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Home My WebLink About126 LISA LN - Building Permits el. / `pST� CITY OF COSTA MESA • @ BUILDING DIVISION F�f.,,,. ,16 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1' `. PERMIT P07-00176 baPoporio(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaca.usMBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUJob Address: 126 LISA LN Status: ISSUED Suite No Applied: 03/22/2007 t)(.....3.10 Issued: 03/22/2007 Vicinity: -�C a Parcel Nunmber: 43908117 DATE !` / / _�, � / Applicant: RICHARD LAPAGE ISSUED BY: Address: Phone: 760-219-0909 Zip: Owner: MC KEEHAN,JUDY a Address 126 LISA LN .. . Phone: 949.573.3308 . COSTA MESA,CA Zip: 92627 Contractor: . ALL PRO PLUMBING CORP ' Address: 12025 ARROW ROUTE Phone: 888-615-3330 RANCHO CUCAMONGA,CA Zip: 91730 License: 778137 SCOPE OF PERMIT • WATER HEATER CHANGE OUT FEE SUMMARY AMT QTY AMTQTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 . 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 ' Bathtub $0.00 0 - / Pressure Regulator - $0.00' 0 . . Urinal $0.00 0 Clarifier System $0.00 0 Process Piping.(per 10 ft) :$0.00,.. 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo - $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect . $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar • $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe ' $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 i Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop . $0.00 0 OTHER / $0.00 Gas Repipe $0.00 , 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 'PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 . 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) 50.00 ; 0 _ TOTAL CALCULATED FEES: $35.80 COMMENTS/SPECIAL CONDITIONS • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.9228,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)7545626 2446-66(6100) DECLARATIONS i7 ` WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. lipaplive 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. y workers�pensaJ'Ipn trwance carnet:end p9licy number are: �/'� • i/�/,(L'l` `.&-) 5 t olcy Number`.�OIO/'( � -> Non need not be completed If the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for whit 1 permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Call n�c�yyypppgree 1�AAaaat sh d become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisio / n, f•,n,I• •: u • • -ECURE WARNERS'COMPENSATION RAGE IS UNLAWFUL AND SHALL SUBJECT ANE 70S CRIMINAL PE TIES CML AND A TUPO N ONE HUNDRED "Thrill • 0 DCtJJRE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SE ION 3706 OF THE LABOR CODE,I EREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed un.e • :visl• s• Chapter 9 ' meriting with Section 7000)of Division 3 of the Business arI¢Prr sjions Code,and my license Is In full ni iU • tt7effegl:Uc.ti ' i . Glass n Cc... LL+ a.-mitrr., :tare==— . i1j ark CONSTRUCTION LENDING AGENCY: ❑ 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). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division, Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Wit 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 Safely 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). __._ t..._...._...._..._ __..._..._ _ _ _ 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 Cede,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? 0 Yes 0 No _ ent..r_qu onstructionor_ 5 Does or willo the CoasttcAir or present or emen building occupant at y other for the work ontch district the subject this I�Pp estion agertnit for such construction or modification from the South Air Quality Management District or from any other air pollution control or agency? U Yes LJ No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). Will __.._._.._tr_...._..