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Home My WebLink About419 OGLE CIR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.cl.costa-mesa.�.�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 419 OGLECI Suite: Vicinity: REAR SFD Parce� Number: 42514315 Applicant: TERRANOVE, DONNY Address: 2oning: Owner: KILFOY, MICHAEL ROBERT TR Address 4790GLECIR COSTA MESA, CA Contractor: BERGE POOLS Addre55: 376 HAMILTON ST COSTA MESA, CA Zip: 92627 Arch : Address: Phone: 949-510-0033 Zip: Phone: Zip: 92627-3226 Phone: 714.548.4848 License: 717017 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 09/10I2003 Issued: 09/70I2003 Phone: 2ip: License: License: SCOPE OF PERMIT CREATE A 36 SF SPA WITHIN AN EXISTING SWIMMING POOL AT THE REAR SFD. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $117.81 $181.25 $1.00 $0.00 $0.00 $0.00 $300.06 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Ciaim Valuation: Right 0- 0 Righl 0-'0 $9,998.00 s9,s9e.o0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 withln 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor Ihe work authorized under this permit to be considered legal, such work must comply with all appiicable codes, and ali requiretl Inspectiona end final approvel must be obtained. Failure to obtain Inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 t+ae-es �eAo� WORKERS' COMPENSATON DECLAfiAT10N: I hereby attirtn undar penalry of perjury one of the Idlowing dada2Uons: ❑ I have end will maintain e cenilicate ol cansent to self-Insure tor workers' compensation, es D�ovided tor by section 3700 0l ihe Labor Code, br the pertortnence ol t�e work lor which this pertni� Is issuetl. ❑ 1 have and will malntHin warkers' canpensa�bn insurance, as requiretl Mj secUon 3700 oi the Lebor Cotle, lor Ihe pertortnance ot the work lor which Nis pertnit is Issuetl. My workers' wmpanS(�tlor}Insurance carder_ jn�,policy number are: Cerrier: Policy NumDer: dW/ers (3100) oNeu.) ' ♦ � , J� I ceM1ity that in tha pehormance ot t�e work lor which this permlt is issue4 I shall not employ any peroon In eny menner so es to Eecome subfect to the workere' \ compereatfon laws Ot Caiitomia, anC apree that N I s�ould Decoma nubjea �o the workars' compensation prodsions of Saction 3700 ot iTe Lebor Cotle, l shall ioR�with comply with t�ese p�4 � ' � . ` � ADP��am Signature: �� Date: U �� WARNINO: FAILURE TO SEC FKERS' COMPENSATKX� COVERAOE IS UNLAWFUL AND SW1Ll5U8JECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE MUNDREO THOUSANO OOLLAFE (5100, �.IN ADDITION TO TNE WST OF COMPENSATION, DAMACaES AS PROVIDED FOR IN SECTION 37080F TME LABOR CODE, IMEREST, AND ATfORNE1^S FEES. LICENSED CONTAACTORS DECLARATION: I hereby aHirtn thal I am Iicensetl untler proNSions of Chapter 9(commencing with Section 7000) of Dlvision 3 oi the Buslness and Professions Cade, antl my Ilcense is In full brce end eHect. Llc. M Cless M Conirectar's Signature: _ Dete: _. I /1��—!�"j C '" T— CONSTRUCTON LENDING AGENCY: ❑ 1 hereby aflirm that tnere Is a conswction lentling agency tor lhe pertormanca ol Ihe work lor which ihis pertnit is issuetl. (Sec. 3097, CINI Cade). Lentlers Neme: Signeture: _ OWNER•BUILDER DECLAAATONS: Lentlefs Addruss: Date: I hereby aNirm ihat under penalry ol perjury thet I em EXEMPT FHOM THE CONTRACTORS LICENSE LAW lor Ihe tollowing reeson (Sec. 7Q31.5, Business entl Professions Cotle: Any ciry or wunty which requires e permit to consWci, alter, improve, demolish, or repair any slrucWre, prior to Its issuance, elsa reQuires che applicant tor such permit ro lile e signed stetemem thal ha or she Is Iicensetl pursuani to the provisions af the Contrectors License Law (Chapter 9(cammentlng with Section 7000) oi Dlvision 3 01 the Business antl Prolessions Code) or that ha or she is exempt theretrom end t�e besis tor t�e alleged esemption. Any Nolation ot Sactlon 7031.5 by any applicent lor e permit suh�eds ihe apPlicant to e ciWl penalry ol not rtwre than frve �undred ddlers (5500).): ❑ I, es owner of t�e praperty, or my employees with wages as thair sole wmpensa�on, WILL DO 7HE WORK, entl the structure is not Intentle0 or ottered lar sale (Sec. 7044, Business end P�ofessions Code: Tha Contrectors Lice�se Law does not apply to en owner of properry who builds or improves thereon, end who does such work �imselt or herself or through his w her own employees, provided that such improvements ere not intended or oHered for sale. If, however, iha building or impmvemeM is sold within one year 0� completion, the owner-builtler will heva Ihe burtlen o� proving tha� he or sha did not builtl oi imDrove for puryose of sale.). � ❑ I, es owner oi the property, am E7(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Prolessions Code: The mntractors tJcense Law does not appry to an owner of pmperry who bullds or Improves �hereon, end who wntracis for such prolect with a comractoqs) license pursuam to the Contractors License LewsJ. ❑ I em exempt under sU�. BUsiness and Professions Code for this reason: Siqneture: Date: Owner ID verified by tlriver's license. ❑ Ves ❑ No Drivers License No. Vedllceilon oi Ownership by (�ype of daument, i.e. - proparty tas blll or deed): Expires: DIVISION OF INDUSTRIA4 SAFETY PERMIT CERTIFICATION: ❑ I hereby certlty thet no excavation Iive (5) ar more feet in depih Into which a person Is requirea to Aescen4 wlll be mada in wnnectlon wlth work aut�orizeE by this partnit, entl I�at