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Home My WebLink About396 PRINCETON DR - Building Permitsm (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 lob Address: 396 PRINCETON DR Suite No Vicinity: FRONT YARD AREA Parcel Nunmber: 14137114 Applicant: BROWN, BARBARA Address: 3807 LENAWEE AVE CUWER CITY, CA ' � . Owner: ALLEN, MICHAEL R Address 396 PRINCETON DR COSTA MESA, CA PLUMBING PERMIT Phone: (310) 253-5229 Zip: 90232 Phone: Zip: 92626-6168 Contractor. GEORGE BRAZIL PLUMBING, HTG. Address: 3601 LENAWEE AVE CULVER CITY, CA Arch / Eng : � � Address: Phone: (310)253-5229 Zip: 90232 License: 679898 Phone: Zip: License: - -- f SCOPE OF PERMIT MAIN LINE CHANGE-OUT IN AN EXISTING SFD. 1 WATER SERVICE. NO OTHER WORK WITH THIS PERMIT.�- .� �� ISSUE FEE Backflow irdgation ' Backflow Preventer Bathtub Clanfier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwaler Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceplors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY AMT Laundry Tub / Washer 50.00 Landscape Irrigation $0.00 P-Trap 30.00 Pressure Regulator $0.00 Process Piping (per 10 ft) 30.00 Receptors 50.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 �Sewer Private Line $0.00 Shower 50.00 Sink, bar 30.00 Sink, wmmercial 50.00 Sink, Floor 50.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) 50.00 Spa (public) $0.00 �TY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/13/2002 Issued: 02/13I2002 ISSUED BY: SumpPump Swimming Pool . Trap Primer , Unnal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Was[e and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or RepJ Water Re-pipe Water Service Water Softener OTHER VIOLATION PlAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $9.80 $0.00 $0.00 50.00 50.00 50.00 TOTAL CALCULATED FEES: 533.30 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 INOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes antl reiated , regulations. (Ord. No. 92-28, § 1, 7247-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlona and final approval must be obtained. Failure lo obtain inspections and tinal approval will result in ihe expiration of �his pertnit. FOfl INSPECTIONS CALL: (714) 7545626 zawe �eroo� WORKERS'COMPENSATON DECLARATON: � I hereby aRirm under penalty of perjury one oi the following declarations: ❑ I heve entl will maintain e cenilicate of consent to sell�lnsure for workers' compensatlon, es provitled for by section 3700 of the Lebor Code, for the peAormence of the work tor which �his permit is issuetl. . �ii�have and will mainlain workars' compensation insurence, es required by section 3700 of Ihe Lebor Code, for Ihe peAo�ance of the work for which this pertnit Is issued. My workars' c`�, e.n�s�tl�on Insurence carrie and policy number are: Cerrier. �7-Y�W� %Z.�N � Policy Number. I/� �� 'C%� (Th7s section neetl not com0/eted i(he pertnit is valued et one huntlretl dollars ($100) or IessJ ❑ I certity Ihet in the p� ance of the work for which ihis parmit issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensetion laws of Cali mia, and agree that if I uld beco subject to tha workers' compensation provislons ot Secti n 3700 of the Lebor Code, I shall torthwith comply with these prow i s. , 1 /� � Applicant Signeture: �I.t ,C+NI/�. Date: � � � WARNING: FAILURE TO S RE WORKER$' CAMPENSATtON COVERAGE IS UNLAWFUL AND SFWLL SUBIECT AN EMPLOYEP TO CRIMINPL PENALP S AN� GVIL FlNES UP TOONE MUNDqED THOUSAND OOl1ARE (5100,000�, IN ADDRION TO iHE COST OF CQNPENSATION, OAMAGES AS PROVIDED iOR IN SECTION 310fi OF TME UBOR COOE, IMEREST, AND ATiORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm ihat I em lorce and effect. Lic. k_ Contrectors Signature: 9(commencing with Section 7000) of Dlvision 3 of the Business end Professions Code, and my Ilcense is in full ' Class q C �J �ii . CONSTRUCTION LENDING�AGENCV: ❑ I �ereby attirm that there is a cons�ruction lending egency for the pertormance of