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HomeMy WebLinkAbout3053 YUKON AVE - Building Permits I 4111 $. I CITY OF COSTA MESA j 1 4 BUILDING DIVISION • DEVELOPMENT SERVICES DEPARTMENT PERMIT NU /BER PERMIT J %bongo, B04 0 497 (714)754-5273 • Fax(714)754-4856 •,www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3053 YUKON AV Status: ISSUED Suite: Applied: 08/24/2004 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 08/24/2004 Parcel Number: 41806215 Zoning: R1 R1 40y _de Applicant: VALVANO, DOMENIC ISSUED BY: //�, A Address: 1387 GALWAY LN /101'/ Phone: (949)675-6705 • COSTA MESA,CA Zip: 92626 Owner ZICA, MICHAEL A Address 3053 YUKON CIR Phone: COSTA MESA,CA Zip: 92626-2963 Contractor TODD ALLEN CONSTRUCTION Address: 1387 GALWAY LN Phone: (949)675-6705 COSTA MESA,CA Zip: 92626 License: 698984 • Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING WOOD SHAKE,7/16"OSB SHTG,2 LAYERS 40#FELT,APPLY"WESTILE FEATHERSTONE SHAKE TILES."5.95 PSF ICBG#ER-3984 2800 SO FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: $10,000.00 Permit: $181.25 Claim Valuation: $10,000.00 SMIP Res: $1.00 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 • Total: $182.25 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 2446-48(6/00) - DECLARAfIONS 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 Ni permit is issued. My workers' peysay _tion In urancyarder nd policy number are: J ! /`J!`- Carrier: -L4'7 / ✓it /' \ Policy Number: 4 V Z-(4 `f (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the wo f ich this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cellfomi nd at If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision A- C� Applicant Signature: ,�/�/ / Date: —v WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOL ARE($100,000),IN ADDION 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 amlicensed unde7prfi isry ter.9(commencing with Section 7000)of Division 3 of the Business. pd9rplessions Code,and my license is in full force and effect.Lie.# Cr'V�j Class P. CL 7 Contractor's Signature: ^�� / SZ --›- Date: 8 — 0 C-{ 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). Lenders 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).): ❑ 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.). ' O 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.). O 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). ❑ 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 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_permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ul Yes L-I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to bo constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑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 at 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 above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. j .fLe9sowner(s) Date oil/lO�1 ✓J ? -F- O/' „i•uthorizetlAplicant Date ;ODE r INSPECTION TYPE PAI€ INITIALS CODE r INSPECTION TYPE PATI INTIMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �y 208 Final Plumbing 200 Final Re-Roof -1 -7_0&( (174i//�� 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 J c FOLEY CONSTRUCTION CO., INCORPORATED July 25 , 1979 Mr . Bill Kumer Building Director City of Costa Mesa P . 