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HomeMy WebLinkAbout1939 PELICAN PL - Building Permits PROJECT ADDRESS: 1939 PELICAN PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068382 �r Dui�R'SNAME: CAMPBELL ROBERT G I ADDRESS: 1939 PELICAN PL PERMIT NO: B 068382 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: SQ JOB DESCRIPTION : T/OFF REROOF W. /CEMMWOOD 4 , 5PSF FT: 9, 000 CLAIM VALUE: 9, 000 .00 CALL—VALUE: 9,000 .00 GROUP OCC: R-3 / PERMITTEE: CHAMPION ROOFING ( 213 ) 259-0451 ADDRESS: 3257 VERDUGO COMMENTS: CEMMWOOD 4 , 5PSF ICBO 4312 L.A. CA 90065 +L*****+r+raF*****waearerer**ae+tourer****+e**er+t*sF+F******ae**+t******arae**arae*******ie**ee+F**ar*erar* LICENSED CONTRACTOR DECLARATION: I hereby atlirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I N G REQUIR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CIT C.: 042 25 STATE LIC.:429481 CLAS: C-39 £XP: 08/94 SETBACKS APIYJ 042725 STATE Signature: In CIA S: j MAIN BUILDING ACCESSORY BUILDING SW KERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sett-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a cenuied copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: PWC26561101 EXP.DATE: 05/01 /95 cuMPANw: GOLDEN EAGLE PARKING REQ: PROV: PARCEL : 13948171 ZNE: REF NO: ❑ Certified copy is hereby furnished. CR Certified copy is filed with the city Building Division. PLANNING NOTES> 01 R-73- 199 9e...— (ek: > KEMPDON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is far one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS 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. ZONING APPROVED BY : DATE; Date: Signature: NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: . Code.you must forthwith comply with such provisions or this permit shag be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for APPLICATION ISSUED B Y; DATE- ���� v fg*FE AF y which this permit is issued(Section 3097.Civ.CI. ** UNDER: *********************************************************************** ******* ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL S GMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC_ SHIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 . 00 SMOKE KE DETEC repair any structure:prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 9 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S M I P/NON—RES and Professions Code)on mat he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLANOD�1"1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55006 C F L ISSUE FEE G , I. 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————> 108 . 90 0 . 00 0 . 00 108 . 90 108 . 90 . 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 sale.II,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 108 . 90 OVER/SHORT: 00 for the purposed 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 108 . 00 . 90 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *************.********.**************************.*********..**M.**********.*.*,*******,N, that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 9000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 9, 000 .00 I do hereby cenily that I am aware of and understand the requirements of Calitarnia 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 state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 0�1T00166554338-00165439 TOT 4 5I39: 09'25 108.90 property for inspection purpoossseesl� /� Ma �/S /9Y/ Signature: I 'I Sr (PAC war's License or Social Security e: 1641-46 White—Buddmo:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor !a CONSTRUCTION AND PLANNING Pot 4 SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector j 1. Temporary Electrical Serve or Pole .J 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd.- p =� 53. Steel Reinforcement 7' ,El'ctrical CondmrUtility-Ltndrgrnd*,,' 54. Forms ;;thi. th ctrical Condur[.-lJndrgrnd. -, :1 55. Electrical Bonding ,t1 7' .c l 51rViel Reinforceweht 56.Ti . Rough Plumbing & Pressure Test S 6.•Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE - i C - •t Footings _ .--.. 