HomeMy WebLinkAbout993 BEGONIA AVE - Building Permits�
�I
�
�
�--- -
PflOJECT FDUFESS: 9 9 3 B EGON IA AV
OWNEP'S NpME: HUTLER JACFt M
Pf�9HE$S 9�,3 BE�ONIA AVE
, COSTA MESA,CA
APCH/ENGINEEX:
AO�flE55:
UNIT:
92626
HEG.NO.:
UNIT:
PEHMITTEE:BRENT OWENS ROOFING (714)$35-1005
aooeess: 19 2 6 MAR I ON WAY
SANTA ANA CA 92706
LICENSEO CONTHACTOB OECLAHATION: I here�y attirm �ha� I am hcensed under pmvisions of Chapter 9(commencing wi�h Section
7000) of �rvisian 3 0� Ihe Business and Professions Cotle, antl my license is in full �orce and eflecL '
ciTr uc.: 51// 3 srnre uc.:60040 cuss: /19�
Date C7 i L Signature: � � H�
WONREHS' OMP SRTION DEClAN11710N: I hereby attirm iha� I have a certifica[e af consenl to selhinsure or a certificate of Workers'
CompensationryryIns r c rtiti py �hereof (Seciion 3800, Lab. �
POLICYNO.: "������— � EXP.OATE: 2�OI.I93
COMPANY: STATE FUND,y{
❑ Cerlihed copy is.hereby Wmished. C�, Certifietl copy is file0 wi�h th� e c�ng �iv��
Date� � 7 � qpplicanP. �
E%EMPTION POM BREBS'COMPENSFTIONOECLHBATION: (Thi55et�ionn¢etlnatbetompl¢tetli�thepermi�i5faronehunAfed�$100�of1e55�.
I certity that in I�e petlormance o� the work for which �his permi� is issueQ I shall no� employ any person in any manner so as �0 6ecome
sub�ect �o Ihe WaBers' Compensa�ion Laws ol California.
�ate: SignaWre:
NOTICE: I�. a�ter making Ihis declara�ion, you 5houlA become subjec� �o ��e WOBers' Campensa�ion pmvisions oi the Labor
CoOe. you musl �arthwi�h camply with such provisions or �his permi� shall be tleemed revoked.
CONSTflUCTION �ENUING pGEN � � tth cons mc ' g agency for �he pedormance o� Ihe work for
�. which Ihis permit is issue c�ian 3097 Qv. C�. ,
I LENUE .
! aoone s: TEAR—OFF SHAKE/AEROOF
W/TILE
OWNEF BUILOEB D ION: exemp� �mm the CanUadors' S�a�e License Law for �he bllowing reason'
(Seciion 7031.5 Business antl Pm�essional Cotle: Any ciry oi coun�y which requires a permi� �o con5tmci, alter, impmve, demolish, or
repair any s�mc�ure, prior �o its issuance. also requires �he app6wn� �or such permit Io �ile a signeJ sla�emen� �hai he/she is Iicen5e0
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B
PEAMIT NO: H 058636 PLAN CHECK NO; N , ,
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION '; SHEATH 6 REROOF 3200SF RESID 6 GAR W/TIL SQ FT: 10,230
CLAIM VALUE: 10,230,00 CALC—VALUE: 10,230,00 GROUP OCC_: R-3 /M-1
COMMENTS: REROOF—W/PIONEER TILE ICBOtk3748 6,4PSF !Y)1�x ����������p
�r*�x���r*��r�r**��r**�****�*��r*�*���r�r*���r+��**�****���r�*� *��* ra
Z O N I N GS ERTEB�A�CIKRSE M E N T
� REQUIREQ
------------ MAIN BUILDING ---------- --------- ACCESS�'I��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
PLANKNINGRN(3fiES> PROV; PARCEL; 41217607 2NE; REF NO;
i .�N
�3f it �t iE ikik k iklf iFiFlFif iF it 1FiFiF iF�E iF �E1f iF iFlFlFiF 1E iFiF iF if if fElf if iF1FiF dF if IFfFiE iF1E ik�E �Elf ik 1F iE if if if �E iE iE 1F iElE if iE i! 1t 1f'iF i4 if ik ik iF iF �F iF iE iE
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
�,�,
20NING APPROVED BY " DATE; j�;
BUILDING APPROVED HY ; DATE; �;?
