HomeMy WebLinkAbout900 WILSON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 900 W WILSON ST
Suite:
Vicinity: ROOF
Parcel Number: 42235320
Zoning:
Applicant: PIZARRO, SERGIO AND MARIA ESTELA
Address: 900 W WILSON ST
Phone: 949-646-6439
COSTA MESA, CA Zip: 92627-3336
Owner: PIZARRO, SERGIO AND MARIA ESTELA
Address 900 W WILSON ST
COSTA MESA, CA
Contrector. O W N E R-BU ILDE R
Address:
Zip:
Arch :
Address:
Phone:
Phone:
" Zip: 92627-3336 -
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 03/20/2003
Issued: 03/20/2003
ISSUED BY: I��
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF AND INSTALL LIGHT WEIGHT CONCRETE TILE ROOF. NOT TO EXCEED 5.7 PSF. ICBO #4660. TERRACOTTA
GOLD #518
Plan Check: $0.00
Permit: $139.25
SMIP Res: $0.69
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.94
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
ss,soo.00
$s,soo.00
� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes antl related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspactlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
tyeses lyoo�
WORKERS'COMPENSAnON DECLARAnON:
I hereby aflirm under penalN of perjury one of the following tleclarations:
❑ I have an0 will maint�in a certifiwte of consent to setl-Insure for workers' compensation, as provided Por by section 3700 of the Labor Code, �or the paAortnance ot the
work for which thi5 p�rmil is issued.
❑ 1 heve end will maintain workers' compensation insurance, as requiretl by seclion 3700 of ihe Labor Code, for the perfortnance of ihe work for which this pertnit is iSsueC.
My workers' compen5ation Insurance cartler and policy number are:
Carrier: ' Policy Number:
(Triis section need no( be completed il fhe permit is valued at one hundred tlollare ($100) or Iess.J
��: I certify that in ihe pedorpience of the wohc for which this permit is issued, I shall not employ eny person in eny manner so as to become su6lect to the workars'
compeosation Iaw o� ai'Uornla, and egree � qt It 1 should become subject to the workers' compensstion provisions M Seqion 370 o51he Labor Code, 1 sha0 forlhwRh
comply with ihes r is ons. /9 �
Applicant Signawre� - Date: �� / C� / [�
WARNINO:FAILURETOS UPEWORKERS'COMPENSATION OVERAGEISLINLAWFULANDSHA�LSUBJECTANEMPLOYERTOCRIMINALP�IESANDpVILFWESUPTOONEHUNDRED
TFN)USAND DOLLARE (E100,OWI. IN AODITION TO THE COST OF CAMPENSATIQY, DAMAGES NS PROVIDED FOR IN $ECTIIXJ 3]OB OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTOpS DECLARATION:
I hereby aNirm that I em lic9nsed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code, antl my license Is in full
force end eftect. Lic. q Class s
Contraaors Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I herehy aHirtn that thare is a construction lending agency for the peAormance of �he work tor which Ihis permit is issued. (Sec. 3097, Civil COde).
LentleYs Name: Lendefs Address:
SignaWre: Date:
OWNER-BUILDER DECLANATIONS:
I hereby ettirm that under penelty of perjury ihat I am EXEMPT FROM TT1E CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions
Code: Any city or county whic� requires a permit to consWct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requiras the applicant tor such permit
b tile a signed statement IPet he or she Is licensed pursuant to the provislons ot ihe Contractors License Law (Chapter 9(commencing with Saction 7000) of Dlvlsion 3 oi Ihe
Business antl Professions Code) or thet he or she is exempt iherefrom and the 6e5is lor the elleged exemption. Any violation of Section 7031.5 by any epplicant for e pertnit
subjects Ihe applicant to e civil penalty of not more ihan five huntlretl dollars ($500).):
❑ I, es ownar of ihe property, or my employees with wages as their sole compensation, WILI DO 7HE WORK, entl ihe sWcture is not intendetl or offeretl for sele (Sac.
7044, Business and Pmfessions Cotle: The Coniractors License Law tloes not apply Io an owner of properry who builds or improves Ihereon, and who does such work
himselt or herself or tnrough his or her own employeas, providetl that such improvemenis ere not Intended or otteretl for sale. If, however, ihe building or improvement Is
soltl within one yaer o� completion, the owner-buiider wiil hava the burtlen ot pmving thal he or she ditl nol build or Improve tor puryose ol sele.). �
❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (SecJ044, BuSiness and Protessions
Cotle: The con�rectors License Law tloes not apply to an owner of propeny who builds or Improves ihereon, and who contracts for such project with e contramor(s)
_ license p�uent to th9 Contractors License Laws.).