58. Electrical Conduit-Undrgrnd. e. SI r '`I J. 8 Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System _ 61. APPROVAL TO DECK I 11. Prgperty Sewer Line-SiHouse Connection 62. Backwash & Receptor-Final i _ 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains _ J 64. Plumbing System - Final 14. Rough Plumbing ?, 65. Electrical-Final 15. Rough Electrical-Conduit .^ 66. Solar System-Final 16. Rough Electric Wiring a 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricaFT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •.I _l Y : _J 1 c' 7' " J-. T t 4 'J 20.-Rough Factory Fireplace I ';.a .- 7 r 0 :, ;,x a APPROVA-LS:;)-Permit # t > t^ t I r-.+ x� I-' '7 -rt t :S:.-2,J.< '� -J 21.'lbue, in�StruutuCe; I .. .. ,.y_ S C t -170. Un erground.Hydro t 22.•Ducts, Ventilating.t -i- y ^ S K;_ C. Product PiRirig Otis ❑pil Lt. . 23.JGas iPipe:Bought &'T'est ~ 72. Under round Flus -. - 1 a j 24.-Boo Framing. ' - - ' '� 3 -' S t " 73. -UndergrncFStoragt3ank J Gas ❑Oif 25. Roof„Sheathing ::; , _ '14E/ (O# -74, erhead `Hydro J 26. -T•Bar,Ceiling (Structural) & Monocoat 't --I' -�;ir 75.=pry Chemical -"1 f 7 3327. Frame and Flashing , _ i - 'C p ': 76. D-r'y Standpipe h r . - . ;28.-Lattgng 8;Siding :> .- H}^ +. '- • --I ••I 77. _FIXED SYSIFEM TNALTy `� '29. Insulation '' R~' " S , `7 1 78. IRE PREV• ^FINAL . > 1 `30. Drywall Nailing - , y I � I HEALTH.DEPT,REQUtREMENT r31. Plaster Bt+3wr>_Coa�; i 1 I'ti ; 79.--FINAL INS'?ECTIdN t "' '7 c32.r,ElectricatPower Mesec-final i c' 1 '. I '80. -FOOD CERTIFICATE ISSUED s tri ^1S •33. Kina7Electricl I tra - .1 -1 ._ i •'34. Fina1'.Heatiny& Air bonditioniny a I ix •' ; 7:'J 1= t r 35, ',Final Ga{�Pipe�Test 1--• :" •-• • I r -o r _M S y ;:i. -36. Rood;or Ganopy . _ • 1 -, r CI I M ' _ • . -,.D t E A ,t X37. Final;Faryory Firepl3c€ I " t t7 '- .38. Finalfluglbingi I -• r .. j I I7 7 _ - - G ._ _ ; .39. Water Service.Final • " I i _ O-•1 90. Gas Ser vice-Final • r •r'- _ r 7 I 14 . y:o _�i.. 41. Solar Domest('Q-Final, S .- x .a I it -• ' '4'2. Backflow Prevenier ; I { Ir- - •• '- ,- - 43. Backflow Irrigation - S - SI:-c% 44. Landscape Irr gatiory' ,• System r ,; ' - 7 - , t ;1 =0 r :45. Sound Attenuation"- ' - _ -' - P. u -. .. -t r. .11 *. t 1-• - 46. Tiandicap Regulation; •• �•• J 47. f,'IN6:L STRUCTURE & BUICDING g t 57.-CW' �Cc'"' � •+ T y • 48. EINAL PLANNING. i .T,:� y ;,; . -I.__ ; ' - 49. Elecir'ic Aelease to Edison 1 I,. r - - 50. Gas Release to Southern California.Gas Co ' - L . r _) ., 51. CERTIFICATE OF OCCUPANCY • _ :-tc r - - No. Date Pr, • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . CITY OF COSTA MESA CONSTR UCTION PERMIT PE.R IIT NO. ��0� TRACT NO. LOT NO. UNIT NO. 017/ 3/27/05 Project Address —. _ •• • 1939 Pelican PL 0177 64Vi• it Applicant's Mailing Address 10422 Trask Ave. G.G. TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR Owner's Name Campbell ' Phone 545-8630 El CONVERSION ❑ DEMOLISH C.] OTHER A.P.# I Zone DESCRIPTION OF WORK/USE OF.BLDG. Address 7939 Pelican Pl. Replace Water S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LI FOUNDATION ❑ STRUCTURAL T Front a Address • 1-11TENANT ❑ ELECTRICAL )0 PLUMBING ❑ MECHANICAL B Rear N Contractor's Name A-eme9_ Plumbin -HeatiIIe. 530-2440 ❑ 'OTHER g one PROJECT DESCRIPTION SQ. FT. •OCCUPANCv C Right N Address(mailing) 10422 Tr Ask Ave G G_ - - K G CONSTRUCTION TYPE VALUATIONS _ - S Left City License No. 6664 ZONE GRADING CU.YDS. ACRES R V LICENSED CONTRACTOR DECLARAT L N Ping. Ref.# Parking Req./Provided E 1 hereby affirm that I am lice. • under provisions o arte • (co• mencing Remarks: Planning Notes: M with section 7000) of DWI on 3 of the Business and • essi•,. Co• and my license Is in Iull force a•d effect. s s \\.,t T License Class 0-36 _a License o. -SIP 17 / • RF ApDY 1i 1 �I�YE"�'�t S Date 3-18-85 Sig��� an PLUM6TRCa�•-- ��• FEES 1 WORKERS'COMPENSATIO` IlLARAT • Bar Sink Showers lereby affirm that I have a cer ficate of c•.-•nt to self-Insure or a certificate M . ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3600, Lab. 5076419 Fremont P Construction Pole Sub.Automatic Washer • Transformer 0 15.50 KW Policy No. Company Backflow Irrigation Sewer Ca 0 50+ KW ❑ Certified copy is hereby furnished. er30-i-0J is filed with the city B-i ld�ing DI WSIUMbin Bathtubs Sewer Connection Cooking Unit • Meter Dug to 100 amps Ea 10-0J ApplicantR ' A C8 Yl g EXEMPTION nFROM WORKERS' eCOMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps - _ _ (This section need not be completed If the permit is for one hundred ($100)or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel I shall llt no that in the performancein the work for which this permit is t I ort ' employompeanyipersonws any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1''A-B Workers' Compensation Laws of California. Date Signature - Floor Drains Swimming Pool w/Spa F.A.U. ❑ IOC.$Olaf 915 HP 016-15+ NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - - comply with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors 1 Water Heater 2.f70 e Outlets Ran Lender's Name 9 Lender's Address Kitchen Sink Water Service • Switches Sign OWNER BUILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Disposal Garbage following reason (Section 7031.5 Business and Professional Code: Any city or 9 ;Standing Sections i f county which requires a permit to construct,alter,Improve,demolish or repair P—Trap 'LaundryTrays any structure, prior to its Issuance, also requires the applicant for such permit Generator 00-5 KW❑5.15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt - , herefrom 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 . - enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered • - Reinspection Fee I $15 Issue Fee i $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 . - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletIon, the owner will have the burden of proving he/she did not build or im- i Duct-Under Ground Approved By (� Dates rove for the purpose of sale). // -7 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By A ( / Date .24 tractors to 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) license pursuarit'tothe Contractor's'License Law). I am aware that BUILDING PERMIT $ SMIP $ Exhaust System ❑ Multiple ❑ System Repair/Alteration proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECKPERMIT ❑ I am exempt under Section B. a P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers $PLUMBING $ �^ ___ _ D- IERUANCE $ Date • ner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby ertify that I have ead is a•• ' .tio and state that the above 00-100,000,BTU 0100,000 BTL • ELECTRICAL § GRADING $ Inform on is correct. I agree o omply dh Ity and county ordinances ands .te laws re - .. . .. Idi•g cons cti• , and hereby .raze repre- PLAN CHECK 50% $ MICROFILM $ sent Ives of .,�1� to ente upo - abo .- ention • •,p.- fo' ' - Ins• -ctlon;y$Tit� 1�� - MECHANICAL $ Go • '•n. . • • �—' - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ a� C, F 0865-46,rev. 1• White - Building: Canary - Applicant: Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING • POu_ &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 4:1lectrical Conduit-Undrgrnd. 55. Electrical Bonding • 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, 0 Undrgrnd. 10. Structural Floor System _ - 61. APPROVAL TO DECK • 11..Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 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 & 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 O 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 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat Mi 79. FINAL INSPECTION 32. Electrical Power Meter-Final '"fie` 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 S!/�jF-j--- CED 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 • 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison j 50. Gas Release to Southern California Gas Co I 51. CERTIFICATE OF OCCUPANCY No. Date - - OWNER CAMPBELL, Robert G. DATE 7-10-73 '-'"GENERAL ADDRESS 1939 Pelican Place BUILDING PERMIT NO. 36981 GENERAL CONTRACTOR owner DESCRIPTION of WORK PEtio Cover AP No. 139-481-7;. LOT 33 TRACT 5289 FIRE ZONE VALUE $ 800.00 IN 'CTIONS Signature Date GROUP S TYPE V ZONE 131 5C PERMITS ISSUED GAS SUBCONTRACTOR Date ' Number I Signature WATER Plumbing ROUGH PLUMBING PROP, SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS ❑ STEEL REINF. Li FLOOR SYSTEM BOND BEAM C] STEEL REINFORCE r] SHEATHING FRAME AND FLASHING LATHING — IN I] OUT ❑ PLASTER, BROWN COAT STRUCTURAL, FINAL Electric H G, VENT., REFRIG. AND A.C., FINAL PL .dING, FINAL AND GAS TEST ELECTRIC, FINAL • BUILDING, FINAL 0-1(e0a � nt ,�,. qc sag d .