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HomeMy WebLinkAbout3068 MADEIRA AVE - Building Permits CITY' CN1StA MESA • BUILDING DIVISION 'A.S.-I; DEVELOPMENT SERVICES DEPARTMENT PERM UMBER PERMIT (714)754-5273 • Fax(714)754-4856 »'costa Gil s't U G -MIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3068 MADEIRA AV Status: ISSUED Suite: - Applied: 10/03/2005 Vicinity: ROOF Issued: 10/03/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 13916405 Zoning: R1 Applicant: SOUZA, AL ' • Address: 10657 STANFORD AV ____0:k___....---"" -�; Phone .714-636-5679 ISSUED BY: GARDEN GROVE,CA -., ,•,Zip 92840->- Owner: MITCHELL, CURTIS = Address 3068 MADEIRA-AVE ' e €/ Phone 949-290:3892 r COSTA MESA CA �i? kx Zip 92626-2322.'7:i:: d" q. �x ✓ Y'- ,y,lei• ,.. 4' S.x x°x Contractor " MR.ROOFING SERVICES '' Address `"-x10657 STANFORD AV 'f .�?" - d • Phone: 714-636-5679 ti "'a' ' GARDEN GROVE,CA Z p. 92840 • License: .765080 e ; > 'Arch. a Eng: w , n Address: ?'" _ Address: Phone �+ r n 1 v e .'T,.4 • '"" k Licenser Zip , r > License _, r 1 „. --' ' SCOPE OF PERMIT .y TEAR OFF EXISTING ROOF INSTALL 1 LAYER OF 30#FELT,30 YEAR G.A.F.COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS ',' NEEDED.28 SQUARES;INCL'UDES ATTACHED GARAGE. >? r'% '_ '^` t, Ay -1 Plan check ,;$0?umpaic Valuation _ Se,Soo.00 Permit $167I25Claim Valuation $8500.00.- SMIP¢Res $0 85 ' SMTP Com $0 00 f k M -A- '- ` Other ::$0 00 , > rr . ,Y ,; --, .17,, C, a ' Inspection '$D 00 «., s .- Total $16810 $ PLANNING.&ZONING " x ` t< SETBACKS � ' * MAIN STRUCTURE '-Front 0 0y ,a Rear 0 0 ak Left t 0 0 Right 40 0 '4u`, >x.�y -- `�`> t- aw h > i qsg ACCESSORY Front 0 O�,x`:.„ Rear 0 0 • Left t0 0 Right, 0 0 tx? � 4a V-_,«-:...-....,.„ P PARKING Existing q0r, Required 0 ;: r P�000sed: " 0 ,'-' -cc'0.. erg r - ', t 3 • • 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 fora 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 • 244848(M00) .. cznestmiumnisi •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 theperforrnance of the work for which this permit is issued. -0'1 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'co p�a do Insur carrier and policy number are:"- '•'"tl�:I; -Cartier: tt:j hA,J 4Policy Number:fic.1©OD 2 3 ! / -' 20 43 (This section need not be completed if the permit Is valued at one hundred dollars\($100)or less.) 4s>°'1?'1 tr"^ ❑ .1 certify that in the performance of the work for which this permit is issued,I shall not employ any persdnin any manner titas to become subject to the workers" compensation laws of California,and agree the I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith " comply with these provisions. �/ FB Applicant Signature: ." 1t. Date: l 3 S WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED' THOUSAND DOLLARE($100,000),IN ADDITION TO THE(MST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business d ProX71 offe y'I ns Code,and my license is in full force and effect.Lia# / rp,�/j0 Class# w— • Contractor's Signature: Date: /0 — CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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.). ' ❑ 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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's 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,Califomia 