HomeMy WebLinkAbout2776 SAN JUAN LN - Building Permits •
PROJECT ADDRESS:
2776 SAN JUAN LN UNIT: CITY OF COSTA MESA BUILDING PERMIT PERM NO: B 05331 =
C. OWNER'S NAME:
B....% ,11.
COSTELLOE, JOHN A
ADDRESS:
2776 SAN JUAN LN PERMIT NO: B 053313 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: 751-6032 flEG.NO.: i
ADDRESS: UNIT: JOB DESCRIPTION i T/OFF REROOF W/COMP SQ FT: 7, 000
PERMITTEE: CLAIM VALUE: 7, 000 . 00 CALC-VALUE: 7,000 : 00 • GROUP OCC: R-3 /
ADDRESS:
WESTERN SIERRA ROOFING (714 ) 660-8505 •
17932 SKYPARK CIRCLE COMMENTS: SMOKE DETECTOR REQUIRED IN HOME
IRVINE CA 92718 *****.****-x**>E><>ETE�E>&x***. E�c�E**L ****x*>ExTE*SET; N* ****N*>E*; ****K>Ex•*>E******I ****.kor.>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 of the Business and Professions Code,and my license is in full force . d effect. S E T B A C K S
CITY LIC.: ,0 g,, STATE LIC.: 4 9 ' 5 9 r, S" . ,;
'Date: I Signature:__IOEW - i_'\. A.0 MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECIMATION: I hereby affirm that I have a ce ate if consent to sen-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 3500. Lab.C) LEFT: FT IN RGH T: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 0 1 WC P 1 2 0 7 2 D EXP.DATE: 04/01 /92
COMPANY: SUP. NATL _ PARKING REQ: PROV: .PARCEL : 14164230 ZNE: REF NO:
-] Certified/� copy is hereby furnished. SY Certified copy Tod wtp/y t cl Bul Ing ]Ivl ion, • PLANNING iNOTES>
IJ
Date: -I).. "I I Applicant' X VNLJutf J ---) *******************************************************34*V***:E****iF****B.:** (***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need no ecryiipleted if the permit is for one hundred($100)or less). D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-.'T S
I certify that in the performance of the work for which this permit is issued,I shat of mploy any person In any manner so as to becwme
• subject the Workers'Compensation Laws of California.
ZONING APPROVED BYDATE: "-
Date: Signature:
NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILD ING APPROVED BY DATE: ''r
.Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work far APPLICATION ISSUED BY: /gt - DATE: I-L �2..-7/ •
which this permit is issued(Section 3097.Civ.C). *************.le***.****.*n"fFkX-tF*****.*. 'ht** . - .ar* - - ** *******i(***34.**iCis*****.x.
LENDER: r *****************1E***************** ****************************LP******.*.*LOP**
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'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 90 . 00 . 70.
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SrM I P/NON;-RES
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
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID "r DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 90 . 70 • 0 . 00 0. 00 90 .70 90 . 70 . 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 safe.If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> • COLLECTED : 90. 70 OVER/SHORT; 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIING'` °LAN-CHECK
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 . 00 . 70
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts or such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware *.*.*,***.****,******.****.**************.**if********.**.*x.**.**.*.****.***********}y*t.******* '
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL
COST
Dale: Owner: • '
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 70 0 0 R EROOF B Y VALUE RES ID EN IAL NOZ ONE 1 .0 0 7, 000 . 00 '
25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a END OF FEES :1/
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. ("g
ll: , /
Date: Applicant: /,' , .
I hereby certify that I have read Ibis application and state that the above information is corn agree to comply with all city and county c"'
•ordinances and state laws relating to building construction and• aul orize repr.• atives r is city to enter upon the above-mentioned - h
properly for inspection purposes. I ( • 01 00094433-0009443! Tt i�' 00.70
((`"��1 (� DATE: 08/12/91 TINE:• 08:51
ate: USI a- -1 I Signature'. �•�:� ��\��.���
Driver's License of Social Security if:
1641-46 White—Building:Green—Code Enforcement:Canary—Applican1.....
nk—Revenue:Goldenrod—Assessor '
•
1CONSTRUCTION AND PLANNING - POOL - PA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service of Pole • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd.•
10. Structural Floor System 61. APPROVAL TO DECK
•
11. Property Sewer Line & House Connection 62, Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
-
13. Roof Drains I 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 ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergrnd.Storage Tank O 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 J 78. FIRE PREV. FINAL
30. Drywall Nailing • • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION '
32. Electrical Power Meter-Final I • - 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' / Notes:
34. Final Heating& Air-Conditioning - . ,,e%
35. Final Gas Pipe-Test
.36. Hood or Canopy •
37. Final Factory Fireplace -
38. Final Plumbing
39. Water Service-Final '
40. Gas Service-Final j
41. Solar Domestic-Final I
42. Backflow Preventer I 1 {
43. Backflow Irrigation - -
44. Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations / H
47. FINAL STRUCTURE & BUILDING v I' 6“4 4-.. 2e-ad- ; 0
48. FINAL PLANNING 11. . v
49. Electric Release to Edison
•
50. Gas Release to Southern California Gas Co t I
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border er lines and sign all appropriate declarations. ._
PE T N TRACT NO. .LOT;NO. UNIT NO.
