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174 19TH ST - Building Permits
ADDRESS OF MALMO: 174 E 19TH ST g"': B CITY OF COSTA MESA - BUILDING PERMIT V 3� �-� n ONNERSN"LIEIFIwoi'TMOHAMAD HASSAN PERM NO: B 086372 ADDRESS 174 E 19TH ST X16 C .M. CA 92626 PERMIT NO: B 086372 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MWUMO ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STA PURPOSE: REP i ARCHITECT ORetfa/ER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 1 , 800 ARM OR ENG'S ADDRESS: UMT: CLAIM VALUE: 1 , 800 . 00 CALC-VALUE: 1, 800. 00 GROUP OCC: R-3 / CRACTO'SNAAIE SERVICE ROOFING COMPANY ( 714 ) 525-4232 cONTRACTORSMNLINO 440 E WALNUT ST COMMENTS : REROOF 1050SF BACK UNIT W/COMP SHINGLES ADOREss: FULLERTON CA Lt1O_ 131545 ****+L*******"E*+E***"E***1E+E*Ar** ***********+F****+r******** F*x********iE****Atyr******* 92632 UMC ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby adsm under penalty of perjury ZONI am loaned under provisions ol Chapter 9 SETBACKS (cornrnerdng with Section 7000)of Division 3 d the Business end Profession Code and my license is in full lop and effect CITY LIC.No.: c.a.28080 LIC.CLASS: 39 'uc.nNo.: 13 54 EXP: 01 /98 MAIN BUILDING ACCESSORY BUILDING y. Date: I�V 5' c.a. ! � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN • OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury That I am exarnp from the Contractors License Law for the followbg.«recta .p�np"r roa�.r�nee° y, . My city ty"d°duch P."4„;,rv„"w°ee°construct. BARKING Boo. PROV: PARCEL: 42603031 ZNE: REF NO: Smashlicensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Sorin,7000)of Division 3 d the PLANNING NUT ES>.-:- tines, and Prdessxxn Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation Of Redbn >e.. .41.5 by any applium for a prone subjects the applies to a civil penslly of not mon then line hundred dollars ISSOOD. ***************lE*************************************************************** O I.as owner of the property or my employees with wages as their sole compensation will do the work,end the structure is not intended or offered for sale(Section 7011,Business and Profession Code:The ContractorsLcense Law does not applyto an Owner of property D E V E 'L- O P M E N T SERVICES REQUIREMENTS who bolds or improves thenen,and who does such work himself or herself or trough he or her own employees.provided that such ,v% improvements we not intended or dlarod l«sale.If.however.the building Or improvements sold within are year d oonpnnn.the owner,buAder will have the burden of proving he or she did not build or improve for the purpose d eats). ZONING APPROVED BY DATE: ❑ I.as owner of the property.am exduuvely mMrapip with Sensed contractors to cansaw the project(Section 7061,Business and Professions Code:The Contractors License Law does no apply ban ower d property who builds o improves thereon and win BUILDING APPROVED BY : DATE: contracts for such projects with a contradods)licensed pursuant to the Contractors License Law). -4 ❑ I am exempt under Section: B.&P.C..(or this reason: APPLICATION ISSUED BY: DATE: \ V' ' ******************************************* * ******************** ** Date. Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby cattily that I am aware of and understand the requirements of Cau«nia health°rd Safety Code Section 25505.25533.and 25534.and that I or any future balding occupant will/wR not(circle oro)need to comply with said state codes end the requirements for a posit for construction or modification from the Ai wManepennen Distal. mnstnnio°°ppkretien are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 56 . 75 . 50 Dale Applicant: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one d the following dedvatbns: PLAN ElIhave and certifies,.wiI maintain a certite of comma to sell-insure .as p nsure workers' f«by Section 3700 d the Labor ISSUE FEE Code,fotheperformahceofthewrkforwadithispemitisSud. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE kciIhaveadwumante:,wokers'contensationinasahce.esrequiredbySe ion3700oftheLaborCde.r«theped«mancedth, TOTALS-- -> 57. 25 0 . 00 0 . 00 57. 25 57 . 25 . 00 work for which this permit is issued.My workers'compensation Insurance carrier and policy number are: Care: ('A COMP INS CO EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 57 . 25 OVER/SHORT: . 00 Policy Number. WrQR111nN17 01 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK is senior need nor be completed 1 the won is for one hundred dollen/11001 or lea..l 56 . 75 . 50 L] I certify that in the performance of the work for which the pend Is Issued,I shell not employ any person In any manner so as to become subject to the workers'comPenWion laws of California. end agree that 0 brays sublact IP the workers' ******************************************************************************* aampen inn provisions d Sectbn 3700 d the Labor Code,I d.//n)y�1 h I N D I V I D U A L F E E B R E A K D O W N Data /�II/cu 11 Applicant: ! w ( civrrdne: up no hund.d thousand romprwton04000A lir auna and cost)of compensation damages es Provided forrrd TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Sec on 3 up to oro Labor Co ns .and ttomey00),M addition to Me coat rompanclbn ryarrupc u provldsd /n s«HPn37a5PltleLaborCab,lnnroal,endalromsye/aes. SFR .1800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 800 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury the there Is a construction lending agency for the END OF FEES performance d the work for which this panel b issued(Sedan 3097,Civ.C). LENDER'S NAME: I LENDER'S ADDRESS: I\`// I certify that I have read this application and data that the above information a correct.I agree to comply with dl lay and county ordinances V.! 1 end state laws relating to building construction and hereby authorize represenlatbss of this cdy 10 enter upon the abovemenlioned propend 6.../....„.• lorimlhection Wrpraea. fl1-82-1998/IC:33p;l/557..5 CLIFF FREUND `J ^ D 1_sA35r mtName 1/2198 �' / PERMIT:086372 Y/�9/y/ Date: / (// Sig ..are dOwmr/ApsnVAppkaeN/Camnp« (515146.WP) White-Buildng&Safety:Greer-Fie;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor 1 �`F`. i.JNSTRUCTION AND PLANNING • POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit # - Date Inspector 1. Temporary Electrical Services)/ Pole 52. Pool & Equipment Location , 2 - . Soil Pipe Undrgrnd. a 53. Steel Reinforcement ,;;;3: Electrical Conduit.Ufility-Undcgind. 54. Forms _ n, i , ' '7-4: Electrical CondLW'Ui drgrnd. 55. Electrical Bonding ,-.• , ✓S. Steel Reinforcements 56. Rough Plumbing & Pressure Test 16: Electrical UFER:GEnd. 57. APPROVAL TO COVER-GUNITE .7.7.?Eootines _ „ 58: Electrical Conduit'Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test , 9. Water Pipe•Undrgrnd. 60. Backwash Lines, PjTrap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO.DECK -, ' 11. Property Sewer tine & House Connection 62. Backwash& Receptor-Final ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final h Plumbin ``' ' 14. Rough 9�- x.�, 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Fina! 16. Rough Electric Wiring67. Fencing & Access-Approval 17. Rough Wiring Sign r., ' 68. APPROVED FOR-PLASTERING 18. Rough Electrical:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning; s Cl -. 71-, FIRE DEPT.:REQUIREMENT r•: 20. 'Rough Fa2tor>s FiLedlace > y ",. t.APPROVALS ;,; Per'fnit # ' - 21. Ducts; in`+Structure• ^-- z CJ -1 . 70. Underground Hydro 22. Ducts, Ventilating., K ' -) _'K _ 71, Product Piping Caas °Oil , 23. Gas Pipe--`Hough & TestY x -q r- ;• 72. Underground Flush; -. c 24. Roof Framing :I _ ' ' 734 Under rq Sto'ragerTanlj0Gas 0 Oil 44 25. Roof-Sheathing '' • " tr '. 