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HomeMy WebLinkAbout803 GRAYLING BAY - Building Permits�� � / � PflDJECTR00NESS: 8O3 GRAYLING BAY uNiT: owNexsxamc: PENTRIDGE COVE HOME aooRess: OWNERS' ASSOCIATION 3009 DAIMLEA SANTA ANA CA 92705 � 660-0777X�239 ppCHIENGINEEH: KRAMER 6 ASSOC NEG.NO.: S 2��9 nooaess: 3002 DOW ALLENNE 136 PE"miTTEE: PENTRIDGE COVE HOMEOWNERS270714 ) 660-0777 aooness: 3��0j0T9n DyAIMLER ST �S , LICENSEO CONTPACTdA bECGAA110d:'NnPe'reey afhrm inai I am licensetl uneerCp�ro'visia9n5 o�C6aD7e� 7 kommencing wilh Seciion ' 7000) ol Division 3 0l IAe Business antl Pmiessions Code. antl my license is in full brte an0 ellecl. , LITY LIC.: STATE LIC.: CLA55: �ale: SignaWre: WDPRENS' COMPENSATION UECLIBATION: I hereby aflirm Ihat I have a certifica�e ol consen� ro sel6insure or a cehibcate o� Workers' ComDensalian Insurance, or a cenilied coDY ��eteo� (Secuon 3800. �ab. C). voucvNo.: g0-93-9916-6 EXP.DPTE: OL�LS�SA COMPRNY: STATE FARMI�., ❑ Cendietl coDY is hereby fumishetl. y� CertifieA coDY is �iletl with �he ci�y Builtling Oivision. h . Jaie: � / 5/�� PPGlicanC `� � E%EMPTIONiFOMWOflNENS'COMPENSATIONOECtABATION: (Thi55eclionneeAiwlbemmplete4ifNepermtisfaronehu�red�5lql�orle55�. I cetlify Ihat in Ihe Dedormance ol ihe work lor w�ich ��is permit is issueE, I s�all not em0loy any person in any manner so as �o become sublec� �o I�e Workers Compensation Laws of Catibmia. �aie'. SignaWre: NOTICE: Ii, attei making Ihis Oeclaraiion. you s�oNE Gecome sublec� b t�e WOrkers' Compenution O�ovision5 0� Ihe Labor Cotle. you must lorl�with comply wi�h such provisions or iNs Derrtu� shall Ge deeme0 revokeU. CONSTXUCTION LENOING AGENCY: I hereby a��irm Ihal I�ere is a Con5lmclion lentling agency �or ihe Oe�ormance o� the woB tor which Ihis Dermil is issu¢d �Seciion 3097, Civ. C�. LENOEfl: A�OflESS: �I OWNEN BUILOEfl DECLABATION: I IlereOy allirm ��at I am exempi �rom ��e ConiraClOrS' Sla�e License law �ar IAe following reason (Setiion 7Q31.5 BuSineSS ana Pmlessional Coa¢: Any tily Oi caun�y whit0 repuifes a p¢rmil �a COnSlmti, altef. impmve, tl¢m01i5h, or reDair any S�mclure. prior �o its issuance. also reQuiies Ihe applicanl lor suc� permi� to lile a signe0 s�atement thai he/she is licensetl pursuanl to 1ne provisians of Ine Comracmrs' Slaie Licenre Law (C�apier 9(commencing wit� Section 7000) ol Division 3 0l t�e Business an0 Pio�e55ion5 