HomeMy WebLinkAbout994 TRABUCO CIR - Building Permitsaoon�ssaemiou�o: _. 994 TRABUCO, CI
owxexsxnYeirapwa: JEFF SHOTTLER
�noxEss: 9 9 4 TRABUCO C I
C.M. CA 92626
� MPL. MIJIING AOOIIE55:
VNT:
A1ICXRECT ON FNf�NEEP: I1C. ND.:
ARCX.OX FNQ'S AOONE55: UNf:
carmi�crarsw�we NOCR PLUMBING ( 714 ) 895-1246
�«�.�,oxs�uu� 11612 RNOTT ST
nooxEss:GARDEN GROVE CA ucxo.: 707775
92891 uxr: 17
LICENSED COMPpCTOPS DECLAPATION: I heraby Mmn u�Mer pene�y d perjury thm I em IicemeA uMx pmiaima d Cheqar 9
�mmmeiwig wnh Seetbn )000) d Diwion 3 d Ihe B�am» aM Pmimama Code. eed my lioenre u in hll bree vM eHed.
cmuc.No.:050386 Guc.cuss:C-36 uc.No.: �077,Z5 EXP: 02/98
o�a: �"/ 7r — / � com�m«:
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�rnEN BUILOEfl DECIAqATION: I hereby effirm uMer panely d pe "ryry ihe� I em eaemq fian iM Conumaa lioarea lew t« Me
dbw'vg roeeon (�� J�1.5 Busiiesa eM PMeeaunf Code: MY ciY a���Y �� reVuirea e paimX lo mqWM. Mx. improva.
'•md'sh, or repei viy el�uclure, prior io ire ueuance, eba �ayuirae the epplirant for auch peimd to fib e vgned eubmem thm M a ehe
aneed W9uenl to Ihe provisiana d iM Comreaora Liwnae law �Cheqm 9(mmmerdrq Milh Seuion NW) d Oweian 9 d the
nma e�M Prdeaona Cade� «ihm M a ehe m exemq IhereM1am erd tM batis /« ihe dbpad uamqion. My violetion of Saeion
. a1.5 by any epplimnl far e permil aWryetl51M epplicenl lo e tivil penally d ml more Ihen iNa huMretl ddlae �5500�.
❑ I, ea ovmm ot iM popeny or my empbyeen v.yh wapes ss �Mi ede mmpaneetion, will do Na woM, end Me evuclure e rw� immdeE
«m�a �or � 1s«x�o� �o.a. e��. �,d a�w�.aa�. coae: ma comreao� uo�s. �wao« �a avWr�o� ow�a po�ny
who Luida a inprovec tMraon. eM Mw Coes eudi xwk NmeeM a henM a tivwqh h'v a her oxn empbyw, povided tM wch
impwemmb ve m� ieueMed ar a11eeE fa eab. tl, howawr, IM Wikirq a'vnpwemsm ie aoM wnhin one yaar d mmple�ion, tM
owiwrbuiltler xill heva iM WNan d qovinp M or aha did na build or improva la iM purpoae d eele).
� I. m oxner d iM peoperly. em utluaively coniraqip wqh IieenseE wnVeetore to mnmua Ma projw (Seaion 1M1. &nirra ard
Peoleaone Code: Tha Conlredan Lieensa Law doea ml eppy lo en owrrr M popeny Ma builds a imqovro thaeon erd Wa
conVacb Iw wxA pqeec wnA e mmrma(e) IiromeA pureueni to ihe Conlradore licenes Lew).
� I em eRemq uMer Senian: B. d P.C., br Nb rmvon:
Date: Owner. '
1 Jo hemby caniy ihet I em awere W erd �MeISWM iM nyu'uemenb d Cellanie Heel�h eM Sdely Code Sedions 25505, 2553J, eM
YSilt. uM ihet I w enY Muro buiki�q ar.vpant will / wYl mt (drcY wn) neeE to comply wil� aeN ama codae end tM mquiramenb iar
e pa�mB lamnehunanor moEificMbn homlheA'r�arepament polrip. ReeiEentiel cmaruqipi app4m'vpye ezynq Imm tMea
plON91IX19.
Da�e: Applcem:
WOHKEN'S COMPENS►TIDN DECL1fl�TI0N: I Mreby elfi�m uMer peiul�y d pe�jury me W the blbxirq Eeclem'an:
� I heva erd vAI meinlen a cMtli�e d mmenl to eellinwn M waken' cwnpeme�ion. ea yovided fa by Seaion 3]O� W �ha lebor
c�, i« in� oanwm��a w m. woa i« wm�n m�s v�n �a n.�e.
I] I heve aed wil mainten worken' wmpeneeiion insurenee. m requi�ad by Seetion 3]00 d Ihe Lebm CoEe./or �ha pMormenea d IM
wak lor which I�is permit ie eeueA. MY wakers campanaation imurarice wrier erd pdicy mimEx ere:
c�a�: GOLDEN EAGLE EXPZRES
Pofwy NumEr. 0 9/ O S/ 9 8
aection roee na de canWeree r tM O�x c Ia aro nunCreC Edlars It�aol a ba.)
