HomeMy WebLinkAbout2567 ELDEN AVE - Building Permits .
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t 11,2814 A tNUE 256
5947 - 10-4-5o P1bg. NC (Washer)
6663 10-1- P1bg. BC (Fmrnace) •
469111"G ' 271 Demo Res. .watt.ger. 700.
46027 - 9-1 7� Res. wait. gar. "A" 50,900.
' 46028 - 7-17-1 5 Gar. & Lndry. 9,800.
46029 - 1-17-7 Triplex-11,B2,B3 89,678.
46030 - 7-17-7 Duplex-C3.,C2 59,800.
46867 -e ( - Trash Enclosure 800.
47995 - 5-26-79 Dry Yard Stand Pipe 1,700.,"
A. a .
_ BPE13676 SPA $3,000.
PC 376-84S
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4` A6�9 CITY OF COSTA MESA
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BUILDING DIVISIO •N
F ,,,,' 41 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
a PERMIT
1/4. IPINIII
4. ,�. B03-00705
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2567 ELDEN AV Status: ISSUED
Suite: Applied: 04/28/2003
Vicinity: ROOF, BLDG C Issued: 04/28/2003
Parcel Number: 43917126 Zoning:
Applicant: HAN, AUSTIN ISSUED BY:
Address: 1022 W ORANGETHORPE
Phone: (714)871-9923
FULLERTON,CA Zip: 92838
Owner: ORA INVESTMENT PARTNERS LP �I** '( ��
Address %SHEN,YVONNE /� l��/'�
NEWPORT BEACH,CA Phone: V
PO BOX 9734 Zip: 92658-9734 OI
Contractor: ACE ROOFING SYSTEMS CO
Address: 1022 W ORANGETHORPE
Phone: (714)871-9923
FULLERTON,CA
Zip: 92838 License:- 679543
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
INSTALL BUILD UP ROOF OVER EXISTING LAYER OF ROOF FOR BLDG.C. 14 SQUARES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $1,890.00
Permit: $66.20 Claim Valuation: $1,890.00
• SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $66.70
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
2446.46(6/001
DECLARATIONS Y .,ci _
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.
`Q" 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'compensatio ;tee ' 'rr and lic?knumber are: �,_-_- _
Carer .g v L.Policy-Numbe / --cO0((�
(This section need not be comp eted lithe permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work fo h this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomla,and agreI
' hould become subject to the workers'compensation provisions of Section 3700 pf t a Labor ode,I shall forthwith
comply with.ihese provisions.
s
TAppflcent Signe
r--Date:---
O
syV3RNING`FAILURE TO SECURE WORKERS COMP' .,n. •• RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES 0CVI FINES TO ONE HUNDRED
THOUSAND DOLLARE(S/06,Ooo),IN ADDITION TO THE••-T 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 pro ions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code, :nd my license is in full
�—
. -force and effect. / _ ' 1. Class s
_CgntrectoPa Signature - I Date MEW
---.---, C.- >
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: Lender's Address:
Signature: Date:
tis:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that+ram'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 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.). -
CI 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,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: ,
1 Will the applicant or present or future building occupant need to file end 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 greeter 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 CI 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65650.2 of the Califomia Govemment 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
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 • 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 ordi antes relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I . not to• cupy or allow occupancy of any building authorized by this permit until final inspection.
•
Signature Of Legal• )/ / Date Y(2-
/2_ p/eV
And/Or Authorized App I . t-------_____ j Date----Th ( l
CODE INSPECTION TYPE PAIS INTITIALS CODE INSPECTION TYPE • an MAO
1616 Fixed System Final Fire Prevention 206 Final Mechanical
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
0 ?.,'"Alt!!:,t
' CITY OF COSTA MESA v8 ,
y �t , .' BUILDING DIVISION .
