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2331 WESTMINSTER AVE - Building Permits
CITY OF COSTA MESA 4,cq BUILDING DIVISION o ..► I lagalgrii I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 ik • PE�9MIT B03-01871 4 4pQI M e. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cElthLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2331 WESTMINSTER AV Status: ISSUED Suite: Applied: 10/27/2003 Vicinity: Issued: 10/27/2003 Parcel Number: 11913108 Zoning: Applicant: MC CARL, TIM Address: 126 COMMERCIAL WAY ISSUED BY: Phone: 949-548-5569 COSTA MESA,CA Zip: 92627 Owner: D'ALESSANDRO, DAVID Address 2331 WESTMINSTER AVE Phone: COSTA MESA,CA Zip: 92627 Contractor: GARY REES DBA CRANK BROTHERS ROOFING Address: 126 COMMERCIAL WAY Phone: 949-548-5569 COSTA MESA, CA Zip: 92627 License: 736549 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING SHINGLE ROOF AND REPLACE WITH 30 YEAR COMP SHINGLES.REMOVE AND REPLACE SHEATHING ONLY AS NECESSARY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,271.00 Permit: $111.25 Claim Valuation: $4,271.00 SMIP Res: $0.50 SMIP Corn: $0.00 • Other: $0.00 Inspection: $0.00 • Total: $111.75 , PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 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 inspections 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)754-5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the p rmance of the work for which this permit is issued,I shall not employ any person in any manner so s to become subject to the workers' compensation laws. •.ifoj i.J and agr if I should ome subject to the workers'compensation provisions of Se ion 3700 of th Labor Code,I shall forthwith comply with th ' .vi on-. / ^ /hec l`��1 �J{'"� Applicant Signature: l ' (/V�X Date: I D r `� J WARNING:FAILURE TO 4.11WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,0110),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licen under rovision f Chapter 9 ommencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lic.# Class# Contractor's Signature: Date: ( ( c�l�il 1 Qs 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.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 penalty of not more than five hundred dollars($500).): O 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(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • 0 I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). o As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department 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 of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which ere required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes LJ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No B (If'yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descrfbed properly for inspectioniiipurposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. pigr)aturLegel Owner6 ^ to ilt nd/Or Authorized Applicant e CODE I INSPECTION TYPE MI INTmAL$ LODE♦ INSPECTIONTYPI DALE IDLs 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof /©Iile 210 Final Electrical 201 Final Block/Retaining Wall PP 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • ' yam \Wily_ . 