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HomeMy WebLinkAbout2031 NATIONAL AVE - Building Permits _l W9 CITY OF COSTA MESA • I 4 J , BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER jJ i PERMIT 411 "Ry„ro 114. B04-00906 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2031 NATIONAL AV Status: ISSUED Suite: Applied: 05/17/2004 Vicinity: ROOF Issued: 05/17/2004 Parcel Number: 42249435 Zoning: Applicant: RAFAEL LEMUS ISSUED BY: Address: 2016 WALLACE AV UNIT B Phone: 949-642-7057 COSTA MESA,CA Zip: 92627 Owner LYERLA, DENNIS E Address 2031 NATIONAL AVE Phone: COSTA MESA,CA Zip: 92627 Contractor: LEMUS ROOFING Address: 2016 WALLACE AV UNIT B Phone: 949-642-7057 COSTA MESA,CA Zip: 92627 License: 826813 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30 YEAR COMPOSITION SHINGLES, 15#.FELT,AND REPAIR/REPLACE SHEATHING AS NEEDED.20 SQUARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 . _ - . - . - - • .Calc Valuation: $3,000.00 Permit: $83.25 Claim Valuation: $3,000.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: • $0.00 Inspection: $0.00 - Total: $83.75 • PLANNING'S,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 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-I WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation�.N•surance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'comperjsation I s ran wit::W' •• y number are: Cartier: et, I Policy Number: (This section need not be complet i the permit is valued at one hundred dollars($100)or less.) it( I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If l should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provis'i�/o��,/�A-,�////J Applicant Signature: A ""'"/ "'""1 L. Date: 5- 17-- ©y WARNING:FAILURE TO SECURE WORKERS'COMPENSATI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license¢d 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.# gD 26 R Class# L— Sc[ fy IC Contractor's Signature: `.,1 ...... 4 P di _ . Date: s —/1-—0 H 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 end 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. ❑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,Califomia 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 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? 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes 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 Califomia Health and Safety Code Section 42303 been made? ❑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 purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sind Signature Of Legal Owner(s) Date So L. S—/7— oY And/Or Authorized Applicant Date CODE E INSPECTIONTYPL DATE INTrn CODE. INSPECTION TYPE pa INTIAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 6--Z0'69 et _ 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 • OWNER POISON DATE 10/28/63 JOB ADDRESS 2031 National Ave. BUILDING PERMIT NO. 20911 S GENERAL CONTRACTOR Thos. Muntean Ltd. VALUE $ 1,210.00 t AP No.115-514-14 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKAdd Gar. tt ..es INSPECTIONS Signature DATE GROUP J TYPE V ZONE R1 P Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER `� Water Rough Corn. Rettig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. ❑, Sprinkling System Construction Pole Underground 0 Power t] Rough Wiring r/ �y Arinv ,/-'3-63 -7/334--- Trenches 3.5Trenches R. Forms f$ Steel Reinf. ❑ Floor System _ Bond Beam ❑ Steel Reinforce 0 Sheathing /N/%b Q_ / — Q • Frame and Flashing -.