HomeMy WebLinkAbout260 ROBIN HOOD LN - Building PermitsC
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APPLICATION FOR A BUILDING PERMIT
Tract
Block
Lot
BUILDING PERMIT NO.
/
� /1O_
Electrical
Permit No.
Buildng
Address
Atltlress � 0 C
Permit No.
Permit N
Cross
Mechanical
Area Street
Permit No.
Owner
Type of Project: ❑ New ❑ Alter ❑ Addition
Address
/
ElRepair❑ Convert ❑ Demo El Occupancy Pmt.
Zip Phone
City As r- It�Jy7
A.P.
S /
p. Area
s
Architect/
Designer License No.
Zone
Sol. Pmt, No.
Setbacks
P/L Front
C/L St.
Street Width
Atltlress
_rFear
Yards
-cut-
9
City Zip Phone
ave rot.
a
Ig
Engineer License No.
ark n9 Spaces
equ re
rose a
avert
Atltlress
Slruct
No. Of
No. of
City Zip Phone
Height
Stories
Famlly
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I em licensed under provisions of Chapter 9
Park Fees as
No
C.T.
I
Fee
Receipt
-Required
Zoning Approved By:
Data
(commencing with Section 7000 of Division 3 of the Business and
Professions Code, and my license is in full force and effect).
License Class n a 9' License fi)umber / s, {/! y
Dateo_ 4s: 4. Contractor A /i� /j•/- 5-2 p'YZ
Mist.
Proposed Use
of Structure
Address q1 6[j v� -� �T7 q fes(
City and Zip rV " ✓D /J. cj,f �a'7 Phone li•C7-.Vise/✓
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec. 3097,
Civ. C.).
Occ.
Class
Type
Const.
Code
Year
USE/OCCUPANCY
SIZE SO. FT.
Lender's Name
Lender's Address
1.
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law
for the following reason:
❑ I, as Owner of the property, or my employees with wages as their
2.
sole compensation, will do the work, and the structure is not
intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with
3
4'
licensed contractors to construct the project.
❑ 1 am exempt under Sec. , B&PC for this reason
Total Valuation
Date Owner
WORKERS' COMPENSATION DECLARATION
Encroachment Permit Required ❑ Yes ❑ No
I hereby affirm that I have a certificate of consent to ealf.insure,
or e certificate of Workers' Compensation Insurance, or a certified
copy thereof.
Policy No Company
Grading Pmt.
Required ❑Yes ❑ No
Gratling
Pmt. No.
❑ Certified copy is hereby furnished.
❑ Certified copy is tiled with Orange Count Y, EMA,
Rough Grading
Approved by:
Data
Date %Applicant -2 w/7 _,y%4.Sol'
CERTIFICATE OF EXEMPTION
FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed if permit is for $100 or less).
I certify that in the performance of the work for which this permit is
PERMIT FEES
issued, I shall not employ any person in any manner so as to become
subject to the Workers' Compensation Lowsof California.
Date qZz� YA Applicant A',f �/!_/_r 1 Nti_C-Y/ "-7
NOTICE TO APPLICANT: If, after making this Certificate of
Structural $
Pian Check $
Exemption, you should become subject t0 the Workers' Compensation
provisions of the Labor Code,
p you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Electrical $
Special
Invest $
Plumbing $
1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTH-
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
Mechanical $
THE ABOVE MENTIONED PROPERTY FOR INSPECTION PUR.
///n//�
's
Pre -Grade
Inspection $
�POS
Signature of Applicant Agent Date
Pre -Grade
ReC. No. $
Permit
Issue $
Print Applicant's/Agent's Name
All spaces within this box must be completed to process
CheckPian
By:
anc
Issue
Approvetl:
CMF 0335-46 (BU -28) rev. 6/80
M
\a•
0
N
3
Appllcant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA .
CONSTRUCTION PERMIT
Applicant's Mailing Address
Project Address 7V 'q nn I / AA r- - A4 -
Owner's Name 44 IR Phone
Address < ^ M C
Arch/Eng. License No.
Address -
Contractor's Name i 'I All P a4 r;a Cd/2yhone
Address (mailing) —10 tI-i Z t2e(Te T7A/Tf ✓n C 1 g: Z 7
t License No; -' 16 /44 a'
LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensed under provisions of Charter.9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my Ilcense'is in full force and effect.
