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Home My WebLink About2040 MEADOW VIEW LN - Building Permits(774) 754-5273 • Fax (714) 754-4856 r" `, CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAdd�ess: ZO4O MEADOW VIEW LN Suite: Vicinity: Parcel Nunmber: 42201312 Applicant: PONDEROSA ROOFING Address: 7045 HITES COVE MARIPOSA, CA Owner: SEA BLUFF CANYON CILL Address PO BOX 4708 IRVINE Contractor: PONDEROSA ROOFING Address: 7045 HITES COVE MARIPOSA, CA Zip: 95338 Arch : Address: BUILDING PERMIT Zoning: Phone: 209-742-5779 Zip: 95338 Phone: 949-631-9086 Zip: 92716-4708 Phone: 209-742-5779 License: 615531 Eng: Address: Phone: Zip License: Zip: SCOPE OF PERMIT TEAR OFF WOOD SHAKE AND REROOF WITH WOOD SHAKE CLASS B. FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Othec Inspection: Total $0.00 $31225 $2.20 $0.00 $0.00 $0.00 $314.45 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 � 1 PERMIT NUMBER ' 699-007 2 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 Status: ISSUED Applied: OS/18/1999 Issued: 05/18/1999 Phone: License: szz,000.00 $22,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPEC7ION5: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will �esult in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 'f " ,� -�� WORKERS' COMPENSATION DECLARATON: , � - I �ereby eflirm under penalty of perjury one oi the following declaretion5: ❑ I heve and wlll malnlain a certificate of consent ro self-Insure for workers' compensation, as provided tor by seclion 3700 of the Lebor Cotle, tor ihe peAortnance of the work for which this pertnit is issueC. I have antl will mainlein workers' canpen5ation insurance, as required by section 3700 of ihe Labor Coda, for Ihe peAormance of iha work for which Ihis permit is issue0. My workers' compensation Insurance cerrier and pollcy number ere: Carrier: Policy NumDer. (Thls sectlon need nof be comp/eted il the permit Is valued af one hunLretl tlo//ars ($100) or /ess.) ❑ I certity Ihat in ihe pertarmenCe ot Ihe work for whiCh thi9 permit is issueQ I shell noI employ eny person in eny manner so a5 to become subject to the workers' compensa�ion lews of Califomia, an agree t�at if I should bacome sublect t e-werkers`crompensetion provisions oi Seccion 3700 of the Labor Code, I shell fonhwith vision� I'�8� ORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL ANO3rHALL SUBJECi�R TO CRI � NAl PENALTIES MI�IVIL FlNES UP TO ONE HUNDRED WARNIN OSECURE SANDDOLLARE($100,000),INA�DfiIONTOTHECOSTOFCOMPENSATION,OFMFGESASPROVIDEDFORINSECTION3]W �FTHEIABORCADE.IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARA710N: of Chapter 9(wmmencing with Section 7000) of Divlsion 3 ot siness and Professions Cotle�,antl my Ilcense is in tull ercec�. uc. a. rs Signature: CONSTRUCTION LENDING AGENCV: ❑ 1 hereby ettirm that ihere is a construction lentling agency tor Iha peAormance oF the work for which �his permit is issuad. (Sec. 3097, Civil Cotle). Lenders Neme: SignaNre: _ OWNER-BUILDER DECLARATONS: Lendels Address: Dete: I hereby aNirtn thet under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires e permit to consWct, alter, improve, demolish, or repair eny strucWre, pnor to its issuence, elso requires the epplicam for such permit to tlle a signed stetement ihai he or she is licensetl pursuent to Ihe provisions of ihe Contracmrs License Lew (Chapter 9(commencing wlih Section 7000) oi Division 3 of tha Business and Professions Cotle) or that he or she is exempt therefrom antl ihe �asis for the alleged axemption. Any violatlon ot