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HomeMy WebLinkAbout3068 TYLER WAY - Building Permits e PROJECT ADDRESS: 3068 TYLER WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 068667 OWNER•SNAME: FISHER, BETTY L ADDRESS: 30068 68ATYLER,WAY 92626 PERMIT NO; M 068667 PLAN CHECK NO: N GOVT: N SUPP : N CONSTRUCTION TYPE; V—N PERMIT TYPE; MEC PURPOSE: OTH 546-0997 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION , INSTALL ONE 3 TON A/C UNIT SQ FT; ADDRESS: UNIT: CLAIM VALUE; 3, 720 . 00 CALC—VALUE; GROUP OCC : R-3 / PERMITTEE: DICKSONS INCORPORATED ( 714 ) 545-8289 ADDRESS: 1918 S MAIN ST COMMENTS; ALSO HAS ELECTRICAL WORK FOR THE A/C SANTA ANA CA 92707 **'**+rttyrityrx*yr*****yEirftx*x*Tr+r*+tttyrrr******* yE*s6*rH**************y6f6yrx-1Lx****x*Trx**+eTr*feir LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 2 ON INC REQUIREMENTS 7000)of Division 3 of the Business and Processions code,and my license is In lull force and effect. S E TB ACK S CITY�¢ 0 4 98 STATE LIC.: 4013 7 SS: C (20. EXP: 04 /95 � �i signature:_ _ j{Z�,,4 MAIN BUILDING ACCESSORY BUILDING D . p N � " "� FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKER COM ENATIONDECLARATION: Iherebyaliitmthat Ihave amilitate ofconsent toselt-insmeLLL acenificateotWorkers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN Compensation Iomtgse4o8a2VifieQjcr thereof(Section 3800.Lab.c3.3/01 /9 5 POLICY NO.: EXP.DATE: COMPANY: STATE FUNDEXP. PARKING REQ; PROV; PARCEL; 14160449 ZNE; REF NO: • O Cert ied co y is hereby furnished. IJ'Certified is filed with Il�p city Buil g Di Tion. PLANNING NOTES> \'V > /�f'A•Y' Applicant: N� ******************************************************************************* EXEMPTIO FRO WORKERS' DECLARATION: (This section need not be completed if the permit is to one hundred($100)or less). D E V E L 0 P M E N T $ E R V I C E S R E Q U I R E M E N T $ 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 Calitornia. ZONING APPROVED BY DATE: Date: Signature: BUILDING APPROVED BY ; NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor \ellDATE: Code.you must Mahwah comply with such provisions or this permit shall be deemed revoked. ISSUED B Y; CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATIONt DATE; U )/1 ' which this permit is issued(Section 3097.Civ.C). **************************** ***** *** • .* *****************************'x* ********************************************* • '******************************* ADDRESS: LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:N 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 FIRE 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 18 ,00 repair any structure.prior to its issuance.also requires the applicant lot such permit to tee a signed statement that he/she is licensed 25% SMIP/NON—RE S pursuant to the provisions al the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 . 00 any applicant or a permit subjects the applicant to a civil penalty of not more than five hundred donors(SsaD). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 18 . 00 15 , 00 0 , 00 33 , 00 / 33 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law ,/ does not apply to an owner of a property 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• 33 . 00 OVER/SHORT: . 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 33 , 00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Processions Code: The Contractors State License Law does not apply to an owner of properly who builds or improves thereon .**,**,**,N,*,fh,N,*****,****,*,*,********************************************************** and who contracts far such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 , 00 9 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H9 , 00 9 , 00 25534 and that I or any future building occupant win/veil not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. r• Date: Applicant: EXPIRED I hereby certify mat I have read this application and state that the above information is corn I agree to comply with all city and county Iplate lnspeeti0nS. V/ ordinan ,s and state laws relating to building construction and hereby author' representative of this city to enter upon the above-mentioned t pro for insaedianpurposes. l 1 � 1 11.N Fr�rpECET 33.00 t N< � I\• h'(—— 01 00166837-00166837 TDATE: 08/2?/44 TINE: 14:42 Date.