License Classcense No.
r�\
Data zn 7T'— 3 Signature
;\ WORKERS' COMPENSATION DECLARATION
V I hereby affirm that I have a certificate of consent to self -insure or a certificate
of Workers' Compensation Insurance, or -a certified, copy thereof (Section
3800, Lab. C.) (j Jt
Policy No. tz/60({7,.7-ry_/(e.Company Ar^^1711 r•!•r'>t✓�.-- f,Uf.
Certified copy is hereby furnished.
Certified copy Is filed with the city Building Dlrlslon.
(Tnls section need not complete the permit
meh r One (sauu) or
ass),
I certify .th ha part nce of the w or which thl it Is issued I
shall n mnlov an arson In anv ner so asRo oma sublect to the
Workers'. Compensation provisions of the Labor Code, you must.forthwith
comply with such provisions•.or this permit shall be ,deemed revoked:.
CONSTRUCTION I LENDING AGENCY
I hereby affirm that there )a a construction lending agencyfor the performance
of the -work for which this permit is Issued (Section 3097 Civ. C.)
Lender's Name'
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter Improve, demolish or repair
any structure, prior to Its Issuance, aim requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's Llcanm Law (Chapter 9 (commencing with Section 7000) of
Division 3of the Business and Professions Code) orthat he/she is exempt
therefrom and the basis for the alleged exem pilon. Any violation of Section
7031.5 by anv applicant for a oermit subiects the aoPlicant to a civil
y of not more than five hundred dollars
as owner of the Drooerty or my amt
or
8152 5704/83
q
TYPE OF CONSTRUCTION U NEW DO U ALTERATION U REPAIR
Generator 00.5 KW 05-15 KW
Boiler I -
❑ CONVERSION ❑ DEMOLISH
OTI.•I(E-R
amployyees, provided that such Improvements are'not Intended or offered for
sale. I/, however, the building or Improvement Is sold within one yearof com-
pletion, the owner,wlll have the burden of proving he/she did not build or Im.
prove for the purpose of sale).
$15
DESCRIPTION OF W R1( �/�
O T �C` �f! �- L
Duct; Ventilating
-
The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law).
Exhaust System ❑ Multiple ❑
ZONING REGULATIONS
TYPE OF PERMIT ADING
FOUNDATION STRUCTURAL
A. P.0 — �'
�7
ZONE R
❑ TENANT C1 ELECTRICAL
PLUMBING ❑ MEOHANICAL
.PLNG. REF. sW
BUILDING
❑'OTHER
PO BUILDING. ROPERTYLINE'
-REAR YARD (TO P/L)
Registers I
PROJECT DESCRIPTION SD. FT.
LEFT SIDE YARD
I SIDE YARD /
CONSTRUCTION TYPE
TION$OCCUPANCY 8O --
VALUATION$
PKG.SPACE REO.
PROVIDED
ZONA GRAOING CU.YDS. ACRES.
Remarks; -
STREET WIDTH
PARK FEE $
'
SPECIAL CONDITIONS;
PLUMBING
MECHANICAL $ TOTAL'FEE $
Bar Sink
Sewer Cap
$15
ELECTRICAL
Backflow Preventer -
Sewer Connection -
Automatic Washer ' .
!Meter ❑over 100 amps
Backflow Irrigation
Solar Collectws
Construction Pole
Sub Panel
Bathtubs
Solar Piping
Cooking Unit
Sub Pole
Dishwasher
Motors 00-1 HP 11114$ -
Clarifiers
Solar Tank
Dishwasher
Swimming Pool w/Spa
Dryers ❑Gas ❑Electric
Inc Solar 1:19-15 HP C1 16-15+
Drinking Fountains
- -
Urinal
Fan
Microwave
Floor Drains; I
Water Clot
se
F.A.U.
Pole Light
'
Floor Sinks -
Water Heater
Fixtures
Range
Gas Service ,Outlets , .,
Water Service
Device Boxes
Interceptors
Outlets
4Sign.
St.9 Sections
_
Kitchen'Sink
Switches
Trash Compactor
1 ..,,.....ie.
