HomeMy WebLinkAbout3341 ALABAMA CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job nddress: 3341 ALABAMA CI
Suite:
Vicinity: ROOF
Parcel Number: 13958121
npplicant: ALEX DELGADO
Address:
Zoning:
Phone: 909-840-7441
Zip:
Owner: KOHEN, EROL TR FBO MADELINE NOVAK TR
Address , 13 STANMORE CHASE ST ALBANS
� UNITED KINGDOM Phane:
HERTS - AL4-OEZ Zip:
Contractor: H20 ROOFING SYSTEMS
Address: 2031 E GLADSTONE
SUITE F
GLENDORA,CA
Zip: 91740
Arch :
Address:
Phone:
Phone: 909-840-7441
License: 715695
Eng:
Address:
Status: ISSUED
Applied: O6/02/2003
Issued: 06/02/2003
I'' /
� : I_`.•-
Phone:
Zip: - License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 7/16 O.S.B. SHEATHING, 30 YEAR, GAF COMPOSITION SHINGLES, AND 15# FELT. 28 SQUARES
WCLUDES ATTACHED GARAGE �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$153.25
$0.74
$0.00
$0.00
$0.00
$153.99
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : o
Rear 0- 0
Rear 0-0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Propased: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$7,395.00
$7,395.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 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 Inspectlona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-48 (6�W)
WORKERS'COMPENSAnON DECLARATON: �' ' •
I hereby affirm under pgnalry of perjury one of the tollowing declarations:
❑ I have antl will maintain a ceniticate of consent to self-Insure tor workers' compensation, es provided tor by section 3700 of the Lebor Code, for Ihe pertortnance of ihe
work for which this�permit is issued.
� I have and will m4intain workers' compensation insurence, as requiretl by section 3700 of the Lebor Cotle, for ihe pertortnance of �he work tor which Ihis pertnit is issued.
My workers' compens}afon Insuranca carrier end policy number ere: � � A� ���_�� �
Carrier: S'}K��� "�UYl� n Poli Numbec CiLI
(This secfian need not 6e campleted � fhe permit is velued et one handre0 dallers (Sl00) or less./
❑ I certify �het in iha peAormance of the work for whiCh Ihis permit is issue4 I shali not employ any person in eny manner so es to become subject to Ihe workere'
compensatlon lew of Calitomle, a d agree thet If I should become sub�ect to the workers' compensetion provisions of Sec ion 3700 of the Lebor Cotle, I shall torihwith
comply with ihe�c�� � v
Applicant Signature: � Date: e�� D�
WARNING: FAILURE TO SECURE WORKERS' CO SATION CpyERAGE IS UNIAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE MUNDRED
TNOUSANDDOILAFE(Stpp,ppp),INADDITIONTOTH COSTOFCOMPENSATION,DAMAGESASPROVIOEDFORINSECTIIXJ3/060FiHELABORCODE,IIJ�EREST,ANDATTOqNE1^SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I arq
force and eReci. Lk. X_
Coniractors Signeture:
of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professsions Code, and my license Is In tull
CI355 M �
� Date: ({ D \
CONSTRUCTION LENDING AGENCV:
❑ I hereby affirm thet there is e constmction lentling agency for ihe peAormance of ihe work for which �his permit is issued. (Sec. 3W7, Civil Code).
Lenders Name: _ Lenaer's Atltlress:
SiqnaWra: Date:
OWNER-BUILDER D�CLARATIONS:
I hereby aRirm Ibat unper penalty ot perjury Ibat I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW for the tWlowing reason (Sec. 7037.5, Business and Professions
Cotle: Any ciry or counry which requires a permit to consWc�, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires tha epplicant for such permit
lo file a siqned statempnt that he or she is Iicense0 pursuant to the provisions ot Ihe Contrectors License Lew (Chapter 9(commenGng with Sectlon 7000) oi Division 3 oi the
Business and Professions Code) or that he or she is exempt Ihereirom end the basis for the alleged exemption. Any violation oi Section 7031.5 by eny applicant tor a pertnit
subjects the appllcant to e civil penalry ol not more ihan five huntlreA dollars ($500).):
❑ I, as owner ot thb property, or my employees with weges es Ihelr sole compensation, WILL DO THE WORK, end Ihe simcwre Is not intended or aflered tor sala (Sec.
