HomeMy WebLinkAbout1824 MONROVIA AVE - Building Permits �o501114. CITY OF COSTA MESA
e CALIFORNIA 92626 P.O. BOX 1200
Fri • .•� 1 >e
IsFROM THE OFFICE OF THE PLANNING DEPARTMENT
-`.RPORGtEO.:
April 6, 1976
The City of Costa Mesa wishes to advise you that in revising street
addresses, the following addresses have been changed:
OLD ADDRESS NEW ADDRESS
898 W. 18th Street 1824 Monrovia
Bldg. C units 1 through 5 Units A through E
For your convenience we are listing the agencies below that we have
notified of the change. In addition to those listed, you are advised
to notify your correspondents of the change in order to avoid any
possible interruption of mail service.
Your cooperation in this matter is appreciated.
Very truly yours,
Charles W. Roberts
Director of Planning
cc: Board of Equalization
County Clerk (4)
Orange County Tax Assessor
Pacific Telephone
Registrar of Voters
Southern California Edison Company
Southern Counties Gas Company
United States Post Office
Bond Department
"'Building Safety Department
Communications
Costa Mesa County Water District
Engineering Department
Fire Department
License Department
Police Department
Public Works Department
Street Department
File
CMF 0064-26
711111
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 2017 - 7.I JO�B I. _BeBO
CITY OF COSTA MESA PERMIT NO: -TRACT NO. LOT NO -• -BLDG.NO.- - - • ' -_ .
ttONSTRUCTION PERMIT E 43 V a •
a • 7=
'Project Address /fi A M0dRy/A - 1/6• TYPE OF CONSTRUCTION - -
,Owner u1 r 81 ,-BnitocQ ,- - Phone ❑'NEW 0 ADD 0 ALTERATION - `-,sn :
Address/Rt- A At wdilni//4 AyCz 0 REPAIR 0 CONVERSION 0 DEMOLISH ZONING REGULATIONS -
Arch/Eng. . .. - '^ - License No; - ❑.OTHER ' ' A p i •- .*
DESCRIPTION •'• • •
, Address - - - ' - • -- _. ' ' ' - - "- ..- ZONE - PLNG. REF.'1!- . -
Contractor - /, - - -Phone _ 'TYPE OF PERMIT - BUILDINGClL ST. TOBUT LDINGERTYNE '
• Address' --- - /// - • - - 0 GRADING 0 FOUNDATION 0 STRUCTURAL - SIDE
LEFYARD- ' '- -' _ -
LICENSED CONTRACTOR DECLARATION • 0 TENANT xi ELECTRICAL OPLUMBING ❑MECHANICAL • SIDE YARD • - -. .
I hereby affirm that I am licensed under provisions of Charter 9-(com- • - - RIGHT
mencing with section 7000) of Division 3 of the-Business and ❑ OTHER - - .
Professions Code, and my license is In full force and effect. REAR YARD(TO P/L)
PROJECT DESCRIPTION
License Class - License No. _PKG.SPACE REQ. PROVIDED
te _ Signature "— .'- _ SQ. FT. .
Da - -
._
WORKERS'COMPENSATION DECLARATION - _ . 'OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$
A
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE r ZONING APPROVED BY DATE
certificate of Workers' Compensation Insurance, ora certified copy - - - - - - • - -- -- -- - ' SPECIAL CONDITIONS • _
thereof (Section 3800, Lab.C.). GRADING-CU.YDS. ACRES -
Policy No, - Company - _ _ - _ . . . -. - -- - -
*Certified copy is hereby furnished. - - REMARKS:' ', - —- - . _ . _. _
Certified copy Is filed with the city Building Division.
