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Home My WebLink About862 SENATE ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 PLUMBING PERMIT Job Address: 862 SENATE ST Suite No Vicinity: Parcel Nunmber: 42239208 Applicant: COMBS, LANDON Address: 3801 LENAWEE AVENUE CULV�R CITY, CA owner: HARpER, MARY C Address 862 SENATE ST COSTq MESA, CA Phone: 310-838-0408 Zip: 90232 Phone: Zip: 92627 Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 �ENAWEE AVE CULVER GTY. CA SEWER ALT/REPAIR ISSUE FEE BackOow irrigation BackOow Preventer Bathtub Clanfier System ConneIX (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $6.00 SO.00 $0.00 50.00 50.00 50.00 50.00 50.00 QTY Phone: 310-253-5229 Zip: 90232 License: 679898 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irngation $0.00 P-Trap 50.00 Pressure Regulalor 50.00 Process Piping (per 10 fl) $0.00 'Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $24.65 Sewer Private Line 50.00 Shower $0.00 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor $0.00 -Sink, kitchen $0.00 �Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 � 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 01/17/2006 Issued: 01/17R006 ISSUED BY: . J� SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closel (Toileq W ater Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water SoNener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 548.15 ON 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work aufhonzed by this permit shall comply wiih all applirable handicap access requirements under Ca!'rfomia statutes and related regulations. (Ord. No. 9248, § 1, 1241-g2) 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 applicabla codes, and all requlred Inapectlone and final approval must be obtalned. Fallure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (7y4) 7545626 eaao-+o law� WARKERS' COMPENSATION DECLARATION: I �ereby atfirm under penalty oi perjury one ot lhe toiiowing tleclBrelion5: ❑ I h ve end will maintain a certiticate oi rnnsent m selt-Insure for workers' compensatlon, as provided tor by section 3700 ot t�e Labor Cotle, for the petlormance of the ark lor which thi5 pertnil is issued. 1 have entl wlll maintain workers' compensaGon insurance, es requiratl by SecUon 3700 oi ihe Labor Code, for the pertormance of the work tw which Ihis pertnit is issuetl. �My workars' com ens tlon Insur�ce carrier nd policy numbar ere: 2 .Carri?: �i�.i�G. "�vl� PoGcyNumber— / / Z � 0� (T(�is sectlon need not be comp/e(ed i! rhe permit is valuetl er one huntlred dollars ($700) or less.) ❑ I cartity t�et In the pedormence of the wo�k for which t�is pertnit is issuetl, I shall not employ any person in any manner so es to 6ecome sublect to the workars' compansetion laws of Celifornia, and agree that if I 5hou10 bacome sub�ect to Ihe workers' compensation provisions ol Section 3700 of ihe La6or Code, I shall forthwith � comply wj h ihesa provisions. �-�� /' AppllcanCSignature: �_ �Dafe� �� r� WpRNING: FAILURE TO SEC ORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO IXJE HUNORED iF10USAND OOLLAflE (E10p.00p), IN FDDRION TO THE COST OF COMPENSATION, OMUGES AS PROVIpED FOR IN SEGTION 3)O60F THE IABOR CODE, IMEREST, AND FTTORNEVS FEES. LICENSEU CONTRACTORS