HomeMy WebLinkAbout3359 WISTERIA CIR - Building PermitsCITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. �j�l ��-5
LOT N0. � �q
ADDRESS _�_S9 1 Li i ���Cn�.ck
DATE I �c '
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) -� (was or were) "�,us�s� advised that this tract has
not been given final`'inspection nor has it been accepted by the City of Costa Mesa
ae having camplied with the conditions of approval which were impoaed by the cicy
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditYons protec[ed by surety bond.
The undersigned agreea to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
V�----------
BY �I �
P chase
BY � � ���%�i
Developer and/or aut orized
representa[ive
BY �G��a� C,y�.CC i��
Lender
/ VIYIVCR Mp,TSUMOTO George uAlt 5_�73
L.
��p JOB ADDRESS 3359 Wisteria Circle BUILDING PERMIT N0. �6588
`� GENERAL CON7RACTOR ' Kenneth� Wagener DESCRIPTION of WORK Patio fo mda ' on only
4� A �. LOT �q TRACT r77$ fIRE ZONE VALUE $ 100.00
! IN�. eCTIONS �S�onatore Dote GROl1P _T TYPE TTT ZONE o�
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CON�ITIONING
TEMPORARY SERVICE OR POIE
UN�ERGROUNO � POWEF �
ROUGM WIRING
TRENCHES FORMS � STEEL REINF
FLOOR SVSTEM
BON� BEAM � STEEL REINFOftCE �
SHEATHING
FRAME AN� FLASHING
LATHING - IN n OU7 �
PV-�ER, BROWN COAT
5' 'URAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PWMBING. FINAL ANO GAS TEST I-I
SUBCONTRACTOR
3b�UU rai�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
P I TION FOR BUILDING PERMIT
For Applicant to Fill in Complete/y
RE I ED DATE RECEIVED pATE ISSUED
BUILOING .jS� </
ADDRESS C I h D/ �E�
OWNEfl�COQGL K1I .S� f�l� ('J A.P.NO. �E{L.I�'IY�R
BUILDING �� `
MAIL ADOFESS �],�
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CITY h� � � NO. Cf _rJ�} TRACT LOT BLOCK
~ Z CONSiRUCTION NEW AD A R
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wQ ADDRESS 20NE T PE iJ�-GROUP
a w APFROVE �
W Z CONTRACTOR , 1 r '_ � BV DAT �
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J � ADORESS 4 (o / /-! G
w w TEL. ZON NO.OF USE OF NEW �T�V
Z� CITV �^ S NO.��- �.� P��� BUILDING
w � STATE � ^ CITV ^ /� q �'ARDS APPROVED VARDS APPROVED
j O LI4 NO. �-/ ��/ LIC. NO. a'�G J CJ MAIN BUILDING ACCESSOFV BUILDING
SIZE / NO.OF BlDGS. (FROM C/LS ET)
OF LOT (p d X�; d 0 NOW ON LOT � FROM FT. FT.
USE OF � I �
EXISTING BLDG. ft 51 FT. FT
� 512E OF / NO. OF
Z NEWBLDG. � (L� ROOMS STOPIES L.SIDE FT. FT.
U EMERIOR WALL ROOF /� �
COVERING COVERING' � REAR FT FT.
J VSE OF BUILDING AND WORK YO BE PERFORMEO DISTANCE BET. BET. MAIN $
a �.4 1 l'f G� � MAIN BLDGS. ACCESS. BLDGS.
a
Q VAR. � DATE
Q �e o i � — u Oif �n ./ ��U�P� # �AOVED
r APPftOVE �
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VI hereby acknawletlge tha[ I have reatl this application antl ita[e i771
� that ffie ebove information is correct antl aB�ee to comply with l�
� all laws raguleting builtling consttuction, antl I shall not employ '
� any person in vlolation ot ihe workman's compensation laws ot
y Me State ot Colitornia. m
b
zI hereby certity ffiat I am proparly licensetl es a conbactor untler SQ. FT. o
the State of California Business ond Professione Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR
Chapter 9, and that such licenses a�e in full torte and effect, or I THE PURPOSE OF ESfAeLISMING A PERMIT FEE ONLY: m
am eaempt from U e provisions of the $tate ot Calitornia Business ¢
and Professions Cnue, Division 3, Cheptar 9. V ALUATION m
/ PERMIT FEE $ �
Si9�ei�.eo, ,/ ` �� . '
9 m
Permittae �Y _. i.n '� /./ ia-l�-.-.�^-� $ y// PLAN CHECK $ E
r �- o
Authorizad Agant �� TOTAL FEE $ �_ � LL
COSTA MESA BUILDING—SAFETY DEPARTMENT
P.O. BOX 1200
Costa Mes� California
COnt[8Ct0�
Address
APPLICAiION FOR PERMIT
HEATING. VENTILATING, REFRIGERATION
and AIR—CONDITIONING
PERMIT NO.
