HomeMy WebLinkAbout389 PRINCETON DR - Building Permits� '�" CITY OP COSTA MESA < < ' �
BII►LDING D/V/S/ON
i � 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mesa.ca.us
�.��� FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER.' B08-00166
PERMIT TYPE B_ROOF2
AFN: 14137336
JOB ADDRESS: 389 PRINCETON DR CM
Vicinity: HOUSE ANp ATTACHED GARAGE
Squares: 2500
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
0512812008
$5,600.00
SCOPE OF WORK: R�ROOF HOUSE 8 ATTACHED GARAGE: T/O EXISTING ROOFING MATERIAL, REPLACE WITH 2 LAYERS OF 15#
FELT & 25 SQR'S OF 30 YR. GAF TIMBERLINE COMP. SHINGLES ON 2:12 PITCH ROOF. ,
OWNER: REUSCHER, EDWARD JOSEPH �� Address: TR ' Unit: CORONA
DEL MAR, CA , , - - � . .
PHONE: � . City/Stale/Zipi 226 POINSETTIA AVE
APPLICANT: PEAL, PAUL
PHONE: 714-777-0781
CONTRACTOR: ORANGE COUNTY ROOFING, INC.
Address: P.O. BOX. 12087Unit:
City/State2ip: ORANGE, CA. 92859 _
ARCHITECT: . �
ENGINEER: .
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
$0.00
$125.25
$0.00
$125.25
Address: P.O. BOX. 12087
City/State2ip: ORANGE, CA.
PHONE:
License No.
License No.
,
License No. 528433
714-771-0781
CEIL:
PHONE:
PHONE:
Unit: .:,� ��.
� s�
•" , i
NO710E: The work authonzed by this permit shall comply with all applicable handicap access requirements under California sWtutes and related
regulations. (Ord. No. 92-28. § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF U1ST INSPECTION.
INSPECTIONS: In order for ihe work authorized under this pertnit to be considered legal, such work must comply with all applipble codes, and all
required irtspections and final approval must be obtained. Failure to obtain inspections and final approval wilt result in the ezpiration of this permit.
GOpE�, �NSFECTIONTYPE D1/L IN RL CODEI INSYEC710NTVPE � N Al
1818 Fized System Final Fira PrevenUon 208 Final Mechanical -
12fie Pool Spa Final " 208 Final Plumbing
i
200 Final Re-Rool ' 270 Final Electncal
207 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Faclory Fire Placg 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition ' 250 Final Building/Occupancy
WO�S' COMPENSATION DECLARATION�
I hereby affirm under penally of perjury one of the o vnng declarations:
❑ I have and will maintain a certificate of wnsent to self-Insure for vrorkers
compensation, as proviOeC lor Dy section 3700 of the Labor Code, !or the
pertormance of the work (or which Nis permit is issuetl.
�. 1'have and will maintain workers' compensation insu2nce, as required by
�seclion 3700 of the labor Code, fa lhe peAormance of the wvrk for which this
pertnit is issued. My workers' wmpensation Insurance carner and policy
,numtierarec� �
�Cartier:
(T�k sMion � rpt Ea mnpetaO/Ihe perm/'s reA�eCat are nurqrM Oo1ars f5100/ a leu I
Policy Number: _ _ %/3 �,����� �FiO %
❑ I certify that in t�e peAormance of the work for which this permit is
issued, I shall not employ any person in any manner so as to bewme subject
to the workers' wmpensation laws o( Califomia. and agree lhat if I should
become subiact lo the warkers' wm ensation provisions of Section 3700 of
"Labor Code, I s t dienth wmp �th Nese provisions.
�6�
AOd�o��'s Signalur Dzi
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLLAF2S
($100,000), IN ADDITION TO THE CAST OF CAMPENSP.TION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm thal I am licensed under provisions ot Chapter 9(commencing
with Section 7000) ot Division 3 of the Business antl Professions Code, and
my license is in full foice and eRecl.
�
;�ic:.# 33 _ �ass#
- 3
Convactor's Sig awre aie
CONSTRUCTION LENDING AGENCV:
❑ I hereby aKrtn that there is a consWction lending agency !w Ihe
peAormance o( the v.ork ta wnich this pertnit is issued. (Sec. 3097, Civil Coae).
