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Home My WebLink About2256 CORNELL DR - Building Permitsa . . ` _ � • ► '. (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2256 CORNELL DR Suite: Vicinity: REAR PATIO COVER ONLY Parcel Number: 41905406 Applicanr. FONSECA, EDUARDO Address: 126 COMMERCIAL WAY COSTA MESA, CA Zoning: Phone: (949)548-5569 Zip: 92627 Owner: MC ILROY, GARY W TR � Address 2256 CORNELL DR - � . � - •� Phone: �. COSTA MESA, CA ..- ,, . Zip: 92626 , Contracror. CRANK BROS ROOFING CO INC Address: � 126 COMMERCIAL WAY � . � � . , Phone: (949)548-5569 COSTA MESA, CA , Zip: 92627 . � License:. 794724 Arch : . � � Eng: Address: . - . Address: � � - - Phone: � � ISSUED BY: Status: ISSUED Applied: 10/25/2002 Issued: 10/25/2002 Phone: - Zip: . � License: License: SCOPE OF PERMIT REROOF PATIO COVER ATTACHED TO RESIDENCE AT THE REAR ONLY: T/O EXISTING ROOF, INSTALL B.U.R. 4 SQUARES � Plan Check: Permit: SMIP Res: SMIP Com: Other. Inspection: Total: FEE SUMMARY $0.00 $47.90 $0.50 $0.00 $0.00 $0.00 $48.40 . PLANNING & ZONING. SETBACKS � ' . - �� - • � MAIN STRUCTURE Pront -0- 0' �, :�`� ' Rear 0- 0 - � ��, _ ACCESSORY .•. Front � 0. 0 �-Rear�� 0- 0 PARKING Existinq: 0 Required: 0 NOTES: - � Left 0- 0 Left 0- 0 Proposed: 0 — Calc Valuation: Claim Valuation: Right, " 0-0 � Right 0- 0 $1,265.00' $t,zss.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order For the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred InspeeNons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , 2446-06 (6/00) WORKERS' COMPENSATION DECLARATION: I hareby ettirtn under penelry of perjury one of ihe following declarations: ❑ I have antl wlll malntain a cetlifiwte of consent b salf-Insure tor workers' compensalion, as provideC for by section 3700 ot the Lebor Cotle, for the pertortnance of ihe �''ork for which this permit is issuetl. .� I have and will maintain workers' compensafi� i�surance, as required by sectlon 3700 of the Lahor Code, for Ihe peAortnance of Ne work tor which this pertnit i5 issuetl. My workers' compensation Insuwnce cerner and policy number are: /p Carner. �%�%� �L�/V� PolicyNumber: �liflb!>'—OZ (This section need not be comp/eted il the permit is valuetl et one huntlred dollars ($f 00) or less.) ❑ 1 certify Ihat in the Oertormance ol lhe work for which this pertnit is Issuetl, I shall not employ any person in eny manner so es to 6ecome subject to the workers' compensation laws oi Celitomia, entl egree that if I should become subject to ihe workers' compansation provisions ot Section 3700 of t�a La6or Code, I shell torihwith comply with ihese pro ions. � AppliwNSignaWre: � ,�--.�Y/'� �iO�J�r1./ .!r Date: lO — �,S—�Z WARNING�. FAILLIRE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPIOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED T/qUSAND DOLLARE (5100,000�. IN ADOITION TO THE �T OF COMPENSATION, DA.W�GES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOP CODE, INTEREST, PND ATTORNEV'S FEES. LICENSED CONTFACTOHS DECLARATON: I hereby aMirm that I am licensed untler provisions of Chaptar 9(commencing with Section 7000) of Division 3 of the 8usiness and Prolessions Code, end my license is in full torce and ettect. Lic. M % Class k �"' ,�g ContractoYsSignature:�� 'i�� Date: /U�.