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Home My WebLink About892 PEACE PL - Building Permits�r JobAddress: 892 PEACE PL Suile: Vicini�y: Primary Occ: R-3 Dwellings/ Conq Res <10 Type of Construction: V-N Parcel Number. 41805270 Zoning: R1 Applicant MICHAEL BURKE Address: 1653 SUPERIOR AVE COSTA MESA, CA owner: DILLEHAY, CATHERINE D TR Address °/CATHERINE, D DILLEHAY TR COSTA MESA, CA , 892 PEACE PL , , - _, Contrecroc LEE ROOFING OF COSTA MESA Address: � 1653 SUPERIOR AVE � � ,. COSTA MESA, CA Zip�, 92627 � '. ArCh : Address: Phone: Phone: 949-642-7222 Zip: 92627 Phone: Zip: _ 92626 Phone: 949-642-7222 License: 349686 Eng: Address: Stalus: ISSUED Applied: 04/02/2007 Issued: O4IO2/2007 ISSUED BY: Phone: Zip: , License: � � , License: . SCOPE OF PERMIT - TEAR OFF EXISTING ROOF. INSTALL 7/16" OSB PLYWOOD, 1 �AYER OF 30# FELT, 5:12 PITCH, 30 YEAR COMPOSITION SHINGLES. 25 SQUARESINCLUDESATTACHED GARAGE. ' � Plan Check: $0.00 Permik $139.25 SMIP Res: " $0.69 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 -,-FEE SUMMARY ' � �- ' — - Calc Valuation: _ Claim Valuation ss,ass.00 56,866.00 Total: $139.94 . PLANNING & ZONING SETBACKS ' MAINSTRUCTURE Front 0-0 . . Rear � 0-0 Left 0-0 --` -�;Right -. 0-0 � ACCESSORY Front 0-0 Rear 0-0 � Lefl 0-0 Right - 0-0 , PARKING , Ezistin : o `� . . Reouired: 0 Pr000sed: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or iF work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requirad inspectlona and finel epproval must be obtained. Failura to obtain inspections and final approval will result in the expiration of Ihis permit. FOR INSPECTIONS CALL: (714) 7545626 204fi-46(fi/00) WORKERS' COMVENSATION DECLARATION: - � I hereby aRirm under penalty of perjury one of the tollowing declaretions: ❑ I have antl will maintain e certificate of consent to seli-Insure for workers' compensation, as provided for by sectlon 3700 of the Lebor Cotle, tor the pertormence oi tha work For which this permit is issuetl. �p pL ve and will maintain workers' compensation Insurance, as requiretl by section 3700 oi the Lahor Code, br ihe pertortnanca ot the work tor which this pertnit is issued. workers' o pensation In/5��rance wrner and policy n ber are: ( � /— Garrie�r. `_�.��{}T'� _ L�%M I�i �7 Ll�� FtiolicylJu`rimDer: I7S I QQ �(J �h`fs�'ect�on need nof be cromplefed i( the p �t is valued et one hundred dollars ($700) ar IessJ ' ❑ I cenify that in Ihe pedormance of the wor r hich pis permi� is Issued, I shall not employ any person in any menner so es to become subject to tha workers' compensation laws oi Ca foml . nd e � t if I 6uld become suDject to the workars' compensation provisions oi Sectlon 3700 of Ihe Labor Cotle, I shell fotlhwith tomply with Ihese pr q. .� ,9� - -- — /�� `� z�a7 WAPNING�:'KAIWRETOSECUREWO IERS' ON SATIONCOVERAGEISUNIAWFULANDSHALLSIIBIECTANEMPIOVERTOGRIMINALPENAL ES DCIVIIFlNESUPTOONEHUNDPED THOUSANDDOLLARE(5100,000),IN�DITIQU OTHECASTOFCOMPENSATION,DAM4GESASPROVIDEDFORINSECTION3]O60FTHELABORCO�E,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATON: I h�y,,aH'xm1hel-I�a�licensed under provisions of Chapter 9(commencing with Section 7000) of Cotle, antl my license is in full CONSTRUCTION LENDING AGENCV: ❑� I hereby affirm ihat there is a constmction lending agency for the peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby eHirm ihat under penelty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE lAW tor ihe following reeson (Sec. 7031.5, Business and Professlons Cotle: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any struqure, D�or to its iuuance, also requiras the applicaN for such pertnit to file e signed statement that he or she is licensed pursuent to the provisions of the Contradors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 of the Business and Professions Code) or that he or she Is ezempt therefrom entl tho basis tor Ihe allegad exemption. Any vlolation ot Section 7031.5 by eny applicant for a permit subjacts the epplicant to a civil penalry of not mora than five hundred dollars ($500)J: ❑ I, es owner of ihe pmperry, or my employees wit� wages as their sole compensa�lon, WILL DO THE WORK, and ihe stmcture Is not intendetl or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does not apply to an owner of propehy who builds or improves ihereon, and who does such work himselt ar herself or thraugh his or her awn employaes, provided that such impmvemenis are not intended or oflered for sele. It, however, ihe builtling or improvament is sold within one year oi completion, the ownerbuiltler will have lhe burden of proving that �e or she ditl not huild or improve tor purpose of saia.). ' ❑ I, as owner of Ihe propetly, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct Ihe projea (Sec. 7044, Business and Protessions Code: The contractors License Law does not epply