HomeMy WebLinkAbout1943 CONTINENTAL AVE - Building Permits RDoAES50F BOBMNG: 1943 CONTINENTAL AV EMT: CITY OF COSTA MESA — BUILDING PERMIT
lc
IF DE LEON, TOMAS PEREZ PERM NO: B 075556
• ADDRESS: DE LEON, MARIA S PEREZ
1943 CONTINENTAL AVE PERMIT NO: B 075556 PLAN CHECK NO: N GOVT: N SUPP : N
��SA,CA 92627714-548-9273
CONSTRUCTION TYPE: V N PERMIT TYPE: STR PURPOSE: REP
ARCHITECT OR FNtlNFFA: GC's: JOB DESCRIPTION REPAIR APPROX 1 SQUARE OF COMP SHINGLE SQ FT: 500
ARCH.OA ENG.'S ADDRESS: UMT:
•
CLAIM VALUE: 500 . 00 CALC—VALUE: 500 .00 GROUP OCC; R-3 /
CONTRACTORS NAME:
CONTRACTORS MAILING COMMENTS : REROOF 1 SQUARE COMP SHINGLE / SMOKE DETECTORS REQUIRED
ADDRESS: UC.NO,: ******************** ************************************** *******************
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby effim under penalty of perjury that 1 am licensed under provisions of Chapter 9 S ETB ACK S
(commendng with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect
CITY LIC.No.: sacs CLASS: sacs No.: EXP : MAIN BUILDING ACCESSORY BUILDING
Date: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,after,improve, PARKING REQ: P RO : PARCEL: 42251310 Z N E; REF NO;
demolish,or raped any structure,prior to hs issuance.also requires the applicant for such permit to fib a signed statement that he w she PARKING
is licensed pursuant to the provisions a the Contractor.License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
Business end Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.My violation ol Section > -
7031.5 by any applicant for a permit subjects the applicant toe civil penalty a not more than fee hundred dollars 15500]). '
❑ las owner ofthe property or my employees with wages as their compensation,s will do the work,and the structureis
via intended ***************.******************************************************j**********
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of properly DEVELOPMENT SERVICES R E Q U I R E M E N.;T"S
who bulds or improves thereon,and who does such work Ikmseif or herself or through his Of her own employees.provided that such
improvements are not intended or offered for sale.X,however,the building or improvement is sold within one year of completion,the ZONING APPROVED H Y DATE:
N/s owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). r
nI,as owner of the property.am exdusnaly contracting with licensed contractors to construct the prole"(Section 7044.Business and -
Professions Code:The Contractor.wihaLicense orLew does notapplyto an owner of property awho builds orimprov»thereon and who BUILDING APPROVED BY DATE:
contracts for such projects with a canlrador(a)licensed pursuant to the Contractors License Law). - r� �J�
0 Iemexemptunder 5e on: B.AP.C.,for reason: % APPLICATION ISSUED BY: DATE: G.
Date: l2 /a 9S ower: f97�1J ******************************************* * ****************** ***** **
I do hereby certify that I ern aware of and understand the requirements of California Heath and Safety Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
25534,and that I or any future building occupant will I will not(circle one)need to comply with said state codes and the requirements for
a permit for construction or modifficationfrom the Ai Quality Management Dlddct.ResideruW construction apple:NI:mare exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions.
'°"'° ' PERMIT 15 . 00 . 50
Date: Applicant: S M I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN
❑ Ihave and wilmaintain acertificate of consent toself-insure for workers'compensation.aprov'idedtor bySecon3700of the Labor ISSUE FEE .
Code,for the performance of the work for whichthispermtisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,he the performance of the TOTALS--——> 15 . 50 0 . 00 0 . 00 15 . 50 15 . 50 . 00
work for which this permit is issued.My workers'compensation insurance sender and policy number are:
Carder: REVENUE DIVISION TOTALS--> COLLECTED : 15 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
'(This section need nor be complexed a the permit is for one hundred dollars($t001 or ase.) 15 . 00 . 50
RI certify that in the performance of the work for which this permh is issued,I shall not employ any person in any manner so as to
become subject to ire workers' eaor California,Isandagreecomply wit
should become subject to the workers' *******************************************************************************
compensation provisionsQ-'' of Section 3700 of the Labor Code,I ehel�on? hylhgeq provisions/
Date: 1 — /Q 9,S_ Applicant: pit., RV OQ.L2e �7/ INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'compensation coverage is unlawful,and shell subject an emjtoyer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(Macao),In addition to the cost of compensation,damages as Provided ler In
Section 3706 of the Labor Code,Interest,and attorney's lees.
