HomeMy WebLinkAbout2751 DESOTO AVE - Building Permitsnnowasaem� ?751 DESOTO AV`
�"!'Eas""yE1P1P'01"' DRDA, BENEDICT
�- "°°"E55. 27.51 DE SOTO AVE
i COSTA MESA,CA
751-9580
uvi. wiudc wo�ss �
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AqClt OR FHG.'S ADDRE55:
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92626
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coam�cTarsxu� A-1 ALL AMERICAN ROOFING ( 714 ) 636-7663
CONiIiAtTOR5YAl101G 11382 TRASK AV
�ss: G.G. CA ucr+o: 693307
90843 urar: 109
LICENSED COHrPACTOPS UECLGPATION: I hmeby � uMs perely d pwjury Nm I em Icm9etl uMe� prvmions d Ghapr 9
(mmmmanB wilh Section ]OW) d Orvwun 3 d tM Busma eM Pmfeae'vre Coda. vd mY 4rerea u in htll laca and eHod.
cm uc. No.: 0 6 S 18 2p uc. cuss: �_ g'g uc. No: 6 9 0 7 XP : 0/ 0
me: � —( cumrea«:
F BUILDEP DECLARATION: I hanW elfi�m uMer pendy W perNrY �� I am q hom Ihe COMroean Limme lew a IM
Idbxsg �maon (Safan ]W 1.5 Busiiesa eM Profmvma Lode: AnY cty a muNy xN nqu'vee e pe�m0lo wubucl. Mr. imyow.
eemd'an, v repei any slnw+�n, wior �o Gs mauer�, eho reaulm, �ne avWimn� �« eucn vmml �o fib. aan.e.tei«mK mm ne «.n.
o licenaed pum�ent lo Ihe ywieiom d iM Gontredars lioense law �Claqer 9(oommendnp wuh Saqion )000) M Oivebn 3 d ihe
Busnan eM Profeaioru Cadel a Iha� M w ahe o ezemp Iherehwn vM IM beoa ta Ne elk9� exemNun. MY violelon of Saqun
)W t.5 W any epplirent i« a permn abptls iM eppliram �o e dnl paaly d M mae �hen fxe huMred doAv+�55�0��.
� 1. s5 ovmer dthe pape�yw my empbyeea xvh wepe5 as Ihei eda mmpense�bn. vNl do IM work. vd IM attucYun e'wl inlended
ar Mered br aeb (Section )Oad. B�re» eiM PrdeasionaCoda: TM Corurmas Licertve lew Eom mIMCNtoan anwM piapeity
who Wids ar inWo"<? thereon. end xfio dues suM xM himsaH w Mne� a Mroiqh ha n Mr own emWvleaa. A�� �1� wch
impwemeNs ara nd mteMed a dle�ed ta ule. tl. Mwever. tM buitliip a inpwvnxu u mk MitNn ane Y� d campblion. tlr
owrer-0uiNar MiA lave IM burden d pwi�p he w ahe d'M ml WiM a imqove la IM WT�a d aelel.
❑ i. m ow�� a ma ww�v. � e.d�dv �,��a:w•nn i�e�.ee w�o-.�w. m�a.m�,a me wqe� lseao� �ae. a�.�o.. �e
PMm4om Gode: The ContreCas Lieensa law Eoas ml appy to en owmr d peopeM ��+�+ a impmm �Iw�eon ercl who
contrecb la vrh prqads v.i�h e mMratla(s) Icenaed W9�t to tM Conirerlon License Lewl.
