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Home My WebLink About835 DARRELL ST - Building Permits(714) 754-5273 • Fax (774) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Jobnddress: 835 DARRELLST Suite: Vicinity: HOUSE & AT7ACHED GARAGE Parcel Number: 42236311 App�icant GARCIA, ALBERTO ALONSO Address: 835 DARRELL ST CA COSTA MESq owner: GARCIA, ALBERTO ALONSO Address 835 DARRELL ST CA COSTA MESA Contractor, �w�� Address: Zip: Arch : Address: 2ip: Phone: License: Zoning: Phone: (949)631-8624 Zip: 92627 Phone: (949)631-8624 Zip: 92627 Phone: License: Eng: Address: : . PERMIJ NUMBER � ✓ B99-01632 77 FAIR DRIVE. COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 10/71/1999 Issued: 10/71/1999 Phone: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE. TEAR OFF EXISTING ROCK ROOFING WITH EXISTING SHEATHING TO REMAIN. INSTALL 1-LAYER OF 15# FELT UNDERLAYMENT & REROOF WITH 30 YEAR 3-TAB COMPOSITION SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $8325 $0.50 $0.00 $0.00 $0.00 $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 5z,sao.00 s2,soo.00 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned tar a period of 180 days. � ' INSPECTIONS: In order for �he work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 750.5626 WORKERS' COMPENSATION DECLARATION: . I here6y aftirtn untler penalry ol perjury one o� the following tledarations: ❑ I heve antl will meintein a certificate of consent t0 seli-Insure tor workers' compensation, as providetl for by section 3700 of the Lebor Cotle, for Ihe pertormance ot the work for which lhi5 permi� i5 i5sued. - ❑ I have and will maintain workers' comPertsa�on insurance, as required by section 3700 ot ihe Labor Code, for the peAortnance of the work for whicl� [his permit Is issuetl. My workers' compensation Insurance carrier and policy number are: Carrier: - Policy Number. (fhis section need not be comp/eled i/ the permit is veluetl et one hundred dollaro ($700) oi less.) ❑ I certity that in Ihe peAormanca of the work tor whic� this permit is issued, I shell not employ eny person in any manner so as to Eecome subject to the workers' compensation laws ot California, and agree thai if I should become su6ject m the workers' compensetion provisions of Section 3700 of the Labor Cotle, I shell forthwith comply with Ihese provisions. Applicam SignaWre: Date: WARNINCa: FAILUFE TO SECURE WORKERS' COMPENSATIqJ WVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUN�RED TIiOUSAND DOLLARE (5100,000), IN A�DfTION TO THE WST OF COMPENSATION, �MMGES A$ PROVIDED FOR IN SECTION 3]O6 OF THE L4BOR CODE, INTEPEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under pro�isions of ChaO�er 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force antl eHect. Lic. N Class N IContractor's Signature: Date: CONS7RUC710N IENDING AGENCY: ❑ I hereby aHirtn that there is a conswction lending egency for the peAormance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Atldress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aNirm that untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to constmct, altar, improve, demolish, or repair any strucNre, pnor to its issuance, also requires the applicani for such permit to file a signed statement ihat he or she is bcensed pursuant to the provisions