The URL can be used to link to this page

Home My WebLink About3435 PLUMERIA PL - Building Permits'OPLICATION FOR A BUILDING PEP"'T �j'V BUILDING PERMIT NO. Eiacviwi m Trdtt � �� J Block Lol i Po�mlt No. _ 6 Builtlin9 �/��' P/uniNr�a ,' /' P�umbing , � AdEress � 5� 2 S S Permit No. m D Cross MechaNfal a Area �� µ Streat �� y.�. � y� �, Pormit No. m Owner p �� J�� t T pa o/ R'ojact: ❑ New ❑ Altar ❑ Atlditlon � ACtlre55 "aly/Y�' Repalr ❑ Conrert ❑ Demo ❑ OccuDancy Pmt. ary CC��/�lti zic yLl Ld Phonc� i�� // n.v. S sv. o.�rae ArcNtect/ Zona SpL �mL No. Oesigner �}C LJcqnse No. � Selbac s P/L Fmnt GL St. Str80t WIAth Atltlress Yartlz Le t 9 car Clty Zlp Phono ava r e g . . En9lnear �y� Llt�nsa No. � rk ng SpaCes equ re rov e overe $ Adtlress m CI[Y Zip Phone Slrucl No, of No. of Helght Stories Family � LICENSED CONTRACTOR'S DECLARATION aark Feas V s Fea �° ReQUIreO � C.T. Recelpt m I heraby affirm that I nm licansad u�dar provisions of Chepter 9 (�ommencing with Section ]000 ot Divislon 3 of tha Business antl YZoning ApprOVGtl B: Dal¢ Profassions Cotle, entl my license is (n fuq torce antl g eetl. � Lkense Clas �" � Licensg Number L z y/' T Oote� � � Contracmr Wi%3117- 'i�'��w Misc. ' E Addrezs dD S� �larhi� �`+�� Propose0 Use J) ' v� 0 of Structure jL City end 2ip Phone N CONSTRUCTION LENDING AGENCV � I liareby aftirm Ihat there is a constr�c[ion lentling eBency tOr the a performance of ihe wark for which [his permit is iss�eC (Sec. 3097, Occ. TyPa Cotle ' Civ. C.1. Clazs ConsL �'ear ,y Lend¢r's Name —7 USE/OCCUPANCV SIZE $Q. FT. � Lander's Adtlrezs J OWNER-eU1LDER DECLARATION Y 1 hereby affirm [hat 1 am exempt from the Conttattor's Licensa Law �� q for tha followin8 �eamn: � ❑ I, as owner Ot the property, or my amploysof with waBaf as thoir 2. solo compensation, will tlo tha wOrk, entl tho shacture is not �t„ in[ended or ofteratl forsalo. 3. 'y� ❑ I, as owner of the Oroperty, am ezclusively conVactlng wit� IICBOSBd COOV8Cl0l5 LO COOSIIIICt IIIB plO�BCt. � ❑ I em exempt under Snc. . 6&PC �or t�is raemn 4• a Det� Ownar E WORKERS' COMPENSATION DECLARATION 7otai vaivatlon � I horxby nffirm thui I haw o cortificnpo of conaont ro�eM-inwre, EnCrodCM1Ment Pormit ReqW�eE ❑ Ves No or a co«ificoio of Workers' Compensatlon Insuranco, or a certifiad C copy thereOf. �{j6 pp'l / Gratllnq Pmt. Gratlinq � Policy No/ySi�[ �y4 Compuny_QG?h A �L�� RBpW�etl ❑ Vas ❑No �mL No. �a ❑ Certified copy is hareby fmnishotl a��Curt etl cpp Y�s tilae with Ora e nt E A. Rough Gratling � Q �/ - �� A � D qpproveC by: Oate Onte � •' Applicant ' %U.'�:N� 3 CERTIFICAT OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE Z (This soction naetl not bo compleietl i{ pormit ie br $100 or lesa). � I caNty t�et In the pertormnnca oi the work for whlch this permlt is 3 Issuad, I shall not employ any per�on i� eny monner co as to become pERM1T FEE$ � subjeci m[p Workeri Compensetion La.Hs�pf Calitornia. Da � � APPlitent--�h/ NOTICE TO APPLICANT: I(, eftar makinp t�is Certificeta ot Struttural S Plan Chatk S Ezomption, yo� sho�ltl become z�bjact to the Wa�keri Compansation provisions of tho Labor �oda, you muax (onhwich comply with svch Elettrical $ S�VeS�� 5 prov�sions or thia permit shall be tloametl revok¢d. I CERTIFV THAT I HAVE READ TM19 APPLICATION AND STATE p�umbing S TMAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLV WITH ALL COVNTV ORDINANCES AND STATE LAWS RELATINGTO BVILDING CONSTRUCTION, AND HEREBV AUTH- Mochanical E OR12E FEPRESENTATI VES OF THIS COUNTV TO ENTER UPON THE ABOVE MENTIONED PROPERTy FOR INSPECTION PUR- Pra-Gratle POSES. / /1/�� InsOection s Sign re of Appliwn2 or Agant i/ p 1e Pre-Gratle $ Permit s �� ,�� ; Rec. No. Issue Pilnt App� ant's/AgenYs �/ �0 � All spaces within this 6ox murt be eompleted to proceu P�an Issuance Check By: Approvatl: CMF 0335-46 (BU48) rev. 6/80 Mr, Robert M. Wileon 3435 Plumarla Place Coata Hesa, Califoraia Dear Siz,s 92626 � .v �� Oc er 18� 1974 �� A building permit has be isaued to Charlea Cuatom Pools to construct a private epa.on r property. In order thet your apa vill be e safe one and foz the purpoae of adviaing you of your reaponaibility regarding the requiremente of tha Coste Meat(�cipal Code� we refer you to Section 8107, a copy of.whith is ched. Thia letrer ia directed to you in order thet you will be avare of. our ordinantea and caa make a complete safety check of youz epa. area� Sincerely youra,. RICHARD HANHART Building Safety Direetor RH7cb ..1.. ..,..m V. U: VUJlh �auYl\ �W�yJUJa 4�I�\ Jv TRACT N0. /c�'� `% LOT N0. anDxEss� ��-l+f ._o ./�7�' �C�.P � � DATE %D—� D` �� The developer of the above entitled tract desires to sell the above set forth lot prtor to the time that the tract has been completed and ita streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement. acknowledges that (he-she-tney) � (was or were)�� advised that this tract has not been given fina nspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved, The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injuzy to the undersigned by reason of the aforementioned uncompleted condition, PLANNING DEPARTMENT P.O. Box 1200 Costa Mesa, Ca. 92626 y.'oo fJ.rn T � BY Purchaser % ,�—/ � -� BY �. � `�� -�'� lL�� .' C�� e- C L:.�n Developer and/'or authorize� • representative �, /� BY ��J Ltl/�i �/i . �K L nde� r ' reaecraooeess: 3435 PLUMERTA PL OWNEH'SNPME: WII.SON ROBHRT M TR nooeess: 3435 P�UMERIA PL COSTA MESA,CA 92626 AALHIENGMEEP: AOUflESS: HEG.NO.: UNIT: UNIT: PEflMITTEE: CHERF CONSTRUCTION ( 714 ) 546-0318 ADDNESS: 949 AZELIA CM CA 92626 LICENSED CONTBACTOP OEClABA710N: I �ereUy allirm thal I am licensetl unUe� D�ovisions of Chapter 9(commencing with Section 7000� af Division 3 0� t�e Business an0 Proless�ons CoOe, a license is in ivil lorce anE ellect. ciTruc.:0 4919 sraTeuc.:36253�s �ate: ��j/�� SignaWre: � �GL��_ WOPKEBS' COMPENSATION OECLABATION: I �¢re�y allifm I�ai I have a C¢rii�i[di¢ ol fAnSent Ia 5el4insUre ar a Cetli�iWt¢ of Workers' campensafon �s�a�.