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Home My WebLink About2477 NAPOLI WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626 Job Address: Suite No Viciniry: 2477 NAPOLI WY UPSTAIRS CLOSET HALLWAY Parcel Number: 43914157 AppliwnC Address: Owner: Address: PARSONS,GORDON 2282 ORCHARD DR NEWPORT BEACH, CA KNUE, WALLACE A TR 2477 NAPOLI WAY MECHANICAL PERMIT ISSUED BY: Phone: 949-056-0064 Zip: 92660 Phone: COSTA MESA, CA Zip: 92627-1479 Contractor: ABC HEATING AND AIR CONDITIONING Address: 2282 ORCHARD DR Phone: 949-456-0064 NEWPORT BEACH, CA Zip: 92660 License: 810481 SCOPE OF PERMIT CHANGE-OUT OF AN EXISTING FAU IN A SFD. 1 INST FAU < 100K BTU NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU RepairlAlt CoolingMeat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm AirHandlers> 10000c(m Floor Furnace 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 50.00 Quantity 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0, 0 0 0 0 fEESUMMARY Repair / AIt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation Syslem Evaporative Cooler Comme rcial I nci neretor DomesliC Incinerator Comoressors / Absorotion Svstems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp i5to30hp 30 to 50 hp Over 50 hp Other MeChanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 04/28/2006 Issued: 04/28/2006 Duantiry so.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 $0.00 50.00 538.30 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 automatirally expire and become void it work is not commenced within 7 BO days, or if work Is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order tor �he work authonzed under Ihis permit to be considered legal, such work must comply wi�h all applicable codes, antl all required Inspectlone and final epprovel must be obtained. Failure to obtain Inspections and tinal approval will result in the ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 zaacea �e�oo� WORKERS' COMPENSATION DECLARATION: I hereby eHirm urider penAity oi perjury one oi the following tleclaretions: , ❑ I hav antl will meintaln a certificate ot consent to selbinsure tor workers' compensetlon, as provitled for by section 3700 ot t�e Labor Gode, tor the pertormence of the rk for whic� Ihis permit is issue0. `,y I heve entl wlll maintain workers' compensetlon Insurance, as requiretl Dy secqon 3700 oi ihe Lebor Code, Por the peAortnance of Ihe work ta which this pertnit is issued. My work� compensationJnsurance carnar end policy number ere: / +-� Carrier.-� �/,Tf f'i,i i . /'�I PoliCy'Number. LG". / � � �/ �) ^ Z�(i� �(This sectiar;n4ed nof be comple(ed il t e permit is veluetl at one hundred tlollers (5100) or less.) ��—'� " ' ❑ I certity Ihal in Ihe pertortnance ol lhe work for w�ich t�is permit is i55ueQ I shall not employ any person in any manner so as to become subject to ihe workers' compensatian laws ot Calitomia, antl agree t�at tl I should bewme su6ject to Ihe workers' compensation proWslons ot Section 3700 of the Labor Cotle, I s�ell lorthwlth comply with Ihese provisio s. / / / APPI�t Signe_ _� : � ��i: !� �=''� .