HomeMy WebLinkAbout1629 CORIANDER DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.EMILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 1629 CORIANDER DR Status: ISSUED
Suite: Applied: 04/29/2005
Vicinity: LOWER PORTION OF ROOF Issued: 04/29/2005
Primary Occ: R-1 Hotels/Apts/Res >10 Occ Type of Construction: V-N
Parcel Number: 13949203 Zoning: R3
Applicant: MCCLAIN, KIM ---_ ; „ Q l
Address: 12812 VALLEY VIEW ST, ISSUED BY:
..i/.
STE 33 /, �� - Phone: ;(714) 897
GARDEN GROVE CAS--'"fit ! Zip. 92845 -`
Owner: BACKSTROM,VICTORATR_J
Address 4272AVENIDA MADRID,
a phi �V i� Phone.
ywp'OYPRESS CA,, / j/� Zip. 90630
r
Cont'rac)or: MCCIAi,N;ROOFING INC
"
.Address: 12812 VALLEY VIEW ST
'�' STE 331ti"'f^'' ).`Phone: (714) 897-1780
'..GARDE GROVE CA
Zip- 928451 i License: 625013
Eng. `:,
Address- '�7 t z y - - -- _ Address: - -
< �' /./✓�f / �.a. 4 e Phone." _-. Phone
Zip--'License: ` Lice�nse: ,
SCOPE OF_PERMIT--- .,,,,
"TEAR OFF EXISTING COMP SHINGLE& INSTALL 2 LAY,ERS,OF 15# ASTM-FELPUNDERLAYMENT'& REROOF WITH 30 YEAR COMP
SHINGLES, ON LOWER PORTION'OF ROOFONLY-(.19
_FEE-SUMMARY,..i:rr
r
'PlaniCheck ; . $0.,00 — —,' : ; Calc Valuation � 'r. $a;000�oo ,
Permit: i $97.25�' Claim Valuation �,;,, ,.g4,00600�
SMIP-Res: $0.50
SMTP Com: $0.00
Oahe,`., '., `$0.00
Inspection:- '$0,00 -�•;, - ,�� � "
Total 1.;$97.75:�,-
PLANNING&ZONING
SETBACKS %,- �� ; _ �" a . �# y'/' <
MAIN STRUCTURE Tront 0,0, Rear— --0-'0- -Left -0 0"%,%'Right � 0 0'�
rte.
ACCESSORY Front 0 0. �t: Rear 0-0 _Left 0-0�� Right 0-0 �i
�n1-
PARKING Existing: Required: 0 Proposed: �0
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.
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 Inspections 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
2446-46 (6/00)
141
DECLARATIONS
WORKERS' COMPENSATION DECLARATION: -
I hereby affirm under penalty of perjury one of the following declarations::
❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the .
work for which this permit Is issued. -
I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' fc'of� enation sul rarnce carrier and policy number are:
o- T iss section need not be completed if the permit is valued at ane hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which"this pennil is issued, I shall not employ any person in any manner so as td become subject to the workers'
compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fonhwlth
comply with these pr
Applicant Signature:
�Iymions.0 C—�"
�v�
.
�WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that,4am licensed yj�derppr, Ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full
force and effect.'.l'k.•a�--$ Classs 4�
Corlmcrors'ND ,
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Cade: Any city or county which requires a permit to construct, alter; improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or offered tot sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Dale:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be tiled with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
.......................................................................................................................................................................................................................................................................................................................................................
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
............................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
......................................................................................................................................................................................................................................................................................I .............................................................................................
4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
.............................................................................................................................................................................................................................................................................................................................................
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this as plication a armit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes a No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
.......................................................................................................................................................................................................................................................................................................................................................................................
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(It 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
.......................................................................................................................................................................................................................................................................................................................................................
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? [I Yes ❑ No
.
