HomeMy WebLinkAbout147 ALBERT PL - Building Permits CITY OF COSTA MESA ,
F I BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT ✓898.00260
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PERMIT PERMIT NUMBER
(714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 147 ALBERT PL Status: ISSUED Ora-1/4---
Suite:
ra'`Suite: Applied: 05/19/1998
Vicinity: Issued: 05/19/1998
Parcel Nunmber: 42605307 Zoning:
Applicant: ELLIOT, JIM
Address:
Phone:
Zip:
Owner: WILSON, HUGUETTE TR
Address 4809 RIVER AVE
Phone:
NEWPORT BEACH,CA Zip: 92663
Contractor: ELLIOT ROOF MAINTENANCE
Address: 324 S EARLHAM ST
Phone: 714-997-4938
OR CA Zip: 92669
License: 465344
Arch/Eng :
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
T/OFF&REROOF 3200SF 30#FELT& REOOF WITH COMP.SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $o.00
Permit: $112.25 Claimed Valuation: $5,071.00
Other: $0.00
Inspection: $0.00
•
Total: $112.76
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:
•
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
•
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 for which this permit is issued.
4 I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are: L
Carder: G oL DEN r n fill ,t'{7 S cot, Policy Number. N W G 9 d /.v/
(This section need not be completed i✓the permit is valued at one hundred dollars($100)or less.)
❑ 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these�provisMion�s. �i�- - `/ 9�
— Applicant Signature:: " Y f Date: J %'/
WARNING:FAILURE IO ECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENAL ES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100.000),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed of der evasions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Lic.® 4' &q i g y" Class It C' ?S
Contractors Signatur: .Ti 4 ---U74/4714?: . �� Date: /4''4/1 'r?
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,CMI Code).
Lender's Name: Lender's 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).): .
❑ I,as owner of the properly,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.).
❑ 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 driver's license. ❑Yes 0 No Driver's 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,Gm 2,Art 2,Sec.
341,Title 8,Callfomia 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 Will 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 0 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).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(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? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ 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? ❑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 prescribed 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 and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application end 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 untilcnfinal inspection.
!i/ sit ' ) 7/fP
Signature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
SODS t INSPECTION TYPE DATE EMU BODE/ INSPECTIONTYPE DATE INI ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final �Y 208 Final Plumbing
200 Final Re-Roof 22 L1 r (�l( 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
2446-46
I
CITY OF CC' MESA
PARK-. S N9 - 14 3
Fee Payment Receipt
Project Address/ HI 41_ i'1 P-(`ip7 ]9)//�L, Park Area c3
A. P. No. / ! g -043 - ....25--
Building Permit No.sq / b
Owner's Name J (tt\ T C-a a liffir r
1
Mailing Address/2000 /Upa Lao(' dal le-1. D/^. cii . 2, / , ilia
FEE
Single Family * No. of Units @ $455.20 =
Multiple Family ** No. of Units ') - @ $321.32 = 6 Cott? .6
Total Fee 4/-2 . 6.
Planning Department , . Date /1°--n9-7C y 7- Lc "6"r• •
/ /
/a'pplicant's Signature '
_______,A
* City Ordinance 72-44 ON et
•• City Ordinance 72-45
'•• City Resolution 74-124 Cl �t ���
White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant CMF 0174-26 1C o
OWNER HARTSHORN, IRA D. DATE JUN 3 1964
JOB ADDRESS 147 Albert P1. BUILDING PERMIT NO. 221104
GENERAL CONTRACTOR Owner-Builder VALUE $ 400.00
AP No.118-043-25 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKDeIno. Res.
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R2
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. Air Cond. 0
Rough Heating _
Rough Plumbing
Miscellaneous i? to?" 6 - 3 6 4C•3
s R 6!
Prop. Swr. Line D House Con.,■ St. S0
Sprinkling System
Construction Pole
Underground 0 Power CI
Rough Wiring
Trenches 0 Forms E0 Steel Reinf. 0 _
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In,0 Out 0
Plaster, brown coat _ -
Refrig. '0 Air Con. 0 Final _
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final """��/
Building, Final /./fr-'�$�_ _ --- - --- .