•
EXEMPTION-FROM WORKERS' COMPENSATION-DECLARATION •
(This section need not be.completed if the permit is for one hundred -
($100) or less). . . • - ._ _ ._ _
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 PLUMBING-• . PLAN CHECK -
- ELECTRICAL -' • PLAN CHECK -
Subject to the Workers'-Compensation Laws of California. ..- .. - - • ,UW ILLI N(e teH HHGE - •
Date Signature BATHTUBS SHOWERS 5O FT SO FT - r• ` •
NOTICE: If after making this declaration, you should become'subject TOILETS.. _ URINALS - " " - GENERATOR - 0-1 KW 11'0 KW- •
to the Workers' Compensation provisions of the Labor Code,you must - -TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - -- '" •APPLIANCE '10-50 KW_50+KW --
revoked. - .. - "-- KIT.SINKS DISHWASHERS --"- ' MOTORS - 0-1 HP_1-10'HP - "- -
;CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -- . SUMPS -- - - - -- ' • (INC.SOLAR) 10-50-HP 50+ HP- ...
tormance of the work for which this permit Is issued (Section 3097 - - - '•
Civ. C.). - _ - FLOOR-SINKS . • FLOOR DRAINS - -- -- FIXTURES -OUTLETS -. SWITCHES •
Lender's_Name _ _ _ _ -
Lender's Address DRINKING FOUNTAINS - - GAS TUBE SIGNS '
OWNER BUILDER DECLARATION' - - INTERCEPTORS CLARIFIERS • - POLE LIGHTS " - - --
I hereby affirm that I am exempt from.the Contractor's License Law for -
the following reason (Section 7031.5 Business and Professions-Code:- 'SWIMMING POOL • - P TRAP' ' - - - - LUN5I HUL I iUN . _
Any city or county which requires a permit to construct, alter, POLES METERED SUB _
improve,demolish or repair any structure, prior'to its issuance,also re- WATER SERVICE ALTERATION ' - - • PANELS ' - MAIN" SUB
quires the applicant for such permit to file a signed statement that he - - - - _ .
is licensed pursuant to the-provisions of the Contractor's License Law GAS SERV ICE OUTLETS - - '
(Chapter 9 (commencing with Section,7000) of Division 3 of the _ SERVICE AMP
Business and Professions Code) or that he is exempt therefrom-and the WATER HEATERS BTU OUTPUT • •.S.-
basis for the alleged exemption. Any violation of Section 7031.5 by ' '
applicant for'a-permit"subjects the applicant to a civil penalty' SEWER CONNECTIONS - - -
t more than five hundred dollars ($500). '
, as owner of the property, or my employees with wages as their SOLAR TANK" - COLLECTORS - - •' ' - ' -
Soit compensation, will.do the work, and-the structure is.not intended p
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ISSUE FEE - -' .,
Contractor's License.Law does not apply to an owner of a property. . .- - APPLICATION-APPROVED BY - DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF-FEES
is sold within one year of.completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING - - ' - -
❑ I, as owner of the property; am exclusively contracting with HEATING SYSTEM 0-100,000 BTU - PERMIT $ -SMIP $
licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU PLAN CHECK $ PERMIT
and'Professions Code: The Contractor's License Law does not apply to -- - - ISSUANCE $ -
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING- $ •
tracts'from such projects-with a 'contractor(s) licesned pursuant to SYSTEM'S - - . - r GRADING $
the Contractor's_License Law). 100,000+BTU PLAN CHECK $ -
❑ I am exempt under Section - _ B.8 P.C.for this BOILERS BTU •ELECTRICAL $•, $
reason - - i i . (PLAN CHECK $ MICROFILM $
Date - Owner SYSTEM REPAIR,ALTERATION --•:r• TOTAL FEE$ •
' MECHANICAL $ -
I hereby certify that Lhave read this application and state that the above- EXHAUST SYSTEM MULTIPLE ' LESS AD-
information is correct. I agree to comply with all city and county PLAN CHECK $ - VANCE PC $_ •
-
ordinances and.state laws relating to construction,and hereby authorize •-
representatives of this city to enter upon the above • enti• ed
property for i•sp• ion .rposes. . . ,
Signature - • Dae G FINAL FEE $_
Drivers' License or S If � ISSUE FEE • • - - - - -
a
CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
r ..
CONSTRUCTION AND PLANNING i POOL&SPA . •
9,.. . Date •Inspector Date Inspector. •
APPROVALS Permit# - APPROVALS Permit#
1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - '- '� •'.