lhe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentlefs Address: Signewre: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirtn thet under penalry of perjury Ihat I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair eny siructure, pnor to its �ssuance, elso requires lhe epplicant tor such permit to file e signea statement that he or she Is Ilcensed pursuent to ihe provisions of the Comrectors license Law (Chepter 9(commencing with Section 7000) of Division 3 oi the Busineu and Professions Cotle) or Ihet he or she is exempt therefrom entl the basis tor the ellegetl exemption. Any violatlon at Sactlon 7031.5 by eny epplicent lor a pertnit su6jects �he applicant to e civil penaly of not more ihan five huntlretl dollars (3500).): ❑ I, as owner ot ihe properry, or my employees with wages as their sole compensa�ion, WILL DO THE WORK, end the structure is not intended or ofleretl lor sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does not appiy to an owner of property who builds or improves thereon, and who tloas such work himself or herselt or Ihrough his or her own employees, provitletl that such improvemenls ere not Intended or oHered for sale. If, however, the builtling oi Improvement is soltl within one year o� completion, the owner-builder will heva the burtlen of proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner of Ihe propetly, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct t�e projed (Sec. 7044, Business and Prolessions Cotle: The contractors License Lew tloes not apply to an owner ol properry who builds or improves Nereon, end who coniracts lor such pmject with e contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt untlar sec. Business and Professions Cotla for Ihis reason: Slgnature: Date: Owner ID venfied by dnvefs license. ❑ Ves ❑ No Orivels License No. Expires: Vetlfication of Ownership by (typa af tlocument, i.e. - propeny tax hill or deatl): DIVISION OF IN�USTRIAL SAFE7Y PERMIT CEfiTIFICATiON: ❑ I hereby certify ihat no excavetion five (5) or more �eet in depth into which a person is requiretl to descend, will be matle in wnnection with work euthodzeC by this permit, and that no builtling sirucWre, scaflolding, talsework, or tlemolition or dismantling thereoi, will be more than t�irry-siz (36) leat high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tltle B, California Adminisiretive Code). ❑ As owner-builtler, I will not employ enyone to do work w�ich would require a pertnit trom the Division of Indusiriel Sefery, es notetl ebove, unless such person has a permit to do such work trom the tlivision. Signaiure: Date: Division of Industrial Sefery Permit Number. CER71flCATE OF COMPLIANCE AND AllT}IORIZA710N OF ENTRV: I certiy under penalry of perjury that 1 have reatl this aDPlication and state that the intortnation given is correct. I egrea to comply with ell state laws antl ciry ortlinances relating to huilding wnswction, end authorize representaiives ot the City ot Costa Mesa to enter upon Ihe aba+edescribed property for inspection puryoses. l agree not to occupy or albw occupancy ot any building auttwrizetl by lhis permit until final inspaction. � //,, Signeture.p/� LegalOwner(s� � �Lr /�>'�('/d ��/nn�.L( �d/Or Authonzad Applican� CODE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final factory Fire Place 203 Final Sign 204 Final Demolition le ,� �i � iI� Z_ Date p�¢, 7(� �,� INSPECTONTYPE � 206 Final Mechanical 20B Final Plumbing 210 Final Electricel 212 Final Fire Prevenllon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency Pdg 1�L5 •.. �1 JobAddress: 396 PRINCETON DR Status: �SSUEo Suite: Applied: 11/092005 Viciniry: ROOF Issued: 11I092005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 14137114 Zoning: App�icant: ROBERT WHITNEY Atldress: PO BOX 75396 NEWPORTBEACH,CA Owner: ALLEN, MICHAEL R Address 396 PRINCETON DR � . COSTA MESA, CA Contractor: WHITNEY ROOFING Atldress: PO BOX 15396 " � , � NEWPORTBEACH,CA Zip: 92659 � Arch ; Address: , , . . Phone: Phone: 949-548-0769 Zip: . 