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Home My WebLink About2351 RICHMOND WAY - Building Permits CITY OF COSTA MESA BUILDING DIVISION Fo rf4, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER I :47:4..1 PERMIT 00616 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa tUMBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2351 RICHMOND WY Status: ISSUED Suite No Applied: 08/11/2005 Issued: 08/16/2005 Vicinity: Parcel Nunmber: 41916454 . 11Applicant: CANDY NOCK ISSUED BY: i�/ Address: 11612 KNOTT ST - SUITE 217 Phone ,(714)895-1246 GARDEN GROVE,CA A, `':Zip: 92841 E tlr: Owner: GALOUSTIAN, MARK y , , Address 2351 RICHMOND,WAY - x,t--- e COSTA MESA CA ' ' fir`-Zip! 92626-6538 ,.,-`ad� i i Contractor. " NOCK PLUMBING Address .11612 KNOTT ST x . SUITE 2177,,/,� Phone: 714 895-1246 ' GARDEN GROVE,CA Zip: 92841 License '707775 Li., " SCOPE OF PERMIT ;'' ' t'. c -WATER HEATER CHANGE OUT FOR SFD. a; ° -."-.'/ ii4NO OTHER WORK AUTHORIZED WITH THIS PERMIT, sii12' ''4 ^y i Y r <-" l- FEE SUMMARY ....<4,„,,,"•=,,,JI... , , ( AMT . Q%-• '' > • • - • ALT• ,� r. . .: .+ i43'-;..AMT •'`i•QTY ISSUE FEE:, $23.50 z;;' Laundry Tub/Washer $0.00 --:0 ` Sump Pump ;?. - '$000 - 0 Backflow irrigation s $000 0 Landscape Irrigation $0.00 A i.-"Swimming!rPool ll .� $000+4-; 0 Backflow Preventer l ll:$0 00 0r P-Trap ' - ?.."$0 00 'On r Trap Primer .041,,71.$0.00--1 0 Bathtub r $0 00 :.0" .x : Pressure_ Regulator50.00/ t0 Urinal , :-..$0.00.:,.. 0 Clarifier System $0 00 i" 0 Process Piping(per 10 ft) $0.00 ,0 ''- Vacuum'Brkr Bkflow(1-4) ` $0.00 0 Connect(Ice,Soda,etc) .`1$000 - 0` �� Receptors $0.00 w 0 . Vacuum'Brkr Bkflow(5+)_ , $0.00- 0 Dental Units'; . -$0 00 ;':0 ;: - Septic Tank $0.00= 0 i.Wash Basin $0.00 0 Dishwasher^ req '•.$000 '=i.;0 Sewer Cap for Demo $000 0 Wash.Basin Set F $0.00 0 Drain,Floor":. -a $0.00 .0 Sewer Connect $0.00 0 Waste'and Vent System .$0.00 0 Drain,Rainwater $0.00 w;%;�06 Sewer Private Line $0.00 0 Water Closet(Toilet) r"$0.00 0 Drain,Roof ="-, $0.00 . -O-. Shower ..'-it° $0.00 0 Water Heater/vent = ' •%$12.30 1 Drinking Fountain 7,_$0 00 0. Smk bar x' $0 00 0 Water Piping(Inst or Rep.) x$0.00 0 Expansion Tank-ill-I, -$0.00 ...bpi.: Sink,commercial? e $0.00 0 " Water.Re-pipe . , ,. $0.00 0 Gas Earthquake Valve $0.00, «j i `','Sink.Floor, ws i ."ax - .$0.001 °10 ,;A.Weter Service °° $0.00 0 Gas(1-4 outlets) . $0.00 0�'u ;Sink'kitchen < x',.,,$0.00' "-0a- - '?,Water Softener $0.00 0 Gas(Over 4 outlets) a'„ $0.00� fl:0 Sink service/mop t$0 00 0 " i OTHER- $0.00 Gas Repipe i„$000 : ,_0'„ Spa(private)O` $000 €„0 '%`" VIOLATION $0.00 Gas Service ,$0.00 ` "''0 Spa(public). . , ;$9.00 '.- ',0 : PLAN CHECK, $0.00 Interceptors(Grease,Oil) '''$0 00. 'I0 x _` REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00.-r--.-, 0 , ,-, _tea ' ' i.,.-ii; l- " ” ' TOTAL CALCULATED FEES: $35.80 <cil " a`COMMENTS'I SPECIAL CONDITIONS ' l,u • • • 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 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 2446-46(6/00) DECLARATIONS I) ( N, - 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. 1 have and will maintain work rs'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My wo cone ati n l m e a an number e: fro yp� e number aa1I 1 _Cenfer� �dno b' UY I c�l �v'I •Number: ( K...O j y -(This section need no be completed it the permit is vel d at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thes / /� Applicant Sin ure:- — CDate' (/l0Y)'S ref THOUSAND DO RE TO SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,000),IN ADDITION 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 lice,. .•p .- . .vipons of Chapter 9(commencing with Section 7000)of Division 3 of the Business (3.- Pio essions Code,and my license is in full force and effect.Llo:.i _ J Class.# f (�- - Conntractor:sSignaturea --__ _ Date; 'ri(1-0 S 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). