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HomeMy WebLinkAbout847 SONORA RD - Building PermitsApplicant to fill in all soaces except those wilhin heavy EorGer lines ana sign all aov�oorlate Eeclarations. ITY - C NSTRUCTION PERMIT PEFMIT NO. , TRAC�JaNO. LOy�lO_ � UNIT NO. A P# 1 C OF COSTA Ik1�7 QQ��� Project AdAress � 5 � _ +�% 5.�� vlicant's Mailin Address n , y9n ��-�'s Name �v ��- �!}� T Phone! 5��3'%�� �� License No. � 9. A dr � Cqntrecrofs Name Phone Address (mailingl City License No. LICENSED CONTRACTOR DECLARATION I herepy a(firm that I am licensetl untler provisions of Gharter 9(commencing with seu o� �ivi5ion 3 of the Bu5ine55 antl Pr e, antl my IicensN �: in full ar t. License C1� ' ' "- N Date � Signature _ WORKERS COMPENSATION DECLARATION I h¢reby at m lha[ I hdve a tertiflcate of mn5¢nt fo selhinSure or a C¢rtiflcate of Workers Compensation Insurance, or a certifietl copy thereot (Section 3800, Lab. CJ - Policy No. Company eCertifietl copY is hereby furnishetl. Ceriifietl copy is filetl with the city Builtlin9 Division. EXEMPTION.FROM WORKERS' COMPENSATION DEGLARATION (This section neetl not be completetl if the permii is for one huntlretl ($300) or less): I ce(tify that in the performance of Ihe work for which this permR is issuetl, I sna11 not employ any oerson in any manner so as to become subject to the Workers' Compensatlon Laws of Califomia. Date Si9nature NOYICE: N, after making this tleclaration, you shoultl become subject to•the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with Such provisions o� tltis permit shall Ee tleemetl revoketl. CONSTRUCTION LENOING AGENGV 1 hereby affirm thaf there is a mnstruction lentlin9 agency for the performance of the work tor which IhiS permit is issuetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER DECLARATION I.hereby affirm lhat 1 am exempt trom the GonVattor's License Law for the followin9 reason (Section 7031.5 BuSiness antl Profe55ional Cotle: Any city or wunty which �equi�es a pe�mit to Construct, alter, improve, tlemolish o� �epair any structure, prior [o its issuance, also requires the applicant for such permit to file a siqnetl statement that he/She is licensetl pu�suant to the provision5 ot the Contraclor'S License Law (Chapter 9(mmmencmg with Section ]000) of Divizion 3 of the Business antl Professions Cotle) or that he/she is exempt tM1erefrom antl the basis for the allegetl ezemption. Any violdtion ot Section �031.5 by any applicant for a permit subjects the aOPlican� to d civil �nalty of not more tnan five huntlretl tloiiars (8500). I, as owner of the praperry or my employees with wa9es as their sole Compensation, will Go the work, antl tM1e 5t�ucture is not intentled or-offe�etl for sale (Section 7044, 6usiness antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work nim5elf/he�selt o� through his o� her own employees, 0/ovitletl that such improvements a�e not intentleA or otferetl for sale. If, however, the builtlin9 or improvement is soltl within one year ot com- pletion, the owner will have the burtlen of provin9 he/she tlitl not build or im- prove for the purpose of sale). ❑ I, as.owner oi the prooerty, am ezclusively contracting with licensetl con- tractorsto construct the project (Section 7044, Business antl Professions Code: The Contractor's License Law tloes nol appty to an owner oi property