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HomeMy WebLinkAbout1174 GLENEAGLES TERR - Building Permits O HIES, 4 CITY OF COSTA MESA . 4 BUILDING DIVISION • ... F I Hu-74 I DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER `B PERMIT J. IPICIa ;ryv eners..4. 0-00451 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1174 GLENEAGLES TR Status: ISSUED Suite No Applied: 08/18/2000 Issued: 08/18/2000 Vicinity: Parcel Nunmber: 42233105 ISSUED BY: / 1- Applicant: THOMSON, SID Address: Phone: 949-646-9764 Zip: Owner: THOMSON, S J TR Address 1174 GLENEAGLES TER Phone: COSTA MESA,CA Zip: 92627 Contractor: • Address: . Phone: Zip: License: Arch / Eng: - Address: Phone: Zip: , License: , SCOPE OF PERMIT WATER HEATER REPLACEMENT. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 _ Swimming Pool • , $0.00 0 Backflow Preventer $0.00 0 --' P-Trap $0.00 0 - Trap Primer - $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal - $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(14) ' $0.00 0 Connect(Ice,Soda,etc) $0.00 0 ' Receptors $0.00 0 , Vacuum Brkr BkfloW(5+) $0.00 0 Dental Units $0.00 0 - Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher ' : $0.00. 0 . Sewer Cap for Demo $0.00 0 Wash Basin Set " $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 'Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 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)754-5626 2446-46(6/00) DECLARAT:PNS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) • ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: • Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commendng with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 704.4,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale,If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt un r a . Business and Professions Code for this for Signature: ///bb- — Date: pe"---- Expires: / 2 0,3 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Coda been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agra' to comply with all state laws and city ordinances relating to building constmction,and authorize representatives of the City of Costa Mesa to enter upon the above-descr d pro• •r inspection purposes.I agree not to occupy or allow occupaany-ofbuilding authorized by this permit until final inspection. r (/ 8//8/ov 03' - _ Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE t INSPECTION TYPE PATE 'MURALS CODE INSPECTION TYPE PATE XtII➢AL4 1616 Fixed System Final Fire Prevention 206 Final Mechanical r �/' 1266 Pool Spa Final 208 Final Plumbing [S �d 1 -re e vq• &\f V 200 Final Re-Roof 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 A • ewy Miedia9 lJGfh.w{niv{' OWNER-BUILDER VERIFICATION • A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An `owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide he major labor and materials for construction of the proposed property improvement. W Yes ❑ No 2. I(have/hat) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City Phone( ) Contractor's Lic. No. • 4. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042-46 (REV.9/98) •PROJELT ADDRESS: 1174 GLENEAGLES TR r UNIT: CITY OF COSTA MESA - BUILDING PERMIT. PERM NO: B 053 /11 OWNER'S NAME:, THOMSON S J TR ADDRESS: 1174 GLENEAGLES TER SL? PERMZT . NO: B 053711 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 • • CONSTRUCTION TYPE: V-N • PERMIT TYPE:/YY����.XSTR • PURPOSE: ALT ARCH/ENGINEER: 646-9764 • REG.NO.: JOB DESCRIPTION T/OFF RESHT. REROOF W/SFIAKE -IQBD" ySQ '�jb8 FT: 11, 250. , ADDRESS: UNIT: CLAIM VALUE: 11 , 250. 