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HomeMy WebLinkAbout2701 SAN LUCAS LN - Building Permits r CITY OF COSTA MESA• BUILDING DIVISION F „_rir ,l DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER ep011 .4 PERMIT • *tbabio oas' 4-01950 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2701 SAN LUCAS LN Status: ISSUED Suite: Applied: 11/17/2004 Vicinity: ROOF Issued: 11/17/2004 Parcel Number: 14131207 Zoning: R1 R1 Applicant: CHRIS WATSON ISSUED BY: Address: 2219 W OLIVE AV SUITE 282 Phone: 888-311-7663 BURBANK,CA Zip: 91506 Owner: CONNER, LEOLA MAE Address 2701 SAN LUCAS LN Phone: COSTA MESA,CA Zip: 92626 Contractor: MODERN ROOFING Address: 2219 W OLIVE AV SUITE 282 Phone: 888-311-7663 BURBANK,CA Zip: 91506 License: 807881 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 30#FELT,30 YEAR COMPOSITION SHINGLES,AND REPAIR/REPLACE SHEATHING AS NEEDED.24 SQUARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,700.00 Permit: $83.25 Claim Valuation: $2,700.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 246646(6/00) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the foa..wing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the �,.x� work for which this permit is issued. /v I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers co enation,[I��s�uran-c9 carrier and policy number are: �{ n/y pp Cartier: 5&k7e J'v)1 U Policy Number: (/DO 9 �U 7 —72222 (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) 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 become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. -7 Applicant Signature: Date: f/' I /—Q Y WARNING:FAILURE TO S URE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensedpunder provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full l/ force and effect.Lic.# G7%/ Class# C-39 Contractor's Signature: Date: /1-/7-0(/ CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom end 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).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Flre Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes IJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) Date — /7—DU And/Or Authorized Applicant Date OODE.. INSPECTION TYPE PATE ll IAU SODE. INSPECTION TYPE RAg MAU 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �. 208 Final Plumbing 200 Final Re-Roof N Z Z-oy / 210 Final Electrical Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place • 220 Final Planning Approval • 203 Final Sign 222 Final Site • 204 Final Demolition •- • � •• •• • 250 • Final Building/Occupancy • ADDRESS OF Wel that OWNER'S N,WEIF MIgSTb 2701 SAN LU-A- int ,ts� CITY OF COSTA MESA — BUILDING PERMIT CONNE , LEOLA MAE 3'Q PERM NO: M 06558E 27`01 SAN LUCAS LN COSTA MESA,CA 92626 PERMIT NO: M 085586 PLAN CHECK NO: N GOVT: N SUPP: N ADPL.MARINO ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: MEC ' PURPOSE: OTH ARCNRECT OR ENGINEER: UC NO: JOB DESCRIPTION : CHANGE OUT HEATER SQ FT: ARCH OR ENO'S ADDRESS: GMT: CONIRACTgFS NMU: CLAIM VALUE: CALC—VALUE: GROUP OCL: R-3 / GRAHAM BROS INC . ( 714 ) 546-1653 CCNTRACTOWS IMAM 2952 CENTURY PL COMMENTS: CHANGE OUT HEATER ONLY ADDRESS: COSTA MESA CA GCNO: 248604 ibyFykyiiiififieieiisFiiiFirieiaiEieiticr'iiieiiiviciritiriiiriEicvtiticiiiiieitviiiiriritititivtiiiriiitittietii ietiiitirwiiiiii wieifiEiEiEirii