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Home My WebLink About305 HAMILTON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: Suite: Vicinity: 305 HAMILTON ST ROOF Parcel Number: 41902111 Applicant: RAFAEL LEfv1US - Address: 2016 WALLACE AV - � " � UNIT B � �_,� ! . COSTA MESA;�CA � � ' ' i � , Owner: MARTINEZ, JOSE LUIS � ' 2oning: ._ _ ISSUEDBY: Phone: 949-642-7057 �� _ -� _� , Zip: 92627 � , _ � � ' � �� \ z � • , `� �� . " � , � `�, -' _ i \\� .. .�_, i .��\ � , ., Address�305�HAMILTONST � � ,� _- �" r--�', "i� -- ` - _ � Phone: � - �COSTA MESA, CA, � " Zip: 92627 Contractor. LEMUS ROOFING �' Address: 2016 WACLACE AV � _� ' UNITB:'� . � �. �, COSTA MESA, CA Status: ISSUED Applied: 07/08/2004 Issued: 07/08/2004 Phone:' 949-642-7057 � "' � ` � Zip: 9262T '.,License: 826813 � � � " � ' �1�, Arch : - ,. . . , :i- Eng: � � . . . . � - Address: . ' ' ' " � � " � - - Address:� ' � " , � - - - , , , `_Phone: �' Phone: � . . ' . . , , „ - , ; , �Zip: � �, License: , � , �License: i. � ' . . _ . _ . . � , - - . , -, , - -� ,, - SCOPEOFPERMIT- . . , • " TEAR OFF EXISTING ROOF. WSTALL 2 LAYERS OF 15#�FELT, G.A.F: 30 YEAR,'REPAIR/REFLACE SHEATHING AS NEEDED. 18 SQUARES AND 6 SQUARES OF MODIFIED ROLLED ROOFING. - � - ., � � � ; Plan Check: ," $0.00 � Permit.^ $9725 � ,SMIP Res: ',`' $0.50 SMIP Com:. ��_. $0.00 � � Other: � �,'�.$0.00 'Inspection:�� $0.00 \ �. Total: ' 597.75 \��A. ;�i. SETBACKS �� V`�� MAW STRUCTURE Front �� ` ACCESSORY Front �an � � PARKING Existin : o ., � FEESUMMARY " "�- � , _- , Y � Calc Valuation: � Sa,000.00� ' ' ` Claim Valuation: , - ' . Sa,000,-oo ,< " ;;�, , _. . � .;:,,.. ,� 1 _ -•�",s, .. , ,�-/ , . 4.(�: � / ' // ( ' / . . � ., - - ` - � i° _ � � i � �__PLANNING & ZONING �� /; ;!/�� ,: . � <i : - . - A j: //. , Rear' 0= 0 ry � -� Left 0 0�. -� Right_ -�0. 0' ,' -; . . � .. .. _- ,..� �. �, ; � � �.i � � Rear .0- 0 - Left 0.0 �. Right � 0= 0� � _ . , ,i �..�.,�_ -�"i„ 'Required: �0 _, Pr000sed:'� -0 � '� ' J'. � „ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECnoNS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas�as (a�ao� WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penalry ot perjury one of ihe following declarations: ❑ I heve anA wlll maintein e cenificate ot consent to self-Insure for workers' compensation, es proWtletl for by sectlon 3700 ot the Lebor Cotle, for the pertormence of the work for which this permit is luued. � I have en0 wlll malntaln workers' campensatlon insurence, es required by SeIXion 3700 of Ihe Labor Code, for the pertortnance of ihe work for which ihis pertnit Is Issued. My workers' compensetlon Insurance cerrler antl policy number are: Carriar: Policy Number. (Tlds section need not be completed i/ the permitls ve/uetl et one huntlretl tlollere ($700) or /ess.) �j I cenity ihet in the peAortnance of the work tor which ihis pertnit is issued, I shall not amploy eny person in any manner so es to Decome sub�act to t�e workers' wmpensation laws of Califamis, end egree thet If I should become suC�act to the workers' compensation provislons of Secllon 3700 ot the Lebor Code, I shell forthwith compty with these pr ions. �/% ) Applicam Signature: Q'� ��% �!