HomeMy WebLinkAbout2571 COLUMBIA DR - Building Permits�»a»sa-sz�a • Fax (714) 754-4856 • www.ci.costa-mesa.g�yfiLDING PERMIT
Job Address: 257�
Suile:
Vicinity:
COLUMBIA DR
Primary Occ: R3
Parcel Number: 14139111
ApplicanC JOSE GORINA
Address: 10395 SLUSHER DR
SANTA Fp SPRINGS, CA
Type of Construction: V-N
Zoning:
Phone: 800-807-9889
� Zip: �90670
owner. HOBIN,,DENNIS J ,
Address 2571 CO�UMBIA�DR� � � - "
, ' , ' . � Phone: 714-549-4402
COSTA MESA CA � -� - Z' � 92626 6176
77 FAIR DRIVE, COSTA MESA, CA 92626
/ �
� �\ � ,
Status: ISSUED _ ,
Applied: 03/082006
Issued: 03/08/2006
ISSUED BY:
ip.
Contractor �: SEARS HOfNE IMPROVEMENT PRODUCTS INC � ��,�.��
Address 10395 SLUSHER DR%� � `�' ��
� � -. � ",: � , . Phone: 800-807-9889 - .
� SANTA FE SBRINGS, CA �AT�
Zip: 90670: � "� . License: 721379 � , ,
Arch :.
Address:
Zip:
Phone:
License:- - � �. ..
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT -
�'- REPLACE 9 WINDOWS AND 3 SLIDING DOORS. THE REPLACEMENT IS LOCATED AT THE SAME AREA AND OF THE SAME SIZE. BEDROOM
: WINDOWS SHALL COMPL YWITH UBC SEC.310.4 , � � ;�
Plan Check: $0.00
Rermit:- $237.25
SMIP Res:, . $1.39
SMIP Com: $0.00
Other: . $0.00
Inspection: $0.00
' - ; FEE SUMMARY
� ,.
Calc Valuation:
Claim Valuation:
� 1,
.'
TotaL• $23$.64
� . :' PCANNING &-ZONING � �
,.
SETBACKS �,, � � �
MAINSTRUCTURE Front 0-0. ��:,�,�,Rear�� 0-0 Lek 0-0 �� . . � Right �0-0 � . .
, ' . � . - `.. _ _ . . , ,
ACCESSORY� .Front ' 0- 0�. ��� ., Rear � 0- 0 ' Left 0- 0= . Right - 0- 0�.
.' �� .�, . > � . '.,, ' ' ' - ,
PARKING ; �� Ezistin :�. �0: � �Reauired: 0 Pr000sed: 0 � '
:. �, � _ � �
$13,900.00
313,900.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectiona and f(nal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46(fi/00)
WORKERS'COMPENSAnON DECLARAnON� , , �
I hereby aNirm under penaly oi perjury one of iha following tleclarations: �
❑ I heve and will malntain a certificate of consent to self-Insure for workers' compensation, as provitled for by saction 3700 ot the Labor Cotle, for the pertormanca oi the
/ work for which Ihis pertnit is issuetl.
ve and will maintain workers' compensation insurance, as required by section 3700 of ihe Labor Code, for the ce of Ihe work for which Ihis pertnit is issued.
M orke�s' compensation Insurance carrier and policy number are: -
C": �cC�� Poh Num r: W L�G M� ��� Be�
(This secf/on naed nof be camp/eted il the permit is valued et one hundred dollers ($100) or less. J �
❑ I certity tnat in the pertortnance of !he work for which this pertnit is issued, I shall not employ any pereon in any manner so es to become sublect to the workers'
tion laws of Calitomia, and agree that if I shoulC becoma subject to ihe workers' wmpensation provisions ot S�ction,3700 0l the Labor Gotle, I shall tohhwith
ly wi these prov' ions. n
p�icant Si ure: �C� Det . 3 O I O(o
FAILURE TO SECU E ORNE 5' OMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN E�O CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED
ilqUSANDDOLURE(5100,00 . �JADDITI N OTHECOSTOFCOMPENSATION,DAMAGESASPqOVIDEDf4RIN5ECTION71060FTHEfABORCOOE,IMEFEST,ANDATTORNEI"SFEES.
