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Home My WebLink About2232 JEANETTE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 YAIH UHNt, GVS I A MCJH, ldt `JZOGO ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors l0 10hp Motors to 50hp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 2232 JEANETTE PL ROOM ADDITION 42607212 CHERON,GEORGE 2232 JEANETTE PL COSTA MESA, CA CHERON,GEORGE 2232 JEANETTE PL COSTA MESA, CA OWNER-BUILDER Phone: (949)646-3469 Zip: 92627 Phone: (949)646-3469 Zip: 92627 Phone: Zip: License: 0 Status: ISSUED Applied: 07I31I2000 Issued: 07/31/2000 ISSUED BY: _�� SCOPE OF PERMIT 26 LIGHTS, 29 OUTLETS, 13 SWITCHES AND 1 MOTOR UPTO i HP FOR ROOM ADDITION. REF:B00-00920 $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $24.38 $26.57 $14.30 $0.00 $0.00 $0.00 $0.00 $0.00 $4.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 �uantiry 0 0 0 26 29 13 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System I Lighting 8usway/100ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up l0 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand � Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 593.50 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply vrith all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28. § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 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 requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit. FOR INSPECTIONS CALL: (714) 7545626 ' 2aas-a6lerool ., .. • WORKERS' COMPENSATION DECLARATION: ' I hereby attirm under penalry 0� perjury one of ihe tollowing declaretions: ❑ I heve entl will mainteln e cenificate of consent to selt-Insure tor workers' compensation, es provitled tor by section 3700 ot the Lebor Code, for tha pedormance of ihe work for which 1�is permil is issuetl. ❑ I have an0 will mainiain warkers' compensation insurance, as required by section 3700 of the Lebor Cotle, for Ihe peAortnance of Ihe work lor which ihis pertnit is issuetl. My workere' compensation Insurance carner and policy number ere: Carrier. policy Number. (This sectian need not be campleted i! the pelmit is velued a( one hundred dollers ($100) or less.) � I cenity that in ihe peAoR�anca ol the work for w�ich ihis pertnii Is issueQ I s�ell not employ any person in a�y manner so as to become subject to the workers' compensation lews ol Cdlifomia, and egree that if I should becoma subiect to the workers' compensation provisions ot Section 3700 of Ihe Lebor Code, I shall forihwith Comply wllh �hese provisions. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVEMGE IS UNUWFUL M!D SFULI SUBIECT AN EMPLOYER TO CRIMINAL PENA�TIES AND pVIL FlNES UP TO dJE HUNDRED T/iOUSAND OOLLARE (5100,Op0�, IN qpDRION TO THE COST OF COMPENSATION, DPM4GES l5 PROVIDED FOR IN SECiION 31O60F THE LABOR COpE, IMEREST, AND ATTOHNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed undar provisions ot Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Prolessions Cade, and my license is in full torce and eflecL Lic. M Class a ContractoYs Signature: Date: CONSTRUC710N LENDING AGENCY: ❑ 1 hereby eRirtn t�at ihere is a conswction lending egency tor the pertormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lendels Neme: Lentler's Address: Signature: OWNER-BUILDER DECLARATONS: Date: I hereby eNirm ihat under penelty of Derjury that I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry whicp requires e permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the epplicant for such pertnit to file e signed stetemem �het he or she Is licensed pursuant to the provlsions of Ihe Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 of the Business end Professions Code) or that he or she is exempt therefram end ihe basis lor the alleged exemption. Any violation of Section 7031.5 by eny applicant br a pertnit subjects the epPliwnt to e civil penalty ot not more than five hundred dollers ($500).): ❑ I, as owner of the proPerry. or my employees with weges as their sole compensaUon, WILL DO THE WORK, entl t�e structure is not intended or oftere� tor sale (Sec. 7044, Busineu and Pmfessions Cotle: The Contractors License Law does not epply to an owner of property who builtls or Impmves Ihereon, and who tloes such work himself or �ersell or Ihrough his or her own employees, pmvided that such improvements are not intended or oflered for sale. II, howevar, �he building or improvement is soltl wit�in one year of completion, ihe ownerbuilder will have �he burden ol proving Ihat he or she did not build or improve for purpose ot sale.). � I, es owner oi the propedy. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (SecJ044, Business and Protessions Gode�. The contractors ll�eose Ww doas not apply to en owner ol propany w�o buiMs or Improves thereon, a�W who comrects irn wch pmjed with a contrador(s) license pursuant to ihe Contrectore License Laws.). ❑ lam Signatura: Owner ID verified bv tlriver's IiGense. ❑ Yes ❑ No Business and Prolessions Code for this reason: Date: o0 Driver'sLicenseNo. Expires: Venfication ot Ownership by (rype of daument, i.e. - proparty taz blll or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby certity ihat no excavation five (5) or more feet in depth imo which a person Is requiretl to descend, will be made in connection with work authorized by ihis permit, and Iha� no builtling simcWre, scattoltling, lalsework, or demolition or tlismantling thereof, will be more ihen ihirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tltle B, Calitomia Administretive Code). ❑ As ownervDuiltler, I will not employ anyone to tlo work which would require e permit from the Division of IntlusMal Sefety, es notetl above, unless suc� person hes e permitto do such work from the tlivision. Signature: _ . _ Date: Division oi Intlustrial Salery Pe�mit Number. CER7IFlCATE OF COMPLIANCE AND AUTHORVJITION OF ENTRY: I cehify untler penalry of perjury �hat I have �ead �his application and state thai Ihe information given is correct. I agree to comply with all sta�e laws antl ciry ortlinances releting to building consiruction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon Ihe �ebove-described peny for inspection puryoses. I agree not to acupy or ellow acupency of eny building authorized by this parmit until tinal inspection. /'�-, �/s//a�o SignaWreOlLegalOwneqs) ' Dare qntl/Or Authorized Applicant 40oE t. INSVEMIONttPE 1616 Fi:etl System Final Fi�a Prevention 1266 Paol Spa Finel 200 Finel Re-Roof 201 FIna1 BIocWRetaining Wall 202 Final Fectory Fire PlaGe 203 204 Finel Sign Final �emolition Qajf, INTRIALS COOE I INSPELTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Eleclrical 212 Final Fire Preventian 220 Final Planning ApprOval 222 Final Site 250 Final Building/Occupancy .1111. / / � i/ �� r p�a) �sa-s273 • Fax (7ta) �sa-aess • www.ci.costa-mesa.r��LDING PERMIT �� rAIH UMIVt, GVJIH MtJA, l.H aGozo JobAddress: 2232 JEANETTEPL Suite: Vicinity: SECONDSTORYADDITION Parcel Number: 42607212 npp�icant: CHERON, GEORGE Address: 2232 JEANETTE PL COSTA MESA, CA Zoning: Phone: (949)6463469 Zip: 92627 owner: CHERON, THEODORE& CHERON, GEORGE Address 2232 JEANETTE PL . COSTA MESA, CA Contractor: OWN E R-BU I LOER Address: Phone: Zip: 92627 Phone: ISSUED BY: Status: �SSUED Applied: O6/21/2000 Issued: 07/26/2000 Zip: License: 0 Arch : • Eng: FOERSTEL ENGINEERING & DESIGN Address: �' � Address: 2377 SOUTH EL CAMINO REAL Phone: Phone: (949)492-5987 SAN CLEMENTE, CA Zip: License: 92672 License: SCOPE OF PERMIT CONSTRUCT NEW 806 SF SECOND STORY ADDITION, 120 SF FIRST FLOOR ADDITION AND 40 SF STORAGE AREA TO FIRST FLOOR (TOTAL 926 SF ADDITION AND 40 SF STORAGE). Plan Check: $568.59 Permit: $874.75 SMIP Res: $8.26 SMIP Com: $0.00 Other. $0.00 inspection: $0.00 Total: $1,457.60 SETBACKS MAIN STRUCTURE Front 17- 0 ACCESSORY Front 0-0 PARKING Existina: 2 NOTES: Rear 22- 0 Rear 0-0 Reouired: 2 FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING & ZONING Left 5-0 Right Left 0-0 Right Pr000sed: 0 8- 0 $82,593.00 $o.00 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) EXPIRA710N: 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. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of ihis permit. FOR INSPECTIONS CALL: (774) 7545626 / 2446-4618�W) � / WORKERS'COMPENSATONDECLARAnON: � I hereby eHirm unaer ponelly of perjury one of the following tleclarations: ❑ I heve end will meintein e certificate of consent to self-Insure for workers' compensation, es provided for hy section 3700 of tha lebor Code, �or the pertortnence of the work lor whic� this pe�mit is issueA. ❑ I have arid rNl mainWin workers' compensation insurence, as requiretl by section 3700 of the labor Cotle, far Ihe peAortnarrce oi the work for which this pertnit is issued. My workers' compensatlon Insurence tarner antl pdicy number are: Cerder: Policy Number. (This secfion need not be cOm0/eted i/ the permif is valued et one huntlretl dollars (S 100) or less.) ❑ I cenity Ihat in t�e peAortnance of ihe work for which ihis pertnit is issued, I shell not employ any pereon in any manner so es to becoma subject to the workers' compansafion laws of Calitomis, and egree that If I shouid become subject to lhe workers' compensa�ion provislons oi SecOon 3700 oi the Lebor Code, I shell forthwith comply with these prohsions. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVEPAGE IS UNLAWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIhllNAL PENALTIES AND GV�L FlNES UP TOONE HUNDRED TMOUSAND DOLUPE �5100,0001. �N ADDRION TOTME WST Of GOMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3IO60F THE LABOR WDE, IMEREST, AND ATiORNE`fS FEES. LICENSED CONTRAC70RS DECLARA710N: I hereby aflirm Ihat I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Divislon 3 of the Business end Professions Code, and my licanse is in lull lorce entl eHect. Lic. M Clau M Contractor's Signa�ure: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that the�e is a construction lending agency for the peAormanca ol the work lor which ihis permit is issued. (Sec. 3097, Civil Cotle). Lentler'S Name: Lenders Address: Signature: _ Date: OWNER-BUILDER DECLARATONS: ' I hereby eflirtn Ihat under p6nalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5. Business and Professions Cotle: Any ciry or counry wh��h requires e pertnit ro construct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires the applicant for such pertnit to file a signetl statement that he or she is licensetl pursuant to the provisions oi the Contractors Llcense Lew (Chepter 9(commencing with Saction 7000) of DlNsion 3 of the Business antl Prolessions Code) or that �e or she is e:empt therefrom and the besis lor Ihe alleged exemption. Any vlolation oi Section 7031.5 by any applicant for a pertnit suhjecis Ihe epPlicant to e civil penalty of not more than five hundred dollars (5500J.): ❑ I, as ownar ol the properry, or my employees with waqes as thair sole compensation, WILL DO THE WORK, entl the siructure is not intended or oHered tor sale (Sec. 7044, Business and Pfofessions Coda: The Coniractors Licensa Law dces not ep01y to an owner of property who builds or improves thereon, and who does such work himself or hersell or Ihrough his or her own employees, provided that such improvemems ere not Inte�ded or otteretl for sala. If, howaver, Iha building or improvemenl is sold with{n one yeer of completion, ihe owner-Duiltler will have ihe burden oi proving that he or she ditl not build or improve for purpose of sele.). � I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmci the pmject (Sec. 70d4, Business antl Professions Cotle: The coniractors Llcense Law tloes not eppty to an owner ot pmpeny w�o builds or impmves t�ereon, entl w�o wmracts tor such prolect with a contractoqs) license pursuam to IhB Contractors License Laws.). ❑ I am exempi unde/r� G. �— Business and Professions Code for this reason: SignaWre: /_/l,OtiG /�/�r.c.�• Date: ui o��ar: uoa�se No. Expires: Owner ID verifietl by dnver5liCense. ❑ Yes ❑ No Venfication ol Owners�ip by (rype of document, i.e. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFIGATION: ❑ I hereby certity thet no ezcavetion tive (5) or more feet in tlepth into which a person is required to descend, will be made in connection with work authorizetl by ihls permit, antl ihal no bui�ding structure, scattolding, lalsework, or demolition or tlisman0ing Ihereof, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Trtle 8, Calitomia Admiaistrativa Cotla). ❑ As owner-huilder, I wiU not employ enyone to do work which would require e permit irom the Division of Intlustrial Safety, es notetl above, unless such person hes a permit to do SUCh worK Irom the tlivision. Signature: Date: Division of Industnal Sefery Pertnit Number: CERTFlCATE OF COMPUMICE AND AUiHORIZA710N OF ENTfiY: I cenity under penalry of perjury thal I have read ihis application and state that the infortnation given is conect. I agree to comply with ell state laws end ciry ordinances relating to builaing wnsiruction, antl authorize representatives of the Ciry of Costa Mesa to enter upon the ebove-tlescnbed pmperty br inspection purposes. I egree not to occupy or allow occupency of eny building authorized by ihis permit until final inspection. _/`..1�� /.�.., 7/2�/mv_, —T– Signature OI Legal Owner(s) � Da e And/Or Auihorizetl AppliWnt GOOE �. INSPEC710NTYPE tfi16 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Fe-Raol 201 FIneI BIocWRetainl�g Wall 202 Final Factory Fire P�ece 203 Finel Sign 2D4 Flnal Demolltion QSjE INTIIIALS COOE 1 INSPEGTION TYPE 206 Finel Mechanical 20B Final Plumbing 210 Finel Electncal 212 Finel Fire Preven�lon 220 Final Planning Approval 222 FinalSi�e 250 FinelBuilding(Occupancy OATE Ri�L@ .. � (7t4) 75a-5273 • Fax pta) 754-aess • www.ci.costa-mesa.��LDING PERMIT i� rHin un�vt, wa�� r, �.