HomeMy WebLinkAbout2116 COLLEGE AVE - Building Permitsl .
�` ' �'�' - ADO��cant lo fill in al se within heavy Gortle� lines antl sign all aDV�apriate tleclarations. '
PERMIT NO. � TRACT NO. LOT NO. UNIT NO.
CiTY OF COSTA MyESA CONSTRUCTION PERMIT � 3 �__ A.P. �W zooa
Project Address �?$ �� � v�0 LL�i �l C� _ S Main Building: Accessory Building:
AppliCant'sMailingA ress `�� �e' -TVPEOFCONSTRUCTION NEW ADD A�TERATION REPAIR E Z
�B T ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front p
Owner's Name � /U- rP one B N
�/ I�S�'3 DESCRIPTION OF WORK/USE OF BLDG. Rear �
Address ���� `-� LL e t� � A
Arch/En� —� License No. TVPE OF PERMI7 GRADING FouNDnTloiv ❑ STaucTURAL I K Right N
AddfeSi ❑ TENANT � ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g� Left R
Contractor's Nam E�--� hone ��oTHER Ping. Ref. # Parking Req./Provided E
PROJECT DESCRIPTION 54. FT. oCCUaANCv n
Address (mailing) � Planning Notes: ry�
CONSTRUCTION TVPE VALUATION $ T
CityLicenSeNo. ZONE GRADINGCU.V�S. ACRE$ S,
LICENSE� CONTRACTOR DECLARATION
I hereby affi�m lhat I am IicenSetl untle� p�ovisions o( Charte� 9(commencin9 qemarks: ���
with section ]000) of DiviSiOn 3 Of [he Busine55 antl Professions Cotle, antl
my license is in full torce antl etiecL ELECTRICAL FEES
License Class License No.
Date Siqnature PLUMBING FEES P.utomatic Washer 7ransformer ❑ 15-50 KW
tKERS' COMPENSATION DECLARATION COnstfuCtiOn Pole SUb. � 50+ KW
eby affirm that I have a certiticate of consent to selt-insure or a certiticate gar Sink Showefs
. Workers' Compensation Insurance, or a certifieA cooY thereof (Section gackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. CJ " Di5hWa5h0r Meter ❑OVer100amp5
Poiicy No. Company Backflow Irrigation Sewer Cap
eCertifietl copy is nereby furnisnea. '' Oryers ❑Gas �Electric Suh Panel
Certifietl copy is tiletl with the city Builtling Division. � Bathtubs S2we� Connection
�a[e Applicant Fan MotOr5�0-1 HP�1'/x-8
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solar ColleCtors
iess�ssection neetl not be completed if tne permit Is for one huntlretl ($100) or Dishwasher Solar Pipin9 F�A�U� Inc.Solar 09-15 HP 016-15+
I certify that in [h¢ perto�mance ot th¢ work (o� which this pe�mit is i55ued, I • FixtWES 2 2
shall not employ any person in any mary+e r so as t c 4'subject to the D�inking Fountains Sola� Tank Microwave
Worker5' p sa on LawS of Calitorpro,
oate __�SL�j,� �� Signature ��++ t� d��� Floor Dreins Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If, af[er fnaking this tleclar�n, you �ultl becom s� 0 Outlels Range '
Workers' Compensation Orovisions of tne Labor Cotle, you must fortnwith Floo� Sinks Urinal ' �
comply with such p�oviziOns o� this permit Shall b¢ tleemetl �evoketl.