00' CALC-VALUE: 11, 250. 00 GROUP OCC: ' R-3 / PERMITTEE, COUNTRYMAN CONST INC. ( 714 ) 768-2952 ADDRESS: 24581 VIA- SAN FERNANDO COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME MISSION VIEJO CA 92692 *****�tsrRPT ****1P�E****�P*�F�E�E�P�P* ****************:E*1F +r*****+t********+E****+P*+E******** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section2 'O N I N G R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S CITY LIC.: STATE uc.: 626343 CLASS: = • . Dale: S-4 - 9Y signawr•'—_ e•> �_ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: ,I hereby affirm that I have. enificate of consent(relFlnsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800, Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT .IN POLICY ND.: 1105163-91 EXP.DATE: 10/01/92 ' COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 42233105 ZNE: REF NO: r$ Certified copy is hereby furnished. 0 Certified copy i filed 'h th city Buildin msi . PLANNING NOTES> ' • _ Late: 5- T" -5 ( Apprc fd *****ik***************Ik***********************************************af********* . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the rmit is for one hundred(5100)or less). D E V E ..1., 0 P M E N T SERVICES REQUIREMEWT S I certify that in the performance of the work for which this permit is issued,I shall not employ any p son in any manner so as to become . subject to the Workers'Compensation Laws of California. _ ZONING APPROVED BY DATE: Date: Signature:_ • NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must lorlhwith comply with such provisions or this permit shall be deemed revoked. . -^� p s, c CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: • / /W , DATE: '7-'j li which this permit is issued(Section 3097.Civ.C). ***•**.{EiE{E{E*9E*IE{P**!E{E{E**iE7F*iE*•iE{(•dE{EBIIIFFFF*iE *f*$EE 3E**3E* *****3P iFiF iF iE 1P*1f 1E 9E 9FAE*********iF 1TTttt 3E****3F if lF iE LENDER: ******************************************* *********************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that tarn exempt from the Contractors'Stale License Law for the following reason ' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING .` (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 135 . 00 . 1 . 13 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/ ON -RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1, as owner of the property or my employees with wages as their sole compensation,.will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 136. 13 0 . 00 0 . 00 136. 13 136. 13 = • . 00 ' does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • his or her own employees..provided that such improvements are not intended or offered for sate. If, however the building or REVENUE DIVISION TOTALS--> • COLLECTED• 136 . 13 OVER/SHORT. - 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING:-PLAN-CHECK • I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 135 . 00 1 . 13 ❑ and Professions Code- The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractoi(s)license pursuant to the Contractors'State License Law).I am aware ***********aE******************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUA L F E E BREAKDOWN . ❑ I am exempt under Section: B,8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST • `TOTAL COST Date: owner. SFR 11250 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 . ' 11 , 250 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the.Air Duality Management District.Residential construction applications are exempt