HomeMy WebLinkAbout727 WEELO DR - Building Permits1
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626
BUILDING PERMIT
Job Address: 727 WEELO DR
Suite: B
Viciniry:
Parcel Number: 42417404
ApplicanC CHENG, JASON
Atldress: UNIT #B
COSTA MESA, CA
727 WEELO DR
Owner: CHENG, JASON
Address UNIT #B
COSTA MESA, CA
727 WEELO DR
Contractor. O W N E R-B U I LD E R
Address:
Zip:
Arch :
Addiess:
Zoning:
Phone: 949-650-5869
Zip: 92627-3520
Phone:
Zip: 92627-3520
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 03/11/2004
Issued: 03/11/2004
ISSUED BY:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXIST. COMP. ROOF. INSTALL MINIMUM 15 LB FELT. FELT. AND COMP SHINGLES MINIMUM CLASS C. C'�
Plan Check: $0.00
Permit: $54.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $54.00
Inspection: $0.00
Total: $108.50
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORV Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Righl 0- 0
Right 0- 0
3i,soo.00
$1,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work Is suspended or abandoned
for a period of 7 BO days. .,� _
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with e11 applicable cotles, and all
requlred Inepeetions end finel epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 75Y5626
zaa6ae 16�00)
WORKERS' COMPENSATION D�CLARATION:
I hereby attirtn untler penalry of perjury one of t�e following tleclarations:
❑ I have and will meintain a cehificate ol consent to sell�lnsure for workers' compensatlon, as provided for by section 3700 of the Lebor Coae, tor the pertortnance of the
work for which this permit is issuetl.
❑ I have antl will maintain woAcprs' compensetion Insurance, as requiretl Dy sectlon 3700 of ihe Labor Code, br ihe pertortnence ol [he work for which this permit is issuetl.
My workers' compensation Insurence wrner and policy number are:
Carrier. Policy Number.
(This section need not be com0/eted i/ the pemtit is veluetl el one hundred dollers (5100) or /essJ
❑ I certity ��at in Ihe pertortnance of Ihe work for which this permii is iuued, I shall not employ any person in any menner so es to become sublect to the workers'
compansetion laws of Califomia, end agree that II I should become subjecl to Ihe workers' compensetion provislons ol Sec�ion 3700 0l lhe Labor Code, I shall forihwith
comply with these provisiong,
Applicant 5(gnature: Da�e:
WARNING: FAILURE TO SECURE WOqI(ERS' COMPENSATION COVEFiAGE IS UNIAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNpRED
TIIOUSAND DOLURE (5100,OW), IN ADDITION TO THE WST OF COMPENSATIpJ, DNAAGES AS PROVIOED WR IN SECTIdJ 31O60F THE IABOR CODE, IMEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aftirm ihat I am licensetl �nder provisions of Chepter 9(commencing with Section 7000) of Division 3 ot the Business and Prolessions Code, and my license is in full
lorce and eflect. Llc. x Class M
ConiracroYs Signature: Date:
CONS7RUCTON LENDING AG�NCV:
❑ I hereby aHirm ihat there is e consiruction lending agency for the performance oi ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlers Neme: Lender's Address:
Signature: Date:
I hereby aHirm thet undec-penalty ot perjury ihet I am E%EMP7 FROM TTIE CONTRACTORS I.ICENSE LAW tor t�e following reason (Sec. 7031.5, Business end Professions
Cotle: Any city or counry wtiich requires a permit,to construc6 elter, improve, demolish, or repair any swcture, prior to its issuance, also repuires the applican� for such pertnit
to lile e signed statement that he br she is Ilcensed pursuem to ihe pmvislons oi Ihe Contrecrors License Law (Chapter 9(commancing wtlh Section 7000) of Division 3 of the
eusiness antl Professions Cotle) or that he or she is exempt therelrom end Ihe hasis for t�e ellegetl exemption. Any violation of Section 7031.5 by eny epplicent tor a pertnit
subjecis the applicant to e civil pehalry af nai more than tive hundred dollers (5500).):
❑ I, as owner ot t�e pmperty, Or my employees with wages as their sole compensation, WILL DO THE WORK, antl the slrucWre is not intanded or ottered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to an owner of property who builtls or improves Ihereon, and who does such work
himseli or hersetl or through his or her own employees, provided ihat such improvements are not intendetl or oMered for sale. If, howaver, Ihe builtling or improvement is
sold within one year of completion, the owner-builder will have the 6urtlen of proving ihat he or she did not build or improve for purpose ot sale.). '
❑ I, as owner of ihe property, @m EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business end Prolessions
Cotle: The conlrectors License Lew tloes not apply to an owner ot pmpeny w�o builtls or Impmves thereon, and who contracts for such project with a contractor(s)
�' license pursuent to the Contractors License Lews.).
