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HomeMy WebLinkAbout2336 Ticonderoga Way - Building Permits PROJECT ADDRESS: 2336 TICONDEROGA WY .l / 0 UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 065454 1 OWNER'S NAME: WELLS DAVID SCOTT "� ADDRESS: 2336 WELLS, WY PERMIT NO: P 065454 PLAN CHECK NO: N GOVT: N SUPP ; N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ALT ARCH/ENGINEER: flEG.NO.: ADDRESS: UNIT: SQ JOB DESCRIPTION : DISHWASHER CHANGE—OUT FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESS: PACIFIC COAST APPLIANCE ( 310 ) 324-8476 iI 139 W VICTORIA ST COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT GARDENA CA 90248 *****+r+r***+r***+E***sr**********+A*******+r***********+E*********x************+E****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions or Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and ettect. CITY uc.: 060311 STATE uc.:362642 /s SETBACKS • 9/ /— -97 Signature: �� MAIN BUILDING ACCESSORY BUILDING . ERS'COMPENSATION DECLARATION: I hereby affirm that I have acertificate of consent to self-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.: NWC114009 EXP.DATE: 08/0 1 /94 COMPANY: GOLDEN EAGS,E PARKING REQ• PROV: PARCEL: 13942105 ZNE: REF NO: 0 Certified copy is hereby furnished LM Certified copy is filed with cit f mldin i sl PLANNING NOTES> ' MPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V I C E $ - REQUIREMENTS 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. ZONING APPROVED BY .. DATE: Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , - 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: ,—^ which this permit is issued(Section 3097, Civ.Cl. DATE: ****************************** ********************************* ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I 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,after,improve,demolish.or PERMIT 7 ,00 repair 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 of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 251 $MIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis or the alleged exemption.Any violation of Section 7031.5 by PLAN , any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 .00 r I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D IV—> 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————> 7. 00 20 ,00 0 . 00 27 ,00 27 . 00 , 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 owe employees,provided that such improvements are not intended or offered far sale.If, however the building or improvement is sold within one year of completion,the owner will have the burden o1 proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 27 .00 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 project(Section 7044,Business 27 . 00 I ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware *************************************************************************** that proof of their Worker's Compensation insurance should be provided to me. O I am exempt under Section: B. B P.C. I N D I V I D U A li FEE BREAKDOWN for this reason: K) TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER 7 . 