92659. Phone: Zip: , 92626-6168 Phone: 949-548-0769 License: 406022 Eng: Address: ISSUED BY: V�� Phone: Zip: �Lfcense: � � License: SCOPE OF PERMIT T.O EXISTING ROOF MATERIALS, INSTALC 2 LAYERS OF 15# FELT AND REROOF W/ 30 YE�P SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 24 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. Plan Check: 50.00 Permit: $125.25 SMIP Res: $0.60 SMIP Com: $0.00 FEE SUMMARY Calc Valuation: ss,s5o.00 Claim Valuation: S5,s5o.00 Other: $0.00 � Inspection: $0.00 � . 7otal: $125.85 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear 0-0 �'Left' 0-0" "�"`Right. ��0-0" � ACCESSORY � Front 0-0 �� Rear 0-0 Lek 0-0 Right. � 0-0 -. - � PARKING Existinq: �o Re uired: o Pronosed: o NOTICE: The work authorized by this permit shail comply with all applicable handicap access requirementa under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permlt shall aulomatically expire end become void if vrork Is not commenced withfn 180 days, or It work Is suspendetl or abandoned for a period ot 180 tlays. INSPECTIONS: In ordar tor the xrork authorized under this pertnit to be considered legal, such work must comply with ell epplicable codes, and ell required inspeetlone end flnal epproval must be obtained. Failure to obtein Inspectlons and tinal approval wlll resu�t In the expirallon of lhis pertnit. FOR INSPECTIONS CALL: (714) 754-5628 zuau �aoa� WORKERS' COMPENSATION DECLARATION: � S ' � `� . I hereby eHirm under penalry of perjury one ot the following declaratlons: �, i �- , ❑ I have entl will maintein a cenificete ol consent to sell-Insure tor workers' compensailon, es proWtletl fot by section 3700 of ihe Lebor Catle, tor l�e pBAortnance of the w�tk.loc.wNch thi9 permil is issued. � ' �' �. I heve BM wlll mflintain workers' compensetian insurance, as requiretl by sectlon 3700 ot �he LEbor Cotla, for Ihe pertortnance of the work br whkh Nis pertnit is iswetl. � orkero' compen}�tion Insurance rner end poliry number are: 6ertier `l�c� i .PolicyiNumber: � � o.� � �/Gl �` sectlon need nat be feted i! the�� velued a( one �untlretl tld/ars (5100) w less.) �� ❑ I ceNty Ihat in the pertormance o e ork lo which this pertnit L9 issuetl, I shall not employ eny peraon In eny manner so as to become su6jec to t�e workers' compensetlon laws ot Califo ", en egrae t at II I s�oultl become subiecl to the workers' compensetion prwisions ot Section 3700 0l the Le or Cotle, I hell fppthwith comply wllr�,�hese provi ' S. / naarr�wa (�a: a��a;--�=,_,_l/ D G� WA AILURE TO SEIXIRE WORI ERS a PENS�TIqJ COVEM�E IS UMAWFUL M!D SHAIL SUBJECT R 70'CRIMINAL PENALTIES AND IL FlNES P TO ONE HUNDRED THOUSANDOOLURE(E100,000),INAD fi1pJTOTHEWSTOFCOMPENSATION,DMMGESASPROVIOEDFORINSECTION3]O60FTHELABORCODE,IMER ST,ANDA ORNEVSFEES. LICENSED CONTRACTORS DECLARA710N: I her�e6y arylrr� Ihat I em licensed under pr ' o hapter 8(commencing with Sectlon 7000) ol Division 3 of the Business antl Prolessiop5 Cotla, end my license Is In full aic`sjentle ct.LJc.a �0 v Glas' C�—}-� G ctnf S a:- � CONSTRUCTON LENDING AGENC : ' ❑ I hereDy attirtn t�at t�ere is a consimction lentling apency for Ue performance ot tha work tor which thls pertnit is issued. (Sec. 3097, Civll Cotle). Lentlefs Name: Lentlefs Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aHlrm t�at under penelry ot perjury tha� I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for I�e lollowing reason (Sec. 7031.5, Busineu end Profassions CoOe: Any city or counry which requires e pertnit ro construct, elter, improve, tlemolis�, or repair eny struc�ure, pnor to Its Issuance, also requires the appllcaN Por such pertnit to fila a signetl stetement Ihet he ar she is licensed pursuent lo Ihe pravislons of Ihe Contrectors License Lew (Chepter 9(wmmencing with Sectlon 7000) oi Didsion 3 of the Business end Pmfesslons Gode) or Ihet he or she is a:empt iherelrwn end the basis br the elleged exemption. Any dolatlon of Sectlon 7031.5 by eny epplicant