Garbage Disposal
Roof Drains
Showers Reinspection Fee
Service Sink laue Fee
' MECHANICAL
Ucense Law does not apply to an owner of a property who bullas or Improves
thereon, and who does such work himself/herself or through his or her own
Generator 00.5 KW 05-15 KW
Boiler I -
Transformer 1:115-50 KW _
1
Duct - Under,Ground
amployyees, provided that such Improvements are'not Intended or offered for
sale. I/, however, the building or Improvement Is sold within one yearof com-
pletion, the owner,wlll have the burden of proving he/she did not build or Im.
prove for the purpose of sale).
$15
Duct -Structural
u I, as owner of the property, am exclusively contracting -with licensed can.
tractors construct the project (Section.7044, Business and Professions Code:
Duct; Ventilating
-
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-
tractor(s) license pursuant to the Contractor's License Law).
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. ICBO dh
❑ 1 a exempt under Section B. & P. C. for this reason
Date Owner. -
I hereby certify that 1 have read this application and- state that the above
Heating System & Ducting ;
E30-1 00,000 BTU 11100,000 BT
Information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city. to enter upon the above-mentioned Property for
inspectlon Purposes. , I
Hood or Type I ❑ '
Cabo T e II ❑
Registers I
Signature' Data
Drivers' License or SS $
CMF 0865-46 rev. 12/82 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Refrigeration System
00-100,000BTU 0100,000BTU
System Repair/Alteration
Reinspection Fee
Isue Fee
31 .85 T,
-
I
Generator 00.5 KW 05-15 KW
Transformer 1:115-50 KW _
❑5U+KW' Reinspection Fee $15
$15
Meter ❑up to 100amps Issue Fee $ 3
$ 3
Zoning Approved BY Date
Application Approved By Ut ate
- �
Application laved BY `�Y nate
p$ UMMA�RY OF FEES
/-1 SZ)
BUILDING PERMIT $
�_� SMIP $
PLAN CHECK $ 0-1E PERMIT
PLUMBING $ ISSUANCE $
.PLAN CHECK $ GRADING $
ELECTRICAL $ $
PLAN CHECK $ MICROFILM $
MECHANICAL $ TOTAL'FEE $
$15
PLAN CHECK $ - LESS
ADVANCED PC $
$ 3
FINAL FEE $
I
?'%ONSTRUCTIONAND PLANN ING'
c
APPROVALS Permit#
_' - _
'Date.
Inspector
�' POOL'&SPA
_� APPROVALS .Permit #*
Date
r
Inspector
1- Temporary Electrical Service or�Pole
,52�'Pool &:Equipment Location
2: :Soil Pipe-Undrgrnd.'
A3�;' Steel Reinforcement
3. Electrical Conduit Utility-U6drgrnd:
- •
'54.; Forms - -
4. Electrical Conduii-Undrgrnd.
_
'55r Electrical Bonding
5: Steel Reinforcement V
56. Rough Plumbing '& Pressure Test
6. Electrical LIFER Grnd.
';.'
;-
57' APPROVAL TO COVER-GUNITE
7. Footings -
�',L
. 58: Electrical C(;nduit-Undrarnrl. -
8. Foundation _
• 59. Gas Pipe,_0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Struciural Floor System
..
' 61. APPROVAL TO DECK _
11. Property Sewer Line & House Connection
- 62. Backwash &' Receptor -Final '
12. Sewer Cap
c
63. Heater & Vent -Final
13. Roof Drains -
-64. Plumbing System • Final
14. Rough Plumbing
65. Electrical -Final -
e 15. -Rough Electrical -Conduit
66.' Solar Syster ioal
16. Rough Electric Wiring
',° '- "
67.`Fencing & Access Approval
17. Rough Wiring Sign
68.! APPROVED FOR PLASTERING
'
18. Rough Electrical -T Bar Ceiling,
i =
-'
69. POO USPA SYSTEMS FINAL
'
19. Rough -Heating &Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
'
-
20. Rough Factory Fireplace ! 1
-
21. Ducts, in Structure
70. Underground Hydro '
- 22. Ducts, Ventilating '
71.j Product Piping 0Gas ❑Oil
F23. Gas Pipe -Rough 8i Test
1
72. Underground Flush
24: Roof Framing
7.3. Undergrnd. Storage Tank 0 Gas 0 Oil
25. Roof Sheathing
74. Overhead Hydro
26..T -Bar Ceiling (Structural). & Monocoat
75. Dry Chemical
•27t, Frame and Flashing '
76. Dry Standpipe
• 28. Lathing &Siding I
77.1 FIXED SYSTEM FINAL
29. -Insulation
1
78. FIRE PREV. FINAL
30. Drywall Nailing I
Notes:;
31. Plaster Brown Coat
• 32. Electrical Power Meter -Final f
1
,
33. Final Electric
34. Final Heating & Air Conditioning
-
35. Final Gas Pipe -Test
36. Hood or Canopy'
37. Final Factory Fireplace-
� I
-
38. Final Plumbing -_
-
39. Water Service -Final":
t
-
40. Gas Service; Final
41. Solar Domestic -Final
42. Backflow Preventer 1'
43. Backflow Irrigation -
44. Landscape-Iirigation,System
,
45. Sound, Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE&BUILDING
$r
48. Special Requirements Completed
.