74. Overhead Hydro---, - 26. -i,Bar-Ceiling (StructUrall & Modocoat0 r, ^x 7�F-.;Dry Chem _ .Chemical ` 7 • ' 27. Frame arid Flathing , _ _` - " n* � -" 4 76. Dry Standpipe � 28. Lathing &Siding * ' Vit::'. a f' ti 77' FIXED SYSTEM FINA'L`" 29. Insulation •• „• •- •• r: L • 7§3 FIRE PREV. FINAL , r -� 30. Drywall Nailing ,�IEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat > 'y, 79. FINAL INSPECTION 32. Electrical-Power Meter• -Final t Irt 80.1 FOOD CERTIFICATE ISSUED • H. , 33. Fina'I,..Elettric ▪;. ,z '4 % Notes: .. - 34. FinaiHeating,& Air,Conditioning' i7-1 r T., i . . :; p• * - V 35. Final Gas Pipe Tesf'; •' •' ^ "'"o `;` ' - J 36. Hood-or Canopy -a. - C. .* .n 'sr 37. Final-Factory Fireplace.'t 'i-...-:, - , ' 38. Final-Pluri bing is - ..; _ s; ;71-4 _ 39. Water Service:final - ' - it - - '-40. Gas Service-Firial ,. -'4. I '-•r• - r - ¢ ' 41. Solar Dornestic•FinaV 71tPI• - t '• - - t. is 42. Backflow Preventer ::‘-,,.;_, - 43. Backflow Irrigation - _ 71 ;-t • • 44. •Landscape Irrigation System =,.Ft ` -c a• - r'J :J:� `: :. - 45. Sound Attenuation ' -' - 7-• 7 - 1 46. Handicap.Regulations - - - - h a 47. FINAL STRUCTURE& BUILDING - ' x • 48. FINAL PLANNING:, , " . . v %i C ^3 • 49. Electric Release to Edison • s --. . ' 50. Gas Release to Southern Californ aTpas Co . .o ✓ • M - • r 51. CERTIFICATE OF OCCUPANCY No. Date OF BMLOOIG 174 E 19TH S1 UMT' CITY OF COSTA MESA - BUILDING PERMIT wIPMND'"W MOHAMAD HASSAN PERM NO: B 085811 , ADDRESS: 174 E 19TH ST w C.M. LA 9Lb2b PERMIT NO: B 085611 PLAN CHECK NO: N GOVT: N SUPP : N VOL.MMUN°ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: REP ARCHITECT ORDana UC.NO: JOB DESCRIPTION : REPAIR DUE TO FIRE DAMAGE SQ FT : 12, 000 MRN OR ENO S ADDRESS: WMT: CLAIM VALUE: 12 , 000 . 00 CALC-VALUE: 12, 000 . 00 GROUP OCC : R-3 / CONTRACTORS NAME: A.C . I . ( 714 ) 9 3 8-1100 caBcmnwmilD 1301 E GENE AUTRY WY COMMENTS: REPAIRS TO REAR UNIT • ADDRESS ANAN CA LID xD: 384906 -skim as iiie-ii•iiirieir is iris screw is is is x ie is nye it we-ii irisins x it ieiric sin ieiifexitieicicirieir ie ii x iris is:it ie idiciciiici'iciricii•iiiririei'is 92805 BMT: L ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ellcm under pansy of perjury that I sn,licensed under provisions of Chapter 9 S E TB ACE S (con,.....:. .with Section 7000)d Divmon 3 of the Business and Professions Code and my license is in lug tame and effect. • LIC. O.: - 28047 LIC.CLASS: 8 UC.NO.: 38 'b EXP: 04 /9 MAIN BUILDING ACCESSORY BUILDING • `� i - FRNT: FT IN REAR: FT IN FRNI: FT 1N REAR: FT IN sere' — Cawumdm LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN • NEB BUILDER DECLARATION:I hereby affirm under•. - m d pa' that I e - • from the Contractors license law for the following reason(Section 7031.5 Busies end Professions Code: ., ' or county wild.requite a Penne to corsamct,ser.improv, PARKING RE PRO V_ PARCEL: U V U V V U U U L N E: REF N O: //) demolish,or repair any elrucwovi prior to ea eeuanpe.Oho requires the eppliclnl for such name Io file a signed statement that he or she _ ._ __u_ _ licensed pursuanl to the provisions d the she ors License Law(Chager 9(commencing with Sermon 7000)of Division 3 d the PLANNING NO d E S> 't sines,and Professions Code]or that he or she is emend therefrom and the base for the alleged exemgian.Any violation of Sadist, .. ..........................>.... )-m .. ,. J31.5 by any applicant la a pern,e subjects the applicant to a civil penalty d not more then fee hundred dollen ISSO3D. ....w.. ....,ii ii-i ......... �. 1tx7C1CItXftfrit9t'T'Tfl'R'ftRl:'R'Tlt]tllT'flRftieii It le li ie iixhlr liF}ly It T'itit'R'Rfthw'xie 9t T'ieltlr'fi ii '!<X><lt ie it fe it fehf�fr ie Ji ie'KT'T fe ii o I.as owner d the property a my employees with wages es thei sots compensation.will do the work.and the nruGwa a not intended D E V E L V P-'-M E �.. or offered for ale(Section 7044,Business end Professions Code:The Contractors License law does notappytoan owner of property :N T. SERVICES R E Q U I R E M E N 1' S who Wide or improves thereon,and who does such work Nmeell or herself or through his or her own employees,provided that such it.' - t ••t improvements are not Wended e.offered la sae.N however.the building«vefovemed is s e within one year d aempeton,the � �• •.1J owner-builder will have the burden of proving he or she did root build or improve for the puryoee of sato). ZONING AYYRUVED by DATE: o i es ower of the popery,am exclusively connecting with licensed contractors to construct Oe Pro*.(Berton 7044.BUSS.,end ") /rJ 4. Professions Code:The cs with LicenseLewdoes ratapplyto the owner drstkewho w)Ns«unpwmthereon end who BUILDING APPROVED by,J: •. DATE: v/"• contracts M such projects wM a oontractor(s)licensed pursuant to Cmtredars License law). -_y ,, :Zu ❑ I am exempt under Section: B.d P.c..for the reason: APPLICATION ISSUED 17,Y': /• DATE: '. Rhx'Wxx'K'R YY It IR itseiift'RA.seirT"TIC fr ft Yr yl.WIT We-*at'K lt')t re n- re le iv rsr It x sr7tseIr it w'R n-*******yr it 1e it w- Ot sv T"R'R ie Date. °woe° LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby candy that I am aware of and understand the requ'vamsmd of California Health and Sdety Code Sedans 25505.25533.end 25534,and that I or any heure Wilding occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for connection or modification Aia anarepenenl Litinia Residential constriction appkmioeas romp from ase BLDG PMT PLUMBING ELECTRIC MECHANIC EIRE ' SOIP/RES GRADING provisions. PERMIT 187. 25 Cr "ti' 1 . 20 Date: Sodium': S MI P i NON-RES WORKERS COMPENSATION DECLARATION:I hereby affirm under Penally of perjury one d the followingedand diona: I LAN 7 ova ❑ ISSUE FEE a _ I neve and wit mitten a certificateasinsb matom id e d csed to sure work 'compefen. dced la by Section 3700 d the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK lOIAL �' r• YAID DUE Code.to the performance of the work for which the permit a issued. C n t nava ed wit maintain workers'compensation ineurame,as required by Section 37OOdthe Labor code.la the pad«manoed the TOTALS---_> • 188 . 45 0 . 00 0 . 00 1(18 . 4) ^1.85 . 47 VV ]� work to with this permit is issued.My workers'compensation serene carrier W po8ry number are: Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 188 . 45 OVER/SHORT: . 00 Policy Number: 04Iri-q 7no1,11h%Y7 07/01 /98 BLDG PHI. PLUMBING ELECTRIC MECHANIC 'TIRE SMIPiTOT GRADING PLAN-CHECK s modion reed na be completed i fns word a nd«e hundred dollars/st,o/a/as) 187. 25 1 . 20 1 LJ I candy that in the performance of the work for which this permit is issued.I shall not employ any person la any manner DO es to become to the workers'cempensMion laws d Cslode . • es des ' became subjed b the nut"' . ....... ...-....-.. - .. .- - . . ... _ ... se .. •titled .. it F it'h x it T'X'T 1t it x it-It x 9t x'ri F ii x ie ft it it if'Ir'Ie it T'ii'R le'Ir ie it it it T"li'le x X f!ie it fe'K 1t ii 7C fi xT"F*sr 9t ft re it it se'it se fe fi fc fe it ir'F'le fi ii h ie 1t ft am prodeoes d d the Labs code,I. t• ,vMh pry prowmns. l C�� INDIVIDUAL F E E BREAKDOWN L r Applicant:rmng:Fal/ure b secure word's'compensation coverage,.�d�y�lyatdI and shell t an emploiwrocmmnal penalties end TYPE QTY D E S 1. R I P 1 I O N UNIT COST TOTAL COST do fines u p to one hundred thousand dollars($50000(11 M a•• to•r. the cost of compensation,damages es provided for In • sactlon 37O6otthe Labor Cosa.Imerul,an0 sttomrY's lose SFR 12000 FIRE DAMAGE/VAL RESIDENTIAL_ _ _ NOZONE 1 . 00 12 , 000 . 0'0 • I CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there e a ooesta tron ending agencyb the e END OF FEES performance of the work for which this permit is issued(Section 3097,CM.C). LENDER'S NAME: LENDER'S ADDRESS: oerMy that I have read the application and state that the above information Is cared I agree to comply with ell city and county ordinances d state laws relatig to Wild g conesuden end hereby authorize representatives of this dty to ardor upon the above-mentioned properly ssofMn ` pap JIM POPE 11-19-1997111:45 Nfl$169.45 (.\ �, pddwn,e J� c1-97 PERMITRC:085811 Se oma: y Sq Oro , NP) Whae-Rmsae._, ..n en_Rlw:rune a lere,e:Pink-Revenue Goldenrod-Assessor '�' - POOL PA - CONSTRUCTION AND PLANNING - - APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspec...; .r 1. Temporary Electrical Service or Pole 1 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms - •s 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding - 1' 5: Steel Reinforcement56. Rough Plumbing & Pressure Test 'i 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE i 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrhd. I - • . 