The URL can be used to link to this page

Home My WebLink About127 21ST ST - Building Permits CITY&COSTA MESA 4 BUILDING DIVISION FLTIIii , , DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER PERMIT B06-01475 s# (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBUILDI NG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 127 21ST ST Status: ISSUED Suite: Applied: 09/06/2006 Vicinity: APT BLDG AND DETACHED arr. Issued: 09/06/2006 Primary Occ: MR Type of Construction: V-N Parcel Number 42618212 Zoning: Applicant: BILLINGS, ANDREW Address: 14262 ALLEMAN PL / \ Phone: 714-832-0113 ISSUED BY:\. `� /� J SANTA ANA,CA - , Zip: `92705 1V� / , / / Owner BINGO, GEORGE.RITR - . , Address 18281 FRANCISCO DR- - Phone: .714-633-0151 -- . 2 . VILLA-PARK,CA-A� V _ Zip 92861 r _ `�- / ;J//(-� vv Contractor rf CHTOVER RIGROOFING,-= - - . `! V \, Address /-1,4262 ALLEMAN PLS - - \ - c' r/rr Phone: 714-8320113 ` i. / '> 'v��` / .r A />XV7 �v.-- -_ C V`v 1 -SANTA ANA,:CA --� - ' % Zip: 92705i/�/� License: 615852 /Arch r;�,i/ Eng: , ; r r Address: 1 r �. ,/,',',- % Address: .' , - ` -/'J, Phone: .. fr , Zip, r - • License - - License: SCOPE OF'PERMIT . . REROOF OF APTBLDG.UNIT'A AND DETACHED CARPORTS B1,B2,Cl AND C2.TEAR OFF(E)ROOF-MATERIALS;INSTALL 1 LAYER OF 30#FEI •I PTICHED ROOFcAND REROOF W/30-YEAR COMP SHINGLES ON APT BLDG AND DETACHED CARPORT,APPROX 16 SQUARES.REROOF 7 Sol ` FLAT ROOF W/4i5 MODIFIED SYSTEM.(1"IAYER BASE AND TROCH DOWN)DETACHED GARAGE•ALSO INCLUDED IN FLAT ROOF.APT-BLDG ' 'AND DETACHED IREROOF TO BE DONE-CONCURRENTLY.REPAIR AND-REPLACE SHEATHING AS NEEDED. , , / l r:^ rr- ,'i' fr.' - - -r r ".--r�' --ii.' FEE:SUMMARY- _ • ' ''. Plan Check.` $0.00 \ ' Calc Valuation $4,200.00 • ' ` Permit: -' -' $111.25 r'- Claim Valuation: $4,200.00 SMIP Res: . , I $0.00 ,c.7----- _- _"�, - , SMIP Com:, - , $0.00 - Other:. . $0.00 - Inspection: ��Th. $0.00 \ ' - \. `Total:\ x.;' $111.25 • -` �., _ " PLANNING & ZONING SETBACKS S ? :. t - MAIN STRUCTURE Front- 0-,0:,':p, Rear 0- 0" • ' Left 0-0 Right �.0 0 , \.i . . ///. Nom, ��. ii. '�- �/ i, -2 ACCESSORY `V 'Front %0=0 7 NN i Rear- 0-0 Left 0-0 " -Right" 0 ) fl, r J - PARKING E , xislmq. � 0/ Required .=0"-- .-Proposed: - 'Ay,- ; �� \- '-,:•,--. .��j 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+6(6/00) DECLARATIONS j 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'compen tion Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. -My.workeis"c mplensation 4Qrance c mer and policy number are: / II1A Polity Number: --Ito7c5 ' 2C06, -(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 any person in any manner so as to become subject to the workers' compensation I s 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 ihes ro . ApplltSig iture: Date:'(-Yr/0 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED .THOr LSPND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u der provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full e and iforceffect: an Lic.# I SS CClass.N. C f H/ _ 'Contra• ctor%ignat$re: DatL CONSTRUCTION LENDING 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). Lenders 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 properly,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. ❑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(38)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: 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? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this 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? Yes LJ No (Section 65850.2 of the California 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? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely 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 Califomia 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. Ignature Of Le Owner(s) q D t 62 nd/Or Authorized Applicant - • !v_Date CODE t IN$PECTIONTYPE pATF =AU CODFT ISSPECTION TYPE I ASI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof P®� 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 ` 6 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT , ��.1141 )401-00445 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 127 21ST ST Status: ISSUED Suite: Applied: 04/05/2001 Vicinity: Issued: 04/05/2001 Parcel Number: 42618212 Zoning: Applicant: SWANSON, ROBERT ISSUED BY: Address: Phone: 714-895-6677 • Zip: Owner: BINGO,GEORGE R TR Address -18281 FRANCISCO DR Phone: VILLA PARK,CA Zip: 92861 Contractor AFFORDABLE ROOFING & REPAIR Address:' 13052 EDWARDS Phone: 714-985-6677 WESTMINISTER Zip: ! 92683 'License: 755616 Arch : - Eng: Address: Address: Phone: Phone: Zip: License: License: • SCOPE OF PERMIT • RE-ROOF OVER EXISITNG COMP WITH 25 YEAR COMP SHINGLES. ' ' FEE SUMMARY Plan Check: $0.00 _ - Calc Valuation: $5,500.00 Permit: , $125.25 Claim Valuation: - ' $5,500.00 SMIP Res: $0.55 SMIP Corn: • $0.00 Other: $0.00 Inspection: $0.00 Total: $125.80 PLANNING &ZONING / SETBACKS ' ' , MAIN STRUCTURE Front 0-0 - Rear OL 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: 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 I 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 mai r •�};�rkers'comaensat'• insurance,as required by section 3700 of the Labor Code,for the performance of e work for whic this Oermit is Issued. My workers'co / Insuranc-c� nd y II• number are: -- Carrier: V ,r . . -.. Policy Number: It `�L (This section need not be completed if t� itis valued at one hundred dollars(8100)or less.) ❑ I certify that in the performance o ork for which this permit is issued,I shall not employ any person in any manner so as to beco•f: ubject to the workers' compensation laws o agree that if I s d become subject to the workers'compensation provisions of Section 37 0 o the Labor Code,I shall forthwith Comply with these prvisi cApplicant Signature:' p XX "....3Och______ Date: ‘7 .V0/ WARNING FAILURETO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: ONS UCTION LENDING AGENCY: I hereby affirm that there is a cons ction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Nar6 \� Lender's Address: Signature: i r-a \ t it Date: 52 D/ 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 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 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 tiled 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 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health 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 an RMPP is presently required,has Section 25534 of the California 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 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? Yes U 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 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 ❑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. ..t. Sign re Of Leg O�wner(s) zit/47-/O Dgte I d/ And/Or Authorized Applicant-------7 ate CODE I INSPECTIONTYPF all' rink& CODE• INSPECTION TYPE Pam INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical _ 1266 Pool Spa Final ear-- 208 Final Plumbing 200 Final Re-Roof IF/4-W#" 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 Ne,- *� '11, CITY OF COSTA MESA • y� l, BUILDING DIVISION :' ' DEVELOPMENT SERVICES DEPARTMENT A. riri PERMIT PERMIT NUMBER w 899-00266 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 127 21 ST ST Status: ISSUED a Suite: Applied: 02/24/1999 Vicinity: REAR OF HOUSE/NOT PROPERTY LINE FENCE. Issued: 02/24/1999 Parcel Nunmber: 42618212 Zoning: Applicant: BINGO, GEORGE Address: Phone: Zip: Owner: BINGO, GEORGE R TR Address 18281 FRANCISCO DR Phone: VILLA PARK,CA Zip: 92861 Contractor: ow N Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 59 LF OF 6'-0"HGIH CONC BLK WALL PER CITY OF COSTA MESA STANDARD DETAIL. FEE SUMMARY Plan Check: $40.46 Calc Valuation: $2,000.00 Permit: $62.25 Claim Valuation: $2,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $103.21 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 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed/l 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 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 Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: 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 ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect.Lic.4 Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders 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 s9bjects 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 contractors) license pursuant to the Contractors License Laws.). ❑ I am exem., 'der sec. Business and Professions Code for this reason: .Signature: a M. ..tL Date: e4-42—w— Owner ID verified by driver 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 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomla 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 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 Califomla 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 0 N (Section 25534 of the California Health and Safety Cale provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Flre 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 compiled with? 0 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 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 ❑No (Section 65050.2 of the California Government Cede requires that the requested information be furnished on applications for non-residemlal 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 Califomla 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-de ed property for ins ction purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. . Signature Legal Owner(s) Date— �� And/Or Authorized Applicant Date gggLL INSPEC ocJTOMEE PATE It1llID•ELS oaf LBSPFCTIAN TYPE QATE l &LS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof .( c��/��7 210 Final Electrical 201 Final Block/Retaining Wall _L____ 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 2446-46 ce a 2t p p9PCe� i � c30SPMEgP �� 9iViSlpyAQpRpV D � I a Dee d s- ;pba��rypds�� tWt'd a „Nptba p a ossetq Cosi �cpaa ad cuss ' OW' dotiv!.. attirm d l701010UP W, :;0114a# tit " K candy 0 cn , i LI Loc-&7a g-T / E , 4-I o$ STOv fn,�1 �s +A . wool) � 1 G/jTlr °` 7r vr L p R 1. - circ ox �� '� • \a. (2R Pp-0.560 ei-Pek w41,L ` al suslr PLa"qlN cost ti,�SA r5 v a c T Tp L G orv. d \L G. 8 we �. �epT RFG• i-r--j -7-7 7-—7----z--r---r-r-7--j�\ Q �ATE2 2 Q < -30' — 91 ilk`\k- `iceo 1R- s,r: 33 0 /Las rave( /k) pith e of ifix, sir LI c-- (,0 Dab (t-Axl-t:- TaTS , i-t-zP-1-1 6,-ogct (3 /euGo / 247 / R- / Sa2S/ fai-pc.15ca Q,e_ K e )0 S-A $L (K (4/A of g4 Pig. g� 7 ) - 4,13 -0/1/ ' y �d1 PROSECT ADDRESS: 127 21ST ST UNIT ' C2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063634 OWNERS NAME: GEORGE BINGO ADDRESS: 18281 FRANSISCO PERMIT NO: B 063634 PLAN CHECK NO: 03162-93 S GOVT: N SUPP: N VILLA PARK, CA CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; ADD ARCH/ENGINEER: 633-0151 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : CONSTRUCT 20SF LAUNDRY ROOMS SQ FT: 20 PERMITTEE: CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 1, 480 . 00 GROUP OCC: R-3 / ADDRESS:TTEESUNRISE DEVEL. & CONST. ( 714 ) 692-2264 6229 HARTFORD RD COMMENTS. EXPAND ENTRY FOR A 20SF LAUNDRY ROOMS INTO UNIT# C2 YORBA LINDACA 92687 ******************************r************************** ****************x**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY tic.: 059407 STATE LIC.: 6122557 • )Cuss: B `7 Date: `6-7e/—Ci3 Signature:_eel..20<-«— N� MAIN BUILDING ACCESSORY BUILDING / WORKERS'COMPENSATION DECLARATION: Thereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a cenilied copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV• PARCEL: 42618212 ZNE• R2 REF NO: 1 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NVTES> ADD A LAUNDRY ROOM TO BUILDING C.2 AS SHOWN ON SITE PLAN > Date: Applicant: ' -**.****************.*************************************************** ********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:'(This section need not be completed if the permit is for one hundred(1100)or less). DEVELOPMENT SERVICES REQUIREMENT—S - ' I certify that in the performance of the work for which this permit is issued,I shall not employ any p r n any manner so as to become subject to the Workers'Compensation Laws of California. ) ZONING APPROVED BY lam- L L t Date: e —Zz1—er -> Signature: !/L/L/'W� (//4/,4( DATE: 1-A-1I 9 rt. NOTICE:II.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• STf� which This perms is issued(Section 3097,Civ. DATE• L,J �'�1 1 *********************iF*********************** ************************ ******** LENDER: ******************************************************************************* ADDRESS: FOR PLANS RE: #B63631 LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 35. 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM IP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 22 . 75 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 35. 50 0. 00 22 . 75 58. 25 58 . 25 . 00 does not apply 10 an owner of a property who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 58. 25 OVER/SHORT: . 00 for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 35. 