HomeMy WebLinkAbout2516 ELDEN AVE - Building Permits •
CITY OF COSTA MESA
4.55.3-012.-4...,, BUILDING DIVISION
etas.iJ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.0
1....1 ^�,��4••a i
4.4r- �. FOR INSPECTIONS CALL:(714)754.5626 .
• PERMIT NUMBER. M07-00420
PERMIT TYPE MECH STATUS: ISSUED
.....,DATE ISSUED: . 07/16/2007
Nay - _ t ISSUED BY: SOK
JOB ADDRESS: 2516 A ELDEN AV'CM 't, .-, ' Suite/Unit _'-•A
Vicinity: -4,. n, +r(
SQ. FT: • 0 '' '
it4'
SCOPE OF WORK: REPLACE'FAU < 100K{BTU LOCATED IN ATTIC FOR UNIT A `'t -"-
OWNER: CHANG,ANNIE.', 3 ,„d - - ,Address I 2516 ELDEN AVE ct.Unit:UNIT A
PHONE: 310-897-8729 r, s , .City/State/Zip -I COSTA MESA CA .
APPLICANT: CINDY CHANG - Address: - .
2516 ELDEN AVE ,Unit.UNIT A
PHONE: 310-897-8729 ''<A City/State/zZip. COS ,MESA CA -
TA
CONTRACTOR: OWNER BUILDER - -1 r 'License No. I,000000 -',
Address: Unit:G_'_ PHONE + E_ •+ ` ..- -
City/State: ' -s - ZipCode CELL: =
l
MECHANICAL PERMIT FEEJSUMMARY
MECH ITEM FEE: ' '' },,:,.,[.;$,,,,,y.,,: $38.30 •
PLAN CHECK FEE: _ $0 00 I..r�4}
INVESTIGATION FEE: - "i`�_ $0.00 t ` (,` r I' y' y�' I .H.4„!.,
REINSPECTION FEE: r ..i $0 00 ` _ -^ - r'-
TOTAL FEES: $38.30 '::w v-r 7r V ;-
,^r
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 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.
•
CODE I. INSPECTION TYPg /SE INITIALS CODE/ INSPECTION TYPE DATE IN TIAL
/
1616 Fixed System Final Fire Prevention •. • - 206 Final Mechanical -,a9-0-7
1266 Pool Spa Final - • 208 Final Plumbing
200 Final Re-Roof • 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 •
WORKERS'COMPENSATION DECLARATION: Owner.ID verified by drive se. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the fo g declarations: �— - • /O
e s' '�
Driver's License.No._. Expires_
0 I have and will maintain a certificate of consent to self-Insurefoi•workers Verification of Ownership by(type o docum ,i.e.-property tax bill or de ):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permitisissued. • . . •.
0 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 Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a '
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,a demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This shim need sol be completed the perm$is valued al one hundred claws($100/akuJ
2.M2 Sec.341,Title 8,California Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
O 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 not 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' compensation laws of Califomia. and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Appiram's Signature Date 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 California 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 is in full force and effect, a registration form for acutely hazardous materials? ❑Yes ❑ No
Lic.# Class# (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
Contractor'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).
O 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 fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California 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? 0 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 Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa 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 0 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
ve hundred dollars($500).): of the California Health and Safety Code).
I?as owner of the properly, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
tet
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 California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No,
thereon,and who does such work himself or herself or through his or her own• 8. (If"yes";attach certificate of compliance from the appropriate air pollution.
employees, provided that such'improvements are not intended or offered for .
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 thatunder 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
p p rty,am EXCLUSIVELY CONTRACTING WITH , city ordinances'regarding Hazardous Materials and Emissions.
O I. as owner of the roe - . .
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
0 •lam exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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
1/641°---1
tel / authorized by this permit until final inspection.