CITY OF'COSTA MESA .CO STRUCJJON PE' MIT 0228 11 /24/87 ) 15.00 TL
Project Address - •/ �2`�` '' •�`J1 - _ /� /� ,
Applicant's Mailing Address 4'a r00 PTO 1 TYPE OF CONSTRUCTION ❑ NEW LI ADD H ALTERATION REPAIR• •r - I
G • 75 _ i/t2 a ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# •_ _
Owner's Name ■1 inn ' Phone V _J DESCRIPTION OF.WORK/USE OF BLDG.
• Address ' -"-w b Ir_) S Main Building: Accessory Building: ;
TYPE OF PERMIT ❑ GRADING ❑ OUNDATION Z
Arch/Eng. License No. � ❑ STRUCTURAL T Front � 0
Address ; ;❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
• • pp�(J &._ •
❑ OTHER A + 1
Contractor's Nam- 111 .la•.rd _ Phonel7- tigvf `-' C Right N
A,..1
�J Y I 1n 11^'I� PROJECT DESCRIPTION SQ. FT. - OCCUPANCY - G
• Address(mailing)lJr '23 / �' 1 r CONSTRUCTION TYPE VALUATION$ • S Left
City License No. '1J(/�1 ZONE 'GRADING CU.YDS. ACRESI E
LICENSED CONTRACTOR DECLARATION Ping. Ref.# • Parking Req./Provided
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' Planning Notes: • • M
with section 7000) of Division 3 of the Business and Professions Code, and • -- - II • II • T
my license is in9ul f• --and effect. • _ S
License L i en-, o. /
Date . is neir Signature Min -L ir .' ' PLUMBING •FEES
WORKE-S'COMPENSATION DELL•RATION ' • Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate .
etzi
•
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink •
3800, Lab. c L '' ^ y� �� �l� Automatic Washer Transformer 0 15-50 KW
•� Policy No?(f Iq.2Iq-R'7 Company f6/7? 4-e 1 L-CAI-/-e'\ Backflow Irrigation Sewer Cap - - - Construction Pole Sub. 0 50+KW
( - Certified copy is hereby furnished. - - - •
-
Ce t" C,P ed with the city/y/J',il si ,t A/I Bathtubs . Sewer Connection Cooking Unit Meter ❑up to 100 amps ,
Date '�n1 /�(7 Applicant`�I ,% / L/�s /f/l /rte
EXEMP ION ROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher Meter Dover 100amps .
(This section need not be completed if the permit Is for one hundred ($100) or . cay�,7/1 N✓ -
-
less). I Dishwasher - Solar Piping - Dryers OGas ❑Electric Sub Panel 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 Drinking Fountains Solar Tank ' - Fan Motors 00-1 HP ❑1%-8 •
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the - - - - - — -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal . Fixtures Microwave -
comply with such provisions or this permit shall be deemed revoked. - -
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets Water Closet Device Boxes Pole Light ' '
I hereby affirm that there is a construction lending agency for the performance _
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 - t •
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays • Generator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for spch 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). $ 3 '
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 ' Issue Fee
compensation, 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 _ - --� - e--
thereon,
thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICES REQUIREMENTS:
- Hood-or Type provided that such improvements are not intended or offered for Boiler I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - Zoning Approved By Date
Motion, 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).
-
❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat //
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) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $
Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK $ �` PERMIT
proof of their Worker's Compensation insurance should be provided to me. .
❑ I am exempt under Section B.& P. C.for this reason _ Firepl/Fact.Blt. ICBG# Fire Dampers - PLUMBING $ V r 00 ISSUANCE $ '
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 00-700,000 BTU 0100,000 BTU - ELECTRICAL _ $ • GRADING _ $ -
- information is correct. I agree to comply with all city and county ordinances - - - MICROFILM $ -
•
and state laws relating.to building construction, and hereby authorize repre- - •- - ' PLAN CHECK 50%• $- ' - l
sentatives of this city to e-Ter �.n the above-mentioned property for `f/,1/{71
inspection p�it / , i/6/ /7i/ MECHANICAL•
$ _ TOTAL FEE $ c' `•
Signature N Date/ / •
Drivers' License Or SS# - ,/. • - Reinspection Fee '$15 Issue Fee $ 3 • PLAN CHECK 25% $ •
an
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND.PLANNING POOL & SPA _ , -
Date - -Inspector - I Date • r Inspector
:#
• APPROVALS Permit APPROVALS Permit#.
