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914 DARRELL ST - Building Permits
� ' � Applicant to fill In all spaces axceD� i�osa wit�ln heavy borEer Iines anC sign all apDro_��ata Ceclarations. CITYOFCOSTAMESA� --r__r.��._._7- - - -� _ �-__�..,�,._.._ - - - - - -r- r. -( -;- r-��-.- _,_,_, i � � �•y � l- 1 P MIT_NO .� x.. n� TRACT NO: � t LOT NO. . eLD Y. � �� '� S � I �> , i �' � I r �-y � n. i,V i i `�CONSTRUCTIONPERMIT Iv;.�}b' i:i��'f: �vt- i �. i t �v��. rlv�F�i� t���Si ">f' t���, z��i.�.=� rj� �. :� � r r� 1 Y! -' ',,t1 ; . . ; � �. ` � ` . � ... � - - � x � y , . ' ..� Ir I r � it t � 't { � t ' 1� � r � : t .r � �. � � .; { . j AppliCenYs Maifing �1dfeA � ' ^ ' _. ' � ' TYPE OF CONSTHUCTION z �i � plEw �� ADD�. i �ALTERATION: REPAIR � I . I ,'� '= 1 � w' � "" 'W � w � � ' '';' .+ ( �i. 1 -f � tc �- f � �� : .. ,� R , �. � ,�j ,�} , .;, ;r<< ;s�s3 ; �. t - � ^ � / 1 ,j � �Yicn I % 4• t �'+ � � CONVERSION $O DE � OL SN ❑ �OTHER C � > , �� ' I ' { , R � ;': . ' , , ,5 �3/.B3 �� 1.� T � ProjectAddress^ � -- i _, ` - � ' � � : � r -C=+ � � .� i ,_ t I �': � :- ,. . : i �2 ; ; I �5.0 - ! - [,1 � ' r ? � � � � i " � DESCRIPTION OF WORK � � - - i'r � r Owner s�Nam : � i ri'. ,e, i _ "; � %ahone • . r , r � . . . . . a � -+9. { � ,� . � . . - � - . � �j � 1 . i r � r_ � i ';' J � ! � .x ' f :, i u-. ' � , : � " - 1 � 7 . � Z I G REGULATI NS - t .- r 1 � . p Addressi /� �'l ' �/ /-%/2Ys�i�'-�-L: - �� �%7� � f . . i .: � � 'J' i .'- " I P' ` ° ' ^ 'I CL . , i v� � f- x ; � ' t. - Z• .,_, i -_ 7' : r. ; ' ( ^TYPE�OF PERMIT � " GRADING4 FOUNDATION STRUCTURAL i 1 � . � .A P _qW� � _ 7 .: ' �ZONE . . ! : � � � `.�Afth/Eng' � � �� r � � { "^ � ' LICBn52No.� � - ❑�TENANT O�ELECTRICAL�.O}PLUMBING ❑MECHANICAL-�� J�t�'. • � ^ k � � � �•BUILDINC' ` , u 1 �� � '� - .i l 7; i r' �:. i' - :y, � t . � i r .� , -�. P,LNG. REF.�9W: d-0 � v i I a. �-J 1 i I.n '�' � ABdieu�. �� ' .I - i �j �-b � _ � '{ � � ;.O�07HER A x : �� ? . � .i + I i : �: � � �. � .� �TO�BUILDINGL 1 � � . P .�r 1 �� ! ... � .^ 1 C . � ' � " u � ' (. . ' � . _ � '1 { .i I 'PR PERTV LI E � '� i E �REAR VARD (TO.P/W J � w '� f � 1�;1 j ; . . � Contracta�sNam � � � ' � ' houe .� � ..`PRQIECTDESCRIPTION�� S�rFT."' ' OCCUPANCV - . -. - „ ' � � �,� � � . � ! 1�,' �.: '� • ' � 1 � j ° � } I I � - � ' f I �• t LEFTSIDE VARD �.f � �.,�" � RIGHT�SIDE VARD � ,. ^� �•' , ��� )i�� � L , �� .A-j'.�:���.� S%� ��CONSTRUCTIONTVPE VliLUATION$ � - ' i I � �� Addrea (r^' ' � ;M � . . � . � . - � 1 � ' ' t ( .' ^ : �. j, { � ZON� � '.GRADINGeCU.YDS 3 IACR�ES � � ��� � ' PKG.SPACEiREQ. ',j , .'I PROVIDED� � S � D ' l � � CicenSe Nii I . �jL,� f i ' 1 f j � � i i . � ? � � : a �, ,+ ` , �! . c . � . � I � . , . � a � i . l. � . � LICENSED'CONTRACTOR DEC � TION � �' i � l .. ' ' i Remarks: I, a i � � � i � }' i F f I �1 � 1 '. , . - �STREETWIDTH i. � � " �, , �, �� � '`PAR�K FEE $ ,_; � I ��_. - � Ph'ereEy:afflrm that I�am Iicensa9 untl provislons'oT Charter,9 (cBmmancing � ' ' � � ' , ' ' . • � . � 1 �- . V� ' ` wlth SeCtlon.7000) of Olvlsio�✓& e Busineis antl vrotesslons COAe. anA J . f ' �Y 'i ''i �' ! •'� � � ' i . i :� � ' .j � ,,.� I { i � ' SPECIAL CONDITIONS:•. � �' � � ) . �� 1 . t �'. � � 1 ; - �. �� 1�� ' . my Ilcen4e�.is In i 11"ft ce a tl�e fect � / #1 - � , � ) - . � - � � .. t , �'cenu �la � y - �� t.. . . � r�cans�M -.1��� ) �i . `f 4 i ` � � : PLUMBING } � f:. Y I �. 1 � � � 'd , � 4� �' � � !-- ' ; i �! �' ;'.3 . l ' 1 � �1 l l �a : { 'l te"� � 519nature (, '� L —� � ' j BarSink' � - ! + SewerCaP .� � �.• . � . „ I ' i i � � � i . 1, ELECTRICAL. . { . � - � : - �. . • .ORKE 5' COMPENSATION �ECLARATION j , �� . � j � + � ' ' , � - - • � � ' - . � � - . - ' ' '' L�.hereby�aftlrm�thabl�havea�cartlficate�of�consenttto�self-Ins�ure�or�a�certiilcata-�'—� BackflowPreventer'-`,'( `-1P""'" 'SewerConnectiont•"t�^-0^-- - j--�Automanc,Washer,,,`„__,L,�r,_._�;.>, �Meter_ over100amps;. r✓'�� , 'of.Workers'�Compensation Insuron<e,`or�a-cerSlleC�'copy reof(Sectlon� � � �- -r- �.�~���� : � � 3800. CaDi Cfl : O±� { � t . , � � .. ... � � . - . Conitruction Pole' � • ' I , _ i'. ' � , i, - , � , I, '`} . ' -I � ' �' �j Backflow Irngation � • } 1 Solar Collectors • f ,,.