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2798 VIREO CI - Building Permits
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY S CO STRUCTION:PERMI ' PERMIT NO. `TRACT NO. LOT NO. •.UNIT NO. 1 e I ' i A+�MESA ! ONS G T-: err.. ' r; c ( o r .i : I 1 Com. Bro)ec , dress vim'/Q /l/�L Y C/ •- , - i i 1 • i �� ';;E,--ii"��%�" i I Oil-70- 3/'27/85 • vn ° 5:i 2.. 1..1— ' Applicant's Mailing Address r I i TYPE OF CONSTRUCTION-- I❑'NEW ❑ ADD` ❑ ALTERATION`_❑-REPAIR _ -, , : :\ + '` ' . I - ! I ❑ CONVERSION ❑ DEMOLISH ❑OTHER - ' -A P #{ i i , , [Zone ? • Owneds Name t - • •- Phone I - 1 LL- - - - - DESCRIPTION-OF WORK/USE OF�B LOG.: . _ Address ; i _ r 1 + : , I '- S' Main-Building' , Accessory Building / ,Arch/Eng, - - -License No - TYPE OF PERMIT' I U,GRADING •❑ FOUNDATION ❑ STRUCTURAL T Front `' ' ' ? • r , I '' 1 'O ( Address • I. I Lt> o I 1 LiITEN ANTI ELECTRICAL. ❑IPLUM GING, ❑ MECHANICAL ,B _ _ , - ' ` N '1 '``wsl K Pfrrr�S ��o�-f�/-i'honE�_i '� ❑ OTHER ( + A Rear �r, 1 N Contractor's Nam r se 'PROJECT DESCRIPTION SQ:FT. OCCUPANCY I C Right G Address lmaihn r `ZA.emp - i CONSTRUCTION TYPE VALVATION $ • $' Left - w .r ( * t - If ''iR I ! City License No. �(' ; ' ' i _ I 1 = ping. Ref.# Parking Req./Provided ( r- .. 1 Q• , ZONE GRADING CU. ACRES I 1 _, Ir; E l I LICENSED CONTRACTOR DECLARA ION I ! I hereby affirm that I amlicensed'under provisions of Charter;9 (commencing ' Remarks: ' I I • N • - !Planning Notes: I - I M \ with section 7000)'of Division 3 of the Business and Professions Code, and - - ' _ : T ;my license is in full forcep nd ayfeet. ' ,,JJA�II// I i • ( , , I •, ! • ! License Clan[ • 1 Cr. 70 •' • is se,Nq,dc'ro I>z 7 r1 ' •: , , . - 5 + ri.-� !Date ^rG7'�" Signature,_ /(�/�'P. I ! i • PLUMBING I : ' FEES' • r i 1 - ! ' -v 'WORKERS'COMPENSATION DECLARATION I • Bar Sink' Showers ,• i• ELECTRICAL 1 iF ij EES 5ereb'y affirm that I have a certificate of consent to self-insure or a certificate ! - II workers' Compensation Insurance, or a' certified copy thereof (Section : -i-... , _ __ ' C�j L. _ j. . Backflow Preventei _ _ - '_Service Sink - Automatic Washer -- -^ - •-Transformer -.-' • P JD No.37/3' / O:" Sc'i Com any4/4/5 /"0 'P _ • _'._ 0 15-50 KW-_J' • P r Backflow Irrigation I I Sewer Cap ,- Construction Pole Sub. - I 0 50� KW Certified copy is hereby furnished. ' , , , , — Cert ied opy is file with the city Buil {ng Div) Bathtubs ' Sewer Connection Cooking Unit ' Meter ❑up to 100 amps, I Dates_o'7-A<, Applicants 'TA / O7 y , - , 'EXEMPTION FROM WORKERS'C ENOMV S�ECLARATIONI Clarifiers j , Solar Collectors ' . '• ' Dishwasher I Meter mover 100 amps , co (This section need not be completed-if the-permit is for one hundred ($100) or less).. I : Dishwasher Solar Piping I , Dryers ❑Gas DElectric S l I certifythat in theI p 9 y % Sub Panel' _ per(or mance of the work for which th is,permrt is iszuetl,I ;shalL`hot'employ any person;in any manner so as to become subject to the Drinking Fountains j - Solar Tank Fan , Motors❑0.1 HP ❑,1 y.-B Workers'(Compensation Laws Of California. - - - - ._ - i . Date. Signature - - I • • Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP D16-15+ I (NOTICE: If,after making this declaration, you should become subject to the - .Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ! I Urinal , .0 ., __ _ _. .- - Fixtures . - - . "-AO' Microwave-- //// // q comply with .such provisions or this- permit-shall-be'deemed revoked. - -- - - + •-• - 1 Y VYI :CONSTRUCTION LENDING AGENCY •, "' 1- Gas Service Outlets ; Water Closet '_' Device Boxes Pole Light ' I hereby affirm that'there is-a construction lending agency for the performance .. - -- - - !of the work: for which this permit is issued (Section 309] Civ. C.) Interceptors I -I. _ Water Heater - • J9 Outlets 1 VF :Range I G Lende'r's Name n _ _ ' 9 t I D i Lender's Address' f• - Kitchen Sink - WaterrService - ? Switches ;Sign 1 gd OWNER:BUILDER DECLARATION - - - _ - ' I hereby'affirm that I am exemptlfrom the'Contractor's License Law for the I r• ' Lavatories r ' Auto Wash I - • 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 '2: _ -Laundry Trays . - - ' ' 1 1 1 any structure;prior to its issuance, also requires the epplicant4or such permit - '�' - - y y - - Generator'❑45 KW❑5-15 KW Trash Compactor ' to file a signed statement that he/she is licensed pursuant to the provisions of -- - - - T i •• the Contractor's License Lawi(Chapter 9 (commencing with Section 7000)of i I Roof Drains C. -- _ - ) I , I g:7ivision :3 of,the Business and Professions Code) or'that he/she is exempt ,. . - -srefrom and the-basis for the alleged exemption. Any_violation of Section - - - r -- • _ C1 , ' . - "r31:5 by 'any applicant for a permit subjects the applicant to a civil - -- - - ,•' - -- . 'e:natty of not more than five hundred dollars($500): - - - - 1 - - ; 1. - O I,.:as owner of the ,property or my employees with wages as their sole . Reinspection Fee :6 $15 I Issue Fee - $ 3 - - compensation, will do the work,and the structure Is not intended or offered + -" Reinspection Fee I $15 .[Issue Fee ' $ 3 i for sale (Section 7044, Business and'ProfessionalCode: The Contractor's ' - 1 i • MECHANICAL' • '" FEES - ' License Law does not apply to an owner of a property who builds or improves -• - - 1 - i ' 1 $ i 1 I thereon,`and who does such'work himself/herself or through his or her own - l ,- DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not Intended or offered for Boiler. r,. 1 Hood or Type I ❑ ' , . sale. If, however, the building or improvement is sold within one'year'of coin- ' 'Canopy Type II 0 '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 - 1 prove for the purpose of sale)'. ' I• ; /�f 0 1, as owner of the property, am exclusively contracting,withllicensed con- Duct-Structural Refrigeration System ; ' r;, - Application Issued By •�� ' Dat: �N� tractorsto 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 i ❑0-100,000 BTU El100,0001BTU I - SUMMARY OF,FEES I , - builds or improves thereon,-and who contracts for such projects with a con- I ' tractor(s) license pursuant to the Contractor's License Law). I am aware that 1 BUILDING PERMIT :$ SMTP ,$ proof of their Worker's Compensation insurance should be provided to me. i ExhausQSystem ❑ Multiple❑ ;System Repair/Alteration - , • I PLAN CHECK '$ PERMIT I I ❑ Iam exempt under Section - B.&P.C.for this reason • Firepl/Fact.Blt. ICBG# ' Fire Dampers' PLUMBING 1$ • ' ISSUANCE 1$ I Date - I Owner - 1 I • Heating System& Ducting I Registers ' I PLAN CHECK 25% $ `� i ENERGY P.C. 1$ I l I hereby,certify that,,,, have read this application.and state that the.above . ❑0-100,000 BTU 0100,000BTL -.. .__ . . _ _. " ._.+___.: ._ ELECTRICAL '$ 'i MP' GRADING( $ information is-correct. li agree to comply with all city:and county ordinances , : , - and state laws relating to building construction, and herebyauthorize re re- - MICROFILM $ sentatives of this city •to ant- (upon the above-mentioed property pfofi I • I ! ` } PLAN CHECK 50% $ / i 1 inspection purpo • ' _ - f��j �/ 1I I 4 1 l ' Date%-9���•5 i - - MECHANICAL !$ TOTA'L FEE ',$ 1��4` ,Signature - . , I - . _ .. . _ __ - _. .. - _ - _._ ..