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Home My WebLink About2035 CALVERT AVE - Building Permits1 4 ADDIRMOFSInLGINc: 2035 CALVERT AV ORT' ONNEWSNAMEIFIGfORW,. CROM, GAYLORD L FLOOD: AE -46 MDREss: CROM, SHARON D 2035 CALVERT COSTA MESA,CA 92626 APPL. MARLING ADOIM ARCRRECT OR ENGINEER: MCK OR ENG.'S ADDRESS: LIC. NO, UNIT: CBNmAcroHs Nm: CONSUMER SERVICES (714)839-4549 caNRAcmirs MMLmG 16702 MT BAXTER mymw FOUNTAIN VALLEY CA uctil 676090 92708 WNM LICENSED COMPACTORS DECLARATION: I hereby atlkor under penalty d penury Iha I am licensed order provisions d Chapter 9 2mnowith Salon TOW) d Division 3 d the Businam end PrormdomCodeendmy Iweme w in Iu0 force and e0ed.:O6 74,uc.cvsSC39c.No.:676 90 EXP•• 10/98 /� 4CWreoor Iy(�,_.�(V?DE DECIA ATION: I hereby affirm under penely d serlury that I erre exempt Irom the C as Liranae Law la Breon (Sodion 7001.5 ausureas and Proleaions Code: AnY cM a muwy ebidr reluires a permh to ern. alta, improve, demol'oh, or repair any structure, priorto lts bmance, also reyuirm the apptimnl f« such parol to file a signed eWamnl that M a and is licensed pewanl to the rovisions of the Comrades Liceme we (Chapter 9 (mmmenci g with Section 7000) of Gelman 3 of the Busineo nd Pi admdone Code] or a that he she a exempt thand the athe basin fa the alleged memption. MY motion of ect Sion `W t.5 by my applicant la a permit aubjMa the applicant to a civil penalty of W more than Me hundred dollars I. as owner d be properly or my employees ekh wetter as their sob mmponcetion, will do the work. and Ne woroure is W imendnd or dlered fa sae (Section )Old, Busima and Prdasicne Code: The Contractor License Law does W apply to an comer of propend who Wolds or inpmes thereon, and who does such w«k Nmse1 or herself a through his or her over employers, provided Ilial each mpowmame ere not inleaded or offered for sale.1, however, the Widintt re vnpnwemom is sold within orre year d mmpbtion, the owow4micer *11 have the burden of proving he or she did W build or improve 1« the WrPme of sale). 1, m owner d the pmpwt , am exclusively contracting with licensed connectors to construct the project (Section 70U. Busirrea and profession; Coda: The Contractors License law does W apply In an owner of popeM who Wide or impoym Iherem and who mntrans for suoh Proleds with a coarector(s) Roamed Wrsuant to the Contractors License Law). I am exempt under Section: B. A P.C.. f« the remm: Data: CW e: I do hereby cealy that I am aware of and understand the reguberom s d California Health and Salary Code Sedi«w 25505. 25533, and 2S53d, and the I a any Mum buiding oaupant vn11I will W (circle one) need to comply with said state codes and the requirements; M a permit lormnetmclion or modifimtionhanthe Ak`&`aWYWZagmwnt District. Residawal oba ration appFmtionean wmpt from rheas Dale: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of perjury aw of Ins following dederaione: I nave anal wit matntain a of there or mmant Ih thin; h ran so . compenmlian, m provided la by Section 3)00 d 1M Lab« code. for the performance d the work la whish Mie parsed le ivund. -L7 I have ad wilt mainten ewken' commneelbinsurance,as m n insuran, yd uired by Section 37W be Labor Code, ler the Mdamm end the 1�' work fa which Mia permit is baued. MY wahara' compensation msurmce rimer and Inolk•/ number ore: Carder: GOLDEN EAGLE EXPIRES Po1ky Numb« 03/23/98 (This sercrlm need n« be cornplaed 1 the pemrk is M one hundred della , [$1001 «lass.) 1 cedLy, that in the pedormarce of IM work f« wbch this owned a reseed. I shall W empty and poneon in arty manner, so m to subject to the workers' mmpenat. lees d Calibmie, and agree that 1 I moud bemnns subject w the waken' / comps mlion proveiona d Wion 3700 d the Labor Coda, 1; to hwn�py vis 1 prone I ore: ( �� Applicant: -''//yds, L g: Fallon to can warren' mmpelsm on romrage is unlawful, and shell sublecf an WI.Y. a, crmlrwl penaltlm and well lines W a ons hundred theumnd da/an f$109 00(71 In adfidar b IM east of comperuaflan, danagm as