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Home My WebLink About759 ALLEGHENY AVE - Building Permits/ ' 1 r.. T (714) 754-5273 • F2x (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 7SJ ALLEGHENYAV Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 14153402 Applicant: GALITSKI, GUY Address: 19792 POTOMAC HUNTINGTON BEACH CA Owner: METOYER, CHARLENE L Address 759ALLEGHENYAVE COSTA MESA, CA Contracmr. G G ROOFING CO INC Address: 19792 POTOMAC Arch : Address: HUNTINGTON BEACH CA Zip: 92646 Phone: Zoning: R1 R1 Phone: (714)965-2387 Zip: 92646 Phone: Zip: 92626 Phone: (714)965-2387 License: 364151 Eng: Address: ISSUEO BY: Status: ISSUED Applied: 07/07/2000 Issued: 07/07/2000 Phone: Zip: License: License: . SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (38 SQ). TEAR OFF EXISTING ROOFING & RESHEATH WITH 7/16" 056. INSTALL 1 LAYER OF 15# FELT UNDERLAYMENT & REROOF PITCHED AREA (17 SQ) WITH 30 YR COMP & FLA7 AREA WITH BUILT-UP ROOF SYSTEM. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $153.25 $0.79 $0.00 $0.00 $0.00 $154.04 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Ri9ht 0-0 s�,soo.00 s�,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This p�rmit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � WORKERS' COMPENSATION DECLARATION: I hereby aHirm untler penalty of perjury one of the tollowing daclaretions: � ❑ I have end will meinlain a cetliticate of consent to seN-Insure tor workers' compensation, e5 provided for by section 3700 of Ihe Labor Cotle, for the peAormance of the work for which this permit is issued. �1 �ave antl wlll meintain workers' compensation insurance, as required by seclion 3700 of the Labor Cotle, for the pedormance of the work for which this permit is issuetl. My workere' compensation Insurance carrier and policy number are: I2� I� —� Cartier. �`��[ F�� Policy Number: (This sect�on nee not be completeb �l the permi�s va/uetl et one hundred dollars ($700) ar /essJ ❑ I certity Ihet in ihe pertormance oF the work for which ihis permit is issued, I shall not employ eny person in any manner so as to bacome subject to Ihe workers' compensation laws of California, and agree ihat if I should become subject to ihe workers' compensation provisions of Section 3700 of Ihe Labor Cotle, I shall forihwith comply with ihese provi ns. ��.I----�-y— -�,�^ ApplicaniSignature: �� ALJ Date: �"'�' GWQ WARNING: FAILURE TO SECU ORKERS' MPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANDDOLL4RE($100, ),INADDITIONTOTHECASTOFCOMPENSATION,DAMAGESASPROVIOEDFORINSECTION39060FTHElABORWDE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am torce and efted. Lic. tt_ Con�ractOr'S SignaNre: � CONS7RUCTION LENDING AGENCV: of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro ssyi Ds Cotle, and my licensa is in full Class# G..^�-I _ Date: -�% �- � � 7 �' v� ❑ I hereby aflirm thet ihere is a consWction lending agency br ihe pertormance oi ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lendar's Neme: Lentler's Adtlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby a%irm ihat under penalty oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE lAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permi� to construct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires ihe applicant tor such permit b file e signed statement ihat he or she is licensed pursuent to Ihe