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Home My WebLink About899 CAPITAL ST - Building PermitsCITY OF COSTA MESA PLANNING DEPARTMENT SEP-1-71�,.•,s�� 096� �*-a*�+ZS.nQ A. P, No. 115-6Q5-01 Sldg. Permit No. � • PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project.Address 99� Capit9l Street (Capital Street) Owner's Name ;;ill �?OUCh Bachelor or 1- Bedroom Units 1 @$Z5.00 = A 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units Total ninnber of Dwelling Units Planning Department Approval Date � n-��-�] (7i? % By Applicant's Signature @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = 2�.Oi3 Total Fee Area No. ib � "��LL�:�IC�1 e�o�e�c nda.� �� Owner s Nsme �- .. ABdiess � ''—� T . �'_ i Li V14.CI�iCY �.V1�1 RI�1..1 ' � Ivharaby!affirm that'I�ar . . I with.settlun 7000) of [ my lieense4s in eNl foree �.Llcensa�Class'� .. �'"' j �•Date'�� '� - ' '_ . , WORKENS' LOMPENSP � , reby affirm.that I.ha� , Norkers'� Compensatl 0. Lnb. C.) +.� ' f PoII<y No. ` � � CertHi¢tl�tOOY�s.hBfe . I 8 Cartifietl copy Is flle0 � Date�� ' a � ' EXEMPTIONiFROM�WC : (Thitsectlon:neatl not be ' lezs), - 1 1 . , j . ' I certity�that In the'perf , ' Fthall.not employ any q ' � Workars'fCompensatlon� .. r Date. ..a ' � � Date � I 12/82 ' ' ADP��t tD fill in all Spatef e:eeD� thou wl "t�.fJ_�_; A.� -�� -�-�. , .,PERMITNO �.! :TRA MIT � ; % M ,, � ? �: � .�, � ;-7 O ! _ • i' � � 1 " � �i : '' ? T/PE OF CONSTRUCTION � ; � ", , � } ^ �' � P � � -E � .�. � 4i � � CONVERSION "❑ DEMOLI! ' "' � � ' � DESCRIPTION�OF WORK f v'' r , hon 'B�d . . ' . : � ' f' �.,p-, +; a, :'i,�..: i�: t , _ . �. . 4 � �„ f iTVPEOF,PERMIT • _-'GarioiNi � � 4cense No = ^ � , O�TENANT�',❑'ELECTRICAL `s' i " � �' � 1 �`" ' t00THER � ii` _ I_ I � � �....� - - � � 1' . . . .. � ' hone' ` ��PRQIECTDESCRIPTION� 5Q FT._ �". �(#.�. {' ��? f . ' v CONSTRUCTIONTVPF � � � � ��-+�;• i r•T: . I - ZON� �.� � I GR. � _ iin �eavy EorGar Iines anG sign all approDriate Ceelantions. - ' � , � � � � � � � � � � T O' �� LOTNO B D � � .�__ i•� _ --••-� j . . � __�. .,_., " � ' � �.--; ' , ' 2�_ ' � "; �� w ; ; �{{ � ; :� ; �„ � �, , c r � ' `'si i �ie� � � n< � i'��.ao , T�. (tt J 0575 � EW ADD ALTERATION �, rREPAIR't t ' ; i � i^.� R�}, �� ,p p � 1 ��,�. � � 7 �•- � i ❑ OTHER T ' � � ;n i� � '�. � L�' i . � e .i i. � ' � i . 4 " �r . t r , � . 4. � „ j,..! n , * . !:- i r �' I G E T 'NS ' � � . �� i ' a � . ! �' FOUNDATION ' STRVCTURAC � A.P�#�+� . 'ZONE , ` : . � u � PCUMBING: ❑'MECNANICAL' ' ' � �. � 4 � ".BUILD NG; 1'�- � � ' 1 ,PLNG. REF. � � � - ! - � ,i > j :. . � t � , - ` .TO BUILDING� � y _ _ , . _ , . . . , , ` . � . . . PR PE Y INE � , SREAR VlKRD.