The URL can be used to link to this page

Home My WebLink About893 TOWNE ST - Building Permits� � � � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa�p�DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 893 TOWNEST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 42418202 Zoning: Appliwnt: BRANNON, TOM Address: 15161 LAFAYETTE ST WESTMINSTER, CA Owner: MELLIN, THOMAS J Address 893 TOWNE ST COSTA MESA, CA Contractor. BRANNON'S ROOFING Address: 15761 LAFAYETTE ST WESTMINSTER, CA Zip: 92683 Arth : Address: Phone: Zip: License: Phone: 714-897-8147 Zip: 92683 Phone: Zip: 92627 Phone: 714-897-8147 License: 609940 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/032006 Issuetl: 01/03/2006 Phone: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, FELT PER MFGR'S SPECS, YEAR ELK PRESTI�UE COMP SHINGLES" 1800 SQ FT TVJO 2' X 4' VELUX SKYLIGHTS TO BE INSTALLED BEIWEEN THE RAFTERS. (ICBO #NER216) FEE SUMMARY Plan Check: $0.00 Permit: 59725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0. 0 PARKING Existina� 0 Calc Valuation: s3,eoo.00 Claim Valuation: 53,eoo.00 Rear 0. 0 Left 0- 0 Right 0- 0 Rear 0- 0 Lefl 0- 0 Right 0- 0 Reauired: 0 Pr000sed: 0 I NOTICE: The work authonzed by this permit shall compty with all applicable handicap access requirements under California staWtes and related I regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or il work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permlt to be considered legal, such wark must comply wilh all applicable codes, and all requlred Inepections end 11na1 approvel must be obtained. Failure to obtain Inspections and final approval will result in the expiration of ihis pertnit. FOR INSPECTIONS CALL: (714) 7545626 taa�ae�aoo� WORKERS'COMPENSAnON DECLARAnON: � t hereGy ettirm u�dec penalry ot perjury one ot Ue tollowing dedarations: ❑ I have and will maintain e certiticate of consent to selt-Insure tor workers' compansation, as pmvidetl for by section 3700 ot the Lebor Code, lor the peAortnanca ot the work tor which ihis pertnit is issuea. �� I hew entl will maintain workers' compensatbn 4�wrance, as requiretl by secUon 3700 of the Lahor CoOe, for the peAormance ot the work lor wh�h Ihis permlt is issued. � My workers' mpen atlon surence�j rder entl policy number are: a/Jp �c �Certler. . , � C�� /1�C{' Pollq Numher. ,�o�� 7 7r1 �U� (Tbls section nestl nof be comp/eted i!!he perml( is ve/ued at one hundred ddlars ($700) or /esSJ �— ❑ I Cetlily that in the performence ol the wOrk br which IMs pertnit is issuBQ I shall not employ eny parson in eny manner so a5 to become Subl�� o Ihe warker5' campensatlon laws ot Celifomle, antl egree that It I should bewma sub�ect to the workers' compensatlon provisions ol Section 3700 of Ihe Labor Catle, 1 shall tort�with camply with these� pr�j�i lon�%� qpplicent SlgnaWre_. �-.!` � Y—J'JLt/k M Date:�� f�� 0�7 WpRNINa: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL rWD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES M1D qVIL FlNES UP TO IXdE HUN�RED THpUSANO WLLARE (5100,000). IN ADOITION TO THE COST OF COMPENSATION, OAMAGES A$ PROVIDED FOR IN SECTION 3]OB OF THE LABOF COOE, IMEPEST, AND /TTORNEV'S FEES. IICENSEO CONTRACTORS OECLARATION: I ha�eby eNirm Iha1 I em licerysed u9Qe,[,pr�oy '� s ot Chapter e(wmmend�g with Sectlon 7000) ol DlNsion 3 0l the Business antl Prqtgssions Code, entl my Iicense is in tull torae and enectrLlc: aj COI� `'l Y�! �c�ess e i� -.'