�r /�-" i Oa=�e � L� — � 7S � GG` �WARNINO:'FAILURE TO SECURE WORKERS' CAMPENSATIqJ CAVERAGE IS UNUW FUL �1ND SHAIL SU&IECT M! EMPIOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND DOLLARE �5100,OW). IN AODRION TO THE CQST OF COMPENSAiION, DPMAGES AS PFOVIDED FOR IN SECiION 3J08OF TME LABOR COOE, INTEREST, aND AITORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eMirm that I am licens@d under proy �' io force end eMect. Lic'a11 .K�� :S� CONSTRUC710N LENDING AGENCY: of Chepter 9(commencing wit� Section 7000) of Divislon 3 oi the Business antl Pmfessions Cotle, antl my license Is in full ciaea�x �.. Z G ❑ I hereDy attirtn that there is a consiruction lentling egency for ihe peAormance of Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefg Name: Lendels ACtlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby ettlrm that under penalty of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant tor such permit to file e signetl statement thet he or she Is Iicensetl pursuent lo Ihe provisions of ihe Contrectors License Lew (Chapter 9(commendng with Section 7000) ol Divislon 3 of t�e Business and Professions Cotle) or thet he or she is exempt iherelrom end tha Cesis tor the ellegetl exemptian. Any violetion ol Section 7037.5 by any epplicaN for a pertnit subjecis �he applicant to a civil penalty ol not more than five hundred dollers ($500).): ❑ I, es owner ol the properry, or my employees with wages as their sole compensatlon, WILL DO THE WORK, entl the sirudure I5 not inlended or oHeretl tor sale (Sec. 7044, eusiness antl Professions Code: The Contrectors License Law tloes not epply to an owner of property who builds or improves thereon, end who does such work himsetl or hersetl or ihrough his or her own employees, providetl ihet such improvements ere not intentled or oNered tor sala. If, howaver, ihe building or improvement is sold within one year oi completion, the ownerbuil0er will have iha burden of pmNng Nat he or she did not build or improve for purpose of sale.). ❑ I, es owner of the property, am EXCLUSIVELY CONTRACTNG WIT11 LICENSED CONTRACTORS to construct the prolect (Sec. 70A4, Business end Prolessions Code: The coNractors License Law does not epply to an ownar oi pmpeny who builtls or Improves thereon, and who conlracis for such pmject with a contractor(s) licensa pursuent b the Contractors License lsws.). ❑ I am exempt untler sec. Business antl Professions Codo for this reeson: Signa�ure: Date: Owner ID verified hy drivers license. ❑ Ves ❑ No Driver's License No. Veritication ol Ownership hy (type of daumem, i.e. - propeny tax 6ill or deetl): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: ❑ I hereby certify ihat no eacavetion five (5) or mora teet in dept� into which a person is required to tlescenQ will be made in connection with work eu�honzetl by this pertnit, entl that no builtling struciure, scalloltling, lalsework, or demolition or dismantling t�ereof, will be more Ihan Ihirry-six (36) feet hiqh. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Calitomia Administrative Cotle). ❑ As owner-builder, I will not employ anyone co tlo woM which wou10 require e permit imm ihe Division of Intlustnal Sefery, as noted above, unless such person hes e pertnit to do such wark tram the tlivision. SignaWre: Date: Division of Industrial Safety Permit Number: CER7IFICA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTAV: I certiy under penalry of perjury that I have read this application and state thet ihe intortnalion given is correcl I agree to comply with all state laws entl ciry ordinances relating to buil0ing consWction, end authorize representatives of Iha Ciry of Coste Mesa to enter upon the ebova-descnbed properry tor inspection puryoses. I egree not to occupy or allow occupancy ol eny 6uilding authonzed by Ihis permit un�il tinal inspec�ion. FOOE �. INSVECTIONTYPE 7616 Fixed System Final Fire Prevention 7266 Pool Spe Finel 200 Final Re-Root 201 Flnel BIocWReiaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Domolition PAIE .iw. � �� INSPECTIONiYPE 206 Finai Mechanical 208 Final Plumbing 210 Final Electncel 212 final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Builtling/Occupanq P!� 1�45 b-i3 -06 �iN (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2477 NAPOLI WY Suite: Vicinity: GARAGE ONLY Parcel Number: 43914157 Applicant: HANSEN, DUKE Address: 260 E. ALTON AVE SANTA ANA, CA , Owner: KNUE, WALLACE A TR Address 28522 EL SUR LAGUNA NIGUEL, CA Contracmr: ROSS & BARROWS INC. Address: 260 E. ALTON AVE SANTA ANA, CA Zip: 92707 Arth : Address: Zoning: Phone: (714) 557-7440 Zip: 92707 Phone: Zip: 92677 Phone: (714)557-7440 License: 327802 Eng: Address: Phone: Status: ISSUED Applied: 08/10I2001 Issued: 08/70/2001 ISSUED BY: ' �y Phone: Zip: License: License: SCOPE OF PERMIT REROOF GAR4GE ONLY FOR EXISTING CONDOMINIUM UNIT FOR "BACK BAY GARDENS HOA (4 S�). TEAR OFF EXISTING ROOFING 8 INSTALL NEW BUILT-UP ROOF. N Plan Check: $0.00 Permit: $57.05 SMIP Res: �0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $57.55 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Exis�ina: 0 NOTES: Rear 0-0 Rear 0-0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 s�,sso.00 s�,eso.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 24464fi (fl/00) WORKERS'COMPENSAnON DECL/�AnON: 1 hereby ettirm untler penelry ot perjury One of the lollowing declarations: ❑ I heve end wlll mainteln e certiticale ot consent to sell-Insura tor workers' compensation, es proWtleA for by section 3700 of Ihe Lebor CoOe, for ihe perlarmance of ihe work for whlch Ihis pertnii is issued. _�Y�ave end wlll malntain workers' aN�pensation Insurance, es required by section 3700 of I�e Labor Code, for the pertortnance of the work for which this pertnit is issued. �My workers' wm ensatio�sure e certier end policy numDer ere: 'Cartier: .�5 r�' {1 �J�� ( Poliry Number. �(�Y 6— O! 2'�n G' 3nL .(Thls sect/on neetl not be completed i/ Ne permit is ve/uetl et one hundretl tlollers ($f 00) or Iess.J �� ❑ I cenly Ihat In ihe peAortnance ol ihe work lor which thls permit is Issued, I shall not employ eny person in eny manner so es to becoma subJect to tha workers' wmpensetlon lews of Iitomie, entl egree that II I shoulC bacome sub�ect to t�e workers' compansatlon provisians of Sectlon 3700 01 the Lebor Cotle, 1 5he0 forthwith comply with IheseI pr isi ns. �` Applicant Slgneture: 1 —�� r'`z--- �! Date:. j �� O WARNIN(3: FAILLIRE TO SECURE WORKERS' ��PENSATION COVEMGE IS UNUWFUl. AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED 'TMWSAN� OOLLAFE (St W,�O�, IN ADOITI�N TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]OBaF THE IABOR WDE, INTEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS OECLARA110N: I hereby eMirtn Ihat I am I�e sed untler p�oNsio lorce and eHect. Llo,e. <� ComrecloYs Signature: Chapier 9(commencing with Sectlon 7000) of Division 3 0l Ihe Buslness oe�e: Code, end my Ilcense Is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby eMirtn that there is a consttiction lentling egency for the peAortnance ol tha work br which this permit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Atltlress: SigneWre: Date: OWNER-BUILDER DECLAfiAT10NS: I hereby atflrtn I�et under penelry ot perjury t�at I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business enC Protessions Code: Any ciry or'counTy.which requires a pertnit to construct, elter, Improve, demolish, or repeir eny strucWra, pdar to Its Issuance, also requires the applicant for such pertnit to tlle a sfgnad stetemeM t�ef he or,sha �5lkensad purSuaN to ihe provisions ot the Contractors Llcanse Law (Chapter 9(commencing wlih Sectlon 7000) o} DfNsbn 3 ot [he Buslness end Professions Code) ai that �e ar she is exempt therefrom and the basis for the elleged exemption. Any violetlon of Section 7031.5 by eny epplicant for a pertM: sub�ects t�e eppliwN to a civil penalry of rioI rtwre ihan fWe hundred dollare ($500J.): ❑ I, as ownar ol Ihe property, or my amp�oyees with weges es iheir sole compensa0on, WILL DO T1E WORK, end Iha strudure Is not IritendeG or otterad for sele (Sec. 7044, Business and Professions CAda: The Coniractors Licanse Law tloes not aDPh to an owner ot properry who builds or Improves thereon, and who does such work himselt ar harsetl or through his odher own employees, pmvided that suc� improvements are not ImenCetl or oflered tor sale. If, howaver, the bullding or improvement is sold within one year o1 completion, ihe owner-builtler will have the burden oi proving that he or she diA not build or improve for purpose of sale.). ❑ I, es owner of the properry, am E7(CLUSIVELY CONTRACTING WIT}1 I.ICENSED CONTRACTORS to canSlruct the project (Sec. 704d, Busineu and Profe55ions Cotle: The conirectow License Law does not epply to en awner al pmperty who builds or Improves thereon, entl who contracts for such prqect with a mmracmr(s) license pureuent to t�e Contractors License Lews.). ❑ 1 em eaempt under sec. Business and Professions Cotle for this reason: Signeture: Date: Ownar ID verifietl by dnver's license. ❑ �es ❑ No Driver's License No. Vedficatlan oi Owners�ip by (type of Document, i.e. - pmpeny tax bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PEAMIT CER7IFICATION: ❑ I hereby certity tha� no excavetion fNe (5) or more teel in tlepth into which a person is requlretl to tlescend, will be metle in connection with work euthorizetl by this permit, efW that fro builtling shuctu�e, scaXWdiag, talsewark, or demolitlon or dismantling thereoi, wi6 be mae than thiity-six (36) feat fiigh. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminis�reti.�e Cotle). ❑ As owner-hullder, I will not employ enyone �o tlo work which would require a pertnit trom t�e DlWsion of Industriel Safery, as notetl ebove, unless such person has a p8rmil to do 5uth work irom ihe diNSion. Signeture: Date: Division ot Industnel Satery Pertnit NumGer: CERTIFlCATE OF COMPLIANCE AND A�ORPATON OF EMRV: I cenify under penalry of perjury that I heve read Ihis appliwtion end state that tha informatlon given is correct. I agree to comply with all state laws end clry ordlnences relating to Ouilding construction, entl eulhorize reDresenta�ives ot �he Ciry ot Coste Mesa to enter upon the ebove-described property lor Inspection Puryoses. I egree not to acupy or allow occupency of eny building authodzed by this pertnit until final inspection. Sig�re O� Legel Owner(s) i �."'�_ Antl/Or Auldodzed Applicent COOE�. INSPELTIONTYPE PAIE IL�LS 1616 Fixed System Pinal Fire PrevenUon 1288 200 zoi 202 203 204 Pool Spe Flnfll Finel Re-Rooi Flnal BIocWRelainln9 Well Flnel Fettory Fire Place Final Sign Final Demolitian �� O C ( oete COOE 1 INSPECTION TYPE 208 Finel Mechenical 20B Finel Plumbing 210 Finel Electrical 212 Flnal Fire Pravention 220 Final Planning Approval 222 250 Final Site Finel BuildincyOccupancy PaIE It�➢E4S CITY OF ^'1STA MESA PROPERTY DETAIL' �.EPORT 2477 Napoli Way Costa Mesa. CA 92627-1479 Owner: Knue Trust Phone: Resident: Phone: Site Address: 2477 Napoli Way Tax Address: 2477 Napoli Way City/Zip: Costa Mesa / 92627-1479 City/Zip: Costa Mesa / 92627-1479 Parcelld: 439-141-57 Own.Occ.: Yes Location: Costa Mesa City School District: Newport-Mesa Unified Neighborhood: Unknown Census Tract: 063102 Wealth Code: 6.0 Year Listed: Legal Desc.: Tr 3433 Lot 57 Unit 57 Of Project Located On Ap11938132(Together With An Und .60 Int In Lots 165/166 Zoning: Unknown Subdivision: Unknown Usage: 122: Single Family Residential Style: Unknown Construction: Unknown Year Built: 1964 Stories: 2 Bdrms: 3 Baths: 2 Full and 1 Partial Heating: Unknown Cooling: Unknown Irr.lot: Unknown Terrain: Unknown VSater: Unknown Sewer: Unknown Sqft tst: Sqft 2nd: Sqft Bsmt: Sqft Total: 1574 Market Value: $44,774 Assessed Land: $12,86� Assessed Bldg: $31,913 Assessed Total: $44,774 Percent Improved: 71% Delinquent Taxes: Sale Date: Aug-10-1998 Sale Amt.: Deed Type: Intrafamily Transfer Volume & Page: Seller: Knue Wallace A Title Company: Unknown Multi-Parcel: No Ttl. Rooms: 7 BsmL Type: Unknown Bsmt. Fin.: Unknown Gar.Type: Unknown Gar. - Cars: Gar. Sqft: Roof Mater.: Unknown Roof Style: Unknown Attic Type: Unknown Condition: Unknown Lot Dim: Lot Size: .041 acres Lot Sqk: 1785.96 sq.feet Gross Tax Semi Ann.: HB920 Credit Semi.: RB Credit Semi Ann.: RBA Credit Semi.: Homestead Exemption: Spec. Assmt. Semi.: Tax Semi Ann.: Mortgage Dale: Mortgage Amt.: Mortgage Type: Volume & Page: Lender: Mortgage Term: Morlgage Rate: Blktop Paving Concrt Paving Carport: Deck: Patio: Pole Barn: Pool: Fireplace: Gas: Electric: Units: $285.90 $285.90 Ju1-21-1998 $120,000 Conventional Bank America 2013 Unk. / Fixed Unk. Unk. No Unk. Unk. Unk. Na 1 Unk. Unk. The information is deemed reliable but is not guaranteed. 