44 tio PLANNING DEPT. OO U SUBJECT To BLDG. DWT. REQ i� '�j � ept. P ��. ` �Ll 6° goildin9 pQ �//,, Cos Meso tt 2'T 1 8{C,aL.DATE _ Clay of rE l._.--� DIRECTOR OF ►TANNIN/ V S r' 1 ^ Cvn� DA TIME "'� O ��--, AC Frgri"" IE t \ a....oN`)Og AT AppAOVAE /� ` �t coif PL) 4. V MUST BE OUT P0.1oA � B THES p GHSANGES V.�ITH wow. 1 .. ti., y.n .. �.� .� KE so PEW Ok UED iS" 1C' .1 n 2• r"--- " vT _I� '� ` C•r MA ifiti.i:01".:::::::„.,_;•):::0111::..1.1rapilciEtkaclifilp.ig:. APER CONSTRn/� j OF DEPT• ORGRANTING VIOlA710Nat %�,I{ TMEDUANP�G / T ' CSpEGIFICATIONSERMIT PAE•r �J �. TRS / DFPLA PS pERDITFOR, OR SNOtCEPT`YSOp SdG ilamTOBE < pROVI5l0;; 1.Jf q V0U��JF � �p }Vi.�.K pO. r — OFANGN[�1 '[,pca �oDr, vSP OVISIO HE OR�KTO'R USE NNIGNI ` �3 Ffl AS ps D\ z ! cg3 Liii/ � SMD P P IEOL... � WI _ .__ .--....-- BVILOIN TION T IISVIO` UU / `f U____ -�..� 1 IN VIOIA ITV.Or S OF THEG cr-�� • ' STRUCTURAL APPROVAL ONLY- I • • , �' i — � - S •^'" E tFRMITS ARE REQUIRED `` P}1 �ELEC ;IC L, P' 11'13"iG, 193 �� reel/""- HF1TR' G, 1Eri1 'TING AND "" ORATION WORK �o OQ°�J �`p , sae I `1. ., THIS NU7 �3 R ;'. Si ACFOMPANY ?C, • ALL INSPECTION REQUESTS . .2 ' —i- ,! .S. t P I T I�F� FO3 Bt$L DINS HE.E PERSONS ARE TO p �(�tv if p BE'EMP10t'EG, UL S u ES'1 THAT THE C I • �F r o21- 111 ISTg7E OF C L;.) :NA DIVISION OF LE 414 goPPb ( INDUS. ALS FET" UNSULTED FOR � /o . / Sc traI I ADDfFIJN L :EGUI;'Ei,1ENTS. Q -' 1 . [ CM\ t ( �1 c cc>J TYPICAL JOIST ANCHOR . PATIO COVER DETAIL 6/1 /67 ' • M�Aes.r ,STATE—r--_--.^ �1! t SIZESPACINGOVERHANGAFTERS: _ FOR DRAIN �' I ' ohilL11-1.1----R TATE LENGTH — SLOPED —;ar'IS :~/, :i•,., OO' 41411 MAXIMUM /� 4 g CONTINUOUS y1. 3/8xnags 32% LEDGERi'� ti Sf. ��� �• _4' %o MAXIMUM Predrill Ledger er., '�_ Predrill Existing 'ANGER p I JOIST HANGER BEAM or other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN. of support a tie. STATE SIZE II NO I RAFTER - CHART NO 2 ALL LUMBER DOUGLAS FIR FOR OPEN EGG CRATE FOR' SOLID SHEATHING. .1.13, 3/16X 2"-T-STRAP ALUMINUM OR PLASTIC SHINGLES OP. BUILT UP ���� 'CONSTRUCTION" GRADE ROOF COVERING ROOFING. MAXIMUM SPAN SIZE SPACING , MAXIMUM SPAN o I7' 0" 2x6" I2-% 15' I . o s 16" 0" 2'x 6" 16'% 13' 3" 2 POST-BEAM I 5' 0 ' 2'x 6' 24% 10' 11- I CONNECTION 12' 0" 2'x 4" 12% 9' II" "^ I I ' 0' 2'x 4' I6% 8' 8" POST I0' O" 2'x 4' 24% 7' I" ^* Pi - NOTE : FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO j •-..I SHOW SIZE SHOW SPACING WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY. SHOW LOCATION ON REVERSE SIDE. WIDER RAFTER SIZE MAY BE INTERPOLATED FOR %' " I SPACING ONLY. /Writ _ DROP PATIO FLOOR FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO SLOPE TO DRAIN— WALLS ARE TO BE BUILT SUBMIT COMPLETE JIOUSE o... '' ^ ' : PUDDLED SAND FILLAND ADDITION PLANS . a I s wwv ' I • ' ` Remove Gass And Weeds Down To Natural Grade • CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT _' POST ANCHOR I •...'. 7t GALLONS PER SACK CEMENT. • For Pipe Post. Embed F-121-4 Provide 26 Ga G.I. Flushing At Wood Floor Const. COSTA MESA BUILDING DEPT. Pipe In Footing. Provide Flange Or Weld Plate Screwed Or Bolted To Frame. 