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3123 BERMUDA DR - Building Permits
Applicant to fill in all spaces within heavy bortler lines antl.sign all appropriate tleclarations^': '^�• " • , - � 'Cll'?:�f�.c'iDSTA'MESA- —.. --.'- � o��� � :t,-' -- - :"-.'etoc`rvo. - ���-� ---- � - � -- -_•.-- � _ _. .�-- -�-- � _ PER IT'NO. � --'-TRACT NO. LOT;NO - ' " " " - '; Z CONSTRUCTION PERMIT: r `�"'=: �9qj��.� i2/-26L8'I�� �<'��''' 13.5� T�+ Prolect Address ! /Z' , ri1e9 i ... . . � , I �1cf �(�-� �:� � („ , jT' - "{ : � — - — ' t r • r—, z� � 4 3 'O - TVPEOFCONSTRUCTION� , � .•--r�', _ � �° .(� c ��c_Y 1 � , ' Owner.L,_ � - � .. .Phon2 6 � NEW- ❑ ADO ' ❑ ALTERATION` " - " 3' - "�. - -' " . � � . � ...... . t ' � �;tP � n .. ? .�' 1� i q.,.�•. ��: � . .. ; . � . � .l "AddfEss' %Z. ' -J ' "-� '-'- - --' - - O REPAIR-O CONVERSION-ODEMOLISH � � ZONING REGULATIONS �.,�;' � �.? ' � o-� i.... ,. { �3a': � "A�Ch�Eng:"":'_ _ " . _' "_` -. �_LiC¢OSENO. ' '_' L _D:OTHER� �• - _ J ' A.P."if�_ . _ �,. �.1:. fq.�. �'_,-S _ "AddIE35" - ...�"'_' " "-_ ' "" ' "' DESCRIPTIONOFWORK _' "'_, '_ ' �" __ ' _ ' _'-. _ �• ' -_ ' " " � •�i�fuifl ; �^.�•IR 1.:; i ZONE �PLIVG. REF.;�. . .�., . � . _..�_ ��'-�` � TVPEAE�PE ' �' "_ContrScmr..� . .. _... _ .,.'Phone "_ " _ ' _ _ . � RM T ' . "_ _.. _ ._ _ "^._ _ _a D _' _ . . _ To gU I pirvG • .-' s." s "-�,.. -.._ � �__ ' . .' � . I. •'� ��ry ��. SETBACKC OP �T-YLINE � Address . -_.. ' - . .. - v _ . - L 5T. R E � � - . � - . . ❑ GRAOING ---0 FOUNDATION":0 STRUCTURAL"'�' S1p E VARD - -'CICENSED CONTRACTOR�DEGLARATION - - " - ' :. �� � J - LEF � •/ '� �� '❑ I hereb affirm that I am licensed untler ❑"TENANT ❑�ELECTRICAL'�PLVMBWG' OMECHANICA SI�E YAR ' - ' - ' ' - - ' „ ' -� ' y promsions of Charter,9 (tbm-' �,• q"„ �E;i �7�q � RIGHT "mendng'with'section' 7000)-ot Dlvision"3 ot-the� Business �antl� -��OTHER---� ^ - - --- - -- - - - - , Proteszions Cotle;, antl my Iicense is in full force antl � effect. ��� �' ' ��-' • • I � REAR VARD (TO P/L) _ ;t '_ ..""__'r'.". _..': .r __' _ _ ,' _ :.. - ! . PROJECT.DESCRIPTION._-a:. _ ' .:.» _ . _ . �. „ 'LicenSe CIa55 � ' LitenSe No. � , ' � �� PKG.SPACE REQ. � � p PROVIDEO � F� � .. Ddt¢'�...... .. _.;__,Si9natu�ei.'._:�.-' . .-. - _ ... �.SQ��FT:'�:a' .^.F:' .�i "' _ _'_:_... .. .��.. "__ _ _ _ ' WORKERS' COMPENSATION DECLARATION --- � OCCUPANCV �'_CONSTRUCTION TVPE. STREET�WIDTH rt'�,'. .� PARI( FEE $� �.}r 'i, , I hereby af(irm Ihat I have a ceitificate of consent to zelf-insurebr�a i.y �; ZONING APPROVED BY�, .� DATE .. VALUATION� � ZONE ' .. • . :. .. .� ':.. � . .� " � -certifiCdt¢'Of Wo�k¢rY"Compensation Insu�ance; o� a Certitietl Copy - - _ thereot (Section 3800, Lab. CJ. .