HomeMy WebLinkAbout3374 MARIGOLD CIR - Building Permitsreo�ecT aooxess: 3 3 7 4 MAR I GOLD C I
OWNEfl'SNAME: LEUNG, HAI KING
nooaess: LEUNG KAN PUI TONG
JUD IT{i
3374 MARIGOLD CIR
COSTA MESA,CA
AflCN/ENGINEEB:
ADOXESS:
2� � / UNIT:
Y
92626
flEG.NO.:
UNIT:
PEPMITTEE: NOCK PLUMBING ( 714 ) 895-1246
nooncss: 11610 SEAHOARD CIR
STANTON CA 90680
IICENSED CONTNAC70P UECIABATION: I here�y ai�irm Uut I am 4ten5e0 uMer pmvisi0n5 OI CAaO�er 9(wmmencinq wilA Seciion
7000� ot Orvision 3 al Ihe Business antl Pmtessions Cotle. anG my litense is in tull lorce anE e��¢ci.
ciT ic.:� 3 g E� QST�p/T�E LIC.: S S S 9%� cwss: C_� /�
le� _ _ y2/� Signa�ure: _ {�_�� �sr
BKEH$'C MPENSRTIONOECIANATION: I�ere�yaHirmlha�I�aveacerlititaieolton5¢n�I05e14m5urtofatefii¢ae�
� Compensation Insurance. or a cetlified copY thereol (Section 3800, lab. C�.
raucvxo.: 1167992-93 EXP.ORTE: O3IOSI9�I
comvaNr: STATE
❑^ Cendietl m y is hereEy fumishee. � Cenifiee coD fi1eG ntA ihe city-Bu 'nq Oivision.
�y�: Z� � Applkant:
E%EMPIION iNOM WOflNENS' COMPENSATION DECUMiION: (ilus sec�on ntttl ro1 Ce mmpletW if Ne permt 5 �o _ 140) or less�.
I certily t�al in Ihe peAormance al ��e work lor whic� ��is p¢rmt is iSsueG. I s�all na� employ any person in any manner w a5 to become
sub�ect to I�e Workers' Wmpensation LaxS al Califomia.
Oate: SignaWre:
NOTICE: II. afier mdking Ih5 GGUaratian. you shWIE become suGjttt to Ihe Work¢rS' COmperttati0n D����s of t�e LabOr
Caa¢. you muA lon�wn� tomply wiin suc� orovivons or tNs permi� 51w11 Ee UeemeG revoked.
CONSTPUCTION LENOING pGENCY: I �¢re0y af�irm t�ai there is a COnS(ruciion IenOinq a0enry �or IAE pe�Ofmante ot �he wOfn �Or
wNcn ims permit is issue0 I�tim 3097. Civ. CI.
LENOEN:
ROOflESS:
OWNFfl BUILOEfl OECUBRTION: I �ereUy allirm Ihat I am exempt fmm tl1e Cantraclw5' State LKense �aw for ihe follOwinp rtason
(SetliOn 7Q31.5 Business and Pmfeisional CoOe: Any [ily Oi cauniy w�ich r¢QuiRS a Defmil �o tonslmtl, ali¢r, imO�Ove, Uemoli5h, or
repaii any siNcture. prior Ioiis issuance, al5o reQuires tne aoW�nt lor sucA permii to lile a sipnea stalemenl inat h¢/she is IicenseJ
'. Oursuam m i�e provisions ol the Contractors' Slate License Law (ChaD�er 9(comme�inp wii� Section 7000) oi Oivision 3 0l ihe Business
and Piolessions Cotle) or Ihat �elshe is ehempt t�erelmm antl i�e Oasis lot tlle alleAed eeempiiort Any violation al Section 7031.5 Ey
any apolicant lor a permil su0leps I�e aOD���n� to a civil penalty o� noi more ttun live �undred dollars (f500).
I. as owner ol I�e O�oOeny or rtry employees with waAes as I�eir sole compen5aiion, wlll Oo Ihe work. and Ihe
❑ slruciure is not imendeA or ollere0 �or sale (Seclion 70da, Business an0 Pmlessional Code: TAe Conlrac�ors' State License Law
Ooes nol ap01y lo an owner ol a D�openy who �uilQt or improvu tAereon, and who tloes such work �imselllAersell or ihmuAh
his or �er own employees. DmviOed Ihat such imD�ovements are not inten4eA or allereA lor sale. II, �owever t0e Uuilding or
impmvement is sale within one year ol Completion. Ihe owner will tuve tAe ourAen of o�a�np ne/sne aia not �ui10 or improve
lor Ine purpose ol salel.
� I, as owner of I�e DmpeilY, am exclusively conlraciinp wit� Iicense0 coniractors to constmcl l�e pmie�� (Sectian 704a, Business
❑ d110 Pf01t551p15 �.OdE: TIIC �AfltldCtOfS State L'ce(ae Law aces no� aOdY �o an wme� ol pmperry wAo omlEs or imprwes tnereon
anU who wnlrati5 lar 5ut� prole��s wii� a mnlracior�s) IitenSe pur5uani IO I�e CAntraCiors' Siate License Law�. I am aware
Itwl pw01 0� IAEir Wwkei 5 Compensalion in5ufance StqNC Oe prPM¢0 to mB.
� I am eeempt unEer Senion: B. d P. C.
lar I�is reason:
Oa�e: Ovmer.
I tla nere0y cenily inat I am awaro ol ana uneerstana tne repuiremenis of Glitomu Healtn an0 Sdfety COOe SeCtionS 25505, 25533, anA
2557A antli�atloranyfulure Ouil�inp occupanivnlVwill not�circle One) nee0lo tompty vfi� saiE 5tale coGes an0i�ereQuiremen�slora
peimil lor tOn5lmtlion Or mOCilitaiion Imm I�e Au OuaLly Marugem¢ni Oittn[I. fl¢siG¢nlul wnSimCliOn aOD����i0n5 ar0 exemp� Imm
IheS¢ prOviSi0n3.
