The URL can be used to link to this page

Home My WebLink About2708 CARDINAL DR - Building PermitsACP��ant to fill in all spaces except those wilhin �eavY �ortler Iines antl sign all approvriate aeelarations. CIT4bFCOSTA MESA RMIT NO. TRACT NO. LOT NO. BLD . . 23�I I/ I 3IBG Q9•37 T CONSTRUCTION PERMIT - OSS� J�`% /, . Pfoject Addre55 /� TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Applicant'S Mailing Addreu Q m 7 ZlO ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p,p, q�6 � r _ Zone Owner'S Name ♦ DESCRIPTION OF WORK �`W ��C" ' _��f SiYI/ � Phone �c� S Main Building: Accessory 6uilding: Z Address� �OrQ�'OI2� 2:' /��r S/7/7G, �"`�" TYPEOFPERMIT GRADING FOUNDATION 7RVCTURAL T Fron[ �J Arch/Eng. Licenu No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Reaf N Addfei5 ❑ 9THER Contractor's Name ' hone PROJECT DESCRIP710N 5Q. FT. oCCUaAN'cv� K Right ��i` � G Address (mA �'n�l CON STRUCTION TVPE VALUATION $'. ��' —' g Left �/ L R E 20NE GRADING CU. VDS. ACRES Pln Ref. � � P2rk.FeeS $ n QSY LICP.f1(P NO 9• U LICENSED CONTRACTOR DECLARATION Remarks:.��+� ^ ��g'L�- Pa�king Req./Provided � � 1 hereby affirm that I am Iiconsetl untler provisions of Charter 9(commencing R with section 7000) ot Divlsion 3 of [he BuSiness antl Protesslons Cotle, anC USe of Building: E Ty Iicense is In full fOrGe dntl eff¢ct. . License Class License No. PLUMBING FEES Planning Notes: �t�Q,�v�i�� M E Date Si9nature Bar Sink Showers N WORKERS'GOMPENSATION OECLARATION T I he�eby affirT tha[ I hdve a Certlflcale of mnsent [o selt-inswe o� a ce�Uficate gackflow Preventer $CNiCC $IOk of Workers' Compansatlon Insurance, or a rertifietl copy thereof (Sectlon - S 3800, La�. C.) Backflow L-rigation Sewer Cap � ELECTRICAL ` FEES Policy No. Company ecertitietl copy is heraby turnizhetl. Bathtuhs Sewer Connection Automatic Washer Transformer ❑ 15-50 KW Certltietl capy is filetl with the city Builtlin9 Division. ❑ 50 t KW oate Apolicant Clarifiers $plar CAllectors Construction Pole Sub. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION DiShwasher Solaf Piping Cookin (7his section neetl nol be completetl if the permit Is tor one �untlretl (E100) or g Unit Meter ❑up to 100 amps less). Drinkin Fountains I certify that in the performance of the work for wnich this perm�t is Issuetl, I 9 Solar Tank Dishwasher Meter ❑over 100 amps shall not employ any parson in any manner so as to become subject to Iha workers' Compensatlon Laws ot Caiitornia. Floor Droins Swimming Pool w/Spa Dryers �Gas ❑Electric Sub Pane� Date Si9nature NOTICE: If, after making Ihis tleclaration, you snoultl Gecome subject to tne Flooi Sinks Urinal Fan Motors 00.1 HP �1'h - 8 Workers' Compensatlon provisions of the labor Cotle, you must (orthwith comply with such provlslons or thls permlt shall be tleemetl revoketl. Ga5 SCrvice Outlets Water Closet F.A.U. Inc. Solaf �9-15 HP 07&15+ CON5T0.UCTION LENDING AGENCV � I hereDy a/flrT Ihat Ihere Is a con5t�ucUon lentling aqency fOr [he pe�fo�manca Int¢�C¢pL0�5 Wdt¢f H22tC� FixtU�¢5 Microwave Of tho work iOr which thi5 p¢rmit is issuetl (SecHon 309] Civ. C.) Lender's Name- � _ Kitchen Sink Water Service Device Boxes Pole Light Lentler's Atltlross . OWNER BUILDER DECLARATION ' - LdvdtO�i25 �UtIEtS Fange I hereby aftirm that 1 am eaempt from the Contractor'S License Law for the p_Tra following reason (Saction ]031.5.Bu5iness antl Profe55ional Cotle: Any city or P ' Switch25 Sign county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prlor to Its issuance, also requires the applicant for such permit Roof Drains ' Garbage Disposal Standing�Sections to file a siqnetl statament that he/she 15 licensetl pursuant to the provislons ot the Contractor's Llcense Law (Chapter 9(commencing with Sectlon 7000) of Generator �0.5 KW 05-15 KW Trash Com Division 3 of Ihe Buziness antl Professlons Code) or that ne/she is exempt pactor Iherefrom antl [he basis tor the allegetl exemptlon. Any violation of Sactlon 7031.5 by any apPlicant for a permit subjects the applicant to a civil qeins ction Fee 3 penalty of not more Ihan (ive huntlretl tlollars (g500). . P� $Z5 laue Fee $ �.1, as owner of the property or my employees with wa9es as their sole MECHANICAL Rainspection Fee $p5 Issue Fee $ 3 compensatlon, wlll Co tne work, antl the structure is not intentletl or otferetl ' FEES tor sale (Section 7044, Business antl Protessional Cotle: The Contractor's PUBLICSERVICESRE UIREM NTS: License law tloes not apply to an owner of a property who builtls or improves gOiler HoOd o� Type I ❑ fhereon, antl wM10 tloes suth work himself/herself or th�ough hi5 or he� own � � 3 em0�oy ee5, provltl¢tl that suCh ImprovOmentS are not intentletl O/ oHaretl'for - Canopy Type I I ❑ ZoniOg ApprOVed By Dete sale. If, however, tne bulltling or improvement is soltl withln one year of com- Duct- Under Ground Application Approved By Date /-�s`� o�etion, tne owner will havu the burAen ot proving he/she tlitl not bulltl or im- �rove for the ourpoze o/ sale). Duct - Structural Refrigeration System Appliption Issued By � _Dat �- -; -� 1, as owner ot the prooerty, am extlusivety mntracting with licensetl ton- ❑0.100,000 BTU ❑100,000 BTU � tractors to construct the project (Section 7044, Business antl Pro(eszions Cotle: Duc[ - Ventilating SUMMARV OF FEES � The Contractor's License Law does not appry to an awner of property who - ' �5-6 builtls or improves thereon, antl who contracts for such projects wlth a con- Exheust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ �� SMIP $ . sb tractor(z) Iicenze pursuant to the Contractor's �icense Law�. PLAN CHECK $ J�'�� PERMIT ❑ I am exempt untlar Sectlon e. & P. C. for this reason Firepl/Fact. BI[. ICBO �k � " PLUMBING $ ISSUANCE $ Date ' Owner Heating System & Ducting � -, PLAN CHECK $• ENERGV P.C. $ I hereby certity that 1 have reatl this applicatlon antl slata that the above ❑O�100,000BTU �100,000BT GRADING $ Intormation is cbrrett. I agree to comply with all tlty antl county ortlinancas ELECTRICAL $ antl state laws relatingrto bWltlin9 construction, antl hereby authorize repra- . MICROFILM $ sentatives ot this city� ro enter u n tne above-mentionetl property for PLAN CHECK $ inspection pLfpo os. � p[/ � MECHANICAL $ TOTAL FEE $��• 3 7 Signature/�. / Date YT�- Reins eetion Fee ' , . $ Drivers' License or 55 � �/ P $25 Issue Fee $ 3 PLAN CHECK ' CONSTRUCTION AND PLANNING POOL & SP.A APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Feinforcement - 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electriral Bonding 5. Steel Reinfarcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO 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, O 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 i6. 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 Fac[ory Fireplace APPROVALS Permit # 21. Oucts, in Structure •�� 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24 Roof Framing ' 73. Undergrnd. Storage Tank � Gas ❑ Oil 25/- Roof Sheathing 74. Overhead Hydro 2�. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing ¢ G L 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: �C 34. Final Heating & Air Conditioning �B� �� L7 �� 35. Final Gas Pipe-Test -��y � � g� N� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final � 40. Gas Service-Final . 41. Solar pomestic-Final � � 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � 8 � F � 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY � No. Date ' � � �, I �-,ow �!►SNAME: Z7OS CARDINAL DR aoosess:SMITH, A HARVEY SMITH ROBERTA F 2708 �ARDINAL DR � COSTA MESA,CA 92626 APCNIENGINEEH: S Q S— Z I% A pEG.NO.: N�OHESS: UNIT: UNIT: PEHMIiTEE:CHAMPION ROOFS (213)898-8600 aooness: 3257 VERDUGO RD LOS ANGELES CA 90065 LICENSEO CONTNNCTON OECLABATION: I hereby a��irm Ihal I am licensed untler pmvisions oi C�apter 9(commencing wiih Sec�ion 7000) of Oivision 3 oi ��e Business and Pmiessions Code. ane my Ilcense is in tull torce and eHect. ciTruc.:0p4 725�" sTaTeuc.:429481 cuss:C39/��/� �ate: F��a-�71 SignaWre: `� . e_�—`-Y�l.'LO WOflBEBS' COMPENSATION DECLl�BATION: I hereby aifirm �hal l �ave a cetli�icate oi consent to sel4insure ar a certificaie of Workers' Campensation Insurance, or a cenified copy �hereo� (Sec�ion 3800. Lab. C�. POLICYNO.:FIT•J(."2'lba9'1 ' E%P.OPTE:Qrj�01�9t� comraxr:GOLDEN EAG� ❑ Certdied capy is here6y fumishetl Certifiea coDY is bled with �he city BuilOing Orvision. �ate. C:.