...........................................................................................................................................................................................................................................................................................................................................................................................
e (If "yes", attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the intonation given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
/m Si tura Of Legal Owner(s) // /2 R ata
/V
�rAnd/Or AuthodzeG[Applicant rxy,4. // LDate,
CODE r. INSPECTION TYPE- PAT& " INTmAL3 - CODE# INSPECTION TYPE JIM .. INTMALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof (D—OS 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy -
Applicant
to fill-in all spaces except those within heavy border lines and sign all appropriate declarations.
`
' 61 44 ;10/L�Bf:®6c-,
-
CITY'OF COSTA MESA CQNSTRUCTION PERMIT
Project Address
PERMIT Nov'
TRACT NO.
LOT NO .1
t
UNIT No.
TYPE OF CONSTRUCTION Ll NEW LJ ADD 11 ALTERATION LJ REPAIR
'❑ CONVERSION_❑10 DEMOLISH -OTH_ER _ _ _ _ -
DESCR I PTION OF WORK/USE OF BLDG. -
f
Applicant's Mailing Address El9_�1t�[n9
O + /
Owner's Name h
Address A%1% F
1
A"p, # _ _ Zone
S
Main Building: + - Accessory Building:
Arch/Eng. License No.
Address 1
TYPE OF PERMIT ❑GRADING' may FOUNDATION STRUCTURAL
❑ TENANT ❑ELECTRICAL L'l PLUMBING ❑MECHANICAL
❑ OTHER _ - _ � _ .' ..
PROJECT DESCRIPTION SO. FT. OCCUPANCY
'CON STRUCTIONTYPE VALUATION5
OZONE GRADINGCU.YDS. ACRES
E
T
Front
Z
O
A
Rear ' ' f `
N
Contractor's Name Phone �)-R;) V70
Address lmailingl1S33 p�.ti p /L/'iJ�-4�'f% i�if�.flhey/�J
City License No. � �/ ��! �
LICENSED CONTRACTOR DECLARATION
1 hereby affirm,thabl am licensed under provisions of Charter 9 commencin
P ( 9
with section ]000) of Division 3 of the Business and Professions Code, and
my license is in full forc/?✓antl of ect. J
` `3'� 7' n 9 ; /
C
.. -I
Right
N
K
g
Left ,
G
R
Ping. # Park i ng�Req./Provided y
E
Remarks: r
-
Planning Notes:
Q
MT
- _
$
Licen CI m nse/�O.
Date/D-70- S'g t ✓iC-+f CZ jr^
- PLUMBING
FEES
Bar Sink-
Showers - - -
ELECTRICAL -FEES
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of. consent to self insure or a certificate
Backflow Preventer -
Service Sink-
-
Automatic Washer Transformer 15-50 KW
r
- ❑ 50+KW -
Construction Pole Sub. • -
.
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.) //�/
19V `14 3,—,+✓-L� S
Policy No: Company T!%
❑Certified copy is hereby furnished. x�
[-)'CerYfieqq Fo yg filed with the city,,{{66yyn;;•.Itling Diy%sl,�g7 ?r--+
Date�� /f Pd"� 'APPlicant/1J(�--/-/ d cr. 4"����
EXEMPTION FROM WORKERS' COMPENSATION DEDLARATION
Backflow Irrigation
Sewer Ca -
P
Bathtubs
Sewer Connection
= ,
COokin Unit Meter;❑u tO, l00 am s
9 P P
Clarifiers
Solar Collectors
' Dishwasher ,Meter Dover 100amps I
1 r
k1W�
(This section need not be completed if the permit is for one hundred ($1'00) or
less).
Dishwasher'
Solar Piping
-
- .
Dryers ❑Gas ❑Electric, Sub Panel
I certify tliat in the Performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California.
Date Signature
NOTICEa f, after making ,this declaration, you should -become subject to the
Workers' Compensation prionsion5 of the Labor Code,' you must forthwith
comply with such 'provisions or this permit shall be deemed ; evoketl.
v
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance
Drinking Fountains
Solar Tank
Fan I -Mors ❑0-1 HP 01 'A 8
-Motors '
Floor Drains j
Swimming Pool w/$ a
9 P
F.A.U. Inc_ Solar ❑9h5 HP ❑16-15+
- - - -
Floor Sinks
Urinal
_
r
Fixtures Microwave
Gas Service Outlets
Water Closet
Device Boxes Pole Light .