CONSTRUCTION LENDING AGENCY: I hereby a affirm under penaltyperjury that there is a construction lending agency for the SFR 500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 500 . 00
performance of the work for whim this permit is issued(Section 3097.Cb.C). EN OF F E S
LENDER'S NAME: c/�) ///��� �
LENDER'S ADDRESS: a-fame`l � —T 1 I f ig e\
I certify that I have read this application and state that the above information is cored.I agree to comply with all city and county ordinances � _1
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property /
for inspection purposes. 1/`/////
THOMAS PEREZ DE LEON Chi ti
Print /S
����//�/.��n�n/ �ep � Deem"
Date: C2 /2 9� $I t
uurecTOwner Ag/ ent/Ap radon r �• .•'g:
W51'46.WP) White-Building&Safety:Green-File;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
• • 1
( CONSTRUCTION AND PLANNING 'C POOL & SR
Date Inspector Date Inspector
• . APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soi[rPipe-Undrgrnd. i, 53. Steel Reinforcement •
i--f3.; Conduit Utility-Undrgrnd. ,. 54. Forms i,
1
''•", Electrical Conduit-Undrgrnd. 55. Electrical Bonding :7. '
r •5. teel Reinforcement 56. Rough Plumbing & Pressure Test •
6._.Eyectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE .,
:7 otjngs 58. Electrical Conduit-Undrgrnd. "
St8Rc�
4pondation 59. Gas Pipe, 0 Undrgrnd.,Test
1--i .e. .'7 71
:j,9.'4/Viler Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. -i .•'
.4:101"5irdctural Floor System : 61. APPROVAL TO DECK ` • '
11 progerty Sewer Line & House Connection '' 62. Backwash & Receptor-Final =
12. Sevygr Cap i 63. Heater &Vent-Finali
13. Ro&J Drains • • 64, Plumbing System - Final ' , -
14. Rough Plumbing T :"-1 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-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning c J,FlR.E RF£PT. REQUIREMENT --v
20. Rough FacTor -f irepceIt
x. APPRVI £.Permit #
21. Ductsyin Structtue.-* -. '. - _• .t. "3 CI TA i70. D'ndergioar Hydro '1
22. DyctF Veritila `t r `"
j 1T!1g;t, `C, R . <r •„ 7- , A71- Producip-tying QGps aoit
r . r -.
23, Gas r"o"pe-Roug'ti& Test '4- ' C '' O t' -172. Underground FIUsh•'-J .,
24of ra{ung ' i " _,s r 7.73 Undergrn8.Storagi;TankL Gas O dil
25. Roofhhing = n: �/_�- e i74�uQVerhead Hydro-!,_
eat (�r
26. Bart`Eeilin (Structt7 al) & Monocoat * 7 C M' - '
�' 9 f - C., .. .- X 75r13ry Chemical ;-.,b ,- r
27. Frame•andrFlashingu i• o'*-c: _ .r ”, ` to* 76. Dry Stan4pipe H' $ n ,_u C) 6)
Q8. Lathing&Sidii39 * "'. ''. .4,, • 1 •.� •. '77r-Li FIXED S1r.�`1'E�l INAt;r r -� r' n
29. Insulatiort^ • rr * r ( k 78,-,f;FIRE PR EV. FINAL {
rr30. Drywall N3ilinG ,r)' _ I J. 7,- NAEPTt �iEQ�UIREMEN -
•• iiiiiiiiiii" 79. FINAL INSPECTION c '•-•
0 �.