to en owner of pmperty who builtls or Improves Ihereon, and who contracis for such prolect with a contractor(s) license pursuant to tha Contractors Licanse Laws.). ❑ I em e:empt under sec. Business and Profeuions Code for this reason: Signature: Data: Owner ID veniied 6y driver's license. ❑ Yes ❑ No Driver's License No. Venficetion of Ownership by (type oi tlxument, i.e. - property tax bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PEflMIT CERTIFICATION: � I hereby certity that no excavation tive (5) or more feet in depth into which e person is required to descend, will be made in connection with work authonzetl by this pertnit, and that no building structure, scaHolding, talsework, or demolition or dismantling thereof, wiil 6e more than ihirty-siz (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-builtler, 1 will not employ anyone to do work which would require e permit irom the Division of Industnal Sefery, es noted a6ove, unless such person he5 a permit to do such work from ihe tlivision. Signature: Data: Division of Industnal Safery Permit Number: CERTIFICA7E OF COMPLIANCE AN� AUTHORIZATION OF ENTRV: I certity under penalry of perjury ihat I have reatl �his epplication and state ihat Ihe information given is correct. I agree to compty wiih ell stete laws end city ordinances releting to building construction, and euthorize representatives of Ihe City of Cosla Mesa to enter upon ihe above-descnbatl property for inspection puryoses. I egree not to occupy or ellow occupancy of eny building authonzed by this permit until tinal inspection. CQDE t. INSPECTIONTYPE 49IE �NTItIRLS 1676 Fixetl System Final Fire Prevention 7266 Pool SDa Flnal 1� !�� ///, 200 Final Re-Roof �— 7 � �-" " 201 Final Block/Retaining Wall 2p2 Final Factory Fire Place 203 Final Sign 204 Final Demolition COPEI'� INSPELTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sile 250 Final euilding/Occupency PdIE �xTnu�s v N o. WtLLtAMS INSULATION COMPANY OF CALIFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 547-5148 THERMAL INSULATION CERTIFICATION THIS IS TO CER7IFY 7HA7 INSULATION HAS BEEN INSTALLED IN CONFOAMANCE WITh CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Tract Name t No, �� Tract No. d��S� Block No. Street �� P.x-[.(-�/L ��. City EXTERIOR WALLS: Mfg. �Z�1C�•`� �"��'�=�3 Thickness/Type Ceil i ngs: � Batts: Mfg. �'=a� �t°='-�� Thickness/Type BIOW(1 II1: Mfg. Thickness/Type Sq. Ft. Covered Floors: N�fn. G....:r Mfg. No. of Bags Used Thickness/Type. Thickness/Type _ General Contractor California Contractors License No. . ��y�� .,.�� Williams Insulation Co. of California California Contractors License No. 267522 �c� n r: J R— Value Z3 R— Value gZ R— � R— Value R— Value R— Value Date Date � "`;•,�:, JOB COPY-WHITE BUILDING DEPARTMENT-PINK GENERAL CONTRACTOR-YELLOW FILE COPV-GOLD ` O / � �,�� V"�• Building Address '�/LQin.t� �'Lep�¢_a�t� Owner r17 R.�� Contractor �Q�f�ta� .Be+�• Address Permit Date �Number /! /p �0 Issued D CITY OF COSTA MESA DEPARTMENT OF HUILDING SAFPTY Registered Deputy Building Inspector Certificate of Compliance Date of this Certificate i �//7� �O To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto. 1) Concrete 2) Masonry �{ Swimming Pool Size .SIoD 3) Welding 5) 4) Reinforced Gypaum Gunite�_Hand Pack Sacks Cement �, y� Tons of Sand (� � Approximate % of water in aggregate ��/v , � Special Cases Chis report covers work completed during week ending /,t,� R O/ b'`�_ . , i �- REGISTERED DEPUTY BUILDING INSPECTOR � • . - Laboratory ' u,.r_ Telephone ,2 /3� ji`Z1=G8Bf� Form BU 6 i��3 9� . ^ � , �:. ti ��'�`2 �� TWlniflq L8bOt8t0!'38� �f ��u�*n G'�[c�o.,,�, Jr,u. ' ,,, �� 3370 Airyon Wey / Mailinp Mtlrss� V.O. Bo. �7 / Lonp Ba�ch. CA 90801 /(2131 428-3355 /(I131 838-2380 /()ta) 828-8132 •� TEStING BR.UJCH OFFIGE: 151l�0 Noh� Nupo Stnu / S�nu �n�, C� 82�0] / pl�� 60t •IWS _� L�-�' � J�� ` � 291980 �, December 24, 1980 EXAMINATION N0. $0-12%21 COMPRESSION TESTS ON GUNITE CYLINDBRS Jack Hubbard 3106 Oetrom Avenue Long Beach, California 90808 PROJECT ADDRESS ARCMITECT ENGINEER B.C. Adame SF1IM POOL - Pranc Rlarer 892 Peace Place, Coota Meea: CA CONTRACTOR Lakeeide Pools SUBCONTRACTOR � McBee Gunite Co. SAMPLEFROM Shallow end, deep end, bond beam SFECIFiED Mlx G.O t0 1 STRFNGTH ?�OOO DATECAST 12-1i—$O SLUMP SPECIMEN SRE 6" X L2" DATETESTED 12-24-80 12-24-SO 12-24-80 SGECIMEN NO. COMVRESSION TOTAL LOAD LBS. POUNOS PER SU. IN. AREA, SU. IN. 1 7 Daye 106,000 3,750 28.27 2 7 Days 64,000 2,265 3 7 Days 86,000 3,040 COMPLIANCE 7 Day testa co�lq w.