HomeMy WebLinkAbout1862 BOA VISTA CIR - Building PermitsApplicant t0 II In all iDapas except those within heavy border lines and sign all appropriate declarations. _
CITY OF COSTA MESA ^ —
J PERMIT NO. TRACT NO. -LO , NO. BL { I � t I ,, 3%3� . E/ I, j •/P;, .?p.,60'. TL
CONSTRUCTION PERMIT = #,1474' • +' /3 _ �� 9 _o.
' -b10 1V: INCKROII'bT, vicu`15c
Applicent's Meiling ss - -
TYPE OF CONSTRUC71ON ' NEW ADD ALTERATION ,REPAIR
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Project Address
-'a❑eCeONVEoRnSeION _ ❑ DE
p EqZ
_
,.
.
Owner'sName• George Madsen',:,,'phone
�ESCtIPTION'OfWORK eLrIS0H0
gauge' ga Van
ZONING REGULATINS-
1862.Boa'Vist,. a Cir:,Cota Mesa 9290F
- er
s square; as
'Adress
f _
OF PETRUCTURAL
RMIT'.GRADINGFOUNDATION
A. P.syTYPE
ZONE
_
Arch/E nig' t License No"' .
-
'❑ TENANT ❑ ELECTRICAL
❑ P MQI NG ❑MECHANICAL_
PLNG. REF..$
- ,}BUILDING -
- - -
I
Address - •'
®'vOTHER'RerOOf1I1�, ICBG.3
09•-
TO BUILDING
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Connect', s NameCAL-PAC ROOFING INC: hone 97
PROJECT DESCRIPTION SO.:FT.
2,000 •• OCCUPANCY ofd
PR PE V LINE
REAR YARD (TO P/U
18 N. Eckhoff St. Orange 9266U—
CONSTRUCTION TYPE_RerDOf
VALUATION$ 5,000.60
LEFT SIDE YARD
RIGHT SIDE YARD
Address (mail ing)
-
' prrQ50� I
License No. 1L '
I ZON)= GRADING CU.YDS: ACRES
PKG. SPACE REO.
PROVIDED
LICENSED CONTRACTOR DECLARATION '
Remarks:
STREET WIDTH
PARK FEE $ •
'
Thereby affirm that I am licensed under provisions of Charter 9 (commencing
-
with section 70001 of Division 3 of the Busisil aind Professions Code, and
SPECIAL CONDITIONS:
my license Is In full for an tl effect. \ i - I
1. g 379503
'
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Ucensq 9lpsy Llc np,'No, +
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PLUMBING . •.
Odte OJ/7/ Signature,V\
'ORKERS' COMPENSATION D • RATION = i !
Bar Sink I I
Sewer ClsI
--_ p - f {
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•ADtDmatlC
ELECTRICAL' 1
.
, I
ereby affirm.that I have a. Cert; Wte o1 Consent to. self -insure ora certificate.
_
Be,ikflow Preventer -
-
"Sewer COnneCLOn.---" -
,„ Washer -_ -�
;Meter ❑over 100 amps-;
.,•- - I
Workers' Compensation Insu nce,: or a certified' copy thereof (Section
I
I"
- - --- -
,
Construction Pole '�
'Sub Panelj '
'
x800, Lab. C.) i ,
Backflow Irrigation
Solar Collectors 1 •
I
policy No. RCS 137= Co any
❑ Certified coDY Is hereby furnishetl.
- Bathtubs i
- "- -
Solar Piping i
Cooking Unit
1
Sub Pole 1 i '
L Ce f y Is filed with the clty.BuI Ing slon !
' :- 1
Clarifiers i {
r
Solar Tank t
Dishwasher '
,Motors (]0-1 HP 1'h$
-
Date _! ADDIICan1 _ _
EXEMpTION'.F ROMWORKERS' CO ATION DECLARATI N
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Dryers ❑Gas, OElectnc
`
'Inc.Solar 09;15 -HP 016-15+
1 Dishwasher ,
Pool w/Spa
e P mit is for one hundred ($100), or
less). , -
(This section need not De completedfirnia.1
I certify In the performance ov for'whlch this permit Is issued I q
I Drinking Fountains
_Swimming
Urinal i
Fan:
'Microwave. - (-
ithat
snail not employ any person in aso as to become subject. to the
Workers, Compensation; Laws of C 1
1 Floor Drains;
-
Water Cl oset:
F.A.U.