- a... __ -__ CMF 0865-46,rev. 10/84 White - Building; Canary !Applicant; Pink -Accounting; Goldenrod - Assessor ' I N CONSTRUCTION AND PLANNING - • . POG SPA _ APPROVALS . Permit# - Date' '' Inspector- - Date Inspector 1 APPROVALS Permit# . Temporary Electrical ServiceorPole - - - : • 52.`Pool & Equipment Location • - •r2. Soil Pipe-Undrgrnd. - - • 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 UFER Grnd. = . 57.1 APPROVAL TO COVER-GUNITE 1 7. Footings _ 58.-Electrical-Conduit-Undrgrnd. • - - ' - 8. Foundation _ ! _ _ - 59.. Gas Pipe, O Undrgrnd.,Test - ' -9. Water Pipe-Undrgrnd. - - _ - 60. Backwash Lines,P-Trap, 0 Undrgrnd. • - - - 10. Structural Floor System - 61:APPROVALTO 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' 1 16. Rough Electric Wiring : -.3L.g/f----- �1� 67.-Fencing & Access Approval - 7--Rough Wiring Sign - - i / t 168. APPROVED FOR PLASTERING - 38. Rough Electrical-'-Bar Ceiling 69. POOL/SPA,SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning - , .FIRE DEPT. REQUIREMENT - I 20.-Rough Factory Fireplace APPROVALS Permit# i 21.,Ducts, in Structure 70. Underground Hydro • 22..Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil , ' , ' 23. Gas Pipe-Rough& Test 72. Underground Flush 724. Roof Framing , . .73. Undergrnd.Storage Tank 0 Gas 0Oil- - , 25. Roof Sheathing 74. Overhead Hydro 4 26.•T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical - 1 27.1Frame 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 Coat79: FINAL INSPECTION 32.-Electrical Power Meter-Final /4 rCC 80. FOOD CERTIFICATE ISSUED 33. Final Electric • . - et. • Notes: 34. Final Heating'& Air Conditioning , • 35. Final Gas Pipe-Test - •• - • - - 36. Hood or Canopy - _ 37. Final Factory Fireplace - 38. Final Plumbing 4 • . 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 , - • . ' I ; , i } 46. Handicap Regulations . _ ' 47. FINAL STRUCTURE & BUILDING • . - 48. Special Requirements Completed I , 49. Electric Release.to Edison. , ' - " -. - - "- -- - 1 50. Gas Release to Southern California Gas Co . " 51. CERTIFICATE OF OCCUPANCY - - - - - -- - - - - - -- _ • I, No. • •.. Date _ - - - - - _. -. C • • �j I I 1 CITY OF COSTA MESA oFl 1 O )kt.0 Buil di'g DEPARTMENT .. ess OF BUILDING SAFETY P. J kp Owner Al i 1•n3 . a� ,•�. , Contractor Registered Deputy Building Inspector • Certificate of Compliance ( tFt f6E: Ct , Address -3- co- uS- "� 1\ Permit • 'Z Date Date of this Certificate �y 1 1E N `,t-S 27 Issued To the Director of Building Safety: • I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions 'of the Building Code applicable thereto. _1) Concrete 3) Welding 5) Special Cases 2) Masonry ?la I ` A) Reinforced Gypsum .Svimtt mrg—Po'a4 Size x S Cunite _Hand Pack " eh Sacks Cement Tons of Sand g Approximate % of water in aggregate Glu/) • c This report covers work completed during week ending l 'pS- REMARKS: ---- c`�F� volt 1 AWMP RECr TEREQ . :PU Il ;ILDINC INSPECTOR ERROL_. HEESCH • Name 20692 Elizabeth Ln Address Huntington Beach, CA 92646 `tel Laborator( i ).t ' ` �, _ LTelephone 9h3 ASV • Form BU 6 ' 'T' Clk.lkeaCi€ Ce . / ' CITY OF COSTA MESA BUILDING DIVISION P.O. BOX 1200 COSTA MESA, CA 92626 PERMIT EXPIRATION FORM To: `/3. Cn t-& Date: `r .A. -979f? 71/1 ho-t7 Fitz- erg Permit # 0-02.4`.a 72 4.6 £3.0 99132J, Project Address: Our records show that the listed permit (s) was obtained for property improvement, or alteration, at the above project address and the project was not properly completed. This (these) permit (s) have expired on (date) /r?-ss'- z3/ , and was (were) canceled ori iodate) /--5--53 ul The permit (s) was (were) obtained by, ©'Contractor ❑ Owner, ^ Name , % z, .* . ,. I_ Cxnttt . f3 Address q//-'ti3 ,a . I..t-.. , c - Phone t5-1f/- `>/e= f License Number Classification i {' To construct or install ccs'x/71 . ✓xr'.%L` . rt. . I ❑ Please contact your contractor and instruct him to resolve this problem. Please be on notice that without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. ll If you need assistance in this matter, please contact inspector 1..-00-6.2.4-- 1 9.66,1rQ6 at (714) 7)54' 5c)93 , between 7:30 and 8:30 a.m. or and-4:00 p.m. 6 A/ - 5 , Sincerely, c--2h V.C. Newton Assistant Development Services Director/Building Safety By /1]çv , /12 , Deputy Building Inspector White copy-owner, Pink copy-Building Division, Canary-Zoning GMF 0985-46 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA I PERMIT NO. TRACT NO. LOT NO. •BLDG.NO. - - 7.00 1 • CONSTRUCTION PERMIT I '7a1 1.007' E/26/81 Project Address 7_.:.?.._ i72Lf ir'2O I.-c. i _ TYPE OF CONSTRUCTION _ • Owner ' , l 1 , Phone 0 NEW ❑.ADD 0 ALTERATION > Address . 'l—I 9 �n �( ��' ❑ REPAIR ,❑ CONVERSION ❑DEMOLISH ZONING REGULATIONS Arch/Eng. 11 - License No. 0 OTHER - - - • ' . - - Address . _. 1. • ' - . DESCRIP •N OF W•I•K A.P. —� S LL_.r j c_e ZONE .'PLNG. REF.yfr Contractor ' r -J` • p Vie, f1 r ) TYPE OF P f-T i BUILDING ETPo� DG NEAddress \[ V2,..a �iert� ❑ GRADING 0 FOUNDATION 0 STRUCTURAL LDTYARD LICENSED CdNTRACTOR DECLARATION - ❑ TENANT ❑ ELECTRICAL OPLUMBING OMECHANICA SII EVARG ,:- I.hereby affirm that I-am licensed under provisions of Charter 9(com - RIGHT mencing with section 7000) of Division 3 of the Business and ❑ •OTHER - -- - - Professions Codenajid my license Is In full for and effec REAR YARD(TO P/L) • . PROJECT DESCRIPTION - _ _ PKG.SPACE REQ. PROVIDED License Class '-1 l-Icanse_N_oo1 - - SQ. FT. - - - Date Signature1 STREET WIDTH PARK FEES * WORKERS'COMPENSATIONION DECLARATION - - ' OCCUPANCY. - CONSTRUCTION TYPE - - -- _ I hereby affirm that-I have a certificate of consent to self-Insure-or a VALUATION ' • ZONE - ZONING APPROVED BY - DATE certificate of Workers' Compensation Insurance, or a certified copy - - - thereof(Section 3800,Lab.C.). . _ _ _ .GRADING CU.YDS- .ACRES ,SPECIAL CONDITIONS: . , •• I Policy No. Company - - . .. ❑ Certified copy is hereby furnished. REMARKS: ❑Certified copy is filed with the city Building Division. / / • EXEMPTION FROM WORKERS' COMPENSATION DECLARATION • "OST -J ((This section need not be completed if the permit Is for one hundred - • - - - - - ' ($100) or less). .- - ' II certify that in the performance of the work for which this permit is • issued I shall not emloy any person in any manner so as to-become ' PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK' subject to the Workers'Compensation-Laws of California. • UW tLCI1VU s.A RAGE Date Signature BATHTUBS SHOWERS 'SO FT. So FT NOTICE: If after making this declaration, you should become subject TOILETS • . . URINALS GENERATOR 0-1 KW_1-10 KW - ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - - . ' forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - APPLIANCE 10-50 KW 50+ KW revoked: - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm that there I a construction lending agency for the per- SERVICE SINKS ' SUMPS (INC.SOLAR) 10-50 HP 50+ HP • formance of the work for which this ermit Is Issued (Section 3097 - Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES • Lender's Name ,( Lender's Address --.64 DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP COINS I KUC I lON - Any city or county which requires a permit to construct, alter, - POLES METERED SUB • Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN „SUB quires the applicant for-such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETSSERV ICE AMP - (Chapter 