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Home My WebLink About3020 JEFFREY DR - Building Permits• 4 v CITY OF COSTA MESA - sva�►N� �►v�s�ow DEVELOPMENT SERVICES DEPARTMENT PERMIT (714)754-5273 • Fa�c(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT � JobAddress: 3020 JEFFREY DR Suite: Vicinity: TRIPLEX Parcel Number: 41$12111 Appliwnt Address: Owner: Address � ��, �� / � , Zoning: R3 R3 . � ERMIT NUMBER B00-01385 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/O6/2000 Issued: 09/06/2000 PAPELOFF, WILLIAM _ — -___ ISSUEDBv: 3679 EAST OLYMPIC BL . " ' '�� . ' � i- ' _ " - � / � " - `, Phone. 323-263�9666 ` _ �-`� LOSANGELES GA -%- � � � � Zip. 90023 � � -�� ._� � �� /�i:'� - , � . , i ., .% ,i �� ,�-. � /� i � IMAMOTO; KEITH � �� /� , � � � �� `- 21925 YBARRA RD // =�- _ ��- i �� i �V � /%\` \�\ � \i�:: -"-Phone. -_-� �\` \ �\�\.,�\'/ �\� � VA�. WOODLAND HI�LS CA �-" Zip: 91364 V� .: . � � � / �\ �A\ � i./,i � ��J� �i i'��`. Contracror: �BELVEDERE-ROOFING INC � � "� i � �� >,:: �-.. ; Address:� 3619 EAST OLYMPIC BL V':,' ��. � �� . ' i 'r� � ,�!� Phone:��323-283-9666 \ :��;�� .� ` � i' > i, � � � LOS ANOELES, GA �' \ � � \ � ��- \ Zip: J 90023� • License:>- 340362 , � , - �� \ � � V '� � � � ^ i � /,4'�l r- -- =� � � C,\ , `n \ � Aroh ��. � � ry �' � i i , � � `- Eng � . .. � � � � � ; � „^. , j A, ti - �. , � � i Address - � _.- ' , _ Address'> � � ,_ � , ' �, - , �1 i - � , ! � � - � . , i . � � � ',�� 1 i � ��i �' - �� Phone: � � _Phone:, . , • � ,<, � _ �, �', i � � — � �•� � , , � Zip: � i � /�" �, !License: � �`� � �License: - , � �� , i � . � ' � - �� _.� 1�. . � . � i . � " �: ,-. �- v � � � ;� SCOPE-OF PERMIT- � . v�-�. ;A� � �� ,, ; � .., , ;}'' � REROOFTRIPIEX: T/O, 1/2" CDX .1 LAYER 30# ASTM FELT, APPLY'40-YEAR COMP SHINGLES, CLASS A �., ' � � �� 30 SQUARES' . i - - -- - -_ - -- - - -- - - � - J�i ' . —. :� �. -. � 1��71 � � ,�`.,. �� I �/ i � f �� I � in .� i � �.,� �-'.:,? o�.FEE�SUMMARY % -�-' r/'%' .�-�, i(�� ', ��PIan,Check °��, $0.00 ' '- �„ = " �. � ' � �� Calc Valuation � � t'' � , , � � . . � _ . . _ _ i � � = - �i J � 5�,soo;oo� � , �Permit •:. $15325 � �' ClsimValuation: '�� C S�,soo.00 �, �SMIF Res. � � �� $0.75 � l�-, �,� !� � �� ; � ��SMIPCom: ��V�$0.00 �� = ��`,� � ��A J �� \� Othe�: �,, ��'$0.00 � � — �/ � if �Inspection:/ �$0.00 � �� °�" . � �i �' �� : ��=, � K!T �i �• � �� '2•. � '�` ,a �; � j �J �TotaL• � �5154.00�� '� �� `" ° '.T� �+� . _.,ii„ � � �.� � �� AA� � ��\ � �. � ' , � i ��, , / - i - �� .��. , � � �� \" <// ,n `� �\ ` PLANNING.& ZONING � �- % (/� SETBACKS� � ��/�`�� `�� oV � n _ � � � �� i `y i ::A� � / MAIN STRUCTURE Front 0 0� �/�� -Rear 0. 0�> �r'�Left_ 0- 0' -� Right� � 0- 0' .�/ � � i / `�_A ��i/r_�� -- ._ � , ��i. ACCESSORY Front �0.0� � �,�Rear �0,0 = �Left �0 0 ";'�� Right 0�0-� - �`�� . � � �� ,. � �%� PARKING existina: 0 �OReauired: �0.'