The URL can be used to link to this page

Home My WebLink About2748 ALBATROSS DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2748 ALBATROSS DR Suite No Vicinity: Parcel Nunmber: 13947619 Applicant: NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 GARDEN GROVE, CA Owner: DOERINGER, PETER H JR Address 2748 ALBATROSS DR COSTA MESA, CA Contractor: NOCK PLUMBWG Address: 11612 KNOTT ST SUITE 217 Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Dental UniGs Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve GARDEN GROVE, CA CHANGE OUT WATER HEATER. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 PLUMBING PERMIT Phone: (714) 895-1246 Zip: 92841 Phone: Zip: 92626 Phone: (714) 8951246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY �TY AMT Laundry Tub / Washer $0.00 0 Landscape Irzigatlon $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 k) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 04/01/2004 Issued: 04/01/2004 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 t 0 0 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) EXPIRA710N: 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectiane and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaacas(voo� WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penalry oi perlury one of ihe following declarations: ❑ I have antl will maintain a cartificate of consent to self-Insure tor workers' compensation, es providetl tor by section 3700 of the Labor Code, for the pertortnance of Ihe rk tor which tlii5 De��t is is5ued. I have ana will maimain workers' compensation insurance, as require0 hy section 3700 of Iha Labor Code, for the pedortnance of the work for which this Dertnit is issued. M w�oIrMej�j c s sure c carr r,end olic numberere: Y �I��o „^ �� Carrier:Y /;-lU �� h� � Polic Number: IY.�T�� (This section need not 6e comp/eted it fhe permif Is valued at one hundred dollers ($100) or less.) ❑ I certiry t�at in Ihe pertormance of the work lor which this pertnit is issued, I shall not employ any pereon in any manner so as to become sublect to the workers' compensation laws ot Californie, and agr I should becoma subject to tha workers' compensation provisions of Section 3700 of the Labor Code, I shall forihwith comply with ihe�g_p[ovi%'°°�% �/ / /'(�� ApplicanlSignaWre: �/ L/9 Date: `—i' (2/ /"I WARNINO: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS UNLAWFUL M1D SHALL SU6IECT AN EMP�OYER TO CRIMINAL PENALTIES AND GVIL FMES UP TOONE HUNORED THOUSAND DOLL4RE (5100,000�, IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SEGTION 31060F THE LABOR CODE, IIJrEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereb aHirm that I am lic,$y� vl�ions of Cha ter 9 commencin with Section 7000 of Division 3 of the Busines /� rofessions Code, antl m license is in full force and ettecL Lic. a / 7 ,..��n _.-� P 9 ' Class a ��I.l% __ Y � , _ � ,�i Contrector's Signature: / Date: r CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that ihere is a construction lending agency for ihe performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalty of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions Cotle: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any simcWre, prior to its issuance, also requires Ihe applicant tor such pertnit to file a signed statement that he or she Is IicenseA pursuam to the pmvisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Cotle) ar that he or she is exempt therefrom and t�e basis tor the elleged exemption. Any violatlon ot Saction 