1: Temporary Electrical'Service or Pole 52. Pool & Equipment Location r r • '
2. Soil Pipe-Undrgrnd: I 53. Steel Reinforcement ..-t t ' i
3. Electrical Conduit Utility-Undrgrnd. -54. Forms =?.� • ,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 4 �
5. Steel Reinforcement 56. Rough Plumbing & Pressure,T.est , `
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ' 58. Electrical ConduittUndrgrnct•1 r
8. Foundatidn - 59. Gas Pipe, 0 Undrgrnd.,Tesl
9. Water Pipe':Undrgrnd:-';, 60. Backwash Lines,P-Trap, O'Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK -(3
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 AFIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Permit# - _ . M
21. Ducts, in Structure 70. Underground Hydro . - .
22. Ducts; Ventilating 71. Product Piping O Gas 'O Oil 't •
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd-.Storage Tank O Gas 0 Oil '
25. Roof Sheathing 74. Overhead Hydro
I.
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 ' I i ,
•
31. Plaster Brown Coat 79. FINAL INSPECTION ' I '
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '('
-
33. Final Electric Notes:
34. Final Heating & Air Conditioning - - .'";•
35. Final Gas Pipe-Test - ' - - r
36. Hood or Canopy
.
37. Final Factory Fireplace . . - '
38. Final Plumbing • baited UED •
39. Water Service-Final
40. Gas Service-Final , .• .t.
41. Solar Domestic-Final - '• • •
42. Backflow Preventer -
a
43. Backf low Irrigation • - - i' r-
44. Landscape Irrigation System O
45. Sound Attenuation . 4 . ,
-. 46. Handicap Regulations - - - -•• .• . -
47. FINAL STRUCTURE &.BUILDING - - ,
48.--Special Requirements Completed - I - I .
•
492 Electric Release to Edison . - - _ .
50. Gas Release to Southern California Gas Co - . -
'51. CERTIFICATE OF OCCUPANCY -
No._ Date - -
. . -
UWNtK COSTELLOE, J. UAIC 9-27-76
JOB ADDRESS 2776 San Juan Lane BUILDING PERMIT N0. 42767
c:L„ GENERAL CONTRACTOR Unique Patios DESCRIPTION of WORK Patio Cover
"JAP No. 141-642-30 LOT TRACT FIRE ZONE VALUE S1,100.00
INSPECTIONS
1Signature Date TYPE V GROUP T ZONE n-1
JR—J''solL
GAS SUBCONTRACTOR PERMITS ISSUED
Date I Number I Signature
I 1 WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
' MISCELLANEOUS
. .
\\ ROUGH HEATING AND AIR CONDITIONING -
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heating and Vent. . .
TRENCHES ❑ FORMS 0 STEEL REINF. 10
FLOOR SYSTEM
BOND BEAM fl STEEL REINFORCE ri
SHEATHING
FRAME AND FLASHING
LATHING — IN El OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C.. FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL /
BUILDING, FINAL Cr3—/0• 7 d/
. jP
42767 ,,rrz7-7�-,7, : 0017.5 S�.* inh f:is
t;.ca
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
` '" v- Ne'" .a.ta A'PL CA 'ION FOR STRUCTURAL PERMIT •
I For Applicant to Fill in Completely —Use Ink Only
o r RE' E r ED DATE RECEIVED1 DATE ISSUED
BUILDING Af�' 7—
. .
ADDRESS Q _ e {'% �"
ERMIT NO.
OWNER \ ecc n A.P. N01 G7r
MAILJ�P'T'�`� ee��� Q BUILDING tt,^ j// ��
ADDRESS QC 1^/ /l QI/KT TE�(y./xr‘ A ADDRESS 7 ( Cq NL12. �
L.
. t CITY Q, ' U I J NO. ) TRACTI OV LOT, OCKa►' M
A
CONSTRUCTION : NEW Op ALTER REPAIR MOVING DEMOLISH
. LENDER �( '
•
° BRANCH Q 1
3 . OWNER QS \^`] v
•
< ADDRESS i / VALUE
ARCHITECTr4 cQ TEL. Igr SE �1 s1 ✓ ✓ $ }
OR ENGINEE `� C NO. ZONEIRE GROUP
ADDRESS •�t FIRE 72/..•.-
`''/ /� zr
CONTRACTOR\ \ to l �,(.7-- ^ t BYAPPgOVED DATE j–
ADDRESS _ 3\`'� .�1 L.
