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HomeMy WebLinkAbout3137 YUKON AVE - Building Permits 1 • CITY OF COSTA MESA OP »� ' z BUILDING DIVISION • 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us rat FOR INSPECTIONS CALL:(714)754-5626 , • PERMIT NUMBER: B08-00317 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 41805108 DATE ISSUED: 11/12/2008 ISSUED BY: RMD JOB ADDRESS: 3137 YUKON AV CM Suite/Unit: Vicinity: HOUSE AND GARAGE ROOF Squares: 34 Valuation: $12,495.00 • SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL 1 LAYER OF 307E FELT ON 12:12 PITCHED ROOF AREA AND REROOF WITH 30 YEAR COMP SHINGLES ON APPROX 14 SQUARES AND REROOF WITH TORCH DOWN BITUMENT ON FLAT AREA,APPROX 20 SQUARES(ATTACHED HOUSE AND GARAGE. REPAIR AND REPLACE SHEATHING AS NEEDED. OWNER: GO,ARLENE Address: 3137 YUKON AVE Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: MORRIS,TIMOTHY Address: 2138 TYNES DR Unit: : PHONE: 7145728714 City/State/Zip: PLACENTIA,CA CONTRACTOR: MORRIS COMMERCIAL ROOFING INC. License No. 887623 Address: 2138 TYNES DRUnit: PHONE: 7145728714 City/State/Zip: PLACENTIA,CA 92870 CELL: • • ARCHITECT: License No. - PHONE: • ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $223.25 Reinspection Fee: $0.00 TOTAL FEES $223.25 Wit le° NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. cQQ I, INSVEC11011YPE Qejr, IN711W,$ CODE INSPECTION TYPE Q^•` piing 1818 Fixed System Final Fire Prevention 208 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing rratrod d,/ 200 Final Re-Roof PYr I 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 1 WORKERS'COMPENSATION DECLARAT1O Owner ID verified byense. 0 Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: f v !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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compens lion Insurance carrier and policy 0 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 ( L. this permit,and that no building structure,scaffolding. a ding,falsework, demolition Cartier: 1;1-VC-VC- �V Wor dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (This seem need not be completed Ithe penn4 is valued at one hundred dollars(51W)or leu.) 2.Art 2,Sec.341,Title 8,California Administrative Code). •Policy Number: I Dzl L' la X ❑ As owner-builder, I will not employ anyone to do work which would O 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' compeusati.r - . • alifomia, and agree that if I should become subject to • .rkers'compensation provisions of Section 3700 of Applicant's sgnawre Date the Labor forthwi comply with these provisio . A — //0/., /O r Division of Industrial Safety Permit Number: •T.p .ml's Signature ! bate /// UUU HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNIN'' FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLA L 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 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 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? ❑Yes 0 No Lic.# 4,0 it 3 Class# C-- 3 / (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by adirisim.,......- ////e/osy each business which at any one time has on hand a quantity of acutely .Ira ors Ignalur- Dat 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 CON RUCTION LENDING AGENCY: temperature and pressure). ❑ I tiereby 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 0 No Lender's Address: (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. 