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Home My WebLink About3362 MARIGOLD CIR - Building Permits7flOJECT ROUflE55: j 3 6 z pgp,R IGOLD C I OWNEp'SNAME: JACHE, FRED W i' noo�ess: 3362 MARIGOLD CIR COSTA MESA,CA 92626 APCHIENGINEEB: aooness: NEG.NO.: UNIT: uxiT: PEPMITTEE: WALT `S ROOFING { 714 ) A47-1558 aoosess: p, O. BOX 16 3 5 H,B. CA 92647 LICENSED CONTNqCT08 DECUMTION: I hereby afiirm that I am licensee untler D�ovisions ai ChaD�er 9(commencing wilA Seciion 7000� ol Division 7 oi ��e Business and Pmfessions Code. and my licefns js in �orce antl e��ect. ciTruc.: 0575 s�rnj/� uc.:400226 [��/CU15 �ate: — — `�— Signa�ure: _� �� WOflNEflS' COMPENSATION OECLAHATION: I �ere�y alfirm �hat I nave a certilicale ol consent Io selbinsure or a certificate o� Wofrcers' Compensatian Insurance, or a certifietl copy ihereal (Section 3800. Lah. C). Paucvxo.: 1042011-92 E%P.�FTE: O7�OS�93 COMPRNY: STATE FUND � Ceriified copY is �ere�nby lu/mis7hed. � Certi�ietl copy is lile� wi�/h)hCy� ry /B}/y'Iding Orvision. �ate: �� /— / IX Applicant: �/ / / T/ `t/ " '- 'v ' ` EXEMPTIONFNOMWOBREBS'COMPENSPTIONOECIAPRTION: Q�i55ectionnee0notbecompleteAil�hepermi�i5�aronehuntlreU�51W)orless�. I[etlify �hal in Ne petlormance o� [he work lor which t�is permil is issued, I s�all nol employ any person in any manner so as �a become Su�le�� lo �he Workers' Com0en5aiion �aws of Calitomia. �ate: Signalure: NOTICE: II. alter making IAis declaralion, you 5hould become su�ject Io ��e Workers' Compensa�ion provisians o� IAe LaUor Code. you must forihwilh com0ly wi�h such D�oWsions or lhis permi� 5hall De OeemeO revoketl. i CONSTflUCTION �ENOING PGENCY: I �ereby allirm Ihat IDere is a conitNc�ion lending agency fof Ihe p¢tlormance o� ��e wOrk �or w�ic� ��is permit is issued �Seciion 3097, Civ. C). IENDEN: AOONE55: OWNEB BUILDEfl DECLAflFTION: I hereby at�irm Ihal I am e�emp� imm ihe ConVaclors' $tate License Law for ��e followinp Bason (Seclion 7031.5 Business antl Pmiessional Coae: Any cily oi county w�ic� reQuires a permit to constmct, alter, impmve, Aemolis�. or repair any simcWre. vnor la ils issuance, al5o requires ine apD�icant lor such permit to lile a signeA statement tAat he/sne is licensea pursuam �o Ne provisions oi i�e Cantracmrs' Sta�e License Law (Ctupter 9(cammencing vnt� Section 7000) ot Division 3 0l the Business antl Prolessions Code) or t�at �e/she is exempt therelmm an0 ��e basis for t�e allegetl exemption. Any viola�ion of Section 7031.5 Uy any applicant for a permii suUlec�s Ihe applicant �o a civil penaliy oi not more than five hunOreO Oailars (5500). 