HomeMy WebLinkAbout2278 COLGATE DR - Building Permits\
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• � ADP���ant lo fill in all spaces ezcept lhose wit�in Iteavy �orOe� Iines antl sign all aooroo��ate aeciarations.
CITY OF COSTA M�ESOA CONS7RUCTION PERMIT PER N� ��� � TRACT NO. LOT NO. UNIT NO.
Project Address "�-�-�� Cq���"�'� �
Applicam's Mailina Addrrac � e- �� C� �' '�'�"� TVPE OF CONSTRUCTION NEW ADD ALTERATION F
Owner'S Name � r�� E� Phone 3� � CONVERSION ❑ DEMOLISH ❑ OTHER �-�w1�'
Adtlress ZZ%S COL.G� DESCRIPTIONOFWORK/USEOF LDG. � �`-
J� �+{1 Sl'� � Co �`^ � l DE�.J G�_
Arch/Eng. License NO. TVPE OF PERMIT GRA�ING FOUNDATIOryN� STRUCTURAL
AdtlfCSi Ca� p-� ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING LJ MECHANIGAL
Convactor's Nama ���-sv� �S GN C Phone�J�� ��% � oTHEa
Addresz (mailingl 7���5 S, M�� ^'� PRO�ECT DESCRIPTION SQ. FT. oCCUPANCv_
CityLicenSeNO.Ge���� Z�NETRUCTIONTVPE GRADINGCUYDVALUATIONS
IICENSED CONTRACTOR DECLARAYION
I h¢reby a/firm that I am licensetl untle� Provisions ot Charter 9(commendng
with section 7000) oi Division 3 of the Business antl Proiessions Cotle, antl
my Ikense is in rwilp�cetncLetfect. � ��,Z7
LiCense ass C G��� w;r a ni�
Date�—���Z—i��— �. � -��'--' ,
"'ORKE 5'R CdMPENSATION DEClAFAT�ON '
±reby attirm that I have a certi(icate o� �o�sent to sett-insure or a cerHficate
Worker5' Compensation InSurance, O� a certifletl copy [herCOf (Snttlon
d800, Lab. C�ZZ �e^.��
Policy No. CornPany rT/
Certifietl copy hereby furnishea.
ertitie o i etl with the city B il n i Ision.
Date �O ApP���ani
EXEMVTI FR M WORKERS' COM ENSATION DECLARATION
(Thi55ettion neetl nol be Completetl it the permit IS (or ona huntlretl ($300) or
less).
1 certity that in the performance of t work tor wnlch tnis perm�t is issuetl I
shall mt employ any person in y nner so as to become subject to t�e
Workers' Compensatton Laws of f�,
Date Si9na re
NOTICE: If, after. making tnis tleclaration,.you shoultl become subject to the
Workers' Compensation Drovisions ot the Labor Cotle, you must forthwith
comply witn such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm that t�ere is a cons u o lentling agency for the performance
of the work tor which thi5 r it 's issuetl (Sectlon 3097 Civ. C.)
Lentl¢r'S Name
Lentler's Atltlress
OWNER BUILDEH DECLARATION
I hereby aftirm Ihat 1 am exempt trom �he Contractor'z License Law tor tne
ibllowing reason (Section 7031.5 Businass antl Professlonal Cotle: Any city or
County whlch requires a permlt to consVuct, alter, improve, tlemoliih Or repal�
any sVucture, prior to its issuance, also reqWres the applicant for sucn Dermit
to fil¢ a signetl statement that he/she is licensetl pmsuant to tM1e provi5ion5 of
"�e Contraclor's License Law (Chapter 9.(�ommencing with Section ]000) ot
rision 3 0� l�e Busine55 antl Pro/ess�ons Cotle) or that he/sh¢ is Bxempt
:refrom antl (he ba5i5 tor the allegetl ezemption. Any violation of $ocHon
d31.5 by any applicant for a perm�t subjectz the apPllcant to a civil
�enalty of�not more [�an five huntlretl tlollan (§500).
LJ I, as owner of the property or my employeCs with wages as tnair sola
compen5ation, will tlo th¢ wo�k, antl the structure Is not Intentletl or offer0tl
for sale (Section 7044, Business antl Professional Cotle: The Contractor's
Licanse Ww tlocs not appry to an nwneY of a property who builtls or improves
thereon, antl who does such work him4elf/herself or through nis or r�er own
employees, provitletl that such improveRieots are not int¢ntla0 ot oHeretl for
sale. If, howeveq Ihe bWltlin9 or imOrovement is soltl within one year ol com�
oletlon, the owner will have the burtlen of proving he/sh¢ tlitl not builtl or Im-
�rova fOr Ihe putpose of Sale).