Lentler's Name:
lender's Address:
OWNER-BUILDER DECLARATIONS:
I hereby aKrtn Ihat under penalty o( perjury thal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business and Professions Code: Any ciry or counry which requires a permit to
conswct, alter, improve, tlemolish, or repair any structure, pnor ro its
issuance, also requires Ihe applicanl for such pertnit to file a signetl statement
Ihal he or she is licensed pursuanl to the provisions of the Contractors
License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the
Business antl Pro(essions Code) or Ihat he or she is exempt therefrom antl
the hasis for Ihe alleged exemption. Any violation of Section 7031.5 by any
applicant !or a permil suGjects Ihe applicant to a civil penalry ot not more than
five hunOretl Oollars ($500�.�:
❑ I, as ovmer o( the property, or my employees with wages as Iheir sole
compensation, WILL DO THE WORK, and the structure is not intended or
oflered for sale (Sec. 7044, Business and Professions Coae: The Contractors
License Law does not apply lo an owner of property who builds or improves
thereon, antl who tloes such work himsell or herself or through his or her own
employees, provided Ihat such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of proving that he or she
diC nol build or improve for purpose of sale.�.
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS lo wnstruct lhe project (Sec. 7044, Business and
Professbns Code: The contraclors License Law dces not apply ro an amer of
propetly who builds or improves thereon, and who crntracts fw such project with
a contracta(s) license pursuant to the Contractors Ucense Lav.s.).
❑ I am exempt under sec.
Business antl Protessions Cotle lor this reason:
305]<6 (3I0])
Ovmer ID veri(ed 6y tlri�se. ❑ Ves ❑ No :_�
l
Driver's License No. E�cpires:
Verification of Ovmership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity thal no excavation fve (5) a more feet in depth into v.fiich a
person is requiretl lo Oescend, will be made in connection with v.nrk authorizetl
'by this pertnit, antl that no building strucWre, scaffdding, falsework, or demolition
or tlismanlling thereol, will be more than thirty-siz (36) feet hiqh. (Chap. 32, Grp
2. M 2, Sec. 341, Tlle 8, Calitomia Atlminisl2live Coda).
❑ As owner-builder, I will not employ anyona to do work which would
require a permit trom Ihe Division of Industrial Safety. as noted above, unless
such person has a permit to tlo such work from the division.
npoiicanfs S�gwwre oaie
Division of IndusMal Safety Permit Number.
HlSARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or preseN or future building occupant neetl to file anC
certify a Business Plan tor emergency response to release or threatened
release of a hazardous material7 ❑ Yes ❑ No
(Section 25505 of the Calilomia Health antl Safary CoCe requires, vrith some
exceplions, lhal a Business Plan be (letl vrith the Costa Mesa Fire
Department by every business which has at any ona time during a reported
year a quantiry of hazardous materials equal to or greater than a vreight of
500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will Ihe applicant or present or future building occupant need to fle
a regislration form for acutely hazartlous matenals? ❑ Yes ❑ No
(Section 25533 ot Ihe Cali(omia Healt� and Satety Cotle, vnth some
exceptions, requires regislration with the Costa Mesa Fire Department Dy
each business which at any one time has on hand a quanlily of aculely
hazartlous materials equal to or greater than a weight of 500 pounds, or a
volume ol 55 gallons, or 200 cubic feet ot compressed gas at standard
temperature antl pressure).
3. Does or vnll the applicanl or present or fuNre building occupant neetl to
prepare an RMPP (Risk Managemen[ and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 of the Califomia Health and Safety Code provides that the
Costa Mesa Fire Departmenl may require the preparetion, cerUfication and
filing with the Fire Department of an RMPP by businesses which are requiretl
ro register aw[ely hazartlous materials with the Fire Department.
4. II an RMPP is presently required, has Section 25534 of Ne Calitomia
Heallh antl Salety Code been tully wmplied vnth? ❑ Yes ❑ No
5. Does or will the appliWnt or present or future building occupant require br
lhe vrork which is the suDject af this apD����on a pertnit lor such conSWctlOn
or motlificalion from t�e South Coast Air Qualiry Mana9ement District or Irom
any other air pollution wntrol tlistricl or a9ency7 ❑ Yes ❑ No
(Sectbn 65850.2 0l the Califomia Govemment Code requires that the repuesteC
inlormalbn be fumishetl on appliwtions for ron-resitlential building pertnit5).
