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Home My WebLink About215 FLOWER ST - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT ,lobAddress: 215 FLOWERST Status: ISSUED Suite No C Applied: 09/20/2001 Vicinity: UNIT C Issued: 09/20/2001 Parcel Nunmber: 42540319 Applicant: HUGHES IV, L D Address: 215 FLOWER ST " , / ,= � � � COSTA MESA; CA� �'; ' ; � ,; � i G � ,� , � Owner: �HUGHES�IV;'L D _ Address `-215-FLOWER ST� � �. ' \ ' COSTA MESA, CA Contrecror. OWNER BUILDER Address: ISSUED BY: � - �Phone: 949-933-2374 � �- � ' Zip: 92627 � . �`� Phone: Zip: 92627 .Phone: Zip: License: 000000 � �� _A - � � \ .�' � � � / ��.� � � � �� \ V '" ,,' � . � � � � � � � ' \, SCOPE OF PERMIT . SERVICE UPGRADE'TO 100 AMP FOR AN�EXISITING SINGLE-FAMILY DWELLING. �' -� - Quantity _ ISSUE FEE $23.50 . . Temp service test ', $0.00 Res. a/c package '� $0.00 _ New Res (1-2 units)' � $0.00 0 New Res (3+units) $0.00 0 Pool / Spa � � $0.00 0 Lighting Fixts �� ' .�= $0.00 0 Recept Outlets . 50.00 0 Switches �' � � - $0.00 0 . _ Non Res Appl � , - $0.00', � �-�� -'0�" ResAppl �� - � ,$0.00 � 0 Service to 200a� � �$30.50 � 1 Serviceto1000a�� = $0.00. � ��0" Service over 1000a � �, � � � , $0.00 � 0 � Motorsto 1hp � � � $0.00 . 0 Motorstol0hp . �� $0.00 � � 0� Morors to SOhp � - $0.00 ' � - 0 Motors to 100hp $0.00� _ � 0 Motors over 100hp $0.00 0 Communication drops $0.00 �� 0 Sub panel to 200a $0.00 - 0 Pole Light Pkg $0.00 0 � Sign Circuits 50.00 0 Temp Pwr Pole $0.00 0 Intermed Pole 50.00 0 FEE SUMMARY . _ ' Temp Dist System /�Lighting - Busway I100 ft .` Standing Section Misc Electrical Equipment Transformers up to 7 kva/kw : .... : ........: ........up to 10 kva/kw = . } . . ` .•....up to 50 kva/kw ,� ' .............::..up to.100 kva/kw .....:............over 100 kva/kw _ . � Low Voltage Equipment ' �" �� ' '.�, � Low VOIt Wiring Systertf/ Ckt . , Misa Conduit - - ' . - � Misc.'Conductor - � � �� Circus ( gen or ride) . . Circus (mech ride or lights) ,, Christmas Tree Stand � , Fireworks Stand' � Other Electrical Fee � ��Investigation Fee , � Plan Check Fee � - . � - -Reinspection Fee Quantity ' , $O.00 0 , $0.00 0 : � $0.00 0 $0.00 0 $0.00 0' . $0.00 � A�- . $0.00 ��'0 $0.00. �'��0 $0.00-,' 0 � $0.00 0 $O:OO i � 0 50.00 , 0 50.00 ` 0" ' $0.00 " 0 - . � $0.00 0 � �$0.00 � 0 � � $0.00� . �,0 $0.00 ; $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all raquired inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (774) 7545626 zaaaas (s�oo� WORKERS'COMPENSATIONDECLARATION: � I hereby ettirtn untler penalry ot perjury one of the following tleGaretions: ❑ I have end will mainteln e certificete ot consent to self-Insure for workers' compensation, as provided for by section 3700 of the Lebor Cotle, for ihe pertormenca ai the work tor which t�is pertnit is issuetl. ❑ I have end will maintain workers' compe tio nsurence, as reduired by sectlon 3700 of the Lebor Cotle, for Na peAortnance of the work for which Ihis pertnit is issued. My workers' comp u Insur�e,nc/9,� " antl policy number are: } � Carrie{t L. ��/1n( V/ e Policy Numbec IThis/SecNon need nof be � i/ f oeimit is velued af one hundred dollers !