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HomeMy WebLinkAbout1270 LONDONDERRY ST - Building Permits ,4111 S CITY OF COSTA MESA I ' • • :4 , BUILDING DIVISION Y •I-•� , I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1.. *ray: PERMIT /B02-02008 (714)754-5273 • Fax(714)754-4856 • www.ci.costamesa. a.45LDINGPERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1270 LONDONDERRY ST UUI Status: ISSUED Suite: Applied: 12/11/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 12/11/2002 Parcel Number: 14163106 Zoning: R1 R1 Applicant: MARTIN ARROSAGARAY, MARTIN ISSUED BY: /,i. Address: 2508 BOWDOIN PL - _ _ - . Phone: 714-556'8867 COSTA MESA,,CA. ' - Zip: 92626 - �. Owner MULLER;JANIE L,--, ' Address /1270 LONDONDERRY ST - ,, /- K '' ; / Phone: - COSTA MESA,CA/ Zip: 92826-2683 - Contractor: ' MARTIN; : ARROSAGARAYS ALL SEASONS ROOFING / �, �� �`• Address: 2508 BOWDOIN PL \.J\\'` . aPhone: 714-556-8867 / 7 COSTA'MESA,CA �\ ' ' , Zip: . 92626 . License:; 622480 • Arch : / — -. Eng: ,u` . Address: • , - - Address:- _ ; .�'. :,/ Phone: ( Phone: \ \ C, , `Zip: ' . , - ' License: 'License: - ' , N r SCOPE-OF.P_ERMIT._,,-, •N e . REROOF:T/O EXISTING WOOD SHAKE AND B.U.R., REPAIR/REPLACE'SHTG AS NEEDED;FELTTPER MFGR'S SPECS,APPLY"30- YEAR t COMP SHINGLES TO PITCHED AREA AND DIBITEN"2700 SO FT' '— '_" .7 • - - - , ' - FEE SUMMARY -f,. `Plan Check: , $0.00 —- - , v- / -_ Calc Valuation / $7tr• ,540.00 Permit: $153.25 ,/ Claim Valuation / $7,540.00 �'SMIP Res:' $0.75 'SMIP Corn: $0.00 _' Other . $0.00s .Inspection. $0:00o,i / / r N Total: .'$154.00_ •. " , PLANNING&ZONING 2</ -'/ SETBACKS. MAIN STRUCTURE Front 0:0 - Rear 0-0 •Left 0-0 - Right- - 0-07 j;, 7// N. .' ACCESSORY FfontN:0-0 . /- Rear 0-.0 Left 0-0 . Right 0-0'. PARKING Existing: -0 - Required: ;0 Proposed: 0 • 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 2448-46(MO) 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. —Er'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' mp ensation aannce cprder and policy number are: %6 ? $713 Carder: f--42 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 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,1 shall forthwith comply with these pr�ovisio 5.�]� Applicant Signature: . 7_1'&2? - Date: /2,---//n12 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE I LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,0110),IN ADDITION TO THE COST OF COMPEN N,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 use(p t 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.0 CO" [d Ll Class 0 C'^3 Contractor's Signature: or A- - Date: /.L"'/('0 110 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,end 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 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,ora 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 LJ 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 California Health and Safety Code). 7 It 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 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,end 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. Signa re Of Legal Owner(s) Date And/Ol Authorized Applicant Date goof I. INSPECTIONTYPF CODES [NSPECTWN TYPE gILI1 =AL5 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 1141-02-- LG/�t 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 P-X•-Y' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO: I TRACT N LOT NO.' UNIT NO. - f • 1• ' ' l 5230 10/15/86 CITY- 'COSTA MESA CONSTRUCTION PERMIT I1 - - • i i 30.50 ,TL Prof*Address taro- Ln,u4A:�zrtc. ' "rSt C/t�l rB- 2 ST786 5/�J Go . aq. • ` I • i • i �lfj{ / TYPE OF CONSTRUCTION LU NEW LJ ADD LJ.ALTERATION g REPAIR . 