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HomeMy WebLinkAbout1150 MISSION DR - Building Permits • t , t PF CITY OF COSTA MESA a BUILDING DIVISION F• „, ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4 rirea • PERMIT irbeft, �. PO4-00068 Rump (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1150 MISSION DR Status: ISSUED Suite No Applied: 02/02/2004 Issued: 02/02/2004 Vicinity: Parcel Nunmber: 14136229 ISSUED BY: _ifiz=„2_ Applicant: NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 Owner: NAVARRO, NESTOR C JR Address 1150 MISSION DR Phone: 714-641-1631 COSTA MESA,CA Zip: 92626 Contractor: NOCK PLUMBING �.('1 Address: 11612 KNOTT ST , SUITE 217 Phone: (714)895-1246 4 l� GARDEN GROVE,CA Zip: 92841 1�Y , �r License: 707775 40153 Arch / Eng: Address: Phone: • Zip: License: SCOPE OF PERMIT WATER HEATER CHANGE OUT. FEE SUMMARY AMT QTY AMT QTY AMT QTY i ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 - 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 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(6/00) , DECLARATIONS 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 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 carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit Is valued at one hu ed dollars($100)or less.) O I certify that in the performance of work or hich this pe - is i ued,I shall not employ any person in any manner so a to become subject to the workers' compensation laws of California, ogre th If I should o subject to the workers'compensation provisions of Sectisssyyyppphhh 3700 the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: � I Date: (' WARNING FAILURE TO SECURE WORKEIS'COM SATI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES D CIVI FINES UP TO ONE HUNDRED THOUSAND DOU.ARE(5106,000),IN ADDIT ON 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 provi, • s o hitter 9(co m= cing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.# / Class 8 Contractor's 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). 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 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.). • O 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: 9 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 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? 0 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 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? ❑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 aQlermit 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 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? 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 ❑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: n CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF •-Y: I certify under penalty of perjury that I have read this application and slate that the information given is correct.I agree to comply with all state laws and city ordin= cos relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for insppecn puu •• -•..I agree t to occupy or allow occupancy of any building authorized by this permit until final inspection. • sial uirr / Dal_ • d/Or A. h•" f'Appli :nt Date CODE# INSPECTIONTYPE g!!IE IfITRIAL4 CODE# INSPECTION TYPE I22IE INIIDILS • 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 ADDRESS OFBUILINNO: 1150 MISSION DR UNIT' CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN: NAVARRO, NESTOR C JR PERM NO: B 075077 ADDRESS: 1150 MISSION DR COSTA MESA,CA 92626 PERMIT NO: B 075077 PLAN CHECK NO: N GOVT: N SUPP: N r 641-1631 APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHRECT ORENaNEER: UC.NO.: JOB DESCRIPTION ; REMOVE SHAKES RESHEATH & REROOF W/COMP. SQ FT: 8, 800 ARCH.OR ENG.'S ADDRESS: UNIT: CLAIM VALUE: 8, 800 . 00 CALL—VALUE: 8, 800 . 00 GROUP OCC: R-3 /M-1 CONTRACTORSHAME: SENTRY ROOFING CO (714 ) 751-7663 CONTRACTORSBARIO 3364 NEVADA COMMENTS - SMOKE DETECTORS REQUIRED PER 91UBC ADDRESS: COSTA MESA CA Lima: 678801 +F#)t-IF,H*9FiEiflFl(-IL-yFlE3FIElElfrt***SE3f***if iF3f3f3t-9L-3E3F{FlFIElFiFih+EdEyE3F*lf3E3flfiM13E3Fifif3flflflfiElt3CdE!