Loading...
HomeMy WebLinkAbout322 CABRILLO ST - Building Permitsd � (774) 754-5273 • Fax (774) 754-4856 � www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 Job Address: 322 CABRILLO ST Suite No Vicinity: KITCHEN Parcel Number: 42501306 Applicant: MARSEILLES, CHRIS Address: 999 OAK ST COSTA MESA, CA owner: HUDSON, ROBERT L Address: 41864 JENNIFER AVE HEMET,CA Contractor. G AND S CONSTRUCTION Address: 999 OAK ST COSTA MESA, CA Arch / Eng : Address: MECHANICAL PERMIT Phone: (949)642-9204 Zip: 92627 Phone: Zip: 92544 Phone: (949)642-9204 Zip: 92627 License: 369762 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 11/13/2000 Issued: 17/13/2000 SCOPE OF PERMIT INSTALL NEW HOOD WITH VENT IN KITCHEN OF EXISTING SINGLE FAMILY RESIDENCE, PER CODE ENFORCEMENT NOTICE. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Hir Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers � 10000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 510.65 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Re(riqeration Unit Ventillation System Evaporetive Cooler Commercia l I n cinerator Domestic Incinerator Compressors / Absomtion Systems Up to 3 hp I 100 k BTU 3To15hp/SOOkBTU 15 To 30 hp I 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS ouantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 50.00 50.00 534.15 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis untler California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: 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 7 BO days. INSPECTIONS: in order for lhe xrork aulhonzed under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions 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) 754-5626 246646 (NW) WORKERS'LOMPENSAnON DECLARAnON: ' I hereby eNirm u0der penalry ot perjury one ot tha following tleclaralions: ❑ I have antl will maintain a certifiwte of consent to sell-Insure for workers' compensation, es providetl lor by section 3700 of the Labor Code, lor the pertortnance ot the wark for wnich ihis permit is issuetl. I.liave and wlll My workers' c ❑ I cBRify ihe� in compenseUon comply witn Ih ApOlicent SlgneWra: T/qUSAND DOILARE LICENSEDCONTRACTORS 1 hereby aHirtn tha��l�em lice'n)� force and eNecL.�-M�� CONSTRUC710N L ❑ I hereby aHi� Lentlets Name: _ Signature: � irence, es required by section 3700 of the Labor Code, br Ne perfortnance of the work for which this pertnit i5 Issuetl. G �/.�I /ti/// �PalicyNumber.— �6 � 3.5 b � ip/eted i/ the pertri 1s u ef onThuntlred dWlars ($700) oNess.) ZZ y ance ol iha work fo Ich ihis pertnil is issueQ I shall not employ any person in any manner so as to become subject to Ihe workers' 'fomia, and egree if I shoultl �ecomo subject to the workers' compensation provisions ot Seclion 3700 ot the Lebor Cotle, I shall Iorthwith " //-/3- �� �Dete: --- WORKERS' PENSATION COVERAGE I$ UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOqED IN ADDITION TO TNE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECiION 31060F THE LPBOR CODE, INiEREST, AND ATTORNEY'S FEES. with Section 7000) of Division 3 otthe Business3� Profes ions Cotle, end my license Is in full Giazs 1 �% � Date:- �%/'�/ � construction lending agency tor the peAormance of iha work lor whic� this Dermit is issued. (Sec. 3097, Civil