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Home My WebLink About205 MAYFAIR LN - Building Permitsa 6 t � o. > _ : J •�'�a�v1[� � (714)754-5273 • Fax(774)754-4856 CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT '�b'^�FA-ie f�/�l• Job Address: �746N Suite: Vicinity: 205 MAYFAIR LN ParcelNunmber: 41901342 App�icent: PEARSON, VESS Address: Owner: GARDEN.PARKVILLAGE Address HOMEOWNERS' ASSN P O BOX °hHOME FEDERAL S & L ASSN Contractor: G M ROOFING Address: P.O. BOX 3908 , SEqL BEACH, CA . Zip: 90740 : Arch : Address: Phone: Zoning: Phone: Zip: Phone: Zip: 92112 . , Phone: 714-761-8173 License: 472566 Eng: Address: PERMIT NUMBER 899-00007 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/04/199g Issued: 01/05/1999 Phone: Zip: . License: License: SCOPE OF PERMIT REROOF OVER EX�STING 1 LAYER OF COMP. SHINGLE WITH NEW 25- YR. COMP. ROOF CERT ATTACHED TO PERMIT. GARDEN PARK VILLAGE CONDO COMPLEX. ' � ROOF "E" COVERtNG 205 MAYFAIR LN. � � �� - Plan Check: $0.00 Calc Valuation: $i,��e.00 Permit: $40.25 Claim Valuation: $i,ns.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $40.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0- 0 AGCESSORY Front 0- 0 PARKING Exi_stinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 Left 0- 0 LeR 0- 0 Proposed: 0 Right 0- 0 Right 0- 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final appioval will result in the expiration of this permit. FOR INSPECTIONS CAIL: (714) 7545626 � WORKERS' COMPENSATION DECLARATION: I hereby atFirtn under penally of perjury one of ihe following tleclarations: t' � ❑ I have and will malntain e certificate oi consent to self-Insure for workers' compensation, as pmvided tor by section 3700 of the Lebor Cotla, for Ihe peAortnence oi the work for which this pertnit is issued. ❑ I have ana will maintein workers' wmpensetion insurance, as required by section 3700 of Ihe Labor Cotle, for the peAortnance of the work br which ihis pertnit is issuad. My workers' compensation Insurence wrrier antl policy number are: Carrier. Policy Number. (Th/s section need not be comp/eletl il Ihe permlf is valued at ane hundred Collars ($ f 00) or less.) ❑ I certity Ihat in the pedortnance of lhe work tor which this permit is issuetl, I shall not employ any person in any manner so as to become subject to tha workers' wmpensation lews ot Ce'fomla, entl agree that if I should become su6ject to ihe workers' compensation provisions ot Section 3700 of the Lebor Cotle, I shall torthwith comply with these pr visi ns. � Applicant�S'gnature: �� 1tinnj�� te:. � "�" `� � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINE$ UP TO ONE HUNDRED THOUSPND DOLLARE (5100,000), IN ADDITION TO THE W5T OF COMPENSATION, OAAMGES AS PROVIDED FOfl IN SECTION �O60F THE LABOR CODE, IMEREST, ANO ATTORNEY'S FEES. LICENSED CON7RAC70RS DECLARATION: I hereby eHirm thet I am licensed under provisians of Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business end Professiurs Code, antl my license is in full torce entl ettecL Lic. N Class # Contracto�9'Signewre: �4 �LLhh- . e1e:- – S CONSTRUCTION LENDING AGENCY: ❑ I herehy atfrtn that there is a wnstruction lending egency for the peAortnance of the work tor which Ihis permit is issued. (Sec. 3097, Cihl Code). . Lenders Name: Lendefs Address: ��, SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn that under penalry of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, 