HomeMy WebLinkAbout1170 GLENEAGLES TERR - Building Permits •
ADDRESSOGBUILDING: 1170 GLENEAGLES TR mat CITY OF COSTA MESA – BUILDING PERMIT
o.NERSNAMEIEIDIovesplELLS, ROGER 0 TR PERM NO: B 071885
ADDRESS: 1170 GLENEAGLES TER
COSTA MESA,CA 92627 PERMIT NO: B 071885 PLAN CHECK NO: N GOVT : N SUPP: N
ADPL.MAILING ADORERS: CONSTRUCTION TYPE; V-5 PERMIT TYPE; STR PURPOSE: ALT
ARCHITECT OR ENGINEER: UG NO.: JOB DESCRIPTION : T/O RESHEATH 1 /2"CDX, REROOF W/COMP SHIN SQ FT; 6, 000
ARCH.OR ENG.'S ADDRESS: LIMT:
CLAIM VALUE: 6, 000 . 00 CALL–VALUE: - 6, 000 . 00 GROUP OCC ; R-3 /M-1
CONTRACTORS NAME: COUNTRYMAN' S CONSTRUCTION ( 714 ) 768-2952
CONTRACTORS MMUNG 24581 VIA SAN FERNANDO COMMENTS : SMOKE DETECTORS REQUIRED PER 91UBC, REROOF 2400SF RESIDENCE
rams: MISSION VIEJO CA MHO.: 626343 ***********************************+(-******+E******** -**********SF****** **+***** -
92692 wit Z ON I NG REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:1 hereby *** ***under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code and my license is in full force and effect
cm Llg.ryq: 059079 uc.cuss: BC39No.: ca i EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING
I- 1j -? j �� 6 FRNT: . FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Cos ���.t11a,ea✓ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of Per urY that 1 . exempt from the f tradors License Law for the
Idlowing reason(Section 7031.5 Business and Professions Code:Any CAT Or••• whish flirts a•. n Io construct.aver.improve. PARKING REQ: P ROV: PARCEL: 42233104 Z N E: REF NO:
emdoh,a raper any slmcture,Dna to Os issue ce,So requires 1M applicant for such pe roil 10 fib a signed atetemeM that he a she
'-'"`licensed pursuant to the provisions d the Contractors License Law c (commencing7000) PLANNING NOTES>
I h theer 9 loommeea with Section .Mof violation 3 of the
^;7031.Sss and ProfessionslkCapel m thatsuhe or she is exempt a diol fn and basis for an alleged ere dollar kW of Section >
7031.5 by any applicant la a permit subjects the applicant to a civil penally d not more than five hundred dollars[55001). *lf****jt"IEiaiEfE*********if*****lids****fEifiFiElfiE*iR1Fit3liFiEiF**************lE***** *iTiF****is****
❑ I,as owner of the property ormyemployees with wages astheir sale compensation,will do the work and the structureisnolintended D E V E%L OP MEN T SERVICES R E U I R E M E N ••T S
or offered Professionsr sate(Section 7044,Business and Code:The Contractors License Law does not appy to an Owner of property ♦/ Q
who bolds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such
improvements are riot intended or offered Forsale.it.however,the building or knpmuemenl ie sold within one year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose or sale).
❑ I.asowner ofthe property,amexclusively contracting with licensed contractors lo construct Meprojed(Section 7044,Business end BUILDING APPROVEDBY : DATE
Professions Code:The Contractors License Law does not appy to en owner of property who but., . improves thereon and who :
�`
contracts for such projects with a contractor(s)licensed purswnl l01 .ors Lice -rr' . ,1' f
o lamexams under Section: B.AP.C.,for theSat�ir/A - APPLICATION ISSUED BY; 3 DATE-
,....,.......-
ATE: /3/ f
> Dale: *—I T — Own.--- �.
