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Home My WebLink About983 POST RD - Building PermitsCITY OF C05TA MESA CALIFORNIA P.�. BOX �'1200 FROM THE �FFICE �F THE PLANNING DEPARTMENT 3une 7, 1967 Mr. Robert Williems 983 t�et xoaa Coeta Mesa, californla Dear Pool Ownero The Costa Mesa Planning Department has been notified of the completion of your swimming pool, So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code' we quote Section 929809: 1, No swimmfng pool shall be constructed closer than five'(5) feet to any property lines' measured from water line of pool, 2, No swimming pool shall be constructed under any electric power lines or on any electric poxer easement, 3, No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence six (6) feet in height and has a selfmclosing and locking type gate or gates, This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool areao Sincerely yours� William Lo Dunn Director of Planning ' coSrA nnESy, CON RU TI N ERMIT l.i ( ' •7 —nej,.�[ Adtlr;!ss . I ApplicanYs Mailin Addr s �^0� 's Name �"/� �a Phone � Address Arch/Eng: � Licenze No. Address � Contractor's Name �� v� � �hone Address (mailing) City License No. � LICENSED CONTRACTOR D�CLARATION 1 M1ereby a(firm Ihat I am licensed untler provislons ot Cha�te� 9(comm¢ncing witM1 seclion 7000) of Division 3 of the Business antl Professions Cotle, antl • my license is in /ull (orce antl etfect. License,ClaSs License No. Date Si9nature WORKERS'COMPENSATION DECLARATION -',hereby allirm tna[ I have a cer[ificdta 01 cOnsent to selLinsure Or a Certlfiwte �� Workers' Compensation Insu�ance, or a certifietl copy Ihe�eof (SeCtlon !'�Boo. Lao. c.l . _. Policy No. ' Company BCerti(ietl copy iz hereby furnishetl. Certilletl copy is tiletl with the city Builtling Division. Date � Applitan[� �� EXEMPTION F0.0M WORKERS' COMPENSATION DECLARATION (Thi55¢ctiOn neetl not be complet¢tl if Ihe pe�mit is fo� one huntl�etl ($100) o� Iess). 'i -+ I certiiy thut in,the performanCe oi Ine wor or whlch his peim�l is issuetl, snatl. not emploY any person ih any.man so as t o u <t to Worker�CowuGnfatiea_Laws of Callfor Date T�r—a-a— Signgture ' NOTICE: I/, atter making [his peclarat on, you zhou ecome subject o tlte Workers' ComOensation provis{ons o! the Labor Gotle, you must f t�with camply witn such provisions or this permi[ snall be tleemea revoketl. CONSTRUCTION LENDING pGENCV I hereby a/11rm that there is a construction lentlin9 agency for lha performance ol the wotk for which thig p¢rmi[ is issuetl (Section 3097 Civ. CJ Lentler's Name Lentler's AaCre55 OWNER BUILDER DECLARqT10N I hereby af/irm lhat 1 am ezempi from the Contracror'S License Law for the /ollowing reason (Section �03Z,5 Business antl Professional Cotle: Any city or county wM1ich requires a permit to construct, alter, improve, tlemolisM1 or re0alr any structure, prior t0 its issudnc¢, also requires the applicant fOr such pormit to file a signetl Statement thdt he/she is licensetl pu�suant to the provision5 01 the Contractor'S License Law (Chapter 9(commencmg with� Section 7000) ot 'fivision 3 0/ the Business antl Protessions Cotle) or that ne/she is exempt erefrom antl the basis for trye alle9etl exemption. Any violation of 5¢ttion J3 5 by any applicdnt to� a Petmit Sub�ect5 the ap011Gant to d clvil e ty oi not more than five nuntlretl tlollars (y500). I, a5 own¢r of tne proper�y o/ my employees with wages as [hei� Sole compensation, will tlo the work, antl [he st�ucture Is not intentletl oY ofi¢retl for sale ($ection 7094, Busi�ess and Professional Cotle: The Con[ractor'S License Law tloes not ap01y to an own¢r ot a property who bulltl5 Or imprOves tnereon, anE who tloes such work nimself/herzelf or throu9h his or her own employee5, provitletl thaf Suth imprOvemen[5 a�e not intentletl o� ofFer¢a to� sdl¢. It, nOwevtr, the builaing or imp�ov¢ment i5 Soltl within One y¢dr ot com- plGtiOq lM1c owne�'will nave tqe bU/ticn Of P�ovin9 hc/she tliE not bUiltl o� iT- � prove tor the pu�pose of sale). ❑ I, as owner of the property, am exclusively contractin9 with Ilcensetl con- I traclors lo Construct the project (Section 7044, Busines5 an0 Professlons COtle: The Contractor's License law tloes not apply to an owner of property who builtls or Imoroves thereon. apa wno conVacts for such oroiects wltn a r.on- tractor�zl Lcense pursuan[ to tne ConVattor•s License L.aw). I am aware [M1a[ proof of [heir Worker'S Compensatlon Innsu�ance snoultl be provitletl !to1 m¢. ❑ 1 am exempt untler Section �y ��B. gp. C. tor Ihiyr�ason ApO��ant to fill in all spaces encept thosa within �eavy EorGer Iines antl sign all aDDropriata Oeciantions. PE$MIT NO� ,�� T�Q�NQ., LOy��(� UNIT NO. A P Date � o "( 1 hereby certify that inlormation is corre<t dntl TIdtC IdWS I¢Id � 5¢ntd[ives ot thi t Inspection purp . Si9nahre Drivers' License ar 55 0865-46, rev. 5/8B Owner th TYPE OF CONSTRUCTION �-J NEW L1Jaoo ❑ CONVERSION ❑ DEMOLISH .