HomeMy WebLinkAbout1139 SALVADOR ST - Building Permits liaADDRESS OPBWLONO: 1139 SALVADOR ST UMT: CITY OF COSTA MESA - BUILDING PERMIT
CThERa NAYEIF KN01YN: GORDON, JOHN R TR PERM NO: B 075059
A00fl 1139 SALVADOR ST
COSTA MESA,CA 92626 PERMIT NO: B 075059 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
.r' ARCNITECTOft ENfaIEER: UC JOB DESCRIPTION : T/O SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 7, 800
ARCH.OR ENC.'S ADDRESS: UMT:
CLAIM VALUE: 7, 800 . 00 CALC-VALUE: 7, 800 . 00 GROUP OCC: R-3 /M-1
CONrRACTwmum, ROYAL ROOFING ( 714 ) 449-7750
Ca4TRACTORAMMUN0 135 W SANTA FE AV COMMENTS : REROOF 3400SF RESIDENCE SMOKE DETECTORS REQUIR5E§ �P - 'gar
ADDRESFULLERTON CA ucpc_ 432352 *********************************k****t************** **** ' ri, TGTO R
92632 UMT: ZONING REQUIREMENT RED
LICENSED CONTRACTORS DECLARATION:I hereby.Bim under peny d the at I em licensed under provisions of Chapter 9 S' E T B A C K S R EQU RED
I
(commencing with Section 7000)of Dlveon 3 of the Business end Professions Code,and my kenos is In lu0 tome and e0m. ....
CITY UC.NO.: 046668 LW,CLASS: C-39 LIG.NO.: 432352 EXP : 12/95 MAIN BUILDING ACCESSORY BUILDING
71 _A FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: /f-e. - SJ cont...t_Y" LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby dfum under Fret of that I ern enmg horn the Cordudon leen*Law for the
following reason(Smion 7031-5 Bushes and Professions Code: or rowdy whidi requires a permit to construct after.Improve. PARKING REQ: P ROV: PARCEL : 14161129 Z N E: REF NO:
demolish.or repair any structure,prim to a nuance.also requires t applicant to ouch permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors Linnet Law(Chapter 9(mnmencl g soh Section 7000)el Division 3 of the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt Unshorn and the base for the alleged exemption.My violation of Section >
7031.5 by anapptleant faa Perms naiads the aPpframtoaofdpenaM of not mere than fire hundred dollen POOR. ***********************************************************************SE*******
❑ L as owner of the property or my employees with wages as Ink oda nmpermalnn,will do the work,and d»structure umlmendel D E V E L O P M E N T SERVICES R V I C E S R E U I R E M E N T S
or offered for sale(Section rd apply Business and Professions Code:The Contractors License Law does rappy to an owner of proper _ Q
who twin or improves thereon,and who does such work himself or herself or through his er her own.mplo,ees.Provided that such
improvements tie riot intended d offered for saM.N.however.the building or inpromment a eat within one year of completion,the ZONING APPROVED BYDATE: - '
manor-builder will have the burden of proving he or she did not bolrod or inta for the Purpose Wen).
