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HomeMy WebLinkAbout2477 ELDEN AVE - Building Permits C -. a4011 4 - CITY OF COSTA MESA 44, tBUILDING DIVISION j•7-a" ,,; DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER I;r w....ia I ` PERMIT B00-01677 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.rtrtLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 • Job Address: 2477 ELDEN AV Status: ISSUED Suite: Applied: 10/17/2000 • Vicinity: UNIT A RESIDENCE ONLY Issued: 10/17/2000 Parcel Number: 43928126 Zoning: Applicant: WHITNEY, ROBERT ISSUED BY: *frk Address: P0 15396 - Phone: (949)548-0769 - NEWPORT BEACH , CA Zip: 92659 . Owner: WRIGHT, TOMMY DOUGLAS TR Address 2017-S CAPELLA CT - - - • - Phone: COSTA MESA,CA Zip: 92626 Contractor: WHITNEY ROOFING Address: P0 15396 , , ' - Phone: (949)548-0769 " NEWPORT BEACH,CA . Zip:. 92659 License: 406022 Arch : - - Eng: Address: - Address: Phone: Phone: Zip: License: License: - SCOPE OF PERMIT -• REROOF:T/O SHAKE, 1/2"OSB PLYWOOD, 1 LAYER 15#FEL;T,APPLY25-YEAR COMP SHINGLES. 16 SQUARES " ' " FEE SUMMARY•. .. Plan Check: $0.00 -— ." - - Calc Valuation: $3;692.00 • Permit: $97.25 .. Claim Valuation: (. . $3,692.00 SMIP Res: $0.50 • SMIP Corn: $0.00 Other $0.00 / - Inspection: '$0.00 N. Total: $97.75.. PLANNING &ZONING ''—(.,/, SETBACKS �� MAIN STRUCTURE.Front 0-0 Rear 0-0 Left 0-0 Right ' O.-0 ACCESSORY Front, 0-0 ' Rear 0-0 _ Left , 0-0 . Right ,oL 0 . PARKING Existing: '0.- ' Required: ,0 , Proposed:- 0' NOTES: 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) 7 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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. My workers'compensation insurance carder a •policy number are: Carrier: i Policy Number: (This section need not be completed i -:pe s V: ed at one hundred dollars($100)or less.) ❑ I certify that in the pe • once of :work f• which this permit is issued, -hall not employ any person In any manner so as to b me subject to the workers' compensation la • • Califom-, : d a•re- hat if I should become subject t• the workers'compensation provisions of Section 00 of th bor Code,I shall forthwith comply with th : provisiolsi Applicant Signature: Date: `, // Orf WARNING:FAILURE TOS -•f'E ORKERS'COMPENSATION COVERAGE IS UNLAW AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATII ,D• • ES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS D‘ESIARAT I hereby affirm that I am licensed under provisions. • n r g( • mencing with Section 7000)of Division 3 of the Business and Profession Code,a d my license is in full force and effect.Lic.a Class M Contractor's Signature: " Date: Lem r CONSTRUCTION LENDING Ar NCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders 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 sho 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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers 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 8,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: I 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? 0 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 lime 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? ❑Yes 0 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apemlit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the Califomia 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? 0 Yes 0 No (If"yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health a •-afety Code). 7 if a permit from the South Coast Air Quality Management District or other air pollution control dist' t 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 4230 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 .