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2449 VASSAR PL - Building Permits
ADDRESS OF BUILDING: 2449 VASSAR PL WIT: CITY OF COSTA MESA - BUILDING PERMIT D.mEnsmsewmmm, HILL, BRIAN ROY PERM NO: B 08470: ADDREBS HILL, SANDRA ANN . . 2449 VASSAR PL PERMIT NO: B 084707 PLAN CHECK NO: N GOVT : N SUPP:, N COSTA MESA,CA 92626 APPL.MAIUNO ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: STRPURPOSE: OTH ARCHITECT d3 ENGINEER: UC.NO.: JOB DESCRIPTION T/O ROOF INSTALL COMP SHINGLES SQ FT : 2 , 500 ARCH OR SKI'S ADDrc5S: WMT: • CLAIM VALUE: 2, 500 . 00 CALL-VALUE: 2, 500 . 00 GROUP UCC: R-3 / 1-1 CONTRACTORS Kilt CaNRIACTORSMMIwO COMMENTS: X ADDRESS: IID.NO.: *4F***4*3**'k**.X4*3*44*4**i!3is3*4******1F'R***lt341T*'R43*3*3**x.*****jf'Rit*iY*if3t3i43*3****T*****ii*4'k* OMT, ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affrm under penaly of perjury that I em licensed under provisions of Chapter 9 E T b A L K 5 (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lull face and ended. CITY GC.NO.: GC.CLASS: LIC.NO.: EXP•' MAIN BUILDING ALLt55ORY' BUILDING --'---- p /J, / 1 FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: FT IN Date: J G(—/5 `E17 Comm . x • )7.��j, hG At.L/v LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT: FT IN `OW ER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I em exempt from the Contractors License Law for the foflowng reason(Section 7031.5 Buskins and Professions Code:Any city or county which requires a permit to construct,after,improve, PARKING REQ: P RO V : PARCEL: 14144105 Z NE: REF NO: demolish,or mon any snuclure.prior to its issuance.apo requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES? i licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)d Division 3 el the •_., �. u°iness and Professions Code)or that he w she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 'y 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred donate(55001). iiia****''********,*i***ic***'k it 3c**************34 34 iE is*i **if*********it3i i4 ie*ii43e *:{*if i4$Ir*** 0 I,es owner of the proPerlY Or rnY emMoyees with wages as their sole compensation,will do the work.and the stmcture is not intended D E V E'nL 0 P M E N T SERVICES REQUIR E M E N'2 S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does trot apply to an owner of property who builds or improves thereon,and who does such work Nmself or hersel or through his or her own employees,provided that such n_s ,rte improvements arerol intended or offered for sale.If,however.the building or improvement is sold within one year of completion,the ZONING APPROVED,.,BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose d sale). it ^— ❑ L esomrer of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business end BUILDING APPROVED BY : DATE: .- ° Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a wmradmr(s)licensed pursuant to the Contractors License Law). ,;• eV 7 7 ❑ lamexempt under Section: B.APC (or this reason: APPLICATION ISSUED BY: WV /r/ Lb DATE- . "' I IJr/1 7 **************;******** **xxxxx n*,t*** x **xx***x-af7E*xocxxii*it***ir*ic*r.vixx+iRxr'+r ti*+i' Date °w" LEGALIZATION:Nr F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Heath and Safely Code Sections 25505.?cyan,end 25534,and tha I or any MUM building occupant 411/will not(Orde one)need lo comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for constmction or modification from the AiiQuuatry Management Debi&Residential construction applications are exempt from these PERMIT 74 . 