no building structure, scafloltling, falsework, or tlemolition or dismantling ihereof, will be more than ihirry-sia (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341,11t1e B, Cat'Oomla Admfnistrative CoOe). ❑ As owner-bullder, I W�II not employ enyone to tlo work whic� would require a permll Irom Ihe Division of Indusiriel Selety, es notetl above, unless suc� Derson hes e permit m do such woik from fhe division. Signeture: Dete: Division of Industnal Selety Pertnit Number. CER7IFlCATE OF COMPUANCE AND AIffHORIZA710N OF EMRY: 1 certity under penalry ol perjury ihat I heve read this application entl s�ate that the infortnation given is wrrect. I agree to compy wR� ell slate laws end dry ardinances releting to builtling constructlon, end euthodze reD�esente�ives oi the Clry ol Cosia Mesa to enter upon Ne ebove�descnbed property lo� inspection purposes. I egree not to acupy or allow occupancy of eny building authorized by this permit until flnel inspection. LegalOwner(s) ^ '�� Da�� dzed Applican� � Date COUE 1, INSVELTIONTYVE 1618 Fixetl System Finel Fire Preventlon 1268 Pool Spe Finel 200 Finel Re�Rool 201 Finel BIaWRetelning well 202 Finel Fet�ory Fire Plate 203 Finel Sign 204 Final Damditlon PAg It�Li �� COOE I INSPELTION TYVE 208 Final MOChBnitel 20B Finel Plumbing 210 Final Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupency � II� (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa. ELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: 419 OGLE CI 42514315 TERRANOVE,DON 376 HAMILTON ST COSTA MESA, CA KILFOY. MICHAEL ROBERT TR Address 419 OGLE CIR COSTA MESA, CA Contractor: BERGE POOLS Address: 376 HAMILTON ST ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fix[s Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over i000a Molors to 1 hp Motors to 10hp Motors to SOhp Motors [o t00hp Motors over 100hp Communication drops Sub panel to 200a COSTA MESA, CA Phone: 714.548.4848 Zip: 92627 Phone: Zip: 926273226 Phone: 714.548.4848 Zip: 92627 License: 717017 ISSUED BY: Status: ISSUED Applied: 09/25/2003 Issued: 09/25/2003 SCOPE OF PERMIT REP: 803-01533. ADD�SPA TO EXISTING POOL ELECTRICAL TO INCW DE 1 UGHT FIXTURE AND 1 MOTOR TO 10 HP. _ - - 523.50 $0.00 $0.00 $0.00 $0.00 50.00 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 So.00 $0.00 $12.30 $0.00 $0.00 $0.00 50.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing Section Misc Electrical Equipmenl Transformers up to 1 kva/kw .................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw �ow Voltage Equipment Low Volt Winng System / Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stantl Other Electrical Fee Investigation Fee Ptan Check Fee Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 , 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 NO710E: The work authorizad by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 72-21-g2) 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 Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepections and final approval must be obtained. Failure to obtain inspections antl final approval wiil result in the expiration of this parmit. FOR lNSPECTlONS CALL: (714) 754-5626 2446-4fi (fi/00) WORKERS' COMPENSA7ION DECLARA710N: I hereby aHirtn under penalry of perjury one of ihe following declarations: ❑ I heve end will maintain a certificate of consent ro setl-Insure br workers' compensation, as provided for by soction 3700 of tha Labor Cotle, for the peAormance of the work for which ihis permit is issuetl. ❑ 1 have and will maintain workers' componsatlon insurance, as required by section 3700 of the Lebor Code, br the peAormance of the work for which this permil is issuetl. My workers' compensation Insurenca carriar entl policy number are: Cerner. Policy Num�er. (This sectlon need not be compleretl if the permit is velued e! one hundred dollers ($100) ar less.) ❑ I certity that in the performance ol Ihe work for w�ich ihis pertnit is issueQ I shall nol employ any parson in any menner so as to become subject to the workers' compensatlon laws of Califomia, end agrae thet il I shoultl become sub�act to the workers' compensation provisions oi Section 3700 of the Labor Code, I shell fort�with comply with these p��rovisi�on/s. � ApplicaN Signeture: �`1.�� Date: WARNINO: FAILURE TO SECU�ERS' COMPENSATIpJ COVERAGE IS UNLFWFUL AND SW1LL SUBJECT AN EMPLOVER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TOONE HUNDRED TVKKISMlD DOLLARE (5100,000). IN ADOfT1IXJ TO THE CQST OF WMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 31O80F THE LABOR CODE, IPfrEREST, AND FTTORNEYS FEES. LICENSED CONTRAC70RS DECIARATION: I hereby aHirm that I am licensed undar provisions of C�apter 9(wmmancing with Section 7000) of Division 3 of the Buslness and Professions Code, and my license is in tull force and eHact Llc. N � Class a Contractor's Signature: � Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirtn that there is e construction lentling agency for the peAortnance of ihe work for which this pertnii is issuetl. (Sec. 3097, Civil Cotle). Lentlers Name: Lendefs Address: Siqnature: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirm ihat under penalty of perjury ihat I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5, Business end Professions Cotle: Any ciry or counry whic� requires a Dermit to constmct, alter, improve, tlemolish, or repair any simcWre, prior to ils Issuance, elso requires