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Home My WebLink About3075 MADEIRA AVE - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. a 0.2. ., • R TRACy�O. L• e. UNIT NO. ` EITY OF COSTAnMESA sL CONSTRUCTION PERMIT I+ N � �,� $ �3 _ — A.P.# i�� _ �• � - zona C Project Address ?s'`-72�prr1�e,,E RAI�1 S Main Building: y Building: • Appfica is Mailing Address 7`J MAO ea TYPE OF CONSTRUCTION . NEW 11 ADD �t ALTERATION REPAIR E `s �"-� ❑ CONVERSION ❑ DEMOLISH ❑ OTHE - - __ ' T Front 0 Ownerw Nama, �Qti `�.;�a.�T�� Phon �03 pFSCRIPTION OF RRK/ EO� �-�-d . �G A Rear N Address 3075. MACEi RA 1 1ec`t A ne A .7etJ ,n ; s L� 1 Arch/SPf -4.5 z. h 4TA , UtY License No. TYPE TYPE OF PERMIT GRADING ❑ FOUNDATION STRUCTURAL I C Right J N Address 3OS° r 11'f- �' wsetrotfN7o,CIA ❑ TENANT*ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ - Left R ❑ OTHER I Ping. Ref.# Parking Req./Provided E Contractor's Name /.A Phone rjr- PROJECT DESCRIPTION SQ. T. ��1 OCCUP• .CY �� """"'I"" "( Address(mailing) r �1 _ �� - Planning Notes: t� _ �. __f., M C ONSE�TT/ U TION TYPE elk VALUATIO .•i-�,.�� T City License No. ZONET+�� GRADING CU.YDS. ACRES')-4t O O LICENSED CONTRACTOR DECLARATION • _ (Pali ,s,s p S. I here. that I am licensed under provi .- • arter 9 (commencing Remarks: Re _ -I 6,01 (PVlf�-K I• . 6 - Pt with section 70.. •r 3 0 • a siness and Professions Code, and �� my license is in full force an. - • . n� �^ ��q ELECTRICAL FEES 'cense Class Lic• e No. PLUMBING/ "11 .le SignatureFEES Automatic Washer Transformer 0 15-50 KW ) I WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 050+KW r II hereby affirm that 1 have a certificate of consent to se 11-Insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit / Meter Duo to 100 amps 3800, Lab. C.) - Backflow Preventer Service Sink Policy No. Company -• Backflow Irrigation Sewer Cap . Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. - - Dryers ❑Gas (]Electric / Sub Panel Certified copy is filed with the city Building Division. .. Bathtubs _ • Sewer Connection- - - • • ^ Motors I I s 0 i Date Applicant � . 7 Fan - ❑0.1 HP ❑4'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Cl Clarifiers ' Solar Collectors - - S 0D (This section need not be completed if the permit Is for one hundred ($100)orF.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping _ - - e _ I certify that in the performance of the wok for which this permit is issued 10 Fixtures Microwave shall note pl any person In any m ner so as to become S e t to the Drinking Fountains Solar Tan J 3 •0 7 Workers' Ilion Laws Si a Calif /LC� Device Boxes Date Signature C Floor Drains Swi mg Pool w/Spa f 7 Pole Light S L NOTIC :I ,after makingthis declar n, sh OUltl become subject to he • J Outlets Range )l Workers' Compensation provisions f the Labor Code, you must forthwith Floor Sinks rinal ,Jl , _r comply with such provisions or this permit shall be deemed revoked. r 5-0 CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet 2, Switches Sign 'a• - r L7 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 - -i Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor )r OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash '^llowing reason (Section 7031.5 Business and Professional Code: