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Home My WebLink About1807 TANAGER DR - Building Permits • 4U1 ' CITY OF COSTA MESA a at& BUILDING DIVISION F ,) a. DEVELOPMENT SERVICES DEPARTMENT P IT NUMBER OK" PERMIT PERMIT 07-00205 min (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT • Job Address: 1807 TANAGER DR Status: ISSUED Suite No Applied:.; 04/19/2007 Issue.. 04/19/2007 Vicinity: GARAGE Parcel Number: 13963111 0 , ISSUED BY: -� Applicant ELLIS, JOE Address: Phone: 310-838-0408 XT120 Zip: B4301779 Owner: MUNIZ, JOE TR Address: 1807 TAMAGER DR Phone: 714-751-3380 COSTA MESA,CA Zip: 92626 Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 LENAWEE AVE Phone: 310-838-0408 X120 CULVER CITY,CA Zip: 90232 ' License:679898 SCOPE OF PERMIT FURNACE CHANGE OUT,SAME LOCATION(GARAGE)FOR A SFD. WORK TO INCLUDE: 1 INST> 100 K BTU. FEE SUMMARY Quantity - Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $18.20 1 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 - - _ _ _Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/-1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 _ Over 50 hp/Over 1,750 BTU 50.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp- $0.00 0 Smoke Dampers $0.00 0 - ' 3 To 15 hp $0.00 0 •Inst or Relocate Appl Vent $0.00 0' 15 to 30 hp - $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0. Over 50 hp $0.00 0 Floor Furnace - $0.00 0 Other Mechanical Fee Floor or Suspend Heater, $0.00 0 Investigation Fee • $0.00 Plan Check Fee $0.00 • Reinspection Fee $0.00 TOTAL CALCULATED FEES $41.70 '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.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 2446-46(6/00) • 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' ��saoQlnsu �r a d olity number ere: 416—/ OQ -Z�-7 Carder: Polity Number: (7 (-FJ(/ '(This section nee•not be completed if the permit is valued at one hundred dollars($100)or loss.) ❑ I certify that in the performance o •e wo . r ic/•this•:- Is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Califor /I.• ome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision-� ,� /J /Q Applicant Signature: if :- ci Date: —L —I [ .-O7 -WARNING:FAILURE TO SECURE WORK RS' • PENSATION COV:r•GE IS UNLAWFUL MID SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MID CIVIL FINES UP TO ONE HUNDRED ..THOUSAND OOLLARE($100,000),IN ADDITI••TO THE COST OF CO!-ENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,MID ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am'leanse er'...;.I.- y-hapte • commencing with Section 7000)of Division 3 of the Business§gd Professions Code,and my license Is in full (force and effect.Lic.# • A 4 CClass# , CS Contractor's Signature: _ 7/ �/� ,. i L-Diat'e- 7//-36-o7 • • • p /v • 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 end 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,em 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. 0 Yes 0 No Driver's 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 wbrk 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 end 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 Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has et 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). 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 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 Seion 2 ct5534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future bulking occupant require for the work which Is the subject of this application apermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Govemment 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 Nes*,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cale). 7 If a permit 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 Califomla Health end 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 all 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 inspection purposes.I agr:- of to occupy or allow occupancy of any building authorized by this permititituntil finalinspection. i• :t,r:I/ Owned `/.