HomeMy WebLinkAbout1871 WREN CIR - Building Permitsr,
.0DRESS OF BUILDING: 1871 WREN CI DMT' CITY OF COSTA MESA - BUILDING PERMIT
DW"ER'SNUIEIE'aawN: MILLER, RONALD V —RM NO: B 075948
ADORES' 1871 WREN CIR
COSTA MESA CA 92626 PERMIT NO: B 075948 PLAN CHECK NO: NGOVT: • N SUPP : N
! APm.w�oADDRs: ( 714 ) 545-0A78
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REPAIR FIRE DAMAGE PER ATTACHED REPORT SQ FT: 4, 000
ARCH.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 4, 000 . 00 CALC-VALUE: 4, 000 .00 GROUP OCC: R-3 /
CONTRACTOITS NAME Z-HILT INC ( 213 ) 494-5059
CONTRACTORS MAILING 1819-HILT,
AV COMMENTS: FIRE DAMAGE REAPIR TO DINING AREA
Amiss: LONG BEACH CA ue.ND.: 401432 +EitiEaEi ***SEx*RtiEiEitstiEREstxitfEatxitaEiEiE****Rtx*RtxiEIESEfEiEfEiESE********atAt*itit****iE*iEat*SE*itie********
90804 UAT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect.
CITY Lie.NO.: LIC.CLASS: B LIC.NO.: 401432 XP: MAIN BUILDING ACCESSORY BUILDING
Dae: ///d ?t' commct«: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
'J ��'� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
follovdng reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,after,improve, PARKING REQ: PROV: PARCEL: 13952428 Z N E: REF NO:.
'Mash.or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she
icensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING N TES>
Poem end Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section
031.5 by any eppkmntf«apamft subtracts the eppnant toaavd peneitydd not more than live hundred dollen($5001). *******************W.********************************************************* **
❑ I,as owner o the properly or my employees with wages as their sole compensation,will do the work,and the structures not intended 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
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property r,
who bolds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such -
improvementsarenituuended«offered for sale.IT however,the building or inprowrmem is add within one year of°omeletion,the ZONING APPROVED BY A •. DATE:
ownerbui ier will have the burden d proving he or she did not build or improve for the purpose d sale).
❑ I.as owner of the property,am arduavely contracting with licensed contractors to construct the project(Section 7044,Business and / •
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon end who BUILDING APPROVED B Y' : DATE:
contracts for and projects with a c ntregor(s)licensed pursuant to the Contractors License Law).
❑ I am exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED . BY: DATE: 'l i'L- R(
********************************************* ******************* ** * ****
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify that I ern aware of end understand the requirements of California Health and Safety Code Sections 25505,25533,end
25534,and that I or any tenure building occupant_will/will not(circler one)need to comply with said pate codes and the requirements for
porn* mmtsonormod tionfmmtheAif y'ranagemer4Diarid.Residential mmrwbneppkmti«„ere exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63. 00 . 50
Date: Applicant:
MIP NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the following decimalizes: PLAN
ki Ihave and will maintain acemmed°ol consentloses;nairefor w«kers'compenwion.=provided for bySadist 3703of the Labor ISSUE FEE
c«le.f«the performanceof the work for with this permit .
issued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Ihave and wilmaintanworker:mnw
mlenninsurance.asrequiredbySeco
ion37gotheLaborCode,fortheped«maceoft» TOTALS ---> 63 . 50 0 .00 0 .00 63 . 50 63 . 50 . 00
wok for which this permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier: ARGONAUT TNS EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT: . 00
Policy Number: 71S7011S49S 01 /01/97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
section need not be compered I the perml is for one hundred dollars MOO)or less) 63 . 00 . 50
❑ I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to
become asbied to the workers'compensation laws o California. ed agree that f I should become subject to the workers' **RE****************************************RE***********************************
Cothen provisions of Section 3700 of the Labor Code!:Anhwei,comp' pre .
Data / 31 WA Applicant: ,- A (2)...„--_
-
INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secureworkericompertsafoncoverageIsunlawful,annsit/sot an.mploy.r to crhssfnsf pension arid TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up fo one hundred thousand dollars($104000).In addition to the cost of compensation damages as provided for in
Sectlon 3700 of IM Labor Code,Interest and etromsyi yses. SFR . 4000 FIRE DAMAGE/VAL RESIDENTIAL NOZONE 1 .00 4 , 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty ofthat(h
perjury ere is a conaagion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Cb.C). _
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct.I agree to comply with all dry end county ordinances
and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Properly
for inspection purposes.
ARAZ GHAZARIAN
� Pd Name _ __ _
4 �n eA Date --- -rho
�n-S-; (lure d Owner"/Ag`a dragor
(5151d6.WP) White-Buildig A Safety;Green-Rte;Canary-Appicant;Pink-Revenue:Goldenrod-Assessor
IMP
a
% CONSTRUCTION ANO PLANNING V;POOL 'A
,APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location :
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - •
- .Efectrical Conduit Util)ity-Undrgrnd. 54. Forms a
--"4t-Electrical Conduit tii rgrnd. 55. Electrical Bonding
Ct c
53Ste4J Reinforcemegt! 56. Rough Plumbing & Pressure Test
' "6:'Electrical UFER-€1 rr, 57. APPROVAL TO COVER-GUNITE •
4
,-3:-Foo-tin gs (`�J •
58. Electrical Cond illndrgrnd. '',
ii. Foundation 59. Gas Pipe, 0 Undrrgnd.,Test _. I
C n ,
=9. Water Pipe-Undrgrrtd. 60. Backwash Lines?_Trap, 0 Uridrgrnd.
