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HomeMy WebLinkAbout2782 LONGWOOD CT - Building Permits f . • CITY OF COSTA MESA 111 "�r5`n 'F' BUILDING DIVISION 1..µ'Vi�I 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • ww�v.ci.costa-mesa.ca.us t. . FOR INSPECTIONS CALL: (714)754-5626 lyes - PERMIT NUMBER: P09-00033 PERMIT TYPE PLUM STATUS: ISSUED APN: 13952603 DATE ISSUED: 02/26/2009 . -ISSUED BY: KJB JOB ADDRESS: 2782 LONGWOOD CT CM :Suite/Unit: - Vicinity: - . .. SCOPE OF WORK: CHANGE OUTSTORAGE"TANK WATER HEATER IN SAME LOCATION. , OWNER: REED,DWIGHT - , /Address: 2782 LONGWOOD CT 1 PHONE: 714-444-1530' 'City/State/Zip: ' COSTA MESA,CA, APPLICANT: LINGFORD,:SEAN "." Address: . 30300 PUERTO VALLARTA : PHONE: 800-727-0977 _ - - City/State/zZip: - MENIFEE,CA ' CONTRACTOR: ALL STAR WATER HEATERS INC License No. 812894. - -'-Q'i(133 Address: 30300 PUERTO VALLERTA • _ PHONE: 800-727-0977 - , . . , . . - City/State: MENIFEE,CA . ZipCode: 92584 - - - CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: -PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 • ' PERMIT FEE: $35.80. TOTAL FEES: • $35.80 '• .. tt:;: 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 O. INSPECTION TYPE DATE IN1111ALS CODER INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing y, a 4,' 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 WORKERS'COMPENSATION DECLARATIO IOwner ID verified by dri s license. ❑Yes ❑ No t" 1 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' compens n Insurance carrier and policy IDI 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 L ,// by this permit,and that no building structure,scaffolding,falsework,or demolition <Cartlor� S Q `4z( '�c"Cor dismantling thereof,will be more than thirty-six(36)feet high. (Chap. 3.2,Gm (This section need not be completed!the permit is valued al one hundred dollars(5100)or less) 2,Art 2Sec.341,Title 8,California Administrative Code). Pogcy.Number a-2 to 00.3?- .510 ❑ 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 cws of California. and agree that if I should become subject to the • ker.' compensation provisions of Section 3700 of Applicant's Signature Dale the Labor Code,I sh a . i,h comply with these provisions. • �a 011)-07 Division of Industrial Safety Permit Number: •" JV Iure C Da1e � HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: F LURE TO 5'CURE 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? 0 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 effe t. a registration form for acutely hazardous materials? 0 Yes 0 No i6-3 ll"I0 ll- L {Class.#.-- 6 (Section 25533 of the California Health and Safety Code, with some /Z exceptions, requires registration with the Costa Mesa Fire Department by // a/✓-��7 each business which at any one lime has on hand a quantity of acutely [c:_tor: ,fro_re—"" Date._.-_ 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 CONSTRUC •N LENDING AGENCY: temperature and pressure). ❑ I her.y 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)? 0 Yes 0 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 Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 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 Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished 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? 0 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 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 properly 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 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 'nal inspection. Signature of/'•. • er(s) D to Signature Date °V)--67 3057-4613/07) - CAr10• • z-d AppliWm - - � Date'_ 44 . 