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Home My WebLink About1137 GLENEAGLES TERR - Building Permitsti PROJECT ADDRESS: 4 1137 GLENEAGLES.TR TR AD UNIT: ' OwnxF NAME: MISELL JAMES E ADDRESS: MISEELIZABETH A 1137 &LEN EAGLES TER COSTA MESA,CA 92626 ARCH/ENGINEER: 642-1468 - REG.NO.: ADDRESS: UNIT: PERMITTEE: RESCUE ROOTER (714)835-1602. ADDRESS: 1085 N MAIN ST 901(MAR CA 92667 LICENSED CONTRALTO 0 A I hereby a0irm that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Cade. and my license is in full force and effect. 'CITY LIC.: STATE LIC.: CLASS 0 353170 _Q6 : I� 4408 ryate'. I Signature: II WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a ificate Of consent to self-insurm a c ificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab. POLICY NO.: WC1748889 EXP. DATE: 01/01/92 '"PANT PAC COMP INC . Certified copy is hereby furnished L)( Certified copy is filed with the city Building Division. p j �Sle: —C � Applicant: daiin- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section n ed n be completed if the permit is for one hu ($100) or less(. I pertly that in the performance of the work for which this permit is issued, I not'Employ any person in any manners as io become subject to the WorkersCompensation Laws of California. Date: Signature: ' NOTICE: Ifafter making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Codeyou must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Civ. C). ' LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that t am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city Of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/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 (5500). I, as owner of the property or my emloyees with wages as their sole compensation, will do the work, and the F1structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds Or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build orimprove - for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code. The Contractors' State License low does not apply to an owner of property who builds or improves thereon and who contracts for such projects wiln a contractor(s) license pursuant to the Contractors State License Law). I am aware drat proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason- , Date: - Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future heading occupant will/will not (circle One) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from mese provisions. Date'. Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned mopeny for inspection purposes. Date:911—�-I. Signature: Driver's License Or SJocial Security #: 1641.46 Wh te—Budding. Green—Cotle Enlorcemenf{ Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA.— BUILDING PERMIT PERM NO: P 05366 PERMIT NO: P 053666 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION ; REPAIR OF MAIN LINE SEWER SQ FT:. CLAIM VALUE 4,200,00 CALL—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME ***�P9E�r4tik*Rt******9E if 9FiFBFBIF1PiFiFiF iEiE9EREiEBE9EiEBEREBIFBFiEiEikiEiFiFiHBE9FiEBtikBEiEitiEBtiEk**iEBfBEREREB(•;EiFBF*iEaEiEik9EiE** Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- PERMIT --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: -FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ• PROV: PARCEL: 42233207 ZNE:, REF NO: PLANNING N TES> 8.00 > REBS*it*kBt***RtiPiPiEiEREiE**9FRtiERe iHiF*iFk RE BP***iEiE it Rt BE****iERE*9tiE** I N D I 1f iFif RF lFik MiF iE BE**iE**Bt kBE kRF BE iE M BE BE iEk RP9E iPlt fE iE*IE*kBE iE iE kiE iF*iE BEiF 9E iE 9Ek*iElEBE**BElEiEiE**iPiE BEiE iE*BE *BE iEiE 9EiP BE RE RE D E V E L O P M E N T S E R V I C E S,'t R E Q U I R E M E N T S TOTAL COST. PLU 1 SEWER „ CONNECTION TO BUILDING EACH 5,00 ZONING APPROVED BY END OF FEES DATE: BUILDING APPROVED BY : /I., DATE: APPLI * iERE iE RE LEGALIZATION:N BLDG PMT PERMIT PLAN ISSUE FEE F E E S U M M ft PLUMBING ELECTRIC MECHANIC 5.00 25Y 3 00 BE***MkRF iElE MiF 3f RE*1Fif it iE 8F 9E 9E**BF**iE *iE BE Y STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 5.00 3.00 0.00 8.00 8.