HomeMy WebLinkAbout1780 HUMMINGBIRD DR - Building Permits ADDREssa BMLuta: 1780 HUMMINGBIRD DR LIME: CITY OF COSTA MESA — BUILDING PERM II 2a --i f 9
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OMNEWSNAME IF I040M11: CITY OF COSTA MESA PERM- NO: H - 085482
ADDREss, 77 FAIR DR
/ COSTA MESA PERMIT NO: B 085482 PLAN CHECK NO: 03968-97 L GOVT: I SUPP: N
is.
92626 ( 714 ) 754-5304
AP PL.MAIL'S]ADORES& CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ALT
Situ ARCHITECT OR ENGINEER: DAVID EVANS 6 ASS uc.Ku 0 JOB DESCRIPTION : REMOVE ACCESSIBILTY BARRIER SQ Fr: 40, 000
ARCH.OR ENG.'S ADDRESS: 800 N HAVEN AV DNB: 300
ONTARIO . CA 91764 CLAIM VALUE: 40, 000 . 00 CALC—VALUE: 40,000 . 00 GROUP OCC: A-4 /
CONTRACTORS NAME:
CONTRACTORS YN101D COMMENTS: TOT LOT, CURB RAMPS , WALKWAY , DRINKING FOUNTAIN 6 H.0 SIGN E
ADDRESS: UC.NO.: *******ie**********ie**********ie***1e***i!**1e*it******it****************ie*********ie**
DMT: Z ONING _R EQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby affkm under penalty of perjury that I am licensed under provisions d Chapter 9 SE TBACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license bin lull force end effect. •
CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ---- ----- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNI: FT IN REAR: FI IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHI: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of penury that I am exempt from the Contractors License Law for the _
Meting reason Buskass end Professions Code:Any Mirth y or toady requirePenni mws
sapetoe .eller.knprove, PARKING REQ: PARCEL: uME
PROV • Uuuuuuu L : I6R REF NO:
"'mil'''.a repo any staid"'id"'pnto aiss
s uance.aho require the applkm sfor et"hma peto file a sired Wideman'the'he er she
T TE
—
•Beamed pursuantto the crabbers of Licensebe Contractors Law[Chapter P(commencing with with Sedan 7000)d Division 3 the
PLANNING NUItS> IGT LOT AND HAND 11.PA ACCESpursuant
Basins*and Pm/embed Code)or that he or she is erupt therefrom end the Mau for the sassed exemption.Any violation of Semon >
•
7031.5 by any applicant for aperma subjects the applicantto a civil penally y of notmore than Ewe hundredMOOD.dollen MOOD. ************ie***************sit*********sit********************ie*******************
CII,"owner otheprpeeny 44myemplw'eeswah wages asthi sole compensation.will do lin wait,and the structure is not wended DEVELOPMENT SERVICES R E Q U I R E M E •N I S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does rot apply to an owner of properly
who buids or improves thereon.em who does such work himself or herself or through his or her ow employees,provided that such
W v .
poemerare wended or Wend Ion sale.a,however,the building orinpeovemera is and within one year dmnputbn,the ZONING APPROVED BY w K DATE: :
y- ownerbalder will have the burden d proving he or she did not build or improve ler the pantos of rale). /� /
0 Las owner d the properly,am exclusively conhaaig with licensee convectors m=Sew*the project(Sed••7044,Business and BUILDING APPROVED BY �'(.:. DATE:'..- (-y- ��
Professions Code:The eminencies License Lew doe m apply man ower d properly who builds or ion• :es thereon and who
convene for such projects with a comrector(e)licensed pursuant •• '.Contractors License Law
undersecti B.AP.C.,for I ..•n: //J/A APPLICATION ISSUED BY: /���/iia LAZE:
f J//' ***Int*****ie***********wxn sex Int wnnww ITwInt a�4 n w*n It it It ft nnww* ex**********ww*nnwww int*It
aexempi
�o�q � Dern. ., YYY///
LEGALIZATION:N F E E S li M M A R it STRUCTURAL SrGMENT:Y
certify that e al and udwsterd the requirements of Catome •Safety Code Sections 25.505,25533,and
25534,and chat I or any inure building occupant will/wil nor(arch one)need to • • w said pate code end the requimmenb for
eperma for construction ormoRcatbn from the Ai y•anaoement District tial•. --ntlion applctiornsare exempt from these BLDG PMI PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES _ GRADING
prowsmns. PERMIT 484 . 75
Dale: Applicant SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby elTmn under penally el perjury one d the maoowkg dedum've: PLAN 315 . 09 8 . 4.0:
, ISSUE FEE fy'
❑ Ihan and will redone.a certifcale of consent to self-insure for workers'compermaiza,as provided for by Section 37C0 of the LabsBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID— DUE
Code.for the performance d the sen for which this permit is issued.
