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Home My WebLink About2909 CHESTNUT AVE - Building PermitsCITY OF COSTA MESA STpM 9 BU►LDING DIVISION Ft�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvaw.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754•5626 �"°"'�� PERMIT NUMBER: E09-00208 PERMIT TYPE ELEC STATUS: ISSUED APN: 13928417 DATE ISSUED: 08/1112009 JSSUED BY: RMD JOB ADDRESS: 2909 CHESTNUT AV CM '' Suite%Unif:' VlCinity: REAR OF HOUSE ? � .- „ �- . - � - � ', _ SCOPE OF WORK: ELECTRICAL PERMIT TO UPGRADE'SERVICE PANEL TO 200A, SAME�LOCATION-(REAR OF HOUSE) AND 1 DISCONNECT FOR FUTURE A/C UNIT. � � � . � . �� -r..' OWNER: ALDRIDGE, MARY ELAINE: �� - Address: 2909 CHESTNUTAVE �Unit� �� PHONE: 714-405-5212 . . " � -"-City/State/Zip: �: COSTA MESA, CA . ; , . , ,� - - _ " . . _ - APPLICANT: JAMES B.STEWART , � . � . �- Address: � -.263 E 16TH ST'. Uni[: � . PHONE: 949-548-0349 . � _ '- ` City/State/zZip: COSTA MESA, CA � �� . �. . , . ... _ � , . CONTRACTOR: JAMES 8-STEWART ELECTRICALCONTRACTOR �_ " License No. � 407976 � � Address: 263 E�:16TH STUnit: - - PHONE: ' �949-422-0301 . - � - ' . � � � �� City/State: COSTA MESA, CA - ZipCode: 92627 : CELL: . � - � � ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $55.10 Reinspection Fee ` $0.00; . ' � TOTAL FEES $55.10 � I NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (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 authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CO�E /. INSPECTION TYPE �ATE IN1171R15 CO�E# INSVECTION TVPE OATE IN7177RL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing �� 200 Final Re-Roof 210 Final Electncal 201 Fina181ocWRetaining Wall 212 Final Fire Pravention 202 Final Factory Fire Place 220 Pinal Planning Approval 203 Final Sign 222 Final Si�e , 204 Final Demolition 250 Final Building/Occupancy • WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one of Ihe following declarations: � ❑ I have and will maintain a cehifw[e of consent to self-Insure for workers' compensation, as pmvided for by section 3700 of Ihe Labor Code, for ihe performance of the work !or which this permit is issued. ❑ I have antl will mainlain workers' compensation insurance, as required by section 3700 of the Labor Code, tor the peAormance o! the vrork tor which this pertnit is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier: (This seciqn need irot be wmpletetl A tbe permrt is valuetl at one huntlre� dollars (510p) oi lessJ Policy Number: (��I certify Ihat in the pedormance o( lhe work for which this permit is issued, I shall not employ any person in any manner so as ro become subject to Ihe workers' compensation laws of California, and agree thal if I shoultl become s1 bject to th w� cers' compe 5a[i0n provisions of Sec�ion 3700 of the Lab �f ode, I s 'tlicoIIlpl with [hese rovisions. � -//_ o � ppll ntY519naWre lrDate,'�. W RNING: AILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TFIE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensetl untler provisions of Chapter 9(commencing with Sec�ion 7000) o( Division 3 0( �he Business and Professions Code, and my license is in full force and eRect. Lici#- �t'� Cla e#'+}9'�-C � U .� l) _((_� mr3ctaYs'Sipnafure'-� (Da��p�.�- CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn �hat there is a constmction lending agency for lhe perfortnance of the work fa wfiich this pertnit is issued. (Sec. 3097, Civil Cotle�. Lender's Name: Lender's Adtlress: OWNER-BUILDER DECLARATIONS: I hereby affrm that under penalty of perjury thal I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or coun[y which requires a permit to construct, alter, improve, tlemolish, or repair any strucwre, prior to its issuance, als0 requires Ihe applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Seciion 7000) of Division 3 of the Business and Protessions Code) or that he or she is exempt Iherefrom and the basis (or the alleged exemplion. Any violation of Seclion 7031.5 by any applican[ for a permit subjects the applicant to a civil penalry of no� more Ihan five hundred dollars ($500�.