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Home My WebLink About1788 HAWAII CIR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. / � DATE _ __ /_ _ 90017 _ LOT NO. 2-7 N ADDRESS if 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. By " ,� 77 - �n . aser a // BY ' 'r�?/�/ �� DevelopeF and or . tho rzed representative z- %! ! B Lender 0 CITY OF COSTA MESA 0111 HPq BUILDING DIVISION IF; ,( 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us v Wei ) FOR INSPECTIONS CALL:(714)754-5626 `-L PERMIT NUMBER: B11-00046 PERMIT TYPE B_ROOF2 STATUS:- 'ISSUED APN: 13957210 DATE ISSUED: 02/08/2011 ISSUED BY: RMD JOB ADDRESS: 1788 HAWAII CI CM Suite/Unit: Vicinity: FLAT ROOF ONLY • Squares: 1300 Valuation: $3,000.00 SCOPE OF WORK: PARTIAL REROOF OF FLAT AREA ONLY.TEAR OFF EXISTING ROOF MATERIALS, INSTALL BASE SHEET AND (1) 11#PILES HOT ASPHALT AND ROCK HOT ASPHALT ON FLAT ROOF ONLY,APPROX 13 SQUARES. COMPLAINCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card OWNER: ANDERSON, LARS RAYMOND TR Address: 1788 HAWAII CIR Unit: PHONE: 714-540-2014 City/State/Zip: COSTA MESA,CA APPLICANT: MCCLAIN, KIM Address: Unit: : PHONE: 714-897-1780 City/State/Zip: • CONTRACTOR: MCCLAIN ROOFING INC License No. 625013 Address: 12812 VALLEY VIEW STUnit: STE 33 PHONE: 714-897-1780 City/State/Zip: GARDEN GROVE CA 92845 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 Califomia 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 t. INSPECTION TYPE DATE INTI11ALs CODES INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final , [ 208 Final Plumbing 200 Final Re-Roof ,c —/f0_// /trrl 6(1 210 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 icense. El Yes El No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: El 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. O I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carder and policy El 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 by this permit,and that no building structure,scaffolding,falsework,or demolition �artief�- ✓ � or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (this section need not be completed(the permit is valued a1 one hundred dollars($100)or less) MCy Number: 4 13�1p o — 2 o i 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). ❑ 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 Code,)I shall forthwith comply with these provisions. I�p--'r_ Division of Industrial Safety Permit Number: MpC4ran1's'Signature 2 V"date 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? El 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 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 fullLforce and effect. �7�1 a registration form for acutely hazardous materials? El Yes ID No L�=CQ.= J2l i3 assft* c:..J ( (Section 25533 of the California Health and Safety Code, with some //9/n.,‘ Z 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 ' •. (.""—tet 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)? ElYes CINo (Section 25534 of the Califomia 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? El 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? El 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). o 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? El Yes El 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 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 El 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 Owner(s) Date Signature Date 2-/27/1 3057-46 13/07) And/or-Authorized Apgrcani- . 1 •Ri4 Prescriptive Certificate of Corn Lff ce: ResidentialCF-IR-ALT P IIResidential Alterations (Page 1 of 5) .., •ojc'd"Ntrme: . ��0�� Climate Zone# / n land iLles_ General Information Site Address: (AriaJ / Enforcement Agency: 1,s�1q Date: 2/ SI I t i l?8�� g N�wnn Building Type 61Single Family ❑ Multi Family Circle the From Orientation:N,E,S.W,or degrees hConditioned Flom Area(CFA): Project'Type: ❑Alterations C Envelope 0 Fenestration lig'(toof ❑ HVAC // Replacement or Change Out 0 Duct Replacement ❑•Water Heater N(1TErThiSJitrnt.es.nottohhmnsedjnr-Newwermstructed-Builihrg-Tar,Rdtl1fJ nt i hrculation Values For Opaque Surfaces(for Furring use the Mass mrd Furring Strips Construction table below) • Assembly Alteration ❑ Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of wall, ceiling, or floor must install the mandatory minimum insulation value per§150 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H. 0 Replacement of entire assembly-Replacement ofan entire wall,ceiling,or floor assembly requires the installation of Component Package-D insulation values in Table 151-C. Fill in Columns A-J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. -A ( B ( C D E - • F G H - - -F - 1- .J _ Proposed See Note Standard Values Prom JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- 1A4 Table Cavity Insulation Assembly Assembly IDs or Type' and Sizes or Others factor" Numbers R-value R-Value' Cell Values U-factor9 t - Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and r Furring Construction table below. - 1.