padded ler In Secdon 3706 of tlw Labor Coals, Infarssl Md ettamsy's foes. CONSTRUCTION LENDING AGENCY: 1 hereby, affirm under penalty of penton, that than e e comedian lending aganry ler the performance of the work for whidn the permit is bsund (Section 3097, Ci, C). LENDER'S NAME: LENDER'S ADDREBB: I ceafy IMt I have rend this application and state that fine eboye inlormaion is moot. I Mee to c«npy with At dry and county adinemee ad orae three relatig to buildng consnudion and hereby aphorize repreaenlaf ares of this dry to enter upon the abaa-menlioned popery fa impaction purposes. FRANK MANG I S I (515115WP) Whole -Blom Dae: 1.598 Pink -Revers.; Oddenrad Awraamr /36% CITY OF COSTA MESA - BUILDING PERMIT O PERM NO: B 086600 PERMIT NO: B 086600 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF RESHEATH & REROOF W/COMP SHINGLES SQ FT: 5,800 CLAIM VALUE: 5,800.00 CALC-VALUE: 5,800.00 GROUP OCC: R-3 /U -i COMMENTS: SMOKE DETECTORS RE?UIRED PER 94UBC 9h if+r iE iF jf iE SE iE iE iE irk 9k iE,it iE )f iE;E 3f if irk alt irk iF 3f jE 3f if iE if)E iE 3E+E iE iE if iE iE 3f it it if iE iE lE iE iE �E+E alt irk jE iE i(��E jl5E 3E jE 3F iE �f jF iF 3E jF 3E *iE jE iE+E iE iE iE irk Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- 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: 13940416 ZNE: REF NO: PLANNING NOTES> 112.83 OVER/SHORT: / •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING -'PLAN -CHECK SE dE if 1E 9E 9k dF 1E dE if cit * 9F iEN dhik it iF kE dF * 9E dE 9E lE dE fE * iE inE lE * kE iE di dE iE * * dF iF iE alt iE fF iE SE irk * irk iE 9E iE iE * 9E * 9E * * * iE kE iE 9E 9h 9Eii iE'9E ih * iE 9E iE i! 1F iE D E V E'T-O P M E N T S E R V I C E S R E Q U I R E M E N, f -S iF**3E dE df iE dE kE*rEi(-jE*iE irk kE**9E*dE 1E***5E dE 9F**jE 9F 9! I N D I ZONING APPROVED%BY B R E A K D O W N DATE; n I D E S C R I P T I O N BUILDING APPROVED BY APPLICATION IS'SLTED BY: TOTAL COST SFR 5800 DATE: DATE: BY VALUE RESIDENTIAL NOZONE 1.00 iE iE*iE kE iF it*iE iF iE**9F iE SE iE iE 9E dE dE iE irk iE 9E**iE dE kF iE iE YE LEGALIZATION: F E E S U M M A R Y STRUCTURAL S GMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES '^ GRADING PERMIT 112.25 •58 SMIP/NON-RES PLAN f+ ISSUE FEE BUILDING -DIV-> PERMIT 'ISSUE PLAN -CHECK TOTAL PAID !T DUE TOTALS ---- > 112.83 0.00 0.00 112.83 112.83 .00 REVENUE DIVISION TOTALS--> COLLECTED: 112.83 OVER/SHORT: / •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING -'PLAN -CHECK 112.25 .58 jk fE9E iE kE lE dE iF it if kE*dE iE it lE lE iE iF if iF df kf lE 9EfE dl irk dE it lE kFfE dE irk kt irk irk iE fE'IE dE iF 9E 9E iF**3E dE df iE dE kE*rEi(-jE*iE irk kE**9E*dE 1E***5E dE 9F**jE 9F 9! 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 SFR 5800 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,800.00 END OF FEES 81-15-1998/83:28 Ptl1i112.83 RCPT9:81-N18233 PERMIT:086600 W' CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & Sr'a - APPROVALS- Permit # ) Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. r 53. Steel Reinforcement ., • ,3. Electrical Conduit Utility-Undigrnd. 54. Forms 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding . . 5 Steel Reinforcement - 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER-Grnd. 57: APPROVAL TO COVER-GUNITE ' :7, Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. -' 60. Backwash Lines, P -Trap, O'Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK 11, Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap _ 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14, Rough Plumbing: 65. Electrical -Final i 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring - 67. Fencing & Access Approval - 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air. Conditioning y _ .� • - FIRE DEPT.. R EQUI REMENT APPROVALS` Per # '" 20. Rough Factory Fireplace _ _ - ,�- - 21. Ducts, in Structure'- 70. Underground Hydro 22. Ducts, Ventilating -• - - •• 71, Produci Piping -0 Gas C1 Oil 23. Gas Pipe, Rough & Test 72. Underground Flush .: 24. Roof Framing n 73: Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing �' //pAelp �Tr-. 