_�L-AA: MA Lim.( ! / Signatureat -of Legal Owner(s) n Date
( y -9gnawre ---\�� �Date1— $./✓"ran (Al(M. t/�V(07
. 305]<6(3/0]) J AnO/w Aumodie0'APWnranr-i? LDate
ADDRESS aaulLwNo: 151b ELOhN AV GMT: CITY OF COSTA MESA — BUILDING PERMIT
OHNE AME IF PIM: TANG, MING C C YE,KM NO: b u9'S'3�1
ADDRESS: TANG, KUO CHIAO
1616 VIA MACHADO PERMIT NO: B 075319 PLAN CHECK NO: N c,uvi : N SuPP : N
./ PALOS VERDES ESTATES90274
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
APDL.MAILING ADDRESS:
ARCHITECT OR ENGINEER: UC.No.: JOB DESCRIPTION : REROOF OVER 1 LAYER WOOD SHING W/SHAKES SQ FT: 3, 250
ACL OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 3, 250 . 00 CALC—VALUE: 3, 250 . 00 GROUP OCC : R-3 /
KING CONSTRUCTION ( 714 ) 995-7663
CONTRACTo15NMM: 3646 W. KINGSWAY AV COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY
COMIACTORS RARING ANA CA 423869 ****+f-*-**+l'**x-***tE***x-*********** ****tt****Ir It SE** -**IE***** -*x***************x-*****
ADDRESS: 92804 UC.NO.: ZONING REQUIREMENTS
WIT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty d perjury that I em licensed under provisions of Chapter 9
(canmeain9with Section 7000)aDiwion3ofthe Bethel9dPmtessi«sC4d2 raeisiEn pandeow. MAIN BUILDING ACCESSORY BUILDING
r.NO.: UC.CLASS: LIC.NO.: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
lit /727- contractor:9S Qi LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
� Date:/J
VKNER BUILDER DECLARATION:I herebyafmn under perky d perjury thear ilromlhe Contractors License Law for the PARKING REQ: PROV: PARCEL : 43941104 ZNE: REF NO:
Wowing reason(Section 7031.5 Bowes.and Professions Code:Any city or county requires a permit to canonic,alter,improve, PLANNING NOTES> i
-smash,or repel.any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
licensed pursuant to the proaviaa d the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the > t•I
,usness end Professions Code]or lhal he or she is exempt therefrom and the bean for the alleged exempion.My violation of Section *******3E*3E*3E**3E ill*3E*ill***********3E*ill*3f*3F*3E*3E*3f*ill ill ill*3E3E**3E*****3E****3f*3E*3f*ill*3E ill*353E*3E
7031.5 by tory appicent fa a Permit tubed*the eppl'ap to a dol penally d not more then free hundred dollen IMOD. DEVELOPMENT SERVICES REQUIREMENTS
0 I.as owner of he property or my employees with wages as theirsole compensationkis
,wit do the work.and the structurenotintended
or offered for sale(Section 7014.Business and Professions Code:The Contractors License Law does not spdytoan Owner of popery "i
who bolds or inpoves thereon.end who himself herself awagh he a her own employees,provided such ZONING APPROVED BY DATE;
improvements are not intended a dared fa sale.N.however,the building a inptoverayear d
ema sold within one completion,the
ownsnbufder wit have the burden a proving he or she did not build or improve for the purpose at Se). BUILDING APPROVED BY ; DATE:
El I.as owner d theproperly,Co em exclusively Lawde notith
contractors to construct to project(improv 7044.Busand and
7
Professions Code:The Contactor License does d appy to en owner a property*to builds or improves thereon and who --.�`- `
contracts f«such Projects with a gnrdods)licensed pursuant to the Contractors License law). APPLICATION ISSUED B Y: DATE:
%
❑. I am exempt under Section: B.A P.C..for this reason: 3F*3E*****3f*3E3E***3E3f**3E********3F****** 3E 3F 3f 3F 3E *3F*3E**3F*****3f*****3(**3E 3F
Date: owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL/'SE MENT:Y
I do hereby candy that i em aware of and understand the requirements of California Health end Safely Code Section 25505,25533,and BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
25534,and that I or any future building 000ipent.will/wit not(dale one)need ID campy with sad Mate codes and the requirements for
apermit lacwma
construction hantMAr b y aagemerdDiaks.Ra*kartialmmnwAioneppkrabaaaexamplmmthese PERMIT 63 . 00 ,-' . 50
p°vis°ns. L.1
1A SMIP/NON—RES