Oa1e: Appticant:
I he�e�y t¢tlilylhai I�ave rea0 Ihis applita�ion anE S�a�e Ihatl�e a0ovein�ormaiionis torr¢CI. I agreelo tomply vnih all tiry and Counly
oitlinancesantlslaielawsrelainqm0uil0inpconsimclionand�� mhorizerepresp ativeSoflhi5cilytoenieruponlhea�ove�men�ionetl
pmDjetly loi mspe Imn Durpc es �
/pa}(; �_��"L $ignature:
Driver'S Laense oi $ocial SecunlY �I'
t6aba6 Whpe—Butldmg', Groon—Co�e Enbrcement: Canary—ApO�icam; Pink—Revenue: GolEonroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 066157 PLAN CHECK NO: N
CONSTRUCTZON TYPE; V—N PERMIT TYPE: PLO
JOB DESCRIPTION : WATER HEATER REPLACEMENT
CLAZM VALUE:
CALC—VALUE:
PERM NO: P 066157
GOVT; N SUPP: N
PURPOSE: OTI-I
SQ FT:
GROUP OCC: R-3 /
COMMENTS; NO OTHER WORK AUTHORI2ED BY THZS PERMIT
it**r��tit*+ririririt�tfti�*itit**x�*�t*ftit*w*ir*�rrir**itit***�t**�tit�r�t*xw*�r�-�hfr�rir+r+r*�**�tr****�t***�*�
Z O N Z 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 REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKZNG RE � PROV: PARCEL: 14167118 ZNE: REF NO:
PLANNING N TES>
� '
i! iE �E iE ff iF iE 1E iP 1t it iF 1f 1E it k iF ih ik iE iE iE iE ff ff fE fE iE if iE iE if iE if if iE ik if fF ik 1E 1f fk it iE if iE if iE iF if 1E if i! 1f if iE iE 1E iF if M 41E �E i! ff if if iF 1E iE �f 7ElE iE iElE jE
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 5
ZONING APPROVED BY .
BUILDING APPROVED BY :
DATE:
DATE:
APPLICATION ISSUED BY: l� -� DATE: �/I Lvl�`{�
*x�*r***�lrf�i�*******�f****iF3F3F'iFiFiF�FiFiFiFiFiF�F3F'if rx��3FiF�FiFiFiF�iFiF****+�fr****3F'£iF�3"iF'iFi�3i �cir
iE if ik aF iE if if if if if if i! iF 1EfE k iP iE iE 3E iE if � iE 1F iFiE if if if if ik if iF iE M iE ff i! iE�k�Eif 3E 1f ifif if iE iEiF if iF 3f ak �E if iE if if if iE 1E IE 1E iE if if 1k if if 1FiE if af if 1E if aE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMZP/RES GRADING
PERMIT 7,00
25t SMZP/NON—RES
PLAN •
ISSUE FEE 20,00
BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 7.00 20.00 0.00 27.00 27,00 .00
REVENUE DIVISION TOTALS--> COLLECT6D: 27,00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CAECK
2 % , 0 0
'1! 1E k if 1EfE if il'iE if iE if'If if if if !f ikfF')f !E il'lfif 1E 1f 1F i4 ii'!f fk iFik 1f if ff il'if 1laf i4 M 1! 1f iE iFif iI'ik if if 1E')f iM11! 1F1E 1F iFM1f'* KiE if k 1f 1f iR iF if iE iF i� 3f ib iFif 1f
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
PLU 1
D E S C R I P T I O N
WATER HEATER AND/OR VENT
END OF FEES
UNZT COST
7.00
TOTAL COST
7.00
01 0�15�847-00155847 T O T 27.�0
uATE� 02/23/44 TIPtE: 10�00
CONSTPUCTION AND PLANNING POOL . 'A
qPPROVAIS Permit # Date fnspector qppROVALS Permit # Date tnspector
7. Temporary Electncai Service or Pole 52. Pool & Equipmen[ Location
2. Soil Pipe�Und�grnd. 53. Steet Reinfo�cement
� 3. Elettrical Conduit Ucilrty-Undrgrnd. 54. Porms
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Ptumbing & Pretsure Test
6. Electrical UFER Grnd. 57. APPFOVAL TO COVER�GUN+TE
i
7. Footings 58. Electncal Cor.durt�Untl�g:nd. i
8. Foundation 59. Gas P�pe, O Undrgrntl., Test �
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, [7 Undrgmd.
10. 5tructural Floor System 61. APPPOVAL TO DECK
,71, property Sewer Line & House Connection 62. Backwash & Receptor�Final
'12. $ewer Cap 63. Heatar & Vent•Final
13. Roof Drains , 64. Plumbing System - Final
14. ftough Plumbing 65. Electrical-Final
15. Fough Electrical�Cordwt - 66. Solar SYstem•Finai �
16. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai�T Bar Ceiling 69. POOUSPA SYSTeMS FINA�
19. ftough Heating & Air CAnditloning FIRE DEPT. REQUIREMENT
20. flough Farory Firepface APPROVALS Permit �
21. Ducts, in Structure 70. Und2rground Hydro
22. Ducts, Ventilating 71. Protluct Pipin9 Cl Gus ❑ Od
23. Gas Pipe�Rough & Test 72. Underground Fius��
24. Roof Framing 73. Undergmd. Storaye Tank C Gas � OJ
25. Roof Sheatfiing 74. Overhead Nydro
26. T-Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemical
27, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIqE PflEV. FINAL
30. O�Y+vall tVaiting HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. E�ectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning � .�
P�LQ,kGL��S �-�Z�so� �
35. F�naf Gas Pipe�Test ' �_ 9�., }
, '9- �LI�E_�_D� ��.,
36. Nood or Canopy
37. Final Factory Fireplace
38. Final P�umbing ��S%�
39. Water Service-final
40. Gas Service�Fina�
47, Solar pomestirFinal _
42, gackflow Preventer .
