HomeMy WebLinkAbout9011 JEFFREY DR - Building Permits1)
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SUBJECT PROPERTY INFORMATION
Praperty: 3011 JEFFREY DR, COSTA MESA CA 92626-2928 C039
418-122-10
ORANGE, CA Tax Rate Area: 15013
639.08 Prop Tax: $3,402.04
27-F3 Delinq Tax Yr:
859-CS Exemptions:
817/776-9374
MYERS WILLIAM W& VANESSA M
9412 MESA VERDE CIR; WACO TX 76712-6480
SALES INFORMATION
LAST SALE
Transfer Date: 04l24/86
Sale Price/Type: $271,500 FULL
Document #: 162601
Document Type: GRANT DEED
1 st TD/Type: $217,200
Finance:
Junior TD's: $27,100 SELLER FIN
Lender: AMERICAN S&L
Seller: S KOURAS GEORGE J J
Title Company: STEWAI2T TITLE
Transfer Info:
SITE INFORMATION
Improve Type:
Zoning:
County Use:
Bldg Class:
Flood Panel:
Phys Chars:
Legal:
Comments:
2
060216-0047E
L30 TR9474/N
2-2BD,1 BA;13BD,2BA.
PRIOR SALE
02/03/78
$165,500 UNKNOWN
Lot Size: 51 X 116
Lot Area: 6,000
Parking:
Park Spaces:
Site Influence:
Use: TRIPLEX
Totai Value: ,
Land Value: $115,019
Imprv Value: $162,981
Assd Yr: 1997
% Improved: 58%
IMPROVEMENTS
Bldg/Liv Area: 3,252
# Units: 3
# Bldgs:
# Stories: 2
$/SF: $83.49
YrbIUEff: 77
Total Rms:
Bedrms:
Baths(F/H):
Fireplace:
Pool:
Bsmt Area:
Construct:
Flooring:
Air Cond: NONE
Heat Type: HEATED
Quality:
Condition:
Style:
Other Rooms:
Copyright OO 1996-97 Experian Page: 1 of 1
/
�,oupessaew�wm: 3011 JEFFREY DR
o""ERs"""E'°'Q'°w": MICHELLE CLARK
"°o"Ess 3011 JEFFREY DR
C.M. 92626
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IiPCNREtTONFNtlNfEA:
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FLOOD; X 47
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CZTY OF COSTA MESA — BUILDING PERMIT
IPERMIT NO: P 086457 PLAN CHECK NO;
a$- �� CONSTROCTION TYPE: V–N . PERMIT TYPE: PLU
JOB DESCRIPTION : DISHWASHER CHANGE OUT
urar:
CLAIM VALUE:
�+TM��T�s"� NOCK PLUMHING ( 714 ) 895-1246
� � CALC–VALUE:
1
98-0
PERM NO; P 086457
GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
CpRNALTOR5YY1WG11612 KNOTT ST COMMENTS• NO OTHER,WORK ASSOCIATED WITI-I THIS PERMIT
�ooness:GARDEN GROVE CA ucr+o.: 707775 **�r**�r***�t*�*��+�*�r�r�+�+r�*�r+�+rxx�*�*x�r+t��r*****���+r�+��*�t*�x****����**+�****+r+��r******+�
92841 ��+T 17 Z O N I N G R E Q U I R E M E N T S
LICENSED CONfNACTONS DECLANATION: I hereby ellim uMm panetly ot perjury that I em IicenaeE undar proviaiona W C�eqer e �j' �,' T H A C�( �"j
(oommena�q w�lh Senion )000) d Divieun 3 d Ne &niriess aM Pmieadans Code, eM my license ie in (ull lace vM eHerJ.
cmuc.r+o.:OS0386 uc.cuss:C-36 uc.No.: 077 5 EXP: 02/98 ------------ MAIN BOILDING ---------- --------- ACCESSORY BUILDING ---------
� �� 4_4� � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
�'°-- J OonM18d0C . LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNEfl BUILDER DECLAflATION: I MreCy elfirm under penelly of perjury ihet I em uamq /mm iM Conireqas Linnse Lew la tM
Iolbwip remm (SeGion ]W 1.S Bus'uwss eM Profeasiona Cotla: Any c4y a county which rpuirea e pertnu to mr�sWM, eller, improve. F.I�K Z N G R EQ : P ROV : PARC EL ; 91812 210 Z N E: R EF NO :
Emmdoh, a repei eny sv�ciure. pior io us esueze. ebo repuires iha eppl'xxm Iw such pelmn io fib e egmE etelement tl� M a ehe
ia lieenaed W�+�� �o tha qovisiane d �M Convedore lieeme Lew [Chapter 9(wmmeea�q wnA Seaion )000) W Divsion 3 d ihe P LANN I NG NOT E S>
Burinea enE Proleaeons CoEe� a thm M a ehe is eumq theralmm eM Ihe besia la IM elbgeE memptian. My vule�un d Seeion )
