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Home My WebLink About825 JENNIFER LN - Building Permits.eaECT;noxess: gZ5 JENNZFER LN OWNEfl'SNRME: CLARK, ALGER E aoonEss: CLARK, JACKLYN M 10091 SPAR CIR HUNTINGTON HEACH,CA 92646 AFCN/ENGINEFfl: � 7 S 9 � S G H— Z S B O NEG.NO.: AODNESS: uxiT: UNIT: PEqMITTEE: MPD ELECTRIC ( 818 ) 347-2544 RO�flESS: -� z 4 3 CANOGA AV CANOGA PARK CA_91303 LICENSEU CONTNpCTOP OELLINATION: I here0y atlirm thal I am IicenSeE untler D�oviswns ol CAapler 9(commencing wi�� Sec�ion 7000) ol Division 3 ol �he Business antl Pmtessions Catle. and my lic se is in full lorce ane e�tect. c�rr uc.:Q Qs,nTe uc.: 'S 3 5 3 0 8 ss: :_ � Dale: O � �— / 3 SiAnaWre: _ . . . — WOBKEBS' COMPENSATION �ECUIBATION: I hereby ai�irm �hal I tuue a tertificate ot tOnsent Io 5e14in5ur¢ Or a tehiliwfe of Work¢rs' Compensa�ion Insurance. or a cenifie0 coDY ��ereol (Section J800, Lab. C). PULICY NO.: E%P. URTE: COMPRNY: ` Cetliii¢0 CopY �5 �ereby Iurnis�ed. ❑ Cenilietl copy is lilea with tAe ciry Builainp Division. Oate: Applipanl: E%EMPTIONFROMWONKEPS'COMPENSFTIONUECUNRTION: (Thi55edionnee0natbecompletetli�thepermilis�oronehundred(E100)orless�. I cetlily Ihat in Ihe petlormance a� Ihe work for which Ihis permit is issue , I shall not employ� ny person in a manner so as �o hecome su�letl lo Ihe Workers Compen5aiion Laws o� Calilomia. 1� //��, Oale: � —�� 3 Signalure: �'G�'/'^—�/� NOTILE: it, aiter making �Ais Aeclaration, you s�oultl �ec� Olecl to ihe Workers' Compensation prwision5 0� the Labar Cotle. you must forihwi�h wmply with such O�ovisions or ihis permi� shall be tleemed revakea. CONSTflOCTION LENDINC RGENCY: I Aere6y afiirm Ihal lhere is a cons�mction lentling agency �or I�e pehormance a� Ihe work for whicn ihis permii is issuetl ISeclion 3097. Civ. CI. IENOEN: ADOflESS: OWNEN BUIIDEfl OECLABRTION: I hereby allirm Ihal I am exempt Imm �he Caniraclors' Slate License Law �or the following reason (Setlion 7031.5 Business and Pmte55ional Catle: Any cily ol counry w�ich repuires a permil t0 cOnStmci, aller, impmve, Eemolish, or reoait any struclute, prior toits issuance. also requires Ihe applicant for such Dermit ta file a sipned stalement tnat he/she is Iicense0 pursuam to �ne pmvisions of I�e Comracto�s' S�a�e license law (C�aO�er B(commencing vnlh Seclion 7000) ol 0ivision 3 0l I�e Business ana Prolessions Cotle) or ihal he/sne is exempt tAealmm anA Ine Uasis lor the allegetl ezemo�ion. Any violation ol Section 703L5 by any applicant lor a permit suUlecis t�e aDDlicant to a civil penalty ol not more Ihan live hundretl tlollars (5500�. I, as owner of �he D�opetly or my employees wilh wages as iheir sole compensalion, will do ihe work, an� ihe ❑ slmcture is not inrenAetl or allered for sale (Section 70aa, Business and Pmleuiona� Cotle: The CantractaK Sta�e Licenu Law Ooes noi aODty m an owner o� a pmpeny wtq EuilGs