HomeMy WebLinkAbout2448 RUE DE CANNES - Building Permits 501
w CITY OF COSTA MESA J -
�'
w' - BUILDING DIVISION PERMIT NUMBER
��,��, ' DEVELOPMENT SERVICES DEPARTMENT
° ' PERMIT
,yam
99-01674
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2448 RUE DE CANNES Status: ISSUED
Suite: Applied: 10/15/1999
Vicinity: Issued: 10/15/1999
Parcel Number: 43914208 Zoning:
Applicant: HANSE, DUKE ISSUED BY: 0_.4-00
Address: 260 E.ALTON AV
CA Phone: 714-557-7440
SANTA ANA Zip: 92707
Owner BACK BAY GARDENS HMO
Address 260 CALLE AMANECER
Phone:
SAN CLEMENTE Zip: 92867
Contractor: ROSS & BARROWS INC.
Address: 260 E.ALTON AV
CA Phone: 714-557-7440
SANTA ANA
Zip: 92707 License: 327802
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF GRAVEL AND INSTALL SAME.2448 THRU 2452.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $8,800.00
Permit: $167.25 Claim Valuation: $8,800.00
SMIP Res: $0.88
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.13
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:
EXPIRED
DATE la
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
(PECLjRATIONS . _
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 workers'compensationpeInsurance carrier and policy number are: q
Carri r ,ST TLL F ado Policy Number: y 6' g—aa0 63 6 Z-
(This section need not ye completed if the permit is valued at one hundred dollars($100)or less.)
❑ 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 fornia,and ree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comp! with these pr isi ns. �p _
�N,AI .� re: s � Ir„t (0— 't rP
RE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOY MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
i5AND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereb -' ., .m licensed under provisions of Chapter 9(commencing with Section 7000)of Divi ' the Business and Professions Code,and my license is in full
. c: - .effect.Lic.# 3 7 roZ Cla G—
ontractor's Sign. . : (���_7 /�a•_� Date: t -- !r-57
CONSTRUCTION LENDING AGENCY:
❑ 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: 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).):
❑ I,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,end 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.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 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 B,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? ❑Yes ❑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).
_____._.__-._—.._.._..__....... .. __—.—_—___-.__u __—._.-file_ —..file ____ file
o
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 at 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? ❑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 a_apermit tor such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for nen-residential building permits).
6".....- part of
to
ce.... boundaries
school?
_......_.. ..
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a cho ❑Ves 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
-..hC .._alit y......... which
est... his...
7 If a catiofrom tae South Coast re Quality Management is or otherdair pollution controln district agency is requiredsfor 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? ❑Ves ❑No
..__.—ale .__........_.file ____.___.__ - _._---.
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify That under penaltyof perjury the information given above is correct.I agree to comply with all stale laws and city ordinances
regarding Hazardous Materials and Emissions.1Ul 1 4 I ) c'
C 2,
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 inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
/ .—
Of Legal Owner(s) Datte
_ n—_ 0 -
•nd/O •Litho( -. •..Ii -nt N-e
CODE N INSPECTION TYPE, PATE JNTITIAL;t CODE JNSPFCTION TYPE ME - INTITIALS
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
2446-46
ADDRESS OF BuLDWG: 2448 RUE DE CANNES UNIT: GARAG CITY OF COSTA MESA — BUILDING PERMIT
axNExsNAMEIPIwmxm: BACK BAY GARDENS PERM NO: B 073891
ADDRESS: 350 RIVIERA DR #B
COSTA MESA, CA 92626 PERMIT NO: B 073891 PLAN CHECK NO: N GOVT: N SUPP: N
ti APPL.MAIINGADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
v
ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF AND REROOF W/2 PLY ROCK SQ FT: 1 , 550
ARcx.OR ENG.'S ADDRESS: °NT CLAIM VALUE: 1 , 550 . 00 CALC—VALUE: 1, 550 . 00 GROUP OCC: M-1 /
coNfxAcl'arsKAME ROSS 6 BARROWS INC . ( 714 ) 557-7440
CONTRACTORS MM G 260 E. ALTON AV COMMENTS: REROOF 500SF GARAGE
SANTA ANA CA 327802 ****************alp**+r*****�E*******M-*x*********1(*Bt Bp***** -************sr*-x+t*x-+E•*****
A0°" GC
92707 'N0'` --- ZONING REQUIREMENTS
WIT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby diem under pendy of Perjury that I em licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force end effect.
