HomeMy WebLinkAbout2336 RICHMOND WAY - Building Permits AODREssocBUtL C: 2336 RICHMOND WY WIT: CITY OF COSTA MESA - BUILDING PERMIT
ONmwstAMEIFO tl: KENNEDY, DONALD LEE TR PERM NO; B 072575
ADMB& 11082 IRIS DR
GARDEN GROVE, CA 92640 PERMIT NO: B 072575 PLAN CHECK NO: N GOVT : N SUPP: N
•
APPL.MAIUNO ADDRESS: CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORPNMNER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT; 2, 924
ARCH.OR ENcs ADDRESS: WIT: CLAIM VALUE: 2 , 924 . 00 CALC-VALUE: 2 , 924 . 00 GROUP OCC : R-3 /
CONIRAvon NAI . STOUT ROOFING INC ( 310 ) 923-6775
cwrnACTogs MAILINGP 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA ucxo.: 402536 *+ #***# -##.<##*,r*### , # -**#*#*#*###**#*##+r.##+#**->E**### # #*#*## ***#;/*#**,:v,F***
90241BNT Z ONING R EQUIREMENTS
• LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under M ' of Chapter 9 5 E T B A C K 5
(commendrg with Section 7000)of Division 3 d the Business and Proles oda.and my license u in lull • - and effect.
Cmuc.NO.: 059377 mc : C 39u 4021.36 �P : 1r /95, MAIN BUILDING ACCESSORY BUILDING
�''+k / .-Aire My / FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
///////pppppp��,��,1 Da/� ��?7J�� cadreda: LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
DOWNER SU DER DEC RATION:I hereby affirm under pe d perjury that I am exempt from the Contractors Li.- -e Law for the
folowirg reason(Section 7031.5 Business and Professions :Any city or county which requires a pewit to cons . ,alta,improve, PARKING REQ; P RO V: PARCEL; 41916420 Z N E: REF NO:
demolish.or repair any structure.prior to its issuance.also req area the applicant for such permit to fib a signed statement that he or she PLANNING NOTES->
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the -
Business end Professions Cale]or that he Or she a exempt therefrom and the basis for the alleged exemption.Mw violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more thanfire hundred dollen MOOD. *******#********#********************************#******************#It-Is-KA`.#*#*##
❑ I.as owner o the property or my employees with wages as theirsole cmpensation,w;ndo the work,mid the structure is not intended D E V E' L O P M E N T SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not applytoan Owner of property
who builds or improves thereon,
and who does such work himself or herself or through his or her own employees,provided that such
improvements ere not intended or offered for sale.n,however,the building or improvement is sold within one year d completion,the ZONING APPROVED BY DATE; i
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ 1.m owner of the properly,am exdus very contr°dvg with licensed contractors to construct the project(Section 7044,Business end BUILDING APPROVED BY : a DATE: • _ _
Professions Code:The Contrados License Law does not appy to an owner of property who builds or improves thereon and who '
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). .....,,Ater
0 I am exempt under Section: B.Ap.C..lathlareason: APPLICATION .ISSUED BY; -r/� DATE: V�/fj/ '{//)�C\
D°' Owner LEGALIZATION_: N F E E U M M A R Y STRUCTURAL SEGMENT : Y
Ido hereby certify Out I am aware d and understand the requirements of Calnormla Health and Sdery Code Sedi°ns 25505.25533.and
25534.and that Iorany Murebuilding occupant will/w0not(circle one)need t000rmpywmsaid state codes and the requiremed°ro BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIPiRES GRAD[
apsmnlaomatrudionamodificetbnhanthe Ak iry.snagementDietdd.Rseidentielmnstructioneppicetionaesexemptiranlhese PERMIT 54 . 00 . 50 NG
Ms.
