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HomeMy WebLinkAbout2912 ROYAL PALM DR - Building Permits ADDRESSOP6MLNN0: 2912 ROYAL PALM DR umF CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAME IF MUNN: TILLEYE L"YNETTE L - PERM NO: B 085421 ADDRESS: 2912 ROYAL PALM DR COSTA MESA,CA 92626 PERMIT NO: B 085421 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAJLDIG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT 'TYPE•: . STRrURFOSE: ALT ARCHITECT OR ENGINEER: LIC.NO.: JOB DESCRIPTION : T/OFF RESHT. REROOF W/COMP SQ FT: 3, 800 ARCH.OR END:S ADDRESS: UMC: t _ CLAIM VALUE: 3, 800 . 00 CALL VALUE: 3, 800. 00 GROUP OCC: R-3 / CONTRACTORSHAME: JORDAN ROOFING CO. ( 714 ) 897-6105 - annuTORSWRING 920 N. TOWNER ST. COMMENTS : SMOKE DETECTOR REQUIRED IN THE HOME A00RE55: SANTA ANA CA LIC N0.: 406 783 +EieiFir+Fii ibri ieiele.......'.•.'........'.........3E;Fii•iEiei:iiiisiiiiEifieiEiE;FiriFifjiiFii:isE;ei�afiEieiEsEieiEieadii:fieiFRie;2ii•ieaeieiEii•i:n'+d+i•+e 92703 uta: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S t 1 B AC is S (commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. ' CITY LW.xo.: 035916 uC.cuss: C-39 uC.NO.: 4067 .3 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING i toAl / < FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN 42 / ��] « � LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN '�WNEN BUILDER DECLARATION:I hereby affirm under penalty of perjury t from the Contractors License Law for the folbwing reason(Section 7031.5 Business and Professions Code:Any city or•••r tires a permit to construct alter,improve, PARKING REQ: PRO V: PARCEL: i 41 i L b V) /NE: REF NO: demolish,or repair any structure,prior to its issuance,also requires the applicant I. r 'to file a signed statement that he or she PLANNING N V T ES> is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Codel or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section • > . 7031.5bYanY applicant for a porta subjectsthe Ito aavil d no'more than Ove hundred dollars ......'**** ***** ***** . puapples^ penalty IS50o11. xxxx xz zzzz****iv**xzzxx zzxx xzzxxzzzzzz*******ie**ire if iE ie*ie***if ii ii ie ii ie****ye***ii:***ie iF*iE ie ❑ Lae owner d the property a mY employees with wages as their sole compemetion,will do the work,and the structure le no intended DEVELOPMENT SERVICES R E or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner d property Q ll 1 R E M E N•,'T S who builds or improves thereon,and who does such work himself or herself or Through his or her own employees,provided that such ,_ _ DATE : _ improvements are net intended or offered for sale.I,however,the building or improvement is sold within one year of completion,the Z V N I NG APPROVED lir DA 1 t : ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ Las owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who . contracts for such projects with a ordractw(s)!Sensed pursuant to the Contractors License Law). /�� ❑ Iamexempt under Semon: B.AP.C..for thireason: APPLICATION ISSUED BY: DATE: 1. 