HomeMy WebLinkAbout329 ALVA LN - Building Permits'� ��--� � • CITY OF COSTA MESA ' �
o ""'FS9 BI/ILDING DIVISION '
F�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
° ` FOR INSPECTIONS CALL: (714) 754-5626
��"°�'"�� PERMIT NUMBER: 610-00227
PERMIT TYPE 8_ROOF2
APN: 42629406
JOB ADDRESS: 329 ALVA LN CM
Vicinity: HOUSE AND GARAGE
Squares: 2500
STATUS:
DATEISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
08/0312010
RMD
$6,500.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL EITHER A MINIMUM OF 2 LAYERS OF 15# FELT ON A 2:12
TO LESS THAN 4:12 PITCHEp ROOF OR A MINIMUM OF 1 LAYER 75 # FELT ON A 4:12 OR GREATER PITCHED
ROOF; REROOF WITH 30 YEqR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE. REPAIR AND AND
REPLACE SHEATHING AS N�EDED. COMPIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: VALENZUELA, JOSE L
PHONE: 949-722-9249
APPLICANT: GARCIA, JAVIER
PHONE: 714-519-4869
CONTRACTOR: STAY DRY ROOFING
Address: 1501 W HILLAVUnit:
City/State/Zip: FULLERTON, CA 92833
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $139.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
Address: 329 ALVA LN
City/State/Zip: COSTA MESA, CA
Address: 1501 W HILL AV
City/State/Zip: FULLERTON, CA
License No.
License No.
PHONE:
license No. 911019
714-519�869
CELL: 714-757-2017
PHONE:
PHONE:
Unit:
Unit: :
4L FEES $140.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3N8/2010 - PER CMMC Sec. 13-279
Monday lhru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal
New Years DaV, Memorial Day, Independence Day, Labor Dav, Thanksqivinq Dav and Christmas Dav
NOTICE: The work authorizetl by this permit shall wmply with all applicable handicap access requirements under California stalutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order (or the work authorized under this permil 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 o� this permit.
CODEp. INSPECiIONTYPE DATE INIITRLS CODEN INSPECTIONTYPE OATE IN1111AL5
1616 Fiaed System Final Fire Pr@�¢ntion 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof �� � �� 210 Final Elecirical
201 Final BIocWRetaining Wall 212 Final Fire Preven�ion
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demoli�ion 250 Final Building/Occupancy
WORKERS' GOMPENSATION DECLARATION:
I her�by aKrm under penalty ot perjury one of the following declaralions:
❑ I have and will maintain a certiflcate of consent to sel6lnsure for workers'
compensa[ion, as provided for by section 3700 of the Labor Code, for Ihe
peAormance of the work for which this permit is issued.
❑ I have and will maintain vrorkers' compensation insurance, as required by
section 3700 0( the Labor Code, (or ihe performance of the vrork for which Ihis
pertnil is issued. My wockers' compensatio Insurance carrier and policy
number are: �
Carrler:'� � t��-- ��� �
(IDissedonneetlpo( emmtry��jIeOAlhepemittisvaluedaronehundre00ollars(Sf00)orlessJ
P�y Number: C� � /.6 � �� �
❑ I certify [hat in the performance of the work for which this permit is
issued, I shall no( employ any person in any manner so as to become subject
to ihe workers' compensation laws of Califomia, and agree that if I should
become subject to the vrorkers' compensation provisions of Section 3700 of
the Labor C de, I hall forthwith comply with these provisi s.
ZIXco'
Apph��iB�aWrer " Daler •^+•
NING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby affirm [hat I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pmfessions Code, and
my license is in full fo/ryIe nd effecL (/� �
!ic'#�� �` � �Class"�"'`�
o (�.