`/Y_-(17 • d/Or Authorized Ap! cant. (,, Date , CODE I INSPECTION TYPE all )NTMAL$ CODE! UISPECTION TYPE e/ RAM 1616 Fixed System Final Fire Prevention 206 Final Mechanical 'T-a6 'o"I r s ly 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 Bullding/Occupancy • 4`ps�MF 9 • CITY OF COSTA MESA BUILDING DIVISION >es• ...,. 4i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F1 4• . PERMIT St+.a.mm d`° P03-00453 (714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1807 TANAGER DR Status: ISSUED Suite No Applied: 07/21/2003 Issued: 07/21/2003 Vicinity: Parcel Nunmber: 13963111 ISSUED BY: Applicant: ELLIS, EJ Address: 3801 LENAWEE AVE Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 Owner: MUNIZ, JOE TR Address 1807 TAMAGER DR Phone: COSTA MESA,CA Zip: 92626 Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 LENAWEE AVE Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 License: 679898 Arch I Eng : Address: Phone: Zip: License: SCOPE OF PERMIT WATER HEATER CHANGE-OUT IN AN EXISTING SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY • AMT QTY AMT OTY AMT QTY ISSUE FEE $23.50 Laundry Tub I 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 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 2446-46 t6@001 DECLARATIONS ,---, a (--'} 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 sell-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. Try i 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'compensnQ Inssuurraannc�eycaarr❑7erraa�nnd oLollcynumbererr are: / a Carrier: STh it l_Ll//�J`LJVJC•N b()At Policy Number: i/t�/I(J27--e:::)3 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the perform.- of the •.A•pt yap: thi .ermit is issued,I shall not employ any person in any manner so es to become subject to the workers' compensation laws of Ca' •a• I ..become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi .).`" Applicant Signature: r r- Date: WARNING:FAILURE TO SECURE W.-r RS'COMPENSATION.. ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN A..KION TO THE COST OCOMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I em license. �e ;r. je Chapter 9(commencing with Section 7000)of Division 3 of the Business nd Professions Code,and my license Is In lull force and effect.Lie.It Class M 1 �-0-C Contractor's Signature; 447 /` Date: %. gC)'O 3 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 drivers license. 0 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 live(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,Gry 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 Will the applicant or present or future building occupant need to file end certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health end 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? ❑Yes ❑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 Califomia Health end 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 en 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 application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? OE Yes 0 No (Section 65850.2 of the California Govemment 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? ❑Yes D No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit 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? 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 all 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 inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. cif 4 direr . A-' ` Z/-c`.J •ndlOr Authori 4ApplIcant . Date - NODE I INSPECTION PE WI INIIDALS CODEI INSPEC110N TYPE DAIS MINLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical p 1266 Pool Spa Final 208 Final Plumbing 8-la -03 (�Qg 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 _ Ga�,� CITY OF COSTA MESA I .11111 ) - "\ BUILDING DIVISION sr.- t' r ' DEVELOPMENT SERVICES DEPARTMENT Cj.J �•,y, PERMIT PERMIT NUMBER ' o - 698-01353 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 . BUILDING PERMIT Job Address: 1807 TANAGER DR Status: ISSUED Suite: Applied: 07/28/1998 Vicinity: Issued: 07/28/1998 Parcel Nunmber: 13963111 Zoning: R1 R1 Applicant: FUNKE, KENNETH Address: Phone: 714-964-7171 Zip: Owner: MUNIZ,'JOE TR . Address 1807 TAMAGER DR :•'!' _• - Phone:- - _ - - /, COSTA MESA,CA - - Zip: 92626 - ti - - - Contractor: �FUNKES ROOFING - Address: 19622 RUMSEY LN - - � Phone: 714-645-0193 .,' Zip: .Pi... 92646 - License: 348877 - Arch/Eng : i. .. . _ . , Address: , • .