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HomeMy WebLinkAbout2846 SERANG PL - Building Permits • }7_ CITY OF COSTA MESA • t BUILDING DIVISION . • .r .,w t DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 OK! • PERMIT owrr>'aP P03-00542 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-inesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT • Job Address: 2846 SERANG PL Status: ISSUED Suite No - Applied: 08/21/2003 • , Issued: 08/21/2003 Vicinity: HALL CLOSET - __,:#/. Parcel Nunmber: 13932108 ISSUED BY: Applicant: SZABO, KEVIN -, Address: 2737 S CRODDY . STE D Phone: (714)241-1414 "� a W SANTA ANA,CA Zip: 92704- ` ' • Ownar, - FANTOZZI,'JOSEPH H OW�. ' N Address 2646 SERANG,PL Phone: . COSTA MESA,CA Zip:" 92626 ' • Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: 2737 S CRODDY _ _ , STE D - - - Phone: (714)241-1414 - • SANTA ANA,CA Zip: 92704 License: 529127 -.- Arch / Eng: . - Address: • Phone: Zip: , .. . - , License: SCOPE OF PERMIT . ' WATER HEATER CHANGE-OUT IN AN EXISTING SFD: , NO OTHER WORK AUTHORIZED WITH THIS-PERMIT. FEE SUMMARY ' AMT QTY, . AMT 'QTY--.:- '• , ," AMT QTY ISSUE FEE $23.50 ' Laundry Tub/Washer $0.00 0 Sump Pump ,$0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool ,' $0.00 0 Backflow Preventer $0.00 ,0 • P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 ' Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc)' $0.00" 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units ."$0.00 0 - Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 - 0 Sewer Connect $0.00 '0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 . Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain.Roof $0.00 0 .. Shower $0.00 0 . Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 - -Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 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(8/00) WORKERS'COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: O 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 penult is Issued. 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: (/a / Carrier: I ST C"E 'FUNS Policy Number: (' (030--O (This section need not be completed I/the permit is valued at one hundred dollars($100)or less.) ER I certify that in the performance of th ork for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation law of aliforga, d a ree th if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith oomph/with these s ons. _O Applicant Signature: - Date: yr WARNING:FAILURE TO SECUR KERS' SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($t W, ,INADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am 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 effect.Uc.e 372 9, Z7 C `T� Class x C .j H'1te Contractors Signature: l A. •-�"v-t Date: 1�-2 /—n3CONSTRUCTION LENDING AGENCY: \J 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,CMI 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 cMl 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 Ucense Law does not apply to an owner of properly 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 Ucense Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑No Driver's Ucense 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 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 ❑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? ❑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 en 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 Duality Management District or from any other air pollution control district or agency? Yes IID No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 ti 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. Asa netur • Legal Owner(s) 8-2- Date '03 quegl7 Or Authorized Applicant Date CODE I gtsPEC0oN TYPE gAIE OIIRIALS CODEI INSPECTIONTYPF RIME If�AI$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing "1-,O-0 ` 200 Final Re-Roof 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 p CITY OF COSTA MESA Ey ° BUILDING DIVISION ;j