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HomeMy WebLinkAbout1294 CONWAY AVE - Building Permits PCOJECT ADDRESS: 1294 CONWAY AV UNIT: - CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05161E OWNEWS NAME: OSWALD ' MARY A' TR ' ADDRESS: 1294 CONWAY AVE. ' PERMIT NO: B 051618 . PLAN CHECK NO: - N GOVT; N SUPP : N COSTA MESA,CA • 92626 CONSTRUCTION TYPE: V-N • PERMIT TYPE:' STR . . PURPOSE; -ALT • 714 546-4985 ARCH/ENGINEER: • - - REG.NO.: , JOB DESCRIPTbON : T/OFF REROOF FELT W/COMP SHINGLES SQ FT: 5, 543 ' ADDRESS: UNIT: - . _ - •CLAIM VALUE: • 5, 543 . 00 CALL VALUE: 5, 543 . 00 GROUP OCC: R-.3 / , /-` PERMITTEE: RAINPROOF ROOFING ( 714 ) 536-8702. ADDRESS: 369 R. O. 'BOX COMMENTS: SMOKE DETECTOR(S) REQUIRED IN THE HOME' • - ' ` • HUNTINGTON BEACH CA 92648 *********** **F(**FE####?EK# rrx-#PPx *#x###x#uiIK#34*#fi*PI***>Ex)(###*irk4#e*-X-#*#xf##+*PeN . LICENSED CONTRACTOR.DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q LI I R E M E N T S ' 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. . ' SETBACKS , CITY uc.:'QQq;7 STATE LIC.: Sgne c C 36 • - v- r Date' 91 Signa - MAIN BUILDING ACCESSORY BUILDING 'WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT•• FT IN REAR : F T I N FRN 1,; FT I N REAR; FT IN Compensation Insurance,or a certified copy thereof(Section 3800, Lab. C). LEFT: FT IN RGH T: FT IN LEFT: . FT IN RGH T: • FT IN ' 1 POLICY NO.: 1182447-90 EXP.DATE: 04 /01 /92 . COMPANY: STATE FUND PARKING .REQPROV: PARCEL ;, 14104208 ZNE: REF NO: , W Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> " Date' 4/9/4 Applicant.i kif*1F!'Y`*1i li*Y#*IET`M'3f 1i Di#ki6*##*##il.#,..}'.-7e*R#le ii ii;e##*ik#?f3e#*ac ae##*}'*k?:irlf?f,:w lr-k)t*###3k;lf is iE iF#'k*#if* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E L (� P M E N I SERVIC •E S R E Q T.7 I tl E M E N 1' S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to theWorkers'Compensation Laws of California. ' ZONING APPROVED BY DATE: Date: Signature: -- - -- NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , DATE: I,', r Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. " / ; ' CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION I'SS(JED B Y: ii •- , it- DATE. ' which this permit is issued(Section 3097.Civ.C). .**.**. -{(.}.y:**9(•0(*y..}#*.*{(..*#* * ."....*1!„ ^ _ • A.•. 4c,t •• # 4#-iE? *44 • •• * .i'ri-4 'LENDER: *****************************#**,*-7F*#***.' •************************************** ADDRESS. • - LEGALIZATION:NF E E SUMMARY STRUCTURAL SEGMENT; Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason ' BLDG: PMT PLUMBING ELECTRIC MECHANIC FIRESNIP/RES ,iGRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 8 1 , 0 0 — 5 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 1 ' '� r. • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S M I P/NON-r3ES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN • any applicant for a permit subjects the applicant to a civil penalty of not more than.five hundred'dollars($50D). 