�: ❑ I, as owner of the pmperty, or my employees with wages as their sole compensa[ion, WILL DO THE WORK, antl lhe slructure is not intended or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or herself or through his or her own employees, provitled ihat such improvements are not intended or oftered for sale. If, however, the building or improvement is sold wi[hin one year of completioq the ovmer-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of ihe property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construa the project (Sec. 7044, Business and Pmfessions Code: The contractors License Law dces not apply to an owner of properly who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contrectors License Lavrs.). ❑ I am exempt untler sec. Business and Professions Code for this reason: 305]-46 @IO]) • Owner ID verifietl by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifica�ion o( Ownership by (type of documen[, i.e. - property [ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavation five (5) or more (ee� in dep�h into which a person is required ro descend, vnll be made in connection with work authonzed by this permit, and that no builtling s[ructure, scaffdding, falsewnrk, a demolition or dismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Cali(ornia Administra[ive Code�. ❑ As ovmer-builder, I will nol employ anyone to do vrork which would require a permit from the Division o( Industrial Sa�ety, as noted above, unless such person has a permit to do such work (rom the division. Appliran(s SignaWre Division of Indushial Sa(ety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicanl or present or Nture building occupant need to file and certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? � Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature and pressure). 2. Does or will the applicant or present or �uture building occupant need to fle a regisiretion form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health and Safety Code, with some exceptions, requires registralion with the Costa Mesa Fire Depatlmenl by each 6usiness which at any one time has on hand a quanlity of acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at standard tempereture and pressure�. 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program tor acutely hazardous materials�? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparalion, certifcation and fling with the Fire DepaAment of an RMPP by businesses which are requiretl to regis[er awtely hazardous materials with the Fire Department. 4. It an RMPP is presently required, has Section 25534 of the Calitornia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuWre building occupant reQuire for Ihe work which is lhe subject oi this application a permit for such construction or modification from ihe South Coast Air Quality Management Dislrict or from any other air pollution control tlisirict or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requestetl information be fumished on applications ta non-residential builtling permits). 6. Will any part o( the facility to be constructed under this permit be wi[hin 1000 (eet from the outer boundanes ot a school? ❑ Yes ❑ No Qf "yes", Ihe tacility musl meet the requirement of Sections 25534 and 42303 of Ihe Califomia Health antl Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certifcate of compliance from the appmpriate air polWtion control officer). CERTIFICATE OF COMPLIANCE: I certify tha[ under penalty ofperjury the information given above is correcc I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. 5ignaWre pate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untlei penalty of perjury that I have read ihis application and state that Ihe information given is correct I agree to comply with all state laws antl city ortlinances relaling to building construction, and authorize representatives of ihe Ciry of Costa Mesa [o enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SignaWreof al Date �,. �-f/,�� AnE/9 Atlll rize0 APGlicanl4 �Ddte^"' (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 2909 CHESTNUT AV Suite No Vicinity: Parcel Number: 13928417 Applicant: Address: Owner. Address:. PARSONS,GORDON 2282 ORCHARD DR� " i_-:- � NEWPORT BEACH;.CA � � � ALDRIDGE; MAF�Y.,ELAINE 2909CHESTNUTAVE " � � �' COSTA MESA,�CA � /��.