103t.5M�YavdvaMiweoermewd�a�haevWira�imedvilVa�MdndmorethenlxehurdreddollenR50o11. jE1EiFiEi41Eilif�ltlEikikikiEifiEiEiFiliEiEiE1E1EiE1E�E1E1EfElElElEiElf�lfiFiflEiflEiEiEiFi!*�ldklEiFiElEffiflEiflEiliF!l1FiEiE�fiE�lEiklEiF*1E�1EiliEif�ItiEiFif
❑ i,e'°"V"°`a'"°°'°°°m°'mv""°�°°°"•n"�'°s'n':°"°°°"'"°"'e"°","'n°°'"°"°"`.°"en'°�""�"'°"��°�°�°°° D E V E L O P M E N T S E R V I C E S R E U I R E M E N T S
a oilered lor eele (Seciian ]004, Businea end PrWeesiona Gotla: The Conlreclon Liceme lew doea nm eppyto en owner W propery Q
wla WiEa a mv��ss ��reon, eiM r.fio tloen auch xwk IimceM a hene� a thraqh he a her own emplv/eee, prwided thm wch
mprwemeMa era ria inlaMaE a d1ereE fa aeb. tl, howa.x, the buiNi�q ar inprovemml e eold xilhin aw yeer d mmpW m, tha
owner-e�ium win he�e tha wreen d pw��o he or eha eie � wiie « imqove t« �M wmwa d�e). Z ON I NG AP PROV ED B Y
❑ �. ea o�ma, d �ne vrweM. �^..duu+ero conv.e:w ,mn �i�,.aa ca,venn. m conswa �ne o�i«� (s<a:�n �a..6�s��r. w
a,was.�ac�:rnecom�ma.u��»�.e��aewN�o����vwenr�w�u.«�«m�,.�awa HUILDING APPROVED BY ;
wnlrecm lor wch pral�e xiih e wMreea(e) IcenaeE W�� to lhe COMrecMa Licerue Lewl. �*
i❑ i,,,,,.,m���a„s,M�: e.av.c..m.mre�: APPLICATION ISSUED $Y; /�
o.�a: o«�,« �+���*��ieiFiEititat�rit***itit*x�
LEGALIZATION:N F E E S U M M A R Y
1 do hareb/ ce��h � I em ewera d erd uMenleM tM reyuimnxua d Cel'twnie Hml�h eM Setery Code Sed'wm 25505. 2553�. vd
2553a. ard Mm I a enY Mum Wiki�p arvpem, will / wil ml (dreb aie) � ro comply wih aeid mte aodn eM iM rp�irameMe br
epermnlaconavunionormodif fwnhom��eAr e�8i�iy srepementDis�na.ReaidsualconeVunioneppimtiomereexamqirom�ha+e PERMIT HLDG PMT PLUMBIII75 ELECTRIC MECHANIC
prwisione.
Oete: AVd'ceM: 2 r] i
WOFKEH'S COMPENSATION DECLANATION: I Mreby elfimi under penelly d perjury oro W tlre ldbwiiq dedvmbna: P I'AN
�IheveeMxilm�MenacenilutaWmmenttoeaMrna�robrworkme'compxuetion.mprmidedlabySepbn3)OOdtMlebar ISSUE FEE 22.00
caa<.iam.ceno��aama�i«�nm�.��na�xi�ee. HUILDING–DIV–> PERMIT ISSUE PLAN–CHECK
�inaw�a�i�m�won�.�.��v�o"��w�.m�+a��roeMsm�o�,waoamei.no.cod..i«maw�ro,��dma TOTALS----> 8.75 22.00 0.00
wwk la wfiM Nn V�� e 6sued. MY waken' mnGe�ion mw�vica rerts end polNy n�mber are:
c�r GOLDEN EAGLE EXPIRES REVENUE DIVISZON TOTALS--> COLLECTED;
PdryNumber: NW��� 09/O1/98 BLDG PMT PLUMBING ELECTRIC MECHANIC
�rna .�a� „�e,�a as �d�ae r me w�. m ro. � w�e�e aa� Is�ro/ a r�.� 3 0. 7 5
L�Fisl�l
TOTAL
30.75
DATE:
DATE:
DATE:
**�*�*�* *�
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON-RES
30A75 D00
30.75 OVEA/SHORT: 00
FIRE SMIP/TOT GRADING PLAN-CHECK
� I mn/y thel in Ihe perlwmence d �M wwk la which ihie paimil ie imuad. 1 elall � smploy e�ry paiwn in eiry menner ro m to
nemme wdw io ine �wken• wnwe�ae�ian mw. a ceN«nie. e�w n i enu,k nxam. au4a io ine woiwrs *iEiEiEifitiEiEitiliFitiE�)EiEiEifitiEitkititiFititititititititititiEiEiEiE�EiEititiEifit3E�lEikiEititititiEitiEitiE±E�14iE3EiEifit�EiEit�kitititiE3f3Eit�Eitik
�w�,m� w�o�s a s�e�, a a ma imo. cod., i.nmi ionn � wnn i .
o�a: i—/ S' S� nod�: I N D I V I D U A L' F E E B R E A K D O W N
�
Wamlip:Felluisbaxunwontriro�wM++uo�owe�e�n���u»mn,�e��HeHct+�aro�oywtoeNm�e�as�m���e QTY D E S C R I P T I O N UNZT COST TOTAL COST
clvll flrisa up ro ons hurMreO fhoua�rd tldNn (S10q000), In eWltlon ro fhs cwt ol comperuetbM1 Wmep�� u pov/ded b� ln
sKno�s�aro�mel.�no�tow,����ita�e+mmsy�e»�. PLU 1 DISHWASHER 8,75 8,75
CONSTi1UCT10N LEIIDINO AGENCY; I hertby etfi�m uMor peneXy d perjury �MI IMn ie e oonat�uabn kMiip eperwy br Ne
�IBf�OfTB11CB ���18 WOf�(�OfM'�IIC�1��16 pBl1119 IB 69YBd�$BCIU11 3091.riN.Ci�.
