HomeMy WebLinkAbout3292 ARIZONA LN - Building Permits; .
Job Adtlress: 3292 ARIZONA LN
Suite:
Vicinity: HOUSE AND GARAGE ROOF
Primary Occ: R3U1 Type of Construdion: V-N
Parcel Number: 13905203 Zoning:
Appliwnt: JONES, JR
Address: 220 VICTORIA PL
UNIT A
COSTA MESA, CA . - .
Owner. CASTANHA,'WILLIAM�R
Address 3292 ARIZONA LN -� � - �
COSTA MESA, CA ' � -
.�
� ,
Contreaor� ,�ARIES�ROOFING-COMPANY " �
Address:��;�220 VICTORIA PL .-" .
, � UNIT_A ' -
. � COSTA MESA �CA
7 Zip: 92626,'',
i �.
Arch
Address:
� -, ' . Phone: .
. - Phone: 949-548-2056
- . : Zip: - 92626 ...
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v�-�'
Zip: , . " , �,-License: �. _ .
Phone:
Zip:
Phone:
License:
Status: ISSUED
Applied: 03/09/2007
Issued: 03I09R007
ISSUE
`.
714-546-6762 � . �
92626-2011 � , ' ��� �
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949-548 2056 -- � - ! ����\
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888990 �����V�..,� � ��'-�
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Eng �
Address: _ � - � - , �� �
- ,' . Phone:
' , , ..`� '. . �. �,
� . , �License: _ °A ',
� . � �; � � SCOPE OF PERMIT ` � -- � � �
TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 301F FELT ON A 4:12 PITCH ROOF, 7I76 OSB PLYWOOD AND REROOF W/50 YEAR
COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 26 S�UARES. \ . •`�,, _�.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$139.25
$0.68
$0.00
$0.00
$0.00
$139.93
� � � i � ;FEE�SUMMARY- " >•� � �, , �
; � � �- � - - - � � � _- �Calc Valuation: � ss,eoo.00 �,
Claim Valuation: $s,aoo.00 ;
, l.. ,. - - %"'- --_ �l' . � ,
_ =� � � �
�
- --- --- - - -- i - - /, r; ' 7 r
SETBACKS .
MAINSTRUCTURE Front 0-0 �
._ _ . . - '// /i., I ; - r
,-� iL/ � . _ I
_ � ' ` ��/
;,�- � � .
_r:PCANNING&ZONING '�% � ' %� /�
, � _ - . % ,i'� _ ,
.'' ' '-"-y _ , ; =' / / � �'�
Rear� �0-0,. Lelt 0.0 '- _ ,_-_Right-�. 0.0i� - '
ACCESSORY � Front. �0-0 � Rear 0-0 �, ,. Left 0-0 _ Right��j0-0,;,-� �`�
�i . . . , � ,. :���, � � �,
PARKING �- '�Existin : � 0, , Reaulred: 'o Pr000sed: 0 ��� ' � � � � �'
� i, �
�- � . " _ �,.� .. ��. .
. /.-., .
_ � . ,_ , — - �
�
I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia statutes antl related
' regulations. (Ord. No. 92-28, § 1, 12-27-92) .
El(PIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspendetl or abandoned
lor a period ol 180 days.
INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepectlone end 11ne1 epproval must be obtained. Failure to obtain inspections and tinal approval will result in ihe ezpiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2418-68 (&00)
WORKERS'COMPENSAnON DECLARAnON:
I horeby eflirm untler penelry ol perjury one of Ihe tollowing aeclarations:
❑ I �eve antl will meintein e certificele of consent to sell�lnsure lor workers' compenselion, es provitletl lor by section 3700 of the Lebor Cotle, lor Ihe peAormance of Ihe
work far which Ihis permit is issuetl.
��I.heve entl will meimain workers' compensa�ion insurance, as raquired by section 3700 of the Labor Code, for Ihe peAortnance ol ihe work br whicn this pertnil is issuetl.