17 *ins*ie ii**ie*****lei*ie ie vi ii vi if z x xsewn wit 3r x x z sex xzxzxz zz x wee zxzzzz RxxzieieitneiEieienitltx IV* nfl Date: - -- Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25531,end that inr any future building occupant MU/will not(cads one)need toaompy with said mete codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING alp essa for mmuuuton or modification hth ane ni y.anagement District.Residential mrwmeion appEum + tnare exempt from 0aprPERMIT 87. 25 SV SMI P/NON-RES Date: Applicant: PLAN WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE o 1 have end will maintain a certificate of consent to self-insure for workers'compensation,as provided fon by Secon 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE ',PLAN-CHECK TOTAL PAID DUE Code,for thepedmmanceoftheworkforwlichthispem,aisissued. TOTALS----> 87. 75 0 . 00 0 . 00 87. 75 87. 75 . 00 ❑ I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the pedonmence of the • work for with this permit S issued.My welders' i and policy number are: Carrier: biAlt r�r$in' EXPIRES REVENUE DIVISION TOTALS--; COLLECTED: 87. 75 OVER/SHORT: .00 Policy Number. 285-970001140 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT_ GRADING PLAN-CHECK (This section need not be completed I the pane is for one hundred dolens MOO)or less.) 87. 25 . 5 V . ❑ I certify that in the performance of the work by which this permit is issued,I s -Ind employ any person in any manner so as to become subject to the workers compensation laws of California end agree in should become subject to the workers' *********************************************seise*W*ie***ieie****WW*Wf'ii****)i***ieie**vi compensatim 'ions Section 3700 of the Labor Code.I shd • ..,. •• with dose provisions. jI orZ"11_ 4� ten. iii I N D [ 'V I D U A L F E E BREAKDOWN Warning:Failure to secure mutters'compensation coverage Is oldest and shat subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST 1 V 1 AL COST wo civil fines up to one hundred thousand dollars f$100,000),In addition • the cost•I compensation,danagea as provided for In 9 Section 3706 of the Labor Code,lntemst,and attomeys lees. SFR 380v REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 800 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a mMouction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.CI. • LENDERS NAME: LENDER'S ADDRESS: a•s�(�•�yy I certiythal l have read this application and alma that the above intonation is cored.I agree tocomply with ell dtand county ordinances '� I fr ✓ A Vl a and stale laws relating to building construction and hereby authorize representatives d this cry to enter upon the above-mentioned property Et [n C. hx • Y ll' forint purposes. 10-27-1997/89:5601/$87.75 O7,,,,.:,-1; ot • l v. 10, Print Name i RN me: . O Z Cts lir. % �e1� 1 • . PERMITRC: Signature• Owner/Agan pp cant/Co or (5151-46.WP) "Mho 8 Safety:Green-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ilk j a—! • _ — r POOL & SPA CONSTRUCTION AND PLANNING - - Date Inspector - Date Inspector 1 APPROVALS Permit # •. , ' APPROVALS Permit# • 4. _ 1 - .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - -.2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - - , - . - ' 3.