HomeMy WebLinkAbout2323 ELDEN AVE - Building Permits(714) 754-5273 • Fe�c (714) 754-4856 • www.c�.costa•mesa.�,��LDING PERMIT n FAIR DFiIVE, GOSTA MESA. GA 92626
JobAddress: 232$ ELDENAV
Suite:
Vicinity: GARAGE FOR UNIT 37
Parcel Numbec 43942106
Appiicant: TUCKER, JERRY W
Address: 508 OL NEWPORT BL
NEWPORT BEACH, CA
Owner: SPILLER, CHARLES R JR TR
Address 177 RIVERSIDE AVE
NEWPORT BEACH, CA
Zo�ing:
Phone: 949-645-2422
Zip: 92663
Phone:
Zip: 92663
Contractor: JENNINGS, JIM CUSTOM MASO
Address: 00170 E 77TH ST
Phone:
COSTA MESA CA
Zip: 92627 License: 392707
Arch : TUCKER, JERRY W Eng:
Address: Address:
Phone: 949-6452422
ISSUED BY:
Status: PC
Applied: 17/t412000
Issued:
Phone:
Zip: License: License:
SCOPE OF PERMIT
REPAIR OF EXISTING WOOD STUD WALL AT GARAGE (FOR UNIT 37) WITH A CONCRETE BLOCK RETAINING WAIL.
NO CHARGE FOR PROJECT PER ATTACHED LETTER FROM RISK MGMT.
Plan Check: $0.00
Permit: $0.00
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $0.00
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORV Front 0-0
PARKING Existina: 0
Rear 0- 0
Rear 0- 0
FEE SUMMARY
Calc Valuation: ssoo.00
Claim Valuation: sz,000.00
PLANNING & ZONING
LeR 0- 0 Right
Left 0- 0 Right
Reauiretl: 0 Pr000setl: 0
ao
NOTICE: The work authorized by this permit Shall comply with all applicable handicap access requirements under Californla statutes and related
regulations. (Ord. No. 92-28, § 1, 7241•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or If work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under Ihls permit t0 be Considered legal, such work mus� comply with all appliceble codes, and all
required Inapectione entl final epproval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zasae �a�oo�
WORKERS'COMPENSAnONDECLABATI�
I hereGy eilirtn under penalty ot perjury one oi the Idlowing declaratlons:
❑ I heve end wlll melntain a catlificate ot consont ro self-Insure br workers' crompensetion, as pmvided lor by seMion 3700 ot the Lebor Code, tor tlie pertormence of Na
work br which this parmit Is luued.
❑ I have erM will malntain workers' compensatbn Insurance, es repuire0 by sectlan 3700 0l tho Labor Cotle, for Ihe peAormance ol the work for which this pertnit is issuetl.
My workere' compensation Insurance cerAar un0 pollcy numDar era:
Cerrior: Pollcy Numher:
(Th/s seclion need not be completed i! the permil /s velued ef one hundred doqers ($100) or /essJ
❑ I certity ihat in the peAormance of the work tor which this permil is issued, I shell not employ eny person in any menner so es to become sublect ta the workers'
wmpensetlon laws ot Califomia, entl egrae thal If I shoultl become sub�act to the workers' compensatlon provislons ol Sectlon 3700 ot the Lebor Code, I shell farthwlth
comply with Ihese provisions.
ApplicaN SigneWre: Date:
WARNINO: FAILURE TO SECURE WORKERS' C/�MPENSATION COVEMGE IS UNUW R1L M!D SWLLL SUBJEGT AN EMPLOVER TO GRIMINAL PENALTIES �ND CML FlNES UP TO pJE MUNDRED
THOUS4N0 OOLLARE (5100.0OO�.IN ADDRIIXJ TO THE CQST OF COMPENSATION, DAM4GE5 AS PROVIDED FOR IN SEGTIdJ 3%080F THE UBOR OODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereDy eHirm thet I em Ilcensetl under provlsions ol C�apter 9(commenUng with Sectlon 7000) of Dlvision 3 0l the Business enC Protesslons Catle, antl my license is In full
larce entl eHect. Llc. a Cless p
ContrectoYs Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aMirm ihat Ihere is a construction lending agency for the pedormance of the work for which this permit is issued. (Sac. 3097, Civil Code).
Lentlers Name: Lentler's AdUress:
Signatura: Date:
OWNER-BUILDER DECLARATIONS:
I �ereby atllrtn Ihet under penelry ol0er�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe fdlowing reason (Sec. 7031.5, Business entl Protesslons
Cotle: Any Ury or coumy which requires e pertnit co consWct, elter, improva, tlemdish, or repalr eny aWCNre, pnor to its Issuance, elso maWres Ihe eppliwnt tor such parmlt
to lile e sipnetl statemem thet ha or she is Ilcensetl pumuent m I�e proNsions oi Ihe CONrectors License Law (Chapter 9(commencing wit� Sectlon 7000) 01 Dlvision 3 of the
Business entl Professions Code) or Ihet �e or s�e is e:ampt therefrom end tha besis tw Iha allepetl evemptlon. Any Wdetlan ot Sectlon 7031.5 by eny applicent Iw e permfl
sub�ects the epplicent to e civil penalty af not more then five huntlreG tlollars (5500).):
❑ I, as owner of the property, or my employees with weges es iheir sole compenselion, WILL DO THE WORK, end the structure is not InlenOed or otferetl tor sflle (Sec.
7044, Business end Professions Cotle: The Contractors License Law does not epply to an owner ol property who buitds or improves ihereon, entl who tloes such work
hlmselt or herself or through his or her own employees, provided that such improvements ere not Intentled or offered tor sele. II, �owever, ihe building or improvement Is
sold within one year of completion, ihe owner-huilder will �ave ihe burden of provin8 �hal he or sha ditl not �uiltl or impmve tor purpose ol sele.).
�f I, as owner ol Ihe property, am E%CLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70G4, Business and Professions
Code: The contractors License Lew tloes not apply to en owner of pro0erry who builOs or Improves ihereon, end who conirects tor such proJect with e conirector(s)
license pursyant to the Contracmrs License Lews.).
❑ I em exem untler sec. Business end Professions Cotle tor t�ls reason:
Sipnature: f ' c
Owner ID v Ied 6y efs Ilcense. ❑ Ves ❑ No Drivefs Licenso No.
Vedficatlo af Own ip 6y (type ol document, i.e. - property tac hill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Date: //-3U — 00
Ezpires:
❑ I hereDy certlry that no ezcavation five (5) or more feet In depth Into which e person Is required ta tlescenq will be metle In connectlon wlt� work euthodzed by t�ls
pertnit, enA that no building siructure, scettolding, falsework, or demolilion or dismentling thereol, will he more then thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tlle 8, CelitOmia AdminiSUaiive Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require e pertnit from t�e Division of Industnal Safery, es noted above, unless such person has e
pertnit to do such work irom the tlivision.
Signature: Data:
Division of Industrial Safery Permil Numher:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENfAY: I certity under penelry ol perjury Ihat I heve reaA Nis epplicatlon Bn0 SIBIa Ihet ihe informetion given i9
correct. I agree Io comply with all stete laws end dry ortlinences relating to �uilding construction, end authorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe
ebove-described property lor inspection puryoses. I egree not to accupy or allow axupenry ol eny building euthorized by Uis permit until linel inspection.
COOE 1' INSPECTI6NTYPE �
1818 Fizetl System Final Fire Preventlon
1288 Pool Spe Final
200 Flnal R�Roof
201 FIneI BIocWReteining Well
.F�
203
Final Fectary Fire Place
Final Sign
204 Final Demolition
�.1711�RiYiiGl4i
LO�E I INSPECTION TYPE
208 Finel Mechanical
20B Finel Plumbing
210 Finel Electrical
272 Final Fire Prevention
220
222
250
Final Planning Appravel
Final Site
Final Builtling/Occupenry
■�� i
QAIE It�ELfl
10/31l2900 15:13 949-645-2803
Oclobef 18, 2fl00
JIM JENNINGS MASONRY
CITY OF COSTA MESA
P,O fof uw� CaU/om�na Nao- � ron
I�7I�r __ _ -
♦OMNiM71VE SFRv166IR►Ui1MEMr.�TH41.�ANAGFAIWT 01V191Qf1
PAGt el
eN
Mr. G�eq RuZIOka, Attomay et Lew
120 Newport a�nter [kive q230 SENi VIA FACSIMILE
NewpoR Beacli CA 92660 _
RE: MR. CHARLE!! SPfILER - R�NCNO G(�ROOVA APARTMENTS
Dear Mr. Ruzicka: �
Ae you are aware, Mr. Spiller has Rl�d o cl�irn with the C�ry o/ Coele Mesa for damey�
to Ihe Rsncho Cordova Apanmanta located et ?323 Etiden Rvenvo, Covta Me�s
Calftornfa.
Mr. Sp�ller hac extended an ofter tv setUe hls dalm eyeinat the City for �5.000.00. The
City BCCEpts Mr Spiller S ORer to 69ttle lhis claim and hat stiaChod p 9enerai �eloase of
a{I cfeima fer yo�r revlew. Mr. SpillUr esk9d that the relBaee be sent tc you vip �ocaim�s
for review and fo�a�d�nq to Mr. Spiller for clflneture. Pleaae be awaro we need the
��jnel s�gnelures on Ihe releaae
During our cunvprsstiDn with Mr. Spilfar, waivin9 or reimb�rsing vf permN lpot wa9
dtuuaee0. I am working with our Deve�opm�nt 5�rvic�� Dsp�rtment to see whkh
oplion �s Ihv H�i�Bt to accomptish. Eilher way, Mr. Spillar will not haw to itis pey
perm�l feea normelly required by the City of Costa Mesa co accomplish Iho dellretl
repsi� work. ,
Thenk you for y0ur asxistonop. N you have any questions, or n�rd any aQd�lfonal
information, pleass Cail me at 11da54•5095 w my esslatent, Merk Teylor, at 714-754-
5228.
Slnoo� O,
Kar�n Adame ` r
Rlak Mannge� ,
Enc.
Y�-�-»-- ✓
. n rau� onrv.
. ►u�7NF•. �f���!��.�AM • iD0 P��):v �7r . rN� Oi�)/N.�M7
11/08/�2000 18:53 2511731
11/88/2000 16;43 945sA5062F
DECLARATION OF AUTHORITY
FOR AQENTS 4F PROPEEiiY OWNER
TO APPLY �bfi PERMITS
SANDRV � PAGE r 04 ,
.IERRM TUCKER a650C - PAGE 0a
� 61dg, pertnit g _
�
� rnEa Permn # �
k�
1. I (wB)� —��"ic '� �e. .i//�.
of the abqve referenced real proparry, and tYi�tt I(ws)
•�61
to obtein pertnits in my behelf, aa owneNbulldeL tor
at fhe abo�e retarenced proparty.
r� �t�il
.._� (_�
Number
q8clanb th0t I am the Ovmar of Tftla
authorixa:
9 �4 - 64� -� ��2.
� Telaphone No.
��.
Pi:
w r a.v�r F y s�,aaass
2. Shoultl Any psnon become p� amployea engagetl in tn improvamenk af'.thi property, 1(we) yheli im-
madiately provide worker's Compeneatioo Insurancv cov rags and cause a certlflcat6 of tAat caver�ge
to he filetl wlih the 9uilaing Divlaion ot th� CI(y oi Coata eya, as requirec� by State ot Califomia lawa.
3. Ag awner/6uilder in iact, I unCef9tand rrW accept thflt my epanslbilities do not tran9ter to any other parv
sOn, company or corporaiian. �
4. I�grAe 4o indamntfy �nd 1101d ihe City of �psta Me$a an its empioyees oq ofhcer� hsrmlesa from eny
claim resulting �ri demage br personal inJury to myselF or y other parties as a rssuft oP woAc authorizad
by tn� permiis fYom the Gty ot Coata Mesa.
5. ! tlecltue under the pen&Ity of perjury that the fGregoing ip true and eqrre�.
Executed thia �'7F+� qay c}
C
NaTE� This a4thnrlaation daes not grant authar4zation tp
for lirrilted powor oi attorney to secu�� this pe.mit tn any
arn.�s «�• �u
at , Califarnla
}'I� y.- ov
Q6tF
the wo�Tc aq pwngP, it 9olely provldes
tiur -7-7o��5A00 3eoR��--1,210.00
CITY OF COSTA MESA PLANNING _.:PARTMENT
A. P. No. •�a_nii_^ �� �n R �
Bldg. Permit No. 32%� 0%/+r d 2
iL•-ES7-G9, Corracted.
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address +��� r�,��„ n..,..,..,, r +�
Owner's Name e.,�si,.� r.....,�....... r..._.,_..._
�Bactielor or 1 - Bedroom IJnits ��, @ $Z5.00 =��SU.�n
2 - Bedroom Units �� @ $40.00 = y�0.n�
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =„t .,}^,^^
�ToEaT Pee
Total number of Dwelling Units
Planning Department Approval Date ,., ,,, Park Area No. �
T ._
By '!'s Applicant's Signature
.y%�t �'°� `T
�IrNi�M� t.i['i.l :jj.' y
, Z 1lj4-7:I�tltl.&!1.::8.:
ADDFESSOiBVILqtq: 23Z3 ELDEN AV
OMNEP'S tUME IF pIqYN:
�' �oowess: SPILLER CHUCK
� 2323 EL�EN AV
COSTA MESA, CA 92626
,�rvi. wuuxc �nnxess:
AIiCNrtECT Ofl ENtlNEER:
1PCN.OH FHO.'4 �D�XE55:
11C. N0:
UNT:
UNT:
ca+m�cTarsw�ue: pETRONELLA ROOFING ( 714 ) 548-1645
cwm�cror�swuuxc z626 NEWPORT
�ooness:COSTA MESA CA �0N0 00460707
92627 uNr: 201
LICENSED CONfNACTOFS OECUN�TION: I hareby eHim unEer pe pe�jury thet I em licenxd uMar provieians M Cheqer 9
(oomma�wiq hith Secuon �000) al Drv»ian 3 M �M Buvmsa vM Pmles ms ode, eM my Imme o in lull bu eM ef/eU.
c�.r+o.:032605 ��c.cuss:C 39 uc. o.: 0460707 E}CP: 07/96
OW N BUILDEN �ECIAPATION: I haraby effirm urMer pa Xy W perju' ilim 1 em eeemq imm �M ConVeaon License Lew br �he
'MI reeson l�ion'l031.5 Bus'aress eM Prdettioro AnY cIY �unry xfiiM re9uirea e peimn �o oonao-un. el�er. improva.
OItlII. M fBpOI fi11Y 9�NdNB� pflOf �O 119 95U811CB. 8I90 !BQ fB8 �IIB Bp irent la wch permn to fb e siB�� ��ament ihel M a aM
.e IicensaC W�uanl to �he provieoru d the Conlradon Licen Law [C er 9(commendnp wilh Sed'an )000) d D'vaion 3 d ihe
Busi�was eM Prdaviona Code� rn �hei he a she e azemq t d tM bdm la Ihe ellepeE uempion. My violetion al Sedion
]001.5 by eny epplirenl lor e perm0 subpne �ha epplirant m e avil penelry ol rwt m«e then iHa hundred dollers �5500�).
� I, av oxmier al �M popeny or my empbyeae xvh wepas es �hei ede wmpenne�ion, xiil do ihe xak. eM ihe brvcture e M inieMed
or oXered br sele (Seciion )000, Busi�wss end Professions Code: The Conireaors License lew doea ral epplyto en owner ol propeny
wM WiEs «inprovea �herean. aM who doas euW haek himaeH w Mnatl a ihraqh h'v w M1er own empbyeea, pemideE �hm eueM1
improvemenle ere not inlaMetl w Wered la eeie. II, however, tha WiNinB o� impavement ia ndd wnhin one yeer af mmpleton, the
owrwrbuiMer will heve the WMen N provinp he « ehe dk � Wild or impove for IM WN�se of eele�.
� I. es owner W Ihe PropaM. � exdusiveN �nVedinB �h IicenaeE conlreMars to construa ihe prqea (�� ��. �inme eiM
PrMessions GoEe: Tha Contratlae licenu Lew doae nm eppy �o en ownar d piope�Y � b�ilEe a impwea �M1ereon aM who
comracte 1« wM pqeds wnM1 e mniraaor�a) IicenseE pursuani lo �he Comrmore licensa lew�.
� I em examp uMar Section: B. d PC., la thie reeaon:
Dele: Owner:
i ea nereW oen�v mm i em ewm< m ena ��eare��e me rea��,�ems a ceinam�e tb�nn �e se�e�r ceee se�so�s zsws, zssaa, ene
u5�a, vM �hei I«env M1nure buiNin9 �De�� xill / wil rwi (dreb wre) nead io comdY wYn eaE dme mAas erd tM re0uiramenU M
epermHiwmnsvudionamoEilWionhwniMRi ue3Ty�eneBamanlqstnd.HesidemidwnmrudoneppGretiamueecemP�immiheae
pransqna.
oe�e: Aoai��:
WOFKER'S COMVENSATION DKLAfl1TI0N: I Mreby elfiim uMer perelry d pmjury aw d ihe IWbwi�p EMareliona:
� I hera eM wil meimein e ronilicete d oonsenl lo aeNinsuro br workera' mmpense�bn. d pwiAed la by Satbm �100 d IM leba
coda, m� �n� wno�� a in<..on i«.�mon m�. w�n �, rea�ad.
i nere e�d �i� me���..axa� �v�� ��•�. m�a��ree M sea� a�ao a ine �an« coae. r« me roaormen�e a me
woM Iw xhich Mis permil ia isaued. My w«bn' compeneetion imurence ranx vM pdiq number ere:
c�.: an�nniarTT EXPIRES
vmkyrv�mmr: �}�7q���4°� O1/01/97
�m; s,,..�„�e�oraa�,cbrae�rnero,"�enro.o,�an�,�d,�edd�ts,aulwro�.l
� I'cenAy �hm in ihe pe�lormence ol the woM lor whkh tAis permn is iasued. I nhell � amdW �Y Ca� in erc/ menner w av to
WqBd �O 1118 WCkBf9 lW�V01198�p11 �BWB Cd Ce�1�CTIB, fBB 111811� � 8111M110 bBf:O111B Wbl� �O ��18 NVIifB9�
� CO f199110110�9q119 M SlCKK1'JlW OI IM1B LEMI GOEB. I 811@II I 11 � NIfiD�' M�1� ��O=9 pfONel0118.
jl6m/np: Fellun ro�xuro woAsn' mrr�veiwtlon covs /i un/ewN endilull �uD/xl en xnp/oyer ro cAMro/OM+ro'u mJ
Ivll nms W ro ons nuntlroe nrouwM nollm (S1oo,W0A edtllnon rhe cwt ol compens�tbq tlemeps o pravltletl br In
SwUon ]1P6 0l Ms Lebor COW, Inewxs( end ettornsyS I.
CONSTHUCTON LENDING AQENCY: I hareby eifiim uMar pe of parjury ihd Iharo is e mnsLudion bMi'p egancy br iM
parlormarim d ttw xvh /a whicM1 �he perml ia'ewaC (Seabn 3091. C'v. C�.
LENDEF'S NAME:
LENDEH'S ADDFE55:
I eenM �hel I tave reed Nie eVWieetion eed pe�e Ihe� Ina ebove inrormmion ie eottaa. I e0�ee io e«nWY wnn dl rnY erd eounrv «dinaraea
end ste�e lews reW inp w building conslrudion erd hereby einhor¢e repesemetivea W ihia ay lo enter upon tM ebwe-mentoneE pmpeM
Iwinspeaion Wrposas.
f� LOID WATTS
o�a: � � ��
W�ito-BuiWvp 8S6(dry:Oreeo-Fle�f;enery-ApPlicent; pink-Revanue; GolEenrod-Aaxswr
CITY OF COSTA MESA — BUILDING PERMIT ��
PERM NO: B 077400
PERMIT NO: B 077400 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF BUR & REROOF W/SAME
PURPOSE; OTH
SQ FT: 5,000
CLAIM VALUE: 5,000.00 CALC—VALUE: 5,000.00 GROUP OCC: R-1 /
COMMENTS: NO OTAER WORK AUTHORIZED BY THIS PERMIT
x**�**�+�+�***�rrt***+�**+�**��**x***��*�+�*�*�*�**�r**�***+��**�***+�*��****�+��+��**��***
' Z O N I N G R E Q U I R E M E N T S
I S E T B A C K S
I------------ MAIN BUILDING ---------- -------- 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: 43927119 ZNE: REF NO:
PLANNING NdTES> . ,-�
�� i
1f jE'lE if'lE 1ElE iF 1E if if !E iE If 3E iF if !f �f !f� iF iE 1E 1E 1ElE 1E 1E �E �E 1E'1F iE 1F if iE 1f 1Elf dE iE iE iE fE 1E 1E 1E 3E 3E 1E iE'1F iE 1F if 3f 1E fE 3ElE 1E iE 1E iE 1E iE Ik iE 1(riF aE fE �IE iF 1E fE �E 1E iE
D E V E I. 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 .
BUILDING APPROVED BY :
APPLICATION ISSUED BY;
�E 1ElF 1E iE iE 1f� if fE 3E iE 1E �E 1E iE �E 3E iE iE 1(' iE 9E
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT 99.75 •
PLAN =
ISSUE FEE . `, '
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK
TOTALS----> 100.25 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
99.75 �
DATE;
DATE: � /
DATE: � r (�
ifiE3E1EiklEiFiEiE lEdE
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
.50
SMIP/NON—RES
TOTAL PAID DUE
100.25 100,25 .00
100.25 OC�ER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
ie*'�-'x��-'�f'�'�'�***'x'x'****'ieiEie**iE*'�-**i�-x�*�i��-**�'*�'*�***'x�iE'�*ie**�***�"��-*ie'x�*'�*�"�'�'�'x�ie�taa'�t'a�'�"iE**'�
I N D I V I D U A L ,F E E B R E A K D O W N
r '
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
. (,
SFR 5000 REROOF BY VALUE RES.IDENTIAL NOZONE 1.00 5,000,00
END OF FEES
l
�� Vn• ",�_, � (�'_ _ _ _�_
��, -
,-�r� _
� PO(, � .� SPA
CONSTRUCTION AND PLANNING '
.APPROVALS Permit # Date Inspector APPROVALS Permit #� Date Inspector
�, . .
1. Temporary Electrical Service or Role 52. Pool & Equipment Location �.
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement �
3. Electrical Conciuit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. . 55. Electricai Bonding -'
5. Steel Reinforcemen:. - 56. Rough Pium6ing & Pressure Test •
6.' Elettricai UF�R Gmd. � 57. APPROVAL TO COVER-GUNITE
7. Fooiings ' 58. Electrical Conduit-Undrgmd. '
8. Foundation . �\ 59. Gas Pipe, O Undrgrnd., Test �� -
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.�
10. Structural Fiopr SYstem . , 67. APPROVAL Tp DECK ., '
�11. Property Sewe� ��ne & House Connection 62. Backwash & Receptor�Final
� 12 Sewer Cap .� 63. Heater & Vent•Finai �
73. Foof Drains - 64. Piumbing System � Fnal f�
�74. Rough Plumbin9 - � � 65. Eiectrical-Finai �
15. Rough Electrica��Condurt ' 66. Solar System-Finai
16. Rough ElectriG 4Viring 67. Fencing & Access ApProval
17. ftough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Eiectriaai�T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL �
79. Rou9h Heating & Air Condi:ioning PIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducis, in $iruLture 70. Underground HYdro
22. Ducu, Ventiiat��g - 71. Product Piping OGas ❑Oii
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas � Oil
25. Root Sheathing '/),y�� ��-- 74. Overhead HYdro
1
26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe .
28. Lathing & Siding � 77. FIXED SYSTEA� FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Dry}vali Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat . 79. FINAL INSPECTION
32. Etectrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: ����-` �6 �� ��/1/J
�� i
34. Final Heating & Air Conditioning �f S- rz `n S/�.,,i p!�' �__
/�
35. Finai Gas Pipe-Test. .
36. Nood or CanopY
37. Fina1 Factory Pireplace �
3S. finai Plumbing �
39. LVater Service-Final
40. Gas Service-Finai
47. Solar pomesticFinal .
42. Backflow Preventer
43. Backfloav Irrigation
44. Landscape Irrigation System � . '
45. Sound Attenuation . � �
46. Handicap Reg�lations
47. FINAL STRUCTURE & BUILDING , � /�
�.%r/7 G
48. FINAL P�ANNING � �
49. Electrie ReleaSe to Etlison �
50. Gas Release ta Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PFOJEf.T ADOflESS: � 3: 3 ELDEN AV � uxir: p
��OWNEH'SNPME: CHUCK SPILLER
ADOXESS: I%% RIVERSIDE
N,B, 92663
APCNIENGINEEB: NEC.NO.:
ADONESS: UNIT:
renmirree: PETAONELLA ROOFING i 714 ) 548-1645
aooness: 2626 P]EWPORT 201
COSTA MESA CA 92627
LICENSE� CONTpRCTOP DECLAXATION: I here�Y a��irm t�at I am licensetl under pmvisions ot Chapfer 9 �commencing with Section
7000� oi Drvisian 3 0� Ihe Business and Pmtessions CoOe. antl niy license Is in full force an� eifect.
ciTruc. 5 sT euc.:0046 39 EXP: 07/95
e: � Signa�ure: �
WON S' COMPENSATION DECLA pTION: I hereby affirm Ihat I haue a certifica�e o� conseni � sel4insure or a cerii�icate o� Workers'
pensauon�s�r�nc�.�ar1 ier�ie� §opv �hereof (Semion 3800, Lab�ll / 0 1/ 9 5-
aoucv xo.:�GONAUT E%P. ORTE:
COMPANY: µ,
�b tlilie capy is hereby fumished. [J CerlifieA c➢ �H�e6-u' he city Builtling �ivision.
N
1 ^
p . � /— AppliCan�:
E%EMPTION HOM WOflNEflS'COMPENSpTION UECLAflATION: Qhisse - neeU notDecample dilth Oe�mitistarone Aunaretl�$100�orless�.
I ceN�y Iha� in Ihe pedormance o� I�e work �or w�ich ��is permit is issue , not em010 a erson in any manner so as lo become
su�leci to the Workers' Campensalion Laws oI Cali�ornia_ _ __
Date: Signamre:
NOTICE: II, af�er making �his declaralion, you shoultl become subject lo the Workers' ComOensa�ion provisions ot the La�or
CoOe. you mus� lohhwith comply wi�h such pmvisions or this permil s�all Ee AeemeA revoketl.
CONSTflUCTION LENUING RGENCY: I here0y allirm Iha� Ihere is a constmt�ian lentling agency �or [he pedormante oi Ihe work for
whicn Ihis permit is issuetl (Section 3W7, Civ. C�.
LENOEfl:
noosess:
OWNEfl BUILOEB OECLAHATION: I herehy afiirm ihat I am exempt fmm lhe Contractors' State License Law �or Ihe lollovnng reason
(Section 7�31.5 Business and Pm�essional Cotle: Any ciry ol counry which requires a OQ�miUo cons�mct, al�er, impmve, tlemolish, or
repair any simtlure. pri0r b i�s issuanCe. a150 reqUires the aDPlicant br SUt� permit �o lile a 5igne4 slaiement Ihat he/She is ticensed
pursuanl ta the pmvisions ol lhe Cantracmrs Siate License Law (Chapter 9(commencing wi[h Section 7000) o� �ivision 3 0� the Business
and Pmlessions Cotle) or Ihat he/she is exemp� �herelmm and lhe basis lor �he allegeA exemD��on. Any viola�ion oi S¢c�ion 7031.5 6y
any appl¢ant lor a permi� suble��s ihe apPlican� lo a civil penalry ot nol more lhan five hunAred tlollars �5500).