00 7 , 00 • 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant .'1 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 I ordinances and stale onlaws purposesto building construction and hereby authorize representativeslnter upon the above-mentioned I k.. I pro, for Inspection purposes. ////��////A �// // 01 00153179-00153179 TOT 27.s0C 401 "1--5,--9f� signawre� DATE: 01(04/94 TIME: 14:34 ,rivers License or Social Security,: 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING POOL & SPA • ; APPROVALS Permit # Date Inspector APPROVALS Permit t Date Inspector 1. Temporary Electrical Servfte or Polg , 52. Pool & Equipment Location I I 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .,,=y:;„Ttact ri cal Conduit Lik.hty-Undrgrnd;yS 54. Forms L I-• ro41 Eittrical Conduit-Undrgrnd. or; 55. Electrical Bonding r-e ( `I5,1j�el Reinforcement` 56. Rough Plumbing& Presssure Test �-•n1.: L.r L.t '..1*ctr;cal UFEB Grnd 57. APPROVAL le COVER•GL\ITF _ .- ------ i --r--_._1 7.r. r.; c -tv�tings F' 58. E�ectn ca( CorduiC l;:d•ytno. 0.�8;`foundation =.4; .n 59. Gas Pipe, C Ururgrrd., res: r �'�� I-- 48•. Water Pipe-Undrgrcd. 60. Rackw -�;sh L:ne-, P• rap. .'. , •dr g- •c. j - ` • +10. Structural Floor,System - .o 61. APPROVAL TO DECK• -i 11. Property Sewer-Line•& Ho.L.e Connection 62. Backwash & Rtceptcr '"inai --- , 12. Srtver Cap - I 63. Heater & Vent-Fin:,! 1 • 13. Roof Drains v! 64. Plumbing System Final r `, 14. Rough Plumbing 65. Electrical-F:nal . 15. Rough Electrical-Conduit 66. Solar System•Final 16. Rough Electric Wiring 67. Fencing & Access Anorc,,.i1 17. Rough Wiring Siwe 68. APPROVED FOR PLASTERING 18. Rough Electricar-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL. 12. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 1 20.rRougqh Factdry Fflr glace • tt',e. ..,:••••.::::: t T a « ,APPROMltu9& rCPt'r71 it .4 :'i__L_i r .'S - 2 .* i S'r C: :t S .a C'x _,J Cr r_ti_f4 F r +' rr 3 tat 21._OuEts, irr StracturA., i .. . ._ s S a -4tX rgrgiaeadaynro 3-- x ,, e i f. r - ti4 --9- -» 22. Du¢ti Vent'kiting-•r 'fit. Producn NL,iriy F' ,' s :_l ii 23. as-Pie oudh &test • e. c -ia ' re i i 1� t' �- `G P I _ p0-, r 1 . rjx , ._s 2. UndergrOreg Fl..,.r,. 11 24. 'Real Framing ^w r^t ' •-Y C' 7 �* r 3,i3.'Undergrn .•Storfidaadr< #Gas .^;;i« 25. Rot Sheathing r .n as Na I' r- y - e•-. ------ ----- --- „ 0.1a * /4."-overhead Nycro3 :. 26. 7-Bo; Ceiling IStr-ct.:rall &:tk-,teicoat �3 _' Paa i 75. rY Giem ai '7 t _ 27:Frame and Flashing ,� � fi srIli76.�ry Standt';�r Q - s '' •:+ �� -- ---I- --- - F = J. e B. ,Late3ing & Siding'? i<= u' t E •• ••r • 77.0 FIXED S 44DElt1E-1.5if `r '29. Insulatuq ~ t 1I IT 78.1---h.,IR[ PF3EV. F a m -N -=90. Dry,all Nailing • _ t tx - -:n • IE.ALTL-!tt EPTPR€O'rIREl.iEivT I4_U 1 :I •_oni new_ (t._-� - - -' r$1. Plaster 8-o•.ir•.Coe4$.` i w '1�I Ix ro :}>'z•9'' r Nr .: C' 32.-Electr,catPot•Cer kitter;F:nal i -t .pfOOD CEN I ;.-:C.%i F IS?,.; •.-.1 -�--- - --. 3 � t "1 r,'" -=-;•--' -- F ...r4-11.t 1- -- a-'I; -i.- -` - � �/- - -- ' 33. in EleG,trC C ' ?: fY *I?7ii: �-;'r/) Gj/}J- -frit-/6 r J �`qhi, -rl'fir%.• r r�-L. { B4 !- I j F, x - -c..--_o: .._S__- -- __ 4.-Final Heating:$, Au4,CorRtitiop. r I S o S ,. d 35 rFina'I'Ga5'PiP'�-TeEft J. I r I -�-- '. 'IL c; ;MS ..- - - - - - - •.35.• HoocorCanopy . t , -7 1 T r'r - --- -Crr- --�-- -�:•- - -- --- --- -- -- _ . e E' .l e m +�-y a r r re _�1."� _. �:•.1__- _ .. mt._ ',. 7. Final:Factory Firepfc •,- `.l' a .. i I_ « z 1 _�1 8. Final Plumbing -•T rt •. "2-4� `` ly __.,:r.