HomeMy WebLinkAbout1165 PRINCESS CT - Building Permits I F 9 - CITY OF COSTA MESA
4 BUILDING DIVISION
> •4 i' ..�•
DEVELOPMENT SERVICES DEPARTMENT 1B03-00598 RMIT NUMBER
�.. ,7"ttLi• PERMIT
4.
perm
ee
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1165 PRINCESS CT Status: ISSUED
Suite: Applied: 04/09/2003
Vicinity: Issued: 04/09/2003
Parcel Number: 41207330 Zoning: R1 R1
Applicant: SELL, RON ISSUED BY: /1 I77
Address: 18032 LEMON
Phone: (714)528-1758
YORBA LINDA,CA Zip: 92686
Owner: UTTERBACK, JAMES AND ELIZABETH
Address 1165 PRINCESS CT
Phone:
COSTA MESA,CA Zip: 92626
Contractor: SELL ROOFING COMPANY
Address: 18032 LEMON
Phone: (714)528-1758
YORBA LINDA,CA
Zip: 92686 License:, 323842
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REMOVE SHAKE ROOF,APPLY SHEATHING AND COVER WITH EAGLELITE TILE. ICBG 4660
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $8,900.00
Permit: $167.25 Claim Valuation: $8,900.00
SMIP Res: $0.89
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.14
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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
244648(6/00)
DECLARATIONS
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 to hich this permit is issued.
I e and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued.
y workers'comNinsat n}nsu co card r and policy n Der are: /' _
Carrier: tv(iE� Policy Number: ( O G S
(This section need not be completed if the mit is valued.ot e hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this mit is issued,I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,and a hat if I she become subject to the workers'compensation provisions of Section of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date: lSection
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES La3
D CIVIL FINES UP TO ONE HUNDRED
THOuRAND DOLLARE(5100,000),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 unde provision)o ter 9(commencing with Section 7000)of Division 3 of the Business and Profess'. •.e,and my license is in full
force and effect.Lie.# Z D 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: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty 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(commencing 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).):
O 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.
7044,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.).
O 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 under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
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 than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California 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:
1 Wit 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 ❑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).
__a.__.. ._.._._._.. _ ...._ _.__ .. .._.
3 Does or will the applicant or present or future building Occupant need to prepare an RMPP(Risk Management and Prevention Program loon acutely hazardous materials)?
❑yes ❑ o
(Section 25534 of the California 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 California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or willo the applicantsor Quality
n b tlint occupant other
for toe work which di the subject 'tris a eslion e0Brit for such con5iruplon or modillcallan
tram the South Const Air Oueliry Management District or from any other air pollution control district or agency'? �Yes L-I No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 prescnbed by California Health and Safety Code Section 42303 been made? 0 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 end Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE 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 agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signatur/:f+ gal Own s) /Date.,
41
ArldP'T" uthorized Applicant Date
CODE f, INSPECTION TYPE DAIS INTIMAL@ SODFf INSPECTIONTYPF • MEE INTALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 17.- 208 Final Plumbing
200 Final Re-Roof s�3 �"�� 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
•
STpMFs, CITY OF COSTA MESA
4c 9 '
rp, CALIFORNIA 92628-1200 PO. BOX 1200
} iA !`'.of
(:I Lti
ice /a;' DEVELOPMENT SERVICES DEPARTMENT
February 26, 1993
RE: 1165 PRINCESS COURT, COSTA MESA
To Whom It May Concern:
This is to certify that the subject property is located in Zone AH
(Elevation 32) on the FIRM FLOOD INSURANCE RATE MAP, panel 37 of
81, map number 06059C0037E.
Sincerely,
•
KLAUS STRASCHIL
Plan Check Engineer
(I I65PRIN.CT)C14
77 FAIR DRIVE
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)556-7508
PROJECT ADDRESS: 1165 PRINCESS CT UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BE 049901
OWNER'S NAME: JAMES AFDAHL
ADDRESS: SAME PERMIT NO: BE 049901 PLAN CHECK NO; 06694-90 S GOVT; N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE; ELE SIR PURPOSE: OTH
662-2778
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : LEGALIZE 196SF GAZEBO, AND PORTABLE SPA SQ FT: 8, 000
ADDRESS: UNIT:
7 CLAIM VALUE; 8, 000 . 00 CALC—VALUE; 8, 000 . 00 GROUP OCC: R-3 /
PERMITTEE: JAMES AFDAHL ( 714 )662-2778
ADDRESS: 1165 PRINCESS CT COMMENTS; X
i, C.M. CA 92626 ********4* PAF* ¢******** ********* +F***********Ir****>t**N******+F**********>E*** ***
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING 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 torce and eltect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Date Signature: FRNT: FT MAIN
INBUILDING REAR: FT IN FRNT; 6 FTCESSINYREARLDING FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: 30 FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C).
