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HomeMy WebLinkAbout1819 Tahiti Dr - Building Permits _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT IVO. , TRACT NO, LOT NO. BLDG.NO. CONSTRUCTION PERMIT y°_ // ‘‘, .0' X71.. I � 5848 3/12/84 _ e,c : Ti, Project Address i • ■ TYPE OF CONSTRUCTION ❑ NEW eo.ADD U ALTERATION LJ REPAIR Applicant's Mailing Address • riIT ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone 6 0 I JS • �''a DESCRIPTION OF WORK J Owner's NameQ Phone 1Main Building: Accessory Building: Z lia Address1 mN1/4I E 0 TYPE OF PERMIT N GRADING ■ FOUNDATION III STRUCTURALFront N Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL I eeUMBING cECHANICALRear Address ❑ BOTHERN Contractor's Name - IDa- pa5 Phone v-t2PROJECT DESCRIPTION SQ. FT. OCCUPANCY Right RAddress(mailing) e) ti ICL) DStPt-MSA CON STRUCTION TYPE VALUATION$ Left E City License No. vZOHt-9"'t ZONE GRADING CU.YDS. ACRES Ping. Ref.9}'• Park.Fees $ 0 U LICENSED CONTRACTOR DECLARATION Remarks: Parking Req,/Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E my license is iOJull ore ;tett. ^3�IS PLUMBING FEES PlanningNotes: M Ucens CIa55� A icens: rv•. ) Date .G, Signature £ir„ar.ds aj< E WORKERS'COMPENSATION D 2' LARATION Bar Sink Showers T I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink . - S of Workers' Compensation Insurance or a certified copy thereof (Section 3800, Lab.tab, SC) 'Ss Cppe at.�•NR Backflow Irrigation Sewer Cap ELECTRICAL FEES (1 Policy ab &s F f sss Company 11 r Certified copy is hereby furnished. • Bathtubs Sewer Connection ■ r B C fieepp,.copy jg tiled with the city B��tyyyfff���ing�iJyl,Slon • r� Date `7-®"'/ Applicant /'LVa76 Clarifiers 2 Solar Collectors �,,OO ■ttP 2 EXEMPTION FROM WORKERS'CO ENSATION DECLARATION Dishwasher Solar Piping ca? (This section need not be completed if he permit is for one hundred ($100) or 1 ■ • less). I certify that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank D ishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers OElectric Sub Panel Date Signature • - NOTICE:If,iaf ter making this declaration, you should become subject to the Floor Sinks Urinal ■• • ■ Workers' Compensation provisions of the Labor Code, you must forthwith • comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet ■ 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that therewhiis a permit issued agency for 97rfCiv. C.) Interceptors Water Heater of the work for which this permit is issued (Section 3097 Civ. CJ Lender's Name r Kitchen Sink •••:.Water Service • Device Lender'sAddress ' OWNER BUILDER DECLARATION • Lavatories' I hereby affirm that I am exempt from the Contractor's License Law for the conreason (Section Business andProfessional Code: ode: Any city or P-Trap _ - county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to Its issuance, also requires the er such permit Roof Drains Garbage Disposal Standing Sections . to file a signed statementthat he/she 19 licensed pursuant to the provisionsof the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Generator ■I ■ Division 3 of the Business and Professions Code) or that he/she is exempt ' therefrom and the basis for the alleged exemption. Any