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Home My WebLink About2273 COLGATE DR - Building PermitsAop��cant to fill in all spaces exeept tnose within heavy eoraer Ilnas ane sign all appropriate aeclarationz. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITYOFCOS7AM CO T�U TONPERMIT n.r.� F 34d�9 Pro�ect Addresi . 5 Main Buildi AppliCant'S Mailin Addre55 TVPE OF CONSTRUCTION NEW .4DD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front Owner's Name ��' Phone " 9 DESCRIPTION OF WORK/USE OF BLDG. A Rear Y� � Address AlCh/Eng. License No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I, C Right K AddrpSs ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECMANICAL g� �eft Contracto 's Name i Tj�(��+�Z nDAI� pt,,,,,/�n • �� oTHER � Ping. Ref. # Address Ima'1'ng) �L�7 "(��P^fd—� PROJECT DESCRIPTION SQ. F7. oCCVPANCv Planning Notes: ,�-�-.�y CON STRUCTION TVGE VALUATION $ City LiCense No. �`�'� 7� ZONE GRADING CU. VDS. ACRES LICENSED CONTRACTOR DECLARATION I her¢by affirm Ihat I am Iicensetl untler provisions ot Charter 9(commencing with section 7000) of Divlsion 3 of [he Business antl Protessions Cotle, anU my Ilcense is in lull I ce a ttecL o9�� Licen C1a55 l.icen Date � � 519na[ure �� WORKERS' COMPENSATION DEC ATION �ereby afflrm that I have a certificate of consent to zelt-insure or a certlficate Workers' Compensation Insurance, or a certitied copy tnereo� (Settion ,d00, �aD. C.) - Policy No. Company _ BCertified topy is jiereby furnishetl. � �� Cer�{'lleyc�p��911Etl with the tl[y Iging Oiyis EXEMPTION FROM WORKERS' C�INPENSATIODrDECLICRATION (Thissection noetl not be completetl rt the oermlt i{for one tlretl (5300) or Icss). I certity Ihat in Ine oerformance of [he work r which �5qRQ1 H is issuetl, 1 Shall. nOt em0�oy any�plfsOn In any mann �p a5 ¢COfll¢ 3ubj¢Ct t0 thG WorkerSYGor�ps�Q[i Laws oi Calitorn' ///J� `j j� _ wo4iCE: it, aner making this tleclaiation,"you sho�/ftl become subiect ro tne Workers' ComOensalion provisions ot the Labor Cotle, you must tor[�witn compiy with Suth p�ovl51on5 0� thi5 p¢rmit Shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENGY I hereby affirm lhal there is a construction lentling agency tor roe pertormance 01 the work Por which [his permit i5 ISSuetl (Section 3097 Civ. C.) Lentler's Name (.enaer'z AaEress OWNER BUILDER DECLARATION I hereby affirm lhat 1 am exempt from the ConVactor's Ucense l.aw for the following reason (Sectlon 7031.5 Buslness antl Protessional Cotle: Any city or counry w�ich requlres a permit lo construct, alter, improve, tlemolish or repair any struccure, prlor to its issuance, also requires tne appliwnt for suth permit to file a 5i9nad statement that he/sne I5 licensetl pursuan[ to Me provisions of �ne Contractor'S Llcense Law (Chapter 9(commencin9 witb Section 7000) of `vision 3 of the Businest antl Protessions COGe) or that he/she is ezemot :refrom antl [he ba5i5 tOr the alle9etl ezemption. Any violation af $oction J31.5 by dny applican[ fo� a p2rmit subjeCts tne applicant to a civil �enaity of nol more ihan five huntlretl aollars (E500). I, as owner ot the property or my employees with wages as their sole compeniation, will Oo tbe work, antl the