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HomeMy WebLinkAbout2234 CATHERINE PL - Building PermitsCOSTA MES,4 BUILDIFVG DEPARTIr9ENT P. 0. BOX 317 COSTA MESA CAIIFORNIA F W w � H N � Q 0 I F'G I ST. C.L. OF STREET _�i PR OP. T. FOR 60 FT. S CITY i Pl.� SUBJECT BY r^� PLAN Te EET COSTA tvSESA 1[NG DEPT. BLDG. DEPT. REG. �ALLEY QR PROP. LINE _ � _ . _ J _ L_— _. � _ _ � - �� —� 1 � _1iPROP. LINE __ _ " C.L. OF STREE ��iJjVU V15U'���j�.A��.�i ( � � �i =1 rl "� . r � , . .' �. �;'. _ � _� ��Y��. �� S.� _ ,+ •a- �� FL:�",":CE )EI�T. .,�, i .,� n/� � rh �,A�-�H f� � , . I R � � � � � � i � —1-------� , 40 FT 60 !- W W � F- N � O J U S T. MAXIMUM 4 FT. FENCE MAY BE P�ACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES i��.�� � FOR APPIlIC��NT TO FIj.L IN � BUILDING ADDRESS �3 y� C6�%��P.�FI✓� ��- Owner �/� �+ 7�R- / V �� Mail Address � 2 3 y �!9-%�/� 2 L/�lF �G � City C��S� /i�1�5/�- Ph. No.� / _,�G�� Contractor .� Ph. No � / Go3 fi` i� � � . City Lic. No ��5� � State ic. No �' Siz oE Lot�i/,�'�/X °J/�.iqP No� �7. -I �� 3 a y� r� c�0—���J Setbacks: C/L Stre� � Rear� � I Side Yard - Right �1 �.aO k/���/L di,o,�..s Type of Fence j� �/� C�J o a Q �_/,g ��S"ry� �� ,�E�v� � 2 �G. _ � �T. I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ord- inances and,State Laws regulating build� c9}}sSyecj}r9n._ „ of FOR OFFICE USE ONLY .-x� I �- z - �� I �- ,,� -s < VALUATION �� �'� Permit Fee $ � �V �� Plan Check $ "� TOTAL FEE $ �' �� iJSE REVERSE SIDE FOR DETAILS � � ADo���ant to (ill in all soaees exceot those within heavy Dorder lines ane sign ail aoarooriate Oeclarations. CITY OF COSTA MESA�{ CONSTRUCTION PERMIT PER IT NO. TRACT NO. LOT NO. UNIT N6. BI %B B�OEIBS S�OO TL. . ProjectAddress '�gr�M �_��e,��%aP�P� � �0�� Applicant's Mailing Address TVPE OF CONSTRUCTION �vEW aDD ALTERATION REPAIR � nA /� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p# Zone Owner's Name Phone � � y � DESCRIPTION OF WORK/USE OF BLDG. Address 5 Main Building: Accessory Building: III���III 2 Arch/Eng. License No. TYPE OF PERMIT GRADING�FOUNDATION STRVGTURAL T Front O Add�¢55 /� /�j� ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL B Rear N ConVactor' N e ��,���� ��������� h ne��7'��✓�-�� �'OTHER - A' N Address (me'i'r,gl�p�!� �' Q�1. ��� PROJECT DESCRIPTION SQ. FT. OCCUPArvCV K Right G '� �/ CONSTRUCTIONTVPE VALUATION$ S Left R City License No. l.�L�I' /-37 ZONE GRHpING CV.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided Q I hereby affirm that I am licensetl untler provi5ion5 of Charter 9(wmmencing Rema�ks: Planning NOt¢5: M with section ]000) of Oivision 3 of the Business antl Professions Cotle, antl T my Iicense iz in f/�11�9 rce antl effect. 5 License I /� I Lice No i� oate_ ' Signature PLUMBING FEES WORKE� COMGENSATION DECLARATION Bd� Sink ShOw¢�5 ELECTRICAL FEES 1 hereby affirm that I have a certiticate of consent to Selt-insure or a certificate o/ Worker5' Compensation Insurante, Or a certi(ietl copy thereof (Section gackflowPf¢v¢OtE� S¢rviceSink 3800, �ab. c�1• ���h Automatic Washer � Transformer ❑ 75-50 KW Policy No. ��Q�- (! Company�,.� Backflowlrri9ation SewerCap ConstructionPoleSub. � 50+KW �.�Certifietl mpy is hereby furnishetl. ��� Cer py is filetl with the city Bypdjn vi i . � Bathtubs Sewer Connec[ion Cooking Unit Meter ❑up to 100 amps Date Applicant ��� � EXEMP ION FROM WORKERS' COMPENSATION DECLARATION CI � Sola� C011ect0l5 Dishwasher Mete� ❑Ov¢! 