The URL can be used to link to this page

Home My WebLink About3461 PLUMERIA PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: . CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3461 PLUMERIA PL Parcel Nunmber: 41217320 Applicant: LA LIBERTE, ROLAND Address: 2804 HONLULU AV VERDUGO CITY, CA Owner. BYRNE, STEPHEN J Address , 3461 PLUMERIA.PL COSTA MESA,CA contractor: MASTERSERV INC Address: 2804 HONLULU AV ArchlEng: Address: VERDUGO CITY, CA ; PLUMBING PERMIT Phone: 818-957-8985 Zip: 91046 Phone: Zip: 92626 Phone: 818-957-8985 Zip: 91046 License: 580017 Phone: 2ip: License: SCOPE OF PERMIT WATER RE-PIPE W/ COPPER. NEW SERVICE & RE-PIPE. ,, ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor - Drein, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap ' $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink,�service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS PERMI�T�� P99-00083 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/OS/1999 Issued: 02/05/1999 SumpPump Swimming Pool Trep Primer Urinal Vacuum B/kr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $8.75 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $39.50 QTY 0 0 0 0 0 0 0 0 0 0 0 0 1 i 0 0 EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will resufl in the expiration ot ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION D�CLARATION: I hereby affirtn under penalry ol perjury one oi Ihe following tleclaretions: ❑ I have and will maintain a certificate oi consent to setl-Insure lor workers' compensatlan, es D�oWdetl tor Cy saction 3700 at the Lebor Code, for the peAortnence ol the work for which this pertnit is issuetl. ❑ I have and will mainiain workers' campensation insurance, es requiretl Dy section 3700 0l �he LeDor Cotle, for the perfortnance of ihe work for which ihis pertnit is issued. My workers' compensation Insurence cartier and policy number are: Cartiec Policy Number. (lhis section neetl not be canp/et� ill�e permit is vulued af one hundred dollers ($ f 00) or /ess.J ❑ I certify t�at in Ihe peAorm9nce of �he work for w�ich this permit is issued, I shell not employ any person in eny manner so es to become suDject to Ihe workers' compensation laws of Calitomia, entl egree Ihat I I sho become subject to the workers' wmpensation praWsions of Section 3700 of the Lebor Code, 1 shell fonhwith complY',vi�h these ro,S�py'e��n �J �/ ��"�Q Applicant Signature: ��[,�'�s� Date: �/ WqRNINQ: FAILURE TO SECURE WORKEfiS' COMPENSATION COVERA6E IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TOONE HUNDRED THOUSAND DOU.ARE (5100.000), IN A�DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECfION J108 OF THE UBOfl CODE, INTEREST. AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHA710N: I hereby aHirtn that I em licansetl under pwvisions of Chapter 9(commencing wli� Section 7000) of Division 3 of Ihe Businass entl Professions Cotle, antl my license is In tull force and effect. Lic. k Class q Contractors SignaNre: Qy�� Date: •S� 9 CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that ihere is a consVuction lending agency tor lhe pedortnance of tha wark for which Ihis permit Is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lendor's Address: Signature: Date: OWNER-BUILDER DECLARATIqNS: I hereby aHirtn ihat under penelty ot perjury thet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW far the tollowing raeson (SecJ031.5, Business end Professlons Code: Any ciry or counry which requires e partnit to consWct, alter, Improve, tlemolish, or repeir any siructure, pdor to its Issuance, elso raquires Iha epplicant lor such permlt to file e signed stelement ihat he or sha Is Ilcensed pursuant to the provisions o� ihe Gantrectors License Law (Chepter 9(commencing wilh Section 7000) of Division 3 ot the Business and Protessions Code) Or ihet he or she is axempt iharelrom and the basis tor t�e elleged exemption. Any violalion ol Section 7031.5 by any applicanl tor a permit subjects the applicent to a civtl penalry of no� more Ihen tive huntlred tlollars ($500).): ❑ I, es owner ot the properry, br my employees with wages es ihelr sole compensetion, WILL DO THE WORK, end �he siructure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not aOPly to en owner oi property who builAs or improvas thereon, end wha does such work himseli or herself or through his or her own amployaes, provlded ihel such Improvements are not Intended or oflered for sele. If, however, ihe bullding or Improvement is sold within ane yeer of completion, the owner-bullder will have the burtlen of proving Ihet he or she ditl not builtl or improve for purpose oi sale.). ❑ I, es owner ot the property, am E%CWSIVELY CONTRAL7ING WITH LICENSED CONTRACTORS to conswct tha project (Sec. 7044, Business and Pmfessions Cotle: The contractors License Lew does not epply to an owner of pmperty who bulltls or Improves thereon, end who comracis for such pro�ect with e contracto�(s) Ilcense pursuant to ihe Cont�actors License Laws.). ❑ I em exempt under sec. Signafure: Owner ID ventied by tlnvers IicenSa. ❑ Ves ❑ Na Business and Professions Code tor Ihis reason: Venfication ot