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Home My WebLink About3351 NEVADA AVE - Building PermitsApplicant to fill in all soatts except those F COSTA MESA CONSTRUCTION PERMIT Address 3351 Nevada St � ppllcant'sMailingAddress 126 Commercial •Way C.M. 9262 Owner'srvame - Mike Blazek Phone 6%3-0300 � add�ess ��51 Nevada St., COSta Mesa� CA 92626 Arch/Eng. � License No. � i Address � Contractor'sNameS�" rnc Rnnfinn Cri.a 54R—SS( hone Addr¢ss Imailing� _IZ6 COff1IflETCla1 � C.M, 92627 i City �icense No. 005993 � _ IiCENSED CONTRACTOR DECLARATION � I hereby af(irm [hat I am licensetl untle� proVisions of Charte/ 9(comm¢nCin wi(h Secfion 700p) ot Division 3 of th¢ Bu5iae55 ahtl Protezsions Cotle, an ' my license is in tull torce antl effect. ticense ciass C-39 ' uce�se �86% Oate�('J. � � Si9nature I WORKERS'COMPENSATION ARATION � � I hereDY a�firm thai I have a rti ' ate of conzent to zel(-InsuYe or a Lerti(icate 1 of Workers' Gompen5ation rance, or a certitletl WOY?hereof (Section �\ 380�, Lah. C. � aoi��Y rvo. W� _53G24�2�— comca�y Fremont'Indemnitv � EMVTIO C FR15 hWORKERS aCOM�rN5AT10NrDEC��fI��- (TM1is zection neetl not be completed ii the permit is for one huntlretl (5100) or less). 1 cerPdy that 'm the performance of tne work for which this permtt I5 insuetl, 1 shall not employ any person in any manner;so as to become subject to the Workers' Compensation Laws o( Californla. Date Signature ° - NOTICE: lf, aft¢� making this tl¢cla�ation, you Shoultl b¢come SUDjecf to.tfie Workers' Compensation provisions of the Labor Cotle, you must forthwitlt comply with such p�ovisions or.tnis p¢rmit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 herebY affirm tha[ there is a construction lendin9 agency fonthe per/ormance of the wo�k fo� whith this pe�mit is i55uetl. (Section 309] Civ. C.) LentleY's Name Lende/'S Atltl�ess. ' OWNERBUILDEq DECLARATION I hereby affi�m Ihat I�am eaempt trom the Gontractor's LicenSe Law tor the following reason (Sec[ion 7031.5 Business antl Professional Cotla Any ciry or � counry which require5 a pe�mit [o const�uc[, alter, irr�Prove, demolisn or �epart any sVuchre, prio� t0 I[5 i55uance, alzo requires the a001icant to� such permit to file a signed stdtement that he/she is IicenSetl pur5uant to the provisions of the Contractor's License Law (Cnapter 9(commencin9 with SecUon 7000) of Division 3 of the Business antl Prolessions Cotle) or that He/she is exempt th¢refrom antl the Dasis fOr the allegetl exemPtion. A�Y violation ot Sectio0 703L5 by any applicant for a pe(mit subjec(5 fhe apP��ant to a<iv(� �enalty of not more tnan tive nuntlred tlollars ($500). 1, as owne� o( the� pro0erty Or fnY employe25 with wa9e5 as th¢ir sole . wmpensa[ion, will tlo th¢ woYk, antl the structu�e is not Intentletl o� offereA tor ule (Section.]044, Busineis antl Protesswnal Cotle: The Conbac[or's License law tloes not apply to an owner of a property who builtls or improves , thereon, antl who does such work himself/herself or tnrougn his or her own emploYees, provitled that such �mprovements are not intentletl or offered for saie. If, however, the builtlin9 or improvemeni is soltl wit�in one year of com- Pletio0, the owne� will have the burtlen ot prOvin9 he/she Cia nol build or im- prove for tne purpose of sale). ❑ 1, a5,owner Of the P�operty, am ezclusivelY contracting with licensed wn- IraCtofs[O con5t/uctthe projecT (Section 7044, 6u5ine55 antl Profe55iOn5 Cotle� The Concra<tor's �icense �aw tloes nat appb to an owner of property who ' builtls o� Improves Mereon, antl who cOntracts for such p�ojects with a con- tractor(5I hcense pu�suant to Ne Contractor'S