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Home My WebLink About207 MAYFAIR LN - Building Permitsc%�'": '''� � � o, > _ � J .� � (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUI4DING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT �2.�.07 M �yr�+-; � ��. JOb AddfeSS: . �"�� "�^^" ' N Suile: Viciniry: 207 TO 209 MAYFAIR LN � Parcel Nunmber: 41901342 Applicant: PEARSON, VESS Address: Owner: GARD�N PARK VILLAGE Address HOMEOWNERS' ASSN POSOX %HOME FEDERAL 5 & L ASSN Contrador: G M RQOFING Address: P.O. BOX 3908 SEAL BEACH, CA Zip: 90740 Arch : Address: Zip: Phone: License: Zoning: Phone: 2ip: Phone: , Zip: 92112 Phone: 714-761-8173 Licensei 472566 � - , Eng: Address: � � � PERMIT NUMBER B99-00006 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: Oi/04/1999 Issued: 01/05/1999 Phone: License: SCOPE OF PERMIT REROOF OVER EXISTING 1 LAYER OF COMP. SHINGLE WITH NEW 25-YR. COMP. ROOF CERT ATfACHED TO PERMIT. GARDEN PARK VILLqGE CONDO COMPLEX. ROOF "D"� COVERING UNITS 207 TO 209 MAYFAIR LN. ._ , � FEE SUMMARY Plan Check: Permit SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $74.75 $0.50 $0.00 $O.OD $0.00 $75.25 SETBACKS MAINSTRUCTURE Front 0-p ACCESSORY Front 0- 0 PARKING Existin : o N07ES: Rear 0-0 Rear 0- 0 Required: 0 PLANNING & ZONING Lett 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Ri9ht 0- 0 Right 0- 0 $2,350.00 $2,350.00 EXPIRA710N: 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. , I 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 (nspeettona and final approval must be obtained. Failure to obtain inspections and final approval will resuit in the expiration of this permit. IFOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSATION DECLARATION: � � I hereby attirm under penalry ot perjury one of the following declaretions: ❑ I heve antl will meintain a certificete of consenl to self-Insure for workers' compensation, es provitled fOr by seclion 3700 of Ihe Labor Cotle, for the pertortnance oi the wark tor whiCh t�is pertnit i5 iuued. ❑ I have anC will maimain workers' compensation insurance, as required by section 3700 of the Labor Cotle, Por the pedortnence oi ihe work for w�ich this pertnit is issued. My workers' compensation Insurance wrtier entl policy number are: Carrier: Policy Number: (This secfion need nof be completed it (he permif is valued et one hundred dollers ($100) or IessJ ❑ I certiy Ihet in the pertortnence of Iha work for which this permit is issued, I shall not employ any person in any manner so es to becoma suDject to t�e workers' wmpensation laws ot Cel' omia, and a that ii I shoultl become subject to the workers' compensatlon provisions oi Section 3700 of the Lebor Code, I shall forthwit� com0ly with ihese pr isi ns. ^ ApPlicentSignature:�� ' �Me:'� ! �� \ WARNING: FWLUFE TO SECURE WORKEFiS' COMPENSATIIXJ COVERAGE IS UNLAW FUL AN� SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO TLKKISAND OOLLAFE (S10U.OW), IN ADDITION TO THE CQST OF COMPENSATION, �AM4GES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAPATION: I hereby affirm thet I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professiurs Code, and my license is In tull torce and eNect. Lia N CI1N Conlrector�naWre: �t Date:' �"� n CONSTRUCTION LENDING AGENCV: ❑ I hereby amrm Ihat there is a wnstruction lending agency for the perfortnance of the work for which t�is permit is issued. (Sec. 3097, Civil Cotle). i Lentlefs Name: Lender's