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? ❑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 California 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 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 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 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? 0 Yes 0 No 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 8. (If"yes", attach•certificate of compliance from the appropriate air pollution 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 a ❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materiaand 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 Dale ' ' 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 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 occur or allow occupancy of any building authorized by this permi inspection. • Signature Date 305]-06(3/0]) /ir� •) ens) 00 - b/ eVe0dd �r And/.7nze hcan Oat C Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 7YG -38 Co CITY OF COSTA MESA o tC�('�\IISTR UCTI+ON PERMIT PERMIT NO. TR(AC'TN LOT 11Cq UNIT NO. A'P' Zone �j Project Address 3137 7 tl NO" RSC � 3' o° ) [ 1 �- `IIS 05.7-OP /S_"'� • ��r Gnat; /'_r. b ,LI•J, S Main Building: Accessory Building: Applicant's MaiiJ Qg Address 11$315 aNy �1/� C� bn[CM Gas'e TY E OF CONSTRUCTION NEW ADD U ALTERATION H REPAIR E — Z Owner's Name C I� Cr-aid/DVS S4••Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 313 7 Yet LOM' Ave Phone •`aCRI- PTI N OF WO;K/USFa 0 BLDG. — I B Rear . ` (/Co Eo" - N Address • - - N Arch/Eng. License No. TYPE OF PERMIT III GRADING FOUNDATION U STRUCTURAL I C Right (o�9 r/ G Address El TENANT III ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' S • Left Z5/31(/ - Contractor's Name ©f 3 Phone ❑ OTHER ' Ping. Ref.# Parking Req./Provided E Address(mailing) PROJECT DESCRIPTION SG. FT. l OCCUPAtle5 rL b ,_[_ // Q C ON ST RUCTION TYPE v N VALUATIONS v �[ PlanningNotes: - �� )p room 4 Jet ��s(j"�I+y T City License No. ZONE GRADING CU.YDS. ACRES itkget /C9Q J S. LICENSED CONTRACTOR DECLARATIONI p,,,,„ 4- or a� GL6'89 • hereby affirm 7 that) I am licensedion under provisions f Charter i ns(commencing Remarks: G ��• with section full of Division 3 of the Business and Professions Code, and my license is in full force and effect. Pte `- -1 s - 89 ELECTRICAL FEES License Class License No. Date Signature 1 PLUMBING FEES Automatic Washer Transformer 0 15-50 KW , 'IRKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter pup to 100 amps 3800, Lab. C.) Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Certified copy is hereby furnished. — Dryers ❑Gas ❑Electric Sub Panel _ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors ❑0-1 HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar ❑9-15 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the oe- or which permit is issued, I - Fixtures ' shall not employ any perso in any m,•ne• so as to oma sub' to the Drinking Fountains Solar Tank Microwave Workers' ompensat'�gA,La ss of Calif. ma I , Date �- Z-le �5ignature .4 ••"'a/� / Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:if,after mak n this declaration, yo should become subject to the - • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range h.- comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY te.Gas Service Outlets Water Closet tar Switches Sign sT I hereby affirm that there is a construction lending agency for the performance ... ] " of the work for which this permit is issued (Section 3097 Civ. C,) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater i•. Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor; OWNEFrt1,UILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • any structure, prior to its issuance, also requires the applicant for such permit tg file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 1 ..,Contractor's License Law(Chapter 9 (commencing with Section 7000)of r lsion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fees Y 'refrom and the basis for the alleged exemption. Any violation of Section - �75031 .5 by any applicant for a permit subjects the applicant to a civil i p,nalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: j- !/y-�'�,P as owner of the property or my employees with wages as their sola Reinspection Fee $15 Issue Fee $ P P Y e Zoning Approved By nate com ensation, will do the work,and the structure is not intended or offered 'for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By -1 / e License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own - Application Issued By '-•r- ' ' .A err employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUryryry111MARY OF FEES '•'�'� elation, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground 11 prove for the owpose of sale). BUILDING PERMIT $ •7 ny.—! �L.,,$ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ SMTP PERMI,T- The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING $ 5s ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) lioensa pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation urance should b- provided to me. ELECTRICAL $ I �� Gfl ADING $ 0 am exempt under Sects n B. : ,for this re...n T Firepl/Fact.Blt. ICBG 41 14 ( Fire Dampers 6 a_ MICROFILM $ PLAN CHECK 50% $ Date 6-2-1-i Owner tern" � Heating System& Ducting Registers N L 1 MECHANICAL $ 2.4 i TOTAL•FEE $ I hereby certify •at I have read thi application and state t t the above 00.100,000 BTU 0100,000 BTL Information is • r- t. I agree to c• r•iy with all city and county ordinances PLAN CHECK 25% $ and state law vela ing to buildi•• •nstruction, and hereby authorize repre- sentatives of his cit to ent; •pen the above-mentioned pop(spirts; f•r • .. Inspection `p• s./ z \-171\91 /li • . '1 Signature C./ Date �'� di 60035925-00035929 Tit!''. '_7=,7- 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 06/21/89 Tiff: 12:33 PC &SPA CONSTRUCTION AND PLANNING , • .APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil.Pipe-Undrgrnd. - 53. Steel Reinforcement 3- Electrical Conduit Utility-Undrgrnd. 54. Forms 4.'Electrical Conduit Undrgrnd. 55. Electrical Bonding r 5:•Steel'Reinforcernent 56. Rough Plumbing & Pressure Test 6.' Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • ' r ri 7. Footings 58. Electrical Conduit-Undrgrnd. • - • B'Foundation 59. Gas Pipe, O Undrgrnd.,Test 1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. S2we,Cap 63. Heater & Vent-Final 13. Rodf Drains 64. Plumbing System - Final 14. Rouget Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure - . 70. Underground Hydro 22. Ducts, Ventilating ' - 71. Product Piping O Gas OOil 232Gas Pipe-Rough& Test r 72. Underground Flush 24.-Roof Framing 73. Undergrnd.Storage Tank O Gas O Oil 25. Roof Sheathing _ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing -'" 76. Dry Standpipe 28.. Lathing& Siding '- 77. FIXED SYSTEM FINAL 29. Insulation :', 78. FIRE PREV. FINAL 30. Drywall Nailing 2 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat_ - • 79. FINAL INSPECTION 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric t; Notes: 34. Final Heating & Air Conditioning 42! y? 35. Final Gas Pipe-Test =36. Hood or Canopy 37. Final Factory Fireplace •3$. Final Plumbing 39. Water Service-Final ' A 40. Gas Service-Final ' - 41. Solar Domestic-Final_ 42. Backflow Preventer 43. Backflow Irrigation -r 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations /� {09 •/ 6 9/ �Gr 03 47. FINAL STRUCTURE & BUILDING - �'f D.g /42- `� 48. Special Requirements'Completed ! , 49. Electric Release to Edison n 50. Gas Release to Southern California Gas Co ,r r .51. CERTIFICATE OF OCCUPANCY , No. Date • I \ City of Costa Mesa MEASURE "G" EXEMPTION Plan Check # 178-89s Exemption # 89-'186 Permit # Case # Address: 3137 Yukon Avenue Unit: Applicant: Richard Cendoya FACTS: ❑X Residential ❑ Commercial/Industrial ❑ Other ❑ Existing Lot ❑ Not Part of Larger Project Project Description: 162 sq.ft. room addition to rear of existing house No. of Dwelling Units NA Gross Floor Area NA Square Feet F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. Fl 2. Project is a residential project of four dwellings or less on an existing lot. X 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. n 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. ❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: • Planning Commission Date April 24, 1989 City Council Date NII 1648-30 - b. • • 2E656 FEB 17-67—'D00 687* ****911.50 COSTA MESA BUILDING-SAFETY DEPARTMENT cnsa P.O. BOX 1200 COSTA MESA, CALIFORNIA 92323 - • For Applicant to Fill In Completely APPLICATION FOR PERMIT y. TYPE OR PRINT BUILDING . For Office UES Only ' BUILDING ADDRESS 3137 Yukon Avenue .I RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA r[• YP OCD OWNER U. S. Financial - .._.< _ - . BUILDING 3 3 C ;< Nov . 1355 Front Street % ADDRHS %J'J• , . .L:L i. CITY San Diego, Calif. r o`."234-7912'; - APPROVED • ARCHITECT TEL. DATE i OR ENGINEER A. S. Henrvck No. 564-5610 3 ZONING ', ADDRESS 901 Liard Place Costa Mesa _ co - •R Lewis R. Schmid LEGAL ADDRESS 2940-A Randolph Ave DESCRIPTION �- / (. CITY Costa Mesa, Calif. .: : NOT& NO PAVE OVERHANG SHALL BE LESS THAN LIC.NO. 234399 O. 540-0960 t SIZEX q3 • NG.OFBLDGS. REQUIREMENT) OP LOT 60 x 98.8' x b39� „owoNIGT o ' YARDS APPROVED YARDS APPROVED use OF MAIN BUILDING ACCESSORY BUILDING ' EXISTING BLDG. SETBACK LINE FROM CENTER OF STRUT REAR CHAR YAR• 2 • ! r : SIDI YARD LEFT 61 RIGHT 61 11. / DESCRIPTION OP WORK 1111P /� FT. 4 NEW JS. ALTERATION-� ADDITION '.-"�"�"�'- PT. G DISTANCE BET. BET.MAIN& • REPAIR _ MOVING DEMOLISH £ MAIN BLDGS. ACCESS.SLOGS. BUILDING NO OF VAR.# DATE a SIZE 1418 s.ft.ROOMS 6 Shake- 1 • C.U.p.# APPROVED :1 EXTERIOR WAL{.mI od- ROOF Shaa�Shake-li„ APPROVED ��, JJ � 7 j COVERING r aster COVERING Pea or 'L.J DATE --/j7/4 , USE OF BUILDING AND WORK TO SI PERFORMED a Single Family Dwelling with attached fl, W Garage Lor /9 : X4,1/18'sc.rr. 4871 I HEREBY ACKNOWLEDGE TRAT.I NAVE READ THIS APPLICATION • THE AMOUNT SHOWN UNDER VALUATION IS FOR THE .O• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. i7. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATINS , BUILDING CONSTRUCTION. VALUATION p PERMIT FEE /1 ' IJI co SIGNATURE OF /9 �n/3 E PERMITTER �,nn..,�-/ �+-�I.rc•a-QJ - Z! / GI a�.9 ... •. . AUTHORIZED AGENT TOTAL PEE $ 7.0.' � AUG 9 77Pnr8001085* ****23.00 CnSA Ph4444 5 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 A RECEIV.D BY DATE RECEIVED ADORESg� ii. ,l7 / ��(( N0S7 rP . OWNER .�L�C�WS oN � ? - A.P. NO. 7/41r MAIL __ ee BUILDING /30-7 J 7 v )�t/ ADDRESS C!.-" ADDRESSyJ� / / G �' v CITY �S�.d t . NOTEL^j' TR!(CT 7 �Or/- BLOCK CONSTRUCTIONS— NEW ADD • TER REPAIR MOVING DFMOI ISH LENDER BRANCH �_ s N° kj �� OW R R ADDRESS �I/ � t VALUE OR ENGINEER Ct -rai,4N D TE —I ,r $ /� FIRE ADDRESS'4 y S - a ZONE .n/ ROUP CONTRACTORcP1aS k_se} CANIZ APPROVED /, DATE r - -.7- ADDRESS .7- ADDRREESSS/scn-f,-I auCVoN /�A ZONE 1 NO.OF f� USE OF NEW /' ,�J I-, CITY I Ljtl�,v TNOL�,4�'a7/� �/ Pte' �[ BUILDING 3�/V H. STATE G� CITY {{{YYY a{j YARDS APPROVED YARDS APPROVEDI ' LIC. NO.ra!