2. Soil Pipe-Undrgrn ' ' 44. Steel Reinforcement •' •�
3. Electrical. Conduit Utility-Undrgrn . 45. Forms
4. Electrical.Conduit-Undrgrn 46. Electrical Bonding - -
5. Steellleinforce 47. Rough Plumbing & Pressure Test
6. - Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE•
7. Footings 49. Electtical Conduit-Undrqrn •
_ 8. -.Foundation - . 50. Gas Pipe, ❑ Undrqrn,Test '
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. E Undrgrn
10. Structural Floor System 52. APPROVAL TO DECK
11._- Property Sewer Line & House Connection - - 53. Backwash.& Receptor-Final •
• 12. Street Sewer Connection - - ' 54. Heater &Vent-Final
13. Rough Plumbing _ - - 55. Plumbing System -Final
14. Rough Electric-Conduit .56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16: - Rough Heating & Air Conditioning 58. Fencing &Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING '
•18. Ducts, Ventilating. .
19. Gas Pipe-Rough &Test • 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing - - - - - '
21. Roof Sheathing - - •
22. Frame and Flashing - - NOTES: - • .
23. Insulation . - . . . . -
24. Lathing & Siding
25. Drywall Nailing - - . - - . .
26. Plaster Brown Coat -
• 27. Electrical Power Meter-Final %•-Q--1) SCG .
28. Final Electric •-. C'-t•f•-$l Q,Y'(J -
29. Final Heating & Air Conditioning •.'• -.
30. Final Gas Pipe-Test
•
31. Final Plumbing .
32. 'Water Service-Final
33. - Gas Service-Final -
34. Solar Domestic-Final • -
35. Landscape Sprinkling System '
36. Sound Attenuation -
37. Handicap Regulations _
38. FINAL STRUCTURE & DUILDING ,
39. Special Requirements Completed ' • '
40. Electric Release to Edison F- c-?J ‘11g
41. Gas Release to Southern California Gas Co. •
42._ CERTIFICATE OF OCCUPANCY
No Date
- - -
MOBILEHOME ' INSTALLATION INFORMATION
PARK I .D.
NAME IPE&az CL!; ./3 NO. SPACE2. S
TENANT a, PARK
NAME 774471hI y // ADDRESS /8 41,5 /7cw7?h L, iA
CONTRACTO /�/ / LICENSE CONTRACTOR
NAME N•tir/Z ///l1 f/ NO. 7A9/y_3 ADDRESS £O 2 it/ /41l/1 AC (Z
63 y' '1
I
clay ` f cost. Mesa s itdl STRUCT • '
L APPROVAL
��;p{;� — bNLY
BY_ DAL AN TI:S ARE REQUIRED
THESE '--NS M ST BE ON 308 AT ALL TIMES ! FOR ELECTRIC!,; PLUMB!.!!'
, MAKE NO • AUG 5 WITHOU' PRIOR APPROVAL �, F
OF DEPT. I _ MOBILEHOME
- __HEATIr' , WEN RA w
SLATING A,ID
THE !SWAN'E ORrNNNG
OFF PERMIT OR APPROVAL -;;f�R`.�if-'dnI ON WORK F
OF PLANS AND SPECIFIONS fHAL . NOT BE CONSTRUED �J Gf (A
TO BE A PLR A FOR, AAPPRO\ d OF, ANY VIOLATIONgp �y CF ANY OF 1: E PROWS)/HS ur i hr.. .ODE. NO PERMIT PRE- Permit #__— 7
SUMING TO 'IVE AUTHORITY TO VIUUVt OH ()MULL Hit IhiJ NUT U' bif!,^,f !{uGy:4,!Apjy J
PROVISIONS F THIS CL DE SHALL BE VALID, EXCEPT IN SO ALL Ih wEOTIO ; REQ JES ' I
FAR AS THE ORK OR j24LaFk!sc
WHICH IT AUTHORIZES IS LAWFUL. 1 --- -
THE i.SUa NrF PLANS AND -- _-.— __-
SPECIFICATIONS SHALL OT PREVENT THE BUILDING OFFICIAL : r` u. :S =S A " .r®-:
FROM THEREAFTER REQ' (RING THE CORRECTION OF ERRORS L'- ,P�O1'JJ V s,.•� il Tkc
IN SAID PLANS AND SfI CiPirrTIfNc OR FROM PRFVF.NTING if i 2i ` _ ,,'„,:-1
BUILDING OPERATIONS BVLFcING CARRIED ON THEREUNDER WHEN. �� 1 1 _ ;)2.-,:g 4 • l 'j:,i •AWP .
