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HomeMy WebLinkAbout3132 TRINITY DR - Building Permits ADDRESS OF BUILDING: UM T: aq2 - ooz4 ig- irNRDES NAME IF KNOWN: TRINITY DR CITY OF COSTA MESA — BUILDING PERMIT ���sUPTON, DENNIS P FLOOD: X 47 PFRM Nn• R 0117494 a TURNER—UPTON, PATRICIA A 11458 PICKFORD ST PERMIT NO: B 087494 PLAN CHECK NO: N GOVT; N SUPP : N �LING�D SPRING HILL,FL 34609 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT GBEmEEB: UO NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/COMP SHINGLES SQ FT: 2, 000 ARCH.OR END'S ADDRESS: UNT: CLAIM VALUE: 2 , 000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC: R-3 / cONmACTORSNUIYOUNG' S ROOFING ( 714 ) 953-5444 CWfRACTORSUAJUP 1015 E CHESTNUT COMMENTS : REROOF 1800SF RESIDENCE W/COMP ADDRESS:SANTA ANA CA 11GN0.: 568560 SE9EiE*+tdEfE****.jtlEit****ori-3t******1fiEii-3Eif*iEdi-if**********x-*ik3E]E*9t Sf3EiESf3EitiF3tiFlEji-dtx-x-jEdF******iESE3t** 92701 WIT: ZONING R EQU I R EMENT S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SE T B ACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect. CITY cet.NO.:048128 LIC.CLASS: C 39 LIC.NO.: EXP: 10/98 MAIN BUILDING ACCESSORY BUILDING oma: 3- 30- 4 Q Contractor: >'e"o FRNT: FT IN REAR: • FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury That I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to coraeuct,alter,improve, demolish,or repair any structure,prior m its issuance,also requires the applicant for such permit to file a signed statement that he or she PARKING REQ: PROV: PARCEL: 14153119 ZNE: REF NO: 's licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commending with Section 7000)of Diumion 3 of the PLANNING NOTES>1 .usiness and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.My violationSection 'i of /031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars 15500)). > --, ❑ I.as owner ofthe property or my employees with wages as their sole compensation.will do the wok.end the structure'e not intended ******************************************************************************* or°flared for sale(Section 7044,Business and Professions Code:The Contractors license Law does not appy to an owner ofproperry D E V E L' OPMENT SERVICES REQUIREMENT' S who builds or improves thereon,and who does such work himself or herself or through he or her own employees.provided that such improvements are not intended or offered for Bale.R.however,the building or improvement a sold within one year of completion,the (y% ovmer-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ZONING APPROVED BY DATE: ❑ I.as owner d property,operty,am exclusively contracting with licensed coconstructecto.s to construct the project(Section 7044,Business and /• y to Professions Code:The Contractors License law does not appan owner d Property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for aid,projects with a conlredpr(s)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.8P.C.,for m®reason: APPLICATION ISSUED BY: �-- DATE: 3+22(7 (9Lr Date: Owner: ********************************************** ******************************* I do hereby certify that I ant aware ofand understand the requirements ofandSectionsand Caliomia Health Safely Code 25505.oA5a3, LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT:Y 25534,and that I or any future building occupant will/wil not(circle one)need to comply with said state codes and the reguimnerih for a permit forconstmction or modification horn the Ak eu�—ky nagement Dein&Resdertialcormruction applications we exempt Irom thew BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. °"° PERMIT 62 . 