HomeMy WebLinkAbout2999 MILBRO ST - Building Permits(71a) 754-5273 • Fax (71a) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT %� FAIR DRIVE, COSTA MESA, CA 92626
Jobndaress: 2999 MILBROST
5uite:
Vicinity: RESIDENCE AMD AT7ACNED GARAGE
Parce� Number: 14123320
Appiicanr. GLASS, MARK
Adtlress: 8768 9TH ST
UNIT E
RANCHO CUCAMONGA, CA
Owner: LOUGHERY, WILLIAM TR
Address 2999 MILBRO ST
Zoninq:
Phone: 909-931-7271
Zip: 91730
Phone:
COSTA MESA, CA Zip: 92626-4327
Contracror. RITE WAY ROOFING AND ROOF REMOVAL CO
Adtlress: 8768 9TH ST
UNIT E Phone: 909-931-7271
RANCHO CUCAMONGA, CA
Zip: 91730 License: 661941
Arch :
Atldress:
Phone:
Eng:
Address:
ISSUED BY:
Slatus: ISSUED
Applied: 07/1512003
Issued: 07/75/2003
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING B.U.R. AND COMP SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, FELT
PER MFGR'S SPECS, APPLY NEW MODIF�ED TORCH ROOF ON FLAT AREA AND NEW "3-TAB 20-YEAR OWENY CORNING SHINGLES ON
PITCHED SECTION. 15 SQUARES
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $97.25
InspeCtion: $0.00
Total: $195.00
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0. 0
Right 0- 0
$3,189.00
83,189.00
IN ITO CE:� The work authorized by this permit shall comply with all applicable handicap access requiremeMs under Calitomia statutes and related
regulations. (Ortl. No. 92-28. § 7. 72-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 g0 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codas, end all
required InepeCtions and final approval must be obtained. Failure lo obtain Inspections antl final approval will result in the axpiration oi this permit.
FOR INSPECTIONS CALL: (714) 7545626
2a4&a6 (6W)
WORKERS' COMPENSAnON DECLAfiAnON: _
I hereby attirm under penalry of perjury one oi the tdlo ng tleGaretions:
❑ I heve and wlll malnteln a cenificate of cansent to self-Insure for workers' compensation, es provlded for by section 3700 oi �he Lebor Cotle, lor Ihe peAormence ol the
�rk tor which Ni5 permil Is issuetl.
1 have entl will malntain workers' compensation insurance, as requiretl Gy SecUon 3700 of the LeDor Cotle, br ihe peAormance of the work tor which this permit is issuetl.
My workers' compensatlon In�r5urence cerder antl policy number are:
Carner: / �iv�+ �/'sSGO / r�.s �� Policy Numbec ci �� Z�75/o S�fO�
(This sectlon need n e completetl i/ the pemuNs ve/ued at one huntlretl tlol/ers (S 100J or /ess.) •
❑ I certity Nat in the peAortnence of the work for w�ich Ihis permit is iuued, I shall not employ any person in eny manner so as to become subject to Ihe workers'
compensetlon lews o��nle. and egree Ihet If I shoultl become su �t1c-We.workers=oomPensatlon provislons ot Section 3700 of the Wbor Code. I s�ell lorihwlth
comply wiN t�ose 0 io
Applicant SlgneWre: �"�✓ Dete: � �i'7 / /r— d�i
WARNIN�: FAILI/RE TO 5 RE WORI(ERS' CpAPENSATION COVEMGE IS UMAWFUL AND SHALL SUBIECT M1 EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
THWSANDDOLURE OOO�,INADARIONTOTMECOSTOFCOMPENSATIIXJ,DAMAGESASPROVIOEDFORINSEQION3]OfiOFTHELABORCADE,INfEREST,ANOAITORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn thet I em Iicensetl unAer provislons ot Chapter 9(commenUng wlih Section 7000) of Divislon 3 of the Business end Prolessions Code, antl my license is In full
brce end ettec�. llc. a. /.�6 /</y/ C�ass a n G�3y
ContractoYsSigneWre: �J`'9i•—. �ete: ��7�— /� 03
✓ ii
CONSTRUCTION LENDING(AGENCV:
❑ I hereDy eNirtn thet there is a construction lending agenty br Ihe pertartnence of Ihe work br w�ich Ihis Dermit is issuetl. (Sec. 3097, Civil Coda).