� � I,GRHDINGCU: VOS. ACRES SPECIAL CONDITIONS: . ��. �� , �,,, ; ' "'"_" �_....i ' "��.. . _ � .�.. _,....__ . �._�.. . ... ... . .. ,.._�..,. � _._�..._ ... . __. _.._ PalicY No. ComPznY ' - .. . ' ' -` _ _ ' _;'' . ' ' _� r-.' -��Certitietl<Opy�s�h¢reby:(urnishetl..- -- ---. _.- � " -.REMARKS: � + - • . . ❑ Certlfietl COpy is (iletl with the'aty Builtling DiviSion. � t�� - '_ '"'" . .._ , yN _. _ -�."" '.' ._Y._'_y_'...___�__ '� .__ r_' . _ :_�. EXEMPTION F,ROM WORKERS' COMPENSATION.OECLARP.TION :_t ,. ,e �. - .,`+.,.` ., , � �,: ,'. � (Shis'.3ection �neetl.not be:cOmpleteA.if_ifie.permit Is.for_One hundretl. . ' ' (E100) or lezs�. ' � � . '..' . "�n.» ! '...'_.... _ . . "_ " ' " -..-._ _ �. ..� . ... _. �..,�.._i . _I.certify thaLm the.pertormance',of the work.fOr,whith thi5 perm�t'is , • issuetl, I shall not emPloy any person in any manner so as to.become. F�PLUMBING r; `_` P�qN CHECK �� ELECTRICAL � � PLAN CHECK � - �� .-. � � � ' - . .. ., ��Subjectto-the�WorkerS.Compensation.Laws.ofCalifomid.... _-__�_.. __ __ _ _ ._ �„ __-,.� _ _, _ __,__ Date { Si9nature' ' � BATHTUBS � SFIOWERS • � { • - � � , NOTICE: It afterlmaking thi5 tlecla�atlon, you shOultl b¢come SubjecP �TOILE75 , �� � URINALS� �-� �-' GENERATOR' � 0-1�KW_1-30 KW r,� ;� to the Workers' Compensation provisionz ot the l.abor Cotle, you must '� -� - � ' TRANSFORMER � � - � torthwith comply�with such provisions or this permit shall be tleemetl LAVATORIES DOVB�E LAVS� �� E�'�� "-APPLIANCE 30-50 KW=50 + KW ' -"'� - "- 7 ..revoketl. ._.. '""'"_ _... ..t_......,.._.....�_...__>_ . �. � ._ CONSTRUCTIONLENDINGAGENCY �I<IT.SINKS� � - ����OI�SHWASHERS""�✓'- MOTORS"' " 0-1HP� 1=10HP'��"- i hereby aftirm thai there i5 a construction lentling agenCy tor tM1e Der- $ERVICE SWKS - j_; SUMPS ' -" � � -' ' UNC: SOLAR)-- -�10-50'HP'_-50 +-jip,--- � - --/ -� ' tormance of tM1e work for whith-this permit is issuetl (Section 3097 - Civ.'C.):" "'- - '- -' '"' '"-"-'- "-i""'---'-"- " FLOOR SINKS � -FLOOR DRAIN6 � y ' '-� � � FIXTURES'�`" �OUTLETS�`SWITCHES,� - . , -- -�: �-� � LentleYS Name � ' "_ __"'_ _'" ."_"'"_ "_ _ "_ ___" _"__ '" "'_._.___� - . . Lentler'sAtltlress �DRIIVKING��FOUIVTP,IN �I ��'�� � 'GASTUBE'SIGNS� " ""'"' -� '- `- "� OWNER'BUILDER'DECCARATION"-'"- -""' --"-"- - — INTERCEPTORS �AR FIE '� -70GE LIGHTS- '-`�" -�"� -`•�: :� - - � I hereby affirm that I am ezempt lrom Ihe ConGacior's License Law for � •� - the'(oilowing'reason'(Section �031�.5'Business'antl'Professions'Cotle:' SWIMMING�POO � � PTR P '�� ' '-" - ' '--" --""" "'^-' l " Any city or county wM1ich reqvires a permit to con5truct, alter, �� POLES METERED��.SVB•���.