(TO P/U ' ) � k: � � �'' •' i '- � " �OCCUPANCV � � � . . VALUATION,$ ��5� <CEFT SIDE YARD GHT SI�DE VARD '' • �r '+ DING CU. VDSt�.- � � �ACRFS ! '� �� BKG.SP,ACEiFiE�: �� PROVIDED '�'• i,,j,� 7� � :CLARATION � � i �� , . �� ^ t : ' � ` ' i ' ' 'STREET WIDTH � ' t � 'r �PAflK FEE ' � �� a� i i Remarks: �,: i. -. .q r f 1 . . . i. . � $ ..: t ." t setl.untler0�ovislons oT Charter.9 (commen<Ing ,�� ' ' - • � . � - � , . i 3 of the Buslness antl Professians Cotla, antl � � 1 Y � � � ' , � i. �' , ; i � � � SPECIAL CONDITIONS: � ' , � � �' � : i i ua 4 �� ri . � Tect. 1 i- �fense`No.':'� '' 't .� ''I. l'- i I :i �- VLUMBING i .E � i- f �� . i { i-. 3. . i.- I. �i �� a� �• tX i '� . � , �. `. . � ' ( . 'r y : ! , „ , � . re ' ' ' ..� ' : , ,� ' '. Bar Sink � ' ' -Sewer CaP i : -: i. - +� ' : ' ELECTRICAL , ; ,.�, � ; .� ,. , . 1 - , ' ' v �, . DECLARATION . . � 4 c t � t... � : . .. • . _ ._ ' � . . . .. . � � � 1 tHiwte,ot.<onsent to seiNnsure.or.a certifiwte-+. _..... , � ._. � ' ..... _ . _,.- ; _ , _. L, _. ,Automat�c Washer,i�,.JT.,�_ ;Meter ❑over 10U amps • �.`�(. �urance,�or.:a cartlfletl�capy ttiareot'(5ectlon'. `� .f. Backflow�Preventer�- �= SewerConnectiom�-rt^-` • - - - � � . r-. � . � , J � . i. ' . .. � . -. � .- Conrtruttion Pole �� '� t ` � fi � �Sub Penel�^ �.' � .�` �v.'f.: i .' I 4. � � � i �' � � a i . � Baikflow Irngation 4 � Sotai Coltectors } , � � j � , � �• � ComPanv _... -� - . ; Cookin �Unit ' �SubPole � i '7 . I . � i � ashetl , � ( 't. ..t } • I ';. Bethtubs � . Soler Pipmg.t . �. ( r 9 . �' � a �'•, � ., e.eu rv..i.�..�� e �! . 4 '. ' � or �9i IIVIV UtCCX1iN11UIY � iit Is for�one huntlretl (y100j or ' . ,p . . . � �� - or which this permR�is IssueC 1� sa�as ta ba<oma-5ubjecLto t�a �' � ' .. � � �� . .�5� ,l .. i-shoultl"become sub7ect�to-the-- >or CoAe,.you,must�torthwith, iit [shall ;be �tleemetl'.revokeCy. �. .� ...#.. .� ��, ing agencydor the-p artormance� cuetl (Section _3097. Civ: C.)� t - � fu i ; +. � 7 , � . , .. .. r.. 4 t . . .0 �; �� Dishwasher si .t. -�. Motors �0-1 HP �lh-B ! � . . � � �. Sotar Tank �' . 't i . � . . � . ; . . . . .., I - � r.� ' ' �:.....: � - , 'I ,Swimmin9 Poo�,w/SPa � .;,.( : Dryers OGas'r'�Electiic" ' '("' 'IncSola7!�09;15 HP�O16-75+ 1"'�'C' -'�� iWins '- T,'�. . � Urinal.i �i i. i .. � '. . i �'� Fan' . ± ',1;,"! ..fi ,u,�,: .� . {Microwave � eT'r? � 't:� i ' { �. 1 � y t •Water�Clozet; F j � . � ( F.A.U. � � � '! . k ` i � !Pole'Ligh{ ' I. ' : ' � , � . .. . ' ' i . , • , 1 � . ' .� . � �. . , _ ._ .. . . ' ' � F�xtures " ' l ' . .._:L..' s � '� .'.'_:._.Water.Hea2er-,,.y;..:.- i . _...1.,.._ . I _.�.:._ .L,:LRange_.. ��.�_.'.. S - I.�. h_. ' i � �. r.. � �.r..._7.-..:� ' ' "�l_.__ _ <Outlets ` ].'