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Home My WebLink About2709 DRAKE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2709 DRAKE AV Suite: Vicinity: FRONT- STREET SIDE OF PROP Parcel Number: 14131107 npp�icant SANCHEZ, BOBBIE J Address: -� , , i � / Owner SANCHEZ�, BOBBIE J Address /2709 DRP,KE AV - ��.�/�/�� A.� .. , �. � � i � �� COSTA MESA, CA� . - ; ;'!' � i� , ,� ' � , i . -.\ � ., ,,. . i , Conlractor OWNER-BUILDER < �-� ;Address`:� � ,j'-�- . . �� . �� j��, , , �; Zip:i ' j �l _ - ., �Arth,:� ) . . - - ' - � % � � - - .� Address: � � �� -, -� � , .:.� ' - . ` Phone: � � � ; :. :; � .. . . . � �.Zip: � , �License: � � � — -�-- - - , �� . \ �, �, ADD A�1 PROPERTY.WALLDOES �, , _ � �,: ,� .'-`. �� FIan�Check.'��`',�' ,$15.28 �, ,� , � __ � _ Calc Valuation: '� �, , �Permit: �� ; � $23.50 � � Claim Valuation � �SMIP Res ' ,$0.50 � � _ � SMIP�Corri ��: $0.00 - � � . � � �1`�Other �� '$0.00 _ ,/ir Inspection =' $0.00 - ' � " \ ' � '1� , i /� 1 �i. .. ��, -� � � /ri� �Total: � r�$39 28 � s <-: . - ` ' �' ��/� , � , , � �. , �� '/ ��. ,,, �� ti �, � � ��'i/�� Zoning: � - ISSUED BY: Phone: 714-376-6333 . � Zip. Phone: � � Zip: 92626 Phone:' �•License: � 0� , • - Eng: - - Address: � � Status: ISSUED Applied: 01/31/2001 Issued: 01/31/2001 V- -,, � i �� r . . ..., �;, � Phone> , �,�, " .�- � License: � � � - i. °" _ +.T,..� -. SGUYC Uh YtKMII'-, .- � �: �ENSION TO AN EXISTING 6'�HIGH�BLOCK WALL ALONG-THE�RIGHT (&TREET) SIDE OF l PROJECT BEYOND FRONT OF HOUSE. WALL BUILT PER CITY�STANDARDS. - FEE SUMMARY ' �� ' /� �Vv�, � PLANNING&ZONING -�j' �% C� �/ � . SETBACKS �� i j�`� :� �� ,� = �� ; a �_ _��, � �� MAIN STRUCTURE Front� 0 0� !�� --Rear ,0-0� � ��Left 0 0� �� Rght� � 0 0 � ��.,` �'�.';r,��_ -.`- �-•� �AA/ ��i/� ACCESSORY Front��0=;0�� C;�.Reai'_0-0- � �Left�'��0-�0 -� ��Right ,-0-�0�� `.,, .. ' ' .��% PARKING Exlstina: 0�- -�;.Required: �0�-�' .�V��. Pr000sed:� -o '%'j' � . �'� , . >, . , NOTES: ' - __ . ., , _.� � v .' . - �--_._.._� � �� I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) • EXPIHATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned ' tor a period of 180 days. INSPEC710NS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of ihis permit. � FOR INSPECTIONS CALL: (714) 7545626 244E46 (fi/00) WORKERS'COMPENSAnON DECLARAnON: - ' ' I hereby affrtn untler penalry ol perjury one o� the following declarations: � ❑ I heve entl will maintein a certificate ot ��sent to setl-Insure tor workers' compensation, es provitled tor by sactlon 3700 of the Labor Code, for Ihe peAormanca oi the work tor which Ihis pertnit is issued. ❑ I have antl will maintain workers' cornpd�sation insurance, as raquiretl by section 3700 oi ihe Labor Cotla, for the pedortnance ot lhe work for which this permit is issued. My workers' compensation Insurance �errler antl policy num6er are: Cercier: Policy Number: (This section need not 6e comple(ed il the permit is valued et one hundred dollars ($700) or /ess.J ❑ I certity ihat in the performance ol the work for which this permii is issueq I shall not employ any person in any manner so as to become subject to the workers' compensation lews oi Califomla, end ag�ee that if I should become subject to the workers' compensation provisions of Section 3700 of ihe Labor Cotle, I shall tonhwith comply with th858 provisians. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER 10 CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED i/N)USAND OOLLARE (5100,000�. IN ADDITIIXJ TO TME COST OF CAMPENSATION, DAMAGES AS PROVI�ED FOR IN SECiIIXJ 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm thai I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, and my license Is in full . torce and eMect. Lic. q Class a Contractofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm ihat there is a consiruc�ion lending agency tor ihe pedormance of ihe work for w�ich ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lentler's Atltlress: Signalure: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm ihat under penalty of perjury Ihet 1 am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to construcL alter, improve, demolish, or repair any siructure, prior ro its Issuance, also requires tha epplicant for such pertnit to flla e signed stetement thet he or she is li�ensed pursuam ro the provisions oi ihe Comrecrors License Lew (Chapter 9(commencing with Section 7000) of Didsion 3 ot Ihe Business end Profeuions Code) or Nat he or she is exempt fherefrom and the basis tor Ihe allegad exempiion. Any violation oi Section 7037.5 by any epplicant for a permit su6jecl5 the applicant to a civil penalry of no� more than tive hundred dollars (5500).): ❑ I, as owner ot �he property, or my employees with weges as thair sole compensation, WILL DO THE WORK, and tha structure Is no� intendetl or oflered for sale (Sac. 7044, Business and Professions Code: The Coniractors License Law dces not apply to an owner of propehy who builds or improves ihereon, and who tloes such work himselt or hersefl or ihrough his or her own employees, providetl ihat such Improvemems ere not intended or otteretl for sale. I(, however, ihe building or Improvement is sold within one year ot wmpletion, the owner-builder will have the burden of proving thet he or s�e did not build or improve for purpose of sale.). I, es owner of the property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct the project (Sec. 7044, 6usiness end Prolessions Cotle: The contractors Llcense Law doas noi apply to en owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to ihe Coniractors LiGensa Lews.). ❑ I am esempt under sec. Business and Protessions Code for this reason: Signa�ure: Owner ID vanfied by dnver s license. ❑ Ves ❑ No Drivers Licensa No. Verificetlon of Ownership by (type oi tlocumant, i.e. - pmperry ta: bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Date: /—,3/—O/ ExOires: ❑ I here6y certily that no excavation fiva (5) or more feet in dep�h into which a person is requirad to tlescend, will be matle in connection wiih work authonzed by this permit, end ihat no building slrucWre, scaflolding, falsework, or demoli�ion or dismantling thereof, will be more ihan ihirly-six (36) feet high. (Chap. 3.2, Gry 2, Ar12, Sec. 345, Title 8, Califomia Adminisirative Gode). ❑ As owner-builder, I wlll not employ anyone to do work which would require a pertnit from the Division of Indusirial Safery, as notetl ebove, unless such person has e permit to do such work trom lhe divisitl�. Signature: Date: Divisian of Indusirial Salery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTNORIZA710KOF ENTRY: I cenify under penalry of perjury that I have reatl Ihis apptication and state ihat the infortnation given is correct. I agree to comply with all state law5 end ci�y ortlinances relating to building construc�ion, and authonze representatives of lha Ciry of Costa Mesa to enter upon ihe abov escny�� roperty f inspe ieq purpases. 