HomeMy WebLinkAbout2020 KORNAT DR - Building Permits ADDREssocen ND: 2020 KORNAT DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT
ONNERSNAMEIFtO1CWN: BRODY, HARVEY TR FLOOD: AE-46 PERM NO: P 076994
A W ADDRESS: %THE, BRODY FAMILY LIVING
TRUST PERMIT NO: P 076994 PLAN CHECK NO: N GOVT: N SUPP: N
2020 KORNAT DR COSTA MESA, CA 9262E
a APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: 0TH
ARCHITECT OR EMMA UC.NO.: JOB DESCRIPTION : GAS VALVE ON OWNERS SIDE OF METER SQ FT:
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /0-1
CONmACTDRSNAn: PACIFIC PLUMBING CO/SANTA ( 714 ) 547-6967
CONTRACTOR'S MALING P 0 BOX 1494 COMMENTS : INSTALLATION OF GAS VALVE FOR EARTHQUAKE SAFETY
ADDRESS SANTA ANA CA utNO.: 266807 *EEiE*+E+E+ritat -SESESE*trsEEE*iSSeiEiE+EiEEEatEs**EEStsE*atxat*****SESE** Et*EEaEEEit-EEsf**St*sEEEBEu*atiESE****K-EriE+E*****
92702 UMT, ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,end my license a in full force and effect.
CtTYLIc.NO.: 005998 LIC.Cuss: C 36 LIC.NO.: 266R17 EXP: 06 /96 MAIN BUILDING -- ACCESSORY BUILDING
PI'� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
/ Date: convenor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILDE DEC RATION:I hereby affirm under penalty perjury hon I �pe from the Contrenors License Law for the
on ' reason(Sopbn7031.5 Business and Profession Code:A at count requires apeana to construct.alter.improve, PARKING REQ: PROV: PARCEL: 13945504 ZNE: REF NO:
mol'eh,or repai any structure,prior to its issuance,also requires1h -.:icant for such pens to file a signed statement that he or she PLANNING NOTES>
'a licensed pursuant to the provisions of the Contractors License Law(Chaper 9(commencing with Section 7000)of Division 3 of the
lusiness and Professions Cadet or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by anyapplinanl for a permit subjects the applicant to a civil penalty of not nmore thanrove hundred dollen f$5G0)). *******************************************************************************
Eli,as owner d the properly«my empleyees with wages es their sole compensation.will do the work,and the structure a net intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Sargon 7044,Business and Professions Code:The Contractors License Law does not apply to an propertywner of
who bolds«inprovss thereon. such and who does work Iimset or herself a through he or her own employees,provided that such
improvements are not intended or offered for sale.f,however,the building or improvement is sold within one year of completion,the ZONING APPROVED. BY DATE:
owner.builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the properly.ant exclusively contrmiile with licensed contractors to contact the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The ContractorsLicensesLaw dove not apply to an owner of poen w). «improvss thereon and who ��
contracts for such prhe Ce with a contren Laic does o, pply to the renaa License law). r)vF�h(/�
❑ I am exempt under Section: B.SP.C.,for this reason: APPLICATION ISSUED BY: DATE:
Date: ONTer -- LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I am aware of and understand the requirements of Caleamia Health and Safety Code Sections 25505,25533,and
25534,and that I or any future building occupant will/wilt not(circle one)need lo comply with said Nate c.odes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modificationhorn the Ai Duddy Management District.Residential construction applications are exempt from these PERMIT ERMIT 7 . 00
Date: Applicant: 25% S M I P/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 20 . 00
❑ I have andwit maintain a certificate of cement toselinure for workers'compensation.as prodded for by Section 3700 of me Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the performance ofthe work for which the permit isissued. TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 . 00
pI have and wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.for the performance of the
work f«" a this permit issued. «k" aa
'' i"'aaen. 'ndpa w
T"amba': EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 27. 00 OVER/SHORT: . 00
Carver:
Policy Number: N604540•tiOu 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
. his section need not be compered I the peons is for one hundred dollars($1001 or less.) 27 . 00
❑ I
.. ..tsuectt the pthewvke 'comerformance of the wakfor which thopermlti,endagre test not employn manner so *******************************************************************************
subject to the w«nc compensation h of California, su agree that if •. a Income in n any to the workers'to
••mpensat.n p• led •�of ••.ion 3700 of the labor Code,I shall let with mmpyY'•'ri"provisions. I N D I V I D U A L F E E B R E A K D O W N
t— 2 •• • Applicant: i�•� ,
Ing:Failure wo6ars'comperuadon coverage/s I,and ty`y(� Nn employer to criminal and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
r Ones up to one hundred thousand dollars($IOG000).In a • to the TTS •mpxrutlon,damages as prodded for In
ectlon 3706 of Me Labor Code,Interest andatforney'a feet PLU 1 GAS SERVICE 7 . 00 7 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency far the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.Cl.
