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Home My WebLink About2324 ELDEN AVE - Building Permits, CITY OF COSTA MESA 4�,��pM"s'q BUILDING DIVISION i�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�aw.ci.costa-mesa.ca.us : �' ° `� FOR INSPECTIONS CALL (714) 754-5626 �`'or.n.mw s`� PERMIT NUMBER: BX11-00125 PERMIT TYPE B MISC STATUS: ISSUED APN: 43926126 DATE ISSUED: 04/22/2011 Zoning: ISSUED BY: RMD • ��-0`, JOB ADDRESS: 2824 EL=p�N AWCM��{,:� a_�,c:�,�_ � Vicinity: EXTERIOR OF._APARTMENS � �'�"` �Primary Occ: SQ. FT: 0 � atua�on: 5500.00 Suite/Unit: Const Type :?? SCOPE OF WORK: � • ' PARTIAL REPAIR AND REPLACEMENT OF STUCCO, REPLACE AN EXISTING VENT AT ATTIC AREA AND REPLACEMENT OF 5 EXTERIOR LIGHT FIXTS FOR AN APARTMENT BUILDING. OWNER: DIAMOND, RICHARD B HUNTINGTON BEACH, CA City/State: 19635 VILLAGE OAKS CIR Phone: APPLICANT: MCBETH, JAMES City/State: Phone: 323•228-6434 CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone JAMES OLAND MC BETH 5444 CRENSHAWBLVD LOS ANGELES,CA ' 90043 FEE SUMMARY Building Plan Check: Building Permit: Electrical Permit SMIP Residential SMIP Commercial Bldg Std Admin Fund Address:: %DIAMOND MEDICAL PROD Zip Code: 92648-6647 Address: Zip Code: � License No. 629794' - Phone 323-228-6434 Cell: License No. License No. $0.00 $23.50 $28.50 $0.50 $0.00 $1.00 Unit Unit: Unit: TOTAL FEES $53.50 HOURS FOR CONS7RUCTION ACTIVITY: EFFECTIVE 3I18I2010 - PER CMMC Sec. 13-279 Monday lhru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am Ihru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Day, Memorial Dav. Independence Dav, Labor Dav, Thanksqivinq Dav and Christmas Dav NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Cali(ornia statufes and related regulations. (Ord. No. 92-28, § 1, 72-27-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required inspections and finai approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CO�Ep. INSPECTIONTVPE OAiE INTITIALS CODEp INSPECTIONTYPE DFTE INTITIALS 1616 Fixetl System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roo! 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Finai Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition ' _ 250 Final BuildinyOccupancy rJ -$' i I I� {j�j {,� � ii, _�"`7 �%J WORKERS' COMPENSA710N �ECLARATION: I hereby affirm under penai�y of perjury one of the following declaretions: ❑ I have antl will maintain a certifcate o( consent to self-Insure for workers' compensalion, as provided !or by section 3700 of the Labor Cotle, for the peAormance of the work for which this permit is issued. ❑ I have antl will maintain wvAcers' compensation insurance, as required by section 3700 of ihe Labor Code, for the peAormance of the vrork for which this pertnit is issued. My wo ers' compensation Insurance carrier and policy number are: t<�� C J d1( U r1Carner:� `"�(Tfiis seclan neM nof be m9mplefe0 /Af�he pe mR is valuetl af one M1undretl Dotlars (S100J a IessJ P`Iicy Number ( � (P �j��.