Dale: Applicant: PLAN L.I
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the following declarations: ISSUE FEE
❑ Ihave and will maintanacent-rate of consent tosetinsunlerworkers'compensates,aprovided for bySection 3700of the Labo BUILDING DIV—> PERMIT ISSUE PLAN CHECK TOTAL 4.— PAID DUE
Code,for the performance d the wont for which this permh is issued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 1 63 . 50 . 00
j;
I have end wit the maintain workers'ed.My aeon insurance.as required Septan 3700 d the Labor Code.for I r of e
work for which the pemmiteinued.My waken$rTp#ge�iDr lns§7b irarnd policy samba are: �°}{`� °E� REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT: . 00
Carver: 114'174c 07/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Pavey Number: 6 3 . 0 0 ,l.5 0
.section need not be camplelad I the permit is ler one hundred dollars/S100/or est)
0 I coney that in the performance of the wok for which this permit is Issued,I shall not employ any person In any manner so a to *****************************************************3f3E**************3E*********
e subject to the workers'compensation laws of California, and agree thel t I should become subjd to the workers' f
co nation provisions of Section 3700 a the Labor Code.I asst forthwith with those provisions. INDIVIDUAL F E E B R E A K D -O W N
Dae: -2 —5S Applicant: �` TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ming:Failure to secure workers'compauetlon coverage a unlawful,and 1 ttJact an employer to criminal sensitise and
civil fines up to ono hundred thousand dolars(s10G000),in addition a the of compensationdemega ss Provided 107 In SFR 3250 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 250 . 00
Section 3706 of the Labor Code,Interest,and attorney's lees.
END OF FEES
• CONSTRUCTION LENDING AGENCY: I hereby uunder penally of perjury ihathere Is a aonaaden lending agency for theti
performance of the wok for which the permit is issued ed(Section 3097,Civ.C). �M4K
LENDER'S NAME: r
' LENDER'S ADDRESS: C DEM.
I certify that I have reed this application and stale that the above infarmeten a cored.I agree to comply with all by and county ordinances R E• .;`.C�O
end state laws relating to Wildag, sun ereby authorize representatives d this city to enter upon the eboe'mentioned propend E
/
for inspection purposes In K 1�1 g, �O
AZ get /<2A4 Qv�RGo
C/Qa" 01 ,0011:91i3-00195164' TOY 63.50
4, - , /T--��/--,�ffhy ` Date: /I Z�'(S CC1' Ek /17/95 TIME: 14:33
Signature d own WIRAA dream I
(5151J8.WP) White-Building&&Safety:Gran-Fle:Canary-Appkcant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING / ' POO' WA
AAPPROVALS 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
' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -_
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd: 60. Backwash Lines, P-Trap, 0 Undrgrnd. rvr
10. Structural Floor System 61. APPROVAL TO DECK
J
11. Property Sewer Line & House Connect(on 62. Backwash & Receptor•Finat
12. Sewer Cap •
63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
•
20. Rough Factory Fireplace - APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
1
24. Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydra
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREY. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power-Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - • Notes: •
34. Final Heating&Air Conditioning - -
35. Final Gas Pipe-Test
36. Hood or Canopy ,\
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final '
40. Gas Service-Final
41. Solar Domestic•Final
42. Backflow Preventer I /! --2__ q5 Of e
e
43. Backflow Irrigation [ 710 fro-074'-L1 4
44. Landscape Irrigation System
• 45- Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING (2 -y-q5-1 /A
48. FINAL PLANNING
49. Electric Release to Edison �J
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No
COUNTY OF ORANGE Application for Building Permit Permit No i'`--s1.. 1
BUILDING DEPT.