+x' �.���. 'improve,-tlemolishbrrepair'any"structure;prior'to"its"issuance;alsore' 'yyqTERSE I RATION. � PANELS - ��'-�MAIN� j -� ��SVB'LL ��';�„ ^ r'����'�� , quires tM1e apFlicant for such permi[ to file a signetl statement that he is licensetl'pursuant'to the'provisions'oPthe-Con[ractor'S'Cicense Caw' ' - ' ^- "" "-' "- - - ,- SERVICE � "�' '� "'"- `� -'" � AMP-,_ -. -' - - ����� ' (Chdpter 9(tOmmencing with Sectlon ]000) Of•Division 3 of the GA55 OUTLETS -^ � i . . �.�.r . . .: . . Business"antl PrWessions Cotle)"or'thaCne'Is exempt tberefrom'antl'tM1e' 'yyqTER H TERS� - B7U�OUTPUY �� - ��� '- "' �- ' � " "' " -- - " - " - basis tor [he alle9etl exemption. Any violation ot Section 7031.5 by �~T^ '"�� "�` "'� � `�� �^ �� 'any applicant-for a-permiYsubjects'ihe'appllwn[ to'a�civil'penal[y' '�SEWER CO � NECTIONS -�, -- -�`� `- -"--'-" --" - -- --' ` " ` - " - ' '- ' " ' � - . f not more than �five huntlretl tlollars�(g500). . '- � � �" ` _ ... ....�`__ _' ' ..�.-� " ' '"' ' ..���_ '_ ._.� v . �I, as owner of the property, or my employees with wa9es as their ��SOLAR TFiNK -'-� COILECTORS � � '-"" ' ',�.,'� �_ '� .' sole tompensation,_will,tlo_the work,.antllhestructure iz not intentletl .. . '_"___. �..�.____�?.. ."_. _. .... �or off¢retl for sale. ($ection �044, Bu5ine55 antl Profe55ion5 Cotle: The SOLAR PIPING SVS. 1' ISSUE�FEE �, � Contractorls.License-Lawtloes.not.applyto.anowner_ot_a_property_ .__.._ _..___.-_ �_i,_.._ _,.__._. ..- -.-_ .•qppCICATION"APPROVED'BV'-- � _ ',""�ATE�' � who build5 or improves thereon, antl who tloes such work himselt or ISSUE FEE .-. ,through.his..own.employees,.provitletl.that.such..improvements,are not.. intentletl or oftered for sale. If, however, the builtling or improvement MECHANICAL P�AN CHECK SUMMARY'OF PEES-y, i��, �`�', ^� I ..iz.5oltl within..one.year of.completion,_the owner will have the burtlen_ � � _ � of p�oving he tlitl not builtl or improve for the purpo5e ot Sale). � BVIL'DING'- `--" '---- " -'"" ' `- '�-I;^as'•owner-of the property,-am exclusively con[racting-with� HEATINGSYSTEM 0,100,000^BTU j PERMIT $_ �_��:;:.SMIP__ _`�S � _� _� � licensed con[ractors to construct the projec[ Section ]044, Business AND DUCTING - � � . ; � . ( 300,000 + BTU r �' � pLAN CHECK S � �PERMIT „ �3� :antl�Professfons^Cotle:�The-Contractor's Cicense Law�tloes�notapplyto�- ' _ -- �-�----� - �J _ - ISSUANCE '$ - �^� an owner of property who builtls or improves thereon, antl who <on- REFRIGERATION 0-100,000 BTU PLUMBING $_=�F= i '�. b:r - i � i.