� ' } � . I , j � � SubPanel' ' i • - � ' . �.Policy : Compan � � CookingUnit'! � �, -I 'SubPole r ' " ' � Hletl-coPY IS hefeEY fumishetl. t ' ' �. : } � f .af � � � k Bathtubs . 1 . '+' �, ��;, " Solar PiP�n9 � L � � . . � { r . . .:. � : . . , � , 1 � � . � � , ` ' CertHietl.covv:ii tllea witn tne city.Builtling-Dlvision. �. � '� � � , i�� �. � � , �� � .; � • D�shwasher ? a - �, � i, � -:.Mofors' 00=1 HP -01 h$ ' f � - '- LDate 'f � . �� .. F ,,COClicant � t. . �. ..P �I. . 1 ... . E. t ..� : ' � i�.l �.�"�`_�'_= ' . _SojarTank j. � . � � � . . t� . , . .. �' �� �i- � . _ . _._.,_ ._:_�I._[ � ' �'EXEMMION�FROM WORKERS'COMPENSATION DECCARATION � 3 � � • �,. DiShWdshef/i � { � (JU � SwimmmgPoolw/Spa �,��� ; } , Dryeis'�GasI�OElectric"'�" : � 31nc.Solar_0915'HP-01645+ '� _� �' ° t .�(Thi55eCtiOn neetl mt Ee complatetl it the permlYls for:one huntlretl ($100) or R� " ' � . less). � . , . !• .f i - i `t. 1 1 -1 . .I 4 � ! ...� ` .. .. .. _ . " �. a i Fan1� 1 � ..1 , l� � �iM�crowave,` ✓"' � > � ' I certlfy �that �In'ttie pariormance ot the work for wnich this perm�t.is Issuetl 9 f, ri_ - ountains � � i �' ; Urinal ' � � � � • y' . � . : i . � j , :'+ ' F shall�not employ any person in any manner so �as�to become sub)ectto [tie � , �. . � � f_ i• - , � - �` � Workers' CompenzaSlon Laws of�CaliTornla.l . : � Floor Diains• . � � S -i � � � • ' FfA.U. � � • �;', �Pole Light k , ! . I .{ '' i � ` ;:� �,: 4 j . . [ . . : r. .. � . Water Closet � 1 � � " -' . �. t' . � . � . ' Date' . ' .' 1 ' . <19nature ' , I ' . '� ": �� �r, � ^ � Fixtu�Cs � 1 . .t• - � I � �Y "NOTICEi9f,-after making'this'tlectaratlon;,you�shoultli'becoma,sub7ect to't�e- ' FIoO� SinkS -E-�--5-�- ���-• �� � -�Wat2r Heater�--�-^ � � + 4 - - � -. a, -w-:•�._ � _ 2Range,,.�,�,_r{,. _ _,�„=,,,,,,, .(_ _.�k � Workers'i Compensatlon..provlsions aT the Labor,'Cotla,.you.mustlfortnwith; " _ ' � � , -; -_ ' _ ' _ • , -- � • . � . � � - - � � , ''� <omply witn{ such .provisions�or �.tnizuDermiHshall tie +tleematl ravoketl., � ;� � Ga5S2rvic2��; <Outlets; = JWatenSerJice `= �'� 1 � �� -� �� f ' Device Boxes i, � , � . '� , � �Sign� j'-"; ! ' ; � ' , � �' . �CONSTRUCTION{LENDING-AGENCV.�-� ` I :• t ; •�4 ".{ ' � � . ••. . ._- �.. • y H : Outlets � i. i { 1 . . �� ' , j�� j . ; ! . i I hereby afTirm that [here is alconstruction lentling agenty.for tha?performan<e,.' ^} ��terceptbrs f. ��� ) ') � � �;+ � C� � � ��« f"� �• n '� �� •-� � I �' i.: iStanding Sections ¢ ,� • p � � �'ot the work for'w�ich'thls Dermit I5'issuetl Sectlon 309b:Civ C� - � - . � � l.enaer4� Namer-.' - t �. � "' � ,i ; . � � Y- ; r .• � �� ; I Krfclien�Smkl .� � m .,T. 1 `.. :, n� I � j � ' • ; I : - . Switches � 'o-�r � : , � � �' jTrash"Compac{or ; . , I`'. ,- � 'l.entler'S AtltlYBis'� 'r. t r w l . .. . t . ' I . . . � , ._ . � . ' � . � . - , � � - � . , n . ',� l ' r . 'y' Lavatories " Tf: � , �'.1 ,1� .`'-' ` -°i�4 u i �� •I t'+ � . � - � I ^ . Gartiage�Disposal' I � �I . �I . ";� . i � t � . ' � � � I OWNER�BVILDER DECLARATION� � � .t .' n` J C � o � :,�,i P ' . � . , • t: � �% I .•,-, � i c"• ��. �r- �'" � ' ^ " I herebyjaffirin that I am:exemptifrom the��Contractor'siLicense Law for [he " c;, � - �. ; i y�. -i A�. �. .�. � Generetoi. 00�5 KW� 05-15 KW . '�L �� � following reason.(Sectlonj7031:5' Business antl Prote551onal;Cotle: Any city or,` ��,. P� ;Tiep, :�� _ �.,� �,,;y, �. r i ii �?� 1 y .L . .. ' .. 1 1 �� � � i t- � . `, "•unty whic�'requires a permit{to <onstrucT, alter improve; Gemollsh.or.rapair , - �, � -, u n - y, i Tran3fo�me� �+ 15 50 KW. � : t. � struttura; prbr to Its;issuance,lalso raquires t�e�applicanPfor such parmlP!�' � � ROOf�Dtams, F"'. . � � � � 4� � -� ��� I ,- !' �' ( Fr � t . , � - ��� � �i� ' S % 1 i � i � � file a zignetl statement'that he/she is'llcensetl pursuant to thelprovisions of ' ' '' ���' ❑5U+ KW�' ' - � � � ' • /Contractor's License'Law�(Chapter,9 (commencing with7$octlon:7000) of � u,. � � ^^ i, F�- � u �_ ( � �_y-1 � y : + � � � � � , � - -� ' ? � � � � "$Reinspection Fee . � �I ' $75! ..�Wlsion k3'bf the:Businezs' antl��Profeislons Cotle)' or�thaH ha/she�is�axempt I Showe�s .^M�. 