. � :�� Water�SerJice 1 .. ; � �'.k n , - y Y Device Boxes j . i .. i � . �. Si9�i . � ' i i ` � ` t � Outlets ,` F, " t : .'� , � .z: �� V . -_y t �.. � . �_ ,' I. T ' f ,;'' j '� �StaniJingSactions P < < , f'1 V � � { � " : � -- .. ;.s�., , . ; - Suvitches • � � �Trash Compattor � ' � - + ' . �:.: U. 11 4 -.:. � � � .�CT� � . � .. >" '� . ; , . , r .� i � „ Gartia e Dis oul � � � r � '1 • '�- j i� �.� �` 1 r� � � i y. � ' �; X., �C«.:. 9 P 1 � �- 1 � � 4 .�. i' . 1 � t ,� ` '� ^ :.� �... _ � t:., _ :g Generator. 00;5 KVJ �5-75 KW. I � q i 1 � �� - ' s-4 � c F , � " 1 .� . , ." , i . ippucant�ror surn permic, r t- { no0i u�ains� �" '4 'y � . � � - � j � � '�-,' :� . • Transfo�nte� �1550 KW�" �� ' �� i� :.V 1!� ��" } � 1 'f .'i ( i. ! uant lo the:provisions ot. j. ' ' 31wItn�SectlonJ0o0l of 4 , 1 m I ,w � Cf' .E+� � � t� ' ; '`',� P I Reins • . � ' . $15 . ! O5U+KW� ' � � .`Reinspecbon Fee, �' �i' S75' � � r�tnat he/sne,,istezempt Showers i ��7 .: ��, _ � � PectianlFee r ` , � 4ny, vlolation bfi5ection � _, � - ' , ' -' Meter ❑up to 100�ampi ; �Issue Fee!' � �i � � N � $ 3 � . he+apPliwnt to a: civil . i �•. '� . ` � � - � '. �•� ' S 3. . x - : . �. �. � , � ". j ; p, � �y � Service Smk � i ' � t� t � Isue Fee 4 � ' ; s' �' 2oning APProved BY . . t � �' Date � � .vrth wages!as theli sole � , . i ; , � � -' � .i - � � not Intentletl or otterea ' ' ' a � ,.. : ! ( ' n •MECHANICAI • ; � . 1 '� 1� ; '. � � �' M � ?� i� ' � I Code:i 7he: Contractor's - ' - ' � i . '�2 Application Approved By -' —Date F who Guiias or improvez ! � BOJe� " ! � � Refrigerotion System { ' 'p � 1 � . 5{, .. �. '� � f � : 5!.+� • � � through�his or ner own �- - f. -^ � 1 • � �� Applipt�on laued By� Date I , IntenGatlorofferetl,tor�i � � � f. ❑P,100,OOOBTU ❑100000BTU `{ ' -' '� �'SUMMARYOF-FEES1- -.�, p� withln one yearbf <om- � Duct Under�Giound � ; , p i F � �i =, � ^� Z'� . 1, � � • F , /she tlitl not builtl or Im � • Duct Structural i' i � � � - � �� _�. � �t � � 1. •i � SystemRepair�AltereLon' ,! r'"• 'BUILDINGpE+FMT $� ��' , SMIP ,� � .� $ `'7� i acting�with�llcensetl con- �� . - � �� .. . i � � iisantl,BrotessionsCotle:. �. _._.. Duct�Ventilating_,. �� j__�� y_ :,� F ��. i i� � ,BLAN CHECK $ '�+�� ••5`7 � 1 PEFMIT � �� ,� owner of O�operty who,` � � - , '; � ' P � � , - , 1 ISSUANCE � � $ � � � uch pro�ects witn a con-, j � EzhausLSystem ❑ Muluple O, j� � , ' { - . ,PLUMBING ' � t $� - • � p ' � ' �w) � . ' G • � � . � � � i '-f �PIAN CHECK�. � $ � � I' � � GRADING � $ . , • B. & 7: C..for thfs rea,on �� FiiePl/Fact. BIL.ICBO,# ; : � � � : ,j ' ' { � _ .• e , ' � t t � � � F. . _ ; +.' � � � ; f ' � � . . . � . .. .. - � ELECTRICAL $ � � . ; j~ -� I , - Heating System�& Ducting � � � � �� (j` . �( . � r � � 4 � t � ' �' MICROFILM -, $` { ' ' • � OP700,000'�BTU-0100,0006T -, �-.