7044, Business and Protassions Code: The Contractors License Law does not apply to an owner of pmperty who builds or improves ihereon, end who does such work
himself or hersel� or through his or her own employees, provided thet such improvemanis are not intentled or oHered for sale. fl, however, the building or improvement is
sold within one year ot completion, Ihe ownervbuilder will have.iha burden of proving that he or she did not huild or improve for puryose oF sale.). '
❑ I, as owner of th� property, am EXCLUSIVELV CONTRACTING WIT17 LICENSED CONTRACTORS to construct the prolecl (Sec. 7044, Business antl Professions
Code: 7Te comractors License Law tloes not apply to en owner oi pmpeny who builds or improves ihereon, end who contracts lor such project with a contractor(s)
licanse pursuant to ihe Contractors License Lews.).
❑ I am e:empt untler sec.
Signature:
Owner ID verified by dNvefs license. ❑ Ves ❑ No
Business and Professions Code for ihis reeson:
Venfication of Ownership by (type of document, i.e. � property te�c bill or deed):
Dnvefs License No.
Date:
Eapires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION:
❑ I hereby certify Ihat no excavetion five (5) or more fee� in depth into which e person is required ro descend, will be matle in connection with work euthorized by Ihis
permit, and ihat no building siructure, scattolding, falsework, or demolition or dismantling Ihereof, will ba more ihan thirty-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Titla 8, Celifomia Aaministrative Code).
❑ As owner-6uilder, I will not employ anyone to do work which would require a permit from the Division ot Industrial Safey, es noted above, unless suc� person hes a
permit to do such work irom the division.
SignaNre: Date:
Division oi Intlusinal Sefery Permit Number:
ICERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENfAY: I certity under penalty oi perjury ihat I have read Ihis application antl state ihat Ihe intormation given is I
correcL I eqree to comply with ell state laws en0 city ordinances relating to 6uilding consiruction, end authorize represemEtives oi ihe Ciry of Costa Mesa to enter upon ihe
ebove-described property br inspection puryoses. I egrae not to wcupy or atlow occupancy of any building authorized by fhis permit until final inspection.
COOE t. INSPECTION TYPE
Legal Owner(s)
rtized Applicant
PSIE ItIIID�Lfl
1676 Fixed System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Ropt
201 Finel BIocWRetaining Well
202 Final Fectory Fire Placa
203 Finel Sign
204 Finel Demoli[ion
COpE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212
220
Finel Flre Prevention
Final Planning Approval
222 Final Sile
250 Final BuildinyOccupancy
�. :
/ t
' �' '
Q�¢ INTRIALS
w Y� r, �, r.
M= 45 K Z`�i =l00 PT.- ►��.
"�'���Z '� .ILS IN;
f't • �OOKI a 57Ioo P.S.1,
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�.C.Qa/c�r,.o�
BE�N�R�D C. ADAMS
CIVIL ENGItiEER #� 10183
12753 BROOKHURST (714) 636�0294
GARDEN GROVE, CA 92640
� POOL PLANS INC. '
Jo6 +t P433 �
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2640 S. HARBOR BLV0.
SANTA ANA,CA. 92704
714� 54f-3700
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2. ALL FLI�M�t1.lG P�.ft LOCAL- Oi� G1'�'Y GOpE,
3. QE511.1 WO¢.IU�IG �'T'IZ.ESS 7000 P. S.I .
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�oonessaew�ur+o: 3341 ALABAMA CI urn:
IXMERSN.WEIFplONN: NOVAK, PAUL FLOOD: AE-37
woxess: NOVAK, MADELEINE
3341 ALABAMA CIR
COSTA MESA,CA 92626
1pp�. YNI1N0 ADDNE54:
�xcxrtccT on �nffn:
MLX.Ofl ENO.'S dDDPE55:
uc xo.:
uar:
cartn�crarsx� NOCK PLUMBING ( 714 ) 895-1246
CWIMACTON'SNAlIlNO 11610 SEAHOARD CIR
�ooxess: STANTON CA �.�.: 707775
90680 ,uR;
LICENSED COMPACTORS UECLAFATION: I hereby eflirm untlar penelly d parjury ihm I em licemed under prwieiona M CMqer 9
(eammendnp xiih Senion ]OW) d Diviaion 3 M Ihe Busimes aM Pmlessiona Cada, aM my lireiue M in lull loeee enA ellaa.
cmuc.no.:05038 uc.cuss: C-36 uc.No.: 707775 EXP: 02/97
,. �om�,o,: �� PL �M � naS
OWNER BUIL N UECUNATION: I hereby elfirm uMer pere�y W per'yry Ihet I em uemq �mm �M CaNretlm �icema lew la Ihe
Idbxiq raa+m (�an )0.A1.5 &reiima vd Rofesaiona Coda: AM cry v munN �� nVuiren a parmn to oauwn. elix. improvs.