� Contrecror: ; OWNER-BUILDER Address: MECHANICAL PERMIT Phone: 949-756-0064 � Zip: 92660 � ; � , Phone: Zip: 92626 � Bhone: ' Zip: . License: 0 Status: ISSUED Applied: 07/02/2002 Issued: 01 /02/2002 ISSUED BY: - . .. ' � �- , , . ' `, ' SCOPE OF PERMIT CHANGE-OUT OF A FAU IN AN EXISTING SFD. 1INSTFAU<t00KBTU..�, ��'�' _ - . - - i - ISSUE FEE InsTFAU <700 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU � Refrig Sys >100 k BTU Gas Piping - , Factory Fireplace Hood w/Mech Exhaust VAV Box .' , Vent Fan / Single Duct � Appliance � � Fire Dampers � � . SmokeDampers' � Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm � Floor Furnace Floor or Suspend Heater FEE SUMMARY � Quantity , . � $23.50, $14.80� 1- " $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 " $0.00 0 $0.00 0 � ` ,$0.00_-_0.. � �� $0.00 � 0 - ' ' $0.00� 0 � � $0.00 , 0 � � $0.00 0 � ' � $0.00 0 $0.00 0 $0.00 0 � �$0.00� � 0 ' $0.00 0 � Repair /.Alt Absorbtion Unit Repair / Alt Refrigeiation Unit Ventillation System Evaporative Cooler Comme rcial I nci nerato r Domestic Incinerator � Compressors / Absorotion SYstems '�`Upto3hp/100kBTU � ,,, 3 To 15 hp / 500 k BTU � 15 To 30 hp / 1,000 k BTU � , "30To50hp/��1,750k.BTU- � , Over 50 hp / Over 1,750 BTU , „ Boilers Up l0'3 hp � � . " � -3 To 15 hp - . � 15 to 30 hp " . 30to50hp , �� Over50,hp.� . . Other Mechanical Fee Investigation�Fee - , � ' Plan Check Fee , � Reinspection Fee. '` � . TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS $0.00 ' . $0.00 $0.00 $0.00 $0.00 $0.00 Quantity ' 0� ` � 0 0 0 0 0 ` ,$0.00 ,'0 $0.00 ' �0 . � $0.00 0 $0.00 0 $0.00, 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 538.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 24464fi (6/00) WORKERS'COMPENSAnON DECLARAnON: I �ereby eflirm under penalry of perjury one oi tha followinq tleclarations: ❑ 1 have antl will maintain a certificate of consent to self-Insure for workers' compensation, es provitletl tor by saction 3700 of the Lebor Code, tor ihe pertormence of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, es required by section 3700 of the Lebor Code, for ihe peAormence of the work for which Ihis pertnit is issuetl. My workers' compensation Insurence cerrie� end policy number are: Cerrier. Policy Number: (This section need no( be completed il the permif is velued et one hundretl dollars ($100) or /ess.) ❑ I certity that in iha performance of the work for which this permit is issuetl, I shall not employ eny person in any manner so as lo become subject to the workers' compensatlon laws of Calliomie, end egree Ihet if I should become subject to Iha workers' compensation provlsions of Section 3700 of the Wbor Code, I shell forthwith comply with Mese provisions. Applicant Signeture: Dete: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T}IOUSAND DOILARE (f100,000). IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS Pi70VIDED F-0H IN SECTION 3IOB OF THE LABOR CODE, IMEREST, AND ATTORNEY'S PEES. LICENSED CONTRAC70R5 DECLARATION: I hereby attirm that I em licensed under provisions oi Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license is in full lorce end eRect Lia R Class # Contrector's Signeture: Dete: CONSTRUCTON LENDING AGENCY: ❑ I hereby aHirtn that thare is a consiruction lending agency for the pertormance ot Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirtn Ihat under penelry of perjury that I am EXEMPT FROM THE CONTFiACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Protesslons Cotle: Any ciry or county which requires a permit to constmct, eHer, improve, demolish, or repair any sirucWre, pnor to its issuance, also requires the epplicant tor such pertnit to Nle e signetl stetement ihat he or she is licensed pursuant to the provisions ot Ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) or Ihat he or she is exempt therefrom and the besis for the alleged examption. Any vloletlon of Section 7031.5 by any epplicent for a pem:. subje e epplicant to a civil penalty of not more Ihan five hundred dollers ($500).): I, as