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Home My WebLink About325 BROADWAY - Building Permits< < � CITY OF COSTA MESA � , , sun��N� o�v�s►oN i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 •�vw.ci.costa-mesa.ca.us ".44�� FOR INSPECTIONS CALL: {714) 754-5626 �N CoMPVj'(%��S PERMIT NUMBER: B£@8=6093- PERMIT TYpE: B_COMBO Sub Type: RES_ALT �os n�DReSs: 235 BROADWAY CM APN: 42540215 Vicinity: KITCHEN Const Type: V-B Zoning: , , SQ. FT: 0 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Primary Occ: ISSUED 0110312008 RMD Valuation: 87,000.00 SCOPE OF WORK: KITCHEN REMODEL, CHANGE OUT AND DRYWALL WORK FOR 1 KITCHEN SINK, 1 WATER HEATER, 1 WATER SERVICE, 1 GAS (1-4 OUTLETS, 1 GAS REPIPE, t GAS SERVICE, 10 LIGHT FIXTS, 10 OUTLETS, 6 SWITCHES, 1 SERVICE TO 200A FOR A SFD. OWNER: HARRIS, JANELLE Phone: 949-675-4500 APPLICANT: HARRIS, MICHELLE Phone: 714-247-0702 . cON7Rac7oR: OWNER-BUILDER Phone: Cell: ARCHITECT: ENGINEER: � Address: 235 BROADWAY ST CitylStatelZip: COSTA MESA, CA Address: 1060 TULARE DR CirylStatelzZip: COSTA MESA, CA Address: Unit: Ciry/State: License No. License No. COMBINTATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees; $139.25 Electrical Fees: $82.60 Mechanical Fees: $0.00 Plumbing Fees: $78.65 SMIP Residential: $0.70 SMIP Commercial: $0.00 TOTAL FEES: $301.20 "Rotur to fee reteipts for all fees paltl (or project License No. 000000 Unit UniC . ZipCode PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California staNtes and relaled regulalions. (Ord. No. 92-28. § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work auihorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiraUon of Nis permit. c o � wsaecnoNrrvE o�� ixmui � INSFELTIONTYPE o�� uimu� 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electnral 207 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site p� n� 204 Final Demplition 250 Final Building/Ottupanry �_�. r/� WORKERS' COMPENSATION DECLARATION: � I hereby affirm untler penalty of perjury one of the tollowing tlecla2tions: ❑ I have and will mainlain a Certifiwte ol con5ent to 5el(-Insure (or workers' compensation, as pmvided !or 6y seclion 3700 of the Labor Code, (or the performance of the work for which Nis pertnit is issuetl. ❑ I have and will mainlain v.orkers compensation insurance, as required by sectbn 3700 of the Labor Code, fw Ihe pertortnance of the work (w which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier. ( ascaion notnecwnpefep sva4roea�menun rs(Stoolaleu) oli umh c _ / I c !y ihat in Ihe peAormance o( I�e work (or which �his pertnit is issuetl, I shall not employ any person in any manner so as to become subjecl lo Ihe workers' compensalion laws o( Calilomia, and agree that if I shoultl become sub' to the vrorker5' compensation provisions o( Section 3700 0( the L bor Cotle, I shall forthvnth compty with these provisions. �--�' /-� - v �' ' Ap wn sSignaWre Dale WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class # Contrdctor's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that there is a construction lending agency fw the performance of the v.ork for vfiich tNs pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: OWNER-BUILDER DECLARATIONS: I here6y aKrm that under penalty o( perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor �he Ioliowing reason (Sec. 7031.5, Business and Prolessions Code: My city or county which raquires a pertnil lo wnswct, alter, improve, demolish, or repair any swcture, prior to its issuance. also requires Ihe appliwnt lor such permit to file a signeE slalement Ihal he or she is licensed pursuant to the provision5 of the Conlractors License Law (Chapter 9(wmmencing vrith Section 7000) ol Division 3 0l the Business antl Protessions Code) or that he or sha is exempt theretrom and the basis tor the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicaN to a civil penalry of nol more Ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, anC the