HomeMy WebLinkAbout3182 CHEMIN DE FER WAY - Building Permits. �
�
CITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE, COSTq MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ewiw.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER:'' BX07-00249
PERMIT TYPE B MISC STATUS: ISSUED
APN: 41814506 DATEISSUED: 11/28/2007
Zoning: R2, ISSUED BY: BJK
JOB ADDRESS: 3182 CHEMIN DE FER WY CM Suite/Unit:
Vidniry: PATIO ENCLOSURE ' Primary Occ: 32 Const Type :??
SQ. FT: 225 Valuation: 59.000.00 �
SCOPE OF WORK: CONSTRUCTION OF 225�SQ:FT. ALUMINUM PATIO ENCLOSURE (ICBO #3190P); APPROVED BY
THE FRENCH QUARTER HOA. . � �
ELEC: 3 LIGHT FIXTURES, 4 OUTLETS, 2 SWITCHES
OWNER: SAUNDERS, SCOTT W
City/State: COSTA MESA, CA
Phone:
APPLICANT: EVONNE MORTON . .
Ciry/State:
Phone: 714-544-3100
CONTRACTOR: L J HAUSNER CON$TRUCTION CO
Address: 505 W FIRST ST Unit:
City/State: TUSTIN, CA
Zip Code: 92780
ARCHITECT:
Phone
ENGINEER:
Phone
Building Plan Check:
Building Permit
Electrical Permit:
SMIP Residential
SMIP Commercial
$D.00TOTAL FpES
Address:: 3182 CHEMIN DE FER
Zip Code: 92626
Address:
Zip Code:
Unit
Unit:
License No. 326317
Phone 800-433-0704
FEE SUMMARY
$108.71
$167.25
$33.40
$0.90
$0.00
$310.26
License No.
License No.
Cell:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authodzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permil.
COpEN, INSPECTIONTYPE � INIIIIAL CODE/ INSPECTIONTYPE D�TE INTITIRLS
1616 Fined System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ��- /��
200 Final Re-Roof 210 Final ElecMcal '-� � �0 `� `-'
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Finat factory Fire Place 220 Final Planning Approval
203 Pinal Sign 222 Final Site ��
204 Final Demolition ' 250 Final BuildinglOccuDancy �
WORKERS' COMPENSATION DECLARATION: �
I hereby aHirm under penalty ot perjury one of the following declarations:
❑ I have ane vnll maintain a certi(ca(e o( consent lo self-Insure �or workers'
compensalion, as provided for by seclion 3700 of the Labor Code, for Ihe
perfoimance of the vrork for which this permit is issuetl.
I have and will maintain wurkers' compensation insurance, as raquired by
s tbn 3700 of the Labor Code, lor the peAortnance o( t�e work (w vfiich this
perrnit is issued. My workers' compensation Insurance carrier and policy
numberare: �� �
Carrier.
(This secfion need rrot �e cnmple(ed �Me peim,t is /va/lu�ed at one h�ndietlWnan (Et00) o� less )
PalicyNumber: � / I�� � S �����
❑ I certify that in lhe pedortnance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
lo the workers' compensalion laws of Califomia, and agree that if I should
bec°°°(((���e subject to he vrorkers' compensalion provisions of Section 3700 of
the LLBbo Coae, I s all lorthwi[h comply with these provisions.
(L 1/ s��'O�
Appli nl's Signalu Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAI
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirtn that I am licensed under provisions of Chapter 9(commencing
with Seclion 7000) of Division 3 of the Business antl Professions Code, and
my license is in f^ull force antl eflecl. /�
Lic. # L Class # LJ
1 i-a8-�
Gontraclor's5ig aWr Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn lhat lhere is a construclbn lending agency for the
peAortnance of the v,ork fa which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre 't Oate
!, �'.