f' ' DEVELOPMENT SERVICES DEPARTMENT
698-01223
.4. PERMIT PERMIT NUMBER
(714)754.5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2567 ELDEN AV Status: ISSUED
Suite: Applied: 07/08/1998
Vicinity: TRIPLEX B-1,B-2,B-3,DET.GARAGE Issued: 07/08/1998
Parcel Nunmber: 43917126 Zoning:
Applicant: MC EUEN, DAVID
Address:
Phone:
Zip:
Owner ORA INVESTMENT PARTNERS , , —
Address LPI '74'
�/
1030 W MAC ARTHUR BLVD` Phone: - . / � - ' 'A
.:��
UN7 / / ', \ ` J :Zip: 92707 = '�. \; ��
/,,,/, ��"- _ _ - V
Contractor:/ THE.ROOFING SPECIALISTS . , / A\
Address: " /216 E 18TH ST >7
GA c ( /
\:,/.//,/, '„T' Phone: 714-722-8846 -,-,'-\`% /7
COSTA ESA;:CA Zip: 92672 N\ - \
- -' �/ License: -'734068 N -
Arch'%Eng: �: '7 v
u..
Address: —I 2!/,/ it- i ,
_ ",/ - [ "'Phoneme - --,..
. . Zip:
� ,,` . ��Iti . : ti
_
� ) /- _Lcense - ,
SCOPE OF PERMIT /�
I r i \ ' TEAR ROOF AND RE-ROOF WITH TORCH.TRIPLEX UNITS B1, B2 AND B3 AND DETACHED GARAGE
v / STRUCTURE.ROOF COVER CERTIFICATION ON FILE N -
•
T;, v 7
- -" - FEE SUMMARY
Plan Check: $0.00 •1 Calc Valuation: $3,120.00
Permit: ' $87.25 .v , ;1 - 'i,), •- Claimed Valuation: $3,120.00
$MIP Res: $0.50 — _ _ �
SMIP.Com:` $0.00 / '
Other , $0.00 ,_ .
Inspection: : , $0.00 -
Total: ' $87:75, - . , ,
'. ` c = '
�, 'PLANNING & ZONING 2
a'/
SETBACKS �' "'if
MAIN STRUCTURE Front 0.0Ream 0=A" ` Left` ��0-0`- - Right - 0, /0� j/
ACCESSORY Front 0-0 , / ', Rear. . 0-0 - Left 0-0 - Right , 0-0 ,/
PARKING Existing: 0 Required: 0 Proposed: 0
,
NOTES:
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 Inspection 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 U
Ir
WORKERS'COMPENSATION DECLARATION: .
I hereby affirm under penalty of perjury one of the following declarations:
0 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 wo ars'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' pe tion nsurance terrier and policy number are: /J c� OD L n
artier. /9�^ Policy Number L 1✓- O"O ka'z9
(This section neerno be the it the permit Is valued et one hundred dollars($100)or less.)
❑ I certify that In nce of the w• for • h this permit is Issu I s all not employ any person In any manner so as to become sub to the workers'
compensation I • la,and agree hat If •h• Id bacons subject to orkers'compensation provisions of Section 3700 of the Labor e,I shall forthwith
comply with ih •. y 0 /f
Applicant Signature: A. _ _` � Date: (- U - 7
WARMNO:FAILURE TO S W RS'COMPENSATXIN 6WEAAGE IS UNLAW FU-AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED
THOUSAND DOIURE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
I here
UCENSED CO TORS D nderLARpr vis
I hereby affirm t I am licensed oder provis s of C r 9(commencing wi ec' 7000)of Division 3 of the Business end Professions Code nd my license is in full
Orta and effect Lk.a Class p
ntrectofs Slgrture:� 'k.-) Date:
CONSTRUCTION AGENCY:
❑ I hereby affirm that there Ls a construction lending agency for the perform 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 toe 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 drivers 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 Ilya(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 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:
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 Mese Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greeter then 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 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 appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes L]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? 0 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
6 (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.