Section 7031.5 by eny applicent for e pertnit sub�ects ihe applicant to e civll penalry of noi more Ihan tive hundrad tlollars ($500) J: ❑ I, as owner ot the property. or my employees with wages as their sole campensation, WILL DO THE WORK, and the structure is not intentletl or offered lor sale (Sec. 7044, eusiness end Protessions Code: The Contrectors License Lew tloes not epply to an owner of propery w�o builds or improves thereon, entl w�o tloes such wark himself or herself or through his or her own employeas, provided that such improvements are not intanded or aHered tor sele. It, however, ihe Duilding or improvement is sold within one year ot completion, ihe owner-builder will have Ihe buMen oi pmving that �e or she did not builtl or improve tor purposa of sale.). ❑ I, es owner of the property, em EXCLUSIVELV CON7RACTING WI7M LICENSED CONTRACTOHS ro construct the projecl (Sec. 7044, Business end Prolessions Code: The comractors License Lew does not epply to en owner ot property who bui105 or Improves ihereon, end who contrects for such pro�ect with a contrector(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle tor this reason: SignaNre: Date: Owner ID veritied by tlrivefs liCenSe. ❑ Yes ❑ No Drivefs License No. Expires: Venfication ot Ownership by (type ot document, i.e. - property tax bill or deed): DIVISION OF INUUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cenity ihat no e:cavation five (5) or more teet in depih into which e person is requirea to tlescenG, wlll De mede In connectlon wlth work authonzed by this permit, and that no builtling siructure, scaffolding, falsework, or tlemolition or dismentling thereof, will be more then t�irry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celifomia Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from ihe Division oi Industnal Safery, es noted above, unless such person hes a pertnit to do such work fmm the tlivision. Signature: Dete: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLJANCE AND AllT}IORIZATON OP EMAV: I cetlify under penal�y of perjury thet I heve read this epplication and state ihat �he informa�ion given is correct. I egree to comply wiih all state laws end city ordinances relating to building consiruction, and authorize representetives ot the City of Costa Mesa to enter upon t�e above-d�fsiyed properry tor inspaction purposes. I agree not to oaupy or allow occupancy oi eny 6uiltling aui�onzetl by Ihis permi� un�il final inspectlon. COOE I. F 1676 Fixed System Fina r 1266 Pool Spa finel 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Fedory Fire Pleca 203 Final Sign 204 Final Demolition 2446 68 � Il�A4S `T '1 � , �.� COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final PlumDinq 210 Final Electncal 212 Final Fire Prevention 220 . Final Plflnning Approval 222 Final Site ,250 Final euiltlinglOccupancy IL`11tlI1bj (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: ZO4O MEADOW VIEW LN Suite: Vicinity: 2040 TRHOUGH 2O46 ParcelNunmber: 42201236 Applicant: KLAKOVICH,DAVID Address: 7045 HITES COVE BUILDING PERMIT Zoning: -Phone: 209-742-5779 MARIPOSA, CA Zip: 95338 Owner: SEA BLUFF CANYON VILL. HOA Address � C/O VILLAGEWAY MGNT IRVINE, CA Phone: PO BOX 4708 Zip: 92716-4708 Contractor: PONDEROSA ROOFING Address: 7045 HITES COVE MARIPOSA, CA Zip: 95338 Arch : Address: Phone: Phone:� 209-742-5779 License: 615531 Eng: Address: Zip License: Zip: SCOPE OF PERMIT TEAR OFF WOOD SHAKE AND REROOF WITH WOOD SHAKE CLASS B." FEE SUMMARY Plan Check: $0.00 Permit: $31225 — - SMIP Res: $2.20 