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2088 GARDEN LN - Building Permits
i • CITY OF COSTA MESA �o5'"A•Fy BUILDING DIVISION '11 A ft. � . ,Ig 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us u 8 FOR INSPECTIONS CALL: (714)754-5626 `"°"° sr' PERMIT NUMBER: BC10-00114 PERMIT TYPE: B_COMBO STATUS:• ISSUED Sub Type: RES_ALT DATE ISSUED: 08/0 201 ISSUED BY: JOB ADDRESS: 2088 GARDEN LN CM Suite/Unit: APN: 42623224 Zoning: , , Vicinity: Primary Occ: Const Type: V-B SQ. FT: 250 ' Valuation: $23,100.00 SCOPE OF WORK: ADD 250SF TO EXTEND A 2ND STORY BEDROOM AND A NEW BATHROOM . DEMOLISH REAR BALCONY, FRONT DECK AND CARPORT ALSO. 1 WATER CLOSET, 1 WASH BASIN, 1 SHOWER, 1 TUB, 1 VENT FAN, 1 RES< 1 HP, 6 OUTLETS, 3 SWITCHES, 3 LIGHTS. OWNER: EDWARDS,J L TR Address: 2088 GARDEN LN Unit: Phone: 949-548-2450 City/State/Zip: COSTA MESA,CA APPLICANT: EDWARDS,J L Address: Unit: : Phone: 949-548-2450 City/State/zZip: CONTRACTOR: License No. Phone: Address: Unit: Cell: City/State: ZipCode ARCHITECT: License No. PHONE: ENGINEER: SHUCRI YAGHI License No.43205 PHONE:714-997-9120 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $245.21 Building Fees: $377.25 Electrical Fees: $36.70 Mechanical Fees: $34.15 . Plumbing Fees: $62.70 • SMIP Residential: $2.31 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $759.32 "Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundaynd� the followingFederal holidays: New Years Day,Memorial Day,Independence Day, Labor Day,Thanksgiving Day and i ' ~ DATE NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28.§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE r, INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE, 20.• DA • Z IN ALS_ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 2.• e __4 200 Final Re-Roof 210 Final Electrical 2• 1 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 • Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site Z. .f L 204 Final Demolition 250 . Final Building/Occupancy Z.�� WORKERS'COMPENSATION DECLARATION Owner ID verified by drivense. ❑Yes ❑No I hereby affirm rynder p¢palty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax gilI or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Ins ranee carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: iA" or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (Trus seem need not be completed 1the permit svalµd at Cie hundred Wears($100)a leu) 2.Art 2,Sec341,Title B,California Administrative Code). olicy Number: 0 As owner-builder. I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless iss ed,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicants Signature Date the Labor,,,CCCod I s " fo.hwith ply with these provis' ns. /7j+ 'Se c. $ __(.L_/ Division of Industrial Safety Permit Number: /• aApplfcan(s'slgnawre' .44?• Oate L' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes (ElNo (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If en RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Healttyand Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No 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 (Section 65850.2 of the CalifomiaaCons fa not Code requiresbuilding thnt the mrequestetl License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for ran-residential permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the'alleged exemption. Ariy violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applidant,to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five red dollars($500).): of the California Health and Safety Code). I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other c pensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however. the building or improvement is sold within one year of control officer). completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and sions,G e: T7�hos contractors License Law does not apply to an owner of Signature Date { ditty wti'''tttttds&r b4roves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I & actor�tee.i9i44J! 