EsmW'sh. a reyei eny eVudure, prior io ns 6auence. ebo repuiree �M epplimM tor wch pe�mil to fib e eg'wE stelemeM Ihet he m eM
'ia licenxd Wnuenl to iM provisiona ot Ihe Conlredon Liceme law [Cheplar 9(commend�q xilh Sed'nn ]UW) d DNeion 3 ot iN
Buairea vd RWmsbm Codel a tl�e� he a ehe m azemq thareham eM the besrs fa iM dbped usmqion. My videlian d Seaion
103t.5 by elry eppliunt lor e pmmil wbpes �ha epplirant to e rivJ paralry d m� m«e �han tiva hwdrad da0va �SSW��.
� I, av oxner d �he peopeity or my empbyaee wAh wepea es thei wle eanpanemion, xill do tM work, eM the nrudure u�at imeMW
a oNered fa sele �Sxtion ]OeO, Businesa vM Prdeseiona Code: The Conlreaon liroroe Lew Eoee �wl epplyto en owiwr d papeny
wlw WiEa a mMo+ea iMrean. vM xfia does auM wak IimseX or Mnetl n Nrwqh he or Mr am emP�Wbs. P�'� IMI auc�
imwwemem. ars �m ime�eea «oxemd �«.ab. n. nowever. me wibim � mw�av e.aa wnnio on. v� a oomWe�on. m.
owmrhuildar will have �M buNm d qovi�p he w eha did mt build w improw la IM purpana d veb).
� I. d oxner d tM propeM. � e�dueivey mntredin0 �Ih littnsetl coMreMaa to cannrutl iM qol� (�� ]014. Buvinma erM
Prdeaiore Code: TM ConVedaa lsenae law Eom ml MdY b an owner d OpPeM who WYde a'vnV�'ea Ihe�eon W Mo
mnvecb ro. m,d, c� wXn e oomreaal.) ���e w�+�� �o �ne comrec«s timn.e l..).
� I em eKempt unEm Section: B. 8 P.C., fur t�ie reemn:
Dele: ��
i eo nereM �nM mm i em e.are a ena u�en�.�d me �a���e�n w cdaom�. Haenn .�a s.bni cod. saa�. asws, zssas, .�w
25536, end ihet I a eny fuiure buildinp oowP��'M�I / wAI nM (dreb one) neetl lo camON'�'Ih aeid ebte codea arM tha reyuiiemanb lur
e pemul fawuvuctun a moEifx�alimhwntMArae tTylreiapement Dimna. Waidentid mnsvfion eppirelbroen eRemq Irom ihesa
a�.
Da1a: /.od��:
WOflKEN'S COMPENSATION UECLARATION: I MreEy elfirm uMer pnelly d pxj�vy ane d ihe Idbwirp EerWUum:
� I heve aM wil meimen e ce�ilicate d mruenl to seX.inwre br workais canpanwion. m provideE lor by Swim 9]Ip W �M Lebar
Code, fa the pa�loimence d Ihe xak ta which ihie pamil ia ievueA.
�] I hew eM wio meinten v.oMen' cano�aeibn imurariw. m rx�.uirad W Saeun JlaO d ihe lebor Cada. br tM O�a�� af IM
..a�i«�.+��a,mgwmmo��.e.Myw«�'�CS�D�N ��i�°d�.r��e..va: EXPIRES
c��.:
aeikY N�mn�,: 0 9/ O 1/ 9 7
his aedian rroed na De rompbfed / tM prml 'o b an hvrMreE dollas (5100/ a bv.)
