The URL can be used to link to this page

Home My WebLink About2435 MARSEILLES WAY - Building Permits; �, (714) 754-5273 • Fax (714) 754-4856 � CITY OF COSTA MESA ' BUILDING DIV►SION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT Job Address: 2435 MARSEILLES WY Suite No Vicinity: IN ATTIC Parcel Number: 43974220 App�icant: COOTER, LYLE Address: 188 TECHNOLOGY SUITE C IRVINE Owner. MAHONEY, RICHARD D SR TR Address: � 2435 MARSEIILES WAY � COSTA MESA, CA Phone: (714)453-8500 Zip: 92718 Phone: Zip: 92626 Contrector: KEMNITZ A/C & HEATING Address: 188TECHNOLOGY - SUITE C . Phone: (714) 453-8500 IRVINE . Zip: 92718 ' • License: 695874 Arch / Eng : Address: FAU CHANGEOUT ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Fumace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY � Quanlity PERMIT NUMBER M00-00017 . 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O7/06/2000 Issued: 01/O6/2000 ISSUED BY: Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System � Evaporative Cooler Commerci al I n ci nereto r Domestic Incinerator Compressors / Absorption SVstems Upto3hp/700kBTU 3To75hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 75 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall compty wi�h all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 7 BO days. ' INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 I � WORKERS' COMPENSATON DECLARATON: I hereby aHirtn unaer penelty of perjury one of the following declarations: ❑ I have and will maintein a cetlificate of consent to self-Insure for workors' compensation, as pwvidetl for by section 3700 of the Lebor Code, for the peAormance of the work for which ihis permit is issuetl. ,Q I have and will maintain workers' compensation insurance, as requirad 6y saction 3700 of the Lebor Cotla, for the pedortnanca of tha work for which this partnit is issuatl. My workar� �,o�npensation Insurance cartier and policy number are: �� l' � ?�le CY,i Cemec �i� O A Cit �� t i Po�icy Number. (This section need not be complete it the permit is valuetl et one huntlretl tlollers ($100J or less.) ❑ I certify that in the peAormance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensetion lews of Celifomia, end egree ihat ii I should become subject to the workers' compensaticn provisions of Section 3700 of the Lebor Cotle. I shall forthwith comply with these pravisions. Applicant Signatura: Date: � ' � — UO WARNING: FAILURE TO SECURE WO RS' COMPENSATION COVERAGE IS UMAWFUL AND SMALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AN� GVIL FlNES UP TOONE HUNDiiED TiqUSAND DOLLAFE (5100.000�, IN ADDfiION TO THE WST OF COMPENSAiION, DPfMGES AS PROVI�EO FOR IN SEGTIpV 3]O60F THE LABOR COOE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn ihat I am licensed undar prqiisyPsyf�hapter 9, (commencing wlih Section 7000) ot Division 3 of Ihe Business antl Professions Code, antl my license is in full force and ettect. Lic. s (o`�/ � �`'j Class x ��I� Contractots SignaNre: Date: / — � — O^ � CONS7RUCT10N LENDING AGENCV: � ❑ I here6y etlirm thet there is a constmction lentling agency for the peAormance of ihe work for which this �ermit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm ihat under penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or coumy which requires a permit to constmct, elter, improve, aemolish, or repair any strucNre, prior to its issuance, also requires the applicant for such permii to file a signed statement ihat he or she is licensed pursuant to Ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or thet he or she is e:empt iherefrom end Ihe basis for ihe ellegetl exemption. Any violation ol Section 7031.5 by any epplicant for a permit sub�acts the applicent (o'a�.civil penalry of not more than five huntlretl tlollars ($500).): P, �/ W, ❑ I, as owner ohthe,property; or my employees with wages as their sole campensation, WILL DO THE WORK, and the structura is not intended or ottered for sale (Sec. 7044, Business antl;Professions.Code: The Contracbrs License Lew does not apply to an owner of prcperty who builtls or impmves thereon, antl who aoes such work himself or herself or (hrou8h his or he �own employees, pmvitled that such improvemenis ere not intende�d ar oHered far sala. If, however, the building or improvement is sold within one,year of completion,4he owner-builder will have ihe burdon ol proving Ihat he or she tlitl not 6uild or improve tor purpose of sale.). ❑ I, as owner of ihe O�operty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: The wntractors License law does not apply to an owner ol properry who 6uiltls or improves thereon, antl who contracis for such proled with a coniractor(s) license pursuant to Ihe Conlrectoi5lLicense laws.). ❑ I am exempt untlar sec. � � Business antl Professions Code tor this reason: Signature: Date: Owner ID verifietl by tlriver's license. ❑ Yes ❑ No DriveYs License No. Eapires: Venfication of Ownership by (type of daument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity �hat no excavation tive (5) or more teet in depth into which a person is requiretl to tlescend, wlll be made in connection with work authorized by this permit, entl �hat no building simcNre, scattoltlinq, felsework, or demoli�ion or tlismantling �hereof, will be more ihan thlrty-sia (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title B, Calitornia Administretive Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would requlre e permit irom the Division of Intlustrial Safety, as noted ebove, unless such person has a permi� to do such work trom the tlivision. Signawre: Date: Division ot InduSirial Sefery Permit Number: CERTIFICA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cenify under penalty of perjury ihat I have read this application and state Ihat the information given is cortect 1 agree to comply with all state laws and ciry ordinances relating to building consimction, and authorize representatives of the Ciiy of Costa Mesa to enter upon Ihe above-descnbetl propeny for inspection purposes. I agree not to occupy or ellow occupancy of any building authorized by Ihis permit uNil linal inspeciion. Legal Owner(s) Dete �— %— �-- 00 >n licant �,�—j� Date COpE �, INSPECTIONTYPE pp1$ �¢ 7616 FixeO System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Final Ra-Roof Final8lak/Retaining Wall Final Fectory Fire Place Final Sign 204 Final Demolition 2a46-66 CO�E 1 INSPECTION TYPE 206 Final Mechaniwl 20B Final Plumbing 210 Final Electrical 212 Final FirE� Prevention 220 Final Planning Approval 222 Final Sita 250 Final Buil D� INiITIA G'� bu .lobAddress: 2435 MARSEILLES WY Status: ISSUED Suite: Applied: 08l22/2005 Vicinity: ROOF 2435 AND 2439 Issued: 08/24/2005 Primary Occ: Type of Construction: V-N Parcel Number: 43914220 Zoning: Appliwnt: SIMMONS, DEBORAH Address: R0840718 Owner: MAHONEY, RICHARD D SR TR Address 2435 MARSEILLES WAY COSTA MESA, CA Contrector: HIRSCHMAN, RP &-SONS ING Address: -9582 HAMILTON AVE - � � "- ,. SUITE 281 . " ..' HUNTINGTON BEACH, CA Zip[`� , 92646 � � . . Arch : Address: Phone: Zip: Phone: Zip: 92626 Phone: 714--960-8329 License: 781923 Eng: Address: ISSUED BY: . - Phone: _ ' Phone: z 2ip: � . � License: � . ` � - ` License:- . SCOPE OF PERMIT T/O EXISTING COMP SHINGLES ROOF AND INSTALL 40 YEAR COMP SHINGLES FOR ATTACHED CONDOS 2435 AND 2439. REPAIR AND REPLACE SHEATHING AS NEEDED. APPROX 53 SQUARES, NO GARAGES INCLUDED. . .�, �� : Plan Check: '� . $0.00 '. Permik $349.25 SMIP Res: - $2.13 SMIP Com: $0.00 ;� `� Othen - _ $0.00 Inspection: $0.00 Totai: $351.38 _ o ., . . PEE SUMMARY � Calc Valuation E - �� Claim9Valuation: ' °' %� _.. , ,,. ' ,. .. ' ` . 'n. �.. .' ' _ . " . .l§ ...;. .� c:. . ....a:..,. ... .,. ; ...� . _. . _ h: � .l` �- , , pLANNING & ZONING SETBACKS , " - MAIN STRUCTURE Front 0- 0 Rear � 0- 0� . Left 0- 0 - .-� Right - 0- 0 ACCESSORY �Front 0-0 � Rear 0.0 � Left' 0-0 � Right 0-0, x PARKING �`�Existin : 0 , . Reauired ^'c0�, . . Pro o ed: � -0-:-� . � � � �' , $21,344:16 $21,344.16 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requlrements under Califomia statutes and related regulations. (Ortl. No. 92-28, § 1, 12•21•92) EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 1B0 days, or if work is suspended or ebandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must compy with ell applicable codes, and all required Inspectlo�a and finel approval must be obtained. Failure to obtain inspections and final approval will result in the e�iration of this permit. FOR INSPECTIONS CALL: (714) 7545826 zaae-ae �emo� WOHKERS'COMPENSAPON DECLARArON; I pereDy efh�rtn unaer penalry ot perJury one ol the lollowing tleclarations: � ❑ eve entl will maintain e cetlificete of consam to sell-Insure for workers' compenseilon, es provided for by sectlon 3700 ot the Lebor Code, for the paAormance o� the wOrk far whlch this pertnit is i55uetl. � ve and wlll melntain vrorkers' compensetion Insurance, as required by sectlon 3700 of Ne Lebor Cotle, for ihe peAartnance ot Vre work for which Nis permit ls issued. � �ce�°� pen on In ure�nc,e�-rca�Mer end paUcy numher are: �� /1 /H� �/�iV,// p ' Number:l ��+f - �ao5 need nat be complefed l! the permit is veluetl ef one hundred dW/ers ($f 00) or less.) thel in ihe pertortnance ot the work for which this permit is IssueO, 1 shall not employ eny pergor in any mennar so as to bewme sub�ect to the workers' ise n laws of Califna�rn�le, end egree that /If I shoWA baCome sub�ect to the