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Home My WebLink About700 VICTORIA ST - Building Permitse • y�►' i ::.�c.:� ; : ��, �»a) �sa-s2�s • Fa�c pia) �sa-aess JobAddress: 700 VICTORIA ST Suite No A003 Vicinity: LEFT FRONT Parcel Number: 93778001 Applicant: PALMER, PERRY Address: 700 VICTORIA ST #A3 COSTA MESA, CA Owner: PALMER, PERRY Address: 700 VICTORIA ST #A3 COSTA MESA, CA Contrador: OWN ER-BU I LDE R Address: Arch / Eng : Address: CITY OF COSTA MESA ' BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT MECHANICAL PERMIT Phone: (949)642-8442 Zip: 92627 Phone: Zip: 92627 • Phone: ,� • ' .. . .. Zip: . License: 0 INSTALL NEVJA/C UNIT. ISSUE FEE Inst FAU �100 k BTU Inst FAU >700 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Hlr Refrig Sys <100 k BTU Refrig Sys >100 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 < t0000cfm Air Handlers > 10000cfm � Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 $14.80 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ,�' 0 Quantiry 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY PERMIT NUMBER I � M00-00122 T7 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Repair I Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Comme rcial I nci nerato r Domeslic Incinerator Compressors / Absorption Svstems Upto3hp/100kBTU 3 To 75 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Status: ISSUED Applied: 03/27I2000 Issued: 03/27/2000 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 50.00 0 50.00 0 so.00 0 50.00 0 $0.00 0 $0.00 >'' � ' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is no��commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. � INSPECTIONS: In order tor the work authorized undar this permit to be considered legal, such work must comply with all applirable codes, and all requfred inspectlona and Ilnal approval must be obtained. Failure to obtain inspections and final approval wili result in the expiretion of ihis permit. ��. FOR INSPECTIONS CALL: (7/4) 7545626 WORKERS'COMPENSAnON DECLARATON: I here�y eHirtn untler penalty of perjury one ot t�e lollowing tleclarations: ❑ I hava and wlll maintain a certiticate ol consent to sell-Insure for workers' compensation, es provided tor 6y section 3700 oi the Labar Cotle, for the peAormance of the wark for which this permit is issued. ❑ I have antl will maintain workers' wmpensation insurance, es required by section 3700 of Ne Lebor Cotle, for Ihe pertortnance ot the work for which this permlt is issuetl. My workere' compensation Insurence carner and policy number are: . Carrier: Policy Number: (lhis section need not be comp/eted ll Me permlt is velued ef one hundred dollars (5f 00) or less.) ❑ I certify Ihe� in ihe peAormence of Ihe work for w�ich this permit is issued, I shall not employ any person In any manner so es to become subject to the workars' compensation laws of Califomia, and egree thet it I should become subjeci to ihe workers' compensation pmvisions of Section 3700 of the Labor Gotle, I shell fotlhwith comply with these provisions. Applicent Signeture: Da�e: WARNING FAILURE TO SECURE WORKERS' WMPENSFTION COVERAGE IS UNtAWFUL AND SHALL SUBJECT PN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN SEGTIIXJ 31O60F THE LABOR ODDE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aHirm ihat I am licensed under provislons of Chepter 9(commencing wi�h Section 7000) of Dlvlslon 3 of ihe Buslness end Professions