HomeMy WebLinkAbout1803 Tustin Ave - Building Permits APPLICATION FOR A BUILDING PERMIT
• BUILDING PERMIT NO. Electrical co
Tract Block Lot Permit No. E
AddrBuildess
/pa 3 < 5 �� At�� Plumbing a
Address -/� // 9 Permit No. eia
Cross /� �O / Mechanical o.
Area C� /i Sheet /6 Permit No. a
IM' O ,-,., 'm
Owner 44/ ,4 91-ASSESC// 5 S Type of Project: ((GNew ❑ Alter ❑ Addition
Address Se, v 3///7YYY4��� Pe
I , ❑ Repair ❑ Convert ❑Demo ❑ Occupancy Pmt.
City �u s /�` ZII�Y ' hone Q�Q•y��-P Sup.Dist./
v v Insp.Area
Architect/ig �,� u/1,All
Designer ,J/ /{//License No. Zone Sp!.Pmt.No.
ia7 S' N' 1,444/ S� Setbacks P/L Front • C/L St. Street Width
Addresssot
1
Yard
Left Right
City D�L L/G E. nap Par so Eave serol. Left - Right Rear
�, Engineer v•!ss\T_ I License No. // 4?a y
$ /19A/!j /Al/ I.1/ {{s�� �/ Parking Spaces Required Provide Covered
p- Address
City D/! ��r 1C MLS Ph d•r4 fr Heightga Stories FFamily
vv No.of o.of
u LICENSED CONTRACTOR'S DECLARATION Park Fees 8 Yes Fee
CO
m I hereby affirm that 1 am licensed under provisions of Chapter 9 Requiretl No C.T. Receipt
(commencing with Section 7000 of Division 3 of the Business and
« Zoning Approved By: Date
_ Professions Code, d my license Is in full force and e f ct
License Ciese —i L' �flumber v
> Date 7'�1 Contractttor 46 ei ansaa. se �fIC9* pS Misc.
E Address de�4 X 2 / C a .[� Proposed Use
Li_ City and Zip //�f 77 yI -/Y�/ 9 Phone fir- $1_cC of Structure
V CONSTRUCTION LENDING AGENCY
2I hereby affirm that there is a construction lending agency for the
a performance of the work for which this permit is issued (Sec. 3097, CType Year
Civ.C.). tt,, ,/ Class Const. Year
y Lender's Name /�Q 7 AirUSE/OCCUPANCY SIZE SQ.FT.
c
Lender's Address
J OWNER-BUILDER DECLARATION
•
✓ I hereby affirm that I am exempt from the Contractor's License Law 1.
f .she following reason:
GI
r. I, as owner of the property, or my employees with wages es their 2.
sole compensation, will do the work, and the structure is not
L intended or offered for sale.
'_ 3.
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construe the project.
m ❑ 1 ea'=xpmpst under Sec. B&PC or c�hig reason
a 3 �,(
G Date Owner i f f s IN tl .
E WORKERS'CO NSATION DECLARATION Total Valuation
3 I hereby affirm snot I have a certificate of consent to self-Insure, Encroachment Permit Required ❑ Yes ❑ No
or a certificate of Workers' Compensation Insurance, or a certified
C copy thereof. Grading Pmt. , Grading
8 Policy No Company . Required Yes ❑No Pmt.No.
to 0 Certified copy is hereby furnished. Rough Grading
d artertif ietl copy is//j�led with Oren C ty, EMA. . // N
'L�"�/
Q Date 74.5.19 Applicant 1,,, Approved by: Date
a
• CERTIFICA OF EXEMPTION
FROM WORKERS'C PENSATION INSURANCE Z
(This section need not ha completed if permit is for $100 or less). C
I certify that in the performance of the work for which this permit is 3
issued. I shall not employ any person in any manner so as to become m
subject to the Workers'Compensation Laws of California. PERMIT FEES
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $
Exemption, you should become subject to the Workers'Compensation
provisions of the Labor Code, you must forthwith comply with such Electrical $ Special $
provisions or this permit shell be deemed revoked. Invest.
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing $
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING T• BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $
ORIZ. REP- -SENTATI V'S OF IS COUNTY TO ENTER UPON
THE/BO ' MENTIO - • PR1 RTY FOR INSPECTION PUR- Pre-Grade
POS: . $
_.� I / r�9 3 —2,5
bh Pr -Grad Inspection
'gn_ture •f Ap•liter or A•e- ate Is• J Pre-Grade $ Permit $
Rec.No. Issue
0 f / 4 , D a '/033903 7 •
Print Applicant's/Agent's Name •
. All spaces within this box must be completed to process Plan ove
Check By: ApprADDroved:
CMF 033546(BU-28) rev.6/80
• COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIzr hefF_ fJ-t, f 2U(Ws TV
For Applicant to Fill in Completely — Use Ink Only �t/1 I S 0 31 3
BUILDING / ./4/ J ice G •^'� . A.P. NO. / _ �G}, �7
ADDRESS ,7OJ / l/y 4 L1� I -7I
l' /� C n �I ���y BUILDING 2 't ,t l,l--
OWNER
TENANTOR Q UP 445 So C/A f -..5UNIT OR
ADD RES�/�OJ �l+ -S �y /'1 L�f=
MAILING o /� /J SPACE NO.
ADDRESS P 7/oX f� / ,+,c
•.NO. ,LOT - BLK.