IICENSED CONTRACTORS DECLARATION:
BI I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division
u�. a 7'2 13 �7 `T r
Code, entl my license is in full
CONSTRUCTION LENDING AGENCY:
❑ I hereby aNirtn that there is a construction lentling agency for the pedormance of the work for whic� t�is permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Nama:
SignaNre: �
OWNER-BUILOEF UECLARAT10N5:
LefWer's Address�.
Oate:
I hereby ettirm that untler penalry of perjury that I em EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, 8usiness and Professions
Cotle: Any ciry or county which requires a permit to construc6 elter, improve, demolis�, or repair any sirudure, prior �o its issuence, also requires �he epplicant for such pertnit
to tile a signed statement that he or she is licensed pursuant to the provisions oi the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi Ihe
Business and P�ofessions Code) or that he or she is exempt theretrom and ihe basis for ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the epp�iwnt to e civil penalty ot not more than five huntlred tlollars ($500).):
❑ I, as own6� ot ihe property, or my employees with wages as t�eir sWe compensation, WILL DO TME WORK, antl ihe structure is not imantletl or oHaratl for sala (Sec.
7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves ihereon, and who tloes such work
himself or herself or ihrough his or her own employees, proviaed Ihat such improvements are no� intended or oMeretl for sale. If, however, Ihe building or improvement is
sold within one year of completion, the ov+ner-builder will have Ihe burden of pmving that ha or sha did not builtl or improve for purpose of saleJ. '
❑ I, as owne� of the property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to consiruct ihe p�oject (Sec. 7044, Business and Professions
Code: The coniractors License Law does not epply to an owner o� property who buitds or improves ihereon, and who comracis for such projec� witM1 e coniractor(s)
license p��suant to the Comrectors License Laws.).
❑ I am exemp� undar sec.
Signature:
Owner ID verifi@tl by driver's license. ❑ Ves ❑ No
Business and Professions Code for Ihis reason:
Venfication of Ownership by (type of document, i.e. � pmperty tax bill or tleed):
Drivefs License No.
Date:
Expires:
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenify ihet no eacavetion five (5) or more feet in tlepih into which a person is requiretl to dascend, will be made in connedion with work authonzed by Ihis
permit, antl that no building siructure, scaflolding, falsework, or demolition or Gismantling Ihereoi, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Califomia Administrative CoEe).
❑ As owner•builder, 1 will not employ anyone to do work which woultl require a permit from tha Division of Industrial Safery, as noted ebove, unless such person has a
permit to do such work fmm ihe division.
Signature: Date:
Division of InduS�rial Safery Pertnit Number:
CERTFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTAY: I certity under Oenalry ot perjury that I have reatl ihis application and state ihat ihe infortnation given is
correct I agree to comply with all state laws and city ordinances relating to building consWction, and authorize represen�atives of the Ciry of Costa Mesa �o en�er upon Ihe
above-descnbed p�openy for inspection puryoses. I agree not to occupy or allow cecupancy of any building authonzed by this permit until final inspection.
COUE �. 7�1Qtl.�PE "" .
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Ra-Rool
201 Final BIocWRetaining Wall
202 Final F�ctory Fire Place
203 Final Sign
204 Final D2molition
PdIE INTITIRLS
CODE� INSPECTIONTYPE
206 Final Methanical
208 Final Plumbing
210 � Final Electrical
212 Final Fire Prevention
220
222
250
Final Plannin9 ADDroval
Final Site
Final Builtling/Occupancy
�g
INIRI�LS
PROJEGT TITL@ - ,.�- . ,
/ y . �\. %� I ' �
' � I�� :�J '� f-.�l il .I ' .I f: -�' \. /� � � I
� ��` \ �/�� '.. .
ME I 55N�R ' � ^°°�T'� , � ,.. , '.'
:��.; �-
:, ._ , :. :; .����.,�A , , �
RE51 DENGE -�RT ��T�� : : «, �:�T� _ ° �� , �, , -
. � "'b��fiE PREA TO L `.`�. �`j � t �
� �� �` LIVIN6 AREA
��. ,. � . I - ~ ,? I '� �e
ADD I TI ON :�., (290 5Q. FTJ /;� - YIGY)N.FENLE _ 04 r.
�� Ib��B�• \ :-. �:(� � 14'-b' 'i
—. I. 3�.' ; �'�
1�18q GONTINENTAL AVE. � � ; � ; ; ; ; � i ; ; : : . ; �..\ �' ��
, �, � �.