workere' compansatlon provislons of Section 3700 of Ihe Labor Code, I shell forihwith wrtn B5B or�{�o�l,�1J'tiDJ� Y�1im rne-x�, —� j�" � ��1' h��05 net e: S(J ` _ RE TO SECURE WORKERS' OOMPENSATIIXJ GUVEMGE IS UNIAWFUL AND SHALL SUBIECT AN EMPL CRIMINAL PENALTIE$ AND GVIL FlNES UP TO IXJE MUNDRED N.LARE (5100,000), IN A�DRION TO TNE COST OF CIJMPENSATIqJ, DAMAGES AS PROVIOED WR IN SECTIUN 3]OB OF THE LABOR CODE, IN(EREST, AND FTTORNEV'S FEES. LICENSED C CTORS DECLARATION: �I hereby a the am licensetl underk roWsions of Chapter 9(commencing wlth Section 7000) ot Dlvision 3 oi � usiness antl P�Sofe Ig�s Code, end my license is in full loice ffe . c.a ��1c�� . C y��/ Ctl r aanre: ,�i+t�tnJ� n-r,n-r,f1,� � e: D�j ONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm that Ihere is e conslructlon lantling agency for the pedormenca of ihe work for which this pertnll is issued. (Sec. 3097, Civll Gotle). Landels Nsme: _ Lendofs Address: _ _ Siq�ature: OWNER-BUIIDER DECLAFiATONS: Da�e: 1 �ereby ettirtn Ihat under penatty of perj�ry Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5. Business end Protessions Cotle: Any ciry or counry which requires e permit to construct, alter, improve, demolis�, or repair any siructure, prior to its Issuance, also requlres the aDP��nt for such permit ro ��le e slgned stetemem that he or she is Ilcensed pursuant to the proWslons of the Contrectors LJcense Lew (Chepter 9(commendng wlth Secilon 7000) ot Division 3 of the Business end Prolesslons Catle) or ihet he ar s�e is exempt theretrom end Ihe besis for the alleged ezempti�n. Any violation of Section 7031.5 by eny epplicent far a permlt suDJects Ihe epplicent to e cMl penalry of not more than tive �undred dollers ($500).): ❑ 1, as owner ol the pmperty, or my emplayeas wlth wages es their sole compensatlon, WILL DO TME WQRK, and ihe stmcWre Is nat Intended or aflered tor sale (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not epply to an owner of property who builds or improves thereon, enC who does such work himself or herself or ihrough his or her own employees, providetl �ha� such Improvements ere not Intend[�d or oflered for sale. If, however, the building or Improvement is saltl within o�e year of completion, the owner-builder will heva the burden of proving ihat he o� she tlid not build or Improve for purpose ot sele.). ' ❑ I, es owner of Ihe property, am E%CWSIVELY CONTRACTING WITH LICENSEO CON7RACTORS to canstruct the pwjeq (Sec. 7044, Business entl Professions Code: Tha Gontractors License Lew does not epply to en owner ot propeny wha builds or Improves thereon, end who coniracts lor such pro�ect wlth e contractor(s) license pursuent to Me Contractare Lice�se LewsJ. ❑ I em exempt untler sec. Business antl Prolessions Code tor thls reason: SIg�eWre: Date: pWner ID ventietl by tlnvers license. ❑ Vas ❑ No Driver's License No. Vedlication W Ownarship by (type oi tlaumaM, i.e. - properry tax bill or tlead}: DIV�SION OP INDUSTRIAL SAFETV PERMIT CERTFICATION: Expires: ❑ I hereby certity Iha� no exCevetion tive (5) or more feel in depih into which e parson is requlred to descen7, will be made in connection wlih work eulhonzeC by this permit, antl that no building sWclure, scafloWing, falsework, w tlemolition w tllsmantlifg ihereol, wiil De more ihan lhlrty-six (36) feet hgh. (Chap. 32, Gry 2, Art 2, SeC. 341, 77t1e B, Celifomia Administretive Code). ❑ As owner-Culltler, I will not employ enyone to do work which would requlre a permit tmm the DiWsion ot Intlustdal Safery, as noted ebove, unleu such person has e pefmit to do such wark irom the division. Signature: Date: Ditision of Indusirial Sefery Permit Number: CEFn1FlCATE OF COMPLIANCE AND AIJfHORVATION OF ENiAV: I certify under penalry of perjury Ihat I have reatl Ihis applica�ion entl state that the information given is correct I agree to comply with e�� slate laws and ciry ordinances relating to builtling consiruction, antl authorize representatives of Ihe Ciry ot Costa Mesa Io en�er upon the above-descnbed property for inspection purpo5es. I egree not to occupy or ellow occupancy of eny building authorized by this pertnit until (inal inspection. j�Qpf�(, INSPECTIONTYiE — 1616 Fixetl System Final Fire Prevention 1288 Pool Spa Final 200 201 202 203 204 Finel Re-Fiooi Final Blak/Retaining Well Final Fectory Fira Place Final Slgn Final Damolition PdIE II�4S _!1!Gi A%" tooe� ItlSPECIl4lITYPE 206 Finel Mec:�enicel 208 Final Plumbing 210 Finel Elac:irical 212 Finel Fire Preve�llon 220 Final Planning Approval 222 250 Final Site Finel Bui6iing/OCcupancy bZ�i�I;iiuLPFj PHOJECT ROOHESS: R ICHA OWNEB'S NRME: z 4 3 r) , noosess: � OSTA EILLES WY uxir: NANCY O• ICL�ES WAY 92627 pflCHIENCINEEN: flEG.NO.: FODNESS: UNIT: PEPMITlEE: NOCK PLUMBING (7143895-1246 aoosess: 11610 SEABOARD CIR STANTON CA 90680 UCENSEO CONTHACIDfl DECIAPAT10N: I hereby allirm ��a� I am licensea untler provisions ot Cha r 9(commencing wiih Sec�ion 7000) ol Oi�ics�pj I��usiness antl Pmf�si=n�fy� �tl my license is in I�INQre38�4 eflec . CITY LIC�.:-� _�/ � (�STqTE UC.: LLA55: Date: _�.L__—�—�1L__ SlgnaWra:— "1i74i1_. WO PNEPS' COMPEN$AUUNAFGL�NATIOVY I hereb; aRirm �hat I have aJ�erljlicDlRo} cop�nj�o selt-insure or a cehificate o7 Worker5' Com ensa�ion &s11ad M Shd�l�b co thereaf Section 3800. Lab. rA.7 / V 1/ 1 roucr xo.: STATE EXP. OATE: COMPANY: }{ � Ceriifietl topy is hereby �umi5�e0. ❑ Cetliiietl copY is liled /wit7h �he ti�y Builtling DiviSion. ��ate: � L' �' �'�/ APPlicanL ��'"��U E%EMPiION FpOM WONNENS' COMPENSATION UECLAHATION: (This section neetl not be completed il �he permit is lor ane �untlred ($100) or less�. I rer�ily Iha� m �he petlormance of Ihe work for which �his permii is issued. 15hall no� employ any person in any manner so as to become sublect �o Ihe Workers Campensation Laws oi Calilomia- �ate: ' Signa�ure: NOTICE: I�. a�ler making �his tleclaration, you should become sub�ec� ta Ihe Warkers' Compensation provisions o� �he Labor Coae, yau musl lorthwi�h comply wiih such pmvisions or ihis permit shall be deeme0 revoke0. CONSTPUCTION LENUING AGENCY: I hereby atlirm that ��ere is a conslruction lentling agency lor �he Dedormance ot �he work �or which Ihis permil is i55ue0 �Sec�ion 3097. Civ. C�. LENUEN: AOOHESS: OWNEN BUILOEN OECIAHpTION: I here6y affirm Ihat I am eeempt Imm ihe Comractors' State License Law br the lollowing reason (Sec�ion 703L5 Business ana Pmfessional Goae: Nny ci�y of coun�y which requires a permil �o cons�mct, alier, imD�ove, tlemolish, or , repair any s�mqure. prior Io its issuance, also requires Ihe applicant �ar such permil �o file a signee's�a�ement �hat he/she is Iicense0 pursuanitothe pmvisians o��he Goniractors' Sta�e License Law�C�apier9(commencing wi�h Seclion 7000) oi Division 3 o�ihe Busness and Pmlessions Code) or ihat he/she is exemp� �herefrom and Ihe basis for ��e alleged exempimn. Nny violaiion o� Sec�ion 7031.5 by any aODlicanl �or a permi� subjects Ihe applican� to a civil penal�y ol not more ihan tive huntlreA dollars (5500). I, as owner ol �he propehy or my employees wi�h wages as their sole comDensa�ion, will tlo �he wo�k, antl ihe ❑ simcmreis notintende0 oroffere0 brsale (Section 70d4, Business antl PmfessionalCode: The Coniractors' Sta�e License Law tloes no� apply �o an owner Oi a pmpe�y who bUiltls or improves Ihereon. and who tloes Such work himself/her5el� Or �hmugh his or her own employee5. pmvided Ihai such improvemen�s are nol inlende0 or o��eretl �or sale. I�, however Ihe building or improvemenl is soltl wi�hin one year oi complelion, �he owner will �ave I�e 6uraen ol proving he/she ditl not builtl or impmve lor Ihe purpOSe ol 5ale). I. as owner o� the pmpeny, am excWsively conirac�ing with licensed conimctors �o canstmc� �he pmlect (Section 7044, Business ❑ and Professions Code: The Coniraclors' Slale License Law tloes noi apDly Io an owner ol property who �uiltls or impmves �hereon antl who convacls �ar such pmjects wi�h a contracmqs) license pursuaN to Ihe Conlrac�ors' State License Law�. I am aware �hai O�ooi ol I�eir Worker'S Compensa�ion insurance shoWd Ge pmvided �o me. � I am exempl untler Sedian: B. 8 P, C. for inis rwson: �aie: Ownec I do �ereby certtly Iha� I am aware ol and untlerstantl Ihe requiremenls o� Califomia Health antl Sa�ery CoOe Sec�ions 25505, 25533, antl 25534 and Ihat I or any IWure builtling occupanl willlwill not (cimle one) need �o compty wlth sald state cotle5 and �he repuirements for a permil for cons�mc�ion or motldication Imm ��e Nir Ouality Managemen� OiSVici. ResiOen�ial conSlmc�ian applications are exemp� imm IAese pmvisions. ' �ale'. ApplicanP. I hereby cerlify Ihat I have read Ihis applicalian and Slale Iha� Ihe a6ove intormation is correci. la0�ee ta comply with all cily and county ortlmancesands�a�elawsrelatinglobuildingcons�mclionantlherehyautnorizerepresenia�rvesol�hisciryJ� meruDoniheabove-mentioned pmpetly tar inspection purpo�. � ��/� �/ / �� _� � �N>i � oa�e: �-r.