LEN�EN'S NAME:
LENDEH'S ADDPESS:
I carliry ihei I heva read Nu epplireiion erA pata Ilat iha ebove informetion is coirecl. I epree to canply wnh ell rny erd oounry adinenms
uM etele lews eNeiii�g ta Wikvg eon9�Wian erd Mreb/ eutliw¢e repreaentalivea d�h'v tily to eMm �pon IM ebova-man�ioned poperry
laimpedionpurposes.��., ..��..
�/S-
(5151d6.WP) N1hGe-BuiMiq 8 S ery;GreeMFle;Genery-Appicenl: Pink-Pa+enue:Goldenrod-luseasa
l�I�L�fila7�f�i��
81-IS-1999/89:58 NM/{38.75
RCDTN:81-881816)
PERMIT:086457
CONSTRUCTION AND PLANNING POUI & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
L Temporary Elecvical Service or Pole 52. Pool & Equipment Location .' �
,2. Soii Pipe-Undrgrnd. - 53. Steel Reinforcement • ��
,�3. Electrical Conduit Utility•Undrgr�d. 54. Forms ' ���
i
--4. Electrical Conduit-Untlrqmd. 55. Electrical Bonding -
"�5.; S'reel Refnforcemeru� 56. Rough Piumbing & Pressure Test �- "
-�.':6::�Eiectrical UFER"Gmd. 57. APPROVAI. TO COVER-GUNITE '�
� �T Pc,otings � . 58. Electricai Conduit-Undrgrnd. �
8: Foundation - 59. Gas Pipe, O U�drgrnd., Test ��l
a
9. Water Pipe�Und�g�nd. ', 60. Backwash Lines, P�Trap, O Undrgrnd. �
t0.5tructuralFloorSvstem ,�� 67. APPROVALTQ:DECK�'
; i t. Property Sewer Line & House-Connection 62. Backwash & Receptor�Finai
12. Sewer Cap / 63. Heater & Vent-Final �
1'3. Roof Drains , 64. Plumbing System � Final �.
7:4. Rough Ptumbing� _ ., � 65. Electricai�Final .
75. Rough Electricai-Cond�uit �• 66. Soiar System-Finai
1fi. Rough Electric ���ring ' ' - 67. Pencing & Acces4_Approval '
i
17. Rough Wiring $ign - � 68. APPROVED FOR�PIASTERI�NG
78. Rough ElectricaLT Bar Ceiling ', 69. POOUSPA�SYSTEMS FINAL.
79. Rouyh Heating,& Ai�Conditioning ,.- . -� � FI:RE�DEPT.�REQUIREMENT
_ , � , , .
Z0. Rough FBctory Fireplace "' ' ' - "` � APPR,OVq45_ � Pe'rmit # '
c
21. Ducts;in�Structure''. . ''.J - � -, � . ' ' �
. 70.'-Underground Hydro .
22. Ducts; Ventilating ' •� � � _ - �'Y . _ 77. ProduCt�Piping-�Gas OOiI .
23. Gas Pipe-Rough & T�st � ' �= � n _ : � �;� - 72, Underground Fiusl� � . �
24. Roof Framing .� , _ ' 73i Undergrnd. Storege Tank,:7 Gas ❑ Oil
25. Roof Sheathing _ � , - 74�. Overhead Hydro. �� �
26. T-Bar�,Cei�ing (St�ucturall & Monncoat � 75 Dry ChemicaV _ "7 ' - �
�
27. Frameand Flashing;,� , _ „ " �a� 76, Dry Staniipipe�; ``. � � . ,
28. Lathing&�Siding � • �-� . 77. FIXED�SY�STEM-FINAL '
_ 29. Insulatio�' '��� - �� ,� - 78i FIRE PREV. FINAL � � �
30. Drywall Nailing • _ '--HEALTR DEPT. REQUIREMENT
- 31. Plaster Brown Coat., ' � ; ,� 79. FWAL INSPECTION �
� 32. Electrical%Powet MeterFinal �� � 80� FOOD CERTIFiCATE ISSUED�
�i 33. Final Electric , ' _ � . Note ,�C? _c� y �� ���Z�; ��
� 6
� 34. F.inal He3ting & <1ir Conditioning , . _ � .- �
35. Final Gas Pipe-7est '� -�, •• ��-" ` n' T, �
; 36. Nood�or Canopy . �� � - � � - � ' ... '�' �'
_ �
� 37. Final Factory FirepJace � ' " .. ; ` �,� , �
� /
� 38. Final Plumbing ' r ; �_' �'�g•cjg � ! . - . .
39. Water�Service-Final� ' '^ - -
�, , •
.40. Gas S'ervice-Finai , T , : , . � � � " �. . � - r.
- 47. Solar pomestio-Finat � � " " ' "
� 42. Backflow Preventer . , . . . ", ' .
