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Home My WebLink About1822 TANAGER DR - Building Permits - 4` 9 CITY OF COSTA MESA " Agrairk BUILDING DIVISION Frit : DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER • PERMIT aarw B03-00703 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1822 TANAGER DR Status: ISSUED Suite: Applied: 04/28/2003 Vicinity: LIVING ROOM Issued: 04/28/2003 Parcel Number: 13963206 Zoning: R1 R1 Applicant: HALL, DAVE ISSUED BY: ///ia Address: 19321 WEAKFISH LN r Phone: 714-962-7984 HUNTINGTON BEACH,CA Zip: 92646 Owner: MOULTON, LESTER R Address 1822 TANAGER DR Phone: COSTA MESA,CA Zip: 92626-4848 Contractor: SKYLIGHT UNLIMITED INC Address: 19321 WEAKFISH LN Phone: 714-962-7984 HUNTINGTON BEACH,CA Zip: 92646 License: 658617 Arch : Eng: Address: Address: Phone: Phone: Zip: License: - License: SCOPE OF PERMIT INSTALLATION OF 2(14"X 46")SKYLIGHTS OVER THE LIVING ROOM OF AN EXISTING SFO.SKYLIGHTS WILL BE INSTALLED BETWEEN EXISTING RAFTERS.NO OTHER WORK AUTHORIZED WITH THIS PERMIT.ICBO#2469 FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,850.00 Permit: $66.20 Claim Valuation: $1,850.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $66.70 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 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: r 1 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.) t},yp,,.\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' . ' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Secti n 3700 of the Labor Code,I shall forthwith comply with these•ro 'sions. Applicant Signature: �1�reDate: 7 X/0 3 WARNING:FAILURE TO SECT RE W - .e ' • ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PE ALTIES 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 ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licens d un ovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busin nd Professions Code,and my license is in full force and effect.Lia p Class a Contractor's Signature: • Date:ate: y� Z r4 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,end the structure Is not intended or offered for sale(Sec. 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. Ayes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, 1 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 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 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 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 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. e. ntly e...e.,h.. 23 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 application apermit 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 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 Calif omia 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 Cale Section 42303 been made? ❑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 end 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. '• : - : . egajQwner(s) e�DZat., •nd/Or Authorized Applicant ate COVE0 INSPECTIONTYPE CODEC INSPECTION TYPE • PAg INTRIAL$ 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 2-Z pp'a aped-- ab, • AcwYLlc na11E SFEAlIlaMM mo• m suetii( RAFTER°. Fi NADASrr \nn �.+� �� ¶MrT N ///�� ' XV w i •DRYWALL \ \ Willa M1 i IMF',s,NUCY,IIE- • - • CUTAWAY VIEW ROUGH OPENING SIDE VIEW' • •liii :_-__7_2,1_____s_14. Al _ 11/0 rea I . i I" 1 !. In ,.. - { 11111 I�I�IW►teas:M11srounE PINIOuen.MITA ANA L r o.Mo.-!/N _ ROOF & CEILING JOIST READOUTS .