HomeMy WebLinkAbout1030 SECRETARIAT CIR - Building Permits B T CITY OF COSTA MESA -
BUILDING DIVISION
`, DEVELOPMENT SERVICES DEPARTMENT RMIT NUMBER
t1 .r-rr% �J PERMIT
PVB03-01927
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1030 SECRETARIAT CI Status: ISSUED
Suite: Applied: 11/06/2003
Vicinity: ROOF - Issued: 11/06/2003
Parcel Number: 41237146 Zoning: R1 R1
•
Applicant: FERGUSON, LEWIS ISSUED BY:
Address: 4091 E LA PALMA
SUITED Phone: (714)630-5543
ANAHEIM, CA Zip: 92807
Owner: PROPER, JOHN DAVID
Address 1030 SECRETARIAT CIR
Phone:
COSTA MESA,CA Zip: 92626
Contractor: MC CORMACK ROOFING
Address: 4091 E LA PALMA
SUITE D Phone: (714)630-5543
ANAHEIM,CA
Zip: 92807 License: 643700
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF.INSTALL 30#FELT,50 YEAR G.A.F.GRAND SEQUOIA COMPOSITION SHINGLE,AND FILL IN SHEATHING AS
NEEDED. ICB0#5546.2,200 S.F. INCLUDES ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,000.00
Permit: $97.25 Claim Valuation: $4,000.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
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
244848(6/00)
• : ' IONS
WORKERS'COMPENSATION DECLARATION: r' ,
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
�'6rk for which this permit Is issued.
I have and will maintain workers'compensati Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My wojy'f? comp satlon Insur nce fern r nd policy numre: /� t / cy
Carrier: wolf?'
I/4PC -/ a Sua! Policy Number: /02 S5 ♦ 4-(530 hl
(This section need not be completed if the permit is valued at one hun dollars($100)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 subject to the workers'
compensation laws of Call ia,and agree t it I hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with ih ' ' s.
Applicant Signatur . - Date: a/0070 —3
WARNING:FAILURE TO SECU E WORKERS'COMPENSATION CO RAG IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PERALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(St00,000).IN ADDITION TO THE COST OF CO ATION,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 licensed under•rovisi nsoffCChapter 9(commencing with Section 7000)of Division 3 of the Business and Professi ns c7rv�fe,and my license is in full
force and effect.Lie.a ID Class a 0 3 9 /J
Contractor's Signature: a- - i. Date: ////96',O 5
CONSTRUCTION LENDING AGENCY:
O 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 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 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.). •
O 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.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 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(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:
I 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? ❑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 agermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Di Yes DE No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 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 Galifomia 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.
S'� re•f eget Owner(s) Date
a . _ / /`0��83
And/Or Authoo•plicant D to
CODE I INSPECTION TYPE DAIS =ALSS MODE. INSPECTION TYPE DEE IIS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof //-1.-r—0:5210 Final Electrical
201 Final Block/Retaining Wall YY���� 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final BuildinglOccupancy
City of Costa Mesa Plat, d Department
Post Office Box 1200
77 Fair Drive
GQ'J
L t Rpm
! Costa(714) Mesa,
556-5California245 92626
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. J7 O / Date ‘/(-
Lot
// LLot No.
Address JO 3 0
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she they) was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved. •
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
By ,.
RECEIVED56(11
Purchaser /
CITY OF COST) MESA
By
JUN1 ,.J n 1978 Developer and or Authority
U IJ O PF9 Representative
71919,1 ,Si;2'1;2;3141516 By •
11
Lender
CMF 0569-26
PATIO COVER DETAIL 6/ 1 /67 ...a,,,,r=
TYPICAL JOIST ANCHOR
STATE-`-- -_.,.... 1 ellirit
sor SPACING SPAN !,
SIZE .� p re
OVERHANG [,.O „ RAFTERS
et Q°ugL�O FOR DRAIN .; ilit..',”
SATE LENGTHr---SLOPED MA%IMUM /s SPAN P
A '1 CONTINUOUS ,�
yy 3/g"x5•Logs32% LEDGER 4---
�
1 Blocking ff// L�4' o/i MAXIMUM Predrill Ledger , _. . . _. ..
- r- Predrill Existing 'A-3 Deep - _ _
ras
JOIST HANGER - ".
BEAMin or other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN.
of support a tie.
STATE Rot?„(D I
t
NO I RAFTER - CHART NO 2
A ALL LUMBER DOUGLAS FIR FOR OPEN EGG CRATE FOR SOLID SHEATHING.
