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Home My WebLink About862 CENTER ST - Building PermitsGENERAL CONTAACTOR AP No. ll —Oil-ii LOT I� 'ECTIONS 5oi1 Gns � DATE ier/bvi 1 d� VALUE $ 4�, 2 OS `.00 2ACT FIRE ZONP DESCRIPTION OF WORKt Signature DATE GROUP �cJ TYPE V ZONE � �c �,...i_�e SUBCONTRACTOR --� �_ CIT14 F COSTA MESA' �• �UCTION PERMIT . ADO��nt to fill in all spacm exeaDt thota within . _ P MIT NO. T ACT I � �EA - �7 2d� Pu.,� � — T/PE OF CONSTRUC ❑ CONVERSION ' � D RIPTION OF EorGar Ilnes antl sign all approoriata ADD LNALTERATION LI REPAIR �W112f�SN8;i�� 1 h � LU`�N, h/p��` . �_.....� O� - Address �/�� l�'�3 l� ��ua� TYPE OF PERMIT,�/ GRADING OUNDATION STRUCTURAL AfCh/Ene. ``-�GS � Licen58 No. O TENANT I rI ELECTRICAL �PLUMBING- ❑ MECHANICAL AddI255� r1 , ❑.�OTHER . . . �• Contrectoi s Narti��J A\�. � �oho�a�HS CC4� � PROJECT DESCRIPTION SQ. FT.-�-�— OCCUP cv_ Addf2ss (mellin9) � �� CONSTRUGTION TVPE __V � yqLUqTION $� " • 20N$ GRADINGCU.VDS. ACRE Cicensa No. � LICENSED CONTRACTOR DECLARAT�ON � Remarks: � . I heroDy afflrm that I am Iltensetl unCef p�ovl5ion5 oi Chartar 9(comm8ncing , _ wlth Sactlon 7000) ot Dlvlsion 3 of the Buslnass antl RofeSsions COCe, anG . ' - ' . my Iitenie Is In tull torCe antl effett. . ' � j ' Licen» p6sz - - - -LI<enm No. � � � ' PLUMBING' • - �ate � Signature ' " � WORKERS'COMFENSATIONDECLARAT�ON' � � ' BB�Siok $ewB�.Cap , ' veby aftirm that I have a certiflcate oi �onsent to seliansure or a certiTlcate ' gg�kflow Preventer .Sew2r COnn2ction Workers' Compensatlon Insurance, of a certifie0, coDY theraof (Sactlon - �' .00, Lan. C.) � . � ,,, � � Backflow Irrigation � SolaqCollectors,. . PoIICY No. • ComPanY - .n : ... ' -" - - - ' � eCertNlatl�copy li hereby furnisfietl. ' ' � � � . Be[htubs , � ;Solef,Piping �' � ! Certitletl copy Is fileA with the tlty Bui�tling DIvlSion. ��'�� - Oate qppliwnt ' Clerifiers SolarTank • EXEMPTION�FROMWORKERS'COMPENSATIONDECLARATION � Di5hW2Sh2I SWimmingPOOl.w/Spe � (Thi5zeclion nee0 not De completetl It tha Permit I5 for one � n etl (5100) o' . � _- . . . f _ less). • � . - I certify�tnat In the pertorman<e whl � s p rm t is uetl . �� Drinking Fountains � �Urinal, �r, .,, , s�all not amploy any person in maP er t m bJe t. o t en� � Wor�eLS-Lbmogn n Laws of ca rn Floor Drains DateL.} l��A,L Signature ' NOTICE: I(; atter making t�is Ceclaratlon, ou sho tl ecame su ject�t �e � FIOo� Sinks Worker5' Compansation provisions of thR LaDOr Co a, you must fort ith. comply With 5uch prOvi5ion5 or this"permit .Shail be �tleemetl. rev eG. � GeSService . OUtlets � CONSTRUCTION LENDING AGENCV " ' ' '�' ' I hereby aftlrm that there I5 a;constructlon��entling aqency�for the,performance� i� Interoeptors � ' �' of the work Tor, which this; permit �s issuetl (Section 30B7 qv. CJ � '� ' Lentler's- Name -- - . _ Kitchen:Sink> -�. _.. IsnOer's Atltlress i ' � ' ' . �vatOries - OWNER BUILDER OECLARATION - ' ' ' ' ' I hereby aHirm thxt I am'exempt. from tPe'Contractor's,Licanse Law for the _ . �ollowing reasonC(Sectlon�7031.5�Bu5ine55 antl ProfesslonaLCotle: Any city or, � � P-Tra'p� .