HomeMy WebLinkAbout2737 SAN LUCAS LN - Building Permits N r-
. `u' :
CITY OF COSTA MESA
; r ,A) BUILDING DIVISION
k ......:
suct. . DEVELOPMENT SERVICES DEPARTMENT 898-01131
PERMIT PERMIT NUMBER ,
d.
(714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
•
Job Address: 2737 SAN LUCAS LN Status: ISSUED
Suite: Applied: 06/25/1998
Vicinity: GARAGE Issued: 06/25/1998
Parcel Nunmber: 14131211 Zoning: R1 R1
Applicant: CRANK, JIM
Address:
Phone:
Zip:
- Owner: WICKERSHAM, BETTY,H TR' _
Address 20092 VIVA CIR:/�>, ' -
7,0,2 ' \. Phone: - -
HUNTINGTON BEACH,CA Zip: 92646 ' 7 - - ,
Contractor CRANK BROTHERS ROOFINGCO `
Address 700126 COMMERCIAL WY " ,, /7, ,\ y
// //�j , ;; Phone:
7/ COSTA MESA:CA ' Zip: 92627 �� -. i
ii.
j l , ,/ License: 408677
Arch/.Eng ://2 ,/,1;,74.1 7H'
1
/Address: /A � ,
,( \ / :Phone, -,,.` . .i .
/Zip_ ' -C.' ' - ..
SCOPE OF PERMIT
i R ,TEAR OFF'RESHAETH WITH 1/2"CDX&REROOF WITH 30 YEAR COMP. SHINGLES OVER THE GARAGE
‘1.
ONLY' . --
FEE'SUMMARY
I Plan Check: ..,' $0.00 Calc Valuation: . $2,865.00 •
Permit: $74.75 �� __ 'l; Claimed Valuation: $2,865.00
'� SMIP Res: $0.50 _ �r F'
SMTP Com:. . .,x..$0.00 - - " ; / / -
Other:- 7',,.$0.00 —/—
Inspection: , `‘ $0.00 -- --
‘,4otal:- $75:25 ..-
./-,,,.
� • •,, ',PLANNING&ZONING -
,
SETBACKS
MAIN STRUCTURE Front :'0-0-, ,'Rear.- 0 0' -' „ Lib' . -0-0 --Right 0-0 .•c
ACCESSORY Front 0-0 ' ' Rear • 0-0 " " Ceti' 0-0 Right 0-0 ,
PARKING Existing: ,0 'Required:' 0 , .Proposed: 0
NOTES: - -
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 end 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
•
•
DECLARATNONS i1
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following 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
work for which this permit is Issued.
CFI 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'compensation Insurance carrier and policy number are:
Carrier: Policy Number.
(This section need not be completed if the permit/s valued at one hundred dollars($100)or less.)
❑ I certify that In the perfo ce 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'
compen : •. . . ia,and agree th;:" shout.become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
coy;a•w' • •- - • •visio`:r '
nt Signature: Date:
WARNING:FAILUR 41,OODR1O CO THE
OCCVMPENS TS ON,DAMAGES
PSUBJROVIDED
• I. .+• e - • RHE ALOR CODE,
AND E T, FINESA UO ATTORNEYS
HUNDRED
FruUaanu '-E(Etb0,:••),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FORIN SECTION 3M6OF THE LABOR ODDE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and eff . • S — Class N
actor's/Signeture: �_=!Jr/J�� •ate: •
\-CONSTRUCT' — ---
P-67-1 LENDINGl
AGENCY:
❑ I hereby affirm that there isruction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lender's Name
Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penally of perjury that 1 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 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).):
❑ I,as owner of the property,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 property,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:
❑ 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,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,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 Fire 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 Alr Quality Management District or from any other air pollution control district or agency? 0 Yes ❑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? 0 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 Duality 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.
el
re Of,S. - •. n� _ ate
9e-
- An. • 0 zed •pplicant Date
CODE t INSPECTION TYPE -gar l ALS mai INAPF0tinN TYPF DATE . i iALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing -.
200 Final Re-Roof ! _1_'?O p- � 210 Final Electrical
201 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
2448-46
'PROJECT$0DRESS: UNIT:
OWNER'S NAME: 2737 SAN LUCAS LN - CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 062572
ADDRESS:WICKERSHAM, BETTY H TR
20092 VIVA CIR PERMIT NO: B 062572 PLAN CHECK NO: N GOVT: N SUPP: N
HUNTINGTON BEACH,CA 92646
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/OFF RESHT REROOF W COMP SQ FT: 4 , 465
PERMITTEE: CLAIM VALUE: 4 , 465 . 00 CALC—VALUE: 4,465. 00 GROUP OCC: R-3 /M-1
ADDRESS:BEST ROOFING ( 714 ) 557-4040
670W17TH ST 37 COMMENTS• SMOKE DETECTORS REQ PER UBC 1210
CA 92I/ENSEOCONTRA -
affirm that I am licensed under provismns9( thStZ O N I N G R E Q U I R E M E N T $
0)of Divisir 3 of the Business and Professions Code,and my license is in full force and effect.Y STATE LIC.' CLASS: SETBACKS
' 7072e. Signature: 4 _, MAIN BUILDING ACCESSORY BUILDING
v\ WORN RS'1 •ETA IN DECLARATION: I hereby aft at e a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compe sation Insurance. • a certified copy thereof(Sect on 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY No.:1137512-93 EXP. DATE: 06/01 /94
MPANY:STATE FUNDPARKING REQ: PROV: PARCEL: 13918144 ZNE: REF NO:
Certified copy is hereby furnished. n%' Certified cop is fit d wit city Building Division. PLANNING NOTES>
10 .11, >
Date Applicant *********************************************************************iF*********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: ((This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N" T S
I certify that in the performance of the work for which this p rmil 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: i '
Date: Signature:
NOTICE:It,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: r .