DECLARATION: I hd�eby aMirm ihe� I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 0l the Business and Professions Code, and my license is in full torce and ettectrGc=a" 6�999� ciass.x. C— 3 6 coNieuors.sig atfv � J�� - Gp�ate::� �/'7-,�.._ CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat there is a construction lending egency for the pedormence of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Le�defs Name: Signature: _ LendeYs Address: Date: OWNER-BUILDER DECLARATIONS: I horeDy aflirtn lhet untler penalry of perjury Ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW lor the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolis�, or repair eny stmcture, prior to its issuance, elso requires the epplicant tor suCh permit to file e signed statement Ihe� he or she is Ilcensed pursuent to Iha provisions ot the Comractors License Law (Chapter 9(commencing with Sectlon 7000) of Divlsion 3 0l the Bu3iness antl ProleSsions Cotle) or ihat �e or 5he is exampl ihereirom and Me basis for the alleged ezemptioa Any violet}on oi Section 7031.5 by eny aOP�'icanl tor a permil sublects the epplicent to e civil penalty of not more Ihan fiva huntlred dollers ($500).): ❑ 1, es owner of Ihe propeny, or my employees with wages es iheir sole compensation, WILL DO THE WORK, end the siructure Is not imended or otterea for sale (Sec. 7044, Business and Professions Cotle: The Contracbrs Licanse Law does not apply to an owner of property who builtls or improves Ihereon, and who tices such work himself or herself or throuqh his or her own employees, prwidad thet such improvements ara not in�endetl or oilered lor sale. II, howaver, the building or improvement is soltl within one yeer of completion, the owner-buildar will have the 6urden ol proving �hat ha or she did not 6uild or improve for puryose of sale.). ' ❑ I, es owner of Ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to constn�ct the project (Sec. 7044, eusiness and Professions Code: The cantractors License Law does not appty to en owner ol propeny who builtls or improves thereon, and who coniracts for such project with a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt untler sec. SigneWre: Ow�er ID verified by tlrivef5liCensa. ❑ Ve5 ❑ No Business and Professions Cotle for this reason: Ved�ication of Owners�ip by (type of tlocument, i.e. - propehy tax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hareby certity ihat no exca�a�ion five (5) or more feet in tlepih into which a person is required to descenq will ba matle in connection with work euthonzed by Ihis permit, and t�a� no builtling slmcNre, scaftoltling, talsework, or demolition or tlismantling thereof, will be more then �hiny-six (38) feet hig�. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Calibmla Adm(nisirative Code). ❑ As owner-6uilder, I wili not employ anyone to tlo work which would require e permit imm ihe Division of Industrial Sefety, es notetl above, unless such person hes a permil to do such wock irom the dvision. Signewre: Data: Division ol Intlustrial Safety Permit Number ICER7�FICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cenity under penalty of perjury that I have read this epplication entl state that the information given is I corrBct. I agrae to comply