Ownership by (rype of tlacument, i.e. - propeM �ex bill or deed): DIVISION OF INDUS7RIAL SAFE7Y PERMR CERTIFICATON: Drivers License No. Date: Ezpires: ❑ I hereby certity lhat no azca�ation live (5) or more teet in deplh into which e person Is requlretl to descend, will be matle in connection wlth work authorizetl by this pertnit, end ihat no building Siructure, scalfolding, felsework, or demolition or dismantling thereol, will be more than ihirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, CaliFomla Atlmiq{strelive Code). ❑ As owner-builtler, I will not employ anyone to do work which woultl require e permit from the Divlslon of Intlustriel Salety, as notad ebove, unless such person has a permi� to do such work from Ihe tlivision. SignaNra: Division ot Industriel Safery Permit Number: Date: CERTIFlCATE OF COMPLJANCE qND AI7TMORIZATON OF EHTTiY: I certify under penelry of perjury thet 1 heve reed this appliwtion entl slate thet the information given is cortecl. I egree to comply with all stale laws and ciry ordinances relating lo builtling consimction, end auihorize representatives ot the Ciry ot Gosta Mesa to anter upon the above-described property for inspection purposes. I agree no� to occupy or allow occupancy ot any building authorized Dy this permit until tinal inspec�ion. �atureOf 9el e Ay �-S �^Date i�i — T An Or Authodze0 AppliceN �'� Date COUE 1. INSVECTIONTYiE 1616 1266 Fized System Finel Fire Preventian Pool Spa Final 200 Final Ra-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Plece 203 Final Sign 204 Final Demolition 2aa6 46 �g � yQQEl INSPECTONTYPE 206 Final Mechenical 208 Finel PlumDing 210 Final Electrical 212 Final Fire Prevenlion 220 Final Planning Approvel 222 FInalSite 250 Final Building/Occupency QAff Itli�ElS z i2-f�`i PT (714) 754-5273 • Fa�c (714) 754-4856 CITY OF COSTA MESA BUILDING DIV/S/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3461 PLUMERIA PL Suite: Vicinity: HOUSE & GARAGE Parcel Nunmber: 41217320 Applicant: BIENEK ROOFING Address: 23532 EL TORO RD #21 LAKE FOREST, CA Owner: BYRNE, STEPHEN J Address 3461,PLUMERIA PL �'., . � - � - COSTA MESA, CA Contrector: . BIENEK ROOFING � 'Address: 23532-EL TORO RD #21 � ' LAKE FOREST, CA Zip: � 92630 Arth : Address: BUILDING PERMIT Zoning: R1 R1 � � Phone: 800-499-1340 Zip: 92630 Phone: � Zip: 92626 Phone: 800-499-7340 License: 651509 Eng: Address: Phone: a PERMIT NUMBER I✓699-01204 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/03/1999 Issued: OB/03/1999 ISSUED BY: — A Phone: � ` Zip - � , License: Zip: License: SCOPE OF PERMIT , ,� REROOF - T/O, INSTALL t/2" OSB BOARD, 1 LAYER OF 30# FELT 8 NEW 40 YEAR CELOTEX PRESIDENTIAL • COMPOSITION SHINGLE ROOF. � Plan Check: $0.00 � Permit: �. $112.25 SMIP Res: � $0.54 SMIP Com: $0.00 � Other: $0.00 Inspection: $0.00 Total: $11279 SETBACKS ACCESSORY PARKING NOTES: Front 0-0 Front 0. 0 Existinq: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Lefl 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0. 0 Right 0-0 : 0 ss,aoo.00 ss,aoo.00 NOTICE: The work authorized by this permit shall comply with all applicable �handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work� for a period of 180 days. . INSPECTIONS: In ordar for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 �WORKERS' COMPENSATION DECLARATION: I hereby attirm untler penalry of perjury one oi Ihe tollowing daclarations: ❑ I have end wlll meintain e cenllicate ol consent to seli-Insure for workers' compensetion, as provitletl Por Dy sectlon 3700 ot the Labor Cotle, for the peAortnence of Ihe work for which this permil Is issuea. ❑ I have and will maintain workers' compensatlon insurance, as required by section 3700 of ihe labor Code, for �he pertortnance of the work for which Ihis permlt is issued. My workers' compensation Insurance carrier and policy number are: �� ^ Cerrier. � P G i� YI Policy Number. � u (Thls secHon n6e�be camp/efed7! Ibe permiNs valued et one hundred dollero ($100) or less.) ❑ I certity tnel In Ihe pBAormence of ihe work for which lhis permit is 15suetl, I shell not empl0y eny person in any manner so e5 to become subject to the workers' compense�ion lews o� Califomia, antl agree that if I should become subject to Ihe workers' compensation provisions of Section 3700 o� the Labor Cotle, I shell fonhwith comply wl�h ihese Orov'�s�'mt5 / / %%n ��J// /7 Applicant Signa�ure: �( l B�G�C I\� \H.(�l�G(' Date: 7J �� WAPNING: FAILUPE TO SECURE WOFKERS' GOMPENS WVERAGE IS UNLAWFUL AN� SHALL SUBIECT HJ EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TMOUSAND DOLWIE ($100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 37060F THE IABOR CODE, IPf�EREST, AND ATTORNEYS FEES, LICENSED CONTRAC70RS DECLARATION: I hereby aHirtn Ihel I am torce and eBect L1c. x_ Gomractofs SignaNre: ot Chap�er 9(commendng with Seaion 7000) of Divislon 3 of the Busineu and Proj essions Cotle, and my Ilcense is In full �/ Class q � — 3 `7 �.