10. Structural Floor System _ 61. APPROVAL TO DECK
11. Property Sewer Line c& House Connection 62. Backwash & Ressptor-Final
12. Sewer Cap . 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing:; 71 65. Electrical-Final
15, Rough Electrical-Corrduit 66. Solar System-Final.
16. Rough Electric Wiring67. Fencing & Acce,S Approval
17. Rough Wiring Sign 68. APPROVED FOR-PLASTERING
18. Rough ElectricaluT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating_& Air Conditioning FIRE QEPT. REQUIREMENT
---� r� • e4. : tr - t-• r Cs
20. f3oug F for Fir ace S.tr 'C * Q C;t 2APPR„O-VAI%'-E Permit# r >' re
• L - i L tr 2 .-. :_ . .-
21. Oucts,in Structure*: •• •- S C' •-4 70. jinderg?d d Hiro
22. Quctf;Ventila rt9 c•i , # 1 a ctl...'*, [,%71. ProdugiyIIping DEtps don
X K Hx
23. &as Pipe- uq+i& Tet t to - c C, s 72. Undergrotind Flash-*- r C
. . t * T ._' . ., '* ,
24. Frbof`Fraining-- a,.-- T. ' r•r' •- n ,> `.- g _,g '73S'Undergrr$.Stor g TrinalGas 0 61
i.- L
25. Roof•Sheanhing v e r _74:a0verhead HydrdD ''4
26. T-Baf'Ceiling (StruE_tifral} & M.3b coat T ,a C v ril
t-:T 757:Dry Cherc;cal E,a : " m
ray )1 n r•,•� Jam. ■ _ ,-,
27. Frameand-Flashing t. pa:c. 1-10---„,-C6 d-�r*_ 76. DryStanrje Ft: -.
--28. LathingSi:Sid`g r <� Q y ••1 ••;r 77' FIXED S' E 3INALr ,
29. Insulatioqz• Q. •;r •• * 7n FIRE PREV. FINAL
-30. Drywall Ni`ilirfg� '-+' I t '_-.' JIEALTI{�bEPTy REQOIRPMENT
r. H r 3 v t
l-.
-'31. Plaster Brewn,Coattit r 7 - x "791.)FINAL INS-RED-ION . •' _ C
=, < C> `' _r I
'-32. Etectrical Powfl Met4r,Final • . - -u (*a. "4SO4FOOD CERTIFt,CATE ISSUED_.
233. Elhal Electric s . ; r_ ri - "Ngtes: ;In , p
t^
:;34. Final:Heatiitg&AiEGonditioning-_ %' x :-.-1-:C'=• r S -
�. r - - x i % . `y 1-1;1.
, 35. F-ihal=Gas Eipe'Test -_ - - * > b
` - ^- 4 tt•
I- J..
-36. Hood or Canopy -It
_ . _ a - - '. (t 4 5: r ;7 4 <�T',
37. final Fac{gry Fireplace x r (u
- i _
-38. Final Plumbing co z `-'
• - ✓1 1 'x . r T f i.
-'39. Water7Ser6ice•Final '' °-' _ I tx ('• or ,J
•
;1,40. Gas Service-Final tri e !_'^ M * -7 - t
1 .. 7`• • C
C41. Solar DomestiEfinal* 5 •• * C.: 1 r c: , t--, ;
X42. •Backflow.Preventer ;" y +. - _
:r ror, .. r
,41.:_.
43. Backflow Irn .. -- ` b c,p-+C y `1 _:
gaion r �„ 1 F i 4'
i - r C - ' -
44. LandscapIrrgation$ystem w' 4-, x m - r arr N t: p;0 - - N o
.- k' i• s}: 'Th 7-
r: - T - S F
Attu' •, -' 1- = F E-,Y -• r-, i--: 0'4. "C r
n tr t+1 M ti L•' C • H O t
46. Flandicap`Etegulationi x • t. w o •S Cir > -i-
.r.
47. PINAL STRUCTURE,& BUI LbING gyp/ 1kt -I Nos
48. FfNAL PLANT SNG » ` ,u I r 4 �; `- e
49. E.Iectric Release to Edison t l I *, n • - - •-
S.D. Gas Release to Southern California-Gas Co I h :: r, . -5 7
CERTIFICATE OF OCCUPANCY A.. '- >4 x
No. Date
•
$OORESSOEBmLmNG' 1871 WREN CI Dolt CITY OF COSTA MESA — BUILDING PERMIT
;INERSNUIEIFMo"' MILLER, RONALD V ✓PERM NO: E 075950
lippi
mu"' 1871 WREN CIR
COSTA MESA CA 92626 PERMIT NO: E 075950 PLAN CHECK NO: N GOVT: N SUPP: N
1 ( 714 ) 545-0h78
APPL.ILAIU?G ADDRESS (:_43t,ifikt.0"ttbN TYPE: PERMIT TYPE: ELE PURPOSE: OTH
ARCHITECT OR ENONEEA: UC.NO.:
ARCH.ORENO'SADDRESS: UNIT: JOB DESCRIPTION i REPAIR FIRE DAMAUE lint ATTA(lth) MttaUIIt §( rTt
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
C0N1RACTarSNAlt Z—HILT, INC ( 213 ) 494-5059
CCNTRACTORSMNLDa 1819 REDONDO AV COMMENTS: FIRE DAMAGE REPAIR TO DINING AREA, RE: #875948
ADORESi LONG BEACH CA uc.No.: 401432 3E9P9ElE9h1t1tlE9E9Elh IElEiEiEltlEiElEfEfE1E+ElElE1E1E1E1ElElE1EiE1E1EfEiEitlEitlEltitlkttlE*ltiE1t1t1E*iEiE1E+E1E1F1F1E1E1t1E1tif9E#w** tEltlfft*M'K'
90804 uMT' ZONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby Nim under perely of perjury that I em licensed under provides of Chesser 9 SETBACK S
(cOmmenvp with Section 7000)of Division 3 el the Business And Professions Code.and my license is in full force end effect.