CONSTRUCTION LENDING AGENCV GaSScfviCC OUt1Et5 Wate�ClOset SwitCh25 Sign
I hereby affirm that there is a mnstruction lentling a9ency for the performance -
ot the work for which this permit i5 ISSu¢tl (Section 3097 Civ. C.) Gafbeg2 DISpOsal $tanding $¢CtiOnS
LenCer's Name �nte�ceptors Water Heater
Lender�s aatlress Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby aflirm lhat I am exempt from the Contractor'S license Law for the Lavatories Auto-Wash
foilowing reason (Section 7031.5 Business antl Professional Cotle: Any city or
county wFlich Ieqb�res a p¢rmit to con5truct, alter, ImO�ove, tlemolish ol repair P—h3p LBufldry Tf3'y5
any sttucture, p�io to ifz issuance, also �equires the applicant fo� such permit
^ file a signetl statem2nt tnat he/she Is IicenSeC pursuant to the provisions of ROOS D�di�S
Contractor's License Law (ChaO�er 9(commencing with Section 7000) of
sion 3 of the Business antl Pro(essions Cotle) or that he/she is exempt Reinspection Fee $15 Issue Fee -�S"
refrom and thz basis for [be allegetl exemptiOn. Any violdtion ot Section
�031.5 by any Spplican[ for a permit subjects che applicant to a civil
alty ot not more than five nuntlred Aoilars (5500). DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of the property o ' ' Reinspection Fee $15 laue Fee $ 3 Zoning Approved By
�will tlo the work, antl [he structure is not inten0etl or offeretl Date
for 'sale (Sectian 7044, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date
LicenSe Ldw tloes not apply lo an owne� o( a property who builtls or improves
thereon, antl who Coes Such wo�k himself/herself or through his or he� own BOiI¢� HOOd 0� Typ¢ I ❑ %�PP���tiOn ISSuOd By Ddt � �
employees, provitleE that such improvemen[s are not intentletl or offeretl for
sale. Ii, however, the builtlin9 or improvement Is soltl within one year of com- Canopy Type II � SUMMARV OF FEES
pletion, [he owner will have tne burtlen of proving he/she tliG not builtl or im- Duct - Under G�ound
prove ior tne purpose ot sale). BUILDING PERMIT $ SMIP $
❑ I, as owner ot the property, am exclusively contractin9 with licensetl con- Duct-Structural Refrigeratfon System PLAN CHECK $ PERMIT
tractors to construc[ tM1e pro�ect (Section 7044, Business antl Professions Cotle:
The Contractor•z License Law does not apply to an owner of property who Duct- Ventilating ❑0-100,000BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builtls or imorov¢s thereon. antl who contracts for such oroiects with a con-
tracmr(sl Lcense pursuani ro me Convactors License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PL-P�N CHECK 25% $ ENERGV P.C. $
proof of their Worker's Compensatlon Inzurance shoum be provitletl to me. ELECTRICAL $ 3� GPADING $
❑ I am exempt untler Section B. & Pr C. for this reason Firepl/Fact. BIt. �CBO # Fi�e Dampers
PLAN CHECK 50% $ MICROFILM $
Date owner - Heating System & Duccing Registers MECHANICAL $_�Q
I hereb certity that I have rea 't is applic lon antl scate nat me above ❑0-100,000 BTU �100,0008T $ TOTAL FEE
information is correct. I agree to comply with all clty antl county ortlinances PLAN CHECK 25% $
antl state laws relat' to buildin con�tpuction, and hereby authorize repre-
sentatives o( thi y to ent u �the above-mentionetl pro erty for
i�seecuoo o�ro oat�� 01 OOD32733-�00032733 Y'2'�T SC�J`'
$ignature � OATc: d51i0/39 TTIi 1"'
Drivers' License or 55 � Reins ction Fae $15 luue Fea $ 3 tq `�, y �
0865-46, rev. 5/88 7ink - Accounting; Goltlenrotl - Assessor
CONSTRUCTION AND PLANNING P� & SP,A
�.a
APPROVALS Permit# Date Inspector ��AppROVALS 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-Undrgrnd. 55. Electrical. Bonding .
5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test
.` 6. ,Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . �
�
7. Footings . � 58. Electrical Conduit-Undrgmd. •
�' 8, Foundation ' 59. Gas Pipe, O Undrgrndr, Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Li �e;, P-Trap, � Undrgrnd.
10. Structural Floor System '' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & ReceptoriFinal '�
m I
12. Sewec Cap 63. Heater & Vent-Final ; • :
: 13. Roof Drains � 64. Plumbing System - FirtHl '
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
_ 1�8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace '' APPROVALS Permit # .
