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Home My WebLink About873 CONGRESS ST - Building Permits; �� Applicant to fill in all soatts ezcept those witnin heavy OorGer lines antl si9n all appropriate tleclarations. __._...� ..,. . . , �.....� .�.. � i ..r .i.. ....... . � GTYOF,COSTA�MESA �CONSTRUCTION PERMIT ' i Project Address '� � � '� ' ' ApplicanYs Meiliny��/, dd s �v /� � {yy� /� -�n p Owner's Name /`C�2�/ [ t�{/ � � � � Phone.((L�Qg� Address ,�� Arch/Eng. License No. Address Contracror's Nam Phone � Address linailing) 7 -_ City LiCen�P Nn .'7� LICENSEp CONTRACTOR DECLARATION ' 1 hereby aflirm Ihat I am licensetl untle� provisions of Charte� 9(commencing with seclion ]000) of Division 3 of tne Business antl Professions Cotle, antl my license is in tull 1P5 eftect. Licens�jnr'a �f �c¢ ¢ Date'/ V � 5'9 t �� WORKE 5' OMPENSATION DECLARATION I hereby aftirm that I have a certificate ot consent to selt-insure or a certificate of Worke�s' Compensation Insurance, or a'ce�tlfletl copy thereot (Section 3800, Lab. � •• Policy No. �1 �ertifietl copy is hereby fy� shetl. � Certifietl.rnou_isfiletl wiCi the cit f f L �EXEfv1PT�ON�FftOM W00.KER SAi'�ON DECLARATION �Thissection neetl not be completetl if the or ` less). �L I certity tha[ in the performance of the work for which thi5 perm�t is i55uetl, I 1v1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. Dafe ' Si9naYure \_ NOTICE: If, atter makin9 this tlecla�ation. You shoultl become subj¢ct to the I Worker5' Gompensation O�ovisions o( Ihe Labor Cotle, y0u must Porthwith compty viith such provisions or tnis permlt shall be tleemetl rnvokea. �CONSTRUCTION LENDING AGENCV 1 herety atfirm that there is a mnstruction lentling agency for the performance of Ihe work . for which this permit is issuetl (Section 309�, Civ. C.) Lentler'S Name Lentler's Atltlress OWNER BUILDER �ECLARATION I he�eby atfi�m that 1 am exempt from the Conttacto�'s License Law fo� tbe following reason (Section �031.5 BuSiness antl Professional Cotle: Any city or county wnich requires a permit to construct, alter, improve, tlemolish'or repalr any structure, prio� to its issuance, also requires the aOP�icant tor sUch pe�mit to (ile a signed statement that he/She is licensetl pur5udnt [o [he O�ovisionz oi the Contrac[oYs License Law (Gnapter 9(commencin9 wi[n Section 7000) oi -�Division 3 of the Business antl Professions Cotle) or [nat ne/she �is exempt : therefrom antl the'ba5is tor the allegetl ex¢mption. Any violation of Section ,' 7031.5 by any applicant tor a permit zubjects the appliCant to a civil �enalty�of not mare tM1an tive huntlretl tlollars (5500). � I, as owner of the property or my employees witn wa9es as their soie compensation, will Oo the work, antl fhe SVucture is not intentletl or offeretl �' for sale (Section� ]044,' Busine55 antl Prote55ional Cotle: The Confractor'S ' Liceose l.aw tloes not apply to an owner of a property who builtls or improves � thereon, antl wbo tloes sucn work himselt/herself or Ihrou9h his o� her own ' employees, provitletl that suoh improvements are