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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' ¢ S_V � _ � � m K S -�� E �dp � `o � LL g 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 • . � .�� 'c� �Q51' I' '� �. - .. ,r_,..RD�:�,��`���� �.�.:.�3.�� � :. � . . , ._ . . , _• � �, , 1 _ �� .. 1 _. . .-` , .•?; � . �' � 1 -� � �� � ' - - - l � i . � � �". . � ' � , I � � . � > _ , '� . 1 I - ��. , (� ♦ ... , _. � � . . _ i�, � � '_'_. .�� i • . � �� - • � .t; � '. . . .l�l _ � � . '. � , � -. �.. � ., �� , ��. C .i `_ , . - -� 1 . _ , . . � . � �� � r �' �l � � � . _ • '1 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� Z A�DRE55 � � W W �,�q /J/f -s TEL..— dU CITV "�,S //� No.�j7J"Dy �-. Z Z Q CON57RUCTION Q � LENDER am J � BRANCH -.! � � ADDRESS l ARCHITECT TEL. J N OF ENGINEEF U Q w Q ADDRE55 aw J O CONTRACTOR (,}� 'Q � 1 m Z J � ADDRE55 w W TEL. �= CITV NO. Z � w � STATE CITY y Q LIC. NO. LIC. NO. _ � SIZE NO.OF BLOGS. OF LOT NOW ON LOT VSE OF E%ISfING BLOG. � SIZE OF NO. OF Z NEW BLDG. ROOM$ STORIES V EXTERIOR WALL ROOF COVER�NG COVERING USE,9PjBVILDING �+N9.1jiORK TO �QPERFORMEy 4 0 F N Z O F U � � F N z F PA1D 'hY?R-75�,.�.00709r'> **°�¢7.5C 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 � ZONE QI IPIANS 2 I BUII�ING EW r/ � �� 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 �� Authorizatl Agant D/1TE & a s -�,� V � 0 VALUATION IS FOR � A VERMR FEE ONLV: m ¢ �� m = 5 � m K g /� E ' /i�. LL