License Law). I am aware tha[ Oroof of their Worke�'s Compen5ation Insurdnce shoultl be Provid¢tl to me. ❑ 1 am exempi uotler Section B. & P. G. for chis reason Date Owner _ I hereby rertity that 1 have reatl this Iniormatlon is cort L I agree to comp dntl state laws rel i g to bulltling coq sentatives of' thi it �y to enter�ry ]F CONSTRUCTION LJ NE� CONVERSION ❑ DEMOLISH iCRIPTION OF WORK/USE OF B heavy Oortler lines anC si9n all a00/oPriate Qecla�ations. d0. � LOT NO. UNIT NU. J ADD �X1'ALTERATION LJ REPAIR� OTHER TYPE OF PERMIT LJ GRADING LI FOUNDATION Ll STRUCTURAL ❑ TENANT ❑ ELECTR�CAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECTDESCRIPTION $Q.FT.I��ZOE) oCCUPANCY� CONSTRUCTIONTVPE T'�1 °'^t� � 'VALUATION$__.2,.�5�.7 .ZONE GRADINGCU.VDS. AGRES_ Remarki Bar Sink Backflow Preventer Backflow Irrigation Clarifiers - Dishwasher - Drinking Fountains Floor Drains Floor Sinks Gas Service 'Outlets InterCeptors . � Kicchen Sink Lavarories P—Trap Roof Drains ReinSpaMion Fee $15 Boiler � Duct - Under Ground � Duci - Structurel Ducc � Ventilating � Exhaust System ❑ Multiple ❑ Firepl(Fxt.BIt.ICBO# � Heatin9 System & Ducting ❑ 47 00,000 BTU O 100,000 6T { Si9nature ! /��!' � Date� V " .�/� !1"' I I ReinSpaction Fee � ` I $75 I�rivers' Lic n or 55 � Pink - Accounting; Goltlenrotl - Assessor Showen . ' .- Service Sink Sewer Cap ' Sewer Connection Solar Collectors Solar Pipin9 SolarTank ' Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Weih � Issue Fee Hood or Typel ❑ Canopy .Typell ❑ Refrigeration System ❑�-t00,�008TU ❑100,a�0 System Repair/qlteration - FireDampers _ Registers ' luue Fee FEES $ 3 $ 3 A.P. # S Main 8� E T Front 8 Rear A C F7iglit K g Left ping. Ref. # �� n9: � Automatic Washer Cooking Unit- � Dishwasher '. ' Dryers �Gas. DElei Fan F.A.U. Fixtures Device Boxes Outlets Switches � -- Garbage Disposal Generetor �0.5 KW I ; E 15KW f • 5671 10/21/B6 j Zone Parking Transformer �] 15-50 KW ❑ 50+KW M¢ter ❑up to 700 amps Meter �over.100amps � Su6 Panel �� Motors �0-1. HP � 1'/: - 8' Inc.Solar 09-15 HP �16-15+ Microwave . Pole Liqht Range � Standing Section Trash Compactot � Reinspectian Fee . � $15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Applintion luued By � FEES $ 3 Z O N I N c R E Q M T S SUMM Y�o7 F FEES � BUILDING PERMIT $ �V � SMIP � $ -� � � ' PLAN CHECK $ PERMIT ' . , PLUMBING $ �SSUANCE _ $ , , PLAN CHECK 25% S ENEfiGV P.C.� $� ELECTRICAL $ GRADING $ � PLAN CHECK 50°.6 $ MICFOFILM $ � � MECHANICAL $ TOTALFEE $ �� PLAN CHECK 25% $ � • CONSTRUCTION AND PLANNING � POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspecto i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms� � 4. Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding . , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE _. 7. Footings 58. Electrical Conduit-Undrgrnd. �� 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Urtdrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater-& Vent-Final 13. Roof Drains 64. Plumbing System - Final 14: Rough Plumbing 65. Electrical-Final i 15. 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 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. 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. Eleccrical 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 . 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 �`�B b 48. Special Requirements Completed � 49. Electrie Release to Edison _ 50. Gas Release to Southern California Gas Cq . 51. CERTIFICATE OF OCCUPANCY - No. Date O 3 z AOP��ant to �i11 in all spaces excev< <hase within heavY bortler lines ana sign a11 approoriate Oeclarations. CirY 4F coSTA MESA CONSTRUCTIOqN PER,MfIT P RMIT N00. � TRACT NO. LOT NO. Urv�. 