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Home My WebLink About1741 Tustin Ave - Building Permits (23) ' ,1,511 M` CITY OF COSTA MESA _ BUILDING DIVISION F ,i DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER � ; PERMIT-- ' — --- — M05-00668 qboo (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1741 TUSTIN AV Status: ISSUED Suite No 18AA. .__ _ .... Applied: 11/21/2005 Vicinity: lit Issued: 11/21/2005 Parcel Number: 93328061 ISSUED BY: Applicant: TINGLEY, JEFF Address: 11861 CARDINAL CI UNIT F - `.Phone 714-534-8474 '«_ GARDEN GROVE,CA; . - ' , Zip: 92843 _ Owner HAYASHI;-DENNIS TOSHIO Address: 1741TUSTIN AVE#18A , ; _COSTA MESA,CA Zip: 92627-3294 '" _ - -- Contractor, BEL AIR COOLING AND HEATING Address: 11861-CARDINAL CI - ".UNIT F Phone:,i714-534-8474 '- - - GARDEN GROVE,CA Zip: 928437--'�'---- — ' . - - - - • License:-710334 t 'i . : r ' SCOPE OF PERMIT., '' ' '., CHANGE OUT FURNACE LOCATED IN THE ATTIC.FOR UN_IT 18A°-'--- _ . FEE SUMMARY «' Quantity - C., - ' ' Quantity ISSUE FEE-- _ - $23.50, . . .-• : -Repair/AltAbsorbtion Unita; • � ,<.' $0.00 0,- - ' Inst FAU<100 k BTU `�c- --$14 80 1 ,Repair/Alt Refrigeration UUnit $0.00 '0 Inst FAU>100 k BTU ; d $0.00 --0 - Ventillation System '2' - ,+r- , - . $0.00 0"' Repair/Alt Cooling/Heat a $000" -0"f'< •-- - "--< Evaporative Cooler =� fa"' $0.00 0 c Inst/Rep.Recess Wall Htr $0.00. 0 Commercialincinerator ' - $0.00 0 . ' Refrig Sys<100 k BTU $0 00 0. __Domestic Incinerator . -; $0.00 0 Refrig Sys>100 k BTU „.i..$0.60/-, 0r - _ • Compressors/Absorption Systems ¢ GasPiping yt� -=,$000 0- "', r,. ',,, Upto3hp/100k_BTU Factory Fireplace - $0.00,_ 0 --3 To 15 hp/500 k BTU -' .,- $0.00 0 ' Hood w/Mech Exhaust - • $0.00 0 15;To 30 hp/1,000 k BTU $0.00 0 . VAV Box_ $0:00" 0 30 To 50 hp/1,750 k BTU - . .'r $0.00 0 Vent Fan/Single Duct - $0.00 0 Over 50 hp/Over 1,750 BTU' ' ` '$0.00 0 Appliance " , $0.00 0 • Boilers �l° ' r Fire Dampers- $0.00 0 - ,,.jJp to 3,hp "$0.00 0 Smoke Dampers $0.00 0 " '-�,,,, ' 3 To i5 hp ' $0.00 0 Inst or Relocate Appl Vent ri.$0.00 0 , ,;.,,p'-- .15 to'30 hp,- r '"r I.. $000 0 . Air Handlers<`10000cfm- $0.00,-;4.0:,;!---_, , ,30 to 50 hpt;� .as ,„r .$600 0 Air Handlers> 10000cfm $0.00 0 ; 'tr., •-• - Over,50 hp . -. _ $0.00 0 Floor Furnace ° , -,$000 0 r ,Other Mechanical Fee/,, ; - Floor orSuspend Heater $000 0 " - -` - _'Investigation"Fee , $0.00 - ,',Plan CheckFee'r ,-k®. - $0.00 `Reinspection Fee ee -•/ $0.00 ..;-, e'-r, . _ ,TOTAL CALCULATED FEES $38.30 fi%, ., - COMMENTS'/:SPECIAL CONDITIONS, '" S,. • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be consider$9'legai,rh-work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 , 2446-46(6/00) DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one Of the following declarations: . - ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 1I.have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. -- My workers'comps atlon I,nr dance carrier and policy number are: /[y Carries�'15kes PAG7AY ' Policy Number: T-O 3 C -(This section need not be completed if the permit is valued at one hundred dollars($100)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 the workers' compensation laws of Califomia,and a ree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these rovisi s. .-------- -Applicant Signature: rOato: A i—� / Cd ( WARNING'FAILURE TO SECUR MPENSATIOrNCe t •W TWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COSTOFCOM- ••,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: v"`1trt% I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of D vsion.3:of.the_Business and Professigns Code,and my license is in full force and effect.Luc. e 1--r � (rte„, Class# Cn a U C Coni ectoYs Signature. Date:? )^ e..,o. III � � 0.. r--a � CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he Or 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 9 I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at Standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any ' one time has on hand a quantity of acutely hazardous materials equal to or greeter than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). . 