<41, fl Lathing— In ❑ Out '7 / / Plaster, brown coat p� /l,6 - Refrig. 0 Air Con. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final (3-G-C3 Building, Final b7'7.7 /J_-6-Ca I . OCCUPANCY . Form BU4—SM-3-63—S-n P 20911 20911 FEE RECEIVED OCT 2 8 ;1963 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA,CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING y. For Office Use Only ADDRESS .z O 3/ /(i/t//r//t/n/ her ' /9 RECEIPT NO. ic. 9>/ COSTA MESA, CALIFORNIA ((-/////�/ mg_ �v/J / /� RECE ED BY 9227! PIC : 3 &AT5 9.9,4 4') OWNER (/p/I_ t O GcU/" /923..t€177;3 /U OC Off/ '/P / MAIL /JC BUILDING ADDRESS �° 31 2" ��/ if/LAi ADDRESS I/ CITY / NO. ZONE TY/P�E 1 GROUP,(/�/,/A(1,,v�¢ ARCHITECTI vr,/_''�In,' yI/TEL. I / APPROVED ^Y DATE/ /{�''6' ()J OR ENGINEER 4. rr p/O/�5�,C�}AT A/✓ NO.>(/��Ir°3� BY ADDRESS 733 / 0 rz-p�' ir",4- P '''') NNIIN�G ajtk�� /I CONTRACTOR 7i o y. any N 71-/7A lip, O�`I I PLANS r BUILD NO / SE OF EW12 m A '7, p C7t L...1 /+ DESCR t—bT P 13 I'7 ?.2— ADDRESS 3 o • �7 I� DESCRIPTION ` ,y/ J CITY G. /LJ ([�/`l- A.P.NO. 1/'� ^ J l ')/ �/ STATE ! TEL. /�qJ,�/J SONOTTO SIDE 6 REAR P.L OVERHANGE: NO EAVE SHALL BE LESS THAN LIC.NO. (149 L//3'G NO. Air 6)YJ��/ EAVES SIZE NO.OP OF LOT C7 y /42- I NOW ON LOTS/ ALLOWEDYARDS APPROVED (U YARDS APPROVED NTJ USE OF / MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. rif.../Yer /�Q (FROM C[/ REET,4_ SETBACK LINE PROM /Y/ REAR YARD %/ ' FRQNT J�FT. _� CENTER L STREET 34-3 J J L,FTj_, /���� i r R.SIDE Olio FT. SIDE YARD I LEFT c- I RIGHT S DESCRIPTION OF WORK _/ L.SIDE ],SFT. FT. NEW _ ALTERATION ADDITION JL I REAR "WJ F4!'.Y/ IA Fr. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING L NO.OF / VAR.# DATE SIZE .21 (/✓ O ROOMS STORIES /Jy� C.U.P.,?,F e�/ APPROVED j� P //y^/ EXTERIOR WALLP/ . .] . COVERINGVCOPIPO`O 4YPRQy�Yi DATE I (/ �� _V \ COVERING Y ��/ WW,vN/ SSSS// fireLDi N�G AND WOpIVTO BE PERFORMED N SO.FT. V 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 FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m BUILDING CONSTRUCTION. ,""�/ --// PERMIT FEE 5 _ SIGNATURE OF �y/A /�� Y PERMITTEE / �L�y�-+ t/ i°° /�6 U Z ((( PLAN CHECK $ / c AUTHORIZED AGENT 'j �O I` . TOTAL FEE 5 / aJ/ " OWNER SENENO, HARRY A. DATE 2_7_78 JOB ADDRESS 2031 National Avenue BUILDING PERMIT NO. 45468 CONTRACTOR Owner-Builder DESCRIPTION of WORK Encl. carport to Enlarge Bern pom AP No.115-514-14 LOT TRACT FIRE ZONE VALUE $l,500,00 INSPECTIONS Signature Date TYPE V GROUP ZONE R-1 $GENERAL SOIL PEf2MITS ISS4ED `GAS SUBCONTRACTOR I Signature WATER Plumbing Dote I Number - ROUGH PLUMBING ROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM _ y MISCELLANEOUS � n [\ N '�1 V II I ROUGH HEATING AND AIR CONDITIONING . /t 1.1 IN h\\ I I( {i (I TEMPORARY SERVICE OR POLE Il _\ If \\� I /J U _-, � , `� UNDERGROUND 0 POWER ) \I KLI. -' ROUGH WIRING �I .