provisions of ihe Coniractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of ihe Business antl Professions Code) or that he or she is eaempt the�etrom and the basis for the alleged ezemption. Any violation oi Section 7031.5 by any epplicant for a permit subjects the applicant to e civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner ot Ihe property, or my employees with wagas es iheir sole compensation, WILL DO THE WORK, and the structure is noi intentled or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work himseli or herself or ihrough his or her own employees, providetl ihat such improvements are not intentled or offered for sale. If, however, ihe builtling or improvement is sold within one year of completion, ihe owner-builder will have the burden of proving that he or she did not builtl or improve tor puryose ot sale.). ❑ I, es owner of ihe pmperry. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions Code: The contractors Licensa Law does not apply to an owner of property who builds or improves Ihereon, and who coniracis tor such project with a contractoqs) license pursuant to ihe Contrectors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for ihis reason: SignaWre: Date: Owner ID venfietl by tlriver's license. ❑ Yes ❑ No Driver's License No. Verification of Ownership by (type ot document, i.e. - property tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PEHMIT CERTIFICATION: Expires: ❑ I hereby cenity ihat no excavation (ive (5) or more taet in tlepih into which a person is required to descend, will be meda in connection with work authorized by this permi�, antl ihat no building simcNre, scattolding, talsework, or tlemolition or dismantling ihereof, will be more than thirry-siz (3fi) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttla 8, Calitomia Administrative Code). ❑ As owner-Duiltler. I will not employ anyone to do work which woultl require a pertnit from the Division of Intlustrial Safery, as notetl above, unless such person has a permit to do such wark from Ihe division. Signalure: Date: Division ol Industnal Safety Pertni� Numher: CERTFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty ot perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building constmction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until finel inspection. CODE �. INSGECTION TYPE 1616 Fixed System Final Fire Prevention 1266 200 201 Pool Spa Final Final Re-Root Final BIaWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolilion 2466-46 �_�D�te � Date �E INTRIAL 4Q$� INSGECTIONTYPE 206 Final Mechanical ]/f,'J 11 �1,,,,�l�'� 200 Final Plumbing '�-1/•'^� 210 FinalElectrical V 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy p� �Ni�TIALS e .4DV��ca�t to fill in all spaees within Y OF COSTA MESA PERMIT NO. NS7FiUCTIOiV PERMIT /=� l.l iA� qddres Co�Eer lines antl sign all apD�opriate tlaclaratior TRACT NO. LOT NO. BLDG. NO. TVPE OF CONSTRUCTION 'hone _ � ❑ NEIN ❑ ADD ❑ ALTERA710N � L2 ❑REPAIR ❑CONVERSION ❑DEMOLISH Np. ❑ OTHER DESCRIPTION OF WORK Contractor Cp 1� Phone 1 hlreby aTfirm t�at 1 am Ilcensetl untle� C�ov)slons oT Charte� 9(com- me�cing witn sectio� 7000) of DiviS�o� 3 of tha Business antl Profassions COGa, antl my Iicense is In }ull forco anC eftect. Llcense Class Llcense No. Data Signature WORKERS' COMPENSATION DECLARATION 1 hereby afflrm tltat I have a ceftltlWte of <onsent to 5elf-Insure o/ a r"�Icate of Worker5' CompOnsatlon Insufante, or a Certlfietl Copy f (Section 3800, Lab. C.). No. Company �.