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Home My WebLink About690 CAPITAL ST - Building PermitsPflOJECTP00flE55: 69O CAPITAL ST OWNEH'SNFME: ZAVALA JUDITH K nooncss: 690 CA�ITAL ST COSTA MESA,CA FflCHIENGINEEfl: qoosess: uNir: 92627 flEG.NO.: uxit: PE"minEE: pROGRESSIVE DESIGNED PLMH ( 714 ) 580-3500 aooeess: 6 VANDERB ZLT B IRVINE CA,92718 LICENSEO CONTBACTON OELIABATION: I hereby afiirm Ihal I am IicenseA under Drovisions ol Chap�er 9(commencing wi�� Section 7000) ol Orvision 3 0l I�e Business antl Prolessions Cotle, and my license is in lull fo(ce and eflec�. cirr uc.: 0 4 9 9 5- srnre uc.: 3 3 4 7 9 9 `� SS C 3�- 6 Daia _� '� 3 SignaWre' - " (` WOBKEflS' COM ENSAT N OECU1flATI0N: I �ereby afhrm Ihal I have a ceriilica�e of consen� Io seli-�nsure or e te�ifitale o� Workers' Compensation Insurance, oi a cerulied copY Ihereol (Sectmn 3800. Lab. C�. POLICY NO.: WC 1 Z O% 1�I O 9 G EXP. DATE: S O/ O I/ 9 4 coMrnxv: VALLEY FORGE IN ❑ Cetlified copY is ere�y lur's�ed. � Cetli�ied capy is liled� the ci�y Builaing Division. � i Oate: O � Z AOVlicanL l._FrK � ENEMPTION Ffl0 WOBI(EHS'COMPENSFTION �ELLAPATION: Qhisstttwn neeUiwl�etomDle�eOillAe permi ¢hµM�e0�3100�orless�. I certily Ihat in Ihe OeAormance ol IAe work for w�ic� ihis permi� is i55ued. I s�all not employ any Derson in any manner 50'as Io �ecome SUU�ecl lo lhe Workers' Compensalion laws of Califomia. pa�¢: Signawre: NOTICE: I�, al�er making Ihis Aeclara�ion. you s�oula become su�leci lo lhe Warkers' ComDe��ion pmvisions o� the LaEor Code. you mus� lorlhwi�h compry wilh such pmvislans or �his Dermil shall be tleemed revokeA. CONSTBUCTION LENDING RGENCV: I here�y aliirm iha� ihere is a wnstmclion lending apency �or t�e pedormance o� �he work for whic� ��is oermil is issue0 (Section 3W7. Civ_ C�. LENOEfl: FDOPESS: OWNEfl BUILOEP OECLABRTION: I �ere0y allirm itut I am eKemD� �mm Ihe ConVactor5' Slaie License Law tor the tollowing reason (Section 7031.5 Business an0 Pmlessional CoEe: Any ciiy oi counly which re0uire5 a permit lo constmct, alier, impwve, demolish, ar repair any SimcWre, prior lo ils issuance, also requires the applicanl for such permi� �o lile a signetl s�a�emenl ihat he/s�e is licensetl pursuanl m ��e pmvisions ol �he Conlracmrs' Sta�e License Law (Chapter 9(commencing wilh Sec�ion 7000� o� �ivision 3 oi �he Business an0 Pmlesvons Coae) ar Ihal he/she is exemp� Ihereimm and Ihe basis lor Ihe alleAeO exemp�ion. Any violation ol Section 7031.5 Gy any ap0licanl br a permit suble��s I�e applican� Io a ciNl penalry o� noi mare Ihan live �unGr¢a dollars (5500�. I, as owner ol Ihe propeny or my employees with wages as Ineir sole compensation, will do ihe woB. and ihe ❑ stmcture is not inlenUed or olleretl for sale (Section 7Wa, Business and Protessional Cotle'. T�e Contraclor5' Slate License Law does not aooly 10 an owner ot a pmpeny who builds or imo�oves inereon. anU wno tloes such work himsel//hersell or inwugh �is or her own employees, provi4eE Ihai such impmvemenis are nOt