3225 ��eoie5. ;;�c T Project Address � � � /%�'��ilf� l� //C� _�� _ ApplicanYs Mailing Address � TVPE OF CONSTRUCTION NEW /aDD , ALTERATION REPAIR / � ❑ CONVERSION ❑ OEMOLISH ❑ OTHER q,p, # ZonB Owner's Name ^ 2 `� �� DESCRIPTION OF WORK/USE OF BLDG. S Main Buildin � Accessor Buildin Address �S�`�'�Q ��=��n� 9' Y 9� Arch/Eng. License No. TYPE OF PERMIT GRAOING T ' ' p ❑ FOUNDATION STftUCTURAL Front Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear � N /� ❑ OTHER Contracror's Nart�p 0 ��r .�_/ =ia S'��/A'/�/ne�,i�7-2Si� , - ' C Right � � � N Address (mailing) (�oo�� A�EST �,� . PROJECT DESCRIPTION 5c?: Fr. oCCUParvCv CONSTRUCTIONTVPE VALUATION$ S Left G City Lic2n5¢ NO: �1 n l0 �,5 ,� ZONE GRADING CU. YpS. ACRES R LICENSED CONTRACTOR DECLARATION ' Ping. R¢f. # Parking Req./Provided E 1 hereby affitm that 1 am licensetl untle� provislons o( Charter'9 (commencing Remarks: ' . ' Pl2nniny NOtes: ' M with section ]000) of Division 3 of the Business antl Professions Cotle, an0 T my license is in tulf lo e antl e tect. License Class � lic No.��r��3 � S Date ��,<�Signature � PLUMBING FEES ' WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I h¢reby affirm [hat I have a rertificate of consent to selt-insure o� a certi(Icate oi Workers' Compensation Insurance, or a certifietl copy thereot (Section Backflow�Preventer Service Sink - -' '" " � 3600, Lao. cJ / Automatic Washer Transformer ❑ 15�50 KW Policy No. D�� (� Company �� Backflowlrri ation SewerCa ' . � 50+KW 9 P Construction Pole Sub. Certifietl copy is hereby tumishetl. . - Certifie op a f with the B ,ri,ltl�in Divisi Bathtubs Sewer Connection Cooking Unit i Meter ❑up ro 100 amps ate APPIic�J�i/�!'4� ��/%��/� � EXEMPTI N_—�RKERS' COMPENSATION DECLAftATION Cldrifier5 SOId! COIIeCtOrS Di5hWa5h¢r '' Met¢r ❑Over 100 amPs (This sectiomneetl nat be completetl�if the permit is for one huntlretl (E100) or � - ` � lezs). Dishwasher ' Solar Piping �Dryers ❑Gas �Electric Sub Panel I certify tha[ in th¢ performance Of tlte wo�k fo� wlticM1 this pe�mii is issuetl, I shall not, employ any person in any manner so as to become subjeci to the Drinking Fountains Solar Tank Fan Motors �0-1 HP 01 `h- 8 Workers' Compensation Laws ot Calitornia. . Date Si9nature Floor Orains Swimming Pool w/Spa F.A.U. Inc.Solar 09-75 HP 076-15+ 'NOTILE: If, afte� making this tleclaration, you snoultl become subject to the '',� , Wotke�s' Compensation provisions of the Labor Cotle, you must forthwith FIW� Si�kS U�inal�� i; - ' FixtU�¢s ' comply with such p�ovisions or' this permlt 'shall be tleemetl revoketl. MicrOavdJE CONSTRUCTION LENpING'AGENCY ' � G25 S2NiC2 Outl¢t5 Wdt¢f CIOS f- D¢viC¢ BOx25 POIC Li ht � 1 hereby aftlrm that there is a construc[ion Ien0ing agency for the performance '�l 9 of tM1e work for which this pe�mit is issued (Section 309] Civ. C.) IOt¢/C¢pt0�5 Wdt¢� H¢3t¢� ��^ v �UtIEtS Ran9e ' Lentler's Name. Lentler's Atltlress ' KitChCn Sink Wdt¢f SCfvice � Switch¢S OWNER,BUILDER DECLARATION ' Slgn I hereby atfirm that 1 am exempi from the ConGactor'S License Law for the Cavamries AutO-WdSh A Gar6age Disposal ', $L2nding SeCtiOnS tollowing reason (Section ]031.5 Business antl Professional Cotle: Any clty or � counry wnich requires a permit to construct, alter, improve, demolish or repair P—Trap Laundr Tra s / any structure, prior to its issuance, also requires the applicant for such permit Y Y Generator �0-5 KW �5�15 KW Trash Compactor to file a signetl statement that he/slte Is licensetl pu�suant to the prOvisions ot ROOi D�dins the Contractor's License Law (Chapter 9(commencing wiro Section 7000) of � Division 3 ot the Business antl Prote55ions Cotle) or that he/she is exempt �� lhere(rom antl Ihe basis for the alleqetl exemption. Any violation of Sectlon ]031.5 by any ap0lican[ tor a permit subjects the, applicant to a civil �enalty ot not more than five huntlretl tlollars (y500). 