1 ISSUE FEE '• ` I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILD ING—DIV—> , PERMIT ISSUE 'PLAN-CHECK • TOTAL PAID - DUE J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law . TOTAL S——--> 81 . 55 0 . 00 0 . 00 81 . 55 - 81 . 55 . 00 does not apply to an owner of a property who builds or improves thereon,and who does•such work himself/herself or through hisoris employees. provided that mphionrthe once are notthedbddeo of for she/. If, id not d buildingve REVENUE DIVISION TOTALS--> • COLLECTED 181 . 55 OVER/SHORT: , 00 hisimprovementor eronsold withins.one year of completion,imp ove enter well have the burden of proving he/shelilio not build or improve for the of sale). - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 81 0 O , 5 5 • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon I ,7 •and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State.License Law).l am aware ****kit#***#TP***#***•**********•****#***kr.*****Rl:*#*****##**'(*T034#iE#*##lE}'*3f**.;.:.?:#!:?!k*ir;. that proof of their Worker's Compensation insurance should be provided to me. I N D I V 'I D U A L F F E BREAKDOWN . .f - 0 I am exempt under Section: B.8 P.C. tor this reason: TYPE QTY D E S C R II P T I 0• N • UNIT COST ' 'TOTAL COST Dale: Owner: ' SFR 5543 REROOF BY VALUE RESIDENIAL NOZONE 1 ,00 .• 5, 543 .00 I do heieby certify(hal I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and , END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - - • r permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from /' these provisions. 1,/// Dale: Applicant: , I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county , ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned - • . • T properly fpr rasp imp purposes. �� �' O1 000 "j"{'17•' -51.55 �j ( � .+� 004.1€09:0 41€: 0244150196/-90'0108117. " 41' Dale: �� 5lgnatum - Drivers License or Social Security#: ' 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • 'g f • • t' CONSTRUCTION AND PLANNING F. - & SPA _ - 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 UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap,❑ 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 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 O Gas 0 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 Cf47-q1, _ /J 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No: Date OWNER COLLEGE MESA COMPANY DATE 31-20-58 JOB ADDRESS 12914 Conway 'Avenue BUILDING PERMIT NO. 8040 GENERAL CONTRACTOR The Hale Company VALUE $ . 12,890.00' AP. No. LOT 55 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar, GROUP I & J TYPE V ZONE R1 • PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED �� I DATE NUMBER Trenches Forms Steel ,,gen" II•-..2..Pc off Floor System'. ./.2_,--...C7'•fl' Steel Reinforce Chimney Re-Rod Bond Beam (</t ze ii-:Lv-au Frame and Flashing 8.---7,-.---E j - 7 - :, 7" Lathing, In Out y{4.4 -% e!f t , (V Plaster, brown coat Q f5__ 1 ../D -Cr Underground soil t.(4 W/G Pipe Test L-W I Q--¢-S-VP Top Out 12•t-Sy • Furnace 4l /-2-t7/4Jr -r,,e Lt/Pr ,<NOV 2 41953 116549 v Gas Vents Rough Plumbing L h) /519-3-2" K ,`GQ c/e /L Nov 2 Cl 195$ I h5C5 g> 1 Cesspool �- Septic Tank i e'A°' Prop. Swr. � Hou1Con. St. Swr. )H Y.