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Home My WebLink About1827 ORIOLE DR - Building Permits :at - CITY OF COSTA MESA .. 4 BUILDING DIVISION F •____..,��,,,,, ` . DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. ir‘111 • PERMIT 1300-02022 . 1 k (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cca uILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1827 ORIOLE DR Status: ISSUED Suite: Applied: 12/20/2000 Vicinity: Issued: 12/20/2000 Parcel Number: 13960305 Zoning: R1 R1 Applicant: FERGUSON, LEWIS ISSUED BY: Address: Phone: 714-754-1000 Zip: Owner SAWCHUK, RAYMOND G Address 1827 ORIOLE DR Phone: COSTA MESA, CA i Zip: 92626 Contractor: A PLUS SERVICES INC./A PLUS ROOF • Address: DBA: FOUNTAIN VALLEY ROOFING FOUNTAIN VALLEY,CA Phone: (714)775-1947 11237 SLATER AV Zip: 92708 License: 675241 Arch : Eng: Address: Address: Phone: Phone: . Zip: License: License: • SCOPE OF PERMIT REMOVE EXISTING ROOF, INSTALL SHEATHING,COVER WITH ELK PRESTIQUE 30 YEAR.COMP. INSTALL SKYLITE. ICBG 2469, NO CUTTING OF RAFTERS OR TRUSSES. ' FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,827.00 Permit: $139.25 Claim Valuation: $6,827.00 SMIP Res: $0.00 SMIP Corn: $1.43 Other: $0.00 Inspection: $0.00 Total: $140.68 • 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: 1 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) IEXPIRATION: 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-Th (� 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 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 hundred dollars($100)or less.) r ❑ 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 I should become subject to the workers'compensation provisions of Section 37 of the Labor Code,I shall forthwith comply-with.these rowsi G� ly /yy1 (]7� Applicant Signature:- . �p7 .t-r9-.+---^ Date: 19 /J b1 T/ ) WARMNG:FAILURE TO SECU E WORKERS'COMPENSATION RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),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 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# Contractors Signatpre:1 - 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 property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 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 Califomia 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 ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 13 Yes U No (Section 65850.2 of the Califomia Government Code requires that the requested information be fumished 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 Califomia Health and Safety Code). 7 If a permit from the South Coast AI 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 0 No B (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 oomph/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. Levo nSigr)pture Of Legal Owner(s) /c/�/Datex (And/orrA `r zetl'Appllcant IDDat`/e'1 ODE f INSPECTION TYPE QATE JNIRIAL6 CODE I INSPECTION TYPE PAIL 1/II101L$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final q �# 208 Final Plumbing 200 Final Re-Roof A-^L7� . '-` 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planningapproval 203 Final Sign 222 Final Sitecy(�.fe� <Z 204 Final Demolition 250 Final Buildin upancy �7 � Sad, u • inn OR1otC DIVISION OF BUILDING SAFETY Cosi; Mesa CITY OFA • APPROVED Date 1i Jaz This set of pier 4nd spesificarions MUST he knpl on nie p;,:at all times and is ur'a'Mu make any thangesorateraUoflwd withoutmake any thanges or alterationon samo without wrIdon naimissIoorcornthe.'::TalonOibuild and Saleiy,City at Cos i Mesa The stamp ng of lois plan and ape:rap:aoens SHIL t NOT he na;n to permit oro be an apprc -,1 - -rdinall:e andkkr State I ntthe violaen .tany p + Iw � '� 1 .r; (hese plans ane.I:mit..:_. „x,o..5i d t I I"O .:.and un:n If the buildin! p �:. . .r..., 'rt g::'.. 