The URL can be used to link to this page

Home My WebLink About2172 PUENTE AVE - Building Permits(714) 754-5273 • Faz (714) 754-4856 CITY OF COSTA'MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 2172 PUENTEAV Suite: Vicinity: Parcel Nunmber: 42217144 Applicant: ROSAS, HENRY Address: BUILDING PERMIT Zoning: r c � PERMIT NUMBER 898-01413 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/10/1996 Issued: OB/10/1998 - -' Phone:-' 9A9=548-8648- - .,r' _,. � _ ; . -, i� " - � Zip: � . . � , �' - Owner: ROSqS;�HENRYC � ' �i� - _ �,� . � � Address 217YPUENTE ST� � -� ' � /i,� �� ` = .Phone: - . � �` / � /i%iC � � . ,. � _ , � ' �. , � � ji COSTA MESA CA - � - � Zip: 92627 � � � " ' i � � \ � / i �/ � ` � /`\\.� rl/ � � i'� Contrector � i�,!�- ��'� �-' '�� .�. `'� '�-�i;,�.,,_ ' ��a��.. / �.��. Adbress: � �- �.,� , .\, , � nl�' ' , - r" Phone: : �. _�, , Iip: ' `i�,�� `:�� ..�� -- � �� License: . - ��" � ' '�.*,� , A�ch l.Eng : � , . . . � _ . . , , ,. . . . ,� . ACdress: „ � � � " , . � � 't � � . . �_ i - . � , - . � \ �:' .. Phone:- - � � i - ' - �l � ' ��- i �'°_ Zip. - - -_. . '� . , � . �' - . � '` . . ' License: � ' \ �� , t' � � f : � � . SCOPE OF PERMIT _ A � '� � - ', T/O'EXIST AND REROOF-WITH 30 YR COMP SHINGLES. � , � �- � �. A ` �i� � ' -. . � r � � , . . . . � . � . . _ , . .. �t ��. ._ -. �, .� � . _ _ - .. � �� . �.. , , FEE SUMMARY �,/ ' Plan Check:. $Q.00 _ - � ; , - i .,, . -- Calc Valuation: `' PermiY. $62.25 - - Claim Valuation: �'SMIP Res: �.. $Q.50 " , , ,SMIP. Com: .$0.00 ,' ��, Other:�, � . ;� $0.00 � In`spection:.-', \$0.00 , ��. .� . � \�,�� \ , � <�, `�Total: $62:75; ��'�h � �.� ., �� : SETBACKS��. . " MAINSTRUCTURE�Front 0-�0 � Rear 0-0 ACCESSORY Front- = 0.' 0 � PARKING Exislina: 0 NOTES: Rear 0. 0 Re uired: 0 P.L,4NNING & ZON i : � , , . ' � � �Left 0-0 LeR 0• 0 ��. � � , �� . Right:. 0-0 � � Right 0• 0 ' Pr000sed: 0 . ` 1', �. , �, � sz,000.00 Sz,000.00 , ,. � , ;. {,. , �. l� ' � �: �, /l EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. 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 Inapeetions end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 - WORKERS' COMPENSATION DECLARATION: � I here6y eRrm untler penalry of perjury one oi the following tleclarations: ❑ I heve entl will meintain a certiticate of consent to selt-Insura for workers' compensatlon, es provided tor 6y section 3700 of the Lebor C¢de, tor the pertormance of ihe work for which this pertnit Is issueC. ❑ I heve and will meintain workere' compensation insurence, es required by saction 3700 of the Lebor Cotle, for the peAortnence of Ihe work for which this pertnit is issued. My workers' compensation Insurence certler antl policy number are: Certler: Policy Numbar: (lhls section need nof be comp/eted I! the permlf fs velued et one hundred dallars ($100) or less.) ❑ I certity that in ihe peAormance of the work lor which this pertnit is issued, I shell not employ any person in any mannar so as to hecame subject to the workere' compensation lews of Celitornla, end egree ihet tl I shauld become sub�ect to the workers' compensation provisions at Section 3700 ot the Lebor Code, I shall torthwith comply wlth these provisions. Applicant Signature: Date: WARNING: FAILURE TO SEWRE WORKERS' COMPENSATON ODVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYEF TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED T10USFND