��—O7 CONSTRUCTION LENDING AGENCY: . ❑ I hereby attirtn that there is a construction lending agency for ihe performance ot the work for w�ich ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lentlefs Name: Lender's Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby aNirm ihet untler penalry of perjury Ihat I am EXEMPT FROM TME CON7RAC70FiS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Protesslons Cotle: Any ciry or counry w�ich requires a Oermii lo consiruct, alter, improve, demolish, or repair any stnuture, pnor to its issuance, also requires the epplicent for such permit to file a signed statement that he or she is licensee pursuant to the provisions of the Comrectore License Law (Chapter 9(crommancing wiih Section 7000) of Divislon 3 ot ihe Buslness end Professlons Code) or that he or sne is exempt therefrom and the basis for Ihe elleged exemption. Any violation of Sectlon 7031.5 by any epplicant tor e permit sub�ects tha applicani to e civll penalty ot not more ihan tive hundred dollars ($500)J: ❑ I, as owner of ihe properry, or my employe�s with wegas as t�eir sole compensatlon, WILL DO TT1E WORK, antl the siructure Is not intended or oHeretl for sale (Sec, 7044, Business antl Professions Code: ThB Coniractors License Lew does not apply to an owner of property who builds or improves thereon, and who tloes such work himselt or herself or Ihmugh his or her own employees, pmvided Ihet such improvements are not intended or oHeretl for sale. I�, however, ihe building or improvement is soltl within one yeer oi completion, the owner-builder will heve the burden of proving that he or she did not builtl or improve for purpose oi seleJ. ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTAACTORS to construct the prolect (Sec. 7044, Business entl Protessions Code: The contractors License Law tloes not apply to an owner ot property who builtls or improves thereon, end who contrects tor such project with e conirector(s) license pursuanl Io the Contractors Licenso Lews.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID veritied by dnvefs license. ❑ Ves ❑ No Drivers License No. Eapires: Venfication ot Ownership Dy (type of tlocument, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N: ❑ I hereby certity ihal no excavetion five (5) o� more feet in tlepth into which a person is requiretl to descend, will be matle in wnnection with work euthorized by this permit, and Ihat no building simGure, scattolding, falsework, or demoli�ion or dismantling thareof, will be more then thirty-si: (3fi) feet hlgh. (Chap. 32, Gry 2, Art 2, Sec. 341, Tiile B, Califomia AOministretive Code)� ❑ As owner-builder, I will not employ enyon� ta do work which woultl require e permit irom the Division of Intlustriel Safety, as notetl ebove, unless such person hes e pertnit ro do such work from the tlivision. Signetura: Date: Division ot Industrial Safery Permit Numbec CEHTIFlCA7E OF COMPLIANCE AND AUTHORI7ATION OF EMAV: I certiy under Denalry of perjury ihat I have read Ihis application anC state that ihe Infortnation given is correct. I egree to comply with all state laws and ciry ordinances relating to building construction, end euthodze representatives of t�e Ciry of Cwta Mesa to enter upon the above-descnbed property for