�i. r � CMcractofs�Slgneture� rDate:��- / " _R � � ,. . - - CONSTRUCTION LENDING AGENCV: ❑ I heraby eHirm Ihal lhere is a constructlon lentlinp agency for the peAormance of lhe work for which this permil is issuetl. (Sec. 3097, Civil Cotle�. Lentler's Nnme: Lentler's Address: Slgneture: Date: OWNER-BUILDER DECLARATIONS: I hU�eby atfirm Ihet untler penalry ol perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Buslness end Professions Code: Any ciry or counry w�ic� requires a pertnit to conswct, alter, impmve, tlamolish, or repair eny strucWre, prior to its Issuance, elso requires the applicant for such pertnit to lile e signed stelement that he or sha is ticensed pursuant to Ne provislons at the Contradors License Lew (Chapter 9(commencing with Sectlon 7000) ot Division 3 oi the BuSiness and Professions Code) or thet he ar she is exempt therelrom and the besis for the allegetl exemption. Any violetion of SecUon 7037.5 by any epplicant For a pertnit subjects Ihe epplicant to a civil penalry of not more lhan five nuntlred dollars ($SOOjJ: ❑ I, as owner of the property, ar my employaes with wages as iheir sole compensation, WILL DO THE WORK, en0 the siruciure is not intentletl or oMeretl for sale (Sec. 7044, Business antl Professions Code: The Coniractors License Law tloes not applY to en owner of propeny who builds or improves theraon, end who aces such work himself or hersetl or through his or her own employees, provitled that such Improvements are �ot In�ended or oflered lor sale. tl, however, the bullding or Improvement is soltl wit�in one year of complation, tha owner-builtler will have �he burden ol pwving that he or sha ditl not build or improve tor purpose of saleJ. ' ❑ I, as owner of Ihe properry, em EXCLUSIVELY CONTRACTiNG WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business antl ProfBssions Cotla: The comractors License lew tloes not apply to an owner ol property w�o builds or impmves Ihereon, and who wn�racts tor such pwject with a contractor(s) license pur5uant to the Contracrors License LawsJ. ❑ I am exempt under sec. SigneWra: OwPer ID veritietl by tlnver5liCense. ❑ Yes ❑ NO Business a�d Profassions Code for this reason: VedficaGon oi Ownership by (rype ol documeN. i.e. � property ta: Dill or deetl): DIV�SION OF INDUSTAIAL SAFETV PERMIT CERTIFICATION: �rivers License No. Date: Expires: ❑ I hereby certity Ihat no excavalion five (5) or more feet in depih into which a person is required to descend, wlll be mede in connection with work euthodzetl by this permi�, antl ihat no builtling siructure, scaflolding, lalsework, or demoli�ion or dismantling thereol, will be more than thirty-six (38) �aet high. (Chep. 32, Grp 2. Art 2, Sec. 341, Ttle 8, Califomia Atlministrelive Code�. ❑ As owner-builtler, I will no� emplay anyone to tlo work which woultl �equire e permit from the Divislon ol IntluslAal Safety, es �oted ebove, unless such person hes a pertnit to tlo suU work Irom ihe division. Signaturo: Data: Division ol IntlusMal Safery Parmit Number. CER'�FlCATE OF COMPLIANCE AND AUTHOR�ZATION OF ENTAV: I cenify under penalry of perjury tha� I have read Ihis application and stata Ihel tha information given is corre��. I agree to comply with ell stete laws end dry ortlinances relating to huiltling consiruction, end authodze repro5entalives of the Gry ol Cosla Mesa to emer upon Iha ebove-0escnbetl properry for inspection purposes. I aqree not to occupy or allow occupancy of any building emhanzed by this permit until linel inspectlon. CODEd INSPECTIONTYPE 1616 Fixotl SyStem Final Fire Prevention 1266 Poal Spa Final 200 Final Re-Rool 2p1 Flnal Blak/Retaining Well 202 Final Factory Fira Placa 203 Finel Sign pp4 Final Demolition P� ItRID9LS � �K � �� COOE I