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Home My WebLink About2528 ANDOVER PL - Building Permits. (714) 754-5273 • F9x (714) 754•4856 Job Address: Suite: Vicinity: CITY OF COSTA MESA � BIIILpING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 2528 ANDOVER PL WHOLE HOUSE Parcel Nunmber: 74141236 Applicant: ROBNETT, LORI R. Address: 2528 ANDOVER PL COSTA MESA,� CA Owner: ROBNETT, LORI R. Addressr�� 2628 ANDOVER PC . '��COSTAMESA,CA� - " Contraaroc � . �� - " , ,Address: - BUILDING PERMIT PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Zoning: ISSUED BY: Phone: Zip: 92626 Phone: Zip: 92626 Phone: Status: ISSUED Applied: 07/07N 999 Issued: 07/07N 999 �'� , � 2ip: -. : License: � ' . , � Arch ..: � , � ' Eng: � . � .' Addresst , ' . � Address: � - ; � . " ; . Phone: � ;,� Phone: - �, � �' Zip � ' L'icense: Zip: � , License: � �, , � � SCOPE OF PERMIT • � ,., � REMOVE,& REPLACE (6) WINDOWS &(1) SLIDING GLASS DOOR WITH LIKE MATERIALS (SAME SIZES). ENLARGE (1) � � ' WINDOW IN BEDROOM (74" x 30") TO MEET EGRESS REQUIREMENTS - MAINTAIN EXISTING HEADER. CONVERT (1) � , �� WINDOW INTO FRENCH DOORS - MAINTAINING EXISTING HEADER. ' \ �Plan Cneck: ^ .Permit: SMIP Res: `SMIP Gom: � �� , Other Inspection: Total: , $0.00 $124.75 ; $0.70 `$0.00 $0.00 $0,00 $125.45 SETBAGKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: e Rear 0- 0 Rear 0-0 Required: 0 Calc Valuation: Claim Valuation: � PLANNING & ZONING Left 0-0 Right Left 0- 0 Right Propased: 0 , g�,000'oo s�,000.00 ,, � NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutas and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is nol commenced within 180 days, or if work is suspended or abandoned for a period of 1 d0 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 raquired InapeCtiona end flnal epprovel must be obtained. Failure to obtain inspec�ions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' CAMPENSATION DECLASiAS10N: ' � , � I hereby attirm under penelry of perjury one of the following declaretions: � ❑ I have end will maintain a certiiicate oi consent to seN-Insura for workers' compensetion, as�providetl for by sectlon 3700 of the Labor Code, woAC for which Ihis permit Is issued. ❑ I have end will maintein workers' compensation insurance, as required by section 3700 of the La6or Code, for the performance ot ihe work for My workers' compensetlon Insurance carrier and poliey number are: CaY�ier. Pollcy Number. _ (7Ms secNon rrsed not be completed i77he permit /s velued el one hundred dollars ($100) o� less.) ❑ I certlfy ihat In the performence of the work tor which this permit Is Issued, I shell not employ eny person in any manner so es.lo becoi compensatian lews of Cellfomia, and agree thel If I should become su6ject to ihe workers' compenselion pmvlsions of SecUon 3700 of the L comply with these provisions. qpplicent Signature: Dete: WqpNING: FFIWRE TO SECURE WORKERS' WMPENSATION CAVERAGE I$ UNLAWPUL AND SHAIL SUBJECT AN EMPLOVEF i0 CRIMINAL PENALTIES AND CIVIL TMpUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF CAMPENSATION, DPhNGES AS PROVIDED FOR IN SECTION 37W OF THE LABOR CA�E, INTEREST. . [he peAortnance of the ich this pertnit Is issuetl. subject to the workere' t Coda, I shall torthwith IES UP TO ONE HUNDRED 1 ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I I hereby atfirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Busineu and Professions Code, entl my Ilcense is in full farce end eflect Li¢ N Clflss N I Con�ractor's Signature: Date: � CONSTRUCTION LENDING AGENCY: ❑ I heraby afFirtn that there is e construction lending egency for ihe performance ot ihe work for which ihis pertnit is issuetl. (Sec. 3097, Civil Lentler's Name: Lenders Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: I heleby aHirtn ihet untler penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha lollowing reason (Sec. 7031 � Code: Any ciry or county which requires a permit to conshuct. aiter, improve, demolish, or repa'rr eny structure, prior ro its Issuance, elso requires I to file a signed statement thet he or she Is Ilcensed pursuant to the provislons of tha Contrectors License Law (Chepter 9(commencing with Seclli Business and Professions Code) or that he or she Is exampt therefrom and the basis for t�e alleged exemption, Any vloletion of Section 7031.5 t sub�ecls lhe applicant to a civll penelty of oot more ihan five hundretl dollafs ($500).�: ❑ I, as owner of Iha properry, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and �he structu�e Is not inteni 70 4, Business and Professions Cotle: The Contrectofs License Law does not apply to en ownef of property who builtls or improves therec ' self or herself or Ihrough his or her own employees, provided thet such improvements are not intended or oNered for sale. If, however, ih� old within one ye r f completion, the owner-bullder will have the burden of proving that he or she did not build ar improve for purpose af sal I, as owner af t arty, am EXCLUSIVELY CaNTRACTING WITH UCENSEU C�NTRACTORS to cw�slruct the project (Sec. 7044 Cotle: The co a Licensa w does not apply to en owner of praperty who Guilds or improves thereon, end who contrects for such licensa pursu t e Contr rs License Laws.). ❑ I am es sec. Business entl Pro�essions Code for this reason: SignaWra: Date: Owner ID e' ed by drivePs license. Yes ❑ No Drivefs Llcense No. I Verification of Ownership by (type of documant i.e. - property la�c blll or deed): Business and Professions i applicent Por such permit 7000) ot Oivision 3 of tha any applicant for e pertnit f or ofteretl for sale (Sec. and who tloes such wark �uilding or Impmvamen� is ss aad Pratesslons with a contractor(s) DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: I ❑ I hereby certify that no ezcavation five (5) or more feet In depth Into which a pereon is required to tlescentl, will be mede in connection w th work authorized by this permit, end t�et no building struqure, scaHolding, felsework, or tlemolition or dismantling thereoi, will be more than thirty-six (36) feet high. (C�ep. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomia Adminisirative Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require e permit from the Division of Industrial Safery, as notad ebove, unless such person has a. permit [o do such work from the tllvision. Signaiure: Dale: Division of Intlusirial Sefery Pertnit Number: 1 WIII the epplicant or present or fuNre building occupant neetl ro tile and certiy a Business Plan for emergency response to release or ihreatenetl release of a hazardous �natenal7 ❑ Yes ❑ No � (Section 25505 ot the Califomia Health and Safery Cotle requlres, with some exceptions, that a Business Plan be filed with ihe