9 (commencing with Section-7000) of. Division 3 of the ' Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT , - , _ , - - . basis for the alleged-exemption. Any violation of Section 7031.5 by- any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS of not more than five.hundred-dollars ($500)._ ❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS • - - sole compensation, will do the work,and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ISSUE FEE - - Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEEAPPLICATION APPROVED BY DATE through-his own'employees, provided-that such improvements are not - t, N intended or offered for sale. If, however,the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES ' is sold within one year of completion,the owner will have the burden of proving he did not build or improve for the purpose of sale). BUILDING PERMIT $ 0 1, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100.000 BTU flitilt- AND DUCTING _�' licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT $' ' and Professions Code: The Contractor's License Law does not apply to ISSUANCE- $ 1� an owner of property who builds or improves thereon, and.who con- REFRIGERATION 0-100,000 BTU PLUMBING $ _ EZ tracts from such projects with a contractor(s) Iicesnetl pursuant to SYSTEM GRADING $ the Contractor's license Law). _ _ _ 100,000+BTU - _ _ _ PLAN CHECK $ _ _ ❑ I am exempt under Section B.& P.C.for this - . $ _ r - - BOILERS . - BTU ELECTRICAL $ - MICROFILMS •4 reason _ PLAN CHECK $ Date Owner • • SYSTEM REPAIR,ALTERATION• 4, _ / TOTAL FEE'S in) MECHANICAL $ Thereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LE55 AD- • l Information is correct. agree to comply with all city and county PLAN CHECK $ • VANCE PC $ 71( ordinances and state - .r .ti g t• construction,and hereb aut•orize representatives o hi t t• enter upon the above en i• d property for i pection aJS _, •4--•-•1 Signature _ .// _ Co Date A' tX _ - _ - - FINAL FEE $ - 7 Drivers'License or SS ISSUE FEE ', I .. .- _ CMF 0865-46 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL &SPA . APPROVALS Permit # Date Inspector APPROVALS Permit# ' Date Inspector 1. Temporary Electrical Service or Pole 43. Pool"& Equipment Location - -- ... • -_ - .-- 2. Soil Pipe-Undrgrn ; i:, .; - -- - --' - • 44. Steel Reinforcement . ., _ 3- Electrical Conduit Utility-Undrgrn " 45- Forms _iD _ 4. Electrical Conduit-Undrgrn , 46. Electrical Bonding ' -. . _ .__- ___ _ - '. 5. Steel Reinforce -- 47. Rough Plumbing & Pressure Test -• - ' 4. 6: Electrical UFERGrii - -- -`- -- '..•._ , - r ,r, !•48. APPROVAL TO COVER:GUNITE .. __ . _ __-_ ___. _ 1`. 7. - Footings - - - - - - v� r. • �.., "+•"• ,- •'� "49. "Electrical'Coriduit-Undrgrn , . . , . .. . „ " . - .:-.'- - r--8. Foundation - - -- - -- --;; _ ;f• - - • - - - . --- - 50. --Gas Pipe, D Undrgrn;Test ,,, •'' C:, - „ - . • •.• 9. Water Pipe-Undrgrn 51. Backwash Lines, P-TraP,-111-Undrgrn'• v - - •- ----- -+ 10. Structural Floorsyste-m;-'------- - ---. - 527 APPROVAL TO DECK------ - -•-- --- - -- 11. Property Sewer Line & HouseiConnectiom .'i.• . ' -- . '53.. Backwash & Receptor-Final. „ : "' '. , I. '-' •-: ''::"'.' ' I 12. Street Sewer Connection -;7a.- ':i ,- ,...,a. 54. Heater &Vent-Final'i'" • ' °' °,.,. r. : '. 1 13. Rough Plumbing - - - - - - - = - - --- '---_.__ _... _ _. _ 0, =- - ,. =•=55--Plumhina Svstem,-Final "-14. - RoughiElectric-Conduit -. --- _.- -- - t . _ _ _- _ _- ;56._.Electrinal'Firial - .,.� - L• 15: Rough-Electric-Wiring - -- -- - ---- -- - --44._______ _ -.L,_ _ •_ 57._ Solar System-Final j , ,,jiu • c ' • rt., 1 -,' ' ' .16. Rough_Heating &Air Conditioning _ . _. _ . - I __ __. .._ - . _ , 58 . Fencing & Access Approval 4. • on:-.. 1.4 17: Ducts, in Structure - 4 „ . 59. APPROVED-FOR PLASTERING: • - - ,t: • 18: Ducts, Ventilating " •• ' • ` i - , - - -' ;1-g, - 19. Gas Pipe:Rough &Test 60. POOL/SPA SYSTEMS FINAL. 20. Roof"Framing . - - „ . , ,.- . . ,- . •, .. _ . . __ _ _' ., 21, RoofSheathing ' „ - I,.. '• T z /. ,. l ,� - ,•-r. , ,� r- 22? Frame and Flashing -• .. f - _.NOTEShr-na, +4 ffi` IO- j 4.;%; ", 23. Insulation . , . : . -.r -_.__ -.12X17=l1 +'�s'u:kt .te Le,e- ltita 5 kw -co-A1 , 24'. Lathing & Siding I ..._ a J.. 0 25. Drywall Nailing I 26: Plaster Brown Coat . - ., _ - - ' a _ 27. Electrical Power Meter-Final 28. Final i Electric' • ., I • , . „ 29: FinallHeating & Air Conditioning - j/-it-0 Oct' ' •+,•%_, - ,• • + • :•.'. a. , .. •• - i 30. Final;Gas Pipe-Test I y . . ', 31! Final,Plumbing I '" - 1 • r •„ , , - . , • 32. Water Service-Final .` - - -- - - �- ? r, .. ' - 33. Ga's'Service-Final O- ! a - 9, . - --' ,�s% APPLICATION FOR A BUILDING PERMIT Tract Block Lot BUILDING PERMIT NO. Electrical CO Permit No. c Building ^( ' S S Plumbing a Address 2.7 ' ('1 1 /I I/1 eC 1 �C Cl"-11 / bT y Permit No. ea L _( 7S 1Jr VCrross ` I/ / Mechanical pD, •Area C,Sr--A t44 c,ii Street Permit No, a m Owner 17 l J ' 6 Type of Project: ❑ New ❑ Alter ❑ Addition Address 27 9A) 11(Yt ..) Ck,YLC_ ❑ Repair ❑ Convert ❑Demo ❑ Occupancy Pmt. Sure�^�^ gjT� ( V`•A `A `-Zi A.P. D irt./ City �r� Zip PhoneInsp.Area ' Architect/ Zone Spl.Pmt.No. Designer License NO. ,Setbacks P/L Front C/L St. Street Width Address Yards Left Right Rear City Zip Phone Eave Pro). Left Right h,P, Engineer License No. a Parking Spaces Required Provide Covered tu Address - -- I I m City Zip Phone Strutt No.of • No.of Height Stories Family Y LICENSED CONTRACTOR'S DECLARATION Park Fees _ Yes Fee CO Required _ No C.T. Receipt m I hereby affirm that I am licensed under provisions of Chapter 9 L (commencing with Section 7000 of Division 3 of the Business and Zoning Approved BY: Date �. Professions Code,and my license is in full force and effect). License las ' =.se Number T Date Cbntracto a I YZ � ! Misc. E Address \ '03 ‘•--, A v"�'^'k Proposed Use it City and Zip Phone C1/411 0)1 L.‘ of Structure vi CONSTRU ION LENDING AGENCY E I hereby affirm that there is a construction lending agency for the CCct Cone Code performance of the Work for which this permit is issued (Sec. 3097, Class Const. Year ` Civ.CJ. ��\\ EC 0i Lender's Name /l C ! k USE/OCCUPANCY SIZE SG.FT. . Lender's Address /�J OWNER-BUILDER DECLARATION y1. I hereby affirm that I am exempt from the Contractor's License Law afor the following reason: CI e ❑ I, as owner of the property, or my employees with wages as their 2. sole compensation, will do the work, and the structure is not E intended or offered for sale. 3. .- 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ce$ 0 I am exempt under Sec. , B&PC for this reason 4' N a Date Owner E WORKERS'COMPENSATION DECLARATION Total Valuation aI hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Required ❑ Yes ❑ No or a certificate of Workers' Compensation Insurance, or a certified C copy thereof. Grading Pmt. r---( Grading V Policy No —Company - RequireC' L2,Yrs– ❑N0 Pmt. No. a 0 Certified copy is hereby furnished, C, Rough Grading o. X-6eriifi is filed .5/-x C Approved by: Date la 6 p with� pI / F Date Applicant C3 CERTIFICATE F E MPTION FROM WORKERS'COMPENSATION INSURANCE Z c (This section need not be completed if permit is for $100 or less). 