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No ...m..... p.. p to .i. ol to......o. fe... 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions, Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. S'• ature Of Ler. • ?.1Ta. • Date 1" rn&Or All z1.4C'r Apel'0 -\ ate 116 S INSPECTION TYPE \I. )NTRIALS OPEC INSPEFinal ec Tan -- 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final.Demolition 250 Final Building/Occupancy 4 w• CITY OF COSTA MESA - 9: A BUILDING DIVISION �; PER NUMBER rutDEVELOPMENT SERVICES DEPARTMENT �a ;; PERMIT 699-01421 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1741 TUSTIN AV Status: ISSUED Suite: 2 Applied: 09/07/1999 Vicinity: Issued: 09/07/1999 Parcel Number: 93328004 Zoning: {{�� Applicant: JOHN SMITH ISSUED BY: c-' Address: . ,- , .Phone:' i . // _ , Owner: ORLEANS COMPLEX - Address . - -COSTA-MESA CA " _ Phone; _ /,f 1741 TUSTIN AVE Zip 92627 ` -., '/, v- \ Contractor. /JOHN SMITH ROOFING v- ,2 vv Address: -.3410 LA SIERRA,V -r V; F149,- -, Phone: 909-657-5600 , RIVERSIDE,CA i' Zip:, 92503.x/ License:.', 443878 Arch :, • : : ' - - • Eng: . . Address: - - c ` - • - Address: ,, ". Phone: , - _ - - ''. Phone: Zip: : ,- a�,- - License: License: ' p ' SCOPE OF PERMIT `v v '/i REROOF,-T/O, USING EXISTING SI-ITG, 1 LAYER OF 30#FELT,&NEW 30 YEAR COMPOSITION SHINGLE ROOF. ,. . vv _. _ - FEE SUMMARY • Plan Check: . $0.00 \ Calc Valuation: $5,350.00 Permit: -_ $125.25 , v „. _ ,-- `.'' f /.:‘,- Claim Valuation: $5,350.00 . SMIP Res: $0.54 -- 2f ,: ' v SMTP Com: ' ' $0.00 , Other $0.00 ! , .,Inspection: ` . $0.00 Total: . $125.79 ,• . . - - . . PLANNING &ZONING,. . - SETBACKS ' . MAIN STRUCTURE Front 0-0 ::'- Rear 0-0 Left 0-0 , Right 0-0 ACCESSORYv -_-Front0-0 -,Rear, 0-0 Left :�0-0 .' - -- Right CO.-0; - PARKING vExisting: - 0 , Required: 0 Proposed: 0 , NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS I WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'comy nsat on Insurance carrier and policy number are: Carrier: ‘TI*i% FUND Policy Number: eeit(.6497 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the perform ce of the work or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws f Calif ia,a d agre at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these visi Applicant Signature: c Date: 9-7--' t9 WARNING:FAILURE TO URE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE( ,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed oder prow Bions of Chapter 9(commencing with Section 7000)of Division 3 of the Busines�s,and�fessions Code,and my license is in full force and effect.Lic.-a 7�7S Class a �L Contractor's Signature: `//{y7L9--Ys[( Date: L9'— 7 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: _ _ Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale. If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: ' 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2..._. i.11.the nt or present future o.fi..... on ....acutely d m. -..__... ....No 2 Does or will the applicant or present or future building occupant need to file a registration form for hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). • 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ...---...... . .. . ..........., _-----.... ................ ................ 4 If an RMPP isspresently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of thisapplication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes U No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. eil Spture • al Owner(s) 9— Date 5 And/ Authorized Applicant Date CODES. INSPECTION TYPE DATE INTRUL$ CODE 1 INSPECTION TYPE, DATE INTRIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final p p 208 Final Plumbing 200 Final Re-Roof -!