DOLLARE ($10D,000). IN ADDITION TO THE CQSi OF COMPENSATION, DMNGES AS PROVI�ED FOR IN SECTION 3IO60F THE IABOR WDE, IPf�EREST, AND NTTORNEY'S FEES. 110ENSED CON7RACTORS DECLARA710N: I hereby eflirtn that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 ot lhe Business end Prof8551on5 Code, entl my license is in full brce end eNed. Lic. p Class a CoNractofs Signature: Date: CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a consiruction lending agency fo� the pertortnance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lentlefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eflirtn that untler penalry o1 perjury Ihet 1 em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business entl Professions COCe: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also raquiras the eppliwnt for such pertnit to file e signed stetement ihat �e or she is licensed pursuant to Ihe D�ovisions ot the Contractors Llcense Lew (Chapter 9(commenUng with Section 7000) oi Division 3 of the Business antl Professions Code) or thet he or she Is evempt Iherefmm and the basis for the allegetl exemption. Any violation of Sadion 7037.5 by eny epplicant tor a pertnit sub�e e applicant m a civil penalry of not more ihan five hundred dollars ($500).): I, es owner of the property, or my employaes with wages as iheir sole wmpensation, WILL DO TME WORK, end the structure is not Intended or oHeretl for sale (Sec. 7044, Business and Protessions Code: The Contrectors License Law tloes not epply to en owner of property who builds or improves thereon, end who does such work himself or herself or through his or her own employees, provlded that such improvements ere not Intended or otteretl for sale. It, however, the builtling or Improvement is soltl within ona yeer ot comD�eilon, ihe owner-builder will have the buMen of proving Ihat he or she tlid not Duiltl or improve for purposa oi sele.). ❑ I, es owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the pmject (Sec. 7044, Business end Professions Code: Ttie contractors License Lew does not epply to an owner of property w�o 6uilds or improves thereon, and who coniracis for �such prolect wlih e coniracror(s) Ilcense pursuant to the Conirectors License Lews.). exempt un�leJ sec. Business and Professions Code for this reason: ID venfied by tlnvers license. R(Ves ❑ No Dmer's License No. __�/ % Expires: VeAficetlon ot Ownership by (rype ot tlocument, I.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify Ihat no e:wvatlon Me (5) or more feet in depth into whic� a person Is requiretl to tlescentl, will be made in connection with work euthorized by this pertnit, and that no Duilding structure, scaffoltling, felsework, or demolition or dismantling thereat, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ Aa owner-builder, I will not employ enyone to do work which would require a pertnit irom the Division oi Industnal Sefety, es noted above, unless such person hes a permit to tlo such wark tmm the division. Signewre: Date: Division ot Industnel Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTAV: I certify under penelty of perjury ihat I heve read this application and state thet the infortnetion given is correct I egree to wmply with all siate laws and ciry ordinances relating to building consiruction, and authonze representalives of ihe Ciry of Costa Mese to enter upon ihe ebova-dexribed