HomeMy WebLinkAbout1594 CORIANDER DR - Building Permits 4`pa�its 9 CITY OF COSTA MESA
BUILDING DIVISION
Y �j'- 4� -' DEVELOPMENT SERVICES DEPARTMENT PERMIT NU ER
1. Trumr,
PERMIT
B05- 0215
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1594 CORIANDER DR Status: ISSUED
Suite: Applied: 02/03/2005
Vicinity: 1ST STORY OF 4-PLEX ONLY Issued: 02/03/2005
Parcel Number: 13949113 Zoning: R3 R3
Applicant: CHAMBERS, DARRELL ISSUED BY:
Address: 414 N SHATTUCK PL
• Phone: 714-771-3658
ORANGE,CA Zip: 92666
Owner: SNUFF, HARRIET JOAN TR
Address 5469-A PASEO DELLAGO E
Phone:
LAGUNA WOODS,CA Zip: 92653-7323
Contractor: CORNERSTONE ROOFING COMPANY
Address: 414 N SHATTUCK PL
Phone: 714-771-3658
ORANGE,CA
Zip: 92666 License: 616586
Arch : - Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF 1-STORY UNIT OF 4-PLEX:T/O EXISTING COMP AND ROCK, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30#ASTM FELT,
APPLY"30-YEAR CLASS A'ELK COMP SHINGLES."1800 SQ FT
FEE SUMMARY •
Plan Check: $0.00 _ _ Calc Valuation: • $3,834.00
Permit: $97.25 Claim Valuation: $3,834.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00 ,
Total: $97.75
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: . 01
•
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 •
2446-46(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 for which this permit is issued.
pT'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.
t/ �My workers'compensation Insurance carrier and policy number are:
C9 S*'7 - font) Pol"lyp Uuui r: 285- L/70 -2-
(This section need not be completed it 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 fdrthwllh
comply with these ons. , c 2 3 o5
Ap gLUT: �ceKER -cO( sat
WARNING:FAILURERE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($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:
I hereby affirm that I licensed under provisto�ns 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.L to iG 5-86-0Dp`�/ in, G-39 /'/)C
Contra re: :-../Dp...ted/ C..0 , ?/ . 1/0-5-
CONSTRUCTION
//,-SCONSTRUCTION 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).
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 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.). •
❑ 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,felsework,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,Califomia 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 d0 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? ❑Yes 0 No
(Section 25505 of the California Health end 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? ❑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 end 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 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? DI Yes 0 No
(Section 65850.2 of the California Govemment 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? ❑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 until final inspection.
M2re Of Iw r(s) -/3/(JJ_ Date
And/O'Ffel e4a plicant RDate�.
BODE I INSPECTIONTYPE 21E INTITIALS BODE 4 INSPECTION TYPE gem MN&
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing
200 Final Re-Roof 2--117-.0,1 .c-s / 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
70 9 CITY OF COSTA MESA
BUILDING DIVISION
Y:'•,,,' ,i DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
`et PERMIT
B03-00192
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1594 CORIANDER DR Status: ISSUED
Suite: Applied: 02/05/2003
Vicinity: Issued: 02/05/2003
Parcel Number: 13949113 Zoning: R3 R3
Applicant: MIKE HUGHES ISSUED BY:
Address: 536 MC FARLAND U
DBA ACE ROOFING SYSTEMS Phone: 310-834-3900
WILMINGTON,CA - Zip: 90744 -
Owner: SNUFF, HARRIET JOAN TR -
Address - 5469-A-PASEO DELLAGO E Phone:
LAGUNA WOODS,CA Zip: 92653-7323
Contractor: ACE ROOFING SYSTEMS (MAPON INC.)
