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HomeMy WebLinkAbout644 SHALIMAR DR - Building Permits • CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT CERTIFICATION • As the undersigned, I am fully aware of the responsibilities as owner builder. I hereby certify that the personnel listed below, who are presently performing work at (a y l . S\ e.\ Nom$'r are employed by me. I will withhold Social Security deductions, State and Federal income taxes. They are also covered by Workmen's Compensation Insurance as prescribed by the State laws of California. NAME & ADDRESS OCCUPATION Date 1 0 - I b - 1 LI Signed: f• ' Address: 5A1Z-v � +� OY rj ItLULIVED f .. )� r 18823 FEB -2 6 1963 "- . 963 ... COSTA MESA BUILDING-SAFETY DEPARTMENTli 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 SuaDING 1 L HA �7�/I For Office Use Only ADDRESS 6 r 6 l , S/IAL/r` Ae RECEIPT NO. PgR)tyyy 3 COSTA MESA, CALIFORNIA L/O�/D(/ RECEI/20 BY DAT/g 7VE DATE ISSUEDCU OWNER CF1l_ AI /NG• " / r1 � ) OV -45 BUILD!NG/.�///— / /I� d .; )�A MAIL q ADDRESS(((!lull 4 7(!') `/ / ADDRESS I 1 PEARL A✓g . /FIRE _ TELL. ZONE TYPE GROU-� / CITY BRI.I$0A ISLE. NO.U/ 151I03'7�• ,// �3 AR EHGINEER TECT J f IC F(frLr}/✓ NO. Al,Plb-I I 7 7 APPROVED Ay DATE U fin iv ADDRESS J 30 E . /9 TO sr C srn MEA TONING Z 7 NO.OF USE OF NEW w I PLANS BBUILDING CONTRACTOR O W Sr S A 6/0 ` It/1`J 1.....--"I E DESCRIPTION Lot 3 q 1--R a 5`B ADDRESS CITY _ A.P.NO. I (6 ^ / y1/~ t/ 2 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE - TEL. Sr TO SIDE a REAR P.L. LIC.NO. 01;1E-0T IZE y Q No.of BLDGS. EAVES OFLOT Co y1 Jo l .9a I NOW ONLOT ALLOWED (U.B.C.REQUIREMENT) II YARDS APPROVED YARDS APPROVED USE OF � MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM FRONT �.[� n. FT. CENTER OF STREET REAR YARD •�' J SIDE YARD LEFT Ft RIGHT ^— R.SIDE FT. DESCRIPTION OF WORK L.SIDE L'q FT. 3 Fr. NEW X ALTERATION ADDITION REAR q FT. FT. DISTANCE ET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDG9, ACCESS,BLOGS. BUILDING NO OF / VAR.# DATE SIZE _Li X S ROOMS to • STORIES / C.U.P.$t / /� APPROVED EXTERIOR WALL-err LY�r COVERING R{(it{ BYPROVED/1/1 J DATE a-a-' -�3 COVERING /r d pL� ".j/ 'A USE OF BLDING AND WORI(T B FOF;jAE I/yv1/Jor df/E n eel (� l [/P L Pd n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m BUILDING CONSTRUCTION.t AL-N INC• C SIGNATURE STRUCT o�A JJ ��( 1 �/ PERMIT FEE $ �0-- D PERMITTEE On-pi (\1/T,vT`^^�v`i� s��i 530 A C O m 30— � � , AUTHORIZED AGENT11. I— TOTAL FEE $ /�'-%a...- ? OWNER CAL-D INC. DATE 3-19-63 JOB ADDRESS 644-646 Shalimar Dr. BUILDING PERMIT NO. 18823 GENERAL CONTRACTOR ON,niPr-RIAr, VALUE $ 18,930.00 AP No116_181-18 LOT TRACT FIRE ZONE DESCRIPTION OF WORKDplx.w/att.ept. INSPECTIONS Signature DATE GROUL &J TYPE {/ ZONE R-2 Soil - -�7� j PERMITS ISSUED Gas / !-/ �t�� SUBCONTRACTOR DATE NUMBER Water ' /i 7 Rough Com. Refrig. ❑ Air Cond. 0 Rough Heating —XW----yjW . / _ �VG-GO —� 7�/ Rough Plumbing /_/14 ii./1/ 3" .10 ;e _ - .9-Oz54% _dfl1'/ N Miscellaneous / Prop.Swr.Line 0 House Con. $ St.Swr. ❑ -x A y 7 JCC Zrt 1- a getwe.i/ �... 