43. Backflow Irrigation � . � " �' ' '
�- !J
44. Landscape Irrigation.System � _�� �, . �� - � �_ ' . .
45. Sound ALtenuation ' ' ' - � � ' " � � � " �.'
_ . . _ . . .1� . . r
Q6. Handicap Regulations . , � � � '•
47. FINA�l. STRUCTURE & BUILDING - -..---,-' . � .. _ ,
48. FINRLPLANNWG� � � _„F_. , � � ._
49. Electric Release to Etiison � ' " . " -,
��, � -
50. Gas Release to Southem California Gas Co �� j= •
51. CERTIFICATE OF OCCUPANCY
No. Date
wonusaam�anc: POTTER, �RYAN1 V�•
OMNEHSWVAEIFppWN: 3011 JEFFERY DR #A
� Ii00PE55:
COSTA MESA, CA 92626
�VPL. YAIIING ADUflE55:
FLOd'[�'t Xn 47
�qCNRECTONFNtlNFEH: •� 11C.N0.:
MCN.OH ENG.'S 1DDFE55: UNT:
NOCK PLUMBING (714)895-1246
coNrn�cTarsruue: 11610 SEABOARD CIR
cartn�croaswuuxa gTANTON CA 707775
woncss: 9 0 6 8 0 uG N°.:
unt:
LICENSED COMHACTONS DECLANATION: I hereby ell'vm under penetly d �pye��ury thet I em IbeneeE upn�Em qotiuwn ol Cheqm 8
�oomme�^G wnb:aciiorviaeoFd Drvoion 3 W �ne Bu�ims�alM Pmimaions / V m�d�m�iae�m o in G fwn eJd eHam � 9�%
CRY LIC. NO.: V 7 V.J b O LIG ClASS: t. .5 b UC. NO.:\ / f"/ J n 2' V L
Dete: �,2••1 � °L% comreaa: ��7c� I�I'7��/�'17��/V�
OW NEP BUILOEF DECLAHATION: I Mreby elfimi untler periely d perjury �hat 1 em ezemq Irom �M ConireGaa licenva Lew la Ihe
lolbxing reawn (Sedion ]0�1 5 Buainess arM Professione COEe: Any My a oounry which reyuiren e pe�mn lo mnnirucM, eMer, improva.
Eemol'nh, or repei eny avucture, pur to ta ewarca, e6o raQuima the epd�� fm such permil to fib e aiB�� etetemem thal M«eM
e IioenSeE W�a�t lo iM pwivionf d IM Gonlreqae Licanse Lew �Chepla 9(�mamnp hith Seaon ]000) d Dvoion 3 d Iha
Busi�w� end PrWasaoro COEe� or Ihe� ha ar aha is atemq thereham eM the besia iw Iha elleped eaemp�bn. Riry vbleton W Sedion
]0�1.5 by eny epplicent fw e permn wbpUe IM epplicenl lo e avil penelry M iat mwe ihen 1've huMred dollere �4500�).
� I,eso�.nerollhepopenywmyempbyeeswlhwegesac��ekwboompenae�ion,xilldo�hewak,end�hesWCWroendintenEeE
or oNerad lar mle (Section 10aa, Buaineea eM Profesaions Code: Tha Gonirepon Lioanse Lew Eoee iwt epOH�o en ownarof propa�ry
who Wids w inD�a Ihereon. aM v.fw doea au h xwk lim»II or hanetl n Mraqh hc a her own emplvreea. qwNeC Ihe� wch
imqwemema ve rot imeMed a dlereE lor eele. H, Mwcnr, ��e Euiki'q a mpia�emeni ia soN wnhin wre yeer d cwnpleton, tM
wnar-0uiMar vnll heve ihe burtlen W provin0 he or e�e Ek nM build m imprave lor Ihe Wmose W mla�.
� I. as ox.rer d �M prapeny, em eadwiveN ���Rq � licerued wnvec�pa �o canshucl Ne pqM (Setlion ]OM. Bunirece vd
a.�i.��s coae: rne comr�.vore �ra�sa �. does �a evvh �� d, o.ma, d v�aany wno a,�as « �mv��e inerco�, ena wno
conlrecta i« wM W9�a wnh e mMredw(e) IcenaeC W��� �o IM Convedore licenea Lew�.
� I em exemq unAer Secliort B. 8 P G, br I�is reeaon:
oaa: ---- om+a= __ .
cenAy ihet I em eware d eM uMeniend �he repuiremenU d Cellomu Fieetlh end Sefety Coda Seqiona 25505, 25533, vM
IM1a� I a eny Mure WiNirp oowpenl will / w11 iwl (a�cb an) naed la cwnply w�h eeid e�ele wdee eM �M �puirtmenp la
wnswc�ionamaCifiWionhomlheR'v u�i�y.lrerepemantDiatrie.ResiCen�ielconetruclioneppNstbnserea�emptlromtheea
W OHKEN'S COMPENSATION DECLAF�TION: I heroby elfirtn uMer peral�y d parjury me W ihe lolbwilq dederetiwa:
� 1 hew eM wil meintein e ceniliWe d cansenllo eall�insure br v.ake�s' campenxlion, m provitled iw by Seclbn 3]00 M iM leEor
COJe. la �M peAormence d tM wM irc wlvch Nn peimtl u imueE.
�i] I hew arM vAI meintein vroMare campenaeiun insurence. ae repuired by Section �lOp W I�e lebor COEe. im IM pe�ormence M �ha
,.�i«..n�m�.ro�naa.�e.My.a�re�'('9�'�hN"°�#�'PSEawrm��mn.,.,e: EXPIRES
�°�^°� NW���L..a30� 09/01/96
Polq Numbar.
