The URL can be used to link to this page

Home My WebLink About2934 ELLESMERE AVE - Building Permitsf Jobnddress: 2934 ELLESMEREAV Suite: Vicinity: ROOF Primary Occ: R3 Dwellingsl Cong Res <10 Parcel Number: 13927220 npp�icant: ROGERS, MIKE Address: 2626 NEWPORT BL Type of Construclion: V-N Zoning: R1 COSTA MESA, CA Owner: CECCARINI, DOROTHY A TR Address 2934 ELLESMERE AVE COSTA MESA, CA Contrecror: PETRONELLA ROOFING Address: 2626 NEWPORT BL COSTA MESA, CA 2ip: 92627 Arth : Address: Zip: Phone: License: Phone: 949-548-1645 Zip: 92627 Phone: Zip: 92626-3609 Phone: 949-548-1645 License: 460707 Eng: Address: ISSUED BY: Status: ISSUED Applied: 08/30Y2006 Issued: 08/30/2006 Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 15# FELT, 4:12 PITCH, 1/2" CDX, 50 YEAR GAF SHINGLES FOR 32 SQUARES INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $16725 $0.90 $0.00 $0.00 $0.00 $168.15 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0. 0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lefl 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 ss,000.00 ss,000.00 NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements under Califomla statutes and related regulations. (Ord. No. 9248, § 1, 7241-92) EXPIRATION: This permit shall automaticalty expire and become void II work Is not commenced within 1 BO days, or il work is suspended or abandoned for a pe�iod of 180 days. INSPECTIONS: In order for the work authorized untler ihis permit lo be consideretl legal, such work must comply with all applicable cafes, and an required Inspectlone end (Inel approvel must be obtained. Failure to obtain inspections and finel approval will result in the expiration of this perml�. FOR INSPECTIONS CALL: (714) 754-5626 � zae-ea �eroo� WOHKERS' COMPENSATION OECLARATON: I �ereby eRirm under penalry of perjury one oi tho lollowing tleclerations: ' � . � � ❑ I heve entl will maintain a certiticate ol consent to self-Insure for workere' compensatlon, as provitletl tor by section 3700 0l Ihe Lebor Code, for ihe peAortnance of the �pw �tor which thls pertnit i9 �ssuetl. ythave end wlll maintain workers' compensatlon insurance, az requiretl by sectlon 3700 of Ihe Lahor Code, for the pertortnance of ihe xroAc for whic� 1�i5 pertnit is issued. �.My.work� uynpensrytion ��surancgl:arder enp policy number are: nat �lit'yNum6er _ _ � L�f./ t � � ` �� G e! one hundred dollers ($f 00) or /ess.J ❑ I certly thet in tho peAartnance ol Ihe work lor which ihis pertnit is issued, I shell not emplay eny person in any menner so as to bewme sublect to the workers' compensatlon laws ot CalifPmle, and egre9 thet II I s�ould Decome sub�ect to th ers' compensation provisions ol Secilon 3700 ot the Lebor Cotle, I shall forthwlih com ly� with.lhese Provisi� /� %� �., (� //. p - m. �' - � re-�� -' /1�✓l . . ei—'� N �/O � W RNING: FAILUflE TO SECURE WO�RS' COMPENSnTON COVE E IS UMAWFUL M1D SHAl1 SUBJECT AN EMPLOYER TO CRIMINAL P TIES aND dNL FlNES UP TO pNE NUNORED THIXISAND OOLURE (510p,Op0�, IN P1IIXTION TO THE WST OF $ATION, DMMGES AS PROVIOED FOR IN SEGfIdJ 3%080F TNE IABOR COOE, II�REREST, AND ATTORNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: �J oreby aqirtp.