of the Contrectors License Law (Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Proteuions COCe) or that hp or she is exempt therefrom and the basis for the allegetl exemptlon. Any violation of Section 7031.5 by any aDPlicent for a permit sub s the appliwnt to a cidl penalry of not more than live hundretl tlollars ($500).): I, es owner of the property, or my emp�oyees with waqes as their sole compensation, WILL DO THE WORK, antl the structure is not intended or ottaretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who Duilds or improves thereon, and who tloes such work himself or herself or �hrough his or her own employees, provided that such improvements are not in�ended or oflered for sale. If, however, ihe building or improvement is soltl within one year of completioq the owneo-builder will have ihe burtlen of pmving Ihat he or she tlitl not build or improve for puryose ot sale.J. ❑ I, as owner oi the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS �o construct the project (Sec. 7044, Business and Professions Code: The coniractors License Law tloes not epply to an owner of property who builtls or improves ihereon, and who con[racts for such project with a contrector(s) license Dursuant to ihe Contrectors License Lews.). ❑ I am exem r se . Business and Professions Code for ihis reason: Signeture: � � (3�'Ge �' � � Expires: Verification of Ownership by (type of tlocumeni, i.e. - property ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hareby certity ihat no excavation five (5) or more teet in depih into which a person is requiretl to tlescend, will be matle in connection with wOrk authorizetl by ihis permi4 antl t�at no builtling siructure, scaflolding, lelsework, or Gemolition or tlismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celitornia Administrativa Cotle). ❑ As owner-6uilder, I will not employ anyone to do work which would require a pertnit irom the Division of Industnal Safery, as notad ebove, unless such pereon has a permit to do such wark from the division. Signawre: Date: Division of Indusidal Safery Pertnit Number; CER7IFICATE OF COMPLIANCE AND AUTNORIZATION OF ENTRV: I certify under penalry of perjury that I heve read this application and state that ihe information given is correct. I agree to comply with all stata laWs and city ordinances relating m building constmction, and authorize represantativas ot the Ciry of Costa Mesa to enter upon the above-described pro rt 1 insp ction rp . I agrea not to occupy or allow occupancy of any building euthonzetl by Ihis permit until tinal inspection. . � �e-// -99 Signature Ot Le al Owner(s) Dete And/Or Autho��ed Applicant COOE I. INSVECTIONTYGE 1616 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIxWReiaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition . 2446d6 B9iE �1TIDA49 COOEt INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final EIecMCal 272 Final Fire Prevention 220 Final Planning Approval . 