HomeMy WebLinkAbout519 TRAVERSE DR - Building Permits/,)
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(714) 754-5273 • Fax (714) 754-4856
Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA �
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
519 TRAVERSE DR
HOUSE & ATTACHED GARAGE
Parcel Number: 41803203
BUILDING PERMIT
Zoning: R1 R1
PERM T NUMBER
99-01420
77 FAIR DRIVE, COSTA MESA, CA 92626
npplicant: FASONE, JOSEPH F. ISSUED BY:
Address: 9629 EMER4D0 DR.
CA � .�, Phone:" (562)943-1.175 :
WHITTIER , / / � Zip: 90603 � . � - ,
Owner: RESIDENTIAL FUNDING CORP � � . �_
Address 9275 SKYPARK DR. � ' � � , ,� - � �
CA������ � �' �� " ' . . Phone: (800) 750-0077 � , � � �
� �. SAN DIEGO �` - Zip: 91234 - ' � .� , - �
'� � ,'�� � - � \, .
� : %� � '- � � :
Contractoi: � JOSEPH'F:,FASONE GENERAL BLDG. CONTR. INC. ��' '
� �> \��..
Address: `. 9829 EMERADO�DR. �
, i i �/.'-� ` - �
CA. i - Phone: (562)943-1175 �
, WHITf1ER�
' ' Zip' 90603�=' �icensei� 749538
� Arch : �>' , . . � i E°9� � .
Address:
'� �Phone:�'
�
Zip: � ' "� - license:
, � � - - " Address:
Status: ISSUED
Applied: 09/07/7999
Issued: 09/07/1999
Phone: �-
?, License: ,
� �� � � � SCOPE OF PERMIT ��� �
� �, REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (2S SQ). TEAR OFF EXISTING SHAKE ROOF &
, �' RESHEATH WITH 1/2" OSB:�INSTALL: 1-LAYER'OF 15ii FELT UNDERLAYMENT &�REROOF,WITH 20 YEAR COMPOSITION `
' SHINGLES. . ... , . � ' . ._ , .. . .. . .
' Plan Check: ' $0.00
� . Permit: � $111.25
SMIP Res: $0.50
SMIP Com: $0.00
' Other: �0.00
Inspection: $0.00
� ,TotaL• . $111.75
SETBACKS. �
MAIN STRUCTURE Front 0- 0
ACCESSORY �� Front 0-0
PARKING ezistina:' o
NOTES:
FEE SUMMARY a .
� " ' � ' ' � �" `.� : Calc Valuation:
_ " -. ; � Claim Valuation:
_ i
- — ,
Rear 0-0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0-0 Right
Left 0- 0 Right
Proposed: 0
0- 0
� �'
EX�DATE � �o U 1
$5,000.00�
ss,000.00
u
NO710E: The work authorized by ihis permit shall comply with all applicabla handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 7241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 780 days.
INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
� requlred Inepectlona and flnal approval must be obtained. FaiWre ro obtain inspections and final approval will result in the expiration of ihis permit.
�� FOR INSPECTIONS CALL: (714) 7545626
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WORKERS' COMPENSATtON OECLARATON:
I �ereCy eXirtn untler penalry oi perJury one af the following decleretions:
❑ I have entl wlll malntain a cenificate ot cronsent to setl-Insure for workers' compensetlon, as provided for by sectian 3700 of the Lebor Cafe, br the peAormance of Ihe
-1 work for whlch I�is parmit is issuod.
g� I have enA wlll mainWin workers' compensation insurence, as requlretl by sectlon 3700 0l the Lebor Code, for Iha peAortnance of Ihe work br which Ihis pertnit is Issuetl.
/ My workers' compensetlon Insurence carrier entl policy number ere: ` z�� �2 `
Cerrier: ILAYLEi✓/7o�//i/�1GN/1'C__ �N ) PolicyNumber (J 4 %�%� �
(Th/s sec(lon neetl no( be completed i! fhe permlf Is velued ef one hundred dollars ($100) or /ess.)