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE PLOT PLAN C 'rz. fi ii, t
OF THE CITY. e -------L I
LOT UTILITY SERVICES MOBILEHOME DATA
GAS: NATURAL LPG SIZE: LENGTH Se (ft) WIDTH 29 (ft
RISER SIZE '�/l� MANUFACTURER: �/A�,� L{)_FST
DRAIN INLET: SIZE `7.3'/ VEHICLE SERIAL NO: Ep 7/
WATER OUTLET: SIZE 1/4/ HCD INSIGNIA OR HUD LABEL N9: 2op, 729 -;C
j GAS SUPPLY INLET SIZE: �/
GAS CONNECTOR: MATERIAL ,B,�,q_$'$
ELECTRICAL: CAPACITY
ZSt c e BTUH
EQUIPMENT RATING
So (amps) DRAIN CONNECTOR: MATERIAL A/3s Sc SO
CIRCUIT BREAKER MFG. /y).4Z�3,-/
RATING ,SQ (amps) WATER CONNECTOR: MATERIAL `oPPEQ
SIZE Vi3
El PERMANENT IE POWER SUPPLY ELECTRICAL FEEDER ASSEMB Y:
WIRING CONNECTION CORD CONNECTION RATING (amps)
CONDUIT SIZE
RECEPTACLE RATING WIRE SIZE & TYPE
ELECTRICAL POWER SUPPLY CORD:
SO (amps) RATING SO (amps)
❑ PERMANENT OR Q TEMPORARY STEPS MOBILEHOME ELECTRICAL
PROVIDED AT TIME OF INSTALLATION NAMEPLATE RATING ...co (amps)
6/77 HCD 538 - MHI APPLICATION SUPPLEMENT -9-
41,
PIER
SPACING
1
I
0- - - --o-- ---O-----0- - -- -- --0-----0-----CI
III • •
D---—0----0-\--0- ----0-- - —0-- ---0--- --0
•
COLUMN SUPPORTS
0-----C- ----O- - - -43-- --- - --D- - ---O - --C
4
•
MOBILEHOME SUPPORT PLAN
MOBILEHOME DATA LOAD BEARING SUPPORTS
MANUFACTURER'S INSTALLATION INSTRUCTIONS Il MANUFACTURED SUPPORT
AVAILABLE? W yes ❑ no LISTED AND LABELED CAPACITY 2S2p(lbs)
DATE OF MANUFACTURE ieng
DESIGN ROOF LIVE LOAD 2a (psf) 0 FIELD ASSEMBLED SUPPORT
DESIGN WIND LOAD /,6* (psf) DESIGN CAPACITY (lbs)
MAXIMUM ALLOWABLE PIER SPACING ,c / (ft)
REQUIRED PIER CAPACITY 0500 (lbs) FOOTING MATERIALS
REQUIRED COLUMN CAPACITY 2$ p p (lbs)
REQUIRED TIEDOWN SPACING (ft) 0 2x PRESSURE TREATED LUMBER
REQUIRED TIEDOWN CAPACITY (lbs) SIZE /.L4'j p CAPACITY 2,S0 0(lbs)
❑ 3y " THICK CONCRETE
SITE DATA SIZE CAPACITY (lbs)
ALLOWABLE SOIL BEARING PRESSURE ////j (psf) ❑ OTHER APPROVED MATERIAL
MATERIAL
ESTABLISHED WIND PRESSURE OF AREA /$ (psf) SIZE CAPACITY
TIEDOWNS REQUIRED? 0 yes RP no (lbs)
REQUIRED ROOF LIVE LOAD 20 (psf)
SNOW LOAD MAINT. PROGRAM 0 yes 4 no TIEDOWNS
PARK APPROVAL • MANUFACTURER
INSTALLATION �I RATED CAPACITY (lbs)
APPROVED ��air
� SPACING (ft)
- .41.1‘1. WNER/OPERATOR/MANA•ER
-10-
1/4970 gae-dol-'
MOBILEHOME INSTALLATION INFORMATION
PARK I.D.
