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HomeMy WebLinkAbout896 PEACE PL - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.g�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 896 PEACE PL Suile: Vicinity: Primary Occ: R-3 Dwetlings/ Cong Res <10 Parcel Number: 41805269 Applicant: SNEN SCHNIERER Address: � � Type of Construction: V-N Zoning: R1 � . owner: BUTCHER, EDWIN J TR Address 896 PEACEPL ` COSTA MESA, CA ` � Contractor. -CALIFORNIA ROOF SAVERS INC Address::� 944 W HOOVER . °- '- ORANGE,CA � Zip: 91766 Arch : Address: Zip: Phone: License: Phone: - 714-719-1689 Zip: � Phone: 2ip: 92626 � Phone: 714-771-7663 License: 727693 Eng: Address: SCOPE OF PERMIT T/OFF SHAKE ANO REROOF 2700SF RESIDENCE W/SHAKE RROOF CLASS'C' MIN. FEE SUMMARY Plan Check:- $0.00 Permit: $153.25 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: ` $0.00' Total: $154.05 SETBACKS MAIN�STRUCTURE Front � 0-0 ACCESSORY Front 0- 0 PARKING Existin : o Rear 0- 0 • -•�*`� Rear 0-0 �� � Required: 0 Status: ISSUED Applied: 10/17/2005 Issued: 10/17/2005 ISSUED BY: �� ! Calc Valuation: Claim Valuation: ieft � 0- 0 Right 0- 0 iefl 0- 0 , _-.Right � 0- 0 Pr000sed: �� 0- � � ' R R1P Phone: License: sa,000.00 sa,000.00 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, 72-21-92) 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 consitlered legal, such work must comply with all applicable codes, and all required inspectlons and flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 241&48 (fl�00) WORKERS'COMPENSAnON DECLARAnON: I hereby ettirtn under penalry oi perjury one ot t�e following declarations: ❑ I have antl will maintain a certificate of consent to selFlnsure for workers' wmpensation, as provitled for Dy section 3700 oi the Labor Code, lor ihe peAormance of the work for which Ihis permit is issued. � 1 have and will maintain workers' compenseiion insurance, as required by section 3700 of the Labor Code, for the perfortnance of the work for which Ihis pertnit is issued. My wo�lcers' compensation Insurence cerr�'er entl policy number ara: � � .� Carder. not be one or less.) Policy Num6er: � Z4 ❑ I cenify t�et in the pertormanca of the work lor which t�is pertnit is issued, I shall not employ any person in any manner so es to hecome subjact ro the workers' compensetion laws of falitomia, antl egree that if I should become sub�ect to the w� ' compansetion provislons of Sactlon 3700 oi Ihe Labor Code, I shall forthwith complywith�hese Ay ion �i Applicam Signeture: ' Date: !O� 1�. � OS �G WARNINO: FAIWRE T SECURE WO $' WMPENSATION COVERAGE IS IINLAWFUT AN� SHALL SU&IECi PN EMPLOVER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TOONE MUNDRED THOUSAND OOLLARE (5100,0p0), IN ADDITIqJ TO THE COST OF COMPENSATION, DAMAGES AS PRWIDED FOq IN SECiION 3]OB OF THE LABOR CODE, INTEREST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLAFA710N: I hereby attirtn that I am licensed under provisions of Chapter 9(commencing wi�h Section 7 0) ot Division 3 0l ihe Business and Professions Code, and my license is in fyHr force and eaea. ua a Z7� 9 3 Class u C�9 Contrectors Signature:�_�� j� Date: �� i 1 �2C' � CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirtn that ihere is e consWction lending agency for Ihe pedormance of ihe work for which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn ihat untler penalry of perjury that I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a pertnit to consiruct, alter, impmve, demolish, or reDair any simcture, pnor to its