Lentler's Neme: Lentlafs AdAress:
SignaNre:
OWNER•BUILDER DECLARATIONS:
Date:
I herehy eNirtn that unAer penelry ot perjury t�at I em E%EMPT FROM TME CONTRACTORS LICENSE LAW br ihe tollowing reasan (Sec. 7031.5, Buslneu and Professions
Cotle: Any ciry or counry which requires e permit to construct, elter, Improve, tlemdish, or repair eny strucWre, pnor to its issuance, also requires Ihe epplicam lor such pertnit
to file e signed atetement that he or sha is Ilcensetl pursuent to ihe provisions oi tha Contrectora License Law (Chepier 9(commencing with Section 7000) af Dlvision 3 ot the
Business an0 Proteuions Cotle) or ihat he or she is e:empt therelrom end the besis for the ellegetl exemption. Any violation of Section 7031.5 by eny appllcant tor e pertnit
subjects the epplicent to a civll penalry ot not more than Five hundred dollers ($500).):
❑ I, as owner of ihe property, or my employees with wages es t�elr sole compensatlon, WILL DO TME WORK, antl the structure is not intentled or oMered for sala (Sec.
7044, Business and Professions Code: 71�e Con�ractors License Lew does not apply to en owner of pmperty who �uilds or improves �hereon, and who does such work
himself or herself or through his or her own employees, provitled iha� such im0�ovemenis ere not intended or oHaree lor sele. If, however, ihe building ar improvement Is
sold within one year ol completion, the owner-builtler will have the burden oi Droving ihat he or she did not build or improve tor purpose oi sale.). �
❑ I, es owner ol Ihe properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to Consiruct the prolect (Sec. 7044, Business enC Prof855ions
Code: The contractors License Law tloes not apply to an owner ol propeny who buitds or Improves thereon, entl who contracts for such project with e contrector(s)
licensa pursuanl Io Iha CantraCtors L'ICense Lews.).
❑ I am axempt under sec.
Signature:
Owner ID verifietl by driver's license. ❑ Ves ❑ No
Business and Pmfessions Cotle for this reason:
Venfication of Ownership by (type of tlocument, i.e. - properry tac bill or tlaetl):
Orivefs License No.
Date:
Ezpires:
DIVISION OF INUUSTRIAL SAFETV VERMR CERTFICATION:
❑ I hereby ceNty Nat no excevatlon frve (5) or more feet in depih into which e person Is required to descend, will be made in connecUon with work euthorizetl by this
permil, antl ihat no bulltling sirucWre, scaHoltling, talsework, or tlemolition or tlismentlinp ihereoi, will be more than thirry-si: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tille 8, Celitomia Atlministretive Cade).
❑ As owner�builder, I will nat employ enyana to do wark which wauld require a permit Iram the Divisian of Industnal Sefery, es notetl ebove, unleu such person has e
pertnit to do such work trom the tliWsion.
Signature: Date:
Division ol Industrial Salery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORRA710N OF ENTRV: I cenify under penalry of perjury t�at I have reatl ihis ap0lication antl stata that the information given is
wrrect. I agree to comply wlth all state laws end ciry orGinances releting to building construcNon, end authodze representatives of ihe Gty ot Costa Mese to enter upon the
ebove-describetl property for Inspection purposes. I egree not to occupy or ellow occupency ot any building authorized by ihis permit umil final inspection.
cooe �.
1816 Fizetl Sys em Final Fire Preventim
1266 Pool Spe Final
200 Flnel Re-Rool
201 Finel BIocWReteininB Well
202
203
260
Final Factory Fire Place
Final Sign
Flnel Demdltion
QdIE 1[�L4
Date
cr� - L��o s�
oeie
COOE I INSPECTION TYPE
206 Final Mecheniwl
20B Finel Plumbing
210 Final Electdcal
212 Final Flra Prevention
220 Final Planninq Appraval
222 Final Site
250 Final Bullding/Occupency
�
.
