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HomeMy WebLinkAbout1201 MCCORMACK ST - Building Permits - y S CITY OF COSTA MESA - 4�I�,, BUILDING DIVISION >• „„ _,ra,"1”• i PE IT NUMBER DEVELOPMENT SERVICES DEPARTMENT t.' I : PERMIT ' /SF0I3-00954 J rilli YYY r (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT O Job Address: 120X MC CORMACK LN Status: ISSUED Suite No Applied: 10/13/2003 Vicinity: Issued: 10/13/2003 Parcel Nunmber: 441$3355- 1;41.OCXo01 f Applicant: SCHANE, MICHAEL ISSUED BY: Address: 463 N.SMITH AV Phone: 909-371-4202 CORONA,CA Zip: 91720 ..-gyp Owner: I4A�'WeRTt-rRON*hB T-R CAIN ell - � '&C"\ Address Phone: GRANTS-PASEBR Zip: 97527 Contractor: MOORE ELECTRICAL CONTRACTING Address: 463 N. SMITH AV Phone: 909-371-4202 CORONA,CA Zip: 91720 License: 610382 ' SCOPE OF PERMIT 200 AMP SERVICE FOR TRAFFIC SIGNAL OPERATION. REF: PS03-00631. NO FEE.CITY PROJECT. FEE SUMMARY If Quantity Quantity ISSUE FEE $0.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(34-units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 - up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $30.50 1 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 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 2448-46(6'00) 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 wo for which this permit is issued. eve 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 works pensa�tlonlpwr•nnce carrier and policy number are: ` I L/,�� _ 7 7 Carrier: z � '-1111� W . Policy Number: C 4 -I 1 �7 �1 L - ezzo C (This section need not be completed if the permit/s valued at one hundred dollars($100)or less.) ❑ I certify that in the perform.nee of the work f ich this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws•• N't ogre= 7 I •• ould become subject to the workers'compensation provisions of So tion 3700 of the Labor Code,I shall forthwith comply Sig with these • �' j i (510--)1 Applicant Signature: r /, Date: 11 .?/•11 WARNING:FAILURE TO SECUR WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES, LICENSED CONTRACTO• • :RATIO / I hereby affirm that I a •��t s'.i•y •f C �ter 9(commencing with Section 7000)of Division 3 of the Business and Professionstbde,an, y license is in full force and effect.Lic.# -ip. ,pc,“ 1 Class# L--'i v Contractor's Signature: Date: (r) 1.31 (-. t CONSTRUCTION LENDING AGENCY: 111 ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code: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,end 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 properly 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: • 0 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: Y 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every I business which has at any one time during a reported year a quantity of hazardous materials equal to or greater 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 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). .. .. f.t.rl.i . 3 Does or will the applicant or present or or futuree 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 Califomia Health end Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�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 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 ❑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-described property for inspection pu •.• es.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / ea, At,i.• / L.