TftACT NO. REC'D 8V
l0T N0.
BUILDING USE OATE ISSUED
Tei.
Class. eui�oidG
: E S AODRE55
EACH FEES
FAU, all, or Grav.
Fur Incl. Ducts and
ents
to 100 000 BTU 4.00
Over 100,000 BT 5.00
Vent (if not incl bovel 2.00
Sus ended eater 4.00
Alter or eplace
Ap iance 4.
ver 0 eet o
as oioina .50
�MPRE
H.P, or
Hood
Sub-Total
Permit Fee
TOTALFEES
rox.n e� tz
4.00 I ,
t � �
IfEAREST
CRO55 5"
OWNER
MAIL
AO�RE55
Cliv
sfate [hat
Ycer[ify tha[
omia classifica
family residenti
Signature o�
Permi[tee
Ducts in S
Ducts Ve
H ra�
MESA, CALIFORNIA
�le e th t ave read this app ica[ion
ov � correct and agree t comply
s d S[ate Laws regula mg Heat-
efrig ation and Aio-Condit' ning.
w sess the above alid tate o( Calif-
or I am the lega] ow r of [he single
property described ab ve.
Re igera[ion Lines
rossure Test
elir-Cond. Final
Ventilating Final
Hea[ing Final
Refrigera[ion Fi
Final Gas t
Co. No[ified
BLDG. PERMIT NO.
J/
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PL4NNING DEPT.
BUEJlCT TO BLDG. DE�T. REQ.
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35152
• COSTA MESA BUILDING-SAFETV DEPARTMENT
�L�1B p,O.BOX1200 COSTAMESA,CALIFORNIA92626
-
For Applicant to Fill in Completely
BVILDING c'1
AD�FESS ✓
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CITV Fnrin.. in�iFnrn7n NO.
BRANCH I6LJ5 Ventura 8oulevar
aooaess Encino, Califomia
ARCHITECT , .,�,,.... TEI.
ADDRESS 9100 Wilshire Blvd. Bev. H
CONTRACTOR Larwin Southern C alifornia ,
nooAess 16255 Ventura Boulevard
arv Encino, Caiifornia No.`986-E
sTAre 191311 aT�
IIC. NO. LIC. NO. �
SIZE NO.OF BLDGS.
OF LOT ()O X LOO NOW ON LOT
VSE OF
EXISTING BLOG.
512E OF NO. OF
NEW BIDG. 17H�i ROOMS STOFIE:
COVE R�INGALL S�11CC0 COV�EPIN(w0� SI11f1C
VSE OF BUILDING AND WpqK TO BE PERFORMED �
I hereby acknowled8e Mqt I have reatl Nis epplice[ion and itate
[hat ffie above informetion is correc[ and agrae to comply wi[h
all laws regulating builtling �onsttuc[ion, and I shall no[ emplay
eny perwn In vlolatiOn Ot Me warkman's compensation laws at
[he Stata of Califomla.
1 �ereby certify chat I am properly Iicans¢tl as a contracror untler
Ne State o( Californlo Buy�nesz antl Professions Cotla, Divisicn 3,
Chapter 9, antl that such �{�ensez ara In full force antl aftact, or I
om axempt trom Na prov�slons of the $tato of Cnlltornla Busineaa
nntl Professions Cotlo, Divislon 3, Chepmr 9.
s'e"eLOfB o D . Downs
Permlrte� i
Au[ho�ixetl Agent
�:ur ts-�.a'"—i°OO�o�7tt ���142.88
cnsu
TION FOR BUILDING PERMIT
DATE RECEIVED DATE ISSU
�� 2/.� �] 7 b i./ �
A.P. NO. `�
BUILDING
ADDiiE55 S/�
TRACT�/�E L(
OWNER L.� /l..y I�
�SE REs %qrt
FIRE
B
ZONE NO.OF USE OF NEW �`�
�r PLANS � BUILDING ��
VARDSAPPROVED YAFOSA�PROVED
MAIN BUILDING ACCESSORV BUILOI
(FROM GL STREET)
V AR. �W
C.U.P.aY+
APPROVED
HOLD FOR
THEAMOUNT
THE PURP06E (
VALUATION
S�G y�-o
OATE
F� 1
� b
0
VA�UATION IS FOR �
A PERMIT FEE ONIV: m
¢
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7
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K 3 E
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$