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Home My WebLink About3209 NEBRASKA PL - Building Permits(714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.�y�DING PERMIT �� FAIR DFIVE, COSTA MESA, GA 92626 .lobAddress: 3209 NEBRASKAPL Suite: � Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ R3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 13908218 Zoning: Applicanc DEPINHO, NELSON _,,---- '�'<"�,+�„��-- ` ''�� " - ISSUED BY: Address: 2832NOLIVEAVE "L�'%='�`•-� - . '~�'� � . � . � r;l>�i1'-� --': � �- � .Phone: ' (714)632-7663' ;�_'-� ORANGE, CA ;y ��--'."�+Z'�' � _ + � _'. � Zip: 92665 ' ' . Status: ISSUED Applied: 05/16/2005 Issued: OS/16/2005 r:� f ti � � � C- .n . ' � i � . .t r ; � � �.� Owner. DIAMOND;.MARX ` r; " ' � � ' Address - 3209 NEHRASKA � t�."� +-'"r �., " � `�'� ��' .rk'r .' . .. ...rt: . . ._. .. __ .�.;� \\ v . , � J �- ��w,c1l,�. = Phone - .r: ,,- . �, �, � � l'�COSTAMESA,.CA t' �^�'�� Zip 92626-391Z � �� \ ,� , -%��_` ��\\; \\ , ;i� Contractor: DEPINHO'ROOFING � � � , �Address: 2832 N OLNE'A��F � � , �, ;; ORANGE, CA (,.,�� Zip:" 92665 .. _ ,' � �. Phone: (714)632-7663 License:.,,683894 - ,; - .v'� i � �� i ','�c � Z �\S � ; .�� 't , '1' � � � " Arch.: `''9 - • _. .' Eng: . � , . .� _- . .,�. ' Address: '�� .� . � �_ - Address: - � � ,`� �� '�� . . ` . , `� Phone: ' " �� . Phone: = � • , �.'7� ; _ — _ - . , t _ - ,,': �Zip: �, _ - License: � � �License` '— - ! � � � . � ' � � ��i' — � � � / � �.-,;; n . ^�,� SCOPE OF PERMIT�-� --, , � ', ' 1 �--� . '�t<; , REROOF RESIDENCE AND qTTACHED.GARAGE: T/O EXISTING COMP:OVER VJOOD�ROOE; 7/16 OSB SHTG, 1 LAYER 15# FECT, APR'LY "40- YEAR COMP SHINGLES" 2000 SQ FT -'�"- "` -" � " - `-= _ - - - � - � � • - - ` ... . FEE SUMMARY . � � -.. / . . Plan Check� F' $0.00 - . - " ' _ ` Calc Valuation: �� 5a;000.00 � Perrriit: `.,`. %„$153.25 - � -"-' Claim Valuation: ��:�; - � Sa;000:oo '�SMIPRes: ��,t_'.$0.80' �-�� ' %i`� , .) .(.r 'SMIP Corri:� '� �$0.00 � -`-`.. •, / ; ��'; � , ' -� , ""`�� Othec:�`.j ��,';$0.00 _.,�.. rj��; �'''=,�.r;�� Inspection:-' �$O:Ob� � - _ " ` . ':%: �,; ' .. . , . i' , c-, �Total. �r�S154.05' ,. ;.� , _ _ � � �. � � , -. - � ��,`�, �'��"- - >'' :' '�, C; � ; �� P.LANNING`& ZONING _, .� % � �� %",' � - -� � SETBACKS � �r�, � ',�� _, _ � - a � ' r. ' � MAIN STRUCTURE �Front � 0-A� 1' �i r Rear 0 �0 "- -" Left` _0;-0`. � Righ,t .� 0- 0� � _ �� ; -� � -��,.. � ..� tilyl-� — _.._ ' .. `t\ .�,� r r� . r� f / ACCESSORY Front ��i��0.� ��`�Rear "-.0 0�'� � ,Left� 0�0 �� ' Right 0-;0%/ �• �'-- . t � � , : 1 ', � ' i , � ; , PARKING Existing: 0��J'Required: -0 , �� Proposed:'� 0' � _ .J��.. � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with ail applicable codes, and all requlred Inepeetiona end tinal approval must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this parmi�. FOR INSPECTIONS CALL: (714) 7545626 �»o o �awi WORKERS' COMPENSATION DECLARATION: � ` I hereby attirm under penalry of perjury one of the tollowing declarations: �,� � . � ❑ I have and will maintain e certificate of consent to self�lnsure for workers' compensetion,�es providetl for by section 3700 of Ihe Labor Code, for ihe peAormance of Ihe foi which this parmit is issuetl. I have antl will maintain workers' compensation insuranca, as raquired by section 3700 of tha Lebor Cotle, For the peAormance of the work for which this permit is issuetl. My workers' compensation Insurance carner and policy number are: l r •Ga¢lar�'-' CT nZ 4 ��""�i P N � /�� L`"f — Z. GO�` ane � um er. or less.) ❑ I certify ihat in the�pedormance oflhe work for w�c ��t'- ermit is issuetl, I shall not employ eny person in any manner'so as to become subject to the workers' ' compensation laws of Calitomia, and a a� if I shoultl becoma subject b the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forihwith comply with these provi ns. AOPI��ptSignatti�a: //�� Dalc a'��' �� 6�Ci 1 WARNING PAILURE TqS U WO(i ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO dJE HUNDRED T}IOUSAND Dq1ARE (§100,000�, IN ADDITION TO THE COST OF COMPENSATIqJ, DAMAGES PS PROVIDED WR IN SECTIIXJ 31O60F THE IABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSE� CONTPACTORS DECLARATION: I hereby aHirm that I am Ilcensed un�fe�pr3 is�ns of C�apter 9(commencing with Section 7000) of Division 3 of the eusiness and Protessions Code, and my license Is in full torce end enecrl�c�a 6 /-aass.s� C' ?