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HomeMy WebLinkAbout2043 NATIONAL AVE - Building Permits@ � PflOJECT RUOAESS �09 � N� f:CONAL AV ` u"iT. ' - ; OWNEflSNAME:!�UTiTG.9, TON1. CULLINS; CA ' i � ' � nooness:, 20 7 3 . NATIONAi, .A�'E� � • ,. • � � : � ' CO.i�A 1.L•3.'�..iCA ' 92526 . ; - , • � • � �1 • - G45� 3453' . c � : APCN/ENGINEEflr , . , ' � � � - ' flEG.NO. . � , . '�7 ' ROUBE55 .. i �. . ' ' ' � ' � � . '. UNIL , . �, � � : . . � . , i . ' . _ _PADDPESS'CARC�T.•C.l)I.LiN�.r� '�. �%�.�l��i�5-`�15.3. ; � , . - .2Q43 'fuATTONAi. AV � . , i` M CA 92627 � UCENSED CONTBACTOR OECUiPaT10N: I here�y altirm �hat I am licensea un0er pmvisions ot Chapter 9(commencinp with Seclion 7000) ol Oivision 3 0l ihe Business antl Prolessions Cotle. and my litense is in lull fa¢e an0 effecL ' CITY UC.: . I � . STATF�IC.: ' � � C1A55:, � ' . Oate: ' ' � 'Signa�ure: " � ' ' � � � WOFNENS' COMPENSRTION. UEClA8A710N: 'I nereGy allirm that i have a cerlilicale ol consenl to selbinsure or a cenificale ol Workers' Compensation Insurance. o¢a cenilie0 copY �hereoi �Seciion 9800, Lab.'C). , , � • POLICY NO.: � . O '. EXP. �RTE: I - � camraxr: ' � � � � Q Cerlihe0 copY �5 hereby IumiShed: ❑ Ceriilietl copy is liled wit� I�e ciiy Building Oivision_ . � _ ._ . . ' . Oate_• � . • , Applicanl: -• ' ' � . . ' E%EMPTION FFOM WOflKEflS' COMPENSATION OECIAflATION: ,(This seqion nceA noi be campleleG it Ne permi� is Iw one hunAreU (3100) or less). I ce�ity Ihat m t�e pedormance of t�e waB tar which Ihis Dermi� is issued; I shall no� employ any person in any manner so as lo become sublect �o the Workea ComOensa�ion Laws of Califomia. � , � � Dale: �� � � � SignaWrei � � -' - '� � � ' '� , 'NOTICE. II, atler making Ihis declaraiion, you s�ould become suhlec� �o the Workers' Compensaiion pmvisions o� ihe Labor Cotle. yau must lort�vnl� comply with such pmvisions ar Ihis permi� shall be tleemetl revokeU. � CONSTNIICTIDN LENOING AGENCY: I hereby atlirm thai Ihere is a conslmction lentling agency lar lhe pedormance ol Ihe work for which I�iS permil i5 i5Sue0 �5¢Clion 3097. Civ. C). ' , , ' � LENOEH: ' � � � �AOOflE55: . . . . . .. . . - •-' . . . . . � . , I . . � . _ - , ., . ` OWNEfl BUILOEF OECLABATION: I �ere0y aliirm I�at I am exempt Imm t�e Comracmrs' Siate License Law lor Ne followinp reason (Seclion 7q31.5 Business an4Pr0�¢i5ional Catle: Pny cily ol counry w�ich fe0uires a Oermit �o con5tmci. alier, impmve,Aemolish, or � repaii any slmcture, prior lo its issuance. also reQuires ihe�applicant for sucn permil to lile a siAneO statement ihal ne/she is licensetl • pursuani Io I�e provisions o� �he Comracmrs' State License Law (C�apter 9(tommencing vnt� S¢ction 7000) ot Division 3 0l