�rtitletl copy Is hereGy Turnishetl. ❑ LertiTietl copy Is flleO wlth the city BU��tling Divislon. � EXBMPTION FROM WORKERS' COMVENSATION DECLARATION (($1�O5eorl ess�eetl not be comP�etatl if the permit is for one huntlretl I ttlrt�ty that'n the performante of the work tor which this permi[ is issu��, I shall not emP�oy any perion in any manner so as to become Date �' �7 �"F� Si9natuve � q -�� NO'r�CE: I( atter makin9 this Oeclaration, you 5hou10 bety e subject to the WorkCrs' Compensatlon Provlsions ot the Labor Cotl You must torthwith comply with suth provisions or this permit shafl be tleemetl revtlketl. CONSTRUCTION LENOING AGENCV I hereby afFlrm Ihat tnere is a wnstructlon lentling agency for the perv torri�ance of the work for whith t�is parmit is issuetl (Section 3097 tiv. CJ. ��tler's Name LanGer'S AtlQraS a to tne proWiions of tne Contra<torY UcenSe Law :ncing with Section 7000) of Divislon 3 of Ine lons Cotle) or that he is exempt therefrom antl tne �� exemptlon. Any violatlon of Sec[ion �031.5 by permit suDjects the applicant to a civil penaltY ot an owner ot a properiY �es such work nimseit or :h imorovements are nOt naea or o*rarea ror sa�e. iq nowevei �Itl within one year of completion, t proving he tlitl not builtl or impr� �. as owner of rne oroo¢rtv. am an oW�er oi Plop¢fty wpo DWI05 Of [fdC[5 from SOtil OIOIBCiS W}t�l d C( LI I am exemPt untler Settion B. & P. C. for this reazon Date Ownar 1 herebycertifythat I �ave reatl thi5 appliWtion antl state that the above Info�mdtio� i5 Co��lct. I ag�ee to comply with all City antl countY ortliNances antl state laws relatina to consVuc[ion. antl herebv authorize ❑ GRAOING ❑ FOUNDATION ❑ STRUCTURAL ❑ TEf3ANT �ELECTRICHI OPLVMBING ❑MECHPI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRAOWGCU.VDS. ACRE$ PLUMBING TOILETS LAVATORIES 'K�T. SINKS SERVICESINKS FLOOR SINKS ORINKING FOUNTAINS INTERCEPTORS SWIMMING POOL WATERSERVICE GASSERVICE WATER HEATERS SEWERCONNECTION5 SOLARTANK PLANCHECK URINALS DOUB�E LAVS DISHW ASHERS SUMPS FLOOR DRA�NS CLARIFIERS PTRAP ALTERATION. OVTLETS BTU OUTPVT SOLAR PIPING SYS. ISSUE FEE MECHANICAL aLAN CHECK HEATING SYSTEM 0-300,000 BTU_, AND�VCTING 100,000+BTV� REFRIGERATION 0-300,000 BTU_� SVSTEM � 100,000 t BTU�_ BOILERS BTV SYSTEM REPHIR,ALTERATtON EXHAVSTSVSTEM MUITIPLE ISSUE FEE A.�. 9 ZONE REAR VARD (TO PKG.SPACE REQ STREET WIDTH ELECTRICAL 7534 9/13/82 PROVIDED PARK FEE PLANCHECK GENERATOR 0-1 KW__ 1-30 KW _ TRANSFORMER � APPLIANCE 30-SOKW_50+KW_ MOTORS 0-1 HP�1-10 HP _ (INC. SOLAR) 30-50 HP 50 + HP _ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS POLE LiGHTS �I SERVICE $U_� AMP iseoo T� I ISSUE FEE � � j ��.� APPIICATION APPROVE� BY C Lo oaTe 9_�.� SUMMARV OF FEES BUILDING PERMIT . .$ SMIP $ PLAN CHECK S . PERMIT ISSUANCE $ PLUMBING E PLAN CHECK S � GRADING 8 ELECTRIGAL $� E PLAN CHECK g MICROFILM $ MECHANICAL E TOTAL FEE 5 PLAN CHECK g LE55 AD- VANCE PC $ FINAL FEE E Ob 0865<6 White-BuilGin9; Canary-APpficant; Pink-Accountin9: Golden�otl-ASuzso[ - CONSTRUCTION AND PLANNING POOL & SPA �, � � l.i� � Date Inspector - � - ' '•Date -' Inspectrn APPROVALS Permit # � APPROVALS .Permit.# _ - �- . - - - �-. - 1. Temporary Electrical Service or Pole � � � , 43. , Pool & Equipment Location � � - ' " - - .