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 ❑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? ❑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,.a,.ppplication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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 all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes ❑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. S' naturOlf Lege wner(s) Date 0 And/Or Aut riozed Appli " Date cepa , INSPECTION TYPg • pAg 1NTTr1AL$ . CODE( INSPECTIONTYPE 2ALF • INTIRAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical • -- .1266•- Pool Spa Final - • •/ 208 Final Plumbing - • • 200 Final Re-Roof /0-6:55— /tSf 210 Final Electrical .' 201' Final Block/Retaining Well • ' .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 • - i� CITY OF COSTA MESA wq�'► BUILDING DIVISION F I PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT So:.o, a '° E00-00706 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT . Job Address: 3068 MADEIRA AV Status: ISSUED Suite No Applied: 07/21/2000 Vicinity: REAR OF HOUSE Issued: 07/21/2000 Parcel Nunmber: 13916405 ' • . - , , ____.fr___ t ISSUED BY:' Applicant: STANKO, DAVE _ Address: 2030 MAIN ST /„,,' ,.-- 1 (Phone: (619)525-0650 -j IRVINE,CA-2-1_5„,. '� 'I Zip: 92614' \, / "- �� ./'/,V/ ���1 �� Owner: MITCHELL'BRADLEY A -�� N / 3 -- -� Address� 3068 MADEIRA'AVE�/i->. �, ! '':'," -\\::\ c /�r �/,/r%f'"-- - Phone: -,A .; A* / `r//OSTA MESA!;CA Zip: 92626 ,1��`\�. , `, //t'/ 1//7 /7/�/ "Contractor:, AMERICAN BUILDERS GROUP ', 'F' 0.1 / Address 2030 MAIN ST N P , 4) 1 - \ /71//-/-- (--- . , >Phone (619);52510650 .aNF l tit . Ir ') l I1IRVINE,CAI � ,fii_,cc,_-I"Zip: 92614 ti`, -J A'_ ,J J ;,r `,• -� ` r . : 1-4 1"., ._ -License: 736832 - /� I of NV 'jr:A'�=' v SCOPE OF PERMIT N ' " • ,,I / _ 7 . 4 UPGRADE EXISTINGELECTRICAL SERVICE TO 200 AMP. - - - t , ' !� ✓ �'� la_ .i .. -, - - -'fa Vii`\ .. - , - v, ; .•a, t - - FEE SUMMARY ,-, ' \ Quantity y , _ ty Quantic . _ I ISSUE FEE •\,t�• '� $23.50 I t,- ''. �.s.,77,-/7-Temp Dis S stem/fir,,,,_ ' $0.00 0 ' A )`Temp service test" <� $0.00 r-,---44:_..;--__- -_ : --�_ Busway/100 ft / _ .' $0.00 0 `Res. a/c package ;",' $0.00 I . - - Standing Section $0.00 0 ' New,Res' 1-2 units) < . ( -,t $0.00 0 Misc EleclricalEquipment $0.00 0' t , New Res(3+units) t '. ' $0.00 - 0 Transformers tip to 1 kva/kw - $0.00 0-.'. Pool%Spa `t\. A-A' , $0.00 i 0 __ =-up to 10 kva/kw- t j$0.00 0 y ' , Lighting-Fixts,v - VA�� $0.00 ' 0 up to 50 kva/kw •$0.00 /,'0/ •' ' Recept Outlets`'' V '\ $0.00 •,t'" 0 - up to 100 kva/kw $0.00 / '0 Switches.- A.- >,��,+$0.00 , - 0 '<-• - 1 ' ='-;-- -over 100 kva/kw . $0.00�C' 0 Non Rea 4431 1$0.00 0 ._ Low Voltage Equipment $0.00 0 , Res Appl -, • -$0.00 0 ;r, ,r Low Volt Wvmg-System/Ckt $6.00 0 ' Service to 200a� . $30.50 " 41';',.:::4-` - Misc Conduit. " $0.00 0 • Service to 1000a� /.////•-;$0.66.,_'‘,-,,. .--:;-:(l;,,,� Misc;Conductor > ' ' $000-_' 0 ' ' Service over 10000 V/� $0.000 - F ' :VCircus(gen or ride) ' - $0.00 v- 0 ' Motors to 1hp N``N C ' '$0.00,N, -K0.\-,"_,-.4'1, /4 " ' r .,i Circus(mech ride-or ughts)- , $0.00- , 0 �, Motors to 10hp C\V ' /$0.0 ',- 0- -- :`:."-, ;Christmas Tree Stand- ' $0.00,' 0' Motors to 50hp 'N $0.00 , '.'