� Iy}a�L'p 3/I6X2�'-T-STRAP CONSTRUCTION" GRADE ALUMINUM OR PLASTIC • SHINGLES OR BUILT UP
~ Y77 MAXIMUMROOFv SPAN SIZE -SPACING ERING R MAXIMUM SPAN
1
3 I7' 0" 2x6„ I2% 15 I"
2 1 6' On 2'x 6" 161% 13' 3"
= POST-BEAM I 5' 0 " 21 6" 24% 10' 11"
.1 CONNECTION 12' 0" 2"x 4" I2% 9' II"
I I ' O" 2"x 4" 16'% 8' B"
POST 10' 0" 2"x 4" 24% 7' I"
1
"11- LJ "x (7 " ITy.
'eke ' NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
.,j SHOW SIZE SHOW SPACING WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY.
SHOW LOCATION ON REVERSE SIDE, WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
1• SPACING ONLY.
MTs lad
I DROP PATIO FLOOR
-.— SLOPE TO DRAIN FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO
WALLS ARE TO BE BUILT SUBMIT COMPLETE HOUSE
• Tim-' AND ADDITION PLANS
' PUDDLED SAND FILL I
w
14i41.11111 ° Remove Grass And Weeds Down To Natural Grade
12 I " "I- ,.
CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCHOR I .'...'", it GALLONS PER SACK CEMENT. _
For Pipe Post. Embed I_12—I ' Provide 26 Ga G.I. Flashing At Wood Floor Const. . COSTA MESA BUILDING DEPT.
Plpe In Footing.
Provide Flange Or Weld Plate Screwed Or Bolted To Frame.
77 FAIR DRIVE 556-5273
FORM fW°°
APPROVED
t:7 c/0 City of C esa Buildina�J(j/�,'ept. �yY,
T BY.__ DATEf/ 219-7a
THESE PLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
I T
I OF DEPT.
ryC/E THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
C, OF PLAJS AND SPECIFICATIONS SHALL NOT BE CONSTRUED
Dppp APPROVAL TO BE A PERMN FOR, OR AN APPROVAL OF, ANY VIOLATION
STRUCTURAL A PROVAL ONLY �— _-- -- _ _—___-- -- • OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE
/ C SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
JEPARATE PERMITS ARE REQUIRED ® I L tri �7 PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO
Q ,z I I , ,N ,Z FM AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
FOR ELECTRICAL, PLUMBING,an': 1, (' 14, `'
vt1(�Q ) n THE ISSUANCE OF A PERMIT BASED UPON PLANS AND
HEATING, VENTILATING AND 1 SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
REFRIGERATION WORK /`Pd✓'�. Q C-So 00 JO )C I FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS
'Si V8 1 IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN I
5 IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE
Permit # OF THE CITY.
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
\l
- 4--Z O 1 —'yam I L I H---,15 ,8i--
8 / ONINNYI aO UO1D3HI0
•FOR BUILDINGS WHERE PERSONS ARE TO I�� I Jc '�� %/� 31tl4'"- ��A9
BE EMPLOYED, WE SUGGEST THAT THE -MS n 0 H
STATE OF CALIFORNIA DIVISION OF roan 1a30 am 'S L) rBns
INDUSTRIAL SAFETY BE CONSULTED FOR 1d30 JNINNVId
, ADDITIONAL REQUIREMENTS. +�3145 0
---Y
o
112a
7119
4:01A`2t.U7 3 ° zQ I .
.\ .
•
'30 o1 _) c9_ Ph' 13 . .4 ° 7d \
UWNCK UKUl(1, DLit UMIL /—ly—Lty
JOB ADDRESS 1030 Secretariat Circle BUILDING PERMIT NO. 46375
GENERAL CONTRACTOR South ldast Pnol s DESCRIPTION of WORK Pvt_ Spa
AP No. 140-051-36 LOT TRACT FIRE ZONE VALUES 3,200.
INSPECTIONS - Signature Date GROUP J TYPE III ZONE R-1
Pool Location C. .C_ 1-1$.1 ( SUBCONTRACTOR PERMITS ISSUED
Dote I Numbcr LSlonot ro
j Forms
Main Drain
Steel Reinforce I
Elec. Bond Elleec�triic�]� �1,,,, ,.�. �ry /.sI
Approval to Cover 0•••C- 'I"6571%„5Q[.fi�Fr Cel-ACJ/ 7-).3'�D IN/eaI
Underground Electric ?'C g' 9-7o I
Gas Piping Test c C 1'/f"
Plumbing
Filtering System Lines JQC. g-9'4-(5bSt - S-YD )74133g-
Backwash
/yi Backwash Lines and Recep. 't C g'99
Electrical Final C. & $'-2c12' I
Heater and Vent Final I _
Filter System Final
Backwash and Recep. Final
Fencing Final
G. • 4"•19.7 r I
•
[ 4 G 3 7 59310 7/13/79 42,50 TP
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISS E
•
ABUDIDLR
DEINSAo SecQMeTRe t 7 (?
i-
E '
' A.P.NO./ o -O /- 3 3
OWNER /e j� S
ADE
ADDRESS /03o �GalcitS
i
/
ARESS JoS° SeCFe tete IT
CITYa:dig ineese/ TEL.NO.
