HomeMy WebLinkAbout2735 DESOTO AVE - Building Permits�
CITY OF COSTA MESA �
BIIILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wi.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE B_ROOF2
APN: 14'164208
JOB ADDRESS: 2735 DESOTO AV CM
Vicinity:
Squares: 0
PERMIT NUMBER: 610-00324
STATUS:
DATEISSUED:
ISSUED BY:
SuitelUnit:
Valuation:
ISSUED
11101I2010
CAC
$12,250.00
SCOPE OF WORK: TEAR OFF WOOD SHAKE INSTALL 7/BINCH OSB 1 LAYER OF 30L8 FELT AND 30 YR COMP SHINGLES FLAT
PATIO TO BE HOT MOPED . CAP SHEET 90L8 .
OWNER: OVERBY, RICHARD L TR
PHONE: 623d44-6308
APPLICANT: JAMES M VOGELGESANG
PHONE: 949-361-7723
CONTRACTOR: TOP QUALITY ROOFING
Address: 27758 SANTA MARGARITA PKWYUnit:
City/State/Zip: MISSION VIEJO Cq 92691
r
ARCHITECT:
ENGINEER:
.�i
FEE SUMMARY
Reroof Plan Check: $0.00
�Reroof Permit Fee: 5223.25
Reinspeclion Fee: $0.00
Bldg Std Admin Fund $1.00
Address: 2219 TUSCANY AVE
CitylStatelZip: GRAND JUNCTION, CO
Address: 27758 SANTA MARGARITA PKWY
CirylState/Zip: MISSION VIEJO CA
License No.
License No.
PHONE:
Unit:
Unit: :
•�' :}-�Q.:r��:
License No. 617178
CELL•
PHONE:
PHONE:
ES FL:.'
:. :!:
TOTAL FEES $224.25
, HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3N8/2010 • PER CMMC Sec. 13-279 ;;,,;;;
Monday thru Friday - 7:00 am thru 7:00 pm. SaWrdays • 9:00 am lhru 6:00 pm. Prohibitied all hours - Sundays and the following Federal
New Years DaV. Memorial Dav. Indeoentlence Dav. Labor Dav. Thanksaivino Dav and Christmas Dav •� -' .� �:
NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply vnth all applicable codes, and all
required inspections and final approval musl be obtained. Failure lo obtain inspections and final approval will result in the expiration of this permit.
COUE/. INSPEC7IONTYPE �R IN� CO�EO IN$PELTIONTYPE D�',� ,1 INTI11pLS
1616 Fixed System Final Fire Preven4on 208 Final Mechanical
1266 Pool Spa Final
200 Final Re-Roo/
20B Final Plumbing
X I�-q-�D n1� zio FinalElectrical
�
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Appmval '. �` �
. . .„ . -....... ai :.;—�r
203 Final Sign 222 Final Sile
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARAT�
I hereby aKrm under penalty ot perjury one of Ihe (ollowing tleclaretions:
❑ I have antl will maintain a certi(cate of consent to self-Insure for workers'
compensalion, as provided for by seaion 3700 0l the Labor Cotle, (or the
pe ormance of Ihe work for which this permit is issued.
I have and will maintain workers' cwnpensation insu2nce, as required by
ection 3700 0l the Labor Code, (a the peAortnance o( lhe work fa which this
permil is issued. My workers' compensatrion Insurance wrner and policy
������he �r,wd
us senron need not ee 1co`mye�tedrn tne pe.mrt u vaWeo m me nun0iad tlonars fSiGO) wless )
Po�i�u er � l Pf J b b? S� — Z o� o
�./
❑ I certify that in the pertormance o! the vrork for which this permit is
issuetl, I shall not employ any person in any manner so as to become subject
to the vrorkers' compensation laws o( Cali(omia, and agree that if I should
bec e subject to Ihe workers' compensation provisions of Seclion 3700 0!
lhe abo� Code I hal o wilh ply with these provision .
