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Home My WebLink About3459 WINDSOR CT - Building Permits�, -vs'L� . 9;�''�,� � i '.�.�.s: i - � ' (714) 754-5273 • Fax (714) 754-4856 . CIN OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 34�JJ WINDSORCT Suite No Vicinity: Parcel Nunmber: 41207307 Applicant Address: Owner: Address Contracror. Address: ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to tOhp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole VOGEL,GLEN VOGEL,GLEN 3459 WINDSOR CT COSTA MESA, CA ELECTRICAL PERMIT Phone: 714-444-4333 Zip: Phone: 714-444-0333 Zip: 92626 Phone: Zip: License: SCOPE OF PERMIT INSTALL 50UTLETS FOR ATRIUM ENCLOSURE, RE:899-00648. $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.ao $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Trenstormers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kvalkw ..................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee PEHMIT NUMBEH E99-00414 77 FAIR DFIVE, COSTA MESA, CA 92626 SWtus: ISSUED Applied: OS/17/1999 Issued: 05/17/1999 ISSUEDBY: ��\J Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 527.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod of 780 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and all requlred Inepections end tlnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 Y r 1266 200 201 202 203 WORKERS' COMPENSATION DECLAHATION: I hereby eHirm under penalry of perjury one of ihe following declaralions: ❑ I heve entl will maintein e ceniticete ot consent to selFlnsure for workers' compensetion, as provitletl for by section 3700 of tha Labar Cotle, for Ihe peAormanca ot the work tor which Ihis pertnit i5 issuetl. ❑ I hava and will maintain workers' compensation insurance, as required by section 3700 ot the Lahor Coda, for the peAortnance of ihe work for which Ihis pertnit is issued. My workers' compensetlan Insurence carner antl palicy number ere: Carrier. Policy Number: (This section need not be comp/eted il the pelmit is veluetl at one hundred dollare ($100J or less.) ❑ I certity that in the pertortnance of ihe work for which this permit is issued, I shell not employ eny person in any manner so as to 6ecome subject to the workers' crompensation laws of Califomia, end agree ihat ii I shoultl become su6ject to t�e workers' compensetion provisions of Section 3700 ot the LaDor Cotle, I shall forthwith comply with ihese provisions. Applicant Signeture: Dete: WARNING FAILURE TO SECURE WORKERS' C6NdPENSATON COVERAGc IS UNLAWFUL AND SHFLI SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDFED T}IOUSAND DOILARE (5100,000). IN ADDIiION i0 THE COST OF COMPENSATION, DAMAGES AS PFOVIDED fOR IN SECTION 3]O60F THE LABOR COOE, IMEFEST, AND ATTOfiNEYS FEES. LICENSED CONTRAC70RS DECLARATION: I heraby aHirm ihat I am Ilcensed under provisions of Chepter 9(commencinq with Section 7000) of Division 3 ot the Business and Professlons Code, and my license is in full force and Bttect Lic. a Cless # , Comractofs Signature: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby affirtn thet ihere is a construction lending agancy for the peAormanca oi the work tor which this permit Is iuuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lendefs Address: Signatura: Date: OWNER-BUILDER DECLARATONS: I hereby aHirm Ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any slrucWra, prior to its issuance, also requires Ihe epplicant for such parmit to tile a signed stetement that he or she is licensed pursuent �o the provisions ot the Contractors Llcense Lew (Chepter 9(commancing with Section 7000) of Division 3 of the Business antl Protessions Code) or lhal he or she Is exempt iherefrom end the basis