HomeMy WebLinkAbout2359 COLUMBIA DR - Building PermitsPHOJECTRDOHESS: '2359 COLUMPIA DR
iOWNEF'SNpME: WICKS HAItOLD YZ
nooeess: 2359 COLuMBIA DR
� COSTA MESA,CA 92627
� 545-0710
AflCHIENGINEEfl:
AODflESS:
NEG.NU.:
UNI�
UNIT:
� PEHMITTEE: HFiROI�D wiCKs � ( 714 ) 545-0710
aooeess: 2359 COLUMBIA;
C.M, CA 92626
LICENSEO CONTHRCTOfl OECIAflAT10N: I hereby aflirm t�al I am Iicen5e0 unaer provisions o� Chap�er 9 �commencing wi�h Sec�ion
7000) 01 Orv��sion 3 of Ihe Business anA Pmfessions Code, and my license is in full lorce antl eifecl.
;�
CITY LIC.: STATE LIC.: ' CIASS:
Daie: Signaiure:
WOPNEHS' WMPENSpTION DECLABATION: - I �ereby allirm that I have a ceni�icate oi conseni �o sell-insure or a certi�icaie o� Workers'
ComOensalion Insurance, or a cetlilietl copy ihereol (Section 3800. Lab. C).
POLICY NO.: EXP. DRTE:
COMPANY:
t � Cenitiea coOY is hereby lumishea. ❑ Certilietl copy is tilea with tne city Building Division,
.e�e: �Applicant:
EXEMPTION FAOM WOBNEflS'COMPENSATION OECLAHATION: Qhissection need na�De compleleAillhe permi�is�orone Auntlretl�8100�or1e55�.
I cenify Ihat in Ihe pedormance of Ihe work Iar which ihis permit is issue0, I s�all not employ any person in any manner sa as to become
sublec� lo ihe Warkers' Compensation Laws oi G2litumia, tl
�ate'. ' Signalure:
'NOTICE: Ii, a�ier making �his tleclara�ion, you shoWa•become suble�� �o �he Workers' Compensa�ion pmvi5ion5 of lAe La6or
Cotle. you must totlhwith comply wi�h sueh pmvi5ions or��his permi� shali �e tleemetl revoked. .
CONSTHUCTION LENOING AGENCY: I hereby�a��i�m t�at �here i5 a canstmmion IenOing agency for Ihe petlormance o� �he work tor
which IFis 0¢rmil i5 ISSuOtl �SBCtiOn 3097. Civ2CJ. ,
LENOEF: �;ii
aooncss:
OWNEB BWLOEB OECLAflBTION: I here�y aflirm thal I am exempt Imm Ihe Conirac�ors' Sta�e License Law �or the lollowing reason
(Seclion 7031.5 Business anA Pmlessional Cotle: Any ciry o� counry which requires a Dermi� to conS�mcL al�er, impwve, tlemolish, ar
repair any sVucWre. pnor to its issuance, also reQuires iM1e ap0lican� for suc� permil b file a signea statemen[ Iha� he/she is Iicense0
pursuam m ��e pmvisions ot tne Contractors' S�ale License Law (Chapter 9(commencing wilh Section 7000) of Division 3 oi the Business
and Pmlessions Cotle) or �hal �e/she is exemp� Iherelmm ana Ihe Oasis br Ihe allegetl exemption Any violaiion ol Section 7031 5 by
any aOP�icant lor a permit sublec�s Ihe applicanl �o a civil penalry ot nol more �han live huntlred dollars (8500�. �
I, as owner oi Ihe pmpeny or my employees wilh wages as Neir sole com0ensation, will Ao ihe work, antl ine
� stmcwre is no1 inlen0e0 or olfered lor sale (Section 7044, 6usiness antl Pmtessional Code:� The Con[ractors' Stale License Law
does no1 apDly to an owner of a pmpeny who builOs or improves thereon, antl who tloes such work himsel�/hersel� or ihmuAh
his or her own employees, pmvided �hai such improvements are noi inientletl or offeretl br sale. I�, however Ihe builUing or
impmvement is sold wi�hin one year of completion. Ihe owner will have ��e bmden ol pmving he/s�e tlitl no� 6uiltl or impmve
lor �he purpose of sale�. '
�
I. as owner o� �he pmpeny, am exclusively conlracling wi[h licensed conVactars �o consimct lhe pmlect (Sec�ion 7044, 8usiness
�❑ an0 Pmfessions Cotle: The Contraqors' Slaie License Law tloes not appiy m an owner ol propeM who huilds or impmves I�ereon
and who contracis �or sucA Omlecls wi�A a contracioqs) license pursuam m t�e Contractors' Siate License Law),I am aware
Ihai pmol 01 thelr Worker'S Compensa�i0n insurance 5�oul e pwvitled �o me.
