HomeMy WebLinkAbout1141 SALINAS AVE - Building Permits ( - N
CITY OF COSTA MESA • - •
'-' BUILDING DIVISION •
e .p
•rr.. ;a 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • wv+w.ci.costa-mesa.ca.us
t. IFNI� FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBERY M08-00096
• ,,
PERMIT TYPE MECH STATUS: ISSUED
APN: 41208202 DATE ISSUED: 06/30/2008 •
- ISSUED BY: RMD
JOB ADDRESS: 1141 SALINAS AV CM ". Suite/Unit
Vicinity: GARAGE SIDE YARD -
SQ. FT: 0 .
SCOPE OF WORK: MECHANICAL PERMIT:FOR REPLACEMENT OF A REFRIG SYST< 100 FOR A`SFD (SIDE YARD) WITH A
SEER OF 15. ,
OWNER: GOHR,J13 "Address: 1141 SALINAS AVE Unit.
PHONE: •City/State/Zlp. -- COSTA MESA CA -
APPLICANT: PHILLIPS, HOWARD Address: .:: 2952 CENTURY PL Unit
PHONE: 714-997-1800 City/State/zZip: COSTA MESA CAvj '
CONTRACTOR: DEPENDABLE GRAHAM AIR CONDITIONING - License No. 4726.90 ,
Address: 2952 CENTURY PLUnit PHONE: .714-546-1653 - '- -
City/State: COSTAMESA,CA .- ZipCodei 92626 -' CELL: ,
MECHANICAL PERMIT.FEE.SUMMARY
MECH ITEM FEE: -- $36 30 _ •
��
PLAN INVESTIGATION
CK FEE: $0 00 �` , l3",, AI14`??i,
78
INVESTIGATION FEE: .-
REINSPECTION FEE: - $0.00 ,, ? " _ '!,,`.�-
TOTAL FEES: $38.30 ..t.:' ..-1 `- Y .
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . . .
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.
CODE I. INSPECTION TYPE DATE INTmALS CODE INSPECTION TYPE D IN t
1616 Fixed System Final Fire Prevention 206 Final Mechanical Pip, ! I
r
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
WORKERS'COMPENSATION DECLARATION. • - Owner ID verified by drib. ..cense. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: .Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: -
permit is issued.Qffff(vvvvv11111y workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: ^ -,-----
r
person is required to descend,will be made in connection with work authorized
rn • 1 O -..v G � by this permit,and that no building structure,scaffolding,falsework,a demolition
�Cartier. G G1 L� kf— , / or dismantlingthereof,will be more than thirty-six 36 feet high. (Chap.3.2,
(Thisseclbn need not be completer,e l e hued at one�uored�llas($100)or less) ra ( ) 9 Grp
PolicyNumber.
!!0 3 /G 2,Art 2,Sec.341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subjec to the workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor C ,I shall forith comply with these provisions. /
�_J��? / 3b J Division of Industrial Safety Permit Number:
Applicant's Signa re----- CDate--,.. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has al any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is inull force andeffect. a registration form for acutely hazardous materials? 0 Yes ❑ No
Lic.t--T-7 -/-_:72-40 7 0 Class#------, .. (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
TP.u"<�c` 0 ft a each business which at any one time has on hand a quantity of acutely
rr' Contraaor's Sign lure' (!Date- 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant t0 the provisions of the Contractors
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications fa non-residential building permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If yes", attach certificate of compliance from the appropriate airpollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she, CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury,the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state.laws and
city ordinances regarding Hazardous Materials and Emissions.'
❑ '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 Signature Dale -.
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. • the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize,representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection pu ••ses. I agree not to occupy or allowoccupancy of any building
authorized by' is permit until final inspection.
Signature - Date '... (lJ./e-DAT
3057-46(3/07)
AnNor Authorize. .cent Dale _
CITY OF COSTA MESA - '
p BUILDING DIVISION
Fy ,I� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
oFOR INSPECTIONS CALL: (714)754.5626
%
PERMIT NUMBER. M08-00095 •
rxs
PERMIT TYPE MECH STATUS: ISSUED
APN: 41208202 DATE ISSUED: 06/30/2008 •
ISSUED BY: RMD
JOB ADDRESS: 1141 SALINAS AV•CM. Suite/Unit:-.:2%.-.
Vicinity:
SQ. FT: 0
SCOPE OF WORK: MECHANICAL PERMIT,FOR REPLACEMENT OF A FAU < 100 K BTU.(GARAGE).
OWNER: GOHR, JS Address: - 1141 SALINAS AVE Unit:`'•
PHONE: - City/State/Zip: COSTA MESACA
APPLICANT: PHILLIPS, HOWARD Address. ' 2952 CENTURY PL Unit ' .