-.•-'--� -��-- . �- i --.�. ,; - .. . f PLAN CHECK� f $. � � � . � I. i , - � . ' . ; : , � � � � ' 6 • � I - ��MECHANICAL �( $. '• �- . ! .. (. ,(' TOTAL�,FEE �, $ � � � . 1 Hood or,� TYPe I ❑�. 4 � . i. �. i ' � ` ' � 1 � � � f � j ' i - • : t �� 4 CESS� {. { . � ` 1 . .�. e � Reins eetion Fee� $15 � � ' r > l �1 r Cano . ��T � e II ❑�� . t f P � � - � � . PLAN CHECK � � $ ' qDVANCED PC t $ + � �� ' � /'I �3 f` i � y } . . � 1 i ' � . . ' � Re9isfeis � � ; : ry.- �. Issue Fee I.• i � $ g ' ;� ( 1.-' .1' } # - f. i .i ��7�' . I' ''1 � i � '1' i � n L �', . i �• : � � FINAL�FEE $, _"' "'.r_ . _ __'�'"_ . "' ' ' _"'_�._. . . . � . Pink- _ _-_"""_,_'_'..... �._T _.__'"'""'^"'. � � . - _ _ _ _ __._.�.._,. _. ,_ _""' _" Accountin9: Goltlenrotl - Assessor , .. ' . . . ' ' - .. `. .. - .- -, . . - -""^--- '- -""-- ""'""'T ^"' �"' �y � s '1•_� ��. •I STRUCTURAL APpROVAI OfVLY � SEP�R��TE`PERti7)J"S ARE RL'�;�,��D ' IiEAri;, =Gr''� ' �:' y'a_.;i,i �' � P`j.�~,i��,�: . -� �(r .'�['r'�' �itli.l��t`�jJ vli��K ;�� g:�°+ ;�.�3 7��0��- ne.�. � T'{i$ �."L', ;'- n' '_-�--� f ALi. i`;�u� � ^,C�I3�11s�APJY � — ---— —ra,�,,,; ;��?(JESTS ! �� : Fi).i Ei.�LJ:�:a'a ..r,_ _ ' � -�� - . t � &� Fr� ;^le:•::>> ,. � �•�:,..uns aRF ro ; s::��E o� _.T THli rHe � i A—��r�:J"il ;fuUi,tEfr1fNis,1'✓CTtD FOR �,VSU � ti W W R M, ' y ' , � � Y � o � � +� C;ty of Costa Mesa Suildi.:� De;:�. 8Y__'.�... �..lL.: _�.._"_._.__...........__DATE..�!_I .rf......17.� iHESE PLANS MUST BE ON JOB A ALl TIMES � MAKE NO CHAN6E5 WITHOUT PRIOR APPROVAL I OF DEPf. ' THE ISSfJF.�CE OR GRANTING Of A PERMIT. 03 APPRUVAL OF PLAO'S HND SFECIFICRTIONS,SH?CL NOT'BE CONSiRUED TO EE A PERMIT.FOR,iOR AN P.PFRO'!AL OF, ANY VIOLATION CF ANY OF THC PROVISIOhS OF THIS CODE. NO PERMIT PRE- SUid1NG T� GiVE AUIHORITY 70 VIOLATE DR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPi IN SO fAR AS THE WORK OR USE WHICH 17 AUTHORIZES IS LAWFUL. THE ISSUFNCE OF A PERMIT BASED UPON PLANS AND ' SPECIfICATIONS SHALL NOT PREVEMT THE BUILDING OFFICIAL f=0,'d THEREAFlER REQUIRING THE�CORRECTION 0� C?RORS 1:9 F:11D fLANS ANO SPECIFlCATIOY; OR FROM PREVENTING F!qlDi�C OPERATIONS BEING CARRIED 0.`! THEREUNDER WHEt1, IN V{uLATiCV OF }HIS CODE OR OF qNy OTHFR QRD�� THE CITY_ . i S 5 _ STREET LE QQ%C/ �_ �/i`�� / . . . T YPICAL 4�� CONCRETE BLOCK TOP VIEW 3�6 Ba� ,: 4° Blocks,d...�._ _... _ .B�rBlacks I/4° O,;Pencih,;R,od;,Be_'low Top Course�'s,�0,f� A"II�F.ences �� 4��..Concret�e,�Q_Iock;.Fen;cej+With 8°• Pilasters. Orie_3�8.",V,ertical Bar, CQ`ntinuous •�Fiom'•Ecrtfitooth Thru $� � PI I05}@%A .�uQ .�:l.F OI 73.Iin6 � 3/;8�� Verticol . T1ie,s '�2�•. Long k� HQoked ln�^Footincj,,.And "GF�outed Ini 4' i481ocks 4' �OYC"`"Mazimum.,,,_{ �s.,.,a,.:aa•..e�.