HomeMy WebLinkAbout3354 FUCHSIA ST - Building Permits�
�cTaooness: 3354 FUCHSIA ST :
OWNEH'SNFME:.TALLMAN CECIL D �
aooREss: 3354 FU�HSIA ST
COSTA MESA,CA'. 92626
546-4131
AHCHIENGINEEF: PEG.NO.:
AOUHESS:
uNiT:
UNIT:
PEwmiTTEE: pEAFECT COVER ROOFING (714)434-1566
nooeess: 3303 HARBOR BL D—S
C.M, CA 92626
LICENSEO CONTpACTOB OECLANATION: I hereby afiirm Iha� I am licensed untler provisions of Chapter 9(cammencing wi�h Sec�ion
7000� ol Div,sion 3 0l Ihe Business and Pmiessions Cade, anU my I¢ense is in full lorce an0 effecl.
mrvuc.:054055 sraTeuc.:622516 cuss:C-39
ale' .��_zet q- Z-- Signature: �'� ��' �
WOFKEFS' COMPENSpTION DECIABATION: I heBby aflirm Iha� I have a gce�ifica�e o� consen� �o selGinsure or a certi�icate of Workers'
P LICY N� ��S��g�� g�cp�rtiiie� r,�PY Iherea� (SectiE%P. onre b. V�7 / O S/ 9 3
comvaxr: STATE FUND�q
❑ CeN�ied tapy i5 �ere6y lumishetl. L�I Cerli�ied copy is �ile0 wilh IAe ci�y Builtling Oivision.
ale'. �� "2d "�(%Z— Applicani: ��
E%EMPiION FXOM WORREBS' COMPENSFTION DECLAflpTION: Qhi55et1ion neetl no1 be completetl i� �he 0ermi� i5 for ane AunOreO (5100) ar IeSS).
I certily Iha� in the perlormance o� the work lor which this permit is issuetl, I s�all noi employ any person in any manner so as �o become
sublect �a ihe Workers' Campensation �aws o� Calitomia.
Date: � Signa�ure: �
NOTICE: I�, alier making ihis declaralion. you shoultl become su�lect �o [he Workers' Compensa�ion pmvisions o� the La6or
Cotle. you musl forihwilh comDly wi�� such pmvisions or this permit shall be deemetl revoked. •
CONSTFUCTION LENOING RGENCY: I here�y aHifm Ihat I�ere is a conSlNction lending agency lof Ne DeAarmance of �he work for
wAich Ihis permit is issued �Sec�ion 3097. Civ. C).
LENDEH:
aooaess:
OWNEfl BUILDEfl DECL1flFTI0N: I hereUy affirm Iha� I am exempt irom Ihe Comracrors' Stale License Law for ihe following reason
�Section 7031.5 Business antl Professional Coae: Any city of county whic� requires a permit to constmct, alier, impmve, Aemolish, or
re0air any slmcNre. prior Ia i�s issuanCe, also requires ��e applitan� for such permi� �o file a Signetl 5�a�emen� �ha� hel5he is litens¢tl
pursuant to I�e provisions ol �he Conlracbrs' Sta�e License Law (CM1apier 9(commencing wi�� Sec�ion 7000) ol Division 3 ot the Business
antl Pw�essians Cotle) ar �hai �e/she is ezemp� Iherelmm antl ihe �asis �or the allegeU exemp�ion. Any violation of $ection 703L5 by
any ap0licanllor a permit sublecis Ihe apDlican� Io a civil penalry o� no� more Ihan live hundretl Oollars (5500�.
I,'as-owner ol Ihe pmperty or my�employees wi�h wages as Ihei� sole compensation, will do ��e wark, an� �he
*^'� Slmc�ure is na� in�en0ed or oiferetl tor sale (Section 70a6, Busness and Pmtessional Cotle: The Contractors' $tate LiCenS¢ Law
Ooes nol apply Iu an owner ol a pmpehy w�o builds or impmves �hereon, and who does such work himsel�/hersetl or thmugh
nis or her own employees. pmvided �ha� such impmvements are n0� in�end¢d or oflered lor sale. II, hawever ihe Ouilding or
impmvemeni is sald wiihin one year o� comple�ion, t�e owner will have Ihe burtlen o� Droving he/she Ui0 no� Uuild or impwve
lor Ihe purpose of sale�.