`� Lontraaor� :-..- /l i—t LD �� // i> �G Y CONSTRUCTON LENDING AGENCY: �_ ❑ I hereby aHirm that there is a construction lending agency for the pertormance oi the work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lentler'S Address: Signatura: _ OWNER-BUILDER DECLARA710NS: Dete: I hereby afFirm that under penelry of perjury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Busineu and Prolessions Cotle: Any city or county which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires lhe applicant for such permit to tile e signed statement ihat he or she is licensetl pursuant to the provisions of the Contractors License Law (Chaptar 9(commencing with Sectlon 7000) of Division 3 ot the Business and Professions Code) or that he or she is exempt therefrom and the basis tor Ihe ellegetl a:emption. Any violetion of Section 7031.5 by any applicant for e permit subiecis ihe applicant to e civil penalty of not more than five hundred dollers ($500).): ❑ I, es owner of Ihe propeny, or my employees with waqes as Iheir sole compensation, WILL DO THE WOtiK, entl the structure is not intendetl or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not appiy to en owner ot properry who builds or improves ihareon, end who does such work himselt or herself or ihrough his or har own employees, provitled ihat such improvemenis ere not intended or ottered for sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-0uiltler will have ihe burden of proving that he or she did not build or improve tor purpose of saleJ. - ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, 8usiness and Professions Code: The contractors License Law does not epply to an owner of pmperty who builds or Improves thereon, and who wmracts tor such project with a comractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business antl Pmfessions Code for ihis reason: Signeture: Date: Owner ID veritietl by tlriveYs license. ❑ Ves ❑ No Drivefs License No. Ezpires: Verificetion of Ownership by (type of document, i.e. - propeny taa bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation fiva (5) or more tee� in depih into which a person is required to descend, will be made in connection with work authonzetl by this permit, and ihat no building simcture, sceHolding, talsework, or tlemolition or dismantling thereoi, will be more than thirty-sia (36) taet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title 8, California Adminisira�ive Code). ❑ As owneo-builder, I will not employ anyone to do work which woultl require a permit imm the Division of Indusinal Safery, as noted ebove, unless such pereon hes e permitto do such workfrom ihe division. Signature: Date: Division ot Indusirial Safety Permit Numbec CERTIFICATE OF COMPUANCE AND AUTHORVATION OF EN7RY: I certify untler penalry oi perjury that I have read Ihis application antl s�ate I�ai �he information given is correct. I agree to comply with all state laws antl ciry ortlinances relating to building construction, antl authonze representatives of the Ciry oi Cos[a Mesa to enter upon the ebove-described propetly br inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. COpE I. INSVECTIONTYPE ' ' 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof � 207 Final BiocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition . oare � IMRIpLS 2 "19 �ek.� COOE 1 INSPECTION TYPE 206 Final Mechanical 208 210 212 Final Plumbing Final Eleciricel Final Fire Prevention 220 �Final Planning Approval 222 Final Site � � 250 Final euilding/Occupancy CITY OF COSTA M2E�SA CO STRUCTION PERMIT — . Project Address �Ii Applicant's Mailin9 Address y� � Owner'sName �� I ' Phone Addreu ��P/ Arch/Eng. - License No. Address �Contracior's Nam� hone. Address Ir�='�'�g) � ��n � � � City License No. _ � LICENSED CONTRACTOR DECLARATION I hereby a(livm that I am licensetl untle� provisions ot ChartCr 9(commencinq �--- wit� seclion �000) oi Division 3 of tbe Business antl Professions Cotle, antl my license Is in full t c antl etfect. License Class Lice se No.' Date Signature NORKERS' COMPENSATION DECLARATION hereby a/firm that I nave a certiticale o( con5ent to zelf-insure or a certlflcate of Workers' Comp¢nvtion Insurance, or a certltietl covY tnereoi (Section 3000, LaO. �'�` �/_,�'p/1 Company PoI'cy No. i�? I�YX, !ll 1 �Certi/ietl coPy I5 �Iletlbwith,the aty B� in�] v io . �/�� /� Date Applicant � / ��'– (/� EXEMP I N FROM WORKERS' COMPENSATION �ECLARATION (This sectlon neetl not De completetl if the permit is for one �untlretl ($300) or � less). I ce�tify lM1al in [he performance of the wo�k for whiCh this p¢rm�t is issuetl, I shall not employ any pe�son in any manner so as to become subject to the Workers' Compensation Laws of California. Date Si9nature 'NOTICE: Il,after making thiz tleclaration, you shoultl become subiect to the Worke�s' ComOensatiOn provisions of the Labor Cotle, you must fortnwlth comply wilh such provisions or thi5 perml[ sM1all be tleemetl revoketl. • CONSTRUCTION LENpING AGENCV I hereby atflrm that Ihere is a construction lentling a9ency tor the performance of the work for whlch this permit is issuetl (Section 3097 Civ. C.) Lentler's Name Lentler's Atltlresz OWNER BUIL�ER �ECLARATION I hereby afllrm that I am exemot from the Contractor's License Law for the following reasOn (Section �031.5 Business and �Profe55ional Cotle: Any city or couniy which �equires a Oetmit fo construct, alter, improve, tl¢molish or �epair any ztruclu�e, prlor lo Ils i55uance,'also requires the aOP��ant fOr such permit to file a si9netl statement [hat he/sh¢ iz licensetl pur5udnt [o the 0/ovisions ot the Coniractor's License Law (Chapter 9(commencinq with Seclion ]000) of Oivision 3 of the Business antl Pro/essions Cotle) or tnat ne/she is exempt therehom antl [he basis for the allegetl exemption. Any violation o( SectiOn 7031.5 by any aOPlicant tor a permi[ subjects the applicant to a civil �enalty of not more Ihan five huntlretl tlollars ($500). 1, as� owner of the P�oper[y or my emplOyees with wage5 as their Sole compensa[ion, will Oo tlte work, antl the 5[ructure i5 no[ intentletl or olfere0 for sale ($eclion 7044, Business antl Professional Cotle: The Contraclor'S License Ldw tloes not apply to an owner of a property wno bulltls or improves thereOn, and who tloes Such wo�k himself/herseli o� through M1is or he� own � employces, pwvitletl [hat wch improvements aro not intentla0 or otteretl for � sale. If, howeve�, the bulltling or Imp�ovement IS Soltl within ona year of com- Dletion, the owner wlll M1ave the burtlen ot provin9 he/she tlltl not builtl or im- p�ovefor tM1e purpose of sale). ' ❑ I, as owner of the property, am exclusively Contractlng witn IicenseA con- IfdCIOR I0 COIISSIUCI lhC O�Oj2CL ($¢CLIOII i044� B05�0255 dOd PIO/C5510�15 COdB: The Conlrac[or'S LicenSe l�w tlaes no[ apply to an owner of Orope�ty who builtls or improves thereon, antl who contracts lo� such projeGts with a mn- tractor(s license pursuant�to-tne Contractor's Llcense Law). I am aware tnat proof o� their Wo�ket'S Compensation insurance sitoultl be provitletl [o�me. ❑ I am eaempt untler Section B. & P. C. lor this reason Date Owner I hereEy certity that I nave reaa thiz application antl state that the above in/ormation is correct. I a9ree to comply witn all ci[y antl county ortlinances antl state laws relatln9 to builtling construction, antl hereby auNorize repre- sentatives of this city to enter upon the above-mentionetl property for inspectlon P � 2 Si9nature Date �l Drivers' LicenSe or SS $ � to (ill in all svaces exeeo� those within neavy eartler Ilnas antl sign all appropriate tleclxrations. . _.I .... �'2o z 35 � ....._. .._. I -- - I . TVPE OF CONSTRUCTION NEW ADD ALTERATION � O CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRAOING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAI ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sa. FT. oCCVaANCv_ CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VpS. AC0.E5— 0.emarks: Sink Preventer Irrigation Drinking Fountains . Floor Drains � Floor Sinks Gas Service Outlets Incerceptors Kitchen Sink ' Lavatories P–Trop Roof Drains Reinspection Fee � $15 oiler luct - Under Ground Duct � Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting 00.700,000 BTU �100,000 Reinspec[ion Fee � $1b CMF 0865�46, rev. 10/84 White - Builtlinq; Canary - Applicant; Pink - Accountinq; Goltlenrotl - Assessor Service Sink Sewer Cap Sewer Connection $olar Collettors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laundryTrays . Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000eru ❑iao,000eru System Repair/Alteration Fire Dampers Registers Issua Fee FEES A.P. � S Main Building: E T Front AFear C Right K Left $ Ping. Ref. # Planning Notes: Automatic Washer Construction PoleSub. Cookin9 Unit Dishwasher Dryers �Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Swi[ches Garbage Disposal Generator �0�5 KW C eie4 8/06/b5 5.0� 2one Accessory Buildirig: Z O N I N G R Parking Req./Provided E Q � M T S ELEC7RICAL Transformer ❑ 15-50 KW � SO+KW Meter ❑up to 700 amps Meter ❑over 100 amps Sub Panel Motors 00�1 HP O1 %- 8 Inc.Solar �9-15 HP 076- Microwave Pole Light Range I I; Standing Sections 15 KW Trash Compactor FEES $ 3 I �— Reinspection Fee $15 luue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved 6y Date Buildi�g Approved By Date � Application Issued By � Date g' �G �G SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ .'rl� �SSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ ,.,-�\ MECHANICAL $ TOTALFEE $ _.�SL� $ 3 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING � . POOL & SPA _ APPROVALS Permit# Date Inspector `APpROVALS �Permit# Date Insper.tor 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. Electrical Conduit-Undrgrnd. � , 55. Electrical Bonding � 5. Steel Reinforcement - , 56. Rough Plumbing & Pressure Test 6. Electric2l UFER Grnd. � ' 57. APPROVAL TO COVER�GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Dr2ins ' 64. Plumbing System - Final � � 14. Rough Plum6ing 65. Electricaf-Final 75. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough F3ctory Fireplace APPROVALS Permit # � 21. Ducts, in Structure . � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. �Lathing & Siding 77. FIXED SYSTEM 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 80. FOOD CERTIFICATE ISSUED 33. Final EleCtric , � Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plurobing �� (�O 39. Water Service-Final . ' 40. Gas Service�Final 41. Solar pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System � 45. Sound Attenuation _ 46. Handicap Regulations • � 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed , . 49. Electric Release to Edison . � - 50. Gas Release to Southern California Gas Co � ' 51. CERTIFICATE OF OCCUPANCY _ _ , _. � No. Date ' � ' wonEssaeu�wa �10y TlEBRASKA PL amExsxNEiFw�wrccCAMN0�1, PAUi, • • woxessCANNON, MARGARET F ' 3?,09 NEBRASKA PL OSTA MESA,CA 92626979-6627 �. Yuiwo �oo�ss: UNT: � � 2 AqCXIfECTOPEH@IFEN: t1L.N0.: AqCN.Ofl ENO.'9 �DDNE55: UNT: ca+m�c.arswueNOCK PLUMBING (714)895-1246 cwm�croRs�uiwo11612 KNOTT' ST �oo�sxGARDEN GROVE 92841 CA ��,; 7077i� uwr: LICENSED GOMH�CTOPS OECL�P�TION: I hereby ellim uMx paroly d parjury tlw I em lironeed uMs poriaiau d CMqm 9 (carvnercm0 wilh Seclv� )OW) d Divisun ] d Na Bu�imm vd PMuaw�s Code. end mY Gorus u in hA bru erd ellae. crrruc.No.0503$6 uc.cuss:C-36 u� 75 EXP; 02/98 I ome: �� Z � caa.mor. � r OWNEN BUILDEH OECLAp�T10N: I hereby eHmm uMar penelly d perjury ihe� I am xemq /mn the Contryfors lioenee Law la ihe Idbw'vq rmeon 1��^^ )�1.5 &nibsa enE Mdenion+ Code: �mY cry v munry whitli ispu'ues e pemin to mrutruct. eliar. imparo. Ammdiah. ar reper my sfrutryue. p'v b ea ea�e'm. eleo reV�� tM epp'isnt hr weh pmmd �0 5b e �prqE swxnenl Nat M w eM b �ien.ed w�ww m �ne pwuim+ a Ihe can.m«s liceiue lew Icheqer e(comm.ndm .un sseon l000) a U.cim 9 a �he Bve'xros+ aM Prole�siam C.ode� a Ihe� he or eha is e�emq iherelmn enC ihe baso la Ne dbpeC ezemqion, My violalion d Seeun )0�1.5 by eiry epWicent la e permn wEjeda ihe epplicenl �o e iml Ponelry d iat mors iMn live huMreE Edlers �$50011� � I, m ovmer o/ihe poparly a my empbyeec wIh wepea ea the'r ade mmpereetion, will do iM xnrk, enE Ihe eNcwre u� intenEeA «MereC br eab (Sxvion )oU. Bun'rbse vd PMmebna CoEe: TM GoMrmws Lioenea Lew doaa na eppty lo en ownmd pwe�Y wlw buide a inpavea ilwrem md xfio Aom �uch xak h'vnaetl a hene� a WaqA h"v a hm own w^dW�s. D�'b� thet auch CI'CY OP COSTP PIESA — BUILDING PERMI'P PERM NO; F 082211 PERMIT NO: P 082217 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PORPUSE: uTtl JOB DESCRIPTION : WATER HEATER CHANGE OUT SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT x-�t*i�**�c�****��**�x�*��*+�*��**x**it�-***+�*****�ti�ft3t*i�*��t-ieie**�r*�t**it�-et*�***;��*�-** 2 O N I N G R E Q U I R E M E N T S S E T H A C K S ---- ------ MAIN BUILDING — — ------- --------- ACCESSORY DUILDING —-------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN iT6$T: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN PARHING REQ: PROV: PARCEL: 13908218 ZNE: REF NO: PLANNING NOTES> i If !E iF 1E 1E 1E 1E fE if !f 3E IF 1E if 3E IE iF if 1E IE IE 1E 1E iE 1E 1E IE IE fk if iE 1E 1E fE 1E 1E 1F Ik 1E 1f if 1E if iE 1F if 1E k 1E 3E 1E IE 1E iE iE �F 1k 1E fk 1k 1FlE 161k iE if 1E jf ik iElE iElf 1ElE fE iE ik fE D E V E L O P M E N T S E R V I C E 5 A E Q U I R E M E N T S ;,,�p�„w,,.