I�e Business . ana Pmfessions Cotle) ar t�at helshe is exempt��nerelr�m ana ihe �asis lor t�e alleged e�emption. My violation of Section 7031.5 Uy any applicani for a permi� su01e«s ��e applicanl Ia a civil penalry�ol no� more �han live �unCreO tlallars (SSW). �, -' � I, as owner ol Ihe prooerty, or my employees, with wages as ��eir sole com0ensatinn;� wi�l do Ihe work,'.antl lhe simclure is not inten0ed or ollered for sale (Sec�iun 7044, Business anA Pmiessional Cotle: T�e Contracbrs' State License Law tloes natappty to,an awner ol a pmpeny wno bud05 orimprovesithereon, ana w�o daes suc� work �imsel�/hersell m thmuph ; .- ��his oi�her awn emv�oyees, orovieetl ihat such impiovemenis are not intenaetl or oflereJ far sale. II, however ine Ouilding or . impmvemen� is 5010 vn�hin one year o� com0leiion ,ihe,owner will �ave t�e burden o� OmWng Ae/she ditl no� builA o� improve ' lor,�he purpase al salel. . , -, .� � ' . ' . . � f �: . � 1, as awner ol the pmpetly. am exclusively contracting with licensed contractars to construct I�e pmlec� (Seclion 704a, Business . �O �' and Prafessians Cotle: The Contraitors' State LiCense Law Boes noi aDDly �o an owner o� prop¢riy wtw builGs or improve5 �hereon ! and who coniratls tar such D�olecis witA a contracior�s) license pursuant Io Ihe Contra[torsi State license Law�. I�am aware I 4hai O�oof ol ��eir Worker'S Campen5xiion insurance,should De D�Ovided �o me. . � � I am exempt unGer Senion: ' � 8. 6 P. C. ' , � � � . lor Nis eason: � •' I�Q ' • ' / ��, Ib , i0wner: ' . Oa�e: � 7— I eo �ereoy cenily t�at I am aware of anA understana the requiremenis ol Calibmia HeaIN anU Salety CAtle Sections 25505, 25533, ana 2553a'and tMl I or any luture DuilOing occupanl will/will'nol (circle one) need to comply vnih saitl state codes ane ihe tequiremenis for a, permit lo� conslmction or moailicalian Imm the Air Oualiiy ManaBement Oisiric�. flesiAenlial cons�m[lian apPlita�ions are eKempt Irom' inese pmvisions. t � . . � � � , � �ate: I �ere�y cer�ily I�at I have reatl I�is aOPI¢at�, ordinances antl Slaie Wws relaling t0 �uildinq i n�ooeit lar nspeclio/(� purvoses. i Da�e: � I ! qO . \ �— Oriver's license or Saial Securiiy •: �,� I agree Io comply wilh atl city and county' IN5 city to enter upon the above�men�ianetl n � i6a4a6 Whne—Bwlaing: Green—Cotle Enlorcemenl; Canary—Applicant�, Pink—Revenue: . �. ,•. CT tY OF CO�TA M��A .. � JUii;LI�:NC> ,PEk�±i i . �i'zRM NO:.: 3- 4 OSOOf29 �;, ` � :� � . . � ;• ..� , - - , . . , � . FEr�MiT..NC�: TJ , OSOO�t1 ! ,; FL�AN CHi:CK NE):. � � N ,,! . COr�i'.;t.N �SJPP: N�• { . .� { � , ; _:� :. - "�:��'�� ': -'� . r: . 'CONSTRUCT�ON �TYFL• c � ` -''< PERMZi �TYPi:� �ST? , � � ' ' Fiii2FO:;E: �UiN ' �JOD.DEiCR:TPTION� .,1tEC',TUCCO�iIOU3� � � ' i ,' 1 ' � SQ`i•T'. �` 4Q0��-,, '; (. '- ' j �-. � . 