75 . 50 Date: Apptnent: SNIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE ❑ I have and MI maintain enmities!.of consent to sertinsure for workers'compensation.as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.la the performencedthe work to which this permit is issued. TOTALS----> 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 . 00 o I have and will maintain workem'compensation insurance,as required by Section 3700 of the Later Code.ler the performance of the work for which this permit is issued.My workare'amrpensation insurance carrier and policynumber ane: REVENUE DIVISION TOTALS--> COLLECTED: 75 . 25 OVER/SHORT: . 00 Pourwr: Polity Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TGT GRADING PLAN-CHECK mis section need not be completed il the permk is ler one hundred dollen(SrxDI or lest) 74 . 75 . 50 - Q .I cenfy that in the performance of the work for which this pecan is issued,I shell rail employ my Demon n any manner so as to becomesubject tothe workers'compensation laws of California and agree Mtt elehadSame subject to thewMe' **3E*************ii**3tiE**************************ie***ic*ii* tii*iE***** *******7c ***ri compensationeprovisions of Section 3703 of the Labor Code,II,ss/hall fon h comply with those p7 aw•e•an/q]^//, INDIVIDUAL F E E B R E A K D O W N CI Dm ' 1 c —i / Apo.: /..."" rzt—e-..--Ln . e:Failure to secure workers'compensation coverageisunlawful,andshallsubjectanemployertocriminalpenaltiesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ones up to one hundred thousand dollars f$lOO,wOA In addition to the cost of compensation,damages esprovided ler In Section 3706 of thelmorCode,Inersal,andattorneysteea. SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 . 5000 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for dm END OF FEES ' performance of the work for which this perm/is issued(Section 3097,Cit.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have reed this application and state that the above information re correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby amhorbe representatives of this city to enter upon the above-mentioned properly for inspection purposes. Br corn A. • 109-15-1997/03:42 Pa/575.25Print kCPTN:a1 (312288 ZCi-i1 - (o 0:1 —(5--tea- PERMT_T:084707 Signature of OnredAgen APNcem/Contractor (5151'45.WP) White-Building A Salary;Green-File;Canary-Appic°nt;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING - . POO. 3PA - 1ii. - Date Inspector Date • Inspector ' APPROVALS Permit # APPROVALS. Permit# - 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • .. . 3. Electrc.al Conduit Utility-Undrgrnd. 1 • • 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • . 5. Steel Reinforcement - 56'. Rough Plumbing & Pressure Test - 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE _ , 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . • 59. Gas Pipe,0 Undrgrnd.;Test • 9. Water Pipe-Undrgrnd. _ 1 . ' 1 60. Backwash=Lines, P-Trap, 0 Undrgrnd. " .. 10. Structural Floor System , 611. 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 f . X65. Electrical-Final • I - 15. Rough Electrical-Conduit. 66. Solar System-Final - 4 - 16. Rough Electric Wiring • . • ,67. Fencing& Access Approval : . . , 17. Rough Wiring Sign • I _68. APPROVED FOR PLASTERING _ 18. Rough Electrical-T Bar Ceiling - ' . • :69. POOL/SPA SYSTEMS FINAL " ` - 19.'Rough Heating & Air Cond itibnirig - - �- FIRE-DEPT. REQUfREMENT _. - 20. Rough Factory Fireplace . APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing Sj4' 97 &Cc C�74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 6 75. Dry Chemical - 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 Gas 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. Backflow Preventer - 43. Backflow Irrigation . . . 