1, as owner ot the property or my empioyeez witFi wages as their sole AeinspBction Fee $15 ISSue Fee $ 3 � comp¢nsation, will'tlo the work, antl Ue slructure is no[ intentletl o� otfe�etl Reinspection F¢e $15 ISSue Fee $$ for sale (Section 7044', Business antl Pro(eszional Coae: The Contractor's MECHANICAL FEES LicenSe Ldw tloes not apply to an owner Ot a p�operty who builtls or imp�oves thereon, antl who tloes such work nimself/herzelt or mrough his or her own ' � DEVELOPMENT SERVICES REQUIREMENTS: emoloyoos, provitletl that sucn improvements are not intentletl or oHeretl /or Boiler Hood or Type I ❑ ' ZoNng Approved By Date � ' sale. If, however, lhe builtling or improvement is soltl within one year of Com- CanOpy Type II ❑ � pletion, lM1e owner will have the bu�tlen of p�oving he/she tlid not builtl or im- DUct- Und2� Ci�Ound Building App�oved By Date ' prove for the purpose ot sale). . /�� ❑ I, as owner of the property, am exclusivery contracting with licensetl con- Duct-Structural Refri9eretion System Application Issued By �;glGl�� Dat � tractmsto construct the project (Section 7044, Busine5s and Profession5 Cotle: � The Contractor's License Law tloes not apply to an owner ot property wno Duct- Ventilating ❑0-100,OOOBTU ❑100,000 BTU SUMMARV OF FEES builds or improves thereon, antl who contracts for such projects with a con- � va<tor(s1 license oursuant to tne Contractor's License Law). I am aware that BUILDING PERMIT $ SMIP $ Exhaust System ❑ Multiple ❑ System Repair/Alteration proo( of their Worker's compensation insurance shoultl be provitletl to me. PLAN CHECK $ PERMIT ❑ I am exempt untler Section e. & P. C. for this reason Firepl(Fact. BIL ICBO �I`- Fire Dampers PLUMBING 'Jr •� ISSUANCE $� � Date owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. $ i nereby rerdry that i nave read this appiication antl state tnat the above ❑0.100,000 BTU �100,0008T ELECTRICAL $ GRADING '$ information is correct. I aqree to comply with all city antl county or0inances � antl state laws relating to builtling construction, antl nereby auihorize repre- . PLAN CHECK 50% $ MICROFILM $ sen[atives oi this city to er upon the above-mentioned propert for inspection pur o . MECHANICAL $ Si9nature ""'"�'� � �ate . TOTALFEE $ �� Drivers' License or 55 Reinspaction Fee $15 laue Fee $ 3 ' PLAN CHECK 25% $ :MF 0865-46, rev. 10/84 - Acrountin9; Goltlenrotl - Assessor -,_ � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector I •1.�Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2.� Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bondinq 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test . '�6. Electrical 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, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' 11 . Property Sewer Line & House Connection 62. Backwash & ReceptorFinal 12. Sewer Cap 63. Heater & Vent-Final 13. Roof�Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Sar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # - 21. DuctS, �n Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Freming 73. Undergrnd.StorageTank OGas ❑Oil . 25. Roof Sheaihing - 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 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Elect�ical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notr.s: s'/d//�S �.