Any city or 'nty which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays - • structure, prior to its Issuance, also requires the applicant for such permit file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee •' , Q V 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 Qennalty of not more than five hundred dollars ($500). - DEVELOPMENT SERVICES REQUIRE E TS: � / t JAC I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee • $ 3 • Zoning Approved By "� Date —/ Q co pensation, will do the work,and the structure is not intended or offered / .-- ��j for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By A S / - Date- License Law does not apply to an owner of a property who builds or improves _ ) "��j thereon, and who does such work himself/herself or through his or her own Application Issued By •�� 'oat %7 )Y 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 0 SU MAR$17F FEE' pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground 2.( Q Co. w Opp /Ae' r, • prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 1 /({'1 LJ I, as owner of the property, am exclusively contracting with licensed con- / Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: s The Contractor's License Law does not apply to an owner of property who / Duct-Ventilating 00-100,000 BTU 0100,000 BTU QISSUANCE' $ builds or improves thereon. and who contracts for such orolects with a con- ( 0 PLUMBING $ i tractor(s) license pursuant to the Contractor's License Law). l am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ Q $'� ENERGY P.C: -$ proof of their Worker's Compensation Insurance should be provided to me. {1•�v GRADING $• ❑ 1 am exempt under Section B.a P.C.for this red n Firepl/Fact.BIL ICBG# Fire Dampers ELECTRICAL $ Vv 1 -/ �+ PLAN CHECK 50% $ MICROFILM $. X Date /�/S/CI ! Owner Heating System&Ducting Registers MECHANICAL $ �� •6,12 TOTAL FEE $ 3`S2. G 2 I hereb certify that I have read t s apple Ion ands ate that the above 00.100,000 BTU 0100,000 BTL i Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and State laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the ab v entioned prop rty for Inspection purpos aaf.JJJ � • k ASignature e r SS ip a.xGa-i /cv� Date /� __ /1 Drivers' License r�r55$(( Reinspection Fee $15 Issue Fee S ` \ (`7\`"\\ p' p(:C'_ ,.54-C.20:8954-.1 T t.` • 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor r CONSTRUCTION AND PLANNIi.a )OL 8-SPA Date InspectorDate Inspector APPRQ.VALS Permit # APPROVALS Permit # 1. T.Iltp6f.try.Electrical Service or Pole - 52. Pool & Equipment Location 2. Soll:Pipe-Undrgrnd. 1 53. Steel Reinforcement 3.1 Elec1rikal:Coitcluit Utility-Undrgrnd. 54. Forms , 47Eleci trical Conduit:Undrgrnd. 55. Electrical Bonding , r.r I,--% { 5. $1ee11Rein'toisement 4 56. Rough Plumbing & Pressure Test 6:•gfecv,1'ral EgR Grnd. A, 57. APPROVAL TO COVER-GUNITE ' •1 ; ”...A - Z. TootingS '+ f ; F:95.47 r:21r:21{-� 58. Electrical Conduit-Undrgrnd. ' 8!F undattoh :,t 1. v( 59. Gas Pipe, 0 Undrgrnd.,Test ;' '' 9; Wath- P`ype-Undrgrnd. ' - 60. Backwash Lines,P-Trap, 0 Undrgrnd. F'- ' ' ' 10. Structurpl Fliior System • 61. APPROVAL TO DECK 11. Proper t Sewer Line & House Connection 62. Backwash & Receptor-Final ' 1 12. Sey' ( p 63. Heater & Vent-Final ii J 13. RooffADTains 64. Plumbing System - Final 14. Rots* Plumbing 4,(2d la oro 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final '1'6. Rougher Electric Wiring ,'-/S-q0 /72S4,1-67. Fencing & Access Approval s TT. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough4Jectrical-T BanCeiling 69. POOL/SPA SYSTEMS FINAL .7.9. Rough Neatg & Air Conditioning OA C{j,O FIRE DEPT. REQUIREMENT 20. RoughlFectory Fireplace APPROVALS Permit# . 211. Ducts, iY Structure t ,. ,j. 70. Underground Hydro a 22. DuctsrAientilating el . ' 71.`Product Piping 0 Gas OOil 23. Gas Pipe+Rough& i e%t 72. Underground Flush 24. Roof Fuming 41, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof_Sii athing , = • 74. Overhead Hydro 26. T-Bar''getling (StrG Lural) & Monocoat 75. Dry Chemical 27:71"arSE and Flashing ��p t I� 6-�� N N 76. Dry Standpipe 1. 28. Lathng:&1Siding «-- 77. FI D SYSTEM FINAL r`-.• 29. Insulatidn �:� jAI% . FIRE PREV. FINAL 30. Dryvijalbkailing (r1 - - T/ 1 l Pir HEALTH DEPT. REQUIREMENT r 31. PlastewB1ownat^Co '?, 79. FINAL INSPECTION 32. Electric7al Power NleVr•Final //ZQ`q& fj/ 0. FOOD CERTIFICATE ISSUED t`f• 33. Final Electric fd - 3s1�rotes: /e Y4b 0.Y�4_, .(,wi.L....rZi; C`V9�'� 34. Final Heating & Air Conditioning y/j//iji tffz7 - ' - / A �A ,9-W- V 35. Final Gas Pipe-Test . r [ t-��8-r/K olio Q /-� ' 36. Hood or Canopy ducitse /`'� (a.- /c), /t✓�37. Final Factory Fireplace /,�^ Pie_ - ,38. Final Plumbing + d-21-91 ZOO 39. Water Service-Final , . f• . 40. Gas Service-Final r". 41. Solar Domestic-Final •-. 42. Backf low Preventer , ' .i iL_ - 43. Bac w Irrigation. - - 4 Landscape Irrigation,System 45. Sound Attenuation' - • 1' 46. Handicap Regulations 1 l 47. FINAL STRUCTURE & BUILDINGille/� '� , her 48. Special Requirements Completed �;_a.."'''''";'''Pr/ 'ow 49. Electric}Release to Edison .. - -'- •+ •t 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - ?, ' ' • t .. .A No. Date PROJECT ' NAM3075 MADEIRA AV ADDRESS: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EM 058534 ADDDREs OWNER'S ESS: PELLETIER, JACQUES P ADDRESS: PELLETIER, DONNA L PERMIT NO: EM 058534 PLAN CHECK NO: N GOVT: N SUPP: N 3075 MEDEIRA AVE COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PURPOSE: ALT ARCH/ENGINEER: 850-1023 REG.NO.: JOB DESCRIPTION : INSTALL A/C UNIT & FURNACE ON GROUND SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESS: PACIFIC AIR COMFORT ( 714 )937-1333 n71�p8p9F4 TS� SANTA CRUZ COMMENTS: ELECTRICAL WORK INCIDENTAL TO MECH WORK tMOECGRFY IIt7:' CA 92806 ********�P�L�E�L*�r�r****it*****�e�r*r*err**aE+e*�E�E********�E****�L�r Tr*�r�E****�e�E*�r*********;,r*** LICENSED CONTRACT I I hereby affirm that I am licensed under provisions o Chapter 9(commencing with Section Z ONING REQUIREMENTS 700)of Division 3 of the Business and Professions Code.and ray license is in full larce and erect. SETBACKS CITY LIC.: STATE LIC.: CLASS: 04 81 500236e' C20' IC1 MAIN BUILDING ACCESSORY BUILDING Date: ��U /�1 Signature: 0 G e (Q WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a cenificat consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a cemfied copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY ND.: 1209753_91 EXP.DATE: 10/30/92 rC IOMPA"Y: AETNA CAS PARKING REQ• PROV: PARCEL: 13916309 ZNE: REF NO: p Certified copy is hereby furnished. I Certified copy is filed with the city Building Division. PLANNING NOTES> Cate: g/EUI / 7' Applicant: Com,. — a Co Q�0 ************************************ir.