� L OSCMAL - • OCALA . W.No. I NOME A�MIOY\O in a. wistMw k IMACTIOMAL 'mat - t AMIULAU / nATU OMAVIONO MUMfl lOYE: 1E8s a CEILING Join x 4 r x r. ± r°x ECT. /MFt/9n7 • Feb 24 06 10:11a The Moultons II I 714-434-1845 p;1 i a • ; ,: CITY OF COSTA MESA, BUILDING SAFETY DI .iION ,'• - j POST INCONSPICUOIflLACE ON TICE JOB . NOTICE I .t t I I Schedule inspection one workday id..:advance.To schedule insp8ctions call (714),.'64-5626. Provide theifollowing information: 1) Permit number, 2)Jop,address;3) Inspection item number;.4)pay and date you•need the inspectfon.l, I Budding Atldress: +I(�7c 0C.. TQ{QQq'eX i Owned I I' Building Pennk:C;,,.O 11Vrj 0O ( BectrlW Peanut/:�� l' Cmtractor. �� 1 . I Nechamcal Pemitd Plucnbmg Pelmd p: • Job 0e5lziptionrII Plan Chaco Ni : Issue Date �.-y/v 1 f( 1 n/l I; 't .YEW e00 ALTER .REPAIR `MOVING I *JSH.1 l I 1'�•`XU v`-'� I PERMITS:EXPIRE 180OATS(6 MONTHS) FR0M•ISSl3E OR LAST'INSPECTION CONSTRUCTION APPROVAL- Item x I STRUCTURAL Data Inspector I item I i POOL&SPA II Date inspector 4 Footings I I, 94 Pool&IEquipment Location! I, 6 Slab 96 Steel Reinforcement I! 8 Structural Floor j 100 Electrical Bonding I: 11 Pie-htspect Roof i 102 Rough'Plunt4&Pressure Test 1. • 12 Roof Sheathing ¶t-4 19 y /C ..i.% 104 Approi al to Cover-Gunite 14 T-3a Ceiling-Structural 106 ElecConduil-Underground 16 Shear Panel i 108 Gas Pipe/Underground Test Il . 18 Frame&Flashing 110 Backvi ash Lines,P-Trap, 20 thing&Siding ; Underground Il 22 Insulation • 112 Approval to Deck I • 24 Drywall Nailing 116 Pool Plumbing System-Final II 26 Plaster Brown Coat 118 Pod Electrical-Final lI • 30 pre-Grout I I 122 Fencing/Access/AlarmsApproval', .: 33 -Disabled Access ' I 124 Approval for Plastering I' • 126 PeollSpaSystems- - moi Final I' . - .. . I - III I I1 • I,Or3 , • , 1II. II • I ! I ( I r . I, I • I Feb 24 t)6 10:11a The Moultons �I I 714 4341845 I I • I p.2 t . 1 _J I I . . 1 .. I j . I 1 . i I I I II i I I i • ',1011.11.111111. w ' 1 ' I ' II I 1 I I FIRE DEPARTMENT APPROVAL 1 1610 Overli HydrolOverhd Rough II 1 1612 Dry Chemical I. I I I 1614 Dry Standpipe II . 1 ELECTRICAL: I 1616 Final:Fixed System • I 36 Ufer:Ground. '•. " . . . . I I 1 :L. . 1 38 ElecConduit'.Underground . . I I ' j FINAL INSPECTIONS 44 Rough Sec-Wiring I Call(714)754-5526 for the following: 1'. Date' Inspector 46 Rough Elec.Conduit . . . , I 200 Final Re-Roof 11 5-/7-03 ,�A.f 48 Dec T-Bar Ceiling 201 Final Ellock/Retaning Wall j; J 50 Elec Power Final I 203 Final Sign II I ' 51 Temp Power Final ,________......7..r;„*. I 204 Final Demolition I' I 206 Final Mechanical I 208 Final Plumbing - • II 1 210 1 Fjnal Electrical f j 1 PLUMBING S MECHANICAL j Call(714)327-7400 for the following: II Date! inspector 52 Soil Pipe-Underground I 212 Final Fire Prevention I 54 ,Water Pipe-Underground .• . . . I Calf(714)754.335 For the following: 1, Date, Inspector 55 Underground Gas 1 214 Final--ransportation Sys. i1 62 Rough Plumbing I Call(714)754`671 for the following: I Date Inspector 64 Rough Mechanical ,, I 216 Anal Engineering Approval II t 66 Rough_Factory:Fireplace . :"'' I Call(714)754:5307 for the following: I; Date; ,Inspector 68 :;Sewer System . 