inl¢ntle0 or oifere0 lor sale. I�, however IAe Guilding or improvemenl is solE wi�nin one year ol compietion. Ihe owner vnll tuve ��e Gurtlen ol O�o�ng he/she Gitl not Ouild or impmve lor I�e Durpose ol sale�. I, as owner ol I�e D�operty, am eeclusively contrac�ing with licensed cantraclors la conslmci Ihe pmlect (Sec�ion 7044, Busines5 ❑ ana Pmtessions CaOe: ihe ConVactors' State License Law Eaes noi aODN �o an owner o� pmpeM w� builes or imprwes thereon anG w�0 Conlratis lar Sut� pwjects vni� a tontratlor�s) liCense purzuanl �a Ihe Conlratiors' State Litense Law�. I am aware I�at pwol o� t�eir Worker's Compensa�ion insuran[e sMuIE Ge provi0e0 �o me. Q I am exempl unaer Seclion: B. 8 P. C. lai Inis reason; Oale: Ownec I tlo neie�y cenity Iha1 I am aware of an0 untlerstana ine requiremems ol Caldomia Healih and Safery Coee Seclions 25505. 25533, antl 25534 and Ihal I or any IUWre builtling occupan� will/will not (circle one) neetl to comply wilh said state coJes and the requiremen�s �or a permil lor consimction or motlilication Imm �he Air Ouahty Managemenl OiSiricl. flesdenlial constmc�ion apPlications are exem0� ��om (�25C O�OVISIOf15. �ale'. QOPlicanl: I hereby cetlify �hal I have reatl Ihis applica�ion antl slale �ha� Ihe above inlormation is correcL I agree �o camply wi�� all ciry an� coun�y ordinances and slatelaws relalingto builtling mnslruclion antl hereby aNhoriierepres¢n�atives o��is cirylo enler uponlhe above�mentionetl pmpetly lor ins0ec bn purp es. % � � �aie: t � �3 SignaWre'. � S� w Oriv¢r'S License or Soaal Securiry x: n-� ��-� -� a6 W�ne—Builtling: Green—CoOe Enlorcement; Canary—ApPlicanl: Pmk—Revenue: Goltlenrod—Assesmr CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: P 064568 PLAN CHECK NO: CONSTRUCTION TYPE; 5-N PERMIT TYPE: PLU JOB DESCRIPTION ; RELOCATION OF WATER HEATER CLAIM VALUE: CALC-VALUE: i. PERM NO: P 064568 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: NO 'H' PERMIT INVOLVED. *�+t*�tr**+t�+t-�r�r**��r*+��-****+t+o*+t***+c-+c-*+��r�r*a��r*+r-�*�r+�****�r�r+r�r**�r+r*+r+�*�r�-***-�****�r�-*�t+r�r+t Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAZN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT� FT IN REAR; FT IN FRNT: FT IN REAR: FT ZN LEFT;. FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN PARKING REQ: PROV: PARCEL: 4221�71-i3 2NE: REF NO; PLANNING NOTES> � > ' -' 16 iF i! 1! �! if * 1E 1E 1f fE 1E fE ff iF fE �E if 1E jt �E �E �f �f 1f if 1E 1f %if iE if if 1f if if R 1! i!!E 1E iE if iF if if3lr #��k 1E iE k fE if iE if if if iE iE tf iE if if iF if iE �f iE % fE iE if K iF if 1f if if D E V E L O P M E N T S E R V I C E 5 �RR E Q U I R E M E N T S ZONING APPROVED BY DATE: HUZLDING APPROVED BY : ' DATE: APPLICATION ISSUEU BY: ' ' DATE: � � . iEjfkklE�fiElEipiEiEififfflEltifififiEitiE �c it � ifiF1lififif�fjfifiE ifiF ifikkitiEffff�flEifk�fiflflEiEifiFififiFiE�kiE%iEillflfiflkiEltltMiEiEM�fiElfiEiEififiEikifiFiEffifjF.lFlfitiEit�flfiFMiFafiEiEitiEif ifiE1E iflflfifiE LEGALIZATION:N F E E S U M M A R Y.