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 8.00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 8.00 Rf*kkkiF kBf iF**'*Mif**REkk**BP**iEitk**iE REBS*it*kBt***RtiPiPiEiEREiE**9FRtiERe iHiF*iFk RE BP***iEiE it Rt BE****iERE*9tiE** I N D I V I D U A L F 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 SEWER „ CONNECTION TO BUILDING EACH 5,00 5,00 END OF FEES N A 01 00096129-00095199 -r OT DATE: 09/03/91 TIRE: Q9 ! _- CONSTRUCTION AND. PLANNING I PC "t SPA ' APPROVALS Permit # Date Inspector APPROVALS rermit # Date Inspector 1. 'Temporary. Electrical ServiEa or Pole ol3C -52. Pool & Equipment Location tr ,2. Soil Pipe-Undrgrnd. n l 53. Steel Reinforcement "j]PcG^31 Condt'Tt�II lily-L4ndrgrndx;- - 54. Forms ;,A ect�ef'aal Conduct, rl rgrnd. .U` - -55. Electrical Bonding _55,eq nforcenet\t ''"' 56. Rough Plumbing & Pressure Test OFEff ' � 57. APPROVAL TO COVER-GUNITE v .So-FtleaLical jd:fnd. t.Zt3fiuffit?tgs !TI'S 58. Electrical Conduit-Undrgrnd. e - P.ndation `F; 59. Gas Pipe, 0 Undrgrnd., Test C r" 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd, c ATO. St�' cturat Floor System 61. APPROVAL TO DECK 11. Pro P3f Sewer Line•& House Conn§tion l G 62. Backwash & Receptor -Final 12. SewN�•CaP r° 63. Heater & Vent -Final M ,v a, 13. Roof Drains :p 64. Plumbing System - Final 14. Rough Plumbing _ 65. Electrical -Final 15. Rough Electricaal Conduit 66. Solar System -Final . 16. Rough ElectricWiring "' 67. Fencing & Access Approval 17. Rough Wiring $ign 68. APPROVED FOR PLASTERING 18. Rough ElectricgrT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - CerEMt # 20. tlf3oust 6Story Fjr�placer�PPRIti,VA�a 21.UCIS inStr to$$' t x,. et, s. -.-a x tri O. liilderg '�7r''Ygjo , r' th �: 1 r-t,S . S ,� t-rz x' a. 22. •Duces, VA hating'- I ;j;S . _ S Ga :x to r-71. ProducttPl ing ;hY, ❑Oil 23, bas ipe'Rotjgh &"west crS * P2, Undergabt( FILM • v' i, F 1 nj 5F I♦ 1 24.tjioo Framing: S_W I t-�- ••I- +' O :f:6 T x. x V t -V Z>- S73.aUndergrnd>Storage•,Tank SJ Gas 0O0 25. Roof'Sh`•thing '=* X' n; * !'"- m O Nx. x 574 overhead Mydro"l' " X ttx > Nx. 26. Ceiling (Str ;ural) &Yopcoat .rp .. 4 75. -,Dry Chemical 1-7 -Ir f tD 011 27.'Srame and Flashih rj; - .x to .r :i. 76.1 -Dry Stan ,,{{� ox x: S m M a Mr . U•� r.0 W. '1'J",.11� E-•7+� V' 28. Lat ng Sidjng, -.s y tX g. s * v: 77.•, FIXED S EM-JF�Ps*ALM. -129. Insulati4V*' 78 IRE PREY. FIf�lilr v O 0. Drywall f&iti0g b7. w "� x- •cn NEA LTHr{�EPT7;R-EQVIR ENT P1. Plaster Blow CoR-;*; t CTI t0 c' t1 _ 1t]9.iALNV �k.jglectrica'�Fo4r 0.1�er-final j EO' • j r CEWRFIC iE Idl.RD p "t 03 0$0.,,F00D 3.`F+inat'Electrid v_* - i tr' _*ta - t.R trNo a, "'=�• 4.tFina�=He ing�&, Feil` 1 � �x V7 ,itio�ti tr 5 It S 35. [Final-Ga�•Pipe Tesix 'ra =' :7 tT1� x rr pp or anoPY. :k a a . Ii%' x t- •"r x.tz1 �• y36.'�ioo` ,> .1;. r'-7 I IV .:l X T C:'•`J 11-1 !37.Tind11Fa8CoryFir Pace iSto a z+tT! All ..E Co (1 •� i<- SM A8. FinaLPlumbing *' Rp; fRIq I (EQ p\ I s .Ib 9. Wateo Service. Final. • I!.-• y: x: C: [r3 :R 19 trt zo x: G 0. Gas Service-Finaltv 4,..t,• S x n; 1. Solar Domestic -Final S ii •• :i. f pyo 1-s X r Y ,42. 'Backflow Preventerx; f- N x: p 1 (y; x. n) x- I �i; x tr.' ,moi H 43. Backflow Irr�vtionx V:SS x :K - _ PX E_ xO N r.v r' 4. Landsca e Ir_ o o`a SYstema, '" * t'" N .,3 `� o R, ,ragati tr?