LENDER'S NAME:
LENDER'S ADDRESS: h�`rsa•�'Vw ATT '''���''qyy
I certify that l have read this application and state that the above information is coned.I agree to comply with all city end county ordinances e�ii i�Y�
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-m oned property i �y LL
fornsPedip"purpose'' JONATHAN MOFFATT
DATE (0'19. -1
1 R-
/) Print Name ( / L. 0�J_h03,':7—b37D.''t *? v g ,.
/e PA id • Date: i 2 / k/// DATE n(,;.t.. 3TT 'IL" .t°:4
III
� (5151'46 WP) White-Building 8 .sty:Green-F Canary—Appicant:Pink-Revenue:Goldenrod-Assessor
CO3ISTRUCTION AND PLANNING POOL 'A
�APP'ROVALS 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 = 7
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
i
7. Footings 58. Electrical Conduit,-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test S�
9. Water Pipe-Undrgrnd. Ir 60. Backwash Lines, P-Trap, 0 Uddrycnd.
10. Structural Floor System 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 1
12. Sewer Cap - • - 63. Heater & Vent•Final
13. Roof Drains •"•. 64. Plumbing System - Final ', I
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit r 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
41
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil i -y
25. Roof Sheathing 74. Overhead Hydro
1
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I
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
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. FINAL PLANNING
I.;
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co i„
51. CERTIFICATE OF OCCUPANCY -
No. Date
hiROJECTADDRESS: UNIT:
OWNER'S NAME: 2020 KORNAT_ DR CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 053131
• Y
ADDRESS:
2020YKORNATLDR PERMIT NO: B 053131 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: ( 714 ) 557-4161 REG.NO.: n n
ADDRESS: UNIT: JOB DESCRIPTION : RE-SHEATH 6 RE-ROOF W/ ALCOR ALUM #3147 SQ FT: 8, 000
PERMITTEE: CLAIM VALUE: 8, 000 . 00 CALC-VALUE: 8, 000. 00 GROUP OCC : R-3 /M-1
ADDRESS:
ROOF SPECIALISTS ( 714 ) 558-0678
1529 MCFADDEN AV COMMENTS • SMOKE DETECTOR(S) REQUIRED IN HOME,
SANTA ANA CA 92705 **** **�E4******************** *�E**�E*****t�*�E*t6*+ ********+E****x.******* *r.-**** *
CENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
000)of Division 3 of tee Business and Professions Code,and my license is in full force and effect. SETBACKS
ateITY LIC.: 033723 STATE 23 0 C-39
OR7-3d- �L Signature: MAIN MAIN BUILDING ACCESSORY BUILDING
ORKERS'COMPENSATION DECLARATION: I hereby affirm at have enificale of consent to sen-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ompensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OLICY NO.: 046-91UNIT3117 EXP.DATE: 01 /01 /92
COMPANY: STATE FUND_ PARKING REQ• PROV: PARCEL : 13945504 ZNE: REF NO:
1 Certified copy is hereby furnished. L,Y Certified copy hien the city Buatling Division. PLANNING NOTES>
>
ate: 3 Applicant ********************************************************************�!t*.3£** *****
XEMPTION FROM WORKERS'COMPS SATION DECLARATION: (This section need not be completed if the permit is for one hundred(4100)or less). DEVELOPMENT SERVICES REQUIREMENTS
rend y that in Me 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. ZONING APPROVED BY DATE: -
Date: Signature:
NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions at the Labor BUILDING APPROVED BY : DATE: .-
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . �j CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: - DATE: .7,(p
rcwhich this permit is issued(Section 3097.Civ.Cl- *..*.*.*.****.*.**.**3(.********• • Ai .,n":yenk • • - _**.**.**1(.*.** -v h�(. **
LENDER: ********************************* ***** *** ***.******************************
