HomeMy WebLinkAbout2653 ELDEN AVE - Building Permits ELDEN AVENUE, 2653 .
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' 17731 - 3-12-63 res w.rtt gar $16,825:
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1 47226 - Demo Res. 100.
I46581 - 9 -..2.5-77 3 unit Apt.C1,2,3 75,930, '
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• u7.2b - H.aj.f E.A.co House 100. r
- 147794 - ll-2--7t Demo 2 Houses 500.
47901__5.9-14 - __ Standpipe 500.
I1 48828 - y-24_$ Sump pimp 2,500. 1
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F CITY OF COSTA MESA
4q_ BUILDING DIVISION
o s
FI -! I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1. 1 PERMIT
4bt�°bvisianco B01-00473
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa..ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 2653 ELDEN AV Status: ISSUED
Suite: Applied: 04/10/2001
Vicinity: • Issued: 04/10/2001
Parcel Number: 43908108 Zoning: C
Applicant: CHONG KIM ISSUED BY: J,e_ •
Address:
Phone: 818-366-5561
Zip:
Owner: LEE;TI-KAI
Address /11 BEICREST \ .
/ " 2 ' v„ Phone:
LAGUNA NIGUEL,CA Zip: 92677
Contractor: KAS HOME IMPROVEMENT
.'Address:, 20600 LEADWELL ST
Phone: 818-366-5561 \
WINNETKA,CA
Zip: • 91306 License: 605392 ��,
Arch : Eng:
Address: Address:
• Phone: Phone:
Zip: - License: License:
1
` SCOPE OF PERMIT
DO SHEATH AND REROOF 2000SF RESIDENCE W/COMP SHINGLES,SMOKE DETECTORS REQ PER 97UBC. �'
FEE SUMMARY - '
• Plan Check: $0.00 . Calc Valuation: $4,000.00
Permit: $97.25 Claim Valuation: i„ . $4,000.00'
SMTP Res: $0.50
SMIP'Com:, $0.00ll - • ''
>,. Other $0.00 ci- /
'Inspection: $0.00 • 7.2//y C ' /../
z
Total: $97.75 '/ //
\, ,.,A ._ _ -
- %i/ ' ,,7)/
V,A / - ,PLANNING.&ZONING % C!)'' 1
SETBACKS \\ �✓ �; S, . �� '� �/i
MAIN STRUCTURE Front 0-0 - Rear, -0-0 _ : Left 0-0 - Right - 0 0/,, �I�
,
VAS., A // - VAV " v � :././2/
ACCESSORY Front 0-0 7' , - Rear 0-0 Left 0-0 \ RightV 0-0-,6;7
PARKING Existing:' ,0 Required: i 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
i
2446-48 WOO)
I
DECLARetIONS
WORKERS'COMPENSATION DECLARATION: .
I hereby affirm under penalty of perjury ono 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
0000/011s permitfid is Issued.
My workers'compensation InsurBe carrier and policy number are:
r. Srt
Carrier an /24.1.1Q _ Policy Number: ce4L—42/
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit Is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers' mponsation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these P 0 P9i ,/
Applicant Signature:these
ri I'icel /�(f-'r�y-y'''1 Date: /01 a/ l
y WARNING: MiIA TOf SECURE WO COMPENSATIONT COMPENSATION,
TION,DAMAGAND SHALL IDED FOR AN EMPLOYER 6OCRIMINAL ODINTEREST,
CML FINES UP N ONE HUNDRED
THOUSAND rx11 14RE(Si(10.010),IN ADDmON TO THE COST OF OOMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3108 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed un r provisions of Chapter 9(commencing with Seclj rt1000)of Division 3 of the Business and PAofessions Code,and my license is in full
force end effect.Lis.4 €473 101- CS Class#
Contractor's Signature: Gh�'A Date: 074x# D/
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,CMI Code).
Lender's Name: Lenders 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(commenting 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 GNI penalty of not more then 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B.California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
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 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 matedals7 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Masa 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).
_ __.__._. _ buil _.._..c___ _.._._... ..._
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 end 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 tho applicant or present or future building occupaii require for the work which is the subject of this[moil-cation a ermit 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 California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a schoor 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 end 42303 of the California Health and Safety Code).
7 If a permil from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
_ _............._.._......_..._�..._
8 (If yes%attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-describe pr perry f r in lion purposes.I agree not to occupy or allow occupancy of any building authorized bythi permit til final inspection.
