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Home My WebLink About371 WAKE FOREST RD - Building Permits(714)754-5273 • Fex(714)754-4856 CITY OF COSTA MESA BI/ILpING DIVISION DEVELOPMENT SERVICES DEPAfiTMENT PERMIT MECHANICAL PERMIT Job Address: 371 WAKE FOREST RD Suite No NUMBEH T7 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/03/1999 Issued: O6/03/1999 Vicinity: Parcel Number: 14148605 - � • � - ISSUED BY: Applicant: BURR, DAN .. .- . _ , . . _ Address: 8682 WAGERS CI , r' -� , , . , , . . ,_ -� � . . � � Phone: 714-596-9796 . , _ HUNTINGTON.BEACH, CA Zip: 92647 , ;, Owner: ,FOX; STEVE�� _`�' � � Address; �'371-WAKE FOREST RD . ` _ ' � � � �� = ., � � � . , " � �� i _ � �� ; _ � Phone: 714-845-0729 ° _--, . � �� . � � WSTA MESA,CA Zip: 92626 � V' �� /�'�� // i=� � �� \�A j,��% �. � /�% %�'" >'��;�, / \\�� Contracto� CUSTO,M;HEATING & AIR ��'�; � ��' , ��V�, . Address 8682 WAG�ERS CI ,; �� ,r �� \\ � �� ; ; � //� Phone: - 714-696-9796 ' „ � � _�\ /_� �� HUNTINGTON BEACH, CA , _ , Zip:� 92647 � i ` ,' / �' � � � License:- 649444 � ��: � f'�ArchlEng �, '� ', �a," . _ � � . - � � � �` % �Address 1 /- a. - - �� 4� r' i •. ' i' + ,1 . i�•'� � '�� i ��t � T�� r � ��, ' Phone: -- �i ; � . + � , _.- �1 � .'t , A . , _ � Zip: '+ � �;'� �I, � � a. \� I - . ' License: \. � , .. . i' � i � � �' , _ � i " ` ',�'� �� ^ � � � �, SCOPE OF PERMIT � � � , . - �� l �T � FURNACE REPLACEMENT/AIR CONDITIONING ADD-ONi 7 A/C &� 1 FAU. ` -� -� � J• � � ;�,', � , '' REF: E99-00403. � - . ,1 . . . � `�, , t, • � � � " . "' FEE SUMMARY ' � �� ' . � �s , . _ � ��;'. � z \ ' - -- _ " ,�a' � �� " _ � � Quantity " - ' � ; � �� " � ' '� , Quantity�� ISSUE FEE � ' $22.00 Repair / Alt Absorblion Unil ' �. � $0.00 � .0 � Inst FAU <100 k BTU �� "� $26.50 2 Repair_(Alt ReRigeration Unit �� i $0.00 +p ;��t; � Inst�FAU>t00kBTU . $0.00 0 VentillationSystem !� � <$0:00�'0��'% Repair/Alt Cooling/Heat'�� $0.00 0 � � � EvaporativeCooler ' ,-$0.00, O.t�� Inst/Rep�RecessWallHtr.;::"� $0.00_� 0� �� .Commerciallncineretor ' ";� �$0.00 0)/ Refrig Sys.<100.k BTU $0.00 0 �. - Domestic Incinerator - -: % $0.00 � �0� Refrig Sys•>100 k BTU� � �, "- $0.00 0 - -� Compressors / Absorotion Systemsii ,^ � � , Gas Piping �\•�� ' \�;" $0 00 0 � °- Up to 3 hp / 100 N BTU - " ' : `' $0.00�' �0 Factory Fireplace ' � `$0 00 --Oa�'.` � � - � � � ` 3 To 15 hp I 500 k BTU� ; � � " � $tr00�/ 0 Hood w/Mech�Ezliaust i ,� � ��$0 00 � �0 ��' � -- ' `� 15 To �30 hp'/ 1;000 k BTU ��- � $0.00� 0 VAV Box �`� :� �� . $0 00 `0. � � 30 To $0 hp / �1;750.k BTU � �� $0.00 0 Vent Fan / Single Ducfz :� , $0.00 � 0 � ' ' - . -Over 50 hp / Over 1,750 BTU ' �;� $0.00 0 Appliance A � '� . $0.00 0 . � - � � . � Boilers � �, " � � `' � i � j � FireDampers �,��j,, ��,-$0.00�-�0. Uplo3hp " � � %�v�$0.00 0 Smoke Dampers � �$0.00 0 3 To 15 hp .. � $0.00 0 Inst or Relocate Appl Vent $0.00 0 . 15 to 30 hp -_ '' � � ,,'-� ' $0.00 0 Air Handlers < 10000cfm � �$0.00 0 . ' 30 to 50 hp - � , $0.00 0 Air Handlers > 10000cfm $0.00 0 . � Over 50 hp �+� � $0.00 0 Floor FUrnace $0.00 0' Other MeChanical Fee" ' Floor or Suspend Heater $0.00 0 �. Investigation'Fee � $0.00 � Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES 548.50 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permil shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. 