HomeMy WebLinkAbout2446 ELDEN AVE - Building Permitsmon�ssaem�ou+c: �qq6 �LDEtd AV
w�xaruYeiraimrr,: SMITH CT,AUDIA L TR
�ooxess:BWHIP�O, DAC'E
� 59.50 HIRCH ST
IEWPVRT BEACH,CA 92G60642-540£1
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�PCIL Ofl FNO.'S /i0DPE55:
coNm�cTarsw�we:BEST Rt�OFING
����,���u� 236 VICTORIA ST
�o�� COSTA MESA
uNr:
uc. No.:
UNT:
(719)650-1366
CA �G�; 603323
92626 uM:
LICENSED COMRRCTOPS OECLAflATION: I Mreby � m uMs perely d pa�ury Nel I am Icenmd uMx pviuione d Cheplr 9
(oommemilp wi�h Sec1ion 1000) d Oivoion � d iM Bummae ard P�duvma Coda. enE my lioenae ia in hA 1«ce eM etletl.
cirruc.No.:0f5171A uc.cuss:C-J9 uc.lNo,: 6(��/ 3323 EXP: 09/97
� Dme: � / � � CaNreaw.� ! `�MI/�
OWNEfl BUILUEN DECLAflAT10N: I Mbyy eifirm uMer peneYy d per'ryry thet I em�emmq Irom iM Con�redae lironee lew la iM
lollow'xig reeaon (��on ]a315 Busiwn. ene RWeeeiona coda: Any cty « mumy xfiich �equi�ae e permB to o�nsVucl, eXer, improva,
,damd'ah, or repeir eny struclure, prior to My eauenn, edo reQuims ��e epplirant la euch prmit to file e spned elelement Mal he or eM
ie liceneed W�uent io tha prouisian d ihe Conlrac«a Licensa law �Cheqer 9(commeix.irq hit� Sedion 1000) d Divoion 3 d iM
Busirwee ard PrNewbns Gotle� «�hel ly m ehe ia uemq Iherehwn end the baere lar tha elbped uamqun. My videtion al Sedion
)03t.5 by eny epplicent la e permil subpea iM epd� �o e uvil panelry d iwl maa Ihen lia hundretl ddlen �f.'AOj).
� I. av owiwr d ihe papenYa mY a^fibYees wih wepes av Ihei sde campenee�ian. xill do Na wh. eM IM sWCUin u ria inteMeE
a oRered la eeb (SacUon )OM. Busmc� erd PmlasvonsCade: TMComrerJae Littnss lewdma mt eVPM�oen owiwd pWMV
wno c�u, a mv� �n�. �e.ro m...�n �x �:mbrc «n�+a m�«ron w«ne, o�.o emv�m�. wo.bee inm .�wn
�wo�dn. va �a m��d.d «ana.d iw.�. a. no.�.. me w�e��o «mw�am �.da.mnm o� v.a, a oomo��. u»
ow�wr.buiku xill heve �he WNen q qovinp he w Me Etl na WiM a impow Iw �M purpwe d vale).
�I ❑ 1. m owrer M iM qWMY. em extlusirely oonlexliq wU limnaed wnveetwe ro earutrutl iha qqea (�� ]�. �iiroes a�d
Pm/ewone Cada: �M Camreawa Licanee lew 6xe mf eVPY ro en oinrer d W WartY xtw buiNs a- imP�'a+tMreon and xfn
comrec1s lar wM prqaes wilh e wmreCor(e) licansad WnuaM lo IM CaMredwe Licensa lew�.
� I em uemq uMx Seaion: B. 8 P.C.. for thiv reemn:
oma: w�,«:
i ao nareM �en�y mv i em a.ere a e�d ,,,,aersiene �ne rea��.emaw a ce��omie Heenn .�a sm<ry coae sea�wre zsws, u�aa, ene
assao. e�a md i a env nnu�e w�amv a�w.�� win i.m �m ld�c�. �1 �me m canWr wm aed .w. maes ene me �eaui�em.�m ra
epermnlaowuWctionamoEifrelbnharyilMAi ue�iy a�emanlDevid.Ravdanielmnst�upuneppkmurowexamqimmiheaa
w��,a.
Dale: ApW��
WONKEP'S COMVENS�TON DKU1fl�TON: I Mreby elRrm uMx paneM1y d pwjury ons d Ma IoAoxi�p detluetiom:
� I hm ard wil memtan a caniticme d cauenl to eetlirouie br workan' canpenution, m pwided la by Semon 3]OD d ihe labv
coa.. i« ma van�a a ma w„x io. w�n m� o�n s m�a.
� I hew eM wil meinlan worke%mmpenutun insurence, av rtquired by Sepion 3)00 d Oq Labor Cotla, f« tM perbrmence d iM
wwk iw v.hidi thie permit o i»ued, My waken' rompensetbn insurence farrbr eM pdiry number ere:
c�e�:
Pdiry Numbar:
nis aectian need nw 6e cwnpleted r Ny psmit is lor one nuMred dolrera /Srwl w luv J
/Q I canAy thel in ihe perlomunce d ��e wak br wh'rh thia peimn is iseueE. I ehell M e ploy ury panon in eiry menMr eo m lo
becoma wbpe �o tM xwkna' compeneetion lewa of Calilamie. vd pres thet il I Yhould berone wbjetl lo iM xwken'
mmpe w)n parmiom oi Sedion 3]00 d �he labor Cab. I shell forlhwil� mpy i thme qwisau.