sec.
ID ve�etl Dy tldvar's
Yes ❑ No
Business
Ownership by (type of document, i.e. - property taz bill or
DIVISION OF INDUSTRIAL SAF�7y pERM1T CERTIFICATION:
e for this reason:
No � E� as:
❑ I hereby ceRily that no ezcayation live (5) or more feet in tlepth into which e person Is required to descenq will ba mede in connection wit� work authodzed by this
permit, and Ihet no building sirucWre, scattolding, latsework, or demolilion or tlismantling Ihereol, will be more than ihirry-six (36) teet hig�. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Calilornia Aamihistrative Code).
❑ A5 owner-hulltler, I will not employ anyone to do work w�ich waultl requlre e permi� from tha Division of Intlustnal Safery, as noted ebove, unless such person has e
pertnit to do such work from Ne tliNsion.
Signature: Date:
�ivisian af Industnel Satery Pertnit Number.
CERTFICATE OF COMPLIANCE qND AUTMORIZATON OF EN7RY: I cenity under penalty ot perjury �hat I have read this epplicetion end stata ihet �he Intormation given is
correct. I egre� Io comply with all stere laws and ciry ortlinences relating to Duiltling cons�mction, and authonze representetives of the City ot Coste Mese to enter upon the
ebove-desr,lQ�rty tor i�4ction puryoses. I agree not to wcuPY or allow occupancy of eny building authorized by�lthi�ertni ntil final inspection.
� 7 Y
✓ �—
�Signa �re Of wner(s) Dat
r
AndiOr AuNorized ApPlicant Date
GOOE �. INSPECTIONTYPE
7676 Fixed System Final Fire prevention
1266
200
201
202
203
Pool Spa Final
Finel Re-Root
Finel BIocWRetaining Well
Flnal Factory Fire Place
Final Sign
204 Final Demolition
�.1 JII.
_1�� '.�/ ' � . ,�
COOE� INSPEC110NTYPE Q� L�ELS
206 Final Mechanical
20B Final Plumbinq
210 Final Elecincal
212 Flnal Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy '
t . � ' �
(714) 754-5273 • Fa�c (714) 754-4856 • wv,rw.ci.cosla-mesa.ca,us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,�
JobAdtlress: 727 WEELODR
Suite: B
Vicinity:
Parcel Number: 42417404
Applicant: CHENG, JASON
Adtlress: UNIT #8
COSTA MESA, CA
727 WEELO DR
Qwner: CHENG, JASON
AQdress UNIT kB
COSTA MESA, CA
727 WEELO DR
Contractor: O W N ER-BU I LDE R
Address:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 949-650-5869
Zip: 926273520
Phone:
Zip: 926273520
Phone:
License: 000000
Eng:
Address:
Slatus: ISSUED
Applied: 03/11/2004
Issued: 03/71/2004
ISSUED BY:
������
,�,R ��
1I�`�
Phone:
Zip: License: license:
SCOPE OF PERMIT 5•,u ¢ 1 n f 4 �
WORK DONE WITHOUT A PERMIT C04-01001. REMOVE EXIST WINDOWS AND REPLACE WITH THE SAMEkG-t�tiT. WINDOWS REPLACED IN
THE BEDFtOOMS SHALL COMPLY WITH 2O01 CBC SEC. 310.4 REQUIREMENTS. A COPY WAS GIVEN TO THE APPLICANT.