Structure i5 not Intentletl o� oHeretl for sale (Section ]044, Business antl Professional Cotle: The Contractor's License Law does not applY to an owner of a property wno builtls or improve5 thereon, antl who does such wo�k him5elf/herself o� tnrough hls o� her own employees, provitletl tnal such Imorovements are not intentled or ofteretl for sale. If, howaver, tne bulleing or improvement is soltl within one year of com- plelian, the owner wil� hdve the burtlen of prOving he/she tlitl no[ builtl or im- prove for the purposa of sale). ❑ I, as owner of the prooerty, am exUusivery contracting with Ilcensetl <on- Vactors to <onstruct lhe Oroject (Section 7044, Buziness antl Profe55ions Cotle: The Contractor'S license Law does nol appty to an owner ot Property who builtls or improves thereon. antl who contracts for such oroiects with a[on- I Vactor(sl licenze pursuan[ to [ne ConVactor•s License Law). I am aware tha[ ptoof of tneir Worker's Compensation insurance snoultl ba provitletl to me. II ❑ I am exempt untler Sectlon 8. & P. C. for this r¢a5on Date Owner I nereby certity tn I nave rea information is corr t. 1 agree tq Drlvars' �ICAfise or 55 � 0865-46,rev. 5/88 ication antl s[ate tnat the above th all city antl counly ordinancas 9on. antl herebv aulhorize reore- Remarkf: Sink <flow Preventer <flow Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Servic.e OuUen Intercepmrs Kitchen Sink Lavamries P-Trap Roof Drains Reinspaction Fee � $15 Duct- Undcr Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 6100,000 BTU � 100,000 BT � � Rainspection Fee 515 Whit¢ - Builtling; Cand�y - Appli[ant; Pink - Accourltin9: GOIGenrOtl - Assesso� Showers Service Sink . Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wesh .Leundry Trays Issue Fee Hood or Type I ❑ Canopy. Typell ❑ Refrigeration System ❑aioo,000sru ❑ioo,000 System Repair/Alteration F ire Dampers Registers Isue Fee $ 3 FEES $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec' Fan F,A,U. Fixtures Device Boxes Outlets Switches Garhage Disposal Generator �0.5 KW C � Reinspection Fee — DEVELOPMENTSER 2oning Approved By_ Building APProved By APoliwtion Issued Bv_ zone ELECTRICAL T�ansformer ❑ 15-50 KW ❑ 50+KW 5KW $� RE�UIR Meter I[iGp to 100 amps Meter ❑over 100 amps Sub Panel � � Motors �61 HP 01'h- B Inc.Solar �9-75 HP �76�75+ Microwave Pale Light Range Cinn . � � FEES N I N G R E � M T S. SUMMARV OF F,EES � BUILDING PERMIT $ �_! SMIP $ PLAN CHECK $ ' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $`� � ENERGY P.C. $ EIECTRICAL $ �� GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICA� $ 'TOTAL FEE $ �� PLAN CHECK 25% $ � � Q100006516-QOpOb51E Y�]T 33.50 CO�ISTRUCTION AND PLANNING P�' � SPA �APPF20VALS Permit# Date Inspector AppROVALS Permit# Date Inspector : i 1. TemporarY Electrical Service or Pole �� 52. Pool & Equipment Location �. � 2. Soil Pipe-Undrgrnd. �; , 53. Steel Reinforcement ��'' ' 3. Electrical Conduil Utility-Und�grnd. ' ;� � 54. Forms ' 4., Electrical Conduit-U�dr,grnd. �• 55. Electrical Bonding � �'' 5. Steel'Re�nforcem'ent �� 56. Rough Plumbing & Pressure Test -�-`" ' 6.iEler.tiicalUFER�GmdY 57. APPROVALTOCOVER-GUNITE '� �� -7.,Footings � � ' ' � 58. Electrical Conduit-Undrgrnd. � , 8.