218 Final Approval II I 72 Pas Pipe-Rough Test �,.o, Call(714)7545245 for the following: 1 oars; inspector 90 1Gas Pipe Test-Final - ... _ ,Final planning Approval P ' 92 ;Water Service-Final . I a :i626 for the following: i! Date`. Inspector 222 Final Site II ! NOTES: SEE REVERSE 1 250 Final 3uildinglOccupancy jl 05$946 oev.OT'ts) • I ' + " , I I I Mac 9 CITY OF COSTA MESA 4 BUILDING DIVISION : DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Cade,for the performance of the ork 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 end policy number are: • Carrier: f co77/x}%C- F-C,N .0 jPolicy Number: 7 S/516 ii(This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ a pe son in any manner so as to become subject to the workers' compensation laws of Caliorni d agree that if I should become subject to the workers'co pens ion provisions of Section 3700 of the Labor Code,I shall forthwith compply with these-provisions 'Apps ca t ignature: —1 i te: 7 2 7 `y —00 /y/3 7 • LWARNINGCFAILURE TO SECURE WOR RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN *`LOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE($100,000),IN DITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby.affirm'that4'am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3.of-the.Business and P,rgfessions Code,and my license is in full iorce and effect.Lie.# J O Class# 1 C;— 3 7f ohtractors Signature: i C 'Date: C/5/03 CONSTRUCTION LENDING AGENCY: 444 ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code), Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under seC. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑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,talsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Ory 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 and certify a Business Plan for emergency response to release or threatened release of a hazardous - materlal? ❑Yes ❑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 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? ❑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 then 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? ❑Yes ❑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? U Yes Ul No (Section 65850.2 of the California 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? ❑Yes ❑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 prescnbed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No B (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. Signature Of Legal Owner(s) tee/ ill 03 —�� And/Or Authorized Applicant-- N f Dat CODE# INSPECTIONTYPE PATh INITIALS CODE. INSPECTION TYPE • PATE INIIDAL$ 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 Wail 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 7 e p /� 204 Final Demolition 250 Final Building/Occupancy 4-(A -0y 4"'vY • Aanvt�c nost SSITAI 91 c�Ftata�s1Rlr / `_._` RAMP r Cr. . �`� r `\ /IL 7-7.....;- \ \ la"Mtirlit/7 1, a \ ROOF r•n 4 CUTAWAY VIEW - ROUGH OPENING SIDE VIEW' EES? sin. J�lo 'V .14-(S C L r ..: : Ini ,st S . Iii- A'ITITI " tuna17e7C-,e?; IS ►,IENKS:SIPSTOSYRE PRODUCTS,*NflA MA [C.O.D. PO.-Sins ROOF & CEILING JOIST HEADOUTS ..:s°'" c Lltir In OW al- �k, mo.ionint OCA SA • w rte.. W. rV. �^'��I /'i ....Quito••r R _ ___ - IMPACTNfNAI MIA I ANtUTAR OATa ONAs.ns*IVY ISR / ;! I ' ' . CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 6C6 3 DATE /.257.--126---K- j 97 Z LOT NO. 6S ADDRESS /192 Z f/V•QC'c`R 424! Theideveloper 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-she0 (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. /� ba BY ��GC/ Purchaser BY Oaccc /O C,ei�'cY/" RECEIVED Developer and/or authorized CITY OF COSTA MESA representative PLANNING DEPT. AUG 30 1972 BY e• JcfO1"iP�C ; AM PM Lender 718191104i111211121314i516 A OWNER 1ST IAS Angeles Corporation DATE 3-13-72 JOB ADDRESS 1822 Tanager Drive BUILDING PERMIT NO. 34314 GENERAL CONTRACTOR The Buccola Co. DESCRIPTION 0f WORK Hes.w/att.garage AP No. LOT 65 TRACT 6663 FIRE ZONE VALUE $ 31,500.00 INSPECTIONS Si nature Date GROUP I&J TYPE Y ZONE R-3,SOIL x7'o ' ',14P22-.