HomeMy WebLinkAbout2229 SAYBROOK LN - Building Permits ADDRESS OF BUILDUP: 2229 SAYBROOK LN UM^ CITY OF COSTA MESA - BUILDING PERMIT
aWNERSNAMEIFnIOVIm HURLBURT, JOANNE MARGARET PERM NO: M 086124
ADDRESS 2229 SAYBROOK LN
C'OSTAO54 MESA,CA 92627 PERMIT NO: M 086124 PLAN CHECK NO: N GOVT: N SUPP: N
42APPL.MMLDIG ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC • PURPOSE: OTH
ARCHITECT ORENGIfIEER: MG NO: JOB DESCRIPTION : REPLACE F.A.0 SQ FT:
ARCH.OR ENG.'S ADDRESS: UNI: '
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /
0:sm ut:AnNANE: GRAHAM BRO HEATING AND AI ( 714 ) 546-1653
CONTRACTOR'S MUM 2952 CENTURY PL COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT .
ADDRESS: COSTA MESA CA uc.ND.: 248604 **************************************************************;'PIE*************iE*
92626 LNT: Z 0 N• I N G REQU IR EM EN TS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SE TB ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and exec.
CITY LIC.NO.:063186 LIC.CLASS: C 20 LIC.NO.: 248604 EXP : 09/98 MAIN BUILDING ACCESSORY BUILDING
Date: /2 ' 9j3-2 Contractor e frr% ... 7.."/„.40.--Ce FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I em exempt from the Contractors License Law for the
glowing reason(Section 7031.5 Busoess and Professions Code:Any city or county whim requires a permit to construct,alter,improve, PARKING REQ: PROV: PARCEL: 41901316 Z NE: REF NO:
sawfish or repair any structure,prix to its issuance,also requires the applicant for such permit to fib a signed statement that he or she
.s licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Debion 3 of the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section > .IJ;-'
7031.5 by any applicant for a permit eubpes the applicant to a civil penalty of not more than the hundred dollars[55031). *************************************c****************************************
❑ I,as owner of the properly or my employees with wages as their Bole compensation,will do the work and the structure a not Weeded ll 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
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan ownerof property
who bads or inproves thereon, such end who does work himself or herself or through his or her own employees,provided that such t
improvements •
are not intended or offered for sale.If, sold however,the building or improvement is within one year of completion,the ZONING APPROVED BY - DATE:
wnxauiker will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Cade:The Contractors License Law does nor apply to en owner o properly who builds or improves thereat.end who BUILDING APPROVED BY : +.L? DATE:
contracts for such projects with a yuanaaoaa)licensed pursuant to the Contractors License Law). - '...-7} S `� r q
❑ I am exempt under Section: B.AP.C.,for'his reason: APPLICATION ISSUED BY: I DATE: ll
Dale: IDMnwr. ************************************************ ************************TE****
I do hereby certify that l am aware of end understand the requirements of California Health and Safety Code Sections 25505,25533.end LEGALIZATION:N F E E SSU M M A R Y STRUCTURAL SEGMENT:N
•
asena,erdontloranyluturehcatiofo theAOualityMal not(geetDineed to comply wlthsaid stale n apoIeaanareefromtthfor
se BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
2genet 534,anfor hal Iranction Mumbbcal in hxntpant ll/wil Mo (drele oe) ee. to cmplyl oonstnadonapco es ns and t exempt remmlMae
provisions. PERMIT 13 . 25
Date: Applicant: 25% S M I P/NON-RES
•
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty ofan
perjury e al the blowing dederetons: PLAN
o Ihave and wiImaintain acertificate oconsent loself-insure for workers'campenwion,asprovidedforbySection3700oftheLabo ISSUE FEE
Coda,for the performance of the work for which this permit is issued. BUILDING-DIC C 22 . 00
> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
ti❑ I have and wilmeiman workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance o the TOTALS----> 13 . 25 22 . 00 0 . 00 35 . 25 35 . 25 . 00
work for Mach this permit is issued.My workers'compensation insurance carrier and poky number are:
Caner: MTn C'FNTIIRY EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 35 . 25 OVER/SHORT: 00
•
Policy Number: h1n10Qn77R 08/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed iI the panne is for one hundred dollen 151001 or Ice.) 35 . 25
o 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 - '
became subjet to the workers'compensation laws of Cefdomie d agree that N I should bec subjecttits wakers' ***************************************************************************.