%[ � L �� Applicant � ` `�e— `-�"' E%EMPTION FNOM WOXREPS' COMPENSATION OECIABATION: Qhis sec�ion nee0 not �e campletea it Ihe permi� is for one huntlrea �$100) or less). . I cetlity �hal in the perfarmance a� the work br which �his permii is issuea. I shall no� employ any person in any manner sa as to become suble�� o �he Workers Compensation Laws of California. Wte: SignaWre: NOTILE: If, aiter making ihis declara�ion. you should become su6leci lo the Workers' Compensa�ion D�ovisions o� the Labor Catle. you must for�hwi�h comply with such provisians or this Dermi� shall be tleemetl revokeA. CONSTHUCTION LENOING pGENCY: I hereby a��irm Ihai there is a cons�mction IenOing agency for �he pedormance of �he work �or which I�is permit is issue0 (Settian 3097. Civ. C). LENOEH: ADOflESS: OWNEB BUILOEH OECIABRTION: I hereby atlirm ��at I am exempt hom the Canlraciors' Slale license Law for Ihe �ollowing reason (Sec�ion 7031.5 Business ana Pm�essional Coae: Any ciry a� counry which requires a permi� �o consimcL al�er, impmve, Demolis�, or repau any StrucWre, prior Io iis issuance. alsa requires �he applicant for suc� permit �o file a signetl statemen� thal he/she is licensetl pursuant Io ��e pmvisions of Ihe ConVacmrs' State License Law (ChaD�er 9(commencing wi�h Seciion 7000) of �ivison 3 ot ��e Business antl Pmiessions Cotle) or that he/she is exemp� �herefmm an0 I�e basis �or �he allege0 exemplion. Fny viola�ian o� Sec�ion 7031.5 by any applican� br a permi� sublects ihe applican� to a civil penalty o� not more �han five huntlre0 tlollars ($500�. I. as owner at �he OmDerty or my emplayees wilh wages as their sole compensation, will do �he work, an0 ��e ❑ s�mdure is not intended or olleretl �or sale (Sec�ion 7044. Business and Professional Code: The Contractors' Sta�e License Law tlaes no� appty to an owner o� a pmpe�Y who �uilds or impmves thereon, antl who does such wo�k himself/herself or �hmugh his ar her own employees, pmvided tha� such impmvements are not in�en0etl or otteretl for sale. IL �owever lhe builtling or impmvemen� is sole within one year a� comple�ioq t�e owner will have I�e Ourden of praving he/she dia nol builtl or improve far Ihe vurpose of sale). I, as owner o� the pmpeny, am exclusively commcting wil� licensetl coniracmrs m constmc� ihe pmlect (Section 70d4, Business ❑ antl Professans Catle'. The Coniractors' State License Law does not apPly to an owner of proDeny who �uilds or impmvw lhereon and who conlracts for suc� pmjects with a caniractor(5) license pursuan� ro �he ConVacloK State License Law�. I am aware Ihat pmoi of Iheir Worker's Campensa�ion insurance should be provi0etl to me. � I am exempt unAer Setlion: B. 8 P. C. lor ihis reasan: Dale'. Owner eo here�y ceNry thal I am aware oi antl untlerstand t�e requiremems ot Califamia Healt� antl Satery Code Seclions 25505, 25533, antl 25534 and Iha� I or any IUWre bwlding occupani willlwill no� (circle one) neea �o comply wiih said state cotles antl the reQuirements �or a permii for constmciion or mo�dicaiion imm Ihe Air �uahry Management Distric�. Fesiaential constmc�ion applications are exemp� irom ihese pmvisions. �aie: pOPlicanC I here�y certity tha� I have reaa �his application antl slate thal ihe above informa�ion is correcL I agree ro comply wi�� all ciiy anA county ordinances an� 9ate laws rela�ing lo bmlding conslmdion antl �ereby authar¢e represen�atives o� this cily �o enter upon t�e above-mentioned pmperty �or ins/pj clian purpGoses. Oate: � C � / � SignaWre'. �� --'�`"� Driver's License or Sociai Security a: 1641 a6 Whi�e—Builtlmg: Green—Cotle Enlo¢emem: Ganary—ApPhcanl; Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 062423 PERMIT NO: B 062923 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/O EXIST SHAKE REROOF W/CEMWOOD SHARE SQ FT; 11,000 CLAIM VALUE: 11,000,00 CALC-VALUE• 11,000.00 GROUP OCC: R-3 /M-1 COMMENTS• REROOF 3000SF RESID S GARAGE �T/SHAICE ICBO#2882 �tx�t�t*�t**�t�t*�t***�t�r�r�r*�t�t�t�t�t�t�r*�e*�*r**+t�t*�t **�r*�t*�e*�t�t*�t�t*�t*x+t*+t�t*�t�t�r�r*�r*x�x*�t�r��e�t�r* Z O N I N GS ERTEB�AUCIKRSE M E N T S SMOKE DETE�1'p� ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILD�q��+�� FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: SN" LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REp • PROV: PARCEL; 13952923 ZNE; REF NO; PLANNING N01'ES> i ****�t****�t*�t�t*�t****�***�e�r,r**�r�r�r*�r�t�r*�r*,r�t*��r�r*x��r***��*+t****«�t�t�t*********+t*�t�t*��r* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY , BUILDING APPROVED HY : DATE: DATE; APPLICATION ISSUED HY• -�-V-� DATE; 2 � if�1F1flFiFlklfkififkkifikkififlkiflfikikiFiF�3F�F£�F�f iFltlk�flFikifiliF�F ikik iE iE if iFM iE �E �t iE �f 1E iE iflf itlE if ik ik iFiFif iFiF IF IF 1E iF iE if ik 1t�t �FiklFlf iFiE 1E 1F if 1t iF 1E �f iF iFk iF1f if iE M1f �f 1f IF�F iE iE iF iF iE iE if ik �k IF iE iF1i 3E iF k if iE iF �f LEGALIZATION:N F E E S U�M M A R Y" STRUCTURAL SEGMENT;Y � BLDG PMT PLUMBING ELECTRIC. MECHANIC FIRE SMIP/RES GRADING PERMIT 126,00 , • � r,' � 1,10 - �� • SMIP/NON-RES ISSUE FEE '�� % HUILDING-DIV-> PERMIT ISSUE PLAN-CHECR • TOTAL' PAID DUE TOTALS----> 127.10 0,00 ' 0:00 127,10 � 127,10 ,00 REVENUE DIVISION TOTALS--> COLLECTED; � 127.1'Oi'IOVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC : FIRE SMIP/TOT GRADING PLAN-CHECK �26,�� . ' ' . ' 1�,10 �. j !F k k if if ik�FiF iF iFiFif 1Fit it fF iF i! �E �tiF ik �Fif 1E 1E If if k!E 1F�tfFikit if iF�k�F �t �f 3f 1Ek 3Eif �F �)f k1f k iFM if iFiFif iF �! k it it M if iF if �F iE iF �F iklklf ik �F IF if ik it I N D I V I D U A L �F E E B.A E;F, K D O W N � � TYPE QTY D E S C R I P T I O�N •,. :- �� UNIT COST TOTAL COST i' SFR 11000 REROOF BY VALUE RESIDENTIAL NOZONE � 1.00 11,000,00 END� OF 'FEES �, � T � • �v , ' � r. / . . � � O1 OU14�243-00140Z44 T E1T 127.IQ DA7E= O6/02/93 TLitE= 10:16 ''��CORS i RUCTIOR ARD PLARIIiNG ` T POOI & SPA J Date Inspector I � A,PPROVALS Permit;} C.PPROVALS PermitT`- � rt. 7empnrary Electncal Servi� nf Poig-�, 52. Pool & Epwpment LocaGon j Z� Sod-f'ipa�Undr�rnd. � ;,.� 53. Sreal Re�nforcement 3'�Ekancal Cand�!i!-UNhty�Urdrgmd:�•� 54. Forms ' _�_�__- �" -'- -_._- �4:� �ect7i�l Condv��l�q�nd, � f i 55. Heeirical Band�ng r----t-�i '--•-';. . v;Rt�%�`R�info�eeruC�lt^ ^'X� 56. 7augh Plumbing & Pressure Test �..i_..�..' �� ^ . C�' _� -� ,_�.-S.%�cic:c�� Uf Er CJi:d. � 57. APPROVAI. TO COVER�vUNiTL -s.-�-r, - ---- =-*'_-- - '�: �a.�igs . � �c 58. Electrical ConduibUntlrymd. _g'.��e�&t�on � - 59.GasP.pe,ClUntl�gcnd.,Teit �. �,..�. � r+<�u�..,�y��,... ___'._�_______-_� � lO. S;�bLt�+r.' F;pU' SYStE�'1 • :� / -r�t -'-- ' . ProFx'�YS�v�tr L�n2�,& HnusCCon�'dtb� -�-- y - - ?"1 Sc:�Y C_P �. �, 7 • _ _ ' � _ T= � .. "ipJ� 7 n�rs .-. ,-C _-_ __ _��-�---.y ' ~ 14. 7ou4^ Pli.r.i6�ng' , �5 �.�uq�' Electr�eaiCondwx 76. Rour�h Elettrc-4linng i- � �� 17. Rough lVinng S'Lcln i 18. Rouyh Eleci�ical-T Bar Cei6ng �- i9 Ro�gh Hea7�nc� & Au Coi:diLonin�G � � y: i T � �c T ?C. `Ao..t�h F� �t�+aV ��Fi'�ace �:n x -�.' - . : E�-� i1. {Jui^s.'rrSt�etc[ur'i7� � .... �---'--- � ._ $ k � � � �- ♦ 7�.�,.,Go-. \�P'tf'�:.n�J4 I � �3.'.3�.'?�G3-1�0'.aGh Ly TE';: j_Yj:^ n �_ :-�� 74�1?�A��ram��7 �x .F!-' •• '____ _- _�-..-� -_ I 25. R�i:'Sh�arh�n9 _x -� `- � 26.��( Btj� Cr��np ($n��u ..,i &?'�i,iccat -�-s -- 27._F�r.�pz arw � iasn:uy< w x �-�:iK�..-[C �78' LatMng � SiCinc'_� Vry '�x s CCt'.F C'i -z� 9 Ir,s�iai�o�, '. c�< .i �- .. ' �-�?c� �'30. D�ywali�Nail�mg :: �` _ ��37. P�aster Bronn CoatK ; .r,r -�--�-`---� ' - �2.�.�Iertr.c;;,;Fo2a'er il:�e�e*•Fyna�� ;�3 S 8' FI^ctric iz ��?� y4.'x�ra� H^ ��y�?: /�+� Contl tiohii+g`� � y � , � TW 35.��r�l Gaf Pipe�Ter;,c ^ .� � � �--� �:�;-,£ I .�G. Ho:TI or CartoPY -'� = � ;""`' :' c LK Cl .^�r t r`-?' � �37.�z�re' Fattory F��pk�c`� e � � �:- •� _ :,�-_.._-.�. 38. FinytPltFnUii�g x p' � m . i1 �f. 39. Clitei S.Xvirr��irj�lp F � � - --11 G � '40 Gas Service�(inal�� T: rtrr �_r �� . i•t' c��,: n +'�1. S�Idr po�r.esivcF`w� S `� . �:_ �_ [ _"1'��' �'J 42. BackflovrPreventer� .0 v nJ f- f- �3. Backflow Irri�ation` yS ' '-�-- rd4. Landscape Irriqation SYstem?' `; r� xi '45.