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Home My WebLink About498 STURGEON DR - Building Permits• � � CITY OF COSTA MESA �StpMF BYILDING DIVISION i� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us : �. .°� FOR INSPECTIONS CALL: (714) 754•5626 #�'°°"`°"� PERMIT NUMBER: M09-00119 PERMIT TYPE MECH APN: 41803213 STATUS: ISSUED DATE ISSUED: 12l'14/2009 ISSUED BY: KJB JOB ADDRESS: 498 STURGEON DR CM Suite/Unit: Vicinity: SQ. FT: 0 SCOPE OF WORK: REPLACE FURNACE LESS THAN 100K BTU OWNER: DICKERSON, DONALD D Address: 498 STURGEON DR Unit: PHONE: City/State/Zip: COSTA MESA, CA APPLICANT: JACOBY, ERIC Address: Unit: PHONE: Ciry/State/zZip: CONTRACTOR: SERVICE CHAMPIONS Address: 22911 SAVI RANCH PKWYUnit: City/State: YORBA LINDA, CA ZipCode: 92887 MECHANICAL PERMIT FEE SUMMARY NIECH ITEM FEE: $52.00 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE; $0.00 :i (: TOTAL FEES: $52.00 License No. 799170 PHONE: 714•777•7777 CELL: ''tt,v-`l�,i� I:3 „ f.,{)v f'1ti NOTICE: The work authorized by this permit sha77 comply with al! applicable handirap access requirements under Calitornia statutes and related .c,egulations. (Ord. No. 92-28, § 7, 12-21-92) �EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all iequired inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. rCQ0E1'�. INSPECTIONTVPE pATE INTITIALS COOEi INSPECTONTYPE � OqTE TIALS 1616 Fixed S stem Final Fire Prevention 206 Final Mechanical �'L �(� 12s6 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Elec�ncal 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Fina� Planning Appmval 203 Final Sign 222 Final Site ' . u} �''` ' 204 Finai Demolition 250 Final Building/OccuOancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of periury one o( the following declarations: ❑ I have and will maintain a certificate of consent to sel6lnsure for workers' compensation, as provided for by section 3700 of the Labor Code, tor Ihe or ance of [he vrork (or which this permit is issued. I have antl will maintain vrorkers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the pedormance of lhe vrork for which �his permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Ul .�'S E'S 7i L (This seaion neen0 �ro( be mmple(tN AMe permR u valued at one hondretlWllars (St00) a less ) Policy Number: `�� Y � % �U �Z—�- ❑ I certify that in the performance of Ihe work for which this permit is issued, I shall not employ any person in any manner so as [o become subject to the workers' compensation laws of Califomia, and agree that i( I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shal forthvnlh comply with these pr Ivis'on� � � Appllcan s IgnaWre ate WARNING: FAIWR O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLlARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70RS OECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code, and my license is in (ull force and effect. Lic. # 7 � �U Class # �" z�J i Cc tor's Srgnalvre ate CONSTRUCTI N LENDING AG NCY: ❑ I hereby aftirtn Ihat ihere is a construction lending a9ency for the peAortnance o/ the work fa wfiich Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalry of perjury lhat I am EXEMPT FROM THE CON7RACTORS LICENSE lAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit ro constmct, alter, impmve, demolish, or repair any stmcWre, prior to its issuance, also requires �he applicant for such permit to (le a signetl slatement �hat he or she is licensed pursuan[ to [he pmvisions of the Confrectors License Law (Chapter 9(commencing with Section 7000) o/ Division 3 of [he Business and Professions Code) or Ihat he or she is exempt lhere(rom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applican� for a permit subjects lhe applicant to a civil penalry of not more than five hundred dotlars ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the strucmre is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves ihereon, and who does such work himself or hersel( or through his or her own employees, provided that such improvements are not intended or ofteretl for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose ol sale.). ❑ I, as owner o( !he property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to cons[ruct the project (Sec. 7044, Business and Professions Code: The contractas License Law dces not apply to an owner of property who builds or impmves [hereon, and who conlracts for such prqecl with a contracta(s) license pursuant ro ihe Contrectas License Lavrs.