with all state laws and city ortlinances rela�ing �o builtling consWction, and au�honze representatives of tha Ciry of Costa Masa to enter upon t�e ebove-described propetly for inspection purposes. I egree not to occupy or ellow occupancy of any building authorized by this permil until finel inspection. f(IjlfiJ. INSPECTIONTYPE QAIE UI�ALi 1616 Fixed SyStem Final Fire Prevention 7266 200 201 202 203 204 Pool Spe Final Final Ra-Aoot � Flnal BIocN/Retaining Well Final Fectory Fire Place Final Sign Final Demolition . � �Da� 7�. � `Date—� f.Qp� INSPEGTIONTYPE QS¢ �S 206 Final Mechanical � 208 Final Plumbing 210 FinalElectrical 212 Final Fire Prevention 220 Finel Planning Appro�al 222 250 Final Site Final Building/Occupancy PpOJELTF00FES5: �(� SENATE ST OWNEB'SNAME: xARPER, MAkY C � ;oEness: �67. SENATE ST COSTA McSA,CA FHCH/ENGINEEfl: aooness: uxiT: 926?'7 HEG.NO.: uxir: PE"m'TTEE: RE50IJRCE CONSTAUCT:CON CO. (7i4?637-:?493 aooness: �a07 E. KA'TEI�LA 525 ANAHEZM CA 92806 LICENSED CONTPACTOP UECIAflATION: I hereby allirm tha� I am licensea untler pmvisions of Chap�er 9 �commencinB with Section 7000� ol Oiv�sion 3 o11Ae Busmess ana PmlesSians Gatle. an0 my li nse is in lull lorce anE ellect. ciTv uc.: 0 510 9 6 sTaTe uc.: 5 g a 11 q cuss: $ �/� �J��Jj � � '�`a�e'. � ^ 27—�—.Yq�y �� Signa�ure'. _ �V—t w�r �y`r— ��,��NOPKEBS' COMPENSPTION OECLAAATION: I hereby a�fir� � t I have a cenifica�e o� consent �o sel4insure or a cenilica�e ol Workers' 1 Compensation Insurance. or a cenifietl cop Ihereol (Semi 3800, lab. C�. —�oucrxo.:XW050330535� E%P.UpTE: Z1�O1I91 tamenNr.OHIO CAStJALTY O Cerii�ietl copy is hereby Wmishetl. � Cenified coOY is �- wit� �he ciry Building iv'Sion. Oale: Z�,17�—q_�__ AppliCant _ E%EMPTION FPOM WOBNEPS' COMPENSpTION OECLAPNTION Qhis section nee0 not be completetl if ihe permit isfor one hunaie0 (5100) or less�. I certify �ha� in �he pedormance of �he work for which Ihis permi� is issuetl, I shall not employ any person in any manner so as �o become sublect to the Workers' Compensation Laws oi Calilomia. . Oale: Signaiure: NOTILE: Ii, ailer making ihis tleclara�ion, you s�oultl became su61e�� o ihe WOBers' ComDenSaiion provisions ol the labor Catle. you must farl�wilA comply with such pmvisions or Ihis permi� shall �e deemed revoked. CONSTFUCTION LENOING IIGENCY: I hereby ailirm Iha� ��ere is a conslruction lending agency for Ihe pedormance of Ihe woB for w�ich �hls permll is issuetl (Seclion 3097, Civ. C). - t[xoen: nooness: IOWNEB BUILOEfl OECIAflFTION: I here�y a��irm �hal I am exempt trom tAe Contramors' State License Law br �he following reason (Seciian 7031.5 Busmess an0 Professionat CoOe: Any ciry af counry which requires a permit to consimct, alier, impmve, Oemolish, or repair any s�mc�ure, Drior Io ils issuance. also requires �he applicant br SucA permit �o file a signed sta�ement that he/she is licensed oursuam m �he pmvisions o� �he Contractors' State License Law �Chap�er 9(commencing wiih Sec�ion 7000) of Diuision 3 of Ihe Business id Pmfessions Cotle) or Ihat �elshe is exempt therelrom antl �he basis �ar �he allegetl exemption. Fny viala�ion of Sec�ion 7031.5 by .iy applican� lor a permi� su�lec�s Ihe applicanito a civil penal�y ol noi more Ihan �ive hundred dollars ($500). � I. as