-Soil� ipe=Undrgrn,.-, -,-,-a"-;.-� -� -- 44. Steel Reinforcemenf -� ---�-- � ' -3.---E�ectricai'Conduit�Utility=Un rgrn . _45: Forms�� - - � - - " - � - - -- - � - - � �---4.- Electricaf Conduit-Undrgrn ± ' __ _. . _46. Electrical Bonding � ' " -� - - - �� ,. -- ---- --- ... -. �- - tee em orce �� .; ::• - - - -- -- - -----. . .. . _ . . . � - - 47. Rough Plumbin & Pressure-Te3t ""' -6.-- Electrical'"UFER Grn �- - - � -' � ' " '4g: qppROVALTO COVER-GUNITE -� � - - '"7� -Footings' - - �'� � - " � " 49. Electrical Conduit-Undr rn' '; - �� -8. - Foundation "' - • � - � 50. GasPi e, � Undr rn, Test � � �-9. - Water Pipe-Undrgm - 51. Backwash Lines P-Tre ❑� ndr m � 10. Structural Floor SYstem -- - - - � ' 52. � APPROVAL TO DECK � • 1�1.� Property Sewer Line & House Connection _53. .Backwash & Rece tor-Final " - � 12: Sfreef Sewe� Connection ' � 54. � Heater & Vent-Final - "`-'� � - - - `:� 13. Rough Plumbing 14. Rough'ElectricConduit - - - - �56. Electrical-Final - - 15. Rough� Electric-Wiring � - - -- - - - -- - - - 57.- Solar System-Final � 16. Rough Heating & Air Conditioning. _ - - - - - - - -- - _ .Fencing=&.Access Approval -� 17. Ducts, in Structure . 59• APPROVED FOR PLASTERING - - - . _ _ . , ._,-. .. , 78. Ducfs, Ventilating � � _ _ _ _ - _ _ _. . . _ _ '- -� - 19. Gas Pipe-Rough &Test ' �_60. __POOL/SPA.SYSTEMS FINAL�"�� ' 20. Roof Framing � � - • � � " - '-�- _ _- � � -' 21. � Roof Sheathin � � . - -- - -- - - -, � _ -- - - - - - . . . .. , 22. Frame and Flashin -- ' NOTES � ' ' ' � - " , 23.� Insulation . _ :i ��; � ---- --LY,,.-.,� - - ----- _ .- --- - - - - - - . ... � ..---�------ ---- -- -- --- - -- -- '24.' lathing&Siding - � , -, � ... �..,.., . . --- -- ---- - --- - .-r � 25.' Drywall Nailing , � „�.: � � i,, i- i - --- - - -- -- -- --- , . . -�'- " - � --- - - -----. ..- --- -- ..... I 26. i Plaster Brown Coat ��, . ' .. `� � _ � � ' . . � ., � . .. �27. , Electrical P6wer�Meter-Final � , . - . - - - - - ' " , .' --- , ' . . . - . ' . ' '. .. �28. I Finai Electric �.,•"�. - � - --- � �� - - - � - - . � . - . , . `'�'+'� , ..- -, . . --- -'- -- ---- ---- �- - - - -- - . i 29. ' Final Heating & Air Conditioning - ' ' ' � -' � ' " ' ' „� , I 30.' Final Gas Pipe-Test --- --- - -_ ----- - - --- -- --- -" - -- ' . . ' 31. - Fina� Plumbing - - - .- - - - -- - -- -- - - .. . . - - `�-;i 32. Water Service-Final ' - � '� "' � ' - - � � ^ � `� � 33. Gas Service-Final ' . . . � , . � �"'; ., . � - - - - - - - - - - - - - , - -- . . � 34. Solar pomesticFinal-. -- � � � - - ' � •- 35. Landsca e S rinklin S stem ' ' ' � 36. Sound Attenuation � � � � � � � ' - -� 37. Handicap Regulations - �� ' " � � � ' � ' � � - 38. FINALSTRUCTURE&BUILDING - ' _ " ;39. Special Requirements Completed- �• 40. Electric Release to Edison 41. Gas Release to Southem California Gas Co. -- � � 42. CEFTIFICATEOFOCCUPANCY - � __ No . _ Date - � - - " - - - . . _ . _ . . James A. Metoyer 759 Allegheny Av. Costa Mesa, CA 92626 April 21, 1980 City of Costa Mesa Building Safety Division 77 Fair Drive Costa Mesa, CA 92626 Attn: Mr. Robert Young City Structural Inspactor Gentlemen: In conjunction with our meeting of April 11, 248�, I am relieving the City of Costa,Mesa Building Safety Division of all responsibility for design and e£ficiency of the underpinning system shown on my drawings. The only reason T incorporated the drawings together with my patio and new fence drawings is to show what I have done to the house for my own personal records. Should there be any problems incorporatin� these drawings together, I will be pleased to cor.:e down and discuss the problem with the Building Safety Division at any time. Your cooperation in the matter has been greatly appreciated. __5incerely. ; � ,. �..