's of issuar •knrF is nOr:^.CT,Rc::?Cl r._ ... ... .._ .,n. .'r.�,. WDZcO a Nevi X-. uNoeelaable a& skol,*e Sktl,te -1c90 24+p9 P6 g9 4et Cu g : CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO, G7..5-7 DATE 3 - J-5 7o LOT NO3 �� //// ADDRESS /1;y ae/en_ F .22 • 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 (her-zinc they) (ur- 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. BY . • cbaser BY %le de Deve oper and or authorized representative BY Lender 4UTIII SAWCKUK, R. G. V"IE 8-27-76 JOB ADDRESS 1827. Oriole Drive BUILDING PERMIT NO. 47582 ` GENERAL CONTRACTOR Owner/Bldr_ DESCRIPTION of WORK patio Cover \AP No. 139-603-05 LOT TRACT FIRE ZONE VALUE Ssnn fin • INSPECTIONS Signature Date TYPE V GROUP j ZONE R-1 psolL• PERMITS ISS D [CGAs SUBCONTRACTOR Date Number Signature . WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 7 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND L] POWER 0 ROUGH WIRING Heating and Vent. . TRENCHES fl FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM El STEEL REINFORCE 7 SHEATHING FRAME AND FLASHING^ • LATHING — IN OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ❑ ELECTRIC, FINAL i{� BUILDING. FINAL 19.531 ct. 9.-.20.97 SPFCIAI REOIIIREMENTS t_ 42582MIC 27-7Cicns�OO20u3 t- ::****5.5O COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Onlynt to Fi lBY I l VED DATE ISSUED ADBUIDRESS .{.,LDING �l� 7 i(71 i/Ot 6...: �J IJ(1 1 OWNER / r tC• LJ�e�-)W I� //7.14 7� A.P.No/19409(7. a^^, ,L PE1,y1 ADDRESS /`/�sQ i2 / e /0/r/ LFA �+/Jr•(_ 4 MAIL ADIDRESS I tri \J�'OCL' �1 CITY W STA /7654 TNOL t.p i'i2O7 TRACT 4 J LOT.57 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER BRANCH I •! ADDRESS OWNER tekl. ARCHITECT /� /' TEL/(wy USE/� / VALUE de OR ENGINEER /C a A � &iIJX OW/'-b207 C FIRE ADDRESS c y 'i /LE ,z ZONE TYPE GROUP 1/ APPROVED 7 7 CONTRACTOR ,I��I�� i� // • BY ,I! DATE (� f !i ADDRESS �/ TEL. t- .•\ NO. BU _ CITY NO. PLANS BUILIL rT,�' STATE CITY YARDS APPROVED YARDS APPROVED gLIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE INO.OF BLDGS. (FROM D/L STREET) 0. OF LOT NOW ON LOT FRONT 1Lt$iv FT. FT. Q USE OF i tw EXISTING BLDG. R.SIDE �� FT. _ FT, CO \ ai ISeparate permits are required for L.SIDE `pt`. FT. FT. G electric,plumbing and heating work. REAR " 1 FT. FT. H.1 USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET. MAIN& CMAIN BLOCS. ACCESS. BLOCS. ..lVAR.* DATE ��JO ,�e_ C.U.P.# APPROVED a DATE u `iJ ribpeW k 0 I hereby acknowledge that I have read this application and state v+ t$ that the above information is correct and agree to comply with n m 4• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of W the State of California. I hereby certify that I am properly licensed as a contractor under4ÔSQ. FT. N 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 FE5E ONLY: . am exempt from the provisions of th- State of California Business �rI y VALUATION PERMIT FEE $ and Professions Code, • • .n 3,C .pter 9. /t!✓ • tn 5Sign / `-�0r— PLAN CHECK $ r m ature of i o Permittee ,..4_,.... $ TAX $ Authorized Agent ` TOTAL PAID $ 5, 6"o • ` 31915 PATO COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely _ �� g/Oh � P� RECEIVED Q.V DATE RECEIVED DATE ISSUED BUILDING JA,(/�OL/'J`•t/ 6-.9- 7 G-�7a ADDRESS //. 