43. Backflow Irrigation
44. Landscave Irri.qation Syscem �
� 45. Sound Attenuation '
46. Handicap Regulations �
47. FINAL STpUCTURE & BUILDING
48. FINALPLANNING
49. E�ectric Release to Edison
5�. Gas Release to Southern California Gas Co
5L CERTIFICATE OF OCCUPANCY
No. Date
TRACT N0.
r• � �
ADDRES
C:
OF COSTA MESA R.EQUEST FOR OCC NCY
DAT
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its st:eets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
e-s e-they were)� advised that this tract has
not been given inspection nor has it been accepted by the City of Costa Mesa
as having complied wi[h the conditions of approvai which were imposed by [he City
at the time the final tract map was approved.
The Ci[y assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or pereonal injury to the undersigned by reason
of the aforementioned uncompleted condition.
RECEIVED
CITY OF COSTA MESA
PLaNN1Nt1 Dk?T.
MAR :i 1973
A� PM
7i8i9il0illi12i1i2i3i4i5�6
@
�
0
BY �I
chas r
sY � �� wo �C��.3��
Developer and/or authorized
representacive
BY .�c.EG'l'.r� �``�C�'�
Lender ..
�ooness aF emiara: 3 3 7 4 MAR I GOLD C I unr:
avxexswueiFio+avn: LEUNG, HAI KING FLOUD: AH-38
aoo�ss: LEUNG, KAN PUI TONG
JUDITH
i374 MARIGOLD CIR COSTA MESA,CA
�. Yuia«+�oxEss:
�xcxrtecr ox �ax�x:
uc.ra:
9262E
mcx on wa�s iwowess: uxr:
caxm�cTarsru� CRYSTAL AZR (714)634-2593
���o��� 11801 MAC STREET
,�p�; GARDEN GROVE CA ��,; 655036
92641 �M,
110EN5E0 COHffl�RORS OECL�fl�T10N: I lweby ellim �mtlar pmuly d{wjivy Net I am 4mnetl udx pwums W Cheqw 8
(wnmaneiq wnh Seciion )OWl d Oi�ision � W iM Bueiinu ud Pmleevions CoEe. eM mY 6mnea ia in IUA /ace enE atlarl.
c.no.:042006 uc.cuss: C-20 u ryyp{�� 655036 EXP: 03/98
Dele: � Cawmu:�LLlll/.
ER BUILDEH OECUP�TION: I hereby dRmi uMer parWy N per'Wy thel I un aramq han t!n COMretlm L'cmua lew la Ma
IoOowiq remm (Seeion raits &niws md Adenora CoEe: MY dY « cauVV Mhirh nV�drm e pmne �o mrovw. elw. vnYa+.
demdsh. a repai eny sweive. pior b is uaeMa, ebo eeQuwse iM epplimM la weh penM to fJe a sipned eWemeN tlut M a sM
� IicenseE W�uan� to the prmieime d tM ConlreUme Licenee Law jChapm 9(comme�np xi�h Saeion )(p0) d DH6ion 3 oi �M
niroa eM Prdevnns CoCel w ihei he a Me u er.amq �haahan uM ihe bem In tha elk9eE exemqion. My violelion d Sopun
.031.5 by eiry epplium lor a prmn abjeUs �M eppliraJ b e cN perelly d nol maa Ihen fwe himdred do0an �5500��.
❑ i.e.e..,bramew�ro�r«mv�pw�•.�n..�eemin.:.oboomo��.++neoubwak.enemeem�rn,�em�amie�dee
a ollerad br ceb (Sxtion l0a<, Bininw eM Pmlee+iwreGode: Tha Conlredon Lioensa Law doea ew� eppyto an ownerot piopMy
who buids a ino�+a �haroon. eM xtw doee sucA work NmeeM or Mnetl ar Wwpli hb a her awn empbysee. pwNed Ihn eucA
impewemdEa ua M inle�dad a eMxed lor veb. tl. Mwmm. IM W iMinp ar inywqneM b sdtl wi1Nn me Y� d mmplNun. IM
owner-0uiMx vAll heve IM Eurden d povirp M or ehe d'd � build a impm.a lu IM WT�a d We).
� I. ea owner d iM qopaM. � ezduvvNy oonlreUip wM1h limnaed wnVedae b wna�rw ihe pqea (Setlion ]OIi. Buviriees eM
PMeeeiom Codo: TM Cantredwe lken» Lew Jwe �M apply ta en owner d papeny xfio buJd+a impww Ihe�eon uM Wo
wnvena lar wW prqws wnh e comraeor(e) IiunxE WnueM to iM COMretlore Li�wias Lewl.
� I em eaemq unAer Seclion: B. 6 P.C., br ihia reeaon:
oma: o«�
i ao nareW csnM mm i� a.�.e d ene u�wenw�d ine.eau�r.mem� d c�aome �nn ene se�mr coee seaiom xssos. zssa3..�d
455�1, eM IM1et I«eny Mure Wikiry om�pent will / wil no� (c'ucb ane) r�eed io camply wih eeid ama mdee enE iM nQu'uamenb M
a G� laomateuelion a modilmian hantlaA �a�0�� Oinntl. RetiAwa� mM�utlion nVD�aroanaxsnq hom Nua
pwmone.
Dma: ADd�:
WONKEN'S COMPEN4ATON OECLAN�110N: I Irraby NNm undr pe�ely d pxpry one d Ne IoOow'vq Esdvtliom:
❑ inew.�ew�meime:i.wnn�.dconeemm..n;mun�«.on�m:mmv��.ow�r«Wsee:na�aoam.tano.
Cade, /or tM p�mronce d tlw wak 1« wFich Nh permn u heueA.
❑ �nm..�a,wmeim.n.ak«.•mnv.�o�i�wve....nyuv.eMsaaiona�oodm.lem.coe..m,uboM«mvcadm.
wak la Mw.i� tM1u pwm! u ousd. My walen' eanpanWion inwr+ze mn'w ud po6ry eumEer ua:
c�«:
Pofiry NumEx:
me �a�, �a �a w�o� i m. o«m� o ro, o,�. n��m.e em.,. a,m� d,w..�
� I cerlh ��� O�o^^�a d iM work la v.Tich ihu pe'mn u ieweE. I ehell nal ampby arry pe�mn n ury mww w n lo
becdne subjeq �o tM �s' mnpwatian laws d CaNO�ias tl�e J I elautl bacare m�bjW lo �M wabn'
w�cev �joo wa++on. a s.ao� aroo a m. �en« coe.. �M1 ww can,vM wn mwe o.�n.