I. as owner oi �Ae property or my employees wit� wages as Iheir sole compensalion, will tlo the work, antl �he
❑ StmcNre is noi iniendetl ar otterea tar sale (Sedion 7044, Business antl Pmiessional Code: The COntractors' S�a�e License Law
does not apply to an owner o� a O�openy who builds or impmves ihereon, and who Uoes such work �imsel�/her5elf or �hmuAh
�is or her own emDloyees, provided thai such impmvemen�s are not intendetl or otlered lor sale. Ii, however Me buildinA or
impmvemeni is so10 wi�hin one year af comple�ion, Ihe owner wi0 have �he burtlen o� pmving �elshe tlitl no� buila or impmve
tor �he Durpose of sale�.
I, as owner ol �he property. am exclusively con�raciing wi�� Iicen5e0 con�ractors to conslmc� t�e pmjec� (Section 704d, Business
❑ antl Proles5ion5 COtle: The ConVaCmrs' Slaie Litense Law daes noi aDPN �o an owner Oi OrOpeM wh0 bUilEs or impmve5 ��ere0n
an0 who coniracts lor suc� pmlects wilh a caniractor(5) license pursuan� lo the Con�mctoK Stale License Law�. I am aware
Iha� pmo� o� iheir Worke(5 Compensalion insurance S�aWG Ge pmvide0 lo me.
� I am exempl untler Section: B. 8 P. C.
lor ihis reason:
�ale. Ownec
do hereby certify I�al I am aware o� antl untlers�and Ihe reQuiremenls o� Calitomia Healih ana Safe�y CoOe Sec�ions 25505, 25533, and
2553a antl thal I or any fuWre buil0ing occu0ant will/vnll noi (circle one) nee0 to comply vnt� said state caAes and �he requirements lor a
permii for consimc�ion or modificaiion hom the Air Ovality Managemen� OistricL ReSitleniial constmc�ian applicaiions are exempt imm
�hese provisions.
Daie: NO�Iicani:
I hereby ceriily I�a� I �ave reatl �his applicalion antl s�ale Iha� I�e aboue in�armaiionis correct I agree to comply with all city antl counly
ortlinance5and51atelawsrelatinglobuildingcon9mctionanOh e r¢5¢ntaliveSo�IhiScily�oenierupon�hea�ave-mentioned
�M�fET lor i spec�ion purpases. .
�te'. �'� SignaNre'.
rver's License or Social 2
16a1�a6 Whne—Bu�ltling; Green—Cotle Enbrtement; Canary—ApplicaM; Pink—Revenue; Goltle G—Assessor
CITY OF COSTA MESA — HUILDING PERHIT PERM NO; H 0'?0953
PERMIT NO: B 070953 PLAN CHECH NO; N COVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : REMOVE ROCH ROOF 6 REROOF W/SAME SQ FT; 6,840
CLAIM VALUE; 6,840,04 CALC—VALUE: 6,890.OQ GROUP OCC: R-1 1
COMMENTS: SMOKE DETECTORS ARE REQUIRED
iRiF i� iR iF if iF if it if il� 14 if i4 �f iR if if iR iF iR iF il� Y ic is If iF 1F if iE if iF iE if ii an i�-if iE IF i4 if iL �i Ai iF iF ifY iF iE �f if if i! i! iF iR 1L i� af if iF iF iF Ii Y� iF iF K i` i4 iF iLY ik �s 1E
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 BUILDZNG ---------- --------- ACCESSORY HUILD'ING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAA; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN P.CH'f; FT ID�
PARKING REQ; PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NOTES>
�
if� if if if 1f iF if if if �If 1F if !F if 1f �1F if iF M"lf IF 1F iF if if if 1! iF 1f if iFif 1f ik df 1F if iF 1i if M-iF 14 if 3f if if jf if i4 if ii 1F if iF if if if i4 if 1f if i4 i4 if 1R Y i! �R i{ if if if if 1i aF if if if
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 HY DATE;
BUILDING APPROVED HY : DATE:
APPLZCATION ISSUED BY; 1 DATE: j���j�
�rr+rr+r*�r*�*�r�r*�r*rr*****�'iF��r�Y�r���W'7:�i�FiF�F3F�iF�Fii3T**r�t*rrr*r �c'r
�tqtrir�r�tit*ir�titat**et***ritr�r**atr*r�tit**�r**�t**rr**rat*itr�**rr-*r*w*jrrr*rrr�r*aas �.*�.ac *u�.af
LEGALI2ATION;N F E E S U M M A P. Y STRUCTURAL SEGHENT;Y
bLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 90,00 ,68
� SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 90,68 0,00 0.00 90.68 90,68 ,00
REVENUE DIVISION TOTALS--> COLLEC�TED; 90,68 OVEA/SAORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
90.00 ' .68
it iE M iE M M M 1F iF iF i! 1F it if dE M i! ih i! iF �f if if 1f if if iF iF if if M iF if if jt 4 iE 1F i:1f if M 1f it V if at 9Fif �lt 1t r if iF it iF+F if ii if jf if iF+� it iF iF i4 iF iF * if �f iF iF iF if iF M
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R Z P T I O N Nrrq�,�+ UNZT COST TOTAL COST
SFR 6890 REAOOF BY VALUE RESIDENTIAL NOZON�\`^� ��� 6,840,00
Yv�.y}�{ �� S ����/� � T��
CrAi" �TCL �.
tncorn�tete �nspert'd � OEC��g94
C
� /� Si, � aacno.sor.asw+�+nw�_ r_aav---�,.�_
(n/ � _.__---
��a�6 �� �I�Y �O�f �ki�� �
a,t,�Es'f2Sgl37D:"YEReF. ii:i1T •••"��
,
CONSTRUC710N AND PL�NNWG POOL & SPA
� APPROVALS Permi: � . Date inspector qppROVALS Pe�mit # Date Insnector
i
1. Temporary Eiectrical Service or Po,'teK 52. Pooi & Equipment Location
Z. Sqil Pipe-Undrnqrnd, n� ��� 53. Steei fletnforcement
� �+_.
Mt.a rt� �i.:"
;,�;�.Ejectrical Condu�t �til;tY-Untirgrnd,.r 54. Forms
-�•=xS�Electrical Cond�R=Undrgrnd. � '•%�-' S5. Electrical Bonding
o-.
n:r".. y•;�l q�
..,�.5.;�Stee1 Reintorc&MARt .. . 56. ftough P�um6ing & Pressure Test �„
.r.,
'1`8?:Electrical UFB'F.t�Fnd. C' 57. APPROVAL TO COtjER-GUN17E '
.,
1�� ���:; �� 58. Electricai Conduit�Undrgmd. �i
,. :%.;,F,�otings
�� S. Fvundation n �- � 59. Gas Pipe, rJ Undrgmd., Test ...
9. N`ater Pipe-Unc;grnd. &0. Backwash Lines, P�7rap, � 1 Undrymd. "
10. Svucturai Floor System �- 67. APPRQVAL TO DECK
i t. P.operty Sewer �h� & Nouse Conn'ection 62. Backwash & Receptor�Final
72. Sewer Cap u. .• 63. Heater & Vent�Final
13. Roof Orains �� �'? 64. Plumbiny System � F�nal
.,a
14. ftough Plum6i g�"� °. 65. Electricai-Final
15. Rouyh Elearicai-Condu�t�� 66. Soiar SVstem-final
r.;
76. Rough Electri�Niring �, 67. Fencing & Aecess ApProvai
17. Rough Wirinq 6iy+ S8. APPROVED FOR PLASTERING
78. Rough Electrica`�-T Bar CRiling 69. POQL/SPA SYSTEM1,7S PINAt
19. Rough Heati�g & Air Conditioning r r. + FIRE DEPT. REQUIREMENT
[^ p'.-.�Af-� a: .r r+ f�i
20;'�o(,��jh �ctoXY �%�Place � ��:h; 0.� ':7 ;i t• . ; '.APPFttSVAL�S�,�-PeGi�it ���.
27.-]JuG-S, iq±Str}ICtys� _'I ^ ^ +.�= * `: �� "• �70. Underg7obh$ H�ro • . , �
r� _ ^1 4 � .it:l
� T'� I C_.`'. : t:s • ~ r� 1 P..
22,.Puet's, V.�nt'r'�tir� �71. Produci�,Fipi ��.as C�OiI _
. � i �= i fi : n u� r'i .. a. t. (�9 a
, ` �
23��as.PiP�+'�ocph & �7est t P;�: ! [n �.' r�+ t ' 72. UndergrouhtJ FIaSfi'� * `:' �, � ..
��_; • . - .•,
24.'�Aoa# rra?ning �:' � E•", '�.n� ` •. r' �� ` " ,73_'�Under m Stor':r:T.ank�7Gas`OOi: � .
A' u: �� e i'• fi��#:
25. Roe4 Stieething �,?; �Z( � + �� ��74i �(�verhead Nydro'? • "
�
26i�T-B� Ceilin tStructuraq &4tidrj;dcoat • . °� •-+ �' • ��• , .' " !:� r '
9 75,;�D Y Cher.�i�al
^> r.-♦ i f� .H r-�. ,J _ f ,�
27 ;��rame agd F,J�sh4rg,. ��o;r: + 7' �. �! � 76� DrY Standq7ipe E:tii t-• � ;
r� �
-PB. Lachkn �uSi[iin �� '�`,p: a� � .. e .a e� � "
9•� �� , ri �_ _ r'� « •.i •. 77,.� F1XED 5��.�'S)'Eh�'F�"�NALa ��
'29. �nsulati9p •. n:K ` i-� •••. � } •�; 751`FIRE PREV. PItUFtt ' : 'r %'
�'30. Drywali�?Vai(rng �� _� i � �, � ; 4iE.QLTN:bEPT;fi�QUtRLP,1Ef�t.�,�_.:
q � . � � . , �. ' i `'
���`31. Plaster Qrom{n_Coat. :• i 4�n� ? s, ��79. �FINAL If�tSPECTIL•2N • t ���:
- - . -,--�`- ❑ -
�.,32r� lectrica`tPo't�er �$�7c�teµ,F�l��al� �± �'; i • � '$0;'.�FOOD CERTIFICA7E IS�UED � �' r" 7y"c '�
< r' ,.., � ^, a i C: : n7 I �e ,:� p; ^ � // r C y ;•-
-�/ e
z33.�Fini� EI$ctris. ��; Cr, � v; t ' �, tvoces: /Z L3. � Q�/"'.n.��,'r �;�i� b.,f ���
r--
•^34., Fin�! Heatin�t& Air: Cond:tiani3r r`�:7 i', t . � � , - C . • � ` -. '= "• � %^��, . .
,.r �.. , � ] � 'e n' I x . /A!•� %% ' / ! nt `i � +e:.
�35.�-'�in�lGa�jPiPR-Test' CD";, � � la ' 77 . �i�+ �-T- :t '� ''" ,
_ cz;
736. Ho6d oe"_��%anopY `- � � n.•7 _> . ,', ( : . ;'� = ' . ' c' b' �"�_ c`� _
1'�� f�
. 1 ' . 'I -• i 1 Gi:i�i � 1 : ♦ • ) i!�N��.�a.> •
t:� n' ' -� : �.L�` [_ ri ? r �iL...Y�y��q�-,a_
:�37.:Find[Fac.ory Fireplace�: i r.•r-• �� . : ._��
�38. Fina�GPlumbing :..^: � �� �* i ' " � .' "'-' `-� ----
'> R A. �• %
" .�, i•. � � i 1': � s �.
�-59. VJater Service;'Fina�' ,� . ; �- , , ti, -
r:40. GasService�Final :- , �^r� � n! %)o 'ea1 �'
,'i�-. ��i t r : �_. _u �; o
t � . .: �-� -.
,•'�1. Solar pomesti'oFinyl =� ' � �� �T � -
� hi # fi♦ yi:) r_.' • l: �l
�42. Backflow Preventerr ^ �u < y �+ a �: ' . • r� ri
�i •r. ht ztC" n
-c � 1 a rl. F. L� � �,i ..
43. Backflow Irnt�ation� ��T.',':-: �... , i.;� , �, • .
._� . . � . : '_ . _- ; , �.
iA4. Landscapa IcriAation SYsczm'n.b;t�j n t; !J r.) r7• � n: ,u tu .^,:c) : ?a �r.
�< <• . :� i . � 5• .;, r,tf + °'
. �. , . "� ��n;c.. (i� �r _ [-. r. F� i : �', �-i F; rj�..:) �],e, y
=�45.eSound AtteRuation, . .. � ` n; m n� � , _ c� . _.ri �
� � . �. r : q' i� ' ' � i i '
.;46. Nandicap-Regulations • ' � • - ='
I ♦ . �,r� .i i` t
,��7.��1(��L STRG�CTURE & aUfLDING �� � ' { ' 1�''�" �
i E-. l+ a'� i C' E��
48.=FIN�FjIPLANNING: � FF., , "5 i.: * • ,,� b. �: • t; .
A / 5 �' 'IS s '
�49.''£le¢tiic FYelease to Ediso� � + ' - `,'; ��� ' ' '
� . - •C� r
�0._Gas;Rele3setoSouthe:nCalifofniaGasCo + __'� • - - C7 . c>tr, LL C. .
y. '. � a� ::7 � ('' r A}
�51. CEP?IFICATE 6FOCGUPANCY � } b -- . r,; _> ;+: . _. �. ,
No. Date
Mr. Richard
2234 Orange
Coata Mesa,
Dear Sir:
D. Barnes
Avenue
Californie
On August 1, 1968,
owned by you, locatefl
Mesa. This inspection
local codea.
August 5, 1968
an inspection was conduc of the property
at 2323 Elden Avenue within t e City of Costa
revealed aeveral violations ' state and
There are three abandoned, or inop a le, automobiles on the
property. These vehicles must be remove . This removal may be
accomplished free of charge y contactin the Costa Mesa Police
Department.
The ahed at th rear of the roperty ia dilapidated and unsafe.
The property is 1 t ered with traeh and debrie. The shed shall be
removed and the pr rty cleared of trash and debris within the
next thirty flqys in rder to eliminate the neceasity for further
action under Costa Me a biunicipal Code Section 92102.2 (Public
Nuisance).
If I msy be of ac�yy assistance to you in this matter, please
contact this office.
DD:dh
ec: A. L. Pinkley, Mayor
K. Blaklcan, Fire Prevention Officer
G. Skeith, Deputy Health Officer
� ,���
G�-�
�7' /%� L'
Yours very tru�y,-- --- --
DEAN DORRIS
Deputy Building Official
PHOJECTAD�flESS: z323 ELDEN AV
OWNEP'SNAME: CHUCK SPILLEk
a�eess: 177 RIVERSIDE
�.' N.B. 92663
ANCHIENGINEEB:
POOXESS:
PEflMITTEE: LEE ROOFING
aooRess: 1653 SUPERIOR
COSTA MESA
LICENSEO CONTNACTaB DECNPpTION: I here�y aRir al I am IicenseA
7000) of Division 3 al lhe Business anU Pmfessions tle, anU my license is
c ic.02875�_;T^TE��c.:3 9686 �",
WONNEflS°' COMPENSATIOA UECLAHpTION:
ComDensalion Insurance or a wr�dietl copy
voucvxo.: 1300948-93
comraxv: STATE FUND
��erbl�d capy is here0y fumishetl. �
EXP. DPTE:
copy is file0 with t�e
UNIT:
HEG.NO.:
UNIT:
(714)642-7223
CA 92627
e� pmvisions ot ChaD�e (commencing with Section
lull fo n0 eifect
Ve ta seli-insure or a cenificate ofworkers'
30/94
��m�a�1Y' A/ .
/
Oale ApplicanP.
EMPTIONFflOMWOPIIEF COMPENSATION UflFTION: n eeA ot ecompleteUJtheOe�millstaranehunUre0�3100)orless).
I cetlity Ihai in �he petlormance of Ihe work �or which �his permit is issued. I shall no� employ any Derson in any manner so as to become
su�leq Io Ihe Workers' ComDensation Laws ol Calilomia.
Oale: SignaWre:
NOTILE: Ii, atter making Ihis declaraiion, you should become su�lect Io lhe Workers' ComDensation provisions ol I�e Labor
Catle. you mus� fotlhwi�h comply with such pmvisions or �his pe�mii shall be tleemeA revoketl.
CONSTBUCTION LENOING PGENLY: I �ereby altirm Ihai I�ere is a constmction lentling agency for �he petlormance ol Ihe wo�k br
which Ihis permil is i=sued (Sec�ion 3097. Civ. C�.
LENOEfl:
AD�NESS:
OWNEB BUILOEB OECtABpTION: I here6y atiirm ihal I am exempt fmm the Con(ractors' State License Law for t�e fallowing reason
�Seclion 7031.5 Business and Pmfessional Code: Any ciry ol caunry which repuireS a permil to canstmct, alter, impmve. Oemolish, or
repair any slmciure, prior Io its issuance. also requires ihe applicani �or such permi� �o file a signed 5taiemen� �hat he/she is licensetl
pursuan� Io �he pmvisions oi �he Contracmrs' Slate License Law (Chap�er 9(commencing wiN Section 7000) of Division 3 ot ��e Business
and Pmlessions Coee) or 1ha� he/she is exempi �hereimm and ihe basis �or �he allege0 exemp�ion. Any violation o� $eciion 7031.5 by
any apPlicani lor a permil sublecis �he applican� to a civil penal�y o� noi more ��an �ive hunAreO Oollars (5500�.
I, as owner o� Ihe pmDehY or my employees wi�� wages as �heir sole compensa�ion, will tlo �he woM1, antl ��e
❑ 51mcWre is not inlen�eA or ol�eretl for 5ale (Section 70a4. Business ane Protessional Code: The Contradors' S�a�e License Law
tloes no� apply lo an owner of a pmperty who bui105 or impmves ��ereon, antl who Ooes such work �im5elf/herseli or �hrouAh
his or Aer awn employ¢es, pwvitle0 Inal suc� improvements are not in�entled or aHeretl br sale. 1�, �oweve� Ihe Ouiltlinp or
improvement is soltl within one year al completion. �he awner will have Ihe �urden oi Omvinp he/she did nol hui10 or improve
lor the purpose ol sale).
I. as owner of �he pmpetly, am e�clusively contrac�ing wi�h licensetl con�racloR �b cons�mct t�e Dmjec� (Sec�ion 7044, Business
❑ antl Pm�essions Cotle: The Comractors' S�ate License Law Ooes nat appry ro an owner ol pmpeny who bmltls or improves �hereon
antl who contracis lor such pmlec�s wiih a conVactoqs)license Dursuanl�o ihe Coniractors' S�a�e License Law�. I am aware
Ihal pwol o� their Wo�ker'S Compensation insurance shoul0 be pwvitlea �o me.
� I am e�emp� under Seciion: B. 8 P. C.
lor Ihis reason:
Oale'. Owner.
I Oo hereby cenily Ihat I am aware o� an0 understanU lhe reQuiremenis o� Califomia Health an� Sa�ery Code Se[�ions 25505, 25533, and
25534 antl tha� I or any IWure builAmg occupani will/will noi (cirde one) neetl �o comply wi�h saitl sta�e codes an0 Ihe requiremen�s �or a
p¢rmi� tor consimction or matlification trom Ihe Air Ouality Managemen� OiStricL Fesidential consimction applications are exem0� imm
Ihese pmuisians.
Daie: ApP�icant:
I nerehy c¢rtify Iha� I have read this applitaiion and Siad
orAinances and slate laws relaling to builAing cons�mc'
propp�y'IOI)mSpeUion purposes.
i5 cOrreC�. I agr¢e p y 1h all Ciry antl
t6aLafi Whne—Builtling: G�een—Cotle Enlorcement: Canary—Appl¢anC Pink—Revenue'. Goltlenrotl—Assessor
CITY OF COSTA MESA — HUILDING PERMIT
PERMZT NO: H 066019 PLAN CHECK NO: N
CONSTRUCTION TYPE;
PERMIT TYPE: STR
PERM NO; B 066019
GOVT; N SUPP: N
PURPOSE: OTH
JOH DESCRIPTZON ; REMOVE ROCK ROOF & REROOF W/SAME SQ FT: 10,025
CLAIM VALUE: 10,025.00 CALC—VALUE; 10,025.00 GROUP OCC: R-1 /M-1
COMMENTS: THIS OERMIT TO REROOF THE GARAGES ONLY
rt***�r**�r+r�r�rxx-��-�r*ir+r*ic��r*�r*�r**�*+�*�r***x-***�-**x�****��****�t***+�*****+t�**+�-*��*****+�+�
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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT.; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARY.ING RE � PROV: PARCEL: 11909106 ZNE; REF NO;
PLANNING N�TES>
�
ft �f iE YE iE 1E iE ii iE 1Flf iE ik iE iE �E iE �E if iE if 1E if iE jE !E fE iE iF ik IE if iE iE dE iE if if if 1E if if iE iE iE iE �f if iE iE iF fF if f: if if if jE fE iE 9E if iE iE if if iE iE 1k fF � ff iE 1E if jf jf jf 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 ,
BUILDING APPROVED BY ;
APPLICATION ISSUED HY:
iEiEiliEiEiEiEifjEM�itiEifiEiEiEjEiEififiFjEiE it iF . if
iF jE jf 1E if !f iE 1E 1f �E it iE iE ik iElf 3E iE iE if iE iE iE iE if iE if iE iE 3f if iE it iE iE
LEGALIZATION:N F E E
I
BLDG PMT PLUMHING
PERMIT 126,00
PLAN
ISSUE FEE
BUZLDING—DIV—>
TOTALS---->
DATE;
DATE;
S U M M A R Y
ELECTRIC MECHANIC FIRE SMIP/RES GRADING
SMIP/NON—RES
2.11
PERMIT ISSUE PLAN—CHECK
128.11 0,00 0,00
REVENUE DIVI5ION TOTALS--> COLLECTEP:
BLDG PMT PLUMHING ELECTRIC MECHANIC
126.00
TOTAL PAID DUE
iza.ii iza.ii .00
128.11 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
2.11
if ik if if i! ih 1t k if !E if if if fE if if if if !f iF if iE i! if jE fE aE 1E if �F if iE if iE iE iE 1E iE 1E �F 1E if if ff iE if if if 1k 1E �f iE 1E i! iE jE fF 1E iF 1E if iE iE f! iE iE if jf ip fE jE !f iE �k if �k i! jf iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE �iTY L� E S C R I P T I O N []NIT COST TOTAL COST
SFC 10025 REROOF BY VALUE COMMERCIAL NOZONE 1.00 10,025.00
ENL� OF FEES
01 OO1S5243—OO1S5244 Tea T 12E.i1
DATE: �2I20/94 TIt1E: ib:18
COfSTRUCTiON AND PLANNWG POOL & SPA �
APPROVALS Permit # Date Inspector APPRQVALS Permit # Date inspector ,
I
t.��femporary Electticai Se�vice or Po4e 52. PooV & Eq�ipment Location 3 '
2, Soil pipe�Undrymd. 53. Steei Reiniorcement �
3. Eleetrical Conduit Utility-Undegrnd. 54. Forms
4. Eiectricei Conduit•U�drgrnU. 55. Electrica! Bonding � �
5. $teef Reinforcement 56. Aough Plumhing & Pressure Test '�
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNIT[
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation : . 59. Gas Pipe, rJ Undrgrnd., Test ,. ., I
9. Wa?er Pipe-Undrgrnd. ��� ; � 60. Backwash Llnes, P�Trap, C; Undrgrnd. ; ' i
10. Structural Floor System �� j� 67. APPROVAL TO DECK � �� �
t t. Propertv Sewer line & House Connection � 62. Backwash & Receptor�Pinat '
i
12. Sewer Cap � ' 63. Heater & Vent-Final
1
53. Roof Diains ,- 6A. Ptumbing System - FinaV �
14. Rough Plumbing . � . 65. Electrical-Final
15. Rough Electrica!-Condu;t � ' 66. Solar System-Final .
� �
1 B. Rough Electric N.Sring 67. Fencing & Access Approval
17. Rough Wirin9 S+gn 68. APPROVED FOR PLqSl'EflING 1
1S. Rougb E�ectricai-T Bar Ceiling 69. POOL/SPA SYSTEDAS FINAL {
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT " (
20. Rough Factory Pirep!ace APPROVALS Permit # �
21. Ducts, in S2ructure 70. Underground Hydro
22. pucts, �'entileting � 71. Product Pipi�g L Gas ❑ Oii ;
23. Gas Pip��Rough & Test 72, Underground Fiush
24. Roof Freming 73. Underyrnd.StorayeTank C�Gas �Oii �
25. RooS Sheathing z..,/�_t� L� �w/,L- 74. Ouerhead HYdro ,
V �
26. 7�Bar Ceiling (Structural) & AAonocoat 75. Dry Chemical i
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidiny � 77. FIXED SYSTEM FINAL
29. insulation 78. FIRE PREV. FINAI.
3Q. Drywali Naiiing HEALTN DEPT. REQUIREMENT
37. Piaster 6row�n Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE iSSUED
33. Final Etectric Notes: �
34. Final Nt'ating & Air Conditioning • �
35. Pinal Gas Pipe-Test .
36. Hood or Canopy ,
(
37. Firai Factory Fireplace �
38. final Plumbing
39. Water SCrvice-Fi�al
40. Gas Sero•�ce-Finai
41. Soiar pomest'vcFinat -
42. Backflow Preven;er j
--�
43. Backflow Irrigation ' �
44. landscave Irrigation Systzm
45. Sound Attenuatlon
46. Handicap Regulations . � I
47. FINALSTRUCTURE&3WLDING 2-(�"QK G�✓l�" ,
48. FINAL PIANNING - � .'.
49. Electric Release to Edison '
56. Gas Release to Southern California Gas Co .
51. CERTI�ICA7E OF OCCUPANCY
No. Dace �
OWNER SPILLER ZNVESTt�iE\_ COMPANY JATE g_6-70
J08 ADDRESS 2323 E1den Aver.ue, Blde. OD BUILDIhG PER1.11T N0. 32144
GENERAL CONTRACTOR cherman hekritz DESCRIPTIONofWORK 4 Unit Apt. Buildine d 11 Un
AP No.129-012-21 LOT 23 24 16TRACT 300 FlRE ZONE VALUE 5 48 58b.00 C.ara e
INSPECTIONS �2 Ci SO Si n tvrc I Date I GROUP - TYPE �' �. ZONE R-2�_C�-_�_
� soi� I.� J PERMITS ISS ED
cas � SUBCONTRACTOR
Dote Numbcr $iqnat�re
W ATEft Pl �mbi n
ROUGH Pl.UN61NG • ��' � � H' � �f' _% �'/�' �
PROP. SWR. LINE �-NOUSE CON. �/- p?. � 7., _ .o �«� /� 7C %�
� • •
SPRI4KLING SVSTEM
� MISCElL4NE0U5 '
ROUGH HEFTIFG ANO FI9 CONDITIONING
TEh'PORARY SE?VICE OR POLE
UYOEaGRGu::o � Pov/EFi ❑
� FOl'GH WIFIRG �;'/,-' �/3 _?-?c .� �H Co�t��Q_ nd vc��.