inspection purpose5. I agree not �o occupy or allow occupancy of eny building authonzed Dy this permit until tinel insDection. ��Si natur t Legal O, r(s) Date i ��ii.7 -itio— /d � � S— O 7 And/Or Authorized Applicanl Date COUE �. INSPECTIONTYPE 7616 Fixed System Final Fire Pravention 1268 Pool SOe Final 200 Final Re-Raot 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion PAIE INTRIRLS � � COOE I INSVECTION TVPE 206 Finel Mechanical 208 Finel Plumbing 270 Finel Elec�ncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuilAing/Occupancy U�TE I[�LS ■ �craooxess: Zy56 CORNELL DR �iIWFEN'S NRME: MC ILROY GARY W aooness: y�56" COR�IELL DR �C�TA MESA, CA 646-1956 ANCH/ENGINEEfl: ROOPESS: UNIT: 92626 NEG.NO.: UNIT: PEPMITTEE: CAROL MC ILROY ( 714 ) 646-1956 aooness: 2Z56 CORNELL DRIVE COSTA MESA CA 92626 LICENSEU CONTHRCTON UECLAFATION: I here�y aflirm Iha� I am licensed unaer provisions of C�ap�er 9(commencing with Section 7q10) of OrviSlon 3 of t�e Business antl Prolessions Code. and my lic¢nse is in tull lorce an0 ettect. LITY LIC.: STATE LIC.: CLA55: �a�e'. Signamre: WOBREPS' COMPENSATION DECIAFATION: I here6y ailirm that I �ave a certificate o� consent �o self-insure or a cetli�icate of Workers' ComOensalion Insurance. or a cerlilied copy �hereol (Sec�ion 3800. Lab. C�. . POLICY NO.: E%P. ORTE: ICOMPANV: � Ceni�ietl copY is hereby fumis�etl. ❑ Cenifietl capy i5 �ileJ wiih �Ae ciry BuilAinA Division. Oate: FpplicanL E%EMFTION FflOM WOBNEflS'fAMVEN5RTI0N DECUPRTION: (ihisseciion neeAiwlOe compkle0ilihe permi�islorone�untlretl�5100�orless). I cerlity I�ai in Ihe Dedormance oi ��e work for whic� lhis permil is issuetl, I shall not employ any person in any manner so a5 io become su�le�� to Ihe Workers' Compensalion Laws ol Calilomia. p ��/�p�/� � , -Oa�e: «`�— �2 Signalure: i�b�n�-F' m C- Mten.O`�'� NOTICE: Ii, atter making this declaratian. you shoula hecome suhlect to Ihe Workers' Compensa[io mvisions of tAe La6or Code. you must fonhwith comDly with suc� O�ovisions or ihis De�mit shall be Ueemed revoketl. CONSTBIICiION LENDING RGENCY: I hereby al�irm that �here is a ronslmciion lenaing agency �ar the Dedormance o� Ihe work for w�ic� ��is permii is i=sued (Seciion 3097. Civ. C�. , LENOEN: IIDOflESS: OWNEP BWLOEB �ECLAHATION: I hereby aflirm Ihat I am exem0� ��om t�e Contracbrs' State License Law �or ihe �ollowing reason (Section 7031.5 Business anE Pmlessional Code: Any city of counry w�ich requires a Dermit to constmct, alter, impmve, demolish, or reDair any 9ruclure. Orior lo iis issuance. alm requires ihe aOPlicani for sucn permit to file a signed statement that he/she is licensee pur5uan�iot�e pmvisions olt�e Contractars' S�a�e License Law�Chapler9�commencing wiih Section 7000)of�ivision 3 of�he Business ana Pmfessions Code) or ihat he/she is exempt Ulerelrom an0 Ihe Uasis lor ine allegetl exemption. Any violation of Section 7031.5 �y any applicant tor a permil suble��s Ihe apDlican��o a civil penalry oi no� more t�an five hundretl tlollars ($500�. I, as owner of I�e D�opehy or my emVloyees wi�h wages as �heir sole campensation, will tlo the work, anU �he ❑ s�mclure is not imendetl or offere0 for sale IS¢c�ion 7044, Business antl Prof¢ssional Cotle: The ConVactars' State License Law Ooes not applyio an owner of a