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Home My WebLink About740 WESLEYAN BAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 740 WESLEYAN BAY Suite: Vicinity: GRAYLING BAY Parcel Number: 41813113 App�icant: PULASKI, JON Address: 1945 PLACENTIA AV COSTA MESA, CA Owner: PENTRIDGE COVE HOA Address 26 CORPORATE PARK " IRVINE, CA . Contractor: BRIDGEPORT BUILDERS Address: 1954 PLACENTIA AV Arch : Address: COSTA MESA, CA Zip: 92627 _ Phone: Zoning: C1 C1 Phone: 949-6423300 Zip: 92627 Phone: Zip: 92606 Phone: 949-6423300 License: 312063 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/07/2002 Issued: 07/01/2002 Phone: Zip: License: License: _ SCOPE OF PERMIT REPAIRS TO STAIR SYSTEMS, SIDING AND TRIM AND DECK MEMBRANES. ALL EXTERIOR WORK TO CONDOMINIUM COMPLEX - COMMON AREA. INCLUDES: 740 THROUGH 774 GRAYLING BAY. BUILDING 1. Plan Check: $0.00 Permit: $25125 SMIP Res: $1.42 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $252.67 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0-0 $�a,zoo.00 s�a,2oo.00 NOTICE: The work authorized by this permit shall comply wilh all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) 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 period ot 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 requiretl Inepectiona end 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 . ?4464fi (8�00) WORKERS'COMPENSAnON DECLApATON: I hereby aNirtn under penalry of perjury one of ihe following declarations: ❑ I heve entl will maintein a certificate oi consent to seN-Insure tor workers' compensation, es provlded tor by section 3700 ot Ihe Wbor Cotle, for the pedormance of the work for which this permit is issuetl. . �ve antl will maimain workers' compensatlon'msurance, as required by section 3700 of ihe Lebor Code, for the paAortnance of Ihe work tor which ihis pertnit is issued. My workers' compensetion Insureqce carriar entl policy umber are: Certier. �A'+�` 1 A/ S� .� Policy Number. AL�Z '�`3'� O Z (This section neetl not be completed i/ t e Oermit is velued at one hundretl tl lers ($100) ar less.) ❑ 1 certify that in the perfortna c t� work for which this permit is i55ue0, I shall not employ any person in eny manner so as to become subject to tha workers' compensation laws of Calit rnia, a gree thet ii I shoultl become sub�ect to the workers' compensation provisions of Section 3700 oi the Labor Code, I shall forthwith comply with Ihese provili n Applicam Signature: Dete: �� '7 � 1�' Y'Z_ WAFNING FAILURE TO SECURE ORK 5' CAM ETISFIION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFKKISAN�OOLLARE(S1W,OW),IN ITI TOiHECOSTOFCO!dPENSATION,OAMAGESASPROVIDEDFORINSECTION39060FTHELA80RCODE,IMEREST,ANpATTORNEI^SPEES. LICENSED CON7RACTORS DECLARATION: I hereby attirtn that I am licensed under provisi< force and effecL Lic. N "S 17.D( Comractor's Si9naWre: with Section 7000) of Division 3 of ihe Business antl Professions Code, and my license is in full _ Class k \ Date: � 1 0 � - CONSTRUCTION LENDING AGENCY: ' ' ❑ I here6y aflirtn ihat there is a construction lending agency tor the peAormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lentler's Adtlress: SigneNre: Date: OWNER•BUILDER OECLARATIONS: I hereby eNirtn Ihet under penalry of perjury that I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, eusiness and Professions Code: Any ciry or couMy which reQuires a permit to consimct, elter, improve, demolish, or repair any simcWre, prior m its issuance, also requires ihe applicant tor such permit to tile a signetl stetement Ihat he or she is Ilcensed pursuent to the provisions ot the Contractors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professions Code) or Ihat he or she is exempt therefrom and tha basis for ihe elleged exemption. Any violatian ol Section 7031.5 by eny apP�icant for e pertnit subjects ihe epplicant to a clvil penelty of not more then five hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with weges es iheir soie compensatlon, WILL DO THE WORK, antl the strucWre is not intentled or oRered for sale (Sec. 7044, Businass and Professions Code: The Contractors License Law does not apply to an owner oF properry who builtls or improves thereon, antl w�o tloes such work himself or herselt or thmugh his or her own employees, provided ihat such improvemaNs are not intended or oflered for sale. If, however, Ihe 6uilding or improvement is sold within one year of completion, Ihe owner-builder will have �he burden of proving ihat he or she did not build or improve for purpose ot sele.). ❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTNG WI7H LICENSED CONTRACiOflS to construct the project (Sec. 7044, Business antl Professions Gode: The comractors License Law tloes not apply to en owner of propeny who builds or Improves thereon, end who contracis for such project with a coniractor(s) licanse pursuant to the Coniracbrs License Laws.). ❑ I am exempt under sec. Business and Professions Code tor ihis reason: Siqnature: Date: Owner ID vanfied by drivefs license. ❑ Yes ❑ No Drivefs License No. Eapires: Verification ot Ownership 6y (type of document, i.e. - property �ax bill or deatl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavetlon tive (5) or more feet in depth in�o which e person is required to descend, will be made in connection with work authorized by ihis pertnit, and that no builtling structure, scaHolding, falsework, or demolition or dismantling thereot, will be more than thirty-six (36) teet hiq�. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Atlministrative Code). ❑ As ownervbuilder, I will not employ anyone to do work which would require a permit irom the Division ot Industriel Safety, as noted above, unless such parson hes a pertnit to do such work irom the division. SignaNre: Date: Division of Industrial Safety Permit Number: IGERTIFICA7E OF COMPLIANCE AND AUiHORR.ATON OF EMRV: I certity under penalry of perjury ihat I have read ihis application end stale ihat the information given is I correct I agree to comply with all state laws entl ci�y ordinances rala�ing to building cons�mction, and emhorize representatives uf ihe City of Costa Mesa to enter upon the ebove-descnbetl property for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by this permit until finel inspection. CQOE t. 1616 1266 200 Of Legal Fixed System Final Fire Prevention Pool SOa Final Final Re-Rooi 201 Final Block/Rataining Well 202 203 204 Final Fectory Fire Place Final Sign Final Demolition �jE IMRIALS Et INSPECTIONTYGE 206 Final Mechanical , 208 Final Plumbin9 210 Final Elecirical 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site " ` 250 Final BuildingiOccupancy —,� t ia'�. ate ��ZL�luuir\4j r F � {il 0. Q � y � F C u� F Q C � Q 7 .r.l C � o. ' � L Z W S 3 ? 75F � 4 , -- K4 yb Y9/ �� Ss�sy',.:3��S8�co 6z� COSTq MESA BUILDINGSAFETY DEPA�TNIEI�T� �`B�APPLICZA ON FORS7'RUC�'�URdI,PERMI'I=� � i•31 TL P.�O. BOX 7200 COSTA MESA, CALIFORNIA 92626 RECFJVEA BY P�RMIT �, � �n ��_,.. � n.. For Applicant to FID in Completely - Use Ink Only BUILDING yy ADDRESS Tract 10626� idyi�{///(j/ 1�� T NANT�R M.D. Janes Co., Inc. ADDREss 2950 Airway Ave., D-9 TEL. cirv Costa Mesa No. 979-3 �NSTHUCTIIXJ LENDER NOC selected BFANCH N/A A�DRESS N�A �1DDRESS CONTPACTOR ADDRESS CITY STATE TE TEL. NO. � CITV LIC. NO. e LIC. NO. A OF LOT rjrj0� X 334� NOWONLO S Q USE OF EXISTING BLDG. N�A Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AN� WORK TO BE PERFORMED 376 I hereby acknowletlBe tM1at I have reatl this application entl rtate <hat the qbove information is correct and apree to comply with all laws repWatinB buiftlin8 cons[ruction, end 1 shall no[ emploV any person in violation of the workman'S compensation laws of che State of California. 1 he�eby certify that I am prope�ly licensetl as a conitactor untler [he State of California Business antl Professions Cotle, Division 3, Chapter 9, antl that such licenses are in full force and etfect, ar 1 am ezempi from the rovisipns of tha State of California Business antl Profexsionz Cotl Divisi9r�3, Chapter 9. �/ / Signatura of Permittae or 8�1%�%9 Authorized AOent te UNIT OR svncE No. LOT REPAIR IMOVI OWNER �k"N�5 C�1- VAI.UE USE E ""� 3 ZONE APPFYOVED APPROVEDSETBACKS (FHOM C/L STFLEETU p PLANNING AC710N - 7y oYf` "", ` / APPROVED �-.�0� .%%�� nnT� /2 �/7 -e m � d '1 L : � p SQ. FT. N `� THE AMOUNT SHOWN UNDER VALUATION I$ FOR m G�, THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � VAIUATION PERMIT FEE S N� PLAN CFIECK E Sd �, � o 4Sa��. LL � TAX S f.. - - S'' .. •, TOTAL PAID S �I . �j EJIn -l._ ✓• • � C' W � "i: 5. CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT co��a�t/�T y QS_��d73 PERMIT NUMBER (71b) 754-5273 • Fax i71d) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address ContraGor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) NeW Res (3+units) Poo� � Spa Lighting Fixts Recept Outlets Switches Non Res Appl Re5 Appl Service to 200a Service to 1000a SeNice over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a pol0 Light Pkg Sign Circuits Temp Pwr Pole Inte�ed Pole 740 WESLEYAN BAY POOUSPAS IN MIDDLE OF COMPLEX 93768001 RICE, BOB Phone: Zip HANNAH, MITCHELL B 14 ASH70N 1 Phane: . MISSION VIEJO,CA . Zip: 92692 Phone: Zip: F License: SCOPE OF PERMIT HEALTH 8 SAFETY CODE SECTION 116049.1 PUBLIC POOL GFCI INSPECTION $22.00 so.00 $0.00 50.00 50.00 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 Quantity FEE SUMMARY Temp Dist System I Lighting Busway/t00ft � Standing Section � Misc EleCrieal Equipment Trensformers up to 1 kvalkw ................up to 10 kva/kw .................up to 50 kva/kw .................uP to 100 kvalkw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or Iights) Christrnas Tree Stand Fireworks Stand . Other Electrical Fee . Investigation Fee Plan Check Fee ReinspeIXion Fee� $0.00 so.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 80.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 523.00 COMMENTS I SPECIAL CONDITIONS status: ISSUED � Applied: 06l01l1998 Issued: 06/01/1998 Quantity EXPIRATION: This permit shall eutomatieally expire end become void if work is not commenced within 180 days, or if work is suspended or abandoned � for a penod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wi�h all applicable codes, and all requfred tnapecUona snd iinsl approval must be obtained. FaiWre to obtain inspections and final approval wili result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATON DECLpRA710N: 1 �ereDy eXirm under penelry of per�ury one of Ne iWlowing decleretlons: 0 I heve end wlll malnteln e certiticafe of consent to seB-Insure for workers' wmpensatlon, es providetl for �y sedlon 3700 of the Lebor Cade, far the peAormence of the vrork tor whicli Nis pertnit is isguetl. ❑ I heve erM will meintain workers' campensalim insurance, av rec�uiired by section 3700 of the Lebor Code, tar the pBAwmence ol Ihe xrork fw which tlus pertnk is iswed. My workers' cwnpansetlon InsUrance cartier and policy number ere: Cartler. PW�cy Number. (TAts seNon neetl not be cwnplered!! the pertnit Is valued er one hundred do0ers (S I00) aless.J 0 1 Cehlly thel In t�e peAortnan� of ihe work lor which ihi9 permll IS I35uBQ I 5hell no� employ eny pereon in any menner so es to become sub�ect to ihe workers' compansetlon laws of Celilomle, arW egree that It I shoultl become subject to ihe warkers' compensetlon proNslans o1 Section 3700 of Ne Lebor Code. I shall fonhwlth �ompy wit� t�ese provi5ions. Appllcan� Slgnature: Date: WARNIN6: FAILURE TO SECURE WORK@q$• �p�$qTON COVEM�E IS UNL4WFUL AND SNALL SUBIECT Ml EMPLOVER TO CRIMINAL PENALTIES ANU dNL FlNES UP TO ONE HUNDRED THWSAND DIXAARE (5100,000), IN FDDITION TO THE WST OF COMPENSATION, DAhU14E5 AS PROVIDED FOfi IN SECTIIXJ 3'/O80F TNE UBOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLqppTON: I hereby eMirm thet I em Ilcensed untler provislons of Chapter 9(commencing wlth Sedian 7000) oi Divislon 3 oi Ihe Business end Professions Cade, end my license Is in full torce and efled. Lic. p Class x Contractols SigneWre: Date: CONSTRUC710N LENDING AGENCY: p I �ereby etflrtn thet Ihere is e cqnstructlon IerMing Lende(s Name: ' Signature: perfortnance ol the work far which Ihis Oertnit Is issueC. (Sec. 3097, CINI Cotle). Lendefs Address: ' Oate: OWNER-Bl11LDER DECLARATION$: � I hereby atlirtn that under penelry of per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far Ihe tollowinp reeson (Sec. 7037.5, Business end Pratessions Codo: Any dry or counry which reQulres e permit la tonsiruct, eltor, Improvo, demolish, ar repair eny strucNre, pdor to Its luuence, also requlres the epplicent lor suc� pertnit lo flle e sipned atetement �het he or ghe is licensed Dureuent to Ihe proNsions of the CantreIXors Llcense Law (C�apter 9(commencing with Seqlon 7000) of DlNsion 3 of ihe Business entl Professlons Cotle) or I�et he or she is ezempt Iherelrom enE the basis br Ihe alleged exemplion. Arry Nalalion o1 SeCtlon 7031.5 by eny applicant tor e Dertnit sub�ecls Ihe epplicant ro