tor e pertnit subjects the epplicent to e ciNl penfllry of not more than five huntlretl tlollars ($500).): ❑ I, as owner ot the pmperty, or my employees wit� wages es t�elr sole compensaUon, WILL DO TME WORK, end Ihe stmcture is not Intenaetl or offered for sala (Sec. 7044, Business and Professions Cotle: 7Te ContraIXors llcense Law does not apply to an owner ol properry who builds or improves thereon, and who tloes such work himself or herselt or Ihmugh his or her own employees, proviCetl that such impmvemenis are not intended or oHered for sale. If, hawever, ihe builtlinp or ImD�ovement is sold within one year oi completioq the owner-huiltler will have the hurden oi pmving that �e or s�e tlitl not build or improve for purpose af sale.). � ❑ I, es owner of Ihe pmperry, am EXCLUSIVELY CONTRACTING WITH LICENSED LONTRACTORS to construct [he project (Sec. 7046, Business antl Pmtessions CoEe: The contractors Llcensa Law tloes not eppty ta an owner at pmpeny w�o builtls or Improves thereon, and who comracts for such pmlea with a contrecior(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. 8usiness and Prolessians Cotle for this reason: Signature: Date: Owner ID verilied by tlrivers license. ❑ Yes ❑ No Drivers Licensa No. Ezpires: Venfication ol Ownership by (rype of daumeni, I.e. � properry lac bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) o feet in depth Into which a person Is requiratl to descenq wlll be metle in connection with work eutharizetl by t�is permil, antl Ihat no building strucWre, sce ng, elsework, or demolition or dismamling thareof, will 6e mora then Ihirry-six (36) feet high. (Chep. 3.2, Gry 2, Art 2, Sec. 341, Title B, Calilomla Atlministrative Codej: � ❑ As owner-builder, I will not employ anyone� o�da wark whkh would require e pertntl fmm Ihe DlNsion of Industnel Sefery, as nated ebove, unless suU person has e pertnil to do euch work tmm Ihe tlMsion. ' .` j SignaWre: �'� Date: Division ol Industrial Sefery Permii Number: 1 WIII the epplicant or present or tWure hulltling accupent neetl to file end cenity a Buslness Plnn lor emargency response to release or threatenetl releese ol e hazardous metedel7 ❑ Ves ❑ No / (Sectlon 25505 0l ihe Califomia Health end Salery Code requiros, with som excepUons, that a Businoss Plen be liletl wit� Ihe Costa Mesa Fire DeDertment by every business which has et eny one time dunng e reportetl yoar a quentiry of hazardotoJ(riaterlels equel to or greeter ihan a weight ol 500 pounds, or e valume ol 55 gallons, or 200 cubic leet of compressed gas at stendard temperature end pressura). ................................................................................_..................._.__........................................................................................................................................................................................ ....................... ...................................._........... 2 Doe9 or will Ihe applicenl ar preseni or luture Eulltling occupanl need to lile a regislrelion lartn lar ecuioly hezerdous materlel57 ❑ Ves ❑ No (Soctlon 25533 at the Calitomia Heal�h antl Saley Code, wlih some exceplions, requlres reglslretlon wl�h lhe Cwte Mese Fire DepeRment by eech buslness which et eny OIIB IIrtIB h09 00 h9�tl 0 GllOfltlty 0� BCNBIy heZe�d0U9 m0I0n015 BGuBI to or greeler then a weig�t ol 500 pounds, ar e volume of 55 gallons, or 200 cubic feat oi compressed gas et stendara tempereture antl pressure). ................................................................................_.._'_._........"'.._.............................._......................................................................................................................................................................-...................._............__............. 