60. Backwash Lines,P-Trap,0 Undrgrnd. 10, Structural Floor System • 61. APPROVAL TO DECK 1 11. Property Sewer Line & House Connection -I . 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final •, 13. Roof Drains -' 64. Plumbing System - Final 14. Rough Plumbing -65. Electrical-Final i -' 15. Rough Electrical-Conduit i 66. Solar System-Final 16. Rough Electric Wiring ( 67. Fencing & Access Approval !_. 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ' 19. Rough Heating& Air Conditioning • - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace -. APPROVALS Permit # 21. Ducts,in Structure. _ 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test - , - 72. Underground Flush 24. Roof Framing ' 73: Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathingt. 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 1-7''Q bo $c. 76. Dry Standpipe 28. Lathing& Siding - !/ 77. FIXED SYSTEM-FINAL 29. Insulation 1-1-7., &a4 78. FIRE PREY. FINAL 30. Drywall Nailing -- I_../11(-'73 “41- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79, FINAL INSPECTION 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning - _ 35. Final Gas-Pipe,Test 36. Hood or Canopy - 37. Final Factory Fireplace , pi 38. Final Plumbing 39. Water Service-Final • ' 40. Gas Service-Final • . 41. Solar Domestic-Final 42. Backflow Preventer . 43. Backflow Irrigation P iffir 44. Landscape Irrigation-System - fit Wit, 45. Sound Attenuation 46. Handicap Regulations _ .. • 47. FINAL STRUCTURE & BUILDING z„.22.a-ft ,6441._ 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cv - 51. CERTIFICATE OF OCCUPANCY '- No Date - �MINIMWBdtOaG 174 E: 19TH ST DMT: CITY OF COSTA MESA - BUILDING PERMIT OWE;s NAME IF*WO t MOHAMAD HASSAN PERM NO: E 085812 Aoons4174 E 19TH ST C.M, CA 92626 PERMIT NO: E 085812 PLAN CHECK NO: N GOVT : N SUPP: N APPL.MARINO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: REP ARCHITECT OR ENGINEER: UD.NO.: JOB DESCRit11UN REPAIR DUE TO FIRE DAMAGE SQ FT : MCN.OR UG.$ADDRESS: UNT: CLAIM VALUE: CALL-VALUE: GROUP OCC: R-3 / coxmamsivaA.C , I . ( 714 ) 938-1100 COTRACTORSMMUM 1301 E GENE AUTRY WYCOMMENTS: REPAIRS TO REAR UNIT REF:B-85811 MOmt ANAN CA mm, 384906 th+eri•:rw:viii•viiEieieiF;:trii;riiifvFiEvii:+t:piexv:xxieie+rth+ii'irir+til•:rii;:iiiiifiFiei thivi sir:viir*iiiriFir::*;:r-it;r+rieirii*iriEieieii•itiiii ii• , 92805 WIT: Z ON ING R EQU I R E M E N TS UCENSED CONTRACTORS DECLARATION:I hereby aim under penally of Perryry that I em licensed under pwieone Of Chaaer 9 SE TB ACK S (commend/Kt with Section 7000)of Dihiasn 3 d the Business end Professions Coda,end my license sin lug lace and edw. uc.CUSS: B UC.NO.: 38 - -00 EXP : 04 /97 MAIN BUILDING ACCESSORY BUILDING OC.NO.102O047 l _ q11 cabwo: FRNT: FT IN REAR: FT IN ERN1-: FT IN REAR: FT IN LEFT : FT INRGHT: FT IN 1t'1 : t INRGHT : FT IN R BUILDER DECLARATION:I hereby&inn under pruly el. ., I am ,pr km the 0001r000,1 License law fa the billowing reason(Section 70315 Ruske"end Poleeabns Cade:Any ..y which -•tires a permit to construct,alter.Meow, par, REri: PROV : PARI .,ei VUVUUVUV ZNt; REF NO: *radish a repel any structure:pito b v issuance.also requires the applicant la such perm!to fix a signed statement that he a she i licensed pursuant to the prov®gns d ter Ca tactors license Law(Chapter 9(commencing with Section 7000)d Division 3 e the PLANNING NU T E S> Alaimo and Professions Code)or thm he a she s exempt therefrom and the basis for the alleged exemption.MY vWmion d Section > tae perntl objects the eppicros to a dvi penalty of not more than fee hundred dd"t WOOD. .. ..-- 7001.5 by and amt."for icxxxxxxys vi iix iixii ii it ii se iix IT se ii ii ii ii ii iixii vi err xve xx xxx xxx xxxxxxxIt iix ft w*****it:*ii ii ii ii ii ii ii ii ii ii ii ElI.asovmr dUsprooeny or myrmpbeeswlh wages as the sole compensate"wit do the work.rd the armature is ria intended D E V _E L O P M t N T S E ICESS REQUIREMENTS ' a offered for sale(Section 7044,Business and ProfessionsCade:TheCon:radon License Law does nit apply to en owner of property r✓ who Wide or on. such improves thereand who does work himself or horse!or through he or her own employees.provided that such improvements are not intended a Shred la sale.If,however,the building or"movement al"thin One year d 0001131003n,the ZONING APPROVED BY , _ LATE; ' wner'builder wit have the burden d proving he or she did not build or Impure for the Palm"of gale). ❑ I,as owner of the property.am exclusively mtred'ng with licensed contractors to construct the project(Section 7044,Business and ----- - - -- • Professions Code:The Contractors License Law does net apply to an owners property wax)builds or improves thereon and who b LULU 1 N Ls AY PICU V tU b Y DATE: contracts for such projects with a o sareda(s)Scented pursuant to the Contractors License Law). APPLICATION ISSUED -.. ❑ ram exempt tinder Beales: B.AP.D..ler this mew" APYL'I-Al1UN 1b'U'D 'Y : ' • DATE; is iixii ii iixxii ii ii iE ii xii ii ii ii ii ii ii iixxxxx xxxxxxxxxxxxxxxxxxx xxxxxxxxxxiixxii ii ii i<ii vixxxxxx x Data: 0"T°n LEGALIZATION: N F E Ey ) S U M M A R Y STRUCTURAL SEGMENT :N I do hereby certify the I an aware S and understand the rWuuamr?s of Canis Health and Safety Code Sedions 25505,25533,and 25534,and the 1 a try MUM tteke g occupant T/WK not(add as)need b comply wMh seed ales codes end the reaub numb for a permit facemtmdionpr modNcmion Iran the.As Gamely Management District.Reedwid=strudsn appfutlau are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING provisiora. PERMIT 47. 00 . Dde: Applicant: 50% SM IP/NON-HES WORKER'S COMPENSATION DECLARATION:I hare"affirm rider peaky of perjury one of the following dedaetecs: PLAN ISSUE FEE 22 . 00 ❑ Ihave and wMroam"acartfnwdconsent tosailn ekrworken'mgaromicn,esprovidedlabSection3100althLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the pedomwCe o the work fur which is permits slued. .1'l Ihave and will malaise,workers'compensation insurance.'required bySwm i3700ofteLaperformance TOTALS----> 47 , 00 22 . 00 0 , 00 69 . 00 69 . 00 , 00 A- work for which this Writs"sued.My woken'compansetwa insurance caner ad poky number ay. carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 69 . 00 OVER/SHORT: . 0u Poky Number. v4b-`JIUUUVn." 07/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP%TOT GRADING PLAN-CHECK m"Sedum need nit be completed i the permit"for hundred one hed dollars(51001 a less) b 9 . 00 ElI certify that in the performance of the work ler which this paint Is®red,I shall not employ any palm in any memr so m to bceme eubled to the"VW en sus d Cadonie.and ths'� shah became"Ned M the worlds' i ..........""""ii se"ii"" " '" '"'."" '" '".. 'i th - ' ' —' th a3700cit Wee xxx xx xxxxxxxxxxx xxxxxxxxxxxx xxxxxxii ii ie ii ii iixiix it ie ii xii-xxxii ii vi xvix7i it ii iv vixiixx7i vex ii vixxxii xirxii compensation provisions re Secttioon 3700 d the Labor Code.I shall with comply I . prwfwars. 1 IV U 1 V I D U A L F E E BREAKDOWN • a l` / / ^ 7 2 APPIkm+: _ • Ing:Failure to secure workers'conpensatoncoverege l rww' end shall sub' ten -layertoto criminal penalties and TYPE QTY D t S L Ii 1 Y 1 1 U N UNIT COST TOTAL COST c Snit the to one hundred thousand dollars($104000A In •.Uo to dm cost of conpssetbnv damn,*es provided ler In Ssedan 3706 of Ne Labor Cods,Interest end edormys tea ELE 7 FIXTURES, LIGHTING i ST 20 EA. 1 . 00 7 , 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d Pesry that 10•70 le er 07,01,37,000lo ion leech g gm,'he e ELE 20 1<tL t Y i /Olt T L E T 1 ST 20 EA. 1 . 00 20 . 00 pedamante d the work b"`mmi" ah this per"is 3097,CIL c)' the 20 RECEPT/SWITCH 1 ST 20 EA. 1 . 00 20 . 