•. Lb Owner(s) In iDate Sr 'n•ahorized Applicant in Date ;ODE A INSPECTION TYPE QATE INTRIAL$ CODE! INSPECTION TYPE ME RETRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 41/ AM 200 Final Ra-Root 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 • 6 • CITY OF COSTA MESA • � BUILDING DIVISION • F - DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER i PERMIT 4. • B01-00612 bkmums (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ce,us ING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 .lob Address: 1201 MC CORMACK LN BU Status: ISSUED Suite: Applied: 05/03/2001 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 05/03/2001 Parcel Number 14163355 Zoning: R1 R1 Applicant: DAVIS, MARSHALL ISSUED BY: 4,,L Address: 1171 PASEO TASCO CI Phone: (909)371-8130 CORONA,CA Zip: 91720 Owner: HAYWORTH, RONALD TR Address 1363 SUMMIT LOOP Phone: GRANTS PASS,OR Zip: 97527 Contractor: GOLDENWEST ROOFING Address: 1171 PASEO TASCO CI Phone: (909)371-8130 CORONA,CA Zip: 91720 License: 432088 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF:T/O WOORK SHAKE,7/16"OSB PLYWOOD, 1 LAYER OF 30#FELT,APPLY"ELK PRESTIQUE"25-YEAR COMP SHINGLES. 30 SQUARES FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,600.00 Permit: $125.25 - Claim Valuation: ' . $5,600.00 SMIP Res: $0.56 - .. SMIP Corn: •$0.00 Other:• $0.00 . , •- Inspection: $0.00 Total: $125.81 PLANNING 8 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(WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATIt,,.: 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. Ly 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 carrier and policy number are: Cartier: Policy Number: (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 taws of California,and agree that 8 I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision Applicant Signet . / 4 Date: 3 0/ WARNING:FAILURE TO SEcuRE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,00),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 em 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.M Class A J Contractor's ..J Signature: Date: ,� -0/ 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). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code: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.). ❑ 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 ❑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 and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑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 Califomia 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 0 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? ❑Yes ❑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 Al Quality Management District or from any other air pollution control district or agency? LJ 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 (II 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 Oualiry 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 at 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. ate And/Or Authorized Applicant Date CODE II INSPECTION TYPE RALE INTRIALS CODE INSPECTION TYPE PATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 5-9 /—I2110 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 OWNER HARBOR HALL OF FAME HOMES, INC. DATE Nov 3 0 1952 JOB ADDRESS 1201 McCormack Lane BUILDING PERMIT NO. 18355 GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 17,1415.00 AP No. LOT 105 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res.Watt.gar IN°PECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1 Litz /-�� PERMITS ISSUED Gas /-Q-/a SUBCONTRACTOR DATE NUMBER Wafer . �/�/nom" Rough Corn. Rettig. ❑ Air Cond. D f •Rough Heating per,// �'�f fl,r' ,y _1�aQ / ry_ Rough Plumbing LC.('(J '10 / -, . ./T/,/_ : €1_ Li-S, /c� _ f Miscellaneous Prop.Swr.Line House Con. ❑ St.Swr. ❑ _/J,�J/ e, o?a2/-r9 - _ i: .i.i,may _try.? Sprinkling System p-n/ 'ed //-f - —. / i 1 /e-/1443 3 , P -viI Construction Pole _ 4 /i ad-Gv '�„� //'.2.7-‘_2_ /.�f�7 il�y Underground ❑ Power .C5 7 Bough Wiring ..ern& J,eite �1f. wr/5a /y- '- Trenches le Forms l8' Steel Remi ❑ Wit h--2c-fey - Floor System 1 Bond Beam 0 Steel Reinforce ❑ Sheathing 13 YYI ix, 2 —/...sc--C.-3 Frame and FlashingR.: � Lathing — In 11.