Address: '� Signature: Daie: OWNER-BUILDER DECLARA710NS: 1 �ereby eNirm ihat under penalry of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Busineu antl Profeuions Code: Any ciry or county whic� requires a permit to canslruct, elter, improve, demolish, or repalr any siructure, prior lo its issuance, also requires the applicent tor such permit to tile e signed statement thet he or she is licensed pursueM b the provisions of the Coniractors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of Iha Business and Professions Code) or that he or she is exempt t�erefwm and the basis for Ihe elleged exemption. Any violation of Section 7031.5 by any epplicant for a pertni� sublecls the applicant to a cial penalry ot not mae than fve hundred tlollars ($500).): ❑ I, as owner ot the property, or my em0�oyees with wages as iheir sole compensation, WILL DO THE WORK, and the siructure is not intanded or oXered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not epply to en owner of property who builds or improves thereon, end who tloes such wark himselt or herselt or through his or her own employees, provided ihat such improvemenis are not inientletl or offered tor sale. It, however, Ihe builtling or Improvement Is sold within one year o1 completion, ihe owner-bulltler will have Ihe Durtlen of proving that he or she did not bulltl or improve for purpose oi sale.). ❑ I, as owner oi the property, am EXCWSIVELY CONTRACTING WITH LICENSED CON7RAC70R5 to construct the projact (Sec. 7044, Businass and Professions Code: The coniractors License Law tloes not appty to en owner of properry who builtls or Improves thereon, antl who contracts for such project with e coniractor(s) license pursuant to the Conirectors License Laws.). ❑ I am eaempt untler sec. SignaWre: Owner ID venfied by drivefs license. ❑ Yes ❑ No Business antl Protessions Code for ihis reason: Verification of Ownerehip by (rype of document, I.e. - property tau bill or tlead): Driver5licen50 No. Date: Ezpires: DIVISION OF INDUSTRIAL SAPE7Y PERMR CERTIFICATION: ❑ I hereby certify that no ezcavation five (5) or more feet In tlepth into which a person is required to tlescend, will De mada in connection with work authorizetl by this permit, entl that no building structure, scalloltling, falsework, or demolition or dismanitinq thereof, will be more t�an t�irty-sie (36) teet �igh. (Chap. 3.2, Grp 2, An 2, Sec. 341, Ttle 8, Calitomia Atlministrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which woultl require a pertnit irom ihe Division of Industrial Safery, as noted above, unleu such person has e permit to do such work trom tha division. SignaNre: Date: Division of Industnal Safety Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUTTIORVATON OF EN7AV: I certity under penalry ot perjury ihat I have reatl ihis applica�ion and sta�e �hat �he infortnation given is correcL I agree to comply wit� all state laws and ciry ordinances relating to building construction, and authonze representapves ot Ihe Ciry of Costa Mesa to enter upon the above-descnbetl properry for inspection purposes. I agree not to aapy or allow occupancy of any building authorizetl by ihis permit until iinal inspection. �� ' Signatu Oi Legel Owner(s) 1^� ^�Dgte _ � � � Antl/Or Authorized Applican� D e CO�E t INSVECTIONTYPE 1616 Fized System FinalFire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Fectory Fire Place 203 FinalSign 20a Final Demolition 2046d6 � .,u�ii1.