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Home My WebLink About3125 KILLARNEY LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Job Address: 3125 KILLARNEY LN Suite No Vicinity: GARAGE Parcel Nunmber: 14163321 Applicant: LINHART, WILLIAM MARTIN Address: TR COSTA MESA, CA 3125 KILLARNEY LN Owner: LINHART. WILLIAM MARTIN Address TR Contractor: Address: Arch/Eng:, Address: COSTA MESA, CA 3125 KILLARNEY LN WATER HEATER CHANGE -OUT. QTY Phone: 714-546-5137 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT PERMIT NUMBER vP99-00225 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 04/14/1999 Issued: 04/14/1999 FEE SUMMARY AMT ISSUE FEE $22.00 Backflow irrigation $0.00 Backflow Preventer $0.00 Bathtub $0.00 Clarifier System $0.00 Connect (Ice,Soda,etc) $0.00 Dental Units $0.00 Dishwasher $0.00 Drain, Floor $0.00 Drain, Rainwater $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 Gas (1-4 outlets) $0.00 Gas (Over 4 outlets) $0.00 Gas Repipe $0.00 Gas Service $0.00 Interceptors (Grease, Oil) $0.00 Interceptors (Sand Auto ) $0.00 QTY Phone: 714-546-5137 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT PERMIT NUMBER vP99-00225 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 04/14/1999 Issued: 04/14/1999 FEE SUMMARY AMT QTY AMT QTY Laundry Tub / Washer $0.00 0 Sump Pump $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 P -Trap $0.00 0 Trap Primer $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bknow(14) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bknow(5+) $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Sewer Private Line $0.00 0 Water Closet (Toilet) $0.00 0 Shower $0.00 0 Water Heater/vent $11.00 1 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Sink, commercial $0.00 0 Water Re -pipe $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Spa (private) $0.00. 0 VIOLATION $0.00 Spa (public) $0.00 0 PLAN CHECK $0.00 REINSPECTION $0.00 0 COMMENTS I SPECIAL CONDITIONS TOTAL CALCULATED FEES: $33.00 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) 7545626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: - 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will 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. My workers' Compensation Insurance Cartier and policy number are: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ 1 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 that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with these provisions, Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST. AND ATTORNEYS 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 farce and effect. Lic. a Class k Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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: Lenders 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 (5500).): 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 will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: 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 rsuant to the Cmractol?yicense Laws.). ❑ I a ex nder se Business and Professions Code for this reason: Signature n w L4 Date: S Owner ID verified by driversrlicense. ❑ Yes ❑ No Drivers License No. r r spires: Verification of Ownership by (type of document, i.e. - property tax bill 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, falsework, 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: 1 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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? ❑ Yes ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L -I No (Section 65850.2 of the California Government Cade requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ 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 all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ 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: CERTI KATE OF COMPLIANCE AN AUTHORIZATION OF ENTRY: I