41-• LEGALIZATION;N I, F E E SUMMARY STRUCTURAL SEGMENT: Y
certify d
Ido hereby cethat I am aware and andemland the requirements of California -. and Safely Code ions 25505.25533.ark 1
25534,and thM I or eny hnure building=upset will/will not(circle one)need to,.. ply wmsaid state..!Land the requirements for •
BLDG. PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a pemine construction or modification horn the Ar Quality Managemnsnt District.Residential condnaare dion apDFcalions aexempt from these PERMIT 81 . 00 . 60
Date:pr
Applicant: SMIP/NON–RES
PLAN
' WORKER'S COMPENSATION DECLARATION:I hereby eMnn under penehy of perjury one of the following dederstions: ISSUE FEE -
❑ I have and MI maintain a seediest.of oonsenl to see-insure for workers'compensation.as provided for by Sedion 3700 of the Labor BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL -,.. PAID DUE
Code,for the performance of the work for which this permit b humeri
❑ I have and wit maintain workers'compensation insurance,es required by Section 3700 of the Labor Code,for the performance of the TOTALS > 8 1 . 6 0 0 . 0 0 • 0 . 00 8 1 . 6 0 _ 81 . 60 0 0
work for which this permit is issued.My workers'cons nne
ation insurance caand policy number are: --'
Carder STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 81 . 60 OVER/SHORT : . 00
Policy Number. 11UJ1Wi- 4 10/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT. GRADING PLAN–CHECK
This section need not be completed I the pannus for one hundred dollars($100)or Sea.) 81 . 00 .,6 0,
❑ I certify that in the performance of the work for which Ihie penS is issued,I shell not employ any person in any manner to as to '
become suNed to the workers'compensation laws of California, and agree that H I should become subject to the waken' *********************************************************.4*45*******************
compensation provisions o Section 3700 o the Labor Code,I shall forthwith comply with those provision. IND I V IDUAL F E E B R E A K D O'W N
Date: Applcant:- T '
Warning:Failure to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines Ip to one hundred thousand dollars($104000A M addition to the cost of compensation,damages as provided for In -
Section 3yD5ofthe Labor Code,Interest,and attorney's fees. SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 000. 130
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3091,Civ.C).
LENDER'S NAME: '
LENDER'S ADDRESS:
I cents that I have mad this application and slate that the above infomsibn is corm:.I agree to comply with et dry and county ordinances .
end state laws relating to building construction and hereby authorize reoresemaives of this city to enter upon the above-mentioned property
for ins..:.ion purposes. nal
4
=-:_y Ne- P:col Nkme / —/.;/c� ®1 00179361-00179862 TOT 31.M3
/' Signature of•/ii.dAgent/Applicant/ConiradO Date: T DATE! 04/13/95 Ti11E: 04:175 —
(5151J6.WP) White-Building 8 Safety:Green-Fte:Canary-APPAcent:Pink-Revenue:Goldenrod-Assessor . _- - . -- .
CONSTRUCTION AND PLANNING POO. ;PA
•Date Inspector Date Inspector
1 APPROVALS Permit# _ APPROVALS Permit # .
I.
L'r Temporary Electrical Service or-Pole - 52. Pool & Equipment Location .. .•
;2. Soil Pipe-Undrgrnd. •- - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5, Steel Reinforcement 56. Rough Plumbing & Pressure Test ',•
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings I• 58. Electrical Condut-Undrgrnd. '
. 8: Foundation ,., • , • 59. Gas Pipe, 0 Undrgrnd.,Test -
9. Water Pipe-Undrgrnd. , , 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System _ i '61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ; 63. Heater & Vent-Final
13. Roof Drains . ''i - . i' 64. Plumbing System - Final
14. Rough Plumbing .. • 6,5. Electrical-Final
15. Rough Electrical-Conduit �- 66. Solar System-Final
16. Rough Electric Wiring 'I 67. 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 Factory Fireplace - - , . APPROVALS Permit#
21. Ducts,in Structure . . . 70. Underground Hydro
22. Duds, Ventilating - - - 71. Product Piping•D Gas DOil
23. Gas Pipe-Rough& Test -• 72. Underground Flush
24,'Roof Framing' 3 Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing . 4�// Il'���4 Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and Flashing; - .�. 76. 'Dry Standpipe
28. Lathing & Siding • ' .. 77. FIXED SYSTEM'FINAL
29. Insulation ' I 78. FIRE PREY. FINAL
30. Drywall Nailing - _ . HEALTH DEPT. REQUIREMENT
- 31. Plaster Brown Coat ; . 79. FINAL INSPECTION -
32. Electrical Power Meter-Final 1-, ' 80. FOOD CERTIFICATE ISSUED,
33. Final Electric . ' Notes_df/?O 3�aC, ->� y ,
34.-Final Heating& Air Conditioning !