27. Ducts, in Structure ' 70. Underground Hydro
22.,Ducts, Ventilating ` 71. Product Piping OGas ❑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 (Structural) & 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. Electrical Power Meter-Final 0. FOOD CERTIFICATE ISSUED
33. Final Electric �-� otes:
34. Final Heating & Air Conditioning '-�-�
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer � �'� 1 - ��
.i
� 43. Backflow Irrigation � � �-
44. Landscape Irrigation System .
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison _�'
50. Gas Release to Southem Califomia Gas Co �, �. �
51. CERTIFICATE OF OCCUPANCY - , _ , • • . -
No. Date ✓; � ?� �~
. l
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B3g 3� Applicant to /ill In all spaces excvpt iriose withln ncavy borCer Iines anG sign all appropriate Oecbra . � •
� J
CITY OF COSTA MESA CONSTR UCTION PERMIT. -' ;� ` �� IT NO. �'O O. LOT UNIT NO. A P�y � 2one _
Pro'ect Address 6 'a c G e � �U Pi,��� �
� a . S Main Building: Accessory Building:
%�PP��Cant'S Mai�ling/,(�,ddf255 ��l y�DGL e% �� Ti�PE OF COIVSTRUCTION .. NEW ADD LTERATIOQI REPAIR E �
Owner'Sf�amC/���/ ����/_�Tl�� �—� � CONVERSION ❑ DEMOLISH ❑ OTHER FS�L'r�+'� d � T Front o
ne'��1� DESCRIPTIQ N OF WORK/USE OP BLDG.. L� V�H A �Y� ON> ��� 6 Rear `�% N
Addreu �.� yi(� o cir�.s � �.�19, .�._.)st_-S7'� �. ,• S F.O - �-- n i
Arch/�ng. ' LicenuNo. TVPEOFPERMIT GRA�ING FOUNDATION STRVCTURAI �K R�9ht � z�� G\
Left �
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ,S R
AddreSs . � Ping. Ref. # arking Req./Provided E
ConlldC[Of'SNamC PhOnC ❑'�THER '
PRQIECT DESCRIPTION 50. FT. ✓�� OCCUaANCV Plannin N �
Add[ess Imailingl �, 1 p• 9 otes: ��y I�J '� � M
CONSTRUCTIONTVPE -�--Iv VALUATIONSZ�4SiS�� p T
Citv��j�en5e NO. '. IONE GRADING CU, YDS. qCRES � ` g.
LICErySED CONTRACTOR DECLARATION ' -
I hereby allirm that I am licensetl untler provislons oi Chartar 9(commencing Remarks: 2 r. g' � � �
with te;tion 7000) of Oivislon 3 0l tne Businezs antl Professlons Gotla, an0 - ELECTRICAL FEES
my license is in lull (orce antl efte<L � ' �0 �
LicensE Class �icense No, P�UMBING • �- FEES Automatic Washer Trensformer ❑ 15�50 KW
Datc Si9nature ❑ 50 + KW
W00.KER5' COMPENSATION DECLARATION ConStruction POleSub.
�`•reby aHirm that I �ave a certifiwca ot mnxnt to self-insure or a certHiwte Bar Sink Showe�s �
lorkers' Compensation Insurance, or a ttrtifietl copY thereo( (Section Backflow Preventer Servite Sink Cooking Uni[ Merer ❑up to 100amps
�. Lab. CJ —
aoiicy rvo. Company Backflow Irrigation Sewer Cap � �� Dishwasher Meter ❑over 700 amps
8 Certi/iea copy is hereby turnishetl. -' , � Dryers OGas ❑Electric Sub Paael
Certitietl coOY is (iletl witb the cltY Builtling Division. Bathtubs S¢wef COnnectiOn
Date Appiicant -- Fan Motors�61 HP�1'h-6
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clerifi2f5 $olaf CAII¢ttor5 � �
(Tnissection neeE not be como�etea It lhe Dermit is (or one nuntlretl (5300) or _ F.A.U. Inc.Solar �9-15 HP �16�15+
Icss). � � Dishvrasher Salar•Piping �
I Certity tha[ in [he pertormanc¢ of the wo�k 1pr which thi5 pe�m�t is ISSuetl I
shall not employ any perzon in any mann so as to e�ome bje<t to t�e Drinking Fountains Solar Tank ' Fixtures Microwave
Workers' Comg� ns�tyi n� Laws oi �alilor '-� ' � Device Boxes Pole Li ht
Date __��t1/ �/.�lL,��gnature � Floor Dreios Swimming Pool wlSpa 9
NOTICE:ii Sr�e nYaiting tnis tleUar I n, rou sn u tecome e)ect to tne Outiets
WorkBrs' Compensdtion Provisions ot the Ldbor Cotle, you iust forthwith Floor Sinks . Urinal Range