❑ i.as owner of the property,am exdmvey cadractile with Maned contractors to contact the project(Sedan 7044,Business and '
Professions Coda:TContractors Leee tse Law dod apply a en ower of property who bolds o improves thereon and elm BUILDING APPROVED BY : DATE:
contracts for such Protects mei a oditractor(s)Gowned pursuant to the Contractors Lirone Law). ) •
r
❑ I amexerng under Section: B.1,P.C.,for the reason: APPLICATION ISSUED BY: DATE: ' k1.(1 C\
************-************************************ **************** **
Dale: Owner LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of end understand the requirements 01 California Heath end Soley Code Section 25505,25533,and
25534,and
comma
-erMurehdegomthent AiNlwaananol gnent e)Dinedadl co'atn construction exempt
those
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
253&and the Ior any
omtMAe seri enepena oOisnee. toudervvd musid dale codes none requirements forr
provisions. PERMIT 99 .00 . 78
Date: Append: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the todeclension:dersion: PLAN
under
ISSUE FEE
o I have Code,fdwilma taineeofthense tosellirnurSMwued. mapwWion,asproMedldbySection 3700ofthoLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Cm°'l«the°°"dm" workperformanceforwhich mnPanwnmaad. TOTALS----> 99 . 78 0 . 00 0 . 00 99 . 78 99 . 78 . 00
❑ I have and wit manse workers'compensation insurance,as rewind by Section 37110 d the Labor Code,ler the performance d the
work for which the permit is issued.My woken'compensation insurance carrier and policy number are:
career: CAT, COMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 99 . 78 OVER/SHORT: .00
Poky Number: w45111774RA 11 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This sedion need not be complete d I the perm!is for one hundred dollars MOW or less) 99 . 00 . 78
❑ I curry diol in the performance d the wok for which this perms is issued,I that not employ any person in any mauler so an to
bec n subject to the workers'corrpenaterl laws d Caidonia.ed agree 1M d I should become'tubed to the wins. *******************************************************************************
provisionsompensati n d Seas,3700 d the Labor Code.I sifter IgrNwgcomply mpy wish IND IVIDUAL F E E BR E AK D OWN
4 Den: /!- Lc- CrAP60767236 .ri` ��
Warning:Pollute to secure workericdndrnadOn coverage Is and snail subject en employ«rocdndnd penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
dell fines Ip to one horded thousand dollars(5100,O00A In am/ti to tine coat of ronwenry thinness as Provided ler In
Section 37D5grthe Leta cm.,Inra.t
, . dattorney's tees
SFR 7800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 800 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a costnrlion ending agency for the END OF FEES
performance of the work for with this pane is issued(Seton 3097.Cy.C).
LENDERS NAME
LENDER'S ADDRESS:
I cent that I have read this appfcalian and date that the above information is coned.I agree to comply with all city and county ordinances • /
and state laws relating to building construction and hereby authorize representatives d the dy a mWen on the aborm
a' entbred Waren
for inspection purposes.
JASON CIMS G. O: r,7C7-. :r.•P2' ".:;-u'
Pnnt Name
C+aie-iA . Dan: /r-C -5r D, E' 1L'OYi`, ._ _..
71
Signature of GmndAgentlAPPkcaaTgntm]d _ _
(5151-4.WP) White-Bnddie 5 Soley:Green-Fe;Caney-App .I;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3.. Electrical Conduit Utility-Undrgrnd. 54. Forms •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing& Pressure Test -
6. electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit'Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, ID 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 r
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring. 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FO.R PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT..REQUIREMENT
20. Rough Factory Fireplace • APPROVALS -'Permit#
21. Ducts,in'Structure. ' - - • 70. Underground Hydro
22. Ducts, Ventilating" - 71. Product Piping C7 Gas DOil
23. Gas Pipe-Rough & Test • ,. - b, 72. Underground Flush
24. Roof Framing' 73, Undergrnd.Storage Tank OGas ❑Oil
25. Roof Sheathing //7-.1/5 t c.41 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoat 75, Dry Chemical
27. Frame and Flashing _ 76. Dry Standpipe
28. Lathing& Siding • . 77. FIXED SYSTEM FINAL
29, Insulation 78. FIRE PREY, FINAL
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. Einar Heating & Air Conditioning � i o/g'/1(: Q„_tQ-, H/7/76-� nc+ '
•35. FinalGas Pipe:Test . - ` 6 , + `+ ^^
36. Hood or Canopyt. _ . .- . .
37. Final Factory Fireplace .
38. Final Plumbing •
39. Water Service-Final -
40. Gas Service-Final T. - .
41. Solar Domestic-Final, . , -
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System ' - • -
45. Sound Attenuation: , . . -, . .
46. Handicap Regulations ' -
47. FINAL STRUCTUR BUILDING (6 -1 -?6
48. FINAL PLANNING - -
49. Electric Release to Edison,, - ,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF Q CUPANCY
No ' Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA . CONSTRUCTION PERMIT PMra TRACT NO. LOT NO. UNIT NO.