from . these provisions. Date'. Applicant: . . • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construclien and here. representatives of I - city to enter upon the above-mentioned i+' property for inspection purposes. •/ Oa - , Date: L i — • / Signal. . ���_ -y'=/ • 01 00096346-010096347 TOT 135,1 Driver's License or Social Security 4: / DATE: 0+/04/91 TIME: 10:20 • 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor -„ 1 I t CONSTRUCTION AND PLANNING y I POOL 'A - - APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Servree or Pole of 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. ' cc 53. Steel Reinforcement . . „".,!- 1®ctr}tal Cond1t lity.dhdrgrriCt`] • 54. Forms '. �:.-` .. aw ,, :.ar• �- n.t4t Elettr6al Condt� :Idrgrnd. , . 1 ,^. 55. Electrical Bonding - *:-6'i fS leel Ffeinforce ie�rt#• ••"'C • 56. Rough Plumbing & Pressure Test 4, rn tf% 1NI Ectrical UFE.F2 G-• �,rJ d. I,;: 57. APPROVAL TO COVER-GUNITE - c • '• '.rf tings r<, 0-' , • 58. Electrical Conduit-Undrgrnd. . ` 4• S in.-Is-.,n t .r$ ,Foundation 'cure `� 59. Gas Pipe, 0 Undrgrnd., Test - tr`,' y 91-Water Pipe-Undg�n rd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. n r Lt" F] S <. 10. Structural Flogn'stem . c 61. APPROVAL TO DECK - • ���77 11. Reoperty Sewer ine-,&House Connection. - 62. Backwash & Receptor-Final rp <t n 12. Sever Cap ,-U ' 63. Heater & Vent-Final 13. Roof Drains m - l - 64. Plumbing System - Final . .1, a 14. Rough Plumbing t'' - - 65. Electrical-Final ' 15. Rough Electric i-Conduit - 66. Solar System-Final t - ' .1'6.:YRough Electriiring 67. Fencing & Access Approval 17. Rough Wiring ipn 68. APPROVED FOR PLASTERING 0 18. Rough Electrirvl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT . `f. _ ....-z- .t;.t .- J 0 7,-+crit-• o; * t~ EU 2ornRoaoh Eactoty F, •eplace• t cyan .a * 0 D b'*r :i rAPPROVA1370Per-mit# < >. m w `s w 'd t t stn u:C * S 1-4 L*t. x ' LC fin:.a- 7 *: tr tz S , a ». 1 =F r•CS » H "? :41,t; :* * -1-•;70. cJ„7. iTY .:4r,' h_] 21;�urC s, i Str�tct * 1 ,• - t-,S * S G H». .., alde7grpef Hyylro :k 22. Ducts, VkntUatirtg,* I 0S * S <-t fi ^71. Produc 'R.r' kg ©16as ItOil c n n .S nI- , �: r-i e _ VT -. - Ti 1 C i. ... 23� ;Ga`yiprRo h &• est 1 tn:s x to s-64....,-. : 72. Under i i FI'ps��" * O' `� c, 1^ 1--C.1, �Jw x F :n 24uRosf Ftaming z.r. i f,-,H ••H * > 0 0 * * 573'33Undergrr*. StoregtTankC Gas•--0 Qtl 25. Roe Sgathing tTn,»*: _ .y vJq ,t-e0( , aS74CMerheadv-iydro- to * 261.;;;T-$`$r Ceiling (Stai6turat) &gdenocoat w o p•-• - - * 75s---. Chemical * H C W2Y�Fritme pd Ftashl'r�t 4: V 'A 4OS *S M K •-. �^ ti n OW IX *C >• t•-t* * 76� 'B'rY StandpYAe Htn * C 't t* H1:4M Q-7. u r» fi' z • ' - 4'. L: cu •,28- Latjiingr• Sidin0* c- y.�;t: t S_ •• ••» x 77T FIXED SYSTEfd£INAE! >'29. Insulatitn ` tK* O �' -• •• ' * M ] �r 78=FIRE PREY. FINAL . tX • x S p cr'30. Drywall*NaitIng tnt. t: rHEALTIiIDEPTC REQJIR§MENT 0)31. Plaster Iron Comfy .. i it I~:_ .791-1FINALI SWECT N G tr :j :U • c 'tilt ti» ' '•+. -. �F * Itip * (z] `y tc{i et- I t. ; 80, FOOD CEHTIF{E{eTE ISS�ED -.32aElectrical Po er at Finan Ce * ,:� 33<Figl El 'tri v_ ' 'i: in ,, 'nIV` es: ' `]Z x in . tr' U: .� H+' til I < - -....2...f. fi 7', '7 'lin * '•: 0 SU tri to ru '2 « I lit-+ * 3; \�f. : '- < lilt l * I-1S -,�34;•,Fir}glI-Lating& irF�opditionq`,g; O * I ( it- S n;i: t S GC 35tFiri-al Gas PI'fe-Tgit r- F. * 3 * C` f C]S fi V kr SO .I___:. 3 rnaG -• * :-i I -,axr t.o GH * t-•tr 36tH r•i r Cano * d' * I -I a: x t'i . -0 >,,,1 - - u °9d J pyx C I n..