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1654 TEXAS CIR - Building Permits
CT ADDRESS: 1654 TEXAS CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 060094 "NEWS NAME: YURADA, SANDRO 'S ADDRESS: yURADA CAROLYN R PERMIT NO: B 060094 PLAN CHECK NO: N GOVT: N SUPP: N 1654 TEXAS CIR iiiiiiiiHCompensation,inyegt J COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT 549-8491 ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : REROOF 2900SF PART OF RESID W/COMP SHING SQ FT: 4 , 075 ADDRESS: UNIT: CLAIM VALUE: 4 , 075 . 00 CALC—VALUE: 4 ,075 , 00 GROUP OCC; R-3 /M-1 PERMITTEE: CHAMPION ROOFING ( 213) 259-0451 ADDRESS: 3257 VERDUGO COMMENTS: T/OFF REROOF 250SF PART OF RESID W/BUILT—UP ROOFING L.A. CA 90065 ****�E+E*�E+E******�k�E***TE�EyE*+E*�P**�P�P***�r*�E**�rsr�E******SP�E�ESE**�E�E*iE+E�E�E�E**�P*�E*�P�E******�E** LICENSED CONTRACTOR DECLARATION: I hereby affirm mat am licensed under provisions of Chanter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S SMOKE 10KEDETECTOR 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S CITY LIc.:042725 SitledcC.:42948 CLASc..0-39! n Date: II — D—S —S2— Signature: --1-1/4---N, t e LPX/ MAIN BUILDING ACCESSORY BUILRI{ji+��— WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FENT: FT IN REAR: FT IN FENT: FT IN 'REAR: FT WORKERS' Titledopy Ihemyaffirn3800.hathae LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: 1L '•J EXP.DATE: ��/01 /93 ,COMPANY:STATE FUNDAy�, PARKING REQ• PROV: PARCEL: 13907331 ZNE: REF NO: Certified copy is hereby furnished. d9 Certified copy is filed with the city Building Division. PLANNING NOTES> > 91 7 1'— a-.5 — ce Applicant: • ' L.9r CDIM ******************************************************************************* Date: DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need tot be completed if the permit is for one hundred(5100)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 me Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Dale: Signature: BUILDING APPROVED BY : NOTICE:II.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE: Code.you must forthwith comply with such provisions or this 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• ;—4_yd5_ DATE: '(IL I S 5'L_ which this permit is issued(Section 3O97.Civ.C). **'******'**************************'******'*$*'E************************* ** * **** 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 fothe following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/R rES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 5 0 repair any structure.prior to its issuance.also requires the applicant for such permit to life a signed statement that he/she is licensed SMI P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation 01 Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my em toyees with wages as their sole compensation, will do the work, and the TOTALS----> 72. 50 0 . 00 0 . 00 72 . 50 72 . 50 .00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himselllherself or through his or.her own employees.provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 72. 50 OVER/SHORT: 00 • improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve ` • for me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG PLAN—CHECK 72 . 00 . 50 I.as rofesr of s the property, Co exclusively ate License with Boossed not contractors to of uctf properly erl project(Seills or ov, reon ❑ and whocontractsTheContractors' projects with State pursuant to theownerontrctors'Swha License improvesLaw). thereon ******************************************************************************* and who contracts for such protects with a contractpgsl license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B. &P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 4075 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 ,075. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisrpns. 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 this city to enter upon the above-mentioned property for inspection purposes. n --`-3 Date:_j 1 — d Cl J — •a— Signature: (2 , CP 1_,-- ! Drivers License or Social Security 7��j 73 164L46 White—Bundrng:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor / CC'!!TRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1.