HomeMy WebLinkAbout1650 TEXAS CIR - Building Permits CI._ OF COSTA MESA REQUEST FOR OCCU—.QCY
TRACT NO. (� 47_ DATE # -/1 - 22--
LOT
ZIAT NO. ,S
ADDRESS /66-0 ,q3 6i;✓Lc
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
BY / � • 'Y
Purchaser
RECEIVED BY Cia 'W, -
CITYOF CD H1Developer and/o aui • ized
PI
PLANNINGLA.PINING DEP'(..
representative
APR 11 1972
AM PM
71819110111112111213141516 Lender
A
14
PROJECT ADDRESS: 1650 TEXAS CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068734
CP/NER'S NAME: GRADY, JAMES P
ADDRESS: GRADY DIANE PERMIT NO: B 068734 PLAN CHECK NO: 03319-94 S GOVT: N SUPP : N
1650 'TEXAS CIR
COSTA MESA,CA 92626 CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
714 ) 966-0390
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: SQ
JOB DESCRIPTION INSTALL NEW 14" X21 "BATHROOM WINDOW FT: 350
CLAIM VALUE: 350 . 00 CALL—VALUE: 350 .00 GROUP OCC : R-3 /
PERMITTEE: JAMES GRADY ( 714 ) 966-0390
ADDRESS: 1650 TEXAS CI COMMENTS: INSTALL NEW BATHROOM WINDOW
C.M. CA 92626 *+E**sr********er+r+r+***yr*+res*dr*********kFat**x*sr*+r*a6**eLer*ek+t**dr***Tref**dr+rr***sF**dr* ret**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONI NG R EQU IR EMEN TS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
SETBACK S
CITY LIC.: STATE LIC.: CLASS: EXP:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL : 13907341 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Tis section need not be completed if the pernit 6 for one hundred(5100)or less(. D EV ELOP M EN T SER V ICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shag not e y an pe n in arty man so as to become
s to th to Cyan Laws of California. ZONING APPROVED BY DATE:
•
(" [ Signature: A...4-1— .
NOTIC .after making This declaration.you sno score subject to the Workers'Compensation provisi f the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such pr ' ons or his permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: %�
which this permit is issued(Section 3097.Civ.C). C. DATE•
LENDER: ********************************************************************** ********
ADDRESS. LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 5 . 0 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 9 . 75
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 15 . 50 0 . 00 9 . 75 25 . 25 25 . 25 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.II,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 25 . 25 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 15 , 00 . 50 9 , 75
® and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projectswith acontractor(s)Ticense pursuant to the Contractors'State License Law).I am aware *,*.***.*,**.*.*.*.*.*.*******,*yF*,*,**,**,**,*,**,***,****„ **,************************************
that drool of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.6 P.C. � �- IND I V IDUAL F E E BREAKDOWN
for this reason r:o ' —/�I25 2 TYPE QTY DESCRIPTIO N UNIT COST TOTAL COSTill 7
— Omer: SFR 350 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 350 , 00
' 1 x hereby certify that I am aware of and understand the requirements of ,cane Health and Safety Code Sections 25505, END O F FEES
25534 and that I or any future building occupant wiUvAll not(circle one)need to comply with said state codes and the requirements for a
permit for construction of modification from the Aiir u�ality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of thG cit to enter upon the ado mentioned 01 00167084-00167086 TOT 25.25
pr petty foorrlispection purposes.
OATS: 09/01/94 TIME: 0$:52
at
q---/ -‘1 rl Signature:
Driver's License or Social Security»:
Pink—Revenue;Goldenrod—Assessor •
CONSTRUCTION AND PLANNING POG SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
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 UF ER 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, 0 Undrgrr.d.