Costa Mes Fire Department by every pusiness which has at any one ttme tlur(ng a repo�ed year a quantiry o� hezerdous meterials equsl lo w graeter than e weght M 500 poantls, or e vatume ot 55 gatWns, or 200 cubic feet of compressed ges at standard [emperaNre and pressure). � 2 poes or will ihe applicent a� present or future buildinq occupaM need to file e regisiration torm for ecutely hezardous matenals7^0 Yes � No (Section 25533 of the California Health and Sefety Code, with some ezceptions, requlres reqistretion with ihe Costa Mese Fira Depertment by �ach business which et eny One time has on hend a quantiry of ecute�y hazartlous meterials equal to or greater than a weight of 500 pountls, or a volume of 55 ga�ions, or 200 cubic feet of Comoressed 4as flt stendard temperature and pressurel. I 3 oes or wni me a Ves ❑ � (Section 25534 0� Department of an 4 If an RMPP is prs 5 Does or wlll the e ormture Health has Section 25534 prepare en the Coste Mesa Fire Depertment may r :utely hazertlous ma[erlals with Ihe Fire aeNh and Sataty Code bean fully complli �rom Ibe eoutb coast Alr Duellry Manegement olstnct or rrom any olher ev polWnon cronirol tlisirict or egency7 LJ ves LJ rvo (Section 858502 of the California Govemment Code requlres Ihat Ihe requested intortnatlon be fumished on applicetions for non-resitlential bi ._,.'_'_-_.._.�.______...._.`..__...__..'_ _--_�______... .._.._—..._...._._.._.._...'_'.._._._'_�._ _ 6 Will any part of the fecility to be constructed untler ihis permil be within 1000 feet irom the outer boundaries af a schoal9 ❑ Yes ❑ No {�1'yes", ihe fecility must maet ihe requirement of Sections 25534 entl 42303 of the Califomla Healih and Safety Cotle). 7 If a permit irom the South Coast Air Dualiry Menegement Distnct or other air pollutlon conlrol dl5trict or egency is required for the work � eppliwtion, have ell of tha disclosures prescribed by California Health and Safety Cotle Section 42303 been made9 ❑ Ves ❑ No 8 Qf'yes", ettach cetlificate of compliance fmm the appropriate eir polluti0n conirol oHicer). pERTIF{CATE OF COMPL{ANCE�. 1 ceftify ihat nnder penelty W perjury ihe tniormation given above is correct. I agree to comply with ell ste regerding Hazardous Meterials entl Emissions. 5ignature: CERTIFICATE OF corred� I agree tc Da�e: xo and filing with the Fire nsirudion or motlification ling permits). ich is the sub�ect of this Iews entl city oftlinancas AND A17THOqIZAT10N OF ENTRY: I cenify under penalty ot peryury that I have raad this application afM state t at the information given is stete laws rdinances relating to bullding construction, end authorize representatives of �he Clry of Ca�ta Mese to enter upon Ihe 3ctionp ps . Ipgr e not to occupy or allow occupancy of any bullding authorizad hy this permit 4ntil �inal Insp�tion., �� And/OrAuthodzed Applicent CODE 1!. INSPECTIONTYPE 1816 Fixetl Sys[em Finel Fire Prevenllon 1266 P�I Spa Final 200 Final Re-Roof 201 Final BlxklRetei�i�g W all 202 Finel Fadory Fire Place 203 Final Sign 204 Final Demolition . 