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Home My WebLink About3047 YUKON AVE - Building Permits •C \ CITY OF COSTA MESA A os , BUILDING DIVISION F• �( 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: B09-00041 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 41806218 DATE ISSUED: 03/17/2009 ISSUED BY: BJK JOB ADDRESS: 3047 YUKON AV CM Suite/Unit: Vicinity: RESIDENCE AND ATTACHED GARAGE Squares: 2300 Valuation: $7,900.00 SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING WOOD SHAKE ROOF, 7/16"OSB, 1 LAYER 30# FELT,APPLY"30-YEAR COMP SHINGLES."PITCH 5:12 23 SQUARES OWNER: HAJAZI,SAMIR ADEL Address: 3047 YUKON AVE Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: FAUBERT, BRAD Address: 8902 SAILPORT DR Unit: : PHONE: 714-231-7682 City/State/Zip: HUNTINGTON BEACH,CA CONTRACTOR: STAR COURSE ROOFING COMPANY License No. 532778 Address: 8902 SAILPORT DRUnit: PHONE: 714-231-7682 City/State/Zip: HUNTINGTON BEACH,CA 92646-2664 CELL: 714-962-2203 ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $153.25 . Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $154.25 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: 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 required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S INSPECTION TYPE to INIIPRLS CODEC INSPECTION TYPE DATE INTn1AL1 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ///p��r 208 Final Plumbing 200 Final Re-Roof ' 0 / 210 Final Electrical 201 Final Block/Retaining Wall ��TTT 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 OJr • Y WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver license. ❑Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C' have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ection 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding.falsework,a-demolition Cartier:'/r 1 N or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This se[ear need not be completed d The permit is valued at one hundred dollars($100)or less.) PoliE Number: /9 "7 t S '( C' - G 9 2,Ari 2,Sec.341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall n• . • .• • ..n in any manner so as to become subject such person has a permit to do such work from the division. to the woo - s' compensationlaws of California, and agree that if I should beco .- subject to the workers' •mpensation provisions of Section 3700 of Applicant's Signature Dale the abor Code orth • comply with these provisions. 3 / 7 —O 5 Division of Industrial Safety Permit Number: -%�rwm's'Signawre „Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fife and ILA FAILURE AND TO SECURE WORKERS'COMPENSATION COVERAGE IS 'UNLAWFUL SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. . 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am ' - .rovisions of Chapter 9(commencing at standard temperature and pressure). with Section 7011 • Division 3 of the :usiness and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license n full force and effect, a registration form for acutely hazardous materials? ❑Yes ❑No i Lic"• • 3 2-2" • Class# C —•T g (Section 25533 of the California Health and Safety Code, with some p exceptions, requires registration with the Costa Mesa Fire Department by -/7- o'/ each business which at any one time has on hand a quantity of acutely Wariis Signature Date:— hazardous materials equal to or greater than a weight of 500 pounds, or a _r volume of 55 gallons, or 200 cubic feet of compressed gas at standard CON TRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish. or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O 1, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer). 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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044. Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that El I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to buildi . .• to ction, and authorize representatives of Business and Professions Code for this reason: the City of Costa • a to enter upo a above-described property for inspection pu •. es. I agree not to occupy allow occupancy of any building authorize. • this permit until final inspec ature of Legal 0 te Signature Date -- Cr�..L 2 —( 7- c 3057-46(3/07) , onzed Applicant Date - 1 roti'"""Fs. CITY OF COSTA MESA 9AO 7f '.,• P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 1Fin i DEVELOPMENT SERVICES DEPARTMENT uC�q?