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HomeMy WebLinkAbout2870 TABAGO PL - Building Permits PROJECTAODRESS: 2870 TABAGO PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 065820 OWNER'S NAME: 5HAW, BENJAMIN W ADDREss: 2870 COSTA TMESA CAL 92626 PERMIT NO; B 065820 PLAN CHECK NO: N GOV1 ; N SUP P : N i.,- CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT 957-1517 ll ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP . SHINGLES SQ FT: 8, 390 ADDRESS: UNIT: CLAIM VALUE; 8, 390 . 00 CALL—VALUE: 8, 390. 00 GROUP OCC; R-3 /M-1 PERMITTEE: PERFECT COVER ROOFING ( 714 ) 434-1566 ADDRESS: 3303 HARBOR BL D-5 COMMENTS : SMOKE DETECTORS REQUIRED PER 91UBC, REROOF 2600SF RESID W/COMP I� p COSTA MESA CA 92626 ****+F*+ *****�6*x-**+t**�6******�6�E�6***�F***�E�6***aE -**x*i6*****�F*** +( 1 FVIF ()T7 LICENSED CONTRACTOR DECLARATION: I hereby affirm that l a ' nsed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T SO , 7000)of Drvksi t �e 5esiness and Profeesipn£f�dg.gnd I¢ nse is in mg force and effect. SE TB ACK S nu,'r "\ CITY LIC.:Dreg)9a.gt� 77 STATE LIC.: 14 LL 11 b CLASS:45e IVMbvAC{) / . 44 �( MAIN BUILDING ACCESSORY BU Date: Signature: (!fG!/� FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby of irm that I hay a c rtdicate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN Compensation+Is24231$2C9rt4J 3py thereof(Section 3800.Lab.(9)7/01 /94 POLICYND.: STATE FUND EXP.DATE: PARKING REQ; PROV: PARCEL; 13933201 ZNE: REF NO: COMPANY: ]](( PLANNING NOTES> E Certified copy is hereby furnished. ❑ Certified copy/ filed/with the ail :oh' g Divi'in. - > Date://6 �/ Applicant: , /.v ******************************************************************************* VA-. `� D E V E,L OP MENT S E R LT I C E S REQUIREMENTS EXEMPTION FROM WOMPENSATION OECLARATI(N: is section ed not be compleIiif the permit is for one hundred(3100)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 ZONING APPROVED BY subject to the Workers'Compensation Laws of California. DATE Date: Signature: BUILDING APPROVED BY ; DATE: NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor I q(� Code.you must forthwith comply with such provisions or this permit shall be lending d revoked. APPLICATION ISSUED B Y ; �F-Y' DATE: ' �� L 1 l • CONSTRUCTIONthisrm LENDINGeAGENCY: Ihereby.Civ.C).mthat there iso construction lending agency for the performance of the work for ******************************************* ** ********************* ******* ** which this LEND Rissued(Section 3097.Civ.CI- ******************************************************************************* ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that tam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 108 . 00 . 84; repair any structure.prior to as issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SHIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred Dollars(55006 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID / DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 108 . 84 0 . 00 0 . 00 108 . 84 108 . 84 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 108. 84 OVER/SHORT; 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 108 . 00 . 