HomeMy WebLinkAbout2280 PAMELA LN - Building Permits� � � � l . . �
CITY OF COSTA MESA
� f q BUILDING DIVISION
F` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vn+w.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BX07-00254
PERMIT TYPE B MISC STATUS: ISSUED
APN: 42237222 DATE ISSUED: 12I0312007
Zoning: , ISSUED BY: BJK
JOB ADDRESS: 2280 PAMELA LN CM Suite/Unit:
Vicinity: EXTERIOR STAIRS Primary Occ: Const Type :??
SQ. FT: 0 Valuation: E1,200.00
SCOPE OF WORK: REPLACEMENT OF THE RISE AND RUN AT AN EXISTING TRIPLEX. WORK INC�UDES
REPLACEMENT OF 7HE IRREGULAR RISE - -
AND RUN, INSTALL $LIP-RESISTANT MATERIAC ON THE BARE WOOD, AND INSPECTION WILL BE MADE OF THE
SUBSTRUCTURE OF THE STAIRS.
OWNER: PEARSON, JOSEPH J AND SUZANNE F Address:: 10101 CIIFF DR Unit
City/State: HUNTINGTON BEACH, CA Zip Code: 92646
Phone:
APPLICANT: PEARSON, JOSEPH
City/State: HUNTINGTON BEACH, CA
Phone: 714-403-9253
CONTRACTOR: OW NER-BUILDER
Address:
City/Slate:
Zip Code:
ARCHITECT:
Phone
ENGINEER:
Phone
Building Plan Check:
Building PermiC � ,
Electrical Permit:
SMIP Residential
SMIP Commercial
$O.00TOTAL FEES
Unit
Address: 10101 CLIFF DR Unit
Zip Code: 92646
Phone
FEE SUMMARY
$0.00
$44.85
• $0.00
$0.00
$0.00
$44.85
License No. 000000
License No.
LicenSe No.
Cell:
NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Califomia 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 wmply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will resWt in the expiration of this permit.
GOOE1. INSPEClIONTYPE ORTE INi1TIRL5 CODE/ INSPECTIONME D�T INiIlULS
1616 Fixed System Final Fire Prevention 208 Final Mechanical
12fi6 Pool Spa Final 208 Final PlumOing
200 Pinal Re-Root 210 Final Electrical
201 Final BIocWRetaining Wall 212 Final Fire Preveniion
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site ��
204 Final Demoli�ion ' 250 Final Building/Occupancy
, .. ,
WORKERS' COMPENSATION DECLARATION:
I hereby aKrtn untler penalty of perjury one of the following tleclarations:
❑ I have ana will mainlain a certifica�e o( consenl lo self-Insure (or vrorkers'
compensation, as provided (or by sec[ion 3700 of the Labor Code, for the
perfortnance of the work tor which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
sectbn 3700 of the Labor Code, for Ihe performance of Ihe v.ork (or wfiich this
pertnit is issued. My workers' compensation Insurance carrier antl policy
number are:
Carrier
(This seUion neetl rrof he aundetetl �the peimrt is rdluetl at one �untlretl �llars
Policy Number:
� 11 certify that in the pertormance of the work for which this permit is
� sued, I shall not employ any person in any manner so as to become subject
to the workers' compe on lavrs of Califomia, and agree Ihat i( I should
become subje to tb wo cers' compensation provisions of Seclion 3700 of
the Labor � fall jp�with comply with these provisions.
�_ 3 nec. o�
^ Pd��M's $ignalwey+ Date
WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4F2S
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under provisions of Chapter 9(commencing
vrith Section 7000) of Division 3 of the Business and Professions Code, and
my license is in (ull (orce and ettect.
Lic. # ___. Class #
Com2nor's Signamre
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm that lhere is a cons[ruc[pn lending agency for Ihe
perfortnance of the work for which tlds pertnit is issuetl. (Sec. 3097. Civil Cotle).
