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Home My WebLink About326 PRINCETON DR - Building Permits�oonEssocem�owc: 326 PRINCETON DR ai"E"sr�wEiF�m+'":BRANNON, MARY ALICE ��' �o�u 326 PRINCETON DR � COSTA MESA,CA 92626 �vr�. �uia�c �oo�ss: �HCXRECTOfl FNOMEEA: RCIL OX ENO.'S dWPE53: 11C N0: uxr: UIR: carm�cTarsx.u�SENTRY ROOFZNG CO (714)751-7663 cam�cTorcs�uimo �364 NEVADA wo�ssCOSTA MESA CA ��: 678801 92626 uwr: LICENSED COMXACTOFS OECLANITION: 1 hemby dl�m uMm penely W pe�ury Oim I un Icermed wdx proveiore d Cheqx 9 (c�rinp vril� SecUon ]0pp) d Gvebn � d Ne Bummea end Pralestimv Coda. e�d mY �enee o in hll f«ce md fletl. /fmucxo.060429 uc.cuu:C-39 uc. o.: 78801 EXP• 10/96 / Dele: Conirma: �( O P BUILD F DE PATION: I hereEy etfiim u�Mer parely d parjury Iliel I em q Imn the Conurfaa Lioaree law la tln w'vp reeeon (Sedion )0�1.5 Bueiiefa eM PMemiau Cada: A^Y dY a coun�Y xfi' ie9uires a Vertnil lo cansbwY. eNer. impoue. ',�iemdon, a repe'v eny evunure. pbr w na 6werKa, ebo requirae ihe epqi�ent lor wch permn ml�b e aqrred vmemem thm he a eM , s r�,�e wm,�� m me vo�.� a me wm�n«. uce�.. �.. Icn.aa, s(w�ma�rw �*n sae� �aaol d o:.o�, a a me {8uei ea eM Prdeuiau Code� a IhN he or ehe e exemq Iherehom eM tM Eeaia /or Ne elbpeE exemqion. My videtion of Sedion �mt�s M env eod�c.m �o.. w�mn eubjeae �ne wdicen� �o e dvi� pane�ry d rw� more ihenlrva nu�dred edW. [sSaoD. � I. av oxner d �he peopeny a my empbyeee wilh wapea m Ihai ede mmpensmion, will do Iha vmk, aM Ihe atruclure "v iwt intmded or Mared lor eeb (Sectian'l01I. Buairww eM PmteaeioneCade: The Cantredwa Lioenae lew dma mlapptytoen ownerd prope�ly wla buiEs or improvea Iherean, end Ma Eaee such vrork FimWl or Mnell a Nrouph �b a her own empbyaes, qwidad ihet wch improvemmla me rol in�endad a dlereE lor eala. tt. however. IM buikinB a inqovameM o soW wil�in me yaer d mmplNon, iha axnmbuiYJer xill heve ihe EUMen W provirq he ar eha did � build or impova Iw tM WT�e d eeb). � I. d owner d Ihe propeM. ��duervely conlredinp wi1� IicenaeE conVecbn Io wnA�ud IM D�op�1(Seqion )P4, Buairoee vM Prole�eiom CoEe: Tha Cantrenan Lceme Lew daee � epply io en owner d qopeM �^ buiMa a impovea tMrean erd xfio comreda Ia euch prapcle wi�h e mmreaor(e) Icaneed punuanl lo Ihe Conveaore Lironsa law). ❑ I em examq undm Seclion: B. 8 G.C., br Ihie reeaon: Da1e: Ow�er: I do hereby ca�IM ��d I em ewere d vM uMenterW iM reQuiremenp d CelEomie Haellh enE Salety COEe Sedions 25505, 25533, end 255�0, eM Ihel I or eny INure buikiip oaupen� will / wil nat (arc4 ona) need �o camply wih eaid a�e�e cadee arM �he requiremenb la apwmnlamneWclonwmotlifiWionhantMAi u3elily+TenepemeMDi¢irid.ReaideMielconAiudianepp6celipreereevemptimmlheee pfW191M8. Dele: Rpplicent WONKEH'S COMPENSATION DECLAN�TION: I Mraby dfirm urqx perel�y of perjury aw d Ma Mbwi�q dnivuum: � IheveenEwilmeiNeneanEicmadooneenlloseX-ineumbrxorkme'wmpensetion.mpovidadlabySaqion3)OOdthel.abor Code, i« �M pa�iwmvice d tM wak Iw wkch �hie pemN b iuued. ❑ � new ene xi� meimen xoM..