1. as owner ot ihe DmOeny or my employees vnih wages as lheir sole comDensatian, will Oo Ne work, and the ❑ slructure is not intenaeA or offered lor sale (Section 7614, Business and Professional Code: TAe Cantractor5' State License Law tloes nol aDOly to an owner of a pmpeny who builtls or imomves ihereon. an0 wno tloes suth work himself/hersell or IhwuAh his or her own employees. pmviCeE that sucA improvements are no� intenAeO or offeretl for sale. I�, however �Ae building or impmv¢mem is so10 within one year af comple�ion, Ihe owner vnll tuve t�e LurOen at proving he/she Oitl not build or impmve lor t�e Durpa:e ol sale�. I, as owner ol lhe property, am exclusively contrac�ing with Iicen5e0 wnVactors to cons�mct Ihe pmlect (5¢ction 7044, Business ❑ antl Grofessions CoGe: The Conlraciors' State License Law Gces no� appN �o an owner o� properiy who GmIES ar imD�oves �hereon anA who conUactsior such D�olecis vni� a conlractor�s�license pursuantla the Conlrac�ors' Slate litense Law�.l am awafe that 0�� ol �heir WOBer's Compensatian insurance shoultl Oe DrariUeA �o me. � I am exempt untler Seclion: B. 8 P. C. for this reasan: Da1e: Qwnec 1 Go �ereby certily Iha� I am aware oi anA untlerSlanA tne requiremen�s o� Calilomia Heallh and Sa�ely Code Se[tions 25505, 25533, anA 2553<an0 thal I or any fuWr¢ Ouiltling acupan� will/vnll not (cirUe onq nee0lo comply wilh saiG Slaie cotles an0 t�e reQuiremenis for a permii lor con9mc�ion or moddica�ion �mm t�e Ai� Ouahty Manag¢meni Dislrici. Hesiden�ialconstruclion applicaiians are exemD� ��om �hese pwvisions. Da�e: Ap0licant: I hereEy cenity t�at I �ave rea0l�is application and siate �hai Ihe a0ove inlormation is mrrect. I agree lo compN �� all ci�y ana counry ordinancesantlslalelavarelatingtoDwldingmnstmclionantlhere0yauthor¢ D�e ta�ivesolt�iscirytoenrerupontAeabove�mentionetl pmpeny lor inspepion p�a5�. � ✓7 ' ,/ n Date: / � �� « SignaWre: ��I oriver's License or Saiai Seariiy a: �- 164La6 W�i�e-9uiltling; Green—Cotle Entorcemem: Canary—Applicanl: Pmk—Revenue; Gdaenroa—Assessor CITY OF COST'A MESA — BUILDING PERMIT PERM NO: B 05800 PERMIT NO: B 058003 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT .70B DESCRIPTION ; REROOF WITH CLASS A COMP S� FT; 2,800 CLAIM VALUE; 2,800.00 CALC—VALUE: 2,800,00 GROUP OCC: R-3 / COMMENTS: REROOF O/1 LAYER OF WOOD SHINGLES *�*�r�*****�*+�*�c**�*�*�*��**x�**�**x*�r*��****�*+r�*�±��r*�+��r*x**�*�**�***��e��****� Z O N I N G R E Q U I R E M E N T S S E T B A C R S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ • PROV: PARCEL: 91218228 2NE: REF NO; PLANNItJG N(5'fES> i L' �,� k if ik ff k iF if if ik M 1f 1f iE iE 1F if 1E iFlk iEif k�f iE iE iF i! �F!! ik i! �E i! if 7F jf if if i! 1E 3f 1E fF 1Elf jF i! 1E IE iF if iE 3E if iE if � 1f iE fE iF ik iP if 1E iF iE�F 1ElF iE iF iE iE If iF 1E if �f 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 : r' ZONING APPROVED BY DATE:. '� BUILDING APPROVED BY ; DATE: �Ii.� 4kA�t��3TtU'M I�S§��t� �Y= DATE: (/ �� .�*+�'�'�'��:��c��kl��t�x.