�6Ad� � Data: �' � � Y CONSTRUCTION LENDING AGENCY: ❑ I hereby afl�rm that there is e consimction lending aqency for the peAormance of ihe wark for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlets Address: Slgnature: OWNER-BUILDER DECLARATIONS: Da�e: I hereby aNirm tnat under penalry ol per�ury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry o� county which requires a permit to constmct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires tha applicant for such parmit to tile e signetl s�atement thet he or she is licensed pursuan� to the provisians of Ihe Contrectors License Law (Chepter 9(commencing wlth Section 7000) of Divislon 3 oi Ihe Business entl Pio�essions Code) or ihat he or sfie is exempi therefrom antl the 6asis tor the elleged exemption. Any vlolation of Section 7031.5 by any eppifcant tor e permlt sublects Ihe epplicent to e civil penelty ot not more ihan live huntlretl dollars ($500).): ❑ I, es owner of the property, or my employees with weges as their sole compensatlon, WILL DO THE WORK, and iha structure is not intended or oXeretl for sale (Sec. 7044, Business antl Pmfessions Code: The Contrectas Licensa Law does not appty to an owner ot property who builds or improves thereon, end who does such work himself or herself or ihrough his or her own employees, provided ihet such Improvements ere not imentletl or otteretl for sale. If, however, the building or improvemant is sold within one year of completion, the ownervbuilder will have the burden of proving Ihet he or she did not build or improve for purpose of sale.). ❑ I, as ownar of tha property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRAC70RS to construct the project (Sec. 7044, Businass and Professions Cotle: The conirectors License Law does not apply to an owner of property who builtls or ImO�o�es �hereon, ana who contracts tor such project with e coniractar(s) license putsuent to the Contrectors License Lews.). ❑ I em exemp� under sec. Business end Professions Cotle for lhis reason: Signature: Date: Owner ID verified by dnvar's licensa. ❑ Yes ❑ No Dnvers License No. Expires: Venfication of OWnershlp by (type of documeN, i.e. - property tes bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hareby c�hlty Ihat no excevation five (5) or more feei in depth Into whlch a person Is requiretl to descend, wlll be made in connection with work authorized by ihls pertnit, and Ihet no builtling strucNre, scattolding, falsework, or demolition or dismantling t�ereof, will be more then thirty-six (36) feet �Igh. (Chap. 3.2, Grp 2, An 2, Sec. 341, Ttle 8. Celifornia Administrativa Code). ❑ As owner-builtler, I will not amploy anyone to do work which would require e permlt from the Divislon of Industrial Sefery, as noted above, unless such person has a permit to do such work irom ihe division. SignaWre: Date: Division of Induslrial Safery Permit Num6er: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cehity under peneHy ot perjury that I have read this application end state Iha� lhe intormation given is correcL I agree to comply wi�h all stete laws end ciry ordinances rela�ing to builtling constmction, end authorize representatives of the Ciry of Costa Mesa to enter upon ihe abwe-described p�opany tor inspection purposesJ agree frot to occupy or allow occupancy ot any bulltling euthorized by this permit until 11na1 {nspection. ignat re Oi L a Owner�s) Det �o-�.� �. , l,w,-.� �'3 �- � � AndlOrAuth ed Applicant Date COOE �. �y$p�qtl.IYPE 161fi Fixetl Sys�em Flnal Fire PreveNion 1266 200 201 202 203 Pool Sp8 Final Finel Re�Roof , Final BIa�WRetelning Well Final Fectory Fira Place Finel Sign 204 Final Demolition 264fi 46 �g � ri � i/ ►• COOE I INSPECTION TYPE 206 Final Mechanicel 208 Final P1umDing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Oaupancy P�SIE � INTITIAlS Z�J \ Applicant lo fill in all 50aces except lhose within Ci7Y OF��OSTA MESA CONSTRUCTION PERMIT ' hoject A<1Uress 3�0� �'�/��/�'�ie.2/A ST ' . Applicant'sMailingAddress �7�1' �lL"�1�Li%f ST ' Owner's Name s��` �'7� �-� Phone � Addresu• ' '3�� P'�Uy�'4' � Arch/Eng. �� icense No. ��8� Address �07J /�..G;d.[Li✓4 Av� COS7•a .v.l.iR Contracror's Nama �� /A.C. Phone SSb-7/bj Addresslmailingl— ��>S 2�`+a.GYML/ fi'=� G'4 �/�iZG'-" City License No. � 3 S 5.// LfCENSEp CONTFACTOR �ECIARATION 1 hereby af/irm that I am Ilcensetl untlar provislons of CM1arter 9(commencinq with section ]000) ot Division 3 o� Ihe Busine55 antl Prote55ions Cotle, antl my license is in full force a tl effect, License CIaSz � �� Li� e No �C�S� oate Z^Z�e-b c'e�a+ . 'ORKERS'COMPENSATION D�C ATION iereby a(tirm Ihat I have a certificat of consent to seli-insure or a certiticate ut Workers' Compensatian InsurBnce, o� a certNietl copy tltereof,(SeGtion 3800, �ab. C.Lp PolicY No. %h �Z$3'-�� ComPanY s7'�1Cs �ND �Certi/ietl copy is hereby furnishetl. � , Certl etl copy pisFf �letl with the city Builtli Ivis en. ��:. Dale �' �" r� APPlicdnt � � � EXEMPTION FROM WORKERS' COMPE7 SATION DECLHRATION� (Tnissection neetl nol be completetl if thdpe�mit IS for one huntl�etl ($100) o/ less). I certity lhat in Ihe pe�formance bf tho wo�k for which this permit i5155uetl � L shall not employ any person in nny manner so as to become subject to t{�e) Workers' Compensation Laws of CaliPornia. • ' Date Si9natUre � �NOTICE: If, atter makinq this