Code, and my license is in full torca antl eHecL Lic. k Class N Coniractofs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirm that there is a construction lenaing agency tor the peAortnence ot the work tor which this permil Is issued. (Sec. 3097, Civil Cotle). Lender's Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lentler's Atltlreu: Date: I hereby aNirm thet untler penalry of perlury that I am EXEMP7 FROM TME CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to construcL alter, improve, tlemolish, or repair any siructure, prior to Its Issuance, also requires the epplicant for such permit to file e signed stetemem ihat he or she is licensed pursuent to the provlslons of ihe Coniractors Llcense Lew (Chepter 9(commencing wlth Saction 7000) of Divlsion 3 of the Business and Protessions Code) or Ihet he or she is eaempt therefrom antl the basis for the allegetl exemptlon. Any vloletion ot Section 7037.5 by eny applicent for e permit sublecfs the applicen� to e civil penalry ol not more than five hundratl dollars ($500).): � I, as owner ol �he property, or my employees with weges es Iheir sole compensa�ion, WILL DO TNE WORK, and �he structure is not intentled or oHaretl lor sale (Sec. 7044, Business and Protessions Gode: The Contrectors License Law does not apply to an owner of property who builtls or improves thereon, antl who tloes such work himself or harself or ihrough his or her own employees, provided ihat such improvements are not intended or ottered for 5ale. If, however, Ihe building Or Improvement is sold within one year ot completion, ihe owner-builder will have t�e hurtlen of proving ihat he or she tlitl not build or improve for purpose of sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRAC7ING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, 6usiness antl Protessions Gode: The conireciors License Lew tloes not epply to en owner of pmpeny who builds or improves ihereon, and who contracis for such project with a contrector(s) licanse suant to the Co acto Licensa Laws.). � I am ex p untler �s Business antl Professions Cotle tor this reason: Signature: T �!�' Ll Owner ID venfied D nver's license. ❑ Ves ❑ No Dnver's License No. � Expires: Venfication of Ownership by (rype of document, i.e. - property te.i bill or tleed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity that no excavation live (5) or more feet In tlepih into which a person is required to descend, will be made in connection with work authorizetl by Ihis pertnit, end Ihat no building sWcture, scattolding, felsework, or tlemolition or dismantling ihereof, will be more than thirty-sia (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 347, Ttle B, Calilarnia Adminisirative Code). ❑ As owner-builtler, I will not employ enyone to do work which would require e permit from the Division of Intlustrial Safery, as noted ebove, unless such porson has a permit to tlo such work from ihe tlivision. SiqneNre: Data: DiWsion oi Intlustnal Safery Pertnit NumDer: CER7IFICATE OF COMPLIANCE AND AUiHORVATION OF ENTRV: I cenify under penalty of perjury thet I have read this epplication and state that the information given is correct �egree to comply all yte laws and city ordlnences relating to building construction, antl auihonze represenlatives ot ihe Ciry of Cwta Mesa to enter upon �he ebove ^�nbetl prop�l�',la i p ron purpases. I egree not to occupy or ellow occupancy of any buliding