HomeMy WebLinkAbout3058 VAN BUREN AVE - Building Permits I
-CITY OF COSTA MESA ..
•
6511
5 BUILDING DIVISION
Fu ..'II 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t, FOR INSPECTIONS CALL: (714)754-5628
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PERMIT NUMBER: B07-00849
PERMIT TYPE B_MISC STATUS: ISSUED
DATE ISSUED: 07/10/2007
• - • ISSUED BY: SOK
I
JOB ADDRESS: 3058 VAN BUREN AV CM Suite/Unit:
Vicinity: - .Primary Occ: - Const Type:??
SQ. FT: • 0 Valuation: • $2,023.00
SCOPE OF WORK: REPLACE WINDOWS,-,THROUGHOUT S.F.D. TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. HEADERS
WILL REMAIN THE SAME. REPLACE WITH DUAL PANE, VINYL WINDOWS.
OWNER: REITER,TODD • ` Address: 3058 VAN BUREN AVE Unit: .
PHONE: • City/State/Zip: COSTA MESA,CA . .
APPLICANT: REITER,TODD ' ' I .' ' I' :I. - - Address: -3058 VAN BUREN AVE Unit: •
PHONE: 714-957-1167• • City/State/zZip: COSTA MESA,CA
CONTRACTOR: OWNER-BUILDER " . . - License No. 000000
Address: Unit: PHONE: - ,• , ,
•
City/State: ZipCode: CELL: •
•
ARCHITECT: License No. •��2' VE //
ENGINEER: License No.
7f
MISCELLANEOUS PERMIT FEE SUMMARY
DATE . I.'"I.
Building Plan Check: $0.00 . .
Building Permit: . . • $83.25
Electrical Permit: . • $0.00 - .
Other Fee: - - $0.00_ • - ,
SMIP Residential
SMIP Commercial $0.00
TOTAL FEES - • $83.25
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .
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.
CODE I, INSPECTION TYPE, Ea IN1TAL8 CODES INSPECI1ON TYPE ' aag IN11AL1
1616. Fixed System Final Fire Prevention 208 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
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 e.42--Al 6 -Y
I _-
WORKERS'COMPENSATION DECLARATION: Owribr ID verified by drivt Ise. ❑Yes 0 No �f; ,,r.
I hereby affirm under penalty of perjury one of the lu...,wing declarations: CDdver's•License No. Expires:r iZ't'I-</-7
❑ I have and will maintain a certificate of consent to self-Insure for workers'• V•erificatio •
n of Ownership by(type f-document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This seam need not be completed the peri is valued al one hundred dorars($r00)or less.) 2 Art 2,Sec.341,Title 8,California Administrative Code).
fyi�
0 As owner-builder, I will not employ anyone to do work which would
Policy Number:
CV"'� 1 certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Co e,I shall forthwith comply with these provisions. Applicant's Signature Date
j— —7 in 117 Division of Industrial Safety Permit Number:
Applicant Signature'r • / Date V HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEYS FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# Class# (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
Contractor's signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature - Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Duality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
_ as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
(hereon,and who does such work himself or herself or through his or her own
8. (If"yes";attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If. however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she. CERTIFICATE OF COMPLIANCE: I certify that under penalty,of perjury the
did not build or improve for purpose of sale.). • . • information given above is•corect. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
❑ 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 Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
_ ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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 b this p r tl t . 5 ction.
7- 10-6-7 Signature of Legal Owner sf L pate-)r
(
nature _ / Date 1��
3057-4e(3(07) l
And/or Authorized Applicant Date
. CITY OF COSTA MESA S .
0.nr4ttt. BUILDING DIVISION
fy ,l77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
k FOR INSPECTIONS CALL: (714)754-5626,
• - PERMIT NUMBER B07-00846
PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: 07/10/2007
ISSUED BY: RMD
JOB ADDRESS: 3058 VAN BUREN AV.CM; Suite/Umt:
Vicinity: HOUSE AND GARAGE'ROOF Const-Type:
SQ. FT: 2500 `, `�" , , • ;Valuation:,. • -. . $0.00
SCOPE OF WORK: TEAR OFF(S)ROOF.MATERIALS, INSTALL 1 LAYER OF 30#FELT ON'A-4:12 OR GREATER PITCHED ROOF AND
REROOF WITH 30 YEAR ELK ASPHALT SHINGLES ON AN
ATTACHED HOUSE AND GARAGE,-APPROX(25 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED.