violation of Section I $25 Issue Fee - 7031.5 by any applicant for.a permit subjects-the applicant to a civil $ 3 penalty of not more than five hOndred dollars($500). Reinspection Fee I, as owner of the property or my employees with wages as their soleReinspection Fee $25 Issue Fee , $ 3 compensation, wilt do the work,and the structure is not Intended or offered - MECHANICAL FEES - -- for sale (Section 7044, Business and Professional Code: The Contractor's . - • PUBLIC SERVICES REQUIREMENTS: - ' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ •. - i d G d Uner Ground sale. If, however, the building or Improvement is sold within one year of com- Duct- • Building Approved By Date p prove , the owner will have the burden of proving he/she did not build or im- Application Issued By �� #A2/d yr rove for the purpose of sale). ' Duct-Structural Refrigeration System - ' APP Date o I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who - BUILDING PERMIT $ _ SMTP $ ' builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT 0.ham exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG#• PLUMBING $ ISSUANCE $ Date Owner - Heating System& Ducting - PLAN CHECK 25% $ _ ENERGY P.C. $ ' I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BT • ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances , and state laws relating to budging construction, and hereby authorize room.. PLAN CHECK 50% $ MICROFILM $ - sentatives of t s city. to en upon the above-mentioned property for Inspection putypl�jesy�� 3�_�!4 MECHANICAL $ - Q •Q U Signature (`0,ie'a�� /� Date // TOTAL FEE $ Drivers' Lice se or 5S 9f ' - Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING_ POOL&SPA . - _ _ -_ 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. •- . • 1 5. Steel Reinforcement - - :56. Rough Plumbing & Pressure)Test ' 6. Electrical UFER Grnd. r. 57. APPROVAL TO COVER-GUNITEi 7. Footings . 58. .Electrical Conduit-Undrgrnd:. : _ • 8. Foundation - - 59. Gas Pipe, D Undrgrnd.,Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • • 10. Structural Floor System • 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 l. - • 14. Rough Plumbing • 65. Electrical-Final ."C., . • - 15. Rough Electrical-Conduit - - -- 66. Solar'System-Final - __ ,. '- - - - ' 16. Rough Electric Wiring 67.' Fencing & Access Approval 'i - - - - - 17. Rough Wiring Sign ,_ 68. APPROVED FOR PLASTERING • - • . 1 18. Rough Electrical-T Bar Ceiling :69: POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning t , FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure 70.: Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas, 0 Oil • 2ii. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil ' 2b: Roof Sheathing - 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat -75. Dry Chemical 27. Frame and Flashing • . . 76. Dry Standpipe; . - , _ 28. Lathing & Siding i 77. FIXED SYSTEM FINAL - ' • 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing , HEALTHJDEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final ; 80. FOOD CERTIFICATE ISSUED • i 33. Final Electric Notes: Lizajiif 't4Arc-9e (..cp - 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - - - 37. Final Factory Fireplace t 38. Final Plumbing , s 1 , _ , • 39. Water Service-Final 40. Gas Service-Final - - ' 41. Solar Domestic-Final '( -- - . . - _ . • 42. Backflow Preventer `t" I - 43. Backflow Irrigation . . 