+y�o�� JobAddress: 2232 JEANETTEPL Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 42607212 Applicant CHERON, GEORGE Address: 2232 JEANETTE PL COSTA MESA,CA Owner: CHERON, GEORGE Address 2232 JEANETTE PL COSTA MESA, CA Contractor: O WN ER-BU I LD ER Address: Zip: Arch : Address: Phone: Zoning: Phone: (949) 6463469 Zip: 92627 Phone: (949) 6463469 Zip: 92627 Phone: License: 0 Eng: Address: ISSUED BY: Status: ISSUED Applied: 11 /01 /2000 Issued: 17 /01 /2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (15 SQ). TEAR OFF EXISTING WOOD SHAKES & RESHEATH WITH 1/2" 058. INSTALL 1 LAYER OF-30# FELT UNDERLAYMENT & REROOF WITH 30 YEAR COMPOSITION SHINGLES TO MATCH NEW 2ND STORY ADDITION. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $8375 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistinq: o NOTES: Rear 0-0 Rear 0-0 ReVuired: 0 __ FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000setl: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sz,zoo.00 $z,zoo.00 NO710E: 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 permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714� 7545626 244fi36(6/00) WORKERS' COMPENSATION DECLARATION: . I hereby aHirm under penalty of perjury one of Ihe tollowing dedarations: ❑ I have and wili maintain a cenificate of consent to self-Insure br workers' compensation, as provitled for by section 3700 ot the Labor Cotle, br the peAormance of Ihe work for which Ihis permit is issued. ❑ I have and will maintain workers' compensation Insurence, as requ'rtetl by section 3700 of ihe Labor Code, for Ne peRormance of ihe work for which ihis pertnii is issuetl. My workers' compensation Insurance carrier entl poticy number are: Carrier: Policy Number. (fhis section need nof be wmplefed i! fhe permit is velued at one hundred dollars (8100J or /ess.) ❑ 1 certily that in the pertormance of the work Por which Ihis permit is issued, I shall not employ any person in eny manner so as to become sublact ro the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Seciion 3700 oi the Labor Coda, I shall torthwith comply with Ihese provisions. Applicent Signeture: Date: WARNING: FAILUFE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE �51 W,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SECTION 3]O60F THE LABOR fADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affirm ihat I am licensetl untler pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full force end eHecL Lic. a Class a Comractor's SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is a consimction lending agency for ihe performance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lentler's Adtlress: Siqnature: OWNER-eUILDER DECLARATIONS: Date: I hereby attirtn tha[ untler penalry ot perjury �hat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant tor such permit to file a signetl statement ihat he or she is licensed pursuaN to the provisions oi the Contractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 oi the Business and Professions Code) or that he or she is enempt therelrom antl ihe basis For the alleged exemption. Any violation ot Section 7031.5 6y any applicant for a pertnit subjects the applicant to a civil penalty of not more Ihan five huntlred dollars ($500).): ❑ I, as owner of the pmperty, o� my employees with wages as their sole compensation, WILL DO THE WORK, antl Ihe stmcWre is not intentletl or offered for sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, antl who does such work himseli or herself or through his or her own employeas, provided that such improvements are not intended or oflered for sale. If, however, ihe Duilding or improvemem is so�d within one year ot completion, the owner-builder will heve ihe burden of proving �hat he or she did not build or improve for purpose of sale.). �I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions �1 Code: The contrac�ors License Law tloes not appty to an owner oi propetly who builds or impmves thereon, and who contrads tor such pmject wlih a coniractor(s) licensa pursuant to the Contradors License Lews.). ❑ I am ezempt der sec. Business and Professions Code for Ihis reason: Siqnature: �,�' �� (_Date:_ � Owner ID veniied 6y nvers license. ❑ Yes ❑ No Drivefsticense No:� � Expiras: � Verificetion oi Ownership by (type ol tlocument, i.e. - property tax blll or daed) �—'� �'"' � DIVISION OF INDUSTflIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation five (5) or more feet in tlepth into which a person is required to tlescend, wiil be made in connection with work authonzed by this permit, and ihal no building simcture, scattoltling, falsework, or demolition or dismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Celifomia Atlministrative Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom the Division of Indusirial Safety, as noted above, unless such person has fl permit to do such work from ihe tlivision. Signature: Da�e: Division of IntluS�rial Safety Permi� Number: CERTFICA7E OF COMPLIANCE AND AUTHORIZATON OF EN7RV: I certify under penalty of perjury ihat I have reatl Ihis application ana state that the information given is correct. I agree b comply wi�h all state laws and ciry ordinances relating to buiitling consiruction, and authonze representatives of Iha City of Costa Mesa to emer upon the ebove-described pmperty tor in�s jection purp/o/ses. I a�gree not to occupy or ellow occupancy of any building authorized by Ihis permit until final ins/pection. /�fa.