• wmv�� wrenoe. m ren��a M smion 3�ao a uie Lebw coaa ror �ne re�tormvim a �ne WOfI[ Ip WIIM31 MR �MITII O�INE. MY WQ�A �mpammion ineurenca certier eM pdiry number ere: c��: Pdicy Number. (This seaion neeE ia! 6e cwnpbtM i tM pamiX ia la are huMied EWlars RIWI w Mss.) X❑ i mnM me� �� ine v��. d me worx ror .mkh mre o�n b i�uea, i endi m.mWw �v re� m a�v me��e..o .. m _e.cmie wdea io �ne .vawr.� cwnw�� ew. a celaomie.pM m� um il � snww sacome wtiap m �ne ..wlwn� � unNNNI, andahsll Wb�t an s�yloyer ro cr/Miul psneMn aM Wlltlon b tli� rost ol compwvetbn, tlsnups� u provldM br In CONSTflUCT10N LFllDINO �OENCY: I MreEy dfirm uMx peneM1y d perjury ihm ihwe o e ooiMruabn bn6ip epeiwy for Me paAarmarce d �M v.ork la wfiitli Ihu permi e ewaE (Sedion 308'l, Civ. G). LENUER'S NA4E: LENDEN'S AOOPE55: I ceniy ihm I lave reeE I�o eppliWion vM mma IM1et iM ebwe iMwmetion u cmae. I pree �o campy wi1M1 all ary eM muruy wdire�xm ,�e nma r� �m�o m w�a�v ��n� w na�enr.w�«aa �aw�m� a mo mr m��a �w� �na mo�-�i�,ee ao�ny �ai�sveeon purpones. I.�ARF2Y SWORD em . ome � s�ooe �� d �bn e�uncvu�i �5151-I6.WP) Whne-Buildiq 8 Sdey; areemFle; Garery-Appiram; Rnk-Ravenue: Galdenrod-Avxsmr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B U814'77 PERMIT NO: B 081477 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH SOH DESCRIPTION : T/OFF & REROOF WITH COMP. SHINGLES SQ FT: 5,'786 CLAIM VALUE: 5,786.00 CALC-VALUE: 5,786.00 GROUP OCC: R-3 /U-1 COMMENTS: X *�x�*****�**x�x�**********x�*�r*�****�***********��*�x****�rx*x*xx***�r*�r*x******** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- — ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT SN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REQ: PROV: PARCEL: 19138325 ZNE: REF NO: PLANNING NOTES>� L•' i 7E �F 1E �E 1E fE iE 1E 1E IE 1E 1ElE 1E 1ElE 1E 1E 1F 1E IE 1E 1E 1ElE 1F iE 1F iF iF iF iF iE 1E if iE if iE 1f iE iE iE 3k 9E 3E �E iE �E iE 1E iE 1E K 9E 1E iE 1E iE if �E iE Ik IE 1E iE IE iE iE iE iE if 1f 1E fE fE iE iE 1E iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S ZONING APPROVED BY DATE: �i,: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �� DATE: � ***iEi[�iE*iEiEiEifiEi[�iEiElEiEiriEiEit�[-'iF3F�F�F"iF'?F'iF3F7FiFiF3F�F"iF3F3F��F{F �f€iFfF'fFiF'iF3FiF'iF3FiEit*it*iFiEiEifiEi��."iS�-k LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112.25 .58 . SMIP/NON—RES SFR UE FEE LDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PATD DOE ALS----> 112.83 0.00 0,00 112.83 112.83 .00 ENUE DIVISION TOTALS--> COLLECTED: 112.83 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 112.25 ,58 1f ik 1E IE Ik 1k 1E iElE fF if IE 1E 1f iE ff ik 1F iF ik iF 1E 1E 1E iF if 1E if if iE fE 1E fk ff �F iE fE IE 1E 1E iE �E �F 1E iE IE iE iE if if �E 1E iF iE fE IE iE iE iE IE �E iE iE 1E if iF iE 1f iE if iF 1E 1F iE iE 3E I N D I V I D U A L F E E H R E A K D 0 W N E QTY 5786 D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST 1.00 TOTAL COST 5,786.00 82-85-1997/81:27 VM/f112.B3 PERMITPT08147j ,�. <: CONSTRUCTION AND PLANNING .