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Home My WebLink About2518 FORDHAM DR - Building Permits(774) 754-5273 • Fax (714) 754-4856 • w�wv.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2518 FORDHAM DR Suite No Vicinity: Parcel Number: 14142503 Applicant: CLENNEY, CARLA Address: 12922 HARBOR BL , GARDEN GROVE, CA owner: WILLIAM MERRIT ' Address: Contractor: EMPIRE PLUMBING Address: 12922 HARBOR BL GARDEN GROVE, CA MECHANICAL PERMIT Status: ISSUED Applied: 17/13/2002 Issued: 11/13/2002 � ISSUED BY: Phone: 714-530-7320 Zip: 92840 Phone: Zip: Phone: 714-530-7320 Zip: 92840 �. � License: 794154 . SCOPE OF PERMIT MECHANICAL TO WCLUDE: 1 INST FAU < 100K BTU ISSUE FEE Insl FAU <100 k BTU Inst FAU >100�k BTU -, Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace . Hood w/Mech� Exhaust VAV Box Vent Fan / Single Duct Appliance � Fire Dampers� , � Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm � � Air Handlers > 10000cfm � Floor Furnace � Floor or Suspend Heater� Quantiry $23.50 $0.00 0 $0.00 0 $0.00 0 � , $0.00' 0 $14.80 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ` � �$�.0� Q - , �'$0.00^ p :. -. -$0.00 , 0 - . � , $0.00 "-0 - -'.$0.00-,�0,�..' .$0.00 �0-� � � $0.00 . 0 � - 9 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Corrmmercial Incinerator � Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers . Upto3hp ' 3To15hp - � � 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee � Reinspection Fee Quantity $0.00 0 . $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $o.00 $0.00 TOTAL CALCULATED FEES $38.30 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: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlretl inspeetions and final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permi�. � FOR INSPECTIONS CALL: (714) 7545626 2dd6C6 (6/00) WORKERS' COMPENSATION DECLARAYION: "' I hereby ettirm under penelry oi perjury one of the following tleclaratlons: ❑ I have anC wlll maintain e cetliticate of consent to seN-Insure for workers' compansation, as providetl for by section 3700 of the Lebor Code, lor Ihe pedortnance of Ihe ,,;; ,wark tar which this permii is issued. n0 wlll maintain workers' compbnsation insurance, as required by secqon 3700 ot ihe Labor Code, br tha peAortnance of the work tor which this pertnit Is issued. �rsI_co_mpensation Insurence �rder and poli lnumber, e/[e: /+� '/ IW�l'1_w�C�y�� P.� Y IPolityNumber:,- �-P�P�Oy �y�� neetl not be pompletea i! the perm�t is valuedet one�hu dred dollars ($100) or /ess.J L- �" � ❑ I cenify that in the pertortnance ot the work br which this permit is issued, I shall nat emplay any person in eny manner so as to become sub�ect to Ihe workere' compensatlon laws of Calitornia, end agree that if 1 shoultl becoma sub�ect m Ihe workers' compensatlon pmvisions ot Section 3700 ot Ihe Lebor Code, I shall fort�with comply_with Ihese pmvi i9ns. Appllca tn SlBnature: �^Date:^- ��' l�� d z� WARNING FAILURE i0 SECURE WORKERS' CQ�dPEN5AT1 RAGE IS UNLAWFUL AND SHP1L SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES lIP TOIXJE HUNDRED THOUSAND Dd.LARE (5100,000). IN ADDRION TO TME COS O COMPENSATION, DAMAGES AS PROVI�ED FOR IN SEGTON 3]Ofi OF THE LABOR CA�E, IMEREST, AND AITORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: Chapter 9(commencing with Section 7000) oi Division end effecL.Uc. M actor's Signeture: entl mv license Is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm ihat there is a consiruction lending agency for Ihe pertormance of ihe work for which this pertni� is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn thet undar penalry of perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, 8usiness antl Protessions Cotle: Any ciry or counry which requires a permit to constmct, alrer, improve, tlemWish, or repair any strucWre, pnor to its issuance, also requires the epplicent tor such permit to Ble e signed stetement that he or she is Ilcensed pursuent to the provisions of Ne Contractors License Lew (Chapter 9(commendng with Sectian 7000) ol Division 3 ot ihe Business antl Protessions Code) or thet he or she is e:empi Ihereirom and ihe besis for Ihe alleged exemption. Any violetion oi Section 7031.5 hy any applicent for e pertnit subjeas the applicant ta e civil penalry of no� more than five huntlrad tlollers (5500).): ❑ I, as owner oi Ihe property, or my emp�oyees with wages es their sole compensation, WILL DO 7HE WORK, and ihe structure is not intendetl or o%ered tor sale (Sec. 7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves iheraon, and who does such work himsetl or herself or through his or her own employees, provided Ihat such improvements are not Intendad or oHeretl for sale. If, however, the builtling or improvement is soltl within one year ot completion, the �wner-builtler will have the burden of proving that he or she did nol build or improve for purpose of sale.). ❑ I, es owner of the propeny, am E7(CLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professions Cotle: The contractors License Law tloes not apply to an owner of pmperty who bullds or Improves thereon, and who conirects for such project wit� e comraaor(s) license pursuant to the Contractors LiGense Laws.). ❑ I em exempt untler sac. Business and Pmfessions Code for this reason: Signature: Date: Owner ID ventietl by tlriveYs licanse. d Yes ❑ No Dnvefs License No. Er.pires: Verificetion of Ownership �y (rype ot tlocumenL i.e. - pmperty taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavatlon five (5) or more leet in tlepth into which e person is raquired to descentl, will ba mede in connection with work authorized by �his permlt, anC that no building siructure, scaMolding, lalsework, or demolition or Cismantling ihereof, will 6e more Ihen ihirty-six (36) teet �ig�. (Chap. 32, Gry 2, An 2, Sec. 341, Title 8, Calilomia Atlminl5irative Gode). ❑ As owner-builder, I witl not empioy anyone to do work which would requira a permit from the Division of Intlustnal Safety, es notad ebove, unless such person has e pertnit to do such work trom Ihe division. Signature: Date: Division ot Industrial Safety Permii Number: CERTIFlCATE OF COMPLIANCE AND AllTHOFRATON OF ENTHY: I certify under penalty of perjury that I have read Ihis epplication and s�ate Ihat Ihe informelion given is wrtect. I agree to comply with ell state lawb antl city ordinances relating to buiiding construction, and authodze representatives ot the Ciry of Costa Mesa to enter upon the ebove-descnbed property lor inspection Durposes. I agree not to occupy or allow oaupancy of any building authorized by this permit until final inspection. �� COOE I, INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 1288 Pool Spe Finel 200 Final R8-Roof 201 Final BIocWRetaining Wall 202 203 Final Factory Fire Place Final Sign 204 Final Demolition Pd7€ It�LS COOE I INSPECTION TTPE 206 Final MeChanical 208 Final Plumbing 270 Finel Elecincal 212 Finel Fire Preventian 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy ,l-o��p� � �� 1 � ti CITY OF COSTA MESA ° BUILDING DIVISION , , � � DEVELOPMENT SERVICES DEPARTMENT B98-00961 �•+�y�� PERMIT PERMIT NUMBER "�now�� (714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 0 ,lob.4ddress: 2518 FORDHAM DR Suite: Vicinity: Parcel Nunmber: 14142503 Applicant: GRAY, PATRICK Address: Owner: MERRITT, WILLIAM F Address 2518 FORDHAM DR Zoning: Phone: Zip: - � , Phone:� 432-0384 COSTA MESA,CA � Zip: 92626 Contracror: 'YOUNGS ROOFING CO., INC. Address: 01112 E. CHESTNUT Arch / Eng : Address: i Status: ISSUED Applied: 06/03/1998 Issued: 06/03/1998 �� . �� " � `= �.: . � � ' . Phone: � � � ." SANTA ANA CA � Zip: 92701 � Licenser 568560 �, i, I � ' . : Phone: .- . , � , �. . .Zip: "i . , . - License: - � � SCOPE OF PERMIT T/OFF, SHEATH & REROOF 1700SF RESIDENCE W/COMP SHINGLES � � " � '„� � . FEE SUMMARY Plan Check: , $0.00 � � _ Calc Valuation: $s,zoo.00 ' Permit: $87.25 � �� Claimed Valuation: S3,2oo.00 ' SMIP Res: $0.50 ' � SMIP Com: $0.00 . - __ _ Other: $0.00 - — ` , Inspection: $0.00 Total: $8775 � PLANNING &' ZONING � SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 Left 0- 0 Left 0- 0 Proposed:� o Right 0- 0 Right 0- 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: � (714) 7545626 � a C WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penelry oi perjury one ot the following tleclaretions: ❑ I heve entl wlll melnteln e ceNficete of consent to self-Insure tor workers' compensetian, es provitletl for by section 3700 of the Labar Catle, for Ue pertortnence of the work tor which this pertnit is issued. ❑ I have entl will maintein workers' compensaGon insurence, es required by section 3700 of Ne Lahor Cotle, for the perfortnance of ihe work fw which �his peimit is issued. My workera' wmpensatlon Insurence wrtler end policy number era: � . Cerrier. Policy Number. (Titls secNon need not be comp/eted I/ fhe permit Is velued et one hundred dollars ($100) oi less.) . ❑ I certiy that in the perto nce of ihe wo which this pertnit is issued, I shell not employ eny person in any manner so es t become subject lo ihe workers' compensation lews oi ell o la, nd agre het I should Decoma suh�ec� to tha workers' compensatlon Drodsion of S ction the Le6or Cotle, I shall torlhwith complY with Uese pr isia . � � � Appllcam Slgnature: � � Date: � WARNIN(3:FAILURETOSEWREWORKERS'COMPENSA CUVEMG SUNUWFULANDSHALLSU&IECTANEMPLOVERTOCRIMI PENALTIESANDqVILFlNESUPTOONEHUNDRED T/qUSAND OOLLARE (E100.000),IN AD�fTION TO THE OF CORAPENSATION, DAM4GES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRAC70HS DECLARATION: I hereby aMrm Ihet I am fome antl eHect. Lic. N_ Contrectofs SigneWre: Sectian 7000) ot Division 3 ot Ihe E (� � Class q � Date: Code, and my license is in tull CONSTRUC710N LENDING AGENCY: ❑ I hereby aifirtn Ihet there is a constructlon lending egenty tor Ihe peAofmance oF ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Signeture: _ OWNER-BUILDER DECLARATIONS: Lentler'S Atldress: Date: I herehy emrm Ihat under penalty ot perjury ihat I em EXEMPT FHOM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Busineu entl Protessions CoCe: My dry or county which requires e permit to consiruct, alter, improve, demolish, or repair eny structure, prior to its issuance, also reQuires the applicant for such permit to flle a slpned statemeN thet he or she is licensed pursuam ro the provisions ot ihe Gontractors License Lew (Chapter 9(commencing with Sectlon 7000) of Divlsion 3 of the Business flntl Professions Code) or ihat he or she is exempt therelrom and the basis for tha alleged exemption. Any violation oi Section 7037.5 by any applicant for e permit subjects the epplicent ro a civil penalry of not more Nan five hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, antl ihe structure is not intentled or oHered tor sale (Sec. 7044, Busineu antl Protessions Code: The Contractors License Lew does not apply to an owner oi property who builds or improves thereon, and who does such work himselt or herseli or ihrough his or her own employees, provided Ihat such improvements ere not Intended ar otteretl tor sale. If, however, Ihe building or improvement is solA within one year of complellon, the owner-builder wlll have t�e burtlen of proving that �e or she tlitl not builtl or imprwe for purpose of sale.). ❑ 1, es owner of ihe property, am EICCLUSIVELY CONTBACTING WRH LICENSED CONTAAC70RS to consiruct the praject (Sec. 7044, Business end Professions CoOe: The contractors License Law tloes nat apply ta en owner ot properry who builds or improves Ihereon, anG who contrecis far such project with a contrector(s) license pursuant to Ihe Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Cotle for this reason: Signa�ure: , Date: Owner ID veritied by drivefs license. ❑ Ves ❑ Na Driver's License No. VedFlcatlon oi Ownerehip by (type of document, I.e. - property tax blll or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFlCATON: � I hereby certHy thet no eacavation Bve (5) or more teet in depth inro which a person Is required to descend, will be matle in connectlon with work authodzetl by this pertnit; and that no building strucNre, scafloltling, felsework, or demolition or dismentling thereof, will be more then thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomie ACministretive Code). , ❑ As owner-bull0er, I will not employ enyone to tlo work which would requira a pertnit from [he Division o1 Industnal Sefary, as notetl ebove, unless such parson has a pertnit to do such work irom ihe tlivision. , SignaWre: Date: Division of Industrial Satery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORQATON OF ENTAY: I certity untler penalry of perjury ihat I have read this epplication antl stete Ihat the intormation given is wrrect. I egree �o compty with all stete laws and ciry ordinances relating to building consWction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the above-descnbed properry tor inspection purposes. I flgree not to occupy or ellow occupancy ot any building authorized by ihis permit uniil fnal inspedion. COOE 1. INSPELTIONTYPE 1616 Fixed System Finel Fire Prevention 1266 PoolSpaFinal 200 Fnel Re-Root 207 Final BIaWRetaining Wall 202 Final Factory Fire Place 203 Final Slgn 204 Final Demolition 246Bd8 7��$ . �� INSPELTIONTYPE 206 Final Mechenicel 208 Finel Plumbing 210 Final Electricel 212 Final Fire Pravention 220 Finfll Planning Approval 222 250 Final Site Finel Builtling/Occupancy OW NER Cbsta Mesa Estates JOB ADDRES3 2518 Fordham Drive GENERAL CONTRACTOR Roven-Spie L 21 BLOCK GROUP I & J INSPECTIONS Fooiing Trench � Foundation Forms and Grade to G Rough Framing Plumbing, Rough to Slab � Plumbing, Rough Complete � Temporary Pole Wiring, Rough Heating, Rough Heating, Final . Sewer. House ID.�L Sewer. St. Septic Tank or Cesspool L 'hg,ln I � ring Plumbing, Final, Fixtures Plumbing, Final Gas Test Wiring, Final Occupancy FOHM 210 3M 10-v3 CO TRACT 27SO V ZONE � DATE I SUBCONTRACTOR 4-12-56 BUILDING PERMIT NO. 2621 VALUE � 11,ZOO.00 Single Res w�att gar FIRE DISTRICT 2643 PERMITSISSUED DATE I NUMBER �:�,! .Costa, Mesa Building Department /'�-�r�>y �.