comply wj(ry such provl5ion5 0� IhiS P¢/mit Shall b@ tleomGtl �evokCtl. $wiLChES
CONSTRUCTION LENDING AGENCV ('ieSServic@ OUtletS Wat¢ICIOSEt ' Sign
I nereby alfirm that there I5 a constructlon lentling agency tor tha performanca GBrba 2 Di 0521
of lhe work for wnith thiz p¢rmit iz issuetl (Sectlon 3097 Civ. CJ In[eroeptOri Water Heater 9 � Standing $ettiOnz
�en0ar's Name
�antlar's Aatlress Kitchen Sink Water Service GenereCor �0-5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I horCby alfirm lhdt I aT exempt irom the COnt�atto�'s LIC¢nse Law fo� tbe LZvetOfl¢5 AUtO-WeSh �
lollova{ng r¢ason (Sectlon 7031.5 Buslness antl Prafesslonal Cotle: Any clty or �
coun(y whicn requires a permit to construct, alter ImOrov¢, aemolisn or repair P—Trap �undry Tra'ys
any s«ucWre, prior to its iS5ua0ce, dlso r¢quires t�e aOV���an[ tOr such pe�mll
to lilp a signetl statemCnt that pe/Sho IS Ilcep58tl pu�iudnl to th¢ P�ovI510n5 O7 Root Drains
tne Contra<tor's Ucenw Law (Chapter 9.(commoncin9 with Sectlon ]000) ot .
^'�ision 3 ot lhe Businoss antl Protossions Cotlo) or that no/sne is axempl RBinspection Fea $15 luue Fee $ 3
e�rom antl the Dasis tor the allogotl exemptlon. Any Nolatian of Soctlon
1.5� by any applicant for a permit SaDjects tne applicant to a clvil
ial�S ot not more tnan liva huntlrca tloiiars (5500). .DEVELOPMENT.SERVICES RE MENTS: /ry
b �, as owner of tho property or my emoiaYeos with wa9as as Inetr som Aeirtspection Fee §75 laue Fee g 3 Zaning Appraved By- �� Date �3` G
CompenShciOn, will tla [he wOfk, dntl IM1e stfuttule IS I)Ot InteOtletl Or Ot�BrCtl
lor saie (Section �oa4, eusinezs ane Protessional Cotlo: The Contractor's MECHANICAI FEES BuildinB ApP�oved By Date
liceq5e 1. w tloes not apP�Y �o an owner of a proparty `�'ho builtls or ITp�oves
thereon, antl who tloe5 such wolk hlm5¢It/p¢rSBH ol Ihrpugh his o! h0r own AppliC8tl00ISSlled'By QBte
emD�oyoes, provitlea tnat such improvements are nol Intentletl or oifaretl for Boiler Hood or Type 1 ❑
saio. �f, howover, the Duilaing or Improvement Is som wlthin one year of com- Canopy Type I I ❑ ,'� f SUMMARV OF FEES
P�¢li9n, lno Owne� will M1av¢ tha bur0en 01 P�oving he/She tlIC not ouiltl or Im- Dutt - Under Ground !^
�ove tor tno purpose ot sam). BUIL�ING PENMIT $.� 3� SMIP $ �'f7Cl
-�
�. as owner of tne property, am exciusiveiy contracting wlth iicensea con- Duct -Sttuctural Refrigeration System pLAN CHECK $ PERMIT
tracters to construct tne Orojecc (SecNon 7044, Business ana Protessions Cotle:
The Convactor's License �aw does not apply to an owner ot property who Duct - Ventilating ❑4100,000 BTU ❑100,000 BTU �'PLUMBING � $ ��UANCE $
builqs or improves tnereon. antl who contratts for sucn orolects witn a cnn-
tractor(s1 license pursuan� to �ne Contractor•s Licanse Law), I am awaro that Exhaust System ❑ Multiple ❑ System Repair/Alteratipn P�N CHECK • 25% $ ENERGY P.C. $
proo/ o( their Worker's ComoensaHon inzuranca snoulq ba provlaetl to me. ELECTRICAL 5 GRADING $
❑ � am exempt untler Settlon B. & P. C. for Ih6 reason Firepl/Fact. Blt. �CBO � Fire Dampers •
PLANCHECK' 50% $ MICROFILM 5
Date /6wner � Heating System & Ducting Registers MECHANICAL $ �
1 nereDy ce ti y t at t nave rea nis application antl st e tnat the above ❑0.100,000 BTU �100,0006T TOTAL FEE $
Information Is correct. I agree to com0ly with all city antl countY ortlinances � PLAN CHECK 25% $
antl Sta(e laws relating to builping constructlon, antl hereby autborize repffe-
senta�ivez o! tni city to e r u tbe above-menHoneO �P�o�P rt�y�ior • �
InSpettiOnpurp 5. ��-LT,�y�. . .