8usiness end Professions Code: Any ciry or counry which requires a permit to construd, alter, improve, demolish, or repalr any siructure, prior to its issuance, also requires Ihe applicant for such parmlt to file e signetl stetement Ihat he or she Is licensetl pursuant ta the provisions of the Contractors Licensa Lew (Chepter 9(cammencing with Section 7000) ot Divlsion 3 of ihe Business ana Protessions Code) or that he or she is exempi Ihereirom and the basis for the alleged exemption. Any violation ot Section 7031.5 by eny applicant for a permit subjecis the applicant to a civd penalry oi not more ihan five huntlretl dollars ($500).): ❑ I, as owner ot tha proparry, or my employees with wages as �heir sole compensation, WILL DO THE WORK, and the structure is not intentletl or oNered for sele (Sec. 7044, Business flnd Professions Cada: The Conirectors License Lew does not epplY to en owner ot property who builds or improves ihereon, antl who tloes such work himsetl or herself or thmugh his or her own employees, provided that such improvements are not intendad or ottered for sale. It, however, the builtling or Improvement Is soltl within one year of completion, Ihe owner-builtler will have Ihe burden of proving that �e or she dia not Duiltl or improve tor purpase o1 sele.). ❑ I, as owner oi the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consirud the Droject (Sec. 7044, Business end Protessions Code: The contrecfors License Law does not apply to an owner of property who builds or improves thereon, entl who coNracts for such project with e contrector(s) license Dursuam to ihe Contractors License Laws.). ❑ I am e:empt under sec. Signature: Owner ID veritied by dnver'Slicense. ❑ Yes ❑ No Business and Professions Cotle tor this reason: Verification of Ownership by (rype ot tlocument, i.e. - property tarz bill or deed): Drivefs License No. Date: Ezpires: DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICA710N: ❑ I hereby ceNiy that no e:cavation ilve (5) or more teet in deplh inlo which a person Is requiretl to descend, will be mede in connecUon with work euthodzetl by this permit, antl Ihat no building structure, scaflolding, felsework, or tlemolition or dismantling thereoi, will De more than thirty-siz (36) feat high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomie Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit from the Division ot Indusinal Satery, es noted above, unless such person has a permit to do such work from the division. Signaiura: Date: Division of IndusMal Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalry ot perjury ihat I have read this epplicetion entl state ihat ihe intormetion given is correct. I egree to comply with all state laws enC ciry ordinances relating to building consiruction, end authorize representetives of the City ot Costa Mesa to en�er upon ihe ebove-described properry tor inspection purposes. I agree not to acupy or allow occupancy of any building authonzed by ihis permit until tinal inspection. Signature Of Legal Owner(s) d �� And/Or Authonzed Applicant COOE t. INSPECTIONTYPE 1616 Fixetl System Finel Fire Preven�ion 1266 200 201 202 203 204 2446 <6 Pool Spa Final Final Re-Roof Final Block/Retaininq Wall Finel Factory Fire Place Final Sign Final Demolition � It� =L�—J�J— S� ^Date � �^S^il Date GOOE� INSVECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecldcal 212 Final Fira PreveNion 