-'a'�� STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 . 25R SMIP/NON-RES PLAN , ISSUE FEE 20.00 BUZLDZNG-DIV-> PERMIT ISSUE PZAN-CHECK TOTALS----> 7,00 20.00 �' 0.00 REVENUE DIVISZON TOTALS--> CO�I.ECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 27.00 TOTAL PAID DUE, 27,00 27.00 .00' 27.00 OVER/SHORT: ,00 FIRE SMIP/TOT GRADZNG PLAN-CHECK � !t i! M f! 1F i! iP M 41P if i! if if if iF iE if if iF k if M if 1f 1t if if 1f if iE iE M i! W 4 iE if k if 1E if if it if if iF %iE if 1E if iF if k if if iP if iF if iE iE iE 1E iE if i! iE+f if M it iF iE iF aF iE jl I N D I V I D U A L• F E E B R E A K D O W N � i TYPE QTY D E S C R I P T I Q N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/O� VENT 7,00 7.00 ��, gjN�D OF FEES � ��fi EXPIRED /-" IncomqNite liupectionc � • � � �� ' . •- l 01 06144405-�01494D5 T C4T 27.Q0 � C�TE: 10i2's/93 ;rn�: �e:n �; ;., � CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Tempora�Y Electrical Service or Pole 2. Soil Pipe-Undrgmd. 3. Electrical Conduit UZdKy�Undrgmd. 4. Elactrical Conduit�Undrgrnd, 5. Steel Reinforcemen[ 6. Electrica� UFEfl Grnd. 7. Footings 8. Founda[ion 9. Water Pipe�Undrgrnd. 70. Svuctura� Ploor SYstem 17. Property Sevrer Line & House Connection 12. Sewer Cap 13. Roof Dra�ns 14. Rough Plumbing 75. Rough Electrical�Contluit 76. RoughElettricWiring 17. Rough W�ring S�gn 18. Rough Electriw�-T Bar Ceilir.g 79. Rough Heating & A�r Condrt.onmg 20. Rough Factory Fireplace 2/. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Test 24. floof Framing 25. Roof Sheathing 26. T�Bar Ceiling (Structurail & Monocoat 27. Frame and Ftashing 28. Lathing & Siding 29. Insulation . 30. Drywali Nailing 37. Plaster Brown Coat 32. Electrical Power Meter�Final 33. Finai Electric 34. Final Heating & Air Conditioning � 35. Final Gas P�P2-Test � 36. Hood or CanopY 37. Final Fac[ory Firep�ace � 38. Final Plumbing � 39. LNater Ser�ice-Final � 40. Gas Service•Final 41. Solar pomestic-Fi�al 42. Backflow Preve�ter 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. PINALPiANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF OCCUPANCY POO L PA Daxe Inspector qppROVALS Permit;� Date 52. Poot & Equlpment Location 53. Steel Reinfarcement � 54. Forms ' S5. Elec[rical8ondmg 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electncal ConduifUndrgrnd. 59. Gas P�pe, Cl Undrgrnd., Test 60. Backwash Lmes, P-Trap, C Undrgmd. 67. APPRO��AL TO DECK 62. Backwash & ReceptorFinal 63. He2ter & VenbFinai 64. Plumbing System � Final 65. Electrical�Final 66. Solar System�Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERI�G 69. POOVSPASVSTE^.15FINAL FIREDEPT.REQUIREMENT � APPROVALS Pwmit # 70. Undergrour.d Hydro 71 . Product Piping O Gas ❑ Oil 72. Underground Flush �3. Undergmd. Storage Tank O Gas ;:Oil � 74. Overhead Hydro 75. Dry Chemical . 76. Dry Stand{roe �. _. 