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HomeMy WebLinkAbout1591 SUNLAND LN - Building Permits • T-C1A((�sA,1"w`��"^'y/-t s . SI'S ••9`rl' Avvlica nt to fill in all spaces except those within heavy bortler lines antl sign all approvriate declarations. �- •yl�,,.^ �Weillr PERMIT NO. TRACT NO. LOT NO. NIT O, CITY OF COSTA MESA ONSTRUCTION PERMIT �f �3 �� r _P•# Zone Project Address !�j 11 SrU'1 '))Lj t4D (.../0,- 'p T AI S Main Building: Accessory Building: Applicant's Mailing Address ( /2ah Ir-iIG( I LA. Tau La* TYPE OF CONSTRUCTION LI NEW U ADD AI ALTERATION LI REPAIR ��• A ��,p., ❑ CONVERSION ❑ DEMOLISH ne, �l E Front Z Owner's Name UPQh�/'�( �'i,�a(0/ 4/e Phone DESCRIPTION OF WORK/USE OF BLDG.TH 'u SPf�IN�L'sl` I B Rear N Address -j�•P I C Right N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION H STRUCTURAL Address I �f�1 �• �/ -�,y e ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R •J. rZAtaSOM 1-I 1�- Phone t4 c�•*,c l0 CS OTHER CI (Cs^ "5P2;NKLSK.5 Si-.. 'Ping. Ref.# Parking Req./Provided -I E Contractor's Name Q Address(mailing/ (72- *r 1•(IC 4err Lt•J v(.. (4ne. fE, PROJECT DESCRIPTION SQ. FT. TION$ CPlanning Notes: fa CON ST RUCTION TYPE VALUATION$ �•il* i M CityLicense No. ^1 Q T 1 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION _ t+ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: p,('✓ f.c„C I�01 Pe" 9._.�4-- 6�t - with section 7000) of Division 3 of the Business and Professions Code, and 7" 1 ELECTRICAL FEES my license is in full twee an effect. Licen Class p C.—/ //�/�J�,, mense No 41Z-9-) ( Date 9-is-g7 Signature vre.avl� , PLUMBING I FEES Automatic Washer Transformer ❑ 15.50 KW WORKERS' COMPENSATION DECLARATIONConstruction Pole Sub. ❑ 50+KW hereby affirm that I have a certificate of consent to self-insure or a certificate Baf Sink Showers - t.Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Cup to 100 amps 3800, Lab. C.) _ - Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap — Dishwasher Meter Cover 100 amps ITCertified copy Is hereby furnished. ' Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection Date Applicant_ Fan Motors ❑0-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed If the permit is for one hundred ($100) or —Dishwasher Solar Piping F.A.U. Inc. lar ❑9-15 HP ❑16-15+ less). I certify that in the performance of the vrio for V( , is permit is issued, I - Fixtures icrowave shall not employ any person in any A er so azo me ct to the Drinking Fountains So Tank Worcolo Rgnsation Laws of Calif.' . / - — Date k f vL Signature f ' ' • Floor Drains • wimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you s •uld become subject to the • - Workers' Compensation provisions of the Labo Code, you must forthwith Floor SinksUrinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any City or - - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit - 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 ' Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 . 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 - ealty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS: Ll n $ 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered — for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL l FEES Building Approved By Date 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 Application Issued By Dete�� employees, provided that such improvements are not intended or offered for Boiler Hood or ype I ❑ sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ — SMTP $ Ot ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • frlgeration System PLAN CHECK $ PERMIT 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 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- -' _- ENERGY P.C. $ tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple System Repair/Alteration PLAN CHECK 25% $ proof o their Worker's Compensation insurance should be provided to me. { ELECTRICAL $ GRA G $ ❑ I am exempt under Section B. & P. C.for this reason — Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK 50% $ IWra S ' Date Owner Heating System& Ducting Registers + A,:.