�a;n„b,e'aw�ei«.w.n.na.�.m.wue�«mn�we.aa.�an�„�.r.,,a�pa�.m. ZONING APPROVED BY . o.m«auuw .�m new ma eureen a o��u ns « ene d�d �a dad a Mwo.+i« u,e wmae a wal. ❑ i,no.�..w�"°a�o�m,..�^..a�v�°m�a^u.a^u�m.°�°^°�,"a.ec�.°"°"'°c'°i�°ts°°°^'°".a�°"'s""° BUILDiNG APPROVED BY : Pmiwwne Code: Tt�a Cwvemae L'eema Lew dme na eppfy b en omnr d pW�Y who Wik6 a imV�'ro Ihmean ud �Na convecu In aM� pojecta wiN e mmreaMe) IcemeE punuent to tM Can�mdm lioema lewl. ❑ i.�,�,:,�,p��e«s,n;o,,: e.aa.c..i«w.�: APPLICATION ISSUED BY: *xu**x�x**�*+�*�*x**�t�r� De1e' °wi L EGAL I Z AT I ON ; N I do hmeM' caniN Net 1 em ewera M erd Wen4M iM reCuimname d Cellomie Fleell� xM SdatY COEe Setliwn 25505.?553�. end ]553J, eM the� I a eny lu�ura bwkirp acwpenl will / wll nm (tl�cb pw) neeE to canply wYh eeb 4ela mdm eM tM m�uirememe br epertnilfortaneVu�Mionaryqeifiralionhom�heA'x u�0-TI.�e"epamemDiatricl.ResiEentidconnruabneppAwlianerauemqiiomiheee provisiam. Dete: Mp�d: WONKEH'8 COYPENS�hON DKL�NATON: I MroW elfum uM�r pe�etly d pajury one al IM IdbrMq dedum"vm: � I hew eM xil meiniqn e canJicete d mnaen� io sall+muro M Nwken' mmperue�ion, n prwidd la by Sa�im 910p d tM lebor Code. l« iM prlom�viee d the r.aek la wlieh �Au pemiil ie qaueE. X❑ in....�dw�in:�.An.n•�o�oo�w�.e.��.eeysea�aiaodu.�eae,.i„meron��am. wwk lu Wiidi tlue Dxmil o iannd. My wvl<n' oom ion mwraMe'aris end D� Y�umba me: cd,:,: GO%DEN EAGLE EXPIRES vary r�e� 0 9/ O 1. / 9 7 (ihia secfiwr nesd irof 6e ewnplered / IM psmil ie M me huiMieJ Edbn /.St00J nW.) � I mnry ihm in Na peAormerce d tM work br whch t�ie pem�il ie ieaid, I eheA m� smpby vry p«ean in em� maninr m m to Eecm�e wEjad to Ihe xorFcs' mmpmee�bn 4xa d Ce4lomie. Uut i Mwk Eecmna wbjetl b IM xoM1se' � canpenWion bu d� 3]00 d IM laba Code. I ehd/ I��nh '�npf� nM1 s povieione. ?5 �3 t I i�Z_ � • oma: nod��: � W�mInO� F�llun ro�xen woAra�' compawHon rov�rp� b un , anJ tlulbubHcl en xnplopr ro u1Mm1 p�ulHu �M e�w nr�s. w ro on. nwdr.e rnou,.m ed�,n ls+n4aoaA M.eainan ro m. eo,e or mnw.n..ran am.w .. vAvm.d ro. m Ssctlon J1P6 oI tM La6q� COGe, Infw( �nd ettomyY /w. CONSTIIUCf10N LENqNO PGENCY: I MnW e�fum uMv G�elY d perjury IMI IMn u e mrm'uqon Wd'vp epe y br iM pMormvim d iM xM fq �� prmi v easd (�� . C'v. Cl. LENOEH'S NM1E: LQlOER'$ ADDPE55: I cenJy tlw I Nw �eaE Nb eppl' mion md aels �he� the aEwe iNvmmian e coma. I ep'm to comply M'n� NI ary W mumy ud'vienme uW atas lewe Me�Yq b MNEM m�udm dd hmaby eWar¢e npesentaliv» d Ihu M' lo amx uD� Ihe ebon-men�iawd CWenY �«�ro°°`�""°�'°�tON NOCK ,N� `� l�< <� �, o�, Sqra�ure d UviMl�pe�VAppYunUCm�reea (SIS1�aB.WP) Whna-BuikiqbSelery:O�aen-Fb:Cwuy-�ppirant:Rnk-Wrewe:Mdenrod-A�aesav BLDG PMT PLUMBING ERMIT' 11.00 25g LAN SSUE FEE UILDING–DZV–> OTALS----> F E E S U M M A R Y ELECTRIC MECHANIC 22.00 PERMIT ISSUE PLAN–CHECK 11.�� ?Z.OQ �.�� DATE: DATE: 7 � DATE: J� 3�' lZ ��iFiF fE iE IE �E IF 1ElE iE 1E iE��FiI'1(-iF iE k STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON–RES TOTAL PAID DUE 33.00 3J,00 .00 \ ENUE DIVISION TOTALS--> COLLECTED: 33,00 OVER/SHORT: 00 BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK 33.00 iF If 1f iE 1F iF # if�lE iE 1f iE Ik 1f 1F 1Elflf-1E fE If iE 1E 1E iF i(-iE iE 1f 1F �E 1f iF iE iE 1E iE 1ElE -0E -0E iE 9E 1f iF7E 1E 1E 1f iE iElElE 1E 1F iE iE 1E iE'k 1E 1f !E iE iE iE f(� �F 1E 1E �F 1E iElE 1E iE I N D'i V I D U• A L �• F E E B R E A K D O W N E QTY D E S C R 1: P T I O N, UNIT COST TOTAL COST U 1 WATER HEATER AND/OR VENT END OF FEES E�{p?j ED Incomplete nspec .,t6 �a3J--q -5�� 11.00 11.00 ��q.. <,�� ''�. �., i [^�:.