___ _..._ __....._....__..... ... 8 any part of the facility to be constructeddunder 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 Code). -._....__.__ permt..or.. _......-_.._-_.ui__...____ 7 a potiotram the South Coast s Quality Management DistrictHeor other airpollution tioncontrol district3 or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by CaliforniaCelifoHealth 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 ell state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspectio ,• ••-es.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. i grai. - . e Of Legal Owner(s) nate • -d: .0.A3tligilz••_=Applicant — � (Datb°f, , .- COPE t INSPFCTION TYPE PAIL EMU PODEf INSPECTIONTYPE PAM IIfIIDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing ev/2//� 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 ADDRESS OF BUILDING: 126 LISA LN g"T' CITY OF COSTA MESA — BUILDING PERMIT ONNEgS NAYEIF gIOWN AN/PM PROPERTY MGMNT PERM NO: y 085521 ADUwEss 16682 GOTHARD Sr #E 4. H.B. CA PERMIT NO: B 085521 PLAN CHECK NO: N GOVT : N SUPP: N APPL.MMUNG ADDRESS: CONSTRUCTION TYPE : V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.No.: JOB DESCRIPTION : I/OFF RESHAETH & REROOF W/COMP , SQ if: 5, 732 ARM OR ENG.'S ADDRESS: UNIT: CLAIM VALUE: 5, 732 . 00 CALL—VALUE: 5, 732 . 00 GROUP OCC: R-3 /U-1 CafRAcrayS NAME: GURNEA ROOFING ( 714 ) 898-6988 CONTRACTORSMAILING 12733 WESTERN AV COMMENTS : SMOKE DETECTORS REQUIRED ADDRESS: G.G. CA ucxD: 494806 tieic tie it it x ietieieir ie x ii•it ie icitieie it*is:ie ib tie it ie tie retie tibia tie Si tietieie tie tin ie ie ii ii ieie ie tie iv***Si***ieietirie Si ie ie tie i<tie ieie is,ii******ieicifii 92841 OMT: Z ONING R EQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby Nim under peaaly d perjury the I am licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Dieser,Sc'the Business and Professions Code,end my dense is in lull force and Wed. C -. "D.: 042464 LSC.CLASS: C37 UC.NO.: 494806 P : 11 /97 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNI: Fl IN REAR: FT IN sate: ID . cpnbed« LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT : FT IN OWNE' :UILDER :ECLARATION:1 hereby affirm under penalty MN I am the Contractors License Law for the folio •reason(Sedan 7031.5 Buenas,and Professions Code:Aro ciyorcounty which requires a permit tornmtrua,ager,improve. PARKING REQ: PROV: PARCEL: 43908117 ZNE: REF NO: • dlsh,or raper any structure,prior to m issuance,also requires the applicant for such permit l0 fib a signed statement that he or she Is licensed pursuant to the provisions of l e Contractors License Law[Chapter 9(commencing with Section 7000)of Division S of the PLANNING NOTES.)., nsinea and Professions Code]or Thal he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section j 31.5 by any applicant tor a permit subfeds the applicantora del penalya not more than Ewe hundred doles[$5WD. .._...................._..,.a.... .........._._.............................. _ is,x x x x x x x x x rt x xxx x x xx x x x x x x x x kb ii**x x x x x x x x xxxxxxxxx it'h x E le le le x Si x x x x xxx xx1\1'1 il"Rx ie'X'R 3+bb x xx 4,I I,as owner of se property or my employees with wage,as then sole compensation.will do the work,and the structure b rad intended DEVELOPMEN T S ER V . L ES R E U 1 R E M E 1V ' '1 S o offered I«sae(Section 7044,Business ed Professions Code:The Contractors License Law does not apply to n Owner of properly ', who Wads or improves thereon,and who does such work limed b Tema«thrmgh his or her own employer,provided that such - improemeware haimedd«aced for sale.II.however,the building or improvement b sold within