-!!l Signature: Date:
QIRTIFICATE OF CO -WANCE AND AUTHORIZATION OF ENTRY:I cattily and$penalty of perjury that I have read this application and state that the information given is
/correct.I agree to com. with all state law nd city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described props for Inspection pu •• - I agree not to•• •. •r allow occupancy of any building authorized by this permit until final Inspection.
Alls
/l
Signature• � !el• ner(s) -' ta _ /• .,.r •u •o -...App r a � k.t Data
t -
A, 16eee yECEE DMZ ,rill. .' COPE1 INSPFCTION TYPE DAB gl➢DELS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 " Pool Spa Final - 208 Final Plumbing
•
1111i200 Final Re-Roof r te 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 Anal Demolition - 250 Final Building/Occupancy
2446-46
r •
�. �/
4602 ' 7
COSTA MESA BUILDING-SAFETY DEPARTMENT Iil'-
`/ I' /' '�-
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 I l/.I. ''1 I " ,r a "• 11
APPLICATION FOR STRUCTURAL'PERMIT "
For Applicant to Fill inCompletely
/—� Use Ink Only •
RECEIVED BY TE RECE�J I Dc/6-E ISSUED
ADDRESS ,2,6-47 ''G/ /rlErtl /y U/:=BUILDING
7 JJJ��'�7 DATE
�--r" r / `7
OWNER ! O I {,(,/ 4A '-N A.P.N09i9-/ /� d1c SEER IT NO.
BUILDINADIL (}�-� r )� ADDRE \f7 7 7`
ADDRESS 7/y7 /O I,-J pll/'NL //"� ADDRES y Lj^(j ��
CITU (_ 14/ NOL97n/rosy TRACTR74 /L T.,927 BLOCK
CONSTRUCTION A /3 NEW ADD ALTER REPAIR IMOVWG DFMOI LSH
LENDER 4 `/X/`
BRANCH S,1 e 4/J,Cc Q/ /
ADDRESS 94'6/ %e//S9/s445 al - OWNER n J �yj� /Pt.
ARCHITECT �/ �r,� engin
� TEL //�'T� w/ �;'a'LU$ . '/ /
OR ENGINEER C'� / , nd n SO/✓ NO, 6.31 20 /`
ADDRESS d Lr e„yyfe//gF�fr
- , 4vy_'A. ZONE TYPE - GROUP 4- �.
/
_ �APPROVED 0-
/. .
CONTRACTOR • / mcBY / DATE /�
ADDRESS rf-C-r-
TEL. ZO NO.OF USE OF NEW
CITY C NO. J41,4-PC-1---
PIANS BUILDING
Ew
- STATE CITY . YARDS APPROVED
LIC,NO. LIC. NO. ACCESSORY BUILDING
(FRcu SIZe ? NO.OF BLDGS. e
L OF LOT 7, -- G 0/ f NOW ON LOT / -• Ea fa lirl
Q USE OF 44:94‘.
�� • e L A
CA EXISTING BLDG. 44:94(,.G.rM-LTJ/
SIDE,_1:42/ FILO FT.
CC
[-•
Separate permits are required for / FT.
electric,plumbing and heating work.
FT eray_e
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAI &
0 MAIN BLDGS. ACCESS. BLD .
QA/61,A/61,20- f / �PR7�C.U.P.P..4It Z4PalAPPROVEQ2
DATE
1/ 77
RO �pOfATF `9-,1/'73
tx
W • .