� -- aclaisSignature �Dafe= �
�•'
CO RUCTION LENDING AGENCY:
❑ I hereby aKrm that there is a construction lending agency for the
peAortnance of the �+ork fa which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre
OWNER-BUILDER DECLARATIONS:
I hereby a�rm that under penalty of psrjury that I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW for [he following reason (Sec. 7031.5,
Business and Professions Code: Any city or couny which requires a permif to
constmct, alter, improve, demolish, or repair any structure, Dnor to its
issuance, also requires the applicant for such permit to file a signed statement
ihat he or she is licensed pursuant to the provisions o( the Con[ractors
License Law (Chapter 9(commencing With Seclion 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom an0
ihe basis for [he alleged exemplion. Any violation of Section 7037.5 by any
applicant for a permit subjects Ihe applicant to a civil penalty of not more than
fve hundred dollars ($500).):
❑ I, as owner of lhe property, or my employees with wages as [heir sole
compensation, WILL DO 7HE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Protessions Code: The Contractors
License Law does not apply to an ovmer of properry who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of lhe properly, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construCt the prqect (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builtls or impmves thereon, antl who cont2cts !or such project with
a contractoqs) license pursuant to the Contrectors License Laws.).
❑ I am exempt under sec.
Business and Pmfessions Code for this reason:
305]-46(3/O])
Owner ID verifed by dn.. _ iicense. ❑ Yes OMo I.,��,� 4
Driver's License No. Expires:
Verifcation o! Ovmership by pype of document, i.e. - propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certrfy [hat no excavation (rve (5) or more (eet in depth into wfiich a
person is required to descend, will be made in connection with work authonzed
by this pertnit, and that no building strucNre, scaffWding, falsevrork, a demolition
or dismantling Ihereof, will be more Ihan Ihirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341. Ttle 8, Calitomia Administrative Code).
❑ As owner-builder, I will nof employ anyone lo do work which would
require a permit from Ihe Division of IndusMal Sa(ery, as noted above, unless
such person has a permit to do such vrork (rom the division.
Applicanfs SignaWre pale
Division of Industnal Safe�y Permi� Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need to tile and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Cali(ornia Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with ihe Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantiry of hazardous materials equal to or greater than a weight o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need b fle
a registration form for awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 of tbe Califomia Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Depahment by
each business which at any one time has on hand a quantiry 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 compressetl gas at standard
temperature and pressure�.
3. Does or vnll the applicant or present or luture building occupant need to
prepare an RMPP (Risk Management and Prevention Pmgram for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Calitomia Health and Safety Code provides that the
Costa Mesa Fire Depariment may require Ihe preparetion, certification and
filing with the Fire Department of an RMPP by businesses which are required
lo register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Sec[ion 25534 of the California
Health and Satety Code 6een fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or presenl or fuWre building ocwpant require for
the work which is lhe subject of Ihis application a permit for such construc�ion
or modifcation fmm the South Coast Air Quality Management Districl or (rom
any other air polWtion control disMct or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Cade requires tha[ the requested
information be fumished on applications fa noo-residen[ial building pertnits).
6. Will any part of the faciliry ro be construc[etl under this permit be within
1000 (eet from the outer boundaries of a school? ❑ Yes ❑ No
(If yes", the facility must meet the requirement ot Sections 25534 and 42303
of the Califomia Health and Safery Code�.
7. If a permit from the Soulh Coas[ Air �uality Management Dis[rict or other
air pollution control district or agency is required for the vrork which is the
subjec� o( this applica[ion, have all o( Ihe disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of compliance from Ihe appropriate air pollution
control oRicer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct I agree to comply with all slate laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct I agree to comply vrith all state lavrs and city
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described property for
inspec�ion purposes. I agree not to occupy or allow occupancy oi any building
authorized by ihis permit until fnal inspection.
, ign fure o! Legal Ovmeqs) Date
3 z o,
Mtl/rnAu�hoMietl"Applkant �-- le,
rPrescFi tive�;erhficate uf
. Resitlenliu/ Alterntions
. 1'.rgjgcFA`�me:��� �
Szx
General Infm-mation
Si[e Address:
.: Residenti�l
Building Type L�$ingle Family ❑ Multi Family I Circle [he From
Conditioned Floor Area (CTA):
Prolect Type: I
CF-IR-AL
(Pa e 1 of `.