one year d complatbn,the ZONING APPROVED— BY tlY . DATE: �— ownerWilder win have the burden of proving he or she did ha build or improve for the pumpe a cw). — ❑ I.as owner a the properly.ern exclhsiveN contracting with licensed contractors to comtrua the pried(Section 7044,Business ed Professions Code:The Contractors License taw does rat ea*ton owner of properly who Melds or Dndwm thereon and who BUILDING APPROVED BY DATE: .... ' contracts for such prgeas with a conrador(s)licensed pursuant to the Contractors License Law). .i ISSUED ❑ tem exempt under 5rfm: 8.8 PC..for thio reason: APPLICATION1SSUEL BY: DTE: n C) Akilf1� xle ie •. T'ie ie ii Tl/ell'TIR'R i1'iexxxxxx xxxx It it xxxxxrtxxx rtx//h✓FExxftx xx xx xrtrt'le'/e ie if IT It ll'1e 1.1-1(lexxx/V It xit le ie ie Date: Owner ........ a LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby candy Mat I am aware d and udenbnd the relaremrrs of California Health and Soley Code Sediom 25505,2WxlI.and 25534,and Met I or any future buildingoccupant occupant will i will not(arse one)need to comply with said stale stale codes andthe requirements forv a pent tor costnaionor nadraon Porn the AkWaanegemru Dieted.Redrtdmatmais%applications are exempt from these BLDG PMT PLUMBING LLECTR'IC MECIHANIC FIRE SMIP/KES GRADING provisos. PERMIT 112 . 25 . 57 Dale: Applised: / SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby of nn under penalty of perjury one of Me following debWae s: FLAN i ❑ ISSUE FEE I have rd will mamas a certificate dmsrt to seg-insure for wMers'mnpenwion,sat prodded for by Saxon 37C0 a the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID 'DUE Cede,1«the pedormrra d the work 1«which this Pant b beret. fl a Ihaveandwilmntasworkedcompensatoninsurnm.®required bySection 3700of the Labor Code,kathe prk:mancedthe TOTALS----> 112 . 82 0 . 00 e G,. 00 112 . 82 112 . 82 . 00 XK' work for which this panne is issued.My woken'compensation insurance mdr and policy number we: Cams: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 112 . 82 OVER/SHORT: . 00 Policy Number: 1974157171 04 /11 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/'iOT GRADING PLAN—CHECK ',section need not be completed 1thepentbfor one hundred dollen;($101«NnJ 112 . 25 '. . 57 1 candy Mat in the pedormance of the work for with this permit is issued,I dull nn employ any person in say mann so an to become subject to the workers'compensation kine d Cafd«nia,and agree that if 1 should become eubjerl to the workers' xx xxxxxxTxx .xxrtxxxxrtrtrtrtrtrtrtrtrtrtrtrtrtrtx rtxxrt xrtrtrtrtrtxrtrthrtrtrtxx .Rxxlrtrtxrtxxxx xxxxx rtrtxrthixx penealod�Sedion 3703 d IM Labor Code.l Wei f ply with those pnwrme, ate /0 50q7 Applicata: IND I V IDUAL - ;.F •E E B REAKDOWN Ws g:Failure to secure workers'comprised on coverage Is , nd Gall reject an o criminal penalties and TYPE QTY D E S L Y( 1 F 1 I U N 11 UNIT COST TOTAL COST II inn rpt to one hundred thousand donna(S100,000A hi adfltlon to the coat of cornpenaanor4 danerges as provided for In Section 3705 of MS Labor Code,Merest,and atromeyi feu SFR 5732 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 • 5, 732 . 00 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penaly of perjury that there is a construction lading agency for the END:70F FEES performance of the work for which this permit is issued(Section 3097.CO.C). A LENDER'S NAME: LENDER'S ADDRESS: 1 candy Thal 1 have read this application and role that the above tdan tion is cored.I agree to comply withal city and county ordinances and stele laws raiding to Wilding conmucticn end hereby authorize representatives of this ply to enter upon the above-mentioned property for inspection purposes. SEAN GURNEA • 10-30-1997/11:20 AM/$112.82 Prim : .. . % Date: /0 C/Cr PERMIT: ,/ .085521 (5151-45.WP) White-Building A Safety:Green-File:Canary-App cant Pink-Revenue;GoMnrod-Assessor CONSTRUCTION AND PLANNING POOLS 1 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.