HomeMy WebLinkAbout2512 COLBY PL - Building Permits/
PflOJECT FDOBESS: z 71 z L`D�BY PL
OWNEH'S NAME: JOHNSON EVEiYN B
nooness: z512 CO:,BY PL
COSTA ::ESA,CA 92626
AflCHIENGMEEB:
FOONESS:
flEG.NO.:
UNIT:
UNIT:
PEPMITTEE: COASIRIDGE. ROOFI:VG ( 714 ) 557-6048
aooaess: ZqgO FAIRVIEW RD
COSTA MESA CA 92626
LICENSEO LONTBACTUB OECIAflATION: 1 �er¢�y aliiem I�ai I am I¢ense0 un0ei proNvans ol C�apter 9(commen[ing wi�� Section
7000) 0� Orvision 3 0l I�e Busin¢s5 and Protessi0n5 Code, antl rtry liCense is in lull lorte and et�eCl.
ciTruc.:049912 sTaTeuc.:541190 �5�039
�a�e'. Signalu�e:�'� ����
IWOPNEHS'LOMPENSpiIONDEtLABRTION: Inerebyallirmtlutl eacendiCateolconsentloull�insureoracenificatealWorkers
Compensation Insurance. or a cenifie0 coOY ��ereof (Sectqn 38 laU. C).
POLIC7 NO.: E%P. OATE:
COMPFNY:
❑ Cetli�ie0 topy is AereGy Iurni5lreG. ❑ CeNheG copY is IileU vnt� t�e �ry BuilAing Division.
�I
�ate: MO��canc
E%EMPiION FflOM WORREX$' COMPENSATION OECWflATION: Qltis seclim neeG mt �e camDlettd il Ne permt is iw one AunGreG �5700) or less�.
I terlity I�ai in t�e pedotmance oi Ihe xro�k IOr wti[� Itus permii 5 is5ue0. I 5ha11 na� employ any p¢rson in any manner so as �a betame
SUGlet1 to the Warkers' fAmOensation �aws al Catitomu.��
Oale: SignaWre: i'L (��
NOTICE:II, a�ter making Ihis Oeclaration. you s�oulG Ge[ome suble �a e WOM1ers' Co erttalion D�ovisions ol t�e La�or
Cotle, you musi IonMn�� comoN �^�� suc� provisions or Iltis permit s�all Ee GeemeO revake0.
CONSTHOCTION 1EN01NG RGENCV: I �ere0y a��irm that I�ere is a canslmction IenGinq apency lor I�e performance of l�e work lor
w�ic� Inis Dermn is issuea �Seciion 3097. Civ. C�.
LFNDEP:
RDOflE55:
OwNEB BUILOEB oELUBaiION: I neRby atlirm tlut I am eeempl imm ine Conlractori State License Law lor ine lollowinp reason
(Sec�ion 7031.5 Business anG Pmiessional Cotle: Fny Ciiy 0� couniy whic� repuir¢5 a p¢rmil IO camVucl. aller, impmve. Oemalis�, or
reoaii any simclure, prioi la its issuance, alto reQuires tne aovficant lar sucn oermil ta lile a sipnea statement inal nUslle is Iicense0
pursuam io Ine omuisions of i�e Contractors' SIa1e Licenu Law (Clupttr 9 �commendnp vntn Sectian 7W0) ol Division 3 0l I�e Business
ana Prole55ion5 Coae) or t�ai tM/she is e�empt t�erelmm an0 Rre Dasis lor ilre alleq¢G eyem0��on. My vioWtian ot $ttiqn 7Q31.5 Oy
any applicant lor a Oetmt wbjecis t�e aDPliunl ta a tivil peiulty ol ipt moa tlun live �unOrM Udlars �5500).