�afbce�wieo coov �nereo� (secuon seoo. �ao. ��1 /O 1/91 Qoucr xo.: STATF. E%P. �RTE: 'OMPRNY: ,y � Cenilietl co0" is her by Wmis�eC, l'1 Cenified copy i��h�\v it� Ihe tity BuilAinA Division. Oaie: ` �� c�_ PpPlicant: Y " " —�� E%fMPTIONFNOMWOBREflS'COMPENSATIONOECIANRTION: �ihiss¢clionneeOno�Gecompl¢INilthepermti5forone�unOre0�5100�or1e55�. I cenity I�a� in ihe pedormance ol Ihe work lor w�ic� IAis permil is bsued. I S�ail nol empioy any Derson in any manner so as to Oecome su�letl lo i�e Vlorkers CAmOensation Laws ol Califomu. Oate: SiqnaNrt: NOTICE: II, aner making Inis aeclaration, you snoule eecome suoject to Ihe workers' ComDenSation pmvisions of ine laDor Cotle. you musl Iorihwil� comply wilh such pmvi5ion5 or �his permil shall Ge Deem¢d revake0. CONSTflUCiION LENOING RGENCY: I nereby affum Ilui Ihere is a constNction IenOing aqenty for ihe pedarmarlte ol the wark for whic� this peimil is i=sue4 (Seciion 3097. Gv. C�. �xoex: RUOPESS: oWNEH BWlOEfl DECLANA7ION: 1 heBby aflirm tnal I am eKempi Iwm ine Contraclor5' Slate License Law lor Ihe following ieason �Senion 703L5 Business an0 Pmlessional CoOe: pny ciry ol coumy wtiic� repuires a permit to wnstmct, atter, impmve, demalis0. or repair any simclure. O�ior Io iis issuante. al5o r¢puires l�e applicant �or suth permil Io lile a 5igne0 sta�emen� �ha� helihe is li[ensed pursuant to Ihe pmvisions oi tne Comractors' State License Law (ChaO�er 9(commencinq wi�n Section 7000) of Division 3 0l ihe 9usineu an0 Pmtessions Code) or ��at �elsAe is exemD� �hereimm an0 t�e basis lor t�e alleAeO exemption. Any viola[ion ol Senion 703L5 by any appliCani lOr a p¢rmii subjeCli the aDDliCanl Io a tivil penalty of n0i more than tive hun4re0 dollars (5500). I, as mvner ol ihe DmDeny or my employees vntn wapes as tAeir sole compensa�ion, wiil do the wofrc, anU the ❑ slmcWre is n�t intentle0 or offereU lor sale (Seclion 7044, Business and Pmfessional Cotle: The Conlracbrs' State License Law aoes not apDly lo an owner ol a D�openy who Uuiltls or imo�oves inereon, and wM Aoes suth wafk himsell/hersell or Ihrough �i5 ar her own emDloyees. pmvid¢U I�ai SUCh impmvemenis are n0i inlend¢E or oll¢re0 �ar Sale. II, how¢ver �he buittling or =• impmvemeni is soltl within one year o� comDlelion. �he owner will have the bur�en o� pmving he/she tlid noi build or impwue for Ihe purpose al sale�. I. as owner oi Ihe pmperty, am evcWsively coniraciing with Iicense0 coniractors to consiNc� ihe pmject (5ection 704a, Business ❑ anC Pmiessions CoCe: The Comracmrs' Slate License Law tloes not aDDly to an awner af properry wha builas or im0�oves iherean antl wno coniracls lor such prolecis with a coniradorls) license pursuant lo Ihe Contractors' State License Law�. I am aware �, I�a� pmol ol Iheir WOBer'S Comp¢nSatiOn in5urante ShoWa be pmvided �o me. �, � I am exempt under Seclion: B. B P. C. for IM1is reason. Dale'. Ownec I tlo hereby cenity �hat I am aware ol ana unaerstand the requirements ol Calilomia Health ane Safery Coae Sections 25505, 25533, antl 2557a antl Ihal I or any �Wure builAing occupani willlwill not (circle one) neetl to comply wiih saiA s�ale codes antl Ne repuirements for a permil �ar wnSimtli0n ar mutliliCation imm Ihe Air Oualiiy Managemenl Di51liCl. flesitlenlial canSlmtlion aOPliCatiDnS are exempi Imm �hese pmvisions. �ate: AOPlicanl: I �ere6y cetlily Ihai I have reaU IhiS aD�litation and 51a1e 1 Ihe a�ove inlorma�ion is rorrecl. I agree Io comply wil� all ci�y antl counry ortlinancesandslatelawsrelalinglo�uil0ingconslmctionan ne �� mnorrzer senlalivesolthiscnytoenteruponlheaGove-mentioned properly lor in ciion urpases. � oa�e� ��0 Sfgnatme� o�i�e� s �aense o� sociai seamy a: 16aLa6 W�i�e—Bmldmg: Green—CoEe Enlorcement: Canary—Applicanl: Pink—Revenue: Goltlenro0—Assessor A CITY OF COSTA MESA — BUILDING PERMIT ; '�gg�� PERMIT NO: B 049851 PLAN CHECK NO; 06646-90 S �DVI�—SII1�� CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: OTH JOB DESCRIPTION ; WINDOW CHANGEOUTSEX OPENINGS SQ FT: 1,650 CLAIM VALDE: 1,650.00 CALC—VALUE: 2,650,00 GROUP OCC: R-3 / COMMENTS; SIDING &WINDOWS / MIN EGRESS RE�D �e*��*�*x�a��e�r**�r�*��r****�r�r**+r**�e�r**+rr*+�*��r x*�r�r�r�r**�r+�**�*+t+��t�r+��r��r+t+r�r*��r�*+r�e**+t�r Z O N I N GS ERTEB�AUCZKRSE M E N T S ------------ MAIN HUILDZNG ---------- --------- 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 PARRING REQ• PROV: PARCEL: 41217313 ZNE; R1 REF NO: PLANNING NL7TES> CHANGE WINDOWS IN AN EXISTING SINGLE FAMILY RESIDENCE. SOME > OF THE NEW WINDOWS WILL RE�UIRE MINOR ADDITIONAL FRAMING. ***�r*�r+t�*�***�t***�r*�t�t�r�t�t�rx**+r+�**+�*�*****�r� **+t*+r****��r*�**�**�r+�*�r�***�r�x�***�e+�** 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 HY DATE: BUILDING APPROVED BY APPLICATION ISSUED BY• i �f iE IF iFiF iE �E iE 1Fif iF If if if iE �f if iF if iF fE if iEifiEif�lfifif±EffiFlRif1ElEiElflf3fiFlEiflFifiE�FlElflF1ElEiFiFiF1F1 � f LEGALIZATION;N F E E S U BLDG PMT PLUMBING ELECTRTC M PERMIT 54.00 PLAN 35.10 ISSUE FEE DATE: DATE: /� 1FiE�IfiElEiliEiEiFif ik �fj rE1Eif1t1E1fif1flEiEiEiE�ffEiE�E7EiEikiEifif�kiEiEifiF3EkiF1FM1FiflF hy M A R Y STRUCTURAL SEGMENT;Y (ECHANIC FIRE SMIP/RES GRADING SMIP/1JON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54,50 0,00 " 35.10 89.60 89.60 ,00 REVENUE DIVISION T'OTALS--> COLLECTED: 89.60 QVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK 54.00 .50 35,10 iE iE iE aE 3F if if iF 1E �f iE IE jF M 3E�f �f jE k it 3E �f iE iE ih if 3F iE iEiE �f k If IE IP IE IF 3E �E iF IE It iE iE iE 9F 1(• if iF if iF �f �F #E 3E iE 1f iE k 1F 3f jE 3E 3E iE iE jf iF 7f If 1f iE i! iE �f if aE aE iF I N D I V I ll U A L F E E B 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 2650 ALTER BY VALUE RESSDENTIAL NOZONE 1.00 2,650.00 END OF FEES l:l G'.l:%�`J�J'��i.5ii':. u �0'j Y.