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Home My WebLink About1059 PRESIDIO DR - Building PermitsCITY OF COSTA MESA ;4 BUILDING DIVISION �� DEVELOPMENT SERVICES DEPARTMENT J ?T PERMIT PERMIT NUMBER P98-00830 (714) 754-5273 Fax(714)754-4B56 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 1059 PRESIDIO DR Status: ISSUED Suite No Applied: 11/09/1998 Issued: 11/09/1998 Vicinity: Parcel Nunmber: 14168316 Applicant: RON Address: W/ NOCK PLUMBING Phone: 714-895-1246 Zip: Owner: DUNN, WILLIAM L Address 1059 PRESIDIO DR _ - Phone: -•j COSTA MESA,CA Zip: 92626 Contractor: NOCK PLUMBING Address: 11612 KNOTT ST Arch/Eng: Address: Phone: 714 895-1246 GARDEN GROVE, CA Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT INSTALL NEW WATER HEATER " FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $22.00 Laundry Tub / Washer $0.00 0 Sump Pump, $0.00 0 Backflow irrigation $0.00 0 ''Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P -Trap $0.00 0 Trap Primer $0.00" 0 Bathtub - $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 it) $0.00 0 Vacuum Brkr Bkflow(i-4) $0.00 0 Connect (Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 - Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater - $0.00 0 Sewer Private Line $0.00 0 Water Closet (Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater / vent $11.00 1 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re -pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: $33.00 COMMENTS / SPECIAL CONDITIONS t' vd O Op,TB EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 All DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to salt -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 63--4-have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insuran a carrierand Dolicy number are: cy Carrier; LdLG/ g� Policy Number. (This section need not be completed if the permit is valued at one hundred dollars (s f 00) or less.) ❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I shout epbme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provis' Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed in or prQwslons of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business antl Pr ass)urs Code, and my license is in full force and effect. Lic. # 10 22 � � Class # �i -b Contractors Signature: T — Date: j / —i Z — 9Y CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civ -1 penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet In depth Into which a person Is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Califomla Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ....................................................................................................................................................................................................................... ....................................................... 2 Doea or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Cade, with some exceptions, requires registration with the Caste Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, cenification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .............................................................................................................................. ................................................................................................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication aertnit for such construction or modification from the South Coast Air Ogaliry Management District or from any other air pollution control district or agency? C6 Yes a No (Section 65850.2 of the California Government Cade requires that the requested information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If'yes-, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cafe). ..........................................................................................................................................................................................................-......... .............................oas . 7 a a permit from the South Coast Air Quality Management District or other air pollution control 303 b or agency Is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Vas ❑ No ................es",.atta..... certificate -.co-.plia..............the-..........riat.......pollutio......ntro......icer.................................................................................................................................. 8 (if 'yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZAT10N OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with fill state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 01 V` (1, (1Qignature Of Legal Owne Date And/Or Authorized'Applicant Date CODE 9. INSPECTION TYPE —4.040 2ATE INTITAL4 CODES INSPECTIONTYPE lim iNTmA� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 206 Final Plumbing I I 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2446-46 