HomeMy WebLinkAbout406 PRINCETON DR - Building Permits6
PACIFIC ffiSTALI,ERS, INC.
7541 Anthony Avenue
Gazden Grove, California 92641
P.O. Boz 'j28
Weetminster, Calif. 92683
state �o. # �.� city r.�o. # Sy -3
nate / S 77
cuetomer Name�7J7.��d-!•— � j/
Pexmit No'e. /�/7a3
,> . - ,� /
�:
�/ . � i�:� � , _
City of �'��� ��'�
Department oY Buildi.ng and Safetq
Geatlemen:
Plesee be adviaed that es of /�5''/7� all work by
Pscifio Inetallere, Iaoorporated, on the pexmit numbera lieted above
heve been oanoelled.
Therefore, Paoi,fla Iaetallere, Incorporated, requeste that the
pexmita be canoelled and that all pre-paid feee be reftuided.
Thie oancellation notioe ie advioe to qou
Inoorporated, hae ao reepon¢}bility for �r
Pexmite noted at �U(o /'�,��i�.o,c.
PI-264 Rev. 3�7l�
that Paoifio Inetallere,
rk.acoomplished uader
Very truly yours,
PACIFIC INSTALLIItS, INC.
�' �'/�-�
�_
�__ _� -- — - ADP���ant t0 /III In dll SpdtlS Wlthin neavy bortler Iines ana sign all appropriate aeclarations.
CITY OF COSTA MESA P RMyT NO. TqqCT NO. LOT NO. BI.DG: NO.
CONSTRUCTION PE$MIT � (pX� S � �
Address —" � Aj/'f� �
Arch/Eng.
� G /// y + mTV<P'E OF CONSTRUCTION
PhOne �cnEW ❑ ADD ❑ ALTERATION �� - - '
❑ REPAIR ❑ CONVERSION �DEMOLISH
License No. - ❑ OTHER
A.P. q
ZONE
74,?� 4/ I y/R'
VING REGULATIOM
PLNG. REF. qp
Contractor ; Phone 7ypE OF PERMIT � �
-SETBACK C L 5T.
Addres5 � , � p ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL SIOE VARD
�LICENS CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICA PLVMBING OMECHANICA � 5EpFE V R
,I hereby affirm tn:.t I am licensetl untler provislons ot Charter 9(tom- RIGNT
men<In9 `Mith sec[ion 7000) of Divlsion 3 0l thr Buslness antl ❑ OTHER
f Aofessions Cotle a� y Iicense is In kl�fo an e� pROJECT DESCRIPTION _ REAR vARD (TO P/L)
Llcen Gla Licens � . PKG. SPACE REQ.
,Date' Sl9nature � � " STREET WIDTH
WORKERS•COM ENSATIO E) T '� OCCVRANCY_CONSTRUCTIONTVPE
1 .I hereby aftirm tnat I have a t IC ' e D <onsent to self-iniure or�'a VALUATION � ZONE ZONING APPROVED BV
��certificate of Wo� c S' omp on lQa�i ance, o� a cerUfietl cOpY
tbereo(( 0 0} � l� GRADINGCU.VDS. ACRES �SVECIALCONDITIONS:
Policy No. ipany
❑ Certiiletl copy is y turnishetl.
0 Certi(letl copy ii flletl wilh the city Builtling Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This sectiOn nlGtl nOt b¢ mTpleletl if the permi[ is fOr O huntlr¢U
(E100) or less). _
i cerH�v that in tha oerformance o( the work for �MPper�
0
PLANCHECK " '
�NOTICE: If after making this ��a n, y h�tl be<ome subject TOILETS VRINALS ''-
to t�e Workers' Compensation ov onz e Labor CoOe, you must -
torthwith compty with suth pro ons is permit 5hall be tleemetl LAVATORIES DOUBLE LAVS'
revoketl.
CONSTRUCTION LENDI AGENCV - '' KIT. SINKS " DISHWASHERS
I hereby affirm that � e is a mns[ru<tlon lentling agenty for the pen SERVICE SINKS . SUMPS ' -
tormance o( tne w for wnich this permlt Is issueG (Section 3097
C1°' C'�' -' ' � FLOOR SINKS • FLOOR DRAINS
LenGer'S � Na me
Lentler's AUtlress ' ' DRINKING FOUNTAINS '
OWNER BUILDER DECLARATION � ' INTERCEPTORS ' CLARIFIERS � ��
I hereby affirm thal I am exempt from the Contractor's Ucense taw for.
