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Home My WebLink About391 LA PERLE LN - Building Permits, * 4 � M�s9 . . o � > _ � J �'`a+,�, `A CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT � ��ia� �sa-svs • Fax (714) 754-4856 Job Address: 391 LA PERLE LN Suite: Vicinity: GAR4GE & HOUSE AREA Parcel Number: 42531113 Applicant: TENNYSON, PAUL � Address: 391 LA PERLE LN COSTA MESA, CA Owner: TENNYSON, PAUL Address 391 LA PERLE LN � � " COSTA MESA, CA - Contrector. . � Address: Zip: Arch : R. THOMAS MOORE Address: 24922 VIA SANTA CRUZ MISSION VIEJO, CA Zip: 92692 - � � BUILDING PERMIT Zoning: Phone: 949.645.0572 Zip: 92627 Phone: 949.645.0572 Zip: 92627 Phone: License: Phone: p14)454-8760 License: Eng: Address: � PERMIT NUMBER 699-00943 77 FAIR DRNE, COSTA MESA, CA 92626 Status: ISSUED Applied: 06/21/1999 Issued: 01I04/2000 ISSUEDBY: C/f � Phone: License: . SCOPE OF PERMIT DEMO EXISTING GARAGE & CONSTRUCT NEW 920 SF GARAGENVORKSHOP & TOTAL 2065 SF ROOM ADDITION AT BOTH i 5T & 2ND FLOORS & INCLUDES 2ND STORY ABOVE NEW GAR4GE. � , GAR4GE IN EXCESS OF 700 SQ.FT. PERMITTED BECAUESE PROPERTY ZONED R2-MD. TWO CAR GAR4GE AND 1 PARKING SPACE IN DRIVEWAY PERMITfED AS ONLY PARKING�(NO�GUEST PARKWG�SPACE REQUIRED) BECAUSE ' CONSTRUCTION IS FOR A SINGLE FAMILY RESIDENCE ALBEIT IN A MULTIPLE FAMILY ZONE. -� �- 400 SQ.FT. REAR YARD COVERAGE OK; 226 SQ.FT. PROPOSED. 3,332 SQ.FT. COVERAGE (45%); 55% OPEN SPACE PROVIDED -- 40% REQUIRED. Plan Check: $225.43 Permit: $1,387.25 SMIP Res: $20.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,632.68 SETBACKS FEE SUMMARY PLANNING & ZONING Calc Valuation: $zoo,000.00 Claim Valuation: $iss,zzs.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 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all requlred Inspeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSAnONDECLARAnON: I hereby atti nder penalry of perjury one ot the tollowing declarations: ❑ I h antl will maintain a certificate of consent to self-Insure for workers' compensation, as provitled tor �y section 3700 oi the Labor Cotle, for the peAortnence of the rk tor which lhis permil is issued. ' S have and will maint � orkers' compensation insurance, as required by section 3700 of the Labor Coda, for the pertortnance of the work for which this permit is issued. My workers' nsa � n Insurence cartier and policy number are: barrier: Policy Numher. _ (fhis se ' n neetl no( be ompleted il fhe Dermit is valued et one huntlred dollers ($100) or I certity Ihat in th perfortnance work tor which th issued, I shall not employ any person i manner so as to become subject to the workers' wmpen ' n la s of Cali , and a9ree thai it I shoul0 become " ' '' of Section 3700 of the LaDor Code, I shell forihwith c e ions. � N Signature� Date: PE TO SEW SATIIXJ COVEflAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPIOYER TO CRIM1llNAL PENALilES AND CIVIL FWES UP TOONE HUNORED THOUSAND OOLL4RE 1 , ITION TO THE COST OF WMPENSATION, DAMA6ES FS PROVIOED FOR IN SECTIIXJ 3]O60F TNE LABOR CADE, INiEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hareby aNirtn that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Profassions Cotle, antl my license is in tull force antl ettecL Lic. » Class M ConlrattoYs Signaiure: Data: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn thet Ihere is a conswction lending agency for ihe pedormance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). '�� Lender's Name: Lender's Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry of perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permii b construct, alter, impmve, demolish, or repair any strucwre, pnor to its issuance, elso requires the applicant for such permit to file a signed statemeni ihat he or sha is licensed pursuam to the provisions of Ihe Comractors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Protessions Cotle) or that he or she is exempt therefrom and the basis for Ihe alleged exemption. Any violation oi Section 7031.5 by eny applicant for a pertnit subiects the applicant to e civil penalry ot not more than five hundretl dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intendetl or otteretl for sale (Sac. 7044, eusiness antl Professions Code: The Contracmrs License Law tloes not appty to an owner of property who builds or improves thereon, end who does such work himself or herseN or ihmugh his or her own employaes, provitletl that such improvements are not intentled or offered for sale. If, however, the 6uiltling or improvement is soltl within one year of completion, the owner-builder will have the burden of proving ihat he or she ditl not