_ ;Pole Light
'
Date Signature
NOTICE: If, afterrhakiog this declaration, You should become Subject to the
Floor Sinks ' - -
-Water Heater, - - - - - -
Fixtures ' _
_ Range y.
Workers' Compensation provisions of the Labor Code, you must -forthwith.
comply 'with'such Drovlslons.or this permit ,shall be;deemed revoked.'
Gas Service Outlets)
IWatec Service ~) - _
Device Boxes 1
Sign,
'
CONSTRUCTION: LENDING AGENCY
Outlets
'
,
I hereby affirm that there is a eonstructloo lending agency for the performance;"
Int¢rceptor5 ! r
- -
Standing Sections
I i
of the work for which. this permit is Issued (Sect; on •3097 Civ. C:): '
-
Switches
Lender's'- Naml 1
Kitchen Sink "- -.
Trash Compactor I
i
Lender's Address
OWNEWBUILDERDECLARATION- �� t -
Lavatories r
-i
, _ -.
Garbage Disposal
I hereby:affirin that I am, exempt from the Contractor's License Law for the
following and Professlonal,Code: Any
- -
P—Trapp -
- _
- j
Generator DO -5 KW 05-15
KW
reason;(Sectlon:7031.5 Business city or
county which requires a permit to construct; alter Improve, demolish' o5:repair
any structure; prior t0 Its Issuance,:aiso requires the applicant for such permit'
- i,
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Transformer ❑ 75-50 KW
I
-ROOt'DfainSl t
-
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to file a signed statemenLthat he/she is licensed pursuant to thwprovisions of
the Cantractor'i License Law;(Chapter,9 ((commencing with Section 7000)
- "_
-
❑5U+ KW.
- -
;Reinspection Fee
1 '
-
of
Division-3`of the Business and Professihns Cotle)'or,that he//she is'exempt
therefrom for -Any
,•
Showers T
-
Reinspection•Fee "$15
- -
-
Meter ❑up 100'amps
and theabafls the alleged exemption. violation of, Section
`
_
to
I Issue Foel
$ 3
7031:5 by:;any applicant fora:permit'. subjects the applicant to a civil 1
enalty of not more than five hundred dollars ($500). , ' + l ' %. 1 1
1 ! v:
Sell Smk (
- I Issue Fee -. '•$ 3"
Zoning Approved By I
_ -
Date
I,%as:owner of the iproperty or'my employees with wages;as then sole •
compensation will. do the work; and the.structure:is not intended or offered
. ", ° C I -. MECHANICAL
'
Application Approved By
,
Date
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for Sale!(Secfion 7044; Business'. antl, Professional Code: I The: Contractor's
,
License Law does not apply town owner pt a property who builds or improves
or
_
Boiler, ('"� _
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Refrigeration System
•
Application Issued By ',L/
r �' Date
p t
thereon,jand who does'such' work himself/herself through his or her own i
employees, provided that such Improvements are;not Intended or offered for
:
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❑0-100 O100,000BTU,
-
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sale. I however, the building or Improvement Is sole within one yearlof coin- I
Duct-UnderlGiound {
•� OBTU
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-,
-
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i SUMMARY OF FEES-
pletion, the owner will have the burden of proving he/she did not build or im. •-
Me for the purpose of, sale): ', j 7 I
Duct - Structural s
, j
System Repair/Alteration i
,.;'„
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'BUILDING PERMIT ${
20•� SMTP )
$ { •-50 '
LJ 1, as owner of the property, am exclusively contracting with`licenied con- I
tractors to construct the project (Sectlon Z044,.Business and„professions Cod a:. .
`•
Duct,_ Ventilating..”. .___:
__ j___ _ _, � i
-
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PLAN CHECKI $
� � I PERMIT I {
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The Contractor's License Law does not apply to an owner of property who
builds or improves' Mereon, and who contracts for such projects with aeon- 1
Exhaust System ❑ Multiple (] I
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{
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1PLUMBING ! $
ISSUANCE 4
$ �
tractor(s) license ursuant to the Contractor's License Law).' .