-:� -• '��'b MECHANICAL $ TOTAL FEE $ I hereby certify that I have re a this application and state that the above 0o-100,000 BTU 0100,000 BTL I "'y*' information is correc agree t• •omply with all city and county ordinances L� PLAN CHECK 25% $ i. . and state laLk ws rel. oto construction, and hereby authorize repro- ifiri OQ 1000 sentatives.of t ty t• o• r u•on the above-mentioned roperty for inspection pur'•• 55 / — Signature ` �a Oat/ �g Drivers' License or SS# i •• ?? Reinspection Fee $15 Issue Fee $ 3 OF CITY COSTA 11!Esq 0865-46,rev. 5/88 'hite - Building; Canary -Applicant; Pink . Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING -) POOL St SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector r . r 1. TemporaryElectrical Service or Pole •• 52. Pool & Equipment Location O Z2. Soil'Pipe-Undrgrnd. _ 53. Steel Reinforcement j� - .,3j�,Electr7/ical Conduit Utility-Undrgrnd. 54. Forms Cil ~r 4':Electrical Conduit-Undrgrnd. 55. Electrical Bonding " v ,,,.--4,.- 5. Steell .Reinforcement w 56. Rough Plumbing & Pressure Test .2/ 6..Electrical LIFER Grne - , 57. APPROVAL TO COVER-GUNITE • )0 r-: 7. Footings - 58. Electrical Conduit-Undrgrnd. DO _ 4- 8.-Foundation _ 59. Gas Pipe, ❑ 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 i.e., 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 g & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1B. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 1:9'. 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 0 Gas 0 Oil 23. Gas Pie-Rou h& Test `- P 9 `72. Underground Flush • 24. Roof Framing ' 73. Undergrnd.Storage Tank 0 Gas CI pi' 25. Roof Sheathing' 74. Overhead Hydro -, 26. T;Bar Ceiling (Structural)& Monocoat 75. Dry Chemical r 27. Frame and Flashing ,; 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL firykq t.)..429. Insulation _ 78. FIRE PREV. FINAL /o rj%Q at,/ • 30. Drywall Nailing , . i. HEALTH DEPT. REQUIREMENT 31;. Plaster Brown Coat'• 79. FINAL INSPECTION 32.• Electrical Power Meter-Final- 80. FOOD CERTIFICATE ISSUED 33'. Final Electric ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final ,`, 41. Solar Domestic-Final I' 42. Backflow Preventer CI - 43. Backflow Irrigation / 44. Landscape Irrigation System , / / ! /. . ,_ 1l r 45. Sound Attenuation .' 4/.2 ,,: 46. Handicap Regulations t - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ,!; . 50. Gas Release to Southern California Gas Co ';'/' o: ', 51. CERTIFICATE OF OCCUPANCY / �' No. Date 45tApplicantto fill in all spaces except those within heavy border lines and sign all appropriate declarations. I aic/ .. CIT �l$TA MESA CONSTRUCTION rPE�_RMIT PERMIT NO. CTANO. T NO. UNIT NO. A P 51e - Zone ' 'Pr t ss ►�, sun � W` r 7-13- I RMF 38523 PM ti-44-z Vag- 2- # 7-B I3 — oa - Utz MP TYPE OF CONSTRUCTION ❑ NEW L]CADD LJ ALTERATION S Main Building: Accessory Building: �V 1 LJ REPAIR , E Z 'Applicants ailing Address ❑ CONVERSION ❑ DEMOLISH MOTHER L� •ai12lA O • T Front 0 Owner's Name 1 ' ' ,frc'li�'�Ar* �CJYI'Phone 931 I ZLO l B p) DES '1' ION OF WORK/USE OF BLDG. 