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Home My WebLink About360 BROADWAY - Building Permitss _- . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BcUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 360 BROADWAY Suite: Vicinity: EXISTING DUPLEX Parcel Number. 11729321 npp�icant: HENNINGER, NORM Address: 12262 HESTER PL GARDEN GROVE, CA Owner: CROSTIC, WILLIAM H JR Address 362 BROADWAY Zoning. Phone: (714)534-7000 � Zip: 92841 Phone: COSTA MESA, CA Zip: 926D Contractor: ASSURED PROFESSIONALS INC Address: 12262 HESTER PL Phone: (714)534-7000 GARDEN GROVE, CA Zip: 92641 License: 760384 Arch : Address: Eng: Address: ISSUED BY: Stafus: ISSUED Applied: 12/17/2001 Issued: 12/17I2001 Phone: Phone: Zip: License: License�. SCOPE OF PERMIT REROOF EXISTING DUPIEX (25 SQ). TEAR�OFF EXISTING ROOFING, INSTALL 30# ASTM FELT UNDERLAYMENT, & REROOF WITH 25 YEAR COMPOSITION SHINGLES. - Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Totai: $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Lek 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Ri9ht 0-0 94,500.00 $a,soo 00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is notpommenced within 1 BO days, or ii work is suspended or abandoned for a period of 780 days. � INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 :wwo �wu� WORKERS' COMPENSATION DECLARATION: ' .., I hereby aHirm untlar penalry of perjury one of the following declarations: ❑ I have and will maintain a cenificate of consent to self-Insure br workere' compensation, as provide0 tor by section 3700 of the Labor Code, tor the pertortnance ot the work for which this pertnif is issued. -❑ 11 have and will maintain workers' compensetion insurance, as required by section 3700 of the Labor Code, for the pertortnance ot Ihe work for which Ihis pertnit is issued. � My wo 5' c ensation Ins�r�nce c�ar/r�@r and policy number are: (// 'Carrier. �i�/��. l ��JV/� rpoliryNumber: ��%Z/U �� -(fhis sectiar need not be completed i/ the permit is valuetl af one hundred dollars ($100) or less.) l�- — ... ❑ I certiy ihat in the peAormance of Ihe work for which this pertnit is issuad, I shell nol employ eny parson in any manner so es to become subject to ihe workers' compensation laws o Cellfom' , antl agree that ii I should become sub�act the-workers' compensation provisions of Sectlon 3 00 oi th Labor Code, I shell fonhwith comply with ihes p visi � Applicent SignaNre: 'Date: � � r 7� � WAfiNING: FAILURE TO SE URE WORKERS' COMPENSATION COVEFiAG UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANODOLL4RE($100,000),INADOITIONTOTHECOSTOFCOMPEN ,DAMAGESASPFOVIDEOFORINSEGTIqJ3/O60FTHELABORCODE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I here6y affirm thaLl�am license u tler p� vi ' torce end eHect. Lic: k_"_�J� Contractor's Signature: Chapter 9(commencing with Section 7000) of Division 3 of the Business�PQ Profe55' s Code, and my license Is in full Class.N / / � – S ,�-------- oa�e: �y�7 � CONSTRUC710N LENDING AGENCY: V ❑ I hereby aflirm that ihere is e consiruction lending agency tor ihe pedormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn ihat under penalry of perjury that I am E%EMPT FROM THE CONTfiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any simcture, prior to its issuanca, also requires Ihe applicant for such pertnit to tile a signetl statement that ha or she Is licansetl pureuant ro the provislons oi the Coniracbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Protessions Code) or ihat he or she is exempt thereirom end ihe besis for ihe alleged