HomeMy WebLinkAbout996 PRESIDIO DR - Building Permits• r . . VVIVVII�V 1
JobAddress: 996 PRESIDIO DR
Suite:
Vicinity: BEDROOM, DINING ROOM AND BATH
Primary Occ: R3 � Type of Construction: V-N
Parcel Number: 14164214 Zoning: R1
nppliwnt: MERIDA, EDDIE
Address: 1209 W ST GERTRUDE PL
SANTA ANA, CA
Owner: NGUYEN, BACH VAN ;
Phone: 714-227-0888
Zip: 92707
Status: ISSUED
Applied: O6/202006
Issued: 06/20/2006
ISSUED BY:�/�_
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Address 996 PRESIDIO DR . .
. . . � ' , � . Phone: � ,�.
COSTA MESA, CA � . . Zip: , • 92626' � � �
, ' � - ' - _ _ ' � .- � � `,
Contredor. OWNER-BUILDER . � � �. ' ' : �.� ; `„��: ;��
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Address: ". . - � .� _. _�.„�c�� -��� � �
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Phone: : � :. �_ ?.` i\ '� :; ,� �
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Zip: " ' , � License: 000000 „'� � - : ���-
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Arch : � � � Eng ` , r � , .
Address: Address: �, � `. � � �
Phone: ' . � - - �-- - - •�Phone:' � � .
Zip: License: � - j-�' � ' -� �� � - �' License: � �
. , -.� - a, , .
' . ` SCOPE OF PERMIT-� �. � � -
CHANGE OUT 5 WINDOWS LIKE FOR LIKE IN 2 BEDROOMS, DINING ROOM AND BATHROOM FOR�SFD/NO CHANGE IN HEADER �OR SIZE.
WINDOWS TO MEET 1997 UBC EGREES REQUIREMENTS. ' � � � '
. � � `, ` ' ' - �� .. ,
Plan Check: $0.00
Permit: $69.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: . ., . $69.75
FEE SUMMARY
� _ , �. Y=':"Calc Valuation:
- -�' �' - - =` Claim Valuation
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,..
_ . �`��
s2,000.00 '
.. sz,000.00 .
�
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PLANNING & ZONING
SETBACKS � '�
MAINSTRUCTURE Front 0-0 Rear,.,�0�0 Left "0-0��';,., Right 0;0,%�
. . �-. ' = i -`'�" .
ACCESSORY Front 0-0 �� ��Rear � 0-0� � Left 0 0' " ,- Right �0'0 '
_ � , /:
PARKING Existin : 0� ��- Reauired: � o, Pr000sed: 0 �
. . � . . . , . • ,,- :
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC71oNs: In ordar ro� rne work aumorized under this permit to be considerad legal, such work must comply with all applicable codes, and all
raqutretl Inepectlons and final approvel musl be obtainad. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
2C4666(N00)
WORKERS'LOMPENSAnON DECLARAnON:
I hereby eltirtn under penalry of perjury one ot the following tleclaretions:
❑ 1 have and will maintain a cerlificate of consent to seN-Insure for workers' crompensation, as provided for by saction 3700 of ihe Lahor Code, for ihe parformance of the
wark tar whith this permit is issuetl.
❑ I �ava and will maintain workers' compensalion insurance, as requireA �y sectlon 3700 of Ihe Lebor Cotle, for Ne performanca of the work for whicli ihis pertnit is issued.
My workers' compensation Insurance carner and policy num6er are:
Carrier: Policy Num6er:
(This sec(ion need nat be wmpleted il the permit is valued ef one hundred dollars ($100) or /ess.)
