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HomeMy WebLinkAbout2825 EUROPA DR - Building Permits� CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 .IobAddress: 2825 EUROPADR Suite No Vicinity: . Parcel Nunmber: 13940402 Applicant: LORIE GLOVER Address: Owner: ODENWALD, RALPH K TR Address � 2825 EUROPA DR . PLUMBING PERMIT Phone: Zip: Phone: 774-557-0749 ' COSTA MESA,CA Zip: 92626 Contractor: CRODDY PLUMBING & HEATING Address: 2737 S. CRODDY . . ^ .� SUITE D Phone: 714 241-7414 SANTA ANA CA . � Zip: 92704 License: � 529727 ArchlEng: Address: Phone: Zip: License: SCOPE OF PERMIT WATER HEATER CHANGE-OUT. . � ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT szz.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation 50.00 P-Trep $0.00 Pressure Regulator $0.00 Process Piping (per 70 R) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo . $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/28/7998 Issued: 09/28/1998 I�� COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Paol Trap Primer Unnal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping (Inst or RepJ Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 511.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $33.00 Qrr 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 100 days, or if work is suspended or abandoned for a period of 1 BO days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspactlone and finel approval mus� be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 75h5626 / WORKERS' COMPENSATION DECLARATION: � � � I hereby etfirtn untler penalry of perjury one ot the tollowing declarations: ❑ I heve antl will maintein a certificate of consent to 5eN-Insure tor workers' compansation, as provided tor by section 3700 ot the Lebor Cotle, tor the peAortnence of the work for which ihis permit is issued. ❑ I have entl will maintain workers' compensation insurence, as reQuired by section 3700 oi Ihe Lebor Cotle, for ihe peRortnance of ihe work for which ihis pertnit is issued. My w%�rk,ers' compe9sation Insurance cartier and policy number are: � �/ p;y� Carner. 1,'; ('� -��P j'l�LllA Policy Number. C.,� /)U��c3�,/J V—� (Ihis secdon n�ed nof be completed i! (he ermi( is valued af one hundred dollers ($100J or less.) ❑ I certify thai in Ne perfortnance ot ihe work for which this Dermit is issuetl, I shall not employ any pereon in any manner so as to become subject to ihe workers' compensation laws oi Calitomia, end e ree that if I should bacome subject to the workers' compensation provisions of Section 3700 of the Lebor Code, I shell forthwith comply with these provisions. /� Q `� �j Applicant SignaWre: d `C -T� / Data: /�c—�( 1 7�I ✓ WARNING FAILURE TO SECURE WORKEFS' COMPENSATION WVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENAITIES AND CIVIL FINES UP TOONE HUNORED T710USAND DOILARE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAhNGES AS PROVIDE� FOR W SECTION 3IOB OF THE tABOR CODE, INfEREST, AND ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm ihat I am licensed undar provisi� force and