[O Df
Signature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
;ODE L INSPECTION TYPE PATE' INTITIAL5 SODS( LISPECRONTYPE PATE INS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final �¢ 208 Final Plumbing
200 Final Re-Roof / f7 0( &2C4-. 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
4
CITY OF COSTA MESA•
as - BUILDING DIVISION
• fn.fu•..n..• 1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4rigPERMIT
•%boys,r 804.0191
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2653 ELDEN AV Status: ISSUED
Suite: C003 Applied: 11/12/2004
Vicinity: ADJACENT TO APT BLDG C003 Issued: 11/12/2004
Parcel Number: 43908108 Zoning:
Applicant: RICHARD CY CHU ISSUED BY:
Address: RICH-LEY REAL ESTATE INC
YORBA LINDA,CA Phone: 714-524-8988
17451 BASTANCHURY.RD Zip: 92886 - -
SUITE 101F • '- •
i
Owner: LEE, TI-KAI
Address 11-BELCREST ` !r
/ - Phone:
, /• LAGUNA NIGUEL,CA . Zip: 92677 - :,� ,
Contractor: '
Address: - - • "
Phone: . . " �
Zip: License:
Arch : • - ' Eng: - -
Address: Address:
- Phone: - - - ' - Phone: .
•
Zip: License: ,License:
SCOPE OF PERMIT
FILL 27'DEEP SINK HOLE ADJACENT TO,APARTMENT BUILDING,.UNIT C003. , . _
FEE SUMMARY _:
Plan Check: $0.00r Calc Valuation: Sumo' ,- Sumo
Permit: ' $23.50 �' N , . _ " ' 1'1''1; Claim Valuation: _ ,_ $100.00
SMIP Res: $0.50
SMIP Corn: $0.00 '
• Other $0.00 ��
Inspection:. $0.00
f/ , .
Total( $24.00 • i 7 7 )' 7
i `% /.. /
' PLANNING &ZONING °"`t " j
SETBACKS- /7 / /
MAIN STRUCTURE Front '0-0 - �' Rear - 0-0' Left 0-0 Right- 0-0 - /�
- _ - '7
ACCESSORY \‘: Front ' 0-0 Rear `-0-0 - Left )0-0 1 — Right 0-0/
PARKING Eiistingi'- 0 ."- Required: ; 0 Proposed: -0
NOTES: - • i ,_> ;
•
•
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(aro,) •
r
4 lb
DECLARATIONS
1
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 and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit Is valuedfitone hundred dollars($100)or less)
L lcertify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pdvisions.
�Appfcan St g WrJ Ce: - n----- 4-- 1_ Date i-^----• /l jri As df
I,WARNING AIF LURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP OYEL R TO CNMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($1(0,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.N Class N
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 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 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 properly,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 drivers license. ❑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: Data:
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 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).
—. __ __ ___ —_._ __.___.._ ?...._0__._ _ _ ...
2 Does or will the applicant or present or future building occupant need to file a registration form far 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 N0
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this Application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
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 AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
i`i—Ak 0i
AndrOr,Authorized Applicant....—3::__,- Dat ^l'- -
RODE f WSPFC71oN TYPE PATE rtnt,$ • coon! INSPECTION TYPE DATE iNTIELS
1816 Fixed System Final Fire Prevention 206 Final Mechanical ' .
1268 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 yl. 250' Final Building/Occupancy ill*19c( 7p,.,fr L
1
7731 ' FEE RLCE4 6E1D
COSTAiIESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA ? •NNAp AUG 2 n 1982
For Applicant to Fill In Completely APP '1EIT
1 TYPE OR PRINT v111
BADDRESS UILDING c26 ,5"3 Asch five BUILDING
/COSTA MESA../CALIFORNIA For Office Use Only
�L / •/ / / 4 7 / e S I RECEIPT NO. >.,,,r),.
OWNER 1 Y ((�
MAIL / `_ '7 /�/ in
Y D BY DATE RECEIVESDKLE ISSUED
ADDRE/S�Sa C ✓ A3� //�•{e70/' /J Y c p /I I /� I I �j, ; ,)-1-&-y(T/y1, �J_, G,'
CITY OP.'S/0 / / en' ` A‘•j- NO.L// ? 7/ADDRESS Du/S J tits w a,✓-(
ARCHITECTTEL. COSTA MESA. CALIFORNIA
OR ENGINEER Athlt t NO.
