HomeMy WebLinkAbout2802 LORETO AVE - Building Permits •
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CITY OF COSTA MESA '
•1:5;1 BUILDING DIVISION .
F`y 1l 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesas s
x. FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER. BC07-00291
PERMIT TYPE: B_COMBO2 . STATUS: ISSUED
Sub Type: RES_RRIP DATE ISSUED: 10/08/2007
. - ISSUED BY: RMD
JOB ADDRESS: 2802 LORETO AV CMSuite/Unit: '
APN: 14130317 - Zoning:R1, ,
Vicinity: FIRST FLOOR BATH , Primary Occ:
Const Type: V-N SQ. FT: 0 - - Valuation: $6,000.00
SCOPE OF WORK: FIRST FLOOR.INTERIOR BATHROOM REMODEL FOR A SFD WORK TO TO INCLUDE: 2 LIGHT FIXTS,
CHANGE OUT 2 OUTLETS,.HOT MOP SHOWER, CHANGE OUT 1 WASH BASIN, 1 WATER CLOSET AND 1 WATER REPIPE.
OWNER: HARADER,WILLIAM C TR. - Address: 2802 LORETO AVE Unit:
Phone: 714-546-6840 - - City/Slate/Zip: COSTA MESA,-CA, • .
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APPLICANT: LUCE, ROBERT Address: 11301 W OLYMPIC BLVD STE 467 Unit:
Phone: 888-343-4111 - , City/State/zZip: WEST LOS ANGELES ,
CONTRACTOR: PRIMETIME CONSTRUCTION AND REMODELING ' License No. 327299
Phone: 888-833-6541 Address: 11301 W OLYMPIC BLVD STE 467Unit:
Cell: City/State: WEST LOS ANGELES ZipCode 90064
ARCHITECT: License No. - . - PHONE: •
ENGINEER: License No. PHONE:
COMBINTATION PERMIT FEE SUMMARY
Building Plan Check: $0.00-
Building Fees: ' -$125.25
Electrical Fees: • - r ' $27.90 P'4: 11,';" .. .
Mechanical Fees: $0.00 •
Plumbing Fees
SMIP Residential: $0.60r y `•
SMTP Commercial: $0.00 •
TOTAL FEES: $216.45
"Refer to fee receipts for all fees paid for project •
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under.lhis permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE INSPECTION TYPE DDS INTnULS CODES INSPECTION TYPE • DATE, INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing /40/4C 9(7 it
200 Final Re-Roof • 210 Final Electrical AIR?17
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201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy b /Li 0 g.,
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's t. a. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: _ , Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. .
❑ I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation In urance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: n�,s person is required to descend,will be made in connection with work authorized
Carrier: . "jjr� -d by this permit,and that no building structure,scaffdding,falsework,cr demolition
t_ bedat or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
^(]rus seem need r.pr�mnye� epe�Oen,neree mrars(Efoo)or less.' 2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: 1roc
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall no employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' mpensation laws of Califomia, and agree that if I should
become subj= •0 the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Labor C.::,I s fort 'th comp' th hese provisioP,s��s / �I
\ CJ -`l/ D I Division of Industrial Safety Permit Number:
Applicant's Signature Dato - - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license i• 'n full force and effect, a registration form for acutely hazardous materials? ❑Yes ❑No
/J' 1
(Sint !!_V cat_____ # (Section 25533 of the California Health and Safety Code, with some
,/r�i/`� /6 /^ /p7 exceptions, requires registration with the Costa Mesa Fire Department by
I / each business which at any one time has on hand a quantity of acutely
C-co ctor's Signature ` Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the Califomia Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the Califomia
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If'yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of.the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044.Business and
Professions Code: The contractors License Law does not apply to an owner of Signature . . Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt-under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating • building construction, and authorize representatives of
Business and Professions Code for this reason: the City of jesa to enter upon the above-described property for
inspection puagree not to occupy or allow occupancy of any building
authorized bymit until final ins .n.
a
War n •f,-..I Owner ^to Q //x''''777
Signature Date a• /4, ! (//�,
3057-46l3le]) And/or Authorized Applicant ( Date v `/
• ,5 ' F CITY OF COSTA MESA
4 BUILDING DIVISION
). :J tm• DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
tt �'7
PERMIT
;4.