- county which requires a permlYto constNct', alier Improve; Aemollsh oc,repatr � f . , _ any structure; prior to its Issuance,�also r09Wres t{�e"appli<ant for such permlt !�, yROof'D�ains � to tile a signetl statement tnat he/she is Ilcenutl pursuant to tha provisions of , t�e Contractor'S�License Law (Chapter 9(tommencing:with Sect(on �000) oi � �-- �- _ - ��ion�3 ot the�Bu5ina55'antl Pro9essio�s C�otle),on yaYhe/she.is exempt '-� ShOwe�S ' ' . i�� f5 by anyhapPliciantorft�hea!�permit%s bJec�s�the apPlicant to�sa�civll ' ' � �-�" Ity of not more than Tive;huntl�ad tlol�ars (5500): , „ i. �2 ! S¢rviC¢ Sink !� � I;.�dS,OWOer of;the O�opelty Oi"my CmO�oyees with wdg05 d5 th¢If SOIB m oensaHon_ wilt Do tna w�ik ane� Me stru<ture I5 not intentletl or otfere0 � � � r . a empmy ees, proviaea tnat sucn improvemenxs ara,noc m[enaea or orrerea ror Duct- Under,GrOund � sale. If, however, the bulltling or improvement Is soltl within one year of com- . � letlon, the owner',will have the burtlen ot proving he/she tlitl not builA or Im- � , r ve for the purpose oi sale). � -+ � � - � DUct - St�uctutal 1 I, z5 ownei of the property, am extlu5ively tontractin9�with�llcansetl con- 1 , tractorsto,tonstruct.the'project(SecUon.7044,Buslnassanaa.ofessionsCaae: _.DUtt-Ventilating . The Contractor's Licensa Law dces not aPV1Y to an owner oi propeFty who � bUiltlz Of Imploves theleon, and who cofltldc[5 for SUch pfoj8<t5 wlth a COn- � Exh8U5I Sy5tCR1 ❑ Milltipl¢ � tractor(s) Iicensa pursuanc to the Con[rattor'S License Law): � � � ❑ I-am exempt unCer Section _ B, & P. Q Tor this reason � FirCpl/FaCt. Blt. ICBO # ' , � � ' Date ' Owner ' � � ' � Heating System & Ducting � � I�hereby certity � that I hare �reaA tni piicatiun ana �st te that the aoove •' ❑P100,000 BTU �100,000 ' informa � ree to om ly;with all city. an county orCinan<es - ' ' � ' antl's a e laws ralating o iN g n tr ction, her by a thorize repre- � HOod Or Type I ❑ �� sentatives o.tnls , � e n he ab ve- n onetl }Of Cano .T e I I ❑� � InSp¢ctlon p Yp S. � ' Slgnaturo atel•i bA� �� Registers DrVverz' Licenu or 5 � � � � �� CMF 0865-46 rev. 12/82 White - Bulltling: Canary - Appliwnt; Pink - Accounting; Goltlen�otl - Assessor �\ ❑a'� Service " f� Reinspaction�Fea ' ISUB PBB � � :AL � �eration System i � OO,U00 BTu ❑ 7 00,000 ' � . _ . . .. jReinspection Fee� Iswe Fee � R] $15 $ 3 PLNG. REF, qf+ _ TO BUILDING. PR PE TV I E LEFTSIDE VARD PKG.SPACE REQ. STFEET WIDTH atic Wazher ution Pole g Unit sher ❑Gas ❑E 15 eoxes 1 . 1074 6/23YF13 - ' ecrenr V , � e rir cr REAR VARD (70P/U. RIGHTSIDE YARD . � PROVIDED � , PARK FEE S A a Generatari LJO-5 KW' LJ5-15 KW Transformer �75�50KW ❑5U+KW�' ' � Meter ❑up to 100amps 2oning ApProved By 1 ' ApPliption ApProved BY . Applitation Issued By amps� SubPanel �� Sub Pole � �„�, Motors ��0-1 HP ❑1h- Ina$olar �9-15 HP��' Microwave � � Pole Light � f� �Range . . . %^ ' SUMMA �BUILDINGPERMIT $ .SO PLAN CHECK� $ � PLUMBING $ 67, 00 'PLAN CHECK. � $� • -' 'ELECTRICAL $ �F.