,No.: 020924 'scum C-39 LIC.NO.: 327802 EXP) 11 /95 MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: 0 Conbador. ♦ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OW - BUILDERDECLARATION:IherebyefhrmunderpendyofperjurythatIamexemptirantheCadracorLcenseLawfa1M PARKING REQ• PROV: PARCEL; 43914208 INE; REF NO:
lot ' •reason(Sedan 7031.5 Business ess and ProfessionsCode:Any city a county which requires a permit to Construct..Idler,improve. O
duh,or repel any structure,price to to issuance,also requires the applicant for nin such peto fileat a signed statement Nhe or she PLANNING N TES>
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)a Division 3 of the , .
.upness end Professions Code)or that he or she is exempt therefrom end the beau for the alleged exemption.Any violation of Section
7031.5 by any applicant fora permit subjects the applicant to a cid penally of rid more than fee hundred dollars 17500)). *****34********1E*************************3F3f4************************************
❑ I.as ovmer of the properly or my employees wih wages as their sole compensation,will do the work.and the°wctunurut intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en ownerof properly ' may
who buids or improves thereon,and*to does such work himself or herself or through hi or her own employees.provided that such
improvements are not intended or offered for sale.H.however,the building or improvement is sod within one year of completion,the ZONING APPROVED BY DATE:
owner'builder will have the burden d proving he or shedid riot build or improve for the purpose of sale),
•
❑ I,as owner of the property,em exclusively contracting with licensed contractors to construct IM project(Section 7044,Business and BUILDING APPROVED BY : DATE: '
Professions Code:The Contrectors Licensenot Law does apply to an owner of property who builds or Improves thereon and who �— ors
contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). -i' \`
❑ I am exempt under Section: B.AP.C..fathis reason: APPLICATION ISSUED BY: DATE:
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL S GMENT: Y
I do hereby certify that I sin aware of end understand the requirements of California Health and Salary Cade Sections 25505.25533,and
25534,and gum a any future buidug°ocupent will/wit not(circle are)need to compy with said pale code and the requirements far BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
°pent la construction or modification from the Airy anagementDistrict Residential construction applications en exempt from these PERMIT 37 .00 'R . 50
provisions. V
Date: A°pt`° PLAN SKIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations ISSUE FEE -,S
❑ Ihave and will mantras acertificate oconsent toself-insure for workers'comppnation.awwicnd
provided for BUILDING—DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
Code,fortheperformanceofm°workfarwt'°hthispermtisissued. TOTALS----> 37 . 50 0 . 00 " 0':00 37 . 50 37 . 50 . 00
I have and will maintain waken'compensation insurance.esrequired by Section 3700 of the Labor Code,for the performance d the
WOO(ON whidr this permit is issued. waken
id,My waiters' and poky number ere:
Canter:
tVUNEXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 37. 50 OVER/SHORT: 00
Paw Number: W957121333 07/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
..ase len need not be completed,the permit iator one hundred dollars!door)«less) 37 . 00 .h . 50
• niy that
subjea the t pads^°kceaanpensthe work drwaw of penilissued,andage Matll ieI sloy any uldbeorne inesymanner°oato **************************************•*****************************************
C-
ome Wbj«f to the workers compensation Laws a California,,and gree(het A shad become subject to the workers'
Wmp.aap vis' /soff5'lion3100dtheLaborCode,Ishallff with ppywththese• . INDIVIDUAL -- FEE BREAKDOWN
Date: r 1( /�J Applicant: /,(1/A-{" a / rr
amino:Fallon to SUM workers'compensation coverage a unlawful,and shall subject an •foyer to criminalpentanes and TYPE QTY DESCRIPTIO N / ',n UNIT COST TOTAL COST
dlneewroone hbwnomoparddandetfroemotlnadd/ronrom.WatpyWro«uayondamagaapoddwmrl^ SFR 1550 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 1 , 550 . 00
Section1Mi 31°B of the Labor eCd thousand
u an ddlara(S10 'a you
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there Is a construction lending agency for Me END 'OF' FEES
performance of the work for which the permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
: LENDER'S ADDRESS:
I certify that I have read this application and state that the above information u correct.I agree to tom*with all sty end county ordinances r/rl
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above.mentioned popery .1
for inspection purposes. NANCEE KILBOURNE
01 00188793-00188794 TOT 37.50
�i/y/ /� DATE: 3B/21/9`r TIN.: 4
.. !far ._ -A `/eLr Dela: *
Signature•.• °r/Agent/Applcan •nu°ua • 1
r'.