iEieiririEirietiE 92626 UM: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Nim under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commenting with Section 7000)of Division 3 d the Business and Professions Code,and my Erenee is in full force end Bed. CRY LIC.NO,: - -5- - 3 LIC.CLASS: uv5y J C " f 22486 EXP: 06%98 MAIN BUILDING ACCESSORY BUILDING • �1 �9, w. �j FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: Fl IN NER euILDER Ecu no :In.rebY.ffi,m ander.... LEFT: FT IN RGHI: FT IN LEFT: FT IN RGHT: FT iN .•.(Ley Drat I am exempt from the Caaradors License Law for the fotowi g reason( ion 7031.5 Baseless and Professions •• •cry or county With requires a permit to cansbud,alar,improve, demolish,or roper any structure.prior to itsIsskace.abo requires the applicant la such permit to fib a signed statement that he a she PARKING REQ: PROV: PARCEL: 14142415 ZNE: REF NO: is[toned pursuant to the provisions of the Contractors License Law(Chapters Hammer erg with Section 7000)of Derision 3 of tin PLANNING NOTES> • Business and Professions Code(or that he or she is exempt therefrom end the base la the Aped exemption.My violation of Radice > '•- 7031.5 by any applicant for a permit tweeds the applicant to a civil penalty of of notmore than five hundred dollars IS5001). . I.as owner oflhe pWertYa mY an WYhltnn n ft*Fn9F_******************ft ft*Nll***-iiiiiiiiiin*nnnlf*fitlt'A'i'****It Siii34*i�ei'*sFl*W'*R'R'R,kil It R It A'A 0Pbyeee wages as thea ode compensation.will do°e work,and the structure b not intended or offered for sale Business and Professions Code;me Conaway his Law does not appy loan owner d property D E V E L O P M E N T S E R'-V I C E S REQUIREMENIS who bolds or inpmves thereon,and who does such work himself or herself or through hit or her own employees,provided that suchinpromments are , pw Mer idalueot tIe burden of proving hended or offered for e orshee diroltbhadl buildingor fortheof see). year of hpM '� ZONING APPROVED BY - DATE: ❑ I.es owner of the properly.em exclusively mmred'ng with licensed oonoectas to conssw the project(Section 7044,Business end , Pmim fesse Code:The Coitwm rLicemnotwed a Lew does not apply to an oproperty who holds et kopreves thereon w who BUILDING APPROVED BY : •.' DATE: (ads for such projects with a oadrador(s)Ficensed pursuant to IM Contractors Liaise Law). ❑ Iamexempt under SectOm B.AP.C.,bthe reason: APPLICATION ISSUED BY: TIA-15 DATE: 11 117 Date: Owner: itieieiliiitii**irit*iiitiiitiEifitit'wilntinew 1e1e1e1e1e1ew1ew/twit stnien'1en Rat nit...1ew1lt-A.WWiiil'iiititiiity-Int* len RR+tir I do hereby certify that I am aware d and understand 0e requimnems d California Health and Safety Code Sections 25505,25553,and LEGALIZATION:N F E E S iJ M M A ii Y STRUCTURAL SEGMENT iV 25534,and that I or any haute building oompant will/wit not(done one)need to comply with said date codes and the requirements for e permit for construction or modification horn the A's uWananepemem District.Reedayiel caWtudim appkrationa we exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provision. PERMIT 13 . 25 Date: Applicant: 25% SMTP/NON--RES WORKER'S COMPENSATION DECLARATION:I hereby affirm wider penalty of perjury one d the following dederatiore: PLAN ❑ I have and wis maiMan a certificate of consent to seAinsure for workers'w • ers' mpsnmton,es provided Swam dfor by Sion 3700 d the Labor ISSUE FEE 22 . 