r'
49. Electric Release to Edison'
50. Gas Release to Southern California Gas Co
•i
51. CERTIFICATE OF OCCUPANCY
No Date
_y
IdL.
I' TYPICAL 411 CONCRETE BLOCK FENCE
TOP VIEW 3/8 Bar
3
CLEARANCE FROM BOTTOM
"GENERAL-NOTES11
I
CHART
4" Blocks 8°Blocks
MORTAR: One Part Plastic
GROUT MAY BE POURED FROM
6' ................
1/4" 0 Pencil Rod Below Top
4'....... ..........
i 1
WIDTH....... .
'
14.............:....12
Course Of All Fences
4" Concrete Block Fence With 8"
THICKNESS. ..............10................
TOP OF FENCE IN CELLS WHERE
i I
X
NATURAL GRADE�•a'.•�:��.
-
Pilasters. One 3/8 Vertical Bar
20"..................
16................
Three And One Half Paris Sand.
COPING: One Part Cement,
SPACING OF EARTHTOOTH....12'
Continuous From Earthtooth Thru
FOR WIDTH SEE CHART--5'VA
}e
�•. i^. �. ifis a Y..o
.3
_;r:_ 1Q_: �...a= I
LQ ".•', yf_rf
F REE OF ALL MORTAR, DEBRIS,
8' Pilaster.
i�.
3/8" Vertical Ties 2' Long
ECT.
i
Hgoked In Footing, And Grouted In
4 Blocks 4 0/C Maximum.
1
;
Provide Cleanout And Inspection
1::
TWO 3/B BARS CONTINUOUS
I ;
Hole At Pilasters.
Ib9'�O�
AT BOTTOM. BOND SHALL BE
I �
I
1;:
City Of Costa Mesa , California
Building Department
Form BU13-2M-4-U 5 -BP
OWNERS NAME: — _ _ _ _
JOB ADDRESS:
PERMIT NUMBER:_ _ _ _ _ _ _ _ _
SIGNATURE:
3
CLEARANCE FROM BOTTOM
"GENERAL-NOTES11
I
CHART
i i l
MORTAR: One Part Plastic
GROUT MAY BE POURED FROM
6' ................
i
4'....... ..........
i 1
WIDTH....... .
'
14.............:....12
Cement And Three Parts Sand.
GROUT: One Part Cement And
12
THICKNESS. ..............10................
TOP OF FENCE IN CELLS WHERE
i I
X
NATURAL GRADE�•a'.•�:��.
'a �
VERTICAL STEEL OCCURS. HOLES
20"..................
16................
Three And One Half Paris Sand.
COPING: One Part Cement,
SPACING OF EARTHTOOTH....12'
SHALL BE CLEAR, CLEAN, AND
FOR WIDTH SEE CHART--5'VA
}e
�•. i^. �. ifis a Y..o
.3
_;r:_ 1Q_: �...a= I
LQ ".•', yf_rf
F REE OF ALL MORTAR, DEBRIS,
i�.
Three Parts Sand.
CONCRETE: Well Mixed 1:21/2,
ECT.