�„�-t t�act5'Trom^such projects� with-a��wntrattor(sJ^Ilcesnetl-Oursuant-to- � SVSTEM' '- - ��• - �' - --- -- �- -- -- - ---� -- - - GRADING $ � � 11Rtcch..ae Contractor'S License L.aw). � 100,000 + BTU PLAN CHECK j$ - ' ,� �� �� - , �' � 'y�y 5m e emp{u � TSection -" , P, C. fortfiis BOILERS �gTV ELECTRICAL $� � $, - I ie on _ _ - � ' " " _ �1 �MICROFILM g'a,i . �[ t "PCAN�CNECK' ��$ 1 SVSTEM REPAIR,ALTERATION . � ` -O -� wner -- - - - - � - - - - __ _ .� TOTALFEE�Sy � � � 'MECFiANICAL.$` ,I.hereby certify ihat I have,read this appl cation antl state that the.above. _ EXHAUSTSVSTEM MVLTIPLE .�a. '� .-. LESS�AD-'_�_ _� _ � ._..'_'_"�, i�____� __ •: iniormation is correct. I agree to cpmply with all city antl county "PGAN'CFIECK"$"--'`" VANCEPC $_ � . . �... . .. .. . _ ___ _ ortlinancesantl state laws relating to construction,antl hereby_aut�orize. ' I �,�� �.�V '^(� �: �•,,�� i J: •} �-/') �representatives of thi5 �city to enter upon the abOve mentionetl -- �. %� �' ,p�operty fo� i spett"on, pu/poses..__ _ ,�=2 -� ' FINAL FEE $, 519na[ure " _ __ - Date _ _ .,�.. __ _ "" ISSUE FEE' "_ � _ �'�' _ __ "`_ _ ' . _ _' ' ' '_'� _ _' ' " ' ' " ' ' " ' ' _ orivers' License or 55 � - - � �" " CMF 0865-46 White-Builtlin9� �nary-Applicanp Pink-Accounting: Goltlenwtl-Assessor . . . ..,. CONSTRUCTION AND PLANNING - � � � POOL & SPA - . , ;,,- , . � 1 , APPROVALS. Permit# � � Date Inspector � ,p�ppROVALS � Permit#;� • �Date -�� _Inspector � 't `' 1. Temporary Electrical Service or Pole - '� . 43. Pool & Equipment Location '' � � -�' -`' '`- - �"'`�� 2. Soi ipe-Undrgm � . . . 44. Steei Reinforcement- - - - � ��- ' • `= � 3. Electrical Conduit Utility-Undrgm_ � - 45. Forms - � � - ' '� 4. Electrical Conduit-Undrgrn � _ 46. E�ectrical Bonding �� � � tee ein orce ... . 47. R'ough�Plumbin & Pressure Test � 6. Electrical UFER Grn - ' ' ' ' 4g. 'qppROVALTO COVER-GUNITE - � 7. Footings �' ' " 49. Electrical Co'nduit-Undr m - � .8. Foundation . � � ' + � - - - � � 50.. Gas.Pipe, ❑ Undr rn, Test � � - � ' � 9. _Water.Pipe-Undrgrn • � � 51.� Backwash Lines P-Tra ❑ ndr m - `- - ;0. Structural Floor System, 52. APPROVALTO DECK ' '' 11.. • Property. Sewer Line & House �Connection ' 53. _ Backwash & Rece tor-Final � ` - _ :12. Street Sewer Connection - � � � ' � 54. Heater & Vent-Pinal � � - 13. Rough Plumbing, • � . - . � � - � - ' 14. Rough ElectricConduit - -- - -- - - -- � �56: Electrical-Final-�- � � � � r . � 15. Rough Elect�ic-Wiring - '"' ' � � - - - � � --57. Solar System-Final, ` � ' -' ,ij '�/. - -�16: ��Rough.Heating &-Air Conditioning - - � - encing & Access Approval � �. 17. Ducts, in Structure � � ' i � - � � � APPROVED FOR'PCASTERING ' � " ' � � � . 