0 . Box 1200 Costa Mesa , California 92626 RE : Meadow Park - Tract 10513 Bear and Yukon , Costa Mesa Dear Mr. Kumer : This letter shall serve as a permit application and an understanding of the City of Costa Mesa Building Department requirements that the garage of Lot 4 , known as 3053 Yukon Circle , which is being used as a sales information facility for the Meadow Park development , shall be reconverted to a normally-functioning garage prior to the conveyance of the property as a residential dwelling . It is specifically agreed that part of the reconversion of the sales office to garage shall include complete abandonment of the forced air supply ducts presently installed in the ceiling . Si e � ;�/ J . McLau ' Min 'Pr` sident • M/cj ` 2101 EAST FOURTH STREET, SUITE 100 • SANTA ANA, CALIFORNIA 92705 • TELEPHONE: (714) 543-9471 2 FOLEY CONSTRUCTION CO., INCORPORATED R7, u L i 4 C CIT`' "F 172.1 Jud 6 - 1979 AM PM 718191100 11120141516 July 5, 1979 Mr. Bill Kumer, Bldg. Director City of Costa Mesa Building Department P.O. Box 1200 Costa Mesa, California 92626 RE : Tract 10513 Dear Mr. Kumer: We are hereby requesting the gas and electric releases for our models, located at 3047 , 3049 , 3051, and 3053 Yukon • Circle, Costa Mesa. We will not permit final occupancy of these structures without first notifying the city of Costa Mesa. Vex' , 1 may. 01040, die ® JMc -uy n I• , esident JM/cj 2101 EAST FOURTH STREET, SUITE 100 • SANTA ANA, CALIFORNIA 92705 • TELEPHONE: (714) 543-9471 / _ _ C4 (-1=-7 � ° �' '� STRUCTURALAPPROVAL PPROVAL ONLY, C.-014)(-9o-�-' ") • SEPARATE PERMITS ARE REQUIRED . t S _ ��. --iz S j FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING AND REFRIGERATION WORK Permit • 67 ' THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQUESTS 5 7 • I BE PLOT D, 4vt S:1.EST THAT THE a 16E Ei.'1PCD i cD, I 1 STATE OF G .1J0.,NIA DiYtSION OF I s IND'„ST:'. ;L S .FLTY 8c COI ` �R i A�,, AODM..' ._ i'L' __ l ' In i i 9.4.1 trz f $ (, o - T1 q I% q0 AP RO " ED ° i 5 x 4 • cHy c BuiWi Lg tics! BY .� ,, , - •_......�,., ..,„,„i' sk / t THESE PLANS MU• r e: . to : .. v 1-- MAKE NO CHANGES WITHOUT PRIOR APPROY•• gs OF DEPT. t�y THE ISSUANCE OR GRANTING OF A PERMIT OR APPROV• ��� OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRU2; a TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY MAID OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL TN: // PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO VI! FAR AS THE WORK OR USE WHICH IT AUTHORIZE , • ]. X HE ISSUANCE OF A PERMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE i OF THE CITY. is . . . TYPICAL. 611 CONCRETE BLOCK-I FENCE • Cement Coping Optional t'-�----I—"- -- - -,--- ---- - - I-T-- '- -1 0Horizontal Channel ito Iall ' �_ I GENERAL- NOTES O Topof all I Fences ;r MORTAR : One Part Plastic Cement, and 6 Concrete Block Fence F =- -__- No. WILLIAMS INSULATION COMPANY OF CALIFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 547-5148 THERMAL INSULATION CERTIFICATION THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITI- CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: act Tract Name: Lot No. Tract No. 10313 Block No. _ Street /1 5 2p2SLCity Cesta =asa EXTERIOR WALLS: R— Mfg©ib 1 Corning Thickness/Type Value 9 Ceilings: Batts: Ft— L. Mfg. On--3n Corning Thickness/Type 30 Value 17. 