Project Address /139 ,SAI v.Q do'c s
Applicant's Mailing Address 4 TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION REPAIR
—1 I/
S� I , " ' ' S-ry E�,(,OLI ID CONVERSION ID DEMOLISH ❑ OTH R �q.p,# •
I Zone
Owner's Name Jc' 1N �, Go ca,„:, .] Phone 7 7 DE CRIPTION OF WORK/USE OF BLDG. -Mt 1,4 a 57 k� �
13 9 _54 w�dEVE -Si , / S Main Building: Acliessory Building:
Address P.t;!�o,.1 t �
Arch/Eng. License No. TYPE OF PERMIT LI GRADING U FOUNDATION U STRUCTURAL T Front V'CIIAI Nis°9 -In ( J9 o
•
' Address g
OTHERT ❑ LEC;{'RIC�A7. ❑ PLVMBING ❑ MECHANICAL BA RearY 1--J --_ _ _ N
Contractor's Nam¢ PhonePROJECT DESCRIPTION SQ. FT. ?� OO OCCUPANCY KRight 886� �T ��J� NGAddress(mailing) CONSTRUCTION TYPE VALUATIONS 0 O'O,0v Left
City License No. S i R
ZONE GRADING CU.YDS. ACR 5 Pin Ref.# . Parking�y q./Provided
I hereby affirm that I am licensed u der provisions of Charter 9 (commencing Remarks: �• "'1 Planning Notes: I1 li 4�. M
with section 7000) of Division 3 of the Business and Professions Code,and !,�
my license is in full force and effect. T
License Class License No. S
-
Date Signature PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink • Showers
I hereby affirm that I have a certificate of consent to self4nsure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company -.. Backflow Irrigation Sewer Cap Construction Pole Sub.- 0 50+ KW
8 Certified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed If the permit is for one hundred ($100)or
` —
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the rk for which this permit is issued, I —
• shall not employyy any person IA any ma n so��7s to orpe sybj to the Drinking Fountains Calor Tank - Fan Motors 00-1 HP 01'14-8
Workers grypp[siapon Lawn of Califor is p // / -
Date /Y /D p lSignarvro _ IL 4.ceK r Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar D9-15 HP 016-15+
NOTICE:If,after making this declare on, you should become subject to the
Workers' Compensation provisions the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater
Lender's Name • P Outlets Range
Lender's Address Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION ._ — - Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap
any structure, prior to Its Issuance, also requires the applicant for such permit P Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor
' to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
. Division 3 of the Business and Professions Code) or that he/she is exempt
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
ena -
�pyplty of not more than five hundred dollars($500).
m, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee S 3
I
co pensation, will do the work,and the structure is not intended or offered - — - — - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves _
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of corn- - - Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im• Duct-Under Ground Building Approved By Date
prove for the purpose of sale). ` ' ,L,(
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date J-1U ) l
tractors to construct the project (Section 7044,Business and Professions Code: ❑0-100,000 BTU ❑100,000 BTU
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating SUMMARY OF FEES O�
builds or improves thereon,and who contracts for such projects with a con- F7�s
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ EN --' SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.&/P.C.for this. ason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date :3/ Owner._ t - �.. Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this .•pllcatlon and state that the above 00.100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
_4 information is correct. I agree to comp with all city antl county ordinances
and state laws-Iai m9 to building q. struclion,and Hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives/of thl ity o enl.r u••n the abovf-mentioned property for �I ��
1 Signature �F /� Date 3/rY l�=j MECHANICAL $ TOTAL FEE $
t Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
Drivers' Lice se or SS#
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ID Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •
12. Sewer Cap 63. Heater& Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank D Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL -
29. Insulation 78. FIRE 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
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
•
45. Sound Attenuation
46. Handicap Regulations /
47. FINAL STRUCTURE & BUILDING C //gy
48. Special Requirements Completed / CT GG v ,
49. ElectricRelease to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
APPLICATION FOR A BUILDING PERMIT
BUILDING PERMIT NO. Electrical
Tract Block Lot Permit No. C C
BuildingQ -I Plumbing /` C
Address //43.9 �n fi L/'L, Permit No. 75g3�///// tc
Cross 7 y I Mechanical / ( / C.
Area Street Permit N•. C.
A
•
Owner ,
Type of Pr eject: ❑ New ❑ Rite ❑ Addition D
Address ❑ Repair ❑ Convert ❑Demo 0 Occupancy Pmt.
Sup.DI ./
City Zlp Phone A.P. InSp.Ar :
Architect/ Zone SP1.Pmt. o.
Designer License No.
Setbacks P/L Front C/L St. Street Width
Address
Yards Left Right Rear
City ZIP Phone
Cave Prol. Left Right F.v.
i+ Engineer License No.
C Parking Spaces Required Provid• Covered
p0 Address
m City zip Phone Struct No.of No.of
Height Stories Family
Y ' FeeCONTRACTOR'S DECLARATION Park Fees 11..11 Yes Fee
m Required LJ No C.T. Receipt
Ea I hereby affirm that I am licensed under provisions of Chapter 9 .