eHec�. Lic. # � Contractor's Signawre: of Chapter 9(commencing with Sec�000) ot Division 3 oF the E / Class N -r7 ✓ Date: Cotle, and my license is in CONSTRUCTION LENDING AGENCV: ❑ I hareby attirtn ihat ihere is a construction lending agency for the Dedormance of the work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lentlets Name: Lender's Address: SignaNre: Date: OWNER•BUILDER DECLARATIONS: I here6y eHirm ihat under penalry of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7037.5, Business entl Professions Gode: Any ciry or county which requires e permit to consWct, alter, Improve, demolish, or repair any struaure, pnor m its issuance, also requires the applicant for such permit ro file a signetl statemem that he or she is licensetl pursuant to ihe provisions oi the Contrectors License Law (Chaptar 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code) or that he or she is exempt �herefrom entl Ihe basis for the elleged examption. Any violation ot Section 7037.5 by any epplicant for a pertnit su6jeds the flpplicant to a civil penelry of not more �han five huntlred dollars ($500).): ❑ I, es owner ot the property, or my employees with wages as their sole compensation, WILL DO 7ME WORK, antl t�e simcture is not intended or ottered for sale (Sec. 7044, Business and Protessions Cotle: The Contracbrs License Law does not appty to en owner of proparty who builds or improves thareon, and who does such work himselt or herself or ihrough his or her own employees, provided that such improvemems are not intendetl or otteretl for sala. It, however, !he building or Improvement is soltl within one year oi completion, t�e ownerbuiltler will have the burtlen oi proving that he or she ditl not 6uild or improve for purpose of sale.). ❑ I, es owner ot the property, em EXCLUSIVELY CONTRACTING WRH LICENSED CON7RACTORS to construct Ihe project (Sec. 7044, Business antl Professions Code: The contrecrors License Law does not apply to an owner of property who builds or improves ihereon, and who coniracts for such project with a coNracbr(s) license pursuani to the GOMrectors License Laws.). ❑ I am exempt under sec.', `;\I' SignaNre: Owner ID verified by driver'Slicense. � Yes Business end Protessions Code tor ihis reason: Venficatlon ot Ownership by (rype of documen�, i.e.�� properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PEFiMR CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certily that no excavation five (5) or more teet in depth into which e person is required to descentl, will be made in connection with work authonzed by ihis permit, and that no building simcNre, scettolding, falsework, or demolition or dismantling Ihereof, will be more Ihen Ihirry-six (36) teet hig�. (Chep. 32, Gry 2, Art 2, Sec. 341, Ttle B, Califomia Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to tlo work which woultl require a pertnit trom the Division of Intlustnal Sefery, as noted ebove, unleu such person has a permi� to da such wark from ihe division. SignaNre: Date: Division af Industriel Safary Permit Number: CERTIFlCATE OF COMPLIANCE