e:emption. Any violation of Section 7031.5 by any epplicent for e permit subjects the appllcant to a civil penalty of not more than tive hundretl tlollers ($500).): ❑ I, as owner of the property, or my employaes with wagas as their sola compensation, WILL DO THE WORK, and ihe structure is not intended or o%ered for sale (Sec. 7044, Business antl Protessions Cotle: The Contractors License Law does not apply to an owner of property who buiitls or improves ihereon, and who does such work �imsetl or hereelf or through his or her own employees, providetl that such improvements are not intended or oNered for sale. It, however, ihe building or improvament is soltl within one year of wmpletion, the owner-builtler will hava the burden of proving that he or she ditl not build or improve tor purpase of seleJ. � I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to constmct ihe project (Sec. 7044, Business end Professions Code: The contrectors Licensa Law does not appty to an owner oi property who builtls or improves t�ereon, antl who contrecis tor such projact with a coniractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Signature: Owner ID varifietl by dnver's license. ❑ Yes ❑ No Busines5 and Profession5 Code tor thi5 reason: Verification oi Ownership by (lypa of tlxument, i.e. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Orivers License No. Da�e: Expires: ❑ I hereby certity Iha� no excavetion five (5) or more faet in depih imo which a person is raquired to descend, will be made in connection with work authonzed by ihis pertnii, and ihat no building siructure, scattolding, falsework, or demolition or dismantling thereot, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Administrative Code). ❑ A5 owner-builtler, I will not employ anyone to do work which would raquire e permit from the Division of Intlustrial Satery, as noted ebove, unless such person hes a permit to do such work irom the division. Signature: Oa�e: Division ot Industrial Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUTHOHIZATON OF ENTRY: I certiy under penalry of perjury ihat I have read ihis epDlication antl state ihat ihe intormetion given is correcL I agree to comply with ell state laws end city ordinances relating to building consWctioq and euthonze representatives ot ihe City ot Costa Mesa to enter upon ihe ebove-descnbed properly for inspection purposes. I egree not to occupy or allow acupancy ot any building authonzed by ihis permit until final inspec�ion. COUE I, INSPECTONTYPE 1616 Fixetl System Final Fira Pr 1266 200 Pool Spa Finel Final Re-Rooi 201 Final BIocWRetaining W ell 202 Final FaCtory Fire PlaCe 203 Final Sign 204 Final Demolition pAg �6S ' �• COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 272 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250 Final euilding/Occupancy Date O� �Date D1TE 1[�ELfl (714) 754-5273 • Fax (714) 754-4856 • W'�+.ci.costa-mesa.cB�ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 ,lob nddress: 360 BROADWAY Suite: Vicinity: DETACHED GARAGE Parcel Number: 11729321 App�icant: HENNINGER, NORM Address: 12262 HESTER PL GARDEN GROVE, CA Owner CROSTIC, WILLIAM H JR Address 362 BROADWAY Zoning: Phone: (714) 534-7000 � Zip: 92841 Phone: � COSTA MESA, CA Zip: 92627 Contractor: ASSURED PROFESSIONALS INC Address: 12262 HESTER PL Arch : Address: Phone: (714)534-7000 GARDEN GROVE, CA Zip: 92841 License: 760384 Phone: Eng: Address: ISSUED BY: Status: ISSUED Applied: 12/17/2001 Issued: 12/17I2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING DETACHED GARAGE (4�SQ). TEAR