84 I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of properly who builds or improves thereon ,*******,*,*,*,*,*,**„**,***„*, **,*,*,*,*, *„*,********,****„*,**,********************************** • and who contracts for such projects with a contractors)license pursuant to the Contractors' State License Law),I am aware that proof of(heir Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BR EAK DOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST "TOTAL COST Date: Owner: SFR 8390 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8 , 390 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements or a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the a.. e information is correct I agree to comply with all city and county ordinances and tate laws re ting to building construction and her. f Drize represent -es is city rupon the above-mentioned property for pecbon p oses. Dater / T 0gnature: i 01 001`4?°O, OOi`++42$9 TOT 1108.341/ Driver 5 Licens or Social Security 4: DATE: 01/2 5/94 T 1 ° 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ;- ., - _ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit 41' - Date inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole52. Pool & Equipment Location I • ' t. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - T 3- Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Condurt•Undrgrnrl. 55 Electrical Bonding �+ 5. Steel Reinforce rr:ent 56. Rough Plumbing & Pressure Test 6. Electrical UFER a nd 57. APPROVAL TO COVER-GUNITE i 7. Footings 58. Electrical Cordu'i Undreamt. 8. Foundation - -i 59. Gas Pipe, G Urd•gr:d., Test T 9. Water Pipe•Undrgrnd. _ 60. Backwash Lines, P Trap. 0 Unorgrnd 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & HoloieConnection1: . 62. Backwash & Rcceptcr•Final 12. Sewer Capr� '"--! 63. Heater & Vent-Final ,1 'ir7 , / f 13. Roof Drains • / 34. Plumbing System - Final frt•t -1 ' 14. Rough Plumbing 65. Electrical Final / - ' 1 15. Rough Electrical-Conduit 66. Solar System•Final 16. Rough Electric Wiring 67. Fencing & Access Approval t 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric&-T Bar Cell ng 69. POOL,SPA SYSTEMS FINAL , 19. Ruugh Heating & Air Cur.dt.oning FIRE DEPT. REQUIREMENT 20. Rn..gh Factnry Fireplace .j APPROVALS Prrrnit 21- Du^.s,he Structure I 70. Under3round Hydro 1 i 22. Ducts, VenVIabno _ 71. Product P ping '1 at =Oil 23. Ges Pi: -Rough & Test 77_ Undergrou •r' Flus' 24 Root Framing I 73 Underarm].Slnraoa Tank 0 Gas . -O 4r 25 Roof Sheathing (--.2.0ail? ! a`4i1/•--j 76. Overhaad_Hyc'^-___----- 26. T Car Ceding (Structural) l: i.:onocoat 75. Dry Checa, _I--_ 1 27. Frame and Flashing Cheri-Pea,. 76. Dry Standpipe I - 1•-- 28. Lathing.& Siding ( . 77. FIXED SYSTEM FINAL II 29. Insulation _ 78. FIRE PREY. FINAL 1 - 30. Drywall Nailing 'HEALTH DEPT. REQUIREMENT , 31. Taster Drown Goat --__- I 1E79 FINAL INSPECTIONI 4 - _ -- , 32- Electrical Power Mater F=i„_ TSCFOOD CERTI_iC_F ISSUFD --.-I 1 - i 33. FinalE-ecb'c --__--- Nutas: --- - _--- ---- -- - - _ j 34 Final Hoat.ng 6! .A-r Cc;.:' t =r•ng ' --I - j 35_F ral Gas Pipe-Teri {{{( 36. Hood or Caropy 37,. F .,a1 Factory Ftrep-ac: _ -- -_'--- -- -__- --- - -- - - 38. Final Plumbing T �- -_-- -__ --- - - 39. Vater Service-Fine: 40. Gas Service-Final _ _ 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation" - � 44. Landscape Irn4atici�;sten. --- - -_ -- - - �r 45 , . - - .-Sound Attenuatw� p.y. 46. Handicap Regu'atfn rn -ee47. FINAL STRUCTIghta.IILDIP!G 48. FINAL PLANIN:i;L I I 48. Electric Release tmi 50. Gas Release to Sc'!;/.en:.'uiifornia Gas Co - 51. CERTIFICATE teOCCUPANCY No. Date _J APPLICATION EOR A BUILDING PERMIT Tract I oV II.