�[[y�—I certity that in the peAormance oi the work for which this pertnit is issuetl, I s�all not employ eny person in any manner so es to become subject to ihe workers'
compensation laws of Calitornia, and agra hat If I should become subject to Ihe workers' compensatlon proNslons oi Section 3700 of Ihe Lebor Code, I shall forihwith
�comply.withJhese prov�si s. /
App�icem Signature: ��� Oate:--v=��—� 6
WARNING: FAILURE TO SECURE WORK ' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TOCRIWNAL•PENAlPES AND GVIL FlNES UP TOONE HUNDRED
TFqU5AN0 �OLLFRE (5100,000), IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOH COOE, INrEREST, AND ATTOi1NEV'S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aMirtn t�at I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in lull
force and ettect. Lic. k Glass k
Gomreaors Signature: Dete:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn Ihat Ihere is a construction lending agency for the perfortnance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lentlefs Atldress:
SignaNre:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirm that under penalry oi perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE I.AW for Ihe following reason (Sec. 7031.5, Business end Protessions
Code: Any ciry or counry which requires e pertnit to construct, elter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the epplicant tor such permit
to file e signed statement that he or she Is licensed pursuant to the provisions o1 the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) ot Division 3 oi tha
Business antl Prolessions Code) or ihet he or sha is eaempt theretrom antl the basis for the alleged e:emption. Any violetlon oi Section 7031.5 by eny applicent for a pertnit
subjects the applicant to e civil penalry of not more Ihan five hundred dollars ($500).):
❑ I, es owner of the property, or my employees wilh wages as lheir sole compensation, WILL DO THE WORK, and ihe structura is not intentletl or offered tor sale (Sec.
7044, Business end Pmfessions Code: The Contrectors License Law does not apply to an ownar ot property who builds or impmves thareon, entl who doas such work
�imself or herself or through his or her own employees, provided that such improvements are not intendetl or oHeretl for sale. It, however, the builtling or improvement is
sold within one year of completion, ihe owner-buildar will have the burden of proving ihat he or she did not build or improve tor purpose of sele.).
❑ I, 85 owner of Ihe properry, em E%CLUSIVELY CONTRACTING WITM LICENSED CONTAACTORS to construct tha project (Sec. 7044, Business and Protession5
Cotle: The conlraClOrs License Law does not applY to an owner of pmperty w�o bulltls or Impmves lhereon, end who contrecis for such project wlih a contrector(s)
licen5e pursuant to ihe Contraclors Licensa Laws.).
❑ I em exempt untler sec. Business antl Protessions Code for this reeson:
Signalure: Date:
Owner ID venfied Dy drivers licen5a. ❑ Ves ❑ No Dnvefs License No. E:pire5:
Venfication of Ownership by (type of dwument, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hareby certify that no excavation Five (5) or more feat in tlepth into which a person is required to descend, will De made in connection with work euthonzed by Ihis
permit, and that no builtling structure, scattolding, falsework, or demolition or tlismaniling thereol, will be more than thirty-siz (36) feet high. (Chep. 32, Gry 2, An 2, Sec.
341, Title 8, Califomia Adminisirative Code).
❑ As owner-bullder, I will not employ anyone to tlo work which would require e pertnit from the Division of Intlustnal Sefey, as notetl ebove, unless such person hes e
permit to do such work trom the division.
SigneWre: Date:
Division ot Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPLJANCE AND AIJfHORIZATION OF ENTAY: I certify under penalry of perjury thal I heve read this epplication and state thet the inlormelion given is
conect I egree to comply with all staie laws and ciry ordinances relating to building construction, and authorize representatives ot ihe Ciry ol Coste Mesa to enter upon the
ebove-descnbed property for insDection purposes. I egree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
COpEI, INSPECTIONTYPE OpIE
167fi Fixetl System Flnal Fire Prevention
1266 Pool Spa Finel
200
201
202
203
204
Pinal Re-Rooi
Final BIocWRetaining Wall
Final Factory Fire Place
Final Slgn
Final Demolition
m� u�uT.