not intentletl or offeretl for .. sale: If, however; the bulltling or improvemenf iz soltl within one yea� of com- I�pletion, the owner wilf have the burtlen of proving he/she did not builtl or im- `-p�Ove tor the purpose of sale). ' j" �cl, as owner of the property, am extlusively conVactin9 wi[M1 licensetl mn- Vactorsto mnstruct the project (Section ]064, Business antl Protessions Cotle: The Contractor's License Law does not apply to an owner of property who builtls or improJes thereon, antl who contracts for such orojects with a con- tractor(s) license�pursuant.to the Contractor's License.Law). I am aware that proof of .ihei� Wo�ker's Compen5ation in5urance shOultl be provltle0 to me. ❑ 1 am eaempt untler Section 8. &.P. G, for this reason Date owner � I h¢reby certify ihat I have read this application antl state that the above intormation is correcL I a9ree to comply with all city antl county ortlinances antl state laws relating to builtling construcHon, antl hereby authorize repre- sentatives of thls city' to enfer upon the above-mentionetl property for ' inspection p s . Signature Date�� Drivers' License or 55 � � TYPEOFCDNSTRUCTION LJNEW IJ•AD� LIALTERATION I�I�REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P # , DESCRIPTIONOFWOFK/USEOFBLDG. � ' S Main Building: TVPE OF PERMIT GRADING UNDATION ❑ STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL 8 R¢3f ❑ OTHER %� PROJECT DESCRIPTION 5�. F7. oCCUPANCv C Right K Left CONSTRUCTION TVPE VALUATION $ $ GRADING CU. VDS. ACRES_ Remarks: - Bar Sink Backflow Preventer ' Backflow Irrigation ' � Bathtubs - Clarifiers - � " DISf1W25h2f � Orinking Fountains Floor Drains Floor Sinks � Gas Service Outlets • Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct-UnderGround �uct - Struciural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.Blt.ICeO# � Heating System & Ducting ❑aioo,000 aru Oioo,aoo $hoWerS ' Service Sink Sewer Cap ' � Sewer Connection . Solar Collectors Solar Piping . Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ,❑ Canopy Type I I ❑ Refrigeretion System ❑0-100,000 BTU' 0100,000 System Repair/Alteration 'FireDampero � ' Fegisters . , FEES � FEES . I - I ` 'T - � I Reinspection Fee � $15 , � ,. Iwue Fee . $ 3 CMF 0865-46, rev. 10/84 White - Pink - Accounting; Goltlenrotl - Assessor Ping. Ref. # Planning Notes: Auromatic Washer � Construction PoleSub. Cooking Unit �. ' 6231 10/29/86 ' ' ; , ' Zone ' Accessory Building: . Parking Req./Provided Dryers LJGas .C7Electric Fan F.A.U. Fixtures - Device Boxes Outlets ' Switches . Garbage Disposal Generamr �0-5 KW 05-15 KW ICAL , Transformer ❑ 15-50 KW � 50+KW Meter LJup to 100 amps Meter �over100amps Sub Panet � . � Motors �0-1 HP � 1%- 8 Inc.Solar �9-15 HP �i6-15+ Pole Light Range ' Sign ' Standing Sections . Trash Compactor I Reinspection Fee !