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Home My WebLink About2810 SERANG PL - Building PermitsMay 17, 2012 CITY OF COSTA MESA P.O. BOX 1200 - 77 FAIR DRIVE • CALIFORNIA 92628-1200 _ DEVELOPMENT SERVICES DEPARTMENT OFFICIAL PUBLIC NOTICE OF ZONING APPROVAL RE: ZONING APPROVAL (BC12-00121) 2810 SERANG PLACE, COSTA MESA The Planning Division has completed its review of the above -referenced project. Based on the following project description, the project has been approved. PROJECT DESCRIPTION: The property owner proposes to add 870 sq. ft. (533 sq. ft. first floor; 337 sq. ft. second floor) to an existing 1,771 sq. ft. single-family residence and add 172 sq. ft. to the existing 490 sq. ft. garage. A minor design review is not required because the addition complies with the City's Residential Design Guidelines. The second floor is setback over 50 feet on the right side and an average of 10 feet 9 inches on the left side. Privacy of the adjacent neighbors will not be impacted because of the proposed second -story setbacks and window locations. The zoning approval will become final at 5 p.m. on May 24, 2012, unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee) or by a member of the Planning Commission or City Council. If you have any questions regarding this notice, please feel free to contact the project planner, Rebecca Robbins, at (714) 754-5609 or rebecca.robbinsacosta mesaca.gov. Distribution: File Eric & Edith Miller 2810 Serang Place Costa Mesa, Ca 92626 Jerry Lee Teixeira 2823 Tabago PI Costa Mesa, Ca 92626 Timothy Sweet 2812 Serang Place Costa Mesa. Ca 92626 Eric & Edith Miller 10120 Hayvenhurst Ave North Hillis CA 91343 Building Division (714) 754-5273 • Code Enforcement (714) 754-5623 • Planning Division (714) 754-5245 PLANNING APPLICATION SUMMARY Location: 2810 Serang Place Permit No.: BC12-00121 Request: Add 870 SF to existing single-family dwelling and 172 SF to existing garage. SUBJECT PROPERTY: SURROUNDING PROPERTY: Zone: R1 North: Single -Family Residential across Serang Place General Plan: Low Density Residential South: Adams Avenue Lot Dimensions: Irregular East: Single -Family Residential Lot Area: 9,396 SF West: Single -Family Residential Existing Development: 1,771 sq. ft. single family residence and 490 sq. ft. garage DEVELOPMENT STANDARD COMPARISON Development Standard Code Requirement Proposed/Provided Density: Zone 1 du: 6,000 SF. 1 du: 9,396 SF General Plan 1 du: 5,445 SF Building Coverage: Building — residence totals 15 Floor living 2,304 SF 24.5% 2" Floor living 337 SF Building —garage 662 SF 7.5% Driveway 320 SF 3% TOTAL — coverage 5,638 SF max. 60% 3,286 SF 35% TOTAL — garage area 700 SF max. 662 SF Open Space 3,758 SF min 40% 6,110 SF 65% Building Hei ht: 2 stories/27 FT max. 2 stories/ FT IN 2 floor to 1 Floor ratio' 80% max. 2,373 SF 11.4% 337 SF 1" Floor Residence Setbacks: Front 20 FT 13 FT Side (left/right 5 FT / 5 FT 6 FT 3 IN / 6 FT 10 IN Rear 5 FT (abutting street) 6 FT to patio/ 14 FT 5 IN to residence 2 Floor Setbacks: Front 20 FT 28 FT 8 IN Side IefUri ht 10 FT averse 10 FT 9 IN / 58 FT IN Rear 5 FT(abuttingstreet 24 FT 21N Rear Yard Coverage: N/A N/A Parking Totals: Covered 2 2 Oen 2 1 TOTAL 4 3 Existin nonconformin to remain )I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY'OM F COSTA ESApp..