1003rt1ps (This section neetl not be completetl if the permit is fo� one huntlretl ($100 or less). ' � Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify.that in the periormance ot the work tor which ihis perm�t is issuetl, I shall not employ any person in any manner so as to become subject to the � Drin ing Fountains Solar Tank Fan ' Motors �0-1 HP �1 h-8 Workers' Compensation� Laws ot Cali(ornia. Date - Signature Floor Drains � Swimming Pool w/Spa F.A,U. Inc.Solar �9-15 HP �16-15+ 'NOTICE: If, atter makin9 this tleUaration, you Shoultl become subject to the Wo�ke�s' Compensation provisions of the Labor Code, you must forthwith FIOOf Si0k5 Urinal ' Fixtures Mic�Owdv¢ comply with such provisions or this Detmit shall be tleemetl revoketl. GONSTRUCTION LENDING AGENCV GaSS¢fviC¢ �utl¢t5 W3te�C105¢[ DCvic¢BOx¢5 PoICLight 1 hereby aftirm that there is a const�uction lentling agency for tne performance of [he work fo� which thi5 permit is issuetl (Section 3097 Civ. CJ �nterce LOIS Wat¢�'H2dt¢� Lentler's Name P Outlets Range Lentler's Atldress ' Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION Sign I hereby at(irm that I am exempt irom the Contractor's License Law for the Lavatories Auto-Wash ' Garbage Dispo531 ' Standing Sections following reason (Section 7031.5 Busine55 antl Profe55ional Cotle: Any city o� county which requires a permil to construct, alter, improve. tlemolish or repair p—Trap Laundry Trays Generator �0.5 KW �5-15 KW Trash Compactor any st�uctu�e, prior to itz isSuance, alm requires the applicant for such permit to tile a signetl statement that he/site is licensetl Ou�suant to th¢ Provisions oi ROOf D�ains th¢ Contractor's License Law (Chapter 9(CommenCinq with Section 7000) ot DiviSion 3 of the Business antl Prote55ion5 Cotle) or that he/she is exempt [herefrom antl Ihe basis tor the allegetl ezemption. Any violation ot Section � 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ot not more than five huntlretl tlollars (E500�. $ 3 ❑ I, as owne� ot the property or my employees with wa9es as their sole R¢in5pection Fee $15 ISSUe F08 compensation, will tlo the work, antl the structure Is not intentletl or ofieretl Reinspection Fee $15 ISsue Fee $ 3 for sale (Section �O4a, Business and Protessional Cotle: The Contractor's MECHANICAL FEES License Law tloes not applY to an owne� of a p�operty who builtls or Improves �hereon, antl wno tloes such work nimself/herselt or tnrough his or her own DEVELOPMENT SERVICES REQUIREMENTS: employces, Provltletl that such improvements are not intentletl or offeretl for Boiler Hood Of Type I ❑ � sale. If, however, tne builtling or improvement is solC within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, tM1e ownei will have the burtlen of proving he/she tlitl mt builtl o� im- DUct - Und¢� CirouOd Bullding App�OVBd By DdtO �rOve tor the purpo5e of sale). I, as owner oi the property, am exclusively contracting with licensetl con- Duct - Structural Refrigeration System Appliwtion Issued By �-�� � Dat trac[otsto construct the project (Section ]044, Business antl Professions Cotle: The Cwbacror's License Law tloes not apply to an owner oi property who Duct - Ventilating . ❑�-700,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or improves the�eon, antl who mntracts fo� such proj¢cts with a con- tractor(s1 license pursuan't�ro the ConVactor's License Law�. I am aware that Ezhaust System ❑ MWtiple ❑ System Repair/AI[eration BUILDING PERMIT $ $MIP, $ ptoof of their Worker's Campensation insurance shoultl be provitletl to me., PLAN CHECK $ �— ' PERMIT ❑ 1 am exempt untler Section B. & P. C(or this reason FirepVFact BIt. ICBO # Fire Dampers PLUMBING $ -)� ISSUANCE $ Date owner � Heating System & Ducting Registers pLqN CHECK 25% $ ENERGV P.C. $ � i