636 No.Broadway AND FOR A
Santa Ana,California
Phone:KI 24211 Certificate of Use and Occupancy
Phone:
n� Date- ' 1fr I4.� Y
1. OWNER'S NAME 4/07.1" .( `�1 /424,--rip PHONE:efel?t...12 34
MAILING ADDRESS a�....G..a/ G • L� k C CITY hila L-
Name Name JP'-°ri-e.. —
(Architect or Engineer) (Contractor)
Address Address ti
City City t
State State
Lic. No 5Phone Lic. No..V/' /33.2O Y Phone ,Ae•,M 2r' '
PROPOSED USE- tee
2. JOB LOCATION A.,1._/ � 5: s0, 7y�-e��.
(House No.) (Name of Street) (Town or School District) l/ �.
NAME OF AND DIRECTION FROM NEAREST� CROSS STREET.G��r�0. ._..Pt, ... a...4.E1...�1 4it
-k--7•• ••w•-3. LEGAL DESCRIPTION: Lot - i'�"i` BITract s31:2"9
e0
(Metes and Bounds Description—Use reverse side of form). e -
4. CORNER LOT ( ) INTERIOR LOT ( � `B THROUGH LOT ( ) SLOPE OF LOT ( )
ci
. 5. SIZE OF BLDG • CP X-2.:-Q AREA- P D SIZE OF LOT• 0. S If / 3 0 AREA-.......r�..F6 i g
6. HEIGHT OF BLDG - / CEILING HEIGHT- NO. OF STORIES
7. NO. FAMILIES Size of Smallest Beddrr000m• Size of Kitchen
8. EXTERIOR WALL CONSTRUCTION _,e��'� e9 INTERIOR WALL COVERING.._......,A0`a
(Frame, Stucco, Etc.) �/� (Plaster-Drywall,Etc.)
ROOFING COVERING �e-C«� _.../.4.474.
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH yl...ltaC •
10. SETBACKS: Front Yard From Cr— I of Street_ S
Nearest Side Yard P-1 Rear Yard 3 -7 , Distance in Feet Between Bldgs. on Same Lot 1 I
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
r it a /,
i 12. (a) Footing: Width 1l Depth in Ground 1' Width of Wall i
/- If
(b) Size of Studs- t9 ie X V Spacing l _......."CC Material of Floor 4enye-44-4-• r
,,,__--
(c) Size of Floor Joists- • Spacing "CC .
(d) Size•of Rafters• s -4' y Spacing °Zi "CC
- 13. VALUATION OF-I1LOPOSEDDWORK: Including all-labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
r'
sewage disposal $ }''-Q-Q --
14.
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE•INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE_COUNTY OF ORANGE AND THE STATE OF CALI ORNIA APPLICABLE THERETO.
Signed y ��/ /trit.eS'- 's , eR
/ L _ 7 S (Owner) \
Plans Piled• / -1
By•
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: / /CAHE KIIN)G BY
4/
Bldg. Permit - $ - 00 GROUP r_jam... .,- APPLICATIONCf/�C� lEALTH
Plan Check • $ ( F
Q 0 TYPE f' ZONING ,I-F--- FIRE
Total • • - $ S-.2.Q DIST. C P r� MARSHAL
MAP-_.... PLANS AND
Receipt No. �C ��.ooL��ls��3��. � SPEC'S /1 STATE
Paid to • • .4AT_� ..._... SHEET NO SCORRECTIONS ENGINEER
Date ! -1 1 --,..5-3 if 3' ff ty Ire: --.-a CAL_._..t
IN REC'OR
ERMI SS
DATE / .- lL - rJ _•--r t _
5000,-7.53 •
1. 7:- .\--
-
'-- METES AND BOUNDS DESCRIPTION:
10 2,0 3!0 4,0 5!