or impmves t�ereon, anG who Aoes such work himsell/hersell or thmugh nis or �er own employee5. proviGeE IIIai 5uth impmvemenis are not in�enAeG ar oflereE for sale. I( hawever Ihe UuilOing or im0�ovemeni is sole vnthin one year 01 Compleiion, ihe own¢r vnll have t�e �urGen o� pmving hNs�e ai0 noi �ui10 ar imDmve for Ihe purpose ol sale). ' I, as owner o� [he D�oOerty. am exclusively conlracling wi�h licensetl romracmrs to consimct Ihe proleci �Section 7044, Business ❑ ana Proteuions COAe: 7he fAntractors' Stale Lkense Law tloes not appty ta an owner of pmpenywho buAUs or impmves �her¢on an0 who contrac�s �or Suc� pmleci5 wit� a conirac�or(5) license pursuant to Ihe Conlra[I06' SUIe Lit¢nse Law�. I am aware �lu� p�aot ollheir Worker's Campen5alion in5urance s�ou10 6e provitletl lo me. � I am exempt untler Seciion: B. 8 P. C. lor I�is reason. �ate: 6wnec I Eo hereby ceNly Ihat I am aware ol antl underslana �h¢ requiremen�s of Calitamia HealtO an0 Sa�ely CoOe SBciions 255115, 25533, ane 25534 and Inat I oranyfuture Ouiltlmg occuDanlwilVwillnot�circle one) neeA to comply vn�� Saitl sla�e cotles antl ihe requiremen�s lor a permi� lor cons�mction or mo0ilication Imm ine Pir Ouali�y ManaAement DisiricL Fesitlenfial conslmction aDDlications are eaempt imm IhPS¢ provisions. Date: AOPlicanl: I�ere�y ceitilyt�atihav^ reatlt�4 application ana statethatlhe aDoveinformation is correct.lagr¢e b camply wit� allciry and counry orainances an0 statelaws relaungloGuiltling crosimctian and hereCy aul rize re0�e5enia�ive5 a��i5tilyloenleruponihe ahove-meniionetl pmperty br inspection purpases. Oale: V�s� (,� Sipnature: I 1�� Oiiver's License or Saial Seturiry e: �� 6<1�a6 W�pe—BwlOina: Graen—Cotle Enbrcemenl: Canarv—Aoolicanl: Pink—Ravenue: Golaenroa—Assessor � � . �� ,, CITY OF COSTA MESA — BUILDING PEAMT_T PSRM NU: E 06392( PERMIT Na: E 063420 PLAN CHECK NO: N GOVT: N SUP�; N CONSTRUCTZ��N TYPE; 5—N PERMIT T�'pE: ELE PURPOSE; OTH JOB DESCRIPT2qN : CHANGE OUT METER sfCTION FROM 3 TO 4 SQ FT: CLAIM VALUE: cALC—VALUE: GROUP OCC: R-1 / COMMENTS: CREATE 'HOUSE ME;TER' �***��*��**+��r*��*�***xtt*�#*+t*****�***�*��*x�*��+e****+�x�*�+��**�**�*��*+�*��*�� z�� " Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG --------- FRNi: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REO• PROV; PARCEL: 91812114 ZNE: REF NO: PLANNING N61'ES> � iE # iE 1F iE 1f iF if iE 1E iE iElE 1E �lE 1E 1! 1E 1ElE If.iE if 1f iF iE i! i(� !F if �lf if�1E iE iF if� iE # 1E !k )f if iE %# if if # if iEiE-1f iE # if iF if 1E 1E if iF iE # �(� # iE i! iE iE 1E ib 1E iElF # fE 1f 1F ff DEVELOBMENT,.