6. Will any part o! Ihe faciliry ro De constructed under this pertnit be wit�in
1000 feet Irom Ihe outer bountlanes of a school? ❑ Yes � No
(If'yes', the lacilily must meel lhe requirement o( Sections 25534 anA 42303
o! the Calilornia Health and Safety Code).
7. II a permit from lhe South Coast Air Quality Management Dislnct or olher
air pollWion conirol district or agency is requiretl for the work which is the
subject of this application, have all ot the disclosures prescribed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No,
8. (If "yes". attach certifcate of compliance from the appropriate air pollution
control oKcer�.
CERTIFICATE OF COMPLIANCE: I certify that untler penalty ol perjury the
informalion given above is comecL I agree to comply with all sWte laws and
city ordinances regarding Hazardous Materials and Emissions.
SpnaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this appliwtion and state that
the in(ormation given is correcl I agree to comply with all sfate laws and ciry
ordinances relating to building construction, and authorize representaUves of
Ihe Ciry of CoSW Mesa to enter uDon the above�describetl property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
aulhori2etl Dy this permit un[il final inspection.
Signa r ai Owner(s Da
�
AntllarAut�orizetl p0lirant - Oa�
/
PflOJEC[ ROOPE55: 3 8 9 PR I NCETON DR
OWNE�SNFME: KNAPP ROBERT
nooeess: 389 P{2ZNCETON DR
COSTA MESA,CA 92626
ANCNIENGINEEP:
AOONESS:
flEG.NO.:
UNIT:
UNI7:
PEPMITTEE: H1LL VLASIS ( 714 ) 240-8079
noonEss: 3139 E, NINE
LAGiINA NIGUEL CA 9260`/
UCENSEO LON7FTLT08 OECIABRTION: I hereEy aifirm ihat I am Iicen5e0 unUer pmvisions af C�apier 9(commencinp with Sec�ion
7000) o� Dirsion 3 0l I�e Busine5s and Pmiessions Code. and my licen5e is in Iuil la¢e anE ellecl.
cirvuc.:U55984 sTareuc.:614377— cusr �'p
oa�e v— 20 — v�. S�9�a���e: �
WOpKEPS' COMPENSRTION OECtAHl1TI0N: I �ereby aflirm ttat I have a certifiwte of consen� m sell-insure or a certi(icate ol Workers'
Compen5ation Insurance. or a ceriilietl copy t�ereaf (Sec�ion 381p. Lah. C�.
POLICY NO.: EXP. DATE:
COMPANV:
� Certilietl coDY is hereby lumis�ed. ❑ Ce�ified topY is IileO with Ihe ciry Building Division.
Oare: Applicant
EXEMPfIONPBOMWOflKEflS'COMPENSATIONOECUMTION: (ihi55ec6onneeEiro�Gecomplete0ilihepermt'aforonehunEreA�51110)arless�.
I certity t�at in Ihe peAormance ol ��e woB �or wAich Ihis Dermit is isSueQ I s�all no� employ any Oerson in any manner so as to become
5u01e�� ,�0/1he Worke�ComOpensalion Laws oi Cahbmiaiii _ _ A��
�; `7 � � / � SignaWre: Y�'�
NOtICE:If, after making ihis aeclaration, you snoul0 oecame su6iect b the Workers' Compensation Dmvisions of ihe Labor
Code. you musl lohhwit� comply vnih suc� provisions or Ihis Dermi� s�all be deemed revoked.
CONSTBOCTION 1EN01NG AGENCY: I �ert�y aifirm t�ai �here is a con5lmtiion 1¢ntling agen�y �or the peAormante 01 ��e work �or
whicn mis Dermit is issuetl ISetlion 3097. Civ. CI.