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y' 7� DATE: •O q Z
which this permit is issued(Section 3097.Civ.C). 1 Y
********************** ************ * iE 1f****
LENDER:
aLENE55:PROVIDE SMOKE DETECTORS *************************************** ****************.*********** ************
PER THE 1991 ED. UBC. LEGALIZATION:N F E E U M-,M,A R, Y ' '' STRUCTURALP'SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm That I am exempt from the Contractors'State License Law for the following reason ,BLDG PMT PLUMBING ELECT IC ' ECHANIC - FIRE SMTP/RESP GRADING
(Section 7031.5 Business and Professional Code: Any city of 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/she is licensed PERMIT 72. 00 c'' I. I 50
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business •
SM 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 p LAN • - ' -''
• any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE L 't '
I, as owner of the propene or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK t � ,TOTAL- PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72. 50 0.00 0. 00 72 . 50, 72 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through h. _t
his or her own employees, provided that such improvements are not intended or offered for sale.If, however the building or 1 7}
—
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- , ' • 72. 56 OVER/SHORT:E00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC 'U /'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 72 . 00 - •
. --`� :r . 50
❑ 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 protects with a cantractor(s)license pursuant to the Contractors'Stale License Law). I am aware ,*,*,**,*********,******,****,****,****,*****,****,i***„ *,*,*,r***,*,4**************************
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.a P.C. INDIVIDUAL F :E--1E t, B':R E A K D 0 W N
p_
for this reason: .TYPE QTY DESCRIPTIO N'
• It UNIT COST TOTAL COST
Date: Owner: I'A' ,l1
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 4465 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 465 . 00
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 END41,0F FEES; .
permit for construction or modification from the Air Ouallty Management District,Residential construction applications are exempt from •
,"—if
these provisions. "
Date: Applicant: 1 I''
I hereby cerlily that I have read this application and state that the abov:f, ;r on is correct I agree to comply with all city and county , \ )
or antes and stale laws relating to building construction and hereby a •1• -senlatives of this city to enter upon the above-mentioned _ v w /
`/f�ap^erty br inspection purposes. ' A �. 7
`a Date:Jai 1 y Signature: SAL
/ 01 00140833-00140834 TOT 72.50
Driver's License or Social Security
r,'
/\ 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:P k—Revenue;Goldenrod—Assessor r .
POOL & SPA I
•- CONSTRUCTION AND PLANNING
APPROVALS Permit # • Date Inspector APPROVALS Permit# Date Inspector
_ V
1. Temporary Electrical Service oriole - - 52. Pool & Equipment Location !'
2. Sal Pipe-Undrgrnd. . 53. Steel Reinforcement 1
3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 1i
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6., Electrical UFER Grnd ' 57. APPROVAL TOCOVER-GUNITE
;-I
- •7. Footings _ 58. Electrical Conduit•Undrgrnd. j
u
8. Foundation i • • _ - .: 59. Gas Pipe, 0 Undrgrnd , Test t
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, 0 Undrgrrid. -I
10. Structural Floor System 61. APPROVAL TO DECK 1
11: Property Sewer Line.& House Connection' • 62. Backe ash & 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 1
18, Rough Electririt-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heatin_g & Air Conditioning FIRE DEPT. REQUIREMENT '
20.,sough Facto' Ftreplace T - t - J" a .APPROVALS, -'--Pertilit # '-
21.1 Dudts, irtZtrutture > r
7 - . ; '70. U dergr`O Snd?Hy'iro
22. Ductts, V,entit5ting.-x I `'r4 , - t -i y y71. Product-Piling r ' dS 'J4011
23. GasrPipe-Rough & Test i - t Y--t-
92. Underground F-..` -
24. Rod' Framing- •_P I.
- -�
. ` :` '73. Undergrnd.Stora ezji- nk 4 Gas 00'
25. Roaf-Shithing . -.i . 74. Overhead Hydro',
�-
26. '•Bar Ceiling (Strt:ciurall &Vonocoat x C - ` !„1. ,. 75.'-,Qr Chemical - ..
27. Frame and Flashing. :: • `' '
g. : 1 : x : ce a - 76. Dry Stand#upe ..