$f001 or IessJ �I certly that in t�e peAormance oi Ihe work tor which ihis pertnit is issued, I shall not employ any person in eny manner so es to become subject to iha workera' compensetion laws of Califomia, entl egr that tl I shoultl become sub�ect ro the workers' compensation provislons of Section 3700 of the Labor Cotle, I shell forthwith wmply with rov�sions. Applicant Slgneture:� � % Dete: WMNING: FAILURE TO SECURE WORKERS' COMPE ION COVERAGE IS UNLAWFUL ANO SHALL SUflIEC� AN EMPLOVER TO CRIMINAL PENPLTIES AND GVIL FlNES UP TO ONE HUNDRED THOUSAND OOIJ.ARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DPANGES AS PROVIDE� FOR IN SECi1pJ 3]W OF THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code, end my Ilcense Is in full force antl ettact. Lic. N Class # Contractors Signature: Date: CONSTRUC710N LENDING AGENCV: ❑ 1 hereby ettirtn Ihat ihere is a wnstruction lending agency for che perfortnance ot the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lender5 Neme: Lender5 AOdress: Signature: Deta: OWNER-BUILDER DECLARAT10N5: I hereby afllrtn that under panelry ot perjury ihat I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires e permit to consiruct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the epplicant for suc� pertnit to flle e signed atatement thet �e or she Is Ilcensatl pursuant to ihe pravisions af the Contrectors License Lew (Chapter 9(commencing wllh Secllon 7000) ai Dlvlslon 3 ai Ihe Business end Professions Code) or that ha or she is exempt therefrom end the basis for the allegatl e:emption. Any violatlon of Section 7031.5 Dy eny applicant for e permK ,subje applicant to a cMl penalry of not more then fve huntlretl tlollaro ($500)J: I, as owner of Ihe property, or my employees with wages as ihelr sole compensation, WILL DO 7HE WORK, and the structure is not iritentleC or oXeretl for sele (Sec. 7044, Busineu and Protessions Code: The Conirectors License Ww does not apply to an owner ot properry who builds or improves thereon, and who does such work himself or hersetl or through his or her own employees, provided ihat such improvements ere not intendetl or oHered for sale. I(, however, ihe building or improvemant is sold within one year of completion, the owner-bulltler will have the burden of proving that he or she ditl not build or improve for purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The coniractors Llcense Lew does not appty to an owner of property who builds or improves ihereon, antl who contracts for such project with e coniractor(s) license pursuant to the Contractore License Laws.). ❑ I am r sec. Business and Professions Code for this reason: SignaWre� *� Date: Owner ID ven y tlrivefs license. Ye5 ❑ No DrivefS License