HomeMy WebLinkAbout2350 NEWPORT BLVD - Building PermitsOWNER COZZI, BIIS,
JOB ADDRE55 7
, GF�fJERAL CONT CTOR Tns��ranr
A�t;';,.119-0� - � LOT la
I�,'�.�'"i:xCTI0N5
soi�
c�s
W �TER .
AOUGN PIUMBING
PPOP. SWR. LINE � MOUSE CON.
SPRINKIING SYSTEM
MISCELL�NEOUS
FOUGM NE/.TING �NO �IN CONOIiIOH�NG
TEMPOR�RY SEPVICE OA POIE
UNOERGROOND � POwER �
ROUGN WIAING
TRENCNES FOAMS STEEL pE1NF.
FLOOP SVSTEM
BONO BE�r.n (� STEEL REINFORGE �f
SME�TMING
FR�ME /.NO FL�SMING
— f'
PL�STER, BAO�/N CO�T
ST UR�L, FIH�L
FIN�L
BWLOING, FINa�
DATE
IOIw71:[e�J �:77,IICG]
SUBCONTRACTOR
�
OWNER ��,� ��,� DATE 1-21=63
JOB ADDRESS Q35Q j��p� �$1v3, BUILDING PERMIT NO.
GENERAL CONTRACTOR p�r_�1�, VALUE $ 500.00
AP No. ll9-0].1-11 LQT TRACT RIRE ZON� DESCRIPTION OF WOftI�
Ip'^pECTIONS �Signaturel DATE GROOP F-2 TYPE V 7.ONl
SUBCONTRACTOR
�
i_
OCCUPANCY I I I i �
FORM Bf16 � 5M - 7�61 �
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OWNER
�iu:�_�.�.� ��-��
r
INSPECTIONS
Foundation Forms and Gra
� Rough Framing
Plumbing, Rough to Slab
Plumbina. Rouph Complete
�er, House Sewe
rtic Tank or Cesspool
hinq,ln Out
Plumbing, Final, Fixtures
Plumbing, Fin,al GasTest
Wiring, Final
Occupancy
F'nrm 210 C:-H 15001 5!
St.
BLd
TVP
DATE
�
■
__._ �.
DATE�
,°' / / - -
BUILDING PERMIT NO. 1]_Z�
/
VALUE $ 2OO.00
TRACT 1,� R�nlace hack norch f]oo;
ZONE CZ FIRE DISTRICT ]1'jT
SUBCONTRACTOR PERMITSISSUED
DATE I NUMBER
Costa Mes� Building Department j � APPLICATION FOR PERMIT
� ��� rea�r om�, erocar p�� � � �1 �\� 2 1�
FORM 204 G-N 2M 9-54
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'- COSTA MESA BUILDING-SAFETY DEPARTMENT
P.�O. BOX 917 COBTA MEBA. GLIFORNIA
For Applicanf fo Fill In Complefely
� TYPE OR PRINT
BUILDING ' /
ADDRE6S � �6 'V Ew � U
COSTA ME5A. CALIFORNIA
MAIL
AODRE
CIT'
ARG
1 87ATE
USH OF
EXIBTING BLDG.
SBTBACK LIN6 PROM
TEL. /.I
NO, f(
TEL.
oP eLpBe.
DESCRIPTI4N OF WORK
EXTERIOR WALL
COVBRING
U8E OF BUILDING ANO
ROOF
F�RECEi��D
JqN 21 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
rseca�ar wo. I C3J00
COSTA� MESA. CALIFORNIA
FIRE
ZONE� �O. OF O I U8H OP NHW
PLANe BUILDINO
�a� / � ,T� .
oeeQtirrto
A.P.NO. ���' V /l— �l
YARDS� EVES
APPROVHD ALLOWED
(CBNT[R LINB 8TJ . n
APPROVED
�—
G
L��.. ,.
1 H¢REBY ACKNOWLl00¢ TXPT 1 HAVE RlAD TH18 APPLIGTION THE AMOUNT BHOWN UNDeR VALIIATION IB FOP TXE
NND 8TAT8 TXAT TN6 ABOVE �8 �RREGT AND AGREE TO COM- PURP09L OP EBT�BLIBH�Na F P¢RMIT FEE ONLY.
PLY WITH ALL C11Y ORGINAN�B AND BTATH LAW6 R80ULATINO
9u1LDMc CoxtTRUCT1oN. VALUATION �
L
SIGNATURE OF , PERMIT FEE $ �� ,
PERMITTE
��DDPLAN CHECK $ �,
i
AUTHORIZED AGENT TOTAI FEE � �_
. ' 0�6�82
, COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FHI in Comple[ely — Use [nk Only
BUILDING
AODRESS �SD
OWNER `
MAIL .��i� . .��% a
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CITV
BRANCH
nooaess
ARCHITECT TEL.
