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HomeMy WebLinkAbout1947 KILLDEER CIR - Building Permits 449 44 CITY OF COSTA MESA BUILDING > ••r.;• .a DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER 1. t riga_;al r.1511111 PERMIT B 0-01395 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesat.4S DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1947 KILLDEER CI t311'L Status: ISSUED Suite: Applied: 09/07/2000 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 09/07/2000 Parcel Number: 13948119 Zoning: R1 R1 Applicant: ALVAREZ, JORGE D ISSUED BY: Address: 1947 KILLDEER CIR Phone: 714-546-2217 COSTA MESA,CA Zip: 92626 Owner ALVAREZ, JORGE D Address 1947 KILLDEER CIR Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: • Phone: Zip: License: 0 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF:T/O WOOD SHAKE&SHINGLES,APPLY SHTG, 1 LAYER 30#FELT,APPLY COMP SHINGLES. 2000 SQ FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,625.00 Permit: $83.25 Claim Valuation: $2,625.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 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: 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 2446-46(6/00) DECLARATIONS 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 section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 1 certify that in the performance of the work 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 agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,003),IN ADDITION TO THE COST 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 and Professions Code,and my license is in full force and effect.Lic.# Class# Contractors Signature: Date: 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). Lenders Name: Lenders 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 contr tors 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 pursue o the Contractors License Laws.). ❑ I am exempt un sec. Business and Professions Code for this reason: /-10 !O Signature: Date: 1 l) Owner ID verifi b d ers license. 0 Yes 0 No Drivers 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 B,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 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 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 antl Prevention Program fa 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? 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 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 IC 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 0 No (It"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 and Safety Code Section 42303 been made? 0 Yes 0 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 ••MPLIANCE 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,.• •ly 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-descss • • for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit til fi at inspection. C. 7 �° Signature Of Legal Owner(s) !D u Date And/Or Authorized Applicant Date CODE I INSPECTION TYPE DATE MOLD DODD INSPECTION TYPE D"TE 1032.11 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �iia7�J� 206 Final Plumbing 200 Final Re-Roof !O�4" Q6. 