3 I certify that in the performance of the work for which this permit is tT ' issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. PERMIT FEES Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $ Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such Special provisions or this permit shall be deemed revoked. Electrical $ Invest. $ I CERT IF 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 $ ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABO MENTI to .• PROPERTY FOR INSPECTIONPre-Grade POSES, - / // Inspection $ d� Pre-Grade Permit Signature of Applicant or Agent D to Rec.No. $ Issue $ ) ei— CnG" t27O7RS St. L'c. Print I tent's Name , All spaces within this box must be completed to process Plan I Approved: Issuance Check BY: Appa CMF 0335-46(BU-28) rev.6/80 'I ADDRESS a'BMLN 2798 VIREO CI UMr: CITY OF COSTA MESA — BUILDING PERMIT O(MERS NAYE IP IDKNRh: DETRO, DAVID G PERM NO: B 078535 ADDREss: 2798 VIREO CIR • COSTA MESA, CA 92626 PERMIT NO: B 078535 PLAN CHECK NO: N GOVT: N SUPP : N 842-3622 APPL.WIIWG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: 0TH ARCHITECT OR ENCOMER: LIC.NO.: JOB DESCRIPTION : REROOF 1950SF PART OF RESIDENCE W/SHAKE SQ FT: 5, 850 1RCN OR DI0.1 ADDRESS: WIT: CLAIM VALUE: 5, 850 . 00 CALC—VALUE: 5, 850 . 00 GROUP OCC : R-3 / 0oN1PACTarSNLME ACTION FIRST ROOFING SERV ( 714 ) 842-9122 • CONTRACTORS MMUNO 7472 SLATER AV COMMENTS : REROOF W/SHAKE ICB0#4964 ( 1 . 5PSF MAX WT) ADORES& HUNTINGTING BEACH CA mw, 688649 ****+Er **4*+t***atN*stir****a-lex-iE***i(-it*K-***et**uK-****x-at*rr•>t-************** .iE****** -**** 92647 LINT: Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in fug face and effect cry uc.NO.: 064302 uc.cuss: C-39 uc.NO.: 688649 EXP : 05/97 MAIN BUILDING ACCESSORY BUILDING --------- q { fi ?? FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ome:. 7 ��` 7h cennaa«: Tj7 / ( tY7o LEFT: FT IN RGHT: FT IN LEFT : FT IN RGHT : FT IN • OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt horn the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city o county which requires a permit to ma:tmd,alter,improve, PARKING REQ: P ROV; PARCEL: 13960117 Z N E: REF NO:. demolish,or repel any structure.prior to itsth issuance,also requires e applicant tor such permit to file a signed statement that he or she PLANNING NOTES> % licensed pursuant to the provisions al the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the I usiness and Professions Code'or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > t .r 7031.5 by any applicant fore permit subjects the applicant to a dwl penalty of not mote than five hundred dollars 13.5001). ********************************************************************!E********** ElI.asowseralhepropanbfk, yormyemployeeswithwagesaslhesolecompensation.widotheworandteStructureeSanded DEVELOPMENT SERVICES R E Q U I R E M E N�,`T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an ownerd property t who builds or improves thereon.and who does such work himself or horse/or through his or her own employees,provided that such ny improvements are not intended or offered for sae.f.however.the building or improvement a sold within one year of completion,the ZONING APPROVED BY DATE; ri owner-Wider will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I,as owner of the popery.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE: �. Professions Code:The Contractors License law does riot apply to en owner of properly who builds at improves thereon and who -'' I contracts l«such projects with a contrador(s)licensed pursuant to he Contractors License Law), - �� p ❑ I am exempt under Section: B.&P.C..for this reason: APPLICATION<ISSUED BY: DATE: tL IJo ************-*********************************** ***************** ********* Date' Owner: We LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 1 do hereby certify that I am aware of and understand the requirements of Caldomie Health and Safety Code Sections 25505.7.A.13.and 25534,and that I or any future building occupant will/wil not(circle one)need to comply wth said sude codes and the requirements for • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification from the Achy aagernent District.Residential odmnxtion°ppimtons are exempt horn these Provisions. PERMIT 112 . 25 . 59 Date: ApplicantSMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under pertly of perjury one of the following declarations: ISSUE FEE ❑ I have and MI maintain a cedif icate ol consent to seffiinsure for workers'compensation,as provided for by SediC41 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance dthe yak for which tnapemmit orissued. TOTALS----> 112 . 84 0 . 00 0 , 00 112 . 84 112 . 84 , 00 ❑ I have and will meintan workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the soak lw which this perms is issued.My waken gxOpgngpt (gsorqOpQ cg(gatpd pday mamba ore: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 112 . 84 OVER/SHORT: . 00 Canter: 1a1/1r L1 1V GAIaL Policy Number: NHL ,JG1842-02 09 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC- 112 . 25 ECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK is scree not as completedrrn.pamxlsro.one hundred dollars(stool 112 , 25 - . 59 ❑ I candy that in the performance el the work for which this permit is issued,I shall not employ any person in any manner so as to become w,bjed to the workers compensation lawn d California. and agree that d b should become subject to the workers' *************************************************************** **************** caremap prw d Section 3700 sof the Labor Code I all forthwith comply with pm, / INDIVIDUAL F E E BR EAK D OWN v Date: / �/ Applicant' Arai Ar , Pinning:Failure toflours workers'compensation coverage/sunlN( wandWllsub/Menmrploys,tocriirsalpnuMuand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST PIO fines up to one hundred thousand dollars($100,000),In addition to the coat of compensation,damages as provided for In SecUon3706 of the Labor Code,,Interest„andsfomsy'a lea SFR 5850 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 850 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a mmstoction lending agency for the END OF FEES performance of the work for which the permit is issued(Section 3097,Cir.C). LENDER'S NAME: • LENDER'S ADDRESS; I certify that I have read the application and state that the above information is correct.I agree to comply with all dry and county ordinances and state lawn relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. DORIS WADA • `j m Print Nemo - . rf�'YJ:rV-UCS IF S:ITE. L_�. 1,cf i. 1G ' . C Date: 7' 1;� O.T. ,.� f itC '".j,s Signature of Owsar/AgenVApplicanVCmlreda (5151'45.WP) While-Buidip&Safely;Green-Pile;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor _. -'11. - - • POO1 PA - CONSTHUCTION AND PLANNING - - APPROVALS Permit# - ' Date Inspector'' APPROVALS ' Permit# - Date• Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 1 - - f 3. Electrical Conduit Utility-Undrgrnd.- 54. Forms 4. Electrical Conduit-Undrgrnd. - • 55. Electrical Bonding • .5. Steel Reinforcement _ 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,•P-Trap,0 Undrgrnd. 