❑. I art��ze t untler sec. Business and Professions Code lor ihis reason:
Signatu .� c.ar1J �5/-�-�7Ln -:
"-`5
Owner I ved d by tlriveY5license. Q Ves ❑ No Driver's License No. Expires:
Venfication ot Ownership by (rype oi document, i.e. - property taz hill or deetl):
DIVISION OF INDUSTRIAl SAFE7Y PERMIT CERTIFICATION:
❑ I hereby certify Ihet no eacavetion five (5) or more feet in depth into which a peroon is requireA to descend, will 6e made in connection with work authorized by ihis
permit, and that no building strucWre, scaHoltling, falsework, or demolition or dismantling thereot, will be more ihan ihirry-six (36) feet hiqh. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Calitomia Atlminislrative Code�.
❑ As owner-�uiltler, I wi�l not employ enyone to do work which would require e permit irom ihe Division of Intlustrial Safety, as noted above, unless such person has a
permit lo da such worN <<am the division.
Signature: Date:
Division ot Industrial Satety Permil Number:
CERTFICATE OP COMPLIPNC D AI7THORIZATON OF ENTFiV: I cetlity under penelty of perjury that I have read this application and state thet ihe information given is
correct I agree �o com NWith I stete laws antl ciry ordinances rela�ing to Ouilding constmction, end authonze representatives of the Ciry of Costa Mesa to enter upon ihe
ebove-described prope y fol i s ection puryoses. I�ot to occupy or ellow occupancy of any huilding authorized by this permit until tinal inspection.
Signa ure Oi Legal Owner(s), Da����
And/Or Authonzed Applicant Date
COUE 1. INSPECTONTYPE
1616 Fixetl System Final Phe Prevention
1266 Pool Spe Final
200 Finel Re-Roof
201 Final BIocWRetainir�g Wall
202 Final Fectory Fire P�ace
203 Finel Sign
204 Flnaf Demolltfon
D�TE INTRI�LS
CODEI INSPECTIONTYPE �
206 Final Mechanical
20B Finel Plumbing
210 Final Electrical
212 Flnal Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Building/Occupancy
PAg 1�Lfl
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant
900 W WILSON ST
GAS REPIPE
42235320
CHRISTI, JOE
Address: 9670 LA GRANADA
FOUNTAIN VALLEY, CA
Owner: CHECOS, CARL J
Address 900 W WILSON ST
COSTA MESA, CA
PLUMBING PERMIT
Phone: (714)828-5105
Zip: 92708
Phone:
Zip: 92627
Contractor: MURPHYS PLUMBING 8 ROOTER
Address: 9670 LA GR4NADA
Arch / Eng :
Address:
FOUNTAIN VALLEY,CA
GAS REPIPE
ISSUE FEE
Backflow irngation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drein, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (7-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
523.50
$0.00
$0.00
$D.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$9.80
50.00
50.00
$0.00
Qn
Phone: (714)828-5105
Zip: 92708
License: 718303
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub 1 Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 R) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect 50.00
Sewer Private Line 50.00
Shower $0.00
Sink, bar $0.00
Sink, Commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, servicelmop $0.00
Spa (privata) $0.00
Spa (public) $0.00
QN
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Appl ied: 05/21 /2001
Issued: OS/21/2001
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum�Brkr 8kflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilep
Water Heater / vent
Water Piping pnst or Rep.)
Water Re-pipe
Water Service
Water SoBener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
30.00
$0.00
50.00
$0.00
TOTAL CALCULATED FEES: 533.30
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period ot 180 days.
INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectiona and Iinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CAIL: (714) 7545626
244&68 (8�W)
WORKERS' COMPENSATION DECLARATION: '� —�
I hereby eHirm under penalry of perjury one oi �he lollowing tleclaratlons:
❑ 1 heve entl wlll mainteln e certificate ot consent Io selFlnsure for workers' compensation, es provided for 6y section 3700 of the Labor Code, for the pedormance ot the
work tor which this pertnit Is issued.
❑ I have and will maintaln workers' compensatlon Insurence, es required by section 3700 of the Labor Code, Por Ihe pertortnance of the woAc for whic� this pertnit is issued.
My workers' compensation Insurence carrier end policy number ere:
Carrier: Policy Number:
(This section neetl nof be comp/efed 1! fbe permi( Is velued et on unOred dollers ($100) or less.)