— • -\ - 'Phone: _ , / _ Zip: - License: SCOPE OF PERMIT i ,170 EXIST AND REROOF W/40 YR COMP SHINGLES: . , • . FEE SUMMARY Plan Check: , -$0.00 - •� •— — ,.. ,'/ Calc Valuation: $8,990.00 . Permit: ' $149.75 - - / , Claim Valuation: $8,990.00 -SMIP RS: ', $0.90 /• •' SMIP Corn: $0.00 _/ Other: ,$0.00 - . . Inspection: ,`, 10.00 Total: $150.65 - 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 0-0 Right 0-0 _ PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • 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 DECLARATIONS WORKERS'COMP✓aNSATION DECLARATION: I hereby a irm undel'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 Codo,for the performance of the wo 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'cram tion Insurance carrier and policy number are: r/�Y �'� /� Cartier: • r.- Policy Number. V OOU ,Th -'S!/ (This section need not be completed if the permit is valued at ono hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' corn•• sation laws of California,and agree that if !shouldbecomesubject to the workers'compensation provisions of Section 3700 of the Labor Code, ,IIIsshall forthwith _„�_uu"• a these Pr visions. ' 1 w^ Date: 2�1 l —�l WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION 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 I am licensed under prove' of C ter 9 co ncing with Section 7000)of Division 3 of the Business and Pryassions Code,and my license is in full torte an nef�uc.4 d)[u�fn '` Class It ` 9 �}` „Cp rectors I tura: �� t_..4--- Ts _- l✓v -� Date: ��1'�� —�LJ . 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 properly 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 Driver's 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,Califomia 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,or a 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 Califomia 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 Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification end 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 Califomla Health and Safety Code been fully complied with? ❑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 application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be fumished 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? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit 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? 0 es 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 all 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 inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si mat a r(s) Date_ C .C� cP�lic nt '� a om Or AuNonze licant Date COOS L RasPECTION TYPE DATE lhaMAL5 COM IN$PECTIONTYPE BATE I!®ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final e t/ qp /� 208 Final Plumbing 200 Final Re-Roof O_i ' T$ Z/w4 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 2446-46 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • ERMI NO. sL TRACT NO. LOT UNIT NO. ` CITY.OFCOSTAMESA COKSTRUCTIION{�PEERMIT/ �, �tb3 C� �O(�(p3 ' Project AddrePs _I Uv ! (4Na 9 !S Rl/� `- f�1J/ O,// • •' (/ ` -c , - . TYPE OF CONSTRUCTION U NEW H ADD L7 ALTERATION ❑ REPAIR rl I OG I /I I,/07 • ''v^ "^ 1'�, Applicant's Marlin• Address r ❑ CONVERSION ❑ DEMOLISH ❑ OTH R '2(�.� /_2'11�7 I f7 , /�Q I A.P.# ✓✓ Zone !` Owner's NampeU^? 774/ L //'IUP �4�� Phone • D RIP ION OF,WORK/USE OF c�;DG. ••• •.•M.%recz gen Address /O(17 /r•y )&?t0zV ,� • O(1' - - c_ D a , s S Main Building: haat...,.