00 . 50 22 . 75 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *.*******************.*..*****.*********,.N.**********,*,**,***********,**,*,******,***,*,****,*,* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533•and SFR 20 DWE—TYPE V—WOOD FRAME —GOOD 74 . 00 1 , 480 . 00 25534 and that I of any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' these provisions. Date: Applicant: . I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county IN ordinances and state laws relating to building construction and hereby authorize representatives 01 t- cit to enter upon the above-mentioned property for inspection purposes. • p' Date: O'Z9"g3 Signature: 60G/44n 01 00145533-00145585 TOT 58.25 Driver's License or Social Security or: DATE: 03/25/93 TIME: 15:32 164146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POO. ;PA 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.,1 ,lettrical Cond uii fJu lilt'-Undrgrnd. 54. Forms L.4;'Elettrical ConduitUndrgrnd. '55. Electrical Bonding i -5. Wel Reinforcement $6. Rough Plumbing & Pressure Test ' - 6. -EleLtricalUFERGrnd. '57. APPROVAL TO COVER-GUNITE '4'r'ootings _ 4 '58. Electrical Co nduit•Undrgrnd. 8. Foundation - .69. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. JO. 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 _ P 64. Plumbing System - Final 14. Rough Plumbing: '- 65. Electrical-Final 15. Rough Electrical',Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval X117. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricatT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • i. C CP 1"--- 1. ` - t.T. '" It tPH,O- it,x r-• N 20. Rough Factory Fireplace -y•-, r •21 it t APPRD:VAtStf'Perrtiit# •• "- J. r n, < Y'• I :,, r.' t S i-+ ':sr a I J. ,S:JI-1 > T Ir x 21. Ducts;in Structure2 r .r-• cs • 1 -1 I. Win'-•.L' .•• 1=: 5 - I • •• _ •c �y ,-+moi ,0. Ldergroypd,ryYtySo 'U .•-a - r 22. Ducts Ventilating-.• I JS,' r r. N n x :i 1c A. I 1 5/1, Product Pip•Irig 0-G1,a,} it 23.'Gas'PpeIRou &I-0T I" t r.. +t. rrl L ,t + d 1E12. UndergrKt;di Flu C.., " !,U Dl '71 • J. •J 1,. .' _i 24.teloo£:Framing• --t, 1 . ' • ••rt ' - C' s �t .- :73..N1ndergrnd�Storagd7ank0Gas 0 O 25. RootrShte'thin ` , , t C. nt n D 0.1 AK + .• JE 9 . y , C . s 74.~Oyerhead gydro U ,r 26....6-Bai,Cei Iing (Structural) & Nlonocoat . a ' n in' rt 75 .-Dry Chemical I ^ •+ 0 L' ., Iter.<�/ t1r + 1'. . 't' • 7 27. Frame and Flashing ' -Y`�./ r; r 76.EDvey StandpI `;U ' • `y ;28. `Lathing �-Siding t : - ce; • • gR 77.r'FIXEDSYSfEM•iINAL4. t ' • r -I r .r. ,lit', - I i ( , 11.29. Insulatido ' ' tt' • , -'l • 7B.;FIRE PREV. FINAL, . ,, M ti L.A 0. Drywall Nailing I/J- 2,--i3 e;14-.- 1-1 HEALTH REPT.FiEO1iREMENT ti 3 c31. Plaster Brgwrc_Coat,; ` , 179.("FINAL INSP CCTId61 I� r O) [32.1-Electrics Power Meter_•Final14 .. :i .80. :500D CERTIFICATESU ISSUED 33. {inafElgcirici, -v-" _,t ' 1.1% . : I _a. v tniV)otiS: -',• '; :•3 , ,-1 Ce ` -. :44.,RinaHeOing_& Air Conditioning t;O > • CI".r 5 'rt ti'i , e ,, 55-FinalGatPipeTes1•' _ 'D "l < I ` •`-• MT ' O - �^ I ,1/ '' - 3. 36. Hood or't anopy ( _ T� n 137. 'Ping Facrtbry Fireplace r - ; F r ` n 38. FFinal:Plumbing , ;J • -r c39. Water Service-Final ' r (i 'J..I ' C :,40.'Gas Service-Final; „ti , i,• ^ = • t' - .41.:Solar Domestic-Final •, - - :-, '-42. Backflow Preventer' 1 - • I I., , t �'� •1 43. Backflow Irrigation - ,� t.( - �1 .- > .1 ny.- r • . : ! J t X54. Landseapg litigatio .i.; 1 System ,. ,; •-1 p. • ,; .t; r t_, .r o ,,, r - . C C _ _ '. . v , t45. -Sound Attenuation--et )-i-• s' t-' - �•' - ••+ n . •1, ", . .4 F• L. S _Ci t 46. -Handicap•Regylations . a, ,> - • 47. FINAL STRUCTURE & BUILDING 444 41 ii-/"P // .-.� • •. _ - iii/// 48.:ANAL PLANNING. - . • `u - c49. Electric Release to Edison • I I < • a .r . i 50. Gas Release to Southern California Gas Co I ': x - -51. CERTIFICATE OF OCCUPANCY t . _ No. _ Date • PROJECT ADDRESS: 127 21ST ST UNIT:C1 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 063014 OWNER'S NAME:GEORGE BINGO ADDRESS: 18281 FRANCISCO PERMIT NO: B 063014 PLAN CHECK NO: 02543-93 S GOVT; N SUPP : N • VILLA PARK CA CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ADD ( 714 ) 633-0151 REG.NO.: JOB DESCRIPTION : ADD ONE 21SF LAUNDRY ROOM ♦ ARCH/ENGINEER: SQ FT; 21 ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE; 1 , 554 . 00 GROUP UCC; R-3 / PERMITTEE:SUNRISE DEVEL, 6 CONST. ( 714 ) 692-2264 ADDRESS: 6229 HARTFORD RD COMMENTS; FRAME-IN SMALL AREA BELOW BUILDING CANTILEVER IN FRONT, YORBA LINDA CA 92687 ********************yF*iF#;'E*TF*****+ter***************** it**>t******u* ***iE*TE>FTF**#*>E* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIR EMENTS ® � ®ETECTO R 7W0(01 Division 3 of the Business and Professions Code.and my license is in lull lorce and effect. SETH ACK S CITY LIC.: STATE LIC.612257� / CUSS:B ,/J n Date:—I'- 13—`7.3 Signamre:_LGI/_Gi(.C.L` /iv' MAIN BUILDING ACCESSORY BUIRE� �RE+}-- WORKERS'COMPENSATION DECLARATION: I hereby alfirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT; 16 FT IN REAR: FT IN FRNT: FT IN REAR: T IN Compensation insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; 5 FT IN RGHT 7 37 FT I N LEFT: FT I N RGHT: FT IN POLICY No.: EXP.DATE: COMPANY: PARKING REQ. PROV: PARCEL: 42618212 ZNE; R2 REF NO; 1 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> 3 ' X6 ' 10" ADDITION TO EX , UNIT FOR WASHER/DRYER 6 RELOCATION > OF WATER 'HEATER. OPEN SPACE MUST BE MET FOR FUTURE ADDNS, Date: Applicant: ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: '(This section need not be completed it the permit is for one hundred($1W)or less). D E V E L O P M E -N 'T SERVICES R E Q U I R E M E N-•3' S I certify that in the performance of the work for which this permit is issued,I shall not employ any pe so i any manner so as to become / subject to the Workers'Compensation Laws of California. � l ly`e/nDltl ZONING APPROVED BY , OR DATE: -Z(, r 3 73 �— Date: - I3'53 Signature: �V�-sdi`� BUILDING APPROVED BYn DATE: NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or-this permit shall be deemed revoked. / , CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BIC , / C' DATE: _> . • / 3 which this permit is issued(Section 3097.Civ.C). *********************** ****** - . **' ' ** ***** *******************• * ' 'r' ' OE* *********************** **9e-******************* * 4x44.tin.*****3L_*-*•**************** ADDRESS: LEGALIZATION:N F E E SUMMAR STRUCTURAL 'ISEGMENT:Y • .OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECH 1C FIRE SMIP/RES GRADING_ (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 37. 00 ,50 repair any structure,prim to its issuance,also requires the applicant for such permit to file a signed statement that rte/she is licensed x' , SMIP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 24 . 05 ' and Professions Code)or that he/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(5500). ISSUE FEE • r I, as owner of me propenm e my em loyees with wages as theirsine compensation, will tlo me wore, and the BUILDING-DIV-> PERMIT I 'SUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS -> 3 7 , 50 0 , 0 0 24 , 05 6] , 5 5 61 . 55 0 0 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 employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 61 . 55 OV�,ER/SHORT: 00 orimprovemento is ofsolds within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/10T GRADING PLAN-CHECK C for the purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 37 . 00 • 50 24 0 5 ❑ and hoEcona stlfo The projectsow'StateLicenseLaw does sutoo the owner of SLicense Law),ol improves thereonr ********************************************************************,*********** and who contractsnCo for such Contractors' with a contractor(s)License widoesenotpursuant apply to the erofContractors'Statewh builds Lam).1 em aware that drool of mein Worker's Compensation insurance should be provided to me. IND I VIDUAL ,F E E BREAKDOWN ❑ I am exempt under Section: B.Er P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner. SFR 21 UWE-TYPE V-WOOD FRAME -GOOD 74 . 00 1 , 554 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit or construction or modification from the Air Oualily Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above information is corr I.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize replies¢ at or this city to enter upon the above-mentioned /. L.. property for inspection purposes. /,( l/ • ..----•..----• Dale' /�/.J—!C3 Signature: "L/ ' 01 00142767-00142769 TOT 61.55 Driver's License or Social Security DATE: 07/14/93 TIflE: 16:01 164146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor i CONSTRUCTION AND PLANNING POO .3PA APPROVALS Permits Date Inspector APPROVALS Permit '1k Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. So I Pipe-Undrnrnd. -- _ I __- 53. Steel Reinforcement _ _ ; 3. Electrical Conduit Ut:lity•Undrgrnd. 54. Forms 4. E'ectr.cal Cond'wFUnrlrgrnd. 55. Electrical Bnndeng 1 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6- E'cch•cal OF ER G'isdi 57. APPROVAL TO COVER-GUNITE 1. Fuot.ngs1:4-0,158. Electrical Conduit Untlrgrnd. 8. FounYat-on. 3/ , 59. Gas Pipe, 0 Undrgrrd.,Test 9. V;atcr Pipellndrgmri. 60. Baektvash Lnes,P-Trap, Undrg•rd. __ 1 10. St-cc-turas Fluor System 61. APPROVAL TO DECK 17_ 11. Free 'y S. :,�r Line: & Huse Connection -1 62. 6actr:as�i & Rc czptur-Final - I 12. Ser:er Cap 1 63. Heater & Vent-Final I 13. Pia' Crams I 64. Pumping System • F.nal ' 14. Rouen P'u'tieing - -- ----- --_�- - 65. Electrical-Final I I J._ i 'S Fv..- Eicce c . -ConduiT ___- 66. S7iar Sy'tem " .r� Fi _ --- 6. Rough Electric;'Jiang I 67. Fenc ng & Access Approval 1 :7. N:., :2-1 '..'i"`a Sign I 68. APPROVED FOR PLASTERING I It I - - 18. Rc..gh Electrical- Bar Ce'icne I 69. POOL/SPA SYSTEMS FINAL , r '9. FI ,.-'-- Nee;. : I & A r Cu, e'• _r,,i,y - -- j FIRE DEPT. REQUIREMENT -- 1'- 0 R . r '-ac--ry r r p'.gce 1 1 P''PROVA!S Permit - _ s -�----� + ---- 70. ♦ ' = ---- - -- ---- drg o . �dre - - 22. Ducts, Vent' atin - - dsctNext, EJGas L:Oil I - 23. Gc., 'ip 9o:.ph & et 72. U^ � pti ' 24. Root Framing _-_-_-- - - - --I _-- - __ 73. Ur-dergrnd.Storage Tank r'Gas Os' _-_I__-� 25 Root Sheath.n9 - -- 74. Osrr F.•ad Hy(' r Ir 26. T$..r Ceiling StruCtUi JO & 'donucoat I 75. Dry Cnem'cal 27. F.mr and F'a::va,; - --- - - - -- .- --- -- T- -- ____---- - _ -- ! 7G. Dry Stang^ cr , 4 28. Lathing & Siding • 77. FIXED SYSTt FINAL - - I -- L___ ft, '�'_ 29. Insulation s 78. FIRE PREY. FINAL 30. Drywall tailing Wie5 i f � , _HEALTH DEPT. REQUIREMENT - 31. Plage, Cro: n•' Coat 1- 71 79. FINAL. INSPECTION i 1 i - d _I_!- .i -'- - - 32. Elcrt',caP;r_ar ',ictcr•Final i - 30. FOOD CERTIFICATE ISSUED 11 33 Fuer' Elect, : 1 I Notes:"edition/��CK pen[, '2 at/ "�I 34. Fr..i. Heat T: kg- Cu•'diLaa,nq - - I 7q/7/. 1-zr--fl --- - - -- - 35. Final Gas Pipe-Test ---- I -t /'rW!'-'-•----- -------H 37. `. ,a1 FFctcry FireplaceI 1 38. 1' ,., F mtng --- - ---- I -1 1 - -- - - ----- - - - 39. Water Ser vin_Fi na' - _ _--- I - -_-- -- -- --- -_--� 60. G_S :'t'ica FAna' I Li. 1 41. Solar Domestic-2.nel -J _ I _ 62. 0.c :ow Y y - __ Bk' 43. P,ackflow Irrigation 44. I 'cape irrigation stem 45. Sound Attenuation , 4E. Handicap Reguiat.uns r. 47. FINAL STRUCTURE 8: BUILDING //'�' f •:8. FINAL PLANNING. I �i i -- - ---_ - - ----' -`- { - 49. Electric Release to &mon I I 50. Ga: Release to Southern Can-forma Gas Co 51. CERTIFICATE OF OCCUPANCY H No. Date PROJECT ADDRESS: UNIT: �JINER'S NRME: 127 21ST ST B16B2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063631 4 GOVT: N SUPP: N / ADDRESS: GEORGE BINGO 18281 FRANSISCO PERMIT NO: B 063631 PLAN CHECK NO: 03159-93 S VILLA PARK, CA CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD ARCH/ENGINEER: 633-0I51 REG,NO.: JOB DESCRIPTION : CONSTRUCT 2-20SF LAUNDRY ROOMS SQ FT: 40 ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: 3, 000 . 00 CALC—VALUE: 2, 960. 00 GROUP OCC: R-3 / ADDRESS: SUNRISE DEVEL. 6 CONS•-: ( 714 )692-2264 HARTFORD RD ******T* **PAND *hi* * * * ** ****D** * ** **O U* ** 6 *YORBA LINDA CA 92687 + i* *** t * * * E**** E * ** ** **+ * *** r+ e ******* ***** e LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 059407 STATE LIC.: 612257 QQ LASS: B // ^> Date'. 5— L[.-53 Signature:�LLG4 'w ` MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING RE • PROV: PARCEL: 42618212 ZNE: R2 REF NO: ---Ci] Certified copy is hereby furnished. 0 Certified copy is filed with the city Budding Division. PLANNING N TES> ADD THREE LAUNDRY ROOMS TO BUILDINGS 81, B2, AND C2, AS > SHOWN ON:.SITE PLAN. Date. Applicant: *********************I**** ******* ********************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Nus section need not be completed if permit is for one hundred($100)or less). D E V E L O•R M E / S E R V I C E S EQUIREMENITS I certify that in the performance of the work for which this permit is issued.I shall not ploy person in any manner so as to become - . subject to the Workers'Compensation Laws of California. 