•ove is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHO:•A• • • OF ENTRY:I certify un. penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state I. and ' ordinances relating to •• ding construction,and authorize representatives of the Ci of Costa Mesa to enter upon the above-described property for inspec': purpos:-.I :•r:e n.t to occupy••.low occupancy of any building authorized by this permit until f al inspection. Signaturl7 er� D. Q/J And/Cr •uthorized Applicant a- e CODE I INSPECTION TYPE CODE! INSPECRON TYPE • BATE Its 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / > 208 Final Plumbing 200 Final Re-Roof lB 21 `CO 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/Om'panty _ • - `a "�' CITY OF COSTA MESA 9BUILDING DIVISION PERMIT NUMBER I- l w•o+•ai , DEVELOPMENT SERVICES DEPARTMENT Ta. 0.04 PERMIT / B99-00545✓ (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2477 ELDEN AV Status: ISSUED Suite: Applied: 04/20/1999 Vicinity: BLDG B&C Issued: 04/20/1999 Parcel Nunmber: 43928126 Zoning: - Applicant: WHITNEY, ROBERT ISSUED BY: Address: 00000 PO 15396 • ' Phone: 714-548-0769 ' • NEWPORT BEACH CA Zip: 92659 Owner WRIGHT, TOMMY DOUGLAS TR - Address 2017 S CAPELLA CT • Phone: COSTA MESA,CA Zip: 92626 Contractor: WHITNEY ROOFING Address: 00000 PO 15396 Phone: 714-548-0769 NEWPORT BEACH CA Zip: 92659 License: 406022 Arch : - Eng: Address: Address: Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF OVER EXISTING SHINGLES WITH SAME(3 TAB). FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,524.00 Permit: $87.25 . Claim Valuation: $3,524.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $87.75 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 NOTES: 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 • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: • ❑ ave and will maintaln'e certificate of consent to self-Insure for workers'compensation,es provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. I have and w0 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. • My works mpensation Insurance carter and policy number are: _ Carder: .•-L Policy Number: 60 n. cc OS 7 (This section need of be comple a permit Is valued, on hundred dollars($100)or less.) ❑ I certify that in the rformance of the wo •r which is 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 a! ,: at i I s Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. � 1 _y� Applicant Signature: Date: v/•�O [ WARNING:FNLURE TO SECURE W-, ERS'COMPENSATION COVERAGE IS U AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(SI00,000),IN ADDr1ON TO THE COST OF COMPENSATION. GES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under prov' • s of C ,• : 9(comm ng with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect.Lic.# Class# /r Contractor's Signature: Date: 4" ' O f 7 CONSTRUCTION LENDING AGENC : 9 I hereby affirm that there Is a construction lending 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:My 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 properly 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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 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,An 2,Sec. 341,Title 8,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? 0 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 0 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 Califomla 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 Depanment. 4 If an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes ❑No (Section 65850.2 of the Califomla 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? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomla 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 B (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 .•• ••-:IZATION 0 ENTRY:I certify under penalty of perjury that I have read this application end state that the information given is correct.I agree to comply with a : 'sand city ordl•:noes relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for •• •urposes.I agre-not to occupy or allow occupancy of any building authorized by this permit unti al Insp: ion. 5r 11�:wner(s) _ , , Dat:i 2 nd/Or Authorized Applicant •ate SODS I IBSPECTION TYPE IM.Th maga CODES INSPECTIONTYPF / per, INIRIAL$ 1616 Fixed System Final Fire Prevention i ' 206 ' Final Mechanical 1266 Pool Spa Final '1t! q�/ 208 Final Plumbing 200 Final Re-Roof Y 2 i [ " 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 2446-46 _vosta Mesa Building Department "^"'" APPLICATION FOR PEItin.. 111 EAST 20th STREET _ :-- - COSTA MESA, CALIFORNIA oo� B-U-I-L-Q,I N-G"-"'-"-"' FOR APPLICAN TO FI FOR.OFFICEJJSEANLY_, • LL , i Receipt No. ermit:No. , Adds �res , / N1 JAN 1 0 1'955 370 Cos a Mesa, California Received 13 Date Recd. e r I '�i �95. Nearest �2 Jc .