HomeMy WebLinkAbout1700 MINORCA PL - Building Permits CITY OF COSTA MESA .
BUILDING DIVISION
F 'A;F 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
S. `�fl • FOR INSPECTIONS CALL:(714)754-5626
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PERMIT NUMBER: P09-00012
PERMIT TYPE PLUM STATUS: ISSUED
APN: 13932202 DATE ISSUED: 01120/2009 •
ISSUED BY: RMD
JOB ADDRESS: 1700 MINORCA PL CM - --.:Suite/Unit.
Vicinity:
SCOPE OF WORK: PLUMBING PERMIT•FOR'GAS LINE REPAIR LOCATED AT SIDEOF"HOUSENEAR MEATER.-
OWNER: SCHREIBER JOAN-R.-P ^ :Address: , 1700 MINORCA. ..
PHONE: ' - -..City/State/Zip: • COSTA MESA/CA , -.
APPLICANT: REA, DIEGO Address:- : P O BOX 3249
PHONE: 714-953-1111 - - - City/State/zZlp:��. .SANTA ANA, CA.
CONTRACTOR: JOHNeFLY�NN ORANGE COAST PLUMBING, INC. License No."' 596002 - ';; •
Address: P O BOX 3249 S - ,. - , • - PHONE:. 714=953-1111 )
City/State: SANTA'ANA, CA-'• `-• ZipCodei 92703. - • :. - CELL: •
ARCHITECT: License No- - - •-c e PHONE:' .
ENGINEER: " - LicenseNo: •- PHONE:
PLUMBING PERMIT FEESE-USUMMARY
PLAN CHECK FEE: - .. $0:00
PERMIT.FEE - H. $33:30-,;. ' '•
TOTAL FEES:. - $33.30
•
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 CODES INSPECTION TYPE DATE I iAlL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical • n [� w/
1266 Pool Spa Final 208 Final Plumbing I_a I- oO 1 I.l1Y
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention .
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy - •
WORKERS'COMPENSATION DECLARATION: - Owner ID verified by driv.. ..sense. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
•
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownershi
compensation, as provided for by section 3700 of the Labor Code, for the P b Y(type of document,i.e.-property tax bill or deed):
performance of the work for which this permit is issued.
0 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. My workers' compP4sation Insurance carrier a olicyR ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are J---LAgOrKe-t .r.� CO. cn"••ll.a_ person is required to descend,will be made in connection with work authorized
1'A.1� by this permit,and that no building structure,scaffdding,falsework,or demolition
zanier: S�or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(Thisseda need not be , ed smecennaaa wed at one hundred atfars(ar00J or less.) 2 Art 2,Sec.341,Title S,Califomia Administrative Code).
Policy Number: �)S.- I 5 L ) COQ 0
❑ 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
• e a • - .de,I shall f.•h a ply with these provisions. ]
�---_ - , e , /1) � h//[t Division of Industrial Safety Permit Number.
•..gam's signature C/f(Ja/te 1 HAZARDOUS 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? ❑Yes ❑ 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 lime 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? El Yes 0 No
A 2
Lig-
#-' h ("0 MP-. Class ( ;,7� 3 (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
(9///z0 �9 each business which at any one time has on hand a quantity of acutely
tV'.wactora—lgnawre; Da(e 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).
❑ I 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 for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ 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 Califomia
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
Nat he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Information be furnished on applications for non-residential building permits).
Business and Professions Code) of 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 0 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).
El 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? 0 Yes 0 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
sale. If, however, the building or improvement is sold within one, year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE:'I'certifythat 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
property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
❑ I. as owner of the - .. .. . •
LJCENSED 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
0 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 o ter(s) ate
Signature Date (/�
305746(3/07) - `I Dr logo
And/or Authonzed Applicant .Dale
7
.tet
x40.1 DRESS: 1700 MINORCA PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 053.982
OWNER'S NAME: JOANN SCHNEIDER - '
• /ADDRESS: 1700. MINORCA PL PERMIT NO: B 053982 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92626 .
