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HomeMy WebLinkAbout2048 GOLDENEYE PL - Building Permits CITY OF COSTA MESA - (n) BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. ' PERMIT %b.° a° M03-00640 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 2048 GOLDENEYE PL Status: ISSUED Suite NoApplied: 12/05/2003 Issued: 12/05/2003 • Vicinity: Parcel Number: 13954316 ISSUED BY: Applicant: STEVE SCHNIERER Address: Phone: 714-719-1689 Zip: • Owner: . TOMEI, RICHARD L TR Address: 2048 GOLDENEYE PL Phone: COSTA MESA,CA Zip: 92626-4725 Contractor: ANAHEIM HTG & COOLING (AHC) Address: 1418 S CENTRAL PARK Phone: (714)772-9699 ANAHEIM,CA Zip: 92802 License:594843 SCOPE OF PERMIT • REPLACE 110,000 BTU FURNACE LOCATED IN A CLOSET. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 . Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 _ -Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 03 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 • 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp " $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 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 fora 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(8/00) 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 wir ars'compensate Insurance carrierrand policy number are: 1 Carrier: 04,000b0 tk Vecu0.11 mi Policy Number: rIN 301 Sr+lRO7 (This section need not be cfhmple d it the permit is rued at one hundred dollars($100)or less.) ❑ I certify that in the pe ormance 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• California,and.•r+• r. hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these• •'---. // Applicant Signature: /L'4� Date: I a)5)5.3 WARNING:FAILURE T"SECURE WO', RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN A•CATION 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 forcet andeffect. Sig Lac.a Dates: N CZO2 Contractors Signature: > Date: 1 2 JSIn-3 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: 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.). • ❑ 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 exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers 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 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 pres@nt or future building occupant need to tile and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes j�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 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 permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U 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? 0 Yes 0 No (If'ryes",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? 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 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sgnature Of Legal Owner(s) Date 4c7, > 12/5/03 And/Or Authorized Applicant • Date CODE t INSPECTION TYPE DATE INTMALS CODFI INSPECTION TYPE DA1H 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1,9-t8-03 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 204 Final Demolition 250 Final Building/Occupancy AD DRESS OF BUILDING: 2048 GOLDENEYE PL WIT: Q6� . 0O(n/ Q CITY OF COSTA MESA — BUILDING PERMIT V J mwmai&ElPNawN: TOMEI , RICHARD L FLOOD: AE-46 1`T) PERM NO: B 087782 ADDRESS: 2048 GOLDENEYE PL V COSTA MESA CA 92626 PERMIT NO: B 087782 PLAN CHECK NO: N GOVT: N SUPP: N ( 714 ) 545-4`798 APPL.SWUNG ADDfESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH g ARCHITECT ORENGWEER: IIC.NO.: JOB DESCRIPTION : T/OFF SHAKES,RESHEATH,REROOF W/30YR COMP SQ FT: 6, 400 MICN.OR ENG.'S ADDRESS: UNT: CLAIM VALUE: 6, 400 . 00 CALC—VALUE: 6, 400 . 