B06-00293
44).0omrtm
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
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Job Address: 2802 LORETO AV Status: ISSUED
Suite: Applied: 02/22/2006
Vicinity: ROOF Issued: 02/22/2006
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 14130317 Zoning: R1
Applicant: PARK, MIKE
Address: 8639 BUENA TIERRA PL
Phone: 800-726-7700 ISSUED BY:
BUENA PARK,CA Zip: 90621
Owner: HARADER, WILLIAM C TR
Address 2802 LORETO AVE
• Phone:
• COSTA MESA,CA Zip: 92626-5813
Contractor: GOLDEN WEST ROOFING SERVICE
Address: 8639 BUENA TIERRA PL
Phone: 800-726-7700
BUENA PARK,CA
Zip: 90621 License: 735924
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF.INSTALL 1 LAYER OF 30#FELT,30 YEAR COMPOSITION SHINGLES,AND REPAIR/REPLACE SHEETING AS
NEEDED.25 SQUARES INCLUDES ATTACHED GARAGE.
FEE SUMMARY •
Plan Check: $0.00 Calc Valuation: $6,500.00
Permit: $139.25 Claim Valuation: $6,500.00
SMIP Res: $0.65
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.90
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' PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0;0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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)754.5626
2446-46(6/00)
r •
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
a I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
rp I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
1. lAyy workers' n l�
co`mppns�atll n Insurance carrier and policy number are:
ti ,carner: "- fair T4N� PolioyNumber_ �T7 j
fhie-secf/on'need not be completed it the permit is valued at one hundred dollars($100)or less.) _ET-
• I certify that in the performance of the work for wh' 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,and agree that' should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
-Applicant ignature:._lir t �/`-� cDate:" Z
-WARNING:FAILURE TO SECURE WORKERS'COMPEN ATI VERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TOCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3.of.the.Business and Professions Code,and my license is in full
-force d effect.Lic.k --- • . 'W Class
VCon<recior's SIgnature: '—� ,—.�/ - r Date:
):-22 --c)-6
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am oxempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document.i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application ap ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ICI Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Ignature 1 Leg Owner(s) Date
Z 2-- 0
✓�/ Annd/Or. til rized Applicant
,QQE-IL INSPECTIONTYPE 1—.. ➢_ATE IIWUAL$ CODE! I$SPECTIONTYPE 287E 1N1hALa
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Finalz _may 20 Final Plumbing
200 Final Re-Root PO� 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
j UWINCit HARAnER, William DAIL 1-12-76
4.
JOB ADDRESS 2802 Lorento nrive BUILDING PERMIT NO. 41066
' GENERAL CONTRACTOR Owner/R1dr DESCRIPTION of WORK Add Fnmi Iy Penn
j AP 110.141-303-17 LOT TRACT FIRE ZONE VALUE $7,500,00
II .CTIONS Signature Dote TYPE V GROUP I ZONE R-I
SOIL
GSUBCONTRACTOR PERMITS ISSUED
AS .o 1- Date I Number ISignature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE 0 HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0 -1. r
ROUGH WIRING �� ,20y�y Heating and Vent.
TRENCHES [13 FORMS STEEL REINF. /r-A-,l OGS /B �
Q , i--4oa1a2s7l
FLOOR SYSTEM C
BOND BEAM STEEL REINFORCE n
SHEATHING AgILC/ I—l.3—f,
FRAME AND FLASHI
i
O.r�'I�E G
LATHING — IN OUT X14 ,J1.4` " -J --_j?SPLASTER. BROWN COAT L+ -s• 74
STIR. OPAL, FINAL tyle
HEA , VENT., REFRIG. AND A.C., FINAL RLrC 3 ,!{7
;;' ' t 1-029-74 39vsy/
PLUMBING, FINAL AND GAS TEST Q
ELECTRIC. FINAL Anx- -IrO_
BUILDING. FINAL I%,L 3-19-24
PAID
4 ebb JAN 12-76c00 302* sY,kt*66.53
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in 'Completely—(U�s/e�Ink Only /E,Ff F7j�/5 n �J
�p,Q, um/Aro 02 RE DaV / N�/s(/D 112-74
ISSUED
BUILDING 1
ADDRESS ] p� ^ coJ 7 PERMIT NO.
BUOWNER VV I LLI ATM 4J Ptj l� A.P. NO. /4-i c'.//�']/ /
MAIL . vbl L.0 .2.t-LO Dt1 ADDRESS
CITY
LDING /rC.�t/ti �getro •
ADDRESS V Il�� `'( Q
CITY LQS2� en 130 TNOL SAID
' 0 OYr�/ TRACT 7� / LOT/O BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR 1MOVING DFMOI ISH
LENDER �
BRANCH OWNER wiL' Nf
_A
ADDRESS
ARCHITECT TEL. + pS~A c+A Py"7chAVALUE/ ry^l,,
OR ENGINEER NO.