77 FAIR DRIVE 556-5273 IORM 5U•40 OWNER MATRANGA, GID F. DATE 6-18-56 JOB ADDRESS 2331 Westminster BUILDING PERMIT NO. 3214 GENERAL CONTRACTOR Dike and Colegrove VALUE $ 8,890.00 L 42 BLOCK TRACT29S9 Sing. ices. w/att gar GROUP I & J TYPE V ZONE RiJ FIRE DISTRICT 3243 PERMITS ISSUED INSPECTIONS ��ff DATE SUBCONTRACTOR DATE NUMBER Footing Trench (5/ Foundation Forms and Grade to Gara•e ii Rough Framing ice- • /I 5 /tel, t ! 2Plumbing, Rough o Sla�b/'%A2t45 9.ii Plumbing,Rough Complete ( i- c//ss,f,&P0-•-1,_, ani, ,6 -7_2.),..--r& ,S/`y — Temporary Pole __�� `` I Wiring,Rough ' 7L ,•/ ''6 • (may t-Ofni IVG J lb:J,: �efr,,O — a Heating,Rough °�%1 •Ari .�/ Heating,Final A 0. 4.-- 4* ,. Wi1/I/Yl ''4; S f L/` A G 3 195:. 4.9 it ewer, House ( • - Sewer,St. V 9r i- ems, d ,a jins/ Q- 7- .,4 G4 6 Q — Septic Tank orC`i _ l� e 1O.-„ ,,.�- „/p.,d..�..•,. .2 9 -'7- 3/ /.a l7— I. In •• Out J% 0/'YYds-A, Plastering ,,tklrr 16,1”‘ Plumbing,Final,Fixtures Complete'-v-I,�. i SF � Plumbing, Final Gas Test �t " C rr. _/2 - A/_ `,�`% Wiring,Final �` /( '.?'".lt >`_C� ��'-,r_.-•-Go, Occupancy e✓ / - .r{jg FORM 210 3M 10.55 fff --.,_ ijosta Mesa Builu,i.s-..,,t,.a..,..:,n --- -1 APPLICATION FOR PERMIT . r. , P. O. Box 317 3243 BUILDING 1 COSTA M. Eos.: CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permit No. - n dress 2331 Westminster (C4..e� , 302, /V Costa Mesa, California Rece'e'v by I / Date Recd. Date Issued Nearest st. Wilson Y✓ e--/IS-- 11 ` — /A2.1G Building Address Owner George F. Matranga Mail Costa Mesa, California Address 419 E. 17th St Nearest Tel. Cross St. City Costa Mesa No.Li. 8-1159 Zone Type . rgyp�+ 4,c �� I No.of Plans I 6�/ G.�¢.T EngineerArchitecto G�arlson & Middlebrogk Approved Address Garden Grove S Date City LieCORRECTIONS Contractor Dike and Colegrove No. 270'7 Address 419 E. 17th St Legal I Lot , I Description No. 2 I Block I Tract 2959 (Attach Metes and Bounds) No.of Bldgs. Size of Lot 53 x 132 I Now on Lot none ,^ 7 1- Use ofNo.of 1 No.of t �' - - z Existing Bldg. none I Families I Room - , - _ Setback Line from Rear Yard 57, Center of Street 5G Side Yard 5' Z DESCRIPTION OF WORK r New I X I Alteration I �r I Addition I [ .i-n/ r;, Repair I I Moving I I Demolish I r U! J:f: :, ' _ Building Building No.of '�'�-I� Size 998 sq ft Rooms 5f Stories 1 Exterior Wall I Roof -- Covering Stucco I Covering Comp APPROVALS Use of New Building Single family res and gar Foundation Location Inspector . Date Forms,Materials, Under-Pinning Plan Z62AR Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int. with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature of Permittee I)ikA and Colegrrve- Plaster,Int /1 Authorized Agt. C, J 2 Plaster,Ext. Valuation Permit Fee $ Masonry Reinforced $ V�Y / � f70' Plan Check $ // Bond Beam Total / Fee $ .93 _ FINAL FORM 200 10.50 D.P.&S. ` s •u nn C05?- .z -. -n J 0 o a ::' • c;A • O Street t - - PLOT PLAN Show location and distances from _• property lino and between buildings. r • ),1. y ..... OWNER wir nth-PRY DATE 4-18-78 ♦ OB ADDRESS p We atminRter Avenue BUILDING PERMIT NO. 458411 GENERAL CONTRACTOR k,,,, - -: dr, DESCRIPTION of WORK Add Family Room Pi'.,,?