HomeMy WebLinkAbout2850 SERANG PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PE ,M4T NO. `^ TRACT NO. LOT NO. UNIT NO.
ft/ (O O
Project Address 2850 Serang Pl. JO- 1682 11 /05/84 5.00 TL
10422 Trask Ave. TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION LI REPAIR
Applicant's Mailing Address 0 CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name Ronaldson Phone549-1537 - - _ A.P.# I Zone
Address 2850 Serang DESCRIPTION OF WORK/USE OF BLDG. .
$ Main Building: Accessory Building:
Arch/Eng. License No. _ TYPE OF PERMIT CI GRADING El FOUNDATION ❑ STRUCTURAL E Front D
Address ❑ TENANT 0 ELECTRICAL ® PLUMBING El MECHANICAL B Rear N
Contractor's Name A-ames Plumbing Phone 530-2440 Ell -OTHER Replace Water Heater
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) 10422 Trask Ave, Garden Grove K Left G
6664 CONSTRUCTION TYPE VALUATION$ S R
co City License No. ZONE GRADING CU.YDS. ACRES -
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed and . ions of Cherie 9 (commencing Remarks: Planning Notes: M
1 with section 7000) of Division 3 - and •ro .ns Code, and -READY FOR INSPECTION - M
\ my license is in full forte n t
T
Li Class � -> Llce 50307 S.
Il Date 10-30-R4 Signatu -.11111rair PLUMBING FEES
I, WORKERS'COMPENSATION • LA' - ON Bar Sink Showers
' 'hereby affirm that I have a certi icate • onsent to self-insure or a certificateELECTRICAL FEES
f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.L84076419 Fremont Construction Pole Sub.- Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backf low Irrigation Sewer Cap . 0 50+KW
8 Certified copy is hereby furnished.
Cer1 iif�ssie 5p p1�{s filed with the city!Buntline Di on. Bathtubs Sewer Connection Cooking Unit �— Meter ❑up to 100 amps
Date AV- V-04 Applicant -ames r11.1mbing-Heating
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred($100) or
less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8
Workers' Compensation Laws of California.
Date Signature - Floor Drains Swimming Pool w/Spa F.A.U. olar ❑9.15 HP 016-15+
NOTICE: If,after making this declaration,you should become subject to the Inc..
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) interceptors
Lender's Name 1 Water Heater 2 00 Outlets Range
Lender's Address _ -. . Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap -structure, prior to its issuance, also requires the applicant for such permit p - Generator ❑0.5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9 (commencing with Section 7000)of •
-livision 3 of the Business and Professions Code) or that he/she is exempt
ierefrom and the basis for the alleged exemption. Any violation of Section
031.5 by any applicant for a permit subjects the applicant to a civil _ ,
LIenalty of not more than five hundred dollars($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure Is not.intended or offered - Reinspection Fee f $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
op move for the purpose of sale).
•
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By -/- Date 7/7-5—
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ 5.00PERMIT
ISSUANCE $
Date Owner Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby tify that I h.ve read t• s •plication and state-that the above 00-100,000 BTU 0100,000 BTL. GRADING $
informat'•n is correct. I ag e• • .m• with all city and county ordinances ELECTRICAL $
and sta - laws relating t• •.ildi•• nstruction,and hereby authorize repre- PLAN CHECK 50% S MICROFILM $
sentati -s •f t o -n ,A•on - above-mentioned pert for TOTAL FEE 5
in spec •• p -ice MECHANICAL $
Signet y//� .' ' - - •
- \
CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING - POC .SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # - - Date Inspector
1. Temporary Electrical Service or Pole I 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. ' I 53. Steel Reinforcement
3..Electrical Conduit Utility-Undrgrnd. •
54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ • `,
•
5. Steel Reinforcement. - - 56. Rough Plumbing & Pressure Test
6.'Electrical OF ER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings ( I ,'- 58. Electrical Conduit-Undrgrnd. ;
8. Foundation I 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line'& House Connection 62. Backwash & Receptor-Final
•
•
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains .' 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure = 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough& Testt,T, 72. .Underground Flush
24. Roof Framing ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) &Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: pf(;/I'( GEFfl (¢20 tin
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing ((/7/19 Leo
39. Water Service-Final
. 40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
APPLICANT: DO NOT FILL IN SHADED AREAS:
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. O UNIT MODEL A.P. N Zone
4 S Main Building Accessory Building Z
Project Merest: i • - 4 Ari Unit: E
Owner's Name a i e ALL1Ii�nJ PURPOSE: 0 NEW 0 ADDITION 0 ALTERATION REPAIR r Front N
Address :- :r�atart«� f�v1n%«�i B Left 1
0 CONVERSION 0 DEMOLITION 0 OTHER - C Right NG
Arch/Engineer: Reg.Na: K
U S Rear
Mdnu7.5 00 D 48-7-?../: Unit: DESCRIPTION OF W RK/USE OF BLDG. - R
Pefre }/� /�iJ Ping. Ref. N Parking Req./Provided • E
0
A rod I . ?!1,i_:).4,e `_y rY�.61j�(�i� I ���!✓� ��O Planning Not: M
Z . ` TYPE OF PERMIT: 0 GRADING 0 FIRE 0 STRUCTURAL 0 SIGN S.