•Temporary Electrical Service 6r Pole ,: 52. Pool & Equipment Location . • 2. Soirl.Pipe-Undrgrnd. • - S I 53. Steel Reinforcement tr.C�♦�z - -c• a,EFPAIricalCondp-itljtility-Undrgrnd, •• I 54. Forms '4-4r-Eleo4rRal Cond- Undrgrnd.-Undrgrnd. I 55. Electrical Bonding 4. r. a S .T 5. Q17einforcelttent r 56. Rough Plumbing & Pressure Test - ,- --r. 6,1-Ele.6rical UFE :Grnd. v' 57. APPROVAL TO COVER-GUNITE r ,� 3..Footings 58. Electrical Conduit-Undrgrnd. " B:,Foundation I 59. Gas Pipe, 0 Undrgrnd., Test 9.twater Pipe-Undrgrnd. I 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System J I 61. APPROVAL TO DECK 11. Propcerty Sewer Line & HOZse Connection 62. Backwash & Receptor-Final 12. Ser Cap - I 63. Heater & Vent-Final 13. Roof Drains I 64. Plumbing System - Final 14. Rough Plumbing - I 65. Electrical-Fin& 15. Rough Electrica4-Conduit 66. Solar System-Final 16. Rough Electric-Wiring 67. Fencing & Access Approval 17. Rough Wiring:Sign 68. APPROVED FOR PLASTERING 18. Rough Electriial-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 202-Rotigh Factory Fir€place ' z7 +- ' C ^ c 'APPROVAG$.3CPermit# :r-• > .r c s a. •t >::< s.7 X > Ct r :J s "•" z ^ J-- - -a. G \ ihCn21"Ducts, iaStruct'f_e. ^ C x -c -70. Undergroond Hydro _ 22CDu3s, Ventilatingx I t4f A _� s ,t< ' r 71. Produ�Piping ©.Gas UGH 23.'71Gas_Pip3RotYyh &rest c a 1 - - 1 r' n s l: :.f 4 72. Undergroygd Flus, ;c 24.c Rocif Framing y' �• -71 u 'j ' L` n . 73- Undergrn8.Storag�$Tank_C7 Gas ❑011 25. Rom Sheathing .:`. `�,• x r t` j =l'-, •74 Overhead Hydro- x -, Z. t . 26_T-Bar Ceiling (Stwctural) &iMonocoat 'c 't D.* • 75- Dry Chemical = t -1 -7 r 27y Frame and FJastltng :s .-- ",",. _. } •D-. : 76. dry Stan }`pe P§ < 'r' E _28. Latbingr&Siding x : _�Lr % 5 •• •• _ : 77 FIXED SYSTEM'FINAI_. '29. Insulatipn :" ^ q ', +r 7$r FIRE PR EV. FINAL x > -r j. r30. Drywal6NailRtg '-.i• .. 1 - - 'HEALTHIDEPT. REQUIREMENT er -;31. Plaster 8rovyn Coat ,- lc ` i _7f FINAL IhISPgECTION x It ` - --32:1-ElectricalPower Meter-Final x 7; - ,-,80n FOOD CERT FIRT FI 1�� OATE ISSUED �33•CFirial EJctrit C< r c `I t ; NOtes:• _ ' ll r x ., - ti,,r 1:34x•Final Heating& Aik Conditioning. x :I -c .. - 'I. ., - ' 35.7FinalGa' Pipe-Tgstt _,•r • ,-. -I _ ` . r r'p -rs xT O £36. Hood otyCanopy,-A j r > r I _ x ^ , ••` - . .a C r • i• 737PFinal Factory Firelace_ a;r a' ` `'� �. x • , .L x > z - t --7,, -38. Final Plumbing j• C 1 I s - s i t -39. Wafer Service-Firiab ,4r- r x r (` - x c� "t- -_;40. -40. Gas Service:Finac-..: r Sr r :, 1 , t >,....=41. Solar Domestic-Firralc C - -r ::•.-I , • c 42.'Backflo�G Preventei, f ' . s j= _ : • .- 43. Backflow Irrngatidh- .4S ; x - t ' u: o k = - s 1,'- 11 - % S - -44. Landscape Is-ligation-System, rr. K r I - - _ R I _ ti: - - _ ._ ..., .. - ..-S 3: ., - t "45CSound Attenuation -'i :- s I _ - r.• rt 246:;Handicag Regulations --. , - - ., 47sFINAL STRUCTURE BUILDING 9 -',/Qj r - 48:_FINAL PLANNING . ; : L. - Z ' ,. .,49. Electric Release to:Edison. ' a I I it L. - r X50.,GassRelease to Souihern California Gas Co c I I I _ ._;;, _ 51. CERTIFICATE 0 OCCUPANCY No. Date REPORT OF INVESTtPA ��r Variances: Assigned to: ase No. — 06 0 Building -t Division /0—tt'Sc C.U.P.'s: 0 Planning Division Assigned to: GEO. 0, 0 Joint Investigation `0/ /lM ���/y-�� �-/��//�' � // //// Date: Received by: ! ! adti / I to t \ J Os �/ Complaint Address hIFULt-.2/ t�2t rte x, S.6 Com ainant Name of Tenant (if applicable) l (as7 *--4-2-14-4--• Address Name of Property Owner Telephone / Q Telephone Number .( /p� Owne 's Residential Address..�-- _�J Nature of Compplaint: /� --i--,--i--, -Q�,, Ji--g .(n. . .-te) -- ,41.-tA_-___e- . r-1..4, r..., ---k;--I } J GLI ' ¢ - C Vf vd-- et" 1/4! VIM fr � ms '-'. Investigation by: Time of Day (if applicable) Inspector Building Permit Files Reviewed: Zoning Files Reviewed: Initial and Date Initial and Date Assessor's Parcel No. Map No. Violation of C M.C. Section (s): Fings: ide s CWeaa,.i 4uN rQ-o1 5av\ --S D -L r / rt . w o 4( lit‘ -1--s —Po-v--el l 0 0 N-eKa a t.--c_.- . Cal 1 10.s4 I Owu . ✓ . Q a U,2.. kt ✓: S days --1-,) �a.>� env- w. . t' tA,0\ 0-0.