HomeMy WebLinkAbout2082 VALLEY RD - Building Permits PRONENA
ADDRESS: 2082 VALLEY RD
SuNIT.
OWNER'SCITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 057670
ADDRESS:
KEATING GEOFFREY J
Ess: 2082 VALLEY RD PERMIT NO: B 057670 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA,CA 92627
• CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
ti' ARCH/ENGINEER: ( 714 )692-1487 REG.NO.:• ADDRESS: UNIT: JOB DESCRIPTION : T/O EXISTING SHAKES, ,APPLY NEW MED SHAKE SQ FT: 9 000
7 t PERMITTEE: CLAIM VALUE: 4 ,000.00 CALC-VALUE: 4,000.00 GROUP OCC: R-3 /M-1
ADDRESS: MCCLAIN ROOFING ( 714 )897-1780
6602 TRASK AVE COMMENTS- SMOKE DETECTOR(S) REQUIRED IN HOME.
yj Gg'��'���T��j ��`` nn jplQq ********w***********w********* *************4***************err*****************
LICENSED CONTRACTOR CIARATION:'STHRaffirm l`at am licensed under provisions
Ser 9(commencing with section
7000)of Division 3 of the Business and Professions Code.and my license is in mu force and effect. Z ONING REQUIREMENTS
CITY LID.:Date: IO S1ATE LIC.: CLASS: S E T B A C K S
0/63)1�42 625013 39
Signature:_ P--' MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
"u""21263575-91 EXP.GATE: 08/01 /92
COMPANY: STATE F1�ND PARKING REQ: PROV: PARCEL; 42233133 ZNE: REF NO:
0 Certified copy is ere y Cumin etl Certified copy is filed with the city Building Division. PLANNING N TES>
• Date: /n / q ) q Applicant:
777 �N 7>? GC� ***********************************************************************.********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E j L OPMENT SERVICES R E Q U I R E M E N,;T_S
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 California. --
ZONING APPROVED BY DATE: . .',
Dale: Signature'.
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: •,1-
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .
CONSTRUCTION LENDINGeAGENCY: 17.hereby Cl.irm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• 4F; !iHF �� r�'� DATE; 6,8"4.21
which this permit is issued(Section 3097.Civ.C ************************ * *l * ** * ***************** ** ** **
IDRESS: . ************************************i*E**4*** *********************************
ADDRESS:
'LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I 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
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 63. 00 . 50 I
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES�•"
and Professions Cade)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by p LAN ..-'.
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
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63. 50 0. 0 0 0 . 0 0 63.50 63. 50
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through . 00
his or her own employees, provided that such improvements are not intended or offered for sale.If. however the building or 1
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 63. 50 OVER/SHORT• 00
for the purpose of sale). BLDG PM
PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 .k
❑ 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 protects 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.
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN ,1
for Ibis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL`S COST
Date: Owner:
do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 4000 • REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4, 000. 00
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 END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 1 .
these provisions.
Date: Applicant: "•
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county /,l T
ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Ph 17
properly for inspection purposes.
/ ��" , l
�— Date. Ler 4 I`j z Signature: 1C.Grimm X7)4 Ce-ea- ..,.01 nut Ni-jiallS. _ _ _ _ --
Driver's License or Social Security a: !•[] __ _ - --���
1641.46 white-Building:Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor __ __ ). -
CONSTt.r v'J AND.PLANNING POOL & SPA
- -APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1- Temporary Electrical Servidg)or Polet_u-' - - c - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. e - 2< • - 53. Steel Reinforcement - -
s.v = ectrical Cond Uit-UNilty-lFndrgcnd. rr' . . 54. Forms
:�r
u•4-' 'UEIeetricvl Condui2rgrnd. - 55. Electrical Bonding
`Siad Fjinforcer`itEtg - L 56- -Rough Plumbing & Pressure Test
$:tEE6Etrital UFEFCGdnd. ti 57. :APPROVAL TO COVER-GUNITE a,
♦•
. t..7.1 - ..1 •' t . .
s`-;Aaatin@s Iii¢s -_ 58. Electrical Conduit-Undrgrnd.
ylt �!1 •) - !.
t,^,Foundation ,.- - 59. Gas Pipe, CIUndrgrnd., Test
• cr
9i'Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. .
