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Home My WebLink About3481 WINDSOR CT - Building Permits. (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA C, BI/ILpING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3481 WINDSORCT Suite: Vicinity: HOUSE & GARAGE ParcelNunmber: 41204223 Applicant: SELL ROOFING COMPANY Address: 17072 ROSEBUD YORBA LINDA CA owner: FAULKNER, JACK T Address 3481 WINDSOR CT " COSTA MESA, CA Contrecror. SELL ROOFING COMPANY Address: 17072 ROSEBUD YORBA LINDA CA Zip: 92686 Arch : Address: : Phone: BUILDING PERMIT Zoning: R1 R1 Phone: 714-9933328 Zip: 92686 Phone: Zip: 92626 Phone: 714-9933328 License: 323842 Eng: Address: T7 FAIR DRIVE, COSTA MESA, CA 92628 Status: ISSUED Applied: 07/79/1999 Issued: 07/79/1999 ISSUED BY: �, ' / Phone: � .� Zip ' �icense: Zip: License: SCOPE OF PERMIT , REROOF - T/O, INSATLL 1/2" OSB BOARD, 2 LAYERSO OF 30# FELT, NEW ICBO #4660 EAGLE LITE LIGHT WEIGHT ROOF. Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: $0.00 $149.75 $0.89 $0.00 $0.00 $0.00 $150.64 SETBACKS ` MAINSTRUCTURE 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 58,900.00 $8,900.00 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 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 aulhorized under this permit to ba considered legal, such work must comply with all applicabla codes, antl ell requlred Inapaetiona end final approval must be obtained. Feilure to obtain inspections and final approval will result in the expiration of this permit. �� FOR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSATION DECLARATION: I hereby elfirm untler penalry oi per�ury one ol the lollowing declaretions: ❑ I have antl will maintein e ceNticate of consent lo seli-Insure for workers' compensatlon, es provided for by section 3700 oi t�e WDor Code, for the pertortnence of Ihe work for which ihls permit Is issued. ❑ I have antl will I n orkers' compensatlon ins nce, as required by section 3700 oi Ne Lebor Code, tor Ihe peAormance of ihe work for whic� ihis pertnit is issuetl. M workere' co n Insure carrier end i number are: O� / S J Y � " � (O S / ca�da�: . � Policy Number: (This section need nof be comp/ered J the pertnitls v luetl ef one hundred dollars ($100) or less.) ❑ I certify t�al in the peAartnance at tha work far which this pertnit is issued, I shall not employ eny person in eny manner so as to become suCject to the workere' compensation laws of Celilorni egree th it I sh uld become subject to the workers' compensetion provisions of Sectlon 3700 of ihe Labor Code, I shall fonhwith comply with thesa provisions �1 Applicant Signature: �iii Date: �'— � —� V WARNINCa: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFULlWD SMALL SUBIECT AN EMPLOYER TO CRIMINNL PENALTIES MIO CIVIL iINES UP TOONE HUNDRED iHOUSAND DOLIARE (E100.000�, IN NDDIiION TO THE CQST OF COMPENSATION, DAMNGES AS PROVIDED FOR IN SECTIIXJ 3106 OF THE LABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I em Ilcensed untle r visi< force and eNact. Lic. p� Coniractofs Signawre: /! 