;Iimate�2onek ko}'�S(ories�
`� �
/ Date: IT
JU
5; VJ, or degrees
nvelope O Fenestration Roof � H\'AC
NOTE: Tliis jornr i,v no1 u� he used /nr Newlr Constructer( I3uildings nr AAdetions
lrts�dntinn Vtdues For Opntpic Surjnces (/m� Furri�vg use die Mass and Furring Srrips Consnz�clion m�(e befoNJ
Assemb y Alteratiun
O Opening of L�amed cavih' alone- A6eraiions Ihn� invoh�e �be opening of the fi�arned caviry� ofa woll, ceiling, orJ7oa� musr insm/! the
mandoia�v minimmn insulntimi vnlue per §J50 %r the aliered asa�embh�. Fil! in Columns A-C and emer mandmon� insu(ation value in Cohmm H.
❑ Replucement uf entire assemhly-Replacemen� oJ�an e�vire wall, ceiling. orJloor ussemhl�� requires �he insiallation ojComponent
Packaee- D insulnlion values in Table 151-G Fil/ in Columns A- J .
ue Surface Details For the turred
Framing
Tag/ I Assembiy Name I Ma
ID orTvoe and
Note: Forlurredassemblie�.
ed of Mass Walls see Nurring St
D E F
Standard
v�ess,
cinp„ U- JA4 Table
ree Pa2e JA4-3 and
!
Caviry
below.
I
JA4 Proposed
Assembly Assembly
�ell Valueb U-facror°
use the Mass and
1. ra� ing//D indica�e tlie identification name thai mn�ches �he building plans.
2. /ndicate the Assemblr Nume or rype: Roo/7Ceifing, Walls, Floors, Slabs, Crawl Space, Doors and etc...lndicate the Frame rype and Size: For
4Vood, Metal, Met41 Buildings, blass, enier 2z4, 2x6, ar e�c... see JA4 for other possible.frame rype asserr6lies.
3. Enter die dvickness:fa� mass in inches m� Spaci+g Gehveen f'aming members emer: 16"or 24 "OC; or O�herfor a1! o�her assembl�� descrip7im�
a�uch as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and e1c....
4. Based on tke Cfin�ate Zotte; enter Ihe Standard U fac�or fi'om Tab1e I51-B, C or D fm' euch diJfereit/ assembl�� Nome or type.
5. 6nter rhe Table rvumber U�a� close7�� resembles O�e proposed asser�rblp.
G. Lmer Oie R-nalue dmt is being inslq(led in the wall cani�� or between !he fi'aming,- othenvise, enler "D ".
7. Enter the Con�inirous lnsidatiw� R-nalue.jor the proyosed assembl��; a�herwise, erner "0 ".
6. L' nlm� Oie r-o�� aivd columw o(ll�e U-faclm' valua 6ased on Colu��w F Tuble Number and en[er ihe Assen�6I7� U fac�m� in Coln�m» J
). The Prnposed AssemGl i� t/-jucior. Colunv� J, musi Ge equal �o w� less lhan lhe S[andard U fuclar in CoGimn E�n ca�op7>>.
Fuiring Strips Construction Table for Mass Walls O�h�
n R C U E F G H 1 .7 K L M
Propused Properties of Masonr�• and Concretc Qdded Interior ur Exterior InsulaGun
W:dls Trom Reference in Furring Space irom Referenee
.tuint A i endia 1�able 43.5.4.3.G. A.3.7 doinl A endiz'I'able 4.3.13
_ - >. _
U o �.] 1 � �S V
�, o `-' c �'.