10 6I0
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COUNTY OF ORANGE Application for Building Permit
BUILDING DEPT. ,3. 7
636 No.Broadway • AND FOR A Permit No...
Phone:Santa :a•california Certificate of Use and Occupancy
IPhone:KI 2-6211 - p y
• Date_. /0frre._/./tom. -.....y /9.g-Y
1. OWNER'S NAME ,O'2 N• 't/'- \ t ((// PHONE:/@e 0 iv 7;,3Oµ;
MAILING ADDRESS aeV C• / ' ow /� CITY ��&'4 CFV "ms,.
Name Name �fl./ '��'r• a' • / ��4'a
(Architect or Engineer) (Contractor)
Address Address ....cdaenire.,
City City �lr
State State
I:ic. No Phone Lic. No.. I "' /3 a01- Phone Sa''''e' •
PROPOSED USE:._ Siti7/t ,,CD...t Mretif r
2. JOB LOCATION Aat^I-. fact Ai Sf• % alo a Ait, Ale 3 A
(House No.) (Name of Street) (Town or School District)
-4
NAME OF AND DIRECTION FROM NEAREST CROSS STREET---$,P.ta 0200 •41 --. 44,Q,
3. LEGAL DESCRIPTION: Lot ? y Block a SQ.0 Tract 5Q a
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( 4-1.1 THROUGH LOT ( ) SLOPE OF LOT ( ) pr
Y /I /
1. SIZE OF BLDG • 3 9 6X33 LAREA• 4 D A,'
4134 SIZE OF LOT• : X /3o AREA- 7 74' -5...-
6. HEIGHT OF BLDG • /et 1 CEILING HEIGHT- d NO. OF STORIES
7. NO. FAMILIES .( Size of Smallest Bedroom:------1--1 I/ Size of Kitchen 7 I
8. EXTERIOR WALL CONSTRUCTION .15-71-cn INTERIOR WALL COVERING Phb 6 ler •
1 (Frame, Stucco, Etc.) r (Plaster-Drywall,Etc.)
ROOFING COVERING P14/ Ard2
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH 411x''✓s•
10. SETBACKS: Front Yard From Center Line of Street -. o
// / /
Nearest Side Yard IP Rear Yard 7� Distance in Feet Between Bldgs. on Same Lot i
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
n // i / 1/
12. (a) Footing: Width r Depth in Ground I Width of Wall W
//
(b) Size of Studs• 2.Is.V Spacing 1/ "CC Material of Floor w0.,601•
II
(c) Size of Floor Joists• a-4 4! Spacing //� "CC
•
.
(d) Size of Rafters• r .X-- Spacing Z tC//• "CC
13. VALUATION OF PROPOSED a.1 RK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $..-.6..-+i'QQ •!'
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE
(THERETO. R
•
Signed• i� i'L f!-t!--t...2 42e4a-,--+_„' 3
Plans Filed• /— l L "c.C. T (Owner)
By.
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: II ING BY
Or
Bldg. Permit - $--2 0- 0-0 GROUP APPLICATIO• .... ..L HEALTH
Plan Check - $ a -.OS TYPE ZONING r FIRE
Total - - - $.../2V-3,0, O DIST. t( PLANS AND MARSHAL
Receipt No. is
L/ ._3 MAP-------1111_.
P c SPEC'S t STATE
Paid to - SHEET NO f
-� CORRECTIONS ENGINEER
Date / '/y- ' s.3 VERIFIED CAL
PERMIT�SSt•JI?o :4$ • E Cou. TvBUILDING_ _ __ r_` - SPECTO
DATE /—( —s3 1111 r 1
sono•-v-sa "_• - c .-r ! €‘(t-
•
METES AND BOUNDS DESCRIPTION: .-
.c �?I°. &^�� py /•d. 5 .4I 71 -Me �. Ll�l/ /3o 264 .,cif •-S'v
��
3ma Aa. an..�.O�ot..� zF.