� I am exempl un0er Section: 0. 8 P
lar ihis reason: /� / � /
Dale: �L/ J / // L'� _L_/' V71�� �
ow�e�: �
I tlo hereby ceNly �ha� i am aware of antl untleislantl �he requiremenis ol Calilomia Heallh ana Satety Cotle Sections 25505, 25533, antl
25534 antl �hat I or any fuWre building occupan� willlwill noi (cirUe one) need ta comply wi�h SaiA s�a�e codes antl iM1e requir¢menls for a
permil lor consimction or motlilicalion Imm I�e Air Ouali�y Managemen� DislricL Resitlential cons�mction applica�ians are exemD� ��om
these pmvisions.
Oa�e: qp IicanP.
1 hereby ceriily I�al I �ave read Ihis applitali0 and Slaie �hal Ihe a0ove inlormaii0n is corr¢cL I agree �o compry wi�� all Ciry antl toun
artlinancesantlslatelawsrelalingtabuiltling ns�mctionanUherehyauthorizereD�esen�a�ivesollhiscilyloenleruponiheabove-menli 4
properly for in5pecllon purposes y,
�ale: � ` / � ` y� Signature'. ����� ✓6 /�
oriver's �icense ar Sacia� Securiry $
164FG6
Wbite—Builaing�, Green—Cotle EniorcemenL Canary—ApplicanC Pink—Revenoe; Goltlenrotl—Assessor
PERMIT NO: H
CITY Or COSTA MESA - BUILDING PERMiT
052921 PLAN CHECK NO: 02579-91 S
CONSTRUCTION TYPE: ' PE: STR
JOH DESCRIPTION 960SF SOLID ROOF PATSO COVER
CLAIM VALUE: 12,000.00 CALC-VALUE: 13,248.00
PF:RM NO; B 052921
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT; 96U
GROUP OCC: R-3 /
COMMENTS: pPEN PATIO COVF.R ������������
�*��x��*�****�*�x��*��****��r�**�**��#*�**�*�**x��������*���
Z O N I N GS ERTEH�A CiK�SE M E N T S � y '
.....::__. ���h9����
------------ MAIN BUII.DING ---------- --------- ACCESSORY HUILDZ.NG ---------�-'
FRNT: 20 FT IN REAR: 16 FT IN FRNT; FT IN REAR: FT IN
LEFT; 5 FT IN AGHT: 5 FT IN I.EPT: FT IN RGfiT; FT IN
YARKING RE): PROV; PARCEL: 14145309 ZNE: R1 REF NO:
PLANNiNG N�T'FS> PROPUSED 960 S�.FT. PATIO COVER ATTACKED T'O THE REAR OF THE
> RESIDENCE. -
+�**��**�r*�***�*��**�*���r�*�*********��*�**r��r�******��**��+�**********�******�*��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 k'E M EsN.;T.S
ZONING APPROVED HY � DAT6:,,_•��
BUILDING APPROVED BY : DATE:%'�.