�
ome: nod�u:Hl /
4p: F.uun ro rcun wonFui mnv«uetlon m�nw l. unYrM. •ne Ntl�+ubN�� �n �rrolew ro wM/M o�da �ne
cMl nnu iq ro am nuMrM rlwuuM AWI�n lStPqP00A ���n ro M cwt ol wnp,ru�GOR �W u poHJW br In
sxHon 91�b e1 tlr� L�Uor Catl�, Im�n��. wrd �ttom�Y's Iwa
CONSTFUCf10N LENOINO AOENCY: I hneb/ etf u�kx peneW d perjury Ihet ihse u e muvuuion Wdinp qpiry lor tlr
a,nom,� d in. wwk i« wmm me v�i :�«»d �swo� xe�. c:. c).
LENDEH'S N?ME:
LENOEP'S ADDPESS:
I eMih IMt I heva neC t�o epWira�ion uk uNe ihel tM ebova iNoemetbn is cortetl. I epiea �o eanpy with M tlryeM ooumy aGnenm�
eM eiete lexs rela�eq io buiMmp mnsWqion eM hereby eWwras repawmativea d thia My lo enler upon iM1e ebove-mentuned popeny
�'��'petlpoq1p0t°°' RALPH BELL
(5t5N0.WP1 W��a-�+'�bbq 8 SelelY:
Hnk-Fevenue: Oddanro�/aamw
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 083467 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PERMZT TYPE; MEC
JOB DESCRIPTION : ADD A/C G REPLACE FURNACE
CLAIM VALOE: CALC—VALUE:
W
PERM NO: M 083467
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT;
GROUP OCC: R-3 /
COMMENTS: X
*r*�c******�t�t*�t�t�t***************�t�t�t�t+t*x-*****+�+�*******�t**�**************�c-*****�t*+�
Z O N I N G R E Q U I R E M E N T 5
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; ET IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41206306 ZNE: REF NO:
PLANNING NOTES>
i
�E fE fE 1! 1f 1E �! d! j! 1t �f 1E iF i6 ik if iE �k iE iE if iE iE �E �f �E if ik 1E �E iE �)E 1E k�E �E �)F �E 3E fE jE jE �)E �E 3E iE 1E iF ff df �F �E iE iE fE 1E if i! iE aE iE ik jE iE 3f aE iE jE if �E iE iE iE �)E iE jE ik �E �k
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
20NING APPROVED BY
BUILDING APPROVED HY :
APPLICATION ISSDED BY;
if if 3f iE if if iE j4 �f iE ik iE 1f 1f iE iE 1! �! 3E iE 1f it��iF
LEGALZZATION:N
HLDG PMT PLUMBING
PERMIT
PLAN
ISSOE FEE
BUILDING—DIV—>
TOTALS---->
F E E S U M M A R Y
ELECTRIC MECHANIC FIRE
26.50
253
22.00
DATE:
DATE:
DATE: S
iFiFiEffifiEit?Eif 3fi(��
STRUCTURAL •GMENT:N
SMIP/RES GRADING
SMZP/NON—RES
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
26.50 22.00 0.00 48.50 48.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 48.50 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
48.50
�f iE if 3E iE iE �k iE'1i 1F 1F il� 3E iM1 i£ �lf -%it'1f ik iE iE')E if �E')E �)E iE'1E jf if if iE �f �E iE �l(-iE 1f fE �E �E fE �E 3E fE 1E iE 3E iE if iE if iE 7E iE if ff�iE�;f if iF ��N-1E?E if �E �f-'IF iE # iF iE �)E iE iE iF iF
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 A I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN <= 100 K HTU 13.25 13.25
MEC i REFRIGERATION SYSTEM <= 100 K HTU/H 13,25 13.25
END OF FEES
EXPI�.��
DATE I � «' 17J
86-25-1997/81:49 DM/fM.SB
RCPTtaBI�
PERMITa683467
•
CC}NSTNUCTION AND PLANNING POOL �A
qPPROVALS Perm'vt# � Date Inspecto� AppftOVAIS Permit# Date Inspector
i. Temporary Electrica� Serviceor Pole 52. Pool & Equipment Location•,
2, $oil Pipe•Undrgmd. �. - 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms �
4. Electrical Conduit�Undrgmd. 55. Electricai Bonding '
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE '
7. Footings 58. Electrical ConduirUndrgmd.
8. Foundation 59. Gas Pipe, O Undr9rnd., Test
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, RTrap,�0 Undrgrnd.