Droperty for inspaction purposes. I agree not to occupy or allow occupancy of any building euthorized by.lhis permit until final �ns dion. °� �(�� fs-/O- l � ` Signa� r(s) Date AnNOr AUNonzed Applicant . Date CQOE I. IHSPELRIONTYPE 1616 Fiaed System Finel Fire Prevention 1286 Pool Spe Final 200 Final Re-Rooi 201 Finel BIocWReteining Wall 202 Flnel Feclory Fire Place 203 Final Sign 204 Finel DemoliGon zate-as �ff .im. . ri � • t� CODE 1 INSGECTION TYPE 208 Finfll Methenical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 250 Final Site Finel Building/Occupancy QAIE ,un.. Applicant to�fill in all spaces exce0< those within heavY Dortler Iines ana ca v oF coSTa,y,�M�ESA CONSTRUCTION PERMIT ��ct Addrei`�/� �- P(%� /� �� } �/ � - �piicant's Mailing Address —2�7'Z-{�U�yi/�%�'��}V Owner'sName �"'�L��L� �•��D.S�is Phones%+��(`i�L Address —�L-/72 �V�NT /�Li Arch/Eng. License No. Address � - Contractor's Nam Phone Address (mailingl � �' ! U � �� City License No. ' LICENSED CONTRACTOR DECIARATION � 1 hereDy aHirm that 1 am licensetl untler provizions of Char[er 9(commencing with sec[ion ]000) of Division 3 ot the Business antl Professions COAe, antl my license is in full force antl effect. LICEf15¢ CId55 License NO. �ate Signature � WORKERS'COMPENSATION DECLARATION -.� hereby atfirm that 1 have a certificate ot consent to self-insure or a certititate `�' Wo�ke�s' Compensation Insu�ante, or a certifietl coOY tM1e�eo( (Sectlon ':h800, Lab. C:) . ' VPolicy No. � ' Company � � BCertifietl copy is �ereby furnishetl. Certifiea capy is tiletl with the city Builtling oivision. Date ADPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the permit is for one huntlred (5300) or- less). I certity that in the performance of the work for which this permk is issuetl I shall not employ any person in any manner so as to become subject to t�e workers' Com ens tion Ldws of Califor Date d-�p- Signature -.�.--✓�- �'�� NOTIC : If, after makin9 this tleclaration, you sh ul ecome subject to the Worke�s' Compensa[Ion p�ovisions of the Labo� Cotle, y0u must torthwith comply wilh sucn provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' . I bereby afflrm that there is a construction lentling agency for the performance Ot the work far which this permit is issuetl (Section 3097 Civ. CJ L.entler's Name ' Lender's Atltlre55 OWNER BUILDER DECLARATION I hereby af(irm that I am exempt Trom the Contractor'S License Law tor the following reason (Section 703115�8usiness antl Professional COGe: Any city or ' county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prior to its issuance, also requires the applicant (or such permit 'to file a signetl Statement that he/she is licensetl pursuant to the provisions of � the Contractor's License Law (Chapter 9(commencing with Section 7000) of: 7ivision.3 of the Business antl Pro�essions Cotle)'or tnat he/she is exempt � erefrom antl the basis for Ihe allegetl exemption. Any violation of Sectlon 131.5 by any applicant tor a permit subjects the applicant to a civil � ,�¢0� Ity o( not more than fiv¢ hunOretl tlollars ($500). � IS9�1, as�owner ot the prop¢rty � � p^ ^ will tlo the work, antl the structure is not intentletl or-otferetl tor sale� (Section 7044, Business antl Professional. Cotle: The Contractor's LiCenSe L. w tloes nOt apply to an owne� ot a property who builtls O� imp�oves Ihereon, antl who tloes sucn