structure is not intendetl or oflered for sale (Sec. 7044, Business antl Professions Coda: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or herself or lhrough his or �er own employees, provided ihat such improvemenis are not iniended or offered for sale. If, however, lhe building or improvement is sold within one year of completion, the ovmer-builtler will have the burEen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS m conslruct tha project (Sec. 7044, Business antl Protessbns Cotle: The cont2ctors License Law dces not apply to an ovmer ol propeAy who builds or improves thereon, and who cont2cts fa such projecl v,ith a cmtracta�s) license pursuant m the Contractors License Laws.). Owner ID verified by driver's� ❑ Yes ❑ No oriver's License No. / Exvtres: ��' �� Verification of Ownership by (lype o( document, i.e. - property tax 1 or Ceed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation frve (5) w more feet m depN into wfiich a person is required to tlescentl, will be made in connecdon with xork authoraed by this pertnit, and that no building strucNre, sc�fddirg, falsewwk, v Cemditi0n or tlismantling thereof, will be more than thirty-sa (36) feet high. (Chap. 32, Grp 2. M 2, Sec. 341, Title 8, Califomia Administralive Code). ❑ As owner-builtler, I will not employ anyone to do vrork which woultl require a permit Irom the Division of Industrial Salery, as noted above, unless such person has a permit to do such vrork (rom the division. AO�liwnl's Signalure Date Division ot IndusMal Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuNre building occupant neetl to file and certify a Business Plan for emergency response to release or threatenea release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Health antl Safety Cotle requires, with some exceptions, thal a Business Plan be filed with the Costa Mesa Fire Depanment by every business which has al any one time tlunng a reported year a quantily of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 qallons, or 200 cubic feet ot compressed gas at standard lemperature and pressure). 2. Does or wi0 the applicant or present or future building occupant need to file a re9istration form for acutely hazardous ma[enals? ❑ Yes ❑ No (Section 25533 of the California Healm and Safety Code, with some ezceptions, requires registrelion with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl temperaWre and pressure). 3. Does or will lhe applicant or present or fu[ure building occupan� need to prepare an RMPP (Risk Management and Prevention Program for acu[ely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Deparlment may require the preparation, certi(cation and filing with the Fire Department of an RMPP by businesses which are required to regisier acutely hazardous marenals with the Fire Department. 4. I( an RMPP is presently required, has Section 25534 of Ne Califomia Health antl Safety Cotle been fully complietl vriN? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupant require !or the work which is Ihe subject of this appliCation a pertnit for such conSWclion or modifiCalion from Ihe SWth CoaSt Alr �uality Management District ar from any other air pollu�ion control districl or agency? ❑ Yes ❑ No (Sectbn 658502 0( the Calitomia Govemment Cotle requires [hat Ihe reQuested in(wmation be fumishetl on applicatwns fa nort-residential builtlinq pertnits). 6. will any paA ol the facility to be consWcted under this pertnit ba within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No Qf yes", Ihe tacility must meel the requirement o( Sections 25534 and 42303 of Ihe Califomia Health and Satery Code). 