9(commencing with Section 7000) of Oivision 3 of the Business an0 Pro sps�°ns Code, and my license is in full � Class N i� —� / �e�e: /�i—�/—o��7 � P�2_ CONSTRUCTION LENDING AGENCY: ❑ I �ereby ettirm Ihet there Is e wnstmction lentling agency for the peAormance of the work for which Ihis permit Is issued. (Sec. 3097, Civll Code). Lendefs Neme: Signature: _ OWNER•BUILDER DECLARATIONS: Lendets Address: Date: I hereby aHirm that untler penalty of perjury t�et I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any city or county which requires e permit to constmct, elter, improve, demolish, or repair any stmdure, prior to Its Issuance, elso requlres ihe applicant for such permit to fila e signed statement that he or she is Iicensed pursuant to the provisions oi the Contractors Llcense Lew (Chepter 9(commencing with Sectlon 7000) ot Divislon 3 oi Ihe Business and Professions Code) or Ihet he ar she is ezempt therefrom end the basis for t�e allegetl exemptlon. Any violation of Section 7031.5 by eny epplicant tor a permit sub�ec�s �he epplicant to e Civll penatly of not more �han five hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages es their sola compensation, WILL DO THE WORK, end ihe structure is not intendetl or oHered for sale (Sec. 7044, Business end Professions Code: The Contrectors License Law does not apply to en owner ot property who bulltls ar improves thereon, antl w�o Coes such work himself or herselt or throug� his or her own employees, provitlad that such improvements are not Intended or oftered for sale. If, however, Ihe bullding or Improvement is sold within one yeer of completion, Ihe owner-builder will have the burden ol proving thet he or she did not huiltl or improve tor purpose oi sele.). ❑ I, as owner oi the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo conslruct Ihe project (Sec. 7044, Business antl Professlons Code: The contrectors License Law does not apply to en owner of properry who builtls or improves ihereon, antl who wntrects for such prolect with a contrector(s) license pursuant to the Contrectors Ucense Lews.). ❑ I am exampt under sec. Business antl Professions Cotle for this reason: Signature: Date: Owner ID veritied by drivefs license. ❑ Ye5 ❑ No Dnvefs License No. Ventiwtion of Ownership by (type ot dxumen�, i.e. - properiy tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: Expires: ❑ I hereby certly thet no excavetion tive (5) or more feet In tlepih inb which a person is requiretl to tlescen4 wlll be made in connecUon wit� work authodzetl by this pertnit, end that no builtling strucNre, scaRoltling, falsework, or tlemolition or tlismantlinq thereof, will be more t�an thirry-six (36) teet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title B, Celifomia Administretive Code). ❑ A5 owner-builtler, I wlll not employ anyone to tlo work which would requira a permit from Ihe Division of Intlustrial Sefety, es notetl e6ove, unless such person has a permit to do such work trom the division. Signetura: Da�a: Division of Indusinal Safe�y Permlt Numbar. CERTIFlCATE OF COMPLIANCE IWD AUTHORVATION OF ENTRV: I certify under penalty ot perjury that I heva reed this applice�lon antl stele thet the intormetion given is correct. 