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Home My WebLink About1345 GARLINGFORD ST - Building Permits 551 CITY OF COSTA MESA 4c. 9 BUILDING DIVISION > roMi f' ,�• DEVELOPMENT SERVICES DEPARTMENT PERMIT MBER F I his i PERMIT ` S 1-00539 twPaRona (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1345 GARLINGFORD ST Status: ISSUED Suite: Applied: 04/23/2001 Vicinity: Issued: 04/23/2001 Parcel Number: 14102115 Zoning: R1 R1 Applicant: MORTON, CYNTHIA ISSUED BY: Address: Phone: 714-546-9002 Zip: Owner MORTON, CHRISTOPHER G Address 1345 GARLINGFORD ST Phone: COSTA MESA,CA Zip: 92626 Contractor: Address: • , Phone: Zip: ' License: I Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF ROOF.REPAIR/REPLACE SHEATHING AS REQUIRED.COVER WITH 25 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,000.00 Permit: $69.25 Claim Valuation: $2,000.00 'SMIP Res: • $0.50 SMIP Corn: $0.00 Other: $0.00 ' Inspection: $0.00 Total: $69.75 - - i i 7 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right "0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 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 expiratlon.of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: - Carrier: Policy Number: This s tion need not be completed if the permit is valued at one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should b come subject to the workers'compensation provisions of Section 3 00 of the Labor Code,I shall forthwith comply Sigg aththe5lAp on$. - Date: 1/23/D 'Applicant Signature:CC//..�,�� / �COMMF/a /�� WARNING:FAILURE TO SE RE WORKERS' P SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOIURE($1 000),IN ADDITION TO E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit ubjects the applicant to a civil penalty of not more than five hundred dollars(5500).): s owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exe t under seg. C Business and Professions Code for this reason: _ _ C -Signature:--Signature:- 13:1 )4 -AP Date: I�f�t�� Owner ID verifidrivers license. es es ❑No Driver's License No. ' Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,title 8,California Administrative Code). 0 As owner-builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as rioted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? a Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes Q No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation.certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 if an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes 0 No (Section 65880.2 of the Calif omia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 W Ill any part(Atha facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If"yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTNORIZATION.OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-Qpthi scribed pro 'for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by s t until fi inspection. (/! fnnw,.,d n ure Of Legal wner(s) v Date And/Or Authorized Applicant Date CODES INSPECTION TYPE ME' 2RRIALS ODE( INSPECTIONTYPE psIE INTRIAI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �.y 208 Final Plumbing 200 Final Re-Roof /2-'—aP-PC 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy co •� CITY OF COSTA MESA A. BUILDING DIVISION }:l DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER PERMIT E01-00250 %Paso`A • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1345 GARLINGFORD ST Status: ISSUED Suite No Applied: 04/03/2001 Vicinity: Issued: 04/03/2001 Parcel Nunmber: 14102115 Applicant: MORTON, CYNTHIA ISSUED BY: .