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy UAIE ItII�9L4 PflOJECT AOUqESS: 2 O S MAYFA I R LN owr+cAsname: TOMASYAN, LEON aooaess: p O HOX 12003 , COSTA,MESA,CA ApCH/ENGINEEH: AODHESS: UNIT: 92627 BEG.NO.: ' ' UNIT: PEBMITTEE: SOIL ENGINEEkING � , ( 619 ) 560-7645 aooRess: 1317 SIMPSON WAY J ESCONDIDO CA 92027 LICENSEU CONTBACTON OECLAHATION: I here�y aihrm �ha� I am licensetl untler provisions of Chapter 9(commencing wiN Section 7000) of �ivision 3 oi ihe Business antl Pmlessians Cotle, antl my license is in fuli lorce antl eftect. c�rruc.:050999 sTareuc.:2(gpg2 cuss: A /j�� Oate �=..�5�� Signature'.—�. � %� WOBNENS' COMPENSATION DECIAFpTION: I hereby a�firm ihat I have a Jicate af consent m self-insure or a certilicate o1 Workers' • Compensation Insurance. or c rti1ieA copy I�ereoi (Sec�ion 3804 La C�. �oucr No.: WOA00$ �3 d E%P. URTE: S O IO S I 9 1 comraNr: C,E. HEATH ❑ Ceniliea copy is �ere�y lumishetl. � Certi�ietl copy is file/d wi�h �he city Building �ivision. ' Daie: � =e�� F_ ApplicanL ��/�� /� E7(EMPTIONFflOMWOflNEAS'LOMPENSATIDNOECIANpT10N: (ihiSseCliannP9�O�Uetomple�e0i�thepermili5�oranehuntlred�5100)OrleSs). I certily Ihat in Ne pedormance ai Ihe work lor which Ihis permit is issued 9 shall no� employ any person in any manner so as to �ecome subject Io Ihe Workers' Compensation Laws of Califomia. oaie: Signature: ' ' NOTICE: II, alier making ihis tleclaraiion, you shoultl become suUjeci to Ne Workers' Compensa�ion provisions of �he Labor Code. yoU mu51 lotlhwit� comply wi�h SUch pmvisions ar tbis pefmit Shall he tleemeA revoked. CONSTBUCTION LENOING FGENCY: I her¢Oy aHirm Ua� Ihere is a tons�mction lentling agency lor Ihe De�ormanCe of lhe work �Or which this permil is issuea (Seciion 3097. Civ. C�. � iexoes: � aooness: OWNEP BWLOEH UECIABATION: I hereby ailirm ihat I am exempt Imm Ihe Coniractors' S�ate License Law for ihe following reason (Seciion 7031.5 Business and Pmiessional Code: Any city o� county which requires a permii �o conSlmci, alier, improve, demolish, or repair any s�mclure, prior to iis issuance. alsa requires �he applicanl lor such permii Io file a signed 5laiemen� �ha� he/she is Iicensed pursuanno ihe pmvisions of ihe Coniracmrs' Slate License Law (Chapter 9(commencinA �'+ith Section 7000) of Division 3 07 t�e Business antl Pmlessions Code) ar Iha� he/she is exempl ��eretmm and �he basis lor I�e alleged exemp�ian. Nny violalion o( Section 7031.5 �y any aOVlicani lar a permil subjects the applicam ro a civil penalty o� no� more Ihan tive hunAred Oollars (5500). , I. as owner oi ihe pmperty or my emDloyees wi�h wages as t�eir sole comDensalion, will Oo Ihe work, and Ihe s�mclure is no� intentletl ar o��ered for sale (Seclion 7044, Business antl Pm�essional Code: The Con�rac�ors' Sia�e License �aw tloe5 no� apply lo an owner ol a pwperly w�o �uilds or impmves �hereon, and w�o tloes such work �imSelOherself or �Arough his or �er own employees, prouitle0 �hat.suc� impmvemen�s are no� inlentle0 or offeretl for sale. If, however Ihe huil0ing or impmvemeni is solU wi�hin one year of comple�ion. Ihe owner will bave �he bur0en of pmving �e/she Oi0 no� builtl or impruve lor �h¢ pUtpose 0� Sale�. I. as awner ot the pmpetly, am exclusively conlraciing wi�h Iicen5e0 wnl�aciors lo consimcl I�e pmlec� (Seciion 70d4, Business ❑ antl Pmlessions Cotle: T�e Contrac�ors' State License Law doe5 noi appty to an owner of pmperty who �uiltls or impmves Uereon antl w�o conVatis lor 5uch prolec�s wi�h a coNractoqs)Iicense pursuantto �he Contractori S�aie License Law). I am aware Ihat proot ot �heir WorNe(5 Compensatinn insurancc shoultl Oe pmmdetl �o me. � �I ain exemp� under Seciion: 8. 