OJECT PDORESS: Z 9 J 9 M I LBRO ST
OWNEP'SNFME: LOUGHERY WILLIAM
nooeess: 299g MIL�RO ST
COSTA MESA,C�
545-8019
ANLMIENGINEEN:
POOflE$5:
�-
UNIT:
92626
NEG.NO.:
UNIT:
PEPMITTEE: PRIMO AOOFING (714)841-4456
aooxess: 17066 PALMDALE ST
HB CA 94627
LILENSE� CONTBAC70B OfCIAMTION: 1 nertUy aHirm OWI I am IicenSeG un0er prmiVons ol Chaptet 9(wmmenting wi�� S¢tlion
7000) of Drvision 9 0l Ine Business antl PmIe55ions COOe. and my license is in full I�. e 1 effec�.
c�rruc.:007639 sTaTeuc.:331120 cu . —
Date: �L�� Signamre:_ _ _•— _ —
'� WONNENS'COMPENSRiIONOECNBl1T10N: IAereEyallirm�natltwveacertiliwteofconsenttoselbinsurearaceniliwteofWorkers'
Comoensauon Ji �s�a 7�c=�mieo copy mereot Iseaion 3800, lat. &1 i/ O S/�i Z
' POLILY NO.: V��� �` 3 EXP. ORTE:
I �iamraxr: STATE �tt
Certified covY is nereey lumisnea. L Cenifiee copy is (ileQ1vnih ihe .,y �'. ing Division.
Oa�e: (� �l � T_I Applican�: _(„�],,,(
E%EMPTIONFflOMWOPHEBS'COMPENSpTIDNOECIAflRTION: QkSsecnonneetlirot�emmpletedi�l�epermi�i5�oronehunOretl�E100�orIe55�.
I certify that in Ihe Oerlormance ol t�e work �Or whi[� Ihis Oermii is 55uetl, I shall not employ any Denan in any manner so a5 to hecome
su�lecl lo Ihe workers' Comoen5ation Laws o� Calilomia.
Oaie: SignaWre:
NOTICE: II, af�er malting thi5 declaration, you 5hou10 became 5ubl�� �o i�e Worker5' Compensation O�ovisions o� IAe LaUor
CoOe. }roU mu5i lOrihml� [OmO�Y �'^�� Su[� Orovisions or IN5 perrtn� Shall Ge aeemeA (¢vake0.
CONSTflUCTION LENOING �GENCY: I hereby allirm itat ihert ¢ a wnsimction leneing agency for �ne performance ol tAe work lor
wnicn �his oermn is issuee �Section 9097. Civ. CI.
LENOEfl:
aooxess:
OWNEB BUILOEfl OECNMTION: I �ere0y allirm Iliai I am eRempi imm Uk Contracmri Slaie Lkensc Law lor I�0 �Wlowinq reason
(Seclion 7031.5 9usiness anU Prolessional CaUe: Any uly ol Counly wNch repuires a perrttit to tammct, alteL improve, aemolisA, or
�¢oair any sirutWre. prqr to its 65uance. also rCpuires Ilre apD���nt for sucn p¢rrtnt ta lile a siqnea slatemenl tAdt he/Slie h licensae
pursuant to IOe D�ovisions ol Ihe Comratmri SIa1e License Law �CIuO�er 9 �wmmencing vnl� Secimn 7000) oi Oivisi0n 3 0l I�e Business
an0 Pmlessians COGq or tnai nNs�e rs eaempt t�e�elmm an0 t�e Oasis lor tAe a0eqed eaemption. My vioWtion of Seciion 703/.5 by
any applicant �or a permil 5u�1ec15 Ihe appGqnt Io a civil penairy 01 noi more Itwn INe �unOr¢G tlollars (5500�.
I. as owner of iAe Dmpeny or my em loyees wit� wages as i�eir sole compensaiian, win eo ine work, and ihe
❑ structwe is not intenaeE oe offere0 iw sale (��� 70ad. Buvness and Pmfenional CoGe: T�e Comractors' State License law
Coes noi aop�Y �o an ovmer ol a o�openy wtro ouilas or impmves Inereon, and w�o Ooes such xrork himsell/nersell ar thmugn
his oi her own emobye¢s. provi0ee Iiut sucn impmvemenls are nOt intenaea or oHer¢O br Sale. II. IIOw¢ver Ihe huildinp or
improv¢menl IS SOIG vnihm ane year o� COm0leiion. 1�! owner vnll hav¢ I�C GurGen al pmvinp �e/5�e Ei0 nol build or imD�ove
loi Ne ourpo5e a� Sale).