/�, . r i �'.•'S
APPLICATION ZSSUED HY; Qc DATE• ��
iEik3E�fiFlElEifiP�EiEif1E1F'3fiE3flf�EiFlffE jflEfF�F�lEN-3fiE1F)f iE��
iF iF iE iF iF iE �f jF aE iE 3E 3(;. iF iE k i61E 1E 1E IE iE iE k iF ik if iF aE if aE �f iE k!F IE if iE if if iF 1E �F 1f 3E 1E iF 3f lf if if iE if iE if iE jE if iE iF 1f iF iF IE if iF �E iE 3E 1f� iF iE jf iF if iF 3f iF ik #f
LEGALIZATION;N F E E 5 U M M A R Y STRUCTUFt%AL"; SEGNENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAUING
PERMIT 153,00 � 1.32
SMIP/NON-RES
PLAN 99.45
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK iOTAL PAID DUE
TOTALS----> 154.32 0,00 99.95 253.77 253.'77 ,UO
REVENUE DZVSSION TOTALS--> COLLECTED; 253.77 OVER/SHORT: ,UO
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
153.00 1,32 99.45
if iF iF fE 3E IE fE if if iE 1f 3E 3f �E ik !E iE fE jf 3t 3f if� jE iF iE �f 3E iE if jE?E 1f iE �E jk if iE 3f if IE 3E 1F 3f �F 1E 3F �F �E dF 3E 3E IE 3E if # 3f if N� � iE ih if af ?F jf 3i� 14 3f 34 lf �i 3f iF if �4 iE IE IE )E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNTT COST TOTAL COST
SFR 960 RES-PATIO COVER-POST 6 SOLID ROOF 13.80 13,Z48,00
END OF FEES
0! a0092342-0�D923�4 'fi-O 7 253.77
DATE: Q7/1S!41 TiliE� 15�+°
.. � � "� � � . P00I 'A � � .
�CQNS?:4UCTION AND PLANNING " . :'`^;� ,
APPROVALS Permit # � Date Inspector pppROVALS Permii # Date Inspector
1. Temporary Electrital Service or Pole �.52. Poo� & Equipment Location , " � �
2.�Soil Pipe-Undrgrnd. � ' 53. Steel Reinforcement `'
- 3. Electrical ConduiY Ufility�Undrgmd. . ' ' � 54. Forms � .' �
:� ,4. Electrical Conduit:Undrgrnd. � 55. Electrical Bonding � � ' � �
5.� Steel Reinforcement - ' 56. Rough Plumbing & Pressure Test
6.�Electrical UFER G�nd. lQ_(r.(�' ��� 57. APPROVAL TO COVER�GUNITE ���. .
' 7. Footings - �i0-((.. ( �. 58. Electrical Conduit�Undrgrnd. �<_
_ 8. �Foundation g/q6 � �t -{{�( �(//� 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 � ��
i l�. Paoperty Sewer Line� & House CAnnection 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 Electric�l-Conduit 66. Solar System-Final .- ', f
16. Rough Electric Wiring 67. Fencing & Access Approvai . �
17. Rough Wiring Sign _ 68. APPROVED FOR PLP,STERING `'
18. RoughElectrical-TBar,Ceiling 69..POOUSPASYSTEMSPINAL _
19. �Rough Heating & Air Conditioning � FIRE DEPT. R�EQUIREMENT
..
20.�koughFacto,ryFireplace - �r � ; -: a -APpROVALS .'Permit#
� " < ,. -
21 �Duccs, in Structure, . , , � - .T,:t , �70. Underground Hydro '
22. Ducts, Ventilating�- .' � -� 77. ProductPiping OGas O'Oii
23.'Gas Pipe�Rough &'Test �' � ' ^72, Underground Flash.
24.� Roof Freming • - � � -- ^ � � � 73.� Undergmd: Storage Tank �O Gas ❑ Oil
25. RoofiSheathing .- _ . ', '; .�Z�r�L,.� �g�, 747,OverheadHydro�.`'
. ' l /.. �V L� , � .