10. Svuctural Floor System 61. APPROVAL TO DECK J-�
11. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor-Final
�2. Se�^'e' C�P 63. Heater & Vent�Finai
13. fioof Drains . 64. Plum6ing System • Final
14. Rough Ptumbing fi5. E1e�tricabFinal
15. Rough Electrical•Conduit - 66. Solar SYstem�Final
16. Rough Elearic Wiring , 67. Pencing & Access Approval �
i7. flougfi Wiring Sign 68. AP�ROVED FOA PLASTERING � '
18. Rough Electrical-T Bar Ceiling ' � � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Raugh Factory Fireplace APPROVALS Permit #
21. Ducts, in Struaure 70. Underground Hydro
22. Ducts, Ventiiatin9 • 71. Product Pipin9 O Gas � Oil
23. Gas Pipe-Rough & Tesc 72. UndergrounA Flush
24. Roof Framing 73. Undergrnd. Storage Tank G Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Scructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. �8thing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH �EPT. REQUIREMENT �
31. Plaster Brown Coat 79. F1NAl tNSPECTION ��� '+
32. Electrical Power Mecer�Final 80. FOOD CEFTIFICATE ISSUED �
.�
33. Final Electric Notes: �
34. Finaf Heating & Air Conditioning
1�
35. Final Gas Pipe-Test -
36. Hood or CanopY
37. Final Fattory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
47. Solar pomestic-Final
42, gackflow Preventer
.� 43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound A[tenuation ,� tri
46. Handicap Regulations � �
47�. FINAL STRUCTURE & BUILDING :n�`+�'
...- ��
48. FfNALPlANN4NG °""
o�m
49. Electric Release to Edison 4�
,.�,a
50. Gas Release to Southem Califomia Gas Co ���:. �
�.>V
5L CERTIFICATE OF OCCUPANCY
No. Date
�oonrssaew�wa: 3374 MARIGOLD CI unr:
ownexaxweiFiwwm: LEUNG, HAI iCING FLOOD: AH-3i3
�ooaeu LEUNG, KAN PUI TONG
JUDZTH
3374 MARIGOLD CIR COSTA MESA,CA 926
�rr�. �mwo wo�ss:
AfICXRECT OF ENtlNEEN: 114 M0.:
1PCIl Ofl EHLL91WNF59: VIlT:
��,��aru� CRYSTAL AIR (714)634-2593
CQlfNACfOR4Y�M10 11801 MAC STREET
�oo�sa GARDEN GROVE CA ��, 655036
92691 �:
LJCENSED COMR�CTON9 DKLAN�TON: I Iwsby elltm �vMr pruly d pejry Ntl I em frwmd iadr pwuiw d Cheqw B
(ovrvneMsq Nu� SecYm ]000) M Oivuion � d Ihe Bmneu erd Pmla�'vu COAe. erd mY fmne u in fu0law end sMatl.
No.:0/42006 uc.cuss: C-20 uc.r+o.: 655036 EXP: 03/98
D : fJ � ��I Cartrwor.���/
OW NEP BUILDEP OECLAfl�TON: I Iwaby affifm ivdar prWy d prjry Ne I em axrnq han Ns Cmt�etlm Licame Lew la Uro
Idbw+q �mmn (SeCion 10JtS Biv'�eas eM Rdenim� COM: My W n mwY Mui� npwm e D�i Io mabua. eEx.'vnWo-re.
demdv�. a �epei erry �tturSva. pv b b eviencs. ebo �pww Na epp6mN fa �ud� pxmi b fib e ayd sWameN Nel M a tM
i�.ae wm+w �o m. w�• a m. cw�ma. uo.�.. �.. �cn.w« e c�,�,«�w ..nn s.ao� �000l a a.n�, a a me
�o .m vroiwo�, coal> �nm i. «.n. 4.�a �naa� .w m. �e ior m. ee�w �.«�a:„. Nn �a, a swo�
. J]t.5 by ury epqieem lar e pmmi� aibpqe �M epp(rsM �o e dri psutly d np mwe then fm huMeed do0an �5500�.
� I.mor.nard�MPW�YamV�wl�waP�aNwnbmmW�.w�dotlrxakmdNeamwvmuna"vaeMed
v dlaredM eeb (SaeWn ]OM. Bu�ea�eed PrdeationsCOM: The Comredm lieaue lew dow M WdYto an owrerd qopany
w�M W Wa a inpwe� Raean. rd wfio Aom wN wk Innsetl n Aa+d a tlrou� Ae a Mr am m�pb�me. qw'iEeE thet ach
imM��ems v. ra imeMeU a dlsed I« ub. tl. Mwwa. lhs dntlinp a inV��em u eold wnhin ons vmr a aomNMion. Ne
aw�wbuikr �w0 naw the WNen d pw'vp M a 4r d'tl ml dvla a'vnryas la Ns qvpow d aelel.
� I. m oxner d iM V�WeM. am a�dunroll owretln0 wN Imneed ca4rxlaa b mnmue Ne pMa (Seaon )WI. &n'vim� md
m
VWm�iwa Gade: Ths CaaraCm l'csiw lar Eom no1 eooN b em m�w d PW�Y vfio dnlds a imVa'm Ihsean uM Ma
mnvecta la ac� pqaae wnh e aMrepa(e) �emW punuem io IM Cani�mae Littnee Lew�.
� I em uemq uMs Sztim: B. 8 P.G.. br Nu rae�on:
Dete: �:
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smar cae. s.ao�. zsms. zssaa. ene
seb aele coEm eM iM nauimnarcs for
i�w��cm�.d.�«�ui�m�
Oete: MO���
W OflKEfl'9 COYFEN9�T10N DECUN�TON: I Mr�by tlPom uNr prWly d pxjwy ar d Ns bGowinp Mdvetioro:
❑ IhewxMxilmdnien.centliuleamneiu�o.aq�munloryakaimmpaiumian.mo��edlnM9arfbna]oodtMleEn
Code. la IM pafomwies d IM wA lu wl'rl� Nro peemY o iouetl.
❑ �n...enewmei�u.n.afw.•mnmemmiburem....na�.eMswionarooame�.e«coa..am.w�«m.medm.
wak la xl�ieh Me G� b eaued. MY warken' ewnM�ion'vmnentw artW vd O�Y eumbar ms:
c.m«:
Pd'ry NumDer:
!A'v seCim neM M Ds cwnpNW Y fM G>mi u b aw hv�ed EaW� �SIOOf> Mv.)
� I cMh � In tM peAamerce d tM vak la wl�icA thb pmnY w impd. I NeA m ampby eiry ps�an n a�ry mervw o ro m
becoma aEjed lo IM xMx�' m'Dwaibn Iew d CaNmie. eM pp�s tlW / I dvdd bacarc abjw to Ne wvFan'
�� wm/penw:m pv.'viom d 6�eion �100 tl iM leEa Cods. I� on�' A mmp�y� wN IMw pwvms.
�1i�m.f H oZs�l? ro�w+:�ILth,�sd
\M'�mMp: F�N�n ro ucun noR�n'ronpru�tlon cw�r�p l� unhrM, �nd�lWl wE}ct �n w�plonr b cMIIr/pxultlpW
GHI flirs �p ro om ��nNM tMuunO CtlM (tI0qOP0A h�tlEllbn ro IM ewf al eonqwwtbM1 Q�nrp,� u provMM br In
s.cnon aros or m.l�eo, coe5 �m...c w.rtomN. �....
coNsrnucnoN iv�ara �aexcr. i ti.er .�, �.d.� oa+.h a oaiw ��+r u.. e. odm�a� r�o ro�r w m.
paAameere M iM xvk la xfiitli ihe V�I e euwd (Swun ]0�. CH. CI.