4'9 CITY OF COSTA MESA BUILDING DIVISION F • rn 41 . DEVELOPMENT SERVICES DEPARTMENT PERMIT/NUMBER PERMIT atbeo IP B05-00246 (714)754-5273 • Fax(714)754-4856 • www.ci.casta-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2782 LONGWOOD CT Status: ISSUED Suite: Applied: 02/08/2005 Vicinity: DOORS IN LIVING ROOM&NOOK Issued: 02/08/2005 Parcel Number; 13952603 Zoning: ISSUED BY: git� Applicant; REED, DWIGHT I l Address; 2782 LONGWOOD CT Phone: 714-444-1530 COSTA MESA,CA Zip: 92626 Owner; REED, DWIGHT . Address 2782 LONGWOOD CT Phone: 714444-1530 COSTA MESA,CA Zip: 92626 • Contractor: OWNER-BUILDER Address: Phone: Zip: Licenser 000000 Arch : Eng: • Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT ENCLOSE EXISTING DOORWAY IN LIVING ROOM&CONVERT EXISTING SLIDING GLASS DOOR TO NEW FRENCH DOORS(NO CHANGE IN SIZE OF OPENING). FEE SUMMARY Plan Check: $0.00 - - Calc Valuation: $2,500.00 Permit: $83.25 • Claim Valuation: , $2,500.00 SMIP Res: $0.50 . SMIP Com: $0.00 • .- " Other: $0.00 Inspection: $0.00 Total; $83.75 . ._ . - , - ' PLANNING& ZONING . " - SETBACKS . MAIN STRUCTURE Front 0-0 Rear 0-0 • " Left 0-0 Right- ". 0-0 " ACCESSORY Front 0-0 ' Rear 0-0 . Left . 07:0 - ' Right 0-0 PARKING Existing: •0 Required: 0 Proposed: 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 considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(WOO) DECLARATIONS 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. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed If the permit Is valued at one hundred dollars($100)or less.) A I certify that in the pe •mience of the work I. . ich this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' • compensation laws •f CalifortSa,and-. :e that i I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the'Se-p .visions Applicant Signature: - I - _. _ Date: 2 - - `�•� WARNING:FAILURE TO SECURE' ERS'COMPENSATI• ••, -RAGS'n+'"M1AwRil.m.„12 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S1oD00U), DITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lk.# Class k Contractor's Signature: Date: 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 sutyects the applicant to a civil penalty of not more than five hundred dollars($500).): ZION 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 • Cogtracto se Laws.)._- ❑ I am e :••• . •=V-y-.. / K Business and Professions Code for this reason: Signature: •ate: Owner ID verified by dria icense. es 0 No Driver's License No. • Expires' 15,1- 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 B,Califamia 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: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ora volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety 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 and Safety Code been fully complied with? 0 yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If aermit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑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 COMP - ' CE • • • .TION 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 co r• ...sae st • laws and- ity ordinances r�acing to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri•.•pro e:y f• llnFitjaatin purp•:•s.I agree not to cupy or allow occupancy of any building authorized by this permit until final inspection. ,„„i' 2 8 O ature Of Legal Owner(s) Date d/Or Authorized Applicant Date CODE I INSPECTION TYPE DAIS INTIlIALS CODE INSPECTION TYPE PATE MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 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 jQ"L%ccz S Il^^ 2782 Longwood. Court Costa Mesa 92626 PAT/c, ti ci iii- D 1c D ooz oorc $L/D1N14 Cry IM NE)' G LA'S$ Sems��� ,- � Doc2 • I., LIVING • —� ° Room w k VD°K ) . 