2448-48 PA7E Itl7IDALfi COOEf INSPECTIONTYPE 206 Final Mechenicel 208 Final Plum�ing 210 Final Electrical 212 Final Fire PrevenUon 220 Final Planning Approval 222 FInalSite 250 Flnal Bullding/Occupancy PflOJECTFDOPE55: 2SZB ANDOVER PL OWNEfl'SNAME: FISH, EDWARD B JR TR aooness: 2508 DUKE PL COSTA MESA,CA 92626 RNCHIENGINEEP: FDUflESS: 1 �� N�T: xEc.No.: uxir: PEflMITTEE: NOCK PLUMBING ( 719 ) 895-1246 FOOflE55: 11610 SEABOARD CIR STANTON CA 90680 LICENSE� CONTBACTOP OECLANpTION: 1 �ere�y aifirm ihat I am Iicense0 untler pmvisions of Chapter 9(commencing with Section 7000) ol Oiv�sion 3 0� the Business antl Pmtessions Cotle, and mY license is in full �orce and e��ec�. CITY LIC.: O 0 3 6 sraTe uc.: 51 19 71 cu�ss: C— 3 6 �e: Signa�ure: � �1 J (EHS' COMPENSpTION OECIABATION: I hereby a��irm al I have a cenificate of consent m selFinsure or a cenificate of workers' Compensation Insurance, or a certifietl copy ihereai (Section 3800. Lah. C). aaucvNo.: 1167992-99 E%P.OATE: O3IO1/9S camraxr: S TAT E �, Certitied copy is hereby tumishetl. � Certitied copy is ti� w the ciry 8ui '�ivision. Oate � 4" — 1'L y qpplicant 1 MPTION iPOM WOflKEflS' COMPENSATION DECL4RATION: (This sedion neetl not be completetl ii the permil is for one hundred (5100) or less�. I cetlily tha� in Ihe pedormance o� �he work for which this permi� i5 issued I shall no[ employ any person in any manner so as to 6ecame subjecl to Ihe Workers' ComOensa�ion Laws of Cali�ornia. Oate: Signamre: NOTICE: IL after makinA �his declaralion, you should become sublec� m �he Workers' Compensation pmvisions of the LaOor Coae. you muSl forlhwilh comply wi�h such pwvisions or �H�s permit shail be deemed revokeA. CONSTNUCTION LENOINC FGENCY: I hereby aflirm Ihat Ihere is a conatmction IenEing agency �or Ihe pertormance o� the work ior which Ihis permii is issuetl (Seclion 3097. Civ. C). LENUEH: FODNE55: OWNEH BUILOEB OECIABATION: I hereby a��irm �hat I am exelnpi trom �he ConVactors' Sia�e License Law Por !he following reason (Section 7031.5 Business and PmFessional Cotle: Bny city of coUnry which requires a permii to consimct, al�er, impmve, �emalish. or reDair any simclure. prior lo its issuance, also requires Ihe apO�iCan� for such permi� to file a signetl sta�ement [ha� he/she is lic¢nsetl pursuant m Ihe pmvisions ol �he Contractors' S�ale License Law (G�apter 9(commencing with Sec�ion 7000) of Division 3 oi the Business an0 Prolessions Caae� or �hat he/she is exempi Ihereimm anA Ihe basis for �he alleged exemp�ian. Any violation o� Seciion 7037.5 by any applicant tor a permi� su�lects �he apPlican� lo a civil penalty o� not more �han five hunGred dollars ($500). 1. as owner o� Ihe pmDeny or my employees wi[h wages as �heir sole campensatian, will do the work, an0 the ❑ strucWre is not inlendea or oflered for sale (Section 7044, Business antl Protessional Cotle: The Contrac�ars' State License Law does not apply �o an owner ai a DmpeRy wlw 6ui105 or improves �hereon, antl who Ooes such work himself/herself or Ihrough his or her own employees, pmvi0e0 Ihat such improvements are not intendetl or offeretl for sale. It, however the buileing or impmvement is soltl vnihin one year oi comple�iaq ihe owner wAI �ave �he burtlen o� pmving he/she tlie not builtl or improve �or Ihe purpose ol sale). I, as owner o� �he pmperty. am exclusively coNrac�ing wi�p licensetl can�ractors to conslmc� Ihe prolec� (Section 7044, Business ❑ antl Professions Cotle: The Contracmrs' State License Law tloes not apD�Y �o an ownerof pmDeny wha Duiltls or impmves therean antl w�o conVac�s lor such projetts wit� a contracmqs) �icen5e pursuan� �o Ihe CONractori Sta�e License Law). I am aware tha� prool oi t�eir