Lender's Name:
Lender's Address:
Signamre
OW NER-BUILDER DECLARATIONS:
I hereby affirm Ihat under penalty o( perjury thal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason �Sec. 703t.5.
Business and Prolessions Coae: Any ciry or wunty which requires a permit to
wnstruct, alter, improve, demolish, or repair any s�ructure, pnor to its
issuance, also requires the applicant for such permit lo fle a signeE statement
that he or she is licensed pursuant to the provisions of the Contracrore
License Law (Chapter 9(commencing with Section 7000) o( Division 3 of Ihe
Business and Professions Code) or that he or s�e is ezempt therefrom antl
[he basis for ihe allegetl exemplion. Any violation of Section 7031.5 by any
applicant for a permi[ subjects ihe applicaN to a civil penalty of not more than
(ve hundred dollars ($500).):
�I, as ovmer of the propeAy, or my employees with wages as their sole
compensation, WILL DO THE WORK, an0 the slrucWre is not intendetl or
oflered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law tloes not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provitled ihat such improvements are not intended or oHered for
sale. If, however, ihe building or improvemenl is sold within one year of
completion, the owner-builder vnll have the burden of proving Ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of [he property, am EXCLUSIVEIY CONTRACTING WITH
LICENSED CONTRACTORS ro construU the project (Sec. 7044. Business and
Professions Code: The contractas License Law dces nol apply to an owner of
propeAy who builds or improves thereon, antl who contracts for such prqect with
a contract«(s) license pursuant to the Cont2ctor5 License laws.).
❑ I am exempl under sec.
Business and Professions Cotle for this reason:
3 De� d7
�SignaWre-�'~" ' Uate
305]-46(9I01)
t � Av� z o �
Owner ID verified by drive Ves ❑ No
Driver.'s.License�No.—' ��Epires- ' U Z- 2��9
Verification of Ownership by (rype o( document, i.e. - property [ax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certAy that no eacavation five (5) or more feel in depth inlo which a
person is required to descend, vnll be made in conneclion vnth work authodzed
by this permit, and that no building slrucWre, scaffdding, falsework, or demolition
or tlismanlling thereof, will be more than thirty-six (36) leet high. (Chap. 32, Grp
2. M 2, Sec. 341, Ttle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit (rom the Division of Industrial Salety, as noted above. unless
such person has a permil lo do such work from the division.
Appli�'anl's SignaWre Dale
Division of Intlustrial Safely Permi� Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuWre building occupant need to fle and
certify a Business Plan for emergency response to release or threatened
release of a hazartlous material? ❑ Yes ❑ No
(Section 25505 of Ihe California Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has al any one lime tlunng a reported
year a quantiry of hazardous materials equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic feet o( compressed gas
at s�andard temperaWre and pressure).
2. Does or will the applicant or present or (uWre building occupant need to fle
a registration fortn for acutely hazar0ous matenals? ❑ Ves ❑ No
(Section 25533 0l the Cali(omia Health antl Safety Code, with some
exceptions, requires registration with the Cosla Mesa Fire Department by
each business which at any one lime has on hand a quantity of acutely
hazar0ous materials equal to or greater than a weigM of 500 pounds, or a
volume o( 55 gallons, or 200 cubic feet of compressed gas at standard
temperalure and pressure).
3. Does or will the appliwnt or presenl or (uWre building oceupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 of Ihe Cali(omia Heal�h an0 Safety Code provides that the
Costa Mesa Fire Department may require the preparalion, certification and
filing with the Fire Department of an RMPP by businesses vR�ich are required
lo register acutety hazaraous matenals with lhe Fire Department.
4. It an RMPP is presently require0, has Section 25534 of the Califomia
Health and Satety Code been fully cqmplied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is Ihe suDject of Ihis appliwtion a pertnit (or such wnswction
or modificalion (rom the South CoaSt Air Quality Managemen[ DiStrit[ or (mm
any other air polNtion control Cistnct or agency? O Yes ❑ No
(Section 658W.2 of the Califomia Govemment Catle requires tnat the requested
infortnalion be lumishetl on applicalions la non-resitlential building permits).