TRENCMES /!I FORtdS %}1 STEEL REINF. . INS-"�' I � r� I� ie./ l i r r'��. .. . I���/•-%/ .
pc,auc >:�c F
LATNItVG — !N
PLASTE9. BFO'�
h\�
F
lORM BUC
¢uzL_ i:cc ;,�
OWNER SP
JOB ADDRESS
a
GAS
WATER L �F"'�I�7O
ROUGM P�J�hBING
PROP. SY:R. LINE � NOUSE CON.
~ SPRII:KLIYG SYS7EFf
MISCELLRkEGUS
ROUGH HETTING 4N� AIN CONOITI
TEMPORART SERVICE OR POLE
UN�ERGROUND � J POWER �
ROUGH N'IftIHG
'�I�
IH4L
1 I II I I I '
�_ __ _ HOLD FOR SPECI:\L REQtiIREPIGNTS _32144 __
CPSENT COMPANY ''ai�i- .�i r�.�d DATE 8-6-70
Lden Avenue, Building ;kC BUILDING PERMIT N0. 32145
i�rnan Nekritz DESCRIPTION of WORK 10 ❑nit A�[. Building
23 24 d1tTRACT 300 FIRE ZONE VALUE $ q5 496.00
�O Siqnaturc Do�e GROUP TYPE ! ZONE -7
� � SUBCONTRACTOR PERMITS ISS ED
Dore Numbcr Si mNrc
Plum6iaa .
F
SHEATNING
FRPME AND FLPSHIHG /(%'%�y 'r<
LATHIkG — IN (1 OUT �. GFp-�y_1%:
PLnSi:R, 3RC'Ny �OAT
STftUCTUiTI. FINAL A/'� ,
HEATIhG. VENT., R�.fJC/' � q•C.. FINAL
PLUMBIN�. FINPL ANO GA$ TEST �
ElECT0.1C, FINnL
BUILDING. FINeL
SPECIAL F�OUIaEmENTS
' UTIIITY NOTIFIEO. GAS ELECT. �
OCCUPANCY �? %.• ID
roa�w eua
BL'ILDItiG �fC
HOLD FOR SPECIAL REQUIRE;�SE\TS
32145
OWNER SPILLER IC:VEST2•IEP,.
JOB ADDRESS 2323 EL�1an t1\�
GENERAL CONTRACTOR sherm
AP No. 119-011-21. LOT 23.24
INSpECT10NS 22 S SO
SOIL
GAS '`
W A7 Eft �.[ Ci /V 1�/",�� ��u
ROUGH ALU BING
PROP. 5'NR. LINE C� HOUSE CON. �'
SPRINHLING SVSTEM �
_��.LG�c
MISCELlA1:E0U5
ROpGH HEATING PND nIR CONOITIONING
TEMPOP.ARY SEHVICE OR PGIE
UNOEFGROUND }� , � POV;EAr �
RO�GH YlIRIFG -G�Z r. G,� ' �J-i-%,
TRENCNES '.� FORIdS 14' STEEL REINF
SH�qTNING
coq..G �yD �LPSHIN6
LATHING — IN �(� i
PLASTER. BROYl;J COAT
C
SP��IAL REOUI
UTILITY hOTIF
OCCUPANCY
roq�a eua
OWNER
IN
AP No. 119-OL1-21. LOT 23.24
INSpECTIONS 22 S SO
SOIL
GA$
wareaLf �11G15��1T—iG'
ROUGH PLU!ABL'IG
PADP. S'NR. LINE Q HCUSE CON.
SPo��;KLING SVSTEM
�•ISCEIlANEO(15
POpGH HEATING AND AIR CCHDITIONING
T`-MPORARY SERVICE Ori POLE
UNpERGROJND � POW�R �
ROUGH W!fiING
TAENCHES 't?J FORMS � StEEL RcINF.
F�bOR SYSTEM1t
BO);p BEaM n STEEL AEINFORC� n
$H[qTH1,VG '
�qAME AND FLASHING
LATHIUG — IN � OUT �j2]
P�>STEF, aqOY:N�COAT
"`-4TI4G. VENT.. F�,�16. AI:'J rY:C., PINPL
�LVMBING. FINAL AN� GAS TEST
E�ECTRIC, FINAL
BJILOING. FIN?l
SPECIAL REOIIIREMENiS
�T�UTY NOTIFIED. GAS LI ELECT.
r on 9U<
1[ _
_ 1�
ii�
j � /C- JATE 8-6-70
BUILDING PERMIT N
DESCRIPTION of WORK 1G Unit Apt.
FIRE ZONE VALUE.138,546.
GROUP H TYPE V
� SUBCONTRACTOR P�
HOLD i 0R SPECIIL I2EQUZREPiE\TS ____
lJn: �� /i�n �� DATE 8-6-70
ING PERMIT N0.
FIRE ZONE VALUI
GROUP TYPE
� SUBCONTRACTOR
32147 _
uCLD �OS_SPFC.,L1L RcY�tj�,r,�,tc�_�� . ._ . . _..... ',�1Gfi
;.l
�
� OWNER SPILLER INVESTMENT DATE 10-23-70
�� JOB ADDRESS 2323 Elden Avenu�, Garage �r4 BUILDING PERMIT N0. 32376
� GENERAL CONTRACTOR pG,n__�T_g�ilder DESCRIPTION of WORK pdd 1 Car GaragP to [:arage
� AP No. L07 TRAC7 FIRE ZONE VAWE 5 128,00
'� INSPECTIONS 22 SO SL Si nat�.c Dotc IGROUP F-L • TYPE V ZONE R-3 -2
'�;sui� SUBCONTRACTOR PFRMITS ISSUED
.` GAS Date Numbcr $i nmurc
V/ATER Plombinq
1311
IONING
TEMPORAftY SER`lICE OR POL
UN�ERGROUY� �I POWER
STEEL REINF.
BONG BEFM �_ �� ST
SHEATHING
PRAME ANO FLASHIhG
LATHING — IN � I
PLASTER, BROV:N COA
ron.0 eua
�
� OWNER SPILLER INVESTMENT DATE 10-23-70
�'JOB ADDRESS 2323 Elden Avenue, Bldg. 0 BUILDING PERMIT N0. 32375
��GENERAL CONTRACTOR Osmr-Buildet DESCRIPTIONofWORK Add StQe Rm, d Conv. GarQe to
;� AP No. 119-011-21 LOT TRACT FIRE ZONE VALUE $ 640.00 Laundry
', INSPECTIONS 22 O S1 Si nat�re Date GROUP - TYPE ZONE ._i?-3�_ C�z
� 5011 PERMITS ISSUED
�Gns SUBCONTRACTOR
Datc Numbc� Si na�ure
WATER � Plumbin
' ROUGH PLU,Y,91NG
MISCELLANEOUS
ROUGH HEATING AHD FIR CONOITIONING
TEMPORARY SEFVICE OR POLE
R
ROUGH WIPING
TRENCHES � FORMS C STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE n
SHEFTHING'
FRAME aN0 FLASNING
�ATHING — IN n OUT �I
PLASTER, 9ROWN COAT
STRUCTURAL, FINAI
MEATING, VENT., REFRIG. ANO A.C., FINAL
PLUM9ING. FIN4L AN� Gd5 TEST n
REOUIREMENTS
40TIFIE�, GAS �j EIECT,
lOR�I 8U�
___ __ _ _ ��i
� Z .
a U
� Z
Z a
a m
I J N
Q W
� J
I J m
� U Q
! ZQ
1 �
pW, W
W Z
J Q
�Z
J �
QW
zF
W �
f/] �
�O
F-
z
U
J
a
a
Q
Q
�"
N
z
O
�"'
U
�
�
�
�
z
� ;,•,�,y�;
COSTA PAESA BUILDING�SAFETY DEPART69EhT
P.O. BOX 12C0 COSTA tdESA, CALIFORNIA 926"1.6
__^-a-^-+�"..- . . . _....... - . _ _ ' .^, �'T
For Appli�ant to Fill in ComoJetely
BVILDING ri /? i �� /�! �IL- IJ
ADDRESS �') � ) — �` � _
OWNER ;-��,1/i //L'/L .-/ /��� �.� ( �) .
MAII
ADDFE
CITY /
BftANCH
4DDFESS
ARCHITECi"—
QR ENG_IMrE/R
ADDFESSv %
i
CONTRAqYB�
ADDRESS
CITY
STATE
IIC. NO.
$IZE j =��
OF LOT � ��
USE OF
EXISTING BIDG.
SIZE OF
�i�" �%— Ll�.c/1 v�'� / j=�
�:�T:� �r�c.��l N� '�-2ll
-C"3 �-�'s
�---7` �'
o e i ie._.,. . T§L.
x
G
NO.OF
TEL.
NO_
CITY
IIC. NO.
Ino. o eF �`-oc.s.
NOW ON LOT
EXTERIOR WALL POOF
COVERING COVEaiNG
USE OF BUILDING AND WORK'.O eE PERFORMED
�,ur,-7-7cF:-0D 3�z:: :...,::5_._�;
c..__ % S'
APPLICATION FOR BUILDING PERMIT
RECEIVED BY DATE FECEIVED` D TE� �j�
,ct,/(: ,',.l-, -i! i� .� -1�-7�'
_.,.-C . ,. r••-...-•-..s- p E F rd I7 N O.
q�P�N�O. c//-,�-1� y.r'T"5 ii I`$ -.'/ �'(1
BWCDIfVG � �/ / '/
ADDHESS: , i�,��J �CL ��'�-��LC��u.�
TRACT �JLiL� �LOTNrr BLOCK
USF -.S C�LI,.�L!C/,
��
FIRL
ZONE T
APPROVEb
BV
ONE NO.OF
y�l ' PLANS
VARDS APPROVEO
MAIN BUiL�fNG
DISTANCF
�blAliJ BLD
VAR.;9 -
C.U.P. �Y-t
C�
VALUE � O�
, �c �..i%/`I'_
: l — ' /C/
USE OF NEW��„
BUILDING J
VARDSAPPROVED
ACCESSOFiY BUILDIKG
� FT. J_.�-i.. -.
!/
SY
/ !' ��n
= FT. ` �
v FT.
BET, MAIN R `� �
ACCESS. BLOCS.
OATE /
APPROVED I� �.�-� `�
HYYMUVtU•, , ( I .�
l�/ � i
,/:.flC.t. I :Zn ��� '"."!i:.-..i�.:..i.
,.._.__. .
� , tiOLfl i'... :;::_ i,'.:. :': _�.._ .'' .. .
�
I hereby otknOivletlge iha[ 1 have reaC tM1is application antl siate ��� /1 � '�� � �� ��, �
Nac [he abova information is cOrrec[ ana agree io tomply wiih L�
all laws rogula[ing builtling consvac[ion, antl 1 sholl not employ
ony perzon in violation oh the wo�kman'z compenw[ion laws Of
[hd 5[die ot Cdiifo:nie. �
! l d�.SG Gor, '%� o
1 hereby c2rtify Nai I am properlv licensetl as a conVactO/ untlei SQ. FT.
2ne Sxa[e of California Business and Pro�essions Cotle, Oivisicn 3, �. TNE AMOUNT SHObVN UNDER VALUSTiO� is � on .
Chapwr 9, antl tha[ sucn liconses aru in ivll torce antl effeci, or I THE PUFPOSE OF EST40LISHING �+P=a:11T fEE O'.L'+: I'a
am exempt fram [he C
provisio�s of ine Sta2¢ of Califor ia Basinezs � VALVATION
and Professions Cotle, O��ision 3, CM1u ter 9. �s �'�� N
� ��
PERM1aIT PEE 5 >
SI nature of � � �U � S C �
9 i/' 7 i r-�
Pe�mittee � ;�.��- � � $ � ��� PlANCHcCK 5 � � ',
� i l � � � o
Aothorizetl ABent
� TOTAI ccc g •� � . j /;
. . . _. . .•---..-^.—,-.-����---...-T.�-t�`"�,gr'
. .a � t�^ 1
{�
• ` 4 '. "\ 1
. . . w " ' �
t.".� . ♦ ,E •.�� „
. . �vi. � ' • v
' _.A •�. •�,' . �
iy ' J
� _ _ �
�a � � .
, s
. . �-�n i ,� �.
COSTA 147ESA BUILDINGSAFETY DEPARTII^ENT
P.O.80X1200 COSTAPo7F.SA,CALIFORNIA92626
/'^`.•'---r-u._�..t_.-"--_�.�.�"'..���`�...�_W� �i
For Applican( to Frll in Comp!e.ely
,�UILDI\G
.ODRESS j.�'�'
,�YNER SP;\`¢.�Z
.iAIL
,UDFE55 l�C� L�
i T V �aJ.,J P�: CZr
, NSTRUCTION
h'DER
ZN
NO.
J .
"�J:
i
_ _ _ . � . _�__._ _.___�
�,�^ -7-7t'P='-�C� 373;: ......::�,�,.;`C,
.:;5..
APPLICATION FOR DUILDING PERfJl1T
PE�CE/I,VED BV DATE R/ECEIVED'1 �p TE ISSUED
...:Xt��i.'� ��G'-����f .�����`��)
d.F.�NO.�II -�sl� �.i j--+- �(_i PEF�41-I�T JOi /
3 �
BUIIDiNG � �� � _�1 ���
:.CDRESS .3✓ ) _ -�(%l:�_i (.i;1-� 1
. J
TRACT.JG-C7 �3LOTy�,� BLOCK
� - f� OIVNER�C//� .C%�f
,!ORE55 M rf
. :LMIT[CT'� ,{ �� �� � TEI. ' USE ' / C:!.e% / l� f
: E�IGWEER G;qi:).( �� .1 r� i �;--.:Ao s'�°'�
. / I � i FIFE
, :JORESS/L J�/ ���.��li �+ L,CLl. A�'�,.I �� ZONE T
(r'2�Y-i.•�%-L � �J �� APPROVED
, _JVTiiACTOR �G�fl�u�_L_A'iE�L'tZC`SZ BY
=':DRESS �
� TEL. Z NE NO.OF
�. �V NO. ��/ l5
� - '
� ��'ATE � QTV YAADSAPPROVED
i _ ;. NO. LIC. h0. � htAIN BUILDING
~LE /33'�x �05���1� INO.OFBLDGS. (FROM1IGLSTflEET)
� _� LOT �-3.7� y � r - NOW ON LOT � FFONT � f=�T.
' - ` y�
%'.c OP
I (•_ �ISTWG BLDG. � . S �•-E7..
C �••<E OF NO. OF �
I _ "fIBLOG. ROOMS STOFI[S LSIDE —Fi.
��ERIOR WAIL ROOF
� ;�'.VERING COVEFING � REAfi FT.
Z �'•E OF BVILDING AND WORK TO BE PEFFOR�1ED DISTANCE BET.
� ' A9AIN BLDGS.
L/ VAR. ;f+ _
L�jL�� % •�l�G� �� I E C.U.P.,N. C._
� � ^
Y� �� APPRO BD, t /'.
� ,ii �-
ti `^�--- f"�ii,� :'�: i •
V � M1erebv aeino�vietl4c tM1at I have rcatl this apoliwiion antl sia[e j{�i '
� ���n[ :lfe abOva informotien i: cO�fBCt Ontl OB�¢C :O cOmDly IViN J���eP ��-�L'���'
� °�i la�vs �ogulating buittling cun;:r�cclon, an� 1 inan noc emoiov �
� ���rv oerson in viola[ion of the workman's comoensation laws ot
� ���•� Stato of Calitornia. � / , /,_0
� ��•areby cenify thai I am properly licensetl as a convactor under �. `� � SQ. FT. C
��'�! $W[e ot California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOI
���.�o[er 9, antl [na[ such licenses ara In fvll forco antl ef}ect, or I THE PURPOSE OF ES
"'^ etemoi from ihe orovisions of e S[ate o California Business VALUATION
"^�i Professions Co'o, Di ��sio 3, apter 9.
Sianatwsof i ` -i `V- �L �t�� ' � �/ �
�urmitxc� 5 � QY
\ / ' �/
�' A��[norizetl Agen[
VALUE
C
USE OF NEw �� �, J�
BUIIDING '�'�/`"'
VARDSAPPROVED
ACCESSORY BVI�DING
'�/ � FT.
. /(
�:../^ '� �
BET. MAIN R ' �
ACCESS. BLDGS.II
DATE /
APPFOVED �I�.3-L'j
DATF
�-�'�%�'
_i!•.L i;EQU[REr��til�
�
b
H ' O
UNOEF VALUATION IS FOR j
�ISHIkG A PERMIT FEE ONLV: ¢ ,
RMIT FEE S �OO j
m
4\ CHECK 5��' �D E
0
TA� FEE 5
��,Ov LL
'l �„ �
_ o _ "i � '
r
�' }\� L.
� ... �. 1
.�9_z.
�-�.. - • �_�
COSTA MESA BUILDING�SAFETY Q�PA6tTMENT
P.0.60X7200 COST:.f:tESA.CALIPORVtA92626
....----�-•—m�----.�r+r...-o .: �L.. ...
,,�� ��-� �
,.. -7-70 ;.-:�0 374;: *::t:*"c�i!i.l:i•
c, n..
� APPLICATION FOR BUILDING PERMIT
' ForApp�icanttoFillinCompletely qECE�VEDBV �ATERECEIVED� -
� �I _ � DqTE ISSUED
BVILDING �� � � t�
ADDRESS ��. /. ��C- ti CC'L. -C_ :� .,�-LtCI ��a_ � �.. - ")(� � :-G -� J�3
; � r ;1 �l c?(�—J—�i %-:r'�'.'SZ> PERMITNO
Ot�NER ��J� / I..� .L I�+'L^. C .. � A.� D10. '7 .- �I L -: }
� �.�' /� l � /
� �7AIL i � i. /� . � ADIDRIE55 ��j� 5 � ��(`f-C.: . (.QAAL
. C� /1�[ � � ���� _/- ,
Z � .�DDRESS � . L- • - �- '']
� •1: W�. / . TF.I.I I f !� TRACT J���"��
� _ Z ��T� �.��,�..'�' ,� «u'.l� .oL Y�� �� �;
i Z Q CO\STRUCTION / _ . S;� 1 N W AD A T R
� �N LENOER �
1 C1 i
J � BRANCH
-� � OW N E , i/ti�t�/ I��
� W ADDRESS
"_I J . .
m AftCHITECi-�� TEL. 115E� % � �����'� � �/�
� 'JN OP EnGI�cc9l�i. i� L%'�.'7:i ` . t-
//J 1 FIRE
�� < <+ODAESSI"�! �"• L�L�JI!�'.�� �i;�:_ �-...� J� ZONE T'
± aw [c.l.L'"��.`'-2 /� { APPROVED
J O COhTRACTOR ' 'j'r�'�� ��r�. � L- � 8�
I m Z -
( J � ADOFES$
� W w TEL. z NE ' D.OF
Z� CITV NO. •���' �� f
W � STATE CITY YAqOS APPROVEO
(q 2 UC. NO. LIC. NO. MAIN BUILOING
' �� SIZ[ / �f n�- ��/ r NO.OFBLOG�. - (FqOMGLSTHEETI
I OFLOT ��n' y� (�J�� INOVJONLOT , FRONT FT,
' VAWE�
! �
� GROUP I�/
DATE
/o �'�
E OF NEW
ILDItvG �i«'��C
YAq05 APPFiOVEO
� f� SIZEOF NO.OF i�
Z `1 \E`:: B�DG. ROOMS STORIES � L. SIDE FT. • FT. �
Q II EXTERIpRtYALL ROOF � /� �i n /
V - COVERING COVERING �tEAR FT. �� (!� FT. f'� 'iJ�+ i�
J USE OF BVILDING ANO N'ORK TO BE PERFORMED � DI5TANCE eET. � BET. MAIN &
n' . V1AIN Bl.DGS. qCCESS. BLDGS.
a
Q t� � /� � VAfl.-N= � �. DATE / (
O / CC4C: L� r,' Q,�C_G�� �- � C.U.P. ;y_ E'r 7- r: APPROVE�� ��� V
N �`/�`,.: /./ �' APPROVED � �
t�=r ��
Q —�.-.'r' I f':5'u� f�:^ �F:vi" ��•� };_�rllir r�.:,:
r.��« � .,
VI haraby acknowletlBe that I nava rootl [nis apolication antl statn � ��/�� /IlL -
Ihat ihe abOve information is wrrBct entl aBrea m comply .vit� � `-Q �""��
� all la�as rogula[ing buildinp cOnsvucvion, antl � shnll noi employ �
r nnv vwson in .Iolation of [hc workman's compensaticn laws o� `{
the S�ace of Calitornle. I Z /� �� �
zI nereby to�ily vho� I om p.000rN Iicensetl as o connactor under �� � 5�. Fr. `QI' p
2no Scoto 01 California Business antl Prafessions Cotle, Divisicn J, � THE AMpUNT SHOINN VNDER VA�UATION IS FOR �
Chnp�M 9, antl tba[ sucN licenses ura in f�ll forca and a!foct, os 1 THc pURP�E OF ESTABLISHlNG A PEFMIT FEE ONLY: o
em eapmp[ !�om tha ProvisiOns ot Iha $ Wte of Ce Ifornia Businet5 ¢
VALUATION �� UO
nntl Prolossions CotlP, Div" ion 3, upta <J. N
1 � r PERMIT FEE S �
SiBnat�ra of /I � � � /.�j„� . / S /J/ ��O _.�� �O � 0 m
Permiaea /� PLAN CHECK 5 � E
`o
8'�- o o LL
AuthOrizetl Ageni
TOTAL FEE 5
. . , 'w, •J.-J �'� ��_, ��- �
��
- _��`(_tiX'� �
' ��1.
' � `'� �Y. `�.� � f 1
c �
. ' ri�r _ j
. � � R �
. '
1
�
, ;
' n� jY• �
Z .
a U
z
za
O v~i
a m
J �
J N
� W
p J
.d
J Q
U N
Z�
w �
aW
W Z
J Q
m Z
J �
W �yJ
0
Z �
w �
N �
� �
H
z
Q
U
J
a
a
Q
�
�
�
z
0
�
U
�
�
�
N
z
�
-� �� �I�.3
s�- -
,- --
COSTA P�7ESA BUILDINGSAFETY DEPARTMiLNT
P.O. BOX 12C0 C657.1 LtESA, CALIFOn.^21A 92G26
..—.-.+.�---�•..�-.
Fo� Applican[ to Fill in Comple:cly
olti�rvea
\1AIl
ciTv NE`�
CONSTRUCTION
IE��DCF
eaaNCr+
ADORE55
A�DRE55 /%' �
CONTRACTOR <
ADDRESS
CITV
STnTE
LIC. h'O.
512 E / 3-� �
OF LOT : •1,��'
EXISTING BLDG.
SI2E OF
NEVI BLOG.
EXTEPICR'::ALL
COVERIVG
VSE OF BUILpING
�� J
..i
NO. Of
TEL.
NO.
CITV
LIC. f�'O.
�NO.OF BLDG'
no�.v oN �or
P_, i_.
•�:r '� _{-_:. C'i:t:i:(� "
.. -7-/l;Ctt��I�L /.�-- )n.i.'::
APPLICATION FOR BUILDING PERRIIT
REC[IV�DBV DATERECEIVEO� DI�TEISSUED
,x�'�t .f'-1,->n � 3� �,_ ��.;
—.W_2�:� .�.. ._.._:.._.
// /NO.nI�-..TIJ%�"'I-- PERMITC'.'�
A.V.
ou��Duvc > �'/ �/ � .� .
ADDFESS .n �.-) .� J Y f`.L`l_<-t�_. CL(.(
TRACT,:���'"�� ? �LOT7 F/ � BLOCK
�/li.o � 2'=!���
VALUE
�%�i/% �i/ (•'i i ..�1' S
��-^:-�-„-•---zi +=G�
/ TVP� GR(
OVED
DATE
z c� C' %yi Pv�us �
VARD.^� APPROVED
'AING f' REAR
9E PERFJ •�tED , �—
C�, �' y �` � �fJ DISTANC[ BET.
Lv,� C i �] MAIN A�DGS.
tj vAR. k'=
ii C.U.P.���
USE OF NEW �-Ci��C/
BUILDING (1� J� �, p
VAq05 AP�ROVED �
ACCESSORY BUILDING
D FT.
`/ I
A ` FT. IO �. _�E
�/
� y
i'J. ..J' /yl � /'. O
� FT.. �G
HET_ MAIN & :. r ... G
�:G!..li f•'V;; : !:1::�:?itL
-J-l7/
�- � �i
I herebv acknowletlge ihat I nave raatl [his application antl siate � �
Ihat tqe above intormacion is corrtte entl agree to comply with ' �?' ? �'v ' '�� �-"��
1 y
all laws rogulating builtling consVuction, antl I shnll m[ employ f
any p¢rso� in viola[ion of ihe vvorkman's compensation la�ti�s of �
Nc $taw ol Cnlitomia. ! /. /r�D / m
� Gur,'f "
I hCreby certify that I am prooerly licansotl os o con[ra[wr untler ,/ SQ. FT. o
ina Stau ol Calitornia Business antl Pralessions Cotlo, Divisicn 3, THE AMOVNT SHOW\ VNDER VAWATION IS FOR �
Chooier 9, a�d that such licenses ere ' lull torce entl atloci, or 1 M TH� PUFV�E OF ESTABLISHING A PER�Y117 FEE ONIV: ¢
am axomo� irom o prUv)sion o� mc Sia;e o� alifomia Businass VA W ATION � / �/
entl Protessians e, L�f (sion , ChBp ��9. �/y� � U m
� , PER�iIT FEE 5 "/ / ' j
SiO�otureof ��.� /��,/'/��( � Z. O m
Pcrmitioo L�- � 5 � yQ� PLAN CHECK 5� � E
� � `o
Authorizetl 4gent i G�, 00 LL
TOTAIFEE 5
. . � �_ ��� - . 7��
/
/�
T � '� � �
i � ~� • '
� ��,- �
_.' 1 `DA��?`ii'� J � �
j
�
. _ . �. �r •` ,
. ,1 .� �: , (.�' � �
+�y 1� .
ti�Y 'S'�+^ 1
e
1
l�
, ;� "
COSTA MESA BUILDING-SAFETY DEPARTMENT
p,p, �pX 1200 COSTA P.7ESA,CALIFORNIA 92G26
--'-r-r-.�.—ro.T
-- For Applicant to FiU in Completely
`;'.-7-Icc��;'Ct� 3�0:> ;:::>:Zl�.�i;
APPLICATION FOR BUILDING PERMIT
RECEI;EDBV DASEFECEIVED`I D,�TEISSUED
.. '. � ,,. ;�._� � -[�-7v
�.r
�/t�— c;/ 1�.�-/ ��-.' i—D PERMIT NO.
O�'INEF �.j�l' \ .Yl.. .-Y-1�.' � .,� r A. . NO. � .`� . � [/ G/
I n1AIL k 6VILDING �`j � // /' / .
`-'.��1 L ')�"- ADDRESS. /�� ��('GC.z�'— �oG.cc �
° aooAE== � _
i �3.�y�il-
av cirv 1 u„•�C�T' �� va�, -1\a' raacT3c--d �or BLOCK
' � �"� " �`N ADD ALTER PA �
� � a �OEND[RCTION jl.3 ..� � /, J,1 /; /
� � r_t_ �
O c~i� �
� 4 � BRANCH / � e �f
� � OLVNER��h1_�L4i.C� �./:�ti�GG' i !
