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Home My WebLink About1566 CORSICA PL - Building PermitsPROJECT ADDRESS: 1566 CORSICA PL OWNER'S NAME: DONALD LA GRAND ADDESS: SAME UNIT: 754-1129 ARCHIENOINEER: REG.NO.: f ADDRESS: UNIT: PERMITTEE: DONALD LA GRAND (714)754-1129 ADDRESS1566 CORSICA PL C.M. CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DIAsion 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS: COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensationdnsurance,:or a certified copy thereof (Section 3BOO. Lab. C). POLICY NO:: EXP. DATE: COMPANY: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EKEMPTIDN FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certify that In the performance of the work for which this Der issuetl, shall not employ any pe on in any manner so as to become subject to theWorkers'Workers' Cpmpenfs/atlo/n�Lav�/ of Calilomia. JAu�U Date: 0 — .1 — ( A/ 1 Signature: �1 NOTICE: If, atter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance oithe work for which this permit is issued (Section 3097, Clv. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Pro:essional Code: Any city of county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale=( 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds at improves thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or Improve for the purpose of sale). I, as owner of the property, am exclusive N contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' State License Law does not apply to an owner of groperry who builds or improves thereon and who contracts for such projects ryth a contractor(s) license pursuant to the Contractors' Btate License Law). I am aware that proof of their Worker's Compens:flon insurance should be provided to me. ❑ 1 am exempt under Section:. B. & P. C. Date: for this reason: !jk_- — / — ( D Owner. I do hereby cenity that l am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Resk enfial construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with al ci and ordinances and sate laws relating to building construction and hereby a amorue representatives of this city to enter upon the property for inspection purposges. (\ Date: Ks — 1 / 10 ` Signature: Driver's License or Social Security #: 1fi4L4a White—Build ng; Green—Code Enforcement; Canary—Applucant; Pink—Revenue; Goldenrod—Ass&saor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BME 048404 PERMIT NO: BME 048404 PLAN CHECK NO: 05121-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC STA PURPOSE: OTH JOB DESCRIPTION ; LEGALIZE SOFFIT & SKYLIGHT ICBO#3933 SQ FT: 700 CLAIM VALUE: 700,00 CALL—VALUE: 700.00 GROUP OCC: R-3 / COMMENTS: LEGALIZE ELCTRICAL & MECH. WORK Z 0 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 PARKING REQ: PROV: PARCEL: 13919119 ZNE: REF NO: PLANNING NOTES> 113,85 113,85 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 113,85 OVER/SHORT: ie iE ee i(•iE iE 3E 343#��*L#at 4e Be iE B#BE��+E**�r �Ex*N•iE yt*�ryt•y%*�E�:+E*�r�E+E*�r*xif***�E+E��r****�E+r�r*�H*��r BLDG PMT at i<-��r iE �E �H�H*+E �r 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 ZONING APPROVED BY ie#H iH 3li#it**Be*iF iH il±ekiek*ie#t*4kBE BE 4#iE BEkieit*iE iE**iF Bt BF eE#E*iH#tiE#e #t ie #E iE BE*it*eE #e #F**ie*BF**iH DATE: BUILDING APPROVED BY APPLICATION ISSUED BY: BE Bf * it * if ie * * 4E BE * iE 3E iE ie 3e * Lt 3# * it3F5FiF ie Bt***a#iE3#3t 4EeFiEieiEiEiFiF34itie3tiF*iE* LEGALIZATION:Y F E E x DATE: **BH DATE: v �r� #eyE4E*a# iEBA 4 of 3F*iF*3E 4F BE iEee ye iE#F 3t LA aE 4#4F iEie 1E#t #e 4t BE***iE*it iE iE**eEiE*dE ie