9
Interceptors
Water Heater
"�
[/
Outlets R an 9e
of the Work for which this permit is issued (Section 3097' -Civ. C.)
Lentler's Name
Kitchen Sink - -
Water Service -
-
- - -
Switches Sign'
Lender's Address -- -
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section. 7031.5 Business and Professional Code: Any city or
Lavatories
Auto -Wash,
Garbage Disposal Standing Sections
P—Trap
Laundry Trays
1 Generator 00-5 KW 05-115 KW Trash Compactor ,
county which requires a permit to construct, alter, improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for,such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section'7000) Of
Division 3 of the Business and -Professions Code) or -that he/she is exempt
ROOF Drains -
- -- -- -
-
"
therefrom:and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant t0 'a civil
Reinspection Fee
$15
1 'Issue Fee
1
$_ 3
enalty of,not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole
compensation, will do the work, and the Structure is not intended or offered
for'. sale (Section; 7044, Business and Professional Code; The Contractor's
' License Law does not apply to an owner of a property who builds'or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided thaEsuch improvements are not Intended or Offered for
sale. If, however,"the builtling or improvement is soltl within one year of com-
plelion, the owner will have the burden of proving he/she dltl not build or Im-
prove for the purpose Of sale). ,_
❑.I, az owner of the property, am exclusively contracting with licensed con- "
Reinspection Fee
'$15 Issue Fee .$ 3
MECHANICAL
I i
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
r - -
Zoning Approved By Date
.Building Approved By =Date
- _ 8
Application Issued By _ _ •Dat C/
Boller
Hood or Type ❑
Canopy Type II ❑ 1
Duct - Under Ground
Duct -Structural
Refrigeration System
-'
4,
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware,that
proof o their Worker's Compensation insurance should be provitletl to me.,
❑ I am exempt under Section _ B. & P. C. for this reason
00-100,000 BTU .❑ 100,000 BTU
DWt - Ventilating
SUMMARY OF FEES
_ 1 II -
BUILDING PERMIT $ SMIP $
PLA N.CH ECK $ "_ .PERMIT- +
PLUMBING • $ .-S �-ri -ISSUANCE' $
- - ENERGY P.C: $-
PLAN CHECK 25% $' - ,
.GRADING $ '
I '- $ • -
PLAN CHECK ,50% $ - MICROFILM $
,
MECHANICAL $+ TOTALFEE
PLAN CHECK 25%-$
Exhaust System Elm Multiple ❑.
-
SysteRepair/Alteration.
Firepl/Fact: BIt. ICBO_#
Fire Dampers
Date owner- - -
Date
,I hereby certify that 1. have read this application and state that the above-
' information is correct. l agree to comply with all city and county ordinances =
and state laws relating to building construction,- and hereby authorize repre--
:sentatives of this city to elite u op the above-mentioned" property for
'inspectionp r ses. �O,/�_�-
Signature Date
'Drivers' License or SS
-
Heating S 9'
g ystem & Ducting -
❑0;100,000 BTU El 100,000 BTL,ELECTRICAL
- -
Re isters
9
-
- ,.
•, _
-
Reinspection Fee $15 Issue Fee I $ 3
CMF
0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit # mate
Inspector
POOL? 'A
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd!
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
•54. Forms
4, Electrical Conduit-Undrgrnd.
55. Electrical Bonding
`
5. Steel Reinforcement.
56. Rough Plumbing & Pressure Test
j
6.' Electrical LIFER Grnd.