25 50 Date: Applicant: SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury ane of the following declarations: PLAN ❑ I have p a and will maintain certificate of consent to sed4nsure for workers'compensation,as provided for by Section 3700 d the Leber ISSUE FEE Code.for the performance othe work larmhisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE wlichthispe .I-'I I have and will maintain workers'compensation insurance,as required by SediOn 3700 of the Labor Code,br the performance of the TOTALS----> 62 . 75 0 . 00 0 . 00 62 . 75 62 . 75 . 00 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: Carder: nnT.nPN FACT.P EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 62 . 75 OVER/SHORT: . 00 Policy Number: NWC 34543301 04 /24 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK Tis section need not be completed it rhe permit is for one hundred dollars(POO]or less.) 62 . 25 . 50 ' ❑ I certify Nat in the performance of the work ler which thie permit is issued,I shall not employ any person in any manner iso as to ' becomesubjectto the workers'compensation laws ofCalifornia.and agree that i I should become subject to the workers' *************************************************************************** compensation proviso of Section 3700 of the Labor Code.I shell fond cora wit provisions. Dora: -3-3a-953 Applicant: �fyL•— (i1� INDIVIDUAL F E E BREAKDOWN • Warning:Failure to secure worker's'compensation coverage Is unlawful,and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars 0104000A In addition to Use cost of compensation,danelges as provided for In Section 3706 of the Labor Code,Interest,and'sOomeyY fees. SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 000 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performaoe of the work for which this permit is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read the application and stale that the above information is coned.I agree to comply with an city and county ordinances and state laws relating to budding construction and hereby authorize representatives of the city to enter upon the above-meMianed property for inspection purposes. MICHAEL YOUNG83-38-1998TFi1:48 PIfl/$6t.75 RCPT#:21-0©21584 \Pant Name d PERMIT :087494 y Date: - 3 fg Sig e of OwnarlAgent/AppiCent/ConlraCer (515l.46.WP) White-Building&Safety:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor ' CONSTRUCTION AND PLANNING ` - - - . . POOL . ...PA - 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-Undrg'nd. - 54. Forms : I:- 4. Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding' - - . 5. Steel Reinforcement • 56. Rough Plumbing &Pressure Test. 6. Electrical OF 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 Undrgrnd. , 10. Structural Floor System . 61. APPROVAL TODECK , : 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-Fina( . 16. Rough Electric Wiring - - - 67. Fencing & Access Approval . 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning; - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' : APPROVALS - ,.Permit # - 21. Ducts,in Structure • 4 70. Underground Hydro 22. Ducts, Ventilating , , 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough.& Test72. Underground Flush 24. Roof Framing - . :. . 73.: Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathingf I-qg 6.14.1/L"--74.. Overhead Hydro 26. T-Bar Ceiling (Structural) & Mohocoat - 75:• Dry Chemical • . 27. Frame and Flashing . - . - 76. Dry Standpipe 28. Lathing & Siding . .. • 77.' FIXED SYSTEM FINAL 29. Insulation, • 78. FIRE PREV. FINAL ' 30. Drywall Nailing r ' • ' . HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat • 79. FINAL INSPECTION .32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I 33. Final.Electric - Notes: 34. Final Heating& Air-Conditioning - • - - - - 35. Final Gas Pipe•Test- , 36. Hood or Canopy _ - - • 37. Final'Factory Fireplace . 