❑ OTHER DESCAIPTION OFJCYORK/USE OF BLDG. — ALTERATION LJ REPAIR TYPE OF PEHMIT LJ GRADING LJ FOUNDATION LN STRUGTURAL ❑ TENANT ❑ EIECTRICAL ❑ PWMBING ❑ MECHANICAL ' ❑ OTHER . PROJECT DESCRIPTION S�.FT. oCCUaaN �v1—,� CONSTRU/q�TIONTVPE VALUATIONS�L� ZONE /'�' � � GqqDING CU. YDS_ __ ACfPE��_ �� Sink Preventer king Founteins '. r Drains �r Sinks Service Outlets Kitchen Sink Lavatories p—Trap Roof Drains Showers Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash � � Reinspection Fee I $15 I I laue Fee I $ 3 I MECHANICAL FEES Duct-UnderGrountl Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. iC80 �� Heating System & Ducting ❑0.100,000 BTU �00,000 aoy aumonze repr¢- ione0 p op�¢±rty to� Date �a _ Reinspec[ion Fee $15 Wbite - Bulltling; Canary - Applicant; Pink - Accountinq; Goltlenrotl - Assa55or Hood or Typel ❑ Canopy Type 11 ❑ Refrigeretion System ❑0.100,OOOBTU ❑700,000 System Repair/Alteration Fire Dampers Registers Issue Fee ..# S Main Buildi E T Front y B Rear ' � A C Right K S Left Ping. Ref, # Planninq Notes: e �• Automa[ic Washer Construction Pole Sub. Cooking Unit Dryers �Ges �I Fan � .� F.A,U. i Device Boxes OUSIefS Switches Garbage Disposal Generator �0.5 KW —.— ` 2one ��A t ( Z • A � �}(ar � N 1 N � �, G R Parking Req./Provided E � lr�c i %h/ s � M i"(J. Gc T S. ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+ KW 15 KW Meter LKup to 100 amDs Meter ❑over100amps S�b Panel Motors �0-1 HP �1'h - 8 � InaSoiar �9-15�HP �16-15+ Microwave Pole Li9ht ` Range Sign Standing Sections Trash Compactor Reinspection Fee �$15 � � Izsue Fee DEVE�OPMENTSERVICESREQUIREMENTS: ( Zoning APProved By I� Building Approved By Aaoliption Issued Bv __ _ _ FEES $i SUMMARVOFFEES BUILDING PERMIT s 297i SO SMIP $ 2'�a PI_,4N CHECK $ PERMIT PLUMBING $ �S OO ��UANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ' ELECTRICAL $ .Z� GRADING $ PLqN CHECK 50% $ MICROFILM $ MECHANICAL $ '�� TOTALFEE $ S .3 PLAN CHECK 25% $ a? 000ioiba-uooioi6s r�T ;o�,�a CONS7RUCTIONANDPLANNING �� P�� "�PA , ' Date Inspector ' Date Ins ector �t APP,ROVALS Permit # APPROVALS Permit # P 1. Temporary Electrical Service or Pole �„ 52. Pool & Equipment Location ��' 2. Soil,Pipe-Undrgrnd. . $ ��/�� (��j� 53. Steel Reinforcement � �i �' ;� 3. Electrical Conduit Utility-Undrgrnd. f� 54. Forms � �� 4. Efectiical Condu�it�Undrgrnd. 55. Electrical Bonding /�i� i 55�. Steel'Reinfprcement � 56. Rough Plumbing & Pressure Test �V;! _ :tr 6. tEl'ectfical UFER'Grnd. �-(Z-� 57. APPROVALTO COVER�GUNITE Ui i n � /. c '�7.�Footings ��;� � s'I 58. Efectrical Conduii-Undrgrnd. � i%l; �%f, •8. �Poundation , '' � 59. Gas Pipe, O Undrgrnd., Test ' � �i . �9. Water Pipe-Und^grnd. �'� 60. Backwash Lines, RTrap, O Undrgrnd. �;ir 1 !r , �10. �Structural Floor S stem � � �' � Y �� ^ 61. APPROVAL TO DECK j}! .„ 77."Property Sewer Line & HouseConnection 9�_88 L,�i� 62. Backwash & Receptor-Final :�f � � 12. Sel+rer Cap � ;� � 63. Heater & Verit-�inal {� �� 13. Roof Drains ' �'� �64. Plumbing SYstem - Final �� 14. Rough Plumbing (.�-��j'�� /f 65. Electrical-Final ��G' 75. Rough Electrical�Conduit 7, . Solar System-Final ' r.. , - 1 - 16. Rough Electric Wiring . 2�1� � 67. Fencing & Access Approval � 17. Rough Wiring Sign ��d " ,- 68. APPROVED FOR PLASTERWG v �18. Rou hlElectrical�T BaF Ceilin Y -, �� ' 9 :� ,�9 69. POOUSPASYSTEMSfINA'L,' . v,...' ��19. Rough'Hesting &��Air Con Gitioning FIRE DEPT�. REQUIREMENT� �;. � 20. Rough:FactoryFireplace � 2. � ��(('ay L�i APPROVALS . .Permit# �, -� 21. Ducts,.in St�ucture �' k.� 70. Underground Hydro � � x 22. Ducts, Ventilating �� ., 71. Product Piping � Gas ❑ Oil �,,, -�23. Gas Pipe-Rough & Test• � � . � 72...Underground Flush � �24. Roof Framing =-� � 73. Undergrnd.StorageTank OGas ❑Oil ' 25%Roof Sfieathing. � ��, � . 74, Overhead Hydro , . � 26. T-Bar Ceiling (Structural)?&�Mon'ocoat 75. Dry Chemical "�`7,, Freme and Flashing, . ,� a' � � 76. Dry Standpipe � � i i, 28. Lathing & Siding ::' y� Q� 77. FIXED SYSTEM FINA�L 29. Insulation : X� �- 78. FIRE PREV. FINAL ' 30. Drywall Nailing �_.V i= // HEAL�TH DEPT. REQUIREMENT` 31.. Plaster Brown Coat v'�� " 79. FINAL INSPECTION � 32. Electrical Power MeterFinal;,�"� � �) ��, 80./.FOODfCERTIFICATE ISSUED i'i,• �• ,,� 33. Final Electric �� ) 1�.� � ,� Notes: � � p G !, 34. Final Heating & Air Conditioning; /13� L�Q / y� , 3 [y �'J� �i 35. Final Gas Pipe-Test , % 36. Hood or Canopy .� 37. Final'FactorY Fireplace I � �38. Final Plumbing �' j{ j � (�p 39. Water Service-Finah��r' , , � 40r�Gas Se'rvice-Final � •-��+ i _ .