'ant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that t(j�t m ex�eglpipndersA , the information given is correct. I agree to comply with all state laws and city'"'�S__ ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized thi rm f Ihal insp on. cl ct N L.lfv� ��J O - 1 signature of Legal Dwneris) aoate �1 777 '�� ure rDab:_ „ 3057-46(3/07) And/or Authorized Applicant Date 0 0 CITY OF COSTA MESA .44111/144.,a BUILDING DIVISION FI; 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us I FOR INSPECTIONS CALL: (714)754-5626 *r4.',"'°" PERMIT NUMBER: BC10-00114 PERMIT TYPE: B COMBO STATUS: FINALED Sub Type: RES_ALT DATE ISSUED: 08/04/2010 ISSUED BY: KJB JOB ADDRESS: 2088 GARDEN LN CM Suite/Unit: APN: 42623224 Zoning: Vicinity: Primary Occ: Const Type: V-B SQ. FT: 250 Valuation: $23,100.00 SCOPE OF WORK: ADD 250 S F TO EXTEND A 2ND STORY BEDROOM AND A NEW BATHROOM . DEMOLISH REAR BALCONY, FRONT DECK AND CARPORT ALSO. 1 WATER CLOSET, 1 WASH BASIN, 1 SHOWER, 1 TUB, 1 VENT FAN, 1 RES< 1 HP, 6 OUTLETS, 3 SWITCHES, 3 LIGHTS. OWNER: EDWARDS, J L TR Address: 2088 GARDEN LN - Unit: Phone: 949-548-2450 City/State/Zip: COSTA MESA, CA APPLICANT: EDWARDS,J L Address: Unit: : Phone: 949-548-2450 City/State/zZip: CONTRACTOR: License No. Phone: Address: Unit: Cell: City/State: ZipCode ARCHITECT: License No. PHONE: ENGINEER: SHUCRI YAGHI License No.43205 PHONE:714-997-9120 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $245.21 Building Fees: $377.25 Electrical Fees: $36.70 Mechanical Fees: $34.15 Plumbing Fees: $62.70 SMIP Residential: $2.31 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $759.32 "Refer to fee receipts for all tees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day, Memorial Day,Independence Day, Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ail applicable codes, and ail required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE a. INSPECTION TYPE DATE 'MATS CODE IS INSPECTION TYPE )( A -141-41 DATE INT/T1oALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical i 'i 1266 Pool Spa Final 208 Final Plumbing - 02 - 4i-n y 'la- 200 Final Re-Roof 210 Final Electrical V 0-iq/-ra- /yip 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site �t u1�p 204 Final Demolition 250 Final Building/Occupancy —/ r—li-I t WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver�se. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: • Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend, will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This sedan need not be completed d the penny is valued al one hundred dollars(SI 00)or less) 2,Art 2.Sec.341,Title 8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I shall forthwith comply with these provisions. Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires, with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions. that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? CIYes CINo Lender's Name: (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required. has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No 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 (Section 65850.2 of the California Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications fa non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes". the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044. Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8 (If"yes',attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however. the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am.EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Cede for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Legal Owner(s) Date Signature Date 3057-46(3/07) And/or Authorized Applicant Date CZ o:gg=Giarew�_L:.o� SHUCRI "CHUCK" I. YAGHI Consulting Engineers: Residential & Commercial 112 E. Chapman Ave, Suite D, Orange, CA 92866 TEL: 714/997-9120 FAX: 714/744-3676 DATE: 9/31/ t( TO: C j 01 p f- C�oYjh 14-C3k FROM: Shucri I. Yaghi, P.E. REGARDING: CVw' "OS j2 c3I On-re-a ' SUBJECT: M o Di E1 v D tc 2,I/ 7 Findings: I v Lt c v c)f u u✓1rt--- 6 ket D� Poo Cfo . Sincerely, ypROFEssio 0 4321 .3/31/2012 CIVIL �4 SHUCRI I. YAGHI, P.E. 088 sw�;Aqp.• LA) 4c ib-00)1 Y QL R. P. I. Deputy Inspections, Inc.R. 291-3912 Fax(949)481-5866 www.deputyinspector.com Email: rpaquette4@cox.net r 1903 Via Pimpollo San Clemente, CA 92673 REGISTERED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL WELDING INSPECTORS ❑REINFORCED STEEL Q EPDXY REPORT OF: ❑POST TENSION CONCRETE ❑ FINAL REPORT ❑ REINFORCED MASONRY ❑ BOLTING ❑ OTHER JOB NAME BLDG.PERMIT a CRY OF PERMIT Edwards BC10-00114 Costa Mesa JOB ADDRESS CONTRACTOR 2088 Garden Lane Owner ARCHITECT SUB CONTRACTOR Dream House Design Same ENGINEER LAB TESTING SAMPLES Shugri Yaghi Observed cleaning and embedments for 5/8"anchor bolts at existing North East shear wall. (9)5/8"AB's x 7" embedment into exishing as per 22/S-7. Simpson epoxy ICC ESR 2508 was used as per approved plans. All work was found to comply with the approved plans and specifications&applicable building codes. I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK,UNLESS OTHERWISE NOTED,AND TO THE BEST OF MY ABILITY,I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS&APPLICABLE BUILDING LAWS. MATERIAL INFORMATION: CONCRETED GROUT® MORTAR El WELDER CERT. SUPPLIER: MIX NO.: ADMIX: SAMPLES CAST: SPEC.P.S.I.: TYPE: SLUMP: YDS.PLACED: AIR-TEMP: CONC TEMP: MIXING TIME: D TE START STOP REG. FOURS O.T. HOURS qtfir ?'i Birt /if/ 41 -- hem**aro bow-ghoer m:l=S_tin mgLope*. eae*Lgpmeem her ml bm II Sr doevod Al bnet"R he dryad dm highest kgoi rate e! 1)9RIOF ISTERED INSPECTOR item,Wilma.Itim cogs Soong 6¢AYrtlmnddacha Mi S dMoo$201)) 1 )-nsa Approved By DATE 1-�` OF REPORT REGISTER NUMBER t • • r t SIP ale CITY OF COSTA MESA (,05,rN MFm. BUILDING DIVISION 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 . My:e,m PERMIT NUMBER: BX09-00260 PERMIT TYPE B_MISC STATUS: ISSUED APN: 42623224 DATE ISSUED: 11/30/2009 Zoning: , ISSUED BY: JOB ADDRESS: 2088 GARDEN LN CM Suite/Unit: • Vicinity: Primary Occ: Const Type :?? SQ. FT: 0 Valuation: $200.00 SCOPE OF WORK: LEGALIZE DEMOLITION OF EXISTING ILLEGAL DECK IN FRONT OF THE PROPERTY FOR UNIT 4. (DECK WAS REMOVED WITHOUT PERMITS). DECK REQUIRED TO BE REMOVED PER PLANNING. REF: C09-2362/REF:ZA-09-018 OWNER: EDWARDS,J L TR Address:: 2088 GARDEN LN Unit City/State: COSTA MESA,CA Zip Code: 92627-2114 Phone: APPLICANT: EDWARDS, J L TR Address: 2088 GARDEN LN Unit: City/State: COSTA MESA, CA Zip Code: 92627-2114 Phone: 949-548-2450 `'4 • CONTRACTOR: License No. Address: Unit: City/State: Zip Code: Phone Cell: ARCHITECT: License No. Phone ENGINEER: License No. Phone FEE SUMMARY Building Plan Check: $0.00 Building Permit: $23.50 Ur;, Electrical Permit: $0.00 SMIP Residential $0.50 SMIP Commercial $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $25.00• • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE E. INSPECTION TYPE DATE INT111ALS CODES INSPECTION TYPE DATE INTnIALS 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval , 203 Final Sign 222 Final Site - 204 Final Demolition 250 Final Building/Occupancy tat—/—oq 1 Oil 0 ` r r e WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Gm (This section need not be completed A the pennd is valued at one hundred dollars($700)or less) 2,Art 2,Sec. 341,Title 8,California Administrative Code). Policy umber: ❑ As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issue , I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor ode I sh.l forthwith comply with these prov. ions. / � vl.de� `�5O 0(2)1 