00 LENDER'S NAME END OF FEES LENDER'S ADDRESS: I candy that I have read this application and dale the the above Somas"is correct.I agree to comply with all city and county ordinances and stale laws relating to building eonminaicn and hereby authorize repreentativas of this thy Io enter upon the above--mentioned property 1 for impedion purposes. -- g U POPE q 11-19-1997/11:46RCPT4 ©i Cd19062 P�Nan. _� If" /9 -97 PERMIT:085812 Deis N. esignatures• '11.1...a - (5151.46.WP) White-RWldbg 8 Safely;Green-Re:Canary-AppFann:Pink-Revenue Goldenrod-Assessor • ti CONSTRUCTION AND PLANNING POO. . SPA • APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service oriole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - • 53. Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure.Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. r 60. Backwash Lines, P-Trap, O.Undrgrnd. 10. Structural Floor System • - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I 12. Sewer Cap - 63. Heater&Vent-Final - • - ' 13. Roof Drains ^ 64. Plumbing System - Final I 14. Rough Plumbing 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 Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure ' 70. Underground Hydro 22. Ducts, Ventilating • • 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing • - r 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling IStructurall & Monocoat 75. Dry Chemical 27. Frame and 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 Z X18' Notes; 34. Final Heating& Air Conditioning • 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final• • . 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ' 44. Landscape Irrigation System - - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING. 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 17 AS UpAmeslSBOIWIro 174 E 19TH ST WIT: - CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAME IF MOWN: MUfAMAD HASSAN PERM NO: P 085814 , AWRESS 174 E 19TH ST L.M. LA 7Lb4b PERMIT NO: F 085814 PLAN CHECK NV: N GOVT : N SUPP: N APDL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: REP ARCHITECT OR BONES: UCNO.: JOB DESCRIPTION : REPAIR DUE TO FIRE DAMAGE SQ FT : ARCH OR ENt'S ADDRESS: WE: CLAIM VALUE: .CALC-VALUE; GROUP UCC: R-3 / CONTRACTORS NAME: A.L . I . ( 714 ) 938-1100 CONTRACTORS YNInID 1301 E GENE AUTRY" WY COMMENTS :S : REPAIRS TO REAR UNIT REF :B-85811 ADDRESS: ANAN CA UC.ND.: .1%S49UF! x'ie iexxxaF ii if ii'ie ie ii ie ie it ii it ii ii ii ii it ii is ie ii ie ii>r ii sixxxxxxxxxxxxxiexii ii ii ie ii ii ii ii ie ii ii ii is it ie ie ie ie ie ie ie fc kii xii ii ie ii ie ie ie 92805 OND: ZONING REQUIREMENTSS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty y of perjury the an licensed under provisions of Chapter 9 S t 1 tl ACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my Mens S in full force and effect. p1f u No.:p28047 uacass: B LK.,•.: 3849 EXP: 04 /97 MAIN BUILDING ACCESSORY BUILDING / FRNI: FT IN REAR: FT IN KNT: FT.", IN REAR: FT IN D D«aeda - ` LEFT: FT IN RGHT: FT IN LEFT: FT \ IN RGHT: FT IN O BUILDER DECLARATION:I hereby affirm under penally that I em e pt from IM Contractors License Law for the _ /J 1 • reason(Section 1031.5 Guavas and Professions Code: amuny whim reaveseiwmt to pornNa.'Ser.improve, PARKING RE PROV: PH E ' 0000000u REF NO: •oust,or repair my structure,prior to to issuance.also requires •• ..• li t..; forsuch permit fib stammers that a signed stammers he or she9' S licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d DirSion 3 of the PLANNING NVT E S> Business and Professions Coder or that he or she is exempt therefrom and the basis for the duped exampten.My violation of Section > 7031.5 by any aopnunt la a Permit subjects the applicant to a dui penalty of not more than Ma hundred dollars ISSOOD. it x Si*rat ii iv ii ii ie ii ii ii ii iv ix ii ie ii ie ii ii x iv x ii ie ie it it ii ii ii it it iw.we ii ii><ie ii iv ii it ie ii iFii ie ie ie i<>r ie it ie ie www ie www ii x sr sew urn x x ii ie ie it it ❑ I,m owner of the poverty a my enplprees with wages as their sole compensation will do the nosh.widths structure S not intended DEVELOPMEN I S ER V I C E S • - R E U I R EMEN TS or offered la improves thereon. Business and ProfessionsCode:The Contractors License law does not apply to an owner d property u who Wide or improves thereon,W who dons such work firma or heats or through his or her own iMplWr,provided that such improvements are not intended or offered for ode.II,however.the buildup or improvement is sold within me year d idconic/Mtg. ZONING APPROVED BY DATE: ownerbuer win have of the burdenproving he or she dd nor rovethe purpose buildimpfor rpose of sale)! ❑ I,as owner o the property.am exdadnly m trading with licensed contractors to construct toe pojetl(Section 1044.Business and . Pmfessbns Cade;The Cs with an Beene law does not appy to an owner d property who&midi or*roves thereon and who tl U ILL)1 N Lo AP Y KU V EU tl Y DATE: contracts for such waist with mntredor(a)licensed pursuant to the Contractors License law).1:-;) '. !f ❑ I am',tempi under Section: B.B P.C.,for this reason: APPLICATION ISSUED BY: DATE: ,.' ieic ii iris ii wit w oe iv ie wins is sr sr ar w oe'rye x x art le x x x x x x x x le x x wee x xx sr se x x x ir x xx sr ie iexxieiiiiiiiisexxx . x w x DaterOwner. • LEGALIZATION:N F E E SUMM R Y STRUCTURAL SEGMENT:N I do hereby certify than am aware of and understand the requirements of California Health and Safety Code Sedans 25505 25533.and 2553o and that 1 or any Mum batting oo upern will/nil mat(ink one)need to comply with said state codes and the requirements for a permit for construction or modification from the Ar Quality Management Diddd.Residential consinmionappicalio5 are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC LIKE SMIP%KES GRADING provisions. PERMIT 19 . 75 Date: Applicant: _ 2 5% S M I P/NUN-K E S WORKER'S COMPENSATION DECLARATION:I hereby drum under penally of perjury one of the following declarations: PAN ISSUE FEE 22 . 00 ❑ I have and wil maintail a certificate al consent to sieginsure for workers'compensationws provided tor by Sectiza 3700 et the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance d the wont la wivch this permit is issued. .I�'I I My and wD mdntan workers'cempemeltninsuraro•s required by Sadist 3700 of labor Code.fox the palominos ad theTOTALS----> 19 . 75 .22Vi/ 0 . 00 41 . 75 41 75 VV 1� work for anti this permit is issued.My workers'compensation insurance meet and poky number are Caner: STATE FUND EXPIRES— REVENUEDIVISIONTOTALS--> COLLECTED: 41 . 75 OVER/SHORT : - , 00 Policy Number: U4bt` -7 /1/UVUb /� U //U1 /7G BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (pis section need nor be comy/aed i the mime is for one hundred dollars(SI DO)or lase.) 41 . 75 ❑ 1 cent that in the performance of the work for which this pant is issued,I'hal not employ any person in any manner so as to became subject to the waters'cemPan+aon laws d California.and agree tal i l should beast"wnbjed 10 ted"'chars' 7vxxxxxxx ie ii xxxxxx x* i i x ii:kik,x xx xxxx x**it:**xxxxxx xxx x x e7i w xxxxsexx xxx x x x seie ie sr**iiiiaii ii:Pi ii ii consp/yh/ cit prof i Oma�0,.. /yhon 3700 d the labor Cade.I slhdM1 nhwth oomph• ere provisions. I IV L I V 1 D U A L F E E B E( E A ll L V W N / I profits 7 Applicant:'ming:Falun to secure workers'compensation coverage l car I,end shell sub a an employer to criminal penalties ave TYPE QTY D t S L K 1 Y 1 l V N UNIT LUST MAL COST clod Reda up to one hundred thousand dollars($100000),In n to the cost of conlpesaion,damage"a Provided for In Secton 3706 of to Labs Cod,Interest,and affomey''lees. PLU 1 SINK, KITCHEN_ _ 8 . 75 8 . 75 th CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that en S a construction lending agency for the PL U 1 WATER ER HEA 1 ER AND/OR VENT 1 11 . 00 11 . 00 performance of the work for whidh the permit is issued(Section 3097.CW.C). END OF FEES LENDERS NAME: LENDER'S ADDRESS: I certify that I have read this application and Wale that the above information is coma.I agree to comp/with all city and county ordisrces and stale laws relathp to buitdip construction and hereby authorize representatives d the thy to enter upon the above-mentioned popsy for inspection purposes. JIM JIM POPE 11-19-1997/11:44 Rag/$41.75 pdrg.. ` 1�� RLPTN:FtI-00156D _ Dat `-'a: 1(� EyERMIT:08584 1 `y :.t red O.iwtlC0nf (5151.46.WP) WM. : ..