Certify under penalty of perjury that I have read this application and state that the information given is corn agree to comply with all a laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the e betl propgrty for In spa do puryo es. agree not to Occupy or allow occupancy of any building authorized by this pernit unY final ysp ctlon. Signature Of Legal Owners) D6te AndiOf Authorized Applicant Date CODE It INSPECTION TYPE gAiF INTMALS CODE 1 INSPECTION TYPE PATE INTIrm 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retalning 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 244646 �liDURESB: 3125 KILLARNEY LN ZLZ UNIT: 3'SNAME: WM LINHART .L ADDRESS: SAME 546-5137 ARCHIENGINEER: REOMIG.: ADDRESS: UNIT: PERMITTEE: ORANGE COUNTY ROOFING INC (714)771-0781 ADDRESS: P012087 ORANGE CA 92669 LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 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. CITY uc.:051262 STATE uc.:5284 33 CLASS: C-39 Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate, of consent to Rif -insure or a certificate of Workers' Compensation IT"ce2 U 6t copy thereof (Section 3800, Lab, 619v 01 /91 acucY NO.: STATE V EAP. DATE: V MPANY: tjOCer hied copy is hereby tumkhed. ❑ Canned copy is filed nth the Gry Building Divi m Date: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (ftds section need not be completed if the permit is far onehundred ($100) of less). I certity 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 became subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should became subject to the Workers' Compensation providers of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. Cis LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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 Ole a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Slate 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my empployees with wages as their sole compensation, will do the work, and the r-3structureis not intended or offered for sale (Section 7'044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of property who builds or improve$ 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. tf, however the building or improvement is old within one year of completion, the owner will have the burden of proving he/she did not build or Improve for the purpose of sale). 1, as owner of the properry� am exclusively cantracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' elate License Law does not apply tow owner of property who builds or improves thereon and who contracts for such projects tklh a contractor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker s Compensator Insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Cade Sections 25505, 25533, and 25534 and that I or any future building occupant wiNwill not (circle one) need to comply with mid state codes and the requirements for a permit for Mrsitruttion or mndificetion from the Air Uri Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby cerbty that I have read this application and state that the above Information Is correct. I agree to comply with all city and county ordinances and state laws relating to budding comtructbn and hereby authorize representatmee of this dry to enter upon the above mentioned propend for inspection purposes. Date: Signature: Driver's License or Social Security A: 164146 White—Building; Glean—Code Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048682 PERMIT NO: B 048682 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION T/OFF RESHEET &REROOF SQ FT: 5,939 CLAIM VALUE: 5,900.00 CALC—VALUE: 5,939.00 GROUP OCC: R-3 / COMMENTS; T/ OFF RESHEET &REROOF W/COMP 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 BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE& PROV: PARCEL: 14163321 ZNE: REF NO: PLANNING N TES> k♦E ae lE fEif iF*4iEMBFla ie iF aF iF ie it*eF fE eE*iE ie eFMkiElFla iEkfF eF iF*keF iF iF fEiFlEie iF 1E**iE eE*fEee iE ie iF aE*eEeFeE *ii at aE lE iF of aF 9F of iF iF eF iE le eF 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 BY DATE: BUILDING APPROVED BY :_ DATE: APPLICATION ISSUED Bx— DATE: —7`i0 iF*it iE le ilk iF ae iF iE iF iF iE iFkklF lF iF iF le iFiF —ic sE d 4r x �T• a at iF tie ie 3k+ril-jt iE letFiSiF'iF 3F"iF�'£"iF iFtk ie *aEiEie3FaFiF*reF*eF*aEeE3e3PiEiFaEaFiFiE1f3E3Eet***aFet�4***�*** r3t3Ese*�F*iEiEiE9FiFiE***eF�Ea�eEaF***�**.