^,th epEce. MADE BY: DELNERED Bl: - qECENED ON: SPECIMENS MOI'T@YI J. Hubbard �12-18-80 DISTRIBUTION Jack Nubbard - 3 Coeta HeAa Bldg. Dept. �cg 3�� Tracey Hart All REVORTH �AE 86lmYfTTED �3 TME CWIfID[MVl Mp4717M Q7 Ci.'RMD 4UTIIOR12i1� FO� YULLit1141001 CP Qliq p(PCpT3. CONCIUS�OMB. M[%TMCiB i110M �li REG�PDIN6 TXEY I3 R�SERVED PtNdN6 OWi WRITiFM �OSN�WA6:9$ f. g7,Ji1lK MOTICTWM Ttl �M6. TW7 a1ltl.lt 9DJb QURS[LVES. ''PLICATION FOR A BUILDING PER'-'T 7ract�p S/ �j e�ocw � Lot /� BUILDING PERMIT NO. Eiectr�wi m Permlt No. BuitCin9 . Plumbing , �' Atltlrezs 9a G%�� %[. , / �/]� Nermlt No. m cc5�� Cross �Y9't �/ / / � Mncnaniwl n Area M�a>4 Strat f��f��/�/�'c+ PormitNo. A Owner f�/�,�+� H L��14� TyOe of fhojecl: ❑ Now ❑ AI[ar ❑ AGditlon � Atldress a �{/fGl [�"� . ❑ Repair ❑ Convort ❑ Demo ❑ Occupancy Pmt. $up. DISI./ Ciry COy?.9 ,^Q,��A ZIP P�ana A-P• InsP.Awa Archite[t/ Zp�o SPI. Pml. No. Designar LJcanse No. Setbacks P/L Front C/L SL SVael WIOIh ACtlress artli La t 9 ear Clty ZIp Phone ave o�. o g . . Enginaer lJcensa No. � r ng SPaces epu ro ov e overe p, Atldreit m City Z!P P�one Struct No.ol No.of Molg�t 5[ories Family � LICENSED CONTRACTOR'S DECLARATION aark Feas Vos Fae m I horeby ntfirm chat 1 em Iicensad �nder provisions of Chaptar 9 RequireU No C.T. Rccelpt t (commoncing with Section 7000 of Division 3 of �he Busineu antl Zoning Approvetl BY: Date Profosslons Code, and my liconse is in tull torco and eftec[). 7� Litense Clava f�/� License Nvmbar �9{� y�G-3 > Dow Conttactor ��3/f /,�L/J:� Misc. E naa,�: /s'S'aa GNs>APv�JHr Lti� ProposetlUse LL CiiV entl ZiP ^��'''L7 Trb. -�'�' �L/< y6 j. yyvr ot $t�uClure vno�e � �(Yd �CONSTRUCTION L GENCV p1 I hereby at(irm that thera iz e m�.cr�«�o� iaoe��e esa��r +o� the d pe�`ormance of Ua work tor which this Darmit is issuetl (Sec. 3097, Occ. Type Cotle ' Civ. C.). Clazs Const. �'ear c Lontla.'s Nama USE/OCCUPANCV SIZE SQ. FT. Londer'f Adtlrass � OWNER-BUILDER DECLARATION Y I hareb aftirm [ �' � Y hat I em exampt from the Contreetor'a.l:ieenae Law � for t�e followinB r¢esan: C ❑ I, es owncr ai tho property, or y.e ployen with weges as Ueir 2. sOla tam0o�setion will dy� �work, antl the struc[ure is not �t„ intended or oHBratl yf F�Te. 3. � ❑ I, es owner��pa propmry, am exdusivaly cOnVectinp with Iicnnsxtl conheGtors to consVuc[ tha project, �°1,. ❑ I am axempt u�Ner Sac. , B&PC tor thia roason 4' m a Detu tOwnar E WORKFRS' COMPENSATION DECLARATION 7otal Valuatlon I heraby eHirm ahat 1 hnvo a eorN(icate af conaant to mlf-inswe, or o cmtificnte of yyorkms' Componmtion Insuranco, or a certifietl Encroacnmenl Permlt ReqWrea ❑ Ves ❑ No c copy t�oroot. Gratling PmL GraOln9 � Polity Na Company ReQulrutl ❑ Vas ❑ No Vmt. No. •a ❑� f.ar[ifiotl copy �S �ereby furnbhad. ROugh Gratlin9 V LKce.,��atl � zfi�edwi«.9...,..-0si}:� M� A �L ' ' Approvea by: Date 3 a DDiO Applicen* /� � CERTIFICATE.OF E%EM TION FROM WqRKER$;COMPENSATIONINSURANCE Z (This euction neatl n0[ be complotatl if permit is lor 5100 or lesa). � 1 cer[ify chet In Nv performance of No work tor w�ich t�is parmit is 3 Isiuutl, i shall no[ employ ony ponon � eyy mannor fo as [o become A subloct ro tho Worhgri Compunwtif Lawf o�fCal' rnia. PERMIT FEES Daw /� - �' .� APPIiUnr –�+�.y _� NOTICE TO APPLICAN Tj/If� a(te�m ine ihis Certifice[a of $trutturdl S PldnChOtk § Exomption, yau shaultl beEome subloct to tha Workers' Compensation provisions o( the labOr Cotla, you must forthwith comply with such EIOct�i�al § $PeCial S provi•.ions or this pBrmit s�all ba deemetl rovokad, ��est. I CERTIFY THAT I HAVE REAO THIS APP�ICATION AND STATE plumbin9 S THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS FELATING TO BU��OING CONSTRUCTION, AND HEREBV AUTH- Machnnical E ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE AB V MENTIONED PROPERTV FOR INSPECTION PUR- Re-Gratle / POSES,. `/j� 1 _ �j �nsoecuon E r ��/ ae-GraOe Pormii �S � t�{e'ot PliCani or Agent pate Ret. No. S Issua s ��r.�.:�� Print Applicant's/qgenYs Nama All spacas yyi(hin this box must be completed [o process Plan Issuance Check BY: ApP�avetl: CMF 0335-46 (BU-p8) ruv. 6/80 � I1 "pPLICATION FOR A BUILDING PER�'��T BUILDING PERMIT NO. Eiectr�ca� m Tract Block Lot Permit No. � Builtlin9 Plumbing � Atltlreu g �A�� L" � //�/f Permit No. fp Cross � Mechanlcal C Area SVeet Permit No. a ,—,/ N Owner �� E- Typa of 7ro)ect: ❑ New ❑ Alter If'1 Atltlition � AOtlre55 ❑ Repalr ❑ Convert ❑ DemO ❑ Occupancy Pm[. C Sup. Dist./ CitY . ZiP Phone A.P. InsP. Area � Archilect/ Zon¢ $PI. Pmt. NO. Designer License No. Setba<ks P/L Front C/L St. Street Witlth Atltlress Vartls Left 9ht ear �j{y Zlp PhOn¢ ave rol. e 9 . . Y En9ineer Ucense No. � Parking Spaces equ re rovi e overe p, Atltlress m Cit Zip Phone 5truct No. of No. of y Height Storles Family � LICENSED CONTRACTOR'S DECLARATION Park Fees ves Fee � Requiretl No C.T. Recelpt m I hereby atfirm that I am Iicensed untler provisions of Chepter 9 t (commencing with Section 7000 of Division 3 of the Business antl Zoning Approvetl BY: Date .. Protassions Cotle, and license is in tull force and ef tl „n, ?� license Clas Lic se Numbar �' ��o ' Su��' /�/r,LSErKE2 M15°. } Date ' ontractor E nddress� ��1� 72— /J.P .