'-`_My wo� r' oIDpfl� setiop1�surance cerrier antl policy number ere: ,.—�^^-- /- ��.� �
certier:l.� r� IL� {�—J T.7 � P,n�cynlumber�' I�(l���/ Y(/ /
'(lh/s seciion need not be canp/etetl i! the ermit is valued at one hundred dollars (3100J or less.) `���T—
❑ I cenity ihat in ihe
� compensetion lew
comply_wiN,these
��AwM 6ign te ure:
WARNING- FAILURE T�
T/qUSAND DOLLARE 10
ol the work lor which this permit is issued, I shell nol employ any person in eny manner so es Po bewme sub]ect to ihe workers'
, end egroe Ihat it I shoultl becoma subject to tho workers' compensetion provisions ol Sactlon 3700 �o the Lebor Cotle, I shall lorthwith
.- �e:—� ' �9/0 7
aS' GOMP �Sq IIXJ COVERAGE IS UNLAWFUL AND SHALL SUBIEGf AN EMPLOVER TO CRIMINAL PENRL ES AND CIVIL FINES UP Tp ONE HUNDRED
lON TO TH CO T OF f.OMPEN5AT10N, DAMAGES AS PROVIDED fOR IN SECf10N 31060F THE LABOR OODE, IMEREST, AND ATTORNE'fS FEES.
LICENSED CONTRACTORS OECLARATION:
Chapter 9(cammenr.ing with Secuon 7000) ol
CONSTRUCTION LENDING AGENCY:
Code, end my license is in lull
❑ I nereby aflirtn ihal there is a consiruclion lending agency lor ihe pedormance ol Ino work lor which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lontler's Name: Lenders Adtlress:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I nereby elfirm Ihat untler penalry ol perjury ihet I am EXEMPT FROM 7HE CON7RAC70RS LICENSE LAW lor the following reeson (Sec. 7031.5, Business end Professions
Cotlo: Any ciry or counry which requires e permit to consiruct, aller, improve, tlemolish, or repeir any simctura, prior to its issuance, elso requires ihe eOP�icant for such pertnit
to lile e signetl statement iha� he or she Is Ilcensed pursuant to the provisions ol the CoMredors License Lew (Chepter 9(wmmencing wilh Sedlon 7000) at Division 3 0l the
Business entl Professions Coae) or thet �e or she is exempt lherelrom entl ihe basis lar the ellegetl eaempllon. Any violetion of Sedian 7031.5 by eny epplicanllor e pertnit
subjecis Iha applicent lo e civil penalry of not more than five huntlretl tlollars (3500).):
❑ I, es owner ol the pmperry, or my employees with wages es Ihelr sole compensation, WILL DO THE WORK, and ihe strucWre is no1 intandetl or oHeretl for sale (Sec.
70a4, Business antl Prolessions Cotle: The Conlraqors License Lew dces not apply to an owner ol properry who builds or improves theraon, antl who tloes such work
himsetl or hersell or through his or �er own employees, provided Ihat such improvements are not intentletl or oflered lor sale. If, howaver, Iha builtling or improvement Is
soltl wit�in one year ol completion, ihe ownor-builder will heve Ihe burden ol proving that �e or she ditl not build or imp�ove for purposa of sale.). '
0 I, as owner ol tho Droperty, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTOpS to construct Ihe projacl (Sec. 7044, Business entl Professions
CoCe: Tlie contrec�ors License Law does not apply to en owner ol property who builas or Impmves ihereon, entl who contrecls lor such pm]ect wit� e contractor(5)
license pursuanl lo tlle CoNractofS Llcense Laws.).
� I am ezempt undor soa Business antl Professions Code lor ihis reason:
Siqnalure: Date:
Owner ID venlied by driveYs license. ❑ Ves ❑ No � Drivers License No. Expires:
Venlication ol Ownersnip by (type ol tlxumenl, i.e. - properry tex bill ar tlaetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby caniry thet no e:wvation live (5) or more leet in depth imo which e person is repuiretl lo tlescend, will be metle in connection with work euthonzetl hy Ihis
permit, and Ihat no builtling strunure, scaXoltling, lalsework, or demoGlion or dismamling Ihereof, will be more ihan Ihirry�sia (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
34t, Titla 8, California AtlministraGve Cotle).
