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HomeMy WebLinkAbout314 ROBIN HOOD LN - Building Permits • � CITY OF COSTA MESA 4 . i BUILDING DIVISION >:� , g DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 ...isms, PERMIT 1104 e• B05-00773 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.@ LUBLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 314 ROBIN HOOD LN Status: ISSUED Suite: Applied: 05/13/2005 Vicinity: Issued: 12/302005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42622116 Zoning: Applicant: STALDER, CURTIS J TR Address: 314 ROBINHOOD LN Phone: 949-646-6812 ISSUED BY: COSTA MESA,CA Zip: 92627-2134 Owner: STALDER, CURTIS J TR Address 314 ROBINHOOD LN TIRED Phone: 949-646-6812 EXP IBED COSTA MESA,CA Zip: 92627-2134 DATE ni0 Contractor: Address: rn�� ra' # U rani f p Phone: •1. Zip: License: 44/ Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT EXTERIOR RENOVATION TO SFD BY REPALCING THE SIDING,INSTALLING RAIN GUTTER ARROUND THE FIRE PLACE,REPLACING THE MOLDING AND INSTALLING TWO NEW BEAMS AROUND THE EXISTING REAR TRELLIS AND THE CONSTRUICTION OF 84SF OPEN TRELLIS. FEE SUMMARY Plan Check: $227.01 Calc Valuation: $21,354.08 Permit: $349.25 Claim Valuation: $o.00 SMIP Res: $2.14 SMIP Corn: $0.00 - Other: $0.00 Inspection: $0.00 Total: $578.40 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 . . Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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 permit 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/OO) WORKERS'COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) `/`yQ` I'oertity 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,and agree t f I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith � 'comply with these previsions.� .�/ > // Appjicant.Signatur6: 1 bat— /.5 }O( WARNING:,FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty orperjury 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 permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he ori she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that'he or she is exempt 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 penalty of not more than five hundred dollars($500).): ❑ 1,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is -,,, 2-solthin one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). Liras owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under 54g. (\ Business and Professions Code for this reason: 'Signature:-"-" '' C nYl`1� Date:-- - /) 30 'Or r OWner eV-ailed by driver's lice se. 0 Yes 0 No Driver's°' cense N6 —' Expires: _"'/l-•1.‘:,-0-7 Verification of Ownership by(type of document,i.e.-property tax bill or deed):'=` ' �— DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No . (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which al any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of 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 construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for ins cti urp gree not to occupy or allow occupancy of any building authorized by this permit until I inspection. fi7A '30 -1r % Siot ature Of Legal Owner(s) r) (bat.- And/Or Authorized Applicant Date CODE C. INSPECTION TYPE DATE INTIRALS CODE* INSPECTION TYPE PAIS INTmAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing • 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy - a�' MF q CITY OF COSTA MESA - - " s f1BUILDING DIVISION PERMIT NUMBER F( �^� '�' DEVELOPMENT SERVICES DEPARTMENT `. PERMIT B00-00348 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 314 ROBIN HOOD LN Status: ISSUED Suite: Applied: 03/20/2000 Vicinity: Issued: 03/20/2000 Parcel Number: 42622116 Zoning: • Applicant: CONSUMER SERVICES ISSUED BY: It` Address: 16702 MT BAXTER Phone: (714)839-4549 FOUNTAIN VALLEY,CA Zip: 92708 Owner: STADLER, CURT Address 314 ROBINHOOD LN Phone: 949-646-6812 COSTA MESA,CA Zip: 92627 Contractor: . CONSUMER SERVICES Address: 16702 MT BAXTER Phone: (714)839-4549 FOUNTAIN VALLEY,CA Zip: 92708 License: 676090 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF BUR AND REROOF WITH COMP.SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,000.00 Permit: $125.25 Claim Valuation: $6,000.00 SMIP Res: $0.60 SMIP Corn: $0.00 Other $0.00 Inspection: $0.00 Total: $125.85 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • 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 permit 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 . 