� G�`^� /%//_/�O Sign re.OLLega��Owner(s) -----� r � at L And/OrAuthorized Applicant Date CO�E �. INSPECTIONTYPE 161fi Fixed System Pinal Fire Prevention 1266 Pool Spa Final 200 Final Fie-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition D�TE It�19L� //_3p �o� .(� COpE� INSPECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Finai Site 250 Final Building/Occupancy UATE �C p�a) �sa-52�3 • Fax p14) �54-4856 • www.ci.costa-mesa.ca.us 77 FAIN UHIVt, GU51A MtSA, GA 82ti"Lti Job Address: Suite No Vicinity: Parcel Nunmber: 2232 JEANETTE PL ROONM ADDITION 42607212 4pp�icant: CHERON, GEORGE Address: 2232 JEANETTE PL COSTA MESA, CA Owner: CHERON, GEORGE Address 2232 JEANETTE PL COSTA MESA, CA Contrector: OWN ER-BU I LDER Address: Arch / Eng : Address: 1 BATHTUB, 4 GAS OUTLETS, ADDITION. REF:B00-00920 ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 PLUMBING PERMIT ISSUED BY: Phone: (949)646-3469 Zip: 92627 Phone: (949)646-3469 Zip: 92627 Phone: Zip: License: 0 Phone: Zip: License: Status: ISSUED Applied: 07/31/2000 Issued: 07/31/2000 SCOPE OF PERMIT i SHOWER, 2 WASH BASINSS AND 7 WATER CLOSET FOR NEW ROOM FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landswpe Irrigation $0.00 P-Trep $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (piivate) $0.00 Spa (public) $0.00 QTv 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Insl or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19.60 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E78.65 QTY 0 0 0 0 0 0 2 0 0 7 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall aulomatically 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 permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. � FOR INSPECTIONS CALL: (714) 7545626 24d6-4fi (N00) WORKERS'COMPENSAnON DECLARAnON: I hereby attirm under penelty of perjury one of ihe following declarations: ❑ I have and will meintain a ceniticate of consent b selFlnsure tor workers' compensation, as provided for by section 3700 of ihe Lebor Code, for ihe pertormance of ihe work tor which this permit is issuetl. ❑ I have and will maintain workere' compensa�ioo insurance, as required by section 3700 of Ihe Labor Code, for the pedormance of Ihe work tor which ihis pertnit is issuad. My workers' compensation Insurance carrier antl policy number are: Carrier: Policy Number: (This sectian need nof be complefed i/ the permit is veluetl at ane hundred dollars ($100) or IessJ ❑ I certily that in the paAormance ol Ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Califomia, antl agree that if I should becoma subject to the workers' compansation provisions of Section 3700 of ihe Lebor Code, I shall forthwith compty with Ihese provisions. Applicant SlgnaNre: _ _ .. Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVEiiAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDFED TIN)USAND DOLLARE (5100.00p), IN ADDITION TO THE C�T OF COMPENSATION, pAAMGES AS PROVIDED PoR IN SECTION 3]O6 OF THE IABOR CODE, INTEflEST, AND ATTOqNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full torce and eflect. Lic. N Class u Comractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirtn that there is a consWction le�ding agency for the performance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). LentleYs Name: LentleYs Atldress: Signature: OWNER-BUILOER DECLARATIONS: Data: I hereby aflirm Ihat under penalry of perjury Ihat I am E%EMP7 FROM TME CONTRACTORS LICENSE LAW br the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires e permit to constmct, alter, improve, demolish, or repair any stmcture, prior m its issuance, also requires ihe applicant for such parmit b file a signad statement ihet he or she is licens�tl pursuant to the provisions oi the Contractors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 of the Business and Protessions Code) or ihet he or she is exempt iherelrom and the basis for ihe elleged ezemption. Any violation ot Section 7031.5 by any applicant tor a parmit subjacis Ihe applicant to e civil