OWNER-BUILDER DECLARATIONS: '
I hereby aKrm that under penalty ot perjury;ltiaPl am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or lhe (ollowing reason (Sec. 7031.5,
Business and Professions Cotle: Any city or county which requires a permit to
conslruct, alter, improve, demolish, or repair any sWcture, prior to its
issuance, also requires lhe applicant for such pertni� to fla a signetl stalemenl
that he or she is licensed pursuant [o the provisions of I�e Coniractors
License Law-(Chapter 9(commencing with Section 7000) of Division 3 of the
Business anQ Professions Code) or thal he or she is exempt Iheretrom antl
Ihe basis (oi�ttie alleged exemption. Any violation o! Section 7W LS by any
applicant for a pertnit subjects t�e applicant to a civil penalry of not more Ihan
five hundretl tlollars ($500).):
❑ I, as ovmer of ihe property, or my employees with wages as their sole
compensation, WILL DO TME WORK, antl the sWcture is not intended or
offered (or sale (Sec. 7044, Business and Professions Code: The Conlractors
License Law does not apply to an owner of propeAy who builds or improves
thereon, and who does such vrork himself or herself Or through 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-builtler will have Ihe bur0en of proving ihat 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 conslruct the project (Sec. 7044, Business antl
Professions Code: The contractas License Law dces not apply lo an ovmer of
property wfio builds w improves thereon, and who contracls (w such project with
a contracla(s) license pursuant to the Contractors license Lavrs.).
❑ I am exempt under sec.
Business and Professions Code (or this reason:
305]<6110])
� •
Owner ID verified by driver .❑ Yes ❑ No
Dnver's License No. Expires:
Verification o( Ownership by (type of document, i.e. - propehy taz bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation fve (5) or more fee[ in depth into which a
person is required to descend, will be made in connection vnlh vrork authonzed
by [his pertnit, and that no building struclure, scaftolding, falsewnrk, or demolition
or tlismantling thereof, will be more than thirty-s�c (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a pertnit from the Division of Industrial Safery, as noted above, unless
such person has a permit to do such vrork from the division.
AO�limnt's Signature pale
Division of Indus[rial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or piesent or fufure building occupant need to file and
certily a Business Plan for emergency response to release or threatened
release o! a hazardous matenal? ❑ Yes ❑ No
(Seclion 25505 of the Califomia Health and Safety Cotle requires, with some
exceptions, lhal a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time tlunng a reported
year a quantity of hazardous malerials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standartl lemperature and pressure).
2. Does or vnll Ihe applicant or preseN or fuNre builtling occupant need to file
a registra[ion /ortn for acutely hazardous matenals? ❑ Yes ❑ No �
(Section 25533 of [he California Health and Safety Cotle, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one lime has on hand a quanti[y of acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume of S5 gallons, or 200 cubic (eet of compressed gas at standard
temperature and pressure�.
3. Does or will lhe applicant or preseN or tuture building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazar0ous materials)? ❑ Yes ❑ No
(Seclion 25534 of [he Cali(omia Heatlh and Salery Code provides lha( the
Cosla Mesa Fire Depariment may require �he prepara[ion, certifwlion and
filing wi[h the Fire Oepartment of an RMPP by businesses which are required
to register awtety hazardous materials with l�e Fire Department.
4. I( an RMPP is presently required, has Section 25534 of the California
Health antl Safety Code been (ully complied with? � Yes ❑ No
5. Does or will the applicant or present or future building occupan[ require for
the v.ork which is the subjecl of this application a pertnit for such construction
or modiLcation fmm the SouN Coast Air Quality Management District or from
any other air polWtion control disMcl or agency? ❑ Ves ❑ No
(Seclion 658502 of the Califomia Govemment Code requi25 �hat the requested
information be fumished on applications fa non-residential building pertnits).
6. Will any part of the lacility to be wnstruc[ed under this permit be within
1000 feet (rom the outer boundaries of a school? ❑ Ves ❑ No
(If "yes", Ne (aciliry must meet the requirement of Sections 25534 and 42303
of the Califomia Heallh and Sa(ety Code).
7. If a permi[ (rom the South Coast Air Quality Management Dislrict or other
air DOIN[ion control district or agency is requiretl for the wnrk which is the
subject of Ihis application, have all of the tlisclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (It'yes", anach certiflcate of wmpliance from the appropnate air pollution
conVol oKcer).