222 Final Site . , 250 Final Building/Occupancy � 1li�A1fl Applicant to fill in all s0acei CiT�oE COSTA ESA CONSTRUCTION PERMIT Broject Address 8 3� 5� D A 2��L L. � ApplicanYs Mailing dd� ss . � ar ? P Owner's Name f � Phone ��-/s/F' Address � 5 �� Arch/Eng. , , License No. Address Contractor's Nam ' Phone Address Ima�l'nnl City License No. ' LICENSED CONTRACTOR DECLARATION I hereby affirm [hat I am licensetl untler provision5 of Charter 9(commencing with section ]000) of Oivision 3 of the Business antl Professions Cotle, antl my license is in full force antl effect. , License Class License No. Date Signature �ORKERS'COMPENSATION DECLARATION iereby aifirm tnat I have a certificate of consent to self-insure or a certificate .f Workers' Compensation Insurance, or a certifietl cooY �hereot (Se<tion 3800, Lab. C.) Policy No. Company 8 Certitietl coOY �5 he�eby (urnishetl. C Et �e copy is f� .G�.vith tne city Builtling Divisian. Da � Applicant ' EXEMV ION ROM WORKERS' COMPENSATION pECLARATION (Thissection neetl not be completetl if the permlt is for one huntlretl ($300) or less). I tertify that in tM1e performance of the work tor w�ch thi5 permH is i55u¢tl, I shall no employ any pe�son in any manner3 topeto�p�� c[ to the Work ' C ei ati n Laws ot Ca1itOYRia/ � f—// Dat � Si9nature� ( � NOTICE: It, a ter making this tleclaration, you shoultl become subject to tne Workers' Compensa(ion_.provision5 of the Labor Cotle, you must torthwith mmply with suchC.piovisions or this permit shall be tleemetl revoked. CONSTRUCTIONf,L'ENpING AGENCV 1 herety affirm that there i5 a mnstruction lentling agency tor the performance of [he work forr � ich this permit is issuetl (Section 3097 pv. CJ ' Lentler's Name Lenaer's Atltlress OWNER BUILDER:DECLARATION I hereby affirm lhat+l!am exempt irom the ConVactor's License Law for the �� following reason (Section 7.031.5 Buziness antl Protessional Cotle: Any city or I county whiCti require5'd•permit to construct, alte�, improve, tlemolish or �epai� ''�� any structure, prior'to'its issuance, also requires the applicant for sucn permit '� [o fiie a siqnetl statemeM that he/sM1e is licensetl pursuant to the provisions ot 'he Contractor'mCicense Law (chapter 9(wmmencing with Section ]000) of )ivision 3 of the'Business antl Professions Cotle) or tM1at he/she is exempt nerefrom antl the basis tor the alle9etl exemp[ion. Any violation of Section ]031.5 by any applicant for a Permit subjects the applicant to a civil �e dlty of not more than five huntlretl tlollars (E500). I, as owne� ot the property or my employee5 with wage5 a5 their sole compensation, will tlo the work, antl the structure is not intentletl o� offeretl for sale (Section 7044, BuSinesS antl Protessional Cotle: The Contractor'S License law tloes no[ apply to an owner oi a property who�builtls or imOroves thereon, antl who tloes such wark hlmself/Ite�self or through his o� her own employees, provitletl that such improvements are not infentletl or o(leretl for sdle. If, M1owever; the builtlin9 ot improvemen[ is soltl wiihin one year of com- pletion, the ownen will have the burtlen ot proving he/she tlitl not build or im- p�Ove'fov ibe purpose of sale). . � � ❑ 1, as owner ot ihe prOperty, am ezcluslvely cankracting with licensetl con- Iractors to construct the oroject (Section ]044, Businesz antl ProfessionSCatle: The Contractor's LicenSe I�w does not apply to an ownet of Prope�ty who builtls� o� improves the�eon, antl wno mnlrac[5 forsuch prOlecls with a con- Vactor(sl ncense pursuant to the ConVactor's License Law). I am aware that proof of tbei� Worker's Compensation insurance ShoWtl be Provitletl to me. ❑ I am exempt untler Section . B. & P..C. tor this reason � Signature l �y'�i Drivers' License ar 55 �MF 0865-46, rev. 10/84 � \ have reatl thi5 application antl state that the above agree to compty with all city antl countybrtlinances o builtling construction, antl hereby authorize repre- to/Qnt - pon the above-mentionetl Prop¢�ty to� T Ai Date_�5� ' / ' _ _ those within heavY Oortler lines antl si9n all appropriate tleclaralions. TRACT NO. ' 1.0T NO. UNIT NU. _ .