- -
28. Latliing Lt S ingF'- ^ - > t. ' ' x 77._FIXED S?STEM,FiNAL., , r
29. Insulation s+ _ 78:FIRE PREY. FL IN Y_ > " I -1
30. Drywall Nailing ' ` �. ,_ , FitLI
EALTH. EPT.` WENT
31. Plaster 6i-own-Gotha .c ' - >. . k •79. FINAL INSPECTION - • ' I
r. '• x _,-�:_ . - .:_ _. -- ,
32.-ElectricatPoeier N'tepef=FtnaI ._ I Fs, ' '80. FOOD CER-i IFICATE ISSUED
33. Final Electric -+. -- Notes: "r.
34.•FinaiHeating=& AirGandtion gi �� ' �>• /- 6`C 2-1i
6��' 43 - -t/v
35.(FinaI Gas Pipe Tea _ I l; x
36. Hood or Canopy = +� °' ..0 -(----- -
;{Ick = - y
37. Final Factory Fireptace - . :` ., -� 1W _ it `�f!�r in ,�f e
_ C7�'i�•a r'�
38. Final Plumbing - x _
- -0 '� o �i -- - 1
39. Water Service-Final : -
40. Gas Service-Final / Thi
"41. Solar Domestic-Find) ` t�
•
42. Backflow Preventer- c - !G✓/
f 43, Backflow Irrjtgation^ ' ' x ;:
44. Landscape Itngatior. System . •. -- r - .: - ' _ _ ?. -_
- - - • _
45, Sound Attenuation_ . ' `
t
r t --
46. Handicap Regulations - t -{ • f: x -� - --- _
47. FINAL STRUCTURE & BUILDING • 115yr,I i , •i ..1 -
48.'FlNAL PLANNING- l+ 77{ I I 'i
49. Electric Reled-se to Edison - i c -
50. Cas Release to Southern California Gas Co I-' ' • = * - _
I
51. CERTIFICATE OF OCCUPANCY r"
No. Date I
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
OF COSTA MESA PE$MIT NO. - TRACT NO. LOT NO. •BLDG.NO. t - -
CONSTRUCTION PERMIT P - ..�9/Vg 3''—Y9 0174 1,1 /OG/'RE J 83.37 TL
Project Address• cd+�a C /I /IO '
�7 d A-S LA •
— `I TYPE OF CONSTRUCTION 11•p
Owner �' �/� /CJthone Pio MASS ❑rp NEW ❑ ADD ❑ALTERATION V •
Address • KREPAIR ❑ CONVERSION„D DEMOLISH V-
;Arch/Eng./y//fa gess ,License No.Vo 3/79 0-OTHER •
p�� ZONING REGULATIONS
•
Address �6�/��- s7n ^/ � ,ry) DESCRIPTION OF WORK Rabin IA Fnunda#fan A.P.AP * /y! --• ' .4..-2 —/'/
k xTr+y ill ^ Ql ZONE / PLNG- REF. qp'
'Contractor S,d,.ig OW k'P eV f ne 32 /. _ - - BUILDING —
CA...frig
i TYPE OF PERMIT W ggg��(JJ1I - G
SETBACKYARD ST. PROgE RT�LINE
Address ❑ GRADING 'FOUNDATION• ' Q STRUCTURAL w LEFT YARD � �/
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL
LEFT YA RD /, S,
t hereby affirm that I am licensed under-provisions of Charter 9 (corn- RIGHT y-[ '
mencing with section 7000) of Division 3 of the Business and _ 0 OTHER °'"�'
Professions Code, and my license Is In full force and effect. REAR YARD(T /L) l -•
PROJECT DESCRIPTION
License Class. License No. - PKG.SPACE Re- PROVIDED '
Date Signature SQ. FT. ' '
WORKERS'COMPENSATION DECLARATION OCCUPANCY CONSTRUCTION TYPE —{f- STREET WIDTH PARK FEE$
I hereby affirm that 'I have a certificate of consent to self-insure or a VALUATION OOO ZONE ZONING APPROV E/J$Y/•/✓44 DATei •73 82-�'f
certificate of Workers' Compensation Insurance, or a certified copy • _ 1'([�f-'1M}� i iX -�.1�
thereof(Section 3800,Lab.C.). GRADING CU--YDS. ACRES SPECIAL CONDI ONS: •
Policy No. Company - ,
•
❑ Certified copy is hereby furnished.tREMARKS: .6-(r of nAT/rnk/ 1 c74.41°
y�J
❑ Certified copy is filed with the city Building Division. - � ll' V— �` r° '
• EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - ,
This section need not be completed If the permit Is for one hundred
$100)) or less). - '
certify that In the performance of the work for which this permit is _ •
Issued, I shall not employ any pens• in any -niter so-as to become PLUMBING -' PLAN CHECK ELECTRICAL PLAN CHECK
subject to h r ers'Compensat ••" Laws •f .Iif• nia / _ - tit/VELLUM (aHHH(aE
•Y\ • BATHTUBS SHOWERS •
/ Date Signal ur- �. �-. �� - SO SS]tv/AHIAtmt
: If after making this decl alio you should become subject TOILETS URINALS GENERATOR 0-1 KW__ KW •
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER _
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS ' APPLIANCE 10-50 KW 50+ KW
revoked.
CONSTRUCTION LENDING AGENCY - KIT.SINKS DISHWASHERS' MOTORS - 0-1 HP 1-10 HP
I hereby atfirm that there is a construction tending agency for the pet- SERVICE SINKS SUMPS - ItNC.SOLAR)- 10-50 HP 50+HP
formance of the work for which this permit is Issued (Section.3097'
Civ- C.). . • " • FLOOR SINKS FLOOR DRAINS FIXTURES - OUTLETS SWITCHES
Lender's'Name - -
Lender's 1dress
A - - 'DRINKING FOUNTAINS'' ' - - GAS TUBE SIGNS
OWNER BUILDER.DECLARATION. INTERCEPTORS -- CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from the Contractor's License Law for .
the following-reason (Section'7031.5 Business and Professions Code:' SWIMMING POOL - - 'PTRAP GUNS I NUL.I TUN
Any-city.-or„county which.requires a permit to•construct„ alter, - POLES METERED SUB
improve,demolish Or'repair any structure;prior.to.its'issuance,also re- WATER SERVICE ALTERATION PANELS MAIN . SUB _•
quires the applicant for such permit to file a signed statement that he - • -
is licensed pursuant to the•provisions of"the Contractor's License Law' GAS SERVICE ' OUTLETS - - -SERVICE ' •
AMP
(Chapter 9 (commencing with Section 7000) of Division 3.of the - - ,- ,
Business and Professions•Code) or'that he is exempt-therefrom andahe . WATER HEATERS -'BTU OUTPUT ' - • - • - -
basis for the-alleged exemption: Any-violation of Section 7031.5 by, •.- '
any applicant,for a permit subjects1,the.applicant.to'a civil`penafty' ”' ' - --
of not more than five hundred dollars ($500): ' ' - SEWER CONNECTIONS , '
❑ I, as owner of the-property,or my employees with wages as their ' SOLAR TANK•' - - _' COLLECTORS
sole compensation, will do the work, and the structure is not Intended '
_
or offered for sale. (Section-7044, Business and Professions Code: The SOLAR PIPING SYS. -- - ISSUE FEE - '
Contractor's License Law does not apply to an owner of a property � .- •
who builds or improves thereon, and who does such work himself or ISSUE FEE ' -APPLICATION APPROVED BY Oki
DATE/VA/--
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or Improvement - MECHANICAL PLANCHECK
is sold within one year of completion, the owner will have the burden SUMMARY OF FEES _ - C/
of proving he did not build or improve for- the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT G $ //d'SO SMTP' • $ /'05
El I, as owner of the property, am exclusively contracting with AND DUCTING - -
licensed'contractors to Construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ 7/r �Z PERMIT —
and Professions Code; The Contractor's License Law does not apply to - --ISSUANCE $
an owner of property Who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tractsC from such projects with a contractor(s) IicesBn egP Cs�o�tho SYSTEM- t GRADING $ '
the Contractor's License Law). `V 100,000 +BTU PLAN CHECK $ -
IL� I am exempt under Section -
���111 a y. M _ 8 L f/d�K BOILERS BTU ELECTRICAL $ •
Xreason 6 ss,, MICROFILM $-
Date �' r��Owner, CSN SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE '•�
I hereby certify that I have read this ap lication and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
information is correct.--I agree to comply with all city and county PLAN CHECK $ LESS A -
ordinances and state laws relating to construction,and hereby authorize VANCE PC $
representative of this city to enter upon the above mentioned — -
property f inspec o P rpows.,
�Y Signature a 9/ Date //f 7(0 �- FINAL FEE
•/` ISSUE FEE /R3 37
Drivers'License r �
SS
CMF 0865-46 White-building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL&SPA , . '