APPLICATION ISSUED BY: DATE• g'ii �!�-
�r*�r�r�r****�r�r***x *�r�r�r�r�r�r�����������'�� *�r*�r�r�r*+�*�r���*�
iE it 3E iF it �ElE *iE 3t I! �t 3Eltlt �f �t�E 1E �t 1E �F 3E �f iE iE iE if iliF 1F �FiE iF if ff iFiF �E �E 3F k iE iFiklf iE itit it it 3E iE �f 1flE �E it �Elf �t �IF �f if iE �1Fif iFitlF iF if dF1F1E iF iE iE if
LEGALI2ATION;N F E E 5 II M'M A R Y STRUCTURAL SEGMENTdY
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES Gf}RADING
PERMIT 126,00 - 1 02 ;�.
pursuam �01he pmv¢ions o� �he Contractors S�a�e License Law (Chapter 9(commencing wi�h Secbon 7000) of �rvismn 3 of �he Business PL� �� ' . . � _ SM I P/NON—RES'� ,
antl Pm�essions Code) or �ha� he/she is exempl Iherefrom and the basis for Ne allegetl exemp�ion Any violation o� Section 7031.5 by � �
any applicam �ar a permit su6lects the apDlican� to a civil penalry ot not more than �ive hundred dollars ($500�. I rJJrQE FEE
BUILDING—DIV-> PERMIT ISSUE PLAN—CHECK TOTAL PAID �` DUE
I, as owner af the pmpetly or my employees wi[h wages as ��eir sole compensation, will do �he work, an0 �he TOTAI,S---->' � 127, O? 0, �0 0, �� 12%, �2 12%, 02 �� , ��
❑ stmcWre is not intentletl or o��erea �or sale (Section 7044, Business an0 Professional Cotle: The Contracmrs' State License Law . . .
Ooes not apDty to an owner of a properly w�o builtls or impmves Iherean, and who Ooes such work himself/herself or �hmugh ' %
his or her own emv�oyees, pmvi0etl that such impmvemems are no� intended or ottered �or sale. �t, however �he bui�ding or REVENUE D IVIS ION TOTALS—=> COLLECTED • 127 , 0�2 ' OVER /SHORT • ��
impmvemem is sa�d wi�hin one year o� comp�e�ion, ihe owner win have �he hurden o� pmving he/she Uitl no� bui�d or impmve $j�DG PMT PLUMB ING ELECZ'R I C MECHAN IC FIRE SM I P/ TOT GRAD ING PLAN—C $CF(
lor Ihe purpose at sale�.
I, as owner o� ihe pmperty, am exclusively contracting wiih licensed contractors �o consiruct the prolect (Section 7044, Busine55
❑ and Pmfessions Coae: The Contracmrs' S�a�e License Law does noi apDty to an owner of propeny who builtls or improves thereon
antl who comrac�s �or suc� pro�ects wi�h a comracmr(s)license pursuant�o Ihe Contractors' S�a�e License Law�. I am aware
thal proaf af �heu Worker'S Compensa�ion insurance shoultl �e pmvidetl �o me.
� I am e�empt under Section: B. 8 P. C.
for ihis reason
Date: Owner: '
I ao hereby certity �hat I am aware a� antl untlerstand [he requiremen�s of Califomia Healih and Safe�y Cotle Sec�ions 25505, 25533, antl
2553C and that I or any fuNre huiltlin9 occupant will/will no� (circle one) need to comply with saitl s�a�e codes antl �he repuirements for a
permi� for cons�mc�ion or matlitica�ion imm �he Air Ouali�y Managemen� DisUicL Resi�eniial cons�mc�ion applications are exemp� �mm
�hese pmvisions.