(j tt; Y M v ^ Ct x �T. ru Cu .ttC a. ru C ,A5,Z$ound Attertpatiort .. Reitlatic�,s G S x tr;•• ••-Tt i i 1;0 .4� r j4,6.<Handica. 47. •FINjLSTRUCTU E&BUiDING s ly-:+.� N 48.; INAL PLANNIN 1 l;'j I t -F-. x. t,, h: M IT . c49. r-Slectsic Release to Edison I t. y f tv 1 x: `1 I Release to Southern Califo nia Gas Co � x' / ' t: s ox x Ct r_: . ;F,�'oas _ J ,C I •, r. :}". O ;P1. CERTIFICATE OF�OCCUP C ;: 5 No. Date IIIIIIII Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. _ _ T;:I i LOT NO.' UNIT NO. A P # L.4-- 1_l - CYT,�Y,OF.(eOSTA MESA CONSTRUCTION PERMIT Project,Address' 0-7 f('.6 0 _ G(51c Applicant's MailingAdd J01 1 �L-A Jli1/1 ." Dishwasher Name-- P (Address �7 G1Zlac�L Fixtures Z Arch/Eng: License No. Address 2 Contractor's Nam Phone ZS Address (mailing) ky�� 1. :ELECTRICAL City License No.L/k/CrTr" I rl MZ t LIC2NSEO CONTRACTOR DECLARAT1 q� p� p �' 1 hereby affirm that am licensed under prb� isions of Charter 9 (common Clog with section 7000) of Division 3 of the iness and Code, an tl my license is in full &Ice and effect. // j�ssions i pe2v ,' !KERS' COMPENSATION DECLARATION- r V aby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 38I Lab. y.) /s,,.,. 5"41 �.v,i�,. �u Pollgy No. 7 he 7 f Company!7'�1��+ ! ertifietl copy is hereby furnished. L� Certif d o is filed with the city Building Division. Date_ Applicant , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completedifthe permit is for one hundred ($100) or: less). I certify that in the performance of thork for which this permit is issued; I e shall not employ any person in any manner'so-as to become subject to the Workers' Compensation Laws of California. Date - Signature, - NOTICE: If, after making this declaration, you should become subject to the Workers', Compensation provisions of the LebOT Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for viiiUithip^�ermlt is issued (Section .3097 Civ. C.) Lender's Name �V/��i Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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 . K, -,file a signed statement that he/she is licensed pursuant to the provisions of Contractor's License Law (Chapter 9 (commencing with Section 7000) of -',,cion 3 of the Business and Professions Code) or that he/she is exempt .Y i''47 from and the basis for the alleged exemption. Any violation of Section /031.5 by any,. applicant for a permit subjects the applicant to a civil �e nalty ofnot more than five hundred dollars ($500). - 'I, as owner of the property or my employees with wages as their sole compensation, will do the wo rk,'and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner Of a property who builds or improves thereon, and who does such work himself/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 com- pleiion,'Che owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such crolects'with a Con- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Signature ( / Drivers' License or 55 Owner ave read this application and state that the above agree to cc Iy with a city and county ordinances o building o structio and hereby auth riz repre- to r p the ove-mentioned��//p p t for e 1Date-1 3 TYPE OF CONSTRUCTION LJ NEW -(LADD KLALTEFIATION LJ 1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ f DES ON qF WOp K/USE OF BLDG.' Z- �✓ .+ 1 Ajpl TYPE OF PERT /,� G MIRADING ❑ FOUNDATION X STRUCTURAL ❑ TENANTELECTRICAL PL MBING M CHANICAL ❑ OTHER - ' � PROJECT DESCRIPTION SO. FT. OCCUPA Y CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU.YDS. ACRES— Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains r',, Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P -Trap Roof Drains Reinspection -Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO * Heating System & Ducting 00-100;000 BTU 0 100,000 BT1 Reinspection Fee 1 $15 0865-46, rev. 5/86 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection . Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spe Urinal Water Closet Water Heater _ Water Service Auto -Wash i Issue Fee Hood or Type ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,0008TU 1-1100,000 System Repair/Alteration Fire Dampers r Registers Issue Fee FEES S Main Building: E T Front 'g- Rear A C Right K Left Ping. Ref. # A - Planning Notes: 0 — loZone r Accessory.Building: I ' 2 O N N G R -� Parking Req./Provided E D M T S. l 7. ELECTRICAL FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW J ❑50+KW - Cooking Unit Meter up to 100 amps ." Dishwasher Meter Dover 100amps - l 7. 4 Dryers Ga_s 'LJElectric EKS BUILDING PERMIT Fanr (00 ��,++== SMIP F.A.U. _ Fixtures Z $ Device Boxes-' -- - _ 2 Outlets Switches 7 - $ 3 Zonil FEES Buil( Appli n i I� fi enerator ❑0-5 KW ❑515 KW einspection.Fee $15 :LOPMENT SERVICES REQUIR g Approved By - ing Approved By 1 t Sub Panel Motors ❑0-1 HP 01 'A- 8 Inc. Solar 1:19-15 HP 016-15+ Microwave Pole Light Range r Sign Standing Sections Trash Compactor Issue Fee " SU)y1nAPY dU EKS BUILDING PERMIT $ (00 ��,++== SMIP -PLAN CHECK $ PERMIT PLUMBING $ q 1.00 ISSUANCE 'PLAN CHECK 25% $ ENERGY P.C: 1. :ELECTRICAL -$ I GRADING PLAN CHECK'S 50% $MICROFILM MECHANICAL I &0TOTAL $ FEE {PLAN CHECK 25% $ (/ I N/%10 /)Sas-0003,,893 T t - l ^,TE: 05,'07/89 TIME: i�:3? r J ' CONSTRUCTION AND PLANNING y'•i• D toInspector _ P & SPA - Date Inspector t APPROVALS Permii __ APPROVALS Permits ' "11. Temporary Electrical Service or Pole, - 52. Pool & Equipment Location l��, 2A Soil {',ipe-Undrgrnd. 53. Steel Reinforcement rill 3. Electii al Conduif Utility-Undrgrnd. T 54. Forms �1 { 4. ElectricCond u_t Uridrgrnd. rli 55. 'Electrical Bonding r 5. Steell Reinforcement I` '1- 56. ;Rough Plumbing & Pressure Test 6. Electrir�,aIUFER',Grnd; /"7 57. APPROVAL TO COVER-GUNITE r�lr�i 7. Footing; /�~_7 t.; %1 0 58. Electrical Conduit-Undrgrnd. y)� ��/ 8. Foundation s_- rjtir- E " 1 59. Gas Pipe, O Undrgrnd., Test / 9. Water Pipe-Undrgrnd. 'J% 60. Backwash Lines, P -Trap, 0 Undrgrnd. I r- . 10. Structural Floor System Im 61. APPROVAL TO DECK 11. Sewer Line &'House FA� vection „- 62. Backwash & Receptor -Final �P.�rope'�iy 12. Sewer Cap -lv 0 _ �T%v % 63. Heater & Vent -Final r� 13. Roof Drains ,;0 "J Utl -• 64. Plumbing System - Final r�o 14. Rough Plumbing] V V- 7-n CO 65. Electrical -Final 15. Rough Electrical=Conduit 66. Solar System -Final .,r 16I Rough Electric Wiring 67. Fencing & Access Approval 171 Rough Wiring Sign 68. APPROVED FOR PLASTERING vJ 18: RoughElectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19'. Rough HeatingL& Air Conditioning cd-7-Vq L-450 FIRE DEPT. REQUIREMENT APPROVALS Permit # 210. Rough FactorVS,F,ireplace 21. Ducts,`in�Structurre - y,7, C46) 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Route& Test 72. Underground Flush _ Roof Framing _` r, �, 73. Undergrnd. Storage Tank 0 Gas 0Oil i24 4 n 25. Roof Sheathing _'_ 74. Overhead Hydro a 26. T-Bar;ICeiling (Structural) & Monocoat 75. Dry Chemical 27.'Fra' a and Flasl imge�i 76. Dry Standpipe 28. Latlimg &'Siding 7 77. FIXED SYSTEM FINAL .r .1 29. In$ul tion rt, 2. 