issuance, also requires the applicant for such permit to lile a signed statement ihat he or she is Iicensed pursuent to ihe provisions ol tha Contractors License Law (Chaptar 9(commencing wit� Section 7000) of Divislon 3 0l the Business end Professions Code) or thet he or she is exempt therefrom and Ihe besis �or the allegetl ezemption. Any violetion of Section 7031.5 by any applicant tor e permit sub�ecls ihe epplicant to a civil penelty ol not more than five hundretl dollars ($500).): _ ❑ I, es owner ot ihe property, or my employees with weges es their sole compensatlon, WILL DO THE WORK, and ihe stmcture is not intended or oRered tor sale (Sec. 7044, Business and Professions Code: 7he Contractors License Law does not appry to an owner of property who builtls or improves ihereon, and who does such work himself or herself or through his or her own employees, provided ihat such improvements are not intended or oHered for sals. If, however, the builtling or improvement is sold within one year of completion, tha ownerbuilder will have the burden of proving ihat he or she tlitl not huild or improva tor purpose of sale.). ' ❑ I, as owner ot Ihe property, em EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRAC70RS to constmct the project (Sec. 7044, Business entl Professions Code: The contreciors Licensa Law does not epply to an owner of property who bulltls or Improves ihereon, and who con�rects for such project wiih a contractor(s) license pureuant to the Contractors License Laws.). ❑ 1 am axempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Ves ❑ No Drlver's License No. Expires: Vedficetion ot Ownership by (type of document, i.e. - properry tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihet no excavation tive (5) or more feet in depih into which a person is required to descend, will be metle in connec�ion with work authodzed by Ihis permit, and ihat no building siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, Califomia Atlministrative Code). ❑ As owner-6uilder, 1 will not employ anyone to do work which would require a permit from ihe Division of Industnal Safety, as notetl above, unless such person �as a pertnit to da such work fram ihe division. Signature: Date: Division ot Industrial Safery Pertnit Num6er: CER7IFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity untler penalry of perlury that I have read ihis application and state that ihe intormation given is correct. I agree to comply with all state laws and ciry ordlnances relating to building constmction, end euthorize representatives of the Ciry of Casta Mesa to enter upon the above-described properry for inspection purposes. I agree not to occupy or ellow occupency ol any building authorizetl by this permit until final inspection. COUE N. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 12fi8 200 zai 202 203 Pool Spa Final Final Re-Rooi Final BIxWRetaining Wall Final Factory Fire Place Final Slgn 204 Final Demolition ygL IMRIALS ! � ��J�/ / COOE� INSPECTIONTYPE 206 Final Mec�anical 208 Final Plumbing 210 Final Elecirical 212 Finel Fire Prevantion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency _ . Date 29g INIID�9Lfl (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 896 PEACE PL Status: ISSUEo Suite No Applied: OS/222006 Issued: 05222006 Viciniry: CLOSET INSIDE SFD Parcel Nunmber: 41805269 Applicant Address: Owner: LITTLEFIELD, SCOTT 24707 SAN FERNANDO RD SANTA CLARITA, CA BUTCHER, EDWIN J TR Address 896 PEACE PL COSTA MESA, CA Phone: 661-259-7131 Zip: 91321 Phone: Zip: 92626 Coniractor: AFFORDABLE WATER HEATERS AND PLUMBING Adtlress: 24707 SAN FERNANDO RD �Phone: 661-259-7131 SANTA CLARITA, CA Zip: 97321 License: 627368 ISSUED BY: ' SCOPE OF PERMIT CHANGE-OUT OF A 50-GALLON GAS WATER HEATER WITH SAME IN A CLOSET IN THE SFD. 1 WATER HEATER NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY AMT QN AMT C�N AMT gN ISSUE FEE 523.50 Laundry Tub / Washer $0.00 0 Sump Pump 50.00 0 Backflow irrigation 50.00 0 � Landscape Irrigation 50.