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Home My WebLink About930 JOANN ST - Building Permits;� "Y'�F COSTA MESA� � ! � ' � � CONSTRUCTION PERMIT � � AppiiCenYs Maili�. Project Addrett. AO��wnt to flll In all spaces azeapt those wlthi ' � PE I � � � : TR�O�I .. , . , ,�� iG �- ' TVPE OF CONSTHUCTION - NE ' ❑ CONVERSION ❑ DEMO ISH �U�,:(��LSG� . (ZESCR�PT�ON,OF WORK � Address � � , ' Arch/Eng. S • , LicenseNo. G^��3= Addres (� �� ,�� Contrector's Nama-L7�D — Phone t��r�' � Addreulmailing) ��+u �` �- � � � License No. �� , LICENSED CONTRACTOR DECLARATION � I nereby affirm that I am Ilcensetl untler provislons of Chartar 9(commancing with 5ection 7000) of Divislon 3 of the Busineu antl Professions Cotle, anA my Iicense is In 01 force and etfect. � u�� ci ss- • u o. �oaee �d. ft ' s'y t 1C o �n n.,^ W�RK RS' OMPENSATION DELLARATION � �eby a(firm that I have a<artificate of consent to self-Insure or a certificate /orkers' Compensatlon InsuraP�e„7or a cer�tl.tlefA opy th777e��reof (Se<tlon ` Po IOY LSq. C.) ., � ._) ��ofnPanY-�-tl� ^� � `��.-7 foSS.[va.6�s � -�3 � �Cer[Ifietl co is hereEy furni5h04. Ce HI o y flletl with the E ty�� iltll(� DlvislQ�� r ' Date APPlica�t�"� �v`�^�� ?n� yil3-�'1 . EXEM 10_[�RKERS'GOMVENSATION UECLARATION (This sec[Ion neetl not be completed if the permlt I5 tor one huntlretl (5100) or less). � - I cB/tity that In tlt¢ pertO�mdOGe Of �he wo�k t0� whith thl5 pe�mi� Is ISsuetl I . shall not employ any person in ai�Y manner so as to become subject to t�e Workeri' CompenSatlon�Lawi oT C911tornia. ' . . Date �ignatura NOTICE: If, after making this Ceclaration; you shoultl becoma subject to the � . Workers' ComDensatlon provislons.ot the Labor Cotle, you must forthwilh, comply with such provi5ion5' or this parmit shall be tleemeC revokeE., CONSTRUCTION LENOING AGENCV � I hO�eDy af}i�Rl thdt t�e�e Is a cOnStYut[iOrl Ientling agency fo� the pe�fo�mance . of the work tor which tnis p0rmit is.issuetl (Section 309] Civ. C; lentler's Name � � ` Lentler's AOtlres OWNER BUILDER DECLARATION - � ' ' - 1 hereby affirm that I am exempt froT tha�Contractor'S.License law tor the following reason_(Sectlon:�031.5 9usiness antl Protessional Cotle: Any city or � county which requires a permlt [o �onstruct, alter, improve, tlemolisn-or repalr 'any structure, D��or to Its'Issuance, also requires the aDP�icant for such parmit '. to file a si9nea rta[ement that he/She is Ilcensetl pursuan[ to che'provisions af the Contractor's license Lawi(Chapter 9(commencing with Section 7000) oi � � 'on � 3rof t�e �Buslnesr antl Professions Cotle) or� that. he/she is exempt ' rom antl the basis tor the allegetl exemptlon. Any violatlodof SecHon ' .5 �y any aOP�i<an[ for;a Permit subjects,the appllcant to a civil �enalty of not more t�an tive�hunafetl tlollars ($500). . I;-az�ownar of�the property o�'my employees.with wages�as their sole ' � compensation' will'tlo the work, antl the�structura�is not intenGetl or otferetl . , for sale (Secfion 7044, Business antl Pwfessional Cotle: Tha Contractor's , License Law tloes not apply to an ow�er ot a properiy who builtls or Improves � '� Mereon, antl who tloes�such work himself/he�sali