6. Will any part o( the faciliry to De constructed under this permit be within
1000 feel fmm Ihe outer boundaries of a school? ❑ Ves ❑ No
(If 'yes', Ihe facility musl meet the requirement of Sections 25534 antl 42303
of the Califomia Health and Salety Code).
7. If a permit from the Soulh Coasl Air Quality Management Dislnct or other
air pollution control district or agency is required for the work v+hich is the
subject o( this application, have all of the disclosures prescribetl by Califomia
Health and Safely Code Seclion 42303 been made? ❑ Yes ❑ No
8. (If yes", attach certificate of wmpliance from the appropriate air pollution
control oKcer).
CERTIFICA7E OF COMPLIANCE: I certify that under penalry of perjury the
information given above is correcL I agree to comply with all state laws and
city ordinances regarding Hazartlous Matenals and Emissions.
Signawre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry ot perjury that I have read this appliwtion and state that
the information given is cortect. I agree lo comply with all state laws and city
ordinances relating to buildin truction, and authorize representatives of
the City of Costa e a t enter upon the above-described property !or
inspeclion p rpos I a r not occupy or allow occupancy of any builtling
aut Ui al inspection.
�er-- 3 De c o 7
SipnsmreN�Legal�Ownttl�l—� Date
AnG/0� AW�wiie0 Applit�an� Oale
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APPR�VED
CITY OF COSTn MESA
�'i ,'.'VNING DN[SION
S� h i Lt .�) BLDG. DEPT. RL-:U.
N�'"`'` :�ITIONS, DEL! �NS,
U��. ..��KRECTIONS SHF�.,.�� BE
APPROVEU BY THE PLANNING DIV.
sr:�_ n:���E/
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OWNER-BUILDER
VERIFICAi'ION
Address: 2�" U� r���� L��C '�OSSL� 1UESApermit #: �� y!/</ ��
A ciry 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 remm 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 remm this information in the envelope provided at your earliest opportimity to avoid
unnecessary delay in processing and issuing your building permit. No buildine pemiit will be issued until this
verification is received.
1. 1 personally plan to provide the major labor and materials for construction of Ihe proposed
property improvement, Q Yes ❑ No
2. 1 ave ave not) .Y��;�.�h P2k✓S�h- signed an application for a building permit Cor
the proposed work.
3. 1 have contracted with the following person (fimi) to provide the proposed conswction:
Name
Address
Phone (
City _
Contractor's Lic. No.
4. I plan to provide portions of the wwk, but 1 have hired the following person to coordinate,
supervise and provide the major work:
Name
Address _
Phone ( )
City _
Contractor's Lia No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name
t0A2-Cfi (Rev.1110a)
Address
Phone Type of Work
PNOJECTp�OflE$S: llaO PAMELA LN
OWNEfl'SNAME: TESKE, JULIUS E
nooaess: TESKE, NATALIE
1t 41
1701 LOS OSOS VALLEY RD
LOS OSOS,CA 93402
APCNIENGINEEP: FEG.NO.:
AODflESS:
UNIT:
UNIT:
PEflMITTEE: GOODRICH COMPANY ( 909 ) 393-8298
ADOflE55: 64'�O VIA DEL RANCFIO
CHINO CA 91709
UCENSED CONTNACTOH OELLAflATION: 1 �er¢Uy aliirm I�ai I am lic¢nse nE¢r pmvisions ol C�apter 9(commencing wilh Seciion
7000) of �rvision 3 0l I�e Business ana Pro�essions Cotle. anC my lic se i ull �orce etlecl.
ciTruc.: sTnreuc.:63930 S B
ate: �_ SignaWre:
OPNENS' OMPE SPTION OECLANATION: I h¢reby aitirm Ih �a a erti�icate of [ seni m Sel -insUre or a tenificaie o� Workers'
Campensation Insurance. or a cenilied copy ihereoi (Semian 3800, LaO. CI.