I, as owner o� ��e pwpeM1y, am exclusively coniracting with licensed cantractors to conslmc� t�e pmlec� (Section 7044, Business
❑ and Professions CoOe: ,The Conhac�ors' S�a�e License Law Does noi appty to an owner of proDeny who builtls or impmues �hereon
antl who conVacis for such Drolecls wi�h a caniractor(s�license pursuant�o Ihe Conirac�ofs' Slate License Law�.l am aware
��at pwof ol Iheu Worker'S Compensalion insurance s�oultl be pmvitletl ta me.
� I am exempl under Section: B. 8 P. C.
br ihis reasan:
Daie: � Owner'
I do �ere0y ceNty that 1 am aware ol an0 untlerslana lhe requiremen�s ol Cahiomia Heal�h ana Safeiy CoOe Sec�ions 25505, 25533, antl
25534 and thal I or any future 6uiltling accupant will/will no� (cimle one) need to comply wi�h saiG state cotles antl �he requirements lor a
permii lor conSlmciion or moai�ication �mm Ihe Air Ouahry Management Disiric�. flesidenlial construc�ian applications are ezemp� imm
IheSe provisi0ns. '
Dale: ApplitanC
I here0y cer�tly �hal I have reatl Ihis applica�ian and slate iha� Ihe above in�ormalion is correcL I agree ta compty with ali ciry an0 county
oreinances antl slatelawsrelatingio builtling constmction an� hereby aulhonze represen�atives af�his city�o enierupon�h¢ above�mentioned
pmpeny brinspecuon pur0ose5. '
e '
� ate: i.�L q_'i. Signature'. �i. � � ��
Driver's License or Social Secuniy p: !
164Lafi Wbiie—Butltllnq: Green—Cotle EnlorcemenC Canery—AppllcanL Pmk—Revenue: Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 060020
PERMIT NO; B 060020 PLAN CHECK NO; . N GOVT: N SUPP; N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR , PURPOSE: ALT
JOB DESCRIPTION '; REROOF O/1 LAYER W/DURA LITE TILE SQ FT: 7;100
CLAIM VALUE: 7,100.00 CALC—VALUE: 7,100.00 GROUP OCC; R-3 /
COMMENTS: ICBO#2093 SMORE DETECTOR RE�UIRED . �
**+t�e*�t�t�ex�r�r�tx�t�tx��t�t*.**�+t�t***xx*�r**�t�t** �**�r�r*�r�r�e�r*�r*�tx�tx��*�t�t�t�r�r�r**�t*�r***�r*�r**+r+��
Z O N I N G R E Q U I R E M E'N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDSNG ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: ; FT IN RGHT; , FT � IN LEFT: FT IN RGHT: FT IN
PARKING REO• PROV; PARCEL; 41218210 ZNE: REF NO:
PLANNING NOTES>
�' .
if i! lkif iE if if �k�f 1f if if k �f �klf iF 1k ff if iF 1f fFiE ff if iklf k iF i! i!!k ikit iF 3f if if d! �F 1E iF 1FlE fElk 1f 1k ff �kiElE i! 1E 1f iF iF if k k 1E if ik 1E ik iflf if * ik iE iE Ik if if iF iF 1F
D E.V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
r'
ZONING APPROVED BY DATE; �'.