18.. Ducts, Ventilating - ' � - � . . _ � , 19. Gas;Pipe-Rough"&Test • ' " 4 60. POOUSPASYSTEMSFINAL � ' , • - 20. Roof.Framing _. .. , r, ' . - - - ' , ' " � . . .. . . 21. Roof�Sheathin • - ' ' � ' ' . . - � - . - . . ' ' 22. � Frame`and Flashin .- ��' - � - � ' ' NOTES:' ' . ' - . . , �' . , ' � ' 23. � Insulation ' � � � - . - - - ` ' . 24.- Lathing & Siding -� � - ' ' • � � _ . - - . _ .. _ . . . .. _ . .. .� . ._ � 25. Dry'wall Nailing - � ' ' -� ' ' � � - � ' " ' ' - � '.6. P.laster Brown Coat • � " � � ' � ' ' 27. . Electrical Power Meter-Final � _ . ' � � ' `'' �'�' � � � � � � - � 28. - Final Electric . � ' - � � - � � 29. Final Heating &.Air Conditioning . ' � ' � � • - � �• � , ' - .30.. .Final Gas Pipe-Test " ' ' '' ' � � � , ' � ' 31. Final Plumbing � . � � �' � ' ' � � _ 32. _ Water Service-Final ' � ; - � � ` � - ' � '� - _ . . �. __ . -- -- - - ' ' - 33. -GasService-Final . '� ' "'" ' �" "' � ' � ' - . .. .. .. . ......_ ; -` � - 34. Solar pomesticFinal � '� 1� ' � - � � � ' ' ' - � 35. Landsca e S rinklin S stem � ' � ' � ' � � 36. Sound Attenuation � � ' � ' ' • - � - - • 37. � Handirzp Regulations � � - ' � - ' � � � • - 38. FINALSTRUCTURE�&BUILDING ' ` - , --- � - � � 39. Special Requirements Completed ' ' ' � � ' ' ' " � �� ' � � " 40. Electric Release to Edison ' � - - ' - -"'� "• ' ' ' `- - ' 41 . Gas Release to Southem California Gas-Co.� -' � - - � ���`- � ' 42. CERTIFICATEOFOCCUPANCY � _ . - ' � � ' _ .. . No Date -- - . a � . �.._, _ - _ ' • a_��_�S COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSTA MEBA. CALIFORNIA ■ � Fo� Applieanf +o Fill In Complefely TYPE OR PRINT BUILDING 3123 BERAtUDA ADDRE6S COSTA MESA. CALIFORN7A, OWNER NORA4AN POTEKIN - w1.A.:.e�e� ��+ BUILDING FIRE :iOUTH GATE� C11LIF0 'IiNI!�' �oNe TEL. LEOAL rv0. OF BLDC9. � 86TBACK LINB FPOM DESCRIPTIOPI OF WORK FE� �ECE4l��D ��/ auc2a,ssA' � FINANCE DEPi. cirv oF cosra M�sa APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPi NO. fF�RMR � BY COSTA MESA. CALIFORNIA ZONING n � INO. OF ') US8 OP NEW PLANB ` I BIIILDINa :�> ,x z 3 T�' 6/ /!3 — S�3 — z3 YARDS EVES APPROVED (CCMBR LINB 9TJ r I IIMOVING I IIDEMOLISH I BY�'ROVED Lc��� � NO. OF HOLD FOR SPECTA ROOMS STORIES WALL I ROOF , �' ,^ � y COVERWG �v / qLDING AND WORK TO BE PERFORMED �/ Ov< •c`G4 CnC� SWZ;�i POOL ��ce a.,�/ sr/� 1 X¢PBBY ACKNO AND 8TAT8 THAT PLY WITH AI.L BUILD�NO W i SIGNATUR OF, ■ AUTNORIZED AGENT C/iG� �Yi� �f� �' �n4 C1[t/�. THAT 1 HAVE REAO TH18 APPLIGTION TH6 AMOUNT BXOWN UNDEH VALUATION 19 POR TX¢ �YE I6 GORRECT AND /�OREE TO COM- pURPOBE OP, EeTABLI9HINe A P¢pMIT FEE ONLY. VANCEB AND BTATE LAWB OULATINO VALUATION �� PERMI7 FEE $ �J a- i � ' 2300.00 ��"'- � S PLAN CHECK $ �' ....