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Home My WebLink About2004 KORNAT DR - Building Permits f CITY OF COSTA MESA 4 i ►' BUILDING DIVISION >:J ____ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1 1111041 s I PERMIT _ fi L03-00029 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT C:1741 Job Job Address: -2991- KORNAT DR Status: ISSUED Suite No Applied: 01/17/2003 Issued: 01/17/2003 Vicinity: CLOSET / / Parcel Number: 13944202 ISSUED BY: Sr. _ _ Applicant: FRANCO, JIMMY Address: 1401 N BAXTER ST Phone: 714-752-1250 ANAHEIM,CA Zip: 92806^ Owner: De PQSQk7 d0berie-+C' Address: 2061-4CORNAT DR Zed-f Phone: COSTA MESA,CA Zip: 92626 Contractor ALASKA AIR CONDITIONING HEATING SERVICES INC Address: 1401 N BAXTER ST Phone: 714-752-1250 ANAHEIM,CA Zip: 92806 License:812494 SCOPE OF PERMIT CHANGE-OUT OF A FAU IN AN EXISTING SFD. 1 INST FAU<100K BTU NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Rettig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU • $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Fumace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 • 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)754-5626 244646(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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. 2"I 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'c nsnitn1ation Insurance trier andanpolicy number are: .'7 Carder: S'ru TC IB X ..EMS Policy Number: )lO 7 7 Zv (This section need not be completed it the permit Is valued et 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 s0 as to become subject to the workers' compensation laws of California,and agree that Id become subject to the workers'compensation provisions of Section 3700 f the Labor Code,I shall forthwith comply with these provi n , Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION••r RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOL ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.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 licensedger pnder 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.Lic.a fl `L-11 Class N C 2 0 Contractor's •Signature: - �� Date: f 111/0 24- CONSTRUCTION CONSTRUCTION LENDING AGENCY: O 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). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I em 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).): O 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 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. ❑Yes 0 No Drivers License No. Expires: 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(38)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 e 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? 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 Cade 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 ._. h_.._applicant _ h co .__.i.... or ... 5 Does or willothe Coasttiror present or emen bustlingorfrom occupantlied otherwitfor the work ontch is the district or this application a ermlt for such construction or motlilkRilon from the South Air Quality Management District from any air pollution control or agency? �Yes �No (Section 65850.2 of the California Govemment Code 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 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cade). 7 if a permit from the South Coast Alr Duality 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? 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 end city ordinances relating to building construction,and 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. SignatureOf • • er(s) Date _adage - I y-7 d An. •r Authorized A••Iicant Date • goes t INSPECTION TYPE PAIL ItiMIALS ODE is INSPECTION TYPE PATE AML$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical .9-97-03 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 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 tines and sign all appropriate declarations. CITY OF COSTA MESA I /CONNSTRUCTIO�Nj{PPERMIT If PER NO. TRACT NO. LOT NO. - UNIT NO. Project Address aOO4 /n�i'&# ,^DI r r 3 �� t �. �/ Applicant's Mailing Address qT p rnad 'I TYPE OF CONSTRUCTION LJ NEW Li ADD LI ALTERATION BG REPAIR gC K�.