owne� ol Ihe pmpetly or my emplayees with wages as iheir sole comDensation, will tlo ��e wark, antl ihe ❑ simaure is nol imended or ofleretl for sale (Section 70aa. Business an0 Protessianal Code: The Contracrors' State License Law tloes no� aD01y �o an owner ot a pmpeny who builds or impmves thereon, antl who tloes such work himsel�/herseli or Ihrough his or her own employees. pmvided ihat such improvemenis are nm inten0ed or otferetl lor sale. Ii, however tAe �uil0ing or impmvemem is soltl within one year of comple�ioq the owner will have the burtlen of Dmvinp he/she ditl no� �uild or imOmve for ihe purpose of sale). I, as owner o� Ihe pmperty, am exclusively conlracting with licensed contfac�ors �o constmct �he pmlect (Seclion 7044, Business ❑ and Pmfessions Code: The ConVaciors' State license Law tloes not apDly to an owner ol pmperty who hmlAs or improves �hereon antl who comracis br such pmiects witA a coniractor�sllicense pursuantto ihe Coniraclars' State License Law�.l am aware Ihat pmol ol Iheir Worker'S Compensalion insurance shoultl be pmvided ro me. � I am exemp� untler Seclion: 8. 8 P. C. for this reason: Date: Ownec I tlo �ere�y ceNiy Ihat I am aware af and undersland 1�e requiremems o� California Heallh antl Sa�ery Code Sec�ions 25505. 25533, and 25534 and ihat I or any iWure builtling occupant willlwill not (circle onel neetl ro compty witn saia stale co0es antl ihe requiremenis far a Oe�mi� lor constmction ar modilication imm I�e Air Ouahry Managemenl �isiric�. flesitlential consimction applicalions are exemp� from ihe5e provi5ions. Dale: Apphcanl'. I hereby cer�i�y�hai I have ieatl Ihis applicalion and Slaie thal the above in�ormaiion is correci. I agree�o compty wilh all ciiy antl county ortlinances and 5talelawsrelaiing�o building conslmciion antl hereb aN�a�ives oi�his ciry�o enteruPan�he above�meniioned propetly forinspec�ion purposes. .�^ ''�//�//�� s�iii oaie: 3 � Z % `-9 / siqnamre/-, , . � �� Onver's License Or SOCiai Seturi�y x: (" �' I6aL46 Wbite-9mldmg; Green—Gotle EnlorcemenC Canary—Applicant: Pink—Revenue: Goltlenmtl—Assessor CiTY Or COSTA MESA - BJILDiNG PERMIT PERM NO: B U5197 PERMIT NO: B 05197'7 PLAN CHECK NU: N GOVi: N'SUPP: N CONSTRUCTION TYPE: 5-N PEit,+1IT '1'YPE: STft PURPOSE; AiT' SQB DESCRIPT.iON : REROOF 6 ADD SKYLTGHT {ILB04 4138) SQ ri: 7,800 CLAIM VA1,Ur^.: 7,890.00 CALC-VALUE; 7,800,00 GROUP OCC; R-3 tM-1 CUMMENT'S: REROOF WITH "DURALITE MISSIUN i'ILE". iFiEiEY?e3F3Ei!-IfIfiEN�N�K�1EiE}EtiiEiEiF3�•�)e�14�'�IEN#'16iE�(�IEiFiEiflf�lFiFiE3FiF##fFl!�IF3t:4i!�1F�1ffEli�lF3f#E#ii �,#!�+�py� +@�+� �+�o 'I. O N I N G R E�i U S R n M E N T S�IVIVf�� VC�V I V� S E T B A C K S p ------------ MAIN BJTLDING ---------- -------- ACCESSORY BU�iu�7G'G-�� D FRNT: FT IN REAR: FT IN FRNT; FT yIN REAR: FT 3N LEFT: �T IN RGHT: FT TN LEFi; FT IN RGri'P; F1 CN PARKING kEQ : PROV: PARCnL; 42239208 2NE: REF NO; PLANNING Nt5TE5> _ � �lf if IE �k fF lE iE iF iE IE 1FY.� iE 3e fF X� i(� iE iE iF?E If iE if �1F iE IF )E 1f 3f N� iF 3E 1E iF if iFlf iE k� li #�IF !F #�1F 1F i(� IE �.f �%� � 3E �lf �F lb 3f # iF k Y� ic iE iE jf 1E i`.� 3't iE iF1f iF 3f if� ii� if if �M 7F D E V E L O P M E N T S E R V I C E S t� E(� I7 1 R E M E N T 5 ZONING APPROVED BY DATE; BUILDING APPROVED BY : DATE; APPLICATION ZSSUED BY; � UATE: �� jEJFaf�Eff�3FifiFYiEiE3(�Y-±E�ElfifiEiE#F1f%��ii ��r r 'a . �� . .