builtl or improve for purpose ot sale.). I, as owner ol ihe property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Code: 7Te coniractors License Ww does not appry to an owner of property who builtls or impmves thereon, and who contracts for suc� project with e coniractor(s) license pursugpt b the Contractors License LawsJ. ❑ I e i tler sec. Busine5s antl PmFession5 Code for this reasOn: S' eWre' —;� </,(i0� /llAg r ID venfed by dmefs license. �fes ❑ No nver's icens o. �� // Vedfication ot Vwnersnip by (rype oi documeN, i.e. - pmperry tas biii or deetlj: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certify ihet no excavation five (5) or more feet in depth into which a person is required to descend, will be matle in connection with work authonzed by Ihis permit, antl that no building structure, swttolding, falsework, or tlemolition or tlismantling ihereof, will be more ihan thirry-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tula 8, Califomia Adminisiretive Cotle). ❑ As owner-builder, I will not employ anyona to do work which would require a permit trom the Division of Industnal Safety, as noted aDove, unless such person �as a permit to do such wark from the division. SignaWre: Date: Division of Intlusirial Safety Permit Number: CERTIFICA7E OF COMPLIANCE AND AUh10RIZATION OF ENTAY: I certify under penalty of perjury ihat I have reatl this application antl state ihat the information given is correcL I agre to comply wit� all state laws and ciry ordinances relating ro building constmction, and authonze representatives of Ihe Ciry of Costa Mesa ro enter upon �he above-tles � pmpeny r in ection puryoses. I agree not to occupy or allow occupancy ot any builtling amhorized by this permit umil final inspection. /�l ��Yll�l-��— — �/ — 0� � ure Of L wner(s) Date And/Or Au�honzetl Applicant Date COQE M. INSVECTIONTYPE 7616 Fixetl Sysiem Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2648A6 OR il�RI�Q C0� INSPECTIONTVGE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy OATE /Z'-! -p/ INTITIPLS .. , � �.�. 44 '�p M� 4 . a. � � J URE Front 20-0 aw� ACCESSORY Front 0-0 � (714 754-5273 • Fa�c(774)754-4856 �ARKING Existinq: 2 NOTES: � CITY OF COSTA MESA ' BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Rear 10- 0 PERM�Tk 5- 0 Right 7- 4 77 FAIR DRNE, COSTA MESA, CA 92626 Required: 2 Proposed: 2 ISSUED BV: 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 [his permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections ahtl final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permil. FOfl INSPECTIONS CALL: (714) 754-5626 WORKEHS' COMPENSATION OECLARATION: I hereby aHirm under penalty of parjury one of the followin9 declarations: ' . � ❑ I have antl will maintain a certiticate of consent to selFlnsure for workers' compensation, as provitletl tor by section 3700 of t�e Labor Cotle, for the pertormance of the work for which this permit is issued. ' ❑ 1 have and will mainiain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for Ihe peRortnance of the work for which this pertnit is issued. My workers' compensation Insurence cartier and policy number ara: Carner: Policy Numher. (This section neetl not be completed i! fhe permif is valued et one huntlretlOollers ($100) or IessJ ❑ I certity that in lhe peAortnance of the work For which this permit is issued, I shall not employ eny person in any manner so as to 6ecome suhjecl to the workers' compensation laws of California, and agree t�at if I should Dacome subject to the workers' compensation provisions of Section 3700 of ihe Labor Cotle, I shall forthwith compry with these pmvisions. Appliwnt Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI� FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN AODRION TO THE COST Of COMPENSATIQV, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR fAOE, INiERE$T, ANO ATTORNEV'S FEES. LICENSED CONTAACTORS DECLARATION: ' I hereby aHirtn Ihat I am licensed untler provisions of Chapter 9(commencing with Seciion 7000) of Division 3 of Iha Business and Professions Cotle, and my license is in full lorce antl eHecL Lic. a Class A Con[racmfs SignaWre: Date: , CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm Ihat there is a construction lending agency for the peAortnance oi the work br which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendets Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirtn lhat untler penalty of perjury lhai I am EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Businass antl Professions Code: Any ciry or county which requires a permit to consWct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicaN for such permit to tile a signed statement Nat he or she is licensed pursuant to the pmvisions ot iha CONractors License Law (Chaptar 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Cotle) 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 e permit sub�ects the applicant to a civil penalry of not more than five huntlred Collars ($500).): ❑ I, es owner of the properry• or my employees with wages es their sole compensation, WILL DO THE WORK, antl the structure is not intended or otteretl for sale (Sec. 7044, Business antl Protessions Code: The Contractors License Law does not apply to an owner oi properry who builds or improves thereon, entl who tloes such work himself or herselt or ihrough his or her own employees, provided that such improvemems are not imended or oHeretl for sala. If, however, ihe building or improvement is soltl within one year of completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTqACTORS lo consimci ihe project (Sec. 7044, Business entl Professions Code: The contractors License Law does not apply to an owner of property who 6uilds or improves ihereon, and who comracts tor such project with a contrector(s) license pursuant to the Comractors License Laws.). ❑ I am e:empi under sec. eusiness antl Professions Code for t�is reason: Signature: Date: Owner ID verified hy driver's license. ❑ Yes ❑ No Dnver's License No. Expiras: Venfication of Ov+nership by (type of documen�, i.e. - properiy tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICA710N: ❑ I �ere6y certify lhat no excavation five (5) or more feei in depih into which a person is required to descend, will be made in connection with work authorizetl by Ihis permi�, antl Nat no building sWCWre, scattoltling, falsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) taet high. (Chap. 32, Grp 2, An 2, Sec. 347, TiUe B, Califomia Administrative CoOe). ❑ As owner-builder, 1 will not employ anyone to tlo work which would require a pertnit from Ihe Division of Industrial Safety, as notetl aDove, unless such person has a permit to do such work irom the division. Signawre: Date: Division of Industnal Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUh10RVATON OF EMAY: I certify under penalry of parjury that I have read ihis application antl state that the information given is correcL I agree Io comply wi�h all state laws and city ordinances relating �o building construction, and authorize representatives of ihe City of Costa Mesa to enter upon �he ebove-described property for inspection purposes. I agree not to occupy or allow occupancy of any building euthorizetl by ihis permit until final inspection. Signawre Of Leqal Owner(s) Date AnNOr Authonzed Applicant Date CppE �. INSPECTIONTYPE QAj� INTRIALS 1616 Fixed System Final Fire Prevention 126fi 200 201 202 203 204 zms as ia Pool Spa Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolition COpEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildincyOccupancy D� -/Y-o INTfilALS p M�c 4� s � o, , _ : J •%`a,.e,mc, dF (714)754-5273 • Fax(714)754-4856 Job Address: 391 LA PERLE LN Suite No Vicinity: Parcel Nunmber: 42531113 CITY OF COSTA MESA BUILD/NG DIV/S/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: TENNYSON, PAUL Address: 391 LA PERLE LN COSTA MESA, CA � owner: " TENNYSON,'P-AUL Address � �391 LA PERLE LN � COSTA MESA, CA Contractor: " Address: . i Arch / Eng : � Address: . - PLUMBING PERMIT Phone: 949-645-0572 Zip: 92627 Phone: Zip: 92627 Phone: Zip: License: Phone: Zip: � license: � - � PERMIT NUMBER P00-00003 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 01/04/2000 Issued: 01/04/2000 SCOPE OF PERMIT :' REF B99-00943., t. GAS OUTLET, 1 LAUNDRY TUBMIASHER, 2 SHOWERS, 2 WASH BASWS, 2 TOILETS, 2 WATER HEATERS. ISSUE FEE Backflow irrigation 8ackflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (b4 outlets) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $6.15 FEE SUMMARY QTY AMT Laundry Tub / Washer $9.80 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 � Pressure Regulator � $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 ' Sewer Private Line $0.00 0 Shower $19.60 0 . Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 1 Sink, kitchen $0.00 QTY 1 0 0 0 0 0 0 0 0 0 2 0 -0 0 0 Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Wa[er Piping pnst or Rep.) Water Re-pipe Water Service Water Softener AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19.60 $0.00 $0.00 $19.60 $24.60 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 2 0 0 2 2 0 0 0 0 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 consitlered legal, such work must comply with all applicable codes, and all requlred Inapeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARATON: I hereby aRirm untler penalry ol perjury one ot the following tleclarations: . ❑ I have antl will meintein a certificate oi conseN ro self-Insure tor workers' compensation, as provided tor by section 3700 of the Lebor Coda, for the pedormance of Ihe work br which ihi5 pertnil is issued. ❑ I have antl will maintein workers' compensation insurance, as required by seclion 3700 oi the Labor Code, for Ne pertormence of the work for which Uis pertnit is issuetl. My workers' compenution Insurance wrriar antl policy number are: Cerrier. Policy Num6ec (This secrion need wt be cromp/eted I! the permif is va/ued et one hundred dollars ($700) or /ess.) ❑ I certify lhat in Iha pertortnance of the work for which this pertnii is i5sued, I shall not employ any per5on in eny manner 5o a5 to become subject to the workers' compensation laws of Celitomia, and agree that if I should become subject to the workere' compensation provisions of Section 3700 oi Ihe Lebor Cotle, I shall torthwith comply with these provisions. Applicent Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL ANO SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI� FINES UP TO ONE HUNDRED THOUSPND DOLLARE (5100,OW�.IN ADORION TO THE C0.ST OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3'lOfi OF THE Ll�BOR CODE, INTEREST, ANO ATTORNEY'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby attirm tha� I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of �ivision 3 of the Business and Profassions Code, and my license is in full torce and etteci. Lic. # Class N Contraciols Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm thai there is a construction lending agency for Iha pertortnance of the work for which this permit is issued. (Sec. 3097, Civil Cotla). Lender's Name: Lendels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby atfirtn Ihai under penalry of perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or wunry which requires a pertnit to construct, alter, improve, demolish, or repair any sWCWre, prior to its issuance, elso requires tha applicant tor such permit to file a signeG stalemeni that he or sha is licensed pursuam m t�e provisions ot the Comractors License Ww (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Cotle) or that he or she is ezempt iherefrom and the basis tor ihe alleged exemption. Any violation ot Section 7031.5 6y any epplicent for a permit sub)ecfs ihe applicant to e civil penalry of not more than tiva hundred tlollars (3500).): ❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the slructure is not intentletl or oNeretl tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not apply to an owner oi property who huilds or improves thereon, end who does such work himsetl or herself or through hls or her own employees, provided that such improvements are not iniended or oHered for sale. If, however, tha building or improvement is sold within one year oi completion, the ownervbuilder will have lhe burden of proving that he or she tlitl not build or improve for puryose of sale.). �I, as owner ot ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business antl Professions Cotle: The contracrors License Law does not apply to an owner of property who builds or improves thereon, antl who contracts for such project with a comractor(s) license pursuan� to the Contractors License Laws.). ❑ xe ntler sec Business and Professions Code for this reason: ign re' ��,��— / er ID verifietl by tlrivers Il�ense. ❑ No nvers License No. Venfication of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I here6y certity Ihat no eacavation tive (5) or more feet in depth into whic� a person is requiretl to descend, will be matle in connection with work authorized by Ihis permi�, antl Ihat no building siructure, scaHolding, falsework, or demolition or dismantling Ihereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Calitornia Administrative Code). ❑ As owneo-builder. I will not employ anyone to do work whic� woultl require a permit irom the Division of Indusirial Safery, as notetl ahove, unless such parson has a ' pertnit to da such work tmm Ne tlivision. Signature: Dare: Division ot Inaustnal Sefety Permi� Num6er: CER7IFICATE OF COMPLIANCE AND AUiHORIZATION OF EMAY: I certiy under penalry ot perjury ihat I have read this application and state that �he information given is correcc I grye to comply with all state laws antl ciry ordinances relating to buildinq construction, and authonze representatives of the Ciry of Costa Mesa to enter upon t�a above-d�j ffbed