U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 38,00 15,00 18,00 50 SOY 25% SMIP/NON—RES PLAN 24.70 ISSUE FEE 15,00 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 71,50 30,00 12.35 113,85 113,85 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 113,85 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 38,00 30,00 33,00 50 12,35 k*Be iE Bt BE eE*e#*BeB#*iH ie#H iH 3li#it**Be*iF iH il±ekiek*ie#t*4kBE BE 4#iE BEkieit*iE iE**iF Bt BF eE#E*iH#tiE#e #t ie #E iE BE*it*eE #e #F**ie*BF**iH I N D I V I D U A L F E E B 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 700 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 700,00 ELE 5 FIXTURES, LIGHTING 1 ST 20 EA. .75 3.75 ELE 1 RECEPT/OUTLET 1 ST 20 EA. .75 ,75 ELE 4 RECEPT/SWITCH 1 ST 20 EA, ,75 3,00 MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 9,00 9,00 END OF FEES 01 00066707-00066711 T r_ET 113.05, DATE: 08/01/90 ME: 16:23 ' CONSTRUCTION AND PLANNING Date APPROVALA- Permit # Inspector POOL ,PA APPROVALS Permit # Date Inspector 1. -'f emporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd: 53. Steel Reinforcement 3. Electrical Conduii-Utility-Undrgrnd. 54. Forms 4. Electrical Conduit=Undrgrnd. 55. Electrical Bonding 5'. Steel Reinforcement 56. Rough Plumbing & Pressure Test r' 6; Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE:' ' 7: Footings 58, Electrical Conduit-Undrgrnd. - 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System t 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. Solar System -Final - 16. Rough Electric Wiring Oro 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 Conditioping _ �` L -FIRE DEPT. REQUIREMENT -• .APPROVALS Permit # 20. Rough Factory Fireplace _ 21. Ducts, in Structure -70. Underground'Hyd'ro - 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test T .' 72. Underground Flush - 24. Roof Framing 73. Undergrnd.StorageTank 0Gas 0Oil 25. Roof_Sheithing _ , 74. 'OGerhead 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 PREY. FINAL - 30. Drywall Nailing r HEALTH DEPT. REQUIREMENT- _ 31. Plaster Brown,Coai '- - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 780. FOOD CERTIFICATE ISSUED 33.'Final Electric ,Q� ores: 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 Irrigation - -44. Landscape Irrigation System 45. .Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE &BUILDING B--• 48. FINAL PLANNING 49. Electric Release to Edison .. -_- 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date /5 elee r 'S 4r< elf ?I- c City of Costa Mesa Building Dept. BY DATE�2-_1_19q THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSUANC1OF OR GfiGtvMJ OF4 M(I A APPROVAL OF P!_hN5 AND; 1 r1FtCA"EONS SHALL N07 fiF. CONSTRUED 10 8E A F�H AN APPROVAL OF. ANY VIOLAI ION OF ANY CF f HE I,RD1AS:ON THIS S CODE NO PERMIT PPE i' •. iSG 10 GIVE AUIH t•I i IOLA�'E 09 CANCEL THE �7 PQOV , OF Ti IS COPC S4i.',i.l RL' VALID nCE7, IN SO PARAS TNc ViDRY, OR USE 2c Xi; 'HA" I'?'_' %lU O.'= A PERMIT BASED UFO\� PLANS AND ^PECIF iCi:P;OF J S,,ALI" NO"i- PREVENT THE BUILDIN.2, OFFICIAL FROM T1 VILA I ER REQUIRING Th;E COPREC NON OF ERRORS IN SAID PLANS ND SPEC(FICATIC•NS GR FRCM PREVENTWG CUiLDIi,G OPE Y f101'JS 51JNG CARRIED ON THEREUNDER WHEN IN 0GLATION ( F 1'HIS CODE OR OF ANY OTHER ORDINANCE OF THE CITY. �� U CITY OWSTALLATION BUILD CERTIFICATION OF Property Address 1 5 6 6 C 0 r J r ca Owner Contractor State Contractor License Number Permit No. R fy) P `N 1/0 y Classification I hereby certify that I have installed, or caused to be installed, an approved listed skylight I.C.B.O. # 7 y Sy /-on the roof of above