compensation provisions of Section 3700 of the Labor Code,I with corse#with those **'
Date:/e2-, 9 2 Apri ant:n!��i.77—
Warning:
T� I N D I V I D U A L F E E B R E A K D O W N
Warning:Failure to secure workers'compensation cove.sgela unlawful,and shag subject an employer to criminal penalties and TYPE QTY DESCRIPTION . UNIT COST TOTAL COST
civil fins up to one hundred thousand dollars f$10 40001,In addition to the cost of compensation damages as provided for In
Section 3706 of the Labor code,Interest,and adomsy's leesCOST
1 INST FORC-AIR/GRAV FURN <= 100 K BTU 13 . 25 13 . 25
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency tor the
performance of the work for which this permit is issued(Section 3097,Cie C). END O F FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stele that the above information is correct.I agree to comply with all city and county ordinances
and slate laws relating to buikmg construction end hereby authorize representatives of this city to enter upon the above-mentioned property �/ - I,/)1 /�Qf r
for inspection purposes. AM (_./{- /JCS) �,f5 �J
GORDON GRAHAM 12-09-1997/01:22501H 35,2
`Q���1T �� -y/�' psi fii' G Q PERMIT:p86
I isleg n a �.i KG � Dere: /� / r/ 1��$
Sgnst re of AgendApph ant/Contrector
(5151-46.WP) White-Building&Safety;Green-File:Canary-Applicant;Pink-Revenue:Goldenrod-Asses. -
}
• I CONSTRUCTION AND PLANNING - • . PG .L 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 " , I•
„
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TOCOVER-GUNITE
7. Footings - 58. Electrical Conddit-Undrgrnd.
•
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61, APPROVAL TO',DECK
11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final •
14. Rough Plumbing 65. Electrical-Final .,
15. Rough Electrical-Conduit • 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval • •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - ,
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning 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 0 Gas 0 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 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. Final Heating& Air Conditioning
35. Final Gas Pipe-Test J/
36. Hood or Canopy
37. Anal Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backf low 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 ,
PROJECTADDRESS: 2229 SAYBROOK LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT ,,,
, ....,,,-. :: , ,,, �;.. :—..
OWNER'S NAME: RODARTE LORRAINE E
ADDRESS: 30061 LANDStEND PL PERMIT NO: M 058450 PLAN CHECK NO: N yr CJ:_. ':
CANYON LAKE,CA 92.587 • ,-
' CONSTRUCTION
' CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC .,• PURPOSE: OTH
JOB DESCRIPTION : A/C ADD ON SQFT:
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE GRAHAM BROTHERS ( 714 ) 546-1653
ADDRESS: 2952 CENTURY COMMENTS: NO ' B ' PERMIT INVOLVED,
COSTA MESA CA 92626 ************###+E*##>f#***** F#1Ex#*************************######******#*#1E***x14##
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ONING REQUIREMENTS
7000)of Dlvicion 3.o0 lig Ousiness and Professions Cod a d license is in fulyorce d effect. - SETBACKS
CITY LIC.: 0 0 3' 'j STATE LIC.: L 4 CLAS : —
MAIN BUILDING ACCESSORY BUILDING
Date: AF7`44 X9Z Signal FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
Compensation 0entei o5ajcFrti d)coppl �eoffi(Section 3800.Lab.0.8/0.1 /9 3
POLICY NO.: LIBERTY MUTUAL EXP.DATE: PARKING REQ: PROV: PARCEL; 41901316 ZNE: REF NO:
COMPANY: y PLANNING NOTES>
_] Certified copy i hereby furnished. ❑ Certified is tiled wi the city Building 1' ision. >
p. a #*****#***********#****##*1Flt********7i*#**************};*.*********#***********'***
Date: 4`�+ ApplicanC -401.'_ D E V E L O P M E N T •S E R V I C E S REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less).