�3 32�Z� I I I T�YPEOFCONSTRUCTION � NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ OEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. 1.��- �- TYPEOFPERMIT IJ�GRADirvG ❑ TENANT ❑ ELECTRICAL L� OTHER_ PROJECT DESCRIPTION � 5c�. FT.— CON STRUCTION TVPE ZONE GRF Remarkz: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors Kitchen Sink. Lavamries . P—Trap Roof Drains . I Reinspection Fae ' $15 Boiler Duct - Under Ground Duct - Structural ' . ' Duct � Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-t00,000�BTU 0100,000 Reinspee[ion Fee � $15 Builtlinq; Canary - qppliwnt; Pink - ACCounting; Goltlenrotl - ASSessor IFOUNDATION LJSTRUCTURAL PLUMBING ❑ MECHANICAL VA�UATION $ NG CU. VDS. AC Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water C�OSEL Water Heater Water Service Auto-Wash Issue Fae Hood or Type I ❑ Canopy Type I I ❑ Fefrigeration System ❑o-i oo,000 sru ❑ i oo,000 Sys[em Repair/Alteration Fire Dampers - ' Registers . laue Fee A.P. # S Main Buildin9: E T Front B Rear � A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cookin9 Unit Dishwasher Dryers ❑Gas ❑E�lec Fan F.A.U. Fixtures �evice Boxes Outlets Switches' � Garbage Disposal Generator 00.5 KW C 6932 3/17/88 25,50 TL � Zone . Accessory Building: � Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter LJup to 100 amps -. Meter ❑over100amps Sub Panel Motors �0-7 HP, 01 %- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range IStanding Sections 15 KW Trash Compactor _ �I FEES $ 3 I �— Reinspection Fea $15 luue Fee $ 3 FEES DEVELOPMENTSERVICESRE�UIREMENTS: ' Zoning Approved By Date Building Approved By _ � Date �y Applintion Issued By Dat —�3 � �—u_ SUMMARV OF FEES � BUILDING PERMIT $ `LS• �'% , SMIP , $ �S� PLAN CHECK $- PERMIT . PLUMBING $ �SSUANCE $ � PLAN CHECK 25% 5 ENERGYP.C. .$ ELECTRICAL $ GRADING $ ` PLANCHECK 50% $ MICROFILM $ • MECHANICAL $ � TOTALFEE $ 2 •�� $ 3 PLAN CHECK 25% $ Z O N I N G R E Q M T S F>' CONSTRUCTION AND PLANNING � POOL & SPA APPROVALS ;Permit# �Date Inspector qppROVALS Permit# ' Date Inspector r • 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 7. Footings ' � . 58. Electrical Conduit-Undrgmd. 8. Foundation . � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVALTO DECK ' 1�1. 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 i 6: Rough Electric Wiring � 67. Fencing & Access Approval - 17. Rough Wiring Sign � 68. APPROVED FOR PLASTEfiING 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 �Gas ❑Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush - � 24. Roof Framing . ' 73. Undergrnd. Storage Tank O Gas ❑ Oil �� 25. Roof Sheathing . . , � 74. Overhead Hydro ' ., � 26. T-Bar Ceiling (Structuraq & Monocoat � 75. Dry Chemical • � 27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding � 77. .FIXED SYSTEM FINAL i" 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-DomesticFinal "� . 