• Accessory Building: Arch/Eng. (� License No. " TYPE OF PERMIT W GRADING.yOUNDATION Cr TRUCTURAL T Front a C/A-0-41 - O • Address A / C TENANT a ELECTRICAL/, LUMBING a MECHANICAL B Rear �3 / N Contractor's Name I W/UrR Phone LI OTHER f}1‘ �rrLLKQ e5SS -r� C Right N PROJECT DESCRIPTION SQ. FT. I I i f OCCUPANCY 9 2 7 Address(mailing) t - / K // / G ',CONSTRUCTION TYPE VALUATION$ G 9' 3 ' S Left 2/ City License No. , ZONE GRADING CU.YIDS. ACRES R 1 LICENSED CONTRACTOR DECLARATION •///�� •s� ../� Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:/ pc-, aq_ y 7 - -_ /n. Planning Notes: AP /g M with section 7000) of Division 3 of the Business and Professions Code,and ` 11 ! °-�/°M1^^^•`�\ v� -O my license is in full force and effect. - ,. �x!Z,.fs__- ^�� j r- ' T License Class License No. ^'� !' �r W S I Date Signature 1:. PLUMBING I FEES 1 WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 100, Lab. C.) Automatic Washer Transformer 0 15-50 KW _ Policy No. - _ Company • Backflow Irrigation Sewer Cap - Construction Pole Sub. ❑ 50+ KW 8 Certified copy is hereby furnished. - Certified copy is filed with the city Building Division. _Bathtubs Sewer Connection 2 Cooking Unit Meter Cup to 100 amps a po Applicant _ I-Q EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ' Clarifiers I� Solar Collectors ' Dishwasher Meter ❑over 100 amps ' QO r (This section need not be completed If the permit is for one hundred ($100)or - Iess). I Dishwasher - Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify th t in performance of the • A for which t "5 permit'Is issued, I - shall not e ploy ayy person in any m- so as t :co • subject to the Drinking Fountains • Solar Tank Fan Motors❑0.1 HP,❑1'h-8 Workers �Sff6(r Laws of Californ.. Date i Signature A„a-4._�/ �....,- me - Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ NOTICE 1 ,a t r making this declarati on, u frfr••i. '7 subject to the — Workers Compensation provisions of he Lab, Co•e, 7M • ust forthwith Floor Sinks -•�a Ji comply with Such provisions or this permi shall be •"•med revoked. Urinal • A Fixtures Microwave �/ ' CONSTRUCTION LENDING AGENCY Gas Service . Outlets Water Closet • �v I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors , �. Water Heater / Lender's Name - 6 Outlets Range / Lender's Address I Kitchen Sink . _ Water Service Z co 3 Switches • Sign OWNER BUILDER DECLARATION Cr I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • ,_ Auto-Wash / , following reason (Section 7031.5 Business and Professional Code: Any city or / Garbage Disposal Standing Sections /' �G county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0.5 KW ❑5-15 KW / Trash Compactor any structure, prior to its issuance,also requires the applicant for such permit P / • OC to file a signed statement that he/she is licensed pursuant to the provisions of •Roof Drains - the Contractor's License Law (Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she,is exempt 'refrom and the basis for the alleged exemption. Any violation of Section 2;- 11.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - - • Reinspection Fee f $15 Issue Fee i $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ,FEES License Law does not apply to an owner of a property who builds or improves _ _ thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICESREQUIREME TS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ - • • -I ! /SL/ sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ • Zoning Approved By mow• Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground fa r� dare( /� lmrove for the purpose of sale). _ • Building Approved By -��r �3 a—..1G�. Date .•�,)/ U I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By .7 i��'�7i'', .�� Dat A/n tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law doe4 not apply to an owner of property who Duct-Ventilating ❑o-100.000 BTU ❑100,000 BTU , builds or Improves thereon, and who contracts for such projects with a con- SUMMARY OF FEE' �-7�1 tractor(s) licenseLaw). Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ i ',2'.S0 ' SMIP $ 6 v ( pursuantrkr'so the at on pr's License I ov aware thats/c.h r proof oftheir Worker's-ction mpensation urance should be provided reasonto me. PLAN CHECK $ PERMIT 0 I am exe pt un rii ' P.C. o this Fire I/Fact.Bit.ICBO# Fire Dampers • i� �/ p p PLUMBING $ 7. 00 ISSUANCE S Date • Owner A i_ Heating System& Ducting Registers I • OO ENERGY P.C. $ p-1 P PLAN CHECK 25% $ I hereb certi that I have read r/Is ye ca •• . d stat:/ hat the above 00-100,000 BTU ❑100,00013TU 0 S],rrJ GRADING $ Informs Ion is c•rrect. I agree to comply with . I city and my ordinances - _ ELECTRICAL - $ and sta e laws relating to building constructio ,and here•rauthorize repre- PLAN CHECK 50% $ .a• MICROFILM $ sentatives of this city to enter upon the above-mentioned property for 30-^` inspection purpeee$;h _ Reinspection Fee $15 Issue Fee $ 3 PLAN-CHECK 25% $ . 