e dvll panelry of not more then five huntlrod tlollara (5500).): � I, es owner ol tha pmperry, or my employees with �ieges es t�elr sole compensatlon, WILL DO 7HE WORK, enC the atrucWre is not Intended or oHered for sale (Sec. 7044, Busineu anG Professiorls Cotle: The Contrectors Llcense Lew does not epply to en owner of properry w�o bulltls or Improves thereon, and who tloes such work hlmself or herselt ar ihrough hle or her own employees, provltletl that such ImprovemenGs are not intendetl ar atleretl for sale. If, however, ihe bulitling or improvement is soltl within ane year of wmpletion, the owner-bullder wlll have the burOen ol proving that he ar she dld not Dulltl or ImDrove for purpose of seie.). ❑ I, es owner of Ue D�aOeM, em EXCLUSIVELY CONTRACTNO WI7H LICENSED CON7RACTORS to construM the proJect (Sec. 7044, 8uslness antl Professions Cotle: The contrectors lJcensb Lew Ooes �rot appy ro en owner of property who bulltls or Improves thereon, and who contrects for such proJect with e contrectoqs) Ilcense pursuant to the Contractors License Lews.). . ❑ I em exempl un c. BuSiness end Professlons Cotle tor this reeson: Signature�' X�-� � Date: � Owner ID"vetllleU by drivers Ilcense. ❑ Ves ❑ No Drivels ticense No. � Fxpires: Veriflration af Owners�lp 6y (rype ot document, i.a. - property ta:� bill w deeaj: DNISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby cenify that no eacavatlon tNe (5) or more leat In tlept� into wNch a person Is requlretl to descenq will be metle In connenlon wlth work autlrodzetl by Ihls permit, anE lhet no builtlinp stn�cture, scattolAing, felsework, or tlemolltion or Aismentling thereol, wlll Oa more then thiny-six (38) leet hiph. (Chep. 3.2, Gry 2, Art 2, Sec. 341, Tille B, Celifomle ACminlatrelive Code). ❑ As owner-builtler, I wlll not employ anyone ro do work whic� woultl reqNre a pertnit trom the Divislon of Industdal Safery, es noted ebove, unless such person has a permit to tlo such work fmm Ihg divislon. � . Signeture: Date: Dlvision of Industdal Sefery Parmit Number. CEHTIFlCATE OF CAMPLUWCE AND AUTHOROATON OF EMFiY: I certify under penalry of perjury that I have reatl this applicetlon end state thet the info�mation given is cortect. I egree to Compty with ell stete lews and ciry oNinences relating to builCing construction, end euthonze representetives o1 Ihe Ciry of Cosla Mesa to enter upon Ue ebOva-descrlbeC property 1or inspeqion purposes. I agree not to occupy or ellow occupflnq of any bullding auiharized by Nis pertnit until tinal inspeclion. - �� nat�re OI Legal Owner(s) , , �///9� � Date iv � ' '� Antl/Or AuthoAzed Applicanl Date COOE �, PlSPECTONTYPE ps¢ If{�LS 1616 Fixed System Flnel Fire Preven9on 1286 200 207 202 203 Paol Spe Flnel Flnal Re-Raof . Finel Black/Fletainl� Wflll Flnel Fectory Fire Place Final Slpn 204 Flnel DemollUon zue-se C4PF1 ItlSPECL4tl_ffiE 206 Finel Mechenlcel 20B Finel Plumbing 2�0 Flnal Elecirical 212 Final Fre Prevention 220 Final Plannirg Approvel Yi 250 Final Site Finel Building/Occupanq � . �'• • It�AlS , \ / PflOJECTRODNESS: '790 WESLEYAN BAY owaexsxaMe:pENTRIDGE COVE 1 HOA aooeess:3009 DAIMLER ST SANTA ANA CA 92705 AflCHIENGINEEB: ADOXESS: NEG.NO.: UNIT: UNIT: PE"""nEE: pENTRZDGE COVE 1 HOA ( 800 ) 660-8099 nooxess: 3009 DAZMLER ST SANTA ANA CA 92705 LICENSEO CONTHACTOB OECIAXATION: 1 �ere�y allirm I�ai I am Iiten5e0 un0er Orovisions ol C�aOter 9 �rommencing with Seciion 7000) oi Orvision 3 0l Ihe Business an0 Pmfessians CoOe. an� my license is in lull b¢e antl e��eci. CITY LIC.: STRTE LIL.: CIASS: �a�e: Signamre- WONREBS' COMPENSPTION DECLABATION: I �er¢Dy atlirm IOaI I hav¢ a certitiCafe oI tonsent Io Sell�in5ur¢ or a tehi�icale ol Workers' ComDensa�ion Insurance. or a cer�i�ietl capy I�ereol �SeCtion 3800. Lab. C�. POIICY NO.: EXP. OATE: COMPFNY: ❑ CenifieU copY is here0y lumis�e0- ❑ Certilie0 capY is file� with the ciry Building Oivision. �ate: ApPlicanC E%EMPTION FROM WOflREflS' fAMPEN5AT10N OEQAP/iTION: �TNS section neeC noi be comDleted i� tM permi� is lor ane huntlree (S7 W) or less�. I certily �hat in I�e peAormance oi Ihe work br which tNs Oe�mil is issuetl, I shall no� emplay any person in any manner so as to become sub�¢ct Io ihe Wo�kers' ComOensation LavS o� Calitomia. �are: Signawre: NO7ICE: II. af�er making this Oeclaration, you shoul0 �ecome suDject b the Worker5' Compensa0on pmvisions of ine La�or Cotle, you must fotlhwit� comply wi�h suc� D�ovisions or tttis permil shall Oe aeemeG revoked. CONSTPUCTION LENOING AGENCY: I hereEy allirm Ihat Ihere is a constmc�ion lending agency lor Ue pedorman[e oi the work lor which ��is permit is issue0 (Section 3097. Gv. C�. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 061823 PERMST NO: B 061823 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION : REPAIR DEFLECTING FLOOR SYSTEM SQ FT; 6,000 CLAIM VALUE; 600.00 CALC—VALUE: 6 00.00 GROUP OCC: R-1 / COMMENTS• THIS REPATn rtRMIT INCLUDES 742 WESLEYAN br�Y AL�^ ififlfifif�%'H'3i'ifififififififiF#ifiF ciEiEifififiF3lififY'iE'1F'1fdF+�.. 'H'1fif+F'' y''r- n.��fii'M'�.r�f'H-3�.:ififlFaf �'Y '�� i if Zv, i � REQUIREMENT��('�K�D�ET'EC� ------------ MAIN BUILDING _____S—E—T B A_C—H S___ ACCESSORY B� Gu�d��---- FRNT: FT IN REAR: FT IN .,�vT: FT IN REAR: FY IN LEFT: FT IN RGHT; FT ZN LEFT: FT IN RGHT: FT IN PARRING REO• PROV: PARCEL; 737680U. �,vE: REF NO; PLANNING Nt�TES> 1 fEiEfE1E-1EiblE7F?f3rififlFlEiE1Elf3fiElfiEiFifiFiEiEiEliiEiFiFiEiEiEiFiEiElfiE'1EiFiE .:iElEiEiF#ifiEiEiElEiEiElEiEiFiEjEiEiEiEif�kiE.3f'iEiEjEiFiE?EiEiEifiE D E V E L O P M E N T S E R V I C. S R E Q U I R E M E 13iI' S ZONING APPROVED BY . BUIiDING At�PROVED BY : LENOEN: iE if IE iF N� if if iF iE iEiE iE it if iE iE if if if ik fE aoosess: L EGAL I ZAT I ON : N OWNEfl BUIL�EH OELNPATION: i AereOy a��irm Ihai I am exem0� ��om ��e Contractors' Slale License Law for I�e lollowing reason BLDG PMT (Semian 7031.5 Business anU Pmfessional Coae: pny city oi couniy w�ic� repuires a Dermit �o consimct, alier, im0�ove, DemolisR or P ERM I T 81 , 0 0 repair any slmcture. Orior �o its issuance. also repuires I�e a00�icanl �or such permil �a �ile a sipn¢0 Sla�emen� Ihai hel5he is licensea pursuanl lo Ine piovisions ol Ine ConVaciors' Slale License Law (CnaO�e� 9 Rommencing vnlh Senion 7000� ol �ivision 3 0� I�e Business ana Prolessions Coae) or ��ai he/s�e is e�empt I�ereimm antl �he UaSis lor Ihe allegea exem0�ion. Fny violation ol Section 7031.5 by PLAN any apP�icant lor a permii 5u0jec�5 ��e apD�icanl �a a civil penally ol not more IAan IHe huneretl Eollars (5500�. jSSUE FF:E � DATE : :! DATE: .n � DATE • ,. o^ i x u xx�c- x �efexfex iFiElEiEiEiflfjFiE�iF < xxfr�rx,e ±ElE if �lE if iE if iE k!EiF �.'- k iE jf 1E iE iE if fE it 7C ## iE iF iE �lf if 1F iE 1F fE #�H� if iF iE iE 3F �f ?E iE ik F E E S U M M A R Y STRUCTURAL SEGMENT:Y PLUMBING ELECTRiC MECHANIC FIRE SMIP/RES GRADING SMIP/NON—RES V—: — BUILDINv—DI PERMIT ISSUE PLAN CH win ne work an0 �ne ECK TOTA wi n w as meir soie com enutian. do t L PAID i n m en o� m em la ees i a es o DUE I as owner o t e Y Y g 0 P Y __ 1 r ' tat License Law — — d n nE PmiessionalCotle: The Coniracta s S e > i n rollere0forules�enion7oa.euvessa TOTA"LS 8� 60 0 ❑. simaureisnotme0etlo 1 . ,�� 0,0� 81.60 81.60 ,00 tloes no� apply to an owner ot a pmpeny who buil�s ar improves Ihereon, and who Aces suc� work himself/herself or ihrough hi5 of �er Own employees, Omvide0 Ilul Suth �mD�Ov¢meni5 ar¢ n0� m�¢ntl¢tl or o�fer¢d lar sale. II, howevef lhe bUiltling or imD�ovemenl is sold wilhin one year ol comD�etion, �he owner vnll �ave Ihe OurEen al Omvinp he/she did nol bui10 or impmve REV ENUE D S V I S I ON T�'1'ALS --> COLL ECTED • 81 . 6 0 OVER /SHOR T; 00 io�mePo�poseoisaie�. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK I, as owner ol ihe pmpetly. am exclusivety comraciing wiih IicenseE comracmrs lo conslmci I�e O�o' I(Seclion 7044 siness 81 . � 0 , 6 Q ;� anJ Prolessions Code: The Comractors' Staie License Law aoes noi appry to an ovmer ol pmpeM o builas or imp s ihereon �' ' an�w�oconlracl5lorsuchproject5vnl�aconiractor(S�Iicensepur5uantlo�heContractor5' aleLicensel .lamaware **.�*�.*..�**.{F{p.rt{E*�F{S-X.{(.�(.*.{p.7E{�..K.}�.****.7F*.*.j�..H.�..�**..�.��*.K.{�..K.{�..X..7�..x..1f.H.if..x*ifi(,.lf,K.if,i(.1(.*i(,�(,{E�(,�(„x,***i(„K„IF*i(„K,*,� ma� omo� o� ineir worker's Compensa�ion insurance snoWO Ue q�ovieee m me. '�I N D I V I D U A L F E E B R E A K D O W N � I am evempl unaer Section: B. 8 P. C. for �hisl�,e/aj'�n; '-7 � oaie: / L�� ...� OwnE I tlo hereGy certity I�a� I am aware ol anJ unAerstanE t�e repuiremenls ai 25534 and that I ar any tuWre buibmg accupant wilVwill nol (cirtle one� n permil lo� canslmclion or motlJicatmn Imm I�e Air Ouality Managemen� ihese pmvisions. Oale: � ADO�icant: I here�y cetlity tM1ai I have reaa this applica�ion antl staie �hal l�e a�ov ii or�inances and staielawsrela�inglo OuilOing cons�mc�ion a hereU I i pmperty iar i Oeciion purposes. Dale: � '� Signawre: Driver'S Lmense or Social $ecuriry x: t6ai�G6 While—Bmltling:Green—CotleEnlorcemem: anary—Ap� is � � •TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST • eesemio�szssos.zss a�a SFR 6000 ALTER HY VALUE RESIDENTI�(L N020NE 1, 00 6, 000. 00 maesanamerenuirem i o�a END OF FEES ion applicalions are e �mm Goieenrotl—Assassor ana 01 OU137541-00137592 T OT 81,6D DATE: 04/21/93 TIHE: 16:05 CONSTRUCTION AND PLANNING APPROVALS Permit � t. Temporary Eiectrical Serwce or Pole 2. Sod Pipe-Undr£�nd. 3. Electnca� Co�dwt Lt:h!Y�U�d�grcJ. 4. E'ectr'[al COntlu,t�Und�G�.'r�. . 5. Steel Remfo•c�m:�m -_� 6 E;ettr�tal UFER :�rr.d - - ---� 7. Foot�ngi � _ '� 8. Foundatmn 9. Wa[er P�pe-Unrrgrnd. 10. Structura� Floor Systrm 17. Property Sewer �ma LL h1as�::,nnn�.ction 12. Sevier C.ip 13. Roof Dra�ns 14. Rough pium.hi�3 15. Rough EleCtriwi-Condwt i6. Ro�gh E�ect�lc :;'�nnq - U. Rough 1",'�ring S�gn 18. ROuyh Elect'ical T 8: r C^ :�^g t9. Ro�gh Hett�ng & A�r C;o^.d.tion�ng 20. Ro❑yh Factc ; F'-up'a:� 21. DuC!5, in St.utture 22. Ducts, Vent�'�iti^� � 23. Gas Pipe�Ro.�q�• & i es; I - ------J 24. Rao: Fami��y - -----� 25. Fi00! Shrathing -{ 26. ?•8ar Ce�hng IS�...�r: ..li � _'.o�nco.t I 27. Frame and Flashi�o• � 28. Latn:ng 3� S i n� ------ --- --;--'t------ - 79. Insulation � 30. i�� yr.a:� �J,i�hng ---�-� -- - - - -- 31.��r•3,o•:�C. 32. EiccV ca Po,.rr .,. t{., :- ',, � � 33. F�c� 7- ------� -----� -L-----_� 34. F�r ii Fieat�nr 8::. ��C�.._�t:o-•. �.n 35. Fmcl Cas P�ce�Te.: , � - - -�--� 3u. H�r.tl ar G:copy 37. Plnal Fzro�y F��epiac: 38. Final Plt,mbing 39. 4Vater Serwce�Fi�a1 \ � 4 -L- -� A0. Gas Serv�ce�Final , 41. Sola� Dome�tk�f�ra\ 42. Batkflow Preven:e; I f-- t- 43. Ba[kflOw IrriqBtib� �'�_ 44. i�ndsccpo Irnq��i�nC S�st. �--- . ;�--- 45. Sound Attenu�tia� �' " :-�a-�� --- 46. Har,dicap Regulal.q; : /� -{-�1 �-`-- 47. FIIiALSTRJCT:JkZ�3.Ca3'.'_D':�G 48.FI�UALPLANt�'i�� - �-r-: t�--- 49. Eleccric Raleas2 te'�1 :;iu- 50. Gas Release to Sodt(�ern Cal:fomia Gas No. ' Dutc POOI & $PA Date Inspector �yppROVALS Permit;� Date Inspector 52. Pool & Equipment LocaYon 53. Steel Reinforccment , 0 54. Fnrms ' � 55. Electricai Bond,ny � � 56. Rocnh Plurt:b�rc F� �'�...^•�r � T y i ~ 57. ApPROVAL 10 COVC N-Gu� �`F I _�--. --- ----------�----�- - 58. Elnctrical Cord;n' UnJ'��r: � I , -____--.___- _ ______ S-__ ' 59. G�5 P�pc, ;.1 Uruiqr itl., :�,t -� , i E0. [�.icAwash L'nc�, P�T.dp ' ;j ,.�.. ;; �-1 -__ _-. -- --- - - - - - -- � - - '--1- ---- 61. APPROVAL TU UF CK i - --'- ' --��--- - -� 62. Backt�ashffi Rrca;,tu� Fi�i:� � � .' ---- ----- �.... -_ 63. Haater & VenbFinal . � . � 64. P�umbin S stem _P�^al _ � I 9 •'Y 65. Eloctrital�F�nal � � -+ 1 , _` '- � _�' _� � 66. $olbr $ystCm�Finili . I -------�---- -�------ � 67. Fencin� & Aceess Anro uv�! � ---��-�-y �- B8. 4PPROVED FOR PLPSTEHiNG I � 69. ROQL/SPA SYSTE:.75 FiNAL -I ,�--; , ------ +--- - .. FIRE DEPT. REQUIRE'v1E':�T � � ; APPROVAI_S Pernii; -` I � ----- ' ' -- - 70. Undergra;nd Fi��,-o ' I i -' 77. Product P.einr_: G.s = Oi: �_ I_ -f 72. Underoro��ii Flu;�� -- - -------- -- -t'---_ ' 73. UndcrgmJ.S�mw�; T.rk CGa> . ��I � , --�--- 74. Ovcrhead fl��drn-� _- --- I - I 75. Dry Chemic,:i +� 76 Ury Standr:nc ---'- ----- ' �--- - I . --- - - ------- -- i - --- 77, FIXEDSVE G' INAL � 78. FIRE PREV. FIR'A,L � � -�- ------ - -- -1- - -� -- - ^ � __ NEALTVI DEPT_REQUIRE�'E'VT _ ' 79 FINALI��IECTI(i\ i -} - ---- - -- 1-- ' , 37. =COD:Lh Fi,...-[ 55'.-'-. � ` - ,�-. �Iil'ot:s: --------- - - - - --- - - - -•-�7----- -- _--I__-_-____ _-________- ___ -____ � � � �� PHOJECT RDOflESS: 'J 4 O WESL EY AN H AY owNEnsr+nme:pENTRIDGE COVE aonness:HOME OWNERS A5SOC. J009 DAUNKER STREET SANTA ANA CA 714) 660-b77`/ AHCM/ENCMEEN: � FDUNESS: XEG.NO.: UNIT: UNIT: Pf"Mi"EF:R,P, HIRSCHMAN (774)960-8329 � ADOHESS: 88SS ATLANTA 285 HONTINGTON BEACH CA 92646 LICENSEO CONTflRCTOfl OECLANATION: I �em0y allirm ttwI 1 am IitenSeG unGer D��ons ol Ctupier 9(tOmmencinq vnl� Seciion 70001 0l �rvision 3 0� t�e 9usiness an0 Professions COUe. anE my license is in lull Imce anU ellecl. ciTr uc.:0 3 A y srnrE uc.:q �_ y cuss: g � oa�e: —2-- � s�9��.