HomeMy WebLinkAbout2069 MEADOW VIEW LN - Building Permits�oon�ssorem�axo: 2069 MEADOW VIEW LN
axNercsou/eiva+axr+:KOSICKI, ANDREW
woness2069 MEADOW VIEW LN
� COSTA MESA,CA 92627
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MCNRECT OP FNtlNFER:
MCH OP ENQ'S AUURE55:
caamncrarsru�:COAST ROOTER & PLUMHING
cwm�croasxuunc 2737 S CRODDY
�ooxEssSANTA ANA CA
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IIC. NO.:
UNT:
(714)241-1414
�.�.: 529127
92704 uxr: D
� IICENSED COMflACTONS DECLAFITION: I Mreby eA'vm uMx paraly d perjury tlat I un licaneed uMer pwiaons d Gheqar B
I( an�rp Milh Sec�ion ]000) d Oiviaion 3 d IM Busimv eM Prdeaabna Code, vM my lic e ie in lull br Blld BHBG1.
m c.No.pq51�40 uc.cuss:C-36 uc.No.: 9 'XF): 06/97
ab: `�- Canvea«:
OW F BUILOEF UEClAN1TIDN: I henby dR�m undar peneAy d par'ryry ihet 1 em emm ham tM Can�retlae lioenaa lew lar the
wip reeson (Sepion ]031.5 Busmeea eM Prdesaions COEa: Rm� ciy v cvunry which uiran e pertnA to aonaWcl, ellx. improve.
tlemd'sh, or repei eny evunuro, pria to na ieueMe, aho repuime iM eppl'rant la euch ' tolJe e egned awamem ihe� he w aha
'i IimnseE W�euent ta tM provieione d Me Comredora Limnae lnw [GMper 9(commendrp v.ilh Seaion )000) d Diroian 3 d Ihe
wneav end PrMeesiona Code� a �he� ha a aM u uamq ihereham enE iM bme Iw tM elbpad a`emqion. My vblmion d Secion
)OJt.S W eny epplirant lor a permu nbpae ihe epplicent lo e tivil pereXy d� more Ihen IHe hundrad dollen �S;AO�.
� I. m oxner d IM propenY w mY �v�'� �h wapea aa thei ade mmpenwun. wJI do Me xdk, erd the awetum a ew� inteMed
w Meretl ta eele I��pn )oaa. Busiiwea eiM Pmtessiona Code: The Conlredae lirnse lawEoes not eppty Ioen owiwr d propaM
who buJds or in0�o�es iMreon. vM Ma doee auM wa�k limaeM a hereeY n Nraph hi a her oxn amployaea. provided ihet ewh
imporamama ere not inlaMed a dlaed la aeb. tl, howmx, tM buiNi�p or'unpwamem ie eoN wilhin one yeer d comde�ion. Hro
. own«anam vnii ne�e me w,m�, d wa�re ne « she aia nw wua « �mv�a �o, me wm�. d eei.l.
� 1. ea ox+rer d iM P�M. em eRdwrveN canVed'm9 vrilh licanaed conlreclan to caMrW IM puleC (Ssiion IOH. Busiiwea eM
aiw.eeion. cade: rne comrecroi. �icenae tew doae na .oWr �o en owiw a ww�y wno w�w « imo�'en m«eo� ene wno
'eonveets br euM prole�la wnh a weuraaa(s) lieereed W�� to tM Coniraqwa livrua Lewl.
❑ I vn ezemq uMx Senion: B. 8 P.G.. lar Ihia remon:
Deta: Omier'
I do hereby cenity thet I em ewere d end uMnatuM Me rpwremew d Cd'tomie Haetlh eM Sdey Cade Saqims 25505, 255Si, eM
25516. enE ihet 1 a any Mure Wikiip osupent xill / wil rot (eacb one) neeE lo compty wih eeid elele codes uM IM iepWrtmend br
e permn laouuvuctiona modificetianhan�M�i�arapemen� Distna. Rridamiel m�ruaon eppimiaroen eumq Irom IMw
w��.
Dete: ADWbeM:
WOPKEF'S COYPENSATION DECLRH�TION: I Mreby eM�m uMer penelty d pxjury one d the Idbxinq detluetons:
❑ � ne.e w w mm��:n. wnn�t<a comam �o een;nw,a �« womm�• comvo.mion. m awwee �w W seeim aroo a me �mo.
cea,, ia m. w�o�,� d m. won ro..,m�n mu ro�n s��e.