BUILDING APPROVED BY : DATE;
IIDDT.Tf�TT(1N TCS�7Ril AV. /� . ii iI�TA. LI��"'��Q�iJ
!E iE if it iE iE iF if 1f if if if it ik iF k iki! iE iE if ik ik iF iFif iFit iF ik k if iklk ik iE if if�`1F�'!E iF dk if if �)f it ik iFlF if iF if iElk 1F �f if iF�F If iF iFlE �f iE �F iE iF k 3E iFlF iElE if i! k
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 5MIP/RES GRADING
PERMIT 99.00 .71
' SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMZT ISSUE PLAN=CHECR TOTAL PAID DUE
TOTALS----> ' 99.71 0.00 0.00 99.71 99.71 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 99',71 OVER/SHORT; 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECR
99,00 ,71
ih �FiFiF i!!f iE 1t ff iF it ik iflE it fE �E f! k�F iFlt �f it 3E 1E if iE if �Fi!lEif it 1E if iEif iF iE if it if ik IEif �F ik �k iF iFlf IE if if ik iFiF iF fk if if if iF iE if !E if iF if iE iE k iE iF ik iE iF it
I N D I V I D U A L F E E B R E A K D O W N
TYPE (JTY D E 5 C R I P T I O N UNIT COST TOTAL COST
SFR 7100 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 7,100,00
END OF FEES
y.� j(:1:... .. . -" _'
I CONSTRUCTION PNO PLANNINC.J �� � � L& SPA �
w APPROVALS Permit # Date Inspector pppROVALS Permit #
1. Temporary Electrital $er�e�'r Pole.n, �� - 52. Poo� & Equipment Location
� 2. Soil Pipe-Undrgrnd. - tl ^_rt i 53. Steel Reinforcement -
,�'�3„£lactriFal Con[�uif.Uiility �Undrgm�t�`- �`• � 54. Forms �
��. Electrical ConduitUndrgrnd. ' - , . 55. Elecirical Bonding .
j�'�s;r�el �ieinforcem�nt ��_,� � 56. �Rough Plumbing & Presiure Test
�� .
�c6�lPctrical UP�ji�rnd. o< ' 57. APPROVAL TO COVER-GUNITE
�<<�+.�Qrdotings i''`'s �� � 58. Electrical Conduit-Undrgrnd.
��
,t B�'rr`Foundation r`� �2� � 59.,Gas Pipe, � Undrgrnd., Test
. 9. Water Pipe-Un&grnd. C `) 60. Backwash Lines, P-Trap, O Undrgrnd.
Y 1
10. Structural Flog,r System r� � � 61. APPROVAL TO DECK �
1 i. P.roperty Sewe��Line'.& HonSe�Con�ection " 62. Backwash & Receptor-Final
r� ,
12. 9�wer Cap �, i a. �� � 63. Heater & Vent-Final
13. Roof Dreins �r. � 64. Plumbing System - Final
74. Rough Plumbiny ~ j � 65. Electrical-Final
15. Rough Electriral�Conduit � . 66. Sblar SYstem-Final
� 16. Rough Electri�iring �� 67. Fencing & Access Approval
17. Rough Wiring Sig� , '� 68. APPROVED F.OR PLASTERING
18. Rough Electri.(Fa_I T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning - � F�RE �EPT. REQUIREMENT
_ ' 7 V r CD:.. Y, c... �}
20c�7RoG2�h �actocy F'.ueplace t S;�i eL'� M O "7 7x x PPROV/XL�SaOPemiit #_ � �'*'
T+ 5' x 1 rt+ .: ,-+. �.r x i Y �.,::-i c. 7
H x i r i-' � S k F-1 � '7 * x ,^--� m .�; T
21,�u�s, i�•Stt�ct�{P� �•• .• ,_S M S Hx a�70. l�7ndergrqyn�c Hj�ro x
22. DuCss, ^Bnt[tatirfg x � �',�S * r .-V S � � 'x "77. Producr ' �In9 � 6'as Q�OiI
23.,e(',�a�_Pip� Ro�i.�h &'xest � �� x,,, � ¢ C� * 72. Undergicq�nil FIYu�;�, '` F.�.
242Roa� Framirg %�� i=F y-F� x � ^ 5' x�-73,r+Undergrn�t.•Storo�VTank•OGas ❑8i'�
m c r u�. � � r z
25. Ro� S�athing �`� � r` x `r � G `�� ;� '74:Qverhead�HydroiF'o "
26.-�T�B4r Ceiling (Stcvatura�) 8�tlenocoat T^ •r G'*�-s x 75.; Dry Chemical �- �-- D d
27�Fr e a d FlasHfri iD " 'r ^" ` 76' D'ry Stan' e`�� � S t� `
�j �Q � � S^: .-..� t r Y m x x• � F'Y, * O
;.�28. Lat�iin{ Siding: s �: �-`Sr �s A s �••x = 77,. FIXED °sYSTEM1A EINAL� y^ *
:� � r j �+ .: . r ;�y . � � .� ._ . F � �
� 29. Insulatiqh '.,,.� S .. * K.� 78� FIRE PREV. FIIVAL * a ,X y
'r30.DrywalYJVaifingc'� �� �K �'>< HEALTHiDEP&�REQ1iIR£I
�..� ,�
C'31. Plaster 6iov¢r� Co�tf S ;;r_r x `` Y,79:�FINAL It�ECTIQN x� ` y
_ �
�32�rElectri PovyeriDile.teti-Final; '�`� z n+ `. �t 80;qFO0D CERTIFd6:ATE ISSUED
T331fing,l Ef�ctrii 7� ,� i � *�`' r�` K N4£tis: - �M x_ �
. C .. - I H I�1. �C Y' K.
