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HomeMy WebLinkAbout3157 KERRY LN - Building Permits 2 3 ' Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CIQT/t OF CiOSTA MESA CONSTRUCTION PERMIT I PEF3LgIT fj�0� ©� TRACT NO. LOT NO. UNIT NO. A P # Zone e Pr6�ed:Address 3157 Kerry • !{C) ty1' ff ��_ II``''II , 2626 Newport Blvd. TYPE OF CONSTRUCTION J NEW U ADD W ALTERATION U REPAIR S Main Building: Accessory Building: Z ,. - Applifant's Mailing AddressFront Owntf's Name Jerry VdDUS Phone 642-547 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T O DESCRIPTION OF WORK/USE OF BLDG. Tear nff existin. roof IB Rear N N./dress 3157 ICc.» ]•• -• . _- • • 1 __-• sae- ' •. C I. •- _01•!• A I Arch/Eng. License No. .. TYPE OF P RMIT IN GRADING FOUNDATION I♦ STRUCTURAL SI'���`',7'� C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL v ' g - Left R k r o 1na t$ 548-1645 III I Ping. Ref:# Parkin Re /Provided E Contractor's Name �2�Y'Lf7CY 1P �.I _Phone PROJECT DESCRIPTION SQ. FT.2,250 OCCUPANCY Planning Notes: 9 Q M Address(mailing)-2b26 Newport Blvd. , Costa Mesa CONST RUCTION TVPE VALUATION$ 2,750.00 - II..City License No. 032605 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and ELECTRICAL FEES my license is in full force,and effect. 160707 Q DS ense Class 1. 7 ��``jj Lice, N• . - Date 8-77-89 Signature ..Jlj� PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW ' I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hpw¢fa `4. of Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter pup to 100 amps 3800, Lab. C.) - - Backflow Preventer Service Sink ,,.f Policy No. 1079987-88 Company State Fund - Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps A. Certified copy is hereby furnished. • a Certifiepp cggpp,yy i fled with the cityy ildigg Digsio Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel ate ti-/L-04 Applicant - \A. / - Fan Motors 00-1 HP 01X-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 09-15 HP ❑16-15+ less). Dishwasher • Solar Piping I certify that in the performance of the work for which this permit is issued I . Fixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. • - Date Signature _ Floor Drains • Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the - Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets 'Water Closet Switches Sign • 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 • Interceptors Water Heater Lender's Name - - Lender's Address - ' Kitchen Sink Water ServiceGenerator 00-5 KW 05-15 KW Trash Compactor. OWNER BUILDER 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 A 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 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 - $ 3 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 ' enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LI $ 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By Date compensation, 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 Date License Law does not apply to an owner of a property who builds or improves _ (}/ta q _ thereon, and who does such work himself/herself or through his or her own Boiler •Hood or Type I 0 Application Issued By. i) Dat employees, provided that such improvements