� I am eRenip uMer Sec�ion: B. d P.G., br Nia reeaon:
Date: Owner
i eo nereM �v �nm i em a.�.a w�e �nwe�sw�d ina �ea���ems a ce��omie �n, end sd�r cme seaan. assos. zssx+..m
25534. eM IMt I a anY Mure WiMi�q o2upent will / wil iwl (orcb me) need b canpF/ wIh eeid ebb wdss vd Ilr �aquinmaMe la
aVarmnlamnsiructionormodifretionhomtMAi eSGl�y ere0emantDiatna.Reddauilm�ntruUionePD�iomanaasmqhwnNw
a��.
ome: � Aad�e�n: '
i�
WONKER'S COYPENSATION UECLAF�TON: I Mreby effi�m uider penMy d parjury one d ihe Idbw'vp tledera�'wn:
❑ � neva ena xi� meimem a�enif'iw.�a mnsaoi io sen;ru�m i«.wrkeie' cano�.mion... awiEee rw M semwi sroo a �n.lmn.
Catla. la iM perlarmence d �ha'xak lu wNch I�is permil o imued.
�
I heve arN wil meimen wwkeis' companee�ion imurence. es rtQuire� by SeCion 3lW d Ne leEu COEa.lariM pe�armeMa d iM
work 1« which thn parm� u ivued. My warkan' camperae�bn insurance far�br erd pdiq number ua:
c�e�: CREDrT GENERAL• EXPIRES
Pw�r+�mb,.: cw��nnn�sn� 11/11/96
(Thb section neeJ rwi be cwnpbro! / lhe peimT ia M me huMred do1Ws /SIOJI a Isa�.)
� I cenEy Ne� in tha pa�loimeMa d �M wak tor whch t�ia paimu ia bauatl, I ehell'al emplvy e�ry penan in any muvier m m lo
necome subjea �o me v.wlmn canv�se�ia, mwa or celilamu.vW wree m n � enwlE necome wDjscv �n.
pensetion O�s�a 5 ion 3100 W Ihe labar COEe. I Mell 1 R�' h oom ' thme Pr 'sorm.
o�,:�m Ih�l��%j A���:
\Weminp: FaUun ro�ecun woilrsn'rompxuatlon mvsreps /� un/awNl, endLWl • Hct an xnplryw ro MMnsl psneMu �ntl
cnn nnss w ro ons nunarw momnd eaan /sio0.oaol, �n ede�non ro ms eo.� o�'eompau+ean wm.w+ ea p.onew roi In
Srotlon ]]P6 0l IM LaEor Cotlr, inroroi4 ans attornsy'e /s�w
CONSTfiUCT10N LEN�INO AQENCY: I Mreby �'m undar panelry of perNrY �� �hare n e canM�uGion bMmp epercy for tM
peel«mvca d tM work br xfiieh Ihs permi is saued (Seifian 309]. Civ. CI.
LENOEF'S NAME:
LFNUEP'S ADDPESS:
I eerlify t�et I heva re� thia epd�� � m�a the� ihe ebove inloemation is rorted. I epree to eompy wilh ell dry end eaumy wdiew�ms
end nte�e lexs releling to Wilding cmmrudian eM hereby author¢e reprexMaiives d �hp dry to anter uqm tha ebove�meMbrwE qaparry
lorinspaeion purposae.
ANDY MARSHALL _
(S151de.WP) White-BuildmpBSe/ely:Oreer�F�le;Cenery-AOD„�:Rnk-Revenue;Ooldenro�Nsesem
��p _ CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 080U39
PERMIT NO: B 080039 PLAN CHECK NO; N� GOC�T: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF, RESHEATH 6 REROOF W/COMP. SHINGLE SQ FT: 6,960
CLAIM VALUE: 6,960,00 CALC—VALUE: 6,960.00 GROOP OCC: R-3 /U-1
COMMENTS; SMOKE DETECTORS RE�UIRED PER 94 UBC
��*�***���******+�+r*+�*���**x�«� **�����r��*+�+�+�+r***x**�*+���**��**��***����r�+r**��**��
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14164205 ZNE; REF NO; _
PLANNING NOTES> '%� '
i �
iE �E �E IE 1E 1E iE iE if 1E if k if iE If iE IE 1E iE fF if iE if if iE iE �E 1E 7E 1E 1E if iElF iF if iF it if iF if iE 1E IE 1E 1E if iE M iE ff iE jE fE 1E IE if �E iE if 1E if if iE 1E 1E jE ff 7E �E �E 1E iE fE fE iF ft fF 1f
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
ZONING APPROVED BY DATE: '.-.