7031.5 by any appliwnt for e permit subjects the applicant to a civil penalry oi not more ihan tive hundred dollars ($500).): ❑ I, es owner of the property, or my empioyees with wages es iheir soie compensation, WILL DO 7ME WORK, and Ihe simcture is not iniended or oHeretl for sale (Sec. 7044, 8usiness and Professions Code: The Contractors License Law does not apply to an owner of properly who builds or improves ihereon, and who does such work himselt or herself or through his or her own employeas, providetl that such improvemenis are not intended or oHered for sale. tl, however, ihe builtling or improvement is sold within one year oi completion, ihe owner-builtler wiil have the burden of proving that he or she did not build or improve for purpose ot sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct tha project (Sec. 7044, Business and Pmfessions Cotle: Tha conirectors License Law does not eppty to an awner of property who builds or improves thareon, and who con[racis tor such project with a contractor(s) license pursuant to lhe Contrac�ors License Laws.). ❑ I am exempt under sec. SignaWre: Owner ID varified by dnvers license. ❑ Yes ❑ No Business an0 Professions Code tor this reason: Verification of Ownership by (type of document, i.e. - propeny tax hill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Dale: Expires: ❑ I hereby certiy that no eacavation tive (5) or more feet in depih into which e person is required to tlescend, will be made in connection with work euthonzed by t�is permit, and ihat no building s�mcture, scaHoltling, fatsework, or tlemolition or tlismantling thereoi, will ba more Ihan Ihirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California AdminisVetive Code). � As owner-builder, I will not employ anyone to tlo work w�ich woultl require a pertnic from the Division of Industnal Setery, as noted abova, unless such person has a permi� to tlo such work irom the division. Signature: Date: Division of Intlustrial Safery Permit Number: CERTFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certity under penalry of perjury that I have read this applicalion and state ihat ihe information given is correct. I agree to comply with all staie laws end ciry ortlinances relafing to builtling consiruction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or ailow occupancy of any building authorized by this permit until final inspaction. o� W�e��S, �� ihonzed Applicant COUE A. INSPECTIONTYPE 1616 Fixed Sys�em Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �E INTITIRLS ��°=`� �i Dat� COpE� INSPECTONflPE 206 Final Mechanical 208 Final Plumbing 270 Final Eledrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy Q� 1NIIIIAI§ .�1-14 -�`i �.�iv Aov��ant to fi11 in all soaees except tnose within �eavy boraer Iines ana sign a11 appropriate Eeclarations. CITV�OF COSTA MESA CONSTRUCTION PERMIT P RMIT NO. TRACT NO. LOT NO. UNIT NO. lP.rmjectAddress Z74g A�QT�� R• • _ � Applicant's Mailing Address 5a m�:. Owner'sName �E� ��?E� Phone�g'�� Address 27�a A�Barv.os Oe• c,osra mESA Arch/Eng. License No. Address ^ �.�� p�� Contractor'sName`��%��5 �� phone�'1J_Yl� Address(mailingl �a�� • ��2STSi•r�n{jp /�NA19Z%'3) � CiryLicenseNo. 3�d4"C� LICENSED CONTRACTOR DECLARATION I hereby affi�m that I am licensetl untle� p�ovi5ions o( CM1a�te� 9(commencing with section ]000) of �ivision 3 of the Business antl Professions Cotle, ane my license is in tull force antl etfecL .