HomeMy WebLinkAbout3097 ROANOKE LN - Building PermitsP3097
ROANOKE LN UNIT: 0 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049329
R'S NAME: TOM BRADY
ADDRESS: 3108 ROANOKE LN PERMIT NO: B 049329 PLAN CHECK NO: N GOVT: N SUPP : N
CONSTRUCTION TYPE: • PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: 714/957-8179 REG.NO.: JOB DESCRIPTION : REROOF/T—O SHAKE, PLYWD, 30#FELT,A COMPO SQ FT: 7, 325
ADDRESS: UNIT:
CLAIM VALUE: 7, 325 . 00 CALC—VALUE: 7, 325 , 00 GROUP OCC: R-3 /
PERMITTEE: AERO—THERM CONSTRUCTION ( 714 ) 646-3953
ADDRESS: 289 LILAC LN COMMENTS: SMOKE DETECTOR REQUIRED
C.M. CA 92627 *****eF+teE+t;,r**a *****x***** ****x* ****+F*xxet*********;'r*;tt;IEx**xatet*;Itk ********aryE******
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in tug force and effect. SETBACKS
. cITY u� 04901 5 STATE LIG.:393321 cuss: C 9 �I�, /�_
^-•e:_ 0—y"-. 90 Signature:_ N�aLG�.ws MAIN BUILDING ACCESSORY BUILDING
tERs'COMPENSATION DECLARATION: Inereby affirm matlnaveacenilicate of consent to self-insure oracenitiwte of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN -
,iensation nceg[ EC(tlie ION:copy Ireobyaffi(Section mthatIhaveac) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: f.W�VV /�52-0001 EXP.aATE: 04 /14 /91
COMPANY: NATIONWIDE PARKING REQ: PROV: PARCEL : 13953320 ZNE: REF NO:
❑ Certified copy is hereby famished. 179 Certified copy is filed 'tit the city Bu'ding Division. PLANNING NOTES>
Date' /10"-al — t U Applicant r lezW *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: Oltsection need not be completed if the permit u for one hie red(5700)or less). DEVELOPMENT SERVICES REQUIREMENTS
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 Workers'Compensation Laws of California. ZONING APPROVED BY •• DATE:
Date: Signature: BUILDING APPROVED BY : DATE: '
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions at the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: tit DATE: T
which this permit is issued(Section 3097,Civ.C). ********************** ********** **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
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: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 99 .00 51
repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
"d Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property
or my employees with wages as their sole compensation, will 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————> 99 . 51 0 , 0 0 — 0 . 00 99 , 51 99 . 51 . 00
does not apply to an owner of a property who 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 REVENUE DIVISION TOTALS--> COLLECTED • 99 . 51 OVER/SHORT: 00
Improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
/or the purpose of salt). 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
99 . 00 ' . 51
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who budds or improves thereon *******************************************************************************
and who contracts for such projects 4th a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compens:0an insurance should be provided to me. INDIVIDUAL/ FEE BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY D E S C R I P T I O.N • UNIT COST ' TOTAL COST r
Date: Owner: SFR 7325 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 7, 325 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or Modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: •
I hereby certify that I have read this application and state that the above information is correct.1 agree to comply with at city and county '
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the a ye-mentioned - - .