� � ' � tc_.Z �r.:e :_i ' �1 S � � ! . MAR 311397 i";,� cin oF casr�� NIESR � �pNSTRUCTION AND PLANNING PO�L & SPA ,APPROVAIS Permit# Date Inspector pPPROVAIS Permit# Date Inspector � t. Temporary Electrical_ Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-U�d�grnd. 53. Steel Reinforcement 3�. Electrical Conduit Utility•Undrgrnd. � 54. Forms 4. Electrical Conduit�Undrgrnd. - 55. Electrical 9onding 5. S2eel Re�nforcement, 56. Rough Plumbing & Pressure Test 6. �Iectrical UF£R Grnd. � 57. APPROVAL TO COVER�GUNITE 7. Footings - � 58. Electrical Cqnduit-Undrgrnd. $, Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor SVstem 61. APPROVA� T1� OECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � �Z. SeWe� Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plum6ing System - Final 14. Rough Plumbing 65. Etectricat-Final 15. Rough Electrical�Conduit � � 66. Solar SVttem�Final 16. Rough Electric Wiring 67. Fencin9 & Access ApprovaY 57. Aough Wiring Sign , 68. APPROVED FOR PLRSTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning , FJRE.DEPT. REQVIREMENT 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, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI 25. Roof Sheathing : 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � � 75. Dry Chemical • 27. Frome and Flashing � 76. Dry Standpipe 28. Lathing & Siding . 77. FIXEDSYSTEM FINAL 29. Insulation - � � 78, FIRE PREV. FINAL 30. Drywall Nailiog �- - �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - ' 79. FINAL VNSPECTIOK 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE tSSUED 33. Finai Electric " ' Notes: � ' � • 34. Final Heating & Air'Condition'rng . ; , �� c, ��Q� 35. Final Gas Pipe�Test � � � 36. Hood or Canopy � . � . � 37. Final Factory Fireplace - � 38. Final Plumbing .. � � 39. Water Service�Finai •- - 40. Gas Service-Final " - . 41. Solar pomestioFinal � - 42. Backflow Preventer ' . 43. Bdckflow Irrigation . 44. Landscape Irriqation System . , 45. Sound Attenuation � � 46. HBndicap Regulations � � � � � , , . .' 47. FINAI. STRUCTURE & BUILDING � ' � ' ' 48. FINAL PLANNING , , 49. Electric Release to Ediso� � � 50. Gas Release to Southem California Gas Co 57. CERTiFICATE OF OCCUPANCY No Date � Applicant to till in all spaces excep� those wit�in heavy Oo�tler lines antl sign all appropriate tlecla�ations. CITYOFCOSTAMESA CON TRUCTIONPERMIT PER N�S�� TRACTNO. LOTNO. UNITNO. Proiect Address' A licant'SMailin dIe55' � TVPEOFCONSTRUCTION NEW �ADD ALTERATION REPAIR PP 9 ,��,�,;��'� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Phone �� A�P� � DESCRIPTION OF WORK/USE OF BLDG. Address Arch/Eng. License No. Address Contractor's Nam �ne 8 Address (ma I" gl ��h � �J1C/C� � City License No. LICENSEO CONTRACTOR DECLARATION I hereby atti�m tha[ I am Iicen5e0 untle� p�ovisions of Chartet 9(mmmencing with section 7000) of DiviSion 3 oi Ihe Business antl Prote55ion5 Cotle, antl my license is in f I ce antl efiect. � . LIC205 Qd IC OSC �.te � Si9nature SRKERS'COMPENSATION DECLARATION nereby affirm that I have a certificate of consent to self-insure or a cer[tficate oi Workers' Compensation Insurance, or a certifletl cof y thereof (Sectlon 3800. Lab. �y]/^�� fj �J� � PolicY No. �'% L> d ComPanY � j��t� ❑ Certitietl copy Is hereby furnlshea. Q�Eer ietl co is tiletl with the clty� i99�j� n. /i / Date " APPlicant�[ �f�� EXEM TION��FR�_RKERS'COMPENSATIONDECLARATION (This section neetl not be completetl i( the permit is fo� one huntl�etl (3300) or less). I certify that in ihe Oerto�mance of the wOrk fOt whlch thls Oe�m�t is i55uetl, I shall no[ employ any person in any manner so az to become subje<t to [he Workers' Compensation Laws o( Califomia. Date $i9nature NOTICE: If, after making this tleclaration, you shoultl become subject to the Wo�ke�s' Compensalion provisions ot the Labor Cotle, you must torthwi[h comply with such provisions or this pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV i hereby atiirm tnat there is a construction lentling agency for the Aer(ormance of the work for which this permit i5 i55uetl ($ection 309] Civ. C.) Lentler's Name Lentler'S AEtlress OWNE0. BUILDER DECLARATION I he�eby aftirm that I am exempt from the Cont�actor'S Lic¢nse�Law for the foliowing reason (Section 7031.5 Business antl Professional Code: Any ciry or county wnicn requires a oermit to construct, alter, Improve, Aemoliin or repair any structure, prior to its is5uance, also �equires ttte applicant fo� such permi[ to file a signetl statement that he/she is licensed pur5uant to the provisions ot the Contractor's License Law (Chapfer 9(commencing with Sectlon 7000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt therefrom antl the basis for the alleged exemption. Any v101ation of Section 7031.5 by any applicant for a permii subjects the apPlicant to a civil �nalty of not more than five huntlretl tlolla�s ($500). I, as owner of the property or my employees