X❑ � nave ene vri� mdm.n xM�.• mmo�on i�m,renoe. m ma�vee M seeion a�ao a me �mor coee. ror me w�m� d in.
waek la whiM ihb pertn� b usued. MY wvkeri ean me�bn inaurenee urtier eM pdiry number ue:
c�,: CA�IF COMP EXPIRES
Poliry Number. O 1/ 01 / 9 7
11ris .mcfion meC mf be mmpbte� / Ne pemirt is lur are hunCre� Edlers /S1001 a kn.)
I wnty I�at in IM1e pMmnvica d �M wark br whc� Ihie permil' i uaE: I hell n pby eiry in menmr eo m lo
EKOnM wbjec� �o IM wdketB' COnipanftlan 10we W Cdilami . d eq e 1 eh0u4 bec0 e� I� lo �M x01kBIB'
compero�t�,�„ Ca Sg�}� 3]00 d iM lebor Cotle. I nM1xn a p!/ h ih mW+i
�a �� U� 5' AGMicem: i i
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We InO� Fellun ro axuro woM�ri <onperu�tlon rov�reps li un Wul, sib shs �W)�ct an smploysr ro crlm/ro/OenaMu eM
I flro� up ro m� hurWrM HwuxnC AWMn (S1IX{OOOA M atltl/tlon b Ms cw o/ compewUon, tlamep� e� povltlM br In
Sxtlon JlP6 0l Ms Ltlor Catla, IMsie�f, �M ettomsya /su.
CONSTqUCT10N LENqNO 1GENCY: I Mreby eifvm uMer penelry d perjury thet �M�e b e oonst�union bM'up eqericy fa iM
oallo��'e a �ha waY �or wnidi �ns oemii u's.uee (seao� 9oel. cN. cl.
LENUEN'S NNiE:
LENDEN'S �DDRE55: �
I cerlily thm I heve'eeE iha epplce4m eM slets thm �ha ebova iMormmion ia wmr�. I apiee to compy xilh dl ary eM counry adiiwaea
end ntele leMa rMeliq m Wildvq eonmrutim end Mraby aNhorrza rapieaen�etiwa dthu ary to mia upon �M abv.e�menlianeE popeery
lo� in4petlqn WrqueS
ROBERT LISITY
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(St51de.WP)
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8 Selery; Green-Fb; Cenery-App4rant; Vink-Revenue; GOldenroE-/�sx»mr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO; P 08U9�h
PERMIT NO: P 080928 PLAN CHECK NO; N GOVT: N SUPP: i�
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: DTH
JOB DESCRIPTION : WATER HEATER CHANGE—OUT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
******�****�**+�***�*******��*����****+�******�***�*�*�****��*�*��*�*****�*�*�+��*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
----- -- MAIN BUILDING --------- ----- ACCESSORY HUILDING —
. FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
. FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
ING REQ: PROV: PARCEL: 42201224 ZNE: REF NO:
NING NOTES>
i
3k 1I� ff iE iE iE 1E iE 1E 1E �E 1E iF 1E iE �E 16 if� ik iE iElE IE iE 1F 3E 16 ik 1Elf iE 1E 1E iE iE iE 1E 1E IE IE iE iE �E'IE iE iE if iE 1f IFlf if If 1k fk 1F 3E iElF 3E fE jE jF iE 1E 3E'lE if !E 1E �E 7E iE fE 1F
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
ONING APPROVED HY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
*�****x��*�*���*+t***� x *��F�FTF
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT 11.00
258
F E E S U M M A R Y
ELECTRIC MECHANIC FIRE
DATE:
DATE: ��� G
DATE:
*�*�*�*� *�
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PLAN
ISSUE FEE 22,00
BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11.00 22.00 0.00 33.00 33.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
1f iE iE 3E iE 1E 1E iE �)E iE iE iE 1E iE iE iE �E iE 1E'lE iE �E �E iF iE'lE i(' iE 1E IE iE �IElE �E iE fE iE iE IE 161Elf 1E if IElE 1E 1E 1E iE 1f iE 1E iE 1E fE 1E �f if 1E 1E iFlf iElE 1E 1E 9E aE iE 3E IE 1E fE *{E 1E iE
I N D I V I D U A L F E E B R E A K D O W N
QTY D E S C R I P T I O N
1 WATER HEATER AND/OR VENT
END OF FEES
EX I��-,�,v�'
DA��
UNIT COST TOTAL COST
11,�� 11.��
41 U0221296-00221296 T►7 � 33.1�
DATE: 12/f4/9`,� TIttE: IS:ap
, _�
CITY OF COSTh i•iESA F.tniT�ST FOh OCCUPP?�CY
TRACT IJO. l � v � � DATE � ' � �
LOT N0. � J
ADDRESS .�. �-� �� Cl J fi�1 . � c�CX-e>1.�� U�c.�� � /��� s'"`�ti
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 streets
accepted by the City of Costa Mesa.