TWO WINDOWS WERE REPLACED IN THE BEDROOMS TWO IN THE LIVING ftOOM, ONE fN THE BATHROOM AND ONE
Plan Check: $0.00
Permit: $54.00
SMIP Res: $0.50
SMIP Com: $0.00
Qther: $54.00
Inspection: $0.00
Total: $108.50
SETBACKS
MAIN STRUCTURE Frant 0- 0
ACCESSORY Front 0-0
PARKING Existin : o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposetl: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
st,soo.00
$i,soo.00
NOTICE: The woik authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a perlod 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
requlred Inepeetions end final approval must be obtained. Failure to obtein inspections and final approval will result in the expiralion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaa�as (doo�
WORKERS' COMPENSATION DECLARA710N: . �
I hereby affirm under penalty of perjury one of ihe following tlaclarations:
❑ I heve end will meinlein e Certificate ol consent to sell-Insure for workers' compensetion, es provided tor 6y section 3�00 of tha Labor Code, lor Ihe pedartnence oi the
work tor which t�is permi� I5 Issuetl.
❑ I have antl will maintain workers' compensation insuranca, as requiretl by sectlon 3700 of the La6or Code, tor the peAortnance ot the work br which this permlt is issuetl.
My workers' wmpensatlon Insurance carrier and policy number are:
Carrier: Policy Number:
(This sectlon neetl no( be complefed i! the permif Is valued et one hundred dollars ($100J or less.)
❑ I certiy Ihat in the peAormenca ol Ihe work for which this pertnit is issued, I shell not employ any person in any manner so as to become subject to the workers'
compensatlon laws of Califomia, entl egree that If I should becoma subjact to the workers' compensation provisions of Sectlon 3700 oi the Labor Code, I shall forihwith
comply with these provisions.
Applicent Signeture: Date:
WARNINO: FAI�URE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNL4WPUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDflED
T/iOUSAN� DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATIQV, DAMAGES AS PROVIOED FOR IN SECTIdJ 31O80F THE L4BOR CODE, IMEREST, AND AiTORNE`f5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby elfirm that I em Ilcensed under provisions of CheO�er 9(commencing with Section 7000) of Division 3 ot Ihe Business and Professions Code, end my license is in full
force antl eHect. Lic. N qass M
ContractoYs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby attirtn thet there is a consWction lending agency for the DeAormance of Iha work for which Ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlefs Name: Lendefs Adtlress:
Signature:
Date:
I hereby afllrtn thet under penalry of peQury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW br Ihe following reeson (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires e permit to construct, alter, improva, demolis�, or repair eny structure, prior to its issuance, elso requires the aOPlicant tor such pertnit
to file e signed statemenl that he or she is licensetl pursuent to the provisions of Ihe Contractors License Law (C�epter 9(commencing with Section 7000) oi Division 3 of the
8usiness entl Prolessions Code) or thet ha or she is exempt iherefrom end the be5is for the alleged exemption. Any violalion ol Seclion 7031.5 by eny applicant for e pertnil
subleMs ihe epplicant to a civil penalty oi not more than tive huntlretl tlollars ($500).):
❑ I, as owner ot Ihe property, or my employees wl�h weges as t�eir sole compensa�lon, WILL DO TME WORK, en0 the structure I5 nol intentletl or oHeretl to� sale (Sec.
7044, Business and Professions Cotle: The Contracmrs License Lew tices not apply ta an awner of property who builtls or improves therean, and who does such wark
himsetl or hersetl or Ihwu9h his or �er own employees, provitletl that such improvements are not intended or oHered tor sale. If, however, the building or improvement is
sold within one year ol completion, Iha awner-builder will have the �urden of proving ihat he ar s�e di0 not builtl or improve for purpose ol sete.). �
� I, as ownar of tha property, em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to wnstruct the prolect (Sec. 7046, Business antl Prafessions
Code: The contractors License Law does not epply to en owner of propeny w�o bullas or Improves thereon, antl who coNrects tor such project wit� a contrector(s)
�ense pursuant to the CONractom License Laws.).
sec.