7'7 ..0 � � j (� , r'� }. � �� Remspeetion Fee ( � , $15 � � ' � � , _ _ ' �. �therefrom'anA. t�e! basis for the alleged ezemption:'Any,violation ofi Sectlon t, '' _ Meter ❑up t0 100,emp5 i"! ,�I � i�ssue Fee� � '� $ 3 .,7031.5 by?any'apPlicant Tor�a:permi[-"sub�ects�the+appllcant to a=civll t --+ :� � •� � .: �., �•, G ^� 3 - • : : �- � . . ` � 4 . ' ¢Ifdlty ot.not TO�¢ Ihan fiv¢ hunU�etl Colla�s (E500J: � �_' � Y:' ' . � ur : ' � � p Se�vite Sink ' , { ! :' � ��,. '� �ttue Fee;:� � � ; $ 3 Zoning Approved By ' ' - � � � ' � .- � � �� Date � ' � � � ' �.� � � ', ��� I; `as �owner. ofi the �property ori'my employeasuwitn wages�as thelr.s�ole ', � - � . ! ' �' t , ' ' ^ wmpenutlon' will'Eo the work, antli me'strutture.is not IntenCetl or offeretl � . p..'� t:Pi• '. �` � :�;MECHANICAL' i ,! ' � j.� {. pppji�tion Approved By �' ' {- ' '� t�Date � - r �' j �' " 'r�or sab?(See�ion.7044', Business'-antlFProfe55ional.Cotle:�The9Contractor's , � , � - � ; i : LicanS¢ Law tl0¢s mt apply to'dn owne� ot a p�opertytwbo bulltls or-improvas � I ' BOiICC � � � �� Refngeration Syster*m r'- r . ' �. � � `� a 3�' � 3 ' thereon,�anC ,whm tloes�such work himself/hersel! or through his or her own � � I'�- ' � ! � <( ' i.' � ' � i �- APP���tion�litued By c�- �� DatB E % employeas, provitlea that such5lmprovemenPs are;9 ot �ntentled or otferetl for. S ( �. ❑0-100,OOOBTU.O100 OOOBTU� ��� ' t � ' t j � i SUMMARV OF FEES„ j. ( (� t - i sale. If; however, the bulltlin9 �or Improvament is soltl within one yearrof com- : Duct'Under Ground ; � � �� _ . � �._ .� � � ^ t ; ', pletion, the ownenwill bave tha Eurtlen of rovin he she tlitl not Euiltl or Im- .� - , � � i � � � �rovetorthepurposeoEsale)... y � !� .� +% �' f ' � ,::. ; •_ ( :� Duct-Structural'. � � , a� � System.Repav/Alteiatwn � I � � .BUILOINGPERMIT $, � � � SMIP � � �( $ I LJ I, as ownei of the property, am ezclusively <ontractlng.wlth,licensed con-, } � , . . � � � . � ' : - �' � ' � ' c.tracmrsto.construcLlhepro�act.(5ectlon.7044,.Businessantl.ProfessionsCotla:..,;_,_.}.Duct,yVentilating_y�,_�,�_!,,,�_;", �_,_j__,,,,,�-,,,,� ;,_, .,__; ; ' ; �. ��PLANCHECKI � � $�� �� � I PERMIT � �#•- 4' � j ��Tha Contractor's Cicense"Law does nobapply to anbwner-of property who � - . '; � '- £ _\ � i� 4... i � � � '� bulltls or im roves thereon; antl�who contracts for such pro�ects,wrth a con- ! � � +� � S ' � PLUMBING� � � �- % OU.. .� ISSUANCE f $ p Exheust System ❑ MWtiple �' i - ' � i ( $ { tractor(s)'license pursuan[ to the ContractoCs Licenu Law)'- � = - . � ' . � !' ' � ' ' ' � j ' - ! 1 GRADING I $ ^ � � ' ❑ I:am ezempt untler Section ', ; '� B, & P�. C. for this reason '� � Firepl/FaCt. BIt. IC80 # � � i � i j {- { � � '�P�N,CHECK� � $� : �' � � ; i ��� �-.j I � � . i , • .�ELECTRICAL'� $ � ' � ��� I i � $ .��ate � � � � Ownerf � ' . • ° l : . 4 . . : i . � LL H¢�ating�SYitem & Ducting ( ' � } : j f ,� Y j J t , i ; i ( j , , ' }' � 1 j � " 1 ' � „?PLANCHECK� � $ 4 � '�� � MICROFI�M ; $ �� � `I'hereby �<ertify�that•' �hare'reatl-this-appltcatlom'antl�stete-that�ilie above� �0-100,000BTU�O100,0008T +- - - - $ . " � informatlon Is co rect. I agree to comply wit� all�city antl county ortllnances �� �� t � � � I • ` l . i'����� � ` { � 1 � ( � : �- ' � i� �. � ! `TOTALIFEE � $ � '- � state laws"rel tin to bui in -construCtlon, and hereti authoriza re re- - � � . . MECHANICAC� �$ � � sent�atives �this clty te up n the above-mantlonetl� ro erty �or { HoOdO� Type�l' �j.' � � � � � ".l � �- '�' - t r � ". S ' � ! � 1 � , .P P � . { . � �� � � ReinsDection Feei� i �$15� PLAN CHECK� ' � � ; [ LESS- 1 . r '�; (,- Inspectlon ui o s. . ( � � �' �� 'j '.'t " 1 , . ? �/���/:� t . )t + Cano . T � e II 0� a. a , i � �� 1 � i .r { � $ . �ADVAI�CED PC $ � . . 519�ature ' 7 � � �1..' t .Date_'�4r`✓ , �I' ' t ..�� '.. i � i f �.[ j � -.� � . � ° t � �j, t "i. ''�� t F. ,�. i , i = 1.;�� /�^� . � � i �. � i S Registers . � � Iswe Fee � � ! S 3 � ' ( � �� FINAL FEE . �$ � � � . �. � � Drivers' Licenza or 55 " � : . �, , 1 1 if�. .. . t � -. . i . : i ...,� , i . : : .4 I 1� . . .': : � ' 1 I i' . ) 1 �. � . . . . - - _. __ _ .'