o� tb�ou9 h his or h¢r ow0 � . employees, provitled that such improvements are.not Intentletl or offeretl for � sale. IT, however, t�e builtling or Irt�Provement is solG within one'year ot com- � pletion, Ihe ownar will have the bJrtlen of proving he/she Citl not bulltl or Im- � i rove for lhe purpose ot, sale). ' � � . � :� � I, a5 own¢� o( the prop<rty, art� extluSively coM�acting with Iicensetl co0- � tractors to construct the proJect (Se�tlon 7044, Business antl Prote55ions CoOe: . . Tha Contractor'S LicenSe Law does no[ apply to an owner of properry who . builds or Improves thereon, anA Who contracts for such pro�ects with a wn- trattor(5)Iicense pur5uantt0 th¢ COntractor's LicBnse Law). • ❑ I am exempt untler Sectlon 8. & P. C. for this reason Date - � � Owner � 1�hereby certify that I have reatl this applicatlon-antl-state tliat ttie�above� �, ' information is correct. I agree to comply with all city antl county ortlinances and'state laws relating to builtling constr tion, antl hereby authorize reDre- sentatives of .this city; to enter upon t e above-mentionetl -p-�rop/Srty� ,�to.r� inspectlon pos Date � /4� : Signature . Drivers• Llcense or SS # CMF 0865-46 rev. 12/82 White - Builtling; Canary - APPlicant; Vink - Ac<ounBng; C TYPE OF PERMIT Ll GRADiM ❑ TENANT � ELECTRIGAL ❑,OTHEH PRQIECT DESCRIPTION SQ. FT._ anA zign all approoriate tleclaratlanz. ADD U ALTERATION IJ REPAIR 1 FOUNDATION �1(1 STRVCTURAL PLUMBING ❑ MECHANICAI CON STRUCTION TYPE VALUATION $ ZON� GRADING CU. VOS. A( Remarks: . ' Ber Si�k Becktlow Preventer Beckflow Irrigation Bathtu6s Drinking FounWins Floor Drains Flaor Sinks Gas Service Outlets I ntercepmrs Kitchen Sink ' � Cevatories- � . • _ . .', P-Trep Roo4Drains - - � ' . $FIOWEfS ' ' - . � Seivice Sink � � � Boiler ' Duct - Under Ground Duct-Structurel . , .......-.��........�y. _. .',_. ExhaustSyStem ❑ Multiple❑ Firepl/Fact. Blt. IC80 # Heating System & Ducting � ; ❑O�t00,0008TU�100,0008T . Hood or Type I ❑; ' Registers Solar Collectors Solar Piping � � Sotar Tank � � Swimming Pool w/Spa Urinal Water Closet Water-Heater � , Water Service � ' • ;" ReinspectiadFee $15 Issue Fee $ 3 iANICAL Refrigeration System � ' ❑0-100,OOOBTU ❑100,OOOBTU� . System Repair/Alteration � , Reinspeccion Fee� Issue Fee $15 �$ 3 � A. P. 9W � PLNG.REF.Me LEFTSIDEVARD �'� PKG. SPACE RE�. STREET WIDTH SPECIAL CONOITIONS: Automatic Washer . _ . - Construction Pole Cooking Unit � Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures o�tiea �W, P, .� -rr.F.• $W 11ChE5 Garbage'Disposal � � Generator �0-5 KW �54! Transformer �i5+50KW-• ❑5U+ KW Meter ❑uo to 1 �0 amoi � ' �5186 3/Olr/83 � REAR YARD (TO P/l) •. RIGHTSIDE VARD PROVIDED PARK FEE S Meter LJover100amps', Sub Panel Motors LJO-1 HP ❑1'h$ Inc.Solar �9-15 NP� Oi6-15+ Microwave Pole Light � ' . • Range � Sign • Standing Sections Trash Compactor , . F� � 5i'.62 TL . .� - .� . �. , : / ' /- - ApPlication,APProved,6Y `�' Date.� � Application laued By �' Date � }. " � '� �� SpUMM�A.RV OF FEES. � . � � �BUILDING�PERMIT. $'�4�.'1p � "SMIP, " ' � : $ r D•�� PLAN CHECK $ 2S- �Z ��PERMIT � � •+ , PLUMBING c .