Date: Applicant: SMIP;NON R E S
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihaw and wilmaintain a certificate oconsent toself-insure tor workers'cmpenslion.asprovided for bySwion37OOdthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.fathe pedamaneedme work l«which cora penin i.issued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50
,Iwafters'have and will meintam rkers'compensationo
n insurance,as required by Section 3700 the Labor Code,for the performance of the
v . 00
ark for which this penult is issued.My waken'compensation ane wrier and policy number are:
Carton SiAlE 'UND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Policy Number: Vyt'i-,-IUVVVMQOt 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHgcK
(This sedan need not be completed/the perm!is for one hundred dol/ars or less) 54 . 00 . 50
❑ t certify that in the performance of the work for which this panne is shall not employ any person in manner_•as to
becomesu to the Pers'compensation laws d California, •.., than . oW become to the .ra' **********##**'rf**#*#**#a(-*##*****#iE###****#******####*******#*#*#u##*###**#**Yy,#
comp°"'°' 2 Pions.M Solidi 00 of the Labor Code.I.all/ it,ply .2 thOes •J INDIVIDUAL F E E BREAKDOWN
Date: 31/ f AM . • / .4...aJ.►—ese��rl> ..
Warning:Fan to sects workers'compensation coy .e la unlawful,and shall subject an employer to mind penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages provMed for In
SectionnosoItheL.aborCods,lmeeagandattorney'sless. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 924 ,40
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and dale that the above information is coned.I agree to comply with all city end county ordinances
end state laws og to bkildig construction and hereby authorize representatives of this cry to enter upon the above-mentioned property
inepadi° ' DARLENE BUR ORD i 01 00183095-00123096 Tett -
_
`-/ Pdm theme :/ I am �� DATE: 05/31'95_.r.z
Date:
(
151de.WP) White-Building A Safety:Gree"-RIe:Canty-Appicant:Pink-Revenue;Goldenrod-Assessor - --
Tarr
?IDOL & SPA -
CONSTRUCTION AND PLANNING ' ''`'`'= ' .i
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Po)e- 52. Pool & Equipment Location ! - '
2. Soil Pipe-Undrgrnd. •'�I 53. Steel Reinforcement •••-•.. I .
3. Electrical Conduit Utility-Undrgrn'd. 54. Forms
r
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - t
5. Steel Reinforcement r 56. Rough Plumbing & Pressure Test ,
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. i
8. Foundation 59. Gas Pipe, 0 Undrgrnd-, Test- •
9. Water Pipe-Undrgrnd. '---- ' 60. Backwash Lines, P-Trap, 0 Uridrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fir-Val
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 :i-
16. Rough Electric Wiring ,
9 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. NEQUIRE(\AENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure - - 70. Underground Hydro I
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
•
24. Roof Framing t • 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing
6,-6. 74 GAi 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ' r ' - 75. Dry Chemical
27. Frame and Flashing • 76. Dry Standpipe I
28. Lathing & Siding 77. FIXED SYSTEM FINAL I
29. Insulation 78. FIRE PREV. FINAL I
30. Drywall Nailing HEALTH DEPT. REQUIREMENT I
31. Plaster Brown Coat 79. FINAL INSPECTIONI
32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED I
l
33. Final Electric Notes: I
34. Final Heating & Air Conditioning - _.•
• I
35. Final Gas Pipe-Test ---_
36. Hood or Canopy 1
37. Final Factory Fireplace
--
38. Final Plumbing -._ -
_
39. Water Service-Final ' I
40. Gas Service-Final I
41. Solar Domestic-Final
,
42. Backflow Preventer
43. Backflow Irrigation I
-
44. Landscape Irrigation System I
-
45. Sound Attenuation
I
46. Handicap Regulations ,
47. FINAL STRUCTURE & BUILDING //_ -95~ 4•: I
48. FINAL PLANNING /t v , '
49. Electric Release to Edison • - - I
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY , , I
No Date
I
01.1` r � ' CITY OF COSTA MESA � ,
:0. ., BUILDING DIVISION
t' ....-y 1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
`"'vae.,mmww B99-00593
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
. Job Address: 2336 RICHMOND WY Status: ISSUED
Suite: Applied: 04/30/1999
Vicinity: BETWEEN GARAGE AND PATIO. Issued: 04/30/1999
Parcel Nunmber: 41916420 Zoning: /�/�/�,
Applicant: CHRISTOPHER MINEAR ISSUED BY: 1/ l�
Address: CAROL MINEAR ', � -• -
C.M.,CA . ' . /Phone: 714-957-2598----. _,
2336 RICHMOND Zip: 92626'
Owner: CHRISTOPHER MINEAR • • ,- 2 • i
Address CAROL MINEAR - ,.�
C.M.,CA . - Phone: 714-957-2598.,, _-: .„ .