/-'�' ' _
26� �T-Ba� Ceiling {Strucmrall &.Mo�ocoat - � _ , , � 75_-Dry ChemYcaV • -
27;' Frame`and Flashing 1' �*' ,. � 76. Dry Standpipe '� ' •
.,� -
'28. Lattiing�&�Siding . , �:� '.,;; ;>. . - 77•,�FIXEDSYSTEMF.INAL' � -�
� 29. Insulation, � ` � � J ' ' - ' '- I ' 76,. FIRE PREV. FINAL � •
�30.Dry'wall_Naiting �- ' �� A � ! - HEALTHDEPT..REQUIREMENT
' 37. Plaster Brown Coat ' f � � 79:� FINAL INSPECTI�ON ' �
'"32. Elecirical Power Meter-Final. .� - .80. FOOD CERTIFICATE ISSUED �
33.-Final Electiic � _ � : t ` Notes: � . .
:-34: Firial Heating�& F,i� Conditioriing %�' � 'T' ' , � ;, � -
35. Final Gas Pipe-Test , � �+`� „ �
, 36:zHood orCanoPY . � . " - � �� ", . � f •• � .
�'37'Final Factory Fireplace '' � � � '� - :,
,.
38. .Final PI'u'mhing . � � � � .� r i ,, �. � , °--
�39..WaterSerJice-Finab �� • � ' � . � .
40.' Gas Service�Final ' . � � ' - � � �
. :.,. . . . � _ �
,� 41:� Solar pomesticFinal � - � � _ - r.- �
_
42:t8ackflow Preventer' ,� ", - - � � f.. ; .s '
43. Backflow Irrigation: � • .;. - - ' • , �- � � •
- � r'
44. Landscape Icripation System ' - , .'� - � :,� � � , � ' : -
�,45.°Sound Attepuation - . . � L � � ' � � - a,
`�46. Handicap Regulations . ` '� � � r '-� „` � _ ' '
� 47:. FINAL STRUCTIIRE & 9U,�LD�NG �.r' ( � �
_ �Y_lZ. i�
48. FINAL PLANNING . _
=49c Electric Release to Edison _ �� ' j� r � � ' �
50._ Gas Release to $outhem Califomia Gas Co ' • ��� i � . I_ , , •, ' � '
51. CERTIFICATE OF OCCUPANCY ' , : ,
No. Date •
NOTE� SHOW AND DIMENSION PRC
PATIO COVER AND YARD A
-- � —�
�'e'�{' 1� � �
I V
�SED ,1f
AS ' r��
ADDITIONS, DElEfIONS,
BE APPROVED BY iHE I
�
� ~ 6� 5�
i
� r ~ � �
I � A '�� -� I
� i �'i " ^! �
' A� � F�� F��� O �� � �n—��P
City of Cosf Mesa Sui;diny �}eGt. '' tITY
r. � $J , � �i P
�_---5� GATE 2I-�� �9-!_L � �.
1NcSE ?LANS MUST P.E ON Jp� p,7 qLL TIh1ES M.Y(E ' �{Y
J ('fiq' � '
G�s 1�I i HO�i T PR��'S,2�OVkl OF DwPT.