38. Final Plumbing 39. Water Service-Final _ ' 40. Gas Service-Final , 41. Solar Domestic-Final 42. Backflow Preventer - - 43. Backflow Irrigation • . . - • 44. Landscape Irrigation System - 45. Sound Attenuation ' . ' 46. Handicap Regulations .. - 47. FINAL STRUCTURE & BUILDING17- Ga ( � • 48. FINAL PLANNING . a er , 49. Electric Release to Edison _ _ 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECTADORESS: 3132 TRINITY DR UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM Nu: d 0-56UL. OWNER'S NAME: UPTON DENNIS P ADDRESS: TURNEk-UPTON, PATRICIA A PERMIT NO: B 056022 PLAN CHECK NO: N b0v1 : N SUMP: N 3132 TRINITY DR COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT 662-3325 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL EXT, VINYL SIDING ( ICBG# 3663 ) SQ FT: 12, 700 ADDRESS: UNIT: CLAIM VALUE: 12, 700 , 00 CALC-VALUE: 12, 700, 00 GROUP OCC : R-3 / PERMITTEE: AMRE ( 714 ) 937-0101. ADDRESS: 620 N ECKHOFF ST COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. ORANGE CA 92668 ****************************** ********>F*�F�E*�t**TEtF**********%r1'g`/, �Sq�T }p^�F'Ag 6k �1 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E M E N, T S *✓'v'�+, ` D`^• ` I" 7000)of Division 3 of the Business and Profession .Code.and my license is in full force and effect. • SETBACKS 3 BEL)CITYLIC.: 049126 STATE LIC.:` 3042 c ss: B EQ�J�t�CLr Date: /-30 T . signature: MAIN BUILDING ACCESSORY BUIL�ING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 'mpensatioo c w tiled. p thereof(Section 3800. Lab. C) :ICY NO.: "'•W"1` �D�L EXP.DATE: 11 /Ol/92 OMPAxr: NATL UNION FIRE ARKING REQ: PROV: PARCEL: 42541508 ZNE; REF NO; A Certified copy is hereby furnished. ❑ Ce d copy is filed with the ity Be' in Division. PLANNING N TES> a 1 � > ��` 0� l APPlicant'� 14( ************************************************************3E******* ****/F**** Date: i " DEVELOPMENT SERVICES R E Q U I R E M ENT S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1001 or less). I certify that in the performance of the work for which this permit is issued,1 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: 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. q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• 4� ! — DATE• •1 . O 1 which this permit is issued(Section 3097,Civ.C) **'******'*'*'*'%*'***%'%**-***'*'**'*"*******'*%*-%*k * 1E lE if if lF it iE iF iE 1t 3E 3F it TE jE 1f 1 11E IiE F l. LENDER: **************YE*****************,iE**************************%'********.****if****** 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 F . .. 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 144 . 00 r 1 . 27 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed ( r ii SMIP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE //. I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License law TOTALS----> 145 . 27 0 , 00 0 , 0 0 1 • S , 2 7 145 . 77 - , 50 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 145 , 77 OVER/SHORT: 50 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve ithe ens of ). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK sale). I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 144 . 00 1 , 27 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **********************************%'*'********-********************************X.** that proof of(heir Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.S P.C. for this reason: TYPE QTY DESCRIPTIO N F7}4 g71QC0$iQ10TPA�L 7616 TOCOT: •7/- Ut3iL: Oi/du/ 2 TIME: 08:59 Date: Owner: SFR 12700 ALTER BY - VALUE RESIDENTIAL NOZONE 1 . 00 12, 700 . 