CERTIFICATE OF COMPUANCE: I certiry that under penalry of perjury the
information given above is correct I agree to comply vnth all state laws and
ciry ordinances regarding Hazardous Materials and Emissions.
SignaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
Ihe in(ormation given is correcl. I agree to comply with all state laws and city
ordinances relaling to building wnsWction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-tlescribed pmperty for
inspection purposes. I agree not to occupy or allow occupancy ot any building
auihorizetl by this pertnit until final inspection.
ignalureolLegal er�s) Dale
� / �E —>-d�T>%
n /OrA ihonzeEA pllcanl ' Date
OJECTROONESS: ji}}Z CH�P;IN ilE F'ER WY
OWNEfl'SNRME: St�UNUt.kS, SLQTZ W
aooeess: i182 CHE:�;I;d DE FER
COST., i-:ESA,CA 92026
AflCM/ENGINEEX:
pO�flESS:
flEG.NO.:
UNIT:
UNIT:
PEflMITTEE: JMAP:GE COUNTY SFRVICES ( 714 )� i 1-975 �
FOOflESS: jU71 N. HESPERIAN Y:Y iUi
S.IC]TA ANA CA 4270G
LICENSEO CONTHACTOP UECIAflpT10N: I tlereby allirm thal I am licensetl unAer Drovisions ol Chapter 9(commencing wit� Seciion
7000� o� Division 3 0l Ine Business and Pmlessions Cotle. an0 my license is in full lorce antl efletl.
ciTruc.: OhC56tl Tnreu.:679698 cu�ss: C-20 �F^XP�: /1/�%�/9�4�
ate: �NR�tS�ai� SignaNre: ��IV''��—,—'�GEi�! /-'i/�.
WOPRENS' C ENSATION G�pp �ON: I �ereby a��irm t�a� 1 have a cehi�itate ol consen� to sell-insure J�a certilica�CaYqsorke�s'
Comoensa6on � 7aui w Jcaztiyey vpy mereo� (Section 3Boo. Lao. CI�1 / 0 1/ 9 5
POLICY NO.: CA COr:p . E%P. DFTE: U
COMPANY:
� Ceni�ietl copy is hereEy WrP �etl. Certitiea copy is filetl vilh lhe cily Builtling UiWsion. �
DX� � APVlicanL
E%EMPTIONFNOM OPRENS' MPENSA ONOEQAMTION: (Th¢S¢ClqnntNnolCefAmplet[di�tMperm1i5taalehuqttE�S700�o ).
I ceriity I�at in I�e perlormance o� ��e work lor which t�is permi� is i55ue0. I shall noi emDloy any persan in any manner so as �a �ecome
sublec� to t�e WOBerS' Compen5a�ion Laws oi CaGPomia,
Date: SignaNre:
NOTICE: II, alier making IhiS aeclara�ion. you s�ould become suble�� �o �he Workers' Compensa�ion provisi0ns o� lhe labor
Code. you musl forlAwit� cOmpty wi�� such provisions or ihis permii shall be tleemea revoketl.
CON5T80LTION LENUING AGENCY: I hereGy aflirm iha� ihere is a consimction lending aAency ior the pedormance of the work for
which Ihis Dermil is i55ue4 �Setiion 3097, Civ. C).
LENOEN:
RODflESS:
OWNEN BWLDER OECLAMTION: 1 �ereDy afiirm that I am exempi Imm ihe Gantractors' Siate License Law for t�e lollawinp r¢asan
(Section 703t.5 Business and PrO�essional Cotle: My city of rqunty whicA repuiRs a Dermit to consimct, alter, impmve, Uemolish, or
repair any slmclure. Drior to it5 issuance. alm repuires I�e apD�icanl tor such permit Io �ile a signetl s�a�em¢nl lhat h¢/5h! is li[ensed
pursuani to t�e pmvisions ol Ihe Conlractors' Slate License Law (CnaD�er 9(commencinp wi�� Sec�ion 7000) of Oivision 3 of Ihe Business
antl Professions Cotle) or Ihai hP/she is e�empl therefmm anE ��e EaSis br l�e all¢geE exem0�ion. Any violaiion a� Seciion 7031.5 Cy
any applicant for a permil subjet�s Ihe aOGlicant ta a civil penalty o� nOt more IAan �ive AundreE dollars (55110�.