Assernbly G- j �`e � v v � u,'�_ �..V `"v Final
Mass Namc or Jq4 Toble �_ � a`,, � � ^ o �t m o_ � � Assembly
¢ o
TLickness' 7' e' Number �•�` � =� �ii 5 c` � � i' r 4'R u�i r U-factor�'� CommeN
I
I I
/:egi,tar'aiinn Number: Regi.s�ratian Uate?ime: HEXS Provider:
20pd' Residentiul Complinnce Forms �l ugusl 2009
Certificate of
I200FING PRODUCTS (COOL ROOFS) §I57(�71
Wlie�t !he areu oJexterior roafstmfare to be replaced ecceeds �uore than 50% of Uie eris(ing roojaren, or niore thmi 1
less, Nre reerv roofrng aren urrcsl nree! Ihe roofr�rg prodacl "Cool Roof'requi�enrenu oj§I52(6)IHi, 152(bJ1Hii, or 152
-1P.-ALT
8e 3 of 5)
!s
Check applicaGle alternntive or ecceplion be(ow iJ (he roof alieration is exemp�Jrom the ronfing produci "Cool Roof'requirementa�. Nn�e: Ijany
one of �he uLernatives or exception GeloH� is checked, the dged Solar ReJlec(ance and Therma! Eminance reguiremen�s jor roofing produc�s in
;¢LIB(i) m�e not applicable. Do not filf iab(e below.
C7 Cool Roo(s Not Required in Climate Zones t-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
S�Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Aoofs (pitch greate� [han 2:12) and product unit weighi less
il� natives [o §152(bpHi and §152(b)Hii, Steep-siope roof (pitcli > 2:12)
❑ Insulation with a thertnal resistance of at Ieasl0.85 hr�fl •°F/B[u or at least a 3/4 inch airvspace is added to the roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(�10; or
O In climate zones 10, 12 and 13, with 1 ft''.of free ventilation area o(ariic ventila[ion for every 150 ft of attic floor area, and
where at least 30 percent of the free ven[ilation azea is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R30 ceiling insulation; or
O Buflding has cadian[ ba[rier in the attic meeting [he requirements of §151(�2; or
❑ Building has no ducts in the attic; or
❑ In climate zones 1Q I l, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low-slope roof (pi[cli <2:12) �
❑ Building has no ducts in the attic.
❑ Roofing area covered by building integrated; photovoltaic panels and solar [hecmal panels are exempt fmm [he below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof inembrane with at least 25 Ib/ft is exempt from ihe below Cool Roof criteria.
no CRRC-1 label
CRRC Product
ivailable, this compliance me[hod cannot be used, use [he Performance Approach to
beloe� if Exemot from the RooSne Products "Cool Roof' Reauirement:
Roof Slope Product Weigh
< 2:12 > 2:12 < 516/ft� > 516
❑ ❑ ❑ I �.1
7������L�l
7r��C
Aged Solar _ � Thermal
❑4
❑"
❑^
�000-�
��00_�
SRIS
!. The CRRC Product 1� NwnGer can 6e obmined firom tl�e Cuo! RoofRaling Counci!'s Ifated Producl Direc+my al ww�v.coolrno(s.orn/nruducls/sem�ch nhn
2. Lidicate !he ry pe af producr is being use� (or !he roof top, i.e. single-pl�� roof, asphall rooJ, rnela! rooJ eic.
i. /(!he Aged RePecmnce i.s nm ovailable in.lhe Cool RoofRating ComrciY.s Ra�ed Produc! Direc(op� Ihen use Ihe Iniliol ReJlectance value fi�oni Ilre snme
dii'ecmr�� mid use rl�e equalion (0.2+0.7(P��������— 0.2) �o obiain n calcula�ed oged vahrc. Where p is Ihe /nilial Solar ReJlec�ance.
4. Check Gox iJ'Ihe Aged Re/leclpnce is n culwdated nalue using Ihe equalion a6ove.
5. Calcu(otelHe SR/ valuel�r using Ihe SR/- Worksheei nl Ia/tu�//�vw�v enereo ca rnv/!i(1e14/andemer Ihe resu6ing value irr ihe SR/ Colurror ubo�e and ottach aco�i�
ILe SR7- Wm�ksheer m Ihe CF-IR.