work himselt/herseli or through his or her own employees, provitletl [M1at such improvements are not intehtletl o� offe�etl fo� zale. If, however, tM1e builtling or improvement is soltl within one year of com- ' pletion, the owner wili have the burtlen of proving he/shetlia not builtl or;im- p/Ove for the OurpoSe of sale). ❑ I, as owner of the prooerry, am exclusivety contracting with licensetl con- � tractors to construct the pro�ect (Section �044, Business antl Protessions Cotle: • The Con[ractor's License law tloes not apply co an owner of property who builtls or improves thereon..antl wno contracts tor such oroiects with a con- tractor(s1 Lcense pursuanc m me-Convactor•s License Law). I am aware that proof of thei� Worke�'s Compensation insurance Shoultl be provitletl to me. � L7 I am ezemp[ untler Secfion B. & P. C. for this reason Date - - ' Owner ' 1 hereby certify tnat I have reatl this aoP�i ation ana state that the above information is correct. I a9ree to comply with all city anC Wunty ortlinances 'antl state laws relating to builtling construction, antl hereby authorize repre- ' zenlatives oh tnis city to enter upon the above-mentionetl Oroperty (or , inspectlon pur s . �� Signature � Date -A� � $ I' Drivers' License or 55 � all appropriate declarations. . � ...,... .._. _... ..... UNIT NO. � �S�y�� TVPE OF CONSTRUCTION NEW ADD ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE'OF BLOG. TVPEOFPEflM1T GRADING ❑ FOUNDATION ❑ STftUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' � ❑ OTHER PROJECT DESCRIPTION Sa. F7. oCCUPaNcv CONSTRUCTION TVPE VA�UATION $ ZONE GRADINGCU.YDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors � Kitchen Sink Lavatories � � Roof Drains - Reinspection Fea $15 Boiler • ' Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact..Blt. ICBO �k IHeating System & Ducting Q�P100,000 BTU 0100,000BT Reinspection Fee I $15 0865�4fi, rev. 5/88 White - 6uiltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink. Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa Water Clout "` � Water Heater Water Service ' ' Auto-Wash LaundrvTre'vs � . Issue Fee Hoodor Typel ❑ Canopy Typell ❑ ' - A.P. # S Main Building: E T Front B Rear A C Right S . Left Ping..Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking'Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes' , Outlets Switches Garbage Disposal Generator �0-5 KW C Zone AccesSory Building: _ : Z O . N I N G p Parking Req./Provided E _ � M T S. ELECTRICAL , FEES Transformer ❑ 15-50 KW ❑ 50+ KW 5KW Meter LJup ro 100 amps Meter ❑over 100 amps Sub Panel Motors �0.1 HP 01 h- S ' ' Inc. Solar 09-15 HP 016-15+ . Microwave Pole Light Range Sign Standing Sections' . Trash Compactor , � Reinspection Fee �$15 � I Issue Fee $ 3� - DEVELOPMENTSERVICESREQUIREMENTS: ' Zoning Approved By FEES ��' Buiiding Approved By Application laued Bv ^ Refrigeration Sysiem ❑0.100,OOOBTU ❑100,OOOBTU System Repair/Alteration Fire Oamperi - Fegisters laue Fee I rj $ $ 3 � SUMMARV OF FEES � � BUILDING PERMIT $ SMIP � �. $ ' PLAN CHECK , $ PERMIT � PLUMBING $ ISSUANCE $ P,LAN CHECK ' 25% $ ENERGY P.C. $' ELECTRICAL $ GRADING $ PLANCHECK 50°h $ MICROFtLM $ MECHANICAL $ � 70TALFEE $ vC�� PLAN CHECK 25% $ 01 00025349-OOO1S349 �7'Ol" 'SS,U� � OATE: Ov/2Fi!$° ..TIMEe_Q4-:33 --------.---- � . / w ... �/C� NSTRUCTION AND PLANNING �� - - � � POO. SPA - �' -� � � PPROVALS- Permit # Date Inspector. APPROVALS Permit # �Date , Inspector � �. 