HomeMy WebLinkAbout2039 GOLDENEYE PL - Building Permits - . CITY OF COSTA MESA
• ia-51ITht, BUILDING DIVISION
).• lien�Ii 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
C.. lt�".�,. . FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER 807-00910
PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: 08/21/2007
ISSUED BY: RMD
JOB ADDRESS: 2039 GOLDENEYE PL CM _Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF Const Type: ??
SQ. FT: 1800Valuation: $0.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL A MINIMUM OF 2 LAYERS OF 15#FELT ON A 2:12-LESS THAN 4:12
PITCHED ROOF OR A MINIMUM OF1 LAYER OF 15#FELT ON
A 4:12 PITCHED ROOF AND REROOF WITH 30 YEAR GAF ON AN ATTACHED HOUSE AND GARAGE,APPROX 18 SQUARES. REPAIR AND
REPLACE SHEATHING AS NEEDED.
OWNER: GABIE, DEENA E Address: P 0 BOX 3096 Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: FAUBERT,TRACI _ Address: 11577 SLATER AVENUE Unit:STE C
PHONE: 800-954-0011 City/Stale/zZip: FOUNTAIN VALLEY,CA
CONTRACTOR: STAR COURSE ROOFING COMPANY License No. 532778
Address: 8902 SAILPORT DRUnit: PHONE: 714-962-2203
City/State: HUNTINGTON BEACH, CA ZipCode: 92646-2664 _
CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $125.25
Reinspection Fee: $0.00
TOTAL FEES $125.25
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE IT INSPECTION TYPE DATE INTRIALC CODE! INSPECTION TYPE DATE INTMALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 87-2.1-07 1nC�fd Z 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
` 4
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivel., se. ❑yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: •
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
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
sectbn 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is isssed. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number arm p 1 _ person is required to descend,will be made in connection with work authorized
Carrier:.- -1 �v'`(/V... by this permit,and that no building structure,scaffolding,falsework,or demolition
(T issectfon need cor be led permit s valued at one hundred dollars(Erw)or less) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
PolicyNumber:
�� 2,Art 2,Sec.341,Title 8,Califomia Administrative Code).
ii---- --- 0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the ers' compensation laws of California, and agree that if I should
beco e s bje o the workers' compensation provisions of Section 3700 of
the La or ode, shall f rthwdth comply with these provisions. Applicant's signature Date
C6?'V1 Division of Industrial Safety Permit Number:
Apple it's SiBnalure-- _ Data__ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires, with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Se 'on 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my lice s',is in II force and effect. /' a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.#. --ea • Class#— (Section 25533 of the California Health and Safety Code, with some
_ • 1 9-2,‘,6-Th exceptions, requires registration with the Costa Mesa Fire Department by
seach business which at any one time has on hand a quantity of acutely
— Co%.sSignature "-Date'_ 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and '
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances rel. • 0 building construction, and authorize representatives of
Business and Professions Code for this reason: the Ci of C isle •esa to enter upon the above-described property for
inspe,tion •ur•oses. I:gree not to occupy or allow occupancy of any building
auth..'zed •y t is pe it until final inspection.
Signature Date WA n• 1. (n V. /V-,--01
305]-46(Y07) sr. -,And or Authorized Applira Date.__
APPLICANT: DO NOT FILL IN SHADED AREAS: Ci TO 7 7
CITY OF COSTA MESA CONSTRUCTION PERMIT I PERMIT[JO. 4 s I ' 3 UNIT MODEL A.P.# Zone
P / �/ �A_/Il S Main Building Accessory Building Z
Project Address: �O 3 r O LI,.g�4{/L' Unit: / E
Owner's Name: /7•=c..,/,nCA141 F -r PURPOSE: 0 NEW 0 ADDITION ALTERATION 0 REPAIR 9 Front N
Address: <A,n .t A Left N
c__..,___ ❑ CONVERSION 0 DEMOLITION 0 OTHER C Right G
Arch.lEnglneer: Reg.Na: K
Address: Volt: DESCRIPTION OF WORK/USE OF BLDG. 5 Rear
//•���L' r /'�(/ ��1� Ping. Ref. N Parking Req./Provided E
Pmmlffn:ti 'r ? 7f C!�'i'1 '
�" ' ` het. yy"p OV �_ Planning Notes: M
Address: C f_a V ,r4r- c. ,rni,55i.•igr 51.2 tot V T
TYPE OF PERMIT: 0 GRADING 0 FIRE 0 STRUCTURAL 0 SIGN S
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am icensed under provisions at Chapter 9(commencing 0 ELECTRICAL 0 PLUMBING MECHANICAL 0 REINSPECTION
with Section 7000)of Division 3 of the Business and Prolessi'.�s Cade,and my/cense is in Tut force and effect. ELECTRICAL FEES
an uc:4x939 STATE UG: 5. 5"-i CLASS: 7 UJOB DESCRIPTION: 0 SO. FT. _ OCCUPANCY GROUP 2' 3 Automatic Washer Motor ❑ 0-1 HP 0 1-10 HP
Date: L//'-4/17 Signature: / sa . _
WORKERS'COMPENSATION DECLARATION: reby aft that I have a certificate of co -nt to self-insure CONSTRUCTION TYPE 17.-A/ VALUATION $ GRADING CU.YDS. Christmas Tree Lot 0 10-50 HP 0 50-100 HP
or a certilicate of Workers'Compensation I e,or . certified copy thereof(Section 3800,Lab.C). Construction Pole 0 over 100
POUCY NO.: EXP.DATE: CATEGORY: 0 MINOR CONSTRUCTION 0 MAJOR CONSTRUCTION(Under 200000 sq.h.) Sub Pole Outlet •
COMPANY:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building DMsion.