� `. Date: �— lg' �� WARNINO: FAILURE TO SECURE WORKEiiS' COMP SATION COVEMGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNORED TLIOUSAND DOl1PAE (E100,000), IH ApDRION TO THE CQ4T OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 3lOfi OF THE LABOR CODE, It�REREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I am licensed untler pmvisi< forrs end ettect. uc. M i�i Z( pi 1� contractors signeture: �¢.FL[P/% ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, entl my license Is in full Class N —�ci R D� 1�.} L� � Date: '-7 — f3^ O � CONSTAUCTION LENDING AGENCV: ❑ I hereby ettirtn thet there is e construction lending agency for ihe pertormance of ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lentler's Adtlres5: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby efflrtn that under penalry ol perjury t�at I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Pmfessions Code: Any ciry or counry which requires a parmii to wnstruct, alter, improve, demolish, or repair any structure, prior to its issuence, also requires the applicant for such permi� ta flle e signed stetement t�at he or she is licensed pursufln� to the provislons of the Coniractors License Lew (Chepter 9(commencing with Sedian 7000) oi Divislon 3�of ihe Business end Professlons Cade) or Ihet he or she is exempt iherefram and the basis for tha elleged exemption. Any violetion of Sectlon 7031.5 by eny appliwnt tor e pertnN subjects the epplicent to e cMl penalry of not more than tive hundred dollars ($500).): ❑ I, es owner ol the properry, or my employaes with weges as their sole compensation, WILL DO THE WORK, entl the strucwre is not intentle0 or oXeretl for sflle (Sec. 7044, Business antl Professions Code: The Contractors License Law tloes not apply to an owner of property who builtls or Improves ihereon, and who does such work himself or herself or through his or har own employees, provided that such improvements are not intended or otteretl for sale. If, however, the building or improvement is sold within one year oi wmpletion, the owner-builtler will have Ihe burden oi proving ihat he or she did not build or improve for purpose of sale.). ' ❑ I, es owner of the proparty, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Pmfessions Code: 7Te contreciors License Law tloes not appy to an owner of property who bullds or improves Ihereon, antl w�o conirects lor such prqect with e contrector(s) . license pursuant to Ihe Contractors Licanse Lews.). ❑ I am exempt under sec. Signature: Owner ID venfetl 6y dnvers license. ❑ Ves ❑ No Bu5in855 and ProtB55ion5 COde fOr �his rea5on: Veriticatlon ol Ownership by (rype ol document, i.e. - pmperty tex bill or deed): DIVISION OF INOUSTRIAL SAPE7Y PERMR CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby cartlty thet no excavatian five (5) or more teet in tlepth inta which e pereon is requireC Io tlescend, will be made in connection with work authonzed by this permit, and �hat no building structure, scettolding, talsework, or demolition or dismantling thereof, will be more �han thirty-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, lltla e, Califomia Administrative Code). ❑ As owner-Duilder, I will not employ anyone to do work which would requira e permit from Ihe Division of Indusirial Safery, as noted ebove, unless such person has e permit la