(5151a6.WP) White-Building 8 Safely:Green-File:Canary-AppkcanL Pink-Revenue:Goldenrod-Assessor I
CONSTRUCTION AND PLANNING ), POO SPA-/
APPROVALS Permit# • . Date Inspector APPROVALS Permitil# 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 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 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 _ _ FIREDEPT. 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. Underground Flush
24. Roof Framing. 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 14,71--i f-yl 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 77 (( �� 75.-Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM.FINAL
29. Insulation 76. FIRE PREV, FINAL
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 Notes:
34. Final Heating& Air Conditioning - ��Z2-�ej- 4t01 /_..
35. Final Gas Pipe-Test + / _ 45
�
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
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING 0e%.
48. FINAL PLANNING ((''!!(( lv�V -
49. Electric Release to Edison -
50. Gas Release to Southern California Gasth
51. CERTIFICATE OF OCCUPANCY
No Date
LO`'tp"'FS,p C "Y OF COSTA MESA
0CALIFORNIA 92626 P.O. BOX 1200
'1 L xr
it 6 FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY •
4rOR moo CE'
Project Address a9 99t /r CC Ca ,v n7 6 Permit #
t
Project Name < o K1 o int -f T'Pe
Owners Name ti • n
Owners Address g y y v R'4 /at_ CO ,,,,v s City Use Only
Owners Telephone b y s - g 3 V 5
i L4 r rr S ¢-I tf as Owner, Contractor, Agent (strike out all
except one) do hereby attest that employment of any person, or persons, is not
anticipated at the time of seeking the above-referenced permit. In the event that
any person, or persons, are employed under the provisions of this permit, I shall
immediately cause a valid Certificate of Workmen Compensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my own cost, and to indemnify and hold harmless, the City,
its officers, agents and/or employees, frau and against, any and all liability,
damage, costs, losses, claims and expenses, howsoever caused, resulting directly
or indirectly frau, or connected with the improvement under this permit.
I further state that I have read and fully understand the implications and re-
sponsibilities of the above statements, and will comply with all provisions of the
Contractors State License Law found under the Business and Professions Code,
Division 3, Chapter 9, of the State of California.
L4rr svey-
Prir}•t Name
are:Yr % is -
Signat,y Date
CMF 0777-46
OWNER DOYLE & SHIELDS Development Co. , In.c DATE 6-3-63
JOB ADDRESS 2448 Rue de Cannes r BUILDING PERMIT NO. 19653
GENERAL CONTRACTOR Doyle & Shields Dev.Co. ,Inc. VALUE $ 19,417.00
AP No. LOT 69 TRACT 31433 FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar.
I TECTIONS Signature DATE GROUP I&J TYPE V ZONE R-2
G PERMITS ISSUED
/� ��' � ' DATE
Water
Rough Corn. Refrig. 0 Air Cond. 0 IJ
Rough Heating /9'RI-CR JUL 2 2 1963 .yp L/19 M
Rough Plumbing � 41 -CS je (l"Alii/
�au9;Gt•I/ 6 • I-44✓`=43 3S6 " _11i Q
Miscellaneous 9 1 I
Prop. Swr. Line (House Con. El-St. Swr. 0 /)-*-C /2-725V3 pV-Co i7 .[/i h/ et- /2-4- 4t s- 0
Sprinkling System y)2
Construction Pole
Underground lst Power 0 („t�
Rough Wiring //)egf _ 6 ,0,,,L2 SEP 1963 26",� 9
Trenches Ea-- Forms f Steel Reinf. 0 r4/( ,' :^, _
Floor System 2:1:7,41 7_z- '
Bond Beam 0 Steel Reinforce 0 _
Sheathing Far er-d, 3
Frame and Flashing eird, .-- —
Lathing— In Y2- Out:ZI/ er "- /.-./ / . -Ci (A /
Plaster, brown coat , ' 7c- /2 4t,'
j. j
Ref?w,l,❑ Air Con. 0 Final /
Het} \,, Final ,f//J- 2-,"-(41
Plumbing Fixtures, Final - t 3 6',
//-
Final Gas Test ty- % �� g 3-
Electric Fixtures, Final a -5-6. _
Building, Final , 3 --z.)-441
OCCUPANCY
Form BU4-5M-3-63—S-BP HOLD run arLt.i.+L ltzQu;::r.:::`nTS
19653 EW RECEIVED
.. • I at, 31953
COSTA MESA BUILDING-SAFETY DEPARTMENT DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA I FINANCE
�� of COSTA MESA
For Applicant to Fill In Completely L CATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDINGYy/{� I/ \ For Office Use Only
ADDRESS !,'JIAR \ V " '��
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 55
'�r�) (-(/, I /r�� /' R 4RIVED Y �D`ATE RECEIVED
CCEIVED i IBB D
OWNER by II Ct J ,,. �V.{ bey a rr_ka- """��' � ..9-63.11N 3 1963
MAIL
yA 1., 1( .[ [}A A DING 7/�4 ��
ADDRESS e 3/ S . / f/aY1e-ke- 1-P(/ /II/y A. RESS / !/ �� J
/n' ��TL�
FIRE t�
CITY �'("/1� � �C 1 M 6-1.* NO.y'�X020 ZONE TYPE GROUJ
APPROVED
ARCHITECT BY
DATE
OPNEERA. / G . Ay1 NHOP ,7/-f0/O
U f L ZONING
ADDRESS I 1 DL7 MI,'JA IA,(,.rl I([) ^ W�'
J ZOI V \ I PLANS 2_ I USE
-"l
CONTRACTOR rQ,vl+ C� u�(.,•(fl� //
ADDRESS j#71 2i DEDCRIrt1oN L6 9 (' .J l
CITY _,J A Ny.-
A.P.NO..