euthonzetl by this permit until fi/na1�l /ins�pection. JiiA %{ � � � �7 � W Signature Of Legal Owner(s) Date And/OrAuthodzed Applicant Date CODE 1, INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIaWRetaining Wall 202 203 204 2446d6 Final Fectory Fire Place Final Sign Final Demoliiion QAjE INTITULS CO�E I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Preventlon 220 Flnel Planning Approval 222 Final Site 250 FinalBuilding/Occupancy -04=17=2D00 Inspection Request Work Sheet Page 73 4:43 pm Costa Mesa, CA-City Of Requested Inspect Date: Tuesday, April 18, 2000 Site Address: 700 A003 VICTORIA ST CM A/P/D Information Activity: M00-00122 Type: MECH2 Const Type: V-N Occupancy: Owner: PALMER, PERRY Contractor: O WN ER-BU I LDER Applicant: PALMER, PERRY Description: INSTALL NEW A/C UNIT. Requested Inspection(s) Item: Requestor. Assigned To: Action: Item Comments: Inspection Historv Item: Item: Item: Item: Item: Item: Item: 64 ROUGH MECHANICAL Time Exp: Sub Type: Use: Phone: (949)642-8442 Requested Time: 08:00 AM Phone: Entered By: FURLO_K K � 64 ROUGH MECHANICAL (Optional) ,..}; 66 ROUGH-FACTORY FIREPLACE (Optional) u 72 GAS PIPE - ROUGH & TEST (Optional) 90 GAS PIPE TEST - FINAL (Optional) 114 POOL HEATER & VENT (Optional) 150 MISCELLANEOUS INSPECTION (Optional) 206 FINAL MECHANICAL (Required) 04/14/00 Inspector: BN Action: DN DENIED Comments: UNABLE TO LOCATE A/C EQUIP. IDENTIFIED IN PERMIT . ISSUED �i-��C� � � REPT131 Runld:8122 AODNE55 Oi BNLpNO: �] O O VICTOR IA ST °""Eas"""E"'°av'": pACIFIC CREST VILLAS 'D°"� 700 VICTORIA ST C.M 929626 u � �. �w�wo �noxEss: 642-1722 urcxrtECT an ��x: JKII OH EN4'9 /i0DPE55: uc. ra: uHr: A— 3 urrt: coam�crarsr+u�: LEE ROOFING ( 714 ) 642-7223 cam�croas�uiwo 1653 SUPERIOR �nopEss: COSTA MESA CA �� 349686 92627 u�r: LICENSED CONTN�CTOHS DECL�FRTION: 1 hereW eflvm under penatly ol pe�ury Ne� I em leemed uridm potiebns ol Cheqx 9 (wmmentlnp wilh Seclion 1000) d piwion 3 d Ne Busi�a end PMeaebp Cod¢, W my licems a in futl Ipce eM elfetl. c ic.No.:O 8751 ��c.cuss: C_39 uc.r+o.: 3496 EXP: 03/96 � a�e: comreea,: EP B OE ECIANATION: I haeby etA(m uMm pere�y d parlNiY �� em uemq Imm iM Comeeawe Liame lew /a Iha Idlowiq n eon (Setlion )0�1.5 6uaireea end Prdassions COEe: P�ry cily ounly wfiich rpuiree e pe�mil lo conaVuc�, eM1e�, impove, 'd�emolbh, w mpei eny slrucWro: prior iols eauence, e§o repuiren Ihe irani lar euch qrmX lo file e eqned eldemenl ihel he m sM liumed Wn�� lo �M prorsvu d Ne Contrepon Liceme lew �Cheqer B(�arc'vp wnh Saqion ]000) M ONebn 3 d Ihe Burnea eM Prdeuau Cadal a O�el M a sM1e ia uemq thaehan anE �M b�ia iw Ihe eAepaA exempian. My vole�on d Sedion '1ro1.5 by arry eppliran� for e permil abjea� �he epd� �o a mil peneM1y d nd mors ihen lie huMred ddlen �5500�. � I. ea mmer W IM popeMor my empbyeea xfn wep» es ihai sob mmpenaton. xill do tM woh. eM tlie niunwa e z� inteMed w ollereC Iw Wa (Seciion )011, Busiiwv enE Profesvona Cotla: The Conirmon lioanae lew does rwt eppyioan owner d propeity W�p �Ml�f IX TP�S I�1d%YI.81�'� M1p 40lf BIM�I MOfk �Yt119Gd IX �IBffB� p I�1Ip1011 �1fl C! �M! OWII GT�'BBf. Mab� I� NIC�1 impovamm� ue na wteMed a dlaed I« veb. tl, howewr, Ihe buiNi�q «inpv.emeM u wtl xitNn ons yeer d mmpbtun, Ne o.�.�wua., �;n nere in� w,e.