CITY LTC.NO.: UC.CLASS: B UC.NO.: 401432 EXP: MAIN BUILDING ACCESSORY BUILDING
Dat.: ilial9cv comma« 0rtd/C ( T:
LEFFT IN REAR: FT IN LEFT: FT IN REAR: FT IN
LEFT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perNry that I em exempt from the Con on License Law for the
following reason(Semon 7031.5 Business and Professions Code:Any city or county winch requires a penult to awwa.eller,improve, PARKING REQ: PROV: PARCEL: 13952428 Z NE: REF NO:
wnolsh,or repair any stnxture,prop to its issuance.also requires the applicant for such permit to file a signed statement that he or she
'icensed pursuant to the provisions of the Contractors License Law(Chapter 9(wmmenang with Section 7000)of Division 3 of the PLANNING N TES>
siness end Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a permitwblecte the applicant to e civil pesky d nor more than five hundredddbn IMOD. 1F if 1f 1E 1E IE 1E iE IE iE M IE 1E IE IE 1E 1E if 1E 1E iE ih 1E iE if 1E 3E if IE Ik IE if iE 1E IEiE irk iE If#1E*iE if if If if 1E if 1E IE IE MiE 1f if 1E IE IE if iE iE if 1E 3E iE iE 1E iE iE#1E 1E Ni#i(iE 1E M
ElI,esownerof thepropmyomy employees with wages as meisole compensalcn,w91 do the SIM,end thestmcture isnot intended DEVEL OPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Profession'✓sCode:The Contractors License Law does not apply to an owner of property
who bolds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such .
improvements are not intended or citwed for sale.ff.however,the building or improvement is sold within oro year of completion,the ZONING APPROVED BY DATE:
owrerbuider sirs have the burden of proving he or she did not build or improve for the purpose of sale). •
❑ as
ate to �eLoewecto�wyde l°° wlDthon'ness whd
Pes of the
License Law does it awith�an ow popenwhors«�res thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a amrmor(e)licensed pursuant to the Contractors License Law). r
❑ I am exempt under Section: B.sP.C..I«misreason: APPLICATION ISSUED BY: / DATE: \ jt ( 9(
Data: Owner: 9EiElflEREiF9EdElEdbdEifiEiElFKiEitiElElEltlElEitlt+EiF9EifiEiE#itit#tE3E1t*****if **** EIElFiElEltiEifiEiEiEiEi *** + *** #if#IFif
LEGALIZATION:N F E "E ' SUMMARY STRUCTURAL SEGMENT: N
I do hereby cent),that I am aware of and understand the requirements of California Heash end Safety Code Sealant)25505,25533,end
for
sp itfomml«sryMumbuidiagomthent Awill/tyMgi at(°rd«e)teetleamptywMsekmtecalios sEeeaemremmttsa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
as,t4,ador mut1 or an«moedcaionhoccuMAi will
ot(droeone)ne tocomply
construction codesro the remgfrom meu
provisions. PERMIT 3 . 0 0
Date: Applicant: 50 Y SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of pejury one of the following ded«alcm: IS
gi I have and coil maintain nift aceassn
owentto sef4nsuretor workers' ,as prd or compensation, for by Section 3700 the LabBUSUE FEE -0
Code.for « work this
rwhichpemdlSued. BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o Ihave and eelmaintain worke 'comlensatiinsurance.as
compensation TOTALS-- > 3 . 00 15.00 0 . 00 18 .00 18 . 00 . 00
n
work for which this permit is issued.My workers'compenemon insurance carrier and policy number are:
Carrier: (3�-y/A}}"./�a�, ',dl ye}��b�� p REVENUE DIVII3ION TOTALS--> COLLECTED: 18 .00 OVER/SHORT: . 00
Policy Number. hdreb {$sof!less 3!i� !117 §tsb(3 PMT PLUMBING ELECTRICTIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
.his section need nor be compltad tine prml is ler Idn opum'
o I candy that in the performance of the work for which this Penh S issued.I shall not employ any person in any manner w ea 10
become subject to the workers'compensation laws of Caldoms.and agree that A l should became subject to the workers' IE***3E1E1F*****4tiEiklk**lEiF*1E*111E******3EiE1E1E3t*1f7f*******ll IElE****1E1EiE****if*****1E**aEiElE1f 1E1E1fie$e*
compensat41 provisOrn d Session 3700 of the Labor Code.I lonhwih comply9ihma rovisors.