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations ' 47.. FINAL STRUCTURE&BUILO)NG 49:2 j` v 6 ..0- . 48!. FINAL PLANNING q`7 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51•. CERTIFICATE OF OCCUPANCY - No. Date Pliiiir -.. - - Applicant to fill in all spaces except those within heavy border lines and sign-all appropriate declarations. - • - - - -- � - '• CITY OF COSTA.ME A CONSTRUCTION PERMIT PERMI NO. F1C N LO NQ: , ,UNIT-NO. `- i / Ir -': • aY� �,� a3l�O� GG�Il 4268 5/01 /86 t on, ; of •Project Address _ TYPE OF CONSTRUCTION NEW U ADD ALTERATION. LJ REPAIR,Applicant's Maili g Address - _ - /p r�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' y'� Owner's Name z+4f nZ U �t4rtf Y • Phone AR.# ' • ' a4 -• a./ _-�S • l I Zone (L/ T , / • _ DESCRIPTION OF WORK/USE OF BLDG. F Address - it - - , - s E Main Building: • Accessory Building: = Z, Arch/Eng. ' - •-I- License No. TYPE OF PERMIT ' .0 GRADING' El FOUNDATION XSTRUCTURAL - T Front. • ' - O ❑:TENANT ❑ ELECTRICAL •'❑ PLUMBING ❑ MECHANICAL 'B - - - N Address �7 ' •' • ,per - 1.• �T'd'�l ,s h83 T.3 i`9Z� ❑ 'OTHER -A , Rear - . ' Contractor's Name - A% Phon ' - - I ,/ C Right - I - N ''r1 /' 1 PROJECT.DESCRIPTION SQ. FT. OCCUPAN Y G Address(mailing)/.f723 aid Gi if- - �f'•CC (}yJ _ CJ _ 'K - - e�®lq rj, CONSTRUCTION TYPE VALUATION$ `/ $ Left • - I R , City License No. J ZONE GRADING CU. ACRES LICENSED CONTRACTOR DECLARATION - - / _ Ping. Ref. # Parking Req,/Provided • - E • I-hereby affirm that I am licensed under provisions of Charter 9 (commencing 1 4 O ( 9 Remarks: / // Planning Notes: • - M with section 7000) of.Division 3 of the Business and Professions Code, and r l �v� l.✓�1 ! C. T my license is in f force and effect. . License Class' ense No'3S36 C*2-1 1 Date 3—t^ C . - Signature ! , PLUMBING FEES A ' WORKERS'COMPENSATION D L ION I Bar Sink Showers ELECTRICAL FEES I ' hereby affirm that I have a cer ' Icate of consent to self-insure or a certificate _ • _ Workers' Compensation I surance; or,a certified•copy thereof ( tion Backflow Pfeventar -I -- Service Sink • I ' oo, Lab.�.L� t� W!' Automatic Washer Transformer 0 15-50 KW Polity. No.a✓L C©383'�tornpzny Ca �r-'t Backflow Irrigation I " ' 0 50+KW • Certified copy - g ' Sewer Cap Construction Pole Sub. ® is hereby furnished. ��(lfie copy js filed with the city Bulltl" n. Bathtubs Sewer Connection Cooking Unit, Meter Dula to 100 amps Datel8" / -a41.4 Applicant - EXEMPTION FROM WORKERS'C PE_ TION DECLARATION ., Clarifiers _ - .Solar Collectors . - Dishwasher-- -- - -Meter Dover 100 amps,- !-- 'l-' - -' -'- (This section need not be comple if the permit is for one hundred ($100)or - p g. • - ' • Dryers ❑Gas ❑Electric less). Dishwasher , Sub.Panel 'Tr./,,� wn Solar Piping' 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 ' Drinking Fountains Solar Tank t . Fan Workers' Compensation Laws of California: , , - - - i , ,�� Date - Signature • / % - Floor Drains I Swimming Pool w/Spa, . F A U Motors�0-1 HP ❑1%- , NOTICE:If,after making this declaration,you should become subject to,the _ _ Inc.Solar-❑9-15 HP 016-15+ Workers' Compensation provisions ofthe .Labor Code, you must-forthwith Floor Sinks ' Urinal Fixtures' - comply with such,provisions or this permit shall be, deemed revoked. _ 1 Microwave CONSTRUCTION. LENDING AGENCY- ,- _ "'l , , Gas Service :Outlets` •Water Closet - - - v'.