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap 50.00 0 Trap Primer $0.00 0 Bathtub 50.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System 50.00 0 Process Piping (per 10 fl) 50.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 ConneIX (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 50.00 0 Drain, Floor 50.00 0 Sewer Connect $0.00 0 Waste and Vent System 50.00 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 WaterHeater/vent $12.30 1 Drinking Fountain $0.00 0,. � Sink, bar $0.00 0� ' Water Piping Qns� or RepJ $0.00 0 Expansion Tank $0.00 �. �0, Sink, commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earihquake 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 SoRener $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, Oiq $0.00 0 REINSPECTION $0.00 0 Inlerceptors (Sand Auto ) $0.00 0 � . - TOTAL CALCULATED FEES: E35.80 COMMENTS / 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 it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell requlred inspeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2048d818�00) WORKENS' COMPENSATION DECLAfiATION: � � I here�y effirm undar penalry ot perjury one at the following declaratlons: . , ❑ I heve entl will melntain e certificate o1 consent to self-Insure for workers' compensation, es provlded tor by section 3700 of the Lahor Cotle, for the pertormance of the �work for whlch ihis permit Is issued. �have antl will malntain workers' compensation Insurence, es requlretl by section 3700 al tha Lebor Cotle, far tha perfortnance of the work for which thLs pertnit is issued. My woAcers' compensation Insurance carriar entl polity number are: / .Carrier.--��1�'10 ��1�"�% � PolicyNumber: �675'C1P70 -(This secfion need nof be comp/eted il fhe permit Is veluetl at one hundied ddlars (5100) a/ess.) �� ❑ I certity that in t�e perto ance of ihe work for which this pertnit is iuuetl, I shall not employ eny person in eny manner so as to hecoma subject ro t�e workers' compensetion laws oi �fomi and egree thet il I shoulA bacome subject to Ihe workero' compensation provisions of Sec�ion 3700 0l the Lebor Catle, I shall torthwith comply wit� these pro ions. Applicant Signature: �pe�:i S' a a— V(+ -;.s^-..�� 'WMNINO.`FAICURETOSE EWORKERS'COMPENSATIONCOVERAGEISUNUWFUIrWDSHALLSUBJEGTANEMPLOVERTOCRIMINALPENALTIESANOdVILFINESUPTOONEMUNDRED TTIOUSANDDOLLARE(St ,OOO�,INFODITIONTOTHECOSTOFCOMPENSAiION,DAlMGESASPROVIDEDFORINSECilON7/O60FTHElABORCOOE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licansetl untler pmvisions of Chepter 9(commencing with Section 7000) of Dlvislon 3 of lhe BusineSs and Pmfessions Code, entl my license is in full �o�ce end enect. cro: a, l� a 7� h X" i cia«u �: 3 io CONSTRUCTION LENDING AGENCY: ❑ I �ereby ettirm Ihat ihere is e construction lentling aqency tor Ihe pertormance of the work lor which Ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Neme: Lenders Adtlress: SignBturB: OWNER-BUILDER DECLARATIONS: Date: I hereby aMirm the� untler penalry ot perjury ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to consiruct, elter, improve, demolish, or repair any structure, prlor to its issuance, elso requires Ihe applicant for such permit b file e signed statement that he or she Is Iicensed pursuant to Ihe provislons of the Contrectors License Lew (Chepier 9(commenGng with Section 7000) of Division 3 oi the Business end Prafesslons Code) ar that he or she Is exempt iheralrom end the basis for ihe alleged ezemptian. Any violetion oi Section 7031.5 by eny appliwnt for a permit sub�ecis ihe epplicant to e civil penelty of not more than live hundred dollers ($500).): ❑ I, es owner of the property, or my employees wl�h weges es Iheir sole compensation, WILL DO TME WORK, antl the strudure Is not intendetl or oNeretl for sale (Sec. 7044, Business end Professions Code: The Conirectors License Law dces not apply to en owner ol property who 6uilds or improves Ihereon, and who tloes such work himsetl or herself or through his or �er own employees, provided ihat such improvements are not Intended or oHered tor sale. If, however, Ihe building or improvemem is sold within one year of completion, Iha owner-builtler wlll have �he burden of proving that �e or sho did not build or imprave tor purpose oi sele.). ❑ I, as owner ol Ihe property, em EXCLUSIVELV COMRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Professions CoAe: The conirectors License Law does not apply to an owner ol pmperty who builds or Improves Ihareon, antl who con�racts lor such project with a contracior(s) license pursuam to the Contractors Licensa Lews.). ❑ I am eaempt untler sec. Business and Pwfessions Cotla tor this reeson: Signawra: Date: Owner ID verifietl by tlnveYs licanse. ❑ Yes ❑ No Driver's License No. Verlllcetion of Ownership by (type of document, i.e. - propeny tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PEFiM1T CERTIFICATION: Eapires: ❑ I hereby cenify that no excavation tive (5) or more fee� In depih into which e person is required to descend, wlil be made in conneciion with work euthorized by Ihis permit, and that no building siructure, sceHoltling, lalsework, or tlemolition or dismantling thereol, wiil Oe more than thirty-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tltla 8, Celifomia Adminisirative Code). ❑ As ownerbuilder, I will not employ enyone to do work which woultl require a permit Irom the Division ol Indusirial Safery, es notetl ebove, unless suc� person has e permii to tlo such work from �he division. Signe�ure: Date: Division of Industnal Salery Pertnit Number: CERIIFlCATE OF COMPLJANCE AND AIffHORIZATION OF ENTAV: I certify under penalry of perjury thet I have read this appliwtion anC state t�at the infortnation given is correct. I agree to wmply with all state laws entl ciry ortlinances relating to 6uiltling conswction, entl au�horize reDresentatives of Ihe Ciry ol Costa Mesa ro enter upon Ihe above-tlescriDad properry for inspection purposes. I egree not to occupy or allow occuDancy ot any building euthonzed by Ihis permit until tinel inspection. COOE 6� INSFECTION TYPE V QSIE INTRIALS 1616 Fizetl System Finsl Fire Prevention � 1268 Pool Spa Final 2ao 201 202 203 Finel Ra-Rool Finel BIocWRetaining Well Final Fectory Fire Place . Final Sign 204 Final Demolition S'aa'��, Date COpEj INSPECTIONTVPE 20fi Final Mechanical 208 Final Plum�ing 210 Finel Elec�ncal 212 Final Fire Prevention 220 � Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy Y � . _ � � �..W � ' No. t " � WI�LLIAMS INSUL"ATION COMPANY � OF '�CAL:IFORNIA ^.