�ONAH. P�ovosed use �y City end Zip P Q�!/� _/� Q'� of Structure —r . m CONSTRUCTION LENDING AGEf40V � I hereby affirm that xhere is a construction lending egancy for the a perto�mence ot the wark for which this permit is issuetl �Sec. 3097, Occ. TYpe Cotle ' Civ. C.1. Class Const. Vear C Lander's Name � ' USE/OCCUPANCV SIZE SQ. FT. Lender's Addres '� O NER-BUILDER DECLARA710N r I heraby atfirm that 1 am exempt from the Contractor's Licensa Law 1� fO for the foilowing reason: � ❑ 1, es owner of the proparty, or my employees wi[h wages as their 2. � sole compenution, will do the work, and tha ettucture is not �t„ intentle� or ofterxtl for sala. 3 ❑ I, as owner of thc prOperty, am exclusively contracting with 3� licensetl contractors to consVuct the prOject. �d„ ❑ I am exempt undar Sec. , B&PC tor this reeson 4' d a Dat Owner_ . E WORKERS' COMPENSATION DECLARATION Total Valuation � I heiebv ftirm that I hava e cxrtificate ot mnsent to self-insura, Encroachment P¢rmit RequVetl ❑ Ves ❑ No Y or a certificate ot Workers' Compensation Insurance, or a certified m� copy thereof. Gratling Pmt. Gratling � y Policy No. COmpeny Requlretl ❑ Ves ❑ No Pmt. No. �a � Certified copy is hereby fumishetl. Qa ❑ Cert`ifiotl, �copyj}' filed with O/��[y�jX EMA 4%Sk`' MC�ii` Rouqh Gratling � Daie%QApplicant � • [/�!/L APProvea by: Da[e 3 CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE Z �This section need not te completetl if permit is for $100 or less). � I certify that in the pertormance of the work tor which this permit iz Q issuetl, 1 shall not employ any person in any manner so as to become PERMIT FEE$ � subject to the Workers' Compensatiori Laws ot California. Dat Applicant NOTICE TO APPLICANT: If, after making 2�is Certificam of Structural S Plan Check § Exemption, you should become subject to the Workers' Compensation provisions of the Labnr Cotle, yau mum tor[hwith compty with such Electrle�l SPecial provisions or this permit shall be deemetl revoketl. $ Invest. $ I CEfiTIFY THAT I HAVE READ THIS APPLICATION AND STATE p�umbing S THAT THE ABOVE INFOflMATION IS CORRECT. I AGREE TO COMPLY WITH AlL COUNTV ORDINANCES AND STATE LAWS RE�ATING TO BUIIDING CONSTRUCTION, AND HEREBV AUTH- Mechanical E ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTEft UPON THE ABOVE MENTIONE� PROPERTV FOR INSPECTION PUR- p�y_Grade P�E�/��1� AhEEL /��/% �8o InsPec[ion $ Pre-Grade Permit �gnature of Applicant or Agent Date Rea No. E IsSue s CdeGG� � Print Applicant's/A enYs Name All spaces within this box must he completed to process P�an Issuance Chetk By: Approvetl: CMF 0335-4G (BU-28) rev. 6/80 . ��.��' D CITY OF COSTA MESA PL4NNING D6PT. SU9IECT TO BLDG. DEPi. REG BY�.� I..� .. DATE. i Z,,...,_,.,_„I%-� DIRFCTOR OF PUNNlNO . � l� �:SQ, �S,C�71VYc_ 7yP /9X9POST�v�2X�� /.2TS ��'!o ,�.��,� TE,C�S 7-YP, �. -9X8�1�.�,;ll�L-7�:� .\ ' 2 X 2 N�//GE�P: ' TY,p �/��K��y.fl�ST�/i.. I i .. �\ .. - �� ------ �\ � �� Gv/�{� �.,�9/itUJe. � % ilfte�f'�o �e y- Com.K . _�B,A._Ta =BE:-. E"O.-tiF'.G"G?EU =TD � � .:�-X/'v'_T_%iV�::3� _?� SG.OB- - - ---- � I :PR�Po� �"D GA:'� 4 O -.- 5" ,. .I T/iV6_5�.-�D. _ ✓� ; GI_.:"' F�L.c+ � ; - I�'/R �` /�/RS .�" �l ARE� _!89 �2 PE.00E �G.00E_' -;CUsi',p MES��-� GAL , !839- 72�i .: _ 'SG.d[ E //4 .. /i S' �. !% . _ _. ._ . JXP/_C.t1L:.��CGt=T(NOT 70: SG.OL�J. __. I �QES/�N -f�0E�.48E.�L �- m �� CHy of Costa Mesa /B,Y/ ildii.y ��e��.. Blf _._.__..._.._.L `—s'JATE%��..% 19 THESE PLANS MUST BE ON : B AT ALL TIMES MAKE NO CHANGES WITHOU7 PAIOA AVPROVAL OF DEPT. THE ISSUANCE OR GRANTING OF A PERMI7 UH ^PP.tOVAI OF PLAyS NND SFECIFiCAT10NS SHALL N�T BE CUN3TRUED TO BE A PERMIT FOR, OR AN APPROYrI OF. ANt VIOLHTION OF ANY OF THE PROVISIONS OF �HIS dODE. NO PERMIT PRE� SUMING TO GIVE AUTHORITY TO VIOLRTE OR CkNCEI THE i PROVISIONS OF THIS COOE SHALL BE VAL10, E%CEPi IN SO FAR AS TNE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL ` TNE ISSIIRNCE OF A PERMIT BASED UPON PIANS AND ! $PECIFICATIONS SHALL NOT NkEYFIJT THE °J�Lf,I:�, OFO'^,Ih.L FROM THEREARER REQUIRING THE CORRECiir" .,. :2G^.S IN SAID PLANS AND SPECIFICATIOf:� OR FR9'! ;"�,/EN711!', 8tlll�ING QPER0.TIONS BEING CARRIEO Ofi TH:FEU(IOER W14r^ IN VIOLATION OF THIc CODE OP. OF ANY 0'iHFP 0°7""" OF THE CI7Y. 1.�� %� . � 1�0 -- `�,_._ - STRUCTURAL_i_ APP� A� ONLY ; SEPARATE PERMITS ^•RE RE�UIRED � FOR FLCTF�'' � , .'. ,�..,3 •�:,. — �•�r, APID HEA7, S, ��r• REFRIGERATtO�d :+OftK P�7`r'�� # .�,�NY 7HIS lU�:l� -� I_ ALL IP�S?ECiION REQ f':STS,— , I , SJ;iS ARE TO �FOR 6:,��Ji... > � - ,� �H ;T THE � BE EMPL��-� , �,�„SION OF STAiE Of � '. INDUSTR';,L S T`: �..