HomeMy WebLinkAbout848 SONORA RD - Building Permits�LN� � � ��
INSUR�NCE
POLICY NUM9ER
. H011 8 9 3709
STANDARD TIME AT THE
IG7
848 SONORA RD
COSTA MESA, CA 92626
MARY JANE BELL
848 SONORA RD
COSTA MESA, CA 92626
Homeowners Policy
Declarations
TERM
(VRS) PRODUCERCODE
01 1462133
T �ORT A CLAIM, Ca111�800-877-1111
AGENT OR BROKER
Inc
Coverage is provitletl where a premium or limit is shown.
Loan Number: 271287
CITY OF COSTA MESA
77 FAIR DR
COSTA MESA, CA 092626
Other Insmed Location (No., SUeet, Apt, Town or Ciry, 5[ate 8 Zip):
This Policy D�c� "Ict T_r.c'_ude Bu!ldir.g Ce.�',e Lp�ra3e ..eve�age.
Age of Dwelling: 40 Years
Earthquake Coverage Not Included - HONOS/1E601
Form372-NS Form438BFU-NS H000030491 H001040200 H004010693
H004960991 H029900193 HOE05/19E997 HOE05/15E997 HOE05/1E997
HOE05/3E997 HOE05/4F997 Inflation Protection Endorsement
HOE05/BE997 HOE0523
HOE05/6E997 Replace[nent Cost Contents
Charge £or Decreased Deductible
HOE05/8E997 Protection Device or Security Credit
Age Factor
Increased Coverage E Limits Premium
Increased Medical Payments Limit Charge
HOE05/12E997 ExtendeCl Replacement Cost Endorsement
Policv has been amendetl as follows: fA=ADDED D=DEI
HODOS/1E997 O%/�O/O2 SEE IMPORTAM NOTICE ON REVERSE
nL RETURN
�.�� �.��
Mortgagee Copy
CONSUMER PROTECTION INFORMATION - We may, as a part of our underwriting procedure
for processing applications for insurance, or in updating or renewing it, order an investigative
consumer report whereby information as to your general character, reputation, personal characteristics
and mode of living, whichever is applicable, is obtained through personal interviews with your neighbors,
friends or others with whom you are acquainted or who may have knowledge concerning of any
these items of information to develop information. If such a consumer report is ordered, further
information on the nature and scope of the investigation is available to you upon your written
request.
_ � :-
Owner:
Resident:
Site Address:
City/Zip:
Pa�cel Id:
L,ocation:
Neighborhood:
Legal Desc.:
Usage:
Style:
Construction:
Year Built:
Stories:
Bdmis:
Baths:
Heating:
Cooling:
Irr. Lot:
Tertain:
Wa[er.
Sewer:
Sqft ]st:
Sqft Total:
Market Value:
Assessed Land:
Assessed Bldg.:
Assessed Total:
Tax Semi Ann.:
Sale Da[e:
Sale Amt:
Deed Type:
Volume & Page:
Seller:
Title Company:
Multi-Parcel:
CITY OF ('(i��?STA MESA PROPERTY DETAIL� �PORT
v�4i,i
848 Sonora Rd
Costa Mesa, CA 92626-5708
Bell Mary Jane
Bell, David Leslie
84S Sonora Rd
Costa Mesa / 92626-5708
141-542-12
Cos[a Mesa City
Unknown
N Tr 4184 Lot 34
122: Single Family Residential
Unknown
Urilcnown
1962 Tot.Rms.:
1 Bsmt. Type:
4 Bsmt. Fin.:
2 Full Gar. Type:
Unknow� GacSq.Ft.:
Unknown Roof Mater.:
Unknown Roof Style:
Unknown Attic Type:
Unknown Condition:
Unknown Lot Dim:
Lot Size:
1418
Phone:
Phone:
Tax Address:
Ciry/Zip:
Owm. Occ.:
School Disnict:
Census Tract
7
Unknown
Unknown
A[tached Garage
Unknown
Unknown
Unknown
Unknown
149 acres
(714) 662-5967
(714) 662-5967
848 Sonora Rd
Costa Mesa / 92626
Yes
Newpor[-Mesa Unified
063904
Blktop Paving:
Concrt Paving:
Cacport:
Deck:
Pa[io:
Pole Bam:
Pool:
F'veplace:
Gas:
Electric:
$54,335 Gross Tax Semi Ann.:
$22,245 HB920 Credit Semi.:
$32,090 RB Credit Semi Ann.:
$54,335 RBA Credit Semi.:
$39124 Homestead Exemption:
Spec. Assmt Semi.:
Oct-17-1990 Mortgage Date:
Mortgage Amt.:
Other Mortgage Type:
Volume & Page:
Lender:
Unknown Mortgage Term:
N Mortgage Ra[e:
Unk.