--Out ®'Plaster, brown coat , TW.:]-7. ❑ Air Cond. 0 Final ]V ?ng, Final f/. /(9 6-17-63 Plumbing Fixtures, Final -7_/9-69 Final Gas Test /..9t1 iS_C'3 Electric Fixtures, Final 7 s Building, Final ')-i 63 OCCUPANCY FORM UU4-5M — 7-61 ,Qncc j . ,. Lot 105, Tract 4356,' Plan 600-CR 18355 COSTA MESA BUILDING-SAFETY DEPARTMENT Fp RECEIVEDA� . P. O. BOX 317 COSTA MESA. CALIFORNIA NN�np�M t' 3o }I},12 - For Applicant to Fill In Completely APPLICATIBlV P h TYPE STOR PRINT dip ,OSTA MESA ADDRESS BUILDING / Z O/ / ' C Conn^f 011 la COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I g! M?S C OWNER Harbor Hall of Fame Homes Inc /, : MAIL ox 2066 RECEIVE/2YI DATE RECEIVED GATE ISSUED P.O..ADDRESS //464 ', !) ID,.,, CITY Santa Ana NoEL- 9-2204 ADD EISS vi AARCHITECEER Jamison EL 544_0040 COSTA MESA. CALIFORNIA A ss NO. 225 "D" St. , Tustin FIRE , y^ •/ ZONE TYPE GROUP"" CONTRACTORI'ifetime Residential Bldg Corp APPROVEDBY DATE ADDRESS 2131 So. Artesia St. ZONING --e1. ZONE NO.OF USE OP NEr / CITY SantatAna R i I PLANS 9.../..BUILDING 1/! J STATE 208676 7 TEL. KI 9.2204 LEGAL ������JJJJ GG-- T c(///o(�-�/�1 2, DESCRIPTIO/nJi / S.Cs SIZE 60001 .I NO. OF SLOGS. 0 OF LOT NOW ON LOT )- 2-_-.- --.--,.--c...-€ USE OF None YARDS EVES EXISTING BLDG. pp APPROVED ALLOWED SETBACQNTERKOP LINE STR ETFROM Sof REAR YARD28.50It FROONTR LINE ST.) 0 FT. IN. SIDE YARD I LEFT 10' I RIGHT �5f R.SIDE 9s— GT. IN. DESCRIPTION OF WORK L.SIDE / FT. IN. 4 NEW Ix V ALTERATION I II ADDITION I REAR 2_ ?FT. IN. II MOVING I II DEMOLISH I APPROVED, WO DATE l- /�� REP..... K/!/✓ BUILDING !1.'. NO. OF SIZE 1644 ROOMS 9 STORIES 2 EXTERIOR Vit t. Et I ROVVERING Shake t'la COVERINGOOF USE OF BUILDING AND WORK TO BE PERFORMED Single family residence 06-74,i-t4), I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE B E IS CORRECT AND AGREE TO COM• PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY LACES AN TE LAWS LATINO BUILDING CONSTRU //'`��� VALUATION 7 SIGNATURE OF \ v�, PERMIT FEE $ �/ N 1 u _ _ PERMITTEF 7 0 S 4 iC PLAN CHECK S �Ce�d AUTHORIZED AGENT << C TOTAL FEE S.c057., U d n lJW IN CR R1aka Rirhard R_ UAIt 4-1-76 JOB ADDRESS 1201 Mr Cormark Lane BUILDING PERMIT NO. 41498 GENERAL CONTRACTOR nwi r/BIdr DESCRIPTION of WORK Blockwall AP No. 141-633-55 LOT TRACT FIRE ZONE VALUES 800.00 II CTIONS Signature Dore TYPE III GROUP J ZONE R-1 s0 .. SUBCONTRACTOR PF,RMITS ISSUED GAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE [J HOUSE CON. ❑ SPRINKLING SYSTEM YMISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING / Heatin• and Vent. TRENCHES { FORMS ❑ STEEL REINF. ®-- /eknrar---,..2• FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT ST^"^T URAL, FINAL Electric HI G, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL ��`` � BUILDING, FINAL R\L N-p'2g at PAIL 41498 APR -1-76c,-4r•OO 008* *****8.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ...PP i C• ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely - Use Ink Only f BUILDING /� RECI , • :V DATE RECEIVED ADDRESS - 0/ CGenf k ptiQ' j , OWNER ALX4an B. .6 f R k(E A.P. NO.14 -633— PERMIT Nor. MAIL // ADID NG RI ESS Zink AA G • - 1✓ ADDRESS Ja0I inc Co2mtit k Lq,vRI //yy TEL. CITY COSTN /lAE,S/1 NO. 757 cc 70 TRAC 3 LOAD BLOCK CONSTRUCTION NEW App ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH OWNER I. cri Alp L • KC_ ADDRESS /v� �,/�,,t,I VALUE I� :� ARCHITECT TEL. S / c3LAs WALL $ Tee OR ENGINEER NO. FIRE ADDRESS pn CI /� ZONE TYPE ICCEGROUP Gw1iJ Q 8vl ICI 6lri BYPRO CONTRACTOR BY i DATE4- �'?‘ ADDRESS TEZO���cF NO.OF USE OF NEV.'� CITY NO. 1 \1 PLANS . BUILDING N ' 3i. • LA_ I- 4 STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 14 SIZE NO.OF BLDG (FROM C/L STREET) 0. OF LOT NOW ON LOT FRONT FT. FT. V1 USE OF PI o-�.� EXISTING BLDG. R.S�jpE_ FT. • 1 FT, ICA• rA FSeparate permits are required for L.SIDE FT. © 1-T. electric,plumbing and heating work. Act C REAR /'Cb FT. 1,FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& MAIN BLOCS. ACCESS BLOCS. d � //� /VDATE a (( (7 co K VAR.C.U.P.sW APPROVED > 4G [� / APPROVEp��n�'�-{{�'����!