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HomeMy WebLinkAbout1931 KAUAI DR - Building Permits <P MFS CITY OF COSTA MESA 04711 .-1, BUILDING DIVISION ` pr ' DEVELOPMENT SERVICES DEPARTMENT t• PERMIT PERMIT NUMBER �o®na B98-02026 c/ (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • BUILDING PERMIT Job Address: 1931 KAUAI DR Status: ISSUED Suite: Applied: 11/06/1998 Vicinity: Issued: 11/06/1998 Parcel Nunmber: 13951305 Zoning: R1 51 Applicant: WOLSKY, BRIAN Address: Phone: Zip: Owner WALZ, DENNIS ALVIN TR Address 1931 KAUAI PL Phone: COSTA MESA,CA Zip: 92626 Contractor TOM BYER ROOFING Address: 17662 METZLER LN Phone: 714 847-9332 HUNTINGTON BEACH CA Zip: 92647 License: 575002 Arch/Eng: Address: Phone: Zip: License: • SCOPE OF PERMIT T/O EXISTING ROOF AND REROOF WITH COMP.SHINGLE,T/O FLAT AREA AND REROOF WITH TORCH DOWN ROOFING.ROOF CERT ATTACHED TO PERMIT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,340.00 Permit: $149.75 Claim Valuation: $8,340.00 SMIP Res: $0.83 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 • Total: $150.58 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 NOTES: 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 WORKERS'COMPENSATION DECLARATION: r• 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. ❑ 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 Ls issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (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 w• for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and a• at`' I should become subject to the workers'compensation provisions of Section 37 of Labor Code,I shall forthwith comply with these i inion / C Applicant Signature: /• ' WARNING:FAILURE TO SECURE WORKERS'COM• r ATIO' COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100000),IN ADDITION TO TH COST•F 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 provision of C •er 9 .• mencing with Section 7000)of Division 3 of the Business and Prof:ssions Code,and my license is in full force and effect.Lic.11 Class 8 Contractor's Signature: Date: diatrarnif 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 ❑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 ❑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? ❑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 Califomia 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes []No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 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 prescribed by California Health end 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 end 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 comp! 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'rope. or i pection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. JI I�` atom • Legal Owner(s) / II 7O eDate An r Authorized Applicant Date CODE# INSPFCTION TYPF DATE 'MAU LODE( I11SPEcT10N TYPF MATE MAO 1616 Fixed System Final Fi Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Ra-Root /� ��� 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 V UWIVCK Willits, Dr411117 A. UAIt 1U-31—(4 4 JOB ADDRESS 1931 Kauai P1. BUILDING PERMIT NO. 39163 'GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Game Rm. & Remove part of q'dAP No139-513-05 LOT TRACT FIRE ZONE VALUES 3e 709.00 Patio Roof INSPECTIONS Signature Date TYPE V GROUP I ZONE Rl SOIL SUBCONTRACTOR PEIRMITS ISSI4ED GAS Dote I Number I Signature WATER Plumbing • .