Ihe tollowing.reason (Sectlon 7031.5 Business antl Profezsions Cotla: SWIMMING POOL PTRAP ''
AnY City or County which YeqWres a permit to cons[ruct. alter,
qWreS tpe ap(IiUn[ br SucM1 permit to flle a Signetl statemenl that he
is licensetl pursuant �to the provisions o( the ContraCtor'S LiCense Law
(Chapter 9(wmmencing wi[h Section 7000) of �Ivision 3 oi [he
Bu5ine55 antl Prp1e55ion5 Cotle) of that he is ex�mpt Ihefetrom antl Ihe
�asis for [he alle9etl exemption. Any violation of 5ection 7031.5 by
any applicant for a pormit subje<[s the applicant to a civil penalty
of nol more lhan /ive huntlretl tlollars ($500).
❑ I; as owner ot lhe property, or my employees with wa9es as thelr
sole tompen5dtion, will tlo [he work, antl the structure Is nol int¢ntletl
or otteretl for sale. (Sec[lon 7046, Business antl Rolezslons Cotle: The
Contractor's License I..aw tloes not apply to an owner of a property
wh0 builtl5 or improve5 thereon, antl who tlOes such work himseH or
through his own employees, provitlotl [hat such Improvements a�e not
Intendetl or offeretl for sale. If, howeveq tba builtllnq or improvement
is Soltl wilhin one year of compl¢[ion, the owne� will have Ihe burtlen
of proving hc tlitl not Ouiltl or Imp�ove to� th¢ pU/pose of Sale�.
❑ 1,. as owne� ot tlte properly, am ¢xcluzively cont�acling wlth
Iicense0 contractors to construct the project (Section •7044, Busines5
antl Professians Cotle: The Conlractor's Licensa Law tloas nol apply to
an owne� of p�operty w�o builtls o� improv¢5 th¢reon, antl wno con-
tracts irom such projects with a contractor(s) licosnetl pursuant to
the Contractor's License Law).
� I am exempt untler Section B. & P. C. (or tbis
reason
Ddl¢ Own¢r
I hereby certify inat I have reatl t�' applitation antl state that the above
intormdtion is correct. I a9 lo m wilh all city antl county
ortlinances antl state laws r ing ction, a r 'authorize
representatives of h' city upon e menllon tl
prop¢rty for ins ion p
Siqnature
AccOuntin9: Goltlenrotl-Assesso�
DED.
FEE!
ELECTRICAL PLAN CHECK.
' GENERATOR 0-1 KW_ 1-30 KVJ _
TRANSFORMER
APPLIANCE 30-SOKW_SO+KW_
'MOTORS -04�HP_1-10 HP. _
�--- QNC. SOIAR) 30-50 HP 50 t HP _
'� - `FIXTURES ' OUTLETS SWITCHES
" ' � GAS TUBE SIGNS
' ' ' POLE LIGHTS ' � .
WATER SERVICE - ALTERATION ' "`
GASSERVICE OUTLETS
WATER HEATERS BTU OVTPVT "
SEWER CONNECTIONS • " " '" ' '
SOIAR TANK ' COLLECTORS "
SOLAR PIPING SYS. ' �
ISSV E FEE
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-100,000 BTU
AND�VCTING 100,000+8TU �
REFRIGERATION 0-100,0008TU
SVSTEM 300,000�t BTU
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAVSTSVSTEM MULTIPLE
CMF
PANELS MAIN
SERVICE
ISSUEFEE "- ' � .