NAME /PE&A,Z. �'G!J 13 NO. SPACE#2 '3
TENANT �,/ PARK
NAME / oiv7EREy ,A9 // ADDRESS /$ 4,$ , lbN7?p u /
CONTRACTO LICENSE CONTRACTOR
NAME Ay7F2E///AirfI NO. 2R9iy3_ ADDRESS Co 2 it/ N9, Ao fZ
r -63 @" 11
'it 1 '
.1 STRU flRAL APPROVAL ONl Y
(my Cosh Mesa Bu Idirl — .
q � L WDADA fi °ERM TS ARE REQUIRED •
IN ✓e. TT10-- FOR ELECTRICAL, PLUM[ NO,
name PLANS MIST BE ON OB Al„{ AU. TIMES HEATING, VEI'fILATING AND I—
MAKE 'OF OEM IN � AITMO� Pwoa O MOBILEHOME REFRIGER, TION WOR$ W
g I-
ME 4,4Ir
v OR G ANTING OF A PERMIT OR APPROVAL y
OF PIANS , .PECIFI ATION& b(HAL NOT BE CONSTRUED Permit # .��j�.��
TO BE A 'r.IT FOR, 0 1N .".PPLO 4 L OF, ANY VIOLATION • +�
OF ANY OFT PROVISI NS OF THIS t,,.,... .... I im11, ,,.0
TNIC M !MCPBUST ACCCVIPANY
SOIRNO TO UVE AUTHISRITY TO VIOLATE OR CANCEL THE ALLA INSPECTION REQUESTS ,
PROVISIONS 0 THIS E SHALL BE VALID, EXCEPT IN SO
FAR AS THE W 1'K OR USE WHICH JLA{ITHQIyirtIS LAWFUL I ,
}1J UJ a.IIPPIICC FayBI1rDINC: ,.Al= .I _. .. AidETD
THE ISSUANCE 0 A PERMIT BASED UPON PLANS AAD I BE EMPLOYED, WE SUGGEST TiAT'THE
SPECIFICATIONS SHALL N T PREVENT THE BUILDING OFFICIAL.
FROM THEREAFTER REQU NG THE CORRECTION OF ERRORS 63 '4'/� STATE EDF CALIFORNIA DIVISION OF
IN SAID PIANS AND SP CIFICATIONS OR FROM PREVENTING '7 IND ADDITIONAL
IAL REQUIREMENTS.CARTY CC CON3kLIED FOR
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN ADDITIONAL
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE PLOT PLAN
or.....n T. .
LOT U1 ILA Or SER ICES MOBILEHOME DATA
GAS: NATURAL I LPG SIZE: LENGTH S _(ft) WIDTH 29 (ft;
RISER SIZE 3/4 MANUFACTURER: X to s g:7-
�/ VEHICLE SERIAL NO: 607/
DRAIN INLET: SIZE 3 7
HCD INSIGNIA OR HUD LABEL NQ: aos 729-X
WATER OUTLET: SIZE "A( GAS SUPPLY INLET SIZE: .�/
GAS CONNECTOR: MATERIAL ,$*A_$S'
ELECTRICAL: CAPACITY
2_512,00e, BTUH
EQUIPMENT RATING So (amps) DRAIN CONNECTOR: MATERIAL A 3 s Sc yo
MFGCIRCUIT BREAKER L WATER CONNECTOR: MPTERIA �Csp
p'
RATING So (amps) SIZE AL oE,L
r] PERMANENT ® POWER SUPPLY ELECTRICAL FEEDER ASSEMBLY:
WIRING CONNECTION CORD CONNECTION RATING (amps)
CONDUIT SIZE
RECEPTACLE RATING WIRE SIZE & TYPE
ELECTRICAL POWER SUPPLY CORD:
So (amps) ' RATING So (amps)
O PERMANENT OR DI TEMPORARY STEPS MOBILEHOME ELECTRICAL •
PROVIDED AT TIME OF INSTALLATION NAMEPLATE RATING So (amps)
6/77 HCD 538 - MHI APPLICATION SUPPLEMENT -9-
•
•
PIER
• SPACING
w
1 •
-- \-0---7-0-- - --0-- -4:IL-- -0
• COLUMN 'SUPPORTS
•