�c.x�* � , ,` � . �r�r�r�r*�r�r�rR��r �r��r**��r*��r. EE(��T�(�1��j�`��`��F��`�`� ��M�M*A*R*Y****�****STRUCTURAL*SEGMENT*Y BLDG PMT PLUMBING ELECTRIC M' NIC FIRE SMIP/RES GRADING PERMZT 59,00 50 PI.AN SMZP /NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 54.50 0.00 0,00 59.50 54,50 .00 REVENOE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SHORT: �� .00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .50 af iF iF iF aE iF if iF iE �f iE iE iF iE af 1E if iE af 1F IE 1E 7f if # K iF iF iF iE iE iF �iFlE iE iF ik 1E IE if iF 3F iE 3EiE if 3E iF If aF if if If if iF if if if 7f if i61f 1F iE if iE aF if iE.aE' lr iE k iE ie if if �F if I N D I V I D U A L F E E B R E A R D O W N : TYPE QTY D E S C R I P T Z O N UNIT COST SFR 2800 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 END OF FEES ,-�';� . ;7� � TOTAL COST �� 2,800.00 � . �._ ' CONSTRUCTION ANDPLANNING - POOL �A HPPROVAIS Permit # ' Date Inspeetor qPpROVALS Permit # Date Inspector 1,� Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.cSoil Pipe�Und�grnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcemeni 56. Rough Plumbing & Pressure Test 6. El�ctrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. Footings • 58. Electrical Cqnduit-Undr9rnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. LVater Pipe-Undrgrnd. - 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structurel Floor System' • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection , 62. Backwash & Receptor�Final 12. Sewer Cap ' 63. Heater & Vent-Final 53. Aoof Drains . 64. PlumUing SYstem - Finat 14. Rough Plumbing � 65. Etectrical-Final . 15. Rough Electricat-Conduit 66. Solar System-Final i6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. flough Heating & Air Contlitioning FIRE �EPT. REQUIREMENT 20. Rough FactorY Fireplace ' APPROVALS Permit # 27. DuCts, in Structure . 70. Underground Hydro 22. Oucts, Ventiieting 77. Produc[ Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test . 72. Underground Flush 24. RoofFraming � ' 73. Undergrnd.StorageTankOGas ❑Oii 25. Roof Sheathing ' - 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Fleshing , 76. Dry Standpipe � 28. Lathing & Siding _ 77. FIXED SYSTEM FINAL 29. Insulation � . 78, fIRE PREV. FINAL 30. Drywall Nailing �� . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION 32. Electrical Power Meter-Finai � ''� (, .80. FOOD CERTIFICATE ISSUED 33. Final Eleciric -"� Notes: 34. Final Neating & Afr Conditioai�g � 35. Final Gas Pipe�Test i 36. Hood or Ca�oPY - . , � %� � 37. Final Factory Fireplace �� ' � - 38. Final Plumbing ,. 39. Water Service�Final 40. Gas Service-F(nal . 41. Solar pomesticFinal � . 42. Backflow Preventer. , j 43. Backflow Irrigation .44. Landscape Irrigation SYstem, 45. Sound Attenuation � 46. Handicap Re9ulations � ' � � � . ..t /J�/�- / ,(„ Y 47. FINAL STRUCTURE & BUILDING � Ze� F+�� / ��%s/ �+�`�S �- - /�/ � � _ c��,t r/ 48. FINAL PLANNING , ' � ; 49. Electric Release to Edison - . 50. Gas Release to Southern Ca)ifornia Gas Co �� 57. CERTIFICA7EOFOCCUPANCY � \. ' , . No. Date CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. � � � x IAT NO. I�� ADDRESS �� `�'Y`�� DATE i t(v � The developer of the above entitled tract desires to se11 the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they)�(was or were) ��ut� advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditiona of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions neceasary for approval other than those conditions protected by surety bond. The undersigned agreea to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. � � j��1..1..