property for inspection purposes
Date: ! Signature' 01 000712?3-000712241 �'O1
Drives License or Social Security N: • DATE: 1D/04150 TI1iE 1$:16 7, J
104148 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLAN. ; POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Servicetor Pole :- 52. Pool & Equipment Location •,
.2. Soil Pipe-Undrgrnd. 3:� 53. Steel Reinforcement ,-
`3::Electrical Conduit Utility-Undrgrnd? 7 54. Forms 1
.4.. Electrical Conduit-Undrgrnd. ,j 55. Electrical Bonding
S;-7Steel Reinforcement 56. Rough Plumbing & Pressure Test
.' S...Electrical UFER 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, 0 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 r 66. Solar System-Final
16. Rough Electric Wiring - , 67. Fencing & Access Approval r
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, ,1
, - "Dr".", ,1 � -i
-
20. Rough Factory Fireplace ;; hri; ^ r a 1:APPROVAL•S',;, '-Pecmit# • :^
21. Ducts,in'Structure•- '
._ 'i ;;; , 770. Underground Hydro
' 22._Ducts, Ventilating % • _ -C �,-' k 1771. Product)P.iping 0•Gas 00i1
23.•Gas.Pipe-Rough & Test •,)'- : ` = .-,72. Underground Flush'" i
24. Roof Framing "F - > ,.+, ,, ••73.,Underg rnd.Storage.Tank 0Gas DOil
25. Roof Sheathing - .'-' ? :3* ' •74I-Overhead Hydro -
26' T-Bar Ceiling (Structural) &-Manocoat ,. -, . U �,` z 75� ,Ory Chemical F +�
27: :Frame and Flashing ^t•:^ =" a* :. 76. Dry Standpipe C'`' "
•-.Me) r-, ..t .. ,:r. 1 C J C)
' 28. Lathing& Siding 7,- f, x 77:y FIXED SYSTEMiFINA4: F -
r-
29. Insulation _ - = * * 7g;7FIRE PREV. FINAL
30. Drywall Nailing - , _ } H s HEALTIDEPT.REOUIREMENT
Y
731. Plaster Brown Coat' -> T ' 42 * > v79. FINAL INSPECTION »'
9cx
-32:,Electrical Power Meter-Final A s
s ru 4 r18OyFOOD CERTIFICATE ISSUED.-: ..;
:.33:�Final Electric _ r .,` •. + !: T, Nos: Q c 1 '-q,, y5 mr D � -
' ter
34 _Final Heating& Air,Conditioni'ng' `,t y _ • ,` e'K
/AA'/
,- -
35• Final Gas Pipe-Test: - D :o 1‘..-3:1‘..-3:--; 44 '
. 36._Hood or Canopy r- ' ' r '- 's-
ft
t"-z * }'-'
:c• .. �?) .:'� * r•, r.
-:37. Fina1 Factory Fireplace.' - - i • <"
r .. .. ,l r o t. u"
ICI
.'38. Final PIlimb i ng - :is " 'y.
'39. Water Service-Final. 4: H - aa y_
.'_40. Gas Service-Final • ' .5. -f, '7. 4 s
7'41. Solar Domestic-Final-' •- ;• '' :1. r*• 1.4 tr' c,
42 Backflove Preventer ^ ` ' '
43. Backflow Irrigation. >1 :▪ !' '
1' L,
:21
;44„ Landscape Irrigation SVstem:r_,:9. i. - ;7; I. _ __
"45ISound Attenuation •• •• i • - . -
• 46.'Handicap Regulations 4
i
•47' FINAL STRUCTURE & BUILDING j 4-top bL,y?bU. ,
48 FINAL.PLANNING ' " `. "
•
.
.49.`.Electric_Re lease to Edison -
-50. Gas''Release to Southern California Gas Co A. •- .. _ ;
51. CERTIFICATE OF OCCUPANCY
No. Date
•
" fAOA o (/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate
CITY OF COSTA MESA 33' p 9 PERMIT NO. TRACT NO. LOT NO. BLDG.NOtleclarationz.
CONSTRUCTION PERMIT rY1 ( 55 ((p
97 �eoitr# C �t 1502 6/01 /84 16.0;1 7l
Project Address aOO , 'l TYPE OF CONSTRUCTION U NEW U ADD ❑ ALTERATION U REPAIR
•
Applicant's Mailingng`Address , _ . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone
Owner's Name T Phone 957-8/. DESCRIPTION OF WORK
S/9,41 S Main Building: Accessory Building: Z
Address - TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front • N
Arch/Eng. - License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALB I
Address ",
-D'''`-
�� ❑ OTHER A Rear N
Contractor's Name 7)•l.0 - Q Phone•s*s-sCCVS PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
,J� Address(mailing) 36°S. 'S• 21^-"e"'e•ay ) �� • CON STRUCTION TYPE VALUATION$ S Left • E
R
M 6.31S-
3/ - ZONE GRADI NG CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q
�s1.J City License No. &, J
LICENSED CONTRACTOR DECLARATION U
Remarks: Parking Req./Provided
I hereby affirm7 that I am licensedion under provisions f charter 9(commencing R
I with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E '
my license is in fulljjorcy��an effect. n �j
-
Licenie Class L ecL1!/D (fes QY icense No.ap 3! ( PLUMBING I FEES Planning Notes: M
Dates-3,'83 Signature TeJ ` _�(z E
WORKERS' COMPENSATION PE RATION// Bar Sink Showers N
I hereby affirm that I have a certificate of consen t self-insure or a certificate T
of Workers' Compensation Insurance, or a cert ed copy thereof (Section Backflow Preventer Service Sink S
380PolicyNO��CCOCLX 32690 ,,C , Backflow Irrigation Sewer Cap -i: ELECTRICAL FEES
Company
r.{I,Certified copy is hereby furnished. Bathtubs Sewer Connection • Automatic Washer Transformer 0 15.50 KW
(( Certjj/etlpgpy�f d with the city Buil DI n,
Dates-1— /) ' Applicant Clarifiers Solar Collectors ❑ 50+KW
Construction Pole Sub.
