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Home My WebLink About937 CORONADO DR - Building PermitsJob Address: 937 CORONADO DR Suite No Vicinity: Parcel Nunmber: 14132703 Applicant LITTLEFIELD, SCOTT Address: 24707 SAN FERNANDO RD SANTA CLARITA,CA ' Phone: 888-617-4328 Zip: 91321 Owner: LIN, ANTHONY C-H Address 937 CORONADO DR . Phone: � COSTA MESA; CA . Zip: 92626 Convactor: AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA WATER HEATER CHANGE OUT ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlels) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qrr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0� 0 0, 0 0 Phone: 661-259-7131 Zip: � 91321 License: 627368 � SCOPE OF PERMIT FEE SUMMARY AMT Laundry.Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $0.00 'Receptors- -' ' � - -" $0.00 � Septic Tank � $0.00 Sewer Cap for Demo $0.00 Sewer Conned � $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 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 . 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 03/132007 Issued: 03/13/2007 � � ISSUED BY: �c �., � r s� '�//� �' Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(t-4) Vacuum Brkr Bktlow(5+) Wash Basin Wash Basin Set ' Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping pnst or Rep.) Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK . , REINSPECTION TOTAL CALCULATED FEES: AMT 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.80 QTv 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) - EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 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 required Inspectfons and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaac�ae �aroo� WORKERS' LOMPENSATION DECLARATION: � I hereDy eHirm untler penalry of perjury one at tha tollowing tleUaretions: ❑ I have end will maintain e certiticate of consent to selt-Insure tor workers' compensation, es provitled for 6y section 3700 of Ihe Lebor Code, for lhe pertormance ot the /work for which this permit is Iuued. �I heve end will maintain workers' compensetion Insurance, es requiretl by section 3700 of Ne Lebor Cotle, for the pertortnance of Ihe work for whicli Ihis pertnit I5 Issued. i My wo.�rkeIrs' compensatlon Insurance carner antl policy number ere: Cairier. __I � F. �"Rn � 'r � Policy Number: �� 7 � � � �d �- (This section need not be cnmpletetll! fhe permif is ve/ued ef one hundred dallers ($100) or /essJ — ❑ I certity that in the peAormance of the work for whic� this permit Is issued, I shall not employ eny person in any manner so as to bewme subject to the workere' compensation laws ol Calilornl , end agree that II I shoultl becoma sub�ect to Ihe workers' compensation provisions of Section 3700 ot the Lebor Gode, I shell lorthwith comply with thesa provisions.� ,I Applicem.Signatu� re:� �Q�L' �oate:- 3" � 3�C � WARNINOI FAILURE TO SECURE RKERS' COMPENSATION COVEMGE IS UNIAWFUL AN� SHALL SUBJECT PN EMPLOYEii TO CRIMINPL PENALPES AND CIVIL FlNES UP TOONE HUNDRED T}IOUSAN� �OLLARE ($t00,00D), IN AODITIqJ TO THE WST OF COMPENSATION, DAM4GES AS PROVI�ED FOR IN SECTION 31060F THE LABOfi COOE, IMEREST, AND ARORNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm ihat I am�licensed under provislons of Cheptar 9(commenr.ing with Sectlon 7000) of Dlvision 3 oi.ihe Buslness and Professions Code, end my Ilcense Is in full torce and eeem.:u`orp �e �? 3 b k �\ Cias's a L' 3 6 Contracto[s Signe ure: .