� ❑ I certify Ihat in fhe peAormance o( the work for which this permit is issued, I shall n mploy any person in any manner so as to become subjec� to Ihe work co pensation laws of Califomia, and agree that if I should become s ject to he workers' compensation provisions ot Section 3700 of �he Labo Code, I a6 fort with comply wi Ihese provisions. -a� y lic nt SignJWre Da�e-+` t�---- L---- � WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affvm that I am licensed under provisions of Chapter 9(commencing vnih Section 7000) of Division 3 of the Business and Pro(essions Code, and my license i'M I force and effect. Li=_ � Cl�s #� � ors ignaure Oa� _ ) � �---- _ _ � CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that there is a consWclion lending agency for [he pedortnance of �he work fa wfiich ihis permit is issuetl. (Sec. 3097, Civit Code). Lender's Name: Lender's Adtlress: SlgnaWre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm thal under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor [he following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to cons�ruc[, alter, improve, demolish, or repaii any stmcture, prior to its issuance, also requires the applicant for such permit to fle a signed statement thal he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt Ihere(rom and the basis (or the alleged exemption. Any violation of Section 7031.5 Dy any applicant (or a permit subjects the applican[ to a civil penalty of not more than five hundretl dollars ($500).): ❑ I, as ovmer of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcWre is not in[ended or oftered for sale (Sec. 7044. Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve foi purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS Io construct [he project (Sec. 7044, Business and Professions Code: The contractws License Law does not apply to an owner of property who builtls or improves thereon, and who contracts for such project with a con[2ctor(s) license pursuant to the Cont2ctors License laws.). ❑ 1 am exempt under sec. Business antl Pro(essions Code for this reason: 305]-46(3I0'!) Owner ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation o( Ownership by (type of document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in tlepth into which a person is required to deScenQ will he made in connection with work au[horized by [his pertnit, and that no builtling strucWre, scaffolding, falsework, a demolition or dismantling Ihereof, will be more than thirty-six (36) (ee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Cali(omia Administrative Code). ❑ As owner-builder, I will no( employ anyone [o do work which vrould require a permi[ from the Division of Induslrial Safety, as noled above, unless such person has a permit �o do such work tmm the division. Applicanfs SgnaWre Dale Division oi Industrial Safety Permi[ Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant neetl to fle and certi(y a Business Plan for emergency response to release or threatened release o( a hazardous material? ❑ Yes ❑ No (Section 25505 0( the Califomia Health and Safety Code requires, with some exceptions, �hat a Business Plan be filed with �he Costa Mesa Fire Department by every husiness which has at any one time during a reported year a quantiry o( hazardous materials equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard femperaWre and pressure). 2. Does or will the applicant or present or (uture building ocwpant need to file a registration form for acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 of the Califomia Healt� and Safety Code, with some exceptions, requires registration wilh Ihe Costa Mesa Fire Department by each business which at any one �ime has on hand a quantity of acutely hazardous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperalure and pressure�. 