I. as owner al t�e pwp¢ny ot my employe¢5 wit� wages az tneir 501e wmpensation, will do t�e wark. an0 Ihe
❑ svuciure is not intenaetl or otferee lor sale (Secbon 70aa, Buvness ana Pmleuional Code: Tne Comracmrs' S�ate License Law
Ooes not appty �o an owner al a pmpenY wlb Duilas o� imD«es t�ereon, anG w0o aoes suc� woM1 �imsell/�ersell or ��muqh
his or her avm emD�aYetS, O�a�de0 Ihai Su[� imOrovemenis are noi intenG¢E Or OflertO lof sale. II, tqwevlr I�e Guildinp or
impmvement is SOM wilnin One yeat al wmpletion, itce ownn vrill tWve the Ouraen of pmvin0 ��sne Ui0 nol OWO or imprOve
�or tne ourp0.0 ot Shce�. -
I. as owne� ol I�e property, am exclusiveW convac�inq vnt� IicenSeG convacmrs m cansimcl I�e proiect (Section 704a. Business
❑ an0 Proles5ims Cade: T�e Comracmrs' State Licenu Law Eoes not aDDN �a an mmer af O�cerIy � �uilGs anm0�m'es ihereon
and who conlratt5 br sut� D�qetls wii� a tonirattor(5) litenu pursuanl Io I�e CanirapOrs' S�aie LiCense Law�. I am aware
I�ai Orool ol I�eir Worker'S Campensatqn ifawance s�wl0 Oe provi0ed Io me.
� I am exempl under Section: 8. 8 P. C.
tor t�is reawn�.
Daie: Owner.
I 00 �ereGy cerlify ��ai I am aware o� anG u�Mer5Un0 i�e repuitertrenis o� Calilornu Heall� an0 Sa�lly COGe Seclian5 255115, 25573, an0
2557E antl Itul I or any Wture OuilUing octupan� xilVwi9 noi (drde one) neeOlo compN ��� saiC slaie caUes an0 Ihe reQuiremen�s lar a
permii lor consimction or maEilicalion Iwm �he Air OwLry ManaAemeni USlnci. fleSiCential con5lm[Iion appliwlions are e�empt imm
mese umvivons.
Date: MWrcam:
1 �ere0y terWy ��al I Aave rea0 IN5 ap0licali0n ana slale iha� ��e a0ove iniormatqn ¢ tArrttl. I ag�ee lo wmpty wi�� a0 ci�y anC rAunly
o�tlmance5 antl 5lalelaw5relatinglo�uilGing COnSVutlipn an0 �ereCyaullptRe Rp�25tniativ¢SoilliR d�y�o¢nt¢rupOnlheaEOve�menlion¢A
property tor mspetli0n putposes.
Oare: Signaiure: /����
�
�rivefs license or Social Se[urit +
Y
t64La6 WM1ite—Builairg; Green—CoEe En�o¢emenL Canary—Appliwm: Pmk—Revenue; GolOenrotl—Assessor
CITY OF COSTA .ESA - BUIiDING PtRN.iT P�RM ti0; H Ob1901
PER.'✓iIT NO: B 061901 P:, .'Q CHECK NO: ` ti GOVT: U SuPP: ti
CONSTRUCTION TYPE: 5-N ERMIT TYPE: STR PURPOSE: AL:
,JOB DESCRIPT?ON : T/O SHARES, RE HEATH 6 REROOF W/COMP SHI SQ FT: 4,800
CLAIM VA�UE; 4,800,00 CA�C VAL'JE: 9,800.00 GROL'P OCC: R-3 /Y-:
COMMENTS: REROOF 2300SF RESIDENCE GARAGE W/COMP SHINGLES SMOKE DET REQL".