10. Structural Floor Systern 61. APPROVAL TO:DECK ; 11. Property Sewer Line & House Conhection 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 f • 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. Undergrouhd Hydro ' • 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - - _ ' 72. Underground Flush 24._Roof Framing -7/&_9G &a "yg' 73. Undergrnd.StcrageTank 0Gas ❑Oil 25. Roof Sheathing - - t - - 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 PREY. FINAL - 30. Drywall Nailing - 1 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 GM Pipe-Test 36. Hood or Canopy ,. - - - - . - - 37. Final Factory Fireplace - l 38. Final Plumbing - - - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final - I - 42. Backflow Preventer• • - - , . .. 43. Backflow Irrigation- - - '. _ - _ 44. Landscape Irrigation System: - _ [- - - 45.•Sound Attenuation - - - - + 46. Handicap Regulations •-, - - - 47. FINAL STRUCTURE & BUILDING -7_/g.lr,a(,zj� -, • 48. FINAL PLANNING - ! ! _ 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co - - 51. CERTIFICATE OF OCCUPANCY . No Date 1- F Jorn'£Ae Desk of . . . KLAUS STRASCHIL /Pc . 6W- d)`/ s oee_tz e6 d36 x = � _ 5-76 Tifr 6-76 x 6S% = 751 93 pro/ V t `f) x _ /28 (2s f Z. $) X � = Zo / qT — este 226 S , f� 4-1A- -fe .rc�- ct r . e- - _ _ _ Applicant to fill in all space%except those within heavy border lines and sign all appropriate declarations. TAS MESA ONSTRUCTIO PERMIT PERMIT NO. TRACT NO., LOT NO. UNIT NO. 8531 9/2O/B4 205.311 TL Prole address. ,� t% t'c A C---r, - SE 1535 I r��"]SS1 1'7 , ., • ^ • ,` 1 TYPE OF CONSTRUCTION ' D NEW ADD U ALTERATION '❑ REPAIR' • Appli:ant's Maili • Address ��� 4 a `U t� SSc)_r • ❑ CONVERSION ❑ DEMOLISH OTHER- - A.P.# - ^� /� I ''� Zone T Owner's NameR, - 1a /'� ` �P,h'p\n,�e V • DESCRIPTION OF WORK/USE OF BLDG. rt' Address r� /�' - \ce 47 CT, l oS a..\ •\to Cp` p _���-____ men t-4 - +� p •- �W S Main Building: Accessory Building: ,s- Z Arch/Eng. t ` �V` _ ++� r,� ` License No. �`y, TYPE OF PERMIT ❑,GRADING-❑ FOUNDATION fir STRUCTURAL T Front- 1 I �Pd • • 'O V 1 Address )ICI � 44t4203' �h_ `tJL7/�C!\�' U'\ CYy /O1 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL• B Rear .A S��'y.( L N Contractor's Name (Lk '� Na. e. ❑ 'OTHER (R^1 _ N Address 01�• , �1 PROJECT DESCRIPTION SQ. FT. - -`L�-7 OCCUPq� y ,�1 C Right _ '.S L�DU ' , G (mailing) • s C. .�. tea_. J)�11 n • S Left S1� (�ll A.;? : � / / i' CONSTRUCTION TYPE VALUATION$ W� City License No. , ."7� • 6 _ ZONE 1 GRADING CU.YDS. AC RES - E LICENSED CONTRACTOR DECLARATION • ' _ _ Ping. Ref.# Parking Req./Provided• I hereby affirm that I am licensed under provisions of Charter 9 (commencing t Remark G4! -S4s e' 1�a-OLS - Planning Notes: ' • M with section 7000) of Division 3 of the Business and Professions Cotle, and V T my license is in full•for•i antl•effec•t. Licens> lass s a License No. •i• ��"A a r l S S' Date .� • Signature• 1 _,.r y � . PLUMBING FEES Y (leh-yy\\"� • ' 'OR KE RS'COMPENSATION DEC LA RATIO ; • ' Bar Sink I Showers '- ' ` ' ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate - I _ ,.Workers' Compensation Insurance, or.a certifies'copy thereof (Section Backflow Preventer- - - Service Sink • 3800, Lab. C.}' p ' `e-�c' 11 . - _ _ _ - Automatic Washer Transformer-0 15-50 KW- , . -- PolicyNo. Y-'.30��.J Company ` Backflow Irrigation Sewer Cap ` 050+KW ' *,0 Lertifien copy is hereby furnished. - Construction Pole Sub. __ • 'Q�'Cerci{' tl OpY i1 d with the city B. g Division. • • Bathtubs Sewer COnnectiOn S (s�CFCooking Unit • Meter ❑up to 100 amps Date 1 �J 11• Applicant '• , , - _. - L ' EXEMPTION FROM WORKERS'COMPENSATI•N DECLARATION Clarifiers Solar Collectors i. 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 ❑Gas' DElectric Sub Panel I certify-that in the performance of the work for which this permit is issues, I _ shall not employ any person in any manner so as to become subject to the Drinking Fountains • Solar Tank -' , ', Fan ' Workers' Compensation Laws of California. I - - Motors 00-1 HP 0,1%18 I • — Date ' - Signature Floor Drains SwimmingPool w/Spa - -- ? P �- F.A.U. Inc Solar 09.15 HP 016-15+ NOTICE: If,after making this declaration, you should become subject to the .4_ . 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. ' i -Microwave • --- CONSTRUCTION LENDING AGENCY' GasService Outlets 'Water Closet r . - iSDeviceBoxes $ - , Pole Light3r0 1 hereby affirm that there is a.construction lending agency for rthe performance • - of the work for which this- permit.is:issued (Section 3097. Civ. C.) - ` Lender's- Name - - Interceptors - - 'Water Heater • 7 is Outlets Range Z +. Lender's Address " 1 - Kitchen Sink -Water Service I `3 Switches. Sign lid OWNER BUILDER DECLARATION.. . - I hereby afflim that I am exempt from the Contractors License Law for the Lavatories • .1 - Garbage Disposal $Landing Sections ' 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-Tra •p structure, prior to its issuance, also requires the applicant for such permit p • Generator 00.5 KW 05-15 KW Trash Compactor to file a signed statement that he/she I5 licensed pursuant to the provisions of Roof Drains • • le Contractor's License Law(Chapter 9(commencing with Section 7000) of - - ivision 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 - • - ' 7031,5 by, any applicant for a permit subjects the applicant-to a civil - . - enalty of not more than five hundred dollars ($500). I • 3 'Li I, as owner of the property or.my employees with wages as their sole • Reinspection.Fee I $15 Issue Fee - $ 'compensation, will do the work,and the structure is not intended or offered ' ' - Reinspection Fee I $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 noes 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 , - 1 Q sale. If, however, the building or improvement is sold within one year of com- -- Zoning Approved By �,''y L1 ` •- Date $^�1" pletion, the owner will have the burden of proving-he/she did not build or im- Duct-Under Ground Canopy; Type II 0 . l-" grove for the purpose of sale). I 'Building Approved By Date 7-j,,0-84' LJ I,'as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System • Application.Issued By - Date 7A . 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_ ❑0-100,000 BTU ❑100,000 BTU • •SUMMARY OF FEES builds or improves thereon,and who contracts for succi projects with a con- - _ _ - - tractor(s) license pursuant'to the Contractor's License Law). I am aware that - BUILDING PERMIT ' $ I I IP • 50 SMIP $ I . 1 Z proof of their Worker's Compensation insurance should be provided to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration 0 am'exem pt under Section PLAN CHECK $ -7 A%. '1 Z :PERMIT , B. & P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $ Date Owner . Heating System ` e • • PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state at the above ■1 II 111 : ■ 01 •11 : G GRADING $ information is correct. I agree to comply with all city and ••un y ordinances ELECTRICAL $ { -00 and state laws relating to building constr. tion,and her••y au horize repre- MICROFILM $ sentatives of this city to enter .on th= abve-men oned pr.'erty for PLAN,CHECK 50% $ 3.00 _ in _ion purposes. ♦• / MECHANICAL $ TOTAL FEE $ .--1;.,,,c- -2 • Eire D • rs - +- Reinspection Fee Issue Fee PLAN CHECK 25% $ 1 -n ' at ...a_ _ ���-� • *865-4r.rev.4784 White-Building;Canary-Applican , •'nk-Accounting;Goldenrod -Assessor t . . CONSTRUCTION AND'PLANNING . PC : SPA .ONSTRU S ' Permit# r�� 7f�a Date Inspector APPROVALS Permit# Date Inspector• 4remporary Electrical Service or Pole 52. Pool & Equipment Location • fSoil Pipe-Unargrnd. 