tna. Ir'�, PERMIT NUMBER F t ��� t DEVELOPMENT SERVICES DEPARTMENT IPICS PERMIT - d� ✓602-00722 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2846 SERANG PL Status: ISSUED Suite: Applied: 05/28/2002 Vicinity: ROOF Issued: 05/28/2002 Parcel Number: 13932108 Zoning: R1 R1 Applicant: BLANKS, JERRY ISSUED BY: Address: Phone: Zip: Owner: FANTOZZI, JOSEPH H Address 2846 SERANG PL Phone: COSTA MESA,CA Zip: 92626 Contractor: PREMIER ROOFING AND BUILDING CO INC Address: 17501 NORWOOD PARK PL Phone: (714)573-0155 TUSTIN,CA Zip: 92780 License: 634404 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF INSTALL 7/16 O.S.B.BOARD,30#FELT AND 30 YR COMP.SHINGLES.3300 S.F.WITH DETACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $7,011.00 Permit: $153.25 Claim Valuation: $7,011.00 SMIP Res: $0.70 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $153.95 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 NOTES: 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 2446-4e(WOO) DELARATIONS ��jjcc ,f Wi%KERS"CeMPENSATION 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. ❑ Piave 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: Carder: r Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) . : I certify that In the pedo .:nce 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' Icompensation laws of C:•fomia,and egr:: the p I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr. �I.r / i ,D� ApplkenhStgneture:�+ �f>y// WARNING:FARURE TO SE. RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S104000),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 license. under.r.visions of Chapter 9(commencing with Section 7000)of Division 3 offthe Business and Professions Code,and my license Is In full _force end efect:11c#:-. O CCIass# C-• c Conbauturs:Signature:- - / CD"ate:_ Th d, 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: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW(or 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 cMi 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 Ucense 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 lot sate.It,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 drivers license. ❑Yes 0 No Drivers Ucense 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,faisework,or demolition or dismantling thereof,will be more then thirty-six(36)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? ❑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? ❑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 end 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 a ermit for Such construction or'modification from the South Coast Air Ouality Management District or from any other air pollution control district or agency? j Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ..........__..._ll.. _ _... _— _ ... _ 6 Will any part of the facility to be constructed under this permit be within 1000 feet fromrom the outer boundaries of a school? ❑Yes ❑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? ❑Yes ❑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-describ:d property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. /y oat Of Le ar(s) Date, /' ✓� Applicant Oete'" CODE I INSPECTONTYPE DAIS EMU CODE! INSPECTION nil E IE Iti1MA4S 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 4 208 Final Plumbing 200 Final Re-Roof y.c4 ( 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 3OWNER FANTOZZI, JOSEPH H. DATE 7-22.70 JOB ADDRESS 2846 Ser Place BUILDING PERMIT NO. 32088 GENERAL CONTRACTOR owner/bldr. DESCRIPTION of WORK patio cover A" .10. 139-321-08 LOT TRACT FIRE ZONE VALUE $ 500.00 Ii ECTIONS Signature Date GROUP J TYPE ZONE H1. SOIL PERMITS ISSUED GA5 - SUBCONTRACTOR Date Number Si•nature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER ❑ ROUGH WIRING - Heating and Vent. TRENCHES cfJ FORMS Q STEEL REINF. 