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verified by drive, , ncense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ 1 hereby cetldy Ihat no excavation (rve (5) or more /eet in depth into wfiich a person is required to descend, will be made in conneclan with vrork authorizetl by this pertni�, and ihat no builtling strucWre, scaffdding, false�+ork, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Atlminis[2tive Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit (rom ihe Division of Indusirial Safety, as noted ahove, unless such person has a permi� �o do such vrork from the tlivision. Appliwnfs SgnaWre Date Division of Industrial Safe[y Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file and ceAify a Business Plan for emergency response b release or Ihreatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceplions, �hat a Business Plan be fled with the Costa Mesa Fire Depanment by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure�. 2. Does or will [he applicant or present or fuWre building occupant need to fle a registretion form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of [he California Heal[h and Safery Code, with some exceptions, requires registration with Ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equalto or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard IemperaWre and pressure). 3. Does or will Ihe applicant or present or (uture building occupant need to prepare an RMPP (Risk Managemen[ and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safery Cotle provides lhat the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Departmen[. 4. If an RMPP is presently required, has Section 25534 of Ihe Calilornia Health and Safery Code been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or future buiiding occupant require tor ihe work which is lhe subjec� of this application a permit for such construction or motlification from the South Coast Air Quality Management District or from any other air pollulion control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the reques[ed information be fumishetl on applications for non-resitlential builaing permits). 6. Will any part of the faciliry to be constmcted untler this permit be vnthin 7000 feet fmm Ihe outer boundaries of a school? ❑ Yes ❑ No (If "yes", the faciliry must meet the requiremen[ o( Sections 25534 and 42303 of lhe Califomia Health and Safety Cotle). 7. If a permit from the South Coast Air Quality Management District or other air pollution contml district or agency is required for the work which is the subject of this application, have all o� the disclosures prescribed by California Health antl Safety Code Section 42303 been made? ❑ Yes � No 8. (It "yes", attach ceAificate of compliance trom the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify Iha[ under penalty of perjury the information given above is correcL I agree to comply with all state lavrs antl city ordinances regarding Hazardous Materials antl Emissions. SlgnaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penatty of perjury thal I have read Ihis application antl state [hat the information given is correcc I agree to comply with all state laws and ciry ordinances relating ro building consWc[ion, and authorize representatives of the City of Costa Mesa [o enter upon the above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit until fnal inspeclion. SignaWreof e9alOwner�s) '� ate ` Signa�ure Oa�e � �� ' U 309-46 (3/0]) Antllor Aut r e0 Applmam � Date � (714) 754-5273 • Fafc (714) 