�... ...... a. �.5 � C O ¢ � OWNER JOB AD DATE GENERAL CONTRACTOR Anthony PgQ_ls VALUE $ Q,300.00 AP No.113-553-2 LOT TRACT FIRG ZONE DESCRIPTION OF WORK Pvt,swim INSPECTIONS I Signature DATE GROUP TYPE 7.ON� R-1 So;l �'�y�i _� g./ / PERMITS ISSUE] n.... f:-�/ f-�._.. �'i-'�` SU33CONTRACTOR ...,.,,, .,.,,.,,r coat � /-OI \�VY✓ 1V1\ V� r�r ��rr�Vuu.a��r���V iC�nu r COSTA MESA BUILDINGSAFETY DEPARTMENT pPPLICATION FOR STRUCTURAL PERMIT .• �P.O.BOX1200 COSTAMESA,CALIFORNIA92626 �- ���.� ^ �� / RECENED BV PERMIT - - B2 TL' For Applicant to Fill in Completely — Use Ink Only N� 4 8 7 9 6 � ADOPESS J�Z'� /�'��'»� ✓'�� A.P.NO. 3 5 OWNER OR ADDRE55 S I a3 RE�21�9v DA TENANT O�'/S��Y UNIT OR MAI LI NG ^ SPACE NO. ADDRE55 '3�%i� � uY TR.NO,�� ( � LOT ^� BLK. ��T� �; fa. 'h�i.c,r� No` 979y/�9 � ` '`' CANSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER � BRANCH D 21 S�� OWNER ADDRESS � VALUE AHCHITECT TEL. USE $%�7�. OR ENGINEER N ,,,����/�+++ � ADDRESS� ' ZONE � TVPE r GFOUP CONTRACTOR („i(/LJ 7' �GMriy .�Ji' B�PROVE . DATE ' ('{'� " ' .� 1�'7 E- �c%/a./ ADDRESS � ^ . , �n . .r � i ' CITY�/ ' �, NOL 9%/"//� • .. . . � STATE CITV ` - 1 �APPROVEDSETBACICS �? � j� � LIC. NO?�! � 77 � - LIC. NO. SIZE - ' "' NO.OF BLDCS. (FROM GL STREET) r . W . C. OF LOT � - NOW ON LOT ROfYT ' FT�' a USE OF '� EXISTING BLDG:' 3' . • , -' � . - . g . p . . .tA. ' ��� x • Separate permits are required for . . �. sioE � electric; plumbing and•heating work: '' �� j REAR FT. u F USE �B�ILD�f�G AND WO _ TO�BE PERFOR�IED ��},�.��� pL`qp�NING ACTION \, �,�\ Q 2 �Ct.�.�+ 1�% �7 f ,T,;.,,�,..,,. C ...:::':,. :>'r�k..� :- q r �-=-� � " DATE "'a � T� �� �:. „'\.. S.".\ ,! �° � APPROVED . a i9-DD.�= `_ � .-,2rLl._ _ , _ - (�^� 7 1�� \' �� iAPPFiOV • `t'� �// /9 %' � �- .. i hc�, r�o�y ., l _ s. � •• _ ,.-.. ."._` _il ��.....r�... J✓J`�:\ '..,✓�".£i . ^., :'..\�;.'. �, ���. W - i �4 I hereby acknowledge that':1 hava read tFis application antl state� � �y � ffiat ffie atiove�information`is'coriect and`�aB�ee°to��compWawith � �` 'L�ry' : . , „� t�' � '� � all laws re0ulating�byilding construction,.and I shall not employ ` � . � ,� any penon.in vi lation'd the uy rkman's�.compansation laws of � v �__ ��,��.��s ,..,: W ffie State of Californie. �� �--L � ' y� . . \ `c 3 I hereby cer,<ify that I am prope�lylicensetl as a contrector under �� i�SQ.'FT. �� �" a 4��'� ^� ffie State>ofiCalifoinia business antl,Protessions Code, DWfsiom3,� THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and ffiat iuch licanses are in full torce and'effect;br'I ^!