- Electrical Conduit•Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test ' _6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE '7:'Footings _ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test i .9. Water Pipe-Undrgrnd. 60. Backwash Lines,0-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Fi0al, 16. Rough Electric Wiring ' 67. Fencing & Access.Approval 17. Rough Wiring Sign66. APPROVED F0itt'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. Ducti,in Structure, . • _ - • - 70. Underground Hydro ' Y 22. Ducts', Ventilating,, , _ _ - • t. - 71. Product Piing 0 Gas E1 Oil 23. Gas Pipe-Rough&•Test , - r - 72. Underground Flush- 24, Roof-Framing • z. is - - - 73. Undergrna.Storega Tank 0 Gas ❑Oil 25. Roof Sheathing j 6�q7 614.4c-_, 7q- Overhead Hydro r 26. T-Bar Ceiling (Strui:tural) & Monocoat - ' - `1 ` 75. Dry Chetflical - • - 27. Frame and Flashing - - - 76. Dry Standpipe - 28. Latliing & Siding - - S - ' ! 77. FIXED SYSTEM FINAL • 29. Insulation . • 1 :. 78. FIRE PREV. FINAL 30. Drywall Nailing .- _ I I 'i. HEALTH DEPT. REQUIREMENT 31. Plaster Brown-Coat ' - • r 79: FINAL INSPECTION 32. Electrical Power Meter-Final ' 80'. FOOD CERTIFICATE ISSUED (1} 33. Final Electric ., ,I - Notes: • . 34. Final-Heating& Air Conditioning I r: `//?A7- ate lse5 , _Y a 35. Final Gas Pipe;Test i dIV 64€�t/ 36. Hood or Canopy - - • - ' $ 37. Final Factory Firepl&ce - . f . 38. Final Plumbing - - - 39. Water Service-Final r - i • 40. Gas Service-Final , : - . . 41. Solar Domestic-Final • • 42. Backflow Preventer - - . • ' 43. Backflow Irrigation ' , - 44. Landscape Irrigation System r .• 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING r//I47_�J /, ; 48. FINAL PLANNING �/L ` L` 49. Electric Release to Edison 50. Gas Release to Southern'California Gas Co i • 51'1 CERTIFICATE OF OCCUPANCY No. Date v.. . . .................A .-., e,.... �...-. UAIC - ... JOB ADDRESS 126 Lisa Lane BUILDING PERMIT NO. 37622 GENERAL CONTRACTOR Owner-B1dr. DESCRIPTION of WORK Triplex w/att.Gar. APNo.],19-040-21 LOT 7 TRACT Sa77 FIRE ZONE VALUE $ 58,450.00 IP' 'CTIONS Si nature Date TYPE V GROUP H & J ZONE he sc. Si--.2-7q SUBCONTRACTOR PERMITS ISSUED GAS Date I Number I Signature w ATERAFM Mc On Al Plumbing ROUGH PLL.IBING 1 gril q�,^35"7,1 p4 d ./ /a x7-23 by7b'6 'A.---....PROP. SWR. LINE ❑ HOUSE CON. 12 / j 3";IVA/ //S('Att , �'//p�LAAtea ,3 7; tt / SPRINKLING SYSTEM . ,T1/4�AI - MISCELLANEOUS N�yI� ROUGH HEATING AND AIR CONDITIONING 1117 /.177K I TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Er ] '/it( Heating and Vent. TRENCHES El FORMS 0 STEEL REINF. G t44fct 7....;.--14.- e 4_ #f err 't' -E- VO2 FLOOR SYSTEM" BONO BEAM n STEEL REINFORCE n }JA),.,. SHEATHING /,��„�� FRAME AND FLASHINGm �/ O/” LATHING - IN 171/...OUT /--AFT 5;Oct PLASTER, BROWN COAT // e- - 9 ' STRUCTURAL, FINAL EI clic HE 5, VENT., REFRIG. AND A.C., FINAL a ( !t/ �j7,r ', CrpQ , c7-...,.7-?ye 3,0py� PL. .TNG. FINAL AND GAS TEST ri}f(/j/ / Al. /r' y "rI-�'741 ELECTRIC, FINAL ��/ ,{v/ 9.7.91 �/ BUILDING, FINAL 144 e-r• r5 �- ) corn a, omninOr..rMTC .0-e -7_Y --xi FAZE "nv 28-73�;,:ODi0959ii *=**86.59 • 37622 r COSTA MESA BUILDING-SAFETY DEPARTMENT Ao71 7 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 P ATION FOR BUILDING PERMIT For Applicant to Fill in Completely RE BV DATE CEIVED DABUILDING 12( 1 iS,� LA II ADDRESS \/O' l/�• /' 1 TEI fU OWNER Actt(a re/ cC-CGItie!