I. as owner ol ��e proDeny or my employees wi�� wage5 as Iheir 5ole compensali0n, wil� Eo Ihe work, antl �he
❑ simclure is not intenGetl Pr olferetl br sale (Section 7094, Business antl Pmfessional COGe: T�e Contractors' State License Law
tloes nol apPly lo an owPer of a propetly who builds or improves Ihereon, and who Ooes suc� work hims¢II/hersel� or �Awugh
his ot hei own employeRs, provitled Iha� Suth impmvemen�s are noi infen4eA or Ofiered for Sale. II, Aowever �he builtlinp or
im0�o�ement is soltl wi�H�n one year ol comple�ion. Ihe owner will have �he bmden oi pmNnA he/s�e Ai0 nol build or impwve
lorihe purpose ol salel.
I, as awner ol ihe O�openY. am eKclusively contracting w�t� licensetl convactors to Consimct tAe pmlett (Section 700C, Business
❑ ana Pro�essions CoGe: T�e Comratlors' $�a�e Licenu Law Goes n0i apply IO an Own¢r a� pmpeM w�o �mIES Of improve5 lhere0n
anG w�o contratls br sUc� Pwle��s vnt� a conVactoqs) lic¢nse pur5uani �a ihe CantractOrs Siale Lirense Law�. I am awar<
Nat prool o� thei� WorkB� s Camce�sa�ion insurance shoul0 be provl0e4 Io me.
� I am eremD� unGer SecUon: B. 8 P. C.
for �his reason:
�aie. Owner.
i Oo here�y cerlity thal l am aware ot antl ontlers�and ��e �epNrements o7 Calito�ma Hea1ID antl Satery CoOe Sections 25505, 25533, an0
2553a anA Inat I or any IUWre bu0tling occupanl willlwill nol (circle one) neeA lo comoly with said state coUes an0 the reQuiremenis for a
permit lor cons�mction or mo0ilica�ion Irom �he Nir Quali�y Management DislricL ReSideniial consimc�ion aDPlications are exempl Irom
ihe5e pmvivons.
�aie: AOPlieanl:
I hereDy c¢tlily �hal I �ave read IP�S applicalion and Stale t�al lhe aEOve in�Ormalion i5 corretl. 1 agr¢e lo compty wiih all ti�y and COunry
ordinancesanastatelawsrelaling�o6mldingconstmc�ionan erehyaul�orkerepresemaiiues ��isci�y�oenterupontheaEOvo-memioneE
�oPer1Y far in peclion Our OS¢5. � Q��
/'i
aie: 7 SignO o
Onver's License m Sonai Securi�y r:
164La6 W�ile—BmlOing; GreBn—COCe Eniorcemem; Canary—Applicanl Pmk—Revenue; GolOenraC—Assessar
CITY UF Ct�5TA ;:ES�1 — BLILDi�vG FERMIT FGF.:'i iVO: .. OL�1iG;:
PERMIT NU: E 06D166 Pi,AN CHECF iJG; N �C�i'T: Pl SUPF; D!