—\ Dale: J 1�al gee Appiam' VI f. .(�c 4c I N D I V I D U A L F E E B R E A K D O W N
/T
Warning:Failure te secure workers'conpetviadon coverage le unlawful,and shall subject en employer to criminal penaltlx end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines 19 to one hundred thousand dolls/$104000),In addldon to the cost of compensation damages as provided for In
t
se uon3Osol nor aborCode,lnteaaand a omayayaa. ELE 4 RECEPT/OUTLET 1 ST 20 EA. . 75 3 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a oonsnuaion lending agency for the END OF FEES
performance of the work for which the semi is issued(Section 3097,Cru.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information s cones.I agree to comply with all city and county ordinances
and state laws retsina to building construction and hereby eurh«ss representatives CI this city to enter upon the ebae-mentioned property or inspection PtIrPOSee ARAZ GHAZARIAN
Print Name _
_ _ QOrt� �GtQ age - - . .
Dae: 1//s
Signature d Owner/ VApPfanUCoritretlor t
(5151d6.WP) White-Building 8 Safety;Green-File:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
•
CONSTRUCTION AND PLANNING >. POOL PA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
., <'
...1;3..c e.ctrical Conduit Utrflty•Undrgrnd. 54. Forms ^.
.
--171_:-Electrical ConduipLetrifrgrnd. 55. Electrical Bonding •-
-57`Steel Reinforcement•,1 56. Rough Plumbing & Pressure Test ,
VSEfettricai UFER`Grnd. 57. APPROVAL TO COVER-GUNITE :r;
,., .1?bongs 't 58. Electrical Condu Undrgrnd.
•B Foundation C. 59. Gas Pipe, 0 Undrgrnd.,Test
=9. Water Pipe-Undrgrnd. 7 60. Backwash Lines4P-7(ap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
,
11. Prbperty Sewer Line House`Connection 62. Backwash & Receptor-Final
c.:
12. Sewer Cap „.. 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing` -1 65. Electrical-Final ,
15. Rough Electrical-Conduit t,. 66. Solar System-Final;
16. Rough Electric Wiring' f ids' ( 67. Fencing & AcceysiApproval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
m-, - c r' d* -I C'^ '-.ir, n F
20. hough Facfory7Firgb?ace -Cm i-.- *et. C' : ; 2.APPETIVF t„ - 1-',•Perah it# t, ;I
. , /te r. • '-? �. �✓ ., rt , I
21. fhucts;in Stjucture4-l>. - • '' N t: C . 1-'-70. tJndergroerc-., Hydro
22. QVcts: Ventilating'17;1' n1 T S Q.r;•n -r �� ,•
a1 r 0 4. :� E. y71. Produg- plug as El';Oil
23. Cas Pipe-R. k& Test + o „* `_* 'r' ` `
t�Vl ` :. m T �; 72. Underground Flash r
^r pry , ;y �v
24. Riot Fra ng CC* ,_.‘4, a * = _ r,I 73.3 Undergrrt .StortajiTank Gas 0 diI
Y' ~ r >. V y ,•1 t' U I.Iz J r•'r- a
25. Roof•Sheattiing - y y. C'. > 67+ 7400verheadvHydro.•_ 4
G _
26. T-Barteiling (Stru6jtYral) & Mo tgpEoat t n C G, 7 Dry Cher9tical .." : ` .. n
27. Rrame andrFlashing`,; -C7.1"1 * y, C t. 76. Dry Standpipe =•¢ T ?:
'28. Lathing&Siding '' -' _;r - ' ' "1 77.E FIXED TEKi.'INAit r r
' 29. Insulation�- :< 5 •. - rr: I ,. 7th PREY. FINAL t x
'-" F
'30. Drywall Nailing H'- _ ' 111U4 LTI{b,_EPT.REQLIIRpVIENT
> , ,N *
' 31. Plaster Brown Coat.. ,c s x 1 r79. FINAL 1�i- -----LrD N. x.
^32. Elbctrical Rowe? Meyer-Rina) ' r.: - : -iFOOD CERTIFiCAtE ISSUED
-
33. F1hal1 lecttic •;. 1 _
•
+ f - t-± - -
7.n _. t 54 Tt 6 31�y '�1 Notes: "� * ^I u m
.:34. P,Inal]tieat4og BeAiaGonditionin4 5 e •F •0 •S 1 . S
X35. g'nal'Gas roe:Test est` - 4 r'' �" `
G, �, o .. .r !- r 1'X J oto - ' r:_
31
4736. Hooter Canopy ,`-?,:i: C1 ..•-.1 -+ ;I': 0 I it -^F 5 0
• - ,.• - , n fir, Li * tr; 7 c , 0 -
-�37. F1ha1=F.acteary Fireplace' _ F - r . * i+
C...
-.38. FinalrP.lumbing .'i lu .. * �t r tc
-' ..s .1 r 1 It r - 'x
39. WateFService-Final'';. t
.. * - 11 ' r
C C N :-h
=,,40. Gas Service-Final - :•t• 5 i. -i I h op 0c: *
•t ... �• x I r-: . D Z * -.
41. Solar Domgstic-Fill• M
: _.