0 RU/ 7// Pc FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE ❑ SHEATHING FRAME AND FLASHING LATHING - IN n OUT In PLASTER, BROWN COAT S 'TURAL, FINAL Electric HL iHG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL tL BUILDING, FINAL y4,�I` O} Ls,/to ` 3?_088 .... ` r ill 22-7x002031 j*****5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For [�Applicant to LFill in Completelyo �s.� tit �./� ,�V,( \ q /Fd ^L,// 284.0 sERAmc, ` `. \M I12E>In RECEV '\&— ?/fl,' / D DAT -1_ U/ 2 BUILDING \/7/I ADDRESS`� �I I�,/�`1 m 1Trf�I OWNER VO MAIL /1�/ ‘..k .r.H. ��hpit LT/Vy,Z�t7 1 A.P. NO 3BUILDING .0/ (7 /3� 02/- 0P B.-1y//'L�)d�8 ADDRESS 284(0 SERARG ft. acm A ro ADDRESS 0tz 0 LAW" y U ✓�'^-`""� 4-0 CITY COSTW VESA f NCO. 540" fL TRACT y Ova LOT 6j�� BLOCK z cC CONSTRUCTION CTION No NE 540 -Y35R NEW ADD ALTER REPAIR MOVING DEMOLISH m KO�F X 1 J N OWNERinalef BRANCH N m -I LU ADDRESS v.40 �`Q`�, E' t�� USE VALU �� J Q ARCHITECT OR ENGINEER 1 V 0'y��OC:1� J OL ZQ FIRE • LB w ADDRESS �O N� ZONE PE ,7� GROUP APPROVED /n W Z CONTRACTOR RO.AF BY . 6-) ATE D CO Jp U Zk4O NV--1J/L ADDRESS LI) Z F CITY K01�G NOL `� ZOT - PLANS BUILDING NEW 2 STATE CITY YARDS APPROVED YARDS APPROVED N (L LIC. NO. NONE LIC.NO.NONa. MAIN BUILDING ACCESSORY BUILDING SIZE `_, NO.OF BLDGS. - (F 'i� _ OF LOT R0LlE- NOW ON LOT Z ONT i G/.�--r1, FT. USE OF }'`/ `' Q' /J U EXISTING BLDG.u 1 NG QU a RS R.SIOF a FT.i FT, h SIZE OF NO.OFr• Z NEW BLDG. ROOMS -- STORIES ' L.SIDE ""FT.3 FT. UEXTERIOR WALL ROOF �� ��FT. �� FT. ' ' _ COVERING COVERING REAR -J USE OFOBUILDING AND WOR, A I(/TO 8E RgRFORMEED DISTANCE BET. BET.MAIN& 1009T ©c C0N1S\t *. $' 400 D. V MAIN BLOCS. ACCESS.BLOCS. O Cgr�1S-T'R`.s.3 .-T• (2 f3A-A0 Foie SANDE, VAR.* u P.# 11/ APPROVE-DI 7 Z coves'. c\i \ �y SC-V Ct E APPROVEDj,22/1")(7 q' (7 DATE / -a)--7c9 0 o TSI Pe_ ccv aR -c1-kp bF_ oNt>l - 4 U I hereby acknowledge that I have reed this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ 1- any person in violation of the workman's compensation laws of C/) the State of California. co ? I hereby certify that I am properly licensed as a contractor under SG. 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: Q am exempt from the provisions of the Sta of Call ornia Business and Professions Code,Divi '•n 3,C apte VALUATION m ' PERMIT FEE $�. N C Signature of m Permittee 1 /di / .t!r • .Al S S�r PLAN CHECK $ E puto Authorized • .ent , TOTAL FEE $vJ u 6clegce. 04 cam;, , `r - L. Y\1...V riwor/,_ 65 139 0 �.�a- ' //V. !', , MAR 6 1961 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING . t� +J654G ADDRESS .�r7b � Nlc..�.l c>1.COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. I slily. �ni OWNER lInvestor/s� Marine Inc. • n. MAIL 1600 W. Coast Highway - REC9yVED BY DA RECEIVED I DATE ISSR S�UE5961 1 �/�j // BUILDING - / // I. - 11•• 7 _ _ • • ADDRESS� car _.,_-_,,--ca.., /-- ARCHITECT D dt� 0 COSTA MESA. CALIFO-,. A OR ENGINEER NO. FIRE / 0 ADDRESS ZONE TYPE F GROUP:ri VerdeMesa • I APPROVED CONTRACTOR BY DATE ADDRESS 1653 Minorca Drive ZONING _etw ZONE (j 1NO.OF UBE OF9DILDINI�• , LEGAL �( L�DESCRIPTION1 1 00 A.P.NO. YARDS EVES APPROVED ALLOWED EIETBACK LINE FROM 4P (CENTER LINE BTA /��^ _ n C.ENTER OF STREET REAR YARD FRONT i . FT. (J- -�--IN. SIDE YARD I LEFT 7' I RIGHT 6, R.SIDE 4 FT. IN. DESCRIPTION OF WORK LSIDE 7 e FT. S IN. . NEW I X II ALTERATION I . II ADDITION I Al'] � REAR " FT. IN. REPAIR I II MOVING I I DEMOLISH APPROV� `�./ BY f'� L�DATE SIZE BUILDING S .Ft.ROOMS NO. OF 7 STORIES 1 9 _. a no a' lJ�j�'� EXTERIOR WALL Si ing ROOF S e or _ / COVERING Etql 6- pe�1e(y)y I�C(OVEgRIINpGgR single y O�/a 'USE OF.B1ng1eG IaL111QyR I'Tes1QERCl'R i� garag: G Model No. 750-B I) Attached garage 462 SQ.Ft. I HEREBY ACKNOWLIEDGE HAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATIONMIIS FOR THE AND STATE THAT THS A NOVEAN IS CO RECT AN- A E TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY /'NANCEB AN HTAYE .AW REGULATING BUILDING CONSTR O(.. VALUATION SIGNATURE OF-/� -til I IC /LEI / Lf /OU PERMIT FEE $ h//^ P \ J J $ J PLAN CHECK $ O' DA 5-0 y' AUTHORIZED AGENT JA J a 0 TOTAL FEE u