Dwe: �/ ^ 9 % �Cd'cent: �
Wamlrp: FeYun b ucun wa�ken'ro�pMutlon rovereps Is un (�ntl �IWI •/sef an Nrployx ro cMMnsl pen�Ma eiM
c/vll flnw �p ro wro I�1ndrM tMuwM CWkn (S10q000A M eW/tlon b M� cwf ol ro�xuefbn, Gamepu u proHtled br In
Sxtlon 3)06 0/ fM Le6ar Cods, IntM�l, entl ettomsy'a /su.
CONSTNUCTON LENOING AGENCY: I MnW elfirm uMar peneliy d perjury Ihet �Mre u e oonstiudion bMinp epency for Me
paAoimenm d Ihe work fa which iho PoimY is esued (Sadpn 308), Civ. C).
LENDEF'S NIWE:
LENUEfl'S �DDFESS:
I cerlily thet I Aeve reeE �hie apWiretian uM mue Ihet tha ebwe iMormetion o conM. I piae to rompy wil� dl dy eM munry oNinenme
B11d 6�B IaWB fB�01[IB �O b111�NQ CdltlRqpI1011d �IBIBb`/ 8111hUfRe f00fB9B111B�1VM O���1lf lily IO BNaf upOn �fIB 9bWB�fI1BI1�O1M� p1UpBlt�'
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n . e
Whne-Buildiq 8 Se1My; OreamFb; Cenary-AppliceM: Rnk-Revenue; Oddenro�Aeaevor
CITY GP C65"CP_ MESA - BUILUIh]G PERMIT
PERMIT NO: B 002290
CONSTRUCTION TYPE: V-N
PLAN CHECK NO:
PERMIT Ti�PE: STR
N
PERM NO: B 082290
GOVT': iJ SUFP: M
PURFUSE: AL7'
JOB DESCRIPTION : REMOVE ROCK / TNSTALL TORCH DUWN SQ FT: 1,215
CLAIM �'ALUE: 1.,215,00 CALC-VALUE: 1,"115.00 GROUP GCC: U-1 /
COMMEN'I'S: CARPORT REROOF
*�***�x-**�*��x**��**�****�******�***��*+rr+�***�*���*�r*�*�����*#**��*�rx�+��c�*�***�
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
-------- - MAS�I BUILDING --------- ------- ACCESSORY BUILDING --------
FRNT: P'L thl REAR: FT IN FRNT: FT IN I2EAR: FT IlV
LEFT: E'P Ii�] RGHT: FT IN LEFT: FT IN kGHT: FT IN
PARKING REQ: ., PROV: PARCEL: 43929103 ZNE; REF NO:,-
PLANNING NOTES.i.
T
1E fF iE iElt 1ElE 1f 1E iE �1E 1E �E 1F'IE 3f # X�lFlE 1FlElE' fE 1E'lE iE'lE �1E IE 3E IE iE ielE iE �1E 1E 1E fE iE 1E fE fF fE fE if 1E iElE iE 1(-1E ff iE 1E fE fFlF # iF iElF iE �E 1E iE �E # iE �K �lF iElE iElE iE iE 1(�
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 SY : DATE: �
APPLICATION ISSUED BY; DATE; �
iElE�1F1ElEiFiElkiflflElElEiE,#.##Y�iEiElFif- iF3FiEiE##lfiFlElEiE* ff�K�
LEGALIZATION:N F E E S U M M A R Y STRUCTURP_L SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMZT 43.00 50
PLAN SMIP/NON-RES
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUC PLAN-CHECK TOTAL PAID DUE
TOTALS----> 43,50 0,00 0,00 43,50 43,50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 43.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
43.00 .50
1f 3E IF iE 1E 1F 1E 1F IF'N' IE # iE iE �7E iE �F iFlf IF iE 1E 1f k iE iE 1E iE iFlE k fF fE �E iF fE IE )k 1f iE'lElE 1E 1E IE IE 1! iE IE 1E IE iE IF IF �If if 1r i'F iE iE 1F i! fE 1! i! !F if 1f ## fc iE ##�F. # 7E� # iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TC7TAL COST