�..�.......z_..� Provide Cleonout And Inspection Hole At Pilasters. . NATURAL . GRADE-� ��,Q�.' � �"p �N . � . ` �, FOR WIDTH SEE CHART ;p_�;o ��' _ � TWO 3/8 BARS CONTINUOUS FENCE MAY VARY IN HEIGHT FROM 3� TO 6� .� STEEL MUST BE TIED IN PLACE AT TIM� OF TRENCH INSPECTION i � ' � � i � I i � � • b��,e o�.�.,p.".V;'.�.0.'0?.. �.O.:.o.� o �: !� � o. .' ' . o' , ' I ' ;�' L . . . .�. i' . . , Pe o.'. � �•" v. y cs :I fgv -� ,v .�y.�:o..�� .p eq<�,e".�J60'_�_�_•A��_�_�y_.o_a� � .,� - �- - i.. , "- �' TO 16��O.C. MAXIMUM lol 'e� i�:'.'..'; �a� 'b� DEPTH OF EARTHTOOTH I/3 �. o: � �:'.o.��o� 7HE HEIGHT OF FENCE Im'e��BELOW BOTTOM OF� �`'"� � � FOOTING. L.o... � FENGE � .. ; � � ; j ��GENERAL-NOTES�� i; � I MORTAR: One Port Plasfic �' '� Cement And Three Parts Sand. � ii ' i � 6ROUT One Part Cement And � i I i Three And One Half Parts Sand. 1� �� COPING: One Part Cement, ; � ; ; Three Parts Sand, '� � � CONCRETE Well Mixed 1:21/2, �� 31/2. Maximum pf 7 I/2 i �� '� '� Gallons Of Water Per Sack ! i i i Of Cement � 3��CLEARANCE FROM BOTTOM k �--I REINFORCEING STEEL SHALL � CONFORM TO .SEC. A-15-39 A.S.T.M. ALL STEEL TO LAP WHERE SPLICED, 2'-0"MINtMUM. GROUT -MAY BE POURED FROM TOP OF FENCE IN CELLS WHERE �p� � ,VERTICAL S7EEL OCCURS. HOLES ^� �� SHALL BE CLEAR, C�EAN, AND ;°.e� FREE OF ALL MORTAR, DEBRIS, ECT. WITH INSPECTION HOLES AT BOTTOM.� BOND SHALL BE PROVIDED BY LAYING BLOCKS IN STRETCHER COURSES SO THAT- VERT. JOINTS ALTERNATE IN EACH COURSE. - SCALE: I/2��= I� CHART : HEIGHT . . . . . . . . . .. . .. . . . . . . 6' .. . . .. .. .. . . .. . . 5'-.. . . .. . .... .. . :. . . . 4�. . . .. .. .. ..: . . .. . 3� W I D T H . . . . : .. . . . . . . . . . . . . . . . 14��.. . . . . . . . . . . . . . . 14��. . . . , . . . . . . . ,. . . . . . 12�� . . . .. . . . . . . . . . . . . 12�� THICKNESS . :. . . . . . . .. .. . .. .10��. . . . . . .. .. ... . . . 10°. : . . .... ... _ . . . .: . 8 . . . . .. . ...... .. . 8 DEPTH OF EARTHTOOTH . . . . . .24�� . . . . . . . . . . . . . . . 20��. .. . : ..... . . . . . . �� 16 . .. .. ....:...... 12 SPACING OF EARTHTOOTH....12� .. . . .... ........ 14�..................16�.. . . ............ I6� City Of Costa Mesa,California Building Department ' ' FormBU�3-2M-C-61 S-BP OWNERS NAME+ _ _ _ _ _ _ _ _ _ _ _ _ _ _ JOB ADDRESS� _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PERMIT NUMBER:_ _ _ _ _ � _ _ _ `.� SIGNATURE: � . � va?o CITY OF COSTA MESA PLANNING llEPARTMENT SEP-1-77�M;,yOO 056 o1u*�"��25.00 A. P. tvo. 115-605-01 eldg. Permit rro. 33576 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt , rroject nddress � 899 Cap9j.