❑ I certlfy lhet In ihe erformencyp 1 the work for which this permit is issuetl, I shell not employ eny person in any menner so es to become subjecl to the workers'
compensation o alifor f(and ree ihat II I should become sub�ect to �he workers' compenseNon provlslons ol Sectlon 3700 of the Lebor Code, I shall forihwlth
compywith esepro sion /� /�
Applicent Signeture. � Dete: `9 7/Ci 7
WARNINO: FNLURE TO RE WORKERS' COMPENSATION COVERAQE IS UNLAWFU� rWD SHnLL SU9IECT AN EMPLOYER TO CRI TIES AND qVIL FlNES UP TOONE HUNDRED
THOUSAND DdURE ( .00O�.IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3IO60F TME LABOR CODE, INfEREST, PND ATTORNEY'S FEES.
IICENSED CONTAACTORS DECLARATION:
I hereby attirtn that I am Iicensed uMer provisions ol Chapter 9(commencing vrith Seciion 7000) of Division 3 oi the Business
torce end ettect. �c. a �q—�S �S'3Y c�ass a
Contractors Signetur��/G i .r— Date:�
Cada, antl my license Is In tull
CONSTRUCTON LENDING AGENCY:
❑ I hereby eflirtn that there is e cansiructian lentling egency br ihe performance ot the work for whlch Ihis pertnii Is issuetl. (Sec. 3097, CMI Cade�.
Lentler's Neme: Lendefs Address:
Signature: Oate:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn that untler penalty of perjury ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7037.5, Business end Professions
Cotle: Any Gry or counry whiU requires e permit to construct, elter, improve, tlemollsh, or repalr eny sWctura, pnor to its issuance, also requires the applicant for such permlt
to Ille e slgnetl statemeni ihat he or she Is Iicensed pursuant ta tha provisions ot the Conirectors License Lew (Chepter 9(commendng wlih Section 7000) of DiWsion 3 ot the
Business end Prolessions Gode) or t�et he or she is exempt Iherefrom antl tha Casis tor t�e allegetl examption. Any violatlon ot Sectlan 7037.5 Dy any applicant tor e permlt
subJects the applicant to e civil penalry ot not more than tive hundred dollars (5500).):
❑ I, es owner ol ihe properry, or my employees wflh wages es their sole compensatlon, WILL DO TME WORK, and Ihe structure is not intended or otteretl for salo (Sec.
7044, Business entl Professions Code: T�e Contractors License law tloes not epply to en owner of property who 6uild5 or improves t�ereon, antl who tloes such work
himsell or herself or ihrough his or her own employees, provlded that suc� improvements are not intentletl or oHeretl tor sale. If, however, the builtling or improvement is
sold within one year of completion, the owner-builder will have the burtlen of proving that he or she tlitl not build or improve for purpose of sele.).
❑ I, as owner ol t�e property, flm EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to consiruct tho pwject (Sac. 7044, Business and Professions
Cotla: The contrectors Licensa Lew tloes not apply to en owner of property who builds or Improves ihereon, antl who contracts for such project with a cantrecmr(s)
licensa pursuant to the Contrectors License Lews.).
� I em exempt under sec. Buslness end Pmfesslans Code far this reeson:
Signature: Date:
Owner ID venlietl by drivefs licanse. ❑ Ves ❑ No Drivefs License No. Expires:
Venlication of Ownership by (rype of documeni, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certlty �hat no excavatlon live (S) or more laet in depth Into whlch e person Is required to descen0, will be matle in connection with work authorizetl by t�is
permit, end thet no builtling slrucWre, scaHOlding, feisework, or tlemolition or dismentling t�ereol, wlll De more Ihan ihirry-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tllle 8, Cali}Omla AdmInlSlretive Code).
❑ As owner�builder, I will not employ enyone to do work which would requlre a permit Iwm the Division of Intlustrial Safery, as notad above, unless such person has e
permit to tlo such work trom t�e tlivision.
Signeture: Date:
Division of IndusMal Satery Pertnit Number.
