HomeMy WebLinkAbout2895 VELASCO LN - Building Permits 2.30
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PROJECT ADDRESS: 2895 VELASCO LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PER?; NO; P 06307E
OWNER'S NAME: SANDERS, SCOTT J
ADDRESS: SANDERS, KATHLEEN A PERMIT NO: P 068076 PLAN CHECK NO: N GOVT: N SUPP: N
410-1 MA1•JONt) ST
KAILUA, HI 96734 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : DISHWASHER C/O
ADDRESS: UNIT: SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
PERMITTEE: NOCK PLUMBING (714 ) 895-1245
ADDRESS; 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
STANTON CA 90680 **T::ar(vi X-)S -#n<-B.-81::3:-** -*+<**a;-*3.-** ;*n-u-t.„i<3-$xn******)a10x-x• f{i.a--#11-**X-><TFzy; 8 f,.**4.3-3r;K.**3*;; :oa:-K-*r:t•;:
LICENSED CONTRACTOR DECLARATION: I hereby affirm That I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R EQU IR EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
CITY LIC.: 050386 STATE LIC.; 511971 CLASS: C-36 EXP ; 02/95 SETH AC K 5
I
Date: Signature: MAIN BUILDING --- ACCESSORY BUILDING -
WORKERS'COMPENSATIONDECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FENT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ' N
Compensation Insurance or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
POLICYND.; 1167992- 94 EXP.DATE: 03/01 /95
COMPANY: STATE PARKING REQ: PROV: PARCEL: 14154617 ZNE: REF NO:
0 Certified copy is hereby furnished. En:Certified copy is'tied wit the city Building Divisi PLANNING NOT ES>
r,� / OTs� > <
CJIe: 7 1 I- �� Applicant: l / -3k#***************************************###i:•*#X#Y###********8.******* E****** 4$$r:
I EXEMPTION FROM WORKERS'COMPENSATION DECLARATION; (This seclign need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT S ERV IC ES--, REQU IR EM EN TS
I certify that in the performance of the work for which this permit is:Rsyed.I shall not employ any person in any manner so as to become
subject t4�e,Workers mpenssatian Laws of California. . \ ZONING APPROVED BY I f DATE:
/ --C
Dale'. L Signature: ��
NOTICE:If.after making this diaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY p
• DATE: _
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 APPLICATION ISSUED BY;. a .<• DATE; (AFI'
which this permit is issued(Section 3097.Civ.C). ***********#********* ' ** ,R * - int.. rc*. ****it -K-*" - ******xK#*K.**7-x .' `i,17�.�\
LENDER: ************************a:***a!-**********it-***********************************i' **ix
ADDRESS: LEGALIZATION:N FEE , SUMMARY STRUCTURAL SEGMENT: N •
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC- MECHANIC FIRE SHIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 . 00 '
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 Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% . SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ...-
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20,00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 7 . 00 20 . 00 0 , 00 27 . 00 27 . 00 , 00
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 completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 27 . 00 OVER/SHORT- 00
�
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware ***.*****************************************************i2K-***K****************K
that proof of their Worker's Compensation insurance should be provided to me.
am exempt under Section: B.s P.C. INDIVIDUAL F� E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N' 1 UNIT COST TOTAL COST
Date:. owner. PLU 1 DISHWASHER
I do herebycertifythat I am aware of and understand the requirements of California Health and SafetyCode Sections 25505,25533,and 7 . 00 7 • 0 0
25534 and that I r any future building occupant will/will not Qcircle one)need to comply with said stae codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. .
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county -
ordinancesandstatelawsrelatingtobuildingconstructionand ' 'is,.thorize representatives of this city to enter upon the above-mentioned 01 00164087-00164057 TE]T 27.00
Property for inspection purposes. DATE: 07/14/74 TIME: 10:32
Date:--7 v-' I Y ^ C Signature: v1--- _ -
Driver's License or Social Security#:
(. -
1641.40 White-Building;Green—Code Enlorcemenl:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING aPOOL)&1 ?A
APPROVALS Permit# Date Inspector 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation } 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ( 60. Backwash Lines, P-Trap, 0 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. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit 4
21. Ducts,in Structure , 70. Underground Hyaro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
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 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 -,
hf.��4025_- C AST 2,A�iro
35. Final Gas Pipe-Test • h
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing .� 4
39. Water Service-Final v U•
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. FINAL PLANNING -
49. Electric Release to Edison
50, Gas Release to Southern California Gas Co ---
51. CERTIFICATE OF OCCUPANCY
No. Date
I— .