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For Wood, Metal, Metal Buildings,Mass, enter 2x4,2z6,or etc.,. see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between Training members enter; 16"0124"DC;or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel,Logs,Straw Bale Panel and etc.... 4.Based on the Climate Zone;enter the Standard U factor from Table 151-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between theframing;otherwise,enter "0" 7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0". 8.Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9.The Proposed Assembly Director, Column J, nasi be equal to or less than the Standard Weems.in Column E to comply. Furring Strips Construction Table for Mass Walls Only A I B I C I D ( E F G I H ( I I J I K L I M Proposed Properties of Masonry and Concrete Added Interim or Exterior Insulation • Walls From Reference in Furring Space from Reference • Joint Appendix Table 4.3.5.4.3.6.4.3.7 Joint Appendix Table 4.3.13 i FE - u -� e -' u c o Assembly �- 3 ° F c a,"_ 2.` `".9. Final Mass Name or JA4 Table , .2 v . E F o 'tl z m R o ,, n Assembly Thickness' Type' Number' < :ry Z = m` v . d ut 5 ,f C I :.3_ w r , U-factor' Comment r � I I , I I I I I_ Registration Number: Registration DatefTime: HERS Provider: 2008 Residential Compliance Forms August 2009 • , Prescriptive Certificate of Compliance: Residential CF-IR-ALT g Residential Alterations. (Page 3 of 5) 1 Petja'et'1rame: Iimate Zone#/ #4LStoi-ies • ROOFING PRODUCTS(COOL ROOFS)§151(012 When the area of erterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 ft', ,4hichever is less,the nein roofing area must meet the roofing product"Cool Roof'requirements of§152(b)IHi, 152(b)1Hii,or 152(b)1Hiii.• Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof"requirements. Note:If any frof'lle alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Eminence requirements for roofing products i8(i)are not applicable.Do notftll table below. ol Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or2:12 pitch. ool Roofs Not Required in Climate Zones I through 9 and I6 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less 5Ib/ft2. rnatives to§152(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>2:12) Insulation with a thermal resistance of at least 0.85 hrft2.0F/Btu or ai least a 3/4 inch air-space is added to the roof deck over an attic;or O Existing ducts in the attic are insulated and sealed according to§151(1)10;or .❑ In climate zones 10,12 and 13,with 1 ft2.of free ventilation area of attic ventilation for every 150 ft2 of attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or O Building has radiant barrier in the attic meeting the requirements of§151(f)2;or ❑ Building has no ducts in the attic;or ❑ In climate zones 10, 11,13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)1Hiii,Low-slope roof(pitch<2:12) ❑ Building has no ducts in the attic. Other Exceptions 0 Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ftis exempt from the below Cool Roof criteria. - Note:If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise, Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' < 2:12 >2:12 _ < 51b/ft' > 51b/ft' Type Refectance'4 Emittance SRI5 0 0 0 0 ❑4 0 0 0 0 ❑4 O 0 ❑ ❑ 04 . O 0 0 0 ❑4 O 0 0 0 Et 1, The CRRC Product ID Number can be obtainedf om the Cool Roof Rating Council's Rated Product Directory at www.cootroofs.org/products/search.php 2,Indicate the type of product is being used for the rooftop.i.e.single-ply roof,asphalt roof,metal roof etc. 3. If the Aged Reflectance is not available ire nue Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the sante directory and use the equation(0.2+0.7(floqual—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4,Check box if the Aged Reflectance is a calculated value using the equation above. 5.Calculate the SRI value by using the SRI- Worksheet at http://www.energyca.gov/titlel4/and enter the resulting value in the SRI Column above and attach acopy of the SRI-Worksheet to the CF-1 R. To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§1180)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other • Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms ' August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT • Residential Alterations (Page 5 of 5) t'Gyecl°19iime:��(0�� iimate:Zone II Cf/ I iPvf--Stories HERS VERIFICATION SUMMARY The enforcement agener should pay special attention ro the HERS Measures specified in this checklist below. A completed and signed CF-41t Form,for all the measures speedied shall be submitted to the building inspector hefm-c•final inspection. Duct Sealing & Testing HERS verificanon is required far this measure. ❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if MOM than 40 linear feet anew or replacement ducts are installed in unconditioned space,the ducts are to be sealed per§152(b)IDii and the newly installed ducts are to he insulated pet §151(1)1 U. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or sealed with asbestos, ❑ YES 0 NO YES:In Climate Zones 2 and 9-16, if the existing space-conditioning system(HVAC equipment and doming)is replaced, the ducts are to be sealed per§152(b)lDi. • ❑YES 0 NO YES:In Climate Zones 2 and 9-16;if the existing HVAC equipment is replaced(including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. • ' ❑ EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION:Existing duct systems constructed,insulated or.sealed with asbestos. Refrigerant Charge - Split System HERS verification is requires for this measure. ❑YES 0 NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air , handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat exchanger)a refrigerant charge measurement shall be verified per*152(611F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw _The ventilation requirements of§150(o)do not apply to existing residential homes, Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required,fbrthis measure, - ❑YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is replaced.the airflow and fan watt draw shall be verified per§152(b)1 Ci to meet the requirements of§151(f17B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: �) iM CLAid Signature:) ) �J\ C kr--- . r —YYI Ql 11� Company: Date: 1,-1C Atq Ko °FICAb i&LC, 3 Address: If Applicable 0 CEA m 0 CEPE I 281 Z (/f1 I J,ccl t\•V a) *33 (Certification i/): City/5 ate/Zip: '"" �7 r) pu� Phone: �n 4°0 US- Pia NL6 �1� 8R7 nit) ]tesponsihle Building Designer's Declaration Statement �,▪ eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance lormt,worksheets,calculations,plans and specifications sithnri tied to the en threement agency for approval with this building permit application. Name: Signature: Company: Date: Address: • License: Cin/State/Zip: I Ph one: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Regis/intim Number: Registration llare/Time: HERS Provider: 20(18 Residential Compliance Forms August 2009 31-._. 3 ,/Q s4",,N 26-44100 734* ***141.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEV � DATE)9EC/ IVED DATE ISSUED ADIDRESS / 7p ...„„ e/ci". ...„ /-/r- .64.7, 7O PER IT NO. OWNER Apollo Development Corp. A.P.NO. q 'M') BUILDING _//'. - ,�, .'�- --.-11/4"�t MAIL Z ADDRESS 1104 E. 17th Street ADDRESS/7 g /ADDRESS/7 - U CITY Santa Ana TEL TRACT 6694 I LOT 27 BLOCK I- Z N izt LENDER CTION U. S. National Bank NEW (ADD ALTER (REPAIR MOVING DEMOLISH— am R r BRANCH Main Office V) OWNER Apollo Development Corp. m LB ADDRESS 190 S. Broadway, San Diego VALUE^ N OR ENGINEER Kermit Dorius TEL675-1164 USE Dwelling $ 16,000 U NO. Q FIRE r wCC ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TYPE GROUP ��•/ a.IL APPROVED ID Z CONTRACTOR Apollo Development Corp. BY DATE CO-10 :¢ ADDRESS 1104 E 17th Street n o .�.-: W W TEL ZONEp NO.OF USE OF NE / r 0 r CITY NO.Santa Ana TE 547-9673 &, 1 PLANS BUILDING �U `U'� Z � W 0 STATE 252549 CITY 1690 YARDS APPROVED YARDS APP VED NCC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D0 (FROM C/LST ET) SIZE 51 x 101 INO.OF BLDGS. __ OF LOT NOW ON LOT FRONT 'rl 5 FT. FT. USE OF I EXISTING BLDG. --- R SIDE 1 0 FT. FT. F- SIZE OF NO. OF /� Z NEW BLDG. • 1770 S.F. ROOM$ 7 STORIES 1 L.SIDE 0 FT. FT. Q EXTERIOR WALL P ROOF V COVERING Plans COVERING Shingle REAR ¶ l FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLDGS. ACCESS. BLOGS. Construct new dwelling with c U.P.#j/et, a APPROVED S —til b 0 I-fn attached garage. APPROVED C_ I A/I DATE I) //6 /6 O �� ~ I hereby acknowledge that I have read this application and state HOLD FOR SPEECIML REQUIREMENTS Dthat the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ H any person in violation of the workman's compensation laws of zthe State of California. // ^° /f'� o m I hereby certify that I am properly licensed as a contractor under / �/ SQ. FT. 5/113_ the State of California Business and Professions Code, Division 3, THE AMOUNT SITOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: ki am exempt from the provisions of the State of California Business I CC �`J and Professions Co . Division 3,Chapter 9. VALUATION �jT go CO CO PERMIT FEE $ / DN Signature of a / `7�) may a) Permittee ori Ails 7 �(� I $ (�/�/✓ PLAN CHECK $ •7//+0� E Authorized Agent v o TOTAL FEE $ /9/j 00 u