MOBILEHOME SUPPORT PLAN
•
MOBILEHOME . DATA : LOAD' . BEARING-, SUPPORTS
MANUFACTURER'S INSTALLATION INSTRUCTIONS Ib( MANUFACTURED SUPPORT
AVAILABLE? Al yes ❑ no LISTED AND-LABELED CAPACITY2S400(lbs)
DATE OF MANUFACTURE /yRV
DESIGN ROOF LIVE LOAD
0 FIELD• ASSEMBLED SUPPORT
DESIGN WIND ,LOAD /$ b (psf)' DESIGN CAPACITY . (lbs)
MAXIMUM ALLOWABLE PIER SPACING - :V ' (ft) •
•
• REQUIRED PIER CAPACITY 0.500 (lbs) FOOTING _ MATERIALS
REQUIRED COLUMN CAPACITY .2.5-0 ° (lbs)
REQUIRED TIEDOWN SPACING (ft) 0 2x PRESSURE TREATED LUMBER
REQUIRED TIEDQWN CAPACITY (lbs) SIZE /2%20 CAPACITY •l,SO O(lbs)
0 31/2" THICK CONCRETE
SITE DATA SIZE - CAPACITY (lbs)
ALLOWABLE SOIL BEARING PRESSURE /q00 (psf) 0 OTHER APPROVED MATERIAL
ESTABLISHED WIND PRESSURE OF AREA /,$ (psf) MATERIAL
TIEDOWNS REQUIRED? 0 yes NS no
SIZE CAPACITY (lbs)
•
REQUIRED ROOF LIVE LOAD 2•0 (psf) • •
SNOW LOAD MAINT. PROGRAM ❑ yes 4 no T I E DOW N S
PARK . APPROVAL - - MANUFACTURER
l://)
RATED CAPACITY (lbs)
Iiier
INSTALLATION
APPROVED a�� SPACING (ft)
!'
r WNER/OPERATOR/MANAGER
-10-
•
•
City of Costa Mesa I
Building Safety Department CERTIFICATE OF OCCUPANCY its(� /�
P.O.Box 1200 +`P 2949
Costa Mesa,California
The Building located at 1R24 Monrovia Avenue.. Ifni to
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group F2 Occupancy.
Use of Building 5 Unit Industrial Building
Legal Description 116-112-40
I (See reverse side for Metes and Bounds)
Building Permit No 2 40986 Electrical Permit No. 1q930.-39014 Plumbing Permit No. "
Number of apartments and/or guest rooms
ISSUED TO: Building Official Official /
by JE •f •
JOHN JAKOSKY
Date April 60 1976
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 306 lel U.B.C.
Form BU 34 Rev. 11/70
•
.` . ' PAID
40986 •• ')�C i 6-75ep ,,;00 628* ,***160.61
• COSTA MESA BUILDING-SAFETY DEPARTMENT .. '.
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
• - APPLICATION FOR STRUCTURAL PERMIT
For Ap rl' ant a ' in Com rlet_y .i Use Ink O1, , REC I/Vj�q�D BY DATE R/F�CEI D �D/��T ESSSU E7D• /
ADIDRESS //1��••'••) --a. .._'/_�A__. _ ESi . ' A � i -4 i .7 CL W
rr OWNER JoWN JAKio tc. Y. : / I — Q, •P RMI N•
. MAIL (J/+/�� �/� pQ .r.t A.P. NO: tC Q,I/
ADDRESS `Jg) tf t( • �(U/1 7' ADID-RtESS € '1 .-.'V —--"W Iv_— — •
' CITY GOSlb /'!\USF.' -- NO,j57-1533 ,v44w•0� 51/ ..
• "('FiAC � �TLO � BLOCK
CONSTRUCTION _ . - - -• NEW ADD ALTER REPAIR' MOVING DFMOLISH
LENDER - ' - • `/yam`'
•
•
BRANCH . Tr- M
k.