00 GROUP OCC : R-3 /U-1 cot(TNACTOR'SNAME: BRYMEL ROOFING ( 714 ) 462-0090 CONNIACTORSYNu023025 EL CABALLO COMMENTS : TEAR OFF SHAKES,RESHEATH W/7/16"OSB BOARD,APPLY 30YRCELOTEX COMP ADDRESSLAKE FOREST CA ucNO.: 725371 ***Nis -**4***niter*****sE******Net+Eek**at********+tit*****yE*SEic***K-*St*NN-***at+t***+E***Motet** 92630 INT: Z ON ING R EQUIR EMEN TS LICENSED CONTRACTORS DECLARATION:I hereby elfim under penalty it perjury than am licensed wider provisions d Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Code.and my Ikenee is in lug force and efledt clrYuc.NO.:1368138 uC.CLASS: C 39 uC.NO.1 25371 EXP : 08 /98 MAIN BUILDING ACCESSORY BUILDING .� t 1/20/98 Contractor: ie/A� /i✓$p�^/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN °ata' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under peutly of perjsy that I am exempt from the Centred=License Law to the Ithionvingreaon(Section7rotsBnsiiesandProfessionsCode:Anymowetlywhimrequiresapermslop avuctensu,improv. PARKING REQ: PROV: PARCEL: 13954316 ZNE: REF NO: demolish,or raper any structure.prior to is issuance.SNo requires the applicant for such prow to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Sede n 7003)of Dation 3 d the PLANNING NOTES> Wsinees and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section .>, Jr': 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred doter(S5001). *-******4****4*******************************************************dE********* ❑ I,as Omer olihe pmperry or my employees with wages as thek sole compensation.will do the work.and the stnicture is nC1 intended DEVELOPMENT SERVICES R E Q U I R E M E N r. .S or offered for sale(Section 7044.Business and Professions Code:The Contractors License law does not apply loan bwner or property j who bads or improver Iheman,and who does such work inset or herself or through he or her own employees,provided that such - . improvements are rel intended«°tiered for sale.lf.however'the building«:mprovemw is sold wino one year el completion,the ZONING APPROVED BY DATE: e.az over will have have the burden proving he or she did no bad bald or improve for the purpose sae). ❑ Les owner oftheproperty,ern e`duadro,nna":gwith u°ensedconM'°"e'Iowr"'the praiser(Section 7044,Business and BUILDINGAPPROVED BY DATE:/ / Professions Code:The Contractors License law does nth apply ID an owner d property who builds or modes thereon ens Me contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). - (-Ai/ ar d / j ❑ Iamexempt urderSecton: B.&P.C_f«wsreason: APPLICATION ISSUED BY : dF3F 3t Ai/er c DATE: 1 i2c) c (ro **********************3F *3 s ****oft************7€* '**** ** Dam: m °Me LEGALIZATION,:N F E E S MM117.. RY STRUCTURAL SEGMENT:Y I do hereby catty that I am aware of mid understand the requirements it Calionia Health end Safely Code Sections 25505,25533,and 7y 25.534,and that I or arty future building owsam will I wit not(circle one)need to comply rah said stele codes and the requirements for a permit f«°°nsmdmnorm«lmcetontorn the Aimane,enetMarkt Residential wwnudonapalfmtons ere exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE$ GRADING provision. PERMIT 124 . 75 . 64 Date: Applicant: PLAN SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE ❑ Ihave and will manta,acertificate dconsent toself-insure for w«xe;compensation,asprovided for bySection 370odthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance dthe work I«wf:°h this permit is issued. TOTALS----> 125 . 39 0 . 00 0 . 00 125 . 39 125 . 39 . 