OCCUPANCY
Form BU4-5M--3-63—S-B P 22404
22404 I FEE RECEIVED
:,• Al! 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
/ CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
B 117 g,1447/4 1-1- for Office Use Only
ADDRESS
RECEIPT NO. 224(144
COSTA MESA. CALIF•RNIA ��l (J
�I�'.• RECEIV Y DATE RECEIVED TE IBSU
OWNER . ' � • i e �. ���� Il /� to-3y�G� Cy`
MAIL ``--------////���� r 1/�,W AGDRQ8GH /y 7 )11, EQT
CITY zYlit&tEt_ NO.I, , 2i. ONE TYPE ROUP -A--.
APPROVED
ARCHITECT 6Lt �„ t TEL BY DATE �r" t�
OR ENGINEER i �(�/�GC�[` NO.
ZONING
ADDRESS `
ZONI .• /NO.OP 0 I UEEOPNEW
ry� �j +(` Y PV,NI BUILDIXO
CONTRACTOR �L9,�I.� K '6' Lsp(9( r, / `••
LEGAL t T�C, i/iiADDRESS DEECRIRION/.... ...e4-1".'�
CITY C. - A.P.NO. [( 174-0413— .9C
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE ......_-------TEL----_____________
30'TO SIDE a REAR P.L
LIC.NO. NO,
EAVES
SIZE //�� s� �/ NO.OFSLDGS. ALLOWED (U.B.C.. REQUIREMENT)-
OFLOT 7/6021rX fa iC NOWQNLOT
YARDS APPROVED YARDS APPROVED
USE OI'
EXISTING BLDG. Z)4Zt , MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE FROM FRONTFT. /` FT.
i
CENTER OF STREET REAR YARD ,`/
SIDE YARD I LEFT I RIGHT R.SIDE FT. (! FT.
DESCRIPTION OF WORK L.HIDE FT. FT.
NEW ALTERATION_ ADDITIONREAR Fr.
I
X DISTANCE SET. BET.MAIN S
REPAIR I. MOyINQ �pgMOLteH MAIN BLOQS. ACCESS.BLOCS.
BUILDING ] /' NO.OF VAR.* DATE
SIZE /( /O '30 ROOMS 'RORIES C.UU1.lP.#[p(/, APPROVED
EXTERIORROOF
COVERINGWALL I COVERING B7/ 7/ . (OT/, oil DATE ‘/../c4;/‘Y a
USE OF TING AND WO O BF(PERFORMED D' '( �J/J,
oi�yf. /A Y—i, f! 3
SO.FT. wet
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LA S REGULATING VALUATION
BUILDING CONBTRUCTISI
O
SIGNATURE OF !/j
PERMIT FEE $ J
/�_/ PERMIT
PERMITTEF "����n // D w
$ i/O PUN CHECK S
AUTHORIZED AGENT
z1
.�......a-s ..- . MIS TOTAL FEE $ 7
OWNER MC ALLISTER, Jim DATE 12-29-75_
JOB ADDRESS 147 Albert PI ace. A & l3 BUILDING PERMIT N0. 39870
.O GENERAL CONTRACTOR Grant Warmington DESCRIPTION of WORK Duplex w/att. garage
` AP No. 1 18-043-25 LOT TRACT FIRE ZONE VALUE $ 61 ,900.00
4INSPECTIONS Signature Dote TYPE V GROUP I & J ZONE R-2
SOIL /_ 4 SUBCONTRACTOR PERMITS ISS ED
GAS Y _ 7
WATER Date Number Signature
L PLUMB! 1._d £.s /-2Y-7G �+ > tof
Plumbing Y
ROUGHWR. LINEG G .6 `t 9'.---74
ss'- /L �(wc.IW 1-9.76 691339 /
PROP. SWR. F'HOUSE CON. Q' S tr,2s-?(, . S_)V:7/ MI 3i 9
SPMISCELLANEOUS
LING SYSTEM
.�c� , -L7 0-7 / 1L h9 C ,1
MISCELLANEOUS y ..(I'.