ADDRESS • VALUE-"/7
•
ARCHITECT {� i ' (7�/� � 'TEL-^ g USE`i l//1��• 1/-I�O - $ them
OR ENGINEER J . IL•Iy8K-��C.I-S -NO.�7S 1'1)J� J/a J
FIRE t/� r
' ADDRESS 1-1601 C44OL4OS , i f"Q/N(mac ZONE VPE GROUP
• ��q APPROVED / /1 7 '
CONTRACTOR ���CII ear LJ) BY - _ DATE 1(`�_
ADDRESS ( 7( • e rnikuis .12ulti,tt I
. • TEL ZON NO.OF USE OF��N/�y�y ��
• CITY i (,�j1/Z t- - - -NA %7-15 3 3 •i r \ PLANS BUILDIN f ( `•
`F-� .'
— STATE CITY• - YARDS APPROVED ' YARDS APPROVED \(h
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
ALI SI2E NO.OF BLDGS. (FROM C/L STRIEET�)) -;i , o
A OF LOT 30.0 X •300 ''IrrNOW ON LOT 2 ' FRONT -. FT.e; =' FT. t
Q
•
USE OF / )� . ,
FT. - \/1.)
EXISTING BLDG. FF--'2- OCA-1QF�GC R.SIDE �(I FT. I I J\
E-,
SepaIate permits aIe required for L.SIDE •'. ) T. 9- FT.
ei IS
electric,plumbing and heating work. REAR 3R FT it FT.
I
USE OF BUILDING AND WORK TO BE PERFORMED . .
DISTANCE BET. • BET. MAIN&,
MAIN BLDGS. . ACCESS:SLOGS.q n - VAR # DATE CI)n
�7 �•LTOGG, � FC/L1, INs7CJS( C.U.P.# n APPROVED / , " 1
>-, ' t 0— `—u� C�C. Pa LOC:, ' • APPROVECy /. 1�N -DATE// { -- ��
w pQl9 SOP, $Pi CTA ',-REQ
UIREMENY.5'. •
a0 I hereby acknowledge that I havereadthis application and state • n
.pC, that the above information is correct and agree to comply with
m
04 all laws regulating building construction, and I shall not employ _ -
• Z any person in violation of the workman's compensation laws of e
W the State of California.
3 I hereby,certify.that,' em properly licensed as a contractor under (%ara SQ. FT. • N
the StateofCalifornia 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 PURPCGE OF ESTABLISHING A PERMIT FEE.ONLY: —
am exempt from the provisions of the State of California Business to
VALUATION to
. and Professions Code,Division 3,Chapter 9. . PERMIT FEE $ n
M PLAN CHECK $ /�L� l` m
W J \J ✓J II
Signatur- of 4 //�� - o
Permltte- - L _ A •._,r $ ✓�/ TAX $ ` 2
• Authorized Ag-n - • - . TOTAL PAID $/ bo V / U
a
•
,�'' d !/ gt. PAID
6y JAN 16-76c1, t00 504 d***310.70
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Appl'can/yt0 lII j/7�',p rl: ' _ 11,1e I �II RECEIVED BY DATE RECEIVEDBUILDINGI•irs.
ADDRESS an* .0°— t�1.T1 _..
• ' /�s//7p/� - - PERMIT NO.
OWNER a /t' yN JMCOS y A.P. NO. I ` /�. a I 4 •
MAIL \•/ BUILDING . . S- Lap I! 1,
ADDRESS ADDRESS ,r. SF - ! -7 e'er •
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION NEW (ADD ALTER REPAIR (MOVING DEMO(ISH '
LENDER \✓,<
BRANCH (`///'' /� '
OWNER• C IV 4/,,V// JA i<osicy
ADDRESS IVO
M,O 6t1,� VALU$
ARCHITECT TEL. USE
OR ENGINEER NO. -FIRE
• ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS ZONE ' INO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO.
I"
.i STATE CITY YARDS APPROVED YARDS APPROVED •
LIC. NO: LIC. NO. MAIN BUILDING ACCESSORY BUILDING
i SIZE I NO.OF BLDGS. (FROM C/L STREET)
G. OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
.—. EXISTING BLDG. R.SIDE FT. • FT.
V)
FSeparate permits are required for L.SIDE FT. FT.