1 / � ..1 ��yy //V/ ZONING APPROVED BYE' Co< DATE: 6� t^{' (Gil Date: S Z�'�� Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , ^ DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• DATE: (c1 which this permit is issued(Section 3097.Civ.C). *************,***************,*******,**********,* ,K, *******M,***,*******, ** *,* *** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve.demolish,or PERMIT 54 . 00 ,50 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON —RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 35 . 10 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE EE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDI G—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL ----> 54 . 50 0. 0 0 35 . 10 89. 60 89 . 60 . 00 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 employees,provided that such improvements are not intended or offered for sale.II,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVEN DIVISION TOTALS--> COLLECTED: 89 . 60 OVER/SHORT• 00 for the purposeof sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 .00 . 50 35. 10 ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Seaton: B.a P.C. I N D I V I D U A L F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 40 DWE—TYPE V—WOOD FRAME —GOOD 74 . 00 2, 960. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' these provisions. i ' Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agr e 1 comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this ty enter upon the above-mentioned property for inspection purposes. ) 7 Date: Lit-5 > Signature: /�f/GEilni / 01 00145537-00145589 TC1T 39.60 DATE: 08/25/93 TIME: 15:33 Driver's License or Social Security is 1641-46 White—Building:Green—Code Enforcement:Canary—Aooticant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POO, SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Servibe or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. a 53. Steel Reinforcement �, • 3:`El4tric41 Condu Utility-tfndrgrnd. 54. Forms 4_. ElerrtricaI Condu t Uatlrgrnd. 55. Electrical Bonding 5.. Steel Reinforceinerit • 56. Rough Plumbing & Pressure Test =i 6:'-Electrical UFEFF-tlaccrid. - 57. APPROVAL TO COVER-GUNITE -'7)IFootings 'G Z T' 58. Electrical Conduit-Undrgrnd. 8.rFonndation 59. Gas Pipe, 0 Undrgrnd.,Test '' 9. Water Pipe-Undrgfnd. 60. Backwash Lines, P.Trap, 0 Undrgrnd. 10. Structural Floor ystem 61. APPROVAL TO DECK 11. Property Sewer`&ine-& Howe Connection 62. Backwash & Receptor-Final • a 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing .-- 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval n7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 518. Rough Electricar-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT L. 1-, IC. rl.. - •� L . ... �, ST+•„ t" tr'1-r..0E--. 1. r-. ') 20.t6ough Factory Feeplace izt*: •t`1 r tr. ifCAPPROVAtSJ_, r3erncit # v ,r •x• to - 5-* i ‘ Cr. 7.¢ , !-/ b'.. . n �sX cU•-1- • u l In 21. uci;,in`$tricture'_ r .• •• `.!5 „ 5 J r._z x .10. Undergr d,Hydco . r • � i :� _ . 22. DuC[s, Ventitating¢ ., S 2' ' -Y - Product Mig D 3% op il r 23.r6asP)pe1=--!flou & nst r1 '*. t•t tC O> ' r-. 2. Uderground F14tsfm r J• -• v m v•t.• r•pO . '• S-. . v . .' - r• 24,tRocj Fr@ming• (-•( • ••F' t : C ti - . 73.uUndergrncE'Storayt- ankOGas COW T lc l T .l• .r •1 1 , 1 .) 25. Rodt'Sheathing `t' 1 v ,¢ r i7 O ;!. I. /4, yerhgad I4ydro0 •-' r 26.•.t-B{'.Ceiling (Structural) &•fglonocoat 4 •t. •5 Cf '..t t. x 75 -Ory Chemical `: + 1 27.rFrame and Flashi ` EISc:-. ,e ` " r $'�, T ` 't L. r ! fir..�. j�/�� V'l/tX 76. Di'y Siandll u i• ;. 8. Lathing&Sidingj, rt•� z ' . r r . . 77.trFIXED Sh 6EMNALrv ._ at •29. Insulatiop '" 4. J • •• '•-'1 T / _G r R 78.;:FIRE PR EV. FINJAjf *A. > i, •r 330. Drywall'Nailitii • /p G -13 & '✓ � r' HEALTH.DEPPT REQUIREMENT ! , t p1. Plaster Brrpw2Coa�3 t I t..•„ S ; ir79.�'FINAL IN3�P CTIt({N t I" c' ' 2.rElectricaliPo gr FgeiecFinal i i j•. I v n$0.1LEOOD CERTIFICATE ISSUED C r. .- .-"� ' a y 33..Final'Elethric! Jr i ix<•-• 4 . r I`Nori: a -1.r -t ' 4.:1 ' 1, + i. ti4.,FinalHeaMingAifCrditioniggy3,1:, +r a _ C ' .1^ 35. Rinal'Ga`:Pipe-•Test" i to "It I r i-14. rk n r ,7c I - ;T •36,-Hood,orCanopy• .. . tr' -j a : - F n I ..t, ` '37-'PinaFFactory Firgplate sc• ' le . S- r 38..FinakPlu(nbin9 rJ ✓ -k • S 1 ,4 ' c�39.-Water.Seiaice-Final' _ v _ kir t I ..:M J t-'40.'-pas Service-F' alt_ ' : ~ I - •• ' ' -41.-Solar Domestic-Final •i • y -2 - ; <: E42. Backflow Preventer'. ; • n •3 • 43. Backf low Irrigation 4,5:t• L. , v. a -O - n. •• J• - . z a i' . 4. Landscape Irudgation r� SysteJ�''- - % , .-- ,45.r,$ound Atterciatiorn !-�:.• G * :. - - - • , '--i n .t•.. -I . .. . r, --1 I _ 46.FHandicap RegZlatib05 Sn a -' '• 47.-FINAL STRUCTURE & BUILDING ^ v. ..o•, f • �`tJ�/ 1 r -1 46. FINAL PLANNING. ' ` .1. • k s .' r 49-`Electiic Release to Edison • t- c ;50.,Gas Release to Southern Califo nia Gas Co ,, < . ti o{r t S1. CEATIFICATE OFPCCUPANGY f Cis No. Date 11.11 QAC®LI.BaO�e' c'c�re E�Gd�I��ING�=�. 77/418 9 November 1977 Mr. George Woods 1665 Placentia Avenue Costa Mesa , California 92627 Subject: Field Inspection of Party Wall Plumbing Noise Mitigation Measures Dear Mr. Woods : Toto-s-te that party wall plumbing in the duplex units at 127 East 21st Street in the city of Costa Mesa has been inspected • is office and was found to have incorporated appropriate noise reduction measures. This inspection was requested by the city of Costa Mesa to assure that the rough plumbing installation would not compromise the provisions or intent of the California Noise Insulation Standards , * which establishes acceptable criteria regarding sound transmission control between multiple-family dwelling units . Sincerely, Pi a0 ohn S. Leyerl- Paul A. Penardi Senior Engineer Senior Engineer JSL/PAP/cs • * California Administrative Code, Title 25, Chapter 1, Subchapter 1, Article 4, Section 1092, adopted February 22, 1974. 1101 East Bryan Street, Suite E • Tustin, California 92680 • 714/832-5710 PROJECT ADDRESS: 127 21ST ST UNIT:C1 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 063015 OWNER'S NAME:GEORGE BINGO ADoRESs: 18281 FRANCISCO PERMIT NO: E 063015 PLAN CHECK NO; N (OVI; N SuPY: N VILLA PARK CA CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE; OTH ( 714 )633-0151 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : ADD ONE 21SF LAUNDRY ROOM SQ FT; ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / PERMITTEE: SUNRISE DEVEL . & CONST. ( 714 ) 692-2264 ADDRESS: 6229 HARTFORD RD COMMENTS: RE: B63014 PRIMARY BUILDING PERMIT YORBA LINDA CA 92687 **TE:r****4**:e******** *st**IL*x-******Tr#EE**TELE***i************ ******************x* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(corn encing with Section ZONING REQUIREMENTS 70001 of Divston 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: '�22 STATE TIC.:1 2 2 5 7 ��. /)G CLASS:B �h Date: 7'3 '•�J 3 Signature: `'C- '� MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent o self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POLICY : EXP.DATE: PARKING REQ• PROV: PARCEL: 42618212 ZNE: REF NO: COMPANY: PLANNING NOTES> ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > • ******************************fE********** ************************************* Date: Applicant: DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is r one hundrid,(SI00)or less). I certify that in the performance of the work for which this permit is issued.I shall not employ any per n'n ny manner so as to become ZONING APPROVED BY DATE: subject to thea Workers'Compensation Laws of California. /-- r Date: 7--I3-53 Signature: Zed .e-yA— BUILDING APPROVED BY DATE; NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provision`01 the Labor Code.you must lonhwith comply with such provisions or this permit shall be deemed revoked. • APPLICATION ISSUED B Y; DATE CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for ,y J\ 7 1 /�/? which this permit is issued(Section 3097.Civ.C). a *************************:644ft "iF i('* * t<' *.*'* ***********.N'**'*****Tit}: "fvi 5*** LENDER: ******************************************* ****************************** ADDRESS: LEGALIZATION:N F E't ' SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that f am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2}25 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 70% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/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 live hundred dollars(S500). ISSUE FEE 15 . 00 BUILDING—DIV—> PERMIT ISSUE PLA —CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the e e c ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 2 . 2.J 1 J , 0 0 0 . 00 17, 2 5 1 7 2 J , 00 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 17. 25 OVER/SHORT• 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 17 2 J ❑ and Professions Code: The Contractors' arc License Law does t apply tan owner of propewhobuilds improves thereoe and who contracts fr such projects with a contractor(s)license purppat to the Contractors' tate icense Law).Iemaware *****************************************%***** EE****************************** that proof of their Workers Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 1 FIXTURES LIGHTING 1 ST 20 EA. . 75 . 75 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 RECEPT/OUTLET 1 ST 20 EA, . 75 . 75 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 1 RECEPT/SWITCH 1 ST 20 EA. . 75 • 75 permit for construction or modification trots the Air Duality Management District.Residential construction applications are exempt from END OF FEES these provisions. • Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state lays relating to building construction and here authorize representatives of this Imo ter upon the above-mentioned property for inspection purposes. r� 7 po - Date:— 3-5.I Signature: til - 01 00142770-00142770 TOT 17.25 • Driver's License or Social Security x: DATE: 07/14/93 TIME: 16'O1 1641.46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POO. SPA I, APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector I 1 1. Temporary Electrical Service or Pole 52. Pool & Equipment Luuaton , 2. Soil Pipe-Undrgrnd. {' 53. Stec; Rem(Din. Tent 3. Electrical Conduit Utility.Undrgrnd. j 1 54. Forms _1__ 4. Electrical Conduit-Undrgrnd. . _ 55. Electrical BOPS'. ng _ l h__-_ -: 5. Steel Reinforcement 56. Routh Plumb ra L- 'r. ....irc 7.2st ! 6. Electrical UFER Grnd ' 57. APPPOV6'_ 10 Cn''FR•Gt - 7 Footings 58. E'.uctr•ca Co-. .:u t U• u SSG. i • 8. Foundation E 59. Gas P.p.:, 'J . _: ' l:9^ .i T ts: 1 9. '.'rater Pipe.Undrgrrd. I 60. Bncl.siash L 0, , P T•i.r . : . 1 10. Structural Floor System l : 61. APPROVAL T;7 DI f:K ! YI 62. B_cc:6sn :. Rica'-r -- t- - -_F- i t. Property Sower Lire & House Connection . I 72. Sevier Cap I 63. Hum 8: Vent-l-nFF r 1 -1 - - 13. Roct Dra.ns 4. 14. Rough Plumbing ( 135. Duct:ca. F ni. _-_ -_-- 15. Rough Electrical-Condu.; // U // q 66. Solar 5y;tun .(,n„. 16. Rough Electric Wiring 7 271Zt /L 67 Fencing & Acews Apt e:.r1 -_�---�I 17. Roi.ght.Vinng Sign 63. APPROVED EOR "1 , .S;Er4 i:i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Coedit caning FIRE DEFT. REQU!REl.117•'T 20. Rough Factory Fireplace APPROVAi.S Permit ,. 21. Ducts,in Structure --- 70. Und.•rgrou-a: Hiii.. 22. Ducts, Ventilating r 71. Product P.pin(' Car, ]0:1 -- 23. Gas Pipe-Rough & Test Ir 72. Undernrowi,, r :usi, I 24. Roof Framing �, __ /3. Undergrnd_Etaracc.. :rk;Gas_ _U _ _- _ .__-_ 25. Roof Sheathing 74. Overt.e'ad :'• ri 26. T-Bar Ceiling (Structural) & Ylonocoat /5. Dry Chants..' 27. Frame and Flashing -- 76. Dry Stent'^. --- i._--- --1- 28. Lathing& Sidingi 77. FIXED SYS', !?. \1_. �_-_ 29. Insulation ' 7E. FIRE PREV. hi:`,H',_ I 30. D•yr:all Nailing1 -HEALTH DEPT REQUIRE(-E�\'T I r - 31. Plaster Brown Coat I I 79. FIs;AL IN:. •L C.' '..'4 1 I {. t - - - - - 32. Electrical Poi-,er Meter•F.ra. -i.- - 35. FODU CE: - SS- I 33. Final Electric 6/4.93 'i ;;-Notes: -- - - --- - _ - - _ --_ - -- • 34 Fire! Heating & lav CaroYoc!cg �- - - 'i I - ---- 35. Final Gas Pipe-Test I I 1 36. Hood or Carbine 37. Final Factory Fireplace I _ ---- - -- -- - ---- -- _-- 1 38. Final Plumb:rg 11 39. Water Service-Final i 1 - f =- ----- --- - ---- - - --- ---- 40. Gus Service-Final I 41. Solar Domestic-Fmei I 42. Backflow Presenter --- - _ 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation _--- - - ------ -- --- - -- - • - 46. F!a r.d:cap Regulations ------- ---- --- . 47. FINAL STRUCTURE & BUILDING I r 48. FINAL PLANNING I i : 49. Electric Release to Edison T- -1 50. Gas Release to Southern California Gas Co I -I 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 127 21ST ST UNIT: C2 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 063636 OWNER'S NAME: GEORGE BINGO ADDRESS: 18281 FRANSISCO PERMIT NO: P 063636 PLAN CHECK NO: N GOVT: N SUPP; N VILLA PARK, CA CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD 633-0151 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION CONSTRUCT 20SF LAUNDRY ROOMS '- SQ FT: L ^ K PERMITTEE: CLAIM VALUE: CALL-VALUE: .J ,....,G OUP OCC: R-3 / ADDRESS: SUNRISE DEVEL. & CONST. ( 714 )692-2264 6229 HARTFORD RD COMMENTS• EXPAND ENTRY FOR A 20SF LAUNDRY ROOM INTO UNIT C2 E#B63634 YORBA LINDA CA 9287 ****�Esr*�E*+t�r�Pstst+E�tst�E*�t+rsESE�r�t�tstsP�t*�E�E�E�r�E�rst+E+E**�tst*�Ex�t�t�tst�e+r*sE�E�t+Est�tT****sP�E�r�Esr�r�Esrsr�rsr�t�tsrx LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS CITY LIC.: 059407 STATE LIC.: 612257 4,0/4444-cuss.