ADDRESS FIRE 11
/� ZONEPE GROUP
%�`T� 6 Z
CONTRACTOR/1-71c)� 73/.��/�l�/ APPROVE
ADDRESS \ ZONING � J ��
ZONE _ ILNO.OF USE OF NEW /`r `t
CITY �--''� R !/I PLANS BUILDING „/ _ Y
STATEIC. TEL. LEDESCRIPTION / /�-�n�'X^ _ /j,Gf
LIC.NO. NO. __ -M2
IZ
D88CRIPTIONSIZE �/J
OF LOT G 6 X 3 3 - I NO. OFNOW ONBLOTS A.P.NO.
//" ' c va��
USE OF
EXISTING BLDG. •/ __ A • _ APPROVED ALLOWED
SETBACK L1 STREET TM 63 I REAR YARD/23 / FRO!CENTER LINA BT.) V•"FT. IN.
CENTER OP E FROM
I / 7`e. '.� a
SIDE YARD LEFT RIGHT 5 O R.SIDE SFT. IN.
DESCRIPTION OF WORK L.SIDE /'�FT. IN.
NEW I /� II ALTERATION I II ADDITION I REAR /V F/T /3-84• IN.
REPAIR I I MOVING I II DEMOLISH I APPROVED DATE ���c7,--1,.—
BUILDING $. rf NO. OF l (.E�71 f
SIZE • O ROOMS STORIES ,r �IZ-t' /O1 I
EXTERIOR W yY ROOF • 1
COVERING J s ICOVE'✓: (�- • R St I i 1 - .0I,.[
USE OgUILDING AND WORK TO BBE'P�ERFFORMED
l BW
,t.,
He /34is /el1 q
i+6a` -T/ssoR /asa la)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP T GTION THE AMOUNT SHOWN UNDER V LUATION is THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING PERMIT F E ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CON N. / VALUATION `
SIGNATURE O ///f PERMIT FEE $ ��' G p
PERMITEF lt.�.(' Oar /,S. / //1I rr,''// -L N
/ $ I(^'V��J'GD PLAN CHECK $ . - ? -4'0 'B
•
AUTHORIZED AGENT W JJ "!Tr7/ �0 4
TOTAL FEE
� CF -2, 03
4 581 " 1- •
COSTA MESA BUILDING-SAFETY DEPARTMENT 33.37 8/18/78 " ._ 160.67 Tta
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED
BUILDING [�/t/,,,ttt,}ri.t+ �/ �/�,ry�--/,� I +(���///yam. DATE ISSUED
ADDRESS 2Y; 3 {/aR �r / �Y ✓ [' �/ /t�'` /'; �i /- 7- 7 y
OWNER /4,9 _'�`/'� (I/'� A.P. NO ] 3 -O /-0 PERMIT NO.
ADDRESS �I 17t) BUILDING,I S,Iln AoDRES�(Q J3 t /c/e/,')A� ,
TE •_-.�aayv./' TRACT 6 LOT2L/ BLOCK
CITY .� PORT. �7♦=� TE _siar�zll
CONSTRUCTIONA, e. ;9, NEW ADD ALTER REPAIR MOVING Immo!ISH
LENDER ` /
BRANCH
OWNER
WN ERE tOO / ./i(O C
ADDRESS 1 .. /r yip
ARCHITECT 1/y t' N/tµwl TEL/03NO.(
Ife6 USE .2 vat�7 VALUE 7 f9 •
OR ENGINEER Vr MITI �q/�y^�-'(f���i t�/7��b� I�Tj� (osCN
ADDRESS I t 'V i C/Fb.&e;E era FIRE
ZONEI 'pNPE�GR0UP 1171/ xr-
APPROVED
CONTRACTOR BY s{'//�'/'/t/�C) DATE 2-77
ADDRESS
TEL. — ZONNO.OF USE OF NE 4711.
PLANS & 4'BUILDING //n l/
CITY NO. Q
,F. STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE /f,., NO.OF BLDGS. (FROM C/L STIIEET. /t
G. OF LOT C[/LV x I NOW ON LOT ` FRONT /1 FT.LJ FT. •
USE OF '�J(�I �7 ///r/
CL; EXISTING BLDG.%�/'—+1� MA 114 Ls.•— % 9.SIDE .. FTW FT.
► / I/
E5• Separate permits are required for L.SIDE 7 F n FT.
electric,plumbing and heating work. f aW REAR /4FTO FT.
[..i USE OF BUILDING AND WORK TO BE PERFORMED ' DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.t [��
..1 s ArA JV C URP# e 701,7 APPROVERS,2 �[
G ' 'r ' ,�/tea \ / U
p/J )/i'J 1 APPROVED/tW Ip [ -}— DATE lI Z 79 O
r.4 ." �f/1 l L -v1
W 1
O I hereby acknowledge that I have read this application and state HOLD FOR SPECIAL ``
cd that the above Information is correct and agree to comply with RFQIIIREhill f<'1
($• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 91,3:
xthe State of California.