8 P. C. lor mis reason: Oare' Ownec I tlo hereby cetlify Iha� I am aware o� and unders�antl Ihe requiremenis oi Cah�omia Heal�� antl Sate�y Cotle Sections 25505, 25533, antl 2553a and �hat I or any lu�ure building occupan� will/will nat (cirele one) need Ia comply wi�� sai0 s�a�e codes and the requiremenls for a permi� �ar conslmc�ion or moAiticaiion imm Ihe Au Ouality Management DisVicL flesiaential constmction aDPlica�ions are exemp� fmm IIICS¢ pI0vI5I0115. �ate: ApplicanP. I heBby certity I�at I �ave reatl ihis application antl s�ate Ihal �he above informalion is correcL I agree �o comply wi�h all ciry and counry oremances and slale laws relaling lo building conslmclion and hereby authorize represen�atives ol I�is ciry to enier upon Ihe above-men(ioned pmper�y far Inspection purpases. � � � Date: �` 3 V"- �� Signaiure: � / /— orrver's License or Social Securiiy a: '16aLa6 While—Builtling; Green—Cotle Enbrcemenl' Canarv—AOPlicanl: Pink—Revenue: Goldenrotl—Nssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05082 PERMIT NO: B 050829 � PLAN CHECK N0: 00296-9T A' GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N '• PERMIT TYPE: STR " PURPOSE: OTH i� JOB DESCRIPTION : STAIR UNDERPINNING ' SQ FT: 2;43'9 CLAIM VALUE: 2.,439.00 CALC—VALUE: 2,439.Q0 GROUP OCC: R-3 %M=1 COMMENTS: SITB ACCESS PERMI'P #10564 ' ' � �*�*��*�r*�*�r*�r**�***��***�***�x �r*�r�r�*�c *�rx **� *�� *�r* ��x *�*x ***��r****�*�r�r��**��r�� Z �O N I N G R E Q U I�R E M E N T S . '' ' S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAA: . FT � IN FRNT: FT IN REAA: FT ,IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT:. FT IN PP.RKING REQ• PROV: PARCEL: 41901331 ZNE: R9' REF NO: PLANNZNG NtSTES> FOUNDATION STABILIZATION FOR PATIO AND STAIRS OF EX. CONDO: -, � iE iE 7E iE 7k 1f iF 1E if iF if iE �E fE 3F iF �l(� fE 1f 1E if if M IF 1f iElFlE iE iE iE iE if �E 1E iElE �f it 1E if 1f 7ElE fF 1E iE iEif if 1EiE iF iF iE iE 1E if if 1t iE iklf iE if !E iE iP iE iE iE iE iF 7f !E iE �f iF if D E V E L O P M E N T S E R V I C E S R E Q'U I R E.M'E N`,T S ZONING APPROVED BY `-�z�t G✓� —r�- DATE: O�� BUILDING APPROVED BY' ; ( (.- DA'PE: � APPLICATION ISSUED BY; DA'TE: if if if iE 1E iE 1E iE 1f 1f it iE!! i! 1E iE 1E 1E iE 1E iE 1f . if 1E iE 1f 1k 1f iE'1(�!E 1f�'�1h �E *it**itititit�r�ritit�rft**�rx�*it�r�t**it*it*it*ititit�rit**�ti e**+t*it+t�t�r�*it***it*****x�**�***x-�*�r***x��e�x LEGALIZATION;N F E E_' U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMZP/RES GAP,DING PERMST 54.00 50 SMIP/NON—RES -PLAN 8.78 ' ISSUE FEE ' BUILDING—DIV—> PERMIT ISSUE' PLAN—CHECK TOTAL PAID DUE TOTALS----> 54.50 0.00 8.78 63.28 63.28 • .00 REVENUE DIVISION TOT'ALS--> COLLECTED: 63,28 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRZC MECHANZC FIRE SMIP/TOT �GRADING PLAN—CHECK 54.00 , .50 8,7g ' iEiFiEifitiEiffFikif�fiFiEiEikitftiEiPiElkiEiE#1EiFiFiE�fitiEiEi!!EiliEiEifiEiEifiEiEiEiliEMlFiFiEltiEfE�fifiEi!lfiEiFififiEifiE�EilifiEiEiEiEiFiEiE*1E1Eii I N D I V I D U,A L F E E B R E A K D O W N � TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2439 ALTER BY I�ALUE RESIDE:NTIAL NOZUNE END OF FEES 1,00 0 2, 439, 00 01 UGu7?S13—C�71�745z; �F'G_e ;' ��,o, D.�,'iE:.�1J?