(-3E3Eyf3flE3f3({t-****** 92626 ufT: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and eyed. EPARKc IC.NO.: 060429 UC.CLASS: C-39 MC.NO.: 678801 Contractor EXP: 10/96 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN at°' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 0 ER BUILDER DECLARATION:I hereby affirm under penaky of perjury Mail em exempt from the Contractors License Law for me lowing reason ISedion 703ts Business and Professions Code:Any city or aunty which requires a pennf m construct,after,improv, ING REQ: PROV: PARCEL: 14156229 Z N E: REF NO; demolish,or repair any structure,prior 10 its issuance,also requires the applicant for such permit to file a signed statement that he or she . n licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> .. ;usiness and Professions Coda]or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permtsubjeds the applicant lo a civil penalty of not more thanfive hundred dollars M.5001). **************.***. **********************.N.******************************.lE******* ❑ I.asowner ofthe propertyormyemployees with wages astheir sole compensation.will do the work.and the etrudureInesintended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7060.Business and Professions Code:The Contractors License Law does not apply to en owners property who buids or improves thereon,end who does such work himself or hersel 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 ZONING APPROVED 'BY DATE: ` owner'b uioa MB have the burden of proving he or she did not build or improve(or the purpose of sale). ❑ I,as owner of the property,ern exdusiveN antrading with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contradprs License Law does not apply IG an owner of property who builds or improves thereon end who BUILDING APPROVED BY : DATE: contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.&P.C.,for this mason: APPLICATION ISSUED B Y: #���` DATE: Date: Owner: *********************************** ******************************* * 1F I do hereby certify that I eaware d end understand the requirements of California Health and Safety Cade Sections 25505.Pcvn3,andEGALIZATION: N F E E SUMMARY STRUCTURAL SEGM N T: Y m 25534,end that I or any future building occupant will/wtl nd(circle one)need to comply wih said state codes cad the requirements for a permit or modification horn the Air yisC�.anagemenl District.Resdent®I construction epplmomare exempt lam Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 108 . 00 . 88 Dale: Applicant: S M I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the following declarations: PLAN ) O I have and will maintain a certificated consent to self-insure workers'compensation,as provided for by Section 3700 of the Labs ISSUE FEE Code,for the perfoma ewuawwkmrwichthmwmheisued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 0 I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance d the TOTALS > 10 8 . 8 8 0 , 0 0 0 . 0 0 10 8 . 8 8' 10 8 . 8 8 00 work for which this permit Is issued.My workers'compensation insurance wrier and policy number are: Carver: REVENUE DIVISION TOTALS--> COLLECTED : 108 . 88 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK E�hIis section need not be completed t the permit is for one hundred dollars(5100)or less.) 108 . 00 / . 88 W 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 n become subject to the workers'compensation laws of Calfania. and agree that i I should become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. IND IV ID UAL F E E B R E A,K"-D O W N • Applicant: mines:Failure Neacunrorkers compensation coverapaUwlewM,and Shad subject an employer penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5100000),In addition to the cwt of compensation damages as provided for In Section 3706 of the Labor Code,Interest,and attorney's/as. SFR 8800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8 , 800 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this perms is issued(Section 3097,Civ.C). s'r LENDER'S NAME; ' LENDER'S ADDRESS: ,' I certify that I have read this application and state that the above information is coned.I agree to comply with all city and county ordinances and state laws misting to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection CL iC:P39u - U1439 3 Tri' LARRY SWORD r '?yTEa 1.LTh+r.