-Electrical Conduit Utility-Undrgrnd.- 54. Forms - i .- 1• '4'. 'Electrical Conduit Up}drgrnd. /- •55: Electrical Bonding ' l • 5.Steel Reinforcement; 56. Rough Plumbing & Pressure Test 1 6. '-Electrical UFER Grrld. - 57: APPROVAL TOCOVER-GUNITE T--,;7.-FootingsJ _ 58. Electrical Conait-Undrgrnd. . - , • - $,• Foundation : '*S 3 _•v - 59. Gas Pipe, D Undrgrnd.,Test ' 1.r � . - 9. Water Pipe-Undrgrund.Z - 60. Backwash Lines-,_P.-Trap, 0 Undrgrnd. e 10. Structural Floor System - . f , 61. APPROVAL TO DECK i. .; ' 11.'Property Sewer Line & House,Connection; 62. Backwash &-Receptor-Final . - ' 12. Sewer Cap - • : - • 63. Heater & Vent-Final . 13. Roof Drains ,- _ • -64. Plumbing System - Final ' 14. Rough Plumbing _ ,; ' 65: Electrical-Final • 15- Rough Electrical-Conduit. . 4 - - 66. Solar System-F�ifnal _: 16. Rough Electric Wiring 2 . - - :•67. Fencing & Access'Approval 17. Rough Wiring Sign . - 68 APPROVED FOR PLASTERING- - • 18. Rough ElectricaBar Ceiling ST - - 69. POOL/SPA SYSTEMS EMS FINAL ' 19; Rough Heating & Air Conditioning ' f -' y ,-- T 'FIREDEPT. REQUIREMENT : - r 1 20.,'Rough Facto4y Ficelilace ! `'r .;-:,7D T,e 171 APP80VAL$,`� Permit#.r '7, . b 21:-Ducts, in:Structure 6. 1-7:T. -r '-1 70:7Underyroundfydro t 22. Duel's, Ventilating: 1 -:..s' c - - 1 'c 71. Product-Piping/ Gas bOil 23.'.Gas.Fipe,Rough & Test -1 S e -,y .� -e n 1 a 72, Underground Flush^ r a :. iy - , - -4 24:TRoof Framing' E '' ' - _ : ;; " , - ,� z ;tit 73. Undergrnd.Sta,a�e.1-ani O Gas (SDI 25. Root Sgathing n r « : . D > J,• 74.=Overhead Hydro r< rf+, f 26.-T-Ba1 Ceiling (Structural) & M2tt�fcoat •� 1> ''1 i_ 75.,Dry Chemical,_,j ;: '4 ' -L..' -' - . - v ndp ,..)a. - .s 27.Frame and F•lashing� x _ T :r c 76. Dry Standpipe-4era a ,D 28. Lathing;& Siding: s le, _L: .1 rr -- '-i •'(4: 77, FIXED-SYSTEMFINA�t_ -t 29, Insulation - r S t _t i` 78. FIRE PREV. FINAL t '' "- , 30. Drywall:Nailing I� " "' t"IHEALTH DEPT:FiEOUIi}EMENT 31. Plaster Biown,Coai r s , , • r i � L. .- 79. FINAL fNSPECZION " „ 7 32.-Electrical PoiWer AFeCef Fipal t '- ! If "- 8a. FOOD RERTIEfC'ATE t.SSUED 33.;Fin EI�Eiri1i._, 4; s rJ k ,n Ifs dtv z. . > �( c, ..t " , 'T t 1- t' Notes: • 34.-Final Heating"& Air iConditionirigS r j j- •li .s' S • ' 35.TFinal Gal PiPe-Test a JID ... - I , ' 'j •i i-- r '_, T. 36. Hood orCanopY L 4 r _ -r -:- ' -' c f ° l" s -D: Z Tr s,r• t I.. 11 ,C = . n1 7 '1 .. ., S• _ 4 c,,.' . .t1 ..it \ if : 37.;F-ina,I:Factory Fireplace ; - : K i K t ,; 38. Fina 1,Plumbing t \ r ( I 1r - - t r _ 39. Water Service^Final Y • t*, ix, I i I w Y , 40. Gas Service-Final f -t -c•,••, _ i' :. l le D:.- ..- v f • 41. Solar Domestic-Fina `• " - I l Ir. - ` IT' -7':- 7 7 • 42. Backflow Prevented _ •_ lr .- • r 11 of I_n K --43. Backflow Irrigation; f. = .. " ..1 44. Landscape Irrigation Systemr t -. z t ra 7 v - V o v 45. Sound Attenuation` - t. t _46. .Handicap.Regulations � _ C'I aX'PINT L STRUCTURE& BUILDING C1' ionstAir 48. FINAL PLANNING, .)1 - . _ .