754-4856 • www.Ci.Cos�a-fflBSa.Ca.uS 77 FAIH UflIVE, GOS I A MtSA, GA yZti2ti BUILDING PERMIT Jobqddress: 498 S7URGEON DR Suite: Vicinity: ROOF Parcel Number: 41803213 Applicant: MILLER, DAVID Address: 3027 ROYCE LN COSTA MESA, CA Owner: DICKERSON, DONALD D Address 498 STURGEON DR COSTA MESA, CA Contracror. ORANGE COAST ROOFING Address: 3027 ROYCE LN COSTA MESA, CA Zip: 92627 Arch : Address: Zoning: R1 R1 Phone: (949)631-1924 Zip: 92627 Phone: Zip: 92626 Phane: (949)631-1924 License: 434674 Eng: Address: Phone: Status: 1SSUED Applied: 05/28/2002 Issued: 05/28/2002 ISSUED @Y: �� Phone: 2ip: License: License: SCOPE OF PERMIT TEAR OFF WOOD SHAKES, SHEET IN WITH 7/16 O.S.B. REROOF 2 STORY RESIDENCE AND ATTACHED GARAGE WITH 30 YR COMP. SHINGLES, CIASS A. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $139.25 $0.61 $0.00 $0.00 $0.00 $139.86 SETBACKS MAINSTRUC7URE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ss,�oz.00 Ss,io2.00 �. NO710E: the work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related il regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned to� a period ot 780 days. • -,. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . :aao�no �aw) WORKERS'COMPENSAnON DECIARAnON: I hereby attirm under penalry oi perjury ona of the following OeUaretions: ❑ I heve end will mai�tain a certiticate oi wnsent to selFlnsure for workers' compensalion, es proWded for by secllon 3700 of tha Labor Code, for Ihe peAortnence oi the work for whiCh t�i5 pertnit is issued. . � I have antl will main i workers' compensatlon insurance, a5 requiretl by sectbn 3700 of the Lebor Code, for the peAwmence of ihe work for which this pertnit is issued. `-ASIy wo mp atlon �r�ence ca,j//�','r entl pollcy number are: _)y ^�(,.� l �Certie��j �w'Y�{ rPOIIcyNumber:-!TU -� "d`� � �(7h15 section neetl not be comp eted i! fhe Oermitls velued e hundred dollars ($100) or IauJ ❑ 1 certity ihet in the pertortnan F tha ork fo which hi pertnit is issuetl, I shall not employ eny parson in eny menner so es to become subject to iha workers' compensetion laws Califoml , en gree t et If I o Itl become sub�ect to the workers' compensatlan provisions of Section 3700 ot Ihe Labor Cotle, I shall torthwit� camplywith these 'sions. � ^ �1 ��r �AppliwnPSignetire— �--Date: < WARNINOfFAICURE TO 5 F E COMPENSATIdJ CAVERAGE IS UNL4W L AND SHNLL SUBIECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO TME CAST OF CAMPENSATIIXJ, DI�GES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, ANO AiTORNEY'S FEES. LICENSED Sectian 7000) oi Divisian 3 0l Date: end my license is in lull CONSTRUCTON LENDING AGENCY: � ❑ I hereby affirtn t�at ihere is a construclion lending apency lor the peAormance ot the work for which ihis pertnil is issued. (Sec. 3097, Civil Code). Lentlef5 Name: Lentler'S Addres5: Signeture: OWNER-BUILDER DECLARA710NS: Dete: I hereDy eHirtn that untler penalry oi perjury ihat I em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor t�e following reason (Sec.7031.5, Business entl Professions Code: Any ciry or counry which requires e permit ro construct, alter, improve, demolis�, or repair any sirucNre, prior to its issuence, also raquires t�e applicant tor such pertnit b tile e signed statement ihat he or she is Ilcensed pureuent to the provislons of Ihe Contractors License Lew (Chepter 9(commencing wiN Section 7000) ot Divislon 3 of ihe Business antl Protessions Code) or ihet he or sha is e:empt therefrom antl the basis for the alleged exemption. Any vloletion of Section 7031.5 by eny applicant for a permit subjects the eppliceM to a civil penalty ot nat mare Ihen live hundretl Aollars ($500).): ❑ I, es owner of ihe propeny, or my amployaes wlih weges as their sole compensation, WILL DO 7HE WORK, end the stmcture Is not intended or ofleretl for sale (Sec. 7044, Business end Prolessions Code: The Contrectors License Law does no� apply to an owner of property who builtls or improves thereon, antl who does such work himselt or herselt or ihrough his or