^z Xry Block Lot 46 BUILDING PERMIT NO. Electricallo. co l C V Permit al 6 Building ///��1 Plumbing Address 277 O "1-71-3 /y- (I O )Lr, 5—v / r••s 6r Permit No. ao Cross I U !' Mechanical 0. Area Street Permit No. 0. Owner •r•,CA / C ( \ -1•-f� (A) Type of Project: El New ❑ Alter tlitlon # Address ? ?' 7 U! c4 Be ]t 10' P ❑ Repair ❑ Convert ❑Demo ❑ Occupancy Pmt. City Q p Q��7 I Zip Phone A.P. l sP.Area a s'.-rm ISI Architect/ /� r 3/14 1 TH License No. —2 (r J Zone SPI.Pmt.No. Designerr 'L Address 33/ �Ci( N(s `Aeu Setbacks P/L Front sC/L St. Street Width City as-cey /1-4e174 Zip TaL2?Phon004.2t( yards Left Right Rear Eave Prof. Left Right F.P. r Engineer License No. O Parking Sp-ces - Required ' Provide Covered Rp, Address m CityZip Phone Struct •.of No.of Height St. les Family C LICENSED CONTRACTOR'S DECLARATION Park Fees IIyI Yes Fee re Required LJ No C.T. Receipt m I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and « Zoning Approved By: Date Professions Cod rid m license is in full force and effect). License Clan nit Li ense Number P Date Contrac •r -s s--' -- I Aaw_r Misc. E Address 4 / 0rn3A CI . L'• Proposed Use l� r �t `I t I of Structure jy City and Zip Phone,'F in CONSTRION LENDING AGENCY LD I hereby affirm that there is a construction lending agency for the 9- OcCperformance of the wor for which this permit.is issued (Sec. 3097, Class T nspe Coder ' Civ.C.). ,/J Class C•nat. Year C Lender's Name �� VN— USE/OC.UPANCY SIZE SQ.FT. Lender's Address . J -. ._ OWNER-BUILDER DECLARATION Y I hereby affirm that I am exempt from the Contractor's License Law 1 8 for the following reason: 0 I, as owner of the property, or my employees with wages as their 2. C sole compensation, will do the work, and the structure is not •.0 intended or offered for sale. 3. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. H 0 I am exempt under Sec. , B&PC for this reason 4• d a Date Owner E WORKERS'COMPENSATION DECLARATION Total Valuation 3 I hereby affirm that I have a certificate of consent to self-insure. Encroach merit Permit Required ❑ yes El No or a certificate of Workers' Compensation Insurance, or a certified Ccopy thereof. Grading Pmt. Gradin• aPolicy No. Company Required ❑Yes CI No Pmt. o. a0 Certified copy is hereby furnished. Rough Grading 0 ❑ Certified copy is filed with Orange County, EMA. m Approved by: Date Date - Applicant 3 • CERTIFICATE OF EXEMPTION 7+ FROM WORKERS'COMPENSATION INSURANCE Z (This section need not be completed if permit is for 5100 or less). C I certify that in the performance of the work for which this permit is Q issued, I shall not employ any person in any manner so as to become le subject to the Workers'Compensation Laws of California. PERMIT FEES Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check E Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such Electrical $ Special E provisions or this permit shall be deemed revoked. Invest. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing $ THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical E ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTE UPON THE ABOVE MENTIONED PROPERTY FOR INS CTI N PUR- Pre-Grade POS .c.)