(het I em licensetl undar pmvisions ol Chapter 8(commencing wiN SecUon 7000) of Division 3 0�lh�e,B�usinesa and Prolessions Coda, entl my Ilcense is in lull �e��n eea�� 4—: '� /.f /_0707 _ rP!�'Y�/' �. Z a CONSTRUCTON LENDING AGENCY: ❑ 1 hereby eHirtn that there is e construction lendinp agency for �he pedormence ol I�e work for w�ich this portnit is Iss�eO. (Sec. 3097, Civil Cotle). Lenders Neme: Lentlefs AAtlress: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereby aNirm ihat under penalry oi perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following raeson (Sec. 7031.5, Business entl Professlons Coda: Any ciry or counry which r6quires a permit to consiruct atler, impmve, tlemolish, or repair any stmcWro, prior lo i�s issuance, elso requires tha epplicent tor such permit to file e signetl statement that he ar she Is Iicensed pursuent to ihe provi5ions ol t�e Contrectors License Lew (Chepter B(commencing with Sectlon 7000) of DIvI5i0n 3 ai Ne Business antl Pmfessions CotleJ or that he or she is exempt therefrom antl t�e basis for the alleged exemption. Any viol9tion ot Section 7031.5 by any epplicent for e permit subjects tha applicani to a civil penalry oi not more Ihan live hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with wages as their sWe compensation, WILL DO THE WORK, and the structure Is not intended or offeretl lor sale (Sec. 7044, Businass and Professions Cotle: Tha Coniractors License Lew does not apply to en owner ot proDerry who builAs or improves thereon, and who tloes such work himself or herself or througn his or �er own emplayees, provided that such improvemenis are not intended or oHeretl for sale. II, however, the building or improvement is soltl wit�in one year ot completion, the owner-builder will have the burden of proving that he or she tlitl not Duild or improva tor purpose oi sala J. � I, es ownat ot lhe pmperty, em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70a4, Business antl Professions CoEe: The contractors LiceAsa Law Eoes not epply to an ownar oi property who builas or improves [hereon, and who contracts tor such project wit� a contractor(s) license pursuant to ihe Conlractors License Lews.). ❑ I em eaempt under sec. Signeture�. Owner ID ventietl by drivers license. � Yes ❑ No Business and Professions Cotle tor this reason: Verificelion ol Ownership by (type ol tlocument, i.e. - praperty te�c blll or deetl): OIVISION OF INDUS7RIAL SAFETY PEHMIT CERTIFILA710N: Drivofs License No. Date: Expires: ❑ I hereby cenify ihat no exca�ation frve (5) ar more Ieei in tlepth into which e person is requlred to dascen4 wlll be made in wnnection with work euthorizetl by this permit, and �hat no building strudure, scatfolding, lalsework, or demoli�ion or dismantling thereol, will be more Ihen iMM-six (38) leet hiqh. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, Title B, Calilomia AtlmlNstretive CoCe). ❑ As owner-bulider, I will not employ enyone to do work which woultl require a permlt from the Divisian ol Intlustriel Sefery, as noted ebove, unless such person has e pertnit to do such work from �he Givision. Signature: pate: Divislon ol Indusinal Safely Permit Numbor: CEHTIFlCATE OF COMPLIANCE AND AUiHORVJITON OF ENTRV: I certiy untler penalry ot perjury Na� I have read this applicatlon and state that the infortnation given is correct. I egree to compy wlth aV siete laws end dry ordlnances relaung to building consWction, end euthonze representatives ot the Ciry of CosU Mesa to enter upon ihe ebovo-described properry lor inspecUon parPoses• I egree not ro occupy w allow oaupency ot any building authonzetl by this pertnit uniil tinal inspection. COOE 1. 1616 1266 200 201 202 203 Fitotl System FinalFlre P�eventlon Pool Spe Finel Finel Ra-Rool Finel8lock/Retalning WHII Final Fectory Fire Place Finel Sign 20a Finel Demolitlon � - PAff. l•.U�LS � � � COOE� INSPECTIONTYPE ' 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Flra Preventlon 220 Finel Planning ApprWal 222 Final Site 250 Flnel Builtling/Occupanty � � Iti�LS �• AOPileanl to fill In all s0aeef exce0l t�ose wit�in hOavY �orOer Ilnes anG sign all app�oO�iate tleclaratlons. ' CITY OF COSTA MESA� ' ' . ' � _ ' pE IT NO. - TRACT NO. � LOT.NO. BLD . . , ' ' � , ; CONSTRUGTION PERMIT 1' , � �p �c7i S. - . - '� '� . , ' . 34�;�' P/E'4/ .: , ' ' :,o:i. ' T; ApplicanYsMailingAddress ' - � ' TYPEOFCONSTRUCTION' NEW ADD_ ALTERATION REPAIR - �� ' � '� " ' �: � ' ; ' ' � PrajeCtAddreu,� ��y � �sm e��' v '�:CONVERSION ❑ DEMOLISH ❑ OTHER. ' . ' ? . , ' � � ' ' ' � ' M �vnef'S.Name � � C�a � � �. :'PhonBSTS^%�%� DESCRIPTION OF WORK , _, _ . ; � . � - �Z NI G REGULATI �� S/�Y✓1 �� . . . . . . Addreu � TVPE OF PERM17 � GRADING,{� FOUNDATION .STRUCTURAI - A. P':9y+ ' ZONE ' � ArCh/Eng. _ _ Liten52 N4� � ` ❑,7ENANT ❑ ELECTRICAL �!_y PLUMBING ❑ MECHANICAL , .PLNG. REF.9W � � , BUILDING " - ' ', � Addreu � ' � O,�OTHER . ' � . �. • ' Po PEILDyNGNE � � � REAR VARD (TO P/U ./ � � ' j ^( Contrector'sNam � C � ��' hon�eM�s �G�6d� PROJECTDESCRIPTION Sf�.FT. � oCCUaAIVCv� ' '\ AddreSslmailing) �'33- G ��7T� .ST ' G '��/�-.i k• CONSTRUCTION TVPE � - VALUATION S ' ' ' LEFTSIDE YARD � ' RIGHTSIDE YARD . ' �� "� ' 20N� GRAOINGCU.VDS. ;ACRES �' PKG.SPACERE�. � � , PROVIDED � License Nb. � � s Q 7 � — ' . - ' • � - LICENSED CONTRACTOR DECLARATION ' ' ` �. Ramarks: . ' ' , � ' � • � � STREET WIDTH ' � � � � � � PARK FEE $ � � ' � I:hereby aTilrm Ihat I am licensatl untler prdWsions of �Charter�9 (commencing � , , , . wifh section 7000) of Dlvision 3 of Ne Business anE Profe55ions CoOe, antl � ' . � � ,. � , i � � ' •SPECIAL CONDITIONS: � � ' � � ' - my Iicense is in fult Porce a tl eff 't. ' � . • � � - � - � . , . lJten;a CI - s � " -� �'� L 5g ye No.� ' �3 ; 1 � PLUMBING . ' ' � . . ' � . . � � 1 , j � � �. oate��2H Si9 t ; _ p'y�y�-��' L 1� � ; Bai Sink � Sewer Cap j ' • ELECTRICAL 5 � ' ' ORKERS' COMPENSATION DEC A'RATION '. � � ` ' ' ' 1 - ' ��ereby aftirm that Lhave a certiticate of consentto selNnsure or a.