�ound F�ttenuatior�; .�., T �A6. 43r�dlcap ReaWations _ _!7 � iNAI ST7UCTUftE & BU�f DING nB�F!NRLPiAA�RINCr � - ' 49.:E',cctric Felease to Edison ; 50 {".,as Release to SouEl�em California Gas 5L CER7IFICAiEOF'OCCUPf;NCY No. Date _ __.__._ �- ' �0. BaC<; �ash Lnes, P�Trap, ^� Ur.d�g�rd. � Gl . APPROVAL TO DECK �� I 67.. 8a[h��ash G� Rzcep!or�Fina1 I 63. Heatcr & V�nt-Final '�, � 65. °lumhiny Sys!em � F�nal '� 65. [;uctrical�Fina! G6. So�ar SYstfm�l-ina! 67. Fencing Hc Access Approval 68. APPROVED FOH PLAS7ERING G9. POOL/SPASYSTEP,15FtNRL 7� + v s Z<m � �"��PT.R�EQUIRFxMEN1" U r < . ,�f�-r " _ . . p, .� .,: i r t ; � •-i trx x iAPPR(�VA�it�-i-y'eryit � ;�_�n___t�- �' 4_a.: _7x �-�--' 1-=�-7rL " -'-- 5 .- S J h?� x :e :-1 Y n ^;�t..�0. lJhdargr6'�c!_FiYz'�y'o . j Y `s =ii X�-: 1`�ry,[� .�.L=_ S __. �, � C �2 . :,:� ��-UL P�oducr?ia.,q .: �-�fs Cfl�i _ -vi-�--.�-r.--�3��-•�-=-- S �t `•`� c��x `' "iJ2. Undergrovrirl Fi,�S! �% x E- .: . .. �i_G�.i't �^ r- v ) ^ � >-o ir �? -�i II� - c,�.��'73.�r.dercrnd�5[or;{g.�,,7_7"�;�k a�. Gas _ 0� �i ___y.E}_n..e_...z �y. 'y . . t _- '� (� Y ' � � } 'I 74.�5ferncad HY�ro = :. .. � �" r.__�_x x. - .__i- '� ---- <o y � 3 �<:I �5.�v c,e��. •.� t `','. >C-ru-�; �s-*�-5--"T`-L >+ s•:'- 16. DryS:antt"'=:r ='d x '` r; . ' d _�__Z y y " ,�? �g� %7�FIXEDS�`�.EKij�i,.4Lx.r., :-� +'-a- ' � 78%-�'IRE PREV. �li�!l��. X> � %- -f-� Y -�� : _ __ ;; r, _x x � _C(�LTM�JEPT,�.F��E�tfIR�E ti ' -;�-o-�---�- `• e r� .*79. FINAL 1(Q3k.'?CTIC�'.k�; '� .� � ''-'-=-------._*_.^�.-,---:�_ . �---• �" ' ��`�O.:LOOD CERTIFIG,ATE IS�'�6 .� ; ::, _ - _- . . �,.-x,Tl--�.,-- '.. _- � --?t-- x z u� NotBs: -` x- n .. - ---� - - '--� � � - - - - _�. � ::I ,� . .. . � , T �' '_Y' 7' �' i �T-- ---Y� �c . ,< /'I 'O /_ AL=� l �k / (P � /l.(/ L.d�L•r.s��., �f Date I Inspector I "'1 i s,� ,---`:':i*ci� -"=----r- � -^a;-fV� V--n --- -=-� , � t , �� s �'�-� ra x i �f" ��/�oo F co✓w� :�f�6/P�2��-'�-`_ _- - i: > i f �-_�;�_' __ ,� I v y � . I--`�n -.� + t-i_:__i�-_--• .r .f.r � gr .t .� ' n ti - X . . . .;, : . <, ; _ � ,- . ;'- � . �. . .r, :j e � ' _ P ' _ • _ X A • \ � . Y �. � � . � ,}. r - _ c CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION �'�'�� C�t�� IJ�t Je Permit No. �_� lo Z�i 2� Property Address Owner Contractor � � S V �i� �i �r � 1 G State Contractor License Number Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). 0� I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ��fficer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: C�� CQ ( Z� �3 In tial Date 0990-46 White-Builtling Div.; Canary-Contrecror: Pmk-Owner a. ,A • . � � �► PflOJECT�DOPE55: �NIT: 'OWNEfl'SNRME: z7OB CARDINAL DR CITY OF COSTA MESA - BUILDING PERMIT PERM NO: IB 062584 aooxEss:SMITH, A HARVEY SMITH ROBERTA F PERMIT NO; IB 062584 PLAN CHECK NO: N GOVT: N SUPP: Y 2708 �ARDINAL DR COSTA MESA,CA 92626 CONSTRUCTION TYPE; 5-N PERMIT TYPE; OTH STR PURPOSE; OTH AflCHIENGINEEfl: S 4 S— Z S %�I pEG.NO.: FDOflE55: I1NIT: JOB DESCRIPTION ; REROOF / REINSPECTION FEE SQ FT; PEflMITTEE: CLAIM VALUE; CALC-VALUE; GROUP OCC; R-3 /M-1 aoosess:CHAMPION ROOFS ( 213 ) 898-8600 3257 VERDUGO RD COMMENTS: RE; PRIMARY ORIGINAL PERMIT IS B62423 ��"�� LOS ANGELES CA 90065 �t�r�t*�t+�*�rx��r�t�r**�**�e�e�r�r�r�e�r�r�r�*�r�r�*�e�e***�r�rx�r��r**�r*�r**�r��r*�r*�t+�*�t xYRyiC$ LILENSED WNTFpLTOF �ECIAPATION: I �ereby affirm Ihat I am Iicen5e0 un0er O�ovisions of C�apter 9(commencing wii� Section Z 0 N I N G R E� U 1 �i E M E N T$ �IJf�L- �000� of Orvision 9 of �lie Business an0 P�olessions Coae. an0 my license is In full force antl ellect. S E T B%i C K S U �RED cirr uc.:0� 2% 52 �?