.—� � i � G� l o
nfs Si e — Da
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
AlTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions o! Chapter 9�commencing
with Section 7000) ol Division 3 0l the Business and Professions Cotle, antl
license is in full force and eftect.
( c��G-3
� . 6 L� %n
COnV �aWre 03.
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a consWction lending agency for the
perfortnance of the v.ork for which this pertnit's issued. (Sec. 3097, Civil Code).
Lender's Name:
Lentler's Adtlress:
Da�e
OWNER-BUILDER UECLARATIONS:
I hereby a(frm thal untler penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or the lollowing reason (Sec. 7031.5,
Business and Professions Code: Any city or county vfiich requires a Dermit to
conslruct, alter, improve, demolish, or repair any struclure, prior to its
issuance, al5o requires the applicant lor such permit to fle a signed statemenl
that he or she is licensed pursuant ro Ihe provisions of Ihe CoNrectors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of the
Business antl Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violalion of Section 7037.5 by any
applicant lor a pertnit subjects the applicant to a civil penalry of not more than
fve huntlretl Oollars (5500).):
❑ I, as owner of the property, or my employees vrilh wages as lheir sole
compensation, WILL DO THE WORK, and lhe s(ruclure is not intended or
oftered for sale (Sec. 7044, Business and Protessions Code: The Contractors
License Law dces not apply to an ovmer of propeny who builtls or improves
thereon, and who does such work himself or �ereelf or through his or her own
employees, provided that such improvements are not intentletl or oflered lor
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builtler vrill have the burden of proving that he or she
did nol build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business antl
Professbns Code: The cont2c�ors License Law dces no� apply to an owner 0f
property who builds or improves thereon, and wfio contracis fa such prqect with
a cmtracta(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business an0 Professions Code for this reason:
]OS]-46(3/Ol)
Owner ID verifietl by driv�ense. ❑ Yes ❑ No
Driver's License No. Expires:
Verification o( Ownership by (type of documenl, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFEN PERMI7 CERTIFICATION:
❑ I hereby certify that no excavation frve (5) or more feet in depN inro wfiich a
person is requiretl to descend, vnll be made in connection with work authorizetl
by this permil, and that no building sWCWre, scaffdding, false�wrk, ardemolition
or dismantling t�ereof, witl be more lhan thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 311, Ttle 8, Califomia Administ2tive Cotle�.
❑ As owner-builder, I will not employ anyone to Do work which would
require a permit from the Division o! Industrial Satety, as noted above, unless
such person has a permit to do such work from the division.
APd����'s SignaWre
Division of Intluslrial Sa(ery Permit Number. _
HAZARDOUS MATERIALS AN� EMISSIONS CERTIFICATION:
1. Will the applicani or present or (uture Duilding occupant need to file and
certify a Business Plan for emergency response lo release or Ihreatened
release ol a hazardous material7 ❑ Yes ❑ No
(Seclion 25505 of the Califomia Health and Safely Cotle requires, vrith some
exceptions, [hat a Business Plan be filed vdih the CosU Mesa Fire
DepaAment by every business which has at any one time during a reported
year a quantity o( 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 vnll the applicant or present or fWure builtling occupant need to file
a registration form (or acutely hazardous materials? ❑ Yes � No
(Section 25533 of the Califomia Health antl Safery Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one lime has on hantl a quan[ity of acutety
hazardous materials equal to or greater [han a vreight of 500 pounds. or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at stantlartl
temperature and pressure).
3. Does or will the applicant or preseN or Nture building occupaN need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code provides that Ihe
Cosla Mesa Fire Department may require the preparation, certification and
fling wilh the Fire Departmenl ot an RMPP by businesses which are requiretl
to register acutely hazaraous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code Deen (ully complied with7 ❑ Yes ❑ No
5. Dces or will the applicant or present or IuWre building occupaN require (or
the work which is the subjec[ o( this aDPlication a permil !or such wnsuuction
or motlifcalion from the South Coast Air Ouality Management District or from
any other air pollution control districl or agency? ❑ Yes ❑ No
(Seclion 658502 0( the Califomia Govemment Cotle requires Ihat Ihe requestetl
information be fumished on applications for rron-residential building permits�.