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 S -5ILIMMGC Z8o GALLOUb OPPEEJTM4 3b0 Y (ovae not.) hI0T'E-"S: C. I-II-ATI OI.._ I. ALL • PLUMp�IIJ& AEE. Local- cove 0E, IS. `1 : 'VTB�'� EMPTY w- d4R'f FM-G?.//[f Z. SPA -Pte.AOeP WITH S1GIMME2 01 -SI •/;-11..— .. M. /5 A3/C S. Z lin omem'Js ALTELIJAT2 • 1/ , 2 .•1 1 SZ.AIL Hd.ES li. aM, C/•wPcc r�//CKNesl 4 Fie EebLpes Ls,-uP -" tew sr* -�, fir bd b• l2 Il soo Psi I/411w1G HD) . /9.000 • 95oo .7. 19 0 00rsl 444. Tme. F P. ,t6IIS://e 2 SS /+• ?2 5 THESE DRAWINGS AS INSTRUMENTS �C OF SERI 'E ARE /It • G2./<2.ZS%6• 118 46 PROPERTY OF THE ENCIN.:t /.PD SHA' I. NO; 5E HEr,.L- DUCED WITHOUT THE CONSENT OF B. C. ADAMS G -6 u t- 4" f ft,. 6< ritec<Iz. : r137L /- - •=s` PLAN M,rJ t. V 4,4.12 \ b.9Coo h - 2.z5 t• •28 5/K VAVR> ww 1 f. ELK h. 2. D r z3 ya s 1, 1 win./ com PACT i/cL i 'I ///J/- . Use 14'wait TN/cLUeJS I N - . _ .. . ....._- TYP/GAL -I — sTert rye r rN PG i ,Bar. Rl✓c • I N en G2.N 2•S+ 1 . .p � _ = 7 ' ( COMPACT' so•.f0 GILL Fr= 15C •3.Dia 40/4•02.) • IYz°4, 30CT10--1 ■ Aic C#AM1JEL N r---_ ` ' _ /S�' EA°rK Fc. 7.v RAD. �7 15 C,/�P57 o K _ --( N t- sit c*b.IUELL (0-[2da.- /y/ _ I• d BERNARD C. ADAMS w "--j > 6— "sues.' ues.' CIVIL ENGINEER# 10183 Z To - -1 12753 EIROOKHURST (714)6360294 17l-OW e- . ' I_ GARDEN GROVE.CA 42640 - r NE GNN.I.J ELL POOL PLANS INC. deb a. h-,Ae.LI N montego F,EtoL. ASS SECTION a I eoc.a 2EGbl-.lnes rtur.ITiI4c+roL1 (5EAf11 es TUAL NI r (-J. .._ y 5Z'- ed. Zd- �' - - _ -� - - -.__ . _APP:R-OVE® ._.. _ _---- - . _ _ _ _ ._ _ City of Cast. Mesa Building Dept. / [iRIJCTURAL APPROVAL ONLY THESE PLA S MUST .E ON JO • ^ "'"� —�� MAKE NO CHANGE WITHOUT PRIOR APPROVAL SEPARATE PERMITS ARE REQUIRED- 1. 1,.‘ >r OF DEPT. FOR ELECTRICAL, PLUMBING, - � I r.,T., •T•tti. 1 THE ISSUANCE OR GRaNTINC OF A PERMIT OR APPROVRL Fif l jQ �I ' F K y I OF PLANS AND SPEGIFICK‘uno :.,1,..,.....:411.' " rnueTROED ,•_ — ,-- -- -- ----__---- -`L TO BE A PER•ill FOR, OR 'N APPCOVAt OF, ANY VIOLATION ���JJJ�J I I OF ANY OF THS PROVISIOF OF THIS CC)E. NO PERMIT PRE• �� ` 'i '�G i _ r • SLIMING TO GIVE AUTHOR TY TO VIOU TE OR CANCEL THE, (p II . PROVISIONS OF THIS COO SHALL BE MID, EXCEPT IN °s0' HIS NUtt#. �.�;;�T AC�"JrrTAFY FAR AS THE WORK OR USE NHICH IT AU HOAIZEB IS LAWF$. ' ALL INSPECTION REQUESTS I THE ISSUANCE Or PERMIT BAS-_D UPON PIANS AN _. .— I C SPECIFICATIONS SHALL NO'. PREVENT TIE BUIL .'NO OFFICfA1 I V7—' FROM THEREAFTER REQUIR NG THE COR 1ECTION .° ERRd,U'A, I 1 IN SAID PLANS AND SPEC FICATIONS 0l FROM Ph VEHTINS OS BUILDINGS WHERE PERSONS ARE TO Y BUILDING OPERATIONS BEIt0 CARRIED 04 THEREUNOL' WHEN E EMPLOYED, WE SUGGEST THAT THE LU I . IN VIOLATION OF THIS COI E OR OF AN! OTHER ORM E ATE DF CALIFORNIA DIVISION DF J OF THE CITY. ->v NDUSTRIAL SAFETY BE CONSULTED FOR DITIONAL REQUIREMENTS. ,II Of )b' raoM ' spe . - -_ — © l'ALLattaip -ro Be I - I-\ a As%a. sat.F.M.a. Ann-o"4.----.0 c._ _____9. t I C p` — —— — v -- A.X)1'0 011 PC'✓=J�. 