� POC SPA � � --iAPPROVALS Permit #� ' Date Inspector APPROVALS Permit # Oate Inspettor 1. Temporary Electrital Service or Pole 52. Pooi & Equipment Location �� ,�° 2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement � ', 3. Electriral Conduit Utility-Undrgmd. , 54. Forms 4. �Electrical Contluit-Undrgmd. � 55. Eiactrical BonGing . ' S. Steei Reinforcement 56. Rough Plumbi�g & Pressure Test ° i 6. Eleciricai UfER Grnd. 57. APPROVAL TO COVER-GUNlTE 7, Pootings � � 58. ElecNicai Conduit-Undrgrnd. .8. Foundation � .. 59. Gas Pipe, u Undrgmd., Tes. , '9. Water Pipe-Undrgrnd. _ � 60. Backwash Lines, P-Trap, � Undr9md. � 70. Svucturai Floor System . , - 61. APPRQVAL TO OECK t t. Property Sewer �ine & House Connection 62. Sackivash & Receptor�Finai " 72. Sewei Cap - • 63. Heater & Vent•Final '-• 73. Roof Drains , ; 64. Plumbing System - final � 14. Rough Plumbing� - _ 65. Electricai-Fi�ai � 15. Rou9h Electrirai�Conduit �' 66. Solar System-Finai 76. Rough Electric Wiring - 67. Fencing & Access AAPsoval ._ 17. Rough Wiring Sign � � 68. APPROVED FOR PlAS7ERING � 18. Rough Electrical�T Ba� Ceiling � 69. POOLlSPA SYSTEti7S PINAL 19. Rough Heating & Air Conditioning _ . _ FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace - - - _ APPROVALS Permit � � Zt. Ducts, in Structure ' _ , 70.�Undergrouod Hydro 22. Ducts, Ventilating - 77. Product Piping CGas OOiI 23. Gas Pipe-Rough & Test _ _ - '� " � - 7p, Underground Fiush ' 24. Roof Framing � 73. Undergrnd.Stora9eTank �^.�Gas �Ol 25. Roof-Sheathing 2-./t-��? �� 74. Overhead Hydro 26. T-Har CeiVing (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing ' 76. DrY Standpipe '_ 28. Lathing & Siding - � � �� 77. FIXED SYSTEM FINAL 29. Insufation ' � ' ' 78. FIRE PREV. FINAL - � 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL WSPECTION � 32. Electrical Power Meter�Final 80. FOOD CERT�FICATE ISSUED � 33. Final Electric Notes: " 34. Final Heating & Air Conditioning � _ ' 35. Final Gas Pipe-Test . � � � - - 36. Hood or Canopy - � " ' 37. Final Factory Fireplace - - , -' � 38. Pinal Plumbing ' - . . 39. Water Service-Final . - - - � 40. Gas Service-Final ' � 41. Solar pomestioFinal �� - 42. Backflow Preventer' . 43. Backflow Irrigation � . � • 44. Landscape Irripation System � ' '� � � _ 45. Sound Atcenuation • . 46. Handicap Regulations ; ' 47. FINALSTRUCTURE&BUICDING 2-13-Q� ��. _ .- b 48. FINAIPLANNING . - Q9. Electric Release to Edison � 50. Gas Release to Southem Caiifornia Gas Co 51. CERTIFICATE OF OCCUPANCY No Oate X � �I � AOGlicant to fill in all soaeez except lhoze within neavy Doraer Iines antl sign al1 aoo�aoriate Oeclarations. CITV OF COSTA MESA CONSTRUCTION PERMIT Vroject Address . '-;oplicant's'M'�ailin�g A��d�dress er s Name /�� Phones`%u`—�' 7`f2 h, , .