- Device Boxes' Pole Li ht I hereby affirm that there is a construction lending agency for the performance 9 I of the .work -for which this permit is• issued-gSection 3097, Civ • , 'C.) ' Interce tors . ' Water Heater .. , 1 Lender's Name - - - - - p - 'n'..' Outlets Range I l Lender's Address - - • - - Kitchen Sink ' ; - "Water Service - • , . '�' Switches OWNER BUILDER DECLARATION • . • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories- ,; .Auto-Wash - Sign! Garbage Disposal i - Standing Sections ' following reason (Section'7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0.5 KW ❑5.15 KW any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor to file a signed.statement that he/she is licensed pursuant to the provisions of - ' Roof Drains •• 1 .. 'the Contractor's License Law(Chapter 9 (commencing with Section 7000)of ' _ •• - -- '.'. i , - ^ivision 3 of the Business and Professions Code) or that he/she,is exempt - s - • refrain and the basis for the alleged exemption. Any violation of Section , . - - - r/ • • :1.5 'by any applicant for a permit. subjects-•they applicant to a civil •• - - . -_ - ,arty of not more than five hundred dollars($500).' , ' , . - Li I, as owner of the property or my 'employees with wages as their sole . Reinspection Fee I $15 Issue Fee I - $ 3 i compensation, will do the work,and the structure is not intended or offered ' - • ' for sale (Section 7044, Business and Professional Code: The Contractor's i , MECHANICAL • Reinspection Fee I $15 Issue Fee • I $ 3 License Law does not apply-to an owner of'a property who builds or improves - - _ • , thereon, and who does such work himself/herself for through his or her own t DEVELOPMENT SERVICES R:,e I a TS I employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ - - _ // sale. If, however, the building or improvement Is sold within one year of com- ' . , • Canopy; Type II 0 Zoning Approved By ✓LA. - Date _ - L` pletion„the owner will have the burden of proving he/she did not build or,im- Duct- Under Ground , - • Buildin Approved _e•— - Date / rove for the purpose of sale). - i9 pp oved By /- U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System - Application Issued By TM Dat• o 4-a tractors to construct the project (Section 7044, Business and Professions Code: ' The Contractor's License Law does.not apply to an,ownerof property who - Duct-Ventilating - - -- - ❑0-100,000-BTU-❑100,000 BTU -- - • `3/' .• SUMMARY OF FEES I builds or improves thereon,and'who contracts for such projects with a con- - ,BUILDING PERMIT $ SMTP G'� tractor(s) license pursuant to the'Contractor's License Law). am aware that Exhaust System ❑ Multiple ❑, System Repair/Alteration I /-� L proof of their Worker's Compensation insurance Should be provided to me.: — :PLAN CHECK $ //T"� frpR- • ) ❑ I-am exempt under Section - B. & F.C.for this reason Firepl/Fact.BIt. ICBG-# Fire Dampers - ' • PLUMBING $ UANCE $ l ' Date • owner' Heating System& Ducting l Registers ,PIAN CHECK •25% ENERGY P.C. I hereby-certify that"Ihave read this application-and state that the above , • 00-100,000 BTU•0100,0006TL• information is correct. I agr. to comply with all city and county ordinances °I• „ELECTRICAL ! GRADI , sen to state laws relati+• t:.• ding construction, and hereby authorize repre- - PLAN CHECK 50% MICR $ - sentatives of this it rater' upon the above-mentioned `property 'for • 1 - $ inspection pure•�s Signature «_ Dat -.3.