1. Temporary Electrical Service or Pole ' � � � 52. Pool & Equipment Location ' � S2-'`Soil Pipe-Undrgmd. - - 53. Steel Reinforcement . .. 3rElectricalConduit•Wlility-Undrgrnd. �`' 54. Forms i i� 4�Electrical Conduit-Undrgrnd. � 55. Electrical Bonding . . � �Steel'Reinforcement . . ' 56. Rough Plumbing & Pressure Test � 6�.�.Electrical UFER �Grnd. - 57. APPROVAL TO COVER-GUNITE . 'Y7!Footings ' � � �" 58. ElectricalConduit�Undrgrnd. � •8� Founclation ._- - 59. GasPipe,O Undrgrnd'c,Test �-�� `. 9�,Water Pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, O Undrgrnd. . � �i' 10. $tructural Floor System ' ��' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 1 62. Backwash & Receptor�Final _- 12. Sewer Cap • 63. Heater & Vent-Final ; ,_� 13. Roof Drains � 64. �Plumbing System - Firjal - 14. Rough Plumbing 65. Electrical-Final�� `: � . 15. Rough Electrical-Conduit � - 66. Solar System-Final ' -- . 16. Rough Electric Wiring . � '67. Fencing & Access Approval �� - 1`/_ Rough Wiring Sign 68. APPROVED FOR PLASTERING � " �148. RoughElectrica{-T'BarCeiling ,69. POOUSPASYSTEMSFINAL �79. Rough Heating & Air Conclitioning � FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace APPROVALS Permit # J 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 Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing • 74. Overhead Hydro • ,, 26.� T-Bar Ceiling (Structural) & 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. REQUIREMENT � �� 31. Plaster Brown Coat 79. FINAL INSPECTION '� 32. Electrical Power Meter-Final � S0. FOOD CERTIFICATE ISSUED � 33. Final Electric . Notes:�Q ��r�.�Jf /j/OT l�OY• L• �.' � 34. Final Heating & Air Conditioning ��/ � ' , � 35. Final Gas Pipe-Test ' 36. Hood or Canopy , � � 37. Final Factory Fireplace � , � . " 38. Final Plumbing . 39. Water Service-Final . . 40. Gas Service-Final � � ' 41. Solar pomestic-Final , � 42. Backflow Preventer � � j;, �,� i 43. Backflow Irrigation . - �'- � �t j 44. Landscape Irrigation System , � 45.�Sound Attenuation � � • � �. 46. Handicap Regulations � � � 47. FINAL STRUCTURE & BUILDING ' - 48. Special Requirements Completed . ' , 49. Electric Release to Edison � � ' n� r4 50. Gas Release to Southern California Gas Co , � � a' �� 57 C�ERTIFICATE OF OCCUPANCY • '�• ' No. �. - Date � , . � •` � F E N C� P E R M I T w, • -.. ° - • v S T R� o"" �, H Iw w a F � - •' .�' _, u:`!...,. i� r I '� e; � ,=' _''' >.'f 3` �:a i � iiy ' •' - � �: � -„ _ �"i;:s-`m'Y.;�^,.:� I � �� G� i 2 � � A•'De /1 48�%`7 sr�'� _ - ,v-y.�-y ,3 , ]3, � a._.�__... ._�_ _.. ... �l o Q� � 101 E n,.'� ., 'V v � ' � 3�� m ' e I I � ��.s�.._ .._t- ` � i .�.� --��- ( � 1 0 t o � � ; L � L^ t_ � _! \\ ��'�'1 rd' 1T ,�. � •--�_,�...._:--.:.�__._ �__.--- ^-t._._._ .. __._. _..�.� _ � 2�faxo I: V �,�nve . „ . -i: 'j:t"e c'^Ti `t�s fax �c � � ' t't3][• �i �`r;•:C@ `i'Fi'� �v; Ota�'Pn,' :i•R 9t�1'�.(i �Yi*`:i? � _.-..�...... _..._ . ..-�:....Lh�....` ,_ �__ 'v F w W x F � m � � � 6po 0 POi: APP�ICf�NT TO FILL IN IIUII.i�7tiG ADILRESS .� l%,Z, f� j�I .��.r� _� Owner . � .z vr S� Mail A ess City �'p.,T�_��7�,.� o 00 Contractor� ��—�)Z o �s� Addrese City Idc, oo � o o, �� size�or :.ot (vo x/ODAr>� � �-%�%��2, Seibackss C�treet S�� aar O �� Sir`» Xard = Right O� Lei`� � ,T9�.p8 yOi I'`911C.�. ��_�y y� �r IOG/7' G��•..__� r.��/.:� �..