6. Will any part of ihe faciliry ro be constructed under this permit be within
1000 feet !mm �he ou�er boundaries of a school? ❑ Yes ❑ No
Qf 'yes", Ihe (acility musl meet Ihe requirement of Sections 25534 and 42303
of the Calilornia Health and Safety Cotle).
7. If a permit Irom the Sou[h Coast Air Ouality Management District or other
air pollution control tlistrict or agency is required for the work which is the
subject ol this application, have all of the disclosures prescribed by Califomia
Health and Satety Code Section 42303 been made7 ❑ Yes � No
8. (It yes', altach certificate of compliance fmm the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I ceAify that under penalty of perjury the
information given above is wrrecL I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
Signamre Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certify under penalty of perjury that I have read this application and state that
the inlormation given is correcl. I agree to comply vrith all sWte laws and city
ortlinances relating to huilding consWction, and authorize represenUtives of
the Ciry of Costa Mesa to enter upon the above�escribed property for
inspecti n purposes. I agre not to occupy or allow occupan y of ny building
authod , �/th� ertnit til final inspeclion.
( 6 GI / /O
Signawr o� Le Owner(s� e
Malo ut�anzee AO ifvnt te
� Prescriptive Certificai
� Re.��identia7 Alterations
. PrujeclNamc: `v�)
� ) [7
CF
' (Pa�e 1 oS 5)
H� � H of Stories
��1paQI1C Sur1�3cC Details ror the furred purtioned af Mass Wnlls see Furring Strips Construction Table belox•. �
0
Assembly Name
asaembliea,
C ll � P C
C� cc a¢ $I911d8id �
Framing Thickness, Frxmec
Meterial Spacing, U- ]A4 Tahle Caviry
and Size' or Other3 factor' Numbers R-value
�o (or Con�invous Insufa�ion R-va(ue, see Paae JA4-3 mrd Equaiion 4-1. F
JA4 Proposed
Assembly Assembly
Cell Valueb U-facror°
wa(/s use !he Mqss
l. ror Tng/!D indicaie the idemi�ca�ion name ihai maiches �he building plans.
2. Indicme !he Assemb(r Name or rype: Roof�Ceiling, Walfs, Floors, Slabat Crow1 Space, Doors and e�c...lndicaie the Frame rype and Size: Fm�
N�ood, Metal. Metal Buildings, Mass, eNer 2s4, 2s6, or elc... see JA4 fm' oiher possible frame rype assemblies. �
3. Eiver (Ge (hichness jor' mass in inches or Spacino berween jraming members en�er,- 1G'"or 24 "OC; or Olher fw' oll other assembly dercriyrima
such as Cnncrete SandwicH Fanel, Spandrel Panef, Lags, S:raN� Bale Panel and etc....
4. Based ai ihe Cfinmie 2one; enter the Siandard U faaor fi�om Table ]i)-E, C or D for ench dif, ferem assemblp Name or rype.
5. Enier the TaGle num6er Uial claselt� rexembles Uie yroposed aa�sembli�.
G. Lnier �he R-val�e Ihat is being installed in the wall cavirn or Geiween 1he fi'mni»g; o�he�wise, emer "0 ".
7. Enter �he Cnniinnous Insulatia� R-na/ve for lhe proposed assembl��; otheiwise, e�ver "0",
d'. 6nier dre rnw m�d cnlunm of �he U fac�or valuc based on Cofmror FTa6le Number ond enier (he Assentbly U-(acior in Calunm J
J. The Propn.red .4aa�en+Gh� U-/nclor, Cofumn J, nvur� Le equal io w� lera� than fhe Stairdard U-faclor iii Colunvr E m conrpl p.