ir
X32. Electrical Power Mpie-Final ' ,K '" : -80::�FOOD CERTIFI4g'TE I$U£D,-, n,
-..; _ s til , • i-i
1.33. F1nal;_Electric -- ri _ * Noles: -1 '- * * t •I_^ i�
--- F-1.: -' -:-_g Ali Oondit oning T
- , , 1. . ,. CS t" ' : �..`
35. Fihal Gas Pipe:Test, .• GI & _ 'ro t7r yr-
.7.-,
-' G<
_36. Hood%or Canopy 'ti_ -)� a:� f? _ z, > r ;T
ti: i�
-37. Final Factory Firep�iace^�• I:�- -- c, .i. •_ c.
c38. Final Plu jlbin9 0:. ;,,:v _ x T_ .j: - t=. s U T-
-39. Water°Serfce-Final,,, Z o V: n, s -- i" Zil
5-:40, Gas Service=Filial C,c n_• • y S. F-•al Fes. ter' *, d
41, Solar Dom,estic`- Final - �' -`- - 4 ^�'
ro 'i .
B � X CR ---•F. • * C '
V42. ackflow�reventer-
o'. r sr. .1."---0..- ' G
43. Backflow Irrigation, w * i p C', r•
44. LandscapeArrigatiorl:System T.1'2 C ,� C'•* 7, cc y:0 i." CO o
r :1 Q.. E- r- -L t Is 2: X O S v `• H
45. Saund Attent�ationt, y ., .. i m R;* - Cr c• 'a _r -
45. HendicapsRegulations= -- - * - ,1 70
47. FTNAY STRUCTURE& BUILDING (.' s
'
48. FINAL PLANNING - r I + • 71 - `: r'
- ,-' n_ Y
49. Tectric Reyes-Ito E44ison f* '- o
50. Gas Release to Southern California'fjas Co i _ i--' C ' = to " 'i •
- 7 , : e Cu
51. CERTIFICATE OF OCCUPANCY t "
No. Date
•
AfiSj1:53oFeaL0P13: 1943 CONTINENTAL AV UM: CITY OF COSTA MESA — BUILDING PERMIT
oWNEW%NAKEIFKNOW DE LEON, TOMAS PEREZ PERM NO: B 079059
ADDRESS: DE LEON, MARIA S PEREZ
1943 CONTINENTAL AVE PERMIT NO: B 079059 PLAN CHECK NO: N GOVT: N SUPP : Y
COSTA MESA, CA 92627714-548-9273
APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
ARCNITECT OR ENWIEFA: UC.NO: JOB DESCRIPTION : SUPPLEMENTAL TO B-75556 SQ FT: 500
AMR OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 500 . 00 CALC—VALUE : 500 . 00 GROUP OCC : R-3 /
CONTRACTONS NAME:
CONTRACTORSMAIUNG COMMENTS : X
ADDRESS: UC NO.: **************************************************************************SE****
UNIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby spirit under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license a in full force end effect.
CITY LIG.NO.1 LIC.CUSS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby elfin under penalty of perjury that 1 an exempt front the Contred«s License Law for the
following reason(Section 7O3l.5 Business and Profession Code:Any city«county whim requires aperms to construct,Stec,improve, PARKING REQ.: PROV: PARCEL : 42251310 ZNE: REF NO:
demoleh.or repel any structure,pray to its seuance,also requires the applicant for such permit to fib a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Dimon 3 of the
Business end Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section > e
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more thanflee hundred dollars[MOD. ***********************************.N.**{E************.x.*.IE.IE****.x.********jE**********
❑ I,as owner of the property or my employees with wages as their sole compensation,tell do the work,and the structure is mol intended D E V- E ,L OPMENT SERVICES REQUIREMEN-T S
or offered(or sale(Section 7044.Business and Professions Cab:The Contractors License Law does not apply to en bwner of property
who builds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that suchg"..-'
improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: •
owner-builder will have the burden of proving he or she did no d build or improve for the purposesale).