Signature Date � . .�
i Reinspettion Fee $15 laue Pee $ 3 � � i�� �.��y �.n�_ �p;+� nq rr�-��- : :_
Drlv¢rs' l ense or S 3° . � S . . 1 Q�il,�_ j,,., -
��G'.".: rr.��:�� :r. .n.•
0865-46, rev. 5/80 White - Builtlin9: Canary - A�Plitant; Pink - Accounting: Goltlanrotl - Aisessor - • � - � • �` � �-
i CONSTRUCTION AND PLANNING POO' SPA
APPROVALS• 'Permit# Date Inspector p�ppROVALS Permit# Date Inspector
�
�1. Tempqrary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
' 3. Elec�rical Conduit Utility-Undrgrnd. ' 54. Forms
' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinfprcement 56. Rough Plumbing & Pressure Test
6. �Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
l, 7. Footings, �L �� 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System �a y �� � 61. APPROVAL TO DECK
11. 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
I 15. Rough Electrical-Conduit 66. Solar SYstem-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
1;7. Rough Wjring Sign 68. APPROVED FOR PLASTERING
18% Rough Electrical-T Bar Ceiling" 69. POOL/SPA SYSTEMS FINAL
19. Rough lieating & Air Condiiioning FIRE DEPT. REQUIREMENT '
20. Rough Factory Fireplace ;,: APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating ,� �1�� 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test �� 72, Underground Flush
i ; �.
24: Roof Framing ;yj �' �� 73. Undergmd. Storage Tank � Gas ❑ Oil
25. Roof.Sheathing ,�� .-• 6' 8 �� 74. Overhead Hydro
26. T-Bar Ceiling (Stiucturap & Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe
�281 Lathirig & 5iding �--'� � � 77. FIXED SYSTEM FINAL
29. Insula.tion ' �''� '78. FIRE PREV. FINAL
30. Drywa`II Nailing � __T� $� HEALTH DEPT. REQUIREMENT
31. Plaster�Brown Coat,.e -^%) 79. FINAL INSPECTION
\ 32. Electrical Power MeterFinal- 80. FOOD CERTIFICATE ISSUED
33. Final Electric �;�� � Notes: 6 � ��G .� ���}
,{� 34. Final Heating & Air Conditioning b�� d 6 -�}�, ��
�,�
35. Final Gas Pipe-Test � _ _
r � 04
' 36. Hood or CanopY /' / � G(�jt �[
. P•� o Y KOL/�f�' .G
37. Final FactorY Fireplace-
38. Final Plumbin9 ' . � v
39. Water ServiGe-Final .''� -
�40. Gas Service-Final �
�"41. Solar pomeSticFinak :� _ � �` �
42. Backflow Preventer _ �� �,'
_ �, .,-
43. Backflow Ir�igation, : '
44. Landscape Irrigation System �
45. Sound Attenuation� .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING v
48. Special�Requirements Completed
49. Electric Release to Ediion !.
50. Gas Release to Southern California Gas Co ., ' "
51. CERTIFICATE OF OCCUPANCY r '.
No. Date +"' '
Plan Check #
Permit fi
City of Costa Mesa
MEASURE "G" EXEMPTION
Exemption #
Case #
Adtlress: 2116 College Avenue Unit: 1
Applicant: Ray and eea Pcerryman
FACTS:
� Residential ❑ Commercial/Industrial ❑ Other
❑ Existing Lot ❑ Not Part of Larger Project
P�oject Description: Enlarge living room to 490 sq.ft.