611 Code.AN theponmwmedueworkforwhichtipmdiissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ Ihave and will maintain workers'compensation insurance,as required by Secike3700oftheLaborCoda br the performance othe TOTALS—---> 13 . 25 22 . 00 0 . 00 35 . 25 35 . 25 . 00 work for which this permit is issued.My workers'compensation insurance carer end policy number ere: Carrie: Ac..cognn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 35 , 25 OVER/SHORT : . 00 Policy Number: N01090778 08/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be competed f the perm)a baa Minded doeen 151001 a Jew) 35 . 25 ❑ I cdfy that n the performance of the work for witch this,.,..' ., d,I Nell w- ••. person n any manner so as to become subject to the workers'compensation lawn of ,,.. agree that 1 I - eftjed to the workers' .�' cf Swian 3700dlhe labor withc cop A. ... iiifiiiFiEiFifseititiFiEiEiEiEitiiiiiiiiiiiiiiieiFiiiEifiFieieiEieiiiEirifiiiEiiieieifieieieieiiiiiEiEiii'iEifiFiiitie rsiieieiiiiiiieitii-)iineitifieiiii+t-„ armee ' 17 ypplrall1 7k 4w .0", INDIVIDUAL FEE BREAKDOWN rrp:Fag res urs workers'compensation coverageA, and shall criminal/subject an employer criminalandpenalties civil Ones up b •one hundred doused dollars 15r,sey's ,M •n to Me cost of compensation damages es provided Mr In TYPE QTY L h J l K 1 Y 1 1 U N UNIT COST 1 01 AL COST Section 3706 et the Labor Cods,Interest,and ammey's fees. CONSTRUCTION LENDING AGENCY: I hereby affirm oder Penal'd perjury that(len e e nominationlending*Deng(b cel. MEC 1 I NS T F ORC—AIR/GRA V F URN <= 100 K S T U 13 . 25 13. 25 pertain/thee of the work for with this prank is esud(Sednn 3097.Ci..C). END OF FEES LENDER'S NAME LENDER'S ADDRESS: I certify that I have ted this applicaicn and dab that the above kdamaton is coned.I agree to comply with AA dry and nerdy ordinances ad. , - .reeds to bulking construction and hereby authorize representatives of the dl'to enter upon the above-mentioned property Orpurposes. HER INTR1tRI 11-84-1997/09:54AN/;35.25/� ^SW P INeme �/ tzar"! � /Id Sr_ _ /c 2_ oat„ LF PERMIT:085586 (5151-46.WP) White-Buildng A Safety;Green-Fie:Canary-Appfmnk Pink-Revenue Goldenrod-Assessor r CONSTRUCTION AND PLANNING - POOL &SPA APPROVALS Permit# Date Inspector Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatiop 2. Soil Pipe-Undrgrnd. - . .53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - -9'; 4:Electrical Conduit-Undrgrnd. -:- . 55. Electrical Bonding 5c Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE t -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 a 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 I 65. Electrical-Final . 4-' • 15. Rough Electrical-Conduit 66. Solar System-Final I - • 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;Firepiace - ' .APPROVALS -Permit# ; 21. Ducts,in Structure -• - 70. Underground Hydro ' 22. Ducts, Ventilatjng 71. Product Piping OGas CI Oil 23. Gas Pipe-Rough & Test - . •_ 72. Underground Flush 24. Roof Framing -. 73. Undergrnd.Storage Tank,O Gas 0 Oh 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.T FIXED SYSTEM FINAL, • 29. Insulation _ 78. FIRE PREY. FINAL 30. Drywall Wailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - i 79: FINAL INSPECTION .32. Electrical Power Meter-Final '80' FOOD CERTIFICATE ISSUED ' 33. Final Electric / - Notes: - -_ 34. Final Heating& Air Conditioning e,/ C_� - 35. Final Gas Pipe;Test d"/, /. a . 