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Home My WebLink About903 POWELL CT - Building Permitst (714) 754-5273 • Fa�c (714) 7$4-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ' � ., . , � PLUMBING PERMIT , .`, '`�'��` �;'; � Job Address: 903 POWELL CT Suite No �/IClfllty: \` ` Parcel Nunmber: 41808304 ' Status: ISSUED Applied: OS/03/2004 . , _ Issued: 08/03/2004 . �J�`; �� , � � � 1 . l � 1 �' •� . , issueo-er: � Applicant E.J. ELLIS ; ;j %. ' , � � ' • Address: 3807 LENAWEE � � - - � - � � , �� ' �" ' - Phone: 310-838-0408X�20 , ' ' , ;',; ,� � � �', CUCV�R CITY, CA � � � - Zip: � 90232 " ` �,� ��. / ;;/� � ' `, - �� - ` - ' ,' � '�, � ,� � , �, .- .: - . - - ` �• / A ; � � Owner� SCHWINN,BARBARAANN �� . � � � � �- �. Address 903 POWELL CT-' �� / �`, l � . � / "�� - � � Phone: � �� , . � COSTq�MESA, CA Zlp: 92626 �� " � � � i� . � - . , � , , ., . . - , ��` Contractor: ORANGE COUNTY SERVICES,INCDBA GEORGE BRAZIL PLU �'� _ � .� � Address: - 3801'LENAWEE AVE � '� � - � � -- � _ ', ; � , � , . ' � � � - � Phone: (310) 253-5229 � _ � ' , � CULVER�CITY, CA. Zip: 90232 � �� \� " . " , � . - � License: 679898 ' � ' � � . � � . - - - ' . - , - . -• ' . -. . i . . ' . Arch/Eng: . � .. .., -- . ' - !�' - - '� � . Address. � �, ' Phone: - . .. .Z�P.,, . � License: " - .. . i,' : ;: i� ; � SCOPE OF PERMIT : ' �� ' �� . ,�� CHANGEOUTWATERHEATER � " � ��, ./ �� : � � / �� ' �:'�'FEE'SUMMARY,: '%!� �' � � �� c �� AMT-. QTY ' - � , AMT �.'QTY. �/� .� . �AMT _�-'_.f . �%, ISSUE FEE � $23.50 � - - � . Caundry Tub / Washer $0.00= ' 0--• ^ : -Sump Pump � . '. /.� $0.00 BackFlow Irrigation $0.00 0 Landscape Irtigation � �$0.00 0 �. Swimming Pool ,�.;' $0.00 BackBow Preventer� �,$0.00 0 . ' P Trap n � , , � . ' $0.00 , 0 �- _ 'Trap Primer' � �� $0.00 Bathtub `� -�� $0.00 �-� -0 � •Pressure�Regulator� , $0:00 0 ��Urinal�� '� $0.00 Clarifier System ��.�� $0.00, �,- 0 -_. ProcessPiping (per 10 ft)` $0 00; �0 - � Vacuum=8rkr Bkflow(1-4) $0.00 Connectpce,Soda,etc)., �.,,$b.00 0' - �Receptors --- � - " --�$000_'-�-0 �� * ��,Vacuum�BrkrBkflow(5+) $0.00 Dental Units ��$0.00 0 �.�� ; �SepticTank" � � $0:00 0-�-` •� � Wash Basinj % $0.00 Dishwasher $0.00. . 0 �� Sewer Cap for�Demo, � -$0:00 . � 0�.'. '� ' Wash�Basin.Set $0.00 Drain, Floor $0.00 � 0 � ' � Sewer Connect � - $0.00 - �0 ` - Waste�and Vent System $0.00 Draiq Rainwater Sb.00 ..0 � . _ � Sewer Private Line ' $0.00 _ .. 0- � :! Water Closet (foilet) $0.00 Dreiq Roof $0.00 0� .. Shower � �- $0:00 0 j.�;%.-Water Healer / vent $12.30 Drinking Fountain $0.00 0 -` �Sink, bar . _ - $0.00: �. 0� " -' Water Piping (Inst or Rep.) $0.00 Expansion Tank $0.00 0 Sink; commercial � -'$0.00- �� 0 Water Re-pipe $0.00 Gas Earthquake Valve $b.00 0 Sink, Floor �-� ' - $0.00 0 Water Service $0.00 � . . -. `. _ ._ . � � •� - 0 Qn 0 0 0 0 0 0 0 0 0 0 1 0 0 0 , NOTICE: The work authorized by this permit shall comply with all appiicable handicap access requirements under California statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned i for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with a11 app�ican�e codes, and a11 required inspecdons and final approval must be obtained. Failure to obtain inspections antl final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8I8�00) WORKERS'COMPENSATON DECIARATON: I �ereby ettirtn under penalry of periury one ot the lollowinq declaretlons: . � I heve anO will maintain e ceniTicate of consem to sell-Insure tor workers' compensatlon, es pravitled for by section 3700 of ihe Lebor Code, for tha pertortnance of the work 1or whiCh �Ns pertni� is issued. I'h9ve flntl will maintain workers' compensatlon insurance, as required by section 3700 of the Labor Gode, for t�e perfortnance of Ihe work for wNch this pertnit Is Issu ' A1v w_orkers' p�oc�on�ps�nce er a number are: �a�f.lYa � ��r'� i6 iy� 27� Cerrie� '- �_ �C� � �POIicyNu'mDe��-__. (Thls secf/on need nof be comp/ated!l Me Oermit fs velued et one hundred dollers ($100) oi less.) ❑ I certiy thet in ihe pBAortnanca ot Ihe work tor which,hi partnit' issued, I shall not employ eny person in any manner so as to become SUDject to ihe warkers' wmpensetlon lews ot Celitomia, a gree � Ylt I( e m subject to the workers' compensation provisions ot Sectlon 3700 of ihe LaDyyr Code, I shell totlhwit� complyyrith�Nese:pro9�.�-, � `ri �h[_�/ APPIA1� niSiqnetuiez:`.'*r,'-',�''4.�>`!�£r:? - rOffis"as� !� c✓-.� VJARNINO: FAILURE TO SECURE WORKERS' ENSATIIXJ COVE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLnYER40CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED TIqUSANDDOLLARE(5100,0OO�,INA�DITIONT THECOSTOFCqMP NSATION,DM4IGESASPROVIDEDFORINSECTION3lO60FTHElABORCOOE,INTEREST,ANDATTORNEI^SFEES. LICENSED CONTRACTORS DECLARATION: with Section 7000) ot Division 3 and my license is in full CONSTAUC710N LENDING AGENCY: j� ❑ I hereby alfirm Ihet there is e construction lending agency for Ihe peAormance of the work for w�ich Ihls permit is issuad. (Sec. 3097, Civil Code). Lendefs Neme: Signawra: _ OWNER-BUILDER DECLARATIONS: Lendefs Address: Date: I hereby affirm thet under Denalry ol perjury Ihat I am EXEMPT FROM THE CONTHACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, eusiness end Protesslons Cotle: Any ciry or counry which requires e permit to construd, elter, improve, demolish, or repair any siructura, pnor to its issuance, elso requires Ihe applicant tor such permit to tlle e signed statament that he or she is Ilcensetl pursuant to ihe provislons oi the Contractors Llcense Lew (Chapter 9(cammendng with Sectlon 7000) of Divislon 3 ot the Business antl Professions Code) or thet he or sha Is exempt tharetrom and the basis tor the allegetl axemption. Any violatlon oi Section 7031.5 by eny epplicant for e pertnit subjects the epPlicant to e civil,penelry of not more then tive hundred dollars ($500).): ❑ I, as owner ot Ihe property, or my employeas with wages es Iheir sole compensation, WILL DO THE WORK, and the structure is not intended or oHered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Ww does not apply to an owner of property who builds or improves t�ereon, antl who does such work himselt or herselt ar Ihrough his or her own employees, provided that such improvements ere noi intended or oflered for sele. It, however, ihe builtling or improvement is sold within one year of completion, the owner-bulltler will have t�e burden of proving that he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner of Ihe property. am EXCWSIVELY CONTRACTING WITH LICENSED CONTFACTORS to con5irucl Ihe project (Sec. 7044, Business end Proteulons Cotle: The coniractors License Law Ooes not apply to en owner of propeny who builds or improves Ihereon, end who contracts for such prqect with e contractor(5) . license