HomeMy WebLinkAbout645 COVE ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT » FAIFi DRIVE, COSTA MESA, CA 92626
Job Address: 645 COVE ST
Sui�e:
Vicinity: RESIDENCE & ATTACHED GAR4GE
Parcel Number: 42223103
Applicant: LUGO, SERGIO
Address: 645 COVE ST
COSTA MESA, CA
owner: LUGO, SERGIO
Address 645 COVE ST
COSTA MESA, CA
Contractor: OWN ER-B U I LDER
Address:
Zip:
Arch :
Address:
Zoning:
Phone: 949-631-5924
Zip: 92627-2917
Phone:
Zip: 92627-2917
Phone:
License: 0
Eng:
Address:
Status: ISSUED
Applied: O6/13/2001
Issued: O6/13/2001
ISSUED BY:
�� M .
r'
-; �;. � /��
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: T/0 ROCK ROOF, REPAIR SHTG AS NEEDED, FELT PER�MFG SPECS, APPLY 30-YEAR COMP SHINGLES. ROOF
PITCH SHOULD BE AT LEAST 2:12. ��
APPRUX 17 SQUARES •
, FEE SUMMARY
Plan Check: $0.00 Calc Valuation: St,�oO.00
Permit: $60.10 Claim Valuation: S�,�oo.00
SMIP Res: $0.50 -
SMIP Com: $0.00 ,-
Other: " $0.00 -
Inspection: $0.00 � �
Total: $60.60 � ' � �
�
� � � - , � PLANNING & ZONING-'= :'- � . � � ,
SETBACKS
MAINSTRUCTURE Front �.0-0 ��. Rear 0-0
ACCESSORY Front 0-0 . Rear 0-0
PARKING Ezistinq: o Required: o
NOTES:
Lek 0.0 . Right �' 0-.0
Lek 0- 0 Righ4 �. :0- 0
Proposed: .0 ':
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes�and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permi� to be considered legal, such work must comply with all applicable codes, and all
required Inepections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�aasre �woo�
WORKERS'COMPENSAnON DECLARAnON: — ,
I hereby eNirm under penalry of perjury ona of the following tleclarations:
❑ I have entl will main�ain a cenificate of consent to setl-Insure for workers' compensation, es provided tor by section 3700 of ihe Labor Cotle, tor ihe pertormance of the
work for which this permit i5 i55uetl.
❑ I have en0 will main[ain workers' compensation insurance, as required by section 3700 oi the Lebor Cotle, for Ne peAortnance ol tha work Por which ihis permit is issued.
My workers' compensation Insurence carrier antl policy number ere:
Cerrier: Policy iJumber:
(This section neetl not be �mplefed il fhe permit !s velued at one hundred dollars ($f00J or less.)
❑ 1 certify that ia the pertarmance ot the work tor which this pertnit is issueq I shall not employ aay person i� any manner so as to become suqect to the workers'
compensation laws o� Calitornla, end agree thet ii I shoultl become sub�ect lo Ihe workers' compensellon pmvisions ot Sectlon 3700 oi the Lebor Code, I shall forthwith
camply with ihese p�ovisions.
Applicant Signature: Date:
WARNING: FNLUPE TO SEGIRE WORKERS' COMPENSATION COVEMGE IS UNUWFUL AND SHALL SOBJECT PN EMPLOVER TO CPIMINAL PENALTIES AND GVIL FWES UP TO pJE HUNDREO
TlIOUSAND OOLLARE (E100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 31060F THE LABOR CODE, IMEREST, AND ATTORNENS FEES.
LICENSED CONTRACTORS DECLAHATION:
I hareby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Professions Cotle, and my licensa is In full
force end ettect Lic. p Class #
ConirectoYs Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm ihat there is e construction lending agency tor the peAormance of the work Por which ihis permit is issued. (Sec. 3097, Civil Code).
' Lender's Name: Lender's Atltlress:
Signe�ure: Date:
OWNER-BUILDER DECLAAATIONS:
I heraby eXirm tha� untler Penelry ot perjury Ihat I am EXEMP7 FROM TME CONTRAC70R5 LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or county.Which requires e permit to constmct, alter, improve, demolish, or repair eny stmcWre, prior to its issuance, elso requires ihe apD�icant for such permit
to file e signed statement tbat he or she Is�licensed pursuam ro the provisions ot ihe Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of t�e
Business end Pmfession5�Code)�or, ihet'he'or 4fie is'exempt therefrom entl ihe basis tor ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for e permit
subjects the epplicent to abivil penalry bf not moie than fiva hundred dollars ($500).):
�: `s
❑ I, as owner ot the property, or my employees with weges as their sole canpensation, W ILL DO THE WORK, antl ihe sirudure is not intentletl or oflaratl for sale (Sec.