• I l //4 1.
35. Final Gas Pipe-Test ' -
- -
36. Hood or Canopy _ ••
r
37.-Final Factory Fireplace : , ; - -
38. Final Plumbing i
39. Water Service-Final ' ,
. 40. Gas Service-Final - , - l
l
41. Solar Domestic-Final .. I i
42. Backflow Preventer . Y`nq_75- k-eel 5 12 5 {/?
43. Backflow Irrigation - 1 C�l!/ Ql ` ,‘ �` �J"m1i' I
•
-44. Landscape Irrigation System -- - - F2
45. Sound Attenuation ,
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING ' 25'75-4(..441 ,
48. FINAL PLANNING - • •
49. Electric Release to Edison
50. Gas Release to Southern California Gas CoI
51. CERTIFICATE OF OCCUPANCY - -
No Date
I
ADDBESSoFBunmNa 1170 GLENEAGLES TR MMT: CITY OF COSTA MESA - BUILDING PERMIT
NM
IE IF Mak WELLS ROGER 0 TR - PERM NO: P 078771
ADDRES& 210 MARIANNE WAY
CAMPBELL,CA 95008 PERMIT NO: P 078771 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MMUND ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: LlC NO.: JOB DESCRIPTION : C/O WATER HEATER SQ FT:
ARCH.OR ENG.'S ADDRESS: tINT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
CONMACTORSNAME HOCK PLUMBING ( 714 ) 895-1246
cGNmACTOWSMMLRC 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS: STANTON CA LittD.: 511971 ** **it*uitiE+E*RE**SE* Resit******** RE**at****x*cies******** *SE**x******x**********it***SNic+S
90680 LW: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury the I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Divisum 3 d the Business and Professions Code,end my license is in full force end effect. '
CITY LIC.NO.: 50386 UC.CLASS: C-36 arc.NO.: 5 1971, EXP• 02/97 MAIN BUILDING ACCESSORY BUILDING
vcgy/ G. Contractor: 1 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
C?
`�y G� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
NER BUILDER DECLARATION:I hereby affirm under penalty d perjury that I am exempt from IM Contractors Lioenee Law for the
Wowing reason(Section 7031.5 Business end Pmfeesons Code:Any city or county which requires a penal to construct.alter,improve. PARKING REQ: P ROV: PARCEL: 13946104 Z N E: REF NO:
%moleh,or repair any structure.prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> ^� .
mines.and Professions Codel Cf that he or she is exempt therefrom and the basis for the alleged exemption.My violation d Section > •
V!v
1 7031.5 by any applicant for a permit sullied,the applicant to a civilpen+hy of not more than fire hundred doges IS50o0. **********************************************y)E********************************
❑ I.as owner of the properly or my employees with wages as thei sole compensation.will do the work,and the stricture i not intended DEVELOPMENT V E L O P M E N T S E R V I C E S t R E Q U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:T a Contractors License Law does not apply to an owner of property Q
who buids or improves thereon.
.end who does such work Nmeell or herself Cf through his or her own employees,provided that such n✓n
improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year d completion. ZONING APPROVED BY !ff DATE:
ar
own -0uilder will have the burden of proving he or she did not build or improve to the purpose of sale).
❑ I,as owner of the propend.ant exclusively contracting with licensed contractors to construct the project(Section TON.Business end
Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a mtracton(s)licensed pumuenl to the Contractors License Law).
❑ lamexempt under Section: B.AP.C. Tirthisreason: APPLICATION ISSUED BY: DATE. es /
Date: Owner: ***************************************** ********************* **
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby cenffy that I am aware of and understand the requirements of California Heath end Safety Code Sections PAVI5,25533.and
P5514,and Mat I or any future building occupant will/wit not(circle one)need to comply with said state codes end the requitement,ler
+permit f«constmction or modification from AirDistrict,Residential construction applications are eee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 11 ,00
Dale: Applicant 25% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby arum under penalty of perjuryone of the following declarations: P LAN
ISSUE FEE 22 , 00 N
❑ I have Code,fndwificateofconseohthisnsurel«wued. 'compensaton,asprwkedl«IrySWion3700oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance of IM work for which this permit is issued.