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 Inapectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARA�ON: � � . ' ' 1 herehy ettirtn under penalry oi perjury one qf (he following tleclarations: � ' .. . �.. " ❑� I heve entl will mainiflin a certificate oi consent to selF-Insure for workers' compensation, es provided for by sectlon 3700 of the Lebor Cotle, for ihe peAormence of the work for which ihis pertnit is issued. . " � ' � I have antl will mainteln workers' comp¢n5atlon insurance, as required by section 3700 of Ihe Labor Cotle, tor the peAortnance of ihe work for whlch this'permit is issuatl. My workers' compensetl°{� Insu nce Cerd r antl policy number era: ) n, /f/� Carner. (j/��/f ��/ / ��–✓��/ Policy Number. �%L✓A / I 7/�•J�– U! J (TM1is sec0on need not be colfip/eted J fhe permit /s ve ued et one hundred tlollars ($100) or /ess.) � . ❑ I certiry thet in the pertormance ot the work tor which this pertnit is issued, I shall not employ any pereon in any manner so as to become subject to the workers' compensation lews oi Celitomia, end agree thet if I should bewme subject to the workers' compensation provisions of Sectiory370ryof the Lebor Code, I shall fonhwith comply with these provisions. �% / / � Applicant Signatura: �1–� Dete: �O ? p WARNING: FAILURE TO SEGURE WORKERS' COMPEN ION IS UNLAWFUL AND SMALL SUBIECi AN EMPLOVER TO CRIMI PE TIES AND CIVIL FINES UP TO ONE HUNDRED TlbUSMlD DOLLARE (5/00,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PFiOVIDED f-0R IN SECfIIXJ 3106 OF THE LABOR CODE, IMEREST, AND AITORNEY'S FEES. LICENSED CONTRACTORS DECLARATIqN: I hereby attirm Ihat I am licens/ed under provi ic force antl ettect. Lic. x-----k�-� Comractofs Slgnature: of Chapter 9(commencing with Section 7000) of Divislon 3 ot the Business and Protessions Code, antl my license is in full �__ _ Classa � 2� _ CONS7RUC710N LENDING AGENCY: '— ❑ I here6y ettirtn that there is a construction lentling egency tor the pertortnance ot ihe work for whic� this permit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lentlers Address: Signature: Date: OWNER-BUILDER DECLARAT10N5: I he�eby affirm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business and Protessions Code: Any ciry or county which requires a pprtnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicant tor such permit to file e signetl sietement ihat he or she Is licersetl pursuani ro the provisions of tha Conirectors License Lew (Chepter 9(commenGnq with Sectlon 70W) oi Divislon 3 of the Business and Pwfesslons Code) or thet he or she Is exempt therefrom end Ihe basis for the alleged exemption. Any violation ot Section 7031.5 by any flpplicent tor e pertnit sub�ecls the applicant to e civil penalry ot not more ihan fNe hundretl tlollere ($500).): ❑ I, as owne� W the psoperty, w my employees with wages as their sde compensatlon, WILL DO THE WOAK, and the siructure Is not intentletl or oNered ta sale (Sec. 7044, Business end Professions Codb: The Contrectors License Lew does not apply to en owner oF property who builds or improves ihereon, and who does such work himself or herself or t�mugh his or her own employees, provided that such improvements are not intended or offered for sale. If, however, ihe building or Impmvement is sold within one year oi completion, the owner-builder will have Ihe burtlen oi pmving that he or she did not build or improve for puryose of sala.J. � I, as owner of the property, flm E%CLUSIVELV CON7qACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Prolessions Code: The conireclors License Law qo¢5 not apply to an owner ot propeM who builtls or improves thereon, end who contrects for such prolect with a contrector(s) license pursuant to the Contrectors LiCense Laws.). � ❑ I am exempt under sec. Business and Professions Cotle tor this reason: SignaNre: Data: Owner ID verifiad by driver's license. q Ves ❑ No DriveYs License No. Venfication of Ownership by (rype ot tlocument, i.e. - property �ax bill or deed): Expires; DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICA710N: 0 I hereby ceM1ify that no excavation five (5) or more feet in depth into which a person is raquired to descend, will Ce made in connectlon wlth work authorizetl by t�is pertnit, end that no builtling slmcture, scattolding, falsework, or demolition or dismantling thereof, will be more than Ihirry-six (36) feet �ig�. (Chap. 