�
6UIlt � NSPER OX T�PE
206 Flnal Mechanical
208 Final Plumbing �
210 Final Elecincal
212 Final Fire Preventian
220 Final Planning ApD�oval
222 Final Site
250 FinelBuiltling/Occupency
- �.O-O
P�g 1�19Lf4
DECLARATION OF AUTHORITY BIdg.Permit#
FOR AGENTS OF PROPERTY OWNER This Permit #
TO APPLY FOR PERMITS
Street Address: `"1 "1 � f iP S I U�I Q �� I�i�. , l.l7S� I��� ,� P Numeer:
1. I(we), BI � �i V. N%Uy � � F�.�(L17�7� Q U � LtS �, declare that I am the Owner of Title of the above
referenced reai property, and that I(we) hereby authorize:
Name: � (1 � l �_ // 1 �! i� l � �A. Telephone Number. � I � �, Z � �'� c� ��
Street Address: � W_` �.i�� S� �2Y /�'( / �l � P L
City: �/'�/YI � �'YI f/� State: �'�—{ Zip: 9' Z�"o �`
to obtain pertnits in my behalf, as owner/builder, for
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Worker's
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by State of Calitomia laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa.
5. I declare under the penalty of perjury that the foregoing is true and correct.
Executed this � day of Q� tM{� _ 20 �_ , at �A517i ��Srd , Calitornia.
—��
r�;nr�e Rl f� I-t V� N Gi)yCN �' F l-oR�(Z2�1 Qivl�UE-L�j
sig�'em :
ate> �O���ip
Note: This autlarization dces not grant authoriza6on to perfortn tlie work as owner,
it solely provides for limited power of attomey to secure this permit in any behaH.
0]]9-46 (rev.t t/00)
June ] 2, 2006
Binh V. Nguyen (TX DL#21112656) &
Florizza Quilala (TX DL#21112655)
996 Presidio Drive
Costa Mesa, CA 92626
714-751-2462
Re: Autharizing Eddie Merida for Home improvement work
To Whom It May Concern:
This letter is to inform that we, Binh V. Nguyen & Florizza Quilala,
authorize Eddie Merida to replace 5 windows in our home. If there are any
questions, please contact us.
Sincerely, /���'/ /�� ���,�� Ci�'-u�-4-�q,
,L ;)
Binh V. Nguyen & Floriz i�uilala
�
• _: ..
wowEssaem�owc: gg6 PRESIDIO DR
ow'+errswueica+orm:-NGUYEN, 'BACH VAN
A0°"�' NGUYEN VAN T
�. 996 PR�SIDZO DR
COSTA MESA,CA
�vr�. wuunc iooneu .
MCXRECT OP EHC�NEEN:
MCN OP EN4'S �OONE55:
. . " '" .., . UNT:
92626 -- -._._
uc, ra.:
UM:
t0Nf1ACT01f5N�"'� L D ROOFING � ( 714 ) 848-9751
°0"ffl/CTOP's"�'�N0 ' 600 ANTON
eooxemC.M. _.. CA uauo: 658987__,__._.
92626. uxr: 459,...._ .
UCRlSED COMpACTOFS DECLAFATION: I hereby eRYm uMa peneAy d perjury tMt I em liceneed uMx prwiebne d Cheqm 9
(commendn0 �h Sedim ]000) d D'm+ion 3 tl �M Buznev eM Pioleaeiona Code, entl my licenae u in (uY /ace end eHee.
c cuss
�� � S
___ _._ ..�. CITY OF COSTA.MESA - HUILDING PERMIT
'-• " PERM NO:.B . 087884.,
PERMIT NO: H_.087884 � PLAN CHECK NO: _. _ N. GOVT: N SUPP: N
CONSTRUCTION TYPE: VN'. PERMIT TYPE; STR PURPOSE: OTH
JOH DESCAIPTION : T/O RESHEATH:W/OSB 6 REROOF W/COMP. SHIN SQ FT: __ 5,600
CLAIM VALUE: _..5,600.00 CALC-VALUE: 5,600.00 GROUP OCC: R-3 /
COMMENTS: SMOKE_DETECTORS'REQUTAED
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Z O N I N G R E(j U..I A.E M E N T S.