with wages as their sole mmpensation, will tlo the work, antl the structure i5 not intendetl o� otferetl for sale (Sec[ion 7044, Business antl Protessional Cotle: The ConVactor'S License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work himself/herseH or through his or her own employees, provitletl tM1at such improvements are not Intentletl or offeretl for sdle. If, howeve�, the builtling or improvement is Soltl within one year ot com- pletioq the owner will have the bu�tlen of proving Ite/she tlid not builtl or im- �tOve tor the pu�pose of Sale). I_I I, as owner of tbe property, am exclusively contractinq with licen5etl ton- tractors to construct the project ($ection 7044, Business antl Protesiions Cotle: Tne Contractor's License Law tloes not apply to an owner of property who , buiitls or improves thereon, antl who mnVacts for such projects with a con- Itractor(sl license pursuani to tM1e Contra<to�'S License Law). I am awar¢ that proof of thei� Wo�ke�'s Compenzation insu�ance shoultl be provltletl to me. I❑ I am exempt untler Section B. & P. C. for [M1is reason Date Owner I hereby certify that I have reatl tnis application antl state that the above intormation is correcL I agree [o Compty wlth all Gty antl counry ortlinances antl state laws relating to building construction, antl hereby authorize repre- sentatives of Ihis cily to ente� pon the above-men[ionetl property for inspection puyR9{es�/�//�,J Signature NL�:�/ �(iC � � 5 Main Bwld� TYPE OF PERMIT ❑ GRADING� �FOUNDATIOrv S7RUCTURAL T Front �❑ TENANT ❑ ELECTRICAL Ld'{�LUMBING ❑ MECHANICAL 8 R¢2f ❑ OTHER p` PROJECT DESCRIPTION SQ.FT. OCCUPANCV C Right K Left CONSTRUCTIONTVPE VALVATION$ $ ZONE GRADIIVG CU.YDS. ACRES p�ng. Ref. # Remarks: �� Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service DUL�C[5 Interceptors Kitchen Sink Lavamries P—Trap Roof Drains Reinspectian Fee � $15 Boiler Duct-UnderGround Duct - S[ructural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,OOOBTi Reinspection Fee � $�5 iF 0865-46, rev. 10/04 White - Builtlinq; Canary - ApplicanL Pink - Accounting; Goltlenrotl - Assessor ShoWerS Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Cbset Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑4100,000 BTU ❑100,000 BT System Repair/Alteration Fire Dampers Registers Isue Fee FEES Automatic Washer Cons[ruction PoleSub. Cooking Unit D ishwasher Dryers ❑Gas ❑Electric . � Zone Accessory Building: Parking ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0�5 KW �5-15 KW Meter L'Jup to 100 amps - Meter ❑over 100 amps Sub Panel Motors �0.1 HP 01 %- 8 . Ina Solar �9-15 HP 016-75+ Microwave Pole Light Range Standin9 Sections Trash Compactor FEES $�—Reinspection Fee $15 Issue Fee �$ 3 FEES DEVELOPMENTSERVICESREQUIREMENTS: . Zoning Approved By Date Building Approvad By Date Appliotion laued By Dat $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES ' BUILDING PERMIT $ SMIP $ PLAN CHECK $ � PERMIT PLUMBING $ � ISSUANCE $ � P�AN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING - $ � PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTA�FEE $ ��— PLAN CHECK 25% $ i1GTC: • 1�.q'I CONSTRUCTION AND PLANNING . POOL & SPA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary�Electrical.Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms Ci ��. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-CsUNITE u� 7. Footings �� 58. Electrical Conduit-Undrgrn�d. 8. Foundation t�' 59. Gas Pipe, O Undrgrnd., Test i. 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. :; 10. Structural Floor System 61. APPROVAL TO DECK ' i'_t 11 . Property 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 Electriral-Conduit � 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. P,OO VSPA 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 OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro _rc,_ ' 26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � i 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r. 31. Plaster Brown Coat 79. FINAL INSPECTION 4 � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �{� 33. Final Electric Notes: „� 34. Final Heating & Air Conditioning `' 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � . ' . 