'i A Rear 1 +�- /• C Right N Arrchr/Eng, 7 At Ages License No.L •-1//�-�Z TYPE OF PERMIT ❑ G r ADING I FOUNDATION�s ® STRUCTURAL K - G "Address 77 ?ee Dv G-R Oa/ �L • Al ,g, ❑ TENANT .ELECTRICAL ❑ PLUMBING I.ey MECHANICAL S Left R ©/ ID OTHER N�(��L� F F' 1 yj C.�. •� Ping. Ref.# Parking Req./Provided E Contractor's Name 42) Phone 5 PROJECT DESCRIPTION SQ.FT. `'� OCCUPANCY 2' PlanningNotes: 'V �r ` '�i�u} O Address(mailing) CONSTRUCTION TYPE ' I ^1 VALUATION$ I l lJ V(1 M City License No. T ZONE GRADING CU.YDS. ACRES $• LIC NSEO CONTRACTOR DECLARATION O LA I I hereby . ' - ..t I am licensed under , • o Charter 9(commencing Remarks: /- 6%619_ 61 rt with section 7000) o z •n - e Business and Professions Code,and ,` cts�+ "� N�Z�"�'B ELECTRICAL FEES my license is in full force .-- - e . O n2 �It License Class License No. T` / /� VVV is Date . Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Pole Sub. 050+KW %-treby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers -->Norkers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit F Meter ❑up to 100 amps ,,"'JO, Lab.'C.) Backflow Preventer Service Sink policy No. Company Backflow Irrigation Sewer Cap - Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Date Applicant Fan Motors❑0.1 HP ❑i%-8' , - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' , (This section need not b¢completed if the permit Is for one hundred ($100)or Dishwasher Solar Piping F,A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). . I certify that in the performance of the work for which this permit is' sued 1 Fixtures shall not employ any person in any manner so to become subjec to the Drinking Fountains Solar Tank Microwave workers' Compens^tior ws of California Device Boxes Pole Light ' - Date _5' /4o' X=11'' Signature — I �_ _ Floor Drains Swimming Pool w/Spa 9 NOTICE: If,after making this declaration,you should become subjed to the . Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal / { comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign ° dG I hereby affirm that there is a construction lending agency for the performance - of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address • Kitchen Sink Water Service ' Generator 0o-5 KW ❑5-15 KW Trash Compactor - OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the ' Lavatories Auto-Wash - following reason (Section.7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit 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 ' •ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $147-1e76 efrom and the basis for the alleged exemption. Any violation of Section A.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars($500). , DEVELOPMENT SERVICES REQUIREMENTS: LJ $ 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By Date''-J6. �� compensation, will do the work,and the structure is not Intended or offered MECHANICAL I ' for sale (Section 7044, Business and Professional Code: The Contractor's FEES Building Approved By _ S Date G Rer License Law does not apply to an owner of a property who builds or improves , "- �p thereon, and who does such work himself/herself or through his or her own • Boiler • Hood or Type 0 - Application Issued By Dat relit employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is she/she hin one year of com- Canopy Type II 0 t. 7-.