� 117 EAST 20th STREET COSTA MESA� CALIFORNIA 'FOR APPLICANT TO FILL IN Buildln9��/ �7 Addrese Q C ' % �� ri t Ci&� APPLICATION FO�t PERMIT BUILD�NG � � FOR OFF`ICE USE ONLY . ReceipY No. Permft No. . v� � oL / os a esa, orma Nearast '� I J� �—� � I � CrussSt �'« �� -� Building � �� Address owner ..C%STf/- �i� F'ST.�%Z�> Mai1J �I �/ „� � Costa Mesa, California Addres 4�J b �' � �� Nearest Cross St. ctty �,d s oc�[.Ez� � rTvo: 4/r383%� Zone � No. ar I ryP� � Arot%itector Lic. � P�'a^$ Engineer � L�' C'/UG" , No. ApprovW ,` s�//.W-F�il/ /�c �j b Da Address �6•. �%�'� /ih�% sv�ninr.�nmr�wrc New GU . .3 s:� Metes and Boun � 7o2X/m-o s�X�,� Wali �: No� /,2 � t/ =r„�-�; No. of Bldgs Now on Lot No.of No.of Famillw Rooma � Demolish �- sto�ies Covering l rUC'(�, � Covering �S;y��/s � [�PPR,Q�7��S Use of New `p� � ,/j� . �i Building 2Gq-(;Z `�,Z.LL�q� Uf Ni/G/iLa Foundation Location Inspecto J Forms, Materials, � 4� ,c,EtC - ��C.6t. Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby aclmowledge that I have read this Application . and state that the abwe is correct and agree to rnmply, Lath. Int. with all CYty Ordinances and State L.aws regulating building construction. Lath. Ext Signatureof � Permittee �'�� Plaster, Int. � Valuailon $ /��p� RM 204 S-HP 2M 8-55 PerfnitFee$ .1-�' Plan Check $ / $� — Total /L Fee $ T �i � DaRe �OWNER h �JOB ADDRESS f 'RAL COI 141- INSPEC710NS � SOI L t\�,� �GAS \ W qTER 25 ive DATE 6-22-70 BUILDING PERMIT N0. LOT 21 TRACT 2750 FIREZONE VALUE — Si naturel Date GROU'P�`V , 1 nn`YVE PROP. SWR. LINE U HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONDITIONING TEMPORARV SERVICE OR POLE IINDERGR0UN0 � POWER � ROUGH WIRING TRENCHES �I FOFMS � SiEEL FEINF. 80N� BEAM [� STEEL REINFORCE U SHEATHING FRAME AND FLASHING LATNING - IN n OUT n ! ER, 9ROWN COAT S. _TURAL,FINAL HEATING, VENT., REFRIG. AN� A.C., FINAL PLUMBING, FINAL AND GAS TEST �] ELECTRIC. FINAL � � .' � Y n � ' �. � I J�2 COSTA MESA BUtLDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Z . a twj Z Za am J7 J N 0] J m J Q U Q Z� aw W Z J Q m Z J � W w � 2H w� N K �O Fnio fU,d?_2-70r.ns��02305 �n+�+��a�-�+�S.00 LICATION FOR BUILDING PERMIT For Applicanf to Fill in Complefely /� ,l �7^,f� REC ED BV D T REC VED DAT ISSU Dp� ADIDRESS /�".' / ��J/H/1/YI .YR Z�L � �nV /� � p''J�� /�/�PEHMI ,`_F�/ OWNER L(J�I/��M F ��I\ I// . A.P.NO.I I' O�J V ADDRESS /��/O FQ�/H//�J �� BUILDING ! � ADDRESS v � CITV C63/!i /i'��.�%/% �/T/I NO`��S�J/� TRACT� lOT �/ BLOCK CON5TRUCTION y�aN� EW ADD A P LENDER N � BRANCH �� O NER ADDRESS VALVE ARCHITECT !lG�� TEL SE S ✓ OR ENGINEER �� N . � FIRE ADDRESS ZONE P - GROUP APPFOVED �' � �' CONTFACTOR "� BV DATE - � ��' ADDRESS �� TEL. �ON NO.OF USE OF NE PLANS BUILDING ' CITV � NO. STATE � CITY �'ARDSAPPROVED VAR�SAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING S12E Y /a/ NO.OF BLDGS. (FFOM C/L ST� OF LOT /� NOW ON LOT FFONT FT. USE OF �[ EXISTING BLDG. r/ Um� S FT. FT. SIZE OF �(� � NO. OF NEWB��G. A D FOOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF / COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED OISTANCE BET. BET. MAIN & MAIN BlDGS. ACCESS. BLDCaS. /'�I��O SL.Ap �j r F�O��NP-+ CURP # � qOVED r /-�/- (� APPROVED ' �f' /'!/�J�P 7 /�% (/ �5' �a a' I hereby acknowletlBe that 1 have reatl this application antl state that the above information is co��ect antl agree to comply with all laws regulating builtling construction, and I shall not employ any person in violation of the wo�kman'S compBnsation laws of the State of Califomia, m b I hereby certify that I am properly licensed as a cantracior untler SQ. FT. p the Siate ot Celifomfe Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR � Chepter 9, antl [hat such licenses are In full force and effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the provizions of the State of California Businass ¢ VALUATION antl Professionj Cotle, Division 3, Chapter 9. � �' �0 ro 1'qqqn ---/,ys`� PEfiMIT FEE $ � Signaiure ot ln /`�////' - _,,,, ��j1i�4'nn , ,� m Permittee �V %u�l//�1 V ��/✓V✓� § � p�qN CHECK $ E � `o Autho�ized Agent LL TOTAL FEE $ � OWNER �RRITT, WILLIAM DATE g_LO-70 JOB ADDRES$ 951 A Fnrdham Drive BUILDING PERMIT N0. 