� , � : ex�n� ; � � , �. ,�•. �
GOSTA MESA, GA. j j�' 6n� u+��; �;; ;\ � ext�rt t •'•
i � i OZO 5Q. FT) � � i I� ., �. `- `;_OF ROGIF �.
I � i ; i � ; � � , i , � .'� ,., ��Yi,9� 'a
q262� �I�iii � �1�1����` �� ..� =`�:_ �
�`�EXISTINi
_.. _.. 7 �- \ _ . ��.., \. .�'`� ` �``� �� ,\�,'\..\ \� � BL�CA� MPli.
;', � �. .�� ` � .
�� \` ., ��'. .� .�
�. . \ ' .. ,. �` . , �
' %; �� . \ �` ♦ - �
. �
.. � ,LMN6 \\�ADDITIONAL �... � � I � . � " �'i �'".
� ) '`,-'�.\ � � '6ARAfiE AFEA � � .. � -,
RT (36 �'� � �\ (206 5Q. FT1 ` � � . ''I..
F.XI5TM5 , \ ti \ 1 � -. � , � . \\ \: \�\ '*,, ' � t
PATIO ,.- ' . ` .\ . � \ '.� � � ��. I� � •`�„, ,`
5Q FT) \ � � � . � . . �, i +,. p�7E I
��,`�\� �\�.�\1 �.�_'�� � •'�\..\ � �\ �' ,�� �c. ���
\ , ` , ..
� ' i i � `� ��'. _ i - �� _ _ _ � ' .`+,� . '\^ih, ��
i
� ,
� i 1� i EXIEHT I �
�� i I j i i . L�� OF ROOP • ����'` '.•
` I i i � ; j �i� � `!-' � _ �,
1 � ' �� k
! 1 � � i i � ''� _ _ ``a, a.• ♦
ADDITIONAL ti.. ! � 'I �� �� N
PATIOAFE '�,,,� . ' ��� _� �J.
089 5G1. FT . � � �
�i�� 0 .,
i � ��
; �'! t 2-0 �
i i � • DRIVEWAY ' ) °,
.,
_� D
;��;�; 4!;;i,;i; . ���I'ROVE
� �li �;, ,ir` , T�"�FCO.STA1�, - - - .:
�
� { I ; � ! � i f ' � ; ' � : I j �-' PLA!vNING DIVI5I , 1
� -
� I I ' I ; i : � { ; ; �'- � � �,_ rcriBJECT TO BLDG. D T?� I�'t � ''�
-� i ..
� �.� � • N�. �� b. ' Y:
. n �A1��ITIpNS,DE ETi I �'y.
��r• r'�<d$ONS S A;.1 g�S 1'
' I . .i�'' .. APf pyE Y , ..
/ ' . � I ' �`, � . ` ,Q ' LA NLVG DI V I
EXI5TIN6—� 7�� - .' •-� B� � �`�..
Q DRNEMIAT \ I '�. ' , C•
� , \ y _� _ ' • . � Y�_ A7'E: I( ' ��`"`",., ,
� . � `.
i � '� �,� \ w� ; � �
:. 'I � �� � \ � � , ��" � , , /.y,,
, � � � `��i�� � �s � ��� ��V,,
, 'I� �. R. � �4
'� \ b � �F �� '�_
i I � •,, "=, q' .�
. �
A E 152.0m' ) � �`'�>41
� �,.� ':�. �,, ` "�`,
F% � 6 f
`\.' _� 4� .�
�, H
. • . . .� ' ", 1
�
___.... � •
.. . 1 __ ' ' � .
� �,� �. �.,,�� F � ,
�\� �. ;or `.
� ���ak, : � n
,
7 . ., .•,, _� 1` o
. c '-O � � � ' � J
> ' ( . \ � `, ' '
April 20, 2007
CITY OF COSTA MESA
P.O. BOX 12D0 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Dennis J Hobin
2571 Columbia Dr
Costa Mesa CA 92626-6176
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS:
B06-00382
Replace Windows 8 Doors
2571 Columbia Dr., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements
or alterations at the above address. Per the 1997 Uniform Building Code, Section
106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the
date of your last inspection for the project.