Code). Lentler's Atldress: _ Date: OWNER-BUILDffR DECLARA710N5: I hereby ettirtn thet under penelry of perjury that I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Profeuions COCe: Any ciry o! counry whic� requires a permit to construct, alter, improve, tlemolis�, or repair eny structure, prior to its issuance, also requires the applicant for such permit ro file a signad stetement ihet he or she is licensetl pursuant to the provisions ot t�e Contrectors License L.ew (Chepter 9(commencing with Section 7000) of Division 3 at Ihe Business and PrO�essions Cotle) or �hat he or she is exempt Iherefmm antl the basis for t�e alleged exemplion. Any violation ot Saction 7037.5 by any applicant for e pertnit subjecis the applicant to e civil penalty of not more Ihan five hundred dollare ($500).): ❑ I, as owner ot Ihe pwperty, or my employees with weqes as Iheir sole compensation, WILL DO TME WORK, and the siructure is not intended or oNered for sale (Sec. 7044, Business and Protessions Cotla: The Comractors License Law dces no1 apply ro an owner of properry who builds or improves thereon, and who does such work himself or Herself or through �is or her own employees, provided that such improvements ere not intentletl or ofleretl lor sale. If, however, �he builtling or improvement is soltl wi�hin one year of completion, the ownerbuiltler will heve the burtlen of proving t�at he or she tlitl not build or improve lor purpose ot saleJ. ❑ I, as owner of Ihe property, am EXCLUS��ELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The contrectors License Law tloes not aDG�Y �o an owner ol property who builds or improves lhereon, entl who coniracts tor such pwject with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exemp� unaer sec. Siqnature: Owner ID verified by dnvefs licensa. ❑ Ves ❑ No Business and Professions Code tor this reason: Varifice�ion ot OWnership by (ype of document, i.e. - properry tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivers License No. Date: Expires: � 1 hereby ceM1��y Ihat no exwvation five (5) or more feei In depih into which a person is required to descen0, will be made in connection with work eu�honzed by Ihis permit, antl that no builtling sWcture, scaflolding, talsework, or demolition or dismantling �hereof, will ba more ihan thirty-six (36) feet high. (Chap. 32, Gry 2. Atl 2. Sec. 341, Ttle B, Calitomia Atlministrative Code). ❑ As owner-builder, I will not amploy anyone to do work which would require a permit from ihe Division ol Intlustrial Sefery, as noted above, unless such pereon hes a pertnit to tlo such work tmm the division. Signature: Date: DiviSion ol InduStfial Safary Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTFiY: I cenity under penalry of perjury ihat I have read this applicafion and s�ate �hat the intortnation given is correct. I egre omply with all state laws d ciry ordinances rela�ing to Guilding construction, and aUthonze representaiives of Ihe City of Costa Mesa to enter upon the above-desc � ed pr yerry for inspeqion pu es. I agree not lo acupy or allow occupanry ol eny building authorized by this permit until final inspaction. CdIE 1NIID'!fl Sysiem Flnal Fire Prevantion 1266 Pool Spe Final 200 Final Re•Root 201 Final BIocWRetaining Wall 202 