32153 GAS W ATER PROP. SWR. LINE I I MOUSE CON. MISCELLANEOUS ROUGH HEATING AN� AIR CONOITIONING UNOEPGROUNO Lf POWER U ROUGH WIRING TRENCHES Q FORMS � STEEL REINF. FLOOR SVSTEM BOND BEAM � STEEL REINfORCE � SHEATHING FRAME ANO FLASHING LATHING - IN Q OUT PLP�TER, BROWN COAT 'URFL, FINAL h .G, VENT., REFRIG. AND A.C., FINAL PLUM6ING, FINAL ANO GAS TEST n ELECTRIC, FINAL BUILDING, FINAL i FIRE ZONE SUBCONTRACTOR in_Re�sidenLa • . � �2153 � COSTA MESA BUILDING-SAFETY DEPARTMENT .- P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 . For Applicant to FiII in Completely .. o�oaEss ��lf f�n�l�ANI ✓� OWNER � �17�y` � �/II'�\R� � Z aU F- Z Z F � N a m J � J N Q w p] J - p] J Q U N Z a w� aW WZ J Q m z J � W W � Z F w� N � �O H z Q U J a a a 0 � N Z O f- U � � r N z t`�« 1�-7�cwsaOO 447+� ***�43.50 APPLICATION FOR BUILDING PERMIT MAIL �S7flFdnDifAs� � ■ 6UILDING��`^%ij �/ _'_, ADDRE/S�S ADORES �> �l �Lt/CG� `O� R 11�1�rs-A- NOL�J�-� �7(� TRACT p( D� LOT CITV CANSTRUCTION II�N�� LENDER /w BRANCH �� 0 ADDRESS ARCHITECT t�1-r�� L K� OR ENGINEER Y ADDRESS /`�ra Nr'w CONTRACTOR '�^ ADORESS � � OWNER TEL. S NO ��Vl FIIiE r1 zorvE APPROVED �� TEL. cirv No. STATE - CITV LIC. NO. LIC. NO. SIZE � 'Z I� I Q D NO.OF BLDGS. OF LOT I NOW ON LOT J USE OF ��/'� � E%ISTING BLDG. V /• SIZEOF �I,C��Y RO MS � STORIES NEW BLDG. EXTERIOR WALL{� F COV�ERING Sµ�wGGE COVERING �kN �U OF BUILDING AND WORK TO BE PERFOFMED , �M�iLCA i i � ��5 �i�'D I�A�I � �%�.u.Q�-L��ca�LL4oI) �aE.�� ZO _ NO.OF PLANS VARDSAPPFOVED MAIN BUILDING DISTANCE BET. MAIN BLDGS. VAR.# . C.U.P. # nraRoveo //, USE OF N � BVIIOING VAflOSAPPftOVED ACCESSORV BUILDING DATE APPROVE� vii� I hereby acknowlEdge that I have reatl this application and state � " ihat ihe ebove information is correct and agree to comply with all laws regulating builtling consttuction, antl I shall not employ - � any person in violation of the workman'S compensatiOn laws of Me State oi Calitomie. m b 1 hereby certify xhai I am properly licenzetl as a conttactor under � SQ' FT. o Me State of Calitornia Busine5s antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt f m the provisions of tha Sta[e of Calitornia B�siness ¢ and Professio s Cotle, Division 3, Chapter 9. VALUATION ��%' O � , r�I�,� � � �� .%f� � PERMIT FEE $'� � • O � Signature of �y ji ��`Y y � ^ ' � q� /'� � "�� / L�` m Permittee /� V` � �, � V I $ ��0. -� p�qN CHECK yy �'7�'• v Q E `r�•3-�O � Authorizetl Agent �' TOTAL FEE $ OWNER Costa Mesa EStdt85 DATE �-12-56 JOBADDRES3 2512�Fordham DZ'1Ve BUILDINGPERMITNO. ZGZa' GENERALCONTRACTOR Roven-Spiegel Co - vnwe s 11�200�00 i p� e�ocK TRACT 2750 Single Res w/att gar GROUP I' B[ �T TVPE V ZONE +W FIRE DISTRICT 26µ� PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER FootingTrench �� Foundation Forms and Grade to Garage ♦/ .._.._� �"_"_ �" b _ Plumbinq, Rough Complete Wi Heatinq. Final i MFF S IS•7- � SepticTankorCesspool V - Lathing, In Out „/F/ Z•',�" — F ring Plumbing,Final,FixturesComplete�{'�%$ 5-�-57 / Piumbing, Final GasTest/,j h/f,s 5"- - ;, .i' � Wiring, Final � Occupancy , Mpy g 1951 V�i�@ FOFM 210 3M 10-v5