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am tensed under provisions of Chapter 9(commencing 0 ELECTRICAL ❑ PLUMBING MECHANICAL la REINSPECTION
with Section 7000)of Division 3 ol the Business and Professionsand my license is inel l f and effect. ELECTRICAL • FEES
CITY LIC9
.1
:a 1 9 U
STATE G:�-�.3U CLAS ' n�•o�//��/ JOB DESCRIPTION: 0 SO. FT. OCCUPANCY GROUP Ix-• 3 Automatic Washer Motor ❑ 0.1 HP 0 1.10 HP
Date:J - /C7 Signature: I / 4 a— `I
WORMERS'COMPENSATION DECLARATION: It. •e affirm A' . ' a certificate of consent to sell-insure CONSTRUCTION TYPE y- �VALUATION $ O GRADING CU.YDS. Christmas Tree lot 0 10-50 HP 0 50-100 HP
or a certificate of Workersft�3Campen�jU,on In ranre,or a ce.d'�, copy thereof(Section Lab.C). Construction Pole ❑ over 100
POLICY Na:WCC)a((J7. 75 •EXP.DATE: l— / - 7 CATEGORY: 0 MINOR CONSTRUCTION' 0 MAJOR CONSTRUCTION(Under 200000 sq.O.) Sub Pole Outlet .
• YAPANY: /y''� /
Certified copy nee�tumisfieE. Certified copy filed wit n city B 9 Division. ❑ MAJOR/HIGH RISE-(Over 200,000 sq.ft.) Cooking Unit Pole Light
p /�,., "",��/��, �-{ ��1 /l n Dishwasher Sign Outlet
'Date: /2—7— `O Applicard: l ern 4 Remarks: 0'� ilr E t"/• -u. /G F{ I�M7 IT
_�_F4A/Jawl` _ Dryer 0 Gas 0 Electric Squar ..rage Fee
EXEMPTION FROM WORMERS'COMPENSATION ON: n need not be competed if the permit
is for one hundred($100)or less).I certify that in the pertor of the work for which this permit is issued, PLUMBING FEES f. F.A.U. ..nding Section
Ishabno est yary person marry manner so as to become subject totheWUrlers'Compuuatonlaws of California. Backflow Prevention • ReDiPe' Fireworks Stand • Sub Panel
Date: Signature: Backflow Irrigation Roof Drain Fixture Swimming Pool/Spa .
NOTICE:II,atter making this declaration.you should become subject to the Woelrers'Compensation prow- Bar Sink •
sips d the Ube Code,you m0 b dWWl mrmfs,with such proms a Pis cern dial be deemed rooted. • r Service Sink Garbage Disposal Switch
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perky. Bathtub Sewer Cap Generator:Size Temporary Work With
mance of the work for which this permit is issued(Section 3037,Civ.C).
