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Home My WebLink About3075 YELLOWSTONE DR - Building Permits I - I . O� 9 CITY OF COSTA MESA 4 BUILDING DIVISION s.•is:a"- DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4I I PERMIT • off P01-00605 (714)754-5273 • Fax(714)754-4856 • www.cicosta-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 3075 YELLOWSTONE DR Status: ISSUED Suite No Applied: 10/16/2001 Issued: 10/16/2001 Vicinity: REAR YARD ISSUED BY: Parcel Nunmber: 14107311 Applicant: ERAZO, JOSE G Address: 3075 YELLOWSTONE DR Phone: (714)545-6105 • COSTA MESA, CA Zip: 92626 Owner: ERAZO, JOSE G • Address 3075 YELLOWSTONE DR Phone: (714)545-6105 COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: A" Phone: 10 ►� � Zip: �Q �'' License: 0 q `ti'r' Arch / Eng: Address: • Phone: Zip: License: SCOPE OF PERMIT EXTEND GAS LINE IN REAR YARD&INSTALL GAS EARTHQUAKE VALVE. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Ins(or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $11.00 1 Sink, Floor $0.00 0 Water-Service $0.00 0 Gas(1-4 outlets) $6.15 1 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease. Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $40.65 COMMENTS/SPECIAL CONDITIONS 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 2446.48(8/00) DECLARATIONS i WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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.) ❑ 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that Ill should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAIWRE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE($1®,000),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.0 Class N Contractors Signature: Date: 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: Lenders 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 pem+' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): iI,.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.). ❑ I,as owner of the property,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 exe 'Ir7, nder sp. i Business and Professions Code for this reason: Signature: . I 1 _._ `r a !Date: k S -1(0- 0 t Owner ID ver,fidby drivers lic: se. ■ Yes 0 No DrlvercenseNo. xEIje s:� O�j-ia(n' �.� , J Verification of Ownership by(typ-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). ❑ 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? ❑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 are 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 a_nermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 8 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? 0 Yes 0 No 8 (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 abov cited property for ins ton purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 7- [ny76 -�Sl�tll tO— lf- — C)I v ` S' fuze Ot Legal OPRIei(9)' (( Dte _- And/Or Authorized Applicant Date CODE o. INSPECTION TYPE PATE IWTmALS gODEit INSPECTIONTYPE gall ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing "1 - (�C"19 Ea ig 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 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 t , MAIN OFFICE / _ BRANCH OFFICE A _ Ian WEST GAYLORD ST.,—P.O. BOX 9084 I5I4.0 NORTH HARPER ST. LONG BEACH 10. CALIFORNIA SANTA ANA,CALIFORNIA HEMLOCK 0.7993 JEFFERSON 1.2045 SPRUCE 58526 JEFFERSON 12094 JACKSON 7.3681 in • Laboratories of souLIctn daLi fotnia, Clic. Inspection and Testing Engineers Soil Foundation Analysis • Chemical Analysis IJuly 28, 1961 GUNITE • REPORT OF'1IPPE TEST CYLINDER Examination No. SC61-3530 Project. For - Anthony Bros. Pools • 5871 Firestone, South'Gate, da1ifernia Sample from Blair Residence - 3075 Yellowstone, Costa Mesa, Calif. Architect Contractor Anthony Pools Mix Water, gal./sk. cement Slump 6 x 12 • Date cast .6-30-61 Date tested 7-7- 61 7-28-61 Cylinder No. 1 2 COMPRESSION TEST 7 days 28 days Total load to destruction, lbs. 75 ,500 69,500 0 Pounds per square inch 2,677 2,460 b !C It L ic Cylinder made, byGunite crew l0 �j}�r Cylinder delivered by .Van ArnamO Cylinder received on 7-3-61 \`y 1 1�gt,, a .ss Note: Cylinder #2 contained several layers of rebond. i �� e* cc; Anthony Pools �[:� . 46 Blair Res. � �� SAALab Costa Mese Bldg. Dept. 4.0 • ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS, OR EL TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC ANO OURSELVES. OWNER STRONG, W. J. DATE 6-28-77 JOB ADDRESS 3075 Yellowstone Drive BUILDING PERMIT NO. 44912 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Legalize Patio Cover AP No. 141-073-11 LOT TRACT FIRE ZONE VALUE S 2,000.00 It CTIONS Signature Date TYPE V GROUP I ZONE R-1 St. PERMITS ISSUED GAS SUBCONTRACTOR Dote I Number I . Signature WATER4 Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM • MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • 4 TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. . TRENCHES 0 FORMS U STEEL REINF. 0 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN ❑ OUT n PLASTER, BROWN COAT / O p �ry AL HEpIIrTDRVENT INREFRIG. AND A.C.. FINAL Alit �'l NV t G�A,/' I�iLJ'p` '� PLIL....ING, FINAL AND GAS TEST f /I ELECTRIC, FINAL L.e_ 1-z5-'n BUILDING, FINAL `C d 1.Q<-'7 . • ' — I PAIL _ 7 , 1m! ?13-77c..-1/70 0'41829' ****60.50 - <-4: 1-® COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely— Use Ink Only APL AilON FOR STRUCTURAL PERMIT RE I DATE RECEIVED DgTE ED 4 BUILDING 367$ YELLO winE (f/'�/1/(A�J(// T ,r ,/ �t OWNER Il/ • J 5iRo /I/6 A.P.NO. I —`)7 — ( PERMIT NO. ti MAIL LO BUILDING 307 '�-}fit, , /'t ADDRESS L�075 YES L� td STS �E ADDRESS I -AL/� r!}/ CITY Co a r,4- MIs4 NOL --,,d TRACT 0 LOT _ BLOCK CONSTRUCTION NEW ADD ALTE- REPAIR MOVING DFMOLLSH LENDER BRANCH n OWNER •t\ • Irl ADDRESS `�s,��..ss�,,�i��y./��{a�rt�y-t--rr //�� 7 ARCHITECT TEL. USE '-'�"'" �� I� 1`�tM-US �/t/r/r/ -/ OR ENGINEER • NO. FIRE ' T /6 ``AADDRESS ZONE TYPE GROUP X ONTRACTOR M BY //, PROVED DATE lY -/2LI / rTh ,iL J NS OF NEW , ADDRESS ZONE l NO.OF USE OF NEW TEL. .1L. PLANS� BUILDING �,�-1/7 CITY NO. jxN!j��`,✓ F STATE CITY YARDS APPROVED YARDS APPROVED • LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING Ir) SIZE /a / !NO.OF BLDGS. (FROM/C�/LST 0. OF LOT 6 / O Q NOW ON LOT / FRONT/A. FT. ti USE OF ` (/ 'I p �r�I //�II EXISTING BLDG.PRI vrI rE Home/i R.SIDF L}' FT` ' FT. to FSeparate permits are required for L.SIDE/c�tiLL.�.N11�i! L FT. G electric,plumbing and heating work. REAR • ✓/LvT.U1/ FT. U OF BU LDING AND WORK TO BE PERFORMED / MAIN NCE BET. BET.MAIN& Q. L {e(�� MAIN BLDGS. ACCESS, BLDGS. ENCLOSE B9 CK Py 770 1Y VAR.* P� ADATE PPROVED xe r EAIC LOS/ 6 rk/d :mos JS �PVPROVEDII yrl�"` DATE t5 _-7 00 00. I hereby acknowledge that I have read this application and state n p: that the above Information is correct and agree to comply with 0 0• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 2 = the State of Cailf orn le. �� m I hereby certify that I am properly licensed as a contractor under 50. FT. 9' the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF EST L (�E7�GR A PERMIT FE/E1ONLY: e and Professions Code, Dlvislonarn exempt from the n3 s�Chapterf the a9 of California