�g1' flN t Date: t. 2 y- 5 3 Signature: 4,0/4444-�� MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenificele of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 38W.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ. PROV: PARCEL: 42618212 ZNE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > r Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLABATI,ON: (This section need not be completed if the perm hundred($lut)Sr less). DEVELOPMENT SERVICES - REQUIREMENTS I certify that in the performance of the work for hich this rmit is issued,I shall not employ any person n y anner so as to become subject to the Worker�s'�')Compensation Laws o / ZONING APPROVED BY - DATE: et Date: �-ZY' 53 Signature: �A/ 04,1 NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation'provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the'pedormance of the work for APPLICATION ISSUED BY• J-�--1— �I/ DATE• ell-q(14 which this permit is issued(Section 3097.Civ.C). {E{E{EBE{f{E{E{E***{F{N{E{E{E{P{EA DDBFDD TDA AATT********************************DATEfk*ETDADA* ** LENDER: ******************************************************************************* ADDRESS: FOR PLANS RE:#B63631 LEGALIZATION:N F E E S U M MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason PERMIT BLDG PMT PLUMBING1NGELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 20 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 12. 00 20 . 00 0. 00 32. 00 32 . 00 . 00 does not apply to an owner al a property who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 32. 00 OVER/SHORT: 00 lot the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 32. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *{t************************************************DADA*,1f*********************** that proof of their Worker's Compensation insurance should be provided to me. I am exempt ender Section: B.F.P.C. I N D I V I D U A L F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 LAUNDRY TUB OR WASHER 7. 00 7. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5. 00 5. 0 0 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Dale: Applicant: __ _. _ \ I hereby curtily that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of dry to enter upon the above-mentioned property for inspection purposes, 01 00145530-00145580 TOT 32.00 Date: p'Z—T'$ 3 Signature: coy .�_ DATE: 08/25/93 TIME: 15:30 Drivers License or Social Security a: -- — 1641-46 White—Building:Green—Code Enforcement Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING POOL ,PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. As'q' 49ry 53. Steel Reinforcement . ._ . c 1.,El`2ftrical Conduit,ei ility-Undrgrnd. '54. Forms . Q; Electrical ConduitcUndrgrnd. , '55. Electrical Bonding L'S, Steil Reinforcement , - s. 66. Rough Plumbing & Pressure Test • ;•6iIlectticeIUFER1Gna. -1 X57. APPROVAL TO COVER-GUNITE i :�7]:Fbotings '58. Electrical Conduit-Undrgrnd. 8. Fp 7ndation 159. 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 Sewerkl.inQ& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing- • • elkfi93 L, 65. Electrical-Final 15. Rough Electrical Conduit - 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ''17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica:7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'J C 1 , C. • I :- +, .e •1 q tr+-.i+H CC I- +':n 20. Rough Fctoryt Fi®place I r,ti cC I C, Iv 4: ; APPROQVAL"S1J'D errrt1t # x %' ' I' ' r ,7 1 'am:: 1 "- .. S 4: 1 t 10+: '.+ '[ . ln-. ,> a tr 1." v •-., 1 t . I ,y i.. ter :) 1'1 r, 4: tri 21.AucCS, irt$trtfLcturZr' I „ • n f : 70. l dergrqurtd}fydo .n 22. Ducts'', Ventilating-•• I - S4 " '71. Product Pijrfg QC' - ❑ 111 23. gas jpeRoug &'T-1st Int-, g ."., , , ''�.. ; ��2. Underground, C> t ' '" 01 01+ , t>-1> . r. 24.'Boof:Framing•• rNA. I I.-11:. •• ' r r`T r . ,. : 3. 3Jndergrnd:'Storapre'ank 0 Gas ❑Oil'-' 25. Roof Sh¢thing S ;� r • , t' . t j4,iverhead l-rydro t_"• a 26. -t-Bar,Ceiling (Structural) & Monocoat _ .p. * 75.'Dry Chemical ] s- '. 'l 'n'• 27. Frame and Flash,r • '� 76. 'Dry Stand's e Cu'z" S _ t x 3.l-C. .v or Y 9P. •a7L: rt `28.-"Lathing' • > i . t., t �. • nFI - .., t g Siding >. tr.1 t.,,..r -- ••I ' {{x : 77.uFIXEDSr-4r' IC SYSTEM n �'- � ;29. Insulatic r' ' •. . f; ; 78.2J.i$E PREV. FIN�A14 . > s E.- - 1J >' .0♦' V 1 . Jl +30. Drywall Wailing .t ( -4 •-1 :,.> 4_REALTHtDEPT,REQUIREMENT 141. Plaster Browr'.Coat,7. ,_ i r 1r. I ' , r7.9. FINAL ti�Sp.ECTIOC1 ° r� �1 r x 1 , f O '-1 J {l) 32.-ElectricalPowrer MetertfinaI I - 1 80. FOOD CE�fTIFICATE ISSUED a L - .. . 2C 33. Lina_FEIGctric; ,yy n I r1. t' e ' t lot4: ,� '-„n r• 0 '`tr n ,-34.tFIina1'Heating.�tAllCondition!mg.� - ., '- a n-c ,. CI 35. Findl-Ga`s;PipeTeW ' C. i x tl C. 'Th 36. Hoocj,or Canopy . , r - i _ C , .. i-: x r 37, Final Factory Firelac& I r . n } -' 38. Fina¢Plumbing 'rt 1 i • •• c•- /tpi/ i9�' /- . S, --s ! , .39. Water Service-Final' ' • - • '-+ - •� -' 40. Gas Service-Final _ r 41. Solar Domestic-Final ••• 1 - I > /t 742. -Backflow Prevente d' l I b . .- L. ,-4 , 43. Backflow Irrigation'1:: r.•-: .4' t % :'J 1 Y' ,n r It s _ ,44. Landscape Irrigatipn,System ,,.71.--:,,.71.--: - i In , ; ,a t; _ O pr- -, S ttenUiat 45. 'Sound Aian' - t «-+ ..a t...- i- lr - r r, .. ., : > >` - - a - It 46. -Handicap,Reg4Iatioons - ,- •-` : -2 _ _ t _ - L. 47. -FINAL STRUCTURE & BUILDING ; 1 X c 48. -FINAL PLANNING* I I is _ '� • - -•, . - t c49. Electric Release to Edison > t r - r ,r n 1. 50. Gas Release to Southern California Gas Co I ; -• Y, o `r . 51. CERTIFICATE OF OCCUPANCY • 1. : :, , ' - -c No. Date PROJECT ADDRESS: UNIT: OWNER'S NAME: 127 21ST ST B1&B2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 063633 ADDREss: GEORGE BINGO 18281 FRANSISCO PERMIT NO: P 063633 PLAN CHECK NO: N GOVT: N SUPP: N VILLA PARK, CA • CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD �,, 633-0151 ARCH/ENGINEER: flEG.ND.: JOB DESCRIPTION : CONSTRUCT 2-20SF LAUNDRY ROOMS SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESS: SUNRISE DEVEL. & CONST. ( 714 ) 692-2264 6229RBHARTFORDINDA RD ********4******Die*********3r******:E****D*******+SE�t*+NF*****+IE***B****B*lt**H********* YORBA LINDA CA 92687 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 0l the Business and Professions Code,and my license is in lull force and effect SETBACKS CITYLIC.: 059407 STATE LIC.: 612 257 . , CASS: B IDate: '—'?y—s3 Signature: — MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42618212 ZNE: REF NO; ' Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: ********************************************** '•' **************************** IEXEMPTION FROM Werforma'COMPENSATION DECLARATION:h . (Thissection ,Is not nbe ot emplo ilthe per itis afor nyone mannerhundredso WOO)or eless(. DEVELOPMENT S E R V I C E S REQUIREMENTS certify that in the performance of the work for which this permit is issued,I shall not emplo ny a n'in any manner so as to become •' subject to the Workers'Compensation Laws of California. / ZONING APPROVED BYDATE: Date: /5— 21-97 Signature: nit NOTICE:If,after making this declaration,you should become subject to the Workers' satiamprovisions of the Labor BUILDING APPROVED BY i DATE: revoke Code.you must•Iorthwrlh comply with such provisions or this permit shall be deemed revoked. p CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for 2 g l 4 3 which this permit is'issued(Section 3097,Civ.Cl. APPLICATION ISSUED BY: � DATE: J T/'J' ******************************************* *********************** ** ****** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E S U M MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING LECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT19 00 repair any structure.prior to its issuance.also requires the applicant for such permit to fife a signed statement that he/she is licensed 77,, pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business L 5% SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars MR. ISSUE FEE 20. 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE —CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 19.00 20 . 00 0 . 00 39. 00 39 . 00 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 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 39. 00 OVER/SHORT• 0 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner al the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 39.00 \ ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ********************************,****,******************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 2 LAUNDRY TUB OR WASHER 7, 00 14 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5. 00 5, 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby author'e representatives this t to enter upon the above-mentioned property for inspection purposes. /�,//I Dale: $-7-q-5 3 Signature: W fly O 1 00145581-00145581. TOT 39.00 Driver's License or Social Security//: DATE: 03/25/93 TIM: 15:31 164146 White—DWldino;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POO. ..;PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical ServiiCe or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. -'4 `f`4:r 53. Steel Reinforcement �-.tom , 3. Electrical Conduit'Utility-Undrgrnd. 54. Forms .4 V$;flectrieal ConduitJJrtdrgrnd. 55. Electrical Bonding 5t $teel Reinforcement 4, 56. Rough Plumbing & Pressure Test -- `. b-4, Electrical UFEadrnsi• , 57. APPROVAL TO COVER-GUNITE t'.P.J•Footings D58. Electrical Conduit-Undrgrnd. - i, Fa yJ,"1 .. 8.;Ooltndation •t' i- 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrghld. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural FloorrSystem • 61. APPROVAL TO DECK 11. Property SewertLine & Howe Connection • 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains t. // • 64. Plumbing System - Final • 14. Rough Plumbing' '- fectk5 (,,EP 65. Electrical-Final t 15. Rough Electrical:Conduit -lI as 9 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval .17. Rough Wiring Sgign 68. APPROVED FOR PLASTERING X18. Rough ElectricaFT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �•,.. •s., ,. w Zr.. i ,i• 1-„at- r. 20..8ough Factory Fireplace i ` r C 1 O '.J 'rr; x APPROVA••LS'J`J'.Permit # *' t. _ .n t t. 1 1 S,0 Ce: >-. 1-, > t t �2- C'k' - - X tT t3_ 21.F cttS. in-Str ilctture n .. .. •_r._ 1 1-.X. . -70. Under9r' Y0d}lyfllo a co S , ti 22._Ducts• Ventilating- .. ti * _'C ¢s te ¶71.ProductItpirig O'gas op,'(• < n1> 1 r", * r1 } V, X A 1 23.t6aslPpetiRou0 &"ist '• 'Tr.)Is ; t•, a' 11 _ 2. UndergroundjFIt ? r r: 24.rRooU fl 'M I Lc ' t..,... n L. . >-. 1 . I. Ci f;Fr - d . g• i, , I HP ••F' a > • ' b' r r `T3.Wndergrnd? at�e`J Storfank V*' Gas ❑O1P• 25. Roti 'Sheathin _ F_ ^J r tri �7 C tu? � �+ •c- N 9 S .: r�, nal,4a 5/4.�Vverhead F�ydro`� 'u < a >. 26. r-Bar,Ceiling (Structural) &M.Monocoat .x.. 1..• -'> ._ 75.-Cry Chemical -I 't': 27/Frame anti Flashipj- m, ., J S' ' ' 4 - 0:' `-J t -` `l >. hr td- ?., 76. Dry Stand•jpe i' ,,,jy 'Tha- ;ZB. 'Lathing:&`Siding)-. ... •,1.%�%• Elt; _ a •• •• rR te 77..IFIXED SYSTEM-FINAL* �'� k v - 1 I-4n "in" e-4 n •-, -29. Insulation ri:. `-' 1 " ` t 78.*flRE PREV. FINAL . - r30. Drywall Nailing - * x :-a •✓ HEALTH DEPT. REQUIREMENT 21. Plaster Brown.Coa't t r itr.,,, I : _ .,79.`f`ThAL INSP.eCTION . r r t32. lectricaIPower Meter-Final i Fit >. EJ< a 80. -FOOD CERTIFICATE ISSUED .33. Final'Eleetric' n I r.• - t*1 > 7, r'Not*.-..•J ...f.'s::1 r4.� g;&FinaJ-HeatinAir,Condltioning, l ; • , ;771 , ra CI - • W 35.Final'Ga`Pipe;Tesk• t -i - r. 71n 1 I) er 36. Hood or Canopy Y K 1 ,r = n r, i - t •0 137. FinaliFacctory Fireptace,c { , x ;r ,• - 38. Final Plumbing . • . .• t I 40 * '39. Wateb Se�Vice-Final> i . . - n I, * Z \> 1. 1 ,- 1 0. Gas Service•Final,-, -4 `, - ' A1. Solar Domestic-Final > t 'i • > '- • - i- 42. Backflow Preventes t n . I t ' 1 43. Backflow Irrigation =s':-.-.7 ,' ±-.1 [1 > C .: ... . T - . a J; > . 1 744. Landscape Ireigatiog System z :, �, '... -. - - _ 45. Sound Attenuation. •.,.. t'1' - - r1 r z x C' - . .. a • '•1 r Ur • - t -1. • r- ::-46.-Handicap Regulations 7 '• 47.-EINAL STRUCTURE & BUiEDING - x ` .c r s 48..EINAL PLANNIN-G, 49.'Elecvic Release to,Edison * • •- - - . :.50. Gas 9elease to Southern California Gas Co x ; ', - . ;1. CERTIFICATE OF"DCCUPAJJEY' .. ,K ,= r, ' No. Date PROJECT ADDRESS: 12.7 21ST ST UNIT:C1 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 063014 OWNER'S NAME:GEORGE BINGO ADDRESS: 18281 FRANCISCO PERMIT NO: P 063017 PLAN CHECK NO: N GOVT: N SUPP; N VILLA PARK CA CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU PURPOSE: OTH (714 ) 633-0151 ARCM/ENGINEER: REG.NO.: JOB DESCRIPTION ; ADD ONE 21SF LAUNDRY ROOM SQ FT: a ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 / PERMITTEE: SUNRISE DEVEL. & CONST. ( 714 ) 692-2.264 ADDRESS: 6229 HARTFORD RD COMMENTS : RE: B63014 PRIMARY BUILDING PERMIT, YORBA LINDA CA 92687 ****************************�E********"*xSt�ET�SL�r�ET6,E*SL**SESE* "S6*** iF******SE"xx"**** **** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 al the Business and Professions Code.and my license is in lull force and elf et. SETBACKS CITY LIC.: STATE LIC.S 12257 ' 1 cuss:B Date. — i 3 -433 Signature: — — MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C. POLICY NO.: EXP.DATE: company: PARKING REQ: PROV: PARCEL; 42618212 ZNE; REF NO; ❑ Cemlied copy is hereby furnished. El Certified copy is filed with the city Building Oivision. PLANNING NOTES> . > Date: Applicant: lk ********************************************** #*************************ik***** EXEMPTION FROM WORKERS'COMPENSATION OECLAIATION: (This section need not be completed it the permit' or one hundred($100)or less). DEVELOPMENT SERVICES ':� R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued,I shall not employ any per n i any manner so as to become subject to the Workers'Compensation Laws of California. �� ZONING APPROVED BY DATE: Date: 7 Ij-Gi3 Signature' h.