74. Overhead Hydro .^ r 26. T-Bar'Ceiling (Structural) & Monocoat i 75.,Dry Chemical 27. Frame and Flashing 4* 76. Dry Standpipe 28. Lathing & Siding 77: FIXED SYSTEM -FINAL . 29. Insulation 78i FIRE PREY, FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown,Coat' -' _, 79. FINAL INSPECTION• 32, Electrical'Power Meter -Final 80: FOOD CERTIFICATE ISSUED' -_ . 33. Final.Electric� _. Notes: , - 34. -Final Heating & Air Conditioning , _ - : ' 35. Final Gas Pipe -Test -, 36. Hood or Canopy r' - 37. Final Factory Fireplace,.• 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final 41. Solar Domestic -Final %'- 42. Backflow Preventer j I 43, Backflow Irrigation - '- 44. Landscape Irrigation System,rj- 45. Sound Attenuation'' 46. HandicapRegulations + 47. FINAL STRUCTURE & BUILDING /f)� _ .YD e$ Carte •- y L rr �n 48. FINAL PLANNING` 210 a- -r 49. Electric Release to Edison ,r 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. Date I CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor c Ft�531HnTRrL Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. " I 1 2050 2/09/87 5.00 tTL ' 'CITY OP COSTAMESA CONSTRUCTIONPERMIT ) / Pro'ect Address �3�� p�',a/{� _ Applicant's Mailing Address _ 0 ' / C ' , i `z•, /' Owner's Name, _/ /!n%iLt 1 Phone Address 1 Y N '\-. N CYl �� !TRACT NO. LOT NO. ' ',UNIT NO: ' TYPE OF CONSTRUCTION Ll NEW LJ ,ADD Ll ALTERATION EPAI R ❑ CONVERSIONS ❑DEMOLISH ❑ OTHER - _ -_ . . - - _ _ _ - _. + DESCRIPTION OF WORK/USE OF BLDG. . .1 - A.P. S Main Building: I Accessory Building: , 1 Arch/Eng: I ' License No. Address i I TYPE OF PERMIT GRADING ❑ OUNDATION STRUCTURAL ❑ TENANT, ❑ ELECTRICAL' PLUMBING ❑ MECHANICAL • 1 ❑ OTHER , ' - PROJECT DESCRIPTION . SO. FT. OCCUPANCY ' - ( CONSTRUCTION;TYPE .VALUATION$ i ZONE GRADING CU. YDS. ACRES , - E T Front Z O B Rear 1 i N Contractor's Name Phone Q 1 , Address (mailing) - City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under' provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and D Right ^ - N K S Left 1 G R _ pin .Ref. # ' i Parking Req./Provided g . E Remarks: Planning Notes:, ih rn._. -+ M �� my license is in fu f and effect. License C i en Date' Signature - I 1� - �, T S - -PLUMBING , i --.FEES ` _ I;h: J'• _7 WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self-insure or a certificate -_ Bar Sink Showers - I ELECTRICAL FEES l of Workers' Compe i .I or e, or a certified copy t ereof 4Sectioo 3600, Lab. C. '� ��-� -1 Backflow Preventers Service Sink + - Automatic Washer ` Transformer _❑15-50 KW - Backflow Irrigation I Sewer Ca - u p '- �. + Policy No. Company r ::e,Ltified copy is hereby furnished. irtiJ 1e�,QDJ' iled with the city i1 �rp�p s n. /, /j}'1f1� A� i APPlican*c �. Construction Pole Sub.. `❑, 50+, KW Bathtubs Sewer GOpn¢CtlOn 1 - •. l Cooking.Unit. ! Meter, ❑up to 100 amps , - - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' (This section need not be completed if the permit is for one hundred ($100 or fess). + I ) certify that in the performance of the work,for which this permit is Issued, I _ Clarifiers' - Solar Collectors. ; • % Dishwasher ". - Meter ❑over.100 amps - - ., Dishwasher, C 1 t - Solar Piping Dryers'.❑Gas ❑Electric Sub Panel - l • - 1 _ Drinking Fountains, , $Olar Tank. _ Fan _ , Moors ❑0.1.HP Ell % - 8 r - shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws bf California. Floor Drains 'Swimming Pool w/Spa I ^' F.A.U. Inc. Solar ❑9-15 HP El 16-15+ ' Date ' Signature NOTICE:,If, after making this declaration, you should.become subject: to the_... _ Floor Sinks Urinal Fixtures - uMicrowave Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or' this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit- is issued (Section 309 -Civ. CJ Lender's Name - Gas Servicei Outlets Water Closet I Device BO%e5 Pole Light 9 Interceptors Water Heater 1 Outlets ' Range l Lender's. Address I - _ OWNER BUILDER" DECLARATION _ Kitchen Sink _ _ .,-Water