POLICY NO.: EXP. ORTE:
COMPANY:
�] Ce�ilied copy is hereby fumished. ❑ Cenifie0 capY is IileO vnt� the ciry Building Division.
Oate: Ppplicant: _
E%EMPiION FAOM WOBKEHS' fAMPENSATION OEClAPR710N: Qhis Sec�an eU n be c Ie�eO i� Ne p rmi� b lo one hunAreA (5100) or less�.
I cetlity Ihal in thy pedormance of Ihe work for w�ich t�is permi�' 'Ss ed I 5 I noi loy any pe son in manner so as to become
SubleCllo I�e /oBers' om0en5alion Laws oi CalifOmia.
'�¢;� Signature:
NOTI : II. afte mak g this tleclaratian. you shoul0 be e Glect �o th¢ y rkers' Compensation provisions oi Ihe La�or
Code, you mu5i lorthwilh comply wiih such pmvisions ar lhis permii s�all Re deemetl r¢vokeG.
CONSTBUCTION LENOING pGENCY: I �ereby allirm that ��ere is a mnstmction IenOing aAency lor the pedormance oi the work for
whicA Ihis permil is issue0 (Seclion 3097. Civ. C).
LENOEP:
A�OHESS:
OWNEP BUILOEP oECIAFRTION: I �ereby atlirm t�at I am exemD� ��om ine Contracrors' State License Law lor ihe followinp reason
�Sec�ion 7031.5 Business anU Pmlessional Code: Any mty ol counry which repuirts a permit �o consimct. alier, improve, demolish, or
repait any stmtlure. prior to its issuance. also repuires ihe a0vlicant lor such permii to lile a signea slatement Ihal he/she is litensee
pursuam to the pmvisions of the Comracmrs' State License Law (C�apter 9(commencing with Section 7000) ol Division 3 0l ihe Business
and PmIe53ionS Cotle) orl�ai �e/She is e�empil�ere�mm and I�e �asis br I�e alleqeG e�emptian. Pny violali0n of $eciion 7031.5 Oy
' any applicanl lor a Dermil sublec�s Ihe applicanl to a civil penalty ot nol mare t�an live hunUreU tlollars (5500�.
�, as owner of ��e pmpeny or my emplayees wit� wages as iheir sole compensation, will tlo iha woB, an0 t�e
❑ stmcmre is noi imen0ea or offeretl lor saie (Secimn 70aa. Business and Prolessional CoOe: Tne Comractors' State License Law
Aoes nol apDly lo an owner ol a D�openy who Duilas or impmves �nereon, an0 who aoes suctl work himsell/hersell or ihmuph
his or h¢r own ¢m010yee5. pmvi0e0 Ihal SUC� imprOvemenis are no� in�entletl or ofler¢d br Sale. II, hOweve! �he builtling or
'mpmvement i5 sola wit�in one year ol com0leiion, I�e owner wiil have Ihe UurOen ol provinp �¢/S�e Jia nol Uuild o� impwve
for Ine ouroose ol sale).
I. as owner o� Ihe OmDer�y, am e�clusively contraciinq wil� IicenseC comracmrs to consimct I�e pwlecl (Section 7044, Business
❑ antl Professions CoOe: T�e Contrac�ors' State L¢ense Law Oces not apDN to an ormer of pmOeM � bml0s ar impmves l�ereon
antl who contracts lor such proiecis with a comracmqs) ticense oursuanl to the Comrac�ors' State License Law). I am aware
iM1at Dmol of Iheir Worker's ComDensation insurance slwul0 be pmvi�e0 to me.