-1.,a17 BUILDING APPROVED BY : �. DATE: NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of tee Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 7 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pedormance of the work for APPLICATION ISSUED BY • 13 r 2 C9 f/ DATE; lr_3 which this permit is issued(Section 3097,Civ.C). e. . ************************* ******* ****** ***** ***************-1(-* *'** LENDER: x ****oe*****************************IE*********/PWA( 6'************)E**IE*********N%** ADDRESS: I LEGALIZATION:N F E E S U M M A ,R Y STRUCTURAL SEGMENT;N O OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC>MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 3415% .00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 byf any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE 20 . 00 • 1 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 34 . 00 20 , 00 0 , 00 54 , 00 54 , 00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through t his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECtED' 54 , 00 OVER/SHORT• 00 orimprovementpis ofsolds le). one year of comple0on,the owner will have the burden of proving rte/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT' GRADING PLAN—CHECK for the purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 • 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projectswith a contractor(s)license pursuant to theContractors'State License Law).I am aware *N'****************************N'***-If`**********NN**N'*1E***ie**iF*********N"*"******NN'* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAE FEE BREAKDOWN o I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Oconee PLU 1LAUNDRY TUB OR WASHER/ 7. 00 7 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 WATER H EATER AND/OR 'VENT 7. 00 7, 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 GAS PIPING SYS OF ' F TO 4 OUTLETS 5 , 00 5 • 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 1 SEWER, CONNECTION TO BUILDING EACH 15 . 00 15. 00 (hese provisions. END OF FEES Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to ply with all city and county ordinances and state taws relating to building construction and hereby a clue representatives of this d t r upon the above-mentioned property for inspection purposes. • / Dale 13-53 Signature- 4---1 0100142771-00142771 TELT 54.00 Driver's License or Social Security e: DATE: 07/14/93 TIME: 16:02 1641-46 White—Building.Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor r� - - - -, - - - CONSTRUCTION AND PLANNING POOL SPA I I APPROVALS Permit Date In^.pector APPROVALS Permit ;. OAF. I Ir'orctor 1 - 1 1• Tem;o•cry F1•ctnc'i Sar- ce -• Po'^ 52. Pool & Equipment Location -- - I -~ I 7 S- v _ lu.r•ra I 53. St r: Reinfora•mert --_-- I _ _ 1 .i C is c:h�•-d. 54 .'-omr 4. E. .:ti-r. . .. r-U'virr•rd. i 155. Electr,cal Brndng I 50 F of-sh Pio:to:ng 3 '•essure Te.t __ r __ _ __ __� _ .- _ -____-- - __ _ __� _ _ _ - _ - 1 6 F . 7 . . . 5/. P• •ovnl. TO C3\ 2R•GU . , F --- rj_ I 58.Lhcticdi Card� t 1,r 1.gr nil. _ _ _ 8. F. aro. till � ' 1 59. Ga :Pip,:, ! Und!c•rd., Tc•t II- Vrt`• 9. '. r PipsUndri- Awash i' 60. r vc sh Lines, P-Tr p. 7' L'•.-. . 1 ID. S+ oo cti ' i-Iour System '- -- - ----- - 61. APPFlDVALTD DECK -- Y - ----- _ , 11. !'rup:.•fv 5..... L • &- -r Ro..at Con.nrct oil i --'1 62. Beckvrash & Rece rror-F,ndl � 1 17 S.-- -- - - - 1 --- -- --- � I I G3. Hcnr & Vcnt-Fina. 1 I 11 f' 1 3 . Plumbing System • F-nal - - _ _ -- r I--1 -- , -- -- ?%/ Y.enc 35. E':.cticn'•Final- ------ - - - - - - - 1 'S R„_i', c,i.ct icii-Cor.du.t I ! 66. Solar System-Firra' 1____ _ _ - -- - __-t_ _ _ - _ ___-_ _- - _ , _ -_- 1 L. 3, .:,n let', c•..Jr,r, 1 67. Fencing & Access Anne-al . • I 11. R- ' ) S `J" i 68. APPROVED FOR PLASTEN...0 - - 1P. Re.---,OEf:c! 'u.-T Bar Ce-1 r: --- -- 16C. POOL/SPASYSTE.;S FINAL - -- 19. P. .r-h H^3t1.7 8: kr Cuno it cr,ry f FIRE DEPT. REQUIRE.':._:V 2ti P, ,..on :ic:nry F r-,pluc: I APPROVALS Permit 9-- I _ 21. Ducts, in Stiucturc I 1 70. Underground Hydro 72. Du.a 'cn1 flirtiCi-`- -___.-__ .f- --_y --_ -- - _- - /1_ Product Piping Gas t:Od F 23. v . . ..r :RhFJ Te-1 -1 - - - /7. Urdi:ground Flu;, 74. uual Frei,' "g I73. L'r:dragrnd.Stara::. 1,-:dr I- G.. 75 _ __---. n1- ------ __,_ -- -- - - /C O.c.p^ad Hydro ---- - - - - - - -- 7G, 7 ti . c ..ir iI 1St uctire, 6 ,. n'OCsit I ' 71, I)I': C.itm:c'i hZr. � . . - , 1 - - rh. DiySsndd,,e -- - -- -- - - - - _. .. -- - -- - -j- - -- - - . ^7, - -- - ---- T' 1 __i, -FI;Fi SY:TE 1c!:.AL t- - - ---- - - - - - - - - - 1 - -- - - -- - ------- -- - --- r - -- - - - - - - ---- -- -- - - - - - - - 39. Di . ,.i ' :'r i 1. FEAL -HDE : Pi 9 - ._'R . 31. P la ' Ca,r 79. 3 1-INAI IP'$F EC" ' '. ' • 37 F' , I .• P,.•yr• �.rtrr-F S I -- �80. FOOD CF RI V :CAT( ISSur n ' 33 n_! -c - iF .r " ; Nater.: T1ee;/G!( ye Q-1.4.4_ 34 F F i ,.t fa Air Cor.ci:..a ' •I -LE ' -. - -fi,wee�ri �-- -4.Ar�ee�_yanTet .2r.e[ _ , 35. Fn G i. P,F T i_e/ 1-35. Nc:d c alropy 1 - --- ----=1-*- -I -)--- -------- - -- - - - 37. F-n4 F,ctory Fireplace / ! - 28. Final P umoin3 __ .�F/ q/qS 1�_-� ----- --- -- - - --- --- -- - - -- - ;.f !'t- I -- -- - - -- -- - - - ----- - 33. '::at.' S<+acaFir.' I 1 1 43. Gis 52-: F I I_._____ _-.__- - ____I_+ ,1 41. Sala, Dcm ^tic•Final 42. B-ick(,ov. ,P• vcntcr --�'- -- - -- -- - - - - - - - - - - - - 1 1 -- - - 43. BLckflaw Ir.,';at;on -------- --- -- --- - - - - - - - 44. Lerdsc..pd irrigation Systcm 45. Suund Att,..r uaton I -- -- - .. -- ---' - ------- - - - -_ 4E. !Lr:fc7p Ri gu'atumi -- -. _____, 4.___ :.:4____jr ___ _ _ . _ i __. __ _ i 47. FI'1AL STfnUCTURE & B::ILD!YC I 4B FI?:1L PLANNING L-- ----- - - ----- --- - I- - - - - ---- - .. - ! AD. EN i:tr,t ;i:'._ase to Edison SC. Gus Freic:.c to Southern Cai,fornie Gas Oa I • 1RT 51. CI !FICATE OF OCCUPANCY t- -- - --- ------ 1, - - ---- -- -- - -- 10. - D.;te 1 --- --I �/ PRONE ' NAM127 21ST ST ADDRESS: UNIT: B1&B2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 063632 AD OWNER'S WNE DRES: GEORGE BINGO ADOREss: 18281 FRANSISCO PERMIT NO: E 063632 PLAN CHECK NO: N GOVT: N SUPP: N VILLA PARK, CA CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD ARCH/ENGINEER: 633-0151 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : CONSTRUCT 2-20SF LAUNDRY ROOMS SQ FT: PERMITTEE: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / agOREss: SUNRISE DEVEL. & CONST. ( 714 )692-2264 6229 HARTFORD RD COMMENTS: EXPAND ENTRY FOR 2-20SF LAUNDRY ROOMS INTO UNITS B1 & B2 #B63631 YORBA LINDA CA 92687 *************************************************+Ear*******;E*******4**+E********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect./ SETBACKS CITYUC.: 059407 TSTATEuc.: 612257 CLASS: B G��w" Date:LIC.:.059407 l Signature:_ G4-e-c— MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42618212 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant � �- ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if is for one hundred($100)or less). DEVELOPMENT S- ERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any p on in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY .t Date: S Zt/—r7 3 Signature' �(h�a DATE: NOTICE:N.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. h CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• - • DATE• 6( L S. which this permit is issued(Section 3097.Civ.Cl. /., *********************{E********************* ********************{F*** ** * *** LENDER: • ******************************************************************************* ADDRESS; LEGALIZATION:N F E E , S U M M -A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 3, 00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 700)of Division 3 of the Business 50 Z SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 15. 00' I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE • PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 3.00 • 15.00 0 .00 18 , 00 18 . 00 . 00 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 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: ' 18. 00 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC, FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 18 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************.*********************, **********,******,**,********************* that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L • F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTION • UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 2 FIXTURES LIGHTING 1 ST 20 EA. . 75 1 . 50 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 2 RECEPT/OGTLET 1 ST 2 0 EA, . 75 1 , 50 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES these provisions, Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I ree o comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of t ci to enter upon the above-mentioned properly for inspection purposes. -1.---) Oale'. g 0'53 Signature: e1 01 001455E6-00145586 TOT 18.00 Driver's License or Social Security a.: LATE: 08/25/93 TIME: 15:32 1641-46 White—Building',Green—Code Enforcement,Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • , . CONSTRUCTION AND'PLANNING POOL .;PA APPROVALS Permit 4 Date Inspector APPROVALS Permit 4 Date Inspector 1. Temporary Electrical Servie or Pole . 52. Pool & Equipment Location •2. Soil Pipe-Undrgrnd. n 53. Steel Reinforcement 3' EleCtricai Conduit'fRility-Ufidr�grnd. 54. Forms , 4;.Elec .. trical Conduit;UtiIrgrnd. • 55. Electrical Bonding •5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test ''6.-`Electrical OF ER Grni. --- • 57. APPROVAL TO COVER-GUNITE Le! T.)FFootings 1 58. Electrical Conduit-Undrgrnd. i« i 8. F'pundation I' 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrg4d. 60. Backwash Lines, P:Trap, 0 Undrgrnd. i 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer',Eine& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains T. 64. Plumbing System - Final _ 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical Conduit o. Solar System-Final 16. Rough Electric Wiring ,►07. Fencing & Access Approval V. Rough Wiring Sign q�� 68. APPROVED FOR PLASTERING -1'8. Rough Electrical T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT V , is t r. - , . _rte. ... :. .. .. .. •-i it Is 1-11731-4 is (-4 s]L'! 20. tRough Fa3tonf Fi{epiace I cern ;4.-.1 * p ;-, 7+4 . APPRQNAtSt DiPerritit 4 > >' • .- Y • ,, R. . x , t-4 tT* • tq7 <41.Or .> .i; tY mire t , (•r, * .--1y, y. ' :-k,-•4 r, .. it, 21. ;Ducts',in Strtl4'turt',.'"x i ,• •• its * S t) i-ia _d,. 0. ri derVrgamd}ly{tio t. t, ,r (l.. i - 22. Ducts., Ventilating-44. i CIS t S rS r . '-71. Product•Pi�'n'g 013,80 Oil 23. 'Gas1'ipe•Rougt&T,Est ' u: :e '= '_` " 1 �� ''O » 2 rriS M CT .1; 0 i ,"42. Undergr0und;Flue5 , yi �, 24. !Roof:Framin . , ` •' .i w 9 • t--t-. ••i-• t O 7 .r73.tfi1ndergrnLr. toragvr3'ank Gas ❑ON 25. Roof Sheathing r �3 '} (n `" " 5'54 'overhead F( dro !�(' 41, 4 vvm a ti, r. L, Y 26. T,Bar Ceiling (Structural) & Monocoat ma a fl q 75.:Dry Chemical -'J R '- '-. ?' • 27. 'Frame and Flash;iit �� 1. b m ,r',. ; 76.11Dry Standpipe tis x . `n `'; `.28. Lathing& Siding r s r.a] ,7,tx j * s •• •• •::Y 77.t7FIXED SY9PENYRFNAL ` a '=' :29. Insulation ° O '• = PROJECT ADDRESS: 127 21ST ST UNIT: C2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 063635 OWNER'S NAME: GEORGE BINGO ADDRESS; 18281 FRANSISCO PERMIT NO: E 063635 PLAN CHECK NO: N GOVT: N SUPP: N VILLA PARK, CA CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD ARCH/ENGINEER: 633-015I REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : CONSTRUCT 20SF LAUNDRY ROOMS SQ FT: PERMITTEE CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / ADDRESS: SUNRISE DEVEL. & CONST. ( 714 )692-2264 YORBA L6229 INDA RD RD CA 92687 ****4EE*****B• EE******+PAND EE****%***%*%****�P********Y ****%*****O ****%**(r�E***B************%% LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect SETBACKS CITY LIC.: 59407 STATE LIC.: 612257 CLASS: B _O Date: al-53 Signature:_L GLL«--• MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Woicers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: _ COMPANY: PARKING REO: PROV: PARCEL: 42618212 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > • Date: Applicant: - **********************************'If******************************************** • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permi s for one hundred'($lW)or less). DEVELOPMENT S E 'R VICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any e o in ny manner so as to become subject to the Workers'Compensation Laws of California. / ZONING APPROVED BY DATE: Date: c Zy-S 3 Signature: 1.4.4.