4. • , 44. Landscape Irrigation System • - ,• i K 45. Sound Attenuation •- <� 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING - I - ' 48. Special Requirements Completed I t ' 49. Electric Release to Edison' - - - - - - ' 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY -- - ' No. Date - .. SERVAMATIC SOLAR SYSTEMS, INC. Name tag-c--tiJSt4A Date Address le jS 714 t• k PLOT PLAN Installed by City CeSTkk MESA Phone No. ci s-6gs Branch Truss 0 Rafter , ack Size of Members 2 'x APPROVED Centers �� inches CITY LW CESTA Roof Span C-2--feet Mechanical Division Roof Type S4- .3t u E Building Department Roof Pitch — �— Approved Y`✓9/7 ,o Date316,44 NOTE: See attached Standard Plan for '7 Maximum Roof Span. IT Note Note any existing roof problems before starting the job and have the customer sign to acknowledge that they have been made aware of them. FORM No. 5131 (10183—20M) i, 5 •a . . . u . . n . � v . .� . . . . [ItSYSTEMS S . • WATER . . El . . _ . .. _. . . . . • . . . .. . . _ . . _ . _ . . . . ... .. Iry . . ... 0.11- r • t W I 4\l•. . . X ir 1 e lin: . / Ala . . Arni 4 "�i XIII Les bolts -- `: #1'j s►xt3 3 . .14 tap tereWS • s, ; ._ tittersr *j -a.C.- ' - = e- a s ', - - - .• : - - • - - —• - a -TS a'1,--..--.1-g--_,.. 5-47:-C...--2-1, ••••r- . • . _ - - itYPICAL IAOUNPINIC OF SUN FUN 4' ,,,,,,n?it- 7 ,i,,,, eirip,„,,,_ ..„. ..., . ,... . ... .• RVflTEQ . . . , . . 1 , i . • . . , , t• - „.... ..- . ..„ ......, ..4 ,-/ • i sra • i • "fife:•:-. 1. 1:- .i r** vie Cs al " / f • 7.... tj -• • i - • •-t. ..41. . • 04%, a .• / . • a i I.\Ss.- 4'..%. . . ...• • i,a .1/4A e. . ..- te • I - . . . . - . . ••. 1 . . . .."- r- . I _ r4• 14 ill 4 / etir . . _ Nan., 1..- 21011"-"'"" ....! / . 1 7 on,..--______ , _van I .7 iTi P . ,eipos —________ Ivor-1., , -• • . • • _ Illir.t .., $:, ii c ii. /41...4 . . /4 , . , ... i • On NOM •. SICCING AND ROOF • • - E • .,.• _ - • • - MATERIAL 1101" SHOWN. turn..- 7 -•• ' :, • - - . .. ' - If. • .. •.it /138ER SEALER 10 SE U ...SED .. . . . . . .., ..- . • • ----SPOUND ALL LAG SOLT3 .P.,4; - - . -- - - ;1 ' -4% • .-:-. r —t•,.... :..- •—3. - •— --.A ' k , - - • 4.- •;. - ,-1 .7 ----:...-JC.4 , = . ,:* - - ''k - --4 --A• . • 1 w — -- . ., et 4't T. -t I-t• e•-•. V.; I- _'• — •- " - - - - a • r . .A: 1. • r.,•"• 2, I •• 1,...2-c-t, .......- ... I i , i . a. gpv 4.4 ,so. .. .. . _Ica.art .. •. . , .., .g...... • pm. :.!"4 ' '''. _- . .4.4311.,!1).:sr, 1 . . AP: - -- •-4- ' ----1 --/ •*- -3-4p, r-90-5,12--sz-n %v.:" • ' , isep.•4 "Vor sit-le ..... 4", ritc• -...h. -4 - , -,---. . 4. ‘.... • -•,, e-,,— •••,-,,. ••• a: „,,s. . -. 1 ...vs,'II- •'-, a 1 0.• , r 1-, tr,•-• "-CV-..i Po - - 40:est. —1.`4 —Pi--4+ mIst e• ea iy.•:Vt. ii .--CN...-it; - %se, • (.... , -...a • .. _. - •, - • . v. •• • -- if A.:•• vr.• nr-e. II. • -7. -1;- -1* -11 , A•i••• t 4 , ... •. ii.'• . . . • . ...“.. • S • n• “t • .... C - • .. . • ti a r. • . .. ‘i Cee;:r-ipator A _, , , , $: t.,0 • F • 1 . tiA / � / ` _..ee i1 ,`—i • r t•.