who builtls or imo�oves thereon. antl who contracts tor such oroiects with a con- traclor(sl Lcense pursuan[ m[ne Convactor's License Law). I am aware that proof of their Worker'S Compensation insurance shoultl be Provitletl to me. ❑ I am exempt untler Sectlon B. & P. C. for tnis reason Date � s I M1ereby c tity that iniormaHon Is correct. antl state laws relating 52f1idiIV25 O( Sh15 Cli} InsOeCtIOQ� u�p . $ignaturE� Drivers' License or 55 ° �6,rev. 5/88 hav¢ reatl [h TVPE OP CONSTRUCTION �1 NEW U ADO Ll ALTERATION LJ REPAIR -O CONVERSION ❑ DEMOLISH ❑ OTHER q.�SCRIPTI N OF WORK/USE OF BLDG. (T6 �tiE,� CJ,vUSGO POOL TV OFPERMI7 GRADING FOUNDATION STRVCTURAL ❑ TENANT'-� ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 54. Fr. � 1 oCCUaANCv � CONSTRUCTION TYPE �� N VALUATION $ � ZONE GRAOINGCU.VOS. -ACRES Remarks: Bar Sink Backflow Preventer Backflow Irriga[ion Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavamries P—Trap Roof Drains Reinspection Fee $15 Boiler Duct - Under Ground . Duct- Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Pact. Blt. iCBO dk Heating System & Ducting ❑0�100,000 BTU 0100,000 BTi Reinspection Fee � $15 White - Builtling; Canary - Applicant: Pink - Acrounting; Goltl¢nrotl - As5e550r Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank $wimming Pool w/Spa Urinal . Water Closet �Water Heater Water Service Auto-Wash Issue Fee IANICAL Hoodor Typel ❑ Canopy Type 11 ❑ 4efrigerazion System �o-�oo�aooeru ❑ioo,000eTu System Repair/Alteratior� v o i Fire Dampers �.�rmm�lntn I Registers ��2tE Issue Fee � S Main Building: E T Front A Rear - C Fight K .. .. Ping. Ref. # Planninq Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Etectric Fan F.A.U. Fixtures D2V IC2 BO%ES Outlets Swi[ches Garbage Disposal Generetor �0.5 KW �5-' zone Bui Req./Provided ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over700amps Sub Panel Motors D O-1 H P � 1%- 8 Inc.Soiar �9-15 HP 016-15+ Microwave Pole Light Range — Sign Standing Sections�� TrashCompactor� " 5KW FEES � Reinspection Fee '$75 ' � Issue Fee '" � $ 3 DEVELOPMENTSEHVICESREQUIREMEN �� - Zoning Approved By FEES , Building Approved By T' Aooliwtion Issued Bv $ 3 BUILDINGPERMIT $ PLAN CHECK $ = �MBING $ N CHECK -25% $ — ELECTRICAL $ � PLAN CHECK 50% $ MECHANICAL $ . __�_ PLAN CHECK 25% $ � � $ 3 Vi N I N G R E Q M T S. OF FE'ES /} �-� � SMIP $ �_ — PERMIT ISSUANCE $ ENERGV P.C. $ _ GRADING $ MICROFILM $ — TOTALFEE $_ �s Oi Op039355-QQ039356 �'��T .'S.;,. DRT'c: nsia2�av �ar1E: G�:e4 . � CONST'IY ^.�� PLANNING POOL & SPA 1 APPR '' Permit # Date �nspectct AppROVALS Permit # Date. Inspector 7. Temporary Electrical Service�or P�;,,, 52. Pool & Equipment Location �� 2. Soil Pipe-Undrgmd. � 53. Steel Reinforcement - 3.'Electrical Conduit Utility-Undrgrnd. 54. Forms . ' 4.�Electrical Condu�Undrgrnd. �� 55. Electrical Bonding 5.: Steel Reinforcement �� 56. Rough Plumbing & Pressure Test ,,. "6..'Electrical�UFERGrnd. 4 57. APPROVA�TOCOVER-GUNITE � 7. Footings, -� 58. Electrical Conduit-Undrgrnd. � 8.- Foundation �� 59. Gas Pipe, � Undrgmd., Test ; � y 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, O Undrgrnd. 