her own employees, providetl that such improvemenis are not intendetl or oHeretl for sele. II, however, the 6uilding or improvement Is sold within one year oi completion, the owner-builder will have ihe burtlen oi proving that he or she did not build or improve for purpose oi sale.). ❑ I, es owner oi the pmperry, am E%CLUSIVELV CONTRACTING Wlhf LIGENSED CONTRACTORS to Consirucl the project (Sec. 7044, Business and Protession5 Cotle: The comracbrs License Law does not epply to en owner of pmpery who builds or improves lhereon, entl who coNrects for such project with a contractor(s) license pursuant to ihe Contrectors License Lews.). ❑ I em exempt untler sec. Business end Professions Cade for this reasan: Signawre: Date: Owner ID veritied by tlnvels license. ❑ Ves ❑ No Dnvers License No. Ezpires: Vanfcation of Ownership by (rype af tlacumenl, i.e. - pmperty tax bill or tleed): DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATON: ❑ I hareby certiy ihat no excavetion five (5) or more leet in depth into which a pereon is requiretl Io tlescend, will be mede in connectlon wl�h work authorized by Ihis pertnit, and that no building siructure, scettolCing, falsework, or demolition or dismantling ihereot will be more than thirry-six (38) faet high. (Chap. 32, Gry 2, Ar12, Sec. 341, lltle B, Califomia Atlminisiretive Cotle). ❑ As owner-builtler, I will nol employ enyone to do work which would require a pertnit trom the Division of Indusidal Safety, es noted ebova, unless such person has e permit to do such work from the division. Signature: Date: Division ot IntlusMal Safery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON F EMRY: I cenity under penalry ot perjury Ihat I have read this epplication antl state ihat the iniortnation given is wrrect. I egree Io compty wlih all stete laws end clry or ences relating to bullding consiruction, and euthoriza representatives of t�e Ciry ot Cwta Mesa to enter upon t�e above-descqbed propeay for inspection purposes. I egre ot to accupy or ellow occupancy of any building authorized by this pertnil until final inspection. COOE t. INSFECTONTYPE 1 fi16 Fixed System Final Fire Pravention 1266 Pool Spa Final 200 Finel Re-Roat 201 Final BIocWRetaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demolition ' �g �§ - /-0.2-. �- _ Date CODEI INSPECTONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Final Elecirical 272 Final Flre Preven�ion 220 Final Plenning Approval 222 Final Site 250 Final BuiltlincyOccupancy DAre It�l.i W cSTERN LABORATOk�cS 13626 SOUTH NORMANDIE AVENUE GARDENA, CALIFORNIA 90249 Work Order 3395 FAcu�rr 1�9900 — DAvie G-1393 Lab No. 11139 October 1, 1968 Job Identification: Swimming Pool Location: 498 Sturgeon Avenue, Costa Mesa, California Owner: Sterling F. White Contractor: Wm. �olich COMPRESSION TEST REPORT Gt1NITE Lxation in Structure: Shallow end Identification No.: Cylinder No.: Mix DeSign No.: Slump: Nominal Size: Area: Date Made: Date Tested: Age: . Compressive Strenqth Total Load: P.S.I.: Design P.S.I.: 1 F-34 6.15x13.4 29.71 8-30-68 9-6-68 7 days 1 F-35 6.OSx12.07 28,75 9-27-66 28 days 1O5s500 107�500 3550 3740 2000 @ 28 days CONFORMS TO SPECIFICATIONS Respectfully submitted, WESTERN LABORA' G `�M�(1 . �� UILDlNG SAFEiY DEPT. OCT 3 1968 qM PM `7i8+9�L1�U�ti'�1i2�3'��;�i�t � �,,,�'�, ` V�STERN LABORATOk�tS 13626 SOUTH NORMANDIE AVENUE GARDENA, CA�IFORNIA 90249 Work Order 3395 FAcuL*v1-8900 — OAv�39-1383 Lab No• 1114� October 1, 1968 Job Identification: Swimming Pool Location: 498 Sturgeon Avenue, Costa Mesa, California Owner: Sterling F. White Contractor: Wm. Frolich COMPRESSION TEST REPORT G(INITE Location in Structure: Deep end Id@ntification No. Cylinder No.: Mix Design No.: Slump; Nominal Size: Area: Date Made: Date Tested: Age: Compressive Strength Total Load: P.S.I. Aesign P,S.I.: 11 F-36 6.15x13.5 29.71 8-30-68 9-6-68 7 days 11 F-37 5.81x12.25 26.51 9-27-68 28 days 100,000 102,000 3365 3850 2000 @ 28 days CONFORMS TO SPECIFICATIONS Respectfully submitted, :�• •• ��'� ;��.i11�D