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become ZONING APPROVED BY > DATE:
subject to the Workers'Compensation Laws of California.
Date: Signature: BUILDING APPROVED BY : , _ DATE: _
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor (fir
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED B Y• / T - - L DATE. ' / 92.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pedormance of the work for *******#*************#x.***. ,cl RLR *Wen.3F w.' 3E er **K#* *******##***4. "n3i-#�•Sr#*
which this permit is issued(Section 3097.Civ.C). *********1F*****#**fi****#!*****************3f****IE#*"*******liif**#****16******i?-i:****
LENDER:
ADDERESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 9 00
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or 2 5.% SM I P/NON—RES
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 PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ' ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 9 , 00 15 • 00 0 , 00 24 , 00 24 . 00 . 00
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State 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 REVENUE DIVISION TOTALS--> COLLECTED ; 24 , 00 OVER/SHORT• • 0
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 24 , 00
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ****************;E*****)E***************************************************ix*.***
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware INDIVIDUAL F E E BREAKDOWN
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.a P.D.. QTY DESCRIPTIO S C R I P T I O N UNIT COST TOTAL COST
for this reason: TYPE
Date: Owner: MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safely 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.
Dale: 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 Std a laws relating to building constructio authorize representa' -,t this city to enter upon the above-mentioned
property fm imps lion purposes. < (4
p 180120493-05120;"3 i ;r'
8• ' 't7i
I
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING PO aSPA •
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1.-Temporary Electrical Service'or Pole ' 52. Pool& Equipment Location
2. Soil Pipe-Undrgrnd. " 4_ 53. Steel Reinforcement •
•
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �t
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding -
• 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation - 59. Gas Pipe. Q Undrgrnd., Test
1/4
9. Water PipeUndrgrnd. 60.• Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. -APPROVAL TO DECK
11. Property Sewer Line & Housetonnection 62. Backwash & Receptor-Final •
12. Sewer CapI 63. Heater & Vent-Final .
13. Roof Drains r 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final • 1 •
15. Rough Electrical-Conduit I 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 0 Gas 0 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
/O YPi Gee
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. SoundundAttenuation
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
' " 6457 12/ 2/79 126•yrTi..
COSTA MESA BUILD-SAFETY DEPARTMENT APPLICT. A FOR STRUCTURAL PERMIT
le P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 N
♦.e - RECEIVED BY PERMIT /, N
For Applicant to Fill in Completely —Use Ink Only �f ��
BUILDING • A.P.NO. '_I 'O'2 — tq
ADDRESS . 1
BUILDING �( t ��pt++
OWNER OR `L/ y� q� / /// /'f� �� `',I ADDRESS 222q�/ �l�Qc1gn s-• `�'••""
TENANT ��f(�l�(/ //Yv✓//`/�! // /�L/j//j/• C�/ UNIT OR
i•sICAs//✓ �J•�'
ADDRE55 l7 � (�/� �u`YI/,/ SPACE NO. ((/ `
/ {J, / "'_I!{ / �q�'�/ LOT BLK.
CITY �Q d [(/tom �� NO. �0// INNEEWa"ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER • X f// p p{r //( //f //y/'j�'�
BRANCH , \ *Oa /1)ZN19 'l=//cC/
�/� I/I �// /n OWNS / 1 /`/{t,�� 9�,�/ �C� / -sT
• -OR EHGINES' FARCHITECT WV r/r• /j/��� „ ;ate_
USE //0/LLb.'.7���//�rVvr/4'L.�.V r�tP,(/�CIJ
ADDRESS O%% U1t�//L�/ /�%/• ZONE RL TYPE� �GROUPJJ S.