I herebycertifythat I am /77SQ. FT.
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THEOUNT 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:
am-exempt from the provisions of the State of California Business a
VALUATION PERMIT FEE $
and Professions ode, Division 3,Chapter 9. rc N
r pis ^ co
LAN CHECK $ /7✓ m
Signature of ci� •y/y✓ ✓mow o
Permittee S' -`L"—!- $ / 1 (3(/ TAX $ 9/5 L
((( / wr sem. U
` L
Authorized Agent TOTAL PAID $ /4 •' 7
216581 - �6a, a, 31
L.
COSTA MESA BUILDING-SAFETY DEPARTMENT t )279 1/02779 '2390 TLL•
• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .1 F2275, X1702/79 . '239e OCKM
APPLICATION FO17
STrRUCTURA4L-PERMIT 1•A ,k%
For Applicant to Fill in Completely - Use Ink Only ''
RECEI D BY DATE RECEIVED Df�T�ISSS���UEEEppp
BUILDING /� / Sa f I J t Pr e `O'a7,-L
ADDRESS `��Yl (0 y^ICC (�. VCi PERMIT NO.
OWNER E[citn ' 1�}S004/17fs • BUILDING C -081-08 P
ADDRESS6Di / f-ks+�Ut�. Ave . ADDRESS�b a �
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION NEW I ADD ALTER REPAIR MOVING nFMOLISH
LENDER
BRANCH OWNER Elden 1- ssoe •
ADDRESS VALUE
ARCHITECT TEL. NS $
OR ENGINEER NO "'
FIRE
ADDRESS ZONE TYPE GROUP
CONTRACTOR OWE NE,e- Blade APPROVED DATE
ADDRESS E NO.OF/� USE OF NEW A _' •
TEL. P. IP,nnc < BUILDING .S *ali
CITY NO. K """�
E-. STATE CITY YARDS APPROVED YARDS APPROVED
5 LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLOCS. (FROM C L ST- GT)
0.. OF LOT NOW ON LOTFRONT _–'_ FT. • FT.
yUSE OF /
EXISTING BLDG. R.SIDF �T. V FT,
E-.
Separate permits are required for L.SIDE /FT. 6 FT.
electric,plumbing and heating work. /`/
10 REARS/�JFT. 0 FT.
F. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q0 MAIN BLDGS. ACCESS BLOCS.
Q
VAR.# DATE
' , / C.U.P.¢b APPROVED
7 APPROVED
>• lc1`I J• • —_9Y DATE
„'
a
a
O I hereby acknowledge that I have read this application and state '^
p( 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 2
r,I,,Wr the State of California.
I hereby certify that I am properly li .•' a co actor under SO.FT. n
the State of California Susi. a /,c ons 4e, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such fo and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;
am exempt from ther,{r • •-Iifornia Business VALUATION n'p d
PERMIT FEE $ „a / .o o ut
to
and Professions Coda • ra• 9 rn
Signature of �����/ PLAN CHECK $ /• o
Permittee $ TAX $ r– L.
Authorized Agent TOTAL PAID $ e 0 O
• 1
a 4 $-/, B;•Z, ;&=3
3335 8/ 1808 1.64.72 -.16i
• COSTA MESA BUILDING-SAFETY DEPARTMENT
• ' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
_ RECEIVED BY DATE RECEIVED DATE/ /ISSUED/
BUILDING ,� P's ;y A -2- '1 (j
ADDRESS / S + - //_
Ll/ firll PE' r n
OWNER sr- �raze/ �1�.Mil- r• A.P. NO. CP../ r/ / 7 !/
-1.1;.c.
� e%JS ity,�r-��'/ BUILDING
MAIL ' 7e-"Iil�.ttnir e ` S[-
ADDRESS ,,_ =..._so wido-rgyreasii-7..a>'a rn •• ADDRES��p� - A .a `/
-lura +L TE
CITY I � r �� , NO ��. . f= • TRACT I LOT- diBLOCK
ww
CONSTRUCTION (•'l .0 'I, NEW ADD,ASR : PA : MOVING DEMOLISH
LENDER
BRANCH � '
OWNER ape,. / Ascoc
ADDRESS r ,, ^n/y�j I/ �s
ARCHITECT Jlt�rl/ !'rte Y1AJTEL.�,�s/W6,0 FIREUSE 3urnr$1oieriaU$...../ m
OR ENGINEER NO.f(/✓/ {'GIU`e •/�/ !q!`
ADDRESS Plii jq( 7&I J J ZONE T PEy�lf�- GROUP da�
APPROVED L-// 9 Q
CONTRACTOR �/NOC BY ` DATE /t 7I/
ADDRESS ^t
TEL. ZONR^ INO.OF USE OF NEW (�
CITY NO. Y//�-..0 PLANS BUILDING .,l
F' STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
f (FROM Cil STREET),„SIZE ���( �)y�y��� ANO.OF BLOTS. / �/
6, OF LOT ((�[f/ l\USE OF �/)�✓,.f✓�✓ �/�N/SOW ON LOTFRONT FT. FT.
