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Home My WebLink About950 BAKER ST - Building PermitsOWNER BIDDLE DEVELOPA4QJi' pq�lpqNy DATE 4-19-79 JOB ADDRES$ 95(1 12akar SYTPPY BUILDING PERMIT NO. 47903 AP Ne. INSPECTIONS SOIL GAS W�iER ROUGM PLUMBING PROP. SwN. LIHE J HOt15E SPRINKLING SYSTEM MISCELL�NEOUS ROUGM ME�TING �NO �IR CON TEMPOR�PY SENVICE OF POL UNOERGROUN� � POWER ROUGN WINING TRENCMES FORMS FLOOR SYSTEM BOND BE�M �] STEEL RE SHE�TNING FR�ME �ND FL�SMING L�TXING - IN �J OUT [ PL�STER. BROM'N CO�T TRACT SUBCONTRACTOR HE�TING. VENT., REFAIG. �NO �,�„ FINAL PLUMBING. FIN�L �NO WS TEST (� ELECTRIC. FIN�L � " _ • �_ (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 950 BAKERST Suite: Vicinity: ROOF, POOL HOUSE PrimaryOcc: U1 Parcel Number. 4i8�8i58 Appliwnt: MIARTUS, SILVESTER Address: 73100 GILBERT STREET Type of Construction: V-N Zoning: Status: ISSUED Applied: 06/21/2006 Issued: 08/07/2006 UNIT 16 Phone: 714-537-9331 ISSUED BY: GARDEN GROVE, CA , - --� ' � . , _� 2ip: 92644 -, �,��-'=�- - -_- - - -, �-�i-� � - �.�� Owner. SOMMERSET�CITIHOIVIES �� - � � � Address HOMEOWNERS A�SSN � � `- � ' , . � �' . / J��", .,\ ; �\. NEWPORPBEAOH, CA, _ ` � ' - , Phone:r � �� , : `, � �� ; A �. �, 3848 CAMPUS DR SUITE 116 � Zip 92880 � i � � A � � �; i�� '. � � � , -_- � -'� � �� --. � Contractor , SILVESTER�MIARTUS � � �- ��;�� `��,�� i\�\ Address �13100 GItBERT,STREE7 � :� � � � -A�� , � �� i � UNIT16/�j��/ % Phone: 714-537-9331V��C�� / � /� �VA� �� GARDEN GRO E;-CA �� \ j � � \�\\ .�Zip: 92644 � ' . / License: 709908 V � � � �� \ �,.fi/ /._ �� 'r\, �. � �A�cri :� = ' ,'� '� ' Eng: ROBERTSON; ACEXANDER-A \�,. � AddressV � � ��,�,, i , Address: 19744 BEACH BLVD\ ��,� . �� - � '��. �, i ,/ i.� „/ , \ ."i �.� ,, _ Phone: � �� SUITE 431�-� �- ' � .•Phone: 949-574=9220 , i ,� � j ." - � � � -'�� , ' / � � � � HUNTINGTON BEACH, CA �_� % � �` Zip: ; �� , _ License: - �f .. 92648��. ( , �License:-:26368 � � ; j�' - � 'j ��.� . ., � � . , ' - �.' � , , . _ _ � SCOPE OF PERMIT , ,Ai, ��A. ,. , TEAR OFF EXISTING�ROOF,AND TRELLIS FOR COMMUNIN POOL BUILDINGS FOR "SOMMERSET-CITIHOMES". REFRAMEAND�REROOF ; � EXISTING BUILDING:' j `"` �� •�.�'�'� > >: � � � � �` � � :; / .. _ . �-� �� . ' " � �, � � ' ' i > r: = - FEE��SUMMARY . �� ' ; � �-�� ;r. � � � Plan Cheok � � , $208.81 � ��, ; ! �', '� �� , � �%' �r' � �"_ ��• � �,Y�' � .��'Calc Valuation. , , gzo,000!oo Permit:. $321.25 --- - - = - _ - � � � `. Glaim Valuation: ; _`. 320,000.00; � � �,SMIP�Res:'�� $0.00 ` �' � � ,. -� ..,, �� SMIP Com �� $4.20 �,�--� � ,;,'� � � �, � - �� Other�''� $0.00 _ _=f`-,�� _�� j -, , ��.�, � `��, Inspection:��;�- $0.00 �' ..- - -_ . - � .,' , ' � ` , � ` , � � i/ � ; � ' �' % 1\ CTot\\�\ \;`$534.26 V/ ' • � i%% /�,`�\ � i� �, � '�' � � `% � �' � PLANNING & ZONING . '�%/ ,� J � � SETBACKS� �� ' '�' � � � � � � ;;Y-�,., . �; , � / , . � MAINSTRUCTURE-Front��-0-0 Rear� �0•0 _ Lek� 0-0 Right 0;"0/" i�� V�� \ .. � ��:, ir,. ...�- " ' ., = i= %ii� � 5 :/ � ACCESSORY Fronb 0 0� � _� Rear 0.�0 �' � -Le8 0- 0 Ri ht �%0. 0 �' �� •�•A 9 -• j� ��V / � � ��P� �. " �' �� . . , �oi • . ` . '.�!�, �� . � � �� A !, , PARKING� �� Exis�ina:/� 0�� Re uired 0� Pr000sed 0 .- � ../� � i '` �' � i .' � \P � � .� --' � ��:�' '�•� %i / ��\��/ ��`� �.,. : , �Vi�/J / f� ^� _-�� - ��-. . �" �V j�i �l�l /� �. � .J �� - �_ .► • � �� . � �� \ v /' �� L�\ ��i ��`� . — ,.� � ',� �.// , ' �'_� �� . � , _ i i ' . - � � � � =' / . � . � - - � , -�;' �� - -� _. . . . . . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statules and related regulations. (Ord. No. 92-28, § 1, 12•21•92) E%PIRATION: This permlt shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or ebandoned for a perlod of 180 days. INSPECTIONS: In order for the work aulhorized under thls permit to be considered legal, auch work must comply with all applicable codes, and all requlred InapecGona end tlnal epproval must be obtained. Failure to obtain inspections and final epproval will result in lhe expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545828 zusre (e�ool •'..-- WORKERS'COMPENSATON DECLARAnON: , '� I hereby efllrtn untler penelry of perjury one of Ihe tollowing decleratlons: � - . � ,�, I heve end will meinteln e certiticate of consent to selt-Insure for workers' compensatlon, es pmvitled For by sectlon 3700 0l the Lebor Coae, for ihe peAortnence of the work for which ihis pertnit is issuetl. � I have en0 will mainialn workers' compensation insurance, as reqWreC Uy section 3700 of Ne Lebor Code, for Ne peAortnance ot Ihe work for xTich ihis pertnit Lv issuetl. My.warkers' compensetian Insurance carrier end pallcy number ere: ,.. .. /6, �3 � � Eame�r'y'��f ��D dityNumbar.- L [� I certify Ihat in the'performance of ihe work for which thls pertnit is issueQ I shell not employ any person in any menner so as lo become subject to the workers' compensetion laws of Celitomie,§[�d egr Ihat if I should become subject lo the workers' compensation proNsians of Section 3700 of Ne Lebor Code, I shall forthwit� comply with ihese provlslons. //�� O� ^a� �� ApplicanYSig� neJtu e: � Date:' � e:,t:. i WARNIN�: FNLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHML SUBIECT Ml EMPLOVER TO CHIMINAL PENALTIES AND qVIL FlNES UP TOONE HUNIXiED TNd1SAND DOI.L4RE (5100,000). IN ADDliIIXJ TO TME COST OF COMPENSATION, DMMGES AS PROVIDED FOFi IN SEClION 31080F THE UBOR CO�E, INfEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I here�y eNirm that I am Ilcensed under,qrovisions ot Chepter 9(commencing with Sectlon 7000) o� Dlvlsion 3 oi the Business and Professions Code, and my Ilcense Is in full force'eiW elfect Lic: 8 �Q i�1�� i� �� ass'n. asoy:.,_n , Cunt�iecto�l.s�Sign�e: „�L-_ � Da��^^-� ^O%C'X' CONSTRUCTION LENDING AGENCY: ❑ I hereby effirtn that ihere is a construction lending egency for Ihe pertortnance oi ihe work tor which this pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Nema: . _ __ _ . _ ._ . _ _ _ LentleYs Atldress: _ . __ _ ... _ . . Signature: OWNER•BUILDER DECLARAT10N5: Date: I herehy ettirtn that untler penalry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS-LICENSE LAW for the iollowing reason (Sec. 7031.5, Business end Protesslons Code: Any ciry or counry which requires a pertnit to construd, alter, improve, demolis�, or repair any structure, prior to its issuance, elso requires the epplicant far such permit to file a signed stetement ihet he ar she Is Ilcensetl pureuent to Ihe provlslons of Ihe Conirectors Llcense Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of Ihe Business and Professions Code) or Ihat he or she Is evempt therefrom end the basls for the allegetl exemptlon. Any violation ot Section 7031.5 by eny epplicent for a permN subjects Ihe epplicant to e clvil penalry of not more then five hundred dollers ($500).): ❑ I, es owner of tha property, or my employees with wages as their sole compensetion, WILL DO THE WORK, and the structure Is not intendetl or oftere0 tor 9ale (Sec. 7044, Business and Professions Code: The Conirectors License Lew dces not epply to an owner of property who builds or improves thereon, antl w�o tloes such work himseli or herself or ihraugh his or her own employees, provided Ihat such improvemenls ere not Intended or ottered far sele. It, however, the builtling or Improvement Is sold within one yeer of completion, ihe owner-builtler will have the burden of proving �hat he or she tlitl not Duiltl or improve tor Durpose of sele.). • ❑ I, es owner of ihe properry, am EXCLUSIVELV CONTRACTINO