1
31/2. Maximum Of 7 1/2
Gallons Of Water Per Sack
1::
TWO 3/B BARS CONTINUOUS
�'
TO 16" O.C. MAXI MUM
Ib9'�O�
AT BOTTOM. BOND SHALL BE
I �
Of Cement
REINFORCEING STEEL SHALL
I•-% Iv�'i
PROVIDED BY LAYING BLOCKS
FENCE MAY VARY
IN HEIGHT ia4
;oU� DEPTH OF EARTHTOOTH 1/3
IN STRETCHER COURSES SO
FROM 3r TO
CONFORM TO SEC. A-15-39
A. S.T. M. ALL STEEL TO LAP
''. e1
THE HEIGHT OF FENCE
l
�Pb jy •j
THAT VERT. JOINTS ALTERNATE
STEEL MUST
BE TIED IN PLACE o
a
BELOW
FOOT NG,BOTTOM OF
WHERE SPLICED, 2'-O" MINIMUM.
City Of Costa Mesa , California
Building Department
Form BU13-2M-4-U 5 -BP
OWNERS NAME: — _ _ _ _
JOB ADDRESS:
PERMIT NUMBER:_ _ _ _ _ _ _ _ _
SIGNATURE:
3
CLEARANCE FROM BOTTOM
I
CHART
i i l
GROUT MAY BE POURED FROM
6' ................
5'...................
4'....... ..........
i 1
WIDTH....... .
14 ................
14.............:....12
...............
12
THICKNESS. ..............10................
TOP OF FENCE IN CELLS WHERE
'N
X
NATURAL GRADE�•a'.•�:��.
'a �
VERTICAL STEEL OCCURS. HOLES
20"..................
16................
io';•' �,o;= 1. i Po o,'..yo-o!oe.
SPACING OF EARTHTOOTH....12'
SHALL BE CLEAR, CLEAN, AND
FOR WIDTH SEE CHART--5'VA
}e
�•. i^. �. ifis a Y..o
.3
_;r:_ 1Q_: �...a= I
LQ ".•', yf_rf
F REE OF ALL MORTAR, DEBRIS,
i�.
ECT.
•"
WITH INSPECTION HOLES
1::
TWO 3/B BARS CONTINUOUS
�'
TO 16" O.C. MAXI MUM
Ib9'�O�
AT BOTTOM. BOND SHALL BE
I•-% Iv�'i
PROVIDED BY LAYING BLOCKS
FENCE MAY VARY
IN HEIGHT ia4
;oU� DEPTH OF EARTHTOOTH 1/3
IN STRETCHER COURSES SO
FROM 3r TO
6' i.''o
''. e1
THE HEIGHT OF FENCE
l
�Pb jy •j
THAT VERT. JOINTS ALTERNATE
STEEL MUST
BE TIED IN PLACE o
a
BELOW
FOOT NG,BOTTOM OF
IN EACH COURSE.
AT TIME OF
Lnc�..�
TRENCH INSPECTION -
Lfe2 J
'
SCALE: 1/2 "= 1'
City Of Costa Mesa , California
Building Department
Form BU13-2M-4-U 5 -BP
OWNERS NAME: — _ _ _ _
JOB ADDRESS:
PERMIT NUMBER:_ _ _ _ _ _ _ _ _
SIGNATURE:
3
CLEARANCE FROM BOTTOM
CHART
HEIGHT.
6' ................
5'...................
4'....... ..........
3'
WIDTH....... .
14 ................
14.............:....12
...............
12
THICKNESS. ..............10................
10'........... _......8
.. _ ............
8..
DEPTH OF EARTHTOOTH .. ....24'
.. .............
20"..................
16................
12"
SPACING OF EARTHTOOTH....12'
........
........ 14'..................16'...
............
16'
City Of Costa Mesa , California
Building Department
Form BU13-2M-4-U 5 -BP
OWNERS NAME: — _ _ _ _
JOB ADDRESS:
PERMIT NUMBER:_ _ _ _ _ _ _ _ _
SIGNATURE:
STRUCTURAL
_APPROVAL ON�y
SE�ORgEE PERMIT ARE REn�!RED
LECTRIr`AL P!U;,;
HEA r! !G :.,` -,
REF I, 1FN`G 0vD
RIGERATIOAI WORK
c
Nu..73i
-r FcZ
. n
ALL INSP , ."t,RE�O�STS NY
t G,i
! E EfiTr'LVi'eGJ . S- PEPSOiIS
ARE TO
STrTE i = SJ 6"ST i;YAT THE
!I'!):i T :!ALSCF+T, ori fi ;!YS!'IISION OF
ULTEO FOR
EMENTS. R
APPROVED
Tft OF COSTA MESA
PLANNING DEPT.