propefiy w�o �uiltls arimpmv¢5 ihereon, antl who tloes such work hims¢If/hersellor�hrough his or her own employees, pmviOeA �hai suc� impmvemenls are not intende0 0� aifere0 far sale. II, however �he builtling or im0�ovement is so10 within one year oi comple�ion. ihe owner will have t�e hurAen of pmving he/she Oid not bui10 or improve for Ihe purpose of sale�. . I, as owner ot Ihe pmpeny, am exclusively comracting wit� licensetl contractors to cons�mct the prole�� (Sec�ion I044, Business .� anG Pmlessions Code: The Contrac�ors' Stale license Law does no� appry to an owner o� D�operty who Uuilds or impmves lhereon antl who contrads lor such prolecis with a contractor�s)license Dursuanito Ihe Canlractors' State License Law),I am aware tAal D�ool of Iheir Worker's Compensation insurance should 6e pmvi0ed to me. � i am e.empt unaer semion�. BP%O44 8. 8 P. C. mr mis reason. pj,L WORK BY OWNER ^n ��e'. /� — � — 92 Owner:� � el�nsrN� I tlo hereby cetliry �hal I am aware of an0 un0erstantl ��e reQuiremenis o� Califomia Healih ana Sa�eiy Cotle $eclians 25505, 25539, antl 2553A and t�al I or any iNure builaing occupan� wilUwill nol (circle one) neetl to comply wi�h saitl state cotles antl Ihe repulremenis lor a permil for consimc�ion or motlilication fmm ihe Nir Oualiiy Managemeni OiSVic[. FesiOenlial constmc�ion aDPlications are exemp� imm �he5e provisi0n5 Date: Npplican�: I hereby cetlily Ihat I have reatl Ihis applicalion and slale IAat the above inlormation is correcl. I agree to camply with all ciry and counry or0inances and slate laws relating lo building consimction an0 hereby awhorize represenlalives ol ihis ciry to enter upon Ihe above-mentioneU pmpetly �or inspeclion purposes. q n /'yJ � Date: �a — 7— 9'2 Si9naNre: ('/1 n�!' 7i'( C�t.a�1 Driver s �icense or Socia� Securi�y a: , i6a1-a6 White—Bmltlinp'. Grean—Gotle Enlorcemenc Canary—ApolicanL Pink—Revenue: GOltlenraC—Asxessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 06023 PERMIT NO; E 060235 PLAN CHECR NO; N GOVT; N SUPP: N CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; SERVICE UPGRADE SQ FT; CLAIM VALUE: 750.00 CALC—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR RE�UIRED PRIOR TO FINAL *�t�t�r*+t*�e�t*�x�t�t�t**�t�t+�+��t**�t** �r�e**�t�t�r��r�r�t�t�t**�r****�r�r�r�t�t�t�t�t*�t*�t�t�*��r*�r*�r�t�t�r**�t**�* 2 O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 91905906 ZNE: REF NO; PLANNING N(51'ES> � � . �r�e****x��r�r�r�r****�r******�*****�rx��r��r***�r�r+t*+r+r+e*�r�r*�e****�r��r�r�r**�r�r***�r**�r****�r+r�r*+e** D E V E L O P M E N T S,-E�R V Z C E S R E Q U I R E M E N T S % ZONING APPROVED BY '�' BUILDING APPROVED HY ; %�� APPLICATION ISSUED BY; �'�� 5 iE iE 1E ik 1F it 1E 1ElF 1t 1f iE fE iE �ki! �k �f if �E �E�t iE�Eik*if�k1E1l1k*�t1E1EiFiElk�E1E1EiE1E3EiEiEiEiE iFlFiFikiEiEiflfifiFiFiFikiFlFiE1EiE LEGALIZATION;N F E E S U M M A BLDG PMT PLUMBING PERMIT PLAN ISSUE FEE ELECTAIC MECHANIC 18�5�= 15,00 _ DATE; DATE: DATE: �f �FiFilikkiElEiE�E�E�tiF E iE �EiE iF iF IE iFiF iE iE �E ik 3f �E�k iE iE 1t �klk if �f �Fif iE STRUCTURAL SEGMENT;N FIRE SMIP/RES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,50 15,00 0,00 33.50 33,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33,50 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33,50 