BUILDING APPROVED BY : DATE: '
APPLICATION ISSOED BY: DATE: �
**�***�,����***�****�,�,���������������-�������****��*��*� g `*�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
IPERMIT 124,75 .70
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 125.95 0,00 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
HLDG PMT PLUMBING ELECTRIC MECHANIC
124,%5
SMIP/NON—RES
TOTAL PAID DUE
125.45 125.45 .00
125.45 OVER/SHORT: .00
FIRE SMIP/TO�T GRADING PLAN—CHECK
iE 1E'lf' 1E 1E iE 1E iE 1E i8 iE 181I� 1F 1f 1E 1E 1f 1k 1F 1k ik k if 1E 1k iE iF if iP'k 1E iF 141k if if if 1E dE 1t 1f 1E 1E iF iE if 1F �E fE iE 1F ik iE 1E fE iE 1E �E 1E 1E 1f iE iE iE 1E fE'!k 1E iE'1f 1E iE iE 1E �E fF 1f 1E
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 6960 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 6,960.00
END OF FEES
O1 00217472-00217413 T O T 125.45
DATE: iD/I8/9` TIIIE: 13:57
-�UNSTRUCTION AND PLANNING P00� � SPA �
� APPROVALS Permit # Date Inspector qppROVALS Permit #', Date Inspector
t. Temporary Electricai Service or Pole 52. Pool & Equipment Locacion •
2, Soii Pipe�Undrgrnd. � 53. Steel fleinforcement
�.3. Electrical Conduit Utility�Undrgrnil. 54. Forms �
-�-4. Eleci��cal Conduit�Undrgrnd. 55. Electrical Bonding • �. I
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Elecuital UFER Gmd. 57. APPPOVAL TO COVER•GUNITE
7> Foot�ngs � 58. Electrical Conduit-Undrgrnd.
_ 8. Foundation "� � 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines; P-Trap, � Undr9md. ' �
70. Structura� Fioor System 67. APPROVAL TO DECK ," �
/ i. Propirty Sewer Line & House Connection 62. Backwash & RecepYor�Final .
�
72. Sewe� Cap - .� 63. Heater & Vent�Final ` ,�
13. Roof Drains � 64. Plumbing SYstem � Final
i4. fiough Plumbing 65. Electrical�Final ' ,
15. Rough Electrical-Conduit . 66. So�ar System-Final �
16. Rough Electric Wfring 67. Fe�cing & AcceSS-ApProvat
t7. flough Wiring Sign � 68. APPROVED FOR PI.ASTERING . �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT �
20. ftoagl� �actory Fireplace ' APPROVA�S- Permit ,$ i
�2d. Ducts, in Structurg� , � � 70. � Underground Hydro
22. Ducts, Ventilating , 71. Product Piping G� Gas ❑ Oil
23. Gas Pipe-Rough & Te5c 72. Underqround Flush .
24. Roof Framing _ . 73. Undergmd.Stora�eTank �Gas ❑Oii
25. Rooi Sheathing ' `O-L�_�� 6(.i/(�L 74. Overhead Hydro
�� ,
26. T�Bar Ceiling (Structural) & Monocoat 75. Ory Chemical � ' � • -- _ "�
27. Frame and Flashing . _ 76. Dry Standpipe �
28. Lathin9 & Siding - �- - t 77, FIXED SVSTEM FINAL "
29. Insulation � 78, FIRE PREV. FINAL
30. Dryn'ali Nailing - � � . � HEAL7H DEPT.-REQUIREMENT
31. Plaster Brown Coat _ 79. FINAL INSPECTION �.
32. Electricat Power MeterFinal � 80. FOOD CERTIFICATE ISSUED I
-1
33. Final Electric - . Notes: _ '
34. Final Heating & Air'Conditioning �' �� 7 2�, � �
35. Final Gas Pipe�Test • � - � ' - ,
36. Hood or Canopy � � - � '
37. Fina� Facmry Fireplace .
38. Finai Plumbing � � _ , , .
39. Water Service-Final � � "
40. Gas 5ervice-Final . . "
41. Solar pomestic-Final -
42. Backflow Preventer "
43. Backtlow trrigation ' - - � _
44. Landscape Irrigation System
45. Sound Attenuation _
46. Handicap Regufations . -� _
47. FINAL STRUCTURE & BUIIDING /� L,(/_G?d �w(L "
a i [ a
48. FINALPLANNING. - -
49. Electrie Release to Edison �
50. Gas flelease to Southern California Gas Co
5t. CER7IFICATE OF OCCUPANCY _
No. Date
Applicant to fill in all spaces within heavy Eortler Ilnes antl sign all app�opriata tleclaratlons.
CITY OF COSTA MESA PERMIT O. � TRACT NO. LOT NO. �BLDG. NO.
CSN�T.RUCTIONPERMIT � /'j/% __
OwneF (''y� ��(Z'j� Phone'
Address `Z... 5 � . �0 �(/ � -
Arch/Eng. � - License No.
Contractor ��� ' PhOne
AArirrs� . . i .
LICENSED CONTRACTOR �ECIHRATIOrv �
I hereby affirm that I am Ilcensetl untler proNslons of Charter 9(com-
mencing wltn section �000) of Dlrislon 3 ot tne Business'antl
Protessionz Cotle, antl my Iicensa is In tull forca an0 etfect.
License Class License No.
Dd[e $i9natu�e
WORKERS' COMPENSATION DECLARATION - �
I hereby atflrm tha[ I have a certificate of consent to selt-insure or a
�Rrtifitdta of WOrkelS' CAmpenSation �nSUfanca, oI a Ceftifietl Copy
Ihereof (SecOon 3800, Lab. CJ.
�liry No. Company - ��
Certifietl copy IS�h¢r¢by furnish¢tl. - -- � �
� J Certlfietl copy is filed with the city Builtllnq Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This sectlon neatl not be completetl it tha-permit is for one huntlretl
($300I or less). ' • .
I certlfy that in the performance of. the work tor whith this permit is
issuetl, 1 shall not employ any person In any manner so as to become
subject to the Workers' Compensation Laws ot �Califomia. • -
Date Signature
NOTICE: If after makin9 this tleclaration, you thoultl become subjecf
to the Workers' Compensation provislons of the Labor Cotle, you must
forthwitn comply with such provisions or tnis permit shall be tleemetl
revoketl. � � - - ---
CONSTRUCTION LENDING AGENCV
1 hereby attirm that there is a constructlon lentling agency for the per-
formance of the.work for which this permil is issuetl (Section 309]
Civ. CJ.
Lentler'S Name
Lentler's Atltlress
OWNER BVILDER DECLARATION � � - � �� -
I hereby atfirm Ihat I am exempt trom the Contractor'S License Law tor
the tollowing reason (Sectio0 7031.5 Business antl Professions Cotle:
Any city or county which requires a permii t0 Construcq alter,
Impfove, tlBmOlish or repail any StFuCtur¢, prlol to its i55uanc¢, also re-
quires the appllcant for such,permit to flle a signetl statement that he
is licensetl pursuant to the provislons of the Contrac[or's License Law
(Chapter 9(commencing with Sectlon �000) pf Division 3 of the
6usine55 antl Profe55ion5 Cotle) or fhat h¢ is ezempt there/rort� and th¢
•sis for the allegetl exemption. qny violation of Section 7031.5 by
y appliwnt for a permit subjects the applicant to a civil penalty
nol more than five huntlretl tlollars ($500).