�- j•sy-,� Heatin• and Vent. a TRENCHES U FORMS STEEL REINF. ' j_ - 72 •' Sr' FLOOR SYSTEM C h - BOND BEAM Il STEEL REINFORCE n DATE- St SHEATHING FRAME AND FLASHING _- _ LATHING -. IN rr OUT 7- _ r PLASTER. BROWN COAT X ._•/LAl /.3..,r STRUCTURAL. FINAL ��' /// lectri HEATING. VENT., REFRIG. AND A.C^., FINAL /yQ�Jy,� , ,-2-7-91.92 PLUMBING. FINAL AND GAS TEST l l I/A "� ELECTRIC. FINAL l BUILDING, FINAL , SPECIAL REOUIREMENTS _ 41TII ITV unTIFIFn GAS n ELECT. ri 45468 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR-STRUCTURA'LEPERMIT 230OO TL For Applicant to Fill in Completely —Use Ink Only (�I / j RECEI V DATE RECEIVED DATE�jISSU pII/ ADDRESS A O3/ X eitod l /o Q 'L_7—lr uu fja Nr 1 4 ^e k' ' /6— / PERMIT NO. OWNER J`, A.P. Ns. MAIL � // ,,,,,//,, BUILDING .] ADDRESS/ 2 m3/ /l/�T/ rs° ma/ ,4Ue / ry� ADDRESS O�( a�r.o hd.I 4-'0r-� CITY 65 1A /le S 7 NOL47S-/ /T/ TRACT/77, , I.a/S BLOCK CONSTRUCTION jig �/ NEW ADD ALTER AFFAIR MOVING DEMOLISH LENDER {' BRANCH L n �J OWNER /Iv NW A GMeyln ADDRESS //���� ��. - e4 �s� VALUE ARCHITECT A/ TEL. USE EA) ICry\ $ OR ENGINEER (1/ 4 NO. FIRE ADDRESS Q.0 ZONE TYPE GROUP/ / APPROVED ))) f CONTRACTOR(rpr�u i in,-e is 0j lap, ,.. BY / DATEUj 'I 77 ADDRESS t% TEL. ZONE /( INO.OF USE ON NE � CITY NO. /K` PLANS02_ BUILDING 1 STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUIL ING // ACCESSORY BUILDING SIZE NO.OF BLDGS. LLLI L NT a(FROM C/LST ET) r�}Lk, !i7//j, OF LOT NOW ON LOT FROG G FT. Q USE OF 4 EXISTING BLDG. H®i e R SIDE CI FT. Frn (//1 Separate permits are required for L.SIDE x FT. ` FT. C electric,plumbing and heating work. REAR ✓ FT. FT. 14 � I-0 $ F BUILDING A OR WORK TO BE PERFORMED F / DISTANCE BET. BET.MAIN& Q ,�. /Op-6 e_ i VI _a P. per:' 7 MAIN BLOCS. ACCESS.BLOCS. / VAR.# DATE "') �Ai /.--2#7,,, 8 P oiriei m C.U.P.0 APPROVED .} (frAK/ .1 //1 AJ 111 42i?�L l0/7 //f�i� 110V 5D / �/� w -?/Y X -to4 /!/' etc/C" 1 /G ( l Q I hereby acknowledge that I have read this application and state Lo (Y. that the above information is correct and agree to comply with CLI all laws regulating building construction, and I shall not employ e, Z any person In violation of the workmen's compensation laws of 2 WZ" the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. 9v 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: vz am exempt from the provisions of the State of California Business VALUATION PERMIT FEEv and Professions Code, Division 3,Chapter 9. $ / ,0 0 n m 00' PLAN CHECK $ f', Permittee Signatureof $ / 50 0� TAX $ �5 O IL �� U Authorized Aga ( TOTAL PAID as.00 UWNtN POLSON, BUD DATE 10-17-6g JOB ADDRESS 20_31 National Avenue BUILDING PERMIT NO. 31005 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Patio Cover v AP No. 115-5111.-14 LOT 213 TRACT 1712 FIRE ZONE VALUE $ 250.00 lA INSPECTIONS Signature Date GROUP J TYPE IV ZONE R-1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Data Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. El SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE —-- UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES E FORMS ❑ STEEL REINA. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE H] SHEATHING FRAME AND FLASHING ' LATHING — IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric _ HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL n�/ BUILDING, FINAL .xo-'� i nn5 +�+t **s.00 COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 20-600 788 a * P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APP TION FOR BUILDING PERMIT PIECE! ra DAT: REC.,VED DAT ISS ED BUILDING ADDRESS 1o31 edrz /YATtowq�., AI/. _ lQ 6 to PERMIT NO. OW�eER `• OL 0 A.P. NO. S -4 na MAIL BUILDING Z ADDRESS c,lms AS /ICED✓G ADDRESS IV LLI TE . 