L (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date
Professions Code,end my license is in full force and effect).
• License Class License Number
_T Date Contractor Misc.
E Address Proposed Use
ly, City and Zip Phone Of Structure
N CONSTRUCTION LENDING AGENCY
g I hereby affirm that there is a construction lending agency for the
d Class Co t. Year performance of the work for which this permit is issued (Sec. 3097, Co e Code
Civ.C.).
y Lender's Name USE/OCCUP NCV SIZE 50. FT.
5 Lender's Address • .
'-1 OWNER-BUILDER DECLARATION
Y I hereby affirm that I am exempt from the Contractor's License Law 1__- -
O fo�"r'the following reason:
�pas owner of the property. or my employees with wages es their 2.
E sole compensation, will do the work, end the structure is not
2 intended or offered for sale.
3.
0 I, as owner of the property, am exclusively contracting with
licensed contractors to ct the project
m 0 1 e exempt under .:PC • this ase _ 4'
II Date � .3 J R/ Ow -.' . • i_____
n Total Valuation
E WORKERS'COM• CATION DECLARATION f�
8 I hereby affirm that I hr e a certificate of consent to self insure,
Encroachment Permit Roqu red ❑ Yes ❑ No
or a certificate of Workers' Compensation Insurance, or a certified
E copy thereof. Grading Pmt. Grading
8 Policy No. Company Required ❑yes II No Pmt.No
.a 0 Certified copy is hereby furnished. Rough Grading
10
O. ❑ Certified copy is filed with Orange County, EMA. Approved by: Date
co
Q Date Applicant_ 3
CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATION INSURANCE Z
(This section need not be completed if permit is for $100 or less). C
I certify that In the performance of the work for which this permit is 3
issued, I shall not employ any person in any manner so as to become ry
subject to the Workers'Compensation Laws of California. PERMIT FEES
Data Applicant -----
NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check b
Exemption, you should become subject to the Workers'Compensation
provisions of the Labor Code, you must forthwith comply with suchSpecial
Electrical $ Invest. b
provisions or this permit shall be deemed revoked.
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE
I
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing E
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION.AND HEREBY AUTH- Mechanical $
REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
THE VE fffyyy111Efff}}}fff]]]fffION ED PR RTY FOR INSPECTION PU R-•
Pre-Grade
POS /% J� ^c / /�/O/ Inspection E
Siirt
ature of Applicant or Agent (((/( Dae O Rec.Pre- $ Permit E \
kjo` ` ^ O 0� NI� Rec.No. Issue
11
Print Applicant's/s//-Ag•seentt''s Name '
Clan Issuance
All spaces within this box must be completed to process Check By: Approved:
CMF 0335-46(BU-28)rev.6/80
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 34(+5 5/2d/BD 25e3C TL
•
•
• CITY OF COSTA MESA CONSTRUCTION � 'PERMIT I PERMIT NO. TRACCTTNO. LOOT�NO. UNI O.
Project Address k 3`t SRV()esX- -- %- O�1 —`�y �
Applicant's'"• ing Address p,sK1C. TYPE OF CONSTRUCTION LI NEW U ADD Li ALTERATION LI REPAIR ^1 q /
\ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# IL// —�l / -
« / _ Zone kJ
Owner Name o N FZ- �-eo N PhoneS4!„��•3.� DESCRIPTION OF WORK/USE OF BLDG.
Address \k39 acrr\V n- %. - S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear / 7 i /) v _ N
❑ OTHER I
Contractor's Name Phone C Right "�' /-��/ N
Address(mailing)
PROJECT DESCRIPTION SQ. FT. OCCUPANCY G
/ `
"`/// CONSTRUCTION TYPE VALUATION$ I I COO IC(
Leff // —/a/
City License No. R
ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided
0
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes:, / i h'/l e� jL. M
with section 7000) of Division 3 of the Business and,Piot si s Code,and �`+-ti's-"'-r
my license is in full force and effect. •1/yO/) T
License Class License S
Date - Signature PLUMBING I FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
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 Backflow Preventer Service Sink
-3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
8 Certified copy is hereby furnished. - -
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Ours to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit Is for one hundred ($100)or Dishwasher
less). Solar Piping a. Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit Is issued, I .