3. Does or will ihe applicant or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of lhe California Health and Sa(ery Code provides [hal the Costa Mesa Fire Department may require Ihe preparation, certiTcation and /ilinq with !he Fire Departmen� of an RMPP by businesses which are required ro regis[er aculely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safely Code been fully complied with? ❑ Yes � No 5. Does or will �he applicant or present or fuNre building occupant require for the work which is lhe subject of this application a permit for such constmction or motlifcation from Lhe South Coast Air Qualiry Management Distric[ or (rom any other air pollution control distnct or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires tha[ the requestetl information be fumishetl on applications for nomresitlential builtling permits). 6. Will any part of Ihe faciliry to be cons[mc[ed untler this permit be within 1000 feet from the outer boundanes o( a school? ❑ Yes ❑ No Qf'yes", the (acility must meet the requirement of Sections 25534 and 42303 of the Califomia Health antl Safety Code). 7. I( a permit fmm Ihe South Coast Air �uality Management Dis[rict or o[her air pollution conlrol dis�rict or agency is required for Ihe vrork which is the subject of this application, have all of the disclosures prescribed by Cali(omia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropriate air pollution control oncer�. CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi�y under penalry of perjury that I have read this application and state that the information given is correcL I agree to comply with all state laws and ciry ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection r es. I agree not to occupy or allow occupancy of any building authorize y thi permit until (inal inspection. Signat /� er( D Ip V / / /� � .An orAul�o=izetl�AGp ��' ' Date�y f , dPR20-71�„,A�O 9G2i�***�IOO.GO CITY OF COSTA MESA PLANNINt, ilEPARTMENT A. F. No. 119-Uo1- 2 Bldg. Permit No. ` - PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address Owner's Name Bachelor or 1- Bedroom Units @$25.00 = 2 - Bedroom Units jQ @ $40.00 = $400.00 3 - Sedroom Units @ $55.00 = 4 - Sedroom Units @ $70.00 = 5 - or more Units @ $75.00 = �400.UJ Total Fee Total number of Dwelling Units jp Planning Department Approval Date 4-13�� Park Area No. � Anne �� By Applicant's Signature _�} p n ,. .. � .' August 11� 1971 8plller Znvestment Co. 1.649 l{estcllPf Ih'ive Pteuport BeacL, California Re: Apartmente uuder conatruction at 2324 ead 23��n Avenue, Dutlding Parmits 32840 - 32841 and 33059 - 33�• Gentlemen: Thic letter is iateffied only ae a r nder that cerEain speMal requirements muot be met bePore the electrical eervlce or gea aervice may be authorized. These specisl requirements, which various City Departments require, are noted on your approved plans and alao on the sheet attached to this letter, and must be comglied with and approved by the variou� epartments beYore the Building Safety Department rrill be authorized to release the util es. It ie the responsibility of the applicant or oti+ner to provide plans and speclfi- cations Yor the conot ction of eny improvements indicated on the conditions. All imprwement plans mua epproved by the proper City Department. In order tl�et these irements may be inspected� it is generally necese�sy to give the appropriete depnrtment forty-eight (48) houra notice so thut en inspection may be scheduled. If Lhere are at�y questiotts coacerniag any of the requiremente, please phone the department invalved. Very truly yours, RICHARD D. HAHHART Bullding CaYety Director RiH:Cb Fhc. 2 � TYPICAL TOP VIEW 3/8 Bar � , ,: � 4�� Blocks S��Blocks I/4° 0 Pencil Rod Below Top Course Of AIl Fences 4�� Co�crete Block Fence With 8�� Pilasters. One 3/8° Vertical Bar CQntinuous From Earthtooth Thru 8� Pilaster. 