�r v �� oriver's License or Social Security a: 1641�a6 WM1i�e—Bulltling; Green—Cotle EnforcemenP. Canary—ApplicanL Pink—Revenue: Goltlenrod—Assessor CITY OF COSTA MESA — BUZLDING PERMIT � PERMIT NO; P 050109 PLAN CHECK NO; N '68V�; p' �',�, '�=N ' CONSTRUCTTON TYPE; V—N PEAMIT TYPE; PLU PURPOSE: OTH JOB DESCRIPTION ; REPLACE DISHWASHER S(j FT: CLAIM VALUE: CALC—VALUE; GROUP (9CC; R-3 / COMMENTS• REPLACE DISHWASHER —�*MAIL IN PERMIT�* *� �r�**�r*�r�t�t**x �r�r�t*�r�t�t+�**�t**�t**��r�r�r�*+�f�x��t�t�t**rx��**�t�t�r�t f��t**�t�t�r�t�t�t s��t�tx �t�t�t�t�t *�r�t�t*�t* 2 O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- --FRNT: FT IN REAR; FT IN FRNT: FT IN AEAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT 'IN RGHT: FT IN PARKING RE • PROV; PARCEL: 43914220 2NE: REF NO; PLANNING N TES> i ***��*�*******�*��***�*��,�**«��**�***�*��,��***�**�**��*�***�*��***��***�� D E V E L O P M E N T S E R V I C E S. R E Q U Z R E M E N T S ZONING APPROVED HY DATE; BUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: ` DATE: ��-,��,�� fiFiFififMiFjfMiElEaFiFfEK1F�lFiEiflfiFiE �FiFaE3FiFiFiEiE1FiE ifiE ififiEifik3f1f1Ekkk3Fififik3FitifjfiEiFiFiFifiElFiFiFifklf�FiElEif iEiE�faElElEiFlkiFiEiFiEiEiFif�fifklEiEiEifiEiFifififlfiElEiElEifiEaElFifiFiF1F3E�F LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2 00 �LSY SMIP/NON—RES PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00- 0.00 5.00 5.00 .00 REVENUE DIVISION TOTALS--> COLLECTED- 5.00 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK S.Q� jF �f iF if iE iE �lE �F Ik1E M�f �f K�E iE if �E if * �E iE iE �f �f if IF �E if if iE iF �lf �lf iF if 3f aE �E IE �E iF if if IE af If if aF iF 1E if iF iEif if iE iF iEiE if iF iF 3f iE iE IE if �Fif iF�flE iE iF iF iF iF�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 PLU 1 DISHWASHER 2,�� 2,�� END OF FEES os o�o�s�at�-n�c��:.:�2E 3�� ; �arz: t�:a�rst� ��nx: �?:�: , _ � CONSTRUCTION AND PLANNING � PO, .& SPA � APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Set�vice or Pole. 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. ?�2 53. Steel Reinforcement a :._. ` ��3:'.�lectrical ConauiiyUtility Undrgrrid:` 54. Forms t4. �Electrical Condti7_Undrgrnd. - 55. Electrical Bonding - x �:; 5��:Steel Reinforceljient 56. Rough Plumbing & Pressure Test v � Electrical UFER'Grnd. 57. APPROVAL TO COVER�GUNITE �.� � "�7=�Footings ��'t ?' 58. Electrical Conduit�Undrgrnd. ' .� _ C ..I� ;�r8; Foundation ` 59. Gas Pipe, O Undrgrnd., Test � '�9= Water Pipe-Undr,grnd. 60. Backwash Lines, P�Trap, O Undrgrnd. � 3� 70. Structurel Floor System � 61. APPROVAL TO DECK 1 7, cProperty Sewer Lire & Nouse Cortnection 62. Backwash & Receptor-Final 12.iSewer Cap ; �, 63. Heater & Vent-Final 13. Roof Drains '� 64. Plumbing System - Final 14. Rough Plumtjing `� 65. Electrical-Final 75. Rough Electr�ical-Conduit 66. Solar SYstem-Final 16. Rough Elect �rc Wiring 67. Fencing 8: Access ApProval 17. Rough Wiring.Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SP.A SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE �EPT. REQUIREMENT - - -- - - - �r; •m' .'� F- �. 20: Fough"Factmry.Eireplace ! zc�: �'9 J : � �r _i:. APP.ROVAIS%� P�Pmit #" > - t ,-C 5� i S'r �. Q c� • x r R '� 0.;-, :- _ r � • 1 r-.- ' _. i-. . ! ':- :y a : e:J-� � :i 21: Dlicts, in Stiucturp � .. .. ,�,� - .-� --: - 70.-�Unde�gr.Durid Ftydro . � 22. Ducts,i�Ventilating< + fj.; i n .* ,:; a'__' �� 77, produEC�iping'C'7Gas �OOiI 23; Gas Pi e-Rougli L+{'"Test ' ;J�- � �; '` 72. Undei reund ��sh P- i n r �- e_ kZw _ . - 24' Roof Framing :�� i�E-F ✓�- '.� v i' �r -< < 7�. UndergFird.Stbra,geTank OGas O�OiI � _ :.. �. �A . � �i;. , 25. Roof �heathingi-r £ "' , �' ' ;" ` . r ' :-'='" �� s v v- ti-�� 7,A. Overhead Hyd�o .. 26: T;Bar Ceiling ($tructural) & Monocoat �x " :�; � �� 76,- Dry Chemical � " ��. r r .� - �. 27: Frame nd Flashif�g `d �� 76. Dr `� �� •, _• .- fn .._,s_ � �' *' L � J�%x � :T .r,:. x� Y Star�piPe_.�,-, ,� ' � u � J I :� ��.. ��,... � r o. . r. � '�', . ._ ,.�. ; 2$. �aZhirtg & Sidingx c� -tt = �- _ �� ••x • 7J. FIXED_S°�STEIN�FtNP;LJ (, � ' 29. Insulation ;i ;, � �-"' ', „';, 7$, FIRE PREV. F,INAL x �.� �; r � 30. Drywall Nailing�7 � ' � �� } I � - . � •.-.HEALTH DEPT.-REQUIREMENT c� 37. Plaster'Brown Co�t� � i_.,, ;;�� 79"FINAL:INSPECT�ION ' ` `. 32: Electri�� I Power.Meter-Final� �l a R+ .>: � �a �- 80: FOOD CERTIFICATE ISSUED _ � � 33: Final Elect[ic � x � • ' '' J =?� .i= .r � ' Notes: - , . � r ; .,; :- .:: .. j . . .i , ( - - �� i� Y > � 34. Firial Neating &-Air�Conditioning :� 'r. S --. •. ,_. C 1 .. � 35: Final Gas Pipe-Test •z �'"� � !' ` �' 'r=- � - � �r. i�� i-. 1 - ::C] j -� �% 361 HODd or Canopy�,;: `{ � - .i � ; ; � �. ��p � � >. ' - - :�� + 3X� Fi'nal Factory Fiieplaci !��i,� �- ` f; Y` z x^ _�� . 38. Fi�al Plumbing�,�; `��p i�� Z�� (� x T ,� ��- F cr- � 39. Water Service�F.inal � i v i �': t*� -� �: . s i i - . � 40. GasService�Final' y � � ' t �� *. �Ce�'ln - F "'_ t�l � 41. Solar pomesticFinal .- � •• _. � � �� n. ' �_. ,.:C� - '� ' 42i Backflow Preventer� ';' ' i I .` ;� � - '; " -� 43. Backflow Inrigation 'z5:> • ?' � � 'zC � _ � - t . - 44. Landscape,lrripatjon Systerri;' `_ -',f, ' r� ;il x i'? ii c : 45. Sound Attenuation .;3'[- 'T _ r.�:.. - �� - --. ,i:.