❑ I have and sera maintain wafters'ompeeation insurance.as required by Section 3700 el the Labor Code.ler the performance of the TOTALS----> 0. 00 �/ . GU L7. V11 V. 1/Q VV_. VU
work ler with this perma is urued.My woken'compensation insurance®river and policy number an: �• •
Cans: REVENUE DIVISION TOTALS--> COLLECTED: . 00 OVER/SHORT:, 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOI GRADING FLAN-CHECK
(This section need not be completed y the permit is!a one hundred dollars($5001 or less.)
❑ l certify that in the performance of the work tor wdbh this permit is issued,I shall not employ any person in any manner o as to
become subject .... .... ......
pto the workers'm700 of a uses d California,alRorna.end prep t lot *******************.... ....... .... *nn** *ore*ore****n****nsE**de**sit*n* .R. nnnn*n*n
compensation proasbns d Sedan 5700 d the labor corse.I shall forthwith mnpy with those provisions. INDIVIDUAL F E E B R E A K D O W N • .
Dale: Applicant ` -
•
Warning:Failure to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COSI TOTAL COSI
civil lines up to one hundred thousand dollars($104000),M addition to the cost of roneneatlon,damages as provided for In
Section 3706 of the Labor Code,Mame,andattomey's lees SFC 40000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 0040, 000 . 00
CONSTRUCTION LENDING AGENCY:I hereby afpum under penally of perjury that then is a ccWructce lending agency be the END OF FEES
performance of the work for which this perms u issued(Section 3097.Civ.C). '
LENDER'S NAME
LENDER'S ADDRESS: The Work authorized by this permit shat, -
I<erofythN I neve rem this epwicq'vtand Male that the above information boomed.I epee lo canphy with afay and county ordinances comply with all applicable handicap
and stale laws rewig to balding mevudion cord hereby authorize representatives of this city to enter upon the above-memi reed property pp
Mrinswmnsea, DAVID - access requirements under California
All statutes and related regulations. 10-29-1997/09:24 191/$13.08uAvi= "� riEMA
��� / (Ord.No.92.28,§ 1, 12.21-92) T:08548
ire, / ., Date: m 01-0014627
PERMIT:O$548G
• las;-;w,:• ..e.'A.. ..E/Contractor
smimmmmmii
(5151d6.WP) 1,he-Building&Salary:Green-File;Canuy-App&am;Pink-Revenue;Goldenrod-Assessor
r .s
CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Tefiporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. . . 53. Steel Reinforcement
3. Electrica6Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
;,5 -
' Steel Reinforcement 56. Rough Plumbing & Pressure Test .
- 6. 'Electrical(UFER Grnd. 57. APPROVAL TO COVER-GUNITE -
s
7. Footings'' f., 58. Electrical Conduit-Undrgrnd. 1
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 62, Backwash & Receptor-Final
12. Sewer Cap 63. Heater-84 Vent-Final
13. Roof Drains : 64. Plumbing System - Final •
14. Rough Plumbing 65. Electrical-Final '
15. Rough Electrical-Conduit - • - 66. Solar System-Final
16. Rough Electric Wiring67. 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. Rough Facto y Fireplace ;'-4 1.. L '4 ' APPROVALS_._ P&&mit# ` .