•. Gree-Pta; PWk�ieverhus;Oddavod-Aassor •r • CONSTf UCTION AND PLANNING ., POOL h SPA APPROVALS •Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Tempr,-ary Electrical Service or-Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _ 3. Electrical Conduit UtilityUndrgrnd. 54. Forms I' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 'l • 5. Steel Reinforcement56. Rough Plumbing& Pressure Test r • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE . 1 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation _ 59. Gas Pipe, 0 Undrgrnd.,Test - , , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ! 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I 12. Sewer Cap • 63. Heater& Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing f) u107 /4y" 65. Electrical-Final _' 15. Rough Electrical-Conduit J 66. Solar System-Final , 16. Rough Electric Wiring 67. Fencing & Access Approval j - . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.-Rough Factory Fireplace APPROVALS Permit # ' , 21. Ducts,in Structure I • 70. Underground Hydro 22. Ducts, Ventilating, . ' 71. Product Piping OGas 0Oil • 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing • • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe • 28. Lathing& Siding 77. FIXED SYSTEM FINAL • 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing - I • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32..Electrical Power Meter-Final j 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 - - 17: 41 . . • 38. Final Plumbing k24-.4iiL:8 39. Water Service-Final I 40. Gas Service-Final .. 41. Solar Domestic-Final • 42. Backflow Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System - • 45.-Sound Attenuation - • • • 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING. 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date 1001165&BAIRNS: 174 _E 19TH ST WIT: CITY OF COSTA MESA — BUILDING PERMIT _ GNNERS NAME IF MOMMOHAMAL HASSAN PERM NO: M 085613 ApOP .174 E 19TH ST C.M. CA 72b4b PERMIT NO: M 085813 PLAN CHECK NO: N GOVT : N SUPP: N APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: REP ARCHITECT OR ENGINEER: UCNO.: JOB DESCRIPTION : REPAIR DUE TO FIRE DAMAGE • SQ FT: ARCH OR END'S ADDRESS: LINT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTOR'S NAME A.C. i . ( 714 ) 938-1100 cONTRACTORSMNLUIU 1301 E GENE AUTRY WY COMMENTS : REPAIRS TO REAR UNIT REF:B-85811 ADDRESS L1C.C: _8 . _ _ _ itititiixiiililitilivililitiliixxiliiilililitilitililililililivieirieicieiciiiiieitieieixirici'iii'iiieii•iiicieiiicieieieirieieieicicic.iicieiiii•iiiciiiix AINAIN CA Stl47Vb 7L25U7 UNT: ZONING R EQU I R EMENTS ' LICENSED CONTRACTORS DECLARATION:I hereby affirm under peaty of pedury that I am licensed under provisions of Chapter 9 S E TB ACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect • CITY LIC.NO.:0 280 47LIC.CLASS: B LIC. .: 384 EXP: 04 /97 MAIN BUILDING ACCESSORY BUILDING Contractor: � ' FRNT : FT IN REAR: FT IN FRNT : FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT-;-- FT IN RGHT : FT IN WN BUILDER DECLARATION:I hereby Slims under panty• hat I am exempt horn the Contractors License Law for the —� b reason(Section id1.5 Bskhsa end exons Cods:Any county ichprequiresapermtto edmnsthgL alter,bnprove, PAR Y.1NG RE YROV ; PARCF UV UU UUUU REF NO: duh,or repass any structure,prior o its issuance.also requires the:..iunl for such permit to file a signed statement that he or she —_ _ ,_ _ ,__ __V—__ I licenced pursuant to the provisions d the Contractor License Law[chapter 9(commencing with section 7003)of Division 3 d the PLANNING NU 1!r S> &einem and Professions Coda]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section , 7031.5 by and applicant for a permit subjects the applicant to civil purely of not more than lee hundred dollars[S500]). • iiiE il:�.ji ii ii it ii it ii ilxi<ie it ilxiexie it it it it iE it it it it ii iE it*Ye x 'vif•)i ii it:A-W** it it it it ii it it it it it ilxxil it ii il'h itxxxxx;iiix ❑ I.s owner of the properly or my employees with wages as their sole compensation,will do the work,and the structure a not intended `I D E V E L O P M E 1N 1 S E R V 1 C E S It E U 1 it E M E IV T or offered ler sale(Section 7046,Busies and Professions Code:The Contractors Licehe Law does not apply to an owner of propend S who builds or improves thereon,and who does such work himself or horsed or through his or her own employees,provided that such moi^ gi improvements are not intended or offered for sale.N,however,the building or one improvement i°eoM within oyear d completion,the ZONING APPROVED BY • DATE: ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale). _ • ❑ I,as owner d the property,ern exclusively contrad'vg with licensed contractors to construct the project(Section 7044,Business and • v �r ProfessionsfCode:The Contractors License Law does not apply to an owner d property%to builds or improves thereon and who vH U 1 LL 1 NG AY YYCUV tL e1 Y : %.n• DATE: contracts for such projects with a mntrad«(s)licensed pursuant to the Contractors License Law). 7.. •' ,,S 7 --_ _ ATI ISSUED 1l ▪ I sem exempt under Section: B.AP.C.,for this reason: .APPLICATION M.le11UN BY : DATE: 'It'll itIT'---'rye".if it Yr xiF It*It lt'hInk fthxltxxftInt x'Rxx x'h ltxxxxx IF xxf(hxxhxlt'T'xii lf'It lit it'll li'I[it'Iixx x x x xx'R' Data: Owner •LEGALIZATIUN:N F E E S. U M M A -R Y STRUCTURAL S GMENT:N I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and !« future 25534,and that I any ure building occupant will/wnot one)e)need to oomph,with said elate melee and the requirements ler e permit for construction or modification from lM A'r u�ityF nagement District Residential constructionm °ppYions are exemp froms the ' BLDG, PM1 PLUMBING ' ELECTRIC- MECHANIC FIRE SMTP/RES GRADING provisions. PERMIT L5. L5 • Date: Applicant: 25% SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty y perjury one of the following declarations: I S S SSUU ' IE FEE - `r 22 . 00 ' ❑ Ihave and via meida:iacentrals of meant to self-Mewls roc workers'compensation,as provided f«byy Section 3703 of IM Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for tM performance d Dor work I«wild,this prime is issued. .p I have and coil maintain workers'compensation insurance.as required by Seim 3700 of the Lehr Code.blM performance d the1UlALS----> L5 , L5 L2 . 011 ;, V . 00 4 / . L5 47 . L5 . 00 work for which this permit is issued.My workers'compensation insurance caner end policy number are: Carder: STATE ,FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 47. 25 OVER/SHORT: . 00 Polley Number:. 04h-57[1 006245 07/01 /98 • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK {This section need not be completed I the permit is for one hundred dollars/$1001 or less.) 47. 25 El I cents Ural in IM performance of IM wok far whish Chia ren is tssued, shall not mm s in any mannerso as to bomransmn5700tithet0451tottth ecn ubjedto1M� mm satanlaws S0omandagree alauM the °°than° — _—pay perma pen subs weana_ I iv D IV 1 D U A L F E E b t( E A ri U O w W.ming:Failure b aecun mutely'communion coverage . land shall pcten employer to criminal penalties and TYPE QTY D E S L tt 1 Y 1 1 U N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars/$104000),In to We cwt of compensation,damages as provided for In Section 3706 of the Labor Coda,Interest and°tromsy'a/sit. MEC 1 INST/RELOC_ RECESSED WALL HEATER 1_3 . 2_5 13 . 25 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a condmdion lending agency for IM NEC 1 GAS PIPING SYS 1 — 4 -OUTLETS 5 . 5 0 5 . 50 ' performance of the work Mr which this permit is esued(Sedicn 3097.Civ.C). MEC 1 VENTILATION FAN CONN ,TO SINGLE DUCT 6 . 50 6 . 