pmperty o wbese . ree not to acupy or allow occupancy of any building authorized by this pertnit until iinal inspection. // �-4f�f�i � /^ �/- DO �� —� egal And/Or Authonzed Applican� Date COOE �. INSPECTIONTYPE 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition pAi� IMRIALS CODE I INSPECTION TYPE 206 Final Methanital 208 Final Plumbing 210 Pinal Elecirical 212 Final Pire Prevention 220 Final Planning Approval 222 FinalSile 250 Final Building/Occupancy pATE INTRIALS i i., rti C 1 ��ia� �5a-s2�s • Fan pia� �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 391 LA PERLE LN 42531113 TENNYSON,PAUL 391 LA PERLE LN COSTA MESA, CA CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT Owner. , TENNYSON, PAUL - Address� 391 LA PERLE LN � . COSTA MESA, CA Contractor: � Address: ISSUE FEE Temp service test Res. a/c package New Res (i-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a - Service to 1000a Service over t000a Motors to ihp Motors to 10hp Motors to SOhp Motors to 100hp Motars over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits ELECTRICAL PERMIT Phone: 949-645-0572 Zip: 92627 Phone: Zip: 92627 Phone: Zip: . License: PERMIT NUMBER E00-00008 77 FAIR DRIVE, COSTA MESA, CA 92626 Stams: ISSUED Applied: 01/04/2000 Issued: Ot/04/2000 ISSUED BY: I�'� SCOPE OF PERMIT REF 699-00943. 80 LIGHTS, 80 OUTCETS, 60 SWITCHES, 1 SERVICE UP TO 1000AMP. $23.50 50.00 50.00 50.00 $0.00 $0.00 $63.80 $63.80 $49.20 $0.00 $0.00 $0.00 $62.15 $0.00 $9.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qaantity - - 0 0 0 80 80 60 0 0 0 7 0 2 0 0 0 0 0 0 0 0 . , FEE SUMMARY , , � � - Temp Dist System / Lighting Busway I100 ft � Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee �uantity $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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $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, § 7, 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalry of parjury one of the tollowing declarations: ❑ I have entl will maintain a certificate of consent to selt-Insure for workars' compensation, as provitletl for by sectlon 3700 oi the Labor Cotle, tor the peAormence of Ihe work tor which ihis permit Is issuetl. ' ❑ I have antl will maintain workers' compensation insurance, as required by section 3700 oi the Lahor Code, for the peAortnance ol ihe work for which this permit is issued. My workers' compensation Insurance wrrier and policy number are: Carrier. Policy Number. (Ttiis section neetl not be completed i/ the permif is velued et one hundred dollers ($700J or less.) � I certify Ihat in Ihe pertormance of the work for which this pertnit is issuetl, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws of Califomia, antl egree Ihat if I should become subject to ihe workers' compensation provisions of Section 3700 oi ihe Labor Code, I shall fort�with comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FMES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADD(TIIXJ TO THE COST OF COIAPENSATIqJ, DAMAGES AS PROVIDED FOR IN SEGTION 3/O60F THE IABOR WDE, IMEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby attirm that I am licensed urMer pmvisions oi Chapter 9(commencinq with Section 7000) oi Division 3 of ihe Business and Pmtessions Cotle, and my license is in full torce and effect Lic. # Class s Contractofs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is a construction lending agency for the pedortnance of ihe work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARA710N5: I hereby attirtn ihat under penalry ot perjury ihat I am E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sac. 7031.5, Business antl Professions Code: Any ciry or counry which requires a pertnit to consiruq, alter, improve, demolish, or repair any stmcture, prior to its issuance. also requires the applicant for such permit to file a signetl s�atement that ha or she is licensed pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot �ivision 3 0l the Business and Professions Code) or Ihat ha or she is exempt iherefrom and ihe basis tor Ihe alleged exemption. Any violation oi Seciion )031.5 by eny applicant for e permii sub�ects the applicant to e civil penalty of not more than five huntlred dollars (5500).): ❑ I, as owner of the pmperry, or my employees with wages as their sole compensation, WILL DO TME WORK, and the SWcture is not intentled or ottered for sele (Sec. 7044, Business antl Professions Cotle: The Coniractors License Law does not apply to an owner of property who builtls or improves lhereon, antl who tloes such work himself or herself or ihrough his or her own employees, provitled that