GUILIECT TO BLDG. DEPT. REG,
BY -,0Z DATE..._/a/83
DIRECTOR OF PLANNING
1`� ta,_ d3a�dar
acC)
I
6
RESIDENCE RESIDENCE
W
h
{�.C/✓ h nn L. A,S TREE
RESIDENCE
LE
PD PROVED
City
//Of�Costa Mesa Building Dept.
THESE PLANS MUST BE
_" RB..O----DATE.:._
JOB L
OF DEPT, AL
N '
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
TIMES
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
OF PLANS AND SPECIFICATIONS SH;,LL NOT BE CONSTRUED
TO BEA PERMIT FOR,
CP ANY OF OR AN APPROVAL OF, ANY VIOTHE PROR
OF THIS CODELATION
. NO PER
SUiNING TO GIVE AUTHORITY TO MIT PRE VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO
TAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
THE ISSUANCE OF A PERMIT BASED
SPECIFICATIOA'S SHALL NOT PREVENT UPON PLANS AND
FROM THER�F7ER REQUIRING THE THE BUILDLVG OFFICIAL
jS
IN SAID PLANS AND SPECWICATION',,COpq CORRECTION
OF ERRO1
BUILDING OPERA.TICNS BEING CARRIED 0^I THEREUNDEREW WHEN
!
IN VIOLATION OF THIS CODE OR OF ANY OTHER O.Rglqp HEN
DE THE CITY.
�I
RESIDENCE
uU
W
D:
ti
h
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 317
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDIADDRESS 26o Robin Hood Lane
7 -a.
FINANCE DEPT.
APPLICATION FOR PERMIT
BUILDING
COSTA MESA. CALIFORNIA
FOR OFFICE USE ONLY
RECEIPT NO,
P1 1�
OWNER Sherwood Forest Developers #3MAI
r.s
RECEIVED BY
OAiE RECErvEO
DATE ISSUED
ADDRESS 00 Newnort Blvd,
TEL.��n
0R
BUILDING
CITY Eewoort Beach NO. 3-124,0
ADDRESS
ARCHITECT LIG.
OR ENGINEER Raymond Levannes No. C747
COSTA MESA, CALIFORNIA
FIRE
ADDRESS
ZONE
LIC.
LONE
/
NO. OF
PLANS
TyppGROU
C
CONTRACTOR Lido Construction NO.7520
TEL.
APPROVED
N f Rlyd. NO. -1-1%�L
BY DATE
_ADDRESS17100
LEGAL
LOT
p
CORRECTIONS
DESCRIPTION
NO. 10
BLOCK
TRACT 2V
A.P. NO.
SIZE r 80
OF LOT 11 : COI
NO. OF BLDG'.
NOW ON LOT none
USE OF
EXISTING BLDG.
SETBACK LINE FROM 1, /�I
Li
CENTER OF STREET VREAR YARD
Y 261
SIDE YARD RIGHT 61 LEFT 51
DESCRIPTION OF WORK
NEW
I X ALTERATION
ADDITION
REPAIR
MOVING
DEMOLISH
', 11 NO. OF
1440 1
SIZE ROOMS STORIES
EXTERIOR WALL WOOd
ROOF
COVERING S
COVERING rock
USE OF Dwelling
BUIILDINGEW
i waraoe 4nO r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC.
VALUATION
TION.
SIGNATURE OF
PERMIT
FEE S
PERMITTEE
r O.
PLAN
sJ
S
CHECK S
FEE S
TOTAL
AUTHORIZED AGENT
"' llA1�UL1�� LUVLLaLU L• —.- V -O -/O
JOB ADDRESS 260 Robinhood Lane BUILDING PERMIT NO. 42622
'SAP Na. 118-144-02 LOT TRACT FIRE ZONE VALUE E 960.00
INSPECTIONS
Si nature Date
TYPE TTT GROUP
ZONE
sTL
SUBCONTRACTOR
PE MITS ISS
)GAS
Date Number Si nafu re
WATER
Plum6in
ROUGH PLUMBING
VPROP. SWR. LINE 0 HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
0 ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER C]
ROUGH WIRING
Heoti.0 and Vent.