� .. r - • _ 49-Electric Release to Edison R t ) , I50.:Gas Reldse to Southern California Gas Co , i 1 >. - - :7.7, - m i .0 _ 51. CERTIFICATE OF OCCUPANCY • •> - _ . No. Date ® . r. tti 6tcGt:t u L 96` Y JUN 181959 CbSTA MESA BUILDING-SAFETY DEPARTMENT PNAl••'^c [}Grp. P.0.BOX 317 COSTA MESA, CALIFORNIA els 'y'Ic' '. .Y{`rn FOR APPLICANT TO FILL /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUIL 2912 Royal Palm Dr. FOR MESA. CALIFORNIA FOR OFF/CE USE ONLY • RECEIPT NO. 1 P4/ O� . OWNER Homes Valley Tnr.. /y(/„ (/ MAIL (RECEIVED BY 1 //bATEGGRECEIVE_D_ //OATS/ISSUE ADDRESS S E t4 EL. T}T�[(..1111 {� (EJ AS 4 / I ,(7 X! BUILDING , CITY Costa Mesa TNO. L101159 ADDRESS / ARCHITECT Carlson & LIC. . COSTA MESA, CALIFORNIA OR ENGINEER NO. Miaalehrook FIRE . ADDRESS rar('l en drove ZONE CON'fkitt.'Tb1Y" Col LLegrove LIC.STATE 167293 APPROVEDBY DATE y ADDRESS 419 E. 7th St. Costa Mesa ZONING LEGALI LOT 2822 ZONE ) I NO.OF I USE OF NEW/� DESCRIPTION NO. . 273 BLOCK TRACT Ay PLANS BUILDING APPROVED beep ,; SIZE /,/�( BY i DATE F.//� � T EVES OF LOT ,_ WO 65 x 105 I NOW ON LOT'none REQUYARDIRED ALLOWED /// USE OF ICENTER LINE ST.)_ EXISTING BLDG. FRONT ,5 D FT. IN. ' SETBACK LINE FROM [[ ' ./� CENTER OF STREET' 55' REAR YARD 27 R.SIDE /D FT. IN. SIDE YARD I LEFT 51 I RIGHT 101 L.SIDE ;� FT. IN. DESCRIPTION OF WORK • REAR c2-j FT. IN. NEW 'I X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I BUILDING NO.OF 11450 ROOMS SIZE6 STORIES 1 . EXTERIOR WALL ROOF ' COVERING SLUCCO COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single. family residence with attached garage. • Plan 1404 • 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS,FOR THE I PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. '/ VALUATION SIGNATURE OF / PERMIT FEE $ 34. 00 • PERMITTEE PLAN CHECK $ 17.00 14,552 I AUTHORIZED AGENT Dike & Colegrove, Inc. \ TOTAL FEE $ 51.00 OWNER HOMES VALLEY INC, DATE 6-16-59 JOB ADDRESS 2912 Royal Palm Dr. BUILDING PERMIT NO. 9610, GENERAL CONTRACTOR Dike & Colegrove VALUE § 1L1,552;00 AP. No. LOT273 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res• att. gar. INSPECTIONS ,../ ... 1) DATE I GROUP I & J TYPE V ZONE Rl Underground Soil /N-tS_U.G. WaterM457—z -51s -P PERMITS ISSUED _ Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating — �3-/g79 -.. / '.Li- C-3-2:_2 d 2LZ / Rough Plumbing 44,1"5 ?-Z./5' t _` Jam. / 5---7J- 57__ !f 3_ Miscellaneous - ` _ y l . Prop. Swraitte I e Con. St. swr. ,1/241 try e -),�,,�- 774.(.!3 r/ _L l/ -4— - 4' Sprinkling System L ' Heating, Final / %S /4-7-7-5% ///--Il Plumbing Fixtures (�t/// -s-q / Final Gas Test /5 t w//7-n-5, / Construction Pole Underground Power / Rough Winn A--) Tr,hf/ f!- Gtlil�'Fi1-ft' 8'-/O .S-: 9,57947 / Trench Forms '' - Steel ('�V3 ''//l// Floor Sys m Steel Reinforce Chimney Re-Rod Bond Beam Sheathing 145/14- F-4'6'9_ Frame and Flashing ,) el " -CT: Lathing, In IN Out . Fi --4 -rn-19 Plaster, brown coat 7_ (U -4'Tr Plumbing Fixtures, Final �>,.,� /t �•}'�/ Electric Fixtures, Final iyii/,-2 Building, Final I w //1l'"5 _ i OCCUPANCY Form 210-3M-4-59 iiirl 11534 ' 53 EEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX EM7 COSTA MESA. CALIFORNIA -val -3 -02-6 d For Applicant to Fill In Completely �V`A'NC�E DEPT, PERMIT TYPE OR PRINT CX II�BUIL IING /' - BUILDING ADDRESS -2-7/'� /241iC L, A34441 PR/fjr COSTA MESA. CALIFORNIA For Office Use Only ,/ RECEIPT NO. PERMIT NO., OWNER A72,4/414/J //GI /S�/4/F'T //5 3 MAILRECEIVEZBY DATE RECEIVED DATE ISSUED ADDRESS . 