32, Gry 2, Art 2, Sec. 341, TIUe B, Calitomia Adminisiretive Code). ❑ As owner-bulltler, I will not employ anyone to tlo work which woultl require e pertnit from Ihe Division of Industnel Satery, as notetl above, unless such person has a permit lo do such work trom Ihe divisi0n. Signature: Date: DlNsion oi Industrial Safery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTMORVATON OF ENiRV: I certity under penalry oi per�ury ihat I have read �his application and stata that ihe information given is correct. I agrea to comply with all state lews end city ordinences relating to building consiruction, end authonze representatives of Ihe Ciry of Costa Mesa to enter upon the ebove-Gescnbetl properry tor inspection purposes. I agree not to occupy or allow occupancy ot any huiltling autharizetl by this Dertnit untll final Inspection. COOE �' INSPELTIONTVGE � 1616 Fixatl System Final Fire Preventio� 1268 Pool Spa Finel 200 Final Re-Roof 201 Final elocWReteining Wall 202 Flnal Feciory Flre Place 203 Final Sign 204 Final Demolition 244&4a 4AIE �� II�AL$ ate /' � Po -��- �a CODE� INSPECTIONTYPE 206 � � Final Mechenicel - 208 Final Plumbing 210 ` Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �: 1. 1111 / w / / i7.• 0 (�ia) �sa-s2�s • Fa: pia) �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 371 WAKE FOREST RD 14148605 Applicant: AMBURGEY, RAY Address: 817 W 18TH ST UNIT 9 � , COSTA MESA, CA Owner: Address Conlrador: Address: ISSUE FEE Temp service test, Res. a/c package' New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole FOX,STEVE ' 371 WAKE FOREST RD COSTA MESA,CA - ELECTRIC RAY 817 W 18TH ST UNIT 9 COSTA MESA, CA ELECTRICAL PERMIT PERMIT NUMBER � E99-00403 '" 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: OS/14/1999 Issued: OS/14/1999 r' : � , J �-�� \ _-: �Phone: 949-645-0729 , ` \ � ` Zip: 92626 � ., / j , . �` - � � � �� . ._, t ` � ` . _ . _ - � _ � I . i � .. . _ . . ,5. � ;�_� � . ' " �' � , Phone: 714-645-0729 � �.�.�Z,� � - ' . ' � � Zip: 92626 ��,-��C . �.i. .. �, ; , ��A\� C �� ,� �,• �'�„ .� . . . . Phone:�- 949-645�0729 � j iZ p:.. . 92626 � I � -Cicense_ 480485 , ��' ,, �_ SCOPE OF PERMIT UPGRADE PANEL AND 1 MOTOR FOR A/C UNIT. � $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $425 $0.00 $0.00 $0.00' $0.00 �$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 i�a: , - , .,, _, . �<�. . . Quantity - �r Quantity � �-�, F� > � _i., � 1, � � -Temp Dist System / Gghting. -� $0.00 0 --.. --- --6usway710Qft'��''-"` -.. $0.00 0 -� - -- Standing Section " � � � -� $0.00 0 . 0 Misc Elechical�Equipment $0.00 0 � 0 Transfoimers.up to 1 kva/kw �,$0.00 0 0 .........�=�upto��l0kva/kw. � �$0.00 ,0 - 0 •- •�� . up l0 50 kva/kw a'$0.00 �- 0�. - 0 ' .................up l0 100 kva/kw . � � '� $0.00 -' 0 . . . , :.......... . 0 , •:,a . , -._[:`.:�_.._: .over 100 kva/kw � $0.00�' . �-p � . 0 ��"tb"* :.� : Low,Volta e,E ui ment . g q p �, $0;00��, 0 0 ` � . �"Low Volt Winng System / Ckt,1 � $0.00 � 0 . �0��^. ' � ` ' �t, FMisc?Condud%=�'.�. �,,. {�f , �=$0:00 0� ' - 0 �" : � �Misc�ContluCtor� r't+` "$0.00 � ' 0 0 - , �' ,, t .� c , °Circus ( gen oi fltle)rH � : �-� $0.00'� � ,0 � t `-� � r „ ; � rCircus (mech'ride ordights)/ $0.00 �, �. 0 - 0 ` �; � ,•'��Christinas Tree�Standi` „$0.00 0 " � � 0 � '~'��-`Fireworks�Stand�'� ��,\;$0.00! -"0 . 0' . , �. � ' - - Otlier E�ectrical Fee- . �, �� $0.00 / , , / p , ... ,;�=��, ��;. ii�. 0 � . � �. ,�' � ' - � Inves'tigation Fee � ` %, .. -$0.00 " 0 -� ,� PIan�Check Fee � - ; r'-°$0.00 0 �� ' -� ��ReinspectlonFee,�j�,- ' $Q00 0 ,. . - 'i . 