$ . ISSUANCE $ PLAN CHECK'� , $ ` GRADING ' ` $ � ELECTRICAL $ � r, $ PLAN CHECK �' $ � MICROF�LM � $ ' ' � • MECHANICAL ,� $: '� TOTALFEE $ � ' ' � � ' LESS � � PLAN�CHECK! $ ` � • �i ,. _ . � ADVANCEDPC' $ ' ' �j : � FINALFEE� � -: $ � �]_GZ ` � .+` , _ � ,- c _ _ __. _ ;7CON$TRU_C.TION�AND PL - jN�¢j�N�G��'7 � � . . , . _ .; • : _�OL " PA . � � � • ., ' ��-+F=1--F-� � Date .Inspector - Date Inspector , _ APPROVALS T Permif#- o- . APPROVALS ; Pei...,t# . •- u• c . ' . ^- 1, Tempo�ary Electrical Service or Pole ±. ;� - 52.� Pooi &�Equipment� Location� � - � - n � t • -'cn .c �• . � F+2: �Soil Pipe-Und�gmd. . � '� � � °; L ?','. �� i �53: Steel Reinforcement� -- _ ' ' �. . ' �� ; � . -: " . - - . . . .. . � 3: Electrical Conduit Utilitv-Undrgrnd � , - " -� 54.' Forms � - - . ' • ' � 4: Elect�ical Conduit-Undr rnd.-� ` � � � ' � - • - ' � i9 � � -" `- , K� 55`.- Electrical Bonding � � - - � ` 57 Steel�Relnforcement , , : � � � -'= `. �,. . 56. Rough Plumbing & Pressure Test ' ' 6. 'EI'ectrical UFER Grnd. `' J� �;'� `` 57. APPROVALTO COVER-GUNITE- .' 7. �ootings i , � ' -� � � � � r ,, � 58� Elect�ical'�nduit-Undror�d. - . • ' 8. Fountlation ' � ; � _ � ' � � _ , � 59. Gas Pipe, O� Undrgrnd., Test � - - i- 9� Wdter Pipe-Undrgrnd. I - �� 60. Backwash Lines, P-Trap, O'Und�gmd. ' 10. �St�uctural FloorSystem . `.3 c � '�'� •61. APPROVALTO��DECK - : 11. Property Sewer Line &,House'�nnection � - 62. Backwash & Receptor-FinaF -� . , 72. Sewer C0P � i . . � � - _ . • . ' _ • , � . 63. Heatec & Vent-F�nal � � . 13. Rbof�Drains I � � ' � � � ' ' �64. Plumbing.System - Final�� ' 74. Rough Plumbing � � , _ - � . - � � � � 65. Electrical-Final - - � � � � � ' R j�i5. Rough'Electrical-Conduit - -�-. -- -- - ��-+- � -�-- ' 66. Sola� Sysiem-Final'- - - � � - , - ' i p",1.6P,Rough�ElectricWir�ng � - '! ;';'+�,',1d�63,�-�� :�6J.Fencing&�AccessApproval �; '=i'�_?��" � � _ �. - -.,97':�,Rough„Witfng�,Sign� j� r 1 ' � y � � � � , j _ i :- � i' � �` �68. APPROVED FOR P.LASTERING � ' � �. ; � - � � 18. Rough_Electrical:T`Bai Ceiling� +� �� _ � � �'= ' . '69., POOUSPA SYSTEMS F.INAL ' �. - ' � 19. Roug �Heating & Air _Conditioning �� : i � � � ' FIRE DEPT„REQUIREMENT �: , - � - , _ � � , 20. �Rough;Factory Fireplace' �' � i ' 1 � APPROVALS� Permit # . � ' - I i i : ; 2Y`_�Duc[s,�in Structure � ' i� �' � � � � , � �70. Undergrounil Hydro � � � � '� �i22.'Ducts, �Ventilating � - � :� '� � � � � � 71.' Product Piping O Gas O Oii � ' � �23. �•Gas �Pipe-Rough & Test `� � �s 1� � . � � � � � 72. Undeiground Flush � � S �,: : �� ;, �-24.�Roof Fram7ng' t ' � -��; f.:, � �, �,+:, .., � � �73., Undergrnd.StorageTand�O,Gas ❑Oil '� �a J 25. �Roof Sfieattiing � � , � ' ��.'� ` � ' t , � � ' . `�� 74. Overhead Hydro ' � _ � " _' �� 26. T-Bar Ceiling (Structurap, & Monocoat� t : � � ' � � - -' �75 � Dry Ghemical � ;� °'; ' r -� � : r.27. Frame and Fla'shing � � �, ' j � ; '� � � � � � 76J Dry Stanclpipe . �� - �t � " �, 28.-Lathing & Siding �; �� ; � �� ; � � � ' � � .77.� F�IXED SYSTEM�FINAL = � r � i; i i i i �� 29_.y�lnsulation - _ `, �� ' �` � � � � � � !78. FIRE PREV. FINAL ' ' � � � � :: �, 30. Dryovall Nailing i '� � ' .