EXEMPTION FROM WORKERS'COMP NSATION DE RATION Dishwasher Solar Piping
(This section need not be completed if the permit is for ne undred ($100) or P 9 Cooking Unit Meter Dup to 100 amps
less). •
Drinkin Fountains
I certify that in the performance of the work for which s permit Is Issued, I 9 Solar Tank Dishwasher Meter Dover 100 amps
shall not employ any person in any manner so as to become subject to the
workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date Signature - mazyy q
NOTICE: If,lafter making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors 00-1 HP,W1 K-8 d DC
Workers' Compensation provisions of the Labor Code, you must forthwith '
comply with Such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet
CONSTRUCTION LENDING AGENCY F.A.U. Inc.Solar 09.15 HP 016-15+
I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater - Fixtures
of the 'work for which this permit is issued (Section 3097 Civ. C.) Microwave
Lender's Name Kitchen Sink Water Service --
- Device Boxes Pole Light
Lender's Address Lavatories - - -
OWNER BUILDER DECLARATION !, Outlets Range
I hereby affirm that I am exempt from the Contractor's License Law for the p_Tfa •
following reason (Section 7031.5 Business and Professional Code: Any city or P Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair
'any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections
to file a signed statement that ne/she is licensed pursuant to the provisions of
the 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 . • Generator 00.5 KW 05-15 KW Trash Compactor
therefrom 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 Reinspection Fee 3
•
flenalty of not more than five hundred dollars($500). , pe $25 Issue Fee , $
I,'as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 6D
compensation, will do the work,and the structure is not Intended or offered - - FEES - -
for sale (Secion 7044, Business and Professional Code: The Contractor's - - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0
thereon, and who does Such work himself/herself or through his or her employees, owntonin9 Approved roved B
provided that such Improvements are not intended or offered for - Canopy Type II CIY • Date
sale- If, however, the building or Improvement is sold within one year of com- Duct-Under,Ground Building Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- ,
LJrove for the purpose of sale). Duct-Structural Refrigeration System I ' i ' Application Issued By Data_C I
1, as owner of the property, am exclusively contracting with licensed con- �41D6,600 BTU 0100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct--Ventilating - 4' SUMMARYOF FEES
The Contractor's License Law does not apply to an owner of property who •
builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration • - BUILDING PERMIT $ SMIP $ • ,
tractor(s) license pursuant to the Contractor's License Law). - - - PLAN CHECK $ PERMIT '
0 i am exempt under Section B.& P.C.far this reason Firepl/Fact.Blt. ICBO# I
PLUMBING $ ISSUANCE $
Date - owner Heating System& Ducting 'I T 00 PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the-above i c40-100,000 BTU 0100,000 BT - • Tbo GRADING
information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ $
and state laws relating to building Construction, and hereby authorize repro- •
PLAN CHECK 50% $ MICROFILM $
sentatives of this ci y to enter upon the above-mentioned property fru' '
tpurposes. p]� /3t & MECHANICAL $ "i /
Signature • /fit^ �
Reinspection Fee I $25 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46 rev.12/83 White-Building:Canary-Applicant: Pink-Accounting:Goldenrod -Assessor
1^ CONSTRUCTION AND PLANNING POOL&SPA .
1 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 Test -
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, 0 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. Undergrdund Flush •
24. Roof Framing 73. Undergrnd.Storage Tank O 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 PREY. FINAL .p 1
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 4/w( ec . Notes:,(- ?/dr`/_ z&"r-09.„.0 , Le,„,, .
34. Final Heating& Air Conditioning [,�//1/ir( tea qt o/c%q al+ lothe/1 L9,* ,LSA*t6
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 - • i •
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed. - '
49. Electric Release to Edison ..
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY ..