42. Backflow'Preventer � ' "�' 43. Backflow Irrigation � �` � � - 44. .Landscape Irripation System � ' 45. Sound Attenuation � , . 46, liandicap Regulations ' .47.,FINALSTRUCTURE&BUILDING ! � �' ' 48. Special Requirements Completed " � 49. Electric Release to Edison 50�. Gas Release to Southern California Gas Co - �� ' 51. CE�tTIFICATE OF OCCUPANCY � . . � No. Date - . ._ T ' g Department �. t�PPLICATION FOR PERMIT�m 'T _ � P.O.Box3�� .��3 �; , BUILDING � .�� COSTA MESA, CALIFORNIA �FOR APPLICANT �.`O FILL IN FOR OFFICE USE ONLY Receipt No. Permft No. l�uilding . �� r�„�� ? / O Address J �o Costa Mesa, �ia�OPII13 R�ecreiv�e� hy Date Rec'd. Date Issued Nearest /1� !/ ti! �^ �� " CrossSt (/" ycGn/� Builtling • Address Owner y Mail Costa Mesa, California , Address �6 " �C �y.� S ,/� Nearest Tel. g CrossSt. City -' � No. ./�� Zone i��l Plans � I TYP� . Architect or Lia F� Engineer No. Approved� � " b Date Address — � CORRECTIONS Ci! Lic. J� / contractor_rl� �/.f/ ' �� oy /(Jb � Address �9i+'I st Legal I Lot �-} I d`. � _ Description No. `�- I Block I Tract�� •� (Attach Metesand Bounds) I No. of Bldgs � Size of Lot 60 .}' /00 Now on Lot 0 45eof I No.oi I No.oi ' 9 Existing Bldg. — Families Rooma y� Setback Line from i Rear Vard �,f' Z Center of Street C� Side Vard ' �' � D DESCRIPTION OF WORH � New I1�Alteration I I Atltlition � . Repair I I Moving I I Demolish I Bulldinu _ � No. of _ . 1 Covering ,.��ucGQ �� CoveNng :J'"p C/� ' APPROVALS Use of New • � Building � � �� Foundation Location Inspecto� � Date ' Forms, Materials, /-.� /, ' Under-Pinning . �- Frame: Fire Stops, ' Bracing, Bolts I hereby acknowledge that I have read Uus Application and state that the abwe is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construCtion. Lath. Ext SignatureM � �� p /,.��'-Z� Permittee 2�Y1-Z .A' Plaster, Int a� Authorized Agt. � Plaster, Ext Valuation Permit Fee $ 07 0� — Masonry Reinforced � � Plan Check $ / "— gond Beam /` $ '� �,'�� ..' Total � . J Fee $ � � � FINAL `t04 IO�M1S O. P. & 5. , 1 Z . aU Z Za ON am J � J N n7 J J m Q U N Za w� aw W Z J 0 m Z J � W w O ZF w � N ¢ �O .31636 COSTA ME5A BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 PhiC APR 17-7�crisa001089 �***>*8,00 Fo�Applicant to Fillin Completely _ APPLICATION FOR BUILDING PERMIT ? / RECEIVED BV DATE RECEI�VEjD /DJ/f,�. TE ISSUEnD /� ADfDFESS J � R /l �h� J � J"' / / ' / ✓ p P RMIT Q, OWNER C/.1/� - S��"lO/l�f S �+•7• NO. I�' S7 7— �� MAIL BUILDING r AOORESS SA�'�'� ADORESS '�} �� ZF�� ST. CITV C O S% MtsA N�L •G/ o9G TRACT �� LOT BLOCK LENDER�ION G�� -�2 C�IL W A A P x BRANCH -' OWNER ADDPESS �-�� VALUE M1 0� ARCHITECT ! TEL SE S �/✓• OR ENGINEER N . FIRE ' ADDflESS ZONE TYPE ROUP /� /� APPROVED �nh CONTflACTOR LV �Q /,J G/L /✓l2� BV DATE �� ADORESS , yy /V(-2 SW � N TEL. ZONE NO.OF USE OF NEW CITV �—_ NO. P��`=s L BUILDING STATE CITV VARDSAPPqOVED YAROSAPPROVED LIC. NO. ��C. NO. MAIN BUILDING ACCESSORY BUILDING � (FROM GLSTREET) SIZE / 'y I NO.OF BLDGS. . / �� ^7 OF LOT (�' /� � � O NOW ON LOT FRONT FT. - IO FT. /Je UJL y USE OF •� EXISTING BLDG. S FT. �- Q- FT. NEWBLDG. ��4 POOMS ` STORIES�� L.SIDE FT. �J! �O'FT. �� EXTERIOR WALI _� ROOF /� / � COVEfiING COVERING REAR FT. (p - IO� FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. qE7, MAIN & � MAIN BLDGS. ACCESS. BLOGS. �' I U•• �IKMI►� VAR.