the applicant lor such pertnit ta tile a signed statement that ha or she Is Ilcensed pursuent to ihe provisions of ihe Contrectors License Lew (Chapter 9(commencing wlth Section 7000) af Divislon 3 of the Busineu end Professions Code) or thet he ar she Is exempt therefrom and Ihe besis tor the ellegetl evemption. Any violetian of Section 7031.5 by eny epPlicant for e permit sublects ��e epplicant to a civil penelry ol not more than tive huntlretl dollers ($500).): ❑ I, as ownar ot Ihe properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and ihe slructure is not intentled or oilereG for sale (Sec. 7044, Busineu and Professions Coda: The Contractors License Law does not apply to en owner of property who Duiltls or improves thereon, antl who tloes such work hlmself or herselt or [hrough his or her own employees, provided that such improvements are not intended or oXered lor sale. Il, however, the builCing or improvement is sold wilhin one year of completion, tha owner-builtler will have the �urtlan oi pmving that he or sha did not build or improve tor purpose oi salaJ. ' ❑ I, as owner ot the property, am E%CLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS ro construct t�e pro�ect (Sec. 7044, Business end Professions Code: 7he wnirectors license Lew tloes not epply to an owner of propeny who bullds or improves thereon, and who conirects for such project with a contrecror(s) license pursuant to lhe Contractors License Lews.). ❑ I am ezempt under sec. eusiness entl Prolessions Code tor this reason: Signaiure: Date: Owner ID verified 6y drivers license. ❑ Ves ❑ No Driver's License No. Eapires: Verificetion of Ownership by (type ol tlocumem, i.e. - properry tax bill or daed): DIVISION OF INDUSTRIAL SAFE7Y VERMI7 CERTIFICATION: ❑ I hereby certily thet no exwvetion �Ive (5) or more feet in depih into whic� e person is required to descentl, will be made in conneciion with work authorized by Ihis permit, anC that no builtling structure, scafloltling, lalsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Calitomia Atlminisiretive Cotle). ❑ As owner-builder, I will noi employ anyone to do work which would raquire e pertnit Irom tha Division of Indusirial Salery, as noted above, unless such person has e permit to do such wark tram the division. Signature: Date: Division of Induslriel Sefety Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRV: I certity under penalry ot perjury ihat I have reatl �his applica�ion antl state t�et �he information given is wrrect. I egree to compty with ell sta�e laws end ciry ordinances relating to building construction, and authorize representatives oi iha Ciry of Costa Mesa to enter upon the above-descnbed pmperty �or inspeaion purposes. 1 agree not to occupy or allow occupancy ot any building authonzed by this permit umil final inspedion. �� SignaWreOfLegalOwner�s) Date CODE �. INSGECTIONTYPE 1616 Fixed System Final Fira Prevention 1266 Pool Spa Finel 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Factary Fire Place 203 Finel Sign 204 Finel Demolition � �� COOE 1 INSPECTION iYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy Date OATE MT��LS //"y-0.3 63� , (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 419 OGLE CI Suite No Vicinity: Parcel Number; 42514315 Applicant: TERRANOVE, DON Addresg: 376 HAMILTON ST COSTA MESA, CA MECHANICAL PERMIT ISSUED BY: Phone: 714.548.4848 Zip: 92627 Owner: KILFOY. MICHAEL ROBERT TR AddresS: 419 OGLE CIR COSTA MESA, CA Contracmr: BERGE POOLS AddresS: 376 HAMILTON ST COSTA MESA, CA Phone: Zip: 92627-3226 Phone: 714.548.4848 Zip: 92627 License: 717017 SCOPE OF PERMIT REF: 603-01533. HEATER FOR SPA ISSUE FEE Inst FAU <100 k B7U Inst FAU >700 k B7U Repair / Alt Cooling/Heat 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 Air Handlers > t0000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $1820 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 50.00 Quantify 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Re(rigeration Unit Ventillation System Evaporative Cooler Com me rci al I n ci nera lor Domestic Incinerator Compressors / Absorption Svstems Upto3hp/t00kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES Status: ISSUED Applied: 09/25/2003 Issued: 09/25/2003 Quanfly $0.00 0 $0.00 0 30.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 $0.00 50.00 541.70 NOTICE: The work �authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related requlations. (Ord. Np, g2-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be ob�ained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CAIL: (774) 7545626 2an6r5 (6roo1 WORKERS' COMPENSATION DECLARATION: I hereby aHirtn under penalty of perjury one of Ihe following declarations: ❑ I have end will maintein a certi(icnte of consent to self-Insure tor workers' compensation, es provitlad for by section 3700 of the Lebor Cotle, for ihe pertormance of the work for which this pertni� is issued. ❑ I have antl will mainWin workers' compensatlon insurence, as required by section 3700 of Ihe Lebor Cotle, for the perfortnance of Iho work lor which [hi5 pertnit is issued. My workers' wmpensetion Insurence carner antl polity number are: Carrier. Policy Number: (Tbis section need not be crompleted il the permi( fs ve/uetl at one hund�etl tlollaro ($100J or less.) 0 I certity thet in Ihe peRortnance oi Ihe work lor which thls permit is issued, I shall not employ eny person in any manner so as to becoma subject to �he workers' compensation laws ol Galitomia, and agree lhat it I should become sublect to the workers' compensetion provisions ot Sactlon 3700 0l the Lebor Catle, I shall lorthwit� camply wilh Ihese provi Appliwnt SignaNre: - .