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1875 WREN CIR - Building Permits
Y\ CITY OF COSTA MESA - 41 BUILDING DIVISION > :� `� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT J 4" P05-00748 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1875 WREN CI Status: ISSUED Suite No Applied: 09/30/2005 Issued: 09/30/2005 Vicinity: Parcel Nunmber: 13952427R Applicant: JON LOONEY ISSUED BY: �a / Address: 501 N PLACENTIA AV Phone: 714-524-4300 _ FULLERTON,CA Zip: 92831 Owner AMOR, LARRY T Address 1875 WREN CIR Phone: COSTA MESA,CA Zip: 92626 Contractor: THE EARLS PLUMBING INC Address: 501 N PLACENTIA AV Phone: 714-524:4300 FULLERTON,CA Zip: 92831 License: 217657 SCOPE OF PERMIT CLEAN OUT SEWER SYSTEM FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal ' $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc)- .. $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $24.65 1 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 . 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 . Water Softener . $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER . $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION . $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 . PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $48.15 COMMENTS I SPECIAL CONDITIONS • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(WOO) I WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and wit maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. i‘t y workers'compensation Insurance carrier and policy number are: artier: S.L--L- 6014-1t•rr.Y M— Tiv t –f C V✓/A, C— f- Policy NumberOflor, In L, —m on�' is section need not be cdmpleted if the permit is valued at one hundred dollars($100)or less.) ❑ 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 subject to the workers' compensation laws of California,and agree 'at If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thesvisions. _ elk,Applicant Signature: •s t il��iri Date: I '3 "G WARNING:FAILURE TO SECU'a WORKERS'COMPENSATION COVE- IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 0,00 THOUSAND DOLLARE(5l00),IN ADOfnON TO THE COST OF COMP-TION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.IJc.s l -7 to C7 Class x C4 (4, Contractor's Signature: Date: CI--SO •OS-- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds 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 offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder wit have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bit or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, _ or 200 cubic feet of compressed gas at standard temperature and pressure). _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application ajaermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LI No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). r 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (if'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have at of the disclosures prescribed by California Health end Safety Code Section 42303 been made? 0 Yes 0 No 8 (if yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,end authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) Date r"a/Or Authorized Appliy��''t Date CODE# INSPECTIONTYPE V""" INTIRAL$ CODE* IIISPECTIONTYPF, PATE Its 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing /of� 200 Final Re-Roof 210 Final Electrical P 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy �- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION/� PERMIT 1 PERP IT NQ. ' //�, ' TRACT NO. LOT NO. UNIT NO. 7954 Project Address ' h /� 111 (/7.4 /Q - Y �-7 / LI I I ' ( /23/86 po& IL VVV`� {1"^1 `. n TYPE OF CONSTRUCTION H NEW ADD U ALTERATION I�REPAI ft *. Applicant's Mailing .dr+.5 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER •J 919/4-3y . A.P.