__: ;�,,A�,Pr000sed�-0 � �;�%�� : . -_ _ � - ,-', � ' � ' NOTES: KUBOT_BJ 09/OB/2000�ORIGINAL'BLDG.PERMIS�FOR TRIPCEX (1 '- -'— PERMI�; OK TO ISSUE ONE REROOF PERMIT PER SA. NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes antl related regulations. (Ord. No. 92-28, § 1, 72-21-92) 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 1 BO days. � � ` - � �+. • �� ' - � �- . INSPEC710NS: �In order for ihe work aulhorized under this permit to be considered 1ega1, such work musl compfy with all applicable cotles, and all required inepeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. POR INSPECTIONS CALL: (714) 7545626 - 2aae-�e lam) WORKERS'COMPENSApON DECLARAnON: I hereby aflirm untler penalry ot perjury one oi ��e lollawing deGarations: ❑ I heve nnd will meintain a certilicate of rqnsent to self-Insure for workers' compensetlon, es provitled for by section 3700 0l the Labar Code, ior the peAortnence of tha ork tor w�ich this pe�i� �s �ssued. I heve and will maintafn workers' cornpensaYon insurence, gs requireA by sectirn 3700 of ihe Labor Code. lor the peAortnance of the work for which thLs pgrmit L5 issuetl. - My workers' compensation Insurence certier antl poliq number are: Cartier: ✓ � l. � tl u.✓ n — Polity Num�er. �/�+c 3 U�"L �7 �t �f 4 (Thls sectlon need not be p/efed /llhe pemuf !s velued et one hundred tld/ers (5100) or Ie55J ❑ I certih/ that in the DeAortnance at t�e work lar which thls permit is issuetl, I shall not employ any pe�son in any menner so as ta become subject to the workers' compensation faws of Calitanie, e�W apree t tt I shouM bemma subJect to tha workers' compensetion provlslons ol5ection 37D0 0l the Lebor Cotle, 1 ahell torthwit� comply with Ihese prppp,��ccc7��sio/ns. Applicant Slqnatupe �� I� ��7 Dete: _ �C —lp —O v WARNIN(3: FAILURE TO SECURE WORKE0.S' GY7f.1 NSA MGE IS UNUWFUL AND SNAIL SUBIECT AN EMPLOVER TO CFlIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED TVqUSpN� OOl1.ARE (S10D,OW). IN AODRION TO THE WST OF CpAPEN5ATI0N, OAAMGES PS P(iOVIOED FOR IN SE�TIpJ 3708 OF THE UBOR CODE, IMEREST, AND ATTOHNEY'S FEES. LICENSED CONTRACTOHS DECLARATION: I heraby eNirm Ihat I em IicBnsetl untl provisions of Chapter 9(commanUng with Sectlon 7000) ot Divislan 3 of the Business antl Professions Code, anE my Ilcense is in full torco entl ettect. Lic. a �� o Cless a G- 5 Contracmfs SigneWre: /�( � G� . el�7 Date: 4—!o — Cb7 CONSTRUCTION LENDING AGENCY: ❑ I hare6y alfirm ihat there is a mnstruction lending agency lar the peAortnence of Ihe work lor which this permil is issuetl. (Sec. 3097, Civil COde). 1.endeYs Name: Lendefs ACtlreu: Signa�ure: Date: OWNER-BUILDER OECLAAATIONS: I �eroDy aHirm Ihet under penalry ol perjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW lor ihe tollov.ing reeson (Sec. 7031.5, Business an0 Pratessions Catle: Any clly or counry wnich requires a permit to consiruct, alter, improve, demolis�, or repeir eny structure, prior to its issuance, elso requires the applicant tor suc� pertnil to file a signetl stetement t„at he or she is Iicensetl pursuant to iha pmNsions ot the Contreaors License Law (Chepter 9(commencing with Sectian 7000) ot Dlvision 3 ot ihe Business and Professions Gode) or that he or she is exempi therefrom antl the basis lor the allegetl exemption. Any violatlon of Saction 7031.5 by any epplicent lor e pertnit subjecls the epplicam to a cm� penalry ol no1 more than frve �untlred ddlars (5500).j: ❑ I, es owner of the property. or my employees with wages as iheir sole compenseUon, W ILL DO TNE