+fl1 <<KT"c: .1/�819i1 ?ICit: :3:32 � CONSTRUCTION AND PLANNING P� & SPA �" APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole .. 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd, � � 53. Steel Reinforcement . � 3`Electrical Conduit Otility-Undrgrnd-. '' � 54. Forms 4. Electrical Conduis�Undrgrnd. 55. Electrical Bonding �� 5..Sieel Reinforcement 56. Rough Plumbing & Pressure Test �' � 6��Electrical UFER�Grnd. •" 57. APPROVAL TO COVER�GUNITE . I�`7,•Footings � 58. Electrical Conduit�Undrgmd. �- 6._ Founda[ion - ' , , 59. Gas Pipe, O Undrgrnd., Test - '- 9, Water Pipe-Unilrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. i. 70. Struttural 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 - Fina� 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rou9h 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 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - _ _ _ � •�i�1' ,� 20.-�.RoQgh Factory Fsreplace -:i��. ' -' _ - �APPROVAL'S � = Permit # '� 21?,Ducts, in Stiucture. . _- � - x;� .70. Undergioun� Hydro 22. Ducts, Ventilating • �'t� _ '�77. Produc[ Piping C`FGas ❑ Oil 23; Gas Pipe-Rough & Test ,,: - 'J' ' 7Q, Underground FI`ush , . ' 247-Roof F�aming _ � - �•E- , _ � � �73-UndergrnB�.StorageTank.OGas� �Oil 25. Roof Sheathing � ' �; " _ - '';; ' ' � � "74' Overhead Hydro- 26 �T-Bar Ceiling (Structural) & Monocoat' : �i � _.• C T't i 75: Dry Chemical - - � � •:' " y �7. 27'rFrame and Flashing ";�� i(�:(J n 76. Dry Standpipe '' � , .�28fLathing,&Siding� . - _ ��i�„�i- �: ••i 77. FIXEDSYSTEMF.INAL' _ �'29. Insulation ��' �- - ' � ?? , ` r I;. ' r , 78� FIRE PREV. FINAL ;j; � : 30. Drywall Naiting. + � � - � � �f� • A �HEALTH DEPT. R�EQUIR�fiMENT _ 31. Plaster Brown CoaE,' _ ��',; t � I' �. ;- 79. FINAL INSP.ECTION _ ' �;� �32. Electrical Power MeterFinal , I �� 80.: FOOD CERTIFICATE ISSUED �33.`_FinalElectric ' ' ,��; � ^Notes: ' � - .��.. '34.- Final H2atin§ &`Air Conditioning, ' � f� �`7--QO i��: �� _ � 135:* Final Gas Pipe-Test - - I J �[ ' •!"� �' �- �� j 36. Hood or, Canopy� _ . � � I I ' ' -s ` .- �� - - �� '37: Final Factory Fireplace_ ' = n' � "��f "' ` ".' -` ' ; � ' b � 1• . .. �. 1 i I'+ - . i. _ - 3$._ Final Plumbing . ,-i • .. I � I.`` i ^39:�Water Service�FinaP ' ' I I .' • �� a. '� 40.'�Gas Service,F.inal i .,. �; ";i;, : _ �` � �: ` `� ' ' �� z 41..Solar pomesticFinal�. (' � • � _ ' �" �'42i�Backflow Preventei � ''' '" ' � I ': ', , '" .,' 43. Backflow Irr_{gation� , �.>': %-�. � - � • � W'� = C < r : � -� 44. Landscape Irrigatiqn System ': '' .,, ;' � '; ,� ,_ - � ` - " � � . . : .. ' . " - � 45^Sound Attenuation - 1:.� � � - - � � . _46 Handici.p Regulations ' = � ' �� _ ' .'; .- � � �� " 47�FINALSTRUCTU�RE&BUILDINGJ�-•."'2�7 � �6L : v-c. . - 48�FINAL PLANNING ' :� '� ; i.� � � '. . „ '' ; . . - i i- -49=Electric Release to.Edison , - I � !� i.� � - ' .. "50._Gas.Release to Sou"them California Gas�Co �.. � � y �; ; r ,' , ':,�;., . , - ". 51. CE�TIFICATE OF, OCCUPANCY � ; ; . �� „��, , _ , _ r : _� No. Date ,J .t !f.Ej l� I .t � � 7 PHOJECT RU�flESS: j Q 3 S P LUMER IA P L • OWNEP'SNAME: WILSON, ROHERT M TR nooREss: 3435 PLUMERIA PL COSTA MESA,CA 92626 641-0211 AXCHIENGINEEP: NEG.NO.: FDOflESS: UNIT: UNIT: PENMITTEE: JOE CARLOS PLUMBING ( 719 ) 548-5558 aooness: 1675 SUPERIOR COSTA MESA CA 92627 IICEN5E0 CONTRACTOB OECIAflATION: I hereby affirm iha� I am licensed unUer D�o�isions o� ChaD�e� 9(aommencing wi�h Sec�ion 7000� of �rvision 3 at the Business anU Pm�ession5 CoOe. ana my license is in lull fa¢e anC eflect. ciTvuc.: 025793 sTnreuc.:385943 yµss: C-36 Oate: _��" Signamre:'��'��— WOBREPS' COMPENSATI N OECIAPATION: I hereDy affirm t� I have a terti�iCate ol tOnsen� f0 Sel4insure ar a Certilita�e a� WoBerS' Compensation I su nLe a a ce tilietl co Y �hereof (Seclian �Lab C). roucr No.: ��U 0�l 8 i— 9.iP EXP. OATE: V G I O 1/ 9 4 COMPANY: STATE FUND � CeNfietl capY is here�y �umished. �� Ce�iliea copy is IileU wi�h Ihe ciry BuilOing �ivisian. Oaie � / �� — / � APPlicanc �� — — EXEMVTION FPOM WORNEflS' COMPENSATION OECLABATION: QI is seciian neeA nol he com0le�eG i� Ne permit is forone hunGreA (510D) of less). I cetlify Inat in Ihe petlormance ol ��e work for which Ihis permil is issue0. I s�all not employ any person in any manner so as to become subject to Ihe WorkerY Compensation Laws o� Cali�omia. Oale: Signature: NOTICE: II. af�er making t�is declamtion, you s�aultl become subject m the Workers' Compensation provisions of the La�or CoOe. you must fotlhwith comDly wiU such pmvisions or Ihis permit shall Ue tleemetl revoked. CONSTflULTION LENOING AGENCY: I hereAy aflirm Ihai there i5 a tonsimc�ion lentling aAenty �or �he pedormante o� �he work ior w�icA Ihis permit is iuuetl (Se[lion 3097. Gv. C�. LENOEH: ADDflESS: OWNEfl BUILOEN OECLl�flpTION: I �ereby a��irm Iha� I am exempl Imm tAe Contracmrs' State License Law �or the following reason �Sec�ion 7031.5 Business ana Pmfessional Cotle: Any ciry ol counly which repuires a permit Io cons�mc�. alter, impmve, demolish, or repair any simqure. prioi lo its issuance. also reQuires �he apDlicanl �or such permit Io file a signetl statemen� �ha� he/she is Iicense0 Dursuant m ihe pmvisions ol ihe Contracmrs' State