-y 'c r n ,'f¢L,� . ?: >: no * l<`r -'137QFir,TdlrF "tory Fir plat$ I Str ti ; t`I I I y" is .z, �: M fi T• iE-F W * I I CrS * (V A n] * w I w v. nu a. 3. C C tr ,_38. Firm(Plumbing * Ni lcI - » i. s r-I CO p :)39. Wa72r See rvice-Finalx I 'u * I ,. n win x u: O Vl x S I * t.: 1.' > ,/, ,-I CO ,740. Gas SeLvice- `Inal *- ca t p. s t-.w * ;q to - .r * tr <tr'tr s * to I I f« * Oro -,N 4: ,, -t I { - tom-- : `t Z41. Solar Domecic-Finals 0- • •• * Ca I L [< htr, c'-• r-+ * 42sBacks IOW Prevente t.,•437 t' C' I Fr * `- chi' * - t � ` r • .43. Backflow IrgationuSS * * * U * O ,-' C. » Y 4. LC 3- * 19 -± 0 • ,h44. Lands pe It�rigati&p Syste tx� > r- _ - * ;J „ to », - V .. �bn]n a to > c :`] ] ^;, M CO 2450 Sound Attenuation i-itCE- to » z E- I-i .w 1' i33 tree uz c -, ,r, n * -] .. .. »: in Ti In*. * I� C C C . E-10 * * r . i- S s tr .. .. ..:r. U /..y/ 3-1._ •.H 7. - =.;46•.' Handice-' Regulations ;,. * * 1r U; - Choi ;5 :r 47-vFIEjtAL STRUCTU4E& BUILDING I : i5- 'C 2u ,4 _ a i. 1 a-J-1I� vle - 'S G�e 48cjFII AL_PLA-1JNINO I Ft,^ '. I ,, f v5 At, 04 , U y X49 Electric Release torEdison i I I0,�`tt� Z •J ti' I r '1 o+ [r s •,� � •.l * PJ `'50 G Rel'e`ase to Sou'hern Calif is Gas Co 4 r 1-'.-. " c'� * n c ,S kit(' .« I _ iti:. i_ orn a. 0 • X51. CERTIFICATEOFOCCUPA&CY '' ' ' ] No._ Date • _ _ - _ _ Applicant to fill in all spaces except those within heavy'border lines and sign all appropriate declarations. 92°6 .I 2/0/7/86 CITY OF COSTA MESA, CCONSTRU PERMIT PER NO. (�J TRACT NO. 'LOT'NO. UNIT NO. i i - . . - 1 i 15.00 ;TL • ' Project Address // J .I V z ' (Dt ! 1 , I � �� I I V r • j Applicant's Mailing Address 6 -e,///7 • TYPE OF CONSTRUCTION ICI NEW U ADD• U'ALTERATION 1J REFAlR I Os�vner's Name SII/f / Phon�['j/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P._ # 1 y •i ; Zone 1 ,_ - { , / ''DESCRIP.TION OF WORK/USE OF BLDG. Address • / lr •� / J ,S Main Building; I Accessory,Building: i Z l' Arch/Eng.! ' License No. - TYPE OF PERMIT ❑ GRA GING�,�OUN DATION El STRUCTURAL E Front : 1 ' O • • Address ���///qqq ° /y�) 1• rye ,7.p,e� ❑ TENANT •'❑ ELECTRICAL , pLUMBING ❑ MECHANICAL B Rear • N Contractor's Name !L''l l i P/Cp/z �//'_ Phone_.'LhLY�.-(,�L..'1 •❑ OTHER _ A _ _ I �"/�" PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N' /�q K G Address(mailing) /[j//l//�j/{n J' C�(, CONSTRUCTION TYPE •VALUATION$ - • S ' Left . :, R City License No. L-J(J / r • - ZONE - 'GRADING CU.VDS. • ACRES ' pin . Ref.# •Parkin 'Re ./Provided E LICENSED CONTRACTOR DECLARATION - ' Q •' I hereby affirm that,I am licensed underprovislons of Charter 9 (commencing Remarks: . I I • �� • Planning Notes: 1+L, ' 1 • M 1 with section 7000) of Division 3 of the Business and Professions Code, and • RECEI YL..0 ULL 0 Z 's7�p T /�• my licenses in f • - antl effect: , I S N.` License I. s _ Lice a .. -- - -Lir Date .. 4r/� Signature ���%4Y, _7 _� -, PLUMBING - FEES \,""" ` , I WORKERS' COMPENSATION D- ARATION Bar Sink • ! ,_ 'Showers - ' ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate • - s - - I of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Pr¢v¢nter Service Sink 1 , 3800, Lab. ytD i I c Automatic Washer .Transformer ❑.1550 KW P •olicy No.�(.'q[ 7o J ' Company `C.( rA4l.�?�/C Backflow Irrigation 'Sewer Ca • ❑X50+KW rUf,etl copy is hereby furnished. 1 / I p - - Construction Pole Sub ,; erSifi y led with the city Itlij}q iv ,o Bathtubs - - " • , •Sewer Connection Cooking Unit . . Meter Elul;to,100 amps I - Date (/�• - APplicarft , - /c. _ c -C' A_ — _ - �/ I E%EffrSSSIII TION FROM WORKERS'C (J SAT ON DECLARATION Clarifiers - , 1. Solar Collectors,., . , . 