SFR 7.27.5 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,215,00
END OF FEES
84-81-1997/83:32 PM/f43.5A
RCPTq:81-8884288
PERMIT:082296
/ CON5TRUCTION AND PLANNING - , , _ P001 °A
APPROVALS Permit # Date Inspector AppROVALS Permit # � Date Inspector
i. Temporary Eiectrical Servsce or Pole . 52. Poot & Equipmen2 location
2. Soii Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Co�duft Utility�Undrgrnd. 54. Forms .
4. Electricai Conduit-Undrgrnd. � 55. Electrical Bonding �
5. Steel fleinforcement 56. Rough Plumbing & Prassure Test
6. Flect��cal UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Foot�ngs 58. Electricai Condu�t-Undrgrnd,
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, � Undrgrnd,
10. Strurturei Floor Svstem 61. APPROVAL TO OECK
11. Property Sewer Line & House Connection � 62. Backwash & RecepYor-Final
72. Sewer Cap , 63. Heater & Vem�Final
13. Roof Drains � 64. PlumGing SYstem - Final
14. Rough Plumbing � � . 65. Electrical-Final '
15. Rough ElectricabConduit � � . 66. Solar SYstem-Final
16. Rough ElectricWiring 67. fencin9 & Access ApProvat
17. Rough Wiring Sign � . - 68. APPROVED FOR P�ASTERING .
18. Rough Elect.ical�T Bar Ceiling 69. POOUSPA SYSTEMS�FMAL
19. Hough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping G Gas ❑ Oil
23. Gas Pipe-Rou9h & Test . 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oii
25. Roof Sheathing �,.Y.�%� �c,(/�;!Overhead Hydro
�� v
26. T�Bar Ceiling {Structural� & MonocoaT 75. Dry Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation . 7$. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
3L Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal 80�. FOOD CERTIFlCATE ISSUEO
33. Final Electric � . Nates: .
34. Final Heating & Air Conditioning �
35. Final Gas Pipe�Test
36. Hood or Canopy �
37. Final Factory Firepiace . •
38. Finai Plumbing � -
39. Water Servlce�Final �
40. Gas Service-Final
41. Solar pomestic-Final
42. E3ackflow Preveoter
43. E3ackflow Irrigation �
44. Landscape tr�igation System
45. Sound Attennation . ,
46. Hand�caR�Regulations .
47. FINAL S7RUCTURE & BUILDING l�-1..-q7 �/�
48. FWALPLANNING �
49. rlectric Release to Edison
50. Gas Felease to Southem California Gas C'n
51. CERTIFICATEOFOCCUPANCY '
No Date
i ORANGE COl1NTY-.;UtLDING DEPARTME�..� =,�pPLiCATION FOR PERMIT �--
, ,
� � SANTA ANAh CAL FORNIA - .� � � � � �. �-�
FOR APPLICANT TO FILL IN SO , FOR-OFFICE USE ONLY --
ftECEIPT NO. PERMIT NO.
BUILDING O �� q �
AOORESS ij L( �Q/� I �/ %��—
SCHOOL DI$ . '.cf � f ` Y �
OR TOWN ���J�-y�,�(,r ��f � RECEIVED�BV DA E RECO. �ATE ISSIiED
v � 1� ��j/,,/� s y
CRO55 ST. 3 � 1/ �J3 ! / /
BUIL�ING '�/i� /� ��
OWNER w p ApDRE_5 �•� (b
MAIL � Q � �'/�
SCHOOL DIST.
AOORE55 OR TOWN �jju��F'
TEL.
CITY _ NO. �G ap� NEAREST � �_—. �
CRO55 ST. �,
ENGINEERT Oft N�. ZO��I P ANS �.•'I"�TYP[y I GRO� .
�. v
ADDFE55 ^ , . .��TT�
APPROVED, � jiy� ,
ADORE55
LEGAL LOT
DESCRIPTION NO. BLO K ITRACT
Q� I
(ATTACH METES & BOUNDSI� E �
NO. OF 9LDG5.
SIZE OF LOT O� I NOW ON LOT
EXISTOING BLDG. 1 l I NO. OF I NO
FAN.ILIE9 R I
SETBACK LINE FROM; / �� REAR YARD
CENTER OF STREET � SIDE YARD
DESCRIPTION OP WORK
1-D11��lIC[H
USE OF NEW �
BUIIDING
I�CII
LISH
IES
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLIGATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTV OROINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
� SIGNATURE OF �Dw-� ���
'PERMITfE� �,_.��-• T
V
AUTHOF2IZED AGT.
•A
P-ERMIT FEE $ L •
`� � VALUATIQN , S ���0� •—^ p�nrv CNECK $
f J i� 6
TOTAL L S
FEE S
EXT.
=R. I
IS
CORRECTIONS
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DATE
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STREET� ' . . \ . � .. . - `1_ 1 � . _ _,
' PLOT PCAN -
Show location and distances from
property line and between buildings. - - -_ , - - �,.:, '
- � - ` - -
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_. _ _ �-. —�-=£s-_:GZ._abw� b�Z 0�Q - O��Z �' a
ORAN�,E COUNTY BUILDING DEPART�
`� �•, 636 North Broadway
..r ' '
�� � SANTA ANA, CALIFORNIA , � �
fOR APPLICANT TO FILL IN
BUILDING Q'� �� � ("'
A�ORE55 1 1.•` r
SCHOOL DIST.
OR TOWN
NEAREST �
CROSS 5T.
OWNER � nn
MAIL �
AODRE55 �
cirv
(� ��• ihn�ti. No`�,. I a
OR - LIG.