• Foundation � , � -� 59. Gas Pipe, O Undrgrnd., Test I� � 9. Watei Pipe-Undrgrnd. ,�: • 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Sttuctural Floor System ;�� ;. �� . ' 61. APPROVAL TO DECK ' 17. Property Sewer Line & House Cot�nection , •; � 62. Backwash & Receptor�Final . ,� 12. Sewer Cap . � 63. Heater & Vent-Final � � 13. Foof,Dreins , � 64. Plumbing System - Final i 14. Rouyh Plumbing 65. Electrical-Final _• 15. Rouqh Elsctrical-Condui[ 66. Solar System-final 16. Rouqh Electric Wiring 67. Fencing & Access Approval 17. Rouyh Wiring Sign 68. APPROVED FOR PLASTERING 16. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in 5tructure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping �Gas ❑Oil 23. Gas Pipe-Fough & Test " 72. Underground Flush 24. Roof Frarr�ing �, _ 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing .-• 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing ' 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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heat�ng & Air Conditloning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Final ' � ae � 42. Backflow Preventer ". iRED ��, 43. 8ackflow Irrigation lncomp4ete 4aspe�t�ons �� 44. Landscape Irrigation System . - �s_ 45. Sound Attenuation �" � 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILOING 4R. Sner.ial Requirements Completed 49. Electric Release to Edison • � . 50. Gas Release to Southern California Gas Co � �• , 51. CERTIFICATE OF OCCUPANCY , , No. Date � , ; .�- _ .e . Applicant to tiil in all soaces except ihose witnin heavy Oortler lines antl sign all appropriate tleciarations. � � � p1.�52 5/ .,�/3� 1+a9,,H' TL , CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO.� �� T�i% N% . iO�NO. UNIT NO. - Project Address ZZ C��--- �y �� - _ - ApplicanYsMailingAddress �Z� YPEOFCONSTRUCTION rvEW taDD ALTERATION Recnia ��y`� .3 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER , q.p. # / � � � -(�3 Zone �� Owner's Name'n='Q='J /InQ�✓ Phone'7�a—�� ,DESCRIPTION OF�`1ORK/USE OF BLDG. /�� !�A��- Address � Z7� C�L�3.�� =-• / �c %��L -� S Main Building: � Accessory Building: Arch/Eng.�C �'�K(� License No.Ipl �� TVPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTuaA� T Front ' �(�' - b� � ' p Add��25�5 ,j,2? p� E � TENANT ❑n ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B R¢d� R N C .�a� � 0'��I�'��' � . �OTHER `OOL A �l � ntrdFt�or's N5 e • hone C Rig q PROJEC7 DESCRIPTION 5a. Fr. occVanrvCY N Address (mailing) /Z� o � �q�K C/'�- `��e��4�'� �z� ! . / � G CONSTRUCTIONTYPE VALUATION$/O.00� S L2Ft City LiC¢052 NO. � ' 'ZONE GRADING CU. VDS. ACRES E LICENSED CONTRACTOR OECLARATION � Ping. Ref. # Parking Req./Provided 1 hereby aHi�m that I am licensetl untler provi5ion5 of Charter 9(wmmencin9 ' pemarks: �(� � 26 ip^ n� � yy�� Planning Notes: � M with section 7000) of Division 3 ot tne Business antl Professions Cotle, antl T my license is in f II force antl effect. P/� ?'C•� � S License Class G^ �icen No Z�� '� T Date � ' Signature PLUMBING FEES WORKERS' COMPENSATION DE A ATION � Bd� Sink ShOw¢�5 ELECTRICAL FEES I hereby atfi�m that I have a certifitate of mnsent to self-insure or a