� 41'. .Solar� D�omestic-F inal 42. Backflow Preventer , . " • � , t ' 43. Backflow Irrigation ,: 44.; Landscape Irrigation System �� '45.�Sound Atte�uation�,�i . ' c .. . 46.=Handicap,Fegulations ! � 47..'�FINAL' ST,RUCTURE� & BUILDING 48.'$pecial Requirements Completed 49.-ElectricReleaseto-Edis'on " - . 50. �Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY \ ' , ' - ' No. Date 1, ' . Developer Address: CERTIFICATE OF COMPLIANC@ PAYMENT OF SCHOOL FACILITY FEES NBWPORT-MESA UNIFIED SCHOOL DISTRICT 7'elephone Number: .�/��g%� Tract/Parc.el and Lot Number(s): Location of Project: ��%I�'�/= Number of Square Feet of � �� Residential Space ��5� x $1.50 Total ��/ Number of Square Feet of Commercial and Industrial Space _ x $0.25 Total The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable to�rt-Mesa Unified School District. � �.7xo,� ��i� r��`'�Zcv/wV Busi ess Manager Newport-Mesa Unified School District The above representation as to square f.00tage is true. Developer/Applicant agrees thal' if iC is later determined that such representaCions are not true then this cerCificaCe shall automatically terminate and Lhe appropriate CiCy/County shall be notified. Date: � � r v �� — �� Develo er A p can /-�,�,�o�o �%�� Gl� � .�Irn �61��n'� � l��S� ��_>=s U�G�� J.�v f�S� /�� -r"i�yo��-�I,�srf-- — - ---------`.�i^�^�''^'��D=��---- - _�__! ��/�/� GGe� Cl��'�y 1��r�,��f�/ _ �_ - - f %� �D � � �� G%C��s" _ %w �r'�� 1��i9/r� �izr%� j�'. . --- ��r_7_;_ - - - - - -- -- � - - - � --- - -- -- ---- --- -- =-- --- -- — - ---- - -- --- -- - - - - -- - -,Si�,� �� — - -- - --- -- -- - ---- ---- -- - - ��o��- �� t''TY DF COSTA MESP Cn�IFORNIA 926284200 P.O. BOX 120e Insulation Certificate . C,!�� ,r�o�� /� �% �b s� 1'''�� ' . x�nQ �a s�� c�ty _�i/��9m-�,.� '��r'/6 �7 cow sUna�,.�� tA� x�n� Description of Installation ROOF , / trta,�� ':iSr,� -/� G - s�aNar� C�ovT� 'Ihicirness (inches) -, / 71�ertnal Resistancc (R-Value) / EXTERIOR WALLJ�'n Ma�erial /<//,f'v� �"?� r� Brand Name ��I/�i'�"' f 'It�ickness (inches) _ •� 'Ihertnal Resistance (R-Value) / CEILUVG at r Blanlcet Type �i� G i Brand Name �i '[hickness (inches) J �� 'Ihermal Resistance (R-Value) % I-Oose Fill Type Brand Name : ContractoPs minimum installed weighVft Ib Minimum thidmess inches Manufacturer's installed weight per square (oot to acheive'Ii�amal Resistance (R-Value) RAIS$D FLOOR 1Ka[erial 'fUickness (inches) SLAB FLOOR Material 'ITiiclrness (inches) Width (inches) __ FOUNDATION WALL Material 1liickness (inches) _ Brand Name 'R�ermal Resistance (R-Value) Brand Name 'Ihertnal Resistance (R-Value) Brand Name 'Ihermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above locadon in conformance with the cw�ent Building Energy Efficiency Standards for new residential buildings contai�red in Tifle 24 of the Califomia Administrazive Code. c�� c�„a�� B�a�> Signenue a�d Title �,��/S� ' �� Nw,x� ubConiroctor Iazionlnstaller) LicrnseNwnber > . ,��f,,.�i�" n�� s;�� ,a T�a� n� .�- -,- � -. Y -. WMBER COMPANV, INC. II7N.LAt1FqiNIAAYE. --° OF WRISTfl1, G 917N � 968�0777 Rl�l6l �^^� VENDOR _� iq » � 1 � �i 5538 AUTAMBIN AYE. PO t➢S ANGElES. G 9W32 �21JI t22�7101 �r.� 7H5 wiCES. PA ' Q SiC1((.`.( — � %C115fDMER � _ <,:i: _ a .�. -. ,_, /,/_ _ _ ., ,.., . �y . :.. .....�> ...;.�8�7.�';•;:.�Z�"L� '�iv: . - - ... . -,i..:,r:i`.-.:..' N DATE // � ' SALESMAN ' 17�(��-: - . 7� i ' S s.., O ER �,UNR �� SIZE�'� ."�. ::: �--�C�--� --�-(O=- �� -Z I `- -� �� O-k---� a/�- - �� v I f%7� � � -!_ 3/`P -=------ �; h _. 7i� v � _- =?` � � =-1 '�. -_1.;;:_�::i,fr.x6� __�. z :..::�_ ; - - ..� : :,;,: --�— -�_:-:: ---- ------ -=---- --__. � � . . _--:-----=----� 1- - ; , �-- ;— ---;-- � . - - ---',------------ i . �J RECEIVING INFORMATION: DATE: BY: C- 42918�' MBER ON AlL PACKING 115TS. IN� 4G�FS. AND COFRESPONOENCE �FLw1 SnlEs . . 'VIiDEfl ❑ VJ(--..❑ aESAIE �BAPR VE!�ID('A PICK.UP �. OELIVEH �S . :'��'�� _� � , �� ; , , . . ._,.:........ . ....,,;�: i _ __�. :.-- --- ------- -- -- -- I -- - ----- --*--; ..