��. �1-/___.� �__9�' +�.'� yQQEj INSPECTONTYPE 206 Final Mechenicel 200 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approvel 222 250 Flnal Site Final Building/Occupancy UA7E �im. . PpOJECT AODNESS: z O% MAYFA I R L N OWNEN'SNAME: CLIFTON MICHAEL A � aooaess: z07 MAY�'AZR. LN COSTA MESA,CA 92627 FHCH/ENGINEEH: . AOOflE55: NEG.NO.: UNIT: UNIT: , PEHMITTEE: SOIL ENGZNEERING ( 61 9) 560-7645 aooaess: 1317 SIMPSON WP.Y J ESCONDIDO CA 92027 LICENSEO CONTHNCTOB OECLABATION: I hereby aflirm ihai I am liten5ed-unUer provision5 ot Chap�ef 9(tOmm¢nting wi�h Set�ion 7000) of Division 3 of ihe Business and Professions Cotle, and my license is in lull force and effect. ciTruc.:050999 STATELIC.:2(78Q82 cuss:p � i Daie: � '3Q�9_� Si9nature: _� _� � . I WOflNEflS' COMPENSATION OECIABATION: I �ereby aflirm ��at I have etlibca�e o� cansent �o sel4insure or a cetlificate o7 Workers' Compensalion Insurance. or c tl�ji¢tl; copy thereo� (Section 3800. La . C�. � 'OUCY NO.: WOAOO� �.i El(P. OATE: S O I O I� 9 S , comPaxv: C . E . HEATH ❑ CertifieU copy is �ereby �umishetl. � Certified caDY is file0 wi�h Ihe ci�y BuilAing Oivision. �a�e'. 1 ��C7�- �%� Applican�: ,� y7 � � E%EMPTION FNOM WOBNEPS'COMPENSFTION OECLPHFTION:'(Thisseclion�eyample�eai��he De�milisforone hunUretl�8100)arless). I cenify that in ihe oedormance of the wark lor which ihis Dermit is issued.'1 shall not employ any Derson in any manner so as to hecome subletl to Ihe Workers' ComDensatian Laws of Califomia. Date: - Signature: � ' ' ' NOTICE: II, afier making Ihis tleclaraiion, you shoultl become su�le�� o Ihe Workers' Compensation pmvisions of �he Labor Code. you musl fotlhwilh comD�Y w�th such provisons or �his permit shall be tleemetl revoketl. CONSTqUCTION LENDING RGENCY: 1 hereby aifirm Ihat Ihere is a cons�mclion IenUing agency far tAe pedormance ol the work for whith Ihis permil i5 i55ue0 �Set�ion 3097, Crv. C) LENOEH: � FOOflESS: � ' ' . OWNEfl BUILOEfl UECIABRTION: I hereby affirm that I am exempL�mm �he ConUac�ors S�aie License Law tor �he �ollowing reason (Seclion 7031.5 Business antl Pmtessional Cotle: Any ci�y ol coun�y which requires i permit �o constmcl, al�er, impmve, Uemolish, or repair any SVucNre, piior lo its issuance. also requires ihe applican� �or such permil to �ile a signetl statement that �e/s�e is licensetl Oursuam ta Ihe pmvisions ol lhe Caniraclors' S�aie License Law (Chap�er 9(commencing with $ection 7000) of Division 3 0l �he Business and P�o�essions Code) or I�ai he/she is exemp� �here�mm antl Ihe basis �or Ihe alleged erempiion. Fny violaiion o� Seclion 7031.5 by any apPlicanl br a permi� sublec�s ihe applican� �o a civil penalty o� nat more �han five M1unUretl dollars ($500�. I. as owner of I�e D�oPehY or my emplayees with wages as Iheir sole comDensation, will Oo �he work, antl Ihe simcwre is not intenAed or offeretl ror sale (Section 7044, Business antl Pmiessional Code: The Cantractors' Stale License Law tloes nol apply to an owner o� a pmpehy who builtls or impmves Ihereon, antl w�o tloes such work himself/hersell or �hrouAh . his or her own employees, pmvi0e4 Ihat such impmvemenis are no� in�entled or oflered for sale. I�, however Ihe builtling or � impmvement is soltl within one year of complelion. the owner will have Ihe bmeen ol pmving he/s�e tlid no� build or impmve mr �ne a�mas� m sa�e). 