� Q W ADORE55 . � ' �, VAWE /�' C�'
GJ ' � TEL. . USr::�G_.�.C1 /�� ,�^�! ,:-•!.✓S�IS�SFG�— �
a1 APGHITECT'� �:^ - - t •
' -"�Q OAE�_GNEERII:'•l/:� L.il-,,.!-Ibti�,1d0. _ - - -
I / FIRE ���� � �'J�C� IU� �y.{�
� a ADDRE55% !� [l �/ C� �.Z? ,IL'%� � � � J r.�.L�F��"� ZONE TYPEF �ROUP L/
W �
q W . c�-{,t, l��i,% ,yy / APPROVEO
W Z �' CO`1TRACTOR � y_'..'q,.p _ �A-�\ Z Br DATE
� z a00RE55 ^ �7'LC �{^C/.��`
-� C ZONE NO.OF USE OF NELYV�-"'�
w LL1 ^ uO�' �n PLAN$ BUIL�IhG
q2 CIT QJ' S ` TI C i•�•Y�'y l/ //�A�S-<.1N'
L �
�'O 5T1TE CITY �'ARDSAPPFOVED VAROSAPPROVED
W� ��� Np LIG. NO. MAIN BVILDING ACCESSOFV BUR�ING
' � � SIZE � =3� � x �3 � �� �- NO.OF BLDCS. (FROM C�S-T-}REET)
� /?.' � NOW ON LOT RONT J F �-P- FT.
OF l0T v.C% X JZ '
USE OF /�
EXISTNG BLDG. 51 I '�' FT
� j— 512E OF NO.OF ' �I
� z NEIVBLDG. ROOMS STORIE$ f L.SIDE F9. F7, O
--� a
'Q EX�ERIOR l4ALL ROOF / . �-# ��
i U� COVE9ING COVERING RE�+R ,�G%�FT. ,J-L-r • PT.
J VSE OF BUILDING AND WORK TO BE PERFORAIED DISTANCE BET. i BET, MAIN &
f• d, MFIN BLDGS.:Z j �I FCCESS.BLDGS.
�' � - VAft..i`- DATE
a �(,l/L% (" C.C-'�`� c.0 a. � G-�$7-N % APPROVED //-3-CG%
O i j
~ � / .i.�Ci �T !L ' c.<,:t� I� APPF� �E° — / — G
. � „
Z•- '�'� �!�!—T-�--�-�,..�.�..—+• .�=� � C�E�3 c-c� �/ 'i4�vq�c%
0 �_...__ .. . . _-_..._.' . . ._. ., . . � �
U� M1erebV �cknowletlge Ihai I hzvc reatl [nis appliwtion antl sia[e �� ��� .^�%�� /�
� �nat tne above informaeion is conec[ antl agree m tomply wi[h �'^` �'��
all la�vs �egulatin9 ouiltling cons[ruc[ion, antl I shall mt employ ��u+'-� ���-�.. , ��' .^ �� '�^'�� �
� �•• <)il.�:, rq .
r p�y petson in violation of the workmads compensation laws of - � V'.-• t.] `
N tne S[are ol Caiitornia. f/ � / /
� > b
� Z I M1erebv �ertify chat I am properly licensetl as n conVactor untle� 1 � /' SQ. FT, 7 '�` � D-� p
thc Stare of Califomia Bvsinxss and Protessions Cotla, Oivisicn 3, 1 THE AMOUNT SHOWN UNDER VALUATION IS FOR ?
�naArer 9, and [ha[ su<h licensez are in full force antl ettect, or I 4 THE PUFPOSE OF ESTABLISHING A PERMIT FEE ON�V:
am evemo[ from the provision5 0l Ne 5[»te of Calitomia Business VALUATION ¢
pnd Profesiions Cotle, Division 3, ChaPt�w.�1.' � /� m
^ �� PERMIT fEE S � /L'D j
\ % (•�
Signawr " C..t� / ry
� —� a
Pormluee `� ✓�- 5 ���lp PLAN CHECK 5 / ��� E
� o
Authorizetl Agent /� /J LL
TOTAL FEE 54 J�� D
,,.�._ _...�.._�.-•---- . . . _ . .. . .. . .... � .—`.--r�r�
r � ` �i.� '�
' !� 1�'
� • ' 1 �� T�� �
. . . .`x._ 12,�. �
y
. a _ .
_.
. �
`._.-. I
r-:.;r �� -�;
j ' _ �� , � 'y` i ;.I'�, -7-70�.;.,; C1� 377�:> t.. �.�i,.i� ��
f COSTA MESA BUILDING-SAFETY DEPARTh9ENT
� P.O. BOX 1200 COSTA C9ESA, CALIFORNIA 92G2o 'i
, ��4� APPUCATION FOR BUILDING PERMIT �
T For Applicant �to Fi!! in Cainpletely � >-� - - I,
RECEI�`�'�EO B/V D� TE °CENyEO� DATE 1$SVED
BUI(.DING n --_—t1 ��{, G � �.' � / s .( J� �
� r� .". /L b^ -. . � �- . _ �, I �+ �" ' ��� � �I
ADDFE55 �� �� L, ti�V p � (L.�-'^.,,y_^..Z.
{t ��C/ ���,-:}l�J-.�,�c--.�,� P RMITNO.
OW�IER 5�.���� '�NJ. �c� . F� A.P.Na �,-s� ,F`i�7�/c/�.5�1�
� h1A1L /'� ( BUILDING '] / //'� /f,, ,I{ �
Z . ADDRESS �J' � .J'C :S~�•• iCL I ADORESS � � • J , �(Cr�-'L'✓ �-�'-(.�t-(}
� WW � TEL. ^ „� � 7RACTJG :i `��LOT�//� BLOCK � I
a c.� () c�Tv �1E.'�.v 1�0��T �� t��.t,.._ ��o�ty�_ ila-�.�
z
F' N W AD� AL ER RFp ht r
� ON I IOENOEqCTIOV .�•)` �.St�.
J �
am Q� J � BRANCH /1
-J cn OWN[-F'C�ii'J �_I �C� %C/ ��L/r✓ . �
f
W AOORESS � �-- VALUE ����yy•...��t`
� m Q AflCHITEC� 1 �. � 1 TEL. � �:�FrI� ���.LS 5 ��(�/ 1.
OR EIVG!NEER /' i`� - ' � �-'� ' P<O.
� z Q � f 'I -_ E Fia� .
w� i ADDFE55 �I C' �' .�, 1:��.1.%� ~ � � y t 20NE TYPE .� GRCUP ��
d W F
{ c.����;`�� :%(.' ) �� APPROVED
� J O � CONTqACTOF .`l}��'-y��l:+r�\�I-C'_-{�ly. � eY DATE .
j mZ
J � ADDRES$ � /' ���
w w t TEL. � ZONE NO.OF USE OF NEWC�� �
�= CITY �Y\ NO. . ��C�r IANS � BUIIDWG `�✓� ?L/�,..
Z F- �
W� STATE GTV Y/aRDSAPPROVED 1'ApDSA PqOVED ✓
� 2 UC. NO. 110. NO. MAIfJ BUILDING ACCESSORV BUI�DING
7 � :' S1ZE �-' � 'j (FROM GL STREET) / /'
I��.i � 3 C; _. NO. OF BLDGS. r
OF LOT �,7,�� �:� �.� IV0IVON LOT FPONT ��'t-� FT. � / FT.
�
USE OF (�
' E%I5TING BLDG. ��� t{ q SIDE �FL FT.
� 512E OF { 1 . NO. OF ��� r/ �/J /�
Z� NE:NBL .. `•1. F{: T� ROOMS STORIES I LSIDE �J FT. �'yL-G� FT.
��V� EXT[FIOP WALL 'ROOF ;�2.`�-'�.T�-.YI--'.-q=Rsi J r _�i � /'�
`' COVERL"dG ICOVERING REAR ii�_rr.`'".�� � I-L-i , FT.
J f USE OF BUILDING AND WOFK TO BE PERFOftMED ,�y pISTANCE BET.^. —..�����'�� BET. MAIN &
a€ �+IAIN BLDGS. ` ACCESS. 9LDG5.
a
a � C URP, ���� Y�-I, � APPROVED I-�� Lr'
p �o---�.-��� ._�r-iT % %
(�J C i lJllLL,� �' AVPft ,� o
� �'' /. �/' F f : f' C�?7) - .-..
� . . ��s� t,_.. r-�.��.: .' . / . ...
�, . . _ . . . . . � � .. .�-w-,._..'.-"S�"'�' ,o n �•^. .-. . r n'>l'V 1'.^.•-1 �c'� fTC
~� I hereby ac4'nowletlge ffiat I ha e reatl [h s applicat on antl s:ate i�, �'
� :hat xne ano e ntormaton is cone<t and aeree to complv �v in }` C�ti-� � a.- .-�% (,�-,t /
� all lu�vs reg launq build n9 consvuct on and I shall not employ � ��
�„_ � any person m violation ot the workman's compensation laws ot �_!
(/� tM1e Siate Of Califomia [� m
l �
� I hereb rertif that 1 am SQ. FT. p
V V propelly licensetl as a cOniractor untler �
Me $tate Ot Califomia Business antl Professions Cotle, Divisicn 3, ijt THE AMOUNT SMOWN UNDER VA�UATION IS FOR �
Chap�er 9, antl ihat Such I{�enses a�e in fvli torce antl effect, or I f� THE PURPOSE OF ESTAeLISHING A PERMIT FEE ONLV: o
am ezempt trom the provisions of [he State ot Catitorniu Basiness �! Q
. VALUATION
and Professions Gotle, Division 3, ChaPter 9. �j/� m
PERMIT FEE S Z!-(l � S U �
� Signam .1 �' � �� �1 e m
Perm'iree L� � n+ � S 9��9� PLqN CMECK 5 �/ �/�-� E
o`
, Authorized A9ent � .�{ D .��� u
...._...___....... _._ _ �� TOTALKEE 5 ✓
1�
� \
•. V Z
) j°�
� Z�
�c
U 0 :Ii
1am
/ J �
3 J </1
J p]J
' `� � a
I�(:i�a
W
�
�_, p_ W
u ... z
I i�-�O
I�� °J z
I' ��
7.�� W
I l�a
VZ�
O
��70
� � ;
�"'
�'•Q
� S� U
1 J
�
a
a
�.a�
C) N
z
0
�
U
�
I �
N
2
. %a�
, : �
.. ,-. i ...1 .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA A1ESA, CALIFORNIA 92626
For Applicant m Fil! in Completely
BUILDIVG �^��,�`�r1� ��G
ADORE55 ��
OWNER�\J�`�!� �.1....1VU. n
l`
M1fAI� t
ADDRESS�`p�� �tiG< �C�1� �'�
TEI,. � •
��T� Ne.v-{',��� '� ar.�N��4;�-ii�l
corvsr�+ucriorv � .+� / .1 �',
Fl�i1lLR
BRANCH
ADDRESS . '
APCHITEGF��. . 1 1 tiG TEL.
A�DRESS/G (l�lLl! i :�L1��C.�� L� .�.�'_
� �
CONTftACTOF���.^.Z'�rqy �,� -�j���:'` r
ADDFESS
TEI.
CITY�+D-V�M�.'IJ �J�-��% NO.
STATE QTY
UC. NO, IIC. NO.
512E /�i>� n � GS:. �'+'- NO.OFBLIXSS.
OF LOT �� L X ��� � I �'OW ON LOT
USE OF
EKISTING BLDG.
St2E OF �.( M1'O. OF
��ElVBLDG� . �` R� ', �w� ROOM1�S STOFIE:
EXTERIOP WALL ADOF
COVERI�G COVERING
USE OF BUIL�ING A\D 1`/ORK TO BE PERFOHMED
/
�-::„ , _ -:�� —
..�. -%-7iiC!1� OJ 3%Gt� ....::.jJ �.C>>
APPLICATION FOR BUILDING PERMIT
RECEIVCM6�Y DA ER�CEIVED7 DATEI SU
��� i�� ���C'' �/ �j --
�..�.-�/.i _. �..' . —�
no/nih-C�/-.��i.�� :JC� / P�RMI//P
TRACT ��"""
X
OWN
FlRE
ZONE
APPAOVED
ZONE NO.OF
9 ��! ' PLANS ,
VARDS APPROVED
MAIN BUILDING
�FqOM C/L STREET)_
/ /
t;e�li
VALUE
USE OF NE
BUILDING �
YAaDS
/
S�n
ROVED
BUILDI
�
i. ri.
T.� / . �% i1n , FT. �
dET. MAIN & �
ACCESS. BlDGS.
DATE
�'L>Y APPROVED /�—�j-['t
��` nn�r� /_ r�� �1
1 hereby acknowletlge [nac I nava reatl this apolication antl swtc �1 ..f'�I /`�' /�
tM1a[ the above infarmation is correct antl agrao io comply wiih Z��' � -'�
ali lauvs regulating builtling consuuc[ion, antl 1 shall not emoloy `�
any person in �iolation ol the workman's comp¢nsation la�vs of
tha State of Caliiomia. `
I hmeby certify that I om oroporly licensetl as n convector untler �/ !` S SQ. FT.
[he Stace of California 6usiness antl Prafessions COtle, Divisi�n 3, THE AMOUNT SH(
Chaprer 9, and [hac such licenses are In toll rorca and affecc, or 1 THE PURP(�i'E OF E
am exempt trom ihe provisiOns at ihe $[e[e of California Business
antl ProfessionsCotlq Division 3, Cnap[er 9.
VALUATION
Signaxure f 1. 1\ �j Oa
Permittee ��.�� l_--�n :�'t�+t��`^- $ /I,C �90'
Authorizetl A9ent i � '
9
,/• 1 ]
- 7 4'O ��/�t.i:r,s o
VN UNDEF VALUATION IS FOR �
'ABLISHING A PEFMIT FEE OVLY:
�j �
PERMIT fEE 5 Z J i�� j
��� o
oLAN CHECK 5 I � �I� =
(O � 1 �
TOTAL FEE 5 •�✓ / „�•5 � LL
� " _' ±� .-?' _ _ ' /
.1r;,�� �y�fFly ..�< �
;� 1 �'�,. • - i
� ��r �-.�; �,a ,.- :
,�..
. w -,. ;:,
� p 1
� -,. ti�, y • 3
� � ;''S��,.�,y�`��...`, j
'`t <'. . i . , _
_ - , I
�
!Y p ` .
i .
.� . �
e�
' . -,.-„ �� �� A ,,
COSTA N7ESA 6UILDING-SAFETY DEPARTMENT f/�
P.O. BOX 1200 COSTA �:IESA, CALIFOFNIA 92626
�`'''��'''�````` .�.1�1�'��.�a.��i�JT�.�.�� �+���
� For Applicant to Fi!l in Completely �
P
aui�oira� Ei
aooaess � '� _ ^.o v a . �'.^
ObVNER :?'�\� � � — _ { a
%,ar —�-�r•`=�=00 379�� ..::i: �98.7:
c:,....
APPLICATION FOR BUILDING PERMIT
CEIV =�8� D4TE ECEIVED �
q DATE ISSU
� c��� S'' !3 � 7li ! ��'.- j� _
r=
PEfiMiT N�
wo.n �i_ c.�i�-.:t i -�a �n.,_ .'i,a l�
1 A�� � 9UILDING
AD�RE55 �: � �t;'�� ` � }4r . aDDftESS ( .f
I Z ' TEL �� TRACT ��-C7
I �.' �- cirv�F ��Cc�i't- `3c af� No. C'y�-\��'.
L�
F— j COVSTRUCiIOV f!_ q "`'�I NRN AOD A TER f
Z � � LEN�EF �]��' � x`� �
�� � C � BRANCH i� �A /
C 'J. �� Olt 'YN�
� �; � ADDi±E55 �--
� � =� F qRCHITECS� � �'� TEL ��,� � " 7 S �
y� % OR ENGINEER ri'� �y' ' _�`_yJ_�� T'O . ---
— �/. � 1 1 �f � �IRE
1 Z. AODRE55%I V� 1J• =1�-f� \lF i �L' :,�Tu.� [� � ZOtdE T
L � jjj �)<.vi/�-�^ I BYPROVED
� / � CONTRACTOR �t�'' hn ,�'- � C'J•-CL�-C�.=
� J J I
'J � ADDftE55
J � �i ZphE NO.OF
�:: ��1 TEL. 1 PLAN$ '
C Z.' � CITV NO. I .�.0-G�
Z J � STAiE ' CITY '4 YARDSAPPROVED
L'J LIC. IVO. IIC. NQ p NAIN BUILDING
V � (FFOM GL STREE�
� � � � SIZE /✓�� ri ��,rr Y nO.OFBLIX'S. J R
OFLOT��C�>h %�.2� INO'+VONLOT '{ FqON'__ T �Y FT
USE OF
1 / -5
� EXISTIVGBLDG. 1 R.SIDE �FT
I r SIZE OF NO. OF {1 G�
� AEbVBLDG. ROOi1U STOFIES L.SIDE � FT.
� Q [%TERIOP WALL ROOF �i
� U. COVEftING �OVERING �' REAR ,�OFT.
� USE OF BUILOING AND WORK TO BE PERFOFlME�
� J DISTANCE BET.
I p. . AtAIN 8LDG5. ;
c � C,��-: / T �4R..�
L � C.U.P. {��L L' G i L
� � � � ( cC,� � � . �� i1PPq9�€p� ��
� I � RY ( l I` /•
Q� � '! �.r:� P1 IP�'.:; C�L'
1 U� I hereby acknowledge tha[ I have read Ihis applica[ion antl sWte �� j /�
chat ffie above in:ormation �s correc[ antl agree co complv wi;h i� �'P �"�LY�"�'
� nll laws regulating builtling consvuttion, antl 1 shall not emoloy I
� anY Oerson in violation of the �aorkman's compensation laws of ��
� tne Stare ot Calitornia. �—
f 1 hereby certify that I am propeNy licensetl a a convacior untler �� // �' $Q. FT
� the Sta[e ot California Business and Professions COCa, Divisicn 3, 1 THE AMOUNT 5
Chap[er 9, and [hat such licenses are in fuil forco.antl efiect, or I � THE PUR:C6E OF
.�m exempt from the provisionso/th�5tace of C ifornia Business ��
.intl Professions Co e, Division 3, Chao<er 9: t VALUATION
:i9nature of '/ /��i.l�`4� _. 1� I���'�G e
1 Pe�mitwe �� $
4a[horizetl Aaent �/
/
Y-�
VALVE
DATE
/ C' '_
USE OF NEbV/L./��,
OVILDING � (
YAROS APPROV I
ACCESSORV BUIL
� �� � '���r �._ ,
DATE
APPROVED I�-
%
�
�
� � 2/3% . m
!7 C�q/cj o
UNDER VALUATION IS FOR e
LISHING A PERMIT FEE pNLY: Q
RMIT FEE S' 4iy �G j
J' m
4N CHECK 5 I�^��s E
_ `o
LL
�TALFEE 5 %��
_-�-_' -_ � i
9
' _" ,�....-+r- �
. �'"� ^:"T "7.3-?f�cr.(=0�10??. ot;;::�;:;:(,.�lQ.
COSTA N1ESA BUILDIiJG�SAFETY DEPARTiAE�VT
P.p. BOX 7200 COS7A f:iESA, CALIFORPlIA 9262u
r„"",..�'_ ...w...s_-.."'�'y _ ._"G' ..y- �
APPLICATION FOR BUILDING PERMIT
.���` Fur Applicant to Fill in Co:nplerely � —.c�.:—..... � .
f� ftECEIVtaBV �ATERECEIVED� UATEISSUED
VrjB�,�o,.:�� _ . � �� ,/ �/-l: _...�1'>s_�<;� �<_�; ��'
ADDFESS ���_ � �\n!d � � '.�J �-• { : I ) 0., '�
`J - ' � A.P.NO. �G /�/�� �' � � PcS�'iT�"7 7�r'
��OPJNER'' `1, s. ^ _�-_{• • � �'.-. f 7 '—�'�."T-}� ' f-6
1 --�?-��'•`- BUILD)NG 'i- � / ` lC Y� IJ
�
t \AAII 1` ` P'�1 ' ADDRESS � �l- � I� f,.rl�• ,
Z Z'� ADDRESS \�,.,�'=� `ti�:i: ti �ii-l� � /� i
W l:J :� .. 1 -cL�� i � - �. "}G%""�� �'i/�%IV' �
-� TRACr ZUT a�ocK
aU - CiTv �.. �� �.�i"�.'�\ E�-i�.�l�.�+��� �
� z �l_-�i .. , -
LQ �� COfM1STRUCTI,.^.pl. ,� /" , Y NEW AUO ALTeR Fl�F M �
ON i L[idDER i�.-'.\•ti••�\•:iV� '7'�.'; q,-�:,,.'�'\�l �.
a m }� l �.
J � i ORANCH~ `'�_i� �.: a. �: ��J �,r \ \�L �) ( �
-ftn y� OWhER �I� _-C�C.�ii.,�� /� YL'�/ 1�
Q W , qbOFESS --�
p� J ; VAWE
mt� ARCHI'I'ECT TEI. , VSE G 4
J � f' OR E�:G�NEEF `:O. � '=5"i-^
V Q �r F�RE � /"�
� J
iyzj 2} ADORESS y ZONE TYPE -/ GR��O�'JP �1
du' € �J' APPROVED //J/� .
J O �� CONTRAC70Fl �,`: �� �`G y�� l7 BY DATE V
b Z � �
J � �' AD�RESS '� "�'�
� w � TEL. hE NO.OF USE OF NEYV T��.-.�.�� '
z Y € CITY NO. � -C� •� PlAf�S y �(`iUILU'.,N��� /}� � ,_ �' •
t•s'"X'^^Y`I� rU'cVVDD
w� 4; STATE CITY YARDSAFPHOVED YAFDSAPPr.OVE�
�� � UG.NO. LIC.NO. NN�:BUILDING ACCESSORVOVILDING
7� � SITE M1O.OF BLD'uS. IFROM GL STiiEET)
b
(t OF LOT NOl`: ON LOT FRONT FT, � FT.
i VSF.OF k
`r EXISTIi:G PLOG. : SIDE OFT. FT.
F'- j'. SIZ[ OF NO.OF ; ,,,p
_,Z �� NF.49R�OG. .ROO!�iS 570RIES � LSIpE /�.",�(.9�. (el .��' FT. '^
�E%TEPiIOR:YALI ROOF S �
��' COVENING COVEftING t ftE/>R �SfT. FT.
J j. USE OF BVILDING AlD WORK TO 6E PERFORMED l pISTAfvCE NET, HET. MAIN &
°- t MAIN BlOGS. ACCLS5.6LDG5.
a E /
a �� � f � �L / -� �.�� "— �� �l.l--G1A�' I C. U P�� � i� � � f0 DATE
� a�Ao�Eo i r - - � G
�--
,
�n 4- ��Nf'—vYL 4C�a�-�r;-1J-�(�'.) -�L f r APPr3c ;ED� ��? � O—�. - Cj
z � �il J�r---<1��.._e _Jt��t,� f
p 11� —� -"�`s_ �-..f=��^_.< ,�,.^.----
U{{ 1 neseby acknowletlge rnat I i�ave reatl tbis aoPliCalion antl s:vte �
�•� tha[ the above informa:ion �s correct ontl agree m comply wi[h :
� dll laws regulating W�iltlu•,g cOnstruc[ion, antl � shall no[ emoloy �
F, unv nerson in violation of [he workman's compensa[iOn laws or �
zthe Stare of Celifonia. /✓- U .m
� 1 herCbVi cer[ify Nat I am properly licensed as a wnvactor unAer SQ. FT. D
mc Smvc of California 3usiness antl Profession5 Cotle, Divisicn 3, THE AtdOVNTSHOW�' UN�ER VALUA 10�`1 IS FOR
. COap[er 9, a�tl eha[ sacn licenses are in tull torce antl eifect, or I THE PURP�E OF ESTABlISHING �+ PERN �f E� �iLY: "�+
nm etempt (rom the provisions of LM1e State o( Caiiiornia Basin�ss �
VALUATIOM
antl Professions Coae, Division 3, Chapier 9. N
,\ � � � PERMIT FEE 5 �
Stpnawre of� � 1 r� '� /y ]
\ m
Permit[ee \ ` i�, •\ � ' '� � !J..! . , 5� PLAN CHECK 5 E
• � � G �
i Aethorixetl A9¢nx "� /�, � LL
,1��/ 70TAL FEE 5
. . - . _ . . .. ' � � + �-. '„i-�
. �
. i
!
---�- - - - - - - - - -- - -- - - _______ _ ._.__ ___ _
• � �
•� ^ !
. . -..,� ��.. :.,T 2�.-if.Pi:�.:�%�SnZ s" -.:,::.::1c?.5�,
. COSTA i.tESA BUIIDINGSAFETY DEPARTMEi1T �
P.O. 60:5 7200 COSTA F9ESA, CALIFOR,IIA 92G25
�� �_- �^ �-_�-��-T APPLICATION FOft GUILDING PcRA11T
._�._._.�.=_,.._..:----.....�_�...._._.:_�.� .
�� _ �;j
Fof Applicanr tu Fill in Can /e.el� . o:. e isiu_o J�
�� � � t REGElV'ca8% �AT .AEC9IVED• ""�` c
t BUILDING }_ . ' ��, � ` � W . �! �-� /`~ � �'J � ' /�L -��3' %L;'
ly A�DFE55 � S�~x �\.��y: t'tiL . rr^—n. .._ .__-----�......,,,•g'�'`..-,•:
��� _ PER,�tIT YO. L
04VNE��� �?� ``p :'� �_T� � ) •V A.P. NO. I - OII—�'�'.I' ir � � � !
aui�oiuc �^ a S�' �. F!
i �IAIL n T � ` ( ` ADORESS J � �c�' �L,.4:�.��,t..�.�lc�. {'�
ADD'n'c55S\o l�� :.' ' S t r �+'�_ `_ �`V t f �
ww 1' � Te�. -3;a:�/Iv� f
Q.0 .� CIT1' J�.• 1 •—": C � TFACT �C�-L'1 WL BLOCK
H Z : Y�..�_'u't \ �\,.n',�L��"r NO. _
Z Q 1 COnS-i RUCT.I�.I ; r-• ± N W 4DD A1 T F �en R tA c,• w�{,. ��
U` LENDEF .^�_,4\-�bt%�e �ii\:: °�'�-.Cyt_�v.�l �, .
ti m ( p '' !
J� BRANCH � 4��=-.u-.L'__i' t i f,'� i� C / � � � � O
¢ u � aocF=_ss � ownc� l.:_CJ .-h"7G�,J� , �
Q� J i VPIUE f.
�-'` � 4FCMITECT 7EL. I, USE
J N � 7 OR E�:GINFcR YO I�� '��i`ir,^'L"l'.r-T"�.-.,+�.�s`..�' '�-....'. �
1 � �
W CC (�,1 ADDR't55 � ZONE ...TYP� � GROUP � - •�—(
�' V �~-� � APCROVEU `
J� 1� CONTRACTOR 1�� i! l� �i� Il BY DAT'c �,
3 {
� �
Z
� � E ADDAESS ` �
W W � ZONE NO.OF VSE OF n;EY: %��u /
�T �� CITV NOL cti � ��'n5 �6VILDIN��.�x,�.�+r' .
zr w '
w� I'~STATE . CITY YAFDSAPPROVeO vA�DSAPPROV�O �
NQ ��LIC.P:O. LIC.NO. r AtAIN6UILDING ACCESSORV6UI�Oli1 i
�� �� 512E NO.OF BLDGS. . IFROM C/� 5'iqEET)
�� OFLCT NO:VO�ILOT � FFOMT '� FT. �� FTl
j VSE OF �
E�ISTItdG SLOG. R I FT. �I _� ,.
