HomeMy WebLinkAbout1798 CRESTMONT PL - Building Permits PROJECT ADDRESS: 1798 CRESTMONT PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 067331
/OWNER'S NAME: CRANK, ORMA 0
ADDRESS: CRANK, CLARISSA E PERMIT NO: P 067331 PLAN CHECK NO: N GOVT: N SUPP: N
388 MEADOW LN
NEWPORT BEACH,CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ALT
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: SQ
JOB DESCRIPTION : DISHWASHER CHANGE—OUT FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /
PERMITTEE: PACIFIC COAST APPLIANCE ( 310 ) 324-8476
ADDRESS: 139 W VICTORIA ST COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
GARDENA CA 90248 **16*************TF*+r***1F**+F*****+F***ar+EaE**ar* -*kE***ar****************x-*****ar -a6*a6TraE*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 01 the Business and Professions Code.and my license is in full force and effect. ZONING R EQU IR EMENTS
CITY LIC.: 060311 STATE LIC.: 362D� 7 0 q
Dale: (tar-% y Signature: —11 / S E T B A C K S
MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: (Hereby affirm that l have a certificate of consent to ell-i or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: NWC114009 EXP.DATE: 08 /01 /94
COMPANY: GOLDEN EAGLE PARKING REQ: PROV; PARCEL: 42426201 ZNE: REF NO:
0 Certified copy is hereby furnished. [t Certified copy is filed with the cit Building Division. PLANNING NOTES>
,/ >
Date: r.71--a/7 Applicant: ��� *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the.ermit is . one hundred($100)or less). D EVELOP MEN T SERVICES REQUIREMENTS
I certify that in the performance of the work tar which This permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'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 •
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. DATE:
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE
3} Y — > 1"247.9,14
:
which this permit is issued(Section 3097,Civ.Cl. *.fF*{E****.**.**.µ{e.{F*.**.kF***.x.****;F********.****,*** *
***.*****,**************************
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or
PERMIT 7 00
repair any structure.mint to its issuance.also requites the applicant tot such petmil to lite a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 0l the Business 25% SMIP/NON—RES
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 mare than live hundred dollars($500). ISSUE FEE 20 . 00
I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 • 00
does not apply to an owner of a property why builds or improves thereon,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 vnthin one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 27. 00 OVER/SHORT: 00
for the purpose 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 27 . 00 -
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.*.*******.**********************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ tam exempt under Section: B.&P.C. INDIVIDUAL : ' F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N' UNIT COST TOTAL COST
Date: Owner: PLU 1 DISHWASHER
Ido hereby certify that I am aware 01 and understand the requirements of California Health and Safety Code Sections 25505,25533,and , 7 . 00 7 . 00
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 .END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt Iron
these provisions.
Date: 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 state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned
property mr inspectionsppurposess. 01 00161148-00161148 TOT 27.00
Date:_,1:�/s / Signature: /� a DATE: 05/26/94 TIME: 15:36
Driver's License or Social Security 4 / /
I
1641.46 White—Building:Green—Code EntorcemenL Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 'v/
r CONSTRUCTION AND PLANNING POOL & SPA 1
r.,?fir{OVALS Permit `- Date Inspector APPROVALS Permit • 1 Date Inspector-1I
I Temporary Electrical Service or Pole 52. Pool & Equipment Locat.on
2 Sr, P:o..L-.drprnd. 53. Stec: Re,nforc'•nient I
1 3 E'.cineol COndua Ut.I ity-U^Argrnd. 54, Forms
C,, n...,-bLnC,rjr^.d I 55. Electrical Bore: ng
S. Se Na.n!oicement I I 56. Rough Plumbing & Pressure Test --I_
_ '-E' 3.1i .A. I S' nn717CVA1 ^ Crn' -_R-GU::I'F
ci noc I urrg .58. Electrical Cordt-Udrnd
I-- r I -
-_ tI 7u -_i-- - -a
9 -::t rut 59. Ga, P pe, =1 L-d-grr.I., Tett II
D. :.-.,.- Pp, .:nd'grr:• 60. Backwash 1.3ies. P-Trcp, - J,-d.c,rnd -I ---_L--' -
S .Ltsu r S ttLrn 61. APPROVAL -r0 DEC: --- ---- I a
% 4atiS .., Line c' Naucc COnnectonl 62. Bac..:a .. I cr-F.cal __-_____
S . ' C'c 163. Herter & '. :ne
'ent-t
-. , . Dra,r, 64. Plum-eng Sy stein . F :m! I
. 65. Elcct::ca!-Fii i
r a' ELL: c'-Condu.; - I 66. Solar System '-I„ I I i
c
---_ _h alec'r'cl1'iring 67. Fercng & Ace ss AnprosaI - _I____ _I--- _
68. APPROVED FOR PLASTERING
'.,h E'rLt,'ra -T Au Ceilino G9. POOL/SPA SYSTE.;S FINAL 1
^ r e.,. .Y & A r CoLci:Ir. Ing FIRE DEPT. REQUIRE\1EN I ' ---- - I-
1
F•r:..a:acc 'APPROVALS Pcrmrt -1,
I 71 - o -. S'.Lture 70. U'�Idergrow-d '!1_Ire --- --.i_ _-
1- -. _ _-- __- j - - .__; -_
?7
DCII Vr+r.'..ilny 71. Product Pinnq : ,Gr. ,; OII
1
73. 0-, . .) ;: ',lio'..^,h & Test �- r . -. -- -I---
t -- __-_- - -__ 72. Ur'Jergrouma nczh _ - _ - I
Hu' FramF:g - 73. Undergrnd.Sloraga Tank 2 Ga: 7 O.:
},c:o: S'i ,'. rig 74. Osarhead Hynrn
' 1. i ']11 CP 'Ira (5tn.ctuial) & Ho iocoat 75. Dry C'iemira'
e ar i '..a ivnq - - ---_ 76. Dr' Stand; rr. I
28. Late. ng , rig ---- --- - 77. FIXED SY`;Tc..._.. H_ - - ---- - I ---Al__
-- L- o,--- - ---i 78. FIRE PR°'s' FI?t..'_- ----- - -- �-- -�
30. D. iv.e'I %a ling YSFJ_TH UP-i. R_O'JIREi,-'I
111
1 31, P ter Eli Coat 79, FJ\AL IN:-I- : CTI_,
32 L tcrr:ccl Po.. ar Ar^te. Final 80. FOOD CE471' ICA-. f Ic';Lirt:
71 u Els:or c Notes
'7 // Qq - - -- - - y�Sys ,_�,�f/�/
°4. F -„i Heaton:'' & Air Conditioning L3L-4.c eee/ STs!'
Si ..I.-: Gas Pip--Tar
Ca
-46-110: .' or ... .
f ---
17. F.. ..: Fact.,: F:reolac.•
98. Fir,,; I'iirotr'rlg --
?. .., :t: Sr:.c Final - - -- --- ---- - ---- - - - -- - -
4C ;a' Ser 'cn-Final
' 41. S..I:.r Ocricst'.c-Final
i2. i',.cc'i . Pr:.anter ------ - -- ----- - - - - -
I- d.f o.. Irr,',Ltior
44. I . 'use ';. irr:.aUpn System
-
46.. F,_uolcap Rrgu:atior; - - - -- - -- - ---- - -
47 F''.Al_ ST 3'„'CTURE & BUILDING '
48 sl't!C.LPI_AlIVING _- - --- ---- - -- -- - I,
4C. E'cctr'c Ga'.c.'se to Edison -- - ---
F
I 50. Gat Release to Southern California Gas Co i
51- CERTIFICATE OF OCCUPANCY JJ
No Date -j
s Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
. CITY'OF COSTA MESA CONSTRUCTION PERMIT PER" NO cp� TRACT NO. LOT NO. UNIT NO.
1798 Crestmont Ave. , C.M. NO2° 27/ 5910 4/1 /E-' 7. rn • �
Project Address 1 �..L ol
Applicants Mailing Address X%E[ 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION H NEW U ADD 8d ALTERATION U REPAIR
QL-mla 0 Crank Phone 646-9356 ❑` CONVERSION CI DEMOLISH ICI OTHER A.P.# I Zone
Owner's Name DESCRIPTION OF WORK/USE OF BLDG. residential duplex.