-v- 4i"-ct �-%I New .`VJlat.-. - rN.'tt-- ` LA-4U-v- [0-11-5Z0 — 19s6S' 0 .01 f ..s o �� �1 11 "3-go I1 i 1 �s (A)021,_ CO r/' 2 C fD c� g,wc.\ O[�3S e �p.J >�.�f NOTICES: 11 U 1st Given: r 2-51'1( Time Allotted for Correction Date 2nd Notice: 5-day maximum time Date Certified letter advising that if violations are not corrected, the complaint and all supporting data will be forwarded to the City Attorney's office with request for prosecution. Date Mailed Date Received 7-day recheck of site Files forwarded to City Attorney's office with request: Initial and Date CMF 0829-30 August 13, 1969 City of Costa Mesa Building Department and Planning Department Costa Mesa, California RE: Agreement to finalize Models in Tract No. 6613 Gentlemen: In consideration for the finalization of the four models in Tract No. 6613, we hereby agree to do the following: 1. Install a minimum of 16" retaining wallfrom the existing to Gisler Avenue. 2. A substantial drain shall be installed in block wall on Gisler Avenue for property drainage. 3. Garage door in Building No. 8 shall be replaced with a roll-away door so no portion will project past the jam when the door is open. 4. Installation of a hand rail. 5. The rugs shall be removed from all the furnace rooms. 6. Permits to be taken out for patio covers and posts to be moved 7.5' back of the property line. In no event shall the eaves be closer than 2.5' from the property line. Don Roberson Assistant Vice President Marketing for Suburbia, Inc. Ciii OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. / 3 DATE LOT NO. C� ADDRESS ACS-2/-- �1% (2 .c- t% CA'I 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. �/ p� By Purchaser RECEIVED CITY OF COSTA MESA ' PI MMING DEPT. BY y� Developer anddor au. or d MAR 10 1972 representative kW PM BY 71819110111112111213141516 Lender A Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • PERMIT TRACT_NO. LOT NO. UNIT NO. 13q_ n73 —31 � I CITVctACOSTA MESA CONSTRUCTION PERMIT nDJL3c1 III . /°/i3 /„ A.P.# qZone y 7-e-• LST 1 • wtn l!� Pro`lect Address /'6� / ir!1i1 r • - - '— S Main Building: poo I Accessory Building: Applicant's Mailin Address = •¶ •G t3 1,}•ls yl % Oh • TYPE OF CONSTRUCTION LI NEW U ADD LI ALTERATION U REPAIR E Jr x vs 1 Z CE Vq ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 1 roe- '91 ssAAxxII--++dd"��CC__33__essor� O Owner's Name �•A """ -V!1 �Qr Phone 7 7-x'4 DESCRIPTION OF WORK/USE OF•BLDG 1tL4.4tY�' I B Rear GJ ' N Address //3•4)-1-:/ •7ecn.Sf C1.1-. c tt � , . �t. l A •Right .S N Arch nr �'7 .1n (Y1 e '� License Nos./jeerg. TVPE OF PERMIT LJ GRADING-U FOUNDATION Ip.ST RUCTU RAL C 9 G Address -</ > P -'/l IIS f•,a i. :e•Wet Y/br k ❑ TENANT �.ELECTRICAL:.USl PLUMBING ❑ MECHANICAL S Left j R Jl I/ il T, ❑ !OTHER _ Ping. Ref.# Parking Req./Provided E Cuntrar:,pr's Name. �tee rt 1011}a Pone / '307 PROJECT DESCRIPTION SQ. FT. OCCUPANCY /'t �--za^��a/� /-` 0 Address(mailing) 9n 1, /- '✓1-Iq. PI 0/1 nin-19 t'/a. ` 3 x Planning Notes: 5x02 5. F• 1�!loC. ! I[J Y26�1L> M Cit License No. [QGO 1 CONSTRUCTION TYPE • VALUATION $ I I COC 1---- J V T ZONE GRADI NG CU.YDS. ACRES Of POO Ife R.VM CIT.. S. cm:E$SED CONTRACTOR DECLARATION �J I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: T C with section 7000) of Division 3 of the Business and Professions Code, and 1 my license is in f force an effect. ,/�,+��, /��he9 ELECTRICAL FEES License Class C L}c9nsp No. .�>73`l ay �' G• -04--- v 1 - (� Dale j-•"J—F.'7 Signature ./C1--7 4 f" PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW L�Uv 0 50+ KW WORKERS'COMPENSATION DECLAMATIONConstruction Pole Sub. I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ''Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps l0, Lab. ) Backflow Preventer Service Sink iii q q,.yy..,.1t,;PZ ,tf„ ».%p5 syrdishwasher Meter ❑over 100 amps Icy No. /� Compansz"AI 7 ,7 e0 44 A it Backflow Irrigation Sewer CapCertifietl copy is hereby furnished. / Dryers ❑Gas ❑Electric Sub Panel • Certiif�fLied copy is filedd with the city Buil ' g Divi ..r'/ Bathtubs Sewer Connection Date •5"..