a. I hereby acknowledge that I have read this application and state
N
(Y, that the above information is correct and agree to comply with
m
D. all laws regulating building construction, and I shall not employ HOLD FOR SPECIA RE
Z any person in violation of the workman's compensation laws of ///'�'] X/ Q[UyI/REMENT� _
sthe State of California. /�I 1 SQ.FT. 1 / J
os
I hereby certify that I am properly licensed as a contractor under !! &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:
to
am exempt from the provisions of the State of California Business VALUATION •t •
and Professions Code,Division 3, Chapter 9. �J✓l� PERMIT FEE E m�M
-77/4e744.4 i,y+ PLAN CHECK $ 74(.,.5-6on W
Signature of /r/ /�
Permittee $ qn TAX $ 2
---� / ( /r, -6-i(o U
Autltorizatl Agent TOTAL PAID $99 7) 6
41
r• • `�` 2/ - 6820 10/12/78 189.00 .TL
• : COSTA MESA BUILDING-SAFETY DEPARTMENT 6820 10/12/78 P89.000KTC
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 pp�� rr��nnnnnn nn
APPLICATION FO �S7RURUKAL-P?JMIT 111 n\
For Applicant to Fill in Completely — Use Ink Only
RECEIVED BY DATE RECEIVED DATE ISSUE?,
Of
BUILDING 25z•7 es }tir.�,r / E_ /0 at- y
'ADDRESS (� •�E�C �V /I !!O a
//`,'ry PERMIT NO.
OWNER Y A.P.NO. a
MAIL ADDR BUILDINES G7apex/j \may/ e
ADDRESS
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION NEW (ADD ALTER I REPAIR MOVING DFMOI ISH
LENDER /�
BRANCH
ADDRESS OWNER an �NALel --.\
(,(J/ar�� it VALU$ I -
ARCHITECT TEL. USE ���
OR ENGINEER NO,
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS ZONE INO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO.
F^ STATE CITY YARDS APPROVED YARDS APPROVED
Z LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
ILI SIZE NO.OF BLDGS. (FROM C/L STREET)
IL OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R.SIDF EL FT,
rn
(-•
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work. REAR FT. FT.
tsl USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
Q MAIN BLOCS. ACCESS BLDGS.
VAR.# DATE
•� C.U.P.# APPROVED
a
7 APPROVED
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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 o
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 qqq��_ tea. y
VALUATION PERMIT FEE E
and Professions Code, Division 3,Chapter 9. J I m
PLAN CHECK E ii.
Signature of o
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COSTA MESA BUILDING-SAFETY DEPARTMENT 1041 L`/16/7'.' : C./,'" rt-
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
1041 5/16/70 Ga,,"'.:T :
APPLICATION FOR STRUCTURAL PERMIT I.'
For Applicant to Fill in Completely — Use Ink Only
�/ / RECEIVED BY DATE RECEIVE D (sTE ISS ED
ADDRESS .BUILDING t 67 /1/�/1IC////I=R/ /-IU/� �J/� � �� � ��R�
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/: / ZONE T PE J GROUP 5
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ADDRESS .S-.1.4#2-0----
TEL. ZONF�Q INO.OF USE OF NEW
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.Fn STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLOCS. (FROM C/L S%RtV p / /I � y
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COSTA MESA BUILDING-SAFETY DEPARTMENT 6617 �Q/12/78 $52�00CKT0.
. P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 II 'QQQQ(I L{(Q 29 I A „\ ,
® P A ON FO6gS7RUCTURAI:PERMIT \\�JVr�
For Applicant to Fill in Completely — Use Ink Only RE E V DATE RECEIVED DATE ISSUED
BUILDING VADOREC DSIe -11-
geigliftery aPERM1T NO.
OWNER es"--7--- A.P. DN.
MAIL /
BUILDING
ADDRESS ADDRESS
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION N'\Ew , ADD ALTER REPAIR MOVING DEMO,ISH
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ARCHITECT TEL. USEi g ai
OR ENGINEER NO.
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ADDRESS ZONE TYPE GROUP
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CA
FSeparate permits are required for L.SIDE FT. FT.
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VAR.+ DATE
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3 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 ONL e
am exempt from the provisions of the State of California Business VALUATION ,PERMIT FEE
and Professions Code,Division 3,Chapter 9. ....a-PERMIT
$ Sig
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P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 I Dia 5/I 6/7C I noL3CI.I..