7044, Businass and Professions Code: The Gontractors License Law dces not apply to an owner of propeny who builds or improves thereon, and who Coes such work
himself or herself or through his or her own employees, provitled ihat such improvements are not intentletl or oflered for sale. Ii, howaver, ihe builtling or improvement is
sold within ona year ot completion, ihe owner-builder will have �he burtlen of proving ihat he or she did no� build or improve for purpose of sale.).
❑ I, es owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOiiS to construct the project (Sec. 7044. Business and Professions
Code: The contractors Licanse Law does not apply to an owner ol property who builds or Improves thereon, antl who coniracts tor such project with a comracmqs)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under 5ec. Business and Professions Code for ihis reason:
Signature: Date:
Owner ID verifietl by tlnver's license. ❑ Ves ❑ No Driver's Licanse No. Ezpires:
Venfication of Ownership py (rype of document, i.e. - property tax bill or deed):
DIYISION OF INDUSTHIPL SAFETY PERMIT CERTIFICATION:
['� I hareby certity ihat no excevation tive (5) or more fee� in depih into which a person is required to descend, will be made in connaction with work authorizetl by ihis
permit, and that no building siructure, scaHolding, talsewo�k, or demolition or dismantling Ihereol, will be more ihan ihirty-six (36) fe91 high (Chap. 32, Grp 2, Atl 2, Sec.
341, Title B, Californla Atlminisiretive Code).
❑ As owner-builder, I will ot empl�y anyone to do work which would require a permit irom the Division oi Industrial Sefey, as noted above, unless such person has e
permit to do such wo� 1� tl� Ivision.
� /� � ��
Signature: Date: � b � � ^
Division of Intlustnal efery Permit Number:
HAZARDOUS MATERIALS ANO EMISSIONS GEFiTIFIGATION:
1 W ill Ihe applicant or p�esent or tuWre building occupant need to file end cenity a Business Plen lor emergency response to release or threatenetl release of a hazardous
matenal? ❑ Yes � No
(Section 25505 of the Calitornia Healih and Safery Code requires, with some exceptions, tha� a Business Plan 6e filetl with ihe Costa Mesa Fire Department by every
business which has at any one time during a reponed year a quantity oi hazardous materials equal to or greater ihan a weight of 500 pountls, or a volume ot 55 gallons,
or 200 cubic feet of compressed gas at standard temperature end pressure).
.......................................................................................................................................................................................................................................................................................................................................................................................
2 Does or will ihe applicant or present or tuture building occupam need to tile a registration torm tor ecutely hazardous materials9 ❑ Ves ❑ No
(Section 25533 of the Celifornia Heelth antl Satety Cotle, with some e:ceptions, requiras regisiretlon with the Costa Mesa Fire DepaM1ment by aach business which at eny
one tima has on hand e quantiiy of aately hazardous meterlals equal to or greater ihan e welght of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ol
compreued ges at standerd temperature and pressure).
........................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will Ihe appliW�� or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous ma�erials)7
❑ Yes ❑ No
(Section 25534 ot fhe Califomie Health and Safery Code provides that the Costa Mesa Fire Depanment may require the preparation, ceeifiwtion and filing with the Fire
Deoertment of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire Depanment.
4 If an RMPP is presenity required, has Secfion 25534 oi the Galibmia Healih antl Safery Code been fully complied with?
..........................................................................................................................................................................................................................................................................
5 Does or will ihe appliGant or present or Yuture building occupant repuire for Ihe work whlch is Ihe subject of Ihls a pllu
irom ihe South Coast Air Duallty Manaqement Disinct or from any other air polWtion conirol tlisMct o� egency7 � Ye:
(Section 658502 ot Ihe Calitomla Government Code requires �hat Ihe requested information be furnished on applicatior
...........................................................................................................................................................................................................................................................................
6 W ill eny part of the faCiliry to be consimcted under ihis permit be within 1000 feet irom ihe outer boundenes of a school�
Qf "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
...... .... ......................................................... .......................................................
7 II e permil from ihe 5outh Coast Air Oueliry Manegement Disirict or olher eir pollution control district or agency is
aOP�ication, have all ot the disclosures prescribed by California Healih entl Safety Cotle Sec�ion 62303 been mada? [
❑ Ves p No
......................... . ....................................................
an a germit tor such consiruciion or
�J No
for non-residential building parmi[s).
