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Home My WebLink About3371 WISTERIA CIR - Building Permits� ', , (714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.BUILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3371 WISTERIACI Suite: Vicinity: RESIDENCE & ATTACHED GARAGE Parcel Number: 41218236 npplicant: FUNKES, KENNETH Address�. 18567 PLUMOSA ST. FOUNTAIN VALLEY, CA owner: KETTERMAN, ROBERT S TR Address 3371 WISTERIA CIR COSTA MESA, CA Contractor: FUNKES ROOFING Address: 18567 PIUMOSA ST. Arch : Address: FOUNTAIN VALLEY, CA Zip: 92708 Phone: Zoning: R1 R1 Phone: (714)964-7171 Zip: 92708 Phone: 2ip: 92626 Phone: (714) 964-7171 License: 348877 Eng: Address: ISSUED BY: Status: ISSUED Applied: 12/71/2000 Issued: 12/11/2000 Phone: Zip: License: • License: SCOPE OF PERMIT REROOF: T/O, 12' CDX, 2 LAYERS OF 3Q# FELT, APPLY "MALIBU" EAGLE CONCRETE TILES (5.5 PSF / ICBO#4660). 28SQUARES Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Totai $0.00 $209.25 $1.18 $0.00 $0.00 $0.00 $210.43 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Reauiretl: 0 FEE SUMMARY PLANNING 8 ZONING Lefl 0• 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Righl 0- 0 $17,800.00 $11,800.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis urxler Cafifomia statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In ortler tor lhe work authorizad under ihis permit to be consitlerad legat, such work musl comply with all applicable codes, and el{ requlred inspectlona and finel approval must be obtainad. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2aa6de (6�00) WORKERS'COMPEN$AnON DECLARAnON: I �ereby attirtn untler ppnalty oi perjury one of lha tollowing tleclaretions: ❑ I have end wlll m8lntein a ceniticate ol consent to selt-Insure tor workers' compensation, as provitletl for by section 3700 of the Lebor Code, for Ihe pertormence of Ihe work for which Ihig pertnil i5 Issued. � I hflve an0 wlll meintein workers' compensation insurance, es requiretl by section 3700 of the Labor Code, for the pedormance of the woB for which this pertnit Is Issuetl. My workers' compensetlon Insurance cerrier and pollcy number are: Cerrier. Policy Number. (lhis section need not be campleted it fhe permit is veluetl at one hundred dollars (5/00) or /ess.) ❑ I cenify ihat in ih4 pedortnance of the work for w�ich this pertnit is issued, I shall no� employ eny person in any menner so es to become subject to the workers' compensatlon IaWs oi Celifomla, end eBree thet If I shoultl become sub�ect to the workere' compensetion provislons of Section 3700 of the LeDor Cotle, I shall torthwith wmply with t�ese p isions. j� ,, Applicent Signeture: �� w Y—� Date: I Z— � �—ZCO O WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHP1L SUBIEGT AN EMPLOVER TO CRIMINQ PENALTIES AND GVIL FlNES UP TOONE HUNDRED TqUSAND DOLURE (51pp,ppp), IN ADDITIIXJ TO THE COST OF CpMPENSATION, OAMAGES AS PFOVIDEO FOR IN SECTION 3lOfi OF iHE UBOR ODDE, INiEREST, AND ATTORNEI"S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby aflirtn that I am Ilcensed under provisions of Chapter 9(commencing wi�h Section 7000) of Division 3 of Ihe Business and Professions Cotle, antl my license Is In tull brce end ettecl. Lic. M Class N Contractors Signature: �2 i..i Da�a �Z� "� �" Z� CONS7RUCTION LENDING AGENCV: ❑ I hereby attirm Ihqt Ihere is e constmction lending agoncy for the pedormance of ihe work lor which Ihis permit is Issuetl. (Sec. 3097, Civil Cade). Lendefs Name: Lentler's Address: Signature: Date: OWNER-BUILDEP DECLARATONS: I heraby effirtn Ihat under penelry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counly which requires e permit to consimct, alter, improve, tlemolish, or