PROJECT ADDRESS:
2895 UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 063621
OWNER'S NAME: S, SCOT 14,0aoDREss: SANDERS, SCOTT T
SANDERS KATHLEEN A PERMIT NO: B 063621 PLAN CHECK NO: N GOVT: N SUPP: N
/J 410-1 MANONO ST
KAILUA HI 96734 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCN/ENGINEER: 957-3262 REG.NO.: JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 4 500
ADDRESS: UNIT: r
PERMITTEE: CLAIM VALUE: 4, 500 . 00 CALL-VALUE: 4 ,500. 00 GROUP OCC: R-3 /M-1
agDREss: ROBERT VANHERK CONSTRUCT ( 714 ) 969-2551
1123 MAIN ST COMMENTS: REROOF 3200SF RESID & GARAGE W/COMP SHINGLES Q- TOR
H B CA 92648
9E9fMM ENTS.*REROOFiE 3200 t9f iEiFkifiFif iEk9Fttif 9f iF ik#kW/CO9f9f 9f 9fHINGkif 9f 9E 3f k9E 9Ek
LICENSED CONTRACTOR D�sines ION: I hereby affirm that I am licenced under provisions of effect.
Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in 11111 force and effect. S E T B A C K S
CITY LIC ( I STATE uc.` 655900 Du5 REQUIRED
Date: e/�E( r O(3 Signature: .,Q_ibtfi Ctrl at MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL: 14154617 ZNE: REF NO:
r ) Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> -
Date: _ Applicant: 9f9E9E9E9E9Ek9Ek9f9f9E3f.9f9f9f4#ififiEiflfiEifilkiEifiC•ttkiEk#kifiF#k1E*9Eifitlf!!#if3fifiEifikiFiEiFiElEifiFiF9fiFlliFiflEikiElFifiEif#iFil3EM
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if de punt is fa one hundred($100)or less). D E V E_L OP MEN T SERV ICES R EQUIR EM E N, T S
I cemfy that in the performance of the work for which this permit is issued.I shall not employ any person u any manner so as to become
subject t Workers'Compensation Laws of Califomia. ZONING APPROVED BY DATE:
Date:OOJ Zl 9-5 Signature: `�I Se to ti Workers'
Compensation
,� - :
7 NoT111E:II.alter oraking this declaration,you should become subject to Workeri Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 4.4- �^`
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ( _ i t DATE. NJ J 2L(`-
which this permit is issued(Section 3097.Cry.C). i*F iF i*F 7F it if k if if if iE TETE i!M 3f iEiEiE IF iE 1E 1E iE iiiteE---kIIP iE iF iE iE iE*pax M
LENDER: 9EkifkMkkk*kMiE9E9f*9E**9E**3E9E**9f9fif*k*kk9E*9Ek*9ftt*9E♦f9f9E*9E****♦E9E9f9f*if9E9E9EkiF*k*if9F9F9fifiEiEtt9f9f*♦t**
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES., GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 5 0
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 o the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3(lithe Business SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the oasis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 1
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT • ISSUE PLAN-CHECK TOTAL PAID / DUE
❑ structure is not intended or offered for sale(Section 7044:Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0. 00 0 . 00 72. 50 72 . 50 . 00
does not apply to an owner 0l a properly who builds or improves thereon,and who does such work himself/herself or through -I
r
/-1 mprrovemeor her nt ssold�withnonevyearroed fcomspletion heownerawill avetthedburdenofor red for sale.IL provinghe/shedidnotbur ildorie improve REVENUE DIVISION TOTALS--> COLLECTED: 72. 50 OVER/SHORT: 00
�' for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 72. 00 . 5 0
❑ and Prolessions Code: The Contractors'State License Law does not apply to an owner of properly wti builds or improves thereon •
and who contracts for such projects with a contractor(s)home pursuant to the Contractors'State License Law).l am aware9E9f.y.9E.k9E9E9E3E3E9f9E9Ekif9E9E9f9E9E9f9fiFit9f****iF9E9E3E9EMM9FkM9fiE9f****9EkiF3(.MiF9t3k9kiFiF{F9Eik9E3Eif9f*****,**iE3F9(.iE{ ***
that Worker
I N D I V I DUAL F E E BREAKDOWN
❑ am exempt under Section: B.&P.C.
for tons reason:
TYPE QTY DESCRIPTIO N UNIT COST ,TOTAL COST
Date: Owner:
SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 500. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and �'
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
(nese provisions.