CONSTRUCTION TYPE: V N PERMIT TYPE:. STR PURPOSE: ALT
549-4238 • -
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF RESHT REROOF W/ COMP . • ' ' SQ FT: • 7, 000 .
. ADDRESS: UNIT: . '
•
•
• • CLAIM VALUE: . 7, 000 . 00 CALC—VALUE:. 7, 000. 00 GROUP OCC: R-3 /
PERMITTEE: CARTER BUILDING CO ( 714 ) 832-6345
. ADDRESS: 4790 IRVINE BL8105 261 COMMENTS: T/OFF RESHT REROOF W/ COMP • . ' • -
IRVINE CA 92720 >ESL*TE**************aETE******** ******xE****xE********>E*********xEat*+E***>E>E*********** ',
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS -
• 7000)of Division 3 of the Business and Professions Code.and my license is in fun force and effect. S E T B A C K S
CITY LIC.: 054237 STATE LIC.: 60854 CLASS' -
Dale, `�'/S��l/ Signature: -" MAIN BUILDING . ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT 'IN RGHT: FT IN LEFT: FT IN RGHT: FT ' IN
POLICY ND.: 1191917-91 EXP. DATE: '04/01 /92 •
COMPANY: STATE • PARKING REQ: PROV PARCEL: 13932202 ZNE: REF NO: '
® Celled copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. PLANNING NOTES>
•� ;e: q`-1'�� Applicant: :lp.r l.I// C(T� !E*************'***!E**3E*****7E*IE***IE*3f********************'*****iE*******:*****1E****1( .
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sertion need not be completed if the permit is for one hundred($100)or less). D E V E' L OPMENT SERVICES R E Q U I R E M• E N_T S
I ceitify 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 ) i
subject to the Workers'Compensation Laws of California. ' , ZONING APPROVED BY DATE: '✓-`. •
Date: Signature'. . .
NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : _ _ DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.•
'
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL I CAT ION ISSUED BY: r DATE• �J/ /�/
which this permit is issued(Section 3097.Civ.C). **********.************ ' -.:x;t :'_'„=:, ---- •41 ********IE*�E*.***T*iF;►*
LENDER: • ***************************************** ************************************
• ADDRESS:' LEGALIZATION:N F E E S M M A R Y ' STRUCTURAL SEGMENT`:Y
' OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reasonBLDG PMT PLUMBING ELECT' C MECHANIC • FIRE SMIP/RES. ' GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish.or -PERMIT90 . 00 . 70'.
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she-is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN .
and Professions Code)or that he/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(3500). ISSUE FEE ,
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ,” DUE
❑ structure is not intended or offered for sale(Section 7044,Basiness and Professional Code: The Contractors'State License Law ' TOTALS----> 90 . 70 0. 00 0. 00 9 0 .70 90. 70- .00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees. provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> - COLLECTED: 9 0.70 OVER/SHORT: 00
. improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING .PLAN—CHECK
90 . 00 .70 r' ,
�'`as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business '
AS Id Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - v.
r
�
. '1. „ud who contracts for such projects with a contractor(S)_ (ense pursuant to the Contractors'State License Law).I am aware ***************************************Kf*****************************'********** •
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWNje
❑ • I am exempt under Section: 8.&P:C. • •
loithis reason:. • ' TYPE QTY DESCRIPTION . • UNIT COST TOTAL COST
Date•. 'Owner SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 -"- 7, 000 .00
I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that 1 or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a _
permit for construction or modification from the Air Quality Management District_Residential construction applications are exempt from
(hese provisions. ,
Date. • . Applicant:
I hereby certify that I have read this application and state that the above information is correct,I agree to comply with all city and county — -�
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned -- - '' --
property for inspection purposes. .
q G j(�)��� /;
�—.� Dale: /'E / "`/( Signature: bFS��+""`
Driver's License or Social Security a: , . ' ' —
,_—
164146 White-Building:Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor _
IS - CONSTRUCTION AND PLANNING - y ' POOL 8 ' -
4
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1. Temporary.Electrical Service or Pole - - 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. y,.t 53. Steel Reinforcement
' ',3:: Electrical Cond iit,Utility-ISndrgrndf . 54. Forms • •
-- 4: Electrical Conduit-Undrgrnd. - 55. Electrical Bonding -
••` 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test `
o S t •
"6• Electrical UFER Grnd. -t• 57. APPROVAL TO COVER;GUNITE
•" 9,4tFdotings " *• 58. Electrical Conduit-Undrgrnd.