° T10E: flap"t Print Name Date: • Signature downer/ApanVApP9can nbedor , (5151.46.W P) White-8049g B Safely;Green-File;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING i POOL ,PA {, Date Inspector - Date Inspector 'cit R0VALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3• Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement' 56. Rough Plumbing & Pressure Test - 6. Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE ' 7. Footings . . • 58. Electrical Conduit-Undrgrnd. 8. Foundation - - 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. -. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line.& House'Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65, Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sian 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - _ APPROVALS-, Permit # 21. Ducts,in Structure' - 70. Underground Hydro 22. Ducts, Ventilating :, 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test ., 72. Underground Flush -" ` 24. Roof Framing 73, Undergrnd.Storage Tank-:0 Gas 0 Oil 25. Roof Sheathing L l G`�1-1 ?eS' eG,/4 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Mdnocoat . -.+ 75. Dry Chemical • 27. Frame and Flashing - ' : 76. Dry Standpipe ', • 28. Lathing& Siding , - . - - • 77. FIXED SY;STEM:FINAL . 29. Insulation78. FIRE PREY. FINAL _ 30. Drywall Nailing -. :-HEALTEI'DEPT. REQUIREMENT 31. Plaster Brown Coat - -• 79, FINAL INSPECTION J- 32• Electrical Power Meter-Final 80: FOOD CERTIFICATE ISSUED i 33. Final Electric. 1 Notes: -" - '34. Final Heating& Air Conditioning . 35. Final Gas Pipe-Test • - . .- • 36. Hood or Canopy - - _ • - 37. Final Factory Fireplace r. • , . 38. Final Plumbing - 39. Water Service-Final 40, Gas Service-Final Si111 / ' � 41. Solar Domestic-Final _ //._SP- �.- C !/ 42. Backflow Preventer • - 2. 43. Backflow Irrigation "^ , - . • 44, Landscape Irrigation System , ': . . 45, Sound Attenuation 46, Handicap Regulations , 47. FINAL STRUCTURE & BUILDING //,../6.15-6.64.4/ ( t to v//6- - 48, FINAL PLANNING s/�/,� . i. 49, Electric Release to Edison 50, Gas Release to Southern California Gas Co _, • 51, CERTIFICATE OF OCCUPANCY ' No._ Date 1 lr Ci OWNER SASAKI, JUDITH L. DATE 5-20-77 JOB ADDRESS 1150 Mission Drive BUILDING PERMIT NO. 440'8 r 'ERAL CONTRACTOR Owner-guilder DESCRIPTION of WORK Interior Alterations k .40.141-562-29 LOT 29 TRACT 4204 FIRE ZONE VALUES 200.00 INSPECTIONS Signature Date TYPE V GROUP I ZONE R-1 salt SUBCONTRACTOR PERMITS ISSUED GAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER MI ROUGH WIRING Heating and Vent. . TRENCHES 0 FORMS U STEEL REINF. n FLOOR SYSTEM • BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING ' •THING — IN n OUT n STER, BROWN COAT ai RUCTURAL, FINAL Fler ric y HEATING. VENT.. REFRIG. AND A.C.. FINAL 4t" e.A.0 Fj f0..77 J/A(S3/ PLUMBING. FINAL AND GAS TEST n ELECTRIC. FINALC . /)Q� L Lei/ BUILDING. FINAL m0-7-/i..77 440 I 8 MAY 20-77PAID 987* *****5.50• COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / AP•LI►.- ' ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only RE i -)•_ DATE RECEIVED D EIS_SUED BUILDING Ln!1'7 rl ADDRESS IISD II ISS ION DR �v 1 c / PERMIT NO. OWNER 3Wf) ITH ,... Stic AnI A.P.NO./U/ St_O./� MAIL BUILDING MP' ADDRESS II50 Ni I$StON n ADDRESS /�� ////CC//On ,I/ r TEL. TRAC.