1. as owner a� �he pmpehy, am eecWsively comrac�mg wit� licensetl conVacmrs ro consirucl �he pmlecl (Section 7044, Business ❑' and Pm�essions Catle'. The Conlrac�ors' S�a�e License Law aoes not apply �a an awner ol pmpetly w�o bui105 or impmves thereon antl w�o coniracis lor sucM1 pmlec�s with a conVactar(5) license pursuan� lo Ihe Coniraclors' Slaie License Law�. I'am aware thal pmai o� Iheir Worker'S Compensation insurance should be pmvided �o me. , � I am eKemp� untler $ection: B. 8 P. C. for Ihis reasan: oa�e: - owner � I ao hereby cenify ihat I am aware oi an0 untlerstantl the requiremems ol Califomia Healih anU Salety CoOe Semions 25505, 25533, and 25534 and Ihat I or any Wlure building occupani wiil/will no� (circle one) neeo to comply wit� saia s�a�e cotles antl �he requiremen�5lor a permit �or con5imc�ian or modilication irom Ihe AirOuality Management Oisiriq. Resiaential cons�mction apDlica�ions are exemp� irom Ihese pmvisions. , Oate: Applicam: I hereby cetlity Ihz� I have reaa �his applicalion antl state Ihat ��e above in�orma�ion is correcL I agree �o comply with all city and counly ardinances antl slaielawsrelaling�o builUing cons�mclion antl hereby auihorizerepresentalives olihis aty,to enleruponthe above�menlioneU pmpeny lar inspection purposes. � ' Oa�e'. _� _��/ Signa�ure: . onver's License or sociai Secunty a: 16a1-a6 W�ne—Bwltling; Green—Cotle Enlorcemem: Canary—ApDlicanL Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA.MESA — BUILDING PERMIT �,PERM NO: H2OS083 PERMIT NO: B 050835 PLAN CHECK NO: 00287-91 A GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N : PERMIT TYPE: STR PURPOSE: OTH JOH DESCRIP'PION : STAIR UNDERPZNNING � SQ FT: 2,439 CLAIM VALUE; 2,439,00 CALC—VAL[JE; _ 2,439.00 GkOUP OCC: k-3. %M-1 �� COMMEN'fS: SITE ACCESS PERMIT #10564 ' iE�k�EifiEiFiEiEjEiFifif�lEif3E�iifi(��EiFiF�7EiE9EiEiFiE�iFiEikiEififiEafit-%iEiEj(iE9E3FifiFiE�%iEit'lE�7f3f�N�iE9E�kiE�t3EiE3Eibd(�iEiE9E*ifiEitiFif�EiEif*3FdF � 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 HUILDING ---------= ----,----- ACCESSORY BUILDING ----=---'— FRNT: FT IN REAR: FT IN' FRNT; FT IN REAR: eT IN � LEFT; FT IN RGHT: � FT IN LEFT: FT IN RGHT; cT IN PARKING REO• PROV: PARCEL; 91901331 ZNE: R4 REF NO: � PLANNING Nt5TE5> FOUNDATION STABILI2:4TION FOR PATIO AND STAIRS OF EX. CONDO. � . �k aF %if iE ik iF iE iE iE if if it iE 1ElE df iE iE jE �t iE K iE dE iE iF iP iF iEl4 iF# �F it iE iF if 1k iE aE ik iE iF 3F iE 3f iE 3E IF 3E iE iE iF 1E iE iE ik if iF 1F 9f if * iE 3E iF iE iE'jE )f iF ik iE if iE if iE iE 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 7C� � l DATE; a7�3o9/ BUILDING APPROVED BY ; C�1 / L�L� /,� �'�'L, llATE: �� APPLICATION ISSUED BY: DATE: % v` �IE1EkiEiE7FiEifiEiE�fitifiEiElE�tlFlEi(�1F�E . �E�Eitif�ElEitiFiEiE��i��liE �E1EifiE3EififiEififiEifiEifif�flflF3FiP�flEif�E3E�E1E�f�flFjflFifiEiEiF7fiF ifiFibikiFifibiE�klEiFiEiElE�fifiEdFifiEiFiFififiEiE*iE3f�iE3EiEiEiEiEiFiEifif LEGALIZATION;N F E E U M M A R Y STROCTURAL SEGMgNT:Y BLDG PMT PLUMBING ELE fRIC 'MECHANIC F'IRE SMIP/RES Gk,r�ING PERMIT 54.00 .50 SMIP/NON—RES PLAN ' 8..78 ' ' ' ISSUE PEE BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID. DUE TOTAL5----> 54.50 0.00 8.78 63.28 63.28 .00 REVENUE DIVISION TOTALS--> ' COLLECTED: 63.28 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAllING PLAN—CAECK 54,00 . ,SO g,7g iF iE iE if dE 1F if 1E fF if ib �ElF af iE iF iE iF 3F if 1f iflE iElF iF 1f iE if if 1E iE 1E i! i4 iF if iE 1E if !E iE if �f if !k'!E iF iE if fE iE iE iE if if iE ik �1E iF iE iE �E iElE i4 iFlE 3F if iElf 1E iE {� * 1E 1E �f 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 VALUE RESIDENTIAL NOZONE 1.00 z,439.00 END OF FEES • 7 0 a� c�a�9�zU �ut��::e -c-��-s �5.