Service_- es Switch - -. - - 1 Sign Lavatories I ,Auto-Wash Garbage Disposal Standing Sections ann g i I hereby affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: -Any city or P-Trap 1 Laundry Trays I Generator ❑0.5 KW ❑5-15 KW - Trashi COmpactpr county which requires a permit to construct, alter; improve, demolish or repair any Structure, prior to its issuance, alsopeq vires the applicant for such permit to file a signed statement that he/she is,licensed pursuant to the provisions of the Contractor's License Law (Chapters (commencing with Se i 0exe of Roof Drains , 1 /she of the Business and Professions Code)-orthatlatshe is exempt- --there 1 I r therefrom '7031.5om and the basis for the all panic xsu jests Any violation of Section 7031.5 f any applicant for n permit subjects the applicant to a civil �nalty of not more than five hundred dollars ployees). . LJ 1, as owner of the. property or my employees with wages as their sole Reinspection Fee $15 - ' Issue Fee - - $'3 - I Reinspection Fee _ $15 Issue Fee $ $ - ompensation, will do the work, and the structure is not intended or offcretl ,,sale (Section .7044, Business and Professional Code: The Contractor's cense Law does�not'apply to an owner of a property who builds or improves .hereon, and who does such work himself/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 com-- -pletion, the owner will have the burdenlof proving he/she did not build or im- prove for the purpose of sale). I ❑' I, as owner of'the property, am exclusively contracting with licensed con- tractors tractors to construct the project (Section 7044, Business and Professions Code; The Contractor's License Law doesmot apply to an owner, of property.who buildsor improves thereon, and who contracts. for such projects with a con- MECHANICAL FEES BoilerHood - Or Type I ❑ Canopy Type I ❑ _ ;DEVELOPMENT SERVICES REQUIREMENTS: - l l ; Zoning Approved By Date Building Approved By Date Application Issued By- y Dat Duct - Under Ground Duct -Structural Refrigeration System '. ❑0-100,000BTU ❑100,000BTU - 1 Duct- Ventilating - SUMMARY OF FEES" - Exhaust System ❑ Multiple ❑ System Repair/Alteration tractors) license pursuant to the Contractor's Li cense 'Law). I,am aware -that- proof of their Worker's Compensation insurance should-be provided to me: ❑ I am exempt under Section _ B. &-P. C!for this reason" _ BUILDING PERMIT -. $- '"SMIP $ BUILDING PE . $` APER MIT- _ �JJ PLAN'CHE- - ISSUANCE t $� PLUMBING - '� $ \ _ Flrepl/Fact:6lt. ICBG # Fire Dampers Date : y owner - I - - I hereby certify that .1 have read this application antl state that the above! information is correct. I agree to. comply with all city and county ordinances antl state laws relating to builtling construction; antl hereby authorise repro-� ofthis city to a er upon the •above-mentioned pro art for inspection p osgMECHANICAL Signature , Date / -a Drivers' Licen Se cr SS Heating System & Ducting '" ❑0-100,000 BTU ❑100,000BT Registers • - _ -ENERGY P�C:- $ PLAN CHECK .25% $ GRADING - S ELECTRICAL -: $ , •- A MICROFILMSentatives PLAN CHECK 50% $ 1 $ TOTAL FEE r_ PLAN CHECK 25% $ - ' - - - Reinspection Fee . $15 _ _ { Issue Fee v I •' - $3- CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor STRUCTION AND PLANNING ROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector . Temporary Electrical Service or Pole .' 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. -54. Forms 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding C. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �r 7. Footings. 58. Electrical Conduit-Undrgrnd. of 8. Foundation59. Gas Pipe, O Undrgrnd., Test _ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, D Undrgrnd. i 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final, 12. Sewer Cap 63. Heater & Vent -Final .. 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS,FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace . 21. Ducts, in Structure 70. -Underground Hydro - 22: Ducts, Ventilating 71. Product Piping D Gas D Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank D Gas D Oil 25. Roof Sheathing 74. Overhead Hydro 26: T -Bar Ceiling (Structural) &Monocoat 75. Dry Chemical - 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34-, Final Heating & Air Conditioning - 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38•. -•Final Plumbing 39. Water Service -Final 40: Gas Service -Final - 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation, 44..Landscape Irrigation System - • ' - 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ ' OWNER SMITH Welden DATE B-25-75 JOB ADDRESS 2035 Calvert Avenue BUILDING PERMIT NO. 7? GENERAL CONTRACTOR G & G Construction DESCRIPTION of WORK Patio Curer SAP Na.139-4o4-1b LOT TRACT FIRE ZONE VALUE $ 1,500.00 INSPECTIONS Signature I Date TYPE V GROUP S ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISS ED GAS Date Number Signature WATER Plumbing_ ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES L] FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL Elect,i, HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING. FINAL / 7_ 77i 4:;477. COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDINGo� ,n /I , ADDRESS 1 I/ OWNER 6 �/77jZV MAIL k54- ADDRESS CITY QSfij,0 TELNO. _ CONSTRUCTION LENDER BRANCH ADDRESS ADDRESS CONTRACTOR '.1;; 25-75P„s.Aig00 095;r +:.t* -,Z3 -i10 APPLICATION FOR STRUCTURAL PERMIT RECEIVED V O E RECEIVED71SSUEO/A.P. NO.pBUILDINGADDRESSTRACT J 7 LOT NEW ADD ALTER REPAIR V OWNER /i/ _ / _ /* VALUE FIRE ZONE APPROVED . Jji � //[;/� / �� ONE NO. OF PLANS 9 USE OF NEW .VI•yo BUILDING P NOL✓T �f�J all laws regulating building construction, and I shall not employ 3 CITY /fes/ 7 �J LIC. NO./7 YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING NO. OF BLDGS. (FROM C/L STREET) SO: FT. NOW ON LOT FRONT /� FT. THE PURPOSE OF ESTABLISHING A PER am exempt from tha provisio of the $tate of California Business BLDG. SI / FT.- FT{Separate [EXI�ING permits arerequired for L. SIDE J FT. FT. electric, plumbing and heating work. 410 FT. REARUILDING FT. -9 AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE C.U.P.# APPROVED n� o vPROVED/ 119 / I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SO: FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALU Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PER am exempt from tha provisio of the $tate of California Business and Professions Cod , Divis' 3, CI r 9. VALUATION PERMIT FEE $ PLAN CHECK $ Signature of Permittee $ Authoriz gent TOTAL PAID $ n m e m N TION IS FOR m T FEE ONLY: a r � N m 0 U _ U 912 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINTBUILDING A ADDRESS e, L!/ COSTA MESA. CALIFORNIA FEE RECEIVED i 4 FINANCEocr, U11T. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only �� '• RECEIPT No. J NER�� • / TR19 MAIL / L / RECEIVED BY DATE REC71Y DATA/ 1811SED�CT ADDRES6 L 71 I l d'l_AO (i '�l1/ YKf901Y_.I CITY _ N BUILDING �O, ADDRESS �147YY //• �. ARCHITECTTEL. OR ENGINEE NO. COSTA MESA. CALIFORNIA ��,��jj ,JII ``// loglf, A? FIRE p� ADDRESS ZONE TYPE GROUP I,/ CONTRACTOR Z-4410 APPROVED BY DATE ��"J �/Vp ( - ZONING ADDRESS /K W14 NO. OF '1 USE OF NEW Sr" TJ.� CITY BUILDING '//) G ,(—� STA TNO. I,/J EGAL JPLANS �� O —_ LIC NO. i! DEBGRIPTION • / Jf/�{J 6 �� NO. OR SLOGS. f� OF LOT / Now ON LOT A. P. NO. dp USE OFA�/� «'/Y' YARDS EVES EXISTING BLDG C.� APPROVED ALLOWED SETBACK LINE FROML/ (CENTER LINE ST.)RENTER OF STREET 'p REAR YARD FRONT JAS:FT. -- IN. I ( SIDE YARD LEFT ) RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK "-- L. SIDE FT. IN. NEW I I ALTERATION ADDITION REAR FT. IN. REPAIR MOVING DEMOLISH SSYY ABYPROVEDe�jI DATE BUILDING !�J /� NO. OF SIZE ! i C-� ROOMS STORIES EXTERIOR W ROOF (COVERING COVERING OF BUILDING AND W K T E.P FPRMED (� CKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VAL TION IB FOR THE THAT THE ABOVE 18 CORRECT AND AGREE TO COM -PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION/ ONSTRUCTION. OF - �I L PERMIT FEE $ I/��/[.J/'7 PLAN CHECK $D 1 $ 2 O //a. TOTAL FEE AGENT"(/V\ a