OWNER: REITER,TODD1i Address: - • 3058 VAN'BUREN AVE Unit
PHONE: 714-957-1167 City/State/Zip _ rCOSTA MESA, CAS
APPLICANT: KAISER,TODD . - Address: 928 CHEYENNE ST Unit:
PHONE: 714-979-5314 City/State/zZip:, COSTA MESA,_CA
CONTRACTOR: KAISER ROOFING License No. 682897
Address: 928 CHEYENNE'STUnit: PHONE: 7]4-979-5314.._.. . .
City/State: COSTAMESA,CA ZipCode: 92626 - - • CELL:
ARCHITECT: - License Na - - PHONE;;
ENGINEER: ,, License No.
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
•
TOTAL FEES $125.25
•
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODES. INSPECTION TYPE DATE INTITNLS ;ODEA INSPECTION TYPE DATE IN711IALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final . / 208 Final Plumbing
/
200 Final Re-Roof -1-7-7 -" 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
WCittERSatOMPENSATION DECLARATION: Owner ID verified by driv se. 0 Yes 0 No '
I hereby affirm under penalty of perjury one of the f g declarations: '" Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' .Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permitis 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation flue(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
a@arrterr
,S/A/t A'..„a by this permit,and that no building structure,scaffolding.falsework,or demolition
7 7 /�f or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section neednal be competed dthe permdrs valued at one hundred dollars($100)OrlesS)
2,Art 2,Sec.341,Title B,California Administrative Code).
amber: 60 0/61 f - OJ
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
1,1”
n/ //- 18;22 7 Division of Industrial Safety Permit Number:
���" AkSigQatpre Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires, with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my licenseisininfull force and effect. O� a registration form for acutely hazardous materials? 0 Yes 0 No
L• .M-- ✓ / Cla e-r1 l / (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
710- 0-2 each business which at any one lime has on hand a quantity of acutely
C1actoreagnature— – Dale 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
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 (Section 65850.2 of the California Govemment Code requires that the mits).requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application. have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8 (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for •
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
city ordinances-regarding Hazardous Materials-and Emissions.
❑ ;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 Signature Date-
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. • the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
•
Signature Legal Owner(s) Date
Signature .. Date , S 7-70 D7
3057-46(3107)
,ulnOnzetl Applicant .
a'ITY OF COSTA MFSA
4$4"
CAUFORNIA 92626-1200 P.O.BOX 1200
F
H :t DEVELOPMENT SERVICES DEPARTMENT
e
January 22, 1997
Medardo Garcia
3058 Van Buren Ave.
Costa Mesa, CA 92626
RE: UNPERMITTED SATELITTE DISH
3058 VAN BUREN AVENUE,COSTA MESA
Dear Mr. Garcia:
A letter was sent to Martin Ramirez, who claims to be your tenant, by this office on
November 5, 1996 (copy attached)regarding the unpermitted satellite dish on your
property at the above referenced address. A violation notice was also issued to Martin
Ramirez on October 30, 1996 giving him 30 days to legalize the satellite dish or have it
removed.
I have checked the newest building permits and have not found a permit for your
satellite dish. I look forward to your prompt resolution of the matter. However, if the '
permit has not been obtained or the satellite dish has not been removed within 5 days of
the date of this letter, I will be forced to issue a citation or refer your case to the City
Attorney for prosecution.