6�yy� Date Inspector I - G-Hy'�oA. Vt ate 4"s. Inspector •
APPROVALS Permit# APPROVALS Permit-#
1. Temporary Electrical Service or Pole • 43. Pool & Equipment Location _
2. Soil Pipe-Undrgrn - 44. Steel Reinforcement _ - - . .. ' .
3. Electrical Conduit Utility-Undrgrn .. :.••_ • 45. Forms - ,
' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . • ''. -4 - ' ... " -- - - .
5. Steel Reinforce 2- 4-s-3 B r},•\ 47. •Rough Plumbing & Pressure Test - - • • -
6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE •'
7. Footings • a-).-q-Si a 'Yvl 49. Electrical Conduit-Undrgrn -
8. Foundation '3o.,ca kpte s -• 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn -- 51. Backwash Lines, P-Trap, ❑ Undrgrn -
10. Structural Floor System _ - 52. APPROVAL TO DECK '
1 11. Property Sewer Line & House-Connection '53: • Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing • 55 Plumbing System- Finat .
•
14. Rough Electric-Conduit - -56. ' Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final -
16. - Rough Heating-&Air Conditioning bH. Fencing &Access Approval
17. Ducts, in Structure ' 59. APPROVED FOR PLASTERING - -
18. Ducts, Ventilating - • - '
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing -
NOTES:
22. Frame and Flashing /z_jb_yy /,,,, o/.y.1rv`�� ou�C.Gad ,.r
•23. Insulation e ms _ L-/Lit ixa w,�.d v,t„ a.-r t
24. Lathing &Siding w P .. r-.u.a.-.4 ' T -u+ .-tfnewe A.'-I 1'ta7
25. Drywall Nailing ciSc
26. Plaster Brown Coat `'' 3 Snc. b6 Cw fo .. P S4JSi`ortc n��,.<,ai�e .�uoaaO
27. Electrical Power Meter-Final - a L iki dr
28. Final Electric _ -2 Lf _S3 .- P,•�_ �,.. s _ a .
29. Final Heating & Air Conditioning - _
30. Final Gas Pipe-Test _ 2±:; �c 2 e
31. Final Plumbing _�_�`"�� i
32. Water Service-Final
'33. Gas Service-Final _ • _
34. Solar Domestic-Final • . • •
35. Landscape Sprinkling System .
36. Sound Attenuation
37. Handicap Regulations
38. FI NAL STRUCTURE & BUILDING £f-/_1'S_ tit _ _ . . --- .
39. Special Requirements Completed - - •
_ 40. Electric Release to Edison i-- . . -
41. Gas Release to Southern California Gas Co. •_
42. CERTIFICATE OF OCCUPANCY - '
No - Date -
EJN & ASSOCIATES, INC.
3921 E. La Palma, Unit S
Anaheim, California 92807
(714) 630-7274
vv‘. S'/W •
Job No. : Client: " ,/ Date: Day:
/�G.r4'/- Yee -460/0V t/Z3,'gs 44),CD
Location: Technician:
�L 731 Sao ti-c-44 /.,-' G°lvi /3Ale-1.
General Fill Area: Earthwork ,/ Earthwork
Fain c�o',«n,S Contractor: Fi/G4si„ga Foreman:
Source and Description of Fill: Weather:
Total Fill Placed:
Equipment: Water Water Sheepsfoot
Pull _M-gal Truck _M-gal Scraper ( X
Push Ripper
Cat Cat Wagoner
Test Test F4,evations Opt. Max. Field Field %
No. Location Test Nat. F.G. Moist. Dens. Moist. Dens. Max. Remarks .
COM/ME NTS: 40004 mit /now > Yo n�++4or, r+.Pm, or. -Fin/n.� ci C'ors-h-
k/{+.. �+-id beers /45-,:weC�ore-h, e..herd Car sign wor no d' Oen/cl-e.1 on ler
-Ain.. also .1 i reSe/+'a i.4,e L/ii4ssTt. Ca..-."fre/c 14 -Cr.,: L
. H/�'Re�..,L. r10 4• /d moo 4-44 r d,d inc.oec/ C0ssecr,s
Un/ d-,- (rap/ace 4.afC %-It sG� of , Lnd. c orrl��r.n�9
nt oar under 4c aca tori r .Q// ot.
Y '
5 ei cc//o Q'Z
Technician
OWNER MESA DEL MAR DEVELOPMENT co. •
DATE 3-111-63
JOB ADDRESS 2737 San LUcaS Ln. BUILDING PERMIT NO. 18962
GENERAL CONTRACTOR Macco Realty Co. VALUE $ 16 .00
AP Na 1111=312-11 LOT 10 TRACT 37119 FIRE ZONE DESCRIPTION OF WORK Res.4att.gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-j,
Soil 44-r i-6 O3 PERMITS ISSUED
Gas G SUBCONTRACTOR
--‘--t' DATE NUMBER
t1-9 A1-45Water
Rough Corn. Refrig. 0 Air Cond. D
Rough Heating
s 772- 3 c _ _ �/4/ .3 �uQ
'
Rough Plumbing ?-/7-C3 5-7-43 _3�d�i
p
Miscellaneou .