such improvements are not intended or offered for sale. If, however, the huilding or improvement is �/�old within one year oi completion, ihe owner-builder will have the burden of proving thai he or sha did not builtl or improve for purpase of sale.). ��I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The wntractors License Law dces not apply to an owner ot property who builtls or impmves Ihereon, and who contracts for such project with a coniractor(s) license pursuant to ihe Con�ractors License Laws.). ❑ I der sec. Business and Professions Coae for this reason: �: /,/,u � _ er ID veritietl by tlrivefs licen5e. �es ❑ Na Driv o. �� Verification of Ownership by (type oi document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certity ihat no e:cavation tive (5) or more feet in depih into which a person is required to descenq will 6e mada in connection with work authonzed by t�is pertnit, antl ihat no building siructure, swffolding, falsework, or tlemolition or dismantling thereot, will be more than ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Tiile B, Calitornia Adminisirative Code). ❑ As owner-builder, I will noi employ anyone to do work which would require a permit irom the Division of Intlustrial Safety, as noted above, unless such person has a pertnit to do such wark from the division. Signature: Date: Division of IndusMal Safety Permit Number: CER7IFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTRY: I certity under penalry of perjury thai I have read this application and state that tha information given is correcL I ayyy ree to wmply with all state laws antl ciry ordinances relating to building consWdion, and authorize representatives of ihe Ciry of Coste Mesa to enter upon the above-de¢�r� prope for inspection purpo� � to occupy or allow occupancy oi any builtling authonzed by this permit u'' � s ection. /� G � 'iv/% I—��— � ii ure Of Le r(s) And/Or Authorized Applicant Date COOE I, INSPECTIONTYiE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2446 46 DRTE INTRIALS COOEt INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbinq 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy L�p_iE INiITIALS (714)754-5273 • Fax(714)754-4856 Job Address: 391 LA PERLE LN Suite No Vicinity: Parcel Number: 42531113 npp�icant: TENNYSON, PAUL Address: 391 LA PERLE LN COSTA MESA, CA Owner: , TENNYSON, PAUL Address: � 391 LA PERLE LN COSTA MESA; CA Contractor Address: Arch YEng : � Address: � - � CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT - Phone: 949-645-0572 Zip: 92627 Phone: Zip: 92627 Phone: , Zip: t � License: Phone: Zip: License: PERMIT NUMBEH M00-00007 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/04/2000 Issued: 01/04/2000 ISSUED BY: ` SCOPE OF PERMIT � REF B99-00943. 8 1000AMP., 2 BATHROOM MOTORS,. 1 FAU, 1 FACTORY , 1 AC UNIT, 2 VENTELATION FANS, 1 ROOF FAN, , ' � r' , ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace - Hood w/Mech Exhaust VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Rebcate Appl Vent Air Handlers < 10000cfrn Air Handlers > 10000cfm Floor Furnace $23.50 $14.80 $0.00 $0.00 $0.00 $14.80 $0.00 $0.00 $10.65 $0.00 $0.00 $14.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 1 0 0� 1 0 0 2 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporetive Cooler Commerciallncinerator � Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 8TU Boilers Upto3hp 3To15hp 15 to 30 hp 3010 50 hp Over 50 hp Other Mechanical Fee Quantiry $0.00 0 $0.00 0 $70.65 1 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penalty oi perjury one ot the following declarations: ❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, as provitletl tor by section 3700 of the Labor Cotle, tor ihe perfortnance of the work tar which lhis permit is issuetl. � ❑ I have antl will maintain workers' compensation insurance, as required by secGon 3700 ot the Labor Cotle, tor the perfortnance of the work tor which this pertnit is issued. My workers' wmpensation Insurance cartiar and policy number are: Carrier. Policy Number: (This section neetl not be completed il fhe permi( is velued et one hundred tlollars ($100) or less.) ❑ I certity that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su6ject to lhe workers' compensation laws ot California, and agree ihat if I should become subject to the workers' compensation provisions of Section 3700 of the Lebor Cotle, I shall fort�with wmply with t�ase provisions. � Appliwnt Signawre: Date: WNRNING: FAILURE TO SECURE WOPKERS' COMPENSAiION COVERAGE IS UNL4WFlIL ANO SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND ClVll FINES UP TO ONE NUNDRED THOUSANO