�rlifiwte . gackflOw PrCventer - � Sewer Connection � - Automatic Washer. �Meter pover 100 amps' , _ Workers' Compensatlo � nsuran� or a certitiatl ,copy th re f (9e� n : � � � � � ; � - "�800, Lzb, a � �L��r � Construction Pole ' . Sub PaneP � . - ��i6-�i a�� ,;,. - � Backflow Irrigation � $olar Collectors � ' Policy No. n ompany _.�! 36(GL� �� . . , , - - . Cookin9 Unit � Sub Pole � � ' �Certiiletl copy I5 hereby fumishetl. � ' • J Bathtubs Solar Piping � , . . � � 1, Gertl/ietl copy Is fiIGE with Ih¢ N[y Builtlin9 DIVISiOn. � 1 � , � , � DiShwash¢r �', MO[Of5 �0-1 HP 07X$ e � � a � App�icSnt ' � ' • � Clarifiers � . Solar Tsnk �. � ; " - . ' � - EXEMPTION[FROM WORKERS'GOMPENSATION DECLARATION � - � � - � � 1 ~ DryerS�OGaS��DElecttic ' � � InaS0lar' � . Dishwasher � Swimming Pool w/Spa � i ❑9-15 HP � 16-15+ (This section neetl not be completed if the permit is Tor ona huntlretl (5300) or � � . � _. 1 � ' less) � . � � r ' � • Fan � � Microwave ' ' � I certify �that ln th¢ PertO�mdnce of lhe wo�k fo� whith this 0¢�mR i5 i55ue0 I i Drinking Founcains � � �1f1n21 + t j . t � -, sha1L not employ any person In any manner so'as to become subject to t�e , � F.A.U. � �Pole Light � � � ' Workers', Compensatlon Laws ot Calitomla.; � � � ' � FIOOr Diains I Weter Closet' ' � � � � Dat¢ � � Signature � � " ! : � � . � � • . - ' -NOTICE:�If,�aiter making thtt tladaration, you should Decoma subject to the-�} '- Floo� Sinks-��.- - - -� �-Wat¢rvH2ater,- - - - - _ — _ Fixtures . _ _ _ _ _ �Ra�gB, ,�__ �_,�,�_ i_. _ ; Workers5 Compensatiort OroviSions of the Labor Cotle,youu.muit forlhwith ; ', � � � - • - , 1 p 'p � 'parmlt lshall be �tleemetl revokeC: , ' " � � DeviCe Boxes , � 9 � com ly �wlth� suc� rovislons'o� Sh15 � G25SBfVICC�'. �OUSI2[5' � ��. WBLEf,S2fVIC2 S� �; � ' � CONSTRUCTION�LENDING �AGENCV- • � �' � -' OUtlets + ' I her¢by aHirm that there is a�<onstruction IenEing agency4ont�e peMormance. InteroeptorS � t - � I Standing S2ction5 of the work foe whieh; thtz� permit -Is ;Issuetl (Seetlon .308� Civ: C:;. ; - . , � LenEer's' Name. ' - � - Kitchen'Sink� . •�r � � " ' � ' i � a; ' - Switches : � Trash Compactor �. , ' Lentler's AtlGress - � � - � , � •� = Garbage Disposal � ' � • � OWNER�BUILDER OECLARATION - - Levatofies � : , � - l I her¢by'aHirm that 1 am exempt T�Om tha'COntrdGtOr'S LICenSB Law t0� thB ' - , , G¢n¢�3t0� OO-5 KW OS-15 KW ' . ! j � . following reason �(Settion �031:5 Buziness antl Professlortal Cope: Any city or i ' P-Trap - ' ' � - - . . . . � �,county which. reQulres a permit to construtt, alter improva, tlemolish or repair . . .. , - _,_, Transformer � 75-50 KW � ' � • any strutturo, prlor to Ils,issuance,'aizo reqWres t�e.applicanttor sucb permit ROOf Diains: ' � ' - � � ' to file a signetl statement that ne/sna is Ilcensetl pursuant to theio!ovisions of - - - '� �' � � O5U+ KW � ` �e Cantracfor's LJcense Law:(GhaO�er 9 (commencin9 with 5ectlonJ000) oT - � � . , � ' ' • . � � � �Reinspection Fee $15 � .aiston 3�of the jBusinass' antl' Profassions Cotla) or that, he/sha�:is'exempl ' � Show¢rs .. . RainSpection�Fee i �$15 . . � x`refrom�ana tne bas6 for tne allegea exemptlon. �Any violatlon of $actlon � , � , '` ,. . - Meter ❑up to 100 amps � IAue Fbe. $ 3 � �,-91.5 by:_any applicant for a permlLsub7ects,the appliwnt to a'civll � ' • : -- - , � ._ �enalty ot not more than five huntlretl tlollars (E500 . � i ServiCe Sink , j . . , Isue Fee' i � $ 3 Zoning ApproJad By ' • � Data I, as own6r o(; Ihe �properly �or �my employees'with wa9es�as thair sota � . � , ! . ' , • � � ' , i ' mmpensatlon will.0o the wo�k, antl.the stmcture' I5 not IntentleE or offeretl =! ;' MECHANICAL � , ppplifatibn Approved 8y � ' ate ' � for zale t(Secfion 7044, Buslness� antl' Professional Cotle: � Tne: Contractor's � , /j ; � i ' LJcenm Law Ooas mt apply to an owner oT a propertylwho bulltls or Improvas Boiler ' '� �� RCfriger8tion $yst2iil ' , � ' � /J � '/ a�._� i� i thereon, anG wno tloes� such� work himsel(/herselt or througM1 blz or n¢r own ' �- �' ' ' � � ' � APP��wtion Issued By ' � � ��1ate �� employees, provitletl that such improvements are not Intentletl or ofteretl tor • - � ❑p-100,000BTU ❑100,OOOBTU. ' . ' ule. I/ however, t�e Eui�tling or ImDrovement Is soltl within one yearbt com- , � Duct = UnderiGmund , � ; . �� SUMMARV OF FEES � ' j ( � � ; pletion, the owner will have tha burCen ot proving he/s�e Citl not builtl or Im- � . - . ' � . j . . �rove/o�tnepurp6seoisale). ; :- ; . , Duct-Structural : SystemRepair/Alteration • }BUILDINGPERMIT $! ' • SMIP , � � $ j LJ I, as owner of the proPerty, am axclusivery conlracting•with,llcensetl con- � � � � � ; � � tractorsto construct the project (Section 7044,�Business antl Pro(essions Cotle:. : , Duct - Ventilating . ' _ ,.� _.._ � _ .PLAN CHECK $�� • � � PERMIT � ' ; T�e Contrzctor's License Law does not apply to an owner of proper[y who � ISSUANCE �$' • � builtls or Imv�oves thareon, antl who contracts for such oro)acts with a com . , Exheust System ❑ Multipl0 �; ' ' ; `PLUMBING $� � t � ' tractor(s) Iicensa pursuant to the Contracmr's Ucensa Law): . - j $� ' GRADING ' $ ❑ fam exempt unCer Saction � _ B, & P. C. for this reason � Firepl/FaCt Bit. ICBO � ; � i � ? � �PLAN CHECK� � � � � � ; � � �ELECTRICAL $� ! � � $ 1 ! Date ' � ' Owner: ' � � ' ' � Heating�System & Ducting � � � � � • ' ' b hereb � y� � . ' ' $, � ; MICROFILM � $ : y-certit that I have reaa thl5�dpplicatiOn antl�sta`te-ttiat the ebove-� ❑o-100,000BTU �100,OOOB � 'PLAN CHECK ; , Intormatlon Is correct. I agree to compty with all clty.antl county or0lnances � • � 1 ' 1 !^� ! ' ' TOTAL,FEE� $� � � antl'slate laws ralatin9 to bullOinq conztructlon antl hereby authorize rapre- � , � . , , � MECHANICAL � $ � � � � � . � � � sentatives of tnis � to ante . up tne ab ve-mentlonetl ro ert or , Hood or Type I ❑ , , , � . . , � I ; P Y � . ReinsOection Fea� $15 pLAN CHECK' • , �ESS ' Inspettlon purposes � �p Cano � T e II ❑' � . ' . , $ ' � j t . • ADVANCED,PC , $ ' S19nature � - Applicant; Plnk - Accounting; Goltlenrotl - Assessor �� _�CONSTRUCTION AND PLAN `,� � ' �� P'�` � ' � - , - - `,APPROVALS . Permit #�iCL � Date J Inspeator pppROVALS Permit �f`- � Date Inspector ��. ' � I9 "' 1:'Temporary Electrical Service or Pole '� 52. Pool & Equipment Location � _ _- _ > 2: Soil Pipe-Undrgmd.