—S.E_RVICES REQUIREMENTS ZONING APPROVED BY �'i'� Dt�TE: BUILDING APPROVED BY : � DATE: APPLICATION ISSUED BY: "��' • ��Y� DATE: _—i�� lEiEiE�lEiEififiE#iEiEifiFki(-iEiFlEitiEitiEi�FiF �e� it iF�ey 3iiFiFlFiF �iF f�F�F iFitit�7FiEiPiklFifiEif#iEl43F��Ei iEfE 1fif�lEitlflkififlE?liE1likiElflEiElFiEifiElElEifil�EiElf�EfFiEltiEiE3E1FiElfiF###iflkik iEiElEiEillElEif�lElEiElE#lEfE##ifiEfEltlE1(�iEfFfEiEiElEiE!!if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECT'RIC MECHANZC FIRE SMIP/RES GRADZNG PERMIT 3950R PLAN ISSJ£ FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 34.00 15.00 0.00 REVENUE DIVISZON TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 99_00 SMIP/N0I3—RES TOTAL PAID DUE 49.00 49.00 .00 49.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECR if iE iF iF if # fF iE 1F iE 1! 1E iE 1E iF iE 1E iF ff if�!! ik iE iblf if 1E # iF iF i4 iE iE �E iE if iElE iFlE itlE ik iF fEi! K� iE iE iE il� iE 1tr fE 3f # iE �N� #!E f! 1ElFlE # 1E �)f !E !F #iFlh 7E i! iF iE if !f 7E I N D I V I D 0 A L F E E B R E A K D O W N TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST ELE 2 FIXTURES LIGHTING ! ST 20 EA, .75 1.50 ELE 2 RECEPT/OGTLET 1 ST 20 EA. ,75 1.50 ELE 2 RECEPT/SWITCH 1 ST 20 EA. .75 1.50 ELE i SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18,50 ELE 1 SUB—PAUEL 1i,00 11,00 END OF FEES O1 00144`17—��14�.517 T U T 59.00 DATE� 08/09!93 T?tiE: 11::0 % '" ; ,: ION AND PLANNING POO. 5PA ' .'RO�iALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector � , ' 1. Temporary Electriwi Serviee or Pole 52. Pool & Equipment Location 2. Soil P pe�Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms 4. Electriwl Conduit-Undrgrnd. . 55. Electrica� Bond�ng 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. 8. Foundation .' 59. Gas Pipe, O Undrgrnd., Test - 9. Water Pipe-Und�9�nd. _ 60. Backwash Lines, P-Trap, O Undrgrnd. _' 10. Structural F�oor System • 61. APPROVAI TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor•Final 12. Sewer Cap " 63. Heater & Vent-Final 13. Roof Drains 64. Plum6ing System � Finat " 14. RoughP�ucibing . � 65. Electrical-Final .� 15. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric W�ring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducis, in Structure ' ' � , i . 70. Underground Hydro � � ?2. Ducts, Ventilating 71. Product Pipin9 O Gas ❑ Oil 2�. ,as Pipe�Rough & Test � 72. Undorground Flush 24. RootFraming 73. Undergrnd. Stora9e Tank O Gas ❑ Oil 25. Roof Shething �4. Overhead HYdro 26. T-8ar Ceiliig (S�ruc[ura1) & Monocoat 75. Dry Chemical 27. Frame and Fashing 76. Dry Standpipe . 28. Lathing & Sidi�9 � � 77. FIXEO SYSTEM FINAL 29. Insulation '� - � 78. FIRE PREV. FINAL 30. Drywall Naiing ' . HEALTH DEPT. REQUIREMENT 31. Plaster Brow� Coat ' 79. FINAL INSPECTION 32. Electrical P�wer MeterFinal -� ,� A I 80. FOOD CERTIFICATE ISSUED //L�./ 33. Final Ele�tric ��r Notes: 34. Final Wating & Air Conditioning , I 35. FinaiGas Pipe-7est � i � 36. Houd or CanopY � � I 37. final Factory Fireplace � i .' 3B. Fina� Plumbing ' � ?3. Water Service-Final � ' 40. Gas Service-Final i 41. Solar pomestioFinal ' � 42. Backflow Preventer ! 