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Home My WebLink About3045 COOLIDGE AVE - Building Permits(714) 754-5273 • Faz (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT 1ob Address: 3045 COOLIDGE AV Suite No Vicinity: Parcel Nunmber: 14114168 ISSUED BY: Applicant: GLOVER, LORIE� ' �: � / ,. , Address: r! ,'� � . �- , �'�/ � _ - ' ' Phone: 714-241-1414 � � .� �� A � , � � , , � � � , . , � � . ZiP: . .. . '�: A ;� � . .. � . _ \ . \ , � - �� , � - . . - - � ii , �� - - � _ �: . ., �i ",� �A Owner � "GARCIA, R�CHARD . '� �� Address � P O BOX 4245 � �� i � � . Phone: ' � ' COSTA MESA, CA Zip:� 92628 � �� _ ' �. Status: ISSUED Applied: 07/19/2001 I ssued: 07/19/2001 r , Conhactor. COAST ROOTER PLUMING HEATING & AIR CONDITIONING: � Address: � 2737 S CRODDY STE D �� - � - � - , � - ' , . � � - . Phone: (714)241-1414 ��- � � � ..- ,. SANTA ANA; CA Zlp: 92704 ��' � � ," - . License: 529127 �� ; �Arch / Eng: - - , �.� . � _� , � � .._«�� _. _ . .� �- � ' Address: " - - - - Phone ' - . , � Zip:.. � . � . , � -- _- --� - - - -' � -- �; ' - . . � � . . , . License: . . ' . . . , . � �� SCOPE OF PERMIT � � WATER HEATER CHANGE-OUT. . � -FEESUMMARY. � AMT QTY � AMT `�QTY � AMT QTY ISSUE FEE `� � � $23.50 � �.. .. Laundry Tub / Washer - $0.00 '0 r_`' ��_ = . Sump Pump , ' �$0.00 0 Backflow irrigation $0.00 � 0 . Landscape Irrigation $0.00 0 Swimming Pool , $0.00 0 Backflow Preventer $0.00 0 � P-Trap � $0.00 ,0 : Trap Primer � ' $0.00 0 Bathtub . �$0.00� - 0 '�� `. ; PressureRegulator - $0.00 0 � ��Urinali ; . . $0.00 0 Clarifier System � � $0.00�� 0 � ;� Process Piping (per.10 ft) $0.00 0. � Vacuum Brkr BkFlow(i-4) $0.00 0 Connect Qce,Soda,etcj ��$0.00 �; 0 - Receptors - $0.00 0 � Vacuu'm Brkr Bkflow(5+) $0.00 0 Dental Units �$0.00� 0. Septic Tank $0.00 �0 � - Wash Basin- `� $0.00 0 Dishwasher �$0.00 0. � ' Sewer Cap for Demo $0.00 �,0 -� ' Wash BasinSet $0.00 0 Drain, Floor $0.00 �. � � 0 -Sewer Connect - $0.00 0 - �Waste.arid�Vent System $0.00 0 Drain, Rainwater $0.00 �� 0- �. ' � Sewer Private Line � $0.00 �0 ' Water Closet (Toilet) $0.00 0 Draln, Roof $0.00 �"0� � � Shower - , , $0.00 0 . ,-�'� Water Heater / vent $12.30 1 Drinking Fountain $0.00 0 �" � `�; 8ink, bar. _ $0.00 - 0,�'� " - - � � Water Piping (Inst or Rep.) $0.00 0 ExpanslonTank $0.00 0 ''Sink,commercial ; $0.00��'0--" � WaterRe-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00- 0 WaterService $0.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: 535.80 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap aocess requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall allomatically expire and become void if work is not commenced wi�hin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8 (8�00) WORKERS'COMPENSATON DECLARAnON: — I hereby eHirtn under penalty of perjury one of the following declarations: ❑ have ana wlll melntein e cetlificete ot cronsent to selt-Insure tor workers' compensatlon, es provided for by section 3700 ot iha LaDor Cotle, for Ihe pertormence oi Ihe work for which ihis permit is Issuetl. I have end will malntain workers' compensetlon insurence, as required by section 3700 of �he Lebor Cotle, for Iha peRortnanca of tha work for which this pertnit Is Issued. My workers' comppnse an Ins�nce carngr antl policy number era: , �� Cerrier. f�'iO !