- I certity ihet in the pertortn�� of Ihe wo for wliJelrtp s�mit is issued, I shall not employ eny parson in eny manner so es to becoma subject to the warkars'
pensetlon laws ol C�fUamia, entl ¢ re t� M I (wl ecome subject m the workers' compensation proNslons of Sectlon 3700 0l Ihe Lebor Code, I shall forthwith
comply with these proW i6ns. /
AppliwM SlgneNre: � Date: � 2 � � �
WAHNW(3: FNLURE URE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TFIIXISPND t00,OW),INADDITIONTOTHECOSiOFCOMPENSATIIXJ,00.NAGESASPROVIOEDFORINSECfIIXJ3lOeOFTHEUBORODDE,INiEqEST,ANDATTORNEI^SFEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aHirtn that I em licensetl untler provlslons ot Chapter 9(commencing with Section 7000) of Division 3 ot the Busineu an�ro� ions Code, antl my Ilcense is in tull
force and eRect. lic, a � – � Class x! 6
Contractofs Signeture: � y.� ��� ��a� . Oate: + �'_�� �i /
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn thai there is e construction lentling egency for �he peAortnance of Ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name:
Signetura: _
OWNER-BUILDER OECLARATIONS:
Lender's Adtlress:
Date:
I hereby eHirm Ihet under penalry at perjury t�et I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Prafesslons
Code: Any city oi county which requires e permit to construct, alter, improve, tlamolis�, or repair any slrucNre, pnor to its Issuance, also requlres the apDlicant for such permit
b tile a signad stalement ihal he or she is Ilcensed pursuant to the provislons ol the Contractors License Law (ChaO�er 9(commencing with Secllon 7000) of DlWsion 3 of the
Business entl Professions Code) or that he or she Is exempt thereirom and ihe basis for the alleged exemption. Any violetlon ol Section 7031.5 by eny epplicent far a permit
subjects Ihe epplicent to a civil penalry ot not more then Ove hunared tlollars ($500).):
❑ I, as ownar of ihe property, or my employees wl�h wages es their sole compensation, WILL DO THE WORK, and ihe structure is not intendetl or ottered tor sale (Sec.
7044, Business and Professlons Cotle: The Contractors License Law does not apply to en owner of property who builds or improves theraan, antl who does such work
himself or herself or Ihrough his or her own employees, provided thet such improvemenis are not Intentled or offered for sele. If, however, ihe builtling or improvement is
soltl within one year oi completion, the owner��uiltler will have the burtlen of proving ihat he or she did not build or improve for purpose of sele.�.
❑ I, as awner at Ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ett (SecJ04d, 8usiness antl Professions
Code: The contractoB License Lew doe5 nOt appty to en owner of pmpehy who bullds or improves Ihareon, and who contrecis lor such pmject wll� a con(reclor(s)
license pursuant to tha Contractors License Lews.).
❑ I am exempt untler sea Business end Professions Code for Ihis reeson:
Signaluro: Da�e:
Owner ID verified by driver's license. ❑ Yes � No OriveYs License No. Expires:
Venliwtion of Ownershlp by (lype of daument, i.e. - property tax bill or daed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excavetion live (5) ar mora faet in depih into which e person is requiretl to tlescentl, will be mede in connec�lon with work authorized by Ihis
pertnit, and that no building siructure, scaflolding, falsework, or demolilion or dismantling thereof, wiil be more �han ihirty-six (36) feei high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia AtlmlNsiretive CaCe).
❑ As owner-builtler, I will not employ enyone to tlo work which would require a permit irom ihe Oivision ol Industnal Sefety, as noted abova, unless such person hes a
permit to do such work from the division.
Signature: Date:
Divisian ot Industrial Sefery Permit Number:
CERTIFlCA7E OF COMP IANCE AND AllTHORIZATON EI TRV: 1 cenity under penalry of perjury that I have reatl this application end slate that the infortnation given is
correct. I egree to c wlth ell state laws end city9� m c rela�ing to builtling construction, end authonze representatives ot the City of Costa Mesa to enter upon Ihe
abova-descnbed p p for inspection u es. I Jre o occupy or ellow occupancy of any building authonzed by Ihis permit until finel inspection.
� � / /� /
�/ � Siq t Le a � er(s oate
COUE �. INSPECTIONTYPE Q�IE �NTRIALS
1616 FizeG System Final Fire Preventlon
1266 Pool Spe Final
200 Final Re-Rool
201 FIna181ocWRataining Well
202 Final Fectory Fite Place
203 Finel Sign
204 FinalOemolition
CODE� INSPECf10NTYPE
206 Final Mechanical
208 Final Plumbing
210 Final EleCirical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final BuildinyOccupancy
Date
PBIE INTITIALS
u i�
OWNER CiII�C
JOB ADDRE55
g
Carl J.
