HomeMy WebLinkAbout2764 SAN JUAN LN - Building Permits •
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`�•�,` DIRECTOR OF G4AKNING
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'HANDSOME SHED offers 96 square feet of secure, enclosed storage Ir SIDE VIED' ti 'i
work space. Two sketches at right show the covered shed from front and 2 _ ;yj
_Side views; the largesketch below exposes the shed's various Gaming �� it !It
;elements. Three large beams support the floor instead of standard joists.
' ..•Simplifying construction and minimizing materials. •
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DESIGN-.RICHARD RED D
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PROJECT ADDRESS: 2764 SAN JUAN LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 055836
OWNER'S NAME: JONES, RALPH FREDERICK
ADDRESS: JONES VERA E PERMIT NO: M 055836 PLAN CHECK NO: - N GOVT: N SUPP: N
• 2764 §AN JUAN LN
COSTA MESApCA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: MEC PURPOSE: OTH
ARCH/ENGINEER: (714 ) 757-6299 REG.NO.:
JOB DESCRIPTION : FORCED AIR UNIT CHANGE OUT SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
PERMITTEE: GRAHAM BROTHERS ( 714 ) 546-1653
ADDRESS: 2952 CENTURY COMMENTS : NO ' BLDG, ' PERMIT INVOLVED
COSTA MESA CA 92626 ****************** *************x**>EBF*****************k***>E*****+tx*****+E*******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 0l the Business and Professions Code.and my license is in lull force and ect. SETBACKS
CITY LIG.: 005963 STATE LIC.:248 • • 4 CLASS: C— 0 •
Date: t 1-j`ttz- Signaluv` s • 40 MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby a at ave a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 14C716103026 EXP.DATE: 08/01 /92
MpANY: LIBERTY MUTUAL PARKING REQ. PROV; PARCEL: 14164228 ZNE: REF NO;
Certified copy is hereby furnished. Ea Certified co• with the city Building Divisio . PLANNING NOTES>
1 —{ q >
Date: l'i 1 ` lZ APPlican *************:***********************:**************************************3i****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R�V I C E S REQUIREMENTS
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 California. ZONING APPROVED BY DATE:
Date: Signature'. - .
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : n DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. •/T
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• r�(7 DATE: orf.*i{Of ft�
which this permit is issued(Section 3097, Civ.Cl. **********************'*** ** ** * *** ****************** * *****
LENDER: *************************************** *** **********************************
ADDRESS: • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9AA 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5% SMIP'/NON-RES
pursuant to the provisions of the Contractors'State 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 PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 15 . 00
I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15. 00 0 . 00 24 . 00 24 . 00 , 00
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 employees, provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 24 . 00 OVER/SHORT;
4E::
0
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
24 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware **************************************************************************tf****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
torthisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: • MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District Residential construction applications are exempt from
these provisions.
Date: Applicant: •
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and authorize representatives of this city to enter upon the above mentioned
property for inspection purposes. D
Date: 1 • ti 5`L- signature' �-�—� 01 0010UO2-0C106602 TILE �1 24.0U
Driver's License or Social Security A: DATE: 01/17/92 TIME: 11:42
1641-46 White—Building:Green—Code Enforcement;Canary—Applicang Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING- - - PO 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 r.
. • 3. Electrical Conduit Utility-Undrgrnd ' -1 - • 54. .-Forms .
4, Electrical Conduit-Undrgrnd, 55. Electrical Bonding • - "
'5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
' 6: Electrical UFER Grrid. - - 57. APPROVAL TO COVER-GUNITE
7. Footings 1 . ' - . 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 I - 61. APPROVAL TO DECK .
11. Property Sewer Line& House Connection • 62. Backwash & Receptor-Final_
12. Sewer Cap _ I ' - 63. Heater & Vent-Final .-
13. Roof Drains - d 64. Plumbing System - Final. •
14. Rough Plumbing 65. Electrica6Final.
• 15. Rough Electrical-Conduit 66. Solar System-Final '
.
16. Rough Electric Wiring 67. Fencing & Access Approval t
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 - " - APPROVALS7'' "Permit# . > r