To apply Liyuid �ield Appiied Cuatings, [he coating must be applied across the entire roof surface and meet the dry mil Ihickness or coverage
recommended by the coatings manufacturer and meet miniinum per(ormance requirements listed in § I] 8(i)4. Select [he applicable coatfng:
Aluminum-PigmentedAsphalt RoofCoating
Cement-Based Roof Coating �❑ Other
Regisb'ulian NumGerc Registraiion Date/Time: HE2SProvider:
2008 Residen�ial Comp[iance Forms
August 2009
/
�
't
c�te of
1'rujecl-Nnn� � ^
vr
uce: Residential
Climate "LoncY,
�'_"� -'�_
� p�'
H�PS V�RIFI CAT101� SUMMARY The en(orccmem ugencr shmdd ynr sueeiol niiemion to !he HL/tS l�leasw�es speciJied m lhia
cheddi.ri Leloh�. /J comp/eled cmd sioned CF-4R Fm'nr, far nll (hc meaa�in�e.r syeciJied shn/I Le submitied �0 liie 6uilding iiuyeclor Lefore.lintJ
vuCl Sen�lne S 7�CStlile HE/iS neriJicn�ion is re<nrired Jor rhis mcnsurc.
❑ i'�S ❑ NO 1'GS: In Ctimate Zoi�es 2 and 9J G, if more than 4U linear feet of new or replucement duCts are instnlled in uncnnditimied
spzce, tUe ducts are to be se.ded per §152(b)IDii and the newly ins�alled ducts are m be insuleited pei 3151(11] �.
D EXC�PTJOn: Lxisting duct systems tLa1 are ex[ended; which sire cunstnicted, insWated or sealed with asbestus.
❑ Y�S ❑ NO YES: ]n Climate "Lones 2 and 9-16, if the existin� space-conditiouing system (HVAC equipmem and ducting) is replaced, the
� ducu are to be sealed per §152(b)1Di. �
❑ 1�GS ❑ NO ]'�S: ln Climate Zones 2 and 9-I6, If [he esistin� HVAC equipmem is repluced (including the replacement of [he nir handler;
' omdoor condensing unf� of a split system, cooling m� heating coil, or the furnace heai exchanger) the ducts are to 6e
sealed per § 152{b)1 E.
❑ EXC�PTION: Duct systems tLnt are ducumented tu have Ueen previuusly seTled conSvmed tl�ruugh H�RS
. � verificatiou in t�ccurdance witli procedures in the Reference Residential Appendia FA3.
- O�XC�PTIOf�': Duct sys[ems with less than 4U linear feet in uneonditioned spnce. .
❑ iSC�P7'10�: �xistin� duct svstems constructed, insulated or sealed with as6esros.
Refrioerant Charge - Split S,ystem HERS verijication is reguirecV for this meamu•c.
❑ YES ❑ NO YES: ln Climate Zones 2 and S-I5, wl�en the existing HVAC equipment is replaced (including the replacement of the air
haudler, outdoor condensino uni� of a split system A/C or heat pump, cooling m� heating coil; or the furnace heat
shall be verified ner �I52(b)IF.
Central Fan Inte;rated (CFI) Ventilation System and Fan �'att Draw
The vencilatinn re�uirements of F150(o) do not avolv tn esistine residential h�mes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verilicario„ is reguired_Jor this ,neosure.
❑ X�S ❑ NO 1'E5: In Climate Zones 10 through 15, wlien the existing space-conditioning system (HVAC equipment and ducting) is
reolaced. the airflow and ian watt draw shall be verified ner § 152(b)1 Ci to meet the renuirements of & 151(f17B.
that this
:C
Designer'sDeclaratiur Sfatement
Date:
�Zp(d.
CEH or O CE
I am eligible under Division � of tlie Culifornia Business and Protessions Codc to accepi responsi6iliiy lor the building design iden[ified on
this CertiLcate of Compliance,
7 cenify [hal thc energy Ceatures aiid performance specification;: ior the buildin�� dcsign ideniified on this CerliLctue of Cmnpliance conform
tu the requu�cmenls oJ'?itle 24, Pa�is 1 and 6 09� tbe Culifornia Code of Regulatim�s.