�� at�: c�r��i r�n�: rs..k CONSTRUCTION AND�PL�ANNING `$ SP'4 '�� APPROVALS Permit# Date Inspector AppROVALS Permit# Date �Inspector � 1. Temporary Electrical Service or Pole. _ 52. Pool & Equipment Location � 2. $oil Pipe-Undrgrnd. � _ ; � 53. Steel Reinforcement �� 3. Electrical Conduit Utility-Undrgrnd_ ' 54. Forms • '�' i� 4. Electrical Conduir�Undrgrnd. . 55. Electrical Bonding ' r ' 5. St'eel Reinforcem8nt' ' 56. Rough Plumbing & Pressure Test 6.: Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE '' 7. Footings - 58. Electrical Conduit-Undrgrnd. .i 8'. Foundation � �.j � 59. Gas Pipe, O Undrgrnd., Test . :� 9. Water Pipe-Undrgrnd. �� "�� 60. Backwash Lines, P�Trap, O Undrgrnd. )j � 10. Structural Floor SYstem `<< � �� 61. APPROVAL TO DECK � 11. Property Sewer Line & Hous jConnection ' ' 62. Backwash & Receptor�Final i�� 12. Sewer Cap �� ' 63. Hester & Vent-Final � - 13. Roof Drains - ,�j 1i 64. P�umbing System - Final ,iy 14. flough Plumbing ' , �j`� 65. Electrical-Final I 15. Rough Electrical-Conduit � � 66. Solar System-Final � � 16. Rough Electric Wiring �, 6J. Fencing & Access ApP�oval ' 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 . - '�' � . i � . 20. Rough Factory Pireplace � � � . � , � ' � qPPROVACS -'�Permit # - - • , 21 . �Ducts, in Structur�e _ � .. .. . � � �� i J . � r -t ?70. Underground Hydro = � 22. Ducts, Ventilating� � ' �:�•: �� ;71. Product�Piping O`Gas O�OiI 23..Gai Pipe-Rough &�Test !� ' � .� � � : � ;. ,7z. Underground Flusti. � ' � , 24. Roof Fiaming� � � . -• �� - ' � � �: `=73:� Undergmd. Storage�Tank O Gas ❑ Oil - 25. Roof Sfieathing .' ; ;� . ` �' "' . �'74.�?Overhead Hydro �� 26. T-Bar Ceiling (Svuctural) & Monocoat .�� 75.� Dry Chemical � -' 27. Frame and Flashin9� ' � ` ,. ; 76: �Dry Standpipe � ` , 28. Lathing & Siding . ' ia: _ r< ^ �+� 77;' FIXED SYSTEM� FINAL' � 29. Insulation , �� , ' �� ,. ; � I I ��, , 78. FIRE PREV. FINAL ,�30. Drywall Nailing � �' ��•� � HEALTH DEPTi REQUIREMENT � 37. Plaster Brown Coat, i , ' �; �: ;.79. FINAL INS?ECTION � � � � :�32: Electrical Power Meter�Finali �� . i I� ::80. FOOD CERTIFICATE ISSUED 33.�Final Electric� � � � ' ' ' i I �� " ''Notes: -� � ' 34. FinalHeating_&A�r.Conditioning_ ,�. � I � , � ,�'�- � , ; . 35. Final Gas Pipe-Test' ' � ' , I � 4: ' � � � ^ � . i 36. Hood or Gnopy . - I ( I� , � � 37. Final Factory Fireplace �' ' � I . ,'�� 38. Final Plumbing �" I I ' -39. Water Service-Final ! � � ` ' - � � 40. Gas Service-Final � . ! � � � . 1 �. =41. Solar pomestic-Final . �� . � �� F • � � 42. Backflow PreveMer_ ; � ' � `� ' ' ' � � t 1� � . . ., � , � 43. Backflow Irrigation• + • �� ; � �• , '44. Landscape Irrigation System ' ' ; �, • � , _ - , ' -45. Sound Attenuation � � • ' �- � ' - ' 46. Handicap Regulations � ; ; . - � � ' , , 47. FINAL STRUCTURE & BUILDING riZc�'� �W�/,j, ` •- . vr 48. FINAL PLANNING �� i I ' 49. �Elec[ric Release to Edison � I � ,� ' 50. Gas Release to Southem California Gas Co ;, � I, , . . � � , . . 