��LTED FOR ADDITIONAL riEQUIi.EMEN7S. _ PBWECT ADOHESS: 89z pEACE PL � v� ' owxeasnam[: KLARER CAROLYN nooR¢ss: p92 PE�CE PL /�OC/�✓> COSTA MESA,CA 92626 AflCNIENGINEEH: RO�flE55: flEG.NO.: IINIT: UNIT: PEflMITTEE: NOCIC PLUMBZNG (714)895-1246 ADOflESS: 11(�1O SEABOARD CIR STANTON CA 90680 LICENSED CONTPACTOfl OELLANATION: I hereGy aflirm I�a� I am IicenSetl unGer pmvisions ol C�apler 9(commencing wilh Section 7000) ol �ivision 3 of ihe Business antl Prolessions Cade. anG ' ense is in lulllorce an� ellecl. c' OS 38 sTareuc.:51197" cuss: C-36 �(�,. �a�e ,�_� Signamre: — �s�C._.— REXS' LOMPENSATI N UECIAflFTION: I hereby allirm tha� I have a cenificaie ai ton nt �o sell-insure or a cetlilicate ol Workers' Compensa�ian Insurance or a ceniliee copY ��ereol ISecnon 3800. �a�. C�. roucrNo.: 1167992-94 E%P.OATE: O3IOI/9S comvnxr: STATE ] Cetlifietl coDY is hereby furnishetl. � Certilietl c i5 I' 0 with the ciry BuilAin ivision. � �l �L � a001icam. �_ E%EMPTION FROM WOflNEHS' fAMPENSII➢ON OECUflRTION: RN5 5ec�on n¢ed not De comDleteC if the permt is tor one hunOrM ($10D) or less�. I certtly ��at in the pedormance o� �he work lor which �his perrtu� is is5uea. I 5hall no� employ any person in any manner so a5 io become sublect lo I�e Workers' Compensalion Laws oi Galitomia. Dale: Signamre: NOTICE: II. al�er making Ihis Oeclaration, you s�ould �ecome subieci �o I�e Workers' Compenulion Drovisians ot �he Lahor Code. you mus� tonhwiih comply with suc� pmvisions or IN5 permit shall De OeemeU revoketl. CONSTflUCTION LENDING RGENCY: 1 her¢by aflirm t�ai �here is a ton5�mtiion lenaing agenty for the Derbrmante ot �he work �Or w�ich Ihis permil i5 i=suea (Seciion 3097. Civ. C�. LENOEfl: �� nooness: OWNEB BWLOEB UECLANATION: I here�y allirm roa� I am e�emD� �mm ��e Contraciors' State License Law lor I�e lollowing reason �SetliOn 7037.5 BuSine55 an0 Pmfe55ional Coae: Any Ciiy Oi taUnry whit� r¢quir¢5 a pe(mil Io tOns�mc�, alter, impmve, Aemolish, or repair any slmcime. prior to its issuance. aiso repuires ihe appiiCant lor such Dermit to file a sipneA statement ihat nelsne is licensea pursuant to the pmvisions ol t�e Coniracmrs' Siaie License Law (Chapter 9(commencinq with Section 7000) ol Division 3 0l ihe Business an� Prolessions Catle) or ihal �e/she is ezempt t�erelmm anA IAe bavs lar the allegeG exempiion. Any violation of Section 7031.5 by any appliCanl IOr a permii Su61eCi5 ��e applitanf lo a Civil Denally Of noi more I�an live hunOreU tlollars (5500�. I, as owner ol ine D/opetly or my employees wilh waAes as their sale comDensation, will do �ha work, and Ihe ❑ s�mcture is not imendeU ar ouereU lor sale ISection 70aa, Business an0 Pwtessional CoAe: The Contractors' Slate License Law Uoes notaDPly to an owner of a O�operty wtw OuilEs orim0�a�es t�ereon. anA w�o Ooes such work himself/hersell ort�rouAh his or her own em0loyees. pmvi4e0 t�at suc� improvemenls are nol inten�etl or offeretl br sale. It, however ihe UuiltlinA or impmvement is sola wilhin one year of campletion, Ihe mvner vnll have Ihe 6ur�en ol o�a'/ing ne/sne Eid not �uil0 or imDrove lor �he purpose oi sale). � I, as owner of ine D�oOerty, am eKclusively contractinp wil� ticensetl coniractors lo consimct Ihe O�olect (Section 7044, Business ❑ anA Pmlessions Code: The Coniractors' State License Law Oces not apON �o an ovmer ol D�operry vrtio Owltls ar improves thereon and who conVacls �or such pmjects wi�� a coniraclar�s) license pursuanl lo ihe ContractoR' Siate L¢ense Law�. I am aware ina� Dmol ol �Aeir Worker's Compensation insurance s�ou10 be pmviCetl to me. � I am exempi untler Setlion: B. 8 P. C. Im this reason: Oate: Owne[ I tlo nere�y cenity that I am aware ol ane unaerstand ihe requiremenis of Calilomia Healih an0 Safery CoOe Sections 25505, 25533, an0 2553d anU Ihal I or any IUWre builaing oCcupant wilUvnll not (cimle one) n¢e0 to comply wit� SaiA itai¢ co0es an0 Ihe reQuiremenls lor a Vermil Ior can5lmciion or motlification Imm I�e Air �uality Managemen� Disiricl. ReSiCenlial cons�mtlion applications are exempi irom ihese pmvisions. �ate: ADO�ican�: I nere�y cer�itythal I have read �Ais apPlication an� 5laie ardinances an� stalelax5 relating�o building constmclion� pWperry for ins tion purp ses. / ��a�e: � � Signamre: inlormationis correc�.l agree Io comDty with allcity antl county or2e repre5entaiive5 Oithis cityt0 ¢nter Upon Ne above-mentioned oriver's �icense or Socia� Securiiy x: —� � t6a1-a6 W�ne—Building� Green—Cotle Enlorcement; Canary—Applicanl: Pink—Revenue; GoltlenroE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 066268 PERMIT NO; P 066268 PLAN CHECK NO: N GOVT: N SUPP: N� CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : INSTALL WATER HEATER SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMZT *+��u***�r*�t**�r**�r�*+�*�****�c*+�*�**�r***�********��r�t��***�c�**�*�c****+�**�r**u****�x+�u* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; PROV: PAACEL: 41805270 2NE: REF NO: PLANNING NOTES> > � afiEiEjEifif9fiEiFif?tfFiEiEic�F*ifiFifi4fFic�{**iEiEiEiEiFififiPiE9Fit�lkiFiEiEiE�lEif�fiEiFiEiEiFjFiEiFi!iFifiElfiE*iEiEiEiEjFaEifiFiFiEiEiEifiEiflEifiEif 