BUILDING SAfETY DEPT. ocT s �9sa AM �'� 7,8��1��11,12�ji2,3�4,�31��,, , D_, � ,a,�"�;1� ` W�STERN LABORATOk��S 13626 SOUTH NORMANDIE AVENUE GARDENA, CALIFORNIA 90249 Work Order 3395 FAcu�rv i-9900 — DAvis 9-I3D3 Lab No. 11141 October 1, 1968 Job Identification: Swimming Pool Location: 498 Sturgeon Avenue, Costa Mesa, California Owner: Sterling F. White Contractor: Wm. Frolich COMPRESSION TEST REPORT ' GUNITE Location in Structure: Bond Beam @ skimmer Identification No.: Cylinder No.: Mix Design No.: Slump: Nominal Size: Area: Date Made: Date Tested: Age: Compressive Strength Total Load: P.S.I.: Design P,S.I.: 111 F-38 5.92x13.3 27.53 e-30-68 9-6-68 7 days 111 F- 39 6.00x12.98 28.27 9-27-68 28 days 94,500 126,000 3435 4455 2000 @ 28 days CONFORMS TO SPECIFICATIONS Respectfully submitted, WESTERN 6��e�1 �'�,'� �uuei�c sncerv oe�r. OCT 3 1963 AM PM 7,8�9�W�1t�i2�1,2:3,4�5�6 � �• , � CITY OF COSTA MESA CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF THE PLANNING DEPARTMENT December 24, 1968 Sterling White 498 Sturgeon llrive Coeta tlesa, California 92626 Dear Pool Owner: The Costa Mesa Planning Department has been notified of the completion of your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298.9: 1. No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool. 2. No swimming pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence six (6) feet in height and has a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances-and can make a complete safety check o£ your pool area. Sincerely yours, �� William L. Dunn Director of Planning �wnerc �2�� STERLING �A � C 6-10-6t5 JOB ADDRESS 498 Stureeon Drive BUIL��NG PERMIT N0. AP No. 418-032-13 LOT 122 1 RACT__ 56 ._ _ FIRE ZONE __ _ VALUt $ 3, SUBCONTRACTOR ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SVSTEM , ` � �� MISCELLANEOUS ROUGH NEATING ANO AIR CONDITIONING T" UN�ERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BON� BEAM �� STEEL REINFORCE ��/ SHEATHING FFAME ANO FLASHING LATHING - IN [� OUT n PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL ANO GAS TEST �'� , � 28597 �COSTA MESA BUIIDINGSAPETY DEPARTMEM' P.O. BOX 1200 COSTA MESA� CALIFORNIA 92E20 For App11mM lo F(11 In Completaly TYPE OR PRINT ioRE�aa % %a .�/ ,/iY 9r9iY 1� COSTA MESA, C LIFORNIA �'+� / . . ./.-i � � le BTATE p1 e6SBACK LINE F0.01{ r�� %D INO. OI pLppt. DESCRIPT{ON OF WORK OF WALL l iN f 6 / i 1 Xml6eY ACKNOWL[DOi T/AT.1 N�Y6 RfAD TMI� AND BTAT6 TryAT TN[ AlOV[.ID CORR6R ANO AO PLY WITN ALL CIiY OROINANCY 11 D RAi! LANM oYILDIXO COtIJi�1U4TlOt1. �j� � ` AUTHORIZ[D A6[HT euac�na NAY 17-68P�—°n00 946� ****22.5d A►PLICATION FOR PERMR BUILDING for Offln Us� Only / � ZONING NO.OF U�[ ►uw a euu — [/Jd— /� ERHANO BHAIL �H L688 THAN VApDE MPROVlD MAIN BUILDING VAR. � YAROBAPPROVBU AGCH880RY BUILDINO DATB HOI,D FOR SPEYCIAL. REQUiFtEMENTS � � � � 8Q. Ff. � n�� uourrt �Hown uHco� vwwwnon �s ron n�� UPPoBi O! i1iAG40MIN0 A PlI1MIT ICt ONIY. � VALUATION 7 pp PEHMIT FE8 �S � a�� • SD w " 2G545 �4 COSTA MESA BUILDINGSAFE'fY DEPARTMEM P.O. BOX 12W COSTA MESA, CALIFORNIA 92l2E For AppBtnM ro FfU In CompbNly 7YPE OR PRINT •U1D1NO ST 1�01J ADORHDY COSTA ME6A. CALIFORNIA STATB LIC. NO srze OF LOT USE OP THL NO. � I MO.OIOLDW. NOW ON lAT J ' �� 11GR YAR 1 / 1 R101fT �O ION OF WORK L c� \ 22 1�LA N � � � 1 H[116eY ACRIIOWL[D� TMAT.1 MAV6 ptAO TNII •N� BT�T6 TXAT Ni AGOV[.I/ C011p ANO M PLx WITH ALL'CIT ORO NC4 AflD TAT{ L11WI euuoixo �oxmp to 8I6NATUR! OP � PHRM17T6L� AUTH0111Z[D AO[Fft Jpt�30-67 0o s6i� *��135.75 ArPLICATION FOR PERMR BUIIDINa iOr ONJc� UH Only ■scnrtxo. �r� �-} �r own �ienv�o �wn �seueo /C � L[OAL YARDf MPROVlD MAIN BUILDINO ( FROM C/1 YTY[R) ZI""".� e n o � ZONING �yd' .� o r /�a=-f $ No SHALL Ee LCBB THAN <u. e. c. eeauneeMarir� YARD9APPROVBD ACCE880RYBUILDIN6 DATB J DAT! ' / / � h D1 � �o�`, /gl5 eo..T. '�' % , "' � n�. wrouxr �wown uhosx v��u�nox �e rox n�e � �URlOG[ O! tlTAOL1eMIN0 • P6RYIT �6[ ONLY. � VALUATION Gj/� 7 PeRM1T F86 / (J • � m �?9, ��' �, � TOTAL P68 � �