LENOEP:
IIDOflE55:
OWNEN Bu1LOFP OELLABA7ION: I hereey aflirm 1�at I am evempt tmm tne Contracmrs' State License Law lor the following reason
�Section 7031.5 Business ana Pmlessional Cotle: Rny city ol counry which reQuires a Dermit ro constmct, alter, imD�ove, tlemolish, or
repair any simcWre. prior to ils iuuance. al5o repuires IAe aoDlicanl lor such permil to file a sipneA statemeni ihat helshe is licensed
� Oursuanuo Ihe pmvisions o� ��e ConlracloK Stale License Law (Chapter 9 �commencing wit� Setlion 7000) o� �ivision 3 of Ue Business
an0 Pwlessions Cotle) or I�ai he/s�e is exempt Iherelmm an0 Ne basis �or I�e allegea exemption. Any dolation of Seciian 7031.5 Uy
any aODlicant for a Dermit suUle��s Ne appliUnt lo a civil penally ol nol mort t11an five huntlretl Eollars �5500�.
I, as owner ol ihe DroDe�y or my emplayees with wages as Iheir sole campensation, will Go tAe wark, antl Ihe
❑ simcture is not intenae0 ar ollereA lar sale �Secuon 7044, Busineu and Pmfessional COAe: The Conirac�ors' State License Law
tlaes not ao�ly �o an owner al a vropeny who Ouiles or improves ihereon, an0 wno aoes such woA himselllnerself or inrough
hi5 or M1er Own employ¢¢5, pmviCeO IAaI Sut� impwvem¢ni5 art n0i inlen0¢0 ar OflereE �or Sale. II, hOwevef Ihe �uiltling Or
improvemenl is 5old within one year oi fAmpletion, t�e mvner will have t0e �ur0en ol Oroving �¢/she AiA nol bui10 or improve
lor ihe purpose of sale�.
I. as Own¢r ol Ihe prOperiy, am ¢KtlUsively caniractinq wiih licensetl conVactors ta consimc� Ihe pmlec� {Seclion 7044, Business
❑ and Pmlessions CoUe: T�e Comracmrs' State License Law Goes not apply to an owner ol pmperty who bwlds or imDmves thereon
anA who coniracis for suc� pwjttts wiN a conirac�ar(s�license pursuant �o Ne Comractors' Siate License Law�.l am aware
�hat prool ol Iheir Worker's ComOensation insurance S�ouIC be pmmtleG lo me.
� I am exemD� untler $ec�ion'. 8. 8 P. C.
lor Ihis reason:
�a�e: Owner.
I oo nere0y cenify thai 1 am aware oi ana unEerslana ine requiremems al Califomia Heattn antl Safety Coae Sections 25505, 25533, an0
2553E and inal I or any INure building occu0an� wilUwill not (GrUe one) neetl lo comply vAth 5ai0 siale ca0es and Ihe repuiremen�s �or a
permit lor canslmclion or motlAicalion Imm Ne Air Oualiiy Manapemenl DiSirict. Resitlential conSlmciion aDO�icalion5 are exem0� �mm
Ihese pwvisions.
Oale'. ADPlicant:
I hereby wtlity Nal I �ave reae Ihis apDlicalion antl s�ate ital ihe above in�otmation is correct. I agree Ia comDly wi�� all ci�y antl counry
ordinances antl state laws relating lo builaing conslmction an0 hereby aulhonie representalives ol 1hi5 city to enter upon I�e a0ove-menlione0
pmDeny lor inspec�ion purpospes. � -o�
.8e1e �� � 0_p __—! � SignaWre: sf�.�i�i� �i�.��_
oriver's �icense or Souai seadiy «:
164La6 Whpe—Builtling: Green—Co4e Enlor<ement; Canary—ApplicanL Pink—Revenue', Goltlenrotl—Assessor
CITY OF COSTA MESA – BUILDING PERMIT YERM NO: e b
PERMIT NO: H 057069 PLAN CHECK NO: N GOV'f; N SUPP: N
CONSTRUCTION TYPE: 5–N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTTON : RESHEATH 5 REROOF 1/2"CD7{ 6 ASPHALT COMP SQ FT; 3,500
CLAIM VALUE; 3,500,00 CALC–VALUE; 3,500.00 GROUP OCC: R-3 /M-1
COMMENTS• SMOKE DETECTOR(S) RE�iiIRED IN HOME.