- )�9-)3)_08 LOT TRACT FIRE ZONE VALUES •,178. t%YZTIONS Signature Date ,TYPE y GROUP I ZONE RR-1 oIL SUBCONTRACTOR PERMITS ISSL ED GAS _ Date I Number Signature ATER Plumbing OUGN PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ' ROUGH HEATING AND AIR CONDITIONING -I t -1 P. II / .1 I. 'I TEMPORARY SERVICE OR POLE I - ( \ II (I 1 I 1i1 UNDERGROUND D POWER 0 I C. r ( - .s Il \� I U n I, II t ROUGH WIRING �I-� I HOating Lend Yenta V YJ YL. L'C-' I TRENCHES 9.--FORMS Cs_ STEEL REINF. ID FLOOR SYSTEM A ra' PyImo&°' (^ 'J— C) I BOND BEAM n STEEL REINFORCE in DATE SIC,.SHEATHINC FRAME AND FLASHING LATHING -- IN n OUT n PLASTER. BROWN COAT STR' 'RAL. FINAL ^ �II E17104. HEA • VENT., REFRIG. AND A.C., FINAL W/AAA�YtA.( tip il -)-)R 9q 1'„� PLUMBING, FINAL AND GAS TEST `1 /VI ELECTRIC, FINAL C.C.. 1-air-it BUILDING, FINAL R 9• _' 45848 9410 4/ 18/78 60e50 TL COSTA MESA BUILDING-SAFETY DEPARTMENT eft"- COSTA P.O,BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT ' For Applicant to Fill in Completely - Use Ink Only RECEIVED BY DATE RECEIVED 13-TE ISS ED G BDORE5S 3/ /,t��r�!'I�N.S7�-/�/��/IA�de,. /9"43/-<26 �j �/�}y/{.� _ _- /i7 ' .,1 OWNER m/LTO raj W,11 pit---4) LRCCK''�l A.P. NO. / /`,� v l/ � ad �� MAIL 1— BUILDING ADDRESS 50-0 /r���/� /� r-y� ADDRESS�3' / �e5 m/ 5 cr. ' �, ._ C/5T9 (//l) r7 NOL6ibt--0 s/ TRACT&5� LOT4Z_ BLOCK CITY E ✓✓✓ I CONSTRUCTION /. ICGAS f�JRGO F+ g�� W ADD ALT_ P• - . • �.,. LENDER Gl/ • 4 . BRANCH (I(-st-g M�S/4 -i �a . - ,it. L.Ari�' . r /� ' ADDRESS 4S t/ Cr i / 7 ARCHITECT TEL/z//_ _WI illrf Ar(.jj/ r ,♦, . 1 1 OR ENGINEER NO. Irl Z.' . -..FIRE . . �/ / . 'if ADDRESS ZONE j YPE GROUP l a• APPROVED I ]Jp 1 CONTRACTOR /1/C �s,✓✓ ' BY IL! DATES'f!1/yt�/O tt • ADDRESS TEL. ZONE NO.OF USE OF NE CITY NO. / IPLANS BUILDING Fy r. STATE - CITY YARDS APPROVED YARDS APPROVED "g a LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING u1 h 512E NO.OF BLOTS. / (FROM C/L 6. _ OF LOT NOW ON LOT FRONT C/ TR A FT. G • /ham' -JJ/J USE OF �/� ,:, 4 EXISTING BLDG. HZ? /f7r- R SIDE TP FT. u, 1, t-. '._ Separate permits are requited for _L.SIDE 'FT. FT. C electric,plumbing and heating work. REAR —�+ W r. 70 FT.,— FT. Q 'r' USE OF BUILDING 0 NE WORK TOAPERFORMED DISTANCE BET. BET.MAIN& 14'�/>'r p / Co I r MAIN SLOGS. ACCESS. BLOCS. VAR.# DATE "'I d gp? /r4/7- tled7 ' tW C(.-'NG C.U.P.# APPROVED �" OR Ube /�'� ("�J IY�/G� Poo/i'v- R PROVE`�LC�/rlJ �� DATE 1 • je2g ,,t r r/ t 4 Sr FEET / D W• � y. . 'S'tn<1'ii• .Y \: ."ni. T":'•/.vM:'- A Y•„(:::n•:9:(ky. acknowledge that I have read this application and state O 4 1 hereby g PP' in aXthat the above information Is correct and agree to comply with -- m O. % all laws regulating building construction, and I shall not employ sl Z any person in violation of the workman's compensation laws of L +, the State of California. 1. I hereby certify that I am properly licensed as a contractor under SO. FT. w the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ,N '0 Chapter 9, and that such licenses are In full force and etfect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT F E ONLY: to 41 am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ O 0& a Ik, and Professions Code• Division 3 Chapter 9. JI ol ///7 h ^ PLAN CHECK $ 2// ^I f Signature of . ek_ r / lrr/ �V DO o J Permltte / LWWru�I. ! 