TRENCHES [ FORMS E STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
STRUCTURAL. FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REQUIREMENTS
42622
• COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink
BUILDING
ADDRESS l 6 0 AA 1, /A"Adod
OW�
MAIL
ADDRESS
CITY
CONSTRUCFION
LENDER
BRANCH
ADDRESS
ARCHITECT
TE
ADDRESS A JAJ• - 0 J4 12 S
TEL.
CITY S C^N O.
F_STATE 46, 1
LIC. NO. �,/� 67 LICVNO.1051`s J
w SIZE NO. OF SLOGS.
A. OF LOT NOW ON LOT
Q USE OF
.�. EXISTING BLDG.
FSeparate permits are required for
L1 electric, plumbing and heating work.
[w.. F BUILDING AND WORK TO BE PE FORMED
Q
O
..1
Q
7
J
a
w
LL 1 hereby acknowledge that I have read this application and state
IY that the above information is correct and agree to comply with
Q. all laws regulating building construction, and 1 shall not employ
Z any person in violation of the workman's compensation laws of
Sthe State of California.
3 I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, And that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Coda, Division 3, Chapter 9.
Signature of
Permittee Q., ,:,//,r
,
Authorized Agent
P-B-Th{',',=00 3111--r _- :ri0.50
APPLICATION FOR STRUCTURAL PERMIT
Y
DA RECEIVED
`(/
DATE I U D
P
NO.//*?
/_l1On.�^ �e'
%Il� O IVTTV IIUTST
LE
LOT o
BLOCK
ALVE
/ • $
FIRE
ZONE TYPE ROUP
APPROVED
BY DATE
NE
NO.
PLANS
OF '7
!�•
USE OF NEW
BVI LDING
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
(FRO C/L STREET)
FRO // FT.
FT.
d/ FT.
FT.
L. SIDE ` FT.
FT.
REARRIT FT.
FT.
DISTANCE BET.
MAIN SLOGS.
BET. MAIN &
ACCESS. SLOGS.
VAR.*
C.U.P. P
DATE
APPROVED
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
$
C/
PERMIT FEE $ `D•
PLAN CHECK $
TAX $
TOTAL PAID $
RDWEV. LL3174VV D. DATE
JOB ADDRESS 260 Robinhood
GENERAL CONTRACTOR Daniell
AP No. 426-214-16 LOT 10
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE M HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
TRENCHES [ FORMS STEEL REIN F.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE []
SHEATHING
FRAME AND FLASHING r-�
LATHING — IN n OUT I
PLASTER. BROWN COAT
STRUCTURAL.FINAL
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL
cor��.� rcnii�orM ru Tc
FIRE
SUBCONTRACTOR
T
I
r.
w P41U 9/ 1 VWU
COSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Sv
For Applicant to Fill in Completely — Use Ink Only
RECEIVEAY PERMIT
N° 50666
BUILDINGA.P.NO.
ADDRESS
OWNER OR
TENANT
BUILDING
LDDRESS
UNIT OR
SPACE NO.
MAILING
ADDRESS •-t
TR.NO LOT /Q
ELK.
TEL.
CITY NO.7
NEW ADD ALTER
REPAIR
MOVING
DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER Lec9m x tPe, r C
ADDRESS
VALUE
USE OC /f� v{/fAi $
ARCHITECT TEL.
OR ENGINEER N
ZONE 1
�y��y_
TYrEV_ /y GROUP
ADDRESS
CONTRACTOR g�
APPROVED
BY DATE
ADDRESS
TEL.
CITY y p NO. -/ '
STATE CITY
LIC. NO. LIC. NO. O/ i–
APPROVED SETBACKS
SIZE
OF LOT
NO. OF BLDCS.
NOW ON LOT
FROM C/L STREET)
FRONT FT.
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
L. SIDE FT.
/
REAR �f
USE OF BUILDING AND WORK TO BE PERFORMED
PLA ING ACTION
T
_
%
DATE
APPROVED
r�
APPROVED
.�
DATF9—
I hereby acknowledge the, I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of///) ////
Permittee. ZJL�j 4,/er
!. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
$
�J
PERMIT FEE $ �—
PLAN CHECK $
TAX $
%
or
Authorized Agent Date '�
TOTAL PAID $
Sv