LENDEA'S NAYE
LENUEN'S �OONES9:
I cenity �het 1 hew �eed Nu eppliWion uk aea iM tln �Ewa'vtlwmelbn b cantl. I prw to mnpy w4n N cy xd owvay adiienoe�
ard �Ws lewe �dpM ro dutliq mmnrim cN Iwsb/eiaM¢a repmrueii.v tl Ne mYm arer upon �M aEwe�mWiurE V�W�H
�°`��°pB°�0�`D°'°°' RALPH BELL
(St51de.WP) WhusB�ik'vq85elary;��aemFJe:Canery-Appkant:Rnk-Rewnus:(ialdenroJ-Iusvar
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 083468
PERMIT NO: E 083968 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : ADD A/C 6 REPLACE FURNACE SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: X
�f iE �f if iE K iE if if aElk iF aE iF if iF 3t If �t 3F k�f �k iE i! 1F iE i! ik M if iF 1f i! iE fE IE 1E ik if 1F iE iE iF iE if 1F �E �t �E 3! if� fE ft 1E �f fk 1E k ff fE 1! �E iE ff iF fE 1E iE iE if iE M!f iF df if iE if
Z O N I N G R E Q U I R E M E N T S
5 E T H A C K S
------------ MAIN BOILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAA: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT ZN LEFT; FT IN RGHT: FT ZN
PARRING REQ: PROV: PARCEi: 91206306 ZNE: REF NO:
PLANNING NOTES>
>
3t iE iP it if il±E �f iE iE if if �E iE iE �E it k iP if it i! dt If iE iE it it it it it it jt i! iF 3f if i! iE it dE 3E jt 3E it it it iE it itr it 3E if k if if It if it M it it ik it dt it iF iE i! iE aE 3E 14 iE iE if 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 5
20NING APPROVED BY .
BUILDING APPROVED BY :
����%f�������� ��
LEGALIZATION:N F E E S U t�-'F7 A R Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC
PERMIT 11.00
508
PLAN
ISSUE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 11.00 22.00 0.00
DATE:
DATE:
������
STRUCTURAL
��51
T:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
33.00 33.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
33,00
1f �f 3f if iE if if k ik ik ik ik if �f iElk if !k �k �f �! if �E if * ff fE �f it 1f 1f if jt ik it if i!?t ff it 1E �ElE iE 1f iE iF if if 3k M if �f iElf if if �E � if 1f iE �E if if !k !t iF 1f iE iE fE it 1E �f 1f # �f jt
I N D I V I D U A L F E E H R E A K D O W N
TYPE {jTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 MOTOR/POWR APPARATUS 1,1 — 10.0 HP 11.00
END OF FEES
EX�'��:�1�
DATE�_Z� �
a
11.00
86-PS-1997/Bta41 DN/f33.B9
RCDT1s81-6BBA26S
PERMITa08346B
..
CONSTRUCTION AND PLANNING POOL lA
APPROVi1LS Permit # Date inspector APPROVALS Permit 3k Date Inspector
1, Temporary Electrical Service or Poie 52. Pool & Equipmeht Location
2, Soil Pipe•Undrgmd. 53. Steel Reintorcement
3. Electrical Conduit UtilityUndrgrnd. 54. Forms '
4. Electrical Cond�it�Undrgrnd. 55. Electrical Bonding
5. Steel Relnfo.cement 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7, Footings 58. Electrical Cond�it�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrqrnd.
10. Struciural Floor Svstem � 67, APPROVAL 70 DECK •
11. Property Sewer Line & House Conhection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. fioof Drains 64. Plumbing System - Final
14, Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar Svstem�Final
76. ftough Electric Wiring . 67. Fencing & Access ApProval
17. Rouc�h Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
ig. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Tesc 72. Unde�ground Fl�sh
24. Roof Framing 73. Undergrnd. Storage Tank C] Gas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling IStructural) & Monocoac 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electriwl Power Meter-Final 80. FOOD CERTIFICATE ISSUED �- - �
33. Final Electric Notes: �� " !
34, Final Heating & Air Conditioni�g
35. Final Gas Pipe-Test
36. Hood or Canopy
,y
37. Final Factory Fireplace
38. final Plumbin9
39. Water Service�Final
40. Gas Service•Final
41, Solar pomesiic•Final
42. Backflow Preventer
43. Backflow Irrigation
4A. Landscape IniGation SYstem �
45. Sound Attenuation � R
� 4fi. Handicap Regulations 1�, a
47. FINAL STRUCTURE & BUILDING � �
m
48. FINALP�ANNING ::'.Y-�0
��
49: Efearic Release to Edison ..m<C
50. Gas fielease to Southem California Gas Co •`_���
51. CERTIFICATEOFOCCUPANCY �2
No. Date
PflOJELT AUOflESS: 3 3'� 4 MAR I GOLD C I
OWNEH'SNpME: LEUNG, AAI—SING
r aooxess: LEUNG, CHIN,CHIN
� 1080 VALLEJO CIR
, COSTA MESA,CA
' 650-1668
A�LHIENGINEEN:
nooness:
�N�T:
92626
flEG.NO.:
uxiT:
PEXMITTEE: CENTURY ROOFING COMPANY (714)722-1964
aooness: z531 ALDER LN
C.M. CA 92627
LICENSED CONTBRCTOP OECIAPFTION: I �ereDy atlpm IMI I am licensetl unaer pmvi5iM5 0l CAapier 9(commen[ing wil� S¢c�ion
7000� of Oivision 3 ol Ine Business ana Pmlessions Code, an0 my license is in lull lorce anE efieci.
cirruc^.: 059 04 STATELIC.:('�qOS cuss: C39
Dale: =1'� Signalure: _ _
WOBKEfl$' COMPENSA7fON OECIARATION: I here0y dffirm fliat I fuve a[ertififate of [on5ent to Selbin5are ar a certdiwie ot WrnkerS'
Compensaiion Insurante. or a cerulied cnpy I�ereaf ($¢�tion 38p1. lab. C�.