$15 I � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zonin9 APProved BY . Buildin8 />PProved 6y Aoolifation Issued 6v ' 5.OD .TL e FEES $ 3 Z O N I N G R E Q M T $ � SUMMARV OF,FEES . � � � . � BUILDING PERMIT $ SMIP�� $ � PLAN CHECK $ PERMIT PLUMBING $ � ISSUANCE $� � PLAN CHECK 25% �$ ENERGY P.C. $� - ELECTRICAL $ GRADING. $ PLANCHECK 50°� $ MICROFILM $ MECHANICAL � $ TOTAL FEE $ � PLAN CHECK .25% $_ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS PermiY # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms - 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings , 58. Electrical ConduiDUndrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structurol Floor System 61. APPROVAL TO DECK � 7 t. Property Sewer Line & House Connection 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 Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17.- Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPAS\'STEMSFINAL 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 � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro ' . 26. T-Bar Ceiling (Strucwral) & 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. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing �/ri � 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer � 43, Backflow Irrigation ' . 44. .Landscape Irrigation System • , ' 45. Sound Attenuation � 46. Handicap Regulations - , 47. FINALSTRUCTURE&BUILDING � 48. Special Requiremenis Completed � � � 49. Electrie Release to Edison . 50. Gas Release to Soufhern California G8s Co ' " 51. CERTIFICATEOFOCCUPANCY No. ' - Date _ _ � ' � a � � � wonEssaem�axo: $73 CONGRESS ST oxxercsru�eivawvm: ROBERTSON LENORE M �ooness $73 CONGR�SS ST COSTA MESA,CA 92627 722-8227 �vv�. wuuxa �ooxess: 11iCNRECTONFNC�NFFA: �.MLILOH ENG'S1WNE53: uc. xo: uxr UNf: wNm,�crarsru� ALUMINUM ROOF SPECIALISTS ( 714 ) 558-0678 CQ7fflACTORSYNIWO 1529 MCFADDEN „��; SANTA ANA CA ��: 523043 92705 uM: LJCENSED CONTP4CTOF5 DECLANITON: I Mreby Nim uMm panetly d pujury Mel l am fcmaed uMer prwirions d Chaqr B (commmorp wG� Saclion 1000) d Oiviaion � d �ha Buairon erd Pmhsaions COEe. aM mY ficense'r u cs end dled. cmuc.No.:O 0288 uc.cuss: C39 uc.No.: 52304 P: OS/97 Dme: Conrca�fn' 7 t OWNER BUILDEN OEClAN4TION: I hemby elfi�en uMer peral rj.iry Ihet I em examp imm tM eeas liwua lew Iw Ns tdbwip easmn (Seqion )031.5 &»iiese aM VMmsons Code: Any cry a county wfiidi raquirea e pa�mu �o wntrun. eller, imprma, demdo�, w repei eny eiiuclure, pr'v io na eauance, deo reQuim �he eppliram 1« vrh parmn �o fib e aipreE NalameM Met M a cM e Ibanaed Wnuent to IM praneiona d tM Conlreqore Liceiue law �Cheqx 9(mmmmdrq wnh Sedion ]aoo) d Oiveion 3 d �M Bumma vM Prdesaom Code� or thel ha m eM is exemp Ihereimm eM IM bnvia /a Ne dbped memqion. My vulmun d Setlion )(YJ1.5 by eny epWirem Iw e permn wbptle ihe eppliuni to e avil peneM1y of rot mwe tlan Me huMred ddlen �5500�. � I. m ovmer d �ha prope�Y or my amplqeee wih wepea m iMi eole oompanaetbn. will tlo Ihe work eM Ihe ebucWm i ml inteMW «Mered br Wa (Senion 1aa. Bumrc» eM Pmlmaiona Goda: Tho Conveqwa lianee lewdou nd epplyto en owrix d piapMy wlw buide a vnpovee ihe�am, uM Mn don euM wak NmeeM a he�sell a Nraph hb a har own empb�sen, qwNad �IW euc� improvementa are mt imendsd or dlemd lor eeb. X, Mwever, iM Wikiip a inqwemem ia add wvlhin