1 . . t . ' `- �_ + . i . Ci;A1,�I I ��A�UE: ' • �900 . OQ� CAi,C-VALUn: ' ' � ; ;. � � i'OU', OU , GkOUP OC�;: 4 �• R / ' � ' ; �: r � . , .. . , COMM�N?5:_ NO OTIItR ;t4(JIlK If'i APPkOVED , ; . i ' � � rt f "� _ :.?�iEi(�f�?�Y�Y.YifY!'>:Y.-k#K}��FkK�K��F4�F#:YY.•M'+%i�Y�Y?!,r.iE!'�N?�if�'-)E�Y.��'�IE:?EIFK��%-�Y,if.x1!.ic.YY.�f4?E.y.+(..y.xy.y{cv.k:Y�KkK%'}:i-XIl�ra:v,y;. . � . ' � Z,O N I N G R' E„� O: C,R F. M E N i 5" i �- '. . t t �' . 1 � S fi• .T . D A C 1C' r , ' i : _ '� . , � , � . , ; . . . . � _--:__�......._--�-• MAZN DUILDl'NG ---�-----'•-'-: i•--__..._.___, ACCLSSQRY H[iiiDING -._... __�... FRN'T: ' F� �N P.L..R: � � F.T j TN; � F1tN1;: � � FT � IN 'RL�aR; �'; ,'r.'T ~ � .IN: LI;F,T: �, F'i ?t� RGEi'P: FS SN � • LLi"i : ; ; .F i , IN ,PGiiT :; ; • FT Th]' ; � . . - i . i � .l � . PARY.ING REQ� � FROV: � 'i�ARCE7.�:� ;22419430 I'I,NL: ' REP NO; ` PI,ANNING NC7TE5>' ' � , � . � . . � ; : , � •-. , ' _ ' ' .�,_.'. _ '. � . . F' .` . _.. . � _ If if ?E �i Y.� ii ik+� +E?f +F if i K i! K Y if'Y q( JfSY�Y ii' iF JE+f Y?E?f ?E+f ?E iE fE�X 3f �?E K'K iE?E'N 3(��+h if ?f x.K. Y i(' i� if+;I+f Jf x+f ?f,iF Y jE Y. 7(.'�. K. Y w.M' Y' 1( if IE if ?E?! Y af ' , D E V E i O P� M'r: N 5'E•R V T; C E S( R! E Q'0 - t� _ M;r N.'�;'S' S;� ZONING APPROVED, BY ��, � � , � � " � � � j ` 1 � 7fiTE: � • t � � } ; � __ � ' _ _"f"... 1 , i ... _ � ... A[7TLDING APPROVL•'ll;�FtY �;� _ u , - -, - ___. . � _ -: �. '' DA'iE: +r'� i ~ ' • APPI�TCA'C'iUN ISSUFD ttY,�x.• � S� � � UATE: � �`I} �'6 i�if9hJE7Ei(iE�E?FM'l41EY�+iiFi��EifiFYR?f . . . . . . ... ?f?f+f+EiRi�+f%?M1Y�'��S�Z�aiac . �. Y?F ?f ?F M' M?f if ih?f if +('dM1 �E Y.. N' Y Y.Y,.?f ?f �E +E Y Y'If �E :T?h Y' �4?E ?f IE �I Y Y II Y' iE if +E M Y' iE'if if ,i� if ±f ?f Y Y� �f ?f+b?G a f�f�Y af i(".(' }+f X' if ?� M' if'.V X'?f �f iS. Y. y�Y LFiG1�LiZATION:N '� ! F� t E,' 5 U: M:M A R Y' • S'PRi7C1'-tJRAi ScGMrN7';Y •., , �: � t ,: • , ., . i i � ,� � AI;DG I'N7T. • E`T;I7MBING . EI.EC`iRIC Mi.CiIANIC �'r.iRe: � SMIP:/Ri:S � GitN?�NG• FERMIJ. � 1.5.�0 � , � `„ � � 50 I � I . ., ' . , .,, , t SMZF/NON-RF..s ; �r:AN . • • • � ' � i � � � � ; � ISSDE F'EF:' �� ' i ^ . : � , � , . , Aif'tLDlNG-DIV, ;>- PERP4TT ,' ISSUE PLAN-CA'ECK ' `i'OTAL i PAIll, � � DT7E TOTF�LS•=--•-->':, _ ' 15.5�0„ 0,.00:' � O,.OQ �. 15.50, 1`,50� , � ,00 R�:Va?NfJE D:IVZS.iOPd' I'O'TALS-->�- 1� Cc�I,I.�EC3Eb: "15;.50 OVER/SH(�P.'(': +.�QO '�" HLUG.P^:i 1'?�:l:H;3iNC ELECTRIC MECiiANZC , "r."ii2r � SMIF;/TOT GRAUING.PI,x;v--r_�Gc,t " , 1 ).��'U � , � � J� j . ` � � . �` ' . .,. . ' . � � ' - : r � ' ' 1 . ' � • ' i ,. y.. j(..N� .4 ?4 Y.••�•Y } 1(. s:t'�V-:Y iR t. a(..