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $314.45 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Ex�stinq: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 PLANNING & ZONING Left , .0-0 Left 0- 0 Proposed: 0 � ' , � PE IT NUMBER Y 699-00641 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05/10/1999 Issued: OS/10/1999 ISSUED BY: l � Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 Phone: License: szz,000.00 s22,000.00 NOTICE: The work authorized by fhis permit shall comply with all applicable handicap accass requiraments under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned � fo� a period of 180 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 requlred Inapeetiona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSATION DECLARATION: I hereby alfirm untler penelry of perJury one ot lhe following tleclaretions: � � ❑ I heve antl wlll mainlain e ceNiicete oi consent to selFlnsure for workers' compensation, es provided for by section 3700 of Ihe Lebor Cade, for Ihe peAortnance of the �Work for whiCh Ihis pertnit i5 issued. I have and will meintaln workers' compenselion insurance, es required by section 3700 of the Lebor Code, for ihe peAormence of Ne work br which this pertnit is issuetl. My workers' compensation Insurence carrler and policy number are: Carrier: Policy Number: (This section need not be wmpleteC il the permit 15 veluetl at one hundred dollars ($100) or less.) ❑ I certHy thet In the peAormence ;of the worlc,for which ihis permit is iuued, I shell not employ eny person in eny menner so as ta becoma subject to the workers' compensation laws of Califomia!end agrea�thflt tl I shoulG became subject to the workars' compensation provisions of Seclian 3700 of Ihe Labor Cotle, I shall torthwith com a�a-P �ovisions.' � _ �� pli flnt Signeture: f�" �� Date: S�� — I� WARNI E TO SECURE WORKERS' COMPENSATION COVERAG'c IS UNLAWFUL AND SHALL SUBIEGT PN EM RIMINAL PENAlT1E5 AND CIVIL FINES UP TO IXJE HUNDRED USANO DOl1ARE (5100.0OO�.IN AODRION TO THE WST OF ODMPENSATIIXJ, DAMAGES PS PROVIDED f-0R IN SECiIIXJ 3/O60F THE LABOP CODE, INIEREST, AND ATTORNEYS FEES. LICENSED C EGLMATIOIV: I her vm thet I em licensed ntler provisions of ce antl ettect. Lic. # ��/ Contractols Signature: i :�� r CONSTRUC710N LENDING AGENCY: with Sectlon 7000) of Dete: ❑ I hereby ettirm t�et there is a construction lentling agency lor Ihe pertormance of the work tor which Ihls permit is luuetl. (Sec. 3097, Civil Cotle). Lendels Name: Lenders Address: Signature: Date: end my Iicense is In full OWNER-eUILDER DECLARAT10N5: I hereby aHirtn that untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe fdlowing reason (Sec. 7037.5, Buslness entl Professions Cotle: My ciry or county which raqulres a pertnit to consirud, alter, improve, demolish, or rapair any structure, pnor to its iuuanca, elso requlres Ihe epplicant for such permit to file a signed stetement that he or she is Ilcensed pursuent to Ne provisions of the Contrectore License Lew (Chapter 9(commancing wit� Sectlon 7000) oi Divislon 3 of ihe Business antl Protessions Code) or Ihat he or she is exempt theretrom end the basis for the ellegetl exemptlon. Any violation of Sectlon 7031.5 by eny flpplicent tor e permit sublects the apDlicent to e ciWl penalry of not mora than five hundred dollers ($500).): ❑ I, as ov+ner of the property, or my employees with weges as lheir sole compensation, WILL DO THE WORK, antl the struclure is not intended or oHered lar sele (Sec. 7044, Business entl Pmfeulons Cotle: The Contractors Licensa