The building design fenmres itleniiGed on thie Certificate of Compliance are consis�eni with lhc inibrmation provided tu ducumeni this
buildin� design on th; other aryplicn6le compliunce lonns, worLshcets, culculaGons, plans and speci�Gcaiions submittecl w the enlorcetnent
aeener 1or a�proval with this buildinE permit applicaGon.
ie Si@natw�e:
Nddr�ss.
Cit}�'State/Zip:
Phone:
Tm� u.r.ci.strutce m� qreeetirnrs regrrrdi��g She L�ee�o r Strn:dru�ds�, cmaltecl t/ee Lvzei6,r Hotliite ttt: 1-b'!)ll-i i2-i3lJ11.
I(e�ve'rr«ti�ui hbroiber /teba,riruiirm Luic/7'inoc:
20081tas'idei�tiul Comp(iance Forms .
HLI;S' Po�o��ider-
Attgua'I 2009
�
' ; - � 6�ii0
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
�" ,�� ua�.�v�;: � .:,�
f� lf . �- 3 -S �G
FI�!^I�CE DEPT. �"
r.m� n;" f,(1STA P.7ESA
FOR APPLtCANT TO FILL IN APPLICATION FOR PERMIT
ADDRE'S5 29 Alva Lane BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. P��O
OWNER C—RAY, INC.
MAIL RECENE� BY �-T� ECEIVE� �pqtE� SVE195
ADDRE55 419 E. 17th Street p
COSt8 MBSB TEL. LZ�H�ZISJ BUILDING
CITY p' NO. ADDRE55
ARCHITECT C$j'1(1f�180rook NIO. COSTA MESA, CALIFORNIA
OR ENGINEER M
AODRE55 Garden Grove FIRE
ZONE
e � egrove, nC�.ITY L�C. IONE /� PL�NS TVPE GROUP
CONTRACTOR NO. 7 �\ �/ �
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ADDftE55 419 �• 17th Street No;Li-8-1159 BPPROVED ���� V �ATE / 2 1 S
iE�A� �or .v� 1634 CORRECTION
oescaivnov NO. �/ BLOCK TRACT
A.P. NO.
S2e -�%rJ X g� � rvo. ov a�o�s. non
OF LOT ��oW orv LOT
USE OF
E%ISTING BLOG.
SETBPCH LINE FROM
CENTER OF STFEET � REAR YHRD ���
SIDE YARD RIGHT I�� �� LEFT � ��
DESCRIPTION OF WORK
NEW X qLTERATION ADDiTION
REPAIR MOVING DEMOLISH
5 ZIE DING 1S1 S• FtROOMS, 7 STORIES �.
EXTEftIOR Wp L ROOF
COVERING J�UCCO COVERINGCO[R .
USEOFNEW Sin le Family Rasidence
BUILDING it� attached double ara e
Plan 740A
I HEflEBV TCNNOWIEOGE TN4T I XAVE REAO THIS APPLICATION RNO
STI�TE THTT THE TBOVE IS CORRECT FNO PGREE TO COMPLY WITH TLL �
CITY ORDIN/�NCE$ RND ST4 L4�N5 REGVLATING BUILOING CONSTRUC-
T�o�. VALUATION �
SIGNATURE OF PERMIT FEE S 3z•OO
PERMITTEE - L
' , $ 13�07,Z.0� PLAN CHECK $ lV•�0
AIITHORIZED AGENT D7.1C2 & Colegrove, IriC• TOTAL FEE 8 .4.g•0� v°�"
�OWNER C P,AY, INC, DATE • J1�Qj��S$
JOB ADDRESS 329 Alna Lane BUILDING PERMIT NO. 66(�O �
GENERAL CONTRACTOR n; tro� R. n..l oe,.�,,.o VALIIE S 1�.07Z.00
AP. No. LOT 27 TRACT lh'�Ii FII2E ZONE
I Sc J TYPE V� ZONE Rly PLAN NO.
ECTION$ I DATE I gUBCONTRACTOR
coat
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