HlSARDOUS MA7ERIALS AND EMISSIONS CER7IFICATION:
1 Wiil the applicant or Oresent or tuture bullding occupant neetl to file antl tertify a Bu5ine55 Plan br emergency r850on5a to relea5e or Ihreatenetl release of a hazartlou5
metenal? ❑ Ves ❑ No
(Seciion 25505 oi tha Californla Health antl Sefery Code raquires, with some ezceptions, Ihat a Business Plan be filetl wit� ihe Costa Mesa Fire Depanment by avery
businou w�ich hes et eny one time tluring e reported yeer a quantiry oi �azerdous metenals eQuel to or greater Ihan e weight ot 500 pounds, ar a volume of 55 gellons,
or 200 cu�ic feet ol compressed gas e1 standertl tempereture and pressure).
....'..'.."__ —.....'._ —
2 Does or will the applicant or present or future building occupant nead to lile e registretion fortn lor acutely hazardous materials7 ❑ Ves ❑ No
(Section 25533 oi the Califomia Health and Sefety Code, with some exceptlons, requlres regislratlon with the Costa Mesa Fire Deperiment by eech business which et eny
one tlme hes on hend e Quantiry ol acutely hezerdous ma�erlals equal to or greeter ihan e welght ol 500 pounds, or e volume of 55 gellons, or 200 cubic feet oi
COmpr055eC pes B� S�entlaltl �empBfBWrO entl p(855ufB).
oes or vnn me appuwm or presem or �
] ves O No
lection 25534 oi the Calilomia Heelth
opertment ot an RMPP by businesses
en RMPP is oresenlN reQuired. has S
or oresem or
need to
that the Casta Mesa Flre Depanmem may i
�er ecuteN �ezardous metedals wi�h t�e Fire
Ihe Celifomia Heelth
Ihe
cenificatlon and filing with the Fira
ConSirutiion or modification
from Ne South Coasi Air �uality Management Distdct or Irwn any other alr polWtion cantrol tlistticl or agencyl �J Yes �J No
(Section BSB502 oi the Cali/omie Governmen� Code requires that lha requestetl inlormeNon be fumishad on appllcaUonS tor non-r85iden�iel building pertnits).
6 W ill eny pert oi Ihe faciliry to De constructetl untler this permi� be within 1000 feet irwn the auter poundanes of a school9 ❑ Yes ❑ No
QI'j�es", �he facility must meet the raquirement of Sections 25534 and 42303 of lhe Califomia Health and SafeN Gotle).
7 It e permit fmm the South Coast Air Oueli�y Management Disirict or olher air polWtlon coNrol disiric� or agency is required lor t�e work which is the a
eDolicatlon, have all oi the tlisclosures prescribed by Calitornia Healih antl Sefery Cotle Section 42303 been made? ❑ Ves ❑ No
Qt yes", ettech certificate of complience fmm ihe eppropriate air pollution coNml otticer).
CERTIFICATE OP COMPUANCE: I certity that untlar penalry ot perjury Ihe Infortnation glven above is correct. I agree to comply wit� ell stata laws antl ciry ortlinances
regertling Hezardous Materials entl Emisslons.
Signature: - - - Date:
CERTiFlCATE OF COMPUANCE AND AUTHORIZA710N OF EMRVi I cenily under penaliy of per�ury that I have read this appllcation end stata that the infortnation given is
wrrect. I egrae ta comply wilh all stete laws and ciry ordinances ralating to building conslructlon, and authorize representatives ot Iha Ciry of Coste Mesa to enter upon Iha
ebove-tlescrlDed properry for inspection purposes. I egree not to accupy ar allow occupanry ol eny building authorizetl by lhls pertnit untll final InspecUon.
LO�E I, INSPECTIONTYPE
1618 FI:eA System Final Fire Prevemlon
1286 Pool Spa Final
200 Final RaRoof
201 Final BIocWRetaining Wall
202 Finel Fectory Fire Place
203 Final Sign
204 Final Demolition
246&68
G%�%lSS oe�e
T�T� Dete
t�gjF N�R $ �QQf,p INSPECTIONTVPE
206 Final Mechanical
20B
210
212
220
222
250
Final Plum6ing
Final Elettncal
Final Fire Prevemion
Finel Planning Approval
Final Site
Final Building/OCCupan(
2.tiTE INTRIALS
_�� Aop�icant to fI11 in atl spacez exeeo� those witnin heavy norGe
CITY OF-60STA MESA CONSTRUCTION PERMIT PERMIT NO. C No.
