HomeMy WebLinkAbout2038 CAPELLA CT - Building Permits N'
ADURESSOPSmLmNO: 2038 N CAPELLA CT WMT: CITY OF COSTA MESA - BUILDING PERMII
OWNER'SNAME IF KNOWN: CAMPBELL( WILLIAM T FLOOD : AE-46 PERM NO: B 08462(
..s. looms: 2038 N CAPELLA CT
COSTA MESA,CA 92626 PERMIT NO: B 084620 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MMUNG ADORESR CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: OTH
ARCHITECT OR ENGINEER: arc.NO.: JOB DESCRIPTION : T/0 EXISTING ROOF INSTALL COMP SHINGLES SQ FT: 5, 600
ARCH OR ERG'S ADORERS: UM:
CLAIM VALUE: 5, 600 . 00 CALL-VALUE: 5, 600 . 00 GROUP GCC: R-3 /U-1
caDneclar5NAia: W GANN ROOFING ( 909 ) 923-1124
CONTRACTORS MMlgiG 1625 BANYAN CT COMMENTS : X
ADDREss ONTARIO CA ue.No.: 656030 if if3i3i3i3i3i3i3i3i3i3i3i3iii3i3i3i3r3i3i3i3iifiiii3i36iriiii3i3iiiii3iii3iiiiiiiii#ii3i3fitititiiif-3i3E3i3i3i3i3iw3iiiiibfir3i3i3i it•ifiri4icieiEri*ie3i
91761 um ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter S SETBACKS
(commencing with Section 1000)of Diviscn 3 d the Business end Professions Code.and my License is in lull lace and effect.
CRT UC.NO.: uc.cuss: C39 uc.No.: 656030 EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dafty g-S -S7 Contractor: ,t - LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
O BUIfor the
greaLn1(SDECLARATION:I hereby SedisnlO31.5 Busima end Prosffirm under essi ns Code:nakyof that I am•• •. whichhmgtesMpermi to=struck atLicense ter.improve, PARKING REQ: PROV: PARCEL : 13940202 ZNE: REF NO:
demolish or repair any structure,prior to its issuance.also requires I .applicant for such permit to Ne a signed statement that he or she PLANNING NOTES>.
's licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7003)of Division 3 of the .,>
ramose end Professions Codel or that he or she is exempt therefrom and the boas for the alleged exemption.My violation et Section /
J31,5 by any applicant fore permit subjects the applicant to a chit penaltyor of nmore than free hundred dollars(SSCOD. *3i***ii******i *t�••**ii****3i**ie*****3333**3i9i******9i***********€i*5i3i 4*iiiijiliifiFi�-tiiiiiiieiini***
ElLaoownerel the property or my employees with wages as their sole compensation,will do the work.and theebtwtireenmiderded D E V E L O P M E N T SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not apply to en armed property
who buids or improves(hereon,end who does such work himself or hersel or through his or her own employees.provided that such
improvements ere red intended aoffered foreele.U.however.the building oinprovernerfo sold within ono year of completion.the ZONING APPROVED BY DATE:
owner-builder vial have the burden of proving he Or she did nor build or'improve for the Pansies of cab).
❑ I.es ownerd the property.amexth y cotradkq with licensed contractors tocanmw the project(Sadsm 7044•Business end BUILDING APPROVED BY : / DATE :
m
Profeon s Code:The Contractors License Law does not apply to an owner d property wd bolds or inaneOwnern end who
contracts for ouch projects wiNamarxta(e)licensed pursuant to the Contractors License Lex). APPLICATION ISSUED BY ' rl/ / , �'�{ DATE: _Gf /
❑ Ism exempt oder Section: B.AP.C..ler this reason: i************3i3w jr..tf**st**ii-t*it sttx it V.