. Clarifier %lector
nection i Meter 0 up to -.1 amps Transformer
LENDER: • _ • _ - _
ADDRESS: Dishwasher Mater ❑ . :r 200_amps Size
OWNER BUILDER OECLAimp , I hereby affirm that I am exempt from the Camra, ri Stale License law FlorDrinking Fountain Micro : e Trash for the following reason(Section 70315 Business and Profeonal Code: Any city of county which requires aCompactor
permit to construct•atter improve datatNsh,or repair arty licensed
re,Drip to its issuance,also requires the spall- . Floor Drain Solar Piping
cant for such permit to file a signed statement that he/she is licepyursuant to the provisions of the Contras- • - - •
• tori State License Law(Chapter 9lcommennng with Section 7000j of Avalon 3 of the Business and Professions Floor Sink Solar Tank
Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 70315 Relnepection Fee $30 Issue Fel $15
by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars($509). ' Gas Service ' Swimming Pool w/Spa
❑ I,as owner of the property or my employees with wages as their sate compensation,will do the work,and Gas System let Toilet DEVELOPMENT SERVICES REQUIREMENTS:
the structure is not Intended or offered for sale(Section 7044,Business and Professional Code: The Con •-
tractors'State License Law does not appy to an owner of a property who builds or improves thereon,and Interceptor Urinal •
who does such work Nmself/hersel or through his or her own employees,provided that such improvements v Zoning Approved By Date
are not intended or offeredtor sale.If,however the building or improvement is sold within one year of corn- Kitchen•Sink .. Wash Basin •
pletion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BullAin Approved B
❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project Laundry y' Washing Machine 9 DP Y Date
(Section 7044,Business and Professions Code: The Contractors'State License Lair does not apply to an P Tr Water Heater ���� /'
• owner of property who builds or improves thereon and who contracts for such protects with a contractor(s) Application issue• = -I—�,- Date 'G.�/7 90
license pursuant to the Contractors'State license Law).I am aware that proof of their Worker's Compensz- Water Service
tion insurance should be provided to me. - SUMMARY OF FEES
❑ I am exempt under Section: B.&P.C. . • Reinspection Fee $30 Issue Fee S 3 w
Mthis reason: MECHANICAL FEES BUILDING PERMIT $ MECHANICAL $ 2-'I '
•Boiler Heating
Date: Owner: System 8 Ducting op PLAN CHECK $ PLAN CHECK 25%'$
I to hereby cenly that lam aware of and understand the requirements tel Ca i1omu Kea)and Safety Code Sec- Duct-Underground ' Fi 0100000 BTU + 0 100,0008fU +
tions 25505.25533,and 25534 and that I or any future building occupant willhadlLnN(circle one)need to comply PLUMBING $ SMTP $
with said stale codes and the requirements for a permit for construction or notification from t e Air Quality Manage- - Duct-,Structural Hood or Type 1 0
ment District.Residential construction applications are exempt from these provisions. Duct-Ventilating Canopy Type 11 0 .. PLAN CHECK 25% $ GRADING $
Exhaust System 0 Multiple 0 Refrigeration System • ELECTRICAL $
Date: Applicant: c25-.I hereby certify that I have read this application and state that the abcomply PLAN CHECK 50% $alone information is correct.I agree to Fan 0 0100,000 SRI + 0 100,000 BTU +
with all city and county ordinances and state laws relating to building cerswcnon and h(eby autiw'a npresen• Fire Damper System Repair/AlterationTOTAL FEE $
tatives of this city to enter upon the above-mentioned property far inspection p o S -
C�-f/' Fireplace/Fero. Bll. ICBG N
Date: 7Signature: /'
Reinspection Fee S30 Issue Fee S15 -
- - . . al KO
-,G::1.J7.172.!-
G0 iy t �' 'T if..
0865-46 rev.10159 White-Building;Green-Code Enforcement; Canary-Applicant; Pink-Revenue; Goldenrod-Assessor DATE: 1:/L7/%J 172. 13;4.-
•
src: _ :N:: -••a • • e. ""T.p9:••yA-, z:-y."�•, '•4T"•,)" . 47rr• yrT-i:..n.'. . l '•^i°:r .., •7:::-.•;".",. 4' - 14 .
t
PC t SPA
CONSTRUCTION AND PLANNING
APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Elehrrtial Servii or Pole_ 52. Pool & Equipment Location
2-'$ijl-Pipe-Undrgtip" ' _ ' I' ' r 53. Steel Reinforcement •
•
r
3:.EIebtrical Conduit;Utility-Undrgrnd.' ; 'y 54. Forms 2 ,.
4:-Electrical Condfl Undrgrnd. 55. Electrical Bonding
ra
5.i SteeeReinforceinent 56. Rough Plumbing& Pressure Test -;
6:; Efebtrical OF EFCGrnd. 57. APPROVAL TO COVER-GUNITE "r '
7;i Footings . '' - ("4/ ' 1,-'' r ! 58. Electrical Conduit-Undrgrnd. ..