-1 r k/ (1>J2,s„_L-CA.,.sk( [ -/E--s4 .3--9 1D Sprinkling System - .) Heating Final I(/ Q w n, Plumbing Fixtures, Final W, rT, t Final Gas Test F Y 4.pI 51-7-117 Construction Pole 1 �t Underground Power y-a.} 'Y\1\-/ Rough Wiring F1"1 t-5 _ 9 ..%J. Lr. C,-444, - _� i--i, -?r -II JL4, , Fixtures, Final OCCUPANCY '�7 .# ,I ..1 21 n 1.rjQ Form 210-5M—I-57 ' socio FEE RECEIVED I 1 I3o f Ss-c.,..,_ COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA . FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 1294 Conway Avenue • • COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. O OWNER COLLEGE MESA COMPANY IL RECEIVED BY DATE RECEIVED DAT 155UEO ADDRESS P.O. Box 2277, Brookhurst Station /j./yS. BUILDING hUv 2 p 1958 CITY Anaheim TELNO. KE 3-3161 ADDRESS OR ENGINEER Bulot, Quigley NO. RE 7191 COSTA MESA. CALIFORNIA and CQuig FIRE ADDRESS 1102 W. 17th St. , Santa Ana ZONE ZONE yyp. NO.OF TYPE GROUP CITY LIG Il 1 PLANS CONTRACTOR The Hale Company NO. 7350 '` V ✓��, ADDRESS 1',77 W.Lincoln,Anaheim o: KE 3-3161 APPROVED DATE ' `ESC` DESCRIPTION . NOT 55. BLOCK TRACT 2621 CORRECTIONS Plan #1-A A.P. NO. SIZE O. OF BLOBS. of LOT 62 x 100 NOW ON LOT None USE OF r EXISTING SLOG. C SETBACK LINE FROM 501 30' CENTER OF STREET l REAR YARD J SIDE YARD RIGHT 7' LEFT 7' DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING 125.: - iv. NO.OF SIZE 440' -Gar. ROOMS 5 STORIES 1 COVERING WALL Stucco COVERING Compo. 1 BUI USELDIOF NEWNGSing1e dwelling w/att. garage I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. COLLEGE MESA COMPANY VALUATION _ SIGNATURE OF B THE HALE COMPANY G Partnl r PERMIT FEE, $ 30.00 PERMITTEE 15.00 '�J//^ 5 12,890 PLAN CHECK AUTHO'I`�/s ��/gj�jt�'��� TOTAL FEE s 45.00 I ‘f,r OWNER OSWALD, H. R. DATE 3_16-6i. JOB ADDRESS 12914 Corn ay Street BUILDING PERMIT NO. 21.7511- t---GENERAL 175+GENERAL CONTRACTOR J & R Fence CO. VALUE $ 536.00 (LiAP No.1141=0142-08 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Blk.Wall INSPECTIONS Signature DATE GROUP TYPE ZONE V Soil SUBCONTRACTOR PERMITS ISSUED if Gas DATE NUMBER ()Water Rough Corn. Refrig. t] Air Cond.-0 2 Rough Heating Rough Plumbing Miscellaneous _ 2 Prop. Swr. Line ❑ House Con. 0 St. Swr. ❑ ([ Sprinkling System 11 Construction Pole 3 Underground Power ,p Rag Trenches r] Forms 0 Steel Reinf. ❑ S.44- 3 -,2./J+-44-- Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out 0 Plaster, brown coat Refrig. Air Con. Final Heating, Final Plumbing Fixtures, Final Final Gas Test _ Electric Fixtures, Final Building, Final -_ OCCUPANCY ee • Form 31.14-5M-3-63—S-B P ntnrL rtt RtUtlVtu r 21754 74 • MAO 1 8 1984 , . . ' • .COSTA MESA BUILDING-SAFETY DEPARTMENT . FINANCE DEPT. P.O.BOX 917 COSTA MESA.CALIFORNIA CITY OF COSTA. MESA' • • For Applicant to Fill In Completely APPLICATION•FOR PERMIT TYPE OR PRINT BUILDING BUILDING /✓✓JJ Q )� Co � For Office Use Only . ADDRESS / G / `(' `, Al LL ni RECEIPT NO. - "PERMIT NO: COSTA MESA. CALIFORNIA . 