-73 44 c53 LIC.NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) O. O SIZE NO.OF BLDGS. yy��- J�•r/� IL OF LOT I NOW ON LOT FRONT M, ('- 4s-----1.6 1-. hUSE OF �/, t t- EXISTING BLDG. R SIDE�i/ FT. ^— FT. ca _ � I t F Separate permits are required for L.SIDE ACL/ FT.^ FT. electric,plumbing and heating work. /—' W - _REAR /(J FT. FT. H USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& . Q MAIN BLOCS. ACCESS. SLOGS. Q VAR.# DATE -1:7.,/c,-- .V.P.# APPROVED APPROVE���� C f-7? rl ___ay DATE 12 Pa 0 I hereby acknowledge that I have read this application and state In n. Oa . that the above Information Is correct and agree to comply with ell laws regulating building construction, and I shall not employ m 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 SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SH• N UNDER VALUATION IS FOR re Chapter 9, and that such licenses are in full force and affect,or I THE PURPOSE OF -. ABLISHING A PERMIT F ?Jr; to am exempt from the provisions of the State of California Business VALUATION i •ERMIT FEE $ �� and Profession ode,pWision 3,Chapter 9. m Signature of L 11'ti A�/fir y �%, • 'N CHECK E Permittee 1144 tt66..�•l/l�A�A_ "I\/��\ S / ' T•X 4 �s LL •'+ y{/ LI f Authorized Agent TO4`.9L PAID $ se P. a 44595PAIB SEP -2-77CBSqOO 151* *****5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.130X 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill inCompletely - Use Ink Only RECEIVED BY DATE RECEIVED' r TEpIgSUFp BUILDING 7 L / f"/JJj OJ(( 7 ADDRESS/4:1/2 ( o i cf 077n ..1.,a Q �y rry'(� OWNER U j dm I CrS On A.P. NO. S7 L)t5 -VV J T MAIL ` �] ADDRIE S 313 io l f, ADDRESS J L/ O jf✓.-( �r J TE L.1."y 6_ TRACT 1t LOT '9 BLOCK CITY CDS /'4 1`1.o.5y NO. a S1 CONSTRUCTION , I w'p NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER L BRANCH OWNER FAA.--A .--7'WtI-E_Sc J ADDRESS /�� •' ` ' I ��/ ARCH ENGINEER ND TOL' S ail VALUE 0.6,se FIRE / �(Y ADDRESS t ZONE TYPE Ip GROUP I r�r- s��YY�� ..- APPROVED I A°22- CONTRACTOR Q >o L_E - BY w DATE L. ADDRESS ICF - p'- -� TEL. ZONE 'NO.OF�/ USE OF NEW I CI TY��+R/ gA - - bIa.- PLANS(i BUILDING � �4f✓ F —� STATE CITY ,! �t YARDS APPROVED YARDS APPROVED LIC. NO. Ai/ LIC.NO.Ie/i-• MAIN BUILDING ACCESSORY BUILDING J ILI SIZE NO.OF BLDGS."'III (FROM C/STREET)`ET))�,' ry L BN C e A. OF LOT NOW ON LOT r FRONT D v tau.PT. •(�4] Q USE OF ttLLttrs--1144 r.n EXISTING BLDG. - Z.dlfl f ` f �. 1 S' Separate permits are required for L.SIDE r i2CINAFT. TA --eNit�t, RIF p Gelectric,plumbing and heating work. REAR EAST. rc` I L.c`v�.0F :t I V''- (-, USE OF BUILDING AND WORK TO BE PERFORMED T • F DISTANCE BET. BET.MAIN& QD MAIN BLDGS. ACCESS. SLOGS. / / J DATE n `7 h l/Q 0_ 1 (�t 1/ C 71, VAR.# C.U-P,. APPROVED e '^ I .r.) .L10 44 U CIO 1 O N/- //e4.k" gPPROV ED/�AIY/t�✓t\ DATE9� � � / / a; W a. • O I hereby acknowledge that I have read this application and state n gg that the above Information Is correct and agree to comply with m D. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of E 0 the State of California. _; I hereby certify that I am properly licensed as a 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, 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 ns of the State of California Business a VALUATION PERMIT FEE $ ��_�rr and Profession n 3,Chapter 9- S. [ter/ n PLAN CHECK E m Signature •fCall ^ 0 Permittee ,/ 5 � TAX E s6tJ 2 `�s U Aut•• zed Agent TOTAL PAID $