tvxtrrr It..Rtefte xsr*sr*3e it oi3rar+t m+iifiiiiiiiiiiiiiiii fire on-tote it no rtfriirt
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,Pawn.and
25534.and that I or any future building occupant will/will not(circle one)need to comply with said suite codes and the requirements kr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from NeAiQuabty Management Distrix.Residential construction applications ere exempt from those PERMIT 112 . 25 provisions. . 56
Date. Applicant:
PLAN SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedarmions: ISSUE FEE
❑ Ihave and wMmaintain acertificate of consent toself-insure brwvken'compensation,esprovidedlet bWtm
Se3TeeoftheLeber BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the penamancedrework faweichtispemmis issued. TOTALS----> 112 . 81 0 . 00 0 . 00 112 . 81 112 . 81 . 00
Ui I have end vel maintain workers'compensation insurance,as required by Section 3703 of the Labor Code.for the performance ofthe
re work which this permit is issued.My workers'compensation insurance carder dhry and pmamba ere: REVENUE DIVISION TOTALS--> COLLECTED: 112 . 81 OVER/SHORT: . 00
Carney
policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed f the pennk is for one hundred dollars/51001 or less) 112 . 25 . 56
❑ I caddy that in the performance of the work for which this permit is issued,I shall not employ any penton in any manner oro as to
become subjed to the workers'compensation laws d Cddan' and agree that H I Mount become subjed to the workers' ********3i ii*iiii*ii*********sr-lir*ii******iiiiit*****w***Oeiin,t*******iris**3i*iiiiiiii******:riii:,vr
��jo"m�peneation provisions of Section 3700 of the Labor Code,l Mall h pity with those provisions.•
I N D I V I D U A L F E E B R E A K D U W N
g:Failunroescurs workers'compensation coverage is unlawful,and stall subject an employenrocrlMnaf p.r,aldes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines rpt to one hundred thousand dollars/5100,000),N add/don to the Cost of compensation,damages es Provided ler In
Sectlon3706 of the Labor Code,Interest,andafromey'a fees. SFR 5600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 600 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Cb.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end date that the above information is correct.I agree to comply with all dry and county ordinances
and state laws relating to bddng construction and hereby authorize representatives of the day la enter upon the above'mremcned properly
for inspection purposes. 09-09-1997/01:56 PR/$112.81
N �
KCP70:b1-3316310
Air _ AI/ _ —..s.--..-- D...: C -FZ PERMIT:084620
Signature• Owner/Agent/A..... • rector
(5151<6.WP) White-Buleig A Safely;Green-File:Ca nasy-Applunt:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL .,PA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing q_jB-q7 .�4, 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 INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
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 Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING )bp�/77,'� ("- /-
48. FINAL PLANNING ��CC
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA P MIT NO. TRACT NO... _I .--1�OT NO. BLDG.NO. 5. BO 3/1 /p'9 5.00 TI.,
CONSTRUCTION PERMIT P-//..5-7 / r
Project Address +zh'§c' N' AP/t�-L+4' TYPE OF CONSTRUCTION LI NEW LI ADD ❑ ALTERATION LI REPAIR - - ' -
Applicant's Mailing Address ^ �r,�i�y/7//5s;.5-3`0-57%/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone
GAfrPi LL 'JO' PhOT¢44'2-9fl DESCRIPTION OF WORK
Owner's Name / S Main Building: Accessory Building: Z
Address u'7E�hY/- •.j ,A-Pri+-LAE
TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑.STRUCTURAL T Front N
•
Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear
Address 1� /s {�y1 •/1 ❑ OTHER A N
Contractor's NampX /'' ` ` 'likiej 7 Ph?e�l5*7-5?/P PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
Address(mailing) /70/ .S ' ��RRi}7X.:J A7Y7r 471/�f/%�'TO j CONSTRUCTION TYPE VALUATION $ S Left R
2 p E
. City License No.X - l 0 P� ZONE GRADING CU.YDS. ACRES Ping. Ref.# 'Park.Fees $ G
U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with section 7000) of Division 3 of the Buslne ofessions Code,and Use of Building: _ E
my licensels In full fo ce and of ect.
License Clas i -a ii: il. 0 PLUMBING FEES Planning Notes: • E
Oate / - Signature _Mr N
WORKERS'COMPENSATION DEC •?' f Bar Sink Showers
T
' hereby affirm that I have a certificate of consen to self sure or a certificate Backflow Preventer Service Sink S
' Workers' Compensation Insurance, or a certified opy ther-of (Section _
.800, Lab. C.) i Backflow irrigation Sewer Cap ELECTRICAL FEES
Policy Nogg-70—f..515 - Company -✓y (ti*�`�-
ertified copy is hereby furnished. � / Bathtubs Sewer Connection Automatic Washer' Transformer 0 15-50 KW
Certs le c p is filed with the city Builtlin• 0 50+KW
Date /i�X//` Applican .417.4(-_-.'' _A Clarifiers Solar Collectors Construction PoleSub.