'Applicants Mailing �1[Jreess .. /Ct i ete :��a�'�5��4-6.1 E f 1 Ovjner's Name ev--o`>k•✓' •A` ' " ""^'-- Phone? X57 Tfl El ❑ DEMOLISH ❑ OTHE - A.P.#-'y �,_�S J �'Q60 -_ .. . Zone_ _ a7// ���+++ • DE$CR IPTION OF WORK/USE OF BLDG. �SpA-72 ' Oar 11F / Address /z?O L-o .,ao Na�/Z2t.53€C./y,' • S Main Building: • 'Accessory Building:- , y/ • E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION h STRUCTURAL T Front . o Addressn ❑ aEl TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear • - I I N OTHER - Contractor's Name W�Ee- Phone _ 2- C Right • J• - N Address(mailing) PROJECT DESCRIPTION' SQ. FT. >�®C�' ' OCCUPANCY / ' CONSTRUCTION TYPE g •VALUATION$ ' 6?LC g Left . , G City License No. ; ZONE ` - GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. R¢f.# - Parking-Req./Provided - E I hereby affirm that I am licensed under Provisions of Charter 9 (commencing Remarks: ' Planning Notes: I i • M with section 7000) of Division 3 of the Business and Professions Code,and _ • - ' my license is in full force and effect. . . ( T License Class License No. -- • . - - 4 S Date Signature PLUMBING ' . I .FEES - t . : - - ' -z WORKERS' COMPENSATION DECLARATION I - i - , I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - •' ELECTRICAL' - - FEES • nf Workers' Compensation Insurance, or a certified copy thereof (Section — .'00, Lab.Lab. C.) Backflow Preventer . Service Sink Automatic Washer. Transformer ❑•15-50 KW a;icy No: Company Backf low.Irrigation' - Sewer Ca. LJ Certified copy is hereby furnished. 4 p - ConstructiomPole Sub. : - _❑,50+,KW y LJ Certified copy is filed with the city Building Division. Bathtubs. Sewer Connection • • Cooking Unit • Meter ❑up to 100 amps Date Applicant - - - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers . - Solar Collectors I , . r Dishwasher ,Meter'❑Over-100 amps - (This section need not be completed if the permit is for one hundred ($100) or - . less). Dishwasher . - - . Solar Piping - . ' Dryers OGas ❑Electric Sub Panel - I certify that in the performance of the work'for whict this permit is issued, I - - - 'I shall not employ any person in any ma •-r'so as t. •e • e sub'- o the Drinking Fountains , Solar Tank Fan • Workers' om er�at'�y.Laws of Califo i'•' -„ /jJ Motors❑0-1•HP ❑1'/:-8 • ., Date /�"�..7 �9Fo Signature .%-• Floor Drains- SwimmingPool w/S a -• -' ,j P F,A.U. Inc.Solar HP ❑16:15+ • NOTICE:If,after making this declaration, you sho• d become subject to the — - - Workers' Compensation provisions of the Labor Code; you must forthwith Floor Sinks _ Urinal Fixtures Microwave . - comply with such provisions or this permit shall be deemed revoked. . - ) I CONSTRUCTION LENDING AGENCY ' Gas Service Outlets 1 Water Closet Device Boxes Pole Li ht , • I hereby affirm that there Is a construction lending agency for the performance ' . g • of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name J C - t Range , Lender's Address • /C�c,c_iE _ Kitchen-Sink -. - -- - - Water Service - - - -- -. - -- - - - OWNER BUILDER DECLARATION $witches Sign