APPLICATION APPROVED BV � DATE .9
q
SUMMARV OF FEES � , ,'
BUILDING ' ' ' - . '-
PE(tM1T $ ' SMIP E
PLAN CHECK E PERMIT '
m d ISSUANCE $
PLUMBING E�
.PLANCHECK $ � GRADING 5
ELECTRICAL y � a
PLANCHECK E MICROFILM E
MECHANICHL $ TOTAL FEE E
�PLAN CHECK g LE55 AD- � ,
VANCEPC $_
FINAL FEE b �� �
� A#��
yh
CONSTRUCTION AND PLANNING , POOL & SPA - •
Date � Inspector '� � � � � - �Date � Inspector
APPROVALS Permit# APPROVALS • -. �Permit�h' ' „
1. Temporary Electrical Service or Pole � 43. Pool & Equipment �L'ocation ��- �� � � • �
il ipe-Undrgm - ' 4 . Steel Reinforcement - � - � � � �
3. Electrical Conduit Utility-Undrgrn 45..,Forms � - - - � - �
4. Electrical Conduit-Undrgm � � - • 46:'� 'Elec[rical Bondin � �- � - �
. tee e�n orce , . � 47. Rou h Plumbin &�Pressure Test " -' � � ' '
6. Electripl UFER Grn - ' - 48. APPROVALTO COVER-GUNITE ' � � � � � - -
7. ootings � 49. Electrical Conduit-Undr rn ' ' '
8. Foundation _ 50. Gas Pi e, ❑ Undr rn, Test -� •
9. Water Pipe-Undrgm 51. Backwash ines P-Tra �'� 'ti i r ' � `
10. Structural Floor System 52. APPROVALTO DECK ' ' ' ''
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � ' �
12. Street Sewer Connection � ' - � � � - 54. Heater & Vent-Final � � � �� �
13. Rough Plumbing ` ' ' •
14. Rough ElectricConduit ' ' • ' ' '�56.-•Electrical-Final �- � � - �
. 15. Rough Electric-Wiring - � � - 57. �.'Solar System-Final � - . � � �
16. Rough Heating & Air Conditioning - . • encing & Access Approvai -�
17. Ducts in Structure APPROVED FOR PLASTERING
� 18. Ducts, Ventilating _ _ . _ - , � � _ � '� ,
19. Gas Pipe-Rough & Test - . 60. POOUSPA SYSTEMS FINAL �. '
20. Roof Framing - - - � '�
27. Roof Sheathin � - � � �
22. Frame and Flashin NOTES: . . '
23. Insulation � ' � �3. �_ �
24: Lathin & Siding
25. Drywall Nailing . � ' •
26. . Plaster Brown Coat ' ' '� - � �
� 27.. Electrical Power Meter-Final � �
28. Final Electric '
:. 29. Final.Heating.& Air Conditioning. _ � � � - • � � - - �•
'_ 30. Final Gas.Rpe-Test • . �
: 31. Final Plumbing ' � ' " � - ' -
.32. Water Service-Final . ' , L � ' ' ' - - . ,, ' ' ' - -
33. Gas Service-Final ._ � � � � ' � � ' ' - �
� 34. Solar pomesti'cFinal �� � � � � ' " �� � ' ' ' � � �
, 35. Landsca e S rinklin S stem � '
. 36. Sound Attenuation ' " � � �
37. Handicap Regulations � � ' " � - ' � -� '� � • � � � '
' 38. FINAL STRUCTURE & BUILDING -� ' ' -
'. 39. Special Requirements Completed ' � � • � -
, 40. Electric Release to Edison ' + - •� �
� 41. Gas Release to Southern California Gas Co. ' -- � � - • �
� 42. CERTIFICATE OF OCCUPANCY _ . '
' No Date - � �'
� . .- .. . - . .
Aoolicant lo fill In all soaces erceot those withln heavv DorCer Iines antl si9n all a00rOpriale Eeelaralions.