ProjectAddress S� Tr�JRrLC_. ���0�
Applitant's Mailing AddreSs � �" TYPE OF CONSTRUCTION NEw aDD
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name �'7 o�e �- ��3 DE RIPTI N OF ORK/USE OF BLDG. —
Address S�5 T//� ✓ t� �.�' o Gyd �'LLS p- ���� �
�A
lines antl sign all app�oOYiato Gec�a�alions.
7T NO. UNIT NO.
ALTERATION LJ REPAIR
Arch/Eng. LicenSe No. TVPE OF PERMIT GRA�ING ❑ FOUNDATION LJ STRVCTURAL
Addr¢55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
Contractor's Name Phone � �7HER
PR0.IECTDESCRIPTION Sq.FT. oGCVPANC
Addre55{m������� CONSTRVCTIONTVPE �`A� VALUATIONS��
City LicenSC No. 20NE GRADING CU. VDS. ACRES�
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensetl untler provi5ion5 of C�arter 9(commencing Remarks:
witn section ]000) of Dlvision 3 ot the Business antl Professions Cotle, antl
my Ilcense Is in tull force antl eifect.
License dass� Llcense No.
Date Si9�ature
WORKERS' COMPENSAT�ON DECLARATION
I hereby aHirm that I �ave a certi(icate o( consent lo self-insure or a terBfiwte
of Workers' Compenss[ion Insurance, or a certiBea <opy thereof (Sectlon
3800, Lab. CJ
Policy No. Company
l Certi(ietl mpy is hereby furnisnetl.
i:erti(ietl copy is illetl with ihe Uty Builtling Division.
..ale APplitant
EXEMGTION FROM WORKERS' COMPENSATION DECLARATION
(Thiz section neetl not be cOmpletetl if permit is for on hunaretl (E100) or
less).
1 certiry tha[ in the per(ormant¢ Of ¢ rk for w�h t' perm�t i5 iSSuatl, I
shall not employ any Oe�son in any ma n¢r So a lc� b oTe subject to the
Workers' Compensation s of Cali r ia. �
Da[e �� �Si9�atura - "-��^"��
NOTIC : f, a e� m king Chis tleclardtiOn, y0u Shoultl becorOe subject t[h¢
Workers' Comoensation pYovisions of the Labor Cotle, you must fortnwitn
comply with such provl4�ons or this Oerml[ zhall be deemetl revokeC.
CONSTPUCTION LENDING AGENCV
I hereby a19rm lhat there i5 a mnstruction lentlin9 a9ency for the perPormance
Of [hB work tor whicM1 this permil is 65uetl (Section 309] Civ. CJ
Lender's Name
Lentler's Adtlress
OWNER BUILDER DECLARATION
I nereby attirm lhat I am exempt from the ConVactor's License Law for tha
tollowing reasOn ($ection 7031.5 8usines5 antl P�of¢Stional COtl¢: Hny cltY o�
county which �equi�es a pC/mit to const�utt, alt¢r, iiTptove, demolish o� �epair
any slructure, prior to its �sivance, also requirei the applicant for such permit
to file a signetl statem¢nt that he/shE is licenzetl pu�suant to the p�oviSions Of
[he Contracror's License Ld�+' (Chapter 9(commencing with SectiOn 7000) ot
Division 3 0( t�e Bu5ine55 antl Protezsions Cotle) or tha[ he/she is exempt
lherc/rom antl the ba5i5 fot [h¢ allegetl exemption. Any violdtiOn o( Section
�031.5 by any applicant. tor a permit 5ubject5 th¢ applicant [o a civil
�e0dlty of not more [han P�e huntlretl tlollar5 (ESOOj.