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATEIC.N /,7Th. , /I / NO 72/i L!1)y� 30'TO SIDE B REAR P.L.
L . P r(� O V
I
EAVES
SEOT �?-2J`� I NO.OF BLDOS. ALLOWED (U.B.C.REQUIREMENT)
OIZLF / �� �1. JNOW ON LOT'
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG, MAIN BUILDING ACCESSORY BUILDING
/ (FROM C/L STREET)
�
SETBACK LINE FROM b FRONT O FT. FT.
CENTER OF STREET REAR YARD FP',�
SIDE YARD I LEFT c...---------. I RIGHT �� R.SIDE V FT. FT.
DESCRIPTION
OF WORK L.SIDE 0 FT. FT.
NEI ALTERATI N ADDITION REAR , 0 FT. FT.
DISTANCE BET. BET.MAIN 9
REPAIR MQVING 'DEMOLISH MAIN SLOGS. ACCESS.BLOCS.
BUILDING NO OP '7 VAR.# DATE
SIZE .33 y13.-Tn ROOMS / /STORIES C.U.P. , APPROVED �I/�'
EXTERIORWALL',it/CC� I COVROVFERING CO/21n-J BYPR•�l(�.TV DATE 71”/. 61_3
COVERING .J/ .V77
USE OF BUILDING AND WORK TO�BE/PERFFORME /� /
?ace 4?/'1eit �v.../n/Ttid!e/ 4/,✓AQ< J�/ �/ �,J+y�
//1O de/ 7 a. / /c �) SQ.FT.,-/ ?ire Q I _
4SWA9FN
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH UNDER VALUATION IS FOR THE i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON PURPOSE OF 88 LIBXINO A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION A
BUILDING CONSTRUCTION. N
]j L^, / , f I, PERMIT FEE 3
SIGNATURE OF d^7A,J7�+/ 77/ (,( ( 1TY. .• O
PERMITTEE r , G 1( f /�/ I //� it
-..' ._ / CT u
JP / 1.7Y1`VA /7 °
AUTHORIZED AGENT (J
TOTAL FEE $ C%�
PAID
t is
45182, �LDG it 9 DEC -7-77LMSAOO 377* :ut2C8,73
i COSTA MESA BUILDING-SAFE DEPARTMENT
P.O.BOX 1200 COSTA MESA,CA IFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely - Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING/��l/IC{�_ �") �/� �J _/_ an/y� ��) 1/ ,{ /U
ADORESSCx /o/ O�� �+ ea.
do
`."_ ,(/��.�yy y[5'.�f 1 �4/�/ O
OWNER Mariners Savings & Loan ASSOC. A.P.N"t // ///2 /375-3//`i P4 tJl�i,S,l/�iJ 2
MAIL BUILDING ^J//n �//sb.n rile /a _ _
ADDRESS 1515 Westcliff Dr. ADDRESS 7•L T SC+ty lu/t/K,(�
TEL.
CITY Newport Beach NO. 642-4000 TRACT 10148 LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER Same as above
BRANCH s s
OWNER j / // . /
ADDRESS
I
VAL E
ARCHITECT
OR ENGINEER goy Kiter TEL.
NO549-4002 - . /%! /. $ it
T"_
. j f
Suite H FIREir
ADDRESS 1 931 Sky Park Cirri Pr Trut nP ZONE TY'E r GROUP pp �/I
CONTRACTOR Woodtree Dev. Co.