tlecla�atlon, you shoultl become subject to the Workers' CompensatiBn provisioqs o/ the Labor Cotle, you must forthwith �mmpty wilb such�p�ovisions or tltis permi[ shall be tleemetl revoketl. CONSTRVCTION 6ENDING AGENCV ' 1 I hereby atfl�m lhat lhere i5 a mnstructlon 1¢ntlin9 agency fo� [he performance ot ihe work for which this Ae�mit is issuetl (Section 309] Clv. C.) Lentler'S Name � Lentle�'s Atltlress OWNER BUILDEH•OECLARATION p I hereby dffirT Ihat I am exemDt trom Ihe ConVacto�'s License law�for [he � foilowing r¢ason (Section �031.5 Bu51ne55 antl Protessional Cotlei Any,city or �t t tl li h or'�e ir 0 counly wbicn rcqunes a.pe�mi O const�uGt, al[e�, �mprove, emo s pa any sVuclure, prior,lo it5 i55uance, also reqW�es the applicant tor suclt permit to file a signetl stdlement that M1e/she Is Ilcensetl pu�suant to the piovisions of he Contractor's License Caw (Chgpter 9(commencing wi[h Section �000) of )ivision 3 of tM1e Business antl Professions Cotla) or thaf he/she is exempt �herelrom antl the basis for the dllegetl ez¢mptlon. Any violation of $eclion 7031.5 by any aDPlicant for a permit subjec[s [M1e applicant to a tivil penalty of not more than five nuntlretl tlollars (5500). ❑ I, as owner of the properTy or my emPloyee5 with wages as thel� sole wmpensation, will tlo the work, antl lhe s[ructure is not intentled or ofteretl for sale (Section 7044, Business antl Profe55ional Cotle: The Contractor's Licenze Law tloes not apply to an owner of a oroperty who builtls or improves thereon, antl who tloes such work himself/nerseH or through his or her own P.mpinyCGs, plOvitled tM1at such iTprOv¢menti dfe nOt int¢ntletl oI offBretl to1 sdle. I1, however, the builtling ar improvement I5 Soltl withln one year of com- pletiOn, the owne� will have ihe bu�tlen Of Provin9 ne/she tlitl not builtl or im- prOve for the pu�po5e of sale). ❑ I, as owner ol the properry, am exclusiv¢ly contracting wit� Iicense0 com t�actors to cons[ruct tM1e pro�ect (5¢�tion J044, Business antl Profe55ion5 Cotle: The Contractor'S License law tlp¢5 not apply to an owner of property who builtls o� impwves thereon, antl who contracts fo� SucM1 projects with a con- Vactor(51 license pursuant to the Conlracto�'S Litense Law). I am aware that prooi o( their Wo�ker's Compepsytion insurance shoultl be provitletl to me. ❑ I am ax¢mpt untler Section B. & P. C. for 1n15 reason Date I hereby certliy tna informaUon is correc antl state laws rclatii Sentatives Of IhiS ci inspection purposes Signa[ure Orivers' LltenSe S! IF 0865-46, rev. 30/84 Owner i na I ay ta b f0 # i this applicalion antl state that the above comply wi[h all clty antl county ortlinan�es g construCtion, antl hereby authorixe reore- �jup��o�n the above-mentionetl property for TLK�t� Date ..f S'�y ../ , .. . =j 33"1 � �ss TVPE OF CONSTRUCTION rvE� ' O CONVERSION ❑ DEMOLISH DESCRIPTION OF WOFK/USE OF B 7'0 /.�- L.+�/�G*� � /�� TVPE OF PERMIT GRADING O TENANT � ELECTRICAL � ❑ OTHER Doraer lines anG sign all avCrovriate tleclarationz. \ \ LOTQN' UNI`NU. ADD REPAIR IFOUNDATION 1G15TRVCTURAL PLVMBING � MECHANICAL PROJECT DESCRIPTION S�.FT. '� �� OccUvnrvCv CONSTRUCTIONTVPE � VALUATION$ �' ZONE GftADINGGU.YDS. ACRES_ Remarkf p pC'_ �u �D I��•�`' :> {�G �t" 2°13- _ P Bar Sink BacKNow Preventer BacNfi�ow Irrigation Bathtutis �Y/E Claf�ers Dishwasher Drinking Fountains Floor Dreins Floor'Siriks GasServ,ice ��, � Outl�es Intercepmrs 'r' Kitchen Sink Lavatories � P-T.rap � .4� RonPDrains �' (i Feinspeetion Fee � $15 Boiler Duct- UnderGround Duct - Structural Duct - Ventilating Ezhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # 31q�j Heating System & Ducting ❑0.100,OOO�BTU 0100,0006T White� 6uiltling; Canary - Applican[; Pink - AccoUntln9: Goltlenrotl Fee � S15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water.Heater Water Service Laundry,Trays Issue Fee ANICAL Hoodor Typel ❑ Canopy Type II ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers Registers �a r/L Issue Fee FEES A.P.# �}IZ — S Main Building: E Front 'Q T ARear C Right SLeft . C�- �' Ping. Ref. # �� _ Planning Notes: � Automatic Washer Consiruction Pole Cookin� Unit Dishwasher Dryers ❑Gas C Fan F.A.U. Fixtures - L,p zo�e Accessory Buildin9: 2 O N I N G R _ ,i,�, Parking Req./Provided E � !%y� M � � T S � ELEC - Transformer ❑ 15-50 KW ❑ 50+KW Meter LJup to 100 amps Meter �over 100 amps lectric ' Sub Panel Motors DO-1 HP �i f- 8 Ina Solar �9�15 HP �16-75+ Microwave .Pole Light Switches [7- �� - - Garbage Disposal Generaior �0.5 KW �5-15 KW $ 3 I � Reinspectian Fee $15 FEES �EVELOPMEN7SERVICESREQI ZoninB Approved 8y Buildin8 APProved 8y Appliptian luuad By Standing Sections luue Fee SUMMA V OF FEES �-�� BUILDINGPERMIT $ 2 •�J SMIP $ —J___,;.G— PLAN CHECK $ PERMIT PLUMBING $ �I� ISSUANCE $ PLAN CHECK 25% $ J~ ENERG� P.C. $ ELECTRICAL g � GRADING 5 PLANCHECK 50% § �'�-_�a MICROFILM $ � MECHANICAL $ �{� TOTAL FEE $ 3�Z PLANCHECK 25% g ��'r_ . aT •� � .I CONSTRUCTION AND PLANNING POOL & SPA i � Date •. :Inspector =' Date Inspector APPROVALS �Permit# - • APPROVALS Permit# , � t.. 1: 'femporary Elect�ical Service or Pole 52. Pool & Equipment �Location . 1 . .�. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement� � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms �. 4. Electrical Condui[-Undrgmd. 55. Electrical Bonding u �' 5. Steel Reinforcement 56. Rough Plumbing &'P�essuie Test S: 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER ,GUNITE , r 7. Footings � . b � 58. Electrical Conduit-U�drgrnd. , !�8' Found3.tion ' 59. Gas Pipe, O Undrgind� TesY � 9''Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap,�� Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � ' � 11. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final .� •; � �. 12. Sewer Cap � � 63. Heater & Vent-Final �. ' •� � ; � . r 13. Roof Drains ! 64. Plumbing System - Final � -- • 14. Rough Plumbing C-Z,D�')' (k!) 65. Electrical-Final �' , 15. Rough Electrical-Conduit 66. Solar SYstem-Final � 16. RoughElectricWiring /' �� iD-�6 67. Fencing & Access Approval 17�. Rough Wiring�Sign � 68. APPROVED FOR PLASTERING �18: Rough Electtical-T Bar Ceiling �- 69. POOL/SP,A SYSTEMS FINAL ' � 19. Rough Heating & Air Conditioning �� L�j FIRE DEPT. REQUIREMENT �� ' 20. Rough Factory Fireplace ��_ /� � APPROVALS Permit # �• w� 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing `�} 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing r� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' �. 27. Frame and Ftashing 76. Dry Standpipe � . 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation G�j�j� L,1�j 78. FIREPREV.FINAL 30. Drywall Nailing l � HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 'j � 79. FINAL INSPECTION '+ 32. Electrical Power Meter-Final . FOOD CERTIFICATE ISSUED ' 33. Final Electric � � tes:go� �O� �C� �'QU��'�', ,� 34. Final Heating & Air Conditioning 7.�.� L� Q ` .� 35. Final Gas Pipe-Test - - �% 36. Hood or Canopy ,� 37. Final Factory Fireplace 7.��Tj �� - - 38. Final Plumbing ' ��6�� . - 39. Water Service�Final � ' 40. Gas Service-Final ' "J 41. Solar pomestioFinal � . ' - - 42. Backflow Preventer � ' 43. Backflow Irrigation - � ,' - . � - 44. Landscape Irripation System ' . � ' ' - � �� 45. Sound Attenuation � ' ', l. 46. fiandicap Regulations ' . � , � 47� FINAL STRUCTURE & BUILDING � � � ' � ' ' ' �48. Special Fequirements Completed � � � � 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co " ' ,• % 51. CERTIFICATE OF OCCUPANCY • No. Date _. r ' ' "' COMMERCIAL � � N � Q U cci � a� � � � O U � Q b4 ❑ "O � � � s E � �� 7G�1 GENERAL City Of Costa Mesa 77 Fair Drive Costa Mesa, Cailf. 92626 CONSTRUCTION � CONTRACTOR RE: Stephen & Kathleen Byrne 3461 Plumeria Pl Costa Mesa, Calif. 92626 Permit 4l G 33744 City Building Department, This Letter will serve as a Certification from Doyle C. Forth & Co., contractor of record as, 1.Class C Shake roofing has been applied as per manufactures installation. 2.R-11 and R-19 Insulation has been installed as per plan and as per man- ufactures installation. 3.Existing drainage conditions remains the same, except as per plan concrete patio receiving water will distribute the water to the front yard bubbler as per plan. 4.A11 special requirements from planning department has been completed on July 28, 1988, RE: brown line reproducable grading plan. S.Weatherstripping 2 exterior doors will be completed by owner 2 weeks after final application of paint to the doors and jambs has been made. Thank you for accepting this letter as a certi£icate £or final inspection of permit ll G 33744 CC: Planning Department Stephen & Kathleen Byrne ��` 2 9 ,sas � Sincerly C. Forth o/ir� 29, /�?� STATE LIC «54306 r►i �a1�a o o�,-r��r�a, �CVVPIIrV MN 1 CRIP1LJr oev�d. ' AiLANTIC-PACIFIC BUILDING NIATERIALS, INC. 1859 W. RO�ECRANS AVENUE 9525 DE SOTO AVENUE GARDENA, CA 90249 CHATSWORTH, CA 91311 (213)321-1050 (213)324-1196 (818)882-7867 (213)873-3511 s, casEt .r_t.�s•r��nrr•; a i D 7 O DEIIVERY INSTRURIONS: N 1606 HAMNER AVENUE NORCO, CA 91760 (714)734-4250 � "Our �erm� io ouaLfied ocmunu are ne� paymem due iAs IO�h of �he followmg momb Lom daie ol invome. A fimnce charae of I h% par mo�m, wn��n ��. n IBY. onnvol percemaBe ra will be c6oped o all onpaid bolonces ow� JO dop. in iFa rvmi leqol oaiion . y4an �o aollen a pos� due «couni. �he bvyer v.pre�aly aqree� io pey oll mlleaion mm aa well m o wm eaool �0 3�%% oh ibe omoem due m and Iw mmmay'� leeal' MINIMOM N�NDIING CMARGE OF ]0•/. Wlll !E CN�IIGED OH AlL RENRNFO AUT[RIAlS. DEINEFY ACRO55 AND BFYOND NRB lME Ai BUYER'S RISK. ABOVE MONIE.°� qRE pAYA&E AT GAROENA, C4lIfORN10. THE ABOVE MFRCHAN� 01SE IS SOID O"1 A M£CHANICS LIEN BA515, UNlE55 iME RIGNi LO FIIE A MECtUIJICS IIEN IS HEREIN SCECIFlCALLY WhIVEO. SPECIAI ORDER MEKHAND�SE IS NOi REiIJRNABIE fOR CREDIi. All iERNS ARE NEi; NO DIXWNi IS ALIOWED. Np SqORiAGE QAIMS WILL BE AllQ�2D UNtESS REiORIFD WIiHIN iORtt-EIGHi (�B) IKK1R5 Of DELNERY. MERCHANDISE RETURNED fOR CRED�i IS SUBJECT i0 A 40 VFRCENi (]09 ) HANpIING CHAGGE. iHFRE ARE NO WARRANTIES, �(pRESS OR IMDIiFq FROM SELLFR AS i0 THE OUALItt, fliNE55. NRARABIIRi, �EFECfS ffRFOW.INNQ OR ENO RFSII�i$ pG iHE MAiER1Al�5) SOID HEREUNDER, AND BUYER ASSUMES A1:Q151(5 ANO IU�BIIIiY ARISING FRQN THE USE OP 5�H MAiERIALS, WMEfHFR USED SINGLY Q'! IN COMBINATION WIiN O1HER SUBSiA1Q5. UEINEFIES ARE M40E TO iHE CURB OMY NNO IN tHE EVFM iHAi BUYER RFpUE5T5 .