No. Expire5: Verification oi Owners�ip by (type of dwumenL i.e. - properry tax bill or daed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thai no excavation tiva (5) or more feet in depih into which e person is required to tlescend, will be made in connectlon with work euthonzed by this permit, and that no building sWctura, scattolding, falsework, or demolition or dismantling iheraof, will De more then thirty-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Galitornla Atlminisiretive Cotle). ❑ As owner-builder, I will not employ enyone to do work whic� would require a pertnit irom ihe Division of Industnal Sefery, as noted above, unless such person hes e pertnit to do such work trom ihe tlivision. Signature: Data: Division of Industnal Sefery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AllT}iOHPATON OF EMAV: I certify un0er penalry ot perjury that I have read this epplication and siate t�et ihe informatlon given is conect. I agree to wmply with ell state laws end ciry ordinances relating to building construction, and authorize representatives of the Ciry of Coste Mese to enter upon the ebo� - �escnbetl property �aqinspection purposes. I agree not to occupy or allow occupancy ot eny building euthorized by this ertnit until linal inspection. ( � �---� �1-� �.��. � ! a'0 � � f �� i wre Of Legal Owner(s) �e AndiOr Authorized Applicanl COOE /. IHSPELRIONTYPE jl� IMRUL$ 7616 Fixetl Sysiem Final Fire PreveNion 1266 Pool Spe Final 200 Final Re-Aoof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place � 203 Finel Sign 204 Final Demolition COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final PlumDing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy BAg 1ti�L5 � �_ PFOJELT NOOHESS: Z 1 S FLOWER J`�T OWNEP'S NAME:q�EDLER ROD � pWflESS: <<i5 FLbWER STREET COSTA i�ESA, CA ABCHIENGINEEfl: 6 4 6— 4 3 1 1 ' Aooness: flEG.NO.: UNIT: UNIT: PEXMITTEE: J�E CARI.OS PLUMHTNG ( 714 ) 548-5558 aooness: 1'��67p5 SMUPERIOR '7 UCENSE� CONTPACTOA DECLAHATION:'��c"'erby affirm Ihai I am licensetl undeCpr�ovisio�ns o��apfer 9(commencing with Section 7000) ol �ivision 3 ofihe Business and Pwfessions Cotle. ana my license is in �ulliorce an0 eHec�. c�Tr uc.: 5�^{� 9 3 s,aTe uc.: 3 S 5 .^ cu s C— 3 n„^. I �L \ 1 � � Signalure: � � WOBREHS' COMPENSRTION DECIPflATION: I here0y af�irm Iha� ave a certi�icale of consen� 14insure or a cetlifica�e of Workers' Compensanon Insurance, or a certilie0 copy �hereol (Section 3 . Lah. C�. POLICYN0.:1�0��$i—(�1 E%P.ORTE: OEfIOSIy2 camrnxv: STATE FUND ❑ Ceriilied Copy i5 �ereby IumiShed. C� Cerii�ied copy is �ilea ^wilh IhIe 'iry Builtlin/g1 Oivision. te: 1'� `' �� 1 � ADDlican�l / V�t.JI�� El(EMPTIONFflOMWOPI(ENS'fAMPEN5ATI0NOEClAflATION: �T� sectionneednot�e[om01ete0 �hepermitis�oronehundrtd(5100�or1e55�. I cenily Inat in ihe oetlormance of Ihe work for wnich ihis per t is issued. I shall nol employ any person in any manner so as to hecome suble�� o ihe