*x����**irx���r�t***+��*�r*�e*x�**xx �r+��t+r�*x�*�***�**���*xx�***�***���*�**�*�*********
Z O N Z N G R E Q U I R E M E N T S
sErBAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN rRNT; FT IN REAR: FT ZN
LEFT: FT Ih RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ • PROV: PARCEL: 14137336 ZNE; REc NO:
PLANNING Ni7'1'ES>
�)• ��
iE iE�M iF 3F9EiF iE iF 1E 3f iE 1E ih,)E 3F 3E 3F iE iF iFiF iE iE iF iF iElt 1E �E ## iE �E iE iF iE if iF 3EiE �1F if iE if iF iF ib 3P iE If Ik af 1F 3E 3E iF �E iF iE �f iE iF i! iE iE af i'r i5 iE i63F iE aF 3F # 3F 1E if
D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N:T S
�
ZONZNG APPROVcD�HY DATE: -��
RUILDING APPROVED BY : DATE: /l.
APPLICATZON IS�SUED B; DATE• OG
iE�ElfiflfiEif�f�EdfiE�FjEif'i{'1FififiF�k . #jFiEiflF�E�lEjfiFiE t Z3F*
itaEk�iElE9E�IF%ifitlFiE#ki�iEiEifiEiFifiEiEkiF%iEk%�fifK�iEififfPififif It�ifif-ifkiEikiP3Fifk3fiElE3Fifjba(-3f�h1E3Eif�FlfiEil�Elt3f�f1E1Fi41E1fiElf)F3F
LEGALIZATION:IJ F E E U M M A R Y STRUCTURAL SEGMEN.T;Y
�y.
BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 50 ;�
PLAN SMIP/iJON–RES �
i.SSUE FEE J
BUILDING–D'IV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID �DUE
TOTALS----> 63,50 0.00 U.00 63.50 63.50 `.00
REVENUE DIVISION TOTALS--> COLI.ECTED: 63,50 OVER/SHORT: .00
BLA63P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN–CH,�CK
i
iF1EiE1Ei4�EiEiF�EiFiE�hiF�E�E1kif�EiljFif�lEaEjfklF�6�ElfikiFiFilitlElEik�Elfjfil�l'riF#f�FiEkif3E*i(��FiFiflEiEififlEiEaf�iEiFaF3Eik�flf lFiE1E1f1E1E1EK��F�E
Z N D I V I D U A L F E E B R E A K D O W N
r•`
TYPE QTY D E S C R S P T I O N UNIT COST TOTAL COST
SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,500..00
END OF FEES '
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* � POOL ?A '
CONSTRUCTION ANDPLANNING ' (
ApPROVALS Permit# Date Inspector APPROVALS Permit# Date InspeEtor I
_, � j
i. 7emporary Electriwl Service or Pole 52. Pool & Equipment LocaCion i
2. $oil Pipe�Undrqmd. 53. Steel Reinfo�cement l
3. Elect�ical Conduit Utility�Undrgmd. 54. Forms `�
4. E�ectrital Conduit�Undrgmd. 55. Elettrical Bonding ��
5. Steel Reinforcement 56. Rou9h Plumbing & Press�re Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVEF�GUNITE
7. Footinqs 58. Electrical Conduit-Undrgrnd.
8. Foundation • 59. Gas Pipe, O Undryrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
11. Propertv Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final
73. Roof Drains 64. Plumbing System � F�nal
14. Rough Plumbing � 65. Efectrical•Final
15. Rough Electrical-Conduit 66. Solar System�Final ,
1G. Rough Electric Wiring 67. Fencing & Access ApU�ovaf
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electriral-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. ftough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firep�ace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. P�oduct Piping OGas OOiI
23. Gas Pipe�Rough & Tesc 7z, Underground Flush
24. Fioof Framing 73. Undergrnd. Storage Tank Q Gas O O�l
25. Roof Sheathing � LC�,f�Z ��.•^ 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 DEP7. REQUIFiEMENT
31. Plasier Brown Coai . 79. FINAL INSPECTION
32. E�ectrical Power Meter-Fina� 80. FOOD CER71FlCATE t5SUE0
33. Final Eleciric Notes:
34. Final Heating & Air Conditioninq
35. Final Gas Pipe-Tes[ .-
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service•Final
40. Gas Service-Final
47. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTfiUCTURE&BUILDING �-��-7�, �(��yC.