�FT'CqfLt� U C,c• 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing $�Z+(�� GkJ 39. Water Service-Fi�al 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � 43. Backflow Irrigation � - 44. .Landscape Irrigation System � � 45. Sound Attenuation 46. Handicap ReguVations 47. FINALSTRUCTURE & BUILDING . � 48. Special Requirements Completed . , ' � 49. Electric Release to Edison - � , ' � � 50. Gas Release to Southern California Gas Co ,. 51. CER7IFICATE OF OCCUPANCY � Nn. Date � � s \ ess a euiaao: 3 3 51 N . dexsruweiva+wm: BLAZEK �ooness: 3 3 51 N� COSTA M 979-805 �vx. Yuuxa wo�ss: fal uNT: CITY OF COSTA MESA — BUILDING PERMIT FLOOD: AE-37 92626 PERMIT NO: B 074806 PLAN CFIECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR AIiCNRECT ON ENOINFEN: IIC. NOa RCN.OX FfM'81pOPES4: UNT: conm�cTarawve SENTRY ROOFING CO (714)751-7663 CONfPACTORSYAItMO 3 3 6 4 NEVADA ,�p�� COSTA MESA CA „��; 678801 92626 „M, LICENSED COMflRC70P3 DECLAflRTION: I Mreby M'vm �Mx penMy d ps�ury �IW I em Iksnsed urMm pwiebna ot Cheqor B (oommami'p wil� Seclion ]000) d Diviaion 3 d ihe Buamaa uM Prdmebm Code. end mY Ikense u in full t aM aMsd. cmuc.No.:06042 uc.c C-39 uc.No.: 678 O1 : 10/95 �� Dme: ConVapp: OWNEP BUILDEH DE ANATION: I hereby effirtn wEar panelly d parWry Ihel 1 em wmpt trom Ihe Comrepae Licenee Lew la �he lollowinp reuon (Seaion ]031.5 Businme enE Pmleeeione CoCe: Any cty a munty which rpulree e permN to oonetmcl, elleq Improve, demd'eh, or rope'r eny slNClura, pia lo Nf iwar�ce, eb0 reQui�et IM epoliunl lor euch peimil lo file e eqmd elelemeM ihel he a the ie liceneed punuenl m iha prov'uwne d IM CoMrapon Limnee lew �Cheqer B(oommendip xilh Setlion laao) d Divuim 3 W ihe Bwiriae� erd Prdmone CoEaj a Ilw he a aha o exsmq ihselmn erd iM beeb la tlw atlspad memqion. Nry vidmion d Sapion 1W 1.5 by ury epplitent ta a permn wEpW IM epplicenl lo e anl petully d nd mOro tMn fxa huMnE EoOen �350011. ❑ I.mmmerdtMpoparryamyempbyeeawvM1wapmulhsiwNcamqmetion.vrillAONev.oM.eMNen'uaununaintaMeA a MareE br eeb �SMion ]Oa�. B�niroaa eM Vrdmeiona Code: TM CwNrapon limnae lew Ewe ml eppyto an owrror d popsM impovemems ua nol imenEeE a c11aeE (a+eb. tl, M1owmer, �M buiqirp w'vnpwemenl b�dtl wil�in om yw d mmpstion, tlro awiwr-0uildx xitl hm IM burden d pwi�p he w ehe d'd nal luJd a improve tv Na WTaa d eeb). � 1. m oMnx d iM MW�Y. em udwndY mruma�q vmh kaeaW eonveelm b eanemN tlw pqetl (5W un AM. &u'viws vd vid«.o. coae: tne umnaa, �s.,.. �ew eo.. �a eavN m e� w�s. a ww.�v wno wm, «�wo.� mweo� w.ro wvaeb Ip och prqeaa v.iN e mrYretloe�a) 4emW WnueM to �he CatlraGa� Limse Lew). � I em aumq urMm SecUon: B. 8 V.C.. br Nu �eeson: Dme: ��: I Eo Mreby cenM � I em ewua W vd uMuai+rd ths rpumnanb d Cdlomu Ibelt� an0 Sdary Cotle Sed'am R5505. P55�3. aM 25511. enE IM1et I a uy Mun buiMi�p mvpaM wi9 / wil �(acb an) �d io canply wYh eeA qeta mdaa enC iM rayuiremema la e permn laom�vuction ar moEifimiion hantheA"r�iuiyl.�erepemani Oimnq. Raudm�W mnnrupion eppicviom ua wmq fmm Ume proviaione. oe�e: aod'�i: WOPKEN'4 COMPEN4ATION DECL�PATION: I hereEy elfirtn unEer perolly d ps�ury ma d I�s Idlowirp EaNuetone: � I hevs erd wil meiMen e tt�iliule d mmam to esXinsun lor wake�e' companWbn. n pwided Iw by Sec�ion J)00 d tAe Lebor Cada, lar iM pa�ormence W IM xak la wlrch ihie permu u inued. ❑ Inmudwilmeimenwaken'canpmwunimurar.e.mrxiuiisdbySspion�l00diMleborCode.brineprlormercediM work la wliic� IM1b pumn u iuued. MY warken' mmpmqbn imurenca unier eM pdiq numbm era: Cemec Paliry Numbr. M(�hrs seaio, n..e na ae canaww � U. w�a u ro. on. nuna�.d edlu. Is�ool w wc..� �y I mnty Ntl in Ihe perlpnurica tl �M wark la whN �!w pemiE o u�wE. I NeY nd an Iry erry pe�em' Y mww w n to becmis wMa to tM wkmY wmpebmion ler.