�ate: ApplicanL
I here�y cer�i�y NaI I have read �his apPlica�ion and s�a�e iha� Ihe aboveinforma�ion is
ordmances antl sta�e laws relafing �o bulitlmg constmclion antl hereby aWhonie re resent
pmperry for ins clian purpa5e5.
Da�e'. � y C� Signature:
�river'sLicenseorsociaiseariiya:
to comply wi�h all city an0 county
[o en�er upan the above-mentioned
16<t�0fi Wbi�e—Builtling�, Green—Code Eniorcement�, Canary—Applicanf, Pink—Revenue; Goltlenrod—Assessor
126.00 1,02 ��
i7
!E iE jf it iF�F �FiEiFif if ikiF iE iE 3flE iflE 3f iE �1E!! iE iE 3E 3E iE iF iE i! iE �E k iFiF�F 1E iE i! 3f iE iE iF �Fik �F if iF iEiE k�E iF iE iEiFif iF �t �FiE iF iE iF if iE ik1F �E iF 1E iF 3t �E iE iF if iF
I N D I V 2 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 TOTPiL'`�COST
SFR� 10230 �REROOF BY VALUE RESIDENTIAL N020NE " 1,00 ""'— 10,230.00
END OF FEES ,9
. . _ . . . _ . . _ ._ _ . . .�.. .... __ .,.
�;.
� r � � �� '�„/%
",. � � m:
� .� .
- ►�1 A�1G i 7 ]992 �� � �`,'
i •,.
� OF COSTA MESA
. " �_ . t
CO!:ISTRUCTIONAND�PLANNWG ,, , , POC._.�SPA . ,'
APPROVALS Permit# " � Date inspector APPROVAL5 Permii# � Date Inspector'
7.�=�Temporary-Electricai Servi�e:or Pole . � � � '52. �Pool & Equipment�Location - � '
2. Soii Pipe�Undrgrnd. " - - �- �t " . � 53. �,Steel Reinforcement - - �
�ri.r- .i� � r�. � �� i`
i,3°E.�€ctrical Conduityl�iilitV-Undrgrnd' , � ` -Y54� �Forms . '
ti• 4:'Etectrical ConduitcliLidrgrnd. . - - , i 55. Elecfricai Bonding � -
�' S'�S(seel Reintores�nen.� .. �f''' T56. Rough Plumbing & Pressure Test _ -'
� -�
O'$-EdPctricai UFEB Grnd. o - �. �:57. APPROVAL TO COVER-GONITE : -
.`
;� 7,�'o,;otings }., �^ � ; L58. 'Electrical Conduit-Und?gmd. - -
v, -r. �. : t .!
�:;�SjrFoundati0n �:; ,E- • - �58. Gas Pipe, I� Undrgrnd., Test
9. Water Pipe-Undxgrnd. . h:' � � '- -�60. Backwash Lines, P�Trap,,C] Undrgrnd. � `
.
?0. Structural Plooi System �� ,� � - _ j61. APPROVAL TO DECK ��-
5}, Aroperty Sewer Line & H� sef.onnection.a -. .�� S2. Backwash & Receptor-Finat ;
12. $gwer Cap �, "" o � '�, . - � 63. Heater & Vent-Finai , � F
13. Roof Drains % � �`. 4 . 1 64. Plumbing System - Pinai - � `�'
14. Rough Plumbing f" � � � � 65. Electricai-Final ' �
15. Rough Electrica6Conduit i � 66. Solar SYstem-Final '
�
t G Rough Electric Wiring ' � � 67. ;Fencing & Access ApProval '
17. Rough Wiring Sign ' 68. APPROVEDFOR P�ASTERING '
18. Rough Electriq"�a�t�T Bar Ceiling' � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � ' '
- -- - - - - C :^r�r-_s.- x :U
20TRofiyh Factocy F.iieplace ��'"'� 1 3 x ��: �-`� %� T�PPROVA�S,��C�permit # y �.