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 DI 00107607-00107608 T O U -11..C2 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from DATE: 01/30192 TIME: 08: 6 these provisions. Date'. Ap ant'. I hereby certify that I have read this applicauo and state that the above information is correct.I agree to comply with all city and count 01 00107617-00107613 T a'Z T ;`5"i'] ordinances and state laws relating to building nstruction and hereby authorize representatives of this city enter upon the above-menlio d DATE: OI/30/92 TINE: 09:00 properly for inspection purposes. O1 aom7609—a01ez6 0 : �: El ,r,a Date:�� 7D — (p 2--- s SiSignature:4V/�� _• DATE: 01/30/92 TIME: OS156 Driver's License or Social Security 6: 010010'7611 00107613 'TfBT 164146 White-Building:Green-Code Enforcement:Canary-Aoolicant:Pink-Revenue:Goldenrod-Assessor DATE: 01/30/92 11ME• 02753 CONSTRUCTION AND PLANNIN._ _L & SPA • APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location ` r 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 . r 6. Electrical UFER 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 Undrgrnd. 10. Structural Floor System - . 61. APPROVAL TO DECK • / 11. Property Sewer Line & HotiseConnection 62. Backwash & Receptor-Final 12. Sewer COP i' 63. Heater & Vent-Final • . 13. Roof Drains I 64. Plumbing System - Final / I 14. Rough Plumbing / - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring .67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in 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 Sheathing74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing _ 76. Dry Standpipe ' 28. 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 ��/�/7� 35. Final Gas Pipe-Test I rr . / 4j 't v'9' 36. Hood or Canopy _ - G� 37. Final Factory Fireplace 38. Final Plumbing - ' 39. Water Service-Final I 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 I ny(/97-e ' 48. FINAL PLANNING / L 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date • ae N CITY OF COSTA MESA CALIFORNIA P.O. BOA 317 From the Office of the Planning Department August 9, 1961 K. W. Kola Construction 1555 Placentia Newport Beach, California Dear The City of Costa Mesa wishes to advise you that in revising street addresses, the numbers listed below were changed: Old Address New Address Lot 52, Tract 4041- 3124 Trinity Drive 3132 Trinity Drive For your convenience we are listing the agencies below that we will notify of this change. In addition to those listed, you may desire to notify your correspondents of the change. Your cooperation in this matter is appreciated. Very truly yours, W. L. Dunn, ' Director of Planning By: `Dave Leighton; DL:rlb Planning Technician cc: Southern California Edison Company Southern Counties Gas Company Costa Mesa County Water District 3 4 Pacific Telephone Company Post Office Public Works Department 4!/G, �CF��EQ ‘cs.) Engineering Department Cj 9 — ZV lerk (4) L- B o!� 79of ,1"RI"-n KELLY. Robert E. UAIL 8-1.3-74 iOB ADDRESS 3132 Trinity Drive BUILDING PERMIT NO. 38860 '"GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio Cover AP No. 141-531-19 LOT TRACT FIRE ZONE VALUE $ 700.00 INSPECTIONS - Signature Date TYPE V GROUP J ZONE R-1 SOIL PERMITS ISNED ,kkGAS SUBCONTRACTOR — Dote I Number Signature ZWATER Plumbing ROUGH PLUMBING PROP. SWR. LINE _ 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 E FORMS ❑ STEEL REINF. L FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n • SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER. BROWN COAT STRUCTURAL. FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING. FINAL SPECIAL REQUIREMENTS r / (SAUG 13-74-00118? tt***7.5G N (3886QQL 0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 P LIGATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC I ED BY DATE RECEIVED DATElISSUED BUILDING 01 ADDRESS .3/ 72 ^I�T 4.. fC` �' 3-7 a- 3- /4.