%.7 7c7 Applicant / Fan 7' Clarifiers Solar Collectors ' EXEMPTION FROM WORKERS'COMPENSATION OE hundred ( ss1z section need not be completed if the permit is for o e hundred ($100)or 0ishvvasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016.15+ lI certify that in the performance of the work for which this permit is issued, I Fixtures • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. 'Nii, Date Signature e C. Device Boxes Pole Light Floor Drains Swimming Pool mQ 9 NOTICE:If,after making this declaration, you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets • Water Closet q ---"'has Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv: CJInterceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑0-5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION SLAV D �{. I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / � / 1 I / SLAV v.1r t 00( '0 431) tote following reason (Section 7031.5 Business and Professional Code: Any city or �!1 -county which requires a permit to construct,alter,Improve,demolish or repair IP—Trap Laundry Trays li any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions ofRoof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of .1{ Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee J Z D� •from and the basis for the alleged exemption. Any violation of Section 5 by any applicant for a permit subjects the applicant to a civil y of not more than five hundred dollars($500). II DEVELOPMENT SERVIC S REa UI•EMENTS: v as owner of the property or my employees with wages as their sole • Reinspection Fee f $15 Issue Fee $ 3 _ Compensation, will do the work,and the structure I5 not intended or offered 111 Zoning Approved By --l. 1���== ••%�%%�Date + "`A'y for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By !�, Date lief( License Law 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 Application Issued By 1� a1'I�j/Ia..-. __ Dahai employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ $U�CT'IA RIC�F FE S pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground I/i)s/GJ FIC.J 77 prove for the purpose of sale). BUILDING PERMIT $ • SMTP $ 0 I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigerati System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: p The Contractor's License Law does not apply to an owner of property who Duct.-Ventilating ❑01 ,000 BTU 0100,000 BTU PLUMBING $ ( •A7 ISSUANCE $ builds or imoroves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(') license pursuant to the Contractor's License Law). I am aware thatRepair/Alteration System 0 Multiple❑ ystem Ri /AlI PLAN CHECK 25% $ proof oftheir Worker's Compensation insurance'should be provided to me. ELECTRICAL $ � GRADING $ ❑ I am exempt under Section • • B.& P.C.•for this reason Firepl/Fact.Bit. 'um* _ Fire Dampers PLAN CHECK 50% $ MICROFILM $ • Date, Owner - Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ n • I heieby certify that I have read this application and state that the above 00100,000 BTU ❑1 ,000 BTL PLAN CHECK 25% / Information is correct. I agree to comply with all city and county,ordinances $ ro and state laws relatin• to.build',,,iii• co struction, and hereby authorize repre- - - sentatives of this to en.ai u•�n the above-mentioned peoperty for • r Inspection purpose / '1/� Q� Signature i , Pink - Accounting; Goldenrod - Assessor .. ; l I CONSTRUCTION,AND F .ANNING au . - ', . POOI 4 . . VAPPROVA$S, Perm#4 Date Inspector ".APPROVALS Pe... .# Date Inspector ,.1 r . 1. Tem�orary'Electrical Service or Pole • 52. Pool & Equipment Location $A/�7 a- y / 2. Soil PipeiLlndrgrnd. ;) '1 53. Steel Reinforcement 11111 9t* 3. Electrical Conduit Utility-Undrgrnd: 54. Formsiiii.7 ICT 5. 4. Electrical Condui&Undrgrnd. 55. Electrical Bonding ��`�jjjj 5. Steel • lReinforcement ' 56. Rough Plumbing & Pressure Test 8/i let 6: .Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings ' 58. Electrical Conduit-Undrgrnd. gypl UW 8. Foundation , 59. Gas Pipe, 0 Undrgrnd., Test - ((( -� 9. Water Pipe-Undrgrnd. i _ 60. Backwash Lines, P-Trap, Undrgrnd. 8/�✓ � D�/1 10. Structural Floor System 61. APPROVAL TO DECK jh, 11. Property Sewer Line & House Connection - • T 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final - • - 13. Roof Drains . - 64. Plumbing System - Final x.,-14 14. Rough Plumbing' 65. Electrical-Final / 15. Rough Electrical-Conduit 66. Solar System-Final i6; Rough Electric Wiring 67. Fencing & Access Approval `17` Rough Wiring Sign 68. APPROVED FOR PLASTERING gr'( O- t • :t He. Rough Electrical-T Bar Ceiling • • 69. POOL/SPA SYSTEMS FINAL t�a,l £ 119. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT V\ 20. Rough Factory Fireplace : ' APPROVALS Permit# 21•: Ducts, in Structure 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough &,fest -- 72. Underground Flush i 241 Roof Framing .' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing l+ .� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &IMono-coat 75. Dry Chemical 27, Frame and Flashing - , 76. Dry Standpipe . 28. Lathing &Siding r • V 77. FIXED SYSTEM FINAL 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing . 1 ' 1 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final rl r' 80. FOOD CERTIFICATE ISSUED 33. Final Electric .� Notes: 34. Final Heating & Air Conditioning �J/,,' // 35. Final Gas Pipe-Test _ l/ A - /4,/ 36. Hood or Canopy i. / _ r 37. Final Factory,Fireplace 38. F4nal'Plumbing •• X39. Water Service-Final ' ' .( •s 40. 'Gas Service-Final • i-; I 41. Solar Domestic-Final ' ' - 42. Backflow Preventer r - ' j' i ` ac 43. Backflow Irrigation .1 44. Landscape Irrigation System -:`i -.t ' - - -' - 45. Sound Attenuation • 46. Handicap Regulations i' Li' 47. 47. FINAL STRUCTURE'& BUILDING i • �''. 48. Special Requirements Completed r 49. Electric Release to Edison _ ' . - 50. Gas Release to Southern California Gas Co .-�- _ - . 51. CERTIFICATE OF OCCUPANCY ,; •'. ' � • . '' _ No. Date Tf'_3`/U9 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ERM CITY OF COSTA MEA CS NSTR UC • h. 'ERMIT IT NO. TRACT NO. LOT NO.` I C) 66 13 6 UNIT NO. A.P.# Zone Project Address - _ . k • S Main Building: Accessory Building: _ I - . TYPE OF CONSTRUCTION NEW LJ ADD U ALTERATION U REPAIR l E Z Applicant's Mailing(jdrfj' -- Front (��' ` a`♦ ❑ CONVERSION E DEMOLISH ❑ OTHER ,{� T 0 Owner'sddresName fA M CA Phom ■ DESCRIPTION OF WORK/USE OF BLDG.SpdIMrllP& PO ,L 1 B Rear N Address -�p6J TA I rr I lf��II I C Right N Arch/Eng. License No. TYPE OF PERM5T ❑ GRADIN FOUNDATION �ry STRUCTURAL K G ❑ TENANT`(Y�� ELECTRICAL PLUMBING ❑ MECHANICAL s Left R Address p Se CARO Pool. S ,,y- 9$3 Sotl ❑ OTHER !Ping. Ref.# Parking Req./Provided E Contractor's Name Phone n A„ PROJECT DESCRIPTION SQ. FT. OCCUPANCY "• 7 Address(mailing) 6�G St/Pier Si'& t?�, Planning Notes: M west coviOP CONSTRUOTIOf,V�YPES.VIVALUATION$ j]000 T City License No. ZONE ��,,// fir// G I Y ACR S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: A' p �/ with section 7000) of Division 3 of the Business and Profe ns ode and R /- f( Q my license is in full f c: .• • effect. . ��a `t s \�, Y ����� Q ELECTRICAL FEES License •lass - - 'cense Automatic Washer Transformer 0 15.50 KW Date •. O Signature �=�rr2�.. .� PLUMBING FEES SY WORKERS'COMPENSATION DIAR. 'ION Construction Pole Sub. 0 50+ KW • ) hereby affirm that I have a certi ate of /intent to self-Insure or a certificate Bar Sink $hOW¢ra of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps \ 3800, Lab. G+J q 6_1,,r .�. / Backflow Preventer Service Sink Policy No.C6 too, 2- Comp,ny•Zta/i/lI ret Itdi,ry Backflow Irrigation Sewer Cap — Dishwasher Meter Dover 100 amps --- Sub Paef nel copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certi_fi cops filed with the city :•n• Divi ion Bathtubs Sewer Connection DateMDPp-i// [/F O KERS'C /' Fan Motors ❑41 HP ❑1%-B EXE ION R M WORKERS'CO SATI ECLARATION Clarifiers Solar Collectors (This section need not be completed permit or one hundred ($100)or Dishwasher Solar Piping F.A.U. Ina Solar ❑9-15 HP ❑16-15+ less): I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to te Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. DateSignature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: I/,after making this declaration, you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Generator 00-5 KW ❑5.15 KW Trash Compactor Lender's Address Kitchen Sink Water Service -: - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays cany structure, prior to its issuance,also requires the applicant for such permit ,to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'the contractor's License Law(Chapter 9(commencing with Section 7000)of ' `ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 lerefrom and the basis for the alleged exemption. Any violation of Section /031'.5 by any applicant for a permit subjects the applicant to a civil tpenalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: VLLJI _ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do the work,and the structure Is not intended or offered I Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By �d�v .. Date License Law 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 Boiler Hood or Type I ❑ Application Issued By �- - ��� / -4.-..... Date ! ©' employees, provided that such improvements are not intended or offered for � } sale. It, however, the building or improvement is sold within one year of tom- Canopy Type II 0 ret.1 (/fact "o'sq SU MARY QF EE"1 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground v Grf prove for the purpose of sale). B ILDING PERMIT $ "SO ' SMIP $ 0 I,'as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT 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 00.100,000 BTU Dioo,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑,tam exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ io •00 -I-hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws r. . ing to b 'ding construction, and hereby authorize repre- sentatives of t. ity to • er upon the .•ove-mentioned property for Inspection puri. __ Signature / ' ' Date�'I0�/`7 ",�' '�(F•i�_i[:: 'ir�'('E C Drivers'.Llce SS - D J Reinspection Fee $15 Issue Fee $ 3 ,.� .._ _ `—' .: . l ci C•.C4ZO?4-CGO4GDi4 !.. r • 0865.46,rev. 5/88 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor °h7£: OC/10/39 TRIP: :Ott `` 1lV' CONSTRUCTION AND PLANNING `f- POC 4 SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1.Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pik-Undrgrn e. ;u 53. Steel Reinforcement - ,. 3-Electrical Conduit Utility-UndrgPTd, 0 v 54. Forms o 4.'Electti al Conduit-Undrgrnd. NI ', 55. Electrical Bonding 5. Steel Reinforcement 'J 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. e 57. APPROVAL TO COVER-GUNITE .. '' 7.'.Pooting`s ;� - y 58. Electrical Conduit-Undrgrnd. , • 8. :Fbundation NJI. • t' 59. Gas Pipe, 0 Undrgrnd., Test 9t',Wa'44 Pipe-Undrgrnd. rl r;. - 60. .Backwash Lines, P-Trap, 0 Undrgrnd. 17' 10! Structural Floor System � •$ // 61. APPROVAL TO DECK ',vi 11/•Property Sewer Line & House Connection .j 62. Backwash & Receptor-Final j12.'Se oer Cap _ 63. Heater & Vent-Final a' 13.1Robf.Drains t�t t,•, Z• 64. Plumbing System - Final 14. Ro gh Plumbiiagr r 65. Electrical-Final '15; Rough Electrical-Conduit 66. Solar System-Final 1,BC Rough Electric Wiring _ 67. Fencing & Access Approval 1.7, Rough Wiring Sign 68. APPROVED FOR PLASTERING J.8. Rough Electrical-T Bar Ceiling: 69. POOL/SPA SYSTEMS FINAL 6920 Da- 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-Ro`gh & Test 72. Underground Flush 241. Roof Framing I 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof:Sheathing , i 74. Overhead'Hydro . i 26. T-Bar.Ceiling (Structural) & Monocoat 75. Dry Chemical , 27. Frame-land Flashing 76. Dry Standpipe ,28. Lathing &Siding ' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing •1 • , 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 - •:r 38. Final Plumbing t - 39. Water Service-Final 40. Gas Service-Final "-7• . 41. Solar Domestic-Final •/ :J -42. Backflow Preventer ' 43. Backflow Irrigation P 44. Landscape Irrigation System f/ . ,F 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requitrements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' ' 51. CERTIFICATE OF OCCUPANCY /. No. Date OWNER HERMES DEVELOPMENT DATE 3-26-69 JOB ADDRESS 1654 Texas Circle BUILDING PERMIT NO. 29895 ERAL CONTRACTOR ' Owner-Builder DESCRIPTION of WORK Residence W/Att. Garage h. N.D. - LOT 6 TRACT 6613 FIRE ZONE VALUE $ 29,803.00 INSPECTIONS Signet Date GROUP I & J TYPE V ZONE R-1 SOIL -,>, tit SUBCONTRACTOR PERMITS ISSUED' GA5 l b-5 / Date Number Signature- WATER (¢__ _,. -572_24-74._ �� / ft? t/ Plumbing ROUGH PLUMBING (p r L ��J�/ L��/[ 5•��.