10. Structural Floor System 61. APPROVAL TO DECK
_ 1
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 Ceding 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& siding77. 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 1 {
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
47. FINAL STRUCTURE & BUILDING 61..2,-qe 64,
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date
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Aoorss aP BMLwLg: 1650 TEXAS CI g"* ,--__ — CITY OF COSTA MESA — BUILDING PERMIT
1. OWNEW AIEwoo": HEALD, JEFFREY B PERM NO: B 084985
ADDRESS: LICKER SANDI R •
1650 TEXAS CIR PERMIT NO: B 084985 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
.WPL.MAaRCADDRES% CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: uc No: JOB DESCRIPTION : T/O ROOF INSTALL PLYWD AND 25YR COMP SQ FT: 3, 850
ARCH.OR EM'S ADDRESS: WIT:
CLAIM VALUE: 3, 850. 00 CALC—VALUE: 3, 850 . 00 GROUP OCC: R-3 /U-1
CONTRACTOITS NAME: BALBOA ROOFING COMPANY ( 714 ) 631-5051
c nBACTowsuMups 600 CLIFF DR COMMENTS : SMOKE DETECTORS REQUIRED
coerss: NEWPORT BEACH CA LIC NO: 714729 *+1-*******xE***xr***aE*****************************************;ESE*************;E***;r
92663 UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm der penalty a perjury that I am go nesd under prwma ora Chapter 9 r SETBACKS
(commencing with Section 7000)a Division 3 of the Business and Professions Code,end my license is in lull lace and effect. ,
c.No.:068049 UCMASS: C 39 ucNO 4 9 EXP' 8 98 MAIN BUILDING ACCESSORY BUILDING
Dae: Do/'l contrect«:
C. FRNT: FT '--.. IN REAR: FT IN FRNT: FT IN REAR: FT IN
7 LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
O ER BUILDER DECLARATION:I hereby affirm under penalty a perjury that I em exempt from the Contract=License Law la the
ollowing reason(Section 7031.5 Business and Professions Code:Any shy or county which requires a pent to construct,Ater,improve, PARKING RE P RO V: PARCEL: 13907341 Z NE: REF NO:
-templet',or repair any structure,prior to ha issuance,also requires the applicant for such permit I0 file a signed statement that he or she
th
licensed pursuant to e provisions d the Contractors License Law(Chapter 9(commencing rg with Section 7000) Divisiona 3 the PLANNING N TES>
,ueir.es and Professions Code)or that he or she is exempt therehom and the basis Iso the alleged exemption.Mry violation of Section >
•
703t.5byanY applicant for a permit subjects theapdiaent to anvil penalty of not more than fie hundred dollars l55Wl). *****.**************************************************************************
❑ I,as owner of the proverb/Or rnY tall:byes,with wages as their sole oompensation,Mil do the work,end the structure is not intended D E V E-:L O P M E N T SERVICES R E U I R E M E N T 5
or offered I«sale(Section 7044,Business ness and Professions Code:The Contractors License Law does notapply to en owner a property
who bolds or improves thereon,and who does such work himself or herself Or Paaugh ha or her Or emploees,provided that such
improvements are nal intended«tad l«eaie.R'however,the butdugor inwoverneni wgld Whin°n°Yea aoompsun,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he r she did nal build or improve for the purpose of sale). - --
❑ I.as owner of the progeny.ern exMively mvractig with licensed contractors to corneas the project(Scion 7044,Business end
Praessone Code:The Contractors License Law does net appy bah owrw of property who builds or improves thiamin and who BUILDING APPROVED BY : a/ / DATE: .
contracts for such projects with a contrmor(s)licensed pursuant to the Contractors License law).
❑ Iamexempt undrSmion: B.a P.C..I«thireason: APPLICATION ISSUED BY: (�� DATE: 0/1
Date: Osman LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby candy that I em aware el and understand the requirements a Caeorce Health and Safety Code Sectors 25505.25533.end •
ts for
spe'rmdi«wonalor anyiriccl ormcdiure mmnro thing eAir i ahwill/MI nOrepemmn need
tReesd`detd"oovectiaid°n sap�amathe
eeeex«gfommSas BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES I GRADING
provisions. PERMIT 87. 25 ,_ . 50
Dale: Applicant: ...-n SMIP/NON—RES
WORKERS COMPENSATION DECLARATION:I hereby aft under penny of prpmy one a the mllowing dedm
aora: PLAN
r
ISSUE FEE
❑ Ihave end will mental,ecertificate ofconsent oselfisncompensation. actbn
dedforbyS3700oftheLabor BUILDING—DIV—> PERMIT ISSUE PLAWCCHECK TOTAL PAID - DUE
Code,f«the pead«neag.w«kl«'sw:chnnprnm .eaae. TOTALS 87 . 75 0 . 00 . 0 . 00 87. 75 87 . 75 . 00
A I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,ler the performance of the • i
work for which this peer*is issued.My workers'compensation insurance uric and policy number are: !
Carrier: STATE JUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: . 00
Policy Number: 7R y T)N T017f4 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
This section need not be romp/erect 6th.penS is/ot one hundrsd dollars(51001«less) 87. 25 i v i . 50
o I certify that in the performance of the work ler which this permit i issued,I shall not employ any person in any manner so as to } •
become subject to the waken'compensation laws of Califon' ,and agree Ohm h I should become sullied to the worlats' *************************************-**ib********off******************************
mammalian provision.of Section 3700 a the labor Code, hwhh ply those y .