8. Foijndation �; - ;'r .-� __ 59. Gas Pipe, 0 Undrgrnd.,Test -
9. Water Pipe-Undrgr•hd. -' •V - - • 60. Backwash Lines, P-Trap, 0 Undrgrnd. % ' •
10. Structural Flgoraystem - 61. APPROVAL TO DECK
11. Property Sewef�Eine & House Connection 62. Backwash & ,leceptor-Final -�
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains- ' ' . .',, 64. Plumbing System - Final
14. Rough Plumbing:'"; 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring-Sign 68. APPROVED FOR PLASTERING
•
18,. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
'1.9! Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
'201 Rough Factory Fireplace - APPROVALS /Permit#
217 Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating71. Product Piping 0 Gas 0 Oil
j,2)Gas Pipe-Rough& Test, 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Mroriocoati r 75. Dry Chemical
27. Frame and;Flashing i 76. Dry Standpipe
28. Lathing & Siding •r. 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing _ 4 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat t •
79. FINAL INSPECTION .
•
32. Electrical.Power Meter-Final - 80. FOOD CERTIFICATE ISSUED �..
33. Final Electric Notes:
34. Final Heating & Air Conditioning 7� 'r e _;
35. Final Gas Pipe-Test i'``ll""
36. Hood or Canopy/ r,
37. Final Factory Fireplace /
�
38. Final Plumbing
39. Water Service-Final '
• ! :
40. Gas Service-Final i i r
f
41. Solar Domestic-Final r i
;l) , /
42. Backflow Preventer ii /
43. Backflow Irrigation .
I
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47.•FINAL STRUCTURE & BUILDING '
i
48. FINAL PLANNING I
49. Electric Release to Edison / Vj
50. Gas Release to Southern California Gas Co J _ •!
'51. CERTIFICATE OF OCCUPANCY
No. Date ,
Lot 139781J«D. tflifl47. tia
f [,AR 6 1951
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
ADDRESS -%ot �J u1 t0..-�0
COSTA MESA. CALIFORNIA For Office Use Only
Investors Marine Inc. I RECEIPT NO. I t Pf*7J
OWNER JL I(7
MAIL /,� RECE E BY DATE RECEIVED DATE ISSUED
ADDRESS 16nn w nnnRt H]amsy 3 ( / 1-1,2 Bg:".•
�1961
CITY Newport Beach,Calif. NO. 311.
6-1655 ADDREISS � CALIFORNIAg:"
AF 'Ea Same TEL. .28'56)COSTA MESA.
OF .INEER NO. OCJ rJv )
ADDRESS Z 1.--1 -2/ 1�
ZONE TYPE GROUP OU}�
Mesa Verde Builders,Inc. APPROVED
CONTRACTOR BY DATE
•
ADDRESS 1653 Minorca/� lDrive ZONING �� " rc�-ee
Costa Mesa,Calif ZONE (j NI.O. USE OP NEW JC.p- , 'T'—
CITY T� / I PLANS BUILDING i4 M, /�1°
STATE TEL ! \ KN, l /
ESCL 1
T NO. 181269 Na Ki 9-0390 5 DESCRIPTION '">;r. tin 0 .-
SIZE 641 X 1151 I NO. OP BLOCS. 0
OF LOT NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. _ APPROVED ALLOWED
SETBACK LINE FROM 50 I /0 1 (CENTER LINE ST.)
CENTER OP STREET REAR YARD Y FRONT
45-CPT. N.
SIDE YARD I LEFT 111-611 I RIGHT 5I_6 IT R.SIDE L7 FT. CI N.
—
DESCRIPTION OF WORK /7 FT. (, IN.
L.SIDE
N I Y II ALTERATION I II ADDITION I REAR `"b FT. IN. _
REPAIR I II MOVING I II DEMOLISH I BYPROVEb1\01 \, , DATE �j—s--
81IZELDING1600 sq.Ft.NO. OF ROOMS 6 STORIES 1 {�) IPJ IA y\y�0�0(l/ 7 lP
EXTERIOR WLpLSli11116+ ROOF Sh £e O
COVERING « Stl1CCO e
COVERING 1 a - �� 71
USE OF BUILDING AND WORK TO sE PERFORMED
Single family residence an garage __ c/Jr4/ A
Model No. 620-AR (J
Attached garage 462 Sq.Ft.