EXEMPT(ON FROM WORKERS'.C•MPENSATION a sir.. ' Dishwasher Solar Piping CookingUnit Meter ❑u to 100 ampi
(This section need not be completed if the permit is f• on- ndred ($100)orP P
less).
certify that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank Dishwasher ,`
Meter Dover 100 amps
shall not employ any person in any manner so as to become subject to the -
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date Signature —
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal Fan Motors 1:10-1 HP 01%-8_
Workers' Compensation provisions of the Labor Code, you must forthwith -
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets /.(cater Closet
CONSTRUCTION LENDING AGENCY di90 F.A.U. Inc.Solar 09-15 HP 015-15+
I hereby affirm that there is a construction lending agency for the performance Interceptors _Water Heater Fixtures -Microwave
of the work for which this permit Is'issued (Section 3097 Civ. C.) -
Lender's Name - Kitchen Sink ' Water Service Device Boxes Pole Light
Lender's Address ' Lavatories
OWNER BUILDER DECLARATION • Outlets Range ,
I hereby affirm that I am exempt from the,Contractor's License Law for the p-Tfa
following reason (Section 7031.5 Business and Professional Code: Any city or p - Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair _
any structure, prior to its issuance, also requires the applicant for such permit Roof Drains' Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of -
the Contractor's License Law(Chapter 9 (commencing with Section 7000)ofGenerator ❑O-5 KW ❑5-15 KW Trash Compactor
Division 3 of the Business and Professions Code) or that he/she is exempt P
herefrom and the basis forthe alleged exemption. Any violation of Section
/031.5 by any applicant for a permit subjects the applicant to a civil 3
penalty of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee $
LI I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 ' Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's - - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0
thereon, and who does such work himself/herself or through his or her own Zoning Approved By nate
employees, provided that such improvements are not intended or offered for Canopy Type II 0 '
sale. If, however, the buildingor improvement is sold within oneyear of com- Duct-Under Ground Application Approved '
pletlon, p pp By Date
orove.f r h owner se have the burden of proving he/she did not build or Im-
Crove.foi the purpose of sale). Duct-Structural Refrigeration System ' Application Issued By Oat: �
I,as owner of the property, am exclusively contracting with licensed con- ❑4100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
The Contractor's License-Law does not apply to an owner of property who BUILDING PERMIT $ SMIP
builds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑ System Repair/Alteration $
_
tractor(s) license pursuant to the Contractor's License Law). • PLAN CHECK $ - PERMIT
❑ lam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# PLUMBING $ b-' l]P ISSUANCE $
Date qwner Heating System&Ducting PLAN CHECK ' $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL—� ELECTRICAL $ GRADING $
information is correct. I agree to i. • with all city and county ordinances
and state laws relating to Id' g consbr a tion,and hereby authorize repre- - PLAN CHECK $ MICROFILM $
sentatives of this cit -r upon�Pe abve-mentioned property for
Inspection purposes. A - l
Signature A ��
Reinspection Fee -$25 Issue Fee $ 3 PLAN CHECK $
eumw.
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - -- -
CONSTRUCTION AND PLANNING POOL ,,.SPA
APPROVALS Permit# PI 1611 Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole, • J 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -. 53. Steel Reinforcement
3.`Electrical Conduit Utility-Undrgrrid. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.•Electrical UFER Grnd. i 57. APPROVAL-TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System • 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rougt(,:plumbing 4 • .. • 65. Electrical-Final
J
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 0 Gas ❑Oil
23. Gas Pipe-Rough & Test _ .7.2. Underground Flush
24. Roof Framing '73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: Ho .LJowrt -37/5/d"f
sie
34. Final Heating & Air Conditioning No ase I-lo, - c rr CARA5- k/t(/:`Y C
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing y//' / CIO
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
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
FEE RECEIVED
: r 16540 U! MAR 2 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT fl FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
CITY OF COS1A MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING Gor!;a regeir-4 f
- y
ADDRESS a 03 North Cve//a Co4v7'
COSTA MESA. CALIFORNIA For Office Use Only
� /� RECEIPT NO. PERMIT NO..