APPLICATION FORRSTRUCTURAL PERMIT I r'
For Applicant to Fill in Completely — Use Ink Only
S.
fnff}}f�/�1{s RECEIVED BY D E q/ECEIV D#TE IS UE
BUILDINGDDRE3S6 7 C / 110-4_Jf 14 t //A /p'5
ADDRESS ) D�,"," Q39-77/124 {{���� �l
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MAIL ADDRES/SX15776 7 E/dd� / �
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iwi STATE - CITY / YARDS APPROVED YARDS APPROVED
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m
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Sthe State of California. a 7/� m
3r I hereby certify that I am properly licensed as a contractor under (� SO. FT. tt'r`
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:
am exempt from the provisions of the State of California Business
to
VALUATIONPERMIT FEE E
and Professions Code,Division 3,Chapter 9. n
PLAN CHECK $ / 75r m
Signature of"---21; // EVfy6 /LLL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
6819 10/12/78 6 .Qp Ti'
APL A ON FONITJRIKU R/MPERMIT 6 .&KM
For Applicant to Fill in Completely — Use Ink Only
(zy/ / RE I V DAF♦ EItth A UED7F 1 Q
ADIDRIN G7&ioewd4vE 8 / _3 /O/-!V
PERMIT NO.
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MAIL III �"VVV BUILDING I'tr��/IL Ar
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ADDRESS ADDR �'
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OWNER G7
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FIRE
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PLANS BUILDING
CITY NO.
pw F. STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
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4 USE OF
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cn
9 Separate permits are required for L.SIDE FT. FT.
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VAR.* DATE
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APPROVED
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S all laws regulating building construction, and I shall not employ
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' 3 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 o
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 E „co7�
and Professions Code, Division 3,Chapter 9. ��`�/ w
PLAN CHECK E n
0
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Authorized Agent TOTAL PAID 1/4216.7r
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• • COSTA MESA BUILDING-SAFETY DEPARTMENT 1043 5/ 16/78 107069 TL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 a----'
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use In Only
s>44,4.1 6 / RECEIVED BY DATE RECEIV DATE/ISSUEg,r
ADIDRENS no7 / -- — !/X ,,,��////� _[�JJSI
/�//�//��r /, �-'7 n/ PERM
NO.
OWNER —7- ,n,, IL zzl A.P.NO.C7N-.. / //2
MAIL
ADDRESS 37/ . A.Fc...-e .�l/
BUILDING �? ��/fa"ADDRES
CITY e. ' / NOL 179-j-0;29 TRAC 7 LO,Tj29 BLOCK
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CONSTRUCTION // /1 NEW , ADALTER REPAIR MOVING DEMOI LSH
LENDER rn % \ /
BRANCH , :e7 //d/S /\x/
ADDRESS f4a /14 iso 4F eh/d— _ OWNER \/-�/ -L///j,a/�
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-CONTRACTOR m`-`2— BY DAT7D i1
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TEL
NO.OF USE OF NEW
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PLANS BUILDING —
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fX that the above Information is correct and agree to comply withto
Q• all laws regulating building construction, and I shall not employ
PEMAL R QU
Z any person in violation of the workman's compensation laws of HOLD FOR SPEC 1 F 1 FUTs °
1 Wthe State of California. -
I hereby certify that I am properly licensed as a contractor under • FT. co
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 affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;
am exempt from the provisions of the State of California Business v
VALUATION PERMIT FEE E
and Professions Code, Division 3,Chapte 9. in
aft—PLAN CHECK
m
Signature of ID � i�V nU
r),)
Permittee `) /v„,_ S5-9g6-0
y6.0TAX $ Y•
Authorized Agent TOTAL PAID /07
6.9
/�-" 18 10/12/78 207. 00 TL
m03G 681'8 10/12/78 -207.00 KTD
r COSTA MESA BUILDING-SAFETY DEPARTMENT 681:8 "000044
60 30 Q• 11; Vr
• 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/
' NGn4 7 4 r /�/ IS.../i
ADDRESS BUILDl S /�{ A c
£(1 l«[cY 1 PERMIT NO.