�. _� �� Ai . /Eng. Litense No. Address Con�F�ctor's^.J Phone Address (mailing) Ciry License No. L ENSE�CTOR DECLARATION 1 here rm Na[ I am Ilc¢nsetl untle� prOvi510n5 ot Chdr menCin9 with Settion ivlslon 3 0/ [he Busl c-e rofesslons Cotlu, antl my IicenSE i5 Ip full tOrCe � Lice se C� �— 6� Dat?__ � S�9�at��.e WORKERS'COMPENSATION DEGLAPATION I hereby aifirm [nat I have a certifiwle of tonsenl l0 5elHnsure or a tertifiwte -' Workers' Compenzation Insurance, or a certifieE copy thereof (Sectlon 0, Lab. G.) �<y No. Company Certitied coDY �5 her¢by IUrnisnetl. Certitietl copy is flletl wilh the city Builtlinq Division. Dale Applitdnt E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (TM1is section neetl not be completetl i( thepermit is tor ono huntlretl (y300) or less). I certify that in ih¢ Perto�mance ol th¢ wOrk tOr which this plrm�t i5I55u¢Q I shall not employ any person in any manner so az to become subject to the Workers' Compensatl n Laws ot Cdl'f n a. �ate 1��.3—fP9 Signatura NOTICE: If, after making ihis tletlaration, y shoulC become suDject lo the Workers' Compensatlon provisions of tbe or Cotle, you musl forthwith comply wit� such proviSiOnS o� tnis pe�mlt shall be tleem¢tl r¢vOketl. CONSTRUCTION LENDING AGENCV I hereby aHirm that there is a construdion lending agency for the performan<e ot the work for which Ihis permil is issuetl (Se<tlon 3097 Civ. G.) LRntler's Name Lentler's Atltlress OWNER BUILDER DECIARATION I hereby affirm ihat I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business antl Profe55ional Cotle: Any city or coun�y whiGh requi�es a p¢rmit to Co05truct, altar, Improve, Cemoli5h or �epal� any structure, prior to its issuance, also requires the aDP�lcant for such permit to file a siqnea statement that he/She Is liceni¢tl pu�suant to th0 P/ovisions of the Contractor's License Law (Chapter 9(commencing witb Sectlon 7000) of Division 3 of tne Business antl Professions Cotlo) or that be/sbe is exempt �„ere(rom antl the basis for the alleged exemptlon. Any violatlon of Se<tlon `3.5 �y any applicant Por a pe�mit SUDjects thn appllcant t0 d civil �Ity of noc more tnan (ive nunGretl tlollars (E500). �,�.� I, as owner ot the property or my employaes witn wages as thelr sole [?npen5ation, will tlo Ihe wo�k, antl Ina StruCtu�e Is not int¢ntleA o� o(ter¢tl tor 5ale (Sec[ion �044, Business antl Professlonal Cotle: The Contractor's License Law tlo¢s nOt apOty [o an owne� Ot a prOperty who builtls o� Imp�ov¢z thereon, antl who Goes SUCh work himself/hers¢II o� th�ough his o� he� ow� employees, Orovitletl tha[ such improvements are not intentled or otteretl for sdle. It, however, the bullding or Improvement is soltl withln one year o1 com- plelion, t�e owner will have the burtlen ol proving he/she Citl not builtl or im- prova forthe purpose o(sal<). ❑ I, as