�—� Dete: WARNINO: FAILURE TO SECURE RS' COMPENSATION CAVERAGE IS UNLAWFUL M1D SHALL SU&IECT AN EMPLOVER TO CFIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDRED i1qUSAND OOILARE (5100.000�, IN ADDITIIXJ TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIOED FOR IN SECTION 310fi OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn that I am licensed under provisions af Chapter 9(commencing wilh Section 7000) ol Division 3 ot the Business end Professions Cotle, antl my license is in full force and aflect. Lic. x Class k Contractor's Signature: Date: CONSTRUCTION LENOING AGENLY: ❑ I hereby atlirm that lhere is a construction lentling egenty for ihe peAormance ot lhe work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lendets Address: Signeture: _ Date: OWNER-BUILDER DECLARATIONS: 1 hereby aMirtn that under penalry ot perjury t�et I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business en0 Professlons Code: Any city or counry which requires e permit to construct, elter, improve, demolish, or repair eny strucWre, prior to its issuance, elso requires ihe applicam tor such permit to lile a signed statement that he or she is IlcenseA pursuent to Ihe provisions ot the Contrectors License Law (C�apter 9(commencing with Saction 7000) ol Division 3 at Ihe Business antl Protessions Code) or that he or she is eaempt therefrom and the basis for t�e allegetl exemption. Any violatian at Seaion 7031.5 by any applicant for e permit subjecis the epplicaN lo a civil penalry at not more Ihen five hundretl dollars ($500).): ❑ I, as owner of Ihe property, or my employees with weges es their sde compensation, WILL DO TT1E WORK, antl the slructure Is not interMetl or ofleretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epply lo an owner ol property who builtls or improves Ihereon, antl who tloes such work himselt ar herself or through his or her own employees, provided Ihat such improvemenis ere not intended or oHeretl lor sale. It, however, the builtling or improvament is sold within one year ol completion, the ownerbuilder will have�iha burtlen ol proving that he or she ditl not builtl or improve br purpose of sale.). � ❑ I, as owner ot the properry, am E%CWSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to wnstruct the project (SecJ044, Business antl Pmteulons Code: The comrectors License Lew does not epply to an owner of propeny who bulltls or Improves thereon, and who conirects for such project with a contractor(s) license pursuent to the Coniractors License Laws.). ❑ I em exempt untler sec. Businass entl Professions Code tor this reason: Signeture: Dete: Ownar ID venfied by driver's license. ❑ Ves ❑ No Drivers Licensa No. Vedticetlon oi Ownership Dy (type of daument, i.e. - pmperty tex bill or deetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I here6y certify that no excavation live (5) or more feet in depth into which e person is required to descend, will be made in connection with work authonzad by this pertnit, end ihat no building structure, scaHolAing, falsework, or demolition or dismentling thereof, will be more ihan thirty-sia (36) leet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Title 8, Celitomia Adminisiretive Coda). ❑ As owner-builder, I wiil not employ enyone to tlo work which would require e pertnil Irom ihe Division of Intlustrial Safery, as noted ebove, unless such person has e permil to tlo such work trom the division. Signature: Date: Division of Industrial Sataty Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7HORVATION OF EMAV: I certify untler penalry of perjury that I have read this epplication end state that Ihe intormalion given is correct. I egree to comply with all state lews end city ordinances relating to building consiruction, and authorize represente�ives ot �he Ciry ot Costa Mesa to enter upon the ebovadescribetl property for inspeciion purposes. I egree not to occupy or allow occupancy of any building authorized by this pertnit until finel inspection. ignature Of Legal Owner(s) Date ti� � AnNOr Authorizetl Applicant 7 Date COpE A, INSPEGTIONTYPE jld¢ Ij�$ 1616 Fixetl System Final Fire Prevention 1288 200 201 Pool Spa Final Final Re-Roof Final BIocWRetaining Wall 202 Final Faciory Fire Place 203 Final Sign 204 Final Demolition COOE� INSPELTIONTYVE 206 Final Mechanical 208 Final Plumbinq 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Siie 250 Final Building/Occupency PAg � /��/�-L� � (714) 754-5273 • Fax (714) 754-4856 • wWw.ci.0051a-mesa.ca.us 77 FAIR DRNE, GOSTA MtSA, cA 9L626 PLUMBING PERMIT Job Address: 419 OGLE CI Suite No Vicinity: Parcel Nunmber: 42514315 Applicant: TERRANOVE, DON Address: 376 HAMIITON ST COSTA MESA, Cq Owner: KILFOY, MICFiAEL ROBERT TR Address 419 OGLE CIR COSTA MESA, Cq Contractoc BERGE POOLS Address: 376 HAMILTON ST Arch / Eng : Address: ISSUE FEE Backflow irrigalion Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve COSTA MESA, CA Phone: 714.548.4848 Zip: 92627 Phone: Zip: 92627-3226 Phone: 714.548.4848 Zip: 92627 License: 717017 Phane: Zip: license: SCOPE OF PERMIT PLUMBING FOR SPA. REF: B03-01533. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $D.00 FEESUMMARY �TY AMT ~ Laundry Tub / Washer $0.00 0 - �andscape Irrigation 50.00 0 P-Trap $0.00 0 Pressure Regulator 50.00 0 Process Piping (per 10 ft) 30.00 0 Receptors 50.00 0 Septic Tank 50.00 0 Sewer Cap (or Demo S0.00 0 Sewer Connect 50.00 0 Sewer Private Line $0.00 0 Shower 50.00 0 Sink, bar $0.00 0 Sink, commercial 50.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 09/25/2003 Issued: 09/25/2D03 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Waler Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnthin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for tne work authorized under this permi! to be considered legal, such work mus! comply w'�th all applicable codes, and all requlred inspeetions and final approval t�u5t be ob�ained. Failure to obtain inspections and final approval will result in tha expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 za6�a5(5/ao) WORKERS' COMPENSATION DECLARA710N: I �ereby ettirm under penalry of perjury one of the following declaretions: ❑ I heve end will meintain e certificate of consent to self-Insure for workers' compensation, as provided br by section 3700 0l the Lebor Cotle, for the pertormance oi Ihe work lar which Ihis permii is issued. ❑ I have and wiil maintain workers' compensation insurence, es requiretl by section 3700 of the Lebor Code, for the peAormence ot the work tor which this pertnit is issue0. My workers' wmpensation Insurance cartier antl policy number ere: Carrier: Policy NumDer: (This section need nol be complefed A(he permit is valued at one huntlred tlWlers (3100) or less.) ❑ I certity Ihat in Ihe peAormance of the work for whic� this permit is issueQ I shall not employ eny person in any menner so es to become subleci to ihe workers' compensation laws of Calitomia, and agrae that it I shoultl bewme subject to the workere' compensation provisians ol Section 3700 oi Ne Labor Code, I shall fotlhwlth comply with thesa provisio�—ns—.�.�7 �AOPliiam Signawre: � Date: WA{iNINO; FAILURE TO SECURE W ERS' MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED TFKKISANO OOILARE (E100.000), IN AODITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PqOVIDED FOR IN SECTIpJ 3]O60F THE LABOR CODE, IFf�EREST, AND ATiORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I em licensed untler provisions of Chapter 9(commencing with Section 7000) oi Divislon 3 of the Business and Prolessions Code, and my license is in tull force and aftecL Lla R Class N Contractors Signawre: � � Date: LONSTRUCTION LENDING AGENCY: ❑ 1 hereby eMirtn Ihat ihera is a construction lending egency for ihe performance ot Ihe work tor which this permit Is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Atltlress: Signa�ure: _ OWNER-BUILDER DECLARATIONS: Date: I heraby aflirtn thet under penalry ot perjury t�at I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires a permit to construct, elter, Improve, demolish, or repair eny slrucNra, pnor to its issuance, elso reduires the applicant for such permit to lile a signed stetement ihal he or she is licensea pursuant to the pmvlslons of lhe Contrectors Llcense Law (Chapter 9(commencing with Section 7000) oi Dlvision 3 ot Ihe Business end Pmfessions Cotle) or that he or she is e:empt thereirom end Ihe basis for the alleged eaemption. Any violatlon ot Section 7031.5 by any applicent for e permit subjecis ihe applicant to a civil penalry ot not more Ihan ilve hundred dollars ($500).): ❑ I, as owner ot Ihe property, or my employees with wages as ihelr sole compensation, WILL DO THE WORK, and the strucwre Is not inlended or ofleretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epply m an owner ot property who builds or improves �hereon, and who does such work himself or herself or through his or her own amployees, pwvided Ihet such improvemenis are not intended or oHered lor sale. If, however, the building a improvament is sold within one year ol completion, the owner-builtler will �eve ihe burden ol pmving thet he or she ditl not build or improve tor purpose oi sale.). � ❑ I, as ownor of the property, em E%CLUSIVELY CONTRACTING WITM LICENSED CON7RAC70R5 to construct the projoct (Sec. 7044, Business and Professlons Code: The comractors License Law tloes not apply to an owner oi propeny who builtls or improves thereon, end who comracts for suc� project with a contractor(s) license pursuant to the Coniractors License Lews.). ❑ I em exempt untler sec. Business end Protessions Code for this reason: Signaturo: Date: Owner ID verified by ddvefs license. ❑ Ves ❑ No Dnver's License No. Vedtiwtion of Ownership by (rype af dceumeni, i.e. � property tea blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: Expires: ❑ 1 �ereDy certify thet no excavation five (5) or more leet in depth into which e person is required to descend, will be made in connection with work authorized by Ihis permit, antl t�at no Duiltling s�rucWre, scalloltling, lelsework, or demolition or dismantling thereof, will be more ihan thitly-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomle Administrative Code). ❑ As owner-builder, I will not employ anyona to tlo work w�ich would require e permit fwm ihe Division ot Indusirial Safey, es noted ebova, unless such person hes e permit Io do such work irom the division. Signature: Data: Division of Indusinal Safety Permit Number: CERTIFlCATE OF COMPIJANCE ANU AUTHORVA710N OF ENTRV: I certity under penalry of perjury Ihat I have