.t34r�Fir�I.He,�ting�& �iE ontliti9nyig C; x x > � , c-�:� � ,
_ ,,.
35;�Firia1 G� Pi�'E�TeSt;X �' - x^ I . ac C; �+ -_y- >: r c
1 F�. "'S � ti .L• '�� � .- ic
:� .F �" T: Q c � r y l .n . .� t s: 47
�-;36. Hoyd oc„�•anoPY-;>. � i: - .. > C� +� = L C�o x �
' 37�Fin`!a Faetory Fire�laC� � 1�" `^ ' �� { " = �? %
r. a r r -, >: ;� x
- . .. >F � .... >.�� =.: ,
;�38. Find) PI'wnbing x ,7 � v; - s ?t � . �-+ � ,c J
f;�39. WaiBr Service�Fina% 5, � ' Y 4, x% � � a��� '=� !'
F S
s40. Gas Ser ce-�nal �` � ` y '- ^ � ' ' ,
r .`i� !ri `i:rrr s n ir k x . l.� �.�1 .
F41. Solar pomesAcFinalS ("�� � •• �x � x -� Q:� � * .
.-r .t : +c •r 7 : .Z :.�
�.c [.. .-1. ^ � a .: _ �J� ,; J
�42SBackflow PreventeS,, .,� I z� ;:, . x �
43. Backflow Irr�atio�' ��� c s -^ `� � 'r -�. , x r �
>. :i Y� < � ?: ;l
�44. LandscaPe Yrri ati� SVste ���' x # �' � '� ''� �'� �
r 9 �:�7`.J . k tq :�" . ,li :li 'i(� x iV ..
•! ' „ ^ . - .- . _ ... �~ '" � � _ .
S_45GSound Atteou2tio� "�xe- �* <':� =x x , - rc� �Sr{ a
�ti rc' r. �n .. - .r;r .c 3 5 �2 . F_'_
S46-Handicag R gulations y S x`''` �� ��;, �: �K .� '�� '
v47;;FINAL STRUCTIIRE & BUtLDING � Q� " x> � i;� _� �� �
, � > � - a:
48:�=FINAL PLANNIN!'a � [^ir . � � s :; r � =� ;
. �.. � .. n. �C i
c49�-.=ElectricReleasetmEdison i . ( xx - x �� � . ; -�
.1 i: - - r ',7
a50�Gas�iel�ase to Sou�hem Cafifo[nia Gas Co ;� ; ;: '_ - _ . �; j x :-', '
t'% '
;�51. CEBTIFICATEOFjOCCUPANCY i ' ,, i ,. �; �.,4 �r 1 - �
No. Date
Date I Insp=ctor I
MINOR MODIFICATION
Reference No.:
Status: APPROVED
Applied Date: 02-03-2009
Approved Date: 02/03/2009
Denied Date:
MINOR MODIFICATION NO.: MM-09-01
ProjectAddress: 3354 FUCHSIA ST
Suite:
Parcel Number: 41218210
ProjectApplicant: TALLMAN, CECIL D
PROPOSED MINOR MODIFICATION: LEGALIZE 8' HIGH FENCE ON THE RIGHT SIDE OF THE PROPERTY,
BETWEEN THE HOUSE AND THE RIGHT SIDE PROPERTY LINE.
FENCE WILL SCREEN EXISTING RV STORED IN BACK YARD AND IS
ARCHITECTURAILY COMPATIBLE WITH THE HOUSE. FENCE IS SETBACK
20' PLUS FROM THE FRONT PROPERTY LINE AND IS CONSISTENT IN
APPEARANCE WITH OTHER FENCES IN THE SAME GENERAL
NEIGHBORHOOD.