.4� ./0-74 U
ROUGH HEATING AND AIR CONDITIONING G lj `/ -y nU -
TEMPORARY SERVICE OR POLE re /-t} /6
UNDERGROUND fl POWER E 7 p
ROUGH WIRING /174-., 46S'7 Heating and Vent.
TRENCHES a FORMS .�' STEEL REINF. F. C!l--�`fl c".2.7,. 6 p "",y - i A/a 3-.-?6 I a321-�
FLOOR SYSTEM C,$ / 2$ .76 I4{,,1(,)tf 1 ;024• I2 3‘0/...2
BOND BEAM ❑ STEEL REINFORCE ❑ ,l,-7 3,,2(!,n, 42373
SHEATHINGC-47// .2."1,-.2FRAME AND FLASHING C. Y i3-7E
LATHING — IN OUT 0'SY--.2-.7•�
PLASTER, BROWN COAT
STRUCTURAL, FINAL ....,�,..////�A�1YCC /�1� /p/} g
HEATING. VENT., REFRIG. AND A.C., FINAL Lp! g//J/a'q�?7��A'�� t�1y5L ,a• „ „waft/�
PLUMBING. FINAL AND GAS TEST n i1UC-L? (ne {/Yt ,Q .7-3o:, . 9.9(. ✓
ELECTRIC, FINAL /CC. / Z4.11'74n�lJ
_ _ _ _ _
BUILDING, FINAL '}.t a h- �!/
r r;.. n 5 - .. is 1f; -{
rn 1 s-i -0U 5.,
5
3 ,C _ I'0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP I 'ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
A�1 �7 /�---y� RE 1 Y D' E ECEIVED DATE ISSUED
BUILDING , 4 1 {\L%a'r R [12 E! ,7_f�,' 1p2-
ADDRESS 1'i / /�j�QS I /+7 /� K
OWNER J1rT M�.�l.1-.1 1�e— •
A.P. NO.f i I•�€293—acc-��Pa e{,�{,/D)
MAIL -7 .-„-- N1+s11T tXi.]T`�-'1L p0.•� BUILDING
ADDRESS 14� AIL15GR+1 t//7
ADDRESS �' i .t 17s '7-O'1 GG/ f
W W TEL.
0.U CITY Lae.- •[y C�T- g_4 -1„k NO.(�4-Car' TRACT I ' L� L T BLOCK
QyZ CONSTRUCTION,_` NEW , ADD ALTER REPAIR MOVING DEMOLISH
LENDER >x/` /
J j BRANCH /A], �—�s
Jrn OWNER 51MpcA LL(S
ct w ADDRESS
m 03 ARCHITECT ` TEL. tet` US R,eA C G-AI�D$1elgni
J C OR ENGINEER J • S .F'.1a.= 'yam NOLa0-4.071
Z Q 43.'t, i..)-€1..-1.01.1.1- C`eI_•TeI _ "P ._• FIRE
wfL ADDRESS -�yrY` C N• ti. . ZONE TYPE P GROUT
JO CONTRACTOR G-RA-p r 4/,¢,Qn„is To•✓ APPPROVED DATE
00Z
J CC ADDRESS
LB Lu TEL. ZON NO.OF USE OF NEW ,/
Z= CITY NO. J.9 PLANS Z BUILDING•Jr t /P�t a F!
Z F \ ZL�I filar
/ ,
LL O STATE CITY YARDS APPROVED YARDS APPROVED
N fL LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L gggTR EETy
OSIZEF LOT —7( X 9z_ I NO.OF BLOTS. 4r / ( ' . .? / I e R�)-
NOW ON LOT �— FRONT `/'FT. 'j" / .t n
USE OF
EXISTING BLDG. 4.4 CI)'JE B—SIDE T.yyy FT.
I— NEW
L ��O e4101#1440.OF ^ -3,57T. ---
j� f/CJ
Z NEW BLDG. ROOMS ie.% STORIES L.SIDE 7. FT. ff FT.