Unk.
No
Unk.
Unk.
Unk.
No
Unk.
Unk.
$391.24
7'he inlbrtnation is decmed reliable bu[ is not guaranteed. 200I-2002 Tax Year Copyright 2002 Haines Printed Jul-2G-02
� ---
PflOJECT A�OPESS: 8 4 8 SONORA RD �
OWNEH'$NAME: BELL LESLIE -
aoosEss: g q 8 �ONORA RD
COSTA MESA,CA
(714)546-1666
AflCNIENGINEEN: ' � .
P�OPESS: '
uxir:
92626
flEC.NO.:
UNIT:
'E"^"rTEE: RAINPROOF ROOFING ( 714 ) 536-8702
aooeess: 369 P.O. BOX
HUNTIIJGTON HEACH CA 92648
LICENSED CONTRACTOfl DECt�1flATI0N: I hereby alfirm that I am licensetl under pmvisions of Chapler 9(commencing wiih Section
7000� ol Oiv�sion 3 of ihe Business antl Pmiessions Cotle, antl my hcense is in full �orce and efleci. ,
ciTruc.:049442 STPTELIC.:SS%'S �'^Sl;'�C—�9, /'
, �
�ate� S �// �9/ SignaNre. _���L �
WOflREBS' COMPENSPTION UECLABATIUN: I hereby irm ihat I have a certificate ol consent to selbinsure or a certificate o1 Workers"
Comvensaiion Insurance, or a cerufieA cooY �hereoi (Section 3800. Lab. C�.
roucvxo.: 1182447-90 E%P.ORTE: O�iIOS�92
cornvaxv: STATE FUND ,
� Cer�ified c�py is hereby tumished. � Cerii�ied copY is IileA wilh the city B/uilOing /Orvision.
oare: -�'i — �� ' — g� A000cam: �% �(.�i.l�� -.
E%EMPTIONFpOMWONREHS'COMPENSATIONOECLAflNT10 . QhisseaionneeAna�becompleleUd�hepermilisfaronehunOred�5100)orless�.
' I ceriity Iha� in Ne peAormance of ��e woB �ar which Ihis permi� is i55ue0. I shall nol employ any person in any manner so as to become
�I su��ect �o I�e Workers' Compensalion Laws of Calitomia. .
Oaie: SignaWre: '
NO710E: II, afier making ihis tleclaratioq you shoul0 become sublect m �he Workers' Compensation pmvisions ot ihe Labor
Cotle. yau mus� fori�wi�h comply with suc� provisions or �his permi� shall be tleemed revoketl.
CONSTHOCTION LENOING FGENCY: I hereby alfirm �hai �here is a construc�ion lentling agency �ar Ihe pedormance ot Ihe work for
whiih Ilris permii is i=.suetl �Section 3097. Civ. C�.
LENOEfl:
AODflE55: ' �
OWNEP BII1LOEfl DECIABRTION: I hereby allirm that I am eKemp� �mm �he Conirac�ors' S�ale License Law for tAe following reason
�Secti�n 7031.5 Business anU Pmlessional Cotle: Any ciry ol county which requires a permit �o constmci, alter. imprave, tlemolish, or
re0air any Slmcture. prior lo ils issuance, also requires Ihe aDPlicanl lor suc� permi� to file a signe0 statement thai helshe is licensetl
pursuanuo Ihe pmvisions oi Ihe Comracmrs' Sla�e License Law (C�ap�er 9(commencing with Sec�ion 7000) ol �ivisian 7 0� Ihe Business
anU Professions Coee) or Ihat nelshe is exempt Iherefrom an0 ihe Dasis for Ihe allegetl exempiion. Any violation of Seqion 7031.5 by
any applitam lor a permn su�lec�s Ihe applicam m a civil penal�y o� no� more �han �ive hundred�dollars (E500�.