� �FNtRY i0 BE MADE INS�DE A CURB, BUYER HEREBY HLFAYS AND AGRFFS TO HOLD $Et1ER HP.FMlE55 FROM ANV AN� A�l f�qINS fOR �GMAGF RRISING OUi OF SIIfN IIFIIVFPY. YIILQ SHNL NOL BE HFIII PFSM]NSIBIE FOR ANY SELLEF� MT, IN IMt fVENi OF $AIO tNIIUNt, PLLtXq{[ SNIVMEMS IN /WY MANNtN iHE SEILE REAYJNA&E. OGIGINP! INVOIR NUMBER MUST B[ GMN i0 REQNE CREDIi ON REfURNEO MF HEVEBY AGREFS i0 Plt OG tHE nBOVE iERMS i0 INOUQ SELLER i0 YLL AND DEIMR iME ABOVE a f.1�:...:%i3•�i :�i461 F'I_.1�7'�F'r;I'r't CU:i I t=1 1tiL3A a =13`iii u,� �5.� 2'� i i:; F3 h � ;.r.�.;DZ1..L 'ii 1i ! V _ ::!i)Ul7li0\1 , .s.:� :;AJ'F� FIIE COPY A90VE GOODS RECEIYED IN GOOD ORDER ,, � Z�� - '� ,, CITY OF COSTA ME. _, " BUILDING SAFETV DIVISiON � � POST IN CONSPICUOUS PLACE - . � ON THE JOB ..�i NOTICE ' .� You must furnish PERMIT IdUMBER and the JOB ADDRESS �FOR EACH� RESPECTIVE INSPECTION. CALL 7545627. , APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. A. P. NO. �I t 2- � 7'?� - L,� TYPE GROUp V h-1 ( Z �t BUILDING ADDRE55 3L1�, � '��..li i11;�. �21h�� ; ., � . NEW ADO � OWNER VSE �; , SETBACKS � FronY.Yd. Side Yd. L R Rea '-'.�-� Side Yd. `L' ir R7`�" -� Rea . . �.n I,'�4�if . �CONSTRUCTION AND P ANNING;p� �� ' Date AAPROVALS Permit # . . � .., � 1. Temporary Electrical S�rvice or Pole 2. SOiI Pipe-Undrgrnd. ] C 3. ElecVical Conduit UtilitysUndrgvadn 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement � 6. Electrical UFER Gmd. � 7. Footings 8. Foundation � ' 9. Water Pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Rppf Drains �� Rough Plumbing 15. Rough Electrical-Conduit � � 16. Rpugh Electric Wiring � 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning �' � 20. Rough Factory Fireplace 21. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test . Zd, Rnrf F2minn . or -5627 �� y ,�� 32. Electrical Power �.rFiriaf 33. Final Electric 34. Final Heating & Air Coi 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water $ervice-Final � 40. Gas Service-Final � � 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed POOL & SPA APPROVALS Permit# � 9. Pool & Equipment Location � :.:.'u� � � 50.. Steel Reinfarcement� � � .51. Forms � Inspector � ' 52. Electrical Bonding 53. Rough Plumbing & Pressure Test 54.`APPROVAL TO COVER-GUNITE 55. Elect�ical Conduit•Undrgrnd. 56. Gas Pipe, ❑ Undrgrnd., Test � 57. Backwash Lines, P-Trap, O Undrgrnd. 58. APPROVALTODECK 59. Backwash & Receptor-Final 60. Heater & Vent-Final 61. Plumbing System - Final 62. Electrical-Final 63. �Solar System�Final 64. Fencing & Access Approval � 65. APPROVED FOR PLASTERING �' � 66. POOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit# 67. Underground Hydro 68. Product Piping O Gas ❑ Oil � 69. Underground Flush � 70. Undergrnd. Storage Tank O Gas ❑ Oil 71. Overhead Hydro . 72. Dry Chemical � . 73. Dry Standpipe , ��,.--.. .,.-_. , . � t • ,� -av �- : � CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT �. Developer/Applicant: � ��N � 71n1 t,7LL��v �i��C Address: �� i�-L�MFIZI� l/L �' t 1'elephone Number: �� n � S �� T�ract/Parcel and Lot Number_(s): > \� � � _ .�� /� n Location of Project.: :�t�'� � �S N-I`�D��i � �. : Number of Square Feet of Residential Space -3oO x $1.50 �15 � , Number of Square Feet of` \� }�" �' Commercial and Total � _-�/� v _ Industrial Space � x $0.25 Total �`,i' The provisions of Government Code Section 53080 are not � a`PPlicable. - , _ :�,_.. , - v� .. • _ `� This certifies�-that'the`ab�v'e=n'amed'�De'veioper/Applicant �h�a.s,�paid school facility fees in compliance with Government Code Sections 53080 and 65995:'- .. ---�* _'� "� � " � �_ ^. Checks are to be made payable to�Newport-Mesa Unified School �District. /� �^. � ///�� ,%%%i . � � ` ' y �/ (Y..'c::1;�J2lR/hH/ �. , ' � � y,�,,�� —� . '� Busine�s Manager Newport-Mesa Unified School District The above representation as to square footage is true. tDe�eloper/Applicant agrees that if it is later determined that 'such representations are not true then this certifical-e shall automatically terminate and the appropriate City/County shall be l notified. � l' - - ' ___I / ` � �. � ueveloper/Applicant (f - �ri�� ,U �. �Y�N� i i � N � � � Q U c� � a� � � � O U ai Q C 'b '� GG v'� s r. COMMERCIAL � .0 � � ��, GENERAL City Of Costa Mesa 77 Fair Drive Costa Mesa, Cailf. 92626 CONSTRUCTION CONTRACTOR ��T� CRECEIVFD �FVEiov,venT F COSiA MESA £E;.Y�CES DEPR�4�MEN7 JUl. 2 9 f,9�;3 �'�`0�9��d�/,�$�61��t�B�t�: 8 RE: Stephen & Kathleen Byrne 3461 Plumeria P1 Costa Mesa, Calif. 92626 Permit lt G 33744 City Building Department, This Letter will serve as a Certification from Doyle C. Forth & Co., contractor of record as, 1.Class C Shake roofing has been applied as per manufactures installation. 2.R-11 and R-19 Insulation has been installed as per plan and as per man- ufactures installation. 