� ('�,Q� �— �i Date: 3" I�- D% CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is e conswction lending agency for the pedormance ot Ihe work for which ihis partnit is issuetl. (Sec. 3097, Civil Code). Lentlels Neme: Lenders Address: Signawra: Date: OWNER-BUILDER DECLARATIONS: I hereby eRirm Ihat under penalty of per�ury that I em EXEMPT FROM TT1E CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or counry whic� requires a Oermit to consWcL alter, impmve, demolish, or repair any structure, prior m its issuance, also requires the ep0licanl lor such pertnit b tile a signad siatement thet he or she Is Ilcensed pursueni to the provisions o( the Contrectors License Lew (Chapter 9(cammencing with Sectlon 7000) oi DlNslon 3 of the eusiness end Protessians Code) or Ihet he ar she is exempt t�eretrom ana t�e basis for t�e allegetl e:emption. Any violation of Seclion 7031.5 by eny appllcant for e pertnit subjects Ihe applicant to a civil penalry of not more then tive hundred dollars (5500).): ❑ I, as owner oi the properry, or my employees with weges es thelr sole compensatlon, WILL DO 7HE WORK, and the slrucNra Is not intended or otteretl lor sala (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner ot properry who builds or improves thareon, and who does such work himsalt or hersetl or through his or har own employees, provitletl that such Improvements ere not intended or oflered for sale. If, however, the builAing or improvemenl is soltl within one year of completion, the owner-builtler will heve ihe Ourtlen of proving ihet he or she did not build or improve for purpose of sele.). � ❑ I, es owner oi the propeny, em EXCLUSIVELV CONTNACTING WI7H LICENSED CONTRACTOfiS to construct ihe projec� (Sec. 70a4, Business and Professlons Coae: Ttie contractors License Lew tloes not epply to en owner of property who �ulltls or Improves thereon, and who conirects for such project wlih a contractor(s) licensa pursuant to iha Cantraaors Licensa Laws.).. ❑ I em exempt under sec. Business and Prolessions Cade for this reason: Signature: Date: Owner ID verifietl by tlrivers licensa. ❑ Ves ❑ Na Drivers License No. Venlica0on of Ownership by (type ol tlocument, i.e. - properry tax DIII or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet na excavetlon �Ive (5) or more teet In depih Inio which e person is required to descend, will be mada In connection with work authorized by Ihis permit, and that no builtling structure, scaHoltling, falsework, or demolition or dismantling thereof, will be more than ihirry-slx (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TLLIe B, Califomla Atlministrative Cotle). ❑ As owner-builder, I will nol employ anyone to tlo work w�ich would require a pertnit iram t�e Division of Indusinal Sefery, as notetl above, unless such person has a permit �o do such work from the division. Signature: Date: Division of Intlustrial Safery Permit Number: CEHTIFlCATE OF COMPLIANCE /WD AIJfHORiZAT10N OF EHTRY: I certity under Denalry ol pe�ury that 1 have read this application and state t�et the infortnation given is correct I agree to comply with all stale laws end ciry ordinences relating lo building consWctlon, end authorize representatives oi the Ciry ol Coste Mesa to enter upon Ihe ebove-described proparry lor ins0ection purposes. I agree not to occupy or ellow occupency of eny building authorized by Ihis pertnit until final inspection. COUE /. INSVEttIONTYPE 1618 Fi:ed System Finel Flre Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Final Block/Retalning Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Flnel Demoll�ion �g �� GOpE I INSPECTION TYPE Date �r�1 �� ` Dale' PA� It�64 20fi Final Mechaniwl � 20B Final Plumbin�i(//� Z �Z'��i �'� 210 Final Eledncal 212 Final Fire Preveniion 220 222 250 Final Planning Approval Final Site Finel Building/Occupancy MAIN OFFICE 163v WEST GAVIORO ST.