Code) ar ihat �e/she is eRempl Ih¢retmm anA the Dasis �ot Ihe allepe0 eKemD�ion. My violalion af Section 7031.5 by any applicani lor a Oermil sublecls Ihe applicanl to a civil penalty of not more Ihan �ive huntlrea Oollars (E500), I, as owner oi �ne D�openy or my employees with wa0es as iheir sole compensation, will Oo �he work, antl Ihe ❑ simcture is noi imeneed or offered lar sale ISetlion 70aa. Business anE PmfeSsianal Catle: The Comractors' State License Law � aoes noi ap01y lo an owner ol a pmpe�y wlw Ouiltls ar impmves ��ereon, ana who Aoes such work himsell/hersel� or Ihmugh his or ner own emDloyees, proviCetl itlal suc� improvemenis are nol intende0 or oflered for sale. If, howevel ihe �uiltling or improvemenl is sola vnthin one yeat o� com0leiian. Ihe owner will have I�e OurOen o� pmvin0 he/s�e tlitl noi builU or improve lor �he purpose ol sale). I. as owner oi I�e O�oOeny, am exclusively coniracling wilh Iicense0 conVactors Io con5lmcl Ihe pwject (Section 70Ea, Business ❑ anU Prolessions Code: The ConVacmrs' State Lkense Law dces not aDPH �o an ovmer oi pmperty wlw OmIUs m impmves ��ereon and wh0 toniratls lOr SUC� pmjetls wiin a COn(taclOr�s�licen5e pur5uanlio Ihe Coniractors' State LirenSe Law�.l am aware I�al prool ol Iheir Wnrkef's Compen5ation iniWante sllould pe D�ovi4eU Io me. � I am exempi unaer Section: BP -� O 4 9 B. 8 P. C. mimisreaso�: OWNER BUILDER � �-�I oale'. _�/=f—i—� Owner: � / �'" i I �o here�y cenily Ihai I am aware ol an0 unaers�an0 the requiremems o� Cab�omia Healih an0 Salety CoOe Setlions 25505, 25533. ana 2553C and I�a� Iorany�uWre Uuilaing occupaniwilUvnllnot�circle onq n¢eJ lo complY vn�� said Slaie totles anA Ihe iepuiremen�s lora permil lor con5imction or mo0ificalion Imm Ihe Fir Ouality Managemeni DiSlricl. ReSitleniial con5imclion apDlications are exempt irom IheSe D�oviSions. Daie'. Ap0licani: I hereby cerlityl�ai I havereatl t�is applicalion an0 slale Ihal Ihe aGovelnfarmationis corre[1. I agree�o comply with allci[y and county ordinances an0 sla�e lar5 rela�ing lo builtlmg conslrutlqn antl here6y auitwrrze representa�ives ol th¢ pry lo enter upon Ihe above�meniionetl pm0etly lor in50eciion purposes. n Dale: �� ��% � Signalure: � � //" _ " " �rivefs License or 5ocial 5ecuri�y n.' ifinv46 WNte—Buildmg: Green—Code Enlorcemem: Canary—Applicam; Pink—Revenoe: Goltlenrotl— ssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065584 