POLICY EXP.DATE: PARKING REQ- PROV: PARCEL; 41207330 ZNE; PDR— REF NO:
COMPANY: PLANNING NotES> LEGALIZE A 12 ' HIGH GAZEBO. FT. STBK, IS SEP• F/ HOME• SAME
❑ Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. > COVERAGE AS THAT PERM. BY CODE FOR AN ATT. COVERED PATIO.
******************************************** *************k********************
Date: Applicant: DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(810(1)or less). nn
Icenilythat inthe pedormanceofthe work for which this permit isissued,/shall not employ any person in ner so as to become ZONING APPROVED BY w1;-gic-- DATE; \\, 13
subject 10/he Workers'Compensation Laws(of California. 1(
ill—l— /3— c. \Signature: BUILDING APPROVED BY
NOTICE:If.after making this declaration,you should b e subject to the Worke Compensation provisions of the Labor T , ` ' / DATE: / /q
Code,you must forthwith comply with such provisions this permit shall be deemed revoked. APPLICATION ISSUED B Y; 1 }� / Lj-[\- DATE• 1 k'I S I 1 D
CONSTRUCTIONtisani LENDING AGENCY: Ihereby 7.Civ.C).rm that there is a construction lending agency for the performance of the work for ********************** ************ *fff[[Fe aaaEEP***(V* ¢'*******************�*4***iF***7F*****
which this permit is issued(Section 3097.Civ.C).
LENDER: **************************************************if****IE***********************
ADDRESS: LEGALIZATION:Y F E E SUMMARY STRUCTURAL SEGMENT: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 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 198 . 00 2 2 00 . 56
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed S 0% SMI P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 128 . 70
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15. 00
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($W).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cl 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS—•---> 220. 56 15. 00 64 . 35 299 . 91 299 . 91 . 00
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees, provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 299. 91 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 198 . 00 37. 00 . 56 64 . 35
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *.**.*,*..K,**.*.,*.***,**-.*.,***.****.*******.*****.**,*******.*,**********************************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Woeker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C. /
for this reason: ` TYPE QTY DESCRIPTION UNIT COST TOTAL COST
/ ' SFR 8000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 000 . 00
Date: �1 / 9-C) C Owner: Art._-.41
I do hereby certify that l am aware of and understand the requirements of .lib mu Health and Safety ode Sections 25505,25533,and ELE 1 MISC APPARATUS' NOT LISTED REQ PERMIT 11 .00 11 . 00
25534 and that I or any future building occupant will/wilt not(circle one)n: d o comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management • trict.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 hereauthorie representatives of chi icy to enc rupo et tie-mentioned
property for inspection purposes. I/ •
Gate, 7/ I>—(6
01 00;04042-0n0074^4? _: .�T' _?9.9 ,
`\1641-46 Wnne—Building,Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DME: 11e 15/7" T_ili• it%1J
1
,f
CONSTRUCTION AND PLANNING POS_& SPA
Date Inspector Date Inspector
T APPROVALS'. Permit# APPROVALS Permit #
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
.-,,5. SteeltReinforcement 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 •c 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final ' .i
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 1f.l L fr) 14
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT t(
- ^ - - _ - - ":71,--.::'":71,--.::' a a ^
i • :;
20: Rough Factory Fireplace ' ' ". : - _ - = A ' APPROVALS,- : Permit # > `''
21. ucts, in Structure - 70. Underground Hydro •
22. Ducts, Ventilating ' _ 171. Product Piping 01Gas 0 Oil
23.,Gas Pipe-Rough& Test • �♦ , - 72. Underground Flush 2. .
•
24.. Roof Framing ; ' ` - ° '• - 73` Undergrr*1.Storaae Tank,0 Gas 0 Oil
25. Roof Sheathing - • - ' � 74'Overhead-Hydro ' .
♦
26: T-Bar Ceiling (Structural) &.Monocoat -. I s. : i-I • 0 754 %Dry Chemical I i '-•
27:,;Frame and Flashing ' 76. Dry Standliibe r . - -
_
-28. Lathing-& Siding It 1 • '.r 0 •• ••i4 -+ 77, FIXEDSY.STEMFINAL _ ,
29. Insulation ' , - 'rv. ( I• 78. FIRE PREV. FINAL - .
30. Drywall Nailing ', s If :HEALTH-DEPT. REQUIREMENT
31. Plaster Brown Coat, ` _ I I, , 79: FINAL INSPECTION . - . -
•
32.. Electrical Power Meter-Final I 80: FOOD CERTIFICATE ISSUED
33.,Final Electric .; : G�/fff/p ' (, • Noies • r ,n
34r Final Heating& Air Conditioning . f" ' I. t - .
r .
35 Ficial Gas Pipe-Test ' - * _ ; - '
, 36. Hood or Canopy • • • - _ .- •_ I I I : • ._ • , -
37..:Final Factory Fireplace_ - . 1
38. Final Plumbing - . I t > : T
39..Water Service:Final - f I I
• _ - • J.
;.40.-Gas Service-Final , f- _ - I II. . - .
• 41. Solar Domestic-Final•• j i ' -
,-
42.' Backflow Preventei -, _ !: -, .