WorkeYs Compensation Insurance shauld be pmvided 1� me. � I am exempt untler Sec�ion: B. 8 P. C. �or Ihis reason: Daie: Ownec I do hereby cenity Ihai I am aware o� antl untlerstantl the requiremenis of Cali�omia Heal�h and Sa�ery Coae Sections 25505, 25533, and 25534 and t�at I or any future builtling occupant willlwill not (circle ane) neetl to comply wilh saitl state codes and ihe reQuirements for a permi� lor wnstmction or moedication imm Ihe Air Oualily Manaqemeni Disttic�. Re5i0en�ial con5imclion apD��calians are exemp� trom these provisions. �ale: Applicani: I �ereby certity Ihat I have reatl this applicalion antl s�ate Iha� fhe 36ove informaiion is correct. I agree to comply wi�h all ciry antl coun�y ordinances and slale laws relaling Io builtling canstmction an0 her thorize representatives oi t�is ciry to enter upon the above�meniioned $� �y �orinspection purposes. � � �ale' �. SignaWre: � river's License or Social Securily a: i6<t-a6 Whi�e—Builtling�, Green—GaCe Eniorcement: Canary—AOPlicanC Pink—Revenue; Goldenroa—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: P 067137 PLAN CHECK NO: N CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU JOB DESCRIPTION : WATER HEATER PERM NO: P 06713 GOVT; N SUPP: N SQ FT: PURPOSE: OTH CLAIM C�ALUE: CALC—C�ALUE: GROUP OCC; R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT **�-+r*+t��r**�r****+t*�c-**�x-**�r*�*********�r**�t�c-*-�***********��r��rt****+c�-�***+t�c***+e+�-*�-�-*** Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAZN BUILDING ---------- ----- ACCESSORY BUILDING ---- --------- FRNT: FT IN REAR• FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: - FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROC': PARCEL; 14141236 ZNE; REF NO: PLANNING NOTES> > x�*x�x��**�r�r�*�tic�ic-**********�t**+�***x-x�*****�r�rx�x-**�x�-x��r*i�******+��r+�**�r******+tet*****��c--� D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; -, DATE: APPLICATION ISSUED HY: c� DATE: 2 ifKlEiFlEiFiEiElFifiEiEiFiFitifiEiEiEiFiFiE iEjF9EiEifikiEiEiFfF ifiF iE iF iE if 1E iE iE iE it iE iE iE if if iE if it if iE iF iE iE iE iE iF if iE 1E iE iE 1f iE af iF 9F iE iE iE if iE if iE iE ip iE iE if 1f if jf iE it iE iE iE �f iE iE 1E if jE iE iE if iE iE iE iE iE if if if ' if iF ik if jE iE LEGALIZATION:N F E E :"S U.M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTgIC, MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 , 258 SMIP/NON—RES PLAN . � ISSUE FEE 20.00 HUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 0.00 27,00 27.00 ,00 REVENUE DIVISION TOTALS--> COLLEGTED; 27,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 if iE iE i@ iE i(� iE iF �)E iE-lE iE iF �1F iE iF iE if if� if if if iE iE if iF iE iE 1E �)E jE iE iF �1[-iF iE if�if iF iE i4 iE 1E iF if iE if if 1E iP if iE iE iE 9E 1E # iE 9E iE 9E iE iE 9E if iE iE iE ik iE if iE jE if iE iE iF �%iF I N D I iT I D U A L -;F •E E B R E A K D O W N TYPE QTY D E S C R I P T I O N•, "' UNZT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT 7.00 7,00 END�,OF FEES �J1 G0260420-001b0420 T�7 T 27.U0 DATE� OS/12/94 TII1E: 13:�2 C0�ISTRUCTION AND PLqNNI.idG� , APPROVALS Parmit � � • t. Temporary Electrical Service'�r Pole 2. $pii Pipe-Undrgrnd. �i � . 3, Electrical Condait Utii�ty-Un6rgrnd. � 4. Elactrical Conduit�Undrgrnd. 5. Steel Reinforcemenc 6. Electrical LJFER Gmd 7. Footings 8. Foundation � 9. Wster Pipe-Undrgmd. .