�.Z. �}JMMARV O FEES CO pletion, the owner will have the burden of proving he/she diel not build or im- Duct-Under Ground ) ,move for the purpose of sale). - 9 BUILDING PERMIT $ 12! SMTP $ ICS I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: b nn $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating- ❑o-100,000 BTU 0100,000 BTU /cc 0V PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0' Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof o their Worker's Compensation insurance should be provided to me. ID $ ->I. 00 GRADING $ IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers pisGICRONILM $ _ PLAN CHECK 50% $ Date ^Ker.-g9 Owner• a +4*ationa �'C• 7hat'the Co. Heating System &Ducting Registers PCS- MECHANICAL $ �3 - co TOTAL FEE j'.Q�s I hereby certify that I have read this application and state that'the above ❑0-100,000 BTU 0100,000 BTU— - PLAN CHECK 25% $ 31 '1• / S information is correct.1 agree to-comply with all city and county ordinances $ • and state laws relating to building construction,and hereby authorize repre- sentatives of this city t• ter upor e-mentioned property for inspectio • / 1 Signature -s� �i Date S-b- - 4b do' _J Drivers' License or SS# - ./Ten- : -Accounting; Goldenrod - Assessor DATE. 05/16/89 TTfE/ 14.0 - CONSTRUCTION AND PLANNING POC SPA Date Inspector Date Inspector PROVALS Permit#. APPROVALS Permit# -emporary,Electrical Service or Pole ', 52. Pool & Equipment Location A 2. Soil Pipe-Undrgrnd. - 1 53. Steel Reinforcement - ! 3. Electrical Conduit Utility-Uridrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd.' 55. Electrical Bonding ' 5. Steel Reinfbrcenient 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7,-.., Footings '1 n I ' 58. Electrical Conduit-Undrgrnd. ' 8. FoundationI 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 Sevver Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' - 63. Heater& Vent-Final 13. Roof Drains v ! 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 1,- 15. Rough Electrical-Conduit 66. Solar System-Final I 61 Rough Electric Wiring 67. Fencing & Access Approval k 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •;-, , I 18. Rough,Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19'. Rough Beating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ^ - APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating _ 71. Product Piping 0 Gas 0 Oil 23.IGas PipeRough.& Test 72. Underground Flush 24'. Roof Framing 'N'""- .r 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathingrr` • '' -', 74. Overhead Hydro 26. T-Bar Ceiling (Structural)tfelurtosoat /y ' 75. Dry Chemical 27. Frame'aiid Flashing ' /e 76. Dry Standpipe 28. Lathing)&'Siding 77. FIXED SYSTEM FINAL 29. Insulation .f. _ 78. FIRE PREV. FINAL 30. Dryw'ell Nailing - HEALTH DEPT. REQUIREMENT 31. Plastet'Brown Coati 79. FINAL INSPECTION 'I 32. Electrical Power Met-et-Final- //6 ,‘,....g, ��`-` . FOOD CERTIFICATE ISSUED 1 33. Final Electric ,•' Joh y /�/�/Notes: �, �✓ 34. Final Heating & Air Conditioning 44/ N/ ; • . 1 C.@ /p7 ``IQ�fGdG�fi' r .. /(l!/ sGQ� 1 `I { 35. Final Gas Pipe-Test ( 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing r 39. Water Service-Final 1:40. Gas Service-Final I- 41. Solar Domestic-Final - 42. Backf low Preventer � . .• 43. Backflow Irrigation /, i" 44. Landscape Irrigation System ; �% 45. Sound Attenuation '//s 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /e) 1T/ er 7 • 48. Special Requirements Completed %I 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Coi'i- 51. CERTIFICATE OF OCCUPANCY : 3 , • No. Date ' / � i City of Costa Mesa A MEASURE "G" EXEMPTION Plan Check # 22-0 - Exemption # 89-436 Permit # Case # Address: 1591 Sunland Lane Unit: 7-B Applicant: PA + Architects FACTS: ❑ Residential ❑x Commercial/Industrial Other ❑ Existing Lot ❑ Not Part of Larger Project Project Description: Interior alteration to existing industrial