HomeMy WebLinkAbout2758 LONGWOOD CT - Building Permits •
CITY OF COSTA MESA
(osin "Fsq BUILDING DIVISION
•
F y ' 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: BX10-00176
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 13952615 DATE ISSUED: 08/13/2010
Zoning: ISSUED BY: RMD
JOB ADDRESS: 258+LONGWOOD CTCM Suite/Unit:
Vicinity: BREAKFAST NOOK Primary Occ: Const Type :??
SQ. FT: 0 Valuation: $889.00
SCOPE OF WORK:
CHANGE OUT(1) EXISTING WINDOW WITH STUCCO WORK LOCATED IN BREAKFAST NOOK. NO CHANGE IN HEADER. HOA
APPROVAL LETTER ATTACHED TO PERMIT.
•
OWNER: LORENZ VALERIE Address:: 2758 LONGWOOD CT Unit
City/State: COSTA MESA,CAZip Code: 92626
Phone: 714-540-9643
APPLICANT: HANSEN, JAMES - Address: - - Unit:
City/State: Zip Code:
Phone: 714-258-2500
CONTRACTOR: CUNNINGHAM CONSTRUCTION License No. 736026
Address: 1940 E EDINGER.AV Unit:
City/State: SANTA ANA, CA
Zip Code: 92705 Phone 714-758-2500 Cell:
ARCHITECT: License No.
Phone
ENGINEER: License No.
Phone
FEE SUMMARY
Building Plan Check: $0.00
Building Permit: , $35.70 •
Electrical Permit:• • $0.00 •
SMIP Residential $0.50
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $37.20
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Satrudays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE*. INSPECTION TYPE DATE INTI11ALS CODE* INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/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 X e//9/10 pa Oa 121't WL.�
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive,n license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
•
❑ I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
---1t�� by this permit,and that no building structure,scaffdding,falsework,cr demolition
tCairier. t 1l � P
Y"�V or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completer(d the permit is valued at one hundred dollars(SI00)or less.)
2,Art 2Sec.341,Title 8,California Administrative Code).
•
PolicyNumber: w 5.r o 39 47 ✓6.—at
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subje o the wo rs'compensation provisions of Section 3700 of
the Labor ,1 shall wi reply with these provisio s. Applicant's Signature Date
813/.QLD Division of Industrial Safety Permit Number:
Applicant's gnature - Date
� .v. G--- HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic- 7-1---1 3 Co 02�20- ass#"TJ (Section 25533 of the California Health and Safety Code, with some
8 / exceptions, requires registration with the Costa Mesa Fire Department by
1 13 Z. l J each business which at any one time has on hand a quantity of acutely
convad r 5�gnawr Obbbaaare-n 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for control officer
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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
tch1
p ateeSignature Date t /305746(3!07) thonz Applicant „ - Date
. s
F' . .
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LONGWOOD GREENS HOMEOWNERS ASSOCIATION
Home Improvement Application
REQUEST FOR ARCHITECTURAIJLANDSCAPE CHANGE APPROVAL
Architectural Control Committee
c/o Huntington West Properties, inc.
P.O. Box 1098
Westminster, CA. 92684-1098
LOT#: 15
OWNER: Valerie Lorenz
ADDRESS: 2758 Longwood Court, Costa Mesa, CA 92626
PHONE:( 714) 540-9643
(HOME) (WORK)
DESCRIPTION OF WORIC�NTICiPATED;
Landscaping: Sprinkler cable patio to garage under eaves, supplemental
sprinklers in front walkway, inc . shut off ball valve & anti siphon valve ,
evfencinn of water pipe A hnce hih from existing to under window (see drawing) .
Cable & pipe extension to be painted color of stucco or eaves, as appropriate .
(Cont . below) Landscaping work, including sprinklers, hose bib,cable
PROPOSED: START DATE November 2009 COMPLETION DATE December 2009
window replacement: December 2009:.- January 2010
Please include the following with your plans:
1. Description and specifications of all improvements including photos and or brochures.
2. Color schemes for improvements, i.e.,paint chips for house, fence, etc.
3. Plot plan with critical dimensions of improvements proposed with regard to unit.
4. Detailed drawings (architectural blue prints as necessary) for any proposed changes/additions including
elevations, Plans must he accurate and note the scale in the legend.
5. Include two (2) copies of plans and (1) copy of the Neighbor Awareness Statement with completed Home
improvement Application.
6. Show means of drainage for your unit after improvements.
PLEASE NOTE that plans that are approved are not to be considered authorization to change the original plans as
designed by the developer and approved by the County of Orange. The review is intended to consider aesthetic
appearance. Owner may also need to acquire city permits for any possible structural changes.