11 a A7)07.4 I_ /9144 JJ/?, R../ I �3 -.3- G, D -.)-b c' ` cjr 4- A/GC/� NO,/�44fr- BUILDING CITY ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE TYPE GROUP CONTRACTOR C$ ,p/J/LT<44 //VC- APPROVED N BY DATE /ADDRESS/2 o77 ,4-/PO��Y� ovt fvo, ZONING CITY 6� /?&c_./ Gi?Ore 20IE _ I NO `2 I BUILDING "1" SAO. 707TEL. fC7S,Sjlr- NO. DLEEGAARLIPTIO � d 1 A ->fr SIZE 1 NO. OF SLOGS. OF LOT NOW ON LOT A.P.NO USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) L CENTER OF STREET REAR YARD FRONT SIFT. T IN. SIDE YARD I LEFT I RIGHT R.SIDE — FT. I IN. DESCRIPTION OF WORK L.SIDE FT. O IN. NEW ALTERATION I II ADDITION I REAR yip /J FT. IN. REPAIR MOVING I DEMOLISH I BYPRO%}/ ,1"2DATE-?-�17 BUILDING NO. OF V• ��'j SIZE ROOMS STORIES EXTERIOR WALL 1 ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED ,G oc1/ GU/¢G c I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDERHINVALUATIONMIS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES A D STATE LAWS REGULATING BUILDING CONSTRU 10.. VALUATION /121....1"../ SIGNATURE O,. / /nsf5E / �J PERMIT FEE $ •'% '- PERMITT% '/ 6 N - $ IILLLLL A PLAN CHECK 5 •- . AUTHORIZED AGENT ( ._ z TOTAL FEE $ 2 .:di 2 1 1960 OWNER KEPHART, DONALD •- DATE 3-2-60 JOB ADDRESS 2912 Royal Palm Dr. BUILDING PERMIT NO. 115341 GENERAL CONTRACTOR Bee Bldrs, Incl VALUE $ 63.00 AP.No. LOT 273 TRACT 2522 FIRE ZONE DESCRIPTION OF WORK Blockwall INSPECTIONS DATE I GROUP TYPE ZONE H-1 Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final �" baa OW ' �,P—b o J1w t e!'c.A x2 ea-wyde OCCUPANCY I• Form 210-5M-11-59 S-B P 11531 • 20556 • FEE RECEIVED kCOSTA MESA BUILDING-SAFETY DEPARTMENT P.0.BOX 317 COSTA MESA,CALIFORNIA ppSEnnP r1 3. .1�9p63 For Applicant to Fill In Completely APPL�IC&TI©� WIT G TYPE OR PRINT CITY 0§ute MESA -SS For Office Use Only BUILDING - _ kerb PALM PIZ- ADDRE99 _ V RECEIPT NO. PERMIT NO. COST MESA, CALIFORNIA pS S & ,{�v� a Nig I`/)r //�l \) RECEIVED �DA/�)¢RE/f)JVEED /DATE ISSUED OWNER 1 a.4./I& init ALa ( 2 MO j/l/ bJ `T „f 7-10) MAIL 11��'' l�f/ {� / BUILD! ADDRESS 29 I t goy Au PALM O12... ADDRESS TA { .II TEL/^ FIRE CITY C cTA /ICG-SI% . NO.1��_�U�� ZONE TYPE GROU ARCHITECT ( ,I rJ TEL/ - APPROVEDB /� - GATE �� OR ENGINEER.la•AiIDOL.t ke..z. NOK 5.--77411 [� 275-5 /�l 1 7 (/) i , ONVNG t ADDRESS '+ 1� NO.OF USE OF NEW JL—. 9 7 ,, I "..I PLANS BUILDIN' CONTRACTOR �/ ��/ /� ---'-i.-----' L DEGALSCR �I ��-T+ " ADDRESS ^' _ DEECRIFTtoN F Sq © r Y3 CITY .��- A.P.NO. .1_2) — „Li . NOTE: NO EAVE OVERHANG SHALL BE LESS THAN • STATE TEL. 30" TO SIDE @ REAR P.L. LIC.NO. NO. SIZE // �-{ _ ( EAVES OF LOT ([•✓ '% /O3 I NOW ON LOTS / ALLOWED A ce gni et B.C.REQUIREMENT) APPROVED TI YARDS APPROVED l� USE OF Y1}-�1 ACCESSORY BUILDING EXISTING BLDG. ' E�I,J a�•p%�IE- 'R1 (FROM C/4STREE ) SETBACK LINE FROM �, 2'71 LLL FRONT // FT. FT. CENTER OF STREET- `-� REAR YARD SIDE YARD LEFT 6- I RIGHT /Q R.SIDE // FT..