� a wW��re na «� au oa w��a «�mwwa i« me wm� a.da). � I. m oww d IM O�W�Y. am mch�+lY oon�rm�q x'vh IicenaeE contraaaa b om�M Yw C�N� (Seaion ]OM. &niima eed Prdeaviau Gotla: The Con�reqae L'cenae lew doan rwi apply lo en ox+nr d propeny x1w buiNe w impwee IMreon ud who canreda la mrf� n�4�a riN e mrurm«(sllicemeC P�ueru io �he Cmvecws limma Lewl. � I em enemq uMm Saclion: B. 8 P.C., b iha imvon: Dele: �'ne� 1 do hereby <eMy NN I em ewera d W WersteM Ne reyuimn«rta d Gellanie HmEh erd Sdmy Coda Seqiom 255p5, 255,13, enE PSSJa. ud Nm I a enY hnun beltlin0 om�aru will / w8 rwi (acb ane) roed ro comD�Y wiM1 edd etde mdm end �M re0��«ua la apamillammt�cuon«moddwationhamiMR��t aragameniD'utiid.ReaCemielomuwioneppiratioreareeumqlmmiMse wa;�a. oma: nnw��: WOFItER'S COMFENSATION OECL�q�TION: I hereby effiem uMx pe�M1y d pxjvy an G tM fdbw'vp Eedveliom: � I Aeve enE wil meimein e carlMicete d mnaent lo aeX�insun lor xvMan' companaation, v qovideE la by Seabn �]OU d ihe Lebor COM. ln IM pMumvice d IM xpk ip wNc� Nia pamN n ifaueE. � I have end will meimem workert mmpanuton imurerKa, d reyuired by Seeim �100 d t�e LeCor COEe, M the palamence d the 7C oek Iw which Ihis peimn ie iuued. My worMn mmpanseiion inwreiwe famer eM pdiq number ere: \ c�«: STATE FUND EXPIRES • Po��N�m�= � ann4aa-45 06/30/96 �rnr, .en�on neea �wr w camvbron r ue w�r n r« o�a nuna�ee edr� Isiwi a w..l � I cenh tl�ei in iM pe�lormvica d tM wak la which thie permM ia iasued. I tlWl nd emplay ury pa1aon in enY menner w ai io become wEjetl to iM xoeYma' cvnpaeu+mian bwa d CeNarva. d p �=E beconn eubpq ta iM xvrken' enealbn ro�e� m d seeion ��oo d ma �cw cma rlhwl� p h I�o ''a�u. / m: // �od�m: � _ .-�� miny: F�(� ro ecun woMxi ronpsruetlon covereps l� unbHW, �ny IUII.W/ecl an wriployw ro crlMrul pen�Ms, �M 4M1 llnu �{r ro o� �'ntliM tlouunJ Oollen fSfOqGppA N tlfltlon hyfi roal ol rompNwWM1 Gm�ps� u provltleJ br In S�ctlon9)06oltlr�I.NorCaW.InM1ra�t.enCafromsyitsu. � CONSTi1UCilON LENpNO PGENCY: I herety df uMx pereCy d perjwy ihq �hrs u e mpUUCbn bedirq perx.y 1or py p¢Apmar�m d iM v.pk Iu whidi �he perml is eaed (`�� ]. Lw. GI. LENDEF'S NANE: LENOEq'4 �ODNESS: I cMEY IM I heve med Nu eDdirslbn enE qe�e �he� Na ebv.•e'vdarmelon u canen.l W�� o oomdY v.u� ell rny erd mumY ad'vencea anE ola�e le�+a mlmM �o WiNiq mistrWion eM Mreby eNhaae repesenlelrvea d Ihu oryto aNp upOn IM eEo.e�meMuned peoperly �IXIIIH[IBCIq11P'.If�Bl9. MI�iA�� BURKE � i� ie�a . 1 i Ome: Whhe-BuiN'uq 8 Selery; GrearrFle; Cene�y-Apqiren�: Pink-Ra.mnue; addenroC-Aave�xr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 075051 PERMIT NO: B 075051 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTZON TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : ROOF 1LAYER COMP OVER E}CIST 1 LAYER COMP SQ FT: 1,528 CLAZM VALUE: 1,528.00 CALC—VALUE: 1,528.00 GROUP OCC: R-3 /M-1 COMMENTS; SMOKE DETECTORS ARE RE�UIRED AS PER U.B.C. 1991, *x��x�**�*��*****�***x�**��*+�*x�+�+�** x��****x�**�x�**�**�r�*��*�**x****�***�*�r*+��*x�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN PARRING REQ: PROV: PARCEL: 93778010 ZNE: REF NO: . PLANNING NOTES> 7 1E 1E iE fE 1k iE if 1f !E 1F 1E iE iE 1f 1E 1E 1E iE iE 1E iE 1f iE fE iE 1E 3E iFlE 1E 1E aE iF iE if 1E fF IE 1! ik 1E IE i! M iE 1E 1E k 1E iF 1E 1E iE ik �E iE iE IE fE fE iE 1E 1E iF dE iE 1E iE iE�iE iE if if iE 1t 1E if �E �f 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 ZONING APPROVED HY DATE: ' BUILDING APPROVED BY ; DATE; � APPLICATION ISSUED BY; (,�'� DATE: � ��*��,��*��*��**��,�� *��*��*�*� �f LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE'� SMIP/RES GRADING PERMIT 37.00 ,50 . SMIP/NON—RES PLAN ISSUE FEE v. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 37.50 0.00 0.00 37.50 37,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 37.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT,� GRADING PLAN—CHECK 37,00 .50 i,' iE IE iE if iE iE ib i41f iE 1h ih IF 1E ih iE iF K iF iE iE 1h i4 iE 1h 1(' ih 1E IE jE 1F iE if iE iE iF iF 14 i4 M 14 fE iE 1f 1h iE')f 1E iF 1E i6 iF iF 1F iF 1F if ih iE iE iE iE if ih iF iE i4 ii' 1F 11' iE IE IE if i%if iE 1E iE I N D I V I D U A L F E E B R E A K D O yW N �TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST SFR 1528 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES 1 !00 1, 528. 00 I ,/ / �1 DD19e517-OC193$13 "�'�S Y ;7.5; OA7�: i1lDbi'+° i:;i`_': 1).:.rL _ � �1 �-.,JNSTRUCTION AN� PIANNING f' . PQOL & SPA APPROVALS permit# � Date Inspector qppROVALS Permiiq{� Date Inipecror i t. Temporary EleCtrical Service or Pole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement ' ', �� 3". Electrica{ Condu+t Ufiliry-Undrgrnd. 54. Forms � .�. 4. Electrical Conduit-Undrgrnd. � 55. Electricai Bonding , i 5. Steel ReinforcemeaF 56. Rough Plumbing & Pressure Te:t ` 6,. Electrica� UFER Grnd. . 57. APPROVAL TO COVER�GUNITE � '7.•Footinqs 56. Electrical Conduit�Undrgrnd. � 8. Foundation " - - 59. Gas Pipe, O Undrgmd., Test '9. Water Pipe�Undrgrnd. �. ,. 60. Backwash Lines, P�Trap, L� Undrgmd. 70. Structural Floor System � �� 61. APPROVAL TO DECK ' � 11 . Property Sewer Line $e House Coriaection 62. Backwash & Receptor-Finel ' 12. Sewer Cap � " 63. Heater & Vent-Final � , 73. Roof Drains _ 64. Plumbing System - Final !; ,f . 14. Rough Plumbiny� 65. ElectricaLPinal J� - 15. Rough Electricaf Conduit r� 66. Solar System-Finai � i 6. Rouqh Electric �Viring _ � 67. Fencing & Access Approvd( i ' 17. Rough Wiring $ign . , 68. APPROVED FOfi PLASTER�NG - 16. Rough Electrica��T Bar Ceiling , 69. POOL/SPA SYS�TEMS FINAI: 19. Rough Neating & Air Conditioning' FIRE DEPT. REQUIREMENT 20. Rouqh Factory_Fitg}r�ace :' . � ` _ - ' AppROVAL,S_ �- Permit # 21. Ducts, in�Structure .•- � - - 70. Underground H'ydro 22. Oucts, Vehtilating - � : 71, ProduCbQiping �GJs �Oil 23. Gas 2ipe-R�ough & Tesi �- n ' 72, Underground Flusfi 24. RoofFraming' ; � ' � " _ „� ,73. Undergrnd.StoSageTank;OGas ❑Oil 25. Roof Sheathing � .. ' 74'. Overhead Hydro 26. T�Ba: Ceiling (Structurali & Mor1o'�oat �� - . 75.� �ry Chemical 27. Fiame and Fiashing - > �+ 76. Dry Stantlpipe .�• 28. Lathing & Siding " � • " �� ' �' - ' '�' 77. FIXED 5YSTEM fINAL 29. Insulatioa � �� 78, FIRE PREV. F�NAL 30. Dryevall Nsiling �_ �1. .WEALTH DEPT. REQUIREMENT 37. Plaster Brown Goat . - � � 79. PINAL INSPECTION 32. ElectriraFPower Met€rFin�l ' '80.^FOOD CERTIFICATE ISSUED 33. Pinal;Eleciric �� Notes: � �� ' 34. Final Heating & Air Conditioning '-� " ' � � � � �- - 35. Fjnat Gas-Pipe�7est . . - _ ' ' - '' . - 36. Hood or CanopY �" =' - � ' ' �� - _ _ . .37. Final Factory F(replece � , � � � , ' '38. Final Plumbing � r _ = -- ' 39. Water Service�Fnar � � R ' ' � ,' � 40. Gas Service-Final • - ' , - . 41. Solar pomestic-Final � � �- . rt ._ 42. Backflow Preventer , .. - - � 43. Backf�ow irriga2ion � ' � . 4 . • //=� . � �_ � ��O ��n_ !/ G� 4 -��- � �;. ��➢� 4-4. La�dscaPe Irrtpatio�6Vstem �'* �� - r• ` ;�� . - � - - 45. Sound Attenu2tion ' ' ' , , � '� . . - � �� - - 46. Handicap Regufations ' - .. . , 47. FINAL STRUCTURE & BUILDING �� u„� ' " _- , 48. f.INAL PLANNING � � � �� ^ 49. Electric Reieaie to E�lison � . 