57. APPROVAL TO COVER-.GUNIT,E
7. Footings
58. Electrical Conduit-Undrgmd.
v
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
c.a
9. Water Pipe-Undrgrnd'. `
_
60. Backwash Lines, P-Trap,i0 Undrgrnd.
1 10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor-Fl
12. Sewer Cap `
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough,Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar 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
APPROVALS Permit # _
20. Rough Factory Fireplace' -
21: Ducts; in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0 Gas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
.24. Roof Framing
73. Undergrnd. Storage Tank ❑ Gas 00il
25. Roof Sheathing -
-74. Overhead Hydro
'
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27: -Frame anis Flashing
76. Dry Standpipe
- -
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH 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 Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
-
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
'
40. Gas Service --Final
41. Solar Domestic -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. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co
I
51. CERTIFICATE OF OCCUPANCY
No. Date
City of Costa Mesa
Building Safety Department CERTIFICATE OF O C C U P A N C Y N? 2359 C.
P. O. Box 317
Costa Mem, California (!?b l
The Building located at laqy su"AC" 3iye —
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group RA '41 Occupancy.
Use of Building
Legal Description— - �� wt 16
(See reverse side for Metes and Bounds)
Building Permit No. %Qj Electrical Permit No.
Plumbing Permit No.
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. —
required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used -or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article B.
Number of apartments -4 and/or guest rooms
ISSUED TO: Building
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Foam su34-aM-11-63--S-s r
25003
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1298 COSTA MESA, CALIFORNIA 92920
For Appllmo4 to Fill In Compl9No/y
TYPE OR PRINT i
wDRESS 1629 Coriander Drive f
COSTA MESA, CALIFORNIA
I
�wneR KAL—SOUTH DEVELOPMENT CORP
1+'"11 art—nn 92632 SIL -871823
B 102 641. iN-97871—
73 x 109.60 I No
el nn --,--
SETBACK LINE
DESCRIPTION OF WORK
5 car
CITY OF CosTh MESA
CAT 6 1965
APPLI ,F�yIOORRg�P'EERRMIT
` Fo it _0 DITY
U
ZONING
11[C[IFT no.
p{AM�/O.�
BEco EY
DA RE o
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wL��VJtiB�UBJIU�VJIo
A. P. NO.
/Z
( _
BUILDING •/
ADDRESS lD
U
ZONING
I NMABT Ac6NDWL[DG[ THAT.I NAYS R[AD THIS APPLICATION
AND STATE THAT THE ABOV[,IS CgRRKOT AMD AGES[ TO COW
PLY WITH ALL CITY C;R )G) HCE. HI G AM LA......I A G
BUILDING CONSTRUCT QN.
SIGNATURE OF . �,
PHRMITTE
AUTHORIZKD AGRNT
M®na®
SHALL BE LESS THAN
YARDS APPROVED
ACCESSORY BUILDING
FT. \ AjTOTALFEM
LEGAL /
E BET. a
DE.cElnlon
ROVHD
Epy
A. P. NO.
NOTE: NO EAVE OVERHAI
3235
SO' TO SIDE a REAR P.!=
Ea. F . -IMOUNT
EAVES
DF SLOGS. O
ALLOWED
ION LOT
sLJ
YARDS APPROVED
MAIN BUILDIN
OM C/ 8
fAR
NT
8IDMS
TIFR
. P
I NMABT Ac6NDWL[DG[ THAT.I NAYS R[AD THIS APPLICATION
AND STATE THAT THE ABOV[,IS CgRRKOT AMD AGES[ TO COW
PLY WITH ALL CITY C;R )G) HCE. HI G AM LA......I A G
BUILDING CONSTRUCT QN.
SIGNATURE OF . �,
PHRMITTE
AUTHORIZKD AGRNT
M®na®
SHALL BE LESS THAN
YARDS APPROVED
ACCESSORY BUILDING
FT. \ AjTOTALFEM
PT.
E BET. a
MAIN BGS. ESS. SLOGS.
ROVHD
Epy
D/)—i6—.GE2
r
Ea. F . -IMOUNT
SHOWN UATION IS FOR THS
SE OF ESTABLPERMIT FEE ONLY.
ON doc
SIS
EE 5 13'9'
sLJ