AOORE55
AOORE55
LEGAL LOT
)ESCRIPTION I NO. BLOCK I
fATTACH METES @ BOUNO51� � � i
EXISTING BLOG.�,/��(„(r I Fn�M.LLOies I ROOMS
�
SETBACK LINE FROM� / REAR YARD�OO
CENTER OF STREET /ii � SIDE VARD �
DESCRIPTION OF WORK
NEW I I ALTERATION I I pODIT10N
EXTERIOR WALL I ROOF
COVERING . COV,ERING
L15E OF NEW ,/
BUILDING .�/1 Q.//l AA� . /! �
APPLICATION POR PERMIT "
� . �uo`�I�� 1
-- FOR OFFICE USE ONLY
, RECEIPT NO. PERMIT NO.
�s7/�� �f>9'<�
'�EC�EI�VjED BV DATE REC'O. �ATEISSIi
�J"//] % �� �h 3 �.�0 :5 3
SCHOOL DIST.
OR TOWN •
NEAREST .
FOU
I HEREBV ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRA
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATI
' SIGNATURE OF .+Tif,� /�//�� LATI
PERMITTE���YYIXAi(/+ .
a/ PLA'
AUTHORIZED AGT. �/
q PLA.
� '� • ' t j, � PeaMIJT FeE $ y- MAS
VALUATION �S� 'I } O (/.I 1� 'ta<'• (/
��� J PLAN CNECH 3� BOND'
TOTAL �G
FEE �� FINAL
�
CORRECTIONS
�INSPEGTOR
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0
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PLOT PLAN
Show locotion and distances from
property line and between buildings.
i �
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T �
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_ �S.ntNar 140�.. Q�'���
C17Y OF COSTA MESA
PAX. 'EES
Fee Payment Receipt
Project Address �,�;7"1 .(D C�P GI"!:
A. P. No. �� �— O((J/— O�
Building Permit No.��G �/Jv/ � ��
Owner's Name
Mailing
FEE
N°
--220 I
— - - Park Area � --- .— --
Single Family * No. of Uni[s ,
Multiple Family "' No. of Units
Planning Department
ApplicanYs SignaturE—
" qtY Ortllnance 72-0��
'* Gty O�Glnance 72-45
"• Clty Resolutlon 74•124
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Wnite - Planning; Canary • Plannln9; Pink -(nanca; oltlenrotl - pP <anf 0 2
' r� �
� � 4266�
" COSTA MESA BUI4DING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ [o FiA in Comple[ely �Use I�Ic O�y
ADDRESS � (p �� � � ~
OWNER //yO f�
MAIL n� _ w ._-._ n ' _' ' "
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ciTv �()C'��✓Po2i pi�79Gfi No.
CONSfRUCTION�#J F�� SvL
i cr.inFe
BRANCH L.0
ADDRESS t
ARCHITECT
ADDflESS ��� J. OK�. I`3F:a/J„�
"U'<' /
GONTFACTOR OC,�J�j� �QLU.e
J✓pT= liE2.l_ Cc,,vtp� Ce .
ADORESS //�_�" � ��T� J`r
^.,f�+�+�^�y�=/��
l�'�' V I /'J /�" �/3' NOL.
��TY 6y.z-
STATE CITV
LIC. NO. LIC. NO.
SI2E NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISfING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I heraby acknowlatlge thai I have reatl thia apPlication end state
that t�e above Informati0� Is corract and agree to comply wich
all laws ragulating builtlin8 �o^rtrucNon, antl I shell noi amploy
any parson in violation ot the workman'a compensation laws of
xhe Steta of Californfa.
I heroby certity that I am P�Operly Ilcanse0 as a contractor untler
Ma State ot Gelifornia B�sinesa entl Profassions Cotle, Dlvision 3,
Chapier 9, antl that such licenses ere in tull force antl etfect, or I
am exempt from Me Drov�sions ot tha State ot Californie Business
and Professionz Coda vlsion 3, Chapter 9.
518�at�re of
Permlttae
Authorized 9ent
CEP 14-76Fa:��00 652:Y ` 74Z.�0 I
crv '�"` �
FORSTRUCTURALPERMIT
R
�v_ /,
PERMIT NO.
A.P. NO./ � % l
BUIIDING {�
ADDRESS�/ �
VALUE �
S $
FIRE
ZONE �VPE GROUP
qpvqOVED , �
BV DATE
Z NO.OF USE OF N
PLANS BUILDING
VARDSAPPROVED VAROSAPPROVED
MAIN BU LDI G CESS Y BUILDING
(FROMG E j.l"
PONT F'i�P FT.
( �� •
SI T FT.
� /�
L. SIDE FT.
REAR FT. FT.
DISTANCE BET. BET. MAIN &
MAIN BLDCS. ACCE55. BLDGS.
�A o# 5 �/ -� .,�T �.,�,,.P,//,'/ �
�
/�
N
m
i
m
SQ. FT. �+
THE AMOUNTSHOWN UNDER VALUATION IS FOF m
THE PURPOSE OF ESTABLISMING A PERMIT FEE ON�V: �
VALVATION PERMIT FEE E p
m
/ PLAN CHECK 5 � o
$/ , 2/ �A'7 � TAX S !{. 3 S LL
�y " ° � /
TOTALPAID S I
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
OC.T —?-75�M�nOO 327 �::::,�276.",0
AP L 'ATION I�OR STRUCTURALPERMIT
For Applicant to FUI in Comple[ely — Use Ink Only REc � DATE REGEIVE�
BUILDING /J Z DAT/,EISS'U]ED%
ADDRESS p<� U — J �/ ^ / � /
PERMIT NO.