ore ym d mmpb�ion, IM owmrbuiNer xill heve Ihe Wrden ot provinB � or eM did rwt build a imprwa Iw the puryme d aeb). � I, u ovmer d Ihe proPoM� � axtluervaly comretlin0 �h Iioen�eE conlreclas lo consVutl ihe pqetl (Setlun �4, Bueiness eM PMeseione Coda: The Contreclors Lkensa lew doee nd epp�y to en ovmer d prapMy who bWde a imprwae �he�aon e�M v.ho conVecie br euch Orol�s �th e mnuedoqe) Ikaneed W�ueni m tha Camrmae lioensa lew). � 1 em �empt under Section: B. 8 P C., lor ihie mewn: Dele: �a� � ao nerenr �n�N �nv i em ewere a e�e umienww me �a��,�e�n a ceieomie r{.enn d,a smmy coee s«ria,s zsws, zssaa. ena 25511, enA ihel I a eny INure buikiip oaupant will I wll nM (dreb oiw) nead to comph/ wih aeid a�ete codu aM tM reQui�emanb M aperm�fwouuwclionormodifiWionhanlMAi uaTyl.renepemenl0istrid.ReaEanlieloonet�ud'nneppice�iomanssemqlromNeea qovi.iona. oere: avd� WORKEN'3 CONVENSRTION DECLPNATION: 1 Mreby etA�m uMm per�elly d pajury an W Ma 1oAoxi�q dedermum: � I hew arM wil meintem e cenJiceb d mvam to eWiruure lor xwken' companaetion. ev prwided la by Seman 3lOD d �M leEa Code. la iM pAormencs d iM xork /w which i�ia peimN b iuueE. �] � n... ena wi� meim.�.mAa.� oomoenavo� i�m,,.�e. m Aa��.e M s.aion a�ao d ub �mo� coae. r« me oakrmv.* d ��r work lor whirA thu permil u baued. MY wa�A' �^ �� inwrvice cerrier eM pdiry wmbar ma: c�«: S'1�ATE FUND EXPIRES Pd'cy Number: — � 1� � 1� 9 7 �ihia secion neee nd bs comckred r �M v�r 6 ro. a» hunelee eullae (J�ao/ w bm.l �] I cerlAy tlut in the peAwmem:a d tM wak far whch ��ie permn u mwd. I Mdl m� empby eiry m ury en'wr eo n to n��. wqm �o ine �..• �o�� mw. a c��a., a ro� mm a �.naua w o m. wax.�.• ca��' wovoona d 5e�a� nao d ine t.ce. cod.. i� ro r.nn canpry.im mme ' ia . ove: �//��/QC' �od�: Wem/np: Fellun ro wc�n roik�ri rompsmatlon rovxeps h l, eM Msll a�djset en smplqw fo Yp�ntltlr mtl NHI fl� up ro om hurCieO tlauurN JW/en (S1pp, WOA M fbn b M� cwt ol rompxuelbn, tlenwpsi u povMW br In Sxtlon 9105 0l IM le4orCob. Intwst( eM �Irom�yi Iw�. CONST11UCilON LENDINO AOENCY: I here0y dfirm uiMer peeuM1y d perjury thm ihan u a oonatiutlion bd'vq penry lor tM periamaxa ol tM Mak la whicn tn: w�Y is ueued (Seaion 308'l. C'v. cl. IENDEN'S NGME: LENDER'S �DDflESS: I cerlilythet I heve read 1hu epplcetion end mme �MI �hs abwa inlametion is caned. I pree to mnply wilh ell ary eM coumy ad'vie�cee vM etete bws nletip lo buildiip wn9ruqion eed hareby aWwrrze rtpreaenletivea d Ihe dryto mter upan tM ebove�maMioned popeM ��'°'�"'�0OH9 JACKIE�A�O (5151d8.WP) Dme: ��i Whno-BuilEinp 8 Selety; Oree�Fle; Cenery-AOGlicen�; Pink-ibwnue; OOldenro�Rsaeswr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 078722 PLAN CHECK NO: N � PERM NO: H 078722 GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/O REROOF W/COMP SHINGLES SQ FT: 5,750 CLAIM VALOE: 5,750.00 CALC—VALUE: 5,750.