VOIICY NO.: E%P. ORTE:
COMPANY:
7 Cenniee copy is nereUy furnisnea. ❑ CertifieG popY a���� ��� ��e dh BuilGinp Oivaian.
Oaie: AODlicant:
E%EMPIION FPOM WOXKEF$' COMPEN511TION OECLAXATI�N: (ilrtt 5ettan neeU nd Ee cOmplelM i� Ne permi is �a ale ImnORE (5700� a less�.
I cetlity Ilw� in ��e pedormantt of the work lor wNch tNs Dermii is issue0, I 5ha0 nol em0loy arry person in any manner m a5 io become
Su�l�� lo t�� Work,rs' Compenution Laws ot faiilomia. �
Oate: � � Si9��ure:
�NO710E: If, atter making I�is Geclaratian. yrou shopla Oetome su01e�� �o t0e Warkers' fAmpenSdtion provisions of ihe Laba�
Code. you musllontrrnin Compry with suth provrojons or iks perrtut sIWA De OeemeE revakea.
CONSTflUCTION LENOING RGENCY: I �ereGy allirm ��� t�ere is a canslruclion lenainq agency lor Ihe Oedormance ol ��e work for
w�ic� Ihis permit is i55ueA (Sec�ion 3097. Civ. C�.
LENDEfl:
POOPESS:
OwNEP BUILOEP OECUBA7lON: I AereOy atlitm ihdl I am eRempt Irom ine fAnttactor5' State lkense Law fot the lollowing reason
(Section 70J7.5 Business an0 Pmlessional Code: Any �j�y ol counly w�ic� repuires a Dermit to con9Nc�, alter, impmve, demolish, or
�epair any simcture, D�ior to its iuuance. al5o repuiresihe apDtiqnt for wGl perrttil �o file a 90neU slafertleN tnat nplshe is licensed
pursuam �o t�e piovisions ol Ne Contracmrs' State License Law �C�aO�er 9(commencing vnt� Sec�ion 7000) ol �ivisian 3 oi iAe Business
an0 Pmfe55ions CaOe) ar tlWt IMls�e ¢ e.emoi �tierelrom atb t�e Oa5i5 lor Ilie aileqeG eKemO�wn. Any vi01ati0n ol 5¢[tipn 70JL5 Dy
any apolitant lor a oermit suDie��s Ine aDoliWnt lo a civil p¢nally ol nat more t�an live hunOreO Oollars (551101.
I, as owner ol I�e DroDerlY ot my em loy¢es wit� wdges as I�eir Sole comDenSation, wi0 Co ihe wark, an0 t�e
❑ suucWre is nat intenCee or otlereC lar sate (�tion 70aa, Business anE Mafessional COAe: T�e Cantractors' State License law
Ooes not appry io an owner ol a pmperty w�o Ouilas or imprwes t�erron, an0 w�o Uoes suc� work himseli/�ersell or tAmup�
n4 0� �er own emdW�s, proviEeG tlul SUCh jmDrOv¢men6 are not intenUea or ollete0 lor Sate. �l �ma'ever ihe Ouilainp or
imD�a�emem is so�G wltltin one year af wmpte�ion, i�e owne� vn0 have t�e GurGen ol prwin0 he/s�e di0 no� builQ or imDmve
loi Ne ourpose ol salel.
I, a5 Owner o� I�e D�oOetly, am eKtlusivep cam�aninq with IicenseG comraclors lo wnstmct t�e pmject (Seciion 7044, Business
❑ anG Pmfessian CaUe: Tlre Comrxtors Siate lkense Law nces rot apdy ro an owner af pmpeM � �uilas or imD�wes inereon
ana wha ConlraCis lar SUCh pmlecis vnl� a COntrat(aqsllitense OurSuantio 1�0 Canitatlors' SIaIe L¢en5e Law�. I am aware
t�at Ornnt ol i�eir Worke�'s Compensatiw inspeance 5tqW0 Oe Droviae0 Io me.
� I am e�empt unAer Seclion: B. 8 P. C.
for I�is ieason:
�a1e'. OwneC
I do nereCV �enily ihal I am aware of an0 un0erstanE ipe reQuiremenis al Calilomu Heall� anG Safety CoOe Sections 2550.5, 25597, anA
255�4 antl tnal I or any lulure Dudding acupant wilUvrip not (circle one) neetl lo comO�Y ��� sai0 stale WAes antl t�e requirements lor a
permit lor ronslmclion Or m0ailicalion trom I�e Fir 0'uabty Managemeni Dislnct. Pes0enl¢I tonsimctiM applicatians are eRemO� �rom
I�ese provisions.
Daie: ApdKam:
I �¢re�y reNty I�a� I �ave reatl Iltis aOClica�ion ana sta�¢ �tui ��e aGove inl0�mation i5 correct. I agree to comO�Y �th all ciiy and county
orAinall[¢5 anG siaie Wv5 r¢IdiYlgloDuilOingC0115tM�iw�aMtttr¢pyauihNlletepl6l11UInR5a��h5uryloenier upOn�he aEpve-men�iMtd
pmpetly lor insp¢tiion Durposes.
ox�e: �'I �� siqwwre:
• Driver's �icense or Saiai Security a:
t6at�46 Whi�a—BmlOing; Green—Cotle Enbrcement; Canary—Appl¢ant; Pink—Rnvenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 064172 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF SHEATH REROOF SLOPED AOOF W/ICBO#
�
PERM NO; B 069172
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 10,000
CLAIM VALUE: 10,000.00 CALC—VALUE: 10,000.00 GROUP OCC: R-3 /M-1
COMMENTS: ICBOA4660 PSF S,SLHS PER SQ MAXIUM WEIGHT
x*�*rc**■****�rrr�**�rw*** ******�t�t*�r*************�r*******+t*r*****r**+rr*+��r«*x�**�r*r
2 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 REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGI{T: FT IN
PARKING REQ• PROV: PARCEL: 41218225 ZNE: REF NO:
PLANNING N6'1'ES>
� �
iF M k if M 1F if %it iF iE it iElf !! M ff it �f 1t iE if iE ik if ff !f ik it if 1f if if iF it iE if k fF if if %�f if %M if 1f if it it 1F %%!E %if if iE M%if 1f If if fE iF ff fF 1f iE {E iF iE iE if iE 1E 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 DATE; -
BUILDING APPROVED HY : DATE; ,.