ID ve�ed by tlrivefs license.
Verificatian oi Ownership by (type of
Business and Pwlessions Coda for Ihis reason:
IS�(,p No D' ^cer�ge No. �/��!/ �/ xpiies: �Q(�
i.e. - property ta�c 6ill or deed�' /
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION:
❑ I hereby certity that no excavation five (5) or more teet in depth imo which a person is requiretl to tlescend, will be made in connection with work euthonzed by Ihis
permit, end Ihat no building swcture, scaHolding, telsework, or demolition or tlismantling thereoi, will be more than thirty-six (36) teei high. (Chap. 32, Grp 2, Art 2, Sec.
3a1, Tule B, Califomle AEministrative Cotle).
❑ As owner-builder, I will no� employ anyone to tlo work which woultl require e permit trom the Division of Indusinal Satery. as noted above. unless such person �as e
permit 10 do such work from the division.
SignaNra: Date:
Division ot Intlustnal Salery Pertnit Number:
CERTIFlCA7E OF COMPUANCE AND AIITHORIZATION OF ENTRY: I cenity under penalry of perjury that I have read ihis epplication and stata that ihe information given is
correcL I agree to comply with ell tete laws antl ciry ordinences relating to Guiltling construdion, antl euthodze representatives of Ihe Ciry of Costa Mesa to enrer upon t�e
ebove-desS' etl property tor i p ction urposes. I egree not to acupy or ellow occupancy oi eny building au�h�orizje� by �t' permit un�il tinal inspactian.
� S////(/ �/ i
nat wner(s) T�� Date
And/Or Authodzed Applicant Date
COUE I. INSPECTIONTYPE
i616 Fizetl System Flnel Fire Prevenlion
1266 Paol Spa Final
200 Finel Re�Roo�
201 Flnel8lak/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
pejE INiRIALS �f,j INSPEC110NTYPE
206 Final Mechanlcal
208
210
212
220
Final Plumbing
Final Electrical
Flnal Fire Prevention
Final Plenning Approval
222 Final Site
250 Finel Building/Occupency
PSIE Iti��
O�p M
4 �
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(7/4) 754-5273 • Fa�c (714) 754-4856
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant:
Address:
Owner:
CITY OF COSTA MESA �
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
ELECTRICAL PERMIT
727 WEELO DR
A
A
42417404
SNODDY, KEVIN
12611 HIDDENCREEK WAY
SUITE G
CERRITOS, CA
MCMULLEN, PATRICK L TR
Address 727 -B WEELO DR
COSTA MESA, CA
Contractor
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 7hp
Motors to 10hp
Motors to 50hp
Mators to 100hp
Mators over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
KEY"ELECTRIC INC.
12611 HIDDENCREEK WAY
SUITE G
CERRITOS, CA -
Phone: 562-404-2782
Zip: 90703-2147
Phone:
Zip: 92627
� Phone: 562-404-2782
Zip:- 90703-2147
License: 678113
SCOPE OF PERMIT
REPLACE EXIST PANEI FOR SFD # A WITH 100 AMP PANEL.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$30.50
$0.00
$0.00
$0.00
$0.00
Quantity
, FEE SUMMARY
- Temp Dist System / Li9hting
Busway /100 ft
Standing Section
Misc Electrical Equipment
Trensformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
PERMIT NUMBER
E99-01181
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 12/13/1999
Issued: 12/13/1999
ISSUED BY: `�
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
so.00 0
$0.00 0
$0.00 0
$0.00
50.00
$0.00
$0.00
TOTA� CALCULATED FEES $54.00
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) .
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 1 BO 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 Inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby aNirm untler penalty of perjury one ot ihe following declarations: ,
❑ I have antl will maintain a certificate of consent to seli-Insure for workers' compensation, as providetl tor by section 3700 of the Labor Cotle, for the pertormance of the
�work for which this permit is issuetl. '
(This :
❑ I
have and wAI ' in workers' compensation insurance, as required by section 3700 of Ihe Lebor Code, for the pedortnance of Ihe work for which this pertnit is issued.
1y penf�a�r �cll policy number are:
��/ Policy Number.