__ ` �/t� I 1/40 �6Y 1./Wt�/V DATE 1-L 1(0 td I C.3 I hereby acknowledge that I have read this application and state m C that the above information Is correct end agree to comply with m Ow all laws regulating building construction, and I shell not employ i' z any person in violation of the workman's compensation laws of a 1WA the State of California. m 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. end that such licenses are In full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMITONLY: w- arn am exempt from the provisions of the State of California Business VALUATION PERMIT FEE S JC�J a end Professions Code,Division 3,Chapter 9. M to ( / /t 8 attic,/ 1$� PLAN CHECK $ m Signature of 'Yl.�. ✓. 'l-Cly/\ /N-( /��,�t/"ir/•�O-/ T�1 0 Permittee S ITC) TAX $ LL f U Authorized Agent TOTAL PAID S of. O aGGG]]] UWNtK BLAKL, Richard DAIt 3-31-77 JOB ADDRESS 1201 McCormack Lane BUILDING PERMIT NO. 43746 GENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Legalize Patio Cover AP?',o. 141-633-55 LOT 105 TRACT 4356 FIRE ZONE VALUES 300.00 Ih'"-;'�: TIONS Signature Date TYPE y GROUP I ZONE R-1 Soil SUBCONTRACTOR PEIMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING ROP. SWR. LINE Q HOUSE CON. Li RINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE n UNDERGROUND C7 POWER 0 ,`` ROUGH WIRING Heating and Vent. . . \w TRENCHES Li FORMS Li STEEL REINF. n FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING' Fl LATHING — IN 1 1 OUT n PLASTER, BROWN COAT ST" ...URAL, FINAL FleFtrie HI .G. VENT.. REFRIG. AND A.C.. FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL ^t,� '/ BUILDING, FINAL 4 �+77 GPF[IAI RFOIIIRFMFNTS 43746 , ;, 31-77-;,i.nO179; •' ;-.•*..,10.5C 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 RECE DATE RECEIVED 7ag.T ISSFUEEDs�/ BUILDINGDDRJ fi I le `02m AC „Lave I -...1/-7/ ADDRESS .[ unt, s..� PERMIT NO. OWNER et L Kna K1a kr A.P. N . P-43,3---3_5 MAIL 11 M /V BUILDING ADDRESS ! Zo I Mt /'Oamack�•�►latP ADDRESS/ago/ M -prina�a Li CITY 04 " •/YJC.3C� NOL. 517. j2 TRAC1/ 3 LOT/ 64. BLOCK CONSTRUCTION „, `NE'W ADD ALTER REPAIR MOVING DFMOLISH LENDER y –/ ADDRESS O/W NNEResteja'r�/I ,'e'a 3/el rt/yE,e�,(_/J �, ARCHITECT .� TEL. ft...., �JJe cram t eval s a,"6i ENGINEER ADRESS NO. ZONE 1 T P GROUP Si ADDRESS � � ��� APPROVED CONTRACTOR if d /•/ , 8V DATE ADDRESS Zs' NO.OF USE OF E I!„? r TEL. PLANS BUILDING CITY NO. A _ F' YARDS APPROVED VA' s• /"'•VII STATE CITY LIC. NO. LIC.NO. MAIN BUILDING///---ttt ACC'$SORV BUILDING W SIZE INO.OF BLDGS 4 (FROM C/L RET OF LOT NOW ON LOT FRONT cd7FT. FT. Q USE OF /JII/ it EXISTING BLDG. R.SIDE /� G-T FT, c/) FSeparate permits are required for L.SIDE T. FT. electric,plumbing and heating work.Ci REAR /4) /./' FT. W USE OF BUILDING AND WORK TO BE PERFORMED rT rfrs DISTANCE BET. BET.MAIN& MAIN BLDGS. ACCESS. SL OGS. .J go Ti O� a? s VARCUP. DATE APPROVED xt > e‘/ Liza ) APPROVEnrP6-- .3/ _ f 7—A a w o I hereby acknowledge that I have read this application and state ,t 'n C4 that the above Information Is correct and agree to comply with FILL co O. all lows regulating building construction, and I shall not employ ,•IR r iif+++ m Z any person in violation of the workman's compensation laws of 'ot�v 222W”' the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. oa 0p N tho State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALU TION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOGE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from the provisions of the State of alifornla Business e VALUATION PERMIT FEE $ and Professions Code,DWI on 3 Chapter 9. m X ,- PLAN CHECK $ — c Signature of LL Permittee ,� • $ gee) TAX $ 50 f U Authorized Agent TOTAL PAID $/OJ 5o