# ( Zone Owner's Name Phone / / l / •DESCRIPTION OF WORK/USE OF BLDG. — Address -��� - - S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT CJ GRADING FOUNDATION ❑ STRUCTURAL T Front O ' Address m� ❑ TENANT ❑ ELECTRICAL PLUMBING I ❑ MECHANICAL B Rear - • N Contractor's Name ,,aL e. i� ' . /L • P one iia V`�--r ❑ OTHER A I / ca U PROJECT DESCRIPTION SQ. FT.' OCCUPANCY C Right • G Address(mailing) CONSTRUCTION TYPE VALUATION$ S Left R City License NO: O ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION _ Ping. Ref. # Parking Req./Provided i E I hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code,and n 1nAA M my license is in f f• and effect. ^ !HPI L V IJUU T License I. s ' e• e o. i •I RFCEIV �! V S Date I. /Z Signature f#/Q(6 � %/•�� - PLUMBING FEES WORKERS' COMPENSATION DECLARATION Bar Sink Showers hereby affirm that I have a certificate(joSf�consent to self-insure or a certificate ELECTRICAL FEES �� if Workers' COmpe ti�3,V Pa gertlf l'• copy Lher¢O»�(S¢CiI Y Backflow Preventer Service Sink -- J 300, Lab. ) 00' e-___' j �^ '.", Automatic Washer - Transformer 0 15-50 KW 1 misty No. Company /� ,W/ Backflow Irrigation Sewer Cap Construction Pole Sub.rn 0 50+KW ertified copy is hereby furnished. Certir y is filed with the city Bui Di isi . c//, a-�I n . Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps Date FROM Applicant p��R� C �/ EXEM TIO FROM WORKERS'COM ENSATION DECLARATION Clarifiers Solar Collectors Dishwasher • Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or Dishvvash¢! less). / Solar Piping A o0— Dryers ['Gas ❑Electric Sub Panel 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 subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01% B Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ 'NOTICE:If,after making this declaration, you should become subject to the - - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater ¢Outlets Ran Lender's Name - _ 9 Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Disposal Garbage following reason (Section 7031.5 Business and Professional Code: Any city or 9 ;Blanding Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law(Chapter 9(commencing with Section 7000)of ' Division 3 of the Business and Professions Code) or that he/she is exempt - therefrom and the basis for the alleged exemption. Any violation of Section -i 1)31 5 by any applicant for a permit subjects the applicant to a civil `^malty of not more than five hundred dollars($500). • L] I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 _ compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By - Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose of sale). ❑ I. as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By a Date I -2...')-4( tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100.000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant'to the Contractor's License Law). I am aware that Exhaust System MultipleSystemp / BUILDING PERMIT $ SMIP $ - ❑ ❑ Re air Alteration proof oftheir Worker's Compensation insurance should be P.C.for thisded to me. PLAN CHECK $ ff PERMIT ❑ I am exempt under Section B.& .for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ .7 00 ISSUANCE $ Date Owner Heating System&Ducting Registers iPLAN CHECK 25% $ • • - ENERGY P.C. $ I hereby certify•that I have read this application and state that theabove 00-100,000 BTU 0100,000 BTU GRADING $ information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ • and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM' $ sentatives of this city to e�to upon t e above-mentioned props ty for ' inspection qtb/qac //� Q )/1 7 /� - MECHANICAL $ TOTAL FEE $ SOO ' Signature O/ 7 PLCCi(Alf Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ . CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor 1. CONSTRUCTION AND PLANNING 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 . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. t 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, D Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, U Undrgrnd. ,10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 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 PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace APPROVALS Permit# • : 21. Ducts, in Structure 70. Underground Hydro 22.Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas U Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT -31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ,S-�{,g"j CEO 39. Water Service-Final • 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation' 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - - Date v..i.rn bi'fUMbLAblb, E. K. DA'Z'E .L -0-b5 JOB ADDRESS 1875 Wren Circle BUILDING PERMIT NO. 211.971 _ GENERAL CONTRACTOR ABCA Construction Co. DESCRIPTION OF WORK Com Unity Blk Wall AP No. LOT 57 TRACT 5781 FIRE ZONE VALUE $175.00 ' 41. ECTIONS Signature Date GROUP J TYPE III ZONE R-1 PERMITS ISSUED SUBCONTRACTOR Date j Number 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 0 Rough Wiring Heating and Vent. Trenches a] Forms 0 Steel Reinf. I111/70- Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out 0 Plaster, Brown Coat Structural, Final Electric F ng, Vent., Refrig. and A.C., Final F_ _Ming, Final and Gas Test 0 Electric, Final Building, Final .Y,yp/,q -l4 tl5jco7 .l.n£P<tjc-,i /,13E9 7� :- /<c 4. 24971 CITY OE CCS IA MESA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92678 - DEC 6 1965 For Applicant to Fill In Completely AFTttTI.N •�(�5ERMIT TYPE OR PRINT Mtn '(L�' . O :goo:: Fo. O(fi.. VE. ONly ADDRESS / 87J WR.G47 G I RcL� Rtc[IR NO. PERMIT NO. COSTA MESA. CALIFORNIA [� C ev RECEIV BY DAT RE IVEs� OWNER �.(\ .. ^5rROAl hAvs O / li o i /� / �i /rl•--, MAIL ' ADDRESS 1BUILDING ' s. �J� Ji 2, A/ rip_ Zang 1875 w RC.v C/RLL E (2 /� -T-- Al A TEL ZONE E GROUP FIRE CITY e(5.5 7;4 A'11g.SA NO. APPROVED J///'�/yP ARCHITECT w ' TEL. B7' t� DATE b� ENGINEER I✓ Q/).�� NO. ZONING e-e 1 ntiOREee d A�p mN//}k ;,10.05__ USE OF NEW � �� CONTRACTOR /.qIp�C/7 C�10d•✓pS%/1 co, LEI//uNE,/ I BUILDING/ ��.22� �r/��-,j. ADDRESS 2 1] p 0 S.- NA]ARox DEACCflI OK ' TA 5-7 !1 / CITY 4, /Ahlt=,,,. A.P.NO. 2 NO. K✓F—TUP NOTE: NOEAVEEAROVERHANG SHALL BE LESS THAN STATE TCL 80'TO SIDE B REAR p.L LIC.NO. EAVES SIZE A I1 NO.OF BLOCS. / ALLOWED (U.B.C.REQUIREMENT/ OFLOT r4 1 X E1 .2— NOW ON J ��jI YARDS APPROVED YARDS APPROVED USE OF EXISTING BLDG. S/�a'. r///..I�,/ R yS MAIN BUILDING ACCESSORY B 1 INC /� • -=1 (FROM C/L♦STREET jA' 5( SETBACK UNE FROM f6.5' FRONT 4 •SFTf < `^GIa( (iv_ • CENTER OF STREET V REAR YARD / R.SIDE ` PT, PT. BID YARD I LEFT I/ RIGHT DESCRIPTION OF WORK L SIDE D FT. PT. CI' ALTERATION — ADDITION REAR j/ IF' FT. DISTANCE Sr. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS. BUILDING NO.OF VAR.* DATE SIZE ROOMS STORIES C.U.PP..S y/J APPROVED //� EXTERIOR WALL I ROOF COVERING _ *FRW DC / O• DATE /// (p/(jS COVERING �� USE OF BUILDING AND WORK TO BE PERFORMED 0--/-4 C_/ /> P. 3? ' k• #a X' .5' 1f/ /9/Lac& .v,9IZ- IA BO.FT. I HEREBYACKNOWLEDGE . HAVE READ THIS THE AMOUNT SHOWN UNDER VALUATION FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE to cow PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION co BUILDING CONSTRUCTION. PERMIT FEE E CO SIGNATURE OF y/_ ‘:::04....j-&(.11/20 PERMITTER /" 'T� !!! �'� / s / lb PLAN CHECK S W i AUTHORIZED AGENT 3 a. wab. TOTAL FEE $ Uwittac STROMLAND, R. K. DATE 12-22f-65 JOB ADDRESS 1875 Wren Circle BUILDING PERMIT NO. 25 37 GENERAL CONTRACTOR ABPA Construction DESCRIPTION OF WORK Block Wall AP No. LOT 57 TRACT 5781 FIRE ZONE VALUE $ 500,0() Ir"ECTIONS Signature Date GROUP J TYPE TTI ZONE R–1 SUBCONTRACTOR PERMITS ISSUED I Date Number Signature Gas Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.:p Sprinkling System Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reini. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out O Plaster, Brown Coat Structural, Final Electric F ig, Vent., Refrig. and A.C., Final F.