�tion need nof be comp/efed il the p i( is valued et ane hundred dollars ($100) or less.)
certify t�a� in Ihe performance of ihe work for whic� �his permit is issued, I shall not employ eny person in any manner so as to hecome su6ject to the workers'
ompensation laws of Califomi�qd agree that if I shoultl become subject to the workers' compensetion provisions of Section 3700 of ihe Lebor Code, I shall fonhwith
FAI WRE TO SECURE WORKERS' GJMPENRg'fION COVERNGE IS UNL4W FUL AND SHALL SU&
I DOLL4RE ($100,000), IN ADDITION TO THE CqST OF CqMPENSATION, OAMAGES AS PROVIOED
1 hereby attir Ihet I am licensep under provisions of Chap�er 9(commencing with Section 7000) oi Division 3
force and ecL Lia N � /
Comractor's Signature: / /
Date:
IAL PENALTIES AND CIVII FINES UP TO ONE HUNORED
LABOR W DE, IMEREST, AND ATTORNEV'S FEES.
Professions Code, antl my license is in full
C9NS7RUCTION LENDING AGENCV:
❑ I hereby affirm thai ihere is a consWction lentling agency for the pertortnanca of Ne work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lendefs Atltlress:
Date:
I hereby affirm ihat untler penalty of perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl ProFessions
Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the applicaM for such permit
to file a signed statement that he or she is licensed pursuant to tha provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) o� Division 3 of �he
Business and Pmfessions Cotle) or ihat he or sh� is exempt therefrom and the basis tor ihe alleged ezemption. Any violation of Saction 7031.5 by any applicant for a permit
su6jects tha applicant to a civil penalry of not morp than five hundretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentled or oNeretl tor sale (Sec.
7044. Business and Professions Coda: The Coniractors License Law tices not apply to an owner of property who builds or improves ihereoq antl who tloes such work
himself or herself or Ihrough his or her own gmployees, pmvided that such improvements are nol intended or oNered for sala. It, however, the building or improvement is
soltl within one year oi completion, ihe ownervbuilder will have the burden of pmving that he or she tlitl not builtl or impmve for purpose of sale.).
❑ I, as owner of �he pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessions
Code: The comractors License Law does not apply to an owner of property who builtls or impwves �heraon, and who contracts for such pmject with a contractor(s)
license pursuant to the Contrectors License Laws.).
❑ I am ezempt untler sac. Business and Professions Coae for this raason:
Signature: Date:
Owner ID verifietl by driver's license. ❑ Yes ❑ No Driver's License No. Ezpires:
Verification of Ownership by (type ot document, i.e. - propeny taz bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N:
❑ I hereby cetlity ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be matle in wnnection with work authodzed by ihis
permi�, and ihat no building sWcture, scaflolding, talsework, or demolition or tlismantling thereol, will Ge more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, California Administrative Cotle).
❑ As owner-huiltler, I will not employ anyone t0 tlo work which woultl require a permit from ihe Division of Intlusirial Safety, as noted above, unless such person has a
permit to tlo such work trom Ihe division.
Signature: Date:
Division of Induslrial Safety Permit Numbec
CERTFICATE OF COMPLIANCE AND AUTHOR17ATON OF EMAY: I cehify under penalry of perjury Ihat I have reed �his application and stata that the intormation given is
cortect. I agree to comply with all state laws and city ortlinances relating to building constmction, antl authorize representatives of ihe Ciry of Costa Mesa to enter upon the
above-tlescribed propeny tor inspection purposes, 1 agree not to occupy or allow occupancy of any 6uiltling amhorized by this permit until (inal inspection.