Workers' Compensa�ion Laws ol Califomia. oa�e�. Signalure: NOTICE: II. alter making this tleclaration, you s�ould become suble�� o �he Workers' Compensalion pmvisions oi ihe �a6ar Cotle, you musl tarthwi�0 compty with such pmvisions or IN5 permit shall Ge tleemed revoke0. CONSTNUCTION LEN�ING AGENCY: I herehy afiirm Iha� Ihere is a wnSiNclion lentling agency �or Ihe peAormance o� �he work for which t�is permn is issuetl (Sec�ian 3097. Civ. C). LENOEP: AOOflESS: ' � OWNEN BWLOEN OECLANATION: I hereby aHirm Ihal I am exempi Irom the Con�ractors' State License Law for �he following reason (Seclion 703L5 6usiness and Pm�essional Cotle'. AnV cily of counry which requires a permi� to constmc�, al�er, impmve, demolish, or re0air any Slmc�ure, prior Io its issuance. also requires the applicant �ar such permii Io file a 5igne0 5�atemeni thal he/she is licensetl pursuam m the pmvisions oi Ihe Contracmrs' Siale License Law (Chapier 9(commencing wi�h Sec�ion 7000) o� Division 3 0l �he Business antl Professfons Cotle) or that he/s�e is exempt iher¢Imm and ��e �asis tor Ihe allege0 exemplian. Any viola�ion o� Seciion 7031.5 6y any applicantfor a permit subie��s ihe apPlicantto a civil penalty ol not more than five huntlre0 Ootlars (5500). I, as owner o� �he pmDe�V or my employees wi�� wages as their sole compensation, will tlo ��e woB, antl Ihe ❑ stmmure is not intenaed or offereU br sale (Section 7044, 6usness antl Protessional Catle: The Con[racrors' State License Law does not apply Io an owner ol a pmpe�y who huilOs or impmves thereon, antl who does such work himseli/hersell or thmugh Ais o� her own employees. pmvitled Nat such improvemeNs are not inten0etl or oflered lor sale. If, however ihe 6uilding or improvemeni is 5010 within one year of completion, the owner will have ihe Uurden of Dmving he/she ditl not build or impmve for the Durpose o� sale). '� I. as owner oi Ihe Omperty, am e�clusively conVacling with litensea conlrac�ors �o consimct ��e pwlect (Sectinn 70dd, Business ❑ and Pmiessions Code: The Conlractors' Sla�e License Law tloes no� apply Io an owner oi Ompehy who builtls or improves ��ereon and who CONratls br SUCh O�ojetl5 wi�h a tonlrac�oqs)licen5e pursuanl �0 Ihe CantraCtors' Slale LiCense Law),I am aware Ihat pmol o� Iheir Worker'S ComDenSaiion insurance 5houlE �e D�ovitlea Io me. � I am eeempl un0er Seclion: B. 8 P. C. for I�is reason: . oaie: Ownec I Oo hereDy cetlify IAa� I am aware ol anA un0er5iantl ��e reQuirem¢n�s ol Cali�amia Health and Safery Cotle $ec�ions 25505, 25533, and 255SA and Iha� I or any Iuiure buil�ing occupan� willlwill nol (circle one) need to comD�Y w�th said s�ale co0es an0 ��e requifemenis tor a permii �or conSlmciian or motli�icaiion Imm �he Air Oualiiy Management �iSUicL Resitlenlial cons�mction apDlica�ions are ezempt �mm Ihese O�ovisians. Oate: PpPlicant: I hereby cetlitythal I have read Ihis applicalion and slaie ��atihe a ordinances antl slate I, w5 relaiing lo building consimction antl �ere�y pmpeny lor inspeUion purposes. �� a�e: la ^� 1— �� Signatur�e: ` l0 Compty wiih all City and coun�y �o enler upan Ihe above�mentionetl OnvTs L¢ense ar Sonal Sewrity sr �� .