- OWNER �i((MAIL ��P/7 C > /(e//Y BUILDING 1 -Fl- l- 9 PER aa6O Z ADDRESS /6/ne / /� ADDRESS /jz T.,,•T a a 0 CITY ( 2f� tits NOLu ui L Sy% 1261 TRACT9Q'-( LOTS2 BLOCK CONSTRUCTION l NEW ADD ALTER REPAIR MOVING DEMOI ISH O N �0/1.) LENDER l a co / JU) BRANCH OWNER /C/J 4'3-t' 's. /ke�t/ <UJ ADDRESS CO J p �' VALUE yy — " -CO ARCHITECT ( /w,j€ TEL. USE OT a.YO Yajoe $ ray. 4 OR ENGINEER /�/ NO. // V Q FIRE T^ w 2 ADDRESS ZONE T PE �. GROUP J aW APPROVED W �--` Jry�. Q Z CONTRACTOR ' oi /w`�'J Idfr BY 7) ( DATE ` 3- 1 7 0 m 2 J cc ADDRESS W w TEL. ZON NO.OF�j USE OF NEVT� Q 21- CITY NO. l PLANSZ 1- L BUILDING reins- u:0 STATE CITY YARDS APPROVED YARDS APPROVED to 2 LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 1 (FROM C/L STREET) SIZE / r NO.OF BLOCS. rO OF LOT v X /v0 I NOW ON LOT I FRONT FT. I FT. • USE OF goo SE EXISTING BLDG. R.SIDE ES. 20 FT. t I- S ZE Z NIEW BLDG. ' ' x^�7 ROOMS 0 STORIES / L.SIDE FT. S FT. _ ROOF ✓ COVRIOR ERING ALLIJ /LettD COVERING IQC L REAR FT. AItFT. J USE(O= F BUILDING ANO//W`O�R TO BE PERFORMEQ� DISTANCE BET. BET.MAIN& a �I err1J. &Jr-PL& paTo• 4 MAIN BLDGS. _ ACCESS.BLDGS. Q 1 / VAR.# DATE O e-c', c f7- cfI— �y-q� c T /e?C.0 C.U.P.# fAPPROVEED ZQ�l� /a7d - /7 �/' 77: cover —FlY VED 1� J DATE &--13-7/ a IJ.J U I hereby acknowledge that I have read this application and state (sit,�'/1 p 0 that the above Information is correct and agree to comply with sit all laws regulating building construction, and I shall not employCC J ✓ any person in violation of the workman's compensation laws of (n the State of California. co ? I hereby certify that I am properly licensed as a contractor under 33 SQ. FT. TAx c the State of California Business and Professions Code, Division 3, THE AMOUNT-SHOWN UNDER VALUATION SS coR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; p am exempt from the provisions of the State of California Business CC VALUATION and Professions Code, Oivislo ,Chapter 9. �] m PERMIT FEE $ `/ D Signature of �e. m Permittee �//�� $ 70.2) PLAN CHECK $ E 7 o Authorized Agent LL N. TOTAL FEE $ FEE RECEIVED �' 13610 JAN 1 0 1231 COSTA MESA BUILDING-SAFETY DEPARTMENT - FINANCE DEPT. i P.O.BOX 317 COSTA ME$A. CALIFORNIA CITY OF COSTA MESA FOR 4PPL/CANT TO FILL IN COMPLETED APPLICATION FOR PERMIT TYPE OR PRINT C. '112A-Th � BUILDING BUILDING ' D 1 ^ ADDRESS TRINITY DRIVE _ g4�" ' 2r COSTA MESA. CALIFORNIA - FOR OFFICE USE ONLY RECEIPT NO. aryl O. OWNER KWK CONSTRUCT IOO�I COI., INC . . I �1-V0671.01- MAIL RECEIVED BY DATE RE IVE DATE I63UED ADDRESS 1555 PLA CENT I A AVENUE �/�� .I �-' ��I �nl. i 1 fa69 TEL. n1IBUILDING CITY NEWPORT BEACH CALIF NO.0-jGGI . ADDRESS ' ARCHITECT. LIC. COSTA MESA. CALIFORNIA OR ENGINEER • NO. .. // /� ' ADDRESS 1 FIRE Y I y ZONE TYPE GROUP J' /�j/J STATE// APPROVED ,, CONTRACTOR K.W. KOLL LIC.NO.0I IIg5 ` BY . DATE ADDRESS 1 PLA CENT IA NEWPORT B ACH ZONING LEGAL LOT q •v• ., EOtf NO.OF q USE OF NEW Ding]. Yea,. DESCRIPTION INO. 5L BLOCK I TRACT YS-1 (PLANS G BWLDINGFT/ at Y- gar. none - APPROVED w.L.D. //��/LJ��/JJ�}} DATE 1-6-61 ' SIZE [ rvO.OF BLOCS. YARDS dit ES OF LOT 60X100 IRREG INOW OF LOT 0 REQUIRED ALLOWED USE OF (CENTER LINE ST.) ^^ p /l EXISTING BLDG. 9 . FRONT � ,S FT. CR f� N. SETBACK OFLSTREETT FRTM 45 t REAR YARD )0 t R.SIDEC CENTER FT. IN. SIS SIDE YARD LEFT 51 I RIGHT 51 L.SIDE 5 FT. - IN. DESCRIPTION OF WORK �sT. REAR l FT. IN. > NEW - I X I ALTERATION I II ADDITION REPAIR I II MOVING I I DEMOLISH I BUILDING 13LOSE ROOMS STORIES 1 ' _ ..'EXTERIOR WALS.TUCCO ROOF iGCK ----00 ' COVERING COVERING 1.. USE OF BUILDING AND WORK TO BE PERFORMED ^�' SINGLE.FAMILY RESIDDENCE AND ATTACHED GARAGE PLAN NO . 1-A - - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- pU RPO3E OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND ETATE L S REGULATING BUILDING CONSTRUCTION. VALUATION - SIGNATUREERMIOF / PERMIT FEE $ � ' PERMITTEE <� / - S / �� (PLAN CHECK $ /D4 .- AUTHORIZED AGENT - TOTAL FEE S 90' �"