pursuant to the Contractors License Laws.). � I em exempt under sec. eusiness end Protessions Code for Ihis reason: SignBlure: Dale: Owner ID veriliad by drivers licensa. ❑ Ves ❑ No Oriver's License No. Expires: Verificatlon of Ownership by (type oi dwument, i.e. � property tax blll or tleed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATON: ❑ I hereby certity that no eacavation fve (5) or more faet in depih into which e person Is required to descend, will ba mede in connec�ion with woAc euthorized Dy this permit, and lhat no building strudure, scaflolding, Falsework, or tlemolition or dismantling t�ereof, will be more Ihen thirty-six (36) tee� high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, 7tle e, Celitomla Atlminislrative Cotle). ❑ As owner-builtler, I will not employ enyane to do work which woultl require e permit from tha Division of Industnel Sefety, es notetl ebove, unless such person has e permit to do such work irom ihe division. SignaNre: Date: �ivision of IndusMal Salery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIIATION OF ENTRY: I certify under penalry of perjury Ihat I have read Ihis epplication and state that t�e InFormation given is wrrect. I agree to wmply wllh all state lews and ciry ordinances relating to huiltling construction, and authorize representatives of �he Gry of Coste Mese m anter upon the ebove-descnbed property for inspection Ourposes. I agree not to occupy or allow occupancy of any 6uilding authonzed by this permit until final inspection. cooe �. wsaecnoxnvr - 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Fe-Raat 201 Flnal8lock/Retaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition � � COOE I INSPEC110N TYPE 20fi Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QAg u�ei$ � �•:rl� PHOJECT A�OHESS: 9 O 3 POWELL CT ownensxamc: ALESSI, C'INCENT J TR � aooness: 3 7 MOR ENA IRVINE,CA 92715 ANCHIENGINEEfl: ADDflE55: NEG.NO.: UNI�: UNIT: vexmiTree: BILT—WELL ROOFItdG { 714 ) 758-3501 aoosess: 3310 C�ERDUGO LOS ANGELES CA 90065 LICENSEU CONTBACTON OECLAPATION: I hereby aflirm �hai I am licensea untler Drovisions ol Chapter 9(commencing wifh Section 7000) of �iWsion 3 0� Ihe Business and Professions Code, antl my license is in �ull lorce and eflecl. ciTr uc.: i// �STpTE LIC.: q 5 g 0 0 5 r 3 9 EXP : Dale: -�l � SignaNre' WOBNEflS' C�MPENSATION OECIABATION: I hereby afli ave a certi�icate o� Conseni �0 SeH�inSure or a terliiitale ol Workers' Compensa�ion insurance. or a certilietl copy �hereof (Section 3800, Lab. C). voueveo.: W937102984 ear.oaTe: 07/31/94 comvaxv: CAL COMP INS. ❑ Certilied copy is hereby �urnishetl. Q Cerlitietl copy is tiletl wi�� Ihe ciry Building Oivision. Da�e'. Applicant: E%EMPTION FBOM WOflKEflS' WMVENSIITION DECIAPRTION: Qhis section neetl noi be completed i� the permit is �or one hunEred (E700� or less�. I ceriity I�ai in �he pedormance ol I�e work for which this Oe�mi� is i t empV any person in any manner 5o as to become sublec� to Ihe Work rs' C npensation Laws of Cali�omia. Date: �� SignaWre: NO710E: It. after making this �eclaration, you shoul �ect �o the Workers' Compensation Dmvisions of tAe La6or Cotle. you mu5i �orthwilh comply wilh such provisions or t�is permi� shall be tleemetl revokeA. CONSTBUCTION LENOING AGENLY: I �erehy attirm Ihat there is a consimction lendin9 aAency for ihe pedormance of ihe work for