� DATE O O C.U.P.� APPROVED APPROVE � � � - Z3 -'�0 I hereby acknowletlge that I have reed this application antl state that the above intormation is correct antl agree to comply with ell lews regulating builtling construction, antl I shall not amploy eny person in vi0laUon of the workman's compensation laws of the State ot Calitornia. I hereby certify that I am properly licensetl as a contractor untler SQ. FT. the State of Calitornia Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR Chapter 9, antl tHat such licenses ere In full force and effect, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV: am exempt from the provisions of the State of California Business V ALUATION • 'i'N and Professlons Code, Division 3, Chapter 9. PERMIT FEE S SiOnatute of Q� _ , �% �9 Permittee��l�"�7 ��- � S J(OO' PLAN CHECK 5 (/ Authorizetl Agent TOTAL FEE $ �• �_ J � �' , 34030 . •' COSTA MESA BUILDING-SAFETY DEPARTMENT i P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING �,� S p��ReLL-Si ADDRESS OWNEti ' [ MAIL p.� � Z ADDRESS 0 aU ci7v L`Os% /�'Io Z2 Q CONSTRUCiION ,� O � IENDER am J � BRANCH � J N m J ADDRESS � m ARCHITECT J N OF ENGINEER U Q W Q ADDRESS �� aw J O CONTRACTOF L m Z �3� J � ADDRESS W W � CITV CO S T/ � ZH W � STATE y Q LIC. NO. � � SIZE OF lOT �/q X I� O TEI. NO. , TEL. _Gc ST TEL. � NO. � CITV LIC. NO. INO.OF Le� NOW ON LOT � :.��! 7�t-72�A�°00 483�` „•**�39.00 APPIICATION FOR BUILDING PERMIT FECEIyE� e %�% RE,CE�ED �=� isg�p i %� T 7 u i ��5� ��— I� PERMIT NO. n o u BUILDING �+�� .'� /�� ADDRESS (J /L/ TRACT �,f LOT BLOCK W AD A R P � OwNER ' ' � VALUE� S $ FIRE ZONE TVPE GROUP ByPROVED DAT�— � ]` �� Z J/ NO.OF� USE OF NE PLAKS BUILOIN VARDSAPPqOVED YARDSAPPR ED MAIN BUILDING ACCESSORV BUILDII T � FT. /�� R SIf1F V FT FT Z NIEWBLDG. ��+ �I , ROOMS I STORIES L.SIDE J F" a EMERIOR WALL r.. ROOF 7 V COVERING S L O COVERING REAR P�F' J USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BEf. a MAIN BLDGS. a Q ' vna. # 0 L � I/� R o a c.u.a.# F APPROVE N z � � UI hereby acknowl¢dge that I have reatl this application antl state � that the above intormation is correct antl aBree to comply with � all laws regulatin8 building construction, and I shall not employ F„ any perzon in violation of the workmen's compensation lews ot Me Stata of Celifornia. h zI bereby certify that I am proparly licansetl as a contractor untler �/ Sn' F ihe State of California Business and Professions Cotla, Divisicn 3, THE AMOUNT Chapter 9, and that such licenses are in full force antl etfect, or 1 THE PURPO6E ( am exempt from t�e provisions of the State of California Business VAIUATION antl Professions Cotle, Division 3, Chapter 9. SiB�atura ot Q ( Permittae � y� � $ �7�� ` /.,, �5 11\' ' AuthorizeC Agent �� m W 0 IN UNDER VALVATION IS FOR � j ABLISHING A PERMIT FEE ONLV: m ¢ � m PERMIT FEE $ �'�' � � %"� m GLAN CHECK 5 E p /�Y LL TOTAI FEE $ ✓ / �' Z . a cWj � Z Z Q ON am J � J � Q W ¢] J J m Q U Q Z� aw w Z J Q m z J � W w � _ Z F- W � N � � � 36671 r r,. n„ COSTAMESABUILDINGSAFETYDEPARTMENT ��r �n-��,is�wivi�� t �•-_ P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLIC TION FOR BUILDING PERMIT ForApplicant to Fillin Completely RECEIVED B DATE RECEIVED D/A—TEISSUED BUILDING � �— �p.