WITH LICENSED CONTRACTORS to wnstruct ihe project (Sec. 7044, 8uainess end Professions Cotle: The contractare License Lew daes not epply �o an oWner of proDerty who builds or improves ihereon, and who contracis for such pra�ect with a wmrector(s) license pursuant to the COMracrors License Laws.). ' ❑ I em exempt under sec. Business antl Protessions Cotle for this reason: SlgnaWre: Date: Owner ID verNled by tlriver's Ilcense. ❑ Yes ❑ No Drivefs License No. Vedflcetlon oi Ownership by (type ot dceument, i.e. - properry taa 6ill or deetl): Expires: DIVISION OF INDUS7RIAL SAFETY PERMIT CEHTIFICATION: ❑ I hereby certify that no excavetion tive (5) or more feet in depih Into which e person is required to descend, wlll be made in connec�ion with work euthonzetl by ihis parmit, and that no building siructure, scafFoltling, falsework, or demolition or dismantling ihereof, will be more then thirty-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, 7ltle 8, Celifomia Atlministrative Code). ❑ As owner-builder, I will nat employ anyone to do work which would require e pertnit from ihe Division ol Indusirial Salery, es noted above, unless such person hes e pertnit �a do such work from the division. Signeture: Date: Division of Industrial Safery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF ENTAV: I cenify under penalry of perjury that I have read this applicetion end slate that ihe intortnetion given Is cortecL I agree �o comply with all state laws and ciry ordinances relating to building consiruction, end euthodze representatives of Ihe Ciry of Coste Mesa to enter upon iha ebovadescribed properry tor inspection purpwes. I eqree not to occupy or ellow occupancy of any builtling authonzetl by this pertnit until final inspection. COUE !1. INSPECTIONTYPE 1616 Fixed System Final Fire Preven�ion 1266 200 201 202 203 Pool Spa Final Finel Re-Roof Flnel Block/Retaining Well Flnel Factory Pire Place Final Sign 204 Finel Demalitian DRTE � 206 20B INSVECTIONTVPE Final Mechanlcel Finel Plumbing 210 Final Electrical 212 Flnel Fire Preventlon 220 Flnal Planning Approval 222 Final Site 250 Final BuildinglOccupency .�-07 — 0� Date � —' � ➢AIE II�L$ � CITY OF COSTA MESA �,\ . , svao►N� oms�oN 77 FAIR DRIVE, COSTA MESA, CA 92626 •. (714) 754-5273 • Fax (714) 754-4856 • wewi.ci.wsta-mesa.ca.us _ . FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER E07-00667 PERMIT TYPE ELEC STATUS: ISSUED _ -DATE ISSUED: 07/12/2007 . " �'� �"''`-' • - ISSUED BY: SOK .�y '- , . - -f - .� i - `_ _ i � - t -. , . ` a r � . JOB ADDRESS: 950 BAKER ST CM , �- -�Suite%Untt.l ;;= , Viciniry: , �E t „�r K � - � r , c �. ' . . f q� '��;" � � :ir. .... -y � �r.p v r�� : �' ° , �r�„�3 SCOPE OF WORK: TEAR OFF;EXISTING ROOF`AND TRELLIS FOR COMMUNITY POOL�BUILDINGS FOR�"SOMMERSET CITIHOMES". REFRAME AND REROOF EXISTING-BUILDINGaREF.: BO6-00994. ELEC INCLUDES: REPLACE 2 LIGHT FIXTURES AND 1 SWITCH. OWNER; PHONE: APPLICANT: PHONE: � ��.•�• ... , S ., �: . 1 : "i.. � .l��r 'w'.:, F . . t. _ }Y i 1 f v.l . , ` . ! - j � : J � • � . ' . �• SOMMERSET;;CITIHOMES;�` � - -' �'}�Address: HOMEOVJNERS ASSN. Unit:NEWPORT BEACH, CA . - r � •. � ' r:, :_... _,; , R �'� , ;� . .4�,�^.. ,� �_�,', f;:T;.�.;,,,i„Ciry/State/Zip:�� 3848�CAMPUSDRSUITE116 . SILVESTER-MIARTUS, ��- - - Address: 13100 GILBERT STREET Unit:UN1T 16 714-537-9331 �� City/State/zZip: GARDENGROVE,CA� , � ' -�i . . .. .. . , _ ... q. i, r -. -. 1 y � . � . '_ . . �_ , ... - CONTRACTOR: SIL � Address: 131 CitylState: , � GAI Electrical Permit Fee: Reinspection Fee , TOTALFEES ;TUS � � -� � � r` - .€ �_ - � ' License No. 709908' ' . - REETUniC UNIT 16 �� - PHONE: -.714-537-9331 . A ZipCode 92644 . ' ,,, CELL: - � .. .•'i, � �. r.