j I,as owner ofthe property.amexd�wrentrad:gwith licensed contract«atocm,�wtheproed(Section 7044,Business and BUILDING APPROVED BY : DATE: l
Professions Code:The Contractors License Law does nor apply to an owner of property who builds or vnd®
prthereon end who
—
contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). •
Iamexempt under Seclion: B.A P.C.,fothis �j / APPLICATION ISSUED BY: DATE: %?a
are: 2S a /Ir — 9 ower }�sa�I/h t) U l� ***************************************cin* * ********************. ... . ., . ,. . . . *
n. LEGALIZATION :N F E E SM M A R Y STRUCTURAL S :GMEN :Y
neteby certify that t arm aware of one understand the requirements of California Nearer and Safety Code seaans 25505,?soot.and
25534,and that I or any future building occupant will/wil not(circle one)need to comply with said state codes and ihe requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Ar OuelyManagement District.Residential omtruction appldafonsen exempt from these PERMIT 21 . 00 . 50
provisions.
Date: Applicant SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and will maintain aceneisle ofconsent toselhireure for workere'compensation,asprovdedfor bySection 37codthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,f«the pedomacemNeworklownanNbpemm�niesuee. TOTALS----> 21 . 50 0 . 00 0 . 00 21 . 50 21 . 50 . 00
❑ I have end wit maintain worker'compensation insurerwe,as required by Section 3700 of the Labor Code,for the performance of the
work for witch Na workers'compensation carrier ampolicy ngmbraa:
Carder REVENUE DIVISION TOTALS--> COLLECTED : 21 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
}L(LTi es section need not be completed d the permd is ler one hundred dollars(S1001 or less.) 21 . 00 . 50
I coney that in the performance of the won for which this permit is issued,I shall not employ any person in any manner so n to
become subject to the works'compensation laws of California. ed agree Na e I should become subject to the workers' *******************************************************************************
compensation provisions of Sen 3700 o the Labor Code,I soul forthwith comply with those scansions.s. INDIVIDUAL F E E BREAKDOWN
Date: Applicant:
Warning:Failure to secure workers' unlawful,comydation coverage la unlawful,end shell subject en employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to the cwt of compensation,damages ss Provided for In
Section3rosofts
eLaborCode,Interest,andattorneyfees. SFR 500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 500 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there u a construction lending agency for the END OF FEES
performance of the work for which the peri is issued(Section 3097.Civ,C).
LENDER'S NAME:LE NDE this ADDRESS: Eoc`r� / 711/ //44
[ndsytw haveelreadNisapptloaticoand alaethat ebabove liratesentcarredf tagree totcampywith hl rayand mussn rrly er+ (�
Al
and state laws ruralise to buildkg construction old hereby authorize representatives of this dry to enter upon the above-mentioned properly
for inspection purposes, THOMAS PEREZ DE LEON •
Name
o) 4 pem1 Date: ?. I'7 ' ?
Signature f r genttA ' t/Contrador
(5151'48 WP) White-Building A Safety:Green-File Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
POO L PA •
CONSTRUCTION AND PLANNING
• APPROVALS Permit# Date 'Inspector APPROVALS Permit# Date Inspector
1. 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
5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
.a
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test .1
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,0 Undrgrnd. )
10. Structural Floor System 61, APPROVAL TO DECK
11. Property Sewer Line & House Connection 1 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
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing �` � �- 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical et r
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL '•
30. Drywall Nailing HEALTH DEPT. REQUIP EMMENT ..r
31. Plaster Brown Coat - 79. FINAL INSPECTION YY
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe•Test • c-C
36. Hood or Canopy r.r
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 �/f�
47. FINAL STRUCTURE & BUILDING /_/3.qi ��f .7
48. FINAL PLANNING'
�O 7 l/M'J
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
'
ADDRESS OF BUILDING: 1943 CONTINENTAL AV MT: CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAPE IF KNOWN: DE LEON, TOMAS PEREZ • PERM NO: H 075556
. ADDRESS: DE LEON, MARIA S PEREZ
1943 CONTINENTAL AVE PERMIT NO: B 075556 PLAN CHECK NO: N GOVT: N SUPP: N
cW10,4NAA ,cA 92627714-548-9273
CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE:. REP
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REPAIR APPROX 1 SQUARE OF COMP SHINGLE SQ FT: 500
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 500 .00 CALC—VALUE: 500 . 00 GROUP' OCC: R-3 /
CONTRACTORS NAME:
CONTRACTORS MMLNG COMMENTS: REROOF 1 SQUARE COMP SHINGLE / SMOKE DETECTORS REQUIRED
., ADDRESS: arc NO.: ******************** ************************************** iE*;hitt#) ***itititititiEaE4tat
•
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In fug force and effect.