AND AIfTHORVATON OP ENTAY: I certity under penalty of perjury thet I heve read this application and stete thet the informetion given is correct. I agree to comply with all state laws end ciry ordinances relating to building conswction, and authonze representatives ot the Ciry of Costa Mese to enter upon the above-tlescribed properry for inspection purposes. I agree not to occupy or allow occupancy of any 6uilding authonzed by this permit until final inspection. I neWre Of Legal Owner(s) Date � -�%��`� / �a�-sGx � And/Or Authonzed Applicant t Data �f}E_y INSPECTIONTYPE � QA7E II{�ALS 1876 Fixad System Final Fire Prevantion 1266 Pool Spe Final 200 Rnal Re-Root 201 Final BIocWReWining Well 202 Finel Factory Fire Plece 203 Finel Sign 204 Final Demolition 2446-48 yQpE� INSPECTIONTYPE 20fi Finel Mechanlcel 20B Finel Plumbing 210 Final ElecMcal 212 Final Fire Prevenlion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �� �� '�F�IS-09 �� PN0.IECTRUONESB: 2Bi5 �EUROPA UTi ownee�sxeMe: RALPIi ODENWALD aooeess: 2 S 25 EUROPA DR ' C05TA MESP. ' CA 92626 • ' l714)557-0149 . �BCN/ENGINEEB: � (, � RUOBE53: UNIT: - a � BEG.NO.: , � UNIT: � PEBMITTEE:.�MITFI ROOFING � � (t105Jii�-1QH.� RDDNESS: "]3'}z E U—'3 • . . I�ZTTLEROCK CA 9354� LICENSED CONTMC70P OECIAMTION: I hereby aifirm ihat I am licensed under pmvisions o/ Chapter 9(commencing wil� Sec[ion 7000) of �ivision 3 of tAe Business and Pmlessions Code, an0 my license is in full force anA ettect. cm uc.: 0 4 2.18 0 sTnre uc.: 3 1 917 2 cIu�ss:�C,-/ 3 9 - oata: 3 -'i� �g Signamre: �.��,�q�� WOBNEXS' COMPENSATION OECLAMTION: I hereD'y attirm ihat I have a certifcate ol consent ta selbinsure or a cenifiwte ot Workers' Compensation Insuiance, or a certifie0 copy thereof (Section 3800, Lab. C). , PoUCY NO.: ' � E%P. DRTE: ' ' ., .COMP�NY: , � Cetlifetl copy is hereby fumishe0., � Certitied coDY is filetl wi[� the ciry BuildinA Oidsian. Date: ADplicant: ' . E%EMPTIOX FBOM WOBNEBS' COMPENSRTION OECWWTION: (This secfian nee0 not 6e comple�e0 if Ihe permit is �or one �unArtA (5100) or less�. I cetlity t�at in ihe petlormance ot �Ae wmk /o� whic� this permit is i5sue0, I shall rio� employ any person in any manner so as �o Oecome sublec� to �Ae Workers' Compensation Laws al Califomia. '// 0 �,_ Date: �� � 21 � j a Signature: � /Lw-�a�L�/ .Gn.�'�'�'✓ • NOTICE: 11, afler malting IhiS Oeclara�ion, you s�ould hecome suUleci to Ihe Workers' Compensa�ion Dmvisions of lhe La6or Cotle, yau must torthwilh comD�' ��h suc� pmvisions ar this permit s�all Oe Eeemed revoked. CONSTBUCTION LENOING RGENCY: I hereUy aflirm Ihat Ihera is e constmction lentling a0ency for the performance oi ihe work for which this Dermit is issued (Section 3097, Civ. C). t � lENOEH: � • ' , ' aooxess: - , OWNEB'BUII➢ER OECLAMTION: I hereby aifrm I�at I am eremD� ��om Ihe Coniractors Staie License Law Por ihe /ollovnn0 �eason (Section 7031.S�Business antl Pmfessional Coae: Fny ciry o( counry whicA requires a Oe�mit to cansimct, alter,.impmve, tlemolish, or repair any simcture, prior to its issuance, also requires the ap0licant