1 agree to comply with all state lewj�e(�d ciry ord' ences r leting to building construction, antl authorize represeNatives of ihe Ciry 1 Costa Mesa to enter upon the a�ove-describetl property for inspaction pdrpo�es. I egr no cupy or ellow occupancy ol any building euthonzed by� pe�in� until fl �sg@ction. ( 7 ,�- � � i SignaWre Ot Legal Owner(s) ` � Date And/Or Authorized Applicant Date LOOE I, INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1268 Pool Spa Finel 200 Final Re-Roof 201 Finel BIocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolilion , 2666i6 �:I .1111. I� � COpE� INSPECTIONTYYE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupanc enoncssaeu�m+�: 3981 S•lIPIDSOR CT /.��chRO °�'T' CITY OF COSTA MESA — BOILDIf7G PERMZT QYNER'91UYEIFRAMk FAULKP7ER, JACK T FLOOD: X L37 wox�ss FAULKT]ER, BETTY L PEP.MIT NO; P 071269 PLAN CHECK NO; N saes wrrrnsox cT �OSTA MESP.,CA 92626l714)759-7°59 CONST°UCTION TYPE: P—Pl PERMIT TYPE: PLl1 �vv�. �,uima wo�ss� JOB DESCqIPTION : INSTALL ONE WATER HEATER (REPLACEMENT) 111CNRECT ON ENfd1ffA: 11C. NO.: ARCH ON E!!0.'S �OONESS: UNT: c�macrursru� EARL' S PLUMBING INC ( 714 ) 642-17�3 CWfN1CTORSYARIIA 1526 NEWPORT BL �oo�u COSTA MESA CA ucxo: 217657 92627 uxr: LICENSED COHfP�CTOPS OECLARATION: I Mrsby ellim wder pa�Wy d peijwy tIW I em IicaieeE uMer pwieiau d Chaqm 9 (mmmarryp xilh Saction Y�) a�++� � d Ne Buemm� eM Prolaetima CoM. uk mY �e u in IWI laca W sHetl. cmuc.wo.:pp5938 uc.cuss: C 36 uc.No.: 217659 EXP: 06/95 o a�v-c I 4� �� -� OWNEX BUILDEfl DECL�pATION: 1 hxeby dfum under ps�Ny d perjury the� I em wmq Iran IM Canroeon lioenea lew la the IGbw*q ieuon (Saaun ]W1.5 &nnm� enE Proluebne Cade: My M' a cauniY �fiidi nV�nm e M�A lo anbuY. eder.'vnVw*. dmmd'eh, p repei eny shu4luro. par b G�'saence, ebo requim IM eppfimM la wch pemiG to fib e epnad detameni thel he w ahs i licemsd W��I to �M p�+�a d IM CaMretlare L'aenaa lew lCheqar 91�mmciq v.nh Sed'nn'!UW) d DMvion J d tlr Juainan enE Rdeaiom Godal a �hal he w ehs b memq Ihereham eM tM Eeau la IM apepsd esemqion. MY videtion ot Satlion '!W t.5 by eny eppliuni lor e parmX euEjecu IM epplkem io a avil pmelry of �wl maro �Mn INe hundred dollan �5500�). ❑ I, m ownar d iha propenY «my em0loyeea wilh wepea ea thei qla mmpeneetion, xill do the woA, end the eVuduro u nd inlendad or Mered lor xla (Sao�ion )ON, Bueimm end Proleaeions COEe: The Conirepon Limnee Lewtloee iat epply lo en ownard proparry who puitle a mpiwee �Mraon• end wlw doee euch xwklimsaM w henetl a thraqh he n her own employee�, pmvidaE ihel euch ITPA'emBflb Bfe (M IfllGlldld Of OHbl4IOfl9�l. tl, �1OWBVBf, ��1B bUilj�110 M �IIp10YB1110N m fOb Wllhin pN yGY d MT�OII. I�1B o.�,e.�euaa« �;n nem �n. wbm w wwnq n, «.ne aw �a w�b n �mww. �� ine owv�e a..bl. ❑ �.., o.n. a �ha wro°m'. °^� ••�r ��env wan kom�ee m,v.cion io canmw m. wqa (sw:�n "la.. ewime..na Profomwm Code: TM �vetlm licanw lew Aow np nppry b en owror d papMy xM buld� a impwa 1lwam vd wln mwecn br atli PW'd° xdh e mm�Me) ficavaE P�ueN to ths Capretlon Liowe le�i. � I em uMer 8. 