11 Ihaveand wMmaiMainworkers'compensaiioninsurance,as required bySection 3700oteLabor Code,be
thepbuh®dM
performance TOTALS----> 11 00 22 00 ' 0 . 00 33 00 33 00 00
j� work to which this permit caneris issued.My workers'compensation insurance caner and policy number are: In A
Carrier: GOLD N AGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 33 ,00 OVER/SHORT: tO0
•
Policy Number: NWC 32113100 09 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
This section need not be completed i the permit is for one hundred dollars/$1001 or Am.) 33 , 00
❑ I cenity that in the performance of the work for which this perm)is issued.I shall not employ any person in any manner so as to
become subject0 the workers'compensation laws of California. ree that' should become subject to the workers' **M*********************************************MM*MMM*************************
en
compsation of 3700 of the Labor Code.I end comply e.prwraan.. IND I V I D U A 1F E E BREAKDOWN
W+minp:Fa/lun ro+xure workers'compensation coverage unlawful,and still subject an employer to criminal penalties TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
civil Ones up to one hundred thousand dollars(Sf04000A in addition to the cost of compensation,damages as provided for In y
Secdon37aoeThe Labor Code,Interest,and+tomeyslees. PLU 1 WATER HEATER AND/OR' VENT 11 . 00' 11 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency ler the END OF FEES
performance of the work for which this permit is issued(Section 3097,CM.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and stale that the above information is correct.I agree to comply with all city and county ordinances ,
end state laws relating to building construction end hereby authorize representatives d this city to enter upon the above'mentoned properly
for inspection purposes.
� � `RON NOCK
?
Date: 7/2-7(12:4
_'
Signature el Oxnard. .pe ;.ret
can • •«« IT` _ .�hfl -
' Elly::^L,.' ' . i- r. 'r . _ ., .
(5151-48.WP) White-Building&Safety;Oreen-File:Canary-Appkcant;Pink-Revenue:Goldenrod-Assessor / - —._-
CONSTRUCTION AND PLANNING.
POO' PA
APPROVALS
APPROVALS Permit# ) Date Inspector APPROVALS Permit # • r Date Inspector
1. Temporary Electrical Service or Pole_ . - 52. Pool & Equipment Location �.
- • '
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. • 54. Forms -
4. Electrical ConduiLUgdrgrnd. 1 55. Electrical Bonding
5, Steel Reinforcefient;. 56. Rough Plumbing & Pressure'iest ' .
.•. 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ..:
-
-7_: Footings 58. Electrical Conduitti=Undrgrnd.
. .8. Foundation - r^ . 59. Gas Pipe, 0 Undrgrnd., Test • ' 1
' - 9..Water Pipe-Undrgrnd. -- 60. Backwash Lines-P:Trap, 0 Undrgrnd.
10, Structural Floor System • ,l 61. APPROVAL TQ'D•ECK .'
11. Property Sewer Line & House Connection , 62. Backwash & Re-ceptor-Final,
12. Sewer Cap 4 63. Heater & 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 Wiring - • 67. Fencing.& Acce s'Approval
17. Rough Wiring Sign '-' • - 68. APPROVED FOES-PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �,
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
.
7-irk-
20. .Rough Factory Fireplace - _,_.- ,,APPROVALSPermit# -' -
_
21. ',Ducts, in_Stru`ctur, ,y ; _ ', _ , ` 70.,:Underg`ro nd Hydro ,. cc!