certificat2 oi Workers' Compensation Insurance, or a certifietl mpy thereof (Section gackflow Pfeventer SeNiceSink Automatic Washer Transformer ❑ 15-50 KW 3800, Lab. Policy N � ��Z� Company��T^�CC� Backflowlrri ation ❑ SO+KW � 9 Sewer Cap Construc[ion PoleSub. ertifietl copy is hereby fumishetl. Certif' co is (' with the cyi n v' i � Bathtubs Sewer Connection Cooking Unit . Meter'�Gp to 100 amps ` Date � ��/4PPIic(a �� EXEMPTION FROM W00.KER5' CO P ATION DECIARATION Cla�ifi¢f5 5013/ C0112Cto�s Di5hwa5hC� Meter ❑OVE� 100 3rilps � (Thisse[tion neetl not be completetl if the permit is for one huntlretl ($100) o� Di5hwd5h2� less). Solar Piping Dryers ❑Gas ❑Eleciric Sub Panel t certify that in the performance of the work for which this permk is issuetl; I shau not employ any person in any manner so as to become subject to me Drinking Fountains Solar Tank Fan Motors �0-1 HP �1 %- 8 � � � Workers' Compensation Laws of California. - Date Signature Roor Drains Swimming Pool w/Spa 3 6D F.A.U. Inc Solar �9-15 HP �16-15+ I NOTICE: If, af[er making this tlecla�ation, you shoultl become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith FIoO�$i�ks U�inal Fixtule5 � — comply with such O�ovisions or tM1is pe�mit shall be deemetl revoketl. MiC�ow2ve � CONSTRVCTION LENDING AGENCV GaSS¢rviCE OuU2t5 Wdt¢�Closet D2viC¢BOx¢5 1 hereby affi�m tM1at there is a mnstruction lentling a9ency fo� the pertormance POI¢ Liyht of tM1e work for 'which this permit is issuetl (Sec[ion 3097 Civ. C.) Int¢�c2pt0�5 Water Heater Outl¢Ls Ranqe � Lentler'S Name �enae.'s Aedress - Kitchen Sink Water Service ` Switches Sign OWNER BUILDER�CiECLARATION I hereby affirm thal I:am exempt trom the ConVactor'S License Law tOr the Ldvdto�i¢S AutO-WeSh foilowing reason'(Section 7031.5 Business antl Professional Cotle: Any city or Garbage Disposal Sianding Sections county wnich requires a permit to construct, alter, improve, tlemolish or repair P—Trap Laundry Trays � Generator �0-5 KW �5-15 KW 9 any structure, prior to its issuance, alm requires the appliwnt for such permit TrdSh CompactOr to tile a si9netl statement that he/she Is licensetl pursuant to the provisions oi Roof Drains the Contractor'S License law (Gnapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt the�ef�om antl tM1e basi5 for the allegetl exemption. Hny violation of Sec[ion 7031.5 by any applitant tor a permi[ subjects [he applicant to a civil �nalty of not more than tive huntlretl tlollars ($500), , LJ I, as owner oi the property or my employees with wages as their sole Reinspection Fea $15 Isue Fee $ 3 compensation, will tlo the work, antl the sVucture is not intentletl or otferetl Reinspection Fee $15 IAue Fee for sale (Section �044, eusiness antl Professianal Cotle: The Contractor's MECHANICAL FEES License Law tloes not appty to an owne� of a property who builtls or improve5 Ihereon, antl who tloes sucn wark nimself/herself or tnrough his or her own goiier Hood or TYPe I ❑ DEVELOPMENT SERVICES REQUIREM TS' p ¢mployees, p�ovitletl [hat such imOrovements are not intentletl or offeretl fo� /y�� O sale. If, howeveq the builtling or improvement is soltl within one yeal of com- �,d00py Type II ❑ ZOning Apploved By - ��` Date�p� pletion, the owner will have the burtlen of provinq he/she Oitl not bulltl or Im- Duct - Under Ground Building Approved By � Date�3_�Ci�+ p�ove for the purpose of sale). s St.