(� p i ) I
❑ 'Cam exempt under Section - B. & P. C. for this reason
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Firepl/Fact. Bit. ICBG
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ri$
(PLAN CHECK ${
1 GRADING
$ .I
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Heating'System&Ducting i
;ELECTRICAL
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Date Owner
I hereby certify that I' have read this application antl^state•that 4tie above—}
-
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04100,000.BTU O100,000BT' -- rt -+-- -
_-'
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' IPLAN CHECK', $
MICROFILM i
$
information is torr, ct. I agree [o comp with ail cit gland county ordinances
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MECHANICAL $,
!
I TOTAL FEE,
$ '
and mate laws rel Ing to bull ng con fuctlon,lantl hereby authorize repro-
sentatives of 'this city to a er up s the above-mentioned .property for {
;
Hood I
Type I ❑i I
{
, ,
ReinspeMioo Fee
- ..,
$15;'
t PLAN CHECK; $
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{ LESS
{ 1
Inspection Purpos 8
Signature Date
Canopy; T a II' ❑•
y;
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ADVANCED,PC
$ ' j
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Drivers• uce se o 55 I I 1 i
{
Registers { i• {
{ j Issue Fee i
$ 3'
.,
FINAL FEE {
$ 20.50
MF 0865-481@2/82 White - Building:Canary- ApPiiclnqPink - Accounting; Goldenrod - Assessor
r?0CONSTRUCTION 'PLANNING10' xt'r-y-�Jr'
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APPROVALS Permit:4#.- n :
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;,APPROVALS Permit.#
Date '
I n'sPector.
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LI,*. Service or�Pole
n r ampor`ery
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Pool &�Egwpment Location
lElectr!ical
,� Is_,�52�
ti 'Ti (Soil Pipe Undrgrnd=: 'u; f '!
m,', ''
Steel Reinforcement -- • <-
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•3! Electrical Conduit Utility-Undrgrnd! s,
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Electrlca,l Conduit-Undrgrnd.:= : I =
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`55` EledtricahBondin ' <-r
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-Pluing & Pressure,Test
Roughmb
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;59. Gas;Pifpe�O�Undrgrnd:; Tesct°
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9: 'Water Pip"e'-Undrgrnd.'!
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;`.60. Backwash Lines .P -Trap ❑'Undrgrnd `
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id. 'Pt! Floor System 6-�
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APPROVAL TODECK
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11.,Pripe'rty-Sewer Line &• HousJtZinnection'
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• 62. & Receptor -Final
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12. Sewer Cap •- i
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63. Heater &-Vent-F., ..
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13. 'Roof;Drains i I '- { 1 - g I %'n
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Pluritbing:System r,Final=- �'
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14. Rough. Plumbing i. l 1�65.
Electrical -Final -_ ��"• -'
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68� APPROVED FOR
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`Rough°lNiring;Sig'n
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_PLASTERING
18'. RoughcElec`ricalT!Bar, Ceiling, 1 �' j 1
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:•69. POOL/SPA SYSTEMS?FINAL
1911!Ffough�Heiating &IAir'Conditionin9 �I `
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'FIRE DEPT. REQUIREMENT,'
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APPrROVALSi Per mill#
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#i 2 ughi•Fsctory Fireplace!,
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21D'ucfs}in'Stiueture'1 " ` II
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170.1 Un'de'rground Hydro
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�w22. Ducts; Ventilating H ` n ! 1 {;
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171.1 Product Piping ❑ Gas D Oil
Pipe`Rough-&.Test p •�!,
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72.. Underground Flush'
�23:lGas
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4C24.IRuof.Ftamingi �1 a ` !I•• �,!
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Undergrnd.StorageTank OGas-O,OiII
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25. tRoof'Sheathmg 1 { r1r q
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74) Overhead Hydro r
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x.26. {T-6ar-Ce!l g (Structural). & Monocoat
fl.I
Dry Chemical
175.1
1.27.
and Flashing,I76.�
Dry Standpipe 1 'v
hFrame
28.
jtgthing &<Siding; 1 ! ! V
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177.1 FIXED SYSTEM FINAL,
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29.