22. Ducts, Ventilating-s . _ Cr 71. Product:_P.iping•OGas 0Oil
23. Gas Plpe-Rough& Test , - "-• ' 72. Underground lush °
_ F
24. .Roof:Framing= •. c - - h- `1 -. 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing , , ` „ - 74. Overhead Hydro., t
26.,T-Bac'Ceiling (Structural) & Monocoat - - `f 75: Dry Chemical --
27. Frame and Flashing : 76. Dry Standpipe_,;_ ;- . '
. 28. -Lathing & Siding�r.t -
9 9:•. -. - 77. FIXED SY.STEM_F.INAL
29. Insulatiorrs - -. -- , 78'. FIRE,PREV. FINAL
- 30. Drywall Nailing ••. - HEALTH DEPT,-REQUIR-EMENT
31. Plaster BrowrLCoayy _ •
79.1'EINAL INSPECTION " C' - ,1
32. Electrical-Pow&r Meter;Final • , , -, 80: FOOD CERTIF1GATE ISSUED
_ 33. finayEle`ctric _• r - - ;. •_ Notes: � l- .eiz�_ /�„2
34. Finan - - .- _. c 11
35. Final-Gas Pipe'Tesf . - - l r-• -
36. 'Hoo?or Canopy q - ^ `
r
37. Finai:Factory Fir puce .- _ r '- -+, _ _ - C;
'� .. .. . -. q1 x r.-
_' 38. Final Plumbing r r 9-- v'' _ _ -
39. Wate'Service•Final _•
s
:, 40. Gas Service-Final : . , _ + - _ _
• 41. Solar Domestic-Final - `r
42.-Backflow Preventers - �; ,.
43. Backflow Irrigation* - ` _
t L
�
44. Landscape Irtigatiori System ' . . . . - -
.45. Sound Attenuation• - - :- - - .-- . <
46. Handicap,Regulations _
47. FINAL STRUCTURE& BUILDING ' '-•'r - _
48. FINAL PLANNING. ;
49. 'Electric Release to Edison - -.
C: -
50. Gas Release to Southern California Gas Co . .
51. CERTIFICATE OF OCCUPANCY • -
No. Date
OWNER WFT,T.S, ROGER 0 DATE 84-61
JOB ADDRESS 1170 Gleneagles Terrace BUILDING PERMIT NO. 15096
GENERAL CONTRACTOR Owner VALUE $ 30Q.00 res.
AP No. LOT 33 TRACT 3170 FIRE ZONE DESCRIPTION OF WORKAdd open pat.tc
INSPECTIONS Signature DATE GROUP j TYPE y ZONE R_l
p
SUBCONTRACTOR
PERMITS ISSUED
U
DATE NUMBER
Winer
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Constructioole
Underground 0 Power ❑
Rough Wiring
Trenches 0 Forms 0 Steel Reinf. ❑
Floor System _
Bond Beam 0 Steel Reinforce 0
Sheathing I'�!(�J�` y•-7-V4 /
Frame and Flashing t11�P7'�.(1 P.-2-e"(p/
Lathing — In ❑ Out ElG
Plaster, brown coat
Refrig. ❑ Air Cond. 0 Final
'h• I 1g, Final
,y 1 ging Fixtures, Final
t Final Gas Test
Electric Fixtures, Final
Building, Final 14-(oi
OCCUPANCY
FORM OU4•SM — 7.61 15096
fso 94 FE RECEIVED
,, f I
9609T AUG 4 1961
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
7
TYPEORPRINT_ /l / r .//� BUILDING
ADDREISS II / 0 GI-EN r-. Al pL•CS //I, •
( COSTA MESA. CALIFORNIA For Office Use Only
OWNER 1' /- •RECEIPT NO. 1P4RNIJ&d
D qr/� 0 Wei-L .- V'V l/
MAIL
/Cl // �i / RECEIVED BY O TE RECEIV DATE ISSUED
ADDRESS I/ -�/y(7/��{G( NCA(p/ter j //� $1,�y ' Y- I (� ''�^
CITY C . O S / /--I ,//1 =S A N9TI-I.'I/9rl ADDRESS ii ( a Sgo-L`Q-05 -a- 1 the
ARC ''ECT TEL. COSTA MESA. CALIFORNIA
OP NEER NO.
ADDRESS - FIRE -r�-
0` ,�/wt ZONE f TYPE -y_ GROOy}UUP�./1.1 //,
CONTRACTOR Y V /1.=? BVPROVEp�// 1/ DATE 2//Y'- I✓C
ADDRESS •JL��,/�� ZONING
L
AX
CITY Z � ' INO.OF USE OF NEW UI
PLANS --)/.1 BUILDING
STATETEL. LEGAL Y33-04451-
n 34LIC.NO. NO. DESCRIPTION
SIZE U No. OF BLDGS. I
OF LOT �j v X NOW ON LOT A.P.NO. ....,.--
USE OF e i YARDS EVES
EXISTING BLDG R Ci I irc N Cr- q y APPROVED ^A//LLLLOOWEnD�
SETBACK LINE FROM S d / REAR YARD pZ p / FRONT(CENTER LINE ST.)