1 kProp.Swr.Lin ®
e House Con. 'St.Swr. 0 A/ C/S ,s-9, �3.7 o moi' �q �$'-4J_ 35.56 / t_ _ t
Sprinkling System
Construction Pole
Underground ❑ Power 0 _ /J_
Rough Wiring _ 7-7e Gr c it (It& ,/a_63 a o3.2- C
Trenches ILf- Forms le- Steel Benf. U A S-L-eq
Floor System i{'(3 c'q-6 >,
Bond Beam 0 Steel Reinforce 0
-
Sheathing / 4'W 141 ")
Frame and FlashingQi%/I 7-23-(.i
Lathing — In Er Out in' WM k.l ,S J":- •4
Plaster, brown coat t(�47 f/-; 4. ,-e
Refrig. 0 Air Cond. 0 Final A -
Heating, Final flirt./ 40.41•s��
Plumbing Fixtures, Final 944. ., 1/_ 4-671
Final Gas Test /�# %�.�Q���tyy //-L-447
Electric Fixtures, Final b/zi'`m //-/5'-6 j
Building, Final Gl/7C 7 /1`G-4 •
OCCUPANCY
FOPM RUM.SM - 7S1 1 AnCn
18962 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCEMARD7' ma C
P. O. BOX 317 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely CITY OF COSTA MESA
PP P Y APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 2737 San Lucas Ln.
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I PERMIT NO.
OWNER Mesa Del Mar Development Co._
MAILp RECEIVED BY DATE RECEIVE ATE i SUEp
ADDRESS 3800 E. Coast Hwy. - I.-,7.&.I SD,/IZ -&3
CITY Corona Del Mar NO.OR 34220 :161DI
AS
ARCHITECT .„ TEL• COSTA MESA. CALIFORNIA
OR ENGINEER facco Realty Co, NO.OR 3h220
ADDRESS 3800 E. Coast Hwy. FIRE
•
ZONE TYPE" G�R7yOUP ,/
CONTRACTOR Macco Realty CO. _ APPROVED -- .O/_ DATE_ /' K
ADDRESS 3800 E. Coast Hwy.
el
-
ZONE1 NO.OF :2 USE OF N .
.
CITY Corona Del Mar fS/ I PLANS iC I BUILDING I, , /
STATE NO.2073h3-A-SB-I No .OR 36220 DESCRIPTION Lot l(1 Trnrt, �
LIC. Q
SIZE NO. OF BLDGE.T .L-, `a, g0 X. 3 0%. //S, ,J-
OF LOT 10563 S.F. NOW ON LOT -"one A P NO ////f'/_ 5 / a — //
USE OF YARDS EVES
EXISTING BLDG. None _ APPROVED ALLOWED
SETBACK (CENTER LINE ST.)
CENTER OF LINE STREETFROM 4.51 REAR YARD 181 FRONT5—/i
)r FT. IN.
/�,
SIDE YARD I LEFT 121 I RIGHT 51 R.SIDE I *-FL c IN.
DESCRIPTION OF WORK L.SIDE /a T • FT. N.
NEW X I II ALTERATION I V ADDITION I REAR ! FT. t IN.
REPAIR I II MOVING I V DEMOLISH I BYPROVE�// L/ `�/ ATE 3-/-4 t3
S ZE DI 7( 1x561-811 ROOMS 6 STORIES 1 bA if /
EXTERIOR WA{{,,L Stucco ROOF -
COVERING @ Wood I COVERING Wood Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family res. w/att. gar. Living Area: 1560 S.F.
Plan # 42-AR Garage Area: bill 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 FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. y VALUATION /
SIGNATURE OF Mesa Del Mar Development Co. PERMIT FEE S 5 / N
PERMITTEF ^� m_
/ $16,812.00 PLAN CHECK $ 2.7— it:
AUTHORIZED AGENT d / 1 . r- . 8 / E
• - ,. - - TOTAL FEE v O
4
OWNER MACCO REALTY - DATE OCT 2 Aad_
__
4 JOB ADDRESS 2737 San Lucas Lane BUILDING PERMIT NO. 23171
GENERAL CONTRACTOR Harbor Masonry VALUE $ 1,400.00
l AP No.lit-312-11 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORERetain. Wall
INSPECTIONS Signature DATE GROUP J TYPE III ZONE Rl
YSoil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. Air Cond. 0
Rough Heating •
Rough Plumbing _ •
Miscellaneous
Prop. Swr. Line 0 House Con. St. Swr. 0 •
Sprinkling System
Construction Pole
Underground ❑ Power i❑
Rough Wiring
Trenches J2--• Forms EY Steel Reinf.
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In Out 0
Plaster, brown coat
Refrig. 1❑ Air Con. ❑ Final ,
Heating, Final
Plumbing Fixtures, Final
Final (Inc Toct
def/ -,u ,Lvr
' er ce C%a e�c�n�
0- ti-erat-td
(a -nr
Le cc- ate,
2315 ; FEE RECEIVED
`COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 2 6 196
P.O.BOX 317 COSTA MESA,CALIFORNIA ((``II FINANCE((��FFDEPT.