�]/91 'iThlE•. la�Uq ' / ,.�—�� CONSTRUCTION AND PLANNINC`i ' & SP'4 . APPROVALS Permit # Date Inspector p�ppROVALS Permit # � Daie Inspector t. Temporery Electrical Service o� Pole,._ � , 52. Pool & Equipment Location ,y ;,� 2.� Soil Pipe-Undrgrnd. " � � 53. Steel Reinforcement � , 3. Electrical Conduii Utility�Undrgrnd. � 54. Forms :� 4. Electrical Conduit-Undrgrnd. -� � 55. Electrical Bonding 5: Steel Reinforcem'ent; 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE _ ''7! Footings ' � 58. E�ectricalConduit-Undrgrnd. ' � 8. Foundation , n� 59. Gas Pipe, O Undrgrnd., Test �,j � 9. Wa[er Pipe-Undrgrnd. ��• �i'; 60. Backwash Lines, P�Trap, � Undrgrnd. ,'� .. I 10. Structurel Floor SYstem �;/ - J; .- 61. APPROVAL TO DECK �J 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final . i 72. Sewer Cap �,.! _ .� 63. Heater & Vent-Final �'"� 13. Roof Drains -- .�! 64. Plumbing System - Fi�nal � f 14. Rou h Plumbin r �,�• �� g g �9 65. Electrical-Final . � 15. Rough Electrical-Conduit i 66. Solar System-Final � 16. Rough Electric W�ring � 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 � � • � � � � � �� •� �qppROVALS '�Permit # ` i � 1. . 21. �Ducts, in Structure, r �..�.. � ' � � , i; i `70. Underground�: Hydro � �� 22. Ducts, Ventilating r � �: �; � ` i�71. Product_Piping O�Gas �'Oil 23. Gaf Pi e=Rou h&'Test '': ` ' . . P 9 � � ��, � � � J2. Underground Flush� . . 24.�Roof Framing� • . � 1 �� •• • � '" � - �•73:"Undergmd�Storage'Tank �Gas ❑Oil � �' �� 25. Roof Sheathing � ` ' . � ' `„ :` �74.=0verhead �Hydro �' . 26. T-Bar Ceiling (Structural) & Monocoat " �. �� ' 751� Dry Chemical ': ' 27."Frame and Flashing� '�� ' � ' _ 76. Dry Standpipe � , � � ' 28. Lathing & Siding . 7�t. �. �•� �••�� ; 77:" FIXED SYSTEM' FINAL' � 29. Insulation ', ., y ` � �' �� ;, ` ' I � �i. : 78.. FIRE PREV' FINAL �30. Drywall Nailing � e: � � � �+ ! HEALTH DEPT! REQUIREMENT .31. Plaster Brown Coat' � � 'r � �� ;- 79.``'FINAL INSPECTION � � ' � 32. �Electrical Power Meter,;Final; � � I �• �.SOr� FOOD CERTIFICATE ISSUED . 33.:Final Electric � ; �. ' � �' ` ', ` � � � ;. ; �'Notes: ; ' 34. Finil Heating & Air`,Conditioning: , , � I i '� . - � : j� � 35.�Final Gas Pipe-Test• ' ' � ` ` . �'. , • . i � 36. Hood or CanoPY � . ' ( � ' "j ; , i .., 37.-Final Factory Fireplace,, ' � •� - '. '� ( �� - �I� � i ..� . 38.'Final Plum6ing � � � . � � � � � i .�39. Water Service-FinaR � '� I j I. ;� . ' ''40. Gas Service-Final ; - : ' I t: - , ' ' � �41. Solar pomestic-Final , ' � ' ' « � ' ` ' . c� I I I� i i � 42.-Backflow Preventec ' � . , � � � � 1 �` � � � , ; -� 43. Backflow Irrigatiom . ' ' '' -� � • � � 44. Landscape lirigaciop SystemJ , . : ; ; . . �� ,, , � ' � '45..Sound Attenuation �"•i •� - " � .: , �,- , ,46: Handicap Regulations , � � � � � ' , ' � ' � 47. FINAL STRUC7URE & BUILDING � �y�q..L�� 41�- � � �- 48. FINAL PLANNING ' ,. � �. ,- r 49. Eleciric Release to Edison � • � � �: ; � � 50. Gas Release fo Southern California Gas Co ` � �� ' - . . , . � . �. I i (� . , 51'. CERTIFICATEOF,OCCUPANCY : � �� '�i - ,. . � . No. Date I'^ � W G. d � � x F C1 W F a 0 :� a > � � a w a� 0 CC a z z 3 COSTA MESA BUILDI� FETY DEPAFiTMENT .�P.O.BOX1200 COSTAd.._„A,CALIFORNIA92626 For Appticant to Fill in Completety — Use Ink Only BVILDING , ADDRESS ' )h / (, /� OWNERO ��1/LI//�"///�LJV/!JG(�' �Z(/ TENANT 1�[U COPSTRUCTION BflANCH ADDRESS �� ARCMITECT IAn l I I I/ J A/Ai .�.w TE STATE � � ��.