CONSTRUCTIOi'J TYPE: V—N PER;iI'i TYF'E: re�E P�TRPUSE: '.i:'::
JOB DESCRIPiION , I;VS'TAL:, ELECTRICA:. 67AiEA HEr.TnR b��l FT:
CLAIt4 VHLVE: CALC—VAi,UF.: GRCiu2 uCC; F.-3 i
COS„tEN:S: FOR ELCTRICAL WATER HEATER ONLY
>.ac��:��-�.�:>r.�.��c.t;.�;�::�>:�:*��a����x�*r����w���,:iz��*3��-�ft���ni•.;�-�:s�::t-����-��.:a•����,�j.�rc-..i:; , , :�i.,;�:tis�,i i. r �:t ; r-�� +.: ;
Z O tJ I\ G P. E Q U I R E i; E Id T$
S E 2 B A C 1{ S
------------ KAIN BUILDING -------- ------- ACCESSORY BOILDING -------
FRNT; FT IN REAR• FT IN FRNT: FT IAI AEAR: FT iN
LEFT; FT IN RGHT; FT 2I�1 LEFT: FT I:7 RCHT; c^T I't2
PARKING REQ: PROV; FARCEL: 4iE14�06 ZNE: RcF N0:
PLANI�ING NUTc^S>
>
KifXiEif�X-#�K�##1£ft#sEiiit�Yik#%�if�ieft%#f'.�it##Y�%�f:-�#i`##i?Y.�#iiiii:k�t.'...t �.':.��iPi++:3'�i:�#R�C�f.�#.�Y�> i'•c>K�iti'.�if"�"�%�i�ri::i".?"•i
D E V E L O P[�1 E U T 5 E R V I C E S R E Q II I R E H E N T S
ZONIT�G APPROVED HY ➢ATt:
BUILDING APPROVED HY : liATE: I�
AFPLICATION IS5UED BY: � (��,��/y�/}�� DATE; � [�11
###It#iFlhlhif#####j;�ifiElElEflY.�K�%�.#� Y##iF%�Y.•�jE#Y�#i£�r..r1t`� i'7;�K� # i}1i-iF')E?FiFY.�:�cl:-!�:#��%%i'rY`j:'r'fi`#i.#.KX�K.;, �,�
ititit#i:#�K3t#k�#iEitiF##ff-#itiEiF#fhiPiPK�it#ic#�7fYejti',�#3iEi?i.�#;•iti:i:•Y•k.i. ##X��X�3F##9FX�#r,.#k�i'-.�kt:lf##t:iFlti;%�, #:: #i..;•..q.•.
i�EU'ALIZATIOIJ;N F E E S U tA i�l A R Y S'iRUCTURAL SEGMEI�T':N
BLDG PMT PLUMBING ELECTkIC ,�;ECHANIC FIRE SYIP/RES GRADiNG
PER,IIT 11 . EO
SOL
PLAN
ISSUE FEG 15.00
BOILDING—DIV—> PERMST ISSUE PLAN—CHECK
TOTALS----> 11.00 15.00 � 0,00
REC�ENUE DIVISION TOTALS --> COLLECTED:
BLDG PM,T PLUMBINC ELECTRIC MECHANIC
26.00
S�;IP/NON—RES
TOTAL PAIC� Dli�:
26,00 26,00 .00
26.00 O��ER/SHORT: ,00
FIRE St9IP/TOT CRADING PLAN-CHECI:
��x+r#x�r�x�x�r�+rz�+t�*+������car�t�ia�t�i:*uir�.��r�as*����r�x���rttz���r�t�•rr,���:��.�•�#p��r x� K�t�-t...t�.�#�t'ri,.*.�+.+�.#i�.�:
I N D I V I D U A L F E E B R E A K D O W:J
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL CO�':
ELE 1 MISC APPARATOS NOT LISTED REQ PERitiT 11,00 I1,00
E\D OF FE£:;
\�
01 OOl,d436-00lb4436 TO T 2b.(1�
DATE: �7/20/94 TIME: 12:02
Vu1
CONSTRUCTION ANO PLANNING POO� e SPA �
.r APPROVALS Permit# Oate Inspectar p�ppROVALS Permit� Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locacion
2. Soil Pipe-Undrgrnd. 53. Steel Reinfo�cement
3. Eiectrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Electrical 8onding .
5. Steel Reinforcement � 56. ftough Plum6ing & Pressure Tzst
6. Electncal UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electricai ConduiFUndrgrnd.
8. Foundation 59. Gas Pipe, Q Undrgmd., Test
9. 4Nater Pipe-Undrgrnd. _� 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor SYstem - 61. APPROVAL 70 DECK