****************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Tis section need not benvleted if the permit h for one hundred(5100)or less(. DEVELOPMENT S E R.V I C E S REQUIREMENTS I certity that in the performance of the work for which this permit is issued.I shall noted ploy any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: NOTICE:If,after making this declaration,you should became subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ../ DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. I CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: ' r DATE. Cl 1 I O f . which this permit is issued(Section 3097.Civ.C). ****************************************** *******************44c*** *** * * LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N FEE /SUMMARY STRUCTURAL SEGMENT: N I OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 1031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT .7 50 21 ,00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ' t.0% 2 5% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001. ISSUE FEE l's ..0 0 15.00 I. as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 28 . 50 30. 00 0.00 58 . 50 58 . 50 . 00 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 employees,provided that such improvements are not intended or offered for sale. II.however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 58 . 50 OVER/SHORT: .00 for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of me property,am tr ctoise(y ate License with licensed appiraciars to fir of construct the poloct(,Section 7044,Business 22 . 50 36. 00 ❑ and Professions Cotle: The Contractors':hate License Law does not appy io an mvner of pr who builds or Improves thereon and who contracts for such projects with a contractor(s)license pursuant to theContractors'Stale License Law).l am aware **********************************4*********************************.**.****.**..**.* that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A I: F E E BREAKDOWN ❑ I am exempt under Section: B.I.P.C. l I for this reason: TYPE QTY DESCRIPTIO Nr UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of Catilornia Health and Safety Code Sections 2550.5,25533,and ELE 1 MOTOR/POWR APPARATUS , 1 1 — 10.0 HP 7. 50 7. S0 25534 and that I or any future building occupant wiNwill not(circle one)need to comply with said state codes and the requirements for a MEC 1 INST FORC—AIR/GRAY .FURN <= 100 K BTU 9 . 00 9 . 00 permit for construction of modification from the Air Quality Management District.Residential construction applications are exempt from MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00 these provisions. MEC 1 GAS PIPING SYS 1 —',4 ',OUTLETS 3 .00 3 . 00 Date: Applicant: END OF FEES I hereby Cerny that I have read this application and state that the above information is correct.I agree to comply with all city and county, 1 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Property for inspection purposes. / / Date: ()c/ //Cs yD— Signature: rAit (` e ` �O 1.4 Driver's License or Social Security c ' 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor t'• - - S CONSTRtiJCTION AND PLANNING - POOI GA 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.'Eiectrical Conduit Utrlity-Undrgrnd. ., 54. Forms 4'Electrical Conduit-Undrgrnd. 