��alarat**erg-*rtx- LEGALIZATION:N F E E S M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECT iC MECHANIC FIRE SMIP/RES GRADING PERMIT 81.00 SMIP/N.50 ON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 81,50 0.00 ',0,00 81,50 81.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 81.50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING-PLAN—CHECK 81,00 ,50 tie iE iF ie * * iFlF eF iE ie iF it ik ie * iF iE * iF iE iE eE iE it 1F iE iE eF ie ilk eF iF ie aF k * aElE aF eF ea ae 4 k!F * e6 aE aE i4 iF if iF iF ie iF eE aE aF 9E iE iF iFlE iE iF IE BE * iE 9E * iFlE 4F iF eE eF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5939 REROOF BY VALUE RESIDENIAL/ NOZONE 1.00 5,939,00 END OF FEES SMOKE DETECTOR REQUIRED 01 00068095—CE063096 TOT DATE: 08:22/90 TINE. 12:12 CONSTRUCTION AND PLANNING t APPROVALS Permit # Date Inspector P, _ & SPA 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 UFER Grnd. 57. APPROVAL.TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final t 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing g Z( J 74. Overhead Hydro 26. T-Bat Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREV. FINAL 30. Drywall Nailing -. I 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 oe 35- Final Gas Pipe-Test S 36. Hood or Canopy i •' 1' 37. Final Factory Fireplace 38. Final Plumbing 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 d /, 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PERMIT NO. cover AP No. 141-632=21 LOT TRACT FIRE ZONE VALUE E 500.00 INSPECTIONS Signature Date GROUP J TYPE V ZONE R-1 Soil SUBCONTRACTOR PERMITS ISSUED Gas I 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 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final 26340 ' COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CJ OWNER 'ae 1�G/�f ADDRMAILESS 7 lZS l\1 CITY (05;r -I, ML3-St VNGINII X61 ivr ECT en ADDRESS3(ZS-&/A-ek,E CONTRACTOR ADDRESS CITY STATETO LIC. NO. NI SIZE OFLOT USE OF EXISTINGBLDG. SETBACK Uhl TROM 1� NO. or 01 -Dow. DESCRIPTION OF WORK BUILDING NO. OP SIZE �— ROOMS EXTERIOR WALL �• ROOP_ _ BE 1 HERSEY ACKNOWLEDGE TMAT.1 HAVE READ THIS APPLICATION AND STATE THA THE ABOVE ISfff�� RR[R AND AORE[ TO COY• PLV WITNv LL OiD1 �NiG� IJ1Wf R[O BUILDING C 1 nceuAirrU E AUTHORIZED AGENT NOV -3-66 00 125 7 -*****5.M APPLICATION FOR PERMIT BUILDING For Office Use Only R[c[Irt no. -DAM BY DAT[ RECEIVE DATE ISSUEDBY DAT[ R[C[IV[ DAM ISSU1EDD BUILDING ADDRESS FIRE ZONE TYPIC GROUP APPROVEDfr� BY DATE ZONING zONNo. or UEE or New PLAHI SYILDIN DEADRImoN AC r 5 A. P. NO. / — NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 90- TO SIDE.0 REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROMR ET) PR NT PT. R. SID PT. L. SID19 FT. PT. ti REAR PT. FT. DIETANCE BET. BET. MAIN e MAIN BLDGS. ACCESS. BLDOS. VAR.