�W— NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: t hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: .t' ' - •'I, DATE•�� 1- 5-1which this permit is issued(Section 3097,Civ.Cl. 'I ******************************************** * ********* LENDER: ******************************************************************************* ADDRESS: FOR PLANS RE:#B63631 LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter.improve,demolish.or PERMIT 1 . 5 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is tcensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0 t SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001. ISSUE FEE 1500 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 1 . 50 15. 00 0. 00 16. 50 16 . 50 . 00 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 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 16. 50 OVER/SHORT: 00 for me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 16 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware *****************************%,************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25417,and ELE 1 FIXTURES LIGHTING 1 $T 2 0 EA. 7 5 75 25534 and that I or any future building occupant wiltwill not(circle one)need to comply with said state codes and the requirements for a ELE 1 RECEPT/OUTLET 1 ST 20 EA. .75 . 75 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES these provisions. • Date: Applicant: I hereby certify that I have read this application and state that the above intormation is correct agree to comply with all city and county ordinances and state laws relating to budding construction and hereby authorize representative of is city to enter upon the above-mentioned property for inspection purposes. / 01 00145582-00145582 TnT 16.50 e 11 ¢3 Signature: fi(.Iti �-/// DATE: 08/25/93 TIME: 15:31 � Date: �r 2T / / Driver's License or Social Security e: 1641.46 White—Building:Green—Code Enforcement:Canary—Aooricant:Pink—Revenue:Goldenrod—Assessor POO, SPA:+r•----- - CONSTRUCTION AND PLANNING _-- _ APPROVALS Permit# - Date Inspector APPROVALS Permit # ��ro Date Inspector- 1. Temporary Electrical Service Or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,2.1. 1.ectri9p Condi t'chility-Undrgrnd. .34. Forms _4 Jectricel Conduit;Utidrgrnd. '.55. Electrical Bonding ' 15: $teel Reinforcetheot: \556. Rough Plumbing& Pressure Test - 4 ; 6;' Iectrical UF ER df"&i. c. 57. APPROVAL TO COVER-GUNITE -L .c .i7' Footings v r48. Electrical Conduit-Undrgrnd. r r ..Ct 8. ,`NibOndation • tr r9. Gas Pipe, 0 Undrgrnd., Test r" 9. Water Pipe-Undrgrnd. -60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System :61. APPROVAL TO DECK 11. Property Sewer Lin@-& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains -, 64. Plumbing System - Final 14. Rough Plumbing '- _ 65. Electrical-Final 15. Rough Electricat-Conduit / �1 6" Solar System-Final 16. Rough ElectricWiring 3 ,e,-r 67/Fencing & Access Approval '17. Rough Wiring sign ('�j! 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT C • i• , .. o, _I y; . . -a tr :pi .....r- a tirk'• ta 20.reough F,gctory FiLeplace :Tr. 1.2'1 a C' a r v. Jr tAPPROVAL-S l.J'Permit # >• 1,- : ;r ,1;Cr t ': ,.4 •r n +: ri 1 4 n1,. r . IT ti •1 l I F-'(-, ":: k F-i 1 •7x .' -] ' - 21]S a tr-, 21. uGts,ir].$trt}�ctur :� I F♦:, r S ,) I-,a• a '70. lin -}fycIgo . .c, - f , . 22. Ducts, Ventitating,. t:n :• ti , n ;5: 1,, �r 1. ProducttP rig acqs 0 Oil 23.%as4Plpe;Eiough &'Test `T S ; VI tr' 4 #'• j -Y2, Undergrounc;FluIT) I 1 v' V. t,; • n,tr• LIV- . .', r. rO 24.tfoof:Fr@ming• ir •• f0 r' • 73." Jndergrncf?�S✓tor Tank e)Gas iU arts' - 25. Roo'Shything Z,,t, X na s a. 'n r, < +: -,-- v v.., vas •�* • 74. ,verhead iydro.rv _ lc I 26.-�-Bar,Ceiling (Structural) & *Qeoocoat •. ra 0 • * a 75..'Dry Chemical • > -I J 1'X 27.'Frame and Flashing•' >r. "' 1` ' 76.1-Dry Stands ;,Ij c S =:r t J r7 ;.' �, ,(. 4' .r. Y c ` L ".- 1 ,� u 128. 'Lathing&Siding>.;F .-i •y�{,r. • X •• •• :- c 77.ra FIXED SKSTEM P NAL. Xt _ r`r't t• .r -29. Insulati n* C' " " ', <-n •` xc 78''FIRE PREY. FINIAL. ..J': ` 1 +:.t 0 . X. v 4 z0. Drywall wiling HEALTH:DEPT.R&QUIRE&IENT c31. Plaster Br?wn,Co ,L 1 m'-r- x • 7 z79.tcFINAL IN PECTI&R t C tr t-- 52.Electrica`4i'ow.er Meter;Final i F c r. ,$0.nFO0D CERTIFICATE-ISSUED f4 X33. inanElectric� r I T ro� th01✓�: 9 , , 1 C t' `54.fFinaJHeating1& Aittonditiobi . ty �, - 35. :6inal•Gas-'Pipe.Teit^ II ' r' r le ,t ` - r 36. Hooaor Canopy4. ,S , - t :: - r ~ ' . , . * - 37.TinaLFaccjory Fireplace ! 5 `. ;r • • • S [' rr -38. Final,PluMbing S., , , - '39. Water.Service-Final i_ I • n - n _ y I a 1 't .. `40. Gas Service-Final rlrr: C '` 1 t: .L¢ - z-- ,41. Solar Domestic-Final -c r -• • '"?r I t ¢ .: n I . r I .0 -r •t AC r. 42.Backflow Preventer` S. F ' I r 43. Backflow Irrigation r r 1.'- ` 44, •( X(• ,- -) r44. Landscape Ir,,cigatio0 System_„t;, # -?I O :7 A K 1J �t1 *_ 45. .Sound Atterfuatian- - ce- a-1 ' -i -.x . ,-I r -t. :e •r •• ,• . r r- ' r Cr •9• • A •- A6.-Handica ,Regulatlo[s j ;, " f .q• C - 47. FINAL STRUCTURE & BUItDING a < - _ v -- 48.-FINW_L PLANNING' i a: II C t 1 c49. Electric Release to Edison i . ` 5 jA > 7;50. Gas Release to Southern California Gas Co r• - , .31. CERTIFICATE OF:P000PA,NCY' y. ,. < .- - No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA C NSTRUCTI N PERMIT PERM NO. TRACT NO. LOT NO. UNIT NO. 5 or• TL g 7 �] /r�,7/s 92701 2/13/8D .10 • Project Address�f7 F, / S'r/ � I 9a 73D- I Applicant's Mailing Address TYPE OF CONSTRUCTION H NEW U ADD H ALTERATION LJ REPAIR iliUCS ,/O*r G5c` /� E CO VERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Owner's Name L/1[� !'KIr �'1 Phone 6+ J-fs DESr ' PTI e. OF WO' SE IF B • n p Address �^t 7 E /cf � 4� r-�TTT �r'Sffr / / ..e..1"...4•••./. _ , %vim r IAfl S Main Building: Accessory Building: E Z Arch/Eng. License No. TYP OF PERMIT I♦ GRADING.�yI� FOUND, ION II STRUCTURAL T Front 0 • Address //'' //11��[// ❑ TENANT ❑ ELECTRICAL,PLUMBING PLUMBING ❑ MECHANICAL BA Rear N Contractor's Name - ' yr- -. Phone( +_ 2 ' ❑ 'OTHER - c-7 A / PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right • N Address(mailing) ��fVf 5-70 -:,--•"-,••,,•••• �� /V CONSTRUCTION TYPE VALUATION$ K S Left G City License No. L10615ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E Tia • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and ' ( L, ' my license is in full •rcea•Effect. - 1 NLC`I L-_ . ,J)-ai L 4 1986 ..-, , T " License ass (O i e - o. 9O° S Date 1 /A-It.- Signature '� / PLUMBING FEES ' - WORKERS'COMPENSATION DECLARA • ' Bar SinkShowers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-in re ora certificate f Workers' Compensation Insurance, or a certified copy thereof (Section • _ _ _ 800, Lab. C.) • Backflow Preventer- Service Sink Automatic Washer Transformer D 15-50 KW • Policy No- Company Backflow Irrigation Sewer Cap' PO P J Construction Pole Sub. 0 50+KW ' ❑ Certified copy is hereby furnished. ' ❑ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit ' ~ , Meter 0 u to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps (This section need not be completed if the permit is for one hundred ($100) or - -' less)-. / Dishwasher 47-1,0Solar Piping p?. Dryers EGas -'❑Electric Sub Panel I certify that in the performance of the work for whit perm, ' sued, I ' shall not employ'any person in any manner so a become subject o t Drinking Fountains i Solar Tank - Fan r Motors ❑0-1 HP ❑1'/x-8 Workers',Cpmp Y Laws of California. - — Date Fj/rte 4' Signature Floor Drains Swimming Pool w/Spa F.A.U. • Inc.Solar ❑9-15 HP ❑16-15+ PJOTIC If,a ter making this declaration,you should become subj t the - Workers' Compensation provisions of the Labor Code, you must fo with - Floor Sinks - Urinal • ' Fixtures ' - - , comply with such provisions or this permit shall be deemed- revoked. - Micro Wave " CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) - Interceptors Water Heater - - Outlets , Lender's Name Range Lender's Address Kitchen Sink . •, ' Water Service Switches Sign OWNER BUILDER DECLARATION - -- - - - -- - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash - Garbage Disposal ' following reason (Section 7031.5 Business and Professional Code: Any city"or - - 9 P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor 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 - ' ' herefrom and the basis for the alleged exemption. Any violation of Section _ • 931.5 by any applicant for a permit subjects the applicant to,a civil enalty of not more than five-hundred dollars($500). , 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee • $15 Issue Fee _ $ 3 . compensation, will do the work,and-the structure is not intended or offered - - - - - -- ^ Reinspection Fee I $15 , Issue Fee $ 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 SERVICES REQUIREMENTS: employees, provided that such improvements are not intended-or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type 11 ❑ Zoning Approved By - bate pietion,the,owner will have the burden of proving he/she did not build or im- Duct- Under Ground • Building Approved BY Date• prove for the purpose the p sale). - ( ,� 1 'ad-34(0 c GJ_ 0 t as owner of thet prproj ct t 7 44, cu mess ing with licensed con- Duct-Structural Refrigeration System Application Issued By ��J/ Date J Os(J hetors o he project(Section apply to Business and Professionsfproperty Code: • The • sContractor'smproLicense Law does not to an owner je is thta who Duct-Ventilating ❑0100,000 BTU ❑100,000 BTU SUMMARY OF FEES i builds or improves thereon,and who contracts for such projects with a con- -- , tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT. $ - SMIP $ proof of their Worker's Compensation insurance should be provided to me. - - - - -- PLAN CHECK $, �s/psERMIT • 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ VIJSSUANCE $' Date owner Heating System&Ducting Registers , PLAN CHECK 25% $' ENERGY P.C. $ I hereby certify that I have read this application.and state that the above -- ❑0100,000 BTU 0100,000 BTL - ELECTRICAL, $ GRADING $ • information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authori a repre- PLAN CHECK 50% MICROFILM $ ' sentatives of hi�yj to en -r upon the above-mentioned pour/ty for $ inspection ..;••�.y� i 447 • _ - MECHANICAL $ -� Signature `�/•a. - - Reinspection Fee $15 Issue Fee , $ 3 PLAN CHECK 25% $ - • CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING • POOI PA • APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole �-" 52. Pool & Equipment Location • 2. Soil Pip&-Undrgrnd. 53. Steel Reinforcement 3.5Elect"ric,e1 Conduij.4Jfility-Undrgrni? 54. Forms ' , 4" Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding ‘,..4! 5. Steel'Reinforcenlenf i , i+ 56. Rough Plumbing & Pressure Test //�Y ..6:;ElectricaF.UFER,,Gibd:' 57. APPROVAL TO COVER-GUNITE 1'� • 7,: Footi,h4 -?1S, 58. Electrical Conduit-Undrgrnd. ;t,i 8.•Fou dat on y Ti z j 59. Gas Pipe, 0 Undrgrnd., Test of 99=Water Pipe-Undrgrnd. • `_::,1 #41 60. Backwash Lines,P-Trap, 0 Undrgrnd. i'' • 10::Structural Floor SyAem ':.•� 61. APPROVAL TO DECK .lfr ,' 1. i 11. Property:Sewer Line;& House Conn ctI6n • :;;; 62. Backwash & Receptor-Final 12. Sewer:Cap },' ,-- 63. Heater & Vent-Final ;; .• 13. Roof DcI; ins `; '-' IVr ,- 64. Plumbing System - Final , d ,e t- n i 14. Rough Plumbing. c _ f ' 65. Electrical-Final 15. Roug6 Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. •Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rouóh:E! ctricaI-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough.H2ating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace �,. APPROVALS Permit# 21. Ducts, iii'Structure 70. Underground Hydro 22. Ducts,"Oeptilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-hough&Test 72. Underground Flush 24. Roof Flatting 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 arid Flashing 76. Dry Standpipe 28. Lathing:& Siding 77. FIXED SYSTEM FINAL - 29. Insulation+ 78. FIRE PREV. FINAL 30. Drywall,Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 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 Fireplace 38. Final Plumbing 7/a74e t, 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer . . ill'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 _ 1r' .i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY i� No. Date '_'� • • COUNTY OF ORANGE - BUILDING DEPT. Z ¢:4 636 No, Broadway Permit No. _. _ __ __ Santa Ana, California Application for Building Permit Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy DateHa 1. OWNER'S NAME __ •• -- _'_ -._.." PHONE:..eFtl 4�6 V MAILING ADDRESS._..___3‘ /.G._.I ' lea d'f /,' Name Name .. t ry • " -- (Architect or Engineer) (Contractor) / Q Address Address 3�!,,_7.