INSPECTION TVPE 206 Fin91 Mechenical 208 Finel Plumbing 270 Flnal Elecldcel 212 Final Fire Provent�on 220 Final Planning Approval 222 Final Site 250 FinelBuiltling/Occupancy QAIE It�l4 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714)754-5273 • Fax(714)754-4856 JobAddress: 893 TOWNEST Suite No Vicinity: Parcel Nunmber: 42418202 npplicant: MELLIN, THOMAS J Address: MELLIN, KATHY R COSTA MESA,CA 893 TOWNE ST owner: MELLIN, THOMAS J Address: MELLIN, KATHY R COSTA MESA,CA 893 TOWNE ST Contractor: Address: ArchlEng: Address: ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair I Alt Cooling/Heat Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater MECHANICAL PERMIT Phone: 949£50-1168 Zip: 92627 Phone: 949-650.1168 Zip: 92627 Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT replace wall heater w/ fau system. $22.00 51325 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY PEFM�I�T NUMBER M98-00542 ✓ 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 7125/1998 Issued: 11/25/1998 / �y �� f4 / / ��"V� Repair / Alt Absorblion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incineretor Compressors / Absomtion Svstems Upto3hpl100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Invesligation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 80.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 535.25 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a periotl of 780 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATON DECLARATION: � 1 I hereby aHirm untler penalty ol perjury one of the fdlowing declaretions: ❑ I have entl will maintein e cenificata oi consent ro self-Insure tor workers' compensation, as providad tor by section 3700 of the Labor Cotle, for the pertortnence of the work for which this pertnit is issued. ❑ I have and wiil maintain workers' compensation insurance, es required by SecGon 3700 of Ihe LeOor Cotle, for the pedortnance of the work tor which this pertnit is iuued. My workers' compensailon Inwrance cartier antl poliry number ere: Cartier. Polity Numbec (71iis section need nof be completed i/ (he Oermi( is valued af one hundred dollars ($ f00) or less.) ❑ I certity that in the performanca oi the work lor which Ihis pertnit is issued, I shall not employ any person in any menner so es to become subject to the workers' compensation laws of Cali�omia, entl agree that it I shoultl become subject to the workers' compensetion provisions of Section 3700 of the Lebor Code, I shell lorthwith crompry with these provisions. Applicam SignaNre: Date: WAiiNMG FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SMALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,OW). IN qppITION TO THE C0.5T OF COMPENSAT1qJ, DAM4GE5 AS PROVIDED FOR IN SEC110N 31080F THE UBOR CODE, INiEREST, AND ATTORNEYS FEES. 110EN5ED CONTRACTORS DECLARATION: � I hereby attirm that I em licensed under provisions of Chapter 9(commencing with Saction 7000) of Division 3 of Ihe Busineu and Proteuiors Cotle. antl my license is in full torce and eMect. Lia k Class N Contractors SignaNre: Dale: CONSTRUCTION LENDING Ar.ENCY: ❑ 1 hereby aHirtn that ihere is a construction lending agency for the peAortnance ot the work for which this permit is issueA. (Sec. 3097, Chnl Cotle). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn that under penal�y oi perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, BuSiness end Professions Code: Any ciry or counry which requlres a parmit ro conswct. alter, improve, tlemolish, or repair eny strucWre, prior to its issuance, elsa requires the epplicant tor such pertnit to file e signed statement that he or she is licensed pursuam ro the provisions of Ihe Conirectors License Lew (Chapter 9(commencing with Sectian 7000) oi Division 3 of ihe Business and Professions Cotle) or that he or she is exempt thereirom and the �asis tor the alleged exemption. Any violation oi Section 7031.5 by any applicant tor e permit subjecis Ihe applicant ro a civd penalry of not more than live hundred dollars ($500).): � I, as owner of iha propeny, or my employees wit� wages as thelr sole compensetion, WILL DO THE WORK, antl the structure is not Intendetl or oHered tor sale (Sec. 7044, Business and Professions Code: The Coniracmrs License Law does not eppry to en owner ot properry who builds or improves ihereon, antl who tloes such work himself or �ersetl or through his or �er own employees, providetl that such Improvements ere not intended or oHered for sale. II, however, the bullding or improvement is Soltl within one year oi corripletion, ihe owner-builtler will have lha burden oi proving that he or she did not build or improve for purpase of sale.). ❑ I, as owner of the properry, am E%CLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consiruct the prolect (Sec. 7044, Business and Pmfessions Code: The coMractors LiCense Law tloes not apply to ao owner oi property who builds or improves �hereon, antl who wntracts for such project wlth e cootractor(s) license pursuan� to t�e Cqnirectors License Lews.). ❑ I am ezempt w SignaWre: _� Owner ID venfieA hy licqnse. ❑ Yes ❑ No Business and ProFesslons Cotle tor this raeson: Date: l// 2S"�95' Drivefs License No. Expires: VenTication ot Ownership by (rybe of daumant, i.e. - property tax bill or tlaetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ❑ I hereby certity that no ek�vetion five (5) or more feet in depth into which a person is required to deScenQ wlll be matle in connection with work authonzed by this permit, and ihet no Duiltling sirucWre, scattoltling, lelsework. or demolition or tlismantlinq Ihereot, will be more then Ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomie Administrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit irom ihe DiNsion of Industrial Sefery, es noted above, unless such Derson hes e pertnit to do such wark fmm ihe divisian. Signature: Date: Division ot Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZATION OF ENTAY: I ceM1ity under penalry oi perjury �hat I heve read this aDPlication and stale thet ihe Information given is correct. I agree to comply with all state lews and ciry ordinances relating Io building consiruction, and authonze representetives of the City of Costa Mesa to enter upon the abova-dasc�property �r inspection purposes. I agrae not to occupy or allow occu0ancy of any building authorized Dy this permlt until tinal inspedion. �//2 s/ y5l Si9neture Of Legal Owner(s) Date AnNOr Authonzetl Applicant GODE 1. INSVECTIONTYPE Qsj( ��$ 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Fectory Fire PlaCe 203 Final Siqn 204 Final Demolition 2d46-46 COUE I INSPELTION TYPE 206 Finel Mechanicel 208 Finel Plumbing 210 Finel Electncal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel Building/Occupancy 111. . • • � + , Garege 19' 3" z 79' 7' Living Room 18' 1" x 15' 8.5" Dining Room 8' B" x 8' 10" Hose Bedroom 10' 0" x 8' S.5" � � C�� 8" � 1 di � �o° � 9„ -. B.� io �.. , . - Supply �II6'�, �I;I�I+� Plenum p�! Fumace __ Kitchen 10' i" x 8' S,5" I.,J Access Hatch 8" $ �. �(j Bathroom , / I I ' S' 0.5" z 4' B.5" House 40' 3" X25' 7' e° \ IJ � n Duct 1B' a a E x �� I'� ..,.. 