I. as owner ol ihe property or my empioyees with wages as iheir sole compensation, will do the work, antl ihe
❑ SlmcWre is noi intenAeA or atleretllor sale (Sec�iOn 7044, Business and Prote55ionalCode: The Con[raciors' Sla�¢ License Law
tloes no� apply to an owner of a pwperiy wha �uiltls or impmves thereon. an0 who Ooes such work himself/herself or ihmugh
his ar her own employees, provitletl t�a� such improvemenis are not in�enaed or o��ere0 fo� sale. I( however Ihe builtling or
' impmvemeni i5 soltl within one year o� completioq Ihe owner will have the burden ol pmving he/she ditl no� Uuiltl or impmve
lor�he purpose of sale).
I,aS ownero�ihe property.am exclusivety conVacting with Iicense0 conVac�ors�o consimctihe prolect(Section 7044; Business
❑ and Pm�essions Cade: ihe Canirac�ors' S�a�e LicenSe Law tloes not appy �o an ovmer of pmperry who builtls or impmves �hereon
and who convacls lor sucli Wolecls wi�h a coniraclor�s) license pursuan� ta the Conlraciors' Sta�e License Law). I am aware
Ihal pmol o� IAeir Worker'S Compensalion insurance ShoWd be pmvitled lo me. .
,� I am exempl un0er Section: B. 8 P. C.
I, lor Ihis reason:
oate' � Owner
I tlo here�y cenity Iha� I am aware of antl understand the requirements ol Cali�omia HeaVh antl Salety Code Seciions 25505, 25533, and'
25594 ana Ihai I or any �ulure building occupant wAl/will nol (circle one) neetl �o comply wiN 5ai0 s�a�e�coees antl the requiremen�s far a
permii lor con5lmciion or modificalion Imm the Nii Ouality Management �iSVicL ResiOeniial cons�mction applica�ions are exempt �mm
Ne=.e U�ouisians. , • .
�Oale: ApP�icanl: �
I here6y cenity �hal I nave rea0 thls apphcatmn antl sta�e Iha� �he a�ove in�ormalion ls correcl. I agree �o camply wi�h all ciry antl wunry
ortlinances antl siatelawsrelatingto builtling con5�mciion and aulhorire representalives ol��is ciryto enierupon�he above�mentionetl
propertyplor inspeclmn pwposes. �
Dale: " �//y�� Signal
onver's�icenseorsocia�sewriiyx�
16GP46 White—Bmltling: Green—CoOe Enlorcement: Canary—Applicam; Pink—Revenue; Goitlemod—Fssessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 053822
PERMIT,NO; B 053822 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR FURPOSE: ALT
JOH DESCRZPTION : T/O OLD ROOF INSTALL NEW 30YR COMP'ROOF SQ FT: 5,674 •
CLAIM VALUE: 5,674,00 CALC—VALUE; 5,674.00 GROUP OCC; R-3 /M-1
COMMENTS- SMOKE DETECTOR(S) RE�UIRED IN HOME�������5 /'C—,�%i��
*�����**i��*��r�r**�*��*rt�r�****** �*��r��r*�*�**� *� ���r*�r�r* �x�* � *�
Z O N I N G R E Q U I R E M E N T S 9' //�9�
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING RE(� • PROV: PARCEL: 14154212 ZNE: REF NO;
PLANNING NtST'ES>
*x��***�e***�r�r* e'*�r�r***�r��t*�t�*�r�r�*�t�t�t�t*�t�t�t�t�t�t*�t�t*****�t�t***x�*�r�t*�t�t***�t�r�t��r**�*�c*x**
D E V E''L O P M E N T S E R V I C E S R E Q U I R E M E NoT S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY•� DATE: ' / %
*****�*�r*�r**�r�r.****�r*�r* ��+�+��****�**��������**
1tiklFilikiFlkiFiFiFlkiflFififiElf#kiFiFififiFikiF�EjFiFkiE�t ikJE�fkifiEiEN�ik3f �FiFkiEiF�f�fiEil�fiEkiEik!liE3fikifjtlFlkiliFlfiFiEiFifif3klE1F
LEGALIZATION;N F E E S U M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC . MECHANIC FIRE SMIPbRES GRADING
PERMIT 81.00 � -:;57
SMIP/NON—RES
PLAN •
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81,57 0.00 0.00 81.57 81,5,7 ,00
��
REVENUE DIVISION TOTALS--> COLLECTED: 81,57 OVER/SHORT:.`' 00
BLDG PMT PLUMBING ELECTRIC.MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 .57 .