fo� such permit to tile a signed statement ihat he/she is licensetl pursuant ro the pmvisians oi the Cantractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 oi tha Business anU Pmfessions Cotle) or that Ae/s�e is exempt therefmm anA the hasis for the alleqeC exempiion. Any violation of Section 7031.5 Ey any aOPlicant for a Oermit sublecis Ihe apDlicant to a civil penalry oi riot mare than five hunOmd dollars (5500). . I, as owner ot Ne properry or my emyloyees witti wapes as their sole compensation, will Oo t�e work, and t�e ❑ stmcwre is not intentletl or affered for sale (Section 704d, Business anG Pmfessional CoOe: The Contrzctors' State License Law does not apply to an owner of a pmperry who huilOs or improves ihereon, anA who does such work �imseli/herseli or throug� his or her own employees, proviAetl that such impmvemenis are nofinten0etl or ottere0 for sale. Ii, however ihe builtlinp or improvementi5 so10 within ane year ot wmplatian,tAe awnerwill have the Ourtlen of proving he/sAe OiA not Uui10 orimpmve for tne Ourpose oi saie�. � . � I, as ownerof tAe proDenY, am exclusivel9 conirectinA with licensed contractors ro consimct the prolect (Section 7044,.Business . ❑ � and Pmfessions CaUe: The Cantactors' State License Law tloes not ap0y ro an owner oi pmperry wAo 6uilAs or improves thereon an0 wAo contrac6 for sucA D�alects witA a coniractor�s) license Dursuant to the Coniractors' State License Law). I am aware � IAat prooi of t�ei� Worker's Compensation insurance shoWU be pmvi0etl to me. , ' � 1 am exemp� under Sec�ion: . B. 8 P. C. � - , '' for I�is reason: , , � � Daie: ' ' Owner. ' ' � I Do hereby cenity fiat I am aware ai antl un0erstanE ihe requirements of Califomia Healih an0 Safery Coae Sections 25505. 25533, and 25534 antl t�at I or any IuNre builtling accuDant will/wil� not (circle one) neetl m comply with saiU state cotles antl Ihe requirements far a permit for consimction or motlilication fmm the N� Qualiry Management Disirict. Resitlential consimction apDlicatians are evempt irom inese provisions. . �ate: Applicant I hereEy cenity tAat I have reaA t�is aDPlication antl state that Ihe a0ove intormation is wrrecL I aqree ro camply with all city and caunry ortlinances anE stare laws relannp ro bvitAinA cansiruction anA hereby authonze representatives of I�is ciry ro enter upon I�e aEovementioneU pmDenY for inspeition purposes. Date: 3 "" �—' � `�d Signature: �, ,��,r.��— � oriver's License or Sociai Secunry s: ' � � � � 16C1-46 W�ite-BuilCinn: Green—Cotle Eniorcement: Canarv—ADOlicanp Pink—Revenue; GolEenroC—Assassor CITY OP C!nSTA MESA - PUILDING PERMIT � PEi2M NQ: B '046626 PERMII' PdO: B 046626 PLAN CIIF.CK D10: N GOVT: .N SUPP; N CODISTRUCTION TYFE: S--N PERMIT 'TYPE: STR ` PURPUSE: ALT JOB UESCRIPI'IODI : RE-SHGATH S RE-ROQF SPD W/COMP SHIDIGL�S . SQ FT: 9,400 CLAIM VALUE: 9,400.00 CALC-VALIIE: 4,400.00 GROUP. UCC: R-3. / COMMENT5: SMOKG DETECTUR(S) REQUIRED-IN HQME. ' �1f-i(� 1E iE iE it it iE iE iE 1E iE iE 3E iE iE i( iE iE 3F iE 3f ik iE ik iE iE IE iE iE iE iE �E k i( N iE 1E IE �lt iE #f