5/44.4./ fps 4.4/ �/,. /yERMIT NO. OWNER / l. v_7. <%Ryy� ./C1�/*Ci/C A.P._APNO. e""'�jj' '� " D MAIL ADDRESS IQa'7 C%ei c /P/z, ADIDRIESS`!27.44.z. P/ .file_ z . /// y _ dU CITY Co S7 lies4 No457420 TRACT 7 7 LOT BLOCK H C CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI 6H d cn- LENDER //JJ . J fn BRANCH J N OWNER �(., • .fei /'lA. <W ADDRESS CO J //��y�t,''/ VALUE Joe�. ' CO• ARCHITECT TEL. USE /�tG•G:�+/r/' $�!/7/ < OR ENGINEER NQ. U N FIRE WQ ZONE TYPE GROUP v,/—' K ADDRESS • 01 W • APPROVED /„�?_ Ill CONTRACTOR O/UtirE, ea�tOt./C. BY DATE (O ✓ 7 coz :1-cc ADDRESS ,�/r� L L ZO NO.OF // USE OF NEWde.44-L z i CITY NO. /L—� IPS ex B ..DIQN �'7�1,G-' _ _ P P4.�eu C'it.r co- O STATE CITY YARDS MAIN APPROVED YARDS APROVED CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 U SIZE I NO.OF BLDGS. OF LOT (FROM C/L S�T�R�E 1 I NOW ON LOT FRONT � �-f� FT. USE OF q tl 1/ EXISTING BLDG. R SIDE FT. FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES _ L.SIDE 7 FT. FT. VEXTERIOR WALL ROOF ' COVERING COVERING _REAR FT. • FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BE BET.MAIN& a I MAIN BLDGS. ACCESS. BLDGS. a '/ O 52746 - Fee,'77 a; S Pe/C- _CU.P.# APPROVED I- 17 -aY APPROVED C/3 /Curvet n /A- o Co✓e/C . (L1-1/(e--673 /D Z O (u6 / ec7' to 'Yax r/nre' t~.1 I 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. m Co ? I hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business rC and Professions Code, D' ' „n ,C apter 9. VALUATION of OQ PERMIT FEE $ vJ J°° N Signature of 'e��/ Z C $ .5 OO m Permittee ��((//�u�/ PLAN CHECK $ ` E 0 Authorized Agent ` $ io LL TOTAL FEE 65-,e T`OWNER SAWCHUCK, R. G. DATE 6-3-70 JOB ADDRESS 1827 Oriole Drive BUILDING PERMIT NO. 31915 GENERAL CONTRACTOR Owner-Blti I der DESCRIPTION of WORK Slab for Future Patin Cover AP No. LOT 54 TRACT 5767 FIRE ZONE VALUE $ 300.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1 _ :l GAIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER fl ROUGH WIRINGJ / Heating and Vent. TRENCHES FORMS n STEEL REINF. .41 ,'D /'ro • FLOOR SYSTEM �� ,� BOND BEAM n STEEL REINFORCE n 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 H ELECTRIC, FINAL BUILDING, FINAL x - 29904 MR 31-71crosi00 825, 0*****5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT BUILDING {{ n REC EJyD B -DZA^�/ECEIVED 3ISSUED ) ADDRESS /1 7 D,r/Oa C'/J• '/y 7/1 :/ ?lQ �u/�,y� /39-6D3- D PERMIT NO. BUILOWNER //.C' IT A.P. NO. �/ 61-2-1--d—&-• ,t{� � � � }/-T MAIL ADDRESS S NG / 0a 76 -WQ-&-• �.- Z ADDRESS S�refre WW7 TEL. // �J 2 U CITY ( r, `s4 �JA NO.S3".7 (�,i - ,7 TRACT(D /�/Jt/ LOTS/ BLOCK - Z 2 CONSTRUCTION NEW ADD ALTER REPAIR I MOVING DEMOLISH oN LENDER NO/V,t� tLillJ 7 BRANCH J(n OWNER Q W ADDRESS03 -I ��JJD 11°4/41- .Pyl/I.! y� ` //��A�A^JAI/e • -CO ARCHITECT —^ TEL. USE-612-441k �V at VALUE < OR ENGINEER NO. UQ FIRE 4..-----,w 2 ADDRESS ZONE GROUP d w / / APPROVED J O CONTRACTOR �p-C'G rc,��Q' BY ATE 3 .,� '7 mZ JK ADDRESS ,..92(c., ,e9.ca29 • J . W W TEL. ZO E NO.OF ,r USE OF NEW die/z I- CITY [pt,s.,p Are Ac NO.ex-f,riG K—/ PLANS p`, BUILDING Lv WU STATE CITY YARDS APPROVED YARDS APPROVED (JD CC LIC.NO. sa730. s- LIC.NO. 4220/ MAIN BUILDING ACCESSORY BUILDING 7 0 (FROM C/L STREET) SIZE , I NO.OF BLDGS. OF LOT A0.0 X 6r NOW ON LOT 1 FRONT FT. — '-FT. USE OF ,rkr � EXISTING BLDG. �- R.SIDE FT. Fl, I- SIZE OF NO.OF Z NEW BLDG. '- ' ROOMS STORIES L.SIDE FT. _ Q FT. Q EXTERIOR WALL • ROOF V_ COVERING - LCOVERI NG ---- REAR FT. _ J USE OF BUILDING AND WORK TO BE PERFORMED CL DISTANCE BET. BET. MAIN& MAIN BLDG'S. ACCESS.SLOGS. 