__..��2-c.e-� �(' �%� �`'�'� � � James A. �letoyer " Pr.operty owner Caller's Name Nature of Request: �G�� i� CITY OF COSTA MESA SERVICE REQUEST & PURLIC ASSISTANCE FORM Date ��/ � � � �//%%��!/ti=��/i� .f ' . - � - � / I . . 7T .. - : , ' , ' / .� / / / � � , ' -� • _ � �` , , ' � _ - � i -�i ,� �� - - ;� � � • s_ ! _ � - .i'� � .i � _ ,. � %: - . �, �� ,� � r � �••� _ —j / � �� / / '- • '- _�i, /� ��t Information Only � C: ��. r,' r , �` �; : �35�5 :�- � ;; ; � j - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA fOR APPL/CANT TO F/LL /N COMPLETELY TYPE OR PRINT BUILDING � ALLEGHENY AVENUE ADDRESS COSTA MESA, CALIFORNIA MAIL AODRE55 � 1 I_\ l ll�'I-'1 CONTRACTOR K. W. Ko�� ADDRE55 � PLACENTIA LEGAL ILOT � I DESCRIPTION NO. � BLOCK SIZE I NO. OF BLDGS. OF LOT �• X�O IRREG NOW ON LOT USE OF EXISTING BLOG. SETBRCK LINE FflOM II O � �'] p CENTER OF STfiEET T REAR YARO � I �pf I 5f SIDE YARD LEFT RIGHT DESCRIPTION OF WORK .,�.., I x II ., r�e._,�., I II .....,_,�., I � REPAIR BUILDING '�(F��SF NO.OF � SIZE ROOMS STORI EXTERIOR W,(� LL ROOFROCK COVERING JTW COVERING USE OF BUILDING AND WORK TO BE PERFORMED SINGLE FAMILY RESIDENCE AND QTTACHE� Geaerc Pi nni AI_ 4- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE REPD THIS APPLICqT10N qNO 9TATE TMAT THE PBOVE IS CORFECT AND AGFEE TO COM- PLY WITH ALL CITY OFDINANCES AND STAT LAWS GULATIN� BUILOING CONSTRUCTJO� , �� / SIGNATURE OF �� A �� PERMII"fEE � ■ AUTHORIZED AGENT F�E R��-�� `;� a C F��A�;CE OEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FIRE ZONE APPROV BY 1`/ �� FOR OFF/CE USE OMIY I ftECE1P� NO. I n i�PE NECEIVEO DATE ISSUEO z�! G� .;�r •, � -� COSTA MESA, CALIFORNIA Yi'I» ZONING NO.OF USE OF NI PlAN9 �� BUILDING BY �N ATE � YARDS V 5 REQUIRED ALLOWED (CENTER LINE 8T.) FRONT � c� �. oa p 33 �N. R. SIOE � FT. � /�/� IN. L.SIDE I �I FT.! IL (i.QXY� e�.e u n � -t�— THE AMOUNT BNOWN UNDER YALUATION IB FOR THE PURPOBE OF ¢BTABLISHINc q PERMIT FEE ONLY. VALUATION `` �/ PERMIT FEE $ 3 S � $ / `"� �// l� PLAN CHECK $ / �j�� TOTAL FEE $ �J d %J� COSTA MESA BUILDI� aFETY DEPARTMENT P.O. BOX 1200 COSTA McSA, CALIFORNIA 92626 For Applicant to Fil� in Completely — Use Ink Only BVILDING n �/ ADORESS %J �I /T�/�4�.lAJc/ �� '�v OWNER OR / �/J�/T TENANT �/%�ryJPS /7 / I� ��C {� • ADDRE55 ,; y �`/Py�qN,� �(� � � n�� TEL.(� r C�T� C��Q //�L'SGc . N�. / �0� CONSTRUCiION LENDER ��l � "� BRANCH ADDRESS �1 �' i/� ninL. 5941 4/26/E�7 4E�5L' TL APPLICATION FOR STRUCTURAL PERMIT A.P. NO. BUILDING ADDRE55 UNIT OR SPACE NO. R.NO. LOT yo s�� -5�3 NEW ADD ALTERIREPAIR USE ADDRESS LUNt VE CONTRACTOR �C�� S�S �. � ADDRESS TEL. CITV NO. F STATE CITV APPROVEDSETB LIC. NO. UC. NO. � SIZE / O.OF BLDGS. (FROM C/LST G. OF LOT` ��Q �(s %o7.59r8 ��'10NLOT RONT a VSE OF � EXISTING BLDG. Q�1L �. - y � FSeparate permits are required for L. SIDE Q electric, plumbing and heating work. REAa F � USE OF BUIIDING AND WORK TO BE PERFORMED PIp.NNING ACTIi Q � � Qa.