)� ..'
iFiF iE jF iE if if iF kiE If �E iF if �lF 3F �k iF iE if iE iFak iE if iE �f iE If 1! k iE iE iF iF if iE if if iE iF iF it iFif iE iF iF if iFlE iE iF if iE if iEiE iF iF �f iF IE IE iF iE jF fF 1F if iE if iE �F ff {(. iF IF jf
' I N D Z V I D U A L F E E B R E A K D O W N `'
TYPE QTY D E S C R I P T I O N UNIT COST .�� TOTAL COST
SFR 5674 REROOF BY VALUE RESIDENTIAL NOZONE . 1.00 5,67q,00
, END OF FEES
�i
ci anosE�ii-ooaesg:�L :��r� ���' &i.s:�
DHTE: t79J12191 ?�S1E` 15�19
.�; ;
�
; � -�
CONSTRUCTION AND PLANNING � � POO :PA ' � '
APPROVALS Permit # � Date Inspector p�ppROVALS Permit # � Date Inspector
1.•Temporary Elect��ca� Servic`e or Pole , ' 52. Pool & Equipment Location
:�
2. Soil Pipe-Undrgrnd. W a�; 53. Steel Reinforcement
,.13,�E�gctriral Condu Z ULilitY-Undrgrnd� �" 54. Forms
.x.4.;•El�ctrical CondurtcUndrgrnd. `� �� 55. Electrical Bonding
{'� S�=Steel i�einforce�enI' �- � 56. Rough Plumbing & Pressure Test
n:dr�c:, �._ �-
��.��[ .11 � ��'� �v -'.)
�'Sc.�lgctrncal UFEFi G!�1d. ;v 57. APPROVAL TO COVER�GUNITE
H1�7(UFaotin�s .^�'y� ^• ' . 58. Electrical Conduit-Undrgrnd.
,r. �-.n.
a' B. Foundation Y;� �j ` 59. Gas Pipe, Q Undrgrnd., Test
9. Water Pipe�Und�grnd. 60. Backwash Lines, P-Trap, O� Undrgmd.
70. Structural Floor SYstem '. 'a � 61. APPROVAL TO DECK
11. Pcoperty Sewer Linc:& House Connection , 62. Backwash & Receptor-Pinal
12. Se�',wer Cap _ y y � 63. Heater & Vent-Final
�, .
13. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbin� '^ ` 65. Electrical-Final
1.5. Rough Electrical�Conduit 66. Solar System-Final �
16. Rough ElectricdNiring . 67. Fencing & Access Approval
�
17. Raugh Wiring Si9n 68. APPROVED FOR PLASTERING
_ 18. Rough Eleciric9f-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
�:
79. Rough Heating & Air Conditioning �� - � - - FIRE DEPT. REQUIREMENT
' 1S L����y:,, '
20nRoe{gh F�ctory F:aeplace � i�v; eC �.v =ic a¢1ppRO:VAL'S:;^.(.Permit # �•�
.i ...� ..rr, � ::., er . �si-c�- -.
��
21 sDuc't�,�t, i�Str'yctu�.e r i'y .. :y�, :� j ,�:;�; y; 570. l7nde giyun`c�j Hydro �n
22. DucKs, Ventilating�z � Cj� x � S �LY :> � 577, product*P.�ing ��tCi�s O'Oil
23i-Gas Pi e�Rou h&'Test � x 1 �' � •'�� �_7g, Under io �1 Fl�y '� r.
P 8 t �vS ....y i;� �' 9 1�. ;�5���% *
24�aRoo� Framing• :^� � ;--; �i-�• r � - C ��x � 73!nUndergrntieStorage�Tank'OGas OOiI
::n. � ti r ll�' � S O �-� _._. a
25. Roof Sh�athing ��Y ,� ,� ���- ;� ��(,U 74..Qverhead Hydro-.' � `
26`7-Bar Ceiling (S��yatural) &�Aonecoat + „- _ �y:r x 75LTDry Chemical J - r'.�;
27?Frameand Flash'� 'A�T~ �� � � u w 76ED�y Stand�it'�e ��} Y� •� 'n �-�
c., �v c �)�.:'0. .« 7' r S:. •- rT r O
4t / �]C '�i=i(J - i� M:.- � . .tl-. t �...' .� �3
.28. Lat�ing-& Siding-.x r.t ^�yt;; �x *7' •�:� s 777'FIXED SYSTENL'F'INALx ��'
.. ..