�] I cMlY tnm in iM pMarmencs d tM work i« xfich Ihia pe�mil is isauetl hell iwlpmpry eiry penon in enY mennm m m to
become eubl� to the wwW re' cwnpanceiion lexa ol Calibmie, epi Ihet irv a ule become wEjed m iM xohsn•
penseiion pm '�om M�di n 3]00 at the lebor Cade, I ehell Ihwn umpy wnh Ow prwiaiau.
e - Mdium:
�m/ng: Fellu M�xuro worten' compmutlon covsnps /a un wNl, antl �IWI wbHc! en smploysr b cNMml psn�ltlu entl
c/HI flnu up ro ons huntlrW tMuaarM dolHn (Sf00,000A In aEtlltlon ro M� cwf ol rnmpeiu+fbrt e+�W u provlME br In
CONSTRUCLION LEN�ING AOENCY: I MraEy effirtn unEer panelry ol per'ryry thm Ihen ia e oonet�udion bMirp epency for iM
partormence W �ha woM la which �ho pa�mi ia ivaued (�an 309]. Ciu. CI.
LENUEH'S NAME:
LENDEfl'S �DONE%:
1 aenfi/ thel I heva reed Ihis epplicelian eM ateta Ihm Na ebova inlarmetion ia wnetl. I epiee lo comply xilh all dry vM cauMy adiiurau
.nd eteta levn ielmiq w buimvq conavurmon end hereby au�Mr¢e rapesen�miwa d ihu dry ro emx upon �ha ebow�mauunee p�ope�ry
�«��'°°°"°""P'ii RON tLOCK �,
Dma: 9��
(5151�18.WG) While-BuiWvp 8 Selety: G2en- a: Cenery-Appicenl: Pink-Rmenue: C.ddenmFRsaevor
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: P 079591
PERMIT NO: P 079591 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : C/O WATER HEATER SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT
�r�r��*�*+t+r�*��*�+r*+�*x�**�r*****x�**�*�r**��+�***+r+r**�*x�*�*+r*********�+r*�********+e**+�*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 13958121 ZNE: REF NO:
PLANNING NdTES>
7
ik 1k ik 1k ik ik iF 1E iE 1E1k 1k 1E ik 141k 1E fE fE 1E 1k 1F IE iF 1E iE iE if 1k'!f ik iE 1E iE if �E 1E 1E 1E 1E 1E 1E 1E 1f iE iE 1E iE k IE 1E'!f iF 1E 1E 1F if ik 1E IE fE fE 1E ik 1E if 1f iE ff IE i! 1F 1E if 1F 1f� 1f 1E iF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED BY ; DATE:
APPLICATZON ISSUED BY: DATE: � R
1(�IFiEifiE1E1F1f1EiE1FiF1FlE1f�iE1k1f1EiFiEfE 1p1E1EiflfiFiEiEiE1E �E
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11.00
25$ SMIP/NON—RES
PLAN
ISSUE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11,00 22.00 0.00 33.00 33.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33,00
iF iF IF iF 1E if 1t 1h iE 1E iE 1ElE 1E'1(' iE fE 1E 1E iE 1E iE 1E iE 1E 1F iE 1F 1f 1F 1E'lE 1f 161kiE if 1E 1E 1f 41f 1k iE I(' iF i! 1E iE 1E k iE IE 1E iE 1E f! IE 1E IE 1k iF if 1k 1E 1f if 1E Ik if �E iE if iE iE iE 1k if fE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WATER HEATER AND/OR VENT 11.00 11.00
END OF FEES
���I��.�
D�TE"�9t�r��
�
01 002l54Sl-00215451 TO T 33.OII
DATE: Q9/23l95 TIHE: iQ:41
CONSTRUCTION AND PLANNING POOL �A .
Date I�spector '' � Date Inspector
APPROVALS Permit # APPROVA�S Permit #
•1. Temporary Electrical Serviceor Pole 52: Pool & Equipment Location -,
2. Soil Pipe-Undrgrnd. ,�'.,� " 53. Steel Reinforcement .,
, ��•-Elactrical Condy7{t'ljtilitV�Urtdrgrmci. 5A. Forms � ' ��
_�;�4 _`Ef ctrical Condy+tU�drgrnd."' 55. Electrical Bondiny � � '
�5:tSteel Re�nforcefient"� '� � 56. Rouc�h Plumbing & Pressure Test '
r����EectritalUFE��md. 57. APPROVALTOCOVER-GUNITE ' .