__ ". _ ' __.. _ ' _ .' _ . "_ ' -._ ' CMF 0865-46 rev. 12/82 . ' WKite - Bulltling;-Canary"-'ApPlitani; Pink - Accounting; Goltlenrotl - AsseSsor � ' ' � � ' � ' �' � " "� � ' " ' � ' � ' - � , - � ' � � � . � , -. . . , � - . . . . . . . , � . � . , • - � . . . ,._ . .,..,'�eiyi•:'"✓d"CV,^r3=T'v.^..5.+n�^..c+tl�c'..-+..a-...;tevy ..-r'-�. ., - •-'r . v T� •- �. n..�..-W .. '9a+.F:^.. :h',• . �. �� �CONSTRUCSIONAND7PLANNINGrQ °� ��� K�-°) t30 `�$��z'�� �or�! &•SPA_j� - ^( 4;n D �E ro p } P���Up r- l iP� O IQ �.c 'i vt m��c � c�F n� ?Date i'nspectoi; p h-p "- o *.n ` ` P a. iDate�� �Ins eetor xs ' �N� � '` "•_ T ^APP,ROVALS T Permrt�# n_• ;! .�..> � I �A-qPpqOVALS Peimrt# ;� , >r :, r.1.1; I � rc e, �3 � � � Y� lM.. .^.e.=- 'Fn ✓> r,."'�' �,Ur '�a -a-_ e� p. n�.^., `' I '�°' � � R� 1= Tempor`ary Electrical Service or�Pole. ,� N' '�O � i,�i o" ;°o � ?52� Pool &�.E ui meni' "` �' ��d`�°"i " ' ' ' !`a � ^� �' -� `e _,E _ q P..Location,3 :•` �y�� oe- m A.._ 1 S c 1 1. = rn.= �n �'n: S._ ._c r'c4... c�c parv�� s.I . C.•.�'j � j � • ' • _� t 1 0„ ! O' c` �.$j �c �aq°� 'p' c �.� .�a (•... > �9t�' �z� n1+' i � ° � v 2 Soil Pipe Undrgrrid:=.:; �,s o�,�'t� � g� � .rr «n +:>q �' 53;,Steel Reinforcement � o� �`c :=:o=.''� ��� f��;`%i' i'.r � � 4� ) „ I { 1 O . F._._ L - { _ ].� y � 3� Electrical Conduit Utili{v:Undrgmd',i;� «;:."��z� r^°� v%� J � V � ' o-�^�P=�4i,?g=ac-^•�� � �: ^=.gi' ' ' '�g� •�,m m �c .� o I 'r.'� '# m� ir. e..c:�''54nForms�me .i-•,a„ `m�io? '? - �v� M I _ � m nt iV � `. .- i � v �� � �ryt:,..,�.�.F. o �o w c � xr:a.-• i .. t . � -.m_c= ng ,enTc•;� ci ": I � �<c-,. �I . � 4" Electrical Condwt Undrgrnd >2 � � c',� y- � �'55' Electrical Bondin o^ -:, m�=• ^� '�• c hi1 1 .! :.r- nua �ao- isr a,ic En t..e.•,e... ..Kn 9 .b.•-3n ::i�e,im�7'. 'd i1 •:.T� : I - �1.. � � . 1 . ' 1 C u.� ] i. 4 -' O ._ ... b �5?.�teel��Reinforcementj;' t_ �m `",_j `I��. � aw .;,zar , 56..Rou h�Plumbin &�PressureTe'st �7 '� . ; � � ( � ��?^ .,�'I � +c, r,a � i.ti.. i � q ouo � o�' � { m �!W7. ef •:_n=,.. ,9 i-z 9: " ��'r�.. �"- Y"�i Q�'.Or.� r.iv cPt..m .. _'' ,'.'_� s" ' n.'��� 6' �Electncal,UFER Grnd. a°^�' � j � L y' n- : 57 APPROVAL l'0 COVERrGUNITE n ��-� :_,t - �i.. n :.i � i I I c "i. i . ia C� �� _ � f . c - � ' . � .-r. o %. FOOt�If1(JS �"�. I �'l��f. iF a�r'�j.U�� � C 3 ^i°' ict � _58 Electricsl - . --' ^r`�;s.. �-,q i y,;. - .,} I' a c: c ;f t" � 4- �.O f OS� � t �� Q�� Sa c �COndwt Urid�arnr{ . ` o o. 1� r, . 7� 1 ..n --� a.�..-wu.r.��.:.. �-• �♦v: r.._t . 8. Fouridation � �;�,�� r� -_ �" ;S� „ `"" ¢� �w...i'�59 GasPipe����Und�grnii.^,Tes4`�"�;�' v `:'�'' � t . �-' 's� �=' �•1 d �i�1 � �1 �a 7 �•f -o � �� �rooO.,inx� rP -{. �4c �;'�,n - 9.�Water�Pipe-Undrgrnd. ' � �� -N ' � ,� � r�� �, �'.`60. BackwasFi Gnes��PTrap ��Und�gind ;m , ��� y � � i� � �� _I �, c n � 1� !� ���i a r � o 10. Struciu�al Floor System• �I :; o o � •; � _� ?��- �� ( � 67 APPiROVAL TO DECK -�;z'a' . ; `�>" j ; �;,�- n�'' '� a , 11. Property Sewei Line"&:House Connection, z:-� a' `� �, 62 Backwash�&`Rece tor Final "� � Q 'ti °- °`''�^ya ^" 1�' i i: .1 i" I 1. �:e 1 1 e: Q� �.- _� v .cs .P, d rJ.i:- � � :c:. �� a. � 12. Sewer Capfl ' � ' n;�� f , ! - .6 �.'; �� 1 � ' dL . � ;r63. Heater &'._Vent Final�� "q>^: c �'� c=` :, � �� "� - -� �� � i t i:.� t::,� 1 F_O ( � e^'�v� 1.c- X��� ...i_.r ..» r�.V:. z .n.'�V. 13. Roof�DYai s �„�j j `om.`� j � a G y;� .� ' Y., I �'q ^u��.. cp��. X`� � :c-' �)I Z � 1 .t i � �.'I,•1 I� ' f �' o �,= .-� i�64. Plum6ing;SYstem�Final > >n� n � � 'o� � -n .{ 0 14. RoUhPlUfTlblil '�;�S;A � n`n..�.�� c� �� � �:o ��i�cx ' � �. `V�D�D':.-',. e=',E�c'�;` '�o:' °-� i �4 I �c :c � g , 9 �_ ,.., - 65. Electrical�Final � ( 0 n i�i5`.-Rough'Efectrical=ConduitT'�-;j"�"�"'i","' i' r'�T'�"'66� Solar�System=Final�� �; -�-"� �' j' �� �� �-' "=j"'r""`. � 'tr 6._ � tr ��r �t � � � 1 I � � � e i 7 t p s .. .. . 1�6: �Rough�Eleciric Wiring-; v, E �� m 'F'm'�'{_ "�' l"'�'"'}' � -'-.4-_'•:"t_.' i_!, �__.,,t { { �, �� _-1--- � � 'a _ y �,t _. m � �. �U = ... n � �i d � �, �' � �� �,� rr. � . �;67, i Fenang &�Accessr/YPP�oval l� � � %i - I "' � ? � t i � r1t ti : a �=. i: �, �.� - ' .�� .. 1 j�i. 4• �� N' � w- T rv� hC..LI :��� l..if�1C, �' Y ^ s.M1.' 'I�1�. i n' W',Q 17. Rough;Wiring Sign�.. -� n( ( s �. (�r . = o• ., o "�S /r� ¢ _ �I N ��Ii��o� � a!