�. - WONI(EBS' COMPENSR7ION oECUXATION: I nereGy aitirm rtu� I twve a cenilicate of mnsem to seli-inwre or a cenifica�e al workers' ComDensation Insurance, ar a cenifie0 copy inereat (Section 380D. LaU. tl. raucv no::12 2 2 8 9 0 EXP. ORTE: I O I O 1 I 9 3 comraNv:STATE FUND ❑ cen�tiea coor �s nereey mrmsnea. 9 epn��e wm wim me ary eWaing Uivision. �'� �ate: J 2"�' � J l� 4 E%EMPTION iNOM WOflKEflS' COMPENSRTION OEClAMT10N: (itus seclian nee0 roi be canWeteU if Ne pcm16 �a one MmGr¢G �5700) or kss�. I cenify ihat in Ine pedarmance ol tne wOrk lar wNcn iN5 perrttit is iS5ue4 I shd�l nat emDloy any perSon in any manner so as to Oecome suU)ect to t�e 4Voriers' Campensation Laws of CaGiamia. Oate: SlgnaNre: NOTICE: If. alter making inis aecWration. y0u snould Ue[Ome suejttt to iM workers' CAmOensdtion pmvisions of tne La�or Cotle, you mUs� �on�vnin camDN �+�h wc� O�P+5�5 a� �h5 pErmii s�ull Ce EeemeE r¢vakeA. CONSTPUCTION LENUING RGENCY: I here0y allirm tlut t�ere ¢ a wnsiructbn IeMing a0enq lor tAe DeAormance ol ihe work br wnicn ihis permi� is issuea (Seciiw 3U97, Civ. CI. lENOEN: nooness:REROOF GARAGES OWNEB BUILOEfl �ECUBRTION: I �ereb/ aflirm Ihdt I am eeem0� �rom tM fqnlraclor5' Slaie Litthu Law �or I�e lollowinq reason (Seclion 7031.5 Business ana Pmlessional CoUe: Any Ciiy al coun�y w�iU rEQuires a Dermil �o conSlruti, alter, im0�ove, Demolis�, or repaii any simpure. Orio� ta i¢ issuance. aLso reQuires t�e apptiwnt la suc� permit to iJe a sipneE sutement Itwt �Us�e is littnua pursuam to t�e Omvisions a� I�e Comraclors' Staro license Law �Cnao�er 9(commencinp witn Sttlion 700010l Division 3 0l Ine Business anG Pmleuions COCe) or Ilul Irels�e 6 eKemO� ��erelrom an0 t�e Da5i5 �w t�e all¢qC0 eKemO�� Y �oWtion ol $Cttion 7031.5 6y any aDDlicant lor a Deimil SUEjeCiS IIIB ap0�icani to a civil Oenalty of no� more Ilun Iive IlunAreO dollars (5500�. m m I wi111 wd t5 as I�eir SOIe com ensalion, will Oo t�e xrork, antl Ihe wn I n ro n ar e o ees I. aso er o le e pY A 0 P P Y Y Pr f I : Th Coniractors' Slaie Litens0 Law ' n in n r fl r lor sale SeCtion 76aa 8u5iness aM o ettiona CaEe e ❑ svucwre rs oi te aea o o e ea ( . Ooes not appty to an awne� oi a prop¢ny wAo ouilds or impmvGS ihertOn. an0 wh0 Ooes sucn woM Ilimsell/nerself or inroupn nis ar her own emDloyees, Drovi0e0 ihat wcn imprwemen6 are not intenOM ar al�ere0 lar 5ale. II, hawever Ihe �uiltlinp or impmvemem is solU wlt�m one year ol completmn. �Oe ownet will �ave tlle OurGen ol Drodnq �Us�a GiE no� huild ar improve lor �ne o�roose ol sa�el. � I, as owner ol t�e pmperty, am erclusively camrac�inp wil� licensed canlractors to consimtn�e O�oleci (Seclion 7044, Business �❑ an0 Prolessims CaOe: The Cantractors' State Lkmu Law Oces �at appy m an mmer of property who Ewlds or imD�'� ��ereon and wno wmracis lor suc� Dmjec�s mt� a contracmqs�license pursuanl lo Ine Contractors' Siate license Law�. I am aware I�ai 0�001 oi 1�¢ir Warkli 5 Compen5aiion in5utance SlaulU he D��4� Io me. � I am evempl unEo� Sec�ion: B. 8 P. C. tOr Ihis reason: Oaie: ON'ner. I do nere0y ceNly t�at I am aware ol antl un0ers1an010e repuiremen6 0l Calilomia Healih anE $al¢ty COAe Sectians 25505. 25573, anG 255JA antl Nat I or any fulute EuilOing Occupant wilVwill not (cirtle one) neeG lo com0ly wilh Saitl state WGes and I�a repuiremenis for a permit loi cons�mction or moGilicalion Imm t�e Air ualiiy ManaBemenl Disiricl. FesiGemial consirutlion application5 are eaempi Imm ihese D�ovisions. Oaie: 0.p01icant: I �ereDy cetlily Iha� I �ave reatl I�is applitation and StalelAat ��e aCove in�ormaii0ni5 rorretL I aA�eeio [Omply wilh allCiiy an0 COunty orainances and s�ate lam reWiing b building mnslmcli0n an0 nereEy auilqr¢e repr¢5¢ntatives ol t�is city �o entet upOn Ihe aGove�mention¢d pmp¢rly la� in5pet1i0n pWposeS. Date��""`z-7 —S � Signaa�o� Driver's �icense or Sociai Securiiy a: i64Ln6 White—Bwltling; Green—Cotle Enlorcement: Canary—Appliwnl Pink—Revenue; Goldanrotl—hssessor � CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 06322% PLAN CHECR NO; N CONSTRUCTION TYPE: JOB DESCRIPTZON . V-N PERMIT TYPE: STR PF'RM NO: 06322 % GOVT; N �UPP: N PURPOSE; OTH T/OFF REROOF W/COMP FLAT AREA S 5 PLY SQ FT: 22,363 CLAIM VALUE: 22,636 COMMENT'' ^" ESS INCL �e�r�*� *�r*�r�e�x��r�**x�x�� CALC-VALUE• 2 79 -8 8 WESLEYAN BAY ifif+ lfiE!(� E-lElFif{.• +filitlkiF i, G x U �, S E T H A C K S - MAIN BUILDING - FRNT: FT IN REAR: FT TN LEFT; FT IN RGHT; FT � PARKING REp • PROV; PAR PLANNZNG NGT'ES> 7 iElP �k if if 3E k iE k iE if if if iE i! iF iE iE!! iF iE if �E 1F it �E k!E!f iF iE iF �E iE iE fE iE D E V E L O P M E N T 5 E R� ZONING APPROVED BY _ BUILDING APPROVED BY ; ,636.00 GROUP OCC: R- 008 ELMI kk#FMkl IF if - ACCESSORY BUILDING - - FR '"" FT IN REAR: FT IN rf; FT IN RGHT; FT IN ; 93768019 2NE; REF NO; � APPLICATION ISSUED BY• � *�r�r�t�r*xx�r�t�r*�r��t+r�r�r�r*x�* k � ikkkkiklEifiEifiElFiEiEifiErtiE#fFkiEitklEft#K�ifil3fiEiEiEiEitiEiEiE#% LEGALIZATION;N F E E S U BLDG PMT PLUMHING ELE:CTRIC PEAMIT 234.00 •, ..tElkifikiEiEiFi(�ikff#itlEifkiFikiFiEiFiE#ifiEiEfE�ifiE�FiFik3h#9k C E S R E Q U I R E M E N'T -S DATE; ' - DATE; � � -7 �'2g 3 DATE• � ic�f� lFiF7Sif7i7lif�3F�Ftf'�FiF1ElfiFlfftiFifiEitit x#iE !f Ik %* !F iE 1E # iE !E #1l� # it # if M� 1k 1E iF ##!f If it 1h fE iflFlf iE if� iFlF# # 1E .' M A R Y STRUCTURAL SEGMENT;Y MECHANIC FIRE SMZP/RES GRADING 2,26 SMIP/NON-RES PLAN ISSUE FEE - V-> - HOILDING DI PERMIT ISSUE PLAN CHECK TOTAL PAID DU E TOTALS----> 236,26 0,00 0,00 236,26 236,26 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 236,26 OVER/SHORT; 00 HLD34P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP�T06 GRADING PLAN-CHECK if fE 1E it ik itlk 1ElF iF i! if Il� !f 1E iF 1f� ib M ik iE iF 1F fE Ik iE iF 3f iE ik it 1F iE 1f )t!f 1h iE if fh i! f(- if if if if 1f K� if 1F if� % IE!! it if ih i! it it ik ih k�lk IFlt if i6 3F it iElE I6 ik �lF fE IF if iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAT.� COST SFR 22636 REROOF BY VALUE RESIDENTIAL N020NE 1,00 22,636.00 END OF FEES 1 01 001437:,i-0014375? T O T 236.26 � oaTE: o�ias�sa TTpCe tc.no 4' I CONSTRIiCTiON'ANQ PLANNtNG i APPROVALS Permit �`r � i. Temporary Elecvical Service or Pole � 2. So ' Pipe-Undr��rd. 3. Eloc'nwi Contluit Ut.nty�Ur•drgrrd. 4. Eiectrical Condurt•Undrgrnd. 5. Stce' Rcintorceme�t ' G :'.�•c;:icc' C:F.r.!� G:.�d. �---- - -- 7 'oa?�r.��, �- - -�- � B. f au�zd�tion I _ � 9. lC�tw Pipe�Undrgtnd. '� �i 70. Structurul Floor 5Ystem ' 17. Prapc•ty Scwer Linc & Hu::sr. Connection � _ �� 12. S�cwur C�p 1� 3. Ro7� Drmn_= 14, firua�� P�um6ing i I 15 Rnug�� Etectrical-Condurt 7G. RoughElectricUdiring ( 77. houph l"1.nng S�gn � 19. Roc3h Electricl-7 Bar Cei��ng 79. Rough Heating & Air CqctltLoning 20. flo�yh Fattory Firup'ace 21. Ducto,ir. StructurC 22. Duct1, Vonr�arnr 23. G;s ?�pa-Rough & iest __ ?4 P,00� Fram'�g 75. '�o;�i S��ath�.r.o I26. T�B�� Cmlm9 IShu�turaij & i.:nnocoat �------ ---- � 27. frameano Flashin9 � 28. .ath �� S d'ng ��' on 30. ;;ry..ell �;a�linq 31. Piaster prordn Coat __ 32. Elec?nwi po�ver Mete� F�r.al 33. Final EL=cbic 34. Fi�al Hrating & A�� Cond.tioninc 35. F�na� Gzs P�pe•Te5t _ 36. Hnod or Cannpy �/� 37. F�nai Factor�� Firep�acz ; 38. Pmal Plumbing 39. 1'Jater S:roice-Fin9� 40. Gas Sen�ce-Fina� 41. Saiar pomestic•Final 42. Backflow Prevente� 43. Bacicflow Irrigatio� I44. Landsape Irripation Systcm �45. Sound Rttcnupti0� 46. Handicap ReguleUons � 47. FINAL STRUCTU�E & BUILOING 4$ FINALPLANNI�iG _ 49. Electric Release to Edison 50. Gas Release to Southem Calrfornia Gas Co 51. CERTIFICATE OF OCCUPANCV Date � Onie � Inspector � POOL & SPA APPROVALS Permit ; 52. Pcoi & Equipment Locat on 53. Str� : Rc�nfprcement 54. f-n mi 55. Electrical84nding 56 Reuph Plumbing & Preswre Test 57_AF_ROVI�L TO CObER GU�iTE 58. EldMrical Cor.dwt�Urdrgrnd. I 59. G.:s Pipe, � Undrgmu., Test 60. Backwash Lines, P�Trap, C Urd�q�rd. 61. APPROVAL TO DECK 62. Backwash & Recep�ur�Final 63. Hoatcr & VenFFinal -� 64. P!urr.hing System � F.nal --- � G5. ElcCtrical•Final 66. S�Iar System•Final � 67. Fencing & Access A��pruval 68. APPROVED FOR PLASTERI�G I 69. POOL/SPASYSTE;.�SFINAL FIRE DEPT. REQUIREIYENT �� APPROVAIS Permit -x � Date � Inrpector 70. Undergro�nd Hydre I-� _�11. Product Pipin9 C: Ga _, Od � i 72. Undergrpund Flush I � , I, ----�- --- i . 73. Undergrnd.Sroragc7ankL�Ga: -:0' ' - ----_-1--- -i--� 7G C�crhaad Hvdro I ' , 75. �ryChemiwl ---- -- � --_ -J 76. Dry Standnipe I � 77. FIXED SYSTE^." FI^:AL i I Y-� 78. FIRE PREV. FINAL i ' - ------�--- -- � -� _ _ _HEALTH DEPT. REC]UIRE;.�E' T __� 79. FI�HI INSPECTIGN ! I� ' - - i 80. FOOD CERTIF�CATE ISSUEO ' �- � Notus: - -- --- �_ -- -� i ------ � - -- ---- � ------ � -- -----'I _� PflOJtCT AOOBESS: 7 4 O WESLEYAN BAY oWxEasnnme:PENTRIDGE COVE aooRess:HOME OWNERS ASSOC, 3009 DAUNKER STREET � SANTA ANA CA AflCH/ENGINEEfl:7S9� 66�—b777 noonEss: XEG.NO.: u"iT: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 062773 PLAN CHECK NO; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR uxiT: JOB DESCRIPTION ; T/OFF REROOF W/COMP FLAT AREA 6 4 PLY PE"mmEE' R. P, HIRSCHMAN ( 714 ) 960-8329 noosess: 8 g 5 5 ATLANTA 2 8 5 �i��'��('T�I�Y �EACH CA 92§�6 � 9 UCENSED CONTBACT N I N� I ere a rtm that I am Iicen5e0 unaer rovisions o C a ter 9 commencin wilA Sec�ion 7000� ol Div;sion 3 0� the Business anA Pmfessions Cotle. and my license is in lullforce antl etiec�. carv uc.�� C p STpTE LIC,:4 9 5 4 8 cuss: C 3 9 ui� � �/ Si nati �� o WOBNEBS' COMPENSRTIUN oECIABRTION: I hereby aitirm ihat I have a cenilicaie of consent m seli-insure or a cenificate ol Workers' Compensalion Insurance. or a certtlietl copy Ihereol (Seclion 3800, LaE. C�. POLICY NO.: S Z Z Z H i O E%P. OATE: S O IO I I 9 3 COMPANY: STATE FUND ❑ Certified coOY is hereby fumished. � Ceni��ie0 coDY is ��iletl w�iN ��e cily Buildine Oivision. Da : ��_�—!( AVD�6 °"�,�4�e�, E%EMPTION iBOM WOflNEBS' COMPENSATION OECIABRTION: �This 5eciion nee0 not be com0�e�eA i� Ue permit is �or one �unAr¢0 (5100) ar less). I cerlify I�at in ��e pedormance al �he wark for w�ich Ihis permit is issuetl, I s�all nol emD�oy any person in any manner so as to �ecame suDlecl to ihe Workers' Compensation laws ol Califarnia. Oate: — SignaWre: NOTICE: I�. afier making t�is Oeclara�ion, you shoultl become sublec� �o �he Work¢rs' Campensation provisions ot �Ae Lahar Code. you must fonhwitn comDty wi�n such pmvisions or ihis permit shall be eeeme0 revoketl. CONSTBUCTIUN LENDING 11GENCY: I hereby atlirm �ha� there is a conslmciion lentling agency �or �he De�ormance ol Ihe work lor which Ihis permi�is issuetl (Section 3097. Civ. C). LENOEH: AOUflESS: OWNEfl BUILOEN DELLABRTION: I �ere�y aifirm �ha� I am exempi lmm ��e Caniracton S�ale License Law tor IAe following reason �Seclion 7031.5 Business ana Pmtessional Cotle: Any city oi county whic� reQuires a Oe�mit to consimci, alter, impmve, demolis0, ar repair any simc�ure. D�ior lo iis issuance. also r¢puires �he apPlicant for such permii lo lile a signetl slatemen� lhal he/she is licensetl pursuant to ihe Dmhsions of the Coniracbrs' State License Law �G�apter 9 �commencing wit� Seclion 7000) ol Division 3 of t�e Business an0 PmIe55ions Cotle) or Ihat �e/she i5 eremD� �her¢�mm and (he basis �or I�e alleged exemplion. Any nolation ai 5¢t�i0n 70J7.5 Gy any ap0lican� �ar a permi� suble«s Ihe apD�ican� to a civil penal�y o� not more I�an five hunEretl dollars (5500�. I, as owner ol ihe pmperty or my employees wit� wages as their 5oie tompensa�ion, vnil do �he wOrk, anA Ne ❑ slmcWre is not intended ar ollere0 for sale (Section 7044. Business and Pmfessional Cotle: The Coniraclors' S�a�e License Law does no� apPty �o an owner o� a pmpetly who builds or impmves ��ereon, an� who Ooes such work him5ell/herseli or through his or her own employees. pmvided Iha� such impmvemen�s are no� in�en0¢d or offeretl for sale. It, however Ihe �uilding or imD�ovemen� is so10 within one year ol completion, ihe owner will have Ihe burtlen oi pmving Ae/she Oitl not bui10 or impwve �or Ihe purpose oi sale). I, as owner of the pmpetly, am ezclusivetp contraciing vnth licensetl comracmrs �o construc� the pmle�� (Section 70G4, Busine5s ❑ anU Pmtessions Gotle: The Coniractors' S�ate License Law does na� a071y ro an owne� oi Oroperty w�o builtl5 ur imD�oves ��er¢on an0 wh0 conVatiS �or sUc� O�Oje[I5 wiih a tontraclor�s)licen5e Dursuanli0 I�e Conifatbrs' S�ale Litense Law�.l am aware thal pmof o� thei� Worker'S Compen5aiion insurance shoula 6e pmvi0etl �o me. � I am eremp� under Seciion: B. 8 P. C. br l�is reason: Oa�e: Owner. I Oo here�y certity t�al I am aware ol an0 untler51an01he requiremenis ol Califomia Health antl Sa�ery Code Sec�ions 25505, 25533, and 2553C and that I or any INure 6udding accupani will/will not (circle one) need to cnmply with 5ai0 state cotles antl the requiremenls lor a permi� for conslmdion or moaificalion Imm I�e Nir Oualily Management Dislrict. Fesitlential constmction applications are eeemD� ��om Ihese O�ovisions. Oale: ppD�ican�: I �ereby Cetlity Ihal I have reatl l�is aOPlitaiion antl Slaie IAai Ihe a0ove in�armalion is Corr¢ti. I agree lo comply wi�� all tiiy antl toUnry ordinances an0 sla�e laws reWiing lo buil0ing con9 reby aui�oriie represenlatives ol Ih¢ ciry to enler upon �he above�m¢ntioned D�operty lor inspeciion purposes. 