__.,bing, Final and Gas Test 0 I Electric, Final / Building, Final ein,pft1 d v,i4 -r Sm4p&&7o-* /NA SS�'c766 43, �._..._�—. ; 25037 CITY Cyd j MESA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1205 COSTA MESA, CALIFORNIA 12626 DEC 28 1965 For Applicant to Fill In Completely APPLICATIONCTt-7iMrFORLPE TYPE O/R PRINT //►� I COAT hhe On ADDRESS / 8-7,5- 6 ', flL4 P RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA Cs � ��y//---� Mr BY DAT nEc[I D r//��S/ OWNER '7 /Ae' IL�1p'jW/IJ• J� /may ,Z Z �/y/�,.,,, 2�"����// AMAIL DDRESS /r7 S `14444) 174A-th ADDRESS / A 75- gI1C.71�/ c, c6�L a- l,' FIRE NEL ZONE 7yRE GGG//////� GROUP CITYY /f//^. NO. / / �y �Z r� APPROVED //(((.(((/`// iNy/ ARCHITECT RC GI ITEC BR NO. BY' / DATE IP ZONING e REBS m NO.OF UD[OF NEW /./O`// � �'] /�� _/ PLANSa. DVILDINO ��a -/�-N//C CONTRACTOR !/J( ///J, /L ref .4 .,�(/ '.7 / A DESCRI MON lit- ...7 / - Minis/r{ ADDRESS .2/ ll y dant C CITY a,4, _ NOTE: NO EAVE A.P.NO. STATE ��11 TEL L p6 80'TO SIDE B REAR p. SHALL BE LESS THAN LIC.NO.j 34-'••NL Ft NO. bYB -9 too P• EAVES SIZE NO.OF BLDCS. ` ALLOWED (U.B.C.REQUIREMENT) OF LOT 1 NOW ON LOT / YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM �) • CENTER OF STREET REAR YARD FRONT FT. �• ' {�I Air") CID;YARD I LEFT RIGHT R.mot PT. FT. ✓, DESCRIPTION OF WORK L.SIDE FT. FT. if REAR PT. C,! h �• 1✓ �j F ALTERATION_ ADDITION DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGB. ACCESS.BLDGB. BUILDING NO.OF VAR. DATE SIZE ROOMS STORIES C.V.F•# .I APPROVED i.L EXTERIOR WALL II ROOF AFFROV[D )l COVERING I COVERING 1Y /�I/I y vT'DATE(/ V b (05— USE OF BUILDING AND WORK TO BE PERFORMED M SQ.PT. $ I HEREBY THAT THE 'VS ITHAT.I HAVE CTREADD NII • TION THE R AMOUNT SHOWN UNDER VALUATION FS FOR THE AND STATE THAT THE •VE.IB CORK CY AND A- Et • COY. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. A PLY WITH ALL CITY 0 • ES AN/T j fr RE' •LATINO VALUATION CO R BUILDING CONSTRU 0,. '1 SIGNATURE OF i j PERMIT FEE j PERMITTE- G / /L Q/�J�Cor © o / j O PLAN CHECK E ��l w AUTHORIZED AGENT .;..,...._.x -. ...- --_., h. .. .. TOTAL.FEE $ 1C" 57 - _ TW. bf81 X4078 CITY O US IA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA,CALIFORNIA MAY For Applicant to Fill In Completely AP,g}l�ATYPE OR PRINTBUILDINGorOff ADDRESS 1875 Wren Circle RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA `)4 n-7a RECEIV RECK �/ DATE ISSUE OWNER Pemba Subdividers, Inc. �6 (o1j max 1 3 1965 MAIL o BUILDI G I S' 75 / ' ^g,1 ADDRESS 2850 Mesa Verde Drive ADDRESS / �1./ K�1'l l, FIRE E 3 TYPE ROUP v"Z- TEL CITY Costa Mesa . TE 5490399 ARCHITECT yy++ TE . APPROVED DATE OR ENGINEER'�.G.Kaltenbach NO. 5478046 AL .53 1823 E. 17th St. Santa AnaI (ZONING r� O I HO.OP (`��� I USE OP N-W 1 !" CONTRACT6R�mba Subdividers, Inc. ! I PLAN,/ BUILDINy i � ([,//rJ`��� ADDRESS 2850 Mesa Verde Drive DESCRIPTION 1.-8 fI'rVJA`r d /V 9l) / CITY Costa Mesa , A.P.NO. NOTE; NO EAVE OVERHANG SHALL BE LESS THAN STATNo. 187318 TEL 5490395 30"TO SIDE fREAR P.L. EAVES SIZE OF LOT 7lxlOO I NOWOEILDO . ON LOTS 0 ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/�L�/3TREE�) SETBACK OP LISTREETM 2OT REAR YARD 20 NE FROT FRONT ) v FT. ��V11-41FT. SIDE YARD I LEFT '8' I RIGHT 13' R.SIDE �1 3 DESCRIPTION OF WORK L.SIDE V FT. FT. NE"- X ALTERATION ADDITION REAR a O III DISTANCE BET. BET.MAIN Q MAIN BLOCS. ACCESS.BLOCS. REF,-./R MOVING • DEMOLISH VAR.* DATE SZILDIN70X52 OOS 11 STORIES 2 C.U.P. •` / APPROVED EXTERIORWALLcC,Q I ROOF WoOdShin 1G APPRD 4j , hi■�..�L DATE 1--)-e-6 r COVERING Ll bLL COVERING b BY ■" USE OF BUILDING AND WORK TO BE PERFORMED / Single family residence with attached garage. 27 gyp'^ 6-1c _ -1 I SO.FT. 600 _ r P 1 / + e I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F` AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION cc) 95-s1' 0 BUILDING CONSTRUCTION. PERMIT FEE $ N SIGNATURE OFI 7 .y� PERMITTEE i1)il� x/G � —/gyp i! $ I / /J PLAN CHECK $ '4 ,Xg' AUTHORIZED At 1 f A; ZSE .- {/(/- \ TOTAL FEE $