i t, p.operty Sewer Line & House�Connection ,. 62. Backwash & Receptor�Final �
12. Sewer Cap , 63. Heater & Vent�Final '
73. Roof Drains ' � 64. Piumbing Sys.em - Pinal .
14. Rough Plumbing � 65. Eiectrica�-Final .
75. flough Electrical�Condurt ' 66. Solar System-Pinai -
16. Rough Electric Wiring � � 67. Fencing & Access Approval
77. Rough Wirinq Siyn ' • 68, APPROVEO FOR PLASTEflING
78. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEP:1S FINAL
19. Rough Heati�g & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Under9round Hydro
22. Ducts, Ventilating 71. Product Pipi�9 CiGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof r'raming 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. fioof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Struciural) & Monocoat 75. Dry Chemical
27. frame and Flashing 76. Ory Standpipe
28. Lathing & Siding 77, FIXEO SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Dry�vall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electncal Pow2r Meter�Final 80. FOOD CERTIFICATE ISSUED � �.�j
33. Finai Eieciric '7/7� Q�,,,� Notes: �'��� � I 1
34. Final Heating & Air Conditionin5 ,
35. Fina� Gas Pipe�Test ��
36. Hood or Canopy
37, Finai Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service�Final
41. Solar pomesiic-Fina�
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STflUCTURE & BUILDING
48. FINAL P�ANNING
49. Electric Re�ease to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
. _ ��ssa FEE RECEIVED
G?JSTA MESA BUILDING-SAFEfY DEPARTMENT 'f.AU�j Co� g�4
P.O. BO% 917 COSTA MlSA. CALIFORNIA Lot No • 6 �%iC(;SV ��
For Applicant to Fill In Completely APPLICCATIONFFdR�EA��
TYPE OR PRINT BUILDING
BUILDIN6 �200—Idoi't gh�rbpr—�p��,_ For Office Use Only �
AODRESS a r'uFrn�..i F* !-c✓L-
q6CHIPT NO.
COSTA MESA, �CALIFORNIA
HfiCE er Qpjs ec eo DwTlISSUED
OWNER Harbor Hall of Fame Homes �s c AUGt ,
BUILDIN6
MAIL . n- ADDRESH
ADDRESS P• 0. WX zo66 � ��.
�,r,. Santa Ana '
NO. �220 Z�NE TYPE GROUP
ARCHITECT TE BYPROVED OATE �
OR ENGINEER RdS' �vanas ryp�73-7OZO
ZONING
ADDRE58 3�32 Via Oporto, N ort Beac zO , I NO.OF I YSEOFNEW
,�L PLANB BWLDINO
CONTRAGTOR �
LHOAL �(,,,
ADDR6S9 (.�
P. 0. BOX 2�66. oeacrt�'r�on
GITY S�ta �T3a� . ' A. P. NO. — V
' ' NOTE: fJ0 EAVE OVERHANO SHALL BE LE59 TNAN
6TATE ` TEL. 90" TO HIDE @ REAR P. L.
LI0. NO. NO.
EAVES
SIZE � � - No.oFlLDoe. A�LOWE� (U.B. 0. REQUIREMENT)
OF LOT ZO X HO NOW Orv LOT ypROB APPROVED YAROS APPROVED
USEOF MAINBUILDIN6 ACCESSORYBUILDING
EXISTING BLD6.
( FROM C/L STREET )
6ETBTCK LINE FROM ,
cENreR oF aTREEi �. REAR YARD ZZ � „ FR NT �O FT. Ff.
SIDE YARD I LEFT O I RIRHT O R. SIOE v FT. �'L/ F1'. '.
DESCRIPTION OF WORK L.HIDE d Fr. Fr.
�
NEW X ALTERATION ADDITION R6AR Ff. F'1'.