- l � � l . ; �- --------=---=------- -=----=-----=--- � ________ __. _ ___ i � ..T� � i . � � TOTALS . i ACCOUNTSPAYABLE ORDERED BY APPROVED BY BARR LUMBER COMPANY INC. O� PP6IECT ROONESS: cj II� PO5T RD owxee•s xnMe: RANDOLPH B. WOOD aooness: y � � pOST RD � COSTA MESA CA 92626 � FHCNIENGINEEB: � 114 ) SZ�-756y nooness: ' � UNIT: . � NEO.NO.: � uxir: PEPMITTEE: RANDOLPFI I3. WUOD ' ( 71�4 ) 72U-7569 nooeess: 9� j pOST RD , COSTA Mf:SA CA 92676 LICENSED CONTMCTOfl OECIAMTION: I here6y atlirm [hat I am licensed under pmvisions of Chapter 9(commencinA with Section 7000) ot Division 3 oi the Busineu anA Professions CoOe, antl my license is in NII force and ellect.. , ciTr uc.: sraTe uc.: cuss: , Oate: Signature: WOBNEBS' COMPENSATION OECUMTION: I �ereby atlirm ihat I have a certifiwte of consent �o self-insua ur a cerlificate ai Warkers' Compensation Insurance, or a cenifieA coDY �hereof (Section 3800, Lab. C). POLICY NO.: EXP. O�TE: � ' COMPRNY: • � Certifie0 copY�iS h¢re6y fumiS�eA. ❑ Cetlifie0 caDY is /iled wiih the ciry BuIlJinp Oivision. ' Oate: AOP�icam: EXEMPfION FPOM WOBNENS' COMPENSRTION OECUMTION: (ihis sectlon need not Ae camD�� il ihe permit is for one hunOreO (5100) or kss). I certiy t�at in the peRormance oi ihe work for which this permit is issue0, i shall not employ any person in any manner so as to become sueject to tAe WOMers' Compenution Laws oi Califamia. � Date: ' � ' ' Signature: � � � ' NOTICE: If, atter making Ihis Eeclaration, you s�oultl become sublect to Ihe Workers' ComDensation Omvisions of tAe La�or CoOe, you must fon�with comply with such D�aWsions or t�is permd shall he AeemeA revokeU. CONSTBUCTION IFXOINO ►GENCY: I hereEy aflirm that Iheie is a constmction IenOing agency for the pedormance oi the vrork for which this permit is issued (Section 3W7, Civ. C). LENOEH: • noowess: - , � ., , _ . � , OWNEB BUIIDEB �FCLINITION: I here6y attirm ihat 1 am exempt irom�t�e Contrzctors' State License Law tor tAe foilowinA reason (Section 7031.5 Business and Professional Cotle: Any ciry oi counry which requires a permit to consimct, alter, improve, demolish, or reDair any stmcture, prior to its issuance, also requires t�e applicant tor such permit ro file a siAneA statement that �elshe is licensetl pursuant to tAe prav4sions ot the Contactors' State License Law (C�eD�e� 9 kommencinp with Section 7000) of DNision 3 ai the Business anU Pmfessions CoAe�'or that Ae/she is exempt Merefrom anA the Gasis far ihe alleAed exemD�ion. My violaeion ot Section 7031.5 Oy any aDPlicant far a parmit su6lects tAe aOD�icant ro a civil penalry of not more t�an five hundre0 Oollars (5500). • I. az owner of tAe proDertY or my employees with wages as iheir mle compenution, will tlo the work, antl th¢ .❑ simcture is not inten0ed or afferetl lor sale (Section 7044, Business anA Pmieuianal Cotle: T�e Contractors' State license Law Oaes not aDPty to an owner oi a pmperty wha �uiltls or impmves tAereon, ana who Jaes suc� work himsel//herself ar tArough his ar her own employees, pmviOeA tAat suc� improvemenis are not intende0 or ottered for sale. It, however the huil0ing or impmvement is soltl within one year of completion, the owner will �ave t�e burCen of pmving he/she diJ not �uild or impmve /or the Ourpase of ule). ,, � � . I, as owner of Ihe propeM, am exclusively contractinq with licensetl conhacrors �o constiuct Ihe Drole� (Section 7044, Business � an0 Pmfessions Cotle: The Contactaro' state License Law Ooes not apDly �o an owner oi pmpeM � hutl0.s or improves t�ereon anE wha cuniracts for such projects wit� a contractoqs) license Oursuant to t�e Cantractors' State License Law). I am aware that proof oi t�eir Worker's CamOensation in5urance should be DraviUetl la me. . Q 1 am exemp� un0er Sec�ian: N� 7 O�� B. 8 P. C. . . � • munisreasoo: p10 EMPLUYfi�S Uate: � "' ��;_�� Owne I Ea �ereby cenity that I am aware ol anE understan0 t�e requiremenfs of Calif ia He h antl Safery Code Sections 25505, 25533, an0 25534 an0 t�at I or;any future �uilding occupant wiil/wili not (circle one) neetl t ompl with saia state cotles antl ihe reQuirements for a permit br constmctwn or mo0ification irom the Air Qualiry aqement Oistrict ResiUenti onstmction applications are exempt imm thesa�provisions. �) Q b, Oa�e' ,i. "' � ¢ — ( D, ApPlican�: �� I hereDy cetliry Ihai I �ave reaE t�is apDlication an0 state t�at th bove in mation is correct. I a0ree to comply wtth alt ciry anA caunry ordinances an0 state lavrs relating ro builEing constmction and her y a' n e representatNes oi t�is cM to en er upon tAe above-mentioned pmpefty �or inspection purposes. - Oaie: 2 � �•� �O SiqnaWre: � Driver's License ar Sociai Securiry Applicenl; Pink—Revenue; GolCenroO—Assessar CI'TY OE CUS'Cl# MESA - RUTLDIN,G PERM]:T . FERM DIU: Ii' 04�5113 PEF.DtIT P7U: II 046113 PLAN CHF.CK NO: .. N GOV'1': t�l SUFF: N CGNSTRUCTIOPI TYPL: 5-D1 � FERMIT TYPE:�STR , FURPOSE: AliT SC�B UE5CRIPT.SUI�I .]:A15TALL 4 2'X4' SKYLIGFITS (1'CBO#2469) SQ PT: 1,OU0 CLATM VALUE: 1,000.00 CALC-VAI,UF; 1,000.00 GROUP OCC:,R-J .! ., COMMENTS: RE:G346OS PRIMARY BLDG. PERMIT. ' '� **�r+F�rx*��***��c�+�*r**�*+��r*��r*�r*�*��r�**+r**�***�-***x-�w*�F*�**;��-*�*�r�t'�-x-�r�r***+c�*�i�-�t�r��*��- 2 O N I N G R E Q U I R E M E N'T S � S E T B A C K S ' -----•---- MA.T.A1 BUILDING ----------- --------- ACCESSORY BUILDING ---'--=--= FRNT: FT T�! R�:AR; FT IN FRNT: PT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LGE'T; FT ' IN RGHT: F'f IN • PARRING RCQ: PROV; 1�ARCEL: 14123121 ZNE: R7. REF NO• PLANNING NOTES>.LEGALI7..E F'OUR SKYLIGHTS INSTALLEP I�ITO AN EXISTING AOUSE.' � ._ . .. �*+�+t***x*�t***u�**��r****+t*+t�r***�t*****�t*��t*x-*�tir**+t*�:*rx�*�:��**��t**�-*�c-*�t**x��E*�c �**�t-�c-�* D� V E L O P M E N'T � E R V, I C E�` R�. Q U R F. M E N��T S 'LONING APPROVLD BY � _ �_ � _ DA'TE: aj��p 23UILDING APFR��VED BY : �DATE: O — — .