❑ As ownervhuiltler, I will not employ enyone to tlo work which would requlre a permil Irom the Division ol Indusinel Sefery, es nated above, unless such person hes e
permil lo da such work Irom the divisfon.
Signature: Dete:
Division ol Indusinal Salery Pertnil Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVAiION OF EMRV: I cenity under penalry ol perjury Ihat I have read this eppliration and stata Ihat Ihe intorma�ion given is
correcl. I agrea to comply with all state laws end ciry ortlinances relating lo bwltling consiruction, and aut�onze represenlatives of Iha GIry ol Casla Mese to emer upon Ihe
ebove-descnbed properry for inspeclion purposes. I ag�ee not to occupy or allow occupancy ol any building aulhonzatl 6y I�is permit unlil linal inspection.
Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re�Rool
201 Final BIocWRalaining Wall
PI�Y]
203
Final Factory Fire Place
Final Sign
204 Final Damolllion
� L
`):'lJ I � i .
'� �
COpEI INSVELTONTYPE
206 Finel Mec�anical
208 Finel Plumbing
210 final ElecMcal
212 Finel Fire Preventian
220 finalPlanning Approval
222 Fina15ite
250 Flnel BulltlingiOccupency
AGP���anl lo fill in all sDaces eMceD� thOsa wit�in heavy Doraer lines anG sign ail aporovriate tleclarations.
CITY OF COSTA MFSA ONST UCTIOfV PERMI , PERMI-I rvU. TRACT N0. LOT NO. . UNiT NO.
Projpct Address Z
ApPlicant's Mailing A ress �-���� p�
Owner's Name Phone.7-] (p__pFZ
Address
Arch/Eng. - License No.
Address
Con[racror's Nam ne
Address (mailing) •
City License No. ����%
LICENSED CONT0.ACTOK OECLARATION
I M1ereGy affirm Ihdl I am licensetl untler provi5lons o1 Charter 9(mmmenting
. wltn Kction ]000) o/ Dlvision 3 0l the Business antl Proiczsions Cotle, and
my licensc is in tull orce a el1 �. �19��,
License Class � License No.
Dalc� �� 5'g t ��_+�� ,
WORKERS' OM ENSATION RIl'f ON �
nereby ailirm that I nave a certiflcate ot consent to self�inzure or a certilipate
1 Workers' Compensztion Insurance, or a rertlfletl coOY lhercof (Section
�800, Lab. L����� �A' � u�
Policy No.�i�t mpany ///'//+cq/
Certifletl coDY �5 hereby fumishetl. �
Cerlifie0 oDy i f" ❑ witM1 tne ci[y Bwl n.
Date /n �d/�� APPlicanl �Q'��� "=—" =
(Thi;sMlion neetl ot be comple[etl if the permit is lar one huntlretl (5100) or
less),
I certify that in th¢ erlormance of the wo�k for which lhls permit is issuftl1 I
Slldl�' pOl ERID�Oy 3f1 pCf50l1 10 dOy Rldtlfl¢! 50 d5 l0 DECOT¢ Sllbl=C[ l0 Lf�C
Workers' Compensati Laws ol Califomia. '
Date 99naturc
NOTICE: II, afler maki [his tl2cla�ation, you snoultl bewme subject to thc
Worke�s' COmpenSation rovisiOns o1 the Labor Cotle, you must fortnwith
combty wi[h such prov lons or lhis permit shall be tleemetl revoketl.
COrySTRUCTION LEND G AGENCV
I h¢reby a11hm �hal lhere is cons�ruclion lentling a9ency for lhe per(ormdnce
of lhc work ior whicn his permit is issuctl (Sec[ion 309� Civ. C.)