reatl t�is application ana state that the information given is correct I agree to comply with all slate laws end ciry ordinances releting to builtling consiruction, end authorize represematives ot ihe Ciry ot Costa Mesa to enter upon Ihe above-descnbed property for inspection puryoses. I eqree not to occupy or allow occupancy ot any building authonzed by this permit until tinal inspection. �Signature Of Legal Owner�s) ti� Antl/OrAuthonzed AOPlicant :� COOE �. INSPECTIONtYVE 1616 Fi:ed System Final Fire Prevention 1266 200 201 202 203 Pool Spa Finel Final Re-Roof Finel BIaWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolilion Qdj� INiRIAL3 yODE� INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Finel Elet�ritel 272 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Final euilding/Occupency �.1 .1111. s.; "' �Ir (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 419 OGLE CI Suite: vicinity: Parcel Number: 42514315 Zoning: Applicant: TERRANOVE, DON Address: 376 HAMILTON ST Phone: 714.548.4848 COSTA MESA, CA Zip; 92627 Owner: KILFOY, MICHAEL ROBERT TR Address 41gOGLECIR Contractor. Address: Zip: Arch : Address: COSTA MESA, CA Phone: Zip: 92627-3226 Phone: License: Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 09/25/2003 Issued: 09/25/2003 Phone: Zip: License: License: SCOPE OF PERMIT BLOCK WALL FOR POOL ENCLOSURE. 20 L.F. PER CITY STANDARD. Plan Check: $15.28 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $39.28 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fronl 0- 0 PARKING �xi_ stinq: 0 NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $aoo.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 924fl, § 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 suspendetl or abandoned for a period of 180 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 required Inapections and final approvel must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permil. FOR INSPECTIONS CALL; (714) 7545626 2d46d6 (NW) WORKERS' COMPENSA710N DECLARA710N: I heraby eHirm unAer penalry of perjury one of ihe tollowing declarations: ❑ I �ave end will maintain a cenifiwte oi consant to selt-Insure tor workers' compensetion, es pmvided tor by section 3700 0l tha Labor Code, for the pertortnence oi the work tor which ihis permit is issuetl. ❑ I have end will maintain workers' compensation insurenc , as required by sectlon 3�00 ot Ihe Lebor Cotle, Por the pedormance of Ihe wyyyrk tor which Ihis pertnit is issuetl. My workers' compens.�ltion Ir�ygu�r�er/�e rner end o'e u er are: p� �� Carrier. \/" 7. � a Policy Number: U � �s han need not be completed il the perml! is vel tl a! one hundred dollars ($100) or /ess.) -� I certity Ihat in the peAormanca ot the work lor which this permit is issueA, I shall not employ any person in eny manner so as to become subject to the workers' compensatlon laws of ' ia, and egree that If I should become sub�ect Ihe workers' c ensation provlslons ot Section 370p of t� Cotle, I s�all forthwlth comply with ' 'o . / /"� ^ � �. V '� Applicent Signature: � � Date: WARNINO: FAILURE T SECUF ORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND 5 L SUBIECT AN EMPLOYER TO CRIMINAL PENALiIES AND CIVIL FlNES UP TOONE HUNDRED T/qUSAND DOILARE ( , �, IN ADDITION TO TNE COST OF COMPENS4TION, DAANGES f5 PRWIDED FOR IN SECiION 3�OB OF THE IABOH CO�E, IMEREST, AND ATTOqNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am licensed under pravisions of Chepter 9(commencing with Seclion 7000) of Division 3 of the Business antl Professions Code, and my license is in full force and eHect. Lic. N Class q Gontrecrofs Signature: Date: , CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirtn that fhere is a conslruction lending agency tor the peAormance of Iha work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentlers Neme: Lender's Addreu: �, Signature: Date: OWNER•BUILOER DECLARATIONS: I heraby eHirm thet untler penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any city or county which requires a permit to consiruci, alter, impwve, tlemolish, or repair any stmcture, prior to its issuance, also requires fhe epplicant lor such permif to file e signetl sletement ihat he or sha I5 iicensed pursuant to ihe provisions of the Contrectors License Lew (CheO�er 9(commencing with Section 7000) ol Dlvision 3 of ihe Business antl Protessians Cotla) or thet he ar she is exempi theretrom and I�e basls for the allaged azemption. Any violatlon of Section 7031.5 by any eppliwnt lor a permit subjecis the epplicent to e civil penalry ot not more than five huntlred tlollars ($500).): ❑ I, as owner of Ihe properry, or my employees with weges as iheir sole compensation, WILL DO THE WORK, end the structure Is not intentletl or ofleretl tor sele (Sec. 7044, Business and Professions Code: The Contracbrs License Law does not epply Io an owner oi property who builds or impmves thereon, and who tloes such work hlmselt or hersetl or ihrough his or her own employees, provided that such impravements ere not intanded or oHered for sele. It, however, the builtling or Improvement is soltl wi�hin one year ol completioq the owner-builder will haveYha burden ol pmving that he or she did not Duiltl or improve for purpose ol saleJ. � ❑ I, es owner of tha pmperry, em E%CLUSIVELY CONTFiACTNG WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business antl Protessions Code: Tha comractors License Lew tloes not epply to