�. Policy Number: _! t p j�O a� U"� � (This secNon neetl not e comp/eted!! fhe Oerm/f is ve/ued af one hundred dollars ($f 00) or less.) ❑ 1 certily Ihat in t�e performence of Ihe work for which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to Ihe workers' compensetlon laws of Celifomla, end egrae Ihat if I should become subJect to the workers' compansatlon provisions of Sectio 3700 at the Lebor Code, I shell tonhwlth comply wit� t�ese proNslons. �] j� r Applicent Signeture: ��— Date: / � � / �+ 1 WARNING: FAILUHE TO SECURE WORKERS' COFAPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTES AND GVIL FINES UP TOONE HUNDRED TlIOUSAND OOLLFRE (5100,000), IN ADDITION TO TME COST OF COMPENSATIqJ, DPMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am licensed unQerv�,ovisions of Chapter 9(commencing with Section 7000) of Divislon 3 of the B force end eXect. Lic. p �<3 7'i� �7 aass a Contracrofs Signeture: �� Date: _ CONSTRUCTON LENDING AGENCY: Code, and my license Is In full ❑ I hereby ettirm that ihere is e consiruction lentling agency for Ihe performance of ihe work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby efllrtn thet untler penelry oi perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Code: Any clry or counry which requires a permit to construd, alter, improve, tlemolish, or reDeir eny stmcture, prior to its issuance, also requires ihe epplicant for such parmit to Flle e slgneC stetement that �e ar she is Ilcensed pursuant to the provisians of ihe Coniractors License Law (Chapter 9(cammencing with Section 7000) of Divislon 3 of ihe Business end Professions Code) or Ihet he or she is exempt iherefrom end the basis for the elleged exemption. Any violation of Section 7031.5 6y eny eDP��ent for e pertM: subjects the appllcant to e civil penelry of not more than five huntlretl dollars ($500).): � ❑ I, es owner oi Ihe properry, or my employeas with wages as their sale campensatlon, WILL DO TME WORK, end the siructure is not inten0e0 or oftared tor sele (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, entl who does such work himself or herself or through his or her own employaes, provided thet such improvements ere not Intended or oftered tor sale. If, however, ihe building or Improvement is sold within one yeer of completion, iha owner-builder will have the burden of proving that he or she did not build or improva for purpose ot sele.). ❑ I, as owner of the proparry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe projeci (Sec. 7044, eusiness and Professions Cotle: The contrecrors License Lew does not eppty to an owner ot property who bullds or Improves thereon, antl who contracts for such Droject with a coniractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Signature: Owner ID verified by tlriver's license. ❑ Yes ❑ No Busineu and Profeuions Code lor this reason: Venlicetion ol Ownership by (type ot tlaument, i.e. - properry ta�c bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PENMIT CERTIFICATION: Drivefs License No. oate: Expires: ❑ I hereby certlly ihat no excavetion tive (5) or more taet in depih into which e person is required to descentl, will be made in connection with work euthonzed by Ihis permit, end �het no building structure, scattolding, talsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Califomia Administretive Gode). ❑ As owner-bullder, I will not employ enyone to do work which woultl require e permit irom ihe Division of Industnel Safety, as noted above, unless such person hes e permit to do such work irom �he division. Signeture: Date: Division oi Industnel Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE ANO AIJTHORRATON OF ENiTiY: I certify under penelry ot perjury ihat I have read this application end state