�J � I cenh �nm in �na oarlarmerica d tM w«k ror which inb V�N b isaueE. I ehdl iw emVM am' w� in env mennx eo n io
become subjea to iM xakers' canpenution lewa d Ca4lamie, rea I ahouW become eubl� to iM v.oMis'
compenaaibn pmviaoru d Seaian 3� � LeborCoEe.lehell � oomp�y wn eB p�oviebm.
Dete: � I S _� Appl'ram: � .
�^v
Wemlrp: Fellun ro sxuro worten' compxuatlon eove�ep� l� un/eMul, eM alull �ub/eef en amployw ro eNNm/0a'�+�tlu entl
c/vll flm�'q ro om h�nCrM fMus�M Ao/Nn (S1IX{POOA M eJdlfbn ro M� ewt ol romvmut/ort a�pv ai provMM br /n
Sxtlon 3)� o/ tlro Le6o� COW, lnfas�t, and atrornsyi Isu.
coNsrnucnoN �EroiNa aoerxr: i n�by erc� �� �ny a Po,p„� inm m.� u e w�v�,ao� w�a� �.�y ro� ma
oen«m� a m..w� i« wniU ms wm�� re o�d Iseen� aar�, cr. cI.
LENDEH'S NAME:
LENDEN'S ��DRE55:
I eenify ihm Ilaw reed ihb eppliea�im eM tlale ihel tM ebove inlaemetion e oorteq. I pree 10 mmvh �h ell ory end mun1Y oNineneee
eM stma lexa relmeq io build'vq mnatrwion vd hereby euthorrza repreaentmrvea d Ihu vly lo eMer upon iM ebwe�memioned popa�ty
�IX 1119p0Cpll �Ilfpp%S.
�� R� NOCK
Dele: �� � ^
(St51de WP) While-BuiMnp 8 Selery; Grean-Fb; Carieiy-Appicanl: PiM-Revanue:OolEenro�qeeasror
___ �.___ CITY OF COSTA MESA - BUILDING PERMIT � '
._-_. _ . PERM NO: P 086958
PERMIT NO: P 086458 PLAN CHECIC NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU' PURPOSE: OTH
JOB DESCAIPTION. .: D_ISHWASHER CHANGE OUT SQ FT:
�CLAIM VALUE: . _ CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
**�r+�+�**�r�r*��****x �+r**��+�**********�x+�*+�****���*�+�+�*�r*+�****�r**��*�r�c***+��*+�+�*�*�*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
----------- MAIN BUILDING ---------- -------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEF.T: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42205204 ZNE: REF NO:
PLANNING NOTES>
�
ih ah'k� 1E 1t ih ik if iE if 1f ik iE iF i! if if !f i%!E iE'lf 1E iE'lf 1f iE 1f i! 1E if if !F if iF if ii' �E if ik ik ik ik if iF 9h i(' iF-0E iI' iE �! iE 1k iE'1h ik iE �E if ii' if iE if i%'7l' ih if ih ih ik iE iE if i%iE iE iE ik
D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S
20NING APPROVED HY DATE;
1
HUILDING APPROVED HY..: DATE:
APPLICATION ISSUED BY: �� DATE; �
1EiE1EiEiE1E1E±EiEiEitiFififiEiEikiliEiEiEik�FiFiFiFiF3F3f3FiF�F'iF'iFiF�F'iFif7F�F7FiF�f3F3F 3FiFifiF3F�FikiEiEi4iE1Ei41EiEit if
LEGALIZATION:N ____ .-_ _ F E E S U M M A R Y � STRUCTURAL EGM NT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 8,75
25� SMIP/NON-RES
PLAN
ISSUE FEE 2Z.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 8.75 . 22.00 0.00 30.75 30.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
30.75
iE 1E iE if iE 1k iE if iE iE 1E 1E 1E if if if iE iF 3E 1E 1E IE 1E iE IE if fE iE 1k fE 1E k 1k iE ib iE if 1E iE iF if 1f iE k ik iE iE 1f �E iE iE �f 1F 1f iF iE iEif iE 1E ik if ik 1E 1F iE i! ik itlf iF 1E iF ik 1E iE itlf �)F
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
F+LU i DISHWASHER 8,75 8,75
END OF FEES
E_w 81-15-1998/89:51 NM/f39.��
DATE � � �cvru:ei-aeia�
PERMIT:086458
cosGa ��csa
City of Costa Mesa Planr lepartment
Post Office Box 1200
77 Fair Drive �
Costa Mesa, California 92626 '
(714) 55E5245 �
Tract No. 959?
Lot No. Z
7.�;� C���
OCf 2 8 '77 PM
i� 12 ,.I
REQUEST FOR OCCUPANCY �p; P .2
(Single Family Residential or �.= � =3
Condominium Units) � _=.. �
.�, �
C'.:f;":.�i�d�:D
CI�Y G" �•;�"7A MFSA
_ o�p��t,.,;a���; n,�-r. �,RTMENT
Date October 1, 19%'J
Address 99� 1't's�`buco Circle, Costa Mesa, Ca.