Dae:°/QJ\
a /1 A-7 Appttiant (In I N D I V I D U A /L' ` FEE BR E A K D O W N
nf/RInp:F.xursbaecws wort.:compensation coverage Is unlawful.and shad subject an rewloy«roarSrai penaNr and TYPE QTY D E S C R I P T I O,LN UNIT COST TOTAL COST
\ civil fines sir ro one hundred thousand dollen(alo4gdcA In addition to the cost of compensation,dampae es provided for In ine
Sectlon 37PSoythe Labor Code,Interest and attorney's/ova SFR 3850 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 850 . 00
CONSTRUCTION LENDING AGENCY: I hereby arum under penalty of perjury that there is a oondndion lending agency ler the I END OF FEES
performance d the walk ler which this permit is issued(Swan 3097,Cit.C).
LENDER'S NAME: -
LENDER'S ADDRESS:
I candy that 1 have read this application end stere that de above information is coned.I agree tocomply with all ay and county ordinances
and state laws raatkg to bunking construction end hereby authorise representatives a this city to enter upon the above-mentioned property
for inapeeion purposes.
TIM WOODALL
I ,r
18-111-199710/8411319141/1411137i31
- �.►�1 I. . 1 f 40 r� Date: l B PERMI95
\_- Signature of OwpedAgent/A..•... . . tatoporn � -
(5151.46 W P) Whim-Building&Soley:Green-Rte:Caney-AppicaM;Pink-Revenue;Goldenrod-Assessor
•
•
CONSTRUCTION AND PLANNING POO SPA
b. APPROVALS Permit # Date Inspector . APPROVALS Permit# Date Inspector
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
-6r Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
• t7: Footings - 58. Electrical Conduit-Undrgrnd.
'8...Foundation 59. Gas Pipe, 0 Undrgrnd.,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-Fin4al
13. Roof Drains • 64. Plumbing System -•Final,
14. Rough Plumbing 65. Electrical-Final •
' 15. Rough Electrical-Conduit 66. Solar System-Fly*
16. Rough Electric Wiring 67. Fencing & Access.Approval
17. Rough Wiring Sign 68. APPROVED FO.R-PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning- , r FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace _ ; r APPROVALS :. Pecmit # -
a
21, Ducts, in.Structure • - - r -- 70. Underground Hydro '
22. Ducts, Ventilating- . a - , _ 71. ProducfPiping OGas ❑Oil
23. Gas Pipe-Rough & Test • + ' r 72. Underground Ftush ••
24. goof'Framind' - ' - I 73. Undergrnd.Storage Tank OGas ❑`Oil
25. Roof.Sheathing I a,�e 74. Overhead Hydro
•26. T-BaF Ceiling (Structural) & Monocoat : - I- 75_. Dry Chemical - - ' r;
27. Frame and Flashing. ;' r - 76. Dry Standpipe, r '
28. Lathing & Siding _, j 77, FIXED SYSTEj FINAL - i'
29. Insulation .l k 7& FIRE PREV. PHIAL = -
- 30. Drywall Nailing , , ,� '„liEALT,T4 DEPx.REQUIREMENT
31. Plaster Brown-Coat :t 79. FINAL INSPECTION 1
32.'-ElectricalPower Meter-Final :: 80: FOOD CERTIFICATE ISSUED. n
33. Final Electric _ I - I. N6tes:/O- 3 47 5Wi -T" '• /" (J)�
• 34. Final-Heating-8: Air Conditioninge? , -
35. Final Gas Pipe:Test . ,
36. Hood or Canopy ' .. I J
37. Final Factory Fireplace ' - -
38. Final-Plumbing _ - -
39. Water Service-Final . " •
40. Gas Service-Final - c -
. 41. Solar Domestic-Final 'k ,
42.1ackf low Preventer • r -
-43. Backflow Irrigation -
-44. Landscape Irrigation System • _ _
45. Sound Attenuation .' . " • - n
46. Handicap-Regulations - - - - �' oX
rr.
47'. FINAL STRUCTURE & BUILDING /6 7 ' - cv M
OZ tab
48. FINAL PLANNING - 3 .....`
-49. Electric Release to Edison - -, `Ca'b
.50. Gas Release to Southern California Gas Co - : - co-
_ 51'. CERTIFICATE OF OCCUPANCY . .. ,� ir•J
No. Date
OWNER HERMES DEV.CO. DATE 7-22-69
JOB ADDRESS 1650 Texas Cr. BUILDING PERMIT NO. 30547
agGENERAL CONTRACTOR S.uLh.C.unL.Qual. Has. DESCRIPTION of WORK Block Wall
A, p. LOT 5 TRACT 6613 FIRE ZONE VALUE $ 1,075.00
ECTIONS Signature Date GROUP J TYPE III ZONE Rl
SOIL
SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing
ft.ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. fl
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER LI
ROUGH WIRING Heating and Vent.