1.1 Qc! I • �� -ZO - '� 'r itit GEOG4- HATCkW (IZ4 � ) 1 _ 1 I II II �f20FOfl ADDITION ;\l I,. T \e-- ' i .I 171I- 13 � T��T �7%'�9 �\I' 1 II•CO" .1.1—t 1� Cv' 1. \ oeD r�uc� � 1 \ L'� `� ,D 1 n . ...._ _ . __ _ . ___ . _ __ _ . _ _ _ __ __ _ _ __ 1 ski 1 _ Kda - - • I ` __.A.,:- , , c. 1T I 07 7 . ,s,. .. „_, . ',l 4`osigmFs9 CITY OF COSTA MESA O A� CAIJFORNIA 92626 P.O. BOX 1200 F1. lorlitaa 1; J•'AP '+•e FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY . Project Address . /c 4—7LL Q l_%ec-• L.5 Permit # Project Name • • Type Owners Name Li 1 Qr ,4L4/42 Z . Owners Address 4h1-kg City Use Cnly Owners Telephone . lj .1(0 ---'; '-'1..r-7I '\\ , Y.), At-ulh2et . • • as Owner, (strike out all except one) do hereby attest that employment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are employed under the provisions of this permit, I shall immediately cause a valid Certificate of Workmen Compensation to be filed with the Costa Mesa Building Division. I agree to defend at my own cost, and to indemnify and hold harmless, the City, its officers, agents and/or employees, from and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly frau, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will comply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. i - 6C9 . ,r ALJ4ROt . • ;, int Name ILl'— II 1��79 ( .If - I I to vnIlLIN ...•r.......r u. URIC —L--LII—r1 JOB ADDRESS 1947 Killdeer Cr. BUILDING PERMIT NO. 43580 GENERAL CONTRACTOR Owner-Builder DESCRIPTION o1 WORK Encl. Pat, for Liv.Rm. Exten. AP No. 139-481-19 LOT 13 TRACT 5289 FIRE ZONE VALUES 1,000.00 INSPECTIONS Signature Date TYPE V GROUP T ZONE R-1 SOIL ' SUBCONTRACTOR PE$MITS ISSUED 4. GAS Date I Number l Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. El SPRINKLING SYSTEM MISCELLANEOUS 0 ROUGH HEATING AND AIR CONDITIONING' • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER El ROUGH WIRING AC .e•t347 Heating and Vent. TRENCHES FORMS El STEEL REINF. 0 FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE �] SHEATHING FRAME AND FLASHING G EA•n•>7 LATHING - IN OUTt(�,19Gy.t0.7.7 4..f5-77 PLASTER. BROWN COAT J 4 N-3.9-n STRUCTURAL, FINAL Elertric HEATING. VENT., REFRIG. AND A.C., FINAL OkWe,' 13102 L-3B-77 H/93a re-'PLUMBING. FINAL. AND GAS TEST n ELECTRIC. FINAL .c 6- BUILDING. FINAL re `'Ie.77 .n..... een••e e•.r.rre , 43580PAIL .. I-., > 4-77F,�•00138P- ****10.50 • COSTA MESA BUILDING-SAFETY DEPARTMENT 1 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APL CATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only /'1/J�-7 /�-/1 RE" I BY DATE CEIVED ppTE liSAuED� ADDRESS /BUILDING J^%� / alar�� l.�//E!/.� QQ� a'g Gtns(JTO/� OWNER \)r � i AL-Vitae• � A.P. NO. ;JC-� / / PERMIT NO. - I BULDING / tel o� di" TEL. 6is- ( 7 i TEL. TRACT . 6I LOT/3 BLOCK CITY anC+.. A/J...l/1 NO.-j,'(-ZZI 7 ,,J / ,_/ CONSTRUCTION________--• NEW SAD . ALTER REPAIR MOVING OFMOI ISH LENDER p `, p BRANCH OWNER ', AL✓A2a ADDRESS ARCHITECT / TEL. VSE E\"�r,' `CLOSE �j-] [0 !V vr/ 4 OR ENGINEER / NO. / ZE ADDRESS ZONE WE .GR P APPRROVED CONTRACTOR O�r)jJ( Z^ BY DATE 2,1 pi-7 i ADDRESS ._.---'"--- ZONE///� / NO.OF USE OF NF�W L/ (I//i CITY / NOTEL /[ 1 PLANS� BUILDINGj/Ms7+1 9X PIIe.( F STATE ,,, CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING LLI S12E .{- 4- NO.OF BLDGS. (FROM C/L STREET) del R. OF LOT JO X hp _ NOW ON LOT / FRONT ?F . e/Gq l�!