2/75J ..n1 RECEIVED BY DATE RECEIVED µ/ DATE ISSUED/J OWNER ' i (.`C ._ // SIU �� C1 3,/ '4/ _ -/VWY' MAIL ��`/// / BUILDING ADDRESS /L T Ca N W A y ADDRESS ITY COS1 I r P NC1 /P / FIRE C 'NO. ZONE TYPE iGROUP// F•LI APPROVED ori/ / ' ARCHITECT • TEL. BY 1 :DATE /, T OR ENGINEER - NO. NING ADDRESS • ZO1v�X / NO.OF USE OF NEW Q�PCK i,� //P • (� j`�/ I PLANS 2I BUILDI NO Y• "^QK CONTRACTOR/ ' `F. R F�IL Lc.- c U • • LEGAL /3 �,./-� ��-j _/I� ADDRESS J /IL"//cI LA.) i/V�n i/t1 DESCRIPTION {�V/ cV ,1 e 7/ /V u�Y' A.P.NO. /g/ G'/l Z r7 - CITY. u'fo'l 7 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE . ?c 6 37 NO. k 656 �/ 9 J 90"TO SIDE REAR P.L LIC.NO EAVES SIZE I NO.OF SLOBS. } ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON Loi I YARDS APPROVED YARDS APPROVED USE OF EXISTING BLDG.' t'^I MAIN BUILDING _ ACCESSORY BUILDING r (FROM C/L STREET) SETBACK LINE FROM --^ CENTER OF STREET REAR YARD FRQNT / SIDE YARD LEFT I RIGHT R:SIDE PT. FT. at • . DESCRIPTION OF WORK L.BIDE FT. FT. NEW ALTERATION _ ADDITION REAR FT. Fr. / DISTANCE BET. BET.MAIN B • REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF VAR.$C DATE. • SIZE ROOMS STORIES A.P.O. _APPROVED /�V EXTERIOR WALL I ROOF APPROVE 3 • f. COVERING COVERING BY f. -fikpo,_ DATE USE OFBUILDING AND WORK TO BE PERFORMED • //11 /'S" &.''A • 27/c ,-,(- rv,L// . Acre c- 9 Oh C4 `/P/4.1 f-cu Fr/ / 6Q.FT. . 7. • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT ANO'AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES^�/AND STATE LAWS REGULATING VALUATION • BUILDING CONSTRUCTION. / �- h SIGNATURE OF / y /_ PERMIT FEE $ O PERMITTER .f /G2vL/'` -L.-e". i /� ..` 6— E• Q lJ J 0 • AUTHORIZED AGENT -• - L 5.=L.:.. ...... TOTAL FEE $ � -- cri OWNER OSWALD, Annette DATE 8-27-71 JOB ADDRESS 1294 Conway Avenue BUILDING PERMIT NO. 3366 u GENERAL CONTRACTOR W. B. Allen DESCRIPTION of WORK Add Fam.Rm./Garage Conv.Ex.Gar. AP No. 141-042-08 LOT TRACT FIRE ZONE VALUE $ 9,835.00 N INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R-1 SOIL 41SF:97-9/ SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER n P//`urnbinq ���. ROUGH PLUMBING 44 /6fi-7/ a.kaiip,„ i ,�e�{ 9 47 •.77/7') a PROP. SWR. LINE ❑ HOUSE CON. ❑ ff tt F (/ / / / SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER/❑ ROUGH WIRING'7jfrtc.a AJ foc)6'7/ 4,151-"Wit 9 /�fZ`J/ Heating and Vent. Q TRENCHES .FORMS El STEEL REINF. / - i FLOOR SYSTEM BOND BEAM 0 STEEL REINFORCE 0 SHEATHING .7t, aL 7j FRAME AND FLASHINGSO /• if LATHING - IN m/ OUT td t4 9Inf PLASTER, BROWN COAT ala/e• ,'1 tf/,I STRUCTURAL, FINAL EI- i 1 HEATING, VENT., REFRIG. ANO A.C., FINAL .t'/ d ii, _A $ el 42-/71 . .a(�� PLUMBING, FINAL AND GAS TEST n e- Or tL,t4gLcC /4..e--, /0 'f!-7/3 ' ELECTRIC, FINAL _. /I ' !/- _•1 33566 AUG 27 7.1�;'o�Q7.151 ;: :;Ei} i.v COSTA MESA BUILDING-SAFETY.DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 , APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /J ��/ /� RECEIVED BY DATE RECEIVED DpA•TE 1 E�D1 ADDRESS /�f f I�d tj dA'X T7Ula. , O-�'/ /V ♦♦ PERMIT NO. OWNER ,41..c ,cf-re- �p510144 in A.P.NO. I�'I'--L)`7•Z —O BUILDING /� ,{ / z ADDRESS/,9,y rIN btr/V ADDRESS I Z7 4 �ON W(�'f AV�' . 