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I 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 sold 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.). ❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(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 contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: 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 8,Califomia 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 tiled 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,or a 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? ❑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 a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government 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 Califomia 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 prescnbed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No B (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 all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPUANCE 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Slgnature9f.all Owner(s) Date/ ,- .-------r—. ... �n" 1I �1 A nd/OpAuthortz Meant /mate---`• CODE r INSPECTION TYPE RATE INTmAL$ CODE# INSPECTION TYPE RAIL I/TtTIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing IC%.44-05 R tv 200 Final Re-Root 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 204 Final Demolition 250 Final Building/Occupancy _ ADDRESS OF BUILDING: 2351 RICHMOND WY UNE CITY OF COSTA MESA — BUILDING PERMIT ' urs FUME IF KNOWN: GROFF, RICHARD SPERM P E NO: 2j 1 'Nits GROFF, JOAN M B 07 57 2820 STROMBOLI RD • - PERMIT NO: B 072571 PLAN CHECK NO: N GOVT : N SUPP : N COSTA MESA,CA 92626 - APPLYAIIDNGADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE : 0TH ARCHITECT OREf NEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH 6 REROOF W/COMP SHINGLES SQ FT-: 2 , 924 ARCH.OR Dal ADDRESS: UMT: CLAIM VALUE: 2, 924 . 00 CALC—VALUE: 2 , 924 . 00 GROUP OCC : R-3 / CDNTBACTarSNAME: STOUT ROOFING INC ( 310 ) 923-6775 COMPACTOR'S MAJUNG P 0 BOX 4309 COMMENTS ; SMOKE DETECTORS ARE REQUIRED PER 91 UBC ADDRESS DOWNEY CA ue.ND.: 402536 ****4**+Facseat•x4****+r•+ *4-*rtar-;rvx.3t:t+p*;c**+c N.*it.N. -tT..N.-N;:.v.ac.N. +cu?r•**x-al,(-+t*+/u,c **44.xae+c +s+t**44* * 90241 DMT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby+firm under penally of ry that I em licensed under provisions of Chapter S SETBACK S (commencing with Section 7000)of Division 3 of the Business and Professions and my license is in full . . •effect, clTY LIC.NO.: 059 °77 LIC.CLASS: C 39 uc.N•. _y'S 6 F4• 1j/9 / MAIN BUILDING ACCESSORY BUILDING — --- do' Cem ii �� ;� FRNT: FT IN PEAR: FT IN FRNT; FT IN REAR; FT IN 1I` LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN • • R B ILDER 0 LARATIDN:I hereby affirm under sty of perjury that I am exempt from the Contractors •• .e Law for the loving reason(Section 1031.5 Business and Professions Code:Any city or county which requires a permit 10.v , ,after,improv, =Ash.orrepeirnysttmclure,Prior 10 is issuance,also requires the applicant for such pennil to file a signed statement thathe Of she PARKING REQ: PROV: PARCEL: 41916454 ZNE: REF NO: licensed pursuant to the provisions of the Cntradore License Law(Chapter 9(commencing with Section 7000)of Divein 3 of the PLANNINGNOTES>• Business and Professions Code(or that he a she is exempt therefrom and the basis for the alleged exemption.My violation of Section > ,. ]031.5 by anapplicant fwn epek subsubjoinbfethe apdnara toeavil penaN)'dnd ethane ihlive hundred dollen(SSaDD. ***********************************ii******************iF*aF*****4€h-****.l.M.***X.***** ❑ I,as owner d the property or my employees with wages as(heir sole compensation,will do the work,end the structure is not intended or offered for sale(Section 7044,Business and Profession Code:The Contractors License Law don notapplyto an owner of properly DEVELOPMEN T SERVICES R E Q U I R E M E N tT S who buids or inproves thereon.and who does such work himself or herself or through his or her own employees,provided thet such Improvements are not intended or offered for sale.e,however,the building or improvement is sold within one year of completan,the owner-builder will new,the burden of proving he or she did nalimprove for the purpose of sale). ZONING APPROVEDbuild or . BY DATE: .,s ❑ I,as owner of the property.am exclusively contracting with licensed contractors to construct the prgect(Section 7044.Business and - Prdesaons Code:The Contractors License Law does not apply ton owner of properly who builds er improves thereon and who BUILDING APPROVED BY : DATE: r _ T contracts for such projects with a contrador(s)licensed Pursuant to the Conlredore License Law). o Iamexempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY : DATE: Dale: Owner: ***************F********************$,* .