TRACT LOT BLOCK
CONSTRUCTION NEW ADO ALTER REPAIR MOVING DFMOLSH
LENDER
BRANCH `—_ - OWNER / /9/ i /ty
ADDRESS VALU
p0
ARCHITECT TEL. _ $ r'
OR ENGINEER NO.
FIRE
ADDRESS C ///7 ZONE TVP GROUP
or
CONTRACTOFI,r/�DCd'hnptong f Qfs BV ROVED DATE
ADDRESS6 I/9 da�JGf7�, 5T
y1ONE I NO.OF USE OF NEW
CITY4 ?/Q /77C-44NOLJ ye- �! g P�� BUILDING ��/
F STATEQ CITY YARDS APPROVED YARDS APPROVED
CI O
LIC.NO.e 3LIC.NO. MAIN BUILDING BUILDING
tal SIZE NO.OF BLOCS. (FROM C/L STREET)
P. OF LOT NOW ON LOT FRONT�� FT.
a USE OF
ff, EXISTING BLDG R.SIDE /3 FT. FT.
HrA 9
Separate permits are required for L.SIDE 3/ FT. FT.
IR
electric,plumbing and heating work. REAR / 2—FT. FT.
i.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& I
0 BLOCS.BLD . ACCESS. BLOCS.
/I VAR.46 DATE
'� /� C.V.P.qs APPROVED
'C J/•/
APPROVED/ .g ��DATE 7—'3 _7V
CC
114
QI hereby acknowledge that I have read this application and state in
L that the above Information is correct and agree to comply with
as
all laws regulating building construction, and I shall not employ >:
Wany person In violation of the workman's compensation laws of u
S the State of California. -
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. mCl
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR az
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business w
VALUATION PERMIT FEE $
and Professions Code,DI sion 3,Chapter 9. e
N
Signature of
CHECK $ 144'.0 n
0
Permittee $ „r� rTAX $ i.
ar 2
Authorized Agent �r//1 TOTAL PAID $ . U
41:0?
N
OWNER DRURY, 33E11DATE 8-21-78
OB ADDRESS 1 O sperm-Ai-JP}ENERAL CONTRACTOR will iam Dietz
BUILDING PERMIT NO. 46594
DESCRIPTIONFIREZONE of WORK Patio Cover
PNo. 140-051_16 LOT TRACT 01q2 VALUES 1,coo_oo
INSPECTIONS
Signature Date TYPE v GROUP J ZONE R-1
AtSIOIL SUBCONTRACTOR { PERMITS ISSUED
AS LLL Dote I Number Signature
WATER Plumbing
'ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. fi
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING •
''TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ '
ROUGH WIRING I Keating and Tent.
TRENCHES L FORMS fJ STEEL RE/NF. 0
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n _
PLASTER. BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL y
BUILDING. FINAL 0.0X—.XC_ a-2i•1^
______-
40594
342a in yQ ien T
COSTA MESA BUILDING-SAFETY DEPARTMENT 9420. 1 tl/"2'WM ��� CKF ,
�
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 3620 + OOUa4466 94
APPON FOR STRUCTURAL PERMIT f
For Applicant to Fill in Completely — Use Ink Only /ATEJ�7 / Y
o3c S AE oA/ .14/ • J v���
BUILDING J jjj �UI
ADDRESS / �CICTN Ie,� // f
Ger- ()rot A.P.NO/Y6+p S7-3 co PERMIT NO.
OWNER //
MAIL t BUILDING r/ -
ADDRESS go30 .. ec Ql2\iier ADDRESS /p3B 5/�Q,�e77Qf�E/
CITY C P S'�,, N�F'Sof NOL TRACT 1392, LOTSC BLOCK
CONSTRUCTION . - NEW ADD1ALTER REPAIR JMOVINfl DEMOLISH
LENDER •
BRANCH 7� yJ /,
OWNE iz F /�J/G LCx7 '�r
ADDRESS / rte /l ` '.'` 'VALUEpm" /v
ARCHITECT TEL. USE !.(/IiLP / ANIW S f/
OR ENGINEER NO
FIRE -�/� ' T'
ADDRESS ,w//J ZONE TYPE GROUP sJ
vV,!`�L , (� ,rr 'Z BYPROVED /r
CONTRACTOR �J/f u( BV /�_ DATE
ADDRESS /989 / Cite f7V'f"
CITY tie"StM ;nJ -E' NOL /�3 3 ZONE/J/ itart UBUILDING EW � /
VED YARDS APPROVED
gLIC. NO. 3' 7 oE,y - 3 LIC. NO. AVEC
Inn
# STATE CITY VK/MM-�AIIN BUILDARDS ING ACCESSORY BUILDING
(.1.1 SIZE NO.OF BLDGS. (FROM C/L STREET // /�y
Ps OF LOT NOW ON LOT FRONT a Y(�i FT.