+,,. ,,., , . ..,� , . � . _ � ;�i��." -'.r' '�.. . `-, - r =S '�a , ,, � ; t. $o.00 - - , "-�' ; . ;$26.80 ; 6--��_ _ - _ �;;-� $0.00 ti-.� • � c y $26 80 > >.. -_ . - , : ` .- . , `, ` y:, ,_ •, �: �+.. 4 I.it� ` ".��'�r . i Xq ' . , �d',.-., _ . .. NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regutations. (Ord. No. 92-28, § 1, 12-21•92) - � , EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OP LAST INSPECTION. � � � INSPECTIONS: In order for the work auNorized under this permit to be considered legal, such work must comply vnth all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections �and final approval will result in the expiration of this permit. �QOEp• INSPECiIONTYPE �$,� INTITIRLS COOE1 INSPECTIONTYYE �� ' � QajE � IN7IlIALS i. 1876 Fixed Systam Final Fire Prevention- ' ' 208 Final Mechanical 7286 � Pool Spa Final . . 20B Final Flumbing �� 200 Final Re-Roof -' 210 Final Electncal 207 Final Bbck/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 - Final Planning Approval 203 � Final Sign Final Demolition 222 Final Site 250 FinalBuilding/Occupanry WORKERS' COMPENSATION DECLARATIO� . I hereby aKrm untler penalty o! perjury one o( t tol owing declarationsi ❑ I have and will maintain a certifcate of consent to selbinsure for vrorkeFs'' compensation, as providetl for by section 3700 0( the Labor Code, for the pertortnance of the work for which thispermit is issuetl. . . . ��.� . I have and will maintain workers' compensation insurance, as.required by s tec�lon 3700 of the Labor Code, fw lhe peAortnance of Ihe v.ork fw which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: �y-,��—� � O Carrier°�V�V �.v✓� �r/�� (ihrs secfion nee0 �pf 6e canplefetl A�7Ne p�e—rmprt is valued at me �undredOdlars (5100) a less ) Policy�Number:'-• +%6 y�( �1 ! � �=�_ �—I certi/y [hat in the peAormance of the vrork for which [his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that if I should become subject to [he workers' wmpensation provisions of Section 3700 ot the Labor /C�gd�� I -shLa�ll —forthwit m I vnth these provisio-n7s. C3�' ,�� 0/ �� qpplitanCsSignaWre� _y �ald' ' �6i ��y� ., WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: I hereby aHirm lhat I am licensed under provisions o( Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Fnull force antl eHect. Li #,��- .i 0� Class# � �^� �712��% ContrdctorsSgnature�—� Date,�,,. }.....a..i ,;,-. CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the peAamance of the v.ork for wfiich this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrtn lhat under penaNy o( perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW fo� ihe follovnng reason (Sec. 7031.5, Business antl Pro(essions Code: Any city or county which requires a permil lo constmct, alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signetl statement tha[ he or she is licensed pursuant to the provisions of 1he Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecls the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered tor sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does not apply to an owner of property who builds or improves [hereon, and who does such vrork himself or herself or thmugh his. or her own employees, provided Ihat �such�improvements are�not�intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she � did not build or improve for purpose of sale.). ' ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The conirectas License Law does not-appiy to�an owner of propetly who builtls or improves ihereon, antl who contrac[s tor such projecl with a contracta(s) license pursuant to the Contractors License Laws.). � � ❑ I am exempt under sec. Business and Protessions Code for this reason: Signature . Date, , 305]-a6(3/0]) Ovmer ID venfetl by drive ,se. ❑ Ves ❑ No Driver's License