Address 4 Commercial . C.M. 9 2 92627 Remrwe exi Stingy-, apply 3--ply fiberglass system w/asphalt Main Building: Accessory Building:
Arch/Eng. - License No. TYPE OF PERMIT LJ GRADING LJ FOUNDATION ❑ STRUCTURAL T Front O
Address • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Crank Bros. Roofing Phone 548-5569 El OTHER A I
PROJECT DESCRIPTION SQ. FT. 1 ,600 OCCUPA CY 11'Ill�t., C Right N
Address(mailing)
nse N gl 126 COmmeTC]�1. C M. 92627 " K G
005993 •
CONSTRUCTION TYPE residential VALUATIONS ,310.00 $ Left
City License No. ,'ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning N01¢$: e Q
with section 7000) of Division 3 of the Business and Professions Code, and - M
my license is in full tC-39 tl effect. 408677 .... T
(L�S Da en e f des 11.. 7g Llceise .-
.. D'ORKERS'/O Signature �A"'�� PLUMBING FEES
'ORKERS'COMPENSATION DECLA TION gar Sink Showers /
' hereby affirm that I have a certificate f consent to self-insure or a certificate ELECTRICAL _ FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C - - Automatic Washer Transformer 0 15.50 KW
1 L85/224-87 State Fund
Policy No. Company _ Backflow Irrigation - Sewer Cap Construction Pole Sub. 0 50+KW •
❑ Certified copy is hereby furnished. - . .
Da Cerci ijeq opyrlc.filed with the city Buildiang DivBros. Roofing Co. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
•
Date 4/ i31FRO Applicant EN I1K Clarifiers
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Solar Collectors - Dishwasher Meter Cover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishiva`sher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01%-B
Workers' Compensation Laws of California.
Date Signature— - . Floor Drains Swimming Pool w/Spa
NOTICE:If,after making this declaration,you should become subject to the F.A.U. Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
• CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater
Lender's Name Outlets Range
Lender-'s Address • Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that'l'am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap LaundryTrays '
any structure, prior to its issuance, also requires the applicant for such permit y Generator 00-5 KW 05-15 KW Trash Compactor ,
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • - _
'he Contractor's License Law(Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt . -
.herefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil —
LIalty of not more than five hundred dollars($500). •
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 . •
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to en owner of a property who builds or improves
• thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered foryp ❑ Approved
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type 11 ❑ Zoning pP By Date •
pletIon. the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By ' Date
prove
Ve f for the purpose of sale).
❑ I, as owner of the property,am exclusively contracting withC con- Duct-Structural Refrigeration System • Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUM RY FEES
builds or Improves thereon,and who contracts for such projects with a con- x CO
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance'should be provided to me. PLAN CHECK $ PERMIT
0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ISSUANCE MIT $
Date Owner Heating System & Ducting Registers - PLUMBING $ ENERGY P.C. $
PLAN CHECK . 25% $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL— GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building constructon, and hereby authorize repre- - MIORQFILM $
sentatives of this city to ent- upon th above-mentioned property for PLAN CHECK 50% $ p /l
inspection s. f purp�
SignatureMECHANICAL $ TOTAL FEE $ /re�✓
i
Drivers' License o 'S W' — — " ate 4/13/87 Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor •
CONSTRUCTION AND PLANNING POOL&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 lest
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-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 0 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 NoteTak eit cko-
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 gco�
48. Special Requirements Completed le
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•
CITY OF COSTA MESA PLANNING DEPARTMENT
SEP 11-72C00 289R4***140.00
A.P. No. 11f 1^.1 ^1
Bldg. Permit No. -wine
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 17(12/ frPStrinnt Place
Owner's Name
Laud Evolution. L.c.
Bachelor or 1 - Bedroom Units @ $25.00 =
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units 9 @ $70.00 = 140.00
5 - or more Units @ $75.00 =
040.00
Total number of Dwelling Units 2 Total Fee
Planning Department Approval Date 6/12/72 Park Area No. 9
rb
By WLO Applicant's Signature
CITY OF COSTA MESA PLANNING DEPARTMENT SP11-72CM5AOO 289Ru*** 140.00
A.P. No. t14_1n1_n7
Bldg. Permit No. 14700
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 175: Crestnnnt Place
Owner's Name Lend CA.1Lt`cr• Inc.