for the alleged exemption. Any violation of Section 7031.5 by eny appllcent for a permit su6�ects ihe epplicant to a civll penalry ot not more then five hundretl dollers ($500).): ❑ 1, as owner of ihe pmperry, or my employees with wages as Iheir sole compensetlon, WILL DO THE WORK, end the strudure is not intentletl or oHeretl for sale (Sec. 7044, Business antl Professions Code: The Contrectors Licensa Law tloes not epPly to en owner ot property who builds ar improves ihereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such Improvements are not Intendetl or oNeretl for sale. If, however, ihe building or improvement is sold within one yaer of completion, the owner-builder will have ihe burden of proving that he or she did not bulid or improve for purpose oi sele.). ❑ I, es owner oi th property. em E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to constmct Ihe pro�ect (Sec. 7044, Business end Protessions Cotle: The�on ctors License Lew does not apply to en owner of property who builtls or improves thereon, and who contracis for such proled with a conirector(5) license Our to ihe CoMractore License LewsJ. / � �� Owner �Qy&Aded by tlrivefs license. ❑ Yes ❑ No Busine5s end Profes5ions Code for this Venfication of Ownership by (rype of document, i.e. - property �a�c 6iil or daed): DIVISION OF INDUSTflIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Ezpires: ❑ I hereby certity that no excavetlon five (5) or more feet in depih into which a person is requlred to descend, will be made In connec�ion wlth work authorizad by ihis pertnit, end that no builtling structure, scaffoltling, telsework, or demolition or tlismantling t�ereof, wlil �e more than t�irty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifomia Administrative Code). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit irom ihe Division of Indusirial Safery, es noted above, unless such person has a parmit to do such work from the division. Signature: Date: Division of Industnal SafeTy Pertnit Number: C��E t. INSPECTIONTYPE Q�$ pL �QpF.k INSPECTIONTYVE � ��5 I 1616 Fizetl System Finel Fire Prevention 206 Final Mechanicel Pool Spa Finel Final Re-Roof Finel BIocWRetaining Wall Finel Fectory Fire Place Final Sign 204 Final Demolition 2446 66 208 Final Plumbing 210 Final Electdcal 212 Finel Fira Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy � i I d� ��ia��sa-s2�s • Fax pia)�sa-aess CITY OF COSTA MESA '� BUILDING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Jobnddress: 3459 WINDSORCT Suite: Viciniry: Parcel Nunmber: 47207307 Appliwnt: VOGEL, GLEN Address: 3459 WINDSOR CT COSTA MESA, CA owner: VOGEL, GLEN Address 3459 WINDSOR CT Contrector. Address: Zip: Arch : Address: COSTA MESA, CA BUILDING PERMIT Zoning: Rl R1 Phone: 714-444-0333 2ip: 92626 Phone: 714-444-4333 Zip: 92626 Phone: License: Eng: Address: �� , PERMIT UMBER 99-00648 77 FAIR ORIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05I10/1999 Issued: 05/1017999 ISSUED BY: �-- Phone: Phone: Zip License: Zip: License: k � SCOPE OF PERMIT ENCLOSE EXIST.�AREA BY CONSTRUCTING A ROOF , REMOVE EXISTING BRICK SLAB AND POUR CONCRETE. 173 SF AREA ENCLOSED. /j.� e� j, ��Q � � �� j�^ �� To FEE SUMMARY Plan Check: $72.96 _ Calc Valuation: $e,000.00 Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $11225 $0.60 $0.00 $0.00 $0.00 $185.87 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front a o PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0-0 Reauired: 0 PLANNING 8 ZONING Left 0- 0 Lefl 0- 0 Proposed: 0 Claim Valuation: $e,000.00 Right 0- 0 Right 0. 