21,butts, in Structure , •• •• - _• • - - _ 70. Undergr5urid Hydro
22. Ducts, Ventilating % _ - '... . 71. ProductPiping 0Gas O Oil i
23. Gas Pipe-Rough 8/Test ; • . - 72. Underground Flush _
24. Roof Framing' " r -, - i r 73 Undergrnd.Storage Tank 0 Gas 0 Oil
25. RooLSheathing .: : -• „ i' i IC ..
t 74. •Overhead Hydro
26. -T-Bari Ceiling (Structural) & Monotoat L J Y 75. Dry chemical �. , -
27. -Frame and Flashing+ F 76. Dry Standpipe , '
28. Lathing& Siding r I- 1 I .1.: - ' - "I -i 77. FIXED SYSTEM FINAL _ -
29. Insulation , _ . 78. FIRE PREY. FINAL --
30. Drywall Nailing ;'• r 3 • HA
ELTH DEPT.REQUIREMENT
31. Plaster Brown,Coaf '• I j 79. FINAL i_€1SPECTtON1. -c 0 o
r
E -
32. Blectrical'Power Meter;Final - K -' 80+ FOOD CERTIFICATE ISSUED, o Q r. .. s
• 33. Final•Eleitric-. ,p , - - 4^ t Notes: _' - _ rpr„ ✓
, 34,•Final Heating& AirConditioniag: • e s s' i - L - 7' .8 ;"
, r - a r 9c r -
35. Final Gas-Pipe.Tesf i _ - _' •, _ _ , , u r. c' -
_ n
c
36. Hood or Canopy . _ - . -_ ' - - E
37, Final Factory Fireplace' `- c. .0
38. final Plumbing -. • • •• F 1 ' �. E w !7
J
•
39. Water Service-Final ; _ l s r� 9. a
40. Gas Service-Final , • . * I ll - ) _ " ' •'
41, Solar Domestic-Final - - .. I i
`
42. Backflow Preventer , ) � r.
43. Backflow Irrigationr "
-
44. Landscape Irrigation System' • 1 - _ • ;
-45. Sound Attentiation! • . . _
*46. Handicap Regulations /s/! a ��jJ/J
47,. FINAL STRUCTURE & BUILDING sig,,/ 2 !3 -
48. FINAL P.LANNING . •. ! ' J' t� �-,tan /4Q•c ,-/�t'e�
I •
49. Electric Release to Edison i _ ., - "F!� -S a_ bc-41 ,
50. Gas Release to Southern California Gas Co r h
51. CERTIFICATE OF OCCUPANCY -
No. Date
MAY 04 '98 12:57 DRUID EVANS / ASSOC 278 Pei2
DAVID EVANS AND ASSOCIATES, INC
April 29, t998
Boo North Mould Avert
Suite Sco
Mr. Rick Brown, Building Official odln.le,California s,,;
City of Costa Mesa Tar 9°9 481,1730
Department of Building and Safety
77 Fair Drive raFO 9°9.18i•37Ji
Costa Mesa, CA
SUBJECT: CITY PARKS ADA COMPLIANCE/ TRANSITION PLAN
Dear Mr. Brown:
As project landscape architect for several recent ADA park improvement projects, it has come to my
attention through Mr. Scott Fazekas that there are some issues which may need to be resolved.
DEA landscape architects prepared a Transition Plan/ ADA Report for the following park projects: Mesa
Verde Park, Tanager Park, Marina View Park, Tewinkle Park, Canyon Community Park. and Vista Park.
The improvements noted on the plans were based upon ADA guidelines in effect at that time and
compliance with Section 1134E was not required by the state. Please note that the degree of compliance
at each site is in agreement with the Transition Plan. Apparently there are some issues which may be
considered "gray areas" such as the need for curb ramps and the level of modification necessary with
curb-side handicapped access or parking access aisles. The plans and specifications were reviewed by the
city plan checker and presented to City Council; both of which approved the report and bid documents.
Based upon the foregoing, we recommend that the City accept the construction as designed and executed.
If you have any questions or comments regarding your final inspection of these park sites, please let me
know how we can be of assistance,
•
Sincerely,
DAVID EVANS AND ASSOCIATES, INC.
Q.
Kim S. Rhodes, L.A.