10�'Structural Floor System � � 61. APPROVAL TO DECK 11! Property Sewer Line & House�Conn1ection " 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 �16i Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING �v 18r Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL 19� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20? Rough Factory Fireplace � ' APPROVALS Permit # ., 27. Ducts, in Structure ' ' '� � _ 70. Underground Hydro 22. Ducts, Ventilating � r 71. Product Piping O Gas ❑ Oil 23. Ges Pipe-Rough & Test •'• ' 72. Underground Flush _ _ �' � 24' Roof Framing 'i� �" 73. Undergmd. Storage Tank � Gas ❑ Oil 25!Roof Sheathing .� �'�, �.• . 74. Overhead Hydro 26. T-Bar Ceiling (Structurap &�Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing &-Siding �' 77. FIXED SYSTEM FINAL . 29. Insulation " 78. FIRE PREV. FINAL - i 30. Drywall Nailing �� -� HEALTH DEPT. REQUIREMENT . � � 31. Plaster Brown Coat� . 79. FINAL INSPECTION .� �� 32. Electrical Power Meter-Final. 80. FOOD CERTIFICATE ISS ED . 33. Final Electric Notes: � � � 34. Final Heating & Air Condi[ioning . 35. Final Gas Pipe�Test - - 36. Hood or Canopy � �� � - 37. Final Factory Fireplace ,38. Final Plumbing 39. Water Service-Final / 40. Gas Service-Final • � � i, 41. Solar pomesticFinal �% +;-- -(..�/.:''� 42. Backflow Preventer ' �; � 43�Backflow Irrigation�� �;i�,/ � � .• .. ., i�' 44. Landscape Irrigation System ' p � R E p /� 45. Sound Attenuation 1;7C0 plete Inspecticns.� ! 46. Handicap Regulations �f � 47. FINALSTRUCTURE&BUILDING � t 48. Special Requirements Completed �; . f1 49. Electric Release to Edison -'� -�^b+� , i �- 50. Gas Release to Southern California Gas Co �'� �'�- � ,. ,, •- 51. CERTIFICATEOFOCCUPANCY ..r�'✓ �, � No. Date q. �- ' ��..,� � AvOlicant to fill in all spaces exceot lnose within heavy bortler lines anC sign all aporopriate eeclarations. _ c! � 4 oF COSTa MESA NSTRUCTI/O�N7 �PERMIT , i Address �� �pO/�/� iC�{/ ~ yplicanYs Mailin Address ' �o��.Q.�' .Q� I '/ . Owner's Name �0�1f � ���7 Phone Address _� Smdl/��/� L% � Arch/Eng. � License Na. � Address � Contracror's Name ��= ��=�����//^.C/0� Phone Addresslmailing)�3� �.ve2R K.Y ' � City License No. tl3�sl � � � LICENSED CONTRACTOR DECLARATION � � I hereby affirm that I am licensetl untler provisions of Charter 9(commencinq with section 7000) of Division 3 of the Bus�ness antl Professians Cotle, antl my license is in (u I force antl eH t. . License Clas P ns No. 6 Z Date ' Signahre - �' WORKERS' COMPENSATION DECLARATION . I M1ereby affirm that I have a certificate of consent to self-Insure or a certificate 1� of Workers' Compensation Insurance, o� a certitietl copy thereof (SecHon �` 3800, Lab: C. �/ � Policy No, %�78(03"3� Company�P4 � �� Certifietl coOY is hereby furnisM1etl. /� .V l� � y�/ertifietl copy isji�etl�y+ ith t e city i g vi " .� PJte ��^�.._ _.71_1_{'9 /o litant EXEMPTION FROM WORKERS' COMPENSATI N DECLARATION ' ((This seccion neetl not be completetl if the permit is for one huntlretl (5100) or less). I certi(y ihat in the pe�formance of the work Sor which this pe�mit is issuetl; 1 snall not employ any person in any manner so as to become subject-to the Workers' Compensation Laws of California. � ' ' � Date' � � Si9nature -NOTICE:•i�,aRer making-this tleclaralion, you-shoul0 become subject to the - � VJorkers' Compensation provisions of the Labor Cotle, you must forthwith comply with such p�ovisions or � this permit Snall ,be deemetl revoketl. CONSTRUCTION LENDING AGENCV � ' ' 1 hereby atfirm thaf there is a mnsbuction lentling agency for the pertormance