License Law (ChaD�e� 91�ommencing wi�h Section 7000) of �ivision 3 0� �Ae Business antl Pmfesslons CoAe) ar ihat he/she is exempt t�erefmm antl Ihe basis for the allegetl exemption. Any violation ol S¢ction 7037.5 Uy any aD�lican� for a permii sublecis the applican� �o a civil penalty of no� more than five hundred Dollars (5500�. I. as owner ai Ihe pmperty or my employees wi�� wages as IAeir sole compensation, will tla �he work, and the ❑ structure is not iniende0 or ofleretl lor sale (Section 70a4. Business and Pmfessional Cotle: The Contraclors' State License �aw tloes nol appty to an owner ol a property who builtls or impmves �heBon, antl who OoeS SUth wo�n himsel�/hefself Of ��wug� his or her own emplayees. pmvidetl Iha� such impmvemen�s are not intendetl or oftered lor sale. I�, however Ihe huiltling or impmvemenl is soltl wilhin one year ol completion, �he owner will have Ihe burtlen o� pmving he/she ditl not buitA or impwve lar Ihe purpose of sale). I, as owner o� the pmOerty, am exclusivety conimcting with license� conlractors to can5tmci Ihe Omject (Section 7044, Business ❑ antl Professions Code: The Coniracbrs' State License Law tloes nol apDty to an owner of pmperty who �wltls or impmves ihereon and who tOnimtls �or such pmleCls with a taniraC�Or�s)litens¢ pursuanl t0 Ihe Coniracrors' Sia�e Litense law�.l am awaf¢ Iha� pmot ol U¢ir Worker's Compensalion in5uranCe 5hoU10 be pmvided �0 me. � I am exempl untler Seclion: B. 8 P. C. lor Ihis reason: �ate: Ow�ar I tlo nereby cenity tnat I am aware of an0 untlers�and ihe reQuiremenis of Califomia Health and Sately Cotle Sections 25505, 25533, antl 2553d antl Ihal I or any fuiure �uilaing occupanl will/will nal �circle one) neetl �o comDty with said s�ate coaes an0 �he �eQuiremenis br a permit lor con5imclion or motli�ica�ian �mm�he Air Oualily Managemen� DiSVict. flesitlen�ial cons�mction applications are exemp� irom I�ese pmvisions. Dale: Applicanl: I here�y cetlilythal I �avereaU Ihis ap0licalion and s�a�e Ihatihe abave inlorma�ion is correcl I agree�o comply with all ciiy anJ coun�y oreinances antl Slatelawsrela�inglo builtling conslmction and �ereby aut�ori erepresen�atives ollhis cityto enter upont�e above-men�ioned property brinspeclion GDurposes. ^� Oa�e: � � � � � — ( � Signal ' A " oriver's �icense or Sociai Secunry u: 46 Wnne—Builaing; Green—Cotle Eniorcemen�; Canary—Applicant�, Pink—Revenue', GalEanrod—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: P 064893 PLAN CHECK NO: N CONSTRUCTION TYF�E: V—N PERMIT TYPE: PLU PERM NO; P 06484� GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : WATER i2EPIPE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WOAK AUTHORIZED HY THIS PERMIT ****�*��r**+�****�r*��*�*�r��r*�r�r*«***�c�x******�*��+�***+�*+�*x�****.*�**x**+�*�#* Z O N I N G R E Q U I R E M E N T S S E T B A C X 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 RE • PROV; PARC L: 91217313 ZNE: REF NO: PLANNING N TES> � �I it iE if if if iE if if iP iE iE if it 1E if ik iE 1E iF if dE jf iE i! it it if if 9E if if �f 1E if #�E iE iPit iE i� iF iE iE iE iE iE iF iE fE iG �E if iE if iE if iE iE aElE 3E 1E iE it i4 iE if iE iE if M jf iE iE if jf if jE D E V E L 0 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 AFPROVED HY DATE: bUILDING APPROVED HY ; DATE: APPLICATION ISSUED BY: � DATE:�I(�0 '� ifiEifififjfifi:iFiM1iFiE1E?EiEifiEififiEiE�E�i� Ei t Fi��iFifiEififlFifiEi:iii:if ��e�ic�iFi4if if*lE1E*iflPiEiEjflEafiFjEiE�kiEiEiFiEiEifaEifiEififiElEifitiEififjElEiEiEifiEi6iEifif if#.1EiFjE#�iiiEifiEjEiE3Eif�YiEifiElFlF9fififififi�'.aF{iaF3RjFiF3RiP LEGALIZATION:N F E E S U M M� R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MEC PERMIT 7,00 25R PLAN ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECH TOTALS----> 7.00 20,00 0,00 FIRE SMIP/AES GRADING SMIP/NON—RES TOTAL \ PAID DUE 27.00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 27,00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GR \ G PLAN—CHECK 2%,�0 j4 if f'-iF i� i! iF if iE �: it it iE if it it if iE 1E it i! #` iE k iE ik �F i! i4 if iE k it it it iE it iE it �k iElE if �k ae iE if 1E fE 1E �k iE iE 1E iE if iE �E iE �E if ?F iF if iP iE if iE iE if iE if if 1E if if ?E if �lE I N D I C' I D U A L F E E B R E A K D O W N TYPE QTY D E 5 C R I P T I O N UNIT COST TO�TAL COST PLU 1 WATER RE—PIPE END OF FEES 7.OQ a; o�;soao:.-oa+saya? T��z "vkTE: lilf0/43 �IM�: �E:�i 7.00 � 7�.00 � , H� � 1 � � � �CONSTRUCiION AND PLANNiNG POC SPA APPROVALS Permit,$ Date Inspector APPROVALS Permit# Date Inspector 1. TemporarY Electricaf Service or Pole 52. Pool & Equipment Location � - 2. Soil Pipe�Undrg:nd. , 53. Steel Reinforcement I 3, Electricai Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduii�Undrg:nd. 55. Electrical Bonding 5. Stee! Reinforcemen; 56. Rough Pium6ing & Pressure Test 6. Electrical UFER Grnd. 57. APPFOVAL TO COVER-GUNITE i 7. Footings 58. Eiectricai Conduit�Undrgrnd. 8. Foundat�o� 59. Gas Pipe, O Undrgrnd., Test � 9. V'Jater Pipe�Undrgmd. ' 6Q. Backw2sh Lines, P�Trap, �1 Undrgrnd. � tCl. Structura4 �toor SVstem 6t. APPROVAI TO DECK t i. Property Sewer Line & Hou<_e Connection 62. Backwash & Recep[or�Fi:iat 12. Sewe: Cap 63. Heater & Vent�Final 73. Roof Drains 64. Plumbing System - Finai 14. Rough Plumbing 65. Electrical-Finai 15. Rough ElRetrira6Conduit 66. Solar System-Final 16. Rough EI¢ctricVdiring 6J. Fencing & Access Approval 77. Rougfi Wiring Siyn 68. APPROVEO FOR P�ASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL;SPA SYSTEP;iS FINAL 19. Rough Heating & Air Condifioning FIRE DEPT. REQUIREMENT 20. Rough FacTory Fireplace APPROVALS Permit = 27. Ducts,in Structure 70. Under9round Hydro � 22. Ducts, Ventilating 77. Product Pipir:g f' Gas ❑ Oii 23. Gas Pipe-Rough & Test 72. Undergrounc Flush 24. Roof Framing 73. Underyrnd. Storage 7ank � Gas ❑ 011 25. Roof SheSthing 74. Overhead Hydro 26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemica! , 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Sfding 77. FIXED SYS?EM FINAL � 29. Insulation ' 76. FlRE PREV. FINAL 30. Qry�vaii Nailing HEALTH DEPT. REQUIREM[NT 37. Plaster BraK�n Coat 79. F(NAL INSPECTIOh � . 