� ,[,�68�APPROVEDFOR;P�LASTERING' i' � -(�,��i'-ch � �� F... - ti I 1 t . i, (�. . v c ._ I c� 1 � J .� _ 7... . , i� i r. a u� �-' m ���[ .� r, " i � -' f � Y� . m ' f'= i �i +� r i r e. 1 ` o u t �o a . 1 r � . 18; Rough Electncal';T,Ba� Ceilingt. ��.. ,� f � � _ { : � j �.� � � � �69 1 POOUSFA SYSTEMS'FINQL � 'f � ' j > � � ' ' � �- ` ,.i ,� � � . n r ' i t. f 4 n _ . 1 't" �.j % a p 19 �RoughrHeating &!Av Conditioning ��... I= I�, �) � I .� T7`,.i •� � {' !FI i E DEPT.`REQUIREMENT� i � � �� E' � �;-� °' � .'. o ^ B � L:J ..'G , 6 i. i_. 1 I P I. z o i I . r.�. I . * e 20:'�Rough'Factory, Fireplacei � I ��_ � � � I I � � APPROVALS� ! Permit�# � �� " � �� � ;•� �'" � i 1_,,� . h t� . h , ai a � r ! i �,. �i ( t f � •• � � � � � � � ' ! 1 - s �: : � _i� 11 G .- r i • � ' . � 21. Ducts,,in Struaure�v "� � I ��' I ! 'i I � ' '• � � � ' • . 6 „---'' : 3, 1 i � � : li. II �� � I_ � I .� i �� '70.� Undergrounil Hydro � .�I '� �I � ' 1 � � � �, i : 1 --I `� ,.'22. Ducts, Ven{ila2ing �� n�. .� �� II' � � i f. �,v�� �'� !71��.� Product PiPi�ng O Ges OOiI !� � i (i t I '� .;', j. -I. q u`- �•1»_ � i S � L f f'_ '"r_ __ � r i T . - � j 23. Gas Pipe-Rough & Tesf o ( � o- + I T-^!-�� -�l�� - --� ' - -� �... .T� i�-- �� � I�) ���� � ( T 4 {72.� Undeiground Flush' �n w �{� i 'ca .P> � F-ii.� 1.�. � 1'1 n� � 1' t j . �� ' r-:' I i O{ z I(_ ! , � 'I I I I- i •. � r- 1''. 4 � i ; � ��-24. ���Roof FrammgY j �I > � z n> n;� f��,i�,,{ �.�7:3 -Under rnd:Stora eTank'�.O,Gas�;O�OiI; � � 'i i.. � ir.� •� `�"�.n� � .c7��n ..��%'.�o�cl t-I-.'y'.�=a�:.'� �9 � 9 u.., t � t S ap ' � i ' S.� I 5: i t i._ m'' , I,: : �.� • t. i ! -;Ic, � 4� �-, ' , i i } 25. �Roof.SheatFiing ,�' { tf;`! � . cµ � �74.� Overhead H dro T 1'= �. �d--t.v�T �r..' � �:'�� I..�I' tl.i�.�=sir�r�Et..�-��-. n-. Y � ;<, v, _ � .� � 'a.n.." , a. � ., - i ' 11 I� -i.� c �v pq � f ' . � I q 26.`T-6ar Ceilirig (Struciura�) &�Monocoat ,� ;; :.� „j �75. Dry Chemical f� - R �� _ {n $ � i _ i � .< , i . a . u � . .. � ` � a ( � � l: f i , � _ { � � i r � '� -.� _. � � _ i � � '� � _ , i'. c : -!: . . . . , . .. � � 27. Frame and Flashing � -.�i ' � � � I) � ; � �" � ' � j � � � �76.� Dry Standpipe � u i r (i - � �' � ? � ` ; i r � � �- tr j� rr ' u . 'y- � � _ _ 4. �..�r t . { � � '� r a - i F ! i : a � � i 26. �Lathin�� &'Sidin f n _ i. � _; i rN � ., '. � ; � ' .� `_ � .. , . a ` i . ; i `a I ' , � . 9 . 9 �' � � ��-�I� �I I ; ( I• I'� I �E 177.0 FIXEDSYSTEM�FINAL � -:: � . ; , � �` R ',�., : Q,� a t 1 I. 1 i { ! It � i � i i �«•.� y �.. �! 9� 1 �' � '` � �29. �In'sulation � ^ •f�S •�° I�. i �1 li ! ! . I �' �'� .I V � ��$•� FIRE PREV,. F.INAL �, h : � i ; � ; � ° �30. D'rywal�l Nailing ` � > ! �t � .! �� �i � �i �. I 1 I l �� i (Notes:i � � ! j i � J � �v 1 i � � I ? � � . r. . ,.-. . � ,. . : , iii-. : : , �, . , � � - - -- -- (`� -- - I - ,i_ ' _ _ _ '" " _ " .: � 3L �Plaster Bro�vn Coat � 1 ; � -� � i� - I� � � - � � � � � � � � I I � I � �� �I � �� �-���� �I -_ i --t � i � � � d�32. 'Electrical �Power Meier'-Finsl i � i� � _ ` � � ; � � � - � � �,� � � 4 I � i �- � � � h � ' � � ' . � � 1 . i . : 4 i : � i � � i , _i � � � �, e _ d� �� i � ? ; . +'e w � _ y � . .� � . . . . l . ! _ ` � � f ' ;, � 33.'�Final Electric � I..,_-.',.1-„-:,���.�! � i� �` ',L.. 1=,�. .j.�? .�.J_ � �_� .i� `� � � ' .a .l �� i � � : .-..._a._.t__'. ..t_.��.- - -'--. ,: , �_" .�. � ! ; � �. � , � ��:�y� � - - --- - , ,w 34. Final Heating &;Aic Conditiomng � � f I I� � . , � � ��.,� � i 5 a txlm�x'it-i o, I+�� I i� I � ��� i f � l 1 c .n � P �'yl���� 1' ��F�t�tC7'j�r��`.�rcI:��U�� ci�J I`�c. .. m� ?.s�r�P°.... 35. Final Gas. Pi e'Testl �� � � x c� 3 I'. i T �; �. 9 P� -�+ ' •,, u.n �i •ic iaiNi� s1' ( 41� J-�; "I I..L �I... ;ic�.- ' I..i,. !�:. �, . � " , n � �) �. � { i � s � .,i ' t af ' ' t ( . J�< ' . '. _ '- . a s_ _ " . ; 36. HoOd or CanoPV�iN n Q 7 5 u �- i? .� �y �`: �� �` a�" . i3 j�"�i r��' �t o.Y. { 1� •� : n��� ° p i• U 1'��I:.im,�...�r.i .li �.:�.:i_..��c�-1 1 i"�c��:i 'I.h .c," �i!" .P,� A f 'C_; . ' :i V- > N I . f �� 'c 'J � ' . ' .� 37. Final Factor 'Fire lacen: I �, � �f � .I ? iP � =: � I �-II-1 � � .� i.� %', = -' � � < <� � _ �- �J n , I ,. Y ..p-.,, < l.�i�!N� 4 I i"I� � :�.