� — P.O. 90% 90fi5 LONG BEACM 10, C/LIFORNIA HfMLOCI( 5-]993 Soq�,CE 5-652/• JPCh50N > 3501 Twinina Laboratoraes Lxamin��ion No. Pro,ject Sample from ArchitecC Conu��ctor iA9ix R'atcr, g�l./sk. cemcnl �4�sauia sizs n:�« �15� Datc tcstcd Cvlinder No. CO\-1PRISSSIO\' TEST B9ANCH OFFICE 1514�0 NORT11 HnRPER ST. SFNTA ANF� COLIFORNIA IEFPER504 1�20+.5 JEFFEFSON 1 2U4G of cSout�Zeziz ��a�i foz�zia, �nc. October 17, 1962 GUN ZTE Ri:PORT OF�@&1Y3tSRF7� TEST CYLINDER C62-2588 Total laad to destruction, lbs Pounds per square i�uh C�linder madc by C��linder deliccred b}' C}•]indcr recei��ed on cc: Ileuley - 4 Tahitian Poo�s. Weaver SA Lab For - J. Di. }leniey POOL - E, ONSTEAD - 937 Gornado llrive Co=ta Mesa, Califoruia Fiouse sidP �. -- 48" f.rom top Floyd Weaver - 223 �. 77th St., Santa Ana, Calif, Tahi.tian Pools - 7622 E. 17th St., Santa Ana 4z - 1 �,000 pFi 6 x 12-1/4 9-79-62 9-26-62 937 7 lleys 43,500 1,540 J. M, Heuley J, Pl, Heuley 155 sacks - 36 tone. 6-3/� x 12-1/2 10-17-6� 937 23 Days %0,500 2,209 937 ^gold" q-,21-62 � Note: 28-day test somplies with specs. r hI ��[ /�� (/� ` w� r::L[%i� ALl REPORTS ARE SlIBMITTED a5 TME CONFIDCNTI4L PNOPERTY OF CLIENTS. PUTHOflRATION GOR PLIBLICATION OF OUR FEPORTS. CONCWSIONS, OH E%� I'RACTS FROM OH RCGNR�IYG IMEM IS HEiE,qyED PCNplrvc Oufl WRIITCN I�PPHOVnL n5 F MUTl1nL PROTECTION TO CLIENTS. THE PUBLIC NNU OURSELVES. \ K Aoplicant ta fill in all spaces exce0� those within neavy bortler lines ana siqn all appropriate aeclarations. �CITY OF COSTA MESA CONSTRUCTION PERMIT P RMIT N TRACT NO. LOT NO. UNIT NU. Projec[Address 937 ��ASx Coronado, C.M. Applicant'sMailingAddress 126 Commercial, C.�1. 92627 Owner'sName TQllj� Ll� ' Phone 546-6752 IAda,e�� 937 Coronado, C.M. 92626 , Arch/Eng. License No. Address ConVactor'sNameCrank Bros. Roofinq_Pno„e 548-55 Addresslmailing) 126 Commercial. C.M. 92627 City License No. �05993 � IICENSEDCONTRqCTORDECLARATION I hereDy affirm lhat I am licensetl untler provisions of Cltarter 9(commencin with section �000) of DiviSion 3 of the Business antl P�ofessions Cotle, a my license is in full f,orLe,pntl eftecL /� ._„�_ Signature WORKERS' COMPENSATION DEC ffqTION �� I hereby atflrm Ihat I nave a certif e of mnsent to selLinsure or a certiticate o( Work¢rs' Compensation In5 ce, o� a certitietl coOY lhereo( (Section 90, Lab. icy No.2 �z24'88 Company ST��e Fund � Cerfifietl t PY is hereby furnisM1etl. � � e° Y w"h `he `�`Y�i an`� �ros; Roofi ng� �ate Applicant �_. i EXE PTION FROM WORKERS' GOMPENSATION DECLARATION (Thissection neetl nal be cam0letetl if [he pCrmit is fo� on¢ huntlretl ($100) or less). I certify tha[ �� [he perfo�mance of Ihe work tor whicn this pe�m�t is IsSued, I shall not-emPloy any per5on in any manner so as to Decom¢ subject to [he Workers';Cor�Pensatlon Laws of California. Oate SignaWre NOTICE: If, after makinq this tleGlaration, y0u shoultl becomE-sub7¢ct to the Workers' Col�PenSalion provisions of ihe Labor Cotle, you mu5t forihwith comply witM Such provisions or this permi[ shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that there.is a construction lentling agency for the pertormance of tbe wo�k tor which this Pe�mit is izsu¢tl (Section 309] Civ. C.) LenOer's Name Lender'S Atltlress OWNER BU�LDER vECLARATION I hereby affirm Ihat I.am exempt irom the Cont�acto/4 Lic¢nse Law (or the following reason (Section']031.5 Business antl Professlonal Coae: Any city or county which reqW�es a permit to consVuct, al[Cr. improve, tlemolish o� rePai� any sVucture, orior to its,issuance, also requlres ine applicant for such permit to tile a signetl Sla[em¢nt that he/she is IicenS¢tl purs�ant lo the provision5 of the Contracror's Gicense Law (Cbapter 9(commencinq with Section ]000) of Division 3 Of the Business