� ' . � 53. Steel Reinforcement , . � , � _ � " 3. Electrical Condui[ U�tilitv-Undrgrnd.�• . 54. Forms - . , - � � - , 4: Electrical Conduit:Undrgrnd. �� , � 55. Electrical Bonding' � � - - _ 5. Steel Reinforcement , ;� i . 56. Rough Plumbing & Pressure Test - � �: 6: �Electrical UFER Grnd. y; 57. APPROVAL TO COVER-GUNITE- ,, 7. Footings ' . � � �� , 58. Electrical Cpnduit-Undramd. - - 8. Foundation � � � 59. Gas Pipe, � Undrgrnd., Test •I - 9. VJater Pi'pe-Undrgrnd. � • � � . ' 60. Backwash Lines, P-Trap, �� Undrgrnd. � � . 10. Structural Floor System � 61. APPROVAL TO DECK - -� � 11. Property Sewer Line & House Connection � 62. Backwash & Recepfor•Final -' ._ � � 72. Sewer Cap . � 63. Heater &-Vent-Final . ' • � 13. Roof Drains � 7�� 64. Plumbing System - Final ' I 14. �Rough•Plumbing � ' 65. Electrical-Final -- ' �� 15.`Rough Electrical-Conduit � � � � 66. Solar System•Final � - �-" � , �: � - ' '16. Rough�Electric Wiring � - 67. Fencing & Access Approval = � - � - '�� 17. Rougti Wiring Sign � . 68, APpROVED FOR PLASTERING . � ' � � 18. fiough Electrical,-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � ` 19. Rough Heating &-Air�Conditioning �� FIRE DEPT, REQUIREMENT. , - . • 20. Rough Factory Fireplace � APPROVALS Permit �W ' � < � 21. ,Duc[s, in Structure , 70. Underground Hydro � , 22. Ducts, Ventiiating 71. Product Piping O Gas ❑ Oil ' ' 23. Gas Pipe-Rough�& Test .^72.. Underground Flush . . � 24. Roof Framing - . 73. Undergrnd. Storage Tank O Gas� � Oil _ 25. Roof Sheathing 74. Overhead Hydro . 26. T-Bar Ceiling (Structurel)i& Monocoat � 75. Dry Chemical . - . 27. Frame and Flashing , • 76. Ory Standpipe ' , 28. ,Lathing & Siding ' ' 77. FIXED SYSTEM FINAL. - � .' 29. :Insulation . 78. FIRE PREV. FINAL � � ' ,=30. Drywall Nailing Notes: �, � 31. Plaster Brown Coat - � � �_ � 3 . 32..Electrical Power Meter-Final - � 33. �Final Electric � . . 34. Final Heating & Air Conditioning � � � 35. Final Gas Pipe-Test . . � ' � � . 36. Hood or Canopy `�� 37. Final Factory Fireplace � . � 38. Final Plumbing (�2('� 39. Water Service-Final- . ' , 40. Gas Service-Final � � . � , ' 41. Solar pomestic-Final � � � � � � , 42. Backflow Preventer � • ' 43. Backflow Irrigation' � � 44. Landscape Irrigation System - � � 45. Sound Attenuation . . .. - _ � 46. Handicap Regulations � � , � � 47.� FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed 49. Elec[ric Release to Edison . . �• 50. Gas Release to Souther�n Califomia Gas Co � ' ' '� � � 51. CERTIFICATE,OF OCCUPANCY . . ' No, �' Date ' . , '.. �.i�3� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31J GOSTA MESA. CALIFORNIA fOR APPC/CANT TO F/LL /N COMPLfT TYPE OR PRINT aU��oirvc ,.,...�, .-.