50. Gas Releate to-5ouihem California�6as Co �� " � - ._'� . 51. CERYIFICATE OF OCCUPANCY ' " • No Date .' / "�I�TAMESABUILDING-SAFETVDEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 F�+ q Lc7 a a y h S F L1 W F Q � a Q 7 } .d LS' W a 0 � a z W `� 3 For Applicant to Fill in Completely — Use Ink Only BUILDING.� _ r . _ . .. _ .— CONSTRUCTION BRANCH ADORESS ARCHITECT CONTRACTOR ADDRESS TEL. GTY NO. STATE CITV LIC. NO. LIC. NO. SIZE NO.OF BLOGS. OF LOT NOW ON LOT USE OF EXIS7ING BLOG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORKTO BE PERFOFMEO I hereby acknowledge that I heva reatl this application antl state thet the ebove Informallon is correct and agree to comply with all lews ragulatinp builtling construction, entl I shall not amploy any person in violation of the workman's compensation laws of t�e State of Califomia. I hareby certify that I am properly licensetl es a coniractor under the State of California Business antl Professfons Coda, �ivision 3, Chapter 9, and that such licenses are in full force and effact, or I am exampt from the provisions of tha Siate ot California Business and Professions Code, Division 3, Chapter 9. Signature of Permittae or / Authorizetl ABant Date A.P. NO. BUI LDI NG ADDRE55 UNIT OR SPACE NO. /v �a. NEW ADD OWNER USE `A� F�STRUCTURAp PERMIT 87P57 T� �� APPROVEDSETBACKS (FFOM {'.YL STREET) � PLANNING ACTION APPROVED L+J :� •-8 d DATE APPROVED nerc 3L�3 Ic� i� SQ. FL V��c"7l!/ THE AMOUNT SHOWN VNDER VALUATION IS FOR TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE $ PLAN GHECK $ �, JC� $ TAX $ �.Q ��) q,uV TOTALPAID S /��,�� m i d m N �7 e e � n o �LL U � d' N � COSTA MESA BUILDING-SAfiETV OEPARTMENT APPLICATTON F�STRUCTURAL PERMIT P.O. BOX 1LUU GOSTA MESA, GALIYVHNIA 9Zti[6 – – .� �O REC PERMIT r For Applicant to Fill in Completely — Use Ink Only v BUILDING % � A.P. NO. ADDRESS �I` � ' I � OWNE0. OR � ADDRE55 A , TENANT �i S � UNIT OR /� ` 2 MAILING SPACE NO. /'J V ADDRE55 TR.NO. LOT BLK. TEL. GTV NO. NEW ADD ALTER REPAIR MOVING DEMOLISH CANSTRUCTION LENDER BRANCH � � � '-^ OWNER N.� ADDRESS - q E � ARCHITECT TEL. USE g OF ENGINEER N ADDRESS �ONE TVPE � GROUP I T APPROVED I� CONTRACTOR BV DATE 2 ADDPESS TEL. CITV NO. STATE CITY FlFPROVEDSETBACKS UC. NO. LIC. NO. S72E NO.OF BLDGS. (FFOM C/L STREET) OF LOT NOW ON LOT FRONT FT. USE OF EXISTING BLDG• Separate permits are required for L SIDE F-r. electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED P�,qNNING ACTION DATE � � � APPROVED APPROVED I hereby acknowledge that I hava read this applicaiion antl stata � ihat the ebove ��formation is correct and a0�ee to comply with � all laws regula2ing builtling consvuction, end I shell not employ � any perwn In ��olatlon of the workmen's compensaiion laws of ° tha State of Ca��fornla. � � � ' m I hereCy ce�tify that I am properly licensetl as a contractor untler SQ. FT. � tne State of C5litornie eusiness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl that such licenses are in full torce and effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: e am axempt trom the provisions of the State of Calitornia Business VALUATION e antl Profession4 Cotla, Oivision 3, Chapter 9. PERMIT FEE y m Signature o� �� Y/ �/f/L• �/ A�� PLAN CHECK S �.. o Permlttee ��,�f'!�/` dfiil S rnx E .� f Authorized Agant Date '��'/�//�O TOTAL PAID $ U 00 TL