PROJECT ADDRESS: 1059 PRES ID IO DR UNIT: OWNER'S NAME: BILL DUNN ADDRESS: 1059 PRESIDIO DR COSTA -MESA CA 92626 (714)545-2498 ARCNIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: WENEDA ROOFING (714)645-1691 ADDRESS: 1908 POMONA ST D COSTA MESA CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ^ and effect. Cm LIC.: 007444 STATE LIC.: 4 7 91 CLAS &-- 7 : -- Date: / e1- SiAnayy��// 'iRAERS' COMPENSATION DECLARATION: I hereb Ifirm that I have a certificate of consent to sell -insure or a certificate of Workers' .LICY NO. ifiensation Ips�rapcC, IcirtifleIl CpDY thereat (Section 38DO Lab. E%P. __ 89/14/90 COMPANY: STATE FUND ❑ Certified copy is hereby furnished. IN Certified copW h the ity Bui Date: 6, - 7 -- P, � App' nt: EXEMPTION FROM WORKERS' COMPENSATION DECORATION: (this section need not ce completed if the permi or one hu mored (5700) or less). I certify, that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: - NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, of repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code),m that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ,O;yav applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars (5500). ^. I, as owner of the property or my employees with wages as their sale compensation, will do the work, and the r ; structure is not intended or offered for sale (Section 7044, Business and Professional Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseN7herself or through ,his or her own employees, provided that such improvements are not intended or offered far sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professons Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves Mention and who contracts for such projects q1h a contractor(s) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compenszbon insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: - Date: Owner: I do hereby certiry, that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements far a permit for construction or modification from theAir u� Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is cgrr I. I a to corgpi dth all city and county ordinances and state laws relating to building construction and hn1byaunhorize representatN s ulcl n the above-mentioned property for Inspection purposes. Wzl Date: (7 % O Si n . G Driver's License or Social Security x: 1861 -ds White—Building: Green—Gvle Fni—a—m- re,.,_A. limn Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NOC B 047663 PERMIT NO: B 047663 PLAN CHECK NO: N.^ GOVT: N SUPP: N. CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION :'RE—SHEATH S RE—ROOF/CLASS "A" COMP SQ FT:- 4;875 CLAIM VALUE: 4,875.00 'CALC—VALUE: 4,875,00 GROUP'OCCi R-3, / COMMENTS: SMOKE DETECTOR(S) REQUIRED IN_HOME. Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING —:--------- ----------- ACCESSORY BUILDING--------- FRNT: FT IN,REAR: FT IN FRNT: FT IN REAR: FT IN 'LEFT:, FT IN RIGHT: FT IN LEFT:FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14168316 ZNE: REF NO: PLANNING NOTES> 3E it ae**iE at Bf ie ie iE iE Be Be 1E'le itkie it ie iF ie it iE iE ie 9t Bt BE*Bt BE ie 9E eE BE 3e iE tie iE Be ie ie 4E eE aE eE 4e iE aE Be ie*iE iE 9E 9E iE'le Be ie iE iF ie BE 9e iE Bkif iE ie iE iE iE BE Be eE it '. 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 NIT S ZONING APPROVEDfBY DATE: BUILDING APPROVED BY : —DATE: I APPLICATION ISSUED BY: DATE:O iF iF iE BF if i4 Bt BE 1E Be 3e 3E ie iE Bf iF *it it iE ie iF 94 iE ie 3E BE Be iF 3E iF BG Be 9k Beieif 9e iF BE if 3E*k9ekiE,iE 1E iE BE BE BE iE ie lE Be BFie Be eE iE BF iE iE it iE iek ae ie ae 9f BE Be Be 3E 3E *iE eE ie Be iE 3e*9E ie*ie iE iE iE iE iE iE eE iE iF tie BE iF Be 3e iE iE iE iE BF*iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT: Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES ' GRADING PERMIT 72,00 1 .50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—>- PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 72.50 0.00 �,.; 0.00 72.50 72,50 .00 •i. REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 72.00 ' ,50 9E Be le jE ie 9t BE BE Bf 3fkit iF BE BF 9E if ie tie ie ie BE BE ie iE ie Be Bt iE ie eE iF Bt BE BF'iF ie Be iE iE iE BE Be Be BF BF iE iF eEif ie iEie is 9E iEiE 9EBeie iE ie iF**iF 3e*9e Be 9E eF iE Bt iE tie iE BE BE IND I V I D U A �,& ''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 f UNIT COST TOTAL COST SFR 4875 REROOF BY VALUE RESIDENIAL NOZONE 1,00 4,875.00 END"OF FEES 01 00062699-00062700 TOT 72,54 DATE:'O6/07/90 TIME: 14:01 f CONSTRUCTION AND PLANNf,-_ - APPROVALS Permit # Date I Inspector �- JOL & SPA _ APPROVALS Permit # Date Inspector 'i.. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. , - `' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - .4. Electrical Conduit -U ndrgrnd. - 55. Electrical Bonding - 5. Steel Reinforcement' 56. Rough Plumbing &Pressure Test 6. 'Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . 7. Footings 58. Electrical Conduit-Undrgrnd. 8. -Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. , 10. Structural 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 - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66.'Solar System -Final 16. Rough 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 -APPROVALS, Permit# - 20. -Rough Factory Fireplace _ 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.- Under grnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing '• 6 ,t .Q -_ 74. -Overhead Hydro._, 26. T -Bar Ceiling (Structural) & Monocoai� 75:_ Dry Chemical - 27. -Frame and Flashing -• --' 76. Dry Standpipe - - 28. Lathing`& Siding ";, 77._ FIXED SYSTEM FINAL 29. Insulation -' _ = _ 78i FIRE PREV. FINAL 30. Drywall Nailing 1 - ; HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat t-' - ) T79. FINAL INSPECTION '32..Electrical Power Meter:Final :;`t'; ;` -80."FOOD CERTIFICATE ISSUED , 33. ,Final Electric .n_ �' Notesz' ' Q 34. Final Heating & Air Conditioning z 35. Final Gas Pipe -Testa --36. Hood or Canopy. �37.'Final Factory Fireplace - r 38. Final Plumbing 1. '39. Water Service -Final 40. Gas Service -Final r ' 41. Solar Domestic -Final - +- c - , - 42. Backflow Preventer •' - - - -� r. 43. Backflow Irrigation, 44. Landscape Irrigation System: 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING '` A 48 -FINAL PLANNING ` 49. Electric Release to Edison .. 50. Gas Release to Southern California Gas Go i7 - 51. CERTIFICATE OF OCCUPANCY No. Date 19525 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOK 917 COSTA MESA. CALIFORNIA For Applicant to. Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA OWNER MaCCD Realty Co. 'M aEss 3800 E..Coast Highway Ma ■•`C NO.207343-A-SB1 _ No'OR 34220 SIZE __ __ . I NO. OF BLDGB. EXISTING BLDG. none SETBACK "NCENTER CENTER OF STREET .45 1 REAR YARD 28' SIDEYARDI LEFT 61 I RIGHT 191 DESCRIPTION OF WORK MAY 2 z 1063 FINANCE DEPT. APPLICATIONJFORIJPERMITA MESA BUILDING For Office Use Only RECEIPT NO. PERMIT NO. BY BUILDING I ZONING ( J �F ZON - ^ I I NO. / ) I UUM OF NEW ^ d cr 9 ._ B1LDlna. LEGAL NOTE: NO RAVE OVERHANG SHALL BE LESS THAN 90- TO SIDE B REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) 'YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING ( FROM C/L STREET) FRONT 9S -FT. FT. C GIIIC '� PT •� FT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATS THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. N AUTHORIZED v. . welling sQ.FT. v-,. +vv r.B VAR.# DATE BUILDING I 1- n NO. OP 6 7 2 s 23,925.00 SIZE 54 X41 " MS RIE C. U. P. APPROVED JRO EXTERIOR WALL 1O ;shingl E Uy,4l COVERING' StUC OCj COVOERING BY CATE USE OF BUILDING AND WORK TO BEERFORMED Single fam. res, wfatt. gar. Plan No, 500 -BR 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATS THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. N AUTHORIZED v. . welling sQ.FT. v-,. +vv r.B THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE m s 23,925.00 PLAN CHECK 53 •SU s 0 Z aZZ ZQ ON Q. no J � J U1 m J m J Q N Z a W tL aw W Z JO mZ J M W W O= Z_ - W O N 0 �O j 3 79� V G 4F ., � r.n2�-�3PAI�I1�100 912 > 5 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. ROX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIV BY �� A4 DATER/Er!.$ ISSUED BUILDING ADDRESS �- pp'J— `0 aJ/; OWNER A.P. NO. MAILBUILDING ADDRESS ADDRESSTEL. _ CITY NO.CONSTRUCTION TRACT BLOCK W ADDA PAIRLENDER %eBRANCHOWNER ADDRESS S C� ltG/ .ZARCHITECT TEL. OR ENGINEER N FIRE ADDRESS ZONE TYPEGROUP CONTRACTORBV D L�%N J94, APPROVED DATE ADDRESS TEL. ZONE NO. OF USE OF NEW CITY NO. PLANS 2 BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLD(S. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. FT. SIZE OF NO. OF NEW BLDG. ROOMS STORIES L. SIDE FT. FT. EXTERIOR WALLROOF COVERING D>ti COVERING Z REAR T. FT. USE OF BUILDIN AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & /. MAIN BLOCS. ACCESS BLDGS. VAR.* DATE C.U.P.# APPROVED APPROVED RY DATE I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with, all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensee as a contractor and er,t SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3,, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions f the State of California Business VALUATION and Professions Cope, Divisi apter 9. �I! PERMIT FEE $ Signature of - Permittee $ /) r/]� .�' / PLAN CHECK $ Authorized AnentO//� TOTAL FEE $" BUILDING PERMIT NO. '• AP No. LOT 97 TRACT 4784 FIRE ZONE VALUE 5 300.00 INSPECTIONS Signature Date I TYPE V GROUP ZONE .'.R1 ;SOIL SUBCONTRACTOR PERMITS ISSUED 1G A5 Date Number Signature WATER - Plumbin ROUGH PLUMBING PROP. SWR. LINE [:] HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS m ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER 0 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS Ej STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL t • Q SPFCIAI REOIIIREMFNT9