0- U CITY Cosi--A pies.A NO` TRACT /// I LOT c2/1 BLOCK z CONSTRUCTION NEW I ADO ALTER REPAIR I MOVING DEMOI ISH I- LENDER X J D BRANCH "Yea i. J to OWNER 03 J ADDRESS VALUE CO• ARCHITECT TEL. USE $ J N OR ENGINEER NO. I U C FIRE Z K ADDRESS ZONE E ,[_ GROUP O. w �� APPROVED JZQ CONTRACTOR QWNE/L BY V DATE (0)/716 MI J ccADDRESS W W ,�JJ� TEL. 20N NO.OF USE OF NEW(S&fl70 - 0= CITY NO. / IPLANS BUILDING(ii [ r /" Zr W O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7O SIZE NO.OF SLOGS (FROMC/LSTR�EE{T) OF LOT NOW ON LOT FRONT/P�,I.�/ *,IL7/ FT. USE OF 1 EXISTING BLDG. R.SIt1F FL d-� FT. _ I- SIZE OF .! NO OF f� /� Y 2 NEW BLDG. J o R 4 d ROOMS \J STORIES V L.SIDE /.--/ FT. FT. Q EXTERIOR WALL ROOF S � COVERING n1 � )�O COVERING REAR <0 FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- C- MAIN BLDGS. ACCESS. BLDGS.. / O 4-d�� C.U.P. DATE kV/WA/ &)US/L� PA) VAR. .,{s APPROVED I-2 .-/moo APS- APPROVED n U) / _HY DATF /!/ -_./7-t4 9 0 VI hereby acknowledge that I have read this application and state D 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 CO the State of California. co ZI hereby certify that I em properly licensed as a contractor under SO. FT. _ o the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; am exempt from the provisions of the State of California Business VALUATION �/s ..... OO CC and Professions Code, Division 3,Chapter 9. W y, CO /� PERMIT FEE $ h D Signature of/) r J / JJJ��� B Permittee r'� + 1�- -dArYs $ 2 ` O PLAN CHECK $ E `l Cyt LL Authorized Agent TOTAL FEE $ V ORANGE COUNTY BUILDING DEPARTMENT . APPLICATION FOR PERMIT North Broadway ;—� SANTA ANA, CALIFORNIA BUILDING 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY. RECEIPT NO. PERMIT NO. BUILDING ADDRESS 20A1 NetinnH1 Avenue 5- 3 3 3 SO / 7 SCHOOL DIST. �t RECEIVED BY DATE RECD. DATE ISSUED ORTOWN Costa Mess n _ NEAREST ,t q — �I L 3 I 9 —3, —..1.? CROSS STT. Monrovi A St, i O' J OWNER Oneida Homes Inc.IADDRESS / ' � / / MAILSC �ADDRESS . ADDRESS a:ie i Wi 1 ahi re Alva OR T OOOL WN DIST. enn 771 CITYBeverly Hills TToL' CR 54361 NEAREST .��r�YCI �y. CROSS ST. / 1 n •V,-Y1A1AY .oks iQi.1 ARCHITECT, O LIC. ZONE NO. F TYPE GROUP ENGINEER S n &y McKerraeher AA/ I PLANS I I ¢- Y ADDRESS 2110 E.Wal�nut—Pasadena APPROVEDA , ' I / / DATE ' 1 CONTRACTOR Newport Vista sta NO' 135882 CORRECTIONS ADDRESS 9363 Wils tre—Beverly Hills LEGAL LOT DESCRIPTION I NO- 213 I BLOCK TRACT1712 I TRACTI /12 (ATTACH METES 4p BOUNDS) (y� NO.OF SLOGS SIZE OF LOT[4S8 ext 4Q9' I NOW ON LOT 0 USE OF NO. OF NO. OF EXISTING BLDG. OO FAMILIES I ROOMS SETCENTERKOFINE FROM:STREET 50 Ito SIDE YARD ISI.n1 lint ' DESCRIPTION OF WORK $ NEW I X I ALTERATION I I ADDITION I O 2 REPAIR I I MOVING I I DEMOLISH I r BUILDII.1D }RO NO. OF / SIZE 1034 S{]. f 4OM5 5 STORIES 1 EXTERIOR WALL I ROOF Coro COVERING . COVERING s . _ _ USE OF NEW BUILDING Regi APncc,—At t , Carport APPROVALS FOUNDATION: LOCATION INSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, /� APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDERPINNINGFIRE ,�(///��f/i /1) .'"1"1:0( dam} AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME:BRACING TOPS, 44% //-/ /- AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. INT, n SIGNATURE OF N At /?-; h3 LATH. EXT. PERMITTEE ewgor 1-ejg CO e PLASTER. INT. .n AUTHORIZED AGT / PLASTER, EXT. ('rt-Li /�" IY�.J 4 PERMIT FEE S /h MASONRY REINFORCED , VALUATION $ 4830.00 PLAN CHECK S BOND BEAM ( L f� � FEEAL S / FINAL i „,....e("mss`, 3-2. •4'1 f�0 .. %. . . , r . r- • W • 2 -• _ _ .W _ . . .. J Z JI a. STRE ET 1 -, • • PLOT PLAN Show location and distances from ,- - _ property line and between buildings. .- _ - - - - - - - • .,