3 Does ar will the epplicant or present or fuWre builtlinp accupant need to prepare en RMPP (Rlsk Manapemenl and PrevenGon Program tor ecutely ha¢artlous materials)? ❑ Yes ❑ No (Seclion 25534 0l the Califomia Health end Salety Code provides that ihe Costa Mesa Fire Department may require Ihe preparation, cenification anA filing with Ihe Fire Depertment ol en RMPP by businesses whiU are reQuired to register ecutety hazardous matedels with the Flre Departmem. 4 It en .................... 5 Dae: or ol the CelitOmia Heallh end ............._........................................................................................_."'—"—_ Cotle been tully wmplied withl ❑ Yes ❑ No or trom Ihe Sauth Coast Air Oualiry Manegemem DISM<[ or Irom any other eir polWtlon conuol0lstrict or apenc�? ❑ Ves ❑ No (Section 658502 of the Celifomia Govemment CaOe requires that tha requestetl informa�ion De fumished an applications Por non-resitlentlal bull�ing permits). .............................................................................._...__..................._.......................................................................................................................................................................... ...................__ ......................._..........._.........'_'..... 6 Will any part of the tacility to be constructed under thls permit �e within 10001eeI trom �he outer bounderles of e school7 ❑ Ves ❑ No (If "yes", the lecility must meet the requirement of Sections 25534 antl 42303 oi the CaliPornie Health end Sefery Code). .............................._....._....."'_"'.._...........__'..............___._........................_..._.........................................._.........................__..............__......_......._.__..._.....___'...__— 7 It e permit trom �ha Sou�h Coast Air Oualiry Manegement Disirict or other eir Oollu�ion con�rol tlisirict or agency is required tor Ne work which Is �he subject ot lhis aoolicatlon. have all ol ihe disclasures orescnbetl bv Celilornia Health and Safery CoAa Section 42303 been mede? ❑ Ves ❑ No B CERTIFICATE OF COMPLIANCE: I cenity Ihat under penalry of perjury the information given ebove is correct. I agree m comply with ell state lews and ciry ordinances regarding HazerOous Materials and Emissions. Signature: Date: CEHTIFlCATE OF COMPUANCE AND AUTTIO � OF E Y: I certify under penalry ot perjury Ihet I have reatl �his epplication and state thet Ihe intortnaUon given is wrrea. I eBree to compty with all state la nd � or0lnan s relaling to buildinq construcNon, end authodze representatives of Ihe Cly of Costa Mesa to enter upon the aDove-describetl property for inspeciio rpose . I agree n to occupy or allow acupancy of any building authonzed by ihis permit until finel inspectian. COUE �' INSPECTIONTYPE' ' " 161fi Fixetl System Final Fire Prevention 12fi6 200 201 202 203 204 Pool Spe Finel Finel Re�Roof • Finel BIocWReteining W ell Final Fectory Fire Placa Final Sign Final Demolllion PAIi U�9L5 is ► w:�1� � COOEI INSVECTIONTYPE ' 208 Final Mechanical • 20B Finel Plum�ing 210 Final Electrical 212 Finel Fira Preven�ion 220 Final Planning Apprwal 222 Finnl5lte _ 250 Finel Building/Occupancy 0 � I[� 0 OWNER (;ARTCN� DR_� D. J. ' MAR 1 7 1g�7 DATE 12-3-56 JOBADDRESS 396 Princeton Drive BUILDINGPERMITNO. (%�Q27 GENERALCONTRACTOR ps,rner Hldr. VALUE $ 1�7ZB�OO �oT ].1� e�ocK TRACT p7p� Recreation rm, att. to res. INSPECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED Trench to Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Heati Heating, Final _ � Sewer, House Selver, St. Septic Tank or Cesspool Lathing.ln < Out Plastering Plumbing, Final, Fixtures Complel Plumhina. Final GasTest _ '� R —//z1'7 I -5/O f�Y —� Wiring,Final MGY RI 1957 V�BI I I_ i occupancy 41AY B 1957 VER FOflM 210 3M 10�•vS 40�7 , Costa Mesa Bnilding Department APPLICATION FOR PERMIT � I�Y ' COSTA P^ B�CALIFORNIA a��2 �B U I L D I N G ' FOR OFFICE USE ONLY -' F R APPLICANT TO FII.L IN Receipt No. Permit No. naa�� 3 9 G�1-�,..�.