of the work ;for "which thi5 permit is issueQ ($ection 309] Civ. C.) Lentler's Name • Lentler's Atltlre55 � — - - � OWNERBUIL�ER DECLARATION ' ' I hereby aftirm that I�am exempt trom�the Contractor's License�Law'tor tne foliowing reason (Sectlon 7031.5 Business antl Professional Cotle: Any city or county which requires a permit to consVuct, alter, improve, tlemolish or repair any sVucture, prior to it5 issuance; also �equlres the ap0���ant tor Such permit to file a slgnetl statement that he/she is'licensed pursuant to the provisions of the Contraclor's License Law (Chapter 9,(commencing with Section 7000) of '; Divlsion. 3bf-the Business antl"Profe55ion5 Cotl¢) Of that"he/she'I5 exempt " tbereGom�antl the basis for the alleqetl exemption. Any violation of Section � j 7031.5. by any applicant for a permit subjects the. applicant to a civll � enalty.'o� not more than five hunared tlollars,($500). � � � :� I.:as'owner of the property or my employees with wa9es as thoir sole , cOmp¢n5ation .will tlo the work, antl the structu�e is nbt In[endetl o� ofteretl ` for sale (Section �044,'Busioess antl Professional Cotle: The Con[ractor's � I LicenSe,Law tloes'not appty to an owne� of a prope�ry who builtls o� improves :[he{eon; antl wM10 tloes such work�himself/herself ot tM1rough his o� her own employees, provitlea thaR such improvements are not intentletl or otfereC for Sale. If, howeve�, the builtlinqbr improvement is soltl within one yea� of com- �ple[ion,.the owner will'have tha burden of proving he/she tlitl not builtl or im- ; prove for the pu�pose ot sale).� . . �� I,�as owner of.the property, am exclusiveiy contracting witn Iicensetl con- tractorsto construct the Oroject (Section 7044, Business antl Professions Cotle: �� The'COnt�actor'S Licenze Law tloes not apply to an owner of.0�operty.who builtls or imoroves thereon, antl,who contratts for such projects with a con- �' t�actor(sl license Oursuanf to the Contracio�'s Litense Law). I�am aware that' �� proof of their Worke�'s Compensution insurance shOultl be provitletl to me. ❑ I am exempt untler Sectlon B. �& P. �C. for this reason � Da[e � ' • Owner � � � I he�eby certify'tha[ I have reatl this application antl state tnac tne above � info�mation is correcC I aaree�to comolv with all citv anrl mimfv nrrlinances P�q IT TRACT NO. ; LOT; NU.� I UNIT N6: � � � �' ���� , � ' . ' � , ; � l , TYPE OFCONSTRUCTION NEWp.� ADD ALTERATION REPAIR ' ❑ CONVERSION ❑ OEMOl.ISH {'y OTHER ,/��/�� _ _ Ap # _ DESCRIPTIONOF,WORK/USEOFBLDG. ��� � ' ' ' � ' ' S Main Buildi TVPE OF PERMIT ' GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ❑-ELECaTRICAL ❑ PLUMBING ❑ MECHANICAL � 6 Rear ��OTHER �$�COmF _ ' " _ _ _ 'A_ "' PROJECT DESCRIPTION, 5Q. FT. G oCCUaa.NCJ ,� � Right � CONSTRUCTION TYPE � 4ALUATION $�O�O_ � S Left ZONE 'GRADING CU. VDS. ACRES Ping. Ref. # Remarks: � . � � . Planning Notes: Bar Sink , Backflow Preventer - - � Backflow Irrigztion ' . Bathtubs • � Clarifiers� � _ � Dishrvasher Drinking Fountains- Floor Drains � Floor Sfnks � Gas Service Outlets Kitchen Sink '- +- � � lavatories , � P—Trep Roof Drains � I Reinspac[ion Fee $75 Boiler Duct - Under Ground Duct - Struc[ural . Duct - Ventilating � � ExhaustSystem'❑ MWtiple❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting �' � ❑ 0-100,000 BTU O 100,000 BTl _ � �'nspectlon p ses /J ' ' ' - Siqnature " .G� ' Oate���� ,• . — . : Drivers' License or 55 � � � ReinSpaction Fea , '$15 CMF 0865-46, rev. 10/84 Whit¢ - Builtlinq; Canary - APPIiGant; Pink - Accounting; Goltlenrotl - As5E55or Showers ' Service Sink � ' . Sewer Cap � ' � �Sewer Connection ,SolarCollectors ' . $olar Piping ' . ' Solar Tank � � � Swimming Pool w/Spa . Urinal � Water Closet - ' Water;Heater � . � Watei Service ' - - A11t0-W25I1 ' � Laundry Trays . � � . i Issue Fee' �ANICAL Hoodor Typel ❑ . Canopy �Typell ❑ Refrigeration System ❑ o-i oo,000 ar u' O i oo,000 System Repair/AI[eration Fire Dampers - � Registers ' ' . - . � Issue Fee � ' Automatic Washer � Construction Pole Sub. Cooking Unit � Dishwasher � Dryers ❑Gas� ❑Electric ran � F.A.U. Fixtures Device Bozes OUtI2t5 ' Switches' -� Garbage Disposal � Generator O65 KW C � a 1 ' $.3 : Reinspection Fee ' FEES • _ DEVELOPMENTSER � Zoning Approved By _ ildin A roved Bu 9 PP BY � Aoolication Issued 6v_ ; 5547 10/20/86 _ . ; . Zone Accessory Building: � ' 1 ' 7 t Parkinq�Req./Provided + , � ELECTRICAL � • � Transformer�❑ 15-50KW .' � � -�50+KW� � Meter Dup to 100amp5 '. . �Meter �over 100�amps � . Sub Panel ' . � Morors �0-7'-HP � 1'/: - 8 Ina Solar �9-15 HP 016i15- Microwave � � � Pole Light , ! 5-15 KW " ` 27.50 7L Z O N . ' N G a E Q M , T S FEES � Ranqe Si9n . . . , . . _.. Standing Sections . , Trash Compactor $75' Issue Fee ICES REQUIREMENTS: � 3 � 1. - � S RV O� fEES � ' "�--y-� ` Q� BUILDINGPERMIT $`�� . ; -SMIP ' . $• �� v v= PLAN CHECK � $ - ' - PERMIT ' � � .. � � ' PLUMBING � - '- $, " ISSUANC6 $ - ' ' PLAN�,CHECK �25%� $ ' '�ENERGV P.C.. $' - � ELECTRICAL . '. $. � GRADING t . $ � - . � PLAN�CHECK ' 50%, $,- ' � -' MICROFILM _ $ � � , MECHANICAL ' $_ � ,TOTALFEE - $�� - PLAN CHECK 25%� $ � , � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date .Inspectoi qppROVALS 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 ConduirUndrgrnd. , 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 Undrgmd. 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. 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 O Gas ❑ Oil � 23. Gas Pipe-Rough & Test • 72, Underground Flush '� � 24. Roof Framing - 73. Undergrnd.StorageTank �Gas ❑Oil .� 25. Roof Sheathing �., � � 74. Overhead Hydro , � 26. T-Bar Ceiling (Structural) & Monocoat '75. Dry Chemical •' - 27. Frame and F�ashing • � 76. Dry Standpipe ' 28. Lathing & Siding • � ' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. F�NAL 30. Drywell� 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 � � � ' - • � J" 35. Final Gas Pipe-Test ' 36. Hood or Canopy � 37. Final Factory Fireplace �j�� . 38. Final Plumbing � , �� , �� 39.� Water Service-Final � • � , ; . . � . 40. Gas Service-Final � � � . 41. Solar pomestioFinal _ . , • � �- '42. Backflow Preventer � , � . � • ;, �$3. Backflow Irrigation � , - ," . ' 44. Landscape Irripation System �� , , ` ' � . '45. Sound Attenuation ' -� � � � • 46. Handicap Regulations � . � � � ' 47. FINAL STRUCTURE & BUILDING �� � '� ' 48. Special Requirements Completed � . � �, " � 49.''Electric Release to Edison - ' � , • ' � 50. Gas Release to Southern California Gas Co � • 51. CERTIFiCATE OF OCCUPANCY � �- � N0. Date � r - i �ITY OF C�S�1� MESA �CALIFORNIA P. O. BOX 317 FROM THE OFFICE OF THE PLANNING DEPARTMENT Ji$E 2%/ �-� JOkIII B. $S71II�T60II S�F7 SOIIOTFl R03d COStB M@88� C8LIPOIR118 Dear Pool Oxner: The Costa Mesa Planning Department has been notified of the completion oP yuur swimmin8 Pool. So that�your pool will be a safe one and for the puxpose oP advising you of your responsibility regarding the requirements oP the Costa Mesa Municipal Code� we quote Section 9298•9� 1. No srrivm�ing pool shall be coastructed closer than five (5) feet to any property linea, meaeured from water line of pool. 2. No s*,ii.