_LNGiE. tala WA_ cfnd March 16, 2010 Samir Adel Hijazi 679 Cardiff Irvine, CA 92606-0875 RE: 3047 Yukon Avenue, Costa Mesa; CA . ' Dear Samir Adel Hijazi: Our records indicate that Permit# B09-00041 (re-roof) is about to expire. Please call our inspection request line at 714/754-5626 and request a final inspection. If you do not have an approved FINAL inspection by March 26, 2010 your permit will expire and additional fees will be required to reinstate your expired permit. • It has also come to our attention that there is unpermitted construction occurring at the above address. Please come to the City of Costa Mesa, Building/Safety Dept., 77 Fair Drive,211d floor and apply for a demolition permit. Once the permit has been obtained, the following must occur: 1. Remove the wall installed in the garage area. 2. Restore the garage to the parking area. 3. Remove all electrical extension cords in the garage area. 4. Garage may not be used as an extension of the living area. A demolition permit must be obtained within thirty (30) days from the date of this letter or we will be forced to forward the information to the City Attorney's office. Thank you for your cooperation in this matter. Cordially, Bill Nunes Chief of Inspections Building Division(714)754-5273 • Code Enforcement(714)754-5623 - Planning Division(714)754-5245 FAX(714)754-4856 • TDD(714)754-5244 • www.ci.costa-mesa.ca.us CITY OF COSTA MESA .6 BUILDING DIVISION F,t'�� ,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: BX10-00049 PERMIT TYPE B_MISC STATUS: ISSUED APN: 41806218 DATE ISSUED: 03/25/2010 Zoning: Ri, ISSUED BY: KJB JOB ADDRESS: 3047 YUKON AV CM Suite/Unit: Vicinity: Primary Occ: Const Type :?? SQ. FT: 0 Valuation: $0.00 SCOPE OF WORK: DEMOLISH WALL INSTALLED IN GARAGE AND RESTORE PARKING AREA. REMOVE ALL ELECTRICAL EXTENSION CORDS IN THE GARAGE AREA. REF: C10-0451 OWNER: HAJAZI,SAMIR ADEL Address:: 3047 YUKON AVE Unit City/State: COSTA MESA,CA Zip Code: 92626 Phone: APPLICANT: HAJAZI, SAMIR ADEL Address: 3047 YUKON AVE Unit: City/State: COSTA MESA, CA Zip Code: 92626 Phone: 949-275-0962 CONTRACTOR: License No. Address: Unit: City/State: Zip Code: Phone Cell: ARCHITECT: License No. Phone ENGINEER: License No. Phone FEE SUMMARY Building Plan Check: $0.00 Building Permit: $0.00 Electrical Permit: $0.00 SMIP Residential $0.00 SMIP Commercial $0.00 Bldg Std Admin Fund $0.00 TOTAL FEES $47.00 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Satrudays-9:00 am thru 6:00 pm.Prohibited all hours-Sundays and the following Federal Holidays: New Years Day,Memorial Day, Independence Day,labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord. No. 92-28, §1, 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 required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE 0, INSPEC110N TYPE DATE INTnIALS CODE S IN5PEC11ON TYPF DATE !NITRATE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 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 0 /'` 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized Carrier: by this permit,and that no building structure,scaffolding,falsework,or demolition (tris seam need not be completed pent:: va at u ed cellars(Stoo)ncess/ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). olicy umber: ❑ As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I shall forthwith these provis ns. 3 ZCI I a Division of Industrial Safety Permit Number: rant' elute Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WAR AILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ' 0 No Lic.# Class# (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 Contractors signature Dale 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applica 1 for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five ndred dollars($500).): of the California Health and Safety Code). I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other co ensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon.and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occ panty of any building by authorized this permit until, al inspection. 3� e_.- 3� �� = Si.. egai Owner(s) I Dat .lure ate 3057-46 Andbr Authorized Applicant Date No. WILLIAMS INSULATION COMPANY OF CALIFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 972-9632 THERMAL INSULATION CERTIFICATION THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Tract Name: Lot No. 1 Tract No. 10 23 Block No. Street 3()c_[7 Liria6}14-- City EXTERIOR WALLS: R— Mfg. Owens Corning Thickness/Type 6" Value 19 Ceilings: Batts: R— Mfg. Owang Cntning Thickness/Type 1" Value 11 Blown In: R— Mfg. Thickness/Type Value R— Sq. Ft. Covered No.of Bags Used Value Floors: R— Mfg. Thickness/Type Value_ Other R— Mfg. Thickness/Type Value General Contractor California Contractors License No. Date Signature Title Williams Insulation Co. of California ; '- ,.I California Contractors License No. 267522 Date Field Supt. Signature Title JOB COPY-WHITE BUILDING DEPARTMENT-PINK GENERAL CONTRACTOR-YELLOW FILE COPY-GOLD i r t 33 2 9 IIY $MKT L 0A eo0 t32 299( 9* i .