� J-. � „�.s �,� X S-,7 ;, s_<�„ ? herebq aclmowled�e th.at I ve ad Lhis applicatian ssnd aLate that thc above is corr�et and agree tc ce:Rplv � k�3th all Ci�g Ordinances ar�d 3Late Ladas regu2atin� building cons�n±ctficno Signature of Perrti.ttee ��%,A..:._��y�d_� Agent ____� F'OF? O�TT.�E USE ONLY � � ��' � PerLai.t No, RecvBd 2y D8 �P,C9BCS Date Issue� �-.��/ � iL..-i'�% LL-.i _ i t Fee S6 ZL -' Ylan Check $ � � ✓ 3 / TOP9L FEE $ � �'� \b��"1^y�� FINANCE DEPT. CITY OF COSTA MESA OWNER HTTNNY TNU C:O DATE fy-Z7�5rj JOBADDRESS 2].'lZ A�an.te G.t BUILDINGPERMITNO. ]_257_ GENERA�CONTRACTOR S� V, Hunsaker VAWE $%�y.W�OO _ 86 BLOCK TRACT pq$'] Si�1e Fami�y Dwellgp� GROUP I TYPE V ZONE R�-L FIRE DISTRICT �2C�0 PERMITS ISSUED INSPECTIONS � DATE SUBCONTRACTOR DATE I NUMBER FoundationFormsandGradetoGarage9'X �y—.�o' Rouah Framinq . ,� _ _ _ V �� Plumbi Pole ie -/E'1 �� //Y � Sewer, House // Seweq St.` �/6 � ,a' � L,'�-a�.-rG�.�u,� L- y� —rr ��'�� Septic Tank or Cesspool C� Q I g,ln Out !y�� ''�� ri__.enny �y �.i (/.-� Plumbing, Final, Fixtures Co plet ,( �— �.- )y. Piumbing, Fin,al Gas Test� 5 /L � yd .� Wiring,Final <<� /i�-yL%-! occupancy c/ /)_ 2 b _� Form'l10 G-H Li00 1-55 - Costa Mesa Building Department APPI.ICATION FOR PERMIT �' '"' 111 EAST 20th &TREET �q /� � _- nnaTe necsn_ r.ni icewN�e .11_2��.1 B ll 1 L D�� N� �..o.. �na r w nu s-sa ADDRESS 2172 ERAL CONTRACTOR 1' ''ECTIONS Gas Water Rough Plumbin, Prop. Swr. Line Sprinkling SySG DATE �-10-bb BUILDING PERMIT NO. DESCRLPTION OF WORK FIRE ZONE VALUE Date I GROUP J TYPE SUBCONTI2ACTOR '_ 26001 COSTA MESA BUILDING-SAFEf7 DEPARTMENT P.O. BOX 72W ' COSTA MESA, CALIFORNIA 9Z626 For Applicanf fo F(11 In Completaly TYPE OR PRINT e��oir+e 2�7 c� ADDRE84 COSTA ME3A. CALIFORNIA 4ITECT T!L cirv --'� 9TAT6 TiL LIC. NO. N 61ZE � O /,o._� xo. o� n.no�. I OF LOT V (/ N01 USE OP � EXISTIN6 BL�6. � � j'� Y6TlACK L�X[ P110M G6NTHR OP YTR[[T RUR � I � /�/� 81DQYARD L,[FT RIOMT DESCRIPiION Of WORK BUILDIN6 � ( � Y � NO.OP �-- SIZE J �\ ROOMS EXTERIOR WALL �- ROOR COVERINO - COV6RIN0 U9H OF OUl LDINY AND WORK TO B6 P�R! � , IQ � /.� v-/— AUG 10-66 00 603A3**�**3.00 APPLICATION FOR PERMR BUILDING POr Oiilce Use Only II�C[IV[DOY - I � T� 5 ;o'a� . z / 72 ZONIN6 YARG9 MPROVHD MAIN BUILDINO ' � VAR. �j 1 H6RlBY ACKNOWL[D06 TNAT 1 NAVi RHAD TX19 APPLIGTION AND BTATB THAT TNB ABOV6 1� COpR8GT�11ND AORB{ TO COM• PLY WITN ALL CITY ORDINANCO ANO iTATQ LI1Wi RWYUITINY BUILOINO CONB}RYC/J�fION. SIGNATUR80P {�-(/ ' � �� PERMITTiG / �✓^'^-"�^� AUTNORIZiD AO[NT — � �.� LL Bfi LE88 THAN B. C. RFAUIRBMENT7 YARDSAPPROVBD• :CE680NY BUILDINO / � � � � � DATB �_ . , a 07 � ea. Fr. �X 0 TX8 AMOUNT BNOWN UNDBp V/�LUATON I8 FOR TXH j PUNPOBi OP [BTABLI8X�N0 A PEHNIT PHB ONLY. i5 VALUATION � DO pERM1T FE8 ��, O� s Z� f � w TorALFEE $ ��OD OWNER EVANS, LAWRENCE D. SEP 2 4 1957 DATE h_16-57 � JOBADDRESS Z],7Z Pll2rite "� BUILDINGPERMITNO. J�I.1BL�Z GENERAL CONTRACTOR J02 T. MOT'21.@S � VALUE $ L�33.O0 aPii5-46i-i2 k;;. BLOCK TRACT BZOC�iC W37.1. `> .U. GROUP TYPE ZONE FIRE DISTRICT )iR%i INSPECTIONS Foundation Forms and Grade to Rough Framing � Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, ROUgh Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool La•�:�a.ln Out DATE � SUBCONTRACTOR . b PERMITS ISSUED DATE I NUMHI Plii`��iDing, Final, Fixtures Complete Plumbing, Final GasTest Wiring, Final . ' Occupancy � FOflM 210 3M IO�uS �