3.Existing drainage conditions remains the same, except as per plan concrete patio receiving water will distribute the water to the front yard bubbler as per plan. 4.A11 special requirements from planning department has been completed on July 28, 1988, RE: brown line reproducable grading plan. S.Weatherstripping 2 exterior doors will be completed by owner 2 weeks after final application of paint to the doors and jambs has been made. Tnank you for accepting this letter as a cartificate for final 'znspection of permit �1 G 33744 CC: Planning Department � Stephen 6 Kathleen Byrne Sincerly, C. Forth �� 29, /96� STA7E LIC N<Sd306 PLICATION FOR A BUIIDING PEF /� BUILDING PERMIT NO. E�ectr�w� m Tract � �/ Blotk Lot � Pormit No. � /' I ' PIum0ing a BUIltling �i^ / /u Permlt No. � Adtlross G � ��(,�MQr%q v (% L � Cross / MeChanlcal C qroa a �� / Street � Permit No. � % Owner � / �� TYOe of Roject: ❑ New ❑ Alter tltlitlon f• A441855 3 b� � 4 ¢r� ❑ Rapair ❑ Convert ❑ Demo ❑ Occupancy Pmt. Clty Zi0 Phone A.P. Sup. Dist./ Za C< � 6'� InsP. Area Architect/ Dosi9ner Llcense No. Zone Spl. Pmt. No. Setbacks P/L Front C/L St. 5[reet Witlth Atltlress Vartls Le g ear Clty Zlp Phone ave ro�. e g . . «, En9lneer License No. � ark n9 Spaces equ ro rov e overe n Atltlress m CI[y Zip PM1one Struct No. of No. oT Heigh[ $to�les Family � LICENSED CONTRACTOR'S DECLARATION 7ark Fees ves Fee m I hereby et/irm that I am licensed under provisions of Chapter 9 Requirotl No C.T. Receipt L (commencing wixh Section 7000 ot Division 3 of the Busineu antl Zoning ApProvetl By: Date �. Protessions Coda,6J�d my licensa is in tull force end ,a..ff8 ct). � Licanze Claez �3 �i anse Number „1/V z > Data� 7-�J C nt /i� /��Qr ,/7. O�:r:Si�"��r Mist. � AtldraSs ��1� /��I.14I�Oa C_r �oPoseA Use ji City end Zip �374 /✓%OJw Phone � 6 _ of Strutture v� CONSTRUCTION LENDING AGENCV � I hareby affirm that [here is a conshuciion Ientlin8 agency for [ha a performanca of t�a work tor which this permit is issuetl (Sec. 309], Occ. Typa Cotle ` Civ. C.1. Class ConsL Vear m Lentler's Nema USE/OCCUPANCV SIZE SQ. FT. � Lender's Addrnss J OWNER-BUILDER DECLARATION Y 1 hereby affirm that 1 am exempt from the Coniractor's Licenea Law 1� A for the followinB reasOn: � ❑ I, es owner of the proparty, or my employeas wi[� wages as their 2� sole compensation, wiil do t�a work, antl [he s[ruccure is no[ t intantleO or ot(arotl for sale. i' 3. 3 ❑ I, as owner ot the property, am excluzively contracting wit� licensed coM�actors to conrtroct the project. r ❑ I em exompt under Sec. , 8&PC for this reason 4� N a DBt OWner E WORKERS' COMVENSATION DECLARATION 7otal vaivatlon � i ne.ob� efn.m ehax i nave a cortiticave of consen� m zeit-insuro, Encroacbmont Permit RequiraC ❑ Vas ❑ No « or a cartificota of Workers' Compensatian Insorance, or a certi(ietl � copy <haroo . / GraCing Pmt. Gratlinq � PolicyNo. b2� Company sr=rte FkN� RequireU ❑Vez ❑No PmLNo. �a �Certitied copy is �ereby furnished. Rough Gratling y Qa ❑ Cartifie� e<q,�y ts filad with O�un�t/�_ C�ounii� EMA. `p Oate 7-Ld's�— APPlicant_LC.+�ifi /J_ �� APProvatl by: Date 3 CERTIFICATE OF XEMP710N - FROM WORKERS'COMPENSATIONINSURANCE Z lThis section neetl not be comple[atl it permit is for $100 or less). � I certity ihet in t�u pertormance o( Ihe work tor which this permit is � issuetl, 1 shnll not employ any person in any manner so as [o become �p subjact to tha Workeri Compensation Laws of California. PERMIT FEES Datu Appliwnt NOTICE TO APPLICANT: It, atter making this Certiticate of SVuctural E Plan Chetk § Exemption, you should becoma s�bject to the Workers' Compensation provisions of the Labor Cotle, you mus[ torihwilh comply wit� s�ch Electriral y SPecial = prOvisio�i or this permi[ ihell ba deametl revoked. Invezt. I CERTIFV THAT 1 HAVE READ TNIS APP�ICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO %umbin9 E COMPLY WITH ALL COUNTV ORDINANCES AND STATE LAWS RELATINGTO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechaniwl E Ofl12E REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE ABOVE MENTIONED PROPERTY FOR INSPECTION PUR- Re-GraCa POSE Inspection S .�o�. A. �,�{ '� 9-3-J� Pre-Gratle Permit Signetu— e aTf Applicant or qg¢nt (� Print A lican['s/AganYs Name All spaces within this box must be rnmpleted to proeeu P�an Issuance C�eGk By: ADP�oveC: CMF 0335-06 (BU-28) rev. 6/80 1�� :VT�. �/ -. DATE / The developer of the above er.ticled tract desires co sell the above set fort'r. lot prior to the time that the tract has been completed and its streets zccepted 'oy the City o� Costa Mesa. ihe ur.der gned, by executi^g t:^.is 2greemer.t, acknowledges th2t " .:�-they) ere)yr��_ advised that this tract has ::ot bee.^. givan _'^:a ir.spec;ioa nor has it been accepted by the City of Costa'fesa 2s Y:avir.g c�plied with the conditioas of approval which were imposed by the City at the ti�e the final t.-act mao was approved. TI:e City assu::.es ^.o li2bility fot the er.force.^.:ent of the co^ditior.s necessary for approval other t'r.aa those conditions pro:ected by surety bond. The undersigned agrees to'i^da:.nify and hold the City har,nless f:oca a^.y clair:: :esulting in da^�age or personal injury to tce ur.dersigned by reaso^. o= t: e aforea:entior.ed uncor.,pleted condition. R�CEiV�� CITY OF COSTA MESA PIANNINl: DFPT. OCT 11�i3 AM �b} 7'�s�y,� �t:�.r�P4,s,ff � rsvc�r�ser ' V ,. � � � _..