�e '�',_ I -- City City ein WFC- State State a /�,� � � _ •Y Lic. No. Phone 1 Lit. No. 0 II ' 3 Phone.lpf 'COTA `t' jpiete" PROPOSED USE: all VI r� /'� - �,/�,, 2. JOB LOCATION_ I y 7 F Y��'^ `walk Y etata (House No.) ��•• n (Nam of StreTgg�)p�f A �// (Town or School 's rill_ �s� 3. LEGAL DESCRIPTION: Lotp_E yf�_'y{� 1A,p_ 7XBIo k�/_6 s. -lir /�p if_ _1!6_Y•J:�j..1 (Metes and Bounds Description—Use reset side of for VV /� . ._ Y/l 4. CORNER LOT ( ) INTERIOR LOT GG( K) THROUGH LOT ( VV ) 22 SLOPE OF LOT ) 5. SIZE OF BLDG.:Ya X..3Q t A/REAA• p...� __.SIZE OF LOT:'1Y t'• f J--.___AREA: 14 VQ_ 6. HEIGHT OF BLDG.: .. ..JO- CEILING HEIGHT: 3. .ff NO. OF STORIES . 7. NO. FAMILIES _...._.-.� I Size of Smallest �BBeed�r0000m: _IQ../�.._DD.ii Size of Kitchen: ___.9Q..X_to� 8. EXTERIOR WALL CONSTRUCTION92 'KaL.i j✓" "'r�NTERIOR WALL COVERING ek• (Frame, Stucco, Etc.) (( (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Line of Street dL. a Nearest Side Yard v tilt"-_..Rear Yard Distance in Feet Between Bldgs. on Same Lot 4101/42 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. I N 11. For (a) Footing: Width ivDepth in Ground / Y Width of Wall _544 Accessory `, fA �� Q Bldgs. and (b) Size of Studs: 111; T Spacing /6 "CC Material of Floor ._C1A• real .._. Similar Structures: (c) Size of Floor Joists: Spacing VCC • �/ N (d) Size of Rafters: .... ...Y-.I---4. Spacing 3 G "CC 12. VALUATION OF PROPOSED WORK: InclualMg all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- • ing and sewage disposal $ Slain e - 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF. THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY.OF ORANGE AND THE STATE __ __ __ St_COF CALIFORNIA) APPLICABLE THERETO. Signed- Y r "/__1L1„N..,_____ .__ Q'� (Owner) Plans Filed: u �8ro By- (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: 4. p0 /&�CAK)ING BY Bldg. Permit $ ` aZf GROUP . �f ..........____. APPLICATION t �/ HEALTH Plan Check TYPE ,.SLI— _ FIRE ZONING Total - - - $---. ______—__ DIST. �/ — 4-a--1, MARSHAL PLANS AND -CJ Receipt No. - - --- — MAP SPEC'S......-L4 LS� "YSTATE. Ez== Paid to __ SHEET NO �- ------- CORRECTIONS ENGINEER -=-LS.'s'° --...— Date..... .__.... .__—._..__.___— VERIFIED CAL _. PER dTISSUEo DATE l#7.3 v / " � -e , 5M-7-e0 -e� �11 • s �i Thermo-Coustics° • P.O. Box 766, 21900 Main St. •Colton, CA 92324.714/783-0462 %•I The manufacturer recommends installation /—.#‘-- according to the chart below to achieve the stated R-values. fie-��,' TR+ BLOWING >99 V INSULATION y3223 ' -7 2, r% r _ with MoistureGuardlM e. ...7.- MAXIMUM MAXIMUM BAGS MINIMUM "R"VALUE MINIMUM COVERAGE PER PER 1000 SQ. WEIGHT PER THICKNESS BAG(NET) FEET(NET) SQ. FEET(NET) R-11 3 in. 66 sq. ft. 15 .450 R-13 31/2 in. 58 sq. ft. 18 .530 R-19 5 in. 40 sq. ft. 25 .750 R-22 6 in. 34 sq. ft. 4230=: .900 R-24 61/2 in. 31 sq. ft. 32 .980 R-30 8 in. 25 sq. ft. 40 1.20 R-32 81/2 in. 24 sq. ft. 42 1.27 R-40 10% in. 19 sq. ft. 52 1.61 R-50 131/2 in. 14 sq. ft. 69 2.03 eased on a nominal 4.5 cubic loot bag. Fire retardant. Underwriters Laboratory listed (R No. 7176) Class 1 building material. Complies with Federal Specification HH-1-515C and HUD-4900.1.4920.1. ICBG listing Approval Report•2793. CEILINGS i./ R- / 4, WALLS R. FLOORS R- SQ. FOOTAGE INSTALLED AO • NO.,OF BAGS USED Z f DATE /)% "--.3 6 — 17 COMPANY NAME1 Ohl. I O3 S31/4 OH NU GOvi SIGNATURE .— it PUBLICATION NO.2102 August 1,1977 C1977 Tberma.Couslics Manufacturing,Inc. CITY OF CI > MESA N° 302 PARK FEES Fee Payment Receipt 5 / 2 Project Address - Park Area 3 A. P. No. I I - oa.2 le; Building Permit No.C/. 1'—'4.- Owner's Name 6e0 aJIhoci5I 37---• Mailing Address He to . Zart!?7-7 A a 1,e ein FEE Single Family * No. of Units @ $455.20 = Multiple Family ** No. of Units 41 @ $321.32 = /p �t � 4'S eii7. (/_ Total Fee in(p C' Q Planning Department pprov. Date 1(J '� 0 77 By at-4)12P f Applicant's Signature ` ho • city Ordinance 72-44 ** City Ordinance 72-45 *•• City Resolution 74-124 White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant CMF 0174-26 GIP I J! II 1l kS4 tl OWNER LaPORGA, PEDERICO P. DATE AUG 2 8 1963 JOB ADDRESS • 127 E. 21st St. BUILDING PERMIT NO. 20465 GENERAL CONTRACTOR Rigid Mfg. Co. VALUE $ 465.00 AP No. 118-020-19 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Reroof Res. s I ECTIONS Signature DATE GROUP I TYPE V ZONE R2 k• S PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water y Rough Corn. Refrig. ❑ Air Cond. 0 N Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches D Forms 0 Steel Reinf. 0 Floor System Bond Beam Cl Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out ❑ brown coat 0 Air Con. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final — Building, Final 7Cf� 4' OCCUPANCY Form BU4-5M^7_63—g_B P xlyAc OWNER WOODTREE DEVELOPMENT, COMPANY DATE 6-22-77 JOB ADDRESS 227 Fast 21st Street BUILDING PERMIT NO. 44186 GENERAL CONTRACTOR Viking Tana Ci Pari ng, Tn DESCRIPTIONofWORK Demo. Garage . 118-922-12 LOT TRACT FIRE ZONE VALUE 5400.00 ItiriAECTIONS Signature Date TYPE V GROUP .T ZONE R-2 SOIL - SUBCONTRACTOR PERMITS ISS4ED GAS Date I Number I Signature WATER U,W;^nut WWROUGH PLUMBINGG,ea._)) aJong PROP. SWR. LINE ^ HOUSE CON. Li SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND U POWER U ROUGH WIRING Heating and Vent. TRENCHES LI FORMS Li STEEL REINF. U FLOOR SYSTEM BOND BEAM n 'STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLA9R. BROWN COAT L�.+w ip;'URAL• FINAL Electric HEJ�i'I Lip; VENT.. REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST ❑ ELECTRIC, FINAL 4 BUILDING. FINAL *41111 -22r)17 . PAID 4.4186 !11;: 2?_-77cs,003534 *****5.$G COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only �77 RECEIVED BY DATE RECEIVED DATE ISSUED BU LDING ADIDRESS/�pt 7 E 2j�/,,S/ S` / r�a/ Nq��r�� OWNER CUcr�/I/Pe OPE". r/d A.P.NO. 112'- O?7- I-� Ft/GYM AMAIL DDRESS / �o is- 1jj jL C,h /� ADDRESS �2 n /Se- Sl TEL. vc°wPoer fir Bt/ mze CITY Ctrl /9. ./71,- '4 NO. TRACT LOT 2'// BLOCK CONSTRUCTION NEW ADDJ ALTER REPAIR (MOVING DFMOI NH LENDER I / t.....BRANCH OWNER CeaR6e- .J ARCHESS ITE 17 On® V LUE 1 ARCHITECT TEL. USE YC/ $ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR Vist;s/Th/ /, /,,a' / (CM/en S BY DATE ) ADDRESS 3 o.22 F/z`//C{ -Cr /� / ,/ NOI.��S/�Y�/ ZONE ZS_zIPNO.OF USE OF LANS L BUILDING E,f/Qx7'Lo CITY ` ' �/ K F-1 STATE 7 CITY YARDS APPROVED YARDS APPROVED Sy LIC. NO./��p sy LIC.NO. MAIN BUILDING ACCESSORY BUILDING DA SIZE ANO.OF BLDGS. (FROM C/1_STREET/ L OF LOT NOW ON LOT / FRONT FT. ` FT. Q USE OF //�� ///�. EXISTING BLDG. Au 'u/' ` 1-6- a R.SIDE FT. FT. 0,I [ G FSeparate permits are required for L.sIDE FT. electric,plumbing and heating work. Ltd REAR FT. FT. l L. USE OF ,B§M� LDING /{ND WORK�T r.BBE PFFF�RFORMED DISTANCE BET. BET.MAIN& `- G .f a-n 0 Z' t , (�-Nc'ye 0,i� MAIN BLDGS. ACCESS. BLDGS. ..1 VAR.# DATE Q C.U.P.qW // st��,tt 1, APPROVED ./-t�/s /n r ROVED/' Q_BY 4J _DATE a -22-•- 2/ ce W ow 0 I hereby acknowledge that I have read this application and state n (2 that the above information Is correct and agree to comply with re 0. all laws regulating building construction, and I shall not employ Z any person in violation Of the workman's compensation laws of m Zthe State of California. m 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F E ONLY: am exempt from the provisions of the State of California Business a and Professions C de,Division 3, ter 9. VALUATION PERMIT FEE $ r�J' in PLAN CHECK $ en n o Signature of //_/�// 1 / , �l o Permittee �! "&___.) $ y..� i— TAX $ 0-0 LL U U Author Agent TOTAL PAID $ At 91" OWNEI WOODS, JR., GEORGE DATE 5-29-77 iOB ADDRESS 127 East 21st Street BUILDING PERMIT NO. 4k563 JERAL CONTRACTOR Eaton Sewer Company DESCRIPTION of WORK Dry yard Fire System ,!.-,D. 115-022-12 LOT TRACT FIRE ZONE VALUE $ 1,200.00 gir'ECTIONS Signature Date TYPE GROUP ZONE R-2 ttb, DILPERMITS ISSl1ED As - -- SUBCONTRACTOR 1 Date 1 Number 1 Signature WATER Plumbing ROUGH PLUMBING QPROP. SWR. LINE ❑ HOUSE CON. E SPRINKLING SYSTEM , MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. . •TRENCHES ❑ FORMS Li STEEL REINF. E FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE flf ... _ (' _ - SHEATHING // V i../\\ r`� II y -\\ (—a III FRAME AND FLASHING III /LA II A II I 44.c II LATHING — IN D OUT ❑ \di L 'A II 'd ISA II H PI "-TER, BROWN COAT Lina u=3 S TURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ❑ - VA I [1/-1 /_1ccIn !-- ELECTRIC, FINAL ,y�J BUILDING, FINAL • 563 AUG 29 77 M: ++a00Z2�� * **18.50 • 4 : COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE I BY T RECEI E DAIS ISSUED BUILDING 1'1 7 ` 2 1 cc fj2g- ((� ADDRESS //��'�jLi B . /'1�jfl •'�` QQ�� UU OWNER 6€o r (.Q. ,061 J a A.P. NO. I�(/_02_7_._y� IrI�Tt_ P/i%oi ireak MAIL )1426 Pl.�ceNTA A1E BUADDRESS I•zI '�. L1.% (/t 1`. ADDRESS pp p j � DD ANG . ...,. �..... • CITY "f�� V/N NOL I(IJ� M�TRACT 'v-`t / RIC- OST I41 BLOCK CONSTRUCTION I n,^ s S `' I NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER /til/bill itil3,p /I (� r,r,.� BRANCH (111-0..4 41� l� OOVa� OWNER tag:7- -,.'?- . ADDRESS /��G ARCHITECT TEL. USE .PPr---` VALVE$ /gv,/ OR ENGINEER NO. FIRE ADDRESS ZONE A TYP GROUP O L • � CO• APPROVEDi/'�J�f p CONTRACTOR N BY _{/ „l DATE/0'27.'7 ADDRESS TEL. ZONE/7 NO.OF USE OF NE CITY NO. Ci'PLANS BUILDING 45c/f- F STATE CITY YARDS APPROVE YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING EET) Lr. OSIZE 52 5 v 3o0 I NOW ON LOT NO.OF BLDGS.�. FRONr C/L STR FT. FT. S LOT d. 7��-V Q USE OF � s \�� EXISTING BLDG. N R,SIDE _FT. FT. Cl) ESeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. fa REAR FT. FT. t.. USErf�)/F BU ILDI.NG^AND. K TO BF FRF RMED DISTANCE B . B .MAIN& �� Qo V 9W? AY •I O6'l/` MAIN BLOCS. ACCESS. BLDGS. _ I le I lll�� VAR.# DATE '� C.U.P.# APPROVED Q 7 APPROVEDL%'"V11�✓/lTV g LI -� j �Y DATE a w QI hereby acknowledge that I have read this application and state N IX that the above information Is correct and agree to comply with m a• all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of 22 [t] the State of California.I m 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. Lv the State of C. fornla Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, d th. such licenses are in full • ca and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exam from t. proviso jharste1 the State o rnia Business ie and Professions C• Divisl n 3 , VALUATION PERMIT FEE SSignature •f PLAN CHECK $ G PdPermittee B Mae r - TAX S LL Authorized Agent TOTAL PAID $ ig 41) iit4OWN WOODS; GEORGE Jft. DATE 2-1-78 y,JOB ADDRESS 127 East 21st Street BUILDING PERMIT NO. 45439 GENERAL CONTRACTOR Woodtree Development Co. DESCRIPTION of WORK Trash Enclosure ktst ).118-022-12 LOT TRACT FIRE ZONE VALUES 500.00 IN...-ECTIONS Signature Data TYPE GROUP ZONE 13-2 \S.OIL SUBCONTRACTOR PERMITS ISSUED AS WATER -Data Number Signature Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. El- SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND 7 POWER 0 ROUGH WIRING ' NOatina and Vent. TRENCHES u FORMS 0 STEEL REINF. I FLOOR SYSTEM BOND BEAM LI STEEL REINFORCE ❑ SHEATHING FRAME AND FLASHING LATHING — IN n OUT [1 PL'-"ER, BROWN COAT S URAL. FINAL EIOCtfe HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC. FINAL I, BUILDING. FINAL A ,C2-I-7r • ` 45439 5185 /21/711 5052 TL COSTA MESA BUILDING-SAFETY DEPARTMENT / P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 , APPL CA ION FOR STRUCTURAL PERMIT / For Applicant to Fill in Completely— Use Ink Only ` RECEI Y DATE RECEIVED DATE SSU��]F QYt( ADDRESS BUILDING l Z1 E . 2. 1:3 J.- '2—V a /•0o. Woods Tv /� O22 - 1��' PERMIT NO. OWNER /til ` �/ {I 11 �? B BUILDING NO. I., _ st- 5/t39 ADDRESS IG�J P-rtL.ov64 47"� ADDRESS (Z� e . L1Sit fy 1 CITY C I Ail . Pskov-64 TEL. NO. 64-1`v4- TRACT I LOT BLOCK ODNSTRUCTION /+nnudeftr ! 4 / NEW (ADO ALTER (REPAIR IMOVINf� nFMr116H LENDER 'tr`M`(+ 1fA 7 L� \`J`/_ III BRANCH '/ (��` Woo JI �r� ADDRESS ( , IS WECtafdr De _ N •g, OWNER IWY .rvWvl/t s VALUE ARCHITECT TEL. USE S OR ENGINEER NO. FIRE ADDRESS /� {}p� , ) ZONE �/��TYPE GROUP CONTRACTOR Weak-but DL- �I,•'�, APPROVED I/ALY DATE ADDRESS Ib bS QIALC'tttt4F3 4 t/"� Sp CITY CAA t NEL/ //_�11/ I ZONE� NO.OF USE OF NEvs�GGL^ ILYV 11:4 LAMS BUILDING ,F. STATE CITY YARDS APPROVED YARDS APPROVED LW.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLOCS. A (FROM C/L.-S,TT STREET) p. OF LOT 52.--.S �.'7j D C) NOW ON LOT L}- FRONT .(may FT. FT. a USE OF /I t VS "'+7 EXISTING BLDG. l us+Z-1 R.SIOF f FT. 'C /J Separate permits are required for L.SIDE .Z FT.'• (/` FT. C1 electric,plumbing and heating work. REAR fr/f,,, / E.. USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN Q0 MAIN'SLOGS. ACCESS.BLOCS. Z 112 CkiZ+'WSUjµ. VAR.# DATE C.U.P.nW APPROVED a _ �t 2 r „._ELY ROV JK • DATE 7-" ..-73 ..1 ' -•�. �. a w . 0 I hereby acknowledge that I have read this application and state n N y that the above information Is correct and agree to comply with p• all laws regulating building construction, and I shall not employ m Z any person In violation of the workman's compensation laws of m the State of California. 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of Cal . Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, .