` 339 0000447410 ttt COSTA MESA BUILDING-SAFETY DEPARTMENT ( P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only REIVED ECEIVED BY DATE RECEIVED oim /� DATE ISSUED BUILDING �C)/4‘..2J0 �N ADDRESS r t •l/� k OWNER Foley Construction Co. , Inc. A.P. NO.L// 062 PERMIT NO. MAIL G ADDRESS 2101 E. 4th St. , #100 ADDREBUILDINSS �3`7�7 {�/ U 1,60i CI e CITY Santa Ana TEL.. 547-941 1 TRACT 10513 I LOT 1 BLOCK CONSTRUCTION NEW (ADD(ALTER REPAIR (MOVING DFMOI ISH LENDER BRANCH OWNER Foley Construction Co. , Inc. ADDRESS £26 VALUE r✓ • ARCHITECT S 0.XCJ TEL. S ��fl1(r OR ENGINEER noises-Langston NO. 547-0862 ADDRESS 777 S. Main; #105, Orange FIRE /yam '-�`r�/ / ZONE TVPE.rK—GROUP,_f,.i�}` may,..,., APPROVED I CONTRACTOR OJner/DEGZelOper BY DATE - ADDRESS Same CITY Same NOL g1 IPLANSt-1 BUILDING 5tX; ./y; F STATE CITY YARDS APPROVED YARDS APPROVED / LIC. NO. Sane LIC.NO. MAIN BUILDING ACCESSORY BUILDING Q ZE NO.OF OF B— (FROM _CST R FST) L //,7� a OF LOT NOW ON LOT 0 RONT _ �' F7 / J }/ /ink? N J�/� USE OF NA �7��s/ / pc Tri) / 'rR .'-f Y Abe Fa EXISTING BLDG. R SIDF C�-✓ FT.t/ `�/[7[ FTC lett'AO y FSeparate permits are required for L.SIDE 7 FT.0 FT. electric,plumbing and heating work. / r it CtREAR -?(0 FT.(/ FT. f.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& AMAIN BLOCS. ACCESS.BLOCS. ' 7-1 Development of 41 single-family VAR.C `µ* ADATE PPROVED -C detached residence units. R PRDvo�� / DATEDATE /x_79 .a L a_6� Me Ia. I hereby acknowledge that I have read this application and state m r.cc Rt that the above information Is correct and agree to comply with iOLD FOR SPECIAL 1CCUU1tyitt.I! e, O all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws ofarlt o Qs the State of California. r SiCa _ lA el N 3 I herebycertif that I am y properly licensed as a contractor under D \ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m (k Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a tU am exempt from the provisions of the State of California Business VALUATION PERMIT F E $ a and Professions Code,Division 3,Chap 9. AMOiggiP _ (n^ PLAN CHEC $ /I p,60 O`M Signature o=/ - G!9'l�Ci S47 r 37�0r' 2 �V Permittee TAX �yy Authorized Agent 6g, 0' TOTAL PAID $ f' Z. 211/0 • --i !thy 3!27/79 225�gOLKT y COSTA MESA BUILDING-SAFETY DEPARTMENT Lao pOppyp 4 I P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626tb' APPLICATION FOR STRUCTURAL PERMIT For Applicanta�//too�Fill in Completely— Use Ink Only RECEIVED BY DATE RECEIVED ABUILDING DDRESS cxJy zfr:littizo �� DATE ISSUED `„f /1 et PERMIT NO. OWNER r�/•(a'7IC/Ynx•/• ��.A.P.NO. MAIL BUILDINGDRS .fly /7 s Q ^IJ ��. ADDRESS ADDRESS (/'7 ! 7 �'�(.J TEL. ' CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENPER BRANCH �/ //y /r //�j OWNER `y(Q/L lyf,"t tliRaV.,q , ADDRESS VALUE ARCHITECT TEL. SE $ OR ENGINEER NO. \ FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR O/ BY DATE ADDRESS TEL. ZONE NO.OF USE OF NEW PLANS BUILDING CITY NO. .F. STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE I NO.OF BLOCS (FROM C/L STREET/ B. OF LOT I NOW ON LOT FRONT FT. FT. Q USE OF EXISTING BLDG. R SIDE FT. FT. co El I-•• Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. Ci Ci _REAR FT. FT. [� USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& \ MAIN BLOCS. ACCESS BLOCS. .] VAR.# DATE Q C.U.P,# APPROVED 7 APPROVED )"' —BY DATE IR AIMMINIMIN B. 1 hereby acknowledge that I have read this application and state n n ¢L that the above information Is correct and agree to comply with B. all laws regulating building construction, and I shall not employ m Z any person In violation of the workman's compensation lows of v the State of California. ^; I hereby certify that I am properly licensed as a contractor under SO. FT. co the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b am exempt from the provisions of the State of California Business VALUATION PERMIT FEE S nnit �,Tt o and Professions Code,Division 3,Chapter 9. rn ObA��L/c-i PLAN CHECK $ mSignature of o —6 Permittee $ TAX $ f U Authorized Agent TOTAL PAID $ 2i.54251(