�r{ /ei _Phone 546"76'99 ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P.# I Zone Owner's Name C/�i'�rDESCRIPTION OF WORK/USE OF BLDG. Address S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT 0 GRADING ❑ FOUNDATIOry E 0 �� U STRUCTURAL Front Address �/�/��-n` 0 TENANT ❑ ELECTRICAL IIL PLUMBING ❑ MECHANICAL B Rear N �I? -. / II/- Phone 8-"P`T�VJ 0 OTHER A C Right - N Contractor's Nam �n g Add /fr t, , g /// i/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY K- G City Licensess e(mailing) 'm // CONSTRUCTION TYPE VALUATION$ S LeftR City License No. S �J ZONE GRA DING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 0 with section 7000) of Division 3 of the Business and Professions Code,and RECEIVED JUN 2 8 1933 M vs my license is in full f . t,• effect. - $ License Sloss 19---4011a e s- N. Al r a 7 Date e/iQ Signature �'L e_ i / PLUMBING FEES ` - ''ORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES iereby affirm that I have a certificate of consent to self-insure or a certificate .f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) 'c-�j/ r� �q Automatic Washer Transformer 0 15-50 KW Policy No. '7/Q3r}-p8 Company v/w P1 t '!p( Backflow irrigation Sewer Cap Construction Pole Sub. 0 50+KW ertif led copy is here y furnished. de Certijle folyis filed with the cit it ( f I ' n. / Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps Date ('- - /s Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel - 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 Drinking Fountains Solar Tank L_ Fan Motors 0o-1 HP ❑1'h-8 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 — - r Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance �s Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater L9 "' Outlets Range Lender's Name " F 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 Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Coder-Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap r L any structure, prior to its issuance, also requires the applicant for-such permit aundry Trays Generator DO-5 KW ❑5 15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of ivision 3 of the Business and Professions Code) or that he/she is exempt ierefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). . $ 3 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered foryp Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of com- Canopy Type 11 ❑ 'sleben, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By (a)--- \ 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 J Date 7 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 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ /�O PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. !CBO# Fire Dampers PLUMBING $ t// ISSUANCE $ Date Owner Heating System& Ducting Registers ENERGY P.C. $PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this cit to ent r up the above-mentioned property for -- S5.5"---- inspect ion piar(l�seSi '��`�� ‘27-7/4 p p MECHANICAL $ TOTAL FEE $ Drivers' ei'�/ (.[�i� / CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POOL& SPA 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 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 .t`. 58. Electrical Conduit-Undrgrnd. 