1 .. Dishwasher ' Meter Dover 100amps / (This section need not be completed if the permit is-for one hundred($100)or _ less). • I Dishwasher,. . Solar Piping' - _ Dryers ❑Gas ['Electric • , 'Sub Panel - ; '. - , I certify that in the performance of the work for which this permit is issued I - • shall not employ any person in any manner so as to become subject to the Drinking Fountains 'Solar Tank Fan ' - 1 Motors 'h ❑0-1 HP ❑1 -81 . Workers' Compensation Laws of California. ' _ - , - - • in i Date • Signature Floor Drains r • ' Swimming Pool w/Spa - - F,A:U. - ' ' Inc_.Solar❑9-15 HP ❑16-15Y 1'1 NOTICE:1f,after making this declaration, you should become subject to the — - - ---- - • Workers' Compensation provisions:of the Labor Code, you must forthwith Floor Sinks r Urinal • • Fixtures • comply with such ;provisions or ,this:permit shall be deemed revoked. - - - - 1 - Microwave ' CONSTRUCTION LENDING'AGENCY, -f ' ' Gas Service Outlets - Water Closet Device Boxes Pole Li ht I hereby affirm that there is a construction lending agency for the performance g of the work ,for which this permit is issued; (Section 3097,eCiv. C.) J _ , Interceptors J Water Heater I Outlets Ran e Lender's Name - 9 . Lender.'s Address. . Kitchen Sink ' : - —.Water Service - - - -• ' Switches'- - I f - Sign .*- -- OWNER BUILDER DECLARATION , I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - • ' , Garbage Disposal Standing Sections following reason (Section;7031.5 Business and Professional Code:Any city or county which requires a permit to construct,alter,•improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior st• ate.to its issuance,ielso requires the applicant for such permit - P , I to file a signed statement that he/she is licensed pursuant to-the provisions of , • the Contractor's License Law (Chapter 9 cions ode)- r with he/sh -is of - Roof Drains t ( . , -Division; 3-of the-Business-a-Business-and-Professions Coie)-or that-he/she-is exempt - - - - - -- - - - --- -- - - -,- - - --- -- ' - 1 ' therefrom and the basis for the alleged exemption. Any pviolation irof Section ! 1 j , , I - ' III • 7031.5 by any applicant for a permit subjects the, applicant to a civil : I ti — - ' ; ' peenalty: r:not more than five 'tynundred dollarploye0). I 3 • compensation, as owner of the/property or my employees with wages as their sole R¢inspeCtion Fee I 1• $15 ,Issue Fees , $ _ , _ �. i ,compensation, will do the work,and the structure is not intended or Contractor's 1 - - • Reinspection Fee . -I $15- Issue Fee '.$ 3 - I for sale (Section,-.7044,7044, Business and Professional Code: The Contractor's .: , • MECHANICAL j i ; 'FEES _ - : ! e,Law does.not apply to an owner of a property who builds or improves - - • ___ y I , { thereon; and who does such work:himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that-suchuldin improvements'aremprovenot intended or,offered for Boiler . . ' Hood or :Type I ❑ ,sale.:If; however, the building.or improvement is sold within one ear of com- Canopy 'Type II ❑ - Zoning Approved By - • - � ' Data• I •pletion,-the owner will`have the burden of proving.he/she did not build or im- Duct-Under GroundI I Building Approved By ti� Date - i -prove for the,Purpo se of sale). _ r Z �� • •❑ I, es owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System' { - Application Issued By - • ' Date l tractorsto construct the project (Section 7044,Business.and Professions Code: - - - - - • ' The•Contractor's License Law does not apply to an,owner of-property Who , Duct-Ventilating , ❑0-100,000 BTU ❑100,000 BTU - ( -•SUMMARY OF FEES - builds or improves thereon, and.who-contracts-for such projects with a con- - - - _ - _ _ tractor(s) kcense pursuant to the Contractor's License Law). I am aware that - BUILDING PERMIT $ 'SMIP $ • Exhaust System-❑ Multiple'❑ • _ System Repair/Alteration s • ! _ _ proof of their Worker's Compensation insurance should-beprovided,to me.. _ - • • PLAN.CHECK $ ' �y''''�� PERMIT - .