36. Hood or Canopy - 1 - 1 37. Final Factory Fireplace . • • 38. Final Plumbing - ' r 39. Water Service-Final 40. Gas Service-Final - .l - 7 41. Solar Domestic-Final' - .. 42. Backf low Preventer _ . -43. Backflow Irrigation • 44. Landscape-Irrigation System 1, - • _ - 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 OWNER t"IACCO CORP. DATE3-22-61 JOB ADDRESS 2101 San Lucas Lane BUILDING PERMIT Nd4131 GENERAL CONTRACTOR Melvin Genser Inc. VALUE $101.00 AP.No. LOT 14 TRACT 3749 FIRE ZONE DESCRIPTION OF WORK Ground Sign INSPECTIONS DATE I GROUP TYPE ZONE R1 Underground Soil U.G. Water _ _ SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing 2 Miscellaneous /967 Prop. Swr. Line House Con. St. Swr. Sprinkling System _ Heating,Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches/WSForms Steel j0-4,467 _ Floor System _ Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat _ prPlumbing Fixtures, Final Electric Fixtures, Final Building, Final 6\Y`U' h —b1 OCCUPANCY Form 410-5M-11-59 S-B P 14131 - CITY C COSTA MESA FF�,E REC^AVE® , 14131 '� Building Safety Department MAR 221961 Application for permit for the fabrication and erection FINANCE DEPT. of awnings, advertising signs or devices. CITY OF COSTA MESA LOCATION / J n FOR OFFICE USE/ ONLY / / Building Site Address I Or Te. . .a)1 a 1 9 76 1 �j/—i1 �-OC-, 6/�-('� Date Issued 3A�ipermit No /-11/3/ Makc-C-O n,yQ �_3 4�y� \ Fire Zone Type / Group Name of Leasee -z-1"-C Phone ` ' 3®� - n, ` Approved by �'C Date Contractor Mt_'L�L^� G Sb scat- 1 o G . State License No. 1 r n ZONIN %/J7 � address...WC\ �h Ma,.tic& W 0 City Ir 1�- a b Phone f, - �ofn� Zone— Use of Bldgs.(l rX (GY�t /L----f\ Architect or A. P. No.' 24• 1$ 7---(-2.•3Z(' Engineer State License No. ,(40/ Bldg. Site Address j �1A4 address City ; Phone DESCRIPTION Legal Owner2-22-a -r--c 1 Description of awning, advertising sign, or device: ` Q I Address Awnings canvas metal 0 Width: ft. 0 in. Length: Q ft. min. City Phone o I Ground Sign A Projection Sign LI Roof Sign l Wall Sign n Metal Letter Sign D Yards Approved. Banner 0 Canvas Sign 0 Gas Tube Electric Sign (Sub-section 1.44, Ordinance 313) n Large Sign in excess of 8 sq. ft. Setback from/�ce�n�t�e�r line� � Combination Sign 0 Special Device (other) 0 Explain: of street to front property line 3C7 fNiN. From property line to edge of sign 7 0 ft. a _in. Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on Side Yard Setbacks: plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18" by 24" and non-erasable. Left Side 'ft. �,/in. If within the 10-foot area of front property line, owner is to sign written agreement with the City. Right Side �'S ft. .�l{i4. t Size of Sign - Thickness ft. in. Height eic7 ft. n in. LengthiLBuilding Line Setback fromft. o in. center line of street 6-0 ft. in. Weight lbs. Height above grade _ft. in. Projection ft. in. Area of Sign aft. i ss The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and Height above Grade ft. • i . meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of g , the City of Costa Mesa), and all amendments thereto. Projection ft. in. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN- SPECTIONS SHALL BE CALLED. Awning Size-Width ft. in.'