�-'TWEqURPOSE OFfES7AB�ISHING.A�PERMIT FEE ONLV: � am axempt trom the provisions of the Siata of California Business a and Professions Cotle iv'sion 3, C apter 9. -^ a VALU�TION ,t,i pERMIT FEE 5 ,� ,� 1 � '� � m / '�'°�.J4"�. '.1.'R'"../ ..PLAN'CHECK S '.�,Q � o SignaSure of � � ' , � LL Permittee a, f $ �� TAX S � ?/ F ar � /� Authorized Agen . ate_ � TOTAL PAID S AA T . . , c . t "' . ' . . . " ' . .. .. . „ .� � "_ . . "' _ '' ' . . . . � � -�"�' „�° � ,,'�"�'�'�'� � . _ / j �. � "� ^'�°�-rn- '�u. _�? . . : : `_"�`2"��' � , �.�y �Y' ' - - ; _ ' ; , ' '�''"'!�.�i�'�%'�: :, -'!�.�t %' , � - /~=,'� . _ � o,. �.,, . � � , _"�- _.a'";y �-'-..'-,-".'-'. �,' G,��,�.N,"",�/ - _r -� _ . . � ��-" y_ � ^-�-� ,,��-, �"2-- - - � . � ���. . �:. ��,�.�v � � �;; � � - �: � .� �. . --~"Y�' -C�`8'� / `'"'� - - . _ _ � . �-_ -'�°�.:�' �`�""�-„�;.:,_.�,-,-�.,�;-�--"� "� -�"�-- --� � :.,,,. _ � ` :°y0�`,:;��:��'" ( �n l""=r"�"+= b` .:�� � - - - , �ti � �/'��/j�/]��-/�'2�•-- - . : : � � - 0 �, :> ` , � � ���,. _ - - j (//� p T F �� � ��/(/)/J/•/����j/y//f %�/����'!' - - -- � - ��1 ��L M�fY"�'f� � �Y�,� V �����'! � �iri•�//L('1� ' -'��� �!f� �O ��yu� r � , ---- - , �.1:lYY�✓yl0'�rj . U _.yy//'�/y�s G'�/-" l �. ��,i y i j,,�� � -%_'� / " . . � � L,r- ✓•�'� - !"�Y�/��V '�,i/ )4i(/ � � -_ �; _ �V � j(. _, 4 � . . / [ v ' � �i�%v/ `<J✓ '� l ,J+� � �����1 j✓x%� . . � , . _ _ ' . � � `_„- ' � � . -- - T � ��. v(/ G)�1-d .y � .� .'H: . . , . . . � . . . ' ' ... . '. . .. " ' ' ' ' ' - . . , r • . ' . _ . . . ' _ . , . . " ' \ ' _ '_ " " ' . ' r'_ " _ '_ � � �. __ :. _. _ . . _. '�� , OWNtK Urisner JOB ADDRESS 2 BeYtllUdd GENERAL CONTRACTOR— es� t Garr AP No. - 65-23 LOT 23 INSPECTIONS 'soi� GAS ' W �TER. �ROUGM PLUMBING PROP. SWR. LIME ❑ HpUSE CON. � SPRINKLING SYSTEM .MISCEILANE0U5 ROUGH NEATING AN� Alp CON�ITIONING TEMPOHARV SERVICE Op POLE UNDERGROUNO � POWER � ROUGN WIRING TRENCHES FORMS STEEL REINF.I FLOOR SYSTEM BOND BEAM � STEEL PEINFORCE ❑ SHEATNING FRAME RNO FLASHING � LATHING — IN � OUT n PLASTER.BHOWN COAT NEATING, VENT., REFF PLUMBING, FINAL RNO ELECTRIC, FINAL BUILDING, FINRL corne� ocnuiocucu� FINAL UAIt q_ VALU SUBCON�TRACTOR �. _� C�S7A MESA BUI�DING-SAFETY DEPARTMENT P.O. BOX 31] GOSTA MESA. CALIFORNIA FOR APP[/CANT TO F/[C /N COMPLETELY PE R ARINT BUILDING J ADDRESS J� ! T COSTA MESA, CALIFORNIA � / 1 • MAIL ADDRE55 .6 TEL. CITV r NO. ARCHITECT LIC. OR ENGINEER NO. ADDRESS ' �!R " J //�' (� �� � LEGRL lOT oescvivnorv/ NO. IBLOCK TRACT A.P.NO.