�� _ _ . COSTA MESA. CALIFORNIA rof Development Co.,Inc. ��TY Newport Beach ARCHITECT OR ENGINEER W LEWL ' ILOT LI� OESCRIPTION NO. �Y' A.P. NO. STATE LIC. NO. ia �=EE �EC�i�ED �Lt% �- 3_Fo FINP,NCE DEPT. CIiY Of COSTFl McSA APPLICATION FOR PERMIT BUILDING FOR OfF/CE USE ONLY flECEIPT NO. I PEHMIT NO. -32z7 98��°'�� APPROVED ZONE � COSTA MESA, CALIFORNIA TVPE ✓ GROUP �+ � ZONING NO, OF � � USE OP NEW PLPNS f �'bU1y911jpJ OF LOT O Rl�� irre I NOW ON LOT9 O REQU RED USE OF None (CENTER LINE ST.1 EXISTING BLDG. FRONT SETBqCK LINE FPOM ' c[rvica oF s'rrsee'r O 1 REAR YARD R. SIDE $IDE YARD I LEFT � t � I RIGHT J t L SIDE DESCRIPTION OF WORK - REAR NEW I� IIALTERATION I IIADDITION I BUILDING SIZE EXTERIOR COVERINQ 8 � �Y,_DATE �-�-� �- ��i7" EVES ALLO W ED � � F7. IN. j p7'. IN. SFT. IN. � V FT. IN. 1 MEflEBY ACKNOWLEOGE THAT I HAVE READ THI6 APPLICATION THE AMOUNT 6HOWN UNOER VALUATION IS FOR THE RND STATE THAT THE /�BOVE 18 CORPECT AND AGNEE TO COM- PURP09E OF EBTRBLIBHING A PERMIT FEE ONLY. PLY WITN ALL ORDINNNC ANO STAT. LAWS REGULATINO eU1LDING co rrs nOr+. — VALUATION SIGNATURE OF �/�/��- � PERMIT FEE $ 3�.� PERMIi'fEE N V Yvw�M (/ C� - 5 /�a // �� PLAN CHECK $ /y..� AUTHORIZED AGENT TOTAL FEE S J�7� � . 1245i , COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COSiA MEBA. GL�FORNIA For Applicani fo Fill In Complefely TYPE OR PRINT ADD EISS 2 /.3� F�I`�7P�G� ✓G� � COSTA MESA. CALIFORNIA OWNER /� L CSCCI�r til0 / � ARCHITECf' �/�2/4�0 NO. OF BIDG9. / 98TBAG1( LINH FROM ceNiER OF sRt¢¢T `� O REAR YARD �C SIDE YAR� ILEFT S IRIGHT 6� DESCRIPTION OF WORK BB=LDING y�� zO� y� ROOMS �Z- S7'ORIES � /� / EXTERIORWALL!'/ ICOV�ERING S�4/N(�'/P GOVERING J7u �f C USE OF BUILDING AND WORK 70 BE �'ERFORMED I NERE9Y ACKNOWLEDOE TXAT � XAVE READ TH�9 APPLIWTION AND BTAT¢ THAT THE ABOVE I6 CORRE� AND A6REE TO COM• PLY WITH ALL CIiY OROINANCEB AND pTATE IAWB REOULATINO BUILO�NO CONBTRUC^TION./ � /J�/J SIGNATURE OF � /}�i � �. � y'�. ��/ ■ AU7HORIZEO AGENT .. � ��,,,' � ,. � � to �. G� �.1� � � ti� � " � JUL �-1960 `�iNIIIVCE UEPT. APPLICATIONj FOR= PERMIT Nii.S�'. BUILDING For Office Use Only RECEIPT NO. Pp.R�NI/T �N�O. Oi }r��J � �� I �=� ;E,� � i �%�� yo. BUILDING A MESA. CALIFORNIA APPROVED ZO�i — I NO. OF I PLANS �aw� v u68 OP �/N IN. � B IN. / _ 1 n. � THE AMOUNT 6XOWN UNDER VqLUAT10N IS POR TH¢ PUqPOBE OP 68TpBLIBHIN6 A PHRMIT FE¢ ONLY. $�?, �9� `� CHECK $ � ' 12�98 COSTA MESA BUILDING•SAFETY DEPARTMENT , P. O. BOX 917 COBTA M68A. CALIFORNIA For Applieanf to Fill In Compleiely TYPE OR PRINT � BUILDING' n �.� . i C/Y�' _ � MAIL COSTA MESA CALIFORNIA J TEL. BUI 2 NO. AO[ .�.------- �E�. ■ 8¢TOACK LIN[ FROM FIRE FEE RECEIVED �2s sEP 8 �DEPT. APPLICATION ��$�'�TA MESA BUILDING For Office Use Only FiECE1PT NO, � P�� OY I O�� ll �'/.+U I O/ 'R'EGA COSTA MESA. CALIFORNIA , ;, _��,...r/�� ZONING /J� ZONE I NO. OF I USE OF NEW `'��F)� PLANS BUILDING TEL. ' Lece� NO. OP BLDee. DESCRIPTION OF WORK BUILDING NO. OF SIZE ROOM6 STORIES IXTERIOR WALL ROOF COVERING COVERING U6E OF BUILDING AND WORK TO BE PERFORMED � _ � � L/ // �{� lK�// 1 XERHBY ACKNOW�D68 TNAT 1 MAVH R6AD TNIB APPLIWTION AND 9TATC TXAT TXE ABOV¢ 18 CORNHGT ANO AGREB TO CON- PLY WITX AGL GI'K OPOIN G69 I1ND BTATE IAW6 qHOU4TIN0 BUILDINO CONBTtUGT10 81GNATURE OF �14�1� �,�� PERMITTEF AUTHORIZED AGBNT LINE BTJ U � THE AMOUM 6HOWN UNDER VALUATION 16 FOR THE PURP08E OF EBTABLIBHING A PERM�T FEE ONLY. VALUATION ��/� PERMITFEE $ �� N n $ � PLAN CHECK $ '�— F ¢ TOTA4 FEE ` L. � 4