• 1201 E. Hunter Ave., Santa Ana, California 92705 ,�� s ' (714) 547-5148, _ � .. . , �; � - THERMAL INSULATION•CERTIFICATION •1'� . - v THIS �S TO CERTIFV THAT.INSUTATION HAS BEEN INSTALLED IN CONFORMANCE WITF CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, 71TLE 24 STATE OF CALIFORNIA, IM THE BUILDING LOCATED AT: � .. , � � �Tract Name: L .o. �!�� Tract No. 2ASi3 Block No. /^ �� -Street �Cl/ �„��P� '�' ' � City ' EXTERIOR WALLS: a Mfg. �� ���� + Thickness/Type �' . Ceilings: �� . � 8atts:,�f ;F �� .Mfg: �i�`�+���:a Thickness/Type � Blown In: � '� ; Mfg, t - Thickness/Type Sq.�Ft.�Covered "�� - No. of Bags Used ;;-�ors: - ., r "°��-1. Thickness/Type r....:r- . �..�. . - .� -. -: ,:�...e... _, . �" � Othef y Mfg. � Contractor Contractors License No. r �. S�gnature .�y �Williams Insulaxion Co.�of~Califomia 4P. �Califqrnia Contractors License;No,.267522k, � ),/� �'+� .v, . .,-�.^� I. yr�-_� � J 4• . ... �y, � j. 4' ./ I, Si9namre ' - e - � . JOB COPY-WHITE " ;�� � � � GENERAICONTRACTOR-VELLOW ''- �� ; R— , 1� V al ue R— - _ Value- _ �� — q_ _ Value � i R— _ Value Rf — Value ' R= ' Value _ Date TiN¢ Date 9-29_dY4 � - —}.. t �:f12C� .rlftilY. � :-, TiUe' , ' -� " , . BUILDING DEPARTMENT-PINK � FILE COPY-GOL�D ,. h ' 7� • ; �� li. 1�� z��I�i)�_��Ib'1 �cr r�o. iogi3 �, �. 16 896 Peace Place, Costa Mesa ��: /%i�79 � '�e developer of the above entitled tract desires to sell the above set forth lot prior to t1�e time that the tract has been oortpleted and its streets accepted. b� the City of Oosta Mesa. By exew ting this agreen�ent, the undersigned acknavledges that he/she/they was/aere.advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having crnplied with the conditions of approval which were inposed. b� the City at the ture the Final Tract Map was approved. The City ass�nnes no liability for the enforcement of the oonditions nec.�essary for approval other than th�e oonditions protected ty surety bond. The undersigned agrees to inden�ify and hold the City hazmless fx�an any claim resulting in dam3ge or personal injuzy to the undersigned bi reason of the aforenentioned unoa�pleted condition(s). BY � R� C E I V E D i 9�ture of Purchaser) cirv aF cosT� �nesn «0`,! 3 _ 1979 AM P�A 7�8�9�10illi12s�i2i3i4i5i6 � a/�9 BY �/j � �1 ���� (Signature of D�veloper and or authorized representative sY (Signature of Lender) ; 4 : `;IF F: ��7 F �'!° r�, ;�� ; ��� , ,�, ;!' n�:t�= �. .- November 26, 1979 Ms. Kathy Thompson Mercury Savings & Loan P. O. Box 1010 Huntington Beach, California 92647 RE: Tract 10513 896 Peace Place, Costa Mesa Dear Ms. Thompson: Foley Construction Co., Incorporated, is in escrow with Edwin and Stephanie Butcher as seller of the above-referenced property. The city of Costa Mesa has requested that we inform you, as lender on the transaction, that the final inspection, acceptance, and exoneration of bonds for public improvements installed in Tract 10513 has not occurred. The dwelling unit has received final inspection by the city of Costa Mesa Building Department and is complete and ready for occupancy. If any clarification of this matter is needed, please do not _ hesitate to contact me. Very truly yours, ��c/L�(� ''���� Carol A. Graas CAG/cj cc: lanning Department, City of Costa Mesa 2101 EAST FOURTH STREET, SUITE 100 • SANTA ANA, CALIFORNIA 92705 • TELEPHONE: �774) 543-9477 OWNER �IN & ST�HANIE J. B[TIC!