HomeMy WebLinkAbout3025 FERNHEATH LN - Building Permitsi
;A
l
0
�
�
PPUJECTRU�HESS: , jOZS FERNHEATH LN
OWNEP'S NAME: LACROSSE, DENNIS�'
aooRess: LACROSSE, LORA L
3025 FERNHEATH LN
COSTA MESA,CA 92626
FflCHIENGMEEP:
RODRE55:
flEG.NO.:
UNIT:
UNIT:
PEPMITTEE: LORA LACROSSE ( 714 ) 641-8630
aooness: 3025 FERNHEATH LN
C.M. CA 92626
LICENSED CONTHRCTOP OECLANATION: I �ereby attirm ��ai I am licensea untler pmvisions ol Chapter 9 �commencing wil� Seclion
]ppp) of Orvismn J ol IAe Business anG Pmlessions COJe. anC my Iicense is in lull in¢e anA effect.
CITY LIC.: STATE LIC.: ClASS:
Da�e: Signalure:
WOflREXS' LOMPENSATION OECIAflATION: I �er¢Gyatlirm t�al l �ave a Cehiticate ol con5eni Io Sell-inSUre or a cetlilica�e ol WOM1ers'
Comoensation insurance, or a cenilietl copy ihereal (Section 3800. LaD. C1.
POLICY NO.: EXP. OATE:
COMPFNY:
❑ Certilied toDY is �er¢by Iumis�ed. ❑ Ceni�ied caDY is IileO with I�e ciry Building �ivision.
Oaie: Q Applicant: - — - _ — - - - —
E%EMPTION FROM WOPREBS'COMPENSATION OECIAPPTION: Qhisseclion nee0 notbe completedi�t�e permi�isforone hundretl($140�or1e55�.
I certify ihal in Ihe pedormance ot Ihe work br whicM1 Ihis permii s issued, I shall not�qmploy any,person' any manner so as Io become
su�letl to ' rkers ComDensalion Laws of Cali�omia. �.� �y/'/ �� y/�/.
Daie' � SignaWre: �� � U • a�t-'��
NOTICE: II. a��er making IAis declara�ion. you s�oultl become suble�� �o the WoBers' Compensa�ion D�ovisions ot �Ae Labor
Cotle, you mu5i Iorihwith comply wil� such O�ovisions or Ihis Oermit shall be aeemeA revoked.
CONSTNUCTION IENDING AGENCY: I �ere6y atfirm IAa� I�ere is a cons�mction lending agency for I�e performance ot the work �or
which ihis permi� is issuetl �Seclian 3097, Civ. C�.
LENOEfl:
nooxcss:
OWNEP BUILOEF OECLABRTION: I �ereby af�irm I�al l am e�empt �mm t�e Contraciors' Slaie license Law far I�e �ollowing �eason
�Seclion 7037.5 Business an� Pml¢ssional CoOe: Any ciry of coun�y w�ic� reQuires a permit Io conslmc�, alter, impmve, demuliSA. ar
repair any 51mcWre. prior lo ils issuance, also reduires Ihe applicant lor such De�mi� �o �ile a signetl 5latemen� ��al he/she is licensetl
oursuant to ihe Dmvisions of ine Cantractois' Staie License Law (Chapter 9(commencing vnt� Section 7000) ot Division 3 of Ihe Business
anU Ptofessions CoOe� ar I�at he/sne is exemD� ��erelrom an0 I�e Oas�s for t�e allegetl exemption. Any violatian ol Sectian 7031.5 by
any apPlicant lor a permi� suUle��s Ihe ap0�ican� to a civil penalty of nol more lhan live huntlre0 Oollars (5500).
y� I, as onner ol Ihe pmpe(ly or my emyIoyees wilh wagu as ��eir 501e compen5ation, wiil tlo l�e wark, anU I�e
t � simnure fs noi intenAeA oi oiferea br sale (Senion 70aa, Business antl Pmlessional CoOe: T�e Contracmrs' State License Law
does nol apDly Io an owner of a D�openy w�o builas or im0�a�es lhereon, antl w�o does 5uch xrork himsell/�erselt or I�mugA
his or her own em0loyees. pmvi0ed Iha� such im0�ovemeni5 are not intenaetl or oflerea tar sale. II, however ihe builtling or
im0�ov¢ment ¢ soltl mt�in on¢ year ol completion, �h¢ owner will �ave I�e burAen ol pmving Atls�e Oi0 not �uild or impmve
lor Ine ouroose o� salel.