Division of Industrial Safety Permit Number: .)ppttc rot's$ipbalure - 'k l/ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safely Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No Lic.ft Class# (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 Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec. 3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 10Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five dred dollars($500).): of the California Health and Safety Code). I, as owner of the properly, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other co ensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and 10I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Dale property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of y building authorized y this permit until final i spection. ure , 7,: ^'+SfgnaWre of Legal Ownei ) ( Dale�) Signatale OS]-O6(3/0]) And/or Aulhonzed Applicant Date c CITY OF COSTA MESA • BUILDING DIVISION F44. .. ,\ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us .% ' p, FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: BC08-00422 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 09/03/2008 • ISSUED BY: JOB ADDRESS: 2088 GARDEN LN CM Suite/Unit: APN: 42623224 Zoning: , , Vicinity: - Primary Occ: R-3 Const Type: v-b SQ. FT: 130 Valuation: $12,012.00 SCOPE OF WORK: 130 SF EXTENTION OF EXISTING KITCHEN WITH 2 SWITCHES, 3 OUTLETS,3 LIGHTS, 1 KITCHEN SINK AND 1 GARBAGE DISPOSAL FOR A SFD. • OWNER: EDWARDS,J L TR Address: ,2088 GARDEN LN Unit: Phone: - City/State/Zip: COSTA MESA,CA APPLICANT: LETICIA PORTOCARRERO - Address: Unit: : Phone: 949-548.2450 City/State/zZip: CONTRACTOR: • License No. Phone: Address: Unit: Cell: City/State: ZipCode • ARCHITECT: License No. PHONE: • ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $145.11 Building Fees: $223.25 Electrical Fees: $31.20 Mechanical Fees: $0.00 • R R ' p 4. Plumbing Fees: • - _ $43.10 SMIP Residential: $1.20 SMIP Commercial: $0.00 TOTAL FEES: $443.86 **Refer to fee receipts for all fees paid for project • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE I, INSPE011ON TYPE pAg INTIMLS CODEI INspEcnoN TYPE, taIE INIISS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbin 200 Final Re-Roof 210 Final Electrical �-(/� 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site I204 Final Demolition • 250 Final Building/Occupancy 12/7'I/6-9- cAA_wt WORKERS'COMPENSATION DECLARATION: - Own-.•••ei ?%riv. ..sense. ClYes ❑No I hereby affirm under penalty of perjury one of the following declarations: Drivers Licen , �••. E Aires:5 3'IP /r• ❑ I have and will maintain a certificate of consent to self-Insure for workers' en'cation of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into Mich a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (This section need not be completeds the permitis valued al one hundred dollars(SI 00/or less) 2,Aril Sec.341,Title B,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do,such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I shall forthwith comply with these provisions. Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (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 Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No Lender's Address: (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILD-1-•it RAT S: Er, Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm t r penal ' f perju .. ' , m EXROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS -E for thee(oIl�Wing reasen1}TSe`c. 7031.5, the work which is the subject of this application a permit for such construction Business and Professi:Ds Code: y city or:county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish. or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes".the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the Califomia Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044.Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own employees. provided that such improvements are not intended or offered for 8. (If-yes",attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). . . completion, the owner-builder will have the burden of proving that he or she CERTIFICATE.OF COMPLIANCE:'I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ,L��/ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date' i. property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contracta(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. i /!/d J (/ fSlgnatwla of Lev, • -er(s)///n/, Daatte '/1.1 6(3/07) <a Date j/ ��G:�/ .91-/7 "` r�n0i- oozed Appin.ntDate I CITY OF.rOSTA MESA -y PA', FEES _) Fee Payment Receipt N2 024 Project Address 2-ces aA��eJ Lt' 3t. Park Area A. P. No. 1 I e'S r—Z 22 d` ,1 Building Permit No.3 7711 52-- 37754 Owner's Name RkI—Ctp CCTb ARC Mailing Address It IFS 10\le N - i e\NTp6- --(P.0-N FEE Single Family * No. of Units @ S338.27 = Multiple Family ** No. of Units 4- @ S238.78 = 9 S'• i2 ^� / Total Feel ` gSSo12 Planning Department Approval D�at� //e 3 -2I =7 > By wLbPV Applicant's Signature 3,0- 1 * City Ordinance 72-44 eel** City Ordinance 72-45 nl fall 1 11 ..IVfPILR tins1.1nr.tA) LUW- _ UNIC ✓,. 4JOB ADDRESS 2088 I'D" Garden Lane BUILDING PERMIT NO. 37752 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Res.w/att.Gar. Ai- ''o. 118-222-01 LOT TRACT FIRE ZONE VALUE $ 31,200.00 It. :CTIONS Signature Date TYPE V GROUP 1 & J ZONE R2 SOIL t(/j cjy-/£f)¢ PERMITS ISSQED \GAS SUBCONTRACTOR I I W ATEFCjOJI4 SL-1-3e-'74 Ply binJJpp Date Number Signature ROUGH PL/UMBING A94.'',/'-)V / U. !�-z�^q ✓ �- PROP. SWR. LINE HOUSE CON. • 1,{- y�-- q 4 ff R•p,,dda.r�n SPRINKLING SYSTEM e...1 X2-!.1 L1-tY_217 6 5327-- MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /L4 CG it—ly TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING rr�- ( Heating and nt TRENCHES fl FORMS ❑ STEEL REINF. II-- .L�.. //(• /�ijxaa- 4Y-2J-A1 I je e p FLOOR SYSTEM / ///�-- ,. •f. / r/zap- C /a-7-7/9 I&527r.----- BOND BEAM fJ STEEL REINFORCE n SHEATHING 17 [[�� '7 FRAME AND FLASHING / roe71( LATHING — IN OUT �L.� 1 'fil j_ 7- (,i a PLASTER. BROWN COAT .lis -. ST 'URAL, FINAL / ����"�..��--yy�� E,�I,,ff��[�tri[ ^.^ HE 1G. VENT.. REFRIG. AND A.C., FINAL :if"p.. - . .9-+ Y-' T/ 37a..^$-� PLUMBING. FINAL AND GAS TEST El O—(((.%If ELECTRIC, FINAL /0-j(.7y BUILDING, FINAL ^/C / i _ -. PAIL irtir'rir :3% i . 26 73cu�,OC 826* 55.43 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 , D �/IC TION FOR BUILDING PERMIT For Applicant to Fill in Completely 4 frrGQf:N•r'r ii RE D� 22-Y EIVED DATE ISSUED BUILDING -Loses ADDRESS / U .�v(7y'�'�'�.1 W G �f 1 PERMITS /T OWNER �Q '17Y Weider A.P.NO.( FV.. 2ZC O \ ? "776-- BUILDING --T O O- ADD -t G L ADDRESS 0 ADDRESS Alp IJ/O�Va�' •`��fj}�- r ({� / GA'RSt'7J LN. dU CITY Na Qr& (/74 NOTEL 6g6//3s NU-"h1bCT �' f LOT2% BLOCK O~Z CONSTRUCTION Tin pari Q/ Cav,„yc- NEW ADD ALTER REPAIR MOVING OFMOI ISH CO LENDER JJ-- 0- m 1 J D BRANCH ).. I do cE al¢1J ADDRESS J33 G4 1/ (4 k. (do 7 OWNER �QL� t�G��r'fiG / J Q OARCHITECTR ENGINEER /"O / lariat-6- 5 \Pi�iQ I'� NOL & •5-'247 SE �NI� ev CTF�� $ N U Q 1.. - Sir 154 bo q ZONE �T'YPE I GROUP .-� FIRE W < ADDRESS /C/'.' 0_w APPROVED ^, W Z CONTRACTOR Ow n m r BY DATE go-2/ J ID m JCC ADDRESS i {..fir Pawdlr _ W W - -- - - - ZONE NO.OF USE OF NEWT UN IT P:Pt' o= q/'- nn TEL. /' y �j 2 PLANS 2 BUILDING /'t-7 Z CITY koiserSar Byre NO. C 'i ow l\ t (9+-fit WSTATE CITY YARDS APPROVED YARDS APPROVED \ N CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) jam SIZE OF LOT1. Sj({9(a I NOW OF NB LOTS / FRONT kipFT. .1, FT. USE OF 'Y^/ ` EXISTING BLDG. (ier it n5C R,SIDE 12- FT.(Cit FT. I— SIZE OF a� NO.OF �i px�_, 2 NEW BLDG. Baa UNI 5ROOMS STORIES Z L.SIDE -r-- FT. FT. _\ U COVEXTERIOR RING WALL W"POd0 ICOVROOF ERING COM REAR a1 FT.