penalry oi not more than five hundretl dollars ($500).): ❑ I, as owner of ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe simcWre is not inlanded or oHeretl for sela (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of propeny who builds or improves ihereon, and who tloes such work himself or herseN or ihrough his or her own employeas, provided that such improvements are not imended or offered for sala. If, however, Ihe builtling or improvement is sold within one year of completioq Ihe owner-builder will have ihe burden of proving that he or she did not Ouild or improve br purpose of sale.). � I, as ownar of the property, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7046, Business and Professions Code: Tha contractors License Lew tloes no� apply to en owner of pmperry who huilds or improves thereon, antl who contracts tor such project with a contractoqs) license pursuant to the Contractors License �ws.). ❑ I am exempt Signature: � Owner ID veritietl 1 liCense. ❑ Yes LJ No eusinass and Professions Code for ihis reason: Expires: Venfication oi Ownership by (type of tlocument, i.a. - p�operry tex bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CffATIFICATION: ❑ I hereby certify the� no excavation fiva (5) or more fee� in depih into which a person is required to descenq will be made in connection with work authorized by this permit, and Ihat no building structure, scaHolding, falsework, or demolition or disman�ling ihereot, will be more than thirty-six (36) feet hiqh. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Califomia Adminisirative Code). ❑ As owneo-builder, I will nol employ enyone to do work which would require a permit from the Division oi Industrial Satery, as noted above, unleu such person has e permit to do such work from the division. Signature: Date: Division oi Intlustrial Safety Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUfHORILttiON OF EMAY: I certify under penalty of perjury that I have reatl this application antl state that the informa�ion give� is correct. I agree to comply with ell state laws and ciry ordinances relating to builaing consimction, and authonze representatives of the City of Costa Mesa to emer upon tha above-descnbe ropetly for ins ection purposes. I agree not to occupy or allow occupancy of any building authoiized by this permit until final inspection. �,3� �Ob Signature Of Legal Owner(s) —T Date AnNOr Au�honzed Applicant COOE 1• INSPECTIONTYPE 1616 Fixetl System Final Pire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final8locWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition onre �NTITIRLS COOE♦ INSVELTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy OATE INIIDALfl r \ l (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIF DHNE, GO51 A MtSA, GA 8"L02ti JobAddress: 2232 JEANETTE PL Suite No Vicinity: ROOM ADDITION Parcel Number. 42607212 Applicant: CHERON, GEORGE Address: 2232 JEANETTE PL COSTA MESA, CA owner. CHERON, GEORGE Address: 2232 JEANETTE PL COSTA MESA, CA Contractor: Address: Arch / Eng : Address: OWNER-BUILDER MECHANICAL PERMIT ISSUED BY: Pnone: (949)6463469 Zip: 92627 Phone: (949)646-3469 Zip: 92627 Phone: Zip: License: 0 Phone: Zip: License: SCOPE OF PERMIT INSTALL 1 FAU AND 1 VENT FAN FOR NEW ROOM ADDITION. REF:B00-00920 ISSUE FEE Inst fAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Retrig Sys <100 k BTU Refrig Sys >700 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 < 10000cfm AirHandlers> 70000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator � Compressors / Absorption Svstems Upto3hp/t00kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15[o30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: Applied: Issued: ISSUED 07/31 /2000 07/31/2000 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 ¢15.55 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 within 1 BO days, or iF work is suspended 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 Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (774) 7545626 � 2446-46(6/00) WORKERS'COMPENSATON DECLARArON: I hereby aHirtn under penalry of perjury one tl� the following tleclarations: ❑ I have end will maintain a certificate ol consent to setl-Insure tor workers' compensation, as provitletl br hy section 3700 of the Labor Code, lor the peAormance of the work for which Ihis pertnit is Issued. ❑ I have arW vrill maintain workers' compensation insurance, as required by section 3700 of ihe Labor Code, tor ��e peAortnance ot Ihe work for which this permit Is issuetl. My workers' compensation Insurance fArrier end policy number are: Carnar. Polity Number. (TM1is section need not be completed