�e� ❑ I, as owner oi me property, am exclusively contractin9 with iicensetl con- Duct -Sttuctural Refrigeration System Application Issued By �J� Date ��v tractorsto constru<ithe project (Section 7064, Business and Profession5 Cotle: The Contractor's license Law tloes not apply to an owner ot property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES �p builtls or imOroves tM1ereon, antl who contract5 for such project5 with a con- W tractor(sl iicense pursaant to the Contractor's License Law). 1 am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ � �1 SMIP $ � � proof of tneir Worker's Compensation insurance shoultl be provitletl to me. _ PLAN CHECK $ PERMIT ❑ I am ezempt untler Section B. & P. C. for this reason Firepl/FacL Blt. ICBO �k Fire Dampers PLUMBING $ 8�� ISSUANCE $ �Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ /�� ENERGV P.C. $ i hereby certity that i have reatl ihis aooiication antl state that the above ❑0-100,OOOBTU �100,OOOBT ELECTRICAL $ 'LOZ'r GRADING $ information is correcL I a9ree to compty wilh all cily antl county ortlinances antl state laws relating to builtlm9 conztruction. antl hereby authorize repre- PLAN CHECK 50% $ '1,�i3 MICROFILM $ sentati ' ity to r n tne above-mentionetl property for I,� 9 83 ins o s � MECHANICAL $ TOTAL FEE $ 5i ure oate Reinspection Fee $15 luue Fee $ 3 PIAN CHECK 25% $ Drivers' License o 55 � — CMF 0865-46, �ev. 30/84 White - - Attountin9; Goltlenrotl - Assessor �CONSTRUCTION ANq PLANNING ' � ; PO' '< SPA APPROVALS Permit # � Date .� Inspector APpROVA'LS Permit # Date Inspecmi � 1. Temporary Elect�ical-Servi�e'or Pole 52. Pool & Equipment Location �3 �� .�.. 2. Soil Pipe-Undrgrnd. �• 53. Steel Reinforcement 3. Elecirical Conduit Utility-Undrgmd. 54. Forms 4. Electrical Conduit-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. ,� l r 8. Fbundation �' � i 59. Gas Pipe, O Undrgmd., Test i.. ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK s'D � L' i t. PropertY Sewer �ine & House Connection 62. Backwash & Receptor-Final / 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final C� i �j� 14. Rough Plumbing 65. Electrical-Final ��7 G 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring �, 67. Fencing & Access Approval G-� 17. Rough Wiring Sign i 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - �,69. POOUSPA SYSTEMS FINAL �j � 19. Rough Heatin9 & 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 (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. DrY Standpipe �' 28. Lathing & Siding 77. FIXED SYSTEM FINAL' � � 29. Insulation 78. FIREPREV.�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: �� '� _,� 7,� 34. Final Heating & Air Conditioning 3X �e f _ ! � c� O Pa� ee. •��J �. ' 35. Final Gas Pipe-Test 'T � 7"= /�� /iP Ten� .