Should you have any questions, please call me at (714) 754-5622 Monday through
Thursday between 7 A.M to 9 AM and 4 PM to 5 P.M. •
Sincerely,
r
Asa ' 4
SUSAN SPIEGELMAN
Code Enforcement Officer
cc: Martin Ramirez
3058 Van Buren Ave.
• Costa Mesa, CA 92626
•
•
77 FAIR DRIVE
Building Division (714)751.5273 • Code Enforcement (714)754-5623 • Planning Division (714)754-5245
FAX(714)7544856 • MD(714)754-5244
UWNbK BLACK, R. R. DAIt 8-18-69
\JOB ADDRESS 3058 Van Buren Avenue BUILDING PERMIT NO. 30667
GENERAL CONTRACTOR Santa Ana Tent & Awning DESCRIPTION of WORK Aluminum Patio Cover
AP No. 141-604-07 LOT 60 TRACT 4651 FIRE ZONE VALUE $ 800.00
I 1CTIONS Signature Date GROUP .T TYPE7{r( ZONE R-1
S�_ SUBCONTRACTOR PERMITS ISSUED
YGAS 111 Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER ED
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
•
•
SHEATHING
•
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
ST"'ICTURAL, FINAL Electric
NG, VENT.. REFRIG. AND A.C., FINAL
PLuMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL j/ _
BUILDING, FINAL '7.6L t-3.-6f
+ ~ 30667AUG 18.69crosauO 802 0-i*****8.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
IL
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
- BUILDING 3/t r 1 i 0 Q u,2� REC E/)J$D BY -Efi�EIV� DATE ISSUED
ADDRESS "V D (ill F! Kw/��alnJs /J4 [/B.
s� ;—O /-y PERMIT NO.
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OWNER N �'T7lCa
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BUILDING
MAIL ADDRESS
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ADDRESS -S6 HE `-- 4 c2l �� 4.,%,,_ g,,, ,
0 CITY Ccs7 A NLSR NOw 01 L? TRACT 6.73 LOT& BLOCK
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W W TEL. --yyy�/� • NO.OF USE OF NE
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W- O STATE n/� / p� CITY YARDS APPR• ED YARDS APPROVED
(n LIC. NO. �T / S/ p LIC.NO. MAIN BUILDIN• ACCESSORY BUILDING ,
Z 0 -SI ZENO.OF BLDGS. (FROM C/L SLR'ET)
OF LOT NOW ON LOT FRONTS/ ' r .'. FT.
USE OF s'tn�
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F- SIZE OF N i NO.OF /J
2 _NEW BLDG./3 6 X 3Z ROOMS STORIES L.SIDE LP FT. FT.
Q EXTERIOR WALL ROOF nn
_V _COVERING COVERING REAR id FT. FT. _
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O C.U.P.,{'+ ////�/ APPROVEDe.-47_,4
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2 (� 0
O
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
I-- any person in violation of the workman's compensation laws of
N the State of California. m
? I hereby certify that I am properly licensed as a contractor under SD. FT. o
the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR b
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the provisions of the State of California Business ../
and Professions Code,Division 3,Chapter 9. VALUATION O^' fa
PERMIT FEE $ N
Signature of of
D
Permittee s/"v—s/.syT�,/���/�`�� Shit()
Qi^ L~� PLAN CHECK $ `� E
ti
Authorized Agent /�% -WC-(S /V{(/fJ 8[LtJ u.
••• TOTAL FEE $
OWNER NEWPORT HOMES INC. .. _. DATE 7-9-62
JOB ADDRESS 3058 Van Buren Ave. BUILDING PERMIT NO. 17521 ,...---
GENERAL
GENERAL CONTRACTOR S. V. Hunsaker & Sons VALUE $ Th 253.00
AP No. LOT 60 TRACT 1653 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROUP TYPE ZONE
S �4..." 7..a 6-21SUBCONTRACTOR PERMITS ISSUED
G. HA, - c- re.c(9(ry DATE NUMBER
Water 4661-±_g___\7-rt.47-
Rough Corn. Refrig. 0 Air Cond. 0 dila:
/ /
Rough Heating 1.7147; I _ �'flila:D�aao X—1-61 t"
Rough Plumbin _ __ e t -G- 7-�i-e 2 y,(r [ZL9p�
Miscellaneous ^�� , .Qj I
Prop.Swr.Line ouse on. ELSt.Swr. 0 _Or_7�!N pyPte'"_ t,-,y:(--____ / U-t. 3 co i r fir°
Sprinkling System n
Construction Pole *.t
4
Underground 0 Power G _ �j e�.9 _ till.