Business VALUATION J�j R IT FEE $ // d✓ N PLAN CHECK S 2v ON "1 Signature of fin U. U. Permittee ��a .i1 �i S //(/(/ TAX S �t� U • Authorizetl�nt •• TOTAL PAID $ 6 55 0. - " OWNER BLAIR, L. C. DATE 6-15-61 JOB ADDRESS 30 Yellin./stone Drive BUILDING PERMIT NO. ••• GENERAL CONTRACTOR Anthony Pools VALUE $ 2,100.00 AP. No. 113-8811-13 .LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.Swim P^ a INSPECTIONS DATE I GROUP J TYPE ZONE 13_1 tj "rground Soil'-SW1 U.G. Watero—Aty-( - SUBCONTRACTOR_ PERMITS ISSUED l rground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous ff++ !' )•2PReoIF ' A„.-rnm R,,,q t—., .&Zt' C-14-(i E.27.,3 n7JZ A aZ, Prop. Swr. Line HH000s�Con. St. Swr. i f t� CI Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test £a f/,gg-Ka_ .--- 1 Construction Pole ../9.41-7,I,,,n Underground Power - Rough Wiring 4'/,CkY 7- /01.0 r,.l. rlat , n.�x.- 6-i1.-41 1S'�o S-334 ✓ Trenches Forms Steel3n 6-A-2-4( / Floor System �.�” Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing 1_,,,Ar4ag, In Out nt:br, brown coat 1�j7. _ PlumbingcFtunal (AT (- /�i - Electric Fixtures, Final to Building, Final 5?.., Q �J_, OCCUPANCY Form 210-5M-11-59 S-B r 14690 14690 1 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT 4 JUN 1 1.3.S1P. O. BOX 817 COSTA MESA. CALIFORNIA r17FIINnnAffNCE DEPt, For Applicant to Fill In Completely APPLICATION FORCPPERMIMESA TYPE OR PRINT BUILDING 3075 YELLOWSTONE: DR BUILDING ADDRESS COSTA MESA. CALIFORNIA For Office Use Only OWNER L C BLAIR , I RECEIPT 7NO. I /PERMITj10, MAIL RECEIVE• Jr., DAT1 RECE/1yEO OAT�//////LE/LBVEDV// ADDRESS 1'106 MOFT. .,1. 1 • I6��4/`�/ I /i TEL. BUILDING cmTY SANTA ANA NO. ADDRESS 3075 YELLOWSTONE D' ARCL+ITECT TEL. COSTA MESA. LI ORNIA OF .(NEER NO. ///vI �({ i�/yp��/{}{ iiuurr I FIRE /1 "" "'• ��n ~ ADDRESS ZONE ,� J TYPE GROUP ANTHONY" POOLS APPROV=;'/ I .j _� CONTRACTOR BY I DATE /Q/ ADDRESS 5871 FIRESTONE BLVD. ZONING CITY SOUTH GATE, CALIF. EON( NO.OF I) ONf(' NO. - USE OF NEW ( I PLANS ��"BUILDING r/-4-A, STATE TEL. LEGAL / �/ /(.�' LIC.NO. NO. DESCRIPTION V Q � � / / t SIZEFI NOWONLOTS ✓✓✓✓a 3 7 J( �/�.. / 3 / LOTA.P.NO. ( ( 1r I USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) /n CENTER OF STREET REAR YARD FRONT [[ ,�y1,.�--�9 FT. �(`Q . IN. SIDE YARD I LEFT I RIGHT R.SIDE J ? FT. �` IN. DESCRIPTION OF WORK 5 FT. IN. L.SIDE NEI' I II ALTERATION I II ADDITION REAR 7 FT. / IN. REPAIRI I MOVINGI IIDEMOLISHI APPROVED 2 / 40 DATE �/' 511W/ BUILDING NO. OF d o II SIZENOOF STORIES EXTERIOR WALL �Jg9 I ROOF COVERIN �� Lfj COVERING , USE OF ILDING AN WORR�jO`BE PERFO re :190}1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ANO HTATE THAT THE E ISCORRECT AND AGREE TO COM- PLY WITH All CI 055Th CES AND STATE REGULATING PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. BUILDING CON UCNON. VALUATION /� fry SIGNATUR OF/. 1751 PERMIT FEE $ / 1/( PERMITTE /! (/� -y� - $ 07/�. PLAN CHECK $ J • _ AUTHORIZED AGENT If (((T 111 TOTAL FEE - SI �� F 4 dr: 13534 FEE RECEIVED A COSTA MESA BUILDING-SAFETY DEPARTMENT o DEC Z.-9196f1 s P.O.BOX 317 COSTA MESA. CALIFORNIA �7�'�TFINANCE �TDeE IP�T..� EOR APPLICANT TO FILL IN COMPLETELY APPLICATIONYFVRCPERMIT'A TYPE OR PRINT BUILDING BUILDING ADDRESS 3075 YELLOWSTONE DRIVE COSTA MESA. CALIFORNIA FOR OffICE USE ONLY I RECEIPT NO. I P R.�ll3 i. RpT No. OWNER KWK CONSTRUCT ION CO., INC. MAIL REC VED BY DATE RECEIVED D TE 18SUEO- ADDRESS 1555 PLA CENT IA AVENUE (/C • /-.2--,Le--/ S!