I, as awner ol ��e pmpeny, am exclusively coniractinp vnt� licensea comraclors lo construc� t�e pmleci (Seclion 704a, Business
�' ❑ ana Pmlessions CoOe: ihe Coniractors' Slaie Liunse Law Gces M� apply Io an owner ol pmperty �Mo Dmlds ar improves iAereon
' and w�o comracis lor suc� Dmlects wit� a comrac�oqs)license pursuam m ihe Coniractors' State License Law�. I am awara
I�al Omol ol i�eir Worke�'s fAmpenSation insurance stwul0 Oe pw`nGeE ta me.
I� I am exempi under Section: B. d P. C.
lor Ihis reason:
�ata Ownec
I do nereoy cenity Inat I am aware ol ane unaersiana ine iequiremenis ol California Healln anA Safety Cotle Sections 25505, 25539, and
2553a anOlhal I or any lutme buil0ing occupant wilYwill no� �Lircle one� neetl lo comply wiih saiG state cOdes and Ihe reQuiremenls lor a
permit lor conslmclion or modilication Imm t�e Rir Wabty Management Dislritl. ReSiAential conslmction applications are e�empl imm
ihese o�ovisions
Oaie: App6wnC
I hereby cerlilythat I havereatl��is aDOhcaiion anU slateltutlhe a0o einiormalion- orreci. I reelo campiy wil� all ci�y an0 counry
or0inance5and51alelaw5relaUnglOCutlCing[onsiru[Iianan0�er¢� a�tqnzerev�..,eniative ,.Itrstily�o¢nterupOntheaGove�rtrentionea
pmperly foi inspection Ourposes
Uate � ��Q� Sgnamre� _ _ _
�river'S lic¢nse or Sonal Securny .:
iwi�<6 W�ne—Boiltli�g; Green—COCe Enlorcemenl: Canary—App1¢am: Pink—Revenue: Gobenro0—Assessor
, ��
.
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05188
PERMIT NO: B 051882 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF REROOF W/COMP S(j FT: 2,373
CLAIM VALUE: 2,373.00 CALC—VALUE: '1,373.00 GROUP OCC: R-3 /
COMMENTS: T/OFF REROOF 4!/ COMP
*�r*******�e�r**�*��e�r****�*x�***�******�r�e*******+����**********x�*�r��***�r*x�*****�r**+�*
Z O N I N G A 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 AGHT; FT IN
PARKING REQ• PROV: PARCEL; 14147203 ZNE: REF NO;
PLANNING NlST'ES>
i
IE �k 1f if iE if iF iF ii 1F 1E1E iF iFjf iF iF iE if M if fE �f k �k 1f 1E iF 1f iF k 1F iE it 3E iF iF �f iF1f k i! 1f if �F if 3F 1E M if it iE k k iE �F k k if fE 3k if it aF IF iE if k iF �k 4 k k iE if if iF IF 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
BUILDING APPROVED BY
APPLICATION ISSUED HY
if it K if k if 3F it �f iF i! kjFiE if if iF if iF aF iF
MMif1:MMiEiEifiFifKiFMifffMlFififiE
LEGALIZATION:N
BLDG PMT PLUNBING
F E E/S U M M A R Y
C MECHANIC
_ DATE:
_ DATE;
DATE: UF���
7F"ifiFiFifkifMafifafiFiFif'i *iE
M M M�! M if if M iF M iF iFif �f if if ik if if If iF M1! if If
STRUCTUAAL SEGMENT:Y
FIRE SMIP/RES GRADING
PERMIT 54,00 / 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54,50 0.00 0.00 54.50 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHOA�:� ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
59.00 ,50.
MifMiflFMif�FiFiFMiEMKifMififMififKiFlfMiFkMil�FiF�f�E*iF1fM1f�E1kiFMlfiF�flflEiFifififlFiflf�fMif1FIF1F11ifiFifMMiEifiFiFlEaFMiEifiliE�f�E
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 2373 REROOF BY VALUE RESIDENIAL N020NE 1.00 2,373.00
END OF FEES
i
07. r,�L�s.ca-u��araoi -�oa �
D,',TE: 0�lQ!/Q: TIftE: I?:�i
,t `_
♦T CONSTRUCTION AND PLANNING _ PO� SPA
APPROVALS Permit #T- Date Inspector AppROVALS Permit # Date Inspector
�
, 1. Temporary Electricai Ser�e or Pole. „ �r 52. Pool & Equipment Location .
2. $oil Pipe-Undrgmd. "�%� ��< ' 53. Steel Reintorcement �
- ��. .' � • . '
;i,;�9.:iEtqc[rical Conduit>Utility-CJndrgrnd � T 54. Forms
:��;4'. Electrlcal CondiTiTUndrgrnd. 55. Electrical Bonding
n�
�. �.,._ .; .