�x��****�:���***����exx#�r���r�r#�###xx#, #��*���#���#*�t*x*�r*#tt��& x
ZONING REQUIREMENTS��OKE�jD�TECTOR
S E T H A C K S
------------ MAIN BGI�DING ---------- --------- ACCESSOi��333I��QUIRED
FRNT: FT IN REAR: FT IN FRNT; FT ZN REAR: FT IN
LEFT: FT IN RGHT; rT IN LEFT; FT IN RGHT: FT ZN
PARRZNG REO• PROV: PARCEL: 14142911 ZNE; REF NO:
PLANNING NZSTES>
�lE IE �f if iE if if ie iEiF < 1f if iE ��hY� # 1E ff # 1E if iE iE?f !F iF # iF # iE iE iE fE # iE # fE 1E iE iE iE # if ?E iElE �1E iElf fElE iE if # iE # iF # 1f iE 1E # iF �1E# 1E # fb SF iE fE # iF if ## iE iE
D E V E4�L O P M E N T S E R V I C E S R E Q U Z R E M E N T S
ZONING APPROV� BY UATE;
BUILDING APPROl�2D BY : DATE;
APPLZCATION ISwUED BY: DAT='; �
#itiEiEiEiEiEiEi'r?FifiEiEiE�tiEiEif�iEE#iF3F3F�3F�iFiF�iF#��FiFgTx . ut iFu�F�, fef�fe�telrTr�r'�tiEiEfEifiE#1E#iEiffr <. �e triEit
ifiEit?ESfiEifiEififiFiEiEiF1E##TEiFiE#iF#iFlE##iF#1E#iE?fiF##iE�lE7EifiEif##ifiEiEttik###iFiE1k1E###tEi!###1f#######1f#####if
LEGALIZATiOV:N F E E S U M M A R Y STRUCTJRAL SEGN.ENT:Y
BLDG PN,T PLUM3ING ELECTRIC MECHANIC FIRE SMIP/RES GRAD�NG
PERMIT 72.00 .50 •
SMIP/N0;1-RES
PLAN
ISSUE FEE
HUZLDING-DIV-> PERMZT ZSSUE PLAN-CHECSt TOTAL PAZD DUE
TOTAiS----> 72.50 0.00 , 0.00 72.50 72.50 .00
REVENUE DIVZSZON TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00
BLD72PM�T� PLUMBZNG ELECTRIC ,MECHANIC FIRE SM.IP/TOT� GRADING PLAN-CHECK
!f iE if If i'r if k# if if if iF iE 4 if iE iE 1E !F fE+c 3f if if iE IE 3E �1F if iF if 3E * if iE # if� iF �%iE if If 1F if # iF #iF iE if iE iE iElE 1E jF 1f ## ff # iF #i(� # if it # IE # ih il� # 3(� ## iE it k
I N D I V Z 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 Z O N UNiT COST TO:AL COST
SFR 4800 REROOF BY VAL'JE RESIDENTIAL NOZONE 1.00 9,800.00
END OF FEES
f •
t EXP(RED �
��mP�ete Inspections
(�tt _ $ig �__, —
Qi U0138015-UU13S016 T 4 T 72,50
DATE� 04/27/93 7IHE: 13:36
- �- = � - - - ` - - - � --- -- - -- --- ----
POUL L SPA -7--^ -
GONSTRUCTION A\� PIAVRIP!G I i '
Dat¢ I InspecYor I � Date i I�socc!��
APAROVALS Permrc'�r I APPROVAIS Penmt ;; 1�
1, Temp�rary E�ectrul S:r: �c u• Po:e ' J I � 52. P6ol t4 Equ:p^',ent Lo_at o� -I
-�- - -----�-
'j,. 5�.�. P�pe�Undrr.^.d i �, 53. Steei Reinfortrrnr;�t '
-_-_ _ __ _____ __-,-____+---__y.__________ _.._________ _"__
_ C �... .� C^^❑ . .. 'i��, ...-qr�:... � i , �1. f-r.-�q '
_4Yf_'�c!_ceContl..t_i.-��-------� ------'----i=5=-tlect•iwl3oi��-�----- ---'----;-----+
5. F'.�e; Rr.nfo'C::nni�• _�_' , '� __I"-"
� 5G. Ruu9h Plumb�ng FS+ Pr�s�.,vc l".ut j
------- -�----- -
�------- - - � -- .. . - -
- ------}-- --�---- -- -------- �-- - "- -- � - � -
fi 1 r•, cil UFeN �;,.. �, ----- �--- '�7. l�PPHUVAI lt1 C�)\'Fqr,� , � .
�- c.;�. .3i._- _ _ . __ _ _ , 5^ ��e^ ��c.J C�i' .�, . , y _ _ _. _ _ _ __ '.' . __ _ '
�--- ----------- - � ---�-- ,------- C �_- - - -_---- - - - -- -- -
a. `o�^-.,�t�o � 03. G�'� F �c. ._. ,. i., . . �., �
-- ----- - ------�--�'----- ��--- ---- - - - � ' -- - - ---' -- -
9 ';..rtcr P�pc-l�'ti�g�ru. ' 'i � �... . .