WORK, and the structure is nat intentletl or otlered far ule (Sec. 7044, Business and P�ofeuions Cotle: The Contractors License Lew doas noi apPN to an owner of property who builds or improves theraon. an0 who does such work himselt or herself or tn�ough his or her own employees, provided ihat such imprwemenls are not intentled or ottered for sele. It, however, the building or imprwemem is sold within one year ot completion, ihe owner-builder will �ave the burden of proving that he or she did not build or improve tor purpose oi salaJ. . ❑ I, as owner oi the property, am EXGLUSIVELY CONTRACTiNG WITH LICENSED GONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: 7he contractors License Law tloes nat appty to en owner of property who bullds or Improves thereon, and who contrects lor such pmject with a contractor(s) license pursuant to tha Contractors License Lews.). ❑ I em eMempt under sec. Business and Pmfessions Coda tor Ihis reason: Signature: ' Date: Owner ID verified by driver5license. ❑ Ve5 ❑ No DriverS LiCense No. Vedlicetlon ol Ownership 6y (rype of tlocument, i.a. - pmperry tar bill or deetl): Ezpires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby cehify t�at ntl exwvatlon five (5) or more teel in tlepih Into which a person Is requiretl to tlescend, will ba metle in wnnection with work authodzed by Ihis permil, antl ihat no building struaure, scaHdtlinp, falsework, or demdition or tlismantling thereot, will be more t�an �hiny-six (38) feet hig�. (Chap. 32, Gry 2. An 2, Sec. 341, Title 8, Celitomia AdministraUve Code). ❑ As ownerhuilder, I will not employ enyone to do work which woultl require e pertnit tmm t�e Divisbn of Industdal Sefery. es noted above, unless such person �as e permil to tlo such worK �rom ihe division. Signatwe: Date: Division ol Industnal Safary Permit Number: CEHTIFlCATE OF COMPLIANCE AND AUiHORVAiION OF EMRY: I certity untler Denalry ot peryury that I have read this epplication antl state Nat t�e inlormation given is corroct. I egree to compy W��h all siete laws and dry ordinances rela6ng m building Conswction, end auihonze representetives ol the Clry ot Costa Mesa to enter upon the ebove-descnbed properry fo� inspection purpases. I epree not to occupy or ellow occupency ot eny building authonzed by tNs permi� until final inspection. S' e ge ner s) Date ,/./ �l �-G-oo � n r Aulhori26'd Applitent Date COOE 1. INSPECTIONTYPE 1fi18 fined System Final Fire Prevenllan 1266 Pool Spa Final 200 Finel RaRooi 201 Flnal BIocWRetaining Well 202 203 Final FeMory Fire Place Final Sipn 206 Final Demolition PAg It1�L5 COOE� INSPELTIONTYPE 206 Final Mochenical �� „y� 20B Finel Plumbing � l� �"� 210 Finel Electdcel 212 Finel Fire Prevention 220 Finel Planning Approvel 222 Fine� Site 250 Final Builtling�Occupanq GAg 1[�LS _ , , . . . . . Applicant to /III In all s0atts exte0� those wit�in �eavY �orEer Iinas and sign all aOPropriale Eeclaralions. _ _ CITY OF COSTA SA CONSTR TION PERMIT PEF%PQIT NO. _,� , TRACT NO. LOT NO. UNIT NO. ' , ' ' . Project Address �b�'v � �� :. ApplicanYSM (ili,n,g,A,/d�d/ ress — Owner's Name�"�`�" ^ + 1 ��'�7'� Address , �'�� << � ; Arch/Eng. License No. ' Address Convacmr's N Phon � Address