FIRE T
ADDRESS ZONE át/TYPE
GROUP �..r
6%1N/Nntit APPROVED n 7/
CONTRACTOR r/ . BY DATE/L-0 /Y�-
ADDRESSTEZON NO.OF USE OF NEE•
CITY NO I PLANS�� BUILDING
F^ STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLOCS. (FROM C/L S BEET)
0. OF LOT NOW ON LOT I FRO FT.
•
in-C USE OF em//EXISTING BLDG. SI NGL f Or". 1ZX s. Et SIDE FT. V/ FT.
Frn �{�.— --�
Separate permits are required for L.SIDE•la tELT/ FT.
electric,plumbing and heating work. �7 / 0"
W _REAR .Z� FT. FT.
[-, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
-C /l.�_,.,_ MAIN BLDGS. ACCESS. BLOCS.
S —ff .IKT VT n. a- oo 1Y VD4
/ /r /7.49 I // VAR. b'+ DATE
'IC
X C.U.P,„Ft I APPROVED 7=7 to}
APPROVED DATE I-(1! I [✓
...1 (�� Iltt !I{
CC
ILI
0. I hereby acknowledge that I have read this application and mate
N
Q$ that the above information is correct and agree to comply with n
m`
IL all laws regulating building construction, end I shall not employ
Zany person in violation of the workman's compensation laws of
ithe State of California. 3e1 SO. FT. a
I hereby certify that I am properly licensed as a contractor under mi
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, end that such licenses are In full force and effect,or S THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE S
ILZ
and Professions Code,Division 3,Chapter 9. I�tf n
Signature of flv I L\t Jr/r• �-b1A/fie Ult.' 44 PLAN CHECK E 22�o 2
Permittee (t•/ 'a •S1'{•f064.) 4.— $
./�/'O s TAX $ 54`
/ [/ 2
6f4.v4'49 U
Authorized Agent .- TOTAL PAID S
12340 •
FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT ` IIdilC 7aR,
P. O. BOX 917 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT .
TYPE OR PRINT Lot 105 BUILDING
BUILDING Avenue Plan R 2B
ADDRESS 2802
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERMIT NO.
OWNERMesA_Del Mar Developm- Co I (-12340
MAIL RECEIVED BY ••ATE RECEIVED DATE ISSUED
_alit Suite 1, 3800 E. Coast • •• • . : •. __ ' I , 6O I ,NATE
CY Corona del Mar No.
ITOr 34221 BUILDING
ADDRESS 2802 Loreto Avenue
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER Raymond Levanas NO. Or 37011
ADDRESS 3432 Via Oporto, Newport Beach FIRE d
ZONE TYPE GROUP k
CONTRACTOR Macco Corporation APPROVED
BY DATE
ADDRESS 3800 E. Coast Highway ZONING
CITY Corona del Mar ZONE I NO.Op I USOF NEW
PLANE BUILDING
STC.No. 98808 NOL. Or 3-4220 CARL Lot 105 Tract # 3749
SIZE
OF LOT 70 x 93 I NO. OF NOW ON LOTS D
A.P.NO.
USE OF YARDS EVES
EXISTING B DG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) �1
CENTER OP STREET 42 5 REAR YARD 29 FRONT 411.- FT. IN.
y}/
SIDE YARD I LEFTI RIGHT 5 R.SIDE '/ PT. IN.
DESCRIPTION OF WORKFT. IN.
L.SIDE
NEW I X V ALTERATION I V ADDITION I REAR cf.�(/�
FT. / ,.IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED � _ (1. DATE 6_/4t-6 O
BUILDING NO. OF F�
SIZE 4S x. 51J ROOMS 4. STORIES 1
EXTERIOR
asidi
i IOVd
°` CopoVERING
COVERINGWood Shingles B •
USE OF BUILDING AND WORK TO BE PERFORMED G.
•
Construct Single Family Residence
with attached garage
I HEREBY ACKNOWLEDGE HAT I HAVE READ THIS PLICATION
AND STATE THAT THE OVE IS CORRECT AND AG E TO COM- THE AMOUNT SHOWN UNDERVALUATION IS FOR THE
PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O INAN ES AND STATE LAW REGULATING
BUILDING CDNSTRU VALUATION
SIGNATURE OF PERMIT FEE $ 32.00 N
PERMITTEE 'L'1.'1 C' 13,515.00 16.00
$ PLAN CHECK $
AUTHORIZED AGENT Project Manager TOTAL FEE 48.00' C
4