0 MAJOR/HIGH RISE(Over 200000 sq.ft.) Cooking Unit Pole Light
Al • t,A/ o r °At / Dishwasher Sign Outlet
Applicant: Remarks: ��'l 7
Dryer 0 Gas 0 Electric Square Footage Fee
is
EXEMPTION hundred FROM WOR0) COMPEcSlityaEinhe pal: (This seof tien,need not behi h this pedr ii the ss ed, PLUMBING FEES 1 F.A.U.
Is har not mloyany pens ori less).I n certify that o the p ur'- to the • far which this permit California.issued, Standing Section
I shall not employ/� person in any manner so as to� sub' to the Workers 'mpen:atian Laws of CiBackflow Prevention Repipe Fireworks Stand Sub Panel
Date: /i ,(r'�/, / Sipnaturay. _ - -
Backflow•Irrigation Roof Drain Fixture Swi ng Pool/Spa
NOBCE:O/aaelnnuking the declaration god' ..become • • to the Workers Compensation pnwi Bar Sink Service Sink , GarbageDisposal witch
sips d the Labor Cade.you must foth/01 with such• :,-or this permit stud be deemed mated. po
CONSTRUCTION LENDING AGENCY: I here r aPorm that there is a construction lending agency for the pedor- Bathtub Sewer Cap • Generator: Size Temporary Work With
mance of the work for which this permit is issued(Section 3057,Civ.C).
LENDER: Clarifier Sewer Connection Meter 0 up to 200 amps Transformer
ADDRESS: Dishwasher Shower Meter ❑ over 200 amps Size
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law Drinking Fountain Solar Collector Microwave Trash Compactor
for the following reason(Section 70315 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 appli- Floor Drain Solar Piping
cant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contrac-
tors Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Floor Sink r Tank
Code)or that he/she is exempt therefrom and the basis for the alleged exemption.AM violation of Section 70315 Reinspection Fee $30 Issue Fee $15
by any applicant for a permit subjects the appicant to a civil penalty of not more than live hundred dollars($500). Gas Service Swimming Pool w/Spa
❑ I,as owner of the property or my employees with wages as their sole compensation,MI do the work,and Gas System Outlet Toilet . DEVELOPMENT SERVICES REQUIREMENTS:
the structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Con-
tractors'State License Law does not apply to an owner of a property who builds or improves thereon,and Interceptor Urinal Zonis Approved does such work himseluhersell or through his or her own employees,provided that such improvements 9 By Date
are not intended or offered for safe.If,however the building or improvement is sold within one year of coo- Kitchen Sink Wash Basin
pinion,the owner will have the burden of proving he/she did not build or improve for the purpose al sale). Laundry Tray Washing Machine Building Approved By i Date
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project
(Section 7044,Business and Professions Code: The Contractors'Stale License Law does not apply to an P Trap Water Heater R
owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) Application Issued By A ' ,#.6,-(-,.,-. Date
license pursuant to the Contractors'State License taw).I am aware that proof of their Worker's Compensa. Water Service V
lion insurance should be provided to me. SUMMARY OF FEES
❑ I am exempt under Section: B.8 P.C. Reinspection Fee S30 Issue Fee S 3 00
for this reason: MECHANICAL FEES BUILDING PERMIT $ MECHANICAL $ Zy. —
Date: • Owner. • I Boiler Heating System&Ducting PLAN CHECK $ PLAN CHECK 25%'$ •
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sec- Duct-Underground ' to 0100000 BTU + 0 100,000 BTU + 9-co
tions 25505,25533,and 25534 and that I or any future building occupant Stet cr1(circle one)need to comply PLUMBING $ SMTP $
with said state codes and theDuct-Structural Hood or Type1 0
requirements applications for a permitfont m• ion or •modificationfrom the Air Duality Manage- PLAN CHECK 25% $ GRADING $
manage-