9ale: �n�(-�/ J Si� - �'s License oi Social Security ?: Iltling'. Green—Code Enlorcement; Canary—Applicanl: Pink—Revenue; Galtlenrotl—Assessor PERM NO; B 0627'13 GOVT; N SOPP; N PURPOSE: ALT SQ FT; 21,676 CLAIM VALqE; 21,676,00 CALC—VALUE; 21,676,00 GROUP OCC: R-1 / COMMENTS: ADDRESS INCLUDE 740 THRU 772 (ROOF ALSO IS 4PLY W/BUILT UP) �r�*�r***x +�*� xx�**�***��**�c�rx�r�t*�r**�r��t�t*�r�r*�r**x�**xx�x� Z O N I N G R E Q U I R E M E AI T S S E T B A C K S 11 ------------ MAIN BUILDING ---------- � FRNT; FT' IN REAR; FT IN LEFT; FT IN RGHT; FT IN PARKING REp • PROV; PARCEL; 9 PLANNING NfST'ES> i **� � �*�e�r�r�r*�r�r*��t+��r�r*,r�t�r�t*x�****�t�t***�t+rx�t�r� �t D E V E L O P M E N T S E R V I C ZONING APPROVED BY BUILDING APPROVED BY ; APPLICATION ISSUED BY; �***�r*�r*�r�r�**�r�r**�*��* �F iE if iE ik ik k 1! if if if iF i! it if if iE iF ik 1E iF 1f 1E i! k k IE if if ik if �f *!f!! k ik iF iE LEGALIZATION;N F E E S U M _---- ACCESSORY BUILDING --------- FT IN REAR; FT IN F IN RGHT: FT IN B LNE; R�F NO; *�*�r*,r�*,e�r��+�*�,��,��r�***��**x�*�r* S R E Q U I R E M E N" T. S DATE; DATE; �— ia� 1 P ��**��D***ir* � ��r if 1E 1f ik it k �f iF iE iE it ff IFlf 1k i! iE �E fE iE if 1FlF iElE iE if 3f iF if 1f iE R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 225.00 2,17 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> P�`RMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 227,17 0.00 0,00 227,1/ 227,17 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 227,17 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIC Z25,�0 2,1% if iE if iE ih ik k iE k if 1EiFlE iF iF 1E it 1k k iE k ik if IE iflk ik iF it if Ik iF iF if if iF iF k if if !f i! if iElE if !f if if iF if iF If ik 1E it iF iE iF iE iFjklP ik iE ik 1! it 1F 1! 1f i! iElE 1F ik IF �F if I N D I V I D U A L F E E B R E A}t D O W N TYPE QTY D E S C R I P T I O N SFR 21676 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES Gc��n m v N t'T1' UNIT COST TOTAL COST 1,00 21,676,00 01 0�141797-00141793 T 4 T 22�,17 �ATE: Ob/?d/93 ?It(E: 10:Q3 , . / -� - �{ CONSTRUCTION AND PLAryNING ' POOL & SPA APPROVALS Permit # � n,date Inspector AppqOVALS Permit # Date $` 's 1. Temporary Electrical Servic�.or Pole ��„ 52. Pool & Equipment Location `�7,P 2. Soil PIPe•Undrgrnd. ' � 'Y� 53. Steol Rei�forcement " 3. Electrical Conduir Utility�Undrgrnd. ��' S4. Forms . 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. E�ectricai UFER Grnd. � 57. APPROVAL TO COVER�GUNITE • �, Footings ' 58. Electrical Conduit�Undrgrnd. ' 8. Foundation �• _�) 59. Gas Pipe, O Undrgrnd., Test � 9. �Water Pipe�Undrgrnd. �� I 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1 i. Property Sewer line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing System - Final 14. Rouqh Plum6ing � 65. Electrical-Final 75. Rough Electrical-Conduit 66. Solar System�Final 16. Rough Electric 4Viring 67. fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar CeiGng 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIR� DEPT. REQUIREMENT , � . _ 20. Rough Factory Fireplace � � ' , . qPPROVALS' 'Permit # _ ,�, 21. Ducts, in Structure •' � � � _ 70. Underground Hydro 22. D�cis, V¢ntilating � , � 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test � . - 72. Underground Flush � 24.� Roof Freming . ' i 73. Undergrnd�. Srorage Tank C Gas ❑ Oi� 25. Roof Sheathing . -� 74. Overhead Hydro : 26. �T•Bar Ceiling (Structurall & Monocoat � 75. Dry Chemical ' . 27. Frame and Flashing ' .- J6. Dry Standpipe 28. Lathing & Siding - � � � � '' 77. -FIXED SYSTEM PlNAL' � 29. Insulation I 78. FIRE PREV. FINAL 30. Drywall Nailing, � _ � rr� , HEALTH DEPT. REQUIREMENT -37. Ptaster Brown Coat -. . ', � -< -� 79. FtNAL INSPECTION ' 32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED 33. Finai Electric � Notes: - � 34. Final Heaiing & Air Conditioning - � �, . I i 35. Final Gas Pipe-Test . . i 36. Hood or Canopy " • 37. Final�Factory Fireplace � � �. . 38. Final Plumbing ' � � . 39. Water Seruice•Final . � ! � � , � I 40. Gas Se�vice-Final � � � - . 41. Solar pomestic-Final J � � I 42. Backflow Preventer � � ' 43. Backflow Irrigation � � 44. Landscape Irriqation System 45. Sound Attenuation . � . 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING l�� i 1 ,� 48.�FiNALPLANNING � j'a I � 49. flectfic Release to Edison � I'. �' 50. Gas Release to Southern California Gas Co ��' 51. CERTIFICATE OF OCCUPANCY � � No. Date ,�oonrssocew�ocn: 740 WESLEYAN BAY �� owueasruweivr�avN: pENTRIDGE COVE HOME FLOOD: X 47 A, � �+Esg OWNERS' ASSOCIATION 3009 DAIMLER iANTA ANA, CA 92705 (714)660-0777X239 Mtt. YuIIIM .NDPE54: u�cxnecroncrxn+�nn: KRAMER 6 ASSOC �c�= 52309 nexonrxareeooxEss: 3002 DOW ALLENNE �� 136 S.A. CA 92705 cartn�craxs ru�: CONfPACTOkbY41Pl0 /iNWNE3l: I1C.1l0: uNr: LICENSED COMfl�CTOPS OECIAF�TION: I M�eby P��m uMs periety d pwjury tIW I em licenmtl wMs pmvwu d Gheqar 9 (mmm+ndn0 wGh SecYon )000) d Oiwion 9 al Ns Buurev utl P�Wmeau Cods. vtl mY 4cenn u in hA bcs end afletl. cm uc. No.: uc. cuss: uc. No.: EXP : OWNER BUILUEP UECLAR�TON: I Mraby ellum uMM W�Y d per"µy tIW I cn axamq Imm iM Coru'sum tbwwe lew Iv Ns Idb'�q iwm (Setlion ]0�1.5 &niwtt and RolmaiM� Coda: Atry c�y a odvaY xfiifA nT�m e Da�a Io mmbucY. NM. impwa. demdeh. v rpv arry �vuciwa. prcr b n iwenoe. dW roVuiru �M applmit Iw wrJi prmu io fib e rypd ptlpneY Np M a�M u 4cwueE w��t Io tM powiuv d Ns Conmfors Lioems tnw �CNqa B(�mentaq wi1A 6apion ]000) d Oifvion � d Ilr Bu�su eM Rdw'vu CoEe� a IIW M a tlr u uemq ��+Mmm vtl �M Mm la Na elbpeA mamqun. My vcW ion d Satlion N91.5 by mry apptimr�l la e pwmi ad'pa� �M epplicM� b e dvi penMy a1 nq mws �Aen Ixs hundreE EoOen �SSOOp. � t.nox+wdiMV�W�YnmY�NoM+�wYhweps+utMiWamnG�.willdoNewk.aMNsevuawae�"vusMd ordlanA br Ws (SacYm ]Ou. Bvahrvend P�dN�� COAs: TM CaNmCm liraw lew dou nawchto enavmer d poDeity Wlq �if Of Tp10VB� ��lIKVI.OIId 1Y�q dplf f W�I Np�l �CIIbd V �1MM� Of 1�Vp�l �10IX �1M OWII MII�'W. p10VI�Bd �� WJI 'unpw+nwa as nd WudeE rc Mh�M la ub. tl. Mwewr. �hs duHiN a inP��wu o wtl xilhm on�Y� d mmVMon. Ne awner-0u� ll hew �M dvden W V�'oro M a 4ro d'q �wl W2tl a impm+lv IM wmaa M obl. ❑ I. m owar d iM O�Gd*/. em udm�M' mNrtli�O wM 4oeinM caWerJan b camruf Ns WMb (SWion 10u. &sirs eM Rtlmeni Cade: TM Capntlm lkmas lew E0� na a00N m an wm�r d O�Y Ma dtild� a npw'w �Mrom antl xho mNrM� la wM qM�� wN e mvrfMU ticaMsd WisueN to Ihe Cametlon lbsnss Lex1. i ,...mo�,a.,s.y�:gp qq e.sv.c..m,w.�:OWNER HUILDER �: v 3 �.� I Mnb/ �Y NY I un aws d sd udr�urd Ms �Wu�anam d Cal�aNe NWh end Sd+�Y Cob Sadioro aSos. 2S5]�. ud 15531. uM Nn I a M' Mun bWduq oeaPb T/ wi� rw� (aeb aw) e�d b eanON wih uk m�� mdw ad Ns nV��nb br •D�taod4trudbnamoElydiontranNeN�t �pemx�D'wtntl.RstlCrtl'almuteutlianeGO��r�oxnNhomNua ww�o�v. . - � . . Dna: " . . .- � � �GW'wn: WOPKEP'8 COMYEN9ATIq1 OECI.�PAl10N: I MrMy �� wdr pwutly d pMuy uw d IM fdbMnp Atlueiom: � I luw uN W mein�en � unAicU� W aduru to ��tlamun br whri oompMWbn. n WaM�A ta bV B�Cim 3)00 d IM l�bar CoM.la IM pelonwie� d iM wak tn wNrli ikI pxmY e bwE. p � n.r. w.N m�im.n .a4«,� mmo�4, ��.,r.ro.... i.m�b.e q� swlo, otao W m.lee« ca.. a �n. w�«m.ncv a �n. waM la whiN Nu 0�� b iswG. MY warlun' oomW�tbn Uuurarcv unMr rW DdkY numNr u�: • c.�iy: 5TATE FARM ' .� PdryNumWr. �nd, nabn �.w �i w�y.'n.a r ur w�+�e b ro. w+. nww�w eoiw. rs�roi a ru.� �' I M/Y � n IM pMmiunc� ol tN wpk tor xf�kh thw p�mN b mu�A. I tlWI ml Mnploy ury pwwn o ury m�nfwr a n lo ' �/6ii\m� abjq to tM wM1rs' mnp�nWion I�+n d C�Itlani�, ud pn� IIW E I NaYd Emn� wbjq lo iM wabii /� ean'snutbn pwMMq d SWbn a100 M IM lnW Cad�. I Mell talhwll� oomGN wIN Ihw� pM�'vu. �.: 3 ,��: �mMO: FWun ro�wun wrtr1' nn4�tlon ro��ro� b un4rM1d uM Ntll utlN�t ur Nny+�oyn ro u6N�W P�Mu �nG clHl Ilnu ,p ro m� h�.nErW fMuunC EWI�n (JfOq000f, M MEltlon b tl�� ca�f ol mmy�nutbn Wnry u prvHLM br In 8.ctlon J106 el M� LWor Cob, Intwut Nd �ttem�%� Iw�. CON9TIIUC110N LENDINO AOENCY: I MrWy tlNm urWr pwWly d pxjvy t!W �Mn b a oonq�utlbn MiN'uq p�ncy lor tM peAormera� d iM wak br whiM ihb M�1 h'swM (9�bn �OB)� GN. CI. LENDEP'BNAME: n •LENOER'B�O�PE99: , , ' � a.niry �nn � n.n n.e mb eoW�cwm.� y'1y inn m..ew. ��ranww� b omw. � w« �o camaN wnn.n dr.�e ooimn o.d�n.nw. uN tW � I�w� nlnn0la buildin0 w�WUCion utl hxWY �Wwrii� npwwLL��iw W the titY b m�a uV� iM Wwv�maYbn�E poWM la Im Wabn w�0��., 1 BOH RICE PrIN Nem� /" ��'J- 7�-� om.: W/ � � BipnelundOmNrl/p�nV�DDNp^�°^t�etlor (516M1N.WP) S'�ay: arwrFb: G�nuy-Appiwn: Wnk-Rmnu�:Oddmrod-Nwm CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 075127 PERMIT NO: B 075127 PLAN CHECK NO: 04400-95 L GOVT: N SUPF: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION : REPAIR SHEARWALL NAILING SQ FT: 18,000 CLAIM VALUE: 18,000,00 CALC—VALUE: 18,000.00 GROUP OCC: R-3 / *��***�**�**�1�*��***k***��**(�**�k***�***4�**4**8ir��k*�*�*��%**84*��*+�t***+t�*x�t 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 BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 93768019 ZNE: R3 REF NO: PLANNING NOTES> REPAIR INTERIOR DRYWALL FOR AN EXISTING RESIDENTIAL CONDO. i �E IE 1E 1(-!f iE 1E iE 7k iE 1E �E iE 1E �IF fE 1E fE 1E 1E iE 1E 1E 1F IE 1E 1E IE iE IElE if IE 1E iE 1E �E 1E iE 1E 1E 1f 1ElE iE 1k �E'Ik 1E iF 1f 1f 1E 1flE iE!! IE 1f fE 1E iE k 1E 1E iE 1E 1! iE 1E iE it 1f fE fE �IE �! IE iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � �� DATE: ` BUILDING APPROVED BY : �� DATE: �/j' APPLICATION ISSUED BY: DATE: :� ,��,��,��.��.�.��*�*� *��,�� ** LEGALIZATION:N F E E S U R Y STRUCTURAL„SEGMENT-:Y ` , . .. . � � . : _ r .. � BLDG PMT PLUMHING ELE �'MECHANIC,% . FIRE �'; SMIP./RES_�+ .GRPAING PERMIT 189.00 ,'� •" . , 1 : 80'.' :>. '• � ! ��• SMIP'lNON-RES PLAN 122.85 � . 7 .. f- �' k :: '� - j ; ' ISSUE FEE � % ' BUILDING—DIV—> PERMIT ISSUE PL — CK ;•�TOTAli � PP:ID �✓�.� DUE TOTALS----> 190,80 0.00 22.85 + . 313.65. ;; '.,' 313..65-,. =;,00 . .." 1 � . . , :� ��ENUE DIVISION TOTALS--> COLLE TED�: �� 190:&0 "OVER/'SHOI�T: '' 00 BLDG PMT PLUMBING ELECTRIC MEC NIC FIRE SMIP/TOT, GRADING PLAN—CHECK 189.00 ' � � '1.80 .t ; r - • 9EiEiEiEiFifiEifiEi6iEiEaEiElEiElElElElElEiEiEifiEiEiFiEif�EiEififlEiF'3EiEiE I'ititiEiEiE,1f3E ititiEiElE,fElEiFitlEit�ifiEiElfit�faE1E1f1E�FiEiEififitiElEiE I N D I V I D U A L F E tiB rR; E A K�:D" O,W N o. : TYPE t]TY D E S C R I P T I O`N ; �� ' UNIT COST � TOTAL�COST SFR 18000 ALTER BY VALUE RESIDENTIAL NOZONE �1,.00 � 18,000.00 END OF'' FEES • �' ,.; " > .� , ' � ` i, . . ' . . / • , � �% ` � Y � .) ,, �` ' , / 1 � �, ^ � . A�y �'. �. . . CONSTRUCTION AND PLANNING .' � POOL & SP,A �'� APPROVAIS Permit# Date Inspector ' qppROVALS Permit# Date Inspector . 1. Temporary Electriwl $ervice or Pole ��?_�l�l�i��il Lc��S ,..._ ��. 2. Soil Pipe-Undrgrnd. . lc ��f:sc��--- S��y r„� �i 6�� 7-C- - I 3. Electrical:Conduit Utility-Undrgrnd. rL=��p �- Q�v, Lc.�!- 4. Electrical�Conduit-Undrgrnd. . _f�:=QB'k��i� r. (��s _ p�/ s-��C 5. Steel Reinforcement ' u ' a T��' !'��lo=�i�`'7�`i+ t,�-� j�ld�+�Skwoly_ 6. Elecvical UFER Grnd. � 7 T �0��°R-G'. E � � l/_`��'%�,� G-�- /%� m.� - 6 7. Footings. �' Z,... o r.c;,}' .vit�', +�nmd. _,1/1�.__ �_. I FQ�O_� � � �i��i�iV -8. Foundation L�'`�`��!�, r'��'.(,;;�GS^L^st � C.� `��. " 9. Wa;er Pipe�Undrgmd. - 60. Backwash Lioes, RTrap, O Und�grnd. iD. Structurol Floor SYstem 67. APPROVAL TQ DECK i i. Praperty Sewer, Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 73. Roof Drains ', 64. Plumbing System � Final 14. Rough Plumbing - 65. Electrical-Fina� � 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiri�y Sign 68. APPROVED FOR PLASTERING 18, Rough E�eariral-T Bar Ceiiing 69. POOttSPA SYSTEh4S FiNAL 19. Rough Heating & Air Conditionin�_ ,, FIRE.DEPT. REQUIREMENT 20. Rough Factory Fireplace , ' � � APPROVAL5 �. Permit # � - 21. Ducts, in Structure' '" " - �,, 70. Underground Hydro . 22.Ducts,VentilatJng=�. � -� � �� 77, Produc[Piping�Gas ❑Oil - 23. Gas Pipe-Raugh & Test � � ""�, r 72. Underground Flush ' - 24. Roof Framing � � " , � 73. Undergrnd. Smrage Tank• O Gas ❑ Oil 25. Roof She2thing ; � ' �; 74. Overhead HVdro . , 26. T-Bar Cei�ing (Struc2uraq & Monocoat - ��- 75. Dry Chemical . � 2�. Prame and� Flashing -• . � ' - - � ; 76. Dry Staqdpipe . .' 28. Lathing&Siding � - �� 5 77: FIXEDSYSTEMFINAL 29. Insulation " � ` 7a; FIRE PREV. FINAL 30. Drywall Nailinq � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. ElectricaFPower Meter-Fi�al �' 80. GOOD CERTIFICATE ISSUED � 33. final-Electric - � � � ' . _ No 5: (.c� �- �7yL-��,�Y S�e� 34. Final Heating & Air Conditioning � r � r7 \ � 35. Final Gas Pipe-Test •' � lr�e r� �••/�� _ :s�'�. y�`C y� , � D `� 36. Hood or Czno ' � ' � � ,. py - % �°r77 L-' �S �o�'- - ��- 37. Final FactorY Fireplaie -. � � " � .,/ q�.. �� S'�_�� p�_- -�(.,�{ 38. Final Plumbing - ' .' , Z-�' C�1 SL- .