50 • LENDER'S NAME: END OF FEES LENDER'S ADDRESS: • I certify that I have mad this application end dab that the above intonnaton is mire.I agree to comply with a0 city and munty«dinances and state laws relating to boldkg cwuudun and hereby authorize representstivs of this thy to enter upon the above-mentioned property for inspection purposes. JIM 1M POPE 11-19-1997/11:45 pit/$47925 Print Name A ' 1Ole? S I _ a Data: A ` PERMIT:085813 Signature o a r-- ..-•plican WV Or . , (5151-443 WP) While-Building&Safety:Green-File: cant:Pink-Revenue:Goldenrod-Assessor `: ' CONSTRUCTION AND PLANNING - POO, - SPA APPRO!ALS Permit # Date Inspector APPROVALS Permit# Date Inspector . 1 ` 1, Temporary Electrical Service or Pole.' , 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms I .• 4.. Electrical Conduit-Uridrgrnd. , 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing& Pressure Test - 1 -6: Electrical UF ER Grnd. . 57. APPROVAL TO COVER-GUNITE i' 7: Footings 58. Electrical Conduit•Undrgrnd. . • 8. Foundation . 59. Gas Pipe, 0 Undrgrnd.,Test •' , ' 9. Water Pipe•Undrgrrid. 1 60. Backwash Lines, P-Trap, 0 Undrgrnd. l 10. Structural Floor System 61. APPROVAL TO DECK ' . . 11. Property Sewer Line & House:Connection 62. Backwash & Receptor,Flinar:, 12. Sewer Cap - ' ' • - . 63. Heater& Vent-Final . , 13. Roof Drains S- - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final - ,2 1 15. Rough Electrical-Conduit 'I , 66. Solar System-Final j t 16. Rough Electric Wiring - 67. Fencing & Acce'ss Approval � -- 17. Rough WiringSin 1 . , . 9 68. APPROVED FOR PLASTERING , 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '----- 19. Rough Heating & Air Conditioning, //p • FIRE DEPT..REQUIREMENT 20. Rough Factory Fireplace - . • ` APPROVALS - Permit # 21. Ducts, in Structure - . - 70. Underground Hydro 22. Ducts,Ventilatingti < - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test , r - .r 72. Underground Flush , 24. Roof Framing r . 73. Undergrhd.Storage Tank 0 Gas 0 Oil 25. Roof"Sheathing - 74. Overhead Hydro 26. i-Bar.Ceiling (Structural) & Monocoat _ 1- 75:. Dry Chemical ' 27. Frame and Flashing " ,. 76. Dry Standpipe 28. Lathing&Siding ... . r 77. FIXED SYSTEM FINAL ' , - 29. Insulation ' 78. FIRE PREY. FINAL ' ' 30. Drywall Nailing i - it HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED 33. Final Electric,. r, , Notes: - ''j I • 34. Final Heating & Air Conditioning ��� S8 �� j�9j ,cous.J` 1./0 N 35. Final Gas:Pipe-Test (• 36. Hood or Canopy . - - 37. Final Factory Fireplace - r ;" ' • ' r 38. Final Plumbing 39. Water Service-Final : • 40. Gas Service-Final 1. . - 41. Solar Domestic-Final - 42. Backflow Preventer : _ I .. '43. Backflow Irrigation 44. Landscape Irrigation System - ' 45. Sound Attenuation •. '' 1 -• - - • 46. Handicap'Regulations 47. FINAL STRUCTURE&BUILDING . 48. FINAL PLANNING, _f- • 49. Electric Release to Edison C. r ' ' 50. Gas Release to Southern California Gas Co ' , - . • , 51. CERTIFICATE OF OCCUPANCY No. Date • / Applicant to fill In all spaces except those tin heavy border lines and sign all appropriate declarations. _ _ . A C1��9F COSTA MESA' - ! — P RMIT N9 • TRACT NO. ' c LOT NO. BLDG.NO. I • ' . t?J f/71�i)y r • :. E:oU'• T CO4JSTRUCTION PERMIT - : • ' - - , /] - 64/0L1 I '� >q C (9- �t1 •TYPE OF CONSTRUCTION U NEW U ADD IL�ALTERATION U REPAIR • • Applicant's Meiling Address - - •_ Project Address - 1 5/-7'm'O ❑'CONVERSION ❑ DEMOLISill OT"FSR - - t ; ;n rDESCRIPTION OF WORK (T /T� A�0 . Mn L Owner's Name - Y ✓tY - Phone/44C"/�n ' ZONING REGULATIONS Address, /7[/ 'E, /7�L la m ».L 9,z6Z - .. 7, / f • •TYPE OF PERMIT U.GRADING FOUNDATION ❑.STRUCTURAL A.P.* ZONE I Afch/Eng:.- - License No ❑ TENANT, ❑ ELECTRICAL ❑.PLUMBING ❑,MECHANICAL ;PLNG-REF-•ifb- I r I i ; - BUILDING ' Address) - >) - 0,BOTHER ,` ! TO• BUILDING. UILDI UNE . _ . SFTaerr rn CT 4 ; ,' _' ' Contractor's Name (/€,Matt' •Phone' • - 1 PROJECT DESCRIPTION SO. FT-' OCCUPANC REAR YARD(TO P/L) ; CLEFT SIDE YARD , RIGHT SIDE YARD ' Address(mailing) ' - 1 CONSTRUCTION TYPE ' I VALUATION$ ' ' - ' - , ZONJ • GRADING CU.YDS. • •ACRFS PKG.SPACE REQ. I PROVIDED + License No, ' __ - - ' _ LICENSED CONTRACTOR DECLARATION I ! Remarks: ' ' : ' •STREET WIDTH i ' • PARK FEES • i _ I•hereby'affirm that-1 am licensed under provisions of Chute;9 (commencing ' '� . ; - , i � with section 7000) of Division 3'of the Business and Professions Code,and ' ' =0601 T 2 S-7 el? I SPECIAL CONDITIONS: ' _ . my license Is in full force and effect. ! , I - -- , License Class! — 1 ' • License No.' - ; I , I ! _ PLUMBING I ' I I I I :) 1 _ r„ 1 ate•- ! Signature ! Bar Sink I Sewer Cap i • ' ELECTRICAL I 1 I ' i i 921RKERS'COMPENSATION DECLARATION I ! --47areby afflrm.that I have a.Insurance,: of consent to dcop self-Insure or a.certiticate_� .-1,' Backflow Presenter.- .-- • - -Sewer Connection'-•- - ;--- - • - Automatic.Washer_ __ !__ 'Meter._❑oyer 100 am_ ps'_•-;__-•_-_ ,-_ ' ! dr Workers' Compensation Insurance,:or a certified:copy thereof (Section ConstructiOneple i 1 1 ,Sub Panel' ! I 13800, Lab. CJ ' i ' ' ' Backflow Irrigation ; Solar Collectors i ' 1 1 I V ' Policy No. I ' Company ' - - ,-- Cooking Unii!' ) s1 ' BCertified copy Is hereby furnished- i ' ! I ' i ' i Bathtubs , , Solar Piping ' , I Su Certified Copy Is flied with the city Building Division. ! I I , ( ' Dishwasher x' i ' 'Motors ❑ ' Date Applicant- _ _ - _,-_ •: i. I , { I I M b Pol 0-1 HP ❑1X-8 I i • Clarifiers , Solar Tank i EXEMPTiON.FRDMWORKERS'COMPENSATIONDECLARATION 1 Dishwasher I I • Swimming Pool w/Spar I ! , Dryers-❑Gas -❑Electric' , Ina Solari❑9-15 HP ❑16-15+• �� (This section need not be completed If the permit Is for one hundred MOO)or ; • less) 1 ' , 1 • t I ' , Fan, i l Microwave ! I • 1 I I all,not employ In the performance of the work for,which this permit is issued I ! I Drinking Fountains 1 I • Urinal 1 1 j 1 shall.not employ any person in any manner so t to,,b0cme-subject.to the , , -W CI F.A.U. ;Pole.Light f Workers`Corpensetfop'Laws of Califon-0:g �,/0 Y.-�)`i • , I Floor Drains 1 afar Closet, ; ( ; • I s' n' - , ' . ✓ Data ,-II on his-deuce ! //i'r / t d become; l/(i4/f/ I - -- • _. _ _ .. . __ ._.. - Fixtures I• -- _ , _ ' 1 NOTICE:IL-alter making•this.provisions yo ould become;subject to the• , - Floor Sinks .. - -- --,- --Water Heater--- , -: - Range - ,_- _ .- . .- Workers', Compensation provisions,of the La r Code, you emed orthwith 1 1 ; ,� Device Boxes ' ' ' comply 'with' such provisions=or,this'.permit)shall be,tleemetl revoke0:1 ,. Gas Service '',Outlets I Water Service 4 �� j • !Sign, i r i CONSTRUCTION•LENDING'AGENCY i - • ' Outlets I I hereby affirm that there is a,constructlon lending agency for thepertormanca; i I Interceptors 1 -• I a: I -� _ C. I C n- � 1 - i - , Standing Sections I I I I of the work for which.CNS, permit Is !issued •,(Sectioh 3097, Civ. C.), - • - Fender's Name._ - ,,'r, ' '- • r i .. 1 Kitchen'Smk. - ? - > . - Switches r 1 i ; .Trash Compactor { } • Lenders Andress ' fv,A i i = - i I • I _ 1 1 • - Garbage Disposal ' 1 ; � , 1 1 . OWNER'BUILDER DECLARATION- ., '' • • : - , ,' i s, : Lavatories , , - • ' 1 hereby'a/firm that I am'exempt•from thelContractors,License Law for the ) I P Tra 'r I - , `:. <4, Generator, ❑0;5 KW ❑5-15 KW 4. - i s ,1 - 1 I ' • ' following reason ( ices a permit.5 Business and Professional Code: Any city or p• • [tr , , :1 , '.� : i' . , .. . . - , i ' - I;county which,requires a to construct,alter Improve;dem oilshior ermiir ; - - I , TransfoJmer 015-50 KW I 1 ! i cony a Cr:file statement-that he/she is licensed pursuant to the provisions of , - 1 Contractor's License Lawand-apter 9 ons-code) wlth'Section.7000)of • t i � 1 r' 1 ' - 1 ❑5U 1 KW, ,Reinspection Fee ! $15 • "kion(3.,of the,Business and. Professions ption or;that!he/she is exempt ' Showers I ' , Reinspection•Fea $15 '`"_"tafrom and the,basis for the alleged exemption. Any_violica nt of Section ( '- I ' • - Meter ❑up to 100 amps 1 'Issue Feel 1 $ 3 -031.5 byianynapplicant for:a•rermlt subjects,.the applicant to a'civil ' ♦ ' -- — , I _ _ •• �nalty oT not more than five nun•red donors(E500) .