il the pemut is ve/ued af one hundred dollars ($100) or IessJ ❑ I certity Ihat in fhe peAortnance oi the Wo�k tor which t�is Dermit is issueQ I shall not employ any person in eny manner so as to �ecome subject to Ihe workers' compensation laws of Califomia, antl agree that if I shoultl bewme sublect to the workers' comDensation provisions ot Sedlon 3700 of the Lebor Cotle, I shall forihwith comply with Ihese pmvisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WOiiKERS' COMPENSATION COVEPAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES lIP TOONE HUN�RED THOUSAND DOILAflE (510p,000�, IN ADDITION TO TME COST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECiION 31060F THE UBOR CODE, IMEREST, AND ATTORNEY'$ FEES. LICENSED CON7RAC70RS DECLARATION: I hereby attirtn t�at I am licensed under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 ot t�e Business antl Prolessions Cotle, and my license is in lull fofCe antl BttBGt. Lit. # Class M Contracrofs Signalure: Date: CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirtn that there is a consWction lending agency for tha peAormance of the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lentlefs Name: Signature: _ OWNER-BUILDER DECLARA710N5: Lenders Address: Date: I hereby aHirtn that untler Denalry ot perjury t�at I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: My ciry or counry which requires a pe�it to construct, alter, improve, tlemolis�, or repair any structure, prior to its issuance, also requires the applicant lor such pertnit to file a signed statement ihat he or she is IiGensed pursuant ta the provisions ol the Contractors License Lew (C�apter 9(commenUng with Section 7000) of Di�nsion 3 ot the Business antl Professions Code) or ihat �e 0� she is exempt therefrom antl t�e basls for the allegetl exemption. Any violation of Section 7031.5 6y any applicant for e pertnit subjects the applicant to a civil penalty ot not more than tive hundred dollars (5500).): ❑ 1, as owner of t�e pmperry, or my employaes with wages as iheir sote compensation, WILI DO THE WOAK, and ihe struciure is not intandetl or oflered br sale (Sec. 7044, Busineu and Professions Code: The Contractors License Law does noi appty to an ownar of properry who builds or imprwes thereon, antl who does such work himself or herselt or through his or her own employees, provided Ihat such improvemenis are not intentled or ottered for sale. If, however, Ihe 6uilGing or improvement is sold within one year of complelion, ihe owner-builtler will have the burden of proving that he or she ditl not Duild or improve tor purpose ol sale.). �' I, as owner of the pmperty, am EXCLUS��ELV CONTRACTING WITH LICENSE� CONTRACTORS to construct the project (Sec. 7044, Business end Professions Cotle: Tlie contraciors LJcense Law tlods noI appty to an owner of property w�o builtls or improves Ihereon, end who contracts lor such project wllh e conlrector(s) licensa pursuant to the CoNractors LicOnse Laws.). ❑ I am exempt Signature: � Owner ID venFietl 6y sec. license. ❑ ves ❑ No Business end Pmlessions Code for �his reason: Date: 1 � Drivers License No. '/ E:pires: Venfiwtion of Ownership by (type ol dwumem, i.e. - properry ta: bill ar deetl): DIVISION OF INDUSTRIAL SAFETY PEflMiT CERTIFICATION: ❑ I hereby cehify ihat no excava[ion tive (5) or more feet in tlepth into which a person is required to descend, will 6e matle in connection with work authonzed by this pertnit, and that no building sirucWre, s�ffolding, falsework, or demolition or dismantling t�ereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Calitomia Atlministrative C�e). ❑ As owner-builder, 1 will not employ anyone to do work which woultl require a permit irom ihe Division ol Industnal Sefery, as notetl ehove, unless such person has a pertnit to do such work fmm the division. Signature: Date: Division of Industnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF ENfRY: I certity under penalty of perjury that I have read this epplication and state that tha intortnation given is correct. I agrae to comply with ell s�ate laws end ciry ordinances rela�ing �o builGing construction, antl eut�orize representatives of the Ciry of Casta Mese to emar upon the above-des � ed property tor inspeaion puryoses. I agree not to occupy or ellow occupancy of eny building authonzed by lhis permil until final inspec�ion. �� 3f �Do Signaiure Ot Le9al Owner(s) �� Date AnNOr AuthonZad Applicant CODE I. INSFECTIONTYPE 1616 Fi:ed System Final Fire Preventlon 1266 Pool Spa Final 200 Finel Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 FinalSign 204 FinalOemolition �� $ COOE I INSPECTION TYPE 206 Finel Mec�anical 208 Finel Plumbing 210 � Final Electrical 212 Flnal Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy �l_I�..