No. Expires: Verification o( Ovmership by (rype of document, i.e. - property tax bill or deed): DIVISION OFINDUSTRIAL SAFETV PERMIT CERTIFICATION: . ❑ I hereby certrfy that no excavation !rve (5) or more feet in depth into which a person is required to descend, will be made in connecibn vrith work au[horized by Ihis pertnit, and ihat no building structure, scaffdding, falsework, a demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2. M 2, Sec. 347, Ttle 8, Califomia Adminis[rative Code). ❑ As ownervbuilder, I will not employ anyone [o do work which would require a permit from Ihe Division o( Industrial Safety, as noted above, unless such person has a permit b do such work (rom lhe division. Appliwnl's SignaWre Date Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or luture building occupant need to fle and certify a Business Plan for emergency response to release or lhrea[ened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Cos[a Mesa Fire Department by every Dusiness which has al any one time during a reportetl year a quaNity of hazardous malerials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cuhic feet of compressed gas at s[antlard temperature and pressure). 2. Does or will the applicant or present or fu[ure 6uilding occupant neetl to file a registration form for awtely hazardous materials? ❑ Yes ❑ No (Sec[ion 25533 of the Califomia Health and Satety Code, with some exceptions, requires registration with the Costa Mesa Fire Deparlment by each business which at any one time ha5 on hand a quantity o! acutely hazartlous materials equal to or greater than a vreight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard [emperaNre and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous materials)? ❑ Ves ❑ No (Section 25534 of the California Heal[h and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifcation and filing wit� t�e Fire Department of an RMPP by businesses which are required to register acutety hazartlous materials wiID the Fire Department. 4. If an RMPP is presently required, has Section 25534 0! ihe Cali(omia Health and Safery Code been (ully complied with? ❑ Ves ❑ No 5. Does or will Ihe appliwnt or present or future building occupant require for lhe work which is the subject of this application a permi� for such constmction or modi(cation from the South Coast Air Quality Management District or from any other air pollution control disMct or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that the requestetl information be fumished on applications fa non-residential builtling pertnits). 6. Will any part of the facility to be constructetl untler this pertnit be within 1000 feet from Ihe outer boundaries of a school? ❑ Yes ❑ No Qt'yes", the facility must meet the requirement of Sections 25534 and 42303 of lhe California Health and Safety Code). 7. If a permit (rom the South Coas[ Air Quality Managemen[ DisMcl or other air polNtion control district or agency is required for the work which is the subject of ihis application, have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No. 8.. Qf'yes", attach certificate of compliance from the appropriate air pollution control offcer). , � . CERTIFICATE OF COMPLIANCE: I�ertify that under, penalry of perjury the in�ormation given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous�Matenals and Emissions. '� �-' Signature, oale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: �I � certify under penalty of perjury that I have read this application and state that the information given is correcL 1 agree to comply with all state laws and ciry ordinances relating to building constmction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or aliow occupancy of any buildinq authorized by this permit until final inspection. Si nature of legal O eqs) Dale �� - ��--- D7-/ % �—"=AnE1wAulbonzeEApPllonl" - -' ��:• J Date �, �'�"a ✓�^^+�.t i�.Y... -- COSTA MESA BUILDINGSAF��>;' DEPARTMENT �'' o n RlIY 19110 mcre nncce re� �cnonue ovava F � � W a a � h S F �\ � 7l32 4/19/79 645.98 TL� .. �7�0 3 - _ �� . APPLICATION FOR STRUCTU L PERMIT - .