� - Service'Sink -1 1 l r_ . Issue Fee ; 3 Zonin A roved ' I - 1 ; >_ 1 I - i _ 8 PP By Date �-- I;as,�own�( of the,propert •- - - - -- - - - 1 - i MECHANICAL i ! • s.o...w.•...U...•dwillttic the work, tl the structure - •e• oro ere0 ,t t Application Approved By ' ! •Date I / ZL/c�3 i for�sale!(Sec on 7044 Business'and.Professional Cotle.,Thel Contractor's „ I I • 1 ! I r I // / License Law does not apply to an'owner of a property,who builds or Improves Boiler 1 ' - 1 ,• Refrigeration System i Application Issued By v �-_'- 'Date • t Z/11 '*3 ' thereon,;and who d that suchch work himself/herself or through his or her own ' I / ' employees, provided that improvements is not Intended or offered for 1 i ❑0-..100,000 BTU ❑'I00,000,BTU, - yDuct-'Under Ground , , [ i pietl, sale. It, however,the building or improvement is sold within one year:of com- , , , . ! • , ! SUMMARY OF FEES ' I 1 I • , pletion, the purpose 11 have the burden of proving he/she did not build or im- I I I i ; move for the purpose of sale)- /; - I •• ; ; i : . Duct-Structural ! 1 System Repair/Alteration I $ SMIP I I 1 $ 3 ! U I,as owner of the property,/am exclusively contracting.with.licensed con- 'BUILDING PERMIT • 1 .tractors.O construct the.project(Section 7044,.Business and Professions Code: -., Duct-Ventilating , .......- j S w 1, ,- I ! :PLAN CHECK f $ ' I I PERMIT 1 1 , ' The Contractor's License Law does not apply to an owner of property who I' I ; builds or improves thereon,'and who contracts for such projects with a con- 1 Exhaust System ❑ Multiple❑I • ( i PLUMBING $ I 1 ISSUANCE 1 • $ I I 1, tractor(s) license pursuant to the Contractors License Law). - -1 1 ! , , GRADING I $ •1 • ❑ 1:am exempt under Section - I B.& P.C.for this reason } i Fermi/Fact.Bit. ICBG#257 j 1 'PLAN CHECK 1 Date Owners I + 1 •' Heating!System& Ducting j I 1 I !ELECTRICAL. $, I r $ ' •-I hereby-certify that-I.haveaeatl-this-application-and.state that•the above,^" -I' ❑6100,000:BTU ❑400,000 BTU -^ - - .. -- (PLAN CHECK! $ , M ' ICROFILM i $ I information is correct. I agree to comply with all city and county ordinances . 1 . 'MECHANICAL $ . co i 1 TOTA L,FEE1 $ and state laws relating to building construction, and hereby authorize repre- ; Hood or Tyne! ❑: 1, ' ' sentatives of f this jolty;to enter,upon the above-mentioned •property for i , CanoPY Tpe II ❑- I I I Reinspection Fee i ' Sr"'' 2, LESS ' t I • Inspection pure r l �.i1 - _ IPLAN CH.ECKj i $, I , � I ADVANCED PC $ 1 • i nature T/ n - i - t _ _ _ - _1 , ' .•_ _ FINAL FEE. $ 1 _ 00 CMF 0865-46 rev.-1i/82 White-Builtling;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor 1:.',..,..'CONSTRUCTION AND•PCANN/ING, , of i - ': 5,',1C` t, °1'0C SPA'( • , ` APPROVALS Permit* ✓el,-re D//` , Date' • ,Inspector ;C e • ' Date • Inspector - _ / l0 ' APPROVALS Permrt# • r irl. remporary.Electricel Service or Pole - -17, c 9 i .:5-2: Pool & EquipmentLocatiop c _- - - 2� 'Soil Pipe-Undrgrnd: Si ;S; EI `'1 • °- u , _ !,531 Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd , - 1 .54r Forms - _ - ` - ' 7-1 4: Electrical Conduit-Undrgrnd ,,,c-.±:.?, l u , . n i" i .,55`J Electrical Bonding! - - . -i . ' , 5. Steel,Reinforcement! I - 43 , 4 c- p1 III i 41 56_Rough Plumbing& Pressure Test - ; 6: Electrical LIFERGrnd.• < _l ' 1 ' q ' ed 57: APPROVAL TO COVER-GUNITE 7. Footin s ' I• - ' ` - _ - ' 9 ! `�_ 58. Electrical'Conduit=Undrorod. , 1 ' 8- Foundation ! i i -i - r • 59. Gas Pipe, O._Undr'grnd test` • 9.•Water Pipe;Undrgrnd. _ § - ; > 7; 'o 1 '160. Backwash Lines,P-Trap, Undrgrnd. • - 10. Structural Floor System .4 0 1 ; ' 'r 8 t I !.61. APPROVAL TO-DECK - - _. 11.1Property Sewer Line &.House`Connection, t &..14 1--- was ac 62. Backwash & Receptor F4ial - - " - - ' 12. Sewer Cap . '- - - 63. Heater& Vent-Final , 13. Roof,Drains , i I I ;' - -64. PlumbingSystem:Final!. _ • - - 14. •Rough Plumbin ai • ¢� 9 " 65. Electrical=Final tt 15i Rough-Electrical-Conduit 1 R f -.171 -' F- -- '66., Solar System-Final- ' - _ - p _16. 'Rough,Elec[ric Wiring ' 1 11 .i-a-,,-;" ,i' l'1,, 67Fencing&AcaessApproval --,- -" _ - 17- Rough Wiring'Sign, : I ^ 'r 1 ' l ` ; I '' 1 '68' APPROVED FOR PLASTERING ' ' 18. Rough-Electrical-T Bar,Ceilingj ° 1 t 9 i - ) I ( � 69. POOL/SPA SYSTEMS FINAL _ f, i 19.'Rough Heating &•Air,Conditionipg I ?1 - , l I I ' FIRE DEPT. REQUIREMENT ; - • 20. Rough FactoryFiriplace t0 1 I ! + ' "1 ' APPROVALS Permit 44 1 21_ Ducts, in Structure; ;I ' i I I I 1 70. Underground Hydro 22.,Ducts: ;Ventilating _ i t ( i 71.. Product Piping O Gas CI Oil , .• ;: 23. 'Gas•Pipe-Rough&Test -- I ,. ..II:,;' 1 I 1 I j , •72 Underground Flush' ' -24. Roof Framing: ; ; ! a I ' 1l1u fin, I 11-. 1.,+: o, ,, I - :73.! Undergrnd-Storage Tank O Gas,O Oil ' ' o ' 25. 'Roof Sheathing • , '' - ;In lI ' I ; I .: l 1_ I'I _ ,74 ' Overhead Hydro f , • S , 26. T;Bar Ceiling (Structuralli& Monocoat' i 'i ^ ' &1 - ; `I ' . 75., Dry Chemical - - • 27. Frame and Flashing- 4 , { I ^ - ,'. 1 •76. Dry Standpipe - ., - ; 28. Lathing&'Siding! ' = i I' .1 I I i i 5 1 .77. FIXED SYSTEM FINAL • _ 29. Insulation -. ' ' `. ; t II it I I I I ' .78. FIREPREV. FINAL 7; ,30. 'Dryvaali Nailing . '1 ''I ; I 1 . .1! l' 1 1 i I Notes: . ' - 31. Plaster•Brown Coat: ' , li . I I 1 _ 1- , . • I I t ' I I i ' ' ' ' 32. Electricsl'Power Meter-Final II , i 1 I - • i I 1.....2 , I I 1 14 33. Final Electric I ' I ' + , 1 34- Final Heating &'Air Conditioning ii 1 I I 1 1 1 1 ; I l 1 1 , 35. Final Gal'Pipe.Testi ` ,., i ‘ I - -I =iI'" '`' l - i-S1, ' ;( i - '14,G:. 1 - - 36. Hood or Canopy,'. . I , i 1I p : 15 i t 1 ij I : 1 - l '. ' . , , , 1 _ 37. Final Factory Fireplaces 1 ).' 1 I , II 0 - - 38. Final Plumbing 1 i i 1 •:I 0 1 . 1 r I I I ' 1 I . ; j H--- 1 39. Water Service-Final' I ! ' l it 1 I • 1 HO l I ' 1. I :.4 , 40. Gas Service-Final I i i I I „ I ' I 1 I 1 i 1 , i I I •„ 41. Solar Domestic.Final 1 I I II I ^-r_4__4 I {- ,- -+ --t ' F 1 42. Backflow Preventer , I i 1 I ---- - -- ------H -- 1 _ ' . - , . '_ , 43. Backflow:Irrigation i-l I I l.•i` : I'` I `:I l : i - ' - a 44. Landscape IrrigationSystem 1 ( r?1-• .r2 11 • I I I 45. Sound' Attenuation ' '1 I t I I 11 '1 i ; 1• I {:1 I I I I , 46. Handictp Regulations ! 1 m I ' 1 It 1 I ,a I of { t 47. FINAL STRUCTURE & BUILDING' 1, I 1--,-.d it - ' , I 48. Special Requirements Completed' j 1 1 v 1 .2:: I i { 1, . 49. Electric Release,to Edison' I I Ir 1.!......4_.4. .44I . .(_ , ___i___i---r _ . .._1 1 ., . 4 4 50. Gas Release to Southern California Gas Co 1 I i 1 I I I j 1 .- • • • 51-'CERTIFICATE OF,OCCUPANCY 11 ' ___i___i _ i__1 . - ' . ' J, P. No '' ! Date i : 11-- T I 1 -. `t Costa Mesa Building Department APPLICATION FOR PERMIT ,..,i eic. 111 EAST COSTA MESA20CAL1 Oth ERNIA ET V 1.019 BUILDING 1 i FOR OFFICE USE ONLY t FOR APPLICANT TO FILL IN / [/ � ce/pt No. Permit No. Ouildin Address / 1 V . iqW 14' , �� I /O 01 Costa Mesa, California Received by Date Rec'd. Date Issued Nearest /� /a `3 �� 'y �� Cross St. d.)h_4.0 rn (21/—/.� Building K U Address Owner Costa Mesa, California Mail / C AddressI "7 ti (o C . �7 lei Nearest Cross St. City (#11L-4,7-4. Yf�I P.A C.. No. Zone,4 I No.of Plans I Type ,// I Group Architect or Lic. Y— [/ Engineer No. Approved by Date -ldress CORRECTIONS /� City tic. _..ntractor ( GJtsv. No. tem Address Description I No. I Block I Tract s (Attach Metes and Bounds) Eli /,ate. No.of Bldgs. << I _"' Size of Lot I Now on Lot O M Use ofNo.of No.of Existing Bldg. I Families I MA Rooms 11� - . Setback Line from Rear Yard AR "' 0 lsgs Z Center of Street Side Yard D' DESCRIPTION OF WORK I 0 CIIi r � 00S14 ES New I I Alteration I I Addition Repair I I Moving I I Demolish I Building No.of Size Rooms Stories :riot Wall I ✓/ APPROVALS Roof _ tering ' Covering Use of New Building A. , � Foundation Location Inspector Date Forms,Materials, / Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext with all City Ordinances and State Laws regulating building construction. Signature of CRANK BROC. ROOFING CO. Plaster, Int. Permittee Plaster,Ext. Authorized Agta.e>A/ Masonry Reinforced Valuation Permit Fee $ d a Plan Check $ - e- 0 1 Bond Beam $ 75/ al Fee $ /, 6-D FINAL FORM 204 0-H 2M 5-54 14 • �".. • 1 m c y . .. ' 6 J 0 6 _ 0 0 �.