(% % CITV LIC. NO. �J O�/J LIG. NO. SIZE NO.OF BLC OF LOT NOW ON LC USE OF /1 EXI5fING BLDG. (�J Separate permits are required for electric, plumbing and heating work: USE OF BUILDING AND WOFK TO BE PERFORMED I hereby aeknowletlpe thet I heve reatl this application and stete that the ebove info�mation is cortect end apree to comply wlth ell laws reguletlnp builtling construcNon, and I sliell not employ any permn in violation of the workman's compensation laws of me stete of calirornla. 1 hereby certify thai I am properly licansetl as a contrector untlar Me Stete of Californla Business and Professions Cotla, Division 3, Chepter 9, antl thet such licenses are in full force anA effact, or I em exempt from the provislons ot the State ot Calitornia Businass and rrofeasiona Cotla, ivision 3, Chapter 9. ' Signatvreof , y/ C /�� Permittee /�4'-' or / ��'�7Cf AuMorBed Agent Da e �� APPLICA7 RECEI VED BV �� FS`fRUdCURdLPERMIT130.48 T� A.P.NO. �lR �DI� � I BUILDING.r7�e�� {p�[�'� / ADDRE55 LJ.y� IoqT � !Et � UNITOR /) .� _ SPACE NO. ,�(�j/��%`^ TR.f�.l.,�, LOT I� �eA�cP J .NEW ADD ALTER REPAIR MOVI ROVED APPROVEDSETBACKS PLANNING ACTION —�`t—SR I°�Ra�Eoy-9-7 HOLD FOR SPECIAL REQUIREMENTa THE AMOUNTSHOWN UNDER VA�UATION IS FOR THE PUFPO6E OF ESTABLISHING A PEFMIT FEE ONLV: VAlUAT10N PERMIT FEE E PLAN CHECK E $�asa TAx TOTAL m � „ o. > � m �. m � ] �. m � � Y n m o ^ LL �� u ��.1� \ COSTA MESA BUILDi aFETY DEPARTMENT APPLICAi�' �':`�� FOR STRUCTURAL PERMIT � y P.O.BOX1200 COSTA...��A,CAIIFORNIA92626 �/1 .� RECENED PEp..-49322• --.:'�-:- .,_ •oa i~ ' For Applicant to Fill in Completely — Use Ink Only ''''' .BVILDING A.P. NO. ADDFESS ZOrJ Ma fiar Lane � - - BUILDING OWNEROR ADORE55 S Ma�fa'�r Lane TENANT McKnnnon-.Bibb Pro erties MAILING SPACENO., P1dR C . � AooRess Z�37 E. Coast Hiwa - TR.NO. LOT BLK. rE�. 10856 36 CITY MST N��675-231 NEW ADD 'ALTER REPAIR MOVING DEMOLISH CONSTRUCfION LENDER Home Federal S L X BRANCH QZ N. Main Street OWNER ADDRESS Santa Ana � � va UE ARCHITECT TEL D0H1TR}LOU58 W� attached �SY e OR ENGINEE -N . ADDRESS H33 DOVeT DT. ZONE R4 T E V GROUP H�.T APPROVED �� CONTRACTOR Bell. Construction BV DATE ADORE55 105 E. 18TH. Street � TEL. CITV Costa M �"�� 642-43 F STATE CITV APPROVEDSETBACKS � uc.No.367816 LIC.N�C1ZO er a roved lan (y SIZE NO.OF BLDGS. (FROM C/L STREET) L OF LOT NOW ON LOT ROM FT. a USE OF '� EXISTING BIDG. O T h FSeparate permits are required for L. SIDE FT. Q e]ectric, plumbing and heating work: REAR Fr. H USE OF BUILDING AND WORK TO BE PERFOFMED PLqNNING ACTION ¢ Q DATE aTownhosue w/ attached garage ZE-79-58 APPROVED 4-9-79 � APPROVED �" .] C w � I hareby acknowletlBa that I have reatl this applicetion antl state � a, that the above Information is correct and agree to comply with �+ ell laws regulating building consttuction,'antl I shall not employ � ,�Z, any person in violation ot the workman's compensation lews of d � Me State ot Califomia. ' SQ. FT. } � 3 I hereby cerUfy that I am properly licensetl as a contrattor untler � the Stata of Califo�nfa Busines d Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, entl Shat such ' enses a e in full force antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e am exempt from the p visions the State of C or a Business y antl ProtessionsCode Ivisio C�ap r 9. VALUATION PERMIT FEE 5 19 5. �0 m Signature ot PLAN CHECK E m Parmlttea � / � $ � TAX $ �� Authorized Agent Da[e � / 3 �� U TOTALPAID a 195.00