55. Electrical Bonding 44Steal'RelnforcemeriWW ,! 56. Rough Plumbing & Pressure Test -6.-Electrical UFER Grnd- 57. APPROVAL TO COVER-GUNITE , - '7,Ko&tirgs _ 58. Electrical Conduit-Undrgrnd. .•B. .oindation 59. Gas Pipe, 0 Undrgrnd., Test • 9.-,Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10r Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House-Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing System - Final 14. Rough 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 T 9 -• r• -- > S 20. Rough Factory Fireplace : -- } . - 7 APPROVAtS,�'-%,eermtt#• _ r 21..Ducts,in Structure, it • ,c - , , 1.-j0. ��ergioutid. Hydto 22. Ducts, Vehtile ingt= .:S a_ J _ r • •71. Product Piaing OGaa 0011 23. 6as.Pipe Rough&Test ,-t .: - :r: _ ,S ,S,.r ;1 22. Underground,Flusb,. • 24. Root Framing• •• ^ .> _ F: , * :73.''17ndergrnd-Storage Tank 0 Gas 0 011 25. Roo .,Sheathing -� `"' • • 7 ' t * X74.'Overhead Hydro , 26."lit-Ban Ceiling (Stru4ctural) & Monocoat '• r ' i tnt. a 75,1Dry Chemiical - - 7= 'J..: 27. Frame and Flashing' • _ - .i., • 76. Dry Standl?i7e , . ' ''re- 28. Lathing & Siding S . . o >; - - t 77. ?FIXED SYSTEM FINAL • 29. Insulation - ,, '• 78,?FIRE PREY, FINA6 , r . J 30. Drywall Nailing - > - + HEALTH•DEPT,REQUIREMENT .31. Plaster Brown,Coat, i ,29,''FINAL INSFECTIOre • - a � 32. Electrical•Power Meter;Final . ' y 80._FOOD CERTIFICATE ISSUED • i • , 33. Final Electric , ' ,(• tet: -_ ? -_ ' L 34. Final'Heating& Air Conditioning /LAO•. 47 t r r-- 1 it." . Cvur-�: -r l r-,�a i, at r:� inti 35. Final Gas Pipe-Test* _ ' I j " t -• -'c 36.'Hood or Canopy - ' - - I I - > s , o__ - .- a -.- .l• g • J.•1 .. 37.•Final Fa Lnory Fireplace � _ ta_ _ , 38. Final Plumbing = I • . t c - i k •r . . .• 39. Water Service-Final • , - '•"• - - 40. Gas Service-Final . t r - r 41. Solar Domestic-Final = i- * . . i_ ,` ) 42. Backflow Preventer .. , Y f. 43. Backflow Irrigation . • i. •' - 4 • ,; '44. Landscape Ird ation System , 'c :45."Sound Attenuation- - ' 6. Handicap Regulations ' A _;ti • 47. FINAL STRUCTURE & BUILDING - ` - '48.,FINAL PLANNING , • ,49, Electric Release to Edison 'r , i ,n - 50. Gas Release to Southern California Gas Co , • - 51. CERTIFICATE OF OCCUPANCY ._. .11,-- • 1 - - - . . . No ,-- No. Date OWNER SYCAMORE LAND CO DATE 6_29=59—_ JOB ADDRESS 30914 Madeira Ave. BUILDING PERMIT NO. 9729 GENERAL CONTRACTOR Malgren Const. VALUE $ 16,936 AP. No. LOT 51 TRACT FIRE ZONE DESCRIPTION OF WORK res att gar I ECTIONS 9,43-3-y DATE GROUP I & J TYPE V ZONER1 L....erground Soil Mas U.G. Water 4 al '-,pp. PERMITS ISSUED _ Underground Gas Li 'r-. SUBCONTRACTOR DATE NUMBER Overhead Water and Gas F- Rough Heating A/y 8- S9 (.14, L �_ e eta v y .2O�S Rough Plumbing d D Co. Miscellaneous 7 / _ I' Prop. Swr. Linp House Con! St. Sryn C7q-- /�7c ' ye-/6-,7 9 _/ &5 ` Sprinkling System moi-` /f / d � JJJ Plumbing Heating, xl ��I0 i�-,�J" Plumbing Fixtures �. W ////// /,�/ Final Gas Test ,j,_an-- so / Construction