%'.�; � . ^t--^`= 10. St�uctural Floor System �� 1 i. Property Sewer Line & Nouse GonneCtion / i2. Sewer Cap ' . i 13. ROof Orains � 14. Rough Piumbing 1 15. Rough ElectricabCondua ; tfi. Rough ElectricWiring � 17. Rough 1Nirirtg Sign 18. Rough flpc[rica�-T Bar Ceiling 19. ROugh Heating & Air Conditioning 20. Rough Factory Fireplace � 21. Oiicts, in Structure 22. Ducts, Ventitating 23. Gas Pipe-Rough & Tesc 24. floof frgming � 25. Roof Sheathing 26. T-9ar Celing (Strucwrall & Monocoat 27. FrSme and Flashing 28. Lathing & Siding 29. Insulation . 30. DrYwall Nailing 31. Plaster Brown Coat 32. Efectrical Power h4e.ter:Pinal 33. Final Electric 3Q. Final HeaLng & Air Conditioning 35. Final Gas Pipe-Test � 36. Hood or Canopy 31. Final Factory FireplaCe 38. Final Ptumbing 39. Water Service-Final � 40. Gas Service-Final At. Solar pomestic-Final -. 42. BaCkflow Preventer 43. Backflow Irrigaiion 44. Landscape Irtiqation System 4S. Sound Attenuation ' 46. Nandicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edisort 50. Gas Release to Southem California Gas Gc 51. CERTIFICATE OF OCCUPANCY Date 0 Date 0 i POG SPA 4�pector APPRpVALS Permit #_ 52. Pool & Equipment location 53. Strse( Reinforcement 54. Forms � � �� 55. EIBcYrical Bonding 56. EiOugh Plumbing & Pressure Test � 57. APPROVRLTQCOVER�GUN�TE 58. Electrical Conduit•Undrgrnd. �� 59. Gas Fipe, C� Untlrgrnd., Test 60. Backwash Cines,P�Trap, O Undrgrnd. 61. APPROVAL TO DECK , � 62. Backwash & ReCePior-Fina! 63. HBater & VenhFinal 64. PlumBing System Final 65. Electrical�Finel 86. Solar Syscem-Efnai 67. Penaing & Access Approval . 68. APPROVED FOR PLASTEWING 69. POOL/SPASYSTEMSFINAL _ ' FIRE DEPT. i?EQUIREMENT APPROYALS Pennit �`r � 70. Urdergrour.d Hydro � ' 71. Product.Piping CiGas ❑Oil ^ 72, Unddrground Flwsh` 73. Unde�grnd. Stor9ge Tar,k O Gas O C i 74.'OverhedU Hydro � � 75. Dry Chemical , • 76. Dry, Stsndp:pe ', 77. FIXED SYST[M FINAL 7$. FIRE PREV. FINAL • HEALTH DEPT. RE4UIREP 79. F1NAL INSPECT�ON A 80. FOUD CERTIFiCATE ISSUED ,,., Nofes: 0 �ate lhspecxoc "� ; J -; i ° . �o�� COSTA MESA BUILDING DEPARTMENT v.o.eox3n � COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING _ __� . _ _.. � COSTA MESA. CALIFORNIA OWNER es Inc. MA�� 1555 Placentia. cirv p� ge ch C81. Tnio. T� ARCHITECT g�ie LIC. , OR ENGINEER NO. ADDRE55 CATIR C�n.9t• VD• CITY LIC. yc. NO. 38i(le TNO. SH1Ile LEGRL LOT 49 OESCRIPTION ND A.P. NO. NO.OF BLOGS. O NpW pN LOT USE OF E%ISTING BLOG. SETOl�CK LINE FROM r r�q cErvrER OF SiqEET JO REAR YARD G< SI�E YARD RIGHT� LEFT lO a DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING pEMOLISH 5 ZIEDING �Gr��Ln ROOMS O STORIES 1 ll U7 EXTERIOR Wg{�� ROOF -1- COVERING SLl1CCO COVERING ��d sh4h8 USE OF NEW a��o�N� residence and att, garage Plan 3—C �� C�Ii��D -vt�1� ."r"� ^,i P9:�- f;N��vCE DEPT, l'IrY Ofi C�ST!1 ?:i�SA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE�ONLY RECEIPT NO. PEFMIT NC .-� ��G_.�7i �f- a2 — r_im�.� COSTA MESA. CALIFORNIA FIRE �= APPROVED BY Z DATE CORRECTIONS � 'i_: K ST/TE�TXAT THEvFBOVE I$ CORRECT^f�NO AGREE TO COMPIV WITH ALL aurpose ot es'ablishinp '7 el�� r] CITY OROI ES RNO STPTE LF�NS REGULRTING Bl11LDING CONSTRVC- S P �it fe. anly. TiON. VALUATION SIGNATUR II PERMIT FEE $ �OO PERMITTE 15�74��0o PLAN CHEGK $ 1fi� I � ..iir.... i-.� ...-�.,r Tf)TAI FFF 4 CO S(1 �BMI