NEIGHBOR AWARENESS
Neighbor's approval is not a condition to plans being approved by the Architectural Committee; however, the intent is
to advise the neighbors who own property within 100 feet of the property to be improved or altered of the proposed
improvements or alterations. Failure to obtain these signatures could delay approval. Neighbors who would like to
make comments to the association regarding the proposed improvements should direct comments within three days of
having seen this application to the following:
Window: Change stationary dining room window to 2-0x5-0 single hung sliding
window, aluminum, color Milgard dark bronze (like new entry window))
complete replacement Mail comments to: new construction frame with stucco
patch (to LOhIGWOOD GREENS HOMEOWNERS ASSOCIATION be painted Pearl White .
Work to be done C/O Huntington West Properties, Inc.with permit from Costa Mesa .
(See Cunninhganr' s description P.O. Box 1098
attached . ) Westminster, Ca. 92684
Additional attachments :
CITY OF COSTA MESA
^,w'"Fs BUILDING DIVISION
Ft; � ,l 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
%. I^'# . FOR INSPECTIONS CALL: (714)754-5626
o o rte
PERMIT NUMBER: BX09-00043
PERMIT TYPE B_MISC STATUS: ISSUED •
APN: 13952615 DATE ISSUED: 02/25/2009
Zoning: , ISSUED BY: RMD •
JOB ADDRESS: 2758 LONGWOOD CT CM- • Suite/Unit:
Vicinity: _.Primary Oct: Const Type :??
SQ. FT: 0 -Valuation: - $7,900.00
SCOPE OF WORK:
5 WINDOWS CHANGE OUT, REPLACE FRAMING, RESTUCCO AND CHANGE OUT 2 EXTERIOR PATIO DOOR.ALL CHANGE
OUTS .
WILL BE LIKE FOR LIKE, NO-CHANGE IN HEADER. BEDROOM WINDOWS TO MEET EGRESS REQUIREMENTS.
OWNER: ECKLES, CATHERINE JANE Address:: FOX TR Unit COSTA
MESA, CA - -
City/State: 2758 LONGWOOD CT Zip Code: 92626.. .
Phone: - - - _ -
APPLICANT: DEHART, JIM Address: 1940 E EDINGER:AV.: : - Unit:
City/State: SANTA ANA, CA • Zip Code: 92705
Phone: 714-758-2500 . . -.. . - -.
CONTRACTOR: CUNNINGHAM.CONSTRUCTION License No. 736026 , '
Address: 1940 E EDINGER AV • - Unit: •
City/State: SANTA ANA, CA -
Zip Code: 92705 Phone 714-758-2500 Cell:
ARCHITECT: .. License No. - '
Phone i • -
ENGINEER: . License No. .
Phone . . .
FEE SUMMARY -
Building Plan Cheek:- ' ' -$0:00--
Building Permit: $153.25
Electrical Permit: - .$0.00 - _
SMIP Residential - $0.00 _ i
SMIP Commercial ' -$1.66-
Bldg Std Admin Fund $1.00
TOTAL FEES $155.91
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE S. INSPECTION TYPE DATE INTITIALS CODER INSPECTION TYPE DATE INTn1ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site fir.
204 Final Demolition - 250 Final Building/Occupancy 3
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' - Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
(t�l have and will maintain workers'compensation insurance: as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation flue(5)or more feet in depth into which a
number are: �.{���r person is required to descend,will be made in connection with work authorized
/ l T!c Rik)
by this permit,and that no building structure,scaffolding,falsework,or demolition
Cortise—w f a or dismantling thereof,will be more than thirty-six(36)feet high. (Chap. 3.2,Grp
(This section need not be completed 11 the permit valued at one hundred dollars($100)or less.)
2,Ant Sec.341,Title 8,California Administrative Code).
Pd Number: I 7 73 t' 5 2.-CO?
)? ❑ As owner-builder, I will not employ anyone to do work which would
U. I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
• I. ..d, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
o the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of Applicants Signature Date
the Labor Cod ,I shall forthwith comply with these provisions.
2,14--o 9 Division of Industrial Safety Permit Number:
pplicar gn..ye HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNIN : FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. /�, a registration form for acutely hazardous materials? ❑Yes ❑No
L cam.-- 7 9‘,026. acre- f/ (Section 25533 of the Califomia Health and Safety Code, with some
�,�,� exceptions, requires registration with the Costa Mesa Fire Department by
/Yi/,// ?�-¢�� each business which at any one time has on hand a quantity of acutely
mracfeF's gnawre —Date�„LyS9y.- 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes . 0 No
applicant for a pencil subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars(5500).): of the California Health and Safety Code).