�e, FT. \__.i 1 OF BUILD! G_{y{ODK TO :E PE Rf Oft ED MDISTANCE AIN BLOCS. ACCESS.BLOCS. a_ Nn SWo '/T./7 Q ! -}� DATE O U' V 4I- APPROVED �� U) 1 D e 0 N t T 012w 2G: 2 ..f I HOLD FOR SPECIAL REQUI' C~.1 I hereby acknowledge that I have read this application and state 7 that the above information is correct and agree to comply with -Y CC all laws regulating building construction, and I shall not employ 1W I— any person in violation of the workman's compensation laws of l7/ o N the State of California. Wce z �I hereby certify that I am properly licensed as a contractor under SQ. FT. T'� 4�� o the State of California Business and Professions Code, Divisicn 3,- THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R am exempt from if provisions of the State of California Business VALUATION and Professions Crne, sion 3, apter 9. oe PERMIT FEE $ N D Signature of Permittee $3/ y�/� l 2 s ca PLAN CHECK $ 51/43E O o Authorized Agent I LL TOTAL FEE $ .37T PAID )R71-71,—. 00 718 E51*** 1 or.5c COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely 2 ADDRESS D�� 6n/we-Ai t>,/,// " b RECEIVED BY DATE RECEIVED GATE ISSUED BUILDING 3 L 74- PERMIT NO. OWNER A.P.NO. 3775-7, telt— ADDRESS ADEUIDIiJOyQ / e,-) ✓IA/ MAIL ADDDRRESS S Iv e r Z W W TEL. TRACT LOT BLOCK d 0Z CITY NO. rZ z< LENDER `/ ' J CO BRANCH OWNER ALP,/ hCPr�/. .„-- U mQ W ADDRESS �J �/ m ARCHITECT TEL. USE /niinr `�CS/C VALUE r— ap OR ENGINEER NO. .} U CI) FIRE GROUP �i (7 W K ADDRESS ZONE / TYPEelf 4'W APPROV (/ 9 W Z CONTRACTOR BY L DATE Z�'77 —Ip CO Z J cr ADDRESS W W TEL. ZONE INO.OF USE OF NEW Z1 CITY NO. PLANS BUILDING W O STATE CITY YARDS APPROVED YARDS APPROVED to K LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D0 DE BLDGS.O. (FROM C/L STREET) SIZE iN OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. _R.SIDE FT. FT. I-- SIZE OF NO.OF ZNEW BLDG. ROOMS STORIES L.SIDE FT. FT. Z U EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS.BLDGS. Q VAR.# DATE O C.U.P.# APPROVED ~ APPROVED V) ABY DATE 2 0 UI hereby acknowledge that I have read this application and state I 7 that the above information is correct and agree to comply with --11, V yl—� A CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of N the State of California. b ZI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION and Professions Cn[ie, Division 3, Chapter 9. Mot 'to PERMIT FEE $ ` [O j Signature ofm Permittee $ PLAN CHECK $ E et p `o Authorized Agent /� ' u- TOTAL FEE $ // (! ` UIWNCK NraMnLll, cvuurUAIE .-,-.---1--1-' In� D.JOB ADDRESS 2088 Garden Lane "A." BUILDING' ERMIT NO. 37753 I�GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK ties.Watt-Gar. SAF -'0.118-222-01 LOT Por.246 TRACT FIRE ZONE VALUES 24,000.00 \\It. .CTIONS Signature Date .TYPE V GROUP I & J ZONE H2 SOIL -- - - - -- - PSzi y.9‘"7y SUBCONTRACTOR PERMITS 15S4ED GAS Date I Number I Signature WATERL/a Mn y 2o-7v Plumbing hilROUGH PLU BING MSG -//-7,c A'.C,. >O0 4'-/C._77 G} tC•---- PROP. SWR. LINE Q HOUSE CON. ❑ 'f SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /A� �L So--//-74, . TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER 0 ROUGH WIRING rJJJ{{{yyy n_G -7v Heating an V nt. A TRENCHES FORMS Q STEEL REINF. �'/ �C , cl�����J/J�f 4�/71-icgoa/ FLOOR SYSTEM ' J /7 �� ��%!J+- '/F>'�C 6-7-7"Y,> /0P-7.2 BOND BEAM n STEEL REINFORCE n '�/ '/ SHEATHING �i�r`g eel Z�77 FRAME AND FLASHING�'a�` NG ��II!!