CITY arc.No.: UC.CLASS: arc.No.: EXP: MAIN BUILDING ACCESSORY BUILDING
Dale: Contractor: FRNT: FT IN REAR: FT - IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of ' that I sun exempt the Contractors L)aense Law to the
following reason(Section 7031.5 Bu° ss and Professions Code:Any countypermit which a to construct,ager,improve.
demolish,o repair any structure.prior to itsiseuance.also requires for such pe le°signed statement that he or she PARKING REQ: PROV: PARCEL: 42250100 ZNE• REF -NO:
islicensed pennant to the provisions of the Camradars Uoense Law( ere(commend nh Sadion]000)of Division 3 of the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section > .
7031.5 by any applicant for a permit subjects the applicant toe Si penally dnot more than foes hundred dame[S5001). *******************************************************************************
o
oofer°d°fos of se(sd°�ionny 7044.B n kryses dProfesss a nstapThheCCoont or licenseLawwddoae :n end tappie yloanOwnerure is ofproPert°d
yy DEVELOPMENT - SERVICES R .E Q U I R E M E N T S
who beads or reproves thereon.and who does such work himself or hese!or through his a her own employees,provided that such
improvements ore not Intended or offered for sale.it however.the building a improvement Is sob within one year d completion,the
ownerscostroving he or she did not build or Improve for the purpose of sale). ZONING APPROVED B Y er will have the burden of pDATE:
MI.es owner of the property,am exduehely contracts"with licensed contract=to construct the pmlem(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to an owner of properly wit°builds Or Improvell threaten and who BUILDING APPROVED BY : DATE:
contracts for such projects with a contractor(*)licensed pursuant to the Contradon License Law). / T2--72
�l/^
�.
0 IamexemquedarSactb : 8.8P.C.,breason: ( 9 y` APPLICATION ISSUED BY: Ale
I DATE.: I / L
i Data: / 2- /2- 9S Owner .,�iLaj G'i) � Jr re-i--*y ********************** ;• wiaa3 ., ************* ****44**
I do hereby certify that lam aware of and understand the requirements of Heel)Heand Safety Code Sedans 25505.25533.and
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534,and that I or any future building occupant will/wet not(circle one)need to comp with said pate codes and the requirements for
apennh for construction or modification from the AirQualty Management Distdd.Reebentil construction applications enecempr from these BLDG PMT PLUMBING ' ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 15 .00 . 50
Dale: Applicant SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedamtbm: PLAN
o Ihave and will maintain consento
bySection3700oftheLabISSUE FEE
Code.for the performance of the work for this Is Issued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o I have and wil maintain workers'compensation Insurance.es required by Section 3700 of the Labor Code,kr the perfonnance of the TOTALS----> 15 . 50 0 . 00 , 0 .00 15. 50 15 . 50 . 00
work for which this permit is issued.My woken compensatpureic*carrier arbpnumber are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 15. 50 TER/SHORT: 00
Piracy Number BLDG PMT PLUMBING ELECTRIC MECHANIC . ..E SMI 2OT GRADING PLAN—CHECK
(This section need net be completed a the pent is for one hundred dollen MOW or len.) 15 . 00 . 50
pI car*that In the performance of the work for with this permit h Issued,I shall not any employ any person In y manner as to
become subject np to the workers'nofthe law,of e.Imts, and agree that if I should become subject to the workers' **************************:***************IE*************************************
compensation provisions d Section 3700 the Labor Code.I shall forthwith comply with Atlas provisions/
Date.
r - /1 - QC- ApplkenL T/ �'/i� 5%'/4 t ( g , ! INDIVIDUAL. FEE BREAKDOWN
Waring:Fagan to secure workers'compensation coverage Is un"wNl,and shall subject An emPloyer to criminal penalties and TYPE QTY D E S C R I P "T I 0 N UNIT COST TOTAL COST
civil Nes up room hundred thousand dollars(Sf04000),N addition to the cwt of compensation,damages as provided for In
Section 3706 of etre Labor Code,Interest,and attorneys lees.