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 .,�,Yi California Contractors License No. 267522 Date u Signature Title JOB COPY-WHITE BUILDING DEPARTMENT-PINK GENERAL CONTRACTOR-YELLOW FILE COPY-GOLD OWNER SKYVINE, PETER DATE 9/11/80 • JOB ADDRESS 3053 Yukon Circle BUILDING PERMIT NO. 50608 GENERAL CONTRACTOR Foley Construction DESCRIPTION of WORK Convert office to garage it 'o. 418-062,12 LOT 4 TRACT 10513 FIRE ZONE VALUES 100.00 II eCTIONS Sig Dore TYPE V-N GROUP J ZONE SOIL P WAITS ISSUED GAS SUBCONTRACTOR Date 1 Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. E SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER El ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS U STEEL REINF. ❑ F D t7 FLOOR SYSTEM `l P R QCtlons nSHEA HINM El STEEL REINFORCE (� 11 �eCanc d _,I SHEATHING 1„covvr 5aJ s),F .5„4 . FRAMEAND FLASHING S,' LAT HI NING - IN [^1OUT PLASTER, BROWN COAT Date rURAL, FINAL Electric HL .NG, VENT., REFRIG, AND A.C., FINAL PLUMBING. FINAL AND GAS TEST El aELECTRIC, FINAL BUILDING. FINAL + s M .st g f ' /q e ., .ass. - COSTA MESA BUILDING-SAFETY DEPARTMENT � APPLICATION I�,O eg'IRU6?UKAI.9PERMIT 5.50 TI P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 a RECEIVED BY (PERMIT N° . 50608 For Applicant to Fill in Completely— Use Ink Only �j/ 7 BUILDING 30 S3 (`�, A.P.NO. �I S rt/V Li t� OWFJERADDR SS OR `��s vie/tau /'s \,\ TENANT /- if 5� `y� ADDRESS ,gos /(,���0 &S_ 1 I UNIT OR 711 MAILING 3b-) , /sex SPACE NO. . ADDRESS /f (� (rTE TRNO. LOT BLK. CITY ( ?c felt aA- NO. /O S�3 _ �r� NEW ADD ALTER REPAIR MOVING DEMOLISH LLEENDERCTION tcCCY �OrY$�/er BRANCH / ADDRESS a/Qt 4--4.445.- c • OWNNE• - (a ARCHITECT /`���/// r //�J TEL. + re, 4 s ` fiVr E h� OR ENGINEER ��41:9 J L,y /\ter NO. / ls�� _ r/ TTT 4 ADDRESS a / of 1C � / //11 ZONE _ YPE • ,11/ROUP�` CONTRACTOR ?% A 4,/!, /eh AF 'i.' / /, /,_ •TE Yr_ V ADDRESS ,/�a•//On/4719,74— A � " r I/ — CITY ,�/4'N! /1� /T//� NOL.5We - E"'i-e STATE CITY 97 APPROVED SETBACKS LIC.NO. LIG.NO. pi 993 W SIZE NO.OF BLOCS. (FROM C/L STREET) L OF LOT NOW ON LOT FRONT FT. Q USE OF 4 EXISTING BLDG. A6:75-/ R.SIOF FT. CD f•-. Separate permits are required for L,SIDE FT. C electric,plumbing and heating work:LaREAR FT. _ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q ) Coal v / 5- DATE APPROVED Q . >. OG,�lC.47 TRrJ'EK Tv siserst,f4. _RY ROVED DATE z /1-/e-s514 G W 0 • I hereby acknowledge that I have read this application and state C Cg that the above information is correct and agree to comply with L all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of F. y, the State of California. m 3 I hereby certify that I am properly licensed ase contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licenses are in full force and effect,or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the prowl • s of the State of alifornia Business VALUATION Y PERMIT FEE § and Professi• ode,Dig' 3,Chapter 9. �� ren PLAN CHECK $ ^ Signature of '4' /' co C Permittee . ✓ S /O(/ TAX $ so LL or /".. 