•� �ll4N(' OR Gpe� rlt C O 2
�,r o si _cir , F c�"Mir o�� n�� :ovn. or
�. � T�IO�1. 4��L�f-CiiLCc�M1Sr{{ii�)10���
CRtfJ P'�l7.iv.iLO-qyiV�01 l � �
' f' '�l I In .ic Q� �)U J � v A � � qn�y • /�y /,/�`ry
: il'f±qY *.O V�OLA�11':^ '�r iPA.ii-F� i7,9s;GTQGIVF �,y�� l./V /
c O! ��iIJCFL 1'fic PRO6'iSIOtJG UF lHIC �
,�,�E 5`i,d1. 5F VALID E11�. r"
..�!�F( iT qii �. i i Ip SO FAR A$ 7'H� �rlpq^ n:
i loal.'g5 IS iA� !f-W n 7 U5F/
rr��- ,�:si�c;acr_ or , ... ,�_�� �C� l�- V �%�? �r
'ECGICkI l'JNS SI1All �VD' ..PRpS,r.N. T;1E i�. Vr `"L�::S A�lC� i '�
:OtA iHEGifqi"TEF. REOUTAING TV; � 1'I JrW3 UfFiCl/:L �
;'' �':..:�:: :iAiD SPECq" t -SCOP,.f7EC'lIGkOPF.FiROFSiiJ �
i:Vp:;._r_-:_.._� IC,1.f(:VS Of? F:7�!.1 '�A_v,-.�-„'
. i�i. �''.•_••r,.OP.h BEIh'@, CqRRIFn pA; i:-cRCUr -
i;,.;c �: or. �:,�� �cr.r. o�{ o� a,rri o��us�r e:.�ns;T�:�,� E T
-�,�.
PLOT PLAN
CORRECTIONS SHALL
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CONSTRUCTION
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CONSTRUCTION DETAILS
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._DET�4ILS
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LEDGER ��
CONT.
LEDGE
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CONNECTION - .. ____,.__.......J..... __.___ -
' �EVEr.�Pr�nrr . _. _. - ,
- . .,; ;sEavzcas n�rurir�tar •
-BUII;DING SAI'E,TY DIVISION
�SOLID BLOCK ;''�? : .-„ . „ �
,', R,aF - O�WNER�:'�'/�►-oL:d~'I,JiG�KSy� �
TfR
ADDRESS:'a3�.L�b �.v���� �' . .
�I/2�� DIA. X 5� �AG SCR.
AT -32�� O.C. ' '
DETAIL I
CR B CL ��TECO�
GRIPS OR JOIST
HANGER
3/g° DIA. X 5�� LAG SCR.
AT �b" O.C.
DETAIL 2
IOin50R .LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
� x, FACIA -MIN. REO.
RAFTER
APPROVED METPL
HANGER
—v-- �
DETAIL 3
:
�
CONTRACTOR:
ADDRESS:
RAFTERS
CARPORT, PORCN OR PATIO
NOT SUPPORTING CEILING
SIZE SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0" �
24" - 6'-6"
32" '6' -0" • - -
48" � 5' -�" 1''��t `"^
2"x6" 12" 16'' -6" -�
16" . 14!,-6" .
24" 12'-0".,.
32", 10' -6'•'. �
48" 8' -p��
2"x8" 24" ,....15.'._6;'._': ,
32" 13' -6" : ., �.
48" -...11 � _6�� . ... .
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0" ; � �
36" 18'-0" �
48" 16'-0"
4"xL0" 32" 22'-0"
36" 21'-0"
. 48" 20'-0"
�72" 17'-0"
PATIO COVER
TYP PLANS
DATE�
PHONE: �%'S�7 � o
LIC. N0.
PHONE" �
- r_•-.
�. .
RAFTERS
LIGNT WEIGHT ROOF COVER OF
LATH, FIBERGLASS, ALUM.
SIZE SPACING � SPAN
2"x4" 16"O.C. 9'-6"
24�� 8�_0��
32" 6'-6"
48" 5'-6"
�2"x6" 16" 16'-6"
. :._,'.
24" 14'-6"
32" 12'-0"
" " 48" 10'-0"
� 2��X8" 24�� 19'-0��
32" 15'-6"
' 48" 13'-6"
HEADERS
, LIGHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6� 9'-0" � �
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 5'-0"
4x6 8'-0"
4x8 LO'-0"
4x10 12'-6"
APPROVED FOR
BUILDING PERMIT
By Date
GENERAL NOTES•
1, These plans must be
kept on the job at
all time during
construction.