S E T B A C K S
"0066764. �;_._'C 39 uc.r+o.:658�87 F�XP; 04/98 ------------ MAIN HUILDING ---------- •--: -_-- ACCESSORY BUILDING
--- -----�---
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LEFT: FT .. IN RGHT: __ _FT.___ :IN., ._ LEFT: _ FT IN ,RGHT: FT IN
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who WiEa a inpwea ihmeon, eed who dme euM wak himaM w heneK a thrwph he a her own empb�eee. pwded Ihet eueh - '
im0�'emenla ere nd inleMad a dlaed lor eab. II, howaver, the WiMinp w'vnqaremeM ie sald wilhin om yeer d wmpbtion, the ' ' �'
ow��wiva�un�maw�wqwi�neo�anadw�aw��e«imawe�ormeW�onsdm��. ZONING APPROVED HY , DATE;.
� I. es oxner d �M D�WaM. em eRduw�dY mmrepn9 xnh limnaed cannectwe ro cansUutl Ne p9� (Seaion )WJ. Buainma eM .� � ,
PMesamru Code: TM Coniredae L'emm Lew doea rid eppy io en awew d papmy Wa builds a impwm t�ereon uM w}w $ U I LD I NG APPROV, ED B Y ; DATE :
❑ �vacbTq ���wnh e wMredorta) ��B. 8 P C., br I�iyo Ir � traGae Limnae Lex�. �- ^�
APPLZCATION ISSUED BY: DATE; 1
o�<: ow�,: itx�ititititit+titiFititititit3tatitafifjtia itatw*itiraeitat .�
i a o n e. e� y cen M � i� a.ma d m m w� i. � d i n e rea���«�m w c v amm�e H a e n n v� a s dmy c e d a s a a�s u w s, u s o, e � w L EGAL I,ZAT ION : N _ F E E S, U M M-A - Y ' _-__ S TRUC TURAL S GMENT : Y
255�a. eM Hut I a+nY �un bwWiep ooaryent will / wil ml ld�eb one) neeE to eampty wIh eeitl sleb wEee eM �M rtQuiremend M •. .
a��nia�wa�,«�eaw��me��eeeme��o���.a..m��W���,.a��..,.�mp�mm«. HLDG PMT_ PLUMHING ELECTRIC .MECHANIC FIRE SMIP/RES GRADING
"°""""'' P EAM I T 112 . 2 5 . � ' , 5 6
oma: now�m: ' ' � „ �SMIP%NON-RES
WOPREX'SCOMPENSITIONDKWI�TION�Ihxabyelfi �,��nyd � am.iaw�.� ew.�mm.� PLAN . ..'
. mi u Va�ury ar np .
❑ i n�.�a m� �m� e oan�r�a a o��bm m.w.�w� ro. �� w�,ro�sm�..o a«�ead i�, ey sea� a�ao a m. i.n«
coda. i« ma wno��. m ub wwk �« �+:�n mh v� ���a. .
—J in...�a�;�mdm�,wnano�o«�sm����.mAa���aersea�a>aomma�.ne.caa.r«mavana�«wm.
work Ia which I�is permM u isausd. MY ���a wmpenee�ion ineurerrce renbr eM pdicy number me:
c�� c��rj�c onun _ EXPIRES
. � PdicyNumber. }�}}��3-9@ - ---�- _�_�- � 0]/O1/99
.(ThisaedionneeErro�becromObfeL/l�eW^^tislwone�uM�Edkrs(Y1001abu.)-. _' "
❑ I arlly Ihet in tM pMoimanee d the woA lor wfikM1 t�ia paimtl b iseued, I ahell M empby eiry pa�n in eny maniwr eo u lo
bocome vubpd to IM xorkere' ewnpemetion �ewa W Calibmia, uM epiae ihel il I ehwld become eubpe to iM xeekrs'
c ipenxtion povisbna d SyeGion 3100 0l �he lebw COEe. I MeA Ialh ' h oomply wnh thwe �p,�1^�� ... -
Deta: " Z7" p ApplceM: C� � �/..L-t�l�
Weml : Fellun ro aecuro worten'rompwuatlon coverap� ls�dalWl ubf�cl en Mnplya ro eilM�ul PM�u �n0
av n., w ro om nundnd mouaem eaw.lsraq000A m.ee�wn ro m. co.� oi mmym..�nn �m.w. u provmee ro• �n'
tlon 3105 0l Ms LeborCodr, Inferu( �ns efrormyY lsu.