Bachelor or 1 - Bedroom Units @ $25.00 =
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units ? @ $70.00 = 140.00
5 - or more Units @ $75.00 =
t140.00
Total number of Dwelling Units 2 Total Fee
Planning Department Approval Date 6/12/7; ku Park Are 9
rb
By WLD Applicant's Signature li '1c' o
\y OWNER Land Evolution Inc. DATE 9/11/72 ` /
JOB ADDRES7Crectmont P1, , AMB BUILDING PERMIT NO. 34789
44 GENERAL CONTRACTOR Land Evolution, Inc. DESCRIPTION of WORK Duplex w/Gar. Mt.
AP No.116E181-01 LOT 30 TRACT 25814 FIRE ZONE VALUE $ 23,500.00
NSPECTIONS Si nature Date GROUP I & J TYPE V ZONE R-2
SOIL ,vf� 67.111- SUBCONTRACTOR PERMITS ISSUED _
GAS Date Number I Signature
WATER Plumbi
ROUGH PLUMBING ah
, �7e'Tl,t/t/ Aite- . �n/
' 6R-44
----;PROP. SWR. LINE n HOUSE CON. y �Link e A 77 g j4n,
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING J Se 4..
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER ❑ R
ROUGH WIRING if 0-
Heatin. ynd,V�ent
TRENCHES 0 FORMS a STEEL REINF. rt \L y7 2- Taamt 5hte� (Their Gj,5,2 t] ��
J
FLOOR SYSTEM / •-- Y 7 y., i
BOND BEAM in STEEL REINFORCE in
SHEATHING A,..`_ GL'-3h-,j/
FRAME AND FLASHING / 1 t//'-3A-72;'''"LATHING — IN nlOU'l"...FIVCI /y 2-/ -- ^Y
PLASTER, BROWN COAT �a, l`- /—,j 2
STRUCTURAL, FINAL ��' //////''' K �le�1c'tric y
HEATING, VENT., REFRIG. AND A.C., FINAL y/$7� 1k P , 4.- /Q� 7M-'j 47/6
PLUMBING, FINAL AND GAS TEST ���ZZZ i.15j-I/Gjyp
ELECTRIC, FINAL / C '2.3/-1,3 7
\L1'
`. 3478 . . n_
.9 z ; NntLOi113O9 : ****1-4.6b
•
t.)- COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
PP (CATION FOR BUILDING PERMIT
For Applicant to Fill in Completel
y/� /��/ �r �y-�.� RE EIV D BY DATE RECEIVED -DAJ E ISSUED
BUILDING��/fQj /•ter-57 l0•� I L 3 'll "//••711
ADDRESS ] C p d�
OWNER It EV`'/ /707.2 CA.P. NO.III,—I•71'-01 PEEifv1 T No
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MAIL 9// 9y BUILDING t 77or CC3-7- rE
ADDRESS /99// ��( �..•AL• st• ADDRESS 1 4 l
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CI-U CITY 5i 1 )1 (P- eC t NOL S/%�J�p/ TRACT 25 0 LOT J® BLOCK
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CONSTRUCTION 'L, NEW ADD ALTER REPAIR MOVING DEMOLISH
Z
m LENDER X
J D BRANCH rA. `
JN OWNERLMASV EVOLUTIOA) INC,
Q W ADDRESS
CO• J-CO ARCHITECT {{t^^(' • Y��.f I� ,r�.f' VALUE
J Q OR ENGINEER /1% r(ten NO.L`• r���T�� USE 1)I�PLF7C W/[o(yyrlta� $
n
Ua 311 YV�•��uf ul� FIRE ZONELILYPEY_
GROUP J
d W ADDRESS
cj Fro/u tan APPROVED �ir2/
W Z CONTRACTOR �� BY DATE
J Z
J cc ADDRESS
i97J A•rL - SA
W TEL. ZONE NO.OF , USE OF NEW L
o C�� PLANS ).. BUILDING n,�
Z F CITY .i/h4 t-I m (-41c.