10.Structural Floor System - 61. APPROVAL TO DECK -
11. Prg1ferty Sewer Line& House Connettion • 62. Backwash & Receptor-Final
12. Sealer Cap ....a. Gs • 63. Heater & Vent-Anal
13. Roof Drains ^ rpt 64. Plumbing System • Final
14. Rough Plurnbin C 65. Electrical-Final
15. Rough Electrical.Conduit 66. Solar System-Final •
o-
16. Rough Electric Wiring 67.-Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricagr Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough-Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
(.. (r." t 1 -- ' . CC -' J:
20. (Rough Factory Fiplace . r':r < t * -0 - Y -' APPROVAI;�S"� 8errirt# ' w z'
t. K >>' I ::rr ) d S ' try * 't N.a t-• :S :r
21. ucts,inStructur,et,r r-jS fi S -- -4 . 0. Undergroaod-Hydro -
S. - -
22. Duct, Ventiltting.Vy -s 'c _ .t; •> QY 1. Product'P,•jping O'G S ❑Qil
23. GasP'pe 'o &�i'stR` ..1-
•:“- F
- H2 ] Y 1
7 ,$ .g, r .� C+ • 72. UndergroundlFlucb`j-o t-
24. •RooYFraming•• S2* i %- 'I-- .- ^ C r 74' ' .73.,Undergrnd=StoragEr;Tank 0 Gas 0 OiP
25. Roo,.Sheathing "lit S G ffL2T `74, overhead Hydro L ")
26. T-Bai-Ceiling (Structural) & tatonocoat -s W C .a' 75.'.r Chemical 't 't:
.. .. '-c: -c- � r-. - w x s : = in
27. .Frameand FI hin a:' ' rn4. r ' SnU',,, :q Y Standpipe, �
:28. `tathmg BS.Siding •-; :7:1: 11r.1 c:
LLu' * -T-. -. X ''F
- ' 77. I X E D SY �-EM0N
AL -- _ 1'
'29. Insulaticin: 0 u;+. c ..:54 .• •• > x r i : s
�, ,..x a. ' P 78.TF I R E PR E V. F I N A;h• -, s.
tS30. Drywall Nailing -" :r H : i HEALTH DEPT.f1EQUIREMENT
nrte _ ,r
'31. Plaster Browr}-941 . ; wit' : i . .x 79. `FINAL INSPECTION ,-`' 71.3
-
;32. /Electrical yPower Meteq<Einal i -. .0 i I {x :+ t80. ,F--OGD CERTIFICATECC � ISSUED 1
33 'FFinal Eleciri 1.:'[.,.-t t r T• �•'�` ' tj "' 'is t s)
> -n a r7 tri I S - (•(•r. a Notes: ;tr c _ O. .u;r. r
'.54. Fina Heilting` Air ondition:ny _ x t .• i - s S. 10
fr
35. 'Finat-Gas Piper-Tes-P ;u' », 'r -, lu a ,r •C
Y3�6. THood.or CanoPY Cs h 1.,...„, I L' ' T_ ' rco ;v-tr.
e- .+ e.a -. n ^ 2 M .-1 , M :
'37. FinaPFa Ory FirePl3i
ce' Sn' 1:2 r. til .1 :' ' >- i' .c ,r
738. Finalflurubing co a-. 4. I is a _,.
S i ; 'J r
e '
c39. Water:Sect.ice-Final a - W '' 1 � • . a"tn a.z S
t7 l'... I
X I - J:. I y, . x
0. Gas Serv -Fu ' U1 Ktcm atr1 I ]
al '
cg -r
r O `W ' O)
:41. Solar Domestit-Finat S l- ••• - r5 - tv .r
c42. Backflov j'reventer'.. r_ -u -) -
Ig
43. Backflowrlrrigation* .)..XS * 2 IJ ='0 , 0) •-.J I
1. h r
i' 4. Landscape Ir(igatior7System,L-vt� u; . r - -_-) : . tC tU CJ •::? ~ i_ Y
-45. Sound Attenuation, ,-=tt.1-• it s_ ; i-- t- +. c-1 14 !.7.1.Q (..7.41‹ -
10 . -s .. .. Fn rr: .ri. .i . .. .1 C]
n. Cr .. .. • Y J .•^i -- / I
;66. tandicap,Reg4latiorjs ` ` r ;
47. F.INQ•LSTRUCTURE & BUILDINGUllar > i a;c :
48. FJNAL PLANNING- i ",E', ; . p' a 1
i'
49- EieciIfjc Release to Edison i x I,i 1t. S. Gs i 0
50- Gas RWelease to Southern California.Gas Co t I '.1: :: 'S- rE c`
Jt„
x �w �.