Address: 536 MC FARLAND
DBA ACE ROOFING SYSTEMS Phone: 310-834-3900
WILMINGTON,CA
Zip: 90744 License: 646787
Arch : Eng:
Address: - Address:
Phone: Phone: -
•
Zip: License: License:
- ,- SCOPE OF PERMIT- -
TEAR OFF EXIST.COMP.SHINGLES INSTALL 1 15LB FELT UNDER 30 Y EAR COMP.SH INGLES MINIMUM CLASS C.2200SF ONLY FOR TWO
STORY SECTION. -
-i
- FEE SUMMARY r
Plan Check: $0.00 - - - - - - Calc Valuation: - $4,200.00
Permit: $111.25 Claim Valuation: $4,200.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00 •
•
Total: $111.75' ;: '
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
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)7545626
2446-46(6/00)
DECLARATIONS (t ) • •
fl
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. •
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.
workers'compensation Insurance carrier and p•licy number are: '
•rrier: ? - < Iicyy er: tV(7fr'
(This-section need not be completed if the permit is valued- 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'
0 on laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith
• t se provisions.
'cant S. e: G 7.—(4 -1'A-L..
WARNING:FAILURE TO SECURE WORKERS' PE 74,
TION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EM OYER CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND COLLARE($1x,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECT! FTHE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter g(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.B GL/< 9 9 Class# x'3 4
Contractor's Signature: M . ..o / Date: 4 1..-ikcjaritig
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: 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 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 properly 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. 0 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,Grp 2,Art 2,Sec.
341,Title 8,Calif omia 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 materiels 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 Califomia 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 Califomia Health and Safety Code been fully complied with? 0 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 aermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U 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 ❑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 Califomia Health and Safety Code Section 42303 been made? 0 Yes ❑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 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.
Signature Of Legal Owner(s) ate
2 S o
An r Adihorized A ant ate
CODE a INSPECTION TYPEpA�FT INTIAI$ CODE If INSPECTION TYPE DATE 1NTmALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final208 Final Plumbing
Z
200 Final Re-Roof `03 t 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
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N° 2385 C.
P. 0. Box 317
IP
Costa Mesa, Californias X
The Building located at 1}4 ArrintigiTr yam"
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group H & 3 — Occupancy. .1
t
Use of Building MILD,11111t Angrlitnent ii11th 6ttAnhcAcrjtn
Legal Description Watt Te'75. 1et 31
, •(See reverse side for Metes and Bounds)
Building Permit No. Electrical Permit No. .1136V4 umbing Permit No. 46626.
Floor Load Signs have been insta d as Room Capacity igns have been instated as , '
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lod ing house shall be used or occupied
until the owner or operator has issued a valid certificate of occupanc the enforcement agency.
(b) A new certificate of occt ancy shall be obtained whenever there is change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8,
Number of apartments— 14 and/or guest rooms
ISSUED TO: Building •fficia _
EAIrSORIt IIMUI MEti COQ'. by %/�`% —
. . Date CNA* .. .,
;A This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and 'SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 CO U.B.C. Form su34—IM_11-63—S_D P
UWNEtt RAL-SUUTti DEVELOPMENT CURE'. MAIZ, 1—S-00
JOB ADDRESS 1594 Coriander Drive.. BUILDING PERMIT NO. 25062
GENERAL CONTRACTOR Allied Constructors DESCRIPTION OF WORK IF Units w/at't. garage-
AP
arageAP No. 139-491-13 LOT 31 TRACT 5475 FIRE ZONE VALUE $48,310.00 _
4INSPECTIONS Signature Date GROUP H & J TYPE V ZONE R-3
Soil ,(,�6y '.-2S I PERMITS ISSUED
i SUBCONTRACTOR
Gas Date I Number I Signature
Water (� (y... Ace_ �,9��' Plu bing ,/,
� Prop. Plumbing ,!/_ 7/:-"q• -a-effi, •.� /7 ://46 I rty. plc
j Prop. Swr. Line Louse Con. � 21 �(. ?ply ,$ /6 5�7�5'4 �?�+
Sprinkling System ver,ev,i/ - /-l/oh 343Of9 4f6
Miscellaneous 'f,_p J /W ,, f ,i;e.., _ ,
1,, _, S------. 417,049
Rough Heating and Air Conditioning -
Temporary Service or Pole
Underground 0 Power 0 .