---/(•-•fe , l MECHANICAL $ •�O TOTAL FEE $ ' Drivers' Li Reinspection Fee $15 Issue Fee $ 3 . PLAN CHECK 25% $ • ' CMF 0865- 6,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor L ICONSTRUCTION AND PLANNING - POOI 'A , 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 UFER Grnd. - n' / �x�� 57. APPROVAL TO COVER-GUNITE 7. Footi'ngs _s f 4 t._ Siz ���/1 58. Electrical Conduit-Undrgrnd. 8.'Foundation _ i L - + "�j' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System I 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 i 70. Underground Hydro 22. Ducts, Ventilating 71. •Product Piping O Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24:•Roof Framing 73. Undergrnd.Storage Tank LI Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27: Frame and Flashing 76. Dry Standpipe • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • • 79. FINAL INSPECTION - 32. Electrical Power Meter-Final i 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning7616.P ?7 F" // oaae 35. Final Gas Pipe-Test SI,YIP 'bac- T-° &tea 1 c-- 36. Hood or Canopy - 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • - ' 44. Landscape Irrigation System • i - 45. Sound Attenuation • _ _ 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING (-3/-9 48. Special Requirements Completed • 49. Electric Release to Edison .. . - - 50. Gas Release to Southern California Gas Co / • 51. CERTIFICATE OF OCCUPANCY ;, No. Date • . .. . • . , . -- 4 OWNER Rutgers Dev. Co. DATE 8_29_58 JOB ADDRESS 2449 Vassar -P1. . . . - • BUILDING PERMIT NO. 7375 GENERAL CONTRACTOR ' Dike &-Cole grove, Inc. VALUE $ .16,&198.00 AP. No. LOT 31 TRACT 2954 FIRE ZONE DESCRIPTION OF WORK Res. w/att. garage GnnUP Iy�& JJ TYPE ZONE 1 PLAN NO. • , E__G Jf ONSy (J/ 01 DATE SUBCONTRACTOR PERMITS ISSUED 'W1'h'Mt- NYI�t' r DATE- NUMBER Trenches r Worms V av A', Floor System Steel Reinforce Chimney Re-Rod Bond Beam i _ Frame and Flashing /14/.62' - - Lathing, In Out c*1 1 3 Plaster, brown coat •Audir Ka Underground soil W/G Pipe Test /fj' O-t2-r.,p - Top Out 7 4A 7 Furnace 4. /'e2- ' ngat jw?7w�l y. •n 1 . - J014111hrIl '. Gas Vents - AIM N. Rough Plumbing /vf1S //-✓1 S? a. 111W4� ' • _ ? tin1,J Cesspool Septic Tank _ �rl -- Prop. Swr. Line`House Coal/it/St. Swr. /-r ` Y , d ma iwwwjrSaI$1; K)LZ.'a Sprinkling System - I Heating Final I a, -2-S9 Ix` din, Fixtures, Final ,, �y-y-9 -_ ,.ras Test r .. S -1-4 \/ C iruction 'oe Underground Power INNIPBNINal ,\ Rough Wiring7ii4I!•FMI+ • Fixtures, Final A V -OCCUPANCY Form 210-5M-1-57 _1 AUc 27 /958 COSTA MESA BUILDING DEPARTMENT [=;(u�Irlr`� DEPT P.O. BOX 317 COSTA MESA. CALIFORNIA ' ^^rel er-r;, FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT . A DR SS 2449 Vassar Place BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PliFirgir OWNER Rutgers Development Co. eau O RECEIVED BY DATE RECEIVED DATE ISSUED MAIL ADDRESS 419 E. 17th St. .[ T� _,.. S ,cam pllE 2 91953 BUILDING CITY Costa Mesa, Calif. NO.L . 8-1159 ADDRESS ARC 'CT Carlson & LIC. COSTA MESA. CALIFORNIA OR JEER 1fi ddletn cub. NO. FIRE ADDRESS Garden Grove _ . ZONE Dike & CITY In ZONE K NPOAONF TYPE GROUP CONTRACTOR LIC. te- C.lekrove, Inc. nn ADDRESS 419 E. 17th St. TN O.