��., ., ,� �i � �,:. � I � 0 1 ( : i, t� � ' � ~ :_� i ; N s4 - 38.�Final �lumb�n9� I�� .� I s�-�� n��'��•8"�.I rG%'V( . � �� � i-�ri��`i' ����t� w � . 39..Water Service-Finall � �, f :-i .y.� '. I r . � �' :.;. � i� r- ��- '+ • fc' �; i i°-�1 .� - tr - - - '. , . d . i I� I � i�( � II i I �! a' � I� � .V 1 f (�! i.C� ��' i.ak a i .(i - 40. GasSeivice-Final" �- � � I j II i I t j t '�� � I � ' � i.: �'- � :, i ;j, . ` , . ~ -i _ H �., � � i f i t' i I� I r i 1_� �,_• -� � f' .':..' ., ,' .' 41. Solar D`omesticFinaL ' � � � ' � j � -� � 1 �� � 1 I � ? � ; . ° ( i �� � i ' � ' � a.�n � � � �: � 'I �� _ � �1 i",. �.'-i"�.� �r_--+-. , .-1-�._.�.....c._:-.�_..s':..ii � i l . �r'.i ! I � . 42. Bacicflow P,reventer'� _ L i. � ! , �i- f �-` � -�-� ' � i=- ---i! � . � �� 74f � � 1 , : 1 , ��..�d ni i �� :' -�-•:. : ��--;-- � _-j�L._ . � � . � � � i �. .i � I . ��.�: '..�:+' .f i t.��Y'a,c�.�s�Gl'L.p�c`r�ti•.��:.� I.� i u., �.. . �' . 43. Backtl`ow. lrrigatio`m F � _ + . ; � �ti . _ r'� � � +. ° ( q � : 1 � � < f << �i' � � I � i; , � � �.�.�Y � . ' {1�.: J _ .'�L- N:i'�. ��:I ` m 4i- OAr '.t t_'' T I _I ' . ._ 44. � Landsca e Irn ation;S stem �' •- � � o �i ` ! � � � � ,� - �� ? �*�'•'^ .i r �. eP �_Q Y� �-! �I�S�Ym�'��ri���l�T-��'I�lr.•I?; � � � l.d{ �...a� n:i - . . _ _ '_ ,�'. , p� t7 1 � I � �j � f � m _ c M ,Y ` .,,�' '45.�Sound�%AttenuationQ1^f �..i ��.-�N f=� .f j�i�! � I I.�i �Yrt I ��•�I�'`'�. I it� °'c � '�}' ..o . ,s-i .,� ewq : .� n� ( � f 6i c e: bl�.,�� '�y.rJ` , i'1.' '-:� �: '� , 46. Handica Re ulations - 1 f � � 1- �'1 � � � "� � � i- < 4- � ��" ?'�! �� � ' n.Pit9.�-,iR��r'I�f'I�-�{_if "�SiIII��'7 .�� -.�� i 47.�FINALSTRUCTURE&BUILDINGF I �' "� � J� �' ' � - � � u il 1 t- t i�-t t_ �-���' I�-j-.���i�l..� ���� ! t i ���'� �'�I. 1.�.1� � _�� ' 48. SPeciari Requirements Completed. � � � .� � W 4 � �' �.. - l ! �i � � � � �.;`' � ; . � j ' � i� � ' P, .._ ._� � v � n, . � . . 49. Electr'x .Releasef to Edisonl . ! ! : �". � -.�-� ",fi-1'��-. i-"1"?-`-'"�"'t'"�:'i � �� 1 f: c ? �. I ' 1 � , � I d } , u n � (. ; � � : � ..: � 50. Gas Release to Southern California GasCo + � .y;� •- ,� , � � , s -� �. I � l,' �i:�•�.� � � }-; i �.��"°p i !r � � � 1 � .�, ot. CERTgFII ATE�OF�ODaePANCi ��:G._ ; �' i_Tf--}`- �^-,.:. �_..!;�'' fr�l ( ��il j , j i} �. i� }9 , i i ' � � �M � �� t ` ' � � .�,-�. r, � d � � a<.,-,.s.:. .�-:T��-..,,,. rxiH....+.,.-.�.,�..c � L .__e�...��_ L - - -- - CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No. 115-�552••23 81dg. Permit No. Project Address Owner's Name rntu JUt117-7ltnsn�� 783(�o***uz�.ii� PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt 91n ['arrell St., Costa i4esa John f.. Starnes Bachelor or 1- Bedroom Units � @$25.00 =?7=�•CO 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units S - or more Units Total nLunber of Dwelling Units � Planning Department Approval Date G-17-71 By WL�:pd Applicant's Signature @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = ���•��� Total Fee Park Area No. �� �l I �! ` � ! /i�/�r, �r � • t ��� � iC ti OWNER KUTZ, Allan DATE 9-29-76 JOB ADDRESS 914 Darrell Street BUILDING PERMIT N0. ��7qn AP No. 115-582-23 LOT INSPECTIONS sm� \ WS W�TER NOUGM PLIIMBING � C PROP: SWR. LINE HOUSE CON. � S SPRINKLING SYSTEM � �MISCELLANEOUS OOGH MERTING �NO AIR CONOITIONING' TEMPORARV.SENVICE.OR.POLE_ _ N�ERGROUN� � POWER � ROUGM WIRING � TRENCHES FOqMS STEEL RE FLOOR SYSTEM BONO BEFM ❑ �STEEL REINFORCE [ SNERTHING FRAME RNO FLRSMING LAiHING - IN � OUT n PLASTER.BROWN CORT STRUCTURAL, FINAL ME�TING. VENT., REFRIG. AND A.C.,-FII PLUMBING, FINr1L ANO GAS TEST � ELECTRIC, FINRL BUILOING, FIN4l FIRE SUBCONTRACTOR . .:.,. . -••, - ,'-��+-,. . .. ,.,�,: - , r� -. ,.:,....-. :..- , . ..ro. .. 1: . . � � . . -'427�90� � � ��� � �. � � .. �. _ �.a ,_ ,�.,;,,oa��9��=s ���������z{a.�o- . ,r, z� 7��,;�.