0 NOTICE: The work authorized by this permit shall comply with ell applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work euthorized under this permit ta be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and tinal approvel must be obtained. Failure to obtain inspections and tinal approvel will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 'r,� WORKEPS' COMPENSA710N DECLARA710N: I hereby attirtn under penelry of per�ury one o1 Ihe follpwing tleGarations: ❑ I have enA will meintain a certNicete of wnsent to setl-Insure for warkere' compensatlon, es provided for by sectlon 37W oi the Labor Cotle, for the pertortnance ai the work for which NI9 permlt is Issued. ' ❑ I have end wlll malntein workers' compensation insurenca, as raquiretl by secUon 3700 ot Ne Lebor Code, for the peAortnance of tha work fw which Nis pefmit is issued. My workers' compensation Insurance cariier and policy number ere: Cerrier: Pdiry Number: (Th/s secGon need npt be completetll! the perm/t is ve/uetl at ane hunOretl tlollers ($100) or less.) ❑ I certity t�et in Ihe peAartnence ol the work tor whlch this pertnit Is luueq I s�ell not employ eny person in eny manner so es to Oecome sub�ect to the workers' compensetlon lews ol Californle, entl egree ihat if I should becrome sub�ect to the workers' wmpensetion provlslons ot Sec[lon 3700 0� the Lebor Cade, I shall forthwith comply wlih thgsa provisions. Applicent Signeture: Date: WARNING: FNLURE TO SEd1RE WORKERS' COMPENSAl10N ODVERAGE IS UNLAWFUL AND SliFLL SUBJECr rW EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE MUNDRED T/qUSANO DIXIARE (6100,000). IN FDDITIIXJ TO THE GOST OF COMPENSATION, DMNGES AS PROVIOED F-0R IN SECTIIXJ 3%OB OF THE ll�BOR ODDE, INfEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I bereby atlirm tbat I am Ilcensed untler provislons oi Chapter 9(commencing wlth Section 7090) of Division 3 ot ihe Buslness and Pmtessions Cotle, antl my Ilcense is In full force and eflect. Llc. p Class x Contractor's Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby eXirtn that there Is e consiructlon lending egency for the peAormence oi Ihe work lar which this pertnll Is issued. (Sec. 3097, Civil Code). Lentlefs Name: LentleYs Address: SlgnaNre: Date: OWNER-BUILDER bECLARATIONS: I �ereby attirtn thet untler penalry ot per�ury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business en0 Professions Cade: Any ciry or coUnry which requires a permit to construct, fllter, improve, demolish, or repair eny structure, prior to Ils issuance, elso requires Ihe eppllcent for such permit to file a signed sletement that he or she Is Iicensetl pursuent to Ihe provisions oi tha ConlraIXore Llcense Lew (Chepter 9(commencing wlth SecNion 7000) of DlWsion 3 of the Business anA Professlons Code) or thet he or s�e is exempt therehom and Ihe basis for ihe alleged exemptlon. Any violation of Sectlon 7031.5 by any epplicant tor a permit sub�ects the applicant to e civll penalry of not more then five huntlred dollars ($500).): ❑ I, as owner ol Ihe propany, or my employees with weges es Iheir sole compensation, WILL DO THE WORK, end Ihe structure Is not Intentletl or oNeretl for sale (Sec. 7044, Businesg end Professions Code: The Contrectors License Lew does not apply to en owner of properry who builds ar improves thereon, and who does such work himseN or herself or through his or her own employees, provided thet such Improvemenis era not Intendad or oflered tor sale. Ii, however, the hullding or Improvement is sold within one year of completlon, ihe ownerbuilder will have ihe burden oi proving thet he or she ditl not builtl or improve tor purpose of sale.). ❑ I, as owner of the property, em EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct the project (Sec. 7074, Business end Professlons Code: The contrectars License