43. Backflow irrigation 44. Landscape Irripation System � 45. Sound Atrenuetion 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDWG I ; i 48. FINAL PLANNING �" 49. Electric Release to Edison , � , 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date �` \ � " + 1 — - (l�p r w,• �"j- �- � 0 63 �1,�-C� I� a 5 S�-o� w-�-� .�' L n� E�1 � ¢2�5 � 1 N$Pnc�i3� �. ��JCi � G t, '��3�c(�FI�X 3-"�S wl(r�o�n,�tnis w�re.�`J-o ' , 1„oJq y'�/ ,o li�V NPi.J � . - G p' . b� N-m�e{� , N�`"� '1 � /� � %D SecJ�f�o� I ea�-�- 3-�E' 1%a I-4b.�52 ��! d� ^T �' � rises�b � S�b-?�L �� '/Z``� �-s�.8 io( �� (' y-�'oSm,r�o.� �t�.��.�.� �� - ' o2-abT r�2��mT �Iz�MT "' R�RS, e N e.,� ��/ •<< � rv+T i=1 Do 3Q,� �. � a-q�� 3-9a �-s�g � �� 5�-� s�i.ae�� Q� � �� 3a� G 1 R� I /2 �'G/Y(%�7 ,� ; � � ' G�r � �� , �ss�; aQ�� a� � r �� Fece T l� � � �� N��L � � � y � g`J wrr� �� a.. �,, ,...,�, / � �-� ��,� �� G-A5 .e a - S o ° , S;, (� � �-}- � c., L, -r- � ,, � ��1 � ,zr3 � ��2 '� nn'S �1�� . � (�mP� .�,-�.r� S„�' �" 5 i ' , � . � U 0.�0.�n C� �// 'C 0l'J �'1 � ILL7 9-i S � N j%�O. � IQ � "1L�S �� s J� ��-r3 °�- � � i�, -e f�7 , � . � ' C� ►z3.GZoMey: � � `-�, �--I �- . . , .. , . . , _ . , rv � �/� �' ��ZT�rrN r-� S 'J;r��-. S � � , , � 6 , �• . Y � • . • . < � , ' , _ � : r , � . , � . , . .. , _ -� ,�-,�.1. � . _ �� _ _ _ . _ � . -,� - -.I �_� . �' ; , . - -- • . . � . J / / / �� I.t . .r . r.' , � % l. .. . � � �i , /,r 1 . �.� '� "" � "' . . � . .� � '- ' � I 1 1 I .� I � . �. � '�1 � �. � � � ' ' 1; �. . - � � , ' . . li ,- . . ' ' � � - ' . . �t � : � , .. ,. .� .. 1 �, • ' ^ ^_ . / _ .. _ � ' J . ��\ .. Y) '� �, , I . `! . I. —. • � , i . �. � � i.ii � :\!r ' . � 1 . . " 4� . � { .• .. , i . .. � j '� �. �- - � ' � . . � � " ' . � i , . � "' _. """'. � . �_. . _ - 1 \ �: ' � � . t ' . ' . '—�_ _�" _'' ' ' ___ ' . . . � . ' � . .� F.._�_.� _..��.`�e�x_'�__" _�___"' : ..___ '.�-� ._ . . ' - ----...i . , � : ._ . . . � .. i . � }_, c—,- -- - - � ' ' ' ..a . , . .' , ', ' , - , 4 , , . , . . � , � ,�-_ .—. ' � � ' . � ' � � � .1 '+�. . . � � ' � , ' . ± (_ .�. . . ' . '--- '� . , -� � ' . 1 ' �.. .. f . . i l i . _ ' . . �. . . - — -- -- --- "-- — -' ------'-- � . 1 . ; . � ' �� . t � . - - - �, . �' 1 , • ' ' � - ;� u'�, � � , � . � , � • t - ' tS�d'�;� r � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING _ _ F C W G. Q y y x F Ca W F Q � .a Q' 7 r � x w n. O 4� a z � 5 3 OWNEP MAIL GTV CAN5iaUCfION LENDER BRANCH ADDRESS ARCHITECT TEL. NO. CONTRACTOR (�,P�- ADDRESS TEL. CITV NO. STATE CITV LIC. NO. 281(1H B]_ LIC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. c �FR-2-77��.