//PoC Lo ).9 BLOCK CITY 0.OSTF3 hi ESA NO. SI/6-7$4l 7 _ CONSTRUCTION NEW ADD ALTER REPAIR MOVING - DFMOLISH LENDER • BRANCH L. C��pp A OWNEe*k Jn`,f f ADDRESS VALUE .J/wJ/}-ur �ORCNITECT NEL. USE .40 WQ Cir $ OR ENGINEER NO. FIRE ADDRESS ZONE {/�'yPE GROUP T APPROVED �7 CONTRACTOR 0 C-4-' kJ (L 711u11-0 1EL BY L_- DATE? / ADDRESS ZONE/ INA.OF/FUSE OF NEW 1 TEL. PLANS BUILDING CITY NO. —�5+ STATE CITY YARDS APPROVED YARDS APPROVED 5 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING [r] SIZE NO.OF BLOCS. (FROM C/L STREET) 4 OF LOT - NOW ON LOT FRONT FT. /IF T. USE OF Qom' y EXISTING BLDG. _R.SIDE !`FSeparate permits are required for L,sll jj1rt i. //(/ electric,plumbing and heating work. REAR FT./ W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN Er Q MAIN BLOCS. ACCESS. BLDGS. a VAR.#s DATE Q iV+�-�+t /�{{,E MDvv��.As t- o F k AH r WALL C.U.P.# //�� APPROVED �/� �7 D. / /kr SAV ROVEp./ tj DATE C/Y-}1 (7 tY Ilj/l///"��l�//++ W 0 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 Q. 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. 1.61 3 I hereby certify that I am properly licensed as a contractor under SD. 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 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 $ v and Professions Co ,Division G Chap or 9. .� n '/a/2-ti...", /� . - �/ PLAN CHECK o Signature of w Q $ s� LL Permittee TA% $ f U Author) Agent TOTAL PAID S i' l JOB ADDRESS 1150 Mission Drive BUILDING PERMIT NO. 42279 GENERAL CONTRACTOR Blue Ribbon Bldrs. DESCRIPTION of WORK Add 3 Bedrms.&Bath o/garage kV 'o.141-562-29 LOT TRACT FIRE ZONE VALUE E 13,500.00 II cCTIONS Signature Date TYPE V GROUP I ZONE R-1 9501E SUBCONTRACTOR PERMITS ISSQED GAs Date Number I Signature WATER PIY bing ROUGH PLUMBING 12•d 41-% Q & 7./6-76 698517/ PROP. SWR. LINE nHOUSE CON. El �1 SPRINKLING SYSTEM J `' MISCELLANEOUS cltAye o l �2. - ..177C., ROUGH HEATING AND AIR CONDITIONING I1.e R•17.-; 1. . TEMPORARY SERVICE OR POLE UNDERGROUND El POWER ❑ �.•�, ROUGH WIRING [�q:'SSC• c—te- �',eNeatng a d Vent. TRENCHES FORMS f1 STEEL REINF. ❑ //L-2 1,1,3%7C: i'""" � ^(��/_ 7-f •7�i /a7a3 ---- FLOOR SYSTEM °_Ec' ea BOND BEAM n STEEL REINFORCE f 7� SHEATHING de\L C-`-,v FRAME AND FLASHING�•�p4. i .�j('� icG LATHING — IN V r OUT 5 �' t PLASTER. BROWN COAT 7r 0 f, i 0 • ^ • - CTURAL, FINAL T /� �nEip/ laic . .iING, VENT., REFRIG. AND A.C., FINAL 2• 2-24477-450-a ' 24477-45 � 1-44.-j .o 7-�LX I{e9,jc' PLUMBING, F INAL AND GAS TEST n FGA 2 '2V-7` 6 I---"""YYY---""" ELECTRIC, FINAL �• ,C. ..8•17 BUILDING, FINAL rt ✓ 3.3.77 SPECIAL REOUIREMENTS 42279 ICI 1PAIL: • 4 76c.-.001513 + ** *31:.55 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely P C ION FOR BUILDING PERMIT BUILDING j RE +V PI `y D/{r=E ji6CEy/jtb' PATE I SyED.S, ADDRESS 1 I50 m155I OH DV- - A) !V •� /)J7/ /Jj/o_ i /I/ ✓7 /' it I T , e /.' OWNER .JOD SASS, A.P.NO. - J'��-_-.e.,/ . I AMAIL DDRESS S.zs BUILDING T/ // , 1. _ ADDRESS Z — p O. U CITY 7.: 7 c , NOLs -is/ TRACT¢2O4 LOT 2'3 BLOCK ZQ CONSTRUCTIONLENDERh77�p � NEW I ADDIALTE- I REPAIR (MOVING DFMOLLSH LEND /L0 ,, OXX 1 d m BRANCH ` I/ OWNER 62�j/-�i� I• J ADDRESS AO 0 .�,/ VALUE CO• ARCHITECT C� ,,-,nn TEL. S s S J Q OR ENGINEERY`� NO O N FIRE WQ ZONE TY GRO UP ADDRESS Z '"12-5' / �� 0_Ly APPROVED W Z CONTRACTOR) 2 .LCI /��// �'"12-5' BV G DATE :JCC ADDRESS//35� /c . d 1-6 ,,[[�� Q IL TELoNO.OF USE OF N /r' /'/z{,t Z H CITY aCeS, Hae- No.fl7-7q// Z E I PLANS_ BUILD((/I i /. //.,% / O STATE CITV / YARDS APPROVED YARDS A-'ROV ,ri 11.1 to CC LIC. NO. 23ZryZ/ & LIC.NO. SOS MAIN BUILDING ACCESSORY BUILDING DO (FROM C/LS EE r SIZE NO.OF BLOCS. ,��q/ ',/1/�� OF LOT NOW ON LOT / FRONT /)///JJI FT. fit �- USE OF Id EXISTING BLDG. S�,e,�- 4 r _a SIDE ! C FT". r( _ FT. F- SIZE OF NO.OF Z NEW BLDG. ,--1 ROOMS J C//STORIES Z L.SIDE G(n)t�f/ FT. — V COVERIOR ERIING AL�7z' "� A,nFit #S,//d/4.7 REAR l FT. .1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O.1 MAIN SLOGS. ACCESS, BLOCS. OADA 3 CEJ/ e 'mf /847M- O'tC C U.P.* ����/9P�) l APPROVED //,�// Z /ST `�IS2Ul/,� APPROVED /V"llh/'� f.�/7 / �Y L// DATE / 0 UI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I- any person In violation of the workman's compensation laws of In the State of California. �'/]�...5 m ZI hereby certify that I am properly licensed as a contractor under `� /� SQ. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Z Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R am exempt from the.provisions of the Staty.af California Business VALUATION anProfessitlns C e, ivisi�, Chap es9. � ' co ,(/ PERMIT FEE $ i/ / j Signature of �/ ' �/ (' ,i�.r, 3m Permittee $J vim A, $ 75 537) PLAN C)�K $ E e .25 �/(/(/ /t'Ar.trr' Authorized Agent l o u. 111. TOTAL FEE $ 5 y,9S f._. ��. yeQa '7q illi 16-76c• s?OO1652 z.4****68.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP I FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RECE DATE RECEIVED NNE BUILDING {�I.�� ADDRESS //CO /�rt44-L,Q}J AP . PERMIT NO. OWNER I , • A.P. NO. MAIL AcD .4/fr(�,/_ s�4ry ADDRESS ADDDDRREESS „ '�r �� TEL. TRACT LOT BLOCK CITY NO. CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER BRANCH / . OWNER , ADDRESS / I VALUE ARCHITECT TEL. USE L .0 /r - iB !L�% $ OR ENGINEER NO FIRE Ire ADDRESS ZONE TYPE I ROUP T APPROVED CONTRACTOR / /_1Io{yi e.^ n- • BY DATE ADDRESS TEL. ZONE INO.OF USE OF NEW CITY NO. PLANS BUILDING q F , STATE CITY /3/r . YARDS APPROVED YARDS APPROVED 5 LIC. NO. LIC.NO (/ MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STREET) 0. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF O., EXISTING BLDG. g,SIDE FT, FT. h 9 Separate permits are required for L.SIDE FT. FT. F. 6.L4 electric,plumbing and heating work. REAR FT. FT. F. USE OF BUILDING AND WORK TO BE PERFORMED • DISTANCE BET. BET.MAIN& GMAIN BLDGS. ACCESS.BLOCS. // // VAR. DATE n `//T+A`Y 6S/_. `' C.U.P.# APPROVED a 7 APPROVED > BATE ..1 a. W _ _____ 0 I hereby acknowledge that I have read this application and state '— n N C that the above information is correct and agree to comply with co 0.. all laws regulating building construction, and I shall not employ i i Z any person in violation of the workman's compensation laws of v W the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. a 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 •- am exempt from the provisions of the State of California Business /_ V Cb `p VALUATION PERMIT FEE $ (Oa and Professions Code, Division 3,Chapter 9. n Signature of 'LAN CHECK $ co 0 Permittee $ TAX $ u. asoof U Authorized Agent • TOTAL PAID $ ,I ir F C��IVED r :ti i„Jan 6© Lot 29, ty 4, at Elcii t961. COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT . - BUILDING BUILDING ADDRESS 1150 Mi$5ion Drive COSTA MESA. CALIFORNIA For Office Use Only^ I RECEIPT NO. I _PERMII.OIZU OWNER MP SO Dpi Mar DPVPI OPm nt.. el, MAIL RECEI BY DA RECEIVE DATE ISSUED ADDRESS 3800 E. Coast Highway _ /S/_'/ I SEP (1 1 61 CITY Corona del Mar, Calif. No:OR 34220 A :If AR MT OR .i EER Macco Coroorationiao.OR 3h220 COSTA MESA. CALIFORNIA ADDRESS 3800 E. Coast Highway FIRE // y(� 9/�(� ZONE TYPE ✓ GROUP") i///J/I' CONTRACTOR MaCCo Corporation APPROVED BY DATE ADDRESS 3800 E. Coast Highway ZONING ZON NO.OF UBE OP NEW (,t. it CITY Corona dal Mar, Cali forni a -1 ( PLANS Z. I BUILDING h7 1n, C LIC. STAT98808—SB-1 NE O.OR 34220 LDESCRIPTION rJ2_ ti2_D '-. l�0T)-9 SIZE NO. OF BLOCS. . OF LOT 620)1 S F NOW ON LOT nOne A.p.NO. USE OF YARDS EVES EXISTING BLDG. none APPROVED ALLOWED BETBACR LINe FROM (CENTER LINE ST.) CENTER OF STREET 50)611 REAR YARD 261 FRONT _re)_re) Ft IN. I SIDE YARD I LEFT 6 l RIGHT 71 R.SIDE 6FT. -- IN. DESCRIPTION OF WORK L.SIDE 36 FT. N. NE IndALTERATION I II ADDITION I REAR aFT. /0 IN./ REPAIR I I MOVING I II DEMOLISH I BYPROVED L (/ /If DATE 9// / SWING DING 491X501611 ROOMS 6 STORIES 1 'L EXTERIOR WALL ... ROOF COVERING stucco COVERING comp. USE OF BUILDING AND WORK TO BE PERFORMED Living area 1281 S F Single family residence Garage area 446 S F w/attached garage Covered Porch etc. 38 S F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF - S.: DeV Development Co. PERMIT FEE $ 3 y PERMITTEF 1 - DPI .. M N $14)246.00 PLAN CHECK $ /7- ' AUTHORIZED A,yi' I_.� So- TOTAL FEE - 9 rl D 2