77. FIXED SYSTEA4 FINAL 76. F�RE PREV. FINAL ' HEALTH DEPT. REQUIREMENT�� 79. F�NAL INSPECTION S0. FOOD CERTIFICATE ISSUED ^-� F 0 Date � � � - � I�spector �', i � Applicant [o fill in all zDaces except t�ose within neavY Oortler lines ana zign all aDVropriate tleclarations. CiTY OF COSTA MESa ONSTRUCTION PERMIT � �� ' �� Project Address � U �Q.� fT�YI� /� Applicant'sMailirg�Qddress ��'�- L � (�u S�T �Qv�ner:5lydme- �� T Phone Adtlress r p U �' 1 T�- Arth/En9. License No. Address T� C�,.� Contracror'sName�Z !� �^i{TC�'^�LPhone�i_ia_LJ �n Addresslmailingl- `'�� y�µ � r �..-M • Ciry License No. �,9 3 � LICENSEU CONTRACTOR DECLARNTION I bereby affirm l�at I am licensetl untl¢r provi5iOn5 of Chdrter 9(tomm¢ncing wi[h section 1000) of DiviSlon 3 O/ the Business an Profe55ion5 Cotle, antl my Ilcense is in (ull force a tl eifect. � Q.z' LicenSe Class ^ 3 i s¢ No.t�- �_�_L�_— Date G _ l�_ � �'%Y Si9nature _ _ WORKERS' COMPENSATION O ARATION ' hercby alti�m tbat I have a C¢rtiticat¢ Ot mnsen[ to self-insu�e o� a certlflcate � Workers' Compensation Insurance, or a certlfictl copy thereof (Section .00, Lab. CJ PoliGy No. Compan Certifietl copy is hereby tumishetl. Cer "�e copy6 is tiletl with the city Bu' i i ate �'��Y� AOP��canl E%EMPTION FROM WORKERS' C NSF 10 D ARATION (Thi55e[tion neetl not be completetl if ihe permit is 1 one hunaretl (5300) or Icss). I certi(y that in the oeriormance ot thewnr k for�{ hicn this perrt� t is I uetl, I shall mt emplq9 any/(oerson in any�lfiypplr so/�s to becop'fa fubje to the NOTICEf If, afl�F inaklnq this tlecla�a[ion, you Shoultl bBcoMe SubjeCt to the Workers' Gombensation provi51on5 ot the Labor COtle, you must forthwith cOmply wilh such prOviSiOns or tM1is perml[ shall be tleemetl revokeC. CONSTRVCTION LENDING AGENCV I hereby affirm �hat N¢re is a construction Ientling agency tor the pe�fo�mance of ihe work for whicb this permlt is issuetl (Section 309� Civ. C.) Lentler•s Name lentler's Adtlress OWNER BUILDEN OECLARATION I hereby afflrm lhat I am exompt from the Cont�ac[o�'s License Law for tM1e followin9 reason (Section 7031.5 Business antl Prof¢ssional Cotle: Any city or couniy which requires a permlt to construct, aiter, Improve, aemolish or repalr any ztructure, prior to its issuanca, also requires the aoP�icant for such permit f0 :IIC d 519lIEd sta[ement thdt he/She IS IIC205CC PUISUdlIL LO LF12 p(OVISIOIIS Of lhe Con[ractor's LiCenSe Law (Cbapter 9(commenCinq wlth SectiOn �000) o( Division 3 of tne Business antl Prolessions Cotle) or that ne/she is exempt leretrom antl the ba5i5 fOr [he allegetl exemption. Any violatiOn of Section )31.5 by any applicant for a permi[ subjects the appli<ant to a civil t-e�nalty of not more tban five huntlretl tlollars (E500). LJ I, as ownm of the Orop¢rty or my employe¢s wi[It wages as their sole compehSatiOn, will tlo [h¢ wo�k, antl the 5[ructu�e I5 not intentletl o� offe�etl for sale (Seclion 7044, Business antl Professional Cotle: The Contrac[or's License Law tloes nol apply to an owner of a property who builtls or improves thereon, an0 who tloes such work hlmzelt/herself or throuqh his or har own ¢mpl0y ee5, prOvltletl