-_ . 4Q el-1g 1 s -, 3698,11 PAW JUL 10-73 ,-.,001158* *****8.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 - APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE�Iy E9�.Y DATE RECEIVED DATE ISSUE BUILDING /939 lee L/CA,/ PL. 4 . y4- fl -7_j0-ji ADDRESS �� /J ^ E.� OWNERRegeAr & (!a4IP/3FLL. A.P. NO./ 9_ 41 7�(,J/ P,% /J �/J ,1� �/J BUILDING /737 ,- [/ f/!!•Tedgzetirti . ADDRESSES 1(y1-3�`7 .1�/-�&L /C M /" I-- ADDRESS C / 0-O CITY CCAS/ 11 1VCs4 NOTEL g o TRACT) q LOTS? BLOCK Z < CONSTRUCTION NEW (ADD ALTER (REPAIR MOVING DFMOI ISH O- N LENDER X iL m J 1 BRANCH < ei OWNER /gated/gated - fl]_ ADDRESS n L l - _l VALUE co- ARCHITECT TEL. USE gat/ $ JQ OR ENGINEER NO. U N FIRE Q W Q ADDRESS /!/n) //q� ZONE [al-- YPE GRODUPey 'JZ CONTRACTOR - Z. ZZ.enteti .-� / ///d,,6/. BYPROVED /�( DATE / / -73 m Z There 1 LLL / J Ir ADDRESS W W TEL. ZONE/J NO.OF USE OF N Z1- CITY NO. K / PLANS �J BUILDING �n0�`S-�1 W- 0 STATE CITY YARDS APPROVED`+ YARDS APPROVED in CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM CIL SJ�EET[) OF LOT i NOW ON LOT FRONT ,r�tr�t/re FT. USE OF /�� EXISTING BLDG. R.SIDE 1. FT. FT, I- SIZE OF NO.OF �J 2 NEW BLDG. ROOMS STORIES L.SIDE J 7/T. FT. Q EXTERIOR WALL ROOF COVERING COVERING REAR tg(O FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a /�/I MAIN BLDGS. - ACCESS. BLDGS. C VAR.# DATE 0ie C.U.P.# APPROVED APPROVESp� v)/ P6- CO BY r D DATE /'10 -7 g 2 0 ci I hereby acknowledge that I have read this application and state STATE O that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of N the State of California. mm Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALU IS FOR Chapter 9, and that such licenses are in full force and effect,orf THE PURPOSE OF ESTABLISHING A PERMIT FEE ON,FV: • am exempt from the provisions of the State of California Business VALUATION /�/ and Professions Once, Division 3, Chapter 9. /{ ry ,/J �j //�} / ©n PERMIT FEE $ ll Signature of cZ o..t yJ / /iz',r�+/��, goo et Permittee /�L,LLC" .�i7r COIL '/,NNN«<"" $ o PLAN CHECK $ E upo Authorized Agent A. 87______ LL TOTAL FEE $ Lo . ;i3 I- EL RECEIVED 21852' YAR 3,1 1964 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 217 COSTA MESA,CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING For Office Use Only ADDRESS 1939 Pelican Place RECEIPT NO. A COSTA MESA, CALIFORNIA i/- 11 I CYJ I^1ES2 RECEIVED BY DATE RECEIVED DATE ISSUED OWNER Pemba Subdividers, Inc. 3 2/-61 np0 e 1964 BUILDING ADDRESS 2850 Mesa Verde Drive ADDRESS 1/ - D �/�I/ TEL. FIRE E TYPE GROUP �+ r 9 CITY Costa.Mesa ND. 54 90 395U ARS "TECT TEL. APPROVED DATE OF ;INEERE.G. Kaltenbach ND. 5478046 ZONING ADDRESS 1833 E, 17th St. , Santa Ana ''AA /f �y .n ZONE I NO.OF I USE OF NEwaingi. fan. /' ,rn ` R-1 PLANS 2 ' BUILDINOW/ att gar. CONTRACTORViter V K attLEGAL Lot 33. Tract 5289 ADDRESS A.P.NO. none CITY pr p TEL. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 18 1 31 O STATE 30'TO SIDE 8 REAR P.L. LIC.NO. 79X1:2:0. � NO. SIZE '4 2 sbx I NO.OF SLOGS.O EAVES pqp 1 70. ALLOWED (U.B.C.REQUIREMENT) OF LOT Now ON LOT YARDS APPROVED YARDS APPROVED USE OF II D 'SI s• 147(TV nI65.33 MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM 501 SOI FRONT SOFT. -r. CENTER OF STREET REAR YARD I I61I 61 SIDE YARD LEFT RIGHT R.61DE // FT. FT. DESCRIPTION OF WORK L.SIDE -(SFT. REAR FT. e VFT. FT. NE ALTERATION ADDITION DISTANCE BET. BET.MAIN a MAIN BLDOS. ACCESS.BLDGS. REPAIR 1 MOVING DEMOLISH _ BUILDING 2 419 NO.OF 7 2 VAR.* DATE SIZE ) p� ROOMS 'C 21742/3 G C.U.P.S� APPROVED EXTERIOR W L�nb ROOF SAPPR 7 /\i COVERING OLU I�uCeO I COVERING lnb e BY � '� DATE j--- 0 -- L USE OF BUILDING A D WORKS()BPERFORMED Single family witattacnecl garage. 'Itik— House 1, 956 sq.ft. Garage 463 sq.ft. Plan 52-C / /7440.n. j é3 .22' ' g I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION i07/a_., VALUATION / Ip'J SIGNATURE TUEE OF /j//�fLN / i07/ _., ��� /y/ PERMIT FEE $ C2 m „// / $ J 2.0.: PLAN CHECK 5 3�' 0 AUTHORIZED AG T7�', I'' f \ TOTAL FEE $ 90