I, as owner of [he p�oDe�ty o� my employees with we9es as Iheir Sole
ompen5ation, will do tne �+'o�k, antl the sVucture i5 nof intentl¢tl Or otflretl
�sal¢ ($ection ]044, BuSineSs antl PrOflzsiOnal Cotle: The Gon[�acto�'S
ucense Law tloes not applY to an owner ot a oroperty who builtls or Improves
thereon, antl who tloes sU�h work himself/herselt or through hi5 or her own
ompioyces, prnvitletl that Such improvements am not intentletl or offeretl for
Shce. If, hOweve�, the build��9 or Imp�ovemenl Is soltl wifhin one year of com-
pletion, tne owner will ha�e the burtlen of proving he/she aid not builtl or im-
�1rove Po� lhe purpose of sa�e).
u I, as owne� of Ih¢ pro0er[y, am exclusively COntra<fing with Ilcensed con-
l�acto�5to con5truct the p�oject ISection 7044, Bu5ine55 antl PrOfe55ions Cotla:
The Coniractor's License �'�' does not apply to an owner ot Oroperty who
builtls or Impraves thereo�. antl who contracts 1or such oroiects witn a ron-
tractor(s1 Lcense pursuam to [ne Gontractor•s License Law). � am aware that
�p� of o� their Worker's Compensation insurance iboultl be Provltlatl to me,
I am exempt untler Sect�on B. $ P. C. for this reason
❑: �' o
that I hB�e reatl thls�application antl state that the above
�rect. I aaree to comply witn all city antl county ortlinances
lating to builtling construction, antl hereby authorize re0re-
: cit to enter upon Ihe above-men[ioneC property for
Inzpattion purpOses.
Signature ^L, Q �� Date � .3 gg
Drivars' License or 5- - �� �� � ?��-
Sink
Preventer
Irrigation
�king Fountains
>r Drains
x Sinks
SefVice Outlets
Kitchen Sink
�dVdiOfICS
P—Trap
Roof Drains
Reinspection Fee � $15
Boiler
Duct- Untler Ground
Duct - Strucmrel
Duct - Ventilating
Exhaust System 0 Multiple
Firepl/Fact. Blt. ICBO dk
Heating System & Ducting
❑ ai oo,000 eru O i ao,aoo
Reinspection Fee � $15
0865-46, rev. 5/88 Wnite - Builtling; Canary - Applicant: 7�nk - Atcountlnq; Goltlenrotl - Asussor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
AlltO-W85I1
IQue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration Sys[em
�o-ioo,000sru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
laue Fee
A.P. q�`-
S Main Buildi
TFront �
8 Rear
A
C Right
SLeft
Ping. Ref. #
Planning Notes:
FEES Automatic Washer
Construc[ion Pole Sub.
Cookin9 Unit
�ishwasher
Dryers ❑Gas ❑Electric
Fan
f.A.U.
Fixtures
Device Boxes
Outlets
$WILCIICS
Gar6age Disposal
Generotor �0-5 KW �5�'
� 2one
Accessory Building:
Parking Req./Provided
7
EIECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors �0.1 HP 01�'h - 8
Inc.Solar �9-15 HP �16�15+
Microwave
Pole Light �
Range
Standing Sections
5 KW Trash Compactor
FEES
O
N
I
N
G
R
E
�
M
T
S.