� " i � � � ! , �Notes: � ' � i - , . � . � � - r- r -- �--� - -- � 31.'Plaster:�Brown Coat . ' � �� t.' �- �� --�- i -� -�� - - I �� ..ro . � � i ��S'� � - "�32. Electrical.Power MeterFinal � �� ! j , . � ' � + �� J EW � G i _�No r S r �i u::) - _ ,i 33.�Final Electric � � ' ; y_��''p3� � °� , ' _ � �.LEC:T lC �- .. c 1 CS 34. Final Heating &�Air Gonditioning � ! 1 � � ' ' � � .� '� � � , I i � � �d. bSc` /i c� C ' . ' _'F ' � '. - ' I 35. Finsl Gas Pipe-TesC - � I J �� 3- 36. Hood or CanoPY �;� ,f � = � • � � � • � ± � � � . .. � � - �«,�, �. 37. Final Factor'y Fireplaces _ � � ._ � i .� i � , ' ; I - ' '� 36. Final Qlumbing � , ' �. - � � , ' ' � r � � , . • � - , _ 39. Water,Service-Final � ! . I � � � � � I I 40. Gas Service-Fin`a_I � � . � � i � I � ' ' � ; , � i i 41. Solar pomestic,Final � i � � ' � _i ,___ _ _ `'' � � � . �' ' �_ y-, 42. BackfloHi Preventeri , � I i' � .-,-� -_a I '•. �' 43. Backflow� Irrigation t � ' �?Kv , _ f ' y_ • � ; ,: . ni � - � 44. Landscape I�rigation;System ! '�,'+�.- � ' � � " � 1 I ' � l.� � � � ' � . � 45. Sound �A.ttenuation ,�' ,i i ,' � �- ; � ' �i � q i 46. Handicap Regulations� i .'-I i . , � �- . ' ' � 47. FINAC STRUCTUflE & 6 ILDING � ' � � �� - � a a2-�3 . ..U- - � - 48. Special Requirements Completed � � • � � -- - � � � � � n � 49. Electr�c Release�to Edison' . ' ,- . _t 1- ; ' , - - - -_� _ -. i- ,_ �• � � , . � , � 50. Gas Release to Souihern Califomia Gas Co � !�; i � � �.-� 51. CERTIFICATEIOFOCCUPANCY ' ,_ _r_, _ __ _ t_�..'. ' _� _ . _ , ' . No � �I , ' ' Date � � I . -- , , : .�- � •�. , . � �., � � . :�:c; � ` r � ,g� ,�� ; .: is i< _ t�� a h � � ,. � � ti � �'.��: • - • ATN: Burt Morgan AGU�IA-K00� A�UlII1'U1�1 PI�ODOCTS HOME OFRCE: 15Y6 E WASMINGTON BLVD. • LOS ANGELES, CALIF. 90021 �2�3) ]�B-B2n Z hereby r.eitify that the installation at the folZowing address was totally built'to the manufacturer's specifications. George Weir Customer's name 930 Jo Ann Rddress Costa Mesa 92627 City �E RN��T 3 E (,�7;Z GAD�jk Ql � V � � V � V� CITY OF COSTA MESA BUILDIFI�s L�" � ��' �1PR 2 2 1�83 A��_. PA9 "16��' pL �2a1��;3p4t5tEi � � / � � �G. A. Dunayer, President A1uma-Kool Aluminum Prod. Lic. M 260090-BI (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: J$O JOANN ST Suite: Vicinity: Parcel Number: 42235110 App�icant: GEORGE WEIR Address: Owner: WEIR, GEORGE A Address 930 JOANN ST Contractor: Address: Zip: , Arch : . Address: COSTA MESA, CA Phone: Zoning: Phone: 949-642-0341 Zip: Phone: Zip: 92627 Phone: License: Eng: Address: Status: ISSUED Applied: 04/12/2001 Issued: 04I12/2001 ISSUED BY: �� Phone: Zip: License: License: SCOPE OF PERMIT T/OFF, REAPIR DAMGED PLYWOOD AND REROOF 20005F RESIDENCE W/COMP SHINGLES. , , ,� � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $83.25 $0.50 $0.00 $0.00 $0.00 $83.