��C9y,I�NI,SS,�I �R��U��CTION PERMIT PERb11T NO. n BB Q- LOT NO. UNIT NO. Project Address -; 7NC/ 2 Y' � Applicant's Mailing Address Owner's Name S._�r,_s, �_ (�� Pho eZ Address Z�`n_'71�F--la(•VT f 1 ! �64a�z& Arch/Eng. License. License No. Address Contractor's Nam, ePhone T'3 Address (mailing) ' ti2 City License No. le -11 / LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with Section 7000) o1 Division 3 of the Business and Professions Code, and my license is in tulj /m<aglf effect. Licensy� Class L l% L" g ` N r Date Y-'�i�]—.fi Signature Vel WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate if Workers' Compensation Insurance, or a certified copy thereof (Section 3800Y Lab. C,) �'� .. VIFEF—?v �jy�Ht r T1 \tit Polic No. �'� Compan {'� t \�I. LJ Certified copy is hereby furnished. Cer ifie co y Is file with the cityyvild Divisio Dale PTI WORKApplERS' MP EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed 1f the permit is for one huntl red (8100) or less). certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to cite Workers' Compensation Laws Calif Orn la. Dale -Signature NOTICE: Compensation atter making this declaration, you r Cod become subject to the Workers' suchprprovisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY herebyrthat there Is a construction lending agency for the performance work of the workk for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the Bdsiness and Professions Code) or that he/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 Briefly 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 (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/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 com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with -a Con. tractor(s1 license pursuant to the 'Contractor's License Law). I am aware that proof o their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner I have read this application and state that the at I agree to comply with all city and county ordina to bujWi ng construction, and hereby authorize rs to e t upon the above-mentioned- property I Drivers' License or SS # — 7326 5/05/87 14.50 TYPE FCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # Zone DESCRIPTION OF WORK/USE OF BLDG. - S Main Building: Accessory Building: - E TYPE OF PERMIT GRADING FOUNDATI� STRUCTURAL T Front 1-1TENANT 1-1ELECTRICAL❑ PLUMBING ECHANICAL BA Rear ❑ OTHER PROJECT DESCRIPTION 50. FT. - OCCUPANCY— PROJECT Right KLeft CONSTRUCTION TYPE VALUATION $ $ ZONE GRADING CU.YDS. ACRES— CRES PIng. Ref. # Parking ReR./Provided Remarks: Planning Notes: ' mr—f•ffnFrm KAY h 1961 Z O N I N G R E 0 M T S Bar -Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink $ $ $ $ $ $ t 20 Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+ KW Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors CO Dishwasher Meter ❑over 100 amps Dishwasher Solar Piping $ 3 Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors ❑0-1HP❑1`h-8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 09-15 HP ❑16-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal ;Standing Sections P -Trap Laundry Trays i Generator ❑0.5 KW ❑5-15 KW Trash Compactor Roof Drains Reinspection Fee 1 $15 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # ' Hea 'ng System & Ducting 0100,000 BTU 0 100,000 BT Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type I ❑ Canopy Type If ❑ Re igeration System 0-100,000BTU 0100,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 Reinspection Fee $15 Issue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Applinatian Issued Rv n $ 3 BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ SMIP $ PERMIT $ ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ $ $ $ $ $ $ t 20 CO $ 3 00 CONSTRUCTION AND PLANNING APPROVALS - Permit # Date Inspector POOL a SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & 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 LIFER 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 Floor System 61. APPROVAL TO DECK 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 66. Solar System-Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS. Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro •22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil N23. Gas Pipe-Rough & Test 72. Underground Flush 3.24. Roof Framing 73. Undergrnd.StorageTank ❑Gas 0Oil 25. Roof Sheathing 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:6-_FJ_a'7 Lo,rT C4glw. 34. Final Heating & Air Conditioning 1.6-80 G4+)C4,L- 4SPO,G W-a 0jr02C, L.Eo 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final r; o 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer t 43. Backflow Irrigation 44. Landscape Irrigation System ' 45. Sound Attenuation .•�� 46. Handicap Regulations ;5l 47. FINAL STRUCTURE&'BU'ILDING 48. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ffCITY OF COSTA M s {1/ S RUCTION IERMIT °°°^^IT MnTR4rT Nn I nT Nn ^�,r..I Project Address `�� _ Applicant's Mailing AddressC r Owner's Nameer' �: �.�—Phone Address rD 1Ar� Arch/Eng. License No. Address ffiContractor's Nam ( PhoneC f Address (mailing) a -Q 14 (✓ un Are - City License No. :76;Z=3p LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full foXje tl fact. 71 /+ 1 I n� License yLa1s C� 'ci N�TYlJ L Date C l l ATIOSignaDECPr[�� WORKERS' ORKERS COMPENSATION Dt�N I Hereby affirm that I have a certificate consent to self o r a certificate ' Workers' Compensation 0, Lab.CCnsurance, or a certified copy thereo (Section rooky No. C jr n�_•�-•� ' OmpanY ertif ted c y is hereby turn shetl. ertifie p I with the city B Ildi DI to Applicant t FXEMPTIOrl P ROM RKERS' COMP&AATION DECLARAALfON This section need not be completed if the permit is for one h dr ($100) or ess). 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 Ike Workers' Compensation Laws of California. Date Signature NOTICE: It, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/She is exempt lerefrom and the basis for the alleged exemption. Any violation of Section ]31.5 by any applicant for a permit Subjects the applicant to a civil analty 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 o(feretl for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/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 com- pletion, the owner will have the burden of proving he/she did not build or im- prove efor the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project(Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds -or improves thereon. and who contracts for such projects with a ron- tractorts license pursuant to me Contractor's License Law). l am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner 1 hereby certify that I have read Information is Correct. I a°roe to ( Inspection purposes. Signature Drivers' License or SS tion and state t all city and com i. and hereby al 5 3ssza, 1 1 TYPE OF CONSTRUCTION Ll NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION VL1 REPAIR TYPE OF PERMIT U GRADING LJ FOUNDATION PL�ITR ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHAN ❑ OTHER " PROJECT DESCRIPTION SQ. FT. OCCUP CONSTRUCTION TYPE VALUATION $ ZONE GRADING CUA. VeD�S A( Remarks: 1 S Main Building: E T Front ARear -e- Right K Left Ping. Ref. # Planning Notes: Accessory Building: Zone O N I N G R E G M T S. y - - Y- - I ELECTRICAL FEES PLUMBING FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50 + KW Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter El over 100 amps Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Clarifiers Solar Collectors FanMotors 00-11 HP ''A HP 1 - B Dishwasher - Solar Piping F.A.U. Inc.Solar 09.15 HP 016.15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa Device Boxes Pole Light Floor Sinks Urinal Outlets Range Gas Serviee Outlets Water Closet Switches Sign— Interceptors Water Heater Garbage Disposal -. Standing Sections Kitchen Sink Water Service Generator 00-5 KW 05-15 KW - Trash Compactor Lavatories Auto -Wash -' P -Trap Laundry Trays Roof Drains Reinspection Fee $15' ° Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By - Date Building Approved By Date Application Issued By Dated r`r Reinspection. Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood Or Type I ❑ Canopy Type 11 ❑ BUI LAING PERMIT PL CHECK PLUMBING OHS PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% ITCHAN I CAL PLAN CHECK 25% SUMMAR OF FEES $ /D •DO SMIP $ $ PERMIT $ ISSUANCE $ $ ENE RGV P.C. $ ' $ GRADING $ $ MICROFILM $ $ TOTAL FEE $ $ •$ Duct - Under Ground Duct - Structural Refrigeratio 16ystem ❑0.100,000FTU 13100,000BTU Duct -Ventilating Exhaust System ❑ Multiple ❑ : System Repair/Alterationimirpl, 4e !AS Firepl/Fact. Bit. ICBO# Fire Dampers ' Heating System &Ducting E10.100,000 BTU 0100,0006 Registers ( _ y Reinspection Fee 1 $15 1 1 Ise Fee 0865-46, rev. 5/88 White -Build Ing; Canary - APPlicant; Ank - ACcountmq; Goldenrod - Assessor $ 3 01 00014210-00014211 TOT 108.59 DATE: 09/12/88 TIME: 15:26 V CONSTRUCTION AND PLANNING - APPROVALS Permit =# 'Date Inspector POO i SPA APPROVALS Permit# , Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.; Electrical Conduit Utility-Undrgrhd'. 54. Forms 4. Electrical Conduit-Unclr rncl. 9 S I 55. Electrical Bonding ' • 5. Steel •Reinforcement i 56. Rough Plumbing & Pressure Test ' 6. Eltectrical 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. ` i 60. Backwash Lines, P -Trap, 0 Undrgrnd... 10. Structural Floor-SYstem ' 61. APPROVAL TO DECK 11. Property Sewer Line:& House Conn' cti6n 62. Backwash & Receptor -Final 12. Seyver Cap i - 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 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. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas E Oil 25. Roof Sheathing I 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 PREV. FINAL .� 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT _ S• 31.' Plaster Brown Coat' j 79. FINAL INSPECTION 32. Electrical Power Meter -Final,._ 80. FOOD CERTIFICATE ISSUED= 1 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 40. Gas Service -Final 41, Solar Domestic -Final E X P I R E D 42. Backflow Preventer ainspections", 43. Backflow Irrigation e GL $I 44. Landscape Irrigation System 45. Sound Attenuation :S 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48, Special Requirements Completed 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas On -' 51. CERTIFICATE OF OCCUPANCY No. Date .- Lot 74 1 1989 ,9C� C eeCz �• C � MAR 6 ISO - COSTA MESA BUILDING -SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS C COSTA MESA. CALIFORNIA CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only LIVUO invee as Marine Inc. D`E'PT "D' fq Ab OWN,/I' MAIL 1600 W.Coast Highway ReCEI O BYDA RECEIVED/ DATE ISSUED I I ADDRESS -a-I'll ^•�� 6 TEL.M1 BUILDINGADDRESS CITY a rt ea No. b-1655 ARCHITECT Same TEL. �U COSTA MESA. &LIFORNIA OR ENGINEER No. ADDRESS FIRE ZONE TYPE bl GROUP Mesa Verde Builders, Inc. CONTRACTOR APPROVED BY DATE 453 ADDRESS Minorca Drive ZONING Costa Mesa CITY ZONE R NO.OP I PLANS Y U6E OP NEW BUILDING Ki 9-039 STATE TEL. LIC. NO. NO. LEGAL O88CRIPTION SIZE 9s I X 1061 I NO. OF BLDGB. 0 OF LOT NOW ON LOT A. P. NO. USE OF YARDS EVES EXISTING SLOG APPROVED ALLOWED B¢TBACK LINE PROM 40I171 'CENT"LINE ST.) CENTER Or STREET REAR YARD FRONT OFT. IN. SIDE YARD ILEFT 7f (RIGHT I R. SIDE FT. IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEW X II ALTERATION I IIADDITION L REAR FT. 1 IN. REPAIR I II MOVING II DEMOLISH ABYPROV I ,L,Lti,,,,.., DATE -4 SIZEBUILDINGl 0 t NO OF ROOMS 7 STORIES 1 EXTERIOR W La din COVERING COVERING S RMe USE OP� gleNG, ami y resl�ence &Egarage g i llY _ Model No. 750-C Attached garage 462 Sq.Ft. I HEREBY ACKNOWLEDGE T T I HAVE READ THIBI APPLICATION AND STATE THAT (THA ABO IB C 4TA AOREE COM- THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PLY WITH ALL C5{'�TY ORDIN CSB AHO ET uWA Rg LATINO PURPOSE OF ESTABLISHING A PERMIT PH8 ONLY. VALUATION / BUILDING CONE} uT LL ' SIGNATURE OF kA PERMIT FEE $ 7/, OO PERMITTE I ^[ � S `� /J PLAN CHECK S 0�/�� IT AUTHORIZED AGE 1 SQ TOTAL FEE