OFF EXISTING ROOFING, INSTALL 30# ASTM FELT UNDERLAYMENT, & REROOF WITH 25 YEAR COMPOSITION SHINGLES. � - � � Plan Check: $0.00 Permit: $35.70 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $36.20 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $850.00 5850.00 NO710E: 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. � ' ' INSPEC710NS: 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 tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244818 (fi/00) WORKERS'COMPENSAnON DECLARA710N: � � I hereby aflirm under penalry of perjury one of the following tleclarations: ❑ I have and will maintain a certificate of consent to seli-Insure for workers' compensation, as provided for by section 3700 ot Ihe Labor Code, for the pedortnance of tha work for which ihis permit is issuetl. > �Dif have end will maintein workere' compensation insurance, as reQuired by section 3700 of the Labor Code, for tha pedortnance of ihe work tor which this permit is issued. " My wo com ensation Insu� e carrier and policy numbar are: '/ Carrier.. ��iS%� � / — �%��i> Policy Number. �� 2 � �' / G ' A% � (This section need not be comp/eted ii the Oermit is velued et one hundred dollars ($100) or /ess.) �- ❑ I certify ihat in ihe performanc of the work for which Ihis permit is issued, I shall not employ eny person in eny manner so as to bacome sublect to the workers' compensation laws of alifo ia, end egree that if I shoultl become sub' -to t�e workers' compensation provisions ot Section 700 of t e Labor Cotle, I shall torthwith comply with ihes p vis' Appilcant Signature: � 1 WARNINO: FAICURE TO SE URE WORKERS' COMPENSATION THOUSAND DOLLAFE ($100,000), IN ADDITION TO THE COST O LICENSED CONTRACTORS DECLARATION: ` _ 7� Dele: -- %/�-` � �7 O � UNLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND qVIL FlNES l/P TOONE HUNDRED ON, �ANAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. I hereby attirm Ihat I am licens tl nderRfo�� n of Chapter 9(commencing with Section 7000) of Division 3 of the Business3� d PretSssjqns Coae, and my license is In full force and eflect �Lic. #� � .5 — Cless N + C.�`'S Y CON�aaofsSignature: Date lyLz o / � -- CONSTRUCTION LENDING AGENCY: ❑ I here6y eHirm ihat there is a constmction lending agency for the pertormanca of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: SignaNre: _ OWNER-BUILOER DECLARATIONS: Lenders Address: Date: I hereby aflirm Ihat under penalry oi perjury ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business and Pmtessions Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, also requires the applicant for such pertnit to file a signetl statement that he or she is licensed pursuent to ihe provisions of the ConVactore License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code) or thel he or she is exempt therefrom and ihe basis tor the ellegad exemption. Any violation of Section 7031.5 by any applicant for e pertnit sublects tha epplicant to e civil penalty ot not more Ihen five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with weges as their sole compensation, WILL DO THE WORK, and ihe sirucNre Is not intended or oflared for sale (Sec. 7044, Business and Professions Code: The Contraciors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provitled that such improvements are not intended or oflered fo� sale. If, however, the building or improvement is sold within one year of completion, ihe owner�6uiltler will have ihe �urden of proving ihat ha or she tlitl not build or improve for purpose of sale.). ❑ 1, as owner oi the property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to constmct the project (Sac. 7044, Business and Professions Code: The contractors License Lew does not apply to en owner ot propetly who builds or improves Ihereon, end who contrects for such project with e contracmr(s) license pursuant to the Contrectors License Lews.