��'�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATJ C VEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FINES UP TO IXJE HUNDFED
Tli0U5AND DOILARE ($100,000), IN ADDITION TO THE CQST OF �j7MPENSATION, �AM4GE5 AS PROVIOED FOR IN SEGTION 3]O6 OF THE LABOR CODE. INrEREST, AND ATiORNEV'S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aHirm ihat I am li ef� nsetl under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professlons Code, and my license Is in full
forca and BNect LiC. k-�f--��� �7 3)' 1��P Class k �C �
Contractors Signawra: / r (�_� Data: "%!'J �'x�'�
CONSTRUC710N LENDING AGENCV: '
❑ I hereby attirm that there is a construc6on lending agency for tha pertormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Code�.
Lentler's Name: Lenders Atltlress:
Signature:
OWNER-BUILDER �ECLARATIONS:
Date:
I hereby atfirm �hat under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Professions
Code: Any city or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicaN tor such permit
to tile a signed statemem Ihat he or she is licensed pursuaN to ihe pmvisions of the Contracbrs License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
Business antl Professions Code) or Ihai he or she is exempt therefrom and the basis tor the allegetl exemption. Any violetion oi Section 7031.5 by any applicant for e permit
subjecis the appliwnt to a civll penalry of not more than five hundred dollars ($500).):
❑ I, as owner of the propeny, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, antl the structure is not intended or oHeretl for sale (Sec.
7044, Business and Pmfessions Code: The Contractors License Lew does not apply to an owner of pmperty who builds or impmves ihereon, and who does such work
himself or herself or ihrough his or her owri employees, proNded that such improvements are not intended or oHeretl for sale. Ii, however, tha builtling or improvement is
sold within one year of completioq the owner-builtler will have ihe Ourtlen of proving Ihat he or she did not builtl or improve tor puryose of sale.).
❑ I. as owner of t�e property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the prqect (Sec. 7044, Business antl Pmtessions
Cotle: The wniractors License Law does not apply to an owner of property who builtls or improves ihereon, entl who contrects for such pmject with a contractor(s)
license pursuant to ihe Coniractors License Laws.).
❑ I em e:empt under sec. eusiness and Professions Code tor this reason:
SignaWre: Date:
Owner ID venfied by dnver's license. ❑ Ves ❑ No Driver's License No.
Verification of Ownership by (typa of document, i.e. - pmperty tax bill or dead):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby cenify that no excavation tive (5) or more feet in depih into which a person is required to descend, will ba matle in connection with work authonzetl by �his
permit, antl Ihat no huilding swcture, scattoltling, falsework, or tlemolition or dismantling Ihereof, will be more than thirry-six (36) leet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Title 8, Califomla Adminisiretive Code).
❑ As owner-builtler, I will not employ anyone �o do work whlch would require a permit Irom the Division of Industrial Safery, es noted a6ova, unless such person has a
pertnit to do such work from ihe division.
Signature: Date:
Division of Industnal Safety Permit Number:
CERTIFICA7E OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certify untlar penalry of perjury ihat I have reatl ihis application and state that tha infortnation given is
correct I agree to comply with all state laws and ciry ortlinances relating to building construction, and authorize representatives of the Ciry of Casta Mese Io entar upon ihe
above-descnbed property for inspection puryoses. I agree not to occupy or allow wwpancy oi eny Guiltling euthonzed by this permit until finel inspection.
CODE �. INSPECTIONTYPE
7616 Fixed Syslem Final Fire Prevention
7266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Finel Factory Fire Place
203 Finel Sign
204 Final Demolition
2b66d6
�
� I Z -a^"''
'� Date
�S SQPE( INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final euiltling�Occupancy
QSIE INTRIALS
�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob nddress: 939 PRESIDIO DR
Suite:
Vicinity:
Parcel Number: 14132509
npplicant: GOODGAME, JACK
Address: 16637 KETTLER LN
HUNTINGTON BEACH, CA
owner: LINHARDT, INGE TR
Address 939 PRESIDIO DR
COSTA MESA, CA
Contractor. SIERRA ROOFING CO
Address: 16631 KE7TLER LN
HUNINGTON BEACH, CA
Zip: 92647
Arch :
Address:
Phone:
Zoning: R1 R1
Phone:
Zip: 92647
Phone:
Zip: 92626-5609
Phone: (714)847-1773
License: 511772
Eng:
Address:
ISSUEO BY:
Status: ISSUED'
Applied: 09/04/2002
Issued: 09/04/2002
Phone:
Zip: License: License: '
SCOPE OF PERMIT
REMOVE EXISTING ROOF. COVER WITH�30 YR TIMBERLING SHINGLES. NO NEW SHEATHING PROPOSED. WILL
REPAIR/REPLACE SHEATHING AS NEEDED. INCLUDES ATTACHED GARAGE.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$125.25
$0.52
$0.00
$0.00
$0.00
$125.77
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Frant 0- 0
PARKING Existinp: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left - 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Righl 0- 0 '.