3/8�� Vertical Ties 2� �ong Hqoked In Footing, And Grouted In 4 Blocks 4 0/C Mazimum. Provide Cleanout A nd Inspection Hole At Pilasters. 4�� CONCRETE BLOCK FENCE �� NATURAL GRADE-� �� ..�' o-�,��, v.'; od`°yi.. o.� e:...O,:o' /.�oi.''..�.'i',�'^_,!'.,sl'r'�..On o..o�."v FOR WIDTH SEE CHART ��r'�' "''��'�o'�V'�T� ' i1�' :p1`o'e :.r .arr .-v:bo�e:'r�•a��__:� -- -,� --=- �.. TWO 3/8 BARS CONTINUOUS '-' .� TO 16��O.C. MAXIMUM- iei .'_ ��i�� , i i � I i � i i � ii , , i i ; ; i i � i i � ii ii � �i �i , � I � I i i �� , � I ; i i i �� i i i � i , � � i I I I i � I � I i i� II � i i� ii �� I i I I 6 'D.:� iv.: ::a.,..•o�o;� ��O P'' ' 'OI B. � I�: b d.. �0!' o,a� ,�cr:,.�•.0�==1 I°-'y' 'o;+� -- - � � i�atlai Ib,- v�c� ��GENERAL- NOTES�� MORTAR: One ParT Plastic Cement And Three Parts Sand. 6ROUT: One Part Cement And Three And One Half Parfs Sand. COPING: One Part Cement, Three Parts Sand. CONCRETE: Well Mixed 1:21/2, 31/2. Maximum Of 7 I/2 Gallons Of Water Per Sack Of Cement REINFORCEIN� STEEL SHALL CONFORM TO SEC. A-15-39 A.S.T.M. ALL STEEL TO LAP WHERE SPLICED, 2�-O��MINIMUM. GROUT MAY BE POURED FROM TOP OF FENCE IN CELLS WHERE VERTICAL STEEL OCCURS. HOLES SHALL BE CLEAR, CLEAN, AND FREE OF ALL MORTAR, DEBRIS, ECT. WITH INSPECTION HOLES AT BOTTOM. BOND SHALL BE i�-��I � �`� i PROVIDED BY LAYING BLOCKS FENCE MAY VARY IN HEIGHT ��,o.� DEPTH OF EARTHTOOTH I/3 i�_'��'�� IN STRETCHER COURSES SO FROM 3� TO 6� i;<o'�"-oi THE FiEIGHT OF FENCE IP�bt•�I THAT VERT. JOINTS ALTERNATE STEEL MUST BE TIED IN PLACE im�"�� BELOW BOTTOM GF �>%�a� IN EACH COURSE. FOOTING. I'o,eoi�i �~o• � LJ�'J SCALE; I/2��= I� AT TIME OF TRENCH INSPECTION — �_� 3 CLEARANCE FROM BOTTOM � CHART HEIGHT. . . . . . . . . .. . .. .. . . . . 6� . . . . .. .. .. . . .. . . 5�.. .. .. . .... .. . . . . . . 4'. . . .. .. .. ... . . .. . 3' W I D T H . . . . . . . . . . . . . . . . . . . . I 4'�. . . . . . . . . . . . . . . . I 4 �� . . . . . . . . . . . . . . . . . . I 2 �� . . . . . . . . . . . . . . . . I 2�� THICKNESS . .. . . . . . . .. .. . . . .10��. . . . . . .. .. ... . . . 10��. . . . .. .. ... . . . . .. . 8'� . . . _ .. . . ..... .. . 8�� DEPTH OF EARTHTOOT . . . . . .24�� . . . . . . . . . . .. . . . 20". .. . . ..... .. . . . . . .16'�. . . . . . ... .. . .. .. 12�� SPACING OF EARTHT OTH....12� ... .. .. ........ 14�..................16�... ............. 16� City Of Costa Mes ,Califo ia Building Departme FormBU�3-2M-4-W S-BP OWNERS NAME� _ _ _ _ _ _ _ _ _ _ _ _ _ _ JOB ADDRESS� _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PERMIT NUMBER�_ _ _ _ _ _ _ _ _ SIGNATURE: � p o D m � --�Nm�^ m o '1 z c �'�—' pr � � a - . o 0 in — mNc��v> � T � C m � � � a � ''Q' i`;q ? r-' - , 'z -� O G �` m m D , , v --I C� L ) n �: p m � � � O �.� ��N r;o �a o �-�'r� rn ooY-1 a-nn,o � y y A � m ti � 3�N301S3N � O z N � � O � � r � y C � j C - O r'' � � o c O z Z � � G � � � r� r� ��-c-i�o —t m r^ n -*� ��-vcni a � m o � o o m z n � cn O r � � 133a1s 3�N301S3tl `yO� Gtao a'' 3�N301S3tl City of Costa Mesa THESE MAKE NO THE ISSUA JCF OF PLAOS nni sNi TO BE A PERN T F( 39N301S3!! TH PR( SUMING TO G'!E i PPOVISIONS 01 TNI FAR AS THE WI RK ( THE IS UANI SPECIFICFTIONS SHP fFOM THERF.AFlER IN SAID 7LANS 4Nl B01! DIt�G OPERA7�101 oF rHe cin. flNINNYId d 710L�3MI0 -�"31y4 A9 / �,/i •oan •ie3a •�ms oi �rens 'ld3a JNINNVId ��dl �, �� ilding Dept. ; DAT�._� V ...19.? JOB AT ALL TIMES � PRIOR APPROVAL � � �l GR�iNTItJG 0 m PERM1IIT OR APPROVAL "rIC6710NS SF�I�. NOT BE CONSTRUED OR C.N ANPff )`!AL OF, ANY VIOLFTION ilO:�S OF iFl� WUE. NO PERMIT PRE� �HORITY TO ''�^.