y29. Insulation �a. U': ` � •• •' '' �� 17 j- ,.�: `K 7gz.FIRE PREV. FINl�L '� ; i;,• �:
J-30. Drywall aiVmg `--* � �� j� �� �.yt R w HEALYH:DEPTeREQUIREMENT
- ' i �
r,31. Plaster &owqCo�i i r�.�. ,� i �_5�; r.79:�INAL If�$2ECTION ,- 'T ;�
" `� � �„ i � ` . � � ;f'��'a.y z80:,FOOD CEF2Tr�IFICATE ISFI'IED ��
��32.�Electrical Power �et rFinal ' : p�
.33.�Fina1 Electri. �' . ' �' '�. �r 1 �� h� ', �. :'Noi s: =' =�: :i_ ' - iri
C �n r4 �ri i eL # � y .� ' ;ni �-7 n�p]
;,`�,34..-Fin�t H2ating & �r',G�onditioning� � ,�, `'�' ! -� r � � Y t-,'-'�t � S ;]�
r .�
`35,�Finai Gaf Pip�-7esiy � �uf = z . { � � x +. " � iq S :t: t�� �; C,
•: 7 2r �.-• x '-.tn
T ' : f • •
-4� �� .� 1 ..i� "� . .n
36. Hood or`Cano v � -, ,-� _� % ' '
,y �� P O _ � t :. C� � r��, .,'�R :-. s, r ^ p ,,� „-
,37.CFinal Factory Fireptace.,,� ! �;� � �� ,Y �`= � , ��R�j.^ � '^ t�i
'f' � � :�
_'38. FinaV Plumbing�/Y ,��� � .. .. 4 :e �� � �, , T � {" � �
i ; /� .:t. �S i-� . �.r.. J
: 39. Water Service-Fina`l= '� � �� x� � i'�' '� C' ra�:� � o;
r .r � 4: s �•. tK t 1 ?!k +?� y�
°40. Gas Ser e�Finel' � , �'' r ; t "'. - �' x ," '"-
'4� �-.x t� ¢t�`?^ S +!<' ,� k rvn;
�7. Solar pomestic-F-+n`al:s ;� " 't � I I � _. v;.`� '
^ /: `i R• t+ .t• 'li- Y [
`-"42.�Backflow�PreventeT �� *J � � I ! h t �R >F ` _ S
� • � '� .
� . .�.-,.� : . . �-_ .� .
43. Backflow Irrtgation' '�= =� �� � � "� cc;:�; y ._
�: Y ry" :' ;: / ..
i.tf: 'Y. r �. .. (:l :r '
�n44. Landscape lirigation Systemi;:7� . � x �. - ,_,.... r ��7 � �1 J
:1: �: i �U J
:�5.'Sound AttenLatipn: , ,� - � �r. ?: i- i- c.-�.; :>. '� �� rt :- ,;;,y : " `
r .�r > �r. �t X. � -` ef �
�y, ' ' 'e rr .t Y: � . / ..�� _ U
C'46.� Hand'+cap,Regulatm�as :, - x ' ' .. ,, ,- , ',L_, '
-;/ �, Y�-
47:; FIN'AL STRWCfiIjRE & BUItDING �� �<6-Gl� �(�% _' � i5.- �. " �
,748 �'fIN;A� PLANNING� , ; ".r° > ( � ��.'� q " °' �� •
F.�-, ;n �' /ik. T! r, +,
-.:49r..�Elec[ric Release to Ediwn r ' ' i, 4.K > i� � � t i�e
�?.. � I i✓ n Y� n s
�50.,.GasyFelease to SoGfhefn Cafifornia GasCo � i � S ''� . ''�h ; `� '�,
�. . �� i
;-51.�CERTIFICATE�OF"OCCUPANCY , :� :; ` �� �.�; , ;, " �
No. Date
l;
OWNER
JOB ADDRES:
GENERAL CO�.
AP No.