�1 Street (Caoital Streetl Owner's Name Bachelor or 1- Bedroom Units � @$25.00 = 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units Total number of Dwelling Units @ $40.00 = @ $55.00 = @ $70.00 = @ s�s.00 = �� nn Total Fee Planning Department Approval Date R_q_7� Park Area No. �0 By DH Applicant's Signature,�� (1"C� � OWNER ROUCH� Bill JOB ADDRE55 899 Ca� �GENERAL CONTRACTOR �,�AP No7-15- 05-01 LOT '�INSPECTIONS SOIL GAS WATER ROUGH PWMBING PROP. SWR. LINE Q HOI15E CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR'CONOITIONING , TEMP,ORNRY SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BOND BEAM ❑ STEEL REINFOkCE � SHEAiHIMG FRAME AND FLASMING LATHING - IN ❑ ( PlASTEft,BROWN COAT STRUCTURAL. FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PWMBING, FINAL AND GAS TEST � RIC, FINAI NG, FINAL DATE Q BUILDING SUBCONTRACTOR i:.. . . ,�-�-.,_ . ._{� -r+._ � � � . , . � � . . . .. �.. . � . .. � . � . � ` ' ' � ' �PAIO � COSTA�MESABUILDING-SAFETY DEPARTMENT Sf-P -1-71�,,,nOO, G57�� u�r��••66.00 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ' � � . . � . APPLICATION FOR BUILDING PERMIT . :� � , Fo� Applicant fo Fill in Completely� �, . � � ' ' ' - . ,/�p / �y— RE E ED eY � DATE�jFECEIVED DATE ISSU�E/ D � ' BUILDINGV' ( ( � (�i% //�// ' /d /rtfS�� R� �. '�� ^ /l ' ' ADDRE55 / � OWNER � t,I t �. �C'SC(L., � . A:P. NO: Y� IOOS �O I PE I NO . ryq ��' - � BUIIDING 899 �Ce� 'ita 1 �. . � � � . ADDRESS b / e/}�: �//}'. � /• ` �ADDRE5c5 _ . �' dU CITV .US � LSfi-: - NE. � J SV •�I�'^"CT �'�OTp� / BIOCK Z Q CANSTRUCTION , - ' . � . . . , W ADD A � P O m - LENDER . . ... ._ . . , . . � ' . . J � . BRANCN . . . : . ;K}� JVJ . � ., a. ' OWNER CiVC� .• ✓I I I Ie � m J ADDRESS '� � VALUE • ro m ARCHITECT - �� - . �. TE�. �, � SE � S -�� - J a OR ENGMEER � - �NO. ' � U Q' � � ' FIRE . ' 7 ,. '� W.2 ADDRE55� ' - � � � �' ZONE TVPE GROUP 1 ' aw ^ . WZ . APPROVED �.-/ ��J�� .JO CONTRACTOR' ✓j'(,Q�_ BV . (�F DATE- �� /J � mZ _ . � . , .. . . J � ADDRESS � � .:� � ' � � ' y � ' w w - TEL. � ZONE NO.OF; USE.OF NEW �n 5� ' � = CITV ' � � � . NO. ' . - �—I � PIANS � . BUILDING �mll YQ7 Z F- w� STATE � � , CITV"� � � ' '�'.ARDSAPPROVED� VARDSAPPROVED. y2 LIC.NO. " �' ' LIC.NO. �MAINBUILDING ACCESSORVBUILDING ' �O � . �� (FROMGLSTREF�T)' . , '�,r ' S12E - - NO.OF BLDGS. . OF �IOT NOW ON LOT .- FRON��.� FT USEOF. � ,/I . J •. . . � � � F � EXISTING BLDG. /—� � ' � � ' � S ' FT.� FT. ' . 'H SIZEOF � � � ' 'NO:OF Q /� il ' . Z NEWBLDG. � ROOMS /�- � STORIES -LSIDE p�V�FT. FT. a EXTERIOR WAL�. � Fi00F � s� � i • � .; �,{i � V COVERING J� N.GGO COVERING C� REAR c2 FT.t FT. �� . J USE OF�BUILDING AND WORK TO BE PERFORMED DISTANCE BET. � BET. MAIN & �{ � .� a . - . • . . � MAIN BlDGS. ACCESS. BLDGS. �. i , . Q {� ' . • . ' . . VAR. aF` . . DATE � � . . . . O yJ �AJ'�� ' ' C.U.P.