Rough Wiring eating and Vent.
Trenches i0 Forms 0 Steel Reinf. .0 as 7MI(4_t yt.0 .X1 ! a 0tj-((/o5
Floor System goiel .2.71/6-6 frina.- 3//-6F -11.34
7
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flais6 .2 j 4,J ',
Lathing— In [tom Out �40 - /�6
Plaster, Brown Coat, Q- o- -
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Fyial ..1—a,) -�x�; cf/y/�pti IS—Th-a6 A.5691,
Plumbing, Final and Gas Test C
Electric, Final It---a5'"5'G6
Building, Final WA/. erre//y.
25062
COSTA MESA BUILDING-SAFETY DEPARTMENT CI
Y UF ; !P= MESA
P.O. BOX 1200 -COSTA MESA, CALIFORNIA 92626 - '
dd��TY v .L'm . :• Ylfa�W
For Applicant to Fill In Completely APPLISEAtal FaQWWII
TYPE OR PRINT P BUILDING
ADILDINa
For g+�.r,1�Le . my
ADDRESS 1594 Coriander Drive tf J //�C
COSTA MESA, CALIFORNIA
—RIC NO ••LIMITING.
RECEIV D/BY DATE RECE VED/ DATE ISSUED '
OWNER KAL-SOUTH DEVELOPMENT CORP q i,IZI C/62/5 I I3/ 4
MAIL ADDRESS -/SC/4 p( _ipeaa�
MAIL 1442 S. Euclid
FIRE
CITY Fullerton 92632 Nf 87.3E zone Teprel 'GROUP f114“ARCHITECT TEL. BY
PR DATE
OR ENGINEER -- NO.
ZONING ��` •
/.(�
ADDRESS 'L4,-,41.7.3-
DTP
I/Y�/ ..T
ZOg1� NO.OF ASE OF '[W
coNTRACTQR ALLIED CONSTRUCTORS l.K `7j I PLANS BYI >- -c'
ADDRESS 1442 S. Euclid DESCCRIPTION &0 T 3 ) .8r7 Zr
CITY Fullerton A.P.NO. 1gc- �-9 / ►
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
LC.TNO. B 102 641 NO. 871-8235 SO'TO SIDE&REAR p.L-
EAVES
OSIF LZEOT 74.31 x 109. 60 I NO.OF BLIMPS. ALLOWED (U.B.C.REQUIREMENT)
0
NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OP MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ----
(FROM C/L[ STREET)
SETBACK LINE FROM 50 REAR YARD 102 FRONT l-�FT, PT.
STREETCENTER OP STREET
BIDE YARD I LEFT 8 I RIGHT 10.31 / R.SIDE /OS. PT.
DESCRIPTION OF WORK L.el 4 FT. FT.
NEW X ALTERATION ADDITION REAR �(, PT. FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING NO.OP yam• DATE
SIZE 46 X J9 ROOMS 25 STORIES 2 C•Y•P•# APPROVED
EXTERIOR WALL ROOF AFPRO 1
COVERING StUCCO I COVERING COmpo SY �, I A DATE ( - —`= C
USE OF BUILDING AND WORK TO BE PERFORMED (, A 0.
I[ J O7
4 Unit Apt & L) 1
5 Car Garage ___A 4 7 ZBQ.FT. 4 $/ L / (c ,S"'"
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE D
AND STATE THAT THE ABOVE IS COR CT AND AGREE TO COM.( PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OR NANCES ND TAT{LAWS R[OYLATIN yALUATION Qr A
BUILDING CONSTRU N: a p/
SIGNATURE OF _ o �J PERMIT FEE 5 1 3 8 N
PERMITDIF' %I I/1 <-iA' � O 10 //�� o
$ .7 PLAN CHECK S 10 r2
AUTHORIZED AGENT ,..) 6d
Rd- '.. - - _..._ ....�.. ...,..1 .. _.. .�....::... .: - TOTAL FEE $ /
I