I, as owne� ot ihe property, am exdusively cont�actlng wi[h IlcenS¢tl con-
tlactol5 to consttuct the project (SectioP 7044, Bu5ine55 antl Prote55ions Cotle:
The Contractor's License law tloes not apply to an owner oi oroperty who
builas or improves thereon, ana who contracts for such projecis with a con-
trattor(s1 ii<ense pursuant to the Contr ctor's Li<ense Law). I am aware that
p�oof of their Worker'S Compen tio � u�ance sttoultl ba prOvitletl to Te.
❑ I am exempt untler Section 8. & P. C. for this reason
Date Owner
antl 5[ate laws relating �
senta[ives ot Ihis city
inspectlan pur
Signatwe
Drivers' �icense or 55 �
this a0�lica[ion antl state that th¢ above
omplY �+'ith all city antl county ortlinances
tonstructlon. antl hereby authorize re0ra-
upon the�eDpve-mentionetl p�operly for
S. ACRES_
Remarkz:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains �
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Reinspection Fee
Service Sink
Sewer Cap
Sewer Connection .
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Outlets Water Closet
Water Heater
Water Service
Auto-Wash
Laund'r,y Trays
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/FacL BIL ICBO #
Heating System & Ducting
Reinspettian Fee � $15
`MP OB65-46, rev. 10/84 White - Builtling; Canary - Applican[; Pink - Atcounting; Goltlenrotl - AssezSor
luue Fee
Hoo[I or Type I ❑
Canopy Type 11 ❑
Refrigeration System
�aioo,000eru ❑ioo,000eT
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
R
ES
$ 3
r:
$ 3
A.P. �
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Pln9. Re�. #
Planning Notes:
Automatic Washer
Construttion Pole $ub.
Cooking Unit
Dishwasher
Dryers ❑Gas �Elec
Fan
F.A.U. �
F ixtures
Device Boxes
Outlets
Switches
Garhage Dispoul '
Generator �0�5 KW �
Fee
6�41 iai2eiss
2one
.Accessory Building:
Parking Req./Provided
ELECTHICAL "
Trensformer ❑ 15�50 KW �
❑.50+KW
Meter � ❑up to 700 amps
Meter ❑over100amps
Sub Panel
Motors 041 HP � 7 X; 8
Inc.Solar �9-75 HP �16-15+
Microwave
Pole Light
Range
Standing Sections
545 KW � Trash Compacror
$15 Issue Fee
DEVELOPMENT SER VICES REQUIREMENTS:
2oning Approved By
Building Appraved By
Aooliration Issued Bv ..._. ..
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARY OF FEES
BUILDING PERMIT S SMIP $
PLAN CHECK $ PEfiM1T
PLUMBING S ISSUANCE 3
PLAN CHECK 25% 5 ENERGV P.C. $
ELECTRICAL $ GRADING 5
PLAN CHECK 50% 3 �7� MICROFILM $
MECHANICAL $ _-l-4.��v TOTALFEE $ �
PLAN CHECK 25% $
CONSTRUCTION ANDPLANNING POOL&SPA
Date Inspector ' Date Inspector '
APPROVALS Permit # APPROVALS Permit #
1. Temporary Electrical 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 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., 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
72. 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
i 6. 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 APPROVALS Permit # �
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O 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. 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 ��7
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 � �
42. Backflow Preventer � � �
i
.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 � • ' . i
1\ ./ '
/
eoonessocauaano: 2278 COLGATE UR
,oweieasxweicaivxx: FRIEST, GRACE J TR
"0°"�u` 2278 COLGATE DR
CUSTA MESA,CA 92926
�cvi. �u�aa �ooxEss:
1PCHRECT OH FNC�NEER: lIC N0.:
ANCN.OP ENO.'S dWPE59:
uxr:
UM:
�ttars""� pETRGNELLA kOOFING ( 714 ) 59A-1645
cartnecroRs�uta+o 2b26 NEWPORT
"��"� CUSTA MESA CA �"� OG46G7G7
92627 �M 201
LICENSEO CONTFACTOHS OECIANATON: I lwaEy tlfrm w�Eer penel5 i e�ury Nel l am fcanasd wder pra�"vio�u d Cheqr 9
(mmmenc^G weh Sedion ]000) d Dnieun ] d iM Bumrov enE Pmleasb �tle.yW.���Yy e w in IW beea erd Med.
cm. c. : �� �6C, uacuss: C 39 ��'1D' 040070 � EXP: 07/98
me: � cmvaa .