�,LATE OR CANCEL THE COUE SHALL 8e VALfQ, EXCEPi IN SO USE WHiCH 1 AUTHORIZES IS IAWFUI. OF A PERMIiIBASED UPtIN Pl.AN$ ANG N0T FREVEN THE BWl01NG OFFiCW4 ZUIRING TNE CORRECTION OF ERRORS �PECIFICATION t OR FROM PRE_VENiIN,G BEINC CARRI Ott THEREUNDER WHE,N cooe ae af nnr, ornER �1?P1N9f1QE r � APR 20-71�Ms�OO 962�0�'**400.00 CITY OF COSTA MESA PLANNI?v.. DEPARTTfENT I `. A. P. No. l�q-051-4? Bldg. Permit No. 7 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address � n� Owner's Name » r Bachelor or 1- Bedroom Units @$Z5.00 = 2 - Bedroom Units )0 @ $40.00 = a400.00 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = ��.�D Total Fee Total number of Dwelling Units jp 4-13-71 7 Planning Department Approval Date Park Area No. aflJ18 (� � By Applicant's Signature .S� �._ j' �%�,r,�(1�,v _� ! ,�� , COSTp MESA BUILDING-SAFETY DEPARTM�NT P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely OWNER MAIL ADDRE: CITV� 5 BRANCF{ ' ADDRESS GONTPACTOR R' ADORE3S CITV STATE LIC. NO. S12E �� OF LOT USE OF E%ISTING BLDG. � TE TEI. NO. CITV LIC. NO. INO.O BF L� NOW ON LOT WAR2?_-71�ri,AOO sb, ��r��z5.na APPLICATION FOR BUILDING PERMIT EIVEDB�' DATERECEIVED DAT IS UI � ,'� � / q-7J -�T No.II�I-OSI- U a- P�M�2Y ADDR VALVE FIRE ZONE APPROVED NO.OF USE OF NE �. PLAPS UILDING � � VAAOSAPPROVED VARDSAPPROVED � H S12E OF 1 NO. OF �T Z NEW BLqC, � ' i FOOMS STOAIES L. SIDE FT. � U EMERIOR WALI � ROOF ' , COVERING COVERING REAR FT. � FT.. J US OF BUIIDING AND WORK TO BE PERFORMED bISTANCE BET. BEf. MAIN & / a MAIN BLDGS. ACCFSS. BLDGS. D a Q VAF. N�-7� I I O DATE O C.U.P..,�IG Q qPPqOVED � —�— � APPR VE O tiOLD FO�SPECI I, RE VI hereby acknowledge the[ I have reatl [his eOPlicacion antl smta � tha� xhe above intormation is correct antl agree to comply with � ell Iaws WgWatinB buildin8 <onsvuction, antl I shall not emD�oy � any peripn in violation ot [he workman's compensatlon lawc af Me StatB ot Calitomla. /�/ 1I ? 1 hereby tertify thei I am properly licensetl as a contrector untler -`� S�. FT. the StatO of Calitornia Business entl Professionz Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEP VALUATION IS FOR Chapter 9, and that s�c� licens¢s are in full force and eftact, ar I THE PURPOSE OF ESTABL6MING A PERMIT FEE ONLY: am axempt irom the provisions of Ne Ste[e of Calilornia Businass VALVATION �r, �.�— antl Prof 'e o e, ision 3, Ch ter 9. PERMR FEE '� �T� SiB�atura of •i �� Permlttee � S /) ?j P 'CHECK 5 ��y �'� �}..�, Auihori;etl Agant ��/ �D� TOTAL FEE S/'' i w_ � 0 : d � . . ' . '.''. :�': �.. . �: �i.: . � _ . _ �� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant ro FiII in Completely aeR 2o-�,PA��oo 960 ��,Y �„sr 50.00 APPLICATION FOR BUILDING PERMIT RECEyqEq DA7k RfiGE�VE4 nnrc �ssw BUILDING /� � � // f� _ , )� OWNER � �� II�� L � U�SI MAIL AD�RESS TEL. CITV NO. V �� A.P. NO. BUILDING ADORESS BRANCH ADORESS ARCHITECT TEL. OR ENGINEER NO. ADDFE55 ^ CONTRACTOR �(i(//YG /� y[J/ �. ADDRE55 TEL. CITV NO. STATE CITY �IC. NO. LIC. NO. SI2E I NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. SIZE OF NO. OF NEW BLOG. ROOMS STORIE', EXTERIOR WALL ROOF COVEFING COVERING USE OF BUILDING AND WOFK TO OE PERFORMED � /� � G >r'P OWNER FIRE ZONE APPROVED ZONE NO.OF PLAN$ YARDS APPROV ED MAIN BUILDING (FROM C/L STREET) DISTANCE BET MAIN BLDGS. VAR. rKK C.U.P.