I, as awner ol ihe pmperlY. am e�clusiv¢Ip comracling with licensetl comracmrs Io constmct �he pmlect ISec�ion 704a. Business
❑ an0 Prolessions Coae: T�e fqniractors' Slaie License Law Eces no� aDPN �o an ovme� ol properry wtw bmlCs onmpmvu I�ereon
antl w�o tOmratis lor 5ut11 Oroje[�5 vnth a[onlmtiar�s) license pursuani la Ihe COnirat�ors' State �icense Law�. I am aware
I�at Dmof ol Iheir Worker'S Compensalion insurance shoultl be pmvi4e0 Io me.
� 1 am exem0� un0er Seaion: 8. d P. C.
tar Inis re w^: �J Owne����CYLI- �,L�. e
�ate: _
I Oo hereby c uty thal am aware al an0 unGer5lan0 i�e repuiremen�s ol Cali�ornia Healih antl Safety Coae Sec�ion5 25505, 25573, and
25534 ane Ihai I or any INure �uilding occupant will/will not (circle one) neeU lo comDly wiih sai0 state cotles antl �he requiremen�s for a
permil loi consimction m mo0ilicaiion Iwm Ihe Air Ouabry Managemenl Di5lricL ReSiden�ial constmdion applicalions are exempl Irom
mese o�ovisions.
Daie�. ApPlicanP.
1 �eieby cerUty �hat I have read I�is aOD�icalion an0 slate IAaI Ihe above mlorma�ion is rorreci. I agree Io comply wilh all ci�y and [ounly
or0inances ana Slale laws relaiing Io �uil0ing conslmc�ion antl �ereby authorrze reDresenta�ives o� Ihnis ury b enter upon Ihe above�men�ionetl
properxl Iar�nSpeciio pu� , /� — / (J1.�0"�'C-i"'
�// �Y
Da�e: i ��� Signature: a-- �;� �x�-
Urivers �iconso or socia� Securit� p:
i64La6 Wbue—BUAding: Green—CoOe Enbrcemenl: Canary—Applicanl Pink—Revenoe: Gobenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT ERM NO:
PERMIT NO: B 063805 PLAN CHECR NO; N GO , ,
CONSTRUCTZON TYPE: PERMIT TYPE; STR PURPOSE: OTH
JOH DESCRIPTION ; T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT; 3,800
CLAIM VALUE; 3,800.00 CALC—VALUE: 3,800.00 GROUP OCC; R-3 /M-1
COMMENTS: REROOF 1700SF RESIDENCE 6 GARAGE W/COMP SHINGLES �p �yq�+�r��y� ��O �
�e**�e�e�r�t+r�t�r�r�e�e�r�r�r�r�e�e�e�r�e�r*��****�e**�r�r�r****�r�r�t+r**�e*�e****�r�e*�r�r*�i�V,ELJ(�C LJC�
Z O N I N G R E Q U I R E M E N T S J. c
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUIL����'���
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT ZN
PARKING REQ • PROV: PARCEL: 14115803 ZNE; REF NO:
PLANNING N15TES>
i
if if it if if iF 1F 1t iE �f if if it if if"ik k if iF if if if if iFk if it it if �k i! i! k iF k iE if if if k if if iE if 1f if 1t 1lif ik k if k f! if �f iE kiE iF iF 7F iE iF if 1F iE iE it 1! iE if iE iE M!f iFit 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 BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED
1E k if if M if iF dF if if if if iE 1fr,it if if if it
!E �f 1E iE iE if �F iE iE 1E 1f 1f iE if'if M 1f �E�E
LEGALI2ATION:N
BLDG PMT
DATE:
If 1E if iE iE iE1E iE iEif if if iE ff if if if iE iF if �E iElf iE�E ik �liE k iF �E 1Eif iF if if ikif if ik �! iE iE iE i! iE iF N-3f iE iE if ik if ik iF iF ik
F E E S U M M A R Y STRUCTURAL SEGMENT:Y
PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 ,SO
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSIIE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0.00 63.50 63.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63,00 ,50
k iF iF iF i! i! ff !f k k if �t k if if iF fE iE 1E iE if if 1f ik 1f if if iF 3F iE 3f i! if iE k if iElE if if 1E iflf it �! kiF 1E iE k!k 1f if if iElf k iE i! 1E 1E iE iF i! if 1F iE if if iE iEltlt iEif iElF iElt
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
SFR 3800 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,800.00
END OF FEES
O1 00146276-0�14b277 T O T 63,5U
DATE: 09/�2/93 TIME: 14:L19
Y
ti
CONSTflUCT10N AND PLANNING
APPROVALS Permit :� Date
7, Temporary Electncal Sar��ce or Pole :