-- ROUGH PLUMBING PROP. SWR. LINE Z HOUSE CON. W .. . SPRINKLING SYSTEM - MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER 0 O ROUGH WIRING a 2-i3 75 Heating and Vent. TRENCHES 0 FORMS q STEEL REINF. L/ Q IZ/0=1 - FLOOR SYSTEM BOND BEAM 7 STEEL REINFORCE t r--�l SHEATHING r 0743-95. -FRAME AND FLASHING /j e2-,/p�7� LATHING — IN OUT © . C r7 /-f( 94 9'T PLASTER, BROWN OAT STRUCTURAL. FINAL .04?/C_ 12.L.Z5Elertr� �i`c HEATING, VENT., REFRIG. AND A.C., FINAL �rvtya r /O,0•74 39/CCy PLUMBING, FINAL AND GAS TEST n / ELECTRIC, FINAL Oa° .11/4-73'3 BUILDING, FINAL /10e )j./b-TO ' ' ' 39163 RCT 31-74PAID a°001306* ****39.50 f COSTA MESA BUILDING-SAFETY DEPARTMENT P,O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely PP A ION FOR BUILDING PERMIT (� RE EIV B DATE RECEIVED DATE ISSUED ADDRESSBUILDING I�I3I Ka.UAO PL. i 4 c_ Iv^ sI- OWNER Ern.,I S A. AJ rL .. A.P. NO. i3? -6-73-05- PE.7 7c3 MAIL ^� Q BUILDING //J Al) L ADDRESS 19 I /.KAVAS I L.a wit; �.s�q ADDRESS r/'/ -5/ / t4 d U CITY COSTA M e sA NOTEL 54s-no TRACT 6,��y' LOT ,z 2 BLOCK ZZ Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH ON A/00• Lig AMOe J D BRANCH - I ' /�,I I/� � OWNER 1.kuivis �I Y' YAC- e m<L ADDRESS //���.,�,,�s �t� CO ARCHITECT TEL. USE FR III Kn.. VALUE 7� 9 Q OR ENGINEER QW AI L R NO. /' U Q FIRE �T''' Cw ADDRESS p ZONE PE ' GROUP//,, _I JZ CONTRACTOR OW/VaR+BI APPROVED DATE/(/ ',` /_ CO Z J co ADDRESS J W Lu TEL. ZONE Q NO.OF ^ USE OF NEW1,u yet rR4 T„ O= CITY NO. /l/ (PLANS U- BUILDING -O STATE CITY YARDS APPROVED YARDS APPROVED N Q LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING DOSIZE NO.OF (FROM C/L,ySSTT-R�EEEIE�T1)/t,, 11 OF LOT I NOW ON LOS I FRONT yf ritz-weoJ S FT. USE OF EXISTING BLDG. HomE R. II myrT eo SI BLDG. 13 X 11 ROOMS I STORIES I L.SIDE -- FT. Pt ZE OF NO.OF Z NEWFT. Q EXTERIOR WALL STUCCO ROOF t� Q V COVERING . GiAsc= COVERING CONR9sIT10 A� REAR 9-3 FT. Pt FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS.BLDGS. Q A VAR.# DATE 0 I— pGAME Room /'1 oD rT1 a NI o C.U.P.# n APPROVED y/ In 8 MovE PART OF PATIO ReoF APPROVEDW.IQ Pl�l DATE /6-3/- T / Z (GSI T� C~.1 hereby acknowledge that I have read this application and state A•� ✓ that the above information is correct and agree to comply with �h/U,1 CC all laws regulating building construction, and I shall not employ V I I- any person in violation of the workman's compensation laws of V CO the State of California. co Z I hereby certify that I am properly licensed as a contractor under /SQ. FT. TAX / .0 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: C am exempt from th�provisions of the State of California Business VALUATION n �� and Professions Co e Division 3,Chapter 9. PERMIT FEE $ J Signature of n , - f�r� J m Permittee /ter—.