� W CeNmJe. erd e0na thu J 4uutl bcaro lea io �M haM1re' cwnpmvet/ ion payuuro y$eaion 31W d tM LeEu Code. I 1 1' � o py Nw pm+isb h �� ( � om.:,(J s�`l / > nod'�: Weminp: F�Nun b��cun wor.Fri nmpwwtlon cov�rp� l� unl�wNl, �ntl �N/l ud/�cf �n �mpl ro cr/Miul pxuMu �nL aM� n�.. w ro w�. n�e.w rno�..ro ed�+.. lsiaqaaol, m wm++ao� ro m. ro.� o� nmPuwran u ponew ro. �n S�ctlon 9)06 0l tli� le6oi Cob, Infwl, �ntl �Romry's /w. CONSTNUCf10N LENqNO �OENCY: I MreW tlfirm uMv pereM1y W parjurv �� iMn b e conqruqion bMinp epenry br �M peAorme�we d tM xork la xfiid� ihe pumY ia 6weE (Sedion 309]. Civ. C�. LENDER'S NM1E: LENUEX'S RDDNE99: I cenity tMl I heve reeE Ihia epplcmion eM dele �het ihe ebove iniormelbn is corted. I epree lo wmply wnA ell My eM aounry ordiro�es eM ewe lexa nlet'vq io WiMiq ronavupun eM hereEy eNlwiis reprewnldives d ihie aly io emar upon IM ebv.e�memioned popeM ��°��W�'"' LARRY SY]jdRD /J �5151�6.WP) WAnsBuiknp85efery:GmeMFb:Cenery-Appirent:Pink-Ravenu�:OdtlanmaNaeaor PERM NO: B 074806 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : T/OFF 16 SQ REROOF W/ COMP SHINGLE SQ FT: 4,156 CLAIM VALUE: 4,156.00 CALC—VALUE: 4,156.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS RE�UIRED PER 91UBC *+�*��x��x��******�***�** �****�r�*x��*x��*��r�r*�**rr***+�*x**�*x��*+�+�+r*�+rxx��*** 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 BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PAACEL: 13957235 ZNE: REF NO: PLANNING NOTES> 7 1f If ff fE iE It if iE if 1f iE iE 1E iE.iB iE iE 1E iE 1E iE 1E IE iF it iE ik iF iF 1F if if 1f iE 1P if 1f iE iE 1f 1f if IF 1f 1E if 1f if If if iE if if if iE if iF iE 1f 1f If 1f iE1E iE if 1E 1E 1E iE 1E 1i 1k if 1E �F 1E iE if 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 DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: 1E iE 1E 1E 1E IE if 1E iE 1E ii iE 1E 1E If 1E 1E 1E if 1F 7E M LEGALIZATION:N M��i��is3t3f�:�'a BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 72.00 DATE: ' ' � DATE: IO-2-S�$' �FiF{F�E 18 i(�1E 1E 1F 1F 1E 1E 1i��F{�iF if STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING 50 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 72.50 0.00 0.00 72.50 72.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK %2,�0 ,5� iE iF iE iE 7f 1E iE 1E 1E iF iF if 1F iE if� iF 1F if if 1f 1E 1E 1I� 1f iF iF 1E if ik If 1E if if iE iF k iF iF if iE iE iEiE iE iFlE iF 1E Ik 1E 1E IE 1E 1h 1E if iE iE 1E 1E iE 1E M if iE iF 1F IE if ik ik il� 1f if iF 1E M iE If 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 9156 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,156.00 END OF FEES �1 O�1P=9�.'0=�!�:�4;15 T.=U_�i. 6A�E• !w�=�o: *��C• �^:;6 / - .�L. CONSTRUCTION AND PIANNING POOI & SRA , RPPROV0.LS Pecmit# Date Inspector qppROVALS Permit# Date i�nsPectpr t 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . ' . 2. $oil Pipe•Undrgrnd. �, 53. Steel Reinforcement � �i3. �Etectrical ConduitrUStity-Undrgrnd. 54. Forms � � � / �;�4:'f7,�ctrical Condiu't`�drgmd" ' 55. Electrical Bonding y " • 5� $teEl ReintorcemenC 56. Rough Plumbing & Pressure Test v,, ��{�:�lectricat UFEP?�rS�t1. � 57. APPftOVAL TO COVER-GUNIT£ =� .' : r7'.' Fpotings �.�% '� 58. Electrical Conduit�Undrgmd. �%:�'8� Foundation :� � � 59. Gas Pipe, O Undrgmd., Test , �i ,T9. LVater Pipe�Und_ymd. �`; , 60. 8ackwash �ines, P-Trap, O Undrgrnd. 10. Svuctural Floor Syscem ,r ,� � 61. APPROVAL TO DECK �' 11. Property Sewer Lin & Hous "Conhection � g , � � 62. Backwash & Receptor�Final ; 12. � ewer Cap ` '� � 63. Heater & Ven[-Finat ,' 13. Root Drains �' � 64. Plumbing System - Final . 