Our records do not show an inspection for these permits within the last 180 days nor
have they had an approved final inspection. If you have a signed inspection card
showing that an inspection was made within 180 days, or that the final inspection was
approved, please contact this office so we may correct our records. If you do not have
an approved final inspection, your permits will expire on May 4, 2007. Additional fees
will be required to finalize expired permits.
Requesting an inspection—If you need to request an inspection please call our
Inspection Request Line at 714-754-5626.
Requestinq an extension—If you wish to request an extension, requests must be made
in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing
circumstances and listing an estimated date of completion.
If you have any questions, please contact the Building Division at 714-754-5273,
betwaen 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The
accuracy of records affecting your property is our goal and we appreciate your working
with us to resolve this matter.
Sincerely,
��%�� ��i-��' -���f (�X-�/
Mary Jane Weidenkeller
Office Specialist II
cc: Sears Home Improvement Products Inc.
10395 Slusher Dr
Santa Fe Springs CA 90670
Building Divislon (714) 754-5273 • Code Enlorcement (714) 754-5623 • Planning Division pi4) 754-5245
v..�,�..��o.nocc.rnnn.n��cncvnn. ,.,..,.,,.,.,.<��.,.�o�������
(714) 754-5273 • Fax (714) 754-4856 . www,ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job nddress: 2571 COLUMBIA DR
Suite:
Vicinity:
Parcel Number: 14139111
npp�icant FRANK GARCIA
Address: 216811MPAlq LN
HUNTINGTON BEACH, CA
Owner: HOBIN, DENNIS J
Address 257'I COLUMBIA DR
COSTA MESA, CA
Contractor. COAST ROOFING
Address: 2�681 IMPAI,A LN
Arch :
Address:
HUNTINGTON BEACH, CA
Zip: 92646
Phone:
Zoning:
Phone: 714-968-8754
Zip: 92646
Phane:
Zip: 92626-6176
Phone: 714-968-8754
License: 450393 �
Eng:
Address:
Status: ISSUED
Applied: 12/09/2004
Issued: 12/09/2004
ISSUED BY: ��
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OPF INSTALL 1-30 LB FELT WITH 30 YR COMP. SHINGLES ' .= '�
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0 ���Rear 0-0
ACCESSORY Front 0- 0 � Rear 0- 0
PARKING Existin : 0. Re` uired: o
NOTES:
FEE SUMMARY
PLANNWG & ZONING
Left , 0- 0 . , .
Left 0-�0
Propased: 0
Calc Valuation:
Claim Valuation:
- �--Righh� �0-0, � � ,
�� Right. ' 0-0 , -
$3,480,00�
$3,480.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-20, § 1, 12-27-g2) �
EXPIRATION: This pertnit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period o( 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapectlons and final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 75M5626 .
�aas-as (doo)
WORKERS' COMPENSPJION DECLARATION:
I hereby ettirm titler penalry oi perjury one ot t�e following declarations:
❑ I have and will maintain e certifiwte of wnseN to sell-Insure tor workers' compensation, as pmvided lor by section 3�00 of tha LeDor Code, far the peAormance of the
work for which t�is pertnit is issuetl.
� 1 have antl will maintain workers' compensatlon insurance, as requirad by section 3700 of the Labor Code, for the peAortnance ot the woAc for which ihis pertnit is issued.
My workers' co ensation Insu/r nce carder end policy number ara: /
�ar er. ��v�v� /.i1PoRcy,Nwabery ��� ��7d�— 7005/
ctlon need not be c'omplered il t6e permlf is valued ef one bundred dollars ($f 00) or IessJ
❑ I certify that in the peAor n oi the work tor which this pertnit is issued, I shall not employ any person in eny manner so as to become subJect to the workers'
compensation lews of C ito} ia, any egree that it I shoultl bacome subject to the workers' compansatlon provisions of Section 3700 of Ihe Le6or Cotla, I shall torlhwith
Co with these pm ivrLs/ /_� /
A lieant SI neture: ��y�� ��G � �+.C^D�Ib�' �a � f/ /O �/
WARNINO: FAILURE TO SE URE WORKERS' CAMPENSATION CAVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALilES AND CIVIL FMES UP TOONE HUNDRED
TFIOUSAND DOLL4FE (E100,000), IN ADDITIIXJ TO THE COST OF CAMPENSATION, DPM4GES AS PROVIDEO FOR IN SECTION 3]Ofi OF THE L4BOR CODE, IfJrEREST, NNO ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirem�d-al�
torce antl eH.� C . _
ComraCtp ,br'�51ga0ture:
of Chapter 9(commencing with Section 7000) of Division 3 ot,{�Business and Professions Code, and my license is in tull
<' Glass�! G -
� /2 /o U
CONSTRUCTION LENDING AGENCV: �
❑ I hereby aHirtn Ihat there is a consWction lentling agency for t�e pedormance ot the work for which this pertnit is issuad. (Sec. 3097, Civil Code).