LRnaer's Name
Lentler's AEtlress
OWNER BUILDEq �ECLARATION- -
I her¢by alfirm that I am eaemDt Irom lhe Conl�acto�'s License Law 10� tM1e
follVwin9 reason (Section 7W1,5 Busine5zantl Groles5ional Cotle: Any city or
couryry �yhich reqUires a pe�mit lo consGuc[, aller, improve, tlemo�ish o� �¢palr
any structure, o��or to its issuance, also requires the applicanllor such permit
to file a si9�etl s[dtemenl thal �e/she I5 licen5etl putsuant Io lhe p�ovisions ol
the Coniractor's License Law (Chapter 9(commencin9 wi[n Section ]000) of
_'�?���sion 3 of lhe Business antl Prote55ion5 Cotle) or that he/she i5 exEmp[
a:;¢�e/rom antl lh¢ ba5f5 lor (h¢ alleqetl ex¢mplion. Any violation o/ Section
��;�.`'031.5 by any appllcant for a permil 5u0jects [he appllcanl to a civil
- Qe�81ly of nol morc tnan five huntlretl tlollars (5500).
�J I, as owner ol the property or my employees witn wages as their sole
0ompensalion, will do tnc work, antl [he structure is mt intentled or olferetl
for sale (Section ]049, Business antl Prolessional Gotle: Tha Gontractor's
Lic@n5e Ldw tloes not apply lo dn owne� ol a prope�ty who builtls or imp�oves
thereon, antl wno tloes such work himsel//herseli or ihrou9n nis or her own
emploY¢es, D�ovitletl [hat such improvemen[5 are not In[entletl or olleretl �or
sale, iq however, tne nwming or improvement is soltl within one year ol com-
pletion, tbe owner will have ihc burtlen of proving he/she tlltl not builtl or Im-
�oyG lor lh¢.pwpose o1 sale). •
LI �� as owner ol the property, am ezclusively contraceing wltn licensetl con-
irac[o�sto const�ucl the proj¢c\ (Section ]046, Business antl Professions Cotle:
The Contractor's Licrose Law tloes mt apPly Io an ownOrpf properly who
builtls or Improves tnereon, and wno contracts for such projects witn a mm
trac�or�sl litense pursuant to Ihe Conlractor's License LaW�. I am awaro [hat
proo/ of tnelr Worker's Compensalion insu�ance Shoultl bC provitletl [o me.
❑ I am exempl untler Section B. & P. C. /or this reason
Dat@ Owner
i �4reDy certily�that I have reatl tnis aoolication antl sL
iniormalion is correcL I agree to complY with all city antl
- SS � C�
TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHE p� p#
• DESCR�pT N OF W RKIUSE B G. /�� Q� - ��AMa.+o
�9� � %%D�� �' E Main Building:
�
TVPEOF E MIT GRAD G,LzFOUNDATION STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A qear
❑ OTHER
� Righl
PROJECT DESCRIP710N Sp.FT. OCCUPANCV K
CONSTRUCTIONTVPE VALUATIONS S Lef[
20NE GRADING CU. VDS. ACRES p�ng. Flef. #
Remarks: (��g q.(i �QA,_ 'Tp rtyorna n Planning Notes:
Bar Sink
Backflow Prevencer
Backflow Irrigalion
Bathtubs
Drinking Fountains
Flpor Drains
Floor Sinks -
Gas Service Ou
Kitchen Sink
Lavamries
P-Trap
Roof Drains
Reinspection Fee � � $15
Boiler
Duct - Under Grountl
DuCt - Structural
Duct - Ventilating
Exhaus� Sysrem ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
�f}7 00,000 BT U � 100,000
antl State laws relalipg to builtling consfruclion, antl here0y autha�iie repre� �
sentatives o/ this ity t � ter upon th� above-mentionca prop rty for
Inspection purpo O
Sigpalure . Date
Driyers' Licen ar 55 $ Reinspeetion Fee
CMF 0865-46. rev. 4/84 Whi[C - Builtlin9: Cdnary - APPlitent; Pink - ACWunlin9: GOltlemotl � AssesSor
S15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solaf ColleclOrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater �
.Water Service
Isue Fee
Hood or Typel ❑
Canopy Type 11 ❑
Retrigeration System
�0-100,OOOBTU 100,OOO9TU
System Repair/q�teration
Isua Fae
FEES
g3
$ 3
Automatic Washer
Construction PoleS�
Cooking Unil
Dlshwasher
Dryers ❑Gas ❑EI
Fan
F.A.U.
FiXtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generaror �0-5 KW
9660 10/OB/B4
Zone
Accessory Building:
Parking Req.IPrOvided
ELEC7RICAL
Transformer ❑ 15-50 KW
❑50+KW
Meter ❑up to 100 amps
Mecer ❑over 100 amps
5KW
Sub Panel
Molors DO-1 HP � 1%- 8
Inc.Solar 09-15 HP �16-15*
Microwave
Pole Ligh[
Range
Sign
Standing Sections
TraSh Compactor
I Reinspection Fee � S75 � I�uue Fee
DEVELOPMEN7SERVICESREQUIREMENTS:
2oning Approved By
Building Approvad By
APPlicatiOn IaUed BV �
II.pO rL
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
$.
SUMMARV OF FEES �
BUILDING PERMIT $ SMIP $
PLAN CHECK $ � PERMIT •
PLUMBING § ISSUANCE $
PLAN CHECK 25% $ ENERGY P_C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ � TOTALFEE $ ��
PLAN CHECK 25% $
POO�'µ'�SPA �
CONSTRUCTION AND PLANNING - . .
APPROVALS Permit# Date Inspector p�ppROVALS Permit# � Date .Inspecto�
1. Temporary Electrical Service or Pole' 52. Pool & Equipment Location� .' •
2. Soil Pipe=Undrgrnd. � . - : 53. Steel Reinforcement , �
3: �Electrical Conduit ,Utility-Undrgmq.. ' - 54. � Forms . � '
4._Electrical�Conduit-Und�gind. �•'� , �55. Electrical Bonding ' - -
5. Steel .Reinforcemen[� i��; � � 56. Rough Plumbing & Pressure Test . ,,
6. �Electrical UFER Grnd. �,� ' �� 57. APPROVAL TO COVER�GUNITE � �
.7.�Foot;ngs � � � ,� 58. Electrical Conduit-Undrgrnd. �
8. �Foundation � � .. 59. Gas Pipe, � Undrgrnd., Test ��' �'
� :
9. Watei Pipe-Undrgrnd�.- - 60. Backwash Lines, P-Trap, O Undrgrnd.
10. �Structural Floor System , � ' 61. APPROVAL TO DECK
17. Properry Sewer Line & House Connection . 62. Backwash & ReceptorFinal
12..$ewer_Cap � � 63. Heater & Vent-Final �
13. Roof.Drains ` 64. Plumbing System � Final
�
14. �Rough Plumbing ' 65. Electrical�Final � � �
15. Rough:Electrical-Conduit - 66. SolarSystem�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 Fieating & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rough Factory Fireplace APPROVALS Permit #
�
21. �Ducts, in�Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe Rough & Test 72. Underground Flush
24.-Roof Framing • 73. Undergrnd.StorageTank OGas ❑OiIT. �
25. �Roof Sheathing ' 74. Overhead Hydro �
26. T�BarCei�ling (Structural) & Monocoat 75. Dry Chemical � �
27. Frame and 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. Elect�ical Power MeterFinal � 80. FOOD CERTIFICATE ISSUED
33. Final�Electric Notes: ,
34. Final Hea[ing & Air Condi[ioning ro/� �+ L�(> .
r
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 pomesticFinal , �. ,
42. Backflow Preventer �
43. Backflow.lrrigation .. . - . ' � '
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 Califomia Gas Cn � .
51. CERTIFICATE OF OCCUPANCY „
No. Date � ' .
� . " �_��:�0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOIC 917 COBTA MEBA. CALIPORNIA
For Applicant fo Fill In Complefely
TYPE OR PRINT
noo E'69 3292 Ari2ona Lane
COSTA MESA CALIFORNIA
■ STATE
Baker St.
TEL.
Grove
FE�RECEIVED
JAN 191961
�'FINANCE DEPT.
CITY OF COSiA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
ReGeIPT NO. PHRMIT I
BY
BUILDING
AODREb3
COSTA MESA. CALIFORNIA
• st. ZONING
zo� I NO. OF I uae ov n
� �I .� vLAN9 BUILDINO
TEL. ��r n�� r'�f LEGAL . .