REQUIRED FINDINGS: Y The improvement will not be materially detrimental to the health,
safety and general welfare of persons residing or working within the
immediate vicinity of the project or to property and improvements
within the neighborhood.
Y The improvement is compatible and enhances the architecture and
design of the existing and anticipated development in the vicinity.
This includes the site planning, land coverage, landscaping,
appearance, scale of structures, open space and any other
applicable features relative to a compatible and attractive
development.
PROJECT PLANNER: BOUWE W
NOTES:
Feb 2, 2009
Planning Commission
City of Costa Mesa, Ca
P.O. Box 1200
77 Fair Drive
Costa Mesa, CA 92626-1200
-1M�1^x'ti 1'�Q� U
Subject: �of ence at 3354 Fuchsia St. �)
lJ�
Dear Planning Commissioner: �`� ""''�'`'�`���
In my meeting with Mr. Ron Johnson regarding my fence at 54 Fuchsia, he explained
the position that the city has, and that I should request a „to allow me to reduce
the height of the fence to the top of the steel frame which is eighi. feet. Thus keeping me
from having to remanufacture the metal frame, and the other structural items that make
this a very solid fence and gates for "partly hiding" my RV.
Your approval of this v�e would be appreciated.
�^ �
row �
Sincer
����
Cecil D. Tallman
3354 Fuchsia Street
Costa Mesa, Ca.
714 546-4131
�
H. V f\LAWMASTER 8 CO., 'IN�C. 73CM5-7170A-002
7S»u'MAIN STREET — STANTON, CALIFORNIA
828-8040
xxx
Field Data on Test Specimens Core Concrete _Gunite Grout/Mortar
Prol�r Gecil Tallman Pool Permit No.�;qo—
Project
Location 3354 Fuchsia, Costa Mesa
Contractor Blue Haven Pools Architect
Paol-deep, bond beam
Cocation in Structura and shellaw Engineer
Date Moulded 10/31/73 No of Specimens
Slump Specimens Marked
Specified Strength at zB � days Z��� P.5.1. Mix Designaticn
Age to be tested 7 days ZB days days__days
3
141 sks:33 tons
READY MIX PIANT Job aite AGGREGATE SOURCE
Weather Condition Clear 1 Yd.
Cement Monolith Type I/II Cement, Ibs.
Admix None Sand
Specimens mado by Enterprise Gunite #4
Data by �on Carma� #3 .
Delivered by OLS #2
Date Delivered � � /� /73 #
REMARKS: Water, Gals. g �
Lab. No.
Date of Test
Specimen Dimensions
Aree
Ultimate Load
Lbs. per sq. In.
H/D Corrected
FonM M-OIS
FOR LABORATORY USL C�
73-3462 73-3463 73-3464 73-3483
7 Day Test 7 7 Ua Test z8
�t/7 t�/7 t�/ze
�USR—? :-f? . .1
12.75 f2.375 12.25 12.25
22.75 29.90 28.75
ao,000 3s,soo � ��,000 7a,000
tOd3 1107 12�7 2439
D � C 3 1973
73= 3dB4
Z8 Day Test
>>/ze
6.10 X 12.125
ze.7a
6B4OG0 �
2365
I
A
—Yd. Batch
73 - 3485
ze Day Test
��/ze
6.05 X 12.25
za.7s
6D,D00
2087
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- ; . ; , . - �October..yy� 2973; " -
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il Ta2�lmaa: � • .�.,. _,:
. 3354 FLchaia'SEreef : ' . • ` - - _
, Costa Mesa, Califoinla 92626. } . . . .
DearSir: ,' j . - � '� . . ' , 1 .
A building.permit � � - � , . . ' i * r .
e pzlvete has be �s'sued .to Blue`:. �- � '
swlmmin8 Poo1 on. ur prop'erty, Naveu Pools Co eonstru
In 'oider `. . �. , �t '
- that�your pool wi1i, . , .
.. i'� theiaiug Y.�saf.Youi rea o be $ ye eg8 d=and fo; the.purpose of ; `
Costa p paibilit ,
,• COpy'.°f Hhich't$ icipal :Code;:.�.e..refer . a, n8 the repuiremeats of •' ., .- "
' ched. ,; Y u to .Seetioa 8107� a'. ..