�� / Length ft. in. �. Signature of I`„p 3 C. AwningHeight above Grade ft. in. Permitee tV”- t`�• •" .°"�` • The amount shown under Valuation is for the purpose o1 gN. establishing a permit fee only. �1��, /'� frProjection ft. in. Authorized Agent ""- VALUATION Permit Fee $ ca ,-------1 / �� Location and size (///4 ///n � $ Plan Check $ _ approved by C� S/ /L ��/// Recd. by Dal `3 �' / �.1 44r ee /C / Total Fee $ r , . Date 3- l7J / Form 214-1M-11-6 P OWNER MACCn CORPORATION DATE 10=26-61 JOB ADDRESS 2701 San Thin 9 L41 BUILDING PERMIT NO. 1569_7 GENERAL CONTRACTORMeluan GensaT' Inn VALUE $ 40fl O0 AP No. LOT 14 TRACT 37b9 FIRE ZONE DESCRIPTION OF WORKNon-el.gr.si$rl INSPECTIONS Signature DATE GROUP TYPE ZONE R-1 _ Soil PERMITS ISSUE. Gas SUBCONTRACTOR DATE 1 NUMBEts Water Rough Corn. Ref rig. ❑ Air Cond. 0 P-51'1 Rough Heating _/-n Rough Plumbing /` Q� _6I Miscellaneous Zt° Prop.Swr.Line 0 House Con. ❑ St.Swr. 0 Sprinkling System onion Pole Underground 0 Power 0 Rough Wiring 7 Trenches 0 Forms 0 Steel Reinf. 0 g/o j-,SI�� �Y_S/'_��_r_Y.P,✓ Floor System I3ond Beam 0 Steel Reinforce 0 Sheathing p}, Frame and Flashing f rit4 ag -S Lathing — In 0 Out 0 Plaster, brown coat Ref rig. 0 Air Cond. 0 Final _ Heating, Final Plumbing Fixtures, Final Final Gas Test _ Electric Fixtures, Final Building, Final -µyl 3:222,�5 OCCUPANCY c FORM 6U4.SM — 7-61 15697 CITY C COSTA MESA e \ • ' 7 1569 IEE ECEI '�iED Building Safety Department wive- ftp OCT 201981 or ' FINANCE DEPT. Application for permit for the fabrication and erection CITY OF COSTA MESA of awnings, advertising signs or devices. FOR OFFICE USE ONLY �* LOCATION ,/ 77? �/'/� • Building Site Address 221 / _5`4-41 I_ye. �4S zp T_ /31_ 3,74 5 Date Issued / 0-2 ( 6/ Permit No./ r•6/7 Fire Zoned type Group Name of Leasee A-C CC CO /? P . Phone (7 J _,p / Approved by --2/06 Date Date /40/L 5-4"Contractor/1 E2-•VEA (/j ai cam`'\ �t"�c• State License No. `36 RA)v / / ZONING address77#i i-S.�t/TZ Mvtire44 city /2 A Phone /02- �p04 O Zone A / Use of Bldgs 3'0 n---" Architect or A. P. No.--- . r#k, e Engineer State License No. _ Bldg. Site Address • 4L.,... _--•-•-•-.�_ address City Phone DESCRIPTION Legal Owner d---49-+ ' Description of awning, advertising sign, or device: Address Awnings canvas ❑ metal El Width: ft. in. Length: ft. in. City e-A9. s i/ " Phone Ground Sign ® Projection Sign ❑ Roof Sign ❑ Wall Sign ❑ Metal Letter Sign ❑ Yards Approved. Banner ❑ Canvas Sign ❑ Gas Tube Electric Sign (Sub-section 1.44, Ordinance 313) f Large Sign in excess of 8 sq. ft. Setback from center line Combination Sign ❑ Special Device (other) ElExplain: of street to front property line -aOft. in. From property line to edge of sign •'Taft. in. Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on i �, ,_ plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18" Side Yard Setbacks: �j/il.a�"f^"' by 24" and non-erasable. Left Side �'f ft(L in. .'• If within the 10-foot area of front property line, owner is to sign written agreement with the City. Right Side J4J'ft.71 in. Building Line Setback from Size of Sign - Thickness ft. in. Height /9 ft. in. Length- ff9 ft. in. center line of street �/ 5—D ft. in. Weight lbs. Height above grade 7 ft. in. Projection ft. in. : Area of Sign _8( ' I. ft. in. The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and Height above Grade Q/.