No. Date . ' _ -
•
OWNER NORTHGATE • - DATE JUL 5 1963
JOB ADDRESS 3097 Roanoke Lane BUILDING PERMIT NO. 20003
GENERAL CONTRACTOR Bonner Construction, Inc. VALUE $ 13,538.00
AP No. LOT 32 TRACT 11194 FIRE ZONE DESCRIPTION OF WORKSng.Faa1.Dw1.W/a1
INSPECTIONS _Signature DATE GROUP I & J TYPE V ZONE RI ,
Soil /)/J-/-s 7-/t-63 PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water4'Q,. f/Sy y4-G3
Rough-Com. Refrig. ❑ Air Cond. 0 JUL 2 6 1961, f�
Rough Heating 2•(.�. J 21-(T �,;,,,,. 1- 7
Rough Plumbing 1 41• 0')9-47 (--17-9--4" _____^^ 't JUL 1 2 1963 ,"; �,.
Miscellaneous / li
Prop. Swr. Line 0-House Con D'St. Swr. 0 .�-/L G -L. /i ? t�r,,C' ,-_ . n 196+ s a 3
Sprinkling System 1 44-t' toff 3z.3 • - AUG 1 t 1964 t)syskil t,
Construction Pole 42131
Underground 0 Power _
Rough Wiring Zet Y'-2 -43 -W1. . 7 '-O 2 0 •63 4 y :
Trenches 4— Forms Pa- Steel Reinf. g- ,C4( 7-27,G1
Floor System E.-2i_ 7A - c3
Bond Beam 0 Steel Reinforce 0
Sheathing az/9..,,Frame and mashing 0
Lathing In Out;[�� _
Plaster, brown coat /7) 7/•;'-i
Refrig. 0 Air Con. 0 Final
Heating, Final �/� /
Plumbing Fixtures, Final /' ,` 'S '5 %1'e
Final Gas Test/r . mit.S )0,7-6,7 _
Electric Fixtures, Final4V,1y{
Building, Final ,itn)-
OCCUPANCY
Form HU4-5M-3-63—S-H P
.rV20003
COS MESA BUILDING-SAFETY DEPARTMENT F E E E � E D
P.O.BOX 317 COSTA MESA.CALIFORNIA
For Applicant to Fill In Completely ARi�4�j,�¢LnF,Q ,PERMR
TYPE OR PRINT 4894-32 r (({{II`` j [➢Ir ,,II
ADDRESS g0 47 co AQ AF �,A$JF_ CITRaIOP��TFfEA'IC r
RECEIPT NO. PER
COSTA MESA, CALIFORNIA 20003
RECEIVE p BY DAJA REC I ED DATE ISSUED
OWNER Northgate -71%6_31 Jin S 1963
MAIL BUILDING
ADDRESS 13341 Golden West ADDRESS
FIRE
CITY Westminster, Cal. Tk897-7824 ZONE TYPE GROUP
1�
HO 53[ APPROVED
ARCHITECT
OR ENGINEER 7 T C• Hiller 2007 BY DATE
ADDRESS BOX 717 Anaheimr Cal. • ZONING 1 (`L
ZO I NO.OR", I USE OP N a f
�(i/j�J� PLANS BUILDI ;n,,,
CONTRACTOR Boner Com traction Inc. V / S�-T- T /y/, l// /y�'{t{'j^ )�
LEGAL / .),1_ F P Y-1 J (Ir/
ADDRESS 133!11. Golden West, oEBCRIPnox
CITY Westminster, Calif. A.P.NO. l
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE 215OL$9 TM -7821. 90'TO SIDE&REAR P.L
LIC.NO. JWJ J 2h
EAVES
SIZE L0x 1021 NO.OF BLDGS. O ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. M
(FROM C/L STREET)
SETBACK LINE FROM [ +� j/ FT
CENTER OF STREET 5G' REAR YARP 31+ FRONT •`A�'I,�FT.
BIDE YARD I LEFT 5. RIGHT 51R.SIDE S Fr.'s FT.
DESCRIPTION OF WORK L.SIDS FT.✓ FT.
NEW X ALTERATION _ ADDITION REAR / FTy FT.