��v � �� - � �e.�/�- � 39. Water Service:Final . ^ ' .� � 3!i •`l� i � 1`Z -OR�'�t �O�'�'�K � ��` "� �- 40. GasService�Final ' � � - , � � ; 3_�y Gl�: ��,..- �� B,� ...-�'�.(_ 41. Solarpomestic�Fina1 � , '. � . _. • �..u.L)'�(...�7��j.- / ' S'��y'L4�/,�_" ��_��. 6 ti �_ T�'-�'K �7 42. Backflow Preventer � _ - � 3 2.%��ii - ?56 ' S�L-�'- � � �}� -�L� , �r a+� e 43. Backflow Irrigation • � . . . -. . ��g � ��:��J' `�'� - 44. Landscape Irriqation System � . ' � . � Y-�-�f �(j' �9S - �(./ � � ��o� 45. Sound Attenuation ... � � �r �-zS-T�l�1a3 -G'�,e,Gv ��i✓� ✓ 46. Handicap Regulations _' . ' � 9�/0... ��jL., �W � t 47. F1NA.lSTRUCTURE&BUIL'DING cJ�(j,..�7 6�� T"-2$-�J(p�-/Z't�v-OGi s� ly,�,_�� 48. FINAI P�ANNING . . . . �' ��,. � �s�-�G� �oy'-- ��_. �✓� -�� /L q •�'Z�(/ 49. Electric Release to Edison . - " � - s-�O � `(p-�(,L� _� � G!/' B-� -/Q 50. Gas Release to Southem Calitornia Gas Co , �p�g-�{(p� "xfQ �✓�S� .. �L� p-�.v �fr- -u 51. CERTIFICATE OP OCCUPANCY No. Date PN0.IECT ROOflESS: 7 q q WE S L EYAPI BAY uxir: owx¢nsxame: �'ENTRIDGE COVE HOME FLODU; X 47 aoonEss: OWNERS' ASSOCIATION ' 3009 DAIMLER SANTA ANA, CA 92705 (714)660-0777X239 qpCMIENGINEEB: KRAMER � A$$�C qEG.NO.: S23U9 nooxess: 3002 DOW ALLENNE uNiT: 136 S,A, CA 92705 venmmee PENTRIDGE COVE HOME04SNERS ( 714 ) 660-0777 nooaess: 3009 DAIMLER ST SANTA ANA CA 92705 I, UCENSEO CONTHACTON OECUINATION: I here�y aflirm I�al l am IicenseU unAer O�oNsions oi C�apler 9(cOmmencing wii� Seciion 7000) ol Division 3 of �he Business and Professions Catle. an0 my license is in �ull force an0 eflet�. cirr uc.: srare uc.: cuss: EXP : �aie: Signa�ure'. WOflNEflS' COMPENSATION OECLANATION: I hereby aftirm ihat I �ave a cenilicate of wnsent to s¢If-insure o� a cenificate of WoMers' Compensa�ion I��oc&jo9a.te�rli�qrQpK��reo� �Sec�ion 3800. LaO. �.1 / 1 5/ 9 5 roucv xo.: g TATE FARP1 E%P. DATE: COtAPpNY: �( ❑ CenilieG copy is �ereby Wmis�e0. l.l Certilie0 capy is �ileG witA IAe �ciry B�uilaing OiYtsion. ai : y 1/� (% � ��7—! � FVVIiWnt: �l�"`'`'' /'�" EMPfION FHOM WOflREflS' COMPENSATION UECIAMT10N: (i�k 5ec�ion nee0 irot Ee CompleleG i� Ne perml i5 fOr On! AuntlrN �E700) or IeSS�. I cetlily I�al in Ihe pedormance ol I�e work for w�ic� t�is permil is issuetl, I shall not employ any Oerson in any manner so as to become su�iect io tne workers' Comoensatian Laws of California. Oale'. Sipnature: NOTICE: II. atler making Ihis tleclaraiion, you shoul0 beCome suhlect �o Ihe Workers' ComDensa�ion provisions of the Labor CaOe. you must brthwilh ComDly wil� SUCh pmvi5ion5 0� lhis permit 5hall b¢ OeemeO revoke0. CONSTflULTION LENOING RGENCY: 1 here�y allirm �hai there is a wnSlmtiion lenaing aAenCy faf ��e petlormanc¢ Of �he vrork for which inis Dermn is i=suetl (Seclion 3097. Civ. C�. LENOEfl: ADDNESS: m Ir m � icense Law far �he lollowin feason OWNEF BUILOEN UECWApTION: I �ereDy atfirm tAat I am exe D� a t e Contractors' State L g unt whi � r uir a rmit Io constmtl alter im mve Aemolish or �Seclion 7031.5 Busine5s ana Pwlessional Cotle: Any city ol co y c eq es pe . . G . repair any 5trucNre. priar lo ils issuance, also requires the ap0lican� for such permi� �o file a signed s�a�ement Ihat he/she is licensee pursuanl �o I�e pwvi5ioP5 ot lhe Coniraclors' S�ate License Law �Chapter 9(commencing with Section 7000) of Division 3 0l tAe Business anE Pmiessions Cotle) 0� Ihal he/she is ec¢m0� Iherelmm antl Ihe basis lor Ne alleqetl e�empiion. Any violati0n ol SecliOn 7Q?7.5 by any applicant lor a Dermit suDlecis Ihe aDPlicant �o a civil penalry oi noi more than live huntlred dollars (E500�. I. as owner o� �ne pwceny or my employees with wa0es as iheir sole compensation, will do Ihe work, and ine ❑ simctureis notintentle0 orofferealor Sale�Section 70C4, Business an0 PmlessionalCWe: T�e Caniractors' State License �aw Goes not apDty �a an owner oi a D�oPeny wAo builOs ar impmves ihereon. antl w�o tloes suc� vrork himself/hersell or ihroup� �is or her Own employee5. prOviaea t�al Su[� impmvemenl5 ar¢ no� inlended or oHefeO fof sale. II, howevet ��e 6uiltling ol improvemem a solA wilAin one year al completion. I�e owner will have IAe burAen of pmHnq hNshe Ui0 noi builA or imDrove lar �he pUrpose ot 5aie). I. as owner of Ine propetly, am exclusively conirac�ing wi�� licensetl contraclors to constmci Iha pmlact (Sec�ion 7094, Business ❑ antl Pm�e55i0n5 CoOe: The ConlraCi0r5' State License Law tloes not apply to an owner 01 pmOenY �o OmIEs or impmve5 [hereon an0 w�o conira�rs lor such pmlects vnih a contractm�s)licensa pursuantto the ConVactors' 6tafe License Law). I am awate �hat prooi ol iheir worker's Compensation insurance snaul0 Oe D�oviUeO to me. � I am exempl unaer S c�ion: B P 7 � 4 q B. 8 P. C. mrinrsreasore �WNER HUILDER ate l�/�� ` / Owner: /�"—` � 0o nere0y cenify that I am aware of an0 unEerstanC tne reQuiremenis al Californu Health an0 Safery CoUe Sections 25505, 25533. antl 25534 and I�at I or any �ulure OUiIEinA attu0anl wilVwill noi (tirGe one) nteA Io tomply vrilh 5ai0 Slait LOAeS anU I�E requirem¢nls �or a permii for mnsimciion or moAilication hom ine AirOualiiy Manag¢menl Uislrici. Resftleniial cons�Nction applications are exempt Irom t�ese provisions. �ale'. Applitanl: I here0y ie(tilythai I ha�e reatl ihis application and state ihat Ihe ahove inlormationis correct. I agree to camD�Y with allcity an0 counry ordinances anA s�ate taws relaiing lo bwltling constmclion antl �ereby aulhonze represenlatives o� this city Io enier u0on the aGove-meniionetl pr�erty for inspection purpos/esI./� (� �/J�,A ` /n, 'Da �(JU /� �7 `/ 7 Signamre: /_S__L��'v'" odver's Lkense or Soc�a� 5ecurity x.� 16a1-a6 WOne—Bwld�g: Geeen—Cotla Enlo¢emenC Ctnary—Npplicant: Pmk—Revenue: GalOenratl—Asseswr CITY OF COSTA MESA — BOILDING PERMIT YERM N: Uby av PERMIT NO: B 069884 PLAN CHECK NO; N t, , , CONSTRUCTION TYPE: _ �` „ PERMIT TY�T ��URPOSE: REP JOB DESCRIPTION � REPAI CLAIM • e 772,768,764,760 p�f*�*�,c+t**-�c�c**�c*ac�c RWALli NAILING & CANTLVR FLOOA SQ 20,000 — : 20, 00.00 GRODP OCC: R-3 / 6,752 s 7a 141Eifif�iRiF�lFififi�'�EYjF iiiEi:if#ifiEiF�FiLiFifiLifiRifiFiFiFif�RiFY�FiFif�lF�fiFifififiF%�IF E I R E M E N T S S A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN P.EAA: FT ZN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKIA7G REQ: PROV: PARCEL: 93768019 REF NO: PLANNING 130TES> > iffEiFiF�FiFifiEiEiFj:ifiEM�f+f+Ei�ifaFaF�YifiEifafi�ifaFiFi�lfiEjEif , t�tiF{MiR{cMiF{FafiEifaEafi4ifiEif*3FififiFikiFi4lFiFiFi:+FKiFiE�iiifiF D E V E L O P M E N T S E., � I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; ' BUILDIPdG APPROC'ED BY ; DATE; APPLICATION ZSSUED BY: DATE: � o (� j� itif iE ifil�iEif i(�iEM *iEil�if ifiF4if if if iF iEif if i1�4 1f iF if af 1t if . rtif it�it 4iF# Mit if if iF if if iF af ih if iE iF it .{R �(- V i!� iFit#�FjFiFiFifitifitat4af±tMififiFjFjEaFifiFiEifaF�lfiFitififiFifiE3Ejf akatifilifiEiEifiFiflfkrMrifYataEiEifaR�Y-MMicrrr ifiFifiEifiEifil-atr LEGALIZATION:N F E E S M M A R,�Y STRUGTURAL SEGMENT:Y BLDG PMT PLUMBINC ELECTP.IC MECHANIC. FIRE.'• SMIP/RES. ,.GRADING PERMIT 207.00 , • ' ��, 2.00 " PLAN � � ; .SMIP/NON-RE5�„ ISSUE FEE � � . � � � r � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK •TOTAL•" i PAID •`, DUE TOTALS----> 209,00 0,00 0.00 ', 209.00 209:00 �' .00 _ � � _ F REVENUE DIVISZON TOTALS--> COLLECTED: --�209.00. OVER/SHORT: ' 00 BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE�-SMIP/TOT GRADING PLAN—CHECY. Z�%.�� 1 ?�.QQ . �' . . 1! if i! 1E if 1E iF iE if if it if iE tf jf if af+f if if i4 it iE iE!f if �f ik if M if if it it i! iF ir if if V iE iF it if if iE if if if af if r if M if if 1E if k if iE iE�if jf ik if if i: if`1F %if if it if � iF if 4 I N D I C' I D U A,L ,, F E E, ;: B` R E,A R D O, W'N . � � TYPE QTY D E S C R I P T I.O N ' �. !., `.fJNZT COS�T TOTAL .COST SFR 2Q000 ALTER HY VALUE RESIDENTIAL N020NE � 1,0�0 ' 20,000.00 END OF FEES� , . � � . . , 1. 5 r . � � . � O1 OJ271470—nq�71471 Ti� T° oaTE: i?Fiff/94 TIttE: 03:;2" ,. CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit #- Date Inspector APPROVALS Permit # Date - Inspector t. TemPorary Electricai Service or Pole 52. Pooi & Equipment Location ' 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Ut��ity-Undrgrnd.- 54. Forms 4. Electrical Conduit�Undrgmd. . 55. Electrical Bonding 5. Stee� Reinforcemenc 56. Rough Plum6ing & Pressure Test 6. E�ecv�ca�UFERGmd. 57. APPflOVALTOCOVER�GUNITE 7. Footings 58. Electricai Conduit�Undrgrnd. 8. Foundation � 59. Gas Pipe. O Undrgrnd., Tesc � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undryrnd. 70. Strucwral Floor SVsiem 61. APPROVALTO DECK 71. ProOerty Sewer �ine & House Connection . 62. Backwash & RecePtor�Final 72. Sewer Cap 63. Heater & Vent�Final 13. Aoof Drains 64. Pfumb�ng System � Finai 14. Rough Plumbing 65. Electrical-Finai 15. Rough Electriral�Conduit 66. Soiar SYstem�Final 76. Rough Electric Wiring 67. Fenci�g & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTEFING 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace � �APPROVAIS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilacing 71. Product Piping O Gas � Oil 23. Gas ��pe�Rouqh & Tesc 72. Underground Flush 24, Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oi1 25. floof Sheathing ' 74. Overhead Hydro 26. T�Bar Ceilinq (Structural) & RAonocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIfiE PREV. FINAL 30. Dry�vall Nailing HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION 32. Electricai Power Meter F�nai 80, FQOQ CERTIFICATE 4SSUE0 33. Fina� Electric , Notes: � 2.-�-Q�( - 7S(o - _� �G _� 6"� 34. Final Heating & Air Conditioning /2�t�� C�� L�'7�Z,_ /�(� v c��'� G D re 35. Final Gas Pipe�Test , 2. �� 71Y'Z ��_� �p„� _�l�,/�L_ i . 36. Hood or Canopv 1� .�Y� �Y(1� / � 9 �k - �w`s. F�+- 37, Final Factory Fire'place � / � (� Lt - /1// /"G,�S n ��-/�Q./ /� Z T'� r ='�__ y"� 38. FinalPlumbing I/ �,��.,,ylaf'_�,1�_ �(y �� ez 39. Water Service�Final � - ;�;/ �, `�/� S � v� .� A0. Gas Service•Final -�j � 7�'/�' ��5 .�,K " � !� ,� G"''�_ 7 47. So1ar pomes[ic-Final � _ 7�� _ �� _��8 _ 42. Backfiow Preventer Yv A. Q.y� f 43. Backflow Irrigation �...30�L'- 7�p� ��,_�6([�� /'rn,r 6�"Ilo` 7 � 44. Landscape Irrigation System L`.,(p�h _�Gg' _�� e18 _(Q. �� 45. Sound Attenuation C.+-f3-qs-7l�"( - �G,Q,,: �y� _�(�j,�J / �, �,7�4(�_ 46. Hand�cap Regulations t� - ,.GIS 7 Q-�-�L� �� l'�' �y��¢ 47. FINAL STRUCTURE & BUILDING 7�B�G�� , � q_G�S-_ ��„ � 2�'B. �: S. � L 48. FtNAIPlANN4NG 5 (�'�r'7�o((1 � � . ' ��- 49. E�ectric Refease to Edison !.�"y/G�gt �� ` �.O w, �� -�_ 50. Gas Release to Southern California Gas Co (. 51. CERTIFICATE OF OCCUPANCY No. Date � PHOJELT ROOflESS: � � q q WESL EYAN BAY '� u"'T: OWNEfl'S NAME: ED PETROS �� S RODflE55: C��E ANCHIENGINEEX:pOWELL MIKA 6 ASSOC "Ec."o.:C9063 aooxess: 16661 �ENTURA BL 0N1T 702 ENCINO CA 91436 PERMiTrEf: pENTRIDGE COVE HOMEOWNERS ( 714 ) 660-0777 aooxess: 3009 DAIMLER ST SANTA ANA CA 92705 IICENSEU CONTflACTON OECUflATION: I here0y atli�m Iha� I am lirensetl un0er D�ahsions ol Clwpier 9(cammencing wi1� Seclion 7000� ol Oivisian J oline Busin¢5s and Pmiessions Cotle, antl my lic¢nse is in lutliorce antl e��ec1. CITY LIL.: STRTE tit.: CLASS: Oa�e: Sipna�ure: WOBREXS' LOMPENSRiION OECIAMTION: I herebyaffirm tlul l luve a certiliwte ol Consenl Io seli-insure or a cenificaie ol WoiXeis' Compensation Insurance. or a cenitie0 coOY �her¢o� (Sec�ion 3800, LaC. C). roucrNo.:90-93-9416-6 E%P.OqTE:OIISS�94 COMPANY: TA E FARM � ❑ Ceqili copy is/ e��e�y turni5Ae0. � CEN�ieO CO � lil tl wil� 111! Lify BUilOin,/Uivis Oaie: � Applicani: E%EMVfI N FPOM WOFIIEX$' COMPENSRTION OEIXAflATION: 5lc6pn �RN nq pmpkte0 il ihe perrtn a ta me hunOreA (51001 163�. I terlity I�ai in I�e peAotmance 0� I�¢ work �ar whiU lNs p¢rm i5 i$SueO. I Shdl nOf emD�Oy any person in any mdnnef 50 a5 � ecome subiecl to Ine Workers' fAmDenSation Laws o1 CaGlomia. Date: Signaw2: NOTILE: II, a�iet making IhiS EeGaraii0n, you SIwWd GefAme Su01�� 0 the Warkers Compensation pmvisions of ine Labor Coae. you musl IonMnt� tompty wit� suc� pmvisions or �Hs perrttil siwll Oe Ceem¢0 revakeA. CONSTPUCTION LENUING RGENCY: I hereby atlirm I�ai tnere is a wnsimction lentlinp apency lor the petlormance o� t�e work lor whicn inis oarmn is rssueG (Seciion 7097. Civ. C�. �[xoex: noonEss: OWNEP 6UILOEfl OECIAflRTION: I �ereby atlirm thai I am enemp� ��om Ue Comracmrs' Sia�e �icense Law �or Ne lollowinq reasan �Section 7031.5 9usiness anA Prolessional Code: Any ciiy ol caun�y wpic� reQuires a Deimit �o cOnsimct, al�er, impmve, demolis�, or repair any slmcture, prior loits iuuance, al5o reQuires lhe applipni lor suc� permit Io �ile a signe0 sia�ement tlui �Plslie is IicenseE pur5uani to I�e pmvisions ol Ihe Conlraclors' State license Law ICnaO�e� 9lcommencinp wim Section 7000) of Division 3 0l ine Business an0 Pmtessions CaGe) or tlWt �Ns�e 5 exem0� ��erefrom an0 tlk p295 lot ihe alleped eKemO�ion. My violation al SeCtian 7031.5 Uy any apDlicanl lor a Dermii su�l��s I�e ap0litan� �o a ciWl DQ�atiy oi not mOre Ilun live hun4reE tlollars (E500�. I, as owner of t�e O�openy oi rtry employees x7tn wapes as t�eir sole rnmpenutbn, wi0 Uo l�e work, anC Ihe 1 t � I ti n 70Aa B P I : TA ntractors' Slate Littnse Law r r i n i intenaea or o IertO o u e SeC o . uvness anE rolessiwa CoOe e Ca ❑ st upu e s o 1 Oaes not apply ta an owner ol a proDe�Y � OuilGs or imp�pvp5 (tKr¢Ofl, afN who Uoes sut� wOrk �imself/hersell ar t�roupll hi5 0� �et Own employees, ptOviEEd Ihat SUC� �mDrOv¢meryls are n01 inlBn4eA of allEreO lor SaIE. II. 1lowevet I�e builtlinp or improvement is sdU wii�m one y¢ar of compleiiw. 