0-U - CITV S rq I/IFs/1 / NO;r-/d_Jlh TRACT ��-I LOT 'J�rj .BLOCK F-Z COKSTRUCTION T NFW ADD ALTER REPAIR MOVING fFMOI ISH Oy LENDER N<yC` am JN BRANCH _ _ OWNERC2//v/KdI�G /,1� /�+'-T+-L�' m J ADDRESS - /;fjn/1 /J J m ARCHIT[CT .TEL. L)Sf yR.LI/is' �G1 �` ALUS q O 5- r OR ENGINEER NO. /O/J r V CC ZINE {'\ W¢ ADDRESS .. ZONE TYPE GROUP! Jf,//yLs , JD f2A`/ G� APPgOV EO �//� ,� // r� W Z CONTR ACTOq S BV /41). CT--DATE��� / mZ /7 ( 1 J K ADDRESS7©V rZ `/ N�,vd /P,_c,¢� W W _ ! ZONE NO.OF . USE OF NEW C'114f}/ jG o= TEL. q -2-.I PLANS Z BUILDING ZF CITY /eic77/v NO. �Y�.� .q / - K' IL W O STATE CITY YARDS'APPROVED /�L� .I I NA j O LIC.NO. ,0 � LIC.NO. MAIN BUILDING AOSUOOf1M�I1NGBV N,�'� SIZE _! . NO OF BLDGS. - (FROM C//LL SSTTREET) n-,1.T,y„u O r__ � I- OF LOT�� 3 ,e�B d NOW ON LOT / , FRONT �O FT:±. EXIST, FT. USE OF &S $ . �a FT. EXISTING BLDG. ' I- SIZE OF NO.OF It�� ��jj AA Z NEW BLDG. - ROOMS STORIES L.S ;J FT. :-7 1•{' FT. Q EXTERIOR WALL ROOF M1X,I IO SCIST V COVERING . COVERING -REAR ^FT: X'91 FT. '. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& _ 1 MAIN BLOGS. ACCESS. BLDGS. Q » �v VAR..s .DATE Af1�zt/,('/ /FiBjyyX,e%6/ C.U.P.yIE �('�� APPROVED -�• ti �CSSO -tint��� r�Y ROVE 'no DATE AL] Fri Z >6' .fi5.sm F Q VI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with m all laws regulating building construction, and I shell not employ P , .. • f^ F any person in violation of the workman's compensation laws of / "J y Me State of California. /'y/f` //O 11 !.hereby Certify that I am properly licensed as a contractor under yl "'rrr^^^SO.FT. ^� o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UND VALUATION IS FOR s Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISH! A PERMIT FEE ONLY: 2 am exempt from the provisions of the State of California_Business VALUATION i1/ `sq/ N and Professions Code,Division 3, r 9. PERMIT FEE $ 7 �li / / �1 --> Signature o � m Permittee $ ��o 5 _� PLAN CHECK $ t22� E Ix/ r o LL Authorized Agent TOTAL FEE $ 4' f PA1G CITY OF COSTA MESA PLANNING DEPARTMENT �'�$ Z7-7icn;c0021 3 11r+"'' "1!UO A. P. No. 14j-tl42_OR Bldg, Permit No. PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1294 Conway, CJ's Owner's Name newald Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units 2 @ $40,00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = 40.00 Total Fee Total number of Dwelling Units 1 Planning Department Approval Date jf Park Area No. 13 <��L�By L Applicant's Signature AUG 27-71%p-P002153Ro****40.00 CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No, 141-047_AR Bldg, Permit No. J 3S'6‘ PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1194 fnnway. C M Owner's Name Oswald Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units 2 @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = 40.00 Total Fee Total number of Dwelling Units 1 Planning Department Approval Date JE Park A ea No. 13 By Applicant's Signature