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HomeMy WebLinkAbout3062 TYLER WAY - Building PermitsCITY OF COSTA MESA .��� "'FS, BUILDING DIVISION >�� 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 �" °'° °fi PERMIT NUMBER: BC09-00490 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES -ALT DATE ISSUED: 12/03/2009 ISSUED BY: JOBADDRESS: 30;6:2 YLER� M � Suite/Unit: APN: 14160451 ZOning:R1, , Vicinity: MASTER BATHROOM Primary Occ: Const Type: V -B SQ. FT: 0 Valuation: $2,000.00 SCOPE OF WORK: MASTER BATHROOM REPAIRS TO A SFD. WORK TO INCLUDE REPLACE 1 SHOWER, 1 WATER CLOSET, 5 LIGHT FIXTS, 1 VENT FAN, REMOVE WATER HEATER AND REPAIR WATER HEATER STAND AND RECONNECT WATER HEATER. OWNER: CRANDALL, CHRISTOPHER J Phone: 714-749-6155 APPLICANT: CRANDALL, CHRISTOPHER J Phone: 714-749-6155 CONTRACTOR: OWNER -BUILDER Phone: Cell: ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: "Refer to fee receipts for all fees paid for project Address: 3062 TYLER WAY City/State/Zip: COSTA MESA, CA Address: 3062 TYLER WAY City/State/zZip: COSTA MESA, CA Address: Unit: City/State: License No. License No. $0.00 $69.25 $29.00 $34.15 $62.70 $0.50 $0.00 $1.00 $196.60 License No. 000000 Unit: Unit: : ZipCode PHONE: PHONE: 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE r. INSPECTION TYPE DATE INTMAL CODE r INSPECTION TYPE DATE INTMALS �np' 1616 Fixed System Final Fire Prevention 206 Final Mechanical 49.17-)o 1►M Ips_� 1266 Pool Spa Final 206 Final Plumbing %( 9. j,2• (� MM Q�� 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 BuildingtOmupancy 10 l WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following Declarations: C] 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' compensation Insurance carrier and policy number are: Carrier: (This swim need not w cwoeted l me perm(* vahred at o+re dWtlred spearsWoo) a Mss ) Policy Number: p4%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 It) the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the /Laabb+oorr Code. I shall rthwith cofnly with these provisions. t�--e� GG// 'S SignatureDam lq„ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Class # Contractor's Signature Date CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that them is a construction lending agency for the performance of the work fa which INS permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signalure 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, 9usiness 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 vrith 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).): ,;W-7:17as 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 vrill 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 contmcla(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: 3057-46(.W07)e C Dv l Owner ID verified by driver s license. O<es ❑ No , Df(riw�ers License No. Exams: 9`/ 9 ' Zr� // Veri tfcaiion of Ownership by (type of document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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 worl( authorized by this permit, and that no building structure, scaffolding, falsework, a demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Ari 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. Appllwm's Signature Dale 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? ❑ Yes ❑ 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. Does or will the applicant or present or future building ocoupanl need to file a registration form for acutely 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 2DD cubic feet of Compressed gas at standard temperature and pressure). 3. Does or volt 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? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such Construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for nonresidential 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? ❑ 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? ❑ Yes ❑ 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. 1 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 autho ed by this p rmrt unti I i au; ( M ectien. i oma SnalYre of legal Owner(sl Dare� AndlOr Authefized Appacant City of Costa Mesa �But(ding Division 77 Fair Drive, Costa Mesa, CA 92626 Costa Mesa 714-754-5273 / Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit # "__ 0O O Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been sul>tted in your name listing yourself as the builder of the property improvements specified at 70 6 2 / t/ 92-6?G We are providing you with an Owner -Builder Acknowledgment and In ormation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. a_�_11._1,,understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- CBuilder'"building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are sponsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 4I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that may protect myself from potential financial risk by hiring a licensed Contractor and having the permit fled in his or her name instead of my own. 4A,understand Contractors are required by law to be licensed and bonded in California and to list their cense numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, andAhe total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state end federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. Z7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family (en iat I structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packet template 1 of 2 1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable or any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. J I understand I may obtain more information regarding my obligations as an "employer" from the Internal 'Reye un a Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. !/�1a I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally d financially responsible for proposed construction activity at the following address: � 1:agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the propertX owner's signature. Signature:bf_property owner Z— �f Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 3148-30 CALBO Jan 1, 2009 OB Packet template 2 of 2 l CRANDALL RESIDENCE 3062 TYLER WAY COSTA MESA, CA 92626 SCOPE OF WORK: Repair plumbing in master bathroom due to leak. Repair will include replacing master shower and replacing water closet. Bringing lighting up to code. Repair water damage in garage at water heater. Notes: All work shall conform to the 2007 CBC, CMC, CPC, and CEC and the 2008 title 24 energy regulations. The placing or discharge of illegal pollutants, construction materials or byproducts onto city streets or stormdrains is prohibited. Smoke detectors required in each hallway leading to sleeping rooms, in each sleeping room, at the top of stairways, and on each story. 