CITY OF COST ESA ONSTRUCTION P�t MIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
06 _RiNcc ro�J i'Jic 2�SSS A.P.�k Zo�a
Project Address ,p S Main Building: Attessory Building:
AppliCant'S Mailing Addf¢5�� 7��S�I � �fi��l� � TYPE OF CONSTRUCTION NEW ADD LTERATION REPAIR E Z
� ��' ❑ CONVERS�ON ❑ DEMOLISH ❑ OT ER ' T Front p
S:•v Name "1 ��1 Phonsv�r� �ERooF tJ/T� 8 Rear N
�1 � TL%N /J C T OESCRIPTION OF WORK/USE OF BLDSG. L
hess A I
�' TVPEOFPERMIT GRADWG FOUNDATION STRUGTURAL I C Right N
9 Eng. � Licenu No. — K C+
\ � � � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S LC(t
R
Contractor's Nam a d Phon �"y ���THER Ping. Ref. q1E Parking Req./Provided E
�� �►— /� PROJECT DESCRIPTION Sq. Fr OCCUaA C� planning Notes: M
Addresslma'�'�g✓T aL�%1�LL a� /1'! � CONSTRUCTIONTVPE VALUATION �fl
City License No. OO ��g T
ZONE GRADINGCU.VDS. ACRE$ $,
LICENSED CONTRACTOR DECLARATION
I hereby al/irm ttldt 1 am Iicenietl untler prOvisions ot Charter 9(commenClOg qemarks:� S MD `r � r'
wlth Secllon 7000) of OIviSlon 3 01 [he Buzine55 dntl Pr0lesslOnS Cotle, antl �L"
my license is in / I lorce� flect. O � . S Z ELECTRICAL FEES
License Cla s � Lic¢ e
Dale7=l�8 Signature PL MBING FEES P�ummatit Washe� Transformer ❑ 15�50 KW
WORKERS'COMPENSATIONDE LARATION BarSink $hOW¢�5 ConstructionPoleSub. �50+KW
1 hereby aflirm thal I have a cerlificale ot consCn[ to self-inswe o� a CertiliCatC
o( Workers' Compensation Insurance, or a certifietl copy thereot (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. /.��
' Poiicy N��, companrZll ' Backflow Irrigation Sewer (:ap � Dishwasher Meter ❑over 700amps
�Certitletl copY �s hereby furnishetl. Dryers ❑Gas ❑Electric Sub Panel
Certi/l¢ op � iletl wlth Ihe ci " 9 Divis n 82LhLubS Sewer Connection .
Date Applicant F2(1
EXEMPTION F0. M WORKERS' COMPE SATION LARATION
Clarifiers Solar Collectors Motors 67 HP 1 X- 6
(This section neea not be complatea if lhe Oermit is for one huntlretl (E100) or Dishwasher Solar Piping F�A�U� Inc. Solar �9-15 HP � 16-15+
less).
I C¢rlity tbat in Ihe pe�lormanGe ol Itte wOrk IOr which t�is Oe�m�t ii BSuetl I Fi%Lu�¢5
shall not employ any oerson in any manner zo as to become subject m t�e Drinking Fountains Solar Tank Microwave
workers' Compensatlon Laws oi California. Device Boxes Pole Li ht
Date 95�ature Floor Drains Swimming Pool w/Spa 9
NOTICE: It, atter making this tleclaration, you shoultl become subject to t�e Outlets R2nge
Workefs' COmpenSdtlon provislons O1 th¢ Ldbo! Cotle, you mu5t lorthwlM FIOOf $ink5 Ufindl
tOmply with such provisions or thl5 petmit shall be tleem¢tl �evoketl.
CONSTRUCTION LENDING AGENCV GasSefviCe OuUets WaterClOiet SwilCh25 Sign
I hereby alfirm l�at lher¢ is a conilructiOn Ilntling agency tor th¢ pertormance �
o/ tho work tor which tnis permit is issuetl (Section 3097 Civ. C.) Interceptors Water Heater Garbage DiSposal Standing Sections
Lentler'S Name
Lenaer's Atltlress Kitchen Sink Water Service GeneratOr �0-5 KW �5�15 KW Trash Compactor
OWNER BUILDER DECIARATION
I he�eby aHlrm lhat I dm eaempt trom thC ConVdcto�'s License Law for tho Lava�ories AptO-WBSh