Final FaGiory Fire Place 203 Final Sign 204 Final Dernolition //-/ 3 - ���--- 'Date��— COOE� INSPECTIONTYGE 206 Final Mechanicaf 208 Final Plumbing 210 Final Elearicel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupam �.1711�L'il�ir,lci � � T- AVDlieant to fill in all soaces witnin heavy bortler lines ana sign all aooropriate aeclaratlons. CITY OF COSTA MESA - aeg� IT ry,p �� TRACT NO. ' LOT NO. BLD(d. NO. � ' ' � - CONSTRUCTION PERMIT r cS �.S � 5464 5/05I82' � ' 6•00 .' Project Address 3 � ' TVPE OF CONSTRUCYION ' . � - ' � � � - � OWnef , ' pho�e,� - 6 ❑ NEW ❑ ADD '0 ALTERATION - ` ' - � � � - ' � Addf24 ' ' ' ' ❑REPAIR ❑CONVERSION ❑DEMOLISH � ZONING REGULATIONS. - ArchlEng. •� - License No. � o7t�ER - , � AddfC55 -' " � ' ' - . _ DESCRIPTION-OF WORK A'P"� � � ' � 'ZONE PLNG. REF. �. � , �Contracror n Phone ,3 TYPE OF PERMIT ' � ' �SETBACK C L 57. a�o�����vNLiNE ' ' � Addf255 - y, � - ❑GRADING ❑ FOUNDATION ❑-STRVCTVRAL �SIDEVARD � LICENSED CONTRACTOR DECLAR ION � � LEFT I hereby a�firm lhat 1 am licensetl untler provislons oi Cnarter 9�com- � SENANT O ELECTRIGAL �PLUMBING ❑MECHANICA 5iDE YA , menUng with section"]000) of •, Dlvislon-3 ot tna Buslness' antl � � OTHER - _ � RIGNT Pro/e55ion5 Cotle antl my license is in full force antl eifect. - ' ' r ' REAR VARD (TO P/L) � r - 't VROJEC7 DESCRIPTION 'Llcen e Class � Li<ensa No���9 '� ' , �-'�Q�jS � SQIFT. " L �PKG.SPACEREQ. PROVIDEDj Date� r-d -�,,.,,,,�.a c� C�'�L - ' ; � . _ — . r WORKERS' COMPENSATION��ECLARATION -- - . - OCGUPANCY_CONSTRUCTION TVPE ; STREET WIDTH PARK FEE § �I hereby atfirm that I have a certifitate of consent to selhlnsure or a� ,' � �ZONING APPROVED BV • DAT,E , i ,VALUATION ' ZONE ,certiflcate of" Workers'�Compen5dtion Insuranca O a'certlfletl�copy 1 thereof Sec on 380p� Lab. C.). ; ' �SPECIALCONDITIONS: : i � GRADING CU. VDS. ACRES '�" ia .) -MIICY Nd. �0396// " ComPSnY .S� . . ' - . . . . 'ertltietl copy-Is bereby furnishetl. � � • REMARKS: - �- .ertl8etl copy Is tiled wi[h the city Builtlin9 Divislon. . �'�� , � � E%EMPTION FROM WORKERS' COMPENSATION DECLHRATION - � � � - - � (This 5ection neetl not be completetl if Ihe pe�mit I5 fo� one huntlretl _ . . . . . _ . . . . . . . .. ' . . . . 1' {§100) Or Ie55). � • � v . .C¢rtify tha[ In [he perfOrmance of [he wo[k fot whiph [nis pCrmit I5 _ . . _ . _ _ . . _ . ISSuetl, I shall not employ dny per5on In dny manner So as to betome . PL•UMBING . PLAN CHECK � ELECTRICAL PLAN CHECK � SUDjett [O�the Wo�kers' CAmpensation ldws ot UlHornid.. " � Dale Signature � BATHTU85 SHOWERS NOTICE: It after making this tleclaration, you s�oultl betome stibject �. TOIL'ETS' • ' � VRINALS GEfJERATOR 0-1 KW_ 1-lO�KW, lo the Worker5' Compensation provi5ions of the Labor Cotle, you mus[ _. _ .TRANSFORMER. _ .. � _ forthwith comply wi[h such provizions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS � �APPLIANCE 30-50 KW_50 + KW � • ravoketl.. . .. ' - - - . _ CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS MOTORS 0-I�HP_7-30 HP - . 1 I hereby aiilrm that there is a construclion lentling agGnty for the pGr- SERVICE SINK$ SUMPS ' .