OWNER (%U A.P. NO. A
MAIL BUILDING � A / CL(/��%/VY:= I'J
ADDRESS �+DORE55 /t (�
TEL. TFACT LOT BLOCK
CITY NO.
CANSTRUCTION W A A R P
LENDER
BRANCH A I�
OWNER �TC�L /l./Q S�
ADDRESS 3vN�T �% qW$ �
ARCHITECT TEL. SE
OR ENGINEER
FIRE
ADDRESS 20NE TVPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. Z�NE NO.OF USEOFNEW
CITY NO.
FLANS BUILDING
STATE CITV Y<.flDS APPROVED YARDS APPFOVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FqOM C/L STREET)
OF LOT NOW ON LOT RONT FT. FT.
USE OF
EXISTING BLDG. SI F. FT
Separate permits are required for L SIDE FT. FT.
elecVic, plutt�bing and heating work.
REAR FT. FT.
VSE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR. aF+ DATE
C.U.P.y� qPPROVED
APPROVED
I hareby acknowletlpa thet I heve reetl this eppllcation entl stem
that tha abovo InformeHon is correct antl apree to comply wlth
ell laws re0uleting builtling conrtructian, antl I shall not employ
eny person in violation Of Me workman's compensailon laws of
the State of Celifornla.
1 hereby certlty thet I am Properly IlcenseC ea a contractor untlar SQ. FT.
t�e Stete of Colltornia B�sinesa antl Profaasiona Coda, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, entl thet such Ilcensea are In tull torco and effoct, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am ezempt from the prov(sions of the Steta of Californie Business VALUATION PERMIT FEE $ q
antl Profezsions Cotle, Divb�on 3, Chepter 9. / 0
PLAN CHECK $
Slpnetura of
Permittea � TAX $
Authorizotl ABent TOTAL PAIO S Q
� 4266�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA; CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING � ` ,, 6
ADDRESS („�/
OWNER C w /V� hJ�
MAIL A� . n _.i.�.. .... . `L D'/�
CITV
BRANCH
�7 �AG
/I! v . v.�...vy .. � v -" _.,'
ADOflESS
CONTflACTOfl �N�'" �LbR
� CO N.ST o .
ADDRESS �Q� F � Tjy
CITV � ��/� P10L b�%.'
STATE CITV
LIC. NO. LIC. NO.
512E NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLOG.
Separate permits are required for
electric, plumbing and healing work.
UILDING AND WORK TO BE PEFFORMED
I horeby acknowlotl9e chet 1 heve reetl thla eppllcation entl zmte
that the abova Information Is corraet antl eprae to comply wiN
ell laws .ee��ai��e owim�c �o�nr�ocio�, aoe i shall not amploy
ony parson in violetion of tha workmon's componsallon laws ot
tha Smte of CalNomle.
I hereby certify ihat 1 am properly Ilcansatl as a eonnactor untler
tho Smm of Celifornle B�sinocs entl Profesalons Cotle, Divislon 3,
Chap[er 9, and thot �uch Ilcenees ere in full forca antl aftact, or I
em ¢xempi from the provislons ot ihe Stata of Callfornie Businezs
ontl Professions ividon 3, Chapter 9.
SlBnaturo of
Permit[ee _ —_ —
Authorized Agent
OWNER
APPROVED
�
PASO t:^�,^•
�EP 1a-76�;--�•00 653" 37.11
FORSTRUCTURALPERMIT
� � I�E�v70 DA� ISS�% �
Q ��
VALUE
VARDSAPPROVED I YAROSAPP5(OVED
VAF.� -�/�
C.U.P. A
OR SPECIA R� U �� � �"�� ^
m
w
m
O SQ. FT. �
�
THE AMOUNT SHOWN UNDER VALUATION IS FOR p�
THE PUfiPOSE OF ESfABLISHING A VERMIT FEE ONLV:
e
VALUATION PERMIT FEE E a
u�
� m
PLAN CHECK S a '�
0
/ LL
5 O TAX $ �
u
TOTALPAID S , f
r
� 4�6�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
GAltl � ��. O
ir.T -7-7f,z;,�,QO .,33 �Y.::�* C
AP LIG1 ION FOR STRUCTURAL PERMIT
For Applican[ [o Fill in Comple[ely — Use Ink Only RE I V DATE RECEIVED
DAjE IS$,iED�
BUILDING r �C / /
AODFESS L —
PERMIT NO.
OWNER � A.P. NO.
MAIL BUILDING �+ �L � ��r
ADDRESS /10DRESS s�.
TEL. TRACT LOT BLOCK
CITV NO.