'i(! D rU Authorized Agent D TOTAL PAID $ S co OWNER FOLEY,CONST. DATE 7-26-79 JOB ADDRESS 3053 YUKON CTH_ BUILDING PERMIT NO. 48491 GENERAL CONTRACTOR owner/R„4Ldrr DESCRIPTION of WORK r ort Caragc to Salco Office A ,. LOT TRACT FIRE ZONE VALUEQb 500_00 IN.,. ECTIONS Signature Date TYPE GROUP ZONE SOIL PERMITS 1554 ED GAS SUBCONTRACTOR Date Number l Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANCOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND [I POWER 0 ROUGH WIRING Heating and Vent. TRENCHES U FORMS 0 STEEL REIN F. . FLOOR SYSTEM BOND BEAM in STEEL REINFORCE n • SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLACTER, BROWN COAT / �/ SI URAL. FINAL !//--b- Electric NEA..MG. VENT., REFRIG. AND A.C.--.�FINAL El PLUMBING, FINAL AND GAS TEST . 1 ELECTRIC. FINAL BUILDING. FINAL 8617 7/26/79 5.50 TI. COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIOIPFOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626• REC D V PERMIT t�t8 - 4 8 4 9 1 For Applicant to Fill in Completelyp — Use CInk Only 1�1 ADDRESSG �3 �h[ m) £t/&!/6 A.P.NO.. BUILDING /s//� /� OWNER OR /�,y/ ,,� )�` {n t ADDRESS 30 V eke. TENANT / '=GLY comsr/k.uC/r l�� � UNIT OR MAILIADDRESS /G �/O( L . 4't t477 SPACE NO. M. �// /1 �t TR.NO. LOT BLK. CITY �/'41///7 f�/7— NO. Sy3—f'ij CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER X BRANCH / /- ` O -/ , OWNER • &sta � ADDRESS VALUE nzs-�BQ ARCHITECT TEL. USE ,Jed c r • .. $ �ti•V OR ENGINEER NO ADDRESS ZONE / TYPE GROUP/{ / A CONTRACTOR 40.--1(-,fir BVAPPROV ED ,� DATE /6 ZI�777 ADDRESS TEL. CITY NO. I. STATE CITY APPROVED SETBACKS LIC.NO. LIC. NO. LU SIZE NO.OF BLOCS. (FROM C/L STREET/ C. OF LOT NOW ON LOT FRONT FT. Q USE OF ,F_, EXISTING BLDG _R SIDE FT. to FSeparate permits are required for L.SIDE FT. electric,plumbing and heating work.0. REAR FT. LV USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION F Q _0 3 Cc9N Ue e C-6-414466- it) DATE APPROVED Y. �K - �7 OFF/[•.0 APPROVED DATE ..t CC 14 0. 0 I hereby acknowledge that I have read this application end state C that the above information is correct and agree to comply with A. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 2 the State of California. cii ' SO. FT. I hereby certify that I am properly licensed as a contractor under 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 OP ESTABLISHING A PERMIT FEE ONLY: am exempt from thewrovisions of the State of California Business VALUATION PERMIT FEEV� q S and Professions Co•a,Division 3,Chapte/r9 _ n Signature of / j • PLAN CHECK $ LL ��� 0 Permittee sI . / --A.- Lam/ $ �./(//r�7L/J� TAX $ f Or ✓ 4)� U Authorized Agent D � TOTAL PAID $ i 3325 2/13/79 114.09 TL --- ' 3325 2/13/79 II4.09CKT0 to 3321i 00004474 13 IA 4 COSTA MESA BUILDING-SAFETY DEPARTM14T1 1" 'ap I,, / P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ll ((/ APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS Rpm BUILDING .505 3 �/0 RLig pm V /,•� (� r� PERMIT NO. OWNER Foley Construction Co. , Inc. A.P.NO.7�7S:Q(J L 1 '� MAIL BUILDING •V t e ADDRESS 2101 E. Fourth St. , #100 ADDRESS 3053 I Otag ie. , CITY Santa Ana NO`' 543-9471 TRACT 10513 I LOT 4 BLOCK CONSTRUCTION NEW I ADD ALTER REPAIR I MOVING DFMOI ISH LENDER 111 BRANCH OWNER Foley Construction Co. , Inc. el ADDRESS pj?Q �,r ( .1��_ (� 19 yALUE / ,6(Z ARCHITECT TEL. USE /—�Y J t-�J (�-J` `n^t-�.il $ U( �(JC/ OR ENGINEER Hales-Langston ND. 547-0862 FIRE I / T ADDRESS 777 S. Main, #105, Orange ZONE TYPE ✓ GROUP 1�.k APPROVED t CONTRACTOR Owner/Developer BY DATE ADDRESS Sane TEL. ZONE NO.OF USE OF NEW 5 F- CITY Same NO. I PLANS BUILDING Dweir'ts�j� F-' STATE CITY YARDS APPROVED YARDS APPROVED J LIC. NO. S1 LIC.NO. MAIN BUILDING ACCESSORY BUILDING GU SIZE NO.OF BLDGS. 