�L �� CITY OF COSTA MESA CALIFORNlA 92fi284200 DEVELOPMENTSERVICfiS DEPARTMENT P.O. 80X I200 MINOR MODIFICATION Reference No.: Status: Applied Date: Approved Date: Denied Date: MINOR MODIFfCATION NO.: MM-00-26 Project Address: 2232 JEANETTE PL Suite: Parcel Number: 42607212 Project Applicant: CHERON, THEODORE APPROVED 07-10-2000 07/10/2000 PROPOSED MINOR MODIFICATION: ENCROACH 3 FEET INTO REQUIRED 20 FOOT FRONT YARD SETBACK WITH 2ND STORY ADDITION OVER EXISTING GARAGE FOR A TOTAL OF 17 F�ET (16 FEET ALLOWED PER MINOR MOD). REQUIRED FINDINGS:Y The improvement will not be materially detrimental to the health, safety and generai welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. PROJECT PLANNER: NOTES The improvement is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. This includes the site planning, land coverage, landscaping, appearance, scale of structures, open space and any other applicable features relative to a compatible and attractive development. Be�Vd— ,�qr� REF NO. B00-00920 �7 FAIR DRNE Builtling Division (714) 75.t-5273 • Cotle Enforcemenf p14) �Sd-5623 • Planning Division pia) 7$J.5245 FAX (713) 754-485fi • TDD (714)')54-5244 F W w � H N � 0 � COSTA MESA BUILDING DEPARTRAENT � P. O. BOX 317 i COS7A MESA CALIFORNIA C•L. OF STREET " ��PROP. TINE _ r10 FT. FOR 60 FT. STREET g� � � j AP�� U�/ED C[TY OF COSTA MESA J PL .n!;'1�'G DEPT. I� SUBJECT BLOG. DEFT. REG WI zI _ � a --_'-� �LAN T:CH. ^ a aCCEv—pR—�9. -� °�� r�� -i�, � io � �O L? � v FT � i � PROP LINE ' LL —1�--'---`—=—= C.L. OF STRE � F - � /o I sc � � — i �. —' -----_� , S T. MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES . � �'�0'7� ` �"�� C�.��l�� 6��,� � FOR APPLICANT TO PII:L'��Il�%E DEPT. u - r�is�.i�vi�*- i . �.. - � ._ i._i�..' , � t �a✓ /�� _�i . �/ I • / , • • • � � I � • iCity Lic._No. _ _ _ _ _ _ _ State-Lic. No. _ _ _ _ _ � Size of LotS`a�i�X7`%X/�AP No. /o� �L l��,,, 1/ I Setbacks: C/L Stree D ^� Rear �� Side Yard - Righ �t I{ Left /`� i� Type of Fence I _ I A� ��, �..J- s� xJ� � S�'oC 1�r � I hereby acknowledge that I have read this application and state � � that the above is correct and agree to comply with all City Ord- I� �Q inances and State laws regulating building construction. I � �' Signature � � y �i ��Q��` � _r n____'..__ � 0_ D � FOR OFFICE USE ONLY � VALUATION I h��(J' � U Permit Fee � Plan Check TOTAL FEE USE REVERSE SIDE FOR DETAILS � � �� OWNER F_ H_ WAT.KRR �ATE 6-30-58 ]OB ADDRESS 2232 Ja:uiette Place BUILDING PERMIT NO. 'jQ']� GENERAL CONTRACTOR Ou7I18T VAL[IE S 2%0.00 AP. No. LOT 12 TRACT j21.i2 FIRE ZONE DESCRIPTION OF WORK Red4700d FeIICE GROUP 7'YPE ZONE PCAN NC). 'ECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED DATE I NUMBEi coat F' ' Gas Test ( :uction Pc owxEa FABRE CONSTRUCTION CORP. JOB ADDRESS 223p Jeanette Place BUILDING PERhIIT NO. 60'/'L GENERAL CONTRACTOR L1d0 Construction VALAE $ 12�3�(1.Q0 AP. No. LOT 12 �ru�cr 3242 r� zorre DFSCRIPTION OF WORK Residence w/att gar. GROUP I& .7 TYPP_ V ZONE Rl� PLAN NO. 6093 f �ECTION$ toat F' ' Gas Test DAT6 I gUBCONTRACTOR si` PERMITS 18SUED DATE I NUMBER ✓ � ��"� 6093 KCOSTA MESA BUILDING DEPARTMENT P.O.80X 31� COSTA MESA. CALIFORNIA _ FOR APPLICANT TO F1LL II3 BUILDING ZZ32 " JEANETTE PLACE ADDRE55 COSTA MESA. CALIFORNIA OWNER FABRE CONSTRUCTION CORP. '""" 3404 Via Lido ADDRE55 c�Tr Newport ARC' 'CT OR � JEER Raym nooaess 3432 Via ch TrEio:OR 3-1240 Levanas`,�'o: G.747 �rto, N. B. Lido Constr, arv N�o�520 AODRE55 3404 Via Lido NoOR 3-1240 aP LEGAL LOT oescaianor+ NO. lz' BLOCK TRACT 3242 A.P. NO. �F L�T approx. 7500 CJq� 1L• �O.OF a�o�s. N ne NOW ON LOT 0 USE OF �� EXISTING ALDG. SET6RCK LiNE FROM 6L I 30�� 5• t. CENTEP OF STREEi '� REAR VAftD Q• SIDE YARD RIGHT 7 LEFT � DESCRIPTION OF WORK NEV� X ALTERATION ADDITION REPAIR MOVING DEMOLISH 5 ZE DING 14.QQ Sq. ft. ROOMS V STORIES j EXTERIOR WALL W�� ROOF shake cnvvaiNr. R}l1CC� COVERING cl.i..nln _ ,e', ua� �..;�e� . . „� �'� ��C,E D�fT, �^'��IS� f.I.,U. L \�\ ^� � � or GOSTA i:��a APPLICATION FOR PERMIT BUILDING FOR OFFICE U5E ONLY RECEIPT NO. PERMIT�� bl ECEWED BV O�TE HECEIVEO OATE ISSVED ,,.�...../ ��_ .. :.r J NOV 2 5 14 COSTA MESA. CALIFORNIA CORRECTIONS I HEREOY ACI(NOWLEOGE TH>T I NiVE REAO TMIS APPLIC.�TION �NO $TRTC TMTT TME ABOVE I$ C�RAECi ANO AGREE TO COMPLV WITM 1LL CITY OROIN4NCE9 I�NO $TATE L�W$ REGUL.�TING BUILDING CONSTNUC� TION. �/�/ �//� � o I/�1 VALUATION SIGNATURE OF �\_ x_ 0� y_ � �^ 1/A__= �— PERMiT FE2 $ " 3Q = PERMITTEE XIL�1 P t� �' 5/�l 3a/L PLAN CHECN S /S oS� T AUTHORIZED AGENT TOTAL FEE 5 u�f r vs�r .w