PERMIT NO; H 065584 PLAN CHECK NO: 04961-93 L GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION : REPAIR SHEARWALL NAILING 6 CANTLVR FLOOA SQ FT: 22,500 CLAIM VALUE: 22,500.00 CALC—VALUE; 22,500.00 GROUP OCC: K-3 / *�****���r****4***�r***fr*8*�r*a+3t4***�r*�**+Lt*�*+tB****fr*�**�*�*******+Sr*B*******�D*�r*x Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT ZN RGE{T: FT IN PARKING REQ• PROV; PARCEL; 93768043 ZNE: REF NO; PLANNING NdTES> 1.- � ! . ' ! k!E fE 9f �f !f iF iE 1t if 1E if if if if 7f ff iE�if 1E iE if 1! 4 ff iklFlf iE k �t!! iE iE fE 1E 1E �E 7E iElf it if it iE iE 1ElP 1E iE fF iE iE if if !E it iE ff 1E fE if fFlf !f !f iE fF 1F1f fk i! if iE if iE iE iE if 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 ! ZONING APPAOVED BY DATE: BUZLDING APPROVED BY': DATE: i.� I APPLICATION ISSUED•HY; DATE: � .'�I�� MlkiElfll4lpfEillfi�iflF4fhkkiklfif%1F ifif1f1E1EfEMfFiEiE if1E it if ik if it iE if ik it iE 1E k 1t if �k if iF iF iF ft If iF if k if it if i! iE iE if 1E fElE 1f 1E 1F iF iE iF 1E 7! iF If iF 1F iF IE if iE iF �F if 1E iE 1E * iE iFlElf 1E 1E k iE iF If iF iE iE iE IE 41E iE it If if If LEGALIZATION:N F E E S U M.M A.R Y .-„STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC �FIRE,i SMIP/RES -.GRADING PERMIT 234,00 , - , � Z,zS . � ' ��_ SMI•P/NON—RHS . . PLAN 152,10. ' , . , ', ISSUE FEE BUILDING—DIV—> P.ERMIT ISSUE PLAN—CHECK . TOTAL PAID '"� ��-�•DUE TOTALS----> 236.25 0.00 153.10 388.35" . `389.35 -:' '=1',00 REVENUE DIVISION TOTALS--> COLLECTED; . 236.25'.OVER'/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 234.00 • 2.25, , -i � �� , 1f k 1E if �flf iE it ik iF if M k ik it 1Elk 1! 1f 1F M 1k 1! 4 4 fF k iE ik 1E fE it it fk 1f iE if 1f if iE 1flf !f it if ff ff k if M 1f k%1f iE if if�iE M if 1E M 1f 1F iF 1F it 1f iE iF iE 1E f! 1f 1f if iFiE 1F I N D I V I D U A L F�E E H A E A.•K D O W N'� � ' — �� Y ' TYPE QTY D E 5 C R I P T I O�N � � 'ONIT COST . TOTAL COST' SFR 22500 ALTER BY VALUE RESIDENTIP.L NOZONE �'1,00 •�12.2;500.00 END OF FEES • f �' � i � � :•� � !� -� �? �n�s3�75-c�rs-2�� r ��T p�•Tt_: 0_i;l�.i9� ?i;1F: 1,s..iJ � ' CO�STRUCTIO� ARD PI.A\NING I � Date APPROVALS Permiti= � 1. TempararY Electncal Se���ce o� Pole i _� ' 2. So,:?ipP-Un�rgrnd., L� Ei^C;•irzl-Co"d���t 11N��•v.�J^.c�a' :C. -- ��.+--'--�:-_�__-.-"�- _�_�� C Eircv.cs?Lonau';�-Und,qr� d r._ . .