Lentler's Neme: Lendets Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I here6y effirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions
Coae: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any slructure, pnor to its issuance, also requires the applicant tor such permit
to file a signed statement that ha or she is licensed pursuant b the pmvisions of the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the
Business antl Professions Code) or that he or she is eaempt thereirom and the hasis for the alleged exemption. Any violation of Section 7031.5 by eny epplicant for e pertnit
sub�ects the epplicant to a civil penalry oi not more than tive hundretl tlollars ($500).):
❑ I, as owner ot tha property, or my employees with weges as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oXerad for sale (Sec.
7044, Business and Pmtessions Cotle: 7Tie Contractors License Law dces not apply to an owner of pmperty who builtls or impmves ihereon, and who does such work
himself or herseN or through his or her own employees, D�ovided that such improvemenls ere not intentletl or oRered for sale. If, however, Ihe huilding or improvement is
soltl wi�hin one year of completion, Ihe owner-6uilder will have the burden of proving that he or she did not build or improve for purpose oi sale.). �
� I, as owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contractors License Law tloes not epply to en owner of properry who builds or improves thereon, and who comracts tor such project with e coniractor(s)
license pursuant to the Contrectors License Lews.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Data:
Owner ID verified by driver's license. ❑ Ves ❑ No Drivefs License No.
Vedticatlon of Ownership by (type of documen�, I.e. - pmperry tax bill or deed):
DIVISION OF INDUS7RIAL SAFEN PERMR CERTIFICATION:
Eapires:
❑ I hereby certity Ihat no excavation five (5) or more feet in depth into which a person is requiretl Io Gescend, will be made in connectlon with work authonzed by this
permit, and Ihat no huilding structure, scaXolding, falsework, or demolition or dismantling Ihereoi. will be more Ihan ihirty-si: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7tle 8, California Adminisirative CoOe). �
❑ As owner-builder, I will not employ anyone to do work w�ich would require a permit from the Division ot Indusinal Safery, es notetl abova, unless such person has a
pertnit to do such work from the division. �
Signature: Date:
Division oi Industrial Safery Pertnit Number.
CERTFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I certity untler penalty of perjury that I have read this application and state that the iniormation given is
correct. I agree to comply with all state laws and ciry ordinances �elating to builtling cons�ruction, end authonze represantatives of Ne Clry of Coste Mesa to enter upon the
ebove-describetl property for in�ection purposes. I egree not to cccupy or allow occupancy of any building authorized by this pertnit until finel inspection.
GODE t. INSPECTIONTYPE
f 676 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Finel fie-Roof
201 Finel BIocWRetaining Wall
202
203
Final Factory Fire Place
Finel Sign
204 Final Demolilion
Q� INiliIrlL
��
CO�E 1 INSVECTION TYPE
�206 FinalMechanical
20B Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtlin<yOccupancy
D�TE IM1i1hL5
COSTA MESA BUILDING DEPARTAAENT
P. 0. BOX 317
COS7A MESA CALIFORNIA
C•L. OF STREET `
" ��PROP TINE _
r 10 FT. FOR 60 FT. STREET
1
�
�
�
�
�
H �
W I
� �
F
y r ----
o i ALLEY pR
� �--:
cJi rc � � '
` U IN� �
FT. I 3T.