00 have and wd maintain workers'co mpensaton insurance,as required by Section 3700 d the lab«Cole,to the performance d the X work f«whi,this permit u Sued.My w«Men'compensation ins rance can r end po ic/number ere: Cana: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 125 . 39 OVER/SHORT: . 00 Policy Number, 285-9hUN11Ji8Z 01 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK section need not be completed if the permk is for one hundred dollars R1301 or less.) 124 . 75 . 64 I certify that in the performance of the work for which this permit is Sued,I s not employ any in y mama or, bacon subject to the workers'compensation laws of California. end i t should to the ***************************3*****************************************3********* wnpenam Section 300 of the Labor Code,I shall forth ' ply with them IND IV IDUAL F E E BR E AK DOWN .� Dore: 4 ZD 9 Anoka: �. Warning:Fail re to secure workers'compensation coverage is unlawful,and short ew(act an enwloyer to crfnSnai penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($104000),M addition to the coat of compensation damages es Provided for In Section 3706 of Me Labor Code,interest,and almrneyslees. SFR 6400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 400 . 00 ' CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097.CN.C), LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is coned.I agree to comply with all city and county ordinances andstate laws relating to buildyg construction and hereby authorize representatives°this thy to enter upon the above-mentioned property for espedionperoses.BRIAN HEI SOHEN i 04-20-1998/12:48 N1/$125.39 , RCPT0:01 4 20 ]998/RCPT0:01-0022676 -+� Date: �O/ l Ri f2MIYa087782 Signature of r•e#.�AgenUm AppinUm Cnorad I (5151-45.WP) White-Buil'sg&Salety:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor • CONSTRUCTION AND PLANNING POOL 7 4 APPROVALS Permit # Date Inspector APPROVALS Permit Do`:e� �l�spector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 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 UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing& Access Approval 17. Rough 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 Factory Fireplace APPROVALS Permit # , 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil „23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing % £Z'2 ' 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 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 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING .r/t /cQ /_ - a 48. FINAL PLANNING `` - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date - vrn!LnURIC JOB ADDRESS DICK 2048 Goldeneye Place 11-20-00 BUILDING PERMIT NO. 29413 GENERAL CONTRACTOR Jnrnmc B, Greek Masonry DESCRIPTION of WORK Comm. Block Wall o. 139-54s-36 LOT 46 TRACT 549? FIRE ZONE VALUE $ 175.00 I45,%ACTIONS Signature Dato GROUP J TYPE j I ZONE R-1 SOIL4 I PERMITS ISS ED GAS SUBCONTRACTOR Date I Number 1 Signature WATER Plumbing ROUGH PLUMBING ROP. SWR. LINE ❑ HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. ( TRENCHES FA FORMS 0 STEEL REINF. RI 45u /- FLOOR SYSTE BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT 5' TURAL, FINAL Electric Hi dG, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL . • BUILDING, FINAL r - 12-q-6, SPECIAL REQUIREMENTS 29413 NOV 26-68Fhi.00 1209 v*****3.01. ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVEDgBY DATE nRECEIIVyD DATE ISSUED BUILDING L. t1'(-' � I/_d(O-KXl ' - / - ADORES ,',Z � M//! ��C ' rI/tet / PERMIT R^^MIT 10,3 A.P. NO./3?'SL/J— /G /XYzj/ 3 OMAILWNER s� Q� �// ,�f //n (lQ / 1 '' 0 ADDRESS .U��`' /f'Vt-fl'.