�' ___-'_-� ___ --_._ �G" 5:_'zl_ n� _�_' .�" _ -_.- � . b�:•i=itr�.C7;.U� �Fl �'r.�d I�_� J _ . �__ _ _ __ '� J. _°uot�r�i. ' - -. ! 8. 6uurvtlat�on i�-�. :' .:�r (' p�-..nGiGrnd. _' -_---_ � 10. S[-ucturdi Flpoi System 11 . �-�p. p 5�.�; :ar i inc 74 P' 4c Can^rct on --12. S.:•..cr Cap ,_ � 3. H�.��� O�ains ��� 'A. P„•�r'i �lurnhieo r1� R.�:,�h �:EC:��cdi-COnyw'. ' 10. R�ugh E7ectric!'�ir;ng r � ' V. Rocgh'Jir.ng S:gn �8. Ro�7h Fiecu'wl T Ba� GF�i ^.c Inspector POO L . .,PA APPROVALS Perm�t =m 52. Pc�! & Equ�pme�t Loeat�on -- ; - =-� Date I lnepector � I I 1 53. Stect ReinForcement � I � � �R�s _ -____-_ -_ � - � -_J --�--- -- I I 55. Eiectrica� Boncf�ng � I ' - _.� _J�r -'_-_� -�-T-__ `_-_-_. � �6 Ro�,h Pl��rnu�na L� 7iess4re T�st --- --�------------ - -----�-- --�- � � 57. APPf�p�/nl_ Tp f.0\�FR�GUfdlTL � i f - -- - - - �-- - - ------- -'- �-- - +- -----� � i 58. Eluclrical Coi du��t Urd'gmd. - � � . --- --� - T --�-�--� �, 59. G�s P�pu Li Undrqrnd . Tr.st .�-� -- � � -�----- ----- -1--- -?-+ _ I G0. B��cl<w�sh Linus, P�Tr,.P, _' J..c:�g•r,1 � '__ J_ -_-' � ' 67. �PPROVAL TO DECIC � i . �___ I �-_ _ _-_ __'_---� I �I f,2. E•�ckc�ash 1� Recaptor�F�nal � � �, ' -I u3 H�it�r & VenhFinci ' �� I��� --t -I- - i 6� 4. Plumbing Systam P��nal ' �, _- i_ -___- -_ _ i � � u"5. Fccviwl�Finai ; ' � ' .� _ -y-'__ '-' _�-- �- -; � � 66. Salar SYstem-F��iai � � i - - -- _� .__, 67. Fena�q & Ar.ce.s Approeal 68. APPROVED FOR PLASTERI��G G9. POOL/SPASYSTE�,'S ;�'AL -- . - - � -- -r _ . . _------ - �- . --' 19. Aw�h �e :�g & A� Ca^o�t ar,�-ig � FIRE DEPT. REQUIREMEN i '� , � �-jI -I , - . r - .• I 7� n.�i �z�.tc.�1 F'•:' ',�� ,� � �T� . �!�i�PRCfUn.'iS^� Vermit'.� _-- _ __' 21. �uC;, in litructu�: ^ f .. - ^' 7 � �� - � '� -� - � I 0. UnJerg�CU7ciHyd�o ' �22. 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Jl� �,�. -Gt�-� - w n 1 � �__ _ �� I .Y{ � �"C�' � (191�fi$v' ;A �_'1!:f{I I . . � , • - - - ----- --�- -- � _ f� l6-ri�r - D./,✓ s � - : ?P 3 -(owl� - - 6G �„s kcia,sr to Sout�i°m Ctil�.io•r.uGasCo �' 8.�-�y -�23"��/'� S�p�/- /�ici p�--dyi �, �i. i;�Rri; �c>r� o= OCCUPAl'CY �-----r�p.f cti�- 3oL( Gp=�.a-QQ.y -��- S� iVo.--_ -- Da;e ---_ I -- ---- ------ -----�----�----�---- --- -- --- - -- - , KRAMER & ASSOCIATES � � # �j � $ q— q 3 L • STRUCTURAL ENGINEERS, IN 3$� ���,3L ���-�-� �� � � � R..