HomeMy WebLinkAbout1014 LINDEN PL - Building Permits CITY OF COSTA MESA •
a 9 BUILDING DIVISION •
>: ,,,�.' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
V. rrr �� PERMIT
J' „e eF' B04-01855
(714)754-5273 • Fax(714)754-4856 • www.ci.costa•mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1014 LINDEN PL Status: ISSUED
Suite: Applied: 11/02/2004
Vicinity: Issued: 11/02/2004
Parcel Number: 42247312 Zoning:
i(iejA_
Applicant: MCCARL, TIM ISSUED BY'
Address: 126 COMMERCIAL WY
Phone: 949-548-5569
COSTA MESA,CA Zip: 92627
Owner: SNAREY, JOHN E
Address 1014 LINDEN PL
Phone:
COSTA MESA,CA Zip: 92627
Contractor: G L R ENTERPRISES INC/DBA CRANK BROTHERS ROOFING
Address: 126 COMMERCIAL WY
Phone: 949-548-5569
COSTA MESA,CA
Zip: 92627 License: 828379
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
T10 EXISTING COMP.ROOF,REPAIR SHTG.AS NEEDED, INSTALL 17 SOR'S OF CLASS A 40 YR.COMP.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,856.00
Permit: $97.25 Claim Valuation: $3,856.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection:. $0.00
Total: $97.75
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
2446-48(8/00)
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.
❑ .dI'h�§ve and will maintain workers'compensgton insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
/�My'worker 'co^(pensation Insurance carrl\er and policy number are:
Comer. S not
be c ti VI d c er:. 17 2 I,cl c12 - 2.0 0 11
(This section ne d not be completed if the permit is valued at one hundred dollars 0100)or less.)
❑ I 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• C.lit la,and,, rise that I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
ply with thesq.pr.vi to
Appfl, Signature: ` 4.4 C� NA#Date:
WARNING:FAILURE TO S 4E'E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(3100,000),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 ken ed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full
fore.ariclett.Lic.# ...� Class.#,
,C�rebtdPs Signature: 44A. �) _ :. 11 121 ,39
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: 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 fore 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 drivers license. ❑Yes ❑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 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia 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 aEEermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 Of the Califomia 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? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia 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 Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection
�purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
/ lign tf urLegal Own )
✓� D¢teC Lir
An rAdthodieil'Applicant° �"*?y l , / a/alp
;ODE I INSPECTION TYPE a INTmAIE ;Mil INSPECTION TYPE • WE IMMO
1616 Fixed System Final Fire Prevention 206 Final Mechanical •
1266 Pool Spa Final 208 Final Plumbing
•
200 Final Re-Roof 69--f"ft Q 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place i 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
CITY OF COSTA MESA
fro BUILDING DIVISION
>4- ,- ii , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1 al PERMIT
•
,p B01-01833
(714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1014 LINDEN PL Status: ISSUED
Suite: Applied: 11/16/2001
Vicinity: Issued: 11/16/2001
Parcel Number: 42247312 Zoning:
Applicant: FONSECA, EDUARDO ISSUED BY: •
Address:
Phone: 949-548-5569
Zip:
Owner SNAREY, JOHN E
Address 1014 LINDEN PL
Phone:
COSTA MESA,CA Zip: 92627
Contractor: CRANK BROS ROOFING CO INC
Address: 126 COMMERCIAL WAY
Phone: (949)548-5569
COSTA MESA,CA
Zip: 92627 License: 794724
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF FLAT REAR PORTION OF THE DWELLING.TEAR OFF AND INSTALL BUILT UP ROOFING.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $987.00
Permit: $38.75 Claim Valuation: $987.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $39.25
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
2448-48(WOO)
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.
e a will maintain wo py:rs'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My work compensate/ sulA�ncepcarrier and policy number are:
Carrier: �' JL,� Policy Number:
(This section nee not be�, .d me pe r/s valued et one hundred dollars($100)or less.)