Law does not epply to en owner of properry who builds or improves thereon, entl w�o tloes such work himseN or herseN or through his or her own employees, pravided Ihat such improvements are not intended or ottered tor sale. If, hawever, ihe building or improvement is sold within one year of completion, ihe owner-builder will have ihe Ourtlen of proving that ha or she did not bui10 or Improve for purpose oi sele.). ❑ I, es owner ot Ihe properry, am EXCLUSIVELV CONTAACTNG WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Buslness end Professlons Code: The coNrectors License Lew does not epDty to an owner of properry who builds or impraves thereon, and who contracts for such project wlih a conlrectar(s) Iicense pursuant to the Contractore License Lews.). ❑ I am exempt untler sec. Business end Proteuions Code for Ihis reason: Signature: Date: Owner ID venfied by drivels license. ❑ Yes ❑ No Drivers License No. Vedfication of Ownership by (type ot tlocument, i.e. - pmperry ta�c blll or dee0): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: Ezpires: ❑ I hereby ceRlty lhat no excavation tive (5) or more feet in depth Inlo w�ich a Derson is requiretl to tlescenG, will be matle in connectlon wi�h work authonzetl 6y ihis pertnit, and that no building sWCNre, scettolding, falsework, or tlemolition or dismantling thereof, will he more then IMrry-six (36) feet hig�, (Chep. 32, Grp 2, Art 2, Sec. 347, 71tle 8, Califomla Atlministrative Cotle). ❑ As owner-bullder, I will not employ enyone to do work which would require e pertnit from tha Division of Intlustnel SateTy, as notetl ebove, unless such person has a permit to do such work from Ihe tlivision. ' Signature: Date: Division of Intlustrial Satery Permit Number: CERTIFlCATE OF CAMPLIANCE AND AUTHORVATION OF ENTAY: I certity under penelty ot perjury ihat I have read ihis applicalion entl stata ihat ihe intortnation given is conect. I agree to comply with all state laws antl city ordinances relating to building constructlon, end authorize represantetives of ihe Ciry of Costa Mesa to enter upon tha above-descnDetl property for Inspection purposes. I agree not to occupy or allow occupancy of any bullding authorizetl by this pertnit untll finel inspection. //�� Signet� . �_ U' C. AniilOr CODE �. J 1616 Fixetl System i ire Preve 7266 Pool Spa Final 200 Final Re-Roof 207 Final Block/Retalninq Wall 202 Finel Fectory Fire Place 203 Finel Sign 204 Finel Demolition 2aa6 ae --�---+--i�i �= � �j COOE� INSPECTIONTYFE 206 Final Mec�anical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approvel 222 FinelSite 250 FinalBuilding/Occupency J1. NCITY.O� �:UST.N MF.SA � - BUILOWG SAFETY DHPARTMENT ' POST IN CONSPiCUOUS PLACE OPd THE '!OB � � . �'�-' � . " DATE ISSVED . ' a� � , �� . . . , x ' ' ' _ t,{,� A.P. NO. . . , PERMIT.r . + �� _� . F _ _ , �. � , �: . � �„ � - � �yF BUILDING AODRE55 � ' , - �_ . .y ., , , , - . '� �..'� ' ;;; Meadov View Lane '`' '-b TRA - LOT - BLOCK '� � �Yt,,, ! , . _ . . . `4 . ,�� , -�:• :.� 10018 - 2 �•, � ' � �-��i.'� � �lw NEW ADD ALTER REPAIR MOVING DEMOLISH . � '"�i�..i = ;.I . ." ?iy - . . . ��iy V - f5!y". . . . ,. . 1" g•' /� ' " � , ' _ . . �'(�3, .OWNER. ' . . �� `�'r' �.,:; ` m[rc no nS��. n � - , . : ;' - .,�.,.� ..ot•�r-:�r.• - , 1 USE � � � .. ��. � . , .- . , - . �� ; c4"� ` ' i, -; _ ' �:xy . FIRE 20NE TVPE ,' ' . GROUP ' . . 'e.,..: , dla. . , , . 1 > J � ' '": �` r - y�,5 , , • Hn:.n ror >�-ctn.t. n:=.^.un�r:r,tr�a�•s ' �.- . , !"