CITY 72,i /a NOL •
. / .i v..!_ 71"1.1/— Dz' Rs/e
r N' ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH /�,
OWNER NER �ne,h ,1--As,s-p,evA" re'
ADDRESS VALUE
ARCHITECT TE USE S/ ,�.µt.• (y/�jA.�tr'�E 1
OR ENGINEER �/ /r4 lAA d Y�f/4/V 7NO a 13/42 `' n
ADDRESS /C 97 /y/ Al/9-//C13.7• Q,9ANyP ZONEAC1 / TYPE 1/W GROUP /l- 3
`/ APPROVED 44
CONTRACTOR /Y'/7C?ty S'S�1/"V�.1' S /B^Y` y[ DATE 7—Z,-3 ��
ADDRESS R�---joo . `Box 3/ �/4 / p I. T a
TEL
CITY �il..(/ C l / N Noffl /3J ii VVV
F STATEn /� CITY APPROVED SETBACKS
M
LIC. NO. 7oz. / g G, LIC.NO.
SIZE / / I NO OF BLDGS, (FROM C/L ggg REST)
S OF LOT 5-9,60,/ A 5%, 0 NOW ON LOT . ' ONT FT. \
d USE OF •
cif EXISTING BLDG. SIDE FT. G lAy
y
FSeparate permits are required for L.SIDE LFT,
C electric,plumbing and heating work. REAR / 7 FT.C:pi
I.W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
fiZ
DATE
7.1 / i4/1/l. /✓dtJO��/t/'!� /,(,/ A7� "2 a/� APPROVED/L5/n
Q / D1f�
.rl `HY DATE
12
14
O I hereby acknowledge that I have read this application and state N.
C that the above Information Is correct and agree to comply with
G. all laws regulating building construction, and I shall not employ
Z any paten In violation of the workman's compensation laws of a
,=W, the State of California.
/1/S.QD. FT.
F3
3 I hereby certify that I am properly licensed as a contractor under
SN
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a
Chapter 9, and that such licenses ore in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
cia
am exempt from the p ovist sof the State of allfornla Business a
Sig Professions Cotla ivi�ri 3,Chapter 9.
VALUATION PERMIT FEE S 2.0 3.— n
o
/ PLAN CHECK S�yy- „s.s ^
Signature of 1 T�zTY�.' e.
Permittee /p� TAX If 4.0[/ e.
Or
Authorized A nt Date 7/1 3 / pen OLL
TOTAL PAID $ l V
ZD7 .n4:
' CITY OF COSTA MESA
PARK FEES 6500 7/23/801205.6_7 TU
Fee Payment Receipt 813
Project Address /ea3 'AZiST7A1 V5.
A-P. Number /1 7 - Z/` - 3 / Park Area z/
Building Permit Number 60_3`T 3
Owner's Name
Mailing Address
FEE: Single Family * Number of Units
2-Bedrooms or Less @ $ 861.76 =
3-Bedrooms / @ 1,205.67 = /2--05:191
4-Bedrooms @ 1,545.62 =
5-Bedrooms+ @ 1,810.50 =
Multiple Family **
Bachelor or Studio @ 474.37 =
1-Bedroom @ 573.18 =
2-Bedrooms @ 881.51 =
3-Bedrooms+ @ 1,229.38 = /) �1��
otal Fee *** 2C/�'tT
Planning Department Approve ' L. ' Byp ,i A
Applicant's Signature /1/2 R
* City Ordinance 72-44 CRy Ordinance 72-45 ***City Resolution 78-116 -[�O II130W)0 / 13 Mil
CMF 0174-32 Rev.6/79 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant C I !LL 11 9 U
. I
CITY OF COSTA MESA
CUSTOMER SER VICE RECEIPT
Not Valid Unless Properly
ORIGINATED BY: Validated/Endorsed
Animal Control ❑
Na 42466
Building `I•`I
City Clerk `❑ DATE •-Ct-- .3 l9C)
Finance Received from \ /l J f/ti // HO 0 ti / 0 0 0 'f l(i` ^t,W,hose
Fire ❑ address is Age . 3 / /Lc Thio
nnl ''/ /d2/ /� iiA .
Leisure Services the sum�of$ , for
Planning ❑ �/ f ft) ( f� i t / CV, OC
Police ❑
Public Services BY:
CASH ❑ CHECK Ma MONEY ORDER ❑ ACCOUNT NO. ❑
CMF 0405-22 /{
White—Customer; Canary—Department; Pink—Finance
City of Costa Mesa.
Building Safety Department CERTIFICATE O F OCCUPANCY ..� q q
P.O. Box 1200 t➢�JJ
Costa Mesa,California
The Building located at 377 Finwon StrPot
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 3 Occupancy.
Use of Building_ Carnnrt and Rprrpatinn fnnm
Legal Description A.P_!i117-993-14
(See reverse side for Metes and Bounds)
Building Permit No '':1t /r,nr•ri; Electrical Permit No. fl12C29 Plumbing Permit No. 7 11^
Number of apartments _n_ and/or guest rooms ..n-
ISSUED TO: Building.Officialc
107
Ifunl n .1_ nTAMDUn Victor C. Newton-director Buil::inn •
Date nnrnmhnr 29 11,1n
This Certificate of Occupancy SHALL BE'posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C.
Form BU 34 Rev. 11/70 I�
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