21. Ducts, in Structure . I - - "
_ _ -70. Underground.Hydro
22. Ducts, Ventilating• •• . - 71. Product'Piping 0 Gas ❑Oil
23. Gas Pipe-Rough &'Test72. Underground Flush-.
24. Root Framing - • .73.-Undergrnd.Storage rank 0 Gas 0 Oil
25. Roof Sheathing - -. - - , . ••74•'Overhead Hydro- r
26. T-Bar Ceiling (Structural) & Monocoat • - - 75. pry Chemical • -
27. Frame and Flashing > 76. Dry Standpipe .
28. Lathing-& Siding - • r 77. FIXED SYSTEM-FINAL
29. Insulation - • - 78. FIRE PREV. FINALr
30. Drywall Nailing - ;e1• HEALTH DEPT.REQUIREMENT
31. Plaster Brown Coat' 79. FINAL INSPECTION - -
32. Electrical Power Meter-Final .- .7- .80. .FOOD CERTIFICATE ISSUED •
33.,Final Electric - �', - 'Notes: - •
34. Final Heating_& Air Conditioning " r!• Z3/f2. ee-10
35..Final Gas Pipe-Test ' !` ` •
36. Hood- or Canopy • c .
37. Final Factory Fireplace
t
38. Final Plumbing - it '"
39. Wafer Service-Final .
40. Gas Service-Final ."r ,, .- : - -
41. Solar Domestic-Final ; - • I _
42. Backflow Preventer . - 1. '
43. Backf low Irrigation 7
44. Landscape Irrigation System , . .
45. Sound Attenuation
46. Handicap Regulations - c
•47._FINALSTRUCTURE& BUILDING .•• :.
48. FINAL PLANNING - , - -
49. Electric Release to Edison • - •
50. Gas Release to Southern California Gas Co 'I- - '
51. CERTIFICATE OF OCCUPANCY - -
No. Date
•
I ADDRESS OF8U N : . SAN t1UAI[tiALN °NT CITY OF COSTA MESA — BUILDING PERMIT •
SNAMEIPaa*NSHOORE JOEPFC-D PERM NO: P 080316
et. ADDRESS: 2 7 5 9 S'AN JUAN LN
COSTA MESA,CA 92626 a1 -N PERMIT NO: P 080316 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MAIUND ADDRESS: - CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: uc.No.: JOB DESCRIPTION : C/O WATER HEATER SQ FT:
ARCH.OR ENC.'S ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
cCNmAcraysimEDP PLUMBING & INSTAL . ( 714 ) 991-9477
CaNTRACTOR's MING 1588 S ANAHEIM BL COMMENTS: X
ADDRsss:ANAHEIM CA UCND.: 563793 ***+t-*+E*************N-tE*N-*******-****** -N-********at****stet** -******** -at - Eat -at********
92801 urn: B ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby alum under penalty of perjury that I am licensed under provisida of Chapter P SETBACK S
(commencing with Section 7000)of DMsion 3 of the Business and Professions Code,and my license is in lull lace and effect.
sir ..No.:0 .0 . 2 UC.CLASS:C36 uc.No. 37 �n EXP: 09/97 MAIN BUILDING ACCESSORY BUILDING
�` ^(//'//r] FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
D:e: t Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
foER BUILDER DECLARATION:I hereby affimh under penalty of perjury that I em exempt horn the Contractors License Law for the
llowing reason(Section 7031.5 Business end Professions Code:Any city Cr county which requites a permit to construct,after,improve, PARKING REQ: P RO V: PARCEL : 14137405 Z N E: REF NO:
demolish,or repair any structure.prior k its issuance.aro requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the provisions a the Contractors License Law[Chapter 9(commencing with Sedion 1000)of Division 3 of the PLANNING NOTES>
Business and Professions Codel or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation a Section >
7031.5 by any applicant for a permit subjects the applicant to a veil penalty of not more than(rte hundred dollar 1550011. *******************************************************************************
O I.as owner of the property or my employees with wages as their sole compensation,Mil do the work,and the slncture c not intended
or offered for saleawed
(Section 1044,Business and Professions Code:The Comrade License Law does not apply to en Or properly DEVELOPMENT SERVICES REQUIREMENTS
who builds or improves thereon,and who does such work Nmself or hereof or Krogh his or her own employees,provided that such
improvements are not Wended or offered for sale.I.however.the buiuingori'proverm«a is sold within one year a completion.the ZONING APPROVED BY DATE:
owner'budder will have the burden d proving he or she did not build or improve for the purpose d sale).