COOE M. INSPECTIONTYGE
1616 Fixed System Final Fire Prevention
7266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Finel Factory Fire Place
203 Finel Sign
204 Final Demolition
2446-46
INTITIALS
CO�EN INSPECTIONTVPE
206 Final Mechanical C
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupancy
Nrl RIALS
OWNER h� MULLEN, KBtherine DATE
JOB ADDRESS 727 WeelO Di'. BUIId
AP No.716-1C
INSP�CTIONS
c
6.
coat
LOT TRACT PI2B ZONG
� Signature� DATP GROUP
VALUP � bjU.UU
DESCRIPTION OR WORK
TYPE T77 7.ONE
SU6CONTRACTOR
- � � � RECEI���
. �� 5 MAR 2 0 1963
COSTA MESA BUILDING-SAFETY DEPARTMENT FINF,NCE DEPT.
p. o. aox s,� COBTA MEBA, CALIFORNIA CITY OF COSTA MESA
For Applieani fo Fi11 In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
BUILDING
AODRE6S �- WEEL� 2.
COSTA MESA. CALIFORNIA For Offite Use Only
OWNER K E C VLLEN A[CHIPT NO. P NIT NO.I
MAIL AECEIV O BY v� T6 REC81V OATE IBBUHD
nooaes5 S R M E a�c�0 � � D-
TEL. BUILDING / . ) �
CITV � — NO. ADDRE66 :���
�'
ARCHITSCT TEL. ^ COSTA MESA, CALIFORNIA
OR "'^.INEER NO.
ADL�.,.e'S FIRE
ZONE TYPE I ROUP
CONTRACTOR (Z L- �1_ A1C UL 0 APPROVED
BY DATE
ADDRE69 '�- � IONING
ZON! NO.OP UBE OF NEWp
CITY ��—_ � � Z, PUNB � Hll11.DIN0 F�G
LIC. NO. 3� � NEO. LHGwt QK �.%_ �O J�
OEBCRIPT�ON
SIZE No, on eWae.
OF LOT �+ow oe l.oT p, p, NO. //� O���
U8E OF YARDS EVES
EXI6TIN%BLOG APPROVED ALLOWED
86TBACK 4�N8 PROM (��+tea uwC BT4
ceHiea oP ern¢ar REAR YARD �� FRONT IN.
BIOE YARD LEFT —'� I RIGHT R. SIDE FT, 1 � IN.
DESCRIPTION OF WORK �.. f N
L. SIDE ' FT.
NEW II� 4ALTERATION 1 NADDITION I REAR FT. �� IN. �
REPAi.. I IIMOVING I �DEMOLISH I BYPROVED . O� .j -/ -.
(.C/t DATE �GG�
BUILDIN�'+ -� NO. OF ��
SIZE ROOMS STORIES
EXTERIOR WALL `— I ROOF '�
COVERING COVERING
USE OF �UILDING AN� WORK f0 BE � RFQRMED
.It - a� � VIJ�i
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1 HEPHOY �CKNOWLEO08 THAT 1 HAV6 R6AD THI9 MPLJGTION THg AMOUNT BHOWN YNDER VALUATION IB FON TH6
AN� BT�TB THAT TX8 �BOVE I ORRBR AND AOPle TO COM- pURP086 OP E9T�BLI6MINO � PERMIT PEe ONLY.
PLY WITN ALL CITY OIiDINANC AND eTATH LAWe qH6ULATINp
Bu1LDINtl CONeTi1u iG . VqLUATION �( l��
BIGNATURE OF PERMIT FEE $ V
PERMITTE % C p
S �j,JO. � U PLAN CHECK $
AUTHORIZED AGENT � 0
TOTAL FEE a
OWNER CONGER� K. S. DATE 3-8_63
JOB ADDRESS 'jQ'% W8810_DT. __ _ BUILDING PERMIT NO. :
GGNERAL CONTRACTOR $g,nt8 /\i18 Plasterina VALUE $ 3�Q,�
AP No. ],1(-�04-O�i LOT TRACT FIRE ZONE DESCRIYI'ION OR WORK StUCCO Rea.�
INSPECCIONS 8ignature llATE I GROUP I TYPE y 7.ONE
� I SU[3CONTRACTOR ---.PrT
' i8a�o
- COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%9f] COSTA MC9A. CALIFORNII�
For Applicant fo Fill In Completely
TYPE OR PRINT
COSTA�MESA. CALIFORNIA
� MAIL
' LIC.TNO. �r O� D � NO.