- - lll....///��� $ /�/y'� PLAN CHECK $ 13 E tttTTT` v o Authorized Agent --0TOTAL FEE $ 4 9 u WA 1JOB AD SS 1931 Kas 1 _ 3 DATE .G-'d0-00 RI JOB ADDRESS 1 l K Tai pia -BUILDING PERMIT NO. 2824q GENERAL CONTRACTOR Capitol Masonry Contr. DESCRIPTION OF WORK Ret. Wall & 2 Block Fences AP No. LOT 22 TRACT 811. FIRE ZONE VALUE $ 1 R14-9.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1 Soil PERMITS ISSUED )Gas SUBCONTRACTOR I Date Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. p Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 1] Rough Wiring Heating and Vent. Trenches Jr Forms 0 Steel Reinf. Fy ,W177— -PTP Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Rnildino. Final &et-a/ 2 I t X 28249 FEB 26Pbf 00 5364 ****13.50 ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 02626 . For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only ' ■UILDING :; ADDRESS #-9/ / 41A4/1 RECEIPT NO. • a,..4j% MIT NO. COSTA MESA. CALIFORNIA 7 /e 4 • RECK' D BY DATE RICEI • DAT[ S G/ OWNER IC NIS IVA AZ = i •-•; � � -�"� /� qq MAIL 9-Jl Sdm-/ AUDRDNG % - i/ o/i ADDR FIRE :: CITY ,ITA ANOSH• �`.7 74 Z ZONE TYPE 22r GROUP " ' ARCHITECT APR OVED i OR ENGINEER N B7/ ,I/I I DAT j XXX���`1LUUU"' _ ZONING ritINA ' > ADDRESS R NO.OF USE or NRW ,( / 4 / PLANS BUILDING _,J� L Y CONTRA .R s . ✓ t/.J�:'� i //A ›•-• , C °. ADDRESS ^�I l ((��.6��� 4� �41 ' �LC�' L. CITY Lam'0 [/LCLM - ./O A.P.NO. : L NOTNO'E: SOIDEaROVEP•OVERHANG SHALL BE LESS THAN frt. o. ,250 5&i/ TEL. S/3 off'/ �a SIZE I NO.OF BLDOS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING ' EXISTING BLDG. I FROM C/L STREET) SETBACK UNE PROM ..NT PT CENTER OF STREET REAR YARD 'Pin SIDE YARD I LT J RIGHT ,_ '1 PT.ter . DESCRIPTION OF WORK = L.SIDE •PT. O Fr. NEW ALTERATION ADDITION REAR PT. OFT • t• y— _— DISTANCE BET. BET.MAIN& ' REPAIR MOVING _ DEMOLISH t- MAIN BLDGS. ACCESS.BLDGB. • VAR.# DATE J BUILDING NO.OF • SIZE ROOMS STORIES C.U.P.# APPROVED `' EXTERIOR WALLROOF APPROVED i>"..... / �.q 1. COVERING I COVERING ST DATE >" 7 44( a use OFSUI NS AND WORK TO BEPERFORMED I c. ' N4b3 c;= a/ -- -r,24 , 4 //y 17: 9 ,-1 1 tehrE 5"&11 fnhOf=9s' 0:e//27.' ° `� PRIver REiAia#/e d2L+L/ " 30, SQ.PT. '! G! I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE AND STATE THAT TIE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE Or ESTABLISHING A PERMS FEE ONLY. PLY WITH ALL CIT'ORDINANCES AND STAAA777[[[LAWS REGULATING A L BUILDING CONBTRY'/J/ , I3HN AT1O �. CO SIGNATURE OF C i PERMIT FEE . PERMITTEF � � -T� $ % PLAN CHECK $ •5'® w 9 AUTHORIZED AGENT TOTAL PEE SX-3.60 .........v "n"-"J• A'"""-"J n• N7 V ''CL. .�, unau —.)v w )tJOB ADDRESS 1931 Kauai Place BUILDING PERMIT NO. 28161 �iGENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Patio Cover & Slab • "1'AP No. LOT 22 TRACT 6384 FIRE ZONE VALUE $ 500,00 INSPECTIONS I Signature Date GROUP ,T TYPE TTT ZONE R_1 Soil I PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 \ Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring. J ' Heating and Vent. Trenches Forms�4K pc Steel Reinf. / % 2...,-- )74 