��` . ��r �03, �'n7, 7`l9� 7957�/� 7�7� 7�3 3v�.1 c�- 30�-�' Lu+�ys B�-Y STRUCTURAL CALCULATIONS FOR PENTRIDGE COVE - PHASE I COSTA MESA, CALIFORNIA APPROVEDS�PP City of Costa Mesa Building Dept. IN CONJUNC ION WITH BY ^_�� DAiE,�19_� 7" :.'�' la,�S t1.US f 6E ON JQB AT ALL TIh1ES hU1KE , . :c5 WITNCl�.T 'rR�,y�'i„A�RQVP.L t�F DEPT. �-. -:iP. GftAAJT{hG GF ::� F A/1T P. PPFROVAL OP '; ��'. ,`�'. .�,CAT 17tJS SH.1Ll'dOi 9E CGWSTRtTi-0 70 BE A .. -... : i r.�aaeva.� c� nv� wamiou oF ar:v oF . .�"�t : ii.', COJr l.,i P� n41i PRESUbitNGfJ GIVF . ' 'J `:i':J,.^';- " ;;G�'�;EL hiE PROYISIOblS OF THIS . -- .. �f:�i�t�'�A:.�-?� WSCIFARASTHEWORKGR�USE :vHIG � I I r, fV {,iF V E'� ." :.,.�;, F!!l. rr.:: c;;:c:;c! ,: rt.r;n :�;co vw+N �•lA�1S AI.D SPEG!1'�:;�.��c7n:G tiHt.!1 F!GT Pf;:�, .•�,"iHE dCil'JMlG CFFICIAL FRv:.t i i r,:�, AI'i Fk F"tGUfiilf 1G'.li� ��,RR�CT17N pF ERNORS IN 51,ip P:.�'.iS ^�;iD C�CiFICATIOt;t; pq P'O?A FREVEtfiING BUIIUi: �G Ur'LRi,7 iONS !iclN ; CAHHi�O OP: Tk3?EUNOER W}iEN IN VIOLAiION OF TI il> CODG OF OF 4NY Qi ri�R :;•;ICb+JANCE OP fri[ CITY. CLIENT: PENTRI AL FIELD DETAILS �� Job No. 93-47F7 Date: 11 /93 Page: T 7 7 SC r�c.� (� ��aY READY FOR PERNIIT IS5UANCE STRUCit�1����/A7�,Zy�I�WIG�igEWED AND APPEAR TO BE IN SUBSTANTIAL COMPLIANCE WIiH THE MINIMUM REQUIREMENTS OF Q fHE UNIFORM BUILDING COQE ❑ THE NATIONAL EI.ECTRICAL CODE ❑ THE UN�FORM MFCNANICAL CODE ❑7HE UNIFORiV1 P�Ui\qBING CODE ❑TITLE-24 PART Z, ENERGY ❑ TITLE-24 PART 2, HANDICAPPED � �� �x_»-y3� _ DATE REVfEWED BY COVE HOMEOWNERS AS ; KRAMER & ASSOCIATES Job No. ��-4 I F I STRUCTURAL ENGINEERS, INC. oate: I 23 3 Page: � �1� TC�-�'i�C_rE �-C� � 1 �� 'P�IA<� S G�-�'T!� M��h � CA S u P P �-.�M EN-ri�� '�r�► �...5 �fz �� E�.-n ! . . . i_�_—: _ . . ! . � . s .. .. . : j-� �-+ -�-�-i__r7._�_. . . _.. , , _ . . . -- f��.li�i� ��Sv3� AT 6-aizaC� WPc�.�.s - Exls'Ti� Fi.cx� �lolsTs ;� ���-- - ---- ,-_.- --- . �- i . (�[� ��E,vJS P�-o��U�aAL ��r�s l,�otL Jo�sT Cor117 m � �•l S �.. :,,�. , . ,. �k�S-firl6 FL� PI.Yu�D - - - � -= -==- ' ---- �X 1S"i1i•1G ST�� w� ��L x -CRA�`-�F"tf P� Ec� FU w t„t� OF IJEW F�.Yw ovD ICo�SIIJKE� o.T 3'/Z�i o� �1��J �.Y�.� A35 cup �fZ oR�6��aL AT 12���� ST(1-u c-ru (zA c.. �Si MPso�1� "bti.a.�.l i�� S A&�v E oR P� L i c3 f.lS k! �-f�-1 W/��,�,. - .