❑ am exempt under Section • • B. & P.C.for this reason Firepl/Fact.Blt. ICBG# I Fire Dampers - I • .� 1 PLUMBING. I = ,$ —5 ls'�Ll ISSUANCE, $ - ' PLAN CHECK 25%` $ - ENE_RGYP.C.• $ - _ Date " , Owner' Heating System&,Duch rig-' Registers - • - ' I hereby certify that•I have read this application and,state that the above 0.0-100 000 BTU ❑100,000B17C - - . + - - -GRADING $ ' information is correct..I'agree to-comply with all city nd county ordinances -• - • c - ELECTRICAL ( $'- - . and state laws relating-to building construction;and.hereby authorize repre- ' - . _MICROFILM - $ - - • - - sentatives of this'city -to ente upon.the above-mentioned property for • 1 - ! -• - , PLAN CHECK ;50%'i $ I /�/�f/` inspection our se // � �� ! - 1 TOTAL FEE $ J":`" } ,g MECHANICAL $ - < ' Signature fy//6Y, • ' _ '� Reinspection Fee '$15. 'Issue Fee' , :$ 3 PLAN CHECK -25% $ 1 ) CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# 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 Conduit-Undrgrnd. 55. Electrical Bonding .CS! • 5. Steel Reinforcement 56. Rough Plumbing'& Pressure Test • 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER=GUNITE 7. Footings , 58. Electrical Conduit-Undrgrnd. 8. Foundation 59.-Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe:Undrgrnd. 60. Backwash Lines, P-Trap, ];Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK I 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final- 12. Sewer Cap 63. Heater & Vent-Final ..12 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 & 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. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd'.Storage Tank 0 Gas 0 Oil , 25. Roof Sheathing 74. 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 r 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' - - 79. FINAL INSPECTION 32. Electrical Power Meter-Final • . 80. FOOD CERTIFICATE ISSUED 33: Final Electric , - Notes: 34. Final Heating & Air Conditioning __;' 35. Final Gas Pipe-Test , - 36. Hood or Canopy • - 37. Final Factory Fireplace - - - _ • .38. Final Plumbing iildt9 4�% - • 39. Water Service-Final •• ,-40. Gas Service-Final • 41. Solar Domestic-Final - 42. Backflow Preventer • 43. Backflow Irrigation . 44. Landscape Irrigation System ' ' - • 45. Sound Attenuation I 46. Handicap Regulations - • , - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison 50..Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date - S ___ OWNER FISHER, Helen G. DATE 12-18-75 JOB ADDRESS 1174 Gleneagles Terrace BUILDING PERMIT NO. 40999 3GENERAL CONTRACTOR Owner/Bl dr. DESCRIPTION of WORK legalize Patin Cover t,`` A .115-631-05 LOT TRACT FIRE ZONE VALUE $ 372.00 INSrECTIONS Signature Date TYPE V GROUP J ZONE R—I \SOIL SUBCONTRACTOR PERMITS ISSUED • GAS Date Number Signature \ WATER Plumbing Y ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 L.SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE _ UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS ❑ STEEL REINF. 0 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING • LATHING — IN n OUT n PL- 'FR. BROWN COAT S' URAL, FINAL Electric • HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL ^ A� �f 11 �/ BUILDING. FINAL /dl I� /a[l.