(iNC.50lAR) 30-50 HP '=50 +.HP ' .formance ot the work for which this permit is issuetl (Section 309� � Civ. C.). "' ' -" - � FLOOR SINKS FLOOR DRAINS �FIXTURES OUTI_ETS SWITCHES , Lentler's Name Lentler'S Atltlress DRINKING FOUNTAINS . � ' GAS TUBE SIGNS � • � • � OWNER'BUILDERDECLARATION'-� � � - � INTERCEPTORS CLARIFIERS POLELIGHT$ I h¢r¢by affirm Ihat I am Gx¢mpt from th! Contrattor'S LicenSe Law for �� Ihe following reason (Section �037.5 Business antl Professions Cotle: SWIMMING POOL � PTRAP - - �� - Any city or county which requires a permit to <onstruc[, alter, VOLES METERED SUB � improve, tlemolish or repair any structure, prior to Ils issuance'also re- yyqTER SERVICE ALT.ERATION - %PANE�S MAIN�:. —-.SUB � j� � qWres the ap'.liwnt tor such permit to ti10 a signetl statem2nt that he is Iitensetl purzuant [o the provisions of the Contractor's'License Law' GASSEftVICE OUTLETS � �� 'SERVICE � � AMP. � (Chapter 9(commencing with Section 7000) ol Division 3 of tne '� 6ustness antl Professions Cotle) or that he I5'exempt therefrom antl lhe' y�ATER HEATERS � BTU OUTPUT � b@�515 for the alle9etl exemption. Any violatiOn Of SeCtiOn 7031.5 by _ Y _ ;�� • '�� ����- �- ' � `;•appllcant for a permit subject5 the applicant to a clvil'penalty - SEWER CONfJECTIONS ��� {.,�"""t mo�e lhan five huntlr¢tl tlollars (§500). �- � � �+" ... "__�_ ' ' ' _ ' _ ' """ ' . _"'__ _. "_ , ' '"__'.. ' .�`:3'!; as owner of tne properiy, or my employees with wages as their SOLAR TANK COLLECTORS� � � •.•��. � , - � � ,�,�.� ,.,.�. � � . �� ' , sole_compensation,.will tlo the wo�k,.antl.the.5t�ucture Is nol Inlontletl � or ofteretl lor sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. � ISSUE FEE � ContraGtor'z_License t.aw does no[ apply [o an owner ot a p�oper[y - � wno builtls O� improvez [hereon, antl wno aoes such wo�k M1lmSelf or ISSUE FEE '� 1 d •AVPLIGATION APPROVED BV� � � pqTE { through.M1is own.employees, pmvitletl thal sucli improvements a�a nof Intentletl or ofleretl for sale. If, however, the builtling or improvemeni MECHANICAL PLAN CHECK �� " � is sola.within. one year oi.compietian, the owner wlll have tna Guraen � _ SUMMARV OF FEES Y�. . o� proving he tlitl nol builtl or improve tor lhe purpose of sale). � rBUILDING' - � � I,- as owner �oh-the property, am exclusively-contracting�wi[h HEATING SVSTEM 0-300,000_BTU � , _ PERMIT E �� �SMIP - E' IlcenSetl mn[rattors to consVuct Ihe r0'eCt Settion 7044, BuSiness ANO DUCTIIVG ' PLAN CHECK E 7ERMIT � P 1 ( 300,000 + 8TU � antl Profes5ions Cotle:�The Contractor's Ucense Law tloes not apply�to '- --- - ' a� � ISSUANCE S an owner of Oroperty who builtls or improves theraon, antl who con- REFRIGERATION 0-]00,000 BTU PI.UMBING § (ract5-f�om zuth projec[5 with�a contrdCtor(s) IICGSn¢tl pur5uant [o- -SVSTEM' - ' ' - - " ' ' ' " _ GRADING E - ' [he Contractor'z License Law). 100,000 + BTU PLAN CHECK 5 • • � .. ❑ I am exempt untlei Settion B. & P. C. lor this BOILERS BTV • �ELECTRICAL S ' E � rea5on' ' - �PLAN CHECK E - �MICROFILM E SVSTEM REPAIR,ALTERATION i • Date - - pwne� - ' 'MEGHANICAL 5 TOTAL FEE S- I,hereby certitythat I have reatl this appliwtion antl state that the above. EXHAUST SVSTEM MU�TIP�E - . '"LE55 AD- ' - inlormation is mrrecL 1 agree to comply with all city antl county PLAN CHECK E VANCE PC �/ � ortlinances and state laws rela[ing to construction, antl hereby authorize , �j � , repr¢senlatives� of this city ta entCr upon [he aDOve mentlonetl � - y a property foy�inspec�tlop purposes. _ _ -� �y�2 . I " Signa[ure yC �� r���1/L Dat¢ FINAL FEE S��� �� Drivers' License or 55 � ISSUE FEE � - - - -' . ' ' , � , - � CMh UbbS-4b WryItC-6WI0109; Cdndry-AppIICdO[; YIIIK�HCCOUOtlng; GOIO¢nl0a-Hssessor � CONSTRUCTION AND PLANNING � . � POOL & SPA ' , ; � APPROVALS Permit # P-3yw Date Inspector ' p�ppROVALS Permit # ' Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- � � - Soil ipe-Undrgrn 44. Steel Reinforcement -- 3. Electrical Conduit Utility-Undrgrn 45. Forms ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - � . tee em orce - 47. Rough Plumbin & Pressure Test-- 6. Electrical UFER Grn ' 46. APPROVAL TO COVER-GUNITE � 7. Footings ' . � - ' 4y. Electrical ConduiDUndr rn � � � � 6. Foundation - - � � 50. Gas Pipe, ❑ Undr rn, Test � � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn ' - 10. Structural Floor SYstem 52. APPROVALTO DECK ' • ' 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � � 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � - • 14. Rough ElectricConduit - - - - �56. Electrical-Final ' � � � 15. Rough Electric-Wiring- � � � 57. Solar SYstem-Final - � ' ' � � ' ' 16. Rough Heating & Air Conditioning � encing & Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING ' 16. Ducts, Ventilating ,� 79. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL � � 20. Roof Framing �- � � � ' � � 21. Roof Sheathin � ' , . _ � • ' - 22. Frame and Flashin ' NOTES: 23. Insulation � ' ' � � � 24. Lathing &.Siding , ' � - � 25. Drywall Nailing . 26. Plaster Brown Coat • � ' - - 27. Elecvical Power MeterFinal ' - � � � " � 28. Final Electric ' - � � � � � 29. Final Heating & Air Conditioning � • . 30. Final Gas Pipe-Test - "' 31. Final Plumbing JZ Q1- - ' • ' � � 32. Water Service-Final � " � � 33. Gas Service-Final � � ' � 34. Solar pomestic-.Final � i ' ' � � � 35. Landsca e S rinklin S stem � � � � � 36. Sound Attenuation � • � � � - 37. Handicap Regulations � � - - , � � � ' 38. FINALSTRUCTURE&BUILDING � � � � ' � 39. Special Requirements Completed � � - � 40. Electric Release to Edison � - -- -� - ' 41 . Gas Release to Southern Califomia Gas Co, i � � � � - - 42. CERTIFICATE OF OCCUPANCY �- � � No. Date OWNER pI,qTTE, PATRICIA DATE 5-4-70 JOB ADDRE55 322 Cabrillo Street BUILDING PERMIT N0. 31789 - .. . nocr-oioTinr.i _t wnov . , . .... . . .. . .. .. GENERAL CONTRACTOR p�er- AP No. 117-245-06 LOT 6 INSPECTIONS soi� GAS WATER ROUGH PLUMBING PROP. SWR. LINE � MOUSE CON. � SPRINKLING SVSTEM MISCELLANEOIIS ROUGH MEATING AND AIR CON�ITIONING TEMPORARV SERVICE OR POLE UNOERGftOUND POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BON� BEAM ❑ STEEL REINFORCE � SHEATHING FRAME AN� FLASHING LATHING — IN OUT n PLASTER, BROWN COAT STftUCTURAL, FINAL HEATING, VENT., REFRIG. AN� A.C., FINAL PLUMBING, FINAL AN� GAS TEST �] ELECTRIC, FINAL BUILDING. FINAL SUBCONTRACTOR r" � :� I ��39 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 for Applicant to Fill in Completely PAIL aAY -4-7[�cHs;,00 101'� *t APPLICAT�ON FOR BUILDING PERMIT RECEIVEDBV DATERECEIVED DATEISSUI ��'�C .S'f�7o .r d OWNER' A MAIL +J BUIIDING Z . ADDRESSO � � � ADDRE55 w W TEL. dU CITV NO.