CONSTflUCTION W A AL P
LENDER
BRANCH �)
OWNEF E p/
AODRESS / � qLUg �
ARCHITECT TEL S V
OR ENGINEEF
FIRE
ADDRESS ZONE TVPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. IONE NO.OF USE OF NEW
CITV NO. P�� BVILDING
STATE CITY YARDSAPPROVED VAPDSAPPROVE�
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILOING
512E NO.OF BLOGS. (FROM C/LSTREET)
OF LOT NOW ON LOT FONT FT. FT.
USE OF
EXISfING BLDG• 51 T. FT.
Separa[e permi[s are required for L. SIDE FT. FT.
electric, plumbing and heating work.
FEAR FT. FT.
USE OF BUILDING AND WORK TO BE PEPFORMED pISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCES�u. BLIX'a$.
VAR.� DATE
C.U.P.#'- APPROVED
APPROVED
I hareby acknowletlBa that i have reatl this application end siate
ihat tha abovB ��formation Is correct antl apree to comply with
all lews reguleting builtlinp construction, entl I shall not employ
any perwn in ��oletlon of Ma workmen's compenSeNon lews of
Ma State ot Calitornlo.
I hereby cartifV thot I am properly Iicensetl as e contractar under SQ. FT. �
the Stete of California Buslneu antl Professions Cotle, Div(sion 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR
Chaptar 9, and tfiai such {{canses are M Wil torce end effect, or 1 THE PUftP05E OF ESTAflLISMING P. PERMIT FEE ONLV:
am ezempx trtlm the provizlons ot the Smte of California Busineu VALUATION
antl Protas5ionf Cotle, Dlvlsion 3, Chepter 9. PERMIT FEE 5 �
PLAN CHECK E
SIp^atura of
Perminae $ � TAX E
Authorizetl ABant TOTAL PAID E �
N
m
'm
m
7
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e
a
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0
LL
� �
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. ' 426��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — se l� Only
BUILDING
ADDRESS� a�
OWNE(i P��n � i NOU�Cf �
M411 /i " . _ I _ _ � _ ! .
cirr Nty�lpi
CONSTRUCitON t
LENDEF
BRANCH� I'
� f�
TEL.
NO.
L.
ADORESS /u J. FJ K�✓6G i FJ �%rN�
CONTRACTOR O�✓Nr.� ��[�(JQ
.tuP'r : L3� C� o .
ADDRESS /OS � /���
TEL.
ciTv COJ� ✓%1�A- rvo.loy3-
STATE CITY
�IC. NO. LIC. NO.
512E NO.OF BLDGS.
OF l0T NOW ON LOT
USE OF
E%ISTING BLDG.
Separate permits are required for
elec[ric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
1 haraby acknowlatlBa thet I hava roetl this applieetion entl atete
thet the above informatlon is correct antl agree io comply wIN
all laws reguleUnp builtlinp construcNon, entl I shalt not employ
nny person in vloletlon ot Me workmon'a compensetion laws ol
tho State ot Celifornla.
I hereby cenify that I am proDerly Ilceneed es a contractor under
the State of Collfornle Businezs antl Profauiona Cotle, Divbion 3,
Chapter 9, entl thet such Iicenzez are in full forca antl affact, or I
em exempx from tha provisions of tha Stata af Callfornia Business
entl Prof¢sslons C J, slon 3, Chep<er 9.
Sipnntura of f �/��
Pormittoe ��~
AuthorizeA Apant
� � J
� SEP 14-7hP'—I`'00 654;� '�'.ut99.76
cKs:
P AT OIY FOR STRUCTURAL PERMIT
R E ED V D TE ECEIV D TE IS =D
C � ^
� /� ERMIT NO. �
A.P. NO
BUIIDING /�
ADDRESS P �
TRACT OO O BLOCK
N W A A T R P
OWNER /C �VW'WG
�s v � ,��"$ .
FIRE
ZONE TY E GROUP
APPROVED
BV DATE � D� �
NO.OF USE OF NE �/
PLANS UILDIN
VARDSAPPROVED VARDSAPPROVED �
DISTANCE BET. I BET. MAIN &
M/11N BLDGS. ACCESS. BLDGS.
YAR.#.�� %��_ • �ATE ��` �
N
n
m
m
r
Q. FT. � 0
�� N
THE AMOUNT SHOWN UNDER AlVAT10N IS FOR m
THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV: '
e
VALUATION PERMIT FEE E a
N
�� PLAN CHECK S o
$ �e S� TAX S � •36 V
TOTFLPAID y 6
F
C
W
a
a
y
H
S
F
.t _
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� : r
Pklu
"�T —7-Zfiz�.-..00 72R <�st.•'.*504-��
P CAT ON �OR STRUCI'URAL PERMIT
For Applicant to Fill in Comple[ely — Use Ink Only R EO v DATE RECEIVED D TE ISSUED
BUILDING � EG �� a• � C
ADDRESS
PERMIT NO.
OWNER � � A.P. NO. �/�
MAIL BU�LDING �{7/ G �L�� ��
ADDRE55 �+DORESS/�7 f
TEL. TRACT LOT BLOCK
CITV NO.
CONSTRUCTION W A D ALT P
LENDEF �
BRANCH nw/^ �j
OWNER C. /V(� �u E
ADDRESS � ALU$
ARCHITECT TEL. S
OR ENGINEER
FIRE
ADDRESS 2or�E TVPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITV NO.