• .0 -- - . . i Fireworks Stand Motors to 100hp A,"- �$0.0' 0.,�_ ,,/ 0 ,` Other Electrical Fee `$0.00 ; , Motors over 100hp $0.00 , 0 -'• - -.;� . -- - - - Communication drops '$0.00 _ 0 A ' •- ', . • --, Investigation Fee -, $0.00 Sub panel to 200a $0A0`.,-- -0 - \ Plan Check Fee' , .$0.00 Pole Light Pkg $0.00 _ --0 - --Reinspection Fee -.i,,-' - $0.00 Sign Circuits $0.00 Temp Pwr Pole $0.00 0 - -_TOTAL CALCULATED FEES $54.00 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS - -i ' '' • • 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 DECLARATIONS lin. 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 ction need not be completed if the permit Is valued at one hundred dollars($100)or less.) - I certify that in the p rfo ante of the work for which this ermit is issued, I shall not employ any person in any manner o as to become subject to the workers' rcom`pensation laws o Call ornia,and agree that if I hould °come subject to the workers'compensation provisions of Secti 3700 of the abor Code,I shall forthwith comply with these pr ilio Sao- d' Applicant Signature: Date: Z c..)?) WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: - I hereby affirm that I am license Lprovisions of Chapter (commencing with Section 7000)of Division 3 of.the,Business an Professigns Code,and my license is in full .# force and effect` 73 Z- I',- Class _7l/ Oontractors'5ignatu I( ; Aft c Qf 4 'O /Date:- 2—1 CO L—� CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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 haself or sold w thin'o .). �ner'y a;of.co p eh ls or her own employees,tion,the owner-builder will have the burdenrovided that nof proving that he oments are rlshe did not ot build or improveor offered for le.forlf,however,the purpose of salebuilding or improvement is 0 I, as owner of thefpropertyyam EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contracto'rsiLicense'L'ew 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 ContractorTi(icense Laws.). ❑ I am exemptunder`c. `c4kBusiness and Professions Code for this reason: Signature: " n_ Date: Owner ID verified by driver's license '1'❑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: O 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 too file a registration form for a r acutely hazardous materials? 0 0 No (Section 25533 of the Califomia 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). or wilt t. o present .-.. . . agemaa_..._... 3 Does will the applicant or por 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. ,h— Safety been e with? - - 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied w ❑Yes ❑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 ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). - ...._-Willanypa 0 eet...rom'the ou ------."............................... 6 will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? El 0 No • (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7----_Ifa-..pemitran, the prescribedbyconro-- tri --- 7 a patrofrom South Coastlosres ri Management Californiais Heat or other air pollution control district agency is required for the work which is the subject of this application,have all of the disclosures California Health and Safe Code Section 42303 been made? ❑Ves ❑No cefo -,r ." olut- 8 (If"yes",attach certificate of compliance from the appropriatealr 