!
$5,205.00
$s,zos.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180'days, or if work is suspended or abandoned
for a period ot 180 days.
INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
reqWred Inspections and finel approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaas �e�ao�
WORKERS' COMPENSATION DECLARATION: � ' • � • '
I hereby aHirtn under penalty oi perjury one oi ihe tollowing declerations:
❑ I have and will mainiain e cenificata ot wnsent to self-Insure for workers' compensatlon, a..� ovHeO for Dy section 3700 of the lebor Code, for Ihe peAormance oi the
work tor which ihis pertnit is issued.
ve and will maintai workers' compensation insuranc� as required by section 3700 of the Lebor Code, tor Ne peRormance ol Ihe work br which this pertnit I5 Issued.
My workers' com tion In ran ner antl pollc�qumber ere: � y� _����
Carrier. 6�Q,,_�/Yl dL Pplicy Number, fi
(Tlris sectlon need nof be plefed il the permif Is valued et one huntlretl dollars ($ f 00J or /ess.J
❑ I cetlity tha� in Ihe pertormance of ihe work tor whi h this permit is iuued, I shall not employ any person in any manner so es to become subjact to Iha workers'
compensetlon law 1 Celitomia, and egree thai � s�oultl become sub�ect to the workers' compensation provislons ol Section 370 ot �he Lebor Cotle, I s�all forihwith
comptywiththe povisions. ���� O�
Applicant Signeture: l�i Date:
WARNING: FAILURE EGURE WORKERS' COMPEN$ N COVERAGE IS UNLAWFUL M1D SHRLL SUBJEGT PN EMMOVEq TO CflIMINAL PENALTIES AND GIVIL FlNES UP TOONE HUNDRED
hKK1SANDDOILAR (4100,000),INFDORIONTOTHECOSTOFGOf.1PEN$ATION,DAMAGESASPROVI�EDWRINSECTION3'l060FTHEUBORGYJDE,IMEREST,ANDATTORNEYSFEES.
LICENSEU CONTRACTORS DECLARATION:
1 hereby affirm ihat I am licensetl untler provisions of
lorce and eXect. Lic. k
Contrectofs SigneWre:
7000) at Division 3 0l the 8
Class #
Cotle, and my license is In tull
CONSTNUCTION LENDING AGENCY:
❑ I hereby attirm ihat there is a construction lending agency tor Ihe DeAortnance of ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lentlefs Name:
Signalure: _
OWNER•BUILDER DECLARA710NS:
Lender's Address:
Date:
I hereby aRirm thet untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Profeuions
Cotle: Any ciry or counry which requires e pertnit lo construct, alter, improve, demolish, or repair eny structure, pnor lo Its Issuance, also requires �he epplicant tor such pertnit
to tile e signed statement that he or she is Ilcensed pursuant to Ihe provisions of ihe Contrectors LJcense Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 of t�e
Business end Protessions Cade) ar Ihat he or she Is e:empt therefrom end the basis for the elleged exemption. Any violetion ol Section 7031.5 hy any epplicent For a pertnit
sub�ects the applicant to a civil penalry of not more than live hundred tlollers ($500)J:
❑ I, es owner of the properry, or my employees with wages as their sola compensation, WILL DO THE WORK, end the structure is not Intended or oHeretl tor sale (Sec.
7044, Business and Profeuions Code: The Contractors License Law does not apply to an owner oF property who builds or improves ihereon, antl who does such work
himselt or hersetl or ihrough his or har own employeas, provided Ihat such improvements are not intendetl or otlared tor sale. If, however, ihe building or improvement is
soltl within one year of completion, �he owner-builder will hava Ihe burden of proving ihat he or she tlitl not hulld or improve lor purpose oi sale.).
❑ I, as owner of ihe properry. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business end Professions
Cotle: 7tie contractors License Law does not apply to en owner ot property who �uilds or impmves Ihereon, entl who contracts for such pmject wlih a comraqor(s)
license pursuant to the Contractors License Laws.).