followinq reason (Soclion 7031.5 Business antl Professional Cotlo: Any clty or
county which raquiros a permit to construct, alter, imorove, tlemolish or repair P—Trap Laundry Treys
any 5lruCWre, priOr lo It5 iSSuance, dlio fequir<s the dpP��Ganl fOf Suth pafmit
to tile a signetl statement that ne/she Is licensed pursuant to tne provislons of Roof Drains
the Conlractor's Licenso Law (Chapter 9(commencin9 wilh Sectlon 7000) ol
Divislon 3 0l Ihe 8u5lnoss antl ProfMSlonS COtlO) of that Il¢/sile I5 9xUmpt RBiOSpBttl011 F00 $1rJ ISSUB Fee $ 3
therelrom antl lhe basis /or tho alle9ea exemption. Any violalion oi SocHon
7031.5 by any applicanl Por a permil subjects th¢ applicanl l0 a tivll
enalty ol not more than tive huntlretl tlollars (5500). S 3 DEVELOPMENT SERVICES RE�UIREMENTS:
� 1, as owner oi the prooe�tY or my employaes with wa9es as tholr sola ReinspBction Fee $15 IsSue Fee
2oninq Approved By Date
compensalion, will Oo lhe work, antl Ihe structure is not intentletl or otferotl
lor sale (Saction 7044, Businoss ana Pmteszional Cotle: The Contrattor's MECHANICAL FEES Building Approved By�����Dat�
Litense Law tloes nOl apply f0 an own¢r ol a propGrty who bUiltli or ITp/ove5 ��
u�ercon, ana who tloes suth work Nmselt/hersen or tnrou9h his or her own goiler Hood or T e I ❑ �APP��wtion Issued By �� Dat 7
employCes, provitlCtl that tuth Improv¢ments arn not intentlotl or oHeretl tor �P �—F
sa1e. It, nowaver, tne builtling or improvement is soltl within ona year ot com- Cnnopy Type I I ❑ SUMMARV OF ES
pletion, lhe Ownm will have Iho burtlen Of Proving Ite/sha tlltl nOl builtl or Im- DuCt - Und¢� Ciround Sa
nrove for thc purposo oi saio). BUILDING PERMIT $ 6� SMIP 5 �
❑ I, as owner ol the D�ooerty, am ex<lusively contracting with Ilcensetl con- Ouct -Structural Refrigeration System P�AN CHECK $ PERMIT
VaCIOR l0 COnsV utt lhe project ($ECIiOn 7044, Bu5ine55 antl RO�eS5io�5 COtle:
Tne Contractor's License Law tloez nat apply to an owner of property who Dutt - Ventilating ❑4100,000 BTU ❑100,000 BTU PLUMBING $ I$SUANCE S
builtls or imOrovaS lhereon. anE who Wn[racts fo� such oroieGts wittt d con-
Vaccor(s1 hcense pursuane w me Convacmrs License Law). I am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteretion PL.P�N CHECK 25% $ ENERG�' P.C. $
proot ot their Worker's Compensation insuranca shoultl be provitletl m me. ELECTRICAL $ GRADING 5
❑ I am eaempt untler 5ectlon e. 6 P. C. for this reason Firepl/FacL BIt. iC80 # Fire Dampers MICROFI LM S
PLAN CHECK 50% $
Date Owner Heating $ystem & Ducting Registers 3 ,5��
MECHANICAL 5 TOTALFEE S �
1 hereby certify that I have reatl this application antl state tnat the above ❑4100,000BTU Ot00,000BT PLAN CHECK 25%
information is correct. 1 agree to omply wi all city antl county ortlinancas $
antl sta[c laws rela(ing to builtli co tr n, antl hereby authorize repro- .
Sentdtives oi Ihii tl to ent n above-mentiOn¢tl property for
insoection .
Signature Date� � �
ReinspectionPee $15 IssueFee $ 3 OS UOti31._3 —04 �7;
Drivers' Ucense or 55 $ 1�' S� �1_N ,� �
!�,, f7:iSf^, T7rS� -:
0865-46, rev. 5/B8 White - Builtling: Canary - Pink - A<counting; Goltlenrotl - Assessor
f � .