�ing pool shall be constructed under any electric power Xines or on any electric power easement. 3• No swiamiing pool sha]1 be constructed unless the yard surrounding such pool is co�pletely enclosed by a Pence six (6) feet in height and i,as e self-closing and locking type gate or ga.tes. This courtesy letter is directed to you so that you will be aware o£ our ordinances and can make a complete eafety check of. pool area. Siacerely j"(/ ��� �Un"'r� William L. Durin Director oP Pla.nning UA7'L�' PERMIT NO. 'LONE � VALI OUP J TYPE SUBCONTRACTOR - -''� 25760 y. COSTA MESA BUILDING-SAFEfY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92E28 For Appllrnnt ro F(11 In Complero►y � TYPE OR PRINT � eui�owu �y7 a ✓6lCA-- q. AODRfiDD COSTA MESA, CALIFORNIA owr,aR V o k� O�k«tide,� S a�✓ Mwi� a� Y cs�o iyuRA .L woorts, e�Tr C� Tn >f r/} No 1Y 2�: OR fiN�6 N 6R �.�A't� % N�LS 2 J% wconeoa : G ,- / /Z u s < <r `/ coNTRA : < ��✓�J wo�ri �YJ ' LG_ :��u-�C c�rr 6 ,2 A-n.- c ucNo.1 �7-6/ N�',' J,��auC� 61ZE �U �/ C 3 xo. or ei.no�. OF LOT / NOW ON IAT USE OP T EXIBTINQ BLDG. � � �-/. BCTBACK LIN6 P0.0Y cermn or ernesf RRAR YAR SID YAR LCRT p10MT DESCRIPiION OF WORK I M[MlOY HIGNATUREOP' `'4 PHRMITT6 AUTXORIZ[D AO�N'[ CiTY �F Cy�;A ��S� JUN 3 196�� No ewve r6RMIT NO. ��,� (o d � DAT6 �� �G ZONING u.c or N�w� suno�wa f' �5-%'12, -' �T �^ � �iHAN68MALL�BLlBBTHAN YARDf APPROVED MAIN Bl1ILDINO vwre. # YARDHAPPROVHD ACCE880RY BpILDIq DATB 6 P�RlDIiMfo µ� �� urn.» FOR 4P i m i � sa. rr. � I RMO YXIY A��4GTON TI[ AMOYNT �NOWN UNOCR V�LUATON Ie POR TXi ' [CY AND AOp66 YO COY• �YRPoB[ 01� (�TApLI6NIN0 A P6pMIT ►6Q ONLY. � tTwR tAw� �soutAnno VAWATION � � PERMITFE6 � — � � p7 °� E sU�QOU 6 � w ,,-:r�' ' 1��3`7� COSTA MESA BUILDING-SAFETY DEPARTMENT - P. O. BOX 3f7 C08TA MBBA. GALIPORNIA � ' For Applicanf fo Fill In Compleiely � TYPE OR PRMT ' - ■ MAIL COSTA MESA. GALIFORNIA ,^. 3800 E. Coast Highway NO. O� 7 OR 3422 FE RECEIVED � JUL 121561 FINANCE DEPT. APPLI�4TION FOSR P RM T BUILDING For Offiee Use Only aecerveo ev I c�Te nace�veo I � COSTA MESA. CALIFORNIA APPROVED ZONING zoHe �/ Ho. or .^ use or � �, [ PLAN6 �-. BUILDINO neene�x.r.0 ( � `'�; l ( l ( U3E OF None ' rnnos EXISTING BLOG. APPROVED GCNTER OP'NBTRlETM 4� ��U�� REAR YARD36 � lU f�N�R YN6 9T.) [ I FRONi �i SIDE YARD ILEFT S�' IRIGHT ' S� R.SIDE - DESCRIPTIOid OF WORK _:r-�' NO. OF n 1 v:� i_ i a�� ROOMS J STORIE WAL![�`tuC00. IRooF.,..... Wood Sh in le famil re idence Livin Area - 1245 SF w/attached ara e Garage Area - 390 SF � Cov Porches- 38 SF 1 XER6BY AGKNOWLEDGE THAT 1 HAVE RlI1D TMi9 �I'PLICATION THE AMOUNT BHOWN UNOER VALUATION i! /OR TXE ANO BTAiE THAT THE ABDVE �B CORREGT AND AGN!! TO�CON- PURP086 OR E9TABLIBHIN6 • PERMIT PEE ONLY: PLY WITX ALL CITY OPOINANCEB AND 9TAT6 IaW! REOULATIN6 BUILDING CON9TRUCTION. YAI.�UATION � SIGNATURE OF � PERMI7 FEE $ �� PERMI'RE / � B�r S 13�OLZ.00 PLAN CHECK $/lf' AUTHORIZED A �� ' ./i��