repair eny stmcture, prior to its issuance, elso requires Ihe epplicant for such pertnit to lile e signetl stetament ihet he or s�e Is Ilcensed pursuent to Ihe provislons ol the Contrectors License Law (Chapter 8(commencin9 with Sectlon 7000) of DlWsion 3 01 the Business and Professi0ns Code) or that he or she I5 exempt Iherefrom and the 6esis for the ellepetl exemption. Any violetion of Section 7031.5 by any eDPlicent for e pertnit suD�ects the appliceni lo a civil penalry of not more then Ilve hundred dollars ($500).): ❑ I, es owner ol the proDerty, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and the structure Is not intentletl or ottered lor sale (Sec. 70a4, Business entl Professions Code: The Comraciors License Lew does noi appty to an ownar of property who builtls or improves t�eraon, and who does such work himsalt or herselt or through his or her own employees, pmvided ihat such improvemems ere not Intendetl or oMeratl lor sale. If, however, Ihe builtling or Improvement Is sold wit�in one y0er of completion, the ownar-builder will have the 6urtlen of proving that he or she did not builtl or improve for purpose ot sale.). ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTOHS to constmct ihe prolecl (Sec. 7044, Business entl Professions Cotle: The conirqc�ors License Law does not eppty to en owner of property who builtls or Improves thereon, and who coniracls lor such prolect with e contrector(s) licen5e pursuent Io the ConiraUorS License Laws.). ❑ I am exempt under sec. Business antl Professians Code for this reason: Signetura: Date: Owner ID veritied by drivers license. ❑ Yes ❑ No Drivefs License No. ExD�res: Vedlicetion ot Ownarship by (type of tlocumem, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTp�pL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity �het no excavation (ive (5) or more feet in depth into whic� e person is requlred to tlescend, will be mede in connection with work euthorized by this pertnit, and that no building strucWre, scaHolding, falsework. or tlemolition or dismantling thereol, will be more than thirty-six (36) teet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Tule B, Calilornia Atlminisirative Code). ❑ As ownerbuilder, I will not employ enyane to tlo work which wou10 require a permit irom the Division af Indusiriul Sefery, es nated above, unless such person has e pertnit to da such work from the division. Signa2ure: Date: Division ot Indusirial SBiery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTNORIZATON OF ENiAY: I certity untler penalry of perjury that I have read this applicetion and state that ihe infortnation given is wrrect. I agree lo comply with all stete laws and city ortllnances relating to 6ullding consWction, entl euthonze represen�atives of the Ciry of Caste Mese to enier upon the ebove-descn6etl prop0rty lor inspection purposes. I egrae not to occupy or allow ocapancy of any building authonzed by this permit until finel inspection. ign�Of Own rs) Date �_ �Z — ( O `- 2-� � And/Or Aut�odzed Applicant Date COOE t. INSPEC710N TYPE 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roqi 201 Finel BIocWRetelning Well 202 Final Factory Fire Place 203 204 Final Sign Final Demoli�ion QAg It�dLS L-L Oo � GODE� INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 27o Flnai eiectrical 212 Finel Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Builtling/Occupancy � II�� (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber. 3371 WISTERIA CI 41218236 Applicant: DICKSONS INCORPORATED Address: 1918 S MAIN ST SANTA ANA, CA Owner: KETTERMAN. ROBERT S TR Address 3371 WISTERIA CIR COSTA MESA, CA Contractor: DICKSONS INCORPORATED Address: 1918 S MAIN ST ISSUE FEE Temp service tesl Res. a/c package New Res (1-2 uniLs) New Res (3+units) Pool / Spa Lighting Fixts Recept OuUets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Lighl Pkg SANTA ANA, CA Phane: (714)545-8289 Zip: 92707 Phone: Zip: 92626 Phone: (714)5458289 Zip: 92707 License: 401327 SCOPE OF PERMIT CHANGE OUT FAU. ADD A/C AND ELCTRICAL FOR NEW AC. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 512.30 50.00 $0.00 50.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 FEE SUMMARY Temp Dist Syslem / Lighting Busway /100 ft Standing Section Misc ElecMcal Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) ChrisMas Tree Stand Fireworks Stand Olher Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 06/21/2004 Issued: 06/21/2004 ISSUED BY: Quantiry $0.00 0 $0.00 0 $0.00 0 $18.20 1 $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 30.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 $0.00 $0.00 $0.00 NO710E: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zms-ae �r✓oo� WORKERS'COMPENSAnON DECLARAnON: I hereby eHirm under penalry of perjury one ot t�e tollowing daclarations: � ❑ I �eve end will meinlein e cenilicate ot consent ro self-Insure tor workers' compensatlon, es pwvided for �y secHon 3700 of ihe Lebor Cade, for the peAortnanca at the w for which this permit is issuetl. have end will maintaln workers' compensation insurance, as requiretl �y section 3700 0l ihe Lebor Code, for the peRormance of the work for which this permit is issued. My workers' compensetlan Insurence carner and policy number ere: Carder. PoliCy Number. (Thls secfion need not be completetl U fhe permit is valued at one huntlred dallars (5100) or Iess.J ❑ I certity t�at in t�e peA nce o work tor which this pertnit is issued, I shall not employ eny person in any menner so es to become suD�ect to the workers' compensatlon I Ca ml a agre petlfi shoultl bgeome sub�ect to the workere' compensetion provlslons ol S�� 700 0l� Labor Cade, I shall torthwiih comptywiih sepro ons. � " Applicant Sign � � Date: � / U WARNINO: FAILURE TO CURE WORKEFS' COMPENSAiION COV E IS UMAWFUL AND SWBL SU&IECT AN EMPLOYER TO CRIMINAL NALTIES AND GVIL FlNES UP TOONE HUNDRED TYKKI$AN� Dd1FR 5100.000�, IN ADDfTION TO THE COST OF CO 15 NSATION, OAMAGES AS PROVIDED FOR IN SECTION 31080F TME LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I am I' der o isic forca anC eNect Lic Cont7ectors Si tur 9(comm�cing with Sectlon 7000) ol Division 3 of the Business entl Prolessions Cotle, anA my license is in full Class p �— Date: _ _ � / /l LONSTAUCTON L�IDING AGENCY: " ❑ I hereGy aHirtn ihat there is e consiruction lending agency for ihe pedormance of iha work lor which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lenders Address: Signature: OWNER-BUILDER DECLARATONS: Dete: I hereby eHirtn Ihet under penalry oi per�ury �hat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Professlons Code: Any Ciry Or counry which requires e pertnit Io consiruc6 alter, improve, demolish, or repeir eny strucWre, pnor to Its 155uan[e, also requires IhB ep011cent for such permit b tile a slgned stetement Ihet he or she is Iicensed pursuent to the pmvisions oi the Gontractors License Law (Ghepter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) ar t�et he or she is exempc therelrom antl the basis lor the elleged ezemption. Any violatlon of Saction 7031.5 by any epplicent far a permit sublecis the epplicam to a civll penelty of not more than tive hundred dollars (5500).): ❑ I, es owner ot Ihe propeny, or my amployees wl�h wages as Ihelr sole compensa�lon, WILL DO TME WORK, end the structure Is not intended or oHeretl for sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves thereon, and who does such work himself or hereelf or Ihrough hls or her own employees, provided that such impwvamanis are not intended or oHered for sale. If, however, Ihe builtling or improvement is soltl wit�in one yeer ol completion, ihe owner-builder will have the 6urden of proving that he or she did not build or improvo for purpose of sale.). ❑ I, as owner of the property, em E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construtt the prolect (Sec. 7044, Businass end Professions Cotle: The contrectors Licanse Lew does not eppy to an ownar of pmperty who bullds or improves thereon, end who contrects for such profect with a conlrector(s) license pursuant to ihe Comracbrs License Lews.). ❑ I em e:empt under sec. Business antl Professions Cotle fot this reason: Signeture: Date: Owner ID venfied by dnver'S license. ❑ Ves ❑ No Drivefs Licanse No. ExD�res: Vedlication ot Ownership by (type ol document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartify ihat no excevation five (5) or more faet in depth inio which a person is required to tlescend, will be mede in connection with work euthorized by this permil, and that no building strucWre, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e B, Celilamia Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to tlo work w�ich woultl require e pertnit from the Division of Intlustriel Selery. es noted above, unless such person has e parmit to da such work Irom �he divi5ion. Signature: Data: Division ol Indusirial Salery Pertnit Num6er: ICERTIFlCATE OF COMPLIANCE AND AIfTHORIZA710N OF ENTRV: I certity under penalry of Derjury Ihat I have read this epplicetion and stete ihat the infortnetion given is I correct. I egree to comply wilh ell state laws end city ordlnances relating ro 6uiltling consiruction, end authorize representaiives ot Ihe City ot Costa Mesa to emer upon Ihe ehova-descnbe "ropetly for inspection purposes. I egree not to occupy or ailow occuDancy of eny 6uiltling amhonzed by lhis permit until finel inspection. 1676 1268 200 201 202 203 204 INSPELTIONTYPE Fi:etl System Final Fire Prevention Pool Spe Finel Final Re-Rooi Final BIocWRetalning Wall Final Fectory Fire Placa Finel Sign Final Demolition jl� NfiilA CODEI INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecincal 212 Final Fire Preventlon 220 Final Planning Appmval 222 Final Site 250 Final Building/Occupan�y (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 3371 WISTERIACI Suite No Vicinity: Parcel Number: 41218236 Applicant: DICKSONS INCORPORATED Atldress: 1918 S MAIN ST SANTA ANA, CA Owner: KETTERMAN, ROBERT S TR Address: 3371 WISTERIA CIR COSTA MESA, CA Contrecror: DICKSONS INCORPORATED Address: 1918 S MAIN ST SANTA ANA, CA ISSUED BY: Phone: (714)545-8289 Zip: 92707 Phone: Zip: 92626 Phone: (714)545-8289 2ip: 92707 License: 401327 SCOPE OF PERMIT CHANGE OUT FAU. ADD A/C AND ELCTRICAL FOR NEW AC. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < �OOOOcfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 b0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporalive Cooler Commercia l I nci ne rator Domestic Incinerator Compressors / Absorption Svstems Upta3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 7,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES Status: ISSUED Applied: O6/21/2004 Issued: 06/21/2004 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $27.15 1 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 $0.00 $65.45 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wifh all applicable codes, antl all required Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 24a6-4fi (fi/00� WORKERS'COMPENSAnON DECLARAnON: I hereby eHirm under penalry of perjury one of the tollowinq tleclarations: ❑ I h end will maintaln a certificate of wnsent to sell-Insure lor workers' compensation, es provitled lor by saclion 3700 0l the Labor CoOe, for the peAormanca ot Ihe rk for which ihis permit is issuetl. I have and will maintain workers' compensation insurance, as required hy section 3700 0l the LeDor Code, for the pertortnance of the work br whic� this pertnil is issued. My workers' compensation Insurence carner antl policy number ere: Cerrier: !