(Ihis section nee� iror 6e romple�ed I tM qrma u Iw wre huMied ddiers (g�ool w Iue.J
� 1 cerlily that in ihe peAoimerce d the woM br whch ihie parmn ie iawaC, I shell nd employ enY Ge� �� NY menrror eo as ta
bacana wbjea to �M wMere' rom0��ion kvn d celii«nie. earea m A I ehould berome wbiea io �M xaken'
wmpenaetion�s'w� I Seqim a]oo M iha Lebor COEa. I sh on ' h cwn ,' IMx p�oNsion —
i
De�e� _jr 2"7 F � nnd�m:
WaminO� F�llun ro�wun workwi compxuaUon rovsnp� b unlswNl, en! aNll �ub�wt en wnploysr ro ctlMlul pxuMq and
clvll nMs w ro om nundM Mounnd Jor4r. !tf W aooA �n Ntlltlon ro M. eosr ol rompwwtlon d�m+iu u prov/tlM ror /n
SxOon J)PB ol tlls Ga6or COW, Inroreaq entl artomsyl I�u.
CONSTHUCTION LENOINO �OENCY: I hmeCy efFrm uMer per�ally d perjury ihe� Ilw�e a e mn9'ueian bMiip eperwy Iw iM1e
periormence d tha work for which I�e paimn is esued (Sedon 30B1, Ciu. C).
IENDEP'S NAME:
IENDEN'S AOORE55:
( CMIh' 1�1BI � �IBYB fBB� �h198�CB11C11 BIIQ lIBIB �hBl �IB BbWB II1�MM�1W119 COfIM. � 80108 �O CIXlld'/ M11h BI� qIY � R)1111�)' IXdif1BIK99
andelelelevnrelelinB�obRO��^NOCK �abyeu�horixereoreeenta�ivmo�inocnvmame��ponmeebove.mentionedpopeM
forinspacYion Durpaees
Pnnt N e I �7 q��
" J � oe�e�( 7'" L �L
SiO�ure W Owner/ApenVApPtirenVConUeCw
(St51-�6.WP) Whne-Build'uq 8 Selery: GreerFle; Cenery-AppGrant; Gink-Revenw; Doldenrod-Maeaor
CITY OF COSTA MESA — BOILDING PERMIT
PERMIT NO: P 075922 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N
JOB DESCRIPTION ; DISHWASHER C/O
PERMIT TYPE: PLU
0• � 1 '�
r � �..
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC—VALUE: GAOOP UCC: R-3 !
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
�**********��t*�-x�***�*it�-*at�t�-***�t�*x-*******+�*+t*�*+��***�*it****�**at******at**+�******
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
----------- MAIN BUILDING --------- --------- ACCESSORY BUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
,LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 41812210 ZNE: REF NO:
PLANNING NOTES>
i
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D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
HUILDING APPROC�ED BY :
APPLICATION ISSUED HY:
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LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
%.��
25R
.y .
F E E S U M M A R Y
ELECTRIC MECHANIC
20.00
PERMIT ISSUE
%.�� 20.��
FIRE
DATE:
DATE: � Z6 7 6
3EIEifiEiflEIE�E iEiE *iE iEiE3E9E
STRUCTURAL EGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PLAN—CHECK TOTAL PAID DUE
0.00 27.00 27.00 .00
REVENUE DZVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
z%.00
aE fE iE �E �E if iE iE 1f if �E iF iF �f if iE iE if iF ff * iE fF iE �E iF iE iE �E 9E 3E iE iE �E if iE iE if 1E iE �E 3f IE 3E iE IE iE IE 1E ff 1E iE �F if iE 1F 3f iE 1E iE iE iE �E 1F iF iE iF �)F iE 1E iE iF 1f 1E 1E IE 1E iE if
I N D I V I D U A L P E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER 7.00 7.00
END OF FEES
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�!6',ONS7RUCTION AND PLANNING POi._ & SPA
APPROVAL5 Permii # Date Inspector qppROVALS Permit # Date I�spector
L Temporary Electricai Service or Poie 52. Pool & Equipment Location .
2. Soil Pipe�Undrgrnd. � 53. Steei Reinforcemen2 .„ '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrica� ConduibUndrgrnd. • 55. Electrical Bonding
5. Steel Reinfo.cement 56. Rough Plumbing & Pressure 7est �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUMTE I
7. footings 58. Electrical Conduit�Undrgrnd. .
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash L(nes, P-Trap, C Undrgmd.
70. Struaural Fioor Syscem - 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection 62. Backwash & Recepror-Fipal
12. Sewer Cap _ � 63. Heater & Vent-Final `•
13. Roof Drains 64. Plumbing System � Final '
14. Rough Plumbing 65. Electrical-Final
15. Aough Electricai-Conduit 66. Solar SVstem-Finai � .
i 6. Rough Electric Wiring _ 67. Fencing & Access Approval
17. Rough Wiring Sign • 68. APPftOVED FOR P�ASTERING
78. Rough Electrica6T Bar Ceiling ,'-� 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning . F.IRE DEPT. REQUIREMENT
20. Rough FactarY Firepiace APPROVAL5 Permit #
21. DuCts, in Structure ' 70. Underground Hydro
22. Ducts, Vent��ating 77. Product Piping C Gas ❑ Oii - U I
23. Gas Pipe-Rough � Test 72. Underground Flush �^ �
24. Roof framin9 � 73. Undergmd. Storaye Tank C� Gas ❑ Oil _�,i
i
25. Roof Sheathing 74. Overhead HYdro �;� i
26. T-8ar Ceiling (Strucwrel) & Monocoat 75. Dry Chemical r� '
27. Frarne and Fiashing 76. Dry Standpipe _
28. Lathing & S�ding , 77. FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINA�
30. Drywall Nailing . _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electrital Pow2r MeterPinal , 80. POOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning � .
35. Final Gas PiPe-Test
36. Hood or Canopy - '
37. Final Pactorv Fireplace
38. Final Plumhing p�
39. 6Vater Service-Final l� r r '
40. Gas Service-F�nai
41. Solar pome>tiaFinal
42. Backtlow Preventer
43. Backtlow Irrigation.
44. Landscape irriqation System
45. Sound Attenuation -
46. Handicap Regulations
4J. F WAL STRUCTURE & BUILDING -
48. FINAL P�ANNING '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No Date
Aoolicant to till in all spaces ezceot thosa wlenin neavY border Iines ana sign all approorlate Oeclarations.
CITV OF COSTA1M,�ESA CONSTRUCTION PERMIT
P�ojectAciren 1 1'�� C�'e-u ���-'
Ar`;�banl's'Mailin�aAd'�ifr�u�aj< ��
Ow'T�r's Name � ' �r" � , Phone
t�
Address ��'n1�
Arch/Eng. License No.
Address � c�.p��
Contractor's Nam� hone s.�L� .
Addresslmaiiingl a� �1 ���ne-
Ciry License No. _ �
�LICENSED CONTRACTOR DEC ARATION
I M1ereby aitirm Ihal I am IlcenSGtl untler provisions o� Charte� 9(COmmOn<in9
with section ]000) ot Divizion 3 of the Bu51ne55 antl Pr tl
' my Iicense is In lu Ior tl eHeci.
\License lass License
` Date Si9nature ���L� eQ� ��� C.C.1 f
'NORKERS'COMPENSATION DECLARATION
� i �ereby alfirm tnat I ha've a certiticate of consent lo selhinsure or a certllicate
\of Workers' Compensa[ion Insurance, or a certlfie� cOpy Iher¢Of (Se<tlOn
3800, Lab CJ 2 1�;�� �n\'
PoliCy No����1��1U' Company ��L`�""'�-�
Certitietl copy is heretiy furnishea. QQ p ,(�
Dateer ti tl co IS tiletl wAPPhtant` u�IYI�`l' hVO��V 0\ 11� 1^L'�-`^�
EXEMPTION FROM WO(3NER5' COMPENSATIOfi OECLARATION
(Thissection n¢etl not:Ue completetl if tne permll I5 for one huntlratl (§300) ar
Icss). /
I certily lha[ in the Performance o1 the work fo� which lhis perm4 is issuetl I
shall noi employ any person In any manner so as to become subject to t�e
Workers' Compensallon.LawS ot Calitornia.
Date Si9nature
NOTICE: If, atte� making Ihii tlCUara[IOn, you zhoultl becomn SubjMt to Ih¢
Workers' CompansatiQn 9rovlsions ot tne Labor Cotle, you must loribwlth
comply with such Oiovi5ion5 or tlti5 p¢rmit shall bC Eeemetl revoketl.
CONSTRUCTION LENOING AGENCV
I her¢by allirm thal th¢r¢ IS a cons[ructlon Iending agency �or Ih! perlormance
o/ tho work br whith this Dermit is issuetl (Section 3097 Civ. CJ
LCntler's Name -
Lentlor's AtlUrass
OWNER BUILOEN dECLARATION
I h¢rOby aHUm Ihal I dm ¢xempt trom [he Contracto�'s Llcense Law br the
follawing reason (SOGlion 7031.5 Business antl Prolessional Cotlu: Any city or
munly whith rCqulres 5 permil lo Const�uct, alter, Improv0, tlCm0115� o� re0air
any slructure, prlor toJts issuance, also reqWres the applicant tor such permit
: to fi10 a Slqnatl stalemenl Ihat he/s�e IS Ilcen5e0 pu�suanl to tna D��`/�SiOns ot
�?: he Conlraclor's UCCnsa Law (Cnapter 9(commenting wilh SCGllon 7000) ot
?ja;�ivi5ion 3 of lhe Busine55 antl Protessions COtl¢) Or Mat hC/She is oxempl
�.M1crotwm antl lhe bas15 for Ihe allegetl ex¢mplion. Any vlolalion ol Sectlon
]031.5 by any ap0��tanl tor a pe�mit subjecl5 th0 applicant to a clvil
�erldlty ot nol moro lhan �ive hunarea tlollars (E500�.
L.J I, as owner of Iho propCrty or my omO�oYees with wage5 as thOlr sole
CompOnsalion, will tlo th0 wo�k, antl ttte st�uclure IS nOt Inlantletl o� olte�etl
for sale (Sectlon 7044, Business an0 PrO/e5sional Cotla: Tha Conlrac[Or's
I_Icense ldw tloes nol aPP�Y lo an ownar o( a properry wbo builtls or Improve5
tM1e�eon, antl who tlous such work M1imsel(/hcrsel� ot through hls or hOr own
employCos, provitled lhal zuc� improv¢ments ate not Int¢Otlotl or ullereG lor
salo. If, howpvOq the bWltlin9 or im0/ovemen[ is soltl wllhin ono yea� ol com�
platioq tho owner will have tne burtlen ot proving he/she tlltl not bulltl or Im-
�rOve lo� tho purpose of Sale).