•IteN EXISTING BLDG. /iWCJ• ( /JI r/I"C/� (��/5 P.SIDF F/Y.l `/- FT,
in
F Separate permits are required for L,SIDE a/ Fj FT.
G electric,plumbing and heating work. REAR // PTF / .97 _ FT.
USE OF BUILDING AND WORK TO BE PERFORMED
'C DISTANCE BET. BET.MAIN&
Q , MAAINN BLDGS. ACCESS.BLDGS.^s —7/�
VAR.#
DATE•
...1 `J� ,��/p"�Jt�t(y1Th C./V{/� f f CW _C.0 P gY+Gy n -2(I / APPROVED J�7 / 6
, Sidi
'( Y YtJ'( 1Pitea b enetr. o
APPROVEDQ J /M • - DATE /Z/!
m e'o`n
0 I hereby acknowledge that I have read this application and state 1 that the above information is correct and agree to comply with HOLD FOR SPECIAL REQUIREM�P�:T-
r-.1\A
n °2• .**all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
"ant
f
S the State of California.
• 3 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
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $
and Professions ode,Division 3,Ch ter 9. ( sii+
PLAN CHECK $ "/6(Vi1C
Signature }y� -�� 711
o + / LL
Permittee / '�� $ /6 G /zrl TAX $ ♦/
// VV ♦ 9'
Authorized Agent _ TOTAL PAID $ //',�7.
• COSTA MESA BUILDING-SAFETY DEPARTMENT
• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FORARUC-IT ' • PERMIT -
For Applicant to Fill in Completely —Use Ink Only / - .00 IL
BUILDING AlRECEIVED BY DASIQ7CEIVrr. .a , • 000K O
ADDRESS "' i /� -. ...II = Illi .. i a IQ -47
+)dtr, frsso t_ r PERMIT NO.
OWNER lF��. A.P. NO.
MAIL \\ BUILDING l' 5.--ag ' e 4(/ is
ADDRESS ps. 5 A ADDRESS _ 7[r
CITY TNOL tyS) cO TRACT LOT BLOCK
CONSTRUCTION NEW I ADD ALTER I REPAIR MOVING DEMOI NH
LENDER •
BRANCH Aid
�� a�OeOWNER
ADDRESS �jt} .,t �{ALu
p,I ��� (
ARCHITECT TEL. USi7U nd-c"Y rr�QFYI-7e2 s_
OR ENGINEER NO.
FIRE j�
ADDRESS /� /� t ZONE TYPE GROUP ` '
CONTRACTOR b UJ nJ��— 4 bit- AAPPROVED DATE
•
ADDRESS
TEL. Z E NO.OF USE OF NEW
K PLANS BUILDING
CITY NO.
1 _
# STATE CITY YARDS APPROVED YARDS APPROVED
gLIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
{.y SIZE INO.OF BLDGS.
L (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
ice. EXISTING BLDG. R SIDE ET. FT.
Ca
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
G REAR FT. FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
Q MAIN BLOCS, ACCESS BLOCS.
Q ti n O�iPerr/L�,�,V _ C UVARP.�'+ DATE
APPROVED -
} 14.... 7 p End r • APPROVED
.-1 T ( l�� �V DATE
12
W
P.
I hereby acknowledge that I have read this application and state N
N
tz that the above Information is correct and agree to comply with m
-' all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of m
the State of California.
I hereby certify that I am props li en as- ontractor under
SQ. FT. til
the State of California Busine •_ - /.' of si•• Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D
Chapter 9, and that such 11 - e u •rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the f of California Business �O
1 „� VALUATION PERMIT FEE $ [tJ M
and Professions Cod= 3 /5•Vy Cn
/t� PLAN CHECK $ o
co
co
Signature of
0
Permittee �f�,- $ TAX $ — U.
Authorized Agent TOTAL PAID $
atiS-0o
J fs + L x:533 .