�L j!� ?( iF if :�E if ?F �)F �1E 4?f aY' Y JLY Y,. k#�?� �?f'Y.' 1f� aF �f ?E �N"�E?f •Y's Y Y?f �c Y+,�' Jf ?� ?f ?L �i Y:i af .Y. �1G-�(..� ?f� Df �T Y� 1i .X �.1[. 1 N Y. 's ; ' . I'N b I V� I�D U, A i, F E r: i 6'R E A F<, D'O W N , � ' � � i ' � . � : J . . . , � � , � TYPE 'Q'� Y � ' p;E S G it. 3• P T I O N � UNiT COST •.� TA'f�l, COST � � . . � 1 � .. . 1 i � � . . 1 i SFR , 900 AL1'ER BY VALTIE RES]:DF.NT�ZAli NO'LONE. .' ?, 00 ' ' � ; q00, 00 -,- -. � .; . _ . ; .__,.. �:Nn or ���es ., ; , � s � . � � �._, . r _ � ; , ' ' � : . . ' ' , ' . � r � � � j � � � . . � .{ ' � , � � , - i � . 1 � . u \ � . , � . . � , i � ' �' A . � ' os ooa,=css-oco�soaa , ! � , � � � � DA7E:' 1'f12E/r0 TI14E': f0 � _ �- � _� _ . 4 ` ._ , .. . _ . �POOL & SPA , . , CONSTRULTION AND'PLANNING - . � � ' � . ^ ' � - � � Date= Inspector Date �Inspector, - :.APPROVALS Permit�# _� - _ � AP.PROVALS Permit # � � � :1.=Temporaiy Electncal Service or Pole � � . ^ ��52. RPool & Equipment'Location �,�:.; , � s�,' �r_ 2. Soil Pipe�Undrgrnd. � � 53. �Steel Reinforcement � � � ' • �� � � '�� - _ 3. Electrical Conduit Ury'li[y�Undrgrnd.� .. " 54. Forms -� - �� � "..`� � ��� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' � �� i 5. $teel Reinforcement � � . � 56. Rough Plumbing & Preswre Test � � - � -6.��Electrical UFER-Grnd. - � � ;t= � ' � 57. �APP.ROVAL TO COVEF�GUNITE �� ,� ,, . � � ,�7.`Footings - - . 58. ElectricalConduit-Undrgmd. i _,-` � t _ �• 8: Foundation � � � 5 59. Gas Pipe, O Undrgmd., Test �� . � ''"� .�a �. - 9'. Water Pipe�Undrgrnd. .. � .� � 60. Backwash Cines, F.Trap, � Undrgrnd. � ��''�- ��� 10�. Structural Floor System � �. � ' 61.'APPROVAL TO DECK • -�� . '� �, _?i,� ' 11.'Property Sewer Line & House Connection " 62. Backwash &�Reeeptor-Final � '��``'- � I 12., Sewer Cap � 63. Heater & Vent-Final , r Qi .� �-> �`�� 13. Roof Drains ', " . 64. Plumbing System - Finel-� �', �� �f . ' 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 Sign ' • 68.,APPROVED�FOR_PLASTERING " : � a - _. � . " . ' . ' , 18. RoughElectriwl-TBar'Ceiling : - 69.�POOL/SPA:SYSTEMSFINAL � - � � . � `^19. Rough`Heatinj�&�Ai"rCo�niiitioning"' � '�-' - �" "' - `�FIRE DEP`f. REQUIREMENT �� � "" � ' - - - i.�.�� , , . . . 20..Rough Factory Fireplace �� ' - � a • AppROVAL'S �' Permit # . 21.'Ducts, in Structure'. � , ' -'� - � � •' � � � � - . _ � . • 70. Underyround Hydro 22. Ducts, Ventilating • " � , ! } �! ')7: product'Piping OGas ❑Oil 23. Gas`Pipe�Rough &�Test - , � � � �.� '�- t � i 72. Underground Flush" } " 24. Roof�.Framing . �•*_ ;!� :. _ �.' � �t � 73.�'Undergrnd: Storage Tank O Gas ❑ Oil . 25. Roof; Sheathing ' _ ' - , "'' '"� : � � ! ; 7q.:Overhead Hydro 26. T�Bar.Ceiling (Structurall & Monocoat � 'r� "' ��., ; 75. Dry Chemical � - '.