-�R DATE 4/30/80 JOB ADDRESS 896 Peace Place BUILDING PERMIT N0. GENERAL CONTRACTOR Q•meY-Builder DESCRIPTION o( WORK Tattice Patio 1 AP No. 418-052-69 LOT 16 7 F CTIONS ' 5. c�s PROP. $WR. LINE �_J MOUSE COM. SPRINKLING SVSTEM MISCELLANEOUS NOUGN HEATING RN� RIR CONOITI TEMPOR�RY SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIHING l ENCHES FORMS STE ' i FLOOR SVSTEM J BOND BEnnn (� STEEL NEINF( ST^' FNO FLASNING . — IN � AL, FINAL G, vENT.. REFNIG. �N� A.C., FINAL iNG. FINAL ANO GAS TEST � EIECTRIC, FINAL BUILOING, FINRL SUBCONTRACTOR P...• . . -. —.. , ' ci �a �,ianian 5.50 TL - COSTA MESA BUILDING-SAFETV DEPARTMENT APPLICATION FOR�STRUCTURAL PERMIT - .:, P.O. BOX 1200 �COSTA MESA, CALIFORNIA 92626� ' ',F�+ 5 � 0. Q ` ti T ' F - p w ..1 7 � (l�. W O a a Z 3 �J RECEIVED PERMIT For Applicant to Fill in Completely — Use ink Only � t! � ADDRESS �l/L� I,E.F�C � L_. ��K'T/'� I����i� A.P. NO. ' � � G � S. � � 'OQ . � / � 'BUILOING � T�ENANT�R ���L'✓�/Yr.!1' y'�I �%/�/�%Y�if'i �i ". �tCi':-Hof-: ADDRE55 - 6 ' UNIT OR MAILING �' " �� : i ��7��,� SPACE NO. ADDRE55 ����J IFH�� J�j�.. {y�r�(i%�T CITV �(l::7ia i�/4�o/� � ' NO. �6�/UC� Tq. O / LOT .�/„ . ' ' BLK. TEL: � Vl - NEW ADD ALTER REPAIR MOVING DEMOLISH CANSiRUCTION `ff�,✓F, . . . LENDER'- .�l " ' ��� • BRANCH �- � - . . . . .. . . � .. ' . . . � OWNER UT , C ' . ADDRESS " ' ' ' ALUE Q�. ARCHITECT . S�4/_ ., . NEL: . . �USE /I i/a' ✓R. s CJV`. OR ENGINEER ADDRESS � � ZONE '�� : TVPE I- 'GROUP� ' APPROVED " ' - 3 CONTRACTOR BY '� DATE AODRESS ' . .� . � , .TEL. � . . � . � CITV � NO. ` � STATE � ' ` '> ;';CISV. • � APPROVEDSETBACKS , " , � LIC. NO. - ' ' ". a CI0. NO. .. , • - . . . • 512E . ' . . - NO.OF BLDGS. (FROM GL STRE T) . ' ' OF LOT ' NOW ON LOT ' qOfYT ' USE OF� �� ' ' ' ' EXI5TING BLDG. • ' � " �S T. O Separate permits�are,required for . �.. ,,« �. sioe �zFr. v ' - � --� electric, plumbing and h`eating work: � ' � REAR . yFT. O ' ' USE OF BUILDING AND WORK TO BE PERFORMEO PLANNING ACTION .. , ' .. " . ' � DATE . - -' ��APPROVED. . . . . .- •. , � APPROVED. I / �3d' �� I hereby acknowl¢dpe ffiat I have reatl this application and state � '-� , ' thai the above intormaiion is corract entl agrea to comply with all laws reguleting building consttucNon, and I shall not employ . . . ' . any person in violatlon of the workman's compensation laws ot � tha State of Californle: . . .� -� � ' . - �D_ �_ , I hareby certtfy that I am properly licansetl as a conttactor under / ���Sn. FT. the State of Califo�n(a Businass antl Professions Cotle, Oivision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, end that such licenses are in full force and effect, or I ' THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am ezempt trom the provisions of the $tate of Californla B�siness VALUATION PERMIT FEE $ and Professions Code, Division 3, Chapter 9 � . S- ^- SiBnaiura ot �� - � ' PLAN CHECK y �• • Permittee� ' $ 80•�' TAX $ or y 70 � ' - O • �j Authorizetl ABent Date � - � TOTALPAID E S� �O � i a � m b n n 0 LL f � U ��' �. .r� /� 1 r':. a ` . . �o.� �" COSTA MESA BUILDING-SAFETY DEPARTMENT V.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only r BUILDING (�%/% / j� . l� O F�+ Ri 0. a � h S F Q L1 ...1 Q 7 �- � z w a � 0. z �.i 3 OWNEF MAIL TEL. GTY '�dIj�3� �j[]3i � NO. � CONSTRUCTION. • . � - BRANCH ADDRESS ORENGWEER �les-Ianqston' nT,o`.'