..............................................................................
❑ Yes ❑ No
...................................................................... .
quired for ihe work which is the s�
Yes ❑ No
CERTIFICATE OF COMPLIANCE: I certify that under penelry of perjury ihe information given above is correct. I agree to comply wi�h all s�ate laws and city ortlinances
regarding Hazardous Matenals antl Emissions.
Signature: Date:
CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF EN7RY: I cehify under penalry of perjury ihat I have read this application and state that the information given is
correct. I agree to comply wi h all state le s end city ortlinances releting to 6uiltling constmction, and auNorize representatives of the Gity oi Costa Mesa to enter upon the
above-described property ,1�inspection pJ �rposes. I agree not to occupy or ailow occupancy of any huilding aNhorized by this Dermit until (inal inspection.
/l.I�1�>�o/!/�Pl- ir�� '- d �
' nat egal Owner(s) � Date
AncUOr Authonzed Applicant
COOE �. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final Block/RetaiPing Wall
202 Final Factory Fira Place
203 Finel Sign
204 Final
on�F, IMRIRLS
CODE� INSPECiIONiYPE
206 Final Mechanical
208 Final Plumbing
210 Finel Electrical
212
220
222
250
Final Fire Prevention
Final Planning Approval
Final Site
Final Building/Occupancy
UATE �j
Apvlicant to fill in all soaees ezcept those witnin heavy eoraer Iines and sign all apvropriate aeclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT P IT N. , TRACT NO. LOT NO. UNIT NO.
'�roject'Address 5Q5� ('nva 4trPat
Applicant's Mailing Address '
Owner'sName RUSAN WADDELL Phone 631-399
Address 645 COVE STREET
ArchlEng. , License No.
Address -
Concractor'sName AT,T, AMFRT!`Aj�j PTT7MR�",n 541-975
Addresslmaiiingl 7(177 N_' HFSPFRIAN WAV $A
City License No. 29919 �
LICENSED CONTRACTOR DECIARATION
I hereby a/tirm that 1 am licensetl untler provlslons oT Charter 9(commencing
with section ]000) o( Division 3 of tne Business ana Pr f ssions Cotle, antl
my Iicense is in f I/ antl e1 t.
License Class �—�� e% 4 4 3 0 6
Date�.�_l_..6./_8.G_ Signat e
WORKERS' COMGENSATION CLARATION
I nereby atfirm that I have a c licate ot consent to seH-Insure or a certificate
f Workers' Compensation Insuran<e, or a certlfletl copy thereot (Secilon
800, Lab. C.)
Policy r,o. �.Eb.012529 Company_Z.�,'� ' �
eCert{fjqtlypyjyfJ�atl wApp ica Ity ui tl ' I i ,
Date ������� ���i(
EXEMGTION FROM WORKERS' CO PENSATION DECLARATION
(Thi55¢c[ion naetl not be completC the permit 6 for on¢ huntlreC ($300) or
less).
I cerNfy that in the per(ormance ot che work tor which this perm�t is issuetl I
shall not employ any person in any manner so as to become subject to t�e
Workers' Compensation Laws of California.
Date Si9nature
NOTICE: If, alter making this tleclaration, you shoultl become subject to [he
Workers' Compenwtion provlsions of the Labor Cotle, you must forthwith
comply with such provisions o� this permit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
1 hereby affirm that Mere is a construction lentlin9 a9ency (or the peiformance
of the work tor which this permit is Issuetl (Setlion 309]� Civ. C.)
Lentler's Name
ientler's AtltlreSs '
OWNER BUILDEH DECIARATION '
I hereby affirm that I am examOt from the Contractor's License Law for [he
following reazon (Section ]031.5 Business antl Protessional Cotle:�Any dty or
county which �equires a permit to con5truct, alter, improve, tlemolish o� repair
any SlruCture, prior to its issuance, also requirM the appllCant fOrshch permit
to file a siqnetl zWtement Ihat he/5M1e is Ilcensetl pursuant ro the O�ovi5ion5 of
the Contractor's License Law (Chapter 9(commencing wlth 5ection.7000) of
Division 3 of the Bu51ne55 antl Prote55ion5 Cotle) or that h¢/s�e i5 exempt
[herefrom antl the basis for [he alle9etl exemption. Any violation of Section
7031.5 by any applicant tor a.pe�mit subjects th¢ appli<ant to a clvil
�enalty of not more than five huntlretl tlollars ($500).