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas, Release to Southem California Gas Co i L��,ZG)' C�'L _ f e„��� p�� ��-
(
51, CERTIFICATE OF �CGUPANCY �w�
No. Date
OWNER CONN, H3TOld R, DATE %-3]_-5']
JOB ADDRESS ;89 Princeton BUILDING PERMIT NO. 5507
GENERAL CONTRACTOR (hmer—Rni_1c�Pr VAL[lE $ 512,00 �
AP. No. LOT 2Q TRACT 2%2( FIRE ZONE DESCRIPTION OF WORK Plant Shelter
I"�oECTIONS I DATE I gUBCONTRACTOR I___ PERMITSISSUED
Gas Test
✓ ,
' ' 5534
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
auILOING
ADDRE55
FOR APPLICANT TO FILL IN
� _ _ • /
OWNER � �)
MAIL
ADORE55
CITY
ARCHITECT
OR E""�NEER
AODh..aS
A MESA. CALIFORNIA
CITY
NO.
LIC.
NO. �
LEG�L LOT '//� �//� //�
oESCniviiorv NO. /" •� BLOCK^�� TRACT
A.P. NO. �/ � � � / �L
SIZE � C J 1 1 O NO.OF BLDGS. '
OF LOT CJ I� ��OW ON LOT
USE OF r�
E%ISTING BLDG, _ � l�s �
SETBtCN LINE iROM ' // /
C[Hree os 5*aE[r � �REAR VARD (.J
SIDE YARD RIGHT h t �EFT ���
DESCRIPTION OF WORK
NEW ALTERATION AOOITION
-�/'
REPAIn � / MOVING DEMOLISM
BUILOING NO.OF
SIZE """!!! ROOMS STORIES
EXTERIOR WALL �� � ROOF � `/
C�VFRING COVERING m
STPTE TNPT TME LBOVE IS CONRECT nNp sGXEE
CITY ON�IN.�NCES �ND ST/�TE L�WS REOU `�TIN�
TION. • �
ZED AGENT
FEE RECEiVED
%�� !/S-%
FI ANCE DEPT.
APPL��AI�FCS1eS��S�ERM IT
BUILDING
FOR OFFICE USE ONLY
nECEiPT NO. PEXrMIT NO
5 l Q
RECErvE� 9Y � T EC[IVEO OiTE �SSUE
'T/YI Yf'I 7-� % - ti7 '7•-3i-
BUI IDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE
20NE NO.OF TYPE GROUp
I� � PL�N$ l l
L
APPROVED
CORRECTIONS
SUBJECTLI� BL�C. �ErT. REG.
S
•LL
IUG
VALUATION
$ �ia .
PERMIT FEE S � � �(�
PLAN CHEGK S
TOTAL FEE S � L�/ `w�
-� Costa Mesa Building Department
�.� � 711 EAST 20th STREET
� , �-�COSTA MESA, CALIFORNIA
� FOR APPLIQt�NT TO k ILL II�i
Costa Mesa, California
CrossSt. HARBOR BLVD.
Owner COLLEGE PARK NO. Z
Mail
Address 2� �6 $O, iViAIN $T.
T
CItySANTA ANA� CALIF. N
Arch itect or L
" idress
„ontractor H A R B
Address
Legal I Lot
Description No.
(Attach Metesand
Size of Lot 65 X
Use of '
No.
e;ze I `��
erior Wall
Block I 7ract 2
Now On Lot
No.of No.of
Famillw Rooms
Rear Vard _
c:wsv...w I
Demolish
APPLICATdON FOR PERMIT
a���; �UILD,tNG '�
FOR O�FdCE USE ONLY
Receipt No. Permit N
�! a 71
.. I l�-ll�s � I /,- //-
Costa Mesa, California
INo. of Type Group
Plans j/ r r a
Date
APPROVALS
�n Location I Inspecto
Materials,
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Latb. int.
with all City Ordinances and State Iaws regulaGng
building construction. Lath. Ext.
Signature of
Permittee HARBOR CONSTRUCTION C0. p�aster,�nt.
Authorized Agi Plaster, Ext
Valuation Permit Fee $.30 � Masonry Rei
� 2 ��QQ, Pian Check $/s—�' Bond Beam
$ Total c�
Fee $ 7.� FINAL
AM 204 S-HP 2M B-55 -
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