• • ,.• r.. , : . Street - • u PLOT PLAN , Show location and distances from • :1 ` property line and between buildings. t _ . _ . _ _r _ _ _ - -- • 7 . ` , Costa Mesa Building Department APPLICATION FOR /PERMIT 111 EAST 20th STREET 2037 BUILDING 1 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN • FOR OFFICE USE ONLY Receipt No. 1 Permit No io Building ` �1 ir Address / i '/ .t.- /7 , ;/ . ..2.0 / • Costa/) Mesa, California Rece' d by Date Recd.VIII Date Issued ./ NeC'oss$ l%rf�n/ !:- Bui ding l�o�7'� J I�Q—,,17•-•C Address Owner /y ,k-. /4 .4 7 C 14 Costa Mesa, California Mail Address /%.p jer i? c,r Nearest Tel. Cross St. City Circ/T /4/• 4.,1 No. Al 0 NE zone," I No.of Type ,/ Grouper Architect or Lic. Plans [� Engineer No.' Approved by Date tress CORRECTIONS City Lic._ Contractor '.---FN I;' No. _\ Address 172-/ /% .` �7 / .1/4"\,.....„..1/4"\,.....„. Legal Lot I \ Description I No. �I/Block I Tract ` `�\ Y1 (Attach Metes and Bounds/1,r,r• ��/&3 �"6o 1[� h \WS_J i No.of Bldgs. -1 F1 r Size of Lot S0 X I . t-O I Now on Lot d-' ' (AL- Use of I FNo.ofamil I �No.of 1/ , V,2193 70 r Famil Existing Bldg. µn An ies Rooms T wag?, N B Setbackntr from Rear Yard.. 7' /ar (\ t Center of Street �.�9 ole Side Vard ,.�—ruff ���� DESCRIPTION OF WORK E Cr New X I I Alteration I I Addition I _ Gc\(y 0 -e7,72.) Repair I I Moving I I Demolish I C t �j�p�� e .• Building . I u No.of /� X 7 Rooms / Stories / erior Wall Roof — covering ,CTOC e n I Covering eta t. la , APPROVALS Use of Build nNewg RE13 Pnr' Mj'f''// /�-• Foundation Location Inspector Date • ^"^^� Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construction. Lath. Ext. Signature of Permittee A,il. 7�� Plaster, Int. Authorized Agt. �7 Plaster,Ext. Valuation Permit Fee $ p , 0 61 Masonry Reinforced (/ v_ Plan Check $ /. 0 r Bond Beam $ f Total o O 7 Fee $ FINAL FORM 204 S-BP 2M 6-55 4 -J Y n J �J � d a a OCT 27-55?U fiffi911a 4•a4i:d9.00 -- L . . • . Street /? Sr PLOT PLAN i Show location and distances from - .. property line and between buildings. • • • - .' a 29072 SEP -9OM 095* **** -68----"woo 63.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 02626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING C, - For Office Use Only ADDREBUILDISS NG /74 C �/ fh J/• RECEIPT NO. PERMIT N // COSTA nMESA. CALIFORNIA'./ (Q�0�� OWNER A61 '*s. �{N• L klaser _ R[C[IY D.T R[C[IV/q, /�pATe l/eU[q�. 1 MAIL BUILDING y/+Y C/C/. s ii (7/A. . / ��.1 ADDR86B 569 4/ /9/4 Sr. ADDRESS FIRE E . / - :����T ` TEL ZONE-•-' 7 -i�`.1 M cm eaS'T,a Mea NO. TYPE GROUP-1 IHITECT TEL 525 APPROVED �,/,{�'�//�j C�..6� ENGINEER tar Ter/oe NO. f97��J BY ,/ J/ DATE / / r CL ADDRESS /925 h/. ,4 arE,e ACE. / ZONI G i �` ZONE PLANSNO. USE DI NEIIr r 1 BUILDING CONTRACTOR STaA/co ayes, Atc, �' }— (4,--- pu /� DESCLQo(' < Q 1 r 171. hfA ADDRESS /0666 G�ESTM//V7//TE,Q �✓E. DESCRIPTOR q c CITY 6.-love/ 6RO✓•E1 l-Bhi" AP.NO. ti 0 '- OJ/"' O 6 Li-.»> NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE 2 29It Tit 37-O 9 p0 OO'TO SIDE B REAR P.L LIC.NO. �O G Ole 9J JO '/ HAVES n. (,,,yam A • 6IZH ( NO.of SLOGS. ALLOWED XA !"- (U..B.C.REQUUUIIRRRHRiNT). �O /� LOT )/ y USE OP X / NOW / YARDS APPROVHD4.1 YARDS APPROVED EXISTING BLDG. S//ItiC.E .&A/. KES. MAIN BUILDING ACCESSORY BUILDING {PoC •, r7•, r7 FT.�4`J SETBACK LINE FROM rO REAR YARD ADMw (4�0 �. CENTER OF OF STR[ SIDE YARD I LEFT /77 I RIGHT 7 / R.SIDE 5 Fr. (' PT. DESCRIPTION OF WORK L SIDE /1l . PT. C..... n. a, I/ ..tW /\ ALTERATIQN ADDITION REAR /0 Fr. "_ " /y n. DISTANCE BET. BHT.MAIN e REPAIR _MOVING DEMOLISH MAIN BLDG'S. ACCESS.BLDGS. BUILDING NO.OF Ar 6 yi% .S• ROOMS �JS�TORIIES I. C.UU.P.# �J APPROVED 1 1J EXTERIOR WALL/ ST I COVERING �GG1�1S et ROVED I/ /�// / AT! �// S -O COVERING /IAV JJj� USE OF BUILDING AND WORK TO BE PERFORMED (r M 57A/642 F4 1, RES. m L;Agre• 5:,C2. iA.69 P47144/E0 a€. 935-`71-80.FT. -310 o T I HEREBY ACKNOWLEDGE THAT I AVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE ?CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. N1 PLY WITH ALL CITY ORDINA •• AND STAT[LA REGULATING BUILDING CONSTRUCTION. VALUATION /^ /, wD SIGNATURE OF ,Ay.�A PERMIT FEE $ T�L/I/•(/lJl7// PERM ITTH' .. =.• / I/V �/ /Q.n w $ (�� PLAN CHECK $ (J(/ AUTHORIZED AG_ $ /ICf�•� TOTAL FEE . 29073 SEP -4-68A—sp • oo 096 Taao*3.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020 For Applicant to FlU In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING /71 E /9/15 Sr" For Office Use Only ADDRESS RECEIPT NO. 060.7, so COSTA MESA. CALIFORNIA (//� �/ / / - RBCEI 41-Syr - • R�E• (y • T8105 p/ (� OWNER/Wk.. oks. ,E M /00C//.�2T Ea. / ! — /.0 r-'- AV "V BUILDING /'�' / /Q L/��J�'c/, t MAIL ADDRESS 5-6y y/ /y /� sr ADDRESS / /7 �` // 7' `O TEL ZONE RE �F TYPE I/ GROUP CITY as-net M,Es.0 NO. N\ I APPROVED Q V /� en ;HITECT T!L BY DATE / (/l ENGINEER NO. ZONING ADDRESS A QQ `, mns'-Z PLANS --I BUILDING EW /•lt'ti CONTRACTOR 5T'4A/LO /JL,L'i2s .4 G- / -{-�/ LEGAL //C/l�+oy- /-I 2' ��GJ /! T/ i. ADDRESS /.0‘66k#sr41/11/577647 /,E DESCRIPTION Dirt 6-4/2/7a-A/ 67/Z0 VEA.P.NO. // 9 //J�� L� �j }pQ NOTE: NO RAVE OVERHANG SHALL BE LESS THAN LIC.TNO. GO 27g/ NtS3 -63 30"TO SIDE a REAR P.L SIZE I NO.Or[LOGS. 2 ALLOWED (.U.-B.C.REQUIREMENT) .... OF LOT NOW ON WT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET/ SETBACK LINE PROM FRONT FT. � CENTER OF STREET REAR YARD SIDE YARD I LEFT I RIGHT R.SIDE FT./J'/� PT. DESCRIPTION OP WORK L•SIDE /FT. Fr. .._W TERATI N ADDITION REAR ✓ PT. PT. X DISTANCE BET. BET.MAIN e REPAIR MOVING DEMOLISH MAIN BLOWS. ACCESS.BLDGS. BUILDING /.T / NO.OF VAR.# DATE SIZE 2O ROOMS STORIES C.V.P.# A/ APPROVED EXTERIOR WALL I ROOF APPROVED J D '7--V`f/ COVERING COVERING BY L( (t w.. DATE USE OF BUILDING AND WORK TO BE PERFORMED Imo- S. W zE.tioc/shi 6 4e 1 SQ.FT. I HEREBY ACKNOWLEDGE THAT{.NAYS HAD THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT TN[ ABOVE.! COR AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDI STATE WO REGULATING VALUATION i BUILDING CONSTRUCTION. SIGNATURE OF (� PERMIT FEE $ 5•� PERMITTEE /) w $;oV PLAN CHECK $ AUTHORIZED AO 3 TOTAL FEE 5 �' ` • 30 1 72 APR 25-65� Sa001433 0***:�*5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Compl:rely �4 - /f/_ t to C DATE ISSUED ADBUIDRESS /LDING •77(( 1L-� /��/s T I! s i1 9'01 S"✓/ /7O 4 ! t� c// / Won- OWNER ((((�`// N � �) �aC MAIL /� '/ • ADDRESS 44 '. i {' // � ADDRESS _ Z 7 W W • TEL. '7a U CITY Cn.���1/42C NO.046/ l ii j BLOCK Z ••� CONSTRUCTION A l O N LENDER yN/✓�� �� _//� • ll m .^ .Gf-Gf.t/l.- J 7 BRANCH L. OWNER 0- ADDRESS l -/tet / VALUE _` [D TEL. S la $ t !� J Q F. Ur N• ,� U N dad(m ADDRESS0_ lirl AP�u rv � Lu J D CONTRACTOR c7 I•l � s� ' BVPROVED rStra C.L. co z JJ m C ADDRESS, do 9/}' .',ll' d f. WWTEL.rq Z•• E NO.OF USE OF NEW z F CITY SSI L CUM NO.J JJ'4/{6 , .. 1....-- PLANS 7/ BUILDING W O STATE CITY / " • -• ' • -• v)CC LIC. NO. f,rr2/-G LIC. NO./ 7I, o MAIN BUILDINGACCESSORY O O SIZE `, ..s NO.OF BLDGS. IFF[• 19OF LOT ...‘a_R � Z®r1 � INOW ON LOT •• USE OFy C EXISTING BLDG. / R.SIDE TL) ..Q FT I— SIZE OF NO.OF •4/ Z NEW BLDG. ROOMS STORIES L.SIDE _ FT. /_ Q EXTERIOR WALL ROOF U COVERING COVERING /Jr FT. I US BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& .... ‘ //� MAIN BLOCS. ACCESS.BLDGS. Q a ' e_- -/ /[� 1"f.t DATE 0I— T4O "(/yvf / W APPROVED Cd, 09 W ••TE 2 0 UI hereby acknowledge that I have read this application and state r that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of CO the State of California. 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 5 Chapter 9, and that suc• icenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Is R am exempt from th• • sions of the State of California Business VALUATION and Professions C••= • sl•n 3•C•-•ter 9. < - N /l/' PERMIT FEE $�1 / Signature of / y„/,S n ////// --- D• Permittee l See./ $ , 9 11, PLAN CHECK $ E LTJ ti /—v o LL Authorized Agent TOTAL FEE $ .