that SUCh Improvemen[5 are noI intentletl or otte�etl to� Shc¢. It, however, lhe bulitlin9 or improvament is soltl witbin one ycar of com- pletion, the owner will have the burtlan of proving �e/she tlitl not builtl or im- prove fortne purpose ot sale). ❑ 1, as owner ot th¢ ProOerty, am exCluSively cont�acting with'Ilcensetl con- tractorsto construc[ the project (Section 7044, Business antl Professlons Cotle: The ConVactor's License Law doos not aOPly to an owner ot pro0erty who builtls or Improves fhereon, antl who contrac[s fo� such project5 with a con- tra<[or(sl Ilcense pursuant to the Contraccor's Litense Law). I am aware that proot o( their Worker'S Compensatlon insurance shoultl be prOvitletl to me ❑ I am exempt untler Sectlon B. & P. C. for thiz reason Date Owner I hereby certity tbat I have re Informa[lon is correc . I a9ree antl state laws rola o bu i sentatives o/ this ' to n Inspectlon purpa . Signature Drivers' Li<ense or SS � �..-�O/G� � � I _......_. TYPE OF CONSTRUCTION . NEW ADD ALTERATION REPAIR . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER , PROJECT DESCRIPTION 54. FT. � �» °� oCCUanrvCv C O N ST RUCTI ON TYPE V ALUATION $� ZONE GRAOINGCU.VDS. ACRES— Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Intefceptor5 Kitchen Sink Lavatories P-Trap Foof Drains Reinspection Fee ( $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System � Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ductin9 ❑0.100,000 BTU 0100,0006T Reinspection Fee � $75 CMF 0865-46, rev. 10/B4 White - Builtlin9: Canary - Appllcanh Pink - Accountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Issue Fee I $ 3 A.P. # S Main Buildi E T FrOnt B Rear A C fiight K Left S Ping. Ref. #` Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. Fixtures Device Baxes Outlets Switches Garbage Disposal Generator �65 KW �5-' Zone Buildi Parking Req./Provided ELECTFICAL Transformer ❑ 15�50 KW ❑ SO+KW Mefer ❑up to 100 amps Merer ❑over100amps Sub Panel Motors�41 HP�1Yh�8 Inc. Solar �9-15 HP �16-15+ Microwave Pole Light Range I I; Standing Sections 5 KW I � Trash Compactor Reinspectian Fee $15 Issue Fee IANICAL FEES Hoodor Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS: Canopy Type I I ❑ 2oning Approved By . __ __ Buildin9 APProved BY (} .ri, Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issua Fee � $ 3 SUMM�AR�F BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ � 7LAN CHECK 25% $ Z O N I N G R E Q M T $ FEES� $ 3 ES 1 SMIP $ i -�� PERMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ q� �/� TOTALFEE $�71L._L✓ ,�% CGNST.RUCTION AND PLANNING POOI 'PA r Date Inspector Date Inspector APPRO:JALS Permit # APPROVALS Permit # f 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2., Soil Pipe=Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation � , 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. , 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap . . 63. Heater & Vent-Final 13. Roof Drains - � 64. Plumbing System - Final 14. Rbugh Plumbing -. � 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-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 Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (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 WSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Condition,ing 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 Irrigation 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 California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date •, ••L•• •inrRvxTNS r,nunnnr g nnTE ��7,1 JOB ADDRESS (90 C3Dit31 St,_ BUILDING PERbiIT NO. 111�t2(4 LOT INSPECTIONS TRACT FiRE DATE I GROUi' SUBCONTRAGTOR VAL vOF wOftK Add pat.cov.t� res VI ZONE R-1 . �_� ��=C4�'�Jy�ia r' `"' �4�� `_ COSTA MESA BUILD�NG-SAFETY DEPARTMENT . �A T' '"�� P. O. BOX 317 �o�A MEeA. �„��Fa��„ FINNI!CE UEPT. CITY OF C05TA MESA For Applicanf fo Fill In Complefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING / /�n t BUILDING ADORESS V" �� ✓/TP� � q � ST/ COSTA MESA. CALIFORNIA FOI' Office US@ ofl��/ OWNER N S'�y.�,; �� PECEIPT NO. P RMIT;� t MAIL �/ R[CHIVED BY I OA'I�6EC il�r I DAT¢ IBBU ADDRE65 .. O � C ry % �� J �a � CITY CosT� p'!e NO 1 G4��/ BUILDING AODRESS wecHiTEcr �e2 No. COSTA MESA. CALIFORNIA OR ENGINEER ) ADDRESS �B 7 N V�'O4iC`Z '�F!Yheg/� FIRE J� ZONE /�TYPE' � GROUP CONTRACTOR C� PS �1� !�.'S t'L APPRO � D %� BY DATE I - Vl AD�RESS LU CL C 2. ZONING � A ZONE: J I NO. OF I UBE OF N cirr T� sl "� P PL.ANB � BUIIDINO ��. No. S 3 0 6 �ec�� _�' '1 � O �— STATE / N0, f�Q p� L oEBCrs�rTlox / La I OF LOT J If� J. k O I NO. OF BLOGS. /'r — CI ./ �/ NOW ON LOT p, p, NO. J r�� USE oF �V 4N /J�� J YARDS EVES EXISI'ING BLDG. l APPROVED A L WED CENTER OP STliEETM `+ ♦ REAR YARD V' �«NTlR LIN¢ 9T:) '�//✓/� FRONT FT. ` IN. � y �.. .. �_ 1 �jcL SIDE YARD LEFT `��t•' ' RIGHT J� � R.SIDE F. /J ��"- IN DESCRIPTION OF WORK � _ _ • � _ S I B,U..oLDING +2D X II �I. o�..v� � J � G. L' �1� U.%Rl � R/ l. /4 �%d ' � . . . � � ' i HEREBY ACKNOWLEOGE THAT 1 HAVE qlAD TH19 APPLIGTION THE AMOUNT eHOWN UNDER VALWTION 18 FOR TH6 AND BTATE THAT THE ABOVE I6 CORHECT ANO AGREE TO COM- PUPPOBE OR EBTABLI6HIN0 A PERMIT PEE ONLY. PLY WITH ALL CITY OHDINANCE9 AND 6TATE UWB R6GUI.�TING BUILDINO CONBTR N. �� VALUATION . /1 — SIGNATURE o ��wy� PERM17 FEE $ PERMITfE � /�i C-�C� m $ �� PLAN CHECK $ `�- S AUTHORIZED AGENT p TOTAL FEE � ,, u OWNER ppSCOT. p. DATE 3-6-70 70B ADDRESS 690 Capital Street __ BUILDING PERMIT N0. AF' No. 115-462-11 LOT il TRACT INSPECTIONS S� �a�., SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH NEHTING ANO AIR CONOITIONING TEMPORARY SERVICE OR POLE UNOERGROUND � POWER � ftOUGH WIRING TRENCHES � FORMS STEEL REINF. � FLOOR SYSTEM BONU BEAM STEEL qEINFORCE SHEATHING FRAME ANO FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. qND A.C., FINAL PlI1M61NG. FINAL ANO GAS TEST �I SUBCONTRAGTOR Plumbina �' �' ` 3 I 4�82 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � For Applicant to Fill in Complefely � gl11LDING C'i ,. _ ' �-n .