�"' /fJ�Cq /SJ � License�lass � -----+e`�Lt�+l' e No. Date Yf Signahre `HORKERS'COMPENSATION DECLAf2ATION ^reby aifirm that 1 have a certi(ica[e of wn5ent co selLinsure r a tertiticate Workers' Compensa[ion Insurance, or a certifietl copy thereof (Section e00, Lab. CJ u�� c rcy �vo. 2�S-�� I�Fib comvan ��'G1TE FJNI_l Cer[ifietl copy is hereby turnisheG. Certifi tl copY �S (iletl with the City B tlin on. � Oate �/� A%r�JJ�_ Applitant � � �� .�� E%EMPT15N FROM WORKERS' COMPENSATION DECLARA ON (This section neetl not be comple[etl if the permit is for one huntlretl ($300) or less). I cartity that in the pertotmance of the work fOt whlch this pe�m�t is issuetl, I snall not employ any person in any manner so as to become subject to the Workers' ComOensalion l.aws of Galitomia. Date $i9nature NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of tne Labor Cotle, you must (orthwith comply with such provisions or this permit shall be tleemetl revoketl. CONSTHUCTION LENDING AGENCV I hereby aftirm that Mere is a wnztruction lentling agency tor the pertormance of th¢ wOrk for whi<h this petmil is issuetl (SeCtion 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER OECLARATION . I hereby affirm lhat I am exempt trom the Contractor's License Law for the following reason (Sectlon �031.5 Business antl Professional Cotle: Any city or county which requires a p¢rmit to con5truct, alte�, improve, Gemoli5h o� �epai� any sVucture, prior to its issuance, also requires the applicant for such permit to file a signetl statement that he/she is licensetl pursuant to the Provisions o/ �he Contractor's License Law (Cbapter 9(commencing with Section 7000) of �ivision 3 oi the Business antl Professions Cotle) or that he/she is exempt ereirom antl the basis for the allegetl exemption. Any violation o( Se<tlon 031.5 by any applicant for a permit subjects the applicant to a civil Denalty of not more than tive huntlretl tlollars (SSOOj. "� I, as owne� of the prOper[y o� my employee5 with wage5 a5 Ihei� Sole compensation, will tlo Ihe work, antl the struc[ure is not intentled or o(t¢retl for sale (Seclion 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves the�eon, dntl who tloe5 SUCh wo�k himselt/herselt o� th�ough hiz o� her own � employees, provitletl that such imprOvements are not intentle� o� ott¢retl fo� Shc¢. If, bowever, the builCing or improvoment is soltl within one year of com- pletion, the owner wi11 have lhe burtlen oi proving he/she tlitl not builtl or im- p�ova tovthe purpOse o(Sale). ❑ 1, as owner oi Ihe prooerty, am exclusively contracting wlth Ilcensetl <on- tractors to construct tne project (Section ]044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner ot Oroperty who . builtls or imoroves thereon. antl who contracts �or such oroiects with a r,on- Itractor(s} Lcense pursuane m ene Contractor•5 License Law). I am aware thac proof of their Worker'S Compensation insu�ance shoultl ba providetl to me. ❑ 1 am exempt untler Section B. & P. C. for this reason Date I hereby certiy [hat I information is correct. I antl ztdt¢ laws �ela[ing sentatives o� this c Inspection purpo5e Signature DNvers' License or 55 �p 0865-46, rev. 5/88 Owner rve reaa this application antl state tnat the above iree to comply with all city antl county ortlinances bviltlina ron5truction. antl herebv autho�ize reore- � 349l09' A.P.# S Main Building: TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' 7 Ffon[ ' DESCRIPTION OF WORKNSE OF BIDG. R�S` �E� C� A Rear I C Right TYPEOFPERMIT ❑ GRAOING ❑ FOUNDATION ❑ STRUCTVRAL I K. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � S� Left -� ,OTHER i�r � N - , Ping. Ref. # PROJECT DESCRIPTION 54. FT. Zq oCCUP.arvCvp�/�� Planning Notes: CONSTRUCTION TYVE VALUATION $ �—/ W� ZONE GRADINGCV.YDS. ACftES Rema�ks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trep Roof Drains Reinspaction Fee , � $15 Boiler Duct - Under Ground DuCt - $tfuctufdl Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ a100,000 BTU O 7 00,000 BTi (teinspection Fee I $15 White - BuilOing: Canary - Applicanq Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solac Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater �Water Service Auto-Wash Laundry Trays laue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Regis2ers laue Fee Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �0-5 KW Reinspection Fee ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps 5KW $15 Sub Panel Motors�0-1 HP 01'/:-8 Inc. Solar 09-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: ZoninB APProved By FEES Building Approved By Aoolication Iccued Bv $ 3 FEES $ 3 SUMM�_,jRV OF FEES BUILDINGPERMIT $ 6I,OD SMIP $ �.5?� PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICA� $ GRADING $ PLAN CHECK 50% $ � MICROFILM $ p MECHANICAL $ TOTAL FEE $ 6 �+�� PLAN CHECK 25% $ O N I N G R E Q M T $. �? �0a12404-D0012405 T+7T �n„�p DATE: 03/i81E8 TTI1E: f?:5; �ONSTRUCTION AND PLANNING - PO� , SPA '-�j�PPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole �� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �.� I � 53. Steel Reinforcement 3. Elec't�i'cal Condui# UXility-Undrgrnd. • i ��; 54. Forms . , 4.,Electr,icsl Conduit-Uhdrgrnd. -�' 55. Electrical Bonding _ - , 5��Steel�Reinforcement i 56. Rough Plumbing & Pressure Test - 6- Electrical UFER Gind. � 57. APPROVAL TO COVER-GUNITE ' ' 7�'IFciofings '� ,' , 58. Electrical Conduit-Undrgrnd. I 8..Fountlation _� � ,. � �� 59. Gas Pipe, � Undrgmd., Test , _ 9. Watec Pipe-Undrgrnd. �'� ,� 60. Backwash Lines, P-Trap, O Undrgmd. � 10. Structural Floor System � � 61. APPROVAL TO DECK 11. Property Sewer Line:& HouseCor�nection , 62. Backwash & Receptor-Final , i ' 12. Sewer C�p i � • - 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�l,Niring 67. Fencing & Access Approval 1�7. 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 Struc[�re � � 70. Underground Hydro � 22. Ducts, Ventilating _' 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough;& Test �� 72. Underground Flush 24. Roof Framing � � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing �' � � '� ' � 74. Overhead Hydro � _ � 26. T-Bar Ceiling (Stiucturel) &-IY16nocoat 75. Dry Chemical - i 27. Frame�and Flashing - - 76. Dry Standpipe 28. Lathirig & 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 Metei-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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation ' 44. Landscape Irrigation System � �� • 45. Sound Attenuation 46. Handicap Regulations _ 47. FINALSTRUCTURE&BUILDING 3 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY , � No. Date f * �� 3b065 COSTA MESA BUILDING-SAFETY DEPARTMENT 4rr'?� -6-%'�aqu�� 29" iriri:::f:�LJ� P.O. BOX 1200 COSTA MESA, CALIfORN1A 9%26 � LI ATION FOR BUILDING PERMIT For Applicant to Fill in Completely R C 1 E �V D TE ECEIVED DATE ISSUED BUIIDING �••� � -% ADORESS J ' j' ,�JS� � � - / PEHM T,Nq, OWNER f'F- t3 _I'1.f�C�Y A.P.NO. ' tm "1 f I I�.`i BUIIAING p ADDRESS �'(lyl � ADDRESS� a � �, j%fTJZ.OSS aU CITV C�.f/ . ,,� y.