5 _�$1 � ` BaMroom 5' d' x 7' 1.5' o a� a� s� a� �o' � � — � O Bedroom 17 6' x 17 0' Bedroom 9' 0.5' x 11' 11" PX0.IECT RDOflF55: �(j 3 ; OT+dtJ � ST OWNEfl'SNRME: MELLIN, THOMAS J nooeess: MEL:,IN KATHY R P,93 TOGJNE ST COa^TA Mr.SA,CA � 4CHIENGINEEH: 6 J �— 1 1 6 8 - �M1 anoeess: UNIT: 92626 flEG.NO.: UNIT: PEHMITTEE: 'rHUi�IAS MEI,LIN ( 714 ) 650-1168 % aooaess: 893 TOWNE S'P t' M CA 92627 LICENSEU CONTflAtTOH O�CUIhFT10N: I here�y a16rm t�at I am IicenSeA unaer pmvisions ol Chapter 9(commencinp wit� $ec�ion 7000) ol Orvision 3 0l tAe Business ana Proleuions CoOe. an0 my license is in lull lorce anA eliect. CITY UC.: STATE LIC.: LLA55: Oale: SignaWre: WOHNEPS' COMPENSR710N OECLABA710N: I �ereEy allirm that I �ave a cerlilicate of mnsent ta sell�insure or a cetlifica�e ol Workers' Compensalion Insurance, or a certilietl cooY ��e�eol ISetlion 3800. La�. C�. POLICY NO.: E%P. DRTE: COMPANY: �I Certitied tOpY �5 �ereby lUmis�etl. ❑ Ceniliea copy is lilea wit� t�e ci�y Builainp Oivision. Jaie: ApplicdnC E7(EMPTION FPOM WOFNENS' COMPENSATION OECIAflATION: (Thit setUOn neM no� Ue tonrykt� il Ne pefmi ¢ la a1e huMreO (5100) w less�, I cenity I�at in ��e pedormance o� the wor4lor w�ic� ��is perrttit is is5ue0, I sliall nat emDloy any Oersun in any manner so as �o become sublect lo ��e WorkerY ComDensation Laws oi California. Oate: SignaNre: NO7ICE: II, afler rtWking ihR tleclarabon, yuu snoule oe[ome suLiect to ine warkers' Compen5a�ion o�a��sions al ihe Labar CaOe. you mu5i farthvn�h compry wiN su[� Dmvitions or Iltis p¢rmit shall b¢ Oe¢meG revoketl. CONSTPUCTION LENOING ,IGENCY: 1 �ereby a�tirm tlut I�er¢ is a con5iruction lendinp a0ency lor I�e Derlormance al I�e work lor wnich this permn is issuetl (Senion 3091. Civ. C�. LENOEN: aoosess: OWNEN BOILOEP DELUNATION: I �ereby allirm thdl I am eeempl irom the COntractors' State Lkensa law lor Itre tollOvrinp rea50n (SecOon 7031.5 9u9neA anE Pro�esFoOdl Cptle: Any cily o� fAunly wltic0 ttpuiRs a p¢rmit Ia fAWtNci, aller, im0�ove. Aemolish, or repart any simclure. D�ior Io ils iuuance. also repuires Ine aoCliunt lor sucli Oermil ta Ii1e a signea statement Ihal nelsne is licensee pursuam lo Ihe O�ovisions oi Ine Contraclori State L'xense Law �C�apter 9(tOmmencinq wit� Secibn 7000) ol �ivision 3 al l�e Business ana Protessions Co0e) ar Ihat he/s�e is eRempt tneretmm ana tne oas¢ tor ine allepea eaemption. R'ry �iolatron al Section 7031.5 Dy any applicant 10� a permil wOjetls itre applicant to a civB penatiy al trol moR Itun live IwntlreU tlallars (5500). �I, as owner ol I�e propeny or my empIoye25 witll waA� as itlrir 5ole Eampensation, will Uo t�e woA, an0 t�e stmctum ¢ nol imeMeO or offered iw sale (SecUon 70aa, Business anG Protessional CoOe: TAe C6ntraclwi State License Law aoes not aooN �o an owner of a o�ooeny wro ouiWs ar improvw tnereon, aiM wtw Eoes such work nimtell/nenell or throvah nis ar �er own emo�aY¢es. O�oNaea Out sucn imD�avements are nol inten0e0 or ollere0 lor ule. II, nowever ine GuilOinp ar imprOv¢ment i5 501a v.ilAin ane y¢ar of com0�elipl. I�e owner wtll fWve Ihe OurOen ol O�ovinp �e/5tre Oi0 nol Guild ot improve br ine ourpose of salei. I, as owner ol I�e pmp¢ny. am e�clusiveIy contratlinq wit� licens¢G coniractoR eo fAnstmct tlle O�olect (Section 7Ma, Business ❑ antl Pmleurons CaUe: TM Camractors' Slate Lieree Law Oces not appy to an owner ol DroperrywAo DmIEs or imOroves i�e2on ana wno coniracts lar sut� prqecis witn a cOniqctorls) liCenu Wrsuant to ihe fAntrapors' $lale LkeRSe Lawl. I am aware Ihai pro0i 01 01¢i� Workee'S fAmpCn5ali0n insmance StqWO b¢ plOvitl2C �0 m¢. � I am ex¢mpi unGer Senion: B. d P.