iE iE # if iE 3E iE �lf IE i( jF 3F �1E it k jE �]E IE �1f if.it iE 3F iE iE iF ?F iF iE if ?F if iE M?E tE iF Z O N I N G R£ Q U I R E M E N T S ' S E T B A C K a --------- MAIN BUILDING -r-------- - ------- ACCHSSORY DUILDING °�-- ------ .FRNT: FT . IN REAR: FT IN FRNT: FT IN REAR: .FT' IN LEFT: FT IN RC;HT: FT IN LEFT: FT , IN RGHT: FT ZN i � PARRING REQ: PROV:. PARCEL: 13940402 ZNE; : REF D10: PLANNiNG NOTES> , . � iF if k iE iE jE'iF iF iE �E 3E if M iE 3f �E 3k if �E if �E 1F iF ih iE iE 3F if it ��E iE �If iE iE iE �E jE 1k aE iE 9E dE iF ik �k k iE if iE if 3E iE iE iE 3E 3( k iE iE iE �IE iE �1E it i(� iE ik it ih iE �� dF 3E if �� iE 3E iE if D E V E.;L O P M L•: N T S H R V I C E S R E Q U I R E M E N;T �S 7.ONING APPROC�ED BY __ _ ___ _ � _ DATE; � _ I3UILDTNG APPROC�ED HY :_ � _____ DATE: _ � _ . IAPPLICATION. ZSSUED DY: /�� DATE:����J iEiF�tj(-iEkiEklEiEiEjEiE�3EiF�FiEifiEiEiF � i � � Fi!" � ���fFiF3F3FiF�F3EiEaElEififif;E �'�F7F" iF �F3E�� iE3E�1EiEiEif�lEdEi(�fiEiEiEiE3EiEiEjE�EifiEiFjFikikiEiE3EiEiEif�llEiElElflEib if1E3f3EifikiFN�iE3F�1E3E3EiEiEiEiEfEjE3faE3FafiEiEitiFifiE�lf�lFiEiEiEiEiE%jE LEGALI'ZATION:N , b' E F. ' S M M A R Y ;TRUCTURAL S.F.GMENTiY BLDG PMT PLUMDING ELF.CTRIC MECIiANIC FIRE SMIP/RES GRADING FERMIT 72,.00 , , SMIP/NON-RES PLAN tssoe r•EE` � BUILDING-DICr=> PERMIT ISSUE.' PLAN-CHECK TOTAL PAID DUE TOTALS----> 72.50 0.00 ' 0.00 72.50 72.50 .00 : REl'EAIUF, DIVISIODI TOTAliS--> COL'LECTED: 72.50 OVER/SHOR't: .00 BLDG PMT PLUMBING ELECTRIC MECHADIIC FIRE SMIP/TOT GRADING PLAN-CHECK %�.�� ' .50 �if 14 if iE 3E ik 3E if if if k if iE iE iE jE 3f iF 3F fE ik IE iE if iE �E �E �E it 1E iE iE?E 3F 7E iE iE i6 if 1E k!(� iE 3E �(� if� iE iE iE if iE iF iE it iE #E iE i(� 3E �)E iE �E ff 9F 1E �E iE iF iE 3E iE N� �E it 3k 3F iE iF iE I N D I V S I) 0 A•L• F E E B R E A K D�� W N �TYPE (�TY D F: S C R I P T I'O �l UNIT COST TU'CAL COST SFR 44U0 REROOF BY VALUE RESID�NIAL r10ZONE 1.00 4,400.00 END OF FEFS , � . a r 0 010Q05670?-OD056703 Tr]T 72.50, DATEc 03/22/90 TInE: 10:51 , CONSTRUCTiON AND PIANNING ' � ' POC SPA - � APPROVALS Permit # Date ��Inspector qppROVALS Permit # Date inspector - _ S,J � 1. Temporary Electiical Service.or Pole - ,�, 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. . J� .. . � t 53. Steel Reinforcement � � 3: Electrical Conduit Utility-Undrgrnd. � ' 54. Porms . � 4,-Electrical Conduit=Undrgrnd. � - 55. Electrical Bonding �� ..5: Steel.Reinforcement . 56. Rough Plumbing & Pressure Test ::.6: Electrical UFER Grnd' �-. 57. APPROVAL TO COVER�GUNITE -7. �Footings � � 58. Electrical Conduit�Undrgmd. `"`8. Foundation � . 59. Gas Pipe, O Undrgrnd., Test ���� - •, 9. Water Pipe�Undrgrnd. --�� /; S 60. Backwash Lines, P-Trap, O Undrgrnd. � � 10. Structurel Floor System � - . 67. APPROVAL TO DECK ! 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final f 12. Sewer Cap . '�; - - � 63. Heater & VenbFinal � � 13. Roof Drsins � + J � ' 64. Plumbing System � Final :• 14. Rough Plumbing U �• 65. Electrical-Final '� 15. Ro�gh Electrical�Conduit '`.� 66. Solar System-Final 16. Rough Electric Wiring. 