3f �FMMMlkil�Elflf �f iFiF�l�llkikiEk ikifltiE�f iE1flf 1FiFiFif iFiFiFiFif ikiFiFikitiFiFkif MiEltkiFltikit 1EiFiFiFif iEif �FkiEif ikif �kiFiF�kikiEillEklkiF3Fk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE 1 D E S C R I P T I O N UNIT COST TOTAL COST SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18.50 END OF FEES 01 qU i. �'t. ' _ b: — G:,'r_: 'a. �'i' '� � � +��, . � ' � POO L & � CONSTRUCTION AND PLANN�NG � ' ' x - � . APPROVA4S Permit # Date Inspector qppROVALS Permit # � Oate Inspector -� 1, Temporary Electrical Service orpole ' 52. ;Pool & Equipment Location �� 2. 5oil P?pe�Undrgrnd. - 53. Steel Reinfoccement � � c�,, r, . 1 r^ - cnC� . ^� n. � � - ' � �„ 3,�IEctnsal Gontruii5l7fility-Undrgrnd. -�� 54. Forms - - �. . ,='Yl Elcctrical CondviP.l9hdrgmd. ' 55. Electrical Bonding .. _ ^�� ,;Si el }3einforceTa�'rtf� ' 56. .Rough Plumbing & Pressure�Te v c j 6.=Ethctrical UFE'di.�ir�eid. � 57. APPROVAL-TO COVER-GUf�f1�� . � ,`.-��. �otings - 58. Electrical Conduit-Undrgrnd. Y 4• - +..: , r:'8 � oundation �� 59. Gas Pipe, O�Undrgrnd„ Test � ` 9. Water Pipe-Undr•~ d. 60. Backwash �ines, P�Trap, � Und;�md. , 70. Structural Floor System 61. APPROVAI T0 DECK � � 71. Pr.operry Sewer Li �& House Connection 62. Backwash & ReceptorFinal 72. 5�ver Cap a, � 63. Heater & VenrPinal -� � . 73. Roof Dreins '0 64. Plum6ing System - Fina� ' -' �. r • 14. flough Plumbi� ` ' 65. Electrical-Ftna1 . 15. Rough Electrical-Conduit 66. Solai System-Final j , 16. Rough Electric;c iring " � 67. Fencing & Access ApProval " 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrira,i�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heeting & Air Cond�tioning FIRE DEPT. REQUIREMENT - - � ' --� 7 G o�s-+K� .K c' ''± 20!TRoi�hF.3ctaEyF.'veplace ix;�7 �,'� n " � da�:K�ppq��VA2�5'��C�ex�hit# " � � m 'L� S.K i Srr S�t i. S a*. v� �:J.-,i-' � r: 21 �PuL�'s, injStr.i ctu5ex j`-. �:. ` � s p�.:.� ;�70. U�dergr.o� Hy.�ro n � 22. Ducts, Ventiigtiriq:>.: � CJS n �` 5 <� ��77. Produc�'�i�g Ci�(�s O`Oil _ � 23CGaPip - o � h &'.� est � .". . � `. `' �' � �� ` �' m i ,`'' ; v'� �, c�}7 t� � � rr,Z � r �` � Cx t_72. Undergror�d Flus(r„ r,. F 24!YRooi Fcamirg ��i i i-+.'- •.T �'� C S; �; �,73:xUndergmc%: Stor�tj ank _E7 Gas' O 011 �_ � 25. Roqf St%tathing :Yi � �J, y�� j ,'•_e` ; 74� Overhead�T-lydro-�j" Y 26%nT-B� Ceiling (Str.natura{I 8`�Aanacoat �� = T+�'� 75�Dry Chem;,icat �r� X+'i �� ,v �. -:x x +" c..!- ri. ,� . . y. r-, ... 27�Frarne d Flashi =nF " �r. :: ; H "��' �- S Co tC �� .� � .�� ^ � S .c .� � u t• >. 76. Dry Stant�i�e E-�+ ^ �8: Lyttjing� 3iding->: ri, �y:y� �z >. S ..K ': 77c FIXE y _ : * v .+ �' � ; Y ;_,i D $�STE(G��1NA ; � '"29. Insulatio}7 c �`� `�' }�� .. ? x r� " 7$�FIRE PREV. FINA-L t;> !C :J C^30. Drywall Naitfng !*7� � "� x� 1�-1 '+ �HEALTHNEPT*. Rf�UIREMENT . c. tr c -.•-. � � �131. Plaster &o�,Coat� � � �,.,� x : x n79��FWAL INSP�CTICSRY, y` �� -32;;Electrir.r.yPom�er{Mat¢rrFinali �Y r: ^3 � * T80?:FOOD CERTIFkCASP.� ISSUED� 't� }33;;.-finaJ E�ctriS c� ,i, i =2 q, �.< '�Nq�s, -.�= ~ r ;: -i ~ � ~ v � �TI `� . � [ _ ' . 1 � Y � -� -� .'! \ � i �„34�Fina1 Heat�ngj& s ondition,q�gj r, x �� x � %xK�r� �Jy ;�.:; x ;> � � J.l 1 �'( f� • -l1 �~t„+ ' l: � ~ 'lry is OC` Y7J �" T C'.. � 35.