2336 RICHMOND Zip: 92626
Contractor: N.
Address:
Phone: N' '
r ,
Zip: License: - ,
Arch : - - Eng: - •
'
Address: -' _ Address:
Phone: Phone:
Zip License: Zip: .. License:
V
- SCOPE OF'PERMIT
OPEN A DOOR BETWEEN EXIST.GARAGE AND PATIO. ' c .. '
•
FEE SUMMARY . '
Plan Check: $13.65 -- "�, . , , Calc Valuation: $150.00
Permit: $21.00 - - Claim Valuation: $150.00
SMIP Res: $0.50 t ;�
SMIP Corn: $0.00
Other: • $0.00 .
Inspection: $0.00 . • 1
Total: $35.15
- . ' PLANNING&ZONING .:..cc - -/
SETBACKS
MAIN STRUCTURE Front 0-0 Reary 0-0 '( Left ' '_0-0' - Right 0-0 ;
ACCESSORY Front 0-0 Rear 0-0 - - Left 0-0 Right 0-0
PARKING Existing: 0 Required: ' 0 Proposed: 0
NOTES:
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
1 for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
:DECLARATIONS ( a
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
I have :.. will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My w• ors'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(Th/s sr tion need ry/be completed if,.P/ti(Is valued at one hundred dollars($100)or less.)
❑ certify that in/the performance of the work for which t permit is issued, I shall not employ any person In any manner so as to become subject to the workers'
com.ensatiop laws of California,and agree that if I sp..d become subject to th wo$crs'compensation revisions of Section 3700 of the Labor Code,I shall forthwith
coil r/tr • Ir rase provisions. /
?plies ignat t Dat .
//,, .1- TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT NI EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
SAND DOLURE(5100,000),IN ADDmON TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.tr Class 4
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penally of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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
��Id within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
f$7l I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
9' bode:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
/license pursuant to the Contractors License Laws.).
jai".
I antaxampt under Business and Professions Code for this reason: �`� •
Igna re: d under
, 36C : aoot
r ID verified b drive s license. Yes 0 Na D� ars License No.
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 6,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ore volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a areit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct.I agree to comply with at state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- scribed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
above-
B. i 1-3o-79
Signature OfLegal Owner(s) Date
And/Or Authorized
�Applical— (mat
t —
CODE I INSPECTION TYPE QM I1�Ats CODE' INSPECTION TYPE PATE 1IMIAL$ I
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof _ 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site s--24-14i �
204 Final Demolition 250 Final Building/Occupancy at2 —
2446-46
OWNER • STARBIRD, JAMES N. DATE 1-16-67
JOB ADDRESS 2336 Richmond Way BUILDING PERMIT NO. 26423
GENERAL CONTRACTOR owner DESCRIPTION OF WORK res. w/att. gar.
AP No. 141-701-03 LOT 144 TRACT 5160 FIRE ZONE VALUE $ 183 364.00
INSPECTIONS I Signature Date GROUP I&J TYPE V ZONE R1
soil ir. ^6
SUBCONTRACTOR I PERMITS ISSUED
Gas Date I Number I Signature
Water £4(r' .5- 7-C7 !Vz- .. $t'$ ,Plumbing
Rough Plumbing , - , ,Q-Z e-{a-N _ 6/ *7 �/
9
Prop. Swr. Line ❑ House Con. 0 I 0 i �_ / J
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning Nt- 1-31-67
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring/ / 41- L Hating a d Vent.