=k:'F.00tings - !'n 58. Electrical CondL•¢:Undrgmd. '
- .� �
� B Foundation �'� 59. Gas Pipe, � Uniirgrnd., Test ' �
9.�Water Pipe-Undrgrnd.�= ^ 60. Backwash Lines;. PTrap, � Undrgrnd. -
.`
10. Structurai Floor System 61. APPROVAL'T�J�DECK� .
77. Pr,pperry Sewer line & House;Cor�pection 62. Backwash & Receptor�Finai:�
12. S�wer Cap � �- - 63. Heater & Vent-Finat �
v -• -
73. RooF Drains I. 64. Plumbing System � Final .
�74. Rough Piumbing R, _� 65. Electrica6Final
-15. Rough Electric,�l-Cofiduit x[ 66. Solar System-Finai +
16. Rough Electric�Nirin9 67. Fencing & Acce.,; i'ApProvai ; '
17. RoughWiringSign'- r ' 68. APPROVED�R,PLASTERING .
78. Rough Electricai-T Bar Ceiling 69. POOUSPA SY5'FEMS FINAL �
19. Rouyh Heating � Air Conditioning FIRE DEPT, REQUIREMENT
,,. ..-;- -.. e F -- I
20.=Rough F�a,ctoty Pireplace ;;,�-; .:.^ > p T- ^ APP�O�AtS7r� P.etmit #_
i r r , r��. t-. '� �
21.�iuCt3. 1 T tfLL,�2UrE r - r� `7� t' ��.
�.. .� a ... f+S t S rJ ~�� ^ 70.,�JndBE�"�GOuad f�ydro K
22.�Du. Ventiiatin � �� i ` Y
�[s, 9- � "t'k % J1. Produc'['_Pipin�j+C?kGn, 4� Oil
�1 .
23.'C,as`Pip�Roygh &'Test ' „_. ;,.,,_ z, ,� �* F 72. Undehgrou�d ush ;: F,
� ...
- _: � .. : ..'•�, . _ . �_ -, .. _. .. '
24.-fioo� Framing. �� p.,�F .-F v: � t� F_ 73�. Undergr.nd. Store�e Tank O Gas �-Oil
25. Rodf�Sheathing ; '- ?� N " �` �% �* - 7q, Overhea� Hyd�oF � I
26.��-Blr� Ceilin9 (Structural) &{�Iprlocoat k r� ^i *tr 75'. Dry Chemical �: -+ _. -
27.'Frameand Flashing• =Y� � y'' 7�'. Dr StaNd i e�F `� � F'
1 r. - G'�' t Y � ��. Y .L�. p�� v :Y. R
i -1 X -, lTl r. ' y ... < • ....-t • �;
;. 28.`l.attiing&Siding�:, c•; -.��; � : g .. ..+ 77t FIXED.SY.STEf�cKF_tNA��
29. Insulatien ' " � � '
`;� ''- 7 :''' '� 7$._FIRE�FEV.FINAL K� ;�.
�: �;.r � ,. � � +*..•-J �i i �-i .F.
.� 30. Drywali F}'ailing r w �` r. � � �+ • •r,HEALT-H DE&T�,.NE9UtA;EMENT
31. Piaster Browq Coat ` �,�, �: � ; f� 7��.�FiNA2,�I.5PEC �'�i,'ON � =' - �
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` 32.:Electrica}Power Me.iervFinal �� *^� � � F� p 88: FOOD CE�TIFI�ATE kS�UEb �
33.�Fina1' Electric '-* K �' _` � i I �^ R�E3tes: b' 4_. - ': �• '
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_ 36.'Hoo�i`, or CanopY � �� - �t -r - -, w� -. � � .i, ' ��� � -
� 37.�Fin81'Factory Firifptace� -`�?' � K^ I °"` � e y "
4.�' Y: ^
, 38. Fin;J,Plumbinq a- f' i ,. • � � i• � � y V � . g T -�---
� : 39. Water Service-Final t: ` � . "- ` � � {� �� -�r'7 ' S
r-- x¢' i v: � �,, i.
; 40. Gas Service-Finai ` '' " � `"' � '� `�'
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', 47. Solar pomestic-Fina1;- • +� � � �= �
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- 42. -6ackfiow Preventer''. � T ;�� ^ ! , �` "" � � ' �
;� ? F
43. Backflow Irrtgation= � a'S':� "� � �N � � - �
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r 5" � (�V 1� ,S l
:�4. Landscape Irripation SYste �� _ - _ - Y r� _
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:45.: Sound Attertuation -- � � '.T' , %. ^ [-� � ; -� � '-u ^'�, r -
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=d6.rNandica�i'Retjulations - � T • ,•x _ / O� ' �X
47.�IN�AL STRHCTURE & BU([DING �� i ` � `!- - � � �. � �
�
r v r'
48.�.FINALP�ANNING` �� r J 1 ^ �;'; �- . -
;49.:Electric Release to Edison � u - -'
50. Gas Release to Southem Califomia Gas Co ` � ''; _` '' . ' - � .
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`'51. CER.TIFICATEOF;OCCUPANEY' '. , �� ;;�- � , ; �
No. Date
i
B-� � o � � 4
�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Far Applicant to Fill in Completely
BUILDING n rj /! I ��l / �_ //.