-. A. ��j�LIA�f • 11griri • Cross St 2 4L 77. i't�/K�it I X// ` w/�O"+ Address / Owner a. /Y �Lr ; Costa Mesa, California Mail - .e A . Address . �Y Neat-est i - Tel. Cross St. l - City Ln o --, -„")1.te1Q_ No. Zone Jf- JI No , / I Group , Architect or - Lic. r Plans V i Engineer No. App owed by Date • i Address w t CORRECTIONS City Lic. _ - • ContractorNo. I - ' Address _2 4/17,, L / , LegalLot Description I No. 4o 7 Block O�I r -' -- • , . (Attach Metes and Bounds) //9— (9.22.1-sr No.of Bldgs. fll _ Size of Lot 461.4/ �' [75 Now on Lot ` - J-Y��►"-1 � n O Use of �--Z No.of No.of - ff iD- r� y Existing Bldg. /Yff'"7>� I Families I Rooms Setback Line from , / Rear Yard _ Z Center of Street CO Side YardS t- -e-x955•. , • DESCRIPTION OF WORK J1 , ' � New 1 Alteration 1 I Addition In s> A s Repair I I Moving I I Demolish C� OF-COS-T-A-1 ESA- -� -<. Building/it/ .2/ ,I,No.of Size Rooms Stories , Exterior Wall I Roo -C, .. - -' / Covering it J. Covering _ , , APPROVALS Use of New ', / Foundation Location Inspector Date Building ' Forms,Materials, ,1f - _ Under-Pinning i 5�-^-�� Frame: Fire Stops, - Bracing,Bolts Lath.Int. I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Ext. • - with all City Or ' nces and S to Laws regulating building'constru on. Signature of ) o Plaster, Int. Per,nitte Ii'/ -.20) plaster,Ext Authorized Agt. Masonry Reinforced Valuation Permit Fee $ 1 -fiC /� Plan Check $ Bond Beam _$ / ©00. Total ar CSC")— FINAL ��. Fee • '$ b'lll013da4 SIO YOITA^LITI insmiu qaa gnibtura szsIti steel) — a� ' `' �:>wi _ FITS MOTZAS rm. AINfl]O IJAO SA2SM A oo , 1 r; ; _ __ '-___. Y c a ` a , I \ — I ' f in - • • . - r _ Street .--. . PLOT PLAN — ,- • Show location and distances from — Ill • 4'1 ill • ' ' property line and!between buildings:', • .,.- ._ - -- -_ - . - 1^ _ ti•c , _,"_ • 4, • • • r . - - - 7., _- - . _. _ _ _ - _ --_ -_ - - - - .44 42465 auc 13-7607°°001166' ***151.02 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 f • PPI IC• TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— - I 0 y R,c ./-., :vo'' E ' : f_G(: BUILDING q'77 w / -3 "1 4 i - - & DATE ISSUED 4,,,t end / C. • //� • OWNER e.. C e/Ysi/ A.P.NO. # 'Cis , -.3C, PERMIT NO. MAIL Gj v BUILDING 07� 2 _ g ADDRESw�S d� J /�`� ,(/ ADDRESS / e• PP /(�((1e S CITY/I YJv4t /✓ IJ//t NO7$Z7I� LOT 4 BLOCK LENDER IONNCM#YJ /Q/y��Jr� ,sw#r 4 j NEW ADD ALTER REPAIR MOVING DFMOLISH BRANCH ,n951i (Vi(J//�Ir.(i/�i/ ' / OWNER /, ADDRESS ...... 1110 ARCHITECT TEL. USE 4/111.1:14.6,;'-/;1 Y J � Sr OR ENGINEER NO FIRE ADDRESS ZONE TYPE 111.-- GROUP APPROVED CONTRACTOR / - // . BY DATE ADDRESS TEL. ZO 2 NO.OF USE OF NEV CITY NO. tc V _ PLANS 0 :UILDING F STATE CITY YARDS APPROVED YARDS APPRO ED LIC.NO. -a933G LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE �( CONO.OF BLDGS. (FROM C/L .Tr E ) Or OF LOT G Q'J7 13V NOW ON LOT ' / -ONT 2L T I�� FT. CII USE OF EXISTING BLDG. de/ e n G/4 R SIO C�/ T.T. F Ey"' Separate permits are required for L.SIDE /OFT FT. electric,plumbing and heating work. ICOM REAR FT. FT. [.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& na �4/40.-, ' � MAIN BLDGS. ACCESS.BLDGS. 1/ VAR.# DATE / , C.U.P.aY+ APPROVED APPROVE[— 6i/ ` DATE /� /"7 7.(D • a •LD XOR $P �l'.� kr y E1f��N o I hereby acknowledge that I have read this application and state N. EC that the above Information is correct and agree to comply with -- Cl. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of {z1 the State of California. �� cv I hereby certify that I am properly licensed as a contractor under SO. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and t s licenses are In f ������//////orce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt fro the pr visions of the S f C ornl Business a VALUATION PERMIT FEE $ n and Professio sCode,Division 3,Chap / /O �j PLAN CHECK $ Mot 5 Signature o e� a o Permittee• $ 8� TAX E `/ U 7 U Authorized Agent TOTAL PAID E/ts/ O ia 44 ' kl'a 13-76'„1°001167* ***:fr79.15 42466 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP LI A ON F R STRUCTURAL PERMIT For Applicant to Fill in Completely —Use In�O'y '7 /� DATE ISSUED ADIDR ES/SG/']��/ �j f/y/!I-✓' �I/'�v�� ',;, r� RE V _ T:ylS♦ OWNER/ tV& r /�C/f/lL I A.P. NO.1 I q-4V-I PERMIT NO. - ADDRESS/G/ ,.