/ Glr A.P.NO. I R`O�-2-1 J 76Z MAIL /(�J / 1 A BUILDING ' / Z ADDRESS I1/424- /(lsd�c Lf etc /rr V 74 ADDRESS IZCS 7L.1S,i& L/ct LC a 0 CITY ('D_Cfa, //�/ c-,s- ' NO.TE6 fr yre TZACT -- . LOT y(� BLOCK ZZ < CONSTRUCTION N ADO ALTER REPAIR MOVING nFM01 ISH a m LENDER 0'4'4/ 54 /(/,///�� n /J J D BRANCH OWNER /�L GGIf?a�J.S�f,(Ine_ /�G J N .5 .none_Ui ADDRESS CO co ARCHITECT TEL. VSES,2rx r 's- ,YAW$ /jsQ J Q OR ENGINEER QGV et l r NO � //ff 7 FIRE ,,,��((((((,,,////�/�/////// /� -/�• Z ADDRESS ZONE GROUPAPPROVEDU,/4PE, . J O CONTRACTOR QLv G/ey BYL� DATE/�-t /, 0]Z J K ADDRESS W WZOr(m�E INO.OF USE OF NEW TR'PL w % Z H CITY NO` 1`Z PLANS 2 BUILDING W; yA2 '� H co— 0 STATE /'� /y,, l y CITY YARDS APPROVED YARDS APPROVED O LIC. NO. /3 (_ �6 /ice /(J LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L�STRE ET) OF LOT I NOW ON LOT FRONT 4 /7FT. FT. USE OF EXISTING BLDG. R.SIDE S FL FT. I— SIZE OF NO.OF LJ ZNEW BLDG. ROOMS STORIES ,_L.SIDE (_�/6/rF T. FT. Z EXTERIOR WALL ROOF U _ COVERING COVERING REAR `C' FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 MAIN BLDGS. ACCESS.BLDGS. tc_ DATE 0 //'tlf�l' �CS �T eetbr bQ�p C.U.P.g1E _7?�9 APPROVED 5-7 -79 1- ' / APPROVED zcn Wow hUR gliE ,IAL fit• ' 0 `` 0 UI hereby acknowledge that I have read this application and state 1t 0 D that the above information is correct and agree to comply with 1 I 61 CC all laws regulating building construction, and I shall not employ j(�^ I— any person in violation of the workman's compensation laws of (A the State of California. 'y'' p y�l /� m Z .'?/. SQ. FT. �/ 400 fir// 4177.C+s 33�a I hereby certify that I am properly licensed as a contractor under -W the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIQ4 IS FOR 5 Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION and Professions Cnrie,Division 3, Chapter 9. H PERMIT FEE $ CV Signature of �7C /��']'� '//I,L�a m Permitteeet-tit4�6w -._ ssivsV PLAN CHECK $ �µ E .Authorized Age u TOTAL FEE $ D j� lE.0 18"7-ChS O 559/o t (S.00 37702 Z /gym COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 i. P C ON FOR BUILDING PERMIT For /Applicant t 1 Fill in Completely RE I V D DATE RECEIVED DATE ISSUED BUILDING J�4 / `C `— 44-4/c /t/1 -/'D" 73 ADDRESS ///��/ U/rjI F{J O ERMIT NO. OWNER A.P. NO. / //// 4-419- ADDRESS MAIL BUILDING /X / .ye L 'T!✓9- Z ADDRESS ADDRESS hf /✓ W W TEL. TRACT I LOT BLOCK d 0Z CITY NO. Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH O- N LENDER ` / 2m /X\ J D BRANCH At:1p, JV) OWNER azt m J ARCRESSHITE • �?/T/Tr0-�ALU� _" -CO ARCHITECT TEL. - USE ✓" 79"0-4,_ S/ Q OR ENGINEER NO. O W FIRE w 2 ADDRESS ZONE TVPE� GRO UP�/�/!,. ! d W APPROVED .r.....--- III/// ��1 JJJ W Z CONTRACTOR BY DATE J o mZ JCC ADDRESS W W TEL. ZONE NO.OF USE OF NEW o r CITY NO. _ PLANS BUILDING ZH W0 STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. 1— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF _ COVERING I COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CI- MAIN BLDGS. ACCE .BLDGS. 0 — SS Q VAR.# DATE O C.U.P.# APPROVED l— APPROVED CO BY _ DATE Z O - . VI hereby acknowledge that I have read this application and state ✓ that the above information is correct and agree to comply with. CC all laws regulating building construction, and I shall not employ' F any person in violation of the workman's compensation laws of N the State of California. _ 03 Z I hereby certify that I am properly licensed as a contractor under-. SO. FT. o the State of California Business and Professions Code, Division 3,-- THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 ' Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: IC am exempt from the provisions of the State of California Business and Professions Cone, Division 3,Chapter 9. VALUATION ♦ ��ro PERMIT FEE $ ry D Signature of m Permittee $ PLAN CHECK $ E Authorized Agent TOTAL FEE $ G G