� 0 . —1159gyPROVED DATE LEGAL LOT q CORRECTIONS DESCRIPTION NO. 3l BLOCK TRACT 2954 A.P.NO. SIZE O 80 x 104 NO.OF BLDGS. OF NOW ON LOT none • USE OF r EXISTING BLDG. . SETBACK I CENTER OFLINE STREETFROM 45 REAR YARD 721 — 12' 5' • SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NE X ALTERATION ADDITION REPAIR MOVING fl DEMOLISH BUILDING 1647 sq. ft 1i 000M5 7 STORIES 1 SIZE COEXTERIVERINORG COVWALL Stucco ROOF COMP. COVERING p USE OF NEW • BUILDING Single family residence with attached double garage. Plan 760AR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND//T' - • K-EGULATING B LDING CONSTRUC- TION. VALUATION nn SIGNATURE OF / PERMIT FEE $30.00 PERMITTEE II kli PLAN CHECK $19•GG Dike 16,598.00 AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $57.00 N..ur OWNER GAUT,ROY DATE _21_78 JOB ADDRESS 2444 Vassar. Place BUILDING PERMIT NO. 498 ENERAL CONTRACTOR Wilson Associates DESCRIPTION of WORK Patio Cover P No. 141-441-05 LOT TRACT FIRE ZONE VALUES 800. CTIONS Signature Dote TYPE V GROUP ,T ZONE R-1 • SUBCONTRACTOR PERMITS ISSUED AS TERUCH PLUMBING Dot. I Number 1 Signature WAPlumbing O OP. SWR. LINE ❑ HOUSE CON. ❑ —_. SPRINKLING SYSTEM f .er n '._—+..�. MISCELLANEOUS I II A' II '`'1 if `/ "•` b.=' ❑ ROUGH HEATING AND AIR CONDITIONING nil a L... I I. , -I I P., .. 0 i TEMPORARY SERVICE OR POLE 'ft.:, // \\ I) ti .� n I H UNDERGROUND O POWER ❑ ' ( \ ' Lc:as L—+n I ROUGH WIRING 1 ` I N.atina and Vent. 'r :-f) k_� 1 TRENCHES L7 FORMS n LSA STEEL REINF. DATE FLOOR SYSTEM DATE sift, BOND BEAM fl STEEL REINFORCE fl SHEATHING { FRAME AND FLASHING LATHING - IN El OUT n PLASTER. BROWN COAT STRUCTURAL, FINAL Flectric H i, VENT.. REFRIG. AND A.C., FINAL P. .NG, FINAL AND GAS TEST [1 ELECTRIC, FINAL BUILDING. FINAL SPECIAL REQUIREMENTS — , writ i+v unTicicn nec n cI FrT El • .I` • � . • 45698 • 7818 3_/21 /78 8.50 TL COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant toFill in/Completely /�—�Uj/se Ink Only RECEI DATE RECEIVED TE{Q /S�U ADDRESS zip/y 1/IF fS- - /�� ' ,J SIN� � ,(� /� /// PERMIT NO. OWNER /�4'v� oLIGI�� A.P.NO.// •%{yl/,' �D.� MAIL BUILDING �QSS��/' ADDRESS 30oyy /1a6f'Yl�l 2d j ADDRESS-1L ,S J. j� //II� J TEL. p7 TRACT. I. LO4 BLOCK CITY / /Q tAitr 4l. TE •6�• CONSTRU �ION NEW- IADD�ALTER(REPAIR MOVING f1FMI I OSH LENDER BRANCH G`I. ,—. OWNER � ADDRESS i f' �� VALUE P(/ ARCHITECT 5•i,I 15.e< TEL. USE $ a-O'-- OR ENGINEER NO. FIRE _���y rrr T ADDRESS / ) �/,l(,�. ZONE / TYPE ' GROUP s,✓ / y� CONTRACTOR IN l/7 eh '{`�,A /iyL'L/((°�'� 1 APPROVED /�1 DATEIF^'L1 Lk:1 ADDRESS/'4 POO S. Ne�wbn' Ct{J.. / NO7X/ . � /y, � µ/ TEL. 0610 ZONCI PLANS�UILDING SE OF NEW CITY /7 vo STATE / CITY YARDS APPROVED YARDS APPROVED LIC.NO. S5,-u%, LIC.NO. MAIN BUILDING A ESSORY BUILDING (FROM C/L T-E/EST)/' � CS A. OF LOT ' ' t FRONT I' h-v/ _,I FT. HUSE OF ' EXISTING BLDG. • R.SInF 2-I FT._ FT. rn FSeparate permits are required for • L.SIDE FT. FT. electric,plumbing and heating work. D `REAR FT. FT. 0 iUSE OPIB,ILDING AND WORK TO BE PERFORMED BET _ .M IN& / SIN BLOCS. ACCESS. A / .1h p /.S.✓ rifa . /ilei VAR. C.U.P.# DATE • APPROVED I . > APPROlV/E1q //�� Z e / 77.S.,,,3'''. _aV .VVQJA DATE Com` I / ..l W Q I'hereby acknowledge that I have read this application,and state n 04 that the above Information Is correct and agree to comply with b m Chi all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of m ...TTTW the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. ,co 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 EST P.B_'t-UIQ A PERMIT F E ONLY: n am exempt from t ovislons of the State of California Business VALUATION PERMIT FEE $ 7n and Professions de,division 3,Chapter 9. / 0 m g / �r1li/L'/ " it.te� $ I TAX N CHECK S �_ LL o Signature of 1 Permittee I / SO f U Authorized Agent TOTAL PAID $ .(t Q