that iha information given is correct I egree to comply with ell stete laws antl ciry ordinances releting to bullCing construction, end authonze representatives ot the Ciry ot Costa Mesa to enter upon the ebove-described property for inspection puryoses. I agree not to occupy or ellow occupancy of eny building authorized by this permit until finel inspection. tu e Of Legal Owner(s) �� I� �� Date J - ICn�Or Authonzed Applicant �T Date COOE t. INSPECTONTYPE 1616 Fixed System Final Fire Prevention 1288 Pool Spe Finel 200 Finel Re-Rool 201 Finel BIocWRetaining Wall 202 Final Fectory Fire Plece 203 Final Sign 204 Finel Demolition PAIF UiIIIIeLi CODE� MSPECTIONTYPE 206 Final Machanical 20B Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy O�TE II�eLS p M6 t � o, } __ J '�tnoxmN� (714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: CITY OF COSTA MESA BU/LDING DIVISION DEVELOPMENT SERVICES DEPARTMENT� PERMIT 3045 COOLIDGE AV Parcel Nunmber: 14114168 Applicant: GLOVER, LORIE Address: 2737 S. CRODDY SUITE D SANTA ANA CA owner: GARCIA, RICHARD Address P O BOX 4245 PLUMBING PERMIT Phone: 714 241-1414 Zip: 92704 Phone: � COSTA MESA,CA Zip: 92628 Contractor. COAST PLUMBING 8 HEATING Address: 2737 S. CRODDY SUITE D Phone: 714 241-1414 SANTA ANA CA � Zip: 92704 License: 529127 ArchlEng: Address: Phone: Zip: License: _ SCOPEOF PERMIT WATER HEATER CHANGE OUT� � , ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System� Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qrv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMAFiY AMT Laundry Tub / Washer 50.00 Landscape Irrigation $0.00 P-Trap � $0.00 Pressure Regulalor . $0.00 Process Piping (per 10 ft) � $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 � Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink,service/mop � �$0.00 Spa (private) $0.00 Spa (public) $0.00 an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS PER IT NUMBER 99-00020 77 FAIR DRNE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/14/1999 Issued: 01/14/1999 EX R D . � DATE �� hj�. I V� � � SumpPump Swimming�Pool Trap Primer Urinal � Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin � Wash Basin Set � � Waste and Vent System Water Closel (ToileQ Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOL4TION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $33.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 C 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 ot 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspactions 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 WORKERS' COMPENSATON DECLAHATION? '_ I hereby affirtn under penalry oi perjury one of tha tollowing declaretions: ❑ I heve end will maintain a ceritlicate of consent to self-Insure for workers' compensation, as provitled tor hy saction 3700 of the Labor Cotle, tor tha pertormance of the work tor which lhis permit i5 issued. ❑ I have end will maintain workers' compensation insurence, as requiretl by section 3700 of the Labor Code, For the peAortnance of the work for which this permit is issued. My workers' compensatiqn Insurance carrier entl policy number are: Cartier: Policy Number: (This section need nof be comple(etl I! the permit /s valued et one huntlretl dollars ($100) or less.) ❑ I certify thal in Ihe peAo�ance of the work tor which Ihis permii is issued, I shell not employ eny person in any manner so es to become sublecl to Ihe workers' compensation lews of Califomla, end a9ree thet if I shoultl become subject to the workers' compensation