�ft. in. meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of 9 the City of Costa Mesa), and all amendments thereto. Projection ft. in. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN- Awning Size-Width ft. in. SPECTIONS SHALL BE CALLED. Length ft. in. Signatur- . Permitee��• / ii 1 The amount shown under Valuation is for the purpose of Awning Height above Grade ft. — in. establishing a permit fee only. _ / c_ Projection ft. in. Authorized Agent ...0194.---. l2QW' VALUATION Permit Fee $ 2� �7/ -°r f c,--).„'(o / Location and size ryry,,,� 70- ,n $ y00Plan Check $ ' approved by UU 1.C�- Q/ --- / nn Recd. by 1i. `, Date J 0-2_ i Total Fee $ �+ — Date / 0 ' �—6 Form 214-1 11-6e-S-8 P OWNER MESA DEL MAR DEVELOPMENT CO. DATE 3-14-63 JOB ADDRESS 2701 San Lucas Ln. BUILDING PERMIT NO. 18963 GENERAL CONTRACTOR Macco Realty CO. VALUE $ 16,812.00 AP No. 141=312-07 LOT 14 TRACT 3749 FIRE ZONE DESCRIPTION OF WORK Res.watt.gar. INSPECTIONS Signature DATE GROUP 1ST TYPE V ZONE R-1 Soil *HS .6-6-03 PERMITS ISSUE1 Gas 417 AII,� SUBCONTRACTOR - DATE NUMBERWater {J Rough Corn. Refrig. ❑ Air Cond. 0 I,YUJ Rough Heating _ 7-7'6_. _ cru_/' S-/St-i _�., % _ �.! Rough Plumbing 7 -i 7-t-,f _ .� 5 6 _38.7443 �� Miscellaneous ,_,//. �J � pBa _ —t- Prop.Swr.Line 2 House Con. grSt.Swr.GI/1. C i i-63 „had-6 il�(J.�e-n ffxc-v f'ad=(a,� ,�/o 7/. �- Sprinkling System n Construction Tle ,L �j� Q_/O---< - Ce p -a -L7SC e)— Underground 0 Power ❑ Rough Wiring ,f',01 /--- /9 ems/— � 7-4j-C3 0?o3-� 7 - Trenches rd Forms ©' Steel Reinf. ❑A ,4`,- Floor System Bond Beam 0 Steel Reinforce 0 j� Sheathing . w'- n.-tl�(o Frame and Flashing /Vi..4.ir S' 7-Pd F Lathing — In m' Out I' if(3'0' lR'-a'b-&3 Plaster, brown coat R Q-30-C3 _ Refrig. ❑ Air Cond. 0 Final Heating, Final l, -.%Li /0-34-G� Plumbing Fixtures, Final w /043)-CZ Final Gas Test /b* 6-'J7-6 2 Electric Fixtures, Final 4%/o 4-75",c-,.., \ Building, Final -i7r16 (n-/i'/63 _ OCCUPANCY FORM BB4-5M — 7.61 n4.—ten 1896? FEE RFCEIVED J. M R 7 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. Mid P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 2701 San Lucas Ln. COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I PERMIT NO. OWNER Mesa Del Mar Development Co. AMAIL DDRESS 3800 E. Coast Hwy. RECEIVED BY I g RECEIVES I _owi/Y IT -E CITY Corona Del Mar NO.OR 311220 AD RHES o< j ((JOG S ARCHITECT TEL COSTA MESA. CALIFORNIA OR ENGINEER M.aCCO Realty CO. NOW 311220 ADDRESS 3800 E. Coast Hwy. ZONEFIRE TYPE it< GR UP CONTRACTOR Macco Realty Col APPROVED �-Q/� J1� BY L DATE / T J ADDRESS 3800 E. Coast Hwy. ZNING ZONE/l�1 NO.OF USE OF NEW CITY Corona Del Mar , I PLANE 2) BUILDING a/A/��/.!� /e/eI. CC.� LEGAL 1 Lot I'� 3N ,(/YI 81CTND.2073�13-A�,)B-1 NEO.OR 31+220 DESCRIPTION 14 Tract 71119' (f O 8120 NO. OF SLOTS. 70)-10/ / //_ 3 / 7 OF LOT (] 1/,1 S.F. NOW ON LOT Hone A.P.NO. — 0 USE OF EXISTING BLDG, None YARDS EVES APPROVED ALLOWED SETBACK LINE FROM S (CENTER LINE ST.) �/� CENTER OP STREET SOI REAR YARD -�11 FRONT ,.J 1-FT. IN. SIDE YARD I LEFT 101 I RIGHT 5 1 R.SIDE .FT. IN. DESCRIPTION OF WORK L.SIDE d FT. ��I N. NEW X I II ALTERATION I II ADDITION I REAR 3,7 FT. 