� \�}� ' V BY ��Ei��G"'�C—._. Purchaser xepresentacive BY �-c..Gt�G'-G�� r Lender Pfl0.IECT RUORESS: • j 3 6 2 N�AR I GOLD C Z OWNEflBN1ME: F� JACiSI']. �100flE83: Sj�f.�]E AS ABOVE 714/557-1275 IRCNIENGINFEfl: RDORESS: pE0.N0.: uxiT: p uxR: PEPMITTEE:NOCK PLUMHING (714)895-1246 nooxess: 11610 SEABOARD CIR STANTON CA 90680 UCENSED CONTMCTOB OECIAWITION: I �ere�y affirm t�al I am Iicense0 unCer prmdsions ai CAapter 9(commendnp witA Section 7000) al OivSiM 3 01 IM Business an0 Protesibns Coae, an0 my Gcense is in full forw aM eH I. cmuc�0503A6 s*pTEuc.:511971 n -�uu C-36 T7ate: � Z �� Sipnature: '�� WONNENS' COMPENSpTIOX �ECIAMTIOM: I �ereby affirm Ihat I have a urtifcate al canunt to setl�insure or a certifiwta oi Workers' Compensation Insurance or a rertifieU coOY ��ereof (Section 3800, la�. C�. `oucvxo.:115793290 Exr.on�: 03lO1/91 �ornrnnr: STATE Certlile0 caDY is hefehy fumisheE. � Certi/ied copy is filed w' h the ciry Bui ii p Division. � �,a: � — Z� — 9 � �o�,��: � oe�mox �nan� woxK�xs' eaxr�s�Trox oceuuunox: (rri� secum rem � ee mnpe�ea n ma ce�m a iw mmerea Isiaol «wssl. I ceriity tlut in Uie pertormance of t�e work for xluch i�6 permit is issue0, I slwll not employ any person in any manner so u ro Eacama suGlect ro ehe Workers' Gompensation Laws ot CaGtamu. �ate: Sipnature: NOTICE: Ii, after maW�9 this declaation, you ShoulE bawma suble�� o t�a Wo'kers' Compensatian provisions ol lhe LaEor . Co�e, yau musl forthwith comply witA SucA pmvisions or IAiS Oermii 5hall E8 tleematl ravoke0. � CONSTNUCTION LENUING RGFNCY: I here0y attirm t�at tnere is a consimction IenOinp apency for tAe DeAormance of Iha work lor wAich this permit is issuEtl (Section 3097, Civ. C�. LEN�Ffl: AOOHESS: �� OWNFB BUIL➢EB OECLAN�TION: I �ere0y atfirm Itwt I am exemD� �mm the Cantractori State License �aw for Ne lollowinp reason ,(SecGon 7031.5 Businew �4 Professional Ca�e: My dry of counry which 2puire5 a Dermit to co�strup, alter, imD�%'e, tlemdish, or '.� repair airy sWcture, pno� �o iis issuance, alw requiru t�e apDlicant lor such Dermit to Gle a si0�� statem¢m that �Us�e is IicenseE �, Pursuant to the Dmvisions a� the Coniractors' State License Law (COapter 9(cammencinp wit� Section 7000) of pvision 3 al l�e Busineu anG Pmhssions COEe) or ��at he/s�e is exemD� ��eralrom anG [�e Oasis for t�e alle0e4 exemption. My violaGon ot Section 7031.5 Ey I any apDliwn� lor a permn SUGjetiS Ih0 appliwm to a cinl penalry Of nal more Ihan liv0 hUnJretl dollars (5500�. I I, as owner ol ihe D�oDeM or my employees with wapes as t�eir sola compensation, vnll do ihe woM, an0 ihe swcture is not in�ende0 oroffer¢d br sale (Seciion 7044, Businew an0 Pmlessional CoOe: IDe Coniractars' State License Law Aaes not appty ta an ovmer al a pmDerry w�a buil0.s or imDraves Iherean, antl who tloes such work himsell/herselt or t�mupA ' his ar her own emD�oyees, OmNUeOlha� such imDravemenis are