f I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ' following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections I county which requires-a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior,to its issuance, also requires the applicant for such permit Trash Compactor , to file a signed statement that he/she i5 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 -- ._ - - -- - therefrom and the basis for the alleged exemption. Any violation of Section • � - '31.5 by any applicant for a permit subjects the applicant to a civil _• • _ laityof not more than five hundred dollars($500). I _ ' I, as owner of the;property or my employees with wages as their sole Reinspection Fee I $15 . .Issue Fee . $ 3 -, ' compensation, will do the work, and the structure is not intended or.offered - Reinspection Fee , _ $15 Issue Fee $ '3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL t FEES I - License Law does not apply to an owner of a property who builds or improves .-__, - - _ - thereon,.and who doessuchwork himself/herself or through his or her own DEVELOPMENT SERVI RE I ENTS: . ' // ' o employees, provided that such improvements'are not intended or.offered for Boiler Hoodior Type I 0 ���, ' • _ /Q„�/5�8,G sale. If, however, the building or improvement is sold within'one year of com- Canopy Type II ❑- - Zoning Approved By, Date pletion, the owner will'have the burden of proving he/she did not build or im- Duct-Under Ground , Date rove for the purpose of sale). •. I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - ' /0 Date w/V tractors to 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 ❑0-100,000 BTU 0100,000 BTU .. - ©, �O S MMARY,OF FEES - • builds or improves thereon,and who contracts for such projects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that, Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ .- .'SMTP - $ Q,S o.- proof oftheir Worker's Compensation insurance should be provided to me. - - PLAN CHECK $-- _ PERMIT- _ 0 I am exempt under Section B. & P.C.for this reason, Firepl/Fact.BIt. ICBG# Fire Dampers - - - ISSUAN CES -• $ - F (� PLUMBING -$ _ • Date !D_______ _ Owner /� ps. ge- }t A.iOO/.L, Heating System& Ducting Registers ' • - - - PLAN'CHECK --25% $ • - - ENERGY P.C. $ _ I hereby certify that I have read this applicatio and state that the'above ❑0100,000 BTU 0100,000 BTV - - ELECTRICAL $, GRADING . $ - '- information is correct. I agree to comply with all city and county ordinances - , 'and state laws relating to building construction, and hereby authorize repre- • _MICROFILM $ ,_ - sentatives of this to enter pan the ab -mentioned Property for- - PLAN CHECK X50%- $ , inspection pure s. �/ • ' MECHANICAL $ TOTAL FEE - $ . 3p • Signature + . . O� j/}' Date .<tn-/t -&C - - `S yf (/ '� 1 CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING POOL &SPA . Date Inspector. - - Date Inspector •APPROVALS • Permit# • APPROVALS Permit# = • 1. 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 UFE R Grnd. 57. APPROVAL TO,COVER-GUNITE .,, 7. Footings I . 58. Electrical Conduit-Undrgrnd. ! to v 8. Foundation - _ ' , 59. Gas Pipe, D Uncirgrnd.,Test ' . 9. Water Pipe-Undrgrnd. _ . , 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ' - • - 64. Plumbing System - Final , 14. Rough Plumbing • . 