❑ I certify that in the polio :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 Ca ia,and agree that if I should become subject to the workers'compensation provisions of Sec on 3700 of the Labor Code,I shall forthwith
comply with iheseel'siov r`�cam Date: R I Il C k
Applicant Signature: /r
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.MClass#
Contractors Signature: i �i?0#41.6G¢— Date: LV
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: 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 parrs'
subjects the applicant to a civil penalty of not more than five hundred dollars(3500).):
❑ 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 properly 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 drivers license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2.Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons.
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 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 aaermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes P 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? 0 Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia 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 Califomia 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 COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to,occupy or allow occupancy of any building authorized by this permit until final inspection.
a., Signet f Le a ner(s) Date
And/Or Authorized ant U '`•l'^'l n I t Date
CODE 0 INSPECTION TYPE PATE INTrTIALS CODE INSPECTION TYPE PATE INImAL9
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing
200 Final Re-Roof f/'L! c '4
( `/,/�+ 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
OWNER LENNON, MIKE DATE 7-12-77
JOB ADDRESS 10114 Linden Place BUILDING.PERMIT NO. 44P71
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Remodel kitchen R- office
/ 'o.115-534-12 LOT TRACT FIRE ZONE VALUES 850.00
II•_. ECTIONS Signature Date TYPE V GROUP I ZONE R-1.
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR Date I Number I .
Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. n
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
`TEMPORARY SERVICE OR POLE
ee UNDERGROUND 0 POWER 0 •V N
_`ROUGH WIRING Heating and Vent. .
`\`J�'TRENCHES 0 FORMS a STEEL REINF. JM V
FLOOR SYSTEM �^
BOND BEAM n STEEL REINFORCE l i
SHEATHING \/Al 8.-1-77 h
FRAME AND FLASHING
LATHING — IN n OUT n
PLACTER, BROWN COAT •
ST URAL, FINAL EQfer�tf.iOiA._
HEA..HG, VENT., REFRIG. AND A.C.,l FINAL ettanty�% 6AAMW�' -�o-7�4s(d59
PLUMBING. FINAL AND GAS TEST n , `s `p
ELECTRIC, FINAL �f / �r r��%/>(!y
BUILDING, FINAL h_ /!J�/_'A f��5 --7
'f • '
F tl. 5
,ui 11-77,..— 001n77 aa . . ,
44271
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
PP ICA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
R EI DATE RECEIVED J;71
U
BUILDING IZ1— I i. tf7'.LA 2I ADDRESS �IVrs1 �Ly�' r
OWNER 1 1' I..GJl1"1�t�op� A.P.NO. . J/M-lI -- 1
ADDRESS w t \ (_- 4;s 1 - ADDRESS 1I7It L FL
BUILDING
MAIL q
TEL. TRACT 11 ti-- 1 LOTS 7 BLOCK
CITY NO.
CONSTRUCTION NEW AD ALTE I REPAIR (MOVING OFMn115$
LENDER
BRANCH II Q��T,��ls,,s
OWNER l�
tigM
ADDRESS y��c" .�� ��y� //�� E # ti
ARCHITECT TEL. VSE„" i �r`rs- —"`�/' E 87//
OR ENGINEER NO.
FIRE
ADDRESS ZONE T PE GROUP �-/ �.y
APPROVED A e q. 777
NTR ACTOR BY �/VV✓ DATE /
ADDRESS ZONE NO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO. /'
F STATE CITY YARDS APPROVED YARDS APPROVED��
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY UILDING
W SIZE INO.OFBLDGS.
(FROM�C,/,yL�STREET).r `1A
0• OF LOT NOW ON LOT FRONT kill ACC) .YI T.
a USE OF ' \I/ A
,N., EXISTING BLDG. 'g
_R.SIDE _ /� `i .
rif I _2_1 KOC
S Separate permits are required for L.SIDE 62 FT. % ` 1 Atr FT.
electric,plumbing and heating work.
Cc C /�REAR %6Fr T.- FT.
`U$E O1 F/BLL DI AND WORK TO BE PERF RM D DISTANCE BET. BET.MAIN 6.
C _3(` 1.1 1 r t ,A 1�t � Q MAIN BLOCS. ACCESS BLOW.