en owner of propeny who 6uiltls or improves thereon, end who comracts for such pmject with a contrector(s) license pur5uant lo ihe Con�rectors LicenSe Lews.). ❑ I am exempt under sec. Business antl Professions Code for ihis reason: SignaWre: Date: Owner ID verifietl by tlnveYs license. ❑ Ves ❑ No Drivafs License No. Venfication ol Ownership by (type of documen6 I.e. - property tax bill or daed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I hereby cetlity ihat no excavetion five (5) or more teet in tlept� into which a person is required to descend, will ba mede in connection with work authorized by Ihis pertnit, and ihat no building structure, scaflolding, talsework, or demolition or dismantling thereof, will be more Ihan �hirry-six (36) faet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, Califomia Administrative Code). ❑ As ownerbuilder, I will not employ anyone to do work which would require e pertnit from the Division of IndusMel Sefery, as noted above, unless such person has a permit to tlo such work irom Ihe division. SignaWre: Date: Division of Industrial Safety Pertnit Number: CERTIFlCATE OF COMP�IANCE AND AUT}IORIZATION OF EHTTiV: I cehify untler penalry of perjury Ihat I have read ihis eDP�iration and state Ihat the infortnalion given is correct. I egree to comply with all state laws antl city ortlinances relating to building cons(ruction, and euthonze representatives of ihe Ciry ol Caste Mesa to enter upon the ebove-descnbed properry for inspection purposes. I agree not to occupy or allow acupancy of eny building authorized by ihis permit until final inspection. �qneNreOtLegalOwner(s) ^Q� � � � L�IC 71 u �� l.J -AnA/Or Authodzatl Aooliranl . D210 COUE �. INSPECTONTVPE 1616 Fixetl Systam Final Fire Prevon�ion 1266 Pool Spa Final 200 Finel Re-Roof 201 Final8locWRetaining Well 202 203 204 Final Faciory Fire Place Final Sign Final Demolition DATE pQIIlELS 9•a�i•�.3 � CODE♦ INSPECTIONTYPE 206 Finel Mechanicel 208 Finel Plumbing 210 Final Elecincal 212 Finel Fire Prevention 220 Final Planning Approval 222 Fina15ite 250 Final Building/Occupancy PSIE Iamu�S �J 0 �l J `� ��%�� l_ � /�� r�� , �2 By � rh� sef o and � e� ��r TS > DIV1SlON dF gU � �APpRCO qj� SqAFETY °�� azaGf�� o��e-..�.,��in�spkao�p� �� °"�Ne �fqvolAuN�a �e�holatianolarty�uepe��OL��M� r0�orrobe P�arta and pe�q qI rk is � comme �re � lne � E frc-E`� i r7rc`�V��mainfain��Rationand nuH �end/a8 elew ��veve'�8� fd1�a� Nth aJka�pa 3- � /� °�j�, � � I �y�.1��`I �� Ci (-� L �_ P� � L�l"'�� I�(_3i�� crrv �r cos rn r�esA PI_ANNING ULVISIt1N SUI'iJECT TO I3LDG. DEP'C. REG. NOTE: ADDITIONS, DELETIONS, OR CORRF_CTIOUS SHALL BE APPROVED BY TH1; PLANNING U[V. BY:_��DATr: �" �� a; - 0��2� 94q S' y$ Y ri Y�r � ' � ' � -�- -� — .._ nate � 'Z /�j .Attention: All Building aod Planning Departments I, �G"�~1 ��7��`^71 � hereby grent permisston fo DPS Permlts (Donna Terranove, Don rra ove & 5te1't'enie Cllisan), to aM as my agent for the purpose of obtaining permits ln my neme. 0 Home ONner neme • ��i7�'7 '�( • Signeture / DL # vnvvo� Address 7� f �� Y� • Cit•' / State /zip ��A' �%� �� `� 7�L27 Phone number 7 �0'd 94L1 ObB bil s11w�J3d S d Q LIFf Z£=0S £00i.-bZ-d3S �s3s wEsr owv�owo sr. P.O. BOX 9065 �pvG BEACM IO. C�UfOFNI♦ HEniOC[ 5-0�93 NEv�O� 6-SIO6 9 ew�weH orr�er. 37B\5 N. 6iw ST. Eh3T P.O. BO% 9'lB PPIMDI�LE, CPII�ORNIA wiwosow O-59u Twininq Laboratoraes of �ouE�Fzn �a��fozn�a ' November 27, 1958 GUNITE REPOIiT OF:�Ti TEST CYLINDER Ezamination No. Jr8-4765 Project Sample from Architect ContraMor Mix Water, gal./sk. cement Slump Date cast Date tested Cylinder No. COMPRESSION TGST Total load to d�struction, lln Pouncis per square inch Cylinder made by Cylinder deliverecl by Cylinder received on RA)'MOND J. FAUBUS S6•IIi�1�ITP?3 POOL !}19 Ogle Circle, Ccsta ldesa, Calif. Staimr,ing Fool Executive Pcol:,, Ltd. Gunite 1 to 4� 3z Gals, per sack 10-30->8 ii-b-5� � �1-27-58 2 7 Da;/s 2fi Days 53,00o a6,5oo 1,875 3,060 Co,mmercial Gunito Inc. B. Keever 10-31-58 iiote: 28 day test complies k�ith specifications cc: Faubus Executive Pools Costa Mesa Bld�,� Dept, SA Lab �,,��s, �No�s °; RECEiv�U '�� _ � ::, pEG t3 ._,_ C �_ �� p�aj�^;; fN� a'1�gn��YnC DePt �,� r � ,�tii di - � ___.�'�;�'. '�: 7'�VINING LAIi�TQtiIES F 50 ERN CALIFORNIA %D� �%7 lu.� mow» �v w��mn u xwt awnoorn�u'wo�vr� w uart�. um�omzwnew raw rua¢wnaw aw m� wwwr�. oorau��ew. a v- \ TfKT� �M� OA 4Yu�MO TRY �t Y�OVm IOmIM OVR �1UR0' M�IOYLL Y 1 YVNY. �IYf6TW TO WOR�. TIi NRK NIOO{R�6YO. �nn�rc ELLIS� Richard �A�� 5-10-76 JOB ADDRESS 419 Oele Cr. BUILDING PERMIT N0. 41961 GENERAL CONTRACTOR pwner-Bldr. DESCRIPTION of WORK Patio Cover AP No.117-312-16 LOT g TRACT 1776 FIRE ZONE VALUE $ 400 00 INSPECTIONS Sio�ofure Date TVPE GROUP ZONE R SOIL ____ PFRMITS IC[IIFn �.� —11 �UDI.VI'11RAl.lUlf I -t'...."""-i-� NQ WFIGX \ ROUGH PWMBING �\ PROP. SWR. LINE � XOUSE CON. SPRINKLING SYSTEM MISCELLRNEOUS ROUGN HEATING r1N0 AIR CONDITI TEMPORARV SERVICE OR POLE UNDERGROUND � POWER � ROUGH WIRING TFENCHES Lf FORMS U STEEL REINF. FLOOR SYSTEM BOND BEAM � STEEL PEINFORCE �J SMEATHING FRAME PND FLAIS�NIING LATHING — IN I � OUT � PLr15TER, BNOWN COAT STRUCTURqL, FINAL HEATING. VENT., REFRIG. r1N0 n.C., FINAL P�UMBING, FINFL NNO GRS TEST n ELECTRIC. FINPL BUILOING, FINAL CPFfl41 RF11111fiFMFMTC F R W 4 a = � S F G W F Q 0 ..1 Q 7 � a x � a O a a z W �i.' 3 4196� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BU{IDING : � , � �.