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Driver's License No. Venfication of Ownership by (rype of documenL i.e. - property tae bill or tleetl): OIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: Expires: ❑ I hereby cartity ihat no excavation five (5) or more fee� in depth into which e person is required to descend, will ba mede in connaction with work euthonzed by this pertnit, and ihat no building structure, scaffolding, talsework, or demolition or dismantling thereof, will be more than ihirry-six (36) faet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owner-huilder, I will not employ anyone to tlo work which would require a permit from ihe Division ot Industrial Sefery, as notetl ebove, unless such person has a pertnit ta do such work from Ihe division. Signature: Date: Division of Industnal Satety Permit Number: CERTIFICATE OF COMPLIANCE AND AUfHORIZA710N OF ENTRV: I certifyunder penalty ot perjury ihat I have read Ihis epplication and state ihat Ihe informa�ion given is correct. I egree to comply wlih ell state lews and city ordinances relating to building constmction, and authorize representetives of t�e City of Costa Mesa to enter upon the above-descnbed property tor inspection purposes. I agree not to occupy or allow occupancy ot eny building au�honzed by Ihis permit until finel inspection. cooe �. ixsveenoxrrre `/ 1616 Fized System Finel Fire Pr 7266 200 201. 202 203 204 Pool Spa Final Finel Ra-Rooi Flnel BIocWReteining Wall Final Factory Fire Place Final Sign Finel Demolition peg 1t�S Z� 1� ^ Date /'L- < 7 G / —�^� r-Dete . COOE� INSPECTIONTYPE PAIE II�lS 206 Final Mechanical 20B 210 212 220 222 250 Finel Plumbing Final Eleclncal Final Fira Prevention Final Planning Approval Final Sita Final Building/Oxupancy COUNTY OF ORANGE BUII.DING DEP'f. 636 No. Broadway Santa Ana, Califomia Phone: KI 2•6211 t. OWNER'S MAILING Name. � Addrec� -�--��---�------------ / City :...,__..__.._._......._. State ' Lic: No..---------------- PROPOSED USE:-_. Application for Building Permit AND FOR A CertiFicate of Use and �ccupancy ' r (�j ry •- �. Permit IQo.�..LS...� / �� Q � Datu----------.d_'_-�- --�-�.._�---------.. (Archirect or Erigineer) PHONE:._.'......_.. - -- ---- �.� !; �i y�-S.Y.../!i -- /,�-d.S--!'�}.-- . / ' Nnme --.L.� � �./A'�� liLi � : ' . --...---....._..---- -... --------------------'-------------- � � � (Contracwr) ' , . � � �aaTe55 /�L_�i-.-/��.t � 1!/.�--� -- -, - -- ' City --�8.'.��Ie".......�-'e`� .%'�1.�.----------'------------- State �C/ �.�._�� (r! Y�d--�_7 � Lic. No.-- --- ----- -- -'----.... Phone.- -- ------ - � '- � JOB LOCATION-------- - — � _ � . �o ..._.. 4U �P�, /V _ O -� � l si��k . \ �� ca- - - - � �9_ __— � � � _. � �...... ...�..r�«> Hou.e No. ( ?. LECiAL DESCRIPTION: Lot__....___.,_ Name o trcet Town or c oo istCt �� - . � , .... _`�_�__ (Meces and Bounds Descriptim—Use reverse side o( form) , ' , . 4. CORNER LOT. ( ) INTERIQR LOT (�) . THROUGH LOT ( ) SLOYE OF LOT .( � D O- �j AREA:..// �O � ...SIZE 'OF LOT:..... ,�� AREA:... � � � - _.._..._..CEILIN .. / - --....�� ._.+. �/�- �. SIZE OF BLDG.:....__d.�tX(�----- , � �. Z.� /�aT�' fl�- ,- � - - HEIGHT ...:..,D..d...L I - - S'. OF STORIES......./ .. ---WFI`L.