OWNER A.P. NO. %%A�t� Q)��
BLDING
MAIL ADDRESSf i7 /L t/er�/1Z,
ADDRESS 1
TEL. TRACT LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DFMOLISH
LENDER
BRANCH /Y_•
OWNER 7:721iI6G Ora
ADDRESSdA
I VALUE��
ARCHITECT TEL. USE .1dAm- �� $ 1
OR ENGINEER NO,
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
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ADDRESS
TEL. ZONE INO.OF USE OF NEW
PLANS BUILDING
CITY NO.
FS^ STATE CITY YARDS APPROVED YARDS APPROVED
W LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
L SIZE NO.OF BLDGS. (FROM C/L STREET)
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a USE OF
V) EXISTING BLDG. R.SIDE FT. FT.
h
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Ci
electric,plumbing and heating work. REAR FT. FT.
E,. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
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VAR.# DATE
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7 APPROVED
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N
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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 PERM! EE ONLY - —
am exempt from the provisions of the State of California Business /O'
VALUATION PERMIT FEE $ O/f1
and Professions Code, Division 3,Chapter 9. m
PLAN CHECK 2o
Signature of TAX $
Permittee $ u.
$ u.
0.
7�
Authorized Agent TOTAL PAID $�
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COSTA MESA BUILDING-SAFETY DEPARTMENT 6816 10/�2/T8 s5 50CKTD
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 �A Oz 0'1'6 000Duu6e 67
AP; IC•TIC/ fOR-STRUCTURAL PERMIT
For Applicant to Fill in Completely—Use Ink Only
REC I D s. DATE RECEIVEDD— ass
BUILDING G 1� Al t
ADDRES'/ (9 /
//,,,' /� y A.P. NO.` 3'— 7 - -ERMIT NO.
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BUILDING 7 •
ADDRESS ADMAILDfl ESSdS�j6 O/' i At
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CITY NO.
CONSTRUCTION NEW 4ADD ALTER REPAIR 1MOVIN DEMO'ISH
LENDER /•][\/If
BRANCH '
OWN Err 6/4/41,4/1711
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ADDRESS Q Etta . /V{I(//)
VALUE
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FIRET
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ADDRESS ee .— BOF UILDING
' _% J
TEL. /
CITY NO. - PLA cllr
- — STATE CITY YARDS APPROVED YARDS APPROVED
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6 `•'>� ///
Q USE OF /
4, EXISTING BLDG. B-SIDE FT. -- (//p FT. •
un
11 F Separate permits are required for L.SIDE FT. FT.
C electric,plumbing and heating work. REAR F - - FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
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9
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gVAR.# DATE
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CO that the above information is correct and agree to comply with m
Os all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
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3 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 o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE
• am exempt from the provisions of the State of California Business a
VALUATION PERMIT FEE $
and Professions Code,Division 3,Chapter 9. m
PLAN CHECK $ n
0
Signature of LL
Permittee $ TAX $ 2
• l` U
• Authorized Agent TOTAL PAID $ / � (�//
COSTA MESA BUILDING-SAFETY DEPARTMENT 74074110/23/78 ,�r�
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 77407'44��7 �0r/12n3p/ �8q �L � -, KTi
APPLICATION FOItSTRUCFQRAL'PERMIT ••-
For Applicant to Fill in Completely — Use Ink Only 'a"'
/c J�
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING ,7 S_67 v/ ec) ike. • I J
BDDRENS �( /(�I J
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OWNER F A.P. NO. % •.7� '%� /�oZp
MAIL �( 1 BUILDING ZS/tote
ADDRESS .'-7//) 71 (L/U 1` -D2 ADDRESS���7es�'(/�--IV
///f TEL. TRACT / I LOT BLOCK
CITY C� it NO. ?7p�cfU�/C
CONSTRUCTION 4/en / NEW ADD ALTER REPAIR MOVING IIFMOLISH
LENDER �'J // \/
BRANCH 6Eb / (/S , / !�
/ /'{ /"! )) OWNER
ADDRESS '46 / /�% 3 A I Az . �//
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OR ENGINEER r r / I NO. /��/{-� / /cJ
FIRE
ADDRESS ZONE TYPE j GROURRIr' "T '
//' / APPROVED IJ _
CONTRACTOR 'r•1y'1 I�y BY j '- DATE /Q 'a 3
ADDRESS .27/o ,/?j N Na r {/ •`-) ZONE NO.OF�� USE OF NEW
TEL.