subject address. That I have re -fabricated the roof to the standards of the industry and in accordance with Chapter 32, 34, 52 Appendix 32, and Section 1704 of the 1979 Uniform Building Code as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installa- tion instructions of the manufacturer. The integrity of the area worked on is as good or better than the rest of the existing roof I further certify that I am the owner of the property. (Owner -Builder permittee only). ❑ 1 further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. D o l� q � J Lc,, 6 rG n� Company or Coporate Name iscoG cors;C(A h/ Address Received by Building Division\\��n By: Signaturr"e'�vDate Initial Date Printed or typed name Corporate Seal (if corporation) CMF 1029-46 White -City: Canary -Owner; Pink -Contractor PR0IECT ADDRESS: 1566 CORSICA PL OWNER'S NAME: DONALD LA GRAND ADDRESS: SAME 754-1129 ARLOA/ENGINEER: ADDRESS: REO.NO.: UNIT: UNIT: =� PERMITTEE: DONALD LA GRAND (714)754-1129 ADDRESS: 1566 CORSICA PL C.M. CA 92626 LICENSED CONTRACTOR DECLARATION: 1 hereby affirm that I am licemceed under provhions of Chapter B (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in lull torte and effect. CITY LIC.: STATE 11C.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a ceNficate of consent to seffrimsure or a certificate of Workers' Compensation Insurance, or a cemfied copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: -3 Certified copy is hereby furnished. ❑ Certified copy is filed with the dry Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECIARATMN: Mis section need nut be ampkted if the Perlin N form hudred (5100) w less). 'can' that lo Von pemormaroe of the work for which toll cemut l Sued, I shag notlmWMy anY person n amry r so as to become D tlecl to the Workers=penSalo®a of California. Date: � ` NOTICE: IL ager maldnq tihe Oeclaretion, You stood become subject to ire Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions w Itis pernut shag be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a =truction lending agency for the performance of the work for which this pemmi is issued (Section 3097, (Sv. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Cade: Any city of county which requires a permit to construct. atter, improve, demolish. or repair any structure, prior to its issuance. said requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professions Cade) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a OW penalty of rot more than five hundred dollars ($500). I, as owner of the property or my ampldynes with wa es as Malt sole compensation, wig do the work, and the [J structure is not "ended in offered for sale (Seclkn 7004, Bus�an and Professional Code: The Contractors' State License Law does not apply to an owner of a propend who builds or improves thereon, and who does such work himsell/hemell or through his or her awn employees, provided that such Improvements are not intended or offered tar sale. If, however the building or improvement is sold within one year of completion, the comer will hewn IN burden of proving he/she did not build or Improve for the purpose of sale). 1, as owner of the property, am exciuvvcly contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contracmrs' Sate License Law does not apply loan owner of properly whobolds or Improves thereon and who contracts tar such projects qth a contractor(s) license pursuant to the Cantnctors' State License Law). I am aware that proof of their Worker's Compenscibn insurance Should be provided to me. ❑ 1 am exempt under Section: B. 8 P. C. for Ms reason: Jq7\, �_ - 'Io Date: / _� /� • `� Owner. �/ V , v4�'k/L I do hereby cenity that I am aware of and understand the requiremcos of California Health and Safety Code Sections 25505. 