51. CERTIFICATE OF OCCUPANCY' • y y (5 r10._ . I
No. Date
I
OWNER COWEN, CURTIS • DATE 10/27/80
JOB ADDRESS 2086 Val lev Road BUILDING PERMIT NO. 50902
GENERAL CONTRACTOR John R Rudd DESCRIPTION of WORK Pati o Cover
AP No. 115-631-34 LOT 3 TRACT 3470 FIRE ZONE VALUES 1,730.00
INSPECTIONS Si Date TYPE V GROUP M-1 ZONE R1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE(] HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER fl
ROUGH WIRINGrHeating and Vent.
TRENCHES LJ FORMS fl STEEL REINF. ./ 1 ,�E
FLOOR SYSTEM n P T et?D iArei
+'BOND BEAM 11 STEEL REINFORCE f IAtf' ‘
=SHEATHING Ii Cc�'-R
FRAME AND FLASHING t •a 7/.
LATHING — IN n OUT n nate i
rPLASTE R, BROWN COAT
n STRUCTURAL, FINAL - Flertric
CHEATING. VENT., REFRIG. AND A.C., FINAL
fc$PLUMBING, FINAL AND GAS TEST n
CI-ELECTRIC. FINAL
BUILDING. FINAL #S/GO 12-T-`O •
OWNER Cowen, Curtis DATE 6-13-79
JOB ADDRESS 2086 Val ley Rd. BUILDING PERMIT N0. 48226
GENERAL CONTRACTOR S&G Ricksecker DESCRIPTION of WORK Wood Patio Cover
AP No. 115-631-34 LOT 3 TRACT 3470 FIRE ZONE VALUE E 900.00
t INSPECTIONS Signature Date TYPE V GROUP ZONE RI
`SOIL
PERMITS
GAS - SUBCONTRACTOR PE MITS ISSUED
Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ 4
ROUGH WIRING Heating and Vent.
TRENCHES H FORMS u STEEL REINF.
FLOOR SYSTEM
BOND BEAM IT STEEL REINFORCE [Cl •
SHEATHING
FRAME AND FLASHING
LATHING - IN ri OUT
PLASTER. BROWN COAT ..00
STRUCTURAL, FINAL /k2J. 9-7A7-79 Electric
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
_.... _..._ _..... 42 An
OWNER FORRESTER, RICHARD DATE 8-17-77
JOB ADDRESS 2086 Valley Road BUILDING PERMIT NO. 44506
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Legalize Screened Porch
AP No. 115-631-34 LOT TRACT FIRE ZONE VALUE S 500.00
INSPECTIONS Signature Date TYPE GROUP ZONE R-1
SOIL SUBCONTRACTOR • PERMITS ISSUED
GAS Date I Number I Signature
IWATER
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. f
SPRINKLING SYSTEM •
MISCELLANEOUS
IROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE .
IUNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES-0 FORMS U STEEL REINF,
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL, FINAL Elertric
HEATING. VENT., REFRIG, AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST El
ELECTRIC, FINAL (J� 1
BUILDING, FINAL t- //g/ V
/VOVILM KEATING Geoffrey I b-.1.8-lb
(JOB ADDRESS 2082 Valley Road BUILDING PERMIT NO. 42169
AGENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Add Family Room
,,...AP No.115-631-33 LOT TRACT FIRE ZONE VALUE $14.900.00
INSPECTIONS Signature Date I TYPE V GROUP T ZONER—1
OILPERMITS ISS ED
SUBCONTRACTOR
Is
GAS Date Number Signature
WATER ` Plumbing
ROUGH PLUMBING 1p.!/v /1 .2.7 b t1/4 ! gat. /II•.a/.7, 'TAA{/a„�
PROP. SWR. LINE Q HOUSE CON. 0 t
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING f/S // . $ . 7
TEMPORARY SERVICE OR POLE _
UNDERGROUND 0 POWER El
ROUGH WIRING ^ � C. /a-7-7 .. Heating and Vent. •
1,
TRENCHES ❑ FORMS 0 STEEL REINF. U..I�-f Q 7/( / v OLin04/B-q/�, 10.2I•�L, UHL(
FLOOR SYSTEM I
BOND BEAM in STEEL REINFORCE in
SHEATHING L
FRAMEAND FN AS H IN 1"/%JA6
LATHING
KING - IN OUT Qn.