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out.0 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final �4 Building, Final /V'4^' f-7-67 28 6 MI 30-68E001118 cdd*****5.00 1 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING, For Office Us. Only ADDRESS Mai KAUA , PL. RECEIPT NO. 28 N�eyb 1D. COSTA MESA. CALIFORNIA lT/{ RECEI S1•Y DATE RECEIVED DATEISSUED OWNER D ENNIS A A . wALi /-3O-6,S /-3e/,,y Q I��J/, MAIL q 1/ QISS /931 31 M'cut Z(J VV MAIL ADDRESS I KAUI}I PLs ADDR CITY Co sr a1 T VOL' SN'1S-(7(y 6,_ZONE # TYPE ./ GROUP 0/ ES A NO • ARCHITECT TEL APPROVED• DATE/~��`�p OR ENGINEER Ow NeR N9. ZONING rt.)(�� ADDRESS E NO.OF USE OF NEW oL`ii,S OCo^'E^ — ( PLANS17 BUILDING OO//.� CONTRACTOR 'v R TR._ llllll 'J- AWP LEGAL L G r / A 6 3 3 y ADDREHi DESCRIPTION CITY A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL DO'TO SIDE&REAR P.L. LIC.NO. NO. EAVES SIZE o9'83.( 6Y•6o 1 )7./1 I,/ NO.01 SLOGS. I ALLOWED (U.B.C.REQUIREMENT) OF LOT & (a 1L_Q i , S-47,1 NOW ON LOT YARDS APPROVED YARDS APPROVED USE 4 0M E MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (� (FROM C/L GTR[ ) SETDACK LINE FROM L ! ' CENTER OF STREET REAR YARD FRONT `[OPE' FT. SIDE YARD I LEFT RIGHT R.!IDE 13 rr. FT' DESCRIPTION OF WORK L.SIDEIS'FT. FT. NEW ALTERATION ADDITION X REAR ,30 PT.+. FT. DISTANCE BET. BET.MAIN e REPAIR MOVING DEMOLISH MAIN BLDOS. ACCESS.BLOCS. BUILDING NO.OF VAA.$ DATE SIZE ROOMS STORIES C.U.P.# APPROVVE/9 . EXTERIOR WALL I ROOF COVERING .APPROVED it /A// _,1_ATE//,..3 3G1 6 COVER /I/I/ /U,1(244 ((( USE OI BUILDING AND WORK TO BE PERFORMED Dl PAT'0 SLAB `i- COVER _ 1 SQ.PT. I HERESY ACKNOWLEDGE THAT" HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE oti AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS RUM TING VALUATIONBUILDING CONSTRUCTIO JU` y PERMIT FEE � SIGNATURE OF E PHRMITTEF / _ a PLAN CHECK S W =� AUTMORIZQD AGENT f}�/1 TOTAL FEE ; (/ (/ Lot 22 - Tract b384 Plan_2-CP.----011S- - r4 _, , FAIL COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 25-67,5-nOO1 '-W4 :.*:' ;1i7- ;0 P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUIL ADDRESS 1931 Kauai Place C.M. ((''�� COSTA MESA. CALIFORNIA For Office Use Only OWNEclub House Road Joint Venture RECEIPT NO. 2"1-ms .. MAILREG- Cr},--- -(.7ITE RECEIVED D TE ISSUED ADDRESS 2850 Mesa Verde Drive - I- 041-6 CITY Costa Mesa a49-039 BUILDI5 ORCENGi EER E.G.Kaltenbach N 47-804: COSTA MESA. CALIFORNIA ADDRESS 1823 E. 17th St Santa Ana FONE �(�/]TYPE v GROUP �!: CONTRACTOR Republic Homes Corp. APPROVED BY DATE ADDRESS 2850 Mesa Verde Drive ZONING / € -. ZONENO.OF �/ SE OF NEW /dat / CITY o_ - II- ._ .. j 'PLANE ` BUILDING �` �. tl' I STATE TEL. 197838 N : 549-0395 LEGAL DESCRIPTION I/A -' -3r EX 11X XI OZLOT26. 34x89 .82x31. 22bNO.WOOFNBDLOGJf A.P.NO. USE OF 64.bU YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FRTM 51 I REAR YARD 19 I FRONT(CENTER LINE T) T.5� / IN. CENTER STREET SIDE YARD I LEFT 5 1 I RIGHT 11 1-F R.SIDE ^ /7 FT. /r'` IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEW I X II ALTERATION I II ADDITIONREAR /7 FT. + IN. REPAIR I II MOVING I DEMOLISH ABPPROVECy(WW fI . 