1 e ee not to occupy or allow occupancy ot any building euthorized by this permit until tinal inspection. �`�9�'�Q ��r �� 1-3i-o� Signature Of Legal Owner(s) Date AnNOr Aulhonzetl Applicant Date CO�E �. INSPECTIONTYVE 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spe Finel Final Re-Rool Final BIocWRetaining Well Pinal Factory Fire Place Final Sign 204 Final Demolition �g' �� GODE� ItlSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QSIE � Jlu: • THIS SI�TQi LS FOR INFORhL1'I70NAL PURP06i5 ONLY. APPLICANT LS RESPONSBLE FOR PROVIDWG AN ACCURATE RFPRFSFNIA7]ON OF TF�t PROPERTY IN CASE il� SHAPE AND SITF DO NOT CORRFSPOND WI7H li� INI'ORMATfON PROVIDID ON iHLS S7-IEEI'. 1 I I K � � . � RE90EMQ � ThiS Set M make a�y r. end Salety, he stampii ��! i!ie viole "hese pLo „u . ne: AE90ENfI • SOL1D WAL15/FEJ�S BEIWEIN 2'b' k 6' A1 tfflGtTf SHALL - BE SEIBAIX AT IF.AS710' FROM FRONI PROPERIY I1NE • SOLID WALSS/FIIJQ�S SHALL NOT DCCEED Y 6' NI FIDGHT WIh@I I V OF IHE FROM PROPFR'IY IINE �10T CURB LINf). • VERffY DLSfAN� FROM CURB 1'O PROPER7Y LINE AND giOW ON PLAN. VERhIGlION FROM TFiE QIYS INGINffitING DIV6ION S REQUIItED. GLL (114) 754,534i POR INFORMAI70N. Ul`ICi tf�L�iL�IA'i CI'TY OF�CC?STF. y �p��Z�V�. �_�'_ I 1 i i apotwrt � 1 SAFETY �` � )f� � I i � , !2fiS °n(1 SpCci!;;�iwns,17i1',�'.T.IOP %«�7i u'� i:!iti ��:;1 ii 3i� }li'iIS£ 1;(7 ii Is �fidW(U� 10 I 5f��0(2RCie1:OJ.^.fi52lf!2WI±iQb�4Y;!icCPf,'f�l;.'•Yilffpffl�0� n;cuionetEui.�ing ;ityoiCoei��,itse I , )ofthieplznantlspacili�itionaSHFLLNQTGeiisiG!opermit rtobeanapproval � on af amr provisior,s ot er,: Ci`rv cf �;n.s'a "J=r ; nrdinancA andior State law, and p=rm�i snaii uspire by ii, laticr €.r.� hscom�: a;:l and v id if th il ' .. '.!:FO;I:r_'it.."10� �45^`:'fpP.l!,i�n^?i;'7j'�.^`.In'�� .:iF��i. t11iSSUaOCf. i RE9DEMCL iEmplQ NE9DEMCF 1 1 I � II �� 9 : � -'• "-""-"- -"'--'_ e' roa oa �.0 xr a.aa i i � ---------- -------@`---------- -- - - ------------------'- ---------------- i �-- -- -- -- i � CITY OF COSTA MESA pLANNING DIV. SU JECT TSi�L�iT� D IJVn gy�_ DATE� ra,� Q fk�enk-� � � _ InWW J LAYOUT FOR BUILDING PERMIT Iz` �o� �xlehs�o� -h� exsf9 � ��t �e��9 �f�oL � �I_ PLANNING DIVlSION c��o� sk�n ��,-rG� �,�.�5i,�� . ; , : Cemen� Cop��90ptlonal —� Channel Bbck Wi1h 13/B�i Horiiont�� Top ol all Fencef For FencH 5' nr Less Vert. Bars 3/B" yS at 4' �0" O.0 F o� f encm Mi9her T �an 5' Vu�. Ban 3/8"� at 32" O.C. - Fill Cells Solid Wilh Groul Where Sleel Occurs Rnnlmcing $leel $hall Conlorm to Sec:A�15�39 A.S.T.M. All Sleel to be Lapp¢d 24" or to Code NATURALGRADE TWO �/8"G BARS GONTINUOUS TOP 6 BOTTOM HOfi1Z5TEEl MUST BE TIED IN VLACE AT TIME OF TRENCH INSPECiION. TYPICAL s 0 a i � u > w a i a > i u 3 '� z'� �i W i� ` ^ ;. �:.. n 'o rv �, � n - _ / D f` �K'IDTH � SEE=CHu I . BELQ�v"� 0 WALL HEIGHT WIDTH THICKNESS DEPTH OF EARTNTOOTN SPACING OF EARTHTOOTH 6�� CONCRETE BLOCK � ___. _ _ __ _ ,, FENC�E-.° �� '�; '� ; �,..: . .- } - GEN`ERA�L- NOTES � i'"" MORTAq:; p�a part Plasfic Cemenf, and `Thiee- Ports Sond ; • GROUT: ;'One Por1 Cemenf Three ona ' 'One Nolf Parts;,�und COPING: ; 0`ne Forl ,Cemenf,:Three " •�P.orts�5an'd i t CONCRETE�.Weil M�xed. 1:2-I/2:3-i/2 � Mo■ ol 7� I/2 GalICnS ot � Waler Per'•Sack of� Cement F.... ' _ GROVT MAY BE PoURED FROM THE TOY Of THE FENCE IN CELLS WNERE STEEL � OCCVRS. CEI.IS AND APEAS OF HORIZONTAL REIN FOHCEMENT SNALI BE CLEAN, CLEAN 6 FREE OF All MORTAN DEBRIS, ETC. FOO:f:ING =RE�UIREMENTS CHART 14" "' 10�� ' 2 4" .. 