�5 SETBACKS�, MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: sz,zso.ob Claim Valuation: sz,zso.00 Right 0-0 Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void II work is not commenced within 780 days, or if work is suspendetl or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepeetlona and tinel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (fl�00) WORKERS'COMPENSAnON DECLARAnON: I hereby eHirm Untler penalry of perjury ona ol tha following declaratlons: � ❑ I heve and will maintein a certificate ot wnsent to sell-Insure for workars' compensatlon, es provldeA tor by section 3700 Ot lhe LeDor Cade, for the peAormence oi tha work tor which Ihis Oertnit is issuetl. ❑ I have end wlll maintain workers' compensetbn insurance, as required by SeIXlon 3700 of the Lebor Cotle, for Ihe pedortnance of ihe work for w�ich this permit Is issued. My workers' compensation Insurence carner antl policy number are: Cerrior: Policy Number. (This section neetl not be complefetll! fhe Oermil ls velued e! one hundred dWlers ($100) or less.) ❑ I cotlity thP� in the pertormance ol the work br wNch this pertnit is Issued, I shall not employ any person In eny manner so es lo become subject to th9 workers' campensa�ion laws ot Califomla, entl a8ree Ihet If I should hecome sub�ect to Ihe workere' compensetion provislons ot Sactlon 3700 oi the Labor Cotle, I shall larthwith comply with these provisions. Applicant Slgnature: Dete: WAHNIN(3: FAILUPE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNtAWFUL rwD SHML SUBJECT !W EMPLOVER TO CiiIMINAL PENALiIES nND CML FlNES UP TO ONE HUNDRED T/IIXJSAN� ppll/.RE R��.�1.IN ADDITIIXJ TO THE COST OF COMPENSATIpJ, D�VMGES AS PROVIDED FOR IN SEGTION 3]OB OF THE IABOR COOE. INTEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby nffirm tl+at I em licensed undar provislons ol CheO�er 9(commancing with Section 7000) ot Division 3 of the Business and Professions Cotle, end my license Is In full lorca und eNecL Lic. a Clnss a Coniractofs Signature: Date: CONSTRUCTON LENDING AGENCY: ❑ I hereby eNirm t�et there is a consWction lending egen�y tor the pertormance ol Ihe work br which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lontlefs Neme: Lendefs Atltlress: Signeture: Data: OWNER•BUILDEA DECLARAT10N5: I hereby eHlrm ihat under penelry ot perjury that I em El(EMPT FROM 7HE CONTRAC70RS LICENSE LAW for lhe following reason (Sec. 7031.5, Business end Professions Cotle: Any city or coumy whic� requires a pertnit to consWct, atler, improve, tlemolish, or reDair any structure, prior to its issuance, elso requires the epP�� or such pefmit lo file a signatl s�atement thet he or she is Ilcensed pursuent to ihe provlsions ol the Contrectors Llcense Lew (Chapler 9(commencing wi�h Section 7000) ol Divislon 3 oi lhe Business entl Professions Code) or Ihet �e or she is exempt therefrom end the besis lor ihe elleged exemption. Any violation o� Saction 7037.5 by eny epplicent lor a pertnit sub�ects the eppl��ent to a civil penelry ol not more than Ilve hundred dallars (3500).): ❑ I, es owne! ol t�e pmperty, or my employees wilh wages as t�eir sole compensallon, WILL DO THE WORK, end the structure Is not intended or oHered lor sala (Sec. 7044, Business and Professions CoCe: The Coniractors License Law does not epply to an owner of property who builds or �mproves ihereon, an0 who does such work himself or nersetl or through his or her awn emplqrees, pravided that such Improvements ere nat intendetl or oHeretl for snle. If, however, Ihe building or improvemeni is sold within one year of wmple6on, the owner-builder will have the burden ol