OWNER
MAIL
TEL.
cir� Santa Ana No. Fj47-70
CANSTiiUCiION
LENDER United States National Bank
BRANCH 1 N Broadway Avenue
ADDRESS San IIiego, California
APCHITECT TEL.
rns�sasus�w�x K Dorius No 675-11
ADDRESS 2712 E. Coast Hwy. Corona D td
CONTRACTOR �wner
ADDRESS
TEL.
CITV NO.
LIC. NO. `Z52�O LICyNO.
SI2E � NO.OF BLDGS.
OF LOT LOO X� I NOW ON LOT O
USE OF
EXI5TING BLDG.
SI2E OF NO. OF
NEWBLDG. 1 O 80. ft.ROOMS STOFIES 1
EXTERIOR WALL ROOF COII]PO O
COVERING St.UCCO COVERING 5900�
USE OF BUILDING ANO WORK TO BE PERFORMED
' PAIO
APR 24-64�r;—s�001308" *�** 137.25
APPLICATION FOR BUILDING PERMIT
RECEI�%� DATE RECEIiED DATE ISSU/ED
( C�l b s �—i�
PERMIT NO.
A.P. NO. �`' 7n
BUILDING v �
AODFE55�3 ( ��-�!'Y(.EL� �
TRACI���� LOT . ,7 BLOCK
W ADD A P
OWNER !'1L(.ft �
SE iv „�1�A`�$ a� �a
FIRE �� '7
ZONE TVPE GROUP V'�C.1
APPROVED
Z NE NO.OF USE OF NE4y�.S-'/�
PLANS��� 6UILDING
YARDSAPPROVED VAROSAPPROVE
MAIN BUILDING ACCESSORV BUIIDING
(FFOM GL STP.PET)
/
FRONT FT. FT.
SI E U FT. FT.
L. SIDE ✓ FT. FT.
REAR /" FT. FT.
DISTANCE BET. BET. MAIN &
MAIN BlDGS. ACCESS. BLDGS.
VAR.# S`(� AppROVEDS—�-C)^Ip �
�.�.P.� V- g
APPROVED /� � J_/' y
I nerebv acknowledge that I have reatl this application antl state iiQLD FOR SPE'IAL REQUIREMET� ;':.
thei the above informaxion is correct antl agree to comply with
all laws regulafing building consttuction, and 1 shall not employ
any person in violation of the workman's compensation laws of
the State ot California. S/ T d � +,I b
I hereby certity that I am properly licansad as a contrector untler
IJSQ. FT. w o
the State of California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF �
Chapter 9, and that such licenses are in fuU force antl effact, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONIV: m
am exempt trom the provisions of the State of California Business �
VAWATION / �� m
antl Protessions Code, Di� 3 er 9. ' pERMIT FEE 5 �
7
SiBnature of ����� � 7 m
Permittee $ P�qN CHECK $ � / � E
`a
Authorized Agent LL
TOTAL FEE $/ � S
OWNER
GENERAL CONTRACTOR pwner-Builder DE:
AP No. _ LOT 33 TRACT �93 FIR
GAS
WATER
ROUGH PL
PROP. SW
SPRINKLII
BING
LINE
ROUGH MEATING AN� AIR CONOITIONING
TEMPOFARV SERVICE OF POLE
UNDERGROUNO � POWER �
ftOUGH WIFING
TRENCHES � FORMS �Aj] STEEL REI
FLOOR SYSTEM
BONO BEAM � STEEL REINFOftCE C
SHEATHING
FRAME ANO PLASHING
LATHING - IN OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AN� A.C., FINAL
PLUMBING, FINAL AND GAS TEST ��]�'
ELECTRIC, FINAL
BUILDING, FINAI
SPECIAL REOUIREMENTS
DATE
BUILDI
SUBCONTRACTOR
7-69
RMIT NO.
e W%Att.