onot employ anyperson in any nnel om je t to the Drinking Fountains Solar Tank Fan
Workers'l employ Compensationrswson ofin Cal ib\�\v\ Motors❑O-1 HP CPA-8
Date Signature .w Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
NOTICE:If,after making this declaration,you rho become subject to the
Workers' Compensation provisions of the Labor o , you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit sha be deemed. revoked. _ Microwave
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097 Civ. C.) -- Interceptors Water Heater Outlets Range
Lender's Name
Lender's Address Kitchen Sink Water Service Switches Sign
•OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the - Lavatories Auto-Wash
Garbage Disposal !Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior to Its issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
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).
in I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
•
compensation, will do the work,and the structure is not intendedoroffered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does such work Himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS,:{ )R L3-7/21•21(95
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Zoning Approved By , l��V`�`-� Date /
sale. If however, the building or improvement Is sold within one year of com- Canopy Type II 0 //1''-�'
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By �(S Date ZZ
prove for the purpose of sale). 1 Z�
❑ 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ^Refrigeration System Application Issued By Data- CT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- -tractor(s) ticense pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ I / ' SMTP $ - 50
proof
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration 7 �O
ljcf-an+•ej'1�V 11 uefibt� r Se 'B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK $ I(- �1 PERMIT
`re'rPLUMBING $ ISSUANCE $
x Date - Owner Heating System& Ducting RegistersPLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑O-100,000 BTU 0100,00087E - ELECTRICAL $ GRADING $
Information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this -ty to entk upo• he above-mentioned property, for /J
inspection •••tors Zx MECHANICAL $ TOTAL FEE $ Z—I• 3�J
Signature L-'. 1�_ • s. �_ Reinspection Fee S15 Issue Fee $ 3 PLAN CHECK 25% $
'/[\ Drivers' License or SS$
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
• I
2. SotePipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. 'Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings / /ry- DS- 58. Electrical Conduit-Undrgrnd.
8. Foundation - I 59. Gas Pipe, 0 Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 brains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16.1Rough Electric Wiring 67. Fencing & Access Approval
17.-Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas CI Oil
23.,Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing .7hi c' 76. Dry Standpipe
28. Lathing & Siding // 77 4�� 77. FIXED SYSTEM FINAL
29. Insulation 78. 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
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation •
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING -7/9
��1�l
S
48. Special Requirements Completed
49. Electric Release to Edison
•i 50. Gas Release to Southern California Gas Co
" 51. CERTIFICATE OF OCCUPANCY •
No Date
j
NOTE:--SHOW AND DIMENSION PROPOSED .I 1'/' '
PATIO COVER AND YARD AREAS =
I / SEE DETAILS ON REVERSE SIDE
71
r___ ROOF SHEATHING
ST1UCTURAL APPR(VAL 741.)40
1
• `^ '-'� SE�ARA7E PERMITS AF REQUIRE( •,,•••�•...•`•••, OVERHANG----
-. 4D1 pR FLF`;TRIGAI n ••••,,,
V71- „IL, /o. , ., A' . ,I
•' ' PI :liVi RING, _ X RAFTERS `•�„
:1•j )r -�E(i'. ', •:.;',.:L:,;C,'i :..i'�f AT `{ O__' ERS ....�.w__ `'
_..J✓ '•1 -.-._ Sil-_. f..-i :;( CG it .;1, I _`_����. A
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T STRAPIE.i. sc�
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134 Foa. /FAA/
Hn's ,I , uU 'I.ZI eoN,VL'LT/OIV!Y+� W';
oT jf E ."I LI FL4':S MUST ISE 'AT S 2 4- Z
7 ,.r
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l>r R Jxq APFRO'_aCa a cc i
p 1 :" S WNEiiE I EG,,3., • ,.h[ 1 BEI lS f1,0 E'- _Q;`-4J*;) CFA F z CR r-nl O ¢ i o
'CO!' 0. i::;"SUGC; $':' TluU `: 3iA.XOF '4.,.,cAifc.".S �,.. 62, T f3?1'RO! 1
CAL' O!' 0, DIVISIONEsucOF mar-, Ii.S$ QO FEnI.:iT -,LI o - n� of w -�
Tt
OF THL IF; .4, CR 1'V 4:72;?/..4 nw03c C-V;40$kkjnix tZ c> >
BE C04$ULTEO FOR !;LOIT10 1 ICVoYrl CF, qly r o w
REOU.00
04SUL TO CIVcp,cf ,PA�OTIII:vCl4jE, Z' AIIL.mrJ Z O
•
?� f :ISLOP,E-TO wad ,ThJ,./0R1"""cEPf{nu nI,"
•
APPROVED I neogywB4 1
, l3 G'�Ut�N FFC.n T. .-o.vn:agiil s1'X.a':;::^toms ouF6'.Y1^t..:.::e':: .:o.:.'.allp
CITY OF COSTA MESA IN SF IO tNS A\ll'1 mrw ME C04R ' °OFFICIAL' ti , L14
PLANNING D .