�. .x� 3FiF£iF3FiFiEi63�iEi£?f?E . 3E�E �***+�x+��tu�**+�t��xx*+r*��*�x***+��***�**�****tt..��i *�c�t��*a�*x�:�*��a��**��**tu��a�� LEGALIZATION;N F c E S U M M A R Y STRiJCTuRAL SEi.ui�nNT;Y HLDG PMT PLUMBING EiECTRIC MECHANIC FIRE SMZP/RES GRADING PERMZT 99,00 55 PLAN . SMIP/NON-RES TSSliE FEF. BUILDING-DIV-> PERMIT I�SUr. PLAN-CHcCK TOTAL PAT_ll DUF. TOTALS----> 99,55 0,00 0,00 99.55 99,55 ,00 RE.VENUE UIVISION TOTAi,S--> COLLECTED; 99,55 OVER/SHORT; ,QO HLDG PMT PLUMbTNG EiECTRZC MECHANIC FIRE SMIPITOT GRAAING PLAN-CHECK y9,OO ,5J iF �-Y.� i: iF i(� iE jF �f� fF iE 1f iE ib 3F iE iE # if iF iE If if if if if ff i4 3f 3f iE �1F if iG iF iE iE 1f �1R 3F �e �E # iE �)F * i!� 3E # iE iE �)c 3E if * iF iF 1f �E #F �lc 3E ff iF ?!� 3E iF )F i(� �IE if 3E #F iE if #� iE�3E iE I N D T V I D'J A L F E E B R E A K D O W N TYPE �TY D E S C R I P T I O N UNIT COST TOTAL COST SFR 7800 REftOOr BY VALUE RESIDENIAL NOZONE 1.OQ 7,SOO.QO END OF FEES oi t�Qt?FiJ5z9'd�i�SJ!'al7 "Ti �C� .'�' �'�,�;; DATE: 03f27/92 TIIiE: i0:5S ,(Y3NSTRUCTION AND PLA1v�.�NG P� ' & SPp' APPROVALS Permit # Date Inspector ApppOVALS Permit # Date Inspector c� 1.�Temporary Electrical $ervice or Pole , 52. Pooi & Equipment Location . 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. , � 55. Electrical Bonding '. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. .� 10. Structural Floo� System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' -'` 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electric2l-Conduit . 66. Solar System-Final i6. Rough Electric�'liring . 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ce�ling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing . �� 74. Overhead Hydro 26. T�Bar Ceiling (5tructural� & Monocoat 75. Dry Chemical 27. Frameand Flashing. . �� 76. Dry Standpipe 28. Lathing & Siding � � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. 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 35. Final Gas Pipe-Test ' ' 36. Hood or CanopY � �, � 37. Final Factory Fireplace - ! , 38. Final Plumbing � 39. Water Service�Final 4' 40. Gas Servite-Final 41. Solar pomestirFinal 42. Backflow Preventer � . 43. Backflow Irrigation � 44. Landscape Irriaation System. . 45. Sound Attenudtion 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING Cy � 48. FINALPLANNING 49. Electric Release to Edison j 50. Gas Release to Southern California Gas Co /, 51. CERTIFICATE OF OCCUPANCY � No. ; Date � � . J , � .. ..._V _�_ _. .__.r- ., .- -- - - _'� � DURALITE FIELD & TRIM TILE i Available at San Bernardino Location. Duralite Mission Field Tile Duralite Shake Field i �si - Rake Tile i� Flat Ridge T:le x_ �2.. PHYSICAL DATA Width Lengih Average ThiCkness Recommended Heatllap (Min.) Recommended Headlap (Min.) when roof nitch is at 3'/a:72 or below Recommended Exposure (Max.) Tiles per sq. at recommended headl. Approx. weight per sq. at 3" headlap � Universal Ridge/Rake Tile ., z.. Si�f�C� Jack H. GENERAL CONTRACTOR ( nP No.115-563-08 LOT ' RECTIONS � -6-62 BUILDING PERn1IT NO. vaLUE s 1.560.00 TRACT P'IRE ZONG DC5CRIPTION OI' WORK DA'I'G � GROUP 7 TYPE v 'LONE 5UI3CON'PRACTOR -� .. -- '� ' ! 