hereby certity that I have reatl mis application and state that the above ❑0.100,OOOBTU �100,0006T ' - ELECTRICAL $ GRADING $ ' informatlon �s correct. I a9ree to compry wich all city antl <ounty ortlinances antl state laws relating to builtling wnstrucHon antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ �— sentatives of this Cty • to enter upon t ie above-mentionetl Property for ,�� � � inspection pur se � 9 MECHANICAL $ TOTAL FEE $ �1 v v � Signature . Date �7 . Drivers' License or 55 � — Reinspaetion Pee $�5 laue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46, �ev. 10/84 White - Builtling; Canary - Appllcant; Pink - Accounting; Goltlenrotl - Assassor C,ONSTRUCTION AND PLANNING � POOL & S°A � APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspecmr ' 1. Temporary Elecirical 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 �einforcement � . � 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 Undrgmd., Test 9. Water Pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, O Undrgmd. � 10. Structural Floor System • 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection � 62. Backwash & ReceptorFinal - 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 ElecVic Wiring - 67. Fencing &�Access Approval - 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. P00 VSPA 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 � Gas ❑ Oil .- 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (StructuraU & Monocoat 75. Dry Chemical 27. Frameand Flashing 76. DryStandpipe 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. Electriral Power Meter-Final 80. FOOD CERTIFICA7E ISSUED 33. Final Electric � ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � � 37. Final FBctory Fireplace. 38. Final Plumbing � �c��� (�� 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 � � 48. Special�RequirementsCompleted 49. Electric Release to Edison - 50. Gas Release to Southem California Gas Co 51. CERTIFICATE OF OCCUPANCY - ��n. Date '� � • . � ADC��cant lo till in all spaces exttpt those within peavy Eortler lines an0 sign all aDcrovriate tleclarations. CITV OF COSTA MESA CO T CTION PERM T PERAQ� N%�� O TRACT NO. LOT NO. UNIT NU. 6JI E 3I I �IBB 5,0� ' I� J` Project Address � Applicant'sMailingAddress TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p.# Zone Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. Address 5 Main Building: Accessory Building:• E Z Arch/Eng. License No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front O Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL 8 Reaf N ❑ OTHER A � � Contractor'sName Phon C Right N ^ PROJECT DESCRIPTION 5Q.F7. ocCUPANCv K G Address�mailin9) CONSTRUCTIONTVPE VAIVATION$ S Left R City LiCen52 No. ZONE GRAOING CU. VDS. ACRES E LICENSED CONTRACTOR DECLA0.ATION Ping. Ref. # Parkin9 Req./Provided � I hereby affi�m tM1al I am licensetl untler provisions of Cltarter 9(commencing Remarks: Planning NOtes: � M with section 7000) of DIvlslon 3 of the Husiness antl Pmtesslons Cotle, antl � T my Ilcense is in (up tor e ntl etiect. 5 LiCenzc ass i ns lo. Q� Date —� Si9nature PLUMBING FEES „ WORKERS' COMP NSATION DECLAfiATION iBar Sink Showers ELECTRICAL FEES I hereby aHlrm that I have a certi/itate ol consent to selLinsure or a certiticate o( Workers' Compensation Insurance, or a certifietl cooY thereoi (Se ion gackflow Preventer Service Sink � 3800, Lab. �/ �j p Automatic Washer Transformer ❑ 15�50 KW ( Polity No. ���Y^ X/7 Compan�� Backflow Irri ation Sewer Ca ❑ 50 + KW � 9 P Construction Pole Sub. ertifietl copy is hereby furnishetl. Certitiatl copy is filed witn the cit tlin si .