� 547-08 ADDRESS 777�5: Main St.,•#105; Oranqe CONTRACTOR ati'1pS��EVQlpj�,1" ADDFESS SdIR2 � TEL. CITV - �� ' NO. ' � STATE CITY ' UC. NO. � LIC. NO. ' ' SIZE � ' � . NO.OF BLIX3S. O OF LOT ' ' NOW ON LOT VSEOF N/A• • EXI5TING BLOG. • � ^ . Sepaiate permits are� required for � � electric, plumbing and heating work. detached residence units. I hareby aeknowletlpe thai I have �eatl this applicetion and stete that the abova information is' corract antl agrea to comply wlth: ell laws regulating builtlin8 consvuction, and I shall not employ eny person In violatton of the workmen's compensatlon laws of the'Stata of CallforNe: �� - " �- � I hareby certify ihat I am properly licensetl as a contractor untler ihe Staie of California Business entl Professions Code; Divlsion 3, Chepter�9, and ffiat such licanses are in full'force and effect, oi I'. am eKampt from tha provtsions of the Siate of Californie Business antl Professlons Cotle, DivisiOn 3, Chap 9. , ' , Signamra Permittee AuShorized Agent ` "`3338 2%�13�79 II!4��09.JJ�L' � 3336 -2/I'3%79.,_ I"f4.09CK'f0, 3338 00004474 25 "" � I A"'"' , APPLICATION FOR'STRUCTURAL PERM[T ' RECENEDBV DATERECENED neTvicciivn ADDRE55 X � � � � " �- �Ne/a� Fole Construction Company. _ iYn% w�., nn w �awe h'1 �'-./ / I FIRE ZONE ED DATE ZONE NO.OF USE OF NEW' � h , � PLAN$ � BUILDING T....If?� � VARDSAPPROVED VqRDSAPPROVED " MAIN BUILDING ACCESSORV BUILDING (fROM GL STRE,€T) y�� P���' ' . RONT � F�� � FT. 51 / O FT. L. SiDE ' �� / FT.a � FT. REAR FT'. O FT. DISTANCE BET. � � BET. MAIN & MAIN BLOCaS. _ ACCE�. BLDGS. VAR.91t � . DATE �Q N �'ui . n I �, ♦ ,� . v . m0\ i o� $Q, �� �( N � THE AMOUNT SHOWN UNDER VA�UATION IS FOR p��� THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: '� ""1�� b/1 VALULATION ' PERMIT FEE - $ ' Qg�_i' �✓/S�' PLANCHECK § / ,_cD.=`T, �y `, ti "�l $ z�i,'� TAX , E , Ti� � p ' � TOTALPAID $,I��O� . ..T` ;. . y L/ a COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 , 5740 � "•�5-7G0 , 67G0 � . ._ . 3127/79 37EZCZ9_,._ 00004G74 25 8.1.9.00 TL' 21'9.00CKTD, _ ..�.a ._. �-- APPLICATION FOR STRUC7'URAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVEO DATE ISSUED BVILDING ADDRE55 PERMIT NO. OWNER � A.P. NO. . . MAIL � � . BUI�DING n � ADDFESS AODRESS y TEL TRACT LOT BLOCK CITV NO. CONSTRUCTION ' . N W ADD AlT P LENDER BRANCH OWNER ADDRESS ' VALUE ARCHITECT , TEL. S $ � OR ENGINEER N . FIRE ADDRE�S ZONE ' TVPE GROUP . . APPROVED � CONTRACTOR � BV - DATE ADDRESS - . ' � � TEL. ZaNE - NO.OF USE OF NEW CITY NO. PLANS BUILDING i-�i STATE CITV ' VARDSAPPROVED VARDSAPPROVED � LIC. NO. � LIC. NO. MAIN BUILDING ACCESSORV BVIIDING 6a] SRE � NO.OF BLDGS. (FROM GLSTREET) . 0. OF LOT NOW ON LOT qp�.Jt FT. FT. � a USE OF � EXI5TING BLDG. ' � FT y FSeparate permits are required for L. SIDE FT. FT. � electric, plumbing and hea[ing work. � REAR ' FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. � BET. MAIN & QMAIN BLDGS. ACCESS. BLDGS. VAR.qIE � DATE '= C.U.P.� APPROVED ;APPFOVED �' ..7 .a w � I hereby acknowledge thei 1 have �ead this appllceiion and s[ate p�. that the ebova information is correct and aB�ee to comply with p+ nil lews reguletinB bull0ing construction, antl I shail not employ z any person In violation of the workmen's compensetion laws of '' � tha Stata of Californie. ' 3 I heraby cartify ihat I am properly licensed as e contractor unAer SQ. FT. the State of California Business antl Protessions Cotle„Dlvision 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR Chapter 9, antl thet such Itcanses are in full force and effect, or i TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am ezempt from the provisions of the State ot California eusiness VALUATION antl Protessions Cotle, Division 3, Chapt 9. , PERMIT FEE $ SiBneture of � � PLAN CHECK $ �. Permittae $ TAX $ � AuihoiizedABent , TOTA�PAID $