�,r � ; SETBACKS . . . ;�,� . .. � ' . � ,# ;.,.,.. ;�*#>"..Front Yd �_Side Yd. R �' L�tu Rear ` " °� � - � �"�r' � ' � � Side Yd. R � � � Rear " . , -p.��r. � _ - � �{�� ..� �. BUILDING INSPECTION RECORD �, '' � ��,TO KEEP�BUILDING PERMITS VALID, WORK MUST BE COM• � . . t��MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT ,;.j f '. � , � � �� LEASTEACH120DAYSTHEREAFTERUNTILCOMPLETED. { � z ., f ._ � - ' ' ' � TRUCTU AL � sa DATE ' '`I w . p. .. , ,t`rrr , . . . . - ' / �O— —� '. � � � . . } ;'� Trenches �Forms - --- :---�•---- �„ �� . � . .- .' . m . . � : ,�� . . FloorSystem""•�"" �... � , , G '1�F � ,. ,. �; -- -----• --- , . . ' , . ' . . �jF � Steel Rainf..: " . . . ' . ""' _ ' / .' , _ f. � ,i , ., "" "' ' � �` �`� -,t ` :.. ��$�4��y' Sheathin9""' """ ""'„' `, � /'s:i��-i� ' ', .{, ,''' ' � ' �..� FrameandFlashin9"""' r °. 1 -'Y-�;? ' , :: . .. ; ,,. �r... .,� � . - Insulatwn-_""""""""_""' _' s, .. G��.� '- 6. � c. 'lJ�:.�.7 -� ,f . '... ; Z. ' . �`.f- -, :. .. . �Y/,r%'j% d"/H^ %7 � . � � . .;. Lething".""'""'","'"""""'"'_'"""""' . ' '.!�� ' . ' � � �:��. Dry Wall Nailin � � '��:�'. D' 2 ' ..� .. r 9""'.' . "_"" ' � ..: '.r . '""""' "'"' . . .e,• . " :%�!"' 2 /%' .i� -•S . � � i� { Plaster. Brown Coat."""'-"""""' ,. : y. ' - '. r ; ' ' g:: '. Sound Attenuation """� _ _""" _' _""' . .'_.' : � �' � " ��'' �� "' .` '.. .. •. ; , ; .'� Handicap Regulation"""""""---""' � _ .. . . . g:i;;� .'. � FINAL � � 3-!°'�� - � I . � . ' . 1„� �_. . . ' . . . , 7 ' ., � ; � . � --. . rn; , . �� , y ,, , ; -... .';,,: ., . . . . PLUMBING ; � ,- , _ . . 1'° �� ,� ---------- ---------------- ---- '�-',� �-.2 - .� , ,: . _ � . ,. . , . . ;_ . . _ � ..: 1 �.. '. .�.. .. . .. :"� ar':, Under9roundWater.."•""""""""'� "�1 - .. .- .� 4. : . � . .. , - .c,. . � . , . . � ,r.�, . RouOh Plumbing """"""""'_""' � ! '!� .' t,,_. ".�'�,:..'.' ,,.�� . -,; g'`'. inean HouseCann.---•-.---- `�r�J _ �� - � Prop. Sewer L' d - � ��' Ct , � . ... . .. • r��x. �� j � .� �7 � �• �"' � � - ' 3.',. Street Sewer Conn. . "'__""""""_"" / ' . �, ,' : y �._ Z � . . . � .. r .. . �..�! WatBfService -.."'�"•""""""""• .,, . �; . . - � . . � . . . SPrinklingSYnem -`-' _J� ' . ' . . ""..."" _. """ .,'r L. .- � ` ; ' " ' n . . : ..' Gas Test """"� . ... . . . . •"""""""'_"" ' . . i , FINAL j ' . ' � '� �I''�' � � " . HEATING, AIR•COND. AND REFRIGERATION . . . ' .. P}`.,"' Refr.Lines.PreaureTest �""-"'-"""' . --' , , ' . �" � `'� ',. .� . �Ducts, Untlerground."""""""""' •' /r i!-% - 6 =%✓ ��; . F,� . . . FJ}:'; . . . ' . � . ,. � . ��` Ducts.inStructure'"""""'""'"""_""' '.l��i��_. �/.v-•I'i..aa. _i ' ;� . "��' L .�:l._�f� /'�✓'% • ' .. ' Ducts. Ventilating ""-""""""""' .: . � - ;- � � . , . , �`�:� Rough Heating and Air-Cond . ............. �' ` . .�- -%.� � a � ' , . . . FINAL �kf�� .'s'-yl'i.'i i �� I.. ' 'I ' • . � ' . f � 9 �4,-�' ' ELECTRICAL • ]= � k,,,F�� Temporary Service or Pole . . .. . .. . .. ... .. . . _ "'.. Underground �"� s-� � �� ". Power Me[er """""'"'"""""""'... . - �- �RouphWiring -'••-"...-•'•-'-""""" . ' // • FINAL �� Do not occupy this project unti4final inspection has �.. been made and occuoancv ha: beafflaooreaed , Building Final _ � Special Raquirements . � Y i Occupancy - ;� NOTICE \ .''I ' 24-hr. notification required when the job is ready for inspection. You ;- must fumish PERMIT NUMBER��d the JOB ADDRESS FOR EACH .�� ' qESPECTIVE INSPECTION. CALL 5565273. , APPROVEDPLANSSHALL�RE011TJ08ATALLTIMES � , CMF 055906 � � -- � . , � ' ' TRACT NO.. SM 121 � i CITY OF COSTA MESA F2liQUEST FOR OCCUPANCY DATE y �'7� LOT'N0. 