N�;.,°�,.a�°�one
eereACN LINs Pnom 40� REAR YARD �O�
CENT6H OP 6THEET
SIDE YARD ILEFf S� IflIGHT S�
DESCRIPTION OF WORK
NFW I� IIYLTiRATIONI IIAO�ITIAN I
gB=LDING1S6O 3Ci• f�npOMS � STORIE6 1
E%TERIOR WA L ROOF
COVERING 9�llCCO COVERING WOOd Stl�Ii IE
USE OF BUILDING ANO WORK TO BE PERFORMED
Sinele £amilv residence t�rith
YARDS EVES
APPROVED ALLO
[CENTlp LINB 9TJ .
� DAiE _ � � � � / �
1 HeP¢BV ACNNOWLEDGE TXAT 1 XAVB H6�D TMIB MPLIGTION THH �MOIINT 9HOWN UN�ER VALU�TION IB POp TXE
M1D 9TATE THAT TXE ABOVE 19 GORRECT AND AOIiC¢ TO COM-
PURPOBE OP H6TqBLIBXING F P¢PMIT PEE ONLY.
PLY WITX �LL CITY OMINANCE9 ANO HTATH lAW6 pEOULATINO
Bu1LoiNa CONeTxu ., VALUATION
SIGNATUflE F /f��� PERMIT FEE S 36•
PERMITTE " "- "" 18•
„ $ Z6�ZO1� PLAN CHECK $
AU7NORIZEO AGENT Dike 8C 019 rove 171C� TOTAL FEE 54•
- ' I6426
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 817 COBTA MEBA. CALIPORNIA
For Applieanf io Fill In Complefely
TYPE OR PRINT
COSTA MESA CALIFORNIA
■ STATE
NO. OF BLDG6.
U6E OF
E%IBTING BLDG.
88TBACN LINB FPOM
DESCRIPTION OF WORK
sx
OF
:RIOR WALL IRO�F
?RING GOVERING
OF BUILDING AND WORK YO BH PERFORMED
�/n .� . . ._ . ,._ . / i �,
I HHREHY ACNXOWL�G! THAT 1 HAVE RBA� THI9 �PPLIGTION
ANO BTATE THAT TXE ABOVE IB GORP84T AND AOPEE TO GOM-
PLY WITH ALL CITY ORDINAMGe6 A�'�D BTAT¢ lAW6 Ii6OULATINO
auLLo�NO CON9iRUGTI
91GNATURE OF � n/� r,'r ��J / J
PERMITTEF �� � �/ //(�( ( 1 /1
AUTHOHIZED AGEN7
FE� REC�IV�D
`.I FEB 1 b 1962�
� FINANCE OEPT.
CIiY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDIMG
For Office Use Only
nsceirr rvo. r{rspit,yo �
�a,��
COSTA MESA. CAU RNIA
ao�iN�
2pNC1 —� I NO. OP �U6E OF NEW
��J PL�N9 BUILDING /
T
LEOAL �
DEBCRIPTION
A. P. NO. l V ^
YARD6 EVES
APPROVED ALLOWEO
mervren uHe ar.i _. i
_//_ -LY
TXE AMOUM BHOWN UNOEH VALIIATION 19 FOR TXE
PURPOBB OP E@TABLI9HINp � PEftMIT FEE ONLY.
VALUATION [�'/-
M PERMIT FEE S / —�
/ N
0
S r� /� � PLAN CHECK $ `—
� F
K
TOTAL FEE �— �
n
�
ow[v�x MAURER, ROBERT
JOB ADDRESS 32�2� (1T1Z�
GENERAL CONTRACTOR �
nr No. 113-842-03 'LOT
INSPECTIONS
c
G�
OCCOPANCY
�ORM BU4 � SM —
E• DATE 2-i6-62
i12, Lan0 BUILDING PGI2MIT NO. �-!al}Q(_
wner—Bldr. vaL[1E S 619.00
TRACT FIRL ZONE DESCRIPTION OF \VORKB10Ck W811
�Signature� DA7`P GROUP TYPE 7.ONER1
SUBCONTRACTOR