�//�111�ALLf �((7/� PLASTER, BROWN COAT OUT `aCSt �/ ST 'URAL, FINAL EIec ria _ HI .G. VENT., REFRIG. AND A.C., FINAL R-b of-/6-'v aL erect! , `F-.3so? 5 73si / PLUMBING. FINAL AND GAS TEST fl c a c-g�76 ELECTRIC, FINAL / BUILDING, FINAL ��031 5 /iif 37- 3 PAIC ****)-11!.68 �C ?6-73OO 827* 8 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PL 710N FOR BUILDING PERMIT ' For Applicant to Fill in Completely �b�� RE/QE V//f DATTE REEC/FINEDADDRESS f^v y I.r - i-u D TE ISSUED OWNER kQ In rc' 'J Q PEq N yI� A.P.NO. I S--2-t -- °( s 3 MAIL BUILDING lose, ADDRESS 1f.) p Po vet-- ADDRESS ttqa: ea) LS Z / r NH/Set WTS6 fir. 1l ,:i_0 CITY Ne tyrore Sena NOL 6gcii37 TRACT LOT� C� BLOCK Z Q CONSIRUCTIO/N �Mfarta/ Sarvis NEW AD ALTER REPAIR MOVING DEMOLISH O t LENDER ) ✓ J`_ d m 2-I 0 P J BRANCH OWNER t�,/1{.9$ iee (y�I{t[..I J CO p] J ADDRESS 3 3 gc Me k IW C '�U VALUE m ARCHITECT n // TEL. /�Q' VSE 1uP(T y tee, S� J Q OR ENGINEER t%S �BPNQ NO.G7�7 U - Q 'Lf/ (/Gy}• FIR E W 2 ADDRESS Z �j t a ben ZONEPE GROUP 2 if 2 W W 2 y APPROVED J O CONTRACTOR Q Leh �� 8Y DATE �Z —�� 03 Z JCC ADDRESS 12.1 /y Dover W W ZO NO.OF USE OF NEW _. �IUNT) 0= TEL. ` . PLANS Z BUILDING z F. CITY 11e Igor& NO. 6 gains- ��-� c, WO STATE ( CITY YARDS APPROVED YARDS APPROVED rn CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING \ r 0 l/ CA.CSTREET) I� SIZE h _ 5/a (�j NOW ON LOT NO.OF BLDGS. I FRONT an FT.`iSa FT. ` N. OF LOT r1 USE OF EXISTING BLDG. P(✓L/i/I(NC) R.SIDE 20 FT. FT. I- SIZE OF A `-L NO.OF L Z NEW BLDG. Mir Ohl S ROOMS r�ptj STORIES�t`�yY� L.SIDE `� FT. FT. U COVERIOR ERING Au roe ( RoorCOVERING �j l'FR p(g � REAR S FT. FT. \ { dU$ .14 U/LDPI G�.IJy,WQij_K„7Q BE PERF RMED MDISTANCE AIN BLDGS. ACCESS.BLOCS. Q /1-- f - 14 /����(�� VAR.# DATE O C.U.P.# APPROVED 1 z �1'f APPROVEDM1 DATE •/ o NET 3 — q C 4 a GA-RA-6 A-6a. lio ► .AY �:) • • . 1 :F. UI hereby acknowledge that I have read this application and state ( ' D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ SA - r any person in violation of the workman's compensation laws of N the State of California. � M1 �� m (f (/ z I herebycertifythat I am SO. FT. t_ o properly licensed as a contractor under_ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a cc am exempt from tl a provisions of the State of California Business and Professions Cru: a vision 3,Chapter 9. VALUATION calf, N / dir / ✓ PERMITN FEE $ 3 Signature of / / Ip/7[ Permittee r $ 'L PLAN CHECK $ E Authorized Agent / a TOTAL FEE $ - PA16OO• • 3775 --)AR ?1 -7LC719 as ::*8 U CO - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely ^ RECEIVED BY DATE RECEIVED DATE ISSUED • BUILDING {�`p 67A,ZDS� / 8 /J ���n/l ADDRESS �� O �V / ' ,fl 7$ OWNER A.P. NO. PE 1,T/ Q� MAIL BUILDINGDRS �j �A4OeR/ /i - /f' A Z . ADDRESS ADDRESS AlD a /V rt nw.U TEL. CITY NO. TRACT LOT BLOCK Z CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH O N LENDER JV) BRANCH OWNER Atpie �E-eN4i'Q.7 l a tL ADDRESS m J W VALUE q��,.. J Q ARCHITECT TEL. USE AUNiT 4a-a, $ ��V✓I/ OR ENGINEER NO. - ZQ FIRE j' J w w ADDRESS ZONE W TYPE GROUP Z ST APPRO7// J Z CONTRACTOR BY DATE 3.2i� Y' mZ J cc ADDRESS W Lu TEL. ZONE INO.OF USE OF NEW ZF CITY NO. PLANS BUILDING W-O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D0 SIZE NO.OF SLOGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF 2 NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF C COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a MAIN BLOCS. ACCESS.SLOGS. a Q VAR.# DATE 0 C.U.P.# APPROVED I— APPROVED CO - DATE a 0 U I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ /(4/,�� / any person in violation of the workman's compensation laws of ! V /-t(/ co the State of California. ` m b zI hereby certify that I am properly licensed as a contractor under SO. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; R am exempt from the provisions of the State of California Business and Professions Curie. Division 3,Chapter 9. VALUATION �/ co PERMIT FEE $ (� N D Signature of B Permittee $ PLAN CHECK $ E c,�z1 `o Authorized Agent �� n LL TOTAL FEE $ VVV 3 26-73P ' 825*00 ****59.39 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP I ATION FOR BUILDING PERMIT BUILDING For Applicant to Fill in Completer},.f+1��'p`pys s RE I BY I QA7E_RECEIVED DATE ISSUED ADDRESS —I'�/J 1 �.QG/i)c;. k (� /P/ GJll7`_7/X y?