OWNEN BUILDER OECLANITION: I Iw�eEy effirm uMx d ry I enmq Irom iM COM�aum licame lew la IM
JbvmO ���� (�a^ ���.5 &niwss eM Prolesebne : AM c[y a c �my whiM nqui�ee e pmmil lo amnM1ucY. Mx, impro.a,
md'eh, or repv eny elrucl�me, priw w da bwenoe. ebo iiev iM applicg� I la wch permil to fib e eprod sWamenl tlw M a eM
. IiceneeE Wwa^t io iM prweione W tM Conlreaon Lioe Law [Chep br 9(�meneiq wilh Sepon 1000) d G+ubn J d ihe
a��... d,d v,da..o� coael ��nu ns «.n. �. �.mw m e� .�d , m.m �« m, v�.e �.mpo�. Mr •�dn� a s.ao�
]03t.5 Ey airy eppliunl In e permN wEjx}n Ihe eppliwit lo e'1 W rql mae tMn fHe huMied Edlen �5500p.
� I. ea owmr W iM PropenY a mY a^PMa^^ �h we0� %+1lwi ede mmpaneelion. will Eo Ne hork. eM Ns ebucturo e �wl inleMeE
or oNerad la celo (Seclion )OC<, Busimea eM Proleeeiona Code: The Cant�edon Licenee LewEoee rwl epplyto en owrrr W pepeny
who WIM or'vnpavm ihereon, and x1w doee euch wak Mmeell or Mree� a tliraph hb a har awn employaee. p�ovideE Ihel wch
imqavemeMe ere ed intenEeE aWred lor eeb. Il.lawe.er, ihe Witliip a inpowmem'v edd xnhin w yw d aomplelbn, Ns
.�,�w,�ua� Mn naw m. w.e.o a o�+��w n. «.n. eb �a d,ua w�w� �« ma wmo.. a�).
� I. m ownar W iha PbPeM. em uduaiveN oon�red^0 xil� liconead conVeclon ro wntlruq �M pM� (Seeion NN. &nirw� eM
Profeeeiona Codo: The Conlrec�ae lkenx lew Eoea nd eyply to en owner W propMy xfio buika a Impwo iMreon uM xfio
comren� lor wcM1 D�leae wnh e conlredor(e) IicensaE Wnueni to Ihe Contretlan lioeme Lew).
❑ I am exemq unCm SecYan: B. 8 P C., Iv N"v �aesan:
nn. Owiw:
cenM uw � em ewx.. d ene unemwd ihe naN�.mew d celaanie Hmm, ene selav coae seaiam uws. assv. ene
ihat 1 a ury Mure Wik'vp omipent will / wil ml (�b me) med b canply w1h eeiA qma mdn eM �M nyw�mmmb br
Dete: �VW��
WOflKEN'S COYFEN9ATION DKIAXATION: I MrWy affum uMa pxidryW prjuy me d tM ta0ow'vp A�du�tiom:
❑ �n.v..na.Yme"vuenec«Wiuleaom..v�o.w;mw.ror.aken•mmpanWion...w��aMs.rm�arooau.teGar
coe.. e« �n. v.�omwce a u».wi �« whid, �nu o�E u u.uea.
❑ I heva ene wil meimen waMen• camoeve�un imurerce. m mau'uee W Seaion a]ao a me Labor Cods. ta �he w�m� al �M
waM /« xfiiM iM O�n u b�ued. �N warMeev' eomWmmion imu�aeca wria vd GdKY wmber ere:
c.m.,: gr,�,-�aiziriT T*ic EXPIRES
vorwv rmme.,: �,n c o�,� � c n o n 0 1/ � 1/ 9 8
(ihi secTion nesd rpl Ds cvnV�eA Y IMW��t if b wro huMisd ddlars a.
� mn[y Uat in tM pMamvice d ihe work la whidi thie pemin i iaue I M emD penon H any manirr c as to
aubjq io iM uvMero' mmprneiion lewe d CelEan' , en m J I JwuH aEjetl to �M xabn'
oma/ �—�— t S �oa�:
/
�6'im4p: FeNun ro��cun woMwi rompxuetlon cwerep� Is l� AAAyyy( antl �I / 0).ct an xlployw ro ulMml pen�ltlw erM
civ/l An�� W ro on� M1urArW thouun0 tlo/l�n (SIOqPPDA � Itlon tafM c t ol romperwWM1 danup� u proHtlN br In
Ssetlon �108 0l !h� L�Oo/ Cods, IMru4 eM �rtomeyi hu. \`
CONSTPUCl10N LENDINO ROENCY: I hareW �im uMer pereAy �Mt tlie1e is e mngruaion bnd'mp epsiwy M Ihe
�no�en� m ina �� i« .nKn mm ��� ia a.�a (s<aon aoe�. cw. c�.