+H ' � �SI2L OF \O. Of � J 9j �f -
Z � N�t'JBLDG. ROOh65 STOftIES fI L.SIDE FL FT. ^
� � /
a �� EXT�RIORI'l4LL flOOF �
V ��OVERING COVERIVG REAR FT. �FT. `+�
J`j USc O� BUILDING �NO �':ORK TO DE PE9FOPidED � DISTANCE OET. BET. hiFIY B�
MAIN BLDCS. ACCE�. ^olDC5,5.
Q i i �J�I n t[ VAR. •,f DATE /
O iI •(..C.•I • /_ `iL(.i__�/'r�e2 � I� C.U.P.*f�i� � _ APPFOVED -�3^�O
� � F APFROVE �/
(n F��.._��1�+-i�?��%'� � t. •J•l �'. r �Q—�,3- �
z kf `7 %
� (� .
i. . . -^---e '�",.sy„'
U� 1 M1efebY acknOw100d� ���� � have ruotl [Ifis an?li<a[ian aOtl sWfe `
� that ihc above intorma:ian is corroct anC aBrec ro comply witn �
� ail laras .eguluting builtling consvuuion, ano I sM1all nat emploV e
F ony cerson in viofation ot the workm�n's cumpunsavion lawz ol f �
N the Scaw ot Coftornia E 1�G� �
z1 neroby certity vhet 1 am proporly Ifcens¢tl az a<onUoc;or untler {' � S4. PT, o
�che J'[ata oi Caliiomia Busin¢ss ontl Professions Coaa, Di�isicn 9, 7HE AMOUNT SHOWN UNDER VALUATIO\ IS FOR �
� Chap[er 9, entl �M1ac sucn licanws ara in full forco Ontl etlatt, Or I� 7HE PURP(�E OF ESTABLISMIVG A PERMIT FEE ONLY: _
am e.empi trom ih¢ provisions ol [he Stata ol Calliarnia Business
VA�UATION /,.y ,� I �
antl Prolessions Gotic Division 7, Chapccr 9. �{ �'C PERh11T FEE 5 � j
Si naiure0!� ' �. \\1 �` / -/�/�/L ,��.--? �'
Permicme �.`� +�i. �1—'�=n�� .$ �(� Y� G� PLAN GHECK 5 ., I i
9 '\ a ,,Cj /� j 4 �%- � '-
AoNoriietl A enc TOTAL FEE 5
. — . --.�—.._ .. ._, '�� —t._�
. ��. . �. �'t . i
a.
�. , t t �t � �
� q : "w.
•v..t �r��*�,•.�
�� 'J
.�.�q,.a`-.�' �
. � 'i o'.� n�� � i
: �''�,�°' ,- i
�: ' � 1
. '
,
�
't �-� '--� - �"r`� , _�,.;,:..�.- �„
;F.0 t 7-70c::;-C�1 7G � �.. ...59_..;:
COSTA MESA BUILDING-SAFETY DEPARTPdENT
P.0.60%7200 CGSTAi:1-5A,CALIPORPJl,192"v2G
� j� APPLICATION FOR BUILDING PERMIT
T.'�For Applicant ro Fill in Como etely ( -^��^I
qECEIVEfJ eY /DATE 9ECEN�EJD' I"`OATE ISSUEDy/;{
�OING � `_ li �,/ 7�� /'7 i � /i,�j �G /�/(/1� i
AD�RE55 Z�j.1� L.�: �: ��.. __ �, t:� = ��_�.— ' ��' PERMITNO.
_ .,. '- '' �,:/`/�_�'i/- .
OWNCR�'-l'.\�.'. \.ti.` C.-. A.P.NO. c _ - :J _ �
BVI�DI\G
MAII � 1 t ( i � � � J � ' I
z ADDRESS �kL �'L �'%' i� G=�.'Ft- i�_v'� ADDftESS -' -� _' 1.l ��
J w ( ,� �, TGL TRACT ����'C �O7�i BLOCK ' �
_:.J � dTv�:��9�': �L\ t�,a'J•�'L__ NO. I
<� CONSTRUCTICN i NEW ADD �+LTER REpq hti/� I ,{
Z._ LENDER =,-t� �Qv>-� C':'t �'���-l' �. _ tl-6� ., �
,� � k � �
=�
_ � BRANCH '� _L'1 ,�'L�: . .
_ ? 1 OWNER /� .� . �
=�%/.F: � .-J:.6[ �
� J � AD�RESS � `c� VALUE ! i
- � ' ARCHITECT TEL. USE S !
- � O.R E'2JNEER N . �-°t -- - �T
� FI(�E )
Z .� { ZONE 'iVP��GROUP J
� ADORE55
J I APPftOVED �//'��
- � � CONTRACTOR C� �� �� '� -. BV' P/��-� DATE 2 � - �
- = � 7\ ��a.L _ N�: .
= J
ADDRESS
TEL. � ZONE NO.OF USE OF NEW ��� �,��
- CITV NO. - V"C'��P�'�^S � 6UILDING �, ;�j
G -
- � STATE CITY �ARDSAPPROVED VAP.DSAPPROVED �
--� ' LIC. NO. UC. NO. MAIN BUILDING ACCESSORV BUILDING
� � � SIZE NO.OFcLDuS. , (FROMGLSTFEET)`!�[� --,�/�.��h��ii
(
OF�OT kOVJONLOT - FRONT ' OFT. �'-� I'JL(i_{ET.G[�.sL=-
VSE OF � �
EXISTING BLDG. ( SI E L< FT. FT.
� SIZE OF NO.OF � /
� NENB�DG. ROOMS STCRIES I LSIDE �'G��cT. FT.
� ..EXTERIOR INALL ROOF
/ c
� COVERING COVEPING � REAR �` FL FT.
J USE OF RUILDING AND WORK TO AE PE O�Y1-J
P 'i k DISTANCE BET. BET. MAIN &
� �� -L :-�� {ItC�CI L h1AINBLpGS. ACCESS.BLDGS.
� �/� iT/ � /� / ✓ a� i: VAR.,#` � h v v�y �,-,.., .DATE
� ...JS/'L: C161� levC �' /,AU�k! C.U.P.-et.:._.L :i�.t A?PROVED`�;:'.r,..���-.-o
� �7 / �.J L. /-, ' q. � I a �/• .�t APPRW£D��' �• � 'i /�i� I _
/ '7 •� C L B i )e,l... :-nT�'r4�.. � � G � � �
� ' � � 1 r� � � ., � �I � � f�.�, I� I t . y I I I -�� � �� / � � :2:Z Ct.-n.�_a.�, �u-1
.-J � ��_ L ;,t�..=--�:�;..,-`i`—'" __ : �_�._ .....-..-.,'._-...�-_- � �� L. �. U � l2 a n� ' r�n ! C t i�rlrr.e-, �
EII herehy ackno.mletlge mae I have reatl [his applicai'o and state � /T �� �`��Y"� ��� �Z -� �` 9 K� f'� TCJ EE
.> 1' { � �.. , Th � N � ' v _ ' i, . � t �
J � that the above mformacipn is mrrec[ anC agree to cr. �IV with i- 7' ��' '��� �' ���9, ��� ����
i all la�vz regula[in9 builtling conSVucuon, antl I shall mt employ j%�N• =�-•F.//KG 4/ df�K<a'•: L r���ILc S�t-��.'
� any person in violation of ffie evorkman's compensa:ipn laws ot i/.L, i- �,-�'(- .�, �; (..4_i $ ��/�=: �
� �- �L'
the Stam o! Califomia. �-�-F=.O /�"`T i'/L..1 �� j' G' i-✓.o�.1T i I.�• �. �
� I hereby certi(y that I anl prope�ly licensetl as a con:•:v'or under SQ. FT. o
Me Sxace of Caiifomia Buzinuss antl Professions Gotlt. ���isicn 3, � THE AMOUNT SHOLVN UNDER VALUATION IS FOR m
Chapter 9, antl thot socn licenzes are in fuli torw ano ';,'_ci, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLv:
am eaempt from the provisions of [he 5[a[e of Californi3 3asiness t' �
and Protessions Cptle Division 3. Chapter 2 VALUATION �� ��/, �
_ r"— J nQ PERMiT FEE S �� �� j
Si namre of'� � `(�? y- / �5 m
� Perminee `� :� � �� � 7 '� �� \� 5 / ��(/ PLAN CHECK S E
� �� D o
� Auffiorizetl Ageot TOTAL FEE $ � � LL �
,�..�- . . ...� . �...� . . .--.-T-�'�'--�-��. . �C--•';��-_-T��
0
City of Costa Mesa
Building Safety Department
P. O. eoz �l7
Costa Mam, California
CERTIFICATE OF OCCUPANCY N� 2739 C
H1dg. D- 4 units/vith gareges
The Building located at `2� '�1dCn AVeIIue �,$g A� lfi unifa/A1d.� A- 10 tLnita�R7Aa (� lA
has been inspected and fo�nd fo comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group g 8% � Occupancy.
Use of 8uildi�g �$�'tment unita
Legal Description A• P• �].14-011-21� 22� FG SO
($ee revana eida for Moto� and Baund�)
Building Permit No. ��0 t0 �S47Elecirical Permit No.�612 t0 �i6l�plumbing Permit No�7 t0 57539
Floor Load Signs have been insralled as Room Capacity Signs have been instaled as
required vnder Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by fhe enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartmenis or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartmenfs � and%or guest rooms
ISSUED TO: Building Official G� .,
Spiller Investment Compar�r bY �ct,(� /� � �/JUL
Date Februnrv 1� 1Q'jl
7his Certificafe of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed
exeept by the Building Official of �he City of Costa Mesa under Sec. 306 (e) U.B.C. son„ svse—�M—ii-ea-.s-s r
rRia 1710,00
CITY OF WSTA MESA PLANNING DEPARTMENT �UG -7-70�pgqOO 380 E'++'�*t r_
A. P. No. 179-011-71_
Bldg. Permit No. �,Q/�O 'ti4r[i .i1/ %
ZE-87-69, Corrected.
PARK AND RECREATIONAL FEES - Apartment Deyelopments
Fee Payment Receipt
PLojeCt Address 2q9q F.IAPn Avanno� C_ M_
Owner's N8If1E __ �{�7pr Tnpactmant ('nmman�
Bachelor or 1- Bedroom Units �F @$25.00 =$650.00
2 - Bedroom Units
3 - Bedroom Units
4 - Sedroom Units
5 - or more Units
Total niunber of Dwelling Units
@ $40.00 = 560.00
@ $55.00 =
@ $70.00 =
@ $75.00 =
ot�'�alaFe
.
Planning Department Approval Date 4��e Park Area No. �_
By � Applicant's Signature
6
Oc•tober 2b, 1970
Spil.ler Investment Company
1649 'rlestcllYP Drive
ftexport Beachi Celifornia
R�: Apartments under cot�struction at 2323 F1den A�� Bu3lding Pzrmi.ts 3e'.��+0-32147
Gentler�ea: •
This letter is�intended only as a re nder thnC certain apecia]. requinementc
ratst be met before the electrical servico '� gas r,ervice may be authorized.
These speciel requiren�nts, whieh various City Departsents rnquirn�,are noted on
your approved plena and also on the.sheet attached to this letter, end must be coaplied
with attd epproved by tMe verious� uents beYore the Building SaYety Departa;,ent
W�.L1 be suthorized to release the ities.
It 3s the responsibility of the applicant or owner to proviQe plen� and �peci-
ficaLion� for the conct etion oP any improvemeate indicated oa the cottditions. All
improvement plaa3 ciust approved by the proper City Department.
In order thst tiiese irenents may be 3nspected, it is �enerril7.y necessary to
8tve the appropriate.depurtment Porty-eibht (k8) hours notice so that an in�peci:fon
may be seheduled.
2Y there are cu�y queations concerning aqy of the requirements, please phone
the cepartmeat invalved.
, - ' ' ' � Very truly youray
RIC}iARD D. HAIdE1ART
Buildin� Safety Director
RDfi: ob
Enc. 1
�- � -
CITY OF COSTA MESA. CALIFORNIA
OetoUe� 6. 1970
, �.� `M�. Phillp A. Spiller � ' .
; ,.:. . . 1649 Meatcll tf Dri ve , ... .-. .,
. Ne�+po�t Beech, ta. . ,
.,,kE: Revlslons on Apartment Pro�ect aL 2323 E1den.Avenue. Coste Meaa
,_ Zone Exceptton Permit No. ZE-87-69-C
• pear Sir:
On a fleld-check of your pro�ect by me on October 6. 1970, the Poilawing .�.
changes ++ere noted and dlscusaed atth you: _ .'
. K .
1. Through you� survey a strip ot land 5.65,'.•x 66' ras added to the .
• . northeNy property 11ne ot the reer parcel. Th1s cotncldes Nith our. ,
(,� current Assessor's Parcel Map and our Plot P1an haa been corrocted
1,�� accordingly. . �:�.�
2. A storage room Mas added to Lhe flrst ftoo�,at the northe�ly end ,.
of Bullding °D°. This addition Mill need a bullding ptrmit.
j� 3. In Bu11d1ng °D'. the garage space adJolning the pessegerqy on the ,
IJ ,,.,: south has be��Cmiverted tnto a laundry room. The newssary perwt ts ,.'.
, M i l l hdve to be oDtelned tor this conveesion. S••�!,
It has been deterailned that the ehanges made Dy.you atter�talning your. '.,..
� eullding Permits witl� Mith the tollcwing revtsians, still meet the Ctty Code,..:.,-
S,_ ', ,�;;::,requlremenLs and fultill the requle�ements ot .the.R.ianMng DeparLment and t;::.; .;
...: Coae�isslon end the City tounctl in approvtng �ZE-8Z-69-C: _... •.�:::',; .
� Revlsion No. 1: Add a one ca� garage to tbe~southerly end of 6a�age .;,:;•-:�-
, .:'��" Bullding Mo, 4. A Bullding:Rermit r111 be needed
. . , .
;� :,�, for thls additton. - � �
Revislon Mo. 2: Retaln four open parkfng sp�aces elong the alley and--:..,..•;`.�;:;•-
nliminate the enctosed trash.•er,ee. •.-• �;�.;:,
: , Revlslon No. 3: ODtain the necessary Bu11G1ng:.Denaita to use the garage ;,�,;;
space ad�oining the passage►ray. on the souLh 1n Bu11d1ng' ;
"D° tor a laundry roa�. ... ;, •,�. • •
: . Revlslan Wo. 4: Add the trash aren 1n the.S.bS' area atong the northerly;..�,+:`
� Droperty line oP the rean .parcel as 1 dtceled on the re-.° ,�.;
vlsed piena. TA1s t�ash area.to be �closed �rith a 6'
, high wail wtth gates on a�eoncrete paA.
. Revlslon Ho. 5: Obtain e Bu11d1ng Perniit to aEd a storage room 5.65' in �.�-
,. .., wldth at the northerly end ot.- Bu1lEtng `D"�.
, , �:::. . „�..,_..-�• : : . :: �;,,��:.
Please bring your fleld plans �to the P1ann.ln,g Department so that the above:;�:.
�>;� �.` ravlalons can be noted on thew. -
�. � .I.��S
. . . � � Pa9Q � .. . , r. ' � � a a. �
_ _ . � ,.
CITY OF COSTA MESA. Cr+LIFORNIA
� .. :�.
� .
�
i
Botb seta of plans r111 have to be signed b� you tor concurnnce �
'- and the necess�ryr Bullding Permlta w111 have to.be.obtatned. �our .'.' �.
,., �� iam�edi ate attenti on to tM s�tter w111 be 9�y, appreci ated. ., .. :�..c--
. ;.
,..�:;... I wish to take thia opportunity to thenk:you tor.you� H ne cooperetion
,�:,�;:•r. M1th thls Department. ,�.. -
T� ai's, � : `- . .., • - �
' � -;
,�>::.. ,
�'� ;, :Yery truly yours. � - ir,.>`•s
t� �`;::.:�_ , sr.'.t
. ••).' • ... �`..
:;,° atutaM �. nuirn - � ;;;;. '; ,.:., :
DIRECTOR OF PLANNING �>�
�
'; �i� - -
� . � : ; ;<F � , �y
By-.L._� ~ . _ ,�� ,
e . s
Plenning Tec�niclan '
�
ce. � L d f, �P �T `�
/
D
Page 2
9
x
u
- y�-�. ��.z_
N:ime, Atldress a��tl Telephone No. ,.� Atromey(sl
CYRIL E, A?h�iBRISTER, JR,
BOOT'd, pIITCFi"i' L, STFL�iv:^sE & SMITfi
3'101 Yiilshire Boulevard, Suite 600
7ms .'�ngeles, California 90010
(213) 386--7953
'or ..
,- ,,,--
�EcLiv �_�
\� � V� Y �. �..1:.:. f i f\
I°741`�[;`? 15 i`..i i0: 42
CITY r�F rn�� ; r', i'�'�=5^,
�1LZ����i Gli$ CO;�SPi�?'7Y a COZpo Yc'7t10[1 '
SUPERIOR COLRT OF CALIFORNIA, COUNTY OF LOS ANGELES
GSAR7,�S R. SPILI,ER, JF2.,
Ct als Plaintitf�s) vs.
CASE NUMBER
C 21857
SOJTh�RN GALIFOI2N71a G1,S SUBPOENA �e DEPOSITION
CO.•SPANY, a corppzation, and SUBPOENA DUCES TECUPA
�-'t al. Defendant(s) re DEPOSITION
(l�BQR[VIATED TITLE) �
rcoN�F; or� �r��e sT:;�rr oF c.�i.iroFi�i.-� To: ��,roDIACT OP RECORDS OF COSTl� t•7ESA DEPARTi�IEt�T
You arc ordered to appear ne(ore OF PUILDIICG FV'`7D SAFETY
A NOTAR:' FliBLIC
at.....1.0:aJ..�i...... 11., in aoo�n �o.......6pp ............... �� .....3�Ol...Wilshiie Soulevard......................
in thc Cilv oC... . County oC.. . Slate oC Calitornia, on
� I�s...Angeles .................................................... Im�...Angelea •
APiiZ g� .. te..�.q.... eh�„ and there lo testify as a�eitness and gice cour deposition in � his action. You mus[ appcv at lhal
time unless cou make a cpecial agreement lo appear another time etc.. �sith : ...........................................................................
C.'�'."RIL..E..... t� a�.rRRSS�P.,....JE. ............................. at .....3.ii.6-7.9«,3........
�NAM[�pF ATIONNEV"OR'VHHTY`REOULSTIfvG THIS SUE1FpENA) �T[L[PMONE NO.)
1'ou are also ordered to bring with }�ou the books, papers and documen[s or other things in your possession or under
your control. described in [he att:iched drelaration or affidsvit, �ehich is incorpurated herein bc m(erence.
Disobedience of Ihis suhpoena mac be punished �s contempt bc thi; court. 1'ou �s'ill also be linble for the sum of one
hundred dollars and aIl damages to sur.h party resulting from ��our f:iihve to :�ttaid or 6rirg Uie boohs, etc., described above.
You art Curther dir�cled thnt (or refusal to be scorn, or to ans�ver as a ���iuiess, or tu subscribe the deposiliun, that you
will be required to �rttend a se�sion of (he aboce�entitled Court at a lime and place to be fised by' lhe ofCicer before H•hom
you are reyuiced w attend.
�ALl FO FY�
,��Ea...riareh...i.3.�....�97 �}
�� / �/ i/
Ir
CLARENCE E. CABELL, County Clerk and
Clerk o( Lhe Superior Cour� of California;
CounLy oC Los �lnseles.
�'Pu be completed �chen ihe subpoena is direcled to a Califomia hi;7h�ca�' palruhnan, sheriil, ma�shal or
pnliceman. etcl
This subp�ena i� directed to a member of ................................................................................................................
�NAME OF EMPLOVING NGENCV�
1 certifp that tlie fee; required b�� lau� are deposited �ci[h this courl.
Receipt\o . ..................................................
CLARENCE E, CABELL, County Clerk
Amount Ueposited S .............................................
................ .......................................... .
NDte. Thu ongmal dedBration o� a�ho�vn mu5t be fJed ��.aln L�2 [ourt derk end d copY 5mved wtln �his subpocrtu duCes tecurn.
(SEE REV[RSE SIOE FOR PROOF OF SERV ICE� •
SU�POENA re �EPOSITION and
Z9 i6S's03H-(Rev. 12/70). Cdb�-�e SUePOENA DUCES TECUM re DEPOSITION
Of ATTORNEY�S�
CYRIL E, 1�IL'•iHPSS�R� JR.
noo�, c��x���.. s� �*.c� � si�xxt�
3701 wil:,hire 3aulevazd, Suite 600
Los Anaeles. Califaxnia 9U010
(213j 33�-7953
ATTORNFY�S� Foa }�Efendan�� SO:J'tgI�P.N CALIFOI�?IA
GAS Co.�iPArIY. a cor�oration
RFC`=�IVED
CI1Y CLi= ;�<
1914 � �A° I S i°.:: !�: t,1
CIT`( 0� [�,I i r, : `_�;t�
��
i---�- - - -------
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
�?tlE2LES R. SPILLER� e7R. e
et al,
VS
SQU�RII C11LZl'OP�iZl1 GAS
C1�.�4PP�sY, a corporation,
et a�.
' "' PlA1NTIFF�S�
DEFENDANT�S�
ST�1TL OF Cr1l.IFORi\'IA, Coun�y of Los ringeles
CASF NUMBER
C 21857
APPLICATION FOR
SUBPOENA DUCES TECUM
RE DEPQSITION
Thc undersi„ned s�aces: "1'hai he is attorney of record for D$� *�1 in tl�e above entitled
action; that thr_ deposi�ion of Ci3S?UDI71r7 OF �CORDS OF COST11 t�SA is noticed for hearing beforc
1�YARirfENT OF IIUILDIi�G I� SAFLTY
A Ai0'ARS[ PUIILZC at 10:00 Il. 61.,
in floom Nn. 60U , located at 3702 f•IilshiZe I3oulevard in the City of
Io$ Aogeles
State of California, on AFril 4,
Coun[y o[ LOS AngCleB
, 19 74.
Thac CU82t�DIFaN OF F2�pRAS OF CQSTA 2�^A DEPAR'ST�&T OF BIIILDZ*�i(3
AND Srl.�3'Y
has in his possessi�n or under his control the esar.i matters orth;ngs designated belo�;
Any ar.d all plaas, s�cificationa, Fr_rmits, notices, pspe=s, files and
doruuf�nts regazding th2 con�tzuctioa of "Viila Cordova" apartment atzuctuze
Iocated at 2323 Elden Avenue, C.osta t2esa, Califosaia.
a
�
33 APPLICATION FOR SUBPOENA DUCES TECUM RE DEPOSITION
76A361E -Rev. 5-70-Cdb 5-73
That tlie above docurnenis are inaterial tu the issues invol��ed in ihe case by reason of tlic follo�ring facts:
Plaintiffa contsacted with Southern �alifoznia C-as Cflm�ny and 24i1—west
Sndustxie�, Ba�.' to inEtalZ in the °Vi].la Cor�ov�" �r.artraeat �trncture a
�ac Lyz7zonics Systctt kno:�a as ":�:oa� I�ap", s��e or bll ox the pazts having
b�en manuiactured i�y Pusex Cr�zpozation. Plain�iffs z�llece that said sya-
te� s�as ur.*r;�riu?ule and inac�sative and are• �uiag for clanages thereo�.
�aid above�-desrribed records ase r.ecessary to d�tersaine the ftscts aurzound-
ing the construction of said Gan tiydranic3 System.
1'lia� rood cause exists for the production of the abode described matters and things by reason of the
follo�ving.fac[s:
-Tfi�y azc •the sole, roriginai •�ource •of �nuch •inforn�.ation and no othex
meanFs of production are available.
1CIiI:R1:PORB rcyucst is made [hn[ [he Subpoena D:;crs Tecum issue
@xecuted td3ZCh 13� , 197.q , at rpg Atlgelg9 , California.
1 declare under penalty of perjury tha[ the Foregoing is true and cortect,
—S`�six � �.,,�, •,r Y, Sr,
(Signature of Declarant)
CYIiIL E, AIit�t9RIS2e�.R, JR.
GEORGE C,MITCNEL
OWEN W.STRnNGE
E.GhRY SMITN
CYRIL E.ARMBRISTEP.JR.
WIlL1AM F. RUMMLER
MICMAEL T. LOWE
JOMN R.TAYLOR
DAv�D L.JErvSEN
STANI.EY H2OI$EN
STEPNEN X.GALTON
JOSEPH A.BURROW
BOOTH, MITCHEL, STRANGE & SMITH
ATTORNEYS AT LAW
SUITE 600 AHMANSON CENTER
3701 WILSHIRE BOULEVARD
LO$ ANGELES, CALIFORNIA 90010
April 11, 1974
Richa=d D. Hanhart
Building Safety Director
City of Coata Mesa
P. O. Sox 1200 -
Califo=nia 92626
Re: Records subpcena - March 13, 1974
Our File: 4952
Dear Mr. Hanhart:
BATES BOOTM 1903-196�
NORMAN F WILLIAN 19�)-1968
TELEP�iONE
386-�953
Enclosed please find original copies of Building, Plumbing,
Heating, and Electsical Peanits along with inspection cards
and plans which you loaned to this office on March 21, 1974,
Under sepS=ate cover I am also =etuzning blueprints loaned
to this office, Thank you fos youz assistance in this mattez,
Your cooperation is appreciated.
Very truly yours,
C/�%, "/G�/
CYRIL E, ARMBRZSTER� JR,
CEA:cw
Enclosu=es
Il;
0
Merch 21, 1974
a
Cyzil E: Armbriater� Jr. � •� 1' �'
Bootr� Mitchel� Strange 3 Smith
3701 Wilehire Boulevard� Suite 600 '
Los Angeles� California 90010 � ,
Dear Sir: , �
We are eneloaing herewith the original copies of Building� Plumbing�
F{eating� and Eleetrical ermits along with the inspectioti eards and
plans� as per your subpo�efQ�, dated Narch 13� 1974.
We r+ould appreciate the return of all documents as these are our
permenent records.
� -Very truly youre�
- � � �•
- RICHARD D. HANHART
. Building Safety Director
RHscb .
a
";. . . ' 13�' t i'L.
. -- -- L�� -�--
. � . . .� ,
.� . .
. , .
Y _:; � I � �'�-��.s . .
' ln I . � � r '—
�� � � . �
STRUCTIIRAL APPROVAL ONLY �' �7���� �; �
SEPARATE PERMITS ARE REOUIRED , i � �"
FOR ELEC7RICAL, PLUhiB,'
HEATIfdG, YE�ST!LRTI�G t
REFRIGERATION WORK
Pea�rt�i4 � s� 2z
THIS NUMBER'MUST ACC(
ALL INSPECTION REQUI
' �----
' FOR BU LDINGS V'RERE PERSON
IBE EMPLOYED, WE SUGGEST T
STATE OF CALIFORNIA DIVI;
INDUSTRIAL SAfETY BE CONSUI
i i.. n�
���' ---- -
_.J_
• ' ' �11�
�
/ �� �.:� �
�
�
�APPROVED '
�1� �o�`�.
p1,pMNING D�t.
yy�ccc ro �wc. aevr. �Eo.
� ��az'�"'"' DA ���
DIRECTO� p} lUNNiNI�i_
APPROVED.�
City of C�stu� Mesa Building Dept.