ADDRESS: LEGALIZATION:N F E E SUM J A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 99 . 00 8 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV-> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 99 . 80 0 . 00 0 . 00 99 , 80 99 . 80 . 0 0
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 employees,provided that such improvements are not intended or offered for sale.If,however the building or —_
orimprovementpumeofswithin one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE BLDGPMTN TOTALS PLUMBING ELECTRICMECHANICFIRES SMIP/TOTO /S GRADING PLAN—CHECK
for the mentis of dale).
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 99 . 00 . 80
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts tor such projects with acontractor(s)license pursuant to the Contractors'State License Law).lam aware *.*.*********.***************.********-**.***.*{(-*-*.***.***.*.*.)E*.*******.**x***.*.**.*.****.*.*.***.
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do herebycertifythat am aware of and understand the requirements of California.Health and SafetyCode Sections 25505.25533,and SFR 8000 R EROOF BY VALUE RESIDENIAL NOZONE 1 . 00 8, 000. 00
25534 and that I r any store building occupant will/will not(circle one )need to comply with aid stae codes and the requirements for a END OF FEES
permit lar construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and h uth 'ze representatives of this city to enter upon the above-mentioned
property for inspection purposes.
0100097446-00093447 —1—C:7-
Date: ? ^3 C^ �/ Signet� DAT:: 37/30191 0/9I TIC=' 14:F4
Driver's License or Social Security x.' S
46 white—Building:Green—Code Enforcement Canary—ApplicanC Pink—Revenue;Goldenrod—Assessor
A
!NSIHP!JNANDPINNING
POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service'or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. r: 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd.' Cje- 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.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe.Undrgrnd. •'•'? 60. Backwash Lines,P-Trap, 0 Undrgrnd. • ``
10. Structural Floor System - . s 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 L 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 0 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 . i i t HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ; • 79.- FINAL INSPECTION '
32. Electrical Power Meter-Final 1 - 80. FOOD CERTIFICATE ISSUED
33. Final Electric /I • ., • \ Notes:
34. Final Heating& Air Conditioning I •
35. Final Gas Pipe-Test : •
36. Hood or Canopy . ' •
37. Final Factory Fireplace " 7 . r
•
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 (to pa,.
48. FINAL PLANNING P��''- f .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY -
No. Date //__
OWNER SAMAR CONST.CO. DATE NOV 4 1982
JOB ADDRESS 2020 Kornat Drive BUILDING PERMIT NO. 20836
GENERAL CONTRACTOR Samar Const.Co. VALUE X4,020.00
AP No. LOT 99 TRACT 4341 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS SignatureODATE GROUP I & J TYPE V ZONE RI,
Soil . a' /-�'LT SUBCONTRACTOR PERMITS ISSUED •
Gas DATE NUMBER
Water a.. 17-//-LT
Rough Corn. Refrig. ❑ Air Cond. ❑
Rough Heating - —' -a. , 1p;1:;:•16 1• •• —
Rough Plumbing
� 2-/y J : ' NOV 2 1 1963 , ,fit om)
Miscellaneous
Prop. Swr. Line e'liouse Con. p St. Swr. 0 4*-S 2.2G-ij VA\m.Cc-A-ANg— 'One• 2-\' \Ci-On`C Y� Q i
Sprinkling System a
Construction Pole 1,v 7.,..,,
Underground
Underground ,{$• Power ❑ £JJI /2-/J0 �—� O `plat
Ra h Wiring f - 9 2-,iii- c/ r,�7 ,�y T �i 44. X //oa2 f —
Trenches p1 Forms gt Steel Reinf. w' /�'/%�� LJ - I
Floor System >��G /A/• --- -?