� _ , _ ;, ,�. OWNER MAIL CITV flRANCH ADDRESS ARCHITEI TEl NO. TE L. GONTRACYOR '�� I'r/�J O � L�� ADDRESS TEL. qTV NO. STATE CITV LIC. NO. LIC. NO. 512E (. S� 11Y� U �� lj x NO.OF BLDGS. OF LOY �1 x.�'1 ��. �. ]� NOW ON LOT �SE oF R_ I EXISTING BL�G. Separate permits are required for electric, plumbing and heating work. USE OF eUILDING AND WORK TO BE PERFORMED _r� APPLICA RECEIV ryf BVILDING ADDRESS F VED � �av io-�r.�`;�`00 49?� ��,:*10.5C FORSTRUCTURALPERMIT DATE RECEIVED D T I SUED � O` '� �7 � � � PEFMIT NO. L �^ OGQL� e � /� LOT�• � eLOGK VALUE G- ZO NO.OF USE OF NEW' �, PLANS � BUILDING YAROSAPPROVE� VARDSAPPROVED MAIN BUILDING ACCESSORV BUILOI (FROM GL STREET) DISTANCE BET. BEf. MAIN & MAIN BLOGS. ACCESS. BLD VAR.# OATE C.V.P.vk APPROVED I hereby acK�owletlga thet I have reetl this appllcaHon antl stato that the eb0�e informetion is correci and agree to comply with all laws reg�lating building consttuctian, entl I shall not employ any parson in violat(on of the workma�'s compensailon laws of the Stete ot Californle. I hereby cartify that I am properly licansetl az a convactor untler S�. FT. � tha State of Cali7ornia Businass antl Professions Code, Divlsion 3, THE AMOUNT SHO�^/N UNDE(i VALUATION IS FOR Chapter 9, antl ihat such Ilcenses ere in full forca entl affect, or I THE PUAPOSE OF ESTABLISHING A PERMIT FEE O am exempi from tha provisions ot ihe Smte of Celifornia Business VALUATION PERMIT FEE S � antl Professi0�s Co Dlvision 3, C1 , ter 9 ►— PLAN CHECK S SIB�atura of DO Parmittee uv $ TAX $ O I Authorized A9ent TOTAL PAID 8 � � � n m i m e N m m 0 f U OWNER FAUBUS� RAr�fOND DATE 10-21-58 ]OB ADDRESS u19 O�le BUILD[NG PERMIT NO. 7�ib% GENERAL CONTRACTOR Executive Pools VALUE $ 2 tl�75 00 AP. No. LOT 8 TRACT 1776 PIRE ZONE DESCR[PTION OP WORK Swim YOol GROIIP J TYPR TTT 7.OIVF. RL . uran. win INSPECTIONS brown coa[ SUBCONTRACTOR PERMITS ISSUED . � �l��rr CCiSTA MESA BUILDING DEPARTMENT P.O. BO% 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN 4DDRE55 419 Ogle Circle COSTA MESA. CALIFORNIA UWNtF( 4J' MAIL a19 ADDRE55 J. Faubus rij.T'C18 �,T,. Costa P�[esa «T DIj_ENGI._ NE�ER C Zn� ADDRE55 5916 Auclt CONTRACTORE.XeCII li � Ad�RE�S �3 7 9G / LEGAL LOT (� OESCRIPTION NO. O A.P. NO. • SIZE OF LOT SETB>CN LINE CErvTER OF ST NEW REPAIR aui�oiN� SIZE EXTERIOR Wi COVERING USE OF NEW BUILDING H990C PTo. _ ITV LIC. NO. TE�. NO. kind ��E ��cEsv�o —' �G-�,_�� . � �� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. pEflMIT NO. V ' I 86866 Aoo E155 /� D ( •�� .S`ZO � COSTA MESA. CALIFORNIA FIRE /[ �ZZYi'jd ZONE. .J . . . 20NE NO.OF ,TVPE GROI O PlANS � • BPPROVE .� ' � �. TRACT ' '� ' CORREGTIONS NO.OF BLOGS. MOW ON LOT %er '�' �v� � / REAR YARD •' RIGHT .� ✓ / / ' LEFT '�J DESCRIPTION OF WORK X ALTERATION ADDITION MOViNG DEMOLiSH No. OF 1�� X 35� R�OMS STORIES i ROOF OF A MESa �� DEPT. REG. STFTE TH4T TNE /�BOVE I$ CORRECY �ND >GREE TO COMPLY WITH RLL CITY ORDINFNCES ANp $TATE L1W5 AEGUL4TING BIIILDING CONSiRUC� iiorv. VALUNTION SIGNATURE �� PERM�T FEE 5 lD — PERMITT ` � B�I (_ PLAN CHECK S S� ; � �nA .1 g Q � C� ' •/•-V � � MI UTHORI EO AG T J TOTAL FEE S � —, �I .— : . � Q��i��i ��`� '-. � � , . : ��:�� ._ .� : . ` , � ; . . .. _ : . � _ , .. �a�� ,,,:, �ti3�ey � G, R/ r � _ , . , , . . . _. �� i*\� \n/qTHR FA�L ' . 5�r1n��) I.�t6 f� � . g0� :. s , � `•gErsw �' , , .. : �:_ , . , . _ ; .. ` �N[W �� cA -... ` � ,� �� 5 � "�R g • c�,��'po � SS J � ` ', � : � : i �� e�PouL. `i '��'� .�.y.- .�:i��;'. .�,'� , �. �' . . . . , 5uoe • .`_�. :, � . 4.. + IiWlvensqi- ' . . / - .. - �p 250 00o gTV, � F_ Y I s r. i. � E r i 57� 5' J �6o1�C0. '. � ;" , � ; • . , �; � I.`FRn��X ^o ' Fi:CE�t" i ,. , . . ' . _`..- .� . _ . ,. �i.ASAC"; .�. pwFY�lµG� " ,-..� .,. ,.. .' . , .... . . :: ._.__.. ' . . / p .1. , ' _ . _ / .�� L '.�_. ..R:�,�_ . ,, .$: „._ ',--:: , � . . . • : • �cr•�e 1 =2a . .. � �.' ' 7�� . �'qrcCSS '• -. --. - -._ -, :--- -,: . Gase I . . , . � . 55 ; -,�-�-.. _ , .� r.....__i � ,. - .. _ _ .: ..�.:, :'!:" '�"`:. - ,. ._. . . , - . -� .� _ . ,, - � -- - - -. -- -. _ _ _,_ .. ._...._----- -- ' �� - --,.... - --- -- --- . . . , - _ � . ... . - • -- :,. . - � .. . . . � '. ��,�.::; :c�:':'):.:�: . _ ��.��.' :.'1 ` . � ' . , � ',• - • .' . . , � • 6'754 � COSTA MESA BUILDING DEPARTMENT a. o. eox 3 n COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA IMAIL ADDRE55 ARCHITECT I1�s OR ENGINEER 'j' ADDRE55 2035 Ne GONTRAGT�R K• 1Y� LEGRL OESCRIPTION A.P. NO. 9ETB4CK LINE FROM CENTEH OG STREET TEL. NO. Blvd., Costa Mesa Cons�t'T� N'a' 8534 BLOCK NO.OF OLDGS. NOW ON LOT SI�E YARD ftIGHT LEFT DESCRIPTION OF WORK NEW ]( ALTERATION AODITION REPAIR MOVING DEMOLISH BUILDING Tre ar NO.OF SIZE ROOMS rJ STORIES EXTERIOR Wqy�L� ROOF COVERING rT��St.UCCO COVERING SI1ci�CQ BUELDINGEW �riglo fami7y dwelli �i � i2 ;-�-• � --��-�il� 1� iiL. ��Ji� i� L� s- �s- .s s v �.�. FINr,NCE DEPT. CIIY OF COSiA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. Pf.RMIT NO 4DDRE55 / / / (/�J (C C �T ° Y COSTA MESA. CALIFORNIA ��RE� '3 BV � !'»� ^ ( DATE CORRECTION SUBJECT TU Y� 1 MERE9V 4CKNOWLEDGE TMAT I NqVE RERO TXIS PPPLICATION PNp � $TATE TNAT TXE ABOVE IS CONRECT RNO RGREE TO COMPLY M'ITH ALL / ! CITY OROININCE$ RNO STiTE 1�W5 REGVLRTING BUIL�ING CONSTflVC� iiON. VALUATION J/ SIGNATURE OF � PERMIT FEE S J(O � PERMITTEE_ J /j/ � LJ PLAN CHECK S �V " ' �^^ / /f /,. ` $ l (o � I AUTHORI2ED AGENT /!// .�^! /l�[�'�/` TOTAL FEE 5 S SC�— v��