7�r� TAX $ g 1 so D D AuthorizC gent ,� TOTAL PAID S i D •WNER REERY. MILTONDATE 11-2-78 OB ADDRESS 2331 Westminster Avenue BUILDING PERMIT NO. 47000 ENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio Cover .1pAP '• 119-131-08 LOT TRACT . FIRE ZONE VALUES 600.00 1`��N. CTIONS Sign Date TYPE z GROUP ZONE R-1 OIL SUBCONTRACTOR I PEjtMITS ISSI(ED GAS Date ` Number I Signature i, W ATER Plumbing \ OUGH PLUMBING 'PROP. SWR. LINE n HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING ' Heating and Vent. TRENCHES IJ FORMS fl STEEL REINF. C FLOOR SYSTEM BOND BEAM El STEEL REINFORCE in SHEATHING CANCELLED FRAME AND FLASHING A C [p}�/ LATHING — IN n OUT n DATE.2--/s p I PLASTER, BROWN COAT ST 9RAL, FIHAL Electric HE.. .u, VENT.. REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST ❑ ELECTRIC. FINAL ani, nwc cmnl w � �ty�� 8261 11/02/78 6.50 TL COSTA MESA BUILDING-SAFETY DEPARTMENT 8261 II/02/78 6 0 KMP.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 8261 00004470 00 1.A_ APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only R EC Ef�./ ATE RECEIVED` a , a BUILDING ��� / ..1 r 103 r I a ADDRESS /��v, ` PERMIT NO. OWNER I C lf—M AACQR�G r A.P. NO. ".. p 1 MAIL , a7 BUILDING 33 / ADDRESS -Th3 ( W fC 5MGY7 ILIisn—, ADDRES / cS ,a f CITY t) m C� r`;� NOTE. ��d TRAC _ 41. LO ,� BLOCK CONSTRUCTION �1 1 r,AyJt 'a' s�et° NEW ALTER REPAIR MING DFMOI ISH LENDER ' BRANCH I.�� L y- i _ l.�.J_ C� • 1 OWNER & D / Mew- ADDRESS VALUE ARCHITECThOR ENGINEEW/,CP�—rye Cl N1�ye USE y�0 IgY� /�0 . FIRE ADDRESS ZONE TY E GROUP APPROVED j CONTRACTOR BY // DATE ADDRESS TEL. 20f�I INC.OF//�r USE OF N CITY NO. ff!^�`` PLA BUILDING O enier— ISTATE CITY YARDS APPROVED YAR S APPROVED 5 LIC.NO. LIC.NO. MAIN BUILDING CES ORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STRE T 4 OF LOT NOW ON LOT FRONT C9'' T c FT. Q USE OF /'� /. EXISTING BLDG. R.SJDE 27 FT.(/ FT. Ch - CCCV/// /'7 Pi HSeparate permits are required for L.SIDE T[ FT. G electric,plumbing and heating work. REAR '3 -c' /I FT. k7 USE OF BUILDING AND WORK TO BE ERFORMED c F DISTANCE BET. F BET. MAIN& Q� k MAIN BLDGS. ACCESS.BLOCS. I VAR.* DATE Q /-2 t P9/ Q- Thi d C.U.P.# APPROVED i ^�jf/ T' CcIer �6Y ,��k� DATE/P 2--7S7 .-1 ( illi r4 i Cin hereby acknowledge that I have read this application and state N. g4 that the above Information is correct and agree to comply with m L all laws regulating building construction, and I shall not employ > Z any person in violation of the workman's compensation laws of o the State of California. (`. I hereby certify that I am properly licensed as a contractor under 2C1:9 SQ. FT. n the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLY: " to am exempt from the provisions of the State of California Business a VALUATION PERMIT FEE S to and P fessions Code, Division 3, ap r 9. O Q P ♦ m r' /r PLAN CHECK S o Signature of /f/ /7 ff o Permittee .ei `� $ ado TAX $ s5 V u. u. /^_ Authorized Agent ` J TOTAL PAID $I� f co