2001-2002 Tax Year Copyright 2003 Haines Printed Ju1-01-03 SOUTH ORANGE CA OWNER DOYLE & SHIELDS Development Co., Inc.. DATE 6-3-63 JOB ADDRESS 2 7'j NSP011 BUILDING PF.RMIT N0. GF.NF.RAT.CONTRACTOR DOY10 & Sh181dS Dev.Co.,IRC. VALUE $ 1�790.00 INSPECTIONS suscoN�rxaczox �� _`� i s�� '' COSTA MESA BUILDINGSAFETY DEPARTMENT P.O.BO%9f] COSTAM68A.CALIFORNIA Por Appltcant to Fill In Completely TYPE OR PRINT a��o�� ay`i' ADDRE53 COSTA MESA, CA IFORNIA 't„ (� • �' ('. % a �4 � L LIrC.TNO. S��S-0 �I�—I NO O`�O SIZE � NO.OF0LO0l. OFLOT 33� X3 3• SD „o„,o„�r r USEOF '/ EXISTING BLD6. I BETBACK LINB FROM CENTeft OF eTx6e'r REAR YARD SIDB YARDI LEFT I I R16HT ' DESCRIPTION OF WORK ,cs3.So m usfi s o il�l' 3a - ' 1 HEREBY ACKNOWLEDO6 iHAT 1 M�VB HBAD THIB �PPLIGTION ANO 8TAT8 TNAT TH8 ABOV6 IB COqq6CT ANO AGFEE TO COM• PLY WITH ALL CITY ORDINANCU AND iT�TH LAWB q60ULATINO au1LolNo coNeTRUCT1oN./// yIA ' I SIGNATURE OP �y�, S! �•� f/✓� �� f PERMITTEa �IL�,:=�4 o Uk��4' {A «�� AUTHORIZHDAGfiNTv� ,�(/1 F,E� REC�IVED � JUN � 19�� F!NANCE DEPT. CITY Of COSTA MESA APPLICATION FOR. PERMIT BUILDING Por Office Use Only OATB P8C81Vl� OATE169UEO � —a.9.-L'? uiN s t9i � ZONING NO. OP U8H OF N PLANB BOILOINO � l_ �f �s'� T,.�-.�y �- �VE OVERHANO 6HALL BE LE88 THAN MAIN BUILDIN(d FROM C/L 6TREET) �:J OISTANCfi MAIN BLO� VAR. � /�� so. THH AMOUNT'. PUHP08H OP VALUATION s��/ �9� v� YAROSAPPROVED ACCESSORY BUILDING OATE d w• � 0 VALIIATION 19 FOR TH8 � A PBRMIT F8H ONLY. p �lL � N IT FEE $ •� � � ''j m CHECK $ � / � t O n / Q7% e' JOB ADDRESS � BUILDING PERMIT No. 930-04-057 LOT TRACT FIRE ZONE VALUE S2 GAS WnTER ROUGN PLUMBING PROP. $WR. IINE Q NOUSE CON. � SPRINKIING SVSTEM MISCELLnNE0U5 ROUGH NERTING r1ND �IR CONDRIONING TEMPORnRV SEPVICE OR POLE UNOERGROUN� � POWER � AOUGH WIRING TRENCNES [ FORMS STEEL REINF. FLOOR SYSTEM BONO BEPM � STEEL REINFORCE ❑ SHEATNING FRAME AND FLASNING Q2 LATMING — IN � OI1T �I PLnSTER, BROWN CORT STRUCTUR4L, FIN�L NEATING, VENT., REFAIG. AND A.C., FINAL PLUMBING, FIN4L RND GRS TEST n ELECTRIC, FINRI BUIL�IHG. FINRL SPECl/L REOUIREMENTS SUBCONTRACTOR \. �� i � r.�,3�.75�.��`•00 971:: ��u35..^.0 - 39550 COSTA MESA BUILDING•SAFET DEPARTMENT P.O. BOX 1200 COSTA MESA. CA IFORNIA 92626 Fo�Applicant to Fill in Co letely AP LI AT�ON FOR BUILDING PERMIT r R I V DATE RECEIVED p T � ADORE55 Z 7� N/: Q!/ �� , OWNER wjQ �A(, " J A.P.NO. �O�O�^"C�� PERMITNO. BVILDING �� I ADORESS �'M C P.DDRESS � WW EL.SQS RACT LOT�J B a U CITV �` �� /� O. O ZZ Q CONSTRUCTION O � LENDEfl am J � BRANCM JN WNNER ALLqGE N a w ADDFESS f0 J � AL�UE� � m ARCHITECT TEL. I� J a OR ENGINEER U Q FIRE w Q ADDRE55 ZONE TVPE GROU • d w 1 APPROVED W Z CONTFACTOR � �{L BV DA7E J � m Z J � .4DORE55 w w 7EL. ZO NO.OF USE OF NEW Z� CITV NO. P�/+�Z BUILDING w O STATE CIT�' �!+RDS APPFOVED VARDS APPR� y� LIC. NO. UQ NO. MAIN BVILDING ACCESSORY 81 �� SIZE NO.OF BLOGS. (FROM C/L STREET) OF lOT NOW ON LOT FFOfYT FT. FT. USE OF �}� EXI5TING 8 I —V FT � SIZE OF p NO. OF Z NEW BLDG.O I�I- �+ ROOMS � STORIES L. SIDE FT. FT. a EXTERIOR WAL ROOF V COVEPING S�•GL. 7 COVERING �I�1'S S REAR � FT. FT. J � OF BVIIDIN AND WOR T� BE PEFlFO D DISTANCE BET. BET. MAIN & a 1�. -�i MAIN BLDGS. ACCESS, BLDGS. a Q VAR. qW DATE O C.U.G.