'� _\ tC � `t i S - �` R �.`_ '; S Fa G' -•: .X a '
� '� l !-' � `rC>>. '/ -: -"7 J�: �. � .'� .�..�^'^ �•i ^ �+
21 "�u' s, i�Str:uctu[e,K i.. .. ,�.� :y S - .-+:- <.70. Underg:�und Hytiro i:
22. Ducis. VBntitatirig,K r�J � ;` S* .x '71. Produc('P,i�ing L9�'C"ias L1t0il
� n �.-f r1 x_ i ,-,r: x
23�;Gas PipERough &'Test � yg * n; :�� ���a � �72. Underg orind Fiush �i � �"� .
24:=�Roof Framing :i:i , . . � � ': 1 =• x :r i73?�UndergrniP. Storatje:T.�nk:� Gae ❑ C371
r.��r '`n � --�z:; '� � .t, _a
` �v } •; c ' � G+-, • ,-.r•� M
25. Ro� SFreathing ,�x ,1 ;�. _ jq lte� 74-: Overhead Nydro-.
i 26�_S-8er Ceiling (Str�oturaq &:,tvl�nocoat a: m G �.��. x 75�.;Q�Py Chemical �- �` `"� �U �
K� r'! /f Y >' T+.+ ITi
� 27 �Fra e and Flashi.'n _ �' �%- `'� • tn'r. �s x.; p; �r
.:1 i� .� ..�� _:+.w x S ;.. ,�?: - 76: D�y StanC}�!Pe r.,� z __ ry
I •=28� La�ing:-� Sidiny`.� :�s ���� u'. �}_ �Y y 77� FIXED $VSTEM.�CINALr v.y ;�
:, x�n ,x,. � i-� z ^ r
"29. Insuiati'on � 'y-.: "' ;�� � .. x K 78y FIRE PREV. FINA�L :t � � y
_� .. . �:�
II .-30. Drywall�Nailing _�? � ��Y � HEALTN�DEPT: R�EQUIREMENT
z:r, ^� �
� G31. Plaster �o�q Coaf�`. � � r. x � �K f„79`.'FINAL IIVS�CTION ��� " �
I �32�.;Electric@1 Po�er�Meteo-Pinal, ^� x:L s� ^SO:rF00D CERT�IFiC�TE ISSUED� �
r+ 4r i�
,33:`�Fin I Electric r''' ' ' � '� � `�` 'No�`es: � ''� �` - ;,�
�. :� "Dx 'r� 'S x � : x �- -� C. Yc ^� .:�7
j34:-Finat Fleating;& �7�ir.cG�onditioning; �: :< � � . r >�. .� !1',= 5 �;,:,'v
� �,. �a � ,� � x :�
.:35��Finai Ga3 PiPe-T�s � M;-%` -� -` ` " �: .7 ;"• S .` ='G
^ x' � �-�: � :c C� i x� i-+:'
: ..i � �. ~ _i .
�y.36FHooii o rCanoPY�' � 1'�' " x f i � ( 1< x_ 1, f�: � � di�
f r'v x: m #:
^37 �Firi�l Faltory Fire�3�ac'eti � �`+, •`' .'' , I _'�"` -�" _ w ` :'�
._. v t : X �:
_ . � � ^ ✓ .'� i ..> • � . .
38. Finai Pluir6ing -�"t'�i�� � ` ..fn: �s �� - i-, -: _+ �i
-_ - . 4. � r- s
i.39. Waier Se�vice=Fin'3K u � `" � r' �:-:� i' :� O
r: r" : u. I �=. . •• i J
.r r[ �.: ;_ . .. . -.. . .-.
i,40. Gas Ser yce-Final ..,� ir eL�*•ir �; �q I � x.i �w- � V z. �
..r r�
� 41. Solar pornesiicFinal_� �� � v+ � x'� K;� -� t
�r� 'i I � k '�. in ';i�' ?i .`
�42.`8ackflow P�evente;� ` �� • '' ; ' ." � �� . - ~ �
' - -
:J x � { 1, j:� ':.