% ' Address: 1345 GARLINGFORD ST . Phone: 714-546-9002 COSTA MESA,CA Zip: 92626 Owner: MORTON, CHRISTOPHER G Address 1345 GARLINGFORD ST Phone: COSTA MESA,CA Zip: 92626 Contractor: • OWNER-BUILDER Address: Phone: ' Zip: License: 0 / SCOPE OF PERMIT ADDITION/REMODEL OF AN EXISTING SFR. ' 6 LIGHTING FIXTURES, 11 OUTLETS,7 SWITCHES, 1 SERVICE TO 200k REF:B00-01934 • - - FEE SUMMARY_ Quantity Quantity /. ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 , . Temp service test $0.00 Busway/100.ft • $0.00 0- . Res.a/c package $0.00 Standing Section" - $0.00 0 - New Res(1-2 units) $0.00 0 -.Misc Electrical Equipment $0.00 , 0 7 " , , New Res(3+units) , $0.00 0 • Transformers up to 1 kva/kw $0.00 -0" Pool/Spa $0.00 0 'up to 10 kva/kw $0.00 0 Lighting Fixts $6.60 6 up to 50 kva/kw $0.00 0 .. ' Recept Outlets $12.10 _ _ 11, up to 100 kva/kw '- - -$0.00 0 ' ; ,- Switches Switches $7.70 - 7 over 100 kva/kw - $0.00 \,0 Non Res Appl $0.00 0 Low Voltage Equipment , - -$0.00: 0- i i Res Appl ' ' v `/,7, $0.00 '70',., Low Volt Wiring System/Ckt`/� , $0.00" , /0- i ,/ Service to 200a '$30.50. ,) '- .1=_ 'Misc.Conduit $0.00 '<0 /'., / Service to 1000a - $0.00 . 0 Misc.Conductor / $0.00 2 , 07 " Service over 1000a $0.00 0 - Circus(gen or ride) - ' $0.00 - 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) . $0.00 1 0 / Motors to 10hp $0.00, . . 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0' Fireworks Stand $0.00- 0 Motors to 100hp $0.00 - - 0 / Other Electrical Fee - $0.00 Motors over 100hp $0.00 , 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $80.40 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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 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)754-5626 i 2446-46(6/00) u DECLARATIONS CI WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty Of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be corrplefed it the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($108000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect,Lie.a Class a Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects a applicant to a civil penalty of not more than five hundred dollars(5500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.IL however,the building or improvement is within one year of completion,the owner-builder wit have the burden of proving that he or she did not build or improve for purpose of sale.). I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044.Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am ez/aA�npt und�e[r�/�pe�c.�� Business and Professions Code for this reason: 4/34 Signature: L • /'�- / to Date: 4 3 a/ Owner ID vert• by drivers lice, ❑Yes 0 No Driver's License No. Expires: Verification o wnership by(t ••of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no eXcavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes a No (Section 25505 of the California Health and Safety Code requires,with some exceptions.that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant Or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant Or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ 0 Yes No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a permit from the Soutn Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY: I certify under penalty of perjury that I have read this a plication and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize represents es of the City of Costa Mesa to enter upon the abov ascribed party for insggction purposes.I agree not to occupy or allow occupancy of any building authorized •per�un til final inspection. Si ure Of Legal Owner(s) Date And/Or Authorized Applicant Date ODE I INSPECTION TYPE RAW INIITIALS ODE INSPECTIONTYP6 PAIS INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 12_-(0.0) 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval . 203 Final Sign 222 Final Site 204 Final Demolition . 