� �: - - ir.. = L- * 't - 46; Handic'a,p Regulations ~ ' " ` �` T � _,_ - w 47; FINAL STRUCTURE & BUILDING ��' ( . Ia = 0' S .� � �- �, i r, 48. FITVAL PLANNING � tr"� � �_ : :, •'' ` ' _ _r_ ;�5 4.. . - ;r; y :� - 49: Electric Release to Edison ; I - i4 �� _ � ti 1 � �. � 50. Gas Release to Southem California Gas Co ,� � � = -. �''- '� '� `'. - , il :��„ .z ' 51. CERTIFICATE O,F OCCUPANCY ' '; ; ; �j j;j::; r ;{� ;.; ,;. No. Date reaeeraooxess: Z435 MARSEILLES WY owxEw�sNnMe: RICHARbS, NANCY O nooxEss: Zq35 MAR5EILLES WAY COSTA MESA,CA 92627 ANCIUENOINEFfl: �ooxess: NEO.NO.: UNIT: uxR: r�pMmEE: EMILIp FLORES ( 719 ) 673-2790 �DOHESS: � 31 2 W HALBOA BL N.B, CA 92661 LICENSFD CONTNIICTOB DECUMTION: I hereEy atlirm ttut 1 am licensetl unEer Omvisians of CAapter 9(wmmencinp wli� Sectlon 7pp) al Divisi0n 3 0l t�e Bu5ine55 aM Prolessions COOe, antl my licens¢ ¢ in NII torce azltl ettep. CITY llt.: BT�TE IIC.: CIASS: Date: Signature: WOBNERS' COMPENSATION DEClAlU1TI0N: I �ereUy aHirm [hat I have a certifiwte ot consent ro sell-insure or a ceNfiwte ol Workers' Compensatian Insurdnce, ar a certitieE wDY thereol (Sectian 3800, LaO. C1. PoUCY NO.: EXP. DR7E: "pMP1NY: CenllieE coDY �s hereDy IumisheA. ❑ CertifieO mDY is file0 witA ihe ciry BuilAinB Oivision. Oate: Applicani: E%EMPTIQN FBOM VIONI(EPS' fAMPENSITION DECUMTIOX: �Tliis section nee0 not be wmpleteU tl the Dermtt is far ane AunOreO (5100) or less). I certiry tAat In t�e padormanca of Ihe work lor whlch ihis parmit is issueU, I shall not employ any person in any manner w as Io Dacome suDlec I�a War rs' lComDensGat�ion Laws i Calllomla%./� � �j �, Oate.'� ( �� ! v SIOnaWm: 5.—�'L"`�`"-"' �,�.� � NOTICE: If, ait¢r malJnO �hls Oeclarati n, you s�ould Decome suGject to tAe Warkers' ComDensation pmNsions ot ihe Labor � Coda, you must farihwith comply witA such pmvislons or NI5 Oarmit shall he Ueemed revokeC. CONSTPUCTION 1FN01N0 �GFNCY: I herehy atfirm tlut ihere a a wnstmction lending agency for Ne peAormance al t�e wad for which tAa perm� is i55uM (Sectian 3097, Civ. C). LENDEP: ROOflESS: OWNEB BUII➢ER OECIAIWTION: I hereEy affirm that I am exem0� ��om ihe Caniractors State Liceiae �aw tar IAe follorrinp reasan (Section 7637.5 Buvness antl Pra;essional CoOe: My ciry at counry wkc� repuires a permit ro wnctmct, alter, impmve, Oertwl'ah, or reDair any s(rucfura, pdor ta its issuance, alm aquires l�e ap0licant lor such permA ta file a siqneE statement tlut �e/she is Iicense0 pursuant to tM proMvons of t�a Contraqors' Sute Liunu Law (Chapter 9(commencinp wrth Section 7000) al Divivon 3 oi Ihe Business ariA Proleuions COEe) a that Ae/s�e is exempt Uerefrom anE t�e hasis for ihe allepetl exemptbn. My vioWtion ot Sectim 7031.5 by any applicant ror a Derrrvt wojats tlre appGcant to a dvi� penalry oi not moa tAan five huMreA OOIWrs (SSW). I, as ormer of Ihe D�oDeM or my employees wilh wapes az their sole comDensation, will Oo Iha xrork, anE the � stmctum is not imenUed or allere0lor ula (SecUon 704a, Buaness anE Pmfessional CoOe: TAe Comractors' Siata Ucensa Law Ooes not appry to an wmer al a pmperty who EuilOs or improves tnereon. ana who does suc� work �imulf/Aersell or tnmuqA Aa w Aer oxn empbyres, prwi0e0 that 5uU improvemen6 are not in4nded or oflered tor sale. II, hoxrever the EWOinp or improvement Ls solA within we year ol completbn. the owner will have tlre EurGen ol prmrinq Mlshe EiE not builE or Improve tar the purpose ot sale�. I, as ovmer ol t�e pmpeM. am exclusively contracting with licensetl conlraclors ro constmct t�e pmject (Seclion 704A, Business ❑ an0 Professims CoOe: T�e Contactors' State Licenu Law Eoes not apON ro an awner ol property wlro OUA0.s or improves Uerean an0 wlw contracts lor suc� D�al�u ��N a cantractoqs)license pursuantta the Coniractors' State Limnse law�.l am awan tAat 0�� a� �heir Worker's Compens2Eon Insurance shoulC Ee OronAetl to me. � I am eKempt un0er Sectian: B. 8 P� br Ihis reason: � �-�, / �•� ��, n Dah: � � — P�e . �_ �`�i-- � I Oa �ereby certity ihat I am aware oi anA untlerstanA tAe requiremenis of Caiitomia Healih and Safery CoOe Sections 25505, 25533, antl 25534 an0 tAat I or eny fuWre 6uilEinp ocwpant will/will not (circle one) neetl to wmply with said state codes and the repuirements lor a permit for consimclian ar modificailon irom ihe Air Uualiry ManaOement Distnct. HesiOential consimction aDPlicalions are exempt Iram t�ese provisions. oate: I here6y cenity ihat I Aave 2ad [his ap orUinances an0 sWte lavrs relavn0 to hul pmpeM lor ins ction Duryoses. Uate: �' i � 9 oriver': License or Sacial Secunry x: Applicant: n antl stata t�at I�e ahwe iniormation SipnaWre: to camDly wlth all t0 emer upon Ne � 1641d6 W�ito—BuIlEing; Green—Catle Enlorcamam; Cenery—ApplicanC