* DATE C. APPROVED APPROVED DATE SQ. PT. THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOSE Or SSTABLICHING A PERMIT FEE ONLY. VALUATION _ X " PERMIT FEB �f 9 °�PLAN CHECK TOTAL PEE OWNER HARBOR HALL OF FAME HOMES INC. JOB ADDRESS3125 Killarney Plane GENERAL CONTRACTOR Lifetime Residential AP No. LOT 35 TRACT h356 NOV 2 9 1%2 BUILDING PERMIT NO. -BlaP,• OrP• VALUES 17r415.00 FIRE ZONE DESCRIPTION OF WORK Res INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1 Soil -SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER 'Vale'' Rough om. Rcfrig. ❑ Air CA. Rough Heating Rough Plumbing Miscellaneous _ Prop. Swr. Line House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wirin /1/Gj'{�(�J C'--� _? Trent es corms Steel Reinf. ❑ Floor System 6e Bond Beam O Steel Reinforce ❑ Sheathing Frame and Flashing 2^6^et Lathing — In [— Out Z . -J/ -62 Plaster, brown coat 3 Refng. ❑ Air Cond. ❑ Final Heating, Final lk*�'_ 41-1 -62 Plumbing Fixtures, Final Final Gas Test _ Electric Fixtures, Final Building, Final S OCCUPANCY ronin soa - W — rci l�lvy 18]54 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE vOR PRINT BUILDING 3 /ZS /I . ��q �tiC Z� ADDRESS ye_ COSTA MESA. CALIFORNIA f EE - ECE�IVED . Lot 35, Tr aKAINCE AV Plan �6o0-B DEPT, CITY of COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only Harbor Hall Fame Homes Inc. RECEIPT NO, E JF4 113CD OWNER of 11111L}TJl(( IFJ• MAIL PPO• Box 2066 RECEI 8O BY I DATE REj.EIVP�D �/) DATE ISSUED ADDRESS �(/ (/p_'f/11 I v� :c.0 •. TEL BUILDING CITY NO.. -ZZO ADDRESS r SCT Jamison NEOL.�-0040 COSTA MESA. CALIFORNIA INTER r 225 "D11 St., Tustin FIRE � DRESS TYPE GROU Lifetime Residential Bldg Co Lifetime PPROVED CONTRACTOR GATE 2131 SOP Artesia St. ZONING ' ADDRESS CITY Santa Ana ZONE NO.OF FLANS Y U8E OF NEW BUILDING �= pa LIC.STANO. 208676 TEL NO. KI -2204 97, 3 DELEGAL S �` BCRIPIION 3 SIZE 6000, I NO. OP BLDG9. 0 OF LOT NOW ON LOT A. P. NO. USE OF None YARDS EVES EXISTING BLDG. APPROVED ALLOWED BACL SETBACK LINE FROM 51' 31.50 LINE ST.) CENTER STREET REAR YARD FRONT -5-11 �- FT. IN. SIDE YARD I LEFT 201 I p RIGHT 89 R. SIDE 6 FT. IN. DESCRIPTION OF WORK L. SIDE .S "F FT. IN. NE'. IX (ALTERATION I II ADDITION i REAR 3J FL /IN. REPAIR I I MOVING I DEMOLISH BYPROVED _ /p DATE Ia y1�6 BUILDING NO. OF , SIZE 1644, ROOMS 9 STORIES EXTERIOR WAL ROOF I Shake COVERING COVVERING USE OF BUILDING AND WORK TO BE PERFORMED Single a 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW NDER VALUATION IS FOR THE AND STATE THAT THE ASOV 19 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY O N CEB AN ATE LAWS VALUATION L �y FULATING BUILDING CONSTRUCT] UQ SIGNATURE OF PERMIT FEE $— PLAN CHECK $ PERMITTEa $ /� /�-" AUTHORIZED AGENT TOTAL FEE S^� 0 L11MART. WILLIAM M. & GOLDIE J. GENERAL CONTRACTOR Owner VALUE$ 1.000.00 AP No. LOT 35 TRACT 4356 FIRE ZONE 3 DESCRIPTION OF WORKAdd Patio t0 . INSPECTIONS Signature DATE GROUP TYPE ZONE Soil Gas SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wirin Trenches Forms Steel Reinf. ❑ e,. Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Plaster, brown coat Refrig. ❑ Air Con. O Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final�L ik 3 a OCCUPANCY Form BU4--5M-3-83—S-B P 20944 20944 COSTA MESA BUILDING SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA OWNER William M. & Goldie J. MAIL ADDRESS 3lZ�'R?1fa'rney Lane CITY Costa Mesa Cal if TEL. 7 ARCHITECT TEL OF :WEER none NO. 0 STATE 'SIZE OF LOT 72 X 1001 USE OF NG E USE OF do wM T 5501 REAR YARD vI' EFT 1617" I RIGHT 7#311 DESCRIPTION OF WORK x II II _____ ROOF CO V EF IORK TO BE ar I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CY Oq DINANCBS AND STATE LAWS REGULATING BUILDING CONST URION. / SIGNATUUF O IQ/� 117T 1 ♦ PERMITr( ��/{�V4L�-TL/T AUTHORIZED AGENT FEE RECEIVED Roy 1 .1961 FINANCE DEPT. CQPLWAfF64AF6X*PMIT BUILDING For Office Use Only RHC[IPT NO. P2'fJ9°44 RHC[IV D JPIJ-r.D r//OO `J%/// U}�T)<�H$ll[DA L� .7 BUILa ADD SQ FIRE ZONE TYPE. GROUP 1.3 APPROVED BY DATE ZONING No. OP u.M OF NZW Vv PUNS BUILDING LEGAL DESCRIPTION A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 90' TO SIDE B REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET _ FRONT AkPr. R. SIDE FT. I FT. L. SIDE PT. FT. REAR DISTANCE BET. BET. MAIN 9 MAIN BLDGS. ACCESS. SLDGS. VAR.# DATE C.U.P.# APPROVED APPROVED BY D TE / SO. Pr. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY, VAL TION PERMIT FEE PLAN CHECK 5 TOTAL FEE