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. RoughElectrical-TBarCeiling 69. POOUSPASYSTEMSFINAL 19. Rough Heating & Air Conditioriing _ _ FIRE DEPT. REQUIREMENT 20. �Rough Factory Fiieplace _ ' � _ , , *, APPROVALS; _.Permit # - 21' Dutts, in Structure.' •� � _' � 70. Underground Hydro 22. Ducts, Ventilating , - _ � �77. Product P(ping O Gas ❑ Oil 23. Gas-Pipe�Rough & Test � - ' � '72. Underground Flush - 24. Roof Freming - � � ' � - n _ , '73:-Undergmd.Storege�Tank�OGas ❑Oil , 25. Roof Sheathing ' � . � 74.� Overhead Hydro. � 26' T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing -' -� 76. Dry Standpipe " •� �� 28. Lathing & Siding' � � .. _ . " ' � ' � 77:. FIXED SYSTEM'FINAL 29. Insulation � j�� 78.`�FIRE PREV. FINAL � 30. Drywall.Nailing ��. _ ._ �� HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coar . -� ' ';i'� �� 79. FINAL INSPECTION � .: ;�.. -.32. Electrical Power Meter�Final ��, ,��801 �.FOOD CERTIFICATE ISSUED„ : 33..Final Electric ' . �• � �l� + � Not � ' � � j� +_ . '.34. ,Firial Heating & Air Conditioning . ' ''/ •�%' � ' � ' - .. -. ii ,. ; + - 35. .Final Gas Pipe-Test � Gr' y�i.��,� ' -� -36. Hopd or'Canopy, - _ [,_- � � � �- _ . � . r • - 37.��Final Factory Fireplace � � �-� �� + � .. _.38. Final Plumbing " , , � ._ � ' 39. Water Service-Pinal� . . . ' � - ' ,_ .40. Gas Service-Final � � � ' ' ' - - - . i - `41. Solar pomesticFinal . - � 42. Backtlow Preventer� "� ' ' � � � ' � � 43. Backflow Irrigation . " - .-. � ' 44. Landscape Iriigation System �� � • ., � • , � � - ' � � `45.� Sound :Attenuation � `- -� , , . 46. Handicap Regulations _� _ -. . _47. fINAL STRUCTURE & BUILDING . �� • . - 48..FINAL PLANNING U - • 49. Electric�Release to Edison ��% "� Y 50. Gas Release to Southem California Gas Co ' '�� � ' �' ` 51. CERTIFICATE OF OCCUPANCY ' ' No. Date a�wc�nD Ln. 1. r. LA7'Y: o-GU O JOB ADDAESS 2 25 Europa Drive BUILDING PERMIT NO. 2 2 oi GROUP J TYPI SUBCONTRACTOR s �_ I-�'3� �_. COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 3f7 ' C08TA MEBA. CALIRORNIA For Applieanf fo Fill In Completely TYPE OR PRINT BUILDING L�%� 3a T�%anr 349 ADDRE68 Z82s �UROPA DR�vE � COSTA MESA CALIFORNIA 1 MAIL �EE RECEIVED r.�nR � �ss2 fINANCE DEPT. CIT'f OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offlce Use Only BY y COSTA MESA CALIFORNIA APPROVED >,enq ,e. ZONING // ZONB n NO. OP �j U86 OR NEW r� J [" L/F /� �I I PLANB ` I BIIILDINO W/R� NEo: K. ' � 3 v s- LEOAL �U G 3 Z / i1 � 3 y oeecx�vr�ox NO. OP BLAGB../ NOW ON LOT /�✓Q n e ur� SETBACK LIN6 PFOM CENTeR OP BTReET SS REAR YARC SIDE YARO I LEFT 7 I RIGHT 7 DESCRIPTION OF WORK BUILDING ' NO. OF 8IZ8 O ROOMS EXTERIOR WALL �✓«U ROOF COVBRING O anOe COVER USE OF BUILDING AND WORK TO 6 [ilc fCBNTEP LIN6 6TJ � FRONT � R.SIDE / L. SIDE • RFAR �� �� �— IN. IN. IN. �� l IN. q� z // 6 /6 z .