NO.S/ /�JtP(e/ 1 Lt) 6A(1.44 C.
w0 STATE CITY YARDS APPROVED YARDS APPROVED
D
O LIC. NO. LIC. NO. MA 'UILDING ACCESSORY BUILDING
SIZE / NO.OF BLDGS. /,
(FRO
aTR NET)
OF LOT rOO X /O g� I NOW ON LOT LJ _FRONT 0 FT. FT.
USE OF <f Il
EXISTING BLDG. R SIDE 0 co.
FT.
2 SIZE OF �3 7 S7�{ROOMS �0 STORIES 2- L.SIDE Ib,I FT. FT.
Z NEW BLDG. .J r r I H
Q EXTERIOR WALL ROOF /p ,t n
V_ COVERING Stik ICOVERING 64M YC! REAR yx(l1, FT. FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CI-
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MAIN BLDGS. ACCESS. BLDGS.
C- /(�/ •
y 7�// —
Q -Su file y WIr til 6J({•I11.-to A' Ac 1 VAR.# DATE
0 / C.U.P.# APPROVED
CO~ .BY APPROVED _DATE STATE
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UI hereby acknowledge that I have read this application and state HOLD FOR. SPECIAL REQ
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
N the State of California. .
` m
Zi I hereby certify that I am properly licensed as a contractor under 1 SO. FT. y J <7�
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: III
EC
am exempt from the provisions of the State of California Business VALUATION
and Professions Code,Division 3,Chapter 9. ro
PERMIT FEE $ N
Signature of ^ ////''' /�[� [ /� , /1 '7
Permittee /+FZ/I� F Ji°Y�%('r/rZ0'�C • i e C • $��J G V ^�. 'S E
(,%/�,,/� (((///` PLAN CHECK $
Authorized Agent u.
7
TOTAL FEE $
PAID
SEP 11-72CMSA00 287 0****86.00
COSTA MESA BUILDINGS FETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APL ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
CE • BY D',TE RECEIVED i-it-
TE ISSUE
BUILDING /f //7 a, � � / •� 7.----
ADDRESS
'
ADDRESS//7t/ ..�/+"r�Aielik
OWNER J Ai* _ aLu t,a,o N L._ A.P.NO. //a/EMMA 0 •�
MAIL BUILDING ( 9 n
Z
ADDRESS ADDRESS // CY in /�
W W TEL.
d U CITY NO. TRACT I LOT BLOCK
Z 4 CONSTRUCTION NEW I ADD 4 ALTER I REPAIR MOVING DEMO)ISH
O 11- m LENDER
J D BRANCH j
J N OWNER GANG tVOL TIC) � //V C.,
Q W ADDRESS `), •—� (y.7/�^ �j S �r
CO ARCHITECT TEL. USE �PLEX /l.j/f�ALU$�e7 (J�V�
OR ENGINEER N . /Jr` ^�
Q tr RO UP,.,L J
U FIRE
w!r ADDRESS ZONE TYPE �C
a.W APPROV / /yfj^ n
W Z CONTRACTOR By !� DATE/ /F 7L•••••
J U
03 '
J K ADDRESS
W W TEL. ZONE INO.OF USE OF NEW
CD= CITY NO. PLANS BUILDING
Zf
W O STATE CITY YARDS APPROVED YARDS APPROVED
co Ir LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZE I NO.OF SLOGS.
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R.SIDE FT. FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
VEXTERIOR WALL ROOF
_ COVERING I COVERING _REAR FT. FT.
J US UILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS. BLDGS.
CZ //
VAR.* DATE
Q 2/PL Ih� �rEr, C U.P.* AP ROVED
I— I APPROVED
Z BY GATE
O I hereby acknowledge that I have read this application and state Pe �
�
7 that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
N the State of California. ` g�! CO
/> , `°
ZI hereby certify that I am properly licensed as a contractor under T FT. /� E O'
the State of California Business and Professions Code, Division 3, HE AMOUNT SHOWN UND R VALUATION IS FOR
Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
am exempt from the provisions of the State of California Business
and Professions Code. Division 3,Chapter 9. VALUATION /) /
PERMIT FEE $ Ie t/p
D
Signature of —m
Permittee $id2 C �/t 0 PLAN CHECK $ E
366ire p
. r—
Authorized Agent TOTAL FEE $