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 prope inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si nandRega wpa[(s,L_ D to PUf 7D( l OC) And/Or Authorized Applicant - ' CODE# INSPECTION TYPE DEE INTmALS ow INSPECTION TYPE DATE INTRIAIQ 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 , 250 Final Building/Occupancy 2446-46 OWNER SYCAMORE LAND CO DATE 6_99_59 JOB ADDRESS 3068 Madeira 4v,. BUILDING PERMIT NO. 9732 GENERAL CONTRACTOR _ VALUE $ 17322 AP. No. LOT S4 TRACT FIRE ZONE DESCRIPTION OF WORK r es gtt par INSPECTIONS 7-/3-sD DATE I GROUP I & J TYPE V ZONE R1 _U ground Soil mis U.G. WaterQ y/ ?'2 PERMITS ISSUED L ground. Gas 7 SUBCONTRACTOR N -'O DATE NUMBER Overhead Water and Gas. Rough Heating , y�/4/' $ /„,j -ii �- i . . ' -aids _kir__ 7 ,6 Rough Plumbing ./�,Li `. _. - - - .o _7-/k-i/----- - Miscellaneous , ��- Prop. Swr. Linc✓ House Con/ St. Swj(l�/./6-j9 6?4.'a d (t...�C7 9-76 --5/ / 3.9 F 7 _i 1 i Sprinkling System / l �,.Gt Heating, Final , g/ ��G /ale, Plumbing-Fixtures ,�/� /��/��_ �Q Final Gas Test /L'i�/'_/""' I 414-/n Construction Pole Underground Power �—� _ Rough Wiring _ ;-!f XPi i1J u/' !!9-iP, 9-.7- -S9 /066'71 Trenches /QU'.)-Forms�J I Steel 4 4 ' 7- G-51 Floor System i'�7-23-17 Steel Reinforce Chimney Re-Rod _ Bond Beam Sheathing ire VoL E2.U. Frotne and Flashing field- :911_zifj_ I g, In Out A 01 0-17 -1q P. .dr, brown coat il lit rl-3 - 4'4 Plumbing Fixtures, Final k_te(tQ r-Cel Electric Fixtures, Final iA' _ /� Building, Final I/vtl,U f.J(iln I OCCUPANCY - I Form 210-3M-4-59 9732 - E t VED • COSTA MESA BUILDING=SAFETY DEPARTMENT i,30 1959 P.O.BOX 317 COSTA MESA. CALIFORNIA 4• FINANCE DEPT. FOR APPLICANT TO FILL' IN COMPLETELY 'APPLICATION `F R PERMIT TYPE OR PRINT BUILDING ,4ADDLRDNG G / Jd '40E/604. 4o ,a V/&_- . .. COSTA MESA, CALIFORNIA FOR OFFICE L/SE ONLY RECEIPT NO. . I �P,ERM 7/ OWNER Sycamore "Land. Co. - Y7 MAIL 10835 Santa Monica Blvd. RECEIVE /ry BY ATE RECE/IVSD OATS ILS[SU ADDRESS ,�Lfv 6 ��7ZSd 6-)-/ -� J ;Los Angeles 25 TE�Sr2328/ BUILDING U' CITY - NO. -- ADDRESS • ORC JEER L.C. Major -rlo. - , COSTA MESA, CALIFORNIA ffffff,,,���//////////// ADDRESS 11 O1S S . Paramount FIRE TYPE ✓ GROUP../.9- Malgren Const. STATE153335 APPROVED' p . CONTRACTOR - - LIC.NO. BY ADDRESS 10835 Santa Monica Blvd. . ' ZONING - . LEGAL SCR I LOT I - � LONE NO.OF U6E OF NEW (/J DESCRIPTION NO.. 54 BLOCK T 3 �/ PLANS LBUILDING /fr/� /� ./�/� _ A.P.NO.. c • APPROVED. DATE ( 4..ir S i O$LOT .-95.82 X" 77:61 - NOW ON LOTS YARDS • EVES O REQUIRED ALLOWED USE OF (CENTER LINE ST.) Q EXISTING BLDG. • . FRONT • 4/9,$ FT. IN. SETBACK LINE FROM - 50- ' - 20 CENTER OF STREET - REAR YARD R.SIDE (f'- FT. IN. SIDE YARD I LEFT ' 9 - H IRIGT` S L.SIDE J FT. IN. DESCRIPTION OF WORK- G . - ' REAR /yi FT. IN. NE I XII ALTERATION .I ADDITION I REPAIR AA6 I c- II MOVING II DEMOLISH I ' • S=IE DING17" . ROOMS 6 .STORIES .1 EXTERIOR WALLS tucOO ROOF wood. shingle COVERING • COVERING USE OF BUILDING AND WORK TO BE PERFORMED Dwelling new coastnuction" 3B Att. - Gar: . • I:HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO COM. - THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS LATINO PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRU •N. - VALUATION • PERMITTEE, -.Jr"-, - i _ / • - - - PERMIT FEE $ 3 r_-9 • Ai AUTHORIZED AGE TOTAL FEE 5 5.J ■ �IT� -