� I, d5 Owne� of the property, or my employees with wage5 a5 iheir
SOIC Compensation, will tl0 the wo�k, antl the StruGtur¢ is not intentle0
or offeretl Por 5ale. (Section 7044, Business antl Professlons Cotle: The
ConVactor'S LiCense 12w tloes not apply to an owne� of a property
who builds or improves thereon, antl who tloes such work himself or
through his Own employee5, provitletl that such imprOvements a�e not
i0tentl¢tl O� Offe�etl for sdle. If, however, th¢ bUlltling o� improvement
is soltl within one year of complefion, the owner will have [M1e burtlen
of proving he tlitl not builtl or improve for the purpose of sale).
❑ I, as owner oi the property, am excluslvely contracting with
licensetl contrattors to construct the proiect (Section 7044, Business
antl Professions Cotlo: The Contractor's License Law does not appry to
an owner of._property who builtls o� imprOv¢s thereon, dntl who con-
tracts from such projects witti a contractor(s) Ilcesnetl pursuant'to
the Contractor's License Law).
❑ 1 am exempt untler Section B. & P. C. for this
reason "
�ate Owner
I h¢r¢by ce�tify Ihd[ I hav¢ reatl this appllcation antl State that the above
intormation is mrrec4 I agree to comply with all tity antl county
ortlinancecantl State laws relatin9 to construc lon, dntl hereby authorize
represepCetiv9s of this Q�[f to� e❑ter up the above mentioned
.....nolv .trY/ insnncHnn Id� mNST\ _....._.. � f i_
TVPE OF CONSTRUCTION
❑ NEW ❑ ADO ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL OPLVMBING ❑MECHAI
❑ OTHER
PROJECT DESCRIPTION . - — -
SQ. FT.
OCCUPANCV __CONST.RUCTION SYPE
VALVATION ' ZONE
� GRADINGCUL VDS. ACRES
PLUMBING
.�PLANCHECK
SHOWERS
TOII_ETS' VRINALS
LAVATORIES DOUBLE�LAV!
KIT. SINKS � DISHWASHERS
SERVICESINKS � SVMPS
FLOOR SINKS FLOOR DRAINS
DRINKING FOUNTAINS �
INTERCEPTORS CLARIFIERS
SWIMMINGPOOL. PTR.VP
WATERSERVICE ALTERATION
GAS SGC.ICIBE ��'�l'JUTLETS
WATER HEATEftS BTU OUTPUT
SEWERCONNECTIONS ��
SOLARTANK COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL c�ArvCHECK
HEATINGSVSTEM 0-100,0006TU_
AND DUCTING 100,000 + BTV _
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000 + BTU _
BOILERS BTU
SVSTEM 0.EPAIR, ALTERATION
EXHAUSTSVSTEM MVITIPLE
Driv�rs' L'� �� ss x �%�' ' ISSUE FEE
CMF 0865-46 White-Builtlin9; Canary-Applicant; Pink-Accounting; Goltlenrotl-AsSessor
�� \� � ,��
8212 II/13/8i
ZONING REGULATIONS
ZONE
REAR VARD (TO P/L)
PKG.SPACE REQ.
STREET WIDTH
ZONING APPROVED B\
SPEC IAL CONDITIONS:
0
�
ELECTRICAL
- ,
's.00- � Tl,
PLNTGp. gRUEF�. p�
70.0PE�RTV LINE
PROVIDED �'-
PARK FEE $
DATE
p i
PLAN CHECK -
GENERATOR 0-1 KW_1-30 KW _
TRANSFORMER
APPLIANCE 30-50 KW_50 + KW _
MOTORS p-1 HP_1-10 HP _
(INC. SOLAR) 30-50 HP 50 + HP' _
FIXTURES OUTLETS SWITCHES�-
GASTUBESIGNS '
POLE LIGHTS � � - ' �
POLES�V� V, METERED SUB
,PANELS MAIN' -SUB '
SERVICE � AMP
ISSUE FEE
APPLICATION APPROVED BY - '
DHTE
SUMMARV OF FEES ,
BUILDING ' ' - '
PERMIT $ SMIP� S
PLANCHECK $ PERMIT '
ISSUANCE $
PLUMBING $
GRADING $
PLAN CHECK $ ' .