2. Soil Pipe-Undrgrnd.
. 3; �Electrical Conduit UtihtY�Und�gmd.
� 4. Elecrrical Condu�t�Undrg�;,tl.
- 5' Steel Reinforcement
6. Electncal UPFF7 Gmd '
t, foatings
i3. Poundation �
9. Water Pipe�Undrgrnd�-_ �� •
10. Structural Floor System �
11. Property Szv.er Lir.e & Hause Cannecuon
12. Serrer Cap
13 Roaf Orams
14. Ro�..gh P,umbl�g � - -
75. Rough Elec[rica��Contlwt -
16. Rough Electr��cVJiring
77. Rough lV�nn.g S;gn
18. Rouyh ElectricAl�T Bar Glnrg
79. Rough He,.ung & Air G.,roit�on�ng
20'r'Rd�•gh'Factoty Firaplar� � '� �
� .�� � - ,
21i.�0ucts,in5tructure � •��• +�. -
22,Duds,Ventilating;. � '''�
I �;i � 4
�- _ '
Y3..Gas P�pe�Rough & 7est � ,, : . rr, � �
'y'+-•---�s �
24 Roof Framing , ' � '�' • '
r�
25. Roof Si�eathing, � �':' .q-1-Q
26. T•Bar Ceil�ng (Structu�a!� E GOnoceat '
27:,Framoand flasniftg ,
28. Lath�,�g w �.dnp' � �' . ..
� r ;
�.. . . . � � . .. _ .
7.9. fnsula[ion . •.
. -,.--+------,
' 30. D�vc.aC .Vaif�,ng-'.
-- � -
�
, 31 . Plastar 6ro��M Cqat �„ �
. .--�----,-- -
32: E:e[tncal 7o.�e,''1Gr-er'F,r„I
, 33,�Finai E�ect��c . - � � �
i
_�_-.-._ �-
34.•Final Heat�ng & Air Cor.ditloroog
35. Fnai Gas P�pe�7�'�c , �.', �
36. Hood orCanopy . � i - �
37, Final Fa�tory Fireplace �
38. Final PlumGing � � •
� 39. LVater Servicc�Final '
, A0. Gaa Service�Ffnal . �
41. Soia� Domc.uc���r��
42. Backflovr Prever.Ur
43. Backflow Irrigat�on
44, ar.dseapedr::q�cionSvster
� 45. Sound Attenuation _' �- �
- -,-i- .
46. Har.diwp f�egutat�qns • ' � �
r -'-'-
� 47. FINAL STRUCTL4RE C RU7LDI;JG �1���
�
48.F;�qI.PLANRING- � '
. 49. Electric Release tO.Ediepr_ :
� 50.GasRekaseto`�aouthzrnY'shforniaGasCo
51. CERTIFICATE OF OCCUPANCY
No. � Date
I�spector
POOL PA i
APPROVALS Permit ,'?� Date inspecror I
52. Pool & Equ:pment Loc..t�,on I � 1
53. Steel Rei�forceme�t � �-�
. i
-- 1
54. Forms � � I
55. Elect.ical8ond�np �
56. Rough Plumb,rg F Pressure Tcat � '
57. APPROVAL TO COVER GU�l�TE � �
58. Elecincal Cundwt�Und�qmtl. ;
_-_� � '
59. Gas Rpe. ^ Undr�ir�d , *c;t ''
i
60. Backwash L�nes, P�Trap,'.-1 Undrqrr d '
61. APPROVAL TO UECK �
-- ----- '