�is lette; - -.A ` , � . , .
ie,di;ect d co.you ia order .� ' .
. , , out ordiaancea and can --� �� � ' •-
meke a thet you vi11 De avQre op
, axea. , . '
' ' - ` .. , - _ . complete��safety check of your pool.,' - - ,
' . . ._ . . . ' •
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Siacerely'youra,( . . .
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_ � . -- ;.. • ..: ` _ . . .. . - . .
, .' RICNARD qANNART t . _. ,
BHscb � ;.ButLdi � '
<. . . . _ a8 Safety Atrector ' . .
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i
l i �
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO . �'1 � �
IpT N0. I� �
�D�ss 3�� `� � �.G,��cA
DATE � � 1 � -1
I
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 streecs
accepted by the City of Costa Mesa.
c
The undersigned, by executing this agreemen:, acicnowledges that
(he=she.-they) 1 VUM (was-or were) �.%J,)._QRA_ advised that this tzact has
not been given final�ihspection nor has it been accepted by the City of Coata Mesa
ae having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumea no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by sute[y bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim reaulting in damage or pereonal injury to the underaigned by reason
of the aforementioned uncompleted condition.
RECEIVED
CIiY OF COSTA P�ESA
P� n.�in,:IDir, r'�f.pT
JAN 15 1973
A� PM
q�g�9�1ui11�i2i1�2�5�4i5�6
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BY �Eiw1 � _ �`�E�%y+�
Purchaser
BY
representa[ive
sY ���� �.�-
Lender
OWNER Tl1LLMAN� Cecil DATE lo-i6-73
� �ns pDDRE55 3�Sk �chsia St. BUILDING PERMIT N0. 37 �
ERAL CONTRACTOR Blue Haven Pools DESCRIPTION of WORK Pvt. S�rim Pool
�Jo. LOT ], 2 TRACT 18 FIRE ZONE VALUE b 3 3�•00
INSPECTION$ Si nat�re Date GROUP J TYPE III ZONE RI
O ��� SUBCONTRACTOR PERMITS ISSUED
Pool Location � �
Dote Number $i nature
Forms
Main Drain
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Pinal _ ..___.
ar and Vent Final
Filter System Final
�
Backwash and Recep. Final �`�� /i•� ` /�
�,.....:.... �:.._� . '�`� i�,1�.7�
Electric
Plumbing
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COSTA MESA BUILDING-SAFETV DEPARTMENT
o n onv �onn rncTe nncee re� �cnonue a�a�a
PP I TION FOR BUILDING PERMIT
Fo� Applicant to Fill in Completely
RE E V V DATE flECEIVED DATE ISSUED
BUILDING �� ! ` � �� /// � / _
ADDRESS �•�� �7 �4� (P
OWNER
�>`C� �����J A.P.NO. (��1 —lO PERMITN .
MAIL BUILDING � � ` C
ADDRESS
� ADORESS + �l
TEL. TRACT �� LO J BLOCK
CITY NO:
CONSTRUCTION ' • W ADD AL R P
LENDER
BRANCH �� ///J �
. OWNER /� QX(/s7x�
ADDRESS VALUE �^^
ARCHITECT TEL. SE O�7 L $��/�
OR ENGINEER • N .
FIRE
ADDRESS ZONE VPE GIiOUP
/J APPROVED
CONTRACTO Qa.(/j/ BV G DATE + "
ADDRESS ( yiiY,�/ ��}�
^ ' TE ZON NO.OF USE OF NEW^
CITV f S;' ry PIAN$ Z BUILDING +�00 �—
o�L��.u—w Q� �
STATE CITV �'ARDSAPPROVED VARDSAPPROVED
LIC.NO. I yy3 LIC.NO. MAINBUILDING ACCESSORVBUILDING
SIZE NO.OFBIDGS. (FROMGLSTREET) ^
OF LOT NOW ON LOT FRONT ' FT. C.� FT.
USE OF
EXISTING BLDG. � S FT. FT.
SIZE OF NO. OF
NEWB�DG. ROOMS STORIES L.SIDE FT. � FT.
EXTERIOR WAIL ROOF /
COVERING COVERING REAR FT. lp FT.
USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
� `- VAR. # DATE
C.U.P.� APPROVED
APPROVED
` � �O �� .
I hereby acknowledge tha[ I have read Mis application antl state $T
that ihe above information is correct antl a0ree to comply with
all laws regulating builtling construction, antl I shall not employ
any person in violation ot ffie workman's compensation laws of
ffie State of Calitornia. . "
I hereby certify that I am property licensetl as a contractor under SQ. FT. T�
-ffie State of California Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and e t, or 1 THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLY:
am exempi from ttie pro,�isions ot the State of Calif ia B iness VALUATION
and Protessions Cnue„BiviS�on 3, Chapter 9. PERMIT FEE $ �
Signature of � � �
Permittee �� $ � �� � PLAN CHECK $ � ' n
Authorizetl Ag t "
TOTAL FEE $ �
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dliG 15-72�..�.0�7100�' ***
COSTA MESA BUILDING-SAFETY DEPARTMENT '
JOZ�iRP�O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � �- . .� � _
�� � - � PP IC TION�FOR BUILDING PERMIT ��
�- For Applicant to Fill in Completely ae iv o v OATE RECEIVED
_ DATEISSUED
BUILDING ' � �
ADDRESS r'LLCt1Sl8 Street -/'S�- 7
PEfl�� � �
OWNER Larwin Southern California, IIIC. A.P• NO.
AD1DRESSJ�S%� [J 5' E
aooaEss 16255 en ra le ard �7 p�
ciTv Encino Califomia No�986-8890 TRACT �//O LOT BLOCK
CANSTRUCTION ' - EW ADD A P
LENDEa q I1 4 �
BRANCH 16255 Ventura Boulevard ^
. . OWNER. ry (�(J�LI ��. NG
'ADDFiESS Eneino� Califomia . /� vn�ue �^/'/.
OR ENGINEEFl LAR I �� No.`273-4464 SE �� � n�� �� $V--� �E�
�
FIRE ��
AD�RE55 9100 Wilshire Blvd. Bev. H1��5 Z�NE TVPE GROUP
APPR D �/
CONTRACTOR Ld�yylfl Southern California �IIC. BV DATE /��I�
ADDRESS 16255 Ventura Boulevard� .ZONe NO.OF ^ USE OFNEW /N Ff1'W :%
cirv Encino� California nT,o.`986-8890 P�� d� BUILDING W� �
LIC. No. 191311 LICyNO. p-� vMA NSBUILDING . ACCESSORV BUOILDING
SIZE NO.OFBLIX'.S. (FROM LSTREET) .
OF LOT NOW ON �OT O FROM FT. FT.
USE OF �
EXISTING BLDG. ' � p7,
SIZE OF � ' NO. OF �
NEW BLDG. ' ROOMS - STORIES L. SIDE � FT,� ' FT.
EXTERIOF WAIL ROOF �jc T � . '
COVERING SfUCCO COVEftING WOOC� Shlll �B REAR ,J„%"F.T. � �FT. .
VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLD('$.� ' ACCESS. BLOGS.
VAR.# DATE
Construct Single Fa�riil Residence c.u.P.#. aaPaovEo �
,.. . APPROVED w�/\ �Z
J
I hereby acknowledge that 1 have reatl Mis appliwtion and state �OLD FOR SFECIAL REt MENT
that the above information is correct antl agree to comply with
all laws regula[in8 builtling construction, antl I shall not employ - . T.q)(
any person in violation of the workman's compensation lawz ot `
ihe State of Calitomia. • - �� r . m
.7d� �
'.I.hereby certity 2hat I am properly IicenseC as a'contractor untler SQ. FT, o
the Staxe of Catifornia Business and Professions Cotle, Divisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR �
Chapter 9; and ffiat such licenses are jn full torce antl effect, or I THE PURPpSE OF ESTA645HING A PERMIT FEE ONLV: m
am exempt from the provisions of the State of California Business � �
VALVATION �
antl Professions Code, Division 3, Chapter 9. PERMIT FEE $ �
�r'J J
Sipnature o ,,,y � � m
Permittae � �/ / � D• DOWnS g��� pLAN CHECK $ � E
`o
Authorizetl Agent ' /, �% LL
TOTAL FEE $