building consisting of partition wall installation and electrical outlets No. of Dwelling Units 0 Gross Floor Area NA Square Feet F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. fl 2. Project is a residential project of four dwellings or less on an existing lot. ❑ 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. I 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: I Planning Commission Date May 8, 1989 ❑ City Council Date 1648-30 - City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 0 2 Building Safety Division 0(��J O [!- P.O.Box 1200 Costa Mesa,California The Building located at 1591 Sunland Lane, Suite 7-B has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R2 Occupancy. - - Use of Building Office Legal Description 139-098-42 (See reverse side for Metes and Bounds) Building Permit No RMF, 38523 Electrical Permit No. EME 38523 Plumbing Permit No. ,Mechanical Permit No. WC 38523 Number of apartments - and/or guest rooms ISSUED TO: Building Official rnnron primjat•nn Transamerica 1591 Sunland Ln., Ste. 7B by 7 ) at,)7 � efr%r ' Costa Mesta, CA 92626 Date November 2, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/8a White-Owner;Canary-Numerical File;Pink-Bldg.Permit File ilrir 4I04d IP: -e-7ePAIL T;00 094* ***331.43 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Ap licant to Fill i om etely— Use n (only /4ei s-- 15 NI, 0 �T 's`- REC IV_ D BY DATE RECEIVED DATE ISSUED ADDR INESG //1•' .. -,-76 ADDRESS mit/______D��ir��-r��t, . ., PERMIT NO. tit - a A.P.NO (Acts OWNER {� S i� G it '���i� �� BUILDING 1�,' q �-+s • a' MAIL 4Vb ADDRESS : . -- L0 _ ADDR Est S It ..CCJJ ♦ �� n l��y� 'rS�1 CIT AA_ H. � N 1(7 2 TRACT LOT BLOCK CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DEMO,ISH LENDER BRANCH OWNER LIEYEQ ILID The p. ADDRESS �,/]� Q D♦ I ttUa1444 &Z?� 3 USE 2LINIT I q 0 )C'-'l23/Zea ARCHITEC OR ENGINEER pp N y ^J� �o� FIRE / ' . ADDRESS Ag 4, y. ea.; tie_ A ( ZONE rGROUP• q�_ 4 APPROVEDacc.Y�Y��CONTRACTOR C ,(�,� LC,Qe BV 447 DATEt'� -7-7 ADDRESS���a(�'7 �j,tJ ZON NO.OF USE OF NEW CITY 1 Y N• PLANS BUILDING -��- ��/� a,--- F STATE CITY YARDS APPROVED YARDS APPROVED • LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING Lsl 512E NO.OF BLOCS. (FROM C/L STREET ,/� /� � � (� • 0. OF LOT NOW ON LOT FRONT /0. 5T. /-"tL1%u Y. a USE OF Le. EXISTING BLDG. R SIDE ^ I�//��/�/ FT. I FT. E Separate permits are required for L.SIDE ( /♦A FT. electric,plumbing and heating work. L... _ --. C - REAR /7�L { s FT. `rr [W., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& tin\w -C MAIN BLDGS. /y ACCESS. BLDGS. W VAR. DATE .xt .1 U*JtOS 44C.• 11./'`o/I��.•sY ti CII♦ n(�.� C U.P..5i6 cam O9 APPROVED/O.-gag.—�J%� ). w[ SrC,1y4.t.Ls2_5ticp 1 \ BY APPROVED DATE 3 -S /rj J ag MOLD FOR SPECIAL REQUIREMENTS I_ LW .._ a I hereby acknowledge that I have read this application and state ---• n Cd that the above Information is correct and agree to comply with m 0• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of k1 the State of California. I hereby certify that I am properly licensed as a contractor under // G3o SO. FT. a I the State of California Business end 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: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ a and Professions Code, Division 3,Chapter 9. 