- SUBCONTRACTOR I PERMITS ISSUED GAS Date Number I Signature WATER 49Msy-/,w Plum iiLnn �J/ ROUGH PLUMBING /�j�M.S. V12-72- Li <x—d �y p3 E-l7a/0x07.9O PROP. SWR. LINE 0 HOUSE CON. ❑ ie0 4/-//7y G G ' p-21--/Z4/ 2t0 --- SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /24 S?TP--j''. TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING � y�;' ♦ (.71. //HeHe•tin. amend Vent. TRENCHES a, p _ _ TRENCHES '� FORMS K4 .11aiY1W01f:(iMW% r - ✓f�:.��/�7Jy1�71��/L�,h'� �-/0/ -y7-T !OJ _ FLOOR SYSTEM .G. v��7 "ari ,/PAPar a'i/AWIAWISL<i • BOND BEAM n STEEL REINFORCE n I SS SHEATHING i / ' 2 r` FRAME AND FLASHIN O- LATHING — IN OUT / a- GI l'yyy(�� r _ PLASTER, BROWN COAT STRUCTURAL, FINAL '}'/F�, Ae.j[�i . -yn`'-/ �)1 HEATING, VENT., REFRIG. AND A.C., FINAL fr d - ZQ� e"J�cdiS, 7-944:1 ?fi )z PLUMBING, FINAL AND GAS TEST 7 - V'V' l ELECTRIC, FINAL i FLAN NO. 8BR 34. n PAIB LOT N0. 65 •'2-7i'c,��r00 937* **A'161-96 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely gECEI O GATE RE IVED BUILDING -2— ,7 3T^7 iii/ ADDRESS /f�� Tanager Drive PERMIT-19(n OWNER 1st Los Angeles Corporation A.P. NO. :3'$.3 � , MAIL BUILDING ADDRESS#1 Wilshire @ Grand ADDRESS/Z.72 �i✓/q/FR o/1/OF z / / 0 0 CITY Los Angeles NOt.625-7341 TRACTg g..//- _ LOT ‘5 BLOCK Z CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMnI ISH OI-LENDER 1st Los Angeles Corporation c/ _\ am J J BRANCH Jto OWNER 4r Z.A. aa, cw m J ADDRESS#1 Wilshire Cal Grand ��rr��/Jrr -/ -(.�- VALUE •m ARCHITECT TEL. me USE /`-1-s1/ L//�AL�r��Jti�sJ /, 5100 w < OR ENGINEEREar1 G. Kaltenbach NO. 547-8046 I s/ n p FIRE ,/ W m AODRESs1823 E. 17th, Santa Ana ZONE TYPE v GROUP a 91 d w APPROVED J O CONTRACTOR The Buccola Company BY DATE CO I.cc ADDREs54501 Birch Street W w TEL, pp ZONE / NO.OF USE OF NEW/WS. W ATT Z= CITY Newport Beach NO. 540-8833 2'-/ (PLA",o�' BUILDING .y�,,,c AiQ -O STATE CITY YARDS APPROVED YARDS APPROVED tto IX LIC.NO. 146423 LIC.NO. 2104 MAIN BUILDING ACCESSORY BUILDING DO (FROM C/L STREET/SIZE OF LOT 7Qf x lQQt INNOO.WOONBLLO . O FRONT JOZ— FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. I— SIZE OF sqft NO.OF 1Q 1 2 NEW BLDG. 2,165 ROOMS STORIES L.SIDE FT. FT. 2 U EXTERIOR WALL ROOF _ COVERING COVERING shingle REAR / FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& a. a- MAIN BLDGS. ACCESS.BLDGS. Q VAR.-- DATE O >92, / C.U.P.* APPROVED I— APPROVE V40 _BY Gf/4O�V P/r, DATE r� ��47—7.2_, 0 HOLD FOR SPECIAL REQUIREMENTS (,/1 U I hereby acknowledge that I have read this application and state STA TN m .2 /4 5 D that the above information is correct and agree to comply with / CC all laws regulating building construction, and I shall not employ 07,a/ 1 (,or F any person in violation of the workman's compensation laws of Hm the State of California. m ZI hereby certify that I am properly licensed as a contractor under TA$O. FT 0 the State of California Business and Professions Code, Division 3, THEA SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 CC am exempt from the provisions of the State of California Business �y/ �s and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ /'�V /6 v Signature of 019.41.4-4C--- .-7 _m Permittee $ 3��✓Dr PLAN CHECK $ Q t J�5 0 Authorized Agent u. TOTAL FEE $ /"T r g.7