Furring Strips Construction Table fm� Mass Walls Oniy
A B C D L� F G H 7 J IC L M
I'ropused Yruper[ies of Mnsonrp and Concretc A�ded Interior ur Exterim� Insulatiun
VJalls Prom Rcference in Turring Spnce f'rom Referencc
Juinl A endia `('ablc 4.3.5, 4.3.G. 43.7 .loinl A endix 7'able 4.3.13
�
U J u a� C U
m `p
ksscmbl7� z-� � � c` F �' ;° m��_ �. `_ Final
Mass Nmne or JA4 Tahle ' �: �v � � R R o 't A o— " Assembly
'fhickness� ly e' Numhcr � F � ° ui ° u`. u`. 5 �°. r 4'F m� U-factor�''' Comll]enl
�
I �
Ifegia�irmiai Nurnber: Regix�ru�iun Ua�e/Tunc: HERSP�»vider:
200b' Re��ideniial Campliunce F��rm.r �ugus� 2009
e Certifcate of Cor ince: Residential CF-IR-ALT
Alterations (PaQe 3 01' S)
Praject Nlimc: � Climn[e Zone # � ii of
ROOT'ING PRODUCTS (COOL ROOFS) §15�(p11
When Ihe nrea o%rxlerior rnof snrJacc m bc�replaced crreeds inore [han 50% of U�e ciisting ronJaren, or �uore lhmi 1,000 jf, �ohichever is
less, thc nein roafiug area mns� n�ee� tLr rnofing produc� "Coo!/lonf'requireinents oj§I52(b)1Hi, 152(LJIHii, or I52(bJlHiii.
Check app(icable a(ternrttive w' eticeptimi beloir iflhe roojal�ern�ion ra� e>empi fi�om !he roofing produc� "Cool Roof 1 requirenreivs. Note: /Jon��
m�e of d�e a6erna(ives w� escep�ion Ge/ow is checked, Ihe AgedSolor Reflec�ance m�d Thermal Emitlonce requiremen�s for roofing products in
,¢/ 18(i) ar'e no� opplicable. Do nor fill rable befow.
❑ Cool Roofs Not Required in Climate Zones I-12, 14, and 16 with a Low Sloped. Less or2:12 pitch.
Cool ItnoSs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 516/ft�.
Alternatives [u §152(b)1Hi and §152(b)Hii, Steep-slope roof (pitcH > 212)
❑ lnsula�ion with a Ihertnal resis�ance of at lezst 0.85 hr� °F/Bm or et least a 3!4 inch air-space is added to the roof deck
over an attic; or
�"Existing ducts in tlie attic are insulated and sealed according to §I51(fl10; or .
❑ ln climate zones 10, ] 2 and 13, with ], ft�. of free ventilation area of ariic ventilation for every I50 ft� of attic floor area, and
where at least 30 percent of the free ventilation area is wilhin 2 feet vertical distance of the roof ridge; or �
� Builcling has at least R-30 ceiling insulation; or .
❑ Buildmg hzs radiant 6azrier in the attic meeting die requiremenis of §t51(�2; or
❑ Building has no ducts in the ariic; or
❑ ln climate zones 10, 71, 13 and 14, R3 or greater mof deck insulation above vented attic.
Excep[ion to §152(b)1Hiii, Low-slope roof ( pitd� S 2:12)
❑ Building has no ducis in the attic.
Other Ezceptions
.❑ RooSmg area covered by building integrated; photovoltaic panels and solarthermal panels are exemp� from the below Cool Roof criteria.
. O Roof constructions that have thermal mass over the mof inembrane with at least 25 Ib/ft is exem t from the beloH� Cooi Roof criteria.