The undersigned, by executing this 2greement, acknowledges that (he-she-they)
wzs or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
h5esa 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 zgrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
.���'���j
��e�iv�o
CITY OF WSTA MESA
PLANIdING DEP7.
JL'iV � d �a��
A'd PM
7�8i9�10i11i12�1�2i3i4i5�6
�
m
Developer and/or authorized
representative
,. - c1rY ui� cuu., rni:�sn i<L��uL::�r i�,i: r,ccui�E.�icY
TRACT N0. UI;PP:
LOT ND.
ADDRESS - . �
The davelopar o1 the above entitled tract deaires to sell the above set forth
lot pz'ior to the time that the tract hae been completed and ita streets
accepted by tha City of Coeta Mesa.
The undereigned. by executing thie agreement, acknowledges that (he-she-they)
(wae or were) advised that this tract has
not been given final inapection nor has it been accepted by the City of'Costa
Mese as having canplied with the conditions af approval which were imposed by
the city at the time the final trsct map wes approved.
The city asaumes ao liability for the enforcement of the conditiona necessary
Por approval other than those conditiona protected by surety bond.
The'undereigned agreee to indemnify and hold the city harmleas fram any claim
— r�:i:,g i: e:: ::,;: �- Ya==on�,.'_ ir.;;::r,; L� t�a wzdersig :ad by raaea:i cP th=
aPoremeatloAed uncompleted condition.' The undereigned acknowledgea Chat Chis
agreewent ie made eolely for the benefit of the city and doee not inure to
the benefit of the undereigned or any af them.
BY
P�u ha RY 0!PA Y
BY • •�
Developer a or authorized
+. , representat ve
BY
GREAT WESTERN
�e'ra4`YVILSHIkE BOULEVARO
BEVERIY HILLS, CALIF. 90211
� JGt�.�(i{u 'd/
�fJ(:t ,YJtt�I1r�Y1
�� ��s369
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
' � BUILDING ri!/ . //A � _ /% �� �
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CITV C:(]Ri:A. TIIP.GA NO. %ri�—
BFANCH
ADDRESS
ARCHITEI
ADDRESS�ZH / —�
CONTRACTOR �:
c�T� costa mesa
�ic". No. 285981
OF LOT `�4�7 � X 992'
ave
construction c
ave
Na`.751-384
LICyNO. ��81 ( 9
NO. OF BLDGS. O
NOW ON LOT
, Se�+arate permits are required for
electric, plumbing and heating work. �
USE OF BUIIDING AND WORK TO BE PEFFORMED
I hereby acknowledBe thet I have reatl this applicailon and rtate
that the above information Is correct antl agree to comply with
all laws regulating builtling cons[�uction, and I shall not employ
any penon in violation of the workman's compensation laws of
the State of California. .
I hereby certlfy that I em properly licensetl a contraciar untler
the State of California Business antl Profe ns Cotla, Division 3,
Chapter 9, antl that such licen s ere in forca antl effect, or I
am examp om he provisi of tf�p te of Californie Business
antl Prof sions C e, Divis' 3, C� r 9.
of
1799 B[30ZZB '23A;+1.1_ _?L
1799 6%80(78..... _'23TrZ1:CKTD
il'i99 OOOtl4G6969 'IQ -'"
APPLICATIOC�R�STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED nercicciim
A.P. NO.� / �7 '
BUILDING � �(
ADDR E55 e(///
OWNER'
FIRE
ZONE
APPROVED
VAR. #
I/ � I PERMIT NO.
NO.OF �
rwras �
APPROVED
3UILDING
VALUE
USE OF �
eui�owc
VAR�',
BEf. MAIN &
ACCFffi. BLD
DATE
APPROVED
�'�
REQUIREMEN'1J �
THE AMOUNT SHOWN UNDER VALU
TME PURPOSE OF ESTABLISHING A PERI
VALUATION PERMIT FEE S
$ � �j � �� LAN CHECK $
TAX $
TOTALPAID §
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