7. If a permit from the Soulh Coasl Air Quality Management District or other air pollution wntml district or agency is 2quiretl lor the work which is the subject ot this application, have all of the disclosures prescribad by Califomia Health antl Safety Code Section a2303 been made? ❑ Yes ❑ No B. Qf yes", attach ceAificate of compliance from lhe appropriate air polWtion control oKcer). CERTIFICA7E OF COMPLIANCE: I certify that under penalry of perjury the infortnation given above is comect. I agree to comply with all sUte lav+s and city ordinances regarding Hazardous Matenals and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is cortecL I agree to comply with all state laws antl ci�y ordinances relating ro builtling construction, and authonze representatives of Business and Professions Code for this reason: the Ciry of Costa Mesa to enter upon the above-0escribed property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit until final inspection. '' � � Signal . otLe9 O� er(s) Dale G i9nalure / Da� (— �� D fi 305]-<6(3/01) MNor Aut�o �zed ADOliwnt Dale 0 0 � D D R Yr, � �j S.QRvi't,r ''lLJ i� i2p �� u� �y � � i( c� ��l ��. rv► oc�e � (� � — Q i 3 � ��iT R¢�QSse�Q ��Skis F��s�..�.vl�a ��X�u��e FL �J d.�- �� ,-` -� �` d t.Ja.�f' C/N�{2f2 �'i¢,�iNeT f"Lu�RaSc2M/ 7�i,r%uR a 1�+ � J�i/�!S i¢ � Le S�� i �C � �.�' � � upL.ey �e�Q�T �� '�. --�-� (_j , G.J,�7i u) kl-L /�'io e,, n% 7�Lu o2esN.o,v( Fi�i9C 1 u R'2 �' �-�-� ce:Lln�s r'1-id v�v % oCi� tiT ,F;�X 1 uRe (D wr�7 , - MANDATORY MEASURES SUMMARY: RESIDENTIAL (Pa�e z Space Conditioning, N'ater Heating and Plumbing System Measures: (continued) 5. Insulation muxi bc prmected (rnm dama¢e. induAing Ihat A�K le sunligh� muisiure, cyuipment maintenance, and �cind. 6. Insulaiion for chdlcd wamr pipmg and rtRigeram suction piping indudes a vapor relardant or is enclosed rntirety in wndilioncds cc. � 7. Solar waiervheaune sv<tems4ollcctors are certified b�� the SMar Ratine and Cenitira�inn Cnqx,niinn • §ISO�m�: DucisandFans 1. AI I ducts and plrnums in�llcd. sealed ard inwlatcd to mee� �he reyuircment o( �hc CMC Scctiorts 60 i, 602, 603. 600, 605 and Standard 6�5; wppl)'-air and ¢Nm-air duc6 and plenums are inwla[ed to a minimum mstalled levd of R-0.? ur erclosed rntirely in corditioned Spa�� ngs shall be xaled with mutic, wpe or aher ducc<lowrc rystem Ihat meeLs ihe applicablc requirtmen6 of UL I81. UL I B I A. or UL 181 B or azrosol sealant thaz meets �he rtquircmen�s of UL 727. If maaic or tape is used to xal o nin ter Owi I/4 inch Ihc combiration of mastic and ulhcr nxsh or shal I bc iaed. 2. Building cavities. sup�ron platfortns (or air ha�dlers, and plcnums defirrcd or conswcted with materials olher than seal<d shect mcul. dut� buard or Oeaible duct shall not be uud for conveying conditioncd air. Building Wvilies and suppon platfortns may cantain ducLt. Duc6 inslalled in cavities and support plat(orms shall noI be compressed to cauu mductions in Ihe cross�sectional arca of the ducts. J, loints and scams ol'ducl syslems and Iheir componenls shall not be sealed wi�h cloth back rubber adhesrvc duci tapes unless such la is uced in cumhinnliun w�lh mast¢ and draw bands. 0. E�haus� ian sysmms nave back tlran ar automanc dampers. 5. Grav�ry vrntilating rys«ms scrvi�g conditioned space havic either auromaiic or readily acceuiblc, manually operated 6. Proleclion o( Insulaliort Insulatlun shall bC protcctea irom aamaec. incluamg Ihal aue lo sunhghl, moisNrc, equipi muinlenancc. and wind. Cellular foam insulalion shall be promaed as above or painled with a coaung Ihat is waler mc+rdam and pmvide5:hieldine Gom solar radiation that can cnuse de_e 7. Flerible ducts cannot Pave porous inner cores. ti I IJ: Pool and Spa Heali�g Systems and Equipment. I. A Ihermal elLnerrty @al complies wilh Ihe Appliance Elliciency Regul heaier, wealherpronfoarafinF inswciions. nn electric resis�antt hea�ir 2. System is mstalled wilh' a. ut Itas1 76" of pipt be�ween fiher and heamr (or fuW¢ solar heating b. cnver for nutd�ar poo�s or owdmr spu J Pool svsmm has ducctional inle�s and a arculalion pump time switch. § � IS Gas lired fan-1}'pe Central fumaces, pnol hcamrs. spa healcrs or hous� <Ii0 41 IBIi): Cool Roof mmerial mcets spccifcd crilcria have no $l �0(k�l' NIGH EFFICAI Y LUMIIVAIKtJ V I HtK I HAfV UU 1 WVK HIU contmn only high etlicacy lamps az uullined in Tabie I50-C, and do no� contain a medium screw' base snekei 1 E24/E'_o) Ballact (nr lamps I 1 uatls or erealrr me eleclronic and have an nutput frequency no less than 2U kHz §IiUlkll: HIGH EFFICACY LUMINAIRES - OUTDOOR HID� mntain onh high eRcacc lamps as oudined m Table Ii0-C luminairz has faC�on� ins�alled HID ballasi a Ii0�k�2: Permanend� m5�alled lummar.es m kitchens shall be hiph e(�icaq' lummmms. Up m 50 pcment ol'�he wattaee.:ts dnermined in § 1301c), o( permaneml�� ins�alled luminaires in kitchens may be in luminmms Iha1 are not high efficacy I wnmaires, pmvided thal ehrse luminaires are con[mlled bp sw'ieches separate fmm lhose contmlling the high e@cacy I uminaires. � I i0�k�3: Pertnanemh� in>ulled lummaires m bathrooms, garages. laundry rooms miliry rooms shall be high c�Tcacy I uminaires. OR are comrolled br an occupant senwqs) certitied to complq wiih Senion I 191d) �hai does not Ium on aummaticallv or have an �wavs on oo��on. ¢ IiO�k)1: Permanrndr in5�alled luminaircs located other Ihan in kitchens. baihrooms, garages, laundq� raoms, and utiliry� rmms shall be high dTw�y �uminairts (eacep� close6less �hun 70it'p. OR are cantrolled b)' a dimm<r switch OR are eammlled by an occupan� unwr that complies with Sec[ion I 19�d) �hat does �wt Wm on automabcally or ha�e an ah�ays on o0lion. $ I i01k)5�. Luminaires thal are remsxd imo msulaied cedmgs are approved for zero cle:wrance insulation cover (IC) and are cmified ainiRhi io ASTM E283 and labeled az air tieht (ATI to Ieu than 2.0 CFM at 75 Pascals. § Ii01kKi: Luminaua providmg omdoor lighung and permarrcmly rtrounted �o a residmtial building or �o o�her buildings on Ht sam< bt shall be high etT¢acy luminairts (nol includine lighiing around swimming pocds/weler feawres or o�her Micle 6801ocations� OR art controlled b. occupant senwrs �.ith mtreral phoio contml ttmfied m comply with Seaion 1191d1. § Ii0(k)7: Lighting for pa�king l06 for 8 or more vehicles shall havc lighting that complies wiih Sec. 130, 132. and 167. �iehtine (or parkine ear�¢es (or 8 or mnre vehides shall hare liehtine that comDlies w�ith Sec. I30. I 7I, and 146. 51 i0�k�8: Permanrmly insialled L�hting m Ihe enclosed. non-dwellin� spaces ol low�rise rcsidential 6uildings with four or rturc JNelline units shal� be hieh eRcacv luminaires OR arc comrolled by occupam un5orts) ttniticd �o mmply wilh Resi,lentia! Compliance Forms MF-1R Enfortt- ❑ ❑ ❑ a ❑ o u G � 0 � ❑ ❑ ❑ ❑ ❑ Apri! IOO.i � RESIDENTIAL KITCHEN LIGHTING WORKSHEET . Projec[ Title WS-SR At least >0°/a of the �otal rated wattage ofpermanently installed luminaires in the kitchen must be in luminaires that are high efficacy luminaires u defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lightine Schedule. Provide the No ❑ No ❑ vir. Qfcrmation for all lumiraires tc bc in;talled in kitchzns. •�atts � x Quantity = High EfFcacv Watts or Other Watts ! .�t x �_ = or �. O x �_ = or �_ x � = or " (� O x �_ = or = or Total: A: I(n n A COMPL/ESIfA?B Yeso Rutes for Determining Residential Kitchen Luminaire Wattage Screw Base Sockets §1S0(c) 1 (Not containing pertnanently installed baliasts) The maximum relamping rated wattage of the luminaire, as listed on a pertnanent factory-installed label (luminaire wattage is nol based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasts §130(c) 2 The opereting input wattage of the rated lamplballast combination based on values published +n manufacturer's catalogs based on independent testing lab reports. Line Voltage Treck Lighting (90 through 480 volts) §730(c) 3 1. Volt-ampere (VA) rating of the branch circuit(s) feeding ihe hacks; or 2. 