� � 16ab66 W�ile—Builaing�, Green—Cotle Enlorcemen�; Canary—ApplicanL Pink—Revenue; Golaenrod—Assessor CITY OF COSTA MESA — BUILDING PERM3T PEkM NO: P U5596 PERMIT NO: P 055969 PLAN CHECK NO: N GOVT; R3 SUPP: N CONSTRUCTION TYPE; V—N PERMII' TYPE: FLU ' PURPOSE: OTA JOB DESCRIPTION : REPAIR GAS SERIjiCE , EJ�i FT: CLAIM VALUE; 1,850,00 CALC—VALUE; GROUF OCC; R-3 / COMMENTS: SNOKE DnTECTOR RE�UIRED IN THE HOME ififiF-1ERiFi6±FIfaEaEiFiEiFiEi'tif3fifli%�1E1fiF1(�i'rjF iEii-iE�E�1F3EiEi4iF3f�E3FiFiEiE9EiFi43'ritiEihiEif�iEif1E}jf�lEiEiFM�jE1FiEN•j'tiE?fif�'t16if�iE3hiEiF1F1F#". Z O N T N G R E Q U I R E M E N T S 5 E T H A C K S ------------ MAIN BUILUING ----- ---- --------- ACC�SSORY BUILDING ------- ' FRNT: FT IN REAR; F'P IN FRNT; FT IN REAR; FT IN I LEFT: FS 3N RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO: PROV: PARCEL: 42540319 ZNE: RnF NO: PLANNING NbTES> � s; +E �F iF'N' iE if �E IF iE iE if if i4 �1F if Y if iE if if IE if jE if IE �.' iF'1F IP'N"N' ii' IE j%ji' iE' iE IE'IE'1E M' iF iE iF iF Y-'k� 1e aF iE � 3eiE if iE IE � Y.� iE If 3i- iE if 3E If iF aF iF IF IE if' ii-iF'N' �i� IE' i� if iE D E V E L O P M E N T S E R V I C E S R�.Q U I R E M E N T S ZONZNG APPROVED BY '' DATE: BUILDING APPROVED BY ; __ �. DATE: ..� ' APPLICATION ISSUED BY: `:'' DATE; !'J�—� 3" C i4�7EiE*1f}-k��1f�lE�E�iFiE#'�iF�1Fi'riEiFiE;FiE3h r F�'iF - � iF'�iFF3E1(��1EiE�M!E�1E3�-�1'tif , r. c.� : ��'J(�aF 3EiEiF3Eif#i34aFIf�lflFiEifiEif�IE�Ex�1Eif%�1f#iFififi'r3E#'��3fiFif#E349E1F3f�1fifii�itlf�lEjF �ifif�1F7f1EaE�lfiElE�lFihi�-i(�1Ei41Ei�'�jFa:.+F3FaEif�:�3fiEiffF+c#- LEGALI7.A'fZON:N F E E S li M M A R Y STRUCT(IRAL SEGNENT:N HI.DG PMT PLUMBING ELECTRIC. MECHAt�'IC FZRE SMIP/RES GRADIN(3 PERMIT 2,00 25Y SMIP/NON—RES PI.AN ISSUE FEE 3.00 BIJILDING—DIV—> PERMIT ISS(3E PL�.N-•CHECK TOTAL PAID DU� TOTALS----> 2.00 3,00 0.00 5.00 5.00 .00 REVENUE DIVISION TOTALS--> COLi�EC1'ED; 5.00 OVER/SHORT• 00 BLDG PN�7' PLUMHING ELECTRIC MECHANIC. F.IRE SMIP/TOT GRADING PLAN—CHcCK J,OO iF iE �lE if * ii if i( ie �E iE 3f iF if it ih ii 3c le if if # iF �f iE 3F iE iF 3f if iF�7E fE 3f iE iF 3E iF %iE iF K� iE �lf iE �F iF iF iE #} 3c iE 3P i(-�l'r if 3f-3i if l't iE if iE iE �1F iE �k� ii� iF k i'� fE �lc i: 3P if 3! iE i N D I V I D i7 A L F E E B R E A K D O W N TYPE QTY PLU 1 P D E S C R I P T I O N GAS SERVZCE END OF FEES UNIT COST Z.aa TOTAL COST 2.00 � V �i ��,iti�i�,4'��.�f1'Ulr �1.3'� �,':;,� OATE; 1?J12f^rl. �TitE: ;3:�3 � 1 � � . CONSTRUCTION AND PLANNING� � � POOL .'A � '. APPROVALS Permit # �ate Inspector AppROVALS Permit # Date Inspect� r �t:�Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2.