8 P.C.. l/or��rCC¢ �eawn: Dme: �� I Eo henby urNy iM1et I em ewere d enA uManund Na rt�ueemerm d Cellomie Heell� enA Se1ary Code Seq'vro 25505. 255�. mq 255J1. arM Mei I n enY Mwe buikiry opuM�� xill / wil rwl (dreb aie) need ro cwnW wih veid tleta mEn eM IM reQNmnaim br Oeia: AVd�� WOFKEP'S COMPENSATI� OECUH�TION: I hareby elfirm untld psnMy d prj�vy me d dw Idbxinp detlermions: � IMavdWmeiMeAecerN'rdedoonssnitosMinwnlawahra'campmWbn,mprwideElarbybeaun])OOdiMlebor cae.. i« ma �nom,wK. a u» .�x i«.+:m in� o�+m a��e. �. I hm vd xil meiNei� xaFsn' mmM�ion iraurarm. n'eVu'veE M Sqim �]00 d IM Labor COM. M tMW�amerra d tM work Iv xhich ihia W^^n u u�ueJ.1.A' warken' mn0a�bn hvurarca mn'w vtl VdkY wmber ers: cem«: GTATr FfTNTI EY.PIRES PdbY Nomber: t�� v?'� ti— v a 0 3/ O 1/ 9 5 ihia sedion meC rwf he c�ds�� / tM pemrR b br me hurMrad ddkia /SI W/ a bn.) ❑ � mnN uw in u» o�«merce d �ne w«k 1« which �ne perma'v mued. I Meu na smMm' �Y ro�^ in env manrier eo n to Cecome wbjed m the 'xoM1<re' ownVM+d� V�+ d CeGlmue. enE eprse Nq E I ehwN bswm wbjea to iM MaYan' �omppee/ppnevt��/,p/y��ew_a sea� a�w a in. �n« coe.. i.neo � �Qpy�wn u� qo.;,�.. Dtls: 9�_f 1 �i MMiram: � .. e�'1'//� W�mlip: FeCurs ro Iscuro ��+ ron�vwu�tlon rovxaps Is unYrM, uW �IWI ue/M �n rrylqw fo eAMnl pmsltlu aIM nH� n�.. w ro o�. m.�d�ee rro�a,m aar.. �s�oo,aaoa M.m+m� m m. �o.r oi oo�p.�wwn e+mrod .. wo�aw ro. i� S�ctlm 9]fA6 0/ tlro Lebo/ �oEs, InM1nst, �n0 �fromry'a /wa. CONSTiIUCTION LENDIN� AOENCY: I Mreby elfirm uMer pendry d parMrv �� a e mnaliud'an bnEiiq eparcy M Jr �1Bt�pTBM.9 O� 1�1G YAf�I �Of W%�M�I lNtl plTl� It UlIMf� (��NCIqf1309�.:�iN. �i�. . LENOEA'g NAME: LENOEfl'S ADDpE49: I ceMiN Ihet I heva reed thia epd�� ad pe�e Ihel IM eEwa iniame�bn ia mrieq. I epme lo oompy wilh ell ary aM mumy ordirie�ee erd c�a lawe Mm'vp to buikup wnevuc�ion erdlSAby eWpr¢a reqaean�elrvee d iha ary io entr upon ihe abwe-maMioned popeM IOf IMpBCUII 011lPJ9B9 �� vrvu 1em.. � �, ��,�c__� om,: 9 S Sgn�e tl Owrw/ApenVA ra]a (5151<B.WP) WF��iMipdSelery:OreeMFle:CeiwriAGo��t:Rnk�Iwanue:GOldenro�Aeaeav Yt.tt{'1 IVV: Y V i 1LOD IVVV 1; 1V JVYY 7 IV PURPOSE: OTH SQ FT: CLAIA9 VALUE: CALC—VALUE; GROUP OCC; R-3 ! COMMENTS: WATER REPLACEMENT ONLY if iF i�' iF �il� * il� if # M-'F -1E if if iF # iF Y� 1E iL i� if if Y if A4 Y iF iF-If �tf �Y if i4 iF i�' �Y iF i� �1(- li iF if� iF �It iV iF iF Y'k #�1� Y Y 1� 1F �iF.IM if Y# iF IR'K iF �i # if iF ii �N� �M1 # 34 1�-iG Y M �' Z O N I N G R E Q U I R E M E N T S S E T H A C I: S ------------ MAIN HU7�LDID]G ---------- -------- ACCESSORY BUILDING --------- FRNT; FT IP7 REAR• FT IN FRNT: FT IN P.EAR; FT IN LEFT; FT IN RGiiY: FT IP] LEFT: FT IN RGhT; FT IN PARY,ING REQ: PROV: PARCEL: 41204223 ZNE: REF NO: PLANP7ING NOTES> i if iE'M' if i4'M� 1E 1E'M� if if k Y'lf �f iF if �If if !f +f if if if iF if �f iF M iE af if iE Y-if if i! if iF i!