25533, and 25534 and that I or any haute building occupam wiMviB not (circle one) need to comply with said sure codes and the requirements for a permit for construction or modification from IN AY—O"qManagement District. Residential construction applica0ons are exempt from these provisions. Date: Appfdcant: I hereby tartly that I have read this application and State that the above information is correct. I agree to comply with all City and county dminances and state laws relating to pudding tnxtion and heweoy authorize representatives of this cny to enter upon the above-mentioned propeDart: for insp 3 Purposes. (� „ /t Date: �` Signature: ��'�� _�_ Driver's license or Sabal Security N: 164146 White—Building: Green—Code Enforcement; Canary—Applicant; Pink—Revemre: Golden d Aaaeesor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B' 048379 PERMIT NO: B 048379 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: 0TH JOB DESCRIPTION : REROOF 1315SF RESIDENCE W/COMPOSITION SQ FT: 3,500 CLAIM VALUE: 3,500.00 CALL -VALUE: 3,500.00 GROUP OCC: R-3 / COMMENTS: LEGALIZE REROOFING WORK Z O N I N G R E Q U I R E M E N T DETECTOR S E T B A C K S ��'nn '�[[�� ------------ MAIN BUILDING ---------- --------- ACCESSORY BIiI1TSD9;W[R-E-D---- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13919119 ZNE: REF NO: PLANNING NOTES> > M M M M M MM MM M M M M M MItM MM MMM M M MM M M MM MM M M M M M M M M M M M M M M M M MM MMMMM MM MMM M M M MM MMM M MM M M M M M M M M 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 ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: DATE: � MM*MMMMMMMick*****MMMM�*iE*rte**ie knife****aE �e �r*�r**ie*etit**�citie*kE iP*kE*et**�k it at ie*�r kr �E*it*;,E*�r*itrit LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RESS GRADING PERMIT 126.00 .50 PLAN - -- ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 126,50 0.00 0.00 126.50 126.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 126.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 126,00 ,50 M M M M M M M M M M M M M Mitts M M M M M M M M M M M MM M M M M mist M M MM MMMMMMitM M M MM MMMM M MM M M MMM M M M MMMM M M M MM M M MM I N D I V I D U A L F E E B 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 3500 REROOF BY VALUE RESIDENIAL NOZONE 1.00 3,500.00 END OF FEES 01 00066595-00066596 T CST 126.50 DATE: 07/31/90 TINE: 15:54 CONSTRUCTIQ�4 AND PLANNING APPROVALS Permit# Date Inspector POO, SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -2, Soil Pipe-Undrgrnd: 53. Steel Reinforcement '3r;Electrical Conduit Utility-Undrgrnd. 54. Forms - ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE . ' 7. Footings "' 58. Electrical Conduit-Undrgrnd. - '8. Foundation - - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. 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 grains _ 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/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 4„ _ -.. FIRE.DEPT. REQUIREMENT - Permit # - 20-Rough Factory Fireplace _ -. - ::APPROVALS 21._ Ducts, in Structure 70, Underground Hydro 22. -Ducts, Ventilating - �. u '71. Produc't_Piping0Gas. 0Oil 23.'Gas'Pipe?Rough & Testi ", ., s ' 72. Underground Flush 24. Roof Framing _- - - 73-,Undergrnd.StorageTank•0Gas 00i1 25. Roof Sheathing',- 74•'0'verhead Hydro--- ydro:26:'T-Bar 26' T-Ba':rCeiling (Structural) & Monocoat = .� _ 75-Dry Chemical r 27.