❑ I am axempt under sec. Business and Professions Code for ihis reason:
Signature: Date:
Owner ID veritiea by tlnvers license. ❑ Ves ❑ No Drivers License No. Expires:
Verilicetion ot Ownership 6y (type oi tlocument, i.e. - pmperty tez hill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenity ihat no eacavation tiva (5) or more feet in depth imo which a person is required to descen4 will be matle in connection with work euthonzed by this
partni�, and ihat no building structure, scattolding, lalsework, or demolition or dismantling thereof, will be more ihan thirry-si: (36) teet high. (ChaD� 32, Grp 2, Art 2, Sec.
3a1, Title 8, Califomia Adminl5tfative Code).
❑ A5 owner-builtler, I will not employ enyone to do work which would raquire a pertnit from tha Division ot Indusinal Satety, as notetl aDove, unless such person hes e
permit to do such work irom ihe division.
Signature: Date:
Division of Industnal Selery Permit Number.
CER7IFlCATE OF COMPUANCE AND AUTHORIZATON OF EMRV: I certity under penalty oi perjury that I have read this epplication antl stata lhet the infortnetion given is
cortect I agree to comply wilh all stete laws end city ortlinances relating to builtling construction, and authodze represen�atives ot the Ciry of Cos�e Mesa to enter upon 1he
above-descnbed property tor inspection purposes. I egree nof lo occupy ar allow occupancy of any builtling euthonzed by this permi� unlil tinal inspection.
CODE I. INSVECTIONTYPE
1616 Flzetl System Finel Fire Prevention
1286
200
201
202
203
204
Pool Spa Final
Final Ra-Roof
Final BIocWRetaining Well
Final Factory Fire Place
Final Sign �
Final Demolition
PSIF �S
- .�-n.z �
��� • _ , ,
�"
COOE I INSPECiION TYPE
206 Final MechaniCal
20B Final Plumhing
210 Finel Elecirical
212
220
222
250
Final Fire Prevantlon
Final Planning ADProval
Final Site
Final Building/Oaupancy
�g ��
CITY OF COSTA MESA PLANNING linPARTMENT f1AR 23-7�CM5�00 649 ce'�+^'*'tZ3.��
A. P. No.
Bldg< Permit No. � r
PARK AND RECREATIONAL FEES - Apartment Developments �
Fee Payment Receipt
Project Address g'�q precidin Dri� Goata MPsa
Owner's Name Hanc ➢_ T.inharrit
Bachelor or 1- Bedroom Units
2 - Bedroom Units
3 - Bedroom llnits
4 - Bedroom Units
5 - or more Units
Total number of Dwelling Units 1
@ $25.00 = $25.00
@ $40,00 =
@ $55.00 =
@ $70.00 =
@ $75.00 = $25.00
Total Fee
Planning Department Approval Date March 23, 1970 Park Are No. 15
By A. Gleason Applicant's Signature ��[���
CITY OF COSTA MESA PLANNING Ur�PARTMENT HhR 23-7G�NSF00 649��****z$.��
A. P. No, 1�,�_,^�_r.n
Bldg. Permit No. �f � -� �
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address qY0 i�r..<q,.:�.. ;�..j...�� rr.,'-e -..+..
Owner's Name ,t,,,,,, �t_ rt.,r,..,.a�
Bachelor or 1- Bedroom Units
2 - Bedroom Units
3 - Bedroom Units
4 - Bedroom Units
5 - or more Units
Total number of Dwelling Units 1
@ $25.00 = g25.�°�
@ $40.00 =
@ $55.00 =
@ $70.00 =
@ $75.00 = g�S.JfI
Total Fee
Planning Department Approval Date �IItt!i 23, 1970 Park Area No. 24
A. Clteuoo
By Applicant's Signature '
OWNER
JOB ADDI
GENERAL
APNo.ii.i_z�s_no LOT p TRACT G2A5 F
GAS
ROUGH PLUMBING
PROP. SWR. LINE
ROUGH HEATING AN� AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUNO � POWER [
ROUGN wIFING
BOND BEAM U STEEL REINFOI
SHEATHING
FRAME ANO FLASHING
LATHING - IN n OUT
PLASTER.BROWN COAT
HEAT
ELECTFIC, FINAL
6UILOING. FINAI
DATE
BUILDING PERMIT
SUBCONTRACTOR
� • - .
COSTA
P.O. B
31533
For Applicant to Fill in Completely
BUILDING �2p� �,��5���� p
ADDRE55 �(,J
OWNER N�� P� L�IJIAIaQ17
MAIL
CITV �'_p$
CANSTRUCTION
ADDRESS
ARCHITECT
ORENGINEEfi �Ull
ADDRESS
CONTRACTOR �V R
ADDFESS �23(ed
CITY }�w� 1��
STATE g I
LIC. NO. (O�"��pq. �
SIZE
OF LOT ���J� X �i
VSE OF
EXISTING BIDG. aN�
SIZE OF { ��
NEW B�DG. I'Q'� 4� S
EXTERIOF WALL
COVERING ESTUC=C1
USE OF BUIIOING AND
TMENT NAR 7_3-7CCM5�00 650� *t'*�*39.00
s2s2s
APPLICATION FOR BUILDING PERMIT
FECE� BV OA^E RECEIV� D;T Z�V �D
� L3 ,
CITV
IIC. NO. �(pl
1 �� � NO.OF BLDGS.