LJ I, as owner ot the property or my employees wim wages as Ihelr sole
compensation, will tlo tne work, antl [he structwe is no[ in[entletl or offered
for sale (Section 7044, Business antl Professional Cotle: The ConVa<tor'z
License Law tloes no[ appty to an owne� ot a property wno builtls or Improve5
thereon, antl who tloes such work himself/be�self or tnroug� his or ner own
employees, Provltletl that such improvements are not IntendCtl o� offeretl fo�
sale. It, however, fho bulltling or improvement Is soltl withln one year nf com-
pietion, the owner wlll have the burtlen Of proying he/sh¢ tlIC not builtl or im-
prove for the purpose of sale). .
❑ I, as owne� of th¢ property, am exclusively cont�acting with licensetl con-
tlactor5t0 constfuctthe pfOlect 15etfiOn 7046, Busine55 antl PlofeS5ion5 Cotle:
The Con[ractor's License L2w does not aPply to an owner of Pwpe�ry wM10
builtls or improves thereon, and who contracts tor such projects with a con-
Vactor(51 ucen5e pursuant to tM1e Contra<tor'S License Law). I am aware tnat
proof of their Worker's Compensatlon insurance Shoultl be provitletl [o me.
❑: I am ezempt untler Section B. & P. C. for this reason
Date Owner
I hereEy certify that I have reatl Ihis application antl state t
intormation is'mrrect. I agree to c oly with all city antl coui
antl sta(o-I;ws relating [o builtlin L�onstruction. antl herebv ai
� (� � ,
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER Ap # '
DESCRIPTION OF WORK/USE OF BLDG. S Main Building:
TVPEOFPERMIT GRADING FOUNDATION STRVCTURAL �T FfOnt
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear
❑ OTHER - �C Right
PROJECT DESCRIPTION Sp.FT. OCCUPANCV K
CONSTRUCTIONTVPE VALUATION$ S Left �
ZONE GRADING CV. VDS. ACRES p�ng. Ref. �
qemarks: . , Planning Notes:
Sink
<flow Preventer
<flow Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Reinspec[ion Fee � $15
Boiler
Duct-UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact.81L ICBO #
Heating System & Ducting
❑ai oo,000 sru O � oo,000
ISignatu Date �n�'�i�±iii �
� �Drivers' L, nse or 55 q Reinspectian Fee
CMF 0865�45, �ev. 10/84 Whit¢ - Builtling; Canary - Applltant; Pink - ACCounting; Goltlenrotl - ASSe55or
$75
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
Issue Fee
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑aioo,000eTu ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
Isua Fee
$ 3
$ 3
Auromatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electr
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Swimhes
Garbage Disposal
Generator �0-5 KW�O!
5
7231 11/14/86
2on0
Accessory Building:
G,�C'.Ei�1Gv :�.�-:
Parking Req.IProvided
'ELECTRICAL
Transformer � 15-50 KW
� 50+KW
Meter ❑up ro 100 amps
Meter ❑over100amps
Sub Panel
Motors �0-1 HP � 1 Yh - 8
Inc. Solar 09-75 HP �16�15+
Microwave
' Pole Light
Range
Sign
Standing Sections
W Trash Compactor
5.00 TL
FEES
Z
O
N
�
N
G
R
E
Q
M
T
S
� Reinspection Fee �$15 � � luue Fee '� $ 3 �
DEVELOPMENT SERVICES HEQUIREMENTS:
2onin8 Approved By Date
Buildin8 Approved By Date
Application Issued By � Dat
' SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ •'�� ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING 5
PLANCHECK 50°,6 $ MICROFILM $ �
MECHANICA� $ TOTALFEE $ �
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
�APPROVALS Permit# Date Inspector qppROVALS Permit# � Date Inspector
i. 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 56. Rough Plumbing & Pressure:Test G� �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �,�
v�
7. Footings � 58. ElectricalConduit-Undrgrnd. ��
8. Foundation 59. Gas Pipe, O Undrgrnd., Test ��
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, �; Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK �: �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fjn�al '
72. Sewer Cap 63. Heater & Vent-Final �
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. 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 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. 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 e 76. Dry S[andpipe
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 Faaory Fireplace -
38. Final Plumbing r/�7
39. Water Service-Final �
40. Gas Service�Final - �
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap fiegulations
47. FINALSTRUCTURE&BUILDING '
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
�51. CERTIFICATE OF OCCUPANCY
>-- .