do such work from the division. Signature: Date: Division ot IndusMal Safery Pertnit Number. CERTIFlCATE OF COMPLIANCE AN� AUTHORVJITON OF EMAY: I certify under penalry of perjury ihat I heve read this application and state thet ihe infortnation given is wrrecL I agree to comply with all state laws end ciry ordinances relating to building construction, and euthonze representatives ot the Ciry of Costa Mesa to enter upon the ebove-described property tor inspection purposes. I aqree not to occupy or allow xcu0ancy of any builtling authonzed by this permit until finel inspection. �� q SignaNre Of Legal Owner�s) Date '��p� �,.g'; L. 1-8-b`i Antl/Or Auihorized Applicant Date COOE �. INSPECTONTYVE 1618 Fixed System Flnal Fire Prevention 1268 Pool Spe Final 200 Finel Re-Rooi 201 Final Block/Retaining Wall 202 Final Faciory Fire Place 203 Final Sign 204 Final Demolition Q�1j� INTIfIRLS COpE 1 INSPEGTIOH 7YPE 20fi Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuildincyOccupency Q9iE 1�45 ./ � AOVlicant to fi11 in all sDaees e%ce0< <hose within�heavy bortler lines antl sign all approDriate Eecla�alions. - ' ' '_ � . ,. . ' _ _. CITY OF COSTA'MESA � CONST)RUS. ION P�R�QIT - PER✓MIT NO. ' TRACT NO. LOT NO. , UNIT N6. , fi�ojecC/�dress ' �BS— �YZLY%� C /� v' . � 1 � + �- TVPE OF CONSTRUCTION NEW ADD - ALTERATION -�REPAIR � ApplicanYs Mailin9 Address � �30 S � l` � . . ' _ ,- ��''�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER" Owner's Name � �• % Phone nz.�! 7_,Z9 ' t .�dS„ /i�..ww'Sy� GJ� - DESCRIPTION OF WORK/USE OF BLDG. Address � w`5� ' Arch/Eng. LicenSeNo. TVPEOFPERMIT GRADING � FOVNDATION STRUCTURAL Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING, ❑ MECHANICAL COntfaCtOr'S Name PhOne � � ❑ �OTHER � � � �PROJECT DESCRIPTION SQ.FT. OCCUPANCV Addre55 (mai ling) C O N ST RUCTION TYPE V ALUATION $ City License No. � �' ZpNE ' GRADING CU. VOS. ' ACRES � LICENSED CONTRACTOR OECLARATION � I h¢rebyaffirm that I am licensetl untle� O�ovisions of Cha�ter 9(commencing Remarks: ' � with.section ]000) of Dlvision 3 of e B iness antl Professions Cotle, antl fily I�C2OSC IS 10 iU�� 10fCC dfld�C(iCCL. , � f ; . �' L'Icense Class � ense No. Date ' ' S19nature � � PLUMBING WORKERS' COMPENSATION DECLARATION � � � ' Baf Sink ' � ShOw¢f4 - � here�y'affirm tM1at I have a cert{{�cate of consent to self-insuie or a certificate f Workers'-�Compensation Insurance, or a.certitietl. mpy thereoi (Section. -. gackflow Preventer ' � ' ' Service Sink - 800, Lab. C.) , � • Policy No. Company � ' Backflow Irrigation Sewer Cap� ' 8 Certitietl coOY i5 her¢by tu�nisnetl. � Certifietl copy is (iled with the city BUiltling DiviSion. Bdthtubs $¢W2! COnn¢ctiOn Date � Applicant � ' • . EXEMPTION FROM.WORKERS' COMPENSATION OECLARATION . Clarifiers Solaf Collecto�5 � (Thissection nee0 not be completetl if the parmit is for one huntlretl (E300)_or less). ' ' Dishwasher � � Solar Piping I cer[ify Ihat in the performanCe ot the wo�k tor�whiCh fhis pe�mi� i5 i55Uetl, I . - . . shall not employ any person iry any manner so as to become sub'ect tne � Drinking Founiains - SOlar Tank Workers' Co pensati 1.a ws o} Californi /� - . oate �I'- /T/> _�-_._- �s Si9neture � L S: C-�—�-�-- Floor Drains- � Swimming Pool w/Spa 'NOTICE: H, af[er making