• COSTA MESA BUILDING-SAFETY DEPARTMENT 3336 oil8/78 99.64 ?4T6
• . P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ^^-- - •- -
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
//��5-3RECEIVED BY DATE RECEIVED D TE IISSUEDA
`(�
BUILDING �f /_ � f �V`� L 27
ADDRESS
- —_ 7AO� PERMIT NO.
OWNER Ifs A.P.NO ✓Q/ �_/V tJQ//f .mal
MAIL alASs�1/44j ADDREScc45- /c'P, 4f . .
ADDRESS �/�f ADDRESS /�
CITY NOL. iat TRACT 7`.j LOT [/ BLOCK
CONSTRUCTION NEW ADD ALTS- REPAIR MOVING OFMOI ISH
LENDER \
BRANCH yx`OWNER L-S/G/'��-y�/l/I
ASSQ C. ,
ADDRESS
//�r��ss
VALUE
ARCHITECT TEL. USE CollE _ n42 $/2�
OR ENGINEER NO - ' •`• '-' '
FIRE �/
ADDRESS ZONE VPE CT GROUP r-
APPROVED " 9 4-
CONTRACTOR BY DATE/ L J
ADDRESS
—
TEL. Z0g�7 VVjj��//
IND.OF USE OF NEPLANS BUILDING
CITY NO. 11 /_a,# q.f
F STATE CITY YARDS APPROVED YARDS APPROVE
gLIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
9.1 SIZE I NO.OF SLOGS. (FROM C/L STREET) / . f
in. OF LOT J NOW ON LOT FRONT FT. /[/�V FT
mUSE OF - //
EXISTING BLDG. a_ _ 0 F-3
F Separate permits are required for / FT.°
GT electric,plumbing and heating work. 32 ft
FT Q f
REAR FT.F USE OF BUILDING AND WORK TO BE PERFORMEDDISTANCE BET. BET.MAIN&
MAIN
S.
O 7 //�) /� ��,,a /� ` •n ACCESS. BLDGS.'7 r7 ^(/
', ( 1� ASF fT�F���7�CATE
,6 APR Sda? 7R
Q APPROVED
>• APPROVE
5--22-7,53"
DATE
CC
C .
Q' I hereby acknowledge that I have read this application and state n
y that the above information Is correct and agree to comply with nnin FAR SPFt,• T. RFOUMFev1F ha': m
A, all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
W the State of California. 0
I hereby certify that I am proper lien 4• •-a c• tractor under / �6 SQ. FT. a O
the State of California Busines ' • - onode, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D O
Chapter 9, and that such II I Kee and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the pia 1 �e California Business a
f it,
1VALUATION PERMIT FEE $
and ' •fes'ons Code;r j•�• :j'.
do/
o u. s
00 PLAN CHECK $ 34 00 mo
Signajur i
Permltt-e / • .!� =/moi $ /2000 TAX $ .� aw X `U /.sxC
y�
Autho ized Agent TOTAL PAID $ NJ.
ft
• COSTA MESA BUILDING-SAFETY DEPARTMENT .I 273 1102179 50.00 TL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ` [273 1/02/79- 60.0OCKFU
•
APPLICATION FOIMRUE URIAIIS NlT I A 7
For Applicant to Fill in Completely—Use Ink Only a ��
RECEIVED BY DATE RECEIVED' DAT€ ISSUED
BUILDING ^ 6 �� E'ot�T.//`^ /_ ,.,�47
ADDRESS « {
I(d4-r- P ss Q 0_ , PERMIT NO.
OWNER �G^L / pi_ss
A.P. NO.
-
ADDRESS,` V p� [����'..'�sJ�U BUILDINGco L ^e� E/d ^
GV/ ADDRESS v1 J '.AProt/
TEL TRACT LOT BLOCK
CITY NI
CONSTRUCTION NO L[IEW ADD ALTER REPAIR MOVING f1FMOI ISH
LENDER sV 7 Sae
OWNER Sae /� `n .
ADDRESS r ` � �a
�ea-
• Q/O A .NACU$
ARCHITECT TEL. USE t-u�l rEs/�
OR ENGINEER NO. "' "��
FIRE
ADDRESS p ZONE TYPE V// \
GROUP `'
CONTRACTOR p W NE---9.... 'D Ld ft •
APPROVED
111 AP DATE
ADDRESS
TEL. E INO.OF USE OF NEW
TEL.
7CITY NO. 1T PLANS BUILDING
I-. STATE -- CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE I NO.OF BLDGS. (FROM C/L STREET/
L OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
.N., EXISTING BLDG. FL SIOF FT. _ FT.
ti
(—I
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
W REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QCl MAIN BLDGS. ACCESS.BLDGS.