(nn/2,- ',Pc ADDRESS RIESS D7(/) 1�F/LREn�CL' if- Z O wwTEL. dU CITY NO. TRACT LOT LL�j BLOCK Z -m JM�— l ZQ CONSTRUCTION NEW APD ALTER REPAIR MOVING DFMOI ISH Om LENDER �h� l /-y .e am J 7BRANCH -- A L/ —10 — OWNER /)4L1 q/mntt Q iti ADDRESS /�/'/aa--�r�y/� At 77�//r/� C ARCHITECT — TEL. USE L.a2rt711�L t.,C t raUS 176,0 OR ENGINEER NO. n OtFIRE ..�,/��y— 'y' W ADDRESS ZONE TYPE GROUP p/ 2 W APPROVED J O CONTRACTOR '/A�y";�r a �/,yya7 BY DATE J ADDRESS 1.11w TEL. ZO/pypJE NO.OF USE OF NEW Z0CITY dA�_ .y p NO.637:yItj I PANS �/ BUILDING w0 STATE - - Ol/' CITY }+ YARD t3 APPROVED . YARDS APPROVED CO CL LIC. NO. so / 0 7 LIC.NO. / 61 ii MAIN BUILDING ACCESSORY BUILDING 7 O (FROM C/L STREET) SIZE (9/ k 1 a C� I NOW ON LNO.OF OT l FRONT FT. .fit--' OF LOT UUJ USE OF EXISTING BLDG. 1Q.'V e,/�-( .. b B—SIDE FT. OFT. I— SIZE OF NO.OF 11 2 NEW BLDG. ROOMS STORIES L.SIDE FT. (( FT. CC EXTERIOR WALL ROOF V_ COVERING COVERING REAR FT. U FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& MAIN BLOCS. ACCESS BLDGS. _ O / ,146-a t-t Antel VAR.$ DATE C.U.P.AL APPROVED! I— . \_BY ROVE�A / �/I DATE 1L hp 44 O1 U I hereby acknowledge that I have read this application and state \ D that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ Fes-, any person in violation of the workman's compensation laws of /1%11' H the State of California. L to ? I hereby certify that I am properly licensed as a contractor under -$O. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from the provisions of the State of California Business m and Professions Code, Division 3,Chapter 9. VALUATION m PERMIT FEE S „5. N D Signature ofn r ....,�ff11 m Permittee 7,sfn tt'l r $ /75929_ PLAN CHECK $ c-- E Y1/`// O Authorize gent q� u_ TOTAL FEE S�. 1/4) • 28058 _ COSTA MESA BUILDING-SAFETY DEPARTMENT �•'t'2 6 47470* ***158.25 P.O.BOX 317 COSTA MESA.CALIFORNIA Ea For Applicant to Fill In Completely APPLICATION FOR PERMIT Tr . 5492 TYPE OR PRINT Pl . 67-BR BUILDING For Office Use Only BU I LOIN G ADDRESS 2048 Goldeneye Place B� RECEIPT NO. 28058COSTA MESA, CALIFORNIA RECE Y DATE RECEIVED A VM1( UDn OWNER Mesa Verde Builders _ 7) MAIL BUILDING (WAS 5/Jry n ADDRESS 2850 Mesa Verde Drive ADDRESS���f'Q JC41Y/ 7 FIRE /,__ P fk CITY Costa Mesa No 5490395 ZONE TYPE GROUP Er APPROVED ARCHITECT OR ENGINEER Kaltenbach NELBY BY DATE ZONING E :ss 1823 E. 17th St . S.A. Singl Fau&. ZONEe' NO.OF USE OF NEW Rh PLANS 2 I BUILDING w/ att gar CONTRACTOR Mesa Verde BuildersLEGAL ADDRESS 2850 Mesa Verde Drive DESCRIPTION Lot 46, Tract 5492 CITY Costa Mesa, California A.P.NO. none NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE LIC.NO. 18L2_6_9_ O.549-0395 90"TO SIDE It REAR P.L. EAVES SIZE NO.Or� I NOW ON LOTsO ALLOWED (U.B.C.REQUIREMENT) OF LOT 66 x 105 YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. - (FROM C/L STREET) SETBACK LINE FROM 50 ' 321 FRONT 5-VFT. FT. CENTER OF STREET REAR YARD , SIDE YARD I LEFT 5 ' I RIGHT 5 . 5 R.SIDE 4T. FT. DESCRIPTION OF WORK L.SIDE 5 FT. Fr. NEW X ALTERATION ADDITION r REAR 3)-----FT. FT. DISTANCE BET. BET.MAIN Q R. .R MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS. BUILDING2681 s INO OF 9 r, VAR.# DATE SIZE ' ROOMS STORIES G C.U.P.# APPROVED EXTERIOR WALL Woo ROOF APPROVED COVERING StuC oCOVERING Wood BY WLD DATE l-3-6R USE OF BUILDING AND WORK TO BE PERFORMED �T' Single Family Residence . V it4U /Sq.FT/.J�f/(`ilia?°r. Ali a ' m 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SII 4YN UNDER VALUATION 19 FOR THE AND STATE HE ABOVE 16 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. X O PLY WITH ALL CI •RDINANCES AND STATE LAWS REG •.TING BUILDING ONSTR ION. //�/' / • VALUATION PERMIT FEE $/OV . �A� ft SIGNATOR :#-; .. iA�.. �� _ _ PERMITTE �{/"-"I $�� �S} PLAN CHECK $ ��I 2. S AUTHORIZED AGENT A T_ A��4 TOTAL FEE $/3 I OC r.