ONSTilUCl10N LENOINO ROENCY: I Mreby elfiim uMm penely d par'ryry thm iMre u a mn+tiudion bndi�q epency M Mro
peAwmarroe d iM xwk /a whiM t�a Wm�i ia bwad (Sadion 309]. C'v. CI.
- LENDER'S NAME: � � .
' LENDEfl'S ADONE53: �
I cerlily Ihet I hew reeE Nia eppfratim end e�ma thm iha ebove informelion is conep. I q�iea lo canpy wilh dl rny eM munry adinentts
erd sima lewa relmmp to builEvp conmrudion end Mreby eNha¢e reqesantalrvee al lho aryto en�er upon ihe abwe�mentioneE piapwty
�Of1119pBf.11011p11fPJ9B9.
LOUIS DIAZ . ___..___--�
Pnm N _,/) �- —
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i--i�uf.f f�.. /eL[/i�a o�e:
(5151-afi.WPl ' WhAe-Buildip 85e1&y; GraeMFb; Ganery-AOFFrent; Vink-Revenue:OddenmE-A+sessn
ISSUE FEE �
HUILDING-DIV-> PERMIT . ISSUE PLAN-CHECK TOTAL PAID D00
TOTALS----> 112.81 .0_.0.0 0.00 112.81 112.81
REVENUE_DIVISION.TOTALS--> COLLECTED: 112.81 OVER/SHORT: Op
_ HLDG PMT_PLUMBING.ELECTRIC_MECHANIC FIRE .SMIP/TOT GRADING PLAN-Cf{ECK
112. 25-- -. . _. . _ . 56
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..
_.I._N_D I_V_ I__D _.0 A._L_._ .F E E_. H R E A K D O W N
TYPE�. _QT.Y,_._._, ,D,_ E ,S C..R .I_P_,.T__I_O_.N__ __ _ .. __ _ _ ... UNIT COST TOTAL CpST
SFR_„_, 560,0. :. ._.REROOF HY_VALUE. RESIDENTIAL NOZONE 1.00 5,600,00
. .._ _. . . _ END OF_ FEES .
_—�_""_ �.__"
'�d-27-1938/B3:3o f+p�i�12.81
E:C F'1?I: �,1-F�c31i2�
�'ERi'tIT _087884 �
CONSTRUCTION AND PLANNINt�.. - . -� • _ . - & SVA� . �
' APPROVALS Permit#' ! .� -Date Inspector �`APPROVALS Permit#� ` �♦
� V .
t, Te:nporary�Electrical.Serviceo^ Pole� , ", - 52. Pool & Equipment Locatiop� , �_
i
2. Soil Pipe-Undrgrnd. . T✓�. �_ . , 53. Steel Reinforcement �� �.�'
�1� Eleotric2� Conduit Utility-Undtz}md: � � ' 54: Forms � � ' .
�""�El2trical Condu'tL tlndrgrnd. . - ' 55: Electrical Bonding � .�� � -
� �� • �
� r�$teel ReinforcertieaS - •~j ' 56. Rough Plumbing & Pressure Test �
;,�";E�I�trical UFER�_t'ir"nd. � ' 57. APPROVAC TO COVER�GUNITE, .
w.. --v
�: • n'-� • i..a . . � � o-� - ���
7� 7. Footings � 58: Electricai Conduit,Undrgmd. � '�..
• - �. �oundation '1 �� � 59. Gas Pipe, O �Uridrg�nd., Test � i,
'^9. Water PiPe-Undrgrnd. � � '� 60. Backwash Lines;�p Trap, � Undtgmd.
10. Str�ciural Ftoor System �'. � 61. APPROVAI T��t3ECK ,'�
11. Prd(�erty Sewer Line & House�Eoiinection ._ '62. Backwash & ReceptorFinal!-
12. Sew.er Cap " ' c� - � "63. Heater & Vent-Finai . .�
13. Roof Drains � �
. .-. � 64. Pluinbing SYstem - Final ' �.