—* / / ` • 1 . ; t ; ' t NN..C.er 4>411:WI I,... 9, 1:" :- : t ' ' •• t• ' : nor Praia �o Ila y .1 ;, . . .,• ` ,.. :.r.; . y r; ,. . ': tit, Ol • • • e Mgr 10 w1TtR /• a4 gamut DOWNS _a. �. •"\ � 's! .4. : '4.•2'.4.6�y ~jAj;4 i d':4 ':‘ I' ♦ I y.. p.,�j�y�y fir' •• ".;... ,• �14.6 • %1141111111.1111111 -t,���1.:.4.T. w • e1G AZ ENGINEERS HERS .. .. .«:.....`.:•.....,..w wnY , M µ vita 1y Nerch 1. 142 . . . ' ROOF INSTALLATION GUIDELINESM' 1110t , POR •. •.re. , •• • SUN' via sALAR NATER , EATER* •. •. . i.1. All existing roofs where' sun flow water beaters ' 71 r ,to be .installed sh#►ll, be visuallyins , �, wain t+r tti : ..,• . :,. , installation foreman. •• ''•:•:11 '•. • • ,. • 2. Any defect, such as excessive sag or fleas usually `'c.:, • .rte "• ' .. - ' . :, . : • = ;, .• observed shall be recorded. .,.It required, a bracing .�� f,"• ?, • • .. ,. •r , •eystfl.msy; be.•inatelled 'to strengthen the root systems. ::�,f! •• , , . • • . If a roof is determined to be fifteen years or older. ` ': •. ;y... - • ., the installationforeman shall inspect the underside •. 11•'i • , , , of the structure where solar units are, to be installed. ' �+: .,'•• -• • Note any defective saber, condition o[ MWriil. .ass. •,: :? ':•,:3 ,. of material, over all span and spacing. If it is +•li ` ,• • 1 •.,I• determined that/the framing system will not support ,. , 1 •, the, additional loads imposed : :+:„ ' : by the solar units. an • , • ,••., ., •., . .eRgfaaerad bracing system shall be installed. . . S . , ,..: L .4. ,.The .following is s guide to determine the adequacy Of ' ' , . . . , • .,.•, the structure, to support sun flow solar units., nonslip • , . ! • , ,, , ,•., , • . . encountered is the borne building industry. u , , ' .., ,. a. 2X4 rafters spaced at 24" . 0/c and maximum • • . . . • span of 7'-0 center •to center. 7.0.0 span may ;,,7; •,: , . , . , be supported by intermediate purlins or walls. '+ P .. , .b. . 2X4 rafters spaced at 16" 'o/c And mptlawm '• ,•� '�' " span of 964-0 center to center. ' i , . . § c. 2X6 rafters•. spaced .sit 24" o/c and waS.a, ; • %Pr 1 • span of 12'-0 center• to center. •} • 4. 2x8 rafters spaced alt 24' o/c ask Mg1MM span of 14'-6 centeL.to canter. `. • nf. 2X10 rafters spaced at 24" o/c and '•. msilMm" t •, . ' `.4 , span of l8'-0 center. to center. • [. 4x6 rafters spaced ;. . ..,,.: l ,•✓. at 36" o/c and- • .Mxiswm . .:.. I .. ... span of 146-0 center; to center. • 5 t r, ''• . %': :'� , g.. 4x6 rafters flat root spaced at 36" o/c and r ' ' '` maximal span of 14'-10 center to Raster. . ;;: {r�•,:: 1n. Fabricated Roof Trussesi .I+ Y, • • . . •' ' 2x4 members e trusses spaced at 24•.:0/44 and • 1'41 . maximum spas of 24 '-0. .. 4e.,• .... ... ... ._ _ • . 2X6 members = Trusses s -- - • : -•4 •.1'a • paced`at 34 , o,/a ami'' , . a maxiwm span of 366-0. .1• ; • rL i L. . . h: ., t* t ,. rtc—a BEYAZ ENGINEEOIS ' • ' ' a : �. r' • , i!_1V' Cons{Iung•Suuttwsl•flweronnw+W• . .',Ely; •y.