�-- ----------- REA�Y FOR �FRMIT 155UANCE g�,p�,,� �,��,,�� 'iFi.St'W��S HAVr BFEN REVIEWEDAND F, p;;Eq;� , d gE � N;,�g �TAfVTIAL COMPLIANCE 1,NIiH THE MINI� ��"-����RE NT ,�F G�`r�iE un,i �„ , ut���-�— ❑ TH �'i���l�C� i�}�T ��''�,�D� AI,L. ❑j v�-v«'--�.TI {t 14 (� ❑ THE UNIFORM i'LUMBING CODE ❑ TITLE-24 PART 2, ENERGY _ _ ❑ TITLE-24 PART 2, HANDICAPPED fy- �-9� DATE RE WED BY . - KrA�er��4ssociates Job No. �� • �� STRUCTURAL ENGINEERS, INC. p�� II/Z4/�j3 � ; _ . , - - . -.� f _:.2 . . , �� . FIEI,`D �/E(zIF�GAT�ot-� qcqpv Fc �ct p�pMl i ISSUANCE ���R��� ��� ��''� Z) �HESE_ P8?JGI�A�E BEE.N REVIEWED AND � ='� - • � • � AFPEAR TO BE IN SUE 9TANTIAL COMPL�ANCE � ' : i- r-L:;_r-j_.1-.L-•�'-r- • r-+;!-f-*-� •T-t�}-� f-;- �': �� WIsTH T�iE NAT' ONF.0 Fe;fR CAO�QOE;-� -��_'-L �-' ' _ � :.:_j .� � � ,_ -.L:J �.c. � ! t 1 t . ' � ; }gjHE UNIFORM M�CHA�IICALCODE , 1 -:.-,_ , �i , ❑ZHE UNIFORM PLUMBING CODE P�� v��� C,��LE-24PAitT 2, ENERGY ❑ �ITLE-24 PART 2, HA PED 'j-' _ Zo _ ,.� ,"� -- ' ' ' � ' •� ' p�ATE REV ED BY��. � ... . I I. , _. . . __ I "� ���,_ ._.'1'__ !�.- -% , �-L.. . ' .._� . _.. '.. _ 7 -,- .,::.�,;,,,:�;:,�;.;v.;,, . ,.�.� �;:. � ,� G�6 �. , 6X15Tu r , i- . , ,-�- .-i-i-�--r t-..r_.,. _ +.. _ . M . _. . _. . .,.A.'_.�: — + `�-, - ...�_.,.. . , •-� , - – — ' STEE1. 6EAM . �„�, . V�RI=Y � - 3 : � 0 S Q 3 , � -- -� L i aE oF o�p.Ho.aG � � 4 _: . P� kEPa.�R FIELD V�RtFY EXISTEr.IC.F, oF [F, ¢xg AT."Sl l.l: UtiIDER � . ' ���Q WiN�oWs T1Z1MN16izS:y. •56E �.�-T�otil oN Q►�C�6 3'. � � - , SE� PP�t� :tJ�TE: IF�i-x8.15 NoT1aSTo,�'D �}-... :, ; . KRAM�R & ASSOCIATES �ob No. ��' �I' I F I STRUCTURAL ENGINEERS, INC. Date: � I 2�}- q�j Page: -/ j- __�: , �X?E1Z�otZ S1'DIi�lC� VERIFY �CI�TI�1G �{- x �j LocAT 10�1 �IST11� �BL 2X �SILI, Pl.k'i� Nc7TE a Ex�Ti�l� WiN�ot�1 ,I , i '-`�-�__1�.11:_:_�.,:.t:�.:.. i � - f �.4T } (Lio2=� GYP5ui�1 ' WP�u;Px��R-'D � � /� ►S� �GNTW EI�HT CoNcR�"� EX��Ti�►C-s S/g" �l,YuxbD - ----- --- -- -��Xls?II�G (z�2x12 �Loc(L JoISTS r-1.i . � .1�,. ♦ . . . _._._._ • O V E(ZN�ti1C� � F 4X � l5 rJo-r SE E P� � �I-. � F� Rsr Ft.00R 5�'�IT av�2NP.�1G � � ���r oF ��w�� �,zs READY FOR PE.RMIT ISSUARfCE TNESE PLANS HAV� BEEN REVIEWED AND APP����:��'��,ANTIAL COMPLIANCE `""r' . •'=�UIREMENTS OF HE UNIF�1:rT+,S.11L�JING COQE ❑ THE NATIUhAL ELECTRICAL CODE ❑ THE UNIFORM 11nECHANICAL CODE � I�1 i`�T`pcfF ul�IID�Rrp, ^�uSl;Lstral�JQE ❑TITLE-24 PART 2, ENERGY ❑ TITLE-24 PART 2, H PPED Z_ DATE REVtE1NED BY / ,, KRAMER & ASSOCIATES Job No. � 3��'_I F � • STRUCTURAL ENGINEERS, INC. Date: II 2 �jzj Page: �- �I�L�D GO(Z�F�TtON ��J Q-�C�Ullz-��✓ �-_-.. _ - --,- I .