32. Electrical Pow2r MeterFinal 80. FOOD CERTIPICATc ISSUcD � 33. Finaa Electric Notes: . 34. Finat Heaiing & Air Conditioning 35. Final Gas P�Pe-Test 36. Hood or Canopy 37. Final Faciory Fireplace � � 38. Finai Plumbing �� '1 39. N�ater Service-Final i 40. Gas Service-Final 47. Solar pomestic-Final 42. Backf�ox- Preventer 43. Backflow Irrigation 44. Landscape irrigation SYs2em 45. Sound Rttenuation 46. Handicap Regulations 4J. FINAL S7RUCTURE & BUILDtNG "� 48. F(NAL P4ANNING 49. Etectric ReVease zo Edison � 50. Gas Release to Southern Caiiiornia Gas Co 51. CEiiTIFiCATE OF OCCUPANCY No. Date t �I F'�C1p00PE55: 3[�3S PLUMERIA PL OWNEfl'SNAME: WILSON ROBERT M TR aooness: 3435 P{,UMERIA PL COSTA MESA,CA 92626 AXCMIENGINEEfl: AOUflE55: NEG.NO.: UNIT: UNIT: PEpMirTEE: pERFECT COVER ROOFING ( 714 ) 439-1566 aooxess: 3303 HARBOR BL D—S COSTA MESA CA 92626 LIGENSEo CONTPACTOP oECIAPATION: I hereby aifirm ��ai I am Iicen5e0 untler provisions o� Chapier 9(commencing wilA Sec�ion 7000) ol �iv�sion 3 oi Ihe Busmess and Pmlessions Catle. and my hcense is in �ull torce and e��ect. ci uc.�: /0 5 4 0 5 5 srarc uc.: 6 2 2 516 cuss: g Dat =�`^ �� Signature: �_�n�-�� ONNEBS' CDMPENSATION oECLPflF7lON: I nere�y affirm ihat I have a cehificate of consent to self�insure or a certiticate ot Workers' Compensation Insurance. r a certilied coDY ihereof (Section 3800, lab. C�. roucrxo.:1263g23-93 E%P.�ATE: OJ/OZ/99 comraNr: STATE FUND y�'� �r'etlifietl copY is hereby Wmished, � CenifieA copy is itletl with the ci�y Building Division. I ,,,,J "r'..��"�'T NPPlicant ��(�., � � ��A,/�'—T �.. E%EMPTION FNOM WOPNEBS' COMPENSATION OECLABATION: Qhis seclion nee0 not be campleied il Ihe p¢rmit is �orone hunA�eA �$100) or le5s�. I certify ihai in Ihe peAormance oi t�e work lor wh¢� Ihis permi� is issuetl, I shall noi emDloy any person in any manner so as �o become suble�� lo �he WOBers' Compensalion Laws ol Calibmia. Date: Signature: NOTICE: II. atler making �his Declara�ion, you s�ould �ecome suhlec� b �he Workers' Compensa�ion pmvisions o� lhe La�or Code. you mus� forthwith comply wi�� such provisions or this Dermi� shall be deemeU revoketl. CONSTflUCTION LENUING AGENCY: I here�y aflirm Iha� Ihere is a constmc�ion lending agency �or Ihe pedormance o� [he work to� w�ich Ihis permit is issued �Section 3097. Civ. C). LENOEB: I p00BE5S: OWNEN BUILOEH OECLAPFTION: i hereby aflirm ihat I am exempt tmm ihe Coniraciors' State License Law lor the IollowinA �eason (Seciion 7031.5 Busmess and Pmlessional Coae'. Any ciry ol couniy which requires a permii �o cons�mci, alter, impmve, tlemolish, or reDair any s�m[ture. prior �o i�s issuance. also requires �he applicant for such permit to file a 5igneU statemen� �ha� helshe is Iicense0 pursuant m Ihe pmvisions of the ComractaK Stale License Law (C�apter 9(commencinA with Section 7000) oi Division 3 oi the Business and Prolessians Cotle) ar ihat helshe is exempt iherefwm ane the basis lor ihe allegetl exemption. Nny violation of Section 7031.5 by any applicantlor a Dermil subjecis ihe applicantio a civii penalty ot no1 more ihan five hunUretl tlallars (5500). I. as owner of Ine pmoany or my employees with wages as Iheir sole compensatian, will ao ihe work, anA ine ❑ stmcWre is nat intendetl or oflerea tor sale (Section 7044, Business anA Prolessional Code: The Conirattors' Slate License Law does not apply Io an awner of a propeny who builds or improves thereon, antl who does such work himself/herself or �hmugh his or her own employees. Omvided iha� such impmvemenls are not inientletl or otlere0 tor sale. I�, however ihe builtling or improvement is sola wilhin one year of comple�ion, Ihe owner will have Ihe �ur0en o� pmving he/she Aitl not �uiltl or impmve lor Ihe purpose af sale). I, as owneroilhe properly,am exclusively conVaciing wit�licensetl conlrac�ors�o constmc��he pmlect(Section 7044. Business ❑ antl Prolessions CaAe: The Comracmrs Siate License Law tloes mt apDty to an owner oi pmperty who builAs or impraves �hereon an� who conVac�s �or such prole��s wilh a conlrac�or(s) license pursuantio Ihe ConVacbrs' S�a�e L¢ense Law). I am aware ihat pmof al �heir Worker'S Compensa�ion insurance shoWd 6e providetl Io me. � I am exempt under Seclion: B. 8 P. C. '�. lor Ihis reason: �a�e: Owner. I tlo hereby cenily ihal I am aware of antl un0erslana Ihe requiremenls o� California Heal�h antl Salely Cotle Seclions 25505, 25533, antl 2559A and Ihai I or any future building occupant will/will no� (cucle one) need �o comply with said sta�e cotles ana the requirements lor a permi� for cansimction ar motlilicalion �mm the Air Oualiiy Managemen� Oistricl. flesi0en�ial consUuc�ion apDlica�ions are exempt �mm Ihese O�ovisions. �aie: Applicani: I here�y cerli�y ihal I have reatl �his apPlicalion and state Iha� Ihe above in�armalion is correcL I agBe to comply with aIl ciry an0 coun�y ortlinances anA sta�e laws relating to bwlding consimction antl hereby authorize representatives oi ihis ciry to enter uDon (he above-mentioned pm �y lar inspection purposes. Oate: �._ SignaWre:TPJ 'L � - -- ver's ticense ai Socia� Secumy <: e� �6abo6 Whpe—Bmlaing; Green—Cotle