�-=�-_�-- APPLICA'LION I;SUED BY: DATE: � " �.�,�*��*��,��,��**��- � � t �� , ��-��**,��**�**��,��4��Po 'I%iF �h'JE iF jh'II' iI' iF M' iI"IE #'IF IE 3%IE'IF 1E I(' i!'If iE fE'IE i'E IE'IE'IE IF iE M' ._ Y L. 'IE'IE 'Ih if 'N' i{' iI"IE f!'IE'IE it if 9E'I' 3E iE iE iE?f dE')E"IE'M' iE # IE iE'IE f(' IE jh YE'IF'JE 3F iE LEGALIZATION:iJ F E� S 0 M M , R' Y STRUCTURAL S�GMENT:Y BI,DG FMT YLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.5.00 � SMIP/NON-RES Pz,AN � , � ICi50E FE,� � � BUILDTNG-DIV->. FERMIT ISSUE PLAN-CIIECK TOTAL FA7D ' DUE TOTALS----?: 25.50 0.00 0.00 75.50 • 25.`i0 ,00 . i . , . RFVGNUE UII�ISZON TOTALS--% CQLI�ECTED; 25.50 OVER/SHORT: .00 ' I3LL�C FMT PLOMDING,EI,ECTRIC MECHANZC FT.RE SMIP/TOT GRADING PLAN-CHFCF< 25.00 . , .SU jF 3f iE # iE if if !E JE iE 3(� if % if iE i�-iE iF if 3f # iE iF i4 3E i(-ff iE i!� 9E ?E !E 3E IE iE IE iE # iE ik ik 3E 1E iE iE iE .`4?F 3f 3E # Y- if� # iF iE ik iF �lE 1E �E �IE IE j(-1h iE aE iE 3E 3f 1F k ih �lt iE # i' } k T N D I V.T ll C7 d1 L F' � G G R E A F: 'D O W DI T'YPE QTY D E S C R I P T Z O iJ iJNIT COST, 7'QTAT., CG..ST SF'R ' 1000 AL'PF.R BY 51ALOF. REST.DENTIAL�' DIOZONE 1.UQ 1,U00.00 . iFND OF FF,Ea , � � 9 u 0 01 OOO5i063-OOU54064 T!_lT ?�,�Q: DATE: 02/14/9D TI11E: 13:07 ' � CONSTRUCTION AND PCANNING � PO� _& SPA . Date Inspector " Date Inspector �APPROVALS Permit # _ . APPROVALS Permit # i . .,+ �ti 1. Temporary Electrical Service or Pole � 52. Pool & Equipmenf Location . , ' ' 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � --- -`�' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , . ' 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding �. ' 5. �Steel Reinforcement :- 56. Rough Plumbing & Pressure Test ,� � 6. ElectricalUFERGmd. � _ ' � 57. APPROVAI.TOCOVER�GUNITE �: 7. Footings 58. Electrical Conduit�Undrgrnd. � $. Foundation 59. Gas Pipe, O Undrgrnd., Test .._ _ 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgmd. ^l 10. Structural Floor System � 61. APPROVAL TO DECK � _� .. 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal ' � s.� '� 12. Sewer Ca . '' P 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System - Final � - +. 14. Rough Plumbing - � 65. Electrical-Final _ � -� . ; 15. Rough Eiectrical-Conduit . 66. Solar System-Final � ' -.' 16. Rough Electric Wiring � 67. Fencing & Access Approval %� 17. Rough Wiring Sign 68. APPROVED'FOR P�ASTERING 78. Rough Electrical�T Bar Ceiling ' � 69. POOL/SPA 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 . . -]7. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test � " ' - � .72. Underground Flush •. 24. Roof Framing � � . 73.- Undergmd, Smra9e_Tank O Gas ❑ Oil 25. Roof Sheathing � • �� 74, Overhead Hydro , 26..T-Bar Ceiling IStructurall & Monocoat - - . 75. Dry Chemical 27. �Frame and Flashing - � 76. Dry Standpipe "28. Lathing & Siding - - � � - � � 77. FIXED SYSTEM FINAL 29. Insulation ' - /' �'i � 78f FIRE PREV. FINAL � 30. �rywall Nailing � �j+ �'�/. �!? . HEALTH DEPT: REQUIREMENT '31. Plaster Brown Coat " ' � y "'%'� '-7g,� FINAL INSPECTION 32. Electrical Power Me_ter-Final ;'-'�'� �� 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' • . ` r� �� C ' Notes: . ' �� - � 34. Final Heating & Air'Conditioning � � , � " ,� - . � 35. Final Gas Pipe-Test• � � - %� i i '36..Hood or Canopy � � • � . � �� , .��,'� ^ � . . 37. FinalFactoryFireplace � • `� ,.� �.� - ,� ; 38. Final Plumbing ' ,;};y� � /-�-"�� ' 39. Water Service-Final ' / " L' : , - :;. -40. GasService-Final " ' ` 's �' ' 41. Solar pomesiicFinal - ! ` � - .� . 42. Backflow Preventer - � `l • ' �- i 43. Backflow Irrigation, " � � � � � - 44. Landscape Irripation System 45. Sound Attenuation � 46. Handicap Regulations � , � � � � � �� - 47. FINAL STRUCTURE & BUILDING L �' ' 48. FINAL PLANNING - � y� • � ' , 49. Electric Release to Edison �l '';� . -50.