1tce owner vrill luve I�e EurEen ol Orovinq �¢/51ie EiA nai Uuild or imprwe lor I�e pWpOSe ol Sale�. I, as owner ot ��e pmDeny, am e.clusiveN rnntrac�inq vfi� IicenSeG contractars ta constmct t�e D�aleci (Section 70aa, Business 6� anA Pwles4ms CoOe: IDe Comracmrs' gtate L'xeme Law tices rwt appy m an mmer ol O�opercy who bmWs or imDroves t�ereon anA wno comracis lar sucn proiects wi�n a camractor(g license oursuam ta tAe Comractars' State L¢ense Law1. I am aware I�ai prool o� I�eir Work¢i 5 CAmpBnsatian in5uranCe S�OUIE E¢ D«OeG lo me. � i am erempt under Seciion: 8. 8 P. �ortn�eason: �� ' d� �3 I Do �ere0y cerlily Ihai I am aware ol an0 unGerztan0 i�e reQuirempni ol Cali ornid Healt� na Salery CaOe Seclion5 25505. 25 33, antl 2553d antl Ihat I or any lulure 6uiltling occupanl wilVwill nal (circle ane) neeC o comDly wi 5ai0 s�a�e cotles ana Ihe ieQuirem Is lor a permil loi ron5lmciion or moAi�italion tmm I�e Air Oualily Manag@meni US ici. NesiEe al construction apD�ications are exempt Imm Ihese Dmvisians, Daie: Ap01i[an�: I herCOy t¢itily I�aI I have r¢a01�i5 aOGOtaliOn ana staie I�ai I�e a�e orCmances an0 stalelav5 elatingio buBGirg mn5lmt�ion an0 P/auih pf00¢�Iy I0� i p¢C�iOn u1D05¢5. � Date: � • Signawre: Driver's License or $ocial Secunly »: t64t�46 wmte—Bmleinq: Green—Cotle Enbmemem: nary—q� is m�rject. I agree to comply wit� all ci�y an0 county nup� ollks qIY �o mter upon �Ae a6we�memioneE Pink—Revenue: GolEmrod—Assessor CITY OF COSTA MESA — BUILDING PERMZT PERM NO; B 061125 PERMIT NO: B 061125 PLAN CHECK NO; 00217.-93 S� GOVT: N SUPP: N CONSTROCTION TYPE: PERMIT TYPE; STR PURPOSE; REP JOB DESCRIPTION : REPAIR FLOOR DEFLECTION AT KITCHEN AREA SQ FT: 8,000 CLAIM VALUE; 8,000.00 CALC—VALUE; 8,000,00 GROUP OCC: R-3 / COMMENTS: X �r�r�rrt�e*�r�*�e*��r�r�rr�*�***�r�r�r�r�r*�r*x*�**�-��r*x�**�r�x�r**�r�r�r*��r+�**�r��r*�*�r*�**�r*��r*��*�** Z O N I N G R E Q U I R F' M E N T S sETar.cxs FRNT: LEFT: PARRI PLANN -- MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------- FT IN REAR: FT IN FRNT• FT IN FT IN RG , FT RG i� FT IN p PAOV: PARCEL: 93768003 2NE; R3 REF NO; fSTES INTERIOR ALTERATION TO STRUCTURALLY REINFORCE AN EXISTIN iEiF!l�FiEiFiFiFiElFiEiEiE 1FlFiElFlt D E V E L ZONING APPROVED BY . BUILDING APPROVED BY APPLICATION ISSUED B if it ik if iF iE ik iE if 1E iE iE if ik if 1E iE if 1E iF �E k!f k iE if if 1E iE if ik �! �! iE if iF it if !f !t LEGALI2ATION;N BLDG PMT PLUMBING �v. �S [] M M A R Y ECTRIC MECHANIC k iF iE ik iF jf L'�'Q U�2 E M E N T S DATE: Z :2� S DATE; ' DATE; ?i,2� ��x-� . 9 .*� if i! i! it ik iFlt i! 1t it it ik k iF �k lf 1! fE M ik iE if �tlk �! iE k if STRUCTURAL SEGMENT;Y FIRE SMIP/RES GRADING PERMIT 99,00 80 PLAN 64.35 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE P N—CHECK TOTAL PAID DUE TOTALS----> 99,80 0,00 69,35 164,15 164.15 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 164.15 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99,00 ,80 64.35 �1! i! it ik it k iF if 1f if it i! 3f iF k iE iE ik it iE if ik if iE i(� iE iF it ik iE it k iF it i! iF iE if ikik af if ik jE )k ik iE if 1E i! 1! �k iFlk iEit if iE iF1F iE ft iF i! iE if iE iE 1E k k k%� IE k it ikiE if I N D I V I D U A L F E E B R E A H D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 8000 STRUCTURAL BY VALUE PER 51,00 1,00 8,000.00 sNn oF rrE�.s _. i, '�. ' . _ �.h'�� ". � , a � � d ,_�, ti: � CONSTRUCTION AND PLANNING _ POOL & SPA APPROVALS Permit# Date Inspector APpROVALS Permit,$ Date Inspeccor i. Temporary E�ectrical Service or Pole 52. Pool & Equipment Location _% 2. Soil Pipe•Undrgmd. _ 53. Steel Feinforcement 3. Electricai Cond�it Ut�lityUndrgrr.d. 54. Forms �� 4. Elecirical Cortduit-Undrgmd. 55. Electrical Bonding � 5. Steel Reintorcement 56. Rough Plumbing & Prassure Test � 6. Electricel UFER Grnd. 57. APPROVAL TO COVER•GUNITE ). Footings 56. Electrical Conduit�Undrgrnd. 8. Foundation _- 59. Gas Pipe, O Undrgmd., Test . 9.� Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Un�rgmd; � 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer �ine & House Connection �� 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final � -- 13. Roof Orains '�+ 64. Plumbing System � Final ' , t4. Rough plumbing 65. Electricat•Finat � ' � 15. Rough Electriwl-Conduit . 66. Solar System-Final ; 16. Rough Eiectric Wiring - 67. Fencing & Access Appruval � � 17. Rough Wiring Sign • . 68. APPROVED FOR PLASTERING • - 18. Rough E�ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F INAL 79. Rough Heating & Av Conditiomng FiR,E DEPT. REQUIREMENT i 20. Rough Factory Fireplace APPROVALS Permit #� I i 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilatin8 71. Produc[ Pipinc� OGas OOi� 23. Gas Pipe-Rough & Test 72. Underground FIus1� , 24. Roof Praming 73. Undergrnd,StorageTank OGas ❑Oil � 25. Roof Sheathi�g 74. Overhead Hydro 26. T�Bar Ce��ng (3tructural) & Monocoat 75. Dry Chemical ' 27, Frame and Ftashing 76. Dry Standpipe 28. Lathing & Siding � � 77. FIXED SYSTEM FINAL 29. �nsulatio� � � � 78. FIRE PREV. FINAL 30. Drywall Naiiing � � HEAITHDEPT. RE�UIREMENT 37. Plaster 6rown Coat � 79. FINAL INSPECTION • _� 32. Electrical Power Me[er•Final ' OD CERtIFICATE ISSUED 33. Final EI¢ctric �� otes: 1 34. Final Heating & Air Conditioning �P � 35. Final Gas Pipe-Test � � _ 36. Hood or Canopy �y ' 37. Final Faciory Firepiace ' 1� 38. Final PlVmbing � 39. Water Service-Final ` � i 40. Gas Service-Final � � � 41. Solar pomestic•Final . 42. Backflow Preventer , 43. Backflow Irrigation ' 44. Landscave Irripation SYstem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING [�/�.�/�.y� %J� � 77 C�+%�. 48, f4NALPlANNING .�, . 49. Electric Release to Edison ,�' ' N� 50. Gaa Release to Southern Califomia Gas Co �� 51. CERTtF�CATE OF OCCUPANCY � No. Date � /� 9� � �COSTA MESA BUILDING-SAFETY DEPARTMENT . V n RnY t9nn (`ncre nncen rni �ononun eoe�c F�y W a a �.N. y S F 2863 9/�12/79 37.02 TL APPLICATION FOR STRUCTURAL PERMIT - -__.___..__-"_""_"._..._"'"__'_' REC V Y PE tvl�� NQ � For Applicant to Fill in Completely — Use Ink Only 7 BUILDING �G A•P• �� { � I� 1 Q�' II —I ADDRESS Tract 10626 9' BUILDING / �`��t n�Q T�ENANr°R M.D. Janes Co., IS1C. ADDRE55(,(�G � �r � - UNIT OR ADDRE 5 2950 Airway Ave. , D-9 SPACE NO. TR.NO 6/ LOT BLK. CITV Costa Mesa rrio��979-3376 �� NEW ADD ALTER REPAIR MOVING DEMOLISH CONSiRUCTION LENDER NOi selected �( /� BRANCH N/A � OWNER ADDFESS �] VAIVE ARCHITECT TEL. USE E ORENGINEER Danielian bt liSSOC. N rJ�V — ADDRESS 3848 Cam LLS Dr. N.B, zoNe " TVPE GFOVP APPROVED T CONTRACTOR OWi12I BY DATE V AODRESS e TEL. CITV e NO. e STATE CITV APPROVED SETBACKS LIC. NO. A LIC. NO. (FROM C/L STREET) OF �� ,SSQ � X 334 � NOW ON LO� e RONT FT. USE OF EXISTING BLDG. N�A F . Separate permits are required for L. SIDE electric, plumbing and heating work: aena Fr. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION % O a°�aoveo Z-7�o—% 4 f� , /7�z � �i— 9/k .�Ro� � ' 2 / _'� I hereby acknowletlga thet I have reatl this applicaiion antl state ° C that the ebove Infarmation is correct antl agrae to comply with ell laws ragulatinB builtlin8 �onstr�ction, and I shall not employ any person In violat(on of Me workman's compensation laws of . the Stete of Celifornia. � 7 ZZ d I hareby certify t�et I em praperly licensed as a contrector untler SQ. FT. ^ [�e State of Californ Buslness entl Professions Cotle, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR u Chapter 9, antl thet ch licensas ere in full force antl atfact, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am ezempt from t provisions of the Stata ot California Business VALUATION PERMIT FEE $ 9 entl Profassions C d ivisi n 3, Chepter 9. ° PLAN CHECK E T�� SiB�ature of . Permlttee $/¢��J� TAX S � v j AuthorizedABet ae $�1��79 TOTALPAID S 7�V ` i� � N � _L � ' : - COSTA MESA BUILDING-SAFETY DEPARTMENT ' - —P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely - Use Ink Only BUILDING ADDRESS Tract 10626 . � Z r°eNANT R M.D. Janes Co. Inc. ADDRE 5 2950 Airwa Ave. D-9 2862 9%12/79 37.02 TL APPLICATION FOR STRUCTURAL PERMIT � ' UNIT OR SPACE NO. TEL. ' 6 � cirv Costa Mesa No. 979-3376 NEW ADD �NoeR �oN Not selected 1/ BFiANCN N/A TE ADDFESS 3848 R USE APPROVED 91-09� Io�i � �`4{2-IZI-; !�i�.�+,uB.6�y �� , LOT I 4LTER REpAIR MOVING OEMC VALVE E T�a� �e,.,,o T ADDFESS 8 TEL. CITV A NO. e F STATE CITV APPROVED SETBACKS LIC. NO. 8 LIC. NO. $ � SIZE NO.OFBLOGS. (FROMC/LSTFEET) O� OF LOT 55� � x 334' NOW ON LOT e Nf FT. a USE OF ^ EXISfiNG BLDG. N�A y FSeparate permits are required for � sioe p electric, plumbing and heating work. REAR Fr. �,�. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a c _� 7 �9—aR a APPROVED2_—Z6—�1 < ,�J 7 APPRO �O /�• � � , } �� a pW � I hereby ecknowledBe t�et I hava raotl thia opplicotion antl state � a thet tha abova informat{pn Is corraci and egreo to comply with 0. all laws repulatinB builqing consttuctlan, and I ahell not employ i Z any penon In violation of the workman's eompensation laws ot d � � iho Smta of California. (� � �ZzL m ' \ 3 1 hareby eertify that I am pro0arly Iieensatl ea e eonbactor untler Sn' FT' � ] Mo Siata af California Qusinesa antl Pro(essiona Cotle, Diviston 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR m Chapmr 9, antl thet such wenses ara in full force end effact, or I THE PURPO6E OF ESTABL6HING A PERMR FEE ONLV: � A am axampt iram tha pr isions ot thaSta[e of Caiifornia Businass VALVATION PERMIT FEE 5 q and Protassions Code, D'` ision 3 6hapter 9. '^ m PLAN CHECK S %�, � � � 0 Signature of LL Permittea $ /4�T%�� TAX S !,p f Authorized Agant a TOTAL PAID $ z% �� u '� COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCT�RALPERMIT 45� ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 REC P RMIT - For Applicant to Fill in Completely — Use Ink Only i3 �� "�"�' BUILDING Tract 10626 A'P' �' 1'` �O 1Iv' I TT7Z�I�� ADORESS BUILDING � .Jl �ENqry �R M.D. Janea Co., IIIC. ADDRE55 — a` UNIT OR MAILING SPACE NO. ADDRESS z950 Airway Ave., D-9 TR.N01O/� LOT BLK. Costa Mesa TEI. ( �� cirv No. 979-3376 CONSTRUCTION NEW ADD ALTER 0.EPAIR MOVING DEMOLISH LENDER NOt selected BIiANCH N/A OWNER ADDRESS n/A VALVE ARCHITECT TEL. USE y ORENGINEER Danielian tSt �$ ADDRESS 3848 Cam US Dr 20NE J TVPE GROVP � APPROVED CONTRACTOR owner B�' DATE ADDRESS B TEL. CITV e NO. STATE CITY e APPROVEDSETBACKS IIC. NO. B LIC. NO. (FROM C/L STREET) OF LOT 55� � x 334 � NOW ON LO� e ONT FT. USE OF EXISTING BLOG. N A Separate permits are required for L. SIDE electric, plumbing and heating work: REAil FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION � � D '/�I Z � � I� O 1 7^ APPROVED Z� f-� 7 APPROVE��(��/� � I � 1 hareby acknowletlBe ihat I hava reatl this appllcallon and smte that ihe ebove Intormation is correct antl eprea to comply wlih all laws regulaiing builtlinp construction, entl 1 shall not employ any parson in violetion of Me workman'S eompensallon laws ot the State of Celifomia. �t �� I haraby cartify t�ai l em p�opa�ly Ilconsetl as a contteeio� unGe� SQ. FT. ihe State of California Businesa entl Profesaions Code, Oivlsion 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR Chaptar 9, and t�ai sue licensez era In tull forea antl affact, ar I TME PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from Me ovisions ot the Steta of Callfornla Buslness VALVATION PERMIT FEE S and Professians Cotle, i isio , Chepter 9. PLAN CHECK E L-0 �,� Signaiure of Permittee $ /Q' /��aD TAX $ Authorizetl ABe ta 8 1 � 7 TOTAL PAI D g S� 27 m � m Y � m m 0 f U �., � ' COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use [nk Only BUILDING ADDRESS � OWNER OR I^'Y S / TENANT U�y�/ /1iLC MAILING J - S�C• D� / ADDRESS " TE CITY ��¢ N�c/ —� CONSTRUCTION LENDER BRlaNCH ADDRESS APPLICATION FOR STRUCTURAL PERMIT 2ECEIVE � P__,_ -� 5128� �- i� T�.' A.P. NO. � + � �� UNIT OR SPACE NO. iR.NO. LOT BLK. NEW ADD ALTER REPAIR MOVING DEMOLISI OWNER M �,��LC�WLGS `-� • V/�. LUE USE A�IIw IM� �i/r��/ s22373 ADOflESS.i n curvt / IY e/v (9qpUY APPROVED p CONTRACTOR BV �ATE �—�L-3�OI ADDRESS TEL. CITV NO. F STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. � SIZE NO.OFBLDGS. ' (FRO C/LSTn 1 OF LOT 2 p-(r , NOW ON LOT NT F. a USE OF 4 -,.N. EXISTING BLDG. � Qf. y FSeparate permits are required for L SIDE FT. 0 electric, plumbing and heating work. REAR FT. W USE OF BUILDING AND WORK TO BE PEFFOfiMED P�.qNNING ACTION F Q � � � � DATE ¢ � C/` �y _ APPROVE� /�. � / APPROV � �{ �. ' C/ .] C W pI hereby ecknowledge thet I have reatl this application and state p a that She abova infarmation Is correct and agrea to comply with a all laws repuletinB builtllnB conatruciion, and I shell not employ i Z any person in violation of the workman's compensation laws of : W tha State of Celifornia. Q�Z /� _ = x � GC. FT. � L m 3 I hereby certify that I am properly licensetl as a contractor under � J the Siata of Celitornia Businass antl Profeuions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl th t such licansas are in full forca antl effact, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: � am exempt iram e provi5iona of theState ot Calitornia Business VALVATION PERMIT FEE $ q end Professions tle, Divi n 3, Chapter 9. �� ^ m ' PLAN CHECK b � m / o SIB^ature of ' � p LL Permlttea / H1•�.