� o a 36. Hood or Canopy . �ra 37. Final Factory Fireplace � 38. Final Plumbing , , ' . . , ' . • 39. Water Service-Final � . � � ' 40. Gas Service-Final . • ' 41. Solar pomesticFinal . � ' � � ' 42. Backflow Preventer " � , , 43. Backflow Irrigation .. , � � I 44. ,Landscape Irrigation System , � i � 45. Sound Attenuation . � 46. Handicap Regulations '- " � � 47. FINALSTRUCTURE&BUILDING � �. . , - i � 48. Special Requirements Completed ' , 49.'Electric Release to Edison , i 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY " � . No. Date - � , - . �: OWNER � rT�nrr Hng�� r.i,r� � DATE (�_9F_t� ._ )OB ApDRE55 2�7� �n�a+ �ric.e BUILDING PERMIT NO. 7026 GENERALCONTRACTOR ,� �.. ,r_„ n_ __�.. C_ VALIIE$ �'i o'1C M LOT u PLAN NO. INSPECTIONS —( DATE I SUBCONTRACTOR ' DATE PERM�TSNUM ER ✓ Final '` � -, `'' r%o�w6 COSTA MESA BUILDING DEPARTMENT ` P.O. BOX 31� COSTA MESA. CALIFORNIA BUILDING ADDRE55 FOR APPLICANT TO FILL IN / J {IUl�(GYO Ll • COSTA MESA. CALIFORNIA OWNER ADDRE55 2826 lIIC Blvd. arv oi't Beach� CB1 No: �RR W Boll CoIIet Co ��c. NO. ADDRE55 LECTL oescvivrioN A.P, NO, SIZE E%iSTiNG B�OG. SETB�CK LINE FNOM CENTEF OF SiPEET SI�E YARD RIGf NEW REPAIR BUIIDING SIZE E%TERIOR W, COVERING USE OF NEW BUILDING e OLOCK ITRACT �� NO.OF BLDGS �IOW ON LOT �8 REAR VARD ZS DESCRIPTION OF WORK S ALTERATION I ADDITION � nMOVIcN�G DEMOLISH 1F.9 JL NO.OF ROOMS 6 STORIES ROOF a�llB!!A GOVERING ZiiCk I NEREBY FCKNOWLE�GH THAT FVE NEAp LXIS • ST/�TE TM�T TME /.BOVE IS CORFECT �ND �GREE TO COMPLV WITN �LL CITY OIipINRNCE$ �NO STATE L�W$ NEGUTATING Bl11LDING CONSTRUC� TION. SIGNATUREOF ��n Homes, Inc. PERMITTEE AUTNORIZED AGE . �' _, ..,:.. ,�' ,�ti '��r..'v�` � ._.� (o - 2 (o - S �! � "� fiiVP,NCE DEPT. Pl�v f1� "nST� f��ESA APPLI'CATION FOR PERMIT BUILDING FOR OFFICE USE ONLY 19 COSTA MESA. CALIFORNIA FIRE 20NE ZONE^ ` NO.OF TVpE / MI pL>N$ � I\ APPROVED CORRECTIONS /�2 `f� '"- ..l� 4�/G �- VALU�ATION 2 � � PERMIT FEE $ � 5 /7 d,JJ� PLAN CHECK $ �6 ^ /, '/ p TOTAL FEE S 1�-O `� veir V YY1YL' R u alY Y• aos t�nnsEss. 73 Colgate Drive owner builfler vEsciur'riox or' �T TRACT FIRE ZONE I Sienature I Date � GROUP eT SUBCONTRACTOR Final � ?4!?2 �COSTA MESA BUILDING-SAFEfY DEPARTMENT P.O. BOX 317 COHTA MEHA. CALIPORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING � T I A��RESS COSTA MESA, CALIFORNIA CONTRACTOR � VV ADDRfiSB CITY � STATE �� LI0. NO. SIZE � � .i OF LOT ��L—'j' USE OF � EXISTING BLD6. SETBACK LINE FROM � l� LEOAL CITY OF C�SiA MESA MAY '� 1965 APPI�{� ��I��RMIT �1..� �J "—For-Oifice se n y R8C61PT NO. P�EpMAIT NO. . �+�7 {� � DATE � ZONING �, NO.OP YSEOPNEW ' PLANB �%j em�o�p�e�u � A. P. NO. I � i�� -� NOTE: NOEAVEOVERHAN68HALLBELESSTHAN 90" TO SIDE 8 REAR P. L. � EAVES _I� No.oFeLDae. ALLOWED (U.B.C.REQUIREMENT I NOW ON LOT � YARDSAPPROVEO YARDSAPPROVED MAIN BUILOING ACCESSORY BUILDIN(d DESCRIPTION OF WORK REPAIR I I MOVIN6 ' I I DEMOLISH I MAIN B BUILDIN6 NO.OP YAR.�C SIZE ROOMB 8T RIES �� C. U. P. EXTERIOR WALL .I ROOF .�.PP COVERING COVERIN6 `�._.__ BY USE OF BUILOINB AND WORK TO BE PERFORMED " BET. MAIN Q ACCESS.BV �ATE 1 HEREBY ACKNOWLED�E THAT 1 HAVE READ TXIe APPLICATION THE RMOUNT BHOWN UNDER VALUATION IS FOR THE AND 6TATE TXAT THb ABOVE 18 CORRECT ANO AOREE TO COM- PURPOSE OF E6TABLIBHINO A PERMIT pEE ONLY. PLY WITH ALL G�TT OROINANCE9 ANU 8TAT6 LAWB FEOU TINO ypLUAT10N eulLOirv6 coN6TRUGiION. � pERM1T FEE $ � SIGNATURE OF PERMITTE f � LA HEC AUTHORIZED A66NT