42. Blackflow P,reventer �.
43. Backflow Irrig4ion w, Tam- ^ '' c""' t.
n
. cc
4. Landscape,lrriQationystem m a a n C J ox a1 n -
r c. -1 r ,C: -a h-
45. Sound Attenuation ` _'T` - • i-: ,-r",I * C`", ,C5_ t
S. Handicap Reggations• e `-' * X. l
47=
'-1 .'1
47. FJNA} STRUCTURE & BUILbING N t 1'
46. F7}JA) PLANiqING r
1. 1 44' - al lel
49. a:Mettle Rt 71 in tsz H
elease 'to Edison * I 1`• r a: o '7
Q0. Gas f}glease to Southern California.Gas Co * 1 i t - c • 07.
-,c * r1 0
51. CERTIFICATE OF OCCUPANCY If . :in y: * c
No. Date
PROJECTA6DRESS: 1871 WREN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 060176
. OWNER'S NAME: MILLER RONALD V
ADDRESS: 1871 WREN CIR PERMIT NO: B 060176 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
( 714 )545-0878
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O EXISTING SHAKES / APPLY NEW HEAVY SH SQ FT: 10,000
ADDRESS: UNIT:
CLAIM VALUE: 10,000 . 00 CALC—VALUE: 10,000. 00 GROUP OCC; R-3 /M-1
PERMITTEE: B & J ROOFING ( 714 )637-5609
ADDRESS: 2040 N SACRAMENTO tejn® ........ COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC.
ORANGE CA 92667 **+E**�Pr�P�E�E********** fir**�r�E�r*****+P*�E*�P**�E***�P�E*�E********�E*�r�P�r�E�E�E�P�P+e*r***********
LICENSED CONTRACTOR DECLARATION: I hereby affirm Mat I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7060)al Division 3 of the Business and Professions Cod red my license is in lull force and effect. SETBACKS
CITY LIJC.: 038121 STATE LIC.:36 3 ' 'SSi 3
Date:/ i-03 -y � Signature. _ ( � MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm mall haveater,-ate of consent to set nsure oracertificate of workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY HO.: M.DATE:
COMPANY: PARKING REQ' PROV: PARCEL: 13952428 ZNE: REF NO:
• 1 Certified copy is hereby furnished. 0 Certified copy is riled with the city Building Division. PLANNING NOTES> •
> .
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLA'• I,: (This section need not be completed if the permit .r one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N.T S
I certify that in the performance of the work for whic this pe ' issued,I shall not emplo perso y manner so as to become
subject to the Workers'Compensation Laws of Calif.nia. � ZONING APPROVED BY DATE;
Dale:l2-0 3 —9
'2 Signature. 11.11: -
_ - r.
NOTICE:If.after making this declaration,you should b' • ' subject toorker Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code,you must forthwith Comply with such provisions Or this permit sh be deemed revoked. f/
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: /-213/92
which this permit is issued(Section 3097,Civ.C). *********************** **** * Si*** *** **** ********************************
LENDER: **************************************** *************************************
ADDRESS: LEGALIZATION:N F E E S U M MARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 117. 00 1 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Cede: The Contractors'State License Law TOTALS----> 118.00 0.00 0, 00 118,00 118 . 00 . 00
does not apply to an owner of a property who build@ or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or
orimprovementwithin sold one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE
BLDGDIVISION
PMT PLUMBING ELECTRIC MECHANIC FIRES SMIP/TOT/SHORT: 00
GRADING PLAN—CHECK
fthe entois of sate).
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 117.00 1 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
• that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
QI am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date' Owner: SFR 10000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 10 000. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date:_ Applicant: '
I hereby certify that I have read this application and state i i'above information is correct.I agre omply with all city and county
ordinancespertyand state laws retati a to building construction. d per¢b .uth Pres UKsmklhis ler upon the above-mentioned
properly for inspection purposes.
92 -4G, , V
'� Dale:/� —C 3— Signature: >" •
'
Driver's License or Social Security a: 4/
1641.46 White—Buildin¢Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
!.-,,
CONSTRUCTION AND PLANNING POOL _ SPA
/ APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
' 1. Temporary Electrical Servla or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd:. ✓r 53. Steel Reinforcement
w' j E ctriral Cond.yi4 ility-Undrgrnd. 54. Forms
•+.S .
4-41 E4ectrieal Condticibdrgrnd.. 55. Electrical Bonding
m
5 rTEel Itkinforce% r.
it 56. Rough Plumbing & Pressure Test
S.� 6rnd. T 57. APPROVAL TO COVER-GUNITE x
, - er
'r.-'^
- al UFER'
H,�I' 4iptirs SY ;L: 58. Electrical Conduit-Undrgrnd. �;
m .
$: Foundation 17j 59. Gas Pipe, 0 Undrgrnd.,Test
S
9. Water Pipe-Undrg(�d. 60. Backwash Lines, P-Trap, 0 Undrgrnd,
10. Structural Floor System , , 61. APPROVAL TO DECK
11. Property Sewer Linem& House Connection ' 62. Backwash & Receptor-Final .
12. Shiver Cap ....:
1 a - e 63. Heater & Vent-Final
u
13. Roof Drains -o 64. Plumbing System • Final -
14. Rough Plumbing' v 65. Electrical-Final _
15. Rough Electrical-Conduit 66. Solar System-Final
• 16. Rough Electri -Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricg-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.r••,Ro^h Ftacto75t F?eplace 1 'n1 -C 1 * O .:� r- s PPROVAt JOCPer tt# >._ >'
'S S4 SCr xSv '. S .-I ax. * v +.. d:fir_ j :s C IK
21...Ducts, ig,¢tructuite# I •• - ..,s. * S .,
0 .- . x -: O. UndergrodricCHy ro
- -? S.. 5 , Co Cisr
22. Duces, Ventil8ting•x i Cit S Kr s '71. Producing Cl s Evil
rc� n n - ...i I Cyt,, s. 'Q FT x�{ I
23.yas�.Qipe�l�oi h 8i' 55t tr
I X 1 t' O s #'* t" r" 1 t c). x CJS
.' r tr r±' C O* ti72. Undergrotg%I(1 Flus1JaJJ • F-x o
v.-, _ - - .•. 5 _ 0
24.aRo0t Frrrning• T..* Z-4-, n 7 0 b * * S73�Jndergrnr•1?Stor -atik J Gas r00?