BY ' �(,._� DATE{_F�19""
THFSE PLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGFS WITFIOUT PRIOR APPROYAI
OF DEFf. '
THE ISSUANCE OR GRANTIflG OF A PERMIT-OR APPROVAL
OF PLAyS AND SPECIFICATIONS SHALL NDT BE COhSTROED
TO 8E A PERMIi POR, OR AN APPROYAL OF, ANY VIOLATION
OF ANY OF THE PROVISIONS OF YHIS COOE. NO PERMIT PRE•
SUMING TO GIVE AU7HORITY TO�YIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPi IN SO
FAR.AS THE WORK OR USE WHICH IT AUiHORIZES IS LAWFUL
�. ' .
p THE ISSUANCE OF A PERMIT BASED UPON PIpNS AND
iP�IPICATiONS SHALL NOT PREVENT THE BUILOING OFFICIpL
`Rl�6r THEREAFTER REQUIRING THE CORREC710IJ OF ERRORS
N- ID P,LANS AND SPECIFICRTfONS, OR PpOM PftEVENTiNG
3U INC OPERHTIONS BEING CARRIED ON THEREUNDER� WHEN
N�(f�41TI0N OF THIS CODE OR OF ANY OiHER OflOINANCE
`F iHE CITY, I
M' �
— IY � 3 �.
��Y��' „ •
' � � 130' -� �' L. �_ _�.
� . • _ ou,u�:
�, JOHN COIL ASSbC1ATES �u� � p_ CHuc.� Satr,�e
STRUCTURAL ENGINEERS , . ���-t � �/[� J� !�
1401 NORSH BUSH STREET ' ' �Ii�: - ' YJ`�- j' `�✓'
SANTA ANA, CAUfURN1A -92701 �j� _ ',�.�� �7 �'�I��GA�
. 714 / 647- 6378
6N:
:
NO. \
' 'r ., A _ "
t
•. • _y '
.
� � . . .10'-0"
�j� . �
_ ' ��
. �Di_o� .
L • - .
• I �� , • �
t . . .
� � • I. , ' � � . - . ' - ,• �
� • � • ' . . . ' ( .
1 I.
. � .� . _.�..T � �
. _ _�_ _ . _
_ .
� .r� � r����N �� � . . �
, �� � a �
`_ � . . - � _ :' � z�i4 �-i,�,
STRUCTU�AL APPROVAL ONLY, � •
� TGtt �CIS7�U . %z° f'►�-lG
� SEPARATE �"" , .
FOR f:L. ..�i��; ��;� •' .
. � HLi�,�;�",, �,. ; '..; G ArtD . ��l �X�D
REF I�.ERt,i�:�: :��RK
z� I Z� Z4-�'0.�. "
Perrr9 � S/ 2z7 . , . A �x�
�
( TNIS a:U';''R �;''. . �;;.`.,:?A�Y ' . . }
-• ALL 1�� ECT;O�C d�7�:[�i3 . _ �< w
. . � • . • . . . ,
� .. . :i' : F': ` ��'.5 .,it 7Q .
. ' ,..t� {. ' ';i ':i�T THE- '. , .
• _ f.'�"' ' ; S�O;J OF '
; ✓ . - q'�i,;"cflTS. �i�ll � Z'-0"3
; _ .
� � .�
. � . . /�' =I -o"- �
� ,
�I� �/.1 , , , I��� � SMEET .NO.
�1NIL�/, �
` /� Ip 11. V �V.i�/�
V��—�-f��C'..,k_/�Iti,'fvV/1"�'t' ��/A, er:�i
" Z-�� L-�-�V C.F�T�MW`I UATE:IZ'Q'�
• J08��
�DOflFS50F BUIIdNG: 2 3 Z 3 ELDEN AV
owNEasNu�EiFw�wr+: SPILLER CHUCK
�ooaEu: 2323 EL�JEN AV
COSTA MESA, CA 92626
�vvi. �,uuxc woness:
UICNRECT OA FNtlNEEH:
�PCN.OP ENG.'S /i0DNE55:
uc. xo.:
UNT:
UNT:
coam�ctars�: NEWPORT COAST ELECTRIC ( 714 ) 64 5-5761
CONiNACTOP'SMYIING 20353 PLACENTIA AV
wonEss: C.M. CA uc.r+o.: 675371
92627 UNT: H
LICENSED CONTNRCTOHS DECLAPATION: I hareby elivm urMm paneEy d perjury thm I em Ikenaed under proviaiom of Chepmr s
(commeria�p wilh Section )OW) d DNision � d �he Buvnasv end Pmfeaaions COEe, end my liceme b in full /wce arM elletl.
c uc.No.:063406 uc.cuss: C-10 ���N� 675371 EXP: 30/95
�o�a �—►—ar ��,��:_ �� C�
NEP BUILOEfl DECLARATION: I heraby eMrm untler paneMy d perlury thel 1 em azampt trom IM Comreaon Licenae Lew lor ihe
idbvmp rsawn (�ion JO�t.5 Busiiefs ard Profineions Code: AnY ciY a muntY �+iM repuirm e permil lo mrsWM. eller. impwe.
lemdsM1, or repai eny aVuclure, piw lo i1s eauerica, ebo repuiref IM epd�� �a wch permil lo fib e spind elalemenl Ihel M a sM
1 IIC8119BE pI1I911011� 10 �AB pfOV1510119 M IM COfllf9tiOf8 LICBf19B Lew �Chep�e� 8(commamip xilh Sedpn'l000) N Dveion 3 d IM
BYSIf1019 011d PfO�B88q119 Ci048�OfIhB1�10 OfB�1B R B%BTPI��1NB�10l11 B�Id1�1B bBele�Of�hB B��B]Bj BFB111p1Ylfl, l�lly V�p�fi1q11C1$9Qp11
]031.5 by eny eppl'raM la e parmil wbptls IM1a epqceM b e avil panelry d ml mae �han IHe �uMred ddlen �5500��.
� I,asovmerdlM1epopenyormyempbyeeev.tM1wepesasiheiradammpemmion,xilldothawuA,end�heavunureondintendad
a otlered br sele (Seclion ]Oaa, Businass e�M Prolessiona Coda: Tha Convedon Licenne Lewtloae nm epDh lo en ownerof propery
wM W Ws « inprovee ihereon, end xfio doea auch wak MmeeH w henN or ihrough hn a her own ampbyeea, piovideE ihet wch
imOro+ementa are nol intenEeE w dfered lor sale. X. however, the Witliip « vnpovemenl o soN wiihin me year d mmple�bn. Ne
wnerbuiltler vn0 heve iM1a buNan d provinB he ar nhe did nm builtl or improve la Ihe puryaae W sele�.
� 1, ea ox�r d ihe O�M. em eadumey oonlreG'vp wilh IironseE convecion to conmua tM v�l� (���)�. �i�e aM
Pmfeaioro Code: TM Coniredas L'cenx Lew Eoes iwl epply w en amnr d papeM ��itla w imyovm tAereon erd xfia
coniteMs br euch prol� �h e mnVeqor(s) Iceneed pureuent m IFe GonUedars Liceme law�.
� I em exemp urMar Seclion: �° 9. 8 P.C., fa ihis reeaon:
De�e� � � Owner
i ao n,re�y o,nM u,e� i,m aw�.a d.�,d ��ers�ena ina re�m�emems a ca�eome �nn .�,a sd�y coaa sae� uws, nsv, �e
2551a, aM iM1et I a vry Mure Wibiip ocapent vnll / wll na (arcb «n) reed lo compty wIh aaW atete codea eM Ihe requiremenb la
epermnlaconsVuctionormodifiraiionhwnlheAv u�-anagemanlDislnd.Rasidamidoomtiud'aneppG�ioneereavemptiromihese
prwisions.
De�e: APG�cenl:
W ONKEH'S COMPENSATION DECL�HATION: I Mraby elfim� ueder perelly d perjury oro d �ha tolbxifq Eedermiom:
� 1 hare eM wil meinl� e cenEicme d conxnl lo eeMir�.wre M xarkers wmpenae�bn. a5 pm�itleE la b/ $edqn 3100 W iM Leba
coa>. �� me o�no���e a me woa io� wmon m�a ��a ie ���a.
❑ i n�, ��;i �m;.�..9�an oomo�� ��w,.�. a. rea��.d cr s«r� a�oo a in<i.en« coee. m. ina ron«�,� a ma
. work la w1�iM Ihia permn o i>vued. MY wvka�s' compenaatbn insurence reriiar e�d poliry numbar are:
c� .
PolryrNumbar:
� ;�s,�r;���dnaaa�vror,arme�a;,ro.o�an��e,.dew��,�sioo�wro.u.)
I cenM �hel in Ihe perlamenca ol �ha woA for wh'ich thia pa'mn is ieeuetl, I ehell mt empby any pareon in eny menner eo av ta
e«ome aubjea �o me woAe�e• comoemelion bwa d Cmaw�ve. ene m� inm a � G,wu n«ome wd� �o �na wo�Mrs�
om���� o�=A�= d sea� a�ao d me � coea i an�i ionn.mn mmpy �.en in�.
o�a: —R aoa�,,: _ _ yu.,zf �
aminy: Fe/lun ro�ecuro workeri comperwtlon roveregs 6 unlewNl, antl �bll aWpct an mployw ro cemnl vMaMn arw
clHl M�rs up ro ons hunOrstl tlwuuntl dollen (5100,000), In etltlltlon ro Me ro�l ol compxueHon, tlemepes es proNMtl br In
SxUm JIf16 0l the LaDor COJe, /nfsnsf, end ettomsy i/ses.
CONSTflUCT10N LENDIN� AGENCY: I hereW �im under panelly W parN�Y �M1e� �Mre ia a canstiudqn bMi'p epancy tor iM
pBfiOf111B11CB O� IIIB NVf�t �M W�1IC�1 Ih9 p81111119 69UB4 ($BQIOII �109). CN. (�i�.
LENDEH'S NOME:
LENOEN'S RDDHE55:
1 cenity thet I hava rmE Nia epd�� �e �me Ihet iha ebove iniwma�'an is cortea. I egree lo rnmply wilh ell ir1Y ��nry adirwKea
arM stele lexs releiing io buiWvg mmrueion e�d hereEy eWwrize iaqeuntetivm d �his aty io emer upan tM ebare�meniionetl poperry
lorinspanbn Wrposes.
MATTHEW COOK
PniN
—�/lita.�D �. o�, 4-1-9 �
sro��,aao»,b.inee�vnav�w, irea
(5151-aS.WP) Whna-BuiWvq 8 SefeiY:Green-Fie:Ganery-Appireni: Pink-Revenue:Goldenmd-Aasamr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 073540
PERMIT NO: E 073540 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : 29LF WROUGHT IRON SLIDING GATE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: H-2 /
COMMENTS: REF: B-73405
�*�r�r*�r************�r*�r�r�*�r*�*x*�r�*x*���r+��r**��*x��**�rx*�rx�����x�r�r+r�rx **+r�rx�**�r�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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
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: 93927119 ZNE: REF NO:
PLANNING NOTES>
1
1E iF IE')I' ih iE IE iE 1E 1E ii' ih ih iI' ih 1E 1i' ih 1I' 1E 1I' 1I' 1I' 1I' iI' iI' ih 1I' iE iE 1h i%1h'N' iI' 1h 1h IE iI' iE iE 1E 1E iE if if iF iF k 1E iE ih i41h iE ih ih 1E iE if iE if iE ih if if iE 3E 1E iE iE if 1E 1E ih iE 1I' iI' ih
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 APPRt]VED BY : DATE:
APPLICATION ISSUED BY: � DATE: ��F��� �^
IE1E1ffEfElE1EfE1EfEfE1E1E1E1EiEiEfElE1E1E1E fEiE1E1E1E1E1E1E1E1E 1Eif
LEGALIZATION:N F E E!+ S U M M A R Y STRUCTURAL SEGMENT;N
PERMIT BLDG PMT PLUMBING ELEC3Roo MECHANIC FIRE SMIP/RES GRADING
50$ SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 3.00 15.00 0.00 16.00 18.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 18.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
18.00
IE 1E iE IE 1E iF 1f 1f� IE iE 1E 1E 1f 1E 1E fE1E 1E 1E 1EIf 1E 1E 1E 1E 1E iE ik1E iE iE 1f 1E iE if if 1F 1E 1E ik 1E iE 1E 1E iE iE IE 1E 1E iF if fE 1E IF iE iE IE 1E iE iE 1E 9E 1f 1E iE 1F IE 3F iE iF iE if ik iE iE iE if iE 1F
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 TOTAL COST
ELE 1 MOTOR/POWR APPARATUS 0.0 — 1.0 HP 3.00 3.00
END OF FEES
a: ocis�4e,-ocis�aos T ��T 18.OD �
Dr'iTF.: CE/0:/9`s TiM�: :S:?0
CONSTRUCTION ANDPLANNING POO aPA
APPROVALS Permit# � � Date Inspector qppROVALS Permit# � Date Inspector
1. Temporery E�ectrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Und�grnd. T' 53. Steel Reintorcement
�3, �lectrical CondurtUtility-UndrgrPd. 54. Forms
"�4-�yectrical Conduq��lntlrgrnd. 8�� �//,G 55. Electricaf Bonding �
. . ._ 4 �% 71i�
��6�;$teei Reinforcerpeet 56. Rough Plumbing & Pressure Test
�"TFlectrical UFE tii�d. 57. APPROVAL TO COVER�GUNITE ,
��Footings �s ' 58. Electrical Condui2�Undrgmd. ' ' ,
��.$. Fbundation ,1 L � 59. GasPipe,O Undrgmd.,Test
9. 'V�Qater Pipe-Undrg�}�d. 2 . 60. Backwash Lines, P-Trap, O Undrgmd. '
10. Structural Fioor$vstem � 61. APPROVAL TO DECK
17. Property Sewer Line & House,T,onnection 62, Backwash & Receptor•Final
12. Sewer Cap ' � 63. Heater & Vent•Final �
13. Foof Drains _ 64. Plumbing SYscem • FIna1
74. Rough Plumbing� n; ; 65. ElectricabFinal ��
15. Rough Electricaf Conduit = . 66. Solar SYstem•Final
16. Rough Electric Wirin�- _, 67. Fencing & Access Approval
17. flough Wiring Sit}n � 68. APPROVED FOR PLASTERING
18. Rough Electrica�`I' Bar Ceiling` fi9. POOL(SPA SYSTEMS FtNAL
19. Rough Heatin�& Air Conditioning PIRE EPT.{� EQUIREMEN T
r+ � r.• "'r' k R 1 - b`!-� C'� � [-' :Tl
r�
20. �ough faztor�Fir��ace ' ST C ,�'�. � H`; APPF�'OV�G;�',_,�v P�r�nit #- f ' ;
21. Duc(ft inrStr�iura. � ' •� �• ��= * C �-+* 70.'19nderEfrCund Hydro '
22. Ructs Ve}itil�'ng`�` ' * ^ '� �„* �� 71. ProducFYPin 'InJ{'ias
. � O G :� a� . � 9 �Oil
23. Gas f'ipe,Rou6h & 7est ?' *-.� � n; O* ^ 7Z, Undergro^urid Ftus'fi � E-
- r r �
24. r"�oot�ra7ning" ��. • - * " � �, ^ `' � ; 7� Undergrf5d. Storta� Tan�O Gas ❑ Oil
25. Roof�$hea[hing . � v �.. � _ -+ `-+ � 7q; pverhead HYdr�� '
x
26. �-Bai Ceiling (Struct�rap & Mqpd"coat t � `'� `r m� 7� Dry Chemical �� . " ��
27. F.rame and, Plashi ! ' � V � � '
n9'. a � r, x _. %+ m e. 76. Dry StariBpipe �-2 .�
S'
� 28. Lathing �;Siding ""''� '�'x� t ' `� .. `..;� y� � �
* f 7� FIXED S,� T � INA �:., r �
29. Insulatioa �, �� � ;i 7� FIRE PREV. FIf�AL '" % '
` 30. Drywall pk8iling ' ' ^ nF{EALTFA�DEP�.'RE6C11REMENT
31. Plaster BGown-Coat »,- ^r. , h.• 79� FINAL INSPECTCON �� J �
.�
; 32. �lectrical Power Merer-Fi,�ai , �'� �� I ��' 8d:: F000 CERTIF,l�q1'E 1�4S�JED �
�
_ 33. �nar-EleEtric� - T � 4 Nates: �r: =m �• '� � -_
tr - �-ly-�s,_ci�.'
'� 34. FinaiHeating'& Aic �onditionidgc r �� � � �; � �. •1 0^ F-Q x
35. £jnaTGa�ipe�;fest ; ��" .. .� - ; " -� � `Jy;� -.�.. e-
e 36. Hood�or EanOPY . r `= `'� '` � � I w < ~ � " = �
� - � �r � ,a: � R . �r
_ �
- 37. Final.Fadt""ory Fireplace -x , � `� * ' I r •�
�
38. Finat'Plumbing '`� N '� "^ ! f� c r' ' -
- . -r �, x :x � � :
• 39. Water�SerTifce�Final ' . 1' � � + :. ' _ � �
r 40. Gas Service-Pinal * ?' _. -'+' " 'r , '. ^ � c 'o * r c
�. T �'~ X L. y L �.
i1 . f �
41. Solar OomesticFinal� - ;,: � � . = � --� -
42. Backflow Pre�enter •- �: • + t, -- * C .
t ..� n� =, � a
43. Backflow IrriQation ' f ;j; � ` �
� - � -
4p. landscaQe Irrlpation�SYstem' ' '�°� - - � � �� v �' �.- ' -
� � r +� - "��� - -
^ � . - - ... -:. � � r. �� �. �. •
45. Sound qj2enu2tion, .... � ��� �.y .1', c _ y• F-C *
A6. �Handicap.Regtdations - - '' =' ��^ � -`
- -z *
�. �INT�L STRIICTUR� & BUIL�DING ` ` ' � "' '" ,
e t �
48. EINALPLANNING+ � rr[- *" ' �: `"
� � '� S
49. Elect�ic Release to E:�ison � f ; r` '' . � '
t r. S �
50. 6as Release to Southern Calitmrrtia-Gas Co k ' ,� •' - - �T • �
. �. .k . . - � _ O i . � � "
51. CER�IFICA7E OP OCCUPANCY '' � -• � r
No. Date
`PLICATION FOR A BUILDING PEP" T
BUILDING PERMIT NO. Eiectriw� m
Tract Bbck - Lot Permit No. �
BuilEin9 C Plumbing a
Atlaress '�3 a 3 L/ L• V sL . �/ �% r7 `J Permit No. � ip
L �� / D
Cross Mechanical na
Arra 9reet Pormit No.
m
Owner u s a Typa of Ro7ect ❑ New ❑ Alter ❑ Atltlltion �
AGO�eis ��� /D e ✓ e. ❑ Repair ❑ Conve�t ❑ OlmO ❑ Occupancy Pmt.
CitY 0 � '�s ZIP Phone A.P. SUP. Dist./
I�sO.%�rea
Architect/ /� Zone SPI. Pmt. No.
oesi9ner �O'�.f( ( / License No.
Atldress �� N, �US O Setbacks P/LFront GLSL SVeotWitlt�
!!
Vartls Le t g ear
CItY r� ZIP Phone1' A/
/L
ave o . e 9 . .
�- E.^.4lnee� .�Q�N CO �. L'cansa Na.
� rkin9 Spaces epu �e �ov e Overe
y Atltl�eSs ` d � 'T';
m CItY �� ZIP Phon�.y�-G3� Hei9ht Stor�les Fam�ly
� LICENSED CONTRACTOR'S DECLARATION aark Fees Ves Feo
t° ReqWretl No ��T. qecelp[
m I hureby etfirm t�et 1 am licunsetl untler provisiona of Chapter 9
t (tommenting with Section 7000 of Division 3 of the Business and Zoning Approvetl By: Date
Protessions Cotla(� nd y Iicense is in tull torce entl etfect).
?� Licansa C!as u—� lice�se Number �ZZOO �
> O�ca/.�—��—��conmact . �Ri✓fR �O�OS/ �k�T� Mis°.
E AdErass a7� � �/tANNON ST �[� vr000:ea use
jy City ane Zip ilr�%'�f'4 'Q��• Phonen7� / t49 0( Structure
H CONSTRUCTION LENDING AGENCY
� I hereby affirm that there ia a const�uction landing egency for the
a performance of t�e wark for which [his permit is issuee (Sec. 3097, Occ. Tyoe Cotle
` Civ. CJ. �/�� Clais Const. Year
y Lentler's Nemo USE/OCCUPANCV SIZE SQ. FT.
C LanUer's Addross
J OWNER-BUIIDER DECLARATION
y 1.
I hereby efiirm that I am exempt from the ConVector's Licensa Law
� for the following reawn:
� ❑ I, as owner ot the praperty, or my employees with wages as their 2.
— sole compensation, will do the work, ane tha structure is not
Y intentled or offeretl tor sale.
� ❑ I, as ownar of tha propurty, am exclusively conVacting with 3�
IICB�ISB(1 COOVdct0�5 t0 cOnrtluct tho pfOjeCt.
� ❑ I am axempt untlar Sec, , B&PC (or Ihis reewn 4�
m
a De[. pwnor
E WORKERS' COMPENSA710N DECLARATION 7otai va�uatlon
SI hereby etfirm thet I have a certifiwte Ot cOnsant to selt-insure, Encroacbmant Permit Requiretl ❑ Ves ❑ No
r or a certificate of Workers' Compensation Insurante, or a tertitiatl
C topy thereof. Gratling Pmt. Gratling
� Policy No Company Requlretl ❑ Yes ❑ No PTt. No.
a ❑ C tifietl copy is hareby fumishetl.
Rough G�ading �
QCert�if�ied copy i filetl with Or ge County, M. qpprovetl �y: Ddte f°
Deta c� // �ApPllcen 3
CERTIFICATE OF EXE P710N � —
FROM WORKERS COMPENSATION INSURANCE Z
(7his section noed not bo complotatl if permit is tor $100 or lessl. �
I tertity Mat in the pertormance of the work for w�ich this permit is Q
issuatl, I shall not employ any permn in any manna� so as [o become �p
subject m the Workars' Compansation Laws ot Califomia. PERMIT FEES
Oat Applicant
NOTICE TO APPLICANT: If, after making ihis Certificate of Structural S Plan Check b
Exemption, you shoultl becOme subject m the Workers' Compensation
rovisions of the Labor Cotle, SPecial
P you must torthwith comply with such Elecfrical E Invest. S
provisions or this permit shall be tleemed revOketl.
I CERTIFV THAT I HAVE iiEAD THIS APPUCATION AND STATE p�umDing $
THAT THE ABOVE INFORMATION IS CORflECT. I AGREE TO
COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS
FELATING TO BVII.DING CONSTRUCTION, AND HEREBV AUTH- Mec�anital E
ORIZE REPRESENTATIVES OF THIS COVNTV TO ENTER UPON -
TME ABOVE MENTIONEO PROPERTY FOF INSPECTION PUFi- Pre-Grade
PO����� /� ��^ �O Insoe<tion E
Signature o pplicant or Agenc Date P�e-Gratle S Permit S
/ Rec. No. Issue
fRda��s r� /%�d�vnrtl�
All spacef within this boa must he completed to proceu P�an Issuance
Check BY: Approvetl:
•,mr 000awo �o�-ce� �av. o�ev
�I
�I
MOflE550FBNlDPIQ z323 ELDEN AV
OVMERSNUIEIGqqWN: SPILLER, CHUCK
"D°� 2323 ELDEN AV
COSTA MESA, CA 92626
APPL.IWl1NG ADDXESS
ANCXRECTOfl BlfdIFE11:
�NCN.OP FNQ'S /iDMiE54:
uc no:
UNT:
UNT:
�°'^""cT°"5""'� COAST GATE (714)723-9606
001iPA0i0N4 �""'"° 3 0 4 3 6 TH S T
"D°"�' NEWPORT BEACH CA °GN°° 611884
92663 • °Nf A
LICENSED COMRAROHS OECLANATION: I Mroby ellim uMn penNy d px'ryry Na I em IicameA urder prwuim� d CMqx s
(oommerxi�p r.nA Senion )000) d Divaun 3 d iM Buainma eM PMaaeiona Cads. ud my fvue u in tN tau enE aflea.
cmuc.No.: Q 2983 uacuss: C 61 uc.r+o.: 1188 ��: 04 /96
pele: r Conlmaa:
OWNEN BUI DEF DECLANATION: I Mreby dfirm uMer penetly at pmj�ry Ihet 1 un uemq hom tM Com�eaae Liuma lew la �he
Idbwip �aeaon (`�� )��.5 &niieea eM Pruleaeione CaEe: Airy cry a aounry w1�id iepuire� s perm! to comtrucl. Mer. imprwe.
demduh, or repei eny sWcf�ve, pior w ns 6euence, e6o reQuires �he epplimnt lor euch pem�e to fib e sqmd ebiemant Mat he a eM
ia licerued puiwwenl lo IM pm�ieiona W Na Conireqora Limnae lew IGheqv B(cammenap x+lh SeCion ]000) d D'v'vqn 3 d tlr
Butir�e» vM Prdm'oru COEeI a �I� he a eha e atemp iharehan end iM bm la Ne NkWd uemqion. My videtion d Setlion
103t.5 by mry eppliren� fa e permu eubptla IM applicanl lo e�rvJ penMy d nal mon Ihen fxe huMied EaOan �5500f�.
� I.�awroratAepW�r«mYamWi�%w'vhwepeau�heiedemmVareeian.WldoNew�k.eMNeetnWureimtinientlad -
a dlerad In eeb (�^^ ��. Bumreas ud Prolasaiona LOCe: TM1a Cp4reCo's licems Lew dom nd epptyto en owner d piopeily
wM buiCs a mP� �hereon, rd Wa dms euch wark himeelt a hanelf ar Uvaph he a her ohn mmdoRs+. P�'� �hel wch
impwameNa ve rid imeMed a dlereE Iw eNe, d. Mwever, IM W iki�p a inpwaneN b wid wnhin ms yaer d canpbtion, IM
o�e,�n,ae�. wn n�. ina w�a� a wo+��w na o, ane a�a �a w�u o. �mwa+�o, in. wmo» d de).
❑ i... a.�« w ina ww«ir. ���r ���a�ro �•an i�a �,v.na. m w�aw me wda Is<ao� ro«. a�.�e.. �d
Pmleaime coEe: TM Contreaon Licmee lew tloae ml MM' �o en ownm a o�Y xM10 bu� « ino�+m Iln�son eM who
conlrern lor wdi prqeaa wnh e mmredor(e) Icensed punuent to tM Camrmon Lioe�ue lew).
� 1 em exemq uMer Setlion: B. 8 PC., Im Nia naaon:
Dme: Umer.
I do heraby cality tlW I am awere W enE un0anwd the repuiramanu d CeI1mJe Heetlh eM SNa�y Cods Saeiom 25505. 2553�. eM
25SW. vd Ihet I d ury Mura brikvq om,pem �+ill / wYl rwl (drcb aq) �� lo wmply w1h teid eble cods� enE tM ispuiremenb M
e0��lawnavucfonamoEifmlionhan�MAi�y abWmeniOixiia.Reeksamlomnvfiane00kdiaeeraezemqlmmlMw
Drotiabru.
Deto: Applicenl:
WOPKEP'S COMPp14�TI0N DECLAR�TION; I MrMy dfimi urMs penMy d perNuy an d Ns Idbwi'q OsderCiona: .