� ..- PROP. SWR. LINE HOUSE CON. = 1 / -A.-r/(n,�J��- / t/9�" SPRINKLING SYSTEM Lln(J t'A`y ci tun].] , , j_ lC e� 7-4:,,R,- MISCELLANEOUS a r MISCELLANEOUS III���«` t K( o_, ROUGH HEATING AND AIR CONDITIONING //' TEMPORSRY SERVICE OR POLE /' UNDERGROUND 0 POWER n ROUGH WIRING 4 5^r)3Lq t Heating a d Ven J' / r�''JJ TRENCHES a FORMS ra STEEL REINF. ® m.(,� 4_41r- G . svilif 4. 7c— FLOOR SYSTEM O Y--if-c , ,/� - -/,�/1�L77 .67��`i/�O BOND BEAM n STEEL REINFORCE n SHEATHING r' FRAME AND FLASHING IK G�'� I 'UNG - IN © OUT IK /MI 6-(Bl TER, BROWN COAT 'V t4 6-A STRUCTURAL, FINAL ect,rnitradret-eltheA � E�a�1�cHEATING, VENT., REFRIG. AND A,C., FINAL /�1 ({{"�'/[' 4167 elkerQ '^PLUMBING, FINAL ANO GAS TEST (Ln� /g�l�` b / �`/ELECTRIC, FINALC.r / / BUILDING, FINAL jcf-- )-iOrf. -A. ' D-2R 219896ePAID MAR27-696-ii-A-00691* ***152.25 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT _ n RECEI D, DATE 6- 3DATE- ISS ED9 BUILDING ] / z/ //-, / �/ / () 3I��(I� 6 ADDRESS / m Dev. (.�(/YL�((/ P,3JUJ5 OWNER Hermes CO. A.P. NO. MAIL BUILDING ]� A♦ 4 -2:7 Z ADDRESS 1104 E. 17th St. ADDRESS ✓ /�%/iii-/C LULL T D- 0 CITY Santa Ana NNO`'547-7044 TRACT /7‘,/al LOT 6 BLOCK '1- Z Z < CONSTRUCTIONNEW ADD ALTFR AFFAIR MOVING DFMOI ISH --H LENDER fnited States National Bank am r BRANCH 190 Broadway Ave. �(� � �� Lo mm N OWNER sALUE c, r J ADDRESS San Diego, California VALUE o -j m ARCHITECT TEL. USE S �6 ag Offs 9O(19Ga€A K. Do rills No. 67_5-1164 LIN FIRE LU CC ADDRESS 2712 E. Coast Hwy. Corona D. M. ZONE TYPE GROUP/}i APPROVED 77. DATE./Q-26+ f J O CONTRACTOR Owner BY // mZ J cc ADDRESS • W w TEL. ZONE/� d " NO.OF ^ USE OF NEW r8L-Ci. zCITY NO. R/ PLANS BUILDING / ra ( O STATE CITY YARDS APPROVED YARDS APPROVEDd,` 4— NCC LIC. NO. 252560 LIC.NO. MAIN BUILDING ACCESSORY BUILDING - D SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT 100m50 I NOW ON LOT 0 FRONT ••••547 FT. FT. USE OF EXISTING BLDG. R SIDE <SIFT. FT. I- SIZE OF „, NO OF Z NEW BLDG. 2100 SC]. .ROOMS 9 STORIES 2 L.SIDS/, FT. FT. ✓ EXTERIORCOVERINALL Stucco J RO VOE RING F Compo wood REAR a 9 FT. 8A FT. -I USE OF BUILDING AND WORK TO BE PERFORMED 0O DISTANCE BET. BET.MAIN& 0- CL MAIN BLDGS. ACCESS. BLDGS. ATE Q Residence w/attached garageC.U.P. V-a S.--t• APPR 45-1-7-0-6( •-� 6 r/ 0 / C.U.P. + APPROVED 6 J / APPROVED J p / y > Of! �! �Y �/t tT , a, DATE .0-&—(n y Z 0 I- I hereby acknowledge that I have read this application and state 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 V) the State of California. etc,'” /) 11 PP I hereby certify that I am properly licensed as a contractor under t'L SO. FT. ,y. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: IC am exempt from the provisions of the State of California Business VALUATION and Professions Code, ivislon 3,C 9. 49/r so m PERMIT FEE S Signature off70 .y D Permittee - sst"- S a g,/ Q, 703 PLAN CHECK $ 6-4 /sr E / .5.--LL Authorized Agent TOTAL FEE $ ✓�. J 1,-TOWNER DATE tJOB ADDRESS 1654 Texas Cr. BUILDING PERMIT NO.305118 N.,C"IERAL CONTRACTOR South.Count.Qual.Mas. DESCRIPTION of WORK Block Wall t .o. LOT 6 TRACY613 FIRE ZONE VALUE 5595=00 INSPECTIONS Signature Date GROUP J TYPE III ZONE Rl SOIL SUBCONTRACTOR PERMITS ISSUED GAB Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE 0 HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ROUGH WIRING �! Heating and Vent. TRENCHES FORMS 0 STEEL REINF. 0 IeA r,C7 FLOOR SYSTE BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n F ER. BROWN COAT S ..�TURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL 4 ./ et // %/`��,.r // / BUILDING, FINAL 1TFIl/��1PLL TA�7JJ. 'W' ILN'^ fa--/O/-G • r30548 JUL 22-69jpsp001679 al*****6.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX i200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely ) p� RECEI IsgT f CElye / ADDRESS BUILDING iG9.J�•f" ��Q,,-,nnL--dN /L�t-�`'r / oro( (O� 71�Q OWNER /a._!) ,__.MAIL de t A.P. NO. / PEA30 48 BUILD NG ADDRESS I/ O � � CiJ--.1;2 �r ADDRIESS /(p/S T ,�6.2E4�J D- U CITY . (---2-Z--.0---• NO&a f('7-7o T TRACT . ICl LOT BLOCK Z ei CONSTRUCTION ,/ ^yam / p ON LENDER /�. S NADe.--q` /l A•J �.---- Q. D /✓/2..