'C USE OF ,J
tn EXISTING BLDG. RP.S i uen ce a SIDE /R/�FT.✓f�
FT.
so
FSeparate permits are required for L.SIDE /OFT. FT.
electric,plumbing and heating work. /
LU ,REAR I,9 FT. FT.
# USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
s'LG MAIN BLDGS. ACCESS.BLDGS.
1 tli en. c VAR.# DATE
,1
�Ql"cI Q Adm C.U.P.# APPROVED
Q 1l IJ:
APPROV 7 / y/ �r / ,V
>, —ELY K_ DATE !//�l/ !!
W
(`
w
0 I hereby acknowledge that I have read this application and state N
n
C4 that the above information is correct and agree to comply with m
0. all laws regulating building construction, and I shall not employ
Wany person in violation of the workman's compensation laws of
. the State of California.
I hereby certify that I am properly licensed as a contractor under 60/61 SO. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F ONLY: -
us
am exempt from the p • cions of - SL • California Business
VALUATION PERMIT FEE S i eau e
and Professions Cod- s Ion 3, • a.t n
• r----.......
del LCHECK S .•
PAN ' ^I
Signature of / c
Permittee r. -.L. S / a 00 TAX S /co ti-
Authorized
Authorized Agent TOTAL PAID S /m/ ‘O
4 4 g2 a n OCT 21-77cnsnuO1 105* ***317.71
sir -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A LIGATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only l
RE E E �IV DATE CEIVED� rt-.E SS--7
BUILDING /. !i 'I sem/ '41./IT ��vj �s%
ADDRESS/0'3o ,�G Q/�.t0��% /—. //�
OWNER FOLEY FAMILY TRUST A.P. NO. /4j -05/� 36 PERMIT NO.
BUILDING
MAIL
ADDRESS 2101 E. Fourth St. , #100 ADDRESS 1030 Secretariat Circle
CITY Santa Ana, CA 92705 NOL'543-9471 TRACT 990 I LOT 43 BLOCK
CONSTRUCTION U.C.B. NEW f ADD ALTERREPAIR MOVING DEMOLISH
LENDER
-
1010 N. Main St. X
BRANCH r� A
ADDRESS Santa Ana, CA 92704 OWNER YnL � A-Vv1� 5T 1 .
ARCHITECT
TEL. !�C-
y,_ uLu§ tea,�D
AREHR Hales-Langston USE n47-0862
FIRE
_ADDRESS 777 S. Main, #105, Orange 92668 ZONE PE 'IGROUPn..
/d7
CONTRACTOR Foley Construction Co., Inc. APPROVED DATE/V •11//
ADDRESS Same as above
TEL. ZONE NO.OF USE OF NEW 1/45.C.s
P I PLANS C BUILDING
_CITY NO. r-
- STATE CITY YARDS APPROVED YARDS APPROVE
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
I SIZE NO.OF BLDGS. (FROM C/L S EET j
C. OF LOT NOW ON LOT 0 FRONT 4 FT.CT C FT.
caESE OF N/A
EXISTING BLDG, / ft.SIDE l FT. FT,
VI — !I
Fi+ Separate permits are required for L,SIDE /OFT. G FT.
— electric,plumbing and heating work. REAR j(FT. Fr.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q — MAIN BLDGS. ACCESS.BLDGS.
VAR. + DATE
_ New construction,single family C.U.P.# O APPROVED
sre detached Plan. 3 4 Bedrooms. APPRov �' /O a0- 77
a OLD FOR SPECIAL REQUIREMENTS
C.
C.
I hereby acknowledge that I have reed this application and state
Lai
a• that the above information Is correct and agree to comply with m
G. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of E
WS
' the State of California. m
I hereby certify that I am properly licensed as a contractor under 2236 SQ.FT. /car, 477 sq.ft. q+
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE E �7 4 /'ta
and Professions Code,Divi on 3,Chapter •. / Q/ — m
Signature of / / O. PLAN CHECK E /0%
51) G
Permittee /�� / $(,0 SID TAX $ Le 2, V
Authorize• -gir OF lYy�s///`/(/ TOTAL PAID E_3/7/ •7/