__ T __ '38. Wattit Service Final -' i T I I -r - Y `[r, • t'- - --" A0. Gas Service-Final c I -1` ,. T �--rn - '•1 - n -.1 I 1t 1'� 7.tt 4- - r: l- -t'-t --- -'=-s-- --- - -- ' 4 uf1. Solar Domestic-Final _' - r C I I '• ' Sa . *, I 1-4 C. * • 't I. .r' -to IT t :C •42.`fJackflow Prevemer"` ;d , 1 14 ` -- - 43. Backflow Irrigation • r•:' Fa-- a: • * C. c- 54. Landscape I rlgation System-L-77r o; + -r hi •-: a P N 'L•alt V- aS CO t, - -- --- 1 r . P - 5. Sound Attenuation- - r•" x Z --• 1 :- t-'4 a t1 -, r, _L- ^•y *. • :46. handicap Regt7latiocts - - 1 47. FINAL STRUCTURE & BULUDIiNG t 7:t s `7 ° '= A 48.kIN' LPLANNING. r r x_ A9. ilecttic Release to gdison x .-„:1, * - , .. _ 1 n; .,^i * •$0.._GasReleasetoSoutbernCalifocoia,GasCo I ` • "' t ~ I r •r r -i cm * ;� 1 51. CERTIFICATE OF,000UPANCY' - ala ,,, ,-c p - o - v No. Date PROJECiADDRESS: 2336 TICONDEROGA WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069475 OWNER'S NAME: WELLS DAVID SCOTT ADDRESS: 2336 WELLS, WY PERMIT NO: B 0PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYP69475 E; V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH 6 REROOF W/COMP & HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: CLAIM VALUE: 2, 508 . 00 CALC—VALUE: 2, 508 , 00 GROUP OCC : R-1 / PERMITTEE: STOUT ROOFING, INC. ( 310 ) 923-6775 ADDRESS: 9700 WASBURN RD COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET. REQUIRED DOWNEY CA 90241 ****Br**iP*****+t*************Br****war*yEx****a**********Br+E***ir*+¢****r*******BE****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 059377 STATE LIC.: 4 0 25 36 CLASS: C-39 E • • 0/95 Dale:_tiQI_ CI0 Signature _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have acenilicate of consent mselhinsure oraceniticate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN Compensation lB6tne2psS.^Ktllled copy thereof(Section 3800.Lab.a.5/19/9 5 LEFT: FT IN RGHT; FT IN LEFT: FT I N RGHT; FT I N POLICY NO.; JJ I L o D D EXP.DATE: COMPANY: AIG �{$(( PARKING REQ• PROV: PARCEL; 41916359 ZNE; REF NO: ❑ Certified copy s hereby furnished. 1.? Certified copy is filed with the city Building Division. PLANNING NOTES> Date:1 D(�`+I l", Applican // ********************************************************************iE********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS 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 ZONING APPROVED BY subject to the Workers'Compensation Laws of California. , DATE; Date: Signature: BUILDING APPROVED BY ; DATE: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor 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; DATE: D Fill 4 which this permit is issued(Section 3097.Civ.CI ***********'**'* LENDER: ***************************** ****************************************** **** ADDRESS: LEGALIZATION:N 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 54 , 00 , 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I 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 of 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 employees with wages as their sole compensation, will do the work. and the TOTALS----> 54 , 50 0. 00 0 ,00 54 , 50 54 , 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 himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 54 . 