60. fi•cc...5h l �. P'- i.
-- --- �- -- -' - +-- ----- -- -- - - -' � ---�� - -- -
10. 'at uctural Flour Sv"��'� �. I G7. APPROV/� � TU L� C' < � �
!'� - i�- - 1. _
- � - - - - - - �- - - - - � - - - - i ---� � - -
tt. �n .r 5"_c.e• � n � '..,� �r".On uZ B.nc.��ih �� �� C-; in'
7_ ^ P _ -____ _ . _ _, ______, - - .
.___ _- _ _ __--' � .
___ _ '
7... �,:.�., ,.,,, .
'_�'_--, ___'' G9. H.ater $: �Iv.i..l- � .
i
_ _______ -_i__-_,'_.-_ ___ '___. _��-_-____,_____.. _ . .
� 13 P.:a! Ow�ns � �`04. F',�m:�i.,,� Gy ., R. F. .
' _ ' __ -.' ____j_' _ _ ' . _-' _�___ ' _'___.. __` ' _____, _
1�� iG'u�r PiUf'tJ "� 1 ._, . �
:. i fi�. �'.E^InC31�� 'dl � i
__..�____. _ � ._ _
15. Ruugh 6ectriw�•Coi:�., t I �� �66. Solar SYstam�Finai j �
� - !
- ------------�'----� . _....
iG 13ough ElecVic`.7�rina ��� � � - . i �
� 67 Fenr.��nq & Ace .s ..nn�a. . �
- -�------�-- -- -- - -- ---.�_---- - - ---
17. ��t..;h �7�. ..5 S.yr --' _ � , d�. PF?FCVE� P0.-i ':✓`.�� �� a -.:i
�---,- --- -t � -� ----------------�--- -
� iti. oe;h Eleetrica �- �: •::e . I I I 69. PCOv'S°R, SYS-�' �$ FI�.�-�
19 i w4h He2i�nq_ & P r C�, d; c���-�q � � I F4RE OL=P?. kEOU!RF2:'.°.' .� --�---�- �' --
i _� '
20. Po�,3h F,r,o��, F`;�p ��-- -- �l�1?PROVA'_S :,r:,�.� '_ _ -. _ .
�--- -� -i --
�' 21. p,.� ;, � • Str�ct,.: c ----- - - - - 70. ❑ra_•r�ro�"�. �h .�„ - - - - - ---- -
�--- ---- �--------- -- -------- - --- -
I22 ;-�'e.\�grt'_t-,�_'____-_-__'_"'_ __ _'__- _ 7�. P�=-i�.r_°__. �:•____. _ . '_ __ '__. .
73 G u.e�J,.t � I/ i�,-�-{r�. ��' .
.� ____�__'_ _.� '. __ '__ _ _ _ ____ . _ . _ _
24. �� am. � �%3 Ji uurn� i. S�nr .� _. �. . � �
___ .'__ _ �.__ _ . _ . _ _ _ . � . __ _
ii
75 ;I,�nf 5^�ith'�q_ _ _ __ '�� /9_C__heail IIl'n' ' ' _' ' _ ' _ --
'� i6 -.3 . .., �c .. �� . _. '
_ - - . 75 � . Ci,c.i� ._
� 77. f:...' .,�� r-_ - - - -- - � - - - � � 7h. :)r�, St..�i�. .� . �
�------------- - - -- ----r- '----- - �---- �--- - --- - - �---- - -
i ' 3. . . . ] tl 5 "i - . ! / , . _ , ° y ` . - � , , � � � �
� 79 �n u.o _:�n - - _ - ----- I - - -I -Y� _ - -�-- ---- . . ,... -- - -'- - - --- .
I/ f iii i iiE V. i i
�:.p �.�, �.,..-ct - j-�' 1 NFF.LIi,71-!'i ��rGUl4��'.._:��
r___ ____.____. _ -_- _ ,-..__ __ _._'. _.,___._ .__ - . _
3' ..i� i-�:."�� �' : I '� ' n�. I I�'.�1i i.�.. i. .