250 Fina6Building/Occupancy Ocin Mt , CITY OF COSTA MESA 49 BUILDING DIVISION : a'r -II 3 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F I PERMIT =VI P01-00183 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1345 GARLINGFORD ST Status: ISSUED Suite No Applied: 04/03/2001 • Issued: 04/03/2001 Vicinity: Parcel Nunmber: 14102116 ISSUED BY: Applicant: MORTON, CYNTHIA Address: 1345 GARLINGFORD ST Phone: 714-546-9002 COSTA MESA,CA Zip: 92626 Owner: MORTON, CHRISTOPHER G Address 1345 GARLINGFORD ST Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER - Address: Phone: Zip: License: 0 Arch / Eng: - - - - - - Address: Phone: , -- -- - Zip: - - Licenser ' SCOPE OF PERMIT ADDITION/REMODEL TO AN EXISTING SFR. 1 BATHTUB, 1 WASH BASIN, 1 WATER CLOSET.- - 'I REF:1300-01934 / FEE SUMMARY AMT, QTY AMT QTY /' '//AMT QTY ISSUE FEE - 123.50 . ,, Laundry Tub/Washer - $0.00 - 0 �i'Sump Pump � $0.00 0 Backflow irrigation' , $0.00,' 0 ',Landscape Irrigation $0.00 0 -- Swimming Pool �' / $0.00 0 Backflow Preventer • $0.00 " 0 - " P-Trap $0.00 0 -"Trap;Primer / $0.00 0 Bathtub ' $9.80 1 ' ' . Pressure Regulator $0.00 0 \ .Urinal : $0.00 0 Clarifier System $0.00 0 , Process Piping(per 10 ft) $0.00 0 '.' Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00' 0 Receptors , , $0.00 •0 ., Vacuum-Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 ' Septic Tank $0.00 0 Wash Basin $9.80 1 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 ' Sewer Connect $0.00 0 Waste and Vent System $0.00 0 . Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $9.80 1 Drain,Roof $0.00 0 Shower ' $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 ' Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $52.90 LUMIVIEN I S/ SPELIAL LUNDI I IONS 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 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)754-5626 . 11 i 2446-46(WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATION: • • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lie.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subject .the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work self or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am ewpt undeJJJ;sc. Business and Professions Code for this reason: Signature: /.„/ 1--- <�477/O/ Date: OSA D / Owner ID vent' by driver's licen e 0 Yes 0 No Drivers License No. Expires: Verification of wnership by(typ4'bf document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? a Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time hes on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part Of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY:I certify under penalty of perjury that I have read this application and slate that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of th City of Costa Mesa to enter upon the above-d�e(scrcrib�ed pr y for inspection purposes.I roe not to occupy or allow occupancy of any building authorized by this per‘,._it �I fid Inspection. (//r ' aturee Of LLegLgal(_Owner(s) Date And/Or Authorized Applicant Date CODE f. IfISPECTIONTYPE DATE' I)1TTALS CODES IfISPECTION TYPE PATE INTITIALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical [[�� 1266 Pool Spa Final _ 208 Final Plumbing )1..e. -of O K 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention _ 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA BUILDING DIVISION > • g DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER I.. !Lin". j 1 PERMIT .y�l�'aha IB00-01934 PoRarn (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDINGJob Address: 1345 GARLINGFORD ST Status: ISSUED Suite: Applied: 11/30/2000 Vicinity: Issued: 12/29/2000 Parcel Number 14102115 Zoning: R1 R1 Applicant: MORTON, CYNTHIA ISSUED BY: Address: Phone: 714-546-9002 Zip: • Owner MORTON, CHRISTOPHER G Address 1345 GARLINGFORD ST Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: • Phone: Zip: License: 0 Arch : Eng: DESA STRUCTURAL Address: Address: 2 SALTAIRE DRIVE Phone: Phone: LAGUNA NIGUEL, CA Zip: License: 92677 License: 3572 SCOPE OF PERMIT 1 STORY RESIDENTIAL ADDITION.486.0 SQ. FT.ADD FAMILY ROOM, BATHROOM, EXPAND EXISITING BEDROOM TO CREATE MASTER BEDROOM,WINDOW SEAT POP OUT TO BE ADDED IN ANOTHER BEDROOM. • FEE SUMMARY Plan Check: $385.94 Calc Valuation: $44,553.00 Permit: $593.75 Claim Valuation: $0.00 SMIP Res: $4.46 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $984.15 PLANNING &ZONING • SETBACKS MAIN STRUCTURE Front 0-0 Rear 27-6 Left 5-6 Right 5-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 2 Required: 2 Proposed: 2 NOTES: 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 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)754-5626 2446-46(WOO) v DECLARATIONS C'N fl WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maihtain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 310E OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ tem axe pt under,s I- _�3 Business and Professions Code for this reason: Signature: !L"l�L�, Date: 4,7—A94'7 Owner ID verifi by driver's lice ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has e permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? - ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-de propepy for inspection purposes.I a ee not to occupy or allow occupancy of any building authorized by this permit ntil fin inspection. Signe{Gr9 Of Legal Owner(s) ate And/ Authorized Applicant Date CODE t INSPECTION TYPE DATE male CODER INSPECTION TYPE WI INTRIAL6 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign 222 Final Site J / �"'"D 204 Final Demolition 250 Final Building/Occupancy `Z Li-12i &or' eery edga, peat Fade" Diesia st OWNER-BUILDER �� VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An `owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. R-Yes ❑ No 2. I (have/have not) h&b`C- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City Phone( ) Contractor's Lic. No. 4. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: nn Name I Address Phone Type of Work 4179rt 6LU �CI (°Y s �ourtda/7';n 5, 6-4/31-3'. CIG 1042-46 (REV,9/98) OWNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 1962 JOB ADDRESS 1345 Garlingford St. BUILDING PERMIT NO. 1 en el pts GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ " AP No. LOT 2 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gax I ECTIONS Signature DATE GROUP I & J TYPE V ZONE Rl son t4/ 1-/7_G,3 SUBCONTRACTOR PERMITS ISSUED Gas gt/ !'/-13. 3 DATE NUMBER ,, Water J d -23-19 Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating rj0 i e3—/Y-7-f---- A ' 07-„76- Rough Plumbing n .c -3-L2 '> i m e/ /.A-TF-&a 370 Miscellaneous / i _ Prop.Swr.Line ❑ House Con. St.Swr. ❑ At _ .�T'�' �z3Z-�J �o�.lto., c• ,?-a6-.�3 a Sprinkling System ilk Construction Pole eat.) /_g'- „ c 'I/f77& ,�/'e-� Jyte/ /_7_45_L Z 1/r Underground ❑ Power 0 /��gj�� ,_,//,,,, _tough Wiring / flea 3'-1Y-C3 fieleirn.Y/.ZG�/ f/. .� ! /7 'VC/ Trenches (F i- Forms [p' Steel Rend. 0 //fir- !- /-7 . t.: Floor System # s-:0 /-23, A Bond Beam 0 _ Steel Reinforce 0 Sheathing ' c-/" Frame and Flashing fJi� - Lathing — In (v]' Out IW pQ ter, brown coat /t' 6"3^6q .ig. 0 Air Cond. 0 Final Heating, Final 7-47-t-3 Plumbing Fixtures, Final ,.� D-/7 -4...3 Finn] Gas Test le✓d -7-7-0-.:CA- • 18389 FVir;01DrIL- COSTA D MESA BUILDING-SAFETY DEPARTMENT Lot 2, Tract 435 ,}ysr��P. O. BOX SIT COSTA MESA. CALIFORNIA 11RIYl;t UtPT. CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS /39. 