* **************a.********aF**+*f-*tFtvi.y+*v.*- I do hereby candy that I am aware ot and underttend the requirements of California Health and Safety Code Sections 25505,90333,end LEGALIZATION;N FEE S MMARY STRUCTURAL SEGMENT: Y 25530,and that I or any future building occupant will/will not(drcle one)need to comply with said state codes and the requirements for a permit for cosmnionor modifcationfrom the Ai(DualityManagement Distdd.Residential construction apppimionsare simmer from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING proviBlom. PERMIT 54 . 00 . 50 Date: Apdican: SMIP /NON—RES ' WORKER'S COMPENSATION DECLARATION:I hereby alum,under penalty of peljuny one of the following declarations: PLAN ❑ maintainand oil a certificated n,consent to self-insure for workers'compensation,as provided rmnafor by Section 3700 of the Labor ISSUE FEE ode,for the performance BUILDING DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE . 00 Iheve and will maintain workers'compensation w n inrnn insurance. by 5edd ian 3]OONa labs Code,for the performance ormence the TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 x for which this permit is issued.My workers'compensation insurance carrier end policy number are: Carrier: CTATr rllm11 EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00 Policy Number: (AA—OAT1f1f1fy AC0 l 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed if the pend is for one hundred dollars/St lass.) 54 , 00 . 50 ❑ I certify That in the performance of the work for which this permit is isa all not - 'ploy any person in�'manner so as to become subjed to the workers'compensation laws of California, � that il,/should become V • I0 the C m. iF************************************************4.********44*************'****** oAO ,.bn3 CDathe labor coag �anMlfdi �vN •' tnoeeP // Dene: 1.- 1 n Apd¢enc Of INDIVIDUAL/ F E E BREAKDOWN Warning:Fe ure to sec re workers'rompensadon coverage Is unlawful,and shall subject en employer to aim, pnaldesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tines up to on.hundred thousand dollars(5104000),In addition to the cost of compensation,damages provided for In Section 3706 of the Labor Code,Interest,and attomey's fees. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2 , 924 . 00 4 . 00 R CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a condnWion lending agency for the END OF FEES performance of the work for which this perms is issued(Sedan 3097,0k.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read thin application and data that the above iniwmatin is coned.I agree to comply with all ally and county ordinances and state laws relating to buildig construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes ,?ARLPNE BURET," / A ' Pest Name Sneer( ` �e 3/'� D1 000183103-'00183104 TOT 54,50 • '/// jar vii err Dale: DATE; 05/31/95 TIME: 11:35 Signature a- di. r •ntred• Y (5151-46.W P) White-Building A Safety;Green-Ale:Canary-Appicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING PO i SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS - Permit # i 1. Temporary Electrical Service or PoIle 52. Pool & Equipment Location . • .• 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 1-ii 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , f 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd.• 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. f t 8. Foundation59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd, 60. Backwash Lines,P-Trap, 0 Undrgrnd. ' 10. Structural Floor System - 61. APPROVAL TODECK 11. Property Sewer Line & House Connection62. Backwash & Receptor-Ficial . 12. Sewer Cap 63. Heater & Vent-Final •. 