� NOL S�Ea� TRACT ;'�� IOTC BLOCK Z Q COIJ�RUCfION O� LENDER /�1� am J � BflANCH J � OWNER m J ADDRESS (^^ VALUE m ARCHITECT / � NEI.. � O W $ '� y OR ENGINEER V Q ' FIRE W K ADDRESS ZONE TVPE GROUP - d w APPROV ,i W Z CONTRACTOR �� '` .o . BV DATE � J Q m Z �� ADDRESS '")�� ',(/ („�J•sfilsc. � ,'_�'// w W TEL. Z�NEfJ NO.OF USE OF NEW �'� O C(, Vcy\ Z= CITY �y� �.�-� NO.'S��C "- �l � P�'� BUILDING F w� STATE CITV VARDSAPPROVED VARDSAPPROVED. j O LIC. NO. /�y r�7 � /4� LI0. NO. MAIN BUILDING ACCESSOFV BUII �NG SIZE NO.OF BLDGS. (FROM E T) OF LOT �. J NOW ON LOT / ROfYT � FT. USE OF EXISTING BLDG. � �� Q� SIZE OF � y � ROOMS STORIES L SIDE �`- FT. FT. NEW BLDG. /� U EXTERIOR WALL ROOP �J Z COVERING COVERING fiEAR L FT. FT. J USE OF BUIIDING AND WORK TO BE PERFORMED DISfANCE BET. BET. AIN & a MAIN BLDG.^a. ACCESS. BLDGS. a Q VAR.# DATE O p, C.V.P.� APPROVED F ry APPROVED � � .,�, C T es, z- z 0 UI hereby acknowlatlge that I heve reatl this application antl rtate � thet tha above information is correct entl aprae to comply wit� � ell laws re8ulatln0 buildinp construction, and 1 shall not employ r�( F any permn in violg��on ot Me workmen's compensetion laws of Me State ot California. m Z I hereb certif thgt 1 am O SQ. FT. o V Y properly iiconutl as a cOntratSor unEer ihe State of Califofnia Businass and Professions Cotla, Oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, anA thet such licenses ere in full forca antl effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: m am ezempt from tf�a provisions of t�e State of Callfornla Business � and Professi Cotla, Division 3, Chepter 9. VALUATION � y � ERMIT FEE S � Sipnature f / � p/ , /� m Permitt ' ` .�� - $ V � PLAN CHECK $ E `o Aut aRzatl Apent - ,/ LL TOTAL FEE S 'f�OWNER DOERINGER� Peter H. �JOB ADDRESS 2748 plbatross �r. �GENERAL CONTRACTOR praver C9nst. Co. APNo. _k 6_1 LOT TRACT `� INSPECTIONS Si nature SOIL � GAS �� WATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKIING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARV SERVICE OR POLE UN�ERGROUND � POWER � ROUGM WIRING TRENCHES � FORMS � STEEL REINF. � FLOOR SYSTEM BONO 6EAM STEEI REINFORCE SHEATHING FRAME ANO FLASHING LATHING - IN OUT PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AN� GAS TEST ELECTRIC, FINAL BUII�ING, FINAL C DATE FIRE ZONE T VALUE SUBCONTRACTOR I�q 40�0` ?_ ! �0�' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 2f7 COSTA M89A. CALIPORNIA For Applicanf to Pill In Completely TYPE OR PRINT BUILDINO ADDRE59 2 4$ Albatross Ilrive COSTA MESA. CALIFORNIA erde Drive 1833 E. 17th St., Santa Ana �OX fD0 J��O i�I I NOW ol X� ��----�—, ■ HETBACK Llryi FR�� r�0 � DESCRIPTION OF WORK i� II ��rsnaT�oti I II a�n NO. OR ROOM8 6 6T R IROOR P � COVERIN6 inp RK TO B8 PERFORMED Garage 425 sq.ft. Plan 41-A 1 HEREBY ACKNOWLEOOB TXAT 1 XAVE 86AD TM19 APPLICATION ANO 6TNTE THAT THE ABOVH IS COHHECT AND AOqEi TO COM. PLY WITH ALL CITY OqDINANCBB ANO 6TAT8 LAWB qHOULAT�NO BIIILDINO CONeTRUCTION. SIGNATURE OP PERMITTE AUTHORIZ6D A6 � � rtt KtCEIVED NAp 8 1 198a FINANCE DEPT. CIiY OF COSTA MESA APPLICATION FOR PERMR BUILDINCi For Office Use Only nereissueo BUILDING ADORE58 FIRB ZONING ZON6 NO.OP I 119EOPNEWSZR • � �4�� PLANB r� BUILDINO��S.t g�.i� Aa c r� DBGCRI'TION IAt 90, Tract 5289 A. P. NO. 110II8 NOTE: NO EAVE OV ERHANG SHALL BE LE95 TMAN 90^ TO BIDfi @ R6AR P. L. EAVES ALLOWED (U.B.C.REQUIREMENT� YARDSAPPROVEO YARDSAPPROVED MAINBUILOIN6 ACCESSORYBUILDING VAR. $C BET. MAIN Q AGCE55. BLI DATE -3P- G 8 sv. �. TXE AMOIINT BHOWN IINGER VALUATION 16 POR THH z PUflPOSE OF 88TABLI6HIN0 A PEpMIT FEE ONLT. � VALUATION � / � m PERMIT FEE $ �� i 30 � � 3 - � GG _ 4