(t 1: -- —i-f" IN.
CENTER OF STREET V / q
SIDE YARD I LEFT 5 / I RIGHT 'J/2.6. 7
R.SIDE L�.j FT. IN.
DESCRIPTION OF WORK L.SIDE FT. IN.
NEI I II ALTERATION I . II ADDITION I ' `X REAR 13 FT. r�' IN.
REPAIR I MOVING II DEMOLISH APPROVED tit AA DATE 1'T �6/
BUILDING NO. OF r/�/�_ /
SIZE ROOMS STORIES (f l' ✓�
EXTERIOR WALL ROOF �` `/��
COVERING COVERING �.�J�I SII��'I�!>`
USE OF BUILDING AND WORK TO BE PERFORMED
i')PFN A7A-ti n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUE N. VALUATION .p
SIGNATURE OF t v yfj IX / J_ /-o PERMIT FEE $ /
PERMITTEa d"Qm
$3 00 _—
PLAN CHECK $ '
AUTHORIZED AGENT e0 z
- .• a TOTAL FEE ,_ -- o
12911
COSTA MESA BUILDING-SAFETY DEPARTMENTI . 1 l
P. O. BOX 317 COSTA MESA. CALIFORNIA �i /ya
For Applicant to Fill In Completely APPLICATION�FOR PERMIT °
7:/- 3y70 TYPE OR PRINT/OT' Sd Cr" I- I'0`;;.' IllCJH
BUILDING - .3.Q 2-- BUILDING
1170
ADDRESS eagle COSTA MESA. CALIFORNIA Terrace For Office Use Only
` I RECEIPT NO. I PERMIT 711
OWNER Marro Corporation I 271
1
MAIL RECEIy�D� BY DATE CE Vf D I DATE SUED
ADDRESS 3800 E. Coast Highway OI 6-A HUG IS2 a 19a,
CITY Corona del Mar
No:OR 3-422 BUILDING
ADDRESS
ARO" 'ECT TE COSTA MESA. CALIFORNIA
OR NEER George Wiseman TOR 3-4220 !1
ADDRESS - _ — FIRE In[ 8
- ZONE TYPE GROUP y-
CONTRACTOR MaCOO Corporation APPROVED
BY DATE
ADDRESS 380') v Cat HTg1Way ZONING .
ZONE / NO.OF USE OF NE,-p(�� Imo_
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CITY Corona del Mar' J� r I PLANS �l�BU1LDINO/`7'Y (/J/%1/
STATE TEL. OR 3-4220 LEGALSk4q YYYiiiCCC.../// V 7^.a—
De9cRIPTIo /TA 1 3Y
OF LOT 60 ]( 100 SIZE I NO. OF BLDG'S. 0 3r--
NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT �^`SFT. IN.
SIDE YARD I LEFT 51011 LJ I RIGHT 510" R.SIDE .2J CPT. IN.
DESCRIPTION OF WORK •
L.SIDE S(� FT. N.
NEV I X II ALTERATION I II ADDITION REAR .. ,/ FT. l '''•"-/
j IN.IN
REPAIR I I MOVING I DEMOLISH BYPROVED�/OI, / // DATE l "/J `ILLI
SIZE
BUILDING 29 x 49 ROOMS STORIES 1EXTERIOR ROOF
G(� ` /y `
COVERING WALL
SI-11(`ro I COVERING Cedar Shakes
USE OF BUILDING AND WORK TO BE PERFORMED
Complete Construction -
Iloace Sq. Ft. - 1450
Garage Sq. Ft. 420
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOBE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITYOINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION [[��
SIGNATURE OFPERMIT FEE $ 3 !—'
PERMITTEE Mccoo Corporation///77J '/7/, /T • N
•�r ��� 41742t.4..?
1 �>�-`� $ / '/ ,/ PLAN CHECK $ / F
AUTHORIZED AGENT C / [�(,� 6
TOTAL FEE 5 4