�Gas Release to Southern California Gas Co ��' �"� �� 51. CERTIFICATE OF OCCUPANCY � No. Date Pfl0.1ECT�0�flE33: (jII'S POST iiTi' owxen�s x�xe: RANDY WOOD ' RODBESS 9 B � ppST RD � CO,TA MESA CA 92626 �PCIUENGINEEfl: ��' 4� S 4 4— 51 1 6 �OONES3: uxiT: �►'.S xE0.N0.: UNR: PEnMmEE: Ij�NUYWOOD ( 7 S 4) S 4 4-S ]. ] G "o°"Esa: 903 POST RD COSTA MESA CA 97.6"l6 LICENSEU CONTML708 DECUMTION: I �ereEy aKrm Wt I am IwenseO un0ar proNsions ol CIwD�er 9(commencinp wit� Section 7000) a1 Diu¢ion 3 of tAe Business a�M Professions COGe. anE my Ilcense ¢ fn hJ� lorca enG enect. CITY Ut.: " %T1TE LIC.: CUSE: Date: SiqnaNre: WOBNEXS' COMPEN311TION OECIANITION: I AereEy atlirm tAat 1 Aave a certifiwte of consent m set4insure or a cetlilicate o1 Workers' ComOensation Insurance. or a cenilieA copy t�ereof (��on 3800, Lab. C�. PULICY NO.: � FllP. O�TE: carnvnxr: ,] CeNfieE copY �s �eaby fumis�ed. ❑ Certifietl copy a file0 vrith Ne dry Buldinq UMslon. Oate: APD�� IXEMPfION FlIOM IVOHKEHS' COMPENSI710N OECWMTION: Rlis sectlon mN noI Ge campleaE it tAa permit'¢ la one �unOreO �5700� a less�. I certity that in the petlarmance of Ne wark for wNch this ce�mit is issued, I sha0 nat emDby any person in any manner so az ta hecoma suEiect to IAe Workers Compenution Laws af Califomu. Date: SgnaNrt: NOTICE: It, atler madnp Nis Eeclaallan, you shmM Geame w6ject la ihe Workers' Campensafbn D«� ol Ne La6or CaGe, yau must IONrvnt� comply with wc� proNsons or tttis Dermit slWl Oe OeemeO revoka0. fANSTNUCTION LENDINO 11GENCY: I hereEy aKrm that tlure k a co�atnztion IenEinO apenry lar Ne peAarmance of t�e work far whicAlAis Dermit B issue0 (��on 3097. Gv: C). LENOFR: IIOOHESS: ' ' OWNEB BUILDEB OELUMTION: I �ereEy atlirm that I am exempt tmm Aa Comractors' Slate Licensa Law lor t�e IOIIawInO �eason (Section 7031.5 Business aM Prolessbnal CoOe: My tiry of counry xtich rrywes a permit lo corowct, atror, imOrwe, Eemolish, or apair any structure, prior ro IIs Lssuance. aLso requires Ne apWicant for wc� perMt to Ide a aOneA slalement I�a� �e/s�e I5 Ilcense0 pursuanl to Ine provislons al tAe Contrzctors' State License Law (Chepter 9(cammencin0 aitn Satlon 70W) ol Division 3 of 1Ae Business and Pmlessions CoOe� or ttat Mlshe Is exempt thuelram an0 the Oazis lar tAe alle0e0 exemplion. My dolallon ol Section 7031.5 by any applicant Io1 a parmit suojtcts t�e appGtant to a dvil penalry ol not moa tAan five hunEreO tldlars (55001. I, as owner of Ne DmDerty ar my employeet wit� waAe9 az ��eir sole crompanSalbn, wlll �o t�e woM, an0 I�a ❑ simcWre Is not Intende0 ar oHemd im ula (Section 7D14, Business anA Pmlessional Cotla: The Contractors' State License Law - tlaef not aDPly to an owner al a O�opeM �o Oullds or improves tAerean, anA w�o dces suc� work Aims¢II/hersell ar IAroup� Als or her own emDloyees, O�oWaeE ihat suc� imDrwements am not In4nAe0 or oflereC lor sale. II, �owever tAe Euiltlinp ar im0�ovement is wIU witNn one year at comDletion, fAe avmer will Aave l�e OurEen ol pmvin0 ��s�a Oi0 not Ouild or imDmve lor IAe Durpose of sale�. ' I, az owner of Ihe D�Weny. am exclusivery cantractlnp wit� Ikensed wntractars to constmct I�e D�o�aci (Sectlon 704a, Business ❑ anE Pro�essiau CodO: Ttre COnlratior5' Suee Licrosa Law Ooa iwl appFj lo an armer ol Droperry wAo Em10s or improues tMreon ' an0 w�0 contncb lar suc� D�ajm6 w1i� a contratlor�s) licente Dursuant Io Na CAnirateOrs' Sute L¢ense law�. I am aware (IIdI pf00� 0� IIKI( WOfkBf'S �.OrtIpC115dIq11 If15Uf214C $MYIE h0 DfM10EE IO rt18. ' � I am exempt weer Settbn: B p-� �� q B. 6 P. C. mnnaauon: NO EM,PLOYEE.S ', oate: 2 — ( 7 — �jf pmer: � I ao nereEy cenlry Inat I am �wam ol aiM unOerstana IAe reQwrertren6 0l Catifomia HWin an0 Satery CoGe Sections 25505, 25iU, ane 2553< anG IAat I or arry Nw2 EuOEinq oaupanl wilVwiA irot (urtle one) nee0 ta compry rni� saiE suie mAq anE Ihe reQwremenis lor a permil lor wnstNpbn ar moOitiWllOn imm t�e Nf �Manapement OisVkl. BeSiEentul COnsiruttbn appliplion5 are exemD� �roin mese prmisions. • Oa�e: AppliWnt: i nereCy cenity tnat i nave rzae tAis apPfication a(M state tnat ttre aUove info tion a cartect. I aprte to romDN �� all dry ana counry ordinances anE sute laws alaWp to OuiINnO m�ttvucln^ an0 hereEy aNtpri� repreuntatives ot Uus dry to enter upon Ue abova�menliona0 property lorinsplttlon Ouryoses. ",i � Date: � � � � � '"�� Si9nama: �� 2.e1/ . onver's License or Social Securiry 18a1-a8 W�i�e—BuIlCing; Green—Catle Enlomemem; Canary—Appliwnt; Pink—Ravenue: GOICenroE—Aqsesaor CITY OF CUSTA MESA -• BUTLDING PERMIT }?ERMIT D]U; IiP 046030 � PLAN CFIECR NO: N CONS7'RUCTION TYPEc 5–N YERMIT 'PYP�: ELF: PLU JOB DESCRIFTION : AF..LOCATL SWIM. POOL GQUIPML'NT CI,AIM VALU�: CALC–VALU�: PERM NO: EP 04GOJ0 GOVT: N SUPP: N PURPO;E: OTH ;Q FT: GROUP OCC: R-3 / COMMGNTS: ' ��*x�+�x�*a�*�*�ex-*+�*�***x� r��x*�ie*��iritx�ir��itrt��rit+��r�r�xrt+r�**��it*****�r��rx�*�**�•�ra�**�� 2 p N I N G R E Q U I R E M fi N T S 5 E T F3 A C K S -------- — MAIN BUILDTNG --------- –------- ACCESSORY DUILDING -------•-- FRNT: FT IN REAR: FT IN 1?RNT: FT 7N REAR: FT IN LLFT: FT IN RGFI'I': FT ; IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCGL: 1.41271"l.1 ZNL: REF NO: PLANNING NOTES> , > . �r**��r**+��r*rt*�x�****�****�******��**�r�t�x*;c*x***��rrt�rx***�-;�;�*��*�*�r+r***��r��x�*�� D E V E L O P M E N T. i E R V I C ti�i R E Q U I R E M E N T S ZUNING APPROVED DY . DATE: IIUILDING APPROC�ED DY : DATE: APPLICATION ISSUEI) DY: �.