LENDEfl'S NAME:
LENDER'S AODRES9:
I eenJy ihet I haro rsed thia epplcnion eM nda thM ihe ebwa iMamdion n wreed. I apiee Io cwnply xil� dl dry uM eauMy ad'vienw�
aM etete lewa rele�ip b Wildvq wnwuabn e�d hereEy aNMr¢e repreaenlalives d tltis My to enler upon Ihe ebwe-mentix�sd proparry
lorinapeaiw(pypasos.
` j Ly'CL WATTS ',
While-Buildn0 8 Stle�Y: Qreem�FJe: Cerwy-AGP��: Rnk-Revenue: Gdtlenm6-�veemar
CITY t�F COSTA MESA - HUILLING PERMIT
PERMIT Ni7: B 084597 PLAN CHECK NO: N
CUNSTkUCTION TY'F�E: V-N PERMZT TYPE: STR
JuB DESCRIPTIt�N : T/UFF b RERGGF W/COMP SHINGLES
PERM NO: B 08959"
GGVT: N SUPP: N
PURPGSE: GTH
SQ FT: 3,0�0
CLAIM VALUE: 3,000.00 CALC-VALUE: 3,0OO.OG GROUP OCC: R-3 /U-1
COMMENTS: SMOICE UETECTOkS REQUIREU
it+E iE ic ie w iF if ve iF iF i: �7E+f iF iE iE if �rE iE iF 3E i4 iF iF * it iF i(� ir+F # iE 4 4k i!� ii-ii iE iF tiM1 i6 w if ic i! if if ii-iE if :44 if iE iEif iE it if 4E ii i' i! ic iE iE ie yk it ir-i! it iE-i i! iF =rt A
Z O N I N G R E�i 0 I R E M E N T S
S E T b A C K S
------------ MAIN bUILLING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN ftEAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 427G8306 ZNE; REF NG:
PLANNING NOTES>
>
if ie iE iE �F iF ii ic if iP �E if ic if sE iF iE iF 3't ff iE it ie if fE iE i't �E iE �k iElF if iF ie iP ie iF ie ie ie �e ii iE iE 3E iE iE ii iE 3E iE ie ii' iE ii� ie 3E 1t ic i' 3't iE 1f ic if if il� iE iF iE iF ie ii iE ie iF ii� i%
L E V,E L O P M E N T S E k V I C E S R E Q U I R E M E N T S
ZuNING APFROVEL BY DATE:
HUILDING AFPROVEL BY : U[�TE:
APPLICATION ISSUED BY: � Di�TE: �
iFifieifii�iiieiEi(��)fii'r.iEi'rificiEiEifiii'ti'r +e �e�exxx fe�c stx �e �rse . rtzt+r i'tiEifiiififiEiEif�E ftsc .. xxxscicr,
LEGALIZATION;N F E E S U M M A k Y STRUCTURAL SE�MENT:Y'
bLDG FMT PLUMHING ELEC'IRIC MECHANIC FIRE SMIP/RES GRIaDING
PEkMIT 79.75 .50
SMIP/NGN-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 0.00 75.25 75.25 .u0
REtiENUE DIVISION TOTALS--> COLLECTED: 75.25 UVER/SHORT: ,Ou
BLDG PMT F�LUMBING ELECTRZC MECHANIC FIkE SMIP/TOT GRADING PLIaN-CHECK
79.75 .5"v
jf if * 9t'� 3f l� jc jt 1R'i�'It'If �t')t it jt lf' :S'1F �' �' �"It if x)! lt'){' lf'!f i[ �' if'� i! R lf jl' it l!'� ]f'fi fY T' �"x' �'�lf'�t� 3f lf 1f'�'�t Yt lt'IY 1f if'I! �! lt 1tlt'If <]t YF it'!t ]t' ]!'lt � jF j! it
I N D I V I D U A L F E E b R E A K D u W N
TYPE QTY U E S C k I P T I U N UNIT �t�ST TuTAL CUST
SFR 3G00 REROOF BY VALUE RESZLENTIAL NOZONE 1.00 3,000.00
ENL OF FEES
09-84-1997/d4:p3 Fr�/i75,2�
F'EFtP°9I TRT9g4.J�'.1,47
CONSTRUCTION AND PLANNING PO. S SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspectoi
�, 7emporary Electrical Service or Pcle 52. Pooi & Equipment Location .