-g I NOW ON l0T
NO. OF
ROOMS I STORIES
ROOF FbT ���
COVEFING QL'�G(<
K TO BE PERFOFMED
A.P. NO. � �%� —�%p�
BUILDING Q� �y ��
ADDRESS � �
TRACT Y�(J S
OWNER
E
IE
ZO NO.OF
—� / PLANSQ
VAR�SAPPROVED
MAIN BUILDING
(FROM GL$TREE7)
VAR. 3F`
� �
LOT a BLOCK
�A`�$ 3 5�
GROUP
_ DATE ��z 7 �
USE OF NEW f�ta7vL
BUILDING CG��`r��
VARD$ APPROVED
ACCESSORV BUILDING
&'
DATE
APPROVED
DATE 3 a-3 -7
I hereby acknowletlge that I have reatl this application and state
that ihe above info�mation is c0�/ect antl ag�ee to comply with
all laws regulating building construction, and I shall not employ
any person in violation of ihe workman's compensation laws of
the State of California. m
I hereby certify that I am properly licensetl as a conttactor untle� SQ. FT. p
the State ot California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR f
Chapter 9, and that such licenses ara in full forca and eftect, or I THE PURP�6E OF ESTABLISHING A PERMIT FEE ONLV: ¢
am exempt from the provisions ot the Stata of Calitornia Business VALUATION �
antl Profassions Cotl rvision 3, Cha� 9� m
PERMIT FEE $ � �
Signature of /1 ��, y�i/,LCC `� -, �
§�o�a� m
Permkree ( � ���u��y/' PLAN CHECK $ � C(�(/ E
Au[horizetl Ageni ��/� o
LL
TOTAL FEE $ • f' V
�: w J �����
COSTA MESA BUILDING-SAFEN DEPARTMENT
P. O. BOX�917 COBTA MEBA. CALIPORNIA
Fo� Appliean+ fo Fill In Complefely
� TYPE OR PRINT
eu��o�Hc 939 Presidio Drive
ADDRESS
� COSTA MESA. CALIFORNIA �
OWNER Mesa Del Mar Develo ment Co.
nooRess 3800 E. Coast Highway
��TMCor'ona del Mar No.' r4�20
.o,,.,��.t r�� Oriole
NO. OP
UbC OF none
EX16T1 G BLDG
BBTBACK LINB FROM
cexiex ov ern¢er � REAR YARD
61DE YARD I LEFT 5�-3�� I RIGHT 5 1
DESCRIPTION OF WORK
urw I X I� e� �rcaer�nm I �I anmr�nn
� -9"x50 � ROOMS 6� sroaies 1
r�� L(���i��¢[�85 Plan SOOC
t` SEP 1969tl �
� FINANCE DEPT.
CI1Y Oi COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
RECEIPT NO. PEIiMIT NO. �,
8 ����
�.ecervso_er I ow'rgrsepe{.veo, �I o�te �ssuec- I
•
COSTA MESA. CALIFORNIA
APPROVEO
ZONING
ZONFn�� NO.OP -I UBe OP NEW�
r s, I PI,AN9 f� BUILO�Na1n1/ Q
�e°�e:e..,.� r-1'� Cr7_XC� /o
YARDS
APPROVED
�
�eae�rew uwe er.� y 7
FRONT
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I HHREGY ACKNOWIPDOE THAT I XAVE HlAD i3118 APP4GTION
AND'BTAT¢ TXAT TX6 ABOVE 18 COIiREGT ANO AONE6 TO COM-
PLV WITH ALL CITY ORDINANCP6 AND BTATB LAW9 RH6ULATINO
eVILDINO CON6TffUR10N. .
s��N^T°RE Mesa Del Mar Develo ment C
PERMITiE
By : D. . ., . ���
S FT. � IN.
2 " FT. •— IN.
I�e.., DATE �/��/�I
THE AMOUNT 6HOWN IINDEp VALUATION IB FOR TME
PUIiP09E OF. EBTABLI6HING A PERMIT FEE ONLY.
VALUATION /7
PERMIT FEE $ � �/i����
$ 1],769.00 PLAN CHEGK $ /^ �'S �
TOTAL FEE $ SS.SO