� if iF iM1 if iF if 1f �E 1F if �c iF iF if M iM1 i� tiE 1f if 1f iF iE 4 ir iR �1F �f Y- K iR AF Y� iF if iF iF if Y D E V E L O P M E N T S E R L' I C E S R E Q U I R E A1 E N T S 20NING P.PPFOC'EL BY pATE; bUILDING APPP.00'ED BY ; �pTg; APPLICATIUPI ZSSUEU 9Y:� DATE; 2 2 ;eacifrif�+aKiEia�rtr-i(�rif�rtaFifrlf�rt+c;r+�,.�� -,c+F�`+�� .. �S.'.'�z�t.�.. +t*asr�.cs�ur �++. r eit+E� k iF'lf i4 if if iF iF if ai- fi#�f-1F �F %iF �i Y if if if if M?f if if if 1f �f iF Y�f Y if iF �f Y M iF Y AF Y-� f�E if iF if if af Y� iF iF ii 1f iE if �f aR �f V iF Y M iF i�F �F af JF iF aE �f iFY-Y LEGALIZATZON;N F E E S U M M A P. Y STRUCTURkL SEGMENT:D1 BLDC FMT PLUMBING ELECTP.IC P1ECHANIC FIRE SMIP/RES GP.ADING F'ERMIT 7,00 25t SMIP/NON—P.ES PLAN � ISSUE FEE 20.Q0 BUILDING—DZL'—> PERMIT ISSUE PLAN—CHECK TOTAL PAIU BUE TOTALS----> 7,00 20.00 0.00 27,00 27.00 ,00 REVENUE DIL'ISION TOTALS--> COLLECTED; 27,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAPI—CHECK 2%.00 +f i1 it iF 4 if if V� if �c iE �iF iE ak>� 1f if ir 1F ii iF # ih if i�- M iF iF k iF �f K i! if i: IE �7F if �lk fi* ia if i� iF iF .i� �1F iF af if aa �f t iF �: if V# il� k is+f iF+F Y at if �4 iF a4.f f a:G;. if iF iE I N D I V I D U A L F E E B R E A K D 0 jd N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST FLU \ f FIATEP. HEATEP, AAID!OR VENT END OF FEES �xP E Li►i.G � �.oe 0± U0277'"?-��D1772.`•9 Tq��T DATE: 03l2��i5 rir,F: i�:ss �.00 �7.00 CONSTRUCTION ANDPLANNING P�� -'PA APPROVALS Permit # ' Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Elec[rical Service or Pole � 52. Pool & Equipment Locatidn 2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement • 3. Electriral Conduit Utility�Undrgmd. � 54. Forms � , 4. Electrical Gonduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 6. Electr�cal UFER Grnd. 57. APPROVAL TO COVER�GUNITE . 7. Footings 58. Electricai Conduit-Undrgmd. . 8. Foundation 59. Gas Pipe, � Undrgrnd., 7est 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P•Trap, � Undrgrnd. 10. Scructurai Floor System 61. APPROVAL TO DECK ;' 71. Property Sewer Line & House Confiection 62. Backwash & Receptor�Final ; 12. Sewer Cap 63. Heater & Vent-Finel '1 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing � 65. Electrical-Final • � 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTEflING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firep�ace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Dutts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-ftough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil ;+ 25. Roof Sheathing 74. Overhead Hydro � 5� ,.+ 26. T�Bar Ceilinq (Strucmral) & Monocoat 75. Dry Chemical ' 2�. Frame and Flashing 76. Dry Standpipe - E �: 28. Lathing & Siding 77. FIXED SYSTEM FINAL i' 29. Insulation �- 78, fIRE PREV. FINAL ' 30. Drywall Nailing HEAITH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERT�FICATE ISSUED 33. Final Electric Notes: '�--�� .�� . � � ,.