��iria� Gas P�Pe�T'erst ,� �i` ''. , xr •_ - xc Or-+ x ;.7m • � X •, < \ x • •.l 1 y36THOjd O! CanOPY :'i. 1!a. 7 a a; .l r�r, _ � "�O x r*. �r ^ � r- ."i � r, �37S=Fin`al Factory Fi ed9aCE � `�" s' " �"- • „ r r� � -s,r, �,.: z � r-�;, o �� g: � �� • • � .. , - r � �-w .. ... - ;�38. Finaj Plum6ing '�„'�. �z; ; � c + � � - � 4� ,..D o t'..39. Water Service-FinaK y i � � �' 4�!� �� S � -: >_ i e tr c�. x .� ��40. Gas Service•Final �,n .�tri; s x r. '' :� ' �.`�� .� x �' � �41. $olar pomesticFinel5 i'• � � •• a C. ti:'v � � �r, r y� x x � 42"Backflow Preventex `J :.j '� " I , x � > _ �; � ,.:: 43. Backflow Irr�atio % �:.5 �S .� � �� x � = �"�' G � i � „ ` �' s "t . _ '• ', 4 j t . J ,�fi4. Landscape I��iqation Syster� q�=, „� J.>:; ti ^? : i�J # 4; c - - " �. f45::Sound Atteh"uatioFi� .-aT'-� . * ;r_ `- `• ' -� '-� t� -w cc � � �r n � t �n ir n �c �- 7 .? 4 � -G :z 546t'HdndiCap,R�ulationi "• J ;�," � � "'` - i c ��.,; ��j a; J � 47.;-FItyY+L STRLCTURE & BUI,LDING �'� -� ^' .... � +- - - 48:�FINAL P4AtGNINC`i �•`,;� * � x q r q i; F � ,^_49� £lectric Release to.�Edison t -� • w � �.� � � < . x �I• C x �O�Ga �Release to Sou;`hem CaliSpl,nia Gas Co � ;� �� : 1 , p�",., . %�, �': :51. CERfiIFICATE Ofi;;OCCUPANCV �-: t� nc X !� t- o No. Date , _ OWNER SHrR4lilnil F�R''iT-Tl}�UrT.�PFRS �3 DATE 7r-Z3-S% JOBADDRESS i��nrnal�l 7riva BUILDINGPERMITNO. #SO9Cj GENERALCONTRACTOR Ll(i0 Constr. Cp�p VAWE S ZZ�SBLt.00 �oT 16 BLOCK ^ TRACT 2845 Res. w/att, gar. GROUP I Sc J TVpE V ZONE RI� FIRE DISTRICT 7�S]. � PERMITS ISSUED INSPECTIONS OATE SUBCONTRACTOR DATE I NUM6ER Trench ion Forms and Grade to tosiab IY}"`.-`� �,-�_� I�_>:.t=�/ I'YIa-I- Tn,./,.. �.C,.... _.I.�„�.�-571 y'Y/d� ✓ Wiring, Rough Heating, Rough Heating, Final Sewer, House �/Y S� Septic Tank or Cesspool Lathing,ln Plastering Plumbing, Final, Fixtures Plumbina. Fin.al Gas Test occupaney �� (l�y„y�� %o- FORM 210 3M 10-^vS �� . � � so8i COSTA MESA BUILDING DEPARTMENT� � P.O. BO% 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN enoo`aEs"s Z256 Cornell Drive COSTA MESA. CALIFORNIA OWNER �hej'WOOC� I� OT�ESL ueveio ei5 }Fj MAIL ADDRE55 cirr Newport Beach TN�Iar. 7171 ARCHITECT LIC. �.74., OR ENGINEERRa. mond Levanas NO ADDRE55 CITV LIC. CONTRACT NO. nooaess 3404 ia ido . B. No�-Iar. 717 LEGeL LOT O oesCeiaiiorv NO. 16 6LOCK TRACT .�LB A.P. NO. "" 64x102 OF LOT USE OF E%ISTING BLDG. $ET9PCK LINE FflOM :ET SO� REARYARD RIGHT S� LEFT S� DESCRIPTION OF WORK mo.oF e�ocs. O NOW ON LOT NEW � REPAIR 5 ZIE OING 1,400 EXTERIOR WALLc COVERING J USE OF NEW BUILOING Tlma 24' ALTERATION I ADOITION MOVING _ I DEMOLISH q. ft. Ro°o°,5 6 STORIES 1 aooF $hin�le CCO COVERING FEE RECEiVED `�'L� �X , �, , �i y%1 � 9 .Cy . FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT •BUILDING FOR OFFICE USE ONLY � RECEIPT NO. PEfptlVNPIl� ' RECEIVlO 6Y OPTE RECEIVG � pq ,�s1�yo ,_�(�_� AY BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE ZON ) NO.OF TVPE � G PLANS Ir � APPROVE BV DATE CORRECTIONS I HEFE9Y /�CKNOWLEDGE TMM1T I MAVE FlEi� THIS RPPLICATION P STATE THAT TXE A60VE IS CORRECT RN� AGREE TO COMPLV WITN FLL CITY OROINANCES FNp STTTE LPWS REGULRTING BIIILUING CONSTflUC� T��N� VALUATI ON SIGNATIJRE OF � PERMiT FEE $ PERMITTEE I.4UTHORIZED AGENT $ // YQ � � PLAN CHECK $ ( (/ V TOTAL FEE $ �G � � j'�' �