2. All framing to be
Douglas Fir N� 4 :
grade minimum.
3.. Rafters may no[
attach to facia ex-
cept for 107�,yroofs
as shown on details;
TOIbsroofs must use
a continuous ledger
attached as shown
on de[ails IILL�#2.
4. Light weight roofs
�may attach [o facia
for 14' span max.,
spans over 14 must
use a continuous
ledger as shown in
detail 1i3,
��5�� �E �
`h �
q'6 � � tl I19 � l7 � �
City o Cos}„ Mesa Building Depf.
��
__._UqTE! L
iHESE P - �U� — — — `
MAKE NO C 1ANG � VN JOB A7 ALL
OF DEPL � �'�'�iHOUi cn
iHE ISSUANCE OR GRANiING OF A PERMIT IR AAPROVAL
OF p(pdg AND SFFGF��qTIONS SHAIL �YOi BEyCONSiRUED
i0 BE A PERMIT FOR, OR AN APpqpyq� pF qN'1 VIOLATION
OF qNV OF TNE PROVISIOIVS OF 7HIS COUE. YO Fl1ERMI7 PRE�
SUMING 70 GIVE AUiNORI7Y 70 VIOLq7E OR UANCEL THE
PROVISIONS OF iHIS CODE SHALL BE Vql,�p, �'�rEP7 IN SO
FqR ll$ iHE WORB OR USE WHICH Ii qUTHORIZE51 j�' �qy�rp�� �
SPECIFICAT p� SHA�� OF q pERMIi BASED UPON
FROM iHEREqF7EF REpU1RIN6R7NE 7 iHE BUILDI,
+M SAfD PIpNS AND SPECIFlCA770NS GOR E ROM F
BUILDING OPERqTI0N5 BEING CARRIED ON TNEREU�
OF iH ��TyN OF iHl$ CODE OR OF ANY O7HER (
nnS AND
OFFICIAL
ERRORS
WHEN
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-OwNER DT_KE & COLEGROOE DATE �_12_K7
JOB ADDRESS 2359 Columbia DT'1V8 BL[ILDING PERMIT NO. 5(y�yQ �
GENERAL CONTRACTOR S21rte VALIIE $ li � C90.00 _
AP. No. LOT 13s TRACT Qq55 FQ2E ZONE DESCR[PTION OF WORK Sin�le Res. & Garaee
TYPE
INSPECTIONS � DATE I SUBCONTRACTOR
T¢5[
Power
i�
RMITS ISSUED
J �
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. - , 5420
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�COSTA• MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
nooRess 2 COlUIDbi3 DI'iYe
COSTA MESA. CALIFORNIA
OWNER
MAI�
A�DRE55
TEL.
c�rv M a No.
ARCHITECT `'��sO[]e��Ok LIC.
Oft ENGWEEft (1(jj NO.
ADDRE55 (:9T(jPT i:Tt1V(+�
[�lii'�A[�A
LEGnL LOT � � �] Q
DESCPIPTION NO. �Q BLOCK TRACT
A.P. NO.
SIZE No.oF aLOGs.
OF LOT O][ �oo �IOW ON LOT n�r
USE OF
EXISTING BLDG.
SETBACN LINE FROM
CENTER OF $TREET � I REAR YARO 3�,
SIDE YARD RI�GHT " � LEFT 1�
DESCRIPTION OF WORK :
NEW X ALTERATION AOOITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW
eui�ow� Sinvle familv reqidenr.e and
„_" � . .:".. .