�0p0,,. PLAN CHECK $. -Q• (f�, MECHANICA� ; $; PLAN CHECK' $ � � � Standing Sections i Tras{i Compactor � i 'Reinspection F �I«ueFee� 1 155.9d TL 0 e . � 118tB __�_(_L— i � Date OF FEES :- ' SMIP � � ' $ � Q•� � . PERMIT � � ISSUANCE' - $ . GRADING r � : $ � � , . ' I $ � � � MICROFILM � $ : TOTAL�FEE� ; $ ! � LESS � ADVANCED PC , $ • ' � f FINAL PEE � ' $ � /d''5.9� ' 803 . �OSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOJC 977 COBTA MlHA. CALIRORNIA For Appltcant ro Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA ■ MAIL 0 � 6ETBACK LINB PHOM DESCRIPTION OF WORK 'BUILDIN6/�,/�5 ROOM9 SIZE �C r ' EXTERIOR WA I , ROOF LBGAL EE RECEIVED FEB 2 0 1963 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDING FOr ONiCB USe Only RBCHIPTNO. PEAMITNO. DATE ��"� O ZONINCi , NO.OP U860PN6W PLANB /% pUILO1N0 /l _ n /� � . - � 3 /- .� 3 ' ERHANO BHALL BE LEH9 THAN eLDoe. / ALLOWED +wr YARDB APPROVED MAIN BUILDINO (FROM C/L6TREET) !o S FRONT Ff. 1 XEREBY �CKNOWL8O08 TNAT 1 N�Ve q6I�O TXIe APPLIGTION ANO BTATB TXAT THB ABOV6 19 CONPECT M1NU A6REE TO COM. PLY WITH �LL GITY ORpiNANCH9 AND BTATB LAW9 HEOYL�TINO BUILOINa CONBTRYCTION. siarunruRe o 1 /� PERM177Ea ��LI_.R.�iC 8�) - �/'ti/J� �SL� �J� AUTHORIZED AGENT�/Lf �,Y,iT/!/6M� r . VAR.# / YAR�SAPPROVEO ACCESSORYBUILDINa eer. MwiH a / r ACCE53. BLDGS. �. DATE � �rv e So. FT. TNB AMOUNT BHOWN UNOEP VALIlAT10N IB P00. TXH y YIIHP066 OP 66T/�BLI9HING A PBNMIT FH8 ONLY. p _UATION , /f � _— m PERMIT FEE $ 7 " � ��q� _ m �1 G /�� ¢ ♦ i i a 4 18094 �� :��'�� COSTA MESA BUILDING•SAFETY DEPARTMENT �,/ NOV 1 1962 P. O. BOX 917 C08TA MEBA. GALIFORNIA '� fINAVCE DEPT. For Applieanf fo Fill In Complefely ��TAPPLICATIONNFOR PERMIT TYPE OR PRINT BUILDING BUILDING 8C2 CenteY Street A�B�C�D ADDRES6 COSTA MESA. CALIFORNIA For Offlte Use Only � OWNER Dillman & Brummell Enterprises RECEIPT NO. PERMIT NO. MA�� 1322 E. Ocean Front � �%o ev n �S� rveo qDDRE55 �� .J� NOV � n �4R: � c�n Balboa No:Or31807 BUILDING gda �� p ADDRE58 ORCENGE EER W.T• Jordan NE�1�V715�- COSTA MESA. CALI ORNIA ADDRESS 771 W. 19th St.Costa ME88 FIRE I/ � ZONE TYPE ✓ GROUP - � GONTRACTOR OWI382'�BZC�{T• APPROVED � BY DATE ADDRE6S ��—�� ZONING , � ��_�� ZONE NO.OP UGH OP NeW �' �"' e� CIi7 I PI.�N9 � I CUILDIN6 yvyyyC�J STATE ��_�� TEL. � �.eaw� � LIC. NO. NO. � — �U oescrsivrioH T E' i 61ZE �QtX�� I Na. oP B�oae. __ '7 OF LOT Now oN tAT A p N� •� V�!` J 3 i /� USE OF �_�_� VARDS EVES "( EJ(16TING BLDG APPROVED ALL WED t'6 BBTBACK LINB FRON O I 2C t l�M£A L1H8 8i.) �(�� ,�{._/�,, � CeNien OR en1¢BT 5 REAR YARD � FRONT FT. L�'^""'—� IN. SIOE YARD I LEFf � I RIGHi � R. 61DE F7. � IN. DESCRIPTION OF WORK �� L.41DE FT. � IN. NEW I X AALTERpTION I IIADDITION I REAR YJ FT. IN. � REPAIR I IIMOVING I IIDEMOLI6H I BYPROVED DATE ��yy_(' � BIZE�ING 2g�j�5�ROOM620 STORIE62 ��"` 41 EXTERIOF WALL $t.11CC�00F ROC$ � l COVERINO OVERING St�., �,� �G � �� = Q� a US OP BUILDING AND WORK T H PE FOR D �+ Unit Apt.Bldg. w �et.�aun�•Rm• � �� _ �` � � tu a ��dG � G6 � a I NeR88V ACKNOWLE00¢ THI1Y � HAV6 ReAD TXIB MPLIGT�ON }H8 AMOUNT 6HOWN NDEP VALUATION 19 ROR THe U ANO BThTB THAT THE E CO 8LT AND AONEH M COM- pUliP068 OP lBTABLIBHING A P¢pMIT PBH ONLY. LLI PLY WITH ALL CI E9 6TATH LAWO R60ULATINO oulLo�No coNe VALUATION a� �-^ � BIGNATURE OF PERMIT FEE $��J' SO PERMI7TH • / o � S'y"��0 PLAN CNECK $ � 7J` u" AUTHORIZ6D AGENT s � TOTAL FEE i�� n O � _