Associate •
cc: David Alkema, City of Costa Mesa FILE ILE
•
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•
Cur LH( I U' I n Mega _,.. 7-28-76
JOB ADDRESS 1780 Hnmminghird nrioa BUILDING PERMIT NO. 47182
GENERAL CONTRACTOR Ala-4PTnnag.enpoT„c DESCRIPTION of WORK Irrigation
AP No. LOT TRACT' FIRE ZONE VALUE $20,000.00
IN' '{TIONS Signature_ Date TYPE V GROUP r,7 ZONE
Si SUBCONTRACTORI
PETS ISSUED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
1
PROP. SWR. LINE IJ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING •
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT In
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HF 3, VENT., REFRIG. AND A,C., FINAL
PL. .ING, FINAL AND GAS TEST n
•
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REQUIREMENTS A I
42382 Illi. ?8-76 j 003312* **Iv 153.20
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APL 'A 'ION FOR STRUCTURAL PERMIT
For Applicant
/to Fill iinn/Completely
�—QUse Ink
�O/n'lly 7r� /E/qp� F� �/�q E,I UE
"AOVBUILDING DRESS 1 7 IVI &11.0 '1'8+_x— ✓R� RE / �rLO� i0 '/i
F/ERMIT NO.
OWNER CITY OF COSTA MESA A.P. NO.
MAIL BUILDING riU i UM
W%ADDRESS D U M I U4 1 RD
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION NEW IADD ALTER REPAIR MOVING DFMOLISH
LENDER >C/
BRANCH /^
OWNER Crry O ct .
ADDRESSARCHITECi 11-1117, VALUE /0 on 151
OR ENGINEER BECKNELL—VELLA NNO. 642-0830FIRE
L. USEP.-
OR
ADDRESS 771 W. 19TH ST. , SUITE B. COSTA Mc4tQNEi GROUP at
CONTRACTOR PLAZA LANDSCAPE, INC. APPROVED BY
BV DATE/ Are'r
ADDRESS 1620 N. MAIN ST., ZONE NO.OF USE OF NEW
TEL
CITY ORANGE No.637-74 0 PLANS BUILDING
STATE CITY / YARDS APPROVED YARDS APPROVED
LIC.NO. 258108 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
lei SIZE INO.OFBLDGS. (FROM C/L STREET)
L OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
EXISTING BLDG. R.SIDE •FT. FT.
EA
FSeparate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work. REAR FT. FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
FC DISTANCEBLD BET. BET.MAIN&
G •
MAIN BLDGS. ACCESS.BLOCS.
VAR.# DATE
•
a I a a.I e ATI npi C.U.P.# APPROVED
7 APPROVED
} -B_Y , DATE
C
W • .
0 I hereby acknowledge that I have read this application and state
N
C that the above information is correct and agree to comply with
a. all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of m
.mss, the State of California. io
3 I hereby certify that I am properly licensed as a contractor under SQ. 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 FEE ONLY: —
am exempt from the provisions of the State of California Business ///yyy y
and Professions Code, Divisiont3,Chapter 9. s VALUATION PERMIT FEE $ �1 �-
�, is
— PLAN CHECK $ L� o
Signature •f ' nta ,t ✓ r
Permittee At,1 'J I_1_1_. 1 ` 4 yr( �V TAX $ U.
/ 461 2
1� + •«(���... � . U
Authorized Agent TOTAL PAID $/53.