/ FT. a USE OF 5 / // 777 .y., EXISTING BLDG. JNG,Le- / /Y94-/ R.SIDE s FT.4 FT. ca FSeparate permits are required for L.SIDE p( 14 /' FT. electric,plumbing and heating work. REAR //4/S/FT.—f- FT. W [--, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE77BET. BET.MAIN& O MAIN BLDGS. ACCESS. BLDGS. /-7 VAR..$ DATE ear(`IL•p,�e.� 47 iG • !'L)ol C.U.P. APPROVED APPROVE. / >-. A f` . / ^w� O i/ // � s- '7, ?It ..1 g W 0 I hereby acknowledge that I have read this application and state 'n X that the above information is correct and agree to comply with N m 06. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 2 the State of California. - I hereby certify that I am properly licensed as a contractor under 9� SQ. FT. N the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR & Chapter 9, and that s-ch licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from th-/•rovisions • the State of California Business `O J/ VALUATION PERMIT FEE $ d and Professions Cod. Dlvisio• C'apter 9. /O A--- n en PLAN CHECK $ Clo Signature of /Q� m /// $ Permittee TAX $ it . U U Authorized Age TOTAL PAID § /Q_ 50 / OWNER Alvarez, J. D. DATE 6-20-79 4 JOB ADDRESS 1947 Kildppr fir BUILDING PERMIT NO. 48286 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Remodel . Bath AP No. 1,39-481-19 LOT 13 TRACT 52$9 FIRE ZONE VALUE E 2 7000.00 INSPECTIONS S uture Data TYPE VGROUP I ZONE R1 SOI \l�S".2 7.--15•1-P SUBCONTRACTOR MITS ature Sign A Date WATER Plumbing ROUGH PLUMBING 1'L� ' '['/moi UkiJn'jc ./...01y, 07ro 'it '16'/'/ '� PROP. SWR. LINE I.]HOUSE CON. Ej �JQ SPRINKLING SYSTEM — PMISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICErlOP POLE • JOB '(��j' (l/'��j�{���IC 11) r, UNDERGROUND u POWER 11'��J gT 11 M 11I�i = �, f,� ROUGH WIRING (� T� C. 1 -/L' v Heating and Vent. TRENCHES T FORMS I-� STEEL REINF. YJ ' I/ �{�,�yt-� nn 1 ( RT FLOOR SYSTEM D�1 ) ! syUl ! 4 -- 22 BOND BEAM �, STEEL REINFORCE n DE) r 111 FIAT; SHEATHING �I./ FRAME AND FLASHING 'terr`` :A.. $A� , 1/ UNDER DIRECTION } LATHING - IN OUT �' (lir JQ..',Z� \UP buILDING 011ICIALi � { PLASTER. BROWN COAT ft// STRUCTURAL. FINALE HEATING. `/ENT., REFRIG. AND A.C., FINAL _,Q�a - IS0-H-79 j/4.,s1771w PLUMBING. FINAL AND GAS TEST .2 f C t r -t' ELECTRIC. FINALO i,`11 ��JD• BUILDING. FINAL tdy, I{( lr I I I _� 7Smea,---c4 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FiiiiiiRgagg PERMIT 30.50 TiI • P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 30.50CKTP IID ECEVEBY 'PEgrvtlt UulrOr,�q� A N For Applicant to Fill in Completely — Use Ink Only //r • `t 0 286 BUILDING 19 /7 �,, _ UILDOING / �ADDRESS J/f (/ �JTNANT OWNER RJs 7• ADDRESS py/ rpP�` •UNIT OR ADEG Kiwi C l'347 t- ✓t s PACE NO. ADDRESS TR,�Ip LOT BLK. TEL h/ CITY 0•N (ts NO. �Z 7 - L NEW �� CONSTRUCTION� A D ALTLR REPAIR MOVING DEMOLISH LENDER � BRANCH ' 141-,VA,A••G OWNER ADDRESS y�� VA UE ��l•sl` . ' ARCHITECT /• TEL. USE Kehl fJ $ C/✓ OR ENGINEER/ NO. ADDRESS ZONE{{{{{{'''"'�� ) WPE GROUP sr APPROVED CONTRACTOR Cit)km_ BY DATE G` ZO s: ADDRESS TEL. CITY NO. E-i STATE CITY APPROVED SETBACKS LIC. NO. LIC.NO. SIZE --/ ( t NO.OF BLOCS. (FROM C/ .TB FjE T)(��• �`/////� ,/ • - A. OF LOT Q y I/D 4AU0 • NOW ON LOT I FRONT 0 / FT. ' e ?