PLASTER. BROWN COAT
STRUCTURAL, FINAL r'trlC
HEATING. VENT., REFRIG. AND A.C., FINAL -7-5 Z, f / A., /0.7 7( .y/a(/9e
r�
PLUMBING, FINAL AND GAS TEST I T �J I -^//
' ELECTRIC, FINAL •4:II
BUILDING, FINAL t 2.2-2
42.1Par'
(a:9 ep' ;8-76F•ir00?563" *.;re 109:I114
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 926.26
A C TION tR
STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only RE I 8V E IVE D TE S UE
ABDDRESS.)Of,.2Vnteyn.. . Ctn ,:26a27 . /l/ - 4-1
�t p .-t- �/ PERMIT NO.
OWNER ME4MeS bccFF Rey .• KE rI$� A.P. NO./15—631— � C
BUIADDRESSGDOer vRLt.EV • � m ,�/-s� ADDREG� /%7 VA LCy R-. c f474.?7 ,
4 n ADDRES /
Ai 8
CITY �6S / /hC S I¢• . NOL.on� / NEW TA DDT3�R REPAIR 76 LMT DFM BLOCK
CONSTRUCTION / /
LENDER ,M/^^ �'l /-� /� /y'�y
BRANCH - OWNER m1 • NS. 4,z7Mar v •
ADDRESS AWE jnJ
ARCHITECT s//E. 5 , A--z- TeLr. ' t 'r• S :t Lilt $ G/ .i
OR ENGINEER - '
�// /� FIRE
ADDRESS�TL7 V/C /Om /A SU/7é97 ,2,. ZONE /1/'�"PE GROUP �/7
AP
CONTRACTOR ,pD/L2C /,. e W/VER . BVPROVED �1 DATE /
ADDRESS \\\
•
TEL. ZOI1� NO.OF oli/////fi���tr USE OF NE
CITY NO. 1 PLANS BVILDINGBa Aer
•
H STATE CITY YARDS APPROVED YARDS APP r�QP
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY UILDIN VY/ �-'
LB SIZE / y / INO.OFBLDGS. q (FROM C/ STREET) A .
6. OF LOT A BUD NOW ON LOT Z FRONT O FT A FT.
Q USE OF / er
" " - -�"Y
� EXISTING BLDG. �'G S/ LCN7/AL /YO MC R.SIDE Lei YG{ FT.
c /
FSeparate permits are required for L.SIDE (O FT. c-" FT.
L electric,plumbing and heating work. REAR Q ,TAQ/ FT.
FW., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
QQ ' - _MAIN BLDGS. ACCESS.SLOGS.
ATE
J 'FA M I L� 'I—UU M • I �� �I J I q CARP. A
tet1 �Q--d x ,�5/ -.� C.U.P.�{`+ y///�//I APPROVED/ �/�`
�'" Y APPROV�� er DATE& !Q y7.‘
•
00
'U
0 I hereby acknowledge that I have read this application and state n
N
K. that the above information is correct and agree to comply with
O. all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of
14 thIe State of California. /. '1
I herebycertifythat I am (0 U SO. FT. _ ie
properly licensed as a contractor under a
the State of California Business and Professions ••de, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such livens+ .re In full for•• and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the ovisions of th- S to , alitornia Business r p
and Professions Cotl�•ivision 3,Cha• 9 VALUATION PERMIT FEE $ 72._ or// �� PLAN CHECK $ a tCJ n
Signature of r •/ / _ ICJ o
Permittee ...riga $ /T/ ,��7 / LL
/i // 9U O TAX $ A oyl
Authorized gent / / ,/
TOTAL PAID jet f a
14 7SFEE RECEIVED
v JUN281961,
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS BUILDING,Z. r ,ZteirLI 2.7C, a.flt 204(
7-0&t COSTA MESA. CALIFORNIA Val-Le', '� For Office Use Only .
^^ RECEIPT NO. PERMIT NO.
OWNER MSaco Gc:Yez_p
MAIL //••,, ,,��,,��,, RECEI D BY�J� PA �y7CEFVED. DATE IS ED,
ADDRESS CaPA n�+4 j•-/AR.-
TEL.