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 1550SF RESIDENCE, 600SF GARAGE, 150SF POOL HOUSE W/COMP *�r�t*+t�r��*x�****�t*� *+t*�t*x��*�*+�*****�+t x � **+�+tx��+�+t+��r**�*�****��+tu �t*+�*itx��*****�t�t*�� Z 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 PARRING RE • PROV: PARCEL: 42243205 ZNE: REF NO: � PLANNING N�TES>' � fElEfElEiFfEif1E1k1F1f1EiElfifif�ElEiflFlflElF�E1EfEiElEiEfEiEiE1EfE1E1EiEfEfEfE1E1EiEiE1ElEffiflEiFlEiE1ElEfEfElElElE1E1E1ElEiElFlfiElEiFiEiE3E�E1EiE�flFlEif D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S i. ZONING APPROVED BY DATE: '"' lr," BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: DATE: 1EiE1EiFiEiE3E1Elf�fFikM�141FiE1EiF1FiE1E1E�Eif�iFiFiF3F7f�FiFiFiF3Fi�F'ffif�'R'iF 'if�iF3f�f'iFiFiEiEitiElElhfEiE'If�'1E l 1E1F LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112.25 58 PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> PERMIT ISSUE PLAN—CHECK 112_83 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECAANIC 112.25 SMIP/NON—RES TOTAL PAID DUE 112.83 112.83 ,00 112.83 OVER/SHORT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK .58 *�tatetetit*�titx��tit�t�ti�x*+t�***ie*+tet**�tatat*****�r�r*itatitet**�r�t**�r*�r***it�**irirfEit*itit�it�*itat*�atx�*�t*it I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5750 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,750.00 END OF FEES � �- CONSTRUCTION AND PLANNING POOL , A APPROVALS Permit # Data Inspector AppROVALS Permit # Oate Inspector 1. Temporary Electrical Service orvPole 52. Pool & Equipment Locauon , � � 2. Soi4 Pipe�Uadrgrnd, � 53. Steet Reinforcement � • 3. Electrical Conduit Utility•Undrgrn�J. 54. Forms • � � �� 4.'Electrical Conduit Uridrgrnd. � ' 55. Electrical Bonding : � - 5. Steel Reinforceinent 56. Rough Piumbi�g & Pressure Test 6: Electrical UFER Grnd. 57. APPROVA�TO COVER�GUNITE �`� 7. Footings - 58. Elecirical Conduit-Undrgrnd. � : 8. Foundation �' - 59. Gas Pipe, O Uniirgrnd., Test � 9. Water P�pe�Undrgrnd. �' 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structura� F1oor Svstem 67. APPROVAL TO DECK �- 17. Property Sewer Line & House Conneccion 62. Backwash & Receptor-Pinal I �2. SQ'"�e� Cap • ; 63. Heater & Vent-Final • 73. Roof Dra�ns � 64, Plumbing System � Finat ' 74. Rough Plum6ing i �; 65. Eleclrica6Finai � 75. Rough Electrical-Conduit `. .� 66. Solar System�Final � 16. Rou�h Etectric Wiring " . 6�, Fencing & Acc�sS Approvai '' � 17. Rough Wiring Sign - 68. APPROVED FpR�.PLASTERING • 78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINA� 79. Rough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT 20. Rough Fdctory Pirepiace -_ . -• APPROVALS Permtt # f z� 21. �Ducts, in Struaure_ -, _ _ - - . ` ' 70.� Underground Hydro 22. Ducts, Ventilating . � � - 71. Produ�t Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Fest �. - _ '. 7Z. Underground Flush . _ 24.-Roof Framin9� - �- �� - 73. Undergtnd.StoregeTank uGas ❑:Oil 25. Roof Sheathi�g - - - � Z�t:�� f-� 7q, �Overhead Hydco ' . � ., 26. T-Bar Ceiiing (Structurall & Monocoat - _ � - 75. Dry Chemical ^ � - . - . 27. Frame and Flashing ` ' 76. Ory Standpipe,� ,� -' '� 28.- Lathinq & Sidin9.' �. � � : � i� ._ • � s ` 77. FIXED SYSTEh7_FINAL - 29. Insulation _r ""' ' � ' 4� 78. FIRE PREV. FINAI - . 