�Soil Pipe-Undrgrnd. ,� � ' 53. Steel Reinforcement 3. Elec[rical Conduit Utiliry-Undrgrnd. •. � � 54. Forms � ' � 4. Electrical Conduit-Undrgrnd. - � 55. Electrical Bonding " 5. Steel Reinforcement ' 56. Rough Plumbing & Rressure Test �6. ElectricalUFER�Grnd. ' 57. APPROVALTOCOVER�GUNITE 7. Footings . 58. Electrical Conduit-Undrgrnd. 8. Foundation . ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. - . 60. Backwash Lines, P-Trap, Q Undrgmd, - �10. Struttural Floor System -� _ ' 61. APPROVAL TO DECK ' it. Property Sewer Line & HOuse'Eonnection 62. Backwash & Receptor-Final ` 12. Sewer Cap , .� , 63. Heater & Vent�Final 73. Root Drains '� . 64. Plumbing System - final 14. Rough Plumbing „ , 65. Electrical-Final -- 75. Rough Electrica!-Conduit ' 66. Solar SYstem-Final �i6. RoughElectricWiring 67. Fencing&Access�Approval 17. Rough Wiring Sign 68. APPROVED FOR PLAS7ERING . 78. Rough Electrical-T Bar Ce��ing 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning� 'FIRE DEPT. REQUIREMENT ' � 20. Rough Factory Ficeplace - �' APPROVALS�� Permit # 21. Ducts, in Structur,e . .� � 70. Underground Hydro 22. Ducts, Ventllating . - � 77. product Piping O Gas OOiI 23. Gas Pipe-ftough & 7�st , - �, 72. Underground Flush � 24. Roof Framing � � - 73. �Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing , .- � - 74. �Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat � . � _� � • 75. �Dry Chemical � �� _ 27. Frame and Flashing . _ � 76. Dry Standpipe . �' " 28. Lathing & Siding - .� - 77.. FIXED SYSTEM F}NAL 29. Insulation - �� . I 78. FIRE PREV. FINAL � 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT •31. Plaster Brown Coai , � � J9. FPNAL INSPECTION ._ 32. Electrical Power Meter-Final - ��:� � 80. FOOD CERTIFICATE ISSUED , 33. Final Electric - ' j��I Notes: " 34. Final Heating�& Aii Conditioning., - � �� , .� 35. Final Gas Pipe-Test � � - ' �t , . � . 36. Hood.or CanoPY . , • �� ti ' .. . ' • ♦ • .. 37. Final Factory Fireplace . � ' ' '� -� �. ' 38. Final Plumbing � . � • � ` y � � � � . � 39. Water Service-Final �� ; s � . � � 40. Gas Service-Final - � � j_r� -4 41. Solar pomestic�Final � ' � � - � � - . 42. -Backflow Preventer . i � . . 43. Backflow Irrigation - • ` �� ,44. Landscape Irripation System � , . • � _ . . � . � 45. Sound Attenuation � - . 46. Handicap Regulations ' . � � . . ' . � 47. FINAL STRUCTUR�E & BUILDING �J � 48. FINAL PLANNING � . � -. � ., � � 49. Electric Release co Edison j •� � 50. ,Gas Release to Southern California Gas Co . � j�_,.;-. - . � 57. CERTIFICATE OF OCCUPANCY . ; - . No. Date � -� COUN17 OF ORANGE BUII.DING DEPT. 636 No. Bmadway Santa Ana, CaliEomia Phone: KI 2•6211 Application for Building Permit � AND FOR A Certificate of Use and Occupancy � Y . OWNER'S NAME.....,.... ��" . .... _�'%�'�.._-... --- _ ; �. • .. - � �., / ��-ti:r�}��/j--...-------- MAILING ADDRESS....r4_ _ .�... _ �� . Permit No...��..�1.�...T.fa Dare-----�-- .Z...�_-..�_�i..r-------..-----.. ��'�. - — - PHONE:.... -..__.........�:'_-- - - -. CITY�:.."'-��:_�Y'</!