- • 27.'Frame and Flashing� - _ " � ., �, ; 76. �Dry Standpipe � "' . ;28. Lathing&Siding_=.��: � ;� � �,2C�.r �(,✓ � � 77._"FIXEDSYSTEMFINAL' 29. Insula[ion `� ' . ' �� �` �'� . . � � E� ; 78.-FIRE PREV. FINAL ti� ;30. Drywall�Nailing �- . i� � I �� z i� HEALTHiDEPT: REQUIREMENT �31. Plaster Brown Coat.; � � ! �; i ��79,�FINAL INSPECTION 3�- �y ��! � 32. Electrical Power Meter-Final ^� .i :. ! j kr f�80. FOOD CERTIFICATE ISSUED 33.'Final Electric' ` y, - �: '-' I I �! ' Notes: ; ... ", i"• � 34: Final•Heating & Air Conditioning.; - r - � " .,,� � � � ; _ _ � 1��.� I I �" "-35. �Final Gas Pipe�Test � , � � + ' ' • � �•� ,' , I �} x F. L ; 36.' Hood or Canopy ' - - . � `� ' � - • - ` � , . a � ( I � .' I 1' . I`i ( � �' � .1' .'. 37.'�Final"FactoryFireplace_ ' � , f � � � i ; , �� `38. Final,Plumbing . , , �• �� �' � � k:� ':, ' � i . �. m � .39. Water Service�Final •� � , �� �. : � � �•� ' c" _ � .`40. Gas Service-Final ' ._ ' > ,,� � + f � ,� � y ' '41. Solar pome:ticFinal _., " � �� � .� � � � , �� � : F-� � � i a i^ t . � 42. Backflow Preventer . • w " � , (� ; . , � , , - . 43. Backflow Irrigation • ' ... . � a 1 =.� ' = ! �:' ' � . � � � :44. Landscape Irripation System -�- �� •. ��� �,; � - � � � � , ,.; ' " - . '45'.�Sound Attenuation �C � ' ' � ' �+ • ' • • -" " - � � ' ..t :i�-. 1 ' f '-f46.�Handicap Regulations - � , " ' � `' '_ � - ' 47�.,FINAL STRUCTURE & BUILDING '�_�(� �� � �:��;. � ,i � 48�`F.INALPLANNWG` . ._�� ,. � � : (, ;:. ;` . . . _ , � - � 49�.-Electric Release to Edison . � � ��� �i .. • � - � . " � ,50'. Gas Release to Southern California Gas Co ' j�,�. _ f; ., . • " 51'. CERTIFICATE OF OCCUPANCY" ; ' i +.i, �, . No�. ' Date � "' �. CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or counry, which is required to give notice pursuant to Section 19830, shall attach to such notice, antl, as a condition precedent to issuing a building permit, require the completion end require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied (or in your name and bearing your signature. Please complete and return this intormation in the envelope provided at your earliest opportuniry to avoid unnecessary delay in processing and issuing your building permit. No building permit witl be issued until this veritication is received. 1. I personally plan to provide the ajor labor end materials for construction of the pro- posed property improvement. �Yes ❑ No 2. t(have/have not) �� ,�� signed an appl'rcation for a building permit for the proposed work. 3. I have contracted with the following person (tirm) to provide the proposed construction: Name Address Phone ( City Contractor's Lic. No.. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( Ciry Contractor's Lic. No.. 5. I will provide some of the work but I have contracted (hired} the following persons to pro- vide the work indicated: Name Address Phone Type of Work 1 hereby a' that I hav a co of the in(ormation set forth in Section 19830 of the State of Califomia ealth nd Sat e n ave ompleted the above information to the best of my per- sonal knowl ge, in co pli wit his tate law. Signed: + Date: Name: � - ( ��/ -��� � 754-5273 iaz�e JOB ADDRESS a ona ve. BUILDING PERMIT N0. � INSPE SOIL G r15 � WATER POIIf.M PfiOP. $WR. LINE U HOUSE CON. SPRINKLING SVSTEM UNOERGROUNO I ROUGH WIRING TRENCHES FLOOR SVSTEM ITIONING REINF. BONO BEAM L_J STEEL REINFORCE SHEATHING FRAME nNO FLASHING LATHING — IN n i PLASTER,Bf10WN COAT A PLUMBING. FINAL ANO G ELECTRIC, FINAL BUIL�ING, FINnL CPLfIAI RFl1111FFMFMTC SUBCONTRACTOR ;, � 3obd � '��COSTA'MESA BUILDINGSAFETY DEPARTMENT- • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � - For Applicant to Fill in aui�oiNc ^� u,1 ADDRESS � J / l I � ' OWNER �`� �\". Z ADDRESS�, OIS �AR �- V - CITY � 5�' �5(�r Z Q CON5TRUCTION � O N LENDER a m .. J y BRANCH ' � � J � m J ADORE55 ' � ARCHITECT � J � OR ENGINEEfl .Ua W � ADDRESS � � aw /�� J O CONTRACTOR �jLJ�/f/ mz .. J a+ ADDFESS - W lyj Z� .GTV w d STATE- , . . • y (� IIC. NO. ' TEL NO. , vR�u r�Rt�.-�s-.-�:,oa s�3��- ,.x:�r<3a.5o� ON FOR BUILDING�PERMIT �'� � Z-iu' A.P. NO. � ' SI�+ O . PERMII � ADDR1ES5 1O7J� IVl1�Il'i���� '�J%7 ' TRACT LO BI TEL. NO. �y� TEL. NO. CITY IIC. NO. F FOV � �1L� ��'✓QrS >\�C��VAWE I GM s ZONE NO.OF PLAN$ VARDSAPPROVED - MAIN BUILDING OF � O , � - (FROM GL STREET) SIZE NO.OF BLOGS. A � �I� OF LOT . ' �.. � NOW ON LOT y. � RONT ' FT. T ,�� USE OF � ' ' . ii EXISTWGBLDG.'' RPSI�C�h<G FT. � F SIZE OF 'Q �. �� ��. NO. OF � I!, Z�� �NEW BLDG. ROOMS STORIES L. SID FT. a EXTERIOR WALL = ��«a ROOF ' � l V COVERING L COVERING REAF FT. J US OF �UI DING AND WORK TO BE PERFOF ED. DISTANCE BET. BET. MAIN & 'I a � " � MAINBLDGS. ACLESS.�BLDGS. � a {w Q VAR.# DATE � O C.U.P.� APPROVED � APPROV E " Z � ' � Q �A� UI �ereby acknowletlpa that I have �ead this applfcation and state � , � � � ,u � Mac tha above information is correct entl agrae co comply w14h , � all laws ragulating buildinp consvuction, antl 1 shall not employ - F any Person in violation ot the warkman's compenution laws of i ffie State o£Califomie. � 2 m � z I hereby certify that I am properly licensetl as a contrecior untler I�� SQ. FT. � - o� H t�e State ot Califomia Businezs antl Protessions Code, Divlsicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR ; I Cnapter 9, antl thet such licensas ere in tull force antl etfect, or I THE PURPpSE OF