Lift
n 1 R I(�61T VAR..$ DATE
..:i
�I',y J ` Q '! l� C.U.P.3y+ ' '^ APPROVED 7 �/7//�
>" 6 I�/r— / APPROVED / tAilie DATE— I _
..1 RY [[till V�w,���s ��1
IX
W •
0 I hereby acknowledge that I have road this application and state n
h
X that the above Information Is correct and agree to comply with m
O. all laws regulating building construction, and I shall not employ ii
Z any person in violation of the workman's compensation laws of
the State of California.
a ' SQ.FT. ,c
I hereby certify that I am properly licensed as a contractor under
co
the State of California Business and Professions Code, Division 3, TH 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 al:
am exempt from the provisions of the State • California Business o
and Professi• 5 Code,Divis •n 3,Cp Ater 9� VALUATION PERMIT FEE $ vi
m
J, PLAN CHECK $ rn
Signature o ..I� 4 1/"„ o
Permittee s a' _/ /tip 11 S ��//VV// TAX $ �']] , LL
�v 5
,Authorized Agent TOTAL PAID E r
OWNER LENNON, MIICE ' DATE 7-18-77
JOB ADDRESS 1014 Linden Place BUILDING PERMIT NO. 44.343
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORKiegal ize Familyr /��^ ] ce
A,`'':1115-534-12 LOT TRACT FIRE ZONE VALUES 4.000.00 �iar�ort to garage
Ih {LOTIONS Signature Data TYPE GROUP ZONE
SOIL ' SUBCONTRACTOR PERMITS ISSI4ED
GAS Dote I Number I Signature
WATER Plumbing ,
ROUGH PLUMBING
PROP. SWR. LINE❑ NOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUSNi
_
,O ROUGH HEATING AND AIR CONDITIONING- _ -
]�TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0 _
f`F ROUGH WIRING Heating and Vent.
xxi TRENCHES L: FORMS El STEEL REINF.
II
FLOOR SYSTEM
BOND BEAM {1 STEEL REINFORCE f Ni-, ` 11
SHEATHING .// V /,(/
FRAME AND FLASHING 1 (�
LATHING - IN El OUT E, �
PLASTER, BROWN COAT .1
STI IRAL, FINAL rte/ .Q?./9-Ts E�lq(xtt�ic,_� /�f
HEA._.S. VENT., REFRIG. AND A.C.,^FINAL .--- �GF4l) 7-2,1-1/7 hiee�‘0�
PLUMBING, FINAL ARO GAS TEST f p p ..,y+
ELECTRIC, FINAL 4a{�A� 7-Ida-11 dill 4- 9-;t
BUILDING, FINAL �,je/"( 4.0-7g
/`
PAID
44343 JUL 18-77cnsa001873* ****48.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
1-PPTION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
REC I Y DATE RECEIVED DATE I$J�SUED-J�
ADDRESS y baybexlI ,/PL. •
ri,�tl 4 /
OWNER /r IKE LEW/iVO/s' A.P.NO. IIS " 5 — IZ PEr11�N`I
MAIL BUILDING / /
ADDRESS ADDRESS/D/%J 4' �v�� /f7 G
TEL. TRACT/2/2I LOT •/n/ BLOCK
CITY NO.
CONSTRUCTION NEW (APD ALTER REPAIR (MOVING DFMOI ISH
LENDER V/
BRANCH '//(e £a# " J
OWNER /,! QC,✓/s/✓J�V
ADDRESS [COQ L/Z��FA, ALUE /1 ,sit
ARCHITECT TEL. USES 81Ittaretp [o $ I) (}
OR ENGINEER NO �
FIRE j-
ADDRESS ZONE L. TYPE ` GROUP �v J
L7 t-c BY
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APPROVE
CONTRACTOR BV 1� DATEDATE
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_ADDRESS 20N n / N✓ F I E OF NEW sttE
TEL. Y 7 (PLANS BUILDINGS^a QG '
CITY NO. !/�� f
F' STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
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SIZE INO.OF BLDGS. (FROM C/L STREET) �/s
Q. OF LOT NOW ON LOT FRONT�� C/eL FT.
Q USE OF (�
iwiCa EXISTING BLDG. R.SIDE fit/F FT.