Ihis qecla�ation, you shoultl becom sub! �ect to th¢ � Wo�kers' Compensation Orovision5�of the Labo� Cotle, you must tortqwith- � FI00�$ink5 `-� '' ' Ulinel ' comply ,with� such provi5iOn5 ov,�this_pe�mit.shall be tl¢emetl revOketl. CONSTRVCT,ION•LEN�ING AGENCV" �� '' GaSSCrviCe ;OUtleti� WaterClOsef ' � I hereby attlrm that there is a construction lentling agency for the pertormance ot the work for which thig p¢rmit i5 i55uetl. (Section 3097.Civ, CJ Interceptors� �' Wate�Heater Lentler's Name �entler's ACdreis s• - ' Kitchen Sink � Water Service ; ' OWNER BUILDER OECLARqTION . _ . m exerppt f�om the also e is � �or the ' �aVatOrieS ✓ city or or repair P—Trap ` � permit isions of Roof_Drains. 700) of exempt 3L.5 by any applicant'for, a Permit subjetts-the-apPlicant to a civil ndlty ot not more than (iv¢ huntlretl tlollar5,($500). � :'- .L� 1, as owner o( the property or my�employees with wages as tneir sole � Reinspection Fee comoensation, will tlo the work, anH the�structure is not intentletl or otteretl ' for sale (Section 7044, Busiqess antl P,rofessional Cotle: The Contrac[or'S'. r _' . License Law tloes not apply to an owner ot a property who builtls or improves � thereon, an0�who tloes such Work him5elf/M1e�self or throuqh bis or'her own - �' ' employees, provitletl that such;improvements are not Intentletl o� otfe�¢tl tor BOiI¢f . sale It however the builtling or improvement Is soltl within one year of �om- pletion,'the owner wilPM1ave Ihe bu�tlen ot proving h¢/she ditl not builtl o� im- Duct - Unde� Ground ��Ove for the�,pu�pose ot sale). I, asrowner Of the property� am excWzivety cont�acting wifh IicenSetl Com � DuCt -$t�uctu�dl � tractorsto construct tne project (Section 7044, Business antl Protessions Cotle: , ' , The Contractor's License..Law does not apply to an owner of property who � Dlict-.Ventilating '. . . builtls or improves tnereon, ana.who "mntracts tor such projects with a con- '� tractor(sl license pursuant to�the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ proof of their Worker's Comqensation insurance shoultl be provitletl to me.. . ❑ I am exempt untler Sectian , B. & P. C. tor is reason FirepVFact. Blt. IC80,# h,tP -/D� �G' p � Heating System & Ducting � I hereby certity that I have }eatl this appliwtion an state tnat the above ' 00.700,000 BTU �100,OOOBT intormatlon is correct. I agree to comply with all city antl'counly ortlinances antl ztate laws relatinq(to builtling const�uctionp,p antl hereby authorize repre- � sentatives of this city to enrer upon th a ve-mentlonetl oroperty for 1 �' � inspection purposes � /// ' n� Signature % � � � � {�� Date 7"�0- XS� � Drivers' jLicense oc 55 � �� ' � Reinspection Pee � $15 = 0865-46, rev. 10/84 White - Bulltling; Canary - qpplicant: Pink - Accountin9; Goltlenrotl - Assessor -Auto-Wash �, LaundryTrays'. � laue Fee Hood or Typel' ❑ �:' Canopy ' Type I I ❑ ' , Refrigeration System ❑4100000_BTU ❑100,OOOBT System Repair/Alteration � Fire Dampers Registers , laue Fee � a FEES A.P. �k S Main Buildi E T Front 8 Rear A C Right K Left S' Ping. Ref. # Plannin9 Notes: , „ ; . � 6u26 '7/10l85 •. � g,u� T� � � ' • � ; � Zane � Accessory Builtlinq: . � � - . Parking Req./Provided ' ' . 