C electric,plumbing and heating work. REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCEBET. BET.MAIN&
MAIN AINBLD BLDGS. ACCESS.SLOGS.
.. VAR.# DATE
QC.U.P.# APPROVED
•
APPROVED
).. _KY RATE
CO
w
W
0 I hereby acknowledge that I have read this application and state
.ri
h.
a, that the above Information is correct and agree to comply with
m
0. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of m
tthe State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. hi
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;
am exempt from the provisions of the State of California Business La
VALUATION PERMIT FEE $V/0 z. v
and Professions Code, Division 3,Chapter 9. - to
m
PLAN CHECK $ re
Signature of 0
Permittee $ TAX $ V.
f
Authorized Agent V
TOTAL PAID $ /,/ d
I.
4.1085 .IAii 15-76E°U00 503f1 **tt33.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .
Aril r• TION FOR STRUCTURAL PERMIT
For Applicatt to ill in,Completely tellU nl
Y
22ffe Pca'Vyeta( R3 :IV BY DATE RECEIVED De.TF)S:UED
BUILDING .,ADDRESS
- ` T.` / a•
OWNER .'—>,OI"F'N -JK�QSI<q A.P. NO. / O I Q PERMI-NO.
MAIL �J BUILDING
ADDRESSSy'' 11(0 i ICE-Li IJoUPc '�/U+��� �y 1ADDRESS
�,s g abal _ i
CITY T2 t/tti i7-21 1�' N0 377 /-7�J3 -~E�It�ry CT sys�A ,�OT IDtc BLOCK
CONSTRUCTION 1 NEW TAAC ALTFR REPAIR MOVING _DFMOLLSH
LENDER -
( ,s�^ I
BRANCH OWNERJQNnJ JA tcbsc'( 4
ADDRESS gVVV. L1/4)C1
}L$ J �.<
ARCHITECT �� ,s,,� `T�+SN N�Cc VALUE ]CVU
OR ENGINEER a ^^� 's'{.r-..4'�t 5 NE L.SJ^7 RC2`. USE'
�7 {J -IJ,AA FIRE
ADDRESS 1 71 6\L,-1I'Ot+D S A tie ZONE TYPE ROUP T.
CONTRACTOR
S,jc'Paa_ t. iL
oA(k oki BVPROVED DATE
ADDRESS 11t91 �E=ll1,OtrDS If-S1/41,1e.,
,t TEL. ZONE NO.OF USE OF NEW
CITY ICL11tN a- CAMS NO. cc?_7533 PLANS BUILDING
LIC.NO:I—. STATE /7 Go& Gj B — / LIC. NO.4 390(/CITY VMAIN BUILDARDS IVED YARDS NG _ ACCESSORY BUILDINGD
til SIZE /` • NO.OF BLDGS. ✓f (FROM C/L STREET/
p. OF LOT I. O H G NOW ON LOT Z-+ . FRONT FT. FT.
Q USE OF awn../�G�
i EXISTING BLDG. CO✓✓11 t 42.0 t A L- R.SIDE FT. FT.
V) V -
(—•
Separate permits are required for i L.SIDE FT. FT.
electric,plumbing and heating work.
O _ REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAINS.
Y MAIN BLDGS. ACCESS. BLOCS. ..
CI rati61•1 LW C LdSUte
VAR.# DATE
Q C.U.P.# APPROVED
7 APPROVED
>. BY DATE
..1
cd
LU
in
O I hereby acknowledge that I have read this application and state r.
4 that the above Information is correct and agree to comply with
m
C• all laws regulating building construction, and I shall not employ
i
Z anye person In nian of the workman's compensation laws of e'
the State of California.lfom
I hereby certify that I am properly licensed as a contractor under
6OSO. FT. N
the State of California Business and Professions Code, Division 3, E AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in ful force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:_ e
am exempt from the p isions of the Sta of California Business VALUATION PERMIT FEE $ .��" <
and Professions Co D Ision 3,Che er . u,
PLAN CHECK $ d0 2
Signature of caw ` u.
Permittee /// $ e0O / TAX $ [, f
TOTAL PAID $
Authorized Agent / 3;,5� U