are not intended or offered for . sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 A SUMM881 OF EES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground GTI e� ��/� prove for the purpose of sale). BUILDING PERMIT $ "l SMTP $ s� 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System •PLAN-CHECK $ PERMIT tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such nroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers• PLAN CHECK 50% $ MICROFILM $ Date Owner - Heating System& Ducting Registers • MECHANICAL $ I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL TOTAL FEE $ S�/-J V 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 en -r upon the above-mentioned property for • inspection pure..'es. . , - • • Signature :l _ A .. a Date Drivers' License or SS �� - • 8-22-89 Reinspection Fee $15 Issue Fee $ 3 C1 u��<1: 7': ']]04117 1 _ ['A;if 03/22n! 71(1 . I 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING POOL&SPA ,?S' , Date Inspector Date Inspector t\PPROVALS Permit # APPROVALS Permit# 11. 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. P7operty 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 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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. DrywallsNailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 057 -3 $9 .Var /LC-A 0..l 34. Final Heating & Air Conditioning Y S Zg 35. Final Gas Pipe-Test (7471.. Aftil CA IN at/C<le7 le/01 36. Hood or Canopy Sys"/7Yy >-/ "ea 37. Final Factory Fireplace fad/7 -- 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations tgq7 47. FINAL STRUCTURE & BUILDING Pe 48. Special Requirements Completed 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date •mu's-, ♦.vivaiu LtaSu „/ Jv—vv JOB ADDRESS 3157 Kerry Lane BUILDING PERMIT NO. 25525 GENERAL CONTRACTOR Gene Boyum Patios DESCRIPTION OF WORK Patio Cover a AP No.. 114:1- 32-18 LOT 'TRACT FIRE ZONE VALUE $690.00 INSPECTIONS Signature Date GROUP J TYPE W ZONE R-1 a Soil PERMITS ISSUED SUBCONTRACTOR •Date Number Signature s,Gas Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power ❑ _ Rough Wiring Heating and Vent. Trenches D Forms 0 Steel Reinf. 0 I! Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing f. r$-i r/f,)`L Lathing— In ❑ Out p Plaster, Brown Coat Structural, Final Electric • Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final . .. 25525 CITY OF CDS; J1ESA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92625 MAR 3 0 1966 For Applicant to Fill In Completely APPLICATION FOR PE'• IT TYPE OR PRINT • fiDA:zu `L3'al 1 G / �j _ /J Q 1-' A •r..• .r 'se On BUILDING ADDRESS / rj fr ('t /�F9/ 'RECEIPT NO. PERMIT NO. COSTA MESA, CALIF NIA r�//T,/J / �/�/y7�7 RICE D M gEC[I ISS AP '' OWNER /Ela 7/ F' frei��' j `� MAILRESS • l S /J �(/�G �, ADDRESSNG I CITY ` 'moi/ c 771 € 5 %(L FIRE ZONE ���,,,///��///TYPPEE/�// GROUP �-- APPROVED jv7� / ARCHITE ENGIN:IM1, / \ T BY // ✓ il— DATE t3.-13(19--a OR ENGINES \< NO. ZONING (09-0.---nun ADDRESS / � �C SON NO.OF USE OF NEWRd �%Lri '� , PLANS BUILDING CONTRACTOR LA/FIA I n C/[�.'