NO. 411-jogry �Z --rr PLANSJ BUILDING
CITY -pjyrt,a
F
STATE & / CITY YARDS APPROVED YARDS APPROVED
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IQ SIZE NO.OFDGS1*----
r / (FROM /L STREET)
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Q USE OF /yr
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ca
FSeparate permits are required for L. DE FT. FT.
O electric,plumbing and heating work. REA .Ta------- FT•
1z7 USE OF BUILDING AND ORK TO BE PERFORMED
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0 w J ! VAR.* DATE
MI
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g that the above Information is correct and agree to comply with m
Mx all laws regulating building construction, and I shall not employ ol
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the State of California. .:
I hereby certify that I am properly licensed es 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:
am exempt from the provisions of the State of California Business �j y
and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ /� 0� n
PLAN CHECK $ /a' n
. ,y 0
Signature of 4 4 . , $ I�OQ//ei U.
Permittee /// TAX $ e` ' V
Authorized Agent TOTAL PAID $ e i I
•
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COSTA MESA BUILDING-SAFr IV DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT (L/�P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RICE E V PERMIT !14 'i s)S.�I p
For Applicant to Fill
llin Completely
/'--Use Ink OnlyBU �{A'/� /J ///��f J
ADDRESSLDING
I .7.5... / 7 E.A L/^'l c,-c A.P.NO. if 3% !/ / frac:,
(� BUILDING (/ /j/ /£
OWNER OR - / ADDRESS S (.•
jam`
TENANT �_�
UNIT OR
MAILING SPACE NO.
ADDRESS 7/0. ((�(J
TR.NO. LOT BLK.
CITY TEL.
mi
CONSTRUCTION � y,
LENDER N NO. 9z -c' ' NEW I ADD ALTER REPAIR MOVING DEMOLISH
CA/J+ -II
BRANCH ig`(/We//S
OWNER J✓kel fel/.*�
ADDRESS 474' CX,.S-r/ VALU ` 1
ARCHITECT TEL. USE Thy y�D_� � /) $
OR ENGINEER NO ` (FJ ",(/
ADDRESS - ` / Ali,"
,P ZONE TYPE GRODUPP,.4"
CONTRACTOR _Cpb / ""'� `S5i (�Q,GQ/yLC 0- APPROVE AA�� / ,DATE
ADDRESS a SCJ P NL O,I O,GQ ��(� f/"
TEL.
CITY e/if ND. 979,09
I-I
.-• STATE CITY APPROVED SETBACKS
LIC. NO. /3 97g S/ " LIC.NO. _
SIZE NO.OF BLDGS. (FROM C/L STREET)
0. OF LOT NOW ON LOT FRONT FT.
Q USE OF
ti EXISTING BLDG. R.SIDF FL
Ls,
FSeparate permits are required for L.SIDE FT.
O electric,plumbing and heating work. REAR FT.
FW.. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
x$
^', {,�/y�- _
GI
_ DATE
Q Di 1-4---:-- /�D� / APPROVED
7 / APPROVED
>. —BY DATE
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CL
W
0 I hereby acknowledge that I have read this application and state N
p4 that the above information Is correct and agree to comply with
R. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of E
W the State of California.
S J �%[/j, �J SQ. FT. T
( [ / m
I hereby certify that I am properly licensed as a contractor underori
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 PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATIONPERMIT FEE $ /�DO e
and Professions Cade, Division 3,Chapter n
PLAN CHECK $ K( tO o
Signature of • r,
Permittee �/' Si > $ l 7 a d h.
TAX $ C� U
Authorized Agent Date V - T" (y TOTAL PAID 126 0