•• that s h licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exemp from the provis •n of the State of California Business r a and Prole Ions C.:: L�Ivisi•n •apter 9 VALUATION PERMIT FEE S 5.o c) • m Signature ••f . SDSIn °�— PLAN CHECK E / o g o Parenittee _ _ �� $ TAX S. lig6-0 u Authorized Agent v. TOTAL PAID S 4; s rP 20465 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT AU(i 2 7 1963 P. O. BOX 917 COSTA MESA. CALIFORNIA Applicant to Fill In Completely FINANCE DEPT. For P Y l+rg0CQ(ile(iS110OIdDFfRMir TYPE OR PRINT BUILDING AADING DD ESS 127 East 21st Street COSTA MESA. CALIFORNIA For Office Use Only • I RECEIPT NO. I PE2O ,65 OWNER Federico P. LaPorga LU4jJ�1:•J� MAIL 127 East 21st Street RECEIV@D BY DATE( cervHD / DATE ISSUED ADDRESS /K�� X -077-6.3 745-6 TEL. BUILDING CITY Costa Mesa NO. ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE � TYPE V GROUP !7" llnpp / CONTRACTOR Rigid Mfg, Companyy APPROV p1 co DATE ADDRESS 337 S. Woods Ave„ ZONING ♦ ZONE NO.OF ,—, USE OF NEW ((j'/�� I, ori CITY LOS Angeles 22 PLANS 1 IJJ^I BUILDING V��-'v LIC.STATE NO. 94Q6 TEL. AN 151R1 DECAL iJPr /IGTS Po S�o--, S DESCRIPTION 11"- �I V I V/ry L// L ✓! I / SIZEFI NO. OP SLOT A.P.NO. ' is' D^ ^_ 9 O � /I, OF LOT NOW ON LOT r: USE OF YARDS EVES EXISTING BLDG, dwelling APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE STA CENTER DP STREET REAR YARD FRONT FTC,A /O� r IN. SIDE YARD I LEFT I RIGHT R.SIDE Vi FT. / IN. DESCRIPTION OF WORK (jv✓1 Ft IN. L.SIDE NEW I II ALTERATION I II ADDITION I REAR /� FT. y IN. REPAIR I X II MOVING I II DEMOLISH I BYO } -02.7-C3 PR1!E ( _ DATE (� BUILDING NO. OF (1;1) , SIZE ROOMSS STORIES W EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED reroof R e s I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRU.-ION. VALUATION SIGNATURE Cr PERMIT FEE S Swoo N PERMITTER ... L ^_ B p/5), /ednip $ 465 PLAN CHECK $ AUTHORIZED AGEN 71 --z -0-P.-#-M-4 �_ ¢ TOTAL FEE $ d - r QpQpA • — • ...._.E'.a994 PAID MAY 18-77cnsa00 9Q7* ****93.82 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP CATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECE V DATE RECEIVED AT SUE BUILDING L2...I �] I _ a f } ^ 4 '//1„., ADDRESS L ( 4 sf/— p�� J L A.P. NO./ / -- 0,2,2 /� ERMIT NO. OWNER 'IG E��E uIOO�S �(� At /v . `,y s� /� ADDRESS 1—ID��^tS A/r�L.[/{A4� //__/(( /(.�/ AD,,I}DR ES�S't` '71� .Ll `—'H• f�t I f. • CITY -- In MOA TNo.04(2.1/V NuT cT � ��2qi BLOCK CONSTRUCTION \ NEW App ALTER REPAIR MOVING OFMOI ISH LENDER \ / BRANCH OWNER 6eor y Pr �OQ�S Tr* ADDRESS ,�QQ ��^_/�/nf�'`'��// VALUE ARCHITECT TEL. , USE/,I.(.II S L�� OR ENGINEER NO r FIRE � GRO ADDRESS //s, /� `� ZONE T PE /l/{P/�/s/t CONTRACTOR 60546E” CA cod I2 BYAPPROV ED l i / DATE (/ �(//"-.77 ADDRESS Cote /4 {}kv5 t r P' /// TEL. Z{'/En IPLOp, BUILDING CITY NO. K �, I—. STATE z,(I CITY ase YARDS APPROVED YARDS APP OVE LIC. NO. 2-41412 LIC. NCO°(031S S MAIN BUILDING •CC ESSORV BUILDING FROM C/ lu SIZEr NO.OF BL /� 0. OF LOT 52/5 1C 300 NOW ON LOT .Y FRONT FT. a FT. Q USE OF /l/� I.yI� i N c4, EXISTING BLDG. StiL SIAM ikE R SIDE FT. CI) ��// i FSeparate permits are required for L.SIDE —F.6 I FT. electric,plumbing and heating work. 4 /^ - REAR /FT. �(7.r FT. Q USE PE BUJ,L.PIN`AND*)Tti5 BE PERFORMED DISTANCE BET. BET.MAIN& / V Ij LG'N 1 (J S'� MAIN SLOGS. ACCESS.SLOGS. Iu VAR.# DATE ', C.U.P.sW APPROVED f APPROVE( P __—_ .— .O_r_ _ W HOLD FOR SPEC AL . . 0 I hereby acknowledge that I have read this application and state n N Dd that the above information Is correct end agree to comply with co-... 0v all laws regulating building construction, and I shall not employ i Z{,y any person in violation of the workman's compensation laws of 2 .T the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. ca the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9,and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt fro th provls n of the State f California Business VALUATION PERMIT FEE S o and Professior CgdDND lvlsl n aptor m CI PD PLAN CHECK $ n Signature of /�-/ �/ /ti,r— 73�iQ�sr`�Iq��/y� o Pormlttee / 5 '/i G////.0 Cr—TAX 6 ✓I U LL f u Authorized Agent TOTAL PAID S /lin? f 14l 2O-77PF'L)007108 v** + c„F, 181 00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP I T N FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Inc Only REC I O DATE RECEIVED n /y / D.9,TE I SUED ADDRESSBUILDIN/�� L/� \/ -�i �V - aid tin C j� PER IT NO. OWNE J A.P. NO. l MAIL ^— BUILDING /27 2/Sr (mat-- /r / 1 z. ADDRESS• ADDRESS J �/ r TEL. TRACT I LOT BLOCK CITY NO. CONSTRUCTION N W ADD ALTER REPAIR MOVING DEMOLISH LENDER ////��....'• (�(� BRANCH OWNER I /O005 jie-__ ARCRESSb12/2/CZ , �r VALUE ARCHITECT TEL. USE �/ $ OR ENGINEER N . FIRE /�/// ADDRESS ZONE TYPE t(—GROUP / APPROVED CONTRACTOR By DATE ADDRESS ZONE INO.OF USE OF NEW • TEL. PLANS BUILDING CITY NO. -- STATE CITY YARDS APPROVED YARDS APPROVED gLIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM CO_STREET) 0. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF to EXISTING BLDG. R.SIDE FT. FT. ta— FSeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. WREAR FT. FT. (..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE ', C.U.P.# APPROVED a — APPROVED >. _flY DATE Cew 0 I hereby acknowledge that I have read this application and state n CC that the above Information is correct and agree to comply with -- 6. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of TTW the State of California. I hereby certify that I am properly licensed as a contractor under SQ.FT. co the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLY) to am exempt from the provisions of the State of California Business VALUATION PERMIT FEE Sr/ .•ff�� end Professions Code, Division 3,Chapter 9. en $ �� Signature of PLAN CHECK o Permittee $ / TAX $ 2 �/' Y. Authorized Agent /7/ 7 U TOTAL PAID $ o - 43 995 PAID MAY 18-777MS400 908* ****93.82 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A LI A ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely -Use Ink Only BUILDING 1...-2.1 �t, /] (Sr f f RE V DATE RECEIVED D3�TE IISSUED ADDRESS G , I1.D I'(�(o�/t//I V4-,•//G jf2 y/L,,(I� lV •vV Q�� OWNER 6e011760 J,��/`W4 't A.P. NO./I/41{�- A2PER4919 /�5 MAIL !&1 5 r •'^'(.e-rXr /'T ADBUILDING ESS/ems / CrcI cJ/z EI /�Jc�•._ ADDRESS ('T' +/ AD CITY l.i( ��l ,�� NOEL 64�- SL /v GurTRAci- 7� , ILOOT51 BLOCK CONSTRUCTION ly EW ADD ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH OWNER (pQ lye- Wctell5 S . ADDRESS - VALUE ARCHITECT TEL. SE $ OR ENGINEER NFIRE ��1 /yyy•• ZONE T PE � GROUP ADDRESS f��rr��/j�� n //J�] CONTRACTOR C..gt�V'WIcz woo& a2 APPROVED DATE 6 pow/ / ADDRESS hide ry7 g&yE QyQE ^ c_ TEL. Z(/ n IpLOgf05Fr� gUILOINGLi ��l•.�(�fi(l/ CITY NO. /`u p'C F STATE / CITY YARDS APPROVED YARDS AP ROV ^ LIC.NO. /�4-Ip�1Z LIC.N0006�1 ) MAIN BUILDING ACCESSORY BUILDING 44 SIZE /s 9 NO.OF BLDG-. A (FROM C/ $%1E{p�7) L OF LOT 5 Y•5 )( :> I NOW ON LOT .,L.. FRONT r / IGY. FT. a USE OF ` `/,,{W� .moi EXISTING BLDG. S(}l . R.SIDE S. FT. •� ^ 'Xi Separate permits are required for L.SIDE 6- . FT. electric,plumbing and heating work. REAR a FT. FT. IQ E-• USE OF ILr1j GAN WORK T?o RypFORMED DISTANCE BET. BET.MAIN& xt �0'/ � � '�/� rs MAIN BLDGS. ACCESS BLDGS. MI VAR.# DATE C.U.P.D/A APPROVED APPROVE�i,,)1 Q^ >. By.- `-�~ 'DATL�� j a HOLD FOR SPECI L REQUIREMENTS 0 I hereby acknowledge that I have read this application and state n 12 that the above information is correct and agree to comply with -. e all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of o 43 the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and the uch licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt fro • a °vision 'of a State of Cal ornia Business VALUATION PERMIT FEE $ and Profession a vision 3,C • er 9. 'a �� PLAN CHECK $ 9 m Signature of 1/)N\/�/ CI VD 22 en U. Permittee / "^ vJ $ 0 TAX $ s, �Jr/Jp�jL 2 V Authorized Agent TOTAL PAID $ 45 / / II IN 7O'77PA7u003107 F.4*i e CKSt 181.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A LI A ON FOR STRUCTURAL PERMIT For Applicant to Fill ininCo�m�plletelg,—/Use Ink Only BUILDING /27 ` , ill 9— cis; R D V DATE RECEIVED pgTE ISSUED ADDRESS 1 G 4/ 7 v /Y/E ITN 7 aa �r C 4 PERMIT NO. OWNER / ] cam/ A.P. NO. f� MAIL ADD RIESS /� / , / S' �J cJry O/ ADDRESS /{ / Ir TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW ADD ALTER REPAIR IMOVINS rIFMDLISH LENDER BRANCH ice,OWNER �.(JoD/'�s S ,. ADDRESS VALUE ( ` ARCHITECT TEL. USE $ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE INO.OF USE OF NEW CITY NO. PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING cu SIZE INO.OF BLDGS. (FROM C/L STREET) L OF LOT NOW ON LOT FRONT FT. FT. G USE OF VI„ EXISTING BLDG. B,SIDE FT. FT. CA E Separate permits are required for L.SIDE FT. FT. F6. electric,plumbing and heating work. _- REAR FT. FT. /\ 14 L. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& `- Qn MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE QC. U.P,# APPROVED APPROVED ›, _HY DATE P CU pI hereby acknowledge that I have read this application and state in L, that the above information is correct and agree to comply with m 6, all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of m 5 the State of California. io I hereby certify that I am properly licensed as a contractor under SQ. FT. 0i the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that Such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLL , am exempt from the provisions of the State of California Business �J T`� a VALUATION PERMIT FEE $ /X/ and Professions Code, Division 3,Chapter 9. ` f� PLAN CHECK $ CIm Signature of 0 . LL Permittee $ TAX $ ///fJ _ U Authorized Agent TOTAL PAID § / r/% p A10 `'N".. iJ9✓.6 r}.AY 18-77u-win 909* ****22.57 7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP CA 10. FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only �t / c REC VE�' '.Y DATE RECEIVED D EIS UED ADDRESS Ii 1 . 21 S� +'r _ /. A / Gr�ILG.r C.° Woods Q7Z A.P.NO./IH-O,1,Q-/� PERMIT NO. OWNER �t'Q 1 ABUILDING 7_ jT I MAIL ADDRESS 1 LoLP 5 PLAcaut'IA he ADDR}EEr(SSS,/d/Y �1 'i�/- C , ,4, NO. (a4&-1164 N "'" ACTR91 •II eco BLOCK CITY r CONSTRUCTION NEW I ADD I ALTER REPAIR (MOVING DFMOI ISH LENDER ^,x`l BRANCH Wood's owNEF4eO�a (mac/C10�X S . r-- ADDRESS EF v sS, V��sssLLLUE ARCHITECT TEL. USE {Lar es: t / �/t'� OR ENGINEER NO J FIRE ADDRESS ZONE YPE / GROUP CONTRACTOR G,ix moods a2 APPROVE DAT ADDRESS ‘IMA,e 46 k'bot TECITY NO. /\ E� (PNO.OF LANS 2 UBUILDIN,�NEW Jj02/J e5£(/4� . ,.(h F STATE n ,t I .I CITY p, YARDS APPROVED YAFI APPROVED /fu/ * LIC. NO. 2-4-{Q& ly LIC.NO.tOlb MAIN BUILDING ACCESSORY BUILD! G (zII SIZE 5-a `/ �t NO.OF BLOGS. (FROM C/L STREET) ��[�/y� /I1 L OF LOT •S ]•• v1�0 (NOW ON LOT FRONT FT. /2 F�/ Q USE OF /(/ IL ��7y�� EXISTING BLDG. S£ KIAft\ ii5g R.SIDE FT. -3 FT. in Q Separate permits are required for L.SIDE FT. 2 FT. electric,plumbing and heating work. REAR FT. Q USE OF BU ING�IND5OR TO BE PERF'orae p `DIST BLOCS. BET.MAIN INB & 9 CI (\�� 1AA',t(/,d' �L' (J� VAR.# DATE ', L{\Vy�t, C.U.P.# APPROVED Q ___.A.--67a >. APPT ROVE�jt /� c4 HOLD FOR SPECIAZ L 0 I hereby acknowledge that I have read this application and state ZZ that the above information is correct and agree to comply with yo Ma all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of Tthe State of California. \ . I hereby certify that I am properly licensed as a contractor under SQ. FT. co the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and th. • h Iic ses are In full •rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt fro • th= •r•visl f the State - allfornia Business VALUATION PERMIT FEE $ a and Profession-Co.• Li islo apter I m PLAN CHECK $ 0, Signature of //�tt��1 /-�'/ av 22.0'p 2 Permittee /� \1V S /(��- TAX $ r.Yl LL // l'd U Authorized Agent TOTAL PAID $ Zg,a/z ,. 4 J / 9. 91N 7p-77YAS�O03106 0****'44.00 r.COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only BVILDING �/s ^/ S r RECEIVED BY I DATE RECEIVED' DATE ISSUED ADDRESS /_ r/� S� �'1 PERMIT NO. OWNER Ey 0 Q S A.P. NO. �s((/rr ^,+ MAIL Q ADDRIESS/27 tan__ J/ ADDRESS / TEL. TRACT I LOT BLOCK CITY NO. I CONSTRUCTION \N_ EW ADD ALTER (REPAIR (MOVING DFMOI ISH LENDER /X\/ BRANCH /� ,os ^ OWNE4 �(�� /L ADDRESS _ J� �a� �E D - ARCHITECT TEL. US i !/� %/� 5 OR ENGINEER NO FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS ZONE INO.OF USE OF NEW TEL. PLANS BUILDING CITY NO. F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING ly SIZE INO.OF BLOCS. (FROM C/L STREET/ S OF LOT NOW ON LOT FRONT FT. FT. Q USE OF EXISTING BLDG. R.SIDE FT. FT, Co "±" Separate permits are required for L,SIDE FT, FT. electric,plumbing and heating work. C REAR FT. FT. 1�., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q❑ MAIN BLDGS. ACCESS.BLDGS. VAR.* DATE QC.U.P.els APPROVED APPROVED } _HY DATE .a a Ire a O N I hereby acknowledge that I have read this application and state 0 C4 that the above information Is correct and agree to comply with m M• all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of m rrrTTT the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. it the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT TFFEEEEEE ONLY: am exempt from the provisions of the State of California Business / 0.0 a and Professions Code, Division 3,Chapter 9. �� n VALUATION PERMIT FEE $ co PLAN CHECK $ en 0 Signature of — O Permittee $ X TAX $ LL Authorized Agent TOTAL PAID $ o.....,,„,.>'/