Reinspection Fee !$15 Issue Fee $ 3
$ 3 DEVELOPMENTSERVICESREQUIREMENTS: ►/'��..+
2oning Approved By N Dat��
FEES Building Approved By Data
APPlication Issued BY- Date � � �—'i��
�/ SUM RV OF FEES . , �
BUILDING PERMI'K"$ � ��' SMIP $ •"���
—{�'
PLAN CHECK $ �] � r PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ �
MECHANICAL $ TOTALFEE $ 3l� -
, PLAN CHECK 25% $
$ 3
D1 OQ0137E4-OD01878b TOT ?1D.69
DATE: ii/07/E8 TIM'c: 09:39
? CONSTRUC710N AND PLANNING � POOL & S� ,
APPROVAL$ Permit # Date Inspector AppROVALS Permit #' Date Inspector
i 1. Temporery Electrical Service or Pole � 52. Pool & Equipment Location'� ��z^
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement •�
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms '� ,
4. Electrical Cpnduit-Undrgrnd. , 55. Electrical Bonding �
'5. Sjeel ReinfOrcement 56. Rough Plumbing & Pressure Test •i
6: .�ElectriCal UFER�Grnd. 57. APPROVAL TO COVER�GUNITE
� 7.,Fbotings ' 58. Electrical Cqnduit-Undrgrnd. ' •
8. Fouridation 59. Gas Pipe, O Undrgrnd., Test .�
�
9. W�ater�Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. "
10. Structural Floor System . 61. APPROVAL TO DECK ,�
11. Pr.operty 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
1;6. Rough Eleciric 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 Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
� 23. Gas Pipe-Rqugh & Tgst 72. Underground Flush
2d. Roof Framing • 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing '�� - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
2$. Lathing & 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. FinalPlurtibing i :
39. Water Service-Final�
i
40. Ges Service-Final ' "
• 41. 561ar pomestic-Final : - �
'42. Backflow Preventer� �' '
r 43. Backflow Irrigation' i� '„�
44. .Landscape Irrigation System '� ��
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STpUCTURE & BUILDING
48. Special Requirements Completed
\49. Electric Release to Edison '� :
;50. Gas Release to Southern California Gas Co
51. CERT�FICATE OF OCCUPANCY � • .� ,
Vo. Date - ' •
Ivy�pM 2]CdH1L.A liVI�ICHIY3 LH1L � GV�V
JOB ADDRESS .. 519 TraveTBe DriVe BUILDING PERMIT
�
S'
F�
OF WORK TeS. W
vni,UE $ 22, 13
� TYPE ,
SUBCONTRACTOR
24569
.
'COSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 9f'f COSTA M6HA, CpL�FORNIA
For Applicanf to Fill In Completely
TYPE OR PRINT
ILDIN6 �, 1 l �rh � �_ , �
�DRE69 . ����la���rn
COSTA MESA, CALIFORNIA
SIZE
OF LOT
USE OF
EXISTING BL
BETOACK LINE
, BUILDINO
SIZE
EXTERIOR
FIRH
�
f OF COSTA MESA
AUG 19 1965
APPLICATION FOR PERM
� .�3�1i�d0�
ZONING
NO. OF UBE OP
runS2 A°1Sp9
DATfi
� oeacniru�u.0 ��'�^�/ — ' ` �
A P NO. /// � H/ �(�
/. � //._�� NOTE: NO fiAVE OVERHANO BNALL BE LESSTNAN
rv0. O�
�-
DESCRIPTION OF WORK
:M
1 HlREBY ACKNOWLEO08 THAT 1
ANp 9TATE THAT iHE A90VH �8
PLY WITH ALL CITY O O�NANC68
BUILDINO CONBTRUCE N.
61GNATURE OF �
PERMITTE
AUTHORIZED A6EN
R�b Ti
ECT /�NO
BTATp U
YAROB MPROVED
MAIN BUILDINO
BET
VAR. #
YARDSAPPROVED
ACGESSORYBUILDINO
BET.
ACCE
DATE
�'f �
BQ.FT. O
LIC/d10N THe �MOUNT 6NOWN tINOER VAWATION IB FOR TH6 =
TO COM� PUflP09fi OP EBTABLI9HIN0 A pEpMIT PEE ONLY. Q
�uunno ypLUAT10N �� m0 m
PERMIT FEE $ j
sOC�C��I� �h4°o>
OWNER
JOB ADI
GENERI
� �
IN>rEC'
�S�—OIL —
A4 5
W nTER
ROUGH PL
PROP. $W
SPRINKLI
MISCELU
ROUGH NE
TEMPOfi4
UNOERGR(
FOUGH WI
iREMCHE!
LINE 1 � NOUSE CON.
BONO BE�M I � STEEL R
FRAME ANO FLRSHI
INTHING -- IN�
OL'-'ER.BROWP
5' UR>L, FII
HEAiING.VENT.,
PLUMBING. FIN41
ELECTRIC, FiNAI
RIIII nluf. FINAL
REFR10. AN� P.C.
ANO GRS TEST �
RACT c�oR FIR
DATE
BUILDING PERMIT N0. 47316
SUBCONTRACTOR
F
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COSTA MESA BUILDING-SAFETY DEPARTMENT
� t, .