. RTI `� .QJ �G I I: ��..{'��
CITY L/OR�,F1 (71'L� NPg- NO. BUILDING
ADDRESS
ARCHITECT TEL. I COSTA MES"). CALIFORNIA I 7
OR ENGINEER �LE i)..)e.. NO. ������//
/'� FIRE 'LV biLtel
ADDRESS �A t-'tA /--JI,�I`•Az C _ ZONE TYPE GROUP
{•�'
CONTRACTOR CI'i 9 C.tC-73Tzn•L•V ¶_ APPROVED ��I DATE `�/tiU//;
'.fl ✓Ic-rbPt)ro ZONING /
ADDRESS _ � it
1 p / �ry
Goma Hese) ZONE 1/f / I PNO.NOSF
2 I BUILDING EW 10�i.
CITY '/'�`
STATEIC.NO. TEL. • LEGAL ��. 'J-� : C'n1 7i5
LIC. NO. LEBDRIPTI CI"t"� /3 /U\1
SIZENO. OF BLOCS.
OF LOT I NOW ON LOT A.P.NO. a ce 7 0
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT A..--�FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. IN.
DESCRIPTION OF WORK L.SIDE .may FT. L--� N.
NEW I I ALTERATION I I ADDITION REAR 3 8 6 ', n FT. , //LIH.
REPAIR I II MOVING II DEMOLISH APPROVED E4,
•% . (/1 , DATE 6' 'P/-4/
BUILDING NO. OF - VI! E,J 0*--1-�._
SIZE ROOMS STORIES �' �'�/
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
73 L-OC..rL -R.ST. bJ A LL.
?j L?U' iri W FT. 4-- rr H i(-a-t
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.
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
VALUATION SIGNATURE /{
PERMIITTEF OVA • '�^'"�'�'- �� `� �✓ PERMIT FEE $ /IJ�(GL:
l.� $X00, PLAN CHECK $ 6 4'j,�' d'
AUTHORIZED AGENT a1 '9I,�,O
- . . ._._. TOTAL FEE : O�'
a
i... 12766
`` r, ,I.
COSTA MESA BUILDING-SAFETY DEPARTMENT �F,� f„_',,,;;; l ;',p)
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Com letel P1C1rL1"'- T• -"-''
PP Complet IFOR, PERMIT ONAA,-
a 3 /7r TYPE OR PRINTJCr # CL BUILDING fA
BUILDING .3o2a'
ADDRESS 2082 vII11Py Road
COSTA MESA. CALIFORNIA For Office Use Only
I RECEIPT NO. I� PERMIT NO.
OWNER Macco Corporation 9'7fl
MAIL RECEI�+Ep BY DATE RECEIVED BATE 1BSD
ADDRESS 3800 E. Coast Highway G-G I ,�-/G _4o� SIM 9 o Wer
CITY Corona del Mar - lam3-422( BUILDING
ADDRESS
ARCHITECT TEL
OR ENGINEER George Wiseman No. PR 3-4211) COSTA MESA. CALIFORNIA
ADDRESS '- -' --- FIRE '/ ' _ 7t/n Qr
ZONE TYPE r GROUP
APPROVED
CONTRACTOR Ma rro Corpora r ion BY DATE
ADDRESS . Coast Highway
ZONE•
NO.OP QI USE OF NEW%-Q-6--) / a—�
CITY Corea del Mar / PLANS l BUILDING
.t
STATE
C.NO. NO. OR 3- 220 DLEEGSCARLIPTION ,4 II,
, rik , ?01
' CD
/
SIZENO. OF BLOCS.
OF LOT 60 X 100 NOW ON LOT O A.P.NO.
USE OF YARDS EVES
EXISTING BLDG, APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) - /)
CENTER OF STREET REAR YARD FRONT "FT. IN.
SIDE YARD I LEFT 519" I RIGHT 51011 R.SIDE' S.,.9:S—FT. IN.
DESCRIPTION OF WORK - L.SIDE FFT. IN.
NEW I X II ALTERATION I II ADDITION I REAR .2 FT. IN.
REPAIR I I MOVING I II DEMOLISH I BYPROVED //l , 0, DAT (j^/ p
BUILDING NO. OF /N /J- V'ii /� '3 -I
SIZE 29 X 49 ROOMS 6 STORIES 1
EXTERIOR WALL stucc {ROOF W�dar Shakes
COVERING COVERT
USE OF BUILDING AND WORK TO BE PERFORMED
reopplArP r"nsr I-4 nn
Hni,cP Sq Ft 1450
Garage Sq. Ft. ' 420
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- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF ,./ PERMIT FEE $ 3��—
PERMITIEF Marr
/(//_rp�n�rn tti nn�,/ -
/ y7l�— R
ByD Ign7li� / a&; $! � PLAN CHECK $ 7� i
AUTHORIZED AGENT LL S
Si I\ TOTAL FEE $ LJ f— 0