0 DECLARATIONS . WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My woy�ma- ompensation Insurance carrier and policy number are: Ca er: . Cr7tAZ cr---s�/ 0 DW, 'a 00 16 C_4 Policy Number: (This section need not be completed It the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the ork 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 alifomia,and r e t uld become subject to the workers'compensation provisions of Section 3700 of the Labor Cade,I shall forthwith cam._ •' • •:.- • y isions. •!: cant Signature: i'> .— •ae:—� .���c��) • •-E Te 5'CURE WORKERS'COMPENSATI ERAGE IS UNLAWFUL AND SHALL SUBJECT • ,PLOVER TO CRI•I AL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR:( ••,a00),IN ADDmON TO THE 0 PENSATION,DAMAGES AS PROVIDED FOR IN SEC11 S" •.• E LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: l{ I hereb a : vis•ns of Chapter 9(commencing with Section 7000)of Division 3 of the Busi s and Professions Code,and my license is in full n•e and effect.Lic.# "/�.,--- .7 •_...10" • a Class a r/A- 4. C-2-1 ontractors Signature: lA111S_� Date: L`Y -. ' CONSTRUCTION LE•• NG AGENCY: ❑ I hereby affirm -.:t there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of 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 permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt 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 penalty of not more than five hundred dollars($500).): O I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale,If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document.i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person is required to descend, will be made In connection with work authorized by this ' permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutety hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a2ermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No . 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I .;ree to comply with e laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-d-i ribed proms for sp lion purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. �� r . , 4,0 Sign. • Of Legal Owner(s) / Date �" •! 3-/�" .•••• uihorized Applicant D pea• • A' --In.' INTR1AL$ CODE INSPECTION TYPE PATE IKTIRAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical - 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 3.--t7 •(w `u N 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Flre Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 MAIN OFFICE .. BRANCH OFFICE 1514.0 NORTH HARPER ST. 1035 WEST GAYLORD ST..-P.O. BOX 9083 LONG BEACH 10. CALIFORNIA SANTA ANA, CALIFORNIA HEMLOCK 5-0983 JEFFERSON 1-2095 SPHULL '7 A599 JEFFERSON 1-2096 JACKSON > 3491 Twinin •. Laboratories of SoutKeztz dafi foznia, qnc. Inspection and Testing Engineers Soil Foundation Analysis • Chemical Analysis IAugust 27, 1962 GUNITE REPORT OEC TEST CYLINDER Examination No. SC62-2477 For - Hal Whitaker - 430 - 31st St. , Newport Beach ' Project JACK HIRTLER 314 Robinhood Ln„ Costa Mesa Sample from North East Corner 3 ' up on wall Architect Richard L. Baird C,E, 10461 Contractor Hal Whitaker p9 A it /O Mix 4-1/2 to 3. #stege /,, it Water, gal.!sk, cement �� 1� Ion x tit SIZE 6-5/8 x 11-5/8 ��8Si:esai Date cast 7-30-62 hall0 Date tested 8-6-62 8-27-62 Cylinder No. 1 2 COMPRESSION TEST 7 Day 28 Day Total load to destruction, lbs. 79,000 91 ,000 Pounds per square inch 2,291 2, 742 Cylinder made by Gunite Crew Cylinder delivered by Al Benner Cylinder received on 7-31-62 /%A'e%C� RF(;, cc: Whitaker - 4 (/� Costa Mesa Bldg. Dept. • Hirtler 9 — r—(:"- 961 Sep y SA Lab J�' fly 8 in/ il � . ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS. OR EA. TRACTS FROM OR REGARDING THEM 15 RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. OWNER HIRTLER, Jack DATE 7-13-62 / JOB ADDRESS 3.14 Robin Hood Lane BUILDING PERMIT NO. 17555 GENERAL CONTRACTOR Swim Pools by Whitaker VALUE $ 2950.00 AP No. 11$-181-20 LOT 6 ' TRACT 11.439 FIRE ZONE DESCRIPTION OF WOR[tpvt, Swim Pool INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-2 ( SUBCONTRACTORSPERMITS ISSUED t DATE NUMBER W,uer Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating Rough Plumbin! q- j 12PCA41/ � 7-13--(sem 7G/6- Miscellaneous G O1,.r _ re f - X�/_ Prop.Swr.Line 0 H_use Con. 0 St. •r. 0 Sprinkling System onioole _� Underground 0 Power J fie /O L2 _ _I_ ./ Rough Wiring ] -7 2-1.9-4A /`lr772 —,l 'Trenches L9' 1'orms�}'- Steel RemL p� ?Chi z2!