J 8.'Foundation -` 59. Gas Pipe, 0 Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. , - 60. Backwash Lines, P-Trap, 0 Undrgrnd. '
•
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection i 62. Backwash & Receptor-Final
12. Sewer CapY i' - 63. Heater & Vent-Final a
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing r- 65. Electrical-Final
15. Rough Electricat-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT •
20.rRough Factory Fireplace i -;%: + • :.-r+ .r ,APPROVALS ,?"Permit # v
I.A ' 'w ' ; F ?'__.• " I21.'Duis, in Structure rc -. . -,. J0. Undergro`ti Hydro
•
22- Ducts, Ventilating • ^> •. •-• ;T.; < "r -s71• Product•Riping 0IGas C Oil
. 23::Gas Pipete Rough&•Test -\• In .-- x '72- Underground Flush:ty, i
24.rRodf Framing - - - • r -- 7 �:, x 73-oUndergrnd•.StoragerTank 0Gas�0Oil
25. Roof Sheathing : - t_-' (7.-.2r5-11 ,£(C-# `743Overhead'Hydra= ` `-, '
26.'T-Bar Ceiling (Structural) &•Monocoat T p 75 Dry Chemical �J
27:-2Frame and Flashing' 11 a r ' t 76`firy StancUn19e C.i.. ' v 't •x7
-28"'Lathin & Sidin - .. ., >• r ` '' .,: ' ') - I
9' 9 - z r 77 FIXED SYSTEM FINAL
29. Insulation „ " ' s r l'1 i t < 78?FIRE PR EV. FINF,L ; .-, ,r: ?, I
1:30. Drywall,Nailing z x I I r ri. HEALTH_DEPTi. REQUIREMENT
31- Plaster"Biown Coat- 4. 79PPFINAL INS�ECTI9N • J
32.;Electrical Power Meter-Final. - y � ;. s ,,80.yFOOD CERTIF(CATE ISSUED- I
33:1-Final Electric - " c v W I 4 >
,- :o.,"Notes• - v - } -, _ " I
, .i)n
T34. Final Heating& '.ir,Cbnditioning ,' • " i '` ` L
35. Final Gas Pipe-Test' s I - �_ t •' _ I
i,36.'�Hog;l or Canopy , -. : - f - " ,• V:,= I
• r i
37::Final Factory Fireplace �' + - id I
38. Final Plumbing ` r ; L; - ( n ` ' y _
Ft S I
<<39. Waier Service-Final i I N- t. a tr -r x !
40. Gas Service-Final .; J. r,,, . tr• 'r• ''=" '' I
1'41. Solar Domestic-Final, .: -> fi ,_ - !
.. ., • -r (
42?Backflow Preventer '•'. i r .-- ' I
I Lt .. r-. 7.,--
43. Backflow Irrigation. u._: _ +. ' I
'a- _ , . .. 0,
'44. Landscape !crigationSystem,: '• L. L.. .... :,
's ' t_5 .d ' �-: `_ I
e •
>45.-Sound Attenuation u' Ir . >: .y i I
�46.� Handicap Regulations - I
47.,FINAL STRUCTURE & BUILDING �_(JX/ 64.,/e: rs':G, � �
48:'FINAL PLANNING � 7" ' : of i e v :: .'�` 1 . - I
„49,Electric Release to.'Edison ; , , x u, I • l I
ti -
50. Gas,Release to Southern California Gas Co '` i h ; R. . O,h '1 0 I
51. CERTIFICATE OF OCCUPANCY -'- $
No Date
(
I
OWNER VAN HOOSEN, MR• DATE 3-16-bb
JOB ADDRESS 1700 Minorca Place BUILDING PERMIT NO. 25401
siGENERAL CONTRACTOR Gene Parker DESCRIPTION OF WORK Add Family Room to Res.