Pink—Revanue: GoWenroE—Avessor CITY OF COSTA MESA — 9UILDING PERMIT PERMIT NO: P 049020 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU JOH DESCRIPTION ; RESZDENCE WATER "COPPEA" REPIPE CLAIM VALUE: CALC—VALUE: PERM NO: P 099020 GOVT; N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: / COMMENTS: X ****#**��*#�**�*�r+��rx*�*#*�r�r*##*�r*x+�***x�x�*�t��**�**�#**�+�*�#��r**�r*�r#��x��#�� Z O N I N GS ERTEH�AUCIxASE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING -----•--- FRNT; FT IN AEAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 93914220 ZNE: REF NO: PLANNING NOTES> > �r�r�e*****+t*��r�r�r�**#*��**��*x*r***�x�*x*��*�***��r*�*�*�*�*��r��r+��***�**�#*##*** D E V E L O P M E N T S E R V I C E 5"-%'R E Q U I R E M E N T S �ZONING APPROVED BY � DATE; BUILDING APPRO��ED BY : ' DATE: APPLZCATION ISSUED BY; DATE; � ��_� ifiEiEiEikiEifiEiFit3titiE3fitiE3tiF3E3E1Ei! i '�FiF9EjE9t�lEkjEikiFiEifiFiriFiF 3FiF '!E 3E iE fE �! iE iE ff if ik jE jE?E iE iE jE #-1F'.f iElE'.E iE iE iE iE iE iE it # iF if� iF ik i! # i(� iE iE'lE fE iEiE iF iE iE 1E iE 1f �E iE if iE iF iE 3(- iE if iF if 1E i(� �k �E #�F �E Ik �k iE # �E iF if iE fF iF iE dE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRP.DZNG PEftMIT 2.00 25E SMIP/NON—RES PLAN ISSUE FEE 3.00 BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHEC}C TOTAL PAID DUE TOTAL5----> 2.00 3.00 0,00 5.00 5,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 5,00 OVER/SHORT; .00 HLDG PMT PL'JMb2NG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �,�� iE �E 3F iE iE iE if iE iE if 3f 3E 3F?E �E it ik iE iE iE if dE � 3E it ik iF dk 3E iE iE iE �E iE 3E iF 3k iF jE jE iE jE iE �E ik iE ik #�F iE 3E iE iE 3E jE 3f iE jF if 3E iF jE af iF iE �1E iE jE iE iE jE it iE iE if iE 9E iE if I N D I V I D U A L F E E B R E A K D 0 W N �TYPE QTY PLU 1 D E 5 C R I P T I 0 N WATEk kE—PIPE END UF FEES UNIT COST TOTAL COST 2.00 2,00 l�� V� 01 OQ!l64o99-00069699 T� Y 5.�0 DATE: 091;7/90 TItiE: s2��5 CONSTRUCTION ANDPLANNING . FOl SPA � APpROVALS Permit# Date Inspector AppROVAI_S Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utiliiy-Undrgrnd. 54. Forms 4. EI¢ctrical Conduit-Undrgmd. , 55. Efectrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROV.4L TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. 8. Foundation � 59. Gas Pipe, C7 Undrgrnd., Test 9. Weter Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structurel Floor System 61. APPROVAL TO DECK 11. Praperty Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electriwl-Conduit 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica�-T Bar Ceiling 69. POOL/SP,a 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 OGas �Oil 23. Gas Pipe-Rough & Test 72. Undergrovnd Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. 7-Bar Ceiling (Structuraq & Monocoat 75. Dry Chem cal 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED S`(STEM FINAL � 29. Insulation 78. FIRE PREV. FINAL 30. DrYwall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final S0. FOOD CEfiTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factorv Fireplace 38. Final Plumbing � � �� 39. Water Service-Final 40. Gas Service�Finaf 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation -� 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTUFE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY N0. Date CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION l A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the majoi labor and materials for construction of the pro- posed property improvement. �Yes ❑ No 2. I(have/have not) � signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _ Address Phone ( �/1i 6L�/Q City Contractor's Lic. No.. 4. I ptan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City Contractor's Lic. No. _ 5. I will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type oi Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, i compliance with t s State law. Signed: �� .s�-� _ Date: f �� Name: �l/L[ /C�l o ��-.o/LFS (Printed or Typed) C.D.L. # or S.S. # �� 754-5273 LIMITED STATEMENT OF RESPONSIBILITY TO WHOM IT MAY CONCERN: a�f 3s M�.� �-�� I 1�-s (,�k,.0 c, M. Street Address � Bldg. Permit ri This Permit N I, �) P1�u \� ��5 �°`UG� n0 , as Owner in Title of the above referenced property, do hereby authorize: C-v� �L�o �� 7.3 Z79� Name � Telephone No. � l Z L+� , /jAC,b�r� �L.v� ,. C� to obtain permits in my behalf, as ownerlbuilder; for =� r at the above referenced property. Should ,aRy oerson become an emolovee engaged in the improvement of the property, I shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any ciaim resulting in damage or personal injury to myself or. any other parties. �a n R�,� �co G � Printed Name -��-�� Date � n "SUBSCRIBED AND SWORN TO BEfORE ME � `c'�°`""x� ��; na THIS / i nature � c AY OF sd � lgsv » i��^^� � r��,•<�o �e-�-e�,,..