The developer of the above entitled tract desires to sell the above
sei forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they)�(was or were) (,f/�-S, advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the tirtie the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
BY �✓2��/ �
urchas r
By � � J
Developer and or Authorized
Representative
BY �
Lend r
CMF 0569-26
l
�3 �. �....� .
, 430.4�
�' COSTA ME5A BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ [o Fill in Completely — Use Ink Only ��
BUILDIN �� �� � __ _ , .
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OWNEF �1 t' � G V�O�I/-1 A P� f7
MAIL A ' �y BUILDI
ADOflESS I� 1'���� • /`v�`'� �+DOR
�. � y� TEL.
CITV G—CSS� I�'S V� NO.
CON5TRUCTION ' � N W
BRANCN
ADORESS
ARCHITECT IE��.�U,J� L4l�clS�TEL('�
OR ENGINEER U�� � ��'����� � NO. V
ADDRESS ( Q'� �`T� �� ���
CONTRACTOR �' � �rIV�V� 1
ADORESS I / "t�` ���w � � lV�' O
� TE . �
CITV �0��' � � N .
l?C.NO. �� g� � LICVNO.
SI2E � NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUI�DING AND WORK TO BE PERFORMED .
�'l/�GI�E �4"f`►l!�'t �.,
,�.
I hereby acknowletlga that I heve reatl this application antl state
that tha above� information is coirect and agree to comply with
ell lews regulatinp building construction, antl I shall not employ
any person In vi0lation of tha workman's compensation laws of
ffie State of California.
I hereby ceriify that I am properly licensetl as a conttacior untler
the State of Califo�nie Businass and Professions Code, Divlsion 3,
Chapter 9, and that such licenses are In f�ll force and eftect, or 1
am ezempt ftom the provisions of the State of California Business
antl Protessions COtle, Division 3, Chapter 9.
Signamre of �' yy—� �✓�'/��
Permlttee � ��
Authorizetl Agent
OWNER
"rAib
l _ `i.._.�_..f�I O b.i.'f� i�9
��I��' � 7 7 ��e/.^� VU� �Lii l�.i�L
�J IV /' I�f�LCG ^� '�� .
)N FOR STRUCTURAL PERMIT
TE RF�EI E OATE 1 SUED
_ ��
�o o P ^U��
b`
C -
LOT BLOCK
L P
+���Q= e�
'LL r�M va�u8� �
TVPE GFOUP
DATE
NO.OF USE OF W
PLANS BUILDI
VARDSAPPROVED VARDSAPI
MAIN BVILOING ACCESSORV
BET. MAIN &
VAR.
C.U.P
APPROVED
U SQ. FT. ^
THE AMOUNTSHOWN UNDEq VA U.
THE PURPOSE OF ESTABIISHING A PERn
VALVATION PERMIT FEE $
/�j PLAN CFIECK $
S �5 �� TAX $
�
TOTALPAID $
�
m
i
a
m
N
TION IS FOF m
T FEE ONLV:
a
vi
n
� S� �'
�, �., �s 5 /
-- .
304�0
COSTA MESA�BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fi1l in Comple[ely — Use [nk Only
BVI�DING (Ay � �J' /�
ADDRESS � F I` IL�
OWNER �� I[� U
.Il
MAIL
ADDRESS
CITV
BRANCH
AFCHIT
ADDRESS
CONTRACTOR
ADORESS
CITV
STATE
IIC. NO.
SIZE
OF LOT
TEL.
NO.
TEL.
NO.
CITV
LIC. NO.
NO.OF BLDGS.
NOW ON LOT
Separate permits are required for
electric, plurhbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOIi�
I heraby acknowletlga that I have reed this applicetion antl staie
ihat the ebove informetion is correci and a8ree to comply with
all lews repuleting bulld��g consttuctlon, antl 1 shall not employ
any person in violation of the workman's compensation laws of
ffie State of Calitornia. - '
I hereby certify thet I am properly Iicansetl es a coniractor untler
tha Stace of Cal7fornla Business antl Protessfons Code, Division 3,
Chapter 9, antl that such �icensas ere in full force and effect, or I
am exempt from Yhe prov�sions of the State ot California BusinB55
and Professions Cotle, DiVision 3, Chapter 9.
SIB�etura of
Pelmittee
Authorizetl Agent
�Az�
`�A1 -F3-77���.JU 499 �*'<'� 1'JS.CC
A�PPLICgTION FOR STRUCTURAL PERMIT
RE E� E QV DATE fiECEIVEo �oTF iscucn
BUIL�ING
AODRESS
FIRE
ZONE T
APPROVED
BY
ZONE NO.OF
PLANS
VARDSAPPROVED
E
USE OF NEW
BUILDING
VARDS API
ACCESSORV
DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDi
VAR. # DATE
C.U.P.� APPROVED
APPROVED
n
n
m
'
u
SQ. FT. N
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FE ON
d
VALUATION PERMIT FEE $ d
n
PLAN CNECK $ "�
/� � 0
� TAX $' u
f
U
�TOTALPAID $