TRENCHES r] FORMS n STEEL REINF. If-1-� ;-'"C
FLOOR SYSTEM //
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
TURAL, FINAL _ _ Electric
HE...ING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL / ( _�j
BUILDING, FINAL jyl?�j'Kfr�" �
3U54'
•
PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 22-6 c4 Np0O1678 ****16.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
ADDRESS, ` RECZED :V s taE ECEIyFj DA
OWNER MODULAR Technology, Inc. DATE 7-15-71
JOB ADDRESS 1650 Texas Circle BUILDING PERMIT NO. 33318
GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.wjatt.gar.
.o. . LOT 5 TRACT 6613 FIRE ZONE VALUE $19.395.00
INSPECTIONS Signat re Date GROUP I & J TYPE j/ ZONE R-I
SOIL 9 Y1/2<--7/ PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number I Signature
WATER ,r Plu_bin. / _
ROUGH PLUMBING gy p,- �a) , /1�1T/"Slf��iMem_..'W,n�7� - //"
PROP. SWR. LINE 7 HOUSE CON. U /n//. ... I Ep� /�� /7-/9--.7/3 9
/ ..,,'4
SPRINKLING SYSTEM �
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 45 1 OM 7-p---'
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING gr
a.44,/
_ / L / t Heating an• Ven} {�/¢/J
TRENCHES FORMS ® STEEL REINF. I �-16�/ / _i, i / ,/r�,•i-yrs /ev-7/ J s1
FLOOR SYSTEM I 14-2401/, 7+,/rC-4(4.. �,/ a,
BONO BEAM El STEEL REINFORCE 7 y / .
SHEATHING 'Y Oma- / . . 7/ -
FRAME AND FLASHINGr�r� - f
LATHING - IN r51-- OUT V / r `.
3,y�`—
F TER, BROWN COAT
CTURAL, FINAL I etri J
HEATING, VENT., REFRIG. AND A.C., FINAL //4' ,4f/en. r iiy /2--//-7/ a/ol/o
PLUMBING, FINAL AND GAS TEST n l'7 r9•?2.-
ELECTRIC, FINAL
33318 JUL20-71PAIBi GA �.
OO175H ^o
CNS
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely gECEIVED a / DATE RECEIVED
BUILDING J// 1(/,/ � /A/ (-- ,e1 Ir '—& - l ) DA/-9 —7
ADDRESS / �O b Gt_/ / b PERMIT/{(yg{,�� /(
OWNER Modular Tech O gy? Inc. A.P. NO. 7-� M�/`�•��•/J'
MAIL BUILDING `/�a�,X/,-;.t
Z
ADDRESS 1104 E. 17th Street ADDRESS L(�
w Ili
0-U CITU Santa Ana NOL.547-9673 TRACT 6613 LOT 5 BLOCK
Za CONSTRICTION NEW ADD ALTER I REPAIR I MOVING DEMO!ISH
—I- LENDER
0 u)d m X
J D BRANCH
_J I.9 OWNER Modular Technology, Inc.
a W ADDRESS
CO J t9 VALUE i�-1 �-i�,
ARCHITECT TEL USE Residence /�� �t/5 L�EI1i
J Q OR ENGINEER Kermit Dorius, An NO.644-7111
N v
FIRE
WCC ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TYPE GROUP TV x
a- Ly APPROVED
J O CONTRACTOR Owner BY DATE
CO Z id-,PZ/4V '
Dm ADDRESS Same //��,,/�� ++��.//��
t l w TEL. ZO NO.OF USE OF NEW W Gl /
O= CITY Same NO. i (PLANS BUILDING
Z UUU _
- 0 STATE CITY YARDS APPROVED YARDS AP VED
LU O LIC. NO. 252549 LIC. NO. 1690 MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT 65 x 126 I NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. -- R.SIDE /ZIFT.
I— SIZE OF NO.OF g `
Z NEW BLDG.13O5 SF ROOMS 5 STORIES 1 L.SIDE V_ /�FT. FT.
Q EXTERIOR Wqi` ROOF
V COVERING rut" Plans COVERING Wood Shingles REAR /LIT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
CI. MAIN BLDGS. ACCESS.BLDGS.
CI- , / / � DATE
L
Construct new residence with C URP.#1/��--//7(l0' APPROVED S--D-0-6 0
o
zattached garage. RW- (Y.f -/r�TE —( `7/
O (7�
V I hereby acknowledge that I have read this application and state HOLD FOR SPECIAL REOUIREMFNTS
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
(n the State of California. 3 s SO. FT. ^fit,l p 7r/�9. 9
op
zI hereby certify that I am properly licensed as a contractor under / 0 O
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Y
am exempt from the p v sions of the State of California Business A/
antl Professions Code ision 3,Chapt VALUATION t7t. m
PERMIT FEE $ / 0
Signature of n^- ",�/f .- ---- m
Permittee i--#la �! $ yv PLAN CHECKS/ E
/ 59C. I.
Authorized Agent /[/ TOTAL FEE $ //I ♦ u.