�-^� �?,/�'/ ���J LEGAL 9/ t,Pk , I�J S ADDRESS " "' Y Ci 5-1 {'�'1.47 / DUCRIRION // �/1 r' �j CITY /� A.P.NO. / `7'"/ !4 772-- / a STATE 72 ,EOL• �(jr/ f 30T TO SIDE a REAR P.E: NO RAVE OVERHANG O SHALL DE LESS THAN LIC.NO. VES SIZE //,. l/ L"3 I NO.OF BLDGS.1 ALLOWED (U.B.C.REQUIREMENT/ OF LOT vJ G NOW ON LOT USE OF [tf YARDS IN BUILDING YARDS APPROVED EXISTING BLDG. /` MAIN BUILDING ACCESSORY BUILDING (FROM C//L'QST/@BET/) �� ,./7 SETBACK LINE FROM FRONT /2t/F7. Li•_t/" ' Fr. CENTER OF STREET REAR YARD R.SIDE / a FT. PA- !R. SIDE YARD LEFT I RIGHT DESCRIPTION OF WORK �j-L.SIDE FT. NEW ALTERATION_ ADDITION - " EAR / °� FT. DISTANCE BET. BET.MAIN& REPAIR MOVING - DEMOLIsii MAIN BLDGS. ACCESS.BLOCS. BUILDING / /��/NO.OF VAR.}C DATE SIZE CJ ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL ROOF APPR V / /' COVERING COVERING _ BT �� �r _ DAT! 3 �p10 USE OF BUILDINS AND WORK TO BE PERFORMED _"'/ p• �'/fj / H0 'C AL UIREW-ThS w c'T7�/,h`/h°' //i(/tTV '-� � C7 c PF Pelt(Art,4 7/I &W1 HQ.FT. 2 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IE FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORD NOES AND STAT WS REGULATING VALUATION BUILDING CONSTRUCT We / Q �Citti r PERMIT FEE $ 10 0-(/ p PI SIGNATURE OF ' `/ G PERMITTEF / ...------ t?, AUTHORIZED AGENT /�� 6,8-o TOTAL FEE $ OWNER HARBOR HALL OF FAME HOMES INC. DATE ?ilOV 2 9 t.. JOB ADDRESS 3157 Kerry Lane BUILDING PERMIT NO. 181(8 GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 17,415.00 AP No. LOT 49 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Oar. INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1 Soil PERMITS ISSUED Gas Wart SUBCONTRACTOR DATE NUMBER Water W/ ff�./Q' �.. Rough Corn. Ref rig. 0 Air Cond. 0 _ Rough Heating 7. ,e__.g-/ Y - -- i - • ..1,a- /a-as-4.9-1(�07 ✓ Rough Plumbing �Lt(a1 .�dS) /27'51-4A_ J'' /a. _ -' --_ Miscellaneous _ A�,'� Prop.Swr.Line �{House Con. 111.--St.Swr. i�' S 2 _/ _ �(fy'' �1 �i •�.... cz a�/'fieri _ Sprinkling System t, i ' . ///,r-es .. - ---e f/ /G-4Z-4.5 ✓7.1-d ` Construction Pole (� i 3 bI Underground 0 Power ❑ _ �y —3_� I l Rtiugh Wiring Olin c t� /-/y 3 797 -- Trenches e Forms C3' Steel Helot. U Ail& .2. -/•61....- Floor 7•Q - Floor System \263-0 /,9./S,-62 Bond Beam 0 Steel Reinforce 0 Sheathing / /-.2T-O Frame and Flashing A 2/q-63 Lathing — In B- Out U4--- ,2-y__ Plaster, brown coat 41.4 . Refrig. 0 Air Cond. ❑ Final Heating, Final vacf ,/T•(,3 Plumbing Fixtures, Final 44/4-5 r f-9 G,- • Final Gas Test/r-. Electric Fixtures, Final 'kr?' f i- A-0 Building, Final /{//-/-S i"aFf-03 OCCUPANCY FORM BU4-5M — 741 .1.8.1.(8 =� � RI �s FEE RECEIVED es Lot 49, Tract 46..piep �F e. R COSTA MESA BUILDING-SAFETY DEPARTMENT 1 F A C • P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 3/-s7 Kerry Lgyc, COSTA MESA. CALIFORNIA For Office Use Only y� (] OWNER Harbor Hall of Fame Homes Inc. I RECEIPT NO. I Pan 78 MAILRECEIVEp BY D RECEIVED DATE ISSUED ADDRESS P.O. BOX 2066 /,. - I 'f 7.‘ NOV 2 q mg > CITY Santa Ana T$1 9-2204 BUILDING N6� ADDRESS ARHITECT ORCENGINEER Jamison Ta 544-004 COSTA MESA. CALIFORNIA �) ADDRESS 225 "D" St., Tustin FIRE I "- ZONE TYPE y GROUP\!I CONTRACTOR Lifetime Residential Bldg Cort •APPROVED BY DATE • ADDRESS 2131 So. Artesia St. ZONING c ' _ra . cd-rSanta Ana ZONE NO.OF USE OF �/ CITY O ^1, & I PLANS �]�1'BUILDIN9Z/a ✓• (-_- - -,. STATE 206676 TEL. KI 9-2204 LEGAL / /'�A •''7J r�L/C/�3�(.S-t, ✓f( LIC.NO. NO. DESCRIPTION �r -/I2 U SIZE 60001 NO. OF BLDGS. 