which Ihis permit is issuetl (Sedion 3W7, Civ. C�. LENDEN: AOONESS: OWNEP BUILOEB �ECIAflFT10N: I hereby affirm �natl am exemptfmm ihe Coniractor5' State License Law forihe foltowing reason �Section 7031.5 Business an0 Pm�essional Code: Any ciiy ol counry whic� requires a permit �o constmc�, alter, impmve, Oemolish. or repau any simcWre, prior lo ils issuance. also reduires the apolicant for such permit to lile a siAneO statement that he/she is licensee Oursuam to Ihe provisions oi ��e Contracmrs' State License Law (Chap�er 9(commencing wi�h Sec�ion 7000) ot �ivision 3 of �he Business ana Prolessions Coae) or Ihat he/slle is exempt iherefmm antl ihe basis lor Ihe allegeC exemption. Any violation of Section 7031.5 by any applicant for a Dermi� subjecis the applicant lo a civil penalty ot not more ihan five �unOreU dollars (E500�. I. as owner of ihe pmperty or my employees with wages as iheir sole campensation, will Go the work, and the ❑ stmcmre is not inten0ed or oiferetl for sale (Seaion 7044, Business anE Pmfessional Code: The Contractors' State License Law tlaes nal apPly �a an owner o� a pmperiy who builAs or impwves �hereon, an0 who Ooes such work �imselflhersell or thmuAh his or hei own employees. pmvided ihat such impmvemenis are not intended or oHereO for sale. If, however the huildinA or . impmvement is sola within one year o� comple�ion, Ne owner will have �he bu�0en of pmving he/she tli� not buAd or improve lor ihe purpose ol sale). I. as awner o� ihe pmperiy, am excWsively conVaming wi�A IicenseU comrac�ors to consimct the pmlec� (Sec�ion 7044, Business ❑ anU Pm�ession; Coae� The Coniractors' State license Law aoes not appy to an owner af OroOerty who builas or impmves thereon and who conlrac�s �or such pmlec�s wilA a coniractor(s�license pursuan� to the Contrac�o�s' S�a�e License Law). I am aware Ihal pmoi ol their Worker'S Compensa�ion insurance shoultl be pmvidetl la me. � I am exempi under Secaon: B. 8 P. C, far Ihis reason: Daie: Owner. I tlo �ereby certity Ihai I am aware ol antl untlerstand I�e requirements oi Califomia Healt� antl Safery CoOe Sections 2550.5. 25533, and 25534 antl Ihal I ar any IUNre building occupan� willlwill nal (circle one) neetl to comply wi�h saitl slaie cotles and Ihe requirements for a permit for canslmciian or motlification imm �he Air �uali�y Managemenl Oisiric�. ResiOential conslruc�ion ap0lications are exemp� irom I�ese provisions. Da�e: Apvlicanl: I herehy certily thaU have reatl this aOPlication antl 5tale �hai �he a0ove informa�ion is correct I aA�ee �o compty wi�h all ci�y an0 cowry ortlinance5antl51a�elawsrela�inglobuiltlingconslmClionantlherebyaW re5en� ivesa�lhistity�oen�erupOn�hea�ove-mentlOneO pmperiy lar inspecf n p/u��0.oses. �a�e'. �Y '—�_— 5'g t � CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 067a3� PERMIT NO: B 067938 PLAN CHECK NO: N GOVT; N SUPP; i� ' CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; OTH JOB DESCRIPTZON : T/OFF & REROOF WITH COMP. 6 BUR IN HACK SQ FT: 1,10� CLAIM VALUE: 1,100.00 CALC—VALUE; 1,100.0U GROUP OCC; R-1 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY iE dE iE if iF #�If iE it� IF 3c it iE iF jE M� �E 3(- 3E � iE fi- iF i(� # 1' fE IE 1h i? 1E �1F # iG iE 3f M� iE # 3E if- 3c iE iE iP iE if iF iF i: if dE iF it 3E jE iF iF if �)E df i6 iE if 3F 3E iF 9F # iF Yr 3F iP # iF i* iF � 