43. Backflow Irrigation;,` �+�� + ' ' -Y. ' �1",'-:A x G �-+
'�r. x ,� - fi. •
�44`. Landscape li�igati'rSYstem�+`��� . - 77 p - 1>. �, n? �; a- �L:� :� i o
- - ^ "' -
�45':Sound Attenuatiop ���-;= - �r r �' `" -.`:' �+ �c r:� x'u,' '
'� /-. �n .N `Aa: � - - . �r � i'
'1 1'�� � .ti Y �`� •• • N. l / '/ �i.J ' '� t
'46:;Handicaq Regulauor�s f.i_' `" � ��� T z ��.5 r,�, �S
47.;FINALSTRUCTURE&�BULtDING �„/�Z � `� �� ni�;5 �� �
�+ i .-,� �..a , ,� i :� �--
' 41 '�-�' . �C Y • '. .il 4 J . V _.
48:�INAI.PLAtVNIMG_ �. , �;:� � f�_.�r,:g r, iq �i �; E o
�
,� � '
�19'.-ElectricReleaseto�Edis'on, t R � � x�i: _- �/'/��.� i ' " �.:
, r ^' � . • . :4: n � . 4:
''50�..Gas elVase,to ern California Gas Co " � ' " F � �� " "'
2. � � * � I In �- - o' at^ O '
�51�.'CERTIFICATE Qf;OCCUPA Y ; ; -. ;, � -_„ .. � _ ,.,
No. � Date
TRACT \'0. %7�p
IAT N0,__�
�D�ss 993 �e9��,�
DATE 7���J
The developer of tYie above entitled tract desires co sell the above set
Eorth lot prior to the time that the tract has been completed and its stzeets
accepted by the City of Costa Mesa.
The undersigned, by executir,g this agree;�ent, acknowledges that
(he-she-they) (was or were) advised that this tract has
not oeen given final inspection nor has it beer. accepted by the City of Costa :�esa
as having crnplied with the coaditions of approvai which were imposed by the City
at the ti.-ne the final tract map was approved.
The City assumes no lizbility for the eaiorcement of the conditions
necessary for approval other than those coaditions protected by surecy bond.
The undersigned agrees to'indemnify and hold the City harmless from
any clain resulting in damage or personal in�ury to the undersigned by reason
Of th0 BfoYea:entioned uncompleted condition.
RECEIVED
CITY OF COSTA hiESA
PI;A'NIfdG p�PT.
SEP 5 1973
AM pp�
7i8i9�l0iII�I'1i1i2�3i4i5i6
�
BY �� �
urchaser
� /
_�- ���
BY �— l2 i� i�-��' -e:(�� '� '
Developer and/or authorized
` representative
sY �Z ,_1���. l. /?,-,�
Lender
_._,. . _ .. . ,.
--.. ._—____....._.._T..___._--.�_-_____-�..-�,__.,_.._._...._.._.---_ -.^___._......_..�,------ –
PATIO COVER DETAIL 6/1/61
�STATE--`�Y
SIZE SPACING �
pVERHANG � ��� o
, � � RAFTERSt %t' "�, '��' �
_�.« � cu�TH �� SLOPED FOR DRAIN
a' �h
��x
STATE SIZE
3/�g X 2��-T-STRAP
f
�
s
= POST-BEAM
� CONNECTION
`A
POST
CONTINUOUS
3/gt5 Logs 32%. LEDGER
Predrill Ledqer �
Predrill Eziatinq '/�-3 Deep
JOIST HANGER
Or other app�oved methods N(")�
of suppurt ♦ tie. J'
ACL LUMB£R DOU6LAS i/R
CONSTRUCTlON" GqADE
S OW%S E O�ING
SHOW LOCATION ON REVERSE SIDE,
+— SLOPE TO DRAIN—
.,. 4.
� .
DROP PATIO
' � � �' PUDDLED SAND FILL
� �:..`��` _a .
a .:
12� "� - Remove G.ass And Weeds Down To Nctural G.ode
'.:-e;'...