- Note: If no CRRC-1 label is availa6le, this compliance method cannot be used, use the Performance Appmacli m sho��• compliance, otherwise,
Check the a licable boa below if Exem t from the Roofin Products "Cool Roof' Re uirement:
Roof Slope Product Weight Product Aged Solar Themial
CRRC Product ID Number� < 2:12 > 2:12 < Slb/ft� > 516/fr' T e' Reflectanee� � Emittanee SR75
❑ ❑ ❑ ❑ p^
❑ ❑ ❑ ❑ p^
❑ � ❑ ❑ ❑a
❑ ❑ ❑ ❑ p'
❑ ❑ ❑ ❑ ❑^
l. The CRliC Produc� ID NmnGer can Le obminedJ�onr �he Cool RoofRaring Cmmcil'a Raied Producl Uirecmr�� pl w�v� � coolrooLr.are/pruducfs/search nl n
1. lndimic fhe iype oJprnducr is Leing useA%m'!Ge �nnf lop, i.e. single-pl�� roaf, asphal! rooJ, �uem! roof, elc.
3. 1(dre Aged ReJlenance is nm availoLle inlhe Cool RoofRaiing Com�cil'.r Ra�ed Produc! Dii�ec�op� �heu �ase drr /ni(ia! NeJlec�onm valucjr�mi Uic samc
direcmr;y ai�d use Ihe e9uaiim� (01+p](p��������— 0.1J m obiain n calcula�ed aged valuc. Where p is d�c b�iliol Solar lieJlec�mice.
4. Check La� J����e Aged /ie(leclnnce is n calcnloled nalue using !hn egualiorr above.
5. Cnlculme tl+c SRl vaL�c Lr uring Ihe Slil- Worksheel al IIln://�vn•u•.errerp�.cn.¢nv/Ii(Ie24/and enler !hc resulling vnluc in !he SR/ Coluinn abo�e and allach ucop�� oi
Ihc SRL IVm'ksheei m Ihe CPJIi.
To apply Liquid rield Applied Cuntings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacl�rzer and meel minimum performance requirements lixted in §I I S(i)4. Seleci the applicable coating:
❑ Alumii�um-Pigmented Aspl�alt Roof Coating ❑ Cement-Based Roof Coa[ing ❑ Other
Regis9ra(iwr Number:
2008 Residenliul Compliunre Fornts �
Registraiion Date/fime.�
HG/LS Provider:
Augus� 2D09
�'/
)'rescriptivr Ceriiilc�te of
Residenti.n! Alterations
Yrojecl IVnme:
ce: ._esidentinl
CF-1 R-ALT
(Pa�r � of �l
Clim��r'Lunctl � �'ufS[uries
H�I:S \'LRIF1 CAT701� SUMI11AR1' Thr en/orcemem ��grnc7•shmdd pnrspenul unnnrion �n ihr HEIfS Meus�n�e.s speciJied m rhis
checkhsi be(on• d canple�ed und signcd CF4H fornr,(or oB !he urens�u�e.r s�ecilied sholl Le suLmined �n Iiir building ineyecia� Lejw�c� final
Duct 5enline b 7�eStillp HL'RSveriJicu�ion irrryuircdlor�hia mcnsw�c. �
❑ i'ES ❑ NO 1'CS�. ln Clinm�e Zunes'_ nntl �J-I G, if more Ihui� 4U hnear teei of ne�+• oi replacemem Aucts are insiailled in unconditinned
SPACC� II1C (IIICIS JIC lb be seided per g152fb)IDii und the uewly iuswlled ducts nrc to bc insulaieA pei i I51(1)10.
❑ EXCE)'T1U�: Lsistinp duct systems thnf are extended, �vhich are cuustrucied, insWnted ur sculed �vith asbestus.
❑ ��S ❑ NO vL�S: In Climnte "Lones 2 xnd )-1 G, ii ihe existing space-c�nditioni��g sysiem {H V AC equipment and ducting� is repinced, the
ducts are to be sealed ya §152(b)1Li. .
❑ 1'�S ❑ NO Y�S: In Climate Zones ° and 9J G, if the exis�ing HVAC equipineni is repluced jincluding th� replacemcm o1 the nii hanJier;
owduor condensing unii of :+ splil sysiem, cooling or fieating coil, or the fivuace 1�eai exchanger) the ducu are to be
sealed pei § ] 52(b)1 E.