•_1 �rs • I • i 2020N B,oa0+ay.Suits 200.Wamw Crest .i• JAMS PS ' 1►� ". . � CaMloma94S96•PIwns4l S 9349707 - • es _._ papas fliiikpiLzait • ymarch 1. /942 Seirvamatie Solar Systems; Inc). �: �. ";: • +• '[.'1 N• �i ••. ,•L 1641 Challenge Drive. + 1� 1 ' t . :� • �: . Concord, CA 94520 ' ^o:• . '+a +� Gentlemen. �e / - • inclosed please find a set' of Structural calculations. es •'• ' : • • the adequacy of roof systems to carry additioaal°'loads : c•` '� •••‘ r. • imposed by the "Sun Plow - Solar Mater Nesters".y' Ms h . ' .+,1 investigated a typical toter and ridge boom type root - •t • •t• ;car systema. Calculations are based on a different crafter ` i'wo t •;. spacing and different Spans with a roof pitch of 4. to i2: '•t•;; .' '' Most conventional home roof framing falls within the • spans investigated. In each case, , the loads .of thea sol'itt•" "i • • units were placed on the roof as it will be ibetalled. 4Is,.:• •� • .. • our investigation show that the existing roof•systems ewe i • t '•• : . . ., capable to Carry two or more of the solar units , ' '• f'11) S.r . •[, with a three or more member distribution. The 'sparie sail'. "•4 ! •t•' ' spacings investigated do not require any strengthening : M , - . ' or additional bracing. •''• . r.• ,i , We also investigated a conventional prefabricated roof t{ •'' 't e truss systems. one with 2X4 Members. 24•-0 span and -. lei • 370.4" span end one with 2x6 members,• 36'-O' span and • ' . 35'-2' span. ' These trusses were sheeted from actual r roof installations. In all the cases investigated, dei • ". , .N. to additional' loadc. .the stresses were within the • • .'r ,• allowable-.member stresses, therefore. trusts, are capable ' to carry two Qe more of the solar units without any • ' • ': '' • std • strengthening\ or bracing. •.. • . • •• "•t .• , t•. .. .hi Plato feel free to call on us if you 'have any. quoetiaa., .�? . • Sincerely yours. ieki• N. Snag ' s. • • . la w cy - •ease •• : • l: , • • OWNER DeRUSHA DATE 10/27/80 JOB ADDRESS 1819 Tahiti: Drive BUILDING PERMIT NO. 50903 • GENERAL CONTRACTOR - Messenger's Masonry. IncQESCRIPTIONofWORK Fireplace AP No. 139-253-10 LOT 50 TRACT 3380 FIRE ZONE VALUES 3,000.00 INSPECTIONS Signature I Date TYPE V-H GROUP P i ZONE R1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number I Sian stare WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. [] SPRINKLING SYSTEM fl MISCELLANEOUS ��jj�� ROUGH HEATING AND AIR CONDITIONING ��(/r� •TEMPORARY SERVICE OR POLE .UNDERGROUND 5 POWER 0 it7103 'aROUGH WIRING ^ Heating and Vent.TRENCHES 221 FORMS d STEEL REINF. 0 ' VAQ1 J,1 ,'is1,f) uX p I R 0 S FLOOR SYSTEM / / tlqq`et� '(1 et'tl�n OIBOND BEAM n STEEL REINFORCE n Ina) Y USHEATHING a •le n1FRAME AND FLASHING• wale ryLATHING — IN n OUT 5 PLASTER, BROwN COAT /' (.( STRUCTURAL. FINAI7 pit�t Qa6 enat 6-2. -di EIt.ctric {HEATING. VENT., REFRIG. AND A.C., FINAL IT;PLUMBING, FINAL AND GAS TEST n ':'-ELECTRIC, FINAL � BUILDING, FINAL j�s/ L-2-23 ti 771 10/27/90" r4tI6e50 TW COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION`FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVE BY PERMIT 7�r0 50903 For Applicant�, to Fill in Completely —/Use Ink�nkOnly (,re 1�1 BUILDING ADDRESS I c/ I R!lITI 3/4'-�/— BUILDING A.P.NO. tV.-.. 3 _`dG OWNER OR l ADDRESS /g/ J ocki k/ TENANT - i1LJ'S'^�� UNIT OR MAILING SPACE NO. ADDRESS 8//9./727��l7Jj TEL. L'.