� I am exempl under Secuon: B. 8 P. C.
lor IhiS r¢d500:
oate: Owner
I tlo nereby cenily thal I am aware of ana unAers�antl tne repuirements o1 Calilomia Healih anA Salety fAde Sections 25505, 25533, antl
2557A antl Ihal I or any fuWre bmltling occuDanl wilUwill not (circle ane) nee7 to camply vnth said s�ate cotles antl the reQuirements �or a
permil lor consimction or mo0ilicaiion �mm Ihe Nir Oualiiy ManaAement Oistnct. flesiGential consimction applications are exemp� Imm
�h25¢ prOvi5i0n5,
Da�e: Fpplicanl: _
I hereDy cei�itythal I have reatl Ihis apDlication antl sla�e Iha� Ihe
artlinances an0 slate laws r¢laling to �uiltlmg consuuc�ion and herel
properly �or ms clion purposes.
Daie'' Signalure:
oriver's License or ocial Secuniy a:
I agree to comply wiih all ci�y ana counry
inis ciro m enter noon me above-memionetl
164t�G6 Whiie—Building', Green—Gatle Enlorcemeni: Canary—AOPIiwnC Rnk—Revenue: Golaenrotl—Assassor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B 066919 PLAN CHECK NO; N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR
JOB DESCRIPTION : INSTALL NEW VINYL SIDING PER ICBOIt3985
PERM NO; B 06691
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT; 7,950
CLAIM VALUE: 7,950.00 CALC—VALUE: 7,950.00 GROUP OCC: R-1 /
COMMENTS: NEW VINYL SIDING FOR AN EXISTING 'FOURPLEX' ��Q,J� ������
**�**��*rt******+r**�r�r�+r*****�**�*�r**�-�***�**�x-x�**�c*�r**+�**+�* K * *
Z O N I N GS ERTEHQAUCIKRSE M E N T
AEQUIRED
------------ MAIN BUILDING ---------- — ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 42237222 ZNE: REF NO:
PLANNING NOTES>
>
*+�***�x�*x�**��r***+�**�*x*x-x�****��r*+�**�-+�*�c-***x�*+r+rx�*******�-+t�r��r+r+��r*x-�tx�***+r*�+�****�r+�
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED BY ;
DATE:
DATE:
APPLICATION ISSUED BY: � � DATE: �22 /94
x�*1F1E�EiEiEiriFiFiEiEifif�F#EiaiEilieiaiE . ifiriEiEiEit*if*io �iF�F3F7F*x-
iEiEiFiEMiFiFlEiFikiE3fiE#3fiFiFfF4iF3li(�ifiEifiF3FfEfFiFiF1ElEafikiEifiE iFiF9E jEiEitifiEiEiElFiFifiFiFiEifiE1f1F3EifitifiFiEiEiRifiEiflfiEiEiflEiEiE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 99,00 gp
PLAN SMIP/NON—RES
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 99.80 0.00 0.00 99,80 99.80 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 99.80 OC'ER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECFIANIC FIRE SMZP/TOT GRADING PLAN—CHECK
99.00 .80
i(� if 1! iE 1F fE it �E M� iE 1E if iF if 1! ik fE iE fE if iE k if 4 if iE 1Elf iE if iE iE ik iE 1E 1E �f iE 1E iE if if if it iE 1F iE if iE M it i! if if if itlE 1E 1f if iF iE 1! it iE it if if it iE iE if if 1E k iF itlf iE
I N D I V I D U A L F E E H 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