—_10:1______ Signature: Driver's icense or Social Security a: 1641.46 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor --I CONSTRUCTION AND PLANNING POOL JPA 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-Undrgrnd. '• 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ERGrnd. 57. APPROVAL TOCOVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . 7 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 & 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 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. Undergrotind Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas C Oil - - 23. Gas PipeiRough & Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil . 25. Roo` Sheathing • , 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . . . 27. 'Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding77. FIXED SYSTEM FINAL 29. Insulation - ) j 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 Ga; 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. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING �i t 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 3 PROJECT ADDRESS: 3068 TYLER WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 068668 OWNER'S NAME: FISHER, BETTY L ADDRESS: 3068 TYLER WAY PERMIT NO; E 068668 PLAN CHECK NO; N GOVT; N SUPP : N \• COSTA MESA, CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE; ELE PURPOSE: OTH 546-0997 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; INSTALL ONE 3 TON A/C UNIT SQ FT: ADDRESS: UNIT: CLAIM VALUE: 3, 720 , 00 CALC—VALUE; GROUP OCC: R-3 / PERMITTEE: DICKSONS INCORPORATED ( 714 ) 545-8289 ADDRESS: 1918 S MAIN ST COMMENTS: REF: M68667 SANTA ANA CA 92707 +r+r**kFx- -dP**aPareP+r*+rkr**1P-tt*****1Park6dP-x-a6dr*kP**dr1t-dr1t**k6*1E*drk6*x***+re6*****dr+Px-x-k6-x-x-x-***k ***dr* - LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS moo)Coif Rive m 31414 t usmess and Proles s C de nd my license is in full force antl effect SETBACKS CITY LI{.1�� 9.r STATE LIC.: �l ��/ cans � 20 XP; 04 /95 UI q SignatureYV111^ `,_!0• MAII BUILDING ACCESSORYIEAILDING uaie._ FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN WORKERS'COM ENSATION DECLARATION: I hereby affirm that l 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 Compensation 10535e4E2c2tatee)c4ey thereof(Section 3000,Lab.0.3/01 /95 POLICYNo.: STATE FUND EXP.DATE: PARKING REQ; PROV; PARCEL ; 14160449 ZNE; REF NO: COMPANY: �( �n PLANNING NOTES> ❑ Genie copy s hereby furnished. df Certified cp 1p filed with city Builtli Division. > ******************************************************************************* ate: Applicant: . DEVELOPMENTT SERVICES REQUIREMENTS EXEMPTION FROM WORKER'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). \ I certifythat in the performance of the work for which this permit is issued.l shall not employ any person in any manner so as to become ZONING APPROVED BY subject to the Workers'Compensation Laws of California. DATE Date: Signature: BUILDING APPROVED BY : , NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor j DATE' Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED B Y; / /) LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ff ,*5t DATE: c--2-4(-- CONSTRUCTION �! which this permit is issued(Section 3097,Civ. Cl ***********************'***'**' .4**** **** ***'* ***'***'**4***************4** * * ************************************ *********' �***************************** LENDER: ADDRESS: LEGALIZATION;N F E E S U M M A R STRUCTURAL SEGMENT;N • OWNER BUILDER DECLARATION: rnereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or 7 , 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% , SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN ' and Professions Code)or that he/she l5 exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 . 00 .,� any applicant for a permit subjects Ih¢applicant to a civil penalty of not more than five hundred dollars(5500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 7 , 50 50 15 , 00 - 0 .00 - 22 , 50/ 22 . 50 , 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law J does not apply to an owner of a property 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:•y 22 . 50 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC - '. FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 2 2 , 5 0 I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business - ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of properlywho builds gr improves thereon **..