� /. f� DATE: R�/ 3 C� itit*�t�t*x�*�t**v�x�itirft�ti�itx�*it�-F irrt+E o-�, �x�3r�r�F' i�i�+r Tr�F3F�-ic�*rtf�it****�ir�r3FiFiF �*�t if�ifiFifiEitititil-iF�tlEititiEiFffkitifiEifffiFil�iElhiEitiEiE##�1t141fifitki6ifY.��1liFk�Ik itltiEil�'.Eikif�%��IfiE9EitiF3tit3fiklkiEifi�rtkilil7F?tiEiEiE LEGALIZATION:N F E E S U M M A R Y 'STRUCTURAL SEGMENT:N BLllG PMT PLUMDING ELECTRIC MECHANIC �FIRE .r,MIP/RES GRAD'ING PERMIT 2.00 11.00 25t SOE SMIP/NON–RGS PLAN ' ' ISSUE FEE J.00 ].5.00 � I3UILDING–DIV–> PF..RMIT ISSUE PLAN–CHF.CK TOTAL PATD DUE TOTALS----�> 13.00 1f3.00 0.00 ]1.00 71.00 .00 RGVENUC DTVISTON 1'UTALS--> COLLECTED: 91.00 OVER/SHORT: .00 dLDG PMT FLUMF]ING ELECTRIC MECHANIC FIRG SMIP/'POT GRADIDIG PL'AN–C:HECK 5.00 26.00 if if iF iE 3f 1E iE iE If iE ik 3k k lE K� if i( it iE fE iE iE lE iF M� 3E N� �1F %iE if 3(-iE k i! il-1E iE it 1( if k iE iE iE If iE it 1f 1E iE if it it it i! �lf 1E ik k 1t iF # i! it it iF iE it ib iE i(� 3E iF ## iE i(� % ]' N D I V I U i) I. 7, F E E B R G A K D O W N TYPIi QTY D E S C R I P T I O iJ UNZT COS'f TOTAL CUST ELE 7. t4ISC APPARATUS tJ0'T I,ISTFD RE(? PERMIT i]..00 ll .00 PLU 1. SWIMM]'WG POOT, 2.00 ?.UO Er�n oe rres 0 0 O1 OOOS3852-00053853 T O T 31.00 �4TE: Q2113190 TIiIE� 09:08 � CONSTRUCTION AND PLANNING APPROVAL5 Permit # 1. Temporary Etectriwl Service or Pole 2. Soil Pipe-Undrgrnd. 3; Electriwl Conduit Utility�Undrgrnd., � . 4. Electrical Condui[-Undrgmd. 5. Steel Reintorcement . ' 6." Electrical UFER.Grnd�. ' 7. Foo[ings � 8. Foundation . 9. Water Pipe-Undrgrnd. . 10. Structural Floor'System 11. Property Sewer Line & House Connection 12. Sev r Cap . 73. Rc .Drains 14. Rough Plumbing . 15. Rough Electrical-Conduit . 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electriral-T Bar Ceiling 19. Rough Heating & Air Conditioning 20, Rough Factory Fireplace � 21. Ducts,in.Structuie 22. Ducts, Ventilating 23. Gas�Pipe�Rough & Tes[ � � � 24. Roof Framing � � 25. Roof Sheathing 26. T�Bar Ceiling (Structural) & Monocoat 27.- Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Pa`�`�er Meter�Final . 33. Final Electrir . 34.. Final Heating & Air: Conditioning� 35. Final Gas Pipe-Test 36. Hood or Canopy -37.�Final Factorv Fireplace - 38. Final Plumbing 39. Water Service-Final - 40. Gas Service�Final � �_ 41. Solar pomestic-Final 42. Backfiow Preventer 43. Backflow Ir�igation� . � 44. Landscape Irripation SVstem 45. Sound Attenuation � 46. Handicap Re9ulations - 47. FINAL STRUCTURE & BUILDING 48: FINAL PLANNING 49. Electric Release to Edison 50: Gas Release to Southem Califomia Gas Q 51. CERTIFICATE OF OCCUPANCY No. � Date Dace 8 Pl, _ & SPA Inspector p�ppROVALS Permit# � � 52. Pool & Equipment Location � 53. Steel Reinfoicement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER•GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwa�ih Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK . 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Piumbing System - Final 65. Electrical�Final 66. Solar SYstem-Final 67. Fencing & Access ApProval 68.' APPROVED FOR PLASTERING 69. POOLlSPASYSTEMSF{NAL t FIRE DEPT. REQUIREMENT � , APPROVALS �: �Permit# ' 70. Underground Hydro 71. Product Piping O Gas ❑ Oil _ 72. Underground Flush • � 73: Undergrnd. Storage Tank � Gas ❑ Oil .. 74. Overhead Hydro_., � � 75: Dry Chemical , . 76. Dry Standpipe . 77: ,FIXEDSYSTEM FINAL 78: FIRE PREV. FIN,4L ��q� � ' HEALTH DEPT. RE�UIREMENT � v ', 79. FINAL INSPECTION ' � S0. FOOD CERTIFICATE ISSUED '�• ^ Notes: � " �; . . n. + f/ I - Date Inspector _� i , i ^ i � . .' OWNER �' +COME HOMES DATE 5-18-56 ' JOBADDRESS i7'9" Post Road BUILDING PERMIT NO. 3OZS GENERAL CONTRACTOR Welcome Homes vn�uE s 9,760.�� LOT 17 BLOCK TRACT 2896 Single Res. W�att gar. GROUP I& J TVPE v ZONE � FIRE DISTRICT 3065 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER � . r __� �� 7� � _ Foundation Forms and Grade to Garage GZ Y-/G -sb Rough Framing � � ��2 i1 -!� _�� Plumbing, Rough to S b � Plumbing,RoughComplete G�{IN.S ��.G/,fb . rPiJ.i,EI�%' -li-'/S-S.(-+ -Sl I� !'i"' Temporary Pole � Wiring, Rough �%%J G•z4i6 �,r-��.,,,;� �-Q�,c . � d' �/ ,'1� � Heatinq, Rough Final / /L i,Cy-�!-7L �G[. (r/S,S� �6 c7 � � ouse � Sewer. St. �/� ��5� /r.w �.