� . '� Policy Number. (This section need nat be comp/efed il fhe pertnif is velued et one huntlretl tlallars ($100) or /ess.J ❑ I cenity ihat in ihe performence of t ork for which Ihls permit i@ issued, I shall not employ eny person in eny menner so es to beCome sublect lo the workers' compenseilon laws ot ali�la, d gree tha ' I shoulA becomSuh�ect to the workers' wmpensetlon provlslons ol Sectlo 3700 0l Ihe Lebor Catle, I shall forthwit� compry with thes ovislo Applicent Signe Date: o WAHNING: FNLURE TO SEQ RE WORKERS' COMPENSATION COVEM� I UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL ENALilES ANO CML NES UP TOONE HUNDRED TFKKISANDDOLURE S}A�000),INMDITIONTOTHECOSTOFCqMPE ON,DnAUGESASPROVIDEDFORINSECTION3]OBOFTHEIABORCODE,IMEREST, DATTORNE`fSFEES. LICENSED CON7RACTORS I hereby eHirm that I am li s force entl ettect. Lic. COnlrectoYs Sign re� of Section 7000) of Division 3 at the Busineu entl Professions Code, anA my license is in tull �Class p ' oace: i . /1l / CONSTRUCTION LFtNDING AGENCV: V ❑ I hereby aHirtn ihat ihere is a consWction lending agency for the peAortnance of the work lor which this pertnit is iuuetl. (Sec. 3097, Civil Cotle). Lendefs Neme: Lender's Address: Signeture: OWNER-BUILDER DECLARA710NS: Date: I hereby ettirtn that under penelry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu antl Professions Cotle: Any city or county which requires e pertnit ro construct, alteq impmve, demolish, or repair any structure, prior to its issuenca, also requires the epplicant lor such permil ta tile e slgnetl statement that he or she is licensetl pursuam to the provisions ol the Contrectors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business end Protessions Cade) or that he or she is e:empt therefrom and the basis for the allegeA exemption. Any violetlan ol Section 7031.5 by eny appllcant for a pertnit sublects tha applicant to e civil penalry of not more than five hundred tlollars ($500).): ❑ I, as owner at Ihe pmperty, or my employees with wages as ihelr sole compensetlon, WILL DO Tl1E WORK, antl ihe sWcture is nat intentletl or oflerad tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epply to en owner of propeny who Duiltls or improves Ihereon, antl who does such work himself or herself or through his or her own employees, provided t�at such impmvements ere not Intendetl or oHeretl for sale. II, however, ihe huiltling or improvement is sold within one yearpt completion, lhe owner-builder will heve ihe burden of proving thet he or she did not build or improve tor purpose ot sale.). � ❑ I, as owner ot ihe proDerty, am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business end Professions Code: The contradors Llcense Lew tloes not apply to an owner of property who builtls or Impmves ihereon, entl who contrects for such project with e contractor(s) license pursuant to the Conlractors License Laws.). ❑ I em exempt untler sec. Business and Protessions Cade lor this reeson: Signatura: Date: Owner ID verified by dnver5liCenSe. ❑ Yes ❑ No Driver5 LiCen90 No. VeriBcetion ol Ownership Dy (type of tlacumant, i.e. - propeny taz bill or tleetl�: Ezpires: DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavetlon fiva (5) or more