(la: > X ..44 Y `-J x
25. Roof Sheathing ''�" E : rt '� 0 Nr ` o"' /� ``-o ''
,.. 9 r K •� x 7 -rt1* x t4„Overhead Hydros
.i ^.•t :�x . S'. it
26.-CT .-Bat Ceiling (StroGtural) &Donecoat t ^ tv 0 :,:r4; r 750try ChemiFal x -1 t ,_‘•:::,
27_`Frame and F'lashig a 't x " 76: (�y Stand f�}` " ••�tt x S m ct
Ocr;s . s r •.vx >
f-. 8t .,. .-, .�.� w ?,.. _ g ,C,-. .Ro :J 0
.`Lathing,�t Siding,-x r7 '74S :C + S •• ••* a 77?FIXED St� ENf itiNAL` it
'Jr :. . _. t- r * -i F Ln x -- n
't ' ;° r-' .. .. ? ..t.: 11
11 . * r 1 F Xi
29. Insulatign itr S * * 78-i-FIRE PR EV. FINM. x ' Cc >
~ * �v H_EALTHIDEPT1R-EQFHREMENT
.c
730. Drywalls•-• lAg :re a Ic z. . c
f. _-J. u y r� # v S o0 n x 2
;31. Plaster 8cnwe-•Coa S r tr a # xF,.79.IINAL IF CTIFTN ' J
a.
f V`. I'- , • •. ri- .moi N ,_ !.
F-32.,'ElectricalPovper Met..Jx etFinall - N t x CERTIFICATE CERTIFITE ISSUED
-7 :s: C' 7":-- - „ . .7 C. ' < L_ ry
:.-7;.; _ " a * L7 r 7• -z LTi
33. ina1 Elp�ctri� r # R Nods: - r, x - 0. !1:+:
r :. •Z 'f ?. I - - r ,.s. * a. -- ... . . . .w .-s
-34{fink Heating,& gir*Conditioningc ,2• a * -. .c S (lx x S --
.• -• -1 .r%PTA 7 * 4 'X 1' '3 I - ct x ti
'[ ..a c S '1 *, i k >w: t . 0 T J * IT SC
135:Fin81 G�Pipp-Test* �, -, .I rm
x, - a▪C - x ,"
6. Hogd or4Canopy,p* ^ I rr -. t. x no Ctr
s -. r C' _ . ,,it r --r X 'n '-+.r.
17.' ing.P Fa74ory Firrplae't?r, I S:T - .r1 . a ,- sz .r
.T. n ,
J x .1:
8. Final Plumbing x 1. LJr. '.x S - w A3
.-. - r x r .-1 .-.Y r -
:39. Wat. Service-'Fin/if* t~ 1 -= s. V X n "-T1
c 7 o Y- : c >< a 5' •- 03 a S
rte!K \ X ..f
40. Gas Service- na5 to 4- r ;r' , x pz iU x
H 0 S v 2
;41. Solar Domestk-Feral S h. •• - >
. X •,C .-'
"J C c S TA ., x K EX 'C
rZ12.�ackf low Preventers _ N\ * * r ‘...1.---•-i
�y ..- Cl r'-,
43. Backflovr'•Irrigationt •.=SS x t - -o *: 7 .y
.44. Landscape IrugaE on Systems 4-..z_• tr r c ;,- «•�rC�._ ru •~ t C. _ W c
'3i5.-mound Attet'tCiatwrr - :� cr * E •- E'54fl - -1 f' x
$16.*;HandicaR.Regplatibis ' TI .. .. ; ': -.1 i•-'.4, .-,L. ••.-
�-. 11 •* *lr. X •S Ca S x
'47. 11\11\L STR4D.CTURE & BUJIOING /�/( �y x Nos *
48:�4I1\fL P.LAIt7NINd II =r `-! >• > u t_ X --4
•
c19.Elecxic Release to Edison i I- A.
r t Z C I n j 00
1 .. F r .j •n it O
SO.Sfias jellise fp Sou4tern California Gas Co :. I i iii x 2 -▪ C r s-. V= o
' 1. CEELTIFICATE OFaOCCUPANCI$ : t, y 6 :7-_: z a :-
No. Date
vrr1IIrlce 1.11LW'f , rtVI'ELLWU DATEtu- v v/
JOB ADDRESS 1871 Wren Ci rcle BUILDING PERMIT NO. 216970
GENERAL CONTRACTOR AB1'
GA- o*i<tr DESCRIPTION OF WORK Community Block Wail
Ari No, LOT 56 TRACT 5781 FIRE ZONE VALUE $ 175.00
'ECTIONS _ Signature Date GROUP J TYPE III ZONE R-1
ou PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.,0
1 Sprinkling System
x Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0 _
Rough Wiring I Heating and Vent.