�s .qPPROVED � APPROVED� �� 0 N V�/ z � V1 herebV aeknowledpa Net 1 have read this applicetbn an0 rtata � that [he ebove Information is corroct antl eB�ee to eomply with � ell lews �og�latin0 builEinB �onstruciion, enC I shall not amploy r any porwn In vlolatlon of i�a workmen's com0anaatlon low� of y Me Stata ot Californle. i(` ^ � ? I heraby certify [hat I em proparly Ilcansetl as e eontrector �nder SQ. FT. \� Mo Stata of Cali}ornio Businatf Bntl Pfofessions Cotla, DlvislGn 3, THE AMOUNT SHOWN VNDER VALUATII Chaptar 9, end that auch licensos ere in full forca entl etfoct, or I TME PVRPOSE OF ESTABlISNING A PERMR i em exempt from [ho provisions ot the Srot Cali}ornia Business V ALUATION antl Profasslon� Cotla, Div lon !Chapt � PERMIT FEE $� Sipnetura Of /)�/ � Permktea /- $ / �� f PIAN CHECK $ !/�/ Authorizetl ABent . TOTAL FEE � 0 � 2 m ' 7 m `o LL aOWNER � Wgilace DA7E �� ' JOB ADDRESS 77 IQBp07.1 F18� BUILDING P ii GENERAL CONTRACTOR OaIIOi ldr. DESCRIPTION of WORK COriiI2T Z AP No. �49- 1-57 LOT TRAC7 FIRE ZONE VAWE S 2 GAS W qTER ROUGH P(iOP. SPFINN MISCEI BING LINE I-I HOUSE CON. ROUGM HE�TING AND �IR CONOITI( TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � FOUGH WfRING TRENCMES FORMS STEI FLOOR SVSTEM ' BOND BEAM n STEEL qEINF01 SHEATHING FRqME ANO FLASMING Q� w`�.�W_, LpTNING - IN � OUT��] •�� PLASTER, BROWN COFT STRUCTURA�, FINAL MERTING. V�NT.. REFRIG. qN0 A.f PLUMBING, FINAL AND GAS TEST ELECTFIC, t�qq� SUBCONTRACTOR ' w ' '10374 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely OWNER � MAII Z ADDRESS d Z cirv C:US� ZQ CONSTRU��ON O � LENDER am J � BRANCH J N m J ADDRESS m ARCHITkCT J a OR ENGINEER U N Q w Q ADDflE55 d W w Z CONTRACTOR J � m Z J � ADORESS w W � CITV ZH w � STATE y Q LIC. NO. � � SI2E OF LOT USE OF EXISTING BLDG. TEL. TEL. NO. CITY IIC. NO. '�t1G —7-75Pa:u00 ass� :=��*36.50 cNSr ION FOR BUILDING PERMIT OATE RECEIVED DA iSSUI � 'i — /�/' j � ERM T O V ZONE NO.OF PLAN$ VARDS APPFOV ED MAIN BVILDING F- SIZE OF NO. OF Z NEWBLDG. Q� 1 ROOMS STORIES L.SIDE F EXTERIOFI W.SLL � 1 ROOF / V COVERING V� COVERING WI�IFE ��/}SS REAR FT. J USE OF 6UILOING AND WORK TO BE PERFORMEO OI5TAN a MAIN BL a a � C�lJ � C% C URP, qW � � /� ~ D APPROVE � /-� y z Q Uf hereby pcknOwledpe that I hava reotl Mis epplice[ion antl atate � [hat t�e abOve InfOrmatiOn is correct entl aBroe ro comply wl[h � ell laws r06ulatinp builtllnp conztruetlon, nntl I shall not empioy � any parso� �� olation of tha workman'e compensotion laws of y thn Stata of Celifornle. ? I hereby certify thot I am properly Iicansatl es a eontrector untlar SQ. FT. Ma Stete of Celifornia Bua(nasa antl Proteviom COtla, Dlvificn 3, THE AMOUNT SHOV Cheptar 9, entl that auch licanws ere In tull forca entl eHact, or I THE PURPOSE OF E5T em azemp� irom the prov�siomof NeSmro C I}ornle Busine�s VALVATION antl Profo9slOM Cotle, IC�Io , ChnpIDr / Sipnature �� f � Permlttea � $ G� Authorized Apant � VAL— $ � GROUP _— DATE - � USE OF NEW� BUILDING !. .� � VARDS APPROVEI ACCESSORV BUIL� BET. MAIN & ACCESS BLDGS. DATE APPROVED '"'_ ��%.�iG � VA AP � O IS FOR � ONLV: Q �� m N �l�/ m E `o � LL