► Size of �Smallest B � '7. NO G AMIOL ES.LDG --- --- -- G ,- -� iac of Kitchen.....��.�: I Z. � R. E ---- - - XTERIOR WALFrame�, S ucao, ECTION�:_, �f,t. C' �-' 'Q m.� � � � � � INTERIOR WALL COVERING....��IO',�.�� ^.._._. e / 2 SETBACKS: Front Yard From Center I,me .of Strect.:...:._� � � ' (P�as�cr-Drywall, Eec.) � � ' � , � ; -�'o - -�-r - - ... _ ... ...... ....- -'..___._._. _ - -- ---- -- , ,, ,,, , Nearest Side Yard.-...� ..:..:..:......Rear�Yard�;.�..:._.�`....D�stance in Feet Between Bldgs. on Same Lot.......�.� ��. � . . . ,,��.... ., . . �; ,. � . . ]0. A COMPLETE PLOT PLAN IS REQUIR�ED„SHOWING ALL S�RUCTURES AND USE OF EACH. l l. Accessory �a) �Footing:• Width.---- --_ . -_--�_,...y..De th �in1 Ground----.-I.�,'-„-.-.-.-.Width of Wall------�..� ,�/ � 1 �� p Bld s. and �.r / I L1 -D _ - Sim�lar . �b) Size of,Studs:--a.-�..41---------.Spacing.._.�..F2.,_.:.........:"CC Materia]'of Floor-----..-/.�i.N'F'Kw""0--� .SCNCCUZC6: : . � jy � ' . . . . � ' . . "' """"""" � (c) Size of Flooi Joists.-'-----�-✓h-`�Q--�=--�----Spacing........----�-5�---......-----'-�---.,CC . . ; (d) . Size of Rafters:----'--'------r�--�-- -'-----_._.._..Spacing.. . ..- ----------- � CC -`--' --� �' � 12. � VALUATION OF P OR PO �ED �WO...R�K�T: Including �all labor, plumbing, electrical wiring, hcating, fire <_prinklers, painting and sewage .disposal 5---_ -- �-- - -: ---�-.��.r-� 13. -T'HEREBY.CERTI�F�YTAT TOQTH BEST OF MY KNOWLEDGE. AND BELIEF THE INFORMATION ]N THIS APPLICfiTION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE �COUNTY OF ORANGE AND THE ST.tiTE OF CALIFORNIA APPLICABLE THERETO. ` Signed:._'--' -- -......_ _ - ----- ----- -\ . . , . ,/ � : . . : . . : ._,_' ".. ..;.....-(Owner) , ' . _... Plans Filed:...'._...._... . _ _.��7^`�ir%..��.�......'_. .- �_ � '� ' . � � � � ................ � - --'--- -- BY: .../.....7...-- - - ...... - ............-- .. .. - . . . . . . � . (Authorized Agent) � � ' ' FOR.DEPARTMENTPiL USE ONLY ' FEES: . Bldg. Permit - $'. Plan Check - �. Toca� • - • - $.. Receipt No. P�(`c._. Paid to - , . , .i �� GROUP-.----, - � ...._ -....._. _'...- ' :. � Q DIST; ;-�� -f,�: - SHEET,NO......... ' � � Mnr -- -- -- `� - �li..--: S ` ---..:.... S^,y . : � o� � M x DATE..'.._.__ ..............��..�.[ � Zi" ,. :. � - ,+ � , CtIECKING BY APPLICATIOT�,�,�,�Y w EALTH__:.:..._-.--,-:_..-- PONVNG. ......._ 1*.... FIRE . ' ' MARSHAL..:...:..._--- --.. S AND SPEC'S.: - .............._�� - . STATE.......,..:..._.._.:_..:...... CbRRECTIONS ENGINEER • VERIFIED ....:...:........--�--CAL.,..:........__._ -_:........... I�� PERMIT ISSU] ., � _---- - - ., .............. , . . '.0:. i I. � �:''1 . ��.I_ ^. . COUN1'Y OF ORANGE BUII.DING DEPT. 636 No. Broadway Saata Ana, Califomia Phone: KI 2-62ll 1. OWNER'S 2. i. 4. i. G. 7. fi. 9. ]0. 11'. ]2. 13. MAIL]NG /�pp�ication for Bui�ding Permit AND FOR A Certificate oF Use and Occupancy ' :� Permic No..�.��.�.�� — Dace....._-.�..�-�-- ---=-�-�----i-...-------._-- Name. .-----'--'--- ........_------....-------_.----:......---`------_..__....------ . (Architect Dr�Engineer) ' . Addre�: -----------"'------:..----: --- �--- �-----�----------------- ;..._: _...._. City---�--------`---'------:. State Lic No. - - '...... - PH ON E :-----------_ __.--...--- _��G2'`S. �t.�0': _..; �:.�E. e�i.. Namc� , `:-._..�.L-f�:Y�J_�.._.-----�------------- ..------ ----- � ; � ' � '/ � � ([�o nt�actor) �� ). ' Cit �ess'--��.-T-----��A-..C-�..LJ--'--Lb.l..---�-��- f , y� ; �°��: -1�1�,�zt ��_ Addr LicCe �i 4 �7 � � No_/��.(�__/../---_...._ Phone��.ri.:.