-) y 1 HEPBBY ACNNOWLEDOE TXAT I XAVE qEAO THI9 APPLIWTION 1HE AMOUNT BXOWN UND¢R VALUATION 18 FOR rHe AND BTAT! THAT THE ABOVH 19 GORRfiCT AND AOplE TO COM- pUPP08E OF EBTABLI9HING A PERMIT FEE ONLY. PLV WITX ALL GITY OfiDINAN�9 AND BTATE LAWB R80ULATN6 Bu�LOINo CONeTRucnoN. VALUATION (�/� 81GNATURE OF _ PERMIT.FEE _ $ iC/_�_ $� //a ' PLAN CHEGK $ `E F� ---�- --- - �h — UWNER DATE JOB ADDR.ESS 22525 �'Pg �'• BUILDING PGRMIT NO. 2iOi'i-- - GENERAL CONTRACTOR ! 0.139- �-02 IA„tECfIONS vni.vE s 5 )NE "3 DESCRIPTION OF UP J TYYE V SUBCONTRACTOR � �� , ' . 230�;� FEE RECEIVED ,�COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 30 1964 P.O. BOX 91� C09TA ME9A. CALIFORNIA FINANCrEn DEPT. For Applicant fo Fill In Comple►ely (4�IA�TIOAV'FOR"PERMIT TYPE OR PRINT BUILDING 9UILDINB �,J/� Xn- n Ji For Office Use Only ADDRE6S ^!/ ��� L," e• ��' 11[C[IIf NO. PBqMIT NO. COSTA MESA, CALIFORNIA NtC61 OY DAT R[CHIV D O/� 6� OWNER �� P� S���E/� ��I`I'• Z �� MAIL (� J• ADDR6YH � _��� AODRE53 � /T a' � �L r • � �j TEL.` ZONE l TYPE GROUP an D' FS r+o. `.�^ �/� APPROVED ARCHITECT . �� TEL. �� BY ATE OR ENGINEER NO. .�', I NIN6 ADDRESS ZO NO.OF UeEORNBW % � PLANe � BOILDIN6 GONTRACTOR / ' ! Q✓' / 'rY LEOAL OEBCPIP�ION A�DRE68 /�) � . � A. P. NO. � V 2� CITY NOTE: NOEAVEOVERHAN68 ALLBELE59THAN STATE EL �� 90' TO SIDE @ REAR P. L LIC. NO. NO. EAVE8 SIZE �,� IQ I NO.OPBLOOe. / ALLOWED (U.B.C.REOUIREMENTI OF LOT NOW ON LOT YARO3APPROVED YARDSAPPROVED USEOF � MAIN BUILDIN6_ ACCESSORYBUILDIN6 EXISTING BLOO. ( FROM C/L Sf' BETB�CK LINE PHOM FR NT �• CENTER OP BTREBT REAR YARD SIDE YARD I LEFI' I RIGHT R. SIDB FT. � FT. G DESCRIPTION OF WORK �. eioe Fr. �� 7"�� � NEW _ ALTERATION ADDITION � REAR FT. PI'. � DISTAN E Ef. BET. MAIN 8 REPAIR MOVIN6 DBMOLISH MAIN BLDGS. ACGESS.BLDOH. BUILDINO NO.OP VAR'# DATE 512E ROOMB BTORIEH C.U.P. APPROVfiD EXTERIOR WAI.L I ROOF APPROViO COVERING COVERING Bl' TE — UGF �F BUILDING AND WORK TO BE PERFORMED � C 7 -o .c•��r � � � „ so. Fr. " 1 HEp6BY ACKNOWLEDaH TH�T I H�VH HEAO THI9 �PPLIC�TION TH8 MOUNT 9HOWN UNOEp V�LUATION �B FOq THH = PN� 6TATH THAT TH6 ABOVB Ie CORRECT AND �OftEB TO COM• P� 096 OP 68TABL19XIN0 A PEPMIT FE8 ONLY. p PLY WITH ALL CITY OHOINANC89 8 LAW BOULATINO ypLUA ON p BUILDINOCON9TplICT10N. �'^ h SIGNATUREOF /� /� PERMITFEE m PERMI7TE l ��1' J O//_ �—F $ CF� o AUTHORIZED AGENT � �y 4 TOTAL FEE � � - 24622. ; •. COSTA MESA BUILDING-SAFETY DEPARTMENT P• O. BO%9f7 GO9TA M69A, CALIPORfiIA For Applicont to FIII In Completely TYPE OR PRINT DRESS �;gas E� a o pA �E COSTA MESA, CALIFO NIA ■ MAIL TEL. NO. iFL. �w a � NO. OP BLOI ■ 9ETBACK DESCRIPTION OF WORK BUILDINO SIZE EXTERIOR COVERINq USE OF B4 1 HEHEBY A NOWL81 ANU BTAT yHAT TH6 PLY WIT .�LL CITY O BIIIL�IN CONBTNU SIGNATU EOF PERMITTE AUTMORI2EO AGEN' CITY OF C{3Si'A MES� AUG 20 1965, sr L80AL For Oifice Use Only ZONING NO.OI UB80PNH PUNB Bl11LDINa ;� o'r � L�- z Y,3 t/° �� — �ti � ` �� IH OVERHAN6 BHALL BH LESS THAN ! REAR P. L (U.B.G.REQUIREMENT YARD9APPROVED VARD9APPROVED MAIN BUILDINO ACCESSORV BUILDINO c��aom ci � �e�,� ^ R a� VAR. JC BET. MAIN @ ACCESS. BL[ DATE � •. r, ._ n SG. FT. ^ App��WT�pH n�e �MOUNT BNOWN UNOEP VALUATION 19 POR TH8 f 9E8 TO COM� PURPOSH OP 88TABLIBXINO A PERMIT F8E ONLY. Q �RHGUL�TINO ypLlIATION +I ///-J� I DCOMIT CPP Q /iY_ � N s �.600'