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Home My WebLink About1775 NEW HAMPSHIRE DR - Building Permitsill • -;‘,5-01 .. l . ., . �1 CITY OF COSTA MESA ,4y >,, BUILDING DIVISION t' ','-'-- ' DEVELOPMENT SERVICES DEPARTMENT B98-00779 J• . PERMIT PERMIT NUMBER %brown s# (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1775 NEW HAMPSHIRE DR Status: ISSUED Suite: Applied: 05/06/1998 Vicinity: - Issued: 05/06/1998 Parcel Nunmber: 13957307 Zoning: Applicant: ARMSTRONG, DAN Address: 1775 NEW HAMPSHIRE DR Phone: 714 444-0310 COSTA MESA,CA Zip: 92626 Owner: VALOR, LYNN A ' ' - Address 1775 NEW HAMPSHIRE DR - Phone: ' COSTA MESA,CA ' Zip: 92626 - . Contractor: Address: - - ��' Phone: - �' Zip. ,„ \� License: , Arch/Eng: ✓ N'',Av v:7;‘, • Address: - . -• W-'1 I 'Phone:_ ! - I . Zip_ , - . , " " ' - •: License[- - - i SCOPE OF PERMIT • • • • - POOR CONCRETE SLAB FOR FUTURE PATIO COVER . . .- FEE SUMMARY -- Plan Check: $36.89 Calc Valuation: - Moo Permit: , $56.75 Claimed Valuation: $1,800.00 - ' Other $0.00 - Inspection: $0.00 - _ . t - Total:` $94.14 - `/ . PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0. Right 0-0' • ACCESSORY Front 0-0 , Rear : 0-0 -Left 0.0 - -Right 0-0 PARKING Existing: 0 Required: . 0 Proposed: 0 NOTES: • • • I 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 0 , !- - •11 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 work for which this permit Is issued. ❑ I have and wit maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this pemiit 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 hundred dollars($100)or less.) XI certify that in the performance • the work f. hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws • 'font : d agree t If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with e: 40M s. 4,„-- .7 _ / /^� Applicant Signature: Date: w�4 .6/Y WARNING:FAILURE TO(SECURE WO•' RS'COMPENSATION•• ERAGE IS UNLAWFUL ANLS WILL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND OOLLARE($1X.000l,IN ADDITIIXJ TO THE COST OF•• PENSATION,DAMAGES PROVIDED FOR IN SECTION 31060E THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am 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.# Class# 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). Lenders Name: Lenders 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 em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document.i.e.-property lax 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 DMsion 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? 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 (11 yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. • Signature: Date: CERTIFICATE OF COMP • E AND A IZATON OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. •y wit all state and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a•• • erty for nspecll urpos I agree not to occupy or allow occupancy of any building authorized by is p rmit until final inspection. L 57669 a- /�V Signature Of I Owner(s) Date ` And/Or Authorized Applicant Date . CODE 6 iNSPPCTION TYPF all IL{IMALS g00E• INSPECTION TYPE DATE MOWS 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 ['l`I !? ��'�yT� 203 Final Sign 222 Final Site ( �so44 / 7 C_____ _ 204 Final Demolition 250 Final Buildin cupancy ``YYLLL..JJ�� [7/7- 2446-48 ... 'K 111) SCALE -``�?v,c5\-OG ��E ',� - 7 . 4`-.