OF LOT �� � �
USEOF ' �
E%ISTING BLDO.
9ETB�CI( LINE FHOM �
CeNT¢X OF 9TFEET
SIDHYARDI LEFT �X
DESCRIPTION OF
BUILDIN6
SIZE
E%TERIOR
M1VVI'
� coveA
AND WORK TO BH
I HBREBY ACRNOWI.¢DaH TH�T 1 NAVB 0.HA� T11�B ApPLICATION
AND 8TAT8 TNAT TNe �BOVB 18 COflReR AND AOp88 TO COM�
PLY WITM ALL CITY ORDINANCHB AND 8TAT8 l./�WB ReOYLATINO
BIIILOINO CON9TflURION. ^
816NATUR80R � ._ .. A� �i% Qr�//....
■ AUTHORIZBDAOENT
FEE RECEIVED
hV+H 8 1963
FINANCE DT�EP�T.
APPLI�.ARiOB7� F�PE'RMY'f"A
BUILDING
for Oiiice USB Only
HCHIVOD BY I A'j[�HC y� _` I D�8_9Qµ8— �
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i�oiNo
7RESH
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J8 TYPE 6ROUP
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DATH
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8_ NO.OI U860IN6W
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C11�RIOt��' � �// ��. �%%�'R.i
�.r+o. ��—l��—Dy' l��
fE: NO EAVH OV6RHAN6 SHALL BE LE69 THAN
' TO SI�E Q REAR P. L.
'ES
.OWED (U.B.C.REOUIREMENTI
YARDSMPROVED � YAROSAPPROVED
MAIN BUILDINO AGGESSORY BUILDIN6
VAR. $C
DATB
a
8Q. FT. �
TN8 �MOUNT BNOWN UNOlR VALUAT�ON 18 POR TX8 =
PUqP08H OP 88TABLIBNINO • PEHMIT P88 ONLY. �
VALUATION � _� m
PERMIT F8H $ a
�
$�90/ � m
a
0
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AP No.Llb-1U4-V4 LOT
INSPECTIONS
G s
Watcr
F"
F.
VALU�
TRACT PIRE ZONE llLSCRIPTION OF WORK
Signature llATE GROUP z&J TYPE jr ZONC
-� �� . J „ SUIICOA`TRACTOR TA�
¢
n
,:
- i
COSTA MESA BUILDING-SAFETY DEPARTMENT
p, O. BOX 917 COHTA MEBA. CALIFORNIA
For Applicanf fo Fill In Completely
L
COSTA MESA CALIFORNIA
[�
L7C.N0. �% �-S�O NEO. �� � �(/�`
OF LOT �• �OD S. I�o. on eince.
NOW ON LOT
USE OF ✓ � x U
EXISTING BLOG
6[TBACK L�NH iHOM � ry/
�M6R Op B��eT — � REAR YARO�C�
�J %
SIDE VARD I LEFf �% RIGHT S'
DESCRIPTION OF WORK
�BUILDING �35,j'.F NO.
II HHReBY �CNNOWLHDO6 TXAT
AND BT�TB TN�T TX6 AGOVG I8
PLY WITN ALL CITY ORDINwNC6
BUILDINO CON9TRUGTION�
, AUTHORIYED AGENT
�
FEE RECEIVED
1�./� DEC 2 7 196�
n FINANCE DEPT.
APPLICR�{�IV FFORSF�R1VftYA
BUILDING
For Office Use Only
R¢CBIPT NO. PEflMIL1�
BY
DATE
/ 1!
COSTA MESA. CALIFORNIA
ZONING
20NH NO. OF I U8H OP NE
PL�N6 �/ � BU�LDI �
� �aaw� b'D�
D88CRIPTIO
/ O ��
A. P. NO. r' � /
YARDS ' EVES
APPROVED ALLOWED
� (C[NT[R LINe BTJ � �j
�OMS STORIES / �[�J� � �(
DOF
OVERING � a �/ `.. S" �I
TO BE PERFORMED ,
G!/ GG,� �
. ZO LO
��
1 HAVB iXIB MPLIUTION }�g �MOUM eHOWN UNOeH VALUATION IB GOR TH!
GOM ND A6RH8 TO COM- pURP088 OP EBTABLIBN�NO • P6PMIT P¢E ONLY.