DIX.LARE (St00.000�. IN ADDITION TO THE COST OF fAMPENSATION, OAMAGES AS PROVIDED FOR IN SEGTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my licanse is in full force antl effect. Lic. # Glass # Comractors Signawre: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm that there is a construction lending agency tor the performance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aMirtn that under Denalry of perjury that I am E%EMP7 FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any city or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant tor such permit to fila e signed siatement that he or she is licensetl pursuani to ihe pmvisions of ihe Contractors License Law (Chapter 9(commencing wlth Section 7000) of Division 3 of the Business and Profeuions Code) or ihat he or she is ezempt thereirom and the basis for ihe alleged exemption. Any violation oi Seaion 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of properry who builds or improves t�ereon, antl who does such work himsalf or herself or ihrough his or her own employees, providetl that such improvemenis are not imended or oftered for sale. It, however, the building or improvement is soltl within one year of completion, Ihe owner-builder will have ihe burden of proving Ihat he or she did not build or improve lor purpose of sale.J. I, as owner ol the pmperty, am E%CLUSIVELY LONTRACTING WfTH LICENSED CONTRACTORS to consiruct the prolect (Sec, 7044, Business antl Professions Gode: The contractors Licensa Law tloes not apply to en owner oF property who 6uilds or improves ihereon, and who contrads for such prolect with e contrector(s) license pursuant to Ihe Contrecrors License Wws.). ❑ Li�.exe ntler sa Business and Professions Code for this reason: g a� �.� �' ner ID ven(ietl by driveh lic nse. �ns ❑ No rrver's icen No. � Venfiwtion of Ownership by (type of tlocument, i.e. - property tax 6ill or deetl . DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certity that no ezcavation five (5) or more taet in depih into which a person is required to descend, will be made in connection wi�h work authorized by this permit, antl that no building siructure, scaMolding, falsework, or demolition or dismantling thereof, will De more ihan ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit irom the Division of Indusirial Safety, as notetl above, unless such person has a permit to do such work trom the division. SignaNre: Date: Division of Indusirial Safety Permit Number: CEHTIFICATE OF COMPLIANCE AND AIfT}IORIZATON OF ENTRV: I certify untler penalry ot perjury that I have read this appliwtion antl state that Ne information given is correct. I agree t9�p mply wiN all state laws and ciry ordinances relating to building constmction, and authorize representatives of tha Ciry of Costa Mesa to enter upon ihe above�tlescribeC fo�pe� fyy i tion pu agree not to occupy or allow occupancy of any builtling authorizetl 6y Nis permit until final inspection. �/��%GCIT �� /' �/ - O D —� ignat egal0 eqs ate —� And/Or Authorizetl Applicant Date COOE �, INSVECTIONTYPE � INTRIALS �616 Fixad System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIwWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2466ds CODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �^/ nJ^`��(� � �� OWNER HOPKIAiS, JOiIN N, � DATE �-2-7-5�1 JOBADDRESS 391 La Perle 1+8T10 BUILDINGPERMITNO. 7�-49 t_ .ERALCONTRACTOR Oumer-Builder VALUE $ 8��.�� •LOT 29 BLOCK TRACT 11%5 �'ivate Garage GROUP J TVPE V ZONE R'4 FIRE DISTRICT %SS {NSPECTIONS � �'I DATE I SUBCONTRACTOR I DATE P IRMITS INS,UnEe FootingTrench ��- Foundation Forms and Grade to Rough Framing Plumbi�g, Rough to Slab Plum6ing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough H' "�g, Final 2 &eptic Tank or Cesspool Lathing .�%�j� � G n W�& e� Plastering Plumbing, Final, Fixtures Compl Plumbing, Final Gas Test Wiring, Final Occupancy � Form 210 GH lbt 1'L69 � Costa Mesa Building Department APPLICATION FOR PERMIT a COSTA MESA? CALSIFORNIA �. ,�i �7' Y U I L D �� N G ' FOIt Oa+'FICE USE ONLY . FOR A.pPLICANT TO N�L IN ..__ _ Receipt No. _ Perm -No. • aaa�e� 3 a n i �y�� I, Receivetl y Date Rec'd. Da I ued � Costa, Mesa, California 1� / Z— —,¢� /� ,—s Nearest � � Cross St. Building � Address � / Owner � Costa Mesa, ri&�O1RIl& Mail /� 1 � Address (��J - �(/ P Nearest � � yt� Tel. ' Cross St. (/J' ('{ J City �p:t lJ /( PJ.�. No.�. �%O�� Zone Z-j I No. of I Type , i Group^j" Architector Lio. !\ Plans � d Engineer No. Approved b Date dress CORRECTIONS �^ ' City LIc. ontrector J � No. Address � • 9a' �/ 7 De eription I No. �� I Block I Tracp//� —_- , (Attach Metesand Bounde,�r. /�/Z�� — � 3 C�. No. oi Bldga Size of Lot p � x y�' �- Now on Lot � O Useof No.of / No.M � "- - � Existing Bldg. I Familiea 1 Rooms r n �.