SFR 7950 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 7,950,00
END OF FEES
41 OO1S9407-00159408 T O T 49.E0
UpTEs U4/22/94 TItIE: 14:33
CONSTRUCTION AND PLANNING POO. SPA
APPROVAIS Permit # Date inspector AppROVALS Permit # Date Inspector
1. Temporary Electricai Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Und�grnd. 53. Sieel Reinforcement
3. E�ectrical Conduit Uti�ity-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. 55. Electricai 6onding
5. Steel Reinfortement 56. Rough Plumhing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE
7. Footings 58. Etectricai Conduit•Undr�rnd.
8. Foundation � 59. Gas Pipe, � Undryrnd., Test
9. Water Pipe�Undrgmd. ' 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
71. Proper;y Sewe� line & House Connection " 62. Backwash & Peceptor-Fiiial
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Piumbing System � Finai �
14. flough Plumbing 65. Electrica6Final
15. ftough Electrica�-Conduit 66. Solar System-Final
16. Rough Electric Wiring 6J. Fencing & Aceess Approvai
17. Rough Wiring Siyn 68. APPROVED FOR PLASTERING
18. Rough Electr+cal-T Bat Ceiling 69. POOLISPA SYST£�AS FINAL
19. Rough Heatin4 & Air Conditioning FIRE DEPT. REQUIREMENT
i I
20. Rough FactorY Firepiace . APPROVAIS � Permit # i
27. Ducts, in Structure ,� . 70. Underground Nydro
22. Dutts, Ventilating 71. Product Piping LlGas OOiI
23. Gas Pipe•Rough & Tesc 72. Underground Fiush :
24. Roof Framing 73. Underyrnd. Smraye Tank � Gas ❑ O�I
25. Roof Sheathin9 74. Overhead Flydro
26. T�Bar Ceiling fStructural) & Monocoac 75. Dry Chemlca� �
27. Frame and Flashing � 76. Dry Stand'pipe ��
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulatlon . 78. FIRE PREV. FINAL
30. Dryevall Nailing ' HEALTH DEPT. REQUIREM[NT
31. Plaster Brown Coat 79. FINAL INSPECfION
32. Electrical Power MeterPinal 80. POOD CERTIFICA7E ISSUED
33. Finai Electric Noies: • �
34. Final Heating & Air Conditioning
i
35. Final Gas Pipe-Test �
36. Hood or CanopY • �
37, final Factory Fireplace
38. Final Plumbing , �
39. Water Service�Pinaf -
40. Gas Service-Final
41. Solar pomestic-Final
42. Backfiow Preventer
43. Backflow Irrigation• �. '
44. Landscape Irrigation- stem
45. Sound Attenuatiort�"�' �._
46. Handicap Regulation �
47. FINAL STRUCTU � BUILDING S--Fj-� ��/ �
48. FINAL PLANNING-• � �
49. Electric Release to Ediso� � _
, � .._,
50. Gas Release to Southern California Gas Co '� ,
51. CERTIFICATE OF O�CUPANCY
No. � Date
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
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Al1G-4-72cnsn00 394jr �,tt�ftfi�.�t�
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely qE EI Eq B V DATE RECEIVED DATE SU D
BUILDING 22go pamela Lane � K 7�2� � t� �
ADDRESS
OWNER Roy ], Ward Ce - ,,.P. No. -_,�,� -t;� PE M NO.
MAII 1 0 ��feStCl�yy �/L� ' ADIDHESS�� �+`-' {�N^�.p LpN�
AODRE55 7 7 ��
CITV �eu�port Beach NOP�6�0�28 TRACT r1.�0T � BLOCK
CONSTRUCTION W A P
IENDER
BRANCH
OWNER I A2O �4
ADDRESS ap
VALUE �
OREN INEER RC K�C2.2 TEL ^$��2 S �K $ �
FIflE �•
AODRESS2S1 ��I�nUL SY��Newport Beach ZONE TVPE� GROUP� J
APPROVED
CONTRACTOfl BV DATE
ADDRE55 {'
TEL. �ONE Y� P�� .� BUIL�ING EW 7 IL� I��.EX
GTV NO. �`
STATE CITV YARDSAPPROVED VARDSAPPROVED
LI0. NO. LIC. NO. MAIN BUILDING ACCESSOFiV BUILDING
SIZE NO.OFBLIX'aS.^ (FROMC/LSTREET
OF LOT 6o x i i4�E) NOW ON LOT 'J FRONT I b FT � P FT.
USE OF n�'�n / b
E%ISTING BLDG. FT
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES L. SIDE FT. FT.