provislons of Section 3700 of the Lebor Cotle, I shell fonhwith comply wiih Ihese provi5ion5. q Applicant Signeture: �%- �� - �� Dete: ��—/Ty� / �] � WARNING: FAILURE TO S CUREE WpqKERS' CpMPENSATION COVERAGE IS UNLAWPUL AN� SHALL SU8IECT AN EMPLOVEq t0 CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000). Iry qDDITION TO THE COST OF COMPENSATION, OAMAGES AS PRWIDED FOR IN SECTION 37060F THE LABOR CODE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS pECLARATION: I hereby eflirtn ihet I em IicensBd under provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 ot Ihe Business and Professiurs Cotle, and my license is in full force end effecL Lic. N Class N Conirector's SignaNre: • �, �'�__�— Date: �� C�—�'j Q CONSTRUC710N LENDING AGENCV: ❑ I hereby affrtn that ihere is a construction lending egency for the pertortnance oi the work for w�ich this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Addre55: SignaWre: Date: OWNER-BUILDER DECLARA7IONS: I hereby aHirtn that under penalry of perjury ihat I am EXEMPT FROM THE CON7RAC70R5 LICENSE LAW for ihe tollowing raeson (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair eny simcNre, prior to its issuance, elso requires the applicant tor such permit to file e signed statement that he or she is licensed pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Coqe) or thet ha or she is exempt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicani tor a permit subjecis iha applicant to a ciml penalry of not more ihan five hundred dollars ($500).): ❑ I, es owner oi Ihe properry, or my employees with wages as Iheir sole wmpensation, WILL DO THE WORK, and Ihe siructure is not intentled or oflered tor sale (Sec. 7044, Business and Professions Cotle: The Conirectors License Law does not apply to en owner oi propery who builds or impmves thereon, and who does such work hlmseN or herself or Ihrough his or her own employees, provided that such imD�o�ements ere not intentletl or offered for sale. If, however, �he bulltling or Improvement Is sold within one year ot completion, the ownerDuiltler will have Ihe burden oi pmving t�ai he or she did not build or improve tor puryose oi sale.). ❑ I, es owner of the proparry, am El(CLUSIVELV CON7RACTMG WITH UCENSED CON7RACTORS to constmct the project (Sec. 7044, Businass antl Professions Cotle: The comrectors License Law does not apply to an owner o( property who builtls or improves thereon, antl who contrects for such proled with a contrector(s) license pursuant ro the Contrectors License Laws.). ❑ I am exempt untler sec. Business and Professions Code lor this reason: Signature: Date: Owner ID verified by tlnvers liCense. ❑ Ves ❑ No Dnver's License No. Verification oi Ownership by (type of document, i.e. - property tan bill or deed): DIVISION OF INDUS7RIAL Expires: ❑ I heraby canity that no eacavetlon five (5) or more feet in depth Into whic� a person is required m descentl, wlll be mede in connection with work authorized by Ihis pertnit, and ihet na building slrucNre, scaXolding, falsework, or demolition or dismantling Ihereof, will be more than ihirty-siz (36) feet high. (Chep. 3.2, Grp 2, Atl 2, Sec. 341, Title 8, Galifomia Atlministretive Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a pertnit irom the Division of Industnal Setery, es noted ebove, unless such person has a pertnit to do such work from the division. • Signature: Date: Division of Industrial Safery Permit Numher: CERTIFlCATE OF COMPLIANCE AND AIJTMORIZATION OF ENTRV: I ceriity under penelty ot perjury thet I have read this appliwtion and state thet the intortnation given is correct. I agree to comply wi�h all stete laws end city ordinences rela�ing to building consWction, and authorize representatives of Ihe City ot Cos�a Mesa to en�er upon the above-described property for inspection puryoses. I agree not to occupy or allow occupancy ot any building authorized 6y ihis permit until tinal inspedion. e� ,^-; ^. �Ownar(s) Dete _.