I, as owner of the prop<rty, am exclu5iv¢ly contracUng wltn Ilcen50tl Con-
tfactOrS t0 conslfucl the Oroject IS¢ctiOn 7044, Buslne55 antl Plolaiiions Cotle:
Tne ConlraCtor's �icense Law does nol appty to an ownar ot O�operly who
builtli o� Impwve5 lhCreon, antl who tontracts to� suCh pro�ecl5 wilh a con-
traclor(s) bcense pu�suant to tne ConVactor's LICBnSu Law). I dm aware lhat
prOoi O( thtir Work¢r'S COmpenSalion insurance inoultl be ProvltlBtl to me.
❑ I am exempt untler Seccion B. & P. C. �or thls reason
Date Owner
I nereby ceriity that I have reatl this applicatlon antl state that the above
intormation is correcL I a9ree to comply with all clty anC tounry ortlinances
antl stalC laws relating to �uildin9 consfructlon, anU hereby authOrize repre-
sentatives ot tnis city to enter upon ihe a ove-mentionrtl p opr erty for
inspection pur oses. G � f� Lp•--�
Si9nature ���• C�o�Q P.' t Datn �L
�rivers' License ar 55 � `- � i-�,
__Z5.�05�75 � — - � — __ � .
TVPE OF CONSTRUCTION NEW /aDD a�LJ TERATION
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
. - .
^TVPEOPPERMIT GRADING� FOUNDATION STRVCTURHL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
.PROJECT DESCRIPTION 5a. F7. oCCUVANCC vI_—^
CONSTRVCTION TVPE VAWATION 5_y]�[�j.�
�. ZOfVE� GRADING CU. VOS. T.�GG$�_
Remarks:�, \/y(� p�/L G�iG�o �.1 �,� cc. . c
REPAIR
Bar Sink
Preventer
Irrigation
Dishwasher
Drinkin9 Fountains
Floor Drains
Floot Sinks
GasService Outlets
Kitchen Sink
Lavatories
?—Trap
Roof Orains
Reinspection Fee $15
Duct-Under Ground
Duct - Structural
Duct � VentiWting
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. IC80 #
Heating System & Ducting
❑P700,000 BTU 0100,OOOBTi
Reinspection Fee � $15
CMF 0865�46, rev. 10/B4 White - Builtlin9; Canary - Appllcant; Pink - Accountlng: Goltlenrotl - Assessot
Showers
Service Sink
Sewer Cap
Sewer Cannection
$olar Collectors
Solar Pipin9 .
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Wacer Service
Auto-Wash
Issue Fee
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑aioo,000sTu ❑ioo,000
System Repair/Alteration
Fire Dampers
Registus
laue Fee
FEES
§ 3
5 3
A.P. qW
S Main Buildi
E
T Front �
B Rear
A
C Pight
K Left
S
Ping. Ref. #
Planninq Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers OGas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
$witCheS
Garbage Disposal
Generator �0�5 KW C
Fee
e
6324 9/29/B7
Req./Provided
Zone
ELECTRICAL
Transtormer ❑ 15-50 KW
❑ 50+KW
Meter �up to 700 amps
Merer �over100amps
Sub Panel
Motors 00.1 HP � 1'h - 8
Inc.Solar �9-15 HP �16-75+
Microwave
Pole Light
Standing Sec[ions
5 KW Trash Compacior
$15 luue Fee
DEVELOPMEN7SERVICESREDUIREMENTS:
Zoning Approvad By
Builtling Approved By �
2Bo50 TL
FEES
5 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SU�Q pR/V�p/�F FEES %�
BUILDING PERMIT $�{J_ � SMIP 5 iSv
PLAN CHECK $ PERMIT
PLUMBING S ISSUANCE S
PLAN CHECK 25% S ENERGY P.C. 5
EIECTRICAL 5 GRADING S
PLAN CHECK 50% $ MICROFILM S �(�' �'
MECHANICAL S TOTA� FEE S��
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA .
Date Inspector � Date Inspector
APPROVALS PermiY# . APPROVALS Permit#
i,'"femporary Electtcal,Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ;a
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding "'
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd: 57. APPROVAL TO COVER�GUNITE
7. Footings . �-- 58. Electrical Conduit-Undrgmd,-:
,:�
8. Foundation - 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Und{gtnd. 60. Backwash Lines, P-Trep, � Undrgmd.
10. Structural Floor System 61. APPROVAL TO DECK ::�
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' � �
12. Sewer Cap � 63. Heater & Vent-Final -
13. Roof Drains 64. Plumbing System - Final .
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wirin� Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEIVT �
20. Rough Factory Fireplace APPROVALS Permit# _
.'
21. Ducts, in Structure 70. Underground Hydro � 1
22. Ducts, Ventila[ing 71. Product Piping OGas ❑Oil �
23. Gas Pipe-Rough & Test 72, Underground Flush r .
24. RoofFraming 73. Undergrnd.StorageTank�Gas�OOil
25. Roof Sheathing . 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL � -
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION - ,.- '
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �" �
33. Final Electric Notes: 7�� Ql% � "�`�
P+�.
34. Final Heating & Air Conditioning - "%"
35. Final Gas Pipe-Test �.
36. Hood or Canopy
37. Final Factory Fireplace �. �
38. Final Plumbing �.
39. Water Service-Final � �
t �
: 40. Gas Service-Final
- ..
.41. Solar pomestic-Final � � .