�A \S s \ d� AIS 10 feet s C ` `ii•'%� fifib Cr Q6`?1 I I 4 • post ('i(' B. (- /I aist-0 6(4,67/•• -il4I /I V"l/w 1 J C . Mid _ - - 1,. / _ L__k R am al. r r r r IP 2' ID'-2- a r-e- B•-r "----4 1 1 Safi, Om/LW-L.6 - ei — 03i a "Ig.- le- CITY OF COSTA MESA o4 , BUILDING DIVISION 0 -4 a ,Ig 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 A°"°"°"fi PERMIT NUMBER: B10-00108 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 13957307 DATE ISSUED: 04127/2010 ISSUED BY: BE JOB ADDRESS: 1775 NEW HAMPSHIRE DR CM Suite/Unit: . - Vicinity: , . . . , Squares: 800 . ' Valuation: $3,000.00 SCOPE OF WORK: TEAR OFF FLAT ROOF ONLY AND INSTALL 2 LAYER B.U.R AND 4 PLY CAP SHEET.COOL ROOF NOT REQUIRED. OWNER: MANNING,DAVID W Address: 1775 NEW HAMPSHIRE DR Unit: PHONE: City/State/Zip: COSTA MESA,CA • APPLICANT: TAKEO TOKILLAS - Address: 1809 N ORANGETHORPE PARK Unit: : PHONE: 714-773-1801 City/State/Zip: ANAHEIM. CONTRACTOR: HOYT ROOFS License No. ' 606111 Address: 1809 N ORANGETHORPE PARKUnit: PHONE: . 714-773-1820 City/State/Zip: ANAHEIM,CA 92801 CELL: ARCHITECT: License No. ' PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $83.25 , Reinspection Fee: $0.00 - Bldg Std Admin Fund $1.00 TOTAL FEES $84.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE S. INSPECTION TYPE DATE INTITIALS CODEC INSPECTION TYPE DATE INnTIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing J//200 Final Re-Roof 2//0 (da/(- 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 WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive, license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance�.-,/ of the work for which this permit is issued. W 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. M workers' pensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized Carrier: �� by this permit,and that no building structure,scaffolding,falsework, demolition AAAlll000�� nCJ ix dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need the completed a permit ss valued at one hundred dollars(5r00)or less) q p /� �j 2,Art 2,Sec.341,Tile 8,Califomia Administrative Code). 3t Policy Number: 6 0000 ZZ6 ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California. and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor.,Qc e,I shall fo • omply with these provision . rah' • ' -� 1/ 2-0v Division of Industrial Safety Permit Number: GfrL� Appli .nt's Signature 1 DatHAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ 1 hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fcr which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 01Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes El No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044.Business and Professions Code:The Contractors subject of this application.have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer 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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. - Signature of Legal Own- ate Signature Date �' 3057-46(3I071 And/or Auth•/zed Apron .nl / Dal7ee777/! I' CITY OF COSTA MESA REQUEST FOR OCCUPANCYNC TRACT NO 4 (9 7 DATE U —Z p — 7,0 LOT NO, ADDRESS j The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final, tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. poor BY 7�. ■■ has: BY �A rirata Developer and o a"Wirized representativ: i2 / B Lender OWNER APOLLO DEVELOPMENT DATE 1-22-70 JOB ADDRESS 1775 New Hampshire Drive BUILDING PERMIT NO. 31306 GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attahced Garage AP No. - LOT 58 TRACT 6694 FIRE ZONE VALUE $ 23340.00 _ INSPECTIONS Sign ure yate GROUP I R ,i TYPE S7 ZONE R—] _ SOIL u2(7d PERMITS ISSUED /it I/ ¢ t • SUBCONTRACTOR I GAS //// ii s--70 Date Number Signature WATER L6-. /(6 /70 `� , P burg ll I ek-4—LS- e�'/SAT' ,�+'�#4a �LJu�� it-,;:-,f� � Inc ROUGH PLUMBING �� PROP. SWR. LINE I HOUSE CON. ' _�� 9' 7.74 n`,'�( � ijfJ lf1',7?