�
Y
_ fiPROP. LI
C.L. OF STREE
LIN
(.,•. .�'.'. 'S�. w 1 W
►� Q p � f-
+� vt-i c� o 0
oz�
u��
OS� �
� r-'w ''
F a z
m J
�% N a
m
�
I
�
�
' �
i
�
-1-------1
F RFCE V�; D
'/-/L� SB� �
FINA�CE DE T. �
TY OF COSTA � 9E���
U
F
w
w
�
F=
N
�
0
J
ti
FT !; I
0 FTj• ST. � •
MAXIMUM 4 FT. FENCE MAY BE.PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I . '%149 I
FOR APPLICANT TO FII.L IN
BUILDING ADDRESS �'� ! ( �'L�M ��jA ��
Owner �i�`•"S • ��L^L�-�'A�ri
Mai1 Address ' �,^`1�A1 �S' ".�-� fL1131 A
City � 6 7'� �"G' 1 F='`�A- Ph. No.
Contractor��'�`%f�.No MNV�►°/fPh. No L� '� _� I
Address �4 3� L/2t/1 N�
City Lic. No. "( �£% State Lic. No.� L—
Size of Lot AP T��r,� /l. TR •�/ 8 Z
Setbacks:.C/L Street "�' Rear
Side Yard - Right Left ���
Type of Fence � �'����� C�/�►H'7= ��IC►3-
W � (^FI c.I-i �i C +
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 uilding construction.
Signature
of Permiitee � �
^ -- -� .
FOR OFFICE USE ONLY
R�c�iJ/��Yby Da�Repfi�bs�� D�te I� ue�l �
N% i�� � � / , C�
VALUATION 0 �
Permit Fee $ � `�
b d.
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
y�R
� DD
OWNER �O111II5 DATE %-16-58 �
JOB AQDRESS 25%1 Columbi8� � � BWLDING PERIWT NO. 7149
GENERAL CONTRACTOR � N@WtOil M8Y0 L3ridSC8p1[7� VALIlE $ 8�.0�
AP. No. LOT ].1 TRACT 3187 FIRE ZONE DESCRIPTION OF WORK Fence
GROUP TYPE ZONE PLAN NO.
INSPECTIONS � DATE � SUBCONTRACTOR
coat
Final Gas Test
7149
owtvEe C()1,T.F!1E PA'Si IJb , 1�
DATE
ColUmbia Dx'1Ve BUILDING PERMIT NO. '
r Construction VAL[IE $ 1.1, 2��.��
AP. No. LOTll TRACT 31� � FIRE ZONE DFSCRIPTION OF WORK R2S. W�2tt. �ar,
GROUP I& J 'I'YPE V ZONE Rl . PLAN NO: S%Z6
PERMITSISSUED
INSPECTIONS I DATE I SUBCONTRACTOR
Final
t ,'� : _
� - � 5'�26
COS7A MESA BUILDING DEPARTMENT
P.O.BOX 31�
. COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
nooae�ss 7�,71 Cni nmta i a DR i vF
IOWNER
ARCHITECT
OR ENGINEER
A�DRE55
COSTA MESA. CALIFORNIA ,
_FGF PARK NO. LL
AODRE55 •
LEGAL LOT
�ESCRIPTION NO.
A.P. NO.
SRE
OF LOT
USE OF
EXISTING BLDG.
SETB4CK IINE GROM
CErvTER OF STREET
SIDE YARD RIGHT �j LEFT �
DESCRIPTION OF WORK
NEW ALTERATION AOOITION
REPAIR MOVING OEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW �C/ TACH ED
eui�oiN� R�SIDENCE C�C J'E
A N A, C A L 1 F. N o. K I
LIC.
NO.
/ V LIC
/1 .�.a/i1 ��1s ./. NO.
_� TEL.
NO.
�� BLOCK TRAC
rvo.oF a�ocs.
X � 05 now or+ tor
�iii REAR VARD
�
, ��E �tG�ilfED
'. SEP 1 3 1g57
FIfVAP�CE DEPT.
cirr o� cosra r�tsa
APPLIGATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY .
BUILIJING
ADDRE55
COSTA MESA. CALIFORNIA
I HEREBV ACKNOWLEOGE iMPT 1 HPVt XtFO TXIS PYPLICni101J PrvU
STATE THAT THE ABOVE IS CORFECT �ND nGREE TO COMPLY WITH ALL
CITY ORDINPNCES AND STATE LA�NS FEGUL4TING 6UILUING CONSTPVC�
noN. VALUATION
SIGNATUREOF COLI.EGE PARK NO. �
PERMITT�E�
DATE
CORRECTIONS
$ � � � 2 QD •
PERMIT FEE $ �I%+
PLAN CHECK $ /� �
TOTAL FEE S T- Z.