- luc� f=�n c L• � (Y�/ � � APP O y, 7S t0 .7 R' W 0 I heraby acknowleEge thet 1 hava raed this application antl state y� that t�e above iniormation is correct and agree to comply with �. ell laws repulating building construction, antl I shell not employ z eny person In violetion of the workman's compensation �aws of � the State of Calitornla. � 3 I hereby cartlfy ihat I em prope�ly I(censed as a contracto� �nder SQ. F tha State of Callfornle Businass antl Professions Cotle, Division 3, THE AMOUNT Chapter 9, and that such licensas are in full torce antl effect, or 1 7HE PURPOSE ( am exempi from the provisions of tha Steta o7 California Business antl Profession a, Division 3, Chepier 9. VALUATION Signatura o � Parmittee � ! $�A�y�y � or 2-J (f� C/v�+�. Auihoriz Agant Date DEMOLI O SL�on� �AWEg _ 1 OV � ;�/�� j ` % h DATE APPROVED __�l n i m SHOWN UNDER VALUATION IS FOR m �F ESTABLISHING A PERMIT FEE ONLY: � PERMIT FEE § � � a n m PLAN CHECK $ /� � "� 0 TAX E SLr f U TOTALPAID $ Q �/p OWNER JAMES A. MEPOYER JOB ADDRESS 759 A1S.2qhE1 -53d-02 LOT 43 TRACT 4041 FIRE ZON GAS WATEH PROP. $WR. LINE �_J NOUSE CON. SPRINKLING SYSTEM /.NO �IR CONOITIONING UNOERGROUNO U POWER ROl1GH WIRING TAENCHES � FORMS FLOOH SVSTEM FRAME ANO FLFSHI LATHING - IN �J P� --�ER, BROWN C URAI, FINRI r DATE SUBCONTRACTOR PERMIT N0. 50013 i` �"` � 44_ .4 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDFiE55 75 H��6CN�N A��E�. OWNER J . G►��k�E c Ms- ADDRESS 7� /� {� p ME{� 'T p• CITV ('.i�i�Tll IVI�GQ NOLH /'1'� � tih/ F � BRANCH ADDRESS ARCHITECT TEL. ADORESS CONTRACTOR 1 ADDRESS TE�. CITY NO. F STATE CITY � LIC. NO. LI0. NO. W SIZE I` NO.OF BLOGS. a OF LOT ��.�(� �y ,59 �•' 81 � NOW ON LOT a USE OF 1, .�.i EXISTINGBIDG. �J�� Separate permits are required for q electric, plumbing and heating work. [.Wn USE OF BUILDING AND WORK TO BE PERFORMED Q � � a � O� - � .a �i W a R� A.P. NO. BUILDING ADDIiESS TR/ NEW AC OWNER � � FIRE ZONE PAIU �^•*i: SEP 19-77�eisn00 888= 60.50 FOR STRUCTURAI, PERMIT DATE RECEIVED D TE IS�SUE� � /4 _ L NE�'J� NO.OF � fy PLANS.� VAROS APPFOVEO MAIN BUILDING �j i REAR �/ DISTANCE BET. MAIN BLDGS. VAR. # r USE OF N BET. MAIN & ACCESS. BLp DATE APPROVED � 0 1 hereby acknowledge that I hava read this applicacion antl stace Q: ffiat the above informatton is correct and agree to comply wiffi �" ell laws regulatin8 builtling construction, antl I shall not employ z any Derson in violation of the workman's compensation laws of 5 the Stata of Catliorn7a. 3 I hereby certify that I am p�ppe�ly Iicensed as e contractor under SQ. FT. the Stete of California Businass and Professlons Code, Divis(on 3, THE AMOUNT SHOWN UNDER VALUATION IS Chapter 9, antl thet such Ilcensas ere in tull force and effect, or I TNE PURPpSE OF ESTABLISHING A PERMIT FEE O am exempt from the p�ovlsions ot the State of Celifornia Buslness VALUATION end P�ofessions Code, Division 3, Chapter 9. PERMIT FEE $ C��[�G�'K.!/R.i � � � PLAN CHECK $ Signatura Permittee �- %� $ �� TAX 5 Authorizetl Agent TOTAL PAID $ N n m i m N i m e a N J m n 0 � LL � U OWNER JOB AC W RTER ROUGH PLUMBING PROP. SWq, LINE Q NOl15E CON. � SPRINKLING SYSTEM MISCELLqNE0U5 ROUGH HEqTING AND AIR CONOITIONING UNOERGROUNO �J POWER ROUGN WIp�NG FLOOR SYS' BOND BEAM FRRME ANDI LATXING - PL"�TER, Bf fURqL Mc... iNG, yE PLUMBING, f ELECTRIC, F B111L01NG, F STEEI FEINFORCE 'LASHING IN 04T OWN COAT FINAL NT., REFRIG. AND A.C., FINAL 'INAL RNO WS iESi n � DATE SUBCONTRACTOR