8. FoundatiO) 59. Gas Pipe, 0 Undrgrnd.,Test tif 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, b:Unclrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK L, 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 8i 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 0il!' 23. Gas Pipe-Rough & Test 72. Underground Flush . A 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro I 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •',� • 27. Frame and Flashing 76. Dry Standpipe ' 28. Lathing & Siding 77. FIXED SYSTEM FINAL f,I 29. Insulation 78. FIRE PREV. FINAL Ii 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION i 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 7/,(j/?J) LI 2 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 5 OWNER MAHONEY, J. DATE 5-21-b5 JOB ADDRESS 2004 Kornat Drive BUILDING PERMIT NO. 24193 GENERAL CONTRACTOI$e uoia Landscape Co. DESCRIPTION OF WORK patio att to res AP No.119-441-99 LOT TRACT FIRE ZONE VALUE $ 700.00 INSPECTIONS Signature Date GROUP J TYPE V ZONE R1 Soil PERMITS ISSUED Gas SUBCONTRACTOR I Date j Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.O I✓ 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 Plaster, Brown Coat Structural, Final /J? 51-12-43. Electric Heating, Vent, Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final jf•/7L$ • j. 24193 CITY OF C S A MESA COSTA ! SA BUILDING-SAFETY DEPARTMENT 1965 P.O.BOX 317 COSTA MESA,CALIFORNIA MAY 21 / For Applicant to Fill In Completely A CA�IO a PERM TYPE OR PRINT IWO IV /1 For Office use Vnly BUILDING //' 0 11(��` cr .//./ ADDRESS L.v� `Y IM, / ��(/� RECEIPT NO. P RMIT O. COSTA MESA. CALIFORNIA ///�� 2-et I '1 3 { RECEIY�D'BY yAT�REGEIVED J„..p E18/eUE_ OWNER IA AuoME• i .l T ♦//// ..,/1/l//.‘, / /�O MAIL p/� 11 ADDRESS BUILDING Aroe>4 \cn(2._I�(/a //tea ADDRESS /QQL} Rh Q IN �� Y '^ FIRE 1 /�/}� �} TEL. ZONE E GROUP 1 CITY 0n81 I, !•AF.%IS. NO. APPROVED .7 Li --` AR•"•ITECT _ -1 TEL. BY ,� DATE 107 0' •INEER NO. ZONINGC1ADDRESS �11j/1 20 I NO.OF ^ UEEOFNEW ` P//„ PNE /illBUILDING CONTRACTOR $F )(•)Ito I_tt. SC lea 1, �/7/�)B7�0 DESCR / y�' fi R �3(/ ADDRESS IIS1 LttqC. tl�t{e(/3�1� (� ' DESCLEGAL BION /_C/� CITY\ d V 1 y/lib, /l F _ A.P.NO. ✓ /`. .- 0 i /3 .4g. 1 o� 44(, —1.230 NOTE: SIDE O OVERHANG L. HAL BE LESS THAN STATE TEL. SO•TO SIDE a REAR P.L LIC.NO. Np. SIZ1 I NOW ON LOTS , ALLOWED (U.B.C.REQUIREMENT) EAVES OF LEOT � O � ' r USE OF YARDS APPROVED YARDS APPROVED EXISTING BLDG. MAIN BUILDING-ddACCESSORY BUILDING r (FROM C/L STR�y/,J/�;/ SETBACK LINE FROM REAR YARD R 7 FRONT ``�4^l�T''"'((JJ l.� FT. CENTER OP STREET R.SIDE .9' OFT. FT. SIDE YARD I LEFT 2 9' RIGHT S Q p DESCRIPTION OF WORK L.SIDE\\)-1 FT. FT. N _I ALTERATION ADDITION REAR r • rJ FT. FT. 1 DISTANCE BET. . BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS. - BUILDING• NO.OP VAR.SC DATE SIZE •Z ( {-7-•-e'”ROOMS 0 STORIES / C.U.P.# APPROVED EXTERIOR WAOO/ APPROVED `n s d /��s, COVERING MOO/ I COVERING Py-7j Y USE OF BUILDING AND WORK TO BH PERFORMED Lta s a E _ . h0 • Z.CA-24'aZ r) — ATI- 0 � S 37._0A.,dei N .0 41, 8Q.FT. eI HEREBY ACKNOWLEDGVE D THIS PPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR TH6AND STATE THAT THE A - A • AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY.-•...INA TAT- WS REGULATING BUILDING CONSTRU •N. / VALUATION re �� SIGNATURE = A,e PERMIT FEE $ ._.(Ly! • o PERMITTEE if / ��A'A JJJ.�/ ---/ S / PLAN CHECK $ C AUTHOR D AGENT L' 1A-C7 u TOTAL FEE $ J L/ OWNER -SAMAR CONST.CO..., DATE Lvov 4 1983 JOB ADDRESS 2004 Kornat Drive. BUILDING PERMIT NO. 20812 GENERAL CONTRACTORSamar COnSt.CO. VALUE $22,656.00 AP No. LOT95 TRACT 4341 FIRE ZONE DESCRIPTION OF WORK ReS.w/att-Czar. INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE Ri Soil ,-GQ /7.-//_4S PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water cl. /7-/7 o7 Rough Com. Refrig. 0 Air Cond. ❑ Rough Heating -/J. - - • 12-1:35 �/g_ )A!4 6 19b* �j�r Rough Plumbing -,•'' 2-S--CV - _ � VOY 2 1 1963 'm"' z J7?ti=� . Miscellaneous 1�^ �\` Prop. S . Line 0 House Con. 0 St. S . ❑ ,(lgn/ 1-37.6// 9\�, (" �.`7Yy'`, `:-\-?T(c'f�f t-{(r1 Cts�0 i Sprinkling_ystem 7711 irk: Construction Pole Obi k� Underground 0 Power 0 -i4 --/J r5,, 7 Rough Wiring �� ,.Cs[-t toe/ /.P-/o-GJ a?/s-re' Trenches Forms Q(- Steel Reinf. gf- 'tit: /Z• Z Floor System /1 ,/7 ? Bond Beam 0 _ Steel Reinforce 0 Sheathing fj / id .ic-&V/ _ Frame and Flashing /1'/j"," y_,p-4, Lathing— In a- Out a- e 3_//--6 7 Plaster, brown coat M414 c--13-59 Refrig. 