35-4,4Z Sprinkling Systema Construction Pole /140 5,LCA✓ -de a- j�'✓r-�.j —1,f A Underground 0 Power ❑ y�./���y a`/ Rough Wiring e{./O-L4 .rte• 3;aS-G3 �- ea-v Trenches I$- -Forms In Steel Heinf. ❑/ -y_17_h • Gil, jt_ vte,'s ,rte 5r t-' Floor System ✓ Bond Beam 0 Steel Reinforce ❑ Sheathing /1!="h: 9—G3 Frame and Flashing n 44_-___4_7_.- Ca._ Lathing - In ill' Out St"- in =/ 9- G. 3 Plaster, brown coat in c - 2 - Co 3 Refrig. 0 Air Cond.❑ Final � Heating, Final �-- • 3 P / Plumbing Fixtures, Final / S j ZjY ff -. S rri,1 Final Gas Test /;7 /ti E-," 2_1` ..L-23 1;•3 . Electric Fixtures, Final . C/'.7 Building, Final , C1''rt/ '{� OCCUPANCY FORM BU4-5M — 7.61 1 flQnn i - +' 3 90 77 nf� i0-7a�,. °OO 416" *****8.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI/.�{j9 DATE RF,GEIV D TE I$ UE yI i BUILDING ` ��j/ ..- - fes/ /v./01/p1 nom'/�f !, ADDRESS S ^'d, L I"��Y Oil 1 / (`� p PERMIT NO. OWNER pr�IO I- 0 ?9 T� A.P. IIr!� (C7�-2-U MAIL ` - ` BUILDING (0t '� Skki--1 k���r Z ADDRESS , I h a SVex) AoY ADDRESS �l /� r' k I_` CO CITY NO.Cilia TRACT 234 LOT 37 BLOCK Z GtS\ , cc Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH 0 0 LENDER am J D BRANCH J N OWNER ilia m J ADDRESS I �/A��� D�D/J VALU 44 -CO ARCHITECT TEL. USE / la $ �fl �— OR ENGINEER NO. U Q FIRE Z ZONE TVP GROUP W� ADDRESS 0. IL • APPROVED J Z CONTRACTOR 0 W N •_Y' .' I / t,. BY DATE mZ 1�IK .cc ADDRESS'. W W Z'' IPLANNS C BUILDING NEW wA'1.�... TEL. Z I- CITY NO. LB O STATE CITY YARDS APPROVED YARDS APPROVED o)CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING =U S12E NO.OF BLDGS.r (FROM C/L STREET) r� OF LOT NOW ON LOT FRONT FT. t V FT. USE OF EXISTING BLDG. R.SInF FT. l 0 FT. i' SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF _U COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 MAIN BLDGS. ACCESS.BLOCS. 0 ` \ VAR.# DATE p (p ' a1.1S. y st" {3 0 L-\_ 4.- \,1 C.U.P.# APPROVED z �ROVED �L�/ DATE I 0_( -75/ O STA-1.t‘ U I hereby acknowledge that I have read this application and state M that the above information is correct and agree to comply with co cr all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of AK co the State of California. T fa fa ZI hereby certify that I am properly licensed as a contractor under 50. F o the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER 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: am exempt from the provisions of the State of California Business VALUATION and Professions Code, ision 3, apter 9 �i fe PERMIT FEE $ H / I D Signature of co Permittee D.�t7 $ (J DO PLAN CHECK $ ^.D E O Authorized Agent ^ pu. TOTAL FEE $ OWN bR LUYL'L, PAUL DATE -1-U".."1-'r4 JOB ADDRESS 646 Shalimar Ave. BUILDING PERMIT NO. 39079 ? GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORKBlock Wall I AP No.116-182-28 LOT TRACT FIRE ZONE VALUE $ti00.00 INSPECTIONS Signature Date TYPE III GROUP J ZONE lid soil PERMITS ISSUED GAS SUBCONTRACTOR Date 1 Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND El POWER ❑ ROUGH WIRING Heating and Vent. • TRENCHES rt FORMS i STEEL REINF. ran FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING • LATHING — IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL /s BUILDING, FINAL t "/i v