Enlorcemem; Canary—ApplicanC Pink—Pevenue'. Goltlenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 066160 PERMIT NO: B 066160 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT SOB DESCRIPTION ; T/OFF REROOF W/CEM WOOD ICBO 4312 SQ FT: 13,898 CLAIM VALUE: 13,848.00 CALC—VALUE: 13,848.00 GROUP c7CC: R-3 /M-1 COMMENTS: REROOF W/CEM WOOD 4.6PSF, SMOKE DETECTORS IN BEDROOMS 6 HALLWAYS �*�*****�*�r*�*+�**�****�t**+��***�t�x**�r�***�r*+��*****��**��+r�*�t�t�c�r+�**+�*�****�**+��c** Z O N I N G R E Q U I R E M E N T S S E T H 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: PROCT: PARCEL: 41217313 ZNE; REF NO: PLANNING NOTES>, . � i! * if iE iE iE iFlE iE iE �)f #�7E iF ff iE i! iE if it jE iE iElE 9f fE fE fE-� if iE i! iF 1E iP iE iF iE �IE fF 1f iF iE iF iE �)F dE 1f iE iF fElElE iE ik df if *!F iF iE if iE iE i! iF iE �)f aE iE * iE �E iE iE iF iE 1E if D E V E L O P M E N T S E R V I C E S R E Q 0 I R E M E N T S ZONING APPROVED BY DATE: BUZLDING APPROV,ED BY ; DATE; APPLICATION ISS[JED BY; C� DATE: Z� Z x�***�it�tir*�t*it*�iF*ic-it�-i��f�riF�tiF��t�r3F��r�'iF�� x��iF��r*ir'��iF�F��F�r'�it�t+rir+E**�tiF�c -�- *� it iE iE iE iE if if it if iE iE iE if if jE it iE iE if ik iE iE if iE iF k if HE jF iElE if iE �E iF:f iE * iE iE it iE if iF iE if iE iE iE iF 3E iF iF iE 3E iE iF if iE iE iE iE iE 1E ik if it iE iF iE �1E it iE iF iE ir �E if iE LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADIP]G PERMIT 153.00 1,38 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIC'—> PERMIT IS5UE PLAN—CHECK TOTAL PAID PUE TOTALS----> 159,38 0.00 Q,00 154.38 159,38 .00 REVENUE DZVISION TOTALS--> COLLECTED; 154.38 OVER/SiIORT; ,00 BLDG PMT PLUMHING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK 153.00 1.38 �k if 141t If iE iE?E 1E iE iE �lE k i! tElk iElk iE if fF iE iE iE if tE iE iE �E iE iE iE iE'if !F ik �)k iE iF iE iF 1E+E 1E iF ik if iE 1! iElE iE if iE iF ik?; iE jf iE 1E iF iE!E ih iE iE 1E jE �lE � iE iE fE 3E iE iF # iF I N D I V I D U A L F E E B 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 13848 REROOF BY VALUE RESIDENTIAL NOZODIE 1.00 13,848.00 END OF FEES SMOKE DETECTOR RE�UIRED O! 001'BSS3—OQ3S5354 TO T j�S,3$ OATE� 02/�3/94 TIItE% I0737 .., ,_ -,,. CONSTRUCTION AND PLANNING PO(. . SPA � APPROVAIS Permit # Date I�spector qppROVALS Permit # Date I�spector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utii;ty-Undrgrnd. 54. Forms 4. Elearical Conduit-Undrgrod. 55. Electrical Bonding 5. Steel Reinforcemant 56. Rou9h Plumbing & Pressure Test 6. Electrlcai UFER Gmd. 57. APPROVAL TO�COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrymd. 8. Foundation . 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structurat Ploor SYstem 67. APPROVAL TO DECK 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Pinai 12. Sewer Cap 63. Heater & Vent�Final 73. Roof Drains g4. Plumbin� System - Final 74. Rough Plum6ing 65. Electrical•Final 15. Rouyh Electriral-Conduit 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & 0.ccess Approval 77. flou9h Wiring Sign 68. APPROVED FOR P�ASTERING 78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEP.1S FINA� 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underg�ound Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oii 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Underyrnd. Storaye Tank O Gas ❑ Oil 25. Roof Sheathing .,/7f/�f''!, (j%�� {A, Overhead Nydro �"/ / 26. T�Bar Ceiling IStructurai) & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry SlandD�Pe - ' :(i 28. Lathing & Siding 77. FIXED SYSTEM FINAL i.�,1 29. Insulation 78. FIflE PREV. PINAL � � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION �- 32. Electncal Powzr Meter-Final SQ. FOOD CERTIFICATE ISSUED ' 33. Final Elec:ric Notes: - 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final FactorV Fireplace 38. Final Plum6ing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomenicFinal ,��- 42. Backflow Preventer ,;� 43. Backflow Irri9ation ' � 44. LandscaDe Irrigation System ' 45. Sound Attenuation _ 46. HandicaD Regulations 47. FINAL STRUCTURE & BUILDiNG ��_q t{ (Q4,� 48. FINAL PLANNING - 49. Etectric Release to Edison � 50. Gas Release to Southern California Gas Co 5L CERTIFICATE OF OCCUPANCY No. Dace OWNER �g� W�.j DATE N0. A" "o� 412-173-13 LOT TRACT FIRE ZONE VALUE I. :CTIONS Si nature Date TVPE —j�] GROU SOIL �,_ SUBCONTRACTOR PAOP. SWR. LINE � � HOUSE COH. UNOERGROUNO �J POWER ROIIGH WIRING 10 FLOOR SYSTEM � BONO BEAM � STEEL REIHFORCE _,%~ $HERTMING FRAME RNO FLRSNING � LRTXING - IN �J OUT [� � PLASTER, BROWN COr1T W 5' 'TUR�L, FINAL H, IG, VENT., REFFIG. ANO A.C., I F � a Q .N. � S F O W F Q � i� � � w a O � a Z W 7." 3 "COSTA MESA BUILDING-SAFETY DEPARTMENT � :,,: . APPLICATI0�0�(�S�TR�IETCJITA�LPERMIT �8�50 TL' . r.a'.u�.. �wv ew�n�.�w..,....� �..�.��+�� RECEIVEOB PERMIT N° �� 51285 For Applicant to Fill in Completely — Use Ink Only BUILDING�:/7S �/4��r/u ri/ A.P.NO. �• � ADDRESS / � BUILDIN � OWNEROR `�,r_[ n/� `J(ISM %�DDRE55 TENANT rl /i'l UNITOR MAILING SPACE NO. A�DRE55 Styll ( TR.NO. LOT BLK. TEL. �/ CITV �S (� NO. �7�"6�� NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCfION LENOEF BRANCH OWNER � SO ADDRESS �/� /) _ vL r AWEE �d ARCHITECT TE�. USE O �..0 OR ENGINEER C1C N . ADORESS 20NE TYPE U GROUP APPROVED CONTRACTOF ��r�jl� j/��C/ � BY DATE � � ADORESS / f'J �Wie� Y7`�Y�/� � TEL. ��T�.$' � C No. �%S`c�lda STATE CITV APPROV ET CK$ LIC. NO.