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 APPROC�ED BY PATE: BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: / i_�L_ DATE; � 3 �***�*��,��,��**,«�*��-,� *��*,�**,��,« 1�� p �/ #fikiEiE#Riri-iFi�#ir3�iE::'ri:�+EiEiri�i4fifi�i�i�i'�3'#i=ii�iEi:: f�'s}iE's�r:�rtfif#iEi�:�::fiF'r4iE'r'##»{:iFifSiikitkiliEititi6lfiEif itic�iriEifiEiF L��(�A1,i•n�ri i.ni i� �: �• ii n nn i, L�t.P.LI�lAT14��:N � E� S[i �1 M� R 1�' bT'�C)CTURAL SEGMENT;N HLL+G PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 25R SMIP/NON—RES PLAN ISSUE FEE 20.00 BUILDZNG—DZV—> FERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 0,00 27,00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 5MIP/TOT GRADING PLAN—CI-IECK 2%,Q� iE iE fE iE if 1F 1f iE 1k iF 1E 1f �F 1f if iE k 1f if 1F i! 1E 1t 1E iE iF if IE fF 1E M if if 1f iF if i! i! 1F ik if if i! iE iElE iF if iE if if �f 7f 1E if if 1f �f �E 1f iE {E af if if if k M iE if if iE iE if iF if iE iE ff 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 PLO 1 WATER HEATER AND/OR VENT 7,00 7,00 d EN OF FEES 7 : EXPIRED �ncomqlote ��specti:ii�c ,�,te ��3�� ,' , � � � O1 00156681-00156681 TC1T 27.�U OA7E� 03/07/94 7IttE: 09:46 . CONSTRUCTION AND PLANNtNG PG & SPA � � APPROVALS Permit 3k Date Inspector qppROVALS Permit # Date Inspector - •, ary Electncai Service or Pole 52. Pool & Equipmenc Location 2. Soil Pipe�Undrgmd. 53. Steel Reinforcement 3. Electricai Conduit Utility-Undrgrnd. 54. Forms _ 4. Electrical Conduit-Unqrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure 7est �� 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conrfuit�Un�rgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � 60. Backwash Lines, RTrap, C] Undrgmd. 70. Structural Floor SVstem 61. APPROVAL TO �ECK 17. P�operty Sewer Line & House Connection 62. Backwash & Receptor�final 12 Sewer Cap , 63. Heater & Vent�Final 13. Roof Drains 64. Plumbiny System � Final 14. flou9h Plumbing 65. Electricai�Finai 15. Rough Electrical-Conduit 66. Solar SYstem�Final 16. Rough Elecnic Wiring 67. Pencing & Access Approval 17. Rough Wirinq Sign 68. APPROVED FOR P�ASTERING 78. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEPAS PINAL 19, Rough Heating & Air Conditfoning FIRE DEPT. REQUIREMENT 20, Rough Factory Firepiace APPROVALS Permit # 27. Ducts, in Structure 70. Underqround Hydro 22. Ducts, Ventilating 71. Product Piping f.7Gas OOii 23. Gas P�pe-Rough & 7est 72. Underground Flush 24. Roof Framing 73. Undergrnd, Stor�aye Tank O Gas ❑ Oii 25. Roof Sheathing 74. Overhead Hydro 26. 7�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Fiashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. PINAI 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � ' 31. Plasrer Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80, FOOD CERTIFICATE ISSUED 33. Final Electric Notes: J��1 �'.�f___ _ � I �Li 34. Final Heating & Air Condi:ioning � 35. Final Gas Pipe-Test 36. Hood or CanopY � 37. Final Faaory Firep�ace 38. Final Plumbing y� 'i.:. 39. water Service-Final E X P J R E D 40. Gas Service-Final " � f r 47. Soiar �omesticFinal � �% . � - 42. Backflow Preventer � � � ' �. � .. 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PIANNING ' ' 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co "_. 51. CERTIFICATE OF OCCUPANCY No. Da2e rt�uvn . ... i�i�..� �2 Peaoe Place . BUIIDING PERMI7 AP No. 41$-( ECTIONS Pool Location Forms Main Drain ` Steel Reinforce Elec. Bond � Approval to Cover Undergrounq Electric _ Gas Piping Test Filtering System Lines _ � Backwash Lines and Recep. � Electrical Final �Heater and Vent Final _ � �r System Final �G,._Rwash and Recep. Final � W Fencing Final r�....�.....1 t... G..:.F . ��.?��1:� )UP TYPE SUBCONTRACTOR Plumbing �� ' COSTA MESA BUILDING-SAFETY DEPARTMENT - P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ~ For Applicant to Fill in Completely — Use Ink Only BVILDING ADDRESS Q OWNER OR /� (� TENANT LYS �\'e-r MAILING � � "� CC I� ADDRE55 /-� 0� CITV l,�/ IT / ISLSFY No`�8'39�1� F" C W S Q y � S F G W ` ..l Q 7 r .� x w o. � P�. S Z W S 3 BRANCH , � ADDRESS AD �.'