APPROVED P/ '/' DATE 'Il!/ - / 1
ADDRESS 1665 Placentia Ave. ` (Yr
TEL. ZONEaga NO.OF --7 OF NEW
CITY Costa Mesa NO. 646-1164 PLANS Z BUILDING ,jj/ S
F STATE CITY YARDS APPROVED YARDS APPROVED
Say LIC.NO. 336725 LIc.NO. 14664 MAIN BUILDING ACCESSORY BUILDING
Is SIZE NO.OF BLDGS. (FROM C/,Lw STREET) L
0. OF LOT Various NOW ON LOT FRON4T fFT. Mal FT.
ACUSE OF
EXISTING BLDG, B.SIDE 2 2FT //'7t4 r• FT,
ca
E—.
a:Separate permits are required for L.SIDE FT. FT.
C electric,plumbing and heating work. REAR /2 FT. FT.
LP
f USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
G Total Units — 5 MAIN BLDGS. ACCESS BL.DCS.
VAR.# DATE ,,�-7�
:51 Total = 6175 sg. ft. C.U.P.# ' S 77-,t59 APPROVED19/
//� i �j
>0• Total .r. = 2780 sq. ft. APPROVED +� �s—� DAT���/Q' /'8 ^—
gal . I _ . . .r •pin •EMENTS
O I hereby acknowledge t at I have read[r is appllcat 4 and state n
I:4 that the above information is correct and agree to comply with
4m
all laws regulating building construction, and I shall not employ
ZGM
any person In violation of the workman's compensation laws of E
.G. the State of Calitornia.
I hereby certify that I am properly licensed as a contractor under SQ,FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m tI
Chapter 9, and t such licenses are in full force and effect,or I THE PURPOSE OF ES,,,,TABLISHING A PERMIT FEE ONLY: n
am exempt fro the rovislons of the State of California Business VALUATION PERMIT FEE $ C
and Profession Co ivision 3 C apter 9. inN '
Signature of ( r/. PLAN CHECK $ I S 2Permittee ` `'� $ 171��-DD 25G/A i TOTAL PAID U
$?Authorized Agent 4gt 13- U
CRUCKLK iNniiUlN/kl
CCSTA MESA MAIN L....,1‘,...1
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely—Use Ink Only APPLICATION FOR;STRUCTURAL PERME3j5 GO GA
RECEIVED BY DATEIRECEIVED , ,aa ] TL
BUILDING 7137 3/In 79 3950 ]CKTD
ADDRESS
1 ,t I J�l/.,/�� /IJ/ UUUUL 4FERMIT NO. I
OWNER,/?�1e�C�E�/!�/>� !e Jl•//I[ ut A.P.NO. -
MAIL MAIMING
ADDRESS ADDRESS
TEL.
CITY NO. TRACT l LOT BLOCK
CONSTRUCTION NEW ADD I ALTFR'REPAIR MOVING ORNILttH
LENDER
BRANCH
OWNS
ADDRESS
ARCHITECT TEL USf� . • --200"--
OR ENGINEER • NO.
FIRE
ADDRESS ) �J� ��///� ZONE TYPE GROUP
CONTRACTOR//, . _I4ZEL j /.21,.. [ t APPROVED DATE
ADDRESS
TEL. ZONE INO.OF USE OF NEW
CITY NO. PLANS
BUILDUC
.F.. STATE CITY YARDS APPROVED YARDS APPROVED
1 LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
la] SIZE NO.OF BLDG& (FROM C/L STREET)
C. OF LOT NOW ON LOT FRONT FT. FT.
e USE OF
El EXISTING BLDG, ,.R SIM FT. FT.
Ca
Separate permits are required for L.UDE FT. FT.
C electric,plumbing and heating work. y y REAR PT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BBT. BBT.MAIN It
AMAIN CLOGS. DATSB,BLOCS.
5 VAR.f DATE
C.U.P.f APPROVED
vt
r, APPROVED
W
a.
0 I hereby acknowledge that I have rata this pplbMon and stab w
C6 that the above Information H correct end sane to comply with e
all laws regulating building construction, and I tall not employ
Z any person In violation of the workmen's co mpentatlon laws of in
SSW the Stab of California
a
I hereby certify that I am properly licensed as contractor under SQ.FT.
the Stets of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
n
Chapter 9,and that such licenses eIn full force and affect,or I THE PURPOSE OP JESTAW.SIUIIG A PERMIT PEE ONLY:
en exempt from the provisions of the er 9. m California Baines I a75-e e e 2
and Professions Code,Division 3,Chapter a. VALUATION PERMIT FEE II$
PLAN CHECK • ed
Signature of ' a
/11
PermkW • TAX • �- a
Authorized Agent TOTAL PAID •"C