For Applicant to Fill In Completely APPLTCTATION FORTPERRMIT
TYPE OR PRINT BUILDING
BUILDING -'T (\�� n / For Office Use Only
ADDRESS"73 I ` t4 1-4. 1c PIS /�A1J F 2/��B;�,�
RECEIPT NO. r5,I
COSTA MESA, CALIFORNIA CJ J
RECD BY DATJI RECEIVED DATE 169
M 2 / (� /O /ea d idz6i y
OWNER AcC A fi A IT; /
MAIL � / �� BUILDING
ADDRESS 3800 J 5n 4C4 sr YY/9�U44FIRE
ADDRESS 2-7
//'' I� ,�/ TEL. J ZONE , T1PPr7-GROUP
CITY/mCONA DE/ MAQ NOnt3 J/Z-ZC� /1 /
ARCHITECT TEL
APPROVED �� I'A-{� DATE//y ��
OR ENGINEER NO. £Z NING /
ADDRESS /
'' //-- 12;
' - 1....„ I NO.OF' YEe OF NEW L - n
CONTRACTOR
/teYd ebur SON ey { O Pune �"auaDING �J C y\
LEGAL
lurnon ADDRESS �Q �{�J/ rrJ _Y/f[/ / /q/ s�� _0 �/
_/ I CI TT)N rat A A.P.NO.
CITY // /U]
�f NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO.2 2 -33 2c5 NO. d((yyy79S/ O ft
30"TO SIDEREAR P.L.
EAVES
SIZE I NO.OF SLOas. ) ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF 1 ( '' / MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. '7-j[/N 14.
S 1
/N4/I
(FROM CIL
I STREET)
G�
SETBACK LINE FROM / FRONT / OFT. FT.
CENTER OF STREET REAR YARD {{��
SIDE YARD LEFT I RIGHT R.SIDE t,J FT. FT.
DESCRIPTION OF WORK L.SIDE O . FT.
NEW ALTERATION ADDITION REAR C') FT. FT.
DISTANCE BET. BET.MAIN Q
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.SLOGS.
BUILDING NO.OF VAR.$C DATE
SIZE ROOMS STORIESC.U��.ffP. 1 APPROVEDr�
EXTERIOR WALL I CROOF OVERING BYPI\\' ,U/1.1 DATE / --,21O
AI 1 O V
COVERING
USE OF BUILDING AND WARE TO BE PERFORMED
.S' 14 9'h IBE
/i�6// Pi/
a
SG.FT. m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE _S',
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION 9 0 7 CO aN
BUILDING CONSTRUCTIO
SIGNATURE OF te'G/�r PERMIT FEE $
PERMITTED C e
�� m
S /4/Dd LA O
AUTHORIZED AGENT / 7-b u
AA TOTAL FEE $ t/3-et
J
....•....• µi..LI-,C1 uv a/1vat, .tei 1i[fau ,j 1..1.-3V/
JOB ADDRESS 2737 San Lucas Lane BUILDING PERMIT NO. 23715
..HW GENERAL CONTRACTOR Herzog Constr. DESCRIPTION OF WORK det gar
kiN AP No. 141-312-11 LOT TRACT FIRE ZONE VALUE $ 2,325.00
INSPECTIONS I Signature Date GROUP ,r TYPE V ZONE R1
Soil PERMITS
SUBCONTRACTOR PERMITS ISSUED
Gas Date Number Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line:0 House Con.0
Sprinkling System
Miscellaneous _
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground TZ Power 0 A re ti-ac.Lc
Rough Wiring A fC 4- u_Le s Heating and Vent.
Trenches it Forms 3 Steel Reinf. 'p 3 P2-/6<
Floor System ?jly3' ,/iy/&f
Bond Beam 0 Steel Reinforce O
Sheat ®V��A�
hin am u/ v/,% t
Frame and Flashing St,i r/i/cr
Lathing—In O Out p
Plaster, Brown Coat _
Structural, Final Electric� "
Heating, Vent., Refrig. and A.C., Final euyi�h/ - �Ct.4dA ' '/-j/-4C -iz/fC
Plumbing, Final and Gas Test 0 I
Electric, Final 9?n S-,'4.--LS
Building, Final /1/449- 7 Cdr
CITY OF CAM MESA
23715
COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 12 1965
P.O.BOX 317 COSTA MESA.CALIFORNIA
For Applicant to Fill In Completely A LICATP yOR, R I
451 1
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING A-737 _S,4a? Luc./ slflrve
BUILDING$ RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA _ t.237/C
RECEI BY DATE RE El EO DATE ISS ED
CAIN ' L� 3IcOfroC" 3,/,.,/4
OWNER [ CUi� F
AUDRNG 2-737 u , L\7cto LA
MAIL
4
ADDRESS y-' 3 / 54,vLye-4C L4Va
FIRE CITY `_ [}L� /� //L 7 T NO. ZONE TYPE 4��/4 GROUP
APPROVED % �i
ARCHITECT TEL. BY 1 /DATE
OR ENGINEER NQ,
Z ING 1IADDRESPr
CONTRACTOR$ e Z N I NO.OF USE OFNEW
I - Y
r 2-07 JC,(fovi S/ ' 61/4/
�y�J ,/ ~ PLANS n/a'� ��/�jBu1L�D/IjN�a //I
ie
ADDRESS /fl t/ Lt 5 •//r'•�!/' -/5` i /L`� DESCRIPTION /1V�/ ( .+ ^// //� I
CITY L a 5 'C-F/ 4./Pt6Si l 11e.` A.P.NO. fqt - 31r2 - ft
STATE TEL. / SONOTTO SIDE&REAR P.OVERHANGE: NO EAVE SHALL SE LESS THAN
LIC.NO. 2Z D 7 / Z NO. 5-9 -9'6 i Z
SIZE 0I y / AE
IRO OF SLOGS (/ ALLOWED (U.B.C.REQUIREMENT)
OF LOT!3 CJI pC X5-z S!/fr} NOW ON LOT [
USE OF YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. f/e4
(FROM C/L STREET)
SETBACK LINE FROM FRQNT FT. G FT.
CENTER OF STREET _ REAR YARD
SIDE YARD I LEFT 3 , I RIGHT 3 ' R.SIDE FT. a CET. et-
DESCRIPTION OF WORK L.SIDE FT. /2 FT.
NEW // ALTERATION _ ADDITION REAR FT. 3 FT.