0 _ � '" �t"` zTOTAL�CACCULATED FEES 526.25 p _ -_ COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned }or e period of 180 days. INSPECTIONS: In order for the work authorized under this permit lo be considered legal, such work must comply with all applicable Codes, and all required Inepectione end final epprovel must be obtained. Failure to obtein inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSATION DEC�N7NT10N: � � I hereby ettirm under penalry of perj�ry one of the iollowing deGara�ons: ❑ I heve entl will meintein e certi��cete of consent to selt-Insure far workers compensetion, es providad for by sectlon 3700 of Ihe Lebor Cotle, for the pertortnance of the work for which [his permit Is Is9ued. ❑ I have antl wlll melnteln workels' compensatlon Insurence, as requiretl by section 3700 of ihe LeCor Code, for Ihe pertortnance ot Ne work lor which this pertnit is issued. My workers' campensatlon Insurance carrier and policy number ere: Carder. Policy Number. (Tb/s sectlon need not be comp/eted �� the permit is velued et one hundrad dWlars ($f 00) or Iess.J ihe (51 W.OW). LICENSED CONTBACI / I hereby0flirm that I am Iq(c�e and eHect. Lic. k_ ot the work for which ihis permit is issued, I shall not employ any person in any manner so as to become sub�ect to [he workers' end agrea that if I should become subjecc to Ihe workere' compenselion provislons ot Sectlon 3700 ot the Labor Code, I shall forthwith � oece-- S — � ti —� S � COMPENSATION COVERAOE IS UMAWFUL ANO SMALL SUBJEGf'AN EMPLOVER TO CRIMINAL'PENALTES AND GVIL FlNES UP TOONE HUNDRED NJ TO THE COST OF COMFENSATIIXJ, DAMAGES AS PROVIDED FOR IN SE6i�ON 3]O60F THE L�1BOR CODE. INTEREST, AND ATTORNEV'S FEES. untler provislons of ChaO�er 9(commancing wlth Section 7000) of Division 3 ot the Date: Pmtessions Code, entl my Ilcense Is in full � r' - � r� CONSTRUCTION LENDING AGENCY: ' ❑ I hereby effirm that there Is a rAnstruction lending agency for ihe pertortnance of the work 1or which this permit is issued. (SeC. 3097, CMI Code). Lendefs Neme: Lenders Address: Signature: OWNER-BUILDER DECLARATONS: Dete: I hereby efllrtn ihat untler penalry ot per�ury Viat I am EXEMPT FROM T}1E CONTqACTORS LICENSE LAW for the fdlowing reason (Sec. 7037.5, Business anG Professions Code: Any city or counry which requires e pertnit to consiruct, alter, improve, demolish, or repair eny strucwre, pnor to Ils issuance, elso requires the epplicant tor such permit to Ole a slgned stetemeM that he or She Is Ilcensed pursuent to the provisions o1 the Contrectors License Lew (Chepter 9(wmmendng with Sectlon 7000) ot DlNslon 3 oi t�e Business end Professions Code) or thet he or she is exempt therefrom entl the besis for t�e alleged exemption. Any Nolation of Sedlon 1031.5 by any eppllcent for a permit sublects the epplicant ro e cidl penalry o� not more than five hundretl tlollars ($500).): ❑ I, es owner of the properry, or my employees wlih wages es their sole compensetion, WILL DO THE WORK, ena the atructure Is not intendetl ar ofrered for sale (Sec. 7044, Business end Professions Code: The Conirectors License Lew does not apply to an owner of properry who builds ar improves thereon, entl who does such work himself or hereeN or through hia or her own employees, provitled that such Improvamenis ere not Intended or oHered for sale. If, however, Ihe building or improvement is sola within one year ot compledon, the owner-builtler wlll heve the burden of proving t�at he or she did not build or improva tor purpose of sele.). ❑ I, es owner oi tha property, ein EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct t�e pro�ect (Sec. 7044, Business and Protessions Code: The contrectors Licensl �w does not epply to en owner of properry who builtls or Impmves thereon, flnd who contracls tor such project wlth a croMrflctor(s) licanse pursuant to the ConlraCrors License Laws.). ❑ I am axempt untler sec. Business and Professlans Cotle tor ihis reason: Signeture: Date: Owner ID venfied by drivers license. ❑ Ves ❑ Na Dnvefs License No. Expires: Veritiwtion oi Ownership by (type of ticeument, I.e. - properry tex blil or deed): DIVISION OF INDUSTRIAL