`%���Z� � ai �I� OF LOT / D� / 7 I��' �F e�oGS. NOW ON LOT USE OF EXISTING BLDG. O �- SETBACK LINE FROM CENTER OF STREET REAR VARD SIDE YARD ILEFT IRIGHT DESCRIPTION OF WORK ■.REPAIR EXTERIOR WALL ROOF COVERING COVERING USE OF BUILOING AND WORK TO BE PERFORMED �cJ /" �i� ILi d lI �-C Y. C F 1 HEREBY ACKNOWLEOGE THA AVE RERD THIS AP ICATION pNO 9TATE THAT THE ABOV 5 ONRECT AMD RGfl TO COM� PLY WITH ALL CITY OFDIN AND T LAW EGULATING 9UILDING CONSTRUCTION L SIGNATURE OF ���d� PERMITTEE - ._ AUTHORIZE� AGENi rEE� RECEI�ED pPR 3 01959 . FIIVANCE DEPT. C�TY Of COSTA MESA APPLICATION FOR PERMIT BUILDfIVG fa,e officE usF aN�y IflECE1PT NO. I PEFMIT NO. 1VED BY OATE RECEIVEU DATE IBSU -.m, k-3o—s 9 4— 3 c�' G ' iS COSTA MESA. CALIFORNIA ZONE (CENTER LINE L. SIDE � 1 � ZONING. NO. OF I lISE OF NfW PLAN6 BOILOING � DATE EVES � ALLOW ED �'� �. � � d ?^ � � THE AMOUNT SHOWN UN�ER VALUATION IS FOR THE PUFP09E OF ESTABLISHING q PENMIT FEE ONLY. VALUATION .�� PERMIT FEE $ �,. $ (y� ���. PLAN CHECK $ ~— e/ �.TOTAL FEE $ � OWNEH DATE JOB ADDRESS �],9q R e�`�niyrl�--IItive � BUILDING PERMIT N0. 9168 GENERAL CONTRACTOR Grover Constr Co VALUE $ 250. AP. No. LOT 94 TRACT 4l l K FIRE ZONE DESCRIPTION OF WOAK Al nck wal l INSPECTIONS I DATE SU6CONTRACTOR ,o^ .. �� '. f.F--,:.. � a��� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� . COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN IOUILDING COSTA MESA. CAIIFORNIA OWNER Mesa Verde EsTates ADDRE55 I%OI Gisler ST. c�rv Costa Mesa Tryp: K� 5-1751 q OR ENGENEER �• R• ShQi IC�/ NO.C-ZI%O A�DRE55 G 9-0908 • CONTRACTOR L. G.RObInSon aTv N�123 ADDRE55 1701 Gisler St. TNo.KI 5-1751 LEGAL �orr�q - 3115 DESCRIPTION NO. LJ BLOCK TRACT A.P. NO. SIZE 70 X loo NO.OF BLOGS. nQ(�O OF LOT �IOW ON LOT � SET9ACN LINE FROM �p�.� ccrvreA or srrx[[r 5Q�} REAR YARD iy—+- SIDE YARD RIGHT V�+ LEFT 5��' DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR .MOVING DEMOLISH 5 ZIEDING 1433 Sq�Ft• ROOMS 6 STORIES � COVERINGWALL STUCC� COVERINC#Sjir18l T& Rock USE OF NEW BUILDING Reside�ce h Attached Garage i Ner+Eev acKnow�eocE . STATE THAT TME R60VE i5 CC CITY ORDINFNCES AND STATE TION. ��f �// SIGNATIIRE OF L � I /+UTHORIZED AGENT �= EE r�E�ti'��D DEC 9 �;i8 � FI�AhCE DEPT. CIfY OF COS?A MESA � APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. pERp�T $JQ PECEIVEO 6Y . C1PTE RECEIVE OtTE ISSl1E0 �Vn _� a- v- Sd' i� -- ti-s LfJING JRE55 COSTA MESA. CALIFORNIA FIRE ZONE APPROVED BV DATE CORRECTIONS y +- } �AND AGREE TO COMP WITH ALL REGULATING BUIL�I G CONSTRUG ' � VALUATION ,r LI � PERMiT FEE $ vy V v✓/�- '�--rvc+�--n—a..,/ ,1 • . $ / � J` Qi PLAN CHECK S � � , „Vj��� �l / TOTAL FEE 5,: j D� v°"'s GENERAL CONTRACTOR AP. No. LOT 7q GR011P I & J INSPECTIONS coat Final Gas Tes[ /_ti ESA VERDE ESTATES 123 Bermuda Dr � G._�tobinson TRACT j11S F�E ZONE YPE V ZONE A1 DATE SUBCONTRACTOR DATE 12 iA PLAN NO. PERMITS ISSUED DATE NUMBER ■7 \