# ' APPROVED • . . 'N ' _ .}. ." " APPROVED�..�� y1� .. . g�9-�/. ' . . W/-L .O . . ' - . . . . . . .. .. . , . . _ ' . ~ I heraby acknowledge that I have reatl,.this application and state �� ' �'�� ' ., �� [hat the�ebove�information is correct antl�agree to comply wit6, _ ' .�� all �laws regulating builtling consttuction, antl I shall not amploy � . . � ,. r anY Pe�son in violation of the workman's compensation laws of-- ��. � y the Stare�ot_Calitornia. � , n ��11 �� . � ^� �� , /� b ' z I hereby certify�that I am properly licensetl as'a contractor under � SQ. FT. '� � o ' - Me State ot California Business and Professions Code, Divislcn 3, THE AMOUNT SHOWN UNDEP VALUATION IS FOR �', "', q. Chapter'9' and ffiat such licenses arejn-fv}t'f e antl effect, or I THE PURPOSE OF ESTABWSHING A PERMIT FE ONLV: m , -" am eaempt from the provisio9 sa�e State �alifomi usiness ¢ antl Profes' DiJISi�n 3,�C , -VALUATION , . ,I�i, � . �� , ' _ " PERMIT FEE $ � �� •] - � Signamre . ' . ' �� m . ,. Permltte� � _ . , .. $� %/�� PLAN CHECK $ ��. � ` E !// X f' y u .. AuthorizetlAgent. � ' � � r/ � , TOTAL FEE �$ j .�� COSTA .: s�� MESA BUILDING DEPARTMENT P.O. BO% 31] � COSTA MESA, CALIFORNIA ��E RECEi VL D �2�»� � � FINANCE DEPT. �' ' C�iY Of COSiA MESq FOR APPLICANT TO FILL IN' APPLICATION FOR PERMIT B��o�� g q � BU,ILDING� ADORE55 v '� ' . COS A MESA,� CALIFORNIA � � ` FOR OFFICE USE ONLY - � � ' RECEIPT NO. PER T NO OWNE �� RECErvEO BY � OATE FECEIVED DATE ISSUE� MAIL '� /U�J�-S % � S`— �' ' .MAY 3�1 195 qooftEss ///�� TEL.QT `� BUILpING CITV T (, ! NO�l/ + /'��r AOORE55 � ARCHiTECT . uG COSTA MESA. CALIFORNIA OR ENGINEEft ' NO. ' � " ' ' � ' FIRE ' ' , AD�RE55 ' ZONE ' � � ZONE NO.OF - TYPE GRqUP �y�r ' CITY LIC. Y7 /- [J PUNS // CONTRAGTOR. /�/�'/G NO. /OC� _,'1' L�[/�_ ADORE55 ' �TW/� TEL. � APPROVED ' ' NO. 0V OATE �E�A� �or �''7 � . � -- CORRECTIO�NS oescAiPnorv, NO. �G -BLOCK TRACT`J/ A.P. NO, � � � SIZE )_ Q� y/�� ,"t-O � NO.OF BLDGS. O . � OF LOT'�F O �� J now oN �or USE OF E%ISTING BLDG. �� / � � SETBwCN LINE FPOM /� �� ' / " �� ' cErvrER oF sin[Er �v ftEAR YARD �� ' / ': � SIDE VARD RIGHT � �EFT � DESCRIPTION �OF WORK � � NEW ALTERATION ,AODiTION ' " REPAIR ' MOVING OEMOLISH� SIZIEpING /��/%� NO.OF ' ' . ZS ROOMS � STORIES EXTERIOR WAL ' ROOF . - - ' � � . COVERING COVERING USE OF NEW� y ,/ ,/ BUIL�ING C. I MEREBY ACNNOWLE�GE TMAT I AVE REAO THIS AP ICATION AND , ST/TE THAT THE TBOVE IS CORRER PNO 4GREE TO COMPLY W!TH PLL � CITY ORDINANCES PND STPTE L4� REGULATING BUIL�IN NSTPtIC� norv. . � � VAWPTION ' — SIGNATURE OF PERMIT FEE S �� PERMITTEE (//J} � �� / ' $ �/ � – PLAN CHECK $ � �� 'AUTHORIZEO nceNr TOTAL FEE $ �6 — �Mr.