�,/� - OWNER Ra l Ke la A.P. NO. % (8� LZZ�� 1 rs 6 h BUILDING _ _ zcee *J.? 84 C' MAIL ADDRESS II-IO bobtail- ADDRESS - (A Art — I 4j��C',j ciu. Z ¢/ �j / TEL. ! T 'I 1� d U CITY NQi I✓por` //eocslh1 NO. rp Toe � fiACT r or- tLOT Z�6 BLOCK z Z / Z Q CONSTRUCTION ��pork/ SQy(n NEW ADD ALTER REPAIR MOVING DFMOI ISH O N LENDER am i Ido — New�or J C BRANCH / ,t Nord mJ ADDRESS 33Gc V( o 111{O' rQOWNER ,s/�.P%-1 �p/�-�JT - J Q OARCHITECT R ENGINEER Le / I\o plQ� NOLf lcaq " I1SF a a,s l 5 VALUE _ U co Q R wQ 2,— / //Q//0 FIRE ¢ ADDRESS 'Cf ZONE TYGROUP o_1-1:1 APPROVE V(�f//� PE W Z CONTRACTOR 0 'n®I, BY s' I//l'✓ DATE 2-i•-74 Ca 12i0 ¢ ADDRESS QYar Wu(W [)N �j ` ZR r1 NO.OF USE OF NEW 2 V NIT Z 1— CITY Wet 0 rt $ead/� NOL(Q qcm(� K-2_ PLANS 2 BUILDING /1‘13t, STATE CITY YARDS APPROVED YARDS APPROVED N¢ LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 7 SIZE NO.OF SLOG . (FROM C/L STREET) _ OF LOT 2,— 5�'L(/ INOW ON LOT / FROM 15 FTM FT. USE OF • EXISTING BLDG. p (i/ /h�' FI—SIDE `© FT 4.{ .. FT, F SIZE OF NO. OF 2 NEW BLDG. /IO4'(1111 ROOMS STORIES 2- 4 L.SIDE 30 FT. FT. Q EXTERIOR WALL STV ck ROOF . Y V_ COVERING k•e`OO y COVERING ({ REAR S FT. FT. �_% J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. _ BET.MAIN Si 1 MAIN BLDGS. ACCE . BLDGS. 0 SS/ - VAR.* DATE O 'I- �/� 4 41 N�s✓ C U.P.* APPROVED 2 REKT41- Ux ITS ��,% TA ROVED) ._`, DATE3_2L ? / O UN �T f s HOLD FOR JSPECIAL REOUIRF LT' VI hereby acknowledge that I have read this application and state LP'�� /y ✓ that the above information is correct and agree to comply with !./QV`y'.' 3 cc all laws regulating building construction, and I shall not employ a F-• any person in violation of the workman's compensation laws of q) the State of California. J m Z I hereby certify that I am properly licensed as a contractor under SQ. FT. Z o the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CC am exempt from tt e provisions of the State of California Business VALUATION and Professions Chao,D' sion 3,Chapter 9. co PERMIT FEE $ Signature of [,y/`•�/1� 5 7 rdl Permittee 5�/ (LSO PLAN CHECK $ / 2 Authorized Agent / u. TOTAL FEE S _ Pdt9 377s 'R 21 71 c„- 0I 720 d***1 1'4.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely Q G...4"ab, /J n J RECEIVED BY DATE RECEIVED DATE ISSUEEDD/ ADDRESS ;Dyer vyr(-/I/ FN 0L 1..7 Z//cs4— PERMIT NO. / OWNER A.P.NO. IN 7 J{77/ BUILDING �r fxj MAIL ADDRESS Z�3 Z ADDRESS 0_U TEL. CITY NO. TRACT I LOT BLOCK 2 CONSTRUCTION N, EW A4dNl LTER REPAIR MOVING DEMOLISH Z- F LENDER 0.m rT J 7 BRANCH n J to OWNERLPI( E13/4 LT— -./ mIII J ADDRESS VALUE J Q ARCHITECT TEL. USE $ -- tn OR ENGINEER NO. W < FIRE W AODR ESS AP R VPE // GROUP /T i� // WZ CONTRACTOR BYPOVED / / // DATE ;'•z.(-7¢ J Q mZ • J K ADDRESS W wTEL. ZONE INO.OF USE OF NEW Zr CITY NO. PLANS BUILDING LL-Q STATE CITY YARDS APPROVED YARDS APPROVED co 2 LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D SIZE iNO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R &IDE FT FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. , VEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. _ J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS.BLDGS. Q VAR.# DATE O C.U.P.#IE APPROVED F APPROVED CO BY DATE Z 0 UI hereby acknowledge that I have read this application and state CC thatll the above building is correct and agree to comply with � all laws regulating construction, and I shall not employ H any person in violation of the workman's compensation laws of rA the State of California. ..(777 za to Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR g Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CC am exempt from the provisions of the State of California Business and Professions Cnoe,Division 3,Chapter 9. VALUATION /� m PERMIT FEE $ / frts Ch 3D ofm Perm lttea $ PLAN CHECK $ E o Authorized Agent / / t�� LL TOTAL FEE $ 1�/// •-r—