2349 .I/23/79 5.5� TL
y-....cr ••- - •- � -
r.u.eunizuu 1:U51A���CJN.I.HUrUHIVINtlCOLO
AP L AT ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only REc 1 'DATE FECEIVED are,/,/l/��s e
ADIDRES,�J�� T/L7VF�S� I . � V` ��
� � PERMIT NO. `
OWNEF l� G /y�% A.P.NO. IS—D���O3
,, � 7/`� BUILDING
ADDRE55 � /YN �6' V2 ADDRESS � 9 � M
'^y^/ TEL TRACT ��7 LOT II BLOCK
CITV D ��j- %' / NO. 3��
CANSTRUC'7'ION EW ADD A T P
LENDER �
BRANCH
OWNER �T /
ADDRESS VAL �
ARCHITECT TEL. 5 � ��/ 5 �
OFi ENGINEER
FIRE
ADDRESS ZONE TV E" GROUP
APPROVED ��J
C TRACTO b BV DATE � lj
AODRESS
TE�. ZONE NO.OF q USE OF NEW I
CITV NO.
R I P�� i(� BUILDING `T
STATE CITY YAROSAPPROVED VARDSAPPROVED
LIC. N0. ��Q NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BlDCS. {FROM C!t STREET)
OF l0T NOW ON LOT ROM FT. FT.
USE OF
EXISfING BLDG. FT.
Separate permits are required for L. SIDE FT. FT.
electric, plumbing and heating work.
REAR F?. FT.
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & ��
MAIN BLDCS. ACCESS. BLDGS.
��� � VAR.3j'+ DATE
I I IO YU2 /h I/0 �•�•P•s� APPROVED
/N ��tT tif 6�ioo �ROVED C�� /�23 79
I hereby acknowladee thet � have reatl this application antl rtata �
Mat the ebove Information (s �orrect antl aprea to comply wiih m
all lews regulating builtlinp construction, antl I shail not employ �
eny person In vlolation ot me workmen's compansation laws ot m
the State oi Californla.
I he�eby certity that 1 em proparly Iicensetl as e eontracior untler SQ. FT. cmi
ihe Stnte of California Buzinez4 antl Professions Cotle, Dlvizion 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR m
Chapter 9, antl that such Iican4az are in full force antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
am exampt from the provlslon5 ot the Stata of Calitornia Businass a
entl Professiona Cotle, Ision 3, Ch ¢r VALUATION PERMIT FEE E •
m
��'PLHN CHECK S o
Sipnature of �}—�
Permittea $ "'�// /) 7qx • § � U
`/v v
Authorizad ABant TOTAL PAID S �
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� ' ' ,}$� PLANS A1U5� E<-`N JCE� AT ALL TiMES MdKE I
�.HANGES W��`� UT rnivR AP?R.�O-`JJAL OF DE T'
_�� , ��� �- •�p'+vR9VAL OF
�•:{. ISSUANCEOR G"�N ���y nt VOI`BEN�'���+�'JFpTO E
. AND 5?EQPlC4' � ANY V10lATIC, CF AN OF
N __1 , -'9tiTFOR.OPAh;•'trt�4L �• F�MI1P�f5�lnNG?7 IVE .
��ri-. r c.:�'..�-,.: is
� "r-�7RITl T� ��-� n _.
. SHALL 68 VA.i1R EC�c 1 Id SC+ rAP f a 7F�c `%�07R OR USE
� H IT A�NC'nI:�S IS lti:^+i�JL.
li ISSUAtJCE Cf A PEk.4.lT .' �SEO UYU'- PlANS AND
PICATtOnS SHA -�'_%' "�„�°�` RECT wI.M � ERROR9 AN
� 1HEREAFIER F:'3C"�!uC.
FlAMS A�iJ `r���� �:�.�;::Nc JR iROM PREVENTING
'ING 07ERATtOF,`•'aE°"': �ti�''"�L �dJ THEREUN�ER WHEN
') y � �C�� ;» pNY OTHEP OROiNANCE OF
PL.���'t"� ; .
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