�� - - - - - - - . _ . _ . .. _ . � _ - -
� �.. r.'� �. - ,.. � .. ' . � : .. � ,..... .. , ' � . , '
i 3� _=_,:, � .«� .--- - --- -- - , - - � _ . - , �:��;=,:� -s,� G.. .c�i2�Y
34 ��^ I Hc3tirc � �.. r i � , . _ �' - _ � _
�'- _- - -_ _ _ '__ _ . i
I35. F��.:� Qas P.�.-.T� •
�_ _ ' _ _ _ _ _ _ _ _ _ _ _ _
� �.. �.._., or Ci.^`P'Y .
� '_�_ _' _'"'-__'_�_
' 97. j: .,.I F.,..�..• F , ., '
_ J, _ ' ' _ .
i
- _ --�. _ ' _'
�a
-_ _ _ ____--"__ ' _' -_�__ _'_'i' ____ _ " ' _
i 33. =i :.I P'�..m5"7 � � I
- -� '--
I :i8. !:'..L:r Sarvice -�,_, - -------,. ---r---r---- -
i �
�_-___ _ ____i._ _ _-�_-' .
r_.^ _ _ _ _ ___ ___ _�___. .. _ ___ _ _ .
� ..� a.sSer�nce� ���_. �
�__ _____-_ _ _ ' _ - . _ ._ _ � � -_ �- .
_ _ _ - __ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _
��.. C��C' �ilf^E�: Ci=.r � i �
�_"_--_-'--____-__"_-'___-'_____i _ _"- _"__ ._ ____ ` _ .
i!7, .. =:F1�: � J.2'.2^i:' � � .
� ___._"_ _-_____-� ____ ' -___�_ _.__" _" __ _ ___-__.
1 43. bocicf ov� Irr�n.at'o�, -� , 9
� r
r-'--------- ------'. -.'----�--- -��- -
' 44. _.rdir,.Pe I-�. �� _„ 5. , i i - �---- - ------ -- � ---- �
��-- --- �----- . I----I- ' ------
----r- -- i----- - E x-p �-ft E-D --
� -a=. : ��: d n�;, -., : :� �
- - - ----- - - -- - -- -�.- - - - -,--- -- . - ;_---- - fnComplete InsP�tions -- , --
� yb Y' -.!.r_-io FI['iu .i' .'. . i I ��- '7 �/c�.� �y
L__ __--__. �_ _.�____. " �_"__--t�__' ' -�- 1/.l�7�YrJlg � __' '_'
@7. `r ;i.>: ETR'_'CT::F�c- FJ'_��.� i i � :;: l�2!
----�------ ------�.-
--�-"-- --�---- - - - -- - - - - - - --- --- --
46. (ItiALPLAi:itl;!^ � i ` /
_- --- --- - I--- -�- q ------ - � - -
49. �I�clriC Rcicd4c t. �8druu . • - -j'-� _ �
_ ___ ` '__- _
50 G�s Re case to So�thr n C�:�to•�:a Gas � - -�------ ----- -- --- ------ -- -
57. C-::^TI�-1CATc OF GCC:;PA�.,��y - -I -- - -- - -r -�:---- -- -------- - - ---- . " -
A'a._�- Dat: I ' '� .
� ---- -- '-J- � -- ----�---------- -- - --------- -
OWNER
JOB ADDRESS
GENERAL CON
AP. N— o �3-3G
INSPECTIONS
Undcrground Soi
Undcrground Ga
Overhead Water
m
brown
JOHNSON, r�nsorr
2512 Colby P1,
DATE
DATE
vnLUE s135.00
FIRE ZONE DESCRIPTION OF WORK
.OUP J TYPE 3
SUBCONTRACTOR I�RM��
NUM
071�
� � ���� �-�� ��CEi�ED
� �IAY 6 1959
COSTA MESA BUILDING-SAFETY DEPARTMENT FIf�ANCE DEPT.