�I�/m J 4 40999 DEC 187szII ,P°t°0o 811* ****10.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ppp For Applicant to Fill in Completely A$ FOR STRUCTURAL PERMIT pp p y— Use Ink Only yJI A�,✓,y1 PLICATION /I a.-{ �/� RE E ED DATE RECEIVED DATE�JISSUED ' BUILDING _ ADDRESS /f7b' L'TWt/e`N�+'Lc J �'L.2,Z A / 12- IV-7c OWNER nif'S• fk.Lct tom-•, -A5,qc'4 A.P. NO. /15-631 - os PERMIT NO. MAIL �✓ BUI LDIEG , 1/,y ! LgNE „Fs 'rain. ADDRESS _ �"L EA(i ,/� el.-, ADDRESS / lT ,,JJ•TOw fC CITY L�,v' Sti 1J4 4_ NO3 (fg L. TRA T CO LON.� BLOCK CONSTRUCTION v NEW ADD ALTER REPAIR MOVING DFMOLLSH LENDER • '�/ L�/ ,f��ys BRANCH — r/�t I I f 7 ELEIU �'I SI7 vrC./ OWNER III ADDRESS //�y� µt/', {/ ARCHITECT TEL. USEAW-RE, /'^'m'/Mt :4$ 212 OR ENGINEER NO, / FIRE ADDRESS q ZONE VPE /4---GROUP /f •7,`* / BYP ROVE DATE /L-1�'c CONTRA L.V �}-� Q �j- ADDRESS '_ U _SE; I v pry- - TEL. ZONE y- NO.OF USE-OF NE 4-ZZ'{— CITY NO. /�,1 PLANS 2. BUILDING �SQ CQy/� STATE - CITY YARDS APPROVED YARDS APPROVED gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING C W SIZE NO.OF BLOCS. C,/sL..S�T R(E�ET) L OF LOT NOW ON LOT FRONT /f1.11t T. FT. USE OF EXISTING BLDG. F,SIDE ig." FT. FT. CA) /•Z '.±1 Separate permits are required for L.SIDE FT. FT. C electric,plumbing and heating work. REAR 1$ FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& e MAIN BLDGS. ACCESS. BLDGS. VA DATE Z EG 44///iG--G //�Ir�J / l Ind 7 C URP.#'• / / APPROVED p > go 7d /L� AY APPROVED C.id -•`r e` DATE 42—./(1-775 } $4 dx • W 0 I hereby acknowledge that I have read this application and state N N a„ that the above Information is correct and agree to comply with m Qe all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of v the State of California: • { /— m I hereby certify that I am properly licensed as a contractor under � SG. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTA }ERMIT FEE ONLY: am exempt from the provisions of the State of California BusinessL 'o VALUATION 1,41# E $ a and Professions Code,Division 3,Chapter 9. �,/�'//+ ter' /�¢v�— �h Signature of �" U V PLAN CHECK $ / ^'+o Permittee $ .4,72— TAX $ V LL Authorized Agent TOTAL PAID $ /` Sr U �5 ,• LLL '1'LiUMSUN, �. J. g "^' ` D-4—/0 JOB ADDRESS 1174 Gleneagles Terrace BUILDING PERMIT NO. 41906 Q4GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Add Dining Room 9 '„q• 115-631-05 LOT TRACT FIRE ZONE VALUE $ 4,000.00 '44CTI ONS Sisnoture Date TYPE V GROUP T ZONE R —1 •s SUBCONTRACTOR PERMITS ISSQED 4GAS Dote Number I Signature WATER r ^(l/ Plumbing ( S/� ROUGH PLUMBING 12.•a . PROP. SWR. LINE [, HOUSE CON, 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING t.4•.) ere LC-7 , TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING � y, Qu.S•lei ylY 7-,$:- Heating and Vent. TRENCHES [0 FORMS El STEEL REINF. Er s S-7.7 4 FLOOR SYSTEM BOND BEAM CT STEEL REINFORCE n SHEATHING a.• 5_11'lb FRAME AND FLASHING �)Q/A��f,�,, ��y+ LATHING — IN 7 OUT Y"^�� A 247 PLASTER, BROWN COAT Ia.,4.i 6.a,711 -URAL-, FINAL Electric i, VENT., REFRIG. AND A.C., FINAL 0 u-®p.Soi K-14+1f. 40 40,9-, F. .ING, FINAL AND GAS TEST [l /� ELECTRIC, FINAL M�7�/ia '7,..,‘7> BUILDING, FINAL /�tJ ) •/ 'pb SPECIAL REQUIREMENTS • • ., PAID`AY —4-7Fc�1 ;OO 1 38* **** 1 Z.50 4.i-9(16 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 P I TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—Use Ink Only R - BY DATE RECEIVED DATE IS UE� BUILDING •�t _ ADDRESS //7 Gtatimetes �zgsr �� 7 - OWNER. S,l i M/-d Wvanit✓'On/ A.P. NO. 115--Ca\-O ERMI NO. MAIL // BUILDING '/ . ADDRESS //.746L.e7✓ TLsi�, n 6tS ce ADDRESS //746hEAt t riWeet/?t �' 5TiO MES/J NO. 9.7,49 T.RACT347C LOTSZ BLOCK CITY p�/� CONSTRUCTION �O-/g . - `/ NEW ADD ALTER REPAIR (MOVING DEMOLISH N BRANCH 0 J I 41/ Jyn�scd . OWNER !I// J ADDRESS - /��!ALOE ARCHITECT C Z TEL. USE S aJ1/xt')+.