____ .. ... ... ........_.._..._.______ RECEIV D V PERMIT I�/��'�t-I4• For Applicant to Fill in Completely — Use Ink Only BUILDING �• A.P. NO. ADORE55 J TENANT�R �/ � T�L AODRE55 I 1E� ��/ TJ�.± VNITOR ADDRE 5 � �MPI/S /Q, SPACENO. � O TR�VO. LOT BLK. TEL. � GITV �(% �%�G NO. O� NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH OWNER ADDRESS VALUE / ARCHITECT TEL. USE $/�ps 07jQ i OR ENGINEEF AD�RESS ZONE TVPE GROUP APPROVED CONTRACTOF � BV DATE ADDRESS TE�. CITV NO. STATE CITV %1FPROVED SETBACKS IIC. NO. LIC. NO. 512E �,�p_pp g�p�. (FROM C/l STREET) OF LOT NOW ON l0T M FT. USE OF EXISTING BLOG. Separate permits are required for L. SIDE Fr. electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED pLqryNING ACTION ��✓� SE�!/� S�D�/I/ APGROVED �eA��✓ PE�Fi�siTs �AOVED I heraby acknowletlea that I have reetl thia eppllcation antl atata � ihat t�e above information iz corract and apree to camply wIM all lews regulaHnB building conrtruetion, antl I shell not employ any perwn in violation of Me workman's compeneation laws of � Me State of Californla. a I heraby certity thai I am properly Ilcansatl as a contrector unCer SQ. FT. � tha Stata of California Businass antl Profaulona Code, Dlvision 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR ¢ Chepter 9, antl that zueh licens¢s are In full torce enE etfact, or I TME PURPOSE OF ESTABL45HING A PERMIT FEE ON�Y: � am enempt irom tha provislons of Ne Srota of Ilfornla Bus(nass VALUATION PERMIT FEE E � antl Grofassions Cotle, Divisio 3, C er 0 v PLAN CHECK S � � 9 "� SiB�eture of a Permittee 5�65 a�� TAX E � ss � or A�thorizetl ABant Date TOTAL PAI D E ys 9S � - -p— ! . ��// ry�E�""'"'�T i /79 78e70 TL COSTA MESA BUILDINGSAF�r`-r DEPARTMENT APPL AT[ON'FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �� RE EI E PERMIT Na 48822 For Applicant to Fill in Completely — Use Ink Only BUILDING �'� t� �//l � A.P. NO. — I'�yy Z � lO ADDRESS /� �J7-.f/� G g�) ,Q OWNER OR ` �� ',- A I , ADDRES$%'�.� (� _ /� TENANT V w+r�v UNIT OR MAILING SPACE NO. ADDRE55 T .N .� LOT BLK. TEL. CITV NO. NEW ADD ALTER REPAIR MOVING DEMOl15H CONSTRUCiION F � {r� a Q ti h .7." F� C F Q ❑ ..d Q 7 �' ..1 a w o. � a o. z W S 3 BRANCH ADDRESS ARCHITECT CONTRACTOR ADORESS � CITV ��{j STATE � LIC. NO. SIZE OF I.OT TEL. CITY LIC. NO. INO.O BF L�DGS NOW ON LOT BLOG. Separate permits are required for electric, plumbing and hea[ing work. I hereby acknowlatlge that I heve reatl thif appltcation entl state thai the ebova Informetion is correct entl aprae to comply wlth all laws regulatfn8 builtltng consvucNon, entl I shall not amploy any parson in vlolation of the warkmen's compensetion laws of the Steta ot Celifornie. 1 heraby cert(fy thet I em proparly Iicensetl es e contrector undor the State of Calltornia eusiness antl Protessions Cotle, Dlvision 3, Chaptar 9, and that such licenus ere in full foree and effact, or 1 am axempt from the provisions ot t�e State of Callfornie Business entl Pfofessions Code, Division 3, Ch ier 9. sie„ac�,e cr r Permlttee Or �O Authorizetl ABent ate USE .(��j� E (p' 20NE O�� ( VPE GROUP APPROVEO ? � gy DATE APPROVED SETBACKS (FRO LSTii 1 L FT. REAR PLANNING A TION DATE ,� ^ APPROV�EO7 APPROV60's/fX/ •� � / �%/5... THEAMOVNT THE PURP06E ( VALUATION g 96�0 m � ; m m N J VN UNDER VALUATION IS FOR m 'ABLISHING A PERMIT FE�EJ ONLv: � PERMIT FEE E (� � OO uyi 2 m PLAN CHECK S � m � o rax s , 7p � TOTALPAID E 7 �%Q