I HEREBY ACKNOWLEDGE AT I HAVE READ IS PPLI CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT/THE AB E IS CORRECT AN AG EE TO COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY,ORDI ANCES Ato
STATE REGULATING
BUILDING CONSTRUI /'L VALUATION
37 --.
SIGNATURE OF' ^ PERMIT FEE $ N
PERMITTEE �� �1"� I o2Sa.G` c
I1 $ / 'f/5-6 `r
AUTHORIZED AGE .a £
E
TOTAL FEE $ S O O
alliillI 4
1\V1Yli �Uvly n. v. WSJ.Li T vv
JOB ADDRESS 2850 Serang Place BUILDING PERMIT NO. 25658
GENERAL CONTRACTOR 'Santa Ana Tent & Awn. DESCRIPTION OF WORK Sunshade
AP No. 1/9_321-07 LOT TRACT FIRE ZONE VALUE $ 390.00
INSPECTIONS Signature Date GROUP S TYPE N ZONE R-1
S SUBCONTRACTOR I PERMITS ISSUED
G Date I Number I 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 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
P. 'iag, Vent., Refrig. and A.C., Final
t bing, Final and Gas Test 0
Electric, Final
Building, Final �'4$ 6/a4'/6F
• 2b658
jCOSTA MESA BUILDING-SAFETY DEPARTMENT 1 CITYt�
Of L S 1A MESA
P.O. BOX 1200 COSTA MESA, CALIFORNIA D26026213
For Applicant to Fill In Completely APPLIStApt FOCECSAMT
TYPE OR PRINT BUILDING
For OffIOffice ��1•�r..- ly
ADDRESSGUILDING 42 R 50 S F a rtio a. e LA c E• !psis. •. o.
COSTA MESA. CALIFORNIA
'nU, [[�� RECEI Rea: C 1 ED URD
OWNER 1 1 R �). S. R Q III A L 0 ,a Ai ./ �VG �
eUILillpt ���Jim ^ L
MAIL
, s Sn S FP A nJ G PL. ADDRESS `I�C�[7 C
�p ',tA FSA
TEL
5-- 7 FIRE9 NGROUP
CITY •
HITECT '� ^,. Tatat{�
AP•PROVED / DATES
�NOINE[R R, lit SS�i E, Q Np• .Z(cI01
ADDRESS 3 On 3 u R (4 A Nk Y� L ILO K ZONING ,cQA,,v
A No.op USE OF NEW
CONTRACTOR 3aPl TAA &4fl Jrd CO / I PUNS '�/I BUILDING �,�,(y
/1/10/gin J / /�"'
ADDRESS
\^•g..p a . es M A/N• S T' uacwlmoN Lot In � f/eL o 0
CITY S ThsITA 1'TIII A. A.P.NO. /39 - 3Q1 - O
t�� �� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
72.70. lin 5(y N9. /i L OLF q) • 30•TO SIDE Q REAR P.L.
OF LOT o 6bk•0 X 0/.U I NOW ON LOT / EAVES
SIZE (/�E L y I II NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
_lam Y YARDS
BU
YARDS APPROVED
EXISTING BLDG.' C I O F Al L?C MAIN BUILDI O ACCESSORY BUILDING
(FROM C/L STR ._-12-(7
pJ/
SETBACK LINE FROM FRONTCt, _-I FT•
CENTER OF STREET REAR YAR•
SIYARD]ILEFT RIGHT R.RIDE Fr. .(� PT.
DE
DESCRIPTION OF WORK • L SIDE `3/ IT. PT.
■ ALTERATION _ ADDITION r REAR 9)3 FT. FT.
' DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS.
BUILDING NO.OF VAR.# DATE
. SIZE SIZE ROOMS STORIES C.U.P.# //) APPROVED // / L
EXTERIOR WALL I CROOF OVERING APPROVED I / A//CM7ATE /I(, //1 V
• COVERING .A/1/I'� iii 444
URI OF BUILDING AND WORK TO BE PERFORMED P.
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ATTACLIF1) To oL/S 1
. SQ.PT.
I NEARBY ACOWLEDDE TNAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE 9
KN
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES A ?ST2ILA% EG .ATINS
BUILDING CONSTRULTION. VALUATION ✓ 050PERMIT FEE f
SIGNATURE OF D'�^^ E
PERMITTEF /L
$
3 R o PLAN CHECK S w°
AUTHORIZED AGENT / O
TOTAL PEE S