❑ I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and
Professions Code:The Contractors License Law does no apply to an owner of property who builds or improves thereon and who BUILD ING APPROVED BY : DATE: r
contrails for such projects with a contrador(s)licensed pursuant to the Contractors License Law). n� V
❑ lam exempt under gentian: B.&R.C..for this reason: APPLICATION ISSUED BY: lidF DATE:
Dale: Owner: **************************************** ******df****************** **
LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I am aware a and understand the requirements of California Heath and Safety Code Sections 25505,25533,and
25534,and that I or any future building occupant will/will not(circle one)need to comply with said Bete codes and the requirements for
aparnnfor construction omrdifwlonfrom the A<my aagementDiddd.Residentuoonmadmane
ionappliaaexemptemmtese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provision,. PERMIT 11 ,00
t Dale: Applicant: 25% SMIP/NON—RES
•
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the following declarations: PLAN
❑ Ihave dwitmaintanacerifiateopes
consenttosetinsureforworkers'comnsation. providedfrbySediona
3700thLabo ISSUE FEE 22 . 00
aan:
Code,for the performeof ework fowhchtmhn
ispeisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
pI have and will maintain workers'compensationinsurance,as required by Section 3700 of the Labor Cade,kr the performance of the TOTALS----> 11 . 00 22 . 00 0 . 00 33 . 00 33 . 00 . 00
work for which Na permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier: TRFFCKF FARMFRS EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 33 .00 OVER/SHORT: . 00
Policy Number: NO107(14-94F 02/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed it the panne is rat one hundred dollars($100)or less.) 33 , 00
❑ I certify thin in the performance of the work for which this permit is issued,I hat nd employ a y persona any manner so a to
become 4ect the wakara'campensaicn awe d Ceifomie. Nat I should be.. a.4ed to the wMas' *..**.*.*.******.*..N.*d(.d(.*.K.. .*.*.****.*.***********.**********-****************************{E*.*.*
� Orn /y^��//° sasecto3100oftheab«code,Lhelt pry . /ePrweoa. INDIVIDUAL F E E BREAKDOWN
Date� /s fit %1 Applicant: "v1
'w\WiMn/Ing:Failure to secure workers'compensation coverage unlawful,andshall subject an employer to criminal penances and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil linestap to one hundred thousand dollars(St00,000A in addition to the cost of compensation u demagas provided for In
Section 3106 of the labor Cods,Interest,and alfonay'a leu PLU 1 WATER HEATER' AND/OR VENT 11 . 00 11 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a oonstndan lending agency for the END OF FEES
performance of the work for which this panni is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stale That the above information is correct.I agree to comply with all dry and courtly ordinances Lra'XX 1 iift.,'J1lJ�`
and stale laws relating to buildyg construction and hereby authorize representatives of this dry to enter upon the above-mentioned properly
la inspection purposes.
PADILLA DATE �` U V
Pnll
Ode 9
Signet sower .. Ippirah trey' 01 00218669-00218669 TOT 33.00
I DATE: 11/06/95 TINE: 12:14
(st51.46.WP) White-Building&Safely;Green-Ale:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
I --.....
•
rONSTRUCTION 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 56. Electrical Conduit"Undrgrnd.
8. Foundation - 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 Drain 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 Factoty 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 ,=.01
25. Roof Sheathing - 74. Overhead Hydro '+ F
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '
27. Frame and Flashing 76. Dry Standpipe ¢ j
28. Lathing& Siding 77. FIXED SYSTEM FINAL
L
29. Insulation • 78. FIREPREV. FINAL •
30. Drywall Nailing -• HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . - 79. FINAL INSPECTION
1
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 I -
•
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
48. FINAL PLANNING -
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
WNER JORES, RALPH DATE 3-1-7o
JOB ADDRESS 2764 San Juan Lane BUILDING PERMIT NO. 45594
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Storage Shed
�P No. 141-642-28 LOT 36 TRACT 9808 FIRE ZONE VALUES 960.
4INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
SOIL SUBCONTRACTOR - PE$MITS ISSWED
s ' Date Number I Signature
TER Plumbing
UGH PLUMBING
OP. SWR. LINE 0 HOUSE CON. ❑
SPRINKLING SYSTEM --
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heatlna and Vent,
TRENCHES LI FORMS U STEEL REINF. 0
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n �*� _
SHEATHING `h I"I i -„--,.......P
FRAME AND FLASHING - }
LATHING - IN n OUT f - LS l
PLASTER, BROWN COAT - G U EI h C}.,
STRUCTURAL, FINAL Elerrrie `r te __>a
HEATING, VENT., REFRIG. AND A.G., FINAL
PLUMBING, FINAL AND GAS TEST n D n t� �2_� [
ELECTRIC, FINAL A t Jill.
BUILDING, FINAL
SPECIAL REOUIREMENTS 1
P .
•
45594
COSTA MESA BUILDING-SAFETY DEPARTMENT 6624 3/01/76 10050 IL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely—Use Ink Only APP� I!!CJJ•yyJJTI FOR STRUCTURAL PERMIT�=ed/
REC IyDATE RECEIVED J
BUILDING ��1l //
ADDRESS p7�u 3�1✓ �NAN L 09A--C edll _ a
PERMIT NO.
OWNER jZ/gLP14 TO )✓CS e r
MAIL
ADDRESS 976y- S.)^' at'/JN L'9 'E •`- - tip _
CITY COS Tag t%CS// NO.`J '/ 6_299 TRACTA p��pee� 'BLOCK
CONSTRUCTION IFITIMII_lAga •
LENDER M-.111111
BRANCH •
eraliZig� 0
ADDRESS
ARCHITECT TEL. _ /-/,�' .v[' n
all
OR ENGINEER NO
FIRE
AL
ADDRESS ZONE PE /GROUP
//'/'1 ` 2���/ APPROVE ��/1�/I
CONTRACTOR avote_ /'L�'S✓'�" BY DATE 3 , /O
a
ADDRESS •
ZONE NO.OF USE OF NE
TEL. �/
' CITY NO. PLANS BUILDING
F�y.•.'