❑�XC�PTIO�: Duct systems thnt are ducumented tu I�nve been previuusly senled confirmed thruugli HC72S
� veri5cetion in acem�dnnce wit6 procedure� in the Reference Residentint Appendia P.1+3.
❑ LXCCPTION: Uuct systems witli less than 40 lineor feet iu uncmiditiuned spuce �..
❑�XCLPTIO�: Existin� duc� svstems constructed, insulated orseuled with as6esw5.
Refriverant Charge - Split System HERS veriJicntion is reqvired.for thi.r meosin�e. . �
❑ YL�'S ❑ NO YCS: ln Climate Zones 2 and 6-I5, wl�en the existing HVAC equipmem is replaced (including the replacemen� of the air
hendler, outdoor condensin; uni� of a splii system A/C or heat pump, cooling m' heating coil; or the iumace heat
Central Fan Inteerated (CF'I) Ventilation System and Fan R�att DraH�
The veneilation reauirements oT 61 SD(o) do not aoplv to existine residential homes.
Ducted Split S��stems - Air Conditioners and Heat Pumps: Airflow HERS »e,�i/ication ia reguired.Jor �his nveasure.
❑ Y�S ❑ NO YES: In Climate Zones 10 t6rough 15, when [he exisiing space-condi[ioning system (HVAC equipment and ductino) is
reolaced. Ihe airiloW nnd ian wan draw shall be verified ner ,$ ] 52(b)1 Ci io mest tlie requh�aments of b I i I(tl7B.
Author's Declaration
this Certificate of Comoliance documentation is
U.,� � GA- `t z6 7 z
. �/0
Ua e:
<< [ �D
lf Ap iica e O CEH oi O CEPE
(Certification 1!):
��1 ��9� 36l - 77 z3
Responsible Buildine Desi�nu•'s Declaratior Statemenf � �
e 1 am eligible unda� D'rvision 3 of the Cu1'ifomiu 8usiness und Professions Code to accepi responsiUifiry- Ior the oulldiug design identiGeJ on
this Cenificate of Compliance.
• ] ecnify [hai the energy fwwres and perl'ormance specifmntion: tm the building desigi� identiGed on this Cenif�c.ne of Cumpliance conform
«� the requirements ofTillc 24, i'an:: 1 anA L of the Culiibmia Cnde of Re�ulaliuns.
• Tlie buildinE design feawree idemiGed on thi: Cerlificate ofCampliancc nrc consis�em wilh thc information provided to ducumem thi::
buildin� duiEn on th: other npplicable compliuncc lunnc, wurkshcets, culculations, plans anJ speciLcation:: subnuttcJ u� �hc cn1'orcemenl
ueencr fm� apprtrv�il with lhia buildin^ pennii x�pbca�ion.
Nanne Sipnaturc:
Compan)':
License.
Phone:
F,,,u,.t�,��«,�«<» ���,�.�•�r�,�,,�.�•�b�„�i�»�;[hrEncrorStandturls,cnniacrthrL•„e�grHo�lincnt:7-xUli-;;2-;3o(t.
I(egm�rrrnran lJunrbcr I(egummior. La�e?mic I-/LI;S f rm�irier:
20(If; Icc::icieivial Cona/dimmc Fnrms �iugc:.rt 3(lb%
OWNER AMENDA� C82'1 H. DATE H-26-E�1
FIRE ZONE DESCRIPTION OF WORK t
DATE IGROUP J TYPE V ZONE
SUBCONTRAC'lOR
'' 22882_ �:
� ', ..
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 91] COBTA M68A� CALIFORNIA
For Applicant !o Fill In Complelely '
TYPE OR PRINT
BUILDING ` '� .�
A�DRE55 O O �
COSTA MESA, CALIFORNIA
■ MAIL
�� ��
USE OF
EXISTING BLO6.