No. Date _
vnivr.ia
JOB ADDF
GENERAL
WORK �
VALUE
TYPE
SUBCON17iACTOR
NO.
r
, , � 27544
COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 7P110 � COSTA MESA, GALIFORNIA 9261E
For Applicanf to Ftll In Completely
TYPE OR PRINT
BUILDINO
AODR888 � E T
COSTA MESA, CALIFORNIA
■ wRCHirecr
eirv
SfATH
LIC. NI
BIZE
� �! �LJf i.. �
76L
NO.O�
DESCRIPTION OF WORK
BUILCIN6 NO.O
size nooN
EXTERIOR WALLS/ UCYC CO1
COVERING
UGq OF DUILDjCY ApD WORK TO
PA10
SEF 11-67c�;;n00 7_2?_" �:.'<' ^7I :�C
APPLICA710N FOR PERM�T
BUILDINt3
FO� �jC9 �if0 �n�
R[C[IPT NO.
YARDB MPROVHD
MAIN BUILOINO
tOM C/L➢TR6R'f)
/ 7 ^AR. �i
e
�1 HEPEBY ACKNOWL6D08 THAT 1 MAVB RBAD TMIG 11PPL'CA^ION
AND BTATE THAT TX8 AGOVH 1� COqp6R�ANO AOpBi TO COY•
PLY WITM ALL CITY ORDINANC�B AND /TATI L/�WO P[OYLATINO
BUIlO1NOCONSTRIIRIOH. �.�
� AUTHORIZiO AOBNT
i/
�d-
pLu
�
' 6'l— t9 �
8HALL B8 LE88 THAN
YARD8 MPROVHD
ACGEiGORV 9UILDIN�
DATE
�- ,.� r a
O7
�
�
BC. FT. ,'E
0
TH8 /�MOUHT [MOWN UND6p VALUATON IB FOP TH8 j
■UPPo88 O� rt8T/.BLI8XIH0 A PERMIT FEB ONLY. j
VALUATION � � �
PERMIT FEE p
��� � a
w
TOTAL FEE �/ • � ✓
OW NER HARBOR ESTATES / DATE
JOB ADDRESS 645 Cove Street BUILDING PERMIT NO. 155�
GENERALCONTRACTOR DikP. Fr ColarmnV� VAWE s 8,naano
LOT 111 BLOCK 7RACT ��fl6 RPs;�I ncP
GROUP I TVPE V ZONE �= FIRE DISTRICT i��-S67
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
' DATE I NUMBER
H
Trench ����� T' %�,"
:ion Forma and Grade to Garag �
nemmn _ 1 _ 2.� � ..�
Pole
HOUse / Sewer, St.
Lathinp.ln Out
Plumbina. Final, Fixtures C9dlpletE�//1' /Y� 30�
W irino. Final
� - Costa Mesa Builc�ing Department
� � ' 711'EAST 2Uth STREET
„ " COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILI. IN
Bul Iding
Address 645 Cove Street
Costa Mesa, California
rvearest 19th Street
Cross St.
ow�e� Harbor �states
nad�ess 419 East 17th Street
c�cY costa r�sa NoLI 8-1159
Architect or Lic.
Address
nddress 419 E2st 17th Stree
Legxl I Lot I
Deseription No. ul Block
(Attach Metes and Bounda)
� No. of
Size of Lot i� X 1�.0 Nowc
g gldg. nOr10 � Familles � Roa
c L��e irom Rear Yard b�t
of 5treet �� Side Vard c 1
New � .. � Alteratfon
ft. Rooms 5#s Stories
by
[CATION FOR PERMI;
BUILD,ING �
t OI+ FICE USE ONLY
Date Rec'd. Dat
9_ i0_c� 7—
Addrew
Costa Mesa, California
Nearest
Cross St.
Zone J � jl Plans I TYPe � I G
7
Approved
by Date
CORRECTIONS
CoveNng Gtu�C� � Covering ��� APPROVALS
Use of New Foundation Loeation Inspeeto
Building P]y[� 11(i' Forms, Materials,
�p mil� re4i[1P.IlGP Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby a�nowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building cOnstruction.
Signature of Plaster, Int.
Permittee ni kP R. �o� Pgmva
���, , Plaster, Ext.
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $ �.0, o 0
8 000 00 P�an Check g 3. i a sond Beam
$ � • Feeal� $ �3• 00 FINAL
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property line and between buildings.
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