- '� ` `COSTA MESA BUILDINGSAFETY DEPARTMENT � �� � �� � _ � : ., _ �� . P.O. BOX 1200 'COSTA MESA, CALIFORNIA 92626 " . � � . P CA ION FOR STRUCTURAL PERMIT . For Applicant to Fill in Completely — Use Ink Only " ''' - RE I E DATE RECEIVED D E ISSUED ' �LUIIDING Q / i/ ' ' Q P'�./ . � � _ � .. - ��ADDRESS � � ( 7" .c. � ///� r/�/, ''7� S �f/ � + ,�j BERMIT NO. • . . . �OWNER /%/� • � �/\ �f / � .. ' , A.P. N CJ'O J � . . � . � . � ,BUILDINGI / � � - MAII . ' , r � -,� ADDRESS ADDRESS - �- - - ' ' /� Q� � ' " ' ' � � TEC:•' � . TRACTp� � COTO 'BLOCK - ' CITV � ' � � NO. •. . - . ' . CAN5TRUCTION - �� N W� �ADD ALTER PA ' LENDER - ` - � ,- , ' �BRANCH ' ' • + - _ �. ' . . -.' . OWNER. � ADORESS ` � ,�. ' � � , - VALUE J� Q'� � . - . ARCHITECT ' ' ' TEL. • $ � . � OR ENGINEER' - ' ' N - ' � - - ' . - - FIRE � ' . � ADDRE55- ' ' ' •20NE� ° TV E� �'�GRO P L ' ' � .••, APPROVED ' , . . CONTRACTOR ' ' -BV ' '.DATE' � � . ADDRESS - . � ' . . . " , � � ' � � • ' ' -- . ' TEC. -' ZOf� : NO:OF ` USE OF _ ' PLANS BUILDI � GTY : ' NO: ' ' � � F STATE�' ' � CITV �� YARDSAPPROVED . AFDSAPPRO ' ' IIC. NO. . " CIQ NO: MAIN BUILDI G - .ACCESSORV B DING �� � � �' S12E . . NO OF BLOGS. " (FROM GL ST E T) . . , � ' • 4 OF LOT � ��.r � �- , NOWON LOT ' ROIYL T. _ .� FT... . , Q' :.USE OP • . . - .. � .. _ , " " _ . ' - - � ' EXISTING BLOG. - �E FT �' � " � . _ _ _ . ' . ',i F- S'eparate permits Are requiied�for ` � �: sioe ' " ',Fr: electric, plumbing and�heating work.. ' � - ' � , � . 0. • , . , ��FEAR� ��- FT: • FT. � , [.W..� . USE OF BUIIDING AND WORK TO BE PEFFORMED � ,DISTANCE BET: ° ' BET.�MAIN & � ' . , Q � ' ' ' MAIN BLDGS: . � ACCESS, BLOGS. � . � : . . _ : " VAF. ,-f� . : ' '- � DATE ' . . . -', IL � U ' .0.U.P.�W'. . APPROVED. - a- w . .. , >: � . ' . �.. ! . - - - j r . ' .%' APPROVED'" �G �. . . " �.- " _ ' . - . . � W � ' � " � � . , y . ' . � - " i. - '. , - . . .� I hereby acknowleEBa ffiet I�hava read this application'end state ., .. -- , . u+ � , ' . ,. , ..� ' (,X� that the ebove informatlod Is corract 6ntl sgra¢ io comply with ' � ' - � a all laws regulating builtling conitruction,,antl�l'shall no2 employ '" � . "' .` m' . . Z any'person in vlolaUon of,the workman'sicompensation laws of ' ' '- ' u�. -- . . W • ffie Siaie of Califomia: � "' . ' ' t - - � '- '�:� ,.. ' . . . ' . .. ,. .. , .. .. .. ��'3' I hereby�cartify that I�am properly licansetl'as a contractor untler '�SQ. FT. � � N ', ,,, ihe'State of Callfornie Business antl.Pro�sstons Code, DWtsion 3, �� THE'AMOUNT SHOWN UN fi ALUATION IS FOR � m — . .Chapter 9,�antl Nat sucb�licenus are�in f ILforce-and atfact, or I� THE PUflPOSE OP �ESiABU A PERMIT�FEE ON�Y: �,. . am exampt from ffie provlsions of the�Stattt��p ot CalHornla Businesk VALUATION �- �PERM FEE .,E a and P�ofes iomL e, Drvi lon.a, Chapf ���[Jer/���yyy,, '� .,'�� �� ��' � v'V�.. Q�// f, PLANCHECK E . ' � . Si9natur o � \ n ' � i < ' S // �. . . A � � . . .. Permittae� ..Y~ . . . . �/"�� .'�TAX $ '"D ' � ... . . . ._•, U . Authorized Apent �. ' `,, `. - - .�.' ...' . ' � f. • � TOTAL PAI D S � . ' . . � • • , - � � '� � • . . .. S"+. . . OWNER 'lOB ADDF GENERAL AP No.11 INSPECTII SOIL GAS WATER ROUGH PLU� PROP. SWR. SPRINKLING STARNES, John C. ROUGH HEATING AN� AIR CONOITIONING TEMPOFARV SER�ICE OR POLE - - UNOERGROUNO [] POWER � ftOUGH WIRING TRENCHES � FOPMS � STEEL qEINF. FLOOR SYSTEM BON� BEAM �J STEEL REINFOFCE ❑ SHEATHING FRAME AN� FI.AyHING LATHIN6 - IN �] PLASTER,BROWN COA� HEATING, VENT., REFRIG. ANO A.C. PLUMBING, FINAL AN� GAS TEST r ELECTRIC, FINAI, Street DESCRIPTION of TRACT FIRE ZONE DATE 6-17-71 BUILDING PERMIT VAIUE S 2 SUBCONTRACTOR °4 � 33173 . . � �u�„-i,�M;°oo ,sz# ������.5a � -� �`CBSTA MESA BUILDINGSAFETY DEPARTMENT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �' � � APPLICATION FOR BUILDING PERMIT ' . For App�icant to Fill in Complete/y. � ' RECE VEDBV DAT;RECEIVED pqT,E�SUED BVILDING '� ' ' b� b 7^ 7 ADDRESS - Q �7 PEqMIT NO. OWNER . `� C� J f: . A.P.N . ' I 'CJZ^ //� . . MAIL ` BUILDING Z . ADDRESS � �' �=�DORESS � I Q ' � W W TE�. � Qp �J d U CITV ��l /. NO. O• TFACT (�(J L � LOT 8! BLOCK, ZZ Q CON5TRUCTION � �- ' , w ADD A R P O N LENDER ' v a m , �� J � BPANCH ' ' .nI J N - ' OWNER L a W ADDRESS • VALUE n � m Q ARCHITECT /' /I P TEL. $ $ �/�y" J OR-EN6INEER �(�"GL� , � HJ N . � . N � Q N w CL ADDRESS M e � .