owner ot �he property, or my employees with wages as thelr sole compensatlon, WILL DO TME WORK, end Ihe structure Is nol intendetl or oflered tor sale (Sec. 7044, Business and Pmtessions Code: The Contrectors License Law does not appty to an owner of pmperty who 6uilds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvemenis are not intended or oHeretl tor sale. It, however, �he builtling or improvement is sold within one year of completion, ihe owner-builtler will have ihe burden ot proving that he or she did not builtl or improve tor puryose of sale.). ❑ I, as ownar of the property, am E%CLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The coniractors License Lew does not apply to an owner of property who builds or improves thereon, and who coniracis for such projact with a coniracbr(s) license pursuant to ihe Contractors License lews.). ❑ I am exempt under sec. �� Business antl Professions Code for this reason: Signature: ��S.�e �/7/�-� Date: /'� Z� G 2 Owner ID venfied 6y tlnver's licensa. [�'�les ❑ No Orivar's License No. �� Expires: /�—��—G S Venfication of Ownership hy (type of tlocumeni, i.e. - properry tax bill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no e:cavation five (5) or more tee� in depth into which a person is required to tlescentl, wlll be made in conneciion wilh work authonzed by �his permi�, antl that no building strucWre, sceflolding, falsework, or demolition or dismantling thereof, will be more ihen ihirty-sis (36) teet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Ttle B, Califomia Adminisirative Code). ❑ As ownerbuiltler, I will not employ anyone to do work which would require a pertnit fmm the Division of Intlustnal Sefety, es notetl above, unless such person hes e permit to do such wark from the division. Signature: Date: Division of Industrial Satery Permit Number: CERTIFlCATE OF COMPLIANCE AN� Al7T}IORIZ.ATON OF ENTRY: I certify under penalty of perjury iha� I have read �his application and state that the intormalion given is wrrect. I egree to comply with all state laws and ciry ordinances relating to building constructlon, entl authorize representatives of the Ciry of Costa Mesa to enter upon Ihe ebove-descnbed property for inspection puryoses. I egree not to occupy or allow occupancy of eny building authorized by ihis permit until final inspection. Signature Of Legal Owner(s) �s��* i_ And/Or Authonzetl Applicant COpE I, INSPECTIONTYPE i616 Fixad System Final Fire Prevantion 1266 Pool Spe Final 200 Final Ra-Roof 201 Final BIxWRetaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition �iE u�$ COOE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinelBuildin<yOccupancy P�IE INIID�L9 r-3-oa � DECLARATION OF AUTHORITY BIdg.Permit# FOR AGENTS OF PROPERTY OWNER This Permit # TO APPLY FOR PERMITS Street Address: � 1 ��l C.� 2s T l. ��iVt ��`f'.� �a�S AP Number: 1. I(we), �� I��:� e� _ , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: Name: C,7 G 6('�`L�Gi t S a H f Telephone Number. �/ % q� /$� ��J� / Street Address: �� n L �h c� R� /✓��Yt City: ��y/ /i% aV7— �-CKG ti State: �4 Zip: �2 �O �/ to obtain permits in my behalf, as owner/builder, for at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Worker's 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 corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers 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 perju�Ypthat the foregoing is true and correct. Executed this �2 day of Y_l �c�2 �� Y' 20 �, at �f'�ri M esw , Califomia. Print Name: � ' l ��.� C= � G�, r. �. � � �{ �-:� \.I Signature: G Date: �1- / 7 - o � Note: This author¢ation does rrot grant authorizaUon to perfortn tlie work as owner, it solely provides for limited power of attomey to secure this permit in any behalF. 0779<6 (rev.11/00) � 7 � �7— L A B O R A T O R I E 5, I N c.� . ✓eelin9 andJns�becl<on �n9ineer,s TEST REPORT Test made for Anthony Pools, 5871 Firestone Rlvd„ South Gate Job Identificatiori � 2909 CHEST[�ti1T AVFP�JE. , Ccsta Mesa (John �, Pearson) Location in Structure ��'%�!