� APPROVED K VALUE DATE USE OF NEW BUILDING VARDSAPPROVED BET. MAIN & ACCF.�. BLD DATE APPROVED 1 horeby acknOwl¢tlge [hut I hevo raotl [his opplicocion anG ite[e Na[ ffie above informe[ion is correct ontl u8rea ro comply with all laws regulatinB builtlin0 �onstr�ction, antl I shall not employ any perwn in viola[Ion of tha workmon's compensation laws o1 the Smte of Colifornia. m b I hereby certify that I om prope�ly licensatl as e contractor untlar SQ. FT. O Me Stata of Calitornie Buzinass antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl tha[ s�ch licenses are In full torce antl afiect, or I THE PVRP06E OF ES7ABL5HING A PERM�T FEE ONLV: Q am exempc from tha provizions of the S[ote ot California Business VALUATION antl Protessione Cotle, DivisiOn 3, Cheptar 9. c °J PERMIT FEE $ V Oi �� J Slgnature ot /T/ m Permittee S D ��`� PV+N CHECK $ ^— � / V LL Authorizetl Agent TOTAL FEE $ " � � � ��i ` COSTA MESA BUILDING-SAFETY DEPARTM��UT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For q pplican t ro Fill i2 Comale[elv i FtAR97-71�A�C00 562 0*�� cnsn � APPLICATION FOR BUILDING PERMIT �EIVED BV DATE flECEIVED DAj'E ISSUED � .�"'i � �./J�-�% li .iny%i %� OWNE `I ` ` �� ` - A.Y. NU. / / � J 1 � � V —I MAIL BUILDING Z AODRESS � 'e` ADDRESS �.'3� d U CITV�'e Q�• � ryE � �� , TRACT�- B�C� LOT �� BLOCK Z Q CpNSfRU Q t W AD A P O N LENDER \ �Q / / ,J � BHANCH v ` 1 ^ JN OWNER � m J ADORESS � �J /, V UE l m ARCHITECT ' TE $ � � 5/�� J a OF ENGINEER Q-. N. U N Q FIRE w� ADDRESS�� , S ZONE TVPE . GROUG aw APPROVED J O CONTFACTOR •�, eY DATE m Z r J � ADORE55 C �'P��'�'��^ w W TEL. Z�N NO.OF USE OF NEW � �= CITV NO. P�� BVILOING Z F— O STATE CITV VARDSAPPROVED VARDSAPPqOVED y� LIC. NO. UC. NO. MAIN BUI�DING ACCESSORV BUILDING �e � O (FftOM UL STFEE71 �� 512E / NO.OF BLDGS. � OF LOT �`� NOW ON LOT RONT FT. � FT. 1 USE OF �/ E%ISfING BLDG. F7 .4 H SIZE OF NO. OF Z NEWBLDG. � ROOMS STORIES L SIDE• D FT. FT. a EMERIOR WAL ROOF V COVERING COVERIN REAR OFT. FT. � aUSE OF BUILDING AND ORK TO B ERFOR ED DISTANCE BET. BET. MAIN& r U Q� MAIN BLOGS. /�CCES3. BLD(3S. O C URP. E�/��S APPROVED �� I � f" APPPOV rJ ` `/ _ / y o� Z HOLD FOR PECi F r O UI hareby acknowlodBe 2hat I have reatl ihis npplicntion entl state � thot the abovo information is correct antl apreo to comply wiN � all laws reBulatlnp builtlinB �o^str�ction, antl I snall not emploY � eny pe�son in u{olation of fhe workman'c compensatlon laws o( m y Ne Steta ot Colitornla. '/� � Z1 hernby cartify ihat 1 am properly licansetl as a tonttector untlor SQ. FT. � Na Staxa oi Cel�fornia Business ane Professions Cotle, Divizicn 3, THE AMOVNTSHOWN UNDEP VALVATION IS FOR Chep[er 9, antl [het suth licenus ere in full force antl affact, or I TNE PURPOSE OF ESTABLISHING A PEflMIT FEE ONLV: Q em ez¢mDi from �he provisions of ihe State of Calitornia Businass VALVATION antl Professions Cotle, Division 3, Chepter 9. ` m PERMR FEE � � SIQl18SVlB O h Permlitee 5 PLAN CHECK $��. GS E %% �G�tJ� � Autho�izatl ABeni / u / TOTAL FEE § � �i 2 . a cwj Z ZQ ON a m J � J V7 Q W m J -m J Q U N Za W � aw J � m Z J � W w O = Z� w0 �n K 70 ,�a� / COSTA MESA BUILDING-SAFETY DEPARTMENT P.0.90X 1200 COSTA MESA.CALIFORNIA 92626 APR20-71PA1000 959 �**�Z44.50 CM54 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE O V DATE