65. Electrical-Final • • 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring - - 67. Fencing & Access Approval 17. Rough Wiring Sign • - - 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory-Fireplace ' APPROVALS Permit# _ 21. Ducts, in Structure70. Underground Hydro - 22. Ducts, Ventilating , I 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 8/Siding . . - - 77. FIXED SYSTEM FINAL • . 29. Insulation ' 78. FIRE PREV. FINAL .. 30. Drywall Nailing ' _ HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • • 33. Final Electric Notes: ' 34. Final Heating &Air Conditioning 35. Final Gas Pipe-Test , ' - ' 36. Hood or Canopy 37. Final Factory Fireplace : , 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 • i 45. Sound Attenuation • 46. Handicap Regulations / - 47. FINAL STRUCTURE & BUILDING 9(4, e- ' • 48. Special.Requirements Completed � ' 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co - - - i 51. CERTIFICATE OF OCCUPANCY • No. - Date - - - - i 'OWNERMULLER, Robert DATE 9-4- 3 JOB ADDRESS 1270 Londonderry Street BUILDING PERMIT NO. 37243 r6 G RAL CONTRACTOR Modern Const. Co. DESCRIPTION of WORK Block Wall en A 141-631-o6 LOT 214 TRACT 4356 FIRE ZONE VALUE $ 786.00 $ INSPECTIONS Signature Dote GROUP J TYPE ' TTI ZONE R1 SOIL PERMITS ISS ED GAS SUBCONTRACTOR Dote I Number 1 Signature 3" WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS n STEEL REINA E__ FLOOR SYSTEM f' BOND BEAM ❑ STEEL REINFORCE n SHEATHING FRAME AND FLASHING LA- Gr - IN ❑ OUT n P I, BROWN COAT URAL, FINAL Electric HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL 01 • • 37?43 • PAID u },**** . SEP -5-73FiR 00 060 8.50 I • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC (ED :Y D• REccly f �7 `G y DATE S UED BUILDIADDRESS//�� 2 / D MZ NwDN4. eezew /' / �/' / 453 _OWNER /�o oar /97U4LE2 A.P. NO, I`//- 63/-OHO PERMI NAC MAIL ABUDDR IESS Z CL Z - ADDRESS /2 70 L/Navn1DEe2� NG / 70 LONOQA/�Fn&, TEL. TRAC �y LOT BLOCK I- Z clry CO$TA /�E SA No.sS/6 5770 ✓�o p7 z 4 CONSTRUCTION NEW ADD ALTER REPAIR MOV G DEMO'ISH d CO LENDER J D BRANCH Q �y J CO _ OWNER ar7 Nat-LC-1t- m J ADDRESS VALUE m ARCHITECT TEL. SE •Lott WAC.L $ J Q OR ENGINEER Nct. ' UFIRE dQUv w ADDRESS ZONE TYPE GROUP W Z ifiat CDNSledC7/o„1 ,4• BAPPROVED CONTRACTOR BY DATE m- Z J Er ADDRESS 333 S Fz c'Et W w `d TEL ZO :47 NO.OF h USE OF NSW' / 0= CITY SIAM/7n1/t NO5y3 /79r/ S PLANS BUILDING ock �. Z �� -OSTATE CITY YARDS APPROVED YARDS APPROVED coO LIC. NO. �GS75" LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) / OF LOT I NOW ON LOT FRONT FT. /0 FT/91/Ai r USE OF -f" EXISTING BLDG. R.SIDE FT. /g I- SIZE OF NO.OF ZNEW BLDG. ROOMS STORIES L.SIDE FT. 0 FT. Z C.-) EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. 6) FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a a MAIN BLOGS. ACCESS. BLDGS. Q 4 VAR.# DATE 0 CO/s/S'yeJGy y . •UZ-OGIC GJNLL C.U.P.# �/ APPROVED I- 90 L/Gr RAPPROVED " lf— 9-C74-73 V z3 Z DATE r I� O I hereby acknowledge that I have read this application and state ✓ (� that the above information is correct and agree to comply with ( //// all laws regulating building construction, and I shall not employCC 'v( F any person in violation of the workman's compensation laws of 1 CO the State of California. b zI hereby certify that I am properly licensed as a contractor under SO, FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, r such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a¢ am exe pt from th provisions of the State of Califor9nia Business I and Pr fessions Cc. , Nlsr n 3, Chapter 9, VALUATIOIss N ry PERMIT FEE $ 1.