FEE RECEIVED
� � `a- �� � c� .��
FINANCE DEPT. `�` �`
' APPL��A�IC7'f�7T��'RAPERMIT
BUILDING
FOR OFFICE USE ONLY
FECEIPT NO. pERMIT NO.
syy�
AE�E�in-� LA-a�-�s� 7-/a-55'
BUILDING
ADDRE55
COSTA MESA. CALIFORMA
FIRE
ZONE
APPROVED
BV
CORRECTIONS
CITY OE
—t�L� �ri
SUBJECT TO
I HEREBV PCKNOWIEOGE THFT I HAVE flEAO THIS RPPLICf�TION AND
STATE THAT THE ABOVE I$ CORRECT AN� RGREE TO COMPLV WITH PLL
CITV OROINANCES PND STATE L��NS FEGULATING 0111LUING CONSTRll6
•riorv. /J]� VALUATION
SIGNATURE OF � / ' ��4 '
I!1 IB 13,690.00
AUTHORIZEO AGENT L�e and Colegrove
A M[SA
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DEPT. REG.
PERMIT FEE $ jj�0(J
PLAN CHECK $ 16�W
TOTAL FEE S %Fg•OO
.
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OWNER LpI FINANCIAL Q20UP DATE 1-U1-tlU
JOB ADDRESS 2359 Coltmibia Avenue eUILDING PERMI7 N0.
� AP No. 141-453-09 LOT
INSPECTIONS
soi�
GRS
WRTER
ROIIGH PLIIMBING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEaTING ANO AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND �I POWER �
ROUGN WIRING
TRENCHES FORMS STEEL RE
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE �
$XEATMING
FRAME RNO FLASHING
LATXING — IN I� OUT I I '
ENT.. REFRIG. ANO A.C., FINAL
FINAL ANO GAS TESi rI �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
eUILDING
ADDRESS Z3Sq �'[�LVMQIA AYC.
OWNER OR
TENANT L 17 1 1=�.J14�1 C li�\ �Ol 1�
CITV
No. 4,Yo714
BRANCH
ADDRESS —�
ARCHITECT -- TEL.
ADDFESS _1
CONTRACTOR �(,,U �I C 2
ADDRESS 23S 1 f(�N /��\6vC`L
TEL.
CITV CN�� NO. —
STATE CITV
LIC. NO. ' LIC. NO.
512E NO.OF BLDCaS. I
OF LOT 7c7 x � OO I NOW ON LOT
USE OF
EXISTINGBLDG. �CIO(5'^� C�
Separate permits are required for .
electric, plumbing and heating work:
�.iZa_—��l
I hereby acknowledga that I have reetl this appllcation antl state
that the ebove information is correct and aeree to'comply with
all laws re8ulating builtling consvuction, antl I shall not employ
any person in violation of the workman's compensation laws of,
the State ot Californla. ,
I hereby certify that I am p�aperly Iicensetl as e conttactor under
the State of California Business antl Professions Cotla, Division 3,
Chapter 9, antl that such licenses are in full force antl aftact, or I
am exempt from ihe provisions of the State ot Calitornia Businass
and Professions Cotle, Oivision 3, Chapter 9.
SiBnature of ��� /� �
Permlttee 7�
or
Authorizatl Agent Oate ��2 —��
APPLI ATION FOR STROCTORA�L PERM[T �.4���0�, TL
�E V PERMIT N° 49453
A.P. NO. / .� � ^
BUILDING /L'1C"b �l_ /,/,�.
ADDRE55 J'� 7 Q.. �wic_�
UNIT OR
SPACE NO.
LOT
OWNER L�/ I ��/�`LS.�
VALUE
�5E D..,,Lio �a✓ei►� s
SETBACKS
/
PLANNIIVG ACTION
DATE �/ Z/ ��
DATE
m
�
i
m
e �z m
SQ. FT. �
�
THE AMOUNT SHOWN UNDE VALUATION IS FOrI m
THE PURPOSE OF ESTABLISHING A PERMIT FEE O�`���� ,y`
VALUATION PERMIT FEE E � ,OU
PLAN CHECK $ � "�
$ '��/ '.W � o
/ �� �� TAX S 'J�y"wO •� U
lC�i
TOTALPAI� S /��5