30. Drywail Nailing ; ,. ' �' �# -� � L• �� -�HEALTH DEPS'REQUIREMENT 31. Plaster Btown Cogt' _ �" '° 79. FINALiNSPECZIQN � - - � 32. Electrical Power MeterFlnai ,� � �. � 80; FOOD CERTIFI�ATE ISSUED T 33. Finai Eleciric ' - � Notes: ` -�- _. 34. Final Heeting & Air,Conditioniag-_ `- ' ' Q . • _ " 35. Final Gas P�Pe•Test ' � � . � •- ' ' Yr ' T' ' 36. Hood or Canopy - fi� - � � , 37. Finai Factory Fireplace - . ' � " i 38. Finai Plumbing .. . ' : . .� � �= '.. . - _ --' 39. Watec Service-Fina{ . � C'� -- - - 40. Gas Service-Final " J - ' � . i r - � , �.• - 47. Solar pomesticFinal ' - • � �_� . - T� �. ._ - 42. Backflow Prevenfer ` - �' -' i 43. Backflow Irrigatiorr 'J �._ �T:- � . - x ¢4. Landscape Irciqation System,., ' � . - i = . . -' , � - - C 45. Sound Attenuation - - . _ - �� ` + - Q 46. Handiwp Regulatio�s � � . " � . �� , 47. FINAL STRUCTURE & BUI,LDING .-�p=^�� Gd� ' • 48. FtNAtPLANNtNG , _ ' - 49. �Electric Release to Edison � - `• 50..Gas Reiease to Southem Califomia Gas Cn , - ' . ' 51. CERTIPICATEOFOCCUPANCY ' . No. Date owxax H. J. HORNSVELD 7oa avDaEss 873 Congres Gaoue J INSPECTIONS coat Final Gas 72 ZONE DATE MAR 2 1959 DESCRIPTION OF SUBCONTRACTOR DATE 7-1�'Sg - BIIILDING PERMIT' NO. 7157 vALUE NO. PERMITSISSUED , ' , '715'7 COST�4 MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN 7' .� e�N�R�- � COSTA MESA. CALIFORNIA MAIL B �� ADDRESS � ciTv � c s TA' ARCHITECT OR ENGINEER G' LV AD�RE55 CONTRACTOR v ADDRESS IEGAL LOT oescnivrio�+ No. A.P. NO. �/� „ SIZE � D OF LOT USE OF E%ISTING BLOG. �"K n�-v� � � E'o/Y�.eEs� , s TEL ME s A- No.,t / B, � , LIC. NO. 4' A CITY LIC. ` " NO. TEL. NO. BLOCK TRACT'1 d �J � NO.OF BLDGS. Q � NOW ON LOi C3. SEianCn lirvE Fwon CENtER OF SiflEET �� ' REAR YARD � 5(DE YARD RIGHT ,�/ LEFT � O/ ' DESCRIPTION OF ORK NEW ALTERATION qDDITION REPAIR �I MOVING DEMOLISH 9UILDIN�� /'�J7 NO.OF SIZE � ROOMS STORIES J E%TERIOR WALL/) h ROOF COVERING n C v L✓CO OVERING USE OF NEW /7 // BUILDING l O� �f� R� �/`/ �� I�C T� ��R� �� _ �,�� REC��lED %-/7-Si5 yu FINANCE DEPT. CITY Of f,OSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY BUILfJING � �//� �� !�� ADDRESS / � / COSTA MESA. CALIFORNIA FIRE �C ..% G �/7a-/c- �TE "� CORRECTIONS 0� iz � � � Mr � DEPf. z 8 ld � $TPTE iHRT THE ABOVE IS CORRECT AND I.GNEE TO GOMPLY WITM RI.L CITV ORDINANCES FNO ST<TE LFWS HEGULFTING BUIL�ING CONSTRUC� nov. VALUATION /7 SIGNATURE OF PERMiT FEE $ `�� PERMITTEE .../// .! w� (/ Y PLAN CHECK $ $ C�%� � AUTHORIZED AGENT TOTAL FEE B Z'� �ewr n OWNER H. J. HORi4SVII.D ' na�re %-31-SS JOB ADDRESS 873 Coneress B[IILDING PERMIT NO. �? �1 GENERAL CONTRACTOR OWri01' ' VALUE $ 1�Z00.00 o. LOT TRACT PIRE ZONE DESCRtPT10N OF WORK Garaee PLAN NO. %2L{1 INSPECTIONS I DATE I SUBCONTRAGTOR I ___ PERMITSIS&UED coat Final Gas Test -U _ •... � � � '7249� COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING p �� i NLA�S� �i' T ADDRE55 l3 COSTA MESA. CALIFORNIA � IOWNER ARCHITECT OR ENGINEER �7 CONTRACTOq ADDRE55 LEGAL oescaivnorv A.P. NO. � SIZE t. TEL. NO. LIC. NO. CITY LIC. NO. TEL. � �O - 5 . J ��,� NO.OF e�ocs. / NOW ON LOT SETBACK LINE FROM q , <EN�Ea OF SraEEr 7' REAR YARD SIDEYARD RIGMT �, LEFT �, DESCRIPTION OF WORK NEW ,C ALTERATION I ADDITION REPAIR MOVING DEMOLISH BUILDING NO.OF SIZE _ � X ROOMS STORIES EXTERIOR WA�L ROOF �%O MO O cnvvaivr. �7�f{ S /E COVERING ■ � �EE RECEIUE� �/� 3 / — .5 � �r l.