0 Air Con. 0 Final Heating, Final ry:-cy Plumbing Fixtures, Finalr -rf-C*- Final Gas Test ( Y -^r- C.y Electric Fixtures, Final ) P S-b-blf Building, Final / .5--..,/c-by OCCUPANCY Form ft14-5M-3-63-S-B P . 20832 FEE RECEIVED r OCT 1 7 1963 COSTA BX? EESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O. 917 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely CITY OF COSTA MESA APPLICATION FOR PERMIT Tr. 4341 TYPE OR PRINT Lot 95 BUILDING For Office Use Only BUILDING ADDRESS 2004 Kornat. Drive f{/�/� RECEIPT NO. PE 15016° J! COSTA MESA. CALIFORNIA /('''�(LU,�ISU.( RICEO BY DATE RECEIVED A DATE ISSUED OWNER Samar Construction Co. /0,710 M 14UV 4 jnj? MABUILDING - ADDIL RESS1653 Minorca Drive ADDRESSFIRE / u �,C I��/'/ TEL. ZONE TYPE GROUP I / CITY Costa Mesa TEL KI 90395 0 APPROVED A00R/"+ITECT N ER E G Kaltenbach TEL '547-8046 BY DATE ZONING / ADDRESS 1823 F 17th St Santa Ana R NE NO.OF 2 UUSE SI o N E Wat€eoar. CONTRACTOR Same as Owner LEGALDHSCRIRII t 95, Tr. 4341 ADDRESS -��y� A.P.NO. CITY NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.STATEN197838 TO. 30'TO SIDE s REAR P.L. EAVES OSIZEF LOT 7O x 1 O2 I NO.OP BLOCS.0 ALLOWED (U.B.C.REQUIREMENT) NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF --- MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ,IL (FROM C/LST EET) /.� SETBACK LINE FROM 551 REAR YARD 46 FRONT.FFT. -/0 01 Fr. CENTER OF STREET l^ SIDE YARD I LEFT 6 I RIGHT 5 R.SIDE ---.."FT. FC. DESCRIPTION OF WORK L.SIDE G FT. Fr. 1 N X ALTERATION _ ADDITION REA Ff, S/ 4 FT, DISTANCE BET. BET.MAIN& REPAIR r� MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDG9. S ZE 9IN2, 122 sq.ft. ROOMS STORIES 2 0.U.P.# ''qq11(\��\ APPROVED EXTERIOR WALLWaad� I ROOF Shake& APPROv, '/ \I ly, 1 --1 v-6 7 COVERING Sttirrr) COVERING Shinle BY II JJJrJrT,,L d�Yl/VdlMil DATE J USE OF BUILDING AND WORK TO BE PERFORMEDVL Single family residence and attached garage. Plan 43 A r7 / a 7 SQ.Fr. y�� %/�/ �/p °' "G I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m BUILDING CONSTRUCTION. SIGNATURE OF CONSTRUCTION./ /')1 v PERMIT FEE m PERMITTED /1 ///�� $ J� �SU• - A C.EC I �� AUTHORIZED AGENT O!• O TOTAL FEE $ /1)cf'- V 8827 12/ 18/79 121. 16 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLI ATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ` wag REC BY 'PERMIT / l/ / For Applicant to Fill in Completely— Use Ink OnlyBUILDING ADDRESS �e C 6}' K O 2Nh T- A.P. NO. `3 / BUILDING .200 el �V4` OWNERADDRESS TEENANTNT O 13 tlj,1- �� &Spot LE UNIT MAI LING SPACE NO. ADDRESS T ;.fy9çLTER OT frs BLK. TEL.,,,.z/ [l/I'�/( " CITY la 5'14- /r,LS 4. NO. 5J 47LYP • CONSTRUCTION NEW A REPAIR MOVING DEMOLISH LENDER 1 4 N Ko w Iv BRANCH 2.4 , Pa e�_ OWNE�R7.(�Jf�� L ADDRESS USE / "'^• �n A $4, ARCHITECT TEL. OR ENGINEER NO. ADDRESS ZONE T"—I 'TYPE Y.. GROUP APPROVED CONTRACTOR )M4S (r EU Ego%C BY DATE IZ/Ithg ADDRESS Po tit,O- 21 i y n TEL CITY t rT7r NO.B'tZ 'j//$ F. STATE CITY APPROVED SETBACKS cy LIC. NO. 2qs' 5(C y LIC. NO.OI`/f/ 7 W SIZE NO.OF BLOCS. (FROM C/L 6. OF LOT 70 )( I 62— NOW ON LOT ` FRONT Q USE OFp / 3 ' .4 EXISTING BLDG. 5 ,F;(Z i R.SIDE s� ET. V) IRI I-. Separate permits are required for L.SIDE 62Cif.�G electric,plumbing and heating work: REAR ,/ 3FT. t (Ls7.� USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION / DATE Q Sen?/L/y ie8^O/17 A APPROVEDn /y�Y ROVE�I�� /'V f)ATF /l—I� / cgm • 0 I hereby acknowledge that I have read this application and state n eg that the above information is correct and agree to comply with G, all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of e Wthe State of California. i„ S Z r+ m 3 I hereby certify that I am properly licensed as a contractor under �l SQ. FT. ry D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR to Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0— am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. VALUATION PERMIT FEE $ ,cp ,DD n PLAN CHECK $ m Signature of • D.00 o Permittee e .s.„,, , w/�."/Q $//^ DW TAX $ ts ! (p U Or Authorized Agent Date / Z ��7 // TOTAL PAID $ /2,t/42 r