•5..5{eel Reinforce ,r't��e�t 56. Rough Plumbing & Pressure Test
�r 6.�iEtectrical UFER..Grnd. �0 57. APPROVAL TO COVER�GUNITE
'='7.., Fpotingt _ �� 58. Electrical Conduit-U�drgr�d. `�
�� 6.` Foundation � `. �.. �� 59. Gas Pipe, O Undrgrnd., Test ,-', �
�9. Water Pipe�Undrgrnd. �. ' 60. Backwash Lines, P-Trap, O Undrgrnd. '�
tJ
10. Structural Floor System �� �- • 61. APPROVAL TO DECK '
11. Pcoperty Sewer Line & HOUs€Eonnection '1• 62. Backwash & Receptor-Final �r�
rt�
12. Sewer Cap �. y. :� a. �?e 63. Heater & Vent�Final �
13. Fioof Draint « :1� �%' 64. Plumbing SYstem � Final '�1
^ �� �
14. Rough Plumbing '" '� � 65. Electrical�Final �
15. Rough Electriwl-Conduit � 66. Solar SYstem-Final
L 16 Rough Electric Wiring 67 Fencing & Access ApP�oval
17. Rough Wiring 5ign � 68. APPROVED FOR PLASTERING
,� 18. Rough Electric.�l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIREMENT
.-. . ' ..-. . ' __ � `_ " ._ _ . _, T �_ r tt7F �1: > �� N
20.*Rough F.'actOcy Fveplace i�x^'1 a;"� z G.^. a's.:,� �pppROVA�.G -��-Permit # � �' '
�.i: .� r •r F* � sn� .S� a .S .1 s.,. t 'J n: -i.ti�ti�. :, •�.
� r :, • - - -,�� � .
21 zDuc s, im Structu5 �� .. .. �� � _ ��� :e 770. Underg ound HV.dro r �
22. DuF�t's, V�nt��ating. �' �5 7_ �� '� �%� i77, producCrP��p'mg �'C�s QOiI
23�:Gas:PiPeiiou h&'fest . i� �: " � � ._:�'� _ r, � � : _� _.
9 �r�-, o_,�� �� � 7w :�, J2. Undergro�d Flush:�' -
24.zRoof Fcaming � � . . , . � + 7 �j � , 4 � .73?{Undergrnii: Stor3gF�T�nk iO Gas ❑ Oil
,y 1
25. Roof Slivathing }.�' v ' '� ''' "v Nx .�. > - -. -.� c
7 L v �+ ?�;�, y 74;;;Overhead �lydro_ :F
26nT-Bzr Ceiling (Stcucturaq &tMonocoat .r� v� G u7 u ri. 75;;,Dry Chemical �'� '�-" = �
; <- ,� v r�r -•� m
27 -" rame and Flashin ` � "� � ' � H^ 'T'^� U� �� � .T. x
tuF ._ �9r a;%; s .f� v' �+ �.t:f� .f. 76. Ory StanCi,plile Htn :� q
�-28��Lathing$ $iding : . �iZ` r � •• ••a r 77C FIXED SYSTEIX'I•FINAL� ,� V �''
„ � f n -., . .. ; .r lT� ' � • r � w J � ^ �D
'29. Insulation .�� �� .. p , � 78,r_FIRE PREV. FINAi x 7 .,; r
_ - > ..,
^30. Drywalt�Nai�tng ,�:� �� �� I i (+ .r c HEALTH DEPTL REQUIR�MENT
`.-37. Plasrer Brown Coat�: � ' ,. �,,. , ` :�: ;R ,.79 `FINAL INSPECTI�ON '; C "
� J � *SO.�.FOOD CERTIPICRTE ISfiUED �
:�32.�Electrical Power MetenFinal ` .. ,L � �: �•
i
33.`IFin Elecvic "� ' 7 ' '' � I ' t ''No�es: 'T �-'� � �`�
= i �� � � ,:[ a � . - ..!h . ' C,i:;,
�` � .y �' • r � ' _ .^ ' �. � - •. �_ -.. :. . J � ._..