6876 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 9f7 COSiA MEBA, CALIFORNIA For Applieanf fo Fill In Complefely TYpE. OR PRINT • BUII.DING 4 / �/ ��l��T� S 1 + ADDRE55 Ovti. �'1 COSTA MESA. CALIFORNIA OWNER ��:K �a. �v� � ADDRESS � n' M �' TEL. (� C, CITY �t7S)� M E.S(1 NO. L1�b��L' ARCHITECT TEL. 6TATE TEL. LIG NO. NO. S{ZE /' � �f � xo. op eto¢s. OF LOT V� i� � Q h Now oN wT �s�°F.,. e..,,. nwPLL�e: E: � 6ETBACK LINE FNOM DESCRIPTION OF WORK BUILDING �� NO. OF SIZE ��"' b� 1Z"I� ROOMS 1 STORIES 1 EXTERIOR WAL � ROOF M COVERING ��J�C COVERING�T l 'oP � U§E OF BUILOI�G AND W,QRK TO BE PERFORMED FIRE LEOAL FE� R�CEIVED �f' APR 6 1�� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT suanir�� For Office Use Only NECEIPT NO. I I �¢j11,T�j'�O. sl n: IJ �I) BY I DATE 9ECEIVED I/ DATE IBSUEO COSTA MESA. CALIFORNIA LINH APPROVED NO.OF VSE OF PLAN9 � BUILO�N 0 �kT � D 1 C.� £ U' r 1 NEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB �PPLIWTION THE AMOUNT HHOWN UNDER VALUATION IS FOR THE ANO BTqTE THAT THE ABO�e IS GORRECT AND AGREB TO COM- pURP08E OF EBTABLIBIi1N6 q pERMIT FEE ONLY. PLY WITH NLL CITY ORpINANCEB ANO 6TATE W9 RE�ULATINO BuilDiNo CONBTqucTloN. VALUA710N /�}�I� SIGNATURE OF � PERMIT FEE $ • VL% PERMITTE ( / � \ $ / �OD PLAN CHECK $ O AUTHORIZED AGENT �� TOTAL FEE ow NeR FABRE CONSTRUCTION CORP. DATE 3-19-57 JOB ADDRESS 86Z SQriBt@ StrBEt - BUILDING PERMIT NO. #4%15 GENERAL CONTRACTOR LldO �onstruction COT'p. VALUE $ ZZ�13B•OO 15 e�ocK TRACT 3143 Res. w�att, gar. r.aoua I& J TVPE V mNE RIi FIRE �ISTRICT hfi'�A PERMITSTSSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER FootingTrench L'/6 G I.9��1' Foundation Forms and Grade to Garage T— Plumbing, Rough to Slab � Plumhing, Rough Com� Temporery Pole ' Wiring, Rough Heating, Rough Heating, Final � Sewer, House Sewer, St. Septic Tank or Cesspool I ng, In OuS � Plumbing, Final, Fixtures Plumbing, Fin.al GasTest Wiring, Final �' Occupancy —�-� FORM 210 3M lO�vS i ;. . _.,, . :.�.r�,i `fVI�U COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN - --- --- BUILDING �J� 2 SEN/ft_F 5f. AODRE55 COSTA MESA. CALIFORNIA owNeRFahre Construction AODRE553404 Via Lido c�rqlay�port Beach ARCHITECT OR ENGINEERR. Levanas ADDRE557�� W� r�{y�t'tj.ei � CONTRACTOR Lido Constz'. AooREss 404 Via Lido LEW� LOT l oESCninnON NO, y BLOC A.P. NO. OF LOT 6� X �-0z USE OF EXISTING BLDG. TEI.r� NO n�c=' LI N LIC. �NO. TE V or e�ocs.o � ON LOT SETBACI( LINE FROM � �j � <ErviEn Oi SinEEi �O REAR YAFD L�'� � � � // SIDE VARD RIGHT �U LEFT J�Z � DESCRIPTION OF WORK NEW X ALTERATION qDOIT�ON REPAIR _,_ �MOVING I �DEMOlISM BUILD NG NO.OF SIZE ROOMS STORiES EXTERIOR WALL ROOF . COVERING wood-stucco coveR�r,c �hake-shind. �UELOFNGEWCIYFP�.�.11l� and gat'age �� — _ � .. J�7 - F^E-E '�''CElV�� 1' 14�\,� ��1 �� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. PERd4LN�I '� �� 1 !ECEIVED BY, DwTE RECEIVED _-. DwTH IS^UEO` .�, l) � .. � COSTA MESA. CALIFORNIA FIRE ZONE 20NE'vl 1 I NO.OF 1YVE � G e� CORRECTIONS STATE TH/.T THE .�60VE IS COFRECT �ND �GREE TO COMPLY WITH wLL CITY OROINeNCQ9 ANO 6TeTE L�WS NEGULwTING BVILOING CONSTNUG T�o�. � VALUATION � SIGNATURE OF PERMiT FEE S Q PERMITTEE D /� Lido CO2lSi.iUCtl �i�J:'7• S/�, / 3�/ / PLAN CHECK 5 �J � AUTHORIZED AGENT TOTAL FEE S �S/ � 'M