50 OVER/SHORT• 00 improvementis of sale).ie sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purposeBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 0 0 S 0 ❑ and Professions Code: The Contractors'State LicenseLaw does apphf owner of properly whbuilds improves thereon and who contracts fr such projects with a contractor(s) ontrace aioese pursuant to the Contractors'State License Law).la aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. IND IVIDUAL F E E BREAKDOWN o I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 508 . 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 will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Dale: 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 aulhorde representatives of this city to enter upon the above-mentioned property for inspection purposes 01 00170479-001704880 TOT 54.50 Date:_ "'?LitQ /C,J DATE: 10/28/94 TIRE: 12:13 I Signature' ----------- Driver's License or Social Security a: 164646 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor w CONSTRUCTION AND PLANNING POOL & 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 2. '3: Electrical Conduit..Utilityklndrgrnd. 54. Forms u. • ,4.Electrical Conduit-Undrgrnd, 55. Electrical Bonding 5.-Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER;tlrnd. <: 57. APPROVAL TO COVER-GUNITE ._ I- - 7.r,Footings u 58. Electrical Conduit-Undrgrnd. `• 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test • V 9.7Nater Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. „10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Conciection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains r. 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..nRough Factory Fireplace i ri c= 0 t ^ s • ' PPR©VALSc-)Perthit # • v. .1- r. - • a . ,r Y .p , t r, T Cr'1_ 21 Ducts, in Struct e° I i-4 4•-• '"= ; _ 7 '-f 5 ° zz'' U.L r 2C• rr y * f =70, undergEoun`d Hpdr0 , 1. 22. Ducts, Ventilating. 'I� . ` ; F Y a X71- ProducrFjping Lr Gas DOil 23.;Gas Pipe-Rough 81 Test * m c ,r I'd: _ y72. Undergr s.:41 Flush;-� e ^ ,t ..,:. x - ..0 v 1, - • . 24.E-Rodf Framing r, + x-r- "ry • 0 y t * 73PUndergrn7J.StoraiWTank C Gas 0 Oil 25. Rod Sheathing 4 a. q t$'- s .6wd '74•:YOrverheadHydro-' -' °t q 26..T-Bar Ceiling (Strueturall &_{vlonocoat • m C' tn. • 757 Dry Chemical r 1 ' _ _ + ., �, r * -, n -i 27.-Frame and FlashiM ' 14 v .3, : 76."Dry Stanfjpipe 4.-1:,:. ; r .28. Lathing& Siding,' : , -3<n,: T a .. ..I • : _ 77v' FIXED S_YS-EM.SINAL ' •29. Insulation . ' 1 I II I, : 78y FIREPREY. FINA,L 30. Drywall Nailing 1 I I: _ ... HEALTFUIOEPTe REQUIREMENT 31. Piaster Brown Coat; r s i I IJ1` : r.79.)FINA L INRECTIbN .t. = .32. Electrical Power•Meter:Final 1; I I: t180.�1FOOD CERTTIFLGRITE ISSUED ._,33. Final Electric . ..5 �1 -` ' ' j1" " 1tNap s - •n134. Final Heating & Air.C_nditionl,g� 7. I I* Fr• - - •' • 35::Final Gas Pipe-Test* - - I' * -' C1 in '' Ix -1 -cc" •'• Y r. 36. Hood or Canopy , • •-t Is. $ _ L t`-; _, :� i ,• in 37. Final Fadtory Fireplace„ ." 1 - r, I I; * L c� ;�8. Final Plumbing , .. .. x 'I, x - - -39. Water Service•Firtal' v f I It r r-ir. '- , 40. Gas Service-Final , n., C r^r ; + , I, + '41. Solar Domestic-Final • 1 Ix * II, , I i D• •1, u r ... 42. Backflow Preventers �1 , i t I* ~ - F• • '.'� -• 43. Backflow Irrigation ;'': : * • • - " - • �l t: v 7 , 414. Landscape Irrigation Systemt_,il=j .1. t in t_ :1 . r -t; z; Tr 4; : to . r .45. Sound Attenuatibrr . t. 3' t~ F. o. * i -. • * .,. -] .. -, r'. 