��s/�j/ /A //` M° ///� hi ADIDP 77 ,c,' /�Q P421 TE CITYZ#17#W/4+ 111/51,VI NOyi/L�/7//V. TRACT 3co `6' ' BLOCKY CONSTRUCTIONS/0 "/2jA . LI10 /II';'Ai/V. NEW ADD ALTER REPAIR MOVING. OFMOLISH LENDER �`J(��J �j W/J.�`�(/ rILE/)/V�V `�` G BRANCH ��/�'� PAC/�G OWNE / Mt ADDRESSO W N E • otred tel/�f/`//1 ���/p�/�. �]�yryy�el ARCHITECT TEL. USE �V�(! Are 33574, OR ENGINEER NO FIRE 0-•/- , L ADDRESS ZONE TYPE GROUP Z / e/ , �5 % APPROVED CONT RACTO fine/ ,,,if �(///Vdilt! BY DATE ADDRESS. 7V)A ' Q*/ esioc'� J' CITY rjI/j� /pre' NO�✓f/ .-7�/`� ZO � NO.OF SE OF NEW _ / /-. G PLANS UILDIFG ti STATE '"',0/11,7 L 9 CITY YARDS APPROVED YARDS APP!'VEO LIC. NOLIC.NO. MAIN BUILDING ACCESSORY aUILDING OF LOT QO NO.OF BLOCS. (FROM C/L$TM E���� /the / NOW ON LOT FRONT //X L!/1e ” FT. Q USE OF /^� CO EXISTING BLDG 1 R SIRE 2 FT. CO El[-• Separate permits are required for L.SIDE ,t T.� FT. electric,plumbing and heating work. _REAR 3 T. p—/-J FT. W USE F BUILDING AND WORK TO BE PERFORMED `�J F DISTANCE BET. BET.MAIN& Q ��rr - MAIN BLDGS. ACCESS. BLDGS. .•1 6V/ CW C URP # DATE APPROVED 'C / ROVEq//v�/0 /�'DATEy�/� 6- )" 9Y .a 0 o a I :: o &Sit 5iDit-.1-AL" ft UIR # I herebyacknowledge that I have read this application and sta a 'n pf, that the above information Is correct and agree to comply with a C:10 all laws regulating building construction, and I shall not employ / Z any person in violation of the workman's compensation laws of ,q o the State of California. //}�v / Ll I /� of I hereby certify that I am properly licensed as a contractor under �( 6 SO. FT. /j?/(/ ���`\L` the State of California Business and Prof. ••ns Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and •. ch licenses are i. for d atct,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt f . the ,rovisions of th- - e o for f:usiness VALUATION PERMIT FEE $ :- Chapter Profess'•ns Code,Division 3,C +• 9. in PLAN CHECK $ r e S re o o Signatur= o�/�� /` ,e S III/'''��I Tao •12, s LL� Permute- L L�iY /- `/�7o TAX $ /r G S r.0 Authorized Agent J TOTAL PAID $ 79/5 • • • P... r• ." 42 �" -8.76;.7, CO. tl7,5 : ,:•._t. {:e7.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • 4 APP / ' A ON FOR STRUCTURAL 'ERMIT For Applicant to Fill inCompletelyCompletely -- Use Ink Onl/y� R EC' :V D// /�j (}I�6�1. ) ADDRESX 6• J ELI Lm. // ' 11 /L• � ' IP Q SSI � / ♦ / PERMIT NO. OWNER x E ft Sr/ . A.P. NO: -- i MAIL // BUILDING ADORES- - " /Q J iSr, 'I -' ADDRESd ffdd�e, i. I I, CITSr/� ''(/�%�/}���—` NO74•J/)b TRACTSOd ,L•Qr�r(/ BLOCK CONSiRUC71Q�J�_ ..)-A (C�V�"Jr it,4✓ i NEW AD ALTER REPAIR MOVING DEMOI ISH LENDER (•���/� / /��/ �F BRANCH /`/►`W (//����♦s•-s�/ ,�/J ��i/JALAFF2 2 i ADDRESS 6e/W/Qte`..� C dt - OWNER //••�� ��)) Q{FLUE ARCHITECT TEL. USE f� MOR ! $ OR ENGINEER NO. FIRE `�/// ��+ ADDRESS fit ZOE VPE ( GROUP JCONTRACTORV (y/9'C/e � , BYPROVED � / DATE // :,V ADDRESS TEL. ZONE n I' NO.OF USE OF CITY NO. NSBUILDIN /2/A4 'lam/•^ -ah �. F STATE CITY YARDS APPROVED YARDS APPROV LIC. NO. LIC.NO/ MAIN BUILDING ACCESSORYzQUIL G Iz SIZE NO.OF BLDGS/ (FROM C/L STREET) 'f7,kc/ 0. OF LOT NOW ON LOT FRONT - FT. Q USE OF V) E a / T. EXISTING BLDG. R,S1DE FT. T. FSeparate permits are required for L.SIDE FT. Q FT. electric,plumbing and heating work. REAR FT. 0. • IP/931frIA. , F. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CI Q /�{/� MAIN BLDGS. ACCESS.BLOCS. x �(/iC�.1S/c1 -.01,Al VAR.# C.U.P.at DATE //q/ APPROVED �A PROVEO/ "�g DATJ� (/_� 77 —.1l/ILA�J/ Ce al 0. L O I hereby acknowledge that I have read this application and state in a that the above Information is correct and agree to comply with m 0- all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of m = the State of California. ,�a� I hereby certify that I am properly licensed as a contractor under a (/U SQ. FT. the State of Californi usiness end Profess . s Code, Di Ision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, and t such censer ore In f or• and act,or IopiTHE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt fro the pray slots of the S of allfor /. Business a and Protesslo sCotla,Division 3, Chap; •. �, VALUATION '' PERMIT FEE $ 7 m a PLAN CHECK $ rn 0 Signature Pefmlttee // $ 4 �� TAX $ SD 2 U Y Authorized Agent TOTAL PAID $ 7,67) s6-(T/