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDG9.
VAR.* DATE
BUILDING .2 Yy)O, ROOM$ / STORIES/ C.U.P.# APPROVED
SIZE 7 4 ) ROOF 5 L /�V(�////I— ,/JI / ,/ ('
EXTERIOR WALL
'I/ WOIKTOERPERFO PERFORMED
• APPROVED j/' "/ i JE 7.L I 101J /
COVERING {^YQWT 'J
USE OF BUILDING
C� � r47F 5./A / F"/Qor y.
ni'O4re/ V /'/nAg,/ SX l 7
I HEREBY ACRNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F'
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION / �. N
BUILDING CONSTRUCTION. '/ PERMIT FEE $ /�
SIGNATURE OF Lz11� /7'`/.r� s� rJ r1 LA CHECK _—
PERMITTEE YYYY ((( ii, { 5G
AUTHORIZED AGENT i0
TOTAL
�� L
TOTAL FEE $ ( V
UWlMEat VIILDAIJJVIUD, l:Att. DATE tune yJ /y0)
JOB ADDRESS 2737 San Lucas Lane BUILDING PERMIT NO. 24275
GENERAL CONTRACTOR Herzog Construction DESCRIPTION OF WORK Ex. Gar to Den
AP No. 141-312-11 LOT TRACT FIRE ZONE VALUE § %360.00
('�INSPECTIONS Signature Date GROUP I TYPE V ZONE R 1
— Soil PERMITS ISSUED
Gas /jJ%N./` i--8-0,..,-
Water
�� SUBCONTRACTOR I Date I Number I Signature
Water /�'ir"� l/-t-�- Plumbing
Rough Plumbing /Y!"S' .<f8- s• -t---,- -h; PC (cl-WA j Lk x.12//VS
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground p Power 0 I
Rough Wiring_ AM) A-/--.L Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0 n C3VJP-hti i `y" ((,-11-h5 8?'7 R A /S
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing RM'N ,7/3 4;
Lathing — In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent.tRefrig. and A.C., Final Al fes'- //-$'-GS CXL)ll0 i- k---A \ ( 1-11*5, 7d-b.3 1
Plumbing, Final and Gas Test 0-/-5" 2/-re-les- .
Electric, Final
,I€tGs-
Electric, Final ,p -iif_CC
Building, Final ,pee fiIi-Zh6S
• 24275 CITY CF G3 f A PALM
COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O.BOX 317 COSTA MESA.CALIFORNIA JUN 9 1965
For Applicant to Fill In Completely PPLICATION FOR PERMIT
TYPE OR PRINT ;LI,D{Jl�GE
BUILDING 2737 34 . I t / d ,//
For • f eF El
ADDRESS �` ,!A/ �I(C!/S l�-•!!N
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA a 24 27
7 RECEIV V �A qEi�II IB6�
OWNER ?Rei 4 lars:C H Gl1 ) NC �,I { / ! //
MAIL 2137 5iNGwe/Sc I-4
/v e AD RESS -2.-7 3 ( SHA.t I ucjq S iCM
ADDRESS (7'(1,/.
,,/�/' / �/ 'J FIRE -
CITY/204k//lie 7 4 NO.r/007�G ZONE PE y/GROUP I
ARCHITECT ' TEL. BYPROVED�I DATE �ji l/.?/(10,/OR ENGINEER NO. �•/01�it
ZONING
ADDRESS /�/ /I - ZONE NO.OF �] USE or NEWWQ /�iy�L/L
�`J/ 211 Con S / r .1 , I PLANS / I BUI A4NG", Id/
•
CONTRACTOR / % /1,, /](//0 TA �/y/�1j
ADDRESS/O 7 vein- ��A/1�/is /��/ DESCRIPTION
OLEGAL Z� L��-� ��
CITY1r u 5 /974in T D S / er, ` ZE A.P.N . E/Vj ERA/SHALL BE f THAN
ETA,. 2-0-7 / Z- TEL crc./e/L 30'TO SIDE 8 REAR P.L.
SIZE/3 °I1 KBO •X Sl•66'/' '_go-.OF BLDGB. . ALLOWED (U.B.C.REQUIREMENT)
OF LOT . NOW ON LOT i...
YARDS APPROVED YARDS APPROVED
USE OFMAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 774144 o (FROM Cyy./...LSTET))
SETBACK LINE PROM FRONTc O• FTtf-el Fr.
CENTER OF STREET REAR YARD
SIDE YARD LEFT 'trl /- I RIGHT R.SIDE✓ FT. FT.
DESCRIPTION OF WORK L.SID FJ FT. FT.
NEW _ ALTERATION _ADDITION REA J FT. FT.
_r DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.S DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.# CG APPROVED
EXTERIOR WALL ROOF APPR9V L_y/A Q
COVERING I COVERING BY F2Vy, cen.,w DATE 1/5/61 C---'
USE OF BUILDING AND W R TO BEP F RMED
7yrs4p' c 9-/trrcc'"7r "C,947,/,e_
ati0 avb _ F•///; -i Ps/ ,9
.
iloor ,' m/5T�I//Y/Cl/s ypnr SQ.FT. ,Ld
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION THE AMOUNT EH•• N UNDER VALU /ON IS FOR THE _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ES ABLISHING A P: MIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION OO It
ii CONSTRUCTIONS. Cra
/ ` N
PERM ATTEF OF/i/f /74
//'�� PERMIT FEE $ V3O m
S� (GZ/ PLAN CHECK $ 7 0
30E
AUTHORIZED AGENT TOTAL FEE 5 2
%OWNER VREBALOVICH. CAR, DATE 9-26-69
'>JOB ADDRESS 2137 San Lucan Lane BUILDING PERMIT NO. 30943
GENERAL CONTRACTOR Captol Masonry DESCRIPTION of WORK Retaining Wall
AP No. 111.1- 12-11. LOT 10 TRACT 3 toFIRE ZONE VALUE $ 2,000.00
INSPECTIONS 1Signature Date GROUP J TYPE III ZONE R-1
NI�GAS L SUBCONTRACTOR PERMITS ISSUED
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
Lam
TRENCHES Et FORMS ❑ STEEL REINF. n---„,)-09--t_ _
FLOOR SYSTEM /
BONG BEAM in STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LATHING - IN ❑ OUT ❑
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST ❑
ELECTRIC, FINAL
BUILDING, FINAL fi /0_(,-Ly
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30943 SEP 26-69PACAW1B00 919* ****30-00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
- APPLICATION FOR BUILDING PERMIT
For Applicant U ill in ompletely//,.