P.�. BOX 317 COSTA MESA. CALIFORNIA
�iir ur cUsiA MESA
fOR APP[/CANT TO F/LL /N COMPLETfCY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING � � � `�
ADDRE55
- COSTA MESA, CALf ORNIA fOR OFf/CE USf ON[Y
I RECEIPT NO. I ��T'tl0.
OWNER ��
MAIL f'� NECErvED BY I O/SE HE IVEU�I �j]ATE SSUED
ADDRE55 , I �J \J � L�
CITY � � TNO. /, I S BUILDING
ADDRE55
ARCHITECT ��c. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
A�DRE55 i7 L =oNE type gs'oup
STATE APPROVED
CONTRACTOR �;� C IG.NO. BY DATE
ADDRESS ZONING
LEGAL I LOT / /' I I� 7 S O iONE���/•t� NO. OF USE OF NEW /' /./f
DESCNIPTION NO. (J BLOCK TRACT • 1' I PLAN6 � I BOILDING //I /�'� �//
Lii LVI .�/
1/ BYPROUE / � 1 �� / ,r_/.
A.P. NO. Y .OATE (v't)
SIZE �f / no. oF e�oc3. ypR�Sv EVES
OF LOT �,C .�, I Now orv wi gEqUIRED ALLOWED
USE OF / ICENTEH LINE ST.)
E%ISTING BLDG ! FRONT _i L FT. � IN.
SET9PCK LINE FFOM
c[rvi[n oF STREei O REAR YARO R. SIDE `� FT. IN.
SIDEYARO ILEFT Sl�.lt T�IG T L.SIDE �FT. IN.
DESCRIPTION OF WORK
REAR / FT. IN.
NEW I II ALTERATION I II ADOITION I v
REPAIR I II MOVING I II DEMOLISH I
6UILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BU�1'LiINGqN� WORK TO BE PERFORMED
�G' l.
L
�l
I HETEBY ACKNO LEDGE TMAT I HAVE HE.�D THIS APPLICATION
pND STATE THPT THE ABOVE I6 COHNECT RNO AGREE TO COM� 7ME AMOUNT BHOWN UNDEH VALIIATION IS FOR TME
PLV WITH wLL C�TY ORDINANCE9 ANO STATE LRW9 HEGULATING PUHP08E OF EBTNBLISHING A PERMIT FEE ONLY.
BOILDING CONSTRUCTION VALUATION
SIGNATURE OF 7 PERMIT FEE S p�, ��
PERMITTEE /�S ' BA _—
$ PLAN CHECK $
—7 l—C7
AUTHORIZED AGENT TOTAL FEE $ K�
OWNER JOHI
JOB ADDRESS
INSPECTIONS I DATE
SUBCONTRACTOR
OCCUPANCY
DATE 9—$—E>O
BUILDING PERMIT N0.
Form 210-5M-11�59 5-B P . ZZBOS
1ti80�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.'�, gp7( 9f7 C08TA M68A. CALIPORNIA
For Applieanf fo Fill In Completely
� TYPE OR PRINT
BUILDING
ADDRESS
GOSTA MESA. CAL1 ORNIA
� 6TA7E
� eHTO�GK IJNe FrtOM
BUILDING .
SIZE
EXTERIOR WAU.
F EE R CEI�V EDg �
/ F�N NCF DEPTC.ca
APPLI�t�I�P ���hA'fT
h
BUILDING
For Office Use Only
xECE1PT NO. �L ��
H IV D sY �AT6 R6 �V DPT�I66UED
, , � _fi _ �
BUILDING
ADDREbb �
COSTA MESA. CALIF IA
'✓ ZONING
ZON6 I NO. OF I U9E OF NEW
PLANB 9UILDIN6
LeOAI
HO. OP BLDaB.
�'� NOW oN LOT A. P. NO. I� —
YARDS
APPROVED
� �Y �i /� IC6NTHR L�NH 6TJ
/ " ' s`. "I
T ` i
CRIPTION OF
,ii �
NO.
BE
�
I�
I XER80Y ACIWOWLEDO6 THAT 1 XAVE R6AD THIO APPLIGTION TMe �MOUNT BHOWN UNDER VALUATION 16 FOR THG
AND 8TAT6 TXAT TMC ABOVH 19 COPRECT AND AOqEB TO COM-
PUIiP08E OR EBTABLI8XIN6 A PEqMIT FEE ONLY.