53. Steel Reinforcement _ ,Electrical Conduit'Utility-Undrgrnd. - ' •54.' Forms - 4. Electrical Conduit-Undrgrnd. 55. 'Electrical Bonding • ` . -5. Steel Reinforcement 51 /5' Ce----,-- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57.' APPROVAL TO'COVER-GUNITE 7. Footings - 4S/s; �� 58. Electrical Conduit-Undrgrnd. . 8. Foundation 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 - ^ I„_�- Cc- 67. Fencing & Access Approval - 17. Rough Wiring Sign J-N - 68., APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL t 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 0Gas. 0Oil 23_ Gas Pipe-Rough & Test :L . • '1 ' 72. Underground Flush 24YRoof Framing ��105 , tC 73. Undergrnd.Storage Tank 0Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •27. Frame and Flashing - �,d'/ �-j 76. Dry Standpipe - •& 28. Lathing Siding Orr Vc> 77: FIXED SYSTEM FINAL , ' 29. Insulation - • ( 78. FIRE PREY. FINAL ' 30. Drywall Nailing y/rf�fir V(•, ' HEALTH DEPT. REQUIREMENT - • 31. Plaster Brown Coat S7/tI fftsir 1/G i79. FINAL INSPECTION 32. Electrical Power Meter-Final '80. FOOD CERTIFICATE ISSUED 33. Final Electric S/a0 ! C O Notes: 4421Fe ee,T-S&�ac F /,tCr�9LCt,O 34. Final Heating & Air Conditioning , AC of 171/05r /(,a G.uf 04er 47, 35. Final Gas Pipe-Test *emir emir 'D le pi fJ�CttunCi///T''''''1���to- • 36. Hoodor Canopy , �� - � rig ni� 37. Final Factory Fireplace," . 38. Final-Plumbing ' • 39. Water Service-Final - 'I- ..- 7 t 40. Gas Service-Final 1 41. Solar Domestic-Final ' 42. Backflow Preventer 1 • - • . 43. Backflow Irrigation .. . . - 44. •Landscape;Irrigation;System - ) , 45. Sound Attenuation • Nr . 46. Handicap Regulations ritifre -47. FINAL STRUCTURE & BUILDING ' VVC/ '48. Special Requirements Completed 49. Electric Release to Edison ' 50. GasRelease to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY _ , . ,. No. •• Date • sal ` ---Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 8372 2/27/85 1(j 71 7— CITY OF COSTA MESA yCONSTB�CTION//PFFERMIT PP('11E��RnMIT NO. "�/, TRACT NO. LOT NO. UNIT NO. • " Project Address / 9��+ '(/�'.E'Erl'L f1 % bee I 1 / l cr"167 17 - • • Applicant's Malt ng A dress .-Ot 7sat " - ' TYPE OF CONSTRUCTION Iii-NEW. U ADD LI ALTERATION LI REPAIR ' �-vj� ❑ CONVERSION' III DEMOLISH OTHER A.P.# //r^, 7 - Zone Z Owner's Name /1.11.4/.4 -�� Phon: ' -"/- -CO/0� - / ' . ' . / DESCRIPTION OF WORK/USE OF BLDG. • -- _ Addresses - I/i•2" G'T - S Main Building: Accessory Building: , '''I �7 E Arch/Eng. d,�/ CzxW�.�F�7/7 ✓ License No-rC• �L TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION LJ STRUCTURAL • T Front -. 0 Address tieS7I-'Y (2d.�r77jo Pte, ID TENANT ❑ ELECTRICAL,tCI PLUMBING ❑ MECHANICAL' Br, Rear • - - - - N Contractor's Name �� Ej� Phone���� ❑ 'OTHER �'PA- C Right a N / PROJECT DESCRIPTION SQ. FT. o OCCUPANCY - - • G Address'Imailing) �� ✓Y•T'�/-240:91 oV K /s.5(� CONSTRUCTION TYPE VALUATION Sofa. S Left R City Li • cense No. I ("� ZONE GRADING CU.YDS. ACRS Ping. Ref.# — - Parking Req./Provided ••—•t- LICENSED - E CONTRACTOR DECLARATION - - � I Q, I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: i Planning Notes: '. . �� _ : M With section 7000) of Division 3 of the Business and Professions Code, and ' �---� ,� my license is in full force air tl - "Gt. �- - , / 7—gs--s �s,� ,e .J n (}nyyl d/tl I (y $- 5 License la " G _ 9 i " s" .. ' I JJ YI )VA ✓ c'i , r 6t1.0 r'•-vs-c-r.e' Date _SLS Signature /n PLUMBING I FEES • -'WORKERS'OMPENSATION DECLARATION Bar Sink • Showers - ELECTRICAL FEES ;)ereby affirm that I have a certificate of consent to self-Insure or a certificate : • ',, Workers' compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - "'s"'BOo,'Lab.-C.$)�_ _,,// GG - _ _ .- - _ _ ." _ III Automatia.Washer - - ,Transformer. ❑-15.50 KW" -- - P licy No. 7 S 4'/ 3f3'C6pany ei�ti '-�� Backflow Irrigation Sewer Ca I ❑ 50+KW • Certified copy is hereby furnished. i • p Cookie Ction POIe Sub. • Certified copy is filed with the city Building Division. • Bathtubs Sewer Connection ■ Cooking Unit _ 1 II. Meter ❑Up t0 100 amps ■ Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • 1111DishwasherElMeter Dover 100 amps ' • ■ . (This section need not be completed if the permit is for one hundred($100) or - - less). - 'Dishwasher' Solar Piping D ryers ❑Gas DElectric - ' ® Sub Panel • I certify that in the performance of the work for which this permit is issued, I 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 DI'A 8 I ' Workers' Compensation Laws of California, ' . Date Signature Floor Drains Swimming Pool w/Spa 3 F.A.U. Inc.Solar•❑9-15 HP ❑16-15+ 'NOTICE:If,after Making this declaration, you should become subject to the ' Workers' Compensation provisions Of the Labor Code, you must forthwith • Floor Sinks ( • Microwave comply with such provisions or this permit shall be.deemed revoked. Urinal Fixtures - - ; • _ - CONSTRUCTION LENDING AGENCY Gas S¢NiCe Outlets - Water Closet' Device Boxes Pole,Light • I hereby affirm that there is a'cDnstrgction"lentlinq agency for the performance, - - ", of the 'work for which chis permit is 'issued (Section 3097' Civ. C.)• Interceptors ,- , Water Healer. I Lender's Narne. ' /7� C �' p _ Outlets • Range . Lender's Address _ x - - 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 Auto-Wash Garbage Disposal 'Standing Sections • 1 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 • ' . „ Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to Its.issuance also requires the,applicant for such permit - p to file assigned 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 - - �•,, t\ U q • livision.3 of the Business and Professions'Code) or that he/she is exempt _ ( 5.1p-'- • terefrom 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 ,1J enalty of not more than five hundred dollars($500). _ I _ i, as'owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee • $ 3 - compensation, will do the work, and the structure is not intended or offered 1 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 r thereon, and who does such work.himself/herself or ithrough:his or her own . - - - - DEVELOPMENT SERVICES REQU •EMENTS: employees, provided that such improvements are not intended or offered'for Boiler ; Hood or Type I D O CO ill sale. If, however, the building or improvement;is'sold within one year of com- Canopy Type III ❑ ' Zoning Approved By //' / Date �- /r��Gf• pletion, the owner,will have the burden of proving he/she did not build or im- Duct-Under Ground . - • �� /�$S— Date AGFESC prove for the purpose of sale). ' , - Building Approved By I �`�7S ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - • 4 , Dat- 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 ❑0-100,000 BTU ❑100,000 BTU SUMMARYQF FEES O builds or improves thereon,and who contracts for such projects with a con- . - •SU ' tractor(s),license pursuant'to the Contractor's License Law):I am--aware that ' Exhaust System D Multiple ❑ System Repair/Alteration BUILDING PERMIT, $ �'' SMIP • $ r proof of their Worker's Compensatlon,insurance.should be provided to me, , 2-Ca'j' ! - -- 1 PLAN CHECK $ PERMIT , ❑I am ezempt•under-Section- - '- B.B