1-1 ,- . S-. _ - r•.,= :46. Handicap,Regulat;ions " , °1 •• •• ••: ; a. ,: 1•1_-4 Y. 47. -FINAL STRUCTURE & BUILDING I� 44: , .tips' 48. FINAL PLANNING' , ,. O' ,• • x +, -1 .1 49. Electric Release to Edison I I (. > s * `' '50. Gas Release to Southern California Gas Co , I fr x - .•., • 0rq • 1 • 51. CERTIFICATE OF OCCUPANCY- • ; ,. -r; No. Date OWNER SAN VISTA Building Co. DATE 7-21-bT JOB ADDRESS 2336 Ticonderoga Way BUILDING PERMIT NO. 27318 GENERAL CONTRACTOR San Vista Bldg. Co. DESCRIPTION OF WORK Re s.w/att.gar. AP No.930-03-80 LOT 80 TRACT 5160 FIRE ZONE VALUE $ 1$,114.00 INSPECTIONSSignature Date GROUPI & 3 TYPE V ZONE R-3 Soil- ' _ -31.0 SUBCONTRACTOR PERMITS ISSUED Gas -Ca .*.2 I Date I Number I Signature Water 4/ -S s- cclu bing Q Roughtubing IBJ" _'Tr 'i-27 /4/�!k� [J/ • 7-,v-c7 'I'Dt/8 — Pro Swr.Line p House Con. "CCI Sprinkling System . Miscellaneous _ _ . Rough Heating and Air Conditioning AA- 20-9 Temporary Service or Pole Underground 0 Power 0 Rough Wiring �1/ ] � Heatin and Vent), Trenches Forms ID Steel Reini. c � 7 /" a t.../ /9c-TQl. -11-67 +ra7S� Floor System i�yyyjy��e. g 7/62 / Y/ Bond Beam 0 Steel Reinforce 0 Sheathing 7 >. Frame and Flas ' � Lathing — In Out e4 4.7.-."/ L Plaster, Brown Coat Structural, Final �� �- / _ ectri Heating, Vent, Refrig. and A.C., Final �� [moi--i;•) '� /, J 7.__ ,.... , g/-e.7 y� Plumbing, Final and Gas Test 0 S/F—/.reef Electric, Final // 7. Building. Final c_ / //L-7 PAID 2I(,31JUL 25-67(nsaO01673* *c*..90.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING Z. 3A 'Tierra/it* NJ LIQ(/ ADDRE6S 1 al n. "( Way RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORN 2h rt 1 r, /////� OA ��(1� Sir,/ DATE RECEIVED / DAT ISSUED ' OWNER (Cl ata W J.(({I�QPt 'V Sr / 7-C2/-‘7 BUILDING MAIL 2Z[a /(�,�j„�IIO�A' t ADDRESS FIRE ADDRESS 77 N ` .t //�y�J �/-�1 w /�], ,^� TCL ZONE TYPE /OROUP� / CITY O�C JI-CC/LC'J NO. �3J�S�� ARCHITECT TEI ,/J APPROVED DATE OR ENGINEER O1-(2/01124.4, NO.-/Y.�-I TiT( 1-0-2.X92 �9 rtnu4v n ZONING ADDRESSN6s(Jkai ZONEMO.OF BUILDING EW Sing Res. (�� CL CONTRACTOR LEGAL �� O O 1,te.c 5./6 S7 ADDRESS n` Q.td.L•4� DESCRIPTION ��^^ CITY Q 6q _)-t.A.`- A.P.NO. 930-03-W NOTE: NO[AVE OVERHANG SHALL BE LESS THAN STATE TEL. SO'TO SIDE&REAR P.L. LIC.NO. NO, EVES SIZE 2 ```'' �•T 1 NO.OPILDOE. ALLOWED (U.B.C.REQUIREMENT) OF LOT O 0. 1 O L NOW pN WT 0_, USE OF YARDS APPROVED YARDS APPROVED EXISTING owls. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINLFIIOM FRONT 0 FT. FT. CENTER OP STREET REAR YARD 0 SIDE YARDI LEFT I RIGHT R.DID[ FT. FT. DESCRIPTION OF WORK L.SIDE 0 PT. FT. NEW ALY TERATIQN _ ADDITION REAR 0 FT. PT. DISTANCE BET. BET.MAIN e MAIN BLOWS. ACCESS.BLOCS. REPAIR MOVING DCMQLU211 BUILDING ZO K7 NO.OF /r VAR.# DATE SIZE f7 ROOMS `CA Q,TQRIES C.U.P.# APPROVED 7-7-67 EXTERIOR W 7I ROOF APPROVED APPROVED /�/__� COVERING / (L/.Ar I COVERING Pel BY p/ C DATE USE OF BUILDING AND WORK TO BE PERFORMED P' ril 000 '''''-"-- Sire• //ef.77.7-r ar I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. i13 PLY WITH ALL C ORDINANCES AND STATE LAWS REGULATING VALUATION 0 BUILDING CON U ION. 9O PERMIT FEE 5 �<n --- SIGNATURE p OF /it) G PERMITTRE AA'«� � s /Q /// PLAN CHECK S Pe — 1i AUTHORIZED A f /]a .:c,. ....:;:'• t .._..�.,:.. ..,,..y TOTAL FEE 5 7