-� .j .''! CONCRETE MIX 1:3�4 MAXIMUM WATER CONTENT
POST ANCHOR �-� �.�..'.� 7# GAILONS PER SACK CEMENT.
For Pipe Post. Embed �1z� � ' Provide 26 Ga G.I. Flas�ing At Wood Ftoor Const.
Pipe In Footinp. �
Provide Flmge Or Weld Plate Saewed Or Bolied To Frame. �
FORM BU-�
NO 1 M
FOR OPEN EGG CRATE
ALUMINUM OR PLASTIC
ROOF COVERING
MAXIMUM SPAN
1 7• 0.•
�
TYPICAL JOIST ANCHOR
�SF�SIDE FOR PLOT PLAN.
t h I NO 2
FOR SO�ID SHEATHING.
SHINGLES OR 9UILT UP
ROOFING.
SiZE aAaNG MAXIMUM SPAN
2x6r 12°/a 15� I�
�O 13" 3"
�° 10' Ily
2"z 4"' 12 % 9' I I•,
i i' o- rx a• i s�h s' s-
10� 0" 2'% 4" 24% 7� I"
NOTE: FOR PROPOSED OR FUTURE ROOM,OR WNERE PATIO
WAL�S ARE TO BUILT. USE N0.2 CHART ONI.Y.
WIDER RAF SIZE MAY BE INTERPOLATED FOR
SPACIN NLY.
FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO
WALLS ARE TO BE BUfLT SUBMIT GOMPy�7F HOUSE
AND ADDITION PLANS
a
i.
u
�
Ap
C,y oF
�
�..
y_,...... �E .
i tHESE p GNAN � ,N�tH
MPKE tO (1N�
OF D0P • OR GRAN
tHE �SS�pNCgPEG1F�Oft �ANsi
00 0E ASPETHE Pft� ISHOR�OF
O4 ANNG�SQ G�� ZNSS ����Wt.
5� pVIS10NS �F �R �gE
PR SHE W�RK �
FPR � OF A
THE �gSUPN� ftEQ� R�N
gNECIFI`HE�EA�tqNo SPE�11
FFOM pLPNs AS10NS BE� D
\N 5��� ER
gU\1D1C1 T ON �F TN15 GO
`�Fv(NE �1� �
-�---, ;=�. �� -��/__"`�; �J�,
r_.�
�--�=-
STRUGTU
SEPARATE F
FOR ELEI
NEATING
��r��i
TNIS !tiU?.4
ALL !�
FQR QJii.D:D;::
BE Ei:APLUjt[
STP.TE �F l
�hl�,:J!i �°.�. �
r`
APPROVAL ONLY
2MITS ARE REQllIRED
P,ICAL, PLUMBING,
VEt;TfIATf�JG AND
ERATIOPI INORK
�7�
P.��1ST !;1;v;,�flPAh
;E�id .�'iEQJE�TS
:i� :c Pc:+SC�:S ARE TO
!c Sav��Si 'tn;�T THE
iF�l'?Y!A DiViStCN flf
�TY �� COPiSULTED fOR
II'iir3dTS
OP'Y" �, un�-
N S�p 50R A�pROVP`
�u� .
pF p PEND �TBOR��N��'S ON �
SKPL� pF, "NV lt 4RE' ��
pPAQVA�UE N� P�pN EL j S� `..
jN�S �� �E Ofl 1f1
j0 V40L VAl)B, EY.GEN �Wful.,
1ALL,T AUSNpR1ZE5 15
�N Ng ANQ
RRMECIjgAS�oB}�t1NN f Vb� Q
TN4, COOR FR��Ey{yPE��,�,�NN _ .