„�p7^ SPRINKLING SYSTEM - T �r// a MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING i/, -421-1C1-7°C2(fj-y c, TEMPORARY SERVICE OR POLE w�/ '1-'1.7-70 UNDERGROUND I] POWER H ROUGH WIRING ` vJ �'fl �Q / Heating an Vent.,,. TRENCHES FORMS [ TEEL REINF. L / J/Jj/JL /. _2�JJy /'./4,4,(Q��jZ.&L ,3, �G //,��.q FLOOR SYSTEM^ .fJ CAa'"�J' 7 76' Ary/6�'•'jJ, `f/l RJ77 `� BOND BEAM J STEEL REINFORCE ❑ u C� SHEATHING 0 q ' '7D FRAMEAND FLASHING � 1'TQ, LATHING4— IN OUT ® ,f-41-TO PLASTER, BROWN COAT s--t.4---70 STRUCTU�'1�SsINAL / I-c ri I' _ " 'M-•" ., REFRIG. AND A.Cr�.,�FINAL x 671-7o r' ( • !fi,�i1' , An-70 O7y9--1^' I PLUMBING, FINAL AND GAS TEST I`^I �C v ; ZO _ , Jot i .-,v^% aa/ Inlet-, ELECTRIC, FINAL Y 'l0 Awry. BUILDING, FINAL (t kr/Iia 3 1006 /'/a 7+ 266Woo 748* *t*129.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC F gY D9 TE E EIVED DATE ISSUED BUILDING s._ /-� � / �Y 7° /-a.a-70 ADDRESS `J� 1,[,(,ffJ -Lv/�,.fl as , PERMIT OWNER Apollo Development Corp, A.P.NO. — 1 117 MAIL BUILDING Z . ADDRESS 1104 E. 17th Street ADDRESS 177.s i,Ua L. 0- L CITY Santa Ana NNO. 547-9673 TRACT 6694 LOT 58 BLOCK I- z Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH o I-LENDER U. S. National Bank X a m Main Office D BRANCH JN OWNER Apollo Development Corp. m LU ADDRESS 190 S. Broadway, San Diego VALUE ' •m ARCHITECT TEL. USE Dwelling $ 13,200 J C OR ENGINEER Kermit Dorius NO. 675-1164 O " " FIRE 'j.t7 w CC ADDRESS 3111 2nd Avenue, Corona Del- Mar ZONE TYPE GROUT - v d w APPROVED m2 CONTRACTOR Apollo Development Corp, BY DATE �¢ ADDRESS 1104 E. 17th Street ��('y' r W w TEL. ZONE NO.OF USE OF NEW�(J/0•t-t' Z1- CITY Santa Ana NO. 547-9673 (� I (PLANS BUILDING (JX/ ' f O STATE 252549 CITY 1690 YARDS NAPPROVED YARDS BUILDING ACCESSORY BUILDING N CC LIC. NO. LIC. NO. D O (FROM C/L STREET) SIZE 50X 99 NO.OF BLDGS. __ l OF LOT I NOW ON LOT FRONT i !/�7y FT. FT. USE OF 0 EXISTING BLDG. ___ FL SIOF 1 I FT. FT, Z NEW BLDG. 1584 ROOMS 7 STORIES 1 L.SIDE ^ n FT. FT. C EXTERIOR WALL Per ROOF / _ COVERING Plans_COVERING Shingle REAR / f FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a a MAIN BLDGS. ACCESS.BLDGS. Q VAR.# 1/ DATE 0 Construct new dwelling with C.U.P.#t ).5'(iK APPROVED 5 —)'o-- I- APPROVED , / rn Z � „ attached garage. [ �,{/ �/y/ TE 01/66y oI 0 I hereby acknowledge that I have read this application and state HOLD FOR SPEC(•L r that the above information is correct and agree to comply with REOUIREMFntTS CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of the State of California. ` So / m Z /4-8Q SQ. FT.2- ^ So• r 4?I hereby certify that I am properly licensed as a contractor under 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business 2 VALUATION /y and Professions Cod Division 3,Chapter 9. fl.do ad N / �] /� 00 PERMIT FEE $ OfC/ r/ O co Permittee Signature of qIt�. $ / /�`� ^ PLAN CHECK $ l�/Zr 0 E / o Authorized Agent u. TOTAL FEE $ /ay,0V