DI6TANCE BET. BET'. MAIN Q c�
REPAIR MOVIN6 DEMOLISH MAIN BLD69. ACCESS.BLO6S. G
VAR.$C q/ --� �ATE (x'' // �
5¢ED'N�2� ROOMB $ 6TORIfi 2 C.U.P.# (N, APPROVEDIIJ�V "� �
EXTERIOR WALL�tUCCO ROOF APPftOVE - a
GOVERING COVERIN6 rock BY �ATE .i � �� �
USE OF BUILDINp AND WORK TO BE PERFORMED
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with J construction garages _ U
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� HEREBY ACKNOWLEOOE THAT 1 HAV@ pFAD THI6 APPLICATION TXE AMOUNT eHOWN IINOER VALIIATION IS FOR TH8 �
AND 6TATE THAT THE ABOVB 18 CORRECT AND AOREE TO COM. PURPO6E OP 69TABLIBHIN4 A PENMIT FEE ONLY. p O
PLY WITH ALL CITY ORDINANCfiB AND BTATB LAWe RBOULATINO ' V+
au�L�Ina coxsiRucTlon. VALUATION N
SIGNATUREOF - / /G/ PERMITFEE $ �S �' � �
PERMITTE s � NL� u C C ���G K =
AUTHORIZ6D AGEN. �J G
1
TOTAL FEE $ G /iS
- � �3I83
COSTA MESA BUtLDING-SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fdl in Completely — Use [nk Only
ADIDRESS�IdL c'�EM%/� JJC � I�-�{l �
OWNER ELI�ii�/J �D(Jry(.V O�
ADDFESS �'� Ip Z fNt/i/�% -� /�K IZ
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BRANCH
ARCHITECT �� L^N`��p�'�'! NOI,•,_350.
OR ENGINEER �.•� (+ .1/
ADDRESS '�w�� Q�� , •/ y?
CONTRACTOR /-f/��p /�{'JiN/NL� 1/w C
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CITV IfN�Q-�f�� NOS SS
LIC. NO. �' 8� LICVNO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
VSE OF
EXISiING BLOG.
Separate permits are required for
electric, plumbing and heating work.
�
A.P. NO.
BUILDING
AODRESS
�
OWNER L �
SlSE �R%�0 �
-
FIRE
ZONE
APPROVED
�CC ���"%EfG�,�'�� 755� �i:ixs}��.Sl�
FORSTRUCTURALPERMIT
DATE RECEIVED DATE ISSU5/�
�7 ♦�/1�
Z
20NE NO.OF..
PLANS �
VAflOS APPROVED
OISTANGE BET
MAIN BLDGi.
VAR. #
C.V.P.$
I
LOT
USE OF NEW k
BUILDING �
VAR�S APP
ACCESSOFV
BET. MAIN &
ACCESS.BLD
DATE
BIOCK
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I heraby acknowladge that I hava �eatl [his applicetion antl rtate '^
�
that Ma abova infarmeNon Ie correct antl a8�ae to comply with m
all lews ragulating builAinB �onrtrucHon, and I shall not employ �
any person In violailon of Me workmen's compensation laws of m
Ma State of CaliTornla. � m
i hareby certlty that I am properly Iicansed as e contractor untlar SQ. FT. ( w
the Steta of Celifornia B�sinen and Profauions CoAe, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that such Iicenses ara In t�ll forco and effect, ar I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONIV:
am exempt trom th ovlsions of the State f Callfornie Businecs Q
VALUATION PERMIT FEE $
antl Protessions C a, ivision`3�, Chep<e �
� - l, � �/� O'=� PLAN CHECK E Q'(�, ^
Sipnature of iq/ !/ �q-,fl �
ParmlKae w (���CJ TAX $ '� �
U
AuthorizadABent TOTALPAID E
JOB ADDRESS
�P No
INSPE
�� SOIL
�.GAS
UNOERGROUN� U POWER
ROUGN WIRING
REINF.
�LOOR SYSTEM
iP�ME �NO FL�SMING
��TMING - IN n OUT ❑
PL�STER, BROWN CO�T
STRUCTURAL, FINAL
XE�TING, VENT., FEFRIG. �NO �.C.
PLUMBING. FINA� �N� GAS TEST [
EIECTRIC, FIH�L
BUILDING. FIN�L
E
DATE
SUBCONTRACTOR
ERMIT N0.