ROUGH HEATING AND Alft CONOITIONING
TEMPOfiARV SENVICE OR POLE
UNOERGft0UN0 � POWER �
ROUGH wIRING
TRENCHES � FORMS � STEEL REINF
FLOOR SYSTEM
60N0 BEAM � STEEL ftEINFORCE �
SHEATHING
FRAME ANO FLASHING
LATHING - IN n OUT n
P' -EF, BROWN COAT
5 .iURAL, FINAL
HEATING, VENT.. REFRIG. ANO A.C.. FINAL
DATE b-6-7i
BUILDING PERMIT
RIPTION of WORK Fireplace
ZONE VALUES350.00
DUP iT TYPE III
SUBCONTRACTOR F
=� -��g� I s.ca
;PR —6-71cMSAOO 179 0**°**+*
COSTA MESA BUILDING-SAFETY DEPARTMENT �
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI E V D R EIVED D TE ISSUED
BUILDING �^, �. n�7/ �`/„�J
ADDRESS (/v
OWNER A.P. NO. �
BUILDING �
MAIL �{�, ADORESS
Z ADDRESS
W W TEL. TRACT
a U CtTr NO. �✓ :�
~ Z W
O � L�ENDER�ION �.
a m �`
J � BRANCH �--'-
—� �� OWNER
ADDRESS �'
"� ARCHITECT TEL S
'J N OR ENGINEEF
V Q FI
W � A�DRESS ZONE T
aW
W 2 APPROVED
J � CONTRACTOR B�' +
m Z
J p� ADOFiESS
0 w TEL. ZON ' PLANS
ZF CITV NO.� ��
� STATE � /� CITV / �'ARDSAPPqOVED
y Q LIC. NO. ti'Z LIC. NO. (p �Z.O MAIN BUILDING
�� SIZE NO.OF BLDCaS (FROM C/L S ET) �
OF lOT NOW ON LOT RO
USE OF �
EXISTING BLOG. S T.
� SIZE OF NO. OF
Z NEW BLDG. ROOMS STORIES L. SIDE FT.
U EXTERIOR WALL FlOOF
COVERING COVERING REAR
VSE OF BUILDING AND WtlRK TO BE PERFORMED DISTANCE BET.
MAIN BLDG>.
Q / VAR. #
O y C.U.P. �{'+
~ APPROVED
N
Z
O
VI hereby acknowletlge that I have reeC this applica[ion antl smta
� tha[ tha above Intormation is correcx antl aprea to comply with
� alt lews reBuleting builtling consvuction, entl I shell not employ
F ony person in violation ot Ihe workmen's compensallon laws of
y th¢ Staxa of Califoroia.
ZI hereby cerxify Nut 1 om prOPerly licansetl as a contractor untlar S4. FT.
the State of Califomin Business entl Profossions Cotle, Dlvlsicn 3, THE AMOUNT SHO�
Chapter 9, untl that such licenses nro In full forca antl offacx, or I THE PURPpSE OF ES
am exempi from the provisionsoi thoSiate of Californla Buzinoss
ontl ProfasslonaCotle, Division 3, ChaDtar 9. V�+LVATION
$�gl18LUfB O� �/�
Permlttee $� �•.•
0
Authorizatl Agant ,
� l:
.\_ �
VALUE � M%
$ •�'
�/,I�
JJ�+�GROUP
DATE — '� / /
USE OF NEW
BUILDI
VARDS APPR VED
ACCESSOPY HUILDWG
BEf. MAIN &
e
0
VALUATION IS fOR �
A PERMIT FEE ONLV: m
'r' ¢
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OWNER g ristol Estates -`�� onre !y-1P•-;6
JOBADDRESS 900 Wilson Street BUILDING PERMIT NO. Z799
GENERALCONTRACTOR S.V.F:�saker VALUE � 8�856.�
i 2o s�ocK TRACT287j Single Res. x/att gar
GROUP I& J TVPE � 20NE RIA FIRE DISTRICT 2825
PERMITS ISSUED
INSPECTIONS DA7E 6UBCONTRACTOR
FootinaTrenc���� DATE I NUMBER
�m
Frami
Grade to
s�.
In Out X � j ,t6 �
9 � � ! — 7
Fixtures
s /. .�_i ICl�-
.,_ i /..',. .,_ I C- /._
�, ,� „ O It. �. .r_I _s %.� �
.�i�v
Plumbing, Final Gas Test s . �-ti ' >� � /' _ o �7 �-•.
Wirina.Final %�. �'//75'G /l'c %Oo�G �.✓ %—/9-v� —•'� �
FOFM 210 3M 10�9!