�E LIC';� 2 9 4 81 cussc:r� t�� Q—� n �EQ �� Daie�. ' Y SignaWre'. �� C Jf �_Q,vr•o ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILD NG --------- wOnKeRs'comvexSn7�ON0ECU�xnnOx: �herebyanirmmailhaveaceni�icaieo�consem�ose�t-insureoraceni�icateo�workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN comoensaoon insurance. ar a cemred couy inereoi 15ectmn aaoo. �ao. c1. '� LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN roucrNo.:pWC226892 E%P.OPTE:OSIOS�94 comvnNv:GOLDEN EAGLE PARKING REQ• PROV; PARCEL; 13952423 ZNE; REF NO; ❑ Cen�rea copy is nerebv �umisnetl. }EJ CerAliea copy is rtea witn ine city Buiming oivision. PLANN I NG NOTES > Da�e: �'I � —�7 Applicant� oe— �1L,a ' iE if if iE iF if iF jf �F �f if if �E iE if �f iF it if if k iF iF iF if ik iE ikif ik iE iE 1F 1F iE ik if if �1E iE if ik iF fk iklF ik �Fif !f IElk IF �E 1E1E iF 3F k if 1E iF i! iF ik 3f if iE kiE �F i! IElE iE fE �f iE if Ezemv7�Ox FxOM wOnflexs' COmVEx5nTI0N DeCuxni�ON: �ims seciian need no� 6e comp�e�etl i� tne permn is for one hunnreA �5700� or �ess). D E V E L O P M E N T S E R V 1 C E S R E Q U I R$ M$ N T S I ceNfy tha� in ihe petlormance ai �he work lor which ��is permit is issued, I shall not employ any person in any manner so as lo become sub�ect m me Workers' Compensation Laws o� Ca�itornia. Z ON I NG APPROVED ' B Y DATE ; Date: Signature: NOTICE: Ii. alier making this tleclaration. you shoultl become subject lo the Workers' Compensation pmvisions o� the lahor BUILD ING APPR0�7$D HY DATE ; Cotle, you must lotlhwith comply wit� suc� Dmvisions ar t�is permit s�all 6e deemetl revoketl. �< � , , CONSTPUCTION LENOING RGENCY: I �ereby allirm I�a� Ihere is a cons�mclion lending aAency lor ��e perlormance o� �he work �ar APPL I CAT I ON Z SSUED BY • �� DATE C' �� which Ihis permit is issuea �Seclion 3097. Civ. C�. **„K,**,*,******„x,***,**,***„�� **,****,*,*�,*, *,* LENOEP: kiFiEitiFilifi!lF�flf�f�ElklkltlFiflfifil�FfflflflfikklfifikiklflkfkikiEiklkiklE�fifiF�f ifiFlf�l�flFlliFkiEifkikiFilifiFiF3FltifitlF�kifklklE�)k3liEk aonREss: LEGALIZATION;N F E E ��S U M M A R Y STRUCTURAL�SEGMENT;Y OWNEBBOILUEflOELUBATION: Iherebyallirml�a�lamexempilmmlh¢ConVactors'SIaleLicenSeLawlarNefollowingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING �Section 7031.5 eusiness anE Professional Co�e: Any ciry o� wunry w�ic� requires a permit to wnstmct, alter, impmve. Oemolis�, or p ERMI T 3 �, � 0 ' repair any stmciure. Orior Io i�s issuance. also repuire5 ihe appiicanl br suc� permi� to tile a signed sla�ement ihat he/she is licensed � pursuant �a ��e pmvisions ol IM1e Conlractors' S�ale License Law (ChaD�er 9(commencing with Section 7000) oi Oivision 3 0l ��e Business r SM I P/A1�N�tiE$ an0 Pmlessions Co�el or Iha� �e/she is eremD� Iherefrom antl �he basis lor Ihe allege0 exemption. Fny viola�ion al Section 7031.5 by pLpp� . any apP6cant lor a permit sublects �he aODlicanl to a civil penalry oi nol more �han live AundreE tlollars (E500). ISSUE EEE �, as owner ol ihe v�oDeny or my employees vnm waAes as iheir so�e compensatian, will tlo the wOrk, antl ihe HUILDING—DIV—> PERMIT ISSUE PLAN-CHECR TOTAL PAID DU$ ❑ simcture is no� imenaeA or oHeretl br sale (Section 70a4. Busineu and Protessional CoEe: T�e Comracmrs' Slate License Law TOTAL S--- -> 3 �, � � �. � � � ' �. � � 3 �, � � 3 �, � 0 �;� , � � tloes nol apON �o an owner oi a D�ape�y w�o builds or impmve5 I�ereon, anA who tloes suc� work himsell/Aerull or Ihmugh his or hei own ¢mployees. proviDed Ihai 5uth impmvemenis are nal inien�ed or Oifered lor Saie. II, hOw¢v¢r ��e UuilJing ar imOmvemen� is sold vn�hin one year ol completion. ��e owner vnll have Ihe bur0en o� proving �ehhe tliC na� build or impmve REVENUE D I l�T S I ON TOTALS--> COLLEC.TED • 30 , 0 0 OVER /SHORT ; , 00 m�mep��ooseoiuiei. BLDG PMT PLUMHING ELECTRIC MECAANI�` FIRE SMIP/TOT GRADING PLAN-CHECK I, as owner ol i�e Ompeny. am eKclusiveiy conimeting wi�h licensetl contracmrs lo consimcl lhe Dmject (Sec�ion 70a4, Business 3 Q, 0 � !