proving t�at he or she did not build or improve tor purpose of sale.). ❑ I, as owner of the property, am ESCLUSIVELY CONTRACi1NG W�TM LICENSED CONTRACTORS to construct Ine project (Sec. 7044, Busineu and Professions Catle: The �«actors Licensa Lew Coes not appty to an owner ot pmperty w�o builds or improves thereon, antl who contracts br such pmject wlih e contracbr(s) license pureuant to ihe Coniractors License Laws.). ❑ I am a mp� under sec. Busines5 and Professions Code tor lhis � Signawre: �h�� Owner ID ven�e�y tln s license. es ❑ No Ddvor'S License No. � Verification of Ownership by (type ol dwumem, I.e. - proparty taz biil or tleetl): DIVISION OF INPUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I �ereby certify Iha� no excavetion live (5) or more teet in Cepi� in�o which e person is required to descend, wlll be mede In connection with work eutho�zetl by this permit, antl ihat no building structure, scalloltling, lelsework, or demolilion or dismantling Ihereot, will be more than ihirry-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 34 i, Title 8. Celitamia AdministretWe Cotle). ❑ As owner-builder, I will not employ enyona to tlo work w�ich would require e permil lrom the Division of Industnel Setery, es nated ebove, unless buch person hes e permil lo tl0 suU work Irom the dMsian. Signature: Date: Divislon ol Indust�iel Safety Permi! Number: CER7IFlCATE O� COMPLIANCE AND AlliHORIZA710N.OF ENTAY: I cetllty under penalty ol perjury iha� I havo read ihis epplication and state that Ua Informetion given is correci. I egree Io comply with ell state laws end ciry orAinances relelinp to builCing consiructlon, and authodze representetive5 of the Ciry ol Coste Mese to enter upon the ebove-de�ycnbed property for inspection purpos�. � egree not to occupy or ellow occupancy o� flny building authorized by ihii �rmit until final inspection. And/Or Aut�odxetl Appllcant cooe r. ItlSPEELpNTrrE 7616 Fixed System Final Fire Prevantion 1286 200 201 202 203 Pool SpP Final Final Re-Rool Final BIocWRetalning Well Finel FeGtory Fire Place Finel Sig� 204 Finel Demolitian PdIF" Itl�45 z-o( � 40�E 1 INSPECTION TYPE 206 Finel Mechanicat 208 Finel Plumbing 210 Flnel Eloc�riCal 212 Flnel Fire Praventlon 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy PAIE � It�ELi , C� � C� ��.'eaa �'uit'duuy Dirfiaio� OWNER-BUILDER VERIFICATION -, .. _�� . . _ � . . ,�.. A city or county, which is required to give notice pursuant to;Section 19830,�shall attach [o such notice, and, as a condition precedent [o issuing a building permi[, require the completion and require Ihe iemm of, an owner-builder verification. . • , Atten[ion Property Owner. I � � An `owner-builder' building pemtit has been applied for in your name and bearing your signature. Please complete and re[um this informa[ion in the envelope provided at your earlies[ opportunity to avoid unnecessary delay in processing and issuing your building permi[. No building permit will be issued until this verification is received. I. 1 personally plan to provide the major labor and materials for construction of the proposed propeRy improvemen[. [�'Yes ❑ No 2. 