- � . �-- - - - . I :--- � � � EXiI'`'J�11-:%; c"_.7,rU'D, . _ � � - - �Rst tti � �l (� ExIST�r�cz H�'�R �X�� �ti1C� i(LI Mt✓rE'R / ST�Ds, veR-�F`( � I�'�� i TH10 ?R� r'1 M�S � Nl 1 iJ . . �^�- = '_�. _ i . i / � �-�- ---- --- - - -- _ �':��-,_:__. / ; _ - -- -�---�- - � � ---- �. i '- GUT oNLY i _ C>r.l� "T(ZIMMEIZ �� il i� :; ' ` �' � 3 W�U. FTu*M � ►�� PR-ov i�p� (3) A35F AS SNow�, EACH "f R i Mt�1�2 � 3-Il�SIUKE'KS ocu�,�� �_��57�„cLpo2 = BEEN REVIEVVED ANIi TO BE IN S/BSTANTIAL COMPUqNCE E MINIMUf� H�Q��REMENTS OF niA SUILDING CODE EP���fi1Ti�&%�'•ZGOD�TI:'DS 31-�h-i�A�PICJ�D Cd-NISTkU.. � � �i�f�N�LJ. P2o� �� TZ•�9�_ GLU'� STuflS ONU' � '� ��: p�EEP.S IFiSTP�u�. N.T s m N�iE � TNIS EI.,EvP�T�orl 'C�'�i c-rS � 'R�Ai2 WHEt� T�+E 4x8 p�-f �M� �tu. IS Nor �oUN'D To Ha.•1E B�E� ItJs7a.��'v, 4coN�ucr : - - - --- -;---- - - - -, -- ; '�fH�s � wo(k;K- •AFT�tL �wotL; o ANCs 4-��t-s P�Ee�1, �,SKot� �u acwn.�+��t� w iid� -r 5+�£ � � �:,' P e €`--.. r . � i-1 G � M,.� (�i A �"�' �f�w�rl. �' S , �; � - . .. - -,.:, . . . . —�-�-.—s---� -- - :- - -- - --- - - r" . ' ' '1(..:d A � � � � • �. �"' S. � O. Q y h LZ F CW F Q � ..1 a > r � a m d � � 4 Z � 3 �.'au C�raYlt.,,8�j 7757779�8�8�85�89�I/�Y,��9�97Q�ooi�� L4�uqs Bqy� 30���93���]72�SL�853 9/12/79 ��5:979T: COSTA MESA BUILDING-SAFETY DEPA4iTMENT APPLrC�'pjQp1 FOR STRUCTURALPERMIT ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 _ LY!/� - For Applicant to Fill in Completely - Use Ink Only ADDAESS Tract 10626� r/a�«v�ii�/ 1� � °ENAN °R M.D. Janes Co., Inc. MAIL�NG Zg50 Airway Ave., D-9 ADDfZE55 Costa Mesa TEL. arv No. 979-3'. ppN$TRUCTION Not selected LENDER B(iANCH N/A ADDflESS N/A ARCHITECT Danielian & Assoc. aio��546-3F OR ENGINEER AooAess 3848 Campus Dr., N.S, CON7RACTOR owner ADOPESS 8 TEI. CITV e NO. 8 STAYE CITY LIC. NO. e LIC. NO. e OF LOT 5.50 � X 334 � NOW ON LO S e USE OF E%I5YING BLOG. NIA Separate permits are required (or electric, plumbing and heating work. USE OF BVILDING AND WORK TO BE PERFORMED I hereby acknowletlge that I have reatl this application antl state tM1ot iha aCove tnformation is correct and aprae to comply wlt� all laws raBulatin8 Duiltling consttuction, antl I shall not employ eny person in violation of Me workman'a companmtion lows of tha State of California. 