62. Bada:s;h b Rec•�, :... F�.,.' . --
63. Heater & VenbP.ia' ��- 1
64. Plumbing System � F,��.I �
65. Ete�trical�F.^a; ----�� ..
i �
- ----- i--- �
66. Solar SyStam�Fin,�
-----� -- I- --- -
67. Fencing & Accexs App�o�.:'� � �
68. ACPfiOVL-D FOR :'LASTERI\G
69. POOUSPA SVSTt�AS FINAI. �
FIRE DEPT. qEQUIREiv�ENl'
��. r: , , � �
. APPfj,�VALs� ., r�.r„�c ; _�--rr-
-=.-t-•- -�--
' ' � 70. �l�ndergrb�ntl Hyd�o �
- -71. ProductT'iqln9:iG•�s .;Oil
y .'_I_I'._,,.�..--• . -
• � � � 72. Undergrb.:���i'!;.ti� • . •
-� �..._.w -�
; ' 73'.� Undc�qrr�d. Sto�ar�•� �.ink� C7 Gaa :�'(i�i
�� ` ��1. O�crhead Nydro
---- "_-'--
i---I -
i--� ---
I ;
-'i- --- _
' 75. Dry Chencca� � �
76. Dry StandP'oc.� -- - --'
- -'--- - ---
77.. FIXEDSV$�t`iji1NAL,_� '
7u. FIRE PREV_ FC2AL _ __ 1___
� • NF.ALTR>DEP7.`REQUIFEP.;ElT
. . � 7�: FIN,ALINS°FCy!�N � --- -�-- ----- � -- �
-..,. �- -- -�' --�---�, - -�- --- -1- � - ,
' ' ' �50. FOCD CERT,FiC.�'"E ��SUE7
- -- --1 - -- 1-- �
t.• -.-
tiPtes: i�n . .
�_'.__�r,-._ __'-_ ".-__ _ _. _ -___ -_ .
. � _
i
k
�
�•^•
CITY OF COSTA MESA
CALIFORNIA 92628�1200 PO. BOX 1200
DEVELOPMENT SERVICES DEPARTMEN7
September 26, 1994
Dear Costa Mesa Property Owner:
In zeviewing past permits, we find that work has been done on your
property located at 3025 Fernheath Lane, Permit No. B63805, for a
roofing permit. The permit is valid for 180 days from issuance or
youY last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Sincerely,
�, kQ��E��--
landa Huapaya
Permit Processing Specialist
77 FAIR DRIVE
Builtling Drvision (714) 754-5273 • CoOe Enforcemeni (714) 754-5623 • Planning Division (71a) 754-52a5
FAX (]1A) 556-7508 • TDD (7/A) 754-5244
(:LUUI.'rH� (%HAF
JOB ADDRESS 023 5 Fe7
GENERAL CONTRACTOR
AP No. l�Fl-15$—�3 LO'
.bS'.„�"�,kaFCTI0N5
Sr':i
GA5
W ATER
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORAftV SERVICE OR POLE
UN�ERGROUN� � POWER �
ROUGH WIRING �
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BONO BEAM STEEL REINFORCE
SNEATHING , q/JTj
FqAME AND F ING �J
Y VG, VENT., REKRIG. AN� A,
P. lING, FINAL AN� GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
✓ni� 4 1V
BUILDING PERMIT
E ZONE VALUE $4,000
ROUP TYPE V
SUBCONTRACTOR _
,:.
� �8471
`: COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX �i400 COSTA MESA, CALIFORNIA 92620
For ApplicaM ro Fill In Gomploroly
TYPfi OR PRINT
woo a'"a°3�'15 �R-rJI-t�P.TN-
COSTA MESA. CALIFORNIA
..,.....s C�.l-ll.QLES C.t..oU6-I-1�
e,M�
ECI' ��
INEBR
ro ---��
,�roR C. r1, L v �.�,
u 1'16d JUYJ�(L.
�z( �3S
�5X r�o
LINB FROE[ /Lq
rP eTReai �16/�R YAR �
S I c� 1
Rp LQIT RIOFIT
DESCRIPTION OF WORK
��
1 M8R6�Y ACKNOMIL�DO[ TXAT.1 MAV6 R�AD YNI/ A�ILIGTION
AND BTAT6 TXAT TM[ I1pOV[,IB CORR6CT AND AOR[['1'O COY•
PLY WITN ALL CITY OROINANCfI A(IO tTAT[ LANti ptOUtATINO
GUILOINO COHBTMYCTION.