1 � . Automatic Washer ' ' Construction Pole Sub. � �, Cooking Unit �f Dishwasher � • Oryers ❑Gas� �Electric Fan F ' i F.A.U. ^ - Fixtures � � - � Device Bozes Outlets $ 3 i� $ 3 ELECTRICAL � , . Transformer�-15-50KW -� � � � 50.+ KW � I Meter ❑up to 100'amps � �Meter ❑over700amps' , ,Sub Panel � Motors OO-1 HP O 1'f. - 8 - 'InaSolar,09-15 HP 016d51 � Microwave - , - Pole Light � Range Sign Z O N I N G R E , Q. � M : T ' S � i FEES i � i � _ _ i Garbage Disposal ! Standing Sections ' Generator 00.5 KW �5�15 KW Trash Compactor � Reinspection Fea , �$15 luue Fee' ' $ 3 DEVELOPMENTSERVICESREQUIREMENTS: i � � 2onin9 Approved By � Date ' Building Approvad By � Date�� w__�'__."__ �__.._�.._ �751 �._._ —7 I 1 Fl . ' . �SUMMARV OF"FEES � ' - BUILDING;PERMIT $ SMIP� � $ PLAN CHECK $ � PERMIT , � PI.UMBING $ � � •��UANCE $ PLAN CHECK 25%� $ � ENERGY�P.C. $ ELECTRICAL $ �.1�_ GRADING $ � PLAN CHECK 50%� $ MICROFILM , $ � ' MECHANICAL $ � � � TOTALFEE � $ •��OC� PLAN CHECK ZS% $ � � , , _ . _ .: ., .. . GPVSTRUCiION AND PLANNING - -' � - . - POOL ?A�. - . - � E�C.��d : ' Date • 'Inspector • � � � � � : Date � Inspector, •� '_ APPROVALS ' Permit #_ � �FAPPROVALS �Permit # _ . .� - � 1. Temporary Electrical�Service or Pole � . .' 52. Pool 8i Equipment Location ''� � , - , 2. Soil Pipe-Undrgmd. ' ' 53: Steel Reinforcement , � = . . � .�� a 3. Electrical Conduit Utility-Undrgmd. + � � r .54.; Forms -: - - �, ' . - � � �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-Undrgrnd. � ' � � ' 8. Foundation - . . . - � 59: Gas Pipe, O'Undrgrnd., Test • . ' .:9. Water Pipe-Undrgrnd. , '60. Backwash Lines,"P-Trap, O Undrgrnd.. . , ,. 1�1. Structural Floor System , 61. APPROVAL TO:DECK ' �' 71. Property Sewer Line & House Co�nection 62: Backwash & Receptor-Final '� � . ,_r . }2. Sewer Cap • . 63: Heater & Vent-Final � - ' 13. Roof Drains , _ � 64.� Plumbing System - Final � - ' ,- � . . � 14. Rough Plumbing � 65. �Electrical-Final : ` _ .'' �, , � . 15. Rough Electrical-Conduit , ,- - 66.-Sola�-System-Final "' � - , ' � 16. Rough Electric Wiring. , .+ '- 67.'Fencing & Access Approval , - -� � 17. Rough Wiring Sign _ '� "' � 68. APPROVED FOR PLASTERING ,- � 18. Rough Electrical-T Bar Ceiling �- ' �69. POOL/SPA SYSTEMS FINAL - � � 19. Rough Heating & Air Conditioning � - FIRE DEPT. REQUIREMENT �" • 20. Rough Factory Fireplace , ' APPROVALS . Permit # ' _ , 21. Ducts, in Structure �' 70. Underground Hydro � - . - 22. Ducts, Ventilating � 71. Product Piping OGas�OOil � 23. Gas Pipe-Rough & Test . • i r 72.1 Underground Flush � ' , � 24. Roof Framing � i � ' 73. Undergrnd. Storage Tank O Gas' � 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 � i � �29. Insulation � 78. FIRE PREV. FINAL � '�'=30. Drywall Nailing ' � � HEAL•TH DEPT. REQUIREMENT 31. �Plaster Brown Coat ' . 79. FINAL INSPECTION -� � 32. Electrical Power Meter-Final �. 80. FOOD CERTIFICATE ISSUED � 33. Final Electric ' Notes:; ' ' � 34. Final Heating & Air Condiiioning �� . r" � 35. Final Gas,Pipe-Test� - � � � -'� _ - . 36. Hood or Canopy � ' � � � ' _ � . ' ' n � � � 1 . � 37. Final Factory Fireplace • i • � � � � , � ,. ' ' � , �. - 38. Final Plumbing � ' - ' ' - � • 39. Water Service-Final . � - `� ' � . � 40. Gas Service-Fina� ' � ' ' ' � = • . � - . _ .