�/.y CITY /L jy�J / oft., NO.S /Ige-a� TR.W ADD LOT PAIR BLK. CONSTR C1OONi NEW�iA�DD _ALTER REPAIR MOVING DEMOLISH LENDER !//� BRANCH !� y- S / OWNER Q 64, ADDRESSVALUE ARCHITECT TEL. USE Fire. 0/(tics_ E3OGb•---1- OR ENGINEER NO • ...--- ADDRESS ADDRESS //�/}��� �./� Q I/s�/y(//�yy,/��{,�y,��,y(' ZONE /'e„ / ��J]TYP /v GROUP CONTRACTOR/�f/"" �S/7/C + ///�/�Cy ' " " BYPROVED/�X DATE IO-27-g-- ADDRESS ) ffc/FRIG / ^ E- •-• CIC: ca. ��, NO POJi[� _ STATE m�p� CITY y( nu APPROVED SETBACKS LIC. NOG^ • Cal T2" LIC.NO.�3q / SIZE INO.OF BLOCS. (FROM C/L STREET) 0. OF LOT NOW ON LOT FRONT FT. - Q USE OF �y cn EXISTING BLDG. _R SIDE 7 a V/ILT VI / / // F Separate permits are required for L.SIDE /n FT.D G electric,plumbing and heating work. REAR FT. (14., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q C ..7DATE Q r 1/G / !n C �_ APPROVED IAPPROVED�A�u%//�tL ^gyp �yr� }.l . SAY 1 t�.F/�7] DATE �D'!-..LJ`Ori IX GU O. I hereby acknowledge that I have read this application and state n CC that the above Information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workmen's compensation laws of o 2 the State of California. SO30� 3r I hereby certify that I am properly licensed as a contractor under . FT. N 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 ESTABLISHING A PERMIT FEE ONLY: e am exempt fr•m the provisions of the State of California Business PERMIT FEE E and Professi•n'-Code,Divis on 3,Chapter 9. VALUATION /L[/ �_ m 7 m Signatu a o �,,-1,f PLAN CHECK $ /2 �_ on Permitte `�'. $ �Wr/ �- TAX E u or c7- co Authorized Agent Date in�7� TOTAL PAID $ 3(s . co ©$s FEE RECEIVED • fAR2Gt',` COSTA MESA BUILDING-SAFETY DEPARTMENT F Af4CE DEPT. 'P. O. BOX 517 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 1819 Tahiti Drive ADDRESS COSTA MESA. CALIFORNIA For Office Use Only OWNER Carriage Ranches Inc. ' 1 RECEIPT NO. I 1WV/,}1O:., MAIL PO Box 783 RECEI BYTE REC VED TE ISSUED ADDRESS I DATE_ -.,S�f.�II r --6,/ CITY CITY Costa Mesa NoLI87783 BUILDING ADDRESS OR ARCHIT ECT ENGINEER R. Levanas ELLOr37010 COSTA MESA. CALIFORNIA NO. ADDRESS 3432 Via Oporto , Npt. Beach FIRE / ZONE TYPE I GROUPi CONTRACTOR Carriage Construction Co. APPROVED BY DATE ADDRESS 119 Cabrillo St. ZONING �m Costa Mesa, Calif. ZONE I NO.OF I USE OP NEW slllgl. fain. CITY R-1 PLANS 2 BUILDING w/ all gar. STATE 185126 TEL. LI 87783 Q LIC.NO. 72. 87 wide x NO. DESCRIPTION Lot 50. Tract 3380 SIZE ioT 99. 42 long I NO. OP DLDGS.0_ NOW ON LOT A.P.NO. none USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM 301 401+ (CENTER UNE ST.) CENTER OP STREET REAR YARD FRONT ✓✓✓ �/ FT. IN. I 7?l 11 _I 5 1 1 11 SIDE YARD LEFT RIGHT R.SIDE 3 FT. / IN. DESCRIPTION OF WORK // II / IN. L.SIDE (I' / FT. NEW I XXIIALTERATION I II ADDITION I REAR LAPPROVED 1( + CO FT. f IN. REPAIR MOVING DEMOLISH BY W. L. D./ 9ATE 3-20-61 BUILDING2688 sq. ft. NO. OF 10V 2 (V/ SIZE ROOMS STORIES EXTERIOR WALL stucco I ROOF cdr. shingle COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED residence - 2688 sq. ft. garage - 456 sq. ft. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION / SIGNATURE OF CARRIAG CONSTR. CO. o PERMIT FEE $ v�� PERMITTEE 26 010. 00 M `1��\ �^ l o. $ 1 PLAN CHECK $ P�/.Q� 9Z AUTHORIZED AGENT ,1 LI.JJ�\Vl!\JL\�� TOTAL FEE $ (O / — G u