� FT. DESCRIPTION OF WORK L.SID Iii` in '/ FT. • NEW _ ALTERATION K[DEMOLISH ADDITION REAR S FT. ^ FTf DISTANCE BET. BET.MAIN @ REPAIR MOVING MAIN BLDGS. ACCESS.BLDGS. • BUILDING �J % No.OF f -- VAR.# ' DATE - SIZE i'(�S' ROOMS Lp�/S�T/OgRII,ES ( C.U.P.#♦ '� - APPROVED EXTERIOR • / f. COVERINGWAL I(ICCO I COVfiRING -O.YI �C • Ant PPROV (A DATE r/'�?lr �- USE OFBUILDING AND WORK TOBEPERFORMED E.k ( 57'. RV-SfOF•,LC -'u se. . i:- "Rears 12CL• I &Oiceo&, riced • G' 44& D 74110 /6DG N SO.FT( .19/..44$) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW ER VALUATION IS FOR THE E AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF E8 LI MING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING '1 BUILDING CONSTRUCTION. VALVA ON �' N SIGNATURE OF PERMIT FEE $ % � n PERMITTER L.0 4 $8 PLAN CHECK $ - 't G AUTHORIZED AG-^T�� i / - � co r / X A a x.rti'.- •.<,,,..r., / �/ TOTAL FEE $ VVVI / ✓ ' .. CM/ OF COSTA MESA 738899 • (COSTA MESA BUILDING-SAFETY DEPARTMENT APR 20 1965 Y P.O.BOX 917 COSTA MESA.CALIFORNIA - (@� ��ss,, PP�� \ For Applicant to Fill In Completely PPLIC aN-}EOB:lP-I,1T ?Dp7 TYPE OR PRINT BUILDING BUILDING "1 1^.�/ '/q/ yyy...rrr ��y for Office Use Only ADDRESS •1 / Y/'1'�I��'n` .per ®� /V/ Il/l.i RECEIPT NO. PERMIT NUJ.at COSTA MESA! CALIFORNIA r TY Cal �j�p,7,{SQA. �f/��f A RIC!! DY �QfA/f[RECEIVED SATE ISTE OWNERcj& '+T' f// 02 /�1N"'6, i E "(BUILDING `jamo &C 4f^Cc/ MAIL )�//� ADDRESS ADDRESS /J-9/2 tRe y r[P - ✓Y4 / FIRE CITY 7:90.4.4c ♦/C/p��/i`{�/ NOTE. ZONE WE " GROUP -` `� APPROVED // �r /1 /L ARCHITECT C 'Fa. BY - 4 IF(l /(JJ ' OR ENGINEER NO. /7 ZONING Ip ADDRESS • I/I. 'Tp1 Ii't / NO.PLAN[OP • e),..-1IUUSIL[ODIFNNOEW CONTRACTOR a • ,4/.�/ / - _ //�(�'� // ///� DESCRIPTION 1---0 - t� f ' \ J.4 2-2- ADDRESS -2 ADDRESS / /2 2 0 C'f'I4%744P 67 � CI .- A.P.NO. CITY `(^v /7C /A.-(mac/ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.N STATEO.'..O 3 / &,c 7/7/ NQ•TELfgi -4/9yf @ 90'TO SIDE REAR P.L. / EAVES OFLO / )__ n JI NO.OF SLOGS. • I NOW ON LOT ALLOWED (U.B.C.REQUIREMENT) USE OF YARDS APPROVED YARDS APPROVED EXISTING BLDG. J MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET SETBACK LINE FROM • CENTER OF STREET "'�� REAR YARD FRONT FT. SIDE YARD I LEFT FRIGHT' r R.SIDE FT: FT. DESCRIPTION OF WORK L.SIDE FT. FT. NEW _ ALTERATION '( ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN @ REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING OF VAR.# DATE SIZE `~OOMS STORIES C.U.P.# /1 APPROVED EXTERIOR WALL OOOQ APPROVED C / ,� 1// ��{{LLLyyy � �b_ 1 ('/` COVERING COVERING- UAE OVERING' BY .l.�l/Y/ .(1/I PA,p { J U.'E�,BU IL OR KccBAE/P`EvRFO_ RM Ep' /VV1�17'/ / Vele-4 /,1V78210 I Ku�nIL/1L��/1— T Pr N I!I`+T�9lF, ea HQ.FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE £ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.' O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ^,. BUILDING CONS y-•• ION, /y) yv SIGNATUR�/l /r - \ PERMIT FEE $ / PERMITTE�:-_ ��i//./_ �/sla_ '•A •' ' /LI�I Ai.-C. O I $ / V " PLAN CHECK $ Q AUTHORIZED AGENT • > LL / TOTAL FEE $ / "S