feet in depih into which a person is requlretl to descend, will ba mede in connection with work euthorized by this parmi�, entl ihat no building siructure, sceHolding, falsework, or demolition or dismentling ihereot, will be more ihan ihirry-si: (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T1Ue 8, Califomia Atlminisiretive Code). ❑ As owner-builtler, I wiil not employ enyone to do work whlch would require e permi� Iwm lhe Division ot Industriel Selery, es noted above, unless such person has e pertnit to do such work tmm ihe division. Signature: Date: Division of Intlustnal Sefety Permit Num6ar: CERTIFlCATE OF COMPLIANCE AND AIfTHORIZATON OF ENTRV: I certity under penalry of perjury that I have read this application end state thet Ihe information given is correcL I agree to comply wlth all stete laws and ciry ordinances relating to building consiruction, end euthorize represeniatives of ihe Ciry of Coste Mesa to entar upon ihe ebove�describe�eAy for inspection purposes. I agree not to occupy or allow occupancy ol eny building euthorized hy t�is permit until tinal inspeclion. Applicant COOE1, ICPELTIONTVPE 1616 Fized Sys�em Final Fire Preven�ion 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRelaining Well 202 Finel Faciory Fire Place 203 Finel Sign 204 Final Demolition j[{jj0�,¢ �d INSPECTIONTYPE _. 206 PinalMechanical 200 Final Plumbing 210 Final Electricel 212 Finel Fire Preven�ion 220 Final Planning Approvel 222 FinalSita 250 Final BuiltlinqlOccupancy � � �-_ � : a' _ Eaonan s. �,,. ' `�?;, ��ssn w�ria car. • �� ''�"_!.;,:s.Ca98 Me�. CA 9082fa1736 � ...Lc[:.�.'�'._� ._..+.,2.;._., .. MH'T�/1�gz� `-!d �x 7 �$ Z �4kG- S�-J � -GZ� � !-G��6 2-fo x4 Z � x 4 ,. � —lox6 c uJ� 25��8 �� _QK �O Q � ��_�7 ; � `— � a(''! �_ . �.,, 2�`-5`' =1�� v � �tC�E 0��0 �- z� `�CQr' .c 6—`I y 3 --g ti e.� —'� ti 2.=6 � �--s `� Z--v"�MFr 2Jf l' GARDEN VIEW FAMILY ROOM �� \ -z I4�6� BREAK T $ . J J GAADEN VlEW q � KITCHEN � ---'� , . _ �" __ s:oa ; l8 �� LIVING HOOM ` 5 �415(�Xg l 3 -<o y 772��9-►..�C�E� � — � N .��i l '. 2 r� . �.�_". P It� � w A * . . . . / CI"1'Y (iF (�U�"1<; ,AIt �-A PLAN�y(�y� )�11'Itil(�,ti' Sus1ECT �q �b��. u�.t��r. ii r•.c; NOT�: Ai3�j�'j��{�, DELETI(�vti OR CORRECifOAfS SHAI..L RC: APPROVED BY THE PLANNING D V. BY:�DATE: � � U � ; BEDROOM l�� 2_ � iPV�CE : -_--� � F� K @EOROOM ��4 7 � W�tK.IN `,� csose� �,�. R BEDR�OM SUITE ., '6 - TWO-CAR I ` �5�6 GARAGE � CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. / �� DATE IAT NO , �� j � v , The developer of the above entitled tract desires to se11 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) advised that this txact has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditiona of approval which were impoaed by the City at the time the final tract map was approved. The City assinnes no liability for the enforcement of the conditions neceasary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City haxmleas from any claim resulting in damage or peraonal injury to the undersigned by reason of the aforementioned uncompleted condition. zepresentative BY ia;�c-c-GG�C��- /�J��ek'�"r-�' Lender :TIONS L CON. UNDERGROUND � POWER ROU6H WIRING BOND BEAM SHEATHING FRAME ANO FLASHING LATHING — IN �J ( PLASTER.BROWN COAT HEA , VENT., REFRIG. ANO A.C., FINAL PLIIMBING. FINAL AN� GAS TEST �I BUILOING, FINAL cocrini vrniuocn�r�ix DATE Wisteria Circle BUILDI y1:7�[�P.I��/11 SUBCONTRACTOR 7-lE PERMIT � � � • � ' 370 I I � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIfORN1A 9T626 For Applicant to Fill in Completely BUI�DING._ . � I � _ _ �. � Z . W w d U � Z Za ON am J � J N Q W R] J •m J Q U � Za w¢ a �++ w Z J Q m Z J ¢ Ww O= Z� w� �O � z Q U J a a Q 0 H N Z O F U � � H � z OWNER MAIL BRANCH TEL. CONTRACTOR��y�j {� Li �f�j (t�{��, ADDRE55 q�62 ��]��OL/ �1.