� l L-L� IIC. NO. S12E / ./ NO.OF BLDGS. (FR0 C/L ST E T OF LOT b�/� / OO NOW ON LOT RONT VSE OF � / // E%ISTING BLDG. Separate permits are required for L. SIDE electric, plumbing and heating work: r l/ FEAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLqNNING ACTION � N INU ILI f ' ��'�i'1 I1G �SL'rC � DATE APPROVE ( V /// � � APPROV / � /\ Y I heraby acknowledge thai I have �ead this epplicaiion antl rtate that ihe ebova Information Is corract antl agrae to comply with all lews reBuleting builtling connruction, antl I shail not employ eny pa�son in violation of the workmen's compensation laws of the State of Califarnie. I herab certlt that I am SQ. FT. OD `� y y proparly licansetl es a contractor untler tha Stata of Cellfarnie Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, entl t s�e� lieenses are in full force and etfect, or I THE PURPOSE OF ESTABLISHING .4 PERMIT FEE ONLV: am exempt fr i th provisions of theState of California Businass VALUATION PERMIT FEE S ,�- antl Protessi s Co , DiviEio , Cha ter 9. Slgnature f I (% PLAN CHECK § Permina " ��1 5 ay QQ � � L/ TAX E � , � or Authorizatl Agent Date TOTAL PAID E . j � 7 m n h m m 0 f u owNER WILSON, ROBERT M. � JOB ADDRESS umeria . � GENERAL CONTRACTOR ar es us Vo. 2— L0T TR i,.,aFcnnNs u, Pool Location Forms Main Drain Steel Reinforce Elec. Bond � Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final '' �ter and Vent Final _ � ...ar System Final Backwash and Recep. Final Fanrinn Final DATE 10-17-7� BUILDING PERMIT N( DESCRIPTION of WORK • Pa FIRE ZONE VALUE $ � GROUP TYPE I SUBCONTRACTOR � PE Dotc Electric ` � i. /0-�%-7'% Plumbing 7�� n_ �� (�.. ,.$..... _�.. I�.l'I �74' 2 . a U Za ON am � 1 m � • ft1 J Q UN Za a� i+,+ w Z J � m Z J � wW O 2N W � N � � � F Z Q f• c. Q � F y Z O H U � � �" N Z -� . , . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Complerely BUILDING O/ /OJf^ , . ___ n. . �. G pyyNEF v'`' MA1L ADPAESS C GT�' Cp�JSTRUCTION LENDER BRANCH ADPRESS ADPRESS 7 CONTRACTOR ADORE55 CITY �� STATE ^ � LIC, NO. OL u SIZk OF � / ' NO. OF NEW BLDG. ( ROOM: EXTERIOR WAIL ROOF COVERING GOVER USE`OF BU�^ING AND WBpK i0 BI 411 � � 6ih L. NO. � CITV LIC. NO. � �Palu� �f�ir.; Z � �.T 17-7 r>;�r � 693" Z�.,,� APPLICATION FOR BUILDING PERMIT �ly. D BV DATE FECEIVE DAT ISSU. /d—/ - !'O / P M T No. ' 3— �- RIE55 J��l ��l/M7 O/L/'/. FIRE ZONE APPROVED N NO.OF PI,AN$ VARDS APPROVED MAIN BUILDING VAR. �i'+ VALUE USE OF NEW BUILDING ��! VARDS APV ACCESSORV BET. MAIN & acc�s.e�a DATE APGROVED I �e�aby acknowleEBe thet 1 heva reatl this eppllcatlon antl smte `"'"` thet Ne ebova information la carract antl epree [o eomply wit� elt Inw� �epuletinp builtlinB conrtruetion, antl 1��ell not amploy eny Person in violatlon of tha workmen'� compan�ation lew� 01 I� the S�ate of CalHornle. m I haraGy certify Mat I em properly IlcanuA aa a eontroctor untler 5�. FT. T� O t�a 5ta[e of CalHornla Busineu entl Profaulona CoEs, DivltiGn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chap�ar 9, entl t�et wc� licenaos e�e In full forca entl affaet, or I TME PUFP06E OF FSTABLISMING A VERMIT fEE ONLY: i em ezempt from tha provisionz of the State of Lellfornia Bueinocs Q VALUATION ooe v.o+e.:tooe coao, ot�i+m� 3, Cheptat 9. � m PEFMR FEE $ � � � $Ipnetura of % � G� m Permlttaa � ��/� � $ ��0 PLAN CHECK $ • �! E (�r/i1��, o` LL Authorizatl Apent TOTAL FEE $ i O ,vnlvCR n1LCJNyd � JOB ADDRE553 . � GENERAL CONTR� � AP No. 12'17j-: I� CTIONS � so. WS W �TER ROUGH PLUMBING PROP. SWR. LINE❑. SPRINKLING SYSTEM MISCELlnNE0U5 ROUGH HEATING ANO / TEMPORARV $ERVICE UNOERGFOUN� � ROUGH WIRING TRENCHES FOHM FLOOR SVSTEM BOND BEPM � ST SMEATNING FRAME RND FLASMING LATNING — IN rI PLASTER, BROwN COa STprr�TURFL, FINRL MI G. VENT., RE�I PLb,..BING, FINFL RNC ELECTRIC, FINhL B111L01NG. FINAL A�A� ' IONING POWER ANO A.C., FINAL i TEST I—I E UA I t O 2b �(4 BUILDiNG PERMIT N0. SUBCONTRACTOR � vaioOO1740� ,ra:;,j$.SO • *".. � .1G 26-74�,tsc ��a�o� � COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 12W COS7A MESA, CAIIFORNIA 92626 PP ION FOR BUILDING PERMIT For App/icant ro Fill in Completely REC I (]( DATE RECEIVED D TE UE BUILDING3y3� P��tw�Pr�a ` ADDRESS � A^�1 �J PER (NB: n OWNER '� �•) IS(/� 1 A.P.NO. ��Z'17>' I 7 �.�i �- MAIL ` ADIDRE S f �3 �lum�aP� ADORESS 3R%�� J�� d U GTY G OS Q �� NOL �V J/ TRACT� SS 7 LOT BLOCK Z Q CONSTFVCTION W A �– LENDEfi � am BRANCH �L OWNEfl � ��ONj �� M1/l �$i11 � ADDFESS VALUE " m m ARCHITECT TEL. 'U S�K�' $ J a OR ENGINEER � V Q FIRE w[L ADORESS ZONE TYPE GROUP d w APPROV W Z CONTRACTOR BV �A '� J � m Z J � ADOFiE55 w W TEL. Z NO.OF VSE OF NEN�� = CI7 V NO. � ` Pw� � BVILDING ��L $ L�� Z� WO STATE CITV �'AR�SAPPROVED VAR�SAPPROVED y p� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILOING �� SIZE NO.OF BLDGS. (FROM C/L S EET) OF LOT NOW ON lOT RONT L GT. FT. VSE OF � EXISTING BLDG. FT F SIZE OF NO. OF z NEWBLDG. ROOMS STO:��ES LSIDE -< FT. FT. a EXTERIOR WALrw ROOF COVERING C�. COVERING REAR Z'�FT. FT. US O BUILDING AND WORK TO BE PEFFORMED DISTANCE BET. BET. MAIN & y MAIN BLOCS. ACCESS. BLOGS. O ��N I�y, C.0 P, q�s APPROVED y �� M^ APPROVED �f �`T O� Z�E —i� O Y' z . 