Mesa Baitding Department
P. O. Box 3!7
,- COSTA MESA, CALIFORNIA
_ FOR APPLICANT TO FII.L IN
Building nO� 1111/ Sf�1� S 1 -
Address `I W ��•
Costa, Mesa, California
Nearest -���.cEuT )�i / V
Cross SL 1 Y'F � '
Owner U 2 �STOL- � S7�'�'�E�J
Mall C1'bZ� �. �.A�S �UN�t-S �Q.
Address
citr 1�� OL:� �-+�Ti� No!��fr- I`i1.
ntractor���� 711�1i$itk�� ry�oY
Idress �A'lvl�-
Legal Lot
escription No. z� Block
,ttach Metesand Bounds)
� No of BI�
% a �
SizeofLot ll�� %� ���I NowonLot �
4seoi No.of +� No.of
ExistfngBldg. — I Familiee�l Room�.
Setback Line from � Rear Yard 'Z S
Center ot Street 5 � Sida Vard .0 � s`
t/
���
all S.T,
I hereby acH
and state th�
with all Cit
building rnn
Signatureof
Permittee _
Alteration
ry0. �T �
Rooms � Stories
Roof f7
� Coverina C_ O e.�.
APPLICATION FOR PERbIIT
�82� BUiLDING �
� FOR OFP'ICE USE ONLY
.�/-j I �—�,�-�b � s� ��
Building
Address
Costa Mesa, California
p... �-/� i Plans I V
Approved
by
CORRECTIONS
� � ��- Frame: Fire Sto
Bracing, Bolts
that I have read this Application
rve is correct and agree to rnmply Lath. Int.
nces and State Laws regulating
� �� � � Lath. Ext
AuthorizedAgt %� .
Valuation e mit Fee $ 2Z • �a
� /' � � / 00 Plan Check $ � � • C O
$ p � � Total ,3 ' pb
� Fee 3
0
■
Ini
Ext
APPROVALS
A
�
Z
D
iu�r rLAN
Show Iocatlon and dlstancea from
property line and between bu{Idinga
.. .'.-.i�.l� ' :i • .
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OWNER CHECOS, Carl J. DATE 5-28-75
� JOB ADDRESS 900 West Wilson Street BUILDING PERMIT N0. 40045
��' GFNERAL CONTRACTOR (h,mer-Bldr. DESCRIPTION oiWORK pac;o rover
� �115-583-20 LOT TRACT FIRE ZONE VALUES640.00
SUBCONTRACTOR
ROUGH PLUMBiNG
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORFRV SERVICE OR POLE
I/NDERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
F�OOR SYSTEM
90N0 BERM � STEEL REINFORCE �
SHEATHING
FRAME AND FLASHING
I.ATHING - IN n OUT n
� 'TER.flROWN COAT
MEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL NNO GAS TEST n
ELECTRIC, FINAL n,
BUILOING, FINAL � �
�� �-• ; 40045
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 12W COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING C` O � / . �
ADDRESS /
OWNER /�� I � C'��` �S
MA�L :SUIS� S�
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� SIZE OF NO. OF
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COVER�NG COVERING
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APPLICATION FOR BUILDING PERMIT
'.EI� BV DgTE R =EIVED pq��SSUED
1] ` �
�r/
s- s�3- a P T o.
NO.
.DING /� —
IRES � (i(f
TRACT�O 7j LOT�( L BLOCK
C7
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ZONE QI IPIANS 2 I BUII�ING EW r/ �
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VAflDSAPPROVED VARDSAP7ROVED
VAii. qW
C.U.P.qy+
APPROVED
1 hareby acknowlatlBe [hat I heva rantl this eppllcation entl stete
Mat Na obovo informe[(on is eorrect ond apree to comply wIM
ell laws r0gulot(nB builtlinB consttut[IDn, antl I ahell not emplOy
ony parwn in violeUon ot the workmen's companaaHon lews of
tho Stete of CeliforPle.
I hareby cartify that I am prope�ly licancetl as a conttactor under ��� 5�. FT.
the Stete of Gelifon�le Businass antl Protesalons Cotla, Divisicn 3, THE AMOUNT Sh
Chaptar 9, entl t�at such licansas ere In full torce entl effect, or 1 THE PURP06E OF
am axempc from the Orovisions ot the State of Celifornia Buslness VALUATION
antl Protessions CotlC, Oivision 3, Chepter 9.
sio�asura otly��� — ' � I // �/
Permittee 1�/�� O� �����QJ $ /A � I
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Authorizatl Agant
D/1TE
&
a s -�,�
V �
0
VALUATION IS FOR �
A VERMR FEE ONLV: m
¢
�� m
= 5 �
m
K g /� E
' /i�. LL