CONSIFF�N AND PLANNING ,� POOL & SPA
APPRO�/A Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temp�rary Electrical Service or Pole � , 52. Pool & Equipment Location �
2. Soil.Pipe-Undrgrnd. � . ., 53. Steel Reinforcement
3. Electricai Conduit'Utility-Undrgrnd. �� 54. Forms �
4. Electrical Conduit-Undrgrnd. :'- 55. Electrical Bonding ,
5. Steel Reinforcement , ' � 56. Rough Plumbing & Pressure Test
6• Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE � ,
7. Footings . ' � 58. Electrical Conduit-Undrgrnd. � ,
8. Foundation . , � 59. Gas Pipe, O Undrgrnd., Test -
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor-System ., •� � � 61. APPROVAL TO DECK
71.�Property Sewer Line & HouseConnection •• 62. Backwash & Receptor-Final �
72. Sewer Cap : . . , ' � ; 63. Heater & Vent-Final �
/
13. Roof Drains ' _" i"' 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final ,
15. Rough Electrical,Conduit 66. Solar SYstem-Final
76� Rough Electric Wiring 67. Fencing & Access Approval
17� Rough Wiring Sign �' 68. APPROVED FOR PLASTERING
18' Rough Electrical-T Bar Ceiling �,� 69. POOL/SPA SYSTEMS FINAL
19. Rough�Fieating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace'' _'' APPROVALS Permit #
� .i
�21. Ducts, in Structure �„ 70. Underground Hydro
22. Ducts, Ventilating ,�i , 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test .. 72. Underground Flush
24. Roof Framing .� <"" 73. Undergrnd. Storage Tank O Gas ❑ 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 MeterFinal- 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � Notes: �_
34. Final Heating & Air Conditioning 3 �
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
,i:
40. Gas Service-Final ;
47. Solar pomestic-Final
` .
42. Backflow Preventer . �� '
43. Backflow Irrigation � ' �
44. Landscape Irrigation Sysrem � '
• / ,
45. Sound Attenuation f
46. Handicap Regulations -
47. FINALSTRUCTURE&BUILDING � � �-
48. Special Requirements Completed
49. Electric Release to Edison . ,'
50. Gas Release to Southern California Gas Co ' �.
51. CERTIFICATE OF OCCUPANCY -
No. Date " � �
OWNER
�-23-56
JOB ADDRESS (1Q(�_ pp1T1C8tOI1 DZ'. BUI�DING PERMIT NO. Z9OB
GENERALCONTRACTOR Harbor COI1St. CO. � VALUE $-ZZ�ZOO,OO
�or 12 s�ocK TRACT 27z7 Single Res. w/det gar
GROUP I&'J TYPE V ZONE R� FIRE DISTRICT 2935
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Trench .!/.(i.t' If ^
Framin
na. Rou
-��c-i �irx—
Wiring,Rough �u"/� •�1-56 7C. c-17i�i�2..e..�.li /..;J-�G� �G/.Z� �
� Heatina. Rouah _ 1 / i �iL ..��- �Yn.`Q1 � C.v.. 7-c _�/ I r c u 9 -�
Heating, Final
ewer, House t S'eweq St.
Septic Tank or Cesspool
Lathinq.in Out
Plumbing, Final, Fixtu
Plumbina. Fin,ai Gas T
Wirin Final /i ��
� 9�
Occupancy /
FOliM 210 3M lO�i3
�a Mesa Building Department APPLICATION FOR P�KmiT
111 EAST 20th STREET 2935 g� f � D �L N G 1
"- . COSTA MESA, CALIFORNIA
. FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN I Receipt No. I Per�� o�
Building �)
Address �}�6 PRINCETON �R. ��
Costa Mesa, Ci3��OYI11� Reeeived by I ! Date Red�d-.7 pate Issued
Nearest 1' ��J"� � ����
CrossSt. GREE�BRIAR LANE Building
Address
Owner L'O L L E G E P A R K C O.. Costa Mesa, California
Mail
Address � o SO IV�q � N ST Nearest
Tel. Cross St.
GtY Senira ANA_ CALIF. No.KI 5—I i39 ZOne/J,/ I No.of I TYpx �/ Group7� 1�
or
Date
Address
Cky Llc.
No. 37E I
Address $AME
Descrotion I No. � z I Block I Tract2
Size oi Lot E�(�. x I OS I Now on �ot
Useof I No.of I No.
Existing Bldg. Families Roa
Setback Line from __ Rear Vard '�
No. of
1379 Room:
APPROVALS
Buildfng R�SIDENCE 8', OETACHEO FoundatlonLocation
Forms, Materials,
G AR A G E Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is coTTect and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
s�9natureot HARBOR CONST UCTION C0.
Permittee Plaster, Int.
Authorized Agt. Plaster, Ext
Valuation Permft Fee $ o�p�/ � Masonry Reinforced
Plan Cheek $ � y� �
$ � � �2��. Total BondBeam
Fee $ � � FINAL
RM 204 S-SP 2M 6-55
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Show location and distances Trom
property Iine and between buildinga
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