❑ I, as owner of the properly, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If'yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
a ' epntL,
re e I Owner(s) Date
Signature Date Z 26-09
305]-a613/0]I t te-'
• •
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY _ )0 3 i'J
P.O. Box 1200
Costa Mesa,California
The Building located at 77r.1 Pint . nrin At onnn_ r.ni
has been inspectedandfound to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Groupe e rK — 3 Occupancy.
Use of Building Ternhause m/2ttached a.recc
Legal Description A.P.A139-521-01. int 15
(See reverse side for Metes and Bounds)
Building Permit No 4Q77) Electrical Permit No. 4RRQ1+ Plumbing Permit No. zoene
Number of apartments —n_ and/or guest rooms —n—
ISSUED TO: Building Official
(i •
a & 7d D:VDWPMET P CrflkNY Victor C. Newton—Director Builc3.in t
Date Setthcniaer 22. lc./11
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C.
Form BU 34 Rev. 11/70
•
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� 654 8(!3780 .,_ 166.00 U
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR'STRUCTURALPERMIT' ^ '
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED Sqy, • PERMIT
For Applicant to Fill in Completely —Use Ink Only /A. X 49272
.BUILDING UtInit 1 139-521-01
ADDRESS 2791 Placentia . Plnan SSR BUILDING Rill spy/ 5
OWNER OR ADDRESS 2791 Placentia Y1 an 1DB-F
• TENANT R Fa W Development
ADDRESS
�j
MAILING SPACE NO. /'7
ADDRESS 188 E. 17th St . ,L. r� r� .
TR..LOU 792 LOT 15 , SLK.
TCITY Costa Mesa NO. 642-42]J LU
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER United California Bank X
BRANCH 4667 MacArthur - OWNER R 6 W Development
ADDRESS Newport Beach, CA VALUE
ARCHITECT Granada Design TEL • USE Townhouse Dwelling s42 , 899
OR ENGINEER (J'O Up NO. 492-44701 Sli
•
ADDRESS 143 Ave . Granada;San CleT(IPrn ZONE PDR-LD V GROUP I
(�A APPROVED / �8o
CONTRACTOR R S W- Development ' BY L(,{ ` DATE I
ADDRESS 188 E. 17th St .
TEL.
CITY Costa Mesa No642-4218
FISTATECITY APPROVED SETBACKS
p—iLIC. NO. 379731 'LIC. NO.
SIZE NO.OF SLOGS. (FROM C/L STREET)
0W. OF LOT 2 . 95 Acres INOW ON LOT 0 FRONT 3O7 FT.
Q • USE OF /
in EXISTING BLDG: R.SIDF e'--�a'\
Co .
F Separate permits are required for L.SIDE .2-42-2.-FT.
L1 electric,plumbing and heating work: REAR , —
Lf 3 FT.
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
Ca
a Townhouse Attach Dwelling DATE
APPROVED
3a — b /
-I —BYAPe/ DATF el(7 /Po
a
a
O I hereby acknowledge that I have read this application and state r1ULU FOR SPECIAL n
0d that the above information is correct and agree to comply with KEQUU(tM CIV I
0+ all laws regulating building construction, and I shall not employ i•
Z any person in violation of the workman's compensation laws of (p+� y+ g . u
I.I. the State of California. 1805 SO. FT. Lalc6ny4 S$. ft .C. re
3 I hereby certify that I am properly licensed as a contractor under N (V�
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR re V
Chapter-9, and that s licenses are in full .rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Tr s,
am exempt from th. •• ovi•ons of th ' to - of California Business VALUATIONNO
and Professions Co., Di sloe 3,C t' 9. PERMIT FEE $ /4G
.
`
Signature of % PLAN CHECK $ �� o -a
Permittee $ —0- TAX $ �� LL
or /J rt. - V
AuthorR=• Agent Date r r 4111I TOTAL PAID $ 166 . 00 .
:e .>31113 12/07/79 •
B6,00TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR:STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -RECEIVED BY 'PERMIT / z7Z
For Applicant to Fill in Completely— Used Ink Only
BUILDING yJ-alt #15 A.P. NO. 139-521-01 t�
ADDRESS 2791 Placentia all #B-R BUILDING Unit #15
TO2WNER 1-01
AR & W Development ADDRESS 2791 Placentia Plan B-R
UNIT OR
MAILING SPACE NO.
ADDRESS 188 E. 17th St. TR.NO. LOT BLK.
L.