0 Q Q / H VAR.# DATE O pD_a K G--J - , .en 5'X. vJ,w( C 6 Ort f C.U.P.# APPROVED X to /4,vX/( -0 !i /!, I— APPROVEDa DD ��/C” [' Coe-0,1/4/ SATE L ' 3- L9/-7/ Z O I I- I hereby acknowledge that I have read this application and state o m that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F-, any person in violation of the workman's compensation laws of CO the State of California. m Co ZI hereby certify that I am 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: o am exempt from the provisions of the State of California Business Professions Code, Division 3, Chap r 9. VALUATION `r^�J r �-' (g PERMIT FEE $ 01 Signature of m J�`/^ E Permittee �'� $ 2/1 \ PLAN CHECK $ CJ o Authorized Agent u N. TOTAL FEE $ ‘OWNER SAWCHUCK Ray DATE 3-31-71 v,J,OB ADDRESS 1827 Oriole Drive BUILDING PERMIT NO. 32904 ERAL CONTRACTOR Thoryk Concrete DESCRIPTION of WORK Blocky/a.11 1o. 139-603-05 LOT TRACT FIRE ZONE VALUE $ 315.00 INSPECTIONS4 Signature Date GROUP J TYPE ' 7]I ZONE H-]_ SOIL I PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ID POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS fl STEEL REINF. ljl FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING L " "NG - IN n OUT n ER, BROWN COAT S.,..,CTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL nil'' Hien rluaI P2 Q. {.� �(i�1 Ai • ,4`r. 30026 APR 17-6DPA)BCMS7.00 931 *** 186.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE D�� DATE IV DAT BUILDING 11—n' i ADDRESS 1827 Oriole Drive PERMIT NO, OWNER Jamaica Const . Co. A.P. NO. 'Znn26 MAIL 2850 Mesa Verde Drive BUILDING /.pa7 D /� Z ADDRESS ADDRESS d lL/Ole (/ - a U CITY Costa Mesa - NT O. 5490395 TRACT 67, 7 I LOT 54 BLOCK. Z ZNEW ADD ALTER REPAIR MOVING OFMOLISH Q I- 0- 03 CONSTRUCTION. ce5/. ,( F LEENNDDEE RCTI OIR 6 {(�tJ 4.44)1 atti 434-A) nTl�� J J BRANCH J N &rld..f OWNER 03 _I ADDRESS /ij/0/ — l'gF,nIs f(e w 8/�t� Z, A„ 1-��,/ �7,' /f �J 1 m m ARCHITECT TEL. USE ly RA .'Matt/Jan). VALUE _58' ' J Q OR ENGINEER Kaltenbach NO. 5478046 // y//,s�/ Z a' 1823 E. 17th St . t S.A. FIRE ZONE 31 TYPE ✓ GROUPS v,� W K ADDRESS �iv a w (/ APPROVED J Z CONTRACTOR, Jamaica Const . Co. BY DATE CO =8850 Mesa Verde Drive W W ADDRESS ZONE NO.OF USE OF NEW Sllltjl £ctIU, 0 r CITY NO. Rl IPI-ANS 2 BUILDINGHt� att gar. z_ I- Costa Mesa5490395 111 O STATE CITY YARDS APPROVED YARDS APPROVED CO Ir LIC. NO. 193122 LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT I NOW ON LOT O FRONT ti 6 FT. - FT. USE OF EXISTING BLDG. R.SIDE �7 FT. FT. Z NEW BLDG.I— SIZE OF 2620 SQ. F' 'oaMS 9 STORIES 2 L.SIDE t'$ FT,- FT. tat EXTERIOR WALL ROOF 5 _ COVERING Wd/stUC VERING wood REAR 23• FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& Os' single family residence MAIN BLDGS. ACCESS. BLOCS. 0- Cr Q w/att . garage VAR.# DATE O C.U.P.# APPROVED I— Plan 262-AR APPROVEDay W. L. D. DATF 4-10-69 O ` U I hereby acknowledge that I have read this application end state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of N the State of California. 42 T #S 9 2% N ZI hereby certify that I am properly licensed as a contractor under '" '-COV t%S O. FT.(/��f/`.5—'10 Ad 7/� p 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: si am exempt from the provisions of the State of California Business cc VALUATION and Professions Code, Division 3,Chapter 9. /a Vie U PERMIT FEE $ / D Signature of (-.I DD m , Permittee 'Tamales Constru tion Company $ 3 O oa PLAN CHECK $ E Authorized Agent /Fe i a a IL TOTAL FEE $