� 10� ItIiS f¢SSOfI: �y (� '— Date: �/ / / ` / �' Pxner. • / I eo �ereby cenity t�at I am awart ol an0 unEersWnO t�e repuirements oi Calilomu Heatt� anJ Sal Ae Seciions 25505, 25533, ana 25534 anOlna� I or any luture buil�mp occupani vnNvnll no1 (circle one� neetl lo compty vrit� Saitl s�a�e codes antl Ihe repuiremen�s for a permil lor consimclion or mo0ihcalion imm t�e Aii Oualily Managemeni Oisiritl. Ne94enlial conSVuction applications are exempl Irom IAese provisions. Dale: I �ere0y cenily I�al I have reaa I�is a0 or0inanWs an0 state laws relalmg �o Eui pmpetly loi inspeclion purpo5es. oa�e. _� Driver's Lrtense or Social Securiiy x: SignaWre: I�al lhe aUove in�orma�ion is corre[I. I agree lo tomply wil� all ciiy and iM �ereby aulhori¢e repre5eniative5 al lhR citg�o en�ef u0on I�e a0ove�me 1fiai�e6 White—Bmltling: Green—Cotle Entorcemen�; Canary—AD��anC Pink—Revenue; GOltlenro0—Assessor CITY OF COS':A N,ESA — BU�LDI2�G PiRMiT FF.RM. \O: E 053:11C PERMIT NO: E 053310 PLAI� CHECK NO: N GOVT: N S�PP: N CQNSTRUCTIOh' TYPE: PERkIT TYPE: ELE FURPOSn: 07'H JOB DESCRIPTION : METER UPGRADE SQ FT: • CLAIM VALUE: CALC—VALUE: GROUP OCC: / CpMMEN'fS: X 1'r �t ii V.- %� 1i• 3f 1F #} 1k af iF # k ii 1'r 1E ie ii� }' �c iF #Y ?F ie iF if M# aE 3i� %� if �iF 3F #� %� 3'r it� if i't iF li k iE # ik 3h iF 7f if if� �. i61f iE ii� ii� * if IF i(� i!� ii� %� if� ii )f i6 k V 3f Y.� ii if� # k Z O N I N G R E Q U I R E N. E N i S S E T B A C K S ---•--------- MAIN B[JILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT: FT IN REAR: FT IM FRNT: FT IN REA.TZ: r; S1: LEFT: FT IN RGHT; FT 1N iEFT: FT IN RGHT; FT IN PARRING REQ• PROV; PARCEL: 9241ES202 ZNE: REF NO: FLANNING NC5TE5> 1 # Y.� if iC �F # ai� 16 iF if� # iF ie iE 14 ii Y� iF 1f' it K if iE 3f i� ii iF:: i4 3't #�b�iE �lik iF 3E 1e,�. ii� if i4 3{� ?F #E 3i� d'r if �F 3!' i!� ih }. #'� iF if -0!� #?E# d6 i4 if iF 4�N� ic iF 3F ?f IF Y- �F iF } if� K� 1i i!� # D E V E L O P M E N T S E R V I C E S R E Q II I R � M E N T S ZONING APPROVED BY DATE: HDILDING APPROVED HY : DATE: APFLICATION ZSSUED HY; ! DATE; � � � i(��7caFiFM•if3EiFie3`1F?eiFaltie?t�iEiea(�?rifiF3FiFlF7FiF7F3F3r�e�iF3Fi>'it#ir3f;F3F7S�.i��Y7Fif'L,�7�iFiti;FiFS�+i•+tiF?rlFlrift61:.3E jE+r. iF u i(� if iE � iF'If # i(' iF i! 1F i� 1F iE iF Y�l4 if If 1f 1f i(-1f iF 34 ik )f #' #iF# iF i(' af %� IE #%Y-!F )f ?i� Y.� } iF 3E # Y if�-V.� iF iE K if iE if� # If ibif !!� iF ?ciF i'r iF K M 3'r IF i� 3e X 14 {(� J4 a(� LEGALIZATION:N F B E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING �L�CTRIC NECHANIC rIRE SN.IP/RES GRAD-ivG PERMIT 18.50 SOE SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDI�IG—DIV—i P'sRM�T ISSU'n PLAN—CHECK T01'AL PAID DUF. TUTALS----> 18.50 i5.00 0.00 33.5.0 33.50 .00 REVENOE DZVISIOh TOTALS--> COLL£CTED: 33,50 OVER/SciORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC PIRE SMZP/TOT GRADING PiAN—CHECK 33.50 if if 1't i'c if ih iF 3C IE IE IF if if If ii iE � 3f ?F ie 1f if if if IF iE # iF if ie,Y- i4 if if if J'r ri� iF aF ih if 3f lf if M� iF iF i'r iF %� � iF # iF 3F � i4 ii� iF i4 �K �f'r ii ii• if if iE iE Jf if 3F ie ii� +'� Y� ff # if IE / I N D I V I D U A L F a E B R E A K D O W N TYPE QTY ELE 1 D E S C R I P T S O N UNIT COST SERVICES 3ELOW 600 V 6 BiLOW 7.01 AN.P 18.50 END OF ?EES �' I J .r'.'_. " __„ TOTAL CUST 18.50 � CONSTRU1CTION�4ND PLANNING PO01 r'A APPROVA`i Permit tiF Date Inspector AppROVALS Permi� # 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. Stael Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Foo[ings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. 