7he higher of • The wattage (or VA) rating of an approved integral current limiter controlling Ihe track system or • 15 watts per linear foot of the track; or 3. The higherof • 45 W per linear foot of the track or . The total wattage of all of the luminaires included in the system. Low VolWge Track Lighting �less than 90 volts) §130(c) 4 Rated wattage of the transformer feeding the system, as shown on a permanent factory-installed label Other Lighting §t30�c) 5 (Lighting systems lhat are not addressed in §130 {c) 1-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent fac[ory installed label, or published in manufacturer's catalogs, based on independent testing EXAMPLE RESIDENTIAL KITCHEN LIGHTING WORKSHE.ET Project Title Date WS-SR Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. High Efficacy Luminaire Type (y/n) Watts x Quantiry = Hi¢h Efficacy Watts or Other Watts CFL-1 Yes 26 x 5 = !30 or MR-16 No 55 x 2 = or !/0 x = or x = or x = or Total: A: 130 B; I10 Nesidential Compllance horms COMPL/ES /F A>_ B Yes 0 hb o Apri( 2005 DECLARATION OF AUTHORITY BIdg.Pertnit# FOR AGENTS OF PROPERTY OWNER This Permit # TO APPLY FOR PERMITS Street Adqress: � � � � "v � � `^" '� vl �� AP Number: —_ �,\ ' =1:-i (we), . �{'c N�LL� IV - C"��R �s , declare that 1 am the Owner of Title of the above ✓ referenceq real property, and that I(we) hereby authorize: , Name: M I C�- HC,Z�-E- il �/`� � J Telephone Numbe�� -f I� I Q Z SVeet Address: I�� o O T�%�-�{- Ii�--� �U �- �� Ciry: �_ds ] �}-- /�') �.S �- _ State: � A � Zip: � o�-� o�--� �— to obtain permits in my behalf, as owner/builder, for at the above referenced property. S 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workefs Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporatioh. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or o�cers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is lrue and correct. /i,�/ � �/�_�/� Executed this J day of J /t/ti) 0 J�, at ��Z �'""'- , California. /� Print Name Signature: ' Date: O]]SO6 (rev.NlOp) / — � a� v v u Note: This authorization does not grant authorization to perfortn the work as owner, ft soley piovides for limited power of attomey W secure this pertnit in any behalf. OWNER ��' '+LOWS� NINA ' � DATE S�2ll—S6 JOBADDRE33 23S BI'08Cih*8y BUILDING PERMIT NO. 3101 GENERAL CONTRACTOR Crank Brothers VALUE $ 2"jQ.QQ LOT BLOCK THACT Reroof Dwelling GROUP PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR //„i DATE I NUMBI Foundation Forms and Grade to Rough Framing Plumbing, Rough to Slab Plumbing, Raugh Complete Temporary Pole Wirinq, Rough Sewer, House sepuc � anK or Lathing,ln Final. Fixtures Plumbing, Fin,al GasTest Wiring, Final Occupancy '] FOflM 210 9M 10�95 f�o� Costa, Mesa Building Department 117 EAST 20th STREET COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Address . r�� /�btc..�'wv+! ��' Costa, Mesa, Califo Nearest /�j �� ' �%�� CrossSt. (([.�C.IL/Y-Rr_�.( 4C.uV', . /1/ . � / C/,._ •i .. 1 ArChiteCt 0� Engfneer Address Contrector� Address / 'Size of Lot Use of � Exterior Wall . w. lCn�-!7i �tiI't,f�� NoY Lia ^%Y. n c�[ �`�. fio:!'n.�+-,i-�i.C�� Lot � No. • 81ock Tract, � �nd Bounda) INo. of Bldgs. Now on Lot INo.of No.of Famflies I Rooms om Rear Vard No. of -R-yp�p —m; •' I` C� APPLICATION FOR PERMIT �313� BUILDLNG '� FOR OFFICE USE ONLY IReeeipt No. Permit N ' J�%%/ Received by Date Rec'd. Date Issu� --�*-y� I ..5- a 5` :i�l ,J�-.J � Building Address Costa Mesa, California Nearest 9 � I Plans .I •�r�// I � • Date i:I�.i. .. .i. �. .. ^2�1 � �Faundation Loeation Forms, Materials, • Under-Pinning Frame: Fi re Stops, _ - Bracing, Bolts '� I hereby acknowledge that I have read this Application Lath: Int: �. and state that the above is correct and agree to comply. Lath: Eit. � with all City Ordinances and State Laws rngulating building construcfion. • � " " _ Signatureof Plaster, Int: Permittee-- � �' Plaster, Eut AuthorizedAgt��ii�o/�,�j�A G � . Masonry Reinforced Valu,ation Permit Fee $ �� Plan Cheek $ � Bond Beam 3 ��_ Total O?• Fee-'— -$ � � FINAL il1RM 204 6-H 2M 3-EA Date 2 I D r PLOT PLAN Show locatlon and distances from propeHy line and between bulldings. CD �}'! r :'v %��-� -P��E�. -��c � �.�.r�, . •� � .,� . � :�, ,