1 - Q a - ? w rn r rc K t7tHEt/ • I r -- r-- ENrQr tt Lir1 fl \ ( 13mr/-I LLT)L1T�' \�.. O Room Jam' ` 4.1/4 I/ 4— North Garage 10 ft. 0 / l l38 139-526 W!11,4W� C,AOAlC11M Mit 3 OF 1 . L • ' • "ADAMS AVFAVE— . . _ • )es. l ' : T L. / 14 t;reAcr it fi Y . i 31" ® z, O C �. •.• S erre un N u 7T7 '� a. • . :-.)--) - 11:5, 0s p E 0 0 ty 0 n 5 IVa /0792 1 WPM /990 TRACT NO. IOTAS• MM 677-A'{46 NOTE-ASSESSOR'S BLOCK a ASSESSO&S MAI MAKE(241.11•12210 WOK 139 RAGES% O MIOWN t ORRIS CONI TY Of ORANGE • THIS MAP SHOULD BE USED FOR REFERENCE PURPOSES ONLY.NO LIABILITY IS ASSUMED FOR THE ACCURACY OF THE DATA SHOWN.PARCELS MAY NOT COMPLY WITH LOCAL SUBDIVISION OR BUILDING ORDINANCES. II • • City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY , P.O.Box 1200 Costa Mesa,California The Building located at I .!.2 *n:i 'nr _ ..'i f has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group (r`3 Y!l/toccupancy. Use of Building Rhranl-.nnao ra/a+f•ar'ncx rraranac • Legal Description ;t v =14Q-491_n1 inf_7 (See reverse side for Metes and Bounds) Building Permit No l`h D4_, Electrical Permit No. _ -4.,4:..:2 Plumbing Permit No. 7-- Number -Number of apartments —0— and/or guest rooms —0— ISSUED TO: Building Official by.. Y//.��_ IA1 rn Ti DFVRF Tine TP MICPANy Victor C. Newton-Director ttii]Linr. .,.� Date September 22. 1531 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 -it6 8%13/80 I66:00 Tl.' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT For Applicant to Fill in Completely — Use Ink Only 49258 .BUILDING 139-521-01 A.P.NO. ADDRESS 2791 Placentia Unit iB 33 BUILDING OWNER OR ADDRESS 2791 Placentia mien B TENANT R G W Develo.ment E I UNIT OR MAILINGADDRESS 188 E. 17th St . SPACE NO. TR.NO. .BLK. 92 CITY Costa Mesa NOL64Z-4Z1• NEW07ADD ALTER (REPAIR MOVING DEMOLISH CONSTRUCTION LENDER United California Bank X BRANCH 4667 MacArthur OWNER R a w Development ADDRESS Newport Beach, CA i VALUE OARCHITECT r R ENGINEER Granrodup Design TEL492-4471 eing USE Townhouse Dwelling $ • • ADDRESS 143 Ave . Granada,San Clemer-eoNE PDR-LD YPE V' GROUP I CONTRACTOR R aW Development CA BP/PROVED ,DATE f34.7— %0 ADDRESS 188 E. 17th St . • CITY Costa Mesa No. 642-421E FSTATE CITY APPROVED SETBACKS LIC. NO. 379731 LIC.NO: SIZE NO.OF BLDGS. (FROM C/L STREET) O. OF LOT 2 . 95 Acres • NOW ON LOT' O FRONT FT. ' . .y USE OF ,S/a���f�' EXISTING BLDG. R.SIDF 29q FT. �/ ton Separate permits are required for L.SIDE 3 3 FT. G electric,plumbing and heating work: REAR FT. • • _ (W,. -USE OF BUILDING AND WORK TO BE PERFORMED - PLANNING •ACTION ' 0 ..1DATE a • Townhouse Attach Dwelling_ DATE eoG ---ELY �I •�/ nATF p /IY/Eig(7 i W_ a I hereby acknowledge that I have read this application and state a, rg that the above information is correct and agree to comply with Or all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 0 {Tzi� the.State of California. ]� �T 3 g 3 I herebycertifythat I am 1805 SO. FT.garicgn 4 i 3 $ ft •, N Cw properly licensed as a contractor under v `r the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to— am exempt from th-•rovis-../ 5 of the St.te • alifornia Business and Professions Co..,Div orn 3,Cha• ":f. VALUATIONPERMIT FEE $ 6• (� / o ro Signature of % - • PLAN CHECK $ c Permittee — ./ a or --.fr. 1 TAX $ U Authorize• Agent Date s_ 'e � TOTAL PAID166 . 00 $ U 8110 12/07(79 8.6,00 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BV PERMIT �� ' 9 For Applicant to Fill in Completely —UseInk Only 2:::BUILDING • Un1"� 3 A.P.NO. 139-521-01 I ADDRESS 2791 Placentia PlanBUILDING# B ��nn # OWNER OR ADDRESS 2791 Placentia Ylan #) TENANT R S W Development UNIT OR MAILING SPACE NO. -E I . ADDRESS 188 E. 17th St. T R.NO. LOT BLK. • CITY Costa Mesa NO. 642-4218 10792 3 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER United California Bank X ' BRANCH 4667 MacArthur OWNER R 8 W Development rNewportADDRESS VALUE . usE Townhouse Dwelling $ •... NO.