-7.61.1 (fl,/� Q/(_'Ct� 9 , �o Pre-InspGrade E V'` ( Pre-Grade Permit Signature of Applicant or Agent ate $ $ Rec.No. Issue .S A( r=R fl e- PrinYApplicant /Agent's Name All spaces within this box must be completed toprocess Clan Approved:Issuance P — CM1e<k By: 6441. I CMF 0335-46(BU-28) rev.6/80 VRI\LIN WAAL°I II11I1 UAIC 1C-.L,5-00 .JOB ADDRESS 2870 Tabago Place BUILDING PERMIT NO. 29478 GENERAL CONTRACTOR Clifford Lange DESCRIPTION of WORK Add Sauna Bath to Res. AP No. LOT 40 TRACT 1,008 FIRE ZONE VALUE $ 1,750.00 �V INSPECTIONS Signature Date GROUP I TYPE V ZONE El DIL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND Q POWER 0 r ROUGH WIRINGrn ,-5jf ,T-/5- .f� Heating and Vent. T.� TRENCHES I� FORMS '� STEEL REINF. 0 /j-/P-6$ FLOOR SYSTEM / -q-I•' ^ BOND BEAM I l STEEL REINFORCE n �J SHEATHING p� /,t -if(-6r FRAME AND FLASHING Vi /2-4/.Ar LATHING — IN • OUT M PLASTER, BROWN COAT fObys STRUCTURAL, FINAL Eler Ic///��� HEATING, VENT., REFRIG. AND A.C... FINAL OW,,_.J,' /. i�/3�pf f19/ PLUMBING, FINAL AND GAS TEST J / C^ ELECTRIC, FINAL A kg'*7 BUILDING, FINAL -`r 29478 PAID DEC 13-68t;�,00 641* ****13.5 . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 _ APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely BUILDING RECEIy@/ /�DATE RECEIVED, D 42—/3-4 ��/��� ADDRESS 2 CI )0 /A $/160 P4,40:::: 17 'i �7/p OWNER // IN S -D /I.. L. S A.P. NO. /707- 331.- 0 7 I x'401,. MAIL ^ � • BUILDING I /7� {7 Z ADDRESS fV 7Q ry8.460 ,tE_ ADDRESS t7C RU CITY, CQs7 /v\ r (14 NOLu ui . TRACT L/UG � LOT q / BLOCK O~ Z CONSTRUCTION �, A NEW ADD ALTER REPAIR MOVING DEMOLISH N LENDER Yt-P�4���--� d 03 J 7 BRANCH ' J(n OWNER <IV J ADDRESS \ ` a� TEL...--,.... Z- /�J qy�� ` ALUE ^ sV J < OR ENGINEER ARCHITECT O. L co.be QUA C.C. NO. X60 .-.)�`� SSE. -Cy K/^'�C � S / �SL' UN _ , 1 FIRE // w cc ADDRESS end y UCC .AIL/9. cvLLee_eA/ ZONE TYPE / GROUP /' L t1w \ APPROVED / . / /��/� r ; mOCONTRACTOR QL//.foQ ') 4/ NGF BY DATE , l 2 ( J , ADDRESS /5-4/..2 �/ 6/�/� bj}S aV exp d W W L Z NO.OF USE OF NENr /{,.Q.Ny��. 0= CITY 'VAIYom1 PLANS ]/ BUILDING STATE , / CITY YARDS APPROVED YARDS APPROVED to LIC.NO.,�` Y S C S7 LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE /S-r ,-- 1'Qc[ A ( P1. 3Y NO.OF BLDGS. (FROM C/L STREET)^� t/ OF LOT T 1 ? , 1 q f_q L I_ I NOW ON LOT FRONT 33 FT. rx FT. USE OF ( e U / LL // EXISTING BLDG. R.SIDE J FT. d FT. 1 SIZE OFNO.OF { ZZ NEW BLDG. Y'/, JC)J ROOMS r STORIES / L.SIDE liFT.IJ /ILi FT. EXTERIOR WALL ROOF V ,//- L COVERING i,Ci /- k / i COVERING Sim REAR c5 FT. FT. -I USE OS BUILDING AN49/3, p/,,WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL CL 3n 0 nAl a 49 9 / frit - MAIN BLDGS. ACCESS.BLDGS. ( VAR.* DATE O C/�ieg.6 / C U.P.# APPROVED ~ PUlf, /I 4-3e/� kI2FNTuk� RAPPy LJI, DATE ( Z ___ �J VI hereby acknowledge that I have read 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 F any person in violation of the workman's compensation laws of - to the State of California. co I hereby certify that I am properly licensed as a contractor under SO. 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: 0 am exempt from the provisions of the State of California Business ft VALUATION and Professions Code, Division 3,Chapter 9. ry ///......