/.�„z l�^"^`� . __ Floor System ) _ Bond Beam 0 Steel Reinforce 0 Sheathing _ A. 4_ ---a,../---1J� Frame and Flashing _ Lathing — In 0 Out 0 r--- / it j Plaster, brown coat (✓ .A Refrig. 0 Air Cond. 0 Final Lv r- IF 'ing, Final 1 Bing Fixtures, Final _ Final Gas Test 77.-..---—47:W m,-..,p f c- -- BFixtures,nalFinal MI 7� Building, Final ' OCCUPANCY FORM BU4•5M - 7-61 -I.(577 , 17555 FEE RECEIVED JUL 13.352• .COSTA MESA BUILDING-SAFETY DEPARTMENT /FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING I BUILDING 3 A. • X 015 , N HCO0 ADDRESS / �- h' 11 ^ COSTA MESA. CALIFORNIAn � r For Office Use Only `C' OWNER C K l „ I LIE. R I RECEIPT NO. PERMIT NO. /25 MAIL 3 J A {a��) O (� / .) � RECEIVED EY DATE RECEIVED DATE ISSUED ,ADDRESS ( 4- ' \� � I IV 2- I 7-/S -el-- 7-43-G)---- CITY .CC^9�a M ZS A TEL. ADD SS 0 1 y' (-',�C 7 Z *-P ADDRESS ARCHITECT R - 11 I •,4t Pc NO 9 -S COSTA MESA. CALIFORNIA OR ENGINEER 1 tY !� QZE 3 • 1 ADDRESS4 I 6 i" . '�A At ka ad,C 4-L11' V 1�,�' a FIRE ZONE TYPE /1!� GROUP (�(Ly[\(�y' ` '7 CONTRACTrO/R?"`'//)•l (�°CQ 15 I/ IV 1'11 4 kik BYPROVEDa Y DATE ��✓ (O L. • ADDRESS "1 3-G, ADDRESS `�( , I ZONING re 1 xjI �/I�' /� O r.Y1 NO.OF e� - I USEII NEW,V CITY/V 1 I 1 ~\L. to pO p 1'�1�?\'1 PLANS OF/$—r '/^USOF /{�j /(//j�/�'V LIC.TE NO. l 6 AC Z NO. h1 8'0 C'I C) LE L 2,V I V r ` -1 (3 7 SIZE �. DESCRIPTION OF LOT -7 J S, I NO. OF BLOCS. /- 1 NOW ON LOT A.P.NO. USE OF 141\0"4 t 6 1"c5 ' YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE BT.) // CENTER OF STREET REAR YARD FRONT )). FT. �Sl, IN. SIDE YARD I LEFT I RIGHT R.SIDE 3)__, FT. IN. DESCRIPTION OF WORK L.SIDE / 3 FT. N. NEW II ALTERATION I 0 ADDITION I REAR U FT. IN. REPAIR I II MOVING ' I II DEMOLISH I APPROVED / ' A / DATE 2 -/ -c - =LD'"�I.g x F 6 RNO. OF OOMS STORIES BY �(/L \� EXTERIOR WALIQ0N1 ROOF COVERING . COVERING USE OF BUILDING AND WORK TO BE PERFORMED R i V-4 16 `) L-J I n1I eePa O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT B ABOVE IS CORRE AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. FLY WITH ALL CI RDIN CES AND LAWS REGULATING • BUILDING CON ON. /� VALUATION SIGNATURE OF '1 '{� PERMIT FEE $ /a • PERMITTEE 6'O r9C7 ni0 $ /�go— PLAN CHECK $ AUTHORIZED AGENT �`�� cc Z TOTAL FEE - �1� 2 FEif RECEIVED CdSTA MESA BUILD( . FETY DEPARTMENT • JAN 3 01862 P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.. For Applicant to Fill In Completely APPLICATION RFP RMT MESA TYPE OR PRINT BUILDING BUILDING ADDRESS 314 Robin Hood Lane COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I PE �[2. T OWNER Santa Ana Ranchos,a corporation l{l{��)7 MAIL RECErvPlY I DATE RccervE9- l DATE ISSUED196• ADDRESS 1533 Baker St• !// /—1�. (c i( FEB 7 CITY Costa Mesa, Calif.ARHITECT C NOLL.K.I�O9ry1151 BUILDIN 314 Robin Hood Lane ORCENGI EERMiddlebrook NOIT.E97747 COSTA MESA. CALIFORNIA • ADDRESS Garden Grove, Calif. FIRE 'n/ / — ZONE TYPE GROUP �J r//////,/n/y CONTRACTOR Dike & Colegrove, Inc. APPROVED DATE 1/ ADDRESS 1533 Baker St. -D USE CITY Costa Mesa Calif. ZON%-z I NO.OF PLANS C. I BB BUILDING E'vis qaVt��M/a STATE 167293 No KI 9-1151 LEGAL Lot 6, Tract 4439 LIC.NO. SIZE NO. OF SLOGS. OF LOT 60 x 130 NOW ON LOT no A.P.NO. USE OF none YARDS EVES EXISTING BLDG, (� APPROVED ALLOWED SETBACK LINE FROM 85 t REAR YARD [W 1 p(CENTER LINE ST.) CENTER OF STREET FRONT L� FT. IN. SIDE YARD I LEFT lit I RIGHT 6? R.SIDE 6 FT. IN. DESCRIPTION OF WORK L.SIDE i/ FT. IN. NEW I X II ALTERATION I II ADDITION I REAR l L/-P FT. IN. REPAIR I II MOVING I II DEMOLISH I BY APPROVED �FOo- DATE /3,/&7--- 6 ZE DING 2498 sq f+ROOMS 8 STORIES 2 EXTERIOR WALL `O LUCCROOF COVERING Brick (COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single Family Dwelling with attached Gar. Res. 2498 sq. ft. Plan 24 B Gar. 460 sq. ft. (attached) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ON THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO OM- PLY WITH ALL CITY ORDINANCE A D STATE S REGU TING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUOI%ON. f VALUATION SIGNATURE OF PERM171W {' (P*i PERMIT FEE $ 46.00N ' $ 26,245.00 PLAN CHECK $ 23.00 AUTHORIZED AGENT Dike & COleg e, Inc. TOTAL FEE 69.00 cc O