13. Roof Drains 64. Plumbing System - Final r 14. Rough Plumbing ' 65. Electrical-Final • 15. Rough Electrical-Conduit I 66. Solar System-Final i 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. 'HEQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing G--T--g's-- t.4 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation • 78. FIRE PREY. FINAL 30. Drywall Nailing 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 .r 35. Final Gas Pipe-Test _,36. Hood or Canopy 1 37. Final Factory Fireplace 38. Final Plumbing 39. Water.ServiLe-Final - - 40. Gas Service-Final x 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation { J 44. Landscape Irrigation System I - 45. Sound Attenuation I 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING / 95-44444 4 I 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64 JOB ADDRESS 2351 Richmond Way BUILDING PERMIT NO. P2230 GENERAL CONTRACTOR Sant VALUE $ 14,835.00 A'" 'To. LOT 130 TRACT 160 FIRE ZONE DESCRIPTION OF WORK TES Watt. ar L .CTIONS Signature QA E_ GROUP I&J TYPE V ZONE R3 Soil � SUBCONTRACTOR PERMITS ISSUED Gas T-- - /�� DATE NUMBER Water om. Refri f] Rough Com. Refrig. 0 Air Cond. ❑ � Rough Heating !� rid m/, z-ce% A/// P/'%V 53 6 y - Rongh Plumbing J cif/7 J'�lG'�9��lit G �../22,2, ,,,ec�y /-(G IL /L 33l0Zp Miscellaneous �/ Prop. Swr. Line 0 House Con. [�St. Swr. ❑ /4-, sl�/c/ e„,..- iL [4r., ty, . [WC o 1963 4 0 7 \11 Sprinkling System Construction Pole SItf, Underground 0 Power Rough wiring /4-C/5 Sc.)t/,cq O. )7) t' Au.-- 74 9/e y - - Trenches 0 Forms 0 Steel Reinf. ❑ 010 /6 6 41- Floor System /' a C/,- y /c ce Bond Beam 0 Steel Reinforce 0 /J Sheathing k� ryfe. Cr/7/� 4todr Frame and Fla if / / e w- �C4//6jcA , Lathing — In, Out`p /nIqc 7-6, 5'' or F r, brown coat /�yne q�//7!/e 11,_.g. 0 Air Con. 0 Final `(' Heating, Final I/� /Q 79 ( i Plumbing Fixtures, Final y� /� Final Gas Test ��¢/` / ¢ G� /( Electric Fixtures, Final la Lq-651 t Building, Final g OCCUPANCY ' /' f(-L/(e)y- , Form BU4-5M-3-63—S-8 P HOC, /tat SFbLAAL REQUIRLMLIN.1. ,��;� FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT DIY 1 9 190 • P.O.BOX 317 COSTA MESA,CALIFORNIA / , FINANCE DEPT. For Applicant to Fill In Completely AftItA®I-OhI1 OT TYPE OR PRINT BUILDING A For Office Use Only BUILDING �wT 8 Si i ADDRESS d Rec[IrT NO. 221230 COSTA MESA, CALIFORNIA t p�l�a /�� • 0Y DATE NEC IVSD DATE ISSUED �)� OWNER C� "L j- ,& _ ' 1 ! . ' BUIL INC . MAIL ADDRESS//66 Q Jrp 1/, ADDRESS ,/J O2 FIRE E. JN T CITY J.( f.. //' NOM I- / ZONE TYPE.....E.- GROUP ��/J a�{{p �s / APPROVED OR ENIGENEE �(�.L•NTJ/1'IQ,.il. NOl/Ra/O/ O BY DATE 1 I 6'02.64/ fr&SA,fbr•d" a ZONING ` A A. 0)r[ 2 NO.NO: Uee OF N AA �7 001;-&._93.99 1 ` PUNS BUILDIN \/1 (n/'4 CONTRACTOR J/an L/ 1;-&._ �4] CO I 4 `/ //T c `Q V ' ESCR /�4 6/LO _`t ADDRESS 5-p- ti S� DESCRIPTION [ �v1 �� O l • / 3 CITY ft ne / A.P.NO. 1`I'f v `� NOTE: NO EAVE OVERHANG SHALL BE LES THAN STATE /pn 7n, NO /)i.-?2iJ4Q • Sr TO SIDE a REAR P.L. • LIC.NO. to Q �/(L O / EAVES SIZE �T NO.OF SLOGS. - ALLOWED (U.B.C.REQUIREMENT) OF LOT OPO V / A NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF /I� _ �P _ MAIN BUILDING ACCESSORY BUILDING. y EXISTING BLDG. 'l(i(fe (FROM C/LATREET) 4 SETBACK LINE FROM /'J FRONT n PT. FT. CENTER OF STREET /t.] REAR YARD 0 SIDE YARD LEFT if) , I RIGHT Q R.SIDE PT. FT. DESCRIPTION OF WORK L.SIDS 0 FT. - FT. NEW ^yALTERATION ADDITION REAR Ci RT. FT. DISTANCE BET. BET.MAIN& ,{+ REPAIR MOVING • �E OLISH MAIN BLDGS. ACCESS.BLDGS. Z ��rJtW BUILDING NO OF i 3 . VAR.$ DATE - ' 2 SIZE' Gap x 32 ROOMS a STORIES 2C.V.P. ' APPROVED / _ LUU EXTERIOR W. ROOF APP"• t - -. COVERING : COVERING /J BY , ll ONS IA' 'DATE .. I., „', USE OF BUILDING AND WORK TO BE PERFORMED f j d Q ` of—, N 0 4.4...Z? -' n+� . /Ie SQ.FT. 'VZV S m w I HEREBY ACKNOHAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE CL AND STATEA TH T THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E O PLY WITH ALL 1 ORDINANCES AND STATE LAWS REGULATING VALUATION 0, VO mSG ti BUILDING CON TR CTION. PERMIT FEE $ J O �{TV� SIGNATURE OF ��' ///��,,, PERMITTEE [( .-/t....4.-/t....4 �� I V_ \ OD E S, /I C. . `.P sO AUTHORIZr`DA ENT / 7 d, I` SOI TOTAL FEE $ ` ` • ,