. STATE CITY YARDS'APPROVED YARDS APPROVED
W LIC. NO. LIC.NO. MAIN BUILDING - ACCESSORY BUILDING
14SIZE NO.OF BLDGS (FROM C/L/g7REET){��J
4 OF LOT NOW ON LOT FRONT /Go FT. FT.
Q USE OF
C, i EXISTING BLDG. R.$1DE FT, FT.
CO 22
F0 Separate permits are required for - m L.SIDE s3 FT. FT.
electric,plumbing and heating work. p
0 - , REAR U FT. FT.
(.. USE OF BUILDING AND WORK TO BE PERFORMED = DISTANCE BET. BET.MAIN&
Q x p MAIN BLDGS. ACCESS.SLOGS.
Q
Q r S )c /9— STO/:aGG` clot/�-! VAR... - DATE
C.U.P.IS APPROVED
APPROV6(f(J_Ep' , i_LC/v.0•
DATE�' ',/—)8
.�.d
"LAY
C6
w
01 I hereby acknowledge that I have read this application and state N
v to
Q: - that the above Information is correct and agree to comply with
* all laws regulating building construction, and I shall not employ as
Z . any person in violation of the workmen's compensation laws of , 9(
the State of California.
3 I hereby certify that I am properly licensed as a contractor under SQ.FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR to
Chapter 9, and that such licenses are In full force and effect,or I 8 THE PURPOSE OF ESTABLISHING A PERMIT FEE 011.1.`f„; e
am exempt from the provisions of the State of California Business b`
, and Professions Code,Division 3,Chapter 9. VALUATION AO
PERMIT FEE E/Q C/ m^
Signature of / / 4v `PLAN CHECK $
0
Permittee x - s $ TAX $ LL
Jv u
ir
F
Authorized Agent TOTAL PAID $ 70 --7.)
"3R-fi-f'Pfcosra 1061" ***¢54:50
) - I 18898 �"
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUIL
ADDRESS 2764 San Juan Ln. .
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I I BAUTNO
OWNER Mesa Del Mar DeyelnTl)71 Development Co. (8{8
MAIL R IV D BY DwTE�ECEIVep DATE ISSUED
ADDRESS - 3800*E. Coast Hwy.
,��/O (� I�1.AR 6 1963
cmy Corona Del Mar No..'OR 34220 ADDRESS
ARCHITECT 11;
COSTA MESA. CALIFORNIA
OR ENGINEER Madco Realty CO. NOK 34220 n
ADDRESS 3800 E. Coast Hwy-. FIRE
1 C /
ZOO - , 3NE TYPE GROUP ISY�Y y
CONTRACTOR MaCCO Realty CO. APPROVED
BY DATE
ADDRESS 8.0 E Coast Hwy ZONING
ZONE i I NO.OF OF N -
crry Corona Del MST 1 PLANS BUILDING
STATE • TEL. LEGAL L `
l ' •C• 1
SIZE NO. OP
i DESCRIPTION Lot 36 Tract 111308OF LOT 6603 S.1' .• I NOW ONSLOTRdone A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. -N• e APPROVED ALLO D
SETBACK LINE FROM
(CENTER LINE ET.)
CENTER OF STREET I REAR YARD2U T-2" FRONT 144 FT. IN.
[[ w
SIDE YARD LEFT 61 RIGHT 5!-JII R.SIDE FT. (C-
IN.
DESCRIPTION OF WORK- -
' L.SIDE g FT. IN.
NEW X I H ALTERATION I H ADDITION I REAR ,� '1 �e FT. 2- �✓'IN.
REPAIR I H MOVING H DEMOLISH 9YPROVt(I VL'0 DATE 3-6 -6-3
BUILD I MG.,1 I B NO. OF Yom• ` 'I
6
SIZE OV X7G -10 ROOMS STORIES1 )�/ l� `
EXTERIOR WALL ..tuccco l Roorl+lood shake & Rock Y
COVERING 6L 0IMP COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single family res. w/att. gar. Living Area: 1780 S.F.
Plan #hSO-DR Garage Area: 460 S.F.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- - PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
, PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
_ BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF Mesa Del Mar Development Co PERMIT FEE ‘3 "..--
.1
PERMITTEE r /�C R
By: B nc<•_ / ���� $ 19,065.00 PLAN CHECK $ 3 F
AUTHORIZED AGENT /�/�/ 4
TOTAL FEE $ I.