Date: Applicant: /
I hereby certify that I have read this appication and state that the above information is correct.I agree to comply with al city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned x-
property for inspection purposes.
i Date:81� 4I /3 Signature: L-6.-4.41•49/7:1/2/1/4-/ Pli ` ••,
Driver's License a Social Security a: DATE:01 0E/24/9314TIME: 05515 T426 OT 7 •50
1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
I
R '
CONSTRUCTION AND PLANNING .� POOLS SPA
Date Inspector APPROVALS Permit # Date Inspector
APPROVALS Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
` 3. Electrical Conduit yulity-Undrgrnd. 54. Forms
4t Electrical Conduit-Undrgrnd. 55. Electrical Bonding
- 5. Steel Reintorcep1er1t 56. Rough Plumbing & Pressure Test
6.; Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE .
_
• 7.1iFoBtings - 58. Electrical Conduit-Undrgrnd.
,8 Foundation 59. Gas Pipe, D Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer:Line& House Connection 62. Backwash & Receptor-Final
•
12. Sewei Cap 63. Heater & Vent-Final
L
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough ElectricalrConduit 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
G Ci CI • t . • 1 I Hi •ni_ t<: v i . P'
20.cflough Factory Fireplace i rc", * a , i• i APPROVALS•'u'Permit # x iT
r ,n ,f ?'• 1 =,r R'•7• * ct i I +. .1•, ....Itr
- • n v
f
21.pup', ir•StrturC II 1-7•'•'• re- _S R � i7 1:: : s0. Undergrou'nid}lyl1o tr,
x
22.rDucts, Ventilating- i ',ill:l >- 1_, S �..� 71. Product•Pipirg 1:1G-St 0 l)il
..•ktC, i
23.'Gas' pei?loug6 &I-psi : " C 174: 1 ' t i I i'-7 . n' -'-
iP} ,-r )' � : nl I; < � i�2. Undergrour�iFl4tF,>,Vit- r t , .l
. , l•' ii I ti . . l + U J •' i .
24.•Boof,Framing• .', I t-'t-' ^t • ' •_• r• o` - :.73.'UndergrnctiStoragerrank fp Gas 0019
25. Rodf Shathing : i "! 1 zl 74.,Overhead 4ydro c.'Hc"
26.`T-B@`r Ceiling (Strut{ural) & Monocoat • - 75. -Dry Chemical ' 1 • I-. _ s.
:LE,' - r , T
27.rFrame and Flashifr�* µ: n 76.'Dr `� �'; N"- ''
t-. u �• ,,,, Y Standgt� Fri.
:28. 'Lathing?aSiding n). i., •:S. e' • • 77.' FIXEDSTEM�.FYNALi ' 174
t.. _ , .. .... YS
I, , .-. ?Iii . • . ,^t
29. Insulatidn - .' F ' : 78. FIRE PREY. FINIAL a - '
130. Drywall Nailing i HEALTH:DEPT.:A6QUI.REMENT
131. Plaster f f'pwrtl_Coat i i, r , ,79.`FINAL IN5PECTIdN ;• OJ.' i I
i32.tElectricalFPowgr Metec-Final i rEI . I 80. FOOD CER1TIFICATE ISSUED
33. FinSf;ElgptriC `• .,
3 _ t'' I I t Notes: : ,
34. F.inaFHeating Ri Ai(Co'npitionin9. : A.
, I • s ,i;` L '
.,r
35.'Rin3i-Gas Pipit-Test • _ • _ t - t _•, `•r
26. origranopy • 1 . ,- . 0".
, , '`,
37.•Finai Factory Fireplace i `•• I T'
38. Final;Plumbing ' " 1 I .
I
r39. Water Service-Final I - n •
isa
-40. Gas Service-Final nk ._ ,r it I p, ,,; '
41. Solar Domestic-Final • Cl r -!• ¢ -+ - _
r--, n t T.