��r r Uf) PERMIT FEE $ D Signature of /75-& ,/�t /Js 0 E Permittee ^ // $ //✓ PLAN CHECK S J o Authorized Agent ,�dl// L/L t4 /� u TOTAL FEE $ / C6 OWNER BBAw, B. DATE 9/12/80 JOB ADDRESS 2870 Tabaqo Place BUILDING PERMIT NO. 50625 • GENERAL CONTRACTOR Forcier Construction DESCRIPTION of WORK Room Addi tion AP No. 139-332-01 LOT 40 TRACT 4008 FIRE ZONE VALUES 9,100,00 INSPECTIONS Sign Dote TYPE V-N GROUP R-3 ZONE RI. SOIL SUBCONTRACTOR PERMITS ISSQED GAS Date I Number I Signature WATER Plumbing (� ROUGH PLUMBING E X p F eCtjOnS PROP. SWR. LINE n HOUSE CON. 0 \nSP SPRINKLING SYSTEM w tnta"Pee r sed ,t MISCELLANEOUS I Nom' -D�s a l Z5 1I-AL{_g y v/j Sig ROUGH HEATING AND AIR CONDITIONING (140 ,/� ICJ TEMPORARY SERVICE OR POLE na Y'P � UNDERGROUND 0 POWER 0 n G C� ROUGH WIRING _ /J-2 $O Heating and Vent. �FF�' 2 �/ TRENCHES FORMS a' STEEL REINF. [a- S I©'7•&a t mec2tec I /o ArSr 5-/,9-go i7y31' /79-35, 1/ ,-IFLOOR SYSTEM V ✓ /i.6-57o jan'J'�. L/ coBONO BEAM n STEEL REINFORCE n ! >SHEATHING y p jo-st-?› FRAME AND FLASHIN ' CliaS II-l9•I'V "LATHING - IN OUT D 1a-Ci-`.) PLASTER, BROWN COAT Cj/{7 A7'jrj. ` IST RUCT URAL, FINAL �,,✓ .v Ele i[ 1� U aHEATING, VENT., REFRIG. AND A.C., FINAL, /{i Y f-}.Q's0 ,t ecrf,G ( ows r g--/a'OD tYo99 v PLUMBING, FINAL AND GAS TEST n _J L ELECTRIC. FINAL C..�. I-lip- pC� I BUILDING, FINAL / 2- 2--Pt, cce�pp gg�� gL1??LLqR❑❑ — --$ . COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION © STROCTORAQ PERMIT 7Be 64 TU " 4 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVE V 'PERMIT 506 5 For Applicant to Fill in Completely —Use Ink Only //����� BUILDING -^� ()7 /� /' /� �^/f A.P.NO. //-Yl�3 2� O1 ADDRESS L�lT / t: CT>-I ��PC\1 t l i l,, "�/�/7 JI V � �.� ADDR SS /O 1 A x_1'6 • OWNER OR ADDRESS f����ILa(/ TENANT MAI ''')._,?-7 � (�, UNIT OR ADDRESS L,T 7 0 c�T4- P q u. q SPACE Nl� COt v A TR.NO „rte LOTerr) rBLK. CITY C 51-71\ MEC NEO. CJ'i{' NEW ADO ALTER REPAIR (MOVING DEMOLISH CONSTRUCTION r ^ .H LENDER I�Y- BRANCH �(,- / OWNER (I/ ADDRESSVALUE y^ ARCHITECT TEL. USE l am.e $700 OR ENGINEER NQ. //��t I _�/ ADDRESS r ZONE I c TYPaL../• GROUP A— 3 CONTRACTOR l v ZCI C/L (T- I.i3'r at• PROVEDI DATE /2 —&' ADDRESS �� /�I Lc. Cara)�y I.1)�. TECITY 0r `/\�Q' 'C NO.I F STATE -.7 / CITY APPROVED SETBACKS LIC. NO. J �, LIC.NO. ',J �/p q r ± FRONT (FROM C/L STREE T) 6, OF LOT I'al:St /� 3 e e I NOW ON LOTS 1 FRi477W Q USE OF 2 Oj/ ' 01 EXISTING BLDG. C 'tom" S.SIDE /0 FT. _ V) // F Separate permits are required for L.SIDE -r. t� G electric,plumbing and heating work: REAR I.W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q 0 .] —7\1V"tt_Y Q' y / (� N� l DATE APPROVEDVEE Cif /A i 1 �AAPPROVEDC � I DATE / 12-80 00 W O. ma'I hereby acknowledge that I have read this application and state o 00 that the above information is correct and agree to comply with 0.. all laws regulating building construction, and I shall not employ Zany person in violation of the workman's compensation laws of a x the State of California. /be SO. FT.afr G/ u�/� ^ m 1 hereby certify that I am properly licensed as a contractor under N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR CO 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 e and Professions Code, Division 3,Chapter 9. $ SZ. r- in m PLAN CHECK $ / m Signature of _ 2m' �' o Permittee LLK��CC/// $ IL!Ov TAX $ or ‘ 2 .0 �7 r U Authorized Agent Date y TOTAL PAID $ s 15326 FIE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 1 1961 DEPT.O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. CFor Applicant to Fill In Completely APPLICATIONIA OCOSTAOMESA P Y FOR PERMIT �2a.2U TYPE OR PRINT BUILDING y ^� BUILDING ADDRESS 2. L- I AT3n P41 COSTA MESA. CALIF�NIA For Office Use Only I RECEIPT No. I / MLT l{ OWNER R 1G HA/ZD 11EA1sfA- d— O�(-P��//_) MAIL �1 O ^ .2 TA 13n�o f ) RegRIVAD BY I�� �ec{lyeo, DATE leauo/ ADDRESSL O . 