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING [ t NO.OP L VAR.# DATE
SIZE 51 x 5O ROOMS V STORIES 1 C.U.P.# APPROVED
EXTERIOR WA L I ROOF �t APPROV'" "14 P /
R sit
COVERING C• COVERING . • _e BY it DATE F
USE OF BUILDING AND WORK TO BE PERFORMED ` /
Single family dwelling matt garage
`/f7.02.i
r!C . 3 SQ.Fr. en 7!3 -f�38'ri, o
I HEREBY ACKN• ••E AT I HAVE -' O THIS APPLICATION THE AMOUNT SHOWN UNDER VALUA ION IS FOR THE
AND STATE AT THE CORRE AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH LL CITY O'• t AND S TE LAWS REGULATING VALUATION mm
BUILDIN• CONSTRUCT
SIGNAT REO , PERMIT FEE t rip
PERMITT- ! , Y
$ ��3$� 02 ill X
G
77- }finq s
—iHORIZED AGENT TOTAL FEE $ np(•il
,I
OWNER Brady, Thomas DATE 6-18-79
JOB ADDRESS 3097 Roanoke Ln. BUILDING PERMIT NO. 48268
GENERAL CONTRACTOR Owner-Bui l der DESCRIPTION of WORK patio Cover
AP No. 141-512-17 LOT 32 TRACT 4894 FIRE ZONE VALUES 650.00
INSPECTIONS Si Date TYPE V GROUP .1 ZONE R1
SOILSUBCONTRACTOR PERMITS ISSI(EO
GAS - - Dote I Number J Signature
etVre
WATER Plumbing
ROUGH PLUMBING
PROP, SWR. LINE [1 HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND LJ POWER 0
ROUGH WIRING n el ...AAA Heating and Vent.
TRENCHES Ik FORMS ❑ STEEL REINF. 0 I'Jto-.4G-4
FLOOR SYSTEM
•
BONO BEAM [1 STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING ^
LATHING - IN ` OUT El
PLASTER, BROWN COAT
STRUCTURAL. FINAL Electric
HEATING. VENT., REFRIG. AND A,C., FINAL
PLUMBING. FINAL AND GAS TEST 0
ELECTRIC, FINAL •
tili
•
7
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR-STRUCTURAL PERMIT - 5• • TL'
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT
1�1 IL TO 48268
For Applicant to Fill in Completely —Use Ink Only {{
ADDRESS . �9 /
BUILDING /� l�nKi- L x.4 A.P. NO. ICI — c I — t7
/ �'(/g `
BUILDING 3017 Q ckro L.. / ,
OWNER OR T/RO/'-/A S 6R ^0 ADDRESS �J I��"l tel' `�/il
TENANT /( FT,7
UNIT
MAILING SPACE NO.
ADDRESS 3097 40,4oOKC to,
TR.NO. cs LOT ?a, BLK.
TEL `1Li-
CITY N09S7-N°157-077 NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTIORUCTiO/� /64 C•11-N
LENDER
BRANCHOWe ' M^'h QV f/JAtf�
ADDRESS VA,LUUE
ARCHITECT TEL. IUSE-Vann 4bCOVaL $ J��
OR ENGINEER NO,
7 ADDRESS ZONE k ITV OUP .5.--
APPROVED /D ` �`/��C
pQ[JTRACTO R (7w �G/ BY ll�� DATE ` e
ADDRESS
TEL.
CITY NO.
FSTATE CITY APPROVED SETBACKS
LIC.NO. LIC.NO.
SIZE NO.OF BLDGS. (FROM C/L TRE )
W. OF LOT NOW ON LOT
C / FRONT
(te USE OF
�r-r
EXISTING BLDG. R�//J a/UPI , R SIDE 37 FTC)
cn
FSeparate permits are required for L,SIDE S FTO
it electric,plumbing and heating work. REAR 131 FT.7 if
cW USE F BUILDING yJN D WORK TO BE PERFORMED PLANNING ACTION
/�.9 T/o Co Li 76 5z .
DATE
-' Jove 7 O&'/ / 'Y/ST/%JG APPROVED
Q
...I
IX (S /re / se /7 / DROVED (Lae.,I..�/\ DATE &hR 7 /
IX / /7 UY JC
W
cea.o I hereby acknowledge that I have read this application and state n
that the above information is correct and agree to comply with
4 all laws regulating building construction, and I shall not employ $:
Z any person in violation of the workman's compensation laws of v
xthe State of California. �.t(1 .;
I hereby certify that I am properly licensed as a contractor under
,2� SO. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONL `"
am exempt from the provisions of the State of Caljeuiness I y
and Professions Code, ision 3,Chapter VALUATION PERMIT FEE $ ^'�f
en
PLAN CHECK $ (/ m
Signature of 1 ...". �) �/� o
Permittee .>...". Y(Ll�L �[�� $ `� / I TAX $ u
O –/,�- 79 u/ t/
Authorized Agent Date TOTAL PAID $ y
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