0 (FROM C4_94Tj1E cis Vi '1 ,f,1�FT,— , O. OF LOT NOW ON LOT FROM ,w.Ij F U L I V Cel ii F Fa EXISTING BLDG USE OF N/A R.SIOF L�// FT. OrIt _ INr VOL FT. Ave.A F Separate permits are required for L.SIDE 5/ FT . O FT. electric,plumbing and heating work. / O REAR 16 FT. a FT. k1 USE OF BUILDING AND WORK TO BE PERFORMED E" DISTANCE BET. BET.MAIN& Q MAIN BLOCS. A0.tJS. BLOCS. 4110 3 Develop-rent of 41 single-family cuo DATE APPROVED a > detached residence units. �RRO/V�(��- Z �. 7 221-1 _B_Y OG ATE J --'.1 —71 1 tYa. 0 I hereby acknowledge that I have read this application and state n 12 that the above information is correct and agree to comply with UV•n Ff1R SPErlAl. 3FOhIIREMtN I J D. all laws regulating building construction, and I shall not employ i m Z any person In violation of the workman's compensation laws of o (w\ _14 the State of California. /a( O ��� Si .t N. I hereby certify that I am properly licensed as a contractor under SO. T.(r y a 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: am exempt from the provisions of the State of California Business VALUATION PERMIT FEE Enet t and Professions Code, Division 3,C .•• m / V'/S✓". C PLAN CHECK S / 64 ^' Signature - `yA o IQ e•Permittee re- $ TAX $ el•3/ LL 2 Authorized Agent TOTAL PAID $ //y4q =. y2y,3 - 5728 3!27/79 2.19.00 7T 572H 3127/79_ _ -21'9,00CKTu •• COSTA MESA BUILDING-SAFETY DEPARTMENT 6726 00004474 13 •'- A " '"' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 1�'r •• ••- "^ APPLICATION FOR STRUCTURAL L PERMIT For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING //1� -j V,` , ` y� ADDRESS <J O S ) / V Kb L1�` ^� / c t, . , PERMIT NO. OWNER (nJr// r�l'J�,�•LGAY�✓Il. co./Vl A.P. NO. 2 V - •/ MAIL BUILDING ADDRESS 3QS3 Ic# by C.i • ADDRESS S L� TEL. CITY NO. TRACT/0531 LOT - BLOCK CONSTRUCTION NEW I ADD ALTER REPAIR (MOVING DFMOLISH LENDER BRANCH 1Y _ jJ „Ale. OWNER /�}V4/ni�ci'J/J ADDRESS VALUEill ARCHITECT TEL. USE $ OR ENGINEER NO. . FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR D BY DATE — ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS (FROM C/L STREET) e. OF LOT I NOW ON LOT FRONT FT. FT. Q USE OF EXISTING BLDG. R SIDE FT. FT. rA I-. Separate permits are required for L,SIDE FT. FT. electric,plumbing and heating work. REAR FT. FT. W BUILDING AND WORK TO BE PERFORMED F USE OF DISTANCE BET. BET.MAIN& • GMAIN BLDGS. ACCESS. BLOGS. ...1VAR.* DATE at C.U.P.avAPPROVED APPROVED } _BY DATE C W 0I hereby acknowledge that I have read this application and state N N X that the above Information Is correct and agree to comply with m W all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 2 m the State of California. ^; I hereby certify that I am properly licensed as a contractor under SQ. FT. a 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 FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ //� n71 a and Professions Code,Division 3,Cha r 9. a/�• `' m PLAN CHECK $ ter+ re Signature / //�� O Permittee f 9-3/4.754 ' 4�� � $ ...19... / TAX E S . LL / / VY Authorized Agent TOTAL PAID $ r