� AUTHORIZtD AO[NL
.�
APR;te�00tt53� +*°*22.50
A►PLICATION FOR PERMR
BUILDINO
For Offic� Uss Only
11iC[�R NO. I �iRMIT NO.
���
ZONINfi
NO.OP UO[O�N[W
R.AN1 �i oY1LDIN0
HHALL �E LH88 TXAN
YARDBMPROVED I YARD9APPROVBD
MAIN BUILDINQ ACC6850RY BUILDINO
VAR. aR
OAT6
V a
m
�
3�n e4. �. �
TX8 AMOYNT �NOWN YNCCR VALUATION IB POR TH8 �
►URPoB[ O� �liAlLIBXINO A P[RMIT Ie[ ONLY. �
VALUATION /r �
� PERMIT FE6 '�
� ���0 .c5�� w
/'
OWNER r.r,i
JOB ADDRESS
lul-1
'�I =CTIONS
� SL.�
Gn5
wniER
�POUGH PWMBING
PROP. SWR. LINE �] NOUSE CON.
SPRINKLING SVSTEM
NERTING ANO �IR CONOITIONING
UNOERGROUNO [J POWER
ROUGH WIRING .
EL
SHEPTHING
FR4ME PNO FL45HING
LATHING_IN�� OUT n
PLnSTER. BROWN COr1T
ST^"�TURAL.FINAL
F iG, VENT., REFRIG. FNO R
PLurvtBING, FIN4L ANO Gr15 TEST
ELECTRIC. FiNaL
BIIIL�ING. FINAL
F
DATE � _�l_-�q
BUILDING PERMIT N0.
RIPTION of WORK Fnclosec3..1'at.i n
ZONE VALUE EqA�_(1h
PE i� GROUP r 2
SUBCONTRACTOR PE
a ll..��
.•A..
' � � �1 �'i °.� C{ �.
� COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING /', r/�l 1 F/� � Q�
ADDRESS LJ li Iv
OWNER �� { . ��O��I�
ADDRESS � � ✓/cN �P i
TEL.,i�[ /1
CITV 'J" (�S NO. S / V
CONSTRVCTION , I�^�
LENDER IvV��
BRANCH r��
ADDFESS
ARCNITECT .„i,/E n,, r, i TEL.
R
A.P. NO. �
BUILDING
ADDRESS
27.OB I /31 /79 20.59 i'L
FORSTRUCTURALPERMIT U+
DATE RECEIVED D iFy}5$UE�
�/
� �; �� PERMIT NO.
ADDRESS '! 20NE PE ROUP
AGPRpVEO ,� ��
CONTRACTOR BV CDATE
AODRESS �f �/�/J/� a/ Z�
TEL. Z�N NO.OF USE OF NEW •�' ��% "
GTY �"� NO. .�� ��I P�� � BUILDING �,,,nN(�� �p�
F STATE CITV �'ARDS APPROVED AROS APPROVED
� LIC. NO. ----�— LIC. NO. MAIN BUIL ING i CESSORV BUILDING
a OF LOT /,X / Q/ NO.OF BLDGS. (FROM C/L S EET)
t_ �" NOW ON LOT � ONT FT.
a USE OF t / (7�
� E%ISTING BLDG. 1?�" r�O 1�� �" /�i . V"C) V � FT.
� �`5 t i7( l% %� T(O [/
� Separate perrtut a e requued f'�or LpV�� L SIDE � FT. FT.
e(ectric, plumbing and heating work. � f
� REAR FT. �� FT.
(..i USE OF BUILDING �+ND WORK TO BE PEFiFORMED DISTANGE BET. BET. AMIN &
MAIN BLDGS. ACCESS. eLOGi.
� VAR.� OATE
'� .9L C.U.G,vIE APPROVED
Q •
r /o � 5 ���C � � 2 `=�-(� �R - -
a v- "�%7-Z
w
� I heraby ecknowletlBe thet 1 hava read this epplieatlon end stete �� .0 iO
y� that tho above InfPrmation Is cortect end aBrea to comply with �
0+ nll lawe reBulatinB buildlnp consnucHon, entl I ahell not employ m
Z nny penon In viola<�an of Ma workman's eompenfation lawt of m
u"� tho Stato oi Celifom�a.