APPLICATION ISSUED BY: � DATE; ��7
����L����(���i��*+��t+rit it+riririiiii�###�Ei'�iE�#iei:�it�it�tit�rir�*�it�ttt�iki4��i�#i�i��3�����,U�*A�L*�S�GMENT*Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 117.00 1.00
SMIP/NON`—RES
PLAN
ISSUE FEE '.
BUILDING—DIV—> PERMIT ISSOE PLAN—CHECK TOTAL PATD DUE
TOTALS----> 118.00 0.00 0.00 118.00 118.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 118.00 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
11%.OQ 1.��
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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 10000 REROOF BY VALOE RESIDENTIAL NOZONE 1.00 10,000.00
END OF FEES
T
Ol Q014776D—OQ347761 T� �T 1?8.5�0
DATE: US/?7/93 TIItE: 13�27
I CQ.IST�R�UCTION AND PLANtJING
c
A°DROVALS Pcrmit=r
7. 7ernpora�f' Eirctncal S:�dca or Po.e
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I 17. Nuuqh'.V�ring S�gn
18. Rn�qh Ficc!�ical�T Btr Ce:l�,ng
75. Rrc�ti N.:ri:�^� � A'r C_��':�.O��r,g
� POOL 6+ SPA --- T I- -}-�
Date Incper.tor I Ap�aOVALS Permrt : I Date , Inspector
--� -- �
'�� 52. Pool & Equ�pment LocaUon � ,' !
�_�� _ '�
53. c•� ! Rcrrfn�c•�rm•..•
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I 55. Gectr,Cdl6�nti�nq i �
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5i7 i�uuah Plunb�.na 8� Prus.�rc Tu�.t �
--- - -- --- -- - ------- ---� -a-- --
� 57. /��'PRO`!!�I TO �.0A�'-H Cl..�"c � �
- - +------ - ----- -� --�----=�
- --�56. Elcctrical Co� dw���i•aryarnd. �
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66. Sa�ar S;e;.m�l-��,;, '
_ 67. Fencinq f4 Accr.�,� An��ro�.ai __ ! ~ _
I 68. APPROVED FOR PLASTERI0.�G �-
G9. POOUSPA SYSTEL�S FINAL
FIR� DEPT. HE�UIREN.E�U1
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72. D� r \ rnt.��.: nn7� ��.. � 71. Pr�:loct`��J�rq ... -' 0,�. ��-��I
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47, f-ItJAL STRI�CTURE & BUILDI`:G ��B :(�'�'3i_G �"+ � ' S�'�G� � y-[ : ,,,_ ��"� __ __ __ '
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50. Gas R�!e�.s^ to Souttern Cahfoc ia Gas Co : - T i
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51. C[R i IFICATC OF 9CCUPA��CY .
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F� n
COSTA MESA BUILDING�SAFETY DEPARTMENT
,p P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
ForApplicant to Fillin Completely REc iv s
BUILDING �� L
ADORESS
OWNER Larwin Southern California lnc. A�P•NO. �
MAI L BUILDING
ADORE55 � AODRESS
arv Encino, California No�986-8890 TFACT 7
CANSTRUCTION W ADD A
�ENDER a in Southern alif nia n
BRANCH 16255 V entura Boulevard
OWNEP L f
ADDRESS '
ARCHITECT TEL. �� �
ORENGINEER LARWIN Np 273-4464
ADORESS 9100 Wilshire Blvd. Bev. Hills
CONTIiACTOp Larwin Southem Califomia, Inc.
aooRess 16255 Ventura Boulevard
cirv Encino, California No�'986-8890
LIC. No. 191311 UCYNO. p�l
S12E NO.OF BLDGS.
OF LOT (O X LOO NOW ON LOT O
USE OF
EXISTING BLDG_
NEW BIOG. 1�40 NO.OF 1
ROOMS STOftIES
EXTEFIOftWA�L StUCCO ROOF y�/ood Shingle
COVEIiING COVERING
USE OF BUILOING AND WORK TO BE PERFORMED
I hereby acknOwledge that 1 have reatl this appliwtion antl state
that the above information is correct antl aeree to comply wi[h
all laws regula[ing builtling consttuction, antl I shall not employ
any person in viola[ion of the wo�kman's compensation laws of
the State ot Celifornia.
I hereby certify �hai I am properly licensetl az a contracmr untler
the Stata ot California eusiness antl Piotessions Cotle, Divisicn 3,
Chapter 9, antl that such licenses are in tull force antl effect, or I
am exempt irom the provisions of the State of California Business
antl Professiong Code, Division 3, Chapter 9.
Signatureo �. �OWnS
Permittee��s��/G%E����.D �
� �
All[IIOl1E¢tl A92l1S
ZONE
AUG 15-7?PA�D001085+� +`•** ^
cr,sa 142.05
N FOR BUILDING PERMIT
DATE RECEIVED pATE ISSUED
� �_ „��
PERMIT NO.
% J � U
7/ Q LOT BIOCK
P
.W/N S-C'. �iuG
VALVE / � �B'CJ
$ f0 ll�J
TVPE GFOUP ��
,._.__,_ .,,,r�i�FT 77.
OF
VAFOS APPROVED
VAR. #E
C.U.P. #
ovPFOVED ��D
THEAMOUNTS
THE PURPOSE OF
VALUATION
� / �
$ Y�
USE Of NEW 5/.L/ % �JU
BUILOING
r
YAROS APPROVED
ACCESSORV BUILDING
BET. MAIN &
ACCESS.BLD
DATE
APPROVED
UNDER VA�UATION IS FOR
LISHING A PERMIT FEE pNIV:
b
0
'a
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