8 AN 9TA {AW8 aeauunHo
VALUATION Q
/ PERMIT FEE $ /�
S/�� J� � PLAN CHECK $ �/ a
i r/ �
TOTAL FEE
¢
s
GENERAL CONTRACTOR
AP No.116-104-04 LOT
INSPFCTIONS
G:
W�ter
— in
TRACT
� Signature
PIRE ZONE
DA'PE; GROUP
DESCRIPTION OF WORK Demolish Gar•
TYPE V ZONE R-2
SUBCONTRACI'OR
, 18518
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MEBA. CALIFORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
BUII.DING'�� ���Q�p
AODRESS �1,.
COSTA MESA. CALIFORNIA
� MAIL
TEL.
■ 88TBACF YN8 PPOM
TEL. �' �
NO. � `
TEL. �
NO.
� �
NO. OP
\
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DESCRIPTION OF WORK
EXTERIOR WALL
COVERING
USE OF BUILDING
ROOF
COVERII
K TO BE
� HEREBY ACKNOWCEOOE THAT 1 XAV6
ANO 8TAT8 TNAT TXE ABOVE 18 CORRI
PLY W�TH ALL LITY O��NAN 9 AND
BUILDINO CONfiTRUCTI
81GNATURE OP �
PERMITfE
AUTHORIZED AGENi
�
�
a
FEE RECEIVED
DEC 27 ���
FINANCE DEPT.
ITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. �PgpMIT}�/O �
%J S
ar I nwre/nEcei7/Ro I o�rF/Ieet�o
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING `e
ZON! NO. OR U6¢ OF NEW
�'�"PLAN6 / BUItDINO�
l.4GAL (� �i` � V � �%
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\PPLIGT�ON THC AMOUM eH
8E TO COM- pURP08H OP EI
fiEOULATING
VALUATION
/✓ - '
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UNOEP V ATION 19 POft THE
IBNING PERMIT FE6 ONLY.
I,
u
3a
�1( OWNER MC .
7 JOB ADDRESS
�" GEN�RAL COt
�J ar rro116-10
/� 1NSPECTIONS
Ni ;
4._
� Water
�— Rough Com. Re
� Itough Heating
P
P.
DATE 5-14-64
BUILDING PERTIIT N0.
V
DATE IGROUP
SUBCONTRACPOR
c
/]/fl ��O
�
� COSTA MESA BUILDINGSAFEIY DEPARTMEPR
P.O. BOX 1201 GOSTA MESA, CALIFORNIA 92l20
foi AppllcaM ro Fill In Compltlaly
TYPE`iO PRINT
tUI�INO \ �
AD RSYS
COSTA MESA, CALIFORNIA �
;L�f'i'�+i5il�iE"�
FEE RECEIVED
y�pY 1 4 18�
FINANCE DEPT. �
Q��fC�6 FI�iQ�R�E�i1R
BUILDING
For OHIn Ua On1y
R6C[IRMO. �[111uTH0. .
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ION{ NO.O! UfiO�NiW �+)
ILAN/ �UILD�Ni j; "�
A� �
S _ O�DCRIRION ✓ / ( D � �C
A. P. NO. � � � �
NOT6: NOUVlOVERHANO6HA4LEBLl88THAN
LIN6lRON � �
iP BTR[R � 11QAR YAR '
RPI LlFT �' D" NIOMT J! S"
DESCRIPiION OF WORK
li r(n�Xl2
WALL
� ' e �LC7luN
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1 M[R�Y ACKNOWL[DGt TXAT.I MAV[ RND T11�� AIIIJGTON
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eui�tl�nocoxernumox. � ; -
816NATURCOP ��� . _. / •
PB0.MITTee d�o �'JSL�
AUTHORIZ[D AO[N7
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MAIN BUILDINO AGCHBSORY BUILDIN6
iOM C/L RR[tT)
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MAIN BLDOB. ACCE
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VAWATION 5
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