EXTERIOfl WALL WOOCI ROOF
GOVERING COVERING REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFOFiMEO DISTANCE BET. BET. MAIN &
TI'1 IeX W MAIN BLDGS. ACC6S. BLDGS.
'�ge VAR. s$ DATE S 7 L
C.U.P.#Z`7 ��ol'�Y� APPROVED -�
PLAN 1 �+�ROVED ,� STA� ,a
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I �ereby acknowledge that I hev0 reatl this aOP�ication antl state EC�V
that the above intormaiion is coYrect antl agree to comply with u .e
all lews reguleting builtling const�uction, antl I shall not emplay HQ
any person in violation of the workman's compensation laws of
the State ot California. 1 /
I hereby certity that I am properly licensad as e contractor untler SQ. FT. �/C�k-1 �
the Stete of Calitornia Business antl Professions CoAe, Divisicn 3, THE AMOUNT SMOWN VNDER VALUATION IS FOR
Cheptar 9, antl that s�c� licansas ere in full force antl effect, or I THE PVFiP06E OF ESTABLISHING A PERMR FEE ONLV:
am axempt from the p ov' ' n5�o a Stete oi Calitornia Business VALUATION '
entl Professions Cod , �{i si C pter 9. PERMIT FEE $
Slgnature of �/ ///��} ///��� �Q 7 L/
Pe�mlttee $ 2'�/IAO� P�AN CHECK $ f J
AuthorizedApent d �l�
TOTAL FEE $
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'1CT 19-7�CY5��0 891 �*** 126.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVEDBV D�TEF;EC�V2ED DOqTE�S�U�Z
BUILOING r7 Z /1 ^��- A�^'F � �(� L 7
AODRESS f- �J
OWNER �� uI�- �, A�P� NQ� S�`�+�1 1/G PERMIT NO.
MAIL ADORE S �Z (jO M� L�Y�} L�/7 �`
ADOFESS ��/^/
TEL. TRACT LOT BLOCK
CITV NO.
CANSTRUCTION W A D P
LENDER
BRANCH 1,� T, [��jq
OWNER �{/ �� /7'��L
ADDRESS VALUE
ARCNITECT TEL, S �RI PLEx �
OR ENGINEER N
FIRE T
ADDFESS � 20NE TVPE GROUP t—
APPROVED 7 �
CONTFACTOR BV DATE'O-�
ADDRESS
ZONE NO.OF USE OF NEW �^�
CRY NOL P�� � BUILDING fJ �
STATE CITY VARDSAPPftOVED VARDSAPPROVED
LIC. NO. LI0. NO. MAIN BUILDING ACCESSORV BUILOING
SIZE NO.OF BLDGS. (FROM C/LSTREET)
OF LOT NOW ON �OT ROM D FT. FT.
USE OF /
EXISTING BLDG. FT FT.
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES L. SIDE FT. FT.
EMERIOR WAL� fi00F
COVERING COVERING REAR N FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BIOG/S. `
V✓ C URP. qW (� ��' �� qPPROVEO ,(� S/ 7 Z�
APPROVED /// � IO/���%Z
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1 hereby atknowletlBe that 1 have reatl this applica[ion and ztere O�E�N�
[ha[ the above info�metion is correct antl apree to comply with
all laws regula[in0 buildinB consVuction, antl I shell not employ Y�p F
any Oerwn in violation of the workman's compensa[ion laws of ��
Me State ot Calitornia �
/� t
i hereby certify that � am properly licensetl as a contractor untler SQ. F � OV '
che State of California 8usiness and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that zuth licenses are In full torce end eftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from e v' i s of the State o( Cal(fornie Buslness VALUATION !
and Professions od Di sI n, Chaptar 9. �%/„ �O <
PERMIT FEE 5 i�.vi �
Signature of f �
Permittee %7 3 / PL.AN CHECK $ (�_
Authorized Ageni �2 �i � S v �
TOTAL FEE $