Lew does nat epply to en owner of properry who huilds ar Improves ihereon, entl who conirects for such pro�ect with e contrector(s) � ticense pursuent to the QqRft@Wqrs J{cense lews.). , by ❑ No Busineu and Professions Cotle tor t�is reason: Venfication of Ownership 6y (type of tlocument, i.e. • propeny ten bill or dead): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: No. ❑ I hereby certity t�at no excevellon five (5) or more teet in depth into which e person Is requlretl to descend, wlll be matle in connectlon with work euthorized hy this pertnit, antl thdt no Dulltling siructure, scattoldlnq, felsework, or demolitlon or dismantling thereol, will �e more then Ihirty-six (36) teet hlgh. (C�ap. 32, Grp 2, Art 2, Sac. 341, Ttle e, Calitomle Adminlsiretive Code). ❑ As owner-Dullqer, I will not employ enyone to tlo work which would require e pertnit irom the DlNsion of Indusiriel Setery, es noted ebove, unleu such person has a pertnit lo do 54c� wark trom the division. Signature: Date: Division of IndusMel Sefety Permit Number: LOpE 1. INSPECTONTvpE 1616 Fined Systam Finel Fire Prevention 1266 Pool Spe Finel 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Fectpry Fire Place 203 Final Sign 204 Final Demblition 20dfid6 �]f, IMRIALS �QQF,( INSPECTONTYPE 206 Finel Mechenical 208 Final Plumbing 270 Final Electdcel 212 Final Fire Preventlon 220 Finel Plenning Approval 222 Final Slte 250 Final Building/OCcupancy �g 7 ��G C INmIALS CZTY OF COSTA RE�tJFST Fl�R OCQIPANCY TRACT NO. IO��O LlJI' NO. •�w•a. I1�.TE: �y� �e developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been conQleted and its streets accepted b� the City of Costa Nesa. By exea�ting this agreement, the undersigned acknowledges that he/she/they was/�.ere advised that this tract has not been given final inspection nor has_ it been accepted � the City of Costa Mesa as having conQlied with the oonditions of approval which caere inQcsed b� the City at the time the Final Tract Map was �� approved. The City ass�s no liability for the enforcen�ent of the conditions necessaLy for approval other than those wnditions protected t� surety bond. The undersigned agrees to indemnify end hold the City harmless from any claim resulting in da�ge or personal injury to the undersigned b,r reason of the afore�rentioned unco�leted condition(s). BY `� � (Signature of Pur aser) 1rrGL3-i;= .; � r � 2 V ��il an9 BY �.��Q � �� (Signature of Developer and or authorized�r@Unesentative � (signature ot L,ender HOI� SAVINGS $ LOAN ASSO ION �_ ��'��' L'L�i J�' ;"�5�� (714) 754-5273 • Fax (774) 754-4856 � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3459 WINDSORCT Suite: Vicinity: ParcelNunmber: 41207307 npp�icant: VOGEL, GLEN Address: owner: VOGEL, GLEN Address 3459 WINDSOR CT COSTA MESA, CA Contrector: Address: Zip: Arch : Address: BUILDING PERMIT Zoning: R1 R1 Phone: 714-444-0333 Zip: Phone: 714-444-4333 Zip: 92626 Phone: License: Eng: Address: PERMIT NUMBER ►� B99-00679 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: OS/14/1999 Issued: OS/14/1999 ISSUED BY: � Phone: Zip License: � Zip: SCOPE OF PERMIT T/OFF AND REROOF 1500SF RESIDENCE W/COMP SHINGLES. INSTALL 2SKYLIGHTS ICBO#3933. Plan Check: $0.00 Permit: $124.75 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.40 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING LeN 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 Phone: License: $6,500.00 56,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaticalty expire and become void if work is not commenced within 180 days, or i( work is suspended or abandoned for a pariod of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepectlone and flnal approval must