SAFETV 7ERMIT CERTIFICATION: ❑ I hereby certiTy thet no exceva�ion tive (5) ar mora feet In tlepth Into which e person is requlred to descenq wlll be made in wnnection with work eutharizetl by thls permit, and Ihat no building siN�ure, scattoltling, falsework, or tlemolitlon or dismantling t�ereof, will De more then thlrty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Calilomia Adminislretive Coae). ❑ As owner-builder, I wlll not emp�oy anyone to do work which would require a permit from the Division of Indusirial Sefery, as noted ebove, unless such person has e permit to do such work from th0 divisian. Signature: Date: Division of Industnel Sefety Pertnit Number: CERTIFlCA7E OF COMPLIANCE AND Al7TMOROATION OF ENTRY: I certify untler penel�y of perjury ihat I have �ead this epplication and stele Ihat Ihe informatlon given is wrrect. I agree to comply with all 510�e lews end dry ordinances relating to builAing constructlon, entl euthonze representatives of the Ciry of Costa Mese to enter upon Ihe above-Oesc�a0�p[Qeerty for inspeIXian purposes. I agrea not to occupy or allow occupency ot any bulltling authonzetl by t�is pertnit until iinal Inspection. � COpE I, INSPECTIONTYPE �- 1818 Fixed System Finel Fire Preven0on 1286 Pool Spe Finel 200 Final Ra-Rooi 201 Final BIocWReteining Wall 202 Final Fectory Flre Plece 203 Finel Sign 204 Finel Demdition 2U&d8 7�¢� �$ � �Qp�,( INSPECTIONTYVE � - 206 Finel Mechanicel 20B Final Plumhing 210 Final Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Slte 250 FinalBuiV �onxEssa�u�o 371 WAKE FOREST RD pYNEX'SN�MEIFqp{YN: COLLINS IDA F TR mw�ss: 371 WAK� FOREST RD COSTA MESA,CA 92626 � MPI. WU W!O IODRESS f ' ANCIIfiECi ON FNfd1ffA: IIC. NO.: AXCN.ON ENO.'S MURE54: VNT: UNT: corim�crarswue ROOFING CONCEPTS ( 714 ) 645-7518 COMPACfOXSYYIIIlO 657 BEACH ST ' ,�� COSTA MESA CA ��; 441271 92627 uxr: LICENSEO COMPRCTOfl3 DECLANATION: I M�aby allim uMer panaly d pe�ury ihat I em linrmed uMx heqm B (opmmenriip xilh Seclion ]000) d Orvoon 3 d Iha Buvrroa vq Profeseiona Cotle, end my 4cenae ie in lull eHed. � cmuc.no.:0/574q16/ uc.cuss: C 39 uc.xo.: qq y71 : 02/97 e� ome: �/ —( /' / �O comreaor: �C i� J WNEH BUILDEN OECLANATION: I hereby dfi'm undx penaly d pmj�ry thel I em emnq Irom Iha COMmtlon ' lew Ia ihe bWrp �mwn l�� ]031.5 &niness uM Prolessions COEe: AnY cnY a muntY �ich mpuirea e pe'mit to oonstrun. eXx. imPrwa. bmdeh. w reper eny nructure, priw W da eauenca, a6a reyuirea �M spW' enl la wch pumG to fik a tipred etmamsni tlW M a sM ie IicenaeE pureuent lo tha povieiare d ihe Conirenore Licenae Lew �Chepter 9(oommene�p xil� Seaion )OW) d D'weian J d �Ir Bininm W Fdaabu Wael or ihel he a da u exmmq �herehan arM tM baea tm �Ir d�eab memqion. MY vidmion d Setlion ]W 1.5 by any epplicent lor a pmmil wbpde �M epplicem lo e tivil pmelry d ml mas Ihanlrve hurd�eE ddlan �55ro�). ❑ I.mmxwrd�Mproparlyamy«npbyeaswlhwepeamtheiedemmpeneetun.witlAothawk.eMtMebucWnumlWeMad w dte�edfor eela (Seciwn ]OId. Busroea vM Prdeasiona Code: The Camrectwe Limnae lawEoea M epp�yto en ownard properry who buiM « inpraves �Mreon, eM Mw daen auch xwk himaell w henN or Mraph he a her axn emWv�eea. pwided Ihet wd imprnnmeme ve rM inteMad a dlered lor eeb. X, howarer, the Wiki�p n inprownam u eold wi1Nn one yev d compblion. tM owiwrbuiltler will lieve Ihe WNen o/ qovirp he or ehe EN ml buiW w improva Ior Ihe WNae d eeb). � 1. m oxner d iha popeny. em mduaneN �Vwaiq wilh liceneetl canbactae ro m�m�w iha pqeC (Setlion 1Ws. Bue'vre W PMeaeims Coda: The LanVeqon licenea Lew doea mt eppFy to en ownar d popeM � b�iNe a imqwm iMraan enE who wnbern M aM qqxva wnh e capmd«(e) IicemeE pwsuent to iha Contredon licmae lewl. � I em evamq wder Sapian: B. 8 P.C..1« thia reawn: Dne: qmer I do hereby cenity thel I em ewere ol eM uMenivW Ihe repuirememe al Callomie Meel�h eM Selny Cada Saq'vq 25505, 