ELECTRICAL S � $
PLANCHECK $ MICROFILM $ �
MECHANICAL $ TOTAL FEE E
PLAN CHECK g LE55 AD- '
� VANCEPC $_
r�-o� 1
, FINAL FEE $._p� ,
CONSTRUCTION AND PLANNIN POOL & SPA , _
� Date Inspector � Date Inspector "
APPROVALS Permit# � APPROVALS Permit#
1. Temporary Electrical Service oi Pole 43. Pool & Equipment Location
Soil ipe-Undrgrn � 44. -Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn • 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee ein orce 47. Rough Plumbin & Pressure Test �
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - �
7. Footings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn
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-Pinal
13. Rough Plumbing - '
14. Rough ElectrioConduit - � � �56. Electrical-Final
15. Rough Electric-Wring ' �' 57. Solar System-Final �
16. � Rough Heating & Air Conditioriing � • Fencing & Access Approval �
17. Ducts, in Strucwie _. �� � � - 9• APPROVED FOR PLASTERING �
16. Ducts, Ventilating .
19. Gas Pipe-Rough & Test " 60. POO�/SPA SYSTEMS FINAL
20. Roof Framing � ' � �
21, Roof Sheathin � ' � �
22. Frameand Flashin " �� NOTES:
23. Insulation " ��
24. Lathing & Siding
25. Drywall Nailing
26. Plaster Brown Coat �
27. Electrical Power Meter-Final
26. Final Electric ' ' �
29. Final-Heating & Air Conditioning
30. Final Gas Pipe-Test ,?/
31. Final Plumbing
32. Water Service-Final �
33. Gas Service-Final '
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation
37. Handicap Regulations �
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed '
40. Electric Release to Edison
41 . Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
� � _� �-. 18875
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. GALIRORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
aooRe�ss De Soto Ave.
COSTA MESh CALIFORNIA
� MAIL
� 61ZE
E_ C
io`.�R 220 wo RH'SS
IO.�R. 22�
FIRE
ZONE
APPROVED
BY
ZON
/
�r�� LHOAL
-� OH9CRIPTIOD
OP BlDGB..
3iAeeT^ r7O� REAR YAR[
� I LEFf 6� I RIGHT 6�
DESCRIPTION OF WORK
�Y�n�
;6
�ioo
RINI
BE F
,,,q—�-�,-PncosTp„3s ��**9a.so
APPLICATION FOR PERMIT
BUILDING
For Offlce Use Only
HHCHIPf NO. 9j�.(',
� VI
BY I DA$ HQLB�V$O I DATI
COSTA MESA. CALIFORNIA
TYPF ✓ [:G(111A./'� �
ZONING
NO. OF I U8H OP N
PLAN9 BUILDINO
YARDS
APPROVED
1 —�11 'C[NT6P LINH BT4
EVES
ALLO ED
O FT. IN
� FT. IN
� FT. IN
� FT. r IN
r�M . OATE : J � S �
Area: 1780 g
I HEHEBY ACKNOWLHDOB THAT 1 HAV6 RGD TXI9 �PPIJGTION 7Hg AMOUM BHOWN UNDBR VALUATION 18 POH THH
ANO BiAT¢ TH�T THE ABOVB 18 GOPNBGT �ND ApR86 TO COM- pURP088 OP HBTABLIBHING A P6RMIT F68 ONLY.
PLY WITH ALL CIiY OFDINANCH9 AND BTATE UWB fiBOULATINO
Bu1LDINo coNBTRUGTiON. VALUATION
81GNATURE OP �.�I D 1 Mar Develo ment Co PERMIT FEE $ �
PERMITTE C
}3yi � � $ 19,065��� P�AN CHECK $ � / ✓��
AUTHORIZEO AGENT c�,d.r� r�
TOTAL FEE ��J