antl Professions Cotl¢) or Iha� he/she is exernPt tnerefrom anC the basis for the aliegetl exemption. Any viola[lon of Section '�31.5 by any applicant for a permit Subjects the applicant [o a civil 'dlty o( nOt more Ihan hve huntlretl tlollars (§500). I, as owner ot tbe p�operty o� my employCes wilh wages az iheir Sale wmpensatio�. �+'�II tlo the work, antl the structure is �ot intentletl or of(eretl fOr Sale (Seclion ]044, BuSiness antl Pmfessional GotlC: The Contrac[or's license l2w aoes not apply to an owner ot a property who builas or improves thereon, antl wno tloes sucM1 work himself/herzelt or througn his or her own em0�oyees, p�ovitletl that such imProvemenls are not Intentletl ot otferetl for sale. If, howeve�, the bulltling or improvemen[ is zoltl withln one year of cOm- pletion, lM1e owner will have the burtlen of proving he/shc tlitl no[ builtl or im- prove for the Purpose of sale). ❑ I as owner ot the property, am exclusively contraCting with licensetl con- tracto�s to c0�5[ruct lhe project (Section �044, Bu5ine5s antl Professions Cotlee The Contrac�or's License Law does not apply to an owner oi property who builtls or imProves lher¢on, antl who contracti for such prol¢cts wiih a con- tractor(s1 imense pursuant to the ConVactor's �icense Law�. I am aware that proot of thtir Worker'S Compensation insurance shoultl be provltletl to me. L� I am exen�Pt untler SecNon B. & P. C. for this reason Date Owner 1 hereby cerlily that I have reatl infnrmatinn is couecL I aaree to [ Signature Dnvers' L CMF OB65-4fi that tM1e above 0 � 3�I2l� TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR — ❑ CONVERSION ❑ DEMOLISH ❑ O HER �temove exis inq app v one A.P.# DESCRIPTION OF WOFK/USE OF BLDG. > 0#a 300# CLASS A shingles w/new metal edae &_flashinac S MainBuilding: TVPE OF PERMIT ❑ GRADING�FOUNDATION STRUCTURAL �- T Front ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g Reaf ❑ OTHER A PROJECTDESCFIPTION SQ.FT. �}�� oCCUaAANCV sin9 2 C Right CONSTRUCTIONTYPE__Y_�i_S�.klA.A_ VALUATION$4�Z�OO g Left ZONE GRADINC CU.YpS. ACRE$ ping. Ref. # Remarks: Plannina Nmezr Bar Sink Backflow Preven[er Backflow Irrigation BaLhtu65 Clarifiers Drinking Fountains Floor �rains Floor Sinks i�id5$2rvIC2 �UtIQLS InterCeptof5 Kitchen Sink Lavarories P—Trap Roof Drains Reinspaction Fee � S15 Boiler Duct - Under Ground Duct � Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ FireUl/Fact. Blt. IC80 # Heating System & Ducting ❑ 0.100.000 BTU 0 7 00.000 6T Reinspacl(on Fee ]0/B4 White - Builtling; Canary - Applicant; Plnk - AccoU�ting; Goltlenrotl - ASS¢sso� $15 P Service Sink Sewer Cap Sewer Conneceion Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Warer Cbset Water Heater Water Service Auto�Wash Laundry Trays laue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑o-i o0 00o sru ❑ i oo,000 System Repair/AI[eration Fire Dampers Registers Issue Fee FEES $ 3 FEES $ 3 Automatic Washer Consvuction Pole Sub. Cooking Unit Dishwasher Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW Fee Zone n zA . s�,r,�!�:�9 rr� ��,Z, : 9/01/88 TIPIE� 14-Q9 0 N i N G R Parking Req,(Provided E Q M T S ELECTRICAL Trans(ormer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Mecer ❑over100amps Sub Panel Motors OO-1 HP O 1 h- 8 Int.Solar �9-15 HP �16-15+ Microwave Pole Light Range Standing $ections 5 KW Trash Compactor S15 luue Fee FEES S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved 6y Date Building Appraved By Date�J_�a_ Appliwtion luued By 7 Date y�� SUMMARV OF FEES � ' BUILDINGPERMIT 5 %�• aU SMIP $ ��3 � PLAN CHECK $ PERMIT PLUMBING 5 ISSUANCE 5 � PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $� GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL S TOTAL FEE s 7� • 63 PLAN CHECK 25% $ _ CONSTRUCTION AND PLANNING POOL & SPA 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-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' S6. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. S. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 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 15. Rough Electrical-Conduit 66. So1ar System-Finaf 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 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. Under9round Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 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 " � 39. Water Service-Final " 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irri�ation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING Ct 8 - 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co '� 57. CERTIFICATE OF OCCUPANCY - No. Date � � OWNER ONSS JOB ADDRESS AP No.141-497-A� LOT INSPECTIONS OCCOPANCY �f1 M P116 � SM - DATE BUILDING PERMIT NO. VALUE TRACT FIRE ZONE D�SCRIPTION OF WORKpYb.$yTjip ISignaturc DATG GROUP J TYP� __= 7.ONE R-1 I��L Jy � PGRMITS ISSU: -1 T� SUBCONTRAC'1'OR n�mc+ �rrrn,rr i��8 FE� RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT \ SEP 1 2 i962 P. o, aox 9,� COHTA MEBA. CALIFORNIA ,` fINANCE DEPT. For A licanf fo Fill In Com lefiel CITY OF COSTA MESA PP P Y APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 6UILDING ADDRESS � COSTA MESA CALIFORNIA For Office Use Only Cc. � SIZE HECEIFT NO. P[RMIT NO(JC 1 Q ' NE IV BY I D� p6C IVE I DATE 168UED 1 /i 'la TEL.-�� BUILDING J NO. ADDRESS rE�. .. COSTA MESA. CALIFORNIA u� � ZONING ZONE I NO. OF I IIBE OP � �/ vLANB BUILOINQ '` I (� / LEGAL ' oescnirri NO. OF BLOGB. � i _ . , 66TBACK LIN6 FPOM �� / ICENTER LINe OT.1 c¢Niea OF s'fREET REAR YARD FRONT SIDE YARD I LEFf L'� I RIGHT !" /T ' R. SIDE pESCRIPT�f6N OF WORK %Q'� � V ROOMS 5� WALL '� ( ROOF �_ COVERING q�DING AND WORK TO BE PERFORM I I HEHEOY ACKNOWLEDGE TH=T 1 HA;E RLAD i ANO BTATE THAT THE ABOVE IS CORRECT ANO PLY WITH AI-�- CITY OMINANCEB AND BTATH BUILDINO CON9jNyR10N� � 1 �f— AUTHORIZED AGEN7 �.ii'�� EVES ALLOWED �FT. J�C� FY � � TO COM- TX21AM UM BHOWN UNDER VALl1ATION IB FOR THH IULATINO PU OF EBTABLIBHING A PHRNIT FEE ONIY. � VALUATION ) �J PERMIT FEE $ ��JC S�9 � "1 � PLAN CHECK $ �Ii �� (/U(J � 1 �2�0 COSTA ME$A BUILDING-SAFETY DEPARTMENT P. O. BOX 817 COBTA M68A. GLIFORNIA Fo� Applicanf fo Fill In Compleiely TYPE OR PRINT - COSTA MESA CALIFORNIA o,e„aER 2desa Del AAar Development Co aooRess �B� E. �oast Hi hwBY llil �,TM �orona del ar Calif'. No`DR ORCENGINEFw Macco~Cornoration NEe.DR 3800 E. Coast � uc No. 98808-SB-1 No: OR 3-! SIZE ,,,,� „ ,. _ I Na, oI EXISTING BLDG none BRBACI( LIN6 PMOM '�.�� DESCRIPTION OF WORK """""`59'9"x5�' a"ooMs 6 81ZE p EXTERIOR WALLSLUV ,O ROOF r GOVHRING COVERINCY� USE OF BUILDING AND WORK TO BE PEf ttached FEE REC�IVED Lot 51�, Tract 4285, an S000g�P b�9' � FINANCE OEPt, CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only RELEIPi NO. � /'�6M11I NO. FIRE ZONE APPROVED ZON� LEWL 0V I DA� R�EIYED� /I UATE 189U6D ' ). <` COSTA MESA. ZONING NO. OF �]� USE OP NEW PUNB � BUILDINO ._. �. _ �. , r IC6NT6P LINH BTJ 2 � FRONT �� R.61DE -s�� L. SIDE � IRF_AR � Z 3 1 HER6BY ACNNOWL8D68 TH�T 1 HAVB R6AD TXIB APPLIGTION THE AMOUNT BHOWN IINDER VPLUATION 19 POP THH ANO BTATB THAT TX6 ABDVE IB GOPRECT AND A6ME TO COM- pUPP086 OP EBT�0LI6XIN� A v6RMIT FfiH ONLY. PLY WITX ALL CITY OROINANCBB AND BTAT¢ LAWB RHODUT�NG Bu1tDINc CONeTRUCnON. VALUATION �J SIGNATURE Mesa De]. Mar Development Co. PERMIT FEE $ �/� PERMITTE }�(./, By �IC _ iJ/J $ 1�,759�� PLAN CHECK S /�/ "5 � AUTHORIZ A !�/fY� 55 •50 TOTAL FEE