74. Rough Plumbing� t� 65. Electrical-Final • 'aB. Rough Elearicai-Cosduit "'^ 66. Solar SYstem�Finat .' j6. Rough ElectricSNiri@g � 67. Fencing & Access Approval 7�7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricafT Bar Ceiling 69. POOUSPA SYSTEMS F1NAL 19. Rou�h Heating & AY Conditionin,� �� 6� �, F,�,(�E�EPT_REQUI�EMEp1T , ._. .. • .,:z; - K . y c -' • � ,� p ti a '� '* 20. Aough F4cto�� F�kplace ��„ �-,4 �; � �* � APPF,�0�4p�R�E. Permit #� "si r 25..Ducfs, in'StrtSiture;' ' ••• SY. � � � n K F 70.F,"�Inder�r�d 1,�,*�dro fi 22. Ducts', Ve'ntilP,tin� .'', `. �_ *--� �.-',� ;.,y 71. Product(�iping � as fY OiI 23. Gas Pipe.iio�h & Test � m� fi n• ��.^. •7�- � 7Z, Undergr��ut�d R„(tis ^ y � 1 24. �fiDol Fr `rfiin �� , ,_ -.` > �_. p �", c .r. _ > ti . -�� <L.� 9� 7.� ,� ,--�a . 7�� Undergrnd.Stoca��TanitOGas ❑Oil 25. Roof Sheathing r;- � �0��0.�-�G,[•✓ � 7�4'.;�verhead Hyd�e�, 26. `T�Bai:Ceiling (Stryc�urell & Polynotoat * `-, j, l =;� 7�;�Dry ChQqnical � _,7 �µ �� ` n 27.,Fraqleand Flashigg4 pM� r^ c+ x�, 7�6. Dry Sta" ¢ipe^� s �� G 28. L5th7n9 �,Sid�n9;l: -" rjC � • :` ..� ..4� 77i FIXEDaYST�jv�FINA�.-� ; i m ' J 29. Insulation • oi�r � S •• +� � � {y 7� FIRE PREV. F� L �`' C' '� i � 30. DtYwall �eilin�g �k' : � t� 'S �}IEALTFi DEF�':�iE�1�UI�EMENT i•.: � ,�. , - _ - 31. Plaster BpwrtCoan� _. C�' � �� r• 7g. FINAL [TiSPECT�ON � � ;n , 32. �lectrica�o��r f�eier�F�nal , '; "' X� 8� FOOD CERTI�CATE ��SL1EO. w, � - - M . i•: �. . . . . 33.fin�;Electri� x . c K � +' Pfotes: '7 ',T '"" ^ �� ^ � r- 1 .� .+ . ^ v 34. �FinaLHediln �Cp nElitionin � �' �� ^ � � �` ` S �'� ' �' •�� H �� t�1 9 n .6 � I + p: �-� i ;-��:� ��: rr _` F. � � ' - -ry. _. 35. `�'inal Gas-Pipe:TesG» �, � •: r r � i � ��o O.-, � E-� � rt� .r. 36. HOod or CanoPY �' ^ � ` �' :1 ' '� T� ` ,� `�'�: - * "- � - � o: _ ,r, � 37. �canal.Factory Fireplyce T_ !^[-� r i i �� n � 38. Final�Plumbing `'^''' . t ! � F `-� =' '� �' � Fm + i � ` 39. 4Vatei Sec.vice_Final � , � � � y : � ;.n i :r � -- w � t : 40. Gas ServiEe-Fiaal ` �•� �� "' � '' r' � ' �� '=`f ��1 r ,. �=- c-� r � r• � c<. � a � 41. Solar pomestK•Finzl " .. y - � i ,,; m -yo o+ , � � -, . 42. Backflow Preventer � � ' 4 � �'�"" ' � -' '' . ' u 'T] !'SCi.V F F 43. Backflow Irrigation i -_ ^" :�� c � - �� C� • ' _ 7 � ' �44. Landscape Irra9ation System�"`•`� �^ "` �.� r ^ C' �; 1' ^.,-' '� ',_'�, o r':� .?7 t y a; d�- _ i= � C�c. <: : � � 45. Spund Auenuation', . .. K ` ,- n- - _ %; � -. ; � e .46. Handiwp Regulations � - �. T ..,� - � '� � .•- � �' - .�i,�j c 4.7. FINA1STRlICTUR,`�E&BUILDING I��.,_�5�, ��'" a � 48. f_INAL PLANNING` ^` ' `U � h . , r� 'z +� `' -` x r ;y , i S � d -49. Electric Release to E`dison ' ; � `` ' ' � ' f " l Y '� • �i � , t.. "i - G ^ . • 50. Gas RelebSe to-Southern Califomia Gas Co ' � ,.�, r -,� T 51. CERTIPICATEOFOCCUPANCY ' � ^ � - No. Date � OWNER ppOLIA DEVETAPMENTS DATE 4-20-70 JOB ADDRESS 3351 Nevada Avenue BUILDING PERMIT N0. z� �» GAS ROIIGH PLIIMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SVSTEM IONING UNOERGROUND Lf POWER ROUGN WIRING TFENCHES t� FORMS I�TI BOND BEAM Q SHEATHING FRAME AND FLAS LATHING - IN � PLNSTER. BROWN ELECTRIC, FINAL BUILOING, FINAL FIRE ZONE VALUE GROUP TYPE � SUBCONTRACTOR ..r � � ;�2 Z . ww aU 2 Za ON am J � J N Q W 0] J m J Q U N Za w¢ aw J p m Z J ¢ W W o= z �- w� �� o APA 22-70Pn��00128� *** 141.00 [MSA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ForApplicanttoFillinCompletely %�PPLICATIONFORBUILDINGPERMIT REC E DAT R C IVED DAT ISSUED ADIDflESS 3351 Nevada Avenue � ��'7 ��O-7D PEqMI OWNEF [{ p110 Develo ent Cor . A•P• NO• •{ �� MAIL noDREss 3351 Nevada Ave. ADDFESS 11�4 E. l7th St. cirv Santa Ana No� 547-9673 TRACT 6694 �or 17 e�ocK CLOENDER�ION U S Nat'onal Bank XW aanNCH Main Office ADDRESS 190 S. Broadway, San Diego OWNER A ollo Develo ment Cor . VA�UE ARCNITECT �Cermit Dorius rE�. 