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 BUZLDING ---------- --------- ACCESSORY BUILDING -----'--- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: g'1' IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 91808304 ZNE: REF NO; PLANNING NOTES> > +�*�r�r*�*�r*�c u�***�c�+�***+�***�**�****�-+�+�*-�c�*�t*�*�***�r***��+t��t*�*******x�*�r;��=,e*�x�*�e**�* D E V� 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;iT S ZONING APPROVED.,BY DATE; �' BUILDING APPROVED BY : DATE: r' APPLICATION ISSUED BY: �— DATE: �� fEiFdEifiE143EiEi�-l4iEifaF,iG'�Y.�iF9f�FiEiEdEff it - it�-�, i! i: !F xiEiFiEiF�7F16iEiEiE�)E+ta:.�rt� aE1f IF if *# iE i4 �IF if * i4 k iE iE iE iF iE iF 1f iE if iE #�1f iE if� 3(� jF iE ik i!� iF iE 9E iE %� iE iE iE aE 9E 3E 9h 3E iE iF iF if iE%9E i(� 1E iF �F 1E if �E iF iE if �%iF iF iE N� �1f jF iE 1E if �1't iE if� it 1E f iE 1E iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GAADING PERMIT 27.00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 27.50 0.00 0.00 RECTENUE DIVI5ION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 27.00 TOTAL PAZD DUE 27,50 27.50 .00 27,50 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK .50 ik-%# jf 1E iE iF iE iE fF iE iE iE iE iE iE �)E!E iF iE iF iE iE iE �f iE ik # iE iE iF 3i- )f if )k if iE iE iE if 1! 1E if fE iF 1E # jE iE iE!(� i: k ih iE iE iE iE iE 1E iF �If iE # 3E �1' # if �lE �E # iE ff ik If if 9E 1E iE I N D I V I D U A L F E E B A 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 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100,00 END OF FEES Q1 Q016369D-0616's692 T G 7 z7,5p OA7Es 07/11/94 TIME% 10�06 '�' PO. & SPA CONS�..IUCTION AND PLANNING PFPROVALS Permit# Date Inspector APpRoVALS Permit�i-` Date Inspector i. Temporary Electrical ServicBjr•Po�e 1; 52. Pool & Equipment Location i.�,. 2. Soit Pipe�Undrgrnd. ��" � 53. SteeY Reiniorcement '�%,• . i ,;. 3. Electrical Conduit Utility-Undr�grnd. �� . 54. Porms ''� � 4. Electrical Cond�it-Undrgrnd. 55. Electrical Bonding 5. Steei Reinfprcement 56. Rough P�umbing & Pressure Test ' 6. Electrical UPER Gmd. 57. APPROVAL TO COVER-GUNITE ' i 7. Footin9s - 58. Electricai Conduit�Undrgmd. "'� � r ^. 8. Foundation f� r� 59. Gas Pipe, � U�drgrnd., Test ' � i� 9. Water Pipe�Undrgrnd. ;/� � 60. Backwash Lines, P�Trap, O Undrgrnd. ,,.if i i r lO.StruciuralFloorSystem �/� � i�� 67.APPROVA�TODECK �,'�f� 11. Pra ert Sewer Line & Hou�nnection �' -- P Y � 62. Backwash & Receptor�Final �j-, 12 Sewer Ca � ' ' ' P f�f 63. Heates & Vent�Finai , 13. Roof Drains � 64. Plumbing System - Final .. 14. Rough Plumbing 65. Electrical�Final u.j' 15. Rough Elec'.rical-Condult 66. Solar SYstem�Final ' � i 6. Rough Electric Wiring 67. Fencing & Access Approval / 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T 8ar Ceiling 69. P06L/SPA SYSTER4S F WAL 19. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIRENIENT 20. Rough Faciory Fireplace APPROVALS � Permit # 21. Duas, in Structure � 70. Underground Hydro 22. Ducts, Vent�lating 77. Product Piping �Gas ❑Oil 23. Gas Pipe�Rough & Tes. 72. Underground Flush 24. Roof 'rraming 73. Undergmd: Storaye Tank O Gas ❑ Oii 25. Roof Sheathing �, 7��Gj..Lli/ �� 74. Overhead Hydro Y 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Siandpipe ` 28. Laching & S�ding 77. FIXED SYSTEAA FINA� 29. Insulation 78. FIRE PREV. FINAL 30. Drytivall Na��ng HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Elecvical Power MeterFinai 80. F006 CERTIFICATE ISSUED 33. Final Electric Notes: 34. Findl Heatilt9 & Air Conditioning ,�'} 35. Final Gas PiDe�Test - ' 36. Hood or Canopy � 37. final FactorY Fireplace 38. Final Plumbi�9 39. Water Service-Pinal 40. Gas Service-Pinal 41, Solar pomestic-Final 42. Backflow Preventer � . . 