- / ad - ZONEPDR LD TYPE V GROUP I CA APPROVED R & W Development BY DATE ADDRESS 188 E. 17th St. ; CITY Costa Mesa N°- 642-4218 Fp—t STATE CITY APPROVED SETBACKS . Is SIZE NO.OF BLOCS. (FROM C/L STREET) Cu OF LOT 2.95 Acres I NOW ON LOT 0 - FRONT //��.dJc..0-/{�fl04 • USE OF CR EXISTING BLDG. R SInF ,22 99 FT. C9GtC ern.- -.<`— CO F Separate permits are required for L.SIDE ,33 FT electric,plumbing and heating work, ,REAR o20 z- FT. _ USE OF BUILDING AND WORK TORE PERFORMED PLANNING ACTION Q in Townhouse Attach Dwelling APPROVED • Y ROVED / ATE O AY frb W. 0 I hereby acknowledge that I have read this application and state now FOR SPECIAL REQUIREMENT':. W that the above information is correct and agree to comply with ,y 1 I n. all laws regulating building construction, and I shall not employ tnl Z any person in violation of tile workman's compensation laws of : V the State of California. Garage 433 5 tt. -; 1805 sD. FT. Balcony 83 sq. t.N \0 I hereby certify that I am prPperly licensed as a contractor under N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR mV 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 provisions of e State of California Business r VALUATION PERMIT FEE $ and Professions Divisi. Chapter 9. m PLAN CHECK $ alg, i� o Signature of //'r' _ a Permittee �� "_3' $ /9 TAX $3. 2 Or Author -d Agent Dates" ' ����" TOTAL PAID $ - �y�, U . 5)&100 7652 166.00 IL: COSTA MESA BUIL JG-SAFETY DEPARTMENT APPLI ION FOR STRUCTURAL PERMIT P.O.BOX 1200 COS r A MESA,CALIFORNIA 92626 RECEIVED BY PERMIT For Applicant to Fill in Completely- Use Ink Only 4 9 2 6 8 .BUILDING ��77 it g72 A.P. NO. 139-521-01 ADDRESS 7791 PlaPPntia P an #A-R # OWNER OR APS #UILDING DDRESS 2791 Placentia YS2F TENANT R F W Develnpment UNIMAILING SPACO R it ADDRESS 188 E. 17th St . SPACE NO. (/ TR.10792 LOT 12 BLK. TEL. CITY Costa Mesa NO. 642-421! NEW ADD ALTER REPAIR I MOVING I DEMOLISH LLEN DERCTION United California Bank • BRANCH 4667 MacArthur ADDRESS Newport Beach, CA OWNER R F, W Development ARCHITECT Granada Design TEL. USE Townhouse Dwelling Es 42 ,899 OR ENGINEER roup NO. 492-447. , ADDRESS 143 Ave . Granada,San ClemenosezoNE PDR-LD YPE V GROUP I Q CONTRACTOR R & W Development CA BYPROVED DATE 67-4-4530 ADDRESS 188 E. 17th St . CITY Costa Mesa TEL I-. CITY APPROVED SETBACKS LIC NO. 379731 LIC.NO. SIZE NO.OF BLDGS - (FROM C/L STTFREET) S OF LOT 2. 95 Acres NOW ON LOT FRONT 3S FT. 0 • 1) USE OF t 41) t�R'�VY 0( EXISTING BLDG. R.SIDE VI • F Separate permits are required for L.SIDE /2-9. FT. 0 Ci electric,plumbing and heating work. REAR CP/FT. Imo,,, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a CZ DATE APPROVED Q c `1'C]Wn}1C)114P Attach Dwelling —H�Y ROVED 11n (iceDATE v //t/tErC x (�JJ� III . . 0 • I hereby acknowledge that I have read this application and state MOLD FOR SPECIAL REQUIREMEN-1:: C od that the above Information Is correct and agree to comply with 0.1 all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of E 2 W the State of California. Ga a e 4 3 3 S r S 1805 SQ. FT, $arlc8ny b3 S . r • a- 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 m Chapter 9, and that s h licenses are in full - ce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ,.9-- am exempt from 'Cr. Isions of the . - '•f California Business VALUATION PERMIT FEE and Professions *e, vision 3,C �.. 9. $ n g / //' 1 / PLAN CHECK $ ., 2 1 Signature of Permltte= .ti /��_ $ _ TAX $ t or • ....` e' —0 — F Aut •r ed Agent Date wef r U ` TOTAL PAID $ ]-66 . 00 • i • .