675-1164 S Residence s� OR ENGINEER —•y/ ADDRE55 3111 2nd Ave., Corona Del Mar ZpNE TVPE L/ GROU ,/ A ollo Develo ent Cor APPROVEO CONTRACTOR P Pm P• B�' DATE ADDRESS 110�+ E,17th Street TEL. Z E NO.OF USE OF NEW U, cirv Santa Ana No. 547-9673 / P�^� 7� BUILDING STATE CITV �'ARDS APPROVED YARDS APPROV uc. No. 252549 LIQ NO. 1690 MAIN BUILDING ACCESSORV BUIL ING SIZE NO.OF BLDGS. (FROM GL TREET) OF LOT SO X LOO NOW ON LOT '� ONT FT. FT. USE OF O T FT. EXISTING BLDG. -- N�B�� 1%HZ S.F. RQOMS g STORIES 1 L SIDE FT. FT. COVERINGAL` Plansr COOERING WOOd Shingle REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOGS. Construct new residence with c � a� APPROVED attached ara e. nPraoveo �. � a� !� I hereby acknowl0tlpe thet I have reatl this appllcation entl stata that tho above intormation is corract antl eBrea to comply with all laws regutating builtlinB �onstrucNon, antl I E�nll not employ any person in vloletion of ihe workmen's compenfation lawf of the Steta of Celifo��le. ` �y9�.� Q' �j I hereby carcity that I am proparly Iicanfatl ea a conhactor untlar /�� "n' FT. �`� tha Stata of Californla Business entl Profassions Cotle, Dlvlsicn 3, THE AMOUNT S WN UNDER VALUATION IS FOR Chepter 9, entl thet auch Iicanaes are in tull toreo and effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: am ezempx from �he provlalons of tha Stete of Cellfornie Bualnaaa VALVATION antl Protaszions Cotl , Ivision 3, Chapter 9. PERMIT FEE $ r� D PaBmlttoe�f � $ ��(f/�� PLAN CHECK $ / // �� / Authorizetl Apent TOTAL FEE $ / n� ' '� � I 793 Z . d U H Z ZF ON am J7 J N GI J -m J Q U N Za w� aw WZ J Q m Z J � W w � _ ZH W� N � �O PAIO Jstfr*Yr�.`S.00 kAY -5-7QCM5p00 115 0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVEDBV D`ATERECEIVED DA`TEISSUED ADORESS ��S I E�/ATJ �V�' • ' J_� O ✓'S O P RMIT � OWNER L A.P. NO. MAIL �+ 1 u Q� BUIIDING .�� V�{A AVE� ADDRESS I'O L� l� ,,,Jr. ADDRESS TEL. (� 1I ¢ l CITV ��J'rlCj �Na NO. S 7-7OT TRACT LOT BLOCK CONSTRUC710N W A LENDER U� i PT� �-• - ON e ,y BRANCN � OWNER ADDFESS ' Q S- pE1.RV E VALUE OR ENGINEER TEL�/1 I_��Z' S 5 9 ! � FIRE 1 ADDRE55 ZONE TVP GROUP !/ APPROVED CONTRACTOR O� BV DATE S S� ADDFESS � r TEL. ZaNE NO.OF USE OF NE � GTV NO. P�� BUILDING � �C No. 2525kR °��No. 1690 �P'RDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT ( ROIVT FT. FT. USE OF EX15TING BLDG. S T. FT. SIZE OF NO.OF NEW BLDG. ROOMS STORtES L. SIDE �— FT. FT. EXTERIOR WALL ROOF COVERING COVEFING REAR O FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCE$$. BLDGS. / u VAR.3Y+ DATE � \\/ L,L C.V.P.S¢ APPROVED � � V � � [� `S �> r R�aZ o � I �oreby acknowlatlBa tha[ I have reatl [his epplication antl stete that the above informatlon Iz corract entl aprea co comply with all lews repulating builtlinp construction, entl 1 shall not employ any person in violation of the workmen'a compansatlon lews of tha Stato of Celifornle. I heraby cenify ihat I am properly licanzatl es e contrector untlor SQ. FT. tho Staro oi Califarnie Business entl Professions Cotle, Divisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOF Chepta. 9, antl that such liconsos ara In full force antl effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from th rovlsion of [h oto of Callfornia Business VALUATION /� antl Protossions Co e, ivisio a� 9. PERMIT FEE S • O(/ SIp^atura o1 �� Permlttee $ ��D-- PLANCHECK$ AUNorizetl ABent TOTAL FEE 5 0% ' OO