nat intenOeU or offem0 br sate. Ii, however IAe OuilEinp or improvementis 5a10 within ane yearaf wmpletion, IAe awner will have the bur0en ol DroNn9 Ae/s�e Gid not Dui10 orimprave for IAe Durposa oi ulel. I,as owneraftAe D�operN.am exclusiveN conlractln0 ��Iicense0 contractarsto consirucithe O�ale� (Section 7094, Businass ❑ and Profession5 CNde: The ComracWrs' State Licei¢e Law tloes not aDPN �a an ovmer al Orope�ty who DuilEs or imDroveS i�ereon anU w�a wntracis lor such prolects rytA a contractaqs) license Dursuant to t�e Contractors' State �icensa Law�. 1 am awam t�at proof of iheir Warker's CompensxBan insurance shaul0 �e D�oN0e0 to me. � I am exempt un0er Sectlon: B. 8 P. C. lor chs reason: oate: �er: I Eo �ereEy certity tAat I 2m awam ol an0 unCerslanE t�e reQuiremen6 0l Calilomu Healih anA Salery Code Sections 25505, 25533. an0 T5534 an0 ihat I or any W�ure CuilGinp occupant wilVwill not (t�rde one) nee0 to compy wit� SaiE slate cotles antl t�e reQuirements lor a permit far constmction or mo0ilication Imm tna Nr Oualiry Manaqemen[ Oisirict HesiUential constmction applications are exem0� �rom IAese D�a�sions. Date: ADDlicant: I hereby ttNry tlut I �avE �eaA this applicatlon an0 state tAat the aEova information is wrrect. I ap�ee ro compry wii� all ciry anA counry orNnancu and sGte laxs �elaGnp la EuilNnp wnstruction aM here aWrorlu represenutives of 1' 'ry to enter upon Ne ahovo-mmtlone0 properry lorinspection Durpases. . �Uate: � Sipretura: ��Mti O�iver's Licenu ar Socia� Securiry x: 1861�t8 W�ile—BuiltlitlBl Groen—CoEe Enio¢ament; Cenery—FOP�icen�; Pink—Revenue: GaltlanroG—Avsenaar CITY OF COSTA MESA - BUILDING PERMIT PERhI NO; P 049125 PERMIT NO: P 049125 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTZON TYPE: PERMIT TYPE: PLU PURPOSE: OTk JOB DESCRIPTION ; WATER HEATER REPLACEMENT SQ FT; CLAIM VALUE: CALC-VALUE: GROUP OCC: / COMMENTS: �# �**��r*��rx�r*�r*��#*u��****�**�r�r+�+��u#+�##*�*�+��x�+�+�x�t#*#�***�*�#*#�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 BUTLDING ------- — FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGI-IT; FT IN PARKING REQ• PROV: PAACEL: 41218228 ZNE: �REF NO; PLANNING Nt3TES> > *��*��*�***�#��*�*��,�#��*��#�*��*�*��,�**�*##�#��#�#*�*�*�#�# 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 APPRUVEU BY � DATE: BUILDING APPROVED HY ; � DATE: APPLICATION ISSOED BY: � � DATE; `(�� /�� #ifiE3EiE�EiF�kiEi6il�k�t?E9F3FiEiFitdt#iE 'riE',.'. �iFiF�'iFiFiEjE�lEiEif#iEK�)F�.'$+E�fiF��3e### '�#jEiFiFit#itifikltifiEitiEiFiEiE##ifik�lf##ifiE##�EiliEi(��1tiE�f�tititiFiEif#iFiE�fiEjEfk�hiEiE�E#iE##9EiE3E#iE#�1f1E#if#�lkiEiE�IEiE?EiE#iF## LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMBIoo ELECTRIC MECHANIC FIRE SMIP/RES GRADING 252 SMIP/NON-RES PLAN ISSUE FEE 3.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DIIE TOTALS----> 2,00 3,00 0.00 5.00 5.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: .OU BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECi( �.�� ?"