BUILDING 0 �. 6\D SP' IFIFu�'' i a,1�"TiON�CF E....41 ;N 1 I
IN VIOLAIILIype /foo°oftoo.�0 h0.i7 F'Eyg�bi1'� _ J
w OCTi0 {ID6. D@T. 1lO. OFIN VIO L` F n. VU iiim l+t'-� '�
�f cut LoivST2[icT,ic7Na 0 gi c RS."1 7 SO.-� o
gy 1( Icj LCiepA '� • 41
z
Er.
STREET SIDE ELEVATION
PLOT PLAN CONSTRUCTION DETAILS
20# ROOF CONNECTION DEVELOPMENT
DETAILS D� PATIO COVER '
ARTMENT
BUILDING SAFETY DIVISION T Y P. PLANS
CONT
LEDGER . SOLID BLOCK
I 01 OWNER: Mh ti
f7 Mor Jo .) 2 . 60, so..., DATE : S �—
/77/f� ADDRESS: 113g S-47,,, zac SI . PHONE: 5-t/6 -`o 2 .7
1/2" WA. X 5" LAG SCR. CONTRACTOR: LIC. NO.
AT 32" O.C. ADDRESS: PHONE:
DETAIL I RAFTERS r'xy RAFTERS APPROVED FOR
CARPORT, PORCH OR PATIO LI41T WEIGHT ROOF COVER OF BUILDING PERMIT
NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM. By Date
SIZE SPACING SPAN , SIZE SPACING SPAN
2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. 9'-6"
CR 9 OR "TECO" '- • ,-
GRIPS OR JOIST 16" 8'-0" 24" 0,.0" GENERAL NOTES:
HANGER 24" 6'-6" 32" 6'-6" 1. These plans must be
CONT. ,� 32" 6'-0" 48" 5'-6" kepton the job at
LEDGER 'a 48" 6' -6" 2„x6.. 16”. 16'-6" all time during
2"x6" 12" 16'-6" 24" 14'-6" construction.
16" 14'-6" 32 12'-0" 2. All framing to be
24" 12'-0" 48" 10'-0" Douglas Fir #2 .
16 " O..C.. LAG SCR. 32"
10'-0" 2"x8" 24"
19'-0"T" 6Igrade minimum.
AT3.. Rafters may not
48" 5' �6" 32" 13 _6" attach to facia ex-
DETAIL 2 2"x8" 24"1 15'-6" 48" 13'-6" cept for 104 roofs
48" 11'-6" . as shown on details;
.") 16::
10# OR _ LIGHT WEIGHT ROOFS 4"x6" 24" 17'-0" - - HEADERS-. 20# roofs must use
ONLY CONNECTION DETAILS 32" 15'-0" ' Q; , a continuous ledger
LIGNf WEIGHT, R00F ONLY
36" 14'-0" : attached as shown
2" X FACIA -MIN. REO. 4"x8" 24" 21'-0" 1 SIZE'-: '7 POSTSPACING_ on details 41 642.
32" 19'-O" 4x4" = &.'-0" 2 4. Light weight roofs
���1 36" 18'-O" 4x6 • 9'-0" may attach to facia
ewe 48" 16'-0" I — '4x8' :. ; ." 12''-0"—ti''" for 14' span max. ,
�� ►p _. .4x10. 1'S_'=0"o spans over 14' must
1111,� Mgrs 4"xl0" 32" 22,-0..