S 7_0
43JOB ADDRESS 176hununingbird Dr. BUILDING PERMIT NO.38015
"1t, GENERAL CONTRACTOR Valley Crestlands DESCRIPTION of WORK lrrigation system house
•AP No. 139-621-01 LOT
II CTIONS
TRACT FIRE ZONE VALUEb 150.00
Signature Dote TYPE V GROUP J ZONE
SD - SUBCONTRACTOR PE HITS ISSUED
GAS Date Number � Signature
WATER Plumbing •
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. O
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER iii
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. H
FLOOR SYSTEM •
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING • _
LATHING — IN n OUT n
PLASTER, BROWN COAT a
STP"^TURAL. FINAL 7 Electr' G p HHH�//
HI G, VENT., REF RIG. AND A.C., FINAL �f,[7Jli: t1. /r474 ���—
PLWviOING, FINAL AND GAS TEST n
ELECTRIC, FINAL 171
[ . y--y7'
BUILDING. FINAL ��� j^9,4z
Pale
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P' CATION FOR BUILDING PERMIT
For Ap.l Alt to 1/in Completely - ,
• A -E• I BY DATE RECEIVED DATE ISSUED
BUILDING 'S �/ — /f'/-AF//rnr� /V/p ^
ADDRESS �/!/ej -- - e =(��j((L—�� �� q / • i
OWNER G7 QF C0S7sQ 1 A A.P.NO. 3 (—Cot -o NEM
/1/rrn
MAIL , BUILDING (7S ,M L)
ICT er)00 1
ADDRESS G 7y �r
�t c1.S7n`1 / 4 ADDRESS NACzt�2-- A2k
z
d U CITY J-7/4 I7'/t � NOL TRACT(.7Sa LOT 77 BLOCK
Z NEW ADD ALTER REPAIR MOVING DFMOI LSH
CONDER ION /�� ' 1
Q co
LENDER ��rs'I-t1�J{N/YIIryQ({(t�r7
D BRANCH ,--
_i •T /r ,Emei, r
—�jS7 /t
_1 co OWNER CiT O& `-- 7 r /�
03 J ADDRESS , / f 1V �./ALUE$ rr/I ON
-co ARCHITECT] I_. /- _ I .Q2/ TEL.i4Z ?3, S_ -/L V ALJ
U
N OR ENGINEER F'f�{L �Y�C.G'1� / NO. r0T GM
FIRE i
Z 2 ADDRESS 47¢ E. /7 re al S7-,1 MCSA ZONE TYPE /rIGROUP er
JO CONTRACTOR
t/A'//b-/ Q&srZ ".7, , • -• s / DAT��1j.S� /�
LJ i ADDRESS 19'24 .5,`/2C
—
W W ZONE NO.OF USE OF NEW
p //�� TEL. // �.�/pp^��f PLANS BUILDING
Z1- CITYs f/y744-1\14 NO.$46/ /r.5
-0 STATE -7 CITY -• --• • YARDS APPROVED
coLO
Ir LIC. NO. f 3�jg�/ LIC. NO. MAIN BUILDINGACCESSORY BUILDING
=U (FROM C/L STREET)
SIZE34-
Q I NO.OF BLOGS.
OF LOT Z 3z�— /ls NOW ON LOT 0 FRONTFT.
USE OF
EXISTING BLDG. �J�/1 I • FT.
I- SIZE OF 0
/
Z NEW BLDG. d I XyS 1 ROOMS STORIES L.SID FT. FT.
EXTERIOR WALL ROOF
U COVERING t-l-rXiCACII COVERING m /H 74 / REAR T. FT. •
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
S
0- MAIN BLOCS. BLOC'S.
BLD .
DATE
O T]^^SSE /vazl9r4 7/ av �I�7a� j)E -ROVED
. iti 3/94.r-ani P/2-e-VerriQnil APPROVED
,.
Z0 E-I/I:C
0
UI hereby acknowledge that I have read this application and state 6 /�I
7 that the above information is correct and agree to comply with J V
I- alln laws regulating ionbuilding construction,workman's
and I shall not employ 0
F, any person in violation of the workman's compensation laws of \ Zty` -)N
the State of California. mNa+
zI hereby certify that I am properly licensed as a contractor under SQ. FT. o\
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPCBE OF ESTABLISHING A PERMIT FEE ONLY: 0
CC
am exempt from tl a provisions of the State of California Business
VALUATION
and Professions C tie, Division 3,Chapter 9. PERMIT FEE $ N
D
Signature of / \ ///yyy en
Permittee (VV/���--/// r I $ /610 PLAN CHECK $ E
/ Iff-
Authorized Agent •
a
TOTAL FEE $
JOB ADDRESS 1780Hummingbird Dr. BUILDING PERMIT NO. 3$016
GENERAL CONTRACTOR Valley Creatlands DESCRIPTION of WORK Irrigation system
AP-ND.139 62101 LOT TRACT FIRE ZONE VALUE $ 14,000.00
l 11'%-:oiCTIONS Signature Date TYPE V GROUP d ZONE
J id,_ PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number 1 Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent. .