�
Q
›' tIC—Pr� a �. t VAR,�W DATE
C,U,P,# APPROVED
PP APPROVED
>w _B_Y _DATE
a
w
QI hereby acknowledge that I have read this application and state n
I>!. that the above Information is correct and agree to comply with m
pw all laws regulating building construction, and I shall not employ
Z anyersn In of the workman's compensation laws of E
pon violation.'1WwE
the State of California.
3 I hereby certify that I am grope • as a - tractor under SQ. FT. N
the State of California Busine .ssio -de, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that suc ull and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from th0 !ft,.� �'to California Business /O Ar^ e
/ VALUATION PERMIT FEE $ /V L/
and Professions Cod 's , t- h/
// PLAN CHECK $ en
Signature of�i� t�� rte- o
Permittee �/_ L/' $ TAX $ IL2
Authorized Agen TOTAL PAID S 640,60
• nA_'727R
• COSTA MESA BUILDING-SAFETY DEPARTMENT
• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOI1&tRUCTQIRI 19PERMIT 5.50 TL
For Applicant to Fill in Completely-Use Ink Only RECEIVED BY DA . ^CEIQ U A I UED 500
BUILDING LC' Avc• t L�Uf.I$ajA
ADDRESS ...
.
-PER
MIT NO.
OWNER C` / k/, / 5SJG, A.P.NO. 4' ?f Q/oJ
MAIL
BUILDING
� 2-/ 4 /nX5Pu a_ 4 (26/ ADDRESS /`53 £ee�_ e
ADDRESS
TEL- CITY /b net__ / j NO. �
'/ 4/-3 a TRACT LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLJ.SH
LENOER
BRANCH ,.mssy .
�G/
OWNER ESQ �—
ADDRESS
VALUE ell
ARCHITECT TEL. 'I�u`/ ��ti/ .. $ r/
OR ENGINEER k•. r-,-..-...
FIRE ������//yy
ADDRESS ZONE TYPE GROUPC.7
r .III
APPROVED • 11 A-
CONTRACTOR [I" An ,_ 4<�, BY DATE ��� /.
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITY NO. PLANS BUILDING
Fe
1-1 STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
{LI SIZE NO.OF BLDGS. (FROM C/L STREET/
0• . OF LOT NOW ON LOT FRONT FT. FT. '
a USE OF
EXISTING BLDG. R.SIDE FT. FT.
VI
EEF+ Separate permits are required for L.SIDE FT. FT.
G▪ - electric,plumbing and heating work. REAR FT. FT.
aSEE OF BUILDING AND WOaK o BE PERFORMED DISTANCE BET. BET.MAIN&
G L�/Vf-U of t�e/-S 7ki MAIN BLDGS. ACCESS.BLDGS. ,
/)� / VAR.# DATE
a Q< Ale VAR. sI`- APPROVED
4 eS APPROVED
DATE
a
LA
cgI hereby acknowledge that I have read this application and state n
a that the above Information is correct and agree to comply with m
p• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
-
the State of California.
•3 I hereby certify that I am properly licensed as a contractor under
SQ.FT.
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 F
am exempt from the provisions of the State of California Business vt
and Professions Co. •ivision 3,Chapter 9. VALUATION PERMIT FEE $ �— in
Signature/le j / .• PLAN CHECK $ c
Permitter .aL . // •I�4 ��i.. $ /en TAX $ III,
u.
f
u
Authorize: ,ant TOTAL PAID $ ,, 0
63664/09/79
- 5.50 T
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
' RECEIVED BY PERMIT
Tor Applicant/to Fill
77in Completely—Use Ink Only /� 4�tl ei•1 t)A.
.BUILDING ADDRESS �(J � y fr�4Is� ,e_ A.P.NO. '9- / c�v/S��I/_v O /fit,
OWNER ORYYYY /1 ADIDRESS 3.65'3 EL�� 4V&.
TENANT E/,?/✓ 'e . J' -s0c. UNIT OR
MAILING SPACE NO.