P:C.forthis,rea{on,, ®"Firepl/Faci'BIt, ICBG# . Fire Dampers PLUMBING $ L.00 ISSUANCE $ • Date Owner - - = Ducting Registers PLAN CHECK 25% $ ' 7 5— ENERGY P.C. , $ I hereby certify that I. have read 'this application and state that the above 0'0,100;000 : ■ 11111 : ' 12.Dc� ' GRADING, $ • information is correct. I agree to comply-with-all city and'county ordinances ' - -- " - - - - - ELECTRICAL , $ and'state laws relating to buil- construction, and hereby authorize rpre- ' SQ MICROFILM ' $ • sentatives of thi ••y'to e -on• e above-mentioned property% for 1 PLAN CHECK 50% $ - `{' inspection pur•oses i /- /�+�� r MECHANICAL $ • ' TOTAL FEE , $ ' I�� 'LiU Signature : i i. _ f- /,%• ' Date✓%/YOB - • Drivers' License or;SS# /' -+ ' - - Issue Fee • $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary- Applicant; Pink -Accounting; Goldenrod - Assessor - - - • - - - - ' CONSTRUCTION AND PLANNING � _ PC - &SPA APPROVALS - Permit# t3pr/77c,t Date ' Inspector APPROVALS Permit# f Date Inspector 1. Temporary Electrical Service or Pole :52. Pool & Equipment Locationsjj//, f r/C. 2. Soi�Plpe•Undrgrnd. t 53. Steel Reinforcement ( 1 • 3. Elecirical.Conduit Utility-Undrgrnd. ' - •i• 54. Forms • 4. Electrical Conduit:Undrgrnd. 1, 55_iLlectrical Bonding - 5. Steel Reinforceent , mr -56. Rough Plumbing & Pressure Test 6. Elecirical�UFER,Grnd. . . 57: APPROVAL TO COVER-GUNITE - 3 C{���.J� •�.; -7' Footings ' ' . ••Ir - 58. Electrical Conduif-Undrgrnd. yl`�- /tcrl�t✓ ?: Foundation i 59. Gas Pipe, LTUntlrgrnd.,Test Q<- lfi���1� 9. Water Pipe-Undrrtgrndf_- . I -' 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 (//�9/K �� 13. Roof Drains - - 64: Plumbing System - Final "/v" 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66.- Solar System-Final - 36. Rough Electric Wiring 67. Fencing & Access Approval -. 5 .17. Rough Wiring Sign • - l 68.' APPROVED FOR PLASTERING 4.57K VCi. • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ��L�/// uY 19. Rough Heating &Air Conditioning FIRE DEPT. REQUIREMENT • - 20. Rough Factory Fireplace APPROVALS. Permit# ' 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ,r 71. Product Piping 0 Gas 0 Oil • ' - 23. 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) & Monocoat - 75. Dry Chemical - • • 27., Frame and Flashing .:- 76. Dry Standpipe . 28. Lathing & Siding -- - 77. FIXED SYSTEM FINAL 29. Insulation . . 78. FIRE PREY. FINAL 30. Drywall Nailing I - - - , HEALTH DEPT. REQUIREMENT . .31. Plaster Brown Coat i - J 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' •-•-_ I - 39. Water Service-Final ' 40. Gas-Service-Final _., - °"i acct.;�� 4cbnc>< iron' , .,- 41. Solar Domestic:Final . - _ , 42. Backflow Preventer 43. Backflow Irrigation . 44. .L'andscape Irrigation System _ 45. Sound. Attenuation 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 '_- 51. CERTIFICATE OF OCCUPANCY •� +� - No. Date . 1 V OWNER DETRO, Mr. DATE 7-27_71 ,JOB ADDRESS 2798 Vireo Circle BUILDING PERMIT NO. 33453 1DESCGENERAL CONTRACTOR United Remodeling RIPTION of WORK Int.Alterations AP No139-601-17 LOT TRACT FIRE ZONE VALUE $ 1. 100.00 c+NI' 7CTIONS Signature Date GROUP .1 TYPE V ZONE R-1 SUBCONTRACTOR PERMITS ISSUED G' Date Number Signature WATER �J i Plumbing&t _ _eG ROUGH PLUMBING ��;lC.Q y[ '� C -r,? -7/ a5t 7� --c- PROP. PROP. SWR. LINE Q HOUSE CON. D I/�( j SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER ❑ ROUGH WIRING Ji ) 4; J9-7/ Heating and Vent. TRENCHES fl FORMS ❑ STEEL REINF. f FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE n SHEATHING �,/ FRAME AND FLASHING !TYX6,S /h.�6f. / LATHING - IN n ^OUT I PLASTER, BROWN COAT STRUCTURAL, FINAL // EPatri 1,�Jjj /-7j ��77�-A P 'G, VENT., REFRIG. AND A.C., FINAL ) ��ii E Y f ANG, FINAL AND GAS TEST Z /09 /Q''PA��nnn7/ / ELECTRIC, FINAL ///p�'7 r kV/ :,, Pa IB �• • .� 33 JUL 28-7iFri57002575 ***,--10.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely/- RECEIVED yBY/) DATE RECEIVED DATE ISSUED BUILDING /)--,/),_,/ 76 I/i1Cac' C,ecicAll N-_ 7-11-7/ 1_2.7_7/, ADDRESS J '//� A.P..NO 3 /•� i..-7 7 PERMIT NO. OWNER /v{L, .Dego BUILD NG ADDRESS S4'WEMAIL - ADDRIESS �7••��9``� Z • TRACT6/tJ, LOT// BLOCK IL IL. TEL. ' 0-U CITY Cos- . „./es✓. NO. CONSTRUCTION/i. �-.y� n NEW ADD ALTER REPAIR MOVING DEMOLISH Ol- LENDER Qi/"Qi/H212 /VL 0�JL�-/N(i 6i2ED/`• am �Ff1�/ 0- BRANCH J En W/-s'i-lt4V670/`/ _ OWNER /X v:L/L%.C/ m J LU ADDRESS //S/a { 1-C- /„$41/49 , ,s� //••�� � � VALUE Ja `fir Jm ARCHITECT / / • TEL. 2/3 USE 'ft/ "soy/ S/-7�' Q OR ENGINEER (/D.»•/ C�O.cISL r%. NO.?MY ZL14` - 2< FIRE i' N.a .SL,ofs4A.l A/e- L. A , J.4--GROUP K ADDRESS ZONE TYPE / GROUP / tL IL - APPROVED Ate` 72[_ I^ . .3 _`7 CONTRACTOR U/(//�"j� �Ls7r1O��//t/(,t - BY ✓ , 1/TUATE `/ jL MI- Z WAS/+/.V6,7o4/ • - Cr// J rc ADDRESS //S/3 '/5L,//), ���¢� W LU - ZONNN���,,, NO.OF /I USE OF NEW G[ Ci - CI= TEL. �/_/ PLANS C BUILDINCybic. ..e---- Z ZI- CITY 44.44-/TT/CZ/C/f[./F NO. j.-7221 �` rJ✓-�vf STATE / / CITY YARDS APPROVED YARDS APPROVED N m LIC.NO.ZCOO 3j S t , LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O . (FROM C/L STREET) SIZE /C NO.OF.BLOCS./ OF LOT. / X/0 O .I NOw ON LOT /„stir-.0 FRONT PT. no FT. • USE OF �^/J 9. u EXISTING BLDG. S,/'. /t • ' R.SIDE / FT, /i / . _ I" SIZE OF NO.OF Z ' NEW BLDG. ROOMS STORIES -- L.SI i' T. FT. V ^EXTERIOR WALL ROOF _ COVERING COVERING - aREAR FT. J USE OF BUILDING ANQ WORK TO BE PERFORMED DISTANCE BET. BET,MAIN& /N �I� S/Dem /� / C�/V —SMAIN BLDGS. . ACCESS.BLOCS. 0 a /�,f7L AQ�a .�, n e_ VAR.# DATE /.� C.U.P.# /� / _APPROVED F —ay /// OATF 27-7/ Z !#Uic Cisme+? GAP-oG — O . • ( ~.1 I hereby acknowledge that I have read this application and state ' that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ CC F any person in violation of the workman's compensation laws of N the State of California. m 0 Z 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:- CL am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. $/c3 .ry n PERMIT FEE Signature of ' I/„ Iq , J I \ A ( J $%� PLAN CHECK $ r�I� E Sermittre -?'O-s' 41{`/V-� 0 Authorized Agent Si s2 LL TOTAL FEE . \ . uwaLk imrmo, MR. D. DATE 6-25-74 JOB ADDRESS 2798 Viero Cr. BUILDING PERMIT NO. 38598 ?GENERAL CONTRACTOR Newton and Tnoryk Land. DESCRIPTION of WORK Ratio Cover S AP Noi.-39 601-17 LOT TRACT FIRE ZONE VALUE $ 1600.00 INSncCTIONS Signature Date TYPE V GROUP 1 ZONE Rl t^ sr SUBCONTRACTOR PERMITS ISSUED GA Dote j Number I Signature \\` WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE I7 HOUSE CON. In SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRINGr� ` Heating and Vent. lJ TRENCHES FORMS fl STEEL REINF. fl JG1( c4 -1 C)1-' FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING r LATHING - IN l OUT PLASTER, BROWN COAT STRUCTURAL, FINAL Electric Hr--'NG, VENT., REFRIG. AND A.C,. FINAL NG, FINAL AND GAS TEST n EL .RIC, FINAL j/�� BUILDING, FINAL _- /J A1C"In-t0 .�2 ` 35'8 25-7>~�a��u1,91101.;* *..a::?7sc COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY PATE RECEIVEp BUILDING ,-1 Q / (SSW /7!h 4-25:74L _ �/�7-/ DATE9ISrS ISSUED ADDRESS �' 11CJ V �1—h.✓ �C�. ((%%/�� (/ O( 4 (G 4 /7 OWNER M2V.D raO A.P.NO.`39 .-Gel` t / PERMIT NO. MAIL BUILDING 7-r �s, n Ps ADDRESS G- I `Q \`I tip 3E; �e/� Z ADDRESS o1/ q rJ VI �--Fv c+,-] Y Mee `�' 0-W TEL. TRACTG1S / LOT 17 BLOCK 0- 0 CITVe � h((I.