CON7HACTOR ��V�4((l/Qn't,�it �;C(A�/y(/�i)
ADDRESS � /36, �,��`
��T �,..,t'.�., c�ih� _ ��'��`
STATE CITV
LIC. NO. IIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separa[e permits are required for
electric, plumbing and heating work.
USE OF qJULpING A[up.)p�OFiK TO.B PERFQRMFp
I hereby aeknowletlBe chat I hava �eatl thls application and state
that the above Information Is correci antl epreo to comply with
all lawa reBuleting builtling connruciion, antl I shall not employ
any person in violetlon of ihe workmen's compensat(on laws of
the State of Celifornla.
I hareby certlfy that I em properly Iicensetl as e contractor untler
the Smte of CalHornle Businass end Profeulons Code, Dlvlsion 3,
Chapter 9, antl t�et sueh Iicenses ere in full force entl effact, or I
am exampt from Ma provlsions of tha Steta of Celifornia Business
entl Professiona Code, p���slon 3, Chapier 9.
Sipnetura of �
Permlttae � t�
Authorizetl ABent
6949 I.0% I 3/7B
APPL[CAT[ON FOR STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED DATEISSVEO
�/7_ /�T— i
TRACT
ED
40;�1'0`= TL•
. . . .�,U
NE NO.O�F p� USE OF NE �/J�'
_ PLANyC BUILOING a�
VARDSAPPROVED VARDSAP ROVED
MAIN BUILDING ACCESSORV BUILDING
DISTANCE BET.
MAIN BLOGS.
VAR. #
C.U.P.qW
VALUATION
s� �
�
DATE
APPROVED
N
n
m
m'
�
N
VN UNDER VALUATION IS FOR m
'ABIISHING A PERMff FEE ONLY:
e
PERMIT FEE E p
� v�
.� m
PLAN CMECK E "�
0
LL
TAX S �
U
TOTALPAID S L
a
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
aooae"ss�, �SO NEW�oRT RLUD
OWNEf3 OR M
TENANT /��LLO / �OU/N(/�
MA1 LI NG
ADDRESSz�tS�O N�(.IIQOIeT �(iLLU•
TEL.
cirv C.9dT/� N/ESA No.
CONSTFUCTION
BRANCH
ADDRESS
ARCHITECT
TEL.
CONTRACTOR�,2vRG/) �%I�.�GJILT% /
ADDflESS ZZ6S7 ,C�,e/NL- LA.LE L
TEL.
��T� _F.L rv.ea No.£j3�
STATE CITV
LIC. NO. 3� 7 LIC. NO.'
SIZE NO.OF BLDG
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work:
I heraby ecknowletlge that 1 hmo reaE thia opplication antl Rata
Mat t�e ebove Informetion Iz corract and aBrae to comply wiM
all laws regulaiinp builtlinB conrtruction, antl I shell not employ
any person in violation of Me workman's compensation laws of
the Staro of Celifomla.
I hereby carNfy that I am properly Iicansetl as a contractor undar
the Staie of California Business end Proteuions Cotla, Division 3,
Chapter 9, and ihet such lieensez are in full force antl eftact, or I
em exampt from the prorlsionc ot the Stete of Celifornia Business
and ProfessiTcr d�vis� 3, QJaP� ��
Signeture ot ��
Permittee w� �� �� -d s'
or �_�_�p
AuthoNzatl ABent Date
R
A.P. NO.
BUI LDI NG
ADORE55
VNIT 00.
SPACE NO.
TR.NO.
N�I
USE
7415 q'e/ I, I,/80 . 106.51 jL`
FOR STRUCTURAL PERMIT
'PERMIT I�TO 50481
1V
.� /0 /� � /
APPROVEDSETBACKS
PLANNIfiG ACTION
DATE
DAiE
APPROVED
E
m
i
m
m
SQ. FT. N
7
THE AMOUNTSHOWN UNDER VALVATION IS FOR m
THE PURPOSE OF ESTAB�ISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE E A� v
N
m
- PLAN CHECK E m
0
' LL
$ 3, o0o TAX s f
u
TOTALPAID S �_ .C�I
�
/--�LICATION FOR A BUILDING PERNY�T�
_.J
BUIIDING PERMIT NO. E�actr�w� W
Tract Block Lot �rmit No. �
Building �O _ /�/ Plumbing _ �
naa�ou 23 D NEU/.�BaT G �l Permlt No. �p
Cf055 � Mechaniwl C
qrra S Street /G O Permit No. n
m
Owner �OpGLO �l�!%/ (r TYPeof Rojecb ❑ New �Aller ❑ Atltlition �
AOGress O PO v� � Repair ❑ Convert ❑ Demo ❑ Occupancy Pmt.