�-TE«o , C• 6l/Ja/h S :inL• CONTFACTOR L/'('/uc�S ///�c.' AJ�GIS ADORESS �aa0 V/l/^/7'1/`'' ��?T' CITV ,S��g K�. {/� ! / LC NO. � � /� �- 3LICVNO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG Separate permits are required for e]ectric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I haraby acknowledge t�et I have reatl this application and rtete thet the ebove Information is correct antl apree to comply with all lews regulating builtling consvuction, entl I shell not employ eny person in vialation ot the workman's compensatian lewc of tha Stete of Celifornla. I hereby certify that I am properly licensetl as a contteeiar under the State oi Californla Business and Professiona Cotle, Dlvision 3, Chepter 9, end lhet such licansas are in full torce entl eftect, or I am exempt trom the provisions of the SteSe of Calltornia Businass antl Protessions Code, rv'on 3, Ch ar 9. SiBnetura of Permittee o. ' � 1�0. g6 Authorizatl ABent Date � • 2583 II/10/80 90.84 TU APPLICATION FOR STRUCTURAL PERMIT e�� PERMIT N° 50921 � A.P. NO. — L, � BUILDIN �� ADDi2E55 UNIT OR SPAGE NO. TR.ONO. � l0T f � BL � NEW ADD ALTER REPAIR MOVING DEMOLI � OWNER /�/ r,J �//T �%I/ C G-�LUE$ ��. a ROVE T APPROVE�SETBACKS PLANNING ACTION DATE APPROVED APPROVED THE AMOUNT SHOWN UNDEF VALUATI THE PURPOSE OF ESTABLISHING A PERMIT VALUATION PERMITFEE E I/,/' PLAN CHECK § S J a, UU/) TAx s � V TOTALPAID E �-} m � i 0 m N � IS FOR m ONLV: � % q m O' n 0 8 LL � � U OWNER g, �R DATE 12/17/80 JOB ADDRE55 892 Pea� Plaoe BUILDING PERMIT N0. 51149 AP No. 418-052-70 LOT 17 TRACT 1 FIRE ZONE VALUI I ECTIONS Sionat�re Date TYPE V—N GROU 5�" SUBCONTRACTOR Gn$ PROP. $WN. LINE U NOUSE CON. SPRINKIING SVSTEM UNOEFGROUND � I POWER � ROUGN wIFING ?4TNENCHES FORMS ro FLOOR SYSTEM h BONO BEnM [� STEEL aE �y SHERTMING T FRqME PND FL/SMING N LRTNING — IN n OUT � � PL�STER, BFOWN CO�T (y15i' 'TUR�L, FIN�L Ni G, VENT., HEFRIG. AN F�+ K a Q � y 2 F G w F a > � .] 0.' W a O 0.' 4 z W 'y. 3 '4k�6 12/17/BO 10,50 T�� -• COSTA M�SA BUILDING-SAFETY DEPARTMENT APPLICATIONf�'OR'STRUCTURAL PERMIT "' '' "" �� ..-• ---' '--- ---......__.., -.._.. _..._... ----- RECEIVED PERMIT ��/ For Applican[ to Fill in Comple[ely - Use Ink Only BUIIDING Q 0 A.P. NO. � (/5� � � ADDRESS �j�� L . BUILDING ��E�L � OWNER OR / ADORE55 TENANT L/�r UNIT OR MAILING � SPACENO. ADDRE55 � n� Q Tp o.13 LOT f BLK. cirv C�S �%iQ C �xff � � � / NEW ADD ALTER REPAIR MOVING DEMOLISH ODNSTRUCTION LENDER ` BRANCH � OWNER � KLAQE� ADDRESS VALUE ARCHITECT TEL. USE E S OR ENGINEEIi ADDRESS ZONE TVPE � V GROUP M �P/G,CSECKE2, BYPROVED DATE �� I CONTRA ADDRESS p � T,QE D . / TEL. CITY ry yjQ � NO. Z STATE � ` A� CITV APPROVEDSETBACKS LIC. NO. 1� UC. NO. SIZE . NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT � RONT FT. EXISTING BIDG. J. /� iL� Separate permits are required for L. SID �� FT. electric, plumbing and heating work. REAR Fr. USE OF BUILDING AN� WORK TO BE PERFORMED PL.qNNING ACTION . yJ APPROVED I2��0 �Sv nw v o i 1 �ereby eeknowlatlBe thet 1 have reatl this apP��cation entl stata that the above information is correct and a0ree to comply wlth all laws reBulatlnB builtling consbuctlon, antl I shell not amploy any permn In vloleNon of Me workman's compensetion laws of the Stafe of Californta. /c � � /DOa '—_ 1 hareby certity that I am proparly Iicansatl as a eontrecior under '� SQ. FT. the State ot Calitornia B�siness and Prof¢ssions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses are in full force entl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: em ezempt from tha provisions ot the Stnte of California Business VALUATION PERMIT FEE S and Professions Cotle, Division 3, Chapter 9. �� •— PLAN CHECK § _� Signature �/J/�. /�� /% / $ /OOO � TAX $ Pa�mittea �� Y]/ /✓_�i�T� or �2 ��(O — �C/ � • �C7 Auihorizetl Apent Date TOTAL PAID S �' .� J 7 m e N m n 0 LL f U OWNER M & M KL�Af2ER JOB ADDRESS 892 Peace place GENERAL CONTRACTOR p,[tti,msh Build AP No. 418-052=70 LOT 17 TRACT ECTIONS Si natu s,.. _ GAS W FTER ROUGM PLUMBING PROP. SWR. LINE �I MOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO /•IF CONOITIONING UNOERGROUNO �J POWER � � ROUGH WIRING ri TRENCHES FORMS ' � F100R SYSTEM � BONO BEAM � STEEL REII � SHEATMING FRAME ANO FLASHING N LRTHING - iN ❑ OUT � � PLASTER. BROWN COAi � ST--"1TUR4L, FINAI h IG, VENT., REFRIG. ANO PL�MBING. FINAL ANO GAS iE ELECTRIC. FINAL FINAI DATE SUBCONTRACTOR 17�:7Stil � COSTA MESA BUILDING-SAFETY DEPARTMENT pPPLICAT[ON FOR S'fRUCTURAL PfiRMIT � nv »nn rn eeeen �enouin eoc�c ............_.._ .......r...._....,....�.........�.. ..�.. RECEIVE BV P�Bg�T I, ' 2.� O For Applicant to Fill in Completely — Use Ink Only — � 2--- - BUILDING ('7Q ),.f1a�L� �L d'�, A.P.NO.� l -�-�j 2—^ �� ADORESS d /O< <r l� BU�LDING /a G` OEWVNnE^ROR �r/ � ��52 ADDRESS Z Ca 7 UNIT OR ADDRE 5 (� L,�. SPACENO. • � v.� P.�� K .� a TR.N c LOT � BLK. cirv G�s7/J rlas� No`g.�9�a`� � CONSTRUCTION NEW ADD ALTER REPAIR MOVING OEMOLISH LENDER /�ON�L BflANCH OWNER � �%G � ADDRESS VALUE � ARCHITECT TEI. USE �'�� E/ �d� OR EN INEER 1 r�`' ADDRESS ZONE 1 TVP v GROVP � CONTRACTOR /J�/��SI� �G�iJ'�� BVPROVED DATE � nooness /992� cN�t?/��r?�/�'i �ti• cirv /i�.vTi.va�.i. /�i� �a`.