+A ttt,,A9 J BRANCH Jin ( n OWNE r ) la i-moi • CC m ADDRESS N •- 0 ARCHITECT TEL. PlU /'� f / / ;• - Zaw ADDRESS SI 0 • Ly /keys.. ., d u-. r� J O CONTRACTOR ,r i CO Z0.... :I cc ADDRESS /S(/ ,A) FedQur c'✓ W w TEL ZONEAn� • i Z F CITY .Sa,/7A 4r-r•'ti. NO. erF1--2346 " ` - —0 STATE n p CITY YARDS APPROVED YARDS APPROVED Illj O LIC.NO. Cg 9- 2}'_3 / 0Y 3 LIC.NO. jenr42 MAIN BUILDING ACCESSORY BUILDING SIZE r / 'NO.OF BLDGS. (FROM C/L STREET/ , s-- OF LOT /On/ X 46.5 NOW ON LOT FROM `G FT. a a+.2",19 r•' USE OF Pi EXISTING BLDG. R.SIDE FL FT. p I— SIZE OF NO.OF /,l/ r p.4-a-+' ZZ NEW BLDG. ROOMS STORIES L.SIDE 0 FT.6s/r /J� j fy11��-.t-�..�� _V COVEERIINGRIOR ALL COVERING REAR OOF D FT. 66. s 74 rirg.-.t.z USE OF BUILDING AND WORK TO BE PERFORMED S DISTANCE BET. BET. & (.0-6-"4-eir O. MAIN SLOGS. ACCESS.BLOCS. Q r O /3o. _ h -r� 2 4 rrf FI gaiFWAG _ C.U.P.# APPROVED Y r rA�/ � r. 1/-�A it R �j( n-�r DATE 7— ( S^ 6 yI- Z Q U I hereby acknowledge that I have read this application and state p that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of U) the State of California. to ? I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R am exempt from the provisions of the State of California Business VALUATION and Professions Code, islon 3,7 pter 9. �q/� /n m v v PERMIT FEE S ill////// N Signature of '� 7 3 Permittee r..i- 'tM( 0..f.‘.5. $ 6 g� PLAN CHECKS toE `o C . C .Q. WPI 6 — u. Authorized Agent S. List /ta-a.,,r , TOTAL FEE S APOLLO DEVELOPMENT VM' L 1-29-10 JOB ADDRESS 1654 Texas Circle BUILDING PERMIT NO. 31337 `.RAL CONTRACTOR Apollo Development DESCRIPTION of WORK Patio Cover A. .tg. 119_071_43 LOT g TRACT 6611 FIRE ZONE VALUE $ 400_00 INSPECTIONS Signature Date GROUP J TYPE V ZONE R-1 SOIL PERMITSISSUED ERMITS ISSUED GAS Date Number ! Signature WATER Plumbing ROUGH PLUMBING - PROP. SWR. LINE n HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER n ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING V'- "NG - IN in OUT n F ER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ❑ ELECTRIC, FINAL BUILDING, FINAL �}'QL 3#t7-z!� T wJ ,a..✓ I 33 I PAID 4ir t}stt}S.00 JAN 29 70�M„„OO 911 v COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For plica t to Fill in Completely LDINGF�,�..I t to�F /p�. r RECE D B DATE ISSUED/, orBUplicI/MDI I1�i�xi CEQCLE/'��(� / /, / /-42 /��O r �VLLD �RWHENT CO ..' • �j _O�'r/ ��/ PERMIT NO. OWNER A.P.NO. I7q - Lll3 ' J� -ZI '�Z7 1 ,�11 BUILDING 5 �^ ADDRESS Il0`” EA u1Ts ST.f ��--�r11 //�1 '']] ADDRESS /1't 2 I xASry/CAR .V 0 U CITY SI�NTA rW A NOL7C--7-1Ib7J TRACT 101813 LOT � BLOCK Z / CCCYYY Z Q CONSTRUCTION I S_ f�A,-IQMThL- K NEW ADD ALTER REPAIR MOVING DEMO1 LSH Ocn LENDER C� �j,� '/�'^1 X J 7 BRANCH VF-\N DI`GO MAI 1AI N (� r� Q Ltl ADDRESS 't\\ (/� pp����� '�^ OWNER A `powo��`O6Qe.0R �`7 m 03 ARCHITECTQ OR ENGINEER U)C�- C- � NO, 7202 USE �!(/z �Cv z"1%L VALU$ /Jjj-'/, N 7Li G FIRE W� ADDRESS CM ( �/tr v-I�I�rI r--�1-./ J�-/t�l`/IIT f\ J ZONE TYPE ,r� GROUP / LU CONTRACTOR �PaLL0 DE elmPorI T APPROVED t %y,.^TE 7 //Jn^ J a ADDRESS W w TEL. ZONE NO.OF USE OF NEW 4-Ser-nd 7= CITY NO. 2 I PLANS '2_ BUILDING (uo6(]� Z H NCC LIC.NO. 252560 LIC.NO.CITY YARDS APPROVED YARDS APPROVED MAIIN BUILDING ACCESSORY BUILDING 7O (FROM C/L STREET) SIZE /oOO 3 ANO.OF BLDGS. .I FRONT GO FT. FT. uSE OF OF LOT tont .�..1 NOW ON LOT EXISTING BLDG.r r luUCL_ I-bYVlG R.SIDE a0iN-/ FT. EKv- i OS-c-FT. F SIZE OF NO.OF I M Z NEW BLDG. ROOMS STORIES L.SIDE IU FT. .H FT. Q EXTERIOR WALL ROOFr7 _V COVERING COVERING REAR I 6 FT. Imo—, FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a.d MAIN BLDGS. ACCESS.BLDGS. 0 �I PR-no lO CDvGI` me 21YAIL5.1 C.U.P. DATE APPROVED I— APPROVED putt_ Ci) �B_Y p +e�. DATE ' — �� —(70 Z UU 0 UI hereby acknowledge that I have read this application and state p that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of 1/g the State of California. b I hereby certify that I am properly licensed as a contractor under SO. FT. C the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: O am exempt from the provisions of the State of California Business and Professions Code, Division 3,Chapter 9. VALUATION CO PERMIT FEE $ N OD Signature of I ' • I � m Permittee Z0 sAP I $ PLAN CHECK $ '— _ E Authorized Agent $ %Ing �1 I (�' u. TOTAL FEE $ e )