Trenches Forms& Steel Reinf. /,er b �/'112!�/,;Mr%a• at fl' 's.�t
Floor System 177/P 3`16 /
Bond Beam 0 Steel Reinforce 0 ^
Sheathing /.!;• LI�34S ,7
Frame and Flashing / �, � .y%),/_ --
Lathing- In L.----Out{yam F7
Plaster, Brown Coat L b 7
Structural, Final ` II t. Electfc ,
Heating, Vent., Refrig. and A.C., Final L -02 -Arr ' , -. e. s. G nil
Plumbing, Final and as e . 7.- g- C 6-/S(�(d,
ic,
BdiFina �77/e_ .Y a 3/s 7 —Building, Fina
• 26423 NOV 29-66 001386* ****90.00
•COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
•
BUILDING 336 _ /`. // • For Office Use Only
ADDRESS ,� '7� /C{7/,/ L/���/ zei [.
/ /` RECEIPT HO, PERMIT NO.
COSTA MESA, CALIFORNIA Y/ 23
/ REQ/�[(/1�/ADB DARECEVE 7 DATE ISSUED
OWNER jgmES N. Srn.2/3/2D / aL ( / 4-67 /_/b _67
BUILDING
MAIL ADDRESS
ADDRESS /�/
FIRE _ r �
TEL. ZONE TYPE GROUP N
CITY fAn A) /+E D12-0 NO.
APPROVED
Oc.. elms, Oc1211A )77
TEL
?37/7 BYBY DATE
ORRENGINEER
ZONING ��
ADDRESS xON[�J No,OF �l USE or N 9
,r// I PUNT 2 BUILDINGair.v
CONTRACTOR O IU N E Q L]
LEGAL
DESCRIPTION L o Y /4 ,
re ^/C o
ADDRESS A.P.NO. ///lo/ca
CITY
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE TEL. SO'TO SIDE&REAR P.L .
LIC.NO. NO.
EAVES
SIZEI . No.of ELDGS. O ALLOWED (U.B.C.REOUIREMENTI-
OFLOT ZO R 7O NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ' ACCESSORY BUILDING
EXISTING BLDG. -
(FROM C/LSTREET)
SETBACK LINE FROM /
FRONT GVr FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD! LEFT RIGHT rR.SIDE G FT. FT.
DESCRIPTION OF WORK L.SIDE (. PT. .
FT.
NEW L'ALTERATIQN ADDITION REAR {/ RT. FT.
DISTANCE BET. BET.MAIN&
- MAIN BLDGS. ACCESS.BLDGS.
REPAIR MOVING _DEMOLISH
BUILDING I I NO.OF �j VAR.* DATE
SIZE ZD'A 70 ROOMS 4 STORIES Z C.U.P.# APPROVED
EXTERIOR WALL nTUGIO ROOF e RO$H ED
APPROVED
COVERING .J I COVERING Qo c.i. BY DATE //7.5.1-.{c 6
USE OF BUILDING AND WORK TO BE PERFORMED P.
5-'A/ 4 . FAm, `WCC.. - - Coil/D, W
PI. iN # 3 2EPEZSEb /360 B4.FT. G4e 44o
I HEREAT ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Ir- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGF[[ TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. i
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION - 0
BUILDING CONSTRUCTION. //DIV
SIGNATURE OF �Q, p0 PERMIT FEE 5 (L' 11
11
PERMITTEE ./-QfJ A7F'L> "„Lb�L(Y'f..� /f 3 7' 3,..,..—
k
12es'/6vEC. / s , (� 1
AUTHORIZED AGENTG
• TOTAL FEE 5 �0 f
Pa9& . I of=
RICHMOND WAX •
•
•
GARAGE cN- co 5-93 •
DIVISI T OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
7y— l'iyL, <,,
this ref o}plans and specifications MUSTCate c }4
and
make
tny r City n oraferaticn on same Without
kept on pethrmis at all times and it is on la
v y. o Costa Mesa.
writt�Fennssontromthe0rris'
es:am r wnofB
Lt Pnge.;hisplan and sosar� �
t4 d Y of rrrc ,o'a5er,c(any nroeisions Sy of o$ta M heldfo e
these^!ane,n or ac;City of Coda Mesa r i ancorlobeanapl
and permit expire by Ordinance iftherSlat
r.N. cm;r,:.,!u fmdai en and becomenu!!
aid:ra�rtai
�c'aef;velrb'EC5'pa , :;and void iflheb��ikld
-(dirr.h.ntPnd,yseiirut
BEDROOM PATIO
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