be obtained. Failure to obtain inspections and tinal epproval will result in the ezpiration of this permit. � FOR INSPECTIONS CALL: (7/4) 75h5626 �I WORKERS'COMPENSATON DECLARAnON: I hereby ettirm under penelry oi perjury one of the following tleclarations: ❑ I heve entl will mainlain e certificate ot consem to self-Insure br warkers' compensation, es provitleA tor Dy section 3700 of [he Labor Code, lar the peAormanca of the work for whith Nis p¢rtnil is issuetl. ❑ I have and will maintein wwkers' compensatbn insurance. as required by secfim 3700 of tlie Lebor Cade. tor the pertartnance of ihe work for which Nis pertnit is Ls.wed. My workers' compensation Insurance certiar end poll�y number are: Cerrier: Policy Number: (This section neetl not 6g com0/eted i! fhe permit is velued et one huntlretl dWlars ($100) or less.) ❑ I certlty that in ihe pe�(oRnance oi the work for which this pertnit is issued, I shell not employ eny Derson In eny manner so as to become subjact ta Ihe workere' campensatlon laws of Calitomie, end egrea thet If I should 6ecnme subject to the warkers' compensetlon proNsions of Section 3700 oi the Labor Code, I shall fonhwith comply wlih ihese provisions. Applicent Signeture: Deta: WARNINO: FAILURE TO SECURE WORKERS' WMPENSATION COVERAOE IS UNLAWFUL AND SMALL SUBIEGf rW EMPLOYEH TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (51 W,pppJ, IN ADOfiION TO THE COST OF COMPENSATION, DAMAGES AS PRONDED FOR IN SECTION 3%OB OF TME LABOR CpDE, IfJrEREST, AND ATTORNEVS FEES. LICENSED CON7RACTORS DECLARATION: I harehy eHirm ihat I em licensetl under provislons ot Chapter 9(commencing with Section 7000) of Dlvision 3 ot the Business entl Professions Code, and my Iicense is in full fofte entl BHeCL LiC. % Cless M Contraclofs Slgnature: Date: CONSTRUCTON LENDING AGENCY: ❑ I hereby aKrm that there is a consirudion lending egency for Ihe perto�mance oi Iha work for which Ihis permit Ls Issuetl. (Sec. 3097, Civll Cotle). Lendefs Neme: Lendels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm that untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reeson (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a pertnit lo conslruct, elter, improve, demolish, or repair eny structure, pdor to its issuance, elso requires ihe epplicant for such permit to file e signetl steteme�t thet he or she is Ilcensed pursuent ta the pravisions of the Contrectars License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of the Business and Professions Gode) or thet he or she Is exempt theretrom antl the basis for t�e alleged exemptlon. Any vlolatlon of Section 7031.5 by any epDlicent for e permit sub�ects the epplicent to e civll penelry of not more Ihen five hundred dollers ($500).): ❑ I, as owner of the properry, or my employees with weges as thelr sole compensatlon, WILL DO TME WORK, end Ihe structure is not intentletl or oMeretl for sale (Sec. 7044, Business end Pmfessions Code: TOe Cantrectors License Lew does not apply to an awner of property who builds or impmves thereon, end who tloes such work himself or hersetl pr through his ar her own emplayeas, providetl t�et such improvements ere not Intentletl or ottered for sele. If, however, the bulltling or improvemem Is sold within one year of completion, the owner-buildar will heva the burden ot proving that he or she did not bulld or ImD�a�e for purpose of sale.). ❑ I, es owner ot the pmperty, am E%CWSIVELV CONTRACTNG WI7H LICENSED CONTRACTORS to consWd the pro�ect (Sec. 7044, Business entl Professions Cotle: The contreCrors License Lew does not epply to en owner of properry who builtls or impmves thereon, end who contracts for such project with a comractor(s) license pursuant