2 n PLAN CHECK $ ' /c � n Signature of ♦ 'J o Permittee "sat__ a _ S 23 2� TAX $ f fr✓�al 1 -.. ♦ G Authorized Agent ♦�' 1 TOTAL PAID $ / IIII- I /O/ O Pate z4***630.50 AR -876PI310 a COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PLIC TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only off( /\7/� /t C---- ��(� R E BY DATE RECEIVED DATE ISSU D ADDRESSG/SQ l /Sycodi /'/�/ VD HV J-y MEKEn / P / k(/T PERMIT NO. OWNER 1 A.P. NO. r/An Nd�/ BUILDING/ of \ M L� MAIL ADDRESS ADDRESS JC�' I J TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW (ADD ALTER REPAIR (MOVING DFMOLJSH /`J// LENDER /'1 BRANCH ` OWNER '{�X/-j 41634711 t i /No //. /D ADDRESS ARCHITECT TEL. USE al1 VALUE ___61_____.✓Nir/kit 15L $ V OR ENGINEER NOFIRE . //////�s ADDRESS ZONE TYPE GROUP F // CONTRACTOR BYPROV DATE 3 -p-x" -/ JO ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING be SIZE NO.OF BLDGS. (FROM CIL STREET( L OF LOT NOW ON LOT FRONT FT. FT. Q USE OF .#., EXISTING BLDG. R SIDE FT. FT. ca 9 Separate permits are required for L.SIDE FT. FT. P.1 electric,plumbing and heating work. REAR FT. FT. L. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& GMAIN BLDGS. ACCESS. BLOCS. a .9 /r VAR.# DATE /Nv' -0Zr C.U.P.# APPROVED 7 "T APPROVED >+ —B_Y DATE #1 K, LV O. I hereby acknowledge that I have read this application and state N. N ig that the above information is correct and agree to comply with m S all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 2 'Z' the State of California. a I hereby certify that I am properly licensed as a contractor under SQ. FT. w 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 affect,or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLY: — am exempt from the provisions of the State of Californiain full fva oPERMIT FEE $ -ut and Professions Code, Division 3,Chapter 9. V m PLAN CHECK $ ,� e Signature of LL Permittee $ TAX E 2 U Authorized Agent TOTAL PAID $ / �/1 0 (Y :w _ pIQ _..4.1.919pmi vAy -5-76,177700 215^ *** 119.95 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APP IC FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only �+ ' / REC V B DATE RECEIVED DATE ISSUED BUILDING ADDRESSJ,SJP�5 7At, /�/ //_)0,,(�J,&/a/./O LTi. 5r — .5-` C. OWNER iAcL-QLe-P At,0, IYLo P. A.P. NO. /� PE _AD J .t,l, AMAIL DDRESS BUILDING / ci/ 1 'N`ANO �id ADDRESS ,J LL TEL. TRACT I LOT BLOCK CITY NO. CONSTRUCTION EW ADD ALTER (REPAIR MOVING DFMOLISH LENDER BRANCH OWNER NEya /PiQ � aW 4. ADDRESS C �(/� Eys `pWWWJJ/EEE ARCHITECT TEL. USE ( �KIL �f� s-/l.7 S OR ENGINEER NO 9J FIRE ADDRESS ZONE TYPE GROUP wLs7vs'/aN neav^/y Pit APPROVED CONTRACTOR SY/ZAVIZZ -/2 Gd, BY DATE ADDRESS ZD?/ G; VIA- /302-7-61A/ '2 I/ TEL. q ZONE NO.OF USE OF NEW CITY 4 1h / , NOS 3SJ50, PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W I SIZE NO.OF BLOGS. (FROM C/L STREET) M. OF LOT NOW ON LOT FRONT FT. FT. hUSE OF EXISTING BLDG. R.SIDE FT. FT. Cl, FSeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. dREAR FT. FT. [.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& AMAIN BLDCS. ACCESS. BLDGS. ( '!4r Sp#f, UIQ g"le, CORP. DATE APPROVED APPROVED > --_ELY DATE a date Q I hereby acknowledge that I have rood this application and state N. Se that the above Information is correct and agree to comply with L all laws regulating building construction, and I shell not employ m Z any person in violation of the workman's compensation laws of o 'U the State of California. = m I hereby certify that I am properly licensed as a contractor under O. FT. N the State of California Business end 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: e am exempt from the provisions of the tate of California Businesst� �� a and Professio Code,Division 3,Ch ter 9. PERMIT FEE $ 741_ Y� • n S{gnatute/['tf}� l/// ////// yw-��� PLAN CHECK E to o Permitte` (�/✓.il.J vfn�/i1i�� 5/T _/Dd /TAX S /095e'4. LLU Authorized Agent \ / tt// TOTAL PAID E/ .5