Pole /J Underground Power _ Rough Wiring '-7r'9-S-icaria-744r9-2 r, 73 as/ — Trenches 49;L Forms RS%tStee .B it-j-57 Floor System Med- f•94.S�_ Steel Reinforce Chimney Re-Rod Bond Beam S'- thing ( 51-r-1 } e and Flashing e,ii 4-r 'an Lathing, In ti Out .5 41 4'-I6 - � Plaster, brown coat 01,02,/ (ow- - Plumbing Fixtures, Final (sem /-r' - p Electric Fixtures, Final ' ,7,7i 1 / Building, Final /W.! / e �`9 OCCUPANCY I Form 210-3M-4-39 OWNER SYCAMOI* SAND CO DATE 6-29-59 JOB ADDRESS 3075 Madeira Ave. BUILDING PERiMIT NO. 9748 GENERAL CONTRACTOR Malgren Const. VALUE $ 16,936 AP. No. LOT JU TRACT 33 6.3 FIRE ZONE DESCRIPTION OF WORK res att gar r ECTIONS LW DATE I GROUP I W ,I TYPE V ZONE pi Unuerground Soil 7;(00-S9U.G. Water jaI' SUBCONTRACTOR PERMITS ISSUED --- Underground Gas DATE NUMBER Overhead Water and Gas ' Rough Heating 1--' .-W5ti it aas n r-4- 1Wr... _�A=,Y.9 _a(o(y I ' Rough Plumbing r/- . irl'7 f�s2 :' �,..} A 435 /99.v `7 )✓- PrMiop. Swr. usLi a-- _ _ Y?'_- (71 Prop. Swr. Lind' House Con./ St. Swr�.J/, �jE-h-9 �jt�fa.�0- (��.,G `%-/6 �S9 _I�1 J 7 � Sprinkling System (� � r HeatibFi ixt _ PlumbingFixtures Leff_ Final Gas Test //it, '/rel Construction Pole , Underground Power _ _ Rough Wiring n-1 4=4(47 Ile, Pi 1-1212,74-12404;_d9- 5 7 /t , '2-6 , Trenches4',9 Z/Formsfefl Steeleif iii p'-/O-- Floor System . 07,1- 1-'-9 - Steel Reinforce Chimney Re-Rod Bond Beam � � �5�� S' 'hing nl - rl I .e and Flashing r1.1- • r'J 7.4 Lathing, In/V Out (d- -�QPlaster, brown coat I(-r0- I' Plumbing Fixtures, Final �/ ce-i ?-/S=Co _. Electric Fixtures, Final h,/t_ /y/kBuilding, Final zr[ / OCCUPANCY I Form 210-3M-4-59 , 9748 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA, CALIFORNIA ; 1I-'11IRli E DEPT. FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR‘4 PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS c�2C 4.4�GT/ ✓N 74- e6 COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY i I RECEIPT NO. I `PERMIT O OWNER sycamnrP T.arld rn MAIL p /�/ 10835 Santa Monica Blvd. 1" i RECEIV BY DATE RECEIVED DATE ISSUED ADDRESS A li - . Y' Co CITY Los Angeles TEL.Br2328- BUILDING ADDRESS ARCHITECT LIC. OR ' 'INEER L C M}j or NO. COSTA MESA. CALIFORNIA ADDNcSS 11015 S . Paramount Blvd. ZONE f/ 9:1 Malgren Const. STATE 153335 APPROVED CONTRACTOR LIC.NO. BY DATE ADDRESS S • _ ZONING LEGAL LOT ZONE INO.OF I BUILDINGUSE OF nw 1 DESCRIPTION I NO. 70- (BLOCK • TRACT336: PO.O DATEo APPROVED A.P.NO. BY DATE 61ap'/7j SIZE 99.60 X bb.04 No.of BLOCS. U OF LOT NOW ON LOT YARDS EVES REQUIRED ALLOWED • USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT .‹.722 IN. SETBACK LINE FROM ' CENTER OP STREET 50 REAR YARD 29 R.SIDE crFT. • IN. 5 5 SIDE YARD I LEFT I RIGHT L.SIDE r FT. IN. DESCRIPTION OF' WORK a REAR u FT. IN. NEW I X II ALTERATION I II ADDITION I REPAIR I II MOVING I DEMOLISH I BUILDING NO.OF SIZE 1707 ROOMS 7- STORIES 1 EXTERIOR WALa.tUCCO od, COVERING OOVERINGROOF w shinglE P USE OF BUILDING AND WORK TO BE PERFORMED TlwP11 tag new enn St turf inn 4CC 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 REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCT( VALUATION SIGNATURE OF n J PERMI^,FEE $ 3b, PERMITTEE �.�>"'� $ Ari �I10 irr PLAN CHECK- $/ fi- AUTHORIZED AGENTOO _ (/ ✓✓✓ TOTAL FEE $ 6