INSPECTIONS
OCCUPANCY
0
�'r•r,, Leslie &
LOT
Jane
TRACT hl Rli FIRL 7.ONE
DATE I GROUP
VALUE $ 250,
D�SCRIPTION OF
TYPE v
SUBCONTRACTOR
7.ONE
&
S.
l,
,,:.��
���5z
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 817 COBTA MEBA. CALIFORNIA
For Applicanf to Fill In Complefely
YYPE OR PRINT
BUILDING U
ADDRE55 /J
COSTA MESA. CALIFORNIA
■ MAIL
■ wacH�iecr
�FE ' �RECEI V�d �
APR 2 ��
FINAIYCE DEPT,
CITY OF CJ�TA MESq
APPLICATION FOR PERMIT
BUILDING
TFor Office Use Only
� n@CEIPT NO. � �/1�0.
I V L
J!Y I OATE RECEIVED � AATE 185I1ED
ys�sez���
TEL. BUILDI� q-�� /'It'
NO.S 6"I � pDORESS �� C/ /�• i� (.Q.�+ /
rE�. COSTA MESA. CALIFORNIA
NO.
FIRE //
ZONE TYPE V GROUP
/�}.� / � NO. OF BIDOB.
OP LOT (7 `cL_V/ J v � NOW orv LOi I
� BQTBACK LINE PNOM
DESCRIPTION OF WORK
NO. OF
EXTERIOR WALL
GOVERING
USE OF BUILDING
i HER6BY ACKNOWLEOG6 THAT 1 HAV6 REAO TH�e MPLIWTION
AND BTATE THAT THE ABOVE I6 GORRECT AN� AGREE TO'COM-
vLV WITH ALL CITY O�INANCE6 AND BTATE L�WB R80UUTINO
eu1LpIN0 CON9TRUCTION.
81GNATURE OF ��� " ���
PERMI'RE� � � � v
AUTHORIZED AGENT
APPROVED
ZONING
Ho.ov use ov n
PLANS y BUILDING
YARDS EVES
APPROVED ALLO
fCENTER LIN¢ eTJ �/I ��...
THE AMOUNT SHOWN UNOER VALUATION IS FOR THE
PURPO6E OF EBTPBLIBXING A PERM�T FEE ONLY.
VALUATION
,�/� PERMIT FEE $ �� �
/ �%
S �i D PLAN CHECK $
F
0
LL
��
� ._
� r .,. � �`:tQ� I �C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIRORNIA
For Applieanf fo Fill In Compleiely
TYPE OR PRINT "
ADDRE'S6 848 Sonora Road
COSTA MESA CALIFORNIA
■ ARCHITECT
TEL.
NO.
TEL.
cin Corona del Mar, California
LIC.TNO. 9HHOH SB -1 TNO. OR 34220 �
oF �or 6500 SF nluc I r�+ow ow oia'
USE OF •
EXISTING BLDG. NpRC' �
86TBAGK LINB FROM
cerfrex oc eTneer �- V REAR YARD �
SIDE YARD I LEFT S� I RIGHT S�
DESCRIPTION OF WORK
BUILDING NO. OF
SIZE �nX3� � -in�� ROOMS
PXTERIOR WALL BYICIC,IROOF
Shingles
FEE RECEIVED
� JUL 121961
FINANCE DEPT.
CITV OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
RECEIPT NO. •� P{qMl7.NC
'1l !a M /
1'xl] �
ReGE1V� BY I DAR RECEIVED I DAT6 183U!
FIRE
COSTA MESA. CALIFORNIA
ZON1ING
y/ I NO. OF 'j yUBE OP N
l vuxe �/' BUILpIN6
(GeNTlR 4N6 8T.1
—�l- C
Sin le famil residence Living Area - 1245 SF
w attached ara e Garage Area - 390 SF
Cov orches - 110 SF
1 HEHEBY ACKNOWlPD6E TNAT 1 HAVE PEAD iX18 APPLICATION }ryE AMOUNT 6HOWN UNDEP VALUATION 18 FOH TH!
•NU BT/�TE THAT TN! A60V6 18 CORReCT AND Aaf168 TO CON- pUliP096 OP EBTAlL19XIN6 A PERMIT FE¢ ONLY.
r�Y w�Tef wLL CIiY OROINANCEB AND BTIITE LAW6 p84UUTINO
BUILDINo CONBTRUCT1oN. ' VALUATION �
81GNATURE OF PERMIT FEE $ ��
PERMITTE /
$y ' '�Do S 13�1(�'z.Q� PLANCHECK $��O �
AUTHORIZED A /�„���WLL�f " ' / G?B
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