�� TAX S �� U /E7 AuihorizeG ant e � TOTAL PAID E� �� .� � C�STA MESA BUILDING-SAFETY DEPARTMENT . ._' P:O. BOX 7200 COSTA MESA, CALIFORNIA 92626 F � k1 a a y h 2 F C m F Q C .d a > r � x w a O C a Z {i7 5 3 For Applicant to FID in Completely — Use Ink ILDING�A ... / �. i ✓ _ OWNER OR TENANT MAILING ADDRE55 � BRANCH � ADDRESS � ARCMITECT T7_ ADDRESS � CONTRACTOR TEL. � ADDRESS -j�' TEL. � CITV � NO. STATE CITY ^'�— LIC. NO. -� IIC. NO. —CT 512E � � NO.OF BLDGS. OF LOT �Sl� 3¢ NOW ON LOT .( USE OF EXISTING BLDG. Separa[e permits are required (or electric, plumbing and heating work. USE OF BUILDING AND WORK TO 8E PERFORMED I heraby ecknowletlpe that I havo raetl this eppllcetion antl atete thet the abova Information Ie correct ontl eprea to comply wiih ell laws rep�leting builtllnB conrt�uction, and 1 shall not amploy any parson in violetlon of Me workrt�an'S eompensation lawa of Me Stete of Celifornia. 1 �ereCy cartHy that I am proporly Iiconmtl aa a controetor vntlor the Stete of Califor e Busineu antl Protossions Codo, Division 3, Chaptar 9, anE tha uch licensas nra �� full force entl affact, or I am exempi from t provisio of thB State of Gelifornla B�siness enA Profassions C , D'visi 3 Chaptar 9. Signatura of Parmlttae a, g AuthorizaC Aaent 8660 12/17/79 89500� T4 4 APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV PERMIT ♦„ _ �� A.P. NO. BUILDING ADDRE55 VNIT OR SPACE NO. AOD �FiLTER OWNER USE APPROVEDSETBACKS PLANNING ACTION APPROVED VALUE E DATE DATE APPROVED THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMfT FEE ONLV: VALVATION PERMITFEE E s�� 5 �/�` XX��II PLAN CHECK E // TAX E %�� TOTALPAID S QOCA� m C i u m N 7 m n Y n m 0 F U _ COSTA MESA BUILDING•SAFETY DEPARTMENT�AppLICATION IfOR�STRUCTI'URAL PERMITBBo00 Tl. . P n RnY ]9M rneTe nncce re� �cnnnue nococ - � . "_' __"' "___ ___".....__... —..�.. �..._... ��'� RECEIVEDBV PERMIT For Applicant to Fill in Completely — Use Ink Only BUILDIN � D / A.P. NO. ADDRESS ( BUILDING OWNEF OR ADDRE55 TENANT MAILING UNIT OR - ADDRE55 . SPACE NO. TR.NO. LOT BLK. CITY , NOL OD UCTION NEW AOD LTER REPAIR MOVING DEMOLISH LEN EF B ANCH OwNER A DRESS VALUE A CHITECT TEL. USE E O EN INEER AD ESS ZONE TVPE GROUP APPRO CONTHACTOR BV DATE Z � / ADDR ESS TEL. GTY NO. STATE CITV AFFROVEDSETBACKS IIC. NO. LIC. NO, SIZE NO.OF BLDGS (FROM GL STREET) OF LOT NOW ON LOT NT FT. USE OF E%ISTING BLOG Separate permits are required for � sio Fr electric, plumbing and heating work. FEAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION OATE APPROVED APPROVED I hereby aeknowladpe thot I heve reatl this eppllcation end rtete °� thet the above Informetion Is corract and aBree to comply with � ell laws repulaNnB builtlinp eonsvuction, entl I shall not employ m any person In violation of the workman's componsation laws ot Me State of Celifornla. — m I hare0y certify that I am property Iicanaotl as a conttactor untler SQ' FT' � 7 tha Sute oi California Busi esa antl Pro(euions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR m Chapter 9, entl ffiat fuch 1' enses are In full torce entl ¢tfxt, or I T/E PURPO6E OF ESTABLISMING A PERMIT F E ONLV: � am exempt from tha pro ions of the Stata of California Buslness VAlVAT10N PERMIT FEE 5 , O� y and Protassions COtla, D' sion 3, Cheptar 9. '^ m PLAN CHECK S m 0 S(O�ature of Pe�mittBe $ TqX S F or V AuthorizetlAgent ate TpTALPAiD E - � •- _ COSTA MESA BUILDING•SAFETY DEPARTME v, - � o., o„v ,one r..ete . oce 8667 12/17/79 72.�0 TL APPLICA'I70N FOR STRUCTURAL PERMIT ""'__""_" ___......__"..—.._.._..."""_" RECEIVED BV PERMIT �y For Applicant ro Fill in Completely — Use Ink Only D �� BVILDIN �J A,P,NO. ADDRESS ♦ L BUILDING OWNER OR qDDRE55 TENANT MAILING UNIT OR ADORE55 SPACE NO. TR.NO. LOT BLK. TEL. CITV � NO. NEW ADD LTER REPAIR MOVING DEMOLISH CONSTRU ON LENDER BRANC OWNER ADDRE 5 VALUE ARCHIT CT TEL. USE E OR ENGIN R AODRESS ZONE TVPE GROUP A P c� /i/ CONTRACTOF BV OATE (i �/ ADDRESS • TEL. CITV NO. STATE CITY APPROVED SETBACKS LIC. NO. UC. NO. SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT NT FT. USE OF EXISTING BLDG. Separate permits are required for L SIDE FT electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WOFK TO BE PERFORMED PLANNING ACTION DATE APPROVED APPROVED I herabV eeknowletlpe thet 1 have raotl thla eppllcatlon entl smte that the abova Informatlon Is corract and aprae to comply with ell lews repuletinp builtlinB constructlon, antl I shall noi employ any person In vlolatlon of the workmen's compematlon laws of Me Stete of Californie. I hereby cartHy thet 1 em proparly liconsetl ee e contractor under SQ. FT. the State of Californin sinesa antl Profaczlone Catla, Division 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR Chepter 9, and t�at su licenses are in tull forca antl affect, or I THE oURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the ovlzions of tha Stata of California Buzinass VALUATION PERMIT FEE b ,, QQ antl Profeaslons Cotle vf on , Cheptar 9. PLAN CHECK E SiB�ature of Permittee g TAX S Of Authorizetl AB t �� TOTA� PAID E .QQ � m N � m e Y N n 0 LL f U F � fal LL a y y S F� �� . RFFA I?/17/79 ::.�� '�' COSTA MESA BUILDINGSAFETY DEPARTMENi APPLICATION FOR STRUCTURAL PERMIT • P.O.BOX 7200 COSTA MESA,CALIFORNIA 92626 RECEIVEDBV PER I � For Applicant to Fill in Completely — Use Ink Only BUIIDIN �y/A/ ��j A.P.NO. ADDRE (/(/(id �7 OWNER OR BUILOING TENANT ADORE55 MAILING UNIT OR ADDRE55 SPACE NO. TR.NO. LOT BLK. J TEL. GTV NO. NEW ADD LTER REPAIR MOVING DEMOLISH OONSTRU ON LENDE BRA H OWNER ADD ESS VALUE ARC ITEC TEL. USE 5 OR E GINEER N ADD SS ZONE TVPE GROUP ^ 2 / GONTRACTOR BV �ATE ADDFESS TEI. CITY NO. STATE CITV APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/LSTREET) OF l0T NOW ON LOT qONT FT. USE OF E%IS'fING BIDG. Separate permits are required for L. SIDE FT. electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WOiiK TO BE PERFORMED PLANNING ACTION . DATE APPROVED APPROVED I haraby acknowlatlBe that I havo roatl this applicet(on antl rteta thet the above Informetion is corract antl aprea to eomply with ell lawa repuletlnB buildinB eonsttueNon, entl I sholi not amploy any parson In vlolatlon of tha workman'a campansetian lews ot Me Staro of CelHornie. I hereby certify [hat I proparly Ilcenfotl as a tontrector untler $Q. FT. Ne Stata of CelNornla usinezs antl Professions Cotle, Dlvision 3, THE AMOVNTSMOWN VNDER VALVATION IS FOR Chaptar 9, anC that s h Iicansas ere In tull torca antl atfact, or I THE PURPOSE OF 6TABL6HING A PERMIT FEE ONLV: am exempt irom th rovlsions of the Steie of Celltornia eusinass VALVATION PERMIT FEE E 7� entl Pro4assionf Co Olvizlo , Cheptar 9. v PLAN CMECK E Sipnaiura of Pe�mittee S TAX E or AuthorizatlAg D e TOTALPAID E � TL � '...- ' j� COSTA MESA BUILDINGSAFETY DEPARTMENT� PLICATION FOR STRUCTURAL PERMIT ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 , RECEIVED Bv PgR • �/ � / 7 For Applicant to FID in Completely — Use Ink Only BUILOING A.P. NO. ADDRE55 OWNER OR BUILDING TENANT ADDRE55 MAI LING UNIT OR ADDRESS SPACE NO. TR.NO. LOT BL TEL. CITV NO. NEW ADD LTER REPAIR MOVING DEMOL F � {a7 a Q y y S F O W F Q G :� < � i' .� s w o. � � a z W 5 3 R CONTRACTOR ADDHESS CITV STATE LIC. NO. SIZE OF LOT TEL. TEL. NO. CITV LIC. NO. NO. OF BLOGS. NOW ON LOT Separate permits are required for elec[ric, plumbing and heating work. UILDING AND WORK TO BE PERFORMED I �eraby acknowladBe ihet I heva raad this epplleeNon antl rtete thnt tho ebove Informailon Ia correct and eproe to comply with all lewa reBulating builtling conStrucNon, antl I shell not employ eny parson in vioiatlon of Me workman'a eompensation laws of Ma State ot Californle. I hareby cartify that 1 em pro0erly Ilcenmtl ea e conirector unCer Ma Stata oi Celifornle ustneca antl Profa�sione Cotla, Division 3, Chapter 9, end t�at s ch licenaes are in full forca antl effect, or I am eaempt irOm Me rovisions of t�a Stata Ot Callfornia Busineu antl Profeasian� Co , Divis n 3, Chaptar 9. SI0110LVf0 Oi Permittae or Authorized A < OWNER USE APPROVEDSETBACKS PLANNING ACTION APPROVED VALUE E m � 'u m SQ. FT. ^� J THE AMOUNTSHOWN VNDEH VALVATION IS FOR m TNE PURP06E OF ESfA8LI5HING A PERMfT FEE ONLV: � VALUATION PERMIT FEE E �� (� N m PLAN CHECK E "� 0 S rqx 5 F �/ u TOTALPAID S "//).fvl TL F C Lzl a Q � y S F -' �tios�A meSA BUILDINGSAFETV DEPARTMEIYZ� APPLICATION FOR�STRUC�TU�ILPERMiT72�00 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 t�+� �� RECEIVEDBV PER T For Applicant to Fill in Completely — Use Ink Only � BVIIDI O � A,P,NO. ADDRE OWNEROR - BUILDING TENANT ADDRE55 MAILING UNIT OR ADDRE55 SPACE NO. TR.NO. LOT BLK. CITV � TEL. NO. ODNSTR ION NEW ADD LTER REPAIR MOVING DEMOLISH LENDER BRAN OWNER ADDR SS VALUE ARCH TECT TEL. USE E OF EN INEER ADDRE S ZONE TVPE GROUP APP �j CONTRAC BV DATE l/ / � ADDRESS TEL. CITV NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT NT FT. USE OF EXISTING BLDG Separate permits are required for � si FT. electric, plumbing and heating work: REAR FT. USE OF BUILDING AND WOfiK TO BE PERFORMED PUiNNING ACTION �ATE APPROVED APPROVED I �ereby aeknowletlpo t�et I hava reetl th(a eppllcation end state � Mat the abova Iniormation is correet ontl aprea to comply with all laws reBuletinB builtlinp constructlon, enC I ihell not employ � � any penon in violation oi Me workmen's compenmtion lewe of Me Stace of Celifornie. � ro I hera0y cartity that I am roporly Iiconsatl as a contractor untler SQ. FT. � 7 Me Stata of Callfornia Bu inass entl Protesslona Cotle, Dlvisian 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOP m Chapter 9, and that sue icensas era In full torea and effeet, ar 1 THE PURPOSE OF ESTABL6HING A PERMIT FEE ONLV: � am exempt from <ha pr Isions of t a Stota of Calltornia eualnao � e VALUATION PERMIT FEE E N and Professlona Cotle, al n 3, C apter 9. • V�i m PLAN CHECK 5 `� SI9^ature of � Permlttee $ TAX E f or V Authorizad Agent TOTAL PAID E O� � � � 86%� �2��%�%9 ��5a0� T1� �-a': 'COSTA MESA BUILDINGSAFETY DEPARTME APPL[CATION FOR STRUCTURAL PERMIT � �' P.0.80X1200 COSTAMESA_CALIFORNIA9262fi F � f�7 6. Q y h S F RECEIVEDBY PERM Q r� /� For Applicant to Fill in Completely — Use Ink Only 0� �•� BVILDIN //� D/�j� _w. A.P.NO. ADDRESS /G� (Q Gt� �yc. OWNER OFi � BUILDING TENANT ADDRE55 MAILING UNIT OR , ADDRESS ' SPACENO. TR.NO. LOT BLK. TEL. CITV NO. CONSTRU NEW ADD LTER REPAIR MOVING DEMOLISH IENDE BRA C OWNER AD R SS VAWE AR TECT TEL. USE E OFi EN R ADDRESS ZONE TVPE GROUP APPROV � � / CONTflACTOR BV DATE ( ADDRESS TEL. CITV NO. ' STATE CITV APPROVED SETBACKS LIC. NO. LIC. NO. ' SIZE NO.OF BLDGS. (FROM C/L STREET) OF l0T NOW ON LOT ROfYT FT. USE OF EXISTING BLDG. g Separate permits are required for L. SIDE FT. electric, plumbing and heating work. REAR FT. USE OF BUILDING ANO WORK TO BE PERFOflMED PLqNNING ACTION DATE APPROVED APPROVED I hereby acknowledpe that I have raetl this eOPllcation entl rtata that the abova InformaUon is correct antl agrea to comply with all lews re0uletlnB builtling constructlon, and I shell not emplay eny person in vlolation of Me workman's compenxtion lawz oi the Stata of Californla. I hereby canify that I am propetly Iicensatl es a contractor untler SQ. FT. the Stata of California Business antl Profeuiona Cotle, Division 3, 7HE AMOUNT SHOWN UNOER VALUATION IS FOR Chaptar 9, entl that such licenses ere in full torca antl affect, or I TNE PURP06E OF ESTABLISHING A PERMR FEE ONLV: om exempt from Ma rovisions ot tha State of Celitornia Business VALUATION PERMIT FEE S T and Profassions Cotl Division 3, Chapter 9. � .�%V PLAN CHECK E Sipneture ot Permlttea $ TAX E or AuthorizatlABe Date TOTALPAI� E �sa �9 � ' -;,%ECSSTA MESA BUILDWGSAFETY DEPARTME �� ApPLICATION FOR�.STRUC�'U�4�L PERMIT88e00 TL• � - ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ' � �� RECEIVEDBV PERMyy�,�� ' For Applicant to Fill in Completely - Use Ink Only H � a 4 N ..� N S F 0 w � a � a > .r.1 � W a � C: a � � � OWNER OR TENANT MAILING ADDRESS CITV ARC CONTRACTOR AOORE55 CITV STATE LIC. NO. SIZE OF LOT USE OF L. TEI. ' NO. CITV LIC. NO. INO.O LBF�D'CaS. NOW ON LOT Sepaiate permits are required for electric, plumbing and heating work: 1 hereby acknowladBe that I heve reatl this application and rteta that the ebove informetion ia correct anE a8�ee to comply with all laws rapulatinp builtlinp conrtruction, end I shell not amploy e�y Oerwn In v{olaclo� of the workman': compenutlon law: af ohe Stete of Calitomle. 