RECEIVED DATE ISSUED BUILDING ��j ��T � - v � O '�0�� ADDFESS `J � PERMIT NO. OWNER ��.Le 2 [�'e � �. A.P. NO. MAIL BUILDING ADDRESS ADDRESS TEL. TRACT LOT BLOCK CITV NO. CONSTRUCTION W A� A P LENDEF BRANCH OWNER ADDRESS VALVE APCHITECT TEL. SE 5 OR ENGINEER N FIRE ADDRESS ZONE TVPE GROUP � /�'�� _ / � APPROVED CONTRACTOR (�// BV DATE ADDRESS TEL. �ONE NO.OF USE OF NEW PLAN$ BUILDING CITV NO. STATE CITV �'P.RDSAPPROVED VARDSAPPqOVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLOGS. (FROM C/LSTREET) OF LOT NOW ON LOT ROM FT. FT. USE OF EXISTING BLOG. S F FT. SI2E OF NO. OF NEWBLOG. ROOMS STORIES L SIDE FT. FT. EXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PEFFORMED DISTANCE BET. BET. MAIN & MNIN BLDGS. ACCESS. BLDGS. �[� VAR. �V'+ DATE � /Y / (J/�S�` C.U.P.qW APPROVED APPROVED I hereby acknowletlBe that I hava reatl this application antl state [hat LhB above intormation ii co��ect antl apr¢e to comply with all laws regulatinB builtling constr�t[ion, and I shall not employ ony person in violation o( the workman's compensation laws of tho State of Califomlo. I heraby certity Mot I um pro0erly Iicensetl as e conbacror wtler SQ. FT. [ho Smte of California B�s(nass antl Profassions Cotle, Oivlsitn 3, THE AMOUNT SHpWN UNDEF VALUATION IS FOR Choptar 9, nntl that such licansas ara In full force antl af(ect, or I THE PVRPOSE OF ESTABLISMING A PERMIT FEE ONLV: um oxomp[ irom Ne provlsions of tha Stece of Callfornia Business VALUATION entl Profassions Cotlu, Dlvision 3, Chepter 9. PERMIT FEE 5� Q SIB�amra of �/) Parmlttoa 5 V l �� pL,AN CHECK $ Au[horizetl Apnnt // � TOTAL FEE 5 % i � :. � :�2989 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIfORNIA 92626 For Applicant to Fill in Completely ADIDRE55 �� N�/v � � OWNER /'7' � � � �G � MAIL 47J..� � i..�.n.� _w�_�— Z . ww o- U 2 ZQ am J7 J N Q W p] J m J Q U N Z a W � aW W Z J Q m Z J � W w � Z� W � N K �O H z Q U J a a Q � F N z � H U � � F N Z CITV BRANCH ADDIiESS � � /C ARCHITECT OR ENGINEER ADDRESS /� ^ GONTRACTOR / v�/. C � � � ADORESS CITV STATE LIC. NO. 512E OF LOT USE OF EXISTING BLDG. SIZE OF NO. O NEW BLDG. ROON EXTERIOR WAIL ROOF GOVERING COVE USE OF B.UILDING AND WORK TO E / � / � TEL. TEL. NO. GTV LIC. NO. INO.O LBF� NOW ON LOT ♦ .�. PA10 APA 26•71cHs„oo>>so� �*rt�27.ro APPLICATION FOR BUILDING PERMIT REC M/E BY DATERECEIVED D TEISSUE �' �a/ -�/ �^ �._ -- TRACT 1 FIRE ZONE APPROVED N NO.OF PI_AN$ VARDS APPflOVED MAIN BVILDING DISTANCE BET MAIN BLDGS. VAR. # r �- e�ocK i� VALVE s �� GRO'U/P �/ onre 5�"� G -/, USE OF NEW ,`C � BVILDING VARDS APPROVED ACCESSORV BUILDING /O FT. ��/L r N FT. � I� FT. � / I/ BET. MAIN & ACCESS.BLD DATE PFPROVED I horeby acknowletlBB that I have reatl this appliwtion nntl 5[ate that the above informetion is wrreci and aBree to comply wi[h all laws regulating builtling construction, antl I shall not employ any person in violetlon of the workman's compensation laws of Me State of California. � n 1 hereby certity that 1 am properly licensetl as a coniractor under SQ. FT, o tha State of Califomia Business and Professions Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl tFat such licenses are �n tull force antl attett, or I THE PUflP�E OF ESTABLISHING A PERMIT FEE ONLV: m am exempt from the provisions of the State ot California Business ¢ VALUATION m antl Professions Cotle, Division 3, Rtar 9. �I N PERMIT FEE 5 ] Siqnaara ot � /o !F(/ m Pe�mtttee $ G O� PL4N CMECK S �� E (/ � o Authorizetl ABent LL TOTAL FEE 3 