25533, eM �a. uM Nel I a ury Mure Wikinp oocupent will / wil iw (aicb om) rieeE to canply wih edd elete mtlee xM tM �equ'vemeMe br aW�nlorcmavunian«modifmtionkomihaA'r uen�e^Wemenl0ia�.RukmlielmrmiutlioneWN'�'vmramemqhomlMss pfON910f19. oma: nvvit.m: � WORKEP'S COMPFNS�TION DECU(UTON: I haraby eifim� uMer pxany d pw'ryry wn d Ma IaOoxi�p dsdatliom: � IhewWxilmdntenacenilkmeMeonaentloeslNmurefawoeken'wmpenWion,nporidadlorbySetlian3l00diMlabar Code, la 1he paAormeMs M Ilw v.wk la wMch I�ie peimn b iaued. � new eiw vri� maimen wawn• mmo�on nwrerca. e. �.aubee M s«iion a�ao a ue Lm« cods. rar �ne oe�nmeiws ol �ns �ia.,n�mbw�non.�a.Mv.�'��N�'�aaw��mw..re: EXPIRES c�� 06/O1/97 Pdicy Numbar: ' (ihis maian roa0 iwl be ewndaMJ / iheG�^t ie b wre hvndmE dd4ra /StM/ a bn.1 ❑ I ronM � in iM pMormenw ol tM waM 1« whch thie parmit is ieauad, I ehell iwl employ eny pemn in ury mennm eo n to bxome wd.e �o iM .wrken• cano�bn mwe d c.4ramu. eiw ro�a Wm a �.ham esmr miq.0 m n. vo,F,n� comp{^�enseiion D�aiona y/o1l5edion 3AU W the labm Code, I eh�eil�/ h��M' h� mmp�y xil �th�ov�e p�ov�iaJio��/¢� � Uale: / �� / � AVC��'aM: lTL4 i^'Jl�Ici"`^"a'v— �C�— wamina: Fa/lun ro aecun wortsn' mnW�tlon cover�Ye b un4wNl, arrdMtll wtlNcf �n uMIM� ro almiul pwltlrW e/Wl flrpa up ro one huntlrotl fhoua�nOOolbn (S/0q000A In atltlltlon b M� ewf ol rompe�uatbry demsps1 �a povMM br In 3�ctlon 9106 0l tlre LeborCocb. Infenst, �nE �Iromsy'a I�u. u CONSTPIIClION LENDINO 1GENCY: I hereby alfiim uMer pendy W parjury thel �hare u a mnmr�wbn knEiip pency br Ns wnameMe a me wA �n rnid� mc rormi o bauae (seaon �Ow. civ. cl. LENDEH'S NIWE: LENDEH'S ADDRESS: 1 cenily thm I here read Ihb applicelbn eM �aie ihet tM ebaa iNammun is cortm. I�ree to canpy wqh ell dry eM mu�qy polrefpae enC elele lewa rebting lo builEinp mnwudion eM Mmb/ eNhw¢e mqesemmivea d ih's dty b enter upon �he ebwe-mentioneE pmpery �°`1itlped�°�`°°'°` LES LAUNDERS ` ' Pnnt NC� � � L1 /7� Dala: Sip redOxnarlAgenVApPticenUComrepw (5151-,B.WP) Whne-Build'vp d SelatY: GresrrFle: Canery-Applunt: Pink-Aevenw: Oddanro�Mmuor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: H 079442 PLAN CHECK NO: N i'PERM NO: B 07944z GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: �TH JOH DESCRIPTION : T/O SHEATH & REROOF W/COMP SHINGLES SQ FT: 3,70� CLAIM VALUE: 3,700.00 CALC-VALUE: 3,700.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 2200SF RESIDENCE W/COMP, SMOKE DETECTORS RE UIRED PER 94UH �**��*�*****�*�*�*��.��*��*��'� D*�TECT(��i Z O N I N G R E Q U I R E M E N T S S E T B A C K S /� �----------- MAIN BUILDING ---------- ------- ACCESSORY HUI�IV��-- FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGIiT: FT IN PARKING REQ• PROV: PARCEL: 14148605 ZNE: REF NO:�, PLANNING NC)TES> � �1. IEiEiEiE�EfkfE�k161E1EifiElFiEiEiEitiEiFiklEfElE�lElElEiffE�E�EfFfE1F�EiFiflkiEik�E1E�EiffEi(�1fiElEiEiE�E1E1EiEiE1E3EiEfEiElEiEiEiElElE1F1E�1(-iE1EiE1EiEdEiE3EiE D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N'�T S ZONING APPROVED HY DATE: �%' HUILDING APPROVED BY : DATE; /-' APPLICATION ISSUED BY: 1E3E1E1E1EiEiE1EiE�E1EiElEiElElEiEiElEiEiE1E��fiF�F3f�F�f��F7F3F3f3F3F�F3FiF3F�F�F�F�F3� 7F�F3F3Fif3f�1E LEGALIZATION;N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE PERMIT 87.25 ' DATE: ' � Ci iFIk1E1FiEiE 1FiE RUCTURAL SEGMENT:Y SMIP/RES GRADING .50 SMIP/NON-RES PLAN _ _ ISSUE FEE � � HUILDING-DIV-> PERMIT ISSUE P.LAN-CHECK TOTAL PAID DUE TOTALS----> 87.75 0.00 -- 0.00 87.75 87.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 87.75 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FI IP/TOT GRADING PLAN-CHECK 87.25 .50 !E IE iE iE 1E i(� �E 1k 1f 1k iE 1E fE iE iE �1E iE IE 3E iF ih iE jE �E iE 3E iE 3E iE 1E fE �E 3E �IE-1E �E 1E 1E iE'lE 3E 1E'lE iE 1E'lE �E'lf 1E �lE 1E'IE IE'1F 16 iF 1f 1E iE IE iE fE iE �E iF �k ik ik iF if IE 3E if 1E 1E �If� 1hlf ik I N D I V I D U-A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3700 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,700.00 END OF FEES 0,1 �0214715-002Z4716 TO T 87.75 �`: DATE: Q9/il/4` TIttE: 09:�2 Y' CO'NSTRUCTION AND PLANNING�`� '� APPROVALS Permit # � Date 1. Temporary Electrical Service or Pole � , 2. Soil Pipe•Undrgrnd. � �3."Electrical Conduit Utiliry-Undrgrn[l.. � � ^4.