� ��L, / �/�/-i4 AnNOr Authonzed Applicant � DAte CODE �. INS7ECTIONTYVE Qe¢ �EIS 7676 Fixed System Fi�al Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roaf 201 Final BIocWRataining Wall 202 Final Fectory Fire Plece 203 FinalSign 204 Final Demolition 2446-46 �Qpp� INSVECTONTVPE 20fi Finel Mechenicel 20B Finel Plumbing 210 Final Elecincal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final Builtling/Occupancy L� OWNER GENERAL CO: AP N�o. 1 �l-1 INSPECTIONS coat OCCUPANCY r LOT TRACT � Signature FIRE ZONE UATI; GROUP J r DAT� 7�� BUILDING PERMIT NO. 1 DlSCRIPTION OF WORK • � TYPE III 7,ONE R-1 SUBCONTRACTOR : . I7580 COSTA MESA BUILDINGSAFETY DEPARTMENT ' r. o. aox sn cosrw n+esn. ca��Pofwtw Fo� Applieanf to Fill Iq Compleiely TYPE OR PRINT ADDREiSSJ✓ �7 IYbE�I��K?�'I�Y COSTA MESh CALI�ORNIA - � MAIL ■ STATE NO. OF 0HiB11CK IJNE pROM CBNTER aP 6iiteET REAR YARI SIDE YARD I LEFT I RIGHT DESCRIPTION i0F WOitK 'EXTERIOR WALL I ROOI COVERING GOVF USE OF BUILDING AND WORK TO F E RECEIVEU , JUL 2 t? �g��, fINANCE DEPT, CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PCRMIT NQ. BUILDING AD�RE66 �� S / COSTA MESA. FIRE ZONIMG ZO�AE NO.OF USE OP N � � j I PLANB �' BUILDIN� LBOAL I n !� l . /' BT.I �v�Yi� L�Ir� � � e� G :,Il �i �i: �� ,�,> �; I.�� '� 1 - . I HEREBY ACKNOWLEO6E�T11AT 1 HAl2 neno nne APPIJGTION � ANO BTATE THAT THE ABOV¢ 19 COPR¢CT ANO AOR6E TO WM- TXe AMOUNT 9HOWN UNOER VALUAT�ON IB FOR THE PUFIPO6E OP lBTABLIBXIN6 A PERMIT F6E ONLY. PLY WITX w�L c�TY OIiDRtANc¢a ANO� /81'A']TE lAW9�REOULATIN6 eULLnINo coNeTRUCTION..iG%-1i/( `- . �� VALUATION - �j � PERMIT FEE � 91GNATURE O A� �c�C PERM I7TE V V . $�� PLAN CHECK $ - AUTHOftIZED AGENT - �� TO7AL FEE � LO;� lliU�`XRACT 4ZU� �.,,: � �� COSTTA MESA BUILDING-SAFETY DEPARTMENT ' P.�O. BOX 917 COBTA M88A. CALIPORNIA For Applieant fo Fill In Complefely TYPE OR PRINT BUILDING � ADDRe88 O!F COOLIDGE AVENUE � COSTA MESA. CALIFORNIA OWNER JL.&JL:.D.�E�LF�MFSLLI'.f1L�—L�. TEL. CI7Y ��`NEWPORT BEACH CALIF.No. MI 6 ARGNITECT TEL. OR ENGINEER NONE NO. �� 1555 PLACENTIA AVENUE j�i LIG NO. � V 1 1 77 NO. i•i i. v� ��c I SIZE � �� NO. OP BLDGB. OF LOT � ZO X� O2. O7 I Now oN LOT USE OF EXI6TING BLDG 9CTBACK LIN¢ IROM ceNT6N OP eT1R6T � �� REAR YARD �L' SIDE YAR�DESCRIPTION OFR�WORK8 + PXTENIOR WALL COVERING UBH OP BUILDING AND WC R LE ATTACHED GARAGES. I H6R8lY ACKNOWLEDOB TXAT 1 XAVB RlAD TXIB APPUGTION ANO BTATG THI�T THH AlOVB 19 CORREGT AND AORE¢ TO COM- PLY WITH ALl CITY OIIDINIINCE9 AND 8TAT6 LAWB R80UL�TINO 9UILDINO CON9TRUCTION. 7 D BIGNATURE OF � /a/ /!�n Bf� . �AUTHORIZED AGENT � F.E/E RECEIVE� �,/ JAN 4 196� �� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only RECEIR NO. I PERMIi NO. �'.:.. i eJ COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZONING +r;r,eY „� zoxcR� I PLANS Q I BUIIDING EW $tt. g&T. tea�� T�O't �lF. TT'8Ct tF`Z81 oesea�m�eu YARDS APPROVED IC6NTlR LINC 8T.) APPROVED EVES TXE AMOUNT BMOWN UND¢R VALUATION 18 POR TH¢ PUPPOBE OF, E6TABL18H�NG A PERMIi FEE ONLY. VALUAiION {., PERMIT FEE $ ��.�J '� $ �� -�/% /�� PLAN CHECK $ � �> � r TOTAL FEE $ ��' �C