CONSTRUCTION LENDING 0.0ENCY: I hereby affirm under penallythere b of perjury that a construction lending agency for the SFR • 500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 500 . 00
performanceof the work for which this peritisissued(Secion3097,Ci..C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application and State that the above Information Is correct.I agree to amply with all dry and county ordinances t -----"
and state laws relating to building construction end hereby authorize representatives of this city to enter upon the abwe.mentioned property /lt
for inspection purposes. U
THOMAS PEREZ DE LEON
Print Ham, / //
C -�^4-i )(0/AO _ d r O n) m Date: / - /1.9s 01 0019b296-00196297 TOT 15.50
Sp awn°o(Owner/ApenvApplic4lConlmdor .
DATE: 12/12/95 TIME: 10:55
(5151'46.WP) White-Building S.Safety;Green-File:Canary-Apparant:Pink-Revenue;Goldenrod-Assessor
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 NaBroadway BUILDING
- SANTA ANA, CALIFORNIALI -
N
FOR APPLICANT TO FILL IN FOR OFFICE USE-ONLY
RECEIPT NO. PERMIT NO.
BUILDING 9-9 / 1./ 94 c_r
ADDRESS 1943 Continental Ave.
SCHOOL DIST.
OR TOWN Costa Mesa RECEIVED,BY DATE RECD. DATE ISSUED
NEAREST Arbor St. Fr
,...2( `� 3 al 3
CROSS ST.
OWNEREA,UILDING:f
Cherokee Home Ft Trio. ADDRESS ( Q q /3 (�J
MAIL SCHOOL DIST. //��
ADDRESS 9••36, Wil F;hi re Blvd. OR TOWN ,tr - iV"` •
TEL.
CITY Ravorl y Hi 11 s NDCR 54361 CROSSST T. ,t-( Z� •
ARCHITECT OR LIG. ZONENO. OF TYPE _ GROUP
ENGINEER C /Ai n & MnKerrschivr A 4 ( , I PLANS -{-�" T
APPROVED
2110 E.Walnut—Pasadena \1
NO'135882 BY DATE
CONTRACTOR
Newport Vista
ADDRESS 9363 Wilshire—Beverly Hill' CORRECTIONS
LEGALLOT
DESCRIPTION I NO. 477 I BLOCK I TRACT1712
(ATTACH METES & BOUNDS)
NO. OF BLOCS.
SIZE OF LOT 59 7C 110 NOW ON LOT
0
USE OF NO. OF NO. OF
EXISTING BLDG. FAMILIES ROOMS
SETBACK LINE FROM: y REAR YARD 5�
CENTER OF STREET 50 1 t. SIDE YARD lr • p-1(
DESCRIPTION OF WORK 0
NEW I y ALTERATION I I ADDITION I Z
•
D
REPAIR I I MOVING I I DEMOLISH I NO. OF
I _ - r
a vi SIZED 1134 sq_rt.ROOMS 5 STORIES 1
'ERROR WALK ROOF ng±e
O
' !ERING gapo
�tUCCO I COVERING SWn Y
USE OF NEW
BUILDING Be aidenne—Atteh_Carport ' ;-,
V
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, /J/ 9k /-��
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING ..a./0)
jf/
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, )
BRACING, BOLTS /,lc /0.1/An J
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH, INT. �{, / ,J9 lA . 51 1 A
SIGNATURE OF j LATH. EXT. +(s%
.-
PERM ITTEE Ne o/r/�+y`-fl t C PLASTER, INT.
AUTHORIZED A // `, �' - Ada it./' S3
• A(..( 4 !/__ PLASTER, EXT.
_ PERMIT FEE $ /2 MASONRY REINFORCED
c°:..
S 4830.00 PLAN CHECK $ /A BOND BEAMTOT /J�� Q
FEEAL $/ / FINAL .. iY� J/ ,f
•
•
•
W •
z a
J �
a ' -
fa 0
a rc " -
a
STREET
PLOT PLAN
Show location and distances from
property line and between buildings.
_ r.
i
•
f:l