*..*.*.**..***.*.*.*.*..**********.********************,*********************************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. fur this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: ELE 1 MOTOR/POWR APPARATUS 1 • 11 —.1.0 ,0 HP 7 . 50 7 • 50 I do hereby cenity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and EXPIRED 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 ' permit for Construction or modification from the Air Ouality Management District.Residential construction applications are exempt from incomplete f r.spe'ct $ these provisions. 1 Dale: Applicant: [ 'N._�I,S , �„ V I hereby certify that I have read this application and state that the above information is c rect.I agree to comply with at city and county ordinance and state laws relating to building construclio d hereby atWidEize represent fives of this city to enter upon the above-mentioned prop.4 ar ins•'ctioi purposes. `Ilttl 01 00166836-00166836 TOT 22.50 1 ( L • Signalur L._ a N t-•— j'. DATE: 08/29/74 TIME: 14:41 Driver's License or Social Security#: • 164146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA 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-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5:-Steel Reinfordement 56. Rough Plumbing & Pressure Test 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 & 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 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,ts, in Structure 7 . 70. Underground Hydro 22. Ducts, Ventilating " 71. Product Piping 0 Gas poi, 23.,Gas Pipe-Rough & Test , 72. Underground Flus$ 24. Roof Framing " 73'. Undergrnd.StorageTank.0Gas 0 Oil 25: Roof Sheathing ' 74. Overhead Hydro- 26. T-Bar Ceiling (Structural) & Monocoat75: Dry Chemical • '+ • ' 27. Frame and Flashing • • - 76. Dry Standpipe , - ] 1 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation •• I i I I. 78' FIRE PREV. FINAL 30. Drywall Nailing ! I HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat I I � 79: FINAL INSPECTION i 32. Electrical Power Meter-Final t - '80.• FOOD CERTIFICATE ISSUED ,33.-FinalElectric i ! - Notes: (pf I 6 ,� & ' s ,34. Final Heating & Air Conditioning � L_ � �= mL. ''41 ' f� 35. Final Gas Pipe-Test 36.'Hood or Canopy ' 1 f p.S- /1 .... , (.: '37. Final Factory Fireplaceer-• I ( 1l / �_SJ t�/�`' "'+. 38. Final Plumbing - i 39. Water Service-Final ' I 40. Gas Service-Final • I l 41. Solar Domestic-Final 1 . 42. Backflow Preventer ! - 43. Backflow Irrigation . • 44. Landscape Irrigation System . - 45. Sound Attenuation i ' 46. Handicap Regulations - • • 47, FINAL STRUCTURE & BUILDING 48. FINAL PLANNING I ' • 49. Electric Release to Edison I i 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date • 7330 FE RECEIVED JUN 151988. COSTA MESA BUILDING-SAFETY DEPARTMENT MANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY oC COSTA Mem For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT 3q BUILDING /8 _J p"/�� BUILDING ADDRESS 3 o6 / ��.a /I/ 4'y COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I PERMIT NO. OWNER $aavin'a NnmaR Inc ' 73 MAIL RECEI BY �TE-�Ery _ ( mATE Is � ADDRESS 1602 14. Almond I 4 1 9 j• 1 • TEL. BUILDING CITY Orange NO. ADDRESS __ ARCHITECT TEL. OR ENGINEER Ramberg & Lowery NO. KI.76131 COSTA MESA. CALIFORNIA ADL .as 2127 N. Main St., Santa Ana FIRE ZONE TYPE Y,/ GROUP \ �I� /�/^/ ���11I��I CONTRACTOR S. V. Hunsaker & Sons APPROVED O BY DATE ADDRESS 15855 E. Edna Pl. ZONING . �J' _ ZON USE OP NEW.$',. &JAI CITY Irwindale K-( I PLANS Z_.I BUILDING w/ X1 S • T Trio. 164929 NDL:ED. 87361 LEGALDESCRIPTION l4,„--/-4,„--/- 3 7 lic V .3 6 ../-4.1/) X /O 7 NO. OF BLOCS. OF LOT Y/`� CJ• NOW ON LOT UF A.P.NO. USE OF YARDS EVES EXISTING BLDG. _- _ APPROVED ALLOWED SETBACK LINT FROM Sv / REAR YARD ' FRONTR LINE ST.) OF STREET VS-r-FT. IN. SIDE YARD ( LEFT moi. I RIGHT R.SIDE FT. IN. DESCRIPTION OF WORK — L.SIDE S FT. IN. NEW IR II ALTERATION I • II ADDITION I REAR 2 .5--- FT. 6 / IN. ._ II MOVING I II DEMOLISH I APPROVED /�Rtrz) DATE 6. //d/� REF....rI 4i!N" BUILDINNO. OF SIZEG x S�_�ROOMS STOR I ES 1 EXTERIOR WALL i nri CoI ROOF COMP. ; n-S f /3oopf COVERING st COVERING q ht p.e�_ - `/fes/v.aG USE OF BUILDING A1413 WORK TO BE PERFORM D Ringla family dwe ling with ,-- 5,.E _ X-Zp attached garage/-- ;�9g _ NNS-il Plan ger ✓ 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 CON. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF S. `/ IR I) PERMIT FEE $ � PERMITTEE •"' /) e_ / / S / *(4/7/ PLAN CHECK S c2? w' AUTHORIZED AGENT .V %' E F TOTAL FEE $ 0 OWNEII,SEAVIEW HOMES, INC. - DATES-19-62 JOB ADDRESS 3068 Tyler Way BUILDING PERMIT NO.17330 GENERAL CONTRACTOR S V. Hunsaker & Sons VALUE $ 14,471.00 AP No. LOT 39 TRACT 4.565 FIRE ZONE DESCRIPTION OF WORK INSPECTIONS Signature DATE GROUP DJ TYPE v ZONE Ri tisGelna i inn,f�--24f-1/Jr17-f -S1 SUBCONTRACTOR PERMITS ISSUED G- _ �i�.�S j�—/-4y DATE NUMBER Water / 2 Rough omn.�Rerig. ❑ Air ton . 0 Rough Heating S 8/3? 0, '0 / �7 9ri " -— /Rough Plumbing y Miscellaneous j� _ �p� _ _ Prop.Swr.Line se Con. s-St.Swr. 0 1 " 05iq _ t* 7I-C7; 7 \\n i1.1i Sprinkling System -"-t-" tW,' Construction Pole Underground ❑ Power ❑ — 111 'rough Wiri Q -tt N� UJ��n.7 J://e ��rA„G>'ix'.31,26--2.-'.i /i7 r�'1 e) renches L Forms 11 Steel Ileint. 0 CJ K pt' s Floor System Bond Beam ❑ Steel Reinforce 0 Sheathing /Q,'-! f—.7.r--0- Frame and Flashing • 7'-/3-C3. Lathing — In Out lu— r f" /- Plaster, brown coat D_24-42- t7g, 0 Air Cond. 0 Final liZ _ k , ing, Final )7a16b. P a''ni bing Fixtures, Final /0 �� 2�.� Final Gas Test/5 '�'/,.� Electric Fixtures, Final ;SI.: , Building, Final f/- _ 1e - 2 f SC 9` .: OCCUPANCY FORM BU4-5M - 7-61 1(330 OWNER FISHER, BETTY L. DATE 7_1-77 JOB ADDRESS 3068 Tyler Way BUILDING PERMIT N044246 GFUERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Patio Cover I . 141-604-49 LOT TRACT FIRE ZONE VALUE E 560.00 INSPECTIONS Signature Date TYPE v GROUP ,T ZONE R-7 GOIL SUBCONTRACTOR - PERMITS ISSUED GAS Data I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. ❑ SPRINKLING SYSTEM ISCELLANEOUS - ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE _ ' UNDERGROUND fl POWER I] ROUGH WIRING �f //�nJ^_4 Heating and Vent. M TRENCHES FORS STEEL REINF. LJ %/•L - 7..6.77 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n _ „i SHEATHING FRAME AND FLASHING LATHING - IN n OUT n "ER, BROWN COAT • S :TURAL. FINAL Electric HEATING. VENT.. REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST in ELECTRIC, FINAL e�- 9/11/57 BUILDING, FINAL PAID 'IA -1-77c,z.00 Q11 " ,t*.wx14.5f. tin24s4 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 . COSTA MESA,CALIFORNIA 92626 FfPP C TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only r� / �,/ REIC 1 Y DATE RECEIVED O EISSUED BUILDING JJ� /O /y4 Ej/ Y,/,9}/ // • / MI NO 77. ADDRESS , %jam G LL}� [y/JI /,�r/�.L,)�'•r`� / OWNER �/er 7'V 2. 1."---./.'SyFIP� A.P. NO.�i� � ^ /71 / / < � �J // , / BUILDINGMAIL I C� ADDRESS nJ 1d7 /L�j� (4/4/ ADDRESS ow 7;44- 6_,/,,y �- //JJ _ TEL. �! • TRACT�/56j LOT 37 BLOCK CITY C.O.1TA na-�i, NO.�0`/y/- CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH LENDER 441A/Z. BRANCH ..--- • - ✓ /��,+ OWNE ETT,// A. / /�- ' e '. ADDRESS ✓ /of 1„, .? ARCHITECT TEL. USE �Qr✓D �JII E� VALUE A/ o - $ ,.J 1 OR ENGINEER NO. FIRE �/ ADDRESS ZONE T E /GROUP r�-77^ APPROVED / / CONTRACTOR t �E'L.p- BY DATE ( / ADDRESS ZONE .-�J/� NO.OF USE OF NEW TEL. Z8 IPLANSr2 BUILDING Rte, C� CITY NO. Eke" F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/LS EET) W SIZE (:/a / D ,y a. OF LOT X / 00 I NONO.WOF ON BLLOTGS. RONT 4/ P9/^ C..I 1•4° FT. — aha • USE OF ` / EXISTING BLDG. /iJE'�j/�LG',r/� R.SIDE (© FT. FT. , y H Separate permits are required for L.SIDE 3� FT. FT. electric,plumbing and heating work. J D REAR 'V FT. FT. L. USE OF BUILDING AND WORK TO BE PERFORMED ' DISTANCE BET. BET. MAIN& :' MAIN BLOCS. ACCESS. BLDGS. ,(//J //') ` VAR.# DATE Q �F• 7/2E.d CE ZL/./ 720 l ✓)Gl1,,C/ `" C.U.P.# /y APPROVED ��nJT�Q / "7 m S. / SG/` a APPROVEq :, /1 (� / DATE 7 I *- 27 C4 W a. I hereby acknowledge that I have read this application and state n C4 that the above information is correct and agree to comply with co - a. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of W the State of California. Az I hereby certify that I am properly licensed as a contractor under a SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT pEE NLY: am exempt from the provisions of the State of California Business (/ �- a and Professions Code, Division 3,Chapter 9. / VALUATION PERMIT FEE $ Co Signature cd �" J _5 PLAN CHECK $ o Permittee //�Y/P (.... ..;Cr/) 1 f �-f $ C/%pro TAX $ Authorized Agent TOTAL PAID $ d 15T