7C) CMF 0865.46,rev. 10/84 White - Building; Canary - -• 'cant; Pink -Accounting: Goldenrod -AssessorLA 'I CONSTRUCTION AND PLANNING POOL&SPA 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 f'L3 - /t,- 7 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 7t3 7 �• 57. APPROVAL TO COVER-GUNITE / , 7. Footingst1j -'p 5) 58. Electrical Conduit-Undrgrnd. 6r 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing i•Zg-5l C-�t2 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiringl_-x'k7 L'(.� 67. Fencing.& Access Approval 17. Rough Wiring Sign 68. APPROVED.FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 2/2'/ diseCre 76. Dry Standpipe 28. Lathing& Siding T(7/7-7 77. FIXED SYSTEM FINAL 29. Insulation Vj,� est 78. FIRE PREV. FINAL , 30. Drywall Nailing vj7 i AY' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat -3 / 2 Ay 79. FINAL INSPECTION 32. Electrical Power Meter-FinalQ tVuTt�-q 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 1 �� ji zdt/ iii 34. Final Heating & Air Conditioning 4/r f'o ��JJ , / /i N7 j l 35. Final Gas Pipe-Test flim//RRV �'/Y17-[4404 c /e-c_.,:'fYL �. Y 36. Hood or Canopy e �, / 37. Final Factory Fireplace a- !tP i f, r/a trre C it li�t/ J 6 ,J � � 38. Final Plumbing .L r#iAd�leinr f" 39. Water Service-Final • r 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System _ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison ..' 50. Gas Release to Southern California Gas Co - '' �. 51. CERTIFICATE OF OCCUPANCY No._ Date - CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 6 G`'S DATEZ-- LOT NO. 8 ADDRESS /807 f.vs. a .l7.e The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement , acknowledges that (he-sh S (was or ere) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. / BY AL al - Purchaser ,G( BY /cr-eC�crp C9 g�j,�o�`�` Developer and/o Zuthorized representative ��/� BY G i F e5P .914 07G Lender OWNER 1ST LOS Angeles Corporation DATE 3-13-72 JOB ADDRESS 1807 Tanager Drive BUILDING PERMIT NO. 34257 GENERAL CONTRACTOR The Buccola Co. DESCRIPTION of WORK Res.w/att.gar. AP No. LOT 8 TRACT 6663 FIRE ZONE VALUE $ 31, 500.00 _ INSPECTIONS Signature Date GROUP I&J TYPE / ZONE R-1 SOIL PIS S $-3i7'2--. PERMITS ISSUED GAS SUBCONTRACTOR Date Number Signature • WATERLjq A4SN.,,1—>y PI mbiipg ROUGH PLUMBING /24_, 47/ (2 in MC-10 ( 1/it/ -a-/X 6-67/ PROP. SWR. LINE Q HOUSE CON. LII6 t/a?1_,( r ,,c.) ,?-3.,f-72 .1/q SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING M S' 5?...--.2/7"-92./"" TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 / ROUGH WIRING 9G6 H.-sting and Vent. TRENCHES fl FORMS fl STEEL REINF. 61 TRENCHES Y lam, ��'///,,,,,,'''///��/// 7_/0-2 �� FLOOR SYSTEM^ Q. ' 7 y /L J - - • O_7-7A 761/ --- BOND BOND BEAM 1 STEEL REINFORCE n ��`�//////// j SHEATHING �� 772y FRAME AND FLASHING. / ^jt / - LATHING — IN OUT � C. 7/ PLASTER, BROWN COAT C ,le-S STRUCTURAL, FINAL ��qq// �� ..-s� _ HEATING, VENT., REFRIG. AND A.C., FINAL 1Av'ir 7y i�nli f %J/Q/, C'W , /, g, �/� PLUMBING, FINAL AND GAS TEST ri � ``( yry�-72 / ELECTRIC, FINAL leJ //ri p 7y _ - // '-0 S PLAN NO. 10B 34257 LOT NO. 8 V; ?2-7( F—zO0 879* ***1714.87 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECe_� REgED D E I1 t).ED BUILDING i/erIV , ADORERS /Pe,7 Tanager Drive PERM f I OWNER 1St Los Angeles Corporation A.P.No. 4rj 7 MAIL BUILDING Z ADDRESS#1 Wilshire @ Grand ADDRESS/�O7�n/qcE.� OA/445- r1 U CITY Los Angeles NNwig OI.625-7341 TRACT y ' 3 LOT do BLOCK ZZ CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH o F- LENDER 1st Los Angeles Corporation am J D BRANCH / �J ' J /n- L to OWNER •n._al,C/. Cm co ARCHESS#1 Wilshire At Grand to (la /I $a/ ,i J Q OR ENGINEER Earl G. Kalten.co ARCHITECTbach TEL. 547-8046 USE f (late /I $ 7JY(f1�p,-�tt GU/ p FIRE // W ADORES1V23 E. 17th, Santa Ana ZONE TVP {� GROUP CC... a. W APPROVED W Z CONTRACTOR The Buccola Company BY DATE J O O3 Z :lir ADDRESS4501 Birch Street W W ZONE NO.OF USE OF NEWS.W/qTT O r TEL. PLANS�, BUILDING Z F CITY Newport Beach NO. 540-8833 R-/ 020.4/c Coe. -0 STATE CITY YARDS APPROVED YARDS APPROVED w X LIC. NO, 146423 LIC. NO. 2104 MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE NO.OF BLOCS. OF LOT 65' x 100' NOW ON LOT 0 FRONT 5-0 FT. FT. USE OF EXISTING BLDG. R.SIDS C FL FT. I-Z NBG SIZE OLO ? NO.OF,465 sq ft ROOMS 11 STORIES 2 L.SIDE 5 FT. FT. Q EXTERIOR WALL ROOF �} l/ V_ COVERING COVERING Shake REAR 30 FT. FT. \. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- 0- MAIN BLDGS. ACCESS.BLDGS. QVAR.# DATE 0 •e i (/y C r - C.U.P.# y/ APPROVED I APPROV .. /9 6 ®/�/ 7 c"/� N ( AA LLCC��' DATFOt ��/ ,7;2- p HOLD • • PECIA L REQUIREMENTS ~ci I hereby acknowledge that I have read this application and state of ATE J /.2 9 that the above information is correct and agree to comply with er all laws regulating building construction, and I shall not employ a.�p 'sl„ (� / r/ r any person in violation of the workman's compensation laws of j/)(- t0 a fn the State of California. T.Qy e zI hereby certify that I am properly licensed as a contractor under S ti the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 am Chapterx9,p and that such ro licensesiare in full California and Bus e I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:1� am exempt from the provisions of the State of Caia Business VALUATION `F and Professions Code,Division 3,Chapter 9. N �/ PERMIT FEE $ ..0. 23.4- Signature of Ce:ijA �(A� /`�'� ��/ Permittee �+ $ �-� -� PLAN CHECK $ �J ` p Authoried Agent ...-.,'.71150.-- a TOTAL FEE $ x ,.a OWNER FAKHOURY, Louis DATE 1/8/73 '; JOB ADDRESS 1807 Tanager Dr. BUILDING PERMIT NO. 35872 �, GENERAL CONTRACTOR Owner Bldr. DESCRIPTION of WORK Patio Cover SAP No. 139-631-11 LOT TRACT FIRE ZONE VALUE $ 500.00• _ INSPECTIONS Signature Dote GROUP TYPE ZONE R-1 _ 1II1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR WATER Dote I Number Signature Plumbing V ROUGH PLUMBING PROP. SWR. LINE El HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER El ROUGH WIRIINNG�� ,P� Heating and Vent. TRENCHES Ty` FORMS 0 STEEL REINF. 0 " FLOOR SY E BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL ��/�✓rr + J BUILDING, FINAL f "t �;J.2j -w .,PAID 35872 h�I� -R-7_ oo qor: Irk*.t.*5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVE2 V DATE RECEIVED DA F � ADIN — �rDRESS i O 01 I a A 9 C \ ``" T • PERMI O. OWNER kOV..t s hait.Lo`-v NI A.P.NO. i "L/ '� I'_ II "187 MAIL it�ss ADDRESS BUILDING 0O� IU+' FP b '\ Z ADDRESS IIIa7 iamaic,� CL I) CITY O.,CD S `.sa I'\ Si, NOL TRACT (16C3 LOT R BLOCK I-Z Z CONSTRUCTION NEW ADB ALTER REPAIR MOVING DEMOI ISH I— LENDER J7 BRANCH J OWNER `lJ..o01SAlk PA-lc a- W ADDRESS _ 03 J n,tr \ VALUE �r J CO ARCHITECT TEL. • USE Pi- ,o Col Ve%IC $ ✓'-�O,vu < OR ENGINEER NO U N FIRE Wa ZONE TYPE GROUP < ADDRESS CL W APPROVED W Z BY DATECONTRACTOR OW N `J O m Z _ 7..1 cc ADDRESS Sa...fti C W W TEL. ZONE NO.OF USE OF NEW PPrri� � �„� 2F= CITY NO. �' PLANS BUILDING (.O ✓C/f _ W O STATE CITY YARDS APPROVED YARDS APPROVED NIT LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE ( t NO.OF BLDGS. (FROM C/�L(g��g,��E • OF LOT 6� �� (� INOW ON LOT FRONT AtJ"`cT FT. USE OF rs EXISTING BLDG. R.SIDE 2�✓ FT. FT. I- SIZE OF NO.OFS 2 NEW BLDG. N IX I L ROOMS STORIES L.SIDE FT. Q EXTERIOR WALL ROOF _o �s COVERING COVERING REAR i I FT. T. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& SMAIN BLDGS. ACCESS.BLDGS. o P a k 1 0 0 b 0 e Y C.U.P.sok APPROVEDI- }ry( 6 APPROVED 1r , Lb DATE I ._" _?3 fn BY V" LJ / I OI hereby acknowledge that I have read this application and state 1 n that the above information is correct and agree to comply with ,�D CC all laws regulating building construction, and I shall not employ I any person in violation of the workman's compensation laws of / N the State of California. ,TAX/ ZI hereby certify that I am properly licensed as a contractor under SQ. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a CC am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION o& n /!�" PERMIT FEE $ G/ 3 Signature of CO toe p�,�+"-�r-�, a $ c#401(9,0 D� �+a PLAN CHECK $ E fZ U. Authorized Agent ,L u TOTAL FEE $ p ,60