��pkR�EO OK 1NER �p9a"�
OR DF ��' p`HE8
N
/ �� �
\ .
e�
��
�� � y��!'��
�Q�ry Of C TA M=5Y
PIANNIN�i p�T. aE0.
sueyKt ro ew�'
�cDA�-�"�
aY.�-�� a�
� �c?�jC!:i , �:.� —
' �`� � ci
�/ J
% 363:�
LOSTA MESA BUILDING-SAFETY DEPARTMENT
3�1 A p,O.60X1200 COSTAMESA,CALIFORNIA92626
. For Applicant to Fill in Completely .
owNea LARWIN Sou#k�ern California
"'^�� 16255 Ventura Blvd.'
Z ADDRESS
ac"'.� aTv Encino, Calif. nrio��986-8890
zQ CON5TRUC710N
. o� �eNOEa Larwin Southern California
J �, -BFANCH 16255 Ventura Blvd. .
JN'
m J aooaEss Encino, California
m ARCHITECT TEL.
J a OR ENGINEER N.�L C7
U N . . '
w¢a ADDRESS 9100 Wilshire Blvd. Bev. Hills
p. W'
� o CONTRACTOR LyT'Wi Southern California
mZ -
� � ADDRESS �.:�16255 Ventura Blvd.•.
w w 7EL.
� cirv � Encino 'Calif. No 986-8890
ZF
—� STATE � CITV
y� LIC. NO. - 191.311 . LIC..NO. $-1
_ � S12E ' NO.OF BLDGS.
OF LOT (7O X�OO � - NOW ON LOT �
USE OF -
ExISTING BLDG. ' �
I— 512E OF NO. OF
Z NEW BLDG. 19H% qOOMS STORIES 1
a EXTERIOF WALL ROOF
� V COVERING COVEFING - OOd I11I1 1
� J USE OF BUILDING AND WORK TO BE PERFORMED
a
a
Q
�
F
�
z
O
F-
U
�
�
H
z
�
PAiG
�� � t-�;�:��� GO sy;:� -��:�� 15�.?4
LI A ION FOR BUILDING PERMIT �
D E ECEIVED D�p15$l)ED
� s q.LU.ia�.
-� .
PERMLY�Mp� / �)
�--�—
BUILDING �y z /
ADDRESS / / � L<
TRACT ]J],$
N W ADD A R
OWNER �A����
sE .QES u/ T
FIRE
20NE T
APPROVED
av
ZONE / NO.OF
� PLANS �
VARDSAPPROVED
MAIN BUILDING
(FROM GL STFiEET)
FRONT y�FT.
F. SIDE .5 FT.
L. SIDE � FT.
REAR f� FT.
DISTANCE BET.
MAIN BLDGS. '
VAR. #
C.U.P. �
APPROVED '
NOLD FOR SPECI,
I hereby acknowletlge that 1 have reatl fhis application and state
that the above information is wrrect and agree to'comply with
all laws regulating builtlin9 construction, antl I shall not employ
any person in violation ot the workman's compensation laws of
the Stare ot Calitornia. ' / n
I hereby certify ffiat 1 am properly licensetl as a contractor untler d SQ. F'I
the State of Calitornia Businass antl Protessions Cotle, Divisicn 3, H AMOVNT:
Chapter 9, and thet such licenses are in full force and effect, or I THE PURPOSE O�
am exempt from the provisions of the State of California Business VALUATION
antl Protessians Code, Division 3, Chap2er 9. ,
Signature ,�� �J
Permitt¢�� ' L� .(/UL��D_' DOWC7S $ 29�8�� , •
Authorized Agent
�
USE OF N
BUILDINGw
VAR�'.
FT
FT
BET. MAIN &
ACCESS. BLDGS.
DATE
APPFOVED
„oTF `� 9—
�
% T� �.
R VAWATION IS FOR � �
3 A PERMIT FEE ONLY: m
¢
ee §101.50 �
=cK s 50.75 E
o`
LL
:e $ 152.25
OWNER
JOB ADI
GENERI
AP No.