Insulation j s 1 a. "; II
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I7$1 FIRE PREY. FINAL_
='-30.
�DTywal, Nailing
Notes:j
31.
Piaster•, Brown Coati 'I !�
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35. Final Gas, Pi a-T esti i' I n;
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38. Final Plumbing `
39. Water1Se'vice-Final! •"'
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41. Solar�Domestic-Final
42. Backflow P,reventer
43. Backflow Irrigatio'n' ation �I
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46. Handicap Regulations I i !
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47. FINAL STRUCTURE & B,UILO LONG
48. Special Requirements Completed
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49. ElectricRelease to Edison`` {
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50. Gas Release to Southern California Gas Co
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51. CERTIFICATE'OF OCCUPANC!
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OWNER MADSEN, George E. and Sandra DATE6-27-78
(JOB ADDRESS iAF2 Rna ViRta Circle BUILDING PERMIT NO. 46280
iERAL CONTRACTOR Owner/Bldr. UtbLKIY II
No. t 49-IA7-12 LOT 37 TRACT 4321 FIRE ZONE
VALUE
NSPECTIONS
Si nature
Date
TYPE GROUP
ZONE R-1
all
SUBCONTRACTOR
PE
HITS ISS D
GAS
Date
Number SI nature
WATER
PIumbin
OUCH PLUMBING^
ROP. SWR. LINE '.J HOUSE CON.
SPRINKLING SYSTEM
r '
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER 0
ROUGH WIRINGHeating
I
and Vent.
TRENCHES FORMS STEEL REINF.
-
�g_'J
O
FLOOR SYSTEM
Jr
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHI
LATHING — IN OUT
� e
ff.
PLASTER, BROWN COAT
G
STRUCTURAL, FINAL
Q
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
_
-%
ELECTRIC, FINAL
BUILDING, FINAL
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA, CALIFORNIA 92626
F�pr Applicant to Fill in Completely
6879 6/27/78 72062 TU'
APPLICATION FOR BUILDING PERMIT
RECEI
b
BUILDING
's
T'c_ISSU
W M
ADDRESS 62
ZONE TYPE GROUP
i
OWNER (�
d W
PERMIT NO.
MAIL
— �
3 '� 2
J O
ADDRESS S
BUILDING
ADDRESS 1862
Boa
Z
W W
TEL.
311
a- U
CITY
NO.
_ r
J J' b
NO. OF
LOT
W W
BLOCK.
ZQ
CONSTRUCTION
ALTER
P ANS/2_
y
LENDER
Zh
CITY NO.
O
X
am
YARDS APPROVED
_
YARDS APPROV
W O
J 0
BRANCH
1
MAI I
J N
OWNER.
e
£ S4ndmft
m J
ADDRESS
M
J Q
ARCHITECT
OR ENGINEER
TEL.
NO
'S2
6879 6/27/78 72062 TU'
APPLICATION FOR BUILDING PERMIT
RECEI
b
DATE RECEIVED
D
T'c_ISSU
W M
ADDRESS
ZONE TYPE GROUP
APPROVED
d W
PERMIT NO.
A.P. NO.
— �
3 '� 2
J O
BUILDING
ADDRESS 1862
Boa
S
J X
311
1
3'71
TEL.
TRACT
NO. OF
LOT
W W
BLOCK.
W
ADD
ALTER
P ANS/2_
REPAIR
Zh
CITY NO.
X
STATE CITY
YARDS APPROVED
_
YARDS APPROV
W O
N K
1
MAI I
.7jA ES DRY BUIL ING
OWNER.
e
£ S4ndmft
Wseyi
SIZE1 I NO. OF SLOGS. '
nT)
S
^'
tSALU$
OF LOT O I( NOW ON LOT
FRONT F.
U N
FIRE
W M
ADDRESS
ZONE TYPE GROUP
APPROVED
d W
W Z
CONTRACTOR ownerBY
lza—DATE
J O
CO Z
J X
ADDRESS
TEL.
ZONVI
NO. OF
USE OF N
W W
O =
P ANS/2_
BUILDINGS
Zh
CITY NO.