0 OF LOT NOW ON LOT A.P.NO. USE OF -Hone YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE PROM /III Qp•[0, (CENTER EINE ETA CENTER OF STREET REAR YARD J FRONT ,.y / FT. IN. SIDE YARD I LEFT 71 I RIGHT 131 R.SIDE / ? FT. –� IN. DESCRIPTION OF WORK 7 L.SIDE FT. — IN. NEW I x II ALTERATION I II ADDITION I REAR 3 L •J FT. IN. MOVING I V DEMOLISH I APPROVED eat.", �ia, DATE/0-,J-J.-6). REPAIR V BUILDING 1644. NO. OF 9 2 SIZE ROOMS STORIES COVERING`NA'Pla Syter ft:MING Shake USF5ingY18D.I am1'1°y resTVVERenCpeRFORMED 11,7 "-re r U/3v J y020 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN U VALUATION IS FOR THE AND STATE THAT THE ABO - IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLIS IMO A PERMIT FEE ONLY. PLY WITH ALL CITY O•-IN 1 ES ANIIIjjj.$$$TA LAWS GULATING BUILDING CONSTRU / . / / / VALUATION ‘_..I--7---- SIGNATURE OF A.QX PERMIT FEE $ PERMITTEF \ ✓ _ N /Z / $ / /� Q/PLAN CHECK $ c2J AUTHORIZED AGENT .?3 SCS 0 TOTAL FEE $ c r d wmlvLn WILLIAMS, Duane IIAIC D-1/—/b JJOB ADDRESS 3157 Kerry Ln. BUILDING PERMIT NO. 42012 ,GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Screen Patio 'AP No.141-632-18 LOT 49 TRACT 4356 FIRE ZONE VALUES 300.00 INSPECTIONS Signature Dote TYPE GROUP ZONE R-1 SOIL PERMITS ISSUED Gns SUBCONTRACTOR Date 1 Number Signature 3WATER Plumbing • 4 ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. fl SPRINKLING SYSTEM %MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. ❑ FLOOR SYSTEM ' BOND BEAM rl STEEL REINFORCE 7 • SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A,C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL `t { g• )C SPECIAL REQUIREMENTS • J` 42012 '!AY 17 76PAIDOO1121+ ',It**%*S.Cr cvsr 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 /J �s 1/ RECEI DATE RECEIVED ADDRESSLDING BUI )c' 4S E eY EAT �.,..� /J SLI . -/ -)� OWNER s•�� - I LiJ% /:✓�.( 1,J'.�I67, /��Yli PP,Ef4MITNO.2 YU AAJ r ix l�' 1 A.P.DO. yGl !LJ' "f I L 7 BUILDINGMAIL ADDRESS 21S1 tCarf it'r Liq&' ADDRESS'.]i 45 • TECITY C-'.ecri p4 -")a NO. TRACT` LOT 9 BLOCK CONSERUC11ON ,�� NEW ADD ALTEfj REPAIR MOVING DEMOLISH LENDER BRANCH OWNER Vika hi P. (�y w,1 ( tgvr' ADDRESS �,s '1 ALOE ARCHITECT -�-- TEL. �� USF ]0A-et-Aetp $_ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP of- APPROVED � CONTRACTOR J Vr t BY DATE ADDRESS 3/ C7 KEfsgy 1l-i✓(- ' /� TEL. ZONE NO.OF USE OF N CITY / tiC f/tegil NO. ' PLAN 7.—BOILDING D {?qy-��.,p - F STATE CITY J YARDS APPROVED YARDS APPR(1VED CS'l gLIC. NO. PW A,Vi/2 LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STREET) 4 OF LOT 15-7X r N L c t' NOW ON LOT 1 FRONT FT. FT. Q' Q USE OF t Jp „11•� (� r— j�/�//1y/o I'� con EXISTING BLDG. H11' .,1 lrazios Qv` l'f'T_/OC1JVOIIR SIDE /J i (^� (/ FTafkt Fca J✓yn� Separate permits are required for L.SIDE " SFT. • ,� FT. G electric,plumbing and heating work. REAR 9 ILI �'• FT. I-., - USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& Ql t MAIN BLDGS. ACCESS.BLOCS. a _,_h)-.x{� ��I `(�pC.yU� U�+(�^RFp >'cco creC_G V _C VRP.