` fINANCE DEPT. l�ITv !lC (��n5`TII AnCs`11 APPLICAT-ION FOR 'PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. �,P�MIT NO� � ji�� .fl�CEI� BY O=TE N/:CEIVEq` �D�TE�S^Ui0 vi i 3 SX � BUILDING ADDRE55 COSTA MESA. CALIFORNIA APPROVED BV �,, u STPTE TH1i TME aBOVE IS CORFECT /�NO /�GFEE TO COMPLV WITM aLL CITY ORDINwNCES wND STwTE LnwS REGULni1NG 9UILUING CONSTRIIG iioN. VALUATION SIGNATURE OF C � {-- PERMITTEE Q J 2 g�� U CORRECTIONS 1 (JV PERMIT FEE S � PLAN CHECK $ � ' TOTAL FEE 8 . ! �°"" . ; , , i�. ...,� .•,. , � _ . • -:,: : . , , . _ _. . � � �� }. . .. ',`�`'> - .._ . _ ._ . . ' _ . . . P' .� .S � ♦ S . • •�. \.`. �y; .y: � . ' . . � �(' ' . ' . , . � �� C .. . . . . : ti '. .: '•\ � • , . . . \ ` � ;• �. } . � � • .l`:` `'. � „� . . r �.'. . . . ` �� ' � - ' ' , . . . ., • . . . . - . . ' . . . . � =+�. .. . . �` . . �.. ' . ' � � . � _ " . ..�. ti: , y . . . . . - . ° � '. � t, i .. = . � . ' .; � . . -. ' v - 1 . � . ' " �'' .. ' . . . . " . . � . . . . - . ' ' . . � ' t' .. ' .\ .% . . ' -� � . , '� � . , ..: � . � �„ ' , • -..�t:.' : _ . . - _ -.. _ .. ' � , , -�• \ ' .\; ` � ' �,~' ' _. • - . �. - .. ' - - � � - . ORANGE COUNTY BUILDING DEPARTMENT �� 636 Nonh Broadwey - SANTA ANA, CALIFORNIA • � FOR APPLICANT TO FILL IN eui�oiHc �•�.�'' �OnICrIL�SS J�r _ nooreess � scMoo� o�sr. OR TOWN �ifr NE_�_ _ NEAREST �/ CRo55 ST. /).��j �JNf7L /T VE cirv nooRess� nooaess iL /..0 NO Y (ATTACH METES @ BOUNDS) NO. OF BLOGS. SIZE OF LOT �� O X I(% i� NOW ON LOT � � USE OF I NO. OF I NO.OF E%ISTING BLOG. F�eai�ies ROOMS SETBACK LINE PROM: � REpR VARp � CENTER OF STR@ET �O SIDE YARDIO�� DFSCRIPTION OP WORK REPIIIR 1 � MOVING 1 SIZ'EOING,D��' FT ROOMS < E%TERIOR WALL, ROOF COVERING Ir/�LL(% COVf7 USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE TH11T I HAVE READ THIS APPLICATION AryD STATE THAT THE ABOVE IS CORRECT AN� IIGREE TO COMPLV WITH ALL COUNTV ORDINqNGES AND STATE LAWS REGULATING BUILDING GONSTRUCTION. �AUTHORIZED VALUATION $ /��10 a. � � PERMIT FE6 S APPLICATION FOR PERMIT � �C��'e,� FOR OFFICE USE ONLY FECEIPT NO. PERMIT NO. ��J � rJr/�25 RECEIVED BY � DATE REG'D. � DATE IS6liEp SCHOOL DIST. OR TOWN NEAREST � INT. EXT. ER, INT ER. EXT VVAAGV � �VI\i APPROVALS O 9 � Z D r STREET - " � PLOT PLAN Shew location and' distances from property line and between buildings. � , . , � : -'. .�.�,..>•. , . _ .3 � �� • -' . '_. . �♦ _'. f'... . -. . �- 7 � _ ^ _ ' - . � � . .- ' - : 5.?� . �" .. -. ).. . . _ .' .. -. - .. .'.�' . '. �..L. +' ..J. �� .�. �._ �� ,_�'. .. � 1 • . .. • 1 \ . . �J ' .� 1 � ^� ' . �, - •'�. � (:. .. .. . . . -- - --- ., - . � - -- � -- ' - . r_� ��• . . _ .. �- . � �.:� . - �. �v:,- . ." � " • � • � � � ` � .� �' �t • . - - . '� � , . : - ,' . _�r � -. - , > ' � _. - ' '� _. . . . i - - _ . ' ' -J��