38. Final Plumbing �l3�iT LEQ ' . ' 39. Water Service-Final � 40. Gas Service-Final • � � 41. Solar pomesticFinal - � . �: 42. Backflow Preventer . �ly� 43. Backflow�lrrigation - hj 44. L.andscape Irrigation System . ., • � �� . a 45. Sound Attenuation • . ' �y� � 46. liandicap Regulations � " �� 47. FINALSTRUCTURE&BUILDING ; � � 48. Special Requirements Completed � ' ,` 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co " . 51. CERTIFICATE OF OCCUPANCY � No. Date ; �1 OWNER �gy G�g�p JOB ADDRESS �pq Nebars] GENERAL CONTRACTOR Owner• 'kP No.1�9-082-1Q LOT 24 INSPECTION$ SOIL •GAS W ATER ftOUGM PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONOITIONING TEMPOfiARY SERVICE OR POLE UN�EftGR0UN0 � POWER � ROUGH WIRING TRENCMES � FORMS STEEL REINF FLOOR SYSTE BON� BEAM � STEEL REINFORCE ❑ SHEATNING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING. VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AN� GAS TEST � ELECTRIC, FINAL BUILDING, FINAL DATE 1+_9_69 BUILDING PERMIT N0. 2 E ZONE VALUE $ 1,000.00 SUBCONTRACTOR ' ' 299�G APR 10-69cnsn00 438 v****10.00 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fi/l in Comple[ely / FEC v ogT,e _ ejv oq�T� �s�yeq � BVIIDING y !� y y.,-4� ADDRESS O B � � G �i Q�/ OWNER " i( A.P. NO. �3 � DO i�'� �Q PE�I�( �L � MAIL L BVILDING -�^ %��.,,� AOORESS� �% Q // ADDRESS31`-'�O� tiL✓.� Z � . '/ d U CITV NO,�'�/�f= G TRACT 3 LOT.�7 BLOCK Z Q CONSTRUCTION � W A A P O N LENDER 2 �"` _ BRANCM � OWNER 'A m J ADORE55 'VALUE p�p J m ARCHITECT TEL 5 3 a OR ENGINEEF N ZQ FIRE � w� ADDRESS 20NE TY E ROU - a w APPqOVED W Z CONTRACTOR �/E� BV � DATE J Q m % J � ADDRES L� / S ! w w TEL. ZON NO.OF USE OF NEW �� O= C�T,, N� � PLAN$ � BUILDING Z H � STATE CITY VARDSAPPROVED VARDSAPPROVED y� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING 7O /- (FROM'C/.�LySTFE T), OF LOT w� � � O U NOW ON LO qOfYTLU� � F� �' FT. USE OF EXISTING BLOG. FT. FT F' SIZEOF NO.OF �'� � Z NEW BLDG. ROOMS STORIES L SIDE FT. FT. a EMERIOR WALL ROOF ��, COVERING COVERING REAR FT.�D FT. USE g BU D G AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & °� G ' MAIN BLDGS. ACC65. BLOGS. a Q VAR. # DATE O ///�� C.U.P.qy+ r' APPROVED y / APPROVED//. _ / L W /g Z O UI h¢raby acknowlatlga that 1 have reatl this application antl stata � thet the ebove intormation is correct antl apree to comply with � all laws .egulatin8 buildin8 �onsiruction, en0 I shell not employ F any person in violation of the workmen's compensation laws of y the Steta af California. m b z1 horeby cer[ity that I am p�ope�ly licensatl as a tont�ec[o� untl¢r $�. FT. p tha Steta ot Californ(a Business ond Professions Coda, Dlvislcn 3, TH AMOUNT SHOWN UNDER VA�UATION IS FOR ^ Chap[er 9, antl Nat sut� licenzes ere In tull force antl effoct, or I THE GURP06E OF ESTABIISHING A PEFMIT FEE ONLV: b em ezBmpt flOm t1�e plOvI510n5 Of [hB St8[B O( COIIfO�AIe Bu31�8E5 ¢ end Professlona Co e, ivision 3, Cha 9, V ALUATION %/ N P "� � PERMtT FEE S v'� ] SiB�aturaof //�)l1,/ � m Pe�mlttee S./ ��L�� PLAN CNECK $ E Authorizatl Apont \, /� / u TOTAL FEE 5 �or 24 - TRACT 3625 .--. ' � f � COSTA MESA BUILDING-SAFETY DEPARTMENT ' P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applitani io Fill In Complefely � TYPE OR PRINT BUiLDING 320� NEBRASKA PLACE ADDRESS COSTA MESA, CALIFORNIA oWNert KENKOL CONS7RUCTION CO. MqIL t555 P� �ENTIA {1VENUE AODRESS r.irv NEWPORT BEACH un�'iI 6-�Zi K.W. tt01-L � CONTRACTOR ADDRESS �555 PLACENTIA AVENUE NEWPORT BEACH GITY �� No. 6>>95 TNO. MI 6-3zz7 6cZE NO, OP BLDGB. ,.r S6. Z� X � OO I R R E G „,,, ,,,, .„_ O BBTBACK YN8 PNOM GO � zO � cerview ov eiHeei J REAR YARD r�, 6� SIDE YARD I LEFf l R�GHT DESCRIPTION OF WORK uew I X II e� rceerrora I II aoninnu I "'�"" 15tS5 sF 'ERIOR WALL STUCLO /eRING ' OF BUI ING AND�✓ C INGLE- AMILY ttE M� 6 �_,.o,�= t ACHED .{�� - • �. '� ;� � ,�� 1!�� tu�lu , �u- rJ .�� S-i3-6c �IiVl;il�Cf: �;�.':, CITY �' ;OS?A �7E�A APPLICATION FOR PERMIT BUILDING `."""..... For Offiee Use Only NfiCEIPT NO. _ _ PGHMIT_NO. BUILDING CASTA MESA. CALIFORNIA APPROVED ZONING zoNe No. or u6e oP new I � ' PLAN9 DUILDINO � T N.G1 �o.� ��- Ta oeacrtivrioH � ) A. P. NO. YARDS EVES APPROVED ALLOWED ICHNTBP LINB 9T.) _ 0 1 H8R3GY ACKNOWL6D0 THAT 1 HAVH R6AD TXIB APPLIGTION TH6 �MOUNT BHOWN UNDER VALUAT�ON IB �OR TM¢ AND OTAT6 TNAT THB/A VE IB CORPECT AND �OpHE TO LOM- PUPVO68 OP HBTABLI9HINO A PEPMIT P8E ONLY. PLY WITH ALL CIT,Y��O�tDI ANCE AND 9TATH 1N p¢GULATINO Bu�lolNo CONe �ucn VALUATION +�/ SIGNATURE O � �'ERMIT FEE f J(!/'� PERMI7TE � S /`�J � � J PLAN CHECK $ /�� AUTHORIZED 0