� '�� TRACT Z Q CANSiRUGT�ON W A A R O � LENDER a m J � BFANCH -� N OWNER m J AODRESS _j m ARCHITECT TEL. SE a OR ENGINEER Z N '� V N � FIRE Wa / 20NE T � AODRESS � aw APPROVED W Z COATRACTOR - BV J � m Z J Q ADORESS W w TEL. ZON NO.OF ZF CITV NO. P�� w� STATE CITV VARDSAPPROVED y� �IC. NO. LIC. NO. MAIN BUII,DING _� SI2E . �L% .�Q7 NO.OFB�DGS. (FROMGlST� OF LOT NOW ON LOT � FRONT VSE OF EXISTING 9LDG. ' , -�( S FT. � SIZE OF /p NO. Z NEWBLDG. � ROOMS STORIES / L.SIDE FT. EXTERIOR AL ROOF V COVERING KCE COVERING REAR FT. J USE OF BUILDING AN� W RK TO BE PERFORMED , DISTANCE BET. a �!� MAIN BLDGS. a Q U VAR. �W O C.U.P.3W � APPROVED N � z �'r � VI hereby acknowletlge that I have reatl this application antl ztate = that the aba�e information is correct antl aB�ee to comply with � all laws re6uletin8 builtling consvuction, antl I shell mt employ F any person in violation ot the workman's compensation laws of (/� the State o� Calitornia. ZI hereby cert(fy that I am properly licensed as a contractor untlar SQ, FT. Me State Of California Business ontl Proteszions Cotle, Divisicn 3, THE AMOUNT SM01 Chapter 9, end [ha[ such licenses are in tWl /orce antl effett, or I THE PURP�E OF ES am ezempt from t�e provisians of the Steta of California Business VALUATION antl Protes4bns Cotl�slon� 9i�� Sig^atura ot �j �O Permittee . 5 �S/ �f DO b� Auffiorized A9ani LOT APPROVED FV BUILDI FT. BET. MAIN & ACCESS. BLDGS. DATE APPROVED nn-rv .."Y../�-%�i � 0 !N UNDER VALUATION IS FOfl ' ABlISHING A PERMIT FEE ONIY: ¢ PERMIT FEE $ � �'�� j PLAN CHECK $ I I �� O E 0 TOTAL FEE S � �So LL OWNER. NeedB �O rp DATE 12-1�-�R ,_ JOB ADDRESS 322 �3bP1110 Street BllILDING PERMIT NO. 82(9 GENERALCONTRACTOR AP. No. GROIiP INSPECTIONS mat VAL[IE DESCRIPTION OF WORK TYPE V ZONE DATE I SUBCONTRACTOR I DATE s. w aet/gar � ERMITS ISSUED I NUMBER e J� -_ v �-_ "-� �. ` ) '�� _ __ " _�� . _ ; -'.. . ' "� ' . ' $269 I�i �/ u?� COSTA MESA BUILDING DEPARTMENT "� �� VA�CH`_I t1 �61' p.p.BOX 31l �+�^- COSTA MESA. CALIFORNIA � 3I ( S �� G1�11A�11i'C � CDT FOR APPLICANT TO FILL IN APPLICATION .'OR PERMIT ADORE55 �� � ,�J�,Q �Y c��� 411BUILDIN�GA COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY //y� PECEIPT NO. pp}w(��� OWNER �,E��ETh A L m.� /� o L3fb� IMAIL ADORE55 JO�, QTY ,�' ARCHITECT OR ENGINEER ADDRESS � �� A. CONTRACTOR ADORES ' LEGAI LOT OESCRIPTION NO. A.P. NO. TEL. NO. LIC. NO_ � � CITY LIC. ���� _S�'L• NO /��/�� ��IOSNOf..L—��NDB BLOCH TRACT(/�%.� OF LOT � 3 a i��o � USE OF EXISTING BLDG. SETB>CF 11NE iNOM ��.�/ OF BLDGS. ON LOT REAR VARD SIDE YARD RIGHT /J LEFT �7 DESCRIPTION OF WORK � NEW ALTERATION I ApDITION REPAIR MOVING DEMOLISH BUI�DING NO OF SIZE 9 ( AOOMS Ij STORIE$ EXTERIOR WALL ROOF cnvcwiur. COVERING /'-'��'r� I/ L ry.S 1� D� BIJILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE ZONE {.� / t HOLD � S DATE CORRECTIONS -�� - � a- ` ('3- -.� 6'; /� �S- a '; i _ — '��i- . /> Q � r' l�TC�' �`f� i6�A �/�oi O ' �Y�/ '-!Y � �–�" I HEREBY nCNNOWLEOGE TXnT I H4VE PETO THIS APPLIC4TION �Np STATE TNRT TNE /�BOVE Ij�ljf�CTf�plp�/�f�(t�T� Q�LL.Y WITN ALL ��//'1 CITY ORpINRNCES AND $IY ROf aZW6.Mi l�idb��C CONSTRVG rL� r�orv. pq3p NEWPORT BLVD. vnwnrroN SIGNATURE OF COgTA ME$A. CALIF. PERMIT FEE S i�I � PERMITTEE o ONH LI. B•9388 S I� S�/ PLAN CHECK S / S — AUTHORIZED AG �!<2=�f�� TOTAL FEE 5 SL,� v�� a.