12' 14. 10" 20" 14� BUILDING DIVISION 12 8" I 6,. 16' H C1 C4FTHICOTH �/J RiE NEiGTH O� FENCE BC-LOW BOTTOM AF fOGTiNG SCALE: I/2"= I' 12" 8" 12" 16� �pM ¢�� q o, � > _ r " J -' .�� (7/4) 754-5273 • Fax (77a) 754-4856 CITY OF COSTA MESA � BUILDING DIV/S/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job Address: 2%O9 DRAKE AV Suite: Vicinity: FRONT EAVE/LIVING ROOM AND GARAGE AREAS Parcel Number: 14131107 Zoning: npp�icant: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV Phone: (949)642-7222 COSTA MESA, CA Zip: 92627 Owner: DONATELLY, RONALD C Address 891 PRESIDIO DR� � - , � � , Phone: �' COSTA MESA, CA � Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV COSTA MESA, CA Zip: 92627" ' Arch : Address: Phone: Phone: (949)642-7222 License: 349686 , i � Eng: Address: PER NUMBER 00-00064 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 01 /13/2000 Issued: Ot/13/2000 Phone: ' , Zip: ' � - , License: License: - SCOPE OF PERMIT . -� ROOF REPAIR - REMOVE AND REPLACE SIX 2X6 RAFTER TAICS AND ROOFING MATERIAL AND REPLACE WITH NEW � R4FTER TAILS AND 1/2" CDX PLYWOOD, 1� LAYER OF 30# FELT AND COMPOSITION SHINGLES. SUBJECT TO FIELD INSPECTION. � � - Plan Check. Permit: ' SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $50.95 $0.50 $0.00 $0.00 $0.00 $51.45 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING ExistinV: o Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 Si,aoo.00 si,aoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required InspeeHons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: � I here6y attirtn untler penalry of perjury one ot t�e following declarations: � ❑ I have will maintain a certificate of consent m self�lnsure for workers' compensation, as provided for by section 3700 ot Ihe Wbor Code, for Ihe pertormance of the w or which this permit is issued. � have and will maintain workers' compensation insurance, as required by section 3700 of ihe Lebor Cotle, for ihe peAortnance ol Ihe work for which this pertnii is issued. My workers' compensation Insurance wrtier and policy number ara: Carrier. Policy Number: (This section need nat be completed i! (he permit is valueC at one huntlretl dollers ($100) or /ess.) ❑ I certify ihat in the parfortnance ot the work for which this permit is issueq I shall not employ eny person in any manner so as to become subject to Ihe workers' compensa�ion laws of Califomia, antl a re � I should become subject to tha workers' compensation provisions of Section 3100 of the Labor Code, I shall lotlhwith comply wilh Ihese pmvisions. Applicam SignaWre: �?i � I Q-e,h Date: �—� 3-' I��) WARNING: FAILURE TO SECURE WORKEflS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAII SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNORED THOUSAND DIX.LARE ($100,000), IN ADOITIOtJ TO THE COST OF fAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31O60F THE IABOR ODDE, INfEREST, AND ATTOflNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed untler provisions ot force and ettact. Lic. k Contrecror's Signature: 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, antl my license is in full y� Class M C- � n1 � � Date: � � c � �] CONS7RUCTION LENDING AGENCV: ❑ I hereby aHirm thai ihere is a