142. Backf low Preventers t' 'J• -
43. Backflow Irri ation - - a ' c.; . G
444. Landscape lr/iaatitlrl System l;it4, x .. - y r •fl ' o
:45. Sound Atterwatio " •i i r - T.=
• -\ .. T
*46. Handicap Regulati1 k' , I "I ' ' u
47. FINAL STRUCTURE)&1BUItDING R-13' `$ dc4 y - GL - 4w
48. FINAL PLANNING i "5 .
49..Electric Release to;Edisgrr-- t
-t50. `Gas Release to,Southernl`uaiifornia Gas Co _ I i' - r •
51. CERTIFICATE OF OCCUPANCY .-1
No. Date
OWNER MESA DEL MAR DEVELOPMENT COMPANY DATE 3_12_62
JOB ADDRESS 2895 Velasco Lane BUILDING PERMIT NO. 16720
GENERAL CONTRACTOR Macco Corp. VALUE $ 18,467.00
AP No. LOT 122 TRACT 4260 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Signature DATE GROUP pa TYPE V ZONE R1
Soil �AS/„oPERMITS ISSUED
Gas 1'� SUBCONTRACTOR DATE NUMBER
Water P)S '�9.,"Ge-
Rough Corn. Re rig. p Cond. _ � ll
Rough Heating _?•7L/� _ _ ,,-,,,ter �2- _ ,5"es_/6p ✓
Rough Plumbin L�.S-li2 F l,. /- 5;47_Gea.a ca II, I,,,
Miscellaneous L�_.i ,, i.� / E ,, Q.1 ,,-)--Gr / .44 - 2_/ e
Prop.Swr.Line$-House Con.�St.Swr. 0 l j19622.J V i e � o `_ er, 7 _
Sprinkling System W ) ,o_ •-(i'�EST
/0->a-0- w n, /o-/7:-‘0--- G7// iir
Construction Pole II�Y
Underground 0 Power ❑ _
Rough Wirings ferSe. 36 .. _ G'P-_ �1
Trenches [2� Forms Steel Reinf. 0 /�A6 t -z _""�" 7 z78.rrV
Floor System _W-134 L e07"---
Bond Beam 0 Steel Reinforce 0
Sheathing x/ 4-_/5/ 6.,2
Frame and Flashing '7-1)-�
k.
Lathing — In l� Out L /2.Z3-L
Plaster, brown coat f, j4 P- :41/- <h.
Refrig. 0 Air Cond. 0 Final
Heating, Final /4-/r-rig,
Plumbing Fixtures, Final 40S
Final Gas Test/4—
Electric
est/4
,ID-2-G2-
Blecdric Fixtures, Final /Wk.
Q k.61� �
Building, Final �G'h[ J- �
OCCUPANCY
FORM RIId.5M _ ).fl 11.00x\
1 [8720 V ( t � a '�,�;:� if 1—U
COSTA MESA BUILDING-SAFETY DEPARTMENT 7 1962 Lot 122 - Tract 4260
P. 0. BOX 917 COSTA MESA. CALIFORNIA FUT',ECE DEPT. Plan 400-C
For Applicant to Fill In Completely :ITY OF COSTPLIIMAtAON FOR PERMIT
TYPE OR PRINT
BUILING BUILDING
ADDRDESS 2895 Velasco Lane
COSTA MESA. CALIFORNIA • For Office Use Only
RECEIPT NO. I PERMIT NO.
OWNER Mesa Del_ ? r Development .Co. I I 072. �
MAIL RECEIVED BY ATE RECEIVED D�(T1d LIED
ADDRESS 1 E.Coast Hiehway df 7 — �IA.D 5 2 +Dc9
CITY Cnrn n3 Del Mar,Cali2. NE IR3-1122'0 ADDRESSG
ARCHITECT CA3.SSOC.££ Olsten & No
OR ENGINEER 111A. -122] COSTA MESA. CALIFORNIA
ADDRESS 90251 E. Florence A le. Downey FIRE //////7�¢c�
ali£, ZONE TYPE........._...ail GROUI /$I
CONTRACTOR Macco Corporation APPROVED�Q '
BY DATE
ADDRESS 1800 E. CoastHighway ZONING
Calif.CITY Corona Del Mar CZONE IND.OP IBUILDING EwN /'^qZ�'?, R✓L
R-
( P ANBa 9
ST ND. 98808-SB-1 NEo`.OR 3-4220 LEGAL 40,1- /2.z T,? 4/7-6o
oS.F.
T DESCRIPTION
SIZE 6900+ S F I NO. OF BLDG°. Mo 1
OF LOT • • NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXI: ING B DG. None _ APPROVED ALLOWED
SETBACK LINE PROM 4J +I REAR YARD27 I loll. FRONT(CENTEw LINE BTI 41--S-1- rr. IN.
CENTER OP STREET
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE _5— FT. IN.
DESCRIPTION OF WORK —_L.SIDE S_ FT. IN.
NEW I }` II ALTERATION I II ADDITION I REAR 2 7 FT. 10 IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVED �./4/AO DATE 2/Zit/62-
:WELD
/6 L
BUILDING, _-r NO. OF "K
SIZE 0116j1�L74t2u ROOMS 6 STORIES 1
EXTERIOR WALL SthCCOROOF
COVERING Vn0rl I COVERING Wenn
USE OF BUILDING,AND WORKTO BE PERFORMED
Single family dwellingi ; o _rP_ 1
w a ac e• garage
Gara e 11 463 S.F.
Covered Porch 63 S.F.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH AU. CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION �j 679SIGNATURE OF
ld_a Del Mar Development Co. PERMIT FEE $ ��• N
PERMITTE ( /'l o
BY \'= $ 1117467.O0 PLAN CHECK $ / . j -
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TOTAL FEE - Ji • 0