�� ❑ antl Pmiessions CoOe. The Contraciors' Siate License law tloes no� apply lo an owner oi Omperty who �uiltls or impmves ��ereon � an4whacontract5for5uchprolecl5wi��acoMracror(S�Iicen5e0ur5uant�o�heConlraclor5'S�aleLicenseLaw�.lamaware ****�,********,�****************,*,****;,k****�*****,**,**,�**,K,***,*****,**,**,****,**,**,**,�*,� Iha� proo� Of Iheir Wor4er'S Gompensa�ion in5uranw 5twu10 be pmvid¢tl to me. I N D I V I D U A L -F E E B R E A K D O W N ' � 1 am exempl un0er Section: B. 8 P. C. , I , io� mrs reasore TYPE QTY D E S C R I P T I O N'. UNIT COST TOTAL COST Daie: Ownec � I do here0y cetlity �hal I am aware o� antl undersiand the requirements o� Calilamia Heal�� an0 Saleiy Code Seclions 2550.5, 25533, antl I I�$ i HjJ ZLD I NG R E— Z NSP$CT ZON, FEE 3 �, 00 �� 3 �. � 0 2553a and �ha� 1 or any W�ure Duil�ing acu0ant wilUwill not gircle one) need to comply vnlh saitl s�aie cotles antl the requiremen�s lar a END �F FEES permitio� consimction or modificaiion imm Ihe AirOuah�y Managemenl Dislricl. F¢sfeen�ulconsiructian appliw�ions are exempiimm %' � �� nese o�ovisians � i , Daie: Applicant � I here�y ceNty ihal I have reatl t�is applicalion anU s�a�e Iha� Ihe abave inbrma�ion is correci. I agree lo compty vnl� all city antl counry r ;� r ortlinan<e5antl51a�elaw5relalingta�uiltlingconstmclionandherebyaulhoraerepre5en�alive5o1�Ai5citytoen�eruponlheahove�menlione0 • .� pmperty far InsOeclion Ourposes. . ` —� oaie: i�o -�y -cP7 Signamre: ' \ � �' �Q� y •'•. 'JI OQ14�902-00140902 TC�T 30.00 ,� , DATE: 06/14/9� TI11E: 10:58 Ome(s Llcense or Social Securi�y =: �� . i64t�a6 Whne—Bmltlmg; Green—Cotle Enlorcemem: Canary—Hpplicam: Pink—Revenuo; Goleenrod—Asseswr ,r �. ' CONSTRUCTION ANO PLA�NING APPROVI�LS PeTmit ,',`- Date 7. Temporary E�ettncal Serv�c'• ix Pole InspecYor PUC7L & SPA qPPROVALS Permit;� 57.. Pool � Equ'pmen( LocaUon UJtN Imperti�r 2. SoilPip:�Undr9rnd. I � � 53. 5?�rcl Ren!orc�mrnt I � . ._ _ _' _ �. .__,----�--_.__- _ _ _ ___' _.__i-_ ____ 3. E4ec:cica! Co'.ciolt l:t'.•y.l,^�'.grc;. . 54. Form; ' � -- 6- - - - -- '4..Eleetr�calCo:+dut�Und�q.nd�-- �- _ 55. EiectriealBond�ng - I --- ---�---- � 5. S'ce' '�einfu�ce�ne^: � _ 5G. Rotc:i alu^�.h rn L� P.e�swt � `_+�_ -__.___ __ _, - _ _ i 6. [.�_n,��'. L'fFi�Gn•i -�J. _- `-__'_ ' _�- � n7. APPF(�,V: i. 'C C�\�FR.� � -i. � - - ----�- -� --- -r-- } -- ------ - ]„FoCt��g+ � 5ti. Ele^t-�cai Cor.iu�; Undrq�r�. I__ -!_ _- B. P(iurtdatwn -----_� ' � 59. Gas P-pe. _Ll��:q•.,d--, -- --r-- 9. C.ater P�pe�L'^�rG�ra. �_ �' ' � I , E0. B:c\r.;:s��. �. ^�. P-Trap. �'. _. _ _ __ _-.___ _ _�__�- -- __ 10. Structual Fioo' Systen � 6L FlFPRO\�AL 70 GLC'C ___.___ _ __. _-__.�__ _ _' �- I- ---- -- .. -- ------'----� ------------r--- _ -F'-' 17. Prop¢rty SCvier Lin �$- i-tt;� � CnnnrcLon �' 62. BdCkc.2Sh ii� Pccc;�tc'�Findl � � 12 Se:•;er Cap --'-'---- --i� ---� 63. ;i_ete: & �/P��.- - - - -----i-- ---- --- - ----•-�--'--�------ ------ ------i'- -- -t - - '� '.3 Foaf Orz,r$ ' 'o,. ?�um��^� Sys;�^� � �� I ', '� • , i _ lti. Rough PiuriLin9 -- -_- I - - - G5. Ele.trical�Fir' _ _-___ _--- I _ ____ I ____' . 15. Rough Elcctnc�LCondurt I� - - 66. Sot;,r SVstain�l-i��,.l � I 76. Ro�gh Eiec!nc!�J�ring I �'� 67. Fencln� $ Acc �s� Aoo�o�.�il , - _ _ _--__- _ __ . - _ _ _ _ _--i _ . . _ 77. Raugh 1N�rin9 Siqn 68. APPROV�U �OR PLAS� EH�N(i � � I i 78. Rough Electncat�T 8ar G•�Imq 69. PQOUSPn SVSTL^AS FINA� � �� i 1°. Rough Nc.:t�` � F. A r Co• d�t nri�q fIRE DFPT 14EOUIREj�1E;.�; ' _ ' : �. . .. . _� : ,. 70. a?ough FGci�ry FireV��c�.._ � _ �-i ;��,--, � . � ._.� • I�?PROV.qA.S_ P�.,m�t . -._-._: � _' T_ a �_ . t _ _ ' _ --•_ _ __ ' _ . _ 21. Q,.Cts, in Stru�twdi� '••• �� 70 �Inciergro✓n� I lYu� � _�I_ � _ , i _ I 27..Du4t�, Vc�t IJ' n5_ _ � I � ' � � -� 711 Pr�ci�c'.n��; ..i �i,s _� i� � � __ _ _I ' _ ,___�___ _____� 'T__-T__-_�'______ . _._`-_ _ _ . _. _... __. __ ._ 7_3. Ge� P po.Fo.q', & i. �', - c � + ` � _ -' '� . . • ..�=:2. U�::e-g'o-..,��F �, _ . • ' . .-' - - - - - - ' - - -- - �� - � 2��.. ❑Of F.;.-n,�� F� k � '� �i i • .7.i . _: c,r� . S ..r � , ir.0 a _ .i - i '_ � 25. 400f SheOt-^:1 _ _ _ _ _ __`!!, --L- -��I 74.'O�_rr.cad l:,,. ,' ____ _ _-��. . _ --__ _ . ' 25. 1'�9�' .�.r St'.C'_ � . ?-ir.aCa=. � � � � _' /�r' :.h� �:L:. . � 21. t�arr_ an•� �', s��--� -- ------' �-' " 76. , S':.-?f.4t--�--- -------�I - ; . - � ' ---- -- - -�-=--- �' J � -- -- - - - _. I _2H. Lat:�ng ��S�d.r: : -- =----I 77. F'�XED SV,rI F:.� ��NALV ' • � I . . � --_..- � -- -- ----r-- - -�-- � �, 79. !rsu;at�:r � I ..� _ , � 78. �'.Rt: PF=V F�: � � =- '*�-- --- ,_''-^�- V -r-- '' -- - -- - - 37 �v.,,� t.�. ' --._ 1� � .I . F A �_ilEPT R��Uia "__;�� .