�. Z . a cwj Z Z Q O c~i� am J � J N Qw p] J -m J Q U N Za W � aw W Z J Q m Z J � W w � 2 H w� � � � Z Q U J a a Q 0 N N Z O F U � � H N z OWNER �t � MAIL / i� /Q TEL. CITV ( � NO.� BFANCH T ADDRESS CONTRACTOR /J 'l /�/�Q`s.� 6 ADDRE$$ V � //j- .F�� TEL. CITV NO.6 3 LIC. NO. /� 3� C/ LICVNO. OF LOT L G X � OD I NOW ON LO S F USE OF � EXIS7ING BLDG. SIZE OF NO.OF NEW eLOG. ROOMS STORIE', EXTEAIOF WALL ROOF COVkRING COVERING USE OF BUILDING AND WORK TO BE PERFORMED I heraby acknowledpa iM1at I huve reatl this aOP��cetion antl state chat the ebove intormation is corract and agree to comply with ell laws regulating building consttuction, antl I shall not employ any person in violetion of the workman's compensation laws of the S<ate of Calitomia. I herBby certity thet I am properly licenutl es e contrector untler the S<ete of California Business end Professions Cotle, Divisicn 3, Chapter 9, antl that such licensas are in full (orca end eftact, or I em evampt from the p�ovisions ot tha teie a( Callfornia Business ontl Protessions Code, Division 3, pter , , � SiB�ature of Permlttee AuthOrizetl Agent 11k1i -6-70cnsn�0 199 F'.+�*�*�5.�� APVLICATION FOR BUtLDING PERMIT RECEIV � BV OATE RECEIVED DATE ISSUI �r_n 3-�-7b �_�_ : BUILDING ADDRESS FIRE .�/r: 20NE �, APPROVED 20N VARDSAPPROVED MAIN BUILDING FROM C/L STREET) LOT F N VARDS APPROVED ACESSORV BUILDII FT. FT. O Y L. SIDE FT. FT. REAR FT. FT. O DISfANCE BET. BET. MAIN & MAIN BLDGS. ACCESS, BLOGS, VAR.� DATE C.U.P.,}'- APPROVED �APPROVED//�� n / ..,,r� S?.rL-7/i THE AMOVNT SHOWN UNDER V THE PUFPOSE OF ESTABLISHING A VALUATION ��'s � PERMIT FEE $ PLAN CHECK � 0 4LUATION IS FOR ' PERMIT FEE ONLY: � ¢ � G� m $ � � m g '__' E `o S�' i{i LL Costa Mes� Building Department •'„� ~ 111 EAST 20th STREET �° ~�� COSTA MESA, CALIFORNIA � FOR APPLICANT TO b'II.L IN Building f �� /� Address�p �! .f �(!� Costa M , Cal f rnia Nearest / CrossSt. �sJ-�-�o�.$...,�/.r_ �1 Owne Ma�l /� Address 9D �� n�.. i��,w.e, iSY nronnector � uc. Engineer No. Address % . No. Lot No. ot 81 Size of Lot / n ��/} � Now on l Useoi I No.of Existing Bldg. C�- Familles Setback Line from ( a� Rear V: CenterofStr�eit JJ SldeVa Movino I I Demolish B APPLICATION FOR PERMIT i BUILD,I,NG ' FOR OFFICE USE ONLY � Receipt No. I Permit N Date Rec'd. -Date Issued �-L 7 S Address Costa Mesa, California nie�.e�. , Cross St. Zone No.of Type 2 Plans I Approv by CORRECTIONS APPROVALS Building r�unaaoon �ecacion Forms, Materials, �� „i✓, j � Under-Pinning Frame: Fire Stops, �� r` " / Brecing, Bolts I hereby acknowledge that I have read t� Application Lath. Int. ar�d state that the above is rnrreM and agree to comply �ath. ext. with all City Ocdinances and State Iaws regulating building constryetion. Signatureof ' Plaster, Int. Permitt r Plaster, Ext. Authorized Ag � Masonry Reinforced Valuation Permit Fee $ $ �' a O Q� Plan Check $�� i Bond Beam Q Total Fee $ oZ 7• � � FINAL C7 ;, PLOT Pi,AN Show locatlon and distances from property line and between buildinga . �, \ V `'_