42. Backflow Preventer ' i '
;43. Backflow Irrigation ,
• 44. Landscape Irrigation System ' i� �
i
� 45. Sound Attenuation • (� � � ' i
i
46. Handicap Regulations , � � ,
; f
47. FINALSTRUCTURE&BUILDING � p �.��� ��� /(7Qi���'
G /!�`�
48. Special Requirements Completed � . , " � . �
49. Electric Release to Edison , ' � -
i
50. Gas Release to Southern California Gas Co � ; � , ��
51. CERTIFICATE OF OCCUPANCY � . .
No. Date � _ ` • - � � ' �
�•. \- , , - -
�
_ - ` il:'�ila, !
� COSTA MESA BUILDING-SAFETY DEPARTMENT
i P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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OWNER
MAIL
qTV
BRANCH
ADDFES:
TEL.
NO.
ADDRESS
TEL.
CITV NO.
�Ic No. 281618 Bl LICVNO.
51 Z E I NO. OF BIDGS.
OF LOT NOW ON LOT
USE OG
EXISTING 6�DG.
$eparate permi[s are required for
electric, plumbing and heating work.
USE OF BUILDING AND WOFK TO BE PERFORMED
1 heraEy e�knowlatlpa that I heva reatl this application entl stem
that tha ebove Iniormetlon Is cor�ect entl apree to eomply with
ell laws rep�latlnB bulldlnp consnucilon, entl I shell not empioy
eny peraOn In vlolatlon of the workman's eompenzation laws oi
Me Stete of Celifornla.
I heraby certlfy that 1 em proparly Iicansetl ae a eonttactor �nder
the Smte of Calitornia Businasf antl Profeuions Cotle, DIv(sion 3,
Chapter 9, antl Mai svc� licenses are In foll force antl eifact, or I
am examvt from Me provfsions of tha State of California Business
antl Protess�ona Co a, D(vision 3/, ChyaPtar 9.
Slgnetunol �/A"/ v�
Permittoa A � �� � � �L�
�s-2-��PAi� � ��9Y ����6�.r,a
c�=•Q
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED DATEISSUED
F.P�NO// /—OI��%/J$�O' P�RMI Np��'1
lu /
BVILDING
ADDRESS � � � �
TRACT L LOT BIOCK
W A P
OWNEF /C�IiLJI%!7 C \CI�'`+�.L_
FIRE
ZONE
APPROVED
j,�l€ NO.OF
,J r'1`rs
VARDSAPPROVED
MAIN BUILDING
ROM C/�S.Tf��t)
BET
VAR. �
C.U.P. '
APPROVED
VALUE
YA
BEf. MAIN &
ED
.v�ai �-v�t JrCL�.AL - l il Fn, _,._.
• N
�
m
i
e
V I SQ. FT. � ��S N
/
THE AMOUNTSHOWN UNDER VALUA710N IS FOR m
TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
e
VALUATION PEf3MIT FEE S �
M N
/y�.../ w�� PLAN CHECK b � m
/// ///�/� �G o
5 / / /V TAX S '3 LL
V �
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TOTALPAID E �A
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COSTA MESA BUILDiNG-SAFETY DEPARTMENT
f>AIL . ��.1.e�
_.r-4-77�Hc:�Q 53G m:`.r::
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECEIVED BV DATE FECEIVED DATE ISSUED
ADORESS 3011-A B C Jeffre Drive C.M.
PERMIT NO.
OWNER ��`]�3�'d S2Wp�1 Il'1C. A.P. NO.
MAIL BUILDING �// /E�F��/
ADDRESS 136 Rochester Street A.DDRESS v
TEL TRACT LOT BLOCK
uTv Cpsta Mesa No 642-4905
CANSTRUCTION W AD� ALTER P
LENDEP
BRANCH
OWNER E�EL�
ADDRESS �}
OR EN INEER SaIR AUlYDd ph NE�' �j _ S ��y�EX VALU� O
FIRE
ADDRESS 136 Rochester St. Costa Mesa ZONE TVPE GROUP
APPPOVED
CONTRACTOR �er BV DATE
ADDRESS
TEL. Z�NE NO.OF USE OF NEW
CITY NO. P�� BUILDING
STATE CITV �'ARDSAPPROVED YAROSAPPROVED
IIC. NO. Z81 1H Bl LIC. NO. MAIN BUILDING ACCESSORV BUIIDING
SIZE NO.OF BLDCaS. (FROM C/L STREET)
OF LOT NOW ON LOT FFONT FT. FT.
VSE OF
EXI5TING BLDG. 5 FT. FT.
Separate permits are required for L. SIDE FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WOflK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDCS.
VAR.� DATE
Tri lex with at ched ara e c.�.P.� �ROVED
APPROVED
I heraby acknowledBe that I hava reatl this epplication end state O b
that tha above Informetion Is correct any agree co comply with O
all lews regulating builtlin8 conrtruction, entl I shell not employ �
any person in violation of Me workman's compensation laws of
the Siate of Califomia. '
I hereby certify ihat I em properly licensetl as a contracto� unde� SQ. FT.
tha Stata of Californie Businass antl Professions Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chaptar 9, antl that such licansas ara in full torce antl atfect, or I THE PURPOSE OF ESTABLISHING A vERMIT FEE Onllv:
am eKampt from the provlslons of the Steie of Callfornia Business VALUATION PERMIT FEE
antl Profassions Cotla, Divlslon 3, Chapter 9.
SIB�ature of PLAN CHECK $
Permittee $ TAX S
Authorizatl nt TOTALPAID