STATE CITY
YARDS APPROVED
_
YARDS APPROV
W O
N K
LIC. NO. LIC. NO.
MAI I
.7jA ES DRY BUIL ING
J U
IFROM C
SIZE1 I NO. OF SLOGS. '
nT)
0 Q
^'
OF LOT O I( NOW ON LOT
FRONT F.
l'
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USE OF
EXISTING BLDG.
n
-InFT
VON W
f'
SIZE OF 1p, I d NO. OF
L
Z
NEW BLDG. 22' X ROOMS STORIES
L. SIDE FT.
/ FT.
Q
EXTERIOR WALL
ROOF ACtVJW ! StEIAIGI a
if
4
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COVERING Sr(A CO
COVERING
REAR FT.
FT.
JUSE
OF BUILDING AND WORK TO BE PERF RMED
DISTANCE BET.
BET. MAIN &
d
IL
MAIN SLOGS.
ACCESS. SLOGS.
Q
VAR.*
DATE
OHEALTH
S PA
C,U.P.*
APPROVED
I—
APPROV E
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O
hereby acknowledge that I have read this application and state
UI
that the above information is correct and agree to comply with
cc
all laws regulating building construction, and 1 shall not employ
F
any person in violation of the workman's compensation laws of
the State of California,
m
`OY
I hereby certify that I am properly licensed as a contractor under
SO. FT.
'
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
and Professions Cod ion 3, Chapter 9.
VALUATION
Q OO
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n
PERMIT FEE $
N
O
Signature of
�Q
m
Permittee
$ B D
PLAN CHECK $ r
E
Authorized Agent
TOTAL FEE $ r
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. Box 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
N?7 I I TYPE OR PRINT
BUILDING Vb �•/
ADDRESS ' 7S (P !� / / el
COSTA MESA. CALIFORNIA
RECO ED
SEP 19 1962
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only/Zp��
AA ,1 s ^
RECEIPT NO. PERMIT O.
OWNER ii - .e 1
MAIL ^ ,I �r i
ADDRESS `V ` Itz/
RECE1V7 SY DATE RECEIVED / ED p
'i 7 4 • c[O 7 iQ L
//�1 TE
CITY /V N
BUILDING%/®/
ADDRESS
ARCHITECT TEL•
OR ENGINEER "� NO.
COSTA MESA. CALIFORNIA
I I/A
,I
FIRE / q
ADDRESS
ZONE TYPE GROUP N/
//�1 /� ASI
to&17
APPROVED
CONTRACTOR /TMA'
BYDATE
/1
I AIL I K-4
ZONING
ADDRESS
ZONE
NO. OF
USE OF NEW -'any '%dT IGy
CITY
—r
I PLANS Z I
BUILDING
//� C ('//
STATE EL.
I �D
LEGAL ILLDING
f/
L il/ O NO. ✓�
DESCRIPTION J77 7' 3 �!
SIZE//
OF LOT - G
NO. OF BLDG8.
NOW ON LOT
A. P. NO. (93— ! Z
USE OF
YARDS EVES
EXISTINGBLDG. 64M'
APPROVED ALLOWED
SETBACK LINE PROM
3
[CENTER LINE ST.)
CENTER OF STREET REAR YARD /
FRONT •S� FT. '� IN.
SIDE YARD I LEFT
I RIGHT 1'6
R. SIDE /a FT. IN.
DESCRIPTION OF WORK
L. SIDE FT. IN.
NEW I
II ALTERATION I (ADDITION I
REAR 37 FT. IN.
REPAIR I 'II
MOVING I DEMOLISH
9
APPROVED _ ./ DATEBUILF
DING -6
SIZE ROOMS STORIE6
EXTERIOR WAL I ROOF r
4 111G
I,IL/„
COVERING VLL!!!! COVERING
USE 7BUILDING AND WORK TO BE PFTRFORMHD
CKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THAT THE ABOVE IS CORRECT AND AGREE TO COM.
1, THE AMOUNT SHOWN UNOER VALUATION 18 FOR THE
ALL CITY ROMANCES AND TE NWS ULATING
LAA�E
PURPOSE OF, ESTABLISHING A PERMIT FEE ONLY.
VALUATION
G
PERMIT FEE $
CONS ON.
�P
PLAN CHECK $
'f//,�(
$ ,/ .�
/^
TOTAL FEE S
D A J�
N
M