constmction lentling agency tor the performance ot the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). , Lentler's Name: Lendefs Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn Ihat untler penalry of perjury tha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit b construct, alter, improve, tlemolish, or repair any structure, prior ro its issuanca, elso requires ihe applicaM tor such permit to tile e signed statement lhat he or she is licensed pursuant lo Ihe provisions of lhe Conirectors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt Iherefrom an0 the basis for the allegetl exemption. Any violation of Section 7031.5 by eny epplicant for a permit subjecis the applicant to a civil penalty ot not more ihan five huntlred tlollars ($500).): ❑ I, as owner of ihe propeny, or my employees with wages as their sole compensation, WILL DO THE WORK, and the swaure is not intendetl or oNeretl for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply �o an owner oi propehy who builds or improves ihereon, and who does such work himselt or herself or through his or her own employaes, provided ihat such improvemenis are not intentled or ottered for sale. If, however, ihe building or improvement is sold within one year of completion, ihe owner-builder will have Ihe burden oi proving that he or she did no� build or improve tor purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS lo constmct the project (Sec. 7044, Business antl Protessions Code: The contrectors License Law does not apply to an owner of property who huilds or improves thereon, and who conhacis for such pmject with e comractoqs) license pursuam to iha Comraaors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for t�is reason: Signature: �ate: Owner ID verifietl by tlrivefs license. ❑ Yes ❑ No Driver's License No. Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMIT CER7IFICA710N: Ezpires: ❑ I hereby certity that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorizetl by ihis permit, antl that no building slrucWre, scattolding, falsework, or tlemolition or tlismantling thereot will be more than thirty-six (36) tae� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celifomia Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from ihe Division of Indusirial Safery, as noted above, unless such person has a permit to tlo such work trom Ihe division. SignaWre: Date: Division of Industrial Safery Permit Num6er: CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF EN7RY: I cenity under penalty of perjury ihat I have read this application and state that the information given is cortect. I agree to comply with all state laws and city ortlinances relating to building constmction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon the above-tlescribed propehy for inspection purposes. I agree not to occupy or allow occupancy ot any building euthorized by this permit until final inspaction. � ign e Of Legal Owner(s) Date /.! � ' And/OrAuthonzedApplicant _��a�e �, CODE y, INSPECTIONTVPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final Block/Retaining Wall 202 203 204 2a4646 Final Factory Fire Place Final Sign Final Demoli�ion D� INT IAL � CJ � COOER INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbinq 210 Final Electrical 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy DpTE INTRIRLS _ �.r, � � �2`�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINY COSTA MESA. ADORESb�SU�tB 1 3800 E• aTr Corona del Mar - A� .