. t. .12.4.-hey it,
i
•
110 �!o >!o .!a 510 6!0
• IMITIMIIIIIIIIIIIIIIIIIIMIIIIIMIII M 11 MIL AM_
IIIIIII III!
11 M MIME M NOMEPEPRI PE al VIII_
-111
MI
11111 '
21
1
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0 1 �'_ J
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1 • 9219 ' cE vECE VCU
COSTA MESA BUILDING DEPARTMENT 7- s= S.<
P.O. BOX 317
COSTA MESA. CALIFORNIA FINANCE DEPT.
FOR APPLICANT TO FILL IN APPL'IICATIONTPF�OR' PERMIT
ADI-RDEW 07\576 F4nf�AV4. I I BUILDING
ADDREBS5�
COSTA MESA. CALIFORNIA . FOR OFFICE USE ONLY
TRONA n ^/� /'�//� RECEIPT NO. PERMIT NO.
OWNER / El ` /i 4.c /`L c _
ADD RESS Y5/ , LDF_N �4 VE. _°ED BY ,�A2SE ��� `�,,� S
CITY Cepa'(F .4..crL— TNO. 0 'Q 700 ADD ESS z.52 C Lc7d Ar'G._
ARC' ECT LIC.
OR NEER NO. COSTA MESA. CALIFORNIA
ADDRESS )*\ ZONE FIRE 3 AY LI�
ZONE NO OF { TYPE GROUP
CITY LIC. //�/C PLANS I/
CONTRACTOR NO. 4,/,?,..
�,.1/ ���(((�//✓ _ / �/
TEL. APPROVED �( �/ �f�C �/
ADDRESS NO. - BY feet:ATE DATE Z- cf,(C
LEGAL LOT CORRECTIONS
DESCRIPTION NO. BLOCK
BLOCK TRACT
A.P. NO. //H — 07.0 -- 4/r
SIZEf QQ NO.OF BLDGS.
1111111 .'
OF LOT 0 3' J^ NOW ON LOT y ,�, I .� i'
USE /� A ESA
EXISTING BLDG. /PONS.. ¢^�. lvz.00- , UGTN
SETBACK LINE FROM •••• , CI'{'Y Or _'. (` Ds'v•
CENTER OF STREET REAR YAR i, ' .0.1 `Nj, ;LG.
SIDE YARD RIGHTS� SUBJECT TO ELDU.
./ LEFT .
DESCRIPTION OF WORK• EWIII 111 II I 111 JA ' ..�
NEW )C ALTERATION ADDITION ' • ,,
REPAIR MOVING DEMOLISH
BUI
SIZE LDING /b' K / gI ROOMS STORIES /EXTERIOR
• ��'
COVERING WALL ST�IGG) COVERI NG /rke 3}/1' _ //`t er
LDINGEW
BUI / QD TIf
+ . ' ;i %pvt. ,,•
• ::__________..,:;5,'
•
O'/
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS TO MPN AND
STATE THAT THE ABOVE IS CORRECT AND TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• f
TION. //-.1/ /y ///�.� �j VALUATION CO
SIGNATURE OF\ y�A - nJ (I 1dae !/_- PERMIT FEE $
PERMITTEE //II 'Lff„(Ce l.. 7� �/I{.Y/ _
s76° \ PLAN CHECK $
AUTHORIZED AGENT `j TOTAL FEE $ - ,BMF
?229I SEP 29-70CP" 00 721* ****7.1.00
—M$k10
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVED 0 DATE RECEIVED
t /�/ / /7 29-To DATE ISSUED
BUILDING X14 // /e f- EN �) Yfi_ // ,J %-29 7o
ADDRESS 02...37
( 4 // /� ••7 ` J{Q� 1
OWNER .Pa/l- L f C.eAGKEES A.P.NO. //9D / � YV PE74,/�Ii
BUILDING
MAIL
ADDRESS 2�"�L ^N/ ^iv J A
�`1 VFX
ADDRESS,25/, &Y4 -Z p
NO./I4/L.4tsL TRACT 3 O 0 LOTp BLOCK
D-0 CITY test, /e5,
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
ON LENDER 0(�'(it(yYZ
•J D BRANCH ` J Q�D� l.J. 4La%C�f .6.