TRENCHES ❑ FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM •^
BOND BEAM I I STEEL REINFORCE ❑
•
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT ri
PLASTER, BROWN COAT
ST"—TUBAL, FINAL Electric
G, VENT., REFRIG. AND A,C., FINAL
PLUMBING, FINAL AND GAS TEST ❑
ELECTRIC, FINAL
BUILDING, FINAL filird()I h15-7(
FEB JS 74Pt:1o00 998* ***t•-84.98
s . 4.• .Z 8' 16 Cup'
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A'•LI. ATION FOR BUILDING PERMIT
ForApPlicy sto II in Completely /
- - e DATE RECEIVED DATE1S$lij] t
BUILDING -� ' ", rJ f/5 j/
/J�
ADDRESS 64 A4672 — .-7-A E54 i 4
OWNER Ow °i 6DS7/9 ///ES/nl A.P. NO. I Z-'z��jj�(0Z`—Ca PER gjl
MAIL �/ �j� y/� BUILDING i'YG®
Z
ADDRESS .l77 of v.+S74 /���—s4 AD DRESS HL14ivi4,�jA,fW I4N/ACCT_(• A
dU CITY 057/9 ///C'S/" NO.TETRACT k() / _7p LOT /'J BLOCK
Z NEW ADD ALTER REPAIR MOVING DEMO! ISH
CONSTRU ) .Q 1�.C
ON LENDER >` 7vo I7.1��I ry9(312., x
0. m G)S7)9 k iFyJ
J 0 BRANCH ' ,s
—I fn OWNER Orly OF �� E-
CO J ADDRESS (n� y1 I/,sr A� [//'t-��z, en
to ARCHITECT ... to 2 — I TEL. USE IK fc-'C�Fc1 DM en
1t17701l,c$I T 6+V t/ `�
_I .,z OR ENGINEER //CG ,J ea",C7� NO, '/Zo&Sa
co C(
Z Q ZONE TYPE GROUUP (es
-
0_W ADDRESS 474 r� r ��/7H� 57.�///L`SR _ '��
J O CONTRACTOR ✓�//� L./GEg7 .n//�S r ByPROVEFIRE ��W`V DAT
co Z
J K ADDRESS / 7 20 $y- )4te-
W W TEL. ZONE NO.OF USE OF NEW
Z= CITY S /9N74 4 4 NO.547975 PLAIDS BUILDING
Z H
Lu— 0 STATE [� -7 CITY RDS APPROVED YARDS APPROVED
to O LIC.NO. /;337 +/ LIC.NO. N BUILDING ACCESSORY BUILDING
1111‘
C/L STREET)
SIZE 3�^ i NO.OFB LOTS. 0 FT. FT.
OF LOT 2 T NOW ON LOT
USE OF
EXISTING BLDG. �� FT. FT,
I— SIZE OF /� ry r NO.OF
Z NEW BLDG. C� /� 8 ROOMS / STORIES / T. FT.Q EXTERIOR WALL _I ROOF �t9 COVERING PLyuJCOoI COVERING m E74 L FT. FT.J USE OF BUILDING AND WORK TO BE PERFORMED CE BET. BET.MAIN& \IlDGS. ACCE .BLOCS.0- \\\Q ATEpFICUSe— b2/a/9/97/On! �ICCirt— ROVED \h / •+.YI —'z 4 S '1_A— c_/ & 747 _ ED2 �!�-��VW ATE0 ✓67`F 71 Q� L7 cvicc cT E
UI hereby acknowledge that I have read this application and state 1
D that the above information is correct and agree to comply with \s
CC all laws regulating building construction, and I shall not employ
r any person in violation of the workman's compensation laws of
(n the State of California. \,... •.IM�/ \ r�
? I hereby certify that I am properly licensed as a contractor under SQ. FT. o \T.
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 effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ¢e
am exempt from tF provisions of the State of California Business
and Professions Cryo Division 3,Chapter 9. VALUATION CoPERMIT FEE $ L l/U
Signature A` I �/\.tel/ ////y� n� to
Permittee �l et
$�r-}/////I PLAN CHECK $ / E
Authorized Agent if LL
TOTAL FEE $