•�TECT _ " _ MSCCO COlpO' 100 E. Coast TEL. BIZE' OF LOT GI U6E OF EXIHTING BI eere�cec uNe No:Or 342 NEo. �i 3%0 NO;.O^ BIDGB.o ''ILEFT / IR�GHi DESCRIPTION OF WORK I X II ALTERATION I II AODITIO IS Z EtNG 6O X 3% ROOMS EXTERIOR WALL SClICCO I ROOF F E,�� R�C�.I9 a � �INANCE �APMESA �ITY OF (,OS APPLICATION FO PERMIT Lot �k 63 gU1LDING Plan 4C For Office Use Only FECEIPT NO. I , �;R�F�IT�� RECEIVEO !Y COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZONING ZONE I NO. OF I LI6E OF NEW PLANB BOILD�NG LEGAL LOt 63 _ . ,.__, _ YARDS APPROVED �ecn'rert urve er.� REAR APPROVED ' `7 /1 --'� L�A% P� Construct Sin la Family Rasideace with attached garage 1 HERBBV ACKNOWLEOGB THAT I HAVE HEAD TH18 APPLIWTION THG AMOUNT BXOWN UNOER VqLUATION 18 FOR THE AND BTATE THAT THB ABOV 19 GOqRECT ANO 6fiEE TO COM- pUflP082 OF EBTpBL18HING q PERMIT FEE ONLY. PLY WITH ALL GITY 1�CE9 AND 6TA�¢ W6 REGULATINO BUILOINO CON6TRU ON `" VALUATION � SIGNATURE OF �L ' PERMIT FEE $34.00 PERMITTE AUTHORIZED AGE PrOjBCt Manager � L�V,563.00 PLAN CHECK �17•00 TOTAL FEE S1.00 ,;-`'-;'-• 32043 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIfORNIA 92626 For Applicant to Fill in Completely BUILDING ��D'� ��A`P �� ADOIiESS �� OWNER / -� MAIL � � _ ti ,._ n .. CITv [0. CAN5TRUCTION BRANCH ADDRESS ARCHITECT TEL. NO. . TEL. ADDRE55 CONTRACTOR �/(J�j� ADDRESS TEL. CITV NO. STATE CITY LIC. NO. LIC. NO. S I Z E I NO. OF BLDC'�S. OF LOT NOW ON LOT USE OF EXISTING BLDG. SIZE OF NO. OF NEW BLDG. Ii00MS STORIE: EXTERIOR WALL ROOF COVERING COVERING VSE OF BUILDING AND WORK TO BE PERFORMED � � '�/.�/� i.iwC� — .57L///./ I hereby acknowletlge that I have reatl this application antl state that the above information is correct antl agree to comply with all laws regula[ing builtling construc[ion, and I shall not amploy any person in violation ot the workman's compensation laws of the State of Celitornia. I hereby rertify that I am properly licensetl as e coniractor under the State of California Business and Professions Cotle, �ivisicn 3, Chapter 9, antl that such licenses are in full force and effect, or I am exempt trom the provisions ot the State of California Business and Professions Code, Divi ' n 3, Chapter 9. SiBnature of Pe�mitt Authorizetl ABent lUL 10-70vaz�00 837 �'��*** crisn 5.00 APPLICATION FOR BUILDING PERMIT RECEIVEDBV_ DATERECEIVED neroicmu A.P. NO. BUILDING ADDRESS � TRACT ROVED % /O , RMIT NO. BLOCK DATE /�/(/�— NO.OF VSE OF NEW PLANS BUILDING VARDS APPROVED VARDS APP MAIN BUILDING ACCESSORV %� FEAR FT. FT. DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR. # � DATE C.U.P.�j-` APPROVED APPROVED///� / nn�rc /�% RV /�A b SQ. FT. o THE AMOUNTSHpWN UNDER VALUATION IS FOR � THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�Y: Q VALUATION ('' p� PERMIT FEE $ tJ � OG � $ D/( �� m (J PLAN CHECK $ E 0 a,00 " TOTAL FEE $ ER DONETELLY, R. •. 141-311-07 LOT �TIONS 5�,_ PROP. SWR. LINE I I HOUSE CON. MISCELLANEOUS ROOGH HEATING AND AIR CONOITIONING TEMPORARY SERVICE OR POLE UNOERGROUN� � POWER � ROUGH WIRING TRENCHES FORMS � STEEL REINF FLOOR SYSTEM BONO BEAM � STEEL REINFORCE � SHEATHING FRAME ANO FLASHING I.ATHING - IN n OIIT n PLASTER, BROWN COAT 5' -URAL, FINAL h G, VENT., FEFRIG. ANO A.C., FINAL PLUMBING, FINAL ANO GAS TEST I� DATE 7-10-7A BUILDING PERMIT N0. of WORK Rlnek Wa] l )UPIIZ TYPE SUBCONTRACTOR