Q EXTERIOR WALL ICCOROOF FYtPI4ALT
V COVERING Lr..30 >0 I COVERING Si4i, e L.0 REAR /8 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a MAIN BLOCS. ACCESS.SLOGS.
ATE
Q .�-•� /�� VAR.# APPR
O K�-Z �N�j�TS-V GT' IJI��% C.U.P.# APPROVED •
N ci STa cam ..c>J 1 LEX LN` frerACi.INL BPPROVEI.y •I l j f\ Per' DATF _ QS!(
Zo pa?.GNow FOR SPECIAL RE MENj\
••l3
UI hereby acknowledge that I have read this application and state ,/ /
✓ that the above information is correct and agree to comply with - �I'
CC all laws regulating building construction, and I shall not employ TAX
i.., any person in violation of the workman's compensation laws of
co the State of California. // �= 52 6 X.
m
Z FOCI I hereby certify that I am properly licensed as a contractor under G SO. FT. G6 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are In full force and effect;or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business ¢
and Professions Code, Division 3,Chapter 9. VALUATION az
CO PERMIT FEE $ N
Signet re of
Permltth-----' — $ 6110-0 PLAN CHECK $ 1 OS E
l
Authorized Agent
e u.
TOTAL FEE $
8f '0 C 29-75-7:-00-1120 001120 c*=*L11.00
Yom,/ ,
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only}}}---
REC
BUILDING
ADDRESS �� i Z i —409.,
6 V�Z�j�i' DATE RECEIVED I�,r
/1 // M//�r�l1^ O. PERMIT NO.
OWNER (�{/ A.P. NO.
MAIL BUILDING
ADDRESS ADDRESS
TEL. TRACT I LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD ALTER (REPAIR (MOVING DFMOLISH
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER NO. - '
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE INO.OF USE OF NEW
CITY NO.EPLANS BUILDING
1—, STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE INO.OF BLDGS. (FROM C/L STREET)
L OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
V) EXISTING BLDG. R.SIDE FT. FT.
ca
F Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
REAR FT. FT.
I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
O MAIN SLOGS. ACCESS. BLDGS.
®/ Lr VAR.# A
:1 (r Ir/" C.U.P.# APPROVED
APPROVED
>0 _ BY DATE
C4
W .
O I hereby acknowledge that I have read this application and state o
C4 that the above Information is correct and agree to comply with m
P- all laws regulating building construction, end I shall not employ
i
Z any person in.violation of the workman's compensation laws of o
the State of California. ,
I hereby certify that I am properly licensed as a contractor under
SQ. FT. 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 PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ 2// QQ e
and Professions Code, Division 3,Chapter 9. n
m
PLAN CHECK $ m
Signature ofo
Permittee $ TAX $ LL
�C U
Authorized Agent TOTAL PAID $ s •4
_6 George H. Mim Mack
Consulting Civil Engineer
mr1
HIGHWAY DESIGN
TRAFFIC April 19, 1976
ENGINEERING
LAND City of Costa Mesa
DEVELOPMENT
Building Department
ASSESSMENT 77 Fair Drive
DISTRICTS Costa Mesa, California
UTILITIES Gentlemen:
STORM DRAINS I hereby certify that I have inspected the framing, rough
electrical and rough plumbing installation on the duplex
ENVIRONMENTAL located at 147 Albert Place in Costa Mesa. I further
STUDIES certify that the installations conform to the State Noise
Insulation Standards and that the party wall will possess
MUNICIPAL a sound transmission class of 50 upon completion of
CONSULTING construction.
ACOUSTICAL For further clarification, the duplex is being constructed
ANALYSIS
by the Grant-Warmington Construction Company with plans
prepared by Jerry Shoffner.
Yours very truly,
George H. Mim Mack
RCE 9399
GHM:gl
cc: Grant-Warmington Construction Co.
214 SOUTH EUCLID AVENUE, ONTARIO, CALIFORNIA 91761 • (714) 983-0439