�� TE�yL.,^ CITY� �f F ��SS N lTi�%-� �� L C N0.�4'j„�j � � LICYNO:�,�!1 OFIOT��p�4!? INOWONLOOT��I E%ISTING BLDG. L� � b/ZHL i S12E OF NO. OF NEW BLDG.` C HOOMS STOflIES EXTERIOR WALL ROOF p /^ COVERING COVERINGS�� LEY USE OF BUILDING P.ND WOFK TO BE PERFORMEO IUL 17-73PA��001962i> *�*��5.50 C(1.6 FOR BUILDING PERMIT R BUILDING AODRESS NE / NO.OF PLAPLS VAFDSAPPROVEO DATE �`��, USE OF NEW BVILDIN U VAR�SAPPROVED ACCESSORY BVILDII .� n/_ f � L S�DE FT. � REAR FT. DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BlD VAR. #'� DATE C.U.P.qW APPROVED APPROVED � � / /� /7 I �ereby acknowled90 that I have roatl this applicetion anG state �� that Ne abova iniorma[ion is corract antl apree to eomply wich all laws ragulaxinp builtlinB conztruetion, antl 1 shafl not amploy any porson in violat�on oi the workman's componsaLon Iaws of Ma Smro ol Celifornla. - � b I hemby cartity tha[ � om proparly litensetl as a contrector untler SQ. FT. S o tho S[eta ot California Businass entl Professions Cotle, Divisicn 3, THE AMpUNTSHOWN UNDER VALUATION IS FOR Chapter 9, antl that suth licansas ere In tull (orta entl ettect, or 1 THE PURPpSE OF ESTABLISHING A PERMR FEE ONLV: o am exempt from t1�C Provisions of the Stata of California Businea � ¢ VALUA ION nntl Profassions Cno9. Dlvizion 3, Chepter 9. m �) PERMIT FEE $ j SIB�etufe ot m Parmittoo ��o-� S PLAN CMECK 5 � 0 AuthoNzetl Agent � l LL TOTAL FEE $ 126 n ,- t Z . ww o- U F Z za o� am J7 J � Q W tt1 J m J Q U N Za W � aw W Z J Q m Z J � W lyA o= z� w� �O � z Q U J a a Q � H y Z O F- U � � �"' N Z SOlARP•a BUILDII AD�RE OWNER MAIL AODRE'. CITY 3514 A MESA BUILDING-SAFETY DEPARTMENT BOX 1200 COSTA MESA,CALIFORNIA 92626 Fo� Applicant to Fill in Completely G —^) / S � � / / j']1$tPTl.? �IYC� P Larwin Southern California, Inc. S 16255 Ventura Boulevard Encino. Califomia nT,o.`'986-8890 BRANCH ADDRESS ARCHITECT ADDRESS 9100 Wilshire Blvd. Bev. Hills CONTRACTOR Lanvin Southem California, Inc ADDRE55 16255 Ventura Boulevard cirv Encino, California No`986-8890 LIC.No. �9�3�� LICVNO. B_� OIF LOT GO 7S LOO I NOW ON LO� USE OF EXISfING BLDG. S12E OF NO. OF NEWBLOG.1�4O ROOMS STORIES L COVE R�INGALL JiUCCO COV�EFINGWO� ShIf1gl@ USE OF eUILDING AND WORK TO BE PERFORMED I hereby acknowletlge ihat I have read this appliwcion antl scate ffia[ ihe above information is wrrect antl agree to comply wiffi all laws regulating builtling consttuction, antl I shall not employ any person in violation of the workman's compensatiOn Iaws of [he State ot California. I hereby certify that I am properly licensetl as a contractor under the State ot Calitornie Business antl Protessions Cotle, Divisicn 3, Chaptar 9, antl ihat such licenses are in full forca antl aftact, or 1 am ezempt trom the provisions of the State of Calitornia Business and Protessions Cotle, Division 3, Chapter 9. s�e^��a�� D. Downs Permittee � Authorizetl ABeni AUf, 15-72PA�oO01074� *** 142.85 CNSF PPLICATION FOR BUILDING PERMIT R CEI BV DATE RECEIVED DATE ISSUI � � ' PERMIyND A.P.NO. � .i�l BUILDING � � � j � ` � � ADORESS TRACT / / I LOT�/ (J BLOC OWNERF'�'P��:J � C /'�•G' ��ec � %iT%��VALV3�l0/�G FIRE r { 20NE TVPE GFOUP L APPR VE n �7 gy OATE 7�`�' / 20NE NO.OP USE OF NEW /N FA'N/ !.� V �I PLANS a BUILDING (.{/ fm�H 6y� VARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BVILDING t DISTANCE BET. MAIN BLD('aS. VAR.91t C.U.P. # APPROVEL'J�(JL� t Y�77 BET. MAIN & STATE /�f� m TV � _( � SQ. FT. �_ o THE AMOUNTSHOWN UNDER VALUATION IS FOR THE PURPo6E OF ESiABLISHING A PERMR FEE ONLV: m ¢ VALUATION �p PERMIT FEE $ � � j L/ O'� � $/ p T� PLAN CHECK $ E `o : / �� LL TOTAI FEE