36" 21'-0" CARPORT, PORCH OR PATIO use a continuous
APPROVED METAL 48" 20'-0" SIZE POST SPACING ledger as shown in
HANGER 72" 17'-0" 4x4 5'-0" details 43
4x6 8'-0"
DETAIL 3 4x8 10'-0"
4x10 12'-6" `f/8S
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I
ADDRESS OF BUILDING: 1139 SALVADOR ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT
0llNERSN4MEIFWifl1: GORDON, JOHN R TR PERM NO: B 075059
ADDRESS: 1139 SALVADOR ST
COSTA MESA,CA 92626 PERMIT NO: B 075059 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAIM ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/O SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 7, 800
ARMOR END'S ADDRESS: DMT:
• CLAIM VALUE: 7, 800 . 00 CALC-VALUE: 7, 800 .00 GROUP OCC: R-3 /M-1
CONWACTORSNAME: ROYAL ROOFING ( 714 )449-7750 p
CpGRACTORADDRESO 135 W SANTA FE AVCOM********+�+E+RE*****:E******x****D***MERE+SE**********************DQE*********+E�EAE+r RE:ERE**RE
ADOIresS: FULLERTON CA UCNO.: 432352
• 92632 DMT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjtey that I em licensed under provbbm of Cheper B SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Cods,and my license Is In full force and effect.
CITYUC.NO.: 046668 uc.ClAss: C-39 UC.NO,: 432352 EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING
��_ G _ 9) ��� ( / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN •
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty d perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business end Professions Code:Any cry or county which requires a permit to construct,after,Improve, PARKING REQ: PROV: PARCEL: 14161129 Z N E: REF NO:
demolish,or repair any structure,prior to its issuance,aeo requires the applicant for such permit to file a signed statement that he or she
PLANNING NOTES>
• is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of(*Aston 3 d the
Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 byany applicant fora Permit subjects the applicant to a ciw'I penalty of not mon than live hundred ddl°n( OMD. {E{E{E{E{E{E{E{E{E{EyE{E9E1E*{E**{ElE1E{E{EiE**{E{EyE-0E*iE*{E{({E{p*{E{E{h**iE{E****1ElFlE****1E**1E1E*1E1E161E*iE***********
❑ I.es°won ofdm Property or my employees with wages as thei sole compensation,tell do the work,and the ewetun S not Intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business end Professions Code:The Contrarian License Law does not appow
y to an rirof propend
wins builds or improves thereon.and who does such work himself or herself or through he or her own employees,provided that such
improvements are no intended or offered for sale.H.however,the building or improvement is sold within one yew of completion.the ZONING .APPROVED BY DATE:
owner-builder will have the burden d proving he or she did cot build or improve for the purpose of sale).
❑ lasowner of the property,amexclusively contracting with licensed convntorstoconstrue the proed(Season7044,Business nd BUILDING APPROVED BY DATE:
Professions Code:The Contractors License Law does not apply to an owner of progeny who builds or improves thereon and who
contracts for auth projects with a contractor(s)licensed pursuant to the Contrasts License Law).
in I am exempt under Section: B.A P.C..for the reason: APPLICATION ISSUED BY: DATE: � ,
************************************************ **************** **
Date: °Wec LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby candy that I am aware of and understand the requirements of Calfoma Heath and Safety Code Sections 25505,25533,and
a25534.perm and that larnyMureficatingoccupant wtl/wRna idment one)Dineed tocomply wihsaid onNa desand the requiremenbbr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE r SMIP/RES GRADING
prpersion wnstwctionamodifimlbnhantMA'e�uaTiyEanagemniD'atria.Reskaaidmntlrsfioneppimierow°exempt from thew PERMIT 99 .00 .78
Date: Applicant: SM I P/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby drum under penalty of perjury one of the r aovdng dedarwons: ISSUE FEE
❑ Ibays arid will maintain ecendrateofeenlmsef.inwmlwwakem.amnpenation,asprovidedlwb/Sedion0d
370theLebor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
cneafor mepedomw adtesnkfawKnmepenal e
pw .,tree. TOTALS----> 99 . 78 0 .00 0 .00 99 . 78 99 . 78 . 00
❑ I have and wall maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.for the performance of the
work for which the permit is issued.My workers'compensation insurance carrier and policy number we:
Cartier: CAL COMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 99 . 78 OVER/SHORT: 00
Poky Number: W9!"814 /968 11 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be competed f the perms is for one hundred dollars/5100)or Mss.) 99 . 00 . 78
❑ I comfy that in the performance of the work for which the permit a heued,I.bat not employ any person in any manner co as to
non subject to the workers'compensation laws o California.end agree Net if I should become subject to the worsen' *******************************************************************************
compensation provisions of Section 3700 of the Labor Code.I Mail forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN
'y Date // - 6- 4 r Apogean (Lim— �
Warning:Failure to secure workers'compenudon coverage Is unlawful,and shall subject n employer to CM!**penalties and TYPE QTY D E $ C R I P T I O N UNIT COST TOTAL COST
civil fines am to one hundred thousand dollars($104000).In addition to the cost of compensation,damages as provided for in
Section 3706ofMcLabor Coda interest,and atromey'afees. SFR 7800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 800 .00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a mrmadion ending agency for the END OF FEES
performance of the work for which the perms is Swed(Section 3097.C&.C). �.