78. FIRE PREV. FINAL 30. Drywall Nailing 1;� N i -r HEALTH DEPT. REQUIREMENT 31. PI tei Brown,CoaAl'�l �'- ` 79. FINAL INSPECTION 32. Electrical Powe Meie{-Finals � � 8 FOOD CERTIFICATE ISSUED 33. Final'Electric w / L �SA tI Notes: v .i /, 34. FinalI�Heating & Air Conditioning ,b • •q� .n S 35. Final Gas Pipe -Test ��tl CX4 L 1 *36. Hood or Canopy 37. Final Factory F ri eplace r N H d 38. Final Plumbing I QIf III '39. Water Service- FirhaI0. /J _ -40. Gas Service -Final" 41. Solar Domestic' inal 142. Backflow Preventer - �/1 t v - 43. Backflow Irrigation•I, t.• 44. Landscape Irrigation System- 45. Sound Attenuation 46. Handicap Regulations % J 47. FINAL STRUCTURE & BUILDING X48. Special Requirements Completed 49. Electric Release to Edison r rr. 50. Gas Release to Southern California Gas Co V�?'; •fry` ,J - 51. CERTIFICATE OF OCCUPANCY j`' • Iw No. Date i 'r 1 January 24, 1990 Mr. Ed Petros Costa Mesa Building Dept. 77 Fair Drive, Costa Mesa, Ca. Re: Roofing, Skylight, Firebox, Insulation Certifications Skylight: Velux Model VS -1 I.C.B.O. # NER216 Firebox: Marco Model 36" Classic I.C.B.O. # 2578 U.L. # MH9245 Roofing: Elk Model "Laminated Fiberglass" Prestique Federal Spec. # SS -S-001534 ASTM Spec. # D3018-82 Type 1 U.L. Class "A" Fire and Wind Rating Insulation: See enclosed certificate I will call you this afternoon between 5 and 6 pm. to discuss your final approval of this remodeling project based an this information and my sub -contractor list supplied to the Business License Dept. Be: Chris S. Acoutin MC®U ■ IN California License 389393 ■■��11 V®NS-11-RUCTI®N 5011 Loyola Avenue, Westminster, California 92683 (714) 894-8258 Fisher Insulation Company Certificate of Insulation The undersigned certifies that Certainteed Fiberglass insulation has been installed in accordance with the manufacturer's recommended application of the product. coverage Type (check appropriate box) R -value thickness no pkgs. area unfaced kraft foil FS -25 blowing wool Walls ❑ ❑ ❑ ❑ ❑1 Ceilings ❑ ❑ ❑ ❑ ER Floors ❑ ❑ ❑ ❑ ❑ Ctraar Gririracc x2 -z,-9_ / (:itv C1afa lin ,C7% ll )O insraiier FISHER INSUU.TION C( PANY LICENSF #267769 Company State License # EL MCUM, CALIFORNIA 91731 y�Q„�091 City,State,Z.ip Date Keep this certificate with your other valued papers. If you ever sell this property, this certificate should be passed on to the purchaser. 44`x( COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely ' TYPE OR PRINT FFr RECEIVED �N JUN2a1961 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING COSTA MESA. CALIFORNIA ' • . For Office Use Only RECEIPT NO. .PERMIT NO. OWNER TARTAN HOMES INC., MAIL MAILADDRESS' 7844 •E'. Rosecrans REC IVg BY I D TB� p TB 1 B !�°A N 3 I'fy`�1 {iL :-� IJ: No.NE-6-126 BUILDING Cln a a unt' Ca if ADDRESS CT Cliff 0 stociates TNoL.HA COSTA MESA. CALIFORNIA ORENGINEEREER 3-122 ADDRESS9025g E. Florence Ave., Downey FIRE ZONE TYPE GROUP CONTRACTOR Macco-Cor Oration APPROVED BY DATE 3800 E. Coast HighwayZONING ADDRESS CITY Corona -del Mar ' California. ZO NO. OF FDNB U89 OF N BUILDING / LICNO. 98808 -SB -1 -- No: OR 3-4220 EBCRILE PTION Lot 43 of Tract No. 3470 r" NO. OR SLOGS. OF LOT LOT' U NDw ON LOT O. USE OF EVES EXISTING BLDG VED ALLOWED SETBACK LINE FROM R LINE ST.) CENTER OF STREET REAR YARD l LFT. IN. SIDE YARD ILEFT (RIGHT FT. IN. DESCRIPTION OF WORK FT. 6 IN NEW IX IIALTERATION I IIADDITION v FT. IN. REPAIR I MOVING I DEMOLISH I VED DATE -'- BUILDING NO. OF rRE SIZE ROOMS STORIES EXTERIOR WALL ROOF ICOVERING COVERING ' USE OF BUILDING AND WORK TO BE PERFORMED Res. W Att. Gar. Plan #498C-. R-- 1,413 - 416 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AMOUNT SHOWN UNDER VALUATION )S FOR THE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM.POSE OR, ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING TION BUILDING CONSTRUCTION. SIGNATURE OF_ PERMIT FEE s 34-00 17.00 PERMITTEE s 14,605.00 PLAN CHECK s SL.00 AUTHORIZED AGEN TOTAL FEE