� � NO. ZZ V 4 CONSTRUCTION NNEW ADD ALTER REPAIR MOVING DFM01 ISH-r LENDER ,Vato-r 1 \1..a03 ,J D BRANCHLLI r� JN OWNER M . L/1rTY�..fh m ADDRESS �+ VALUE ' J CCI ARCHITECT TEL. USE .tI-& lAc a /'AIFI7 $ t Pod.cC N OR ENGINEER NO. U Tt FIRE W Q ADDRESS ZONE T E7,.... GROUP l/ 1 w APPROVED ir /// /'(��// LP CONTRACTOR t4rD✓`ito i. SI.L*ttIt c ot,,p &&ai BY DATE ��� CO- z J cc ADDRESS aa.a 4 IS-1-A_ rte. EEffff/// ^'/ LL W TEL ZQQ�lp NO.OF USE OF NEW C Pc t Zh CITY fY 'tT i3Pa['4 NO.L// (� �^ F-k PLANS BUILDING GOv -- LB CIT YARDS APPROVED _EC STATEIC. LIC. CaM� YARDS BUILDING ACCESSORY BUILDING D O LIC. NO. (Q 75� `'� SIZE INO.OF BLDGS. (FROM C/L STREET) OF LOTNOW ON LOT FRONT AI FT. FT. USE OF EXISTING BLDG. 4GMS=• R S •eE t�--FT. FT. I"' SIZE OF NO.OF // Q NEW BLDG. ROOMS STORIES L.SIDE l0 FT. FT. EXTERIOR WALL ROOF U COVERING COVERING REAR al FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d MAIN BLOCS. ACCESS.SLOGS. Q �^ _ VAR.#' DATE O —""'c'W Co'cc r2 wo_o0 C.U.P.# APPROVED H —���' ���„'^^"'��\\���' APPROVED (�� ) Z C o(Les - t 0 N ,BY WRASE 6_49{i 7/ o ~.7 tI hereby acknowledge that I have read this application and state STATE that the above information is correct and agree to comply with CC alln laws regulating building construction, and I shall not employ ��j� F, any person in violation of the workman's compensation laws of. _ t.l U7 the State of California. m 2 I hereby certify that I am properly licensed as a contractor under SO. FT. TAX p 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 u force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • IC am exempt from the provisions of the to of California Business and Professions Co ivision 3,Ch ter VALUATION / co PERMIT FEE $ ( / 0—d w iLt, D Signature of //j /// // // m Permittee I /' `� $ ( fir /LJ9 � PLAN CHECK $ y/ E H'/ h ) `o Authorized�nt / /r-!/ LL TOTAL FEE $ OWNER DETRO DATE 6/8/81 JOB ADDRESS 2798 Vireo Circle BUILDING PERMIT NO. 51959 GENERAL CONTRACTOR Forcier Construction Co. DESCRIPTION of WORK Room Extension AP No-139-601-17 LOT17 TRACT 6257 FIRE ZONE VALUES 9,200.00 INSPECTIONS • Signature Oats TYPE V GROUP R_3 ZONE R1 G. SUBCONTRACTOR y I PERMITS ISSI ,ED G Dare Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. E SPRINKLING SYSTEM ,,ll / MISCELLANEOUS 1 ,.,,` � rer %�) -3 g/ . ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER EI o ROUGH WIRING AIC, 9"/--0 Heating and Vent. '4'I TRENCHES ❑ FORMS 0 STEEL REINF. Q . 'cna &.I • & „A/-162-.2 / �` bFLOOR SYSTEM >BOND BEAM n STEEL REINFORCE n E X (` IRE D r�I SHEATHING Incompie �IISPecti>ns '^FRAME AND FLASHING ,t q_ Cancel 3.81 W LATHING - IN n OUT n 13 Sig PLASTER. BROWN COAT DOte r-{STRUCTURAL, FINALElectric QI HEATING. VENT., REFRIG. AND A.C., FINAL j45 //a4ti /.'G/ex Ccwer c e,/. Sy1(.S ✓ P ING, FINAL AND GAS TEST n EL__.RIC, FINAL - ifiG ra-nLL ` BUILDING. FINAL J.—, 3747 6/06/81 133.46 TL , COSTA MESA BUIL. '`-'4 -SAFETY DEPARTMENT APPLIC. .IN FORSTRUCTURALPERMIT • • - P.O.BOX 1200 COSI'A MESA,CALIFORNIA 92626 - REC: �=Y PERMIT of AP379 For Applicant to Fill in Completely —/—1 Use (Ink Only jJ 7 BUILDING .^�� cv l I iai o V a_c_ A.P. NO. /t9-4 —/ 7 BDDRENS L,.' J OWNER �•--/ ,eb 7 � qUI C TENANT nQ -�Q I 04.- a ` a \ 4 � NO. ADDRESS 2,--7 d' rJ0,7Cep its_ TR.NO(,O77^ LOT BLK. KA 4,- TEL. 7_ 7 (' . . CITY .re 1UA NO./• sit NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION \ . ,�54 LENDER BRANCH E E I E OWNER D.t(,J (�C /LV ADDRESS VALUE Q'7 ARCHITECT TEL. USE oat &i exinwe $ ! Zo© OR ENGINEER NO x Q ADDRESS /�� ( ZONE f-/ TYPE GROUP /^e� CONTRACTOR p cI 1G-��1 — " , APPROVED DATE p /P/ Q'/ ADDRESS 4 i v J ct go....„„ t}-Ws,, - ./ CITY 1 J {.. -FI NOL7.J 13-64‘ 91 b I - - STATE ` +-� '"') (� CITY APPROVED SETBACKS LIC. NO. ! -iii LIC. NO. • OW 4 SIZE NO.OF CLOGS. (FROM C/L STREET) ... 4 OF LOT NOW ON LOT ! FRONT FT.L Ai.1 Q� r_ Q • USE OF .t � EXISTING BLDG. _SRL L- R SIDE , ab F Separate permits are required for • L.SIDE , PTO electric,plumbing and heating work: REAR /('_ . IW' USE OF BUILDING AND WORK TO BE PERFORMED PLANNING AC ON • a _ C Q � �� AG&`I�/ P D� / I ATE APPROVVED �{ V AP ROVED c[j1IIDATE l 8 _a/ )' //JrJ ZZ �r '.1 X W 0 I hereby acknowledge that I have read this application and state N IX that the above information is correct and agree to comply with n. 4 all laws regulating building construction, and I shall not employ S Z any person In violation of the workman's compensation laws of 2 .al the State of California. ': I hereby certify that I am properly licensed as a contractor under SO. FT. a the State of California'Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro 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 th State of California Business VALUATION o and Professions Code Divisi///o��sn 3,Cn/� ter 9. PERMIT FEE $ .ro ,n Q PLAN CHECK $ S'^L, 32 a Permittee of (� /Yfp// /1// / $ 4 a on r • TAX $ O `Cel U Permittee �` I f Authorized Agent Date /�J�I TOTAL PAID s f 33s 46 ,wr 2. 92P APR 17-6° ID 897* ***189.75 cfu r COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIy.�o gy DAT✓REc l�D DA.T¢ ISSUED BUILDING ,� .171 /O 9 �/f 4/-to ADDRESS 2798 vireo Circle pcprvu.n2 OWNER JAMAICA CONSTRUCTION COMPANY A.P. NO. ..)%4L-4 MAIL BUILDING 2 y�j //,- e �y� 2 ADDRESS P.O. Box 1967 ADDRESS (fi9t d v� LI,lii TEL. FZ CITY Orange, Calif. 92668 N0. 5475951 TRACT6757 LOT 17 BLOCK z Q CONSiRU TIQP} 1` 't��y� n NEW ADD ALTER REPAIR MOVING DEMOLISH 0 N LENDER //J//J�.�-7 Y/ RAS ` JD BRANCH '! 1Q�e, a q `' ]1; • J to Jr qq�� � �jf �q OWNER 17Q/ ( a le/�SJ / ADDRESS �V L¢-Rll-1,Lti . /LK. gong-, a cd a J O/ � VALUE /J t'6 ' m ARCHITECT TEL USE • $�' 1 4 Q OR ENGINEER Kaltenbach NO. 5478046 U N L BX ADDRESS 1823 E. 17th St . , S.A. ZZOOE V �IY/' NE 'J TYPE GROUP (�J( oy °-w APPROVED LBo CONTRACTOR JAMAICA CONSTRUCTION CO. BY • DATE CO • ¢ ADDRESS P.O. Box 1967 W w TEL. ZONE NO.OF USE OF NEW 5L1y1 !dl . 0 r PLANS BUILDING _zl- CITY Orange, Calif. 92668N0.5475951 ' R1 2 w/ att gar WD STATE CITY YARDS APPROVED YARDS APPROVED D Cr LIC. NO. 193122 LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) / OF LOT 70 x 155 NOW ON LOT , 0 FRONT /5 FT. P/- FT. USE OF R EXISTING BLDG. R,SIQ FT. PT. 1- SIZE OFNO.OF QNEW BLDG. 2690 sq. ftR.OMS 10 STORIES 2 L.SIDE 7 PT. FT. Ci' EXTERIOR WAL ROOF + _ COVERINGWO�StUCCO COVERING WOOd REAR I T. FT. ..Jt USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a single family residence MAIN BLDGS. ACCESS. BLDGS. Q VAR.# DATE O - with attached { garage C.U.P.# APPROVED I- USE OF E -BY L. D. DATE 4-10-69 rd- ' UI hereby acknowledge that I have read this application and state - that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ CC F any person in violation of the workman's compensation laws of Zthe State of California. /� _ `JAd (/ coto fA •.-9C27496 SO. FT. Jf5 70/ / a I hereby certify that I am properly licensed as a contractor underFY/J the State of California Business and Professions Code, Division 3, THE AMOUNT S OWN UNDER VALUATION IS FOR 5 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 a: VALUATION and Professions Code,Division 3,Chapter 9. 1/026C-5-45 ' 9 `-6 N PERMIT FEE $ .J Permittee nature oJtAMAICA CONS . D ' l COMPANY $39, 516'`4 PLAN CHECK -;?.a5—' E �/GG o ' Authorized AgegV' ! �G� TOTAL FEE $ / O //75." LL