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FSeparate permits are required for L.SIDE 63 FT. FT.
C electric,plumbing and heating work. w REAR p g' FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.
O VAR.* DATE
FSI L-/z reeks 2n, il 6 n/CL¢5'w C.U.P.* APPROVED
BPPROVED /Uy_2/C“,/y-a7 /OC -rE —BY
-DACE
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L I hereby acknowledge that I have read this application and state
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e.
(Y, that the above information Is correct and agree to comply with
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of all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of o
the State of California.
I hereby certify that I am properly licensed as a contractor under la 50 SQ. FT. c7-_ ��ff`/0 n
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR re
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 St to of California Business VALUATION PERMIT FEE S -d_V e
and Professions Code, Division 3,Chapte .
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Signatureof .may`/ $ ��(� TAX CHECK $ /G 5-0 U.
Perml e
Au prized Agent I/ TOTAL PAID $ �V , S7 O
I. E COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 North FOy .. p� . ■ I L D N
SANTA ANA,, CALIFORNIALI6 V
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FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
// RECEIIPT NO.� /,PERMIT NO.
BUILDING
ADDRESS 1014 Linden Ave. I i2/K{ G, ``+ i- l`f i w
SCHOOL DIST.
OR TOWN Costa Mesa RE EIVED BY DATE •F AP-L. DAT- ISSU •
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NEARES
CROSS ST. State Ave. !8 1 /0 / _67:3 l0 /
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BUILDI /0/ ft ,
OWNER PAWNEE HOMES INC. ADDRESNGS f. .-41t (j 4 • 4 _
MAIL SCHOOL DIST.
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ADDRESS 9363 w LSHIRE BLVD. OR TOWN �i
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TEL.
CITY BEVERLY HI LLS NO. CR. 54361 CROSS NEARESTT. We (
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ARCHITECT OR TEL. /1.p ZONE! I NO. OF TVP I GROUP /
ENGINEER ('AIN R. Mr KFRRATHFR NO. SY n!189) //Ai I PLANS I •A-{� J
ADDRESS 2110 E. WALNUT ST., PASADENA SETBACK//// LINE �� CENTER OF ST. S,�II • /
TEL. REAR YARD SIDE YARD O y 1
e !TRACTOR NEWPORT VISTA CO.NO. CR. 54361 IIIJJJ �7 A
BYPROVED / �� ( /( DATE �j
ADDRESS 9363 WILSH I RE BLVD. BEV.HILLS
CORRECTIONS
LEGAL
DESCRIPTION I LOT NO. 97 I BLOCK 1712
(ATTACH METES @ BOUNDS)
TRACT
PLUSNO.OFBLDGS.
SIZE OF LOT 7200 SQ•FT. I NOW ON LOT 0
USE OF I NO. OF I NO. OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW I X I ALTERATION I I ADDITION I 0
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REPAIR I I MOVING I I DEMOLISH I 'Pe--
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BUILD f� NO. OF r
SIZE 1` 4 $Q.FT ROOMS 5 STORIES 1
WALL I ROOF COMPO
COVERING STUCCO COVERING SHINGLES
USE OF NEW
BUILDING RESIDENCE ,Att.Carport
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, 7,,c,•01 I
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING �I� /aq';2+17-'',
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME:BRACING.STOPS.
B ^ iy�14� l
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ^ �/
LATH. INT. - /[ ,I/� /; 'C (�j
SIGNATURE OF NEWPORT V I STA CO. LATH. EXT. 1�J'/�i/(""�) �j
PERMITTEE Jq //
PLASTER. INT.
AUTHORIZED AGT. PLASTER. EXT. A..2•3
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$ 4830.00 P. C. f Z MASONRY REINFORCED
FEE / if
BOND BEAM /J � �/� /,
VALUATION
��� C5 7-r; 'lit
FEE /6 FINAL
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