�'�:%�ING PC(JL , GUNITE LABORATOAY DATA � LaboratoryNumber 65822 65823 $ Mark 1 2 3 Datemoulded . lOj'll 10/11 10/11 � � I� Date teated , 10/18 11/8 � E,. ��' �� r nge,aBYs � 2a e�� n� Weight per,cu. ft., lbs. "u' p� � Dimensions, (inches) 6.30x12.55 6.1x12,65 6,2x12,00 1�' .�� Area, sq, in. 31.17 29 , 22 30 ,19 Compressive Strength Tota] Load Ibs. 74 , 000 $0 � 500 Lba.pereq.in. _ 2,3�4 2,75j idot req�rd MIX: Cement Sand No. 4 No. 3 No. 2 ' Water 1: 4e5 Pe�manente I G%' ^�'� /l /3—��— ,� /� - 2- Anthony Pools --"�- Costa Mesa Bldg, Dept � CF-3 0 FIELD DATA Specified Strength @ 28 days 2000$$ Slump Admixture Ready Mix Plant Cyls.madeby Jack Massie(Nozzleman Datecyls.delivered Builders'PicYup 10/15/62 Reapectfully submitted, RAYMOND G. OSBOR�iE LABORATORIES, Inc. By..._---l...:-....�----'L� `�'-`°"------------------- 235 WEST TWENTY-SEVENTH STREET • LOS ANGELES 7. CALIFORNIA • RICHMOHo 9-3111 OWNER pEp�ON� Sohn H. DATE 10-1-62 JOB ADDRESS 2q09 C hestnut Ave. BUILDING PERMIT N0.17� GEN�RAL CONTRACTOR pnthony Pools VAWE S Q Spp,00 AP No.13C)-281}-17 LOT TRACT RIRE ZONP:, D�SCRIPTION OP WORKp�rt,SWiltt POOl INSPECTIONS DATP I GROUP J TYPE SII ZONE �Ill tiK�l �7i I! c�Ci�CiT 7 � �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA ME9A. CALIPORNIA For Applicani io Fiil In Complefely ' � TYPE OR PRINT BUILOING _.,_ .. .................. ....-. COSTA MESA. CALIFORNIA ■ MAIL USE OF EXISTING BLDG B8T9AGK LIN6 FROM X NO. OP BLDGB. NOW ON LOT D GAR OF WORK BUILDING 4't'7 NO. OF SRE ROOMS STOF EXTERIOR WALL' � ROO — COVERING OVERING U8E OF BUILDING ANO WORK TO BE PERFORMED �1 XEHEBY / wND BTwTe PLY WITH . BUIlDINO � ■ AUTHORIZED AGENT FEE RECEfVED ocT i �.ss2 APPLICA'I�I N €�'�4A�i�EPT. BUILDIN�if ��STA MESp For Office Use Only RECEIPT NO. � PERMIT NO. COSTA MESA. CALIFORNIA APPROVEO ZONING ZON / NO.OF ^� U6¢ OP NEW �� IPLANe L BUILDING LEGAL /3 9- ICENTER lINB 8T.) FRONT r� R.SIDE �3 L. SIDE / Z REAR S— APPROVEO . /M BY �:I�3 '�'i . ti0✓n POR JPI . 7 � � / EVES ALLOWED r. befw�eh iN. f. � IN. f. I N. f. �� IN. DATE �� /G �- L REQU?R£`• �=1�Tv :.(/ ¢ r ` 7 � ! . 0� �. . .. � �. ' � � :E TXAT 1 MAYB REAO TH18 APPLIWTION }HE AMOUNT BXOWN UNOER VALUAiION I8 FOR TXE ABOVE IB CORPECT RND AGPEE TO COM- pURP09E OF EBTABLISHINO A PERMIT FEE ONLV. � NINwNc69 wNo siATe I.Aws peau T�No vALUATiON / i PERMIT FEE $ /� � 2500.00 / � � $ PLAN CHECK $ (Q � � TOTAL FEE � � � , ; �0�'�� :��k: t��(, - . , Itui; �6,/�-9:> CUSTA MESA BUILDING-SAFETY DEPARTMENT - 7 19� P. O. BOX 31] COSTA MESA. C,qLIFORNIA �-'n!A �t.i/t[ II IYl1�Yl�L DEpT i�ITV nr FOR APPUCANT TO F/LL /N COMPCETELy APPLICATION CFOR P,ERMIT TYPE OR PRINT BUILD�NG ` ADDRESS 2909 Chestnut Avenue � COSTA MESA, CALIFORNIA FOR OFFICG USE ONCJ OWNER AU�i.Q:$ Acres Ti�C� ( RECEIPTNO. I��$JI�$��iQ� V J�J MAIL 1�, p fiECEl1(ED BV I DM1� RECFIVED I AU�TE ISSUED ADpRE55 �}+-/ E• 17 th St• � CITY Costa Mesa ' TNo:I1g1159 pDD EISS ' AaCHiTECT CSY'ZSOri Rt ��c. �� COSTA MESA, CALIFORNIA OR ENGINEER ' NO. �ii a e roo % 1/ ADDRESS ZONE TVP.E �' GROUP d"-- �} a,��r Colegrove� I11C�L C NO. 16�293 qPPROVED � CONT BY DATE nooRess �+19 �. 1%th St. Costa I�feqsar� ZONING LEGAL LOT - 4 4 ZONE NO.OF USE OF NEW OESCHIPTION NO. �� BLOGK I TRACT ) I P�ANS / I BUILDING � A.P.NO. APPROVED / S/i BY � DATE i� SIZE b� x L.J �o.oFa��t1one YARDS EVES OF LOT How orvLoi REqUIRED ALLOWED USE OF . � (CENTER LINE ST.1 /__� Ex�ST�NG BLDG. FRONT — C/ FT. IN. SETBACN LINE FFOM rg( 1� � c[rview ov s'rweei J. REAR YARD 3�F R. SIDE � � FT. IN. SIDEVARD ILEF,T S� IR�GHT Jt L.SIDE �—� Ff. IN. DESCRIPTION OF WORK ' .{ REAR l� -�j FT. IN. NEW I X II ALTERATION I II ADDITION I ' REPAIft I II MOVING I II DEMOLISN I � SIZEDING -�I��O ROOMS V. STORIES 1 �.� F EXTERIOR WALL ROOF ' COVERING StiUCCO COVERING �}50 USE OF BUILDING AND WORK TO BE P�RFORMED T attached garage. n I HEREBY ACKNOWLEOGE THAT I HqvE RE�o THIS APPLICATION 7HE AMOUNT SHOWN IINOER VALUATION IS FOP THE AND STATE THAT THE ABOVE IS CORRECT qryD AGREE TO COM- pURP09E OF ESTA9LISHING A PERMIT FEE ONLY. PLY WITH AlL QTY OROINqNCES AND 6T'ATE LAWS REGULATING 9UILOING CONSTRUCT N. VALUATION M SIGNATURE OF � PERMIT FEE S3��N! PERMITTEE - _1-n� n - $ �µ)552�� PLANCHECK $1.��,� AUTHORI2ED AGENT D.l.�e pC yQle rove IT1C. TOTAL FEE $ 51�00