Trenches®_ Forms 0 Steel Reinf. Vi3 lefO(i ,2--7- CC
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, Brown Coat
• aural, Final Electric
▪ ..ing, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final J
Building, Fina(eln!& i Thy,evez;,,, au o4,46
24970• p
COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF C3SIA MESA
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
For Applicant to Fill In Completely APPLID018 FOCSMIT ,
TYPE OR PRINT BUILDING
sUILDIN3 77/ r FgTT QH s my
/ t1'�RL�Y- (IR-
ADDRESS `�J
C1i N0.
COSTA MESA, CALIFORNIA 9
Ro RECE / i A 1}[/ / I66 [
OWNER frm_ii / IL z.... R �y .(/P r� �,
ADDRESS /el/ 14 /I�t A- L__R • ADDRESS Ia
CAL-CM
� �• / �In / FIRE
TIL ZONE L
CITY GAJ / /� ✓Yl lr �/ / NO, 427GROUP /l
'- HITECT ^ TEL. BYPROV[D
' a DATE /
_ INGINEER ✓'D. ��
•� ZONING al
ADDRESS
Q �/ ZONE NO.OF USE OF NEW 's) _ /�
I
CONTRA¢TOR// SC A (n_-d.��STR• Co. ,--/L I PUNS EURDINa/ U..24 .
ADDRESS 2! 7n S /�A1 !f
/ Ll/\ oucRlmoN/ (p
S / r&“ .S-? Sl C
CITY n eel-4
J / d 714.6-S4 A.P.NO.
�-.
NOTE: NO pRHANO
SHALL.BE LESS THAN
SITANO. 23by1�/Q TO., 67F y(Ob0 30'TO SIDE REAR e
H12E 11-,.. LOT
ALLOWED (U.B.C.REQUIREMENT)
OF LOT ere, r ` /D 31 O I NOWGONLno . /
YARDS APPROVED YARDS APPROVED
USE TING BLDG. J/f✓ c A/2 R% MAIN BUILDING
NG ACCESSORY B ILDING
DING
(FROM L STREET? 6-t ,I Lu L)/
SETBACK LINE FROM 7G/� FRONT/76,SST;
CENTER OF STREET REAR YARD
SIDE YARQL
LEFT I RIGHT R.SIDE O FT. FT.
DESCRIPTION OF WORK L.SIDE — FT. IT.
K p u
.V ALTeRAT10N ADDITION REAR / D 'wF PT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDOS. ACCESS.BOOS. I
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL I ROOF MFIWV[QDATE l J/ !1 /7- - -10/ �`�—•
COVERING COVERING BY (�(/ Cr [V
USE OF BSJI LOINS AND WORK TO BE PERFORMED 01-,7( D.
33 X Xs R/' Be4 ce dv4LL 9
elf
_I SQ.FT.
I HEREBY ACKNOWLEDGE TWAT.I NAVE RIAD THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STATE THAT TIE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATS LAWS REGULATING VALUATION
BUILDING CONSTRUCTION.SIGNATURE OF ///// /"..... . PERMIT FEE $
PERMITTEF "A r.J'I'�! 4/441-2•14.4-4‹
7 / S / 7_5 PLAN CHECK E 4Z7 w°
AUTHORIZED AGENT TOTAL REE $ 3
UWNriR MILLERS RONALD V. DATE 8-16-66
JOB ADDRESS 1$71 Wren Circle BUILDING PERMIT NO. 26018
Detached Patio
GENERAL CONTRACTOR OcmBr—Builder DESCRIPTION OF WORK
AD No.
LOT 56 TRACT 5181 FIRE ZONE VALUE $ 1,000.00
1 ECTIONS Signature Date GROUP j TYPE V ZONE p-1
Sou SUBCONTRACTOR PERMITS ISSUED
Gas Date Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con..0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power C
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. Cjte, #4 Q—'f-t4G
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing !/SO 'C._y_6,6
Lathing —In 0 Out 0
Plaster, Brown Coat
c `.ural, Final Electric
h. .mg, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final 17.l' mrV_gc
•
2608 I AUG 16-66 00 754 A 3*****6.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDINGQ7/ 6u& ce.
ADDDRESSRESSlAC
RECEIPT NO. PERMIT NO
COSTA MESA. CALIFORNIA (947&/j
JnJ��� ,/ q� — R,IICCE(I illY )ATR RECD DL (}-DATE ISSSUED /
OWNER Th.ciA o V//"'/LLG2 /aNci� /! -I6 ��F+ b -/�C/ 6(D
MAIL
p _ 214122:17/77,
UILDING f3 / /)�AMJ // .
ADDRESS /jr 7/ (LAC5 (/e• ADDRESS/7 , Ltd L" 9 —
//`�� TEL. ^n FIRE `
CITY COs f/9 /RL,$.9 NO.SVSvp ,� ZONE 7./,,--e
'/ TYPES GROUP
APPROVED �ry HITECT TEL BY DATE �JJJ
...nnn -_n -,i.
ZOONING
ADDRESS / '& -' '� `x'1 .-( PLANS r I PUILDINO�
CONTRACTOR �C��+ 1`/2C1 l �-'/ �7
ADDRESS
._ D SCRIPTION LC't .) 7 f .,,�'? /J!
CITY �— A.P.NO. nn.�^-�-
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE -----.-----
TEL. SO'TO SIDE&REAR P.L.