� Bath[ubs Sewer Connection Cookin Unit Meter �up ro 700 am s �� 9 P Date Applicant��p EXEMPTION FROM WORKERS' COMPENSATION OECLARATION Clarifiers SOIa� COIIECLO�S Dishwasher M¢t¢r ❑Ov2� 100amps (Thissection neetl not be Completetl i/ the permit is to� one huntlretl ($300 or less�. � Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I ce�Nfy that in lh¢ P¢rformanc¢ of the wo�k fo� whicb tbis permk is i55uetl, I shall not emoloy any person in any manner so az to become suGject to the Drinking Fountains Solar Tank Fan Motors �0.1 HP �7K - 8 Workers' Compensation Laws of Calitornia. Dale Si9nature Floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar �9-15 HP �16-75+ NOTICE: It, af[er mdking [hi5 tl¢Claration, you shoultl become subject to th¢ Wofkefs' Com0en5dtlon pfovisions of the Ldbor Cotle, you must fofthwith FIOOf SinkS Ufindl FiXtuI25 MiCfOWavC Comply with such provisions or Nis Oe�ml[ shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV GaSService Outlets WaLefCloSet DeviceBOxEs PpleLight 1 hereby affl�m that there is a conitrutUon I¢ntling a9ency fo� tne pe�fo�mance of ihe work for whicn this permit is ISsuetl (Settlon 309]iCiv. C.) Lentler'z Name Interceptors Water Heater Outlets Range Lentler's Atltlress Kitchen Sink Water Service Swi[ches Sign OWNER BUILDER bECLARATION I ne�eby aHirm that I am ezempt irom the Conlractor'S LicenSe Law for th¢ Lavamries AutO�W35h ('id�bag2 Di5p0521 $tandiOg S¢CtiOnS followin9 reason (Seclion ]031.5 Business antl Professional Cotle: Any city or county which requlres a permit to construct, alter, improve, tlemolisn or repair P—Trop Laundry Treys Generator DO-5 KW �5-15 KW Trosh Compacror any sl�utture, p�b� lo il5 iSSuanc¢, a150 r<quirez lhe applicant fo� such permi[ to fi�¢ a siqnetl Sldtem¢n[ tha[ hc/5M1e Is Ilcensetl pulsuant to Ihe prOviSians o/ ROOf D�dinS the Contractor'S License Law (Cnapter 9(comm¢nGing with Section 7000) ot � Dlvislon 3 ot ihe Bu5ine55 antl P�ofe55ion5 Cotl¢) or tha[ he/she is exempt tlte�eirOm anU the ba5i5 for the all¢9etl exemption. Any violatlon of $ection ]031.5 by any applicant fOr d permlt subjecls tM1e applican[ to d civil �enalty ot not more than /ive huntlretl tlollars (E500�. LJ I, as owner of the property or my employees with wages as tneir sole Reinspection Fee $15 Issue Fee $ 3 compen5alion, will tlo the work, antl th¢ 5[ruc[ure is not intentletl o� offeretl ReinSpBction F@B $1$ IStue f¢B $ 3 tor sale (Saction 7044, euziness anE Pro(essional Cotle: The Contractor's MECHANICAL FEES LicenS¢ Ldw tloe5 nOt apply to an owner Of a prope�ty who bulltlz or improves thereon, ana who tloes such work himself/herself or througn his or her own DEVELOPMENT SERVICES REQUIREMENTS: emoloyees, provitletl that sucn improvements are not intentletl or oHeretl for Boiler Hood or Type I ❑ . sale. It, however, the builtlin9 or improvement is soltl within one year oi com- Canopy Type II ❑ Zonin9 Approved By Date pletion, tne owner will have tne burtlen ol proving he/she tlitl not builtl or im- Duct - Under Ground Building Approved By Data �rove for tna purposa of sale). LJ I, as owner ot tne property, am excwsively contractin9 wltn iicensetl con- Duct -Structurel Refrigeration Syslem Applitation Issued By Dat Vactor5 [o Cons[rucl the project (Section 7044, Busines5 antl Professions Cotle: � Tne Convattor•s Licenre Law tloes not apply to an owner oi property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or Improves Ih¢reon, antl who contracts for such projet[s witM1 a con- tractor(s1 ucense pursuant to the Contractor's Llcense Law). I am aware