—�e�� 31s �u�i67_.04 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY OATE RECEIVED �oTp iscnvr BVIIDING ADDRESS FIqE ZONE APPqOVED Z J NO.OF� PLANS VAROS APPROVED MAIN BUILDING (FROM GL "yTR�ETJ� L. SIDE V' REAR • DISiANCE BET, VALUE USE OF NI BUILDINFr�I VARDS BET. MAIN ACCESS. BI DATE BUIL�ING I heraby acknowled8e thet I have reatl this applicstion antl state '� that the abova information is cor�ect antl eB�ee to comply with n m all laws reflulating bulltling construciion, and 1 shall not emplay � any person in violation of che workman's compensation laws af m Me Stata of California, i - � I1 m I hereby cartify that I am properly Iicensetl es a conttattor untler SQ. FT Y N tha State of California Business and Professlons Code, Division 3, THE AMOUNT SHOWN UNDER VAIVATION IS FOF m Chapter 9, antl that such IIcBn5e5 aIe In f�ll force and Bffect, O! I THE PUFPO6E OF ESTABLISHING A PERMIT FEE ONLY: � am exempt from the provisions of the State of Celifornia Business VALUATION PERMIT FEE $ a antl Professlons Cotle, lvislon 3, Cha ter 9. vo ro yy��.../// �.n PLAN CHECK $ '° Signatureof $• /•/D/n) � � � Permittae / � (�v Tp.X $ � � � U Authorize gent TOTALPAID $/� � F � W O. a y h �� F 4343/ • COSTA MESA BUILDING-SAFETY DEPARTMENT V_b. RnX 7200 COSTA MESA_ CALIFORNIA 92626 vnt� ��.an,–s-�;�„—S�Qo e1� �w��z41.00 APPLICAT[ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVED DATE ISSUED ADIDfiE55 825-A B C Jennifer Zane C.M. PERMIT NO. OWNER �� SEW211 IRC. />•P• NO. MAIL eU1LDING � � ADDRESS 136 Rochester .St.i2et /aDDFESS TEL. TRACT LOT BLOCK CITV Costa Mesa 92627 N�� 642-4905 CONSTRUCTION � W ADD ALTER R PAI LENDER BRANCH � OWNER /�' �E� ADDRES$ �q- VALUE ARCHITECT TEL. S /C ,� S OR ENGINEEF N FIRE ADDRESS 136 Ro 2StP�Y S't. COS't.3 MESa ZONE TVPE GflOUP APPROVED CONTRACTOR ��' BY DATE ADORESS ZONE NO.OF USE OF NEW TEL, p�p,ry$ BUILDING CITV NO. STATE CITV �'AROSAPPROVED YARDSAPPROVED , LI0. NO. 28161H Bl LIQ NO. MAIN BUILDING ACCESSORV BVILDING SIZE NO.OF BLDCS. (FROM C/L STPEET) OF LOT NOW ON LOT FRONT FT. FT. VSE OF EXI5fING BLDG. S E FT. � FT Separate permits are required for L. SIDE FT. FT. electric, plumbing and heating work. FEAR FT. FT. USE OF BUILDING AND WORK TO BE PEFFORMED DI5TANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAF.# DATE C.U.P. y¢ APGROVED APPROVED I hereby acknowledBe thet I hava read this application and state / � r that the abova information is eorrect antl agree to comply with a all lews reBulatln8 builtling construction, and 1 shall not amploy a , any Derson in vlolatlon of the workman's compensation laws of ; che Steta ot Callfornie. � a I hereby certify that I em properly licensed az a conttector untlar SQ. FT. � She Siate of California Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VA�VATION IS FOR ¢ ChepSer 9, entl thet such licenses are in full force and effect, or I THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLY: � am exempt from ihe provistons of theState of California 8usiness VALUATION �-PERMIT FEE d antl Profassions Code, DiviSion 3, Chapter 9. $ d � ° PLAN CHECK $ ° SIO�etule of � Permlttee $ TAX $ � l Authorizetl ent TOTALPAID $