-iq}'-( ' 4- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy _ 2446-46 ASINIMEL BUILDING SAFE' •)EPARTMENT• J P. O. Bos No. 317 - - • 1 9 Costa Mesa, California • Date /2 - /3 _ G1- CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No./!"5-9Clectrical Per it No/2&"i Plumbing P rmit No.3-3'796 Use of Buildiur ' a -.R4 P /-24,4( 1- 31, 2Lts / D S'— / b/G .74 / U 7�' Z•y-, 28, 2C The building located aatL / 741/ Legal Description'CAA /"9 '7 nil zfr!--\1/3). 4 / Vis' ��/-.�.�/'�a•/�� (See reverse side for Metes and Bdunds) has been inspected and found to comply with_ the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group �„/ Occupancy. ISSUED TO: grin/ / �f J/✓fj City" ZT � fic �� (Owner of Building) ByriJif�/Ki '(.r✓ir�-� CC: ❑ Original—Owner ❑ 1st copy—Gas Co. 0 2nd copy—Fd+`n,Co. ❑ 3rd‘ody—File Form 206 S-B P 1M 1-60 OWNER BRAEBURN CONSTRUCTION CORPORATION A 6 G DATE 3-20-62 JOB ADDRESS 1741 Tustin Ave., Bldg. 2, Units 105-106-107 BUILDING PERMIT NO. 16570 GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 39,523.00 AP No. 117-281-2,27, 28 TRACT FIRE ZONE DESCRIPTION OF WORK 3 Unit Apt. INSPECTIONS Signature DATE GROUP H & J TYPE V ZONE R-2 Soil �� Ar PERMITS ISSUEr - Gas a a^ SUBCONTRACTOR DATE NUMBL _ Water G(/ 2— Rough Corn. Being. ❑ Air Cond. 0 Rough Heating � A/.?i 0. 7 �__--L-6)- .5-6-7-7j Rough Plumbing L// 7-62 /Z(,.G ,�c�tj �i h_ S-/(z'67-' 3-77G7,'i Miscellaneous i, Prop.Swr.Line ❑.House Con..❑'St.Swr. 0 ih. %4i'e'Ut 1yo,J,,,t�' Sfwfr t 5 Sprinkling System N Consion Pole ft 1.,_•^' truct Underground 0 Power 0 �/ _ Rough Wiring eaN.7' /-`r' (/'�/P ne Ai EYd24n? 7?-6)- 7e/9 h ,� w) Trenches 0 Forms 0 Steel Rent 0 p,5Yfl c" re Z S - er 3-- Floor System Bond Beam 0 Steel Reinforce 0 , Sheathing ff .9 - V-Li Frame and Flashi�nj /j a 5 - ,may Y Lathing — In i Out nict-L9o.— /a/-- 6 }� Plaster, brown coat _/yjt. 9_ , R— 6"-- --- Rang. yRefrig. 0 Air Cond. ❑ Final _ Heating, Final G(/ M Q"�R Plumbing Fixtures, Final (-'- "129.€.1 Final Gas Test Asee- b!� 77j l— Electric Fixtures, Final i .% - �-Gpy Building, Final j_ ,t / //n OCCUPANCY ,rn ti.l .% f4,rvi7- FORM 6U4 5M — 761 `� �'' ^' "' " 16570 • .: • • 16570 COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P. O. BOX 317 COSTA MESA. CALIFORNIA LIAR 6 1962 For Applicant to Fill In Completely APPLICATION FOR MANCE DEPT. TYPE OR PRINT �nI C- BUILDIN al OF COSTA MESA BUILDING y ,Zn ,LSj ADDRESS 1741 Tustin, Bldg. #2 (,/,v;7:6 /06-/06 -/C7 COSTA MESA. CALIFORNIA For Office Use Only raeburn RECEIPT NO. I PERMIT NO. B OWNER Const. Corp.Corp• 6570 MAIL REC VED BY DAJTE RE IV D DTE�ISSUED•2 ADDRESS O Box 1937 AC I ..�,^ CO- MALR .. 0• TEL. )�V crry Newport Beach NO. 0831240; BADDRESS ARCHITECT D� TEL. COSTA MESA. CALIFORNIA yBD OR ENGINEER ILL. R1barepr NO. 00831642 ADDRESS 3'5e5L Via Lido. Newport Beach FIRE �1 Buccola DO ZONE TYPE GROUP /l7�� CONTRACTOR Geo. D. APPROVED *LDATE j/J/ �- ADDRESS 3700 Newport Blvd. _ ZONING CITY Newport Beach ZONE I NO.OF USE OF NEW -3Nni/ /'j�0 q T� /,^ 47-7_, PLANS a I,BIUILDING STATE NO. (�./(�� Yg/NEDI. 0811240 L DESCRIPTION at /c 7p~ 4',J 2r' SIZEOF LOT 330' Z'�6tl-� `Sl/ I NO. OF BIDCe. 0 A.P.NO. // / — Z .9/ — 7- -1-3 v NOW ON LOT USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE PRON /' A (CENTER LINE ST.) u ® /�. CENTER OF STREETE.y-f REAR YARD71-/ FRONT 2 / FT. ��O��°�Gw4�-"V� IN. SIDE YARD I LEFT $6 7 I RIGHT oo- 0 R.SIDE 3c FT. �(J-¢C[d Th. IN. • DESCRIPTION�/ OF WORK L.SIDE 8bFT. 7 Ge�S'<C,% IN. NEW I X II ALTERATION I V ADDITION I REAR c 9 FT. / le..4 1z IN. REPAIR I II MOVING I II DEMOLISH I BYPROVEDG/jsr� DATE ?'/bcil/(- BUILDING. NO. OF ) SIZE 7/ g 3/1 ROOMS / ,S STORIES 2. EXTERIOR WALL ROOF COVERING $taco COVERING Tin Or - USE OF BUILDING AND WORK TO BE PERFORMED ,-.3 uet,ii A1p7- // /� -Fl 7,960 Di , y32. I HERESY ACKNOWLED E AT NAVE�T 0 THIS APP • TION THE AMOUNT SHOWN UNDErISVVALUATION IS FOR THE AND STATE THAT THE A VE FO-'rj• AND A-r-E 6 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY INAN EB AND TATE LA •. - (ELATING BUILDING CONS ON. I VALUATION p — SIGNATURE ?Pr i PERMIT FEE $ �/ PERMITTEE i - 2 9/� . C� L _n $ �J / `� 23 X PLAN CHECK S J2, 3 O AUTHORIZED AGENT TOTAL FEE $ 2-/(• `7 O 1