Bond Beam 0 Steel Reinforce ❑
Sheathing if7--.r-bq
Frame and Flashing 5. / 2-//-trey
Lathing— In.Ir Out r Aren0 '1-9^ '
Plaster, brown coat y-,g_Cs'
Refrig. 0 Air Con. 0 Final _ ,
Heating, Final ��/f
Plumbing .0.. j Fixtures, Final __ _ -
Final Gas Test A.5-17 ''taro
,j7/
Electric Fixtures, Final ��ab .T r ,_
Building, Final YG'.J 5 -i-Cf'
OCCUPANCY
Form EU¢-5M-3-03-S-B P
s<it 20836 FEE RECEIVED
OCT 1 7 1963
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 917 COSTA MESA,CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
Tr. 4341 TYPE OR PRINT Lot 99 BUILDING
For Office Use Only
BUILDING 2020 Kornat Drive
ADDRESS RECEIPT NO. PERMIt O.
COSTA MESA. CALIFORNIA l(lf 1J1lI[I[H36
RECEIVADy /P DATE RECEIVEDN WE IBSf1ED 1963
OWNER Samar Construction Co. 4/ �( 4
BUILDING
MADIL ADDRESS
wDRESSi653 Minorca Drive •
TEL. FIRE (//� n�I
V
V
• • ZONE TYPE GROUP.---P
CITY • S \a' • NO. L 1 P
ARCHITECT TEL 'APPROVED DATE
OR ENGINEER E.G. Kaltenbach ND..547-8064
ZONING
ADDRESS1823 E. 17th St. Santa Ana
ZONEI NO.OF I UB80P NEVS�res.•
Rl PLANS 2 BUILDING wi at'l..gar•
CONTRACTOR SnmP CIS nWner
LEGAL
DESCRIPTION Lot 99, Tr. 3 1
ADDRESS
CITY A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 197838 TEL. 90•TO SIDE a REAR P.L.
LIC.NO. NO.
EAVES
OSIZEF LOT 70 x 105 I NO.OF BLOG8.0 ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.--- (FROM C/L STREET)
SETBACK LINE FROM 50' REAR YARD 38 FROM FT.90 FT.
CENTER OLFSTREET
SIDE YARD LEFT 5 I RIGHT 5 R.SIDE r•FT. FT.
DESCRIPTION OF WORK L.SIDE SFT. l-}/[7 l F r.
NEW X ALTERATION _ ADDITION REAR . FT. • V
DISTANCE BET. BET. MAIN @
REPAIR MOVING DEMOLISH MAIN BLOGS. ACCESS.BLDGS.
BUILDING NO.OF VAR.* DATE
SIZE L4 238 sq to ROOM STORIES 2 C.U.P.# APPROVED
EXTERIOR WALL"ood& ROOF Shake& APPROV111q I��'I//�\\\�\1.- ___ y1 /��G
COVERING -Stucco I COVERING Shingle BY ,^TI,1,y 'V A/VF1 DATE /v 3
USE OF BUILDING AND WORK TO BE PERFORMED ��_ ��_��Y���JJJ
Single family residence and attached
garage. /l
Plan 44 B �" 02/3i„.n.17D9°�'.cd, /.,2f D'
I HEREBY 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 OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. �r n
SIGNATURE OF //174,41 PERMIT FEE m
PERMITTEE /Y �� �/1 ^/ As q
LL
AUTHORIZED AGENT
TOTAL FEE $ //, y
• WY ALAN, C. A. DATLO' 0-3-b7
JOB ADDRESS 2020 Kornat Drive BUILDING PERMIT NO. 27386
GENERAL CONTRACTOR Danny 0 Toole DESCRIPTION OF WORK in a1 gar to den
'
AP No. 139-455-04 LOT TRACT FIRE ZONE VALUE $ 1,400.00
INSPECTIONS I Signature Date GROUP I TYPE V ZONE R1
SoilPERMITS ISSUED
I
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing _
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinldinj_System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring I R43' p•io .L7 Heating and Vent.