� ;^34.:Final Heating_& Ai,.Conditioning; , , .� ( � �; s; �S ; ,� �� .S JG
r tA '7 «„ . �b x � . f: '�1.� » i� �c0
35s Final Gas PiPe-Test'
^1 :i .� j � 4. J .�O - �.r
..• L36. HoOd or CanoPY i '� : v' `" ' � i � "� " - � Cr�n i n� �.�
=37<Fin51 Factory Firepla`ce., � ��r' '" * `� � ' t' ` ^ •'�
, _ f s t. �r a ;1; .:
=38. •Final Plumbing .. i .. •. f � �r -: � S - 'r •c '1
_ r
�:39. Water Service=Final• � i � � ' �� ' :. ;��t�7 .t .� �
� �c 4 r ., r s
T40. Gas Service-Final '' '` � , .' ' : ." - " , , .
.i� t. r.. .Z:<�:' 5 z R] ( I �F i G s. .r.0 �� �
:41. SolarpomesticFinalY. ,"i� � ^ a.:? ! � �� r rE" ^-� + f
n v � r •�o u' x
- r _ ,� . :: �'�- _�'�- '� � �.�
42. Backflow Preventer; � �� ., "' � I � ; .�
- e
43. Backflow Irrigation{ " ,��,.`.'.' � ^ � y ' ,/ �"" � .� 8,�,_`/ ��
A y. :J / �' • -1 t � lf/
S.:l', I c .� � V .1
.44. Landscage I�igation SYstem-��nGi �:; + m �� ` -+ i � i•. � ' *� � +� �-
'45r=Sound Attenuation -��:� � • � �� [-* �• � -' , '.4 �`t '' -
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r46: liandicap", Regulatiops - � � r . . .• y � �^ . � '"'4 r�+ .r
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�47.•.fINALSTFt1CTURE&BUCLDING '�-6-�� � V'��'s � ��
+ � .. i tr
46.;FIN'�AL PLANNING � `� '� , .. . '; ,. u `'" � �.
I ��(-• (li i I'r .s7 �J t� / �.t
;49.cElec(ric Release to �Edison �� I � '� + � r � . .
n f 1.
.'50.�Gas�Release to Southern California Gas Co f I �, ,- �• �,':. . •
"51. CERTIFICATE OF.00CUPANCY . , , ,. ,- _, ;r , �_� -�
No. Date
�= - �t �999ti1�11 d S�
C'o�a,GfPsc,, C'�
9��a�
�OWNER� �' �C��`�' H�M�'$ DATE S—lA—SE7
JOBADDRESS� Milbro Street BUILDINGPERMITNO. 30�13
GENERALCONTRACTOR WeXcome Homes VALUE $9�(00.00
L 35 BLOCK TRACT 2896 Single Res. H�att gar
INSPECTIONS
Fou
Wi
Nouse
fank or
I.In�
Fin,al GasTest
Occupancy
FORM 310 9M 10�09
to
DATE
SUBCONTRACTOR
PERMITS ISSUED
I NUMBER
/ —�
�
�
.bsta Mesa Bnilding De�eartment APPLICA7ZON FOR PERMIT
P. O. Box 3!7 1
l COSTA MESA, CALIFORNIA ���� B U I L D 1 N G
FOR OFFICE USE ONLY
FOR APPLICANT TO FII�L IN Receipt No. Permit No.
Building ,!
nddress Prlilbro Street � �`� 3
Costa Mesa, California Received Date eC'd. Date /Is'sued
Nearest � /��" � ��/" '�
CrossSt. B�er Building
Address
Owner Welcome Hoses, Ino.
Mail Costa Mesa, California
Address 6628 ti9estaninstor Ave. � Nearest
YJestminster Tel.�em. 5711 crossst.
City No. Zone 'L No.of Type Gro
Architector �ic. �7 I Plans I _ � i
Contracto'tye1COlne HoI�7BS� Ino. No� �
nddress �28 Westminstar Ave.,
Legal I Lot I
Description No. 35 Block �'
(Attaeh Metes and Bounds)
�vl� I No. of Bldg�.
Size of Lot Now on Lot
Useof I No.of
Existing Bldg. P10ne F.amilies
Setback Line from 0 Ft. Rear Varc
Center of Street 5 Side Vard
B
Fil
1a278
: •
TTone
Addition
I ' �.� \ C�
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I I Moving I I Demolish � .