� � � /�' �� U l GFFICIAL SEAL �pTARIZATION RAYMOND H ROGERS m NOTARY PUBLIC - CAUFORNIA o�N�E ��Nn REQ�IRED My comm. expires SEP 5, 1992 � �: O]]B�46, rev. 6IBl C I T Y 0 F C 0 S T A M E S A CALIFCQtNIA P.O. BOX 317 From the Of£ice of the Planning Department June 10� 1963 Doy1e and Shields 831 S. Manchester Ave.� Anaheim� CaliYornia. v "�C"^ c• �%L �!� ��°f �O� � � �. a��'°��'as, The City of �osta Mesa wishes �o advise you that in i•evising street addresses, the numbers listed below were changed: Lot S1, Tract 3�33 Old Address 341 Bordeaux 82 " " 2435 Max'seilles New Address 2435 MarseillAs 2439 Marseilles For your convenience we are listing the agencies below that we will notify of this change. In addition to those listed, you may desi,re to notify your correapondents of the change. Your cooperation in this matter is appreciated. rlb cc: Southern Calif. Edison Co. Southern Co. Gas Co. Costa Mesa Co. Water Dist. Paciiic Telephone U.S. Post 6Yfice County Clerk (4) Public Works Dept. Engineering Dept� Bldg. Safety Street File Very truly yours, W. L. Dunn Director of Planning BY: �� '/ K-l�C�.t�i�2�.i'i' Planning Technician � � / ,, �. / � / , � � OWNER Ir---'�ECTIONS S noxr,E & sH�r�ns Co.,Inc. 1�7:V Y�1 nnTE 6-3-63 BUILDING PERMIT N0. vni.vE s 1 ,905.00 SUBCONTRACTOR 1f . �i- s�s�� FE � RECEIUED ,.. �OSTA MESA BUILDING-SAFETY DEPARTMENT dUN �3 1963 P.O. BOi 91] COBTA M6BA, CALIFORN111 FINnANCE DEP1. Fo� Applieani fo Fill In Completely APPtt RTION FC7RT'PERhTIY TYPE OR PRINT � . �, �(� BUILDING For Office Use Only BUILDIN6 ADDRESS ' - ` . P6CH�PT NO. � COSTA MESA, CALIFORNIA � R 61V[D Y CATtqBC^IVED �AJ51V JeO �9 3 . OWNER o le & Shields Dev.Co.Inc. � 3 MAIL [f B 1 DINO �(�'�� ADDRHSS 031 .50. Manchester Ave. "Es9 FiRe cin. Anaheim, C811f N�•R 28020 ZONE rrre GROU APPROVHD AORCHI �NEER Hal C. Tan ND $%1�ZS1 BY DATE ADDRESS 4100 West Commonwealth ZONING � ZO NO. OP USL OF N6q� PUNS L � - BUILDIN ' CONTRACTOR SHIRE . , - ADDRHYS Same o�:��R�o� — a t 3433 CITY Cuame A. P. NO. NOTE: NO HAVE OVfiRHANG 6HALL BE LES$ THAN LIC. NO. —ZSO�B��. n��'� PR 28020 90' TO81D8 Q REAR P. L. eaves 91ZH Na.o�e�.ccs. ALLOWBD (U.B.C.REQUIREMHNT) OF LOT X S6 NOW ON LOT �� YARDBAPPROVED YARDSAPPROVHD USE OF � MAIN BUILDINO ACCE9SORY BUILDING EXISTIN6 BLDO. �� f FflOM W L STRfifiT ) e6ie�cK �iH¢ vno• ZQ � SO RHAR YA D —� FRONT O Ff. �� CBNTEfl OP GTREHT SIDEYARDI LEFT �� RIOHT R.SIDE O FT. �� DESCRIPTION OF WORK L.91D6 � vr. Fr. NE X ALTHRATION AODITION REAR /`� PT. FT. - DIBTANCi BBT. BET. MAIN Q REPAIR MOVINO D6MOL18H MAIN BLD68. ACGES9.BLO68. eu��oiNc}�4x56 NO OP 6 1 VAR.3L DATE SIZH ROOMB . 9TORIHB G.U.P. APPROVED d,pY��ipr.��fil.0 ^ EXTERIOR WALL uCCO COVERINO `""`•CO APPROV S� 7�� COVERING SL BY DATE U6fi OF BUIIDING AMD WORK TO BH PiRFORMBD �� ' h attached arage Model 31 , 4 so. Fr. 0 " 0 1 NEHHBY ACKNOWLEOOe TN�T 1 HAVB HBAU THI9 �PPLICATION TH8 AMOUNT B UNDEP VALUATION �O FOH TH8 F AND BTATE THAT TN8 1BOV6 IB COqq6CT AND AOp86 TO COM. PURP098 OI� BLIBNINO A PEFMIT F4H ONLY. � PLY WITH wLL CITY ORDINwNC80 ANp YT�T[ IAWY P[OULATINO �IpLUATION ' OYILD�NO CON9THURION. ( � N SIONATUR80F � "A p (� � PERMITFEE J m PERMITTE .YlA! C d'K $ / / �� W � a • � AUTHORIZHDAGHNT � , 71'jA,l� , 6/ G/ /'� > TOTALFEE $ O/ :lwrvN;K WALSri� LOUIS_ - DATE �DEG '-" ADDRESS n,��la��u F`�,,:�i ----�loh --Iv.i„ BUILDING PERD7IT N0. VALUE UP J TYPE SUBCONTf2.ACTOR 1 2�294 � �OSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO%91] COSTA M6BA, CALIFORNIA For Applicanf fo Fill In Completaly TYPE OR PRINT BUILDIN6 AOORE63 S COSTq MESA, GALIFORNIA , o CITY 1• / �� STATE .� � � .-r i � TEL. USE OF EXISTING BLD6. eHTBRCK LINE FPOM o��in� A�DRE89 FIRE NO. � b' =oNe APPROVEC TEL. BY / NO. v oy,e _ 2 /1 ' LHOAL Ol8C111RI01 _ In.�i A. P. NO. NOTE: NO >'7 — 1� � so• To si DESCRIPTION OF WORK 1 NBAEBY ACKNOWL¢OOE TNAT 1 HAVB flG0 THI9 �PPLICATION ANO BTATB TXAT TMQ ABOVB �8 CORRHCT /1ND AOREB TO COM. PLY WITH ALL CITY qqO1NANC86 ANO 8TAT8 LAWB H80ULATINO 6U�LOINa CONBTHYR�ON. n PERMITTE E OP� V`W.� W4�--� �� AU7HORIZED AQENT �� -�� FEE RECE�IED DEC 7 19 FINANCE DEPT. AP'PlICAT0�7'FOR' P�RIR17 BUILD(NG For Offite Use Only XHC81R' NO. �HRM�T NO. �I os¢ er nzw � eui�oie+o �(/17iy 13� `,�`/33 -�� iHAN6 SHALL BE LES3 THAN YARDSAPPROVEO MAIN BUILOIN6 !OM G/ S'f�{2� )' )NT fY � C IIDE � Ff. JDE � Ff. �a 4 Fr. TANCE BET. VAR. Ij YARDSAPPROVEO ACGESSORY BUILDIN6 BET. MAIN 8 AGCE59. BLD6; DATB APPROVED ....v � L % THH AMOUNT BNOWN IlNOBR VALUATION IB pOH TH8 E PIlNPOBE OP 88TABLI6HIN0 A PHqMIT PE8 ONLT. p VALUATION G� e n PERMITFEE $ � eC � s �68 / � �