PLV WITN ALL GITY OIiDINANGe9 �ND BTAT¢ LAW9 RH6ULATINO
BWLDINo COHp �rnoN. VALUATIOjd�/a�� �
SIGNATURE OP S� � PERMIT FEE $
PERMITTE � �
�� - PLAN CHECK $
AUTHORIZED AGENi �
TOTAL FEE �
�
�
OW NER CO3t8 M858 �StdtES DATE 4-�2-56
JOBADDRESS Z51L Colby Place BUILDINGPERMITNO. 27Ci�
GENERALCONTRACTOR Roven-Spiegel Co VALUE f uf�O.00
LOT w� BLOCK TRACT �75o Single Res. W�att gar
GROUP I Rc J TVPE V ZONE � FIRE�DISTRICT 2762
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
� DATE I NUM9ER
Foundation Formsand Gradeto
Rouah Framino _ _ ,
Plumbing, Ro�
Temporary Po
Wiring, Rough
Heating, Rougl
Heating, Final
�%Sewer, House r
Septic Tank or
Lathina. In
i
st./Y�G3 1i�.3._t•GIA7 R l� �.,_ �. Ift-���/_ I r� v��—
Plumbing, Final, Fixtures Gomplete ///G� 3/ •-
.� •
Plumbing,FinalGasTest S yy,�5 -ay;r - .�.�-!� �.. / �
Wiring,Final FEB 2
Occupancy FEB 2 6 1957 VGB
FORM ]IO 9M 10�95
- �sta Mega Building Department � �
" � •' 111 EAST 20th STREET
- COSTA MESA, CALIFORNIA
�OR APPLIC TO FILL IN
Bulldln _ry �
Addrese .X� ��/ / 'G _ ���
Costa Mesa, California
Nearest ��/ 7,///
CrossSt. i v-v
Owner C��/ �i � �C"J� C.:�i%�/�'�_
Addross� ��.��.+ ��/ �' `��i
Tel. �,g
City �/ %i/C/�y"'L�i No���-=�V � '
ArChitector,� ���� ��/G LiC.
Engineer i No.
Address�/<�F-[��: ����' -. %/�i�%� ����
/ � / �F
Contractor���✓�/�� CZTVtoY/7 j:/o %
Address •S�'�' � � y������j� i ���Fl�j
De cr9ption � i'o �7-O � eio�k � i T�aecl%/a
(Attach Metes and Bounda) � �p
q ' No• of Bldgs
Size of Lot ��X..X r�� Now on Lot
Useoi No.of No.of
Existing Bldg. I Familles Rooms
Setback Line irom � Rear Vard
Center of Street ��- Side Vard ,, �.�
DESCRIPTION OF WORH
New I I Alteration I I Addition I
Repafr I Moving I I Demolish I
Building ,( No. of
_Size ��i1�1_-(j Rooms � Stories J
Exterior Walh— Roof ��s
Covering �/l��� I Covering S/�j�/"l7'�
Use ot New . _ . O _ . � .!/: 6�1-
I hereby acknowledge that I have r¢ad this Applicatlon
and state that the above is rnrrect and agree to cromply
with all City Ordinances and State Laws regulaling
building rnnstructlon.
Signatureof �%.y r—iL��'�� ���-��
Permfttee �'�� �7
Authorized Agt
Valwatlon Permft Fee $ oZp �
Plan Check $ / '�
$ � �%�� Total
Fee � �
PhHM ROd A-AP 2M fl_Si
- APPLICATION FOR PERMIT
��6� B U I L D,� N G '�
k'OR O�'FICE USE ONLY
fieeeipt No. Permit No.
� %SLh
Received by Date Rec'd. Date Issued
/!+"Y.> � /9_�% I !L- /J _ \ %
Address
Costa Mesa, California
n
Date
CORRECTIONS
APPROVALS
Foundation Lxation Inspector
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing. Bolts
Bond B�
FINAL
m
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J
6
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a
Street
PLOT PLAN
Show location and disYances from
property Iine and between buildinga
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