OWNER /'�/%Pei r-7-45e, P1/,s 16540
AMAIL DDRESS/ /J / e- <" G RECEI�/E.D BY I t----•
••--/ � f.RM F4 I66U 62
cry %4r/A' Mf=fg . (39L/f= NO,.'/0^5/1: ADDRESS` 1
111
OR C ITENEEERF•9/,�//.. etaragei1if Noo�f\c 7Qc 99 COSTA MESA. CALIFORNIA ((/� �[/.
ADDRESS 9/ 7/J /i creii-rf rl✓6it
- /7 /AHC/M ZORNE TYPE K GROUP t Y,
CONTRACTOR AMID ,eo 5 LINO a. APPROVED
BY DATE
ADDRESS /6s-.2 Ali ith5e'aiiilie. ZONING O
//•/ r� �,/ ! -,/ ZONE NO.OF USE OF NEW Sn9 >+y../PA4
CITY V'S'r// /i f9�lJ.�/` RSI I PLANE I BUILDING 4.,/,‘77- 9S F.
LEGAL
LICNO. /87/ GG TEL.NO. ♦ Lo1` 3o r? W3y9
/! 90 39r DESCRIPTION
SIZE ��JJ NO. OF BLDGS.
OF LOT /O X /00 NOW ON LOT A///LG A.P.NO.
USE OF YARDS EVES
EXISTING BLDG ._ _. APPROVED ALLOWED
SETBACK LINE FROM r 3 z (CENTER LINE ST.)
•7
CENTER or STREET 0 REAR YARD FRONT -SQ FT. _� IN.
SIDE YARD I LEFT I RIGHT S R.SIDE S FT. IN.
DESCRIPTION OF WORK —
L.BIDE S FT. IN.
11
NEW I/`�[/�.IALTERATION I II ADDITION I REAR 3a- FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED LU V o�n DATE a//6/G I-.
SIZEDINO /4 9 4 ROOMS STORIES / /V /1 !�
EXTERIOR WALL A00Ch 1 ROOF WOOD er I
COVERING 577/17ac COVERING .540/9 i$ I'Ic♦J�Cl
USE OF BUILDING AND WORK TO BE PERFORMED '
. sr 1-' i A , L= 'jCCC''���
/4A/0 - G7/Vt.//69 � V
grim:wed /2r-3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION `/
S1= - T RE OF c+-. PERMIT FEE $ /r� i
: / _ / / s/b 48/- PLAN CHECK $ / 7f.� ♦=JK)\
'ORIZED AGE T // N, TOTAL FEE 5 cT .�I /
' 21326 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT JAN it 1954
P.O.BOX 917 COSTA MESA.CALIFORNIA FINANCE DEPT.
N ,
For Applicant to Fill In Completely APZIE.41OcPSTt WAIT
TYPE OR PRINT BUILDING
For Officej Use Only
BUILDING )% ]] ,] `' /� l�
ADDRESS- O_, i .A/ • ` Np£Lt.4 CtC(Rid-
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA /�t/f �/ 6.?/-3 22,6
{'}�� �/ n Ott /A—/ rI a/ ,Dy'✓SD67
OWNER Dep�T4LU E y"tRR//v BUILDING o �(�6
MAIL n} AA,, N ADDRESS 203 O "' ����
ADDRESS ,.J(_1 � T/ 'y• ` /S(�C.4-1-si CuUrLf
CITY Cp,)I/j rhe.5/a NOFIRE
TE. ..r4,4 i5 ' APZONE /J TYPE f GROUP/ jI
ARCHITECT TEL. BYPROVE / jam DATE ( /CJ ��
OR ENGINEER NQ. ZONING ,
A
ADDRESS A / I 1
�O�[ NO.OF USH OR NEW
in i,C I / PLANS BUILDING
CONTRACTOR 'J A.L�I� 11 LEGAL 1 1 coT/� �1I, 9
DESCRIPTION / 0 [ c `� 1 b 1 W /
ADDRESS
.) L
CITY A.P.NO. , -t L O d-. - a -
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TELSO*TO SIDE @ REAR P.L
LIC.NO. NO.