. 14. Rou h Plumbin � ;' . � - �
9 JY rl -. 65: Eiectrical-Final '
_ " �
, /5. Rough Electrica� on�uit • � ,'66. Solar System-Fi{jaJ ' �
i'
76. Rough ElearicWiringe� . e - � . 67, Fencing& Access.AnProval ` �
77. RoughWiringSign . i ^ �. . � � � 68. APPROVEDFO�ft�LQSTERING
78. Rough ElearicaL�" Bar Ceiling` �' �� . � 69. POOVSPA SYST�EMS FINAL
� 19. Rou9h Heacin &�Air Conditionin9" - � " -- - ' - P�RE Q,EPT.�$EQUIR€MENT ' '
!� -7 1 : � : . T "� T . " \f 6' !-1 a, n. .l (L
20.Boug�F�tor,�Fit�ace S^ v�,' � _� -+ tri'APPR�OV�HrPek�nit,�� _- a
M � `
21. 43uct�in5truIIture�7�Y �-.... �-t i n H �* 70. �bndergi'�n� F{�,dro �r
c. Cq
22. nuct� VP�.'c�tila��Ung�,.W � :�_ � i-j ,� S �.� � 77. Product;,F„�qing LJ�as C�OiI
23. 6as 2ine-.sou9b & Tesc i n? *;� � �L 'J �� 72. Undergr&lrid FLusa�n * •�
24. iSoof�rar`_iling" �� '`"�"' K� � �y',73'�' Under rrTd.Sto��MT n�OGas ❑�O�ii
s ��,,a k.
25. Roo�ShePShing � r _ '� � � 74;�Overhead HydreS>� �
� y
26. ,�'+BaP�Ceil,ng (Str�Urall & fvF�npr.�at ` J `D `� �� 7 p� ^� � `'' 4 �
..r �.� �; (j �, O� 5E'- Y ChemiCal �
27. �6rame and. FIaSJ�irig;: ,:,.^�.�-', :� c >. ratc 76. Dry Stanit ipe -x .+: � �� O
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- 28. Lathing �%Sid g`''', �'4.� ^ x E �••' 'r -'- � �`'
�%)x .7�:;. x ��� �r. 77..y FIXED��TFtl�Ii�INA�,� i;
� . ��M J r •• •• � � � ; 7� FIRE PREV. FINAL > �"
29. Insulatiort; • cse S • �s � i .< ,
I y.
' 30. Drywall '{lirtg ��.,` �^ � M F, � � �I�iEAlT1�DEPf.'itEQl'IIRfiME
j 31. Plaster 9r.ewn�Eoab�� 5 �'"?' x. j + 79 FINAL INSPECTfDN .a J _i
�
„32. E�lectrica^ow� N�e�r'�i�al � � "' � '80�FOOD CEflTIF�ATE I�S.�Eq� �.
..� rn i. • > t a #� i
33. Finaf�lecyr�cj * ;� C x ' �. NCtes: �� �m W-y p;u��
U34. �inals}ieaAng'8�Air�onditionin�S c1 +�' � �.3 y S �S + S 'JG
t*; r•i � .. I +.
^ : , x: � , , - � � r � �.
i 35. �nat Gas�ipe�"est � �' •• �: __ xr, pH � �.�,
36. I-I,00CPor Canoav � '-� ; r.: � % n � F. ;-ic � r �... .�r
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„ T - x �: , St*' ^ � -� I
y37. F'inal.Fac�f9ry FirePla�e � , -. � .. "'
t. o�
c38. Fina�Plumbing x~�� ' '� « � �` ti �a � x i
''39. Wate'�Secr('yce��inal � � " ': � ' - �'r•. .. -+ ,
`J. I^ �� .(�.� :i
r,4�. Gas Servi�-Fiael r ;-� 4�-r,-� ;� :r :r, =""�.F'� �,.a ani � .
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�41. Solar pomesc�Finat% � � ' * `" i � _ �„i � * ;\ �
'42. H�ackfioW.�'reventer K ^ i.: � � � +' 'x � i-. • ry .-�
r, x » n,��-� ; _
�- :: r -ss � = .t--� > -
_43. Backflo�rrig'�ttion ... �; r :x ;� ,; .* ' n .