Imailingl ` Ciry Licenze No. LICENSEDCONTRACTOF DECLARATION I nereby alfirm that I am Iicensetl untlar provisions oi Charter 9(commencing with section ]000) ofj� vision 3 0l tne Business antl Profesiions Co/tl1e, antl . my license Is in full tor,fe 7n IacL • �iCj ��/ Llcerw,C as� � `� %� ` L ica Ntl—•l�—r ` Date G S� � ��- f WORKERS' COMPENSATION OECLARATION b �� hereby affirm that I have a cerllficate ot tonsent to self-insure or a certiticate � '\ Warkers' Compensalion InSurance,�o� a certlfiGtl py t�ereof (5 lon � ,aoo. ��cco i �l r -�J�, N ,��,�-�� Policy Nn y Certifietl copy is hereby furNzhee. � t� ' tl c py i Q�qywith the cit B Itli , a . b D O qpp�icdnt EXEMPTI N F0.0M WORKERS' COMPENSATION DE ARATION ' (Thizzection neetl not be compin[e0 if tha permit Is for o huntlretl (§100) or Icss). � I certity that In tne Oeriormance ot lho work for which ihis perm�t is IssueO, I shall not employ any p¢rsOn in any manner So a5 t0 UecOme subject to the . Workers' CompeniatiOn ldws ot CalifOrnia. Date Si9nature ' ' ' NOTICE: If, a/ter making ihis tleclaratlon, you snoultl'become 5ubjecl to lho' Worker5'•COmpenSalion prOvi5iOn5 ot Ihn Labo� Cotle, you muSl forthwith ' compty witM1 such provisions or tnis Oermit Shall be tleemod revoketl. � CONSTRUCTION LEfYDING AGENCV I hereby affirm that there is a consVuction Ientlin9 agoncy for the periormance of tho work (Or wnicn tbit permit iz I55uutl ($ection 3097 Clv. C.) L¢ntler's � Name Lentler's AtlOross" � " � OWNER BUILOEH �ECLARATION • I hereby affirm lhal I am exemp[ IrOm ino ConlraGtor4 Llcenid�Ldw ior lne following reason (SecHon �031.5 Buslness antl Pmlessional CotleS Any tlty or munly whiGh requires a permlt lo conStruG[, alta�, Improvo, Oemolish or rOpalr any'S[ruGlurq prbr to its IsSuancO, alm reqWreS the applicant lor'Suth parmit � to tile a 5ignetl slatemenl [hal he/Sha Is IicenSCtl pursuant to lhe'.p�Ovlsions ol tho Contractor'S LlcenSe Law (Cnapter 9(COmmencln9 with,SeCUon 7000) ol ' Oivision 3 of Ihe Bu5ine55 antl ProlessiOnS CotlC) ol �ha[ I10/ShU Is exampl � herelrom an0 lhe baSiT /Or tne allegotl Ox¢mption. Any v101allon of Section � '031.5 by any appliCant 1or a permli subjects llm applicanl l0 a clvll ' Gnalty of nol mor¢ than tiva huntlred Uollars (E500�. i��i � I, a5 owner of iM1e Oroperry or my ernPloyaes wilh wagos as lheir iolo comoensation, wi11 tlo che work, antl lhe structure is not intontletl or o/ierotl for sale'�Section ,7044, Business antl Prolossional Cotlo: The COMractor's Lic¢n5e l.dw tl0¢s not apply �o an Owner OI a property wbo builtls or improvos tbereon, un� wM10 tloas such work hlmself/harsoll o� through Itis or ha� own employees, O�ovitletl that sucb Improvomonts aru no[ In[entletl or ollurotl fo. � sale. If, however, fha bullding or improvomont ii soltl withln ono Year oi Com- pletlon, IhC. ownat wlll havo tba burdan Oi proving he/sbe tlltl nol builtl or Im- � ��ova lot tne pwpoSC of salo). � LI I, as owner oi tha property, am exclusively contractlng wlth IlcenseG con- tracrors [d conztruct the prolect (Sectlon 7044, Buziness antl Protassions Cotla: • The ConVa<tor's Li<ense Law tloes not apply to an ownor oi property who . builtl5 0� improves thereon,'antl who wnfracts /or such.projecls wilh a com t�actoi(5) bcense pursuant to th¢ COnl�acto�'S Llcans¢ Law�. I am awar¢ that � proof of their Worker's COmpunsatlon InSurancu shoultl be provltlOtl to me. ❑ I am exempLuntler Section ,- 8. & P. C. for tnls rea5on Date Owner � - , I,hereby certify tnat I nave reaa Mis application antl state that the_abovo TVPE OF CONSTRUC � ❑ CONVERSION A I � LI�NEW U ADD LI ALTERATION J�LI REPAIR DEMOLISH ❑ OTHER _ ' IKIUSE OF BLDG. � TVPE O� PEfIM1T LI GRADINGr��FOUNDA�ON LI STRVCTVRAL ' ❑ TENANT, ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ' ❑ OTHEF � ' -- _ .. PRQIECT DESCRIPTION � 5a. FT. oCCUvnrvCv_ CONSTRUCTION TVPE � VALVATION 5 � ' ' ZONE GRADING CU.YDS. ACRES_ Remarks: � ' Sink . • - <flow Preventer � - 2flow Irrigation � i Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets I ntercepmrs Kitchen Sink� -' lavarories Roof Drains � Reinspection Fae '� �$15 Duct- Under Ground . Duct - Struc�ural Duct - Ventilating Exhaust System ❑ Multiple Firepl/FacL BIL ICBO # Heating System & Ducting ❑ ai oo,000 aru � i oo.000 � insPectionPur ••� �VV•�-��••••V•,�� }�'Q . Siqnature � ' Date � / �+ O ' ' � � � / \ CMF 0865�46, rev. 30/84 White - Bulltling; Canary - Appliwnt; Pink - Accounting: Goltlenrotl - AsSessor Showers ' . . ServiceSink . Sewer Cap � . � SewecConnection' ' Solar Collectors � - Solar Piping ' ' � Solar.Tank � - Swimming POoI w/Spa � . Urinal Water Closet Water Heater Water Service � AutO-Wash Laundry Trays ' laue Fee Hood or, Typel � Canopy Typv I I ❑ Refrigeration System oaioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers� , laue Fee FEES. J FEES $ 3 f � A.V.9W.. . ' S MainBuilding:' TFront ARear ! � � C flight 5 Left Ping. Ref. # ' , Automatic Washer Consvuction Pole Cooking Unit . Dishwasher - Dryers �Gas ❑ Fan F.,4.U. Fixtures Device Bones Ouilets . f6522 2/23%88 • 1 . . � Zone assory Building: . Parking Req.IProvided 'So,00 �TL � ELECTRICAL � Transformer � 15-50 KW " • ❑50+KW - Meter �up to 700 amps ' Meter �over 100 amps � � � Sub Panel� � • Momrs � 0.1 HP � 1 X- 8�. �Ina Solar �9-75 HP �16-15+ � Microwave . , •Range awiccnes � - Sign ' • Garbage Disposal . Standing Section Genero[or �0�5 KW �5-15 KW ,Trash Compactor IFeinspection Fen � I$15 I I �uue Fee' DEVELOPMENT SEfiVICES REQUIREMEN7S: • Zoning Approved By BuildinB APVrovud By ' � Applifatian luuad By Z O N I N G R E Q M T 5 i FEES SUMMARV OF FEES � � � ' � , BUILDING PERMIT $ SMIP 5 PLAN CHECK $ � PERMIT ' . � PLUMBING � 5 ��-Lro 1SSUANCE $. � PLAN CHECK-• 25% S ENERGV P.C. S� - �ELECTRICAL y GRADING - .S PLAN CHECK 50%. $� � MICROFI�M � S C� �—^ MECHANICAL $ TOTALFEE 5 � PLAN CHECK 25% $ � � � . , . � - � CONSTRUCTION AND;PLANNING-' - �' �� -�• - �- � - - . _ .� , POOL & SPA� �• : � : � • �� APPROVALS PermiT# 'Date I Inspector` , APPROVALS Permit# ' � Date � Inspector l-, , r 1. Temporary ElearicaFSe}vice or Pole � .' 52. Pool & Equipment Location � ' '1 F^. ._. _. . _ .._ . . 2. Soil Pipe�Undrgrnd.�� , �� , � ; '53. �Steel Reinforcement � � � � ;� '. 3. Electrical Conduii Utility-Undrgrnd. � � 54. Forms • � ;+� � � ' � 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding ,��,, , � � i J.� 5.� Steel �Reinforcement � � 56. Rough Plumbing.