�-- N ' � ' / 3 Signet re of / ' d// / to Permitt • V $ / /�J PLAN CHECK $ E Authorized Agent u. TOTAL FEE 5 OWNER HARBOR HALL OF_FAME.HOMES, INC. . . . . DATE u-NOV 2 9 1962 JOB ADDRESS 1270 Londonderry St. BUILDING PERMIT NO. 18153 GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE s191055.00 No. LOT 24 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar. .ECTIONS Signature DATE GROUP 1 si 7.1-----'1 ----17 ZONE h1 Soil G1--/ if ya PERMITS ISSUED Gas t it-, SUBCONTRACTOR Water /J-5'-CZ DATE NUMBER CG/ 4,2-C-C-2- Rough S-GZRough Corn. Refrig. 0 Air Cond. 0 Rough Heating f.(/ /•,pi✓ —C1 i i _i .- /�_- -la2 U-/ Rough Plumbing .u/ �.f -6' 7�j/+►r/./ /l ' l/ ' Miscellaneous 1. a �(oa7�� /gyp Prop.Swr.Lase Con. ❑ St.Swr. 0 �(,v �:g'n, !�4 6TeAc, c7",2/'4.5 .�6/-S� K I L� Sprinkling System / ti Construction Pole _ _ _ _ v Underground ❑ Power 0 _ �g/ !�_ Rough. Wiringi 2421 / -30-C?r'!�/�. c p[met /'/0-43 /1/,- • , Trenches [VerForms 11Y Steel Reinf. ❑a�-49M /_p-/p Floor System 4' d /Q-f-62- _ Bond Beam 0 Steel Reinforce 0 Sheathing /Pi9.0 /-/I-e5-�_ Frame and Flashing #g3-fl /-3/- !,; I - :ng — In Et"- Out Er In2-/3 —61 i :r, brown coat 3--//-63 Rerrig. 0 Air Cond. 0 Final _ Heating, Final 52 ad ii'tz 63 _ Plumbing Fixtures, Final fM- °/7 "G3 Final Gas Testir /tiff -//9 Electric Fixtures, Final /7/J/e', q%/7�3 Building, Final /ki-/f' 9-149'{3 OCCUPANCY FORM BU4-5M — 7-61 1817.E FE ECEIVED 18153 Nov 2:o 1982 COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 24, Tract 4356 INla{7G,5DRtri• P. O. BOX 917 COSTA MESA. CALIFORNIA OF CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING /ADDRESS 1 4-✓Z eon 01 cr(-y '�/• COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. IPE 3 lr4 OWNER Harbor Hall of Fame Homes, Inc. I 1 MAIL RECEIVr 7 I DATE/ReCFrvED DATE ISSUED ADDRESS P.O.. BOX 2066 L.� ////�/. // ./.4 NOV 9 n ln_,C• CITY Santa Ana NEoKI 9-2204 BUILDING ADDRESS OR ARCHITECTER CT Jamison No.5 44-0040 COSTA MESA. CALIFORNIA Y'�' ADDRESS 225 'JD" St., Tustin FIRE ZONE TYPE GROUPJR- CONTRACTOR Lifetime Residential Bldg COrDPPPROVED BY DATE ADDRESS 2131 So. Artesia ZONING Z..NO.OF USE OF NEW V fin. CITY - Santa- ZONE.Ana- , R_r I PLANS a I BUILDING 4 a tr far STATE �/ TEL. KI 9-2204 LEGA LIC.NO. 208676 NO. DESCRIPTION /^ [�O� a / TSP 1/3s6 SIZE NO. OF SLOGS. OF LOT 60001 NOW ON LOT 0 A.P.NO. USE OF YARDS EVES EXISTING BLDG. None APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE BTA CENTER OF STREET 52I REAR YARD 28.87 I FRONT S a FT. IN. SIDE YARD I LEFT 51 I RIGHT 61 R.SIDE 4. FT. IN. DESCRIPTION OF WORK S— — NEW 1 _ _ ___ L.SIDE rJ FT. IN. II ALTERATION I II ADDITION REAR z8• V p/ FT. IN. REPAIR I II MOVING I ( DEMOLISH 1 B7ROVED ��pJ DATE /0�i L/Ey SIZEBUI1790 NO. OF 1790IIROOMS 10 STORIES 1 S/ COVEREXTERIOR ING WALL ROOF . Plaste>?COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence _ /770 ' / � , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN •ER 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 OR 1 A CES A STATE LAWS REGULATING BUILDING CONSTRUCT!/ VALUATION / SIGNATURE OF /�fpyj ///j PERMIT FEE $ �3 PERMITTEE "-i�k-/�/ 9&6 -/{, L,_ n ei �I $ //J PLAN CHECK $v/`� G AUTHORIZED AGENT - TOTAL FEE $ J� ,5 D 0