ment District.Re' ential construction are �mp'Ira� provisions. Duct-Ventilating Canopy Type 11 ❑
^ ti
// O d,� ,- Exhaust System 0 Multiple 0 Refrigeration System ELECTRICAL $
Date: Applicant: / �- _-
r - i Fan ❑OtOD000 BTU + ❑ 100,000 BTU + 2 L1r
I herebythllity that I ave read this applicatione Ia an tate th. Ir•aboveco information is Correct. agree to comply PLAN CHECK 50% $ TOTAL FEE $ l
with all city and county ordinancestruponand state I relating ro oil g const' n and hereby authorize represen- Fire Damper System Repair/Alteration
' tatives of this city to enter upon the above-mentioned�lrope for purposes. • Fireplace/Fact. Bit. ICBG N
Date: /// ral., Signature. i. �"-
� 01 00048546-00048546 TOT 24.00,
Driver's License or Social Security N: Reinspection Fee $30 Issue Fee $15 DATE: 11/29/29 TIME: 13:05 _
0865-46 rev.1099 White-Butding;Green-Code Entorcemem; Canary-Applicant; Pink-Revenue; Goldenrod-Assessor
.r.t•*f .t ,: x;'.rs.:;le: "F- 'i,� -'-,W,+-.est.- e*' !',4ttTt. :44,*m4A'AtiV4.14
l
POOL' A
CONSTRUCTION AND PLANNING
APPROVALS Permit# .date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. •Soil:Pipe-Undrgirnd. , w 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. 'Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, ID Undrgrnd., Test
9. Water Pipe-Undrgind. 60. Backwash Lines,P-Trap, D Undrgrnd.
10. Structdral Floor System I 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & ,ieceptor-Final •
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough FactoryFireplace APPROVALS Permit#
,eI •
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping ID Gas D Oil
•
23. Gas Pipe-Rough& Test' ,j 72. Underground Flush
24. Roof Framing.;* C: 73. Undergrnd.Storage Tank D Gas ❑Oil
25. Roof Sheathing .,- • 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,
33. Final Electric Notes:
34. Final Heating & Air Conditioning 4/.1/ (,CO
35. Final Gas Pipe-Test ``��
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
° 39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final % •
42. Backflow Preventer .:
43. Backflow Irrigation - -
44. Landscape Irrigation System
45. Sound Attenuation •"•:PV:
46. Handicap Regulations • - '-�
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
•
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY .
No. Date % "
UWNtK MESA VERDE BUILDERS, INC, DATE 3-22-68
JOB ADDRESS 2039 Go]deneyP Place BUILDING PERMIT NO. 28348
GENERAL CONTRACTOR Same as Above DESCRIPTION of WORK Complete Bonus Room
-"AP No. LOT 3 TRACT 5492 FIRE ZONE . VALUE E 2,200.00
IN'^ECTIONS Signature I Dote GROUP i TYPE V ZONE R—1
GA SUBCONTRACTOR PERMITS ISSUED
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Hooting and Vent.
TRENCHES O FORMS p STEEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HF '4G, VENT., REFRIG, AND A.C., FINAL
P, ING, FINAL AND GAS TEST fl
ELECTRIC, FINAL ,�//,moi
BUILDING, FINAL 7t 7�1,.:
•
28348 25.6 P> OO 642 18.00
• e*w♦
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1208 COSTA MESA, CALIFORNIA 92626 -
;:' Lt#3For Applicant to Fill In Completely APPLICATION FOR PERMIT
J. Tr. 5492 TYPE OR PRINT PL.66-BR BUILDING •
BUILDING For Office Use Only
'. ADDRESS 2039 Goldeneve Pl ace
RECEIPT NO. PERMIT NO.
E COSTA MESA. CALIFORNIA 78348
r' ITEC ✓
, �` DATE VED TE 88'ED
-(G0 g- 4
OWNER Mesa Verde Builders. Inc.
. MAILBUILDING
'1
ADDRESS 2850 Mesa Verde Drive ADOBE'S //
GROUP
TEL. ZONE I i TSP /
�. /
IT
z CY Costa Mesa No549039
'' ARCHITECT TEL. �., AAPPROVE' /`L
DATE
OR ENGINEER Kaltenbach NO. 547804. " 911
V
4 A .ESS 1823 E. 17th St. S.A. ZONING
IL i .1
tont or r
CONTRACTOR Mesa Verde Ru i 1 ders 1411 {� e I D �-'
.ADOLEGAL DESCRIPTION & / sy9Y
.! RES$ 2850 Mesa Versle Drive
CITY Costa Mesa. California A.P.NO.
T NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE
NO. 181269 O. 549-0395 30'TO SIDE SREAR p.L.