No. of Dwelling Units 1 Gross Floor Area NA Square Feet
F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day
FINDINGS:
The above described project is exempt from compliance with Measure "G" for the foilowing reasons:
❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross
floor area is equal to or less than 10,000 square feet or has an average daily trip generation
of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot,
and is not part of a larger project.
❑ 2. Project is a residential project of four dwellings or less on an existing lot.
� 3. Project is residential construction that does not increase the number of permanent housing
units on the parcel where the construction takes place, such as remodeling or rebuilding of
an existing house.
❑ 4. Project is commercial/industriai construction that does not increase the footprint or square
footage or change the use on the parcel where the construction takes place, such as remodel-
ing or rebuilding an existing structure.
❑ 5. Project is a public benefit faciiity, which is defined as pubiic libraries, public administration
facilities, public parks, public utilities, and religious facilities.
❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals,
police, fire and safety facilities, and schools.
Exemption ratified by:
� Planning Commission Date March 13, 1989
0 City Council
,��
Date
co�sGa mcsa
OWNER DIKE & COLEGROPEy INC. DATE S-�-S'7 _
JOB ADDRESS 2116 College Avenue BLILDING PERMIT NO. #Iy999
GBNERAL CONTRACTOR Oromer Bldr_ � VALIlE $ 11.932.00
AP. No. LOT 7 TRACT �?n7 FIRE ZONE DESCRIPTION OF WORK RPF_ W/at+._ var_
TYPE V
PLAN NO.
INSPECTIONS I DATe I SUBCONTRACTOR I DATE NUMBER
coat
Einal Gas Tut
. ,� :.._ 4948 -�
.t
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
ADDRE55
OWNER '
MAIL
AODRE55 1
-�F
CITV OS'
ARCHITECT
OR ENGINEER
ADDRE55 1
�7R�7� 4T•1�7:YGiiUUa
• .-
LEG�L Lp7
OESCPIPTION N�.
A.P. NO.
SIZE
OF LOT � J�
USE OF
[%ISTING OLDG.
SEt84CR LINE FROM
CENT[R OF vTREEi
TEL. 6U
NO. AO
LIC.
F11
ZO
zo
CITY LIC.
NO.
t TEL. AP
NO. BV
6LOCK TRAC
NO.OF BLDGS.
f10W ON lOT
REAR YARO �JF.�
DESCRIPTION OF WORK,
NEW X ALTERATION ApDIT10N
REPAIR � �MOVING _1_ _ DEMOLISH
SUZIEDING1 g3 S� y�y• NO.OF L�.
r �, ROOMS p STORIES
E%TERIOR WALL ROOF
COVERING Sf.11�'CO COVERING (!Omm
BUELDINGEW Single Family Reside�/nce
Pl an Aln_ �fifinAR �Ll� . �
FEE RECEIVED
Qas� ���f�-9,�,
FI ANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
NECEIPT NO. P
�
IECEWEO BY / ORTE RECEIVE�_ D/.TE ISSUEO
COSTA MESA. CALIFORNIA
CORRECTIONS
ST/.TE TN�i TME .�BOVE IS COflRECT �ND �GPEE TO COMPLV WITH �Ll
CITY OROINSNCE$ RNO 6T1TE LeWS REGUL�TING BVIL�ING CONSTRUC-
iiON. //•1 � VP.LUHTION
SIGNATURE OF / PERMiT FEE S
PERMITTEE �
PLAN CHECK S
s ll, 932.00
AUTMORIZED AGENT Dike and Colegrwe TOTAL FEE S