5LQr�,;, Ion/ it COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. I $RMfi si9`�� OWNER Harbor Hall of Fame Homes, Inc. I I -19! `M `('[� MAIL P.O. Box 2066 RECEIVED BY DATE RECEIVED D TE ISSUED ..„....r7,...7,0ADDRE ..„....r7,...7,0 4.,&////‘ Z/ DEC 1 1 1962 CITY Santa Ana No9-220 BUILDI ADDRENG SS ARCHITECT Jamison TE . 44-0040 COSTA MESA. CALIFORNIA OR ENGINEER NO.S ((�� ADDRESS 225 11D11 Street, Tustin FIRE ZONE TYPE GROUP 6J'W Li1eti a esidential bldg eorp. !/!� CONTRACTOR y APPROVED 1131 So. Artesia BY DATE ADDRESSxnuxwmactuoutpamtaittax ZONING ,U Santa ,Ana ZON NO.OP USE OF NEW S.. 4jw it. CITY /I -/ I PLANS a I BUILDING / i(fR is' ErrND.208676 TELKI 9-2204 LEGAL Lot t a 7-47y t r DESCRIPTION L.O 1 J SIZE 6000 000 I NO. OF 131.1305.5. O OF LOT NOW ON LOT A.P.NO. USE OF None YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM , (CENTER LINE ST.) CENTER GP STREET 50 REAR YARD 47.50 FRONT SI, FT. IN. SIDE YARD I LEFT 51 - I RIGHT 51 R.SIDE - FT. IN. DESCRIPTION OF WORK L.SIDE 's_ FT. _�- IN. NEW X I II ALTERATION I II ADDITION I REAR / 7. C FT. IN. REPAIR I II MOVING I II DEMOLISH I ABVPROVED /c* DATE /0/21 /`L SIZE NG1790, ROOMS 10 STORIES 1 �l�"� 81ZE 1 COVERIING OR WAaSter ICOVER LNG Shake USE OF BUILDING AND WORK TO BE PERFORMED Single Lmils(� - L id IMI /$100 g`7.97011." f{ - 7'..2 a D, I HEREBY ACKNOWLEDGE HAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE AND STATE THAT THE/1•4 E IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 1ANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHINGA• PERMIT ONLY. BUILDING CONS _U NT / VALUATION ..„...n.ein-/ u Rp --J; SIGNATURE Otic/ PERMIT FE E'en/ /p/ r PERMITU _ _ c .rtra 1 _ - _l- $��. PLAN CHECK S , L.."G' RY AUTHORIZED AGENT /SS '� FEE S 0 r // TOTAL FEE $ 4 r I 18388 RLQ cJuED COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 1, Tract , P. O. BOX 517 COSTA MESA. CALIFORNIA DEC 1 1 1992 FINANCE For Applicant to Fill In Completely APPLICATRUptESA • TYPE OR PRINT BUILDING BUILDING 13 2/1 Or 4,9 Tait/ 57-...ADDREss COSTA MESA. CALIFORNIA For Office Use Only Pr IOWNER Harbor Hall of Fame Homes, Inc. RECEIPT NO. I PY I 1. 38 MAIL P.O. Box 2066 - RECEIVED BY Dw RECEIVED DATE ISSUED ADDRESS /J't/� I/a////`7/ I DEC 1 1 1962 CITY Santa Ana, Calif. Np,KI 9-220 ADDREBUILDINGSS ARCHITECT TE . COSTA MESA. CALIFORNIA OR ENGINEER Jamison No.544-0040 ,1/') y/- �/ ADDRESS 225 tlDll St. Tustin FIRE ZONE TYPE GROUP" / / 1 Li.etime Residential Bldg Corp. APPROVED j�/, CONTRACTOR• linerC&TQX BY DATE ADDRESS1.3.2=t9tanafflitE2131 So. Artesi ZONING ZON NO.OP USE OP NEW/� 4,../AY CITY Santa Ana, Calif. �_� I PLANS a I BUILDING Aa a gar , C TND. 208676 TEL. NO.KI 9-2204 LEGAL C.C* 1 TR A/3SS DESCRIPTION SIZENO. OP SLOGS. O 6000 LOT NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG. None _ APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) CENTER OP STREET 54 Ft REAR YARD 45.501 FRONT �� FT. —� IN. SIDE YARD I LEFT 19♦t0' I RIGHT 5� R.SIDE FT. IN. • DESCRIPTION OF WORK_ L.6IDE / 7 7 T. IN. NEW I X II ALTERATION I H ADDITION I REAR % L/ FT. —' IN. 1 REPAIR I _ II MOVING I IDEMOLI6H I APPROVED Dn DATE /C/t /6L BSIZE 1644! ROOMS NO. OF 9 STORIES 2 EXTERIOR WA ROOF COVERING Master I COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED S nglp ctrnec-i Acnne ',/` 2+ I HERESY ACKNOWLEDGE T T I HAVE READ THIS APPLICATION THE AMOUNT S OWN UNDER VALUATION IS FOR THE ANO STATE THAT THE A E IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 0 I CES Ayp,AST/Th LAWS GULATING BUILDING CONSTRU N. VALUATION C, 'J SIGNATURE F 1/ 00 PERMIT FEE $ `� /I e� PERMITTEE kees f X J/ ^ a $ I t/ I�I.S PLAN CHECK $ ‘2,...50 `» AUTHORIZED AGENT /J TOTAL FEE * A26:5 47 LL