CITY Costa Mesa NO. 64204218 10792 15
NEW ADD ALTER REPAIR MOVING DEMOLISH
LO �ION
LENDER United California Bank
X
BRANCH 4667 MacArthur OWNER R & W Development
ADDRESS NOP rt Beach CAVALUE /,�S Q��
•
ARCHITECT a sign TEL. USE Townhouse Dwelling $92/
OR ENGINEER roup NO. 492-4470 r i
ADDRESS 143 Ave. Granada, San Clemente ZONE PDR-LD TYPE V GROUP I
CA APPROVED
CONTRACTOR R & W Development BY DATE
ADDRESS 188 E. 17th St.
TEL.
CITY Costa Mesa NO.642-4218
(-1 STATE CITY APPROVED SETBACKS
i—iLIC.NO. 379731 LIC.NO.
(FROM C/L STREET) •
$u SIZE NO.OF BL0.• OF LOT 2.95 Acres- NOW ON LOT 0 FRONT FT.
Q • USE OF
ell EXISTING BLDG. R SIDE ft
Cf/
FSeparate permits are required for L.SIDE FT. -
electric,plumbing and heating work:Ci. REAR FT.
HUSE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a _
-I Townhouse Attach Dwelling APPROVED
a •
7 - APPROVED
>0 _6Y ATE
Cd
L•1
0 I hereby acknowledge that I have read this application and state 0
y that the above information is correct and agree to comply with
61 all laws regulating building construction, and I shell not employ s:
Z any person In violation of the workman's compensation laws of 2
14 IU the State of California. Garage 433 sq. ft. -=
1805 SOFT. Balcony 83 sq. 'ft. CV
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D
`
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from •rovisions of th tate of California Business v `A
and Professions C..:,Division ,C Ater 9. VALUATION PERMIT FEE $ 1
re
m kn
♦ PLAN CHECK $ 7 0
Signature of / L^ 04 ♦J s 0a
Permittee I s.2 9 / TAX $303 3 0 1 u
or
Authorize• Agent Date sneer TOTAL PAID $ i a 1
•
2(0'Ob
7652 166.00 !Li
COSTA MESA BUIL JG-SAFETY DEPARTMENT APPLI ION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COS r A ME SA,CALIFORNIA 92626
RECEIVED BY PERMIT
For Applicant to Fill in Completely — Use Ink Only 49268
BUILDING ��11 1t 12 A.P.NO. 139-521-01
ADDRESS 2791 Plarentia P an }i—R
OWNER OR ADDRESS 27BUILDING 91 Placentia .1lall S-2F
TENANT R F., W Development
MAILING UNIT OR
SPACE NO.
ADDRESS 188 E. 17th St .
TR.1O. 792 LOT 12 BLK.
TEL.
CITY Costa Mesa NO. 642-4211- NEW ADD LTER REPAIR MOVING DEMOLISH
CONSTRUCTIONEp
LUni ted Cal i fornia Bank
X
BRANCH 4667 MacArthur
-
ADDRESS Newport Beach, CA OWNER R h W Development
VALUE
ARCHITECT Grangda Design TEL. USE Townhouse Dwelling :42 ,899
OR ENGINEER roup NO. 492-447
ADDRESS 143 Ave . Granada,San Clemen+ezONE PDR-LD YPE V GROUP I `l/
CONTRACTOR R 6 W Development CA BYPROV ED DATE 847—0C"
ADDRESS 188 E. 17th St .
CITY Costa Mesa
TEL
I"' CITY APPROVED SETBACKS
LIC NO. 379731 LIC.NO.
SIZE NO.OF eLOGS. (FROM C/LL STREET) - '
LOF LOT 2 . 95 Acres NOW ON LOT FRONT 351 FT. 0 -
Q USE OF 0.- --1,-.C---,42_04- _.
� EXISTING BLDG. R.SIDE
V) p
FSeparate permits are required for L,SIDE /2-57 FT. 0
electric,plumbing and heating work. REAR 'P7
FT.
fW. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C
O DAA
APPROVED
•E> APPc
Tnwnhnilaa Attach DwellinROVED C� ( DATE O /iq/8-0
CCw
0 I hereby acknowledge that I have read this application and state IUCD FOR SPECIAL REQUIREMEN'1:
IX that the above Information Is correct and agree to comply with
a. all taws regulating building construction, and I shall not employ >
Z any person In violation of the workman's compensation laws of ��jj r g s� * _
= the State of California. 1805 Darlc6ny4 ti 3 Sa. ,,T .
o
I hereby certify that I am properly licensed as a contractor under SO.FT, a+
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that s h licenses are in lull co and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;
am exempt from <r. isions of the _ .t California Business VALUATION PERMIT FEE 4
and Professions re, • vision 3,Cr.�. 9. s /64..,-... n
/ t I PLAN CHECK $ _ G
Signature of
Permltt TAX $ is.
or -O- V
Aut •r ed Agent Date wee I . J TOTAL PAID $
166 . 00
i