Rough Wiring. £'2P-7-L2 LSF"7190.Jfre-er LGG itiN' �?m-G7' /S3 A
Trenches Er Forms C Steel Reinf. ❑ (.024- 7�'j 'r
Floor System (�
Bond Beam 0 Steel Reinforce 0
Sheathing (R/f;�;�jj"';;!�,� &/f_C4-
Frame and Flashing R dl ��-�l
Lathing — In ®�Out lai Y_::61
Plaster, brown coat ,e_//..- /,)-
I etrig. 0 Air Cond. 0 Final
ring, Final ! U 4 vita-.Fixtures, Final f�✓��
Final Gas Test /5" —r �a
Electric Fixtures, Final QRe 9-a3
Building, Final G C1— / 7
OCCUPANCY
FORM 604-5M — 7.61 17521
-t - FE RECEIVED
17521 JUL 1 0 1982
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX BIT COSTA MESA. CALIFORNIA FINANCE DEPT.
`to Fill In Complete CITY OF COSTA MESA
For
ApplicantP t? APPLICATION FOR PERMIT
TYPE OR PRINT _ BUILDING
BUILDING J (VA
^ /i n v 4Y-iv 'YE
ADDRESS G B 1T�!/ /J
COS MESA CALIFORNIA For Office Use Only
�� r L ���� I RECEIPT NO. I P�R75 .,
OWNER /,/// �T , �' // ,, S .7�LL �CJ
ADDRESS (/l(/ ( W 4/II&[/ JD RECEIV% I DATE RECEIVED I RATE Issue?.7--
CITY (Q/E.fa A/6F [ TEL. BUILDING .
NO. ADDRESS _�/J (/L
ARCHITECT p / Ay TEL. //'� COSTA MESA. CALIFORNIA
OR HITECEEFFA/�.UE�L /�'J'�Cf C NO�/ 7(9/.3
ADDRESS 2-7 /V A.
IM, S,(/ cs�n7/9 94 ZONE TYPE V GROUP �K
CONTRACTORS', G. N(J II S,4.// 4nnd cyks APPROVED DATE
ADDRESS/'S�sS .&)A-79' /-` 1-4,C ZONING
n p ZONE�n1 NO.OF n USE OF NEWS/' -Z'.yt
CITY -TR °A//J4�a /�(J /! __/ I PLANS ` BUILDING ,v/ .. (_
C.NO./!�/ J ! 2-7 rlo. D J 7�V/ . LEGAL 1 a ?/' l/(u6f_
DESCRIPTION
SIZE
OF LOT 6 /0 /� NOW ON LOTSL� A.P.NO.
USE OF l YARDS EVES
EXISTING BLDG. /-� APPROVED ALLOWED
SETBACK LINE PROM c5 .7 •27 to (CENTER LINE ST.) [�
CENTER OP STREET l/ �/ REAR YARD / L FRONT / S -FT. s IN.
�` 1.4.
/ "...7BIDE YARD LEFTS b RIGHT cr R.SIDE _5--
FT. •— IN.
DESCRIPTION OF WORK L.SIDE s7 FT. C IN.
NEW II//IIMLTERATION I V ADDITION I REAR 3 / FT. IN.
REPAq(.I�R/], I 1( .Jr�m6xpFG I If DEMOLISH I APPROVED Go- ,.'l y9 ,1� DATE /�/�Z-
BUIISIIVB✓ 'rren �/ NO. OF //��
SIZE Si a/n-5 ROOMS V STORIES I
EXTERIOR WALL S7ctt_v. ROOF C
COVERING r 6.4,/4.I.COVERING -/ii/,Ll-‹
USE OF BUILDING/AHD WORK TO BE PERFO'�ED
ZA7t' P F/ '-may al F2,/f, c ..1./.Agr- �.rery ,.resp, /
if (-; e _st
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAVE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNTSHOWN UNDERVALUATIONIS FOR THE
PURPOSEE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITYTRU ORDINANCES AND STATE LAWS REGULATING
BUILDING
SIGNATURE OF� �i �_ �. !��ON. VALUATION R
. ,V'Cr 44.1-47-‘
PERMIT FEE S 9�
PERMIT'EF '�pn' 'Q "j _
6/C/// $ `/O(S�� PLAN CHECK $ �� DIY
AUTHORIZE AGENT ! / ¢
TOTAL FEE $ 7�— y