�..., r i 9-//- S( S��/n - Tank or CeSspool a.ln Out Plastering Plumbing, Final, Fixtures Ca Plum6ina. Final Gas Test �S Wiring, Final 1'Ctl Occupancy � FOflM 210 3M IO�iS _�osta Mesa Building Departruent 3�6�PLICATION FOR PERMIT , P.O.Box3!7 BUiLDING � • ., � COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO 1�'II.L IN Receipt No. Permit No. Building Address OSt Road � �da Receive y Date Rec'd. Date Issued Costa Mesa, California ,�� S6 I5 /�—,�6 Nearest crossst. Croftdon au�ieiny Address ow„e� �elcome Ko� s, zr.c. Costa Mesa, California Mail 6�g Westminster Ave. Address . Nearest Tel. Crou St. City Westr.dnster No.e'rem• 5711 Zone �/I No.of I Type Group-f Arohitector LiC. f P�a^5 S' Engineer No. Approved � by �— Date Address CORRECTIONS City Lic� contractor�elcome Homes, Inc.No. 4.-7g r nddress ��3 Westiranster Avo., � Le9al Lot I ' `�, ;,� 't 'C,- Description I No. 1% I Block � rract2S:a6 � � , � �-_ /r�.� �_��; � �� . � (Attach Metes and Bounds) � - � —"y'�`�-• =� �-� � No. of Bidga � � � size of �ot 55x105 I tvow on �ot "� one �. f 1 R tr-n o ljseof tIOnB No.of Na.of ��' �0 Existing Bldg. I F.amilles I Rooms � Setback Line from Rear Vard �li'1/ n�- - Z Center of Street 5� Ft• Side Yard )��• R!1 p g �B 1�� .'-.� ''"R�� y DESCRIPTION OF WORH ---•�• a � New I X I Alteration I I Addition I Repair I I Moving I I Demolish I Building No. of size �5�47 ttooms 6 stories 1 ExteriorWall 5�7..ICCO I Roof Covering Covering tiYCod �PPR,D�I�j,s Use of New Foundation Location Ins ector � Daf Buiidiny Single family� residence and a Forms, Materials, � tvao oar -�are.ee attached. Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Iaws regulahng building construction. Lath. Ext. Signature o ' - Permittee Plaster, Int. Authorized Agt. Plaster, Ext. Valuatloi��+i�-�� Permit Fee $ �� Masonry Reinforced (fY_.-� Plan Check $ i�— Bond Beam � $ ) � � Total 9� b Fee � — � FINAL . c�wrn zoe io.es o. >. e s. PLOTPLAN Show Iocation and distancea Trom properly line antl between bulidinga CO ^i: "::`f 13-SS��aes`�g�;Qy :�':. t35.f�) �J .or.? ,SE"'-� c'i.:uier: , . .... ._ _ .. .._ . ., . . - . �.. .__. . �s .. . or o�::;� .0,,. � :.... .. ......... �... .. :. . .� .., r ... � � ',� �U:' . ._ .. _ . . . _ I'�1 i .. :Cr: .�v� f .�.):.1'�'_� � ,. .. . :V_:: ._ -. ^D r':L ,. �. ` � '�, , '_ • .. � . ` ` _ � � � , � ��. _i , �1 - . . , _ S ."' � . .- . � ( d. . — . . 'r � puucib " LN1� j J �� POSt R08d BUII.DING PF.RIVIIT ZONE SUBCONTRACTOR �� ,� 2�n94 205TA MESA BUILDINGSAFETY DEPARiMENT P.O. BOX 1TW � COSTA MESA. GALIFOflN1A Y2620 For App)lcant to F(11 In Complefafy TYPE OR PRINT 8�,�,Na a 3 ADDRE88 COSTA ME3A, CALIFORNIA OWNHR �ti W1 I �/I�I ►�N��S AO RH9O "'L CJJ �G V "�+i . 23l b t�: �`�TNo.231�M33 N"' 42S 6t 6S e'=E 5�1 xloo �o.o�.�o.. OF LOT XOW ON USE OF I EXI9TIN6BLO0. LUe6 I YETGACK LIMt pROY I�/\�Jf� 1 i � .� ,� ■rr �-�= R�atrr /U-6 DESCRIPTION OF WORK BUILDINO SIZE PJ(TERIOR WALL 1 H[RSlY ACKHOWL6G ANO BTATB THAT TN6 PLY WITH ALL CI OUILDINO CONBTR 81 GNATV RE Or PfiRMiTTfi AUTHOIIIZiD AO[NT D6 M�V[ 11fAO TXIO APPLIGTION :01�6R�ANG AO0.G[ TO COM• wnA ft�n uwc qiotiur�no PAIO NAY-3-67�NSF00 745�' *�}*��1g.00 APPLICATION FOR PERMR BUILDIN(i for Off1ca Ute Only naenrt r�o. �egwrt �O L �p`� � % r �IB�. YARDB MPROVEG MAIN BUILDINO OM GL�) INT D �cc � r-r. . � �o rr. i� i vwR. tC ZONING 3� - a/ BHALL BB L888 TMAN (U.B.C.NE�UIHHMENTI YARD9 MPROVHD ACCEL80NVBUILDINO DATB pr /�� /ff- DAT6 � .i � o� a W ��} I HO. Rr. ,� 0 TN6 AMOtIHT ONOWN UNDHR VALUATION 19 IOR TX6 � •YPPOOt OP �8TA0L18XINa A P6RMIT !68 ONLY. VALUATION /� � � p{ �n/ �.y. PERMIT REE F f(/ �L(// V � fw TOTAL FEE S /�l V W1VC:it Wl JOB ADDRESS GENERAL COi or xooerc H. J. UATN: 7'17-�1 11�11 rIqIP[!l1�I:atilY�l�Pa DESCRIPTION OF WORK l+eE FIRE ZONE VALUE Date GROUP I TYPE SUBCONTRACTOR -\ 2'7(;�5 i ''tOSTA MESA BUILDINGSAFETY DEPARTMEM P.O. BOX 7200 GOSTA MESA, CALIFORNIA Y2626 For Appllmnt fo Fili In Completaly TYPE OR PRINT 0 MAIL 1 � <RiX•]'J COSTA ME3A, CALIFORNIA DESCRIPTION OF WORK �' s 13u; � �-'� 1 HCREBY ACKNOWL6Da[ TNAT 1 XAV{ AND BTI�TB THAT TX6 ABOV[ 1� CORqI PLY WITH I�LL CITY OpDINANCU AND i BUILDINO CONBiRI1RIfTN. SIGNATUR80P ` '�/�/� PHRMITTB y7 AUTHORRGDAO[NT �' R[OYLATINO \ PhIO k7AY 15-67cNsnQO 339ta ,•=*a��}8.00 MPLICATION FOR PERMR BUILDIN(i FOr Offlte Use Only MP110V[G � �� % DY DATB 6 � ZONIN(i � ZO NO.O! IlY[OIN[W . � �UN� � GUILDINY D�DC111TON ^v � l If t�C %'0 % �G A.P.NO. `�� fiOT6: NOBAV60V6RNAN48HALLB6L BTEB NAN YARDB MPROVEO MAIN BUILDINO �' VAR..R YARDSAPPROVfiD ACGBII80RY BUILDINO DATE MPROV[D / ,S /� 07 DATE � I a ro � z �'�'�. �. � 0 TH[ ANOUNT ONOWN UNDBH VALUATIOH IB POR THB � •YPPOOt OP 6BTABLIBHINO A PBNMIT P88 ON�Y. VALUATION ��0� PERMITPEB /�� OG � s �.00 w TOTAL FEH $ / v ' � v