0 ( DATE 5- I9-�� BUILDING NO. OF . ft ROOMS 8 STORIES11 `� EXTERIOR WAL4,,Wood& ROOF Wood & COVERING 0t0000I COVERING Built-Up USE OF BUILDING AND WORK TO BE PERFORMED • !� , . / ,67 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL ORDINANCES AND STATE LAWS RE ULATING BUILDING CO% ON. /je )� / VALUATION ^.� SIGNATURE / f .,p(7//./��"/YAWw_ PERMIT FEE $ ' N PERMITTEE / {�/ /� !! $ 3�l ,J/2 PLAN CHECK $ ��— -� AUTHORIZED / h /V `. o TOTAL FEE - 4 WNER WALZ, DENNIS A. DATE 6-24-77 ' 'JOB ADDRESS 1931 Kauai Place BUILDING PERMIT NO. 44204 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Retaining Wall . AP No. 13 9-}1,j-O) LOT TRACT FIRE ZONE VALUES 300.00 INSPECTIONS Signature Date TYPE GROUP ZONE 3/4SOIL SUBCONTR4CTOR PERMITS ISSUED GAS • Dote Number I Signature ATER Plumbing OUGN PLUMBING I I PROP. SWR. LINE Q HOUSE CON. E SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND El POWER El ROUGH WIRINGrrb�v Heating and Vent. . TRENCHES FORMS STEEL REINF. Rt- 6(11/It FLOOR SVS EM BOND BEAM n STEEL REINFORCE OZ6~1{- it 2//1 • SHEATHING FRAME AND FLASHING^ LATHING - IN ' I OUT 7 PLASTER. BROWN COAT STRUCTURAL. FINAL Elertric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL �//� BUILDING, FINAL Kkr /MA ii. 11V4 ?u-77c,, ****,..,5.5C 44204 i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A PLI A ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE EI D D E Y p iFJgSi 7 BUILDING 1� 1 , KAvai Pe, 7 ML'�f/,!{] ADDRESS { J KA UA � PER I NO. OWNER DEw/1JIs A . WALL A.P. NO. !4,7'.070"--a MAIL BUILDING ADDRESS 1931 ICA um TEL. {c/�' AuAi Pt, TEL. TRACT 43 4 LOTa2 BLOCK CITY r4t'T p µ0S p NO. 545--1-Wile CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH -rt.,, 1A//� -} OWNERINts WA LL ADDRESS te) WALL, VALUE ARCHITECT TEL. USE r/ OR ENGINEER NO. FIRE ADDRESS ZONE TV �_GROUP CONTRACTOR (9 W p "I. SUR. APPROVED DATE 6_ Y- -2 7 ADDRESS XTr N,, L ZONE IND.OF USE OF NEW oi..1/0,4.CITY NO. n- 1 PLANS Z re 4LL- BUILDING 14 F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLOCS. (FROM WI_STREET) 0. OF LOT I NOW ON LOT f FRONT FT. FT. Q USE OF / Ca EXISTING BLDG. µO ME R.SIDE FT. • FT. CO rA Z Separate permits are required for L.SIDE FT. FT. F. electric,plumbing and heating work. REAR FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& G . MAIN BLOCS. ACCESS.BLOCS. qVAR.sill DATE -I Ola FT EXTENSION OF C.U.P. APPROVED >, EXLSTJG i, - Remit jam wAiLL_ _aY ROVEDAPP /Jo't,! DATE x N C— 2-41-7 / a 0 I hereby acknowledge that I have read this application and state N n g4 that the above information Is correct and agree to comply with m 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of u the State of California. �3 I hereby certify that I am properly licensed as a contractor under T. of 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 NLY: am exempt from the provisions of the State of California Business a and Professions Cod Division 3,Chapter 9. VALUATION PERMIT FEE $ n m �A 5 PLAN CHECK $ 0 Signature ofa 3 Permittee �7 � $ t,,,t/ LL TAX $ - . .-- J_ U Authorized Agent TOTAL PAID $ t