PHONE: 714-997-1800 . - City/State/zZip. .COSTA MESA,CA -
CONTRACTOR: DEPENDABLE GRAHAM AIR CONDITIONING License No: 472690 '
Address- 2952 CENTURY PLUnit ' PHONE:- -714-546-1653 - - • - -- -
City/State: COSTA MESA, CA ZipCodei 92626 CELL: -
MECHANICAL PERMIT FEESUMMARY -
MECH ITEM FEE: :: $36.30
PLAN CHECK FEE: "
INVESTIGATION FEE: :- $0.00 -
REINSPECTION FEE: $0:00: - - -
TOTAL FEES: $38.30 , `
•
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ,
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.
MA INSPECTION TYPE, MTh INTI11ALS COOS! INSPECTION TYPE / OA p INNiTnAL' 1
1616 Fixed System Final Fire Prevention 206 Final Mechanical P/A.. ; Ob 411AL
•
1266 Pool Spa Final 208 Final Plumbing l///
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 -
I
..
WORKERS'COMPENSATION DECLARATION. .. , . Owner ID.verified by driv, -cense. 0 Yes ❑No
I hereby affirm under penalty of perjury One of the following declarations: Driver's License No. Expires:
0 I have and will maintain a certificate of consent to self-Insure'for workers' Verification Of Ownershi
compensation, as provided for by section 3700 of the Labor Code, for the P b Y(type of document,i.e.-property tax'bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: /+ / person is required to descend,will be made in connection with work authorized
�-i W u ,, r-0 / by this permit,and that no building structure,scaffolding,falsework,or demolition
Gamer -r il�`' or dismantlingthereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
i (ria sedlon need not be completed if The is�valued(ar--m�undred Van($100)of less.) 2,Art 2Sec.341 Title S,California AdministrativCode). g
Policy.Number: w ! / co •]� �'j
[ ❑ As owner-builder, I will not employ anyone to do work which would
0 certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject t. the workers'compensation provisions of Section 3700 of
the Labor Code, shall forthwith. omply with these provisions. Applicants Signature Date
v it 9 Division of Industrial Safety Permit Number:
•y—;sputa` wt
s signs eOa .
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
/y2 qq0 Class#
Lic:#—,,// / L{o p/"� w-� G—t- (Section 25533 of the California Health and Safety Code, with some
----�BRa ` t�/p /'Dc exceptions, requiress registration with the Costa Mesa Fire Departmentof y
7 each business which at any one time has on hand a quantity of acutely
Com2dor , _lure 1 Dale_- 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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,
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications famits).r non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
•
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such wort himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer). . -
completion. the owner-builder will have the burden of proving that he or she' CERTIFICATE OF COMPLIANCE: I certify that under penalty'of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all,state laws and
am-EXCLUSIVELY CONTRACTING WITH cityordinances regarding Hazardous Materials and Emissions.
❑ I. as Owner of the property, •
UCENSED CONTRACTORS to construct the project(Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Dare
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws,). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: . the City of Costa Mesa to enter upon the above-described property for
inspection purpos. . I agree not to occupy or allow Occupancy of any building
' authorized by this permit until final inspection.
I
le
Signature Date I /�/2ao F'
3057-46(3/07) _
• dfor Auihonz-•Applirant Date
OWNER McLAIN DEVELOPMENT COMPANY DATE 2-1-79 •
JOB ADDRESS 1141 Sa.' s Avenue 'UILDING PERMIT NO. 46868
GENERAL CONTRACTOR Owne ,uilder DESCRIPTION of , . Res. w/ att. gar.
AP No. 412-07 O44 LOT 4 TRACT lUZ7b FIRE ZONE . VALUE E •S,464.
INSPECTIONS 41 -U�-U1 Signature Date TYPE V GROUP I 4 J ZONE PDR-MP
SOIL 'Ore 3S 79 SUBCONTRACTOR P WAITS 155 ED
GAS y _ •• ,S - Dote Number Signature
WATER f ''/`ii K Plumb'n•
ROUGH PLUMBI •G L r f a a / ' - L. 7 /7241 j l
PROP. SWR. LINE ❑ HOUSE ON. 0 t . //�� {, j II- , , I 1 -Q^y' l7,OGi-'-/
SPRINKLING SYSTEM /L as /j �r CutIse C$ At,. (Id SCG (k— .7-3-75--ICS-i
MISCELLANEOUS -01I•.O -I 7_¢_75 76,2 R.
ROUGH HEATING AND AIR CONDITIONING C,� a 3 79 .
TEMPORARY SERVICE OR POLE RG y3 24-
UNDERGROUND C Z3 POWER ❑ f� y,'J
ROUGH WIRING C. 1-P-304,- Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. t 3'f 41-#_;1_ -!!t-'' /St D
FLOOR SYSTEM t.:.,--e -.'L/�_'C97S 6
S"-
BOND BEAM STEEL REINFORCE G t �/--y/-'_/N/,pj
SHEATHING V to-5;
*.2/
FRAME AND FLASHI G/ ,LATHING — IN I OUT ✓I r
PLASTER, BROWN COAT Or ♦ is,
STRUCTURAL, FINAL EI }!IC
HEATING, VENT., REFRIG. AND A.C., Eft/AL C4 " 5-7 J �i G -v4:5:43C
PLUMBING. FINAL ANO GAS TEST •2- , t •i O4,• .c-17-4 (UCQQ 's�
ELECTRIC, FINAL - - ; �7 /J LLV
BUILDING. FINAL Ar 7 -1-9-7'
1 046068
.. b
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .,,E8®1g110/12/78 113.73 TL
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely-Use Ink Only RECEIVED BY DATE RECEIVED
DATE ISSUED
BUILDING
ADDRESS Tract 10276, lot 4
Via -07/-0ji or PERMIT NO.