AP No, 139-322.-02_ LOT TRACT FIRE ZONE VALUE $ 5,550.00
Pil
IN"nECTIONS Signature Date GROUP I TYPE V ZONE R-1
7 I PERMITS ISSUED
Gaa
SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing ././C. -41-4A en Y 1391, 2/-/-6b yT/NNN iK—
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power O
Rough Wiring Q Heating and Vent.
Trenches,® Forms a Steel Reinf. ® ,Th-4, 2 -t=
Floor System - --
Bond Beam 0 Steel Reinforce ❑ - - --
Sheathing ' Mr a
Frame and Flashing /E1}/' Arc
Lathing —In e§ Out 3 qty ow.:
Plaster, Brown Coat ✓7 5/4-5' c_F
the
_Structural, Final Elec is
'ing, Vent., Refrig. and A.C., ina�- % 1 �� / 5-(o/n o>'✓ O y
-abing, Final and Gas Test .' (4W - /
Electric, Final - •.Z .
Building, Final /I 9.e- , C
x 25401 CITY Or COSTA MlcSA
--'s COSTA MESA BUILDING-SAFETY DEPARTMENT ' MAR 16 1966
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9282E - •
Nimismisizeggmair
For Applicant to Fill In Complotoly ��JJ IC.�jI wit PERM
�8i!
TYPE OR PRINT
/� --For
ADDRESS /7e4 Ali AlRUILDING
A P4.4
RECENT NO. FRIMIT NO.
COSTA MESA. CALIFORNIA of 5.-VO(
RECEIVED AT RECE IB D
OWNER M.P. V A.Al I1 e o s C Al /y'1/' J � �-� /41
MAIL BUILDING / q 0
ADDRESS Pit O M I NhJ /2 ti' A IRE ADDR
/I y ,1/ TEL ZONE TYPE GROUP C
CITY[ C 4 / ,.- /"/ C^' j 4 NO.
APPROVED ({ /
ARCHITECT ` g- ` ''I No./,�'• r BY' DATEW
OR ENGINEER J Y� •JQ� [�(� A/ NQ.V J� / F�
•� / /1 ,(
IIINING
RESS7 / `/4 1V L ../♦•\ ' ipj(��' NO.or UBBOPNEW
• CONTRACTOR
CI C N P /9.4.P KPS I— ( I PLANS �/ BUILDING
LEGAL 'l3 'J jfl
• ADDRESS /A S3 Sia e s,i n i n b r • DEECRImox 1� V �'� �(qJ df
CITY 1 .11 S TA C S �V'' . A.P.NO. J -3a1 ` G Z
NOTE, NO EAVE OVERHANG SHALL BE LESS THAN
STATE ..yy TEL �L// SO•TO SIDE 8 REAR p.L.
!Tett �J � 7� NO. /'1/�li /, i•�
EAVES
SIZE
OF LOT 7L �f 7•Cr1 ' Vt4 SNOW ON LOT l ALLOWED•
(U.B.C.REQUIREMENT)
.Z YARDS APPROVED YARDS APPROVED
USEI b LAr to L I. MAIN BUILDING ACCESSORY BUILDING
EXISTTING BLDG. ! N G (FROM C/L STREET f _
SETBACK LINE FROM FR•NT IS, A A �� PT.
CENTER OF STREET REAR YAR•• .. ll
SIDE YARD I LEFT & I I RIGHT / R.SIDR ITT.
DESCRIPTION OF WORK L SIDE 6 PT. — PT.
it
NicK _ ALTERATION ADDITION I REAR . FT.