�'w---•�-- . Name ----�i.'''✓'-�'-�-------`--------�----�� ..----'�---......._.. Name _-----�Y!!r."s.'rt_-�-----�-----------��^tiv . _--"----...----... (Archi[ect or Engineer) ' (Contracto�) Address City State Lic. ] PROPOSED USE ------- Phone...... ........ Address ..--- Citl' -----� State ..----- Lic. No... 2. .IOB LOCATION -'�J-� ('� ---�iL�il-r�.✓Y ..� • fif�r✓_...__. �.r-tt. - _... -- -- -....__ ... - - -__....._- -- ........---- (House No.) p (Name o( Street) ('Town or'School Distritt)�� a� T�. L/ . ! 3. LEGAL DESCRIPTION: Lot--._'�tP'�.----- ''---.---.----_..Block �:`.----�,.- Tract_Y.%1°1}._-_L-'��.../...:--'� - - -- ___... --... (Me[es and Bounds Descriptim—U=.e reverse side of form) `� -- 4. CORNER LOT (,) INTERIOR LOT (�) THROUGH L07" ( ) SLOPE OF O(�`�/��¢� /Zs'�a� - i. SIZE OF BLDG.:�✓--��J,�.�.%.._.AREA:---�{i2.S�---------------SIZEOFLOT:.SO.--�.��---_--.AREA:---:---.---.--------.---_� �,� •r C,. HEIGHT OF BLDG. __.k�......_...._._ .................CEILING HEIGHT�.��....�....._�_....__..NO. OF STORIES....L��-±�._.'..._... 7. NO. FAMILIES----'---"--_----------'-..--"-----.Sizc of Smallest Bedroom:--..---_...--_-------.---__-----__ Size of Kitchen......_-_--_.---.--..-__--_-_ R. EXTERIOR WALL CONSTRUCTION:.. ��✓..7�7J.-�t ....................1NTERIOR WALL COVERING__.....-?.:�'�st...:........._.... (Frame, Smccq Etc.) , ' -. (PlasterDrywall, Ete) ' 9. SETBACKS: Fron[ Yard From Center Line of S[reet....�.Li.�..; � .............• // �'^ Nearest Side Yard..._ �..___...Rcar Yard.!:�'!!._C%f'�:'!`{..Distance in Feei Between Bldgs. on Same Lot....1ai___. ---......._..---�-----.. ::/ 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRLCTURES AND USE OF EACH. �'- _ •... :_ .:..`. I1. For (a) Footing: Width.�"i ...(�i.�.....%c.'1..:.'r.�.^.t.Depth in Ground---��.'.'_:. - _-.Width of Wnl_l_%�,%—�- ��... - ' Accessory , � - Bldgs. and � ' � f /, ,. �'U'f ' - ta. - Similar �b) Size of Studs:.... t-.�...: ....----Spacing--.... --.r----------------- CC Materia] of Floor...C--'�/ �----------_ Structures: / (c) Size of Floor Joisu:-->��iv"i� � ..................Spacing.----------,--------------...----_' CC . (d) Size of Rafters:.....�..�_ll...---�.--_.------Spacing-.. � c,r' �...._.._---........."CC '� . 6 12. VALUATION OF PROPOSED �QRK: Induding all labor, plumbing, elecvica] wiring, heating, fire eprinklers, painting and sewage disposal $..._-�'�-�-_�-----.... 13. I HEREBY CERTIPY T.HAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION ]N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABL'E THERETO. i Plans Filed:....,�1`.r.�.._'�7l_. --..'-------------- igned BY. S � � 1 G � (Authorized Agen[) /T I RV�t. �o.� • FOR DEPARTMENTAL USE ONLY FEES: Bldg. Permit - Plan Check - Total - • ��G Receipt No. Paid to • - v M-tl 51 GROUP....... __ TYPE----..........- - - ..._. DIST. �6 �C MAP---....C.r' � -! . - SHEET NO..... - - - % ��:'1� -a"`,�. DATE.._ .............................................. '�NG BY APPLICATIO . .. HEALTH ............................ ZONING ..............� f....... FIRE PLANS AND MARSHAL ......................... SPEC'S. --- - -- �I -- STATE._..... -........_.....--- CORRECTIONS ENGINEER VERIFIED - � ... -....... CAL.._ .... - - ...._....- - �.1 rT,blS�tl�� cou�!Tv oui�anvc i sur�D�s�: ..��, . iNsr�cz�o� , .._._ i -- - -- G �.� ; � � 1�:�� COSTA MESA BUILDING-SAF�TY DEPARTMENT P. O. BOX 9f7 C08TA MEBA. CALIFORNIA For Applicont fo Fill In Compleiely TYPE OR PRINT BUILDING �' ^ /� � � S ADDRE68 S �' COSTA MESA. CALIFORNIA OWNER /I// I/ C iQ- LL � l�H /1 I� It' r TE�. c�rv /J Sf Is5'� r+o. � ARCHITEGT � TEL. SIZE � No, op BIDG9. OF LO7 ruoW oN LOT USE OF EXISfING BL�G. BBTBACK LINB FROM DESCRIPTION OF WORK , 'i /I NO. OF r � r7 ,4 in ,a /R P. , �- i HEPEBY ACKNOWLEDCH TN�T 1 HAVE PEAD TXIB MPLlWT10N ANO BTAT¢ THAT THE-ABOVE 19 CORRECT AN� AGREE TO COM- PLY WITH ALL CITY OPDINANCE9 AND BTATE LAW6 REOULATINO BUILDING CONBTRUCf10N. 31GNATURE OF PERMITTE AUTHORIZED AGEN7 • I� ` ' � �� . 1 . . F��pUCi L G��ir7 ��r�c� o�PT. CIT', OF COSTA NESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only REGEIPi NO. � lT .Y . _ BY ' DATE RECEIVED �ATE IB6UL0 a� ��—/ Z�GO � k—� �--G D , � i.s-�"� a u� f� � S�- CO�� MESA. CALIFORNIA � ZONE NO. OF U8H OP N¢W PLANe n BUILDIN6 LHOAL � �/A- �� OE6CRIPTI � `��' A. P. NO. I� 7 � ��'3 � YARDS EVES APPROVED ALLOWED fC6NTER LINE BTd 0- , �� THE AMOUNT BHOWN UNDER VALUATION IB POH THE PUftP086 OF EBTABLI6NIN0 • PERMIT FE8 ONLY. VAWATION /J �Y�j `\ PERMIT FEE $ .�C � ,` $��S PLAN CHECK $'1 � j /�/� � TOTAL FEE $!Y� � � c LL � � . '-� ' . LiJLi�S .--f- . COSTA MESA BUILDING DEPARTMENT . � ' P.O.BOX 31] C057A MESA. CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA MAIL �. �> ADORE55 �� 7 �O TEL. �� cilv _ ''!A / 1�7Si4 No. �i'd�Y ARCHITECT LIC. OR � VEER - NO. ADDh��S �G � �� V LIQ ry• CONTRAGTOR q � NO. / � ADORE55. �O � � / C7�(yNO.�! LEGAL LOT DESCaivTiON NO. � BLOCK C TRACT� A.P. NO. SIZE //� � /,� � NO.OF BLOGS. OF LOT �/. �y ��OW ON LOT % USE OF �.(. EXISTING BLDG. �.f�� !/$�� y ��j� $ETBRCK IINE FROM � WC ; CENTER OF STREET �;J O REAR YAR� �� / /�� SI�E YARD RIGHT LEFT DESCRIPTION OF WORK NEN' ALiERATION ApDIT10N'. REPAin MOVING DEMOLISH BUILOING '_�G NO.OF �� SIZE �� ROOMS STORIE� EXTERIOR�WALL ROOF r �� R�Ct6VED �.� � js �= _--_.- FlNA CE DEPT, CIiY OF COSiA 6�ESfl APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY C/V "V I 1 Ol- J'.JIJ I V� M 9 ADORESS � ��' J /4W��'�, � COSTA MESA. CALIFORNIA FIRE � ZONE � ZONE n � NO.OF y iYpE GR$ �%F�� DATE � CORRECTIONS SUBJECT TO 0 DEPT. REG. 0 STPTE THAT TNE /�BOVE�IS CORRECT RNO AGREE TO COMPLY WITH RLL `,��q (Iti�,1., ) /I.�L1�:Y:M1.a.l�� CITY OFOINANCES ANp STG��^�ft1�'��Lfl��.0'�ONSTRUC- - �� ULYV '�o�. 2q30 NEWPORT BLVD. vALUATION SIGNATURE OF COSTA MESA. CAUF. ' PERMir FEE � PERMITTEE r" � 1 r�� j I�� PLAN CHECK $ \ !C ,� � � J IJ AUTHORIZED AGEMS� � /A .O TOTAL FEE S �J/