1 L '/fLenr //[b 1 1 CTEL. AD '1 A/ _ CIN D 5"T/a Ma= NO. ADDRESS p.'LQ 3 /17-440 ARCHITECT TEL. OR ENGINEER NO. �r._ ) 1COSTA MESA, CALIFO IA ///1 FIRE ADDRESS ZONE TYPE 'IC-GROUP L•,• CONTRACTOR S [/JJO/Q SLI ne C0... < -! APPRO 9 ,, '`J !T E BY DATE / ,�j/f ADDRESS `�O /`� ewr0�7 ZONING , - ad, CITY I I ZONE / I NO. I USEIOF NEW /• �, AAS•() ��r PLANS ,/Jn BUILDING lY�✓w1/.�'} VA'R'^ STATE TEL. LEGAL X 4 I /U,{'� SIC.NO. NO. /1 Ltoh U DESCRIPTION SIZE I NO. OP BLDOE. <T OF LOT NOW oN LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) CENTER op STREET REAR YARD FRONT /n� / FT. IN. J SIDE YARD I LEFT I RIGHT R.SIDE , 1 FT. IN. DESCRIPTION OF WORK . FT. IN. "� L.SIDE II ALTERATION I II ADDITION / NEWI REAR I pppFT. IN. MOVING II DEMOLISH APPROVED L�/I ATE 9 i ;//1 / REPAIRI // (/�/' BUILDING g a // NO. OF 1 [� SIZE 11 b6 ROOMS STORIES /� EXTERIOR WALL / r�I ROOF CO G COVERING CO COVERING L USE IOOFF'BUILDING AND WORK TO BE PERFORMED /�"A 1.4 007 S)--i c L"r /2 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ROINANCES AND STATE LAWS REGULATING BUILDING CONSTR VALUATION � �//;" SIGNATURE OF $W1.14 PERMIT FEE $ Q PERMITTEE /] � �.A J� ZP bi T �(] , PLAN CHECK $ W' AU AGENT ilaE TOTAL FEE $/ LL it �jn �/ •, E� 4, ,,w, J Lot 40 13960. �.� L�i , , ,/ COSTA MESA BUILDING-SAFETY DEPARTMENT7 R 6 IEPT. l P. O. BOX 617 COSTA MESA. CALIFORNIA fIIVOF CE DDE CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT PE OR PRINT BUILDIN3‘{C761: `' BUILDING ADDRESS ..- P 2.-..E ^C�'2n. C3 c)l- COSTA MESA. CALLORNIA For Office Use Only �p OWNER Investors Marine Inc. I RECEIPT NO. � !VhU MAIL RECEIVED BY DA RECEIVED DATEISSUED ADDRESS 160Q W. Coast Highway Gci * I ^ R 'KIM CITY Newport Beach,Calif. TEL. 'ii-1gXj5 BUILDINGDRESS � � /J �� ADDRESS rot ARCHITECT TEL. ' ..755:71,-)COSTA MESA. CALIF NIA OR ENGINEER Same NO.L _ ADDRESS Z ✓ Bu nn,,�� ZOO E NE TYPE GROUP J - CONTRACTOR Mesa Verde ilders, Inc. APPROVED BY DATE 1653 Minorca Drive ZONING ADDRESS �[� .� �/,,,et CITY Costa Mesa/Calif. TONE fT NO.OF 1 4U E OF NEW IL!^J: �� Uql I PLANS `nUILDINGO: i./ STATE 181269 181269 TEL Ki 9-0395 DLEGAL ESCRIPTION ^\.F_ 40 Os a SIZE 741 X 981 NO. OF BLGS.Q OF LOT I D NOW ON LOT A.P.NO. USE OF YARDS' EVES EXISTING BLDG, APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE STA //�-T� ,� ,� n CENTER OF STREET 40 1 REAR YARD1.21-611 FRONT /9✓ FT. a- L- Q_e IN. 81 SIDE YARD I LEFT 10 RIGHT R.SIDE S"FT. IN. DESCRIPTION OF WORK / O FT. L.SIDE yNEW I XII ALTERATION I II ADDITION I REAR �� nnIt::: FTS tC 7.f IN.REPAIR II MOVING I II DEMOLISH I APPROVEDf,''�/' BUILDING1700 Sq.Ft.NO. OF 7 1 BY LL.�L//�� L'Vx?1 DATE �----3-1,--,' SIZE g1 /��TTFgp ROOMS STORIESsnaxe nix /L�y/ COVERING ocrealoe W�fL 6Lfl g IROOF COVERINShingleor J — 02 /10 ri USE OF BUILDING AND WORK TO Q PERFORME .1single family residencee and _garage ay,y Model No. 750-ER • Garage not attached 462 Sq.Ft. I HEREBY ACKNOWL.EEIGE TH I HAVE READ 1.111E APP 'CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE'AHOY IS GONNE AND AG EE 0 COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY OROW CES AND ATE LAW ULATING BUILDING CONSTRUCTION. • / VALUATION I SIGNATURE OF / /i� l y/ a4 PERMIT FEE S 4/ PERMITTEE S I _ " I $ 2 6 / 6 6 PLAN CHECK $ ,20 so . AUTHORIZED AGEN / 6-0 0 - TOTAL FEE E