0 � U1 hereby acknowletlBa that I �ave reatl this epPllcation entl stete $T E ` � tha[ the ebove infaYmallon is torrect antl apree to cOmply wiih � ell laws repuletinp builtlinp construcNon, antl I shall not amploy ' � eny person in vlolation of tHe workmen's compensetion lews at ffia Srote of Celifomle. m zi hereby cartify thet I am properly licensetl as a contra<tor untler SQ. FT. S� O the Stata of California Buclness antl Professions Cotle, DlviSicn 3, THE AMOUNT SHOWN UNDEfl VALUATION IS FOR �� Chapier 9, antl that such licanses ere In full forca entl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: • am exempi tram S ovisions ot the Stete ot Callfornia Businezs ¢ antl Professio�s tla, rvision 3, Chepter 9. VALUATION m , �/�� PERMIT FEE $ � J sianetura ot /1�C/� �� / � �> m Permittee � L,V I $� /w�JJ P�N CHECK $ �s E AuthorizatlABe�t �l�V U '— o LL TOTAL FEE S � vnl\[rt �+�+vi�� ai.a•i. '�-JOB ADDRESS 3 3S P1i1mET18 P �t GENERAL CONTRACTOR 0`nser-F nPNo. 12-173-13 LOT � I� iCTIONS 1V� s�. \ GAS W/.TER ROUGN PLUMBING PROP. $WR. LINE � HOUSE CON. $PRINKLING SYSTEM MISCELLANEOU$ ROUGN HEATING AN� RIR CONDITIONING TEMPORAftY SERV4CE �R PpLE UN�ERGROUNO � POWER � ROUGN WIRING TRENCHES � FORMS STEE4 REINF FLOOR SYSTEM BOND BEAM n STEEL FEINFORCE ❑ SHEpTHING FqqME ANO F�ASHING LlTNING - IN n OUT PLFSTER.BROWN COnT ST^^CTURPL, FINAL M IG, VENT., REFHIG. AN� A.G. FINAL PLomBING. FINAL AND GAS TEST �I UAIt 1 i�-1+ BUILDING PERMIT N ►�n_ SUBCONTRACTOR ; , e � ,• - �b��, _�.. _ 50 --, 38663 �a� �n-��:��.�.00 �zc� - �;:5. Z aU HZ ZQ F am � m J J m Q U� Za W � d W WZ J � m Z J � W W O= Z F W � N � 7� F z Q .� a Q 0 � h Z O F U � � H N Z COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 PP C TION FOR BUILDING PERMIT For Applicant to Fi!l in Completely FE E V � DATE RECEIVE DA—TEJ ISSUED BVIIDING �I [/�� 'JJu", r/ _ /a•- ADDRESS S 7 � I,' A.P. Na. /2-173- � 3 PEFM/�T�O � OWNEfl / �� /�'S� Ud BUILDING 3y35 ��,1.(/✓1EIQIi� ��, A�ORESS S C( � � �� A.DDRE55 CITV C '��d NpL y�J3/� TPAC l� LOT�� BIOCK. CANSTRUCTI W AD AL P LENDER v n BRANCH cT OWNER Q VV ADORESS I' V UE ARCHITECT TEI. SE T4 � � OR ENGINEER N . FIRE A�ORESS ZONE -TVPE GROUP APPqOVE CONTRACTOR r BV OATE — O' ADDR ESS TEL. ZONE NO.OF USE OF NEW StAB WLTH CITV NO. � P�+� 2 BUILDING �N` STATE CITY YARDSAPPROVED VARDSAPPROVED �IC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLOGS. (FROM GL STREET) R �pR OF LOT NOW ON LOT ROM FT. FT. USE OF EXISTING BLDG. � FT. SIZE OF NO. OF �TTLNFTO ��r FT. NEWBLOG. ROOMS STORIES L.SIDE EMERIOF WALL ROOF �/� COVERING COVEpING REAR /-V FT. FT. USE OF BU D AND WORK TO BE PE FOR ED OISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR. # DATE S/(t !/( //L C.U.P.� APPROVED y ,�Ro�Eo � �_ -� g�{pTE 1 �era6y ack�owledga cha� 1 have read this application arttl state ihat tha above information is correct a�d eBree to comply with ell laws ragulatin8 builtling construction, antl I shall not employ any person in violation of the workman's compensation laws of the State ot Calitornia. I hereby certify thai I am pro0erly licansed as a conttacior untler SQ. FT. the State of Calitornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chepter 9, antl that such licenses are in full forca antl effect, or I TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am ezempt from t rovisions ot the Siate of Calitornia Business VALUATION f�r/ antl P�ofessio�s tle Division 3, Chap er 9. PEFMIT FEE $ �_ Signature of � Permittee $ � PLAN CHECK $ Authorized Agant y,.��--p- TOTAL FEE $ r-✓ _ OWNER � JOB ADDRESS GENERAL CONTRAC AP Ng. ti-x; I k�;";��,;�'+�T I ON 5 soi� GAS WATER ROUGN PLUMBING PROP. SWR. LINE [��01 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR TEMPORARY SERVICE OR UNDERGROIIND � PO ROUGH WIRING TRENCHES FORMS� FLOOR SVSTEM BON� BEAM � STEE SHEATHING FRAME ANO F�ASHING LATHING - IN 01 PLASTER, BROwN COAT ST' TURAL, FINAL HE 3, VENT., REFRIC PLUMBING, FINAL AND G ELECTRIC. FINAL BUILDING FINAL same REINF. 11 DATE 4-10- BUILDING PERMIT ( Res. SUBCONTRACTOR ,�ce. � �- `�9� 9 �� '-�-e�. 36433 �: � „-� ,P�,�.00 Gi�3'> .r'% ^ 1 Zh.OS i , �"` 201 A��p OT eoXE72oo C�OSD7�a nGilEBa,FCnLi ORNAIA 9 626 T Z . W W o- U Z Z a O v~i am Q O� J J m Q U Q Z� aw W Z J Q m z J � W w a z� w� �o f' Z Q ForApplicant to Fill in Completely APPLICATION FOR BUILDING PERMIT REC V D BV D TE RECEIVED DATE ISSUED BUILDING U _r� • XQ@�� O- APR LO 1973 ADDRE55 PERMFTy��N�(1,� OWNER Larwin Southern California A.P.NO. v�,i.� MAIL BUILDING �%�� ADORESS 16255 Ventura BLVCl. ADDRESS cirv Encino, California No� 986-5890 rAacr 7557-B �or 94 e�ocK CONSTRUCTION W ADD A R R P LENDER 1.3T'Wlil Southern California BRANCH 16255 Ventura Boulevard / �' �% � OWNER L //� .�O (.i/i%Ir ADDRESS Encino California VALUEn G ORENGINEEf��1R SO. r.311f, NE�.273-4464 5 /�ES W/�]%�j'�Q�Q $q' /�� FIRE ( ADDRESS 9100 Wilshire Blvd., Bev. Hills ZONE V E GROUP /- APPROVED _ /O� CONTRACTOR Larwin Southern California ev DATE [ ADDRESS 16255 Ventura Blvd. ZON NO.OF USE OF NEWSF.CES w TEL. p�q� gUILDING CITV Encino, California No. 986-8890 oz- STATE CITV vMAIDN BUILDOING ACCE S RV BUILDING uc. No. 191311 LIC. NO. B-1 SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT SG X 93 NOW ON LOT � RONT FT. FT. USE OF EXISfING BIOG. FT. FT SIZE OF NO. OF Newe�oc. 1436 ROOMS STORIES 1 L.SIDE FT. G�.— FT. EXTERIOIi WALL ROOF COVERING StUCCO COVEFING WOOCI shin �.E REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN& MAIN BLDGS. ACCESS. BLDGS. Construction Single Family Residence c uRP # AP ROVED APPROVE ' � J� ^, 7 (/ ✓ HOLD FOR SPE I R� ENTS I hereby acknowledge that I have reatl ihis application antl stete tha[ the nbove information is correct antl agree t0 eomply with all laws regulating builtling construction, antl I shall not employ any person in violation of the workman's comDe�sstion laws of the State ot California. I hereby certity that I am properly licensetl as a contractor under SQ. FT. the Ste[e of Calitornia Business antl Professions Code, Divisicn 3, THE AMOUNT SH N UNDER VA�UATION IS FOR Chaptar 9, and that such licenus are in full force antl eftect, or I THE PURPpSE OF ABLISHING A PERMIT FEE ONLY: am exempt trom the provisions of the S[aYe of California Business VAIUATION antl Protessions Code, Division 3, Chapter 9. PERMIT FEE $ $3. �� Signature �� /J D. Downs � Permitt 4��.G�/N�—� $ ZZ�LOO PLANCHECK $ �LL.SO Authorizatl Ag¢nt TOTAL FEE $ 124. 5