�_ .r�� 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irri9ation 44. �andscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric flelease to Edison 50. Gas Release to $outhern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date �cr No. /�,Z �-� L[7I' NO. s��•�' CITY OF CC6TA : a� l ��1ai7ZiK�7l7`.IMi n�x�: �� 3 ��e develc�er of the above entitled tract desires to sell the above set forth lot prior to the tune that the tract has been conpleted and its streets accepted b� the City of Costa h3esa. By executing this agrc�en�ent, the undersigned a�cnvalec3ges that he/she/they was/�,ere advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having conplied with the conditions of approval which kere inQcsed b� the City at the time the Final Tract Map was approved. ' The City assimies no liability for the enforcer�nt of the conditions necessary for approval other than those conditions protected b� surety bond. The undersigned agrees to indemnify and hold the City hannless from any claim resulting in dam3ge or personal ,injury to the undersigned b� reason of the aforc�nentioned unconpleted condition(s). BY authorized representative Bl' (Signature of Le er) HOD� SAVINGS F, LO ASSOCIATION 4j79 F � W 0. a � � S F 0 W F Q a > } .� C w `o m a Z kl .T. 3 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT �'` o n env �onn rneTn eeven rn� �cneeun ooeoe .........,..___ _...,.�...._..�.._f._......._.�..,_.._.. RECEIVEDBV P R � `�IG For Applicant to Fill in Completely - Use Ink Only BVILDING A.P.NO. 4-1�—��j- ^OI ADDRESS Tract 10278 I.Ot ZZ �Q ,-/ G�. -} OWNER O ADDRE55 �� D �^' � h ,/c�Ir G 1 TENANT RMcLain Development Co. UNIT OR MA�LIIVG SPACE NO. HDDRE55 1470 Jamboree Rd. TR.NOa � LOT � BLK. TEL. � aTv Newport Beach No.640-6800 NEW ADD LTER REPAIR MOVING DEMOLISH COfSTRUCiION LENDER v BRANCH OWNER ADDFESS VALUE ARCMITECT TEL. USE S OR ENGINEER Corbin Yamafu' i 752-5567 ADDRESS 3661 $j�YllC2 $t.� Ne OIt BC}1. ZONE 1\ TV7E GROUP CONTRACTOR MCLain Develo ment Co. ^vvaoveo gy DATE ADDRESS 1470 Jamboree Rd. TEI. ciTv Ne ort Beach No. 640-6800 APPROVEDSETBACKS L C NO. 2%.3875 LICVNO. LHH%3 SIZE NO.OF BLIX'iS (FROM C L STREET) OF l0T NOW ON LOT qOM �Q FT. USE OF � EXISTING BLDG. Separate permits are required for L SIDE � FT. electric, plumbing and heating work: REAR � FT. VSE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION DATE Sin le famil residence APPROVED New house ��VED � � I hereby acknowledge ihat I hava reeC this appl(cation antl state that the ebove informeHon is correct antl aprae to comply wiM all laws regulating buildinB �onsttuetion, entl I shall not employ eny permn in violeNon of Me workman's compansation lews of Me Stata of Califarnia. I hereby certify that I am properly licensed as a contractor undar S�. FT. the State ot Californie Busineu entl Profasstons Code, Divizion 3, THE AMOUNT SNOWN UNDER VA�UATION IS FOR Chapter 9, antl that such licenses ara in tu�l forca antl eHect, or I THE PURP06E OF ESTABLISHING A PERMR FEE ONLV: em ezemOt trom the provisions of the Scete of California B�sinesa V ALUATION PERMIT FEE E 0Q and Professions C a, Division 3, Cheptar Signawra of �/ �- � I //�� PLAN CHECK E Permittee L .(/ "a'' � $ , /�/ �/� 7qX § - T � /. d v or Authorized A t Date / TOTAL VAI� VO6•8O