EAVES
SIZE NO.OF BLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 70x / co NOW ON LOT / YARDS APPROVED YARDS APPROVED
USE OF /� MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. I / it'C l..U/ Al g
(FROM C/L STREET)
SOM 3 (./ 3 FRONT FT. I.1.
CENETBACKTER OF SLINE FRTREET REAR YARD •.S -T
SIDE YARD LEFT _} RIGHT IR.SIDE FT. FT. .7 //
DESCRIPTION,.EOF WORK L.SIDE FT. --Fr--
NEW _ /� ALTERATION _ ADDITION REAR FT. FT. •J l/
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING NO.OF VAR..jt DATE
BUILDING
SIZEXTROOMS STORIES APP OVE (J/� APPRO7( / 3 %
CXTERIOR WALL I ROOF BYPROVED ^Jf�n�FL/lA
COVERING COVERING BY
USE)OF BUILDING AND WORK TO BE PERFORMED
8LDctc lc�cj)414UL.s
I HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATI.O VALUATION
BUILDING CONSTRUCT!DTI. O
SIGNATURE OF I}1lV /, . ge PERMIT FEE a
PERMITTER (mV� •' 32 -----
-
O
ses
AUTHORIZED AGENT
W
TOTAL FEE $
FEE RECEIVED
22453
JUN 1 2 1984
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
�ADDRaSso4- 6 4 ' For Office Use Only
EUILO9Z 3F (-�' i / 4 I RECEIPT NO. PERMIT NO.
COSTA MESA. eALIFORNIA n a 1453 _
` _/ RECE�ED BY DAYS
RECEIVED r� _DATE MS EDED /
/7 64z
OWNER POW 44/241./If -2e3
`�z� l'�/a7/i (A 152��
ADDRE S /`
MAIL ADDRESS
ADDRESS an
FIRE
CITY (J� TEL.NO. ZONE TYP GROUP .�
APPROVE�..,/�% )/J
ARCHITECT T �i TEL. BY '/ DATE
OR ENGINE �/ (ly'F NO.
8 7,'?7 / ZONING
ADDRES /�/17m/1'
ZONB{/(� OF
I n de �� 7\ I PLANSNO.OF I BUILDING NEW
CONTRACTOR AR ,/1/Gb/ N[ LEGAL ` T
Q �/.�[ DESCRIPTION ✓� 1 I
ADDRESS/33D mac, if;72 T (� �7
/L.oS I�/� /^7+K./P S A.P.NO. / a 9-- L eD ,?-•
CITY /
STATE 6NEOL. � 30'TO SIDE@REAR P.
NOTE:
H LN68HALL BE LESS THAN
LIC.NO./?o7
7// r3-3S7
SIZE
K V�,Bq� EAVES
OF LOT / -V I NO.OF BLOCS.
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF I. MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. . _ S (FROM C/L STRE T
SETBACK LINE FROM FRONT -.f ill.• FT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT I RIGHT R.SIDEFT. FT.
DESCRIPTION OF WORK L.SIDE/ h FT. FT.
-70
NEW ALTERATION _ ADDITION •�." REAR FT. FT.
DISTANCE BET. BET.MAIN ft
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDINGNO.OP VAR.# DATE
SIZE /2 ROOMS STORIES C.U.P.S APPROVED
EXTERIOR WALL w, ROOF APFPWVE•La".COVERING 'Ye I COVERING UBY WI• / ( . DATE & - /
USE OF BUILDING AND WORK TO BE PERFORMED r- '
. u r. • CA- Ctd2-
N
-3 0 O SQ.FT. B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION B'
BUILDING CONST ION. PERMIT FEE $ p
9SIGNATURE (/''yy /�� D
PERMITTEF y CO A9 J V F
/. l �/J/J $ `Z0O PLAN CHECK $ o
AUTHORIZED AGENT (Jup. W'--"tCQ/ / �A� 1'
JO \ TOTAL FEE $ /