� _ ADDRESS �j � n PEFMIT fJJOU'. "; OWNER �y�Qn l A.P. NO. MAI L BUILDING ADDRESS F' %(� �SFJ�j/ �//J ' Q P �+DORESS (�3� TEI: �.� TRACT LOT BLOCK CITV CB ,�.' NO. !� /��fj' CONSTRUCTION '' W A� A P LENDER "�� BRANCH �- � OWNER �C.O ADDRESS � VALUE �/ � ARCNITECT _ TEL. S $ - Ofl ENGINEER N FIRE ADDFESS ZONE TVP GROUP '7 APPROVED .' I � � � 7�/ CONTRACTOR ,�7 BV DATE ADDRESS TEL. ZONE � NO.OF USE OF NEW CITV NO. P�� BUILDING STATE � CITV �'ARDSAPPPOVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OF 8LOG5. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF � EXISTING BLDG. �.� S FT. FT. SIZE OF NO. OF NEWBLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOF WALL ROOF , COVERING COVEfiING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED pISTANCE BET. � BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE C.U.P.# qPPROVED � APPROVED SSi�IG 1 hereby acknowletlge ffiat I have reatl Ihis aDP�ication antl state •� that tha above information is correct antl agree to comply with all laws regulating builtling consttuction, and I shall not employ ,S� any person in violation ot the workman's compensation laws of the Siate ot Calitornia. m e I hereby certify thai I am properly licensetl as a contractor untler SQ. FT. o the State of Galifornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, and thai such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt from tl�e provisions ot the Stete ot Calitornia Business � antl Professions Cocle, Division 3, Chapt¢r 9. � VALUATION �.�(9'tJ� � . PERMIT FEE $ � Signat�re o(' ^�/ p, (�,.� � 7 Permlttee �}}- ��^/ . i l%iL"t� $ C}U m ` //,� � PLAN CHECK $ a �� L'�L� u Authorizetl Agant TOTAL FEE $ d S� OWNER �JOB ADDRESS � GENERAL C01 4 AP No. M, � 1! . MISLELLANEOUS ROUGH HEATING ANO AIR CONDITIONING TEMPORAftY SEftVICE OR POLE UNDERGROUN� � POWER � ROUGM WIRING TRENCHES � FORMS � STEEL REINF FLOOR SYSTEM BON� BEAM ❑ STEEL REINFORCE ❑ SNEATHING FRAME ANO FLPSHING LATHING - IN [� OUT ❑ PLASTER, BROWN COAT STRUCTIIRAL, FINAL HEATING, VENT., REFRIG. AN� A.C., FINAL PLUMBING, FINAL ANO GAS TEST n ELECTRIC, FINAL BUILOING, FINAL %.� DATE BUILI SUBCONTRACTOR OwNER SCHONES, G. F. GAS W AT DATE JERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK No.115-573-11 LOT TRACT FIRE ZONE VALUE �N PLUMBING '. SWR. LINE � HOUSE CON. N%LING SYSTEM ROUGH HEATING AN� FIR CONOITIONI TEMPORARY SERVICE OR POLE .� UN�ERGROUND � POWER � TR FfiAME AND FLASHING LATNING - IN �L}�OUT p�p6TER, BqOWN COAT $TRU�TURAL, FINAL HEATING, VENT., REFRIG. ANO A. PLUMBING, FINAL 0.N0 GA$ TEST F fi/i'1 �� SUBCONTRACTOR OW NER BRISTOL EST9TES � oATE 9-5-56 - JOB ADDRES3 835 Darrell Street BUILDING PERMIT NO. #3(�0� GENERALCONTHACTOR $. V. HUIlu3�c2T VALUE $ 8,856.�� LOT 65 BLOCK TRACT 2873 Single Res. W�8t,t. gar. GROUP I&'J TYPE V ZONE �1 FIRE DISTRICT 361�3 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR e _/ 1� DATE I NUMBER Foundation Forms and Grei Rough Framing Plumbing, Rough to Slab � Plumbing, Rough Complete Temporary Pole Se 6 -5 l� 3//O — -.iL /n y.`J � i House /Oil� Sewe�,st.YY/GS Vo'//S'LS��I /.�T'��,. ��.� I�n-9-,i/_ I9od'.3 -� In Out Final. Fixtures Plumbing,Fin.alGasTest /eS"C �� -. / _' Wiring, Final � y_/a � L Occupancy ?%� e6 r� /� � � FORM210 3M 10-03 -/�-J