51'. CERTIFICATE OF:OCCUPANCY � ; , , . • _ , No. Oate f I F�+ 7. W 0. a � � x F C W F G .d � �' .d C w a � a a z "�' 3 /*i.OSTA MESA BUILDI �FETY DEPARTMENT P.O.BOX7200 COSTA, ..:A,CALIFORNIA92626 For Applican[ to FID in Comple[ely — Use Ink Only BUILDING CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT � SIZE OF LOT �� C�i N�`6�5, 9 /./ .TEL. /�� [fAU N , 7 /�U • / c , _ ,� L� NOLi.C(�� L CITY LIC. NO. NO. OF B�DGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. VSE OF BUIIDING AND WORK TO BE PERFORMED - 8G37 12/12/79 122. �T.L- APPLICA'�'"�FOR STRUCTURAL PERMIT �'� RECEIVED BV PERMIT . i/f �. � � . A.P. NO. `� I.�1 � VI� � I�1 BUIIDING!//`�"7 � (�A�,�'� /� ADDRESSLS_J ! !L r� lJt'� UNIT OR SPACE NO. �/J'(� NEW I ADD � LOT � / >LTER REVAIR � APPROVEDSETBACKS PLANNING ACTION Z� — 1-1 � S D DATE APPR( E I heroby aeknowlatlge thei I hava reetl this application antl stete °' Mat the above fntormatian is correct and agree to comply with � all laws regulatlnB buil0ing connruetion, end 1 shall noi employ yOLD FOR SPECIAL REQUIREMEN'�'a � any Oerson In violation of ihe workmen's compansation lawa of � : the State of Californle. . �J ' � I he�eby certify that 1 em properly Ilcensetl as a conttaetor untlar n. FT. /. n Q the Stata of Californla Business antl Plofessions Code, Division 3, THE AMOUNT SHOWN UN R VALUATION IS FOR C1 � Chapter 9, and that s ch Iicenses are In tull force and affect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from 2ha rovisions ot the State of California Business VALUATION Y � antl Protessions Co Divislon 3, Chapter 9. . PERMIT FEE S /^I m \ SlBnamra of �/�/, �� O PLAN CHECK 5 O LL 0 Permittee �� $�/ /� ��//� TAX $ or � /�/� `� � f AuthorizetlAgant D e � TOTALPAID 8�h � i ��_ � F � W C. Q � � � F � COSTA MESA BUILD�SAPETV DEPARTMENT APPLICA�`� ":y F(��TS�TI{l�C�"''��,PERMITI84.DC1 P.O. BOX 1200 COSTA�arESA, CALIFORNIA 92626 . RECEIVED PERMIT For Applicant to Fill in Completely — Use Ink Only 4 9 3 2 3 ADDRE55 20�7,�Ma fair�Lane "•'•NO� 419-012-19,22 � BUILDING � NANT RMcKinnon-Bibb Properties %�DDRESS MAILING y UNITOR nooaess Z737 E. CoaSt Hiwa SPACENO. TR.NO. LOT � BLK. TEL. ^ CITV NO. NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION Home Federal . S/L LENDER BRANCH owNEa o-'bb P o e ties ADDRE55 Santa Ana � Y� l.�E ARCNITECT/± TEL. U��WRYlOU52 W� attaclleCL sgarage ORENGINEEFNeO. WISEIR3R N . 642-55 ADDRESS $33 DOVeT DT. N.B ZONE R4 TV E V Gf70UP H�7`J APPROVED /�/� � CONTRACTOR BY DATE ADDRESS 105 E. 18Th. Street � TE�. GTV Costa Mesa "qi42-4372 APPROVEDSETBACKS �c No. 367816 °icYn,o. 7420 as er a roved plans SIZE NO.OFBIDCaS. (FROMC/LSTREET) OF LOT NOW ON LOT RONT FT. USE OF O EXISTING BLDG. T Separate permits are required for L SIDE FT. electric, plumbing and heating work: REAR Fr. - USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION - . Townhouse w/ attached garage ZE-79-58 � o�eo4-9-79 APPROVED I heraby acknowletl8e that I have reatl this application entl stata � that ihe above info�mallon is corract and apree to comply with � all lews regulatin8 building construction, antl I shall not amploy . any parson in violation of the workmen's compensation lews of m the State of Californla. m I hereby cartify that I am proparly licensetl as a contractor unde� SQ. FT. } �v tha Siata of California Business a Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such I' nsas ere n full force an ct, or I� THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from t�e pr isio� f� of Cal' rnl usiness VALUATION PERMIT FEE .$ d antlProfessionaCotle ivision ha te . 184.�� m Signawre of PLAN CHECK 8 a Permittee �� $ � � TAX 5 LL o. �� /3 �o � � AuthorizatlAgant Date . TOTALPAID a 154.00 T