INSPEC'
sm�
GAS
W ATER
ROUGH PL
PROP. $W
DATE
SUBCONTRACTOR
SPRINKLING SVSTEM
MISCE4LANEOUS
ROUGM NEATING AND AIR CONOITIONING
TEMPOpARV SERVICE OR POL
UNDERGROUNO � POWER
ROUGH WIRING
FLOOR
BOND I
FRAME qN0
Q
�J�C 10-7'�n�u00 305• 6.50
-'r.ricr '° ti: � :�; �•
,�� ' 37672
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
- LI ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely �
RE I BV %�ioElEIV DATE ISSVED
BUILDING �n� ���or��A y� / � �
ADORESS �
OWNEF �/Li-GY (YJ%-7C•t � A.P. NO•7 �" PERMI
MAIL qG �j . BUILDING �1 _ �
Z .
ADDRESS //� ,IJp 6-B'YI � A ADDRESS ✓ _� // J
/1 TEL. TRACT LOT BLOCK
d U CITV (�U� m�,S �} NO.
ZQ CANSTRUCTION -- W ADD AL ER
O � LENOER
n. m � '
J � BRANCH
J N OWNER (,�
m J ADOFESS - - VALUE �
m ARCHITECT TEL. S `U $
J a OR ENGINEER N.
V N FIR r, 1��
Z a ' ZONE TVPE � GROUP
w 2 ADDRESS
a W APPROVED �]
W Z CONTRACTOR BV DATE ,/i�/U�
J Q
m Z
J � ADORESS
W w TEL. ZO E NO.OF USE OF N
�= CITV ' NO. / PLAN$ BUIIDING u�l�lJ -�
Z F
w � STATE CITV VA%7DS APPqOVED VA S APPpOVED
y K� U0. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
7� SIZE NO.OF BLDGS. (FflOM C/L STR ET)
OF LOT NOW ON LOT FftONT -� FT.
USE OF
EXISTING BIDG. S D � T. FT.
F— SIZE OF i� (�� NO. OF
Z NEWBLDG. �J �) ROOMS STORIES L.SIDE FT. -
U EXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
J USE OF BUILOING AND WORK TO BE PERFO MED DISTANCE BET. BET. MAIN &
d MAIN BLDGS. ACCESS. BLDGS.
a
Q VAR. � DATE ,
O ' q"� \ d � B iJ 2� QU.P. � APPqOVED
N ' APPROVE / P � O
f�
z
o iE
UI hereby acknowledge ihat I have reatl this application antl state
_ ffiat ffie above information is correct and agree to comply wiffi
� all laws regulating builtling consttuc2ion, antl I shall not employ .
F any person in violation of the workman's compensation laws of
the State ot California. � �
N �
Z I heraby certity that I am properly licensed as a contractor untler Q. FT. o
the State of California Business antl Protessions Code, Divislcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
>
Chapter 9, antl that such licanses are in full force and etfect, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from tl:e provisio sof ffieStaxe of Calitornia siness ¢
antl Professions Cnde, Divi '� 3, apter 9. e VALUATION �� N
PERMIT FEE 5 ]
Signatura ot / m
Permittee $ � � PLAN CHECK $ ��L E
J o
Authorizetl Age LL
TOTAL FEE $
vniv�rt jjU'1'Lii''K� JBCK VA I C 1Z 1V- (}
.JOB ADDRESS �9� Aeppni a nvP. BUtLDING PERMIT N0. �7(72
'rcuvn�i rnuTo�fino P�..�.__ nvc�e�orinu_ewnev n'i'_ n.,'"..'
(Z;INSPECTIONS
"\sm�
' �r G�5
�1 WATFR
ROUGH PLUMBING
MISCELLANEOUS
ROUGH HEqTiNG AND AIR COND1710NING
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWEF �
ROUGN WIRING
FRAME AN� FLASMING
LrIiHING — IN n I
PLASTER. BROWN COAT
HEATING, VENT., REFFI(
PLUMBING, FINAL RNO G
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REOOIREMENTS
SUBCONTRACTOR
�2 `�'u-� L'rl,n.J�. /�'�{. �a.�.�G'J"1�0,(,..
/ R�
vd,. f?'l� � l—/%