�Electrical Condui4`Undrgrnd. � " 5. Steel Reinforcement � �6. �Electrical UFER Grnd. :7. Footings - . � , 8:'Foundation " - � - � 9. Water Pipe-Undrgrnd.� � ' � 10. Structural Floor Sys�e� 11. Property Sewer Line & House�Connection 12."Sewer Cap -r � 13.� Roof Drains . � - 74. Rough Plumbing _ 75. Rough Electrical-Conduic . 76. Rough ElectriclNiriP9 _ . 17. Rough Wiring Sign ' � . . 18, Rough Electrical-T 6ar Ceiling 19. Rough Heating & Air Conditioning 20.-Rough Factoiy F�rep�ace - - _ - 21.1Ducts, in Struccu['e; ... z F � 22. Oucts, Ventilatin}-� . - 23. �Gas-Pipe-Rough &'Yest t� �" 24.-Roof Framing . - - '� � � 25. Roof Sheathing . � � . 26. T�Bar Ceiling (Struciuraq & Monocoat � -- 27.•frameand Flashing _ ' 28.LLathing-&Siding� ��_, � . . - 29. Insulation • �� " ' ' � � 30. Orywail�Nailing - �� +� � 31. Plaster Broavn Coat' . ' �� 32. Electrical Power Meter-Final � � �.� , 33.�Finai Eiectric " - - , 34. �Final. Heatingr& Qir;Conditioning�, - � . �. � - i 35.'Final�Gas Pipe-Test - •' . 36. Hood or Canopy _ ' - � _ �, ,�. ' 37. Finai Factory Fireplace - ��'' ' , 38. Final Plumbing � � � � - . 39. Water Service-Final ' � ' ; . 40. Gas Service�Final ., .. ` .� ; - . 41. Sotar pomestic�Fina4 '. ��• � ' . , 42. Backflow Preventer; . " 43. Backflow Irrigation� " ' 44. Landscape Icrigation System - . t �45. �Sound Attenuation ^- � � + " ' , 46. � Handiwp Regulations � � ' 47. FINAL STRUCTUaE & BUILDING Gr'-/��6, 6 48;.FINALPLANNING' ' 49.=Electric Release to �dison ' � 50. Gas Release to Southern California Gas Co 51. CER7IFICATE OF OCCUPANCY No. Date F : & SPA " inspector APpROVAIS Permit # ' Date ' � 52. Pooi & Equ�Pment Locauon . . � 53. Steel Reinforcement - . � 54. Forms � . 55. Elettriwl8onding ' . 56. Rough Plumbing & Pressure Test � - 57. APPROVALTOCOVER�GUNITE � . � �58. Electrical Conduit•Undrgrnd. • 59. Gas Pipe, O Undrgrnd., Test � 6�. Backwash Lines, P.,Trap, � Undrgmd. �61. APPROVAL TO DECK � ' -62: Backwash & Receptor•Final . 63. Heater & Vent�Final' • ' 64. Plumbing SYstem �'Final . � �65. Electrical�Final � 66. Solar System-Final ` � 67. Fencing & Access Approval � -68. APPROVED FOR-PLASTERING 69. POOUSPASYSTEh9SFINA� � FIRE�DEPT. REQUIREMENT � . - APPROV�ALS.�� Permit# � �- - _ 70._Underground Hydro � ' J1. Produ[t=Piping'iJGas ❑Oil � - a - 72. Underground Flush '. � _ ._ 73. U�dergrnd. Storage Tank O Gas QOiI _ ! ^ 74. Overhead HVdro � " _ l 75. Ory Chemical - ' ". 76. Dry Standpipe �' ` � � � 77. FIXED SYSTEM'FINA'L �� 78. FIRE PREV. FINAL . . . � � . _ HEALTH DEFT: REQUIREMENT - 79. FINALfINSPEC'F10N �' � - " �. 80. FOOD CERTIF�CATE ISSUED ' �, . rvote5: ? / �G ._ �ovt� s�d� /�/o� � ' � NCCf/ti .< <�� /-- -� � _ � ' - 1 • . - r -_ '" �7�. � " .. ... �I � _ - .. Ci.:�t�� Inspecror 0 � � , 0 OWNER DATE 4�12�76 JOBADDRESS 371 Wake Forest Road BUILDINGPERMITNO. ZC>SZ GENERAL CONTRACTOR ROVBR-Sj.118ge1 CO VALUE $ 11)ZOO.00 LOT 5i BLOCK TRACT 275� Single Res W�2.tt gar G JP/ I& J TYPE V� ZONE R(y FIRE DISTRICT 2673 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR , � _ DATE � NUMBER Plumbi Tempo Trench ion Formsand Gradeto '.S/-a1 f� oi S� � (�L .� -,�. i�-.i G �n.ri! e�. -� Heatin Sewer, SepticTank or Cesspool Lathina. In O p�" '^�_�9 Y'..�f�✓k .'L —J"A ' S / F ,ing, Fin�al, Fixtures Complete /NH$ d�-� -S ) Plumbing, Fin.al GasTest/S- M H 6 �-��7 �_ � o�- � �� wiring, Final/ ' � ,MAY 1 1957 VCB occupancy MAY 1 1957 Vf.R FORM 210 3M 10-v3 =osta Mesa Bnilding Department '� APPLICATION FOR PERMIT �,: ' 111 EAST 20th STREET ' 6�' L D� N G 7�. .COSTA MESA, CALIFORNIA ��j�e� FOR APPLICANT TO FILL IN - FOR OF'b'ICE USE ONLY , �� g Receipt No. .Pyermit No. � �� t.!