/ 6 RECEIVED BY� DATE RECEIVED DATE ISSUED
BUILDING /7r 3 n ?--. 4.:-49
ADDRESS ,*s[rr I G�ai n u A.P. NO. /yam/ 3�r-/'Xn/-I/. D� ! 3
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MAIL / BUILDING
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/ „.DATE -.2L- J
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J ADDRESS
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Z 1-- U STATE /J - ; CITY ' YARDS APPROVED YARDS APPROVED
j O LIC. NO.F �7 `S c1 cee LIC.NO./U79� MAIN BUILDING ACCESSORY BUILDING
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SIZE # ,- /J�j�NO.OF BLDGS.OF LOT NT FT. _
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I- F/ APPROVED //_/ /,� / /9
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UI hereby acknowledge that I have read this application and state espon///9 /Ye e r %� Y t/1
that the above information is correct and agree to comply with bbNf // / arm/
ccall laws regulating building construction, and I shall not employ Pke /.Q—/ //.!�/
r any person in violation of the workman's compensation laws of "� 1//o/
CO the State of California. b
ZI hereby certify that I am properly licensed as a contractor under SO. FT. 0
the State of California Business and Professions Code, Divisicn 3, 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 FEE ONLY: 0
CC
am exempt from the provisions of the State of California Business
and Professions Code,Division 3, Chapt 9. VALUATION y
� PERMIT FEE $ 7' O-b N
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Signature of t /�p e]
Permittee ]/� � Y/'t $ .:Ff'00, PLAN CHECK $ / 0 r 0 E
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Authorized Age / 441.4_4 Vette, TOTAL FEE $ 3e/
P O
'OWNER VREBALOUICH, BETTY DATE 3-10-75
\JOB ADDRESS 2737 San Timms Ln. BUILDING PERMIT NO. 39695
GENERAL CONTRACTOR John Neil Clark DESCRIPTION of WORK Repair to Rea.
1� AP No. 141-312-11 LOT TRACT FIRE ZONE VALUE $ 400.00
INSPECTIONS Signature Date TYPE GROUP ZONE R1
501E SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE O HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER El
ROUGH WIRING Heating and Vent.
TRENCHES O FORMS El STEEL REINF. �]
FLOOR SYSTEM
BOND BEAM [I STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING - IN I^I OUT n
PLASTER. BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A,C., FINAL
PLUMBING, FINAL AND GAS TEST n _
ELECTRIC, FINAL a�/ - O fC/-/7
C 7�BUILDING. FINAL
39695 PAIL5.50
" i 0-75 .,, .00
AR 30 ?* *****5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely /, RECEI V/F$OY'�J DATE RECEIVED DA E ISSUED
BUILDING 2 ADDRESS 73 / �`! .G UGGZS �/) /`�L7-/—_3/2.--
/'/ // —/0-7-5-
OWNER
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OWNER ae'//_�i . /OIII C.�// A.P. NO. // - _3/2�// •PE nTJ•f,Q.5
MAIL n. �f /, BUILDING 7 / /Jl'`.6L`y
Z ADDRESS 27w Li; / / J4,/ /J /Cacas A-!7 ADDRESS 275/ 4/Li6904S4f
-• U CITY ac.5 AZ //45,4. NOTEL'dye f TRACT f I LOT BLOCK
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O N LENDER I /`X/
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Jtn BRANCH i2F0/e7ze v/0C �
OWNER
m J ADDRESS D //�� VALUE pU
J CO ARCHITECT TEL. USE ,/- 4/ '` $ oO�
Q OR ENGINEER NO
U Q FIRE
Z CO ADDRESS ZONE TYPE GROUP
CL Z /� / APPROVED
W Z CONTRACTOR John Veil ( p- ( BY DATE
m
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7/cc ADDRESS X620 14/%/17.'er 4 aa ,
W W AA TEI.
CITY ZONE NO.OF USE OF NE
Z dos 4 '3f5 -1� No- PLANS BUILDING
W 0 STATE qq t, CITY YARDS APPROVED YARD' APPROVED
tn O LIC. NO./✓o.� T D LIC.NO. MAIN BUILDING ACCES+DRY BUILDING
SIZE INO.OF BLDGS. (FROM C/L STREET)
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I— SIZE OF NO.OF
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MAIN BLDGS. ACCESS.BLDGS.
0 _
Q /� ref H // { VAR.# DATE
O �/� G / /'� �/Q / O C.U.P.# APPROVED
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APPROVED
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O I 7.-STP. ATE
c.) I hereby acknowledge that I have read this application and state
7 that the above information Is correct and agree to comply with
all laws regulating building construction, and I shall not employany person in violation of the workmen's compensation laws of _N the State of California. ( ,,o"v
' W
ZI hereby certify that I am properly licensed as a contractor under 50. FT. O
the State of California Business and Professions Code, Division 3, 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 FEE ONLY: 2
am exempt from the provisions of the State of California Business VALUATION O l/
and Professions Code,Division 3,Chapter 9. a -- m
/,p /l O a PERMIT FEE $ j
Signature of t 47"'it C/32s / I �" m
Permittee y"///!,�{•• `/ ���PP $ //OO PLAN CHECK $ E
�f S 8
Author lze J•Ag� TOTAL FEE S 0 u.