LIC.NO. NO,
EAVES
SH OT /,4�f X //..5...---
I
OIZLNO.OP RLDOE. )
NOW ORLOT ALLOWED (U.B.C.REQUIREMENT)
F
YARDS APPROVED YARDS APPROVED
USE OFMAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. GS%.d-a'H C ei
/ (FROM CIL STREET)
SETBACK LINE FROM 7 1
CENTER OF STREET �l�X�r/ REAR YARD v° FRONT PT. Ici FT•
SIDE YARDI LEFT / RIGHT / R.SIDE PT. i- 1FT.
DESCRIPTION OF WORK L.SIDE PT. 5?-FT.
• N k ALTERATION_ ADDITION REAR Pr. 1 U Ff.
DISTANCE BET. BET.MAIN e
REPAIR M ING _OgMOL{SH MAIN BLDQS. ACCESS.BLDGB.
BUILDING "'tlO.OF VAR.$ DATE
`j� SIZE 7 i ROOMS F //STTO����RIE�S/1 N�� . C.U.P.# !/ APPROVED
1 COVERINGOR COVERINGI RCOVERINOO�'v7( i%�'/f/// APPROVED �j/Jjl� TATE 7 -lG ,G
EO BU ILDINS AND WORK TO BE PERF RMED �VF�� IF-o '7 IL
SI/ iz� . 2 re,, /l a.n/iOcat ,r A� V 9
� • / / 7
/i1. .i _/ Y . . .J /J . - / / o.
et c cn 0 ' 1<tea ct e v% A o 3 S SQ.Pr. it,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI THE AMOUNT SHOWN UNDO' VALUATION IS FOR THE j
- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO PURPOSE OF ESTABLISH) • A PERMIT FEE ONLY. i.31
PLY WITH ALL CITY ORD) CES AND STATE LAWS REGULA NO VALUATION / i
BUILDING CONSTRUCTIO
l/iV'I
I. SIGNATURE OP {/'rylfJ/�M�1 �Q�J !yam PERMIT FEE $
PERMITTBF !>:�I�!/F""^�� �!V w_
i" PLAN CHECK S /
AUTHORIZED AGENT / /� aa
e - . .__c:.r- •• i>. .. ,-.... ....:,.,.:' q ✓ TOTAL FEE I l.:/
Lot .56 24077
Tr; 57$1 CITY OF CCM MESA
•` COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 917 COSTA MESA,CALIFORNIA MAY 11 1965
For Applicant to Fill in Completely APPLICATION FOR PERMIT
TYPE OR PRINT x,71, `
r E • _
AUILDING 18 1 Wren Circle
ADDRESS RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA 74n77
pECE`f'�Ij°�Y p ECEI D DAT!ISSUED
OWNER Pemba Subdividers, Inc. �e mpi 1 3 196
f.) 5
lc
MAIL
BUILDING !. ()per �I CR,
ADDRESS 2850 Mesa Verde DriveFIRE
ADDRESS �L/ {^K
TEL. ZONE , TYPE ' NiX ,GROUP \ *Z--
CITY Costa Mesa NO.5490395
ARCHITECT TEL APPROVED
;INEERE. G.Kaltenbach nao.'5478046 DY DATE
ZONING
ADDRESS 1823 E. 17th St. Santa Ana I
NO.OP USE OFN4 ff.
A
"'� I PLANS I SUILDIN• ff. A.
^ .
CONTRACTOR Pemba Subdividers, Inc. 1-6T-15-6S-70ADDRESS 2850 Mesa Verde Drive LEGAL DESCRIPTION
CITY Costa Mesa A.P.NO. -9-
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STLIC..NO. 187318 NOATE ' 5490395 30'TO SIDE G RAR P.L.
EAVES
BLOCS.SIZE I NO.OF ALLOWED (U.B.C.REQUIREMENT)
OF LOT 73X115 NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET) 1, I�Qj(,,
SETBACK LINE FROM 28?} 29 T FRONT se FT. + L _ _` Fr.
CENTER OF STREET L@ REAR YARD
SIDE YARD LEFT 7 1 I RIGHT 8/ R.MDR �8 FT. FT.
y
DESCRIPTION OF WORK L.SIDE / Fr. FT.
N X ALTERATION ADDITION _ REAR ,-,1-9 FT. FT.
DISTANCE BET. BET.MAIN 8
REPAIR MOVING - MAIN BLDGS. ACCESS.SLOGS.
- DEMOLISH
BUILDING 558x552 NO.OF 9 1 YAR.$R DATE
SIZE ROOMS STORIES C.U.P. APPROVED
EXTERIOR WALJ_ ROOF APPRO ' ,A w o //�
COVERING aLUCCO I COVERINGWOOdSh ing le BY 41MM-1 DATE q'-�( -`�S
USE OF BUILDING AND WORK TO BE PERFORMED _ 1
Single family residence with (IY�/✓/
attached garage.
fps, , /� 94 SO.Fr. .d37Dt viz Pio
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE p
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. C
PLY WITH ALL CITY ORDINA CEO AND STATE LAWS REGULATING VALUATION `y 00 m
BUILDING CONSTRUCTION. • PERMIT FEE $ { A N
D
SIGNATURE OF 4l / �q� CO E•
PERMITTEE ^
$ ,/ 2 ' $�G PLAN CHECK S 36
AUTHORIZED AG ['� 5 A . 00 2
TOTAL PEE
V