tq the`c,��n ors License Lews.). � am exempt r sef//� Business and Professions Gotle for Ihis rea n� ^^� Si natura: �i� Owner ID ve�etl by driversYcense. O �es ❑ No Drivefs ticense No. VeriTication ot Ownership by (type of dceument, i.e. - properry tax �ill or tleed): DIVISION OF INDUSTRIAL SAFE7V PERMIT CER7IFICATION: ❑ I hereby certiy thet no excavation tive (5) or more leet In tlepth into which e person is required to descen4 wlll be mede In connection wlth work authod2etl by this pertnit, and t�at no building siructure, scettoltling, lalsework, or tlemolition or dismantling thereoi, will be more Ihen thirty-six (�) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administwtive Cada). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnl� trom the Dlvision of Intlustrlel Setery, as noted above, unless such person has e pertnit to tlo such Work irom iha division. Signature: Dete: Divislon ol Industnal Safery Permit Number: � CERTFlCATE OF CO PLIANCE AND AUTHO 1 TION OF ENTRV: I certity under penalry of per�ury thai I heve reed this application and state Ihai the intortnetion given is cortect. I egre t9 iply with all ye lews nd ciry ordinences relating to builtling consWction, end authodze representativ s ol the iry ot Costa Mesa to enter upon the ab escr' peny for insp c 6n pu s. I egree not to occupy or ellow occupan� eny building aNhodzedLby Ihi� crm,/it u i al spectlon. / J / S' na agel Owner(s) D'ate ' AnNOr ANhonzed Applicanl Date CODE t. INSPECTION TYPE 1616 Fixed System Final Fire Preveniion 1266 Pool Spa Finel 200 Final Re-Raat 201 Final BIocWReteining Wall 202 Finel Feclory F�re Place 203 Final Sign 206 Finel Demoliti0n , . 2d4648 f7AIE �L L=�C � " "' COOE� INSVECTIONTYPE 206 � Final Mechenicel 20B Finel Plumbing 210 Final Eleciricel 212 Final Fire Preventlon 220 Final Plenning Approval 222 Finel Site 250 Finel eulltling/Occupancy 1[i�![�S9 F � Li7 e. a � y 2 F 0 W F a c .d Q 7 � .] a W fi� °a a z 'y" 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS Traot �.�2�%8� LOt 33 OWNER OR TENANT MCLain Development Co. MAILING ADDRE55 1470 Jamboree Rd. TEL. cirv Newporb Beach No.640-6800 CONSiRUCTiON BRANCH ADDRESS ARCHITECT . . . TEL. AODRESS CONTRACTOR MCLain Development Co. ADDRESS 1470 Jamboree Rd. TEL. aTv Newport Beach No.640-6800 L C NO. 2%.3$%.rJ LICVNO. ZBH%3 SIZE I NO. OF BLOGS. OF LOT NOW ON LOT USE OF Separate permi[s are required for electriq plumbing and heating work. USE OF BUILDING ANP WORK TO BE PERFORMED New I hereby acknowlaEBe tnat I have reatl this application antl stete that tM1a above informat�on is correct and agrea to comply with all lews reBulatin0 build��0 �a�ztruction, antl I shall not employ any person in violation ot Ma workman's compensation laws of Me Scate of California. I hereby cartify t�et I am Properly licensatl as e conttactor under tha State of California Busineu antl Profeuionz Coda, Division 3, Chapter 9, antl lhat sucN licenses ere in full force and etiect, or I am exampt trom ihe pr0�isions ot tha State ot Californle Business antl Protasslons Cotl Di�ision 3, Chaptar 9. SiB�ature of µ (' �� A/-1/ Permlttea �' � U or Authorizetl Agent Data e RECEIVEDBV �PE;Di�li^�Tp � ..`% aiJIV A.P. NO. L�—) �� U /-�O BUILDING ��[Q �na �r ��r ADDRE55 �f � UNIT OR SPACE NO. �it.Nq.o�� LOT � � � NEW ADD ALTERIREPAI0. VALUE VSE E APPROVED BV DATE APPROVEDSETBACKS (FROM C/L STR�ET) R. SIDE � FT 1.51DE V FT. REAR I V FT. PLANNING ACTION DATE APPROVED �� P /\ � � ��i 'm 0 m `� SQ. FT. �`+ �` THE AMOUNTSHOWN UNDER VALUATION IS FOR m\ TME PURPOSE OF ESTABLISMING A PERMIT FEE ONLV: � VALVATION PERM�T FEE S � N a � � PLP.N CHECK E '^ 0 ��////� LL $ ) / / / TAJ( E Q � f • / , /P- u �l TOTALPAID D� , 8D