?FjEiFifitjt#iE#i(-iEiFiE#jE#'.E#iEitik#iFiEiE�f�1E3E3iifjFiE#iEiFiE�EiE�7E',E�16iEiEiFitiE�tlE3FiFilifiF#lE�1fiE3fifiE3Eif#i!##iEiE#3F"rE###iFif��E# I N D I V I D U A L F E E B R E A K D O W N TYF�E QTY D E S C R I P T I O N UNIT COST TOTAI; COST PLU 1 WATER HEATER AND/OR VENT 2,00 2.00 END OF FEES 01 BOG7�i5£i-CC�7��332 TL?'lr S.CJ DATE: LOlO1�aJ TIPE: 14:55 v C CONSTRUCTION AND PLANNING . & SPA APPROVALS Permit # � Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location � . 2. Soil Pipe-Undrgrnd. •� � 53. Steel Reinforcement 3. Electrical Conduit Utiliry-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footinqs 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � , 60. Backwash Lines, P�Trap, � Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final 12. Sewer Cap � , 63. Heater & Vent-Final - - 13. Roof Drains • " 64. Plumbing System = Final 14. Rough Plumhing 65. Electrical�Final 15. Rou9h Electrical-Conduit - • , 66. Solar SYstem-Pinal 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric9l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Stora9eTank CiGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro , 26. T�Bar Ceiling (5trocturaq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � • 36. Hood or CanopY �" �! 37. Final Factory Fireplace 38. Final Plumbing /0�((0 0 (��i(� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestio-Final 42. Backflow Preventer 43. Backflow Irrigation� 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING /� • 49. Etectric Release to Edison ,� � 50. Gas Release to Southem California Gas Cn �l 51. CERTIFICATEOFOCCUPANCY No. Date on�iw� r. n. vr�� 3 G1-�4 B ADDRESS 33 2 Mari�old Circle BUILDING PERMIT N LOT GAS PROP. SWR. LINE U MOUSE CON. (� SPRINKLING SYSiEM MISCELLANEOUS ROUGH NEaTING ANO AIR CONDITIONING POWER H WIRING FRRME AND FLASHING � LATHING — IN n OUT � PLASTER,BFOWN COAT ST 'URAL, FINAL H! ,G, VENT., REFRIG. AND A.C. PLUMBING. FINFL ANO GAS TEST [ ELECTRIC, FINAL BUILOING, FINAL INF. FINRL SUBLONTRACTOR r PA70 i�i�:4',�{r . ," 38 I 29 ., e 7, -,4�„� on �os�= c.so ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.4. BOX 1200 COSTA MESA, CALIFOFiNIA 92626 � APPLICATION FOR BUILOING PERMIT For Applicant to Fi// in Comp/etely REC�IV�D BV DA=Efi�=El,y�p pp��UED BVIIDING i� c.,� .� a ��f• 3 AODRESS�J S PERM OWNER A.P. NO. — � MAIL /� BUILDING �� URI O/� C ��t ADDRES Z ADORESS V a U CITV Ol T,.JQ� NEL � J TRACT LOT BIOCK Z Z Q RUCTION W A P � � LE am J � BRANCH � —� N OWNER m J ADDRESS ��J//�J ��y�� V%� WE OS m ARCHI7ECT TEL. S k^'^� "�' �-W 5 � J N OR ENGINEER V a FIRE �'� w� QSS ZONE TYPE GFOVP a W APPROVED �� J O CONTRACTO BV � DATE 6 m Z ' � J � ADDR�55 Q W W ZON NO.OF USE OF NE ZF CIT � �` ryEL • �6 �. PLAN$ 9UILDING Q�O � w� STATE CITV �'�+ADSAPPROVED VARDSAPPROVED N 2 LIC. Np, � LIC. NO3 MAIN BVILDING ACCESSORV BUILDING �� SIZE NO.OF BLOGS. (FROM C/L STREET OF LOT NOW ON �OT ROfYT FT. USE OF EXISfING BLOG. S ST. FT F' $IZE Op L NO.OF Z NEWBLp(�. ROOMS STORIES L.SIOE FT. U EMEPIOR WALI ROOF � COVER�NG COVERING REAR U FT. FT. J USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & �' MAIN BLDGS. AGG65. BLDGS. a Q N � `� � VAR. # DATE O / C.U.P.aW AP7ROVED y. �� APPROVED � z � UI �ereby acknowlatlga chot I heve reed this applicaUon and staca $TA� � that the abova intormetion is correct antl e0rae to comply with � all laws re8�la[Ing builtlinp cOnstruction, antl I shell not employ . CO r any persan in violation of the workmnn's compen5ation laws ot `� m y the S[ate of California. � ZI hereby cartify thot I am proparly licensotl as a conttactor untler SQ. FT. o � Me Slate af Calitornia Buziness entl Professions Cotlo, Divisicn 3, THE AMOUNT SHOWN UNDER VAL FOR � Chnpter g� antl thac such licensaz are in full torce entl affect, or I THE PURPpSE OF ESTAeLISHING A PERMIT FEE ONLV: am exee.�pi from the pr 'sions of the Stata of elifprnia Business ¢ anaProfessionsCoae nion ,Che te,9 VAWATION m PERMIT FEE S � P� r' , � ' � i Sipna[ura ot ////// �� m Pcrmittpe 3�0�� PLAN CHECK $ E V �. � LL Author�ietl ont TOTAL FEE 5 Z . d U HZ za o� am J � J N Q W 0] J m J Q UN Z Q W � aW W Z J Q m Z J � w w � Z H w � � � h z Q U J a a Q � F � z 0 � U � � �"' N z 134 ' 35157 - COSTA MESA BUILDING-SAFETY DEPARTMENT SOLC P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant to Fill in Completely BVIIDING ADDRESS ��(p�ari¢old Circle OWNER Lanvin $outhern California, In MAIL 16255 Ventura Boulevard ADDRESS TEL. C17Y C....:.... /^_1•f___•_ NO. OOL OiC BRANCH 16255 Ventvra Boulevard ADORESS Encino, Califomia ARCHITECT D TEL. A,� OR ENGINEEF I AqVjI�N NO '273�N1� ADORESS 9100 Wilshire Blvd, Bev. Hills CONTRACTOR Larwin Southern California. In ADORE55 �625� cirv Encir STATE uc. No. lgl3 SIZE oF �or 60 x USE OF EXIStING BLOG. SI2E OF NEW BLDG. 1 ](yn EXTERIOR WALL COVERING StUCC USE OF BUILDING AND d11615-72PaIo001082� ***1�12.8� tns;. N FOR BUILDING PERMIT DATERECEIVED ppTFlsCui A.P. NO. r-- BVILDING � /� �jA�/ ADDRESS V V( TRACT �/�Q L OWNER FIRE TEL. ZONE Califomia No. 986-8890 CITY LIC. NO. R�� I� NO. OF BLDGS. NOW ON LOT O ROOF COVERING WOOCI � K TO BE PERFORMED I hereby acknowletlge thet I have reatl this applicetion and state [hat ffie above intormation is correct antl agree [o comply wi[h all laws regulaiing builtlin8 consttuction, antl 1 shall not amploy any pe�son in violation ot the workman's compensaiion laws ot the State ot Calitornia. t hereby certity that 1 am properly licensetl es a contractor ontler the State of California Businags entl Professions Cotle, Divisicn 3, Chaprer 9, antl that such licanses are In tull torce antl effect, or 1 am exempt from the provisio�s ot Ihe State ot Calitornia Buzinasz antl Protessions Cotle, Division 3, Chepter 9. ste�a��eo�� D. Downs Permittee _� Authorizetl Agent VARDS APPROV ED MAiN BWLDING (FROM C/�STREET) REAF �b'�� DISTANCE BET. MAIN BLD('a$. VAfl. #` C.V.P.� THE AMOUN' THE PURPOSE VALUATION g�G�66 � � � - Iti �. �AIUs /// /`M �c. t�o � GROVP � DATE Z E OF NEW � F �U LDINGW � VAROS APPROVE� FT & DATE APPROVED iZ � � b 0 VA�UATION IS FOR � A PERMIT FEE ONLY: Q � � E $ � � m K3 E y � LL S