-Frame and Flashing -'� ,- ', " 76. Dry Standpipe _ .28. Lathing•& Sidings �: R� - - 77" FIXED SYSTEM'FINAL' •� 29. Insulation _ -_ 78.4FIRE PREV. FINAL - 30. Drywall.Nailing ? x HEALTH DEPT: REQUIREMENT ,:31. Plaster Brown Coat 79. FINAL INSPECTION „" n 32: Electrical Power-Meter-Final - r: 80.=FOOD CERTIFICATE ISSUED- J c-33.*.Final Electric' _ Notes: -t Cie- '34; -Final Heating,& Air Conditioning' - 35. Final Gas Pipe-Testt „t 36. -HoaJ or'Canopy _ M ,37.-Final Factory Fireplace - --' -- y v; r -38. Final Plumbing 39. Water Service-Final" ._ * c: 40. Gas Service-Final --41. Solar Oomestic-Final - - -_ 42. Backflow Preventer 43. Backflow Irrigation '44. Landscape Irrigation System`u ". ,� `• - , • ; ,^ .- 45. Sound Attenuation Z ' . Handicap Regulations "' " _ •", . FINAL STRUCTURE & BUILDING �'-• rtp Gra.'. ,_. _ '' 48.:FINAL PLANNING. - - -49. Electric -Release to Edison ' 50: Gas Release to Southern California Gas Co ` 51. CERTIFICATE OF OCCUPANCY No. Date " COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA FOR APDL/CANT TO ut t /N whipaurty TYPE OR PRINT BUILDING ADDRESS 166 Corsica Place COSTA MESA, CALIFORNIA SEE t BUILDING FOR ONCE USE ONLY 419 STATE 61- RECEIPT NO. I P MIT jjO OWNER (i011le $8, Inc* C/j� MAIL 17th t RE 1 ED BY I qqE RECEIVED I Di� 183UED ADDRESS •' S CITY Costa Mesa alifl TrvoL: ' L18-11ADD ESS ARCF' 'T $O]1 RE LIC ORE EER 1 NO,. COSTA MESA. CALIFORNIA b 00 p ADDRESS Garden Grove FIRE / T n ZONE d -CONTRACTOR._ Dik.eColegrove, Inc. LC N,..167 B?PROVE DATE i � ZONING ADDRESS ^ ^^ LEGAL LOT 4G I L !�/� (ONE I NO. OF USE OF NEW W D6sc RIPnoN NO. BLOCK TRACT PLANS BUILDING A.P. NO. APPROVE �..DAATE SIZE 23 No. OF BLOc9. YARDS EVEg � OF LOT Now ory LOT non REQUIRED ALLOWED USE OF (CENTER LINE 6T.) EXISTING BLDG. FRONT , FT. IN. SETBACK LINE FROM ) ,� cErvTER of STREET O REAR YARD t R. SIDE It z ,FT. IN. SIDE YARD (LEFT Shing dence 1 (RIGHT i L. SIDE FT. IN. DESCRIPTION OF WORK REAR IN. NEW I X ALTERATION I ADDITION I / REPAIR I I MOVING � DEMOLISH 5 ZIE DING 136 NO. OF 6 ROOMS STORIES 1 EXTERIOR WAL tl1IRQOF COVERING CC0 COVERING USE OF BUILDING ANO WORK TO BE PERFORMED Sin le anvil attached garage Plan No 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COM PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND R�Ca 95IED FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT SEE t BUILDING FOR ONCE USE ONLY 419 STATE 61- RECEIPT NO. I P MIT jjO OWNER (i011le $8, Inc* C/j� MAIL 17th t RE 1 ED BY I qqE RECEIVED I Di� 183UED ADDRESS •' S CITY Costa Mesa alifl TrvoL: ' L18-11ADD ESS ARCF' 'T $O]1 RE LIC ORE EER 1 NO,. COSTA MESA. CALIFORNIA b 00 p ADDRESS Garden Grove FIRE / T n ZONE d -CONTRACTOR._ Dik.eColegrove, Inc. LC N,..167 B?PROVE DATE i � ZONING ADDRESS ^ ^^ LEGAL LOT 4G I L !�/� (ONE I NO. OF USE OF NEW W D6sc RIPnoN NO. BLOCK TRACT PLANS BUILDING A.P. NO. APPROVE �..DAATE SIZE 23 No. OF BLOc9. YARDS EVEg � OF LOT Now ory LOT non REQUIRED ALLOWED USE OF (CENTER LINE 6T.) EXISTING BLDG. FRONT , FT. IN. SETBACK LINE FROM ) ,� cErvTER of STREET O REAR YARD t R. SIDE It z ,FT. IN. SIDE YARD (LEFT Shing dence 1 (RIGHT i L. SIDE FT. IN. DESCRIPTION OF WORK REAR IN. NEW I X ALTERATION I ADDITION I / REPAIR I I MOVING � DEMOLISH 5 ZIE DING 136 NO. OF 6 ROOMS STORIES 1 EXTERIOR WAL tl1IRQOF COVERING CC0 COVERING USE OF BUILDING ANO WORK TO BE PERFORMED Sin le anvil attached garage Plan No 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COM PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT N VALUATION SIGNATURE OF PERMITTEE $ 13,715 PERMIT FEE $ 3Z.00 PLAN CHECK $ 16.00 45.00 AUTHORIZED AGENT Dike Colegrove, Inc. TOTAL FEE $