CItY �S �' ZIP Phon¢ A.P. 5 Sp. Alrea/
A2hltect/
�esigner License No. Zone Spl. Pmt. No.
Setbacks P/L Front C/L St. Street Witlth
Atltlress
vartls Left gh ear
City Zip Phone
ava O). e ig . .
« Englnear ' License No.
� ar ng Spaces eawre rov e overe
$, aaaro:: - �
m Clty Zip Phone Stru<t No, of � No. of
Helght Stories Family
'Y�+ LICENSED CONTHACTOH'S DECLARATION Park Fees ves Fee
� Requiretl No C.T. Recelpt
m I hereby etfirm that I am licanxd under provisions ot Chepiar 9
r (commencing with Section ]000 ot Division 3 of the Buainoss entl Zoning ApProvetl BY: Date
Protassions Cotle, entl my license ie in full torca antl�astl. �
� Licenae las � �jc ensa Numbar �E> �
> Date ' � Convactor.GdNlJLtl /7/1 C/{.e EsTi' Misc.
E Atldross �Z6SG S/.P/n'� LACE= GA/. v.oPo:ea use
� CityendZlp�L T0�2o p263o vno�e83oS3'o3 orsc��ccu�e
LL
N CONSTRUCTION LENDING AGENCV
� 1 haraby ofFlrm tha[ there is a tonsttvction lentling aBancy for tha
a parformanca of [he work tor which thia permit is iszuetl (Soe. 3097, �ct. TYpe Cotle
' Civ. C.). Clazs Const Year
y Lender's Name /yONE� USE/OCCUPANCV S12E SQ. FT.
C Lantlar's Atltlr¢sa
'� OWNER-BUILDER DECLARATION
� I hereby afiirm that I em axempt from the Contreetor's Li�ense Law 1�
� tor the following reason:
� ❑ I, as Owner Ot tha property, Or my amployeas with wage� as thair 2. �
sole compen�ation, will tlo the work, and the sbvcmre is not
L intendod ur ot(ered for sele.
� 3.
� ❑ I, as owner of t�a prOp¢rty, am eaclusively conVacting with
licensed contractors to wnsnuct the prolect.
�d., ❑ I am ¢Kempf untlar $ec. , B&PC fOr Uis reason 4'
N
a �BSN �QWlIP.!
E WORKERS' COMPENSATION DECLARATION Total Valuation
� I hareby eHirm [het I have a certificate ot consent to solbinsme,
O� a cerNficate ot Workers' Compensation Insurance, or a cortiflxd EnCroa<hment Pormit Required ❑ Ves ❑ No
C COpy [h8f80} Glatling PmL Grdtlin9
fi voi�cv No ��-Ze�y 7h'ompany TAT fv�Y/.J Redulretl ❑ Yes ❑ No Pmt. rvo.
�a ❑ Cartitietl cooV is hereby turnished.
G�Certifietl copy is filotl with CI%�/ Of C. �I, App9a�eCdbyn9 Date A
a oeiet4-� Bv qpplicant 414/�Li'J f1.U�[NETli 3
CERTIFICATE OF EXEMPTION -
FROM WORKERS'COMPENSATIONINSURANCE Z
(Thiz eection neetl not be compbted if permit is tor $100 or leasl. �
� certity that in t�a performance of the work for which this parmit is Q
iasuetl, I sholl not employ any perwn in any manner so as to becomo pERM1T FEE$ �
subjecl to the Workers' Compansetion Laws ot Calitomia.
Dete Applicant
NOTICE TO APPLICANT: It, after making �his Cerii(icete of Struttural S Plan C�etk §
Exemption, you shoultl Eecome subject to tha Workers' Compensation
provislons of tha lebor Cotla, you m�st forthwith comply wit� such Electrifal 5 SPecial S
provieions o� t�is pe�mit ahall be tleemetl rxvoked. InveSt.
I CEfiTIFV THAT I HAVE fiEAD THIS APPLICATION AND STATE p�umbin9 S
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO
COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRVCTION, ANO HEREBY AUTH- Methanital $
ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON
THE OV�ENT�NED PROP,�RTV,FOR INSPECT�
// We•Gratle
PO S. L�c.T, InsPection E
f3J7� 1� �/��--- �./Lv� Pre-Grade Cermit
gnatura ot pplm or Agant
All s aces within this box must 6e wm leted to process Plan Issuance
P P Cneck By: Approvetl:
�,mr u��o-qo (nv-[e) rav. u/no