`UZ $ gee CITY NEWPORT BEACH CALIF TEL NO:b_3p?7 ADDRESS ARCHITECT LIC. COSTA MESA, CALIFORNIA OR 'INFER NO. ///III ADDRESS - FIRE V >•-G vJJ// T ZONE TYPE GROUP / APPROVED CONTRACTOR K. W. KOLL L STATE - 95 BY DATE 1555 PLA CENT IA NEWPORT 11BEA CH ZONINGS,v,,,ya- ADDRESSLEGAL LOT 4041 2^`1}�'r�/ NO.OPUSEOFN ,1DESCRIPTION INO. 32I BLOCK I TRACT `/\' P11LANS �/ I BUILDING ! A A/J.�1 BYAPPROVED TA) 1...... U .ten DATE 1 8'W=II'$-� A.P.NO. / Il �,'�KY / ( U SIZE 60X100 I NO.OF BLDG9" YARDS `� EVES OF LOT NOW ON LOW REQUIRED ALLOWED 1' USE OF (CENTER LINE ST.) II-I/I �' V EXISTING BLDG. FRONT L a, FT. 33,6, SETBACK LINE FROM n 1 CENTER OF STREET 421 REAR YARD 281 R.SIDE .j FT. IN. SIDE YARD I LEFT -5 t I RIGHT 51 L.SIDEFT. IN. DESCRIPTION OF WORK 1),r3-- REAR FT. IN. NEI I X II ALTERATION I II ADDITION I REPAIR I,1VV MOVING I II DEMOLISH I BUILDING 1485SF RNO.OF OOMS 7 SIZE STORIES 1 EXTERIOR WALL ROOF ROCK COVERING JTU CCO COVERING USE OF BUILDING AND WORK TO BE PERFORMED SINGLE FAMILY RFSInENCF ANn ATTACHED GARAGE PLAN No. 4-D 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 ALL CITY ORDINANCES AND STATE LAWS f GULATING BUILDING CONSTRUCTION.SIGN1 y LUATION _ PERMITTEE TURE OF ///(�//l , o/�. / L, PERMIT FEE $ 3,�j (/ / $ /��J e 7 PLAN CHECK $ /7i^SO AUTHORIZED AGENT TOTAL FEE $J�fy 0 Xerox Copies: 3067 ellowstone Files — - ', COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F'@,{ttS,,TR111k.i'�Jati PERMIT 36.bu TL. • P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 / _ For Applicant to Fill in Completely - Use Ink Only t N- e7 G 4 3 tS 1 - BUILDING p�, 7J��I�i ,-.4--- 7,-)G� A.P. NO. M'/-0 ADDRESS .X�./"94 -lvti 73 — . .Z; l3I1� BUILDING +3!''{,i > i E(.)11).37-0,0 OWNE0.0R n r ADDRESS , /� S 07V MAILING TElANT �(^M �r�rC� 6. y UNIT OR 50(p7� 7o7. ADDRESS (7/ .COY ' ,,, • ..C, SPACE NO. _ TR.NO. LOT S/ BLK. TEL CITY r?ps r4 Mas-¢- NO.;7eyf.� N / ALTER 'REPAIR MOVING DEMOLISH CONSTRUCTION l LENDER • ›C. • BRANCH :: / �`/� C V r, OWNER / GEtc- ,15)(0 taE ADDRESS 1 / VALUE ,t�, ARCHITECT TEL. • USE e /4 ), - s S!/V - OR ENGINEER NO ••.• .r„ .axcr^^Ir_an.m.rc: c>,-_..,.,v-.-. .F .. _. r ADDRESS ZONE J/ (TYPE GROUP if t // A - APPROVED FCONTRACTOR_.-.4417;4//% '•k. /�/ BY DATE ADDRESS /22&!/ ecia,v-c?CcJ LL /n� TEL. // //�� rI CITY •"✓i/1'i t' Vera va -t-• NO.7`JG� / - STATEi CITY APPROVED SETBACKS ,{ t LIC.NO. ;� _5YL! LIC. NO. • C (FROM C/L STREET) SIZE INO.OFBLDGS. C.- y OF LOT NOW ON LOT FRONT FT. /_ • V USE OF 2 %' LY/o'!//.27 0 - at' v] EXISTING BLDG. R.SIDE _.J/ FT. • k l / /L F▪ 4f._ Separate permits are required for L.SIDE 7 / FT. (9 O r electric,plumbing and heating work. REAR FT. • t USC OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION . 'c//'-i-z- 7y''-C.'lr, 4• 44'eJ:/!Az-r//./_j• c r � J \ DATE ) .. , ./ - �.---C'!>/1 it C� / 29= J. ,r- APPROVED /:,:�/.r s: s ?'• !7 %4 7 rJ I,tG/J �.''tCwY-✓?0•2- e'i1.L r AY ROVEDIi(Ql DATE 7- 39-p0 1 N 3 I hereby acknowledge that I have read this application and state N. that the above information is correct and agree to comply with G all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of :lithe State of California. m $ I hereby certify that I am properly licensed as a connector under SO. FT. _ OJ the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR B Chapter 9, and that such licenses are in lull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from provisions of the State of Rornia Business o VALUATION PERMIT FEE s and Professions-Cod,, Division 3,Chapt 9. �� C, / n / - ♦ PLAN CHECK S /a Signature of / / .. y �/ S j TAX S is. CO Authorized Agent Date'Gt ig 7C5,Me T t U _•..,.�...>...--.,..,..w ..,.. ' TOTAL PAID $ S6::::,...5 G