. y� .� ^
4p. Landscap6lrrigation+System �x��.!� .: x tTi O;� 7X. :u N � �y. *� 4� o
T r. :-i -"'. !-. T T f [-. t' S: � i-� ri .� l.il - T
45. �ound At�ten�sation ' �.�.. .. � � ,,.;� . �. � • , �� ,�
, � .� � .
%tS. HandiceP�Regulationi �-+ O � �,
�7. Fanl,� STRU�TUR� & BUILaiN � ���
48. � PLANNING �: i e-��� � N
� ' . ' Y . ..�.
�. Elett�ic R��easE to E�ison � x
�50. Fzas Rslease to Southern Californie�tuas Co �
51, CERY]FICATE OF (YCCUPANCYc -
lo. Date
�t � .. ` � S C7 �-+ _C .ti
� r. i!1 ('� y
�^� ik 7 cJro� x
i �" � C * �-.
_.s---f�: m <t F �, .
I S i �^'
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_�z
Date I Inspecto�1l�
:
�
I
'�
;� � 18884
�_;..COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applicani to Fill In Complefely
TYPE OR PRINT
BUILDING
AODRESS 6 Presidio UT�.
COSTA MESA CALIFORNIA
OWNER Mesa Del hfar Develo ment �o
ADDRE6S 3800 E. Coast Hw�r.
,��p-S-�-P�cosTniRPx i+**tl'2S0
APPLICATION FOR PERMIT
BUILDING
Fo� Offiee Use Only
' RECEIM NO. fE$01{Z y0�
1 f f..( il
lJiJIJ
'. aecerv er oe3e ne �veo wte iasueo
; �C. j= �- G,��@d�R 6 1963
BUILDING
ADDRESS
COSTA MESA, CALIFORNIA
FIRE
ZONE TYPE V GROUP��
APPROVED
AODRESS n E COH.4't HWJ ZONING
WTY C D P� ZO �-�/ I PLAN9 uO1LDIN0( �
LIC.TN0.2O 1-A-SB=1 No`:OR 2�220 LEOAL Lot 22 Tract L�808
DEBCRIPTION
OF LOT 6 10 S F I NOWOON or��lone
A. P. NO. . J .
USE OR YARDS EVES
ISTWG BLDG. NOT1B APPROVED ALLOWED
BET6ACK LINB FROM L t�N'�CR LINB BT4
ceNrenorarneer 5�� REARYARD3�-�'V�� FRONT ' �FT.
SIDE YARD I I.EFT � I RIGHT � R. SIDE � FT.
DESCRIPTION OF WORK-
�
REPAIR '" I II MOVING I II DEMOLISH I BYPROVELI ` ���� DATE J�� C
BUILDI / NO. OF
SIZE � �. �c—(J�� ROOMS STORIE6 2
PXTERIOR WAL{, YtUCrCOI ROOFWOOC� SY131i8 B� rOC .
COVERING 6i. :lrOOti I COVERING
USE OF BUIL�ING AND WORK TO BE PE ORMED -
Sin�le famil,y res, w att, qar. Livin� Area: 2266 S,F,
-A Garaee Area: 1t60 S,F,
I HEREBY ACKNOWLEDGE TXAT I XAVE RlAD THI6 APPLIGTION TXE AMOUNT 9HOWN UNDEq VALUATION 19 FOR THE
AND BTATE THAT THE ABOVE IB COPAECT AND AGREE TO CON-
PUIiP09E OP, 89TABLABHING /� PERMIT FHE ONLY.
PLY WITH ALL CI]Y ORDINANCEB AND BTAT6 UWB pHGU�ATINO
Bl11LG�N6 CONBTRUClION. VALUATION - 7
SI NATURE OF N;esa Del Niar Development VO PERMIT FEE $ /� N
P RM17TE �y` n
$ 23, 925 ��� pLAN CHECK $ �/��J d
Tq THORIZED AGENT � jl�J �/� p
70TAL FEE � J✓