PLAN$ BUILDING
STATE CITV �'ARDSAPPROVED YAROSAPPRpVED
LIC. NO. LIC.NO. MAIN BVILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT OM FT. FT.
USE OF
EXISTING BLDG. SI F. FT
Separate permits are required for � sioe FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN 8'
MAIN BLDGS. ACCFSS. BLOGS.
VAR. ¥ DATE
C.U.P.# APPROVED
APPROVED
I horoby acknowlotlpe ihai I hava reeE Nia apP���atlon antl ftote
that tho abova Informatlon Ia correct antl aprae to comply wlth
. all laws re9�letinp bulltlinp conrtruction, and 1 ahall noi amploy
eny oarson In violat(on of tha workman's compenaatlon laws ot
Ma Stota of CalHornle.
I hareby cartity that I em properly Iicenwtl af a connector untlor 5�. FT.
Me Sieta of Calitornla Businesa end Protevions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOP
Cnopmr 9, and t�at cuch licenses era in full forco entl oNoct, or I TNE PURPOSE OF ESTABIISHING A PEFiMfT FEE ONIY:
em exemp[ Irom the provialons of the Smm ot Lalltornle Busineu VAIVATION PERMIT FEE E
and Profaselonf Cotle, Dlvislon 3, Chaptar 9.
PLAN CHECK E
Sipnature of , /
Permlttoo $ /�/ THX S
Aut�orizatlAOent _�, TOTALPAID E
n
n
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J
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1\l
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LL �
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_: `. 42832 �r.r --r-7r��x'-,°00 3?.6'} �-�*��i•5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
r.�. ovn � ..w�.. inwia, �,s��irvnrv��a acoco
AP LI 'AT ON �OR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only qEc v o DATE RECEIVED
6UILDING �,,• D (T{EIS UE
A�OHESS � � n v '� �1J�'
ERMIT NO.
OWNER �I('(fR� A.P.NO.
MAIL • ' AD1DRE S � ���1./ �'I��
ADDRESS {/
CITV p.Lq(�I�9� NO`' f- �Q�
TRACT LOT BLOCK
CONSTFUCT�O N W ADD ALT R R P M �
LENDER �L F C-U � ��L
BRANCH L{�+- , 003p DuQ��
aooaess D LS R� LiLI/D OWNER c7C72 W. N �
VALUE
ARCHITECT ���� TEL�39_ 8� USE �D E $
OR ENGINEEfl
I r ^o^—/ FIRE �
ADDRESS ! � J r m E��'/✓EF -� yp ��v�i�`ar ZONE TVPE GROUP
ON�/¢1C i p.�. p /��� P.PPF70VED
CONTRACTOR SU r/.� p� l.Y+ NJT • CQ • BV p�+TE
AODRE55 D � ���1
TEL. �NE NO.OF USE OF NEW
CITY Gj � NO. ��
PLANS BUILDING
STATE CITV 1'AROSAPPPOVED YARDSAPPROVED
IIC. N�. LIL. NO. MAIN BUILDING ACCESSORY BUIL�ING
SIZE ^j NO.OF BlDGS. (FROM C/L STREET)
OF LOT /� .J NOW ON LOT R M FT. FT.
USE OF
EXISTING BLD(G. 51 FT
Separate permits are required for L SIDE FT. FT.
electric, plumbing and heating work.
REAF FT. FT.
USE OF BUILP�NG ANO WORK TO BE PEPFORMED DISTANCE BET. BET, MAI &
MAIN BLDGS. ACCE55. 8 DGS.
/ VAR.3k DATE
/ C.U.P.# APPROVED
APPROVED
I hareby acknOwletlpe thai I heve reatl this epplicetion und state
thet ihe above ��tormatlon Is correci entl aB�ee m comply with
all laws repula<�nB builtling construcNon, antl 1 shell noi umploy
any person in ��oletion of the workmen's compensation laws of
the Smie of Calitornle.
I heraby carUtY that I em proparly Iicensetl as a contractor untler SQ. FT.
the State ot Ca��fornla Business antl Professionc Cotle, Division 3, THE AMOUNT SHOWN UNDER VA�VATION IS FOR
Chapter 9, antl ihat such Iicenzes ere in full forco and affect, or I 7}iE PUAPOSE OF ESTABLiSHING �+PERINTf F E
am exemOt �rom tho provislonsot MaState ot Galifornte Buslness VALVATION PERMIT FEE E
antl Profassionf Cotlo, Dlvialon 3, Chapter 9. �
/� PLAN CHECK S
SIB�aiura o{/ {i g
Permittee �� ��� � TAX S
Authorizetl Apent TOTAL PAID S � �
� � � 43305
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILOING � �i�� r �, .. .� ,� , _
F�+
LL
Ir]
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5
3
OWNER
MAIL
/.� � TEI.
CITY ^i F\*) PC� Il_I �F A I� fI NO.