1 hereby cartify thet I am properly licensed as e contractot under the State of Californle 8uzines5 entl Professions Cotle, Division 3, ChaPter 9, antl that uch licenaes are In tull torce antl atfect, or 1 um ezempt from t Orovizlons of ihe State of California Busineu antl Professlons C e, �iv bn 3, Chaptar 9. Sipnatura of Permittae or AuthOrizatl A [e A.P. NO. BUILDING ADD RE55 UNIT OR SPACE NO. TR.NO. NEW ADO OWNER VSE qPPROVED SETBACKS PLANNING ACTION APPROVED REPAIR VALUE S DATE APPpOVED m � > e S�. FT. � J THE AMOUNT SHOWN UNDER VALVATION IS FOR nl TNE PURP�E OF ESTABLISHING A PERMTT FEE ONLV: � VALUATION PERMIT FEE S QO q n PLAN CHECK S m 0 LL TAX E F U TOTALPAID E _/)(i "" � COSTA MESA BUILDING-SAFETY DEPARTM � o APPLICATTON FOR STI�l1CTUR�AL PERMITBB.O� o n amr i�nn rnere neeen rn� �eno�un ooeoe "'_' __"' '__' _"'"'..._'""'"._.. _..._.f. _____ RECEIVED BV PERMIT � / ' ` � For Applicant to FID in Completely — Use Ink Only -K� 7 BUILDIN O A.P. NO. ADDRESS OWNER OR BVILDING TENANT ADDRE55 MAILING UNIT OR ADORE55 SPACE NO. TR.NO. LOT BLK. TEL. CITY NO. NEW ADD LTER REPAIR MOVING DEMOLISH COKSTRU LENDEii BRANC ' OWNER ADDRE VALUE ARCNITECT TEL. VSE b Ofi ENGINEER ADDRESS ZO TVPE GROUP APP �j /Y CONTRACTOR BV DATE 4 � ADDRESS TEL. CITV NO. STATE CITV APPROVEDSETBACKS IIC. NO. LIC. NO. S12E NO.OF BLDGS. (FROM C/LSTREET) OF l0T NOW ON LOT FRONT FT. USE OF EXISTNG BLDG. E Separate permits are required for L. SIDE FT. electric, plumbing and heating work: FEAR FT. USE OF BUILDING AND WOFiK TO BE PERFORME� PLANNING ACTION DATE /1PPROVED APPROVED I hereby acknowiedga that I hava reed this eOP��callon antl s[ata that the above Informallon Ia correct and epree to comply with all laws reguleting buildinB conrtructlon, antl 1 shall noi employ any person in violetlon of Me workman's compensacion laws ot Ne State of Calitornla. I heraby cartify thai 1 em proparly Iicensetl as a eonirecior unCer SQ. FT. tha Stata of Califofnla Businezs antl ProtesslOns Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and Mec sueh licensas are in tull torca antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLV: am axempt from t provlslons of the Steta of California Business VALUATION PERMIT FEE E end Professionf C e, Dlvision 3, Chapter 9. PLAN CHECK y SlBnetura of Permittee TAX E or Authorizetl A a t Date TOTAL PAI D E � ��-'" COSTAMESABUILDING-SAFETYDEPARTMENT � APPLICAT►ONFOft�STRUCTUR4LPERMITB8.00 Tl. P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVED BV' PERMIT lJ� For Applicant to Fill in Completely — Use Ink Only 7�� BUILDING—� A.P. NO. ' ADDRESS OWNER OR BUIL�ING � � TENANT ADDRE55 E MAILING UNIT OR ADDRE55 SPACE NO. TR.NO. LOT BLK. TEL. CITV NO. CANS�RUCTION NEW ADD AITER REPAIR MOVING DEMOLISH LENDER BRANCH / OWNER A�DRESS VALUE ARCHITEC TEL. • USE $ OR ENGINE N AOORESS Z NE TVPE GROUP CONTRA TOR. BV DATE �/T _ 9 ADDRESS TEL. CITV NO. STATE CITV APPROVED SETBACKS LIC. NO. IIC. NO. � SIZE NO.OF BLOGS. (FROM C/L STREET) Y OF LOT NOW ON LOT RONT FT. ¢ USE OF � EXISTING BLDG. FT. A � Separate permits are required for . � sioe .Fr. ' electric, plumbing and heating work: REAR Fr. � USE OF BUILDING AND WOFK TO BE PERFORMED PLANNING ACTION Q � DATE a� APPROVED > APPROVED � � Y aJ � I hereby acknowledge that I have reatl this application antl rtato \ x Shat the above intormation is correci and agrae to comply with y ell laws re0ulating builCing constructlon, and I shell not employ , � > � any parson in violation of the workman's compensetion laws oi � the Stata of Califomia. ' Y m � I hereby certify that I am p�ope�ly Ilcensetl as a contractor untlar SQ. FT. � tha State of Califarnia Business and Profeutons Cotle, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR m Chapter 9, antl that ch licenses ere in full foree and effxt, or I THE PURP06E OF ESTABLISHING A PERMIT E ONLV: ' am axampt frOm M�prOvisiO s of She Steta ot California Business e VALUATION PERMIT FEE $ N end Professions Co e Divisio 3, Ch¢pter 9. � � PLAN CHECK E `^ 0 Sipnatura ot , LL Permlttee TAX 8 f or U Authorizetl AB t te , TOTA� PAI D E- � ': COSTA MESA BUILDINGSAFETY DEPARTM��ApPLICATION FOR7STRUGTURAL PERMIT 44.OD ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � RECEIVEDBV PERMIT �I��^� For Applican[ to Fill in Completely — Use Ink Only � BUILDING � O A.P. NO. ADDRESS OWNER OR BUILDING TENANT ADDRE55 E /D MAILING VNIT OR ADORESS SPACE NO. T .OIJO. LOT BLK. TEL. CITV NO. CONSTRUCTION NEW ADD LTER REPAIR MOVING DEMOLISH LENDER / BRANCH OwNER A�DRESS VALUE ARCHITECT TEL. USE E OR EN INEER ADDRESS 20NE TVPE GROUP APP �// �� CONTRACTOR BV DATE T ADDRESS TEL. CITV NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OFBLDGS (FROMC/LSTREET) OF LOT NOW ON LOT ONT FT. VSE OF EXISTING BLDG. 7, Separate permits are required for L SIDE FT. electric, plumbing and heating work: REAF FT. USE OF BUIIDING AND WORK TO BE PERFORMED P�ANNING ACTION DATE APPROVED APPROVED I hereby ecknowlatlBe that I have reatl thls epP��catton entl steta � fhat ihe abova information is correci antl apree io comply with � all lews reBulatin0 builtling conrtruction, antl I shall not employ any parwn in violailon of Me workman's compenaation lews of m tha Stata of Calitornla. ' m I hereby cartify that I em properly licensetl es e<onttactor untler SQ. FT. �`+ tha Stata of Californfa usiness end Profeulons Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl thet s h licensas ere in f�ll torea and atiact, or I TNE PURP06E OF 6TABLISHING A PERMIT FEE ONLV: � am ezemot trom <�a rovisions t the Staie of Callfornie Busineas a , VALUATION PERMITFEE E ,QD � anE Protezslons Cod Oivi ion , Chapter 9. m LAN CHECK E `^ Signatura of � Permlttea $ TAX S f or V Authorizatl Aga D te � TOTA� PAID E ,QD ' � 8676 12/17/79 72°00 T� r:. COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATTON FOR STRUCTURAL PERMIT —� v.o. eox i2oo r.nsrn nnFsc r.ni icnwNin a�a�a ��......__..._..-�"��"--_- RECEIVEDBY PERMIT �./�,/� For Applicant to Fill in Completely — Use Ink Only �� BUILOING �, A.P. NO. ADDRE55 OWNER OR BUILDING � � � �' TENANT ADDRES MAILING UNIT OR ADORE55 SPACE NO. T . � LOT BLK. TEL. CITY � NO. COf�6TRUCTiON NEW ADD LTER REPAIR MOVING DEMOLISH LENDER BRANCH i OWNER ADDFESS VALUE ARCMITE TEL. VSE E OR ENGINE ADDRESS ZONE TVPE GFOUP '° I L-� CONTRACTOR BV OATE ADORESS TEL. CITV NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT ONT FT. USE OF EXISTING BLDG. Separate permits are required for � sro Fr. electric, plumbing and heating work. FEAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PL,ANNING ACTION OATE APPROVED /1PPROVED I haraby eeknowlatlpe that I havo roatl this applicetion and rtete � that the ebove Informetion is corrac< and eprea to comply wlth ell lews repulailnB bui�tling consvuctlon, end I ahell not employ any ponon in vlolation of the workman's compensaiion laws ot Me Staro of Calitornia. I hereby cartity thai I am properly Ilcanfatl es e eonttactor untler S�. FT. Ma Smte of California Business end Profosaions Cotla, Division 3, THE AMOUNT SHOWN UN�EF VALUATION IS FOR i Chapmr 9, antl the such licenses ere in full force ontl effxt, or I TNE PURPO6E OF ESTABL6HING A PERMR FEE ONLV: em axampt from e provislons of the Staia oi Callfornia Busineu VAlUAT10N PERMIT FEE E antl ProfeulonsC e, Divi on 3 ter 9. / �y� PLAN CHEGK S SIp^ature ot 5(/ �/�// �/ Permlttea V TAX E or Authorizatl AB Da a � TOTALPAID E 7q .� _ (/—j� � -'�COSTA MESA BUILDINGSAFETY DEPARTM T"". � PLICATION FOR�STRUCTURAL PERMIT 72,OD v_o_ aox t2nn COSTA MFSC C41 IFf1RIUlA 09fl9 - ----------•------------- RECEIVEDBV PERMIT / For Applicant [o Fill in Completely — Use Ink Only �t� BUILDING � /� A,P, NO. ADDRESS OWNER OR BVILDIN TENANT AD�RES � I MAI LING UNIT OR � ADDRE55 SPACE NO. Tji LOT BLK. TEL. � CITV NO. CONSTRUCTION NEW ADD LTER REPAIR MOVING DEMOLISH LENDER BRANCH OWNER ADDRES ' VALVE ARCHIT CT V TEL USE S OR ENG EER ADOR SS ZONE TVPE GROUP APP r CONT ACTOR BV DATE ADDRE TEL. CITV NO. STATE CITV P�PPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OFBLDGS (FROMC/LSTREET) OF LOT NOW ON LOT ROM FT. USE OF EXISf1NG BLOG. Separate permits are required for L SIDE Fr. electric, plumbing and heating work: REAR Fr. USE OF BUILDING AND WORK TO BE PERFORMED PLP.NNING ACTION DATE APPROVED APPROVED I hereby ecknowletl8e that I have �eatl ihiz appliceNon antl rtate thet the above Info�meHon is corract antl apree to comply wlth all lews repulatine building conscruction, antl I shell not employ any penon in violatlon of the workman's compensation laws of t�e Smie ot Celifornla. . , I hereby cartify that I am properly Ilcensed es a eoniractor untler SQ. FT. the Siate ot Californla Business end Professtons Cotla, Division 3, THE AMOUNT SHOWN VNDER VALUATION IS FOFi Chapter 9, antl that a � licenses ere in tull torce and etfect, or.l THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am ezempt from th rovislons o he Steie ot California Business VALUATION ' PERMIT FEE E ,(J�f end Professlons Co D Is n Chep<ar 9. PLAN CHECK S SiB�atura ot , Parmlttee S TAX 5 or AuthorizeG Agen ata TOTA� PAID E UD I TL ' - GOSTA MESA BUILDING-SAFETY DEPARTMENT '• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applican[ to Fill in Completely - Use Ink Only ADDRESS Tract 10626 / TENANT�R M.D, Janes Co., inc. ADDRESS 2950 Airway Ave., D-9 CITV Costa Mesa No��9�9-3376 COlQS7FUCTION Not selected LENDER BRANCH N/A ADDRESS N/A ADDRESS 3848 Campus Dr., N CONTRACTOR OWnEt ADDRESS A TEL. A CITV A NO. � STATE CITV � � LIC. NO. 8 LIC. NO. e 4 OF LOT 5 rj� � x 334 � NOW ON LO� e � VSE OF ,.�„ EXISTING BLDG. N/A y � Separate permits are required For Q electric, plumbing and heating work. F USE OF BUILDING AND WORK TO BE PERFORMED Q Q -� , lo GiZ a a- � � w Q1 hetaby acknOwlatlpe thaE 1 nave roatl thls appllcatlon antl staro {y� that iha above Informetion is corract entl eprea to comply with �. ell lewf ragulaHnB builtllnB conattuction, antl I shall not employ �eny veraon (n vlolaiion of Me workman's compenaailon lews ot S the Steta ot Celifomia. 3 I heroby eenify that I am properly Iicansetl ea a conttocior untlar tha Stete of California Business entl Profeaions COAe, Dlvislon 3, Cheptar 9, and Nat sueh licenses ere in i�l� forca and etfect, or I am axempt trom t provisions ot iha Siata of Callfornia B�sineas antl Protessiona Co e, Divl ign 3, Cheptar 9. Signatura Of Permittae °` 8/17/79 Authorizetl A nt APPLICATION Fb��l'RI�C�'�C�'1�' �. PERMIT 45.27 TL REC�IV [�a_ P {3M]'�` N� � Vl �7 ) A.P. O. ��—Q '� O'1 IO I I ��Z IZ.I�Z BUILOINCv_)S.�y y�// iJAIi�� I � � l�O1lRFS�I Rf/r UNIT OR SPACE NO. NEW � OWNER USE � ED LOT HLTER REPAIR MOVI APPROVEDSETBACKS P�P.NNING ACTION � �� I VHLUE E TE DATE ` APPROVED Z/'� � � .,�r� /z /�/-� THEAMOUNTSHOWN UNDERVALU THE PURPOSE OF ESTABLISHING A PERI VALVATION PERMIT FEE 5 PLAN CHECK E s l Pji 1 Oa, iJa rnx a TOTALPAID S n i �m _ � N �S FOR m ONLV: � N � n � � m 0 !� LL s U ;'i�,t _ �� '��--•-. � = i�/ y.;:�'16� -rn/-v. �_�� 6--y� , � � � d z� � �7_��s` VB 7� %Z/ ��7 nnFn n '� � COSTA MESA BW LDINGSAFETV DEPA TnntIVT � �AP�LICRTION FOR'STRUC7�[�JRdL PERMITb 1 7.31 TL — � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 • - R C V BV P RMITc,ei 1�T - For Applicant to Fill in Completely — Use Ink Only S�/ i`1� � ADDRESS Tract 10626 A 'N��I ��/'D` ��/� `�-�� OWNER OR B��LD�NG� �� _ � � � +� � � � F � W h a � y � F G W F Q G .d Q � � .� a � a O � a z LS] .T. 3 TENANT M.D. Janes Co., Inc. ADDREss 2950 Airway Ave., D-9 TE L. CITV Costa Mesa No. 979-3376 LENDER�ION NOY selected BRANCH N/A ADDRESS N/A ARCHITECT . ._ TEL. CONTRACTOR ADDRESS e TEL. CITV A NO. e STATE CITV IIC. NO. e LIC. NO. e OF LOT � rj rj0 � X 334' NOW ON LO S Q USE OF EXI5TING BLOG. N�A Separate permits are required for electric, plumbing and heating work: UIIDING AND WOFK TO BE PERFORMED I heraby ecknowledBe thet I hava reatl this applicatton antl rtete that the ebova informaiion Is correct antl agree to comply with all laws regulating builtlinB �onstruction, and I 5ha11 not employ any oarwn in violatlon of the workman's compenmtion laws of the Stota of Californie. I hereby cerNiy thet I am proparly �icenutl as a conttactor under the Stnta of Californle Busineu entl Profassions Cotle, Division 3, Chapter 9, end that such lieensas ere In tull torca antl effect, or I am exempt from t�e rovisions ot the State of California Bysiness and Professions Cotl Divisi 3, Chapter 9. Signatura of Permittea or 8/17/79 Authorizetl Agant e UNIT OR SPACE NO. OWNER USE r,.� .3 ZONE APPROVED LOT BLK. 4LTER REPAIR MOVING OEMOLI51 r�5 �a_ VALUE S J TVPE V GROUP ��•� a DATE APPROVEDSETBACKS PLANNING ACTION APPROVED ��JO- / � .� /C.L_e THE AMOUNTSHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALUATION PERMIT FEE E �7 /� PLAN CHECK S 5��. 7 $ Sd /f �O�/�/"O� TAX S TOTALPAID $�/'J,�¢ P C Q m V m � � M m �V e ^ vi " m t o M �/ f � .03 b/:7� ai