� �7� No. of 6 1
Rooms Stories
3Wa�� Sb.zOco I Covering ��� t]PP$,Qv,��s
lew Single £antily residenoe and Foundation Location Inspector
� Forms, Materials,
two car garage attached. Under-Pinning
� Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all Clty Ordinances and State Iaws regulating
building cronstruction. Lath. Ext.
Sfgnature oT M' '—
Permittee 17'^�^�' Plaster.InL
Valuation`��w Permit Fee $ p?� � Masonry ReinTorcetl
Plan Check $ � � � gond Beam
$ 9, � o o — Tata� /
Fee �b � FINAL
rnnm zoa io.ss o. r. a s.
Date
PLOT PLAN
Show location and distancea from
property Iine and between bulldinga
,
,
�S
J :_•:J.. n�, �f_ �, �
CO3Y: � �
,�nr i c-sSPDlJESA ��,e,,. h��: �� 36.��
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'vniv�rt �Q����g��__Wi I I iar
JOB ADDRESS 2999 Mi I br<
�GENERAL CONTRACTOR pWner
A° No.141-233-20 LOT
I °CTIONS
soi�
WS
wnTER
FOUGH PLUMBING
ROP. SWR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGM NEATING ANO RIR CON�ITIONING
TEMPORnRY SERVICE OP POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCNES FORMS STEEL RE
FLOOR SYSTEM
BONO BEAM � STEEL REINFORCE �
$HEATHING
FRAME AN� FLASNING
LATHING — IN OUT
PLASTER. BROWN CORT
5' 'TUAr1L, FINRL
N IG. VENT., REFRIG. ANO R.C., FI
PLUMBING, FINAI AND GAS TEST (,
EIECTRIC. FINRL
unic �_21_
BUILDING P
SUBGONTRACTOR
� i..i t.a
C05TA MESA BUILDING-SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ ro Fill in Completely — Use Ink Only
OWNEP �
MAII
ADDRE55 %
CITV l�p�
CpNyTFUCTION
LENDER
BRANCH
ADDRESS
GRCHITECT
AOORESS
CONTF�ICTO
ADORESS
CITV
F STATE
� LIC. NO.
d OIF LOT
d use oF
.�., EXI5fING BLO�
H
S'r .
TEL.�
NO.�
L.
TEL.
NO.
CITV
UC. NO.
NO.OF BLDGS.
NOW ON LOT
FSepara[e permits are required for
Q elec[ric, plumbing and heating work.
[.W. USE OF BUILDI G AND WORK TO BE PERFOflMED
¢� � � � Ft Ov� F
�l l L ! / I
Q
7
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�
Lcl
PAIO # ;��A'•c
ikN 21-76cr;;.00 742 72.63
A P IC 'ION FOR STRUCTURAL PERMIT
E E V D Y DATERECEIVED DAjE�SSV
� � Z.o � G- �
A.P. NO.
Z.s3 _ ZD P �
BUILDING 2 q q M��E3Qo 5T
ADDRESS
TRACTZp96 LOT�.3 BLOCK
P
x
OWNER W \���WM �-cMb ER
�% VALUE
5 / � S �Z%
FIRE T
20NE TVPE GROUP n��
qVPROVE DATE I �/. ����n
���
PLAN$ �
vARDS APPROVED
V AR. aW
C.U.P.M
E OF NEW
ILDING Vi�
VARDS APPROVED
BET. MAIN &
ACCESS.BLDG
DATE
APPROVED
� ,
p I hereby acknowletlpa thet 1 ha�e reatl this appliceNon antl state �
N
� that th6 abova intormation is corract end aprae to eomply wiM
m
a ell lews �e0uletlnB bullding conatructlon, antl I ahell not omploy
i
z any peraon In vlolation of tha workman's compensation lews of m
� tho Smte of Colitomie. � m
3 I hareby cerilfy t�et I am properly Ilcansotl aa a contrecior undcr SQ. FT. a
tha State of California Businau antl Profoulons Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOfl m
Chopter 9, antl thet such Iicensas ere in full toreo ond eifeci, or I THE PURPOSE OF ESTABLISHING A PERMIT E O �
em exemPt from tho provisionso( tha Smro of Callfornia Busineas VALUATION PERMIT FEE S
a
entl Protasslona Cotla, Divicion 3, Chnp r 9.0 � J�
m
A_ J PLAN CHECK E o
SIBnOtu/0 O�/�// � LL
Pormltt0e ��� ` �! $ TAX S �
�� U
AuthorixetlApant TOTALPAID E