ADDRESS �ji �/ - jp� TR.NO. �7 LOT �1 BLK. .
s, TEL. 3 ( � �v
CITY �'.29,t/d/r�F /)el NO. NEW ADD ALTER REPAIR MOVING DE- MOLI�.f
CONSTRUCTION �j' �/Y � / J/'-�� •`amu\/\
LENDER );;Aelrr/ /' Nie--
BRANCH ��+ 5.7-11,.., ,
• OWNER44
ADDRESS y� 7-'/,, VALUE .['J�
ARCHITECT TEL. US��/t/!n C�YOV axes. ✓ $.510'
ENGINEER NO r ((• //���� G,' er
T1
ADDRESS ZONE /\—� TYPE' GROU ' V
CONTRACTOR APPROVED DATE
i(1511./4414/S.` s �:t C,�
ADDRESS c9-S-7 St/'qt, t .doe( /_
CITY a `'/1 NOL( ,/iNge
E^ ra APPROVED SETBACKS
LIC.NO.sL ,# Gr3Q ) LIC.NO.6/2 2Q• (FROM C/L STR EEC—
B./
Mx OF LOT 6(b/ X 3Q5f NOW ON NO.OF LOT
L/ FR
Q USE OF
'� EXISTING BLDG. R.VIP-11211
z
FE..
Separate permits are required for L.SIDE FT.
G electric,plumbing and heating work: REAR FT.01
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a
qDATE
Q
r P[1,7Y10 �/J sfey$1jit .O ) E�g�/p/(_tJ�[/.'//y'� - DATE?APPROV�E/D-c`-� C{7dye _BY 9- /�7
rit 9
cd
GU
0 I hereby acknowledge that I have read this application and state• n
04 that the above Information is correct and agree to comply with
A. all laws regulating building construction, and I shall not employ i
Z any person In violation of the workman's compensation laws of
'W' the State of California. --
m
I hereby certify that I am properly licensed as a contractor under SQ. 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 from the provisions of the State of California Business pU a
and Professions Co Di ision 3,Chapter VALUATION PERMIT FEE $ ���- �n
n
//J��////,/ PLAN CHECK $ "r
Signature of� �/ VV / 0
Permittee 6 TAX $ LL
or / C� u
Authorized Agent Date / 9 ,� TOTAL PAID $ NSst,
1
OR2ST IIgg/77 5e 50 •t•I4
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F STRUCTURAL PERMIT .• . ..
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• R: a" PERMITt
For Applicant to Fill in Completely—Use Ink
Only SS c9j � �� �7 -r y`�
ADIDRE653 4/,()`s/ AI /
A.P.NO. 4I ..S7. -6 Gi_Dg Q /p
OTWNER
OR /�j�C/v ,9 e �DC BUILDING �/ c-S3 jet- //V
/1i ADDRESS (�
UNIT OR
MAILING �J� SPACE NO.
ADDRESS 6 -A/ Xi-Vie i,g_ TR.ICE LOT BLKTE .
CITY Eneos.„4- Alan_ NO. P _ 0
�i NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDERECTION �� or
/1/ �� _-q�-_/,/f-�•_/
BRANCH 2( 5�//L) `l OWNER T/h c1.//f�Q //jj at-
ADDRESS /,,'.d/}/J��j�j,71'' /y.,�-am (Ing _
OARCENHITNECT //KLR/fec7 4A ,.1-OL.133YM I USE SIB N-p I ,e, $ Vii e
ADDRESS IER /` PRIENII
CONTRACTORR ,44/ ��� r 47- TYPE GROUP
✓ /1'
�axic2//)`c Gomes/ • APPROVED
�tBV DATE
ADDRESS //ey iiiS2 $gA/t 4TYIGe/ //JJ
CITY Cr i NEJamies
p—t STATE CITY Fl
APPROVED SETBACKS
LIC.NO./30,1/2/307 LIC.NO.O090
Lsl SIZE / NO.OF BLOGS ,J (FROM C/L STREET)
G• OF LOT �A X 3 0 I NOW ON LOT % FRONT FT.
Q USE OF le -
• EXISTING BLDG. �/'('fL[,(/t
R.SIDE FT,
..
I Separate permits are required for L,SIDE FT.
O electric,plumbing and heating wort REAR FT.
FW., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q a
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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 from t , •rov sions of t••State •f California Business
VALUATION PERMIT FEE $
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i'4Q657 9/25/79 36.50 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIONIFORSTRUCTURALPERMIT -
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
NMi RECEIVED BY (PERMIT
*TO 48828
For Applicant to Fill in Completely —Use Ink Only
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BUILDING 7 /�/� g/re/✓ /9-44
A.P.NO. �3q-� � '�b�
ADDRESS/J'�(y/ ,_J [� y[ �I��
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CITY I FJeo,vt- „Pa./ 414-,t NOL.
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tho 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� p NLY: e
am exempt from the rovisions of the State of California Business VALUATION PERMIT FEE S 0 !_VV Y
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Signature o PLAN CHECK Si xag eo fl o
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Authorized Agent Date --a TOTAL PAID — , ,,*a