6ETBACK LINE P0.0M
� USE OF
FEE RECEIVED
fINANCE �DEPT.
CITY Of.�;COSTA MESA
APPLICATION � FOR PERMIT
BUILDING
Fo� Office Use Only
RGCEIPT NO. Pl�O_]�
GGVCr�
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LEOAL � /� / J � �f
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A.P.NO. �U
NOTE: NO EAVE OVERHANG BHALL B8 LE53 THAN '
( _ ^ U � 90"TOSIDEQREARP.L.
(l
EAVES
rvo.oneLoas. ALLOWED (U.B.C.RECUIREMENTI
NOW ON IAT
YAR�S MPROVED YARD9APPROVED
MAIN BUILDIN6 ACCESSORY BUILDING
( FROM GL SfREET )
DESCRIPTION OF WORK
WALL
1 HE1iEBY ACKNOWLEOOE TX�T 1 HAV2 R¢AD TXIB APPLIC�TION
AND BTATE THAT iH8 ABOV6 IB COFPECT ANO AHFE6 TO COM-
PLY WITH ALL C�TY ORDINANC88 AND BTA I.AW9 REODUTINO
BIIILOINO CONBTRU ION.
SIGNATURE OP
PERMITTE — �
AUTHORIZE� AGENT
DI9TANCE BET. I BET. MAIN d
MAIN BLDGS. ACCESS. BL[
VAR..$ DATE
THE AMOIINT BHOWN UN�ER VALU�TION IB FOR THE
PURP08E Op EBTABLI8XIN0 A PERMIT FE8 ONLY.
LUATION �� I "'..._ ^^- � � 1
s � .s D
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;OSTA MESA BUILDING-SAFETY DEPARTMENT
y P. O. BOX 917 COBTA MEBA. CALIROFWIA
For Applicanf fo Ffll In Complefely
TYPE OR PRINT
o e�s"s 2735 De Soto Ave.
COSTA MESA. GALIFORNIA
E, Coas
Del Mar
ARCHITECT
STATE
L
NO. OP BIdOB.
8HT6ACK LIN¢ FROM �O � gEAR YARD22 �-2��
CENT6R OP 9Tq86T
SIDE YARD I LEPT 6� I RIGHT 6 �
DESCRIPTION OF WORK
NFW X I II AI_TFRGTI(]N I II ADDITION I
I..�/lf ll11I N�;
cas?rn m ayq.50
•�sR -6-F' P� �«. � 76�e +H►o
Y�PPLICATION FOR PERMIT
BUILDING
For Offlce Use Only
" rsece�rr No. re(e
re� �(
xecerv�o er I �`J—e��,�3I �MAR
�e
BUILDING
AD�RE6S
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP\
APPROVED
BV DATE
ZONING
20! � NO. OP E OF NEW � U
— �j I PLAN9 �IlDINO (� I� rl
�- l
LEGAL _ . - . _
6T.1
ISE OF BUILDING AND WORK TO BE PERFORMED
5inele £amilv res w att ear. Livin� Area: 1780 S,F,
Plan # 450-� Gara e Area: 1t60 S, F,
� HEREBY ALKNOWLEDOE TH�T 1 MAVE READ TN18 APPLIGTION THE AMOUM BHOWN UNDER VALUATION 18 FOR THe
AND 9TAT8 THAT TH6 ABOV¢ 18 COPRECT ANO AGRH¢ TO COM- pUPPOBE OR EBTABLIBXING A PERMIT F8E ONLY.
PLY WITX ALL CITY ORDINANCEB k'1D eTATH L.�W9 REOULATINO
eultnlNo coNernuciloN. VALUATION /�
�GNATURE OF PERMIT FEE $ (G,�
�RM17TE Mesa Del PSar Develoome t Co, r m
By�� ��� � s 19,065��� PLAN CHECK $ ��/��
GTHORIZED AGENT �-.,t,rt ldtJ � . / r- �
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