�- �. BY /�-�: - %P--_r_� 1� / d�. .r15: CT` Developer a^d/or authorized represer.ca�ive �-% 7 BY �z-.�.�!�::_ l�%.-,T... Lender OWNER JOB ADDRESS s DATE 4-10- LOT A7 TRACT '75578 FIRE ZONE VAL NS PROP. SWR. LINE �.ITOUSE CON. SPRINKLING SYSTEM UNDEftGROUN� I� POWER BONO BEAM U STEEL REINFORCE SNEATHING FRAME AND FLASHING LATHING - IN� OUT PL!' -R, BROWN COAT ST JRAL, FINAL HEATING, VENT., REFRIG. AND A.C., PLUMBING, FINAL AN� GAS TEST � ELECTRIC, FINAL BUILDING, FINAL SUBCONTRACTOR �� . � 3b4� � "201 �gCOSTA MESA BUILDING-SAFETY DEPARTMEMT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant ro Fill in Completely sui OWNER Larwin Southern California, In� ADDRES�6255 Ventura Boulevard � � CITV sanNCHl6255 Ventura Blvd. ADDRES�(�C�f10, California 9i316 ARCHITECT TEL. OR ENGINEER L41'Wlfl SO. COI. NO Z%3-4�E nooRess910p Wilshire Blvd. Bev. Hills, Ca. CONTflACTORLUfWIfI $outhem California, Inc aooaess 16255 Ventura Boulevard, Encino TEL. ciTv Fnrinp� C'nlifomia "0 986 8fi5 L C No. 191311 LICVNO. B�� OF LOT 62 X 96 I NOW ON LO O USE OF EXISTING BLDG. SIZE OF NO. OF r,ewa�o�. 1436 ROOMS STOFIES 1 EXTEPIOR WALL ROOF COVERING S�I1CC0 COVERING Wpp(� shingle VSE OF BUI�DING AND WORK TO BE PERFORMED Construction Single Family Residence "��1i-7?�Aj`OQ 634<> ' ::17_G.�� Sce �etx',e � ��... � 9�,�,;a APPLICATION FOR BUILDING PERMIT REC IV D BV D�gTE RECEIVED DATE ISSUED `�`''�O - APR 10 19T3 n o .i.. �'� PERMIT'Nr1'l! 1 BUILDING � ADDRESS � TFACT �� FIRE ZONE APPR � �.� �2oD LOT $J BLOCK ic...,� L ;A�LU$ � GPO!UP DATE7 `Id�%• )NE,� _/ NO.OF� USE OF NEW SF KEs fG PLANS BUILDING T 6AR- VAROSAPPqOVED YARDSAPPqOVEO MAIN BUI�DING ACCESSOPY BUILDII POM GL STqEET) REAR /� DISTANCE BET. MA1N BLDGS. VAR. � C.U.P. � HOLD FDR 1 hereby acknowletlBa thax I hava read this application antl state that the above intormation is correct and aB�ee to comply wllh ell laws reBulat(nB b�iltling tonstruction, and I shall not emplay any person in vlolation of the workman's compensaiion laws ot M¢ Stata of Californla. I hereby certify that I am ptoperly licensetl as e conttactor under Me Stata of Celifornia Business antl Profeuions Cotla, Divisicn 3, HE AMO Chapter 9, antl [hat such licanses are in full torce antl effect, or I l}iE PURM am ezempt trom t�e provtsions of the Stete of California Businass VAIUATION antl Professions Cotle, Division 3, Chapter 9, s�a„a��a �/J�J/f D. Downs Permitte �fs�G� / ✓x ' S 22 � ].OQ Authorizatl Apant BET. MAIN & ACCESS. BLtT DATE APPROVED FEE m � 0 /ATION IS FOR � IMI7 FEE ON�Y: m ¢ 83.00 °�° 1 0 E 0 124.50 LL OWNER B�E� STEpHIN JOB ADDRESS 3461 Plwneria Place GF"°RAL CONTRACTOR RnaPr Tl_ Whi< A ,. 412-173-20 LO7 8�� T INSPECTIONS 5�� GAS W ATER ROUGM PLl1MBING PROP. SWA. LINE � HOUSE CON. � SPRINNLING SVSTEM MISCELLRNEOUS ROUGM NEATING ANO AIR CONOITIONING TEMPOFnRY SEPVICE OR POLE UNDERGROUND [] POWER ROUGH WIRING � TRENCHES FORMS $TEEL PEINF. FLOOR SVSTEM � BONO BEAM STEEL REIHFORCE � SHEATHING �i FRAME ANO FLASHING �LAiNING — IN� I PI 'R, BROWN COAT 0151 fUR4l., FINAL � MEATING. VENT., REFRi aPLUMBING. FINAL RNO BWLOING. FINr1L A.C.. FINAL DATE TION FIRE ZONE VALUE TVPE GROUF SUBCONTRACTOR t e w� � � COSTAMESABUILDING-SAFETYDEPARTMENT APPL[CA'fIO1V`FOR'STRUCTURALPERMIT ' P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626 � - � RECEIVED V �_,— ' 63 TL� For Applicant to Fill in Completely — Use Ink Only � N- 'S Q 6 1 4� � ADORESS �,�� i4 A'P'N�' �Z— t CS�/yJ /J BUILDING �7�/- ` v�� OWNER OR S�Q �N /J /NZ ADDRE55 —� io � TENANT UNIT OR MAILING S4� � SPACE NO. ADDRE55 T .NO. LOTg� BLK. CITY �� NOL S �39�p � NEW ADD ALTER REPAIR MOVING DEMOLISH CANSTRUCTION LENOEF � BRANCH OWNER e �/yL. � ADDRESS nM^' �� , VALUE$ On� noruircrr rc� USE /�< /�y CONTRACTOfl �— �,�J ' ,r BV u/ait �,�p�,/ ADDRE55 % P�,(� Q� � TEL. CITV � �0. NO. �S�' � � STATE CITV APPROVEDSETBACKS � LIC. NO. [�� Q � LIC. N0.2Q,2 �,y SIZE NO.OF BLDCS. (FROM C/L STREET) , 0. OF LOT NOW ON LOT ROM FT. � USE OF / EXISTING BLDG. �' N i `I � F y � Separate permits are required for L. SIDE Fr. � electric, plumbing and heating work: REAR 8�5 FT. 4 USE O BUILDING AND WOfiK TO BE PERFOFMED PLqNNING ACTION (7 � DATE �y a��J � APPROVED ( 3 � � APPROVE �-1 � �' � ..1 � W � I hereby acknowletlge that I have reatl this applicaiion and staie m y� that the above information is correct antl agrae to comply with a all laws ragulating builtlin8 construcNon, antl I shall not employ > ,'� any person in violation of the workman's compensation laws of : 5 the State oi Calitornia. � � � m 3 I hereby cartify that � am proparly Iicensetl as a contractor untler SQ. FT. ' "� 7 the State ot California Business entl Professions Code, Divfsion 3, THE AMOUNT SH WN UNDER VALUATION IS FOF o1 Chapter 9, and thet such licenses are in full forca antl eftect, or I THE PURPOSE OF �STABLISHING A PERMIT FEE ONLV: � am exempt trom the provisions of the Stata of California Business e VALUATION PERMIT FEE $ _�. ' antl Professions Cotle, Division 3, ChaO<er 9. m PLAN CHECK S "� Signature of / .\ • „ t / `� �� Permittae /Cw7t.fiy i(.1 G✓� g Z� LL _T� TAX S p f or ��,J� 17J Authorizetl Agent Date � TOTAL PAID S Z• �3