OWNER McLain Development Co. A.P. NO. 4.012-osJ-o/
MAIL BUILDING • /�
ADDRESS 1470 Jamboree Rd. ADDRESS " 'y/ 5ALi&AS AVE.
L.
CITY Newport Beach NO. 640-6800 TRACT i0.2.7h LOT e/ BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH /� /n1
OWNER M r- Devi c2 .
ADDRESS C
ARCHITECT TEL. USE REs' VU$ `u`
OR ENGINEER NO.NO. 752-5567 r i
FIRE
ADDRESS 3661 Spruce, Newport Beach ZONE TY! IROUP2T
CONTRACTOR McLain Development Co. APBY
DATE
ADDRESS 1470 Jamboree Rd.
TEL. ZONE NO.OF USE OF NEW
CITY Newport Beach. NO. 640-6800 . PDR -nip PLANS BUILDING RCS
E- STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. 273875 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE F S. (FROM C/L STREET)
. OF LOT I NOWNO.OON LOT FRONT .2O FT. 0 FT. —
Q USE OF
-�„ EXISTING BLDG. R.SIDE SFT. 0 FT.
CI)
FSeparate permits are required for L.SIDE 3 FT. 0 FT.
electric,plumbing and heating work.
C 02,/ FT. FT.
Liz `REAR /
_
I..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q MAIN BLDGS. ACCESS. BLDGS.
Ll VAR. `+ DATE
Single family residence, c.u.P. cc -��-3�t APPROVED ..2.147/it
›-' Newhouse - ,YROVEIy,t,,eta- DATE a[ I Il c
.a C IC
C4 HOLD FOR SPECIAL REQUIREMENT.:.
LQ
0 I hereby acknowledge that I have read this application and state N
N
cc that the above information Is correct and agree to comply with
m
IY all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of a
d
Lrl the State of California.
3 I hereby certify that I am properly licensed as a contractor under SO. FT, use 2338, Garage 678 N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPCBE OF ESTABLISHING A PERMIT FEE ONLY;
am exempt from the provisions of the State of California Business to
VALUATION PERMIT FEE $ v
and Professions Code, Division 3,Chapte 9 n
// / / PLAN CHECK $ S� n
Signature of P.'rl�.'..v. / it • a
Permittee _I r /G $���. TAX $ .. - a '
AAAA l•
Authorized Age I , - TOTAL PAl q 4.
Vl
46868
COSTA MESA BUILDING-SAFETY DEPARTMENT ' 2p88v.16 _2/0.1/79 2.19.00 T
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .6016! ' 2701/79 -219.DOCKT�
APPLICATIONIi:;t7 1k RgThriaMi EMIT •I A
For Applicant to Fill in Completely— Use Ink Only
LVEDB _! ±REcEIVEa _l. a_a _ s
D DATE ISSUED
BUILDING
ADDRESS 11h 1j.n c T7� ll oo
OWNER McLain Development Co. A.
No.g4_2-082401 PERMIT NO.
MAIL BUILDING
ADDRESS ADDRESS 1141 Salinas Avenue
TEL.
CITY NO. TRACT 7276 LOT 4 BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH
LENDER XX
BRANCH
OWNER McLain Dev. Co.
ADDRESS— VALUE
ARCHITECT TEL. USE Pe R. $
OR ENGINEER NO. _....._...<_ ...,. .. <., ..
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITY NO.
PLANS BUILDING
.F. STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
CM SIZE I NO.OF BLDGS. (FROM C/L STREET)
C. OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
E2 EXISTING BLDG. R.SIDF FT. _ FT.
rn
6y. Separate permits are required for L.SIDE FT. FT.
ti
electric,plumbing and heating work. - REAR FT. FT.
lel _USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
0 MAINAIN SLOGS. ACCESS. BLDGS.
VAR.# DATE
Q C.U.P.# (APPROVED
7 APPROVED
,.i RY HATE
a
C
w
Ow I hereby acknowledge that I have read this application and state n
H
r4 that the above information is correct and agree to comply with
m
C. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
W the State of California.
2 m
FT.
I hereby certify that I am properly licensed as a contractor under SQ. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business us
VALUATION PERMIT FEE I
and Professions Code,Division 3,Chapter 9. $ 219• n
/ in
Signature of 1 / PLAN CHECK $ o
Permittee L Ai - _ ./I $ TAX $ — u.
Ar 2
Authorized Agar!" I �") ^ U
I,[�✓ ' 00 . TOTAL PAID $ 219.00