_ EAVES
l'. SIZE SF LOT 64 X , ,. I NNO.OF OW ON LOT . F ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG,
(FROM on-'WREST)
SETBACK LINE FROM Rfer to Permit # FRONT FT. . i PT.
CENTER OP STREET 28015 REAR YARD
slog YARD LETT RIGHT a R. -ID <------` FT.
t�
DESCRIPTION OF WORKL.SIDE PT. ---
•
PT.
NoALTERATION_ ADDITION REAR RT. ` FT.
NowDISTANCE BET. BET.MAIN a
'" Rte.AIR MOVING DEMOLISH , MAIN BLDGS. ACCESS.BLDGS.
•.; BUILDING NO.OF
VAR.Sf DATE
;' SIZE ROOMS STORIES C.U. �F APPROVED
',- EXTERIOR WALL ROOF APPRQVK /�^/ ^�, —,--->"-C4
/ �/
".I COVERING L COVERING SY UI C'-`�'( DATE J —��"b(J
USE OF BUILDING AND WORK TO BE PERFORMED 6.....".....? W
Single Emily Residence w
'7: Finish Bpnus Room.
SQ.PT.
• I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING j
BUILDING CONSTRUCT* { VALUATION
El
SIGNATURE OF 4 I ge PERMIT FEE S/ —
• PERMITTED /� /
'v >3, G PLAN CHECK $ �% — W
AUTHORIZED AGENT '• �J'
TOTAL FEE D ,,�J
28015
COSTA MESA BUILDING-SAFETY DEPARTMENT lAN'12Ofl'' 427 ***X58.25
P.O.BOX 917 COSTA MESA.CALIFORNIA
e3For Applicant to Fill In Completely APPLICATION FOR PERMIT
Tr. 5492 TYPE OR PRINT Pl . 66-BR BUILDING
For Office Use Only
BUILDING
ADDRESS 2039 Goldeneye Place RECEIPT NO. P���+jf'��j�p�
COSTA MESA. CALIFORNIA 280 t 5
RECEi ED SY DATE RECEIVED.,_ DATE ISSUED
OWNER Mesa Verde Builders ` T /.2 •-•b JAN 1 6 1968
MAIL BUILDING /))) ��,ry� /�
ADDRESS 2850 Mesa Verde Drive ADDRESSa� '�� /`//ya-rNJ////�/��II ^„[I
FIRE ep
CITY Costa Mesa ryD�•-490395 ZONE TYPE � GROU
APPROVED
ARCHITECTOR ENGINEER Kaltenbach No•5478046 BY DATE
AD s 1823 B. 17th St . S .A. ZONING
ZONE I NO.OF I USE OF NEW Singl Fain.
P3 PLANS 2 BUILDING W/ att gar
[NTRACT0R
Mesa Verde Builders ILL /
LEGAL
DRESS 2850 Mesa Verde Drive DESCRIPTION Lot 3, Tract 5492
Y Costa Mesa, California A.P.No. none
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
.No. 181269 TEL 549-0395NO30"TO SIDE @REAR P.L.
EAVES
LOT 64 X 108 NOWONLOTS• OALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
E OF MAIN BUILDING ACCESSORY BUILDING
STING BLDG.
(FROM C/ REET)
SETBACK LINE FROM `2O 4 8 1 35 I FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT 5 ' I RIGHT 6 ' R.SIDE ScFFT.
DESCRIPTION OF WORK L.SIDE 5cT. FT.
NEW X ALTERATION _ ADDITION REAR 3 J' FT. Ff.
DISTANCE BET. BET.MAIN Et
RE . MOVING.i DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING I NO OF VAR•# DATE
SIZE 1751 s q ROOMS. 6 STORIES 2 C.U.P.# APPROVED
EXTERIOR WALL WOOct I ROOF APPROVED I
COVERING 0LUCcQ COVERING Wood BY W. L.��D. DATE 1-3-68
USE OF BUILDING AND WORK TO BE PERFORMED U' 1
Single Family Residence
Ri
I HEREBY AC..•WLEDOE THAT I HAVE READAPPLICATION V THEOMO SG.3 O UNDER VALUATION
LU TIO///�� /} D.
AND ST '- THAT HE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ES BUSHING A PERMIT FEE ONLY.
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PLY WI' ALL CIT •RDINANCES AND STATE LAWS REGULATING
BUILDI G CONSTR ION. ,J VALUATION v� N
SIGNAT - . 1 s✓/ d"f PERMIT FEE $/�� /yam
PERMITTEE 'V!J•^�T// I+'L[�� �tl `r C F
$ 3{6 PI ff•� PLAN CHECK $ J E
AUTHORIZED AGENT Q[O o /57" a
TOTAL FEE $