❑ i neb �e �� m.wan. owr�a a 000.sm m..n;�w,a i«.wn.�: =omc���,.. n� ea w s.a� smo a ms t..na
coa.. i« in� wn�a a� �.on i« .�:on m�. w,ma �a �..wd. ,
❑ i n.ro ene ae �m� war .• om�oe�.,mo� n,.�.�. a. rec��red M sw� s�oo a ms �no. code. b. ma ro���� a ma
wwk I« whiN Nis pertnil o bsued. MY waYers compeneelbn ineurar�ca farrbr enE poW.y numper are:
Certix:
Pdiry Number:
(iM1is aecfion nee! iwt he ttmpbied'f tM qrmt n b one hundred ddlas /St001 a bu.)
� I eenN � in Uw p«Immerca d �M xdk tor v.fich thia pe�mn is caueE. I aheA mi empb� eiry peeeon in erry men�wr eo m to
bxmia wMea lo �M xakne• mnDenaetion I.we a cdA«nu. aM �res Uut i l ehwJd baronr ai4a io tM MOMn•
cwn�p'e�naei7ion pr riium d SeUion 3]00 M Ihe LnEor COEe. I a�all lalhvm oompy wirt� ihwe
Dele: ' / � ApplkaM: _� � •
Wam/np: F�Nun ro s�cu worteri ronpmutlon covx�p� Is vnbwNl, �ne �IW/ w4J�cf ur �mployr fo WMNI puWtlu m0
elvll flnu ,p ro aw ��Wistl tlnuurM eo/Nn (StOq000J, In sdYltlon ro M� eost o/ ronpw�u�ebn ��P+ �+ Pb�� ror /n '
Sxtlon J105 0l fhs LSAor COJe, InM�st, uM ettormy'a /ws.
CONSTRUCTION LENDINa AGENCY: I M1emby ellrm uMer penehy ol perjury ihm Ihae n e ome�ivaun bMirp epency br IM
peAormeMa d Itw xak la wfiiW ihc permY ia ew�eE (Seaon �09). Civ. CI.
LENOER'S NRME:
IENDEF'S RODNE34:
I cenM tfai I Mve rtntl itn eGW�b^ vM pm� Ihet Ne ebove inlormNion u corna. I Wma io canGN xaA NI ayuW coumY ordineMee
eM a�ale lewe �dNiq w buildiq miN/Wcn end heraby aNhor¢a repavente�ivu d Ihe c4y Io aNs upon IM �bma�menlioned popeM
lorimpedion purpoaea. l/
�%n�G�, f/enna SS�Zi
��m���, om,: � �
d O.,�adno.�,vno ✓convea«
(S15t-a6.WP) Wlwe-Binldiq d Salery; Greer�Fle: Ceneiy-Appifa�t: Rnk-Raax»: Galdm�o�A+sesan
CITY OF COSTA MESA - HUILDING PERMIT
PERMIT NO: B 073405
PLAN CHECK NO: 02850-95 S
PERM NO: H 07340
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : 29LF WROUGHT IRON SLIDING GATE SQ FT: 29
CLAIM VALUE: 5,100,00 CALC-VALUE: 290.00 GROUP OCC: H-2 /
COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT
�x�x�x�x�**+�*****x�x�*x x x�x����**�*�r�r�r*x *�r*x x��r*��x �******�**�r***+�**���*�rx **�r****��r+r*�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 HUILDING ---------- --------- ACCESSORY BUZLDING ---------
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 RE4• PROV: PARCEL: 43927119 ZNE: R2 REF NO:
PLANNING N6TES> INSTALL A 22-FOOT LONG, 6 FT. HIGH SLIDE GATE AND 7' X 6'
> FENCING ALONG THE ALLEY OF THE VILLA CORDOVA APARTMENTS.
MiiMikM11'itiEiEifMlfiEitiE3FiEiEiFiFifkififatiEkitiflFakMiEikiklFififiEiEifiFifiFifiEll�iEitiFlFkiEkkifikiFMi4lFiEifiEM3F1EiE1fiflFiEiE1F1E�lfifiEif
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 S
20NING APPROVED BY 2-�1/� Lo � DATE: !� C
BUILDING APPROVED HY : DATE:
APPLICATION ISSUED BY: DATE; � Z i�
iEMilMMMMM1kMMMMMNMM1fiFMMiE kitifitiflfikiE�lEiF ifif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 15.00 .50
SMIP/NON-RES
PLAN 9.75
ISSUE FEE
BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 15.50 0.00 9.75 25.25 25.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 25.25 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
15.00 .50 9,75
1flf 7f If 7E iE 1F IF iF iF if� if iF if i! ik IE 1f IE iF Ik M iE 1E IE iE 1k IE IE 1E IE if iE iE if iE iE if iF 1f 1E iE 1E 1E iE 1E fE 1f If M 1E K if 1E 1E 1f 1E IE iE 1E 1E if' iE iE iF i(� 1E i(� 1P 1E 1E 16 if 1E 1E iE 1E IE iE
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 29 RES-W. IRON/CHAIN LINK FENCE / FT. 10.00 290.00
END OF FEES
EXPIRED
DATE b � �
�]1 001•'su.%; �,i."-.dPt9 Ta_lg ,g,?5
DA7E: .•�ii?:Fi:� TIilk; 16:22
WNSTRUCTION AND P4ANNING POU� & SPA
APPROVALS Permit # Date Inspector ApPROVALS Permit # Date Inspector
1. Temporary Elec[rical Service or Pole 52. Pooi & Equipment Location
2. Soil Pipe-Undrgrnd. �'� . 53. Steel Reinforcement
�i
f;3,;,Efectrical Condu`rt U�1iry�Un�cgrnd. 54. Forms
-� _4+Eigctrical ConduiK-Orttlrgrnd. � 55. Electrical Bonding '
--5�
3:�`-'Steel Reinforceme�E;, 56. Rough Plumbing & Pressure Test
= 6!*.fl�leccrical UFER-Grnat. 57. APPROVAL TO COVER�GUNITE �
r T '
` 94Footings �. � n 58. Electrical Cqnduit-Undrgmd. .-
r ...
�i8.� �pundation y - 59. Gas Pipe, O Undrgrnd., Test
9. V�r�ter Pipe-Undrgrnd. `t 60. Backwash Lines, P-Trap, O Undrgmd.
70. Svuctural Floor Svstem ' 67. APPROVAL TO DECK
17. Property Sewer Line & House•Eonrection 62. Backwash & Receptor-Fina�
P �
72. Sewer Ca o 63. Heater & Vent•Final '
73. Roof Drains � 64. Plumbing System - Finai
14. Rough Pi�mbin�, z. 65. Electrical�Final
75. Rough Electriwl.Cora�luit . 66. Solar SYstem-Final
76. Rough Elettric N/iring �,. o 67. Fencing & Access Approval
17. Rough Wiring Siyn � 68. APPROVED FOR PLqSTEfiiNG �
78. Rough E�ectrica�i' Bar Ce�lingt 69. POOUSPA SYSTEMS FINAL
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' ? C-+,^ G'. x F- ir
20. �iougFi F�or^Fir�q9lace � `^� '�� " - �'�' �APPf�V�t�$� � P¢7'mit # " �' '�
�: � � + , c.-• �X C w S •T �s � h+(-� T.. �
21. Oiictf„ini$trug{ure,`.�:t ••� � + S:. tin'.70. tindergro�rttl �� ro *
-. .� .
22. �,uttf: Ve"rltila(�jn �-;r. c. _ x S Gt :. �
�, 9��* �--� � 71. Produt',LPJpinc���'aas L'�Oil
23. Gas P.ipe•�pug_fi & l'ost � r :,� :r 7 et Ow �+ 72. Unde�grotind Flush•- .� �
24. Roof�Framing•• %* ' E"�" �"� y % j �; �* 7� Undergrrt�.S[o�i�,gTink�QGas ❑ail , �
25. Roof.§heaihing �,K ` ��� .. : =+ > Na 74 6verh¢ad Hydrp� �- �'
26. �-Bat*Ceiling (StrJOt�ral) & !PI'anocpat ` ^'� ^ } �' '». 7��Dry.CheQlical F� .Y ` d ;.� ' . ��
27. Fame and�Fla�s}iir�, ps- �::> � j Y„ 76. �ry�ta � piPe �LL .- -. .. i
28. Lathing &'$iding �'i %� "�x _: F .. '.. f: 7%-` FIXED S`Z$T��INA� r, ' � �
'-29. Insulatior,� �. ,�,: �' � •. .• �` L�c �n � y 7� FIRE PREV. FIPtq� � ,.^ s r
� 30. Drywall (�ailirig F* � V � O� ' � '-' ``}i,�AL7�DEP�.`REQ'UI�MENT -
c v c..
37. Plaster Browr�Coa,t,^-',: s -��,+ `� `�# ' �: 79J FINAL I${'ECT • N : �
� 32. Electriwl Pow'8Y Mater•Ti�nal _ T�k ^� � ;x �:SQ� FOOD CERTIFI'QATE IS�S EO �
r ^t m � W
. 33. �nat;Eleetric, ` * �; Q;'- <,rr '� K `� NgEes: y ��; r� -y ,., ��r,
34. FinatiHeating� Atr @on6+cionir�S ^� -'r � x � c ��= r <- ;�C
�� �� T� T Y k' i--; ' c.. Q # 7
, 35. qnal-Ga�FiPe%Te�f'.'K `,a' '7 r.v.-. r• ' Sa� r- r� c++^
. '�
�. . .
� 36. Hood�or fanoPv r' x=', � . r*"' � tr'-� C� i � i�� r sc*
c i m �r. t T.�l. i� i IT:
_.. �- ` ` `� �� r,s ^' i hc z �
37. Fjnat;Fadtory FirepJace�y� ! ri.., c.f �k ' � u� * �C:
38. FinahPlumbing E* v ' � ,� �J � � r,`x • S - * � �
k
�39. �d:ate'rSerZice-Fin�i'� , °'�-"�' i �:. �l '��' r ' -
`;.Y. Q'� 'll
� 40. Gras Service•Final - c,-cn S�. '� •: t*; � r Ov u:� * ��
.��.� � n� ta
^ 41. Solar pomest Final�, � • ' ` * U ' '- C'-' -� �
�' pj ^ � r. I .z .. "7N Q' +F �C
42. Backflow Preventer . �J .J vt � _`r � ' Y� x >F • � C -r
r �e5 ;e �-
43. Backflow Irri�ation � �,s=� �a � �Fo s �
,� " : tS x x .!: i ♦ !l
. _
4Q. Landscapelrr`igatiorn�Systemz?iC� <w.T. :. O J�� N a SfJ r �1�
-, ..� .« ,� � �-
$5. �ound -,trr-. _ _ c,: � �- i-� : r; c�rt: �cC �
P�Cteniietion.�. . .. '�r �,,: r. � T � �-. _
46. Handicap.Eiegulations T* � � � S On� .k
,n
47. F-lN6yLSTRUCTURE&9UIGDWG ?' _. ! y� •"'�� �, r r
48. FINKL PLANNING� i '-��- � •� � � :� .^•t : ' F"
- .i n c k
49. Electrlc Release to ENison 1� , ` '
.- t -
50. Ccas Release to Southern California.GasCo + ' - c•���r�• �
- - -� < - -
51. CER: 9FICATE OF OCCUPAN Y :� � :�tc �.n. _ --
No. Date
.,'k ..•� 168i2
CGSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applicant fo Fill In Compleiely
TYPE OR PRINT
ADD e�s"s �3 �,3 CLT%eA% /�Y�
C05TA MESA. CALIFORNIA
� /
OWNER
MAIL ,Ai � .��
1 ARCHITECT TEL.
� 6TATE TEL.
LIC. NO. NO. j""7 e^ L-�'
BIZE NO. OP lLOOB.
OF LOT �� X' � 4 i NOW on Lo�
r��
USE OF � �
EXIS7ING BLDG.
98TBACK LINe PPON
�NTeR oc BTr+eeT EAR YARD
!
si�n�d �r'1'3 �•J .a�^
DESGRIPTION OF ORK
FEE RECEIVED
�APR 5 i982
fINpA�NCE DEPT.
APPLICATI�lYF�1R PERM'1T"E�
r BUILDING
For Office Use Only
flECEIPT NO. P����/�
G
!Y I �'j j�—.��'! ��'I / / �uG- %
CO�TA MESA. CALIFORNIA
FtRE
G" �' `" � ZONING
zoNH No.ov u98 oP NEw S n[co r
�+ Z, I VLAN9 y_I BYILD�NO ����
�a.� L'1' L 3 TR � s o 0
D68CPIPlION
A. P. NO. �I ��� I I � 2 I
IClNTER LIN[ BTJ
m
WALL ��1 ROOF
�y00 COVERII
i1lDING AN WORK TO BE
APPROVED � /df
a� c��
B
�!/� �<n
�n
I HEPBBY ACKNOW�BDOH THAT 1 HAVB NGD TXIB APPLIGTION T{{g AMOUN BHOWN UNOBH VqLl1AT1pN IB FOp THE
AND BTATE THAT TXE ABOVH 18 COPRELT AND �GPEE TO COM-�
PUqPOBE OP H9TABL18NIN6 A PBRMIT FEE ONLY.
PLY WITM ALL C�T'� ORDINANCHB ANO 6TAT6 L�WB H80IllATINO
Bu16DiNo CONeTR oN. VALUATION
BIGNATURE OF f �. ^D � PERMIT FEE $ �
PERMI �(� X -
$ � PLAN CHECK $
AUTHORI D AGENT � �J �
TOTAL F6E J
. . :�20�6 ,�n zo-��o0,900 �*��*�5.00
. cnsu
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
r Applicant to Fill in Completely RECEI.'dED Y DATE RECEIVED
BUILD G /� _�D 7D j��TE ISSnUEO
ADDR SS V' / �v � 7 �
� A.P. NO. '"U — y PERJA]T'(QQ(`
OWNER
g/�� ��7
MAII BVILDING �� ^ � /
ADDRESS y� °� y„ ADDRESS {/v
w w TEl
a U CITY Q NO. —`� TRACT � Q O LOT � BLOCK
Z
Z Q CON5fRU W
ON LENDE \ �"
J� BRANC V. l�' �� l� '
J N OWNER .�. �(fL `
m J ADDRES � S O ' VALUE
J m ARCHITECT TEL. 5 S
Q OR ENGINEER C� Y N
V Q FIRE
W� ADDFESS ZONE TVPE / GROUP �
d W APPROVED
J O CONTRACTOR ./(_ — B�' DATE
m Z
J � ADDRES � �"� � r •
w w TEL Z� NO.OF USE OF NEW
Z� CITV NO. �� �� P�� C! BUILDING
w� STATE CITV VARDSAPPROVED VARDSAPPROVED
y 2 LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUI�DING
�� SIZE NO.OF BLIX'.S. 1FFOM C/L STREET�
OF LOT NOW ON LOT ONT FT. FT.
USE OF
E%ISTING BLpG. FT
� 512E OF NO. OF
Z NEWBLDG. Ci � OOMS STOPIES L.SIDE FT. FT.
U EMERIOR WALL ROOF
COVERING COVERING REAR FT. FT. . i
J USE OF BUILDING �+ND WORK TO BE PERFORMED DISTANCE B T. BET. MAIN &
a MAIN BLDGS. ACCESS. BLDGS.
a
Q VAF.-rW DATE
`� 0.U.P.qW APPROVEO
�
� APPROVED :l
N V
Z
�
~ I horeby ecknowletlpe the[ I hava raatl this epP�icetion antl smte � d
� Nat the ebove Informetlon If corract antl uprae to comply wlth � � �
� oll lows reBulaNnB builtlinB consttuction, entl 1 shall not employ
F„ ony person in vialaUon of iha workman'a compansatlon laws oi
y tha Stete ot Colifornie. m
? 1 hereby corNfy that 1 em pro0erly licensatl ea e eonnactor untler SQ. FT. o
Me Smte of Galitornin Businasa entl Professione Cotle, �Ivisicn 3, THE AMOUNT SHOWN UNDER VAlUAT10N IS FOR �
Chapter 9, and [het such Iicenses ere In tull force antl atteti, or 1 THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: °
am azampt irom Me vislons of tha Steta of Cellfornia B�siness ¢
VALUATION p�� m
entl Protass oda, ialon 3, Chepter 9. ` PERMIT FEE 5 �
7
SI + °�
Permittee /nj �) PLO.N CHECK 5�� E
�/"ri �� ,°
IAu[horizetl ABent TOTA� FEE S
' • , ' � Z��?� lUl. ?0-70Pa�oOO1901 cJi**�**5.00
. cnsn
' COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant ro Fill in Complete/y qECEI � o E CEIVED „eT� ������
BUILDING � (� �� ��L
ADDRESS `�OL2N B.
OWNER � � �� � A.P. NO. -
^ BUIIDING
MAIL 1�1 ADDRESS � [
Z ADDRESS � GLV
d U CITY '�� � � NOL l� a TRACT �� �
Z
Z Q CONSTRUCTIO W
ON LENDER J}��
J� BRANCN � y. �`� � ��S
Jfn ` OWNER . �. Qc.
Q W ADDRESS v Q. `�Q�SG
6] J
m ARCHITEC p El. S
Ja ORENGWEER V'� l.. l-�'T���
V Q FIRE
W � ADDRE55 ZONE TYPE
d w • APPROVED
JO CONTRACTOR � l,p�/L NVPS\ ON� BV
m Z
J � ADDFESS � 'j' �' � y�,
VALUE
DATE
W w 2 E NO.OF USE OF NE �/1i.�"
O= TE�' �� i� PI,ANS U BUILDING
z� CITV w T' � NO. - �1
w� STATE CITV �ARDSAPPFOVED VARDSAPPROVED
y 2 LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDI
�� SIZE NO.OF BLDGS. (FROM C/L STREE
OF LOT NOW ON LOT RONT FT
USE OF
EXISTING BLDG. � � �
H 512E OF NO. OF
Z NEWBLDG. ROOMS STORIES Y L.SIDE FT
U EMERIOR WALL ROOF
COVERING COVERING REAR FT
J USE OF 9UILOING AND WORK TO BE PERFOFMED DISTANCE BET.
a MAIN BLDGS.
a
Q � VAR. �
o u��� � �.,,.P. �
� APPROVED
N
Z
O
UI haraby acknowletlpa thet I havo raotl this applicetion antl sta[e
� thet the abOve IntOrmation Is cOrreet entl apreo to comply with
� oll laws repulaiinp b�iltlinp conetructlon, antl I shell not amploV
� any person in violntion Of iho workmon'+ companfatiOn lews ot
y the Stete of Colifornla.
zI �ereby carUty that I am proporly Iicensatl ns a coniractor untler SQ. F'
the Steta of CalHornia 8uainess ontl Profaszions Cotla, Division 3, THE AMOUNT.
Chapxar 9, antl thet s�ch Iicensas are In full forca entl affect, or 1 THE PURPOSE O
em exampt from the Orovlsiona of the Stote ot California Business VALVATION
and Profa:siona Cotle, Dlvision 3, Chapter 9.
Slgn l/'�' ,,��//��
Permlit e ��. /l v`• �oD �
Authorizetl ABant
BET. MAIN &
ACCESS. 6L0
DATE
APPROVED
m
�
0
VALUATION IS FOR ^
A PERMR FEE ONLV: ¢
S �
= 5 �
�1 m
K 5 E
� Bq o
� LL
5
. . 32 I �iG nuc –�-�o`"—;°0� s�2;= ����52.50
CM"A
` COSTA MESA BUILDING-SAFETY DEPARTMENT
p.O.BOX1200 COSTAMESA,CALIFORNIA92626
APPLICATION FOR BUILDING PERMIT
Far Applicant to Fill in Completely qECE VED BV DATE RECEIVED
BUILPING / DpA.TE/ISSVE�
ADOPESS '- /�, � � � �� ` �� O ' W �� �
OWNER � �%� �/� V f�- A�P/NO. OI/�� � Y�rs—a PERMIT NO.
MAIL ��' BUILDING ��� �� /� �
Z ADDPESS '- .L�A / �4DORE55 ����L/
a U CITV �C/� (��/%L NR.��'�l�I TRACT.�jFt-O 3L0T � BLOCK
HZ
Z Q CONSiRUCTiON ,/ � W A
O N LENtlER d
am
J ] BRANCH
J � OWNE LC%
a W ADORESS �
f11 J /J�, � � �/ � VALUE O�
_j m ARCHITEC � T L. S LLv✓ LVL ��5 � �^
� OR ENGINEER
V Q FIRE `
w� ADDFE S� / ZONE TVPE GROUP /
aw
W Z GONYRA '� ByPR�VED DATE
J Q
m Z
J � ADDPESS '
W w TEL. ONE O.OF USE OF NEW
Z= CITV NO. 4{j P�� BUILOING
F
w � STATE CITY YARDS APPROVED YARDS APPROVED
N Q LIC. NO. I.IC. NO. MAIN BUILDING ACCESSORV BUILDING
�� SIZE �aa �h .3n� Y— NO.OFBI S. (FROMGLSTREET) -
OF LOT Q� NOW ON LOT ROM FT. � FT.
USE OF //
EXISTING BLDG. S -,• ��
F" 512EDF NO.OF � I���
QNEW6LDG. ROOMS STORIES L.S�DE FT. FT.
U EXTEH�OR WALL ROOF
COVERING COVERING FEAR FT. OFT. �
J VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. � BET. MAIN &
a MAIN BLDGS. ACCE55. BLDGS.
a q Jy
O (�/( � C URP�� % APPROVED _ — q
~ APPFOVED
�n � • � — U
O HOLD FOR IFL P.cQUIREMENTS
VI hereby acknowledgo that 1 have reatl this aPPlication antl sta[e '
� ihef the above informatiOn is correc[ antl agree to comply with
� sll IaWs regula[in8 builtling construttion, antl I shall not employ
F, any person in violetion Of the wotkmen's compensetion lews of
(q t�e Stete of Celifomle. �OSO /� '/ � �
ZI horeby certify [hat 1 em proparly lieensetl ee e contrnctor untler SQ. FT, vQ�'. o
the State of Collfornio Bus(ness entl Professions Cotle, Dlvisicn 3, THE AMOVNT SHOWN UNDEF VALUATION IS FOfi
C�epter 9, entl tha[ suc� litenses ere in tull torte entl affeet, or I TME PURPp6E OF ESTABL6HING A PERMIT FEE ONL�: Q
am ezempx from tho provisionsof theScate,Qf CelNor io Businass VALVATION
antl P�ofessions Cotlo, ivizl n 3, Ch rer 9. �\ � �^ m
a.�[i/ PERMIT FEE 5 S�/ �
SiB�atura o5 1��� y O� J m
Parmittaa , e' �" S�j� �FO PLAN CNECK 5 �//� E
0
Authorizetl ABent �� �/i LL
TOTAL FEE 5 !/
Z .
w W
a U
Z
Z Q
ON
am
J �
J �
Q W
0] J
J m
Q
U N
Z a
�
aW
W Z
J �
mZ
J �
W w
0 =
Z f-.
W �
N �
�O
�
z
Q
U
J
a
a
Q
0
�
y
z
0
�
U
�
�
�
N
z
� 32141
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil! in Completely
BUILDING ��a� �\ (� �U �v �
ADDRESS (.y.
OWNER ��!��Q� �TIVQSTK�t'�� L4,
MAIL
ADDPESS 1�q WQ1'r'C�� �Y.
TEL.
CITY (�Y aI�IPO�T �Q� NO. (o4a-^I (�
CONSTFUCTION !�: ] �� /
LENDER •.a�j �c
BRANCH
ADDRESS
APCHITECT� ., T1�EL.
OR ENGINEEF � "�L�`+��
ADDRESS/G�� uJ
/
CONTRACTOR ,�
AODRESS
TEL.
CITV NO.
$TATE CITV
�IG. NO. LIC. NO.
SIZE �sa x 3p��4 INO.OFBlDGS.
OF LOT �" � x ��yo2� NOW ON LOT
USE OF
EXISTING BLOG.
SIZE OF NO.OF
NEW BLDG. ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERGORMED
AUG —%-7QPAl0oO 373+� �***66.OQ
LMSA
APPLICATION FOR BUILDING PERMIT
RECEI ED BV DATE FjECEIVED D(g�TE )ISSUI
� 1��— � Q �J—�
f l 9- 0II —a-IJ %�}4 PEFMII�fyO
A
FIRE
ZONE
APPROVED
VARDS APPROVED
MAIN BUILDING
FROM C/L STREET)
DISTANCE BET
MAIN BLDGS.
VAR. �'
C.U.P. ak�. G
VAWS O��
GROUP /
DATE
7 ����
USE OF NEW ^� �„ ,� p
BUILDING ��t(/'-'^ �i
VARO$APP OVED,
ACCESSORV BUILDING
�l � FT.
� /(
-F3�-
xyFT�o-'
BET. MAIN &
ACCE�. BLq
DATE
/
//-3 -F�
�/�-iG
1 hereby acknowledge that � have reatl this aDP�ication and state
that the above infarmation is correct antl agrae to comply with
all laws regulating building consttuction, and 1 shall not employ
eny person in violation ot the workman's compensatiOn laws ot
the State at Cnlifornia. /1 m
I hereby certify that I am properly licensatl as a convector untlar
/ O S�. FT. (7 j/ ' o
the Smte ot Calitarnie Busi�ess antl ProtassiOns Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR �
Chap[er 9, antl thet such licenses ere in full ho ce antl eifect, or I THE �UPP�E OF ESTABLISHING A PERMIT FEE ONLV: ¢
am ezempt from Me provis�ons of a State o Callfomia Business VALUATION
antl Professions Co � isl 3, apter 9. m
� PERMIT FEE 5 �Q� j
SiB^eiure of y/��f ,/ � m
Permittee 5 // / Q� PLAN CHECK $����� E
/ / `o
Auxhorized A9ent /„ / /QO LL
TOTAL FEE 3 �r Y�
�-.�. "_ �2142
�—
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�uc -�-�o`"'°o0 374� **��aa.00
CMSA
APPLICATION FOR BUILDING PERMIT
ForApplicanttoFillinCompletely RECE VEDBV DATERECEIVED
BUILDING � f',� �� �� D/ATE ISSUI
� (' /
AnORESS �.1 � � i �� l." � •— �—
OWNER
MAIL
ADPFlE
CIT'�
BflANCH
AOPRESS
ARCHITE�
ADPRE55
CON�FlAC
ADDRESS
CIT�'
STPTE
LIC. NO.
size �
OF LOT
USE OF
EXIS�ING I
SiZE oF
:RIOF WALL
EFING
OF BUILDI
n
,�
�l�' 011'u�-��i �"a--'�S� PF
. A. NO.
BUIL�ING � . } l/
C�,. ADDRESS �) ���
6 7' - a ,-
� TRACT � 8"� 3 OT /
� W A
OWNE
VALUE
�. US � �5
JJ� �IRE
ZONE TYPE � GRC
APPPOVED
TEL.
NO.
CITV
LIC. NO.
INO. OF BLDCS.
NOW ON LOT
NO. OF
ROOMS STOf
ROOF
COVERING
D WORK TO BE PERFORMED
v .oiY io.� JL-
VARDSAPPROVED
MAIN BUILDING
ROM G/L STREET)
DISTANCE BET
MAIN BLDGS.
VAR. � ..., ^.
7 '�
T N(
USE OF NEW
BUILDING
VARDSAPPqOVED
BEf. MAIN &
ACCE�. BLDGS.