'TN. I REPAIR L II MOVING I II DEMOLISH I BYPROVEGS/„�I DATE "3 /I4� SB=LDI1 1X581-811 ROOMS 6 STORIES 1 6y27 EXTERIOR WA Stll c0 ROOF COVERING & WOIXl COVERING Wood Shake USE OF BUILDING AND WORK TO BE PERFORMED I Single family res. watt. gar. Living Area: 1560 S.F. Plan # 112-CR Garage Area: 11111 S.F. 1 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 FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION AA�� SIGNATURE OF Mesa Del Mar Development Co. PERMIT FEE $ ✓ �— ni R By: .7 "5/0 $16,812.00 PLAN CHECK $ •9 w AUTHORIZED AGENT ,s �/ (n-A-61Z. 0 TOTAL FEE $ Sr 1 __ c OWNER SANDERS, DON V. DATE 376-70 JOB ADDRESS 2701 San Lucas Lane BUILDING PERMIT NO. 31487 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Pvt. Block Wall SIS AP No. 141-312-07 LOT 14 TRACT 3749 FIRE ZONE VALUE $ 480.00 INSPECTIONS Signature Date GROUP J TYPE jjl ZONE R-1 SOIL ( PERMITS 155 ED GAS SUBCONTRACTOR Date I Number -I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS • ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING� r�I //�� �� //�� Heating and Vent. p TRENCHES M FOR* E71095/E7LaINF. /U//-' FLOOR SYSTE BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT [l _ PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.Cr.--,�FINAL PLUMBING. FINAL AND GAS TEST l ELECTRIC, FINAL • 4 • F r i•. - 11R7 HAR -9 7aPALM9! • PAID 215 v***L*5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA•CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECOpVrr DATE ECEIVF�' DATE ISSUEDUED BUILDING , s ADDRESS 0/.., 14 561-4V !` a CA-S � 7U67. ,}� �I ,r jJt�J7 OWNER p0 IV 1l 54-fr PiMS A.P.NO. /7/�r43%d -[' PE 1TI1.rl MAIL �/ '/ _ BUILDING 1v/fJ/IJ ADDRESS 2) 0 / �,J y-N AL c4- ADDRESS a70/ n esi-41 Z / ,.t /� TEL..y1,/ ^^// cc_L) CITY GO5[,4/11 FSn No.5-4G to Li, TRAC,J74/7 LOT/I BLOCK z 7 Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH O I- LENDER J BRANCH —I OWNER Ani ni F/J/J �i2� m J ADDRESS VALUE -CCI ARCHITECT TEL. _USE $ < OR ENGINEER NO. U N W FIRE / Q ZONE TYPE GROUP CC ADDRESS d W /APPROVED I W Z CONTRACTOR 0 c.[�4,,-1q/j BY DATE J p m Z J K ADDRESS W wTEL. ZO / NO.OF USE OF NEW Z)- CITY NO. (PLANS BUILDING `�i20/J w-0 STATE CITY YARDS APPROVED YARDS APPROVED,.(( co cc LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING _0 SIZE iNO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. • I-i. USE OF EXISTING BLDG. -R.SIDE FT. I'I. I'' SIZE OF NO.OF •r Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF n., COVERING COVERING _REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C- 0- MAIN BLOCS. ACCESS. BLOCS. �/ Q '"/Yn IO C /! //j/` 14-- C.U.P.# APPROVED ''7 CO BY ROVED/�j�� / -DATE C2' -' !/-!O z 0 VI hereby acknowledge that I have road this application and state ✓ that the above Information is correct and agree to comply with EC all laws regulating building construction, end I shall not employ F•, any person In violation of the workman's compensation laws of N the State of California. CO ? I hereby certify that I am properly licensed ase contractor under SQ. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j Chapter 9, and that such licenses are in full force and effect,or I THE PURPCSE OF ESTABLISHING A PERMIT FEE ONLY: tc am exempt from the provisions of the St. •f California Business VALUATION and Prof Code,Division 3,Chapter �) PERMIT FEE $ w CaD Signature of �1 !/,/ • m Permittee V'"v L '' ` f. •• $ 9 VV PLAN CHECK $ e----_ E a Authorized Agent 4. -- A TOTAL FEE $