//(,{e� USE OF 5.Fp• �/ EXISTING BLOC. R SIDE Igoe6 ex�7`�' J VI r �� / FSeparate permits are required for L.SIDE FJ�C/ / electric,plumbing and heating work. REAR rJ/jf1(`/j� _/ I.W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION GJ Q G '--I Cigt•t n0e . 0:$724•J • APPROVED )'.1 -B ROty2l7 �J DATE F{//J2, LW ► trtha 9SA 4 i»r Dr-V ci Q I hereby acknowledge that I have road this application and state ',acetified) te4� A C.3/-79 ce that the above information Is correct and agree to comply with O V 6• all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of _ = the State of California. m I hereby certify that I m properly licensed as a contractor under SO. FT. N the State of Californi' Business and Professionsode, Division 3, TH AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that ch licenses are in full force and effect,or I TH PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m— am exempt from th provisio , of the State of California Business p-ti e and Professions C• 1:,Divisi• 3,Chapter 9. VALUATION PERMIT FEE E N Signature of / AA PLAN CHECK S /O 42.:-C ^ 0 Permittee ire $2172) TAX E 6--.0a Li- or Authorized AB's /Oa _. ...40 41, v u TOTAL PAID E 3Q• 41 Lot 13 - ' 1332 rtt KtUtIVLU " MAR 31 1964 • COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 357 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING ,„1 ADDRESS 1947 Ki1id.eer Circle 7F�+yIl'�6] RECEIPT NO. uu3322 COSTA MESA, CALIFORNIA REC[VED BYATECEIVED %TN IMByEDI964 OWNER Pemba Subdividers, Inc. c.. „ B R'"3�L/ MAIL BUILDING ADDRESS 2850 Mesa Verde Drive ADDRESS CIT Y Costa Mesa No 5490395 ZONE TYPE Y GROUP sir ARCHITECT EBG.Kaltenbach TEL5478046 BPPROV ED DATE OR ENGINEER NO. ADDRESS 1833 E. 17th St. , Santa Ana ZONING Sin gPam, ZONE I NO.OF I YBE OP NHW� S R-1 PLANS NO. BYILDINOW att ar• CONTRACTOR - LL iA eC LEGAL DESCRIPTION Lot 13, Tract 5289 ADDRESS CITY p p A.P.NO. none STATE 187318 TEL. 30NO"d TO SIDE Q REAR P.OVERHANGNO EAVE SHALL BE LESS THAN • LIC.NO. NO. SIZEEAVES NO.OP SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT Now OLOT/ fm YARDS APPROVED YARDS APPROVED USE OF° EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING 507 36' (FROM C/}GREET) SETBACK LINE FROM FRONT Fr. PT. CENTER OF STREET REAR YARD // SIDE YARD LEFT 61 I RIGHT 6' R.SIDE (D FT. FT. DESCRIPTION OF WORK L.SIDE/j£ 'FT. FT. 1 NEW _ALTERATION I ADDITION REAR . FT. FT.DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDOS. BUILDING2 139 NO.OF 6 1 VAR.# DATE SIZE ) $iclin OOMS 'MIL Q , C.U.P.# APPROVED EXTERIOR WALL& O ROOF { OL APPROV�(Q� n //` COVERING O�� CC COVERING Inge _ BY I`/ LLL DATE J�g `� -` USE OF BUIL ING DWOR TO PERFORMED G �Y , Single family wim EE garage. Sr-- . �/U IV . Blouse 1, 741 sq.ft. Garage 425 sq.ft. Plan 41AR X19' 6D.FT. � ' yy2�Z," N c I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN U DER VALUATION IS FOR THE 5 AD STATS THAT THE ABO H IB CORRECT PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY OROI NCNB AND STAT[AND LAWSAGREE EGULATINGTOCOM T BUILDING CONSTRUCTION VALUATION 6 CB SIGNATURE OF PERMIT FEE 5 l7(� j PERMITTEE � � G1iLf1 S �e.?,' 3 o o_-o C ✓?— o AUTHORIZED Ay T LI TOTAL FEE $ 77