Trenches.0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 • Steel Reinforce 0
Sheathing
Frame and Flashing 'Mi ,y_67
Lathing —In m Out ® IS VT'9
Plaster, Brown Coat I
Structural, Final ��// ////// Electric',
Heating, Vent., Refrig. and A.C., Final pyo _mom,( T��_ t-9_6 7 alit 7> -dal
Plumbing, Final and Gas Test 0
Electric, Final le -6
Building, Final g� r i/it /,b
)I44 27386
w;n
AUG 3 G7pAin,,0 354" T r. (' li.SC
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING y / (/7 / j�` For Office Use Only
ADDRESS n(y).7[Q // OA-/vRi /!O_, y
RECEIPT NO. I f"^ 3•O
/+G
COSTA MESA. CALIFORNIA //
/� RECK E D RE EIV I7 IrICISSUED
OWNER C c'. fry /1 F l�ti/ /J'3— C-7
MAIL 7 /,p BUILDING
ADDRESS &O flP) �a R/U/+ ADDRESS
/ FIRE
CITY C--E S 7'N seesxf- NGL'-50 ZONE TYP GROUP
lC0 �.; NO
APPROVED t J_/ y
ARCHITECT (✓. /� TEL BY' DATE J (e /
OR ENGINEER / /
ADDRESS 9-1.Pc (t f' �7 SY. ZONING �y
�J�,I -( //J/I ZONAE NO.OP USE OP NEWSAJT/.01 I
CONTRACTOR 7.0/ 41 y a eo /L- /1_1 , FLA..NLS E/UJILD'3 'II oj'/ereM l/eh
ADDRESS I?/ 6�P "L •
LEGAL 4a/ 9? ?/' % 3// r
DESCRIPTION ''JJ
CITY a 5 . 111/45'Ji' . A.P.NO. I 3 �� 7S3 — Oy
STATE qq II�I Jy, TEL SO"TO RIDE a REARNOTE: NO EAVE RHANG SHALL BE LESS THAN
LIC.NO. £/.r[ 49b NO. i ( .. .SO� e`'—
EAVES
SIZE �/ NO.Or SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT ,5-J / NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF �` ,�}f MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 6S/'bFjit_
(FROM C/L STREET/
ETBADK UNE PROM 7Z9 .79� - FRONT FT, PT.
CTRHNTBR 01 SEET /l 6 REAR YARD V
SIDE YARD LEFT ' / I RIGHT .�' / R.SIDS FT. f ` ( / PT. 1
DESCRIPTION OF WORK Lsun51FTA✓ / FT.
NEW ALTERATION ADDITION REAR V IT' FT.
_/
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING �j NO.OF G VAR.# DATE '
SIZE cgP e ROOMS / STORIES ao C.V•P•# _ APPROVED�
EXTERIOR WALL_54 ROOF MFROV[D � C9--3--6
COVERING ccGCG COVERING r�/I Q/ SX -•+I 442
DATE
{777
U� u �/ORI AND WOy�BE PERFORMED J gl / /r✓Tn, 3C-Or 54, 1 a OI
./A-/!!d G� //.7/f PGh JCI 4433 AK n��y 7�
len
D SQ.IT. 1
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE MOUNT SHOWN UNDER VALUATION IS POR THE G
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION VAWATION
SIGNATURE OF ✓� f L
BO PERMIT FEE a f` E
SIGNATURE
/1 / , �-" 1 $
//�OD / PLAN CHECK S r 6`" e.
AUTHORIZED AGENT 7 TOTAL PEE $ /I/,. 5 4