ESTABLISHING A PEFMIT FEE ONLV: Q . am exempt trom the provisions of the S[ate of Celifornia Business V A�UHTION �(�, antl Professions Cotla, Division 3; Chapter 9. .. m PERMIT FEE $ � � 4 Signature ot � m �i�� Permittee �� $ 2�D P�AN�CNECK § �• E � � �p � Authorizetl Agant - � � LL TOTAL FEE $ O�tANGE COUNTY BUILDING DEPARTMENT ' ' APPLICATION FOR PERMIT � N':. � ..: 636 North Broodway, • ' + . . . ,.. � . , -� ��_l� � rSANTA ANA. CACIFORNIA � . - ,', , �,..:_..::._�.� I: �.D,I.�.� . �,' ..«-�-----•�--' { ' , ( , �F.OR;OFFICE.USE.ONLY—.-�w ( , �'; ..'� . FOR APPLICANT TO PRL IN _. , t • s,` ' „Ece�Pr NO. PERMI `NO.y AOD E'S5 2043 National Avenue �.�- � �~�n , �''3.33 - ��,,,�''-G�;7.:� ' SCHOOL DIST: , ' ` �/� ' " - � - �RECEIVED BY DATE RECD. �ATE ISSIiED, ! ORTOWN � COBTia 1'+CS$- � �k .� � .�_� . �Ro55 sT. . Oak' etreet . � ��7�ii :.' c/'-'� .-,�_3., C/ —.;3 i :'.� ;j ,I BUICDING `p 1{ /� �� (� OWNER Oileida' HOIIIeS�' IIZC�. � AOOfiE55 1���� /�.y�,�#(r✓f/'Lr � �. ! ADORESS 9363 Wilahire � Blvd� . _. SCHOOL DIST. ' ��,�� ,- ���` � �� � � � " • ORITOWN � � CITY BeVeT1V H1"Z1S N�'CR �74UlJZ NEAREST 1 ���' � � � , - C_RO55 5T. 1 � � � � � • � , ARCHITECT R � �R Tf � LLIC. -" 20NE NO. OF I TYPE GROUP ' � ENGINEER GQain FL 1•1(�i11f?i'Y'AC�'i��i' _ ' �•�A� �I�PLANS "._{-�r . � j � I' . . / � � F �aLi �:/ AODRE55��.�(� F=WA�T11)t�PAQAAAt1''1 ' eVPROVED�� -�, ,� ' DATE. J -� , CONTRACTORNeWPOP� V1SYH r�io'�.3588`�. ��, �� . . -- - '" � ` �` CORRECTIONS i � "' . .� , nooRess pl = s • , . E . LEGAL . .. LOTq n t q i'I �., . •� . ` . 'OESCRIPTION I NOyQp � BLOCK I TRACT17y4 � - � - i , , � �fi'- i , (ATTACH METE9 & BOUND51. � � ,�"� ' SIZE OF LOT p� X ZZV I'��NOW ON LOT. � � � . � _ . . . . � �, � � � • r. USE OF ' � � ` NO. OF NO. OF �� f . � ' ' ' � � � ( EXISTING BLOG. ' ��',Ii"FemiuEe I ROOMS� :,i+�•--.-�a+-+�+�--��-'�+-�+•-+.-^�---'� � .� . SETBACK'LINE FROM� c' �O REAR YAR� ' - � '- �I. �CENTER OF STREET ' �alO'1 t. •� SIDE YARO �j���',rj� -',+i.' � ' ' , � � � ' ' ��' "` .. ` DESCRIPTION�OF•WO_RK �� -- - -- - — • - �- °� :"' 'NEW -I �- XI ALTERATION' , IE; I pDOITION I� - ' . J � � .. � ' , Viri.E�J i V..='+ . -. + _ " D .*au.+c� ea+ti..�4u� ��u e.✓yv,�a� v.v.,ic, f . REPAIH� I�. �- I M�`/�NG �� I� I OEMOLISH I� • ��� _..:L.ifa..A�....,.i..+ ,J 1...::..-...:i .:a.....,t�. � . . BUILOINy ' - ' NO �OF. . . . ` ,' � , / ,. - �j ;SIZE 1��j4 SC�'�'fPiROOMS� - �j STORIES ]��, � �' EXTERIOR WALLe 'ROOF�' '' mU O. ' , , COVERING " r,)ti�i(,`(,`� .I COVERING ' �E']j_j'](f1Q . , ,. '-� � ' ' ii' USE OF NEW , . -� . . :: ' . $, � . . .. � � . . . I� BUILDING Reside�nce=Att Cernort - ' ' . ' . . .' . ' : ' � � ' . �f . . , APPROVALS : - - ' FOUNDATION: LOCATION' 'INSPECTOR ' OATE �� I HEREBV ACKNOWLEDGE THAT 1� HAVE READ TMIS �FORMS, MATERIALS,' r/�� - /.CI` y(�� �, ' � APPLICATION AND STATE THAT THE ABOVE IS CORRECT �'�UNDER-PINNING .Ti�� !J � � , � AND AGREE TO COMPLY WITM.ALL COUNTY�ORDINANCES FRAME: FIRE STOPS, � /� /-� �AND STATE:LAWS REGUTATING BUILDING CONSTRUCTION.' BRACING, BOLTS J il . • ' • ' ' . . LATH. INT.' � �� n� . i� :� SIGNATURE OF `.. �, . . LATH. EXT: ' ' � '� '-'PERMITTE - 'N W O C � . .. " " I ' � � �l PLASTEq, INT. " ' '� AUTHORIZED AGT � - � �, �� � ' . � -' PLASTER. EXT. � _ P- '�� / . PeamiT F[e S'� � MASONRY REINFORCED I VALUATION M '� 4Ba3O�OO p�nH CH[crc 5, ' il , ' . 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BOX 1200 COSTA MESA, CALIFORNIA 92626 � �for Applicant to Fill in Completely BUILDING ' ADDRESS O�� �/Q%/D/LiOG C.A OWNER GREG c'voo� ';;1R 2!I=7?_P�50O�1086�' ***�39.Z5 cis„ APPLICATION FOR BUILDING PERMIT :�� ��V DATE AE�CEIVED _D�TE ISS�IE; 7 �F "�7 "J� �� / z -- - - aU CITV �Nir ����GN NOL ���N� TRACT � F— Z . Z Q CONSTRUCT70N . W AOD ON LENDEfi yON� _ / . am V J � BRANCH ��� . J �. - OWNER 6C m J ADDRESS �� � J m ARCMITECT �� � � TEL �yONi= a OR ENGINEER N U N Q FIRE w 2 ADORE55 ZONE '�C aw W Z _ APPROVED JO CONTRACTOR /JUi�D�t/t OG✓.t/�R Bw m Z • J p� ADORESS �p �NR ./�O.( /J AV 6 . W W . 20NE NO.OF � .• .Z� CITV LONG- �SF+QC/I NOL I✓uwL PLANSd w � STATE . ' CITV ' VARDS APPROVED N Q �IC. NO. � LIC. NO. MAIN BUILDING � � O (FFOM GLS REET) � SI2E ' , NO.OF BLDGS. / ROM � FT. OF lOT NOW ON LOT USE OF , EXISTING BLDG. /_'NCc w� 7, F" SI2E OF NO: OF / Z NEWBLDG. - ROOMS STORIES 1.51DE �/FT. U E%TERIOR WALL ROOF COVERING COVEFING REAR FT. J USE OF BU�LDING AND WORK TO BE PERFORMEO DISTANCE BET. ' a /JI�O/i�Ow Of Z CA� FN/CACr/s MAINBLDGS. 0 �.�G�os�c . �,C/ ��c G�^R Po�t(' CURP.� . y GOR L�✓/'V4 S�.OcF_ �ROVE Z ' O � VI haraby acknowletlge ther I havo reatl•Nis applicetion antl staie ' � thet Iha ebOve inio�mntipn is cOrrec[ ontl ag�ea t0 comply wit� . � ell laws regulatlnB b�ild�ng construction, entl I shall not employ r any permn in violotion of tho workmen's tompansa[ion laws of . y the Stata of Culifornia. .. �� ' z I he�eby certify [hat 1 em ptope�ly licensetl as a contractor untle� $Q. FT. , Me State of Calitornia �usiness entl Professions CoOe, Divisicn 3, THE AMOUNT SHO' � Chapter 9, antl that such licenses ere in full (orca antl eftxt, or I THE PVFP06E OF ES ' em eaempt trom tha prorisions of theStata ot Celifornia B�siness VALVATlON . antl Professions Cotle, Di�{sion 3, ChaO�er 9. - • $IQOBLUIB O� ^ Perminee � � 5�� �, yo AuMorized ABont VAI.UE USE OF NEWa,' ('%J�G. BUILDING �� ,��� VARDS APPROVED BET. MAIN & / � O ' TION IS FOR � T FEE ONLY: � ¢ . H� m �,-^ � � iN m .�- E 9 �: � LL