1 ave ave.not) signed an application for a building pemtit for [he proposed work. 3. I have wntracted with the following person (firm) to provide the proposed construction: Name 1'.. E C% � b E M� I/`� � ��_ _ Address _ _ '7. Phone (q/ItF) �� Contractor's Lic. No. .. Y � // • . � 4. 1 plan to provide portions of the work, bu[ 1 have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City — Convactor's Lia No. 5. I will provide some of the work but 1 have con[racted (hired) the following persons to provide the work indica[ed: Name tOC2d6 (REV.9/98) Address Phone Type of Work OWNER $r1St01 ESt8t25 DATE �-18-56 JOBADDRESS o1l1 C BUILDINGPERMIT•NO. �870 .�9&FNI �I'B9� GENERAL CONTRACTOR $.V.Hunsaker VALUE $ 8,856.�� L�`T 15�1 BLOCK TRACT 28%3 Sin�le Res W�Btt �2.I' GROUP I�' J TVPE �: ZONE 1� FIRE DISTRICT 2896 PERMI7SISSUED INSPECTIONS dAT� SUBCONTRACTOR � i ii DATE � NUMBER Foundation Forms -Rough Framing-� Plumbina. Ro�a7Tt Pole Wirin( Heatin n Lathing,ln Out (.�2G �$h � F �ring � Pi,.��ibing, Final, FixWres Completern�s 8,�� Plumbing, Final GasTest 'y� /!7(�3 ,ja Wiring, Final � Occupancy �v FORM 210 3M 10�'v5 i • '�osta Mesa Building Department :iPPLICATION FOR PERMIT ` P.O.Box3�� 28:96 BU�iLDING � �% ' COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FII.L IN Receipt No. Permit N� naaae� Q30 os�u�J ST� %0 Costa Mesa, California Rece�uzd Date Rec'd. Date Issue Nearest `j7�.. hG F.UT I/� 17� . �� '�/ �-n' i�� l� Cross Builtling Address Owner. i.,�ru L � � Costa Mesa, California Mall / - �� '"7� Address �'L � � �f�y lUw.a�f —Y�. Nearest Tel. Cross S i Gty � No. // � Zone i/ I No. of I Type � Group�,, Arohitxtor LiC. `l� Plans cY Engineer No. Approved b Date � Address CORRECTIONS � � City LI� �/ Contrector i � UN$ AKL� No. Address Jf'iy/G - Le PI I Lot /� I i � 7� ��J � DesCri tion No. Block � ' U= y '�. (Attach Metesand Bounds) �,.f ! No.ofB�dgs �s� i � c Size of Lot �6� X �� 1 I Nowon Lot `�/ iQ�ll Useof I No.oT I No.ot Existing Bldg. Familles Rooma Setback Line from / Rear Vard Z�'t1 ��T� Center of Street - Side Vard $ 1 j Z — v 2(��.f:'. S/� DESCRIPTION OF WORH 1rt New I i'� Alte�ation I I Addition I Repair I I Moving I � Demolish I Bullding �Q.�.7 No.of Size Rooms � Stories / . Exterior Wal Roof Covering �C'C� Covering OC� APPROVAI.S Use of New�'' Building J/ ..! �P � l � Foundation Location Inspector � Dati Forms, Materials, e � � �^r, Under-Pinning _ G Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Applicatlon and state that the abwe Is rnrrect and agree to mmply Lath. Int. with all City Ordinances and State Laws regulating building construCti Lath. Ext. Slgnatureof Permittee � Plaster, Int. Authorized Agt. plaster, Ext. Valuatlon ermitFee$ 22.C'u MasonryReintorted p� � Plan Check $�/• 4� Bond Beam $ O 0�' Total Fee $ � . � FINAL FOFM 204 10�SS D. P. G S. ri.vi ra.r�iv Bhow locatlon and distanees Trom property Ilne antl between buildinga V ,_ V� I � �.� r. f.- t. � 1 • � � ' f • � ' 1 � ) � • ' � �o4T� ' . ��,,,.,,p�.. -o�v .. . •z3rn . � �'. . . , . , ,,. . ,.. • , . , . , . ' �• ` ' .-r . . ;., ` \ - '. - �� . � `, • � .. � � • � . � � ��-� ' � � � , - � 0. � 1 •� . .�. 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