BRANCH
ADDRESS
CONTRACTOR ��QW /Y�j�J�J L.C}/� �i-�,
ADDRESS ln k �' l`��� �
CITV Q(CP�,VI�u N�' IY��'
STATE � CITV
LIC. NO. �q � C� LIC. NO.
SI2E NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISfING BLOG.
Separate permits are required for
electriq plumbing and heating work.
USE OF BUILDING ANO WORK TO BE PERFORMED
I horaby acknowletlpe t�et I havo read thb opplicailon anC ztate
that the above Into�metlon la corrac( and aprae to eomply with
ell lews refluleting bulldinB �onatructlon, and I nhall not employ
any parson in violat{on ot Ma workman's compensation lews of
the Stete of Californie.
I hereby certlfy that I am properly licanwtl es a contractor under
Me State of California Buainasa antl Protesatons Cotle, Division 3,
Chepter 9, entl that such Iicenas ere in tull force entl effect, or 1
am exempt trom the D�oviaiona of the State of Callfornie B�sinees
antl Prof¢ssions C e, Divialon 3, Chepter 9.
SlBnetura N �
Permlttee
Autnorizetl nt
7", 17-77�„�;(iC 599� t:`:::2c. i
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED �.,.r���o���..
BUILOING / SjiQ
ADDRE55 ((�(ff�
� TRACT ' LOT
OwNER
FIRE
ZONE
APPqOVED
BV
ZONE n A NO.OF
VAROS APPflOV ED
MAIN$UILDING
� • /��.��� �
VALV$/ �
f
GROUP
DATE �
USE OF N �
BUILDING �
YAROSAPPROVED
DISTANB6.8F1'� BET. MAIN &
MAIN BLDGS. ACC6S. Bl0
VAR.� OATE
C.U.P.# APPROVED
APPROVED
�
�
m
'm
m
SQ. FT. a
THE AMOUNTSHOWN VNDER VA�UATION IS FOF m
THE PURPpSE OF ESTABLISHING A PEfiM�T FEE ONLV:
e
VALVATION PERMIT FEE E �
�� N
m
• Ii PLAN CHECK S '^
/,/ K/ �
S/'/�1 JJ �� TAX E � Q u
� ��� �
� TOTAlPA1D $ 1
' 43848
COSTA MESA BUILDING-SAFETY DEPARTMENT
. P.O. BOX 1200 COSTq MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
9UILDING .� i//J / i i l �
OWNER �e 1 GR. /(� (�J
MAIL
CITY p//+�(IDOJ'�/UC//� NOL.
BRANCH `
_ `
ADDRESS
ARCHITECT TEI.
CONTRACTOR Q /�..+ o G
ADDRESS �J Z� �(�1 � . j � OS
.i�2 ` C,4� No��j`.iS G
CITV (�,.�,
F STATE pTY
� IIC. NO. ��'O y^� LIC. NO.
{x� 512E NO.OF BLDGS.
0. OF LOT NOW ON LOT
� USE OF
EXISTING BIDG. �
�
FSeparate permits are required for
q electric, plumbing and heating work.
[,.W.i USE OF BUILDING AND WpRK TO BE PEf7FORMED
Q
� �
¢ l LC ' �
} � , � , r-. �, s—� s-
s
a
a
�
a
�PAItl
s��,2�-7;�,.,.0(1�t�R< ....�,:�550
APPLICATION FOR STRUCTURAI. PERMIT
RECEIVE�BV DATERECEIVED DATEISSVED
� � F
A.P. NO. I�� �(/� . PE
BUILDING ��J / ���
ADDRESS 7 (p ��
TRACT S VV LOT BIOCK
OWNER
e
FIRE
ZONE NO.OF �
�z PLANSo
VARDS APPROVED
MAIN BUILDING
V AR. #
QU.P. #�'
�APPROVEf�(�/�
�
Ia: J
�
VSE OF NEW fjLO�YWA
BUILDING� ����5�
VARDS APPROVED ��'
ACCESSORV BUILDING
%Z0�7. �' �.
=or.Ct o �,.. �1?�
.o
DATE
APPROVED
.,�T� Y—,�/-
� I hereby acknowladpe thai I hava reatl this application antl state �
y� that the above Information �g correet and agrea to comply with y�
a all Iews reBuletine bulldlnp consvuction, and I shell not amploy �
Z any person in vlolatlon of ihe workman's compensation lews of d
� the Stete ot Celifornle. -
3, I hereby cerilfy ihet I am prpperly Iicensetl as e conttactor under SQ. FT. rv
She State ot Cellfornie B�siness entl Professions Code, Dlvialon 3, THE AMOVNTSHOWN UNDER VALUATIpN IS FOR m
Chapxer 9, and that cuch Iicgnsas are In f�ll force entl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
am exempt fram the provisl0ns of the Stete of Celifornla Buslnass r- Q
VALUATION PERMITFEE 3 N
antl Professions Code, Dlvisio� 3, Chapter 9. m
Sipneture o�� � / /� !���'���)) PLAN CHECK E a
Permlttee �'��^wJ Q� �� ` $ %/� ` . � TAX $ LL
�A/� p/Vr� ' u
AuthorizatlApent ��"C�(/(• TOTALPAID E