that BUILDING PERMIT $ SMIP $ proot o( thelr Worker's Compensa0on insurance zhoultl be proviaetl ro me. Exhaust System ❑ MWtiple ❑ System Repair/AI[eration PLAN CHECK $ � PERMIT ❑ I am exempe untler Section B. & P. C. lor this reason FirepUFacL BIt. ICBO # Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System & Ducting Re9isters PLAN CHECK 25% $ ENERG�' P.C. $ i hereby certity that i have read this appiicatlon antl state that tne above ❑0.100,000 BTU �100,OOOBT ELECTRICAL $ GRADING 5 Information is correct. I a9ree to comply with all tity antl county o�tlinancas and slate laws relatlnq lo builtlin9 <on5lruction, antl M1ereby authOrixe rep�e- $ MICROFILM $� 5¢nta[ives o/ IhiS City to ente� upon [he dbov¢-menNone�l p�operty for PLAN CHECK 54°.6 � inspectlan p s MECHANICAL S TOTAL FEE $ Signature Daie�_ �8 Drivers' License or 55 � Rainspection Fee $75 luue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46, rev. 30/84 While - 6ulltling; Canary - Appllcant Pink - Accounting; Goltlenrotl - qssesSOr CONSTRUCTION AND,�PLANNING POOL & SPA Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit # t. Temporary Electrical-Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Elec[rical Condui[ Utility-Undrgrnd. 54. Forms 4. Electrical Condui[-Undrgrnd. 55. Electrical Bonding '-� 5. Steel Reinforcement 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, � Undrgrnd., Tesi 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C1�ilndrgrnd. 70. Structural Floor System 67. APPROVAL TO DECK ``� ti•, 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. Rbugh 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 Factory Fireplace APPROVAIS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sicling 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 3�J,� �1� L� 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 48. Special Requirements Completed 49. Electric Release to Edison � . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date , �, OWNER FAAS, wALTER N. MAR 2 1959 , nA,I,E IOB ADDRESS 2231� Catherine Place BUILDING PERMIT NO. GCNERAL COxTRACTOR P,yramide Fence VALUE $ 280.00 AP. No. LOT 1� TRACT 32I�PFIRE ZONE DFSCRIPTION OP WORK Fence GRO[IP TYPE ZONE PLAN NO. INSPECTION$ I DATE � gUBCONTRACTOR T'rcnches Porms coat Fiaal Gas Tut ✓ . �, . �.'� 6(39� � COSTA MESA BUILDING DEPARTMENT • P.O. BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN eui�DING 972d ('ATLIFRTNF PT.A(1F. COSTA MESA. CALIFORNIA R FABRE CONSTRUGTION CORP. "'"" 3404 Via Lido ADDRESS CITY Newp�rt Beach T�oOR 3-1 ARCHITECT LIC. OR ENGINEER Raymond Levanas �o. C. 747 ADDRE55 3432 Via Oporto, N. B. �Q�,u� , ,i �-.«� , ,�,� ;l,��s� ; i�l„'.?CE ��P�i. ^, nF CQS�t:a 1.4�5}l APPLIC/aTION FOR PERMIT BUILDING FOR OFFICE USE ONLY FECEIPT NO. PQRM/q(Jy' COSTA MESA. CALIFORNIA zo�+ CONTRACTOR L1C10 CORSYT, CITY JIOC.752� ADDRE55 3404 Via Lido TNoOR 3-1240 OYPROVED LEGAL LOT oescvipnou NO. 17 BIOCK TRAC�z4Z A.P. NO. ' Size approx.7500 S(l:tt. I��'oFa�oc�ORO OF LOT �now on �or USE OF � �� EXISTING BLDG. SETBnCN LINE FPOM c[HreA oF siA[[i b.r]� REAR NEW RIGHT 5� LEFT S� DESCRIPTION OF WORK ALTERATION II ADDITION SIZEOING 140� SQ�ft. ROOMS V STORIES 1 EXTERIOR WALLW�� ROOF S e COVFRIN(: a*nrrn COVERING chinnla F NEW DATE CORRECTIONS I IIEPEBT ACNNOWLEOGE THPT I HPVE REAp TMIS 4PPLICiTION FNp STATE TMiT THE f�BOVE IS CORflECT <NO wGFEE TO COMPLY WITM 5LL CITV ORDINANCES 4NO STwTE LnWS FEGVL4T�NG 91lILDING CONSTROG iwrv. II/�/ /� I/�' VALUATION SIGNATURE OF 1 C � D. _ IL I .I D� 1/ PERMIT FEE S AUTHORIZED AGENT g / �f/ �0 �L � PLAN CHECK $ vc � TOTAL FEE 5 JO- iS -- �S ' �eui