DISTANCE BET. BET.MAIN&
FAIR MOVING DEMOLISH MAIN 131-DOS. ACCESS.BLDOS.
BUILDING NO.OP VAR. DATE
SIZE ROOMS STORIES C.LI.P.* APPROVEDE // /
COOVERNGWALL I COVERING �ROOF PROV[Dii. i/ t -/6IO-U
USE OF l NS AND WORK TO BE PERFORMED R.
W
AtA4IL 1 ,pA,c . /e7.5- , f/J _ e SQ.FT. et
I HEREBY ACKNO DOE THAT-I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE G
AND STATE THAT ABOVE IS C ECT AND AGREE TO COY. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CI OINARCES D ATE REGULATING VALUATION
DUILOINO CON N.SIGN1.� PERMIT FEE a2/! d� W
PERMIITTE�OF
`•,1/�' l f�� -tel�, M E
Y 0 wLI
a‘53.5.K.
I PLAN CHECK SI0,3
AUTHORIZED AGENT R
APICIalingalrISCI p TOTAL FEE $3) .
\-, 7, •�� ��s FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT f"f'.R6 1961
P. O. BOX 917 COSTA MESA. CALIFORNIA . FINANCE DEPT.
For Applicant to Fill In Completely APPLICATIDNI WRCPERTv11T-ESA
TYPE OR PRINT BUILDING
BUILDING � �;
ADDRESS Vi33 tic,: -/ cA
C- •
COSTA MESA. CALIFORNIA For Office Use Only
Investors Marine Inc. I RECEIPT No. 11:3J.ra-ryc>a
OWNER e3
RECEI?' 1 BY DATE. RECEIVED ,I ,DATE IHSUED
ADDRESS11600 W. Coast Highway �/�% .JJ GI /� ,•"K ° 'ds�
Newport Beach,Calif. TELMid y BUILDING /700
�jO o A�
CITY NO. -1� 5 ADDRESS
ARCHITECT same TEL COSTA MES . CALIFORNIA
OR F"GINEER NO.
FIRE
AL r
ZONERTYPE GROUP
CONTRACTOR Mesa Verde Builders, Inc. APPROVED
BY DATE
1653 Minorca Drive ZONING
ADDRESS
Costa Mesa,Calif. ZONE NO.OF SZ OF NEW)t4.
CITY 1 PLANS r BUILDING .o Y-,A (,tom/ .
\I �l t(lYr
LIC..NO. 181269 TEL. 9-0395 LEGAL
DESCRIPTION \ r. 4'ODE �` � a
SIZE 71.501 x 951 I NO. OF BLDGS. 0
OF'LOT NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM /01 REAR YARD 271 (CENTER LINE BT.) /'
CENTER OF STREET "F FRONT 41 FT. ' IN.
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE ST. IN.
DESCRIPTION OF WORK L.SIDE FT. IN.
NEW—.7Th
X V ALTERATION I V ADDITION I , REAR p 7FT. IN.
E ' I II MOVING VDEMOLISH BYPROV{Q 1/ tr DATE 3-Ip/
BUILDING1700 Sq. t• ROOMS 7 STORIES 1 W
SIZE gee EXTERIOR WALLS iding I ROOF Syee ory O or
COVERING & Ct11CP0 COVERING 9 g J .-) //
USE OF BUILDING AND.WORK TO 9 PERFORMS . /
single family residence and garage Q_ _ JJA p
Model No. 750-AR
Attached garage 462 Sq.rt.
I HEREBY ACKNOWLEDGE T T I HAVE READ THI AP LIGATION
AND STATE THAT THB1A O IS CORR AND A RE ITO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O NCEB AND STATE LA GULATING
BUILDING CONSTRGCTIO VALUATION /�
SIGNATURE OF / IL� N PERMIT FEE $ 7 —
PERMITTEF G B
$ ,/ eaL/0o PLAN CHECK 5 ���'��
I .
AUTHORIZED AGENT /O/,J O` 2
,.,. . . _ TOTAL FEE $ (