�, 1/aG to 0 4v, BYAPPROVED DATE
CONTRACTOR/ / !"' // `/
ADDRESSc (I/ Aryl l dr /�,Ufi{ /V • Condo
—
CITYan
. 1,atm
ISU.G �C Lv_/ NOL e J2/Y Col l ifs
F STATE• / CITY • APPROVED SETBACKS
LIC.NO. g 7 313/ • LIC.NO.
w SIZE i NO.OF BLOTS (FROM C/L STR FT
Aty r
. OF LOT NOW ON LOT -ONi FT.T)
'(](}Y/
a USE OF p//�/
� EXISTING BLDG. "tel R SIDE FT. ( SS
Fca Y�\!p
Separate permits are required for L.SIDE FT. t�j
C electric,plumbing and heating work: REAR FT. t/
N USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a •
0 '(/�L✓/l/ Yl&L.Ia tOtri id&ti (/t_/ / z -- /41 - Jb APPROVED Z
a DATE
--,L APP:•V •• . _ .illi S
w
0 •
I hereby acknowledge that I have read this application and state cs
that the above information is correct and agree to comply with
a all laws regulating building construction, end I shall not employ HOLD FOR SPECIAL REQUIREMENTS i
Z any person in violation of the workman's compensation laws of m
•{� the State of California. / •S�r�• �4//
3 I hereby certify that I am properly licensed as a contractor under �• %-/ SQ. FT. !P /��' 6v N Q
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D ({�
Chapter 9, end that such lice ses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: `x"�_
am exempt from the provisi• sot the State of California Business
and Professions Code,Di ' •n 3,Chapter 9. VALUATION PERMIT FEE $ N
Signature of , i 'PLAN CHECK $ /r^•�/�6 2
Permittee or /� // : . L.
$ _ 016770 TAX $ _c�U.V O
Authorized Agent Date cc
% TOTAL PAID $
26.E
•
COSTA MESA BUILD SAFETY DEPARTMENT APPLICr. N FORSTRI)(`TLIRAL PERMIT-
" P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 £irao -1171 3,Du 89.00T 1+
' RECEIVEDB PERMIT J
For Applicant to Fill in Completely — Use Ink Only 0,.A ' e T= L 9 3 03
BUILDING A.P.NO.
ADDRESS 2229 Saybrook Lane 419-012-19.22
BUILDING
TTENANTOR McKinnon-Bibb Properties, Inc. ADDRESS 2229 Saybrook Lane
UNIT OR
MAILING SPACE NO.
ADDRESS 2737 E. Coast Highway — -Ian B-R
TR.NO. LOT • 1BLK.
LCITY Corona del Mar NO. 675-2311 1085 16 •
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH
LENDER _ Home Federal Savings & Loan
X
BRANCH 1702 N. Main St.
OWNER McKinnon–Bibb Properties,In .
ADDRESS Santa Ana, Ca. - VALUE
ARCHITECT TEL. USE Townhouse w/att.garages
OR ENGINEER Geo. R.Wiseman No. 642-55441
ADDRESS 833 Dover Drive, N.B. ZONE R4 VPE V GROUP H&J
APPROVED
CONTRACTOR Bell Construction BY DATE/A.4740
ADDRESS 105 E. 18th Street
CITY Costa Mesa, Ca. TEL.. 642-4372 Condo Unit
F+ STATE - CITY APPROVED SETBACKS
LIC.NO. 367816 LIC.NO. 7420 as per approved plan
SIZE NO.OF BLOGS. (FROM WI_STREET)
L OF LOT I NOW ON LOT – FRONT FT.
Q • USE OF –
Z EXISTING BLDG. R SIOF FT.
V)
F Separate permits are required for L.SIDE FT.
electric,plumbing and heating work:CI REAR FT.
I.W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
0 DATE
Q Townhouses with attached garages ZE-79-58 APPROVED 4-9-79
7 APPROVED
} —BY DATE
a
W
0 I hereby acknowledge that I have read this application and state c'
gi that the above information is correct and agree to comply with
S all laws regulating building construction, and I shall not employ ui
-
Zany person In violation of the workman's compensation laws of te
the State of California. O ..;
1377 so. FT. J 664 +60.5 N
3 I hereby certify that I am properly licensed as a contractor under
the State of California B • ess a Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9,and that su license .re in full force, d ffect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the •rovisio of the111State of��aa lit is Business o
and Professions Co.., Di 3,Chap r 9. / VALUATION PERMIT FEE $ 189 00 rrn
Signature of !!!///// ^ PLAN CHECK $ �. o
Permittee $ l/(//�/,�1�— TAX $
orAuthorized Agent Date ///lj/e3r3 TOTAL PAID $ 189,00 U