�'�... � �. :�,,.e I O C sta Mesa, California Received by oate Rec'd. Date Issued Nearest � /� � Cross St. '.c ;,e Building Address Owner �� , Costa Mesa, California Mail /� � ! Address (f �� '% (� Nearest /} �� k � � Tel.I•� � ,�., CrossSt. City �a-f�{, /I''✓u2Gk_ . ,..y . No.,ta� � G'� .� 5�� Zone I No. of I Type _/ Group Arohitector . Lic. Plans �� Engineer No. Approved A A �i � by Ir�f c Address S � City Lic. � Contreetor p, �y a i • � Address CITY OF COST:\ h4ESA Legal �ot �/ � q PLAth;dlNt,> 7..r . Description I No. �") I Block � Tract�/�� cCi`9tr'ti � • � (Attach Metes and Bounds) R• �� a- � � No. of Bldga size of �ot (�B /0 �� I Now on Lot / BY 0 l�seof •/ I No.of �I No.of / a Existing Bldg. ��,�,�1 .,., �_�� Familles � Rooms lA � Setback Line from /— � Rear Var ✓ i. l F,� ,, Z CenterofStreet J r SideVar (� �s � DESCRIPTION OF WORH ,S, - �, � ' ,> � '" New I I Alteretion I I Addition $�� 1 F� 7 �^ I "'? � Repair I I Moving I I Demolish I '��u e_: � `' � &� �1 Bullding � �. No.of � ' i — i�• � Size %Z �'./� Rooms � Stories �� Exterior Wa � � Roof (� Covering I CoveringLc-ti.(,e . VAR. �"0. l,�L��) �—�y— Use of New Foundation Location Inspector � Date Bullding '+� Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts I hemby acknowledge that I have read this Application and state that the above is correM and agree to comply Lath. Int. with all Cit�in�and S+ta[e� �;aws regulating building Construc 'on. j I.� . Lath. ExL Signature of Permlttee � �� r�'�� Plaster, InL Authorized Agt �' Plaster, Ext. � —Vf Valuatlon Permit Fee $ � — Masonry Reintorcetl Vl / � �f � � Plan Check $ � Bond Beam o� $ Total Fee �� I FINAL S' 'S FOPM 204 IO�TS O. P. 6 S. -� �, , <. - YLV l' YLAN � �'. 3how locatlon and tlistancea from .� �_� property Iine antl between bulldlnpa �r .. . . . _. �_. . '_ ' .. • . ' � �� 4� N t_ • Tll ' O IL t'J OWNER �OS18ge Pdik CO• � DATE �-23-�b . JOB ADDRESS 396 Princeton Dr. ' BUILDING PERMIT NO. 2910 GENERA�CONTRACTOR Harbor CORSt. CO VALUE $ ZZ�ZOO.00 lOT 1�� BLOCK TRACT 2%2% Sin�le Res. W�dBt ear � GROUP I&'� TVPE v ZONE �1 FIREDISTRICT 2937 PERMITSIgSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER FaotingTrench � .�"%�-;Sr Foundation Forms and Grede to Garage � Rouoh Framin7 � '/.� : � �.... � Plumbing, Rough to Plumhing, Rough C� Pole Wiring, Rough E Heating, Rough Heating, Final / VSewer, House Sewer, St. Septic Tank or CesspPol Lathing,ln Out Plastering Plumbina. Final. Fixtures Complel Plumbing, Fin.al Gas Test Wiring, Final Occupancy FONM 210 3M 10�`v5 ��.� � ct -/Y C� — "sb�° 23ui— v -_�c G -.2 / � <� —' � �'L �t' R C"' / � ,� l;ostaco rsA Kmiding llepartment 2�3 � APPLICATION FUR YLltm1'� _a.• 117 EAST 20th STREET � ,B �' `D �� G , ^ ,� CALIFORNIA ._� F�R APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permlt No. Building a 9�G Addresa i� NC TON �R Costa Mesa, California Re�ce/f/ve,d-E"�j Da�t/e�edd. Uate� /Issued Nearest v '�' I�// `��J� ��/�'` Cro59St. � FORD �AN Building Addreu Owner G P A R K Co Costa Mesa, California Mail Address z � I 6 $O. MA I N $T . City SAN7l1 ANA�CAIIF. rypl�I 5—I I' Arohitect or LiC. Engfneer -- No. Address City Lic. ContractorHn�tBOR CoNsr.Corvo. 3761 (Attach MeLEa and Bound Size oi Lot 6� X � Use of Existing Bld . Setback Line f�om Center oi &trect 5 0 � No. of Bldgs. Now on Lot No.oT � No.ot Demolish COYtRECTIONS s�ze � �/ Rooms Stories Exterior Wall I Roof coveriny cover�ny ApPROVA7 C Use of New Building F�ESIDENCE & DETACHED FoundationLocation Inspeeto 6 A R A G E Forms, MateNals, Under-Pinning Frame: Fire Stops, Bracing, Bolts I hcreby 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 Laws regulating building construction. Lath. Ext. Signature of Perm�ttee R R ONSTRUrTI, N C0. plaster,int. Authorized Agt. � / Plaster, Ext Valuation Permft Fee $ v�,u/ � Mawnry ReinTorced Plan Check $�y� l Bond Beam $ � � �2��. Total (G� � Fee T F1NAL FoxM zoa s-sr znt a-ss u c J d 0 � a st�oec 17 �I�I� 3 �I:\�i Show locatlo� and disYances from property Iina and between buildings. �� _� . _, . cosrn `�'�23:5� 76'�i ;.:.r,.i; . �ucse. � 2.rr