& Pressure�Test � ,! 6. Electrical UFER Grnd � � 57. APPROVAL TO COVER-GIiNITE : �- i� . � 7. Footings ' ' ( . � . - � , �58. �Electrical Conduit-Undrgmd?s . , . � - � 8. Foundation � �" � � � ' 59. Gas Pipe, O Undrgrnd., Test; ; � � i � • � , 9. Water Pipe-Undrgmd. � - - -• �, 60. Backwash Lines, P-Trap, O-Undrgrnd., ` � 10. Structural,Floor System � , 61. APPROVAL TO DECK � � 11 . Property Sewer Line & House Connection . 62. Backwash �& ReceptorFinal � � r 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 Wiring Sign �� , - 68. APPROVED FOR PLASTERIIVG �: 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT , ` � i . 20. Rough Factory Fireplace ' � APPROVALS Permit # � ��! r • 21. Ducts, in Structure y 70. Underground Hydro . ' 22. Ducts, Ventilating �, , 71. Proiluct Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test � � � � 72. Underground Flush � � �� • 24;: Roof Framing � _ � 73. Und'ergrnd. Storege Tank O Gas ❑ Oil . '•_� "-� �� :: 25. Roof Sheathing • � 74. Overhead Hydro � � � � 26. T-Bar Ceiling (Structural) &�Monocoat " 75. Dry Chemical -. ,:( ' 27. Frame and Flashing - . - ' � 76. Dry Standpipe ' � ". ' f � � ' 28. Lathing & Siding ' , 77. FIXED SYSTEM FINAL � � _ :. 29, Insulation � . . 78. FIRE PREV. FINAL � - � � � 30. DrywaI,I,Nailing' � ' � �' HEALTH DEPT. REQUIREIVIENT „ G,� ," .31. Plaster Brown Coat � 79: FINAL INSPECTION _ ^� �� . n : 32. Electrical Power MeterFinal � ' . �50. FOOD CERTIFICATE ISSUED •� ��V^ r�� 33. Final Electric " ' ' • Notes: . � , � � .. A- ;` _ � � �;n�. � 34. Final Heating & Air Conditioning . �� . ' ' , _ ',� �,.f,,,�' �� 35. Final Gas Pipe-Test ' • � � . � -- - - � - - - �. 36. Hood or Canopy - � . � � ,� �. 37. Final Factory Fireplace . . �. � . - ' ' �'• `,- , � • " J 38. Final Plumbing � . �jJ (� f� � � . � � , 39. WaterService-Final. � � ' , � � . .- .' %�40. Gas Service-Final ' - . +�i; ,_ � ; � � � ,: . , _ . � ,� _ �i � .� , 41. Solar pomestic-Final ' , • . . ..• � , %�•�. '"42. Backflow Preventer � - . . - � ;, "� �- � t'. , , t "i t �-43. Backflow Irrigation - : : .. , .- . . � � ' }-' . .•. . ;�44., Landscape Irrigation SYstem - . � - • - ' _ - � 45. �Sound _Attenuation � ' ' ' , � - ' , �/_ � � ; .' � 46.tHandicap Regulations � - , � ' � � _ ' ' -' � ,• '•, - 47.'FINALSTRUCTURE&BUILDING ' - ' � � �,' . � - �� _ -- ' � ��f i�- - 485 Special Requirements Completed , . - � - ' .. ( �, . 49. Electric Release to Edison � - . � - �:, - - - ' � ' . 50. Gas Release to�Souttiern California Gas Co ' � . ' � . �/'� . �� -:51. CERTIFICATE OF OCGUPANCY . � jY . . . . . . . . . . . No.. .. _. Date - . . _ . .. \ _ . C'i- '`� - -_.., . _ Y .. ._... � \ c �: /,�„ . _ - Liid%8 : COSTA MESA BUILDING�SAFETY DEPARTMENT � P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 For Applicant to Fill in Comple[ely — Use Ink Only BVILDING ____ . _ _ __ ' _ , _ F�+ C � a Q y � 2 F C F G .] > i' � � � a � C 4 Z Gtl � 3 OWNER MAIL CITY CONSTRUCi'ION LENDEfl BRANCH AFCHI ADDRE55 TEL. CITV NO. STATE CITV uc. No, 28T618 Bl �ic. No. SIZE NO.OF BLOGS. OF LOT ' NOW ON LOT USE OF EXI5TING B�DG. Separa[e permits are required for ' � electric, plumbing and.heating work. USE OF BUILOING AND WORK TO'BE PERFORMED � E� -2-77Fatao� 124= �** 156.5C cns. APPLICATION FOR STRUCTURAL PERMIT U BUILDING ADDRE55 OWNER ACH%��: SE FIRE ZONE T APPROVED BV Z I NO.OF PLANS VAflDS APPROVED DISTANCE BET .,�r- APPROVED / PE VALUE USE OF N W BUILDI VARDS PF ACCESSORV BEf. MAIN & nv�u Fvi:� 5�E !