S
3 1 �aroby certlfY thpt I em prapo�ly Iieensed aa a contractor untlar SQ. FT. p ^
the Sieto of Califof��a Businesa antl Proteaions Cotle, Dlvialon 3, TNE AMOUNT SHOW E VALUATION IS FOR m
Chap[ar 9, entl [ha2 such Ilcanaea are in tull forco end efi t, or I THE PURP06E OF EST A P IT FEE ONLV:
em axempt from tne provislona af tha Staro of Calitorni e sineca iO
VALVATION P MI E S �
ontl Profaeslo o e, Dlvision 3, Chapter 9. J�
� m
�_ PLAN CHECK y o
SIB^atura f � LL
Parmlttee 5 TAX S f
�v
Authorizetl A8�^� TOTAL PAID E a-Q
Costa Mesa Bnilding Department �IPPLICATION FOR PERMIT
P.o.Box3'� :�4'79 BUILDING 1
PLOT PLAN
ShoW locatian and tlistances Trom
property line and between bufldings
' � GOTTit
� .'�cs�,�'��P����sn 7-1��:,a:.s.,.,Z.^o
--� ,1. , `, �}'..
� ;t
. _ -,- ; �,�,���.�. :i 1'�. .
.,,.`', . �:,` , _ .. '1.�.., �, �,`_
:\� � c ,i� _.,. : �,,i��' .�,1 ,,, ; �
.:\. ^�i f�.
1•.\ ��, v\lt'�LJ
,. - '±•.
�` � '-
; •> \
,
�\�. �.,'� \, :1.��`� 'i �} :� :` 2�\
� .n-,`• �. , � ,'1 )'�': �� r
'`'' _, .�,�
�: \ ! i� � �
\ .�� ��
;.1,��: i,�i \.
' � J , i':1 11 _ , � ' ;\� �� 1. \ � ' . � `i . � '� .
1 �
"' � . . i i! le 1 AJ�� � �1 i'r � .��i
�� �
�{ (Uosta MesasKwlding liepartment �� APPLILA'1'lUN 1+'VK Y�ic1v11�
, 111 4ST 20th STREET � �!. g U I i. D 1 N G
C9STA MESA. CALIFORNIA
, FOR OFFICE USE ONLY
F+OR APPLICANT TO FILL IN Recetpt No. Permit No.
Building " II I Q� Q
naaress 8025 Fernheath Lane i �/
Costa Mesa, California Re � ny Date Redd. Dah Issued
Nearest �. ].91955 �- �-���
CrossSL Hatson Building �.
�allege Mesa Compaqy nddress t
Owner /
Mail Costa Mesa, California
Address R002 Centra� Ave__ Nearesi 1
�.t Garden Grove No�•Le,9-2158 Zone sc.
Y
Architector LfC. �
Enginee� Davis & i le rvo. C-1790 Approvei
Addrew
43 Malaga Cove P1aza�Palos Verdes ;b
tractor Phe Hale Compar�y Noy L1Q'3422
e,,,,,.a�� 8002 Central Ave.,Garden Grone /
Metes and
Setback
50'
Alteration
No. of Bldga
Nowon Lot None
No.of No.of
Families Rooma
Rear V�aW S�—
- — �r
rcepair I I Ma���9 I I Demolish I
Building No. of
Size 1310 Rooms' 6 stories 1
Fvterior Wall I Roof
�ring StuCCo Covering Shake
. of New
Plans
_ �
�IN f1F ��1C �
. D
. ' . . . . .. . i -
APPROVAT•�
Foundation Location I Inspector I Date
Forms, Materials� ,
I hereby aclmowledge that I have read this Application
and state that the above is crorrect and agree to comply Lath. Int
with all City Ordinances and State Laws regulating
building mnstruction. • Lath. Ext
Signatureof
Permittee Ti T�: HA1 R C 1 �
\� �� , Plaster, Int.
Authorized Agt ��.lG(Q_.Q .QZ �-C.�(y._ plaster, Ext
Val'wva�ton LAQDNF�t permit Fee $ ��' Masonry Reinforoed
�% O Q � Pian Check $ ��� Bond Beam
$ �/ ToWI �f
Fee o( S � FINAL
FORM 204 S-BP 2M 8-53
�. ,
PLOT PLAN
Show Iocation and disYances from
propeMy line and between buildings.
,
i � '
.v
SEP 7.1 -SS���osrnS�R.x f
nesn �': �.�ZS. �J