$ 4000 OR ENGINEER AJC r - NO. _'..,•_ .._.. X. FIRE er ADDRESS ZONE VPE'GROUP SELF APPROVED i CONTRACTOR BY DATE 5 % • ADDRESS • • —TEL. 1 PZOLtLR` INO.OF USE OF NEW l LANS BUILDIN CITY NO. /V/O F-. STATE _ CITY YARDS APPROVED YARDS APPROVED g - LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING R7 -SIZE 'NO.OF BLDGS.' (FROM C/L STREET) o. OF LOT NOW ON LOT FRONT C FT. FT. USE OF •—. EXISTING BLDG. R,SIDE 31 FT FT. - tA FSeparate permits are required for L.SIDE II FT' FT. .electric,plumbing and heating work. 1 WREAR t FT.+ FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& fff''��� MAIN BLDGS. ACCESS. BLDGS. ' i ���7,m't J CARP. AATE C.U.P.# APPROVED Q APPROVE 5 — C'�� �. R DATE T Q I hereby acknowledge that I have read this application and state � N ad that the above information is correct and agree to comply with m . all laws regulating building construction, and I shall not employ >7 WZ any person in violation of the workman's compensation laws of s the State of California. ) ,: I hereby certify that I.am properly licensed as a contractor under ' 30 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 (J v VALUATION PERMIT FEE $�/J .and Professions Code, Division 3,Chapter 9. Ji M ��.PtAN CHECK $/ Coin_. 0 Signature of/ b- od _.f-o o . Permittee rrl sY1 $ So LL TAX • $ U ��i U Authorized Agent • .TOTAL PAID $ /V) /;c0';. 12170 COSTA MESA BUILDING-SAFETY DEPARTMENT E. ;;� Jr . '; ' • A.) P. O. BOX 317 COSTA MESA. CALIFORNIA J I�\' ";-"" II MCEJ ih - L0 For.{- Applicant to Fill In Completely APPLICATION,'FOR-P.ERMIT / t 9 2/7 0 TYPE OR PRINT/erTXL3eL • `il .'u•.; _ ,-...: •• ON-k `-- BUILDING 3/ criBURDING MESA . ADDRESS 117L Clem:7g1P TArrare COSTA MESA. CALIFORNIA For Office Use Only • RECEIPT NO. -1 `p 1T0 OWNER MH CCo Corporation •L)tl`a) MAIL RECEIV BY DATE RECEIV D DATE ISSUED ADDRESS 3800 E. Coast Highway �,�`i ' Ga HUIy 8 isBi . CITY Corona del Mar ' No.OR 3-422, BUILDING ADDRESS OR • ARCHITENEER George Wiseman NCTy,yR 3-4220 COSTA MESA. CALIFORNIA AD. a 3800 E. Coast Hi:hwa '. FIRE CI ZONE TYPE GROUP CONTRACTOR Marnn Cnrphrnt lot) - APPROVED AP DATE ADDRESS 3800 E, Coast Highway ZONING ZONE O.OF USE OF NEW - CITY Corona del Mar- - q I NPLANS r_ BUILDINGJ3e .. sy— STATE TEL. LEGAL I4 LIC.NO. - NO. OR 3-4220 ti. DESCRIPTION F\ SIZE• NO. OF BLDOD. OF LOT 60 x 100 NOW ON LOT 0 A.P.NO. USE OF • YARDS EVES EXISTING BLDG. APPROVED ' ALLOWED SETBACK LINE FROM (CENTER LINK Sid CENTER of STREET REAR YARD . FRONT ;') EFT. IN. SIDE YARD I LEFT 5,011 I RIGHT 51011 R.SIDE '-FT. IN. DESCRIPTION OF WORK • L.SIDE 6 FT. IN. I SII ALTERATION I II ADDITION I REAR 23O FT. �j 'y'IN./ Re)" I I MOVING I I DEMOLISH I APPROVED/1 � B'- DATE (1-J O —PJC BU777 S ZEDI29 X 49 ROOMS STORIES 1 `I �' . EXTERIOR WALL ROOF COVERING SI-11C CO I COVERING Cedar Shakes ' USE OF BUILDING AND WORK TO BE PERFORMED Complete Construction Noose Sq. Ft, - 1450 parag- 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- PURP08E OF ESTABLISHING A PERMIT FEE ONLY. BUY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF PERMIT FEE $ PERMITTEE Macco Cor n-- a � / TL�� $ / �� PLAN CHECK $ L/�` g . AUTHORIZED AGENT G�L�G�C TOTAL FEE - `J /~ LL