� 41. Solar pomestic-Final , _ _ , . _ '_, __ _ _ . " ' , , ; � 42. Backflow. Preventer � , �, � ' S � . � , ' . � � 43. Backflow, Irrigation. � ' � ' � ' , i = '. - - • ` ' � '� . � � 44. �Landscape Irrigation S'ystem � . �� ' � . , : ' ' �� ! � 45. Sound Atterivation ' � � � • • � � � �' " � . � 46. Handicap Regulations � } � _ : � � � ' . � ; ' ' • � , - _ � i � 47. FINAL STRUCTURE & BUILDING " � � � ' ' . ' � ' � �� i a 48. Special Requirements Completed ' , � - � � � � � � � : • 0 49. Electric Release to Edison� ' - � -�� ' - , , - - -��• ��-- � - --� - • ' , , S 50. Gas Release to Southem California Gas Co ; t � � . �� . : 51. CERTIFICATE OF OCCUPANCY. ' � � _.' _ ._ . ._ _ ' . � __ � 1 � - � f- - � No. , ' Date - � . ' . . _,_ OWNER CA1FS� ('YRUS H cZ F' NL�'RLE DATE 1-31-56 JOBADDRES3 30S Hamilton S}, - BUILDING PERMIT NO. Z3� G RA6 CONTRACTOR Dike Rt COZPgPOVB VACUE $� B�OOO (70 �LOT 7 s�ocK TRACT 2908 Residence & Gar. �� GROUP I St J TVPE v ZONE �-1 FIREDISTRICT 2326 PERMITSISSUED INSPECTIONS � DATE SUBCONTRACTOR DATE I NUMBER Trench �.ion FormS and Pole Wiri �P�-^r, Hause Sewer, St. : . Tank or Cesspool Lathina.in Out C Piumbing, Final, Fixtures Plumbing, Fin.al GasTest Wirinq, Final ' sta Mesa Building Department /APPLICATION FOR PERMIT 171 EAST 20th STREET ry7ljL� �� D��. � COSTA MESA, CALIFORNIA F4�� FOR APPLICANT TO b'Id�L IN �OIi U�&'ICE USE UNLY ; � � ; � __ _ _.Receipt No. _ _ Permit No. � Building � ' nddress 305 Hamilton Street •� 3% � Costa Mesa, California Received by, Date Rec'd. Date laued I/ Nearest "' I-�- ��-SG I �' S/.-•S K cross st. Thurin �9venue Building _ Add�ess � Owner Cyrus H. & E. Merle Gates Costa 1VIIesa, California Mail Address 06 �3A10TU1 Place Nearest � Tel. Cross St. city Costa hlesa No.Li 8-7976 zo�e No.of Type I Group c��h:,e�:�artson & h4iddlebro�s`� en�� o� I P�ans � � �.7' Address trecto� Dike & Colegrove rvo.' �� 27�7 ndaress 419 E. 17th St., Costa Mesa SizeofLot g5' X 90' I NowoBLots none Uuof No.of No.ot Existing Bldg. nOrie I Familieal Rooms 5 Setback Line from Rear Vard � r ..s..,.sc�.m. 55� e�wev�.a 27c1 New � X � Alteration � � Addition � Repair I I Moving ( I Demolish I Building No. of � size 9g4 sR• ftRooms Jr2 Staries 1 F 'or Wall I Roof Date CORRECTIONS � ., 1 �%��_A\\ i'( 1 �� I i�-'"��rZ�� 1_ � � �� ,; ' - --' �'=Y- - ''._ . � e � r A I n n� � j'i Q i' � � Z - _'. .' ' - . - . " - D r l�ITi f n.- -.. <• --' �J .ti�i r,_.Ur , t,U� i.rd f'�1F��4 +a Fr. Stucco Coverfng Comp. APPROVALS New B�„��y Sin&le £amily residence & garage Foundation �ocation inspecto Forms, Materials, Under-Pinning P13ri 12BR Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct�and agree to comply Lath. Ext. with all City Ordinances and 5tate I.aws regulating building construction. Signature of Plaster, Int. Permittee t � . Plaster, EM. Authorized Agt. . Masonry Reinforced Valuation Permit Fee $ o . e-o � . Plan Check $ / 0 B-O Bond Beam S g��0�•�� Total _ Fee $ �Q•�� FINAL FORM 204 G-H ZM $-54 , JOB ADDRESS : A 2Y BUILDING' PEBMIT NO. c4 DESCRLPTION OF WORK �d f3mT'm t0 i'eS FIRE ZONr: VALUE $� 000 . 00 Date GROUP T� TYPE 'LONE SUBCONTRACTOR I PERMITS I: Date � Numbe Ylumbing ,n.i)NP// li�-.77�b.5 /0 9 ' , 24f�92 i C��'y �� :�.��'A f�ESA GO�TA MESA BUILDING-SAFETY DEPARTMEM I /� �/P.O. BOX 1200 COSTA MESA� CALIFORNIA 92626 NI IV q 1965