+, �" P� APPROVED >, NTZ. eRE_EA-5 �Y APPROVEy i i I Per /7 76 147 U 4/�/V W Q I hereby acknowledge that I have read this application and state N N yv that the above information Is correct and agree to comply with m S all laws regulating building construction, and I shall not employ g Z any person in violation of the workmen's compensation laws of it 5 the State of California. o I hereby certify that I am properly licensed as a contractor under SD. 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 EE ONLY: b am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE $ i O a w ' r PLAN CHECK $ ^ Signature oft t ) ,n �� o Permittee .Low-to' \/✓ l' l' t'a'LcVt $ TAX § � u t V OWNER JERRY VANuS DATE 5/6/81 JOB ADDRESS 3157 Kerry Lane BUILDING PERMIT NO. 51815 GENERAL CONTRACTOR van. H. Anderson DESCRIPTION of WORK Bloc -wall AP No. 141-632-181-0T 49 TRACT 4356 FIRE ZONE VALUE S 953.00 INSPECTIONS - Signature Date TYPE GROUP `. ZONE Rl SOIL SUBCONTRACTOR I PERMITS 15511,ED GAS 1 Date I Number 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 LI 41 ROUGH WIRING r y/ 'U1 Heating and Vent. XN TRENCHES IwJlFORMS tGl STEEL REINF. 2/ tIN S=rj-YI p 1 p 0_+ FLOOR SYSTEM + t ert� r7 BOND BEAM �� STEEL REINFORCE yii til ��-+I BOND B SHEATHING • t I 'd FRAME AND FLASHING r t i N LATHING — IN n OUT n PLASTER, BROWN COAT 1-4 STRUCTURAL. FINAL . Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC. FINAL - p BUILDING. FINAL 5;/3 'p' . f COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 — - -14 RECEIV�OB� PERMIT -' ` /G ' - 50 TL For Applicant to Fill in Completely— Use Ink Only ���� J BUILDING , ( A.P.NO. /U/ 3 ADDRESS ,s1X.) / Kev-H Lahr CIM- TENANT S BUILDING 3/,L l /QQ/l 8 p OWNER OR YeV ri �� IN W ADDRESS J ! f .FL �t-/ �-1 II(� UNIT OR MAI LING ,+ SPACE NO. �1 ADDRESS Ckte... U.. b LOT q BLK. TEL. C CITY NO. / CONSTRUCTION , NEW ADD ALTER (REPAIR IMOVING IDEMOLISH LENDER /1-014t( BRANCH OWNER VAN US ADDRESS VALUE ARCHITECT TEL. USE �Lpet.)�.)A-L(�, $ c53.. OR ENGINEER NO. ADDRESS / ' I /J ZONE A7/ TYPE GROUP CONTRACTOR ' 1/m ' 14 i ANcie VS0A APPROVED DATE ADDRESS 2 /Z g- , I, 4 ISO rte-' mm W� {? TEL. l (� CITY/Vl5 a. Mesa NOJ ",<,Pr' . I—.p—i STATEVVVVVV��'��' CITY �-./ APPROVED SETBACKS // rr LIC. NO.3& O 42 / LIC. NO. 23 7 (FROM CIL STREETNo_ to eece &Ft-, SIZE NO.OF SLOGS. Gam. OF LOT I NOW ON LOT FRONT .50 FT. Q USE OF V) EXISTING BLDG. R.SIDE FT. _ to 5 Separate permits are required for L.SIDE FT. D 3 L--111/4.) • F{'. G electric,plumbing and heating work. REAR FT. , W USE OF BUILDING AND WORK TO BE PERFORMED ILI PLANNING ACTION IM DATE '--i Onxn'1 rA,/t //T�7y\N(_.D`,S (�C�it�L APPROVEDc / (j >.. ` t'JT I J ABY ROVEDCWeIgo DATE J` t' /81 _ a w O I hereby acknowledge that I have read this application and state 0 a that the above Information is correct and agree to comply with 4 all laws regulating building construction, and I shall not employ w Z any person in violation of the workman's compensation laws of u 1 ILthe 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 provisions of the State of California Business S y VALUATION PERMIT FEE and Professions Code,Division 3,Chapter 9, ��. `� n Signature of �/I��j //'A ,,�J / PLAN CHECK $ ��`'T o Perm lttee ir'T//{tau' `��- �/5 / .IJV LL Author orized�� Date L F/ • S / �' TAX E u / ` TOTAL PAID E /D,SO