LENDER'S NAME:
LENDER'S ADDRESS: •
•
I certify that I have read the application and state that the above information is correct.I agree to comply with all city and county ordinances
end state laws relating to building construction and hereby aahorbe representatives of this thy to enter upon the above mentioned property
for inspection purposes. JASON CIMS
// Pdm Name 01 00193834-00193835 TOT 99.78
' 9 / G.,,,, Date: / '(- 5! DATE: 11/06/95 TIME: 12:33
/ Signature of OwnerlAgent/Appf®nt/Contrada
(5151d6.W P)v While-SWding&Safety;Green-Fe;Canary-Apps ant:Pink-Revenue;Goldenrod-Assessor
20238 '
COSTA MESA BUILDING-SAFETY DEPARTMENT r E E RECEIVED
P.O.BOX 917 COSTA MESA,CALIFORNIA v
` LL 2 5 1963
For Applicant to Fill In Completely eUAFIP,LNCATJJNj'F91� PERMIT
TYPE OR PRINT Cli
!MIT
g I(LDI�NnG[•�`�
BUILDING Cli FobIOuIaiI[WV Ealy
ADDRESS 1139 Salvador Street _
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA • • 22238
P RECEIV DET 7ATiR�,F'?IVED/_ .JUL12 9D1963
OWNER Mesa Del Mar Development Co. 7-
BUILDING
MAIL 3800 E. Coast Highway ADDRE99
ADORfi88
TEL Oriole Oriole ZIRE fr/ DL
CITY Corona Del Mar, Calif. No. 91
ZONE TYPE GROUP
0
Real APPROVED
ARCHITECT OR ENGINEER Ma CCO Real tyCO. NO. n BY DATE
ZONING
ADDRESS Same as above sing].. fa .
ZONE
R-1 I NO.
2 I D ,
BUILDING W� att gar.
CONTRACTOR Macco Realty Co.
LEGALLot 35 Tract 5023
ADDRESS
Same as above DESCRIPTION
A.P.NO. none
CITY • SWne as above
1 90"TO SIDE&REAR P.L.
1. NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE TEL.
207343-ASB-1N0. Oriole 3-4220
LIC.
VE
SIZE NG.OFBLDGS.NoALLOWED (U.B.C.REQUIREMENT)
OF LOT 721 x 971 Now oN LOT nc
YARDS APPROVED YARDS APPROVED
USE OF �r MAIN BUILDING - ACCESSORY BUILDING
EXISTING BLDG. Nom
(FROM C/L(STTREET)
SETBACK LINE FROM '/� l'' FRONT et OFT. FT.
CENTER OF STREET lin t REAR YARD 't 11� _L
SIDE YARD LEFT 5ttSII I RIGHT 5I R.SIDE �FT. FT.
DESCRIPTION OF WORK L SIDE S /FT. )))(���/ FT.
NEW X ALTERATION ADDITION REAR 33 FT. L-J FT.
DISTANCE BET. / BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDOS. ACCESS.SLOGS.
BUILDINGOP VAR.# DATE
SIZE 6116.1x511..„•140.OOMS 6 STORIES 1 C.U.P.# APPROVED
EXTERIOR WALL Stucco]. ROOF Shake .. APPROVED
COVERING Bz Tt COVERING • Singlq 17Y S•I_T._n_ DATE 7-22- 3
USE OF BUILDING AND WORK TO BE PERFORMED
Single family dwelling w/attached Dwelling 1896 .
garage. Plan 1100-B Garage 1183 S.F.
N
SQ.FT. G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m
BUILDING CONSTRUCTION. / _ N
$
PERMIT FEE (� ”
SIGNAOF
PERMITTTEEURE rC RRP ty O. $ 20GVV,288.00 EC 33-- c
Bv. 4
AUTHO Z D EN TOTAL FEE $ 9y—