�__L__�� PROPOSED USE:- - - i ��" - ` - . ... - � - - - / - JOB LOCATION - �t. (� Q� A - < .!� ..�^4L.�iU �'�( ' -'- -- - �lL ��/�".- ..a��.� � - (House No.) � .(Name of 5[rc'ee) � ' ( . (Town or School District) , LEGALaDESCRIPTION: Lot---,--,.... '_..:--�..:Block ----- - --- - -_.._----..... Tracr.--_..- ----.`---- ( d Bounds Description—Use rcvers��de of form) ' ' �' �� CORNER LOT ( ) INTERIOR LOT ( X) . THROUGH LOT ( ) SLOPE OF LOT ( ) � V �- - �° � � SIZE OF BLDG.:.. D_ sS.:�'�%.AREA: •- I,�"�...!..i--SIZE OF LOT:--... ---- -,- AREA: -' -- -- - . ,.: :.� . . . , , HEIGHT OF BLDG.:-----.---��-_�---------------------CEILING .HEIGHT:!-----�--- /._----.._..NO. OF STORIES-_...----/.:-_---:-------- NO. FAMILIES .. . j..; S�ze �Smallest Bedroii� � — Size of Kitchen ... p _ EXTERIOR WA (L CONSTRUCTION:.. R!.� ��,... INTERIOR WALL COVERING Q�S/.CN Frame, Stucco, Etc. , • � � ! ; : , ; , •; (P]asterDrywall, Etc. ,. ) Yard From ,..�. �tieht �8 i ------ . . ' ._....... . . , t - '--- .... .. . . .... . .. . SETBACKS: Front ��, � � ' . . ^ ' G�/ � p. � . � gs� on Same Lot ' . ..__ ...__ . Nearest�, Side Yard Rear Yard � D C i� Feet Bety�een Bld . . / �(�4� � � '� ' � � ; A COMPLETE PLOT PLAN IS REQUIRED, SHOWING, AL STRUCTURES AND USE OF EACH. � (a) Footmg:� � �� : . , i , � , � . ' . .. . , ��. � For � Width ._�-� _--.-'--. --.Depth m Ground ��---.:-... _.--Width of Wall u.....: -- . -- ..._-- Accessory CC Material of Floor...._ !1 /�lPh Bldgs. and �b) Size of Smds:_a.X..� .. Spacin ' ; � , � ,.. Similar -- --`- '--�--:�-�-......... �..� - --�� d.. Structures: . . . , , � , � � �'. � ' � . � �. , . . , � . . . (c) Size�of Floor Joists:.---"--:...._ ---------Spacing.;-------------------------__....."CC ; . � . (d) Size of Rafter�:..._-'----�:'a'--��'.----�---..._---`-Spacing-�------------pr�-----._.._..••CC _Q � ',, g all labor; plumbing, electrical wiring, heating, fire_ sprinklers, painting and ewa e d s,ON OF P�POE}� RK: IndUdid g P �v- --'.. �� . . , . . On.- �J � � ! . 1 HEREBY CERTIFY'THA� TO THE BEST OF MY"'KNOVJI.EDGE AND BELIEF ?HE INFORMATION IN THIS RPPLICATION IS CORRECT AND. THAT THE. CONSTRUCTION.WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE 'AND THE STATE OF CALIFORNIA APPLICABLE THERETO. „ ,,.�,,, . . . � � � �. . i . . . . . . . . ' . , Signed:'----- Plans Filed:__._�y./��.� �---------------.'..-._ : ...._... ............ . ..------------ - ------......._._.---- , �...i_.__... � ..-- � -------- ��- ' . ' (Owner).. _'_ _ � . . . .. . . , ' : By:'--- /--- "---... --'----- ... --- ��-------�------ ._." --l' � -- , , . . , (Authonzed Agent) . . . Bldg. Permit' Plan' Check � Tota] - - Reaipt No. Paid'to - Date ------------ 5 M-tl'v1 FEES: %��G FOR DEPARTMENTAL USE ONLY r.�.�� GROUP......--�.�7t..,...- - Q-"Q- TYPE....--...: :,,,/� .......;.... -. .... IvIAP .:.......... . �fSHEETNO._..:�_.�� . .. llIST. ��.._ � , %... -;�-, • DATE..i.._._ . __.,�.�-.--�+�..� ZONING- - - ... - �f PLANS AND / SPEC'S --......-- - 1f -- CORRECTIONS V ERIFIED.-'--------------------- I:)5 HEALTH....- - =-- --- - FIRE ' . MARSHAL_....... _... <'_.....--- STATE ----- -....; :� ....- ENGINEER of E ZONE VALUE ROUP J TYPE SUBCONTRACTOR GROP. SWR. LINE LJ HOUSE CON. SPRINKLING SYSTEM ROUGX WIRING TRENCHES � FORMS � STEEL REINF. FLOOft SVSTEM SNEATHING FRAME AND FLASHING LATHING - IN � 1 PLASTER, BROWN COAT HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL ANO GAS TEST n BUILDING, FINAL SPECIAL REOUIR PERMIT 2J��I }iOVi�1'E)SPAIDqO 644 �*****�S.�i(. ��.,,� COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 1208 COSTA MESA. CALIFORNIA 92820 .. '