29 ,_, ,' ADDRESS 2040 Meadow View Lane R E� E I V E D CITY OF COSTA MESA . PLANNING DEPT. ' The developer of the above entitled tract desires to se]AP�`� �bb{�e�set forth . . � . AM . � PM lot prior to the ti�ne that the tract has been com$18U8:]]�t$t�f251S�f$ei}9S1( ' sccepted by the City of Costa Mesa. � � �.- �� s, .The undersigned, by executing this agreement, acknowledges that (he-she-they) . '. ' (was or were) 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 conditions 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 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 daznage or personal in,iury to the undersianed by reason ot' the . afoTementiOned uncompleted condition. The undersigned acknowledges that this ��agieement is made solely for the benefit of the city and�does'not inure to. the benefit of the undersigned or any of them. -.. �� SY - Purchaser J.H. G 0 & C A'NY BY--__-�� Develope nd/or authorized represe ative � GREAT WESTERN 8�Prvi�SHiRE �BOULEVARD BEVERLY HILLS, CALIF. 90211. ��&�� TF�.4CT N0. 10018 CITY OF COSTA MESA REOIJEST FOR OCCUYAnCY LOT N0. 2% ADDRESS 2040 Meadrn+_View Lane:;. Costa Mesa, Ca. DATE April 24, 1979 The developer o£ the above entitled tract desires to sell the zbove set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Nesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa P4esa as having comolied with the conditions of aporoval whlch 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 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 personal injury to the und aforementioned uncompleted condition. rur�tia�er BY �� Gv� Developer or authorized representa ve BY Lender F�+ R 4 a = y .Ti F G F a 0 ..i � � a w a a° a z s 3 �J�v. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only �.. ....... �.. _ � .. . . i � 1 . ! MAIL pr� ADORES531U/�g airway ave CITV (�`0$'t'a, mesa CANSTRUCTION BRANCH - . .7 57,30%7B �.67--T 4r76T 5�3U'(,78„ __ "f�31�67CKT� 1181,:� �100tl4G6961 � I� � � APPLICATION FOR�'�PRUCTURAL PERMIT RECEIVEDBV DATERECEIVED nnrciecimn A.P. NO. r L7 � JCY) � BUILDING O ADDRES TRACT EW A A P X OWNEfi }hc urcar ARCHITECT harrison/lorenzi ��75i-385 5 OR ENGINEER ADDRESS 318'7-g airway ave ZONE T re OT' construc-tion CO '4P�ROVED CONTRACTOR g g y e�' ADDRESS 8 � ' TEL. y�� NO. Of CITV e NO. — 81,1,0 ��I7� PLD'KS G STATE ZS ^1 CITV �'ARDSAPPROVED LIC. NO. t$ LIC. NO. 0081, MAIN BUIIDING SIZE - NO.OF BLDGS. (FROM GL STR ET) OF LOT 4z .' x992 ` NOW ON LOT O ROM . FT. USE OF � EXI5fING BLOG. SeFarate permits are required for �, SIDE electric, plumbing and heating work. REAR FT. � USE OF BUIIDING AND WORK TO BE PERFOFMED ��.� oR new condominium units with CURP.� attached gara�e �ROVF I he�eby acknowled9e that I have reatl this appllcation and state that the ebove'Info�mation is correct and agreo io comply wit� all laws regulating puilding construction, antl I shall not amploy any person in violatia� of the workmen's compensation laws of ffie Staie of California. I hereby cenify <hat I am properly Iicansad contractor under the State of California Business end Profe o Code, �ivision 3, Chapter 9, a ihat such licens are ' II rce and etfect, or I am exe fro the provisi of tat of Celifornia Business antl Pr essions oda, Divi ' 3, t . PERMIT NO. � � K V GROUP I&J DATE USE OF NEW� BUILDING .VARDSAPPROVED ACCESSORV BUILDING & DATE APPROVED ��9 - IR�.�SEN`LS � m � m 1219 SQ. FT. 458 garage „ THE AMOUNT SHOWN VNDER VA�UATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: � VALUATION ' PERMIT FEE. E! OO a I N m � PLAN CHECK y ^� /l� � O $ �7� �aD TAX . $ U V ✓f � � � TOTALPAID $ , `