34" FA m i Q SRO, I' eact 4 eaa4 Nwa 60"� Plan Check Extension Request Permit applicant, please complete this form and either: • Submit it in person to the Costa Mesa Building Division at 77 Fair Drive, Costa Mesa, OR • Mail it to Costa Mesa Building Division, P.O. Box 1200, Costa Mesa, CA 92628-1200. Last Name If /' k h c/o / / First Name: Company Name: Mailing Address: 3'c G Z / ' l e,� r- L•- C_ 1, City/State/Zip: Cvrf— Zit cst Phone Number (with area code): -7/,v Ah 8- 98 8 S E-mail: Pt AN CHECK INFORMATION Job Location: ?o 6 Z List All Plan Check Numbers: /C2+ C:) r) / State Reason for Requesting an Extension: I hereby certify that the above statement is true. Signature Title of Applicant Date OFFICE USE: Current Expiration Date: r): 06 690// Department Action: ❑ Denied Approved - Updated Expiration Date: / R 0 f) Ia i Ent Name: e-'17a/IPS � 4 m o a ., Date: I Comments: 32""6 UWNtl< BOOTS, Robert UAIL �0 73 JOB ADDRESS I lnr� m,.To wa,. BUILDING PERMIT NO. 36880 RACTOR DESCRIPTION of WORK Add family room A' LOT 41 TRACT 456r) FIRE ZONE VALUE $ 8400.00 IN— "CTIONS Signature Date IGROUP T TYPE v ZONE RJ. SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Si nature WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE O HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heotin and Vent. TRENCHES ❑ FORMS STEEL REINF. L] FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLI—ER, BROWN COAT S' URAL, FINAL t' HEAT iNG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC. FINAL /7 I1 A • 0 11 1 3688.0 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely [ADDRESS WNER 7 f- AIL DDRESS 4 1 I ITY C_Q j' 'E 4 NO. ONSTRUCTION ! II, ENDER rI 1 I U RANCH �{pj (y(1 Cit° j 415e/1,5 ARCHITECT�TE LQ/ll _U,.x f_"�' M nts �n in * **** JUN ?9-73PaLn5003737 62.09 APPLICATION FOR BUILDING PERMIT RCEIy D Y ATE ECEIVED D TE ISSUEI i A.P. NO. I ^6O`/- j P 069t BUILDINd ADDRESS .3 C T \ L.tR WA -iv TRACT `5 (. 37_1 LOT 4''BLOCK OWNER I%.. s I hereby acknowledge that I have read this application and staterTHEPURPOSE CONTRACTOR BYrbuv Y OAT that the above information is correct and agree to comply with nr ADDRESS TEL. ZON NO. OF USE OF NEW CITY NO. PLANS BUILDING / O STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE y NO. OF BLOTS. (FROM C/L S T the State of California Business and Professions Code, Divisicn 3,T OF NOW ON LOT RONT FT USE OF y=o•ooX .3, oC� EXISTING BLDG. Professions Code, Division 3, Chapter 9. FT. SIZE OFANO. OF s.A. oft9 NEW BLDG j, ROOMS STORIES L. SIDE FT.iLII T. EXTERIOR WAL�.' �?� /r CHECK $ COVERING COVOERING SS C REAR FT FT. USE OF BUILDING AND WORK TO BE PERFORM DISTANCE BET. RET. MAIN & MAIN BLOCS. ACCESS. BLOCS. t VAR. aW DATE J741Y 00 C. U.P. sj'+ APPROVED APPROVEDCV �� nV W I hereby acknowledge that I have read this application and staterTHEPURPOSE $SPt that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. b 1 hereby certify that 1 am properly licensed as a contractor underFT. �' O SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3,T Chapter 9, and that such licenses are in full force and effect, or I OF ESTABLISHING A PERMIT EE ONLY: am exempt from the provisions of the State of California Businessand Professions Code, Division 3, Chapter 9. oft9 PERMIT FEE $Signature Permittee (K+1 .�/). ✓ i� ePLAN CHECK $ o LL Authorized Agent TOTAL FEE $ ek` OWNER FAKUWj LEU DATE) -e -o7 JOB ADDRESS 30 2 Tyler Way BUILDING PERMIT NO. 23676 GENERAL CONTRACTOR Anthony Pools DESCRIPTION OF WORK Pvt. S1�e,�im Pool AP NnI LLL-r(ih-4l LOT TRA(`T RiRR MNP.. VAf.11R fkoo.00 r'=;�OECTIONS Signature Date GROUP J TYPE III ZONE Rl VI SUBCONTRACTOR PERMITS ISSUED Gas Date I Number I Signature Water P�lum.bin Rough Plumbing Prop. Swr. Line 0 House Con. ip Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground p Power;p Rough Wiring Heating and Vent. Trenches F_) Forms ❑ Steel Reinf. ❑ Floor System _ Bond Beam ❑ Steel Reinforce D Sheathing Frame and Flashing Lathing — In p Out p Plaster, Brown Coat S' tura], Final Electric h .ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test ❑ Electric, Final Building, Final e 23676 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 3062 TYLER WAY COSTA MESA, TC�ATLIFORNIA nwvrR LEO RAKOW ARCHITECT TEL. OR ENGINEER T LARSON No. 587L FIRESTONE BLVD. 5871 FIRESTONE BLVD. 120X85X45X12O I NO.o.rr L.DOS. BETBACK LINK FROM1 CENTER OF STREET 3 REAR YARD 16 BIDEYARDI LEFT 61 I RI NT 6 1" DESCRIPTION OF WORK NF" RECEIPT NO. A AL z 3� z6 BECK ED BY REPAIR_ TE 1 BU6D Mc DING 449 8 SIZEI ZONE E GR UP EXTERIOR WALL ZONING COVERING A "�� USE OF BUILDING AND 1 HEREBY ACKNO AND STATE THAT PLY WITH ALL BUILDING CO I SIGNATUR OF A AUTHORIZED AGENT' I 1 HAVE READ THIS APPLICATION IS CORRECT AND O COM. :HS AND B/TAT6 S RHO LATINO FEE RECEIVED MAR 2 14 FINANCE IINANCE DEPT. APPLIAAFF;Q4eAW BUILDING For Office Use Only RECEIPT NO. PERMIT NO. z 3� z6 BECK ED BY DA RH EIvED TE 1 BU6D z 6 2 6 Bull DING 3062 TYLER WAY 8 FIRE ZONE E GR UP BYPROVED DATE ZONING ZONE No. OF UBE or NEw^ /] PLANE LEGAL DESCRIPTION LOT / `-�7 / A. P. NO. —617 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SO' TO SIDE 89 REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING I FROM C/L STREET) FRONT '7J FT. FT. R. SIDE FT. FT. L. SI E `S FT. FT. REAR 4FT. FT. DISTANCE BET. BET. MAIN S MAIN SLOGS. ACCESS. SLOGS. VAR.# DATE C.U.P.# APPROVED P BY 1 ATE rf.TG6 FOR SP IA REQU R5MFNT5 SO. FT. THE AMOUNT SHOWN UNDER VALUATION IB FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION r�II PERMIT FEE $ $ 2400. K �� TOTAL FEE 5 ( OWNER SEAVIEW HOMES, INC. DATE Cr19-62 JOB ADDRESS JUOe Tyler way BUILDING PERMIT NO. 17332 GENERAL CONTRACTOR S -V. Hunsaker& Sons VALUE 51 ,253.00 A^ 'J. r.f1T l '1`RAl:'1• S R RT1: 7nniF rWQ0n TnTTnAr nc mnovRn c m n� tic _rA, II. 1ECTIONS Signaturel DATE GROUPIW- TYPE V ZONE El Soil �ajc<em 2. -s SUBCONTRACTOR PER TITS ISSUED Gas '2-G3 DATE NUMBER Water _ S�9•-( y Rough Com. Refrig. ❑ Air ond. ❑ Rough Heating Rough Plumbing MfX Miscellaneous Prop. Swr. Linc[1-House Con. t'Swr. ❑i4T1 Sprinkling System _ + 7_Z Construction vote Underground ❑ Power "ugh Wirin / .�V •�7 . G7 — �_ -G — - ✓1 renc es orms ee em . 77 7= 77 -7 -77 -0 - Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and FlashingS7- I - ",ing — In E;/ Out Uq� 1 =r, brown coat Retng. ❑ Air Cond. ❑ Final Heating, Final D70 4i -2 - Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final .jC_,(z OCCUPANCY FORM BU4 - 5M — 7.61 -1-1 JX 17332 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Complei TYPE OR PRINT 3(576z FEE :RECEIVED Jun 1,-51962 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. P MITNO. OWNER MAIL ADDRESS W Almond RECEIV99D��BY O R SK; D DATE 199 D u[_- —/—�i JUN I TEL. Orange BUILDING CITY NO. ADDRESS CT E ITENEE COSTA MESA, CALI ORNIA OR LoweryN0�.76131 � 2127 N. Main, Santa Ana IRE ZONE TYPE GROUP�T CONTRACTOR S. V. Hunsaker CF[ Sons APPROVED BY DATE ADDRESS 15855 E. Edna P1. ZONING ZON�-I NO. OF I UHE OF NEW Si-rr CITY Irwindale PLANO 2, BUILDINO W LIC. 164929 TE No. ED. 87361 LEGAL NO. "to" SIZE X J D I NO. OF BLOO8.0 -� OF LOT Now ON LOT p, P. NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM / , O (CENTER LINK ST.) CENTER OP STREET REAR YARD FRONT FT. IN- I / I / o�� SIDE YARD LEFT RIGHT R. SIDE / FT. IN. DESCRIPTION OF WORK —_ L. 6IDEJ FT. IN. NEV I II ALTERATION I II ADDITION I REAR r • FT. IN. REPAIR �6I MOVING II DEMOLISH B,DATE APPROVED6/Y-L K/(14469 BUILDI NO. OF x 1 SIZE ODMS STORIES EXTERIOR WALLStUCCd ROOF C m . COVERINGSldln COVERING // 2 Q USE OF BUILDING AND WORK TO BE PERFORMED a a e G Plan i HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB POR THE AND STAYS THAT THE ABOVE 16 CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL ORDINANCES AND STATE LAWS REGULATING VALUATION A BUILDING CONSTRUCTION. s4GNASIGNATURE OF s. . HUNS Bt OIC PERMIT FEE S GV ^1 PLAN CHECK S Gl TE AUTHORIZED AGENT '7 � TOTAL FEE o/'