1 hereby certify that I am properly lic¢nsetl es a contractor untlor the State af California eusiness and Professions Cotle, Division 3, Chapter 9, end that such licenus are In full force end effect, or I am ezampt trom t provisioos of the State of Gelifornie Business antl Professions Co e, Divi ipn 3, Chapter 9. / SIB�atura of Permirtee or 8�1%�%9 Aathorizad Ap . D e �8�7G i. 1�`�i6/ N° � n.a. No.141-O�i i—Q 4. l0 I 1 t 41 L �►�c �+ L UNIT OR SPACE NO. TR.N�` �� LOT �� NEW ADD LTER REPAIR � OWNER USE APPROVED APPROVEDSETBACKS PLANNING VALUE E DATE THE AMOUNT SHOWN UNDER VALVATION IS FOR THE PURGC6E OF ESTABLISHING A PERMR FEE ONLV: VALUATION PERMIT FEE E ^\ PLAN CHECK S � D 5 V� �L.(l ✓ TAX S Q/,m i� TOTALPAID S % �O� n i 1 e �� m \N � �{, m v' � c q \ n m �� 0u ,� F �ti I V `V F � W o. Q y h T F C{�] F Q G :� Q 7 } ..1 C � a � C a Z � S 3 fI�1C� COSTA MESA BUILDINGSAFETY DEPARTMERF-� qPPLICATION FORSTRU T,URALPE IT:,; n�, P.O.BOX1200 COSTAMESA,CAUFORNIA92626 'i':'�� �� -��''•"• RECEIVEDBV PERMIT For Applicant to Fill in Completely — Use Ink Only ADORE55 /O(�Z(� 3 A�P�NO. BUI LD� NG OWNER OR ADDRE55 TENANT MAILING VNIT OR ADDRESS SPACE NO. TR.NO. LOT BLK. CITV �\ TEL. NO. WI�5TR N NEW ADD LTER REPAIR MOVING DEMOLISH LENDER BRANC V OWNER ADD ESS VALUE ARC ITEC TEL. USE S OR E GINEER ADD 55 ZOA1E TVPE GAOUP APP �Z • �` 7 CONTRACTOR BY DATE ADDRESS TEL. CITV NO. STATE CITV A77ROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT RONT FT. USE OF EXISTING BLDG. E Separate permits are required for L. SIDE FT. electric, plumbing and heating work. REAR FT. USE OF BVILDING AND WORK TO BE PEFiFORMED P�ANNING ACTION onTE APPROVED APPROVED I �ereby acknowlatlpe thet I have reatl this application antl Rate °' n Mai tho a6ove iMormatinn ic wrrect eaA e8ree to compty w(th � all laws rep�latin9 b�iltlinp conivuttion, e�tl I shall not employ � any person in violailon of ue workman's compensation laws of m the Stexe ot Californle. m I hereby ceriify t�et I am properly Iicensed as a contracmr entler SQ• FT• � Me State of CalNornie BUsiness and Profeuions Code, Division 3, THE AMOVNTSHOWN UNDER VALVATION IS FOR m C�apter 9, entl the such li enses are in f�ll force entl effect, or i THE PURP�E OF ESTABLISMING A PEfiMIT FEE NLV: � am exempt from e prov' ions of the Stete of California Business antl Proiessions , DI sion 3, Chapter 9. VALUATION pERM1T FEE y!b �Q N n AN CHECK 5 ^ Sipnaiure of o 5 �` P¢rmittee TAx s F or Z Aut�orizetl A n ate u TOTALPAID S� D D �