�L REG I hereby acknawlatlge thet I havo read this applicetion antl ateta . thst the above Information' Is corract antl aBrae to comply with all tews fog�leting builtlinB �onsttuetion, entl I shail noc amploy nny pe�s0� in violetlon oi Me workmen's compen�ntion lews of the State of Californlo. � /(5�`'�'j� �}''' I heraby cartHy thnt I em proporly Iicensetl as a controctor �ntlor ��" — SQ. FT. .J � the Scece ef Cellfornia Busirtea end Pmfassions Cotla, Olvislon 3, THE AMOUNT SHOWN UNDER VALU Chapter 9, and that such Iicenws are In full torca end oifoct, or I THE PURPOSE OF ESTABLISNING A PERI om exampt iram Ne provialons o( tha Stata of Californle Business VALUATION PERMIT FEE E entl Profsssions C tle, Division 3, Chapter 9. . �/� �V PLAN CHECK b SlBneture of i�n /� �� Permittee . 5 / / 'L TAX b r�� /'� Authoriz �+Bent TOTALPAID S n m 'm � m N u ts Foa m E ONLV: e � �• m S " a a LL � _ U i F � W L a � � F 42 A2a vacu � ✓Y '{A� -4-77cnso�n 6,4 u***G3?.Qd COSTA MESA BUIIDING-SAFETY DEPARTMENT� P.O. BOX 1200 CQSTA MESA. CALIFORNIA 92626 APPLICATION FOR STRUCiURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED ADIDRESS 302�A B C Jeffre ive .M. � PERMIT NO. OWNER �(„�`]3rd SEWP.IZ II1C. �+•P• NO. ADDRIE S \JDi(.(/ V�/cF� � ADDPESS 136 Rochestes Street TEL. �TRACT LOT BLOCK c�rv Costa Mesa 92627 No� 642-4905 CONSTRUClION . . A LENDER BRANCH OWNER . �ELU�LG.� ADDRE55 VALUE ORENGINEER SBRI AI711-Dd eh . NE`'642-4905 S ' L S � FIRE ADORE55 3 eS `(AS 20NE TVPE GROUP APPROVED CONTRACTOR �[]pY BY DATE ADDRESS TEL. ZONE NO.OF - USE OF NEW CITV NO. � PLAN$ BUILDING STATE CIT�Y ' VARDSAPPpOVED- YARDSAPPROVED uc. No. 281618 BI �IC. NO. MAIN BUILDING ACCESSORV BUILDING S12E � NO.OFBLDGS. (FROMC/LSTREET) ' OF LOT NOW ON LOT RONT FT. FT. USE OF . EXISTING BIDG.' F _ FT Separate permits are required for �. sioe FT. FT. electric, plumbing and heating work. ' . REAfl FT. FT. USE OF BUILD�NG ANO WORK TO BE PERFORMED � OISTANCE BET. . BET. MAIN & MAIN BLDCS. ACCFSS. BLOGS. ' VAfi.iW DATE ' Til 12J{ Wlt}1 dttdC�12C� dTd 2 C.U.P.9F+ APPROVED APPROVED pD I hereby eeknowletlpa that I �nve roetl thia epplication entl smte /• � that the abova IniormaUon if corroct antl aprea to comply wiN � a ell lews reBulatlnB builtllnB construcHon, end I shall noc employ 0 any person In violatlon oi i�e warkman's compenzeNon lawf of ; the Stete af Celifornla. . � I hereby eorHty thot I em proparly Iltensetl es e contractof untlaf SQ. FT. � � the Stata of Califotnlo Bucineas nntl Profeulons Cotle, Divlalon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF i[ Chapter 9, anE thot such Iicensea ere In full forea entl offaet, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE Ot�Lv: � am exempt from tha Orovlsions oi tha Stnte of Callfornio 8usinosa d ontl Proteseiona Code, Divlalan 3, Chapter 9. VALUATION PERMIT FEE E u r � � PLAN CMEGK S ^ c Sipnature of � e Permittee S AX E C Authorizetl nt � TOTALPAID E V