8ackwash Lines, P�7rap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK t t. 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 65. Electrical-Final 15. Rough Electrical�Conduii 66. So�ar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 17. Rcugh Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Eleciriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Cc+nditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe•flough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas �Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & M.onocoat 75. Ory Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXEDSYSTEMFINAL 29. Insulation 78. FIRE PREV. FINAL 30. Orywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FtNAL INSPECTION 32. Electrical Power Meter•Final /�[r /� 80. FOOD CERTIFICATE ISSUED 33. Final Electric / /�� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplacc � 38. Final Plumbing 39. Water Service-Finai 40. Gas Service�Final 41. Solar pomesticFinal 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irriqation Svstem * 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . 48. FINAL PI.ANNING 49. Electric Release to Ediso� 50. Gas Release'to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date Z . a cwj Z ZQ O v~i am J � J � Q W p] J J m Q U a Z� d W J Q m Z J � W w 0 z� w� N � 70 H z Q U J a a a � H y Z O F- U � � F y Z _. 33868 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. eOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUIIDING a�� L` �y ADDRESS p / L' OWNEfl �/�'/Yi N � A I yJ/I� MAIL ADDRESS `— �. � `� ` � �.—� TEL. CITV �yy�q r't.1(Ae�. NO. � � L � CONSTRUCfION � BRANCH / ��'}VL� AODFESS ' ARCHITECT I� TEL. !1R FNl:INLFF ��C l .' �. �e✓ nin ADDRE55 CONTRACTOR I\ �i� I1j \ ISUI\ ADDRE55 �L (f�/� J.e J`�'G�r�?jf �IV(J• � � / CITV .7 �.y TEL. � �, y,ti,�. No. v Gco STATE / �S�/� CITV LIC. NO. LIC. NO. SI2E NO.OF BLDGS. OF lOT NOW ON LOT USE OF lJ _ ( EXI5TING BLOG. IL SIZE OF NO.OF NEW BLDG. FOOMS STORIES EMERIOR WALL ROOF COVER�NG COVERING USE OF BUILDING AN� WORK TO BE PERFORMED I heraby acknowladBe that I have reatl this application antl stata that tha ebove informetion is eorreet antl eBrea to comply wlth all laws ragulatlnB builtlinB conitruction, antl I shell noi amploy nny pe�son in vlolatlOn Of the workmen'a componsatlon laws at the S[ate of Celifornie. I hereby carHfy that 1 em properly Ilcansatl as e controctor untlar t�o State of Cellfornio Businass nntl Profosslons Cotle, Dlvislan 3, Chepter 9, ontl thot h licenses ara In full forca antl etfact, or I am axampt from, o p ovisions Of thB $tete oi CoIHOrnia Businan nndProfesslons tle, Ivisi��C�hppto19, � o � �N� ��V �C�� Si natura D� Permlttee AuthorizaA ABant R PAI�n � �'OV �S'-I��Mr lrO 73� �*'�*�'*� �� APPLICATION FOR BUILDING PERMIT yo, OF � I USE OF �7 VARDSAPPROVED I VAROSAPPROVED VAR. s1E FT. FT. BET. MAIN & AOCFSS. BIOG.^a. DATE APPflOVED � �.« i/ �.� 7/ r m b SQ. FT. � o THE AMOUNT SHOWN UNOEH VALUATION IS FOR THE PURPpSE OF ESTABLISMING A PERMIT FEE ONLV: m ¢ VALUATION 'j. � �` m / ,� ' PERMfT FEE $ j S'1 / U PLAN CMECK $- E .J N `o LL TOTAL FEE $ 1��OWNER TALBO'IT� GLENN � DATE 11-15-71 � JOB ADDRESS 9 0�= • BUILDING PERMIT NO. 33 �_ -��, GENERAL CONTRACTOR R,M. Wilson DESCRIPTION of WORK a io Cover _ .- :� INSPECTIONS � SOIL � '� GAS � WATER �ROUGH PLUMBING PROP. SWR. LINE � NOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONOITIONING TEMPORARY SERVICE OR POLE � UNDERGROUND � POWER � ROUGH WIRING FLOOR SYSTEM BOND BEAM � STEEL REINFORCE SHEATHING FRAME AND FLASHING BROWN SUBCONTRACTOR