` f M�� ZONE TVPE - GROUP d w APPROVED � / 1 �% '1 W Z CONTRACTOR ' '• ' � BV � OATE �j �� J '—� �O . mZ _ J � ADDRESS � ' W W - - ZO NO.OF USE OP NEW �UMPUS � = CITV � � NO�. � P�.NS �., BUILDING 2 H W� STATE � CITV �'�+FDSAPPROVED VARDSAPPROVED y� LIC. NO. ' . LIC. NO. MAIN BUILDING ACCESSOqV BUILDING �O / (FROM LSTREET) OF lOT "(Q Q O O NOW ON LOT / RONT �/ FT. I^XI FT. USE OF {� . EXISTING BLDG. � � /� 7. /'� ' FT. � SIZE OF � I � , NO. OP / �' ' ' Z� NEWBLOG l � ROOMS STORIES L.SIDE —FT. FT-. EXTERIOF WAL ,I ROOF /''� �j V COVEFING '�y«d COVERING �r(J O/ REAR / FT. FL � ( a USE OF BUILDWG ANO WOiiK TO BE PERFORME (Ij(,."r DISTANCE BEL � BET. MAIN & a � MAIN BLDf35. ACCESS. BLD(SS. a C URP # �J . APPROVED • � N . s. � APPROVED � �_ I�J � � �� . z ' � � V I hereby acknowletlB� that I have reatl this application antl state � ' � that ffie above inforrf�ation is correct and agree to comply wiffi' /' � . all laws regulating builtling construction, antl I shall not amploy � /�I „ � . F any person in violati0� of the workman's compensation laws.of tiL! y the Stete of Califomie: � O � ? 1 hereby certify thet I am properly licensetl as a contractor untler SQ. FT. O the State of'Californid Businezs antl Professions Code, Divisicn 3, THE AMOUNT SHO�^1N UNDEIi�VALUATION IS FOR � Cnap[er 9, antl xhat sUch licenses are in tull forca antl effect, or I THE PURPOSE OF EST/iBLISHING A PERMIT FEE ONLY: ¢ am exempt from the provisions ot the State of California Business ,�,� � and Protessions C tle, Division 3, Chapter 9.. VALUATION Q r o�� m PERMIT FEE 5 ��� � ��ti � � � Signatura of \/7L /� l m . Permittee � ;/�jT� ��K�� ' $ ��' � PLAN CHECK S // � � E , 3� LL Authorized Agent ' ��� Z�� ' TOTAL FEE g 5,�. o � . OWNER $Y'1S't01 EStdt25 ' DATE 1t-18-$6 - JOBADDRESS Jl�l D3T'T'011 StI'E8t' BUILDINGPERMI,TNO. 283�F GENERALCONTRACTOR S.V.Hunsaker VALUE $ 8�8S6,nO � LOT 8�j BLOCK TRACT 2873 Single Res. W�att gar GROUP j 3c J TVPE ZONE R�{ FIRE DISTRICT 286b - PERMITS ISSUED INSPECTIONS D T SUBCONTRACTOR � � / "' DATE NUMBEft Footing Trench � Foundation Forms and Grade to Garape � ' . Final Comalete/ufl� " �fi -5��.,61.lL1" %�a�'��t� 14��.7'7-.S/I C1 /�,al.a — St. sepcic � anK or cesspooi ��;.4 ip/� -/ Lathing, In Out V �, [� ^/ � Plastering � -�7c �f � � `,'i Plumbing, Final, Fixtures Complete �'}jQ-S � ��(a Plum6ina. Final Gas Test�e� N_ �_ il �Tf".rb Occupancy FOFM 210 3M 10�45 ii `: Costa Mesa Bnilding Department ' APPI.ICATION FOR PERb � -,�;,� P.O.Box3�� 286� BUiLDING _ COSTA MESA, CALIFORNIA � FOR OFF'ICE iJSE ONLY '' FQR APPLICANT TO FILL IN _ rteceipt No. _ Perm�t No`./ naaae� 9 �� /7,a22�C:C. ST. ' ` ��3 7' Costa, Mesa, California � Receive y_ Date Rec'd. Date Issued( �' Nearest �L �i-C�/t% //� v'.G. ���(J'.. `-' ��/�''J 1 Cross St. T n Building '' � � Address i � Owner �j 2, i s o L � .o- �.5 . ; Costa Mesa, California ' � Mall Address�02(p �. �/�S � �Jj,J(t5 �• Nearest � ^� /) Tel. Cross St. � ' City I�[bj (.� (�i�('"V No..d/'i-'��$ Zone ��I No.of • I TYPe' Gr,o_p q � Architector Lic. . .___. Plans �` ��" .i Cit Lic., ry Contractors. . �% Z% S�iK�(�NoY Z�Gb Address S A-a'1� � � f De cr ption I No. a / I Block � TraZt )}� (Attach Metesand Bounds) � No. of Bidgs Size of Lot G%Q X l OC7 Now on Lot � l�seof —. I No.of I j�o.r�f ExiSting Bldg. Familles iR�a Setback Line from c� ' Rear Vard � �- Center of Street �1 � Side Yard .0 ��j DE5CRIPTION OF WORH New I�I Alteretion I I Addition I Repair I I Moving I I Demolish I Bufldfng �7 No.of Si2e � � � 1 Rooms � Stories I ' i Date i CORRECTIONS 0 'T6 rnrc+� " •• •—u�::tYf'1--- -^- �=� 'c� > � - �.. ' 1 a'�1h.A �.. ..—. ..i . .. APPROVALS Foundation Location I Inspector Forms, Materials, � � �" Bracing, Bolts` � I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all Clty Ordinances and State Laws.regulating building cOnstrUctiOn. Lath. Ext. Signatureot ` Permittee Plaster, Int. � Authorized Agt. plaster, Ext Valuation mitFee$ ZZ.OQ MasonryReinforced $�,�-J�/' O C� Plan Check $���• 0 � gond eeam Z) CO Tota� 3 3, o b Fea $ FINAL FM 204 IO�S� D. P. 8 5, - Date .,�ra,�. ' - .. � -� ._ 4. r _ ' . . I , : .. �, , :: � `... � � � ._ . c . ' ' ' u ''.� < " . � ., . , :, .` �. , . J__" c • ' - '� . � ' . . 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' - _ .. , . � . � :' �'_ .. � � . . . . � .� :. . ._ ' `.'' � ., ,. . \ `� !�r�� '. ._ _ t_; . . _ , � . � . ����` ��' . ,., ,'� - � ' ,