i
2, Soil Pipe-Undrgrnd. . 53. Steel Reinforcement •
3. Electrical Conduic Ucility-Undrgind. 54. forms
4. Electrical Conduit-Undrqrnd. ' 55. Electrical Bondin9 ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Fest '
6. Electrical UFER G.nd. 57. APPROVAL TO COVER�GUNITE i
7. Footings 58. Electrical Conduit�Undrgmd.
$. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, u Undrgrnil,
10. 5tructural Ploor Svstem � 61. APPROVAL TO DECK ,
77. Property Sewer Line & House Connection 62. Backwash & Receptor-Finai
12. 8ewer Cap � , 63. Heaier & Vent�Final
13, poof Drains � 64. Plumbinc� System • Final
14. Rough Plumbing , 65. Electrical-Final �
75. Fiough Electrical�Cqnduit . 66. Solar System-Final � �
16. Rough Electric Wiring ' 67. Fencing & Aaess Approval , �
17. Rough Wiring Sign 68. APPROVED FOR PLASTEftiNG
18. Fiough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Condicioning FIRE OEPT. REQU4REMENT
20. Rough Factory Fireplace APPROVALS Permit #
Zi. DuMs,in Structure 70. Under9round Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe•Rou9h & Test 72. Underground Ftush
24. Roof Framin9 73. Undergrnd. Storage Tank Q Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. 7�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. fIRE PREV. FINAL
30. D�Y"�'alt Nailing HEALTH DEPT. flEQUfflEMENT
31. plaster Brown Coat 79. FINAL INSPECTION
32. ElectricAl Power Meter�Final 80. POOD CEflTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canppy
37, Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
q}, golar pomestk•Fina1
42. Backflow Preventer
43. 6ackflow Irriqation
qq. 4andscape Irriqation Systam
45. Sound Atienuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING ��.-� �.,�,/' ;�
48. FINAL PLANNING
49. 6learic Release to Edison �
50. Gas Release to Southern California Gas Co
51. GERTIFICATEOFOCCUPANCY
No Date
owxEx xFsi�r gnn�g� I�,r� �r.TE 6-26-58 _
JOB ADDRESS 2�7a ��a���� n,.,; v� BUILDING PERtviIT N0. '703(
GENERALCONTRACTOR {(_ UJ_ K��� ' � VAL[IE $ 13i i0i.00
AP. No. LOT q(� TRACT �1�FIRE ZONE DESCRIPTION OF WORK Sin� res, w att/gar. �_
INSPEGTIONS I �ATE I I PERMITSISSUED�
SUBCONTRACTOR
DATE NUMBER
Final Gas Test
�...
. 'f�3�
COSTA MESA BUILDIN6 DEPARTMENT
P. o. eox 3 i �
COSTA MESA, CA�IFORNIA
a�
AD
OWNER
FOR APPLICANT 70 FILL IN
2278 Colgate ]h�,
COSTA MESA. CqLIFORNIA
ADDRE55 2�26 N�O1� IIL`/LL♦
�,r., . Newport Beach� Cal 'No: OR
R 8 W L1O11 COIl$y CO�NO.
ADDRE55 zgz6 N
LEGPL LQT 36
DESCAIPTION NO.
A.P. NO.
SIZE
oF �or f,3 x 96
SETBACN LINE FROM
CENTER OF STREET
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FI�!",f�CE DEPT.
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APPLICATION FOR PERMI7
BUILDING
FOR OFFICE USE ONLY
BUI�DING
ADDRE55
COSTA MESA. CALIFORNIA
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ffivd, No oR 36601 B�
LOCK TRACT �1�
NO.OF BlOGS.
NOW ON LOT
� REAR VARD � �
I FF�
DESCRIPTION OF WORK
NEW � ALTERATION AD�ITION
REPPIR MOVING DEMOLISH
9UilDiNG �NO.OF
SIZE ROOMS 6 STORIES
EXTERIOR WALL ROOF
rnvvaiNr. .9tllCC0 "COVERING rnr.k
DATE
CORRECTIONS
i� G �'-�/
I HEREBV FCKNOWLEOGE THPT I HAVE HEA� THI$ 4PPLICATION ANp •� i"/
STPTE TXAT TME FBOVE IS CORFECT FND qGpEE TO COMPLV WITX PLL v� �� ��
CITY OR�IN4NCE5 AND ST4TE LLWS REGU�qTING BUILOING CONSTRVC-
TiON. VALUATION �� _
PERMIT FEE $
SIGNATUREOF Kendon Homes� Inc,
PERMITTEE
� $/ 7/ � /O � ,� PLAN CHECK $ �fe �
J l� p
AUTHORIZED AGENT TOTAL FEE $ �J '
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