- r� �+ Setbaek Line from Rear Yard �•- Z Center of Street Side Va�d � — y DESCRIPTION OF WORH - � New � I�/ � Alteration I I Addition I � Repair I I Moving I I Demolish I •L ' i'-. - � 'r� � �-' Building No. of e a X Rooms 3tories l rior Walf,� Roo�( , ering ,5 UCCO covering �✓e�L/� APPROVALS Use of New � � Building Foundation Loeation Inspe�Sor ate / Forms, Materials, )� , /yJ,i_ / ; , Under-Pinning � /[�`�p� � , Frame: Fi re Stops, Braeing, Bolts I-hereby acknowledge that I have read this Application Lath. Int. � and state that the above is correct and agree to comply Lath. Ext. � with all City Ordinanc and 5tate I.aws i gulating building constru 'on. ' ' i Plaster, Int. Signatureof � _ Permittee Plaster, Ext. , Authorized t. sonry Reinforced , Valuation Permit Fee $ $ �.f �/ O O Plan Check $ b� Bond Beam U v , Feea' $ � � FINAL FOAM 204 G-H 2M 5-54 -T �- � .. . .__ G ` . ': N-. _.... v ° ' ' �� `a al" . '. ' _' , � . , � . e�r�c�; L.+v , � _' ' ' J yl', ' ,.'I� C a 0 a` -� . � � i- --�- - . . : - - - -... - - - - __ ^"�" }.� j� �+��. e_ i/ ! ; y . �� S � - "�i� :.. ...........r..� .. �..q.,_. .. . -" _ - - - - Street . , - � 1'��:i . . . _ . -._ .,--. ,_ ._ ;tr . _ -. . .. _ . . -. � ` . �i•'. . � ' . .. .�.'A � —_'_ . _ _ '`. _y..��- — - • _'__ .� ' � - , �� - �:^ -- ' �c-' _ _ -'=\.s. •�= � -' _�- -'-- -- �- _- �? rr _ n' � ..� i�l:' .. ... . _. . ._. _ � � � _. �� . �_ _� �1 l' .. � _.��_.��. . �O_I Ir^)_i.' � ,.J' ^:�.� :�� t!]{.t�tlO�l^ �' . � � �1�1 :n �_lil �F• � � � � .� '� �� _ _ '. ' f iJ - � +' . c �.o.c•N ' > : M1'i .. . ` J9i!�t��_ . . . ' 'U: _ C i \ it •i: r-.oil, ni.• . ' � .� _u , u�iX i • JA�:' `�''__. � : -, _ . ,� .EI.OTrP:LAN, . `. . . . -Tr<,�(��.,.-, (, : -�r.—�•�: ;„�� . ;.; ; _ - , S, —_ l �1.a�1�'�Y 4l �:` �' Y . ' !1� L �3 V� I' . • � � � � � � �t�5:tj�� i'��.��•� )� ! 1�{� . � Show loWtlon and' distances from � , , , ::SiL-1•' na:s- e3's; �� '1, � � � property line and between buildings. ' � � � ' ' _ ' " _ '. d•�.0 .�] . .•.�b:' ' c' . . � . _ _ .. _ � , ' �^ -�� . . Pn:b` . - i .. i9;:, . .m�:c `: • �"` �"'___..__.".'_�_ __ . _ __ —..___ _ . v� � i ��n'".i''r '�-_�iit.' --' ---- . . � .. . � � �_._ _ .�_ � _� _ '_ ". . . . . _ ` , ;.';'— _^;.'_':::1 �cuc7" n�:iie,.nvo"i �� . . . ' ,.;1:�,�.' ; � ''f).OiIl ET198t10II - - '• - � . �0 3'ou carrY Vtiorkman' se ,�„�:.p.; ,:. u. . _ - - -' • •pa:o_No�i� ,a � � -- � - - - - _ �: -- Yes �j .��,_ • , � � 'insuranc e Y �J ' - ---- - - -- --- - ---- -- - —. ' � . . ; �.. �, •.�. . � i {- I am a�rare of Provis�on 5700 o�'�tem `loaer cR'.` ,• +•• •. � ' .' -` `, ' `' , . � I,abor Code �vr,; ch requires eyer.Y P y,. �.' -.,�,.; ..,R �� r, o.,.�:�, .�' .� � to-be insu:ed aGainst liabi.litp,far , : � • ' _ - --- - � `o,-„�,,�,, . workman's c ^pen ion.. ,,:s ,_ -:�, .- ; -- - - _ . , , . , Signed: __,. LL- -. , , � � � .. . � • _ �3(? _ _ . . ! .;i- , . 'i f T _ � .. . . . � _ _ _ __. ___�___ _'�" —'__"_. _ ___ _' _. _. . . . . _ . . � .... :. ..a OWNER HOPKINS� John N. �� $ DATE 1-20-58 JOB ADDRESS 991 LaPerle Lane O�T ?$ ��58 BUILDING PERMIT NO. 6299 1 �''EEAL,GONTRACTOR owner-Bailder MAR 2 195q VALUE $ 2�560 00 - .�o�r LOT 29 TRACT 11%S FIRE ZONE DESCRIPTION OP WORR $�pl, _gath-Laundrv-Fatrrilv GRouP I �rrnF v zoNe R!� erArv xo. Addition to Ihaelling INSPECTION$ � DATE � SUBCONTRACTOR . �> - � .- y ..., t,�, �� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING '7 A / / %% OWNER MAIL AD�RE55 QTV �' AP �ECT O INEER R COSTA MESA. CALIFORNIA H �� T/)�//' i� , / � LIC. NO. QTY LIC. NO. � �Ec^� LOT oescAiPnorv NO. BLOCK TR T� A.P. NO. � l SIZE NO.OF 9LOG5. OF LOT K f Now ON LOi USE OF ./J E%ISTING BLDG. • - / ` SEiBnCH LINE FROM CENTEw O� SinEEi REAR YARD \ � SI�E VARD .,RIGHT . D LEFT , DESCRIPTION OF WORK NE' ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING % NO.OF SIZE �G ROOMS STORIES E%TERIOR WALLp ROOF COVERING J G O COVERING /�J ✓(� USEOFNEW /, �/� 1:��/��" 'L�OSTA � �;. 1AN 17-58P�yESA0. 57a +►k�*jS.Q� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PERMIT NC bz�t RECErvEO 9Y L�ATE RECErvE� TE IS VI /- / -' �za �; BUILOING �Jp� / �/'� ` 3 ADDRE55 J/I ��ld r�2/C J�IG � COSTA MESA. CALIFORNIA FIRE 2 BY � Cl✓ti « DATE Z O 5'�' CORRECTIONS � CITY OF �i STA YFSA STPTE THAT�THE 4BOVE IS CORFECT ANp AGREE TO COMPLV WITH PLL CITY ORDINANCES ANO STATE LAW REGULPTING BUILOING CONSTRUC� - T�a�� VALUATION �O — . SIGNATURE OF S PERMiT FEE $ �. PEftMiTTEE � $ aS 6 O � P(.AN CHECK $ �` , AUTHORI2ED GENT TOTAL FEE 8 lS �°'"