� T ''aiu•r 3ro:•Y �-t � � iP.. f .n.al. � SI'#.i, 3 ' � � _ _'-- +_i_'_ _�'�_ _ _ ' __ 1. _ "" �37 cle[tri[a`-?oyrtr �'EIc'� Fi,,, - I�.. I �- ^ i �60.�'FCOD CE�i �f 1�..'�.'E IFN.1J, I- ��--��-�---.�- �- � t / �33.�F,nztE�ecr. r--`-- - - --- - �-�- ----� �. � iVo;ax�ROQF �f+y�-GO✓t� (.Yt `e�il; - • ..1.Ly- - / - -- - --- .74.�.Fi�2t Heat�ny.& Air Co��j.• �. �in�. -- �---- - ��9�'i'fiK- /�'K �Z�•. _ �L/e! _ �%�6 l�-�f ' - -f� .. ------ zp / , 35.� t-in71 Ga� PiP�� T?si • - �- -•-�'- -- -' .� - ----'---�- -' - --' -- -'- - -- -- _ . , � , _"_� . �6. Hood oi tanapy � � � , _ • _ - ----- -- - - --.�.r r--- - ------ -- - 37. F,ca7 Fadu'4 Fi%ep;ec� - _ _; :_� _ , �_'_"_ _ � �_�'_ '_;•- ___-. . . �-.--__ . _' _-._. _.... .- -_ - .- . 38. FinaT Plumb.r9 - � ' . ( ` .� ' � � �9. `.YaterServire�Final , ` � I � f ---,- ---�- -�'-- �- -- - --�- � i =,C. Gac:Se�v�c� F�na' 41. So:ar Dnme.t ��F�rai - , A2. 6acKflow Preventer 43. B&ckflo:: Irn��t!o�� -�'. Lcrtdsc-�.=e I�: r,aPo�� S��t� T, _ -__ i-= - __: ---- i -45. $ound AttenLatior'. _ �..� - �`�._�.- � - ---�- 46.�1 F!and;c,apRc�c:'a!,ong >-�-- J ` -- --- ' 47. FiN��LSTHUCTI:P,� �,3�i•_�!'JG i � 48.;•;NALPLARP:IhG� ' y � 49. Electric Relcasc to Eaison � � _�__ _ I50. Gas Reiease ro Soutnem C�i.fo�m.a Gas C I 51. CERTIPICA7E OF OCCL'PAi�CY Datc I I b '� --�- . ---� : � � 0 )`-- .- �----- --�- - �/ - - '-- S/l2p/� ,�pJ' - yt/I/ �--;-- -- --- �- - --- i � OWNER riH1VN1(:K� n.�;. DATE (-�'+-bts �JOB ADDRESS 27 Cardina Dr. BUILDING PERMIT N0. ..�,��...� ,-...�r,..�r,,,, .,... _ fl,- o �«.-.,��T�.,.� �,,,....� ,., .,,.o,. ., P�_ o. H MISCEILANE0U5 ROUGH HEATING AND AIR CONOITIONING UNOERGROUN� U POWEfl U ROUGH WIRING TRENCHES � FORMS � STEEL REINF FLOOR SVST M 60ND BEAM � STEEL REINFORCE � SHEATHING FRAME AN� FLASHING LATHING — IN � I OUT � I PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AN� A.C., F PLUMBING, FiNAL ANO GAS TEST n ELECTRIC, FINAL BUIL�ING, FINAL VALUE SUBCONTRACTOR umbin , �' 28886 . • ! _ _. ' COSTA MESA BUItDING-SAFETY DEPARTMEM � P.O. BOX iRW COSTA MEBA, CAIIFORNIA B162E For Applfcant fo FIII In Compleroly TYPE OR PRINT ADORESB �O �0/�A L rI COSTA MESA, CALIFORNIA t OWNER ,e � aRNN « ,� MAIL �� O S AUDRBB�fy �ja Cp� NA�— wo� ��rv ( '6SQ'/'9 //l�JIB N��- flN ZO! 3zs e�-�TiY 2 ¢z 77� /6TpACK LIX[ 1110N DESCRIPTIOId OF WORK uae oR eui�nma A oD r � �sT � Nerteer �cKxovn AND BT�TB TXAT T PLY WITX ALL CITY BUILOINO CONBTRY< 81GNATURBOr . AUTHOIIIZiD AG[N'T =32Z o L'ou E� O N G s < fii5 TNAT 1 MAV[ RQAp TN�B APPL�GTON ri6 1� COpp6CT�AND AORB[ TO COM- IANC�I AND �TAT6 LAWY R[Ol1U1TIN0 1UL 24�OOteOt o****+�5.00 APPLICATION FOR PERMR BUILDINti For Offlce Uae Only 11[C[IITNo. �nrl ZONIN(i xo.or u•e �uHt � eull � �� d �' — �.-J RHAN6 BXALL OE Ll88 THAN YAROHAPPROVHD I YARD9APPROVHD MAIN BUILDINO ACCEL80RYBUILDIN6 eir. vwfe. te DA7@ �3 a �.�. TH6 11MOUM BMOWN UNDPJI VALUATON IB fOR TN6 •YPPO![ OP [OTAGLI8HIN0 A PBRMIT IBB ONLY. VALUATION � PERMITFEB S ��-` s y3� — TOTALFEF � Lot �61 Tr. .b'78 �q(��2 COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. q0%9f] C09TA MBBA. CALIFORNIA Fo� Applicanf to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA 1 MAIL ^ AOORHGS CH ta Mesa No`.5490395 G.Kaltenbach N�`'547804 ,� Pemba Subdividers, Inc. 2850 Mesa Verde Drive Costa Mesa 187318 No 5490395 „ � , �„ � xo, on e�.uoe. „ 6ETBACK LINE pROM C8NT6P OF 6Tqgg( Q 1 j�@/�R 61D6YARD LHFT 8 t RIGHT DESCRIPTION OF WORK REPAIR X MOVENAQTION _ DEM� BUILDIN� 50x49 N��P 1�+ i SIZE AnnMa � USfi OP 49' 9' CITY t3i �i�ST�� SA ��y �� 1965 A A FOR PERM ��l��a Only EAVE EAVE8 ALLOWED YARDBAPPROVED MAIN BUILDIN6 I � D18TANC8 BEf LISH MAIN BLDG9. VAR. �j ' RIHS 2 C. U. P. dShingl e �ROV W1t17 � HEHHBY ACKNOWL8DO6 TMAT 1 NAV6 qBAO TH19 APPLIGTION AND 9TAT8 THAT TH6 �BOVB IH CORpBM ANO AOHHB TO COM• PLY WITH AL� <ITY OROINANC88 �ND 6T�T� LAWB q80ULATINO BUILUINa COry8THl1CT10N SIGNATURB OF PERMITTE /� � / AUTHORI2H4/jG T ZONING uae or N eu�co�n , � � s� � HANO BHALL BE LE89 THAN YAR�3APPROVBD :GESSORYBUILOING BET. MAI ACCESS. DATE 2 39n eo. Fr. .'S/ o'"T TNH �MOUM BXOWN UNDHH VALUATtON IB FOR TH6 PUHPOBH OP 88TABLIBMING A PHPMIT FE8 OHLY. VALUATION � PERMIT FEE �3�/"�.�� . --