43. Backflow Irrigation . 44. Landscape irrigation SYstem 45. Sound Aitenuation 46. Handicap Regulations 47. FINAL STPUCTURE & BUILDING ,r� G(� � >s. Frna� PLANN�NG 49. Electric Release to Edison 50. Gas Release to $outhern California Gas Co . 51. CERTIFICATE OF OCCUPANCY , No.� Dace � TRACT N0. 10445 LOT N0. 59 �C�i;EIVE� CiTY ^F C' °_ , p� �,PR � I�uO PM nMg�9il0�ll��a=� ;N;3�4�5�6 t� DATE April 23, 1980 AnDxSss 903 Powell Court, Costa Mesa, California 92626 Development Services Department Planning Division City of Costa Mesa 77 Fair Drive Costa t3esa, CA 9262b Attention: Mr. Paul Dudley Dear Mr. Dudley; Please be aware that the undersigned are aware that a certificate of occupancy on the above referenced 1.ot and unit is being requested prior to the entire tract and its streets and conmion areas being completed and accepted by the City of Costa Mesa. i �, ,. . . . . / 1!.ia . � � REPRESENTATIVE) : �-` I3.N.Y�1L `0233 9%29/80 �_ 5.50 TL� ' COSTA MESA BUILDIf�``��;:�lFETY DEPARTMENT APPLICATIO��FOR STRUCTURALPERMIT P.O. BOX 1200 COSTA SA, CALIFORNIA 92626 RE BV PERMIT ATO 5Q729 For Applicant to FID in Completely — Use Ink Only / 1v BUILDING � V GL G�U A P N� �(J �'�-� ADDRESS OWNER OR ADDRE55 O�j �'�� Ll�("� TENANT GES T��NT MAILING UNIT OR ADDRE55 S�A�/,� l�../53y SPACE NO. . `� Q. I.OT��.� BLK. TEL. : e`� CITV �� NO. NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION 2 LENDER �� ✓ BRANCH �� OWNER GEiI ADDRE55 � VALUE �J/� ARCNITECT ' TEL. USE'�P E J(C+-YJ OR ENGINEER � ADDRESS ZON VPE GROUP � APPqOVED Q CONTRACTO s� E�Q BV DATE / L��f� AODitESS/ , T �O� . CITV �/X � ��/I �. � - f^+ LC N0;329 08� LICyNO. A�PROVEDS�ETBACKS C� SI2E NO.OFBLDGS. (FROMC/LSTR ) OF. LOT NOW ON LOT NT FT. USE OF EXISTiNG BLDG, � Separate permits are required for L. SIDE FT. electric, plumbing and heating work: REAR FT. USE OF BUILDING AND WORK TO BE PERF b�GE PLANNING ACTION �rricE P.oTro C YCR APPROVED � � I heraby acknowledge thet I have read this application and state <hat the ebove information is corract and agree to comply with all laws repulating builtling consttuction, anA I shall not employ any petson in violation of the workman's compansation laws of the State of California. D I hereby certify that I am properly Iicensed as a contractor untler � SQ. FT. the State of California Business antl Protessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chaptar 9, antl that such licenses are in full torce antl atfect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLv: am exempt from the provisions of the State of CalifOrnia Business V AIUATION entl ProfessionsCotle, Division 3, Chapter 9. PERMIT FEE $'" � a Si8^ature of �% � J � � /<� PLAN CHECK 8 � Permittee �� LS�Y� $` 1�O TAX S Q� or ��l � s� v Auffiorizetl ABent Date �� +� _� v . TOTAL PAI D $ a / 4' �' F C 6Wi Q .�.. y 's" F G {z7 F 0 :a a > �^ � a w 0 a z Gcl s 3 � lr ' �-� �' �. : 15 � � / �, 2326 I/23/79 235..32 TU COSTA MESA BUILDING-SAFETY Dt�-. RTMENT BLDG. �� 20 P.O. BOX 1200 COSTA MESA, CALIFORN�'y aZFZG.- � APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVEDBV DATEFECEIVED OATEISSUEC BUIIDING rj�� h ./ /j.�5. �'��OQ ADORESS 7 �f Y _ . . .. nn RFSS 3848 ciTv ivewporc neac. CANSTRUCTION q LENDEF NFA BRANCH aooaess lBIIt� IIIC. A'P'N BUILD Dr. Suite 116 ADDP � CE� NOLS�FO—SSOS ARCH ITECT TE L. OR ENGWEERT add al sa�Wnndard NO nooaesslBQ Newport Center DR NB CONTRACTOF�I�I(ILE Development, Inc. nooRess 3848 Campus Dr. Suite 116 TEL. cirv Np�,�..��dch � ['A N�• 540-5 STATE CITV LIC. NO. B 2$661(+ LIQ NO. SIZE NO.OF BLDGS,_ OF LOT I NOW ON LOT USE OF EXISTINGBLDG. RES1d2RYld1 electric, plumbing and heating work. USE OF UI11C f��G.59D�A/RK 1L��SC]RftFP 60 C 1603sq.ft. TFACT LOT ADD ALTER R PAIR R D/.dt� ��- � � i A . . �. t.e FIRE ZONE APPROVED N= NO.OF PLANS � YARDS APPROVED DISTANCE BET MAIN BLDGS. vaA:.#�.7�. FOR US E O F N E W�(wti�Jr BUILDING �S � ��Ci�Q AROSAPPROVED A ESSORV BUILDING BET. MAIN & ACCESS.BLD DATE DATE � ��0� 7 REQUIREMENI'a I hereby acknowletlBa ihat I have �eatl this application und stata that the above information is correct and agree to comply wiM ali laws regulating building ronsttuction, and I shell not employ any person in violation of the workman's compensation laws af the State of Cali7ornia. j' y, 1 hereby certity that I am properly IicenseC as a contractor under �� SQ. FT. T�,/� V � the State of California Business antl Professions Code, DivisiDn 3, THE AMOUNT SHOWN UNDEft VA�U Chapter 9, antl that such licenses are in full force and effect, or I THE PUFPOSE OF ESTAB�ISHING A PERA am exempt from ihe provisions of the tata ot California Business VALUATION PERMIT FEE antl Professions Cotle, Division 3, p�er 9. 5 � PLAN CHECK S Signatur .�y� Perm' e $/2g {�q/J TAX $ �/��v� AuthorizadAgent TOT PAID '�$ __ N n ro �: � %l d m � � TION IS FOR m � T FEE ON�v: � n �� N LG�S m 0 � �� COSTA MESA BUILDIN AFET� DEPAF t P.O. BOX 1200 COSTA MESA, CALIPQRNIA For Applicant to Fill in Completely — Use h BUILDING ADORESS T�ENA T�R Biddle Develo ment Inc MAI LI NG Aooaess 3848 Cam us Suite 116 TEL. CITV NO. CONSiRUCTION f'� ai {zl 0. a y yp Ti F G W F Q O J Q 7 %" .� 0�. [r] G. O .Ki 0. z w x 3 BRANCH ADDRESS TEL. Only ADDRESS CONTRACTOR Biddle Development, Inc. ADDRESS TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. - Separate permits are required for electriq plumbing and heating work: � USE OF BUILDING AND WORK TO BE PERFORMED I he�eby acknowletlBe that I hava read this epplication and siata that the ebova info�mation is correci antl agree io comply wIM all laws regulating builtlin8 construction, antl I shall not employ any oeison in violaiion of the workman's compensation laws of Me State of Celifornia. . I hereby certity that I am p�operly licensetl as a contrector under tha State of California B�siness antl Protessions Cotle, Division 3, Chapter 9, antl that such licenses ar�,J I torce and affect, or I empr from rne vis' s✓fhe Sta of Calitornia Businen antl Professions Cotl i isi , Cha 9. Si8^atura of , Permittee or A�thorizadAgant Date�Jq�]9 �H ' - - � .� 6 • �z-3 APPLICATION FOR STRUCTURAL PERMIT RECEIVE� BV PERMIT� � � _ ,, A.P. NO. BUILDING ADORE55 UNIT OR SPACE NO. TR.NO. LOT NEW ADD ALTI OWNER USE ED APPROVEDSETBACKS PLANNING ACTION APPROVED REPAIR DATE DATE APPROVED S m � \l• THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE y� ,� O� a h PLAN CHECK $ � $ TAX $ � TOTALPAID $,3�F/�Y��/