OWNER _rust
ADDRESS VALUE / 6O
•LiARCHITECT TEL. US $ / gt�_/�
J Q OR ENGINEER NO.
U W FIRE
WCC ADDRESS ZONE TYPE GROUP T
0-W ' ` ' / p APPROVED /n���
mZ CONTRACTOR 0 (4_447 , BY I KDATE 7-'27".7e7
Z KDATE
c ADDRESS /�
w W TEL. ZO/N�E // NO.OF . USE OF NEW (�l��
O= CITY NO. /c.• —6- (PLAN$ Oma- BUILD"
Z r
LLO STATE CITY YARDS APPROVED YARDS APPROVED
to Q LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZE I NO.OF BLDG&. - /1
OF LOT ((1 OX��5C INOW ON LOT / FRONT FT. nT.
USE OF ��S• '` nr-fe .c-f.
EXISTING BLDG.
�/�y BgJ}(/S�O� ��L� - R.SIDF FT. FT.
I- SIZE OF -^ _ ,�r,r'/ -. NO.OF 2 ��y
Z NEW BLDG. / Z/' /J ROOMS STORIES L.SIDE ' FT. FT.
EXTERIOR WALL r egne., ROOF 2.
V COV ERIN(3'�-r�_"n f'• COVERING _$`I/�M§Lf• REAR FT. 3V �.
USE OF BUILDING AND WORK TO BE PERFORMED, DISTANCE BET. BET. MAIN&
her) t e MAIN BLDGS. ACCESS.BLDGS.
O /3c /�+ / z '%JS / VAR.# DATE
/1 C.U.P.# APPROVED
/� APPROVED/// /J /J n9
y Sten:?e /Ua i/O// fix/rl �aY U •O� DATE
7_et %��CI
Z
O S
UI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
co the State of California. co/T�j �j�' u)
9
Z I hereby certify that I am properly licensed as a contractor under SO. FT. bf O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: d
rc
am exempt from the provisions of the State of California Business
and Professions Code, Division 3,Chapter 9. VALUATION ry
&t, PERMIT PERMIT FEE $ / r eo D
ro
Signature or".Permittee „nude' ` r1954// , $ /Jig/ CHECK $ 7 00 o
Authorized Agent q r OQ u.
TOTAL FEE $ Z
i •
\ 0265 1/22/80 92.26 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
a P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
w REC� PERMIT N° -49534
. 'For Applicant to Fill in Completely —Use Ink Only
B U I L D I N G 25 I C LO EM , _ ` A.P. NO. 4/3 7 - /e l - 647
OWNEOR�L.J lalVFr� 2. /g r
BUILDING
OWNER 0.1._ ^ fj, �_NTQO ADS
TENANT Iuti/rJ�"!`/'T - -SPACEIT
ORO.
ADDRESS �9� ?'�dc u &�/s TR.NOO LOT�O zp C 2 BLK.
CITY hCTION Qr A�S� d/L11II`����""1N0. NEW ADD ALTER R'EP`AIR MOVING DEMOLISH
CONSTRUCTION
•`�•'FV+• /����
LENDER
BRANCH �`/) _�� �.. .1 _ _
OWNER (�i( jf,V {�f/-f�{f�p
ADDRESS VALUE // coRCHITECT TEL. USE J. / E�tp J
OR ENGINEER��_ ..a_C -moi ' ., • 'u:- Q I'
ADDRESS• 4 4 s /i'" St Ste ."flU,ZONE F ' TYPE r GROUP
CONTRACTOR DV1S(E+ ,/ /EN ta '�/
APPROVED DATE itzVeE•
ADDRESS4C5Q Agre v- -
CITY
F STATE n LIC.NO. act.?�/ CITY ��APPROVED SETBACKS �\
LIC. NO. /077/ (FROM C/L STREET) ._
Vi—
it/ SIZE s /t I NO OF BLDGS.