�9�'� yY�y STATE /p CITV APPROVEDSETBACKS LIC. NO. 7r ~%4 J UC. NO. SIZE NO.OF BLDGS (FROM C/QLSTREET) OF LOT NOW ON LOT ROM `l F7. USE OF n EXISi1NG 9LDG. / `PS/ �l'V T; �' � Separate permits are required for L SIDE �❑r. electric, plumbing and hea[ing work. /J� REAR «+ FT. USE OF UIL NG AND WORK TO BE PERFORMED pLqryNING ACTION DATE APPROVED / �/ APPROV D � � � .f I hereby acknowletlBe that I heve reetl this epP��tatiOn entl nate °i n that tha ebove Intormetion is corract antl aprea to compiy with � ell laws reguleting building co�rt�uccion, end 1 shall �ot emploY > eny person In vlolatlon of tha workman's compensation laws of v the Staie of California. /�v C� m I heroby cartlfy t�ni 1 em pro0erly Iicenzetl as a contrector untler SQ. FT. N t�o State of Cellfornie Business antl Professions Cotle, Dlvlsion 3, 7ME AMOUNT SHOWN UNDER VALUATION IS FOR m Chopter 9, antl that auch Iicensea ere in tull forca antl aftect, or I THE PURP06E OF ESTABLISNING A PERMIT FEE ONLV: � am exumpt from the provlalonsof thaStata ot California 8usiaess VALUATION PERMIT FEE entl Professlons Cotle, IHalon 3�Chapter 9. E •� m m PLAN CHECK S �v o Sipnetura of Permlttoe � S/S(%(� TAX 5 ^}� f or � / � �y/ �� S V V Aut�oritBtlApent Date TOTALVAID E �.00 Ti: F � W a a .�.. h F 0 r,��,.,?�i COSTA MESA BUILDING-SAFETY DEPARTMENT � �3339 2/ 13%79_ _. I,��:11p�CKTD �P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 3339 UULlU4u/4 �b !' APPL[CATION FOR STRUCTURAL PERYIIT For Applicant to Fill in Completely — Use !nk Only RECEIVEDBV DATERECEIVED DATEISSUED BUIIDING ADDRESS � � �� PERMIT NO. OWNER BUILDING �� ADDRESS 2],O F ADDRESS TEL. TflACT lOSl LOT BLOCK CITV �� a NO. CONSTRUCTION W ADD ALTER P LENDER X BRANCH OWNER ADDFiESS VAIUE OR ENGINE R �les-Iangston rE�. 547-086 S � '$�D �• FIRE ADORESS %%% S. Ma1R St. ZOS' Oidil ZONE TVPE GROUP APPROVED CONTRACTOR Q�gjeY' AVelO BY OATE ADDRESS SaRl2 TEL. ZaNE NO.OF USE OF NEW CITV SdICl2 NO. P�� BUILDING � STATE CITV �'ARDSAPPROVED VARDSAPPROVED IIC. NO. �� IIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OFBLOGS. (FROMC/LSTRFjET)�L �h�� OF lOT NOW ON LOT O FRONT FT� �M FT. use oF N/A / EXISTING BLDG. FT.O FT. Separate permits are required for L, SIDE . l FT,O FT. electric, plumbing and heating work. ! FEAR FT.O FT. USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. DeV elopment of 41 Sin le—famil C VRP # APPROVED detached residence units. APPRpV '3 —� 7�f I hereby acknowlatlBe that I have reatl this epplication antl state EC1AL R�OUIREME.NT` ihat ffie above info�mat7on is correct and agree io comply with '� all Iaws regu�etin8 building construccion, antl I shall not employ any pe�wn fn violatlon of Me workman's compensation laws of the State ot California. I hereby cartify that I am properly Ilcensetl as a contractor untlar z SQ. FT. _ the State of Callfornia Business antl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VA�VATION IS FOR Chapter 9, antl that such licenses are In full force antl effact, or I THE PUfiPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of thaState of Celifornla Business VALVATION PERMIT FEE $ and Professiona Code, Division 3, Chapter r g b� �� PLAN CHECK $ �� 5O SignatufB of , Permittae §� ^ -- - — �-. — TAx s 5.lv � Authorized ABant TOTAL PAID § � / / N m i :� m�N 7 I mN � , N [1 m�� LL�f U F � {a7 0. a y � S F c+ � 674j -3L27(Z9 249.00 TL r 576�(; ",5727/79_ _. _2G9.00CNTa COSTA MESA BUILDINGSAFETY DEPARTMENT F�-6741 UUUU44/u26 ��N P.O.BOX1200 COSTAMESA,CALIFORNIA92626 y�,, " "- " � �� R'F'.-�. APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING � n� �n � ADDRESS -�C�ll�-�[� PEflMIT NO. OWNER A.P. NO. � cS�� MAI L BUILDING � i] n w' n ADDRESS ADORESS 7 —c.�N�� TEL. TRAC �✓� LOT BLOCK CITV NO. CANSTRUCTION W A A R R P LENOER BRANCH OWNER � ADDRESS VALUE ARCNITECT TEL. S $ OR ENGINEER FIRE ADDPESS ZONE TVPE GFOUP APPROVE� CONTRACTOR BV DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. PLAN$ BUILDING STATE CITV �ARDS APPROVED VARDS APPROVED UC. NO. LIG, NO. MAIN eU1LO1NG ACCESS�RV BUILDING 512E NO.OF BLOGS. (FROM C/L STREET) OF LOT NOW ON LOT NT FT. FT. USE OF EXISTING BLDG. FT Separate permits are requiced tor � si E FT. FT. electric, plumbing and heating work. liEAR FT. FT. USE OF BUILDING AND WOflK TO BE PERFORMED DISfANCE BET. BET. MAIN & MAIN BLDGS. ACCFSS. BLDGS. VAR.aW pA7E C.U.P.$'+ APPROVED APPROVED I �eraby acknowladpe that I nava reatl ihis applieetion and stete '^ n Mat the ebova Informaiion is correei end epree to compiy with m ell laws regulatlnB buildin0 co�nruction, entl i zhall noc employ � eny petson in vlolatlon of MB �+orkman's compensaHon lawa of m Me State of Calitornia. I hereby certify that I am prape�ly Iieenxd as a contractor under SQ. FT. a the Staie ot Californie Business and Professions Cotla, Dfvision 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR m Chapter 9, antl thet such IieenSes are In lull tofce antl BNeci, or 1 THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: e em exempt from Me provisiona ot tha Smta of California Businea d VALUATION PERMIT FEE E end ProfeulOns Cotle, Divislon 3, Cha 9. � m PLAN CHECK S '^ SIB�emre � Pelmittee $ TAX y LL F �U AuthoflxedABant TOTALPAID E