DATE // � � � /
APPf±OVED� ��7
_'__ %_/ .-`/ %
I hareby atknowletlBe the[ I have reatl this application antl state i] �. /1 '
that tha ebove intormation is correct antl agree to comply wiN L'���"`-°� �'�
all lows rogulating builtling con�vuction, and I shall no[ amploy
ony Oerson in violation of tho workmen's compensstion lews of
tha S[ata ol Californla. /� G �
I hereby certify that I am proparly licansetl as e connector untler 2/�O SQ. FT. LT /� �/ /. O
Na Steta of Celifarnia Businoss antl Prafess�ons Cotle, Divlsicn 3, 7ME AM�UNT SHOWN UNDER VA�VATION IS FOR '
ChoPtar 9, antl thot su�h licanws ore in fu�l force entl affatt, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am nxampt from the provislons ot t�a Steta of Ca 7fornle Businacs Q
' VALVATION ��'oO ry
ond Profeasions Cotl D� ' lon 3, hepie m
PERMIT FEE S ]
slpnaturo ot � �� D O m
Parmittee 5��/��D PWN CHECK $ ��� E
o`
Au[hoNxatlAgent ���QD LL
TOTAL FEE $ V
�_ �� �-�- �2143
. . � aur -7-7ocnsn00 375# ��*u66.00
' COSTA MESA BUILOING-SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIFORN�A 92626
APPLICATION FOR BUILDING PERMIT
^ D TE ISSU�E7D
ForApplicanttoFillinCompletely qECE1V av DATE ECEIVED
ADIDRkSS d37.�j � ti �' � O ��� ! O
,p /�q��l/ �,��7-�..-r--- PERMITN
OWNEP � 2 t T Qu � lL . A }.�
MAIL , - BVI�DING � S� y � // �/ �
ADDRESS �oq .4DDRESS J 7 -t
d U CITV Q,L,V �p �y��_ NOL TRACT� � O� BLOCK
F- Z '7�(
Z Q CANSTFUGTION l-, / d J O W A
O N LENDEA �O i
am
J � BRANGH
J N OWNE n
m J ADORkSS VALUE �-=
J m ARCHITEC� TE�. S i 5 Q
Q OR EtJ INEER N
V N / FIRE
wQ ADDRGSS (� �� ZONE TYP GROVP
a u' ��
W Z �+PPROVED
J O CONTqACTOR BV DATE
m Z
J � ADDRESS
w w TEL. �NE NO.OF USE OF NEW �
Z� CITv NO. �4 G �� � BUILDING
w 0 STATE CITY �'ARDS APPROVED VARDS A OVED
(n K LIC. NO. LIC. NO. MAIN BUI��ING ACCESSOFV BUILDING
7O SIZE �.3� x����~— NO.OFBLDGS. (FROMC/LSTREET)
OF LOY � NOW ON LOT qpM' FT. D FT.
USE O� /
EXISTING BLDG. T. FT O
H SIZEOF NO.OF l/
Z NEWBLIX'i. ROOMS STORIES L.SIDE FT. i�7.'
U EXTERIOR WALL ROOF ��
COVEF�NG COVERING REAR FT. FT
J USE 06 BUIL ING dK TO BE PER M D DISTANCE BET. BET. MAIN & /
aa MAIN BLDGS. ACCESS. BLDGS.
'�7
O C URP��i��%-�p AwROVED —3—�j�
y avc o �
�
O F1Q1,D F IAL REQUIREMENTS
UI herebY acknowledge that I hava reetl this application and steta
� that xhe above information is <orrect antl apree Co comply with � �
� ell laws regulatinB builtling conztrucHon, antl I shall noc amploy
F any pelson in violation of tha workmen's cOmponsation laws ot
y tha State ot Celifornia. ` a1
Z �
1 herebVi certify Nat I am pro0erly licanmtl es e convector untlar �0 SQ. FT. �Q/', �// p
No Stata of Calitomia Bvsiness entl Profazatons Cotle, Divbicn 3, THE AMOUNT SHpWN UNDER VALUATION IS FOF
m
C�nptar 9, antl that such lice�ses era f�ll force and effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
om axemPt irom pv 'sio� of th S ata of oli�ornie Buainecs VALUATION '/
antl ProfessiOns d� slon , Chap �H' OQ N
V' PERMIT FEE 5 "/ / ]
sipnawre oi � � 2, O p m
Pormittue 5�'�Q� PLAN CHECK S E
� °
Authori�ed ABent g��j � 00 LL
TOTAL FEE
� ��i�4 D
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
For Applicant to Fill in Completely
ADIORE55 .L.��� �\p[Q� :�`e+
OWNER `rs{i� `��Oh .1��1�),. l' :.�
CITY�� ,kj
CpNSTRUGTION
LENDER
BRANCM
ITE
ADDRESS/ (�
CONTRACTOR
AODRESS
STATE
UQ NO.
USE OF
EX15T�NG BLOG.
SIZE OF
nur, -�-�oP"7D00 s76u ***?_Z3.5G
cnsa
APPL�CATION FOR BUILDING PERMIT
:EI ED BV D E RECEIVED D TE ISSUI
r - o � �-
Iq� dll�a-I � %'?�5—t% P�RMI.TNO
� C r. ADDRESS � ,3 (f��iLL����G�
TRACT��'"d 3LOT6/ BIOCM
TEL
NO' �\1�
� _, 6d's�� w
OwNE �
VALUE (�' p
, TEL. S II � �$ Q Sa�
FIRE O�"'TiH/i . �
20NE TVP �y�"('ROUP
� APPiiOVED
-� BV OATE
�l(�+.�M
TEL. ZONE NO.OF USE OF NEVJ�k��,
7' �
NO. 4G%� P�� Y BUILDING ��L/yy
CITV VARDSAPPROVED VARDSAPPFOVED
LIC. NO. MAIN BUIL�ING ACCESSOfiV BUILDI
X 3 0� � ti— NO.OF BLDGS. (FROM GL STREET)
� y` �� NOW ON LOT RONT �F �� FT.
I ��.
EMERIOR WALI
COVERING
USE OF BUILDING
•/-V/
K TO BE
VAR.
I // I BETfMAIN&
I hereby acknowletlBe thet I have reatl tnis eppllcaHon antl state
Nat iha ebove informetion is mrrect antl agrea to comply with '
all laws rogulecing builtling tonstruction, antl I s�ell not employ Q:t �
any Oarson In violation ot tha workman's comp¢nsetion laws of
tho S�ate o( Celitomie. �
1 ha/eby carNiy that I am proDerly Iicensetl af a conbactor und¢r � SQ. FT.
Ma Siete of Celifomia Buainesa antl Professiona Cotlo, Dlvialcn 3, THE AMOUNT SH
Chapter 9, antl that suc� licenses ara In full torca entl ef(eet, or I THE PURP06E OF I
em Oxempt irom ffie provisions of [heScete of Cnlifornla Businasa VALUATION
antl P�ofosslons COtle, Divieion 3, Chep
Sipnntur � , / /�A�
Parmlttae 5 %�� �y
Autnorizetl ABent
%-�-(�`/
— / --7 0
— z 3/0 = f/ °
0
UNDER VALUATI�N IS FOFi �
IL45HING A PERMIT FEE ONLV: ¢
m
AMIT FEE $ �� �
AN CHECK S / ���a E
`o
ITAL FEE $��� �� LL (
�
� ;�� I 45
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 7200 COSTA MESA,CALIFORNIA 92fi26
For Applicant to Fill in Completely
BUILDING 1� 11 r.� n _
OWNER > >,��etr... �,�. -
MAIL
Z ADORESS � 'QS � `
w w TEL.
a U CITV NO
CONSTRUGTION ��
O � LENDER
am
J � BRANCH
J V1
m J ADDRESS
m P.RCHITE TEL.
J N OR ENGINEER
U Q
w 2 ADDRESS
aw
W Z CONTRACTOR . ��
J Q
m Z
J � ADDRESS
w W TEL.
Z F CITV CV\ NO.
w O STATE CITY
y Q LIC. NO. LIC. NO.
�� 512E /3a ��Ou� NO.OFE
OF LOT � �� � NOWON
USE OF �
EXISTING BLDG.
F" SIZE OF NO. OF
Z NEW BLOG. O�C ROOMS ST
a EXTERIOR WALL ROOF
V COVERING COVERING
i J USE OF BUILDING AND WORK TO BE PERFORMI
a
a
Q
0
H
N
Z
O
F-
U
�
�
H
N
z
aur—r�oP�1Q00 3��++ �t��330.75
Cp511
APPLICATION FOR BUILDING PERMIT
�!9 U� ���-
A.P. No.
BNLDING � �
TRACT
FIRE
20NE
APPROVED
NE NO.OF
'�� ry5 •
VAq05 APPROVEO
MAIN BUILDING
VAR. �
C.U.P.q
I heraby acknowledBe that I have reatl this application antl state �
Shai the above Informei�On is cor�ect antl apr¢a to comply wiSh
ell laws raB�letinq build��p consttvctlon, antl 1 Shell not employ
any person in vlolntion of the workman's compensaHon laws ot
tha Stata of California.
I hereby tBrHty thot I am properly licansetl as a convactor undar S�. FT.
the Stato of Californio B�siness entl Professions Cotle, Dlvislcn 3, THE AMOUNT SHi
Chep[er 9, antl t�at wch licenses ara fn full force antl atfact, or 1 THE WqPp$E OF E
am ezempt irom t�e Orovisiom o( the S[ato ot Califomie Businass VALUATION
enG Protassiona Cotlo, D���slon 3, Chaptar 9.
sia„e�� /`�, n. YYJ�-�� 9J! / 7(O OO
Perm ttel e \\ dA -v � S
a�mon:ed aee�i
��
VALUE �
5
GROUP
DATE
LP�
USE OF NEW
BUILDING
YARDS A PROVED
ACCESSORV BUILDII
FT
DATE
APPROVED
— m
N
O
VALUATION IS FOF ^
A vERM1T FEE ONLv: Q
E S ����JO �
7
K $ o, zs E
LL
s�30,%f
. . B
;�� I 4�
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. eOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDRESS ��Z� C\ E w] �H. Al Q
OWNER �li��� �l��V �i . �1\ .
MAR �. __ . . I''�
CITV
BRANCH
ADDRESS i
ARCHIT� . l /. UU. TEL.
ADDRESS A
CONTRACTOft � ^ - "�' �� •" ��
ADDRESS
TEL.
CITV Q�p,����(��[(� NO.
STATE CIT V
LIC. NO. LIC. NO.
S12E �x3 D� �— NO.OF BLDGS.
OFLOT��p��( �3�� INOWONLOT
USE OF
EXI5TING BLDG.
512E OF NO. OF
NEWBLDG. ' ROOMS STORIE:
L�RTEiiISi�CNALL :�OOF
COVERING COVERING
USE OF BUIIDING AND WORK TO BE PERFORMED
I hereby acknowletlge xhat I have reatl this aOPlicetion antl state
that the above information is correct and a8ree to comply with
all laws regula[ing builtling consiruction, and I shall not amploy
any Oerson in violation of the wo�kmen'S compensetiOn laws of
ffie Sxare of Califo��la.
I �ereby cerUty tHat I am properly licensetl as e conttactor untler
Ne Stata of California Business antl Professions Cotle, Divlaicn 3,
Chapter 9, antl thP� such licenses are In full torce entl affect, or I
am exampt from the provisions of the Stete of Calitornla Buciness
antl Professlons Cotle, Division 3, Chapter 9.
Signature .�'�
Permittae���
Authorizatl Agant
auc —�-��00 378�` ��* 359.Z5
CHSF
APPLICATION FOR BUILDING PERMIT
RECEIVpD6Y DA7FqFCEIVED n�rc�cciu
�Ca!-t.T I d � b � �
A.P�N6._�'II��I�� �iI
FIRE V
ZONE
APPROVED
BY
ZONE NO.O
4-(�" PlA
YAROS APPROV
MAIN BUILDIN�
(FROM C/L STREET
PROM �� FT.!
R. SIDE� �T..
L.SIDE /� FT:
REAR � F .�
DISTANCE BET.
MAIN BLDGS.
VAR. �V'+ �/
C.U.P.a1�Z� i�S /
VALUE
F USE OF NE
NS BUILDING�
ED YAqDS
/I
/ G �
S90
ED
BET. MAIN &
ACCE,SS. BL �.
APPROVED %/-3-b
�_ /—i
S��SQ.FT. — �]2D/.101fayl� p
�
THE AMOUNTSHOWN UNDER VA�UATION IS FOR �
THE PURPaSE OF ESfABLISHING A PEIiMIT FEE ONLV: �
VALUATION �-y� W
� PEFMIT FEE § Z3 �J �/ j
y m
5 j/.� �90 PLAN CHECK 5 �/� E
, o
[ LL
TOTAI FEE 5 11J
. : " `�� � 47 ''A'� nuc —�-7�;°00 3?9� ***398.25
' COSTA MESA BUILDING•SAFETY DEPARTMENT
p.O.80X1200 COSTAMESA,CAIIFORNIA92626
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fill in Completely qECE1V ev o Te ECEIVED
DATE ISSUED
BUI�DING b q
ADDflESS � y a Q�� � V
PEFMIT NO
OWNER �� ,� A.P. NO. —O� — f
MAIL 9UILDING '� � �J
AD D R ESS �('P��
ADORESS 1 �
d U CITY �wQp(L NO�. � TRACT � `�3��T�� BLOCK
Z
Z Q CONS'�FUCTION A K G�Q
ON LENOER �J pCJ
am
J � BRANCH e
Jfn OW GLC%
a w ADDRESS �
mm ARCHITEC7l � T l. I� S VALV§I�O r�OD
Q OR ENGINEER iC � �
V N FIRE
wa 20NE TYPE GFOUP
Q ADDPESS � �
aw
W Z — APPROVED
J O CON7RACTOR BV DATE
m Z / /
J � ADDPE55 �° — ��`
w w TEL. ZQNE NO.OF USE OF NEW
Z� CITV NO. p� P�� BVILDING �
w � STATE ' CITV VARDSAPPROVED VAflDS APPFOVED
y 2 LIC. NO. IIC. NO. MAIN BUI�DING ACCESSORV BUILDING
_� SIZE .� x30� '� NO.OFBLDGS. (FROMGLSTREET) � / /�4_
v
OF LPT �.0� h � NOWON LOT ROM FT. � d PT.
USE OF � �
EXISTING BLDG. FT
� SIZE Of NO. OF
Z NEW6LDG. ROOMS STORIES L.SIDE �FT. FT.
U EXTEfl�OR WALL ROOF
COVE:�ING COVEFING REAR tJ FT. FT.
J USE OF BUILDING AN� WORK TO BE PERFORMED DISTANCE BET. � BET. MAIN &
a MAIN BLDGS. ACCESS. BLDGS.
0 a �/
� f"` � T C URP qWjZE L% P.7FROVED 1J-�—jo�/
� APPR V
h
o R�E L�NT �
VI hereby acknowletl8e thai I hava reetl this aPPlicetion antl state .i . //
� that the ebove information is correc[ antl apree to comply with ����r�"�' �
� all taws regulating building constt�ctian, and I shall not employ
F any Oerwn In violatlon of the workman's compensallon laws of
the S[ata of Celitomie. �(,� / p �
zI hereby certify that I am ProOarly Iicon»tl as a eontractor untler / SQ. FT. / {O 2 y(J LO/l/CS o
tha Steta of Californla Business entl Profasslons Cotle, Dlvisicn 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR �
Chepter 9, antl thet such licanses era in full forca ntl affect, or I TNE PURPp$E OF ESTABLISHING A PERMIT FEE ONLY: Q
em exompt from the rovi ions th to[e o� C ifornia Businesz yqLUATION
antl PfofeSsionS Co , D'v ion ho n /��O N
PERMIT FEE 5 ' �O ]
$iBneWra oi J/ a 'j � 0
Parml�tee , S/�((���)(� GLAN CHELK 5 � J^/�/�S_ o
AuthOriietl AgeM � ^n Y LL
TOTALFEE 5�/ V ���
'� 32375
� COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
Fo� Appllcan[ to Fill in Completely
BUILDING
ADDRE55 �
OWNER �
MAIL
Z ADDRE55
a U CITv
Z
Z Q CONSfRUCT
O � LENDER
am
J � BRANCH�
J N
m J ADDFE55
J m ARCHITECT
a OR ENGINEER
U N
Q
W K ADORE55
aw
W Z CONTRACTOR
J Q
m Z
J Q AODRESS
W W
� arv
ZH
w � STATE
y � LIC. NO.
=O SIZE
OF �OT
USE OF
EXISTING BIDG.
pCT 23-70�N5tiO01022 u+�***6.00
APPLICATION FOR BUILDING PERMIT
,J� -- .�.���. ...��.��-
�,` A.P.NO.���—/1�I� PE�Tp��7
.L
� DUILDING 4—u'� � �� , n
A DD R ESS �L-C
TEL TRACT ��, 't��T��� 9LOCK
f�0.
��� W ADD A P
OWNER � ��Q/t�J /
VALVE
TEL. S $
NO
FIRE �
ZONE TYPE GFOUP
APPROVED
HV DATE
TEL.
NO.
ciTv
LI0. NO.
INO.O 9F L�OG .
NOW ON l0T
NE NO.OF
I. _e. Pi..nrs j
VAROS APPFOVED
MAIN BUIIDING
IOM C/L STFEETI
V
H $12E OF NO.OF
Z NEWBLDG. ROOMS STORIES L.SIDE ' FT.
a E%TERIOR WALL ROOF n
�% COVERING COVERING REAF O`SFT. � FT.
J USE OF BUILDING AND WORK TO OE PEFFORME� DISTANCE BET. BEf, MAIN &
a MAIN BLOGS. ACCESS. BLDGS.
a
O � ���p C URP�E S�'� � APPROVED � I`' '
y .�- 4C�-�h�-�'� � Aw o�� U= ' O—
Z �
O
VI �craby acknowletlBo thnt I havv raetl chis application antl siaie
� [hut tho obove Info�TatiOn is cOrrott entl agree to comply wi[h
� oll lows reBulatlnB b�iltling consttuc�ion, entl I shail nOt employ
r ony person in violation ol the workmen's compensatlon laws of
y [ho Sto[a of Californie, /D �
? I he�eby ce�tity that I am propa�ly licensed as a cont�acto� unda� SQ. FT.
[he State of California Business antl Prof¢ssions Code, Divlsicn 3, THE AMOUNT SHOWN UNDEF VALVA ION I
Chapter 9, antl thet s4ch liconsos are in tull forca antl affect, or 1 THE PURPpSE OF ESTAgLISHING A PER
nm eacmpt from the provisions of the S[nte of Celifomia Businoss VALVATION
antl Protessions Cotla Divisian 3, Chapcer 9.
� PERMIT FEE $
Sipnature o � �
Permlt[oe ,� 3 ��� � PLAN CMECK $ �—�
Au[horized Agent 6
TOTAL FEE 5
0
m
0
7R �
V: ¢
m
N
J
m
E
LL
. • ?2375
' , COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FiN in Completely
ncr zs-�oPA10OOiozs# ���*19.50
C175A
APPLICATION FOR BUILDING PERMIT
'�EI /gV DAT/�/]p �iVED DATE ISSUED
/ /'� ✓ � �Q�.%��7zi
' OWNE ' � n.r. rv�. 1 _ U �. � r - >� _
MA�� BVILDING � 4 SO ,� �
2 . 1l� l-
ADDRESS � Y . �+DDRESS �pZ �¢�,!D_w
dU CITV ' NOL TRACT�B{7 �LDT lV BLO�K
Z Q CON5TRU W N W ADD A R P
O N LENOER
6. m l � V ,, /,� ,
J � BRANCH A � �' ^,,
J fn OWNEy ✓• � v
m J ADDFESS VAIUE
m ApCHITECT TEI. SE S
J a Ofl ENGINEEFi N
U Q FIRE
W Q ADDRESS ZONE TVPE GROUP '��
d W APPFiOVEO
J O CONTRACTOR � � BY DATE
m Z
J � ADDRESS
w w TEL. Z NE NO.OF VSE OF NEW %
ZF CITY NO. �- A� BUILDIN ' -�
W � STATE CITV �'ARDS APPFOVED YA DS APPROV D
y Q LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDIN
� O (FROM C/L STREET)
SIZE NO.OF BLOGS.
OF LOT NOW ON lOT RONT � FT. FT
USE OF
EXISfING BLDG.
F� SIZE OF NO.OF !9j �
Z NEWBLDG. ROOMS STORIES L.SIDE FT. 'FT.
EMERIOR WALL ROOF r
V COVERING COVERING REAR FT. `J' FT.
J VSE OF BVIIDING AND WORK TO DE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. AOCESS. BLDGS.
a /
a � ��� �J C UpP,qW�� APPROVED — ^�� �O
� � //��,,
y .y�. APPROVE •y( � � �'D'_� ' O
r - i
Z
O
UI hereby acknowlatlpo that I have reatl Nis application antl steffi
� Nat [he ebova iniormetion is mrreci onC ngree to comply wlth
� ull laws regulatlnq building consvuction, and I shall no[ ¢mploy
F eny perwn in vio�at(on of ihe workmnn's compensation laws of
� P Od "
ffia State of CelitOmia. e
? I hereby certity that I em Oroperly Iiconsatl as a conlractar untler SQ. FT. o
Ne State ot Califprnia Business and Pro(essions Code, Divisicn 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR �
Chapter 9, antl Uat s�ch licenses ere in tull forca antl affact, or I TME PURPpSE OF ESTABL6HING A PERMIT FEE ONLV; m
am exempt from �pe Orovisions oi the State ot California Businass / �
antl Protessions COtle Division 3, Chepter 9. V A WATION �
D�% PERMIT FEE 5 �"
� ���D '
s;a„a��� m
Permittea J \ PV1N CNECK $ E
5—" LL
Auihorized Agent Q �
/� I� TOTALFEE S �
/
�.�� �25?7
` ._� DEC 17-7�00 767 0****39.00
� � COSTA MESA BUILDING-SAFETY DEPARTMENT
" P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant ro Fill in Completely
RECE BV DATE REC IVED DATE ISSUED
ADDRESS'�3a E 'j�WQ. �`�• �— � /� / '�O
S , �w r � // —O//ZT / 3 PERMITNO.
OWNER .'� A.P. NO. ' � '
MAIL 1 ( � � n BUILDING 2 �
ADDflESS ` 0. wl„F(_STG i. �.Ly-• .4DDRESS J
Z . / i.73
d U CITV� k,�OYL,T NOL TFACT � LOTp7 � BLOCK
Z
Z Q CANSTRU .♦ W ADD A P
ON IENOER 1 `� ��
a m � `�
J � BRANCH . l,
J N OWNER
m J ADDRESS VALUE
J m ARCHITECT TEL. SE $
a OR ENGINEEft N .
V Q FIRE �
w� ADDRESS ZONE TVP GROUP "J
a w APPROVED ��./''//
wZ CONTRACTOR �Q� \Q� �NV, BV // DATE Z � � �
J Q
m Z
J � ADDflE55
w W TEL. Z E NO.OF USE OF NEW '
Z� CITV NO. - V'C_' PLANS � BUILDING
w � STATE CITV YAROS APPROVED VAR�S APPFOVED
y 2 LI0. NO. I.IC. NO. MAIN BUILDING ACCESSORV BUILDING
�O � (FROMGLSTREET) t!n "� $�h�
SI2E NO.OF BLDGS. ���
OF LOT NOW ON LOT RONT O FT. LE T.L(/Q L L
USE OF
EXISTING BLDG. SI FT. FT.
N SIZE OF NO. OF /
',�, Z NEW BLOG. ROOMS STORIES L. SIDE' �// FT. PT.
U EXTERIOR WALL ROOF �
COVERING COVERING REAR � FT. FT.
J US OF BUILDING AND WORK TO BE PE O M DISTANCE BET. BET. MAIN &
�' .L W-�� MAIN BLDGi. ACCESS. BLDCaS.
a `+*
a .��L: � e n� e. �: `7�r C URP�OLD FOR SPE ��Iac� F
N �ra:3 `,F ¢•, /J/. APPR �
,-
,
o L�� o •, �; /�1o6/e,t wal 3 o f� �'. a ;v o e P eoNe,ce
~ I M1eieby acknowledBe that I hava reatl thiz application antl state �"�T!' :°r'cLF+�o �Cif 0.�[ 4Qy�'TC7
V that ffie above intormation is correct and aBree to comply with w�� K C� e9'% " v'W� LpN p{��
� all laws regulating building construction, and I shall notemploy ����'F•�'��Q PNk% L+(�/LQSTP
r any person in violation ot the workman's compensation laws of S� N-+'� �-. S-%� �R0
y the State ot California. �FLO N T � �-i� IZ $— %O �•i2Dl./7' L.� �
zI hereby certify that I am properly licensetl as a conVaccor under SQ. FT. o
the State ot California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR �
Chapier 9, antl that such licenses are in full torce and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from tha provisions ot the State ot California Business ¢
antl Professions C Division 3, Chapter 9. VALUATION ��� y
�d PEFMIT FEE $ j
Sig^amre ot �{.� °t
Permittee $ �//v PL4N CHECK $ E
p o`
/ LL
AuMorizatl Ageni TOTA� FEE $ �/ � �
.
' COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALI FORNIA 92626
For Applicant ro Fill in Completely — Use Ink Only
ADDRESS 23et3 E/o ✓�e •
OWNER OR / '� �C
TENANT /�
MAI LI NG
ADDRESS '� ve.
CITV I n..ST.� �GSA� NOLI.7�R.�
BPANCH
ADDRESS
ARCHITECT
OR ENGINEER 7
ADORESS /�(I
CONTRACTOR
ADDRESS� �
CITv ��-N
TE
S
��f}4216 12/I'I/BO 48.50 7L
APPUCATION'FOR STRUCTURAL PERMIT
� � PERMIT N° 51127
A.P. NO.
BUILOING
ADDRE55
UNIT OR
SPACE NO.
TR.NO.�
NEW ADD
OwNER �
USE �
ZONE
APPROVE
� 2
�oT 23 �
ALTER REPAIR MOVIN
Fi/t e
� I ,v. a ii
DATE
EMOLI
//
F STATE CITV APPROVEDSETBACKS
LIC. NO. /� %, a'O LIC. NO
� SI2E NO.OF BLDGS. IFFOM C/L STREET) �
S OF LOT NOW ON LOT 8 ONT FT. �.
a USE OF �
y EXI5TING BLDG. '
h
FSepara[e permits are required for � sio . �
� electric, plumbing and heating work, qEAR Fr.
� USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION �i.
f"
Q
Q � DATE
, — �P — .{A.� ' �J APPROVED
Q j �(��
�. GAICN eS' �� 00 C APPROVE�� �' Z'7'/^LSZ/
-.1
a
w
0 I haraby acknowledge that I hava reetl this eppllcation antl state �'
pf that tha ebOve information is cOrrect end agrae to comply with �
a all laws regulating builtlinp construction, entl I shall not amploy
Z any person in violation of the workman's compensation lews of v
,WS, the Stete of CeliforNa. .:
3 I hereby certlfy that I am properly Iicensetl as a contractor untlar
SQ. FT, rv
the State of Celifornla Business and Professions Cotle, Dlvlsion 3, THE AMOUNT SHOWN V NDER VAIUATION IS FOR m
Chapier 9, antl that such licansas are In full forca antl effect, or I THE PURPOSE OF ESTABLISHING A PEfiM1T FEE ONLV: �
em ezempt from the provistons of tha State of Calitornia Buslnass VALUATION PERMIT FEE 3Z, O� N
antl Protessions Cotle, Division 3, Chapter 9. $
Signatura ot /�i a PLAN CHECK g �� OQ o
Perm�fttee �A`'y" '�� 5�� TAX 3 D.V O V
l� !/— �� v
Auffiorizetl Ageni Da[e r TOTAL PAID S C��% ��
I
I