O. OF LOT(00.S X I�C.Q NOW ON LOT ' FRONT (f V FT.O �
NUSE OF C -1 /
EXISTING BLDG. ll4,J LE FAN LL7" R SIDEca r
Et 6 FT. `�
F Separate permits are required for L.SIDE A FT. 6
L1 electric,plumbing and heating work: REAR S' FT.
UJ
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION n R. -2a _ ' 'l
ATE
,jds,C.'f atter',ON air Nam A7 7
yy�� SOON
APPROVED
)'" /2 STOIGy �J,/IrA/I r. ROVED /! ,I�' DATE .6 /// /S' L�
W
0 I hereby acknowledge that I have read this application and state n
IK that the above information is correct and agree to comply with tgL9 FOR SPFrIAI. RFOUIREMENTS
0. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of 2
the State of California. -:�3l `7'/��
I hereby certify that I am properly licensed as a contractor under v7 SO. FT. 9[S�a�i�• N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VAL TION I FOR B
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
to
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE E 8
and Professions Code,Division 3,Chapter 9. n
Signatur / PLAN CHECK $ 8O. yD 2 1%
Peror Ss 570 s� • `A. U h
A D !! TAX S f
Authorized Agen to 2 �+1�+ _ ` TOTAL PAID $ I .2.6
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 "'��/
r RECEp tp PERMIT / 9 �.5�
For Applicant to Fill in Completely— Use Ink Only V
0611 G[J+F�� ?/' ':S I— aC`. TL
ADIDRESSdas Frau
A.P. NO.
OWNER OR BUILDING
atLnaN Pe.LTNEg 5 UNITOR
DS ��/�
TMAILINGSPACE
ENANT �//� t�/�—
ADDRESS 4€`10 -h4dE"f vV2 ;Lb"' TR NO.NO LOT BLK.
CITV NVnolM4 NO. NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION / v"
LENDER /� �
• BRANCH OWNER a 7)04-rr a ��,�/
ADDRESS USE ' / /,... _ VALUEif S
C.
ARCHITECT ' EL - a
OR ENGINEER � ,[� H7 J• 'rl . At.� r
ADDRESS • a TN . • r a ZONE / TYPE frif GROUP #/
�+ EI / APPROVED I I DATE 6/If/to
CONTRACTOR ! �nn BY
ADDRESS Se K2,(n IC . ((JJ((//��
CITY i/e T
E Le s„1j
F-i STATE CITV APPROVED SETBACKS
H. LIC.NO. �?77,,9 LIC.hog
W SIZE / �` a_� NO.OF BLDGS. (FROM C/L STREET)
Cl.. OF LOT ccQ.i 130 I NOW ON LOT _FONT FT.
Q USE OF $ ///��� '
N.. EXISTING BLDG. R.SIDE FT.
Vl
FSeparate permits are required for L.SIDE FT.
Ci electric,plumbing and heating work: REAR FT.
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a
0 DATE
APPROVED
APPROVED
3.. �gY DATE
..1
IX
W
0 I hereby acknowledge that I have read this application and state gam'
cg that the above Information is correct and agree to comply with
L all laws regulating building construction, and I shell not employ i
Z any person in violation of the workman's compensation laws of u
Sthe State of California. .-
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
D
the State of California Business d Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR CO
Chapter 9, and that such licen s are,bf' ill force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;a�s
co
am exempt from the provisi s$4t_he${ate of California Business VALUATION ! �V s00
PERMIT FEE $ /// a
end Professions Code,Divi on9,Chap r 9. n
a PLAN CHECK $ —Sr, e
Permtu _
Sermittee $ LL
or TAX $ ��
Authorized A nt Date O ! !V U
TOTAL PAID $ ` eso