43. Backflow Irrigation - I -` - - ' -
44. Landscape Irrigation System 1 . - -
45._Sound Attenuation ` - _ '
..46. Handicap Regulations - /[ �p,�{�{•r/!, .' - - .
47.-FINALSTRUCTURE & BUILDING •`yJjiFJDi I�"R'! - . -
s r:
48.-FINAL PLANNING I I - • : - -
49. Electric Release to Edison i - ' I , C-. - •
o•
50. Gas Release to Southern California Gas Co ' -I I I ' . . .
_
51. CERTIFICATE OF OCCUPANCY , ; ,., p.c.: - , - v..
No. Date
r ,aa ,
rip, 1: 1 klit.. ti. 11111111iiiii pailiattita,„ r
,...,
,, ,
as falit
8 Bk..... w`� avt;s �f l !j
..
Ids i- - _--�� Ul: rf1�1}��+7 1
E DD f NG t,H Po'Gc$i���USi'B 1)jTF ` . .
IZ '^i lca ?I 137 Al;', !1}B AT 11rL+i --�
�t�ZD tarvaa.J� � AS
rgJV AK
/L' f +,t�.„ .air �" ALC: E
:� ? l : >7 417,-03 DEPT
l ?4 , -I�.-: i- ,.p.,.
(,11
(y�. - k �� L' tlr} _ice F�'' A 1( .
7 r t lL. z *i l > .. � °. t:
I l b i_ 4 L q SE
®67 +
a � ,FX/sr
Iwo;,^ ,71N/` ("f
_k-,)
9, f toG' w c.‘...
; . R .Fy'
,..;,.:,: , ::.t.:,,:,. .,.. ,i.:,„,,,f ,,,,,;;:: .;,, ,,, , :
DELETIONS,,,, O;Z CO RECitONS SNA
AEU 6Y LL
J THE PLAi`diJi;dg DEPARTMENT
APPO----L-
Ire�Esma
, la
tL / ��/ J� • NNIfYG p�EPI"." �,1, D
n Lixiaec, )1/2 eft
' q6 3 �1� 67 se
I
f
COSTA MESA BUILDING-SAFETY DEPARTMENT 1 3805 2/2J/79357.yC62_ J.L.
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 t: 3805 2/21/79 357'e 62L K TD
APPLICATION FOJ8 RUQ01- RA1713 IT ' 'III
For Applicant to Fill in Completely - Use Ink Only
RE '1 DATE RECVE DATE ISSUED
BUILDING
ADDRESS Tract 10277, Lot 28 /�/
��ss PERMIT NO.
OWNER McLain Development Co. A.P. NO. y/.s -071 -0`{
MAIL 1470 Jamboree Road ADDRESS //4,S /BUILDING �/tvyk'Qg0 eglaja
ADDRESS
TEL. TRACT 10277 LOT 28 BLOCK
CITY Newport Beach NO. 640-6800
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH
LENDER
BRANCH OWN Y �OADDRESS ?MI
- V LUE /J /1/}�ARCHITECT TEL. US r �7 3 /, �Q(YV
OR ENGINEER Corbin/Yamafui i NO. 752-5567
FIRE ,c-j--
ADDRESS 3661 Spruce St. , Newport Beach ZONE TYPE GROU
APPROVED
CONTRACTOR McLain Development Co. BY DATE -
ADDRESS 1470 Jamboree Road
TEL. ZONE NO.OF USE OF NEW
CITY Newport Beach NO. 640-6800 POR-MO PLANS BUILDING RE S
F- STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. 273875 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
W SIZE NO.OF BLDGS.
M 'fit OF LOT 45 X 100 NOW ON LOT FRONT p� FT. 0 FT.
G USE OF
Ca EXISTING BLDG. R.$InF cr FT. 0 FT.
m
MI(-•
Separate permits are required for L.SIDE s FT. 0 . FT.
welectric,plumbing and heating work. REAR /3 FT. 4 FT.
E. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
et MAIN SLOGS. ACCESS. BLOCS.
0 \
MI /
Single family residence, VAR.#
C.U.P.# ZE-78-31 APPDATE
ROVED225.,7 7,r
> New House APPROVED/^1'�` �/ DATE .!_f/} y
_AY 1-�1[t•� /1 79
x MOLD FOR SPECIAL REQUIREMENTS
tr,
0 I hereby acknowledge that I have read this application and nate N
t4 that the above information Is correct and agree to comply with m
LL all laws regulating building construction, and I shall not employ
House 2352
Z any person in violation of the workman's compensation laws of o
V") the State of California.
WIa
I hereby certify that I am properly licensed as a contractor under SQ. FT. Garage 678 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 PERMITnFEE ONLY
: to-
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ Ong, 0 0 a
and Professions Code,Division 3, Chapterm
PLAN CHECK Ea�
Signature of C //1 s '1t' �/y so 0
Permittee a m1/4-CV N' ` $•
/3 o?. TAX E
Authorized Ag t TOTAL PAID $ 357:(2