V / J `F--j-NEWL.('f `` ZQ/ PNO.OFLANS is USE ON NVAI/D
CITY • NO. F PLANS BUILDING
F STATE y'1 (� J 1 • CITY YARDS APPROVED YARDS APPROVED
. LIC. NO. Dail ) o_._ LIC.NO. MAIN BUILDING ACCESSORY BUILDING
1 (FROM C/LSTREET)
' . bra SIZE NO.OF BLDGS. j5
O. ` OF LOT NOW ON LOT OTS FRONri� l' voidFT.
a USE OF \ `l ^("`'
.t1„ EXISTING BLDG. C L/�')9& LC E B.SIDE ST. ' FT.
// 1
Separate permits are required for L.SIDECOF FT.
F electric,plumbing and heating work.
„ /� REAR /AT. FT.
Lir
[.. z USE OF BU G ORK T BE PrFO,J ED / DISTANCE BET. BET.MAIN&
Q ti_ - �C (rj At a, MAIN BLDGS. ACCESS.BLDGS.
La ,,
ROVED
�r•�,,pp�� ��— ./- VAR.. /A• �//�+µy�tyV�=DDAATE I�rJ /�
APPROVED
..1
CL
C. I hereby acknowledge that I have read this application and state i
O N
cc that the above information Is correct and agree to comply with I
m
all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of 5 m
the State of California.
,37 -
3 e I hereby certify that I am properly licensed as a contractor under �, G. FT. – co
o
s the State of California Business and Professions Code, Division 3, a THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I- THE PURPOSE OF ESTABLISHING A PERMIT FEES NLY: 5-
4 am exempt from the provisions of the State of California = "ness VALUATION PERMIT FEE $ /��'–�
and Professions Code, Division 3, Chapter 9. 1 m
}z lb. t 4 C/ V PLAN CHECK $ / ��1 o
Signature of
/ , //92,1
f�� `7 X.
X.
Permittee l,� _ r 1 4 - § / TAX $ d 2
oa.
Authorized Agent m . .... - TOTAL PAID $% 630
it
'�nR -6.S,pfeos>-- 108: *e**99:9e
.. I8-,00
I
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
{
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS 2776 San Juan Ln.
COSTA MESA. CALIFORNIA For Office Use Only
I 11
RECEIPT NO. I pI 3VVO
OWNER Mesa Del Mar Development Co.
MAIL REC�EIyyE BY DATE ECEIV DATE ISSUED
ADDRESS 3800 E. Coast Hwy. 77 3 - '3 I,MAR 6 m 3
CITY Corona Del-Mar ao:OR 34220 BUILDING
ADDRESS
ARHITECT
ORENGINEERMacco Realty Co. No:OR 34220 COSTA MESA. CALIFORNIAFIRE
n
ADDRESS 3800 E. Coast Hwy. ZONE TYPE GROUP{ST Q�
APPROVED
CONTRACTOR MaCCO Realty CO. A
BY DATE
ADDRESS 3800 E. "'oast Hwy. ZONING (Th ''�/{� /-
Nr ZONE,.,•, I NO.OF 7� USE OF Nq I �""l
CITY Corona Del ar PLANS C BUILD iv�•Y(Yl yI (��j�
L C.NO.207343-A-S -1 NEo: OR 34220 DESCCR`IPTION Lot 38 Tract 4808 `
SIZENO. ORBLOTe.
OFLOT 7695 S.F. NOW ON LOT ,done A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. -None APPROVED ALLOWJD
SETBACK LINE FROM 1 2 (CENTER LINE ST.)/
CENTER OF STREET 4h 1 REAR YARD 261 FRONT Lf. r FT. IN.
SIDE YARD I LEFT 61 I RIGHT 61 R.SIDE ‘ FT. " IN.
DESCRIPTION OF WORK '
L.SIDE -(/ FT. IN.
NEW X I II ALTERATION I . H ADDITION I_ REAR „LA FT. IN.
REPAIR' II MOVING II DEMOLISH I APPROV Q r��'7
ANG r BY WWATE } _./`
SIZE D011-611%7G41-2" ROOMS 6 STORIES�- \\ '' (I`1��\.[j
EXTERIOR-WALL atucCLI ROOFWOOd shake & Roc1 J
COVERING [Y YVOOCI I COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single familvm.s- watt. gar. Living Area: 1896 S.F.
Plan 400-BR Garage Area': 483 S.F.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT PSE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF Mesa DPl Mar Development Co PERMIT FEE $ ,Iv o
PERMITTEEA p ��jj
By �!!1' /6� �4 o_ . $ 20,288.00 PLAN CHECK S 3„7- z
AUTHORIZED AGENT s-rc 9 C) C
TOTAL FEE SV.
/ O
LL