//�'F-��P! OC �US�� Costa Mesa, ri8� � 01711& � Received by Date Rec'd. Date Issued ist ,, �j - � p - -b /o� -S /� Sk. � - yI% �'"5�-- Building r %%1% L ��i� ��i�-% �f ' Address SS �� C�/� � S�� Costa 1Vdesa, California C�� S� Nearest ' �� - Cross St. ��5 �G�t�� No'.1��- �/� � Zone No. of Type�/ Grou tecto /�1 /� Lia l Plans I (1 S� ee� Y'Q�L�" ��'�u-i No. . AP roved � �dress �S�/!r@G�i / /�'�l�C ; �l/X�lj/'�+' � CORRECTHONS �� 1 City Lia ' � contractor�dC�-7f/ lE��/ , l c+ No. fl� Address J'�+�.i� �iL� � � `��1��i �i ��. � . Leg�al LaY �- � I ,_..-,� ,, ^. ��, � Description �) No. / I Block I TracLz��.% - � �fr��l� t � t� �,� i�`: (Attach Metes and Bounds) � t��- __�i.,} ' f PT `�� No. of Bldgs. SizeofLot ��X�(a!i NowonLot - O Useof I No.of I No.o1 .�jJl� 1.S.I�J� V�""'7� Existing Bldg. Families Rooms � Setback Line from �^"Q � Rear Vard ..'o Z CenterofStreet J � SideYard ��"L „�,�,i� �� nnpTA P1�Ci� r DESCRIPTION OF WORH . _ � . � � .�r� � s.• New � �-Alteration � � Addition � ' ' " � - " " �' " Repair I I�Movina I I Demolish I � � � - ��:L _, ,� .Vr� 6 APPROVAI�S �n Location Inspectm Materials, �inning re Stops, I hereby acknowledge that I have read this ApplicaGon and state that the above is correct and agree to rnmply Lath. Int with all City Ordinances and State Laws regulating building construction. Lath. Ext. Signatureof �,�. �t-�l�'f�L -��j��7-�.� Permittee '��>T Plaster, Int. Authorized Agt�Z��l'"-7 -C�� Plaster, EM. -Valuation ermit Fee $ � ' Masonry Rei $//�, �,�-� GttJ Plan Check $ '� Bond Beam �,�1%C/'� Total - Fee $ "' FINAL Fnixn�i 204 S-HP 2M 6-55 . _ . \� - . ' ..' ., . . : � . .. � r : ' -..._. . n0`.!. . .. .:. .� .. , S,^. ..r� , , -�` � COSTA - ;,;,413=SSP�nesk �°2a �s•�t,;>�:2.!'0 - � ' . ,. . —.....`. 1 y./lJl 1 L[11� � � _ .. . �" - � � • w " T � ' Show locatian and distances from . • property IinO and between bulldings ` _ ' . , .... .._ _. _ . �.-.. • , . " i . . ._ . - - .i„_..'_ '._.. . .. . � . • � . . . . ' . � . . . .. '. .t �. i � . , , . � .. . . „ . } ' . "' ., . _.b . ' ' � . . . � '_ _' �` .' " . . � . � �_ � __ . _ .. _ _ .. , . _ ' _ _ [ - _.. . � � owNsx HXNES, Jack � MAR 1�1958 � naTE ll-b-57 JOB ADDRESS �71 Wake Forest Road BUILDING PERMIT NO. 595� G,�I�j�'�¢Ai��ONTRACTOR W, W, Pearson VALLIE $ 8�10.00 - TRACT 27ri0 FIRE ZONE DESCRIPTION OF WORK Patio GROUP I 7'YPE V ZONE R]. 'ECTIONS I DATE � SUBCONTRACTOR � PERMITSISSUED NUMBER ✓ -- 5988 . j � �. . COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA r FOfR�. !APPLICANT TO FILL IN q IBl11LDING /// � i.�/' I^_ A ��.�- �Y .-� COSTA MESA. CALIFORNIA OWNER MAI� ry ^ AODRESS / � ��5 � � _�O ST/��ES.9- T�O. ITECT LIC. .NGINEER NO. ADDRE55 UY I'/ FHRC/l�TY NO. CONTRACTOR • LEGRL LOT C�` OESCatpiioN NO. L/ BLOCK TRAC A.P. NO. �, '�' O � SIZE . � NO,OF BL�GS. OF LOT riow orv �oi USE OF ' t, � E%ISTING BLDG. /y sE,e.,�K � � 's cervr[rx or sTR[ErM f2EAR YARD SIDE YARD RIGHT LEFT DESCRIPTION OF WORK � ALTEftATION AODIT�ON ftEPAIR MOVING DEMOLISH BUILDING NO.OF SIZE OX/ ROOMS STORIES COVERINGWALL O/ COV�EPING � �p G/� USE OF NEW � A nI � - Go�ER/N!- Bl11LDING rY fi �aSTp � ,��*��.nc�;. ,aov -r>-s�PD�tsA. i � �a APPLICATION FOR PERMIT BUILDING � FOR OFFICE USE ONLY. `-�-��' � %/�G,�S � � f�6�S�� ADDRE�s"s Z�Z/ �•� If � 1^�n GS'i RcI. COSTA MESA, CALIFORNIA - FIRE � ZONE APPROVE6 BV j� � ryyl.� pATE // ! , CORRECTIONS 6Y CITY OF 4 MESA . iEP� DEPT. REG. 1 MEREBY 'ACKNOWLE�GE T � STATE TXtT THE I�BOVE IS COflRECT ANO RGPEE TO CO L WITH ALL - � CITV OR�INTNCES AND 5 TE1 �F� EGULPTING B111L CONSTRUC- norv. VALUATION � SIGNATURE OF � PERMiT FEE � $ �� PERMITTEE • $ n'�l' PLAN CHECK $ .iir..ne �en nr-rnir O V \ . / _ TOTAL FEE S /n �� M