owner ot the pro0erty, am excluslvely contracting wl(h Ilcensetl con- lfactorsto conslru<t [he project ISeCtiOn 7044, Bu5ine55 antl PrOfe55ion5 Cotl¢: The ConVactor's License Law does not applY to an owner of Oroperty wno builtls or imoroves thereon. antl who contracls lor such oroiects witn a con- tractor(5) Lcense pursuane ro me Con[rac[or�s License Law). I am aware that proof o4 lheir Worker'S ComOensation Insu/anca ShOultl ba ptovitletl to me. ❑ I am exem��.t untler Section B. 6 P. C. tor this reason Dale — 3 Owner � 1 nereby certif •�tbat I have reatl this pliwtlon anU s[ate Ihat tne above infOrmation is �iT�ecL I agree [o cOmp wilh dll City and county Ortlinance5 antl 5tate laws relating to builtling constructlon, anC hereby aulhorize re0re- sentatives ot [his ciry to enter upm the above-mentionetl property for Inzpection rposes. Signature Oate �.--i$•^:i �� Drivers' Litense or � TYPE OF CONSTRUCTION Lid'NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHE�R y---� DESCRIPTIONOFWORK/U$�OFBLDG,-� �/ {�} .�''� TVPE OF PERMIT LJ GRA�ING LJ FOVNDATION U'STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 5�. FT. oCCUaANCv CONSTRUCTIONTVPE S�� VA�UATION$_�� 20NE GRADING CU. VDS. ACRES_ Remarkz: !_� Sink Preventer Irrigation Clarifiers Dishvuasher Drinking Fountains Floor Drains Floor Sinks Gas Servic.e Outlets Interceptors Kitchen Sink Lavatories Roof Orains Reinspectio� Fee � $15 Duct- Under Ground � Duct - Structural Duct - Ventilating Exhaust Sys[em ❑ Multiple FirepUFact. Blt �CBO � Heating System & Ducting D ai oo,000 eTu O i oo,000 � $hOWers Service Sink Sewer Cap Sewer Connection Soler Collectors Solar Pipin9 Solar Tank Swimm�ool w/Spa Water Closet Water Heater Water Service Auto-Wash Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑aioa,000eTu ❑iao,000 System Repair/Alteration Fire Dampers Registers A.P. �W �— r 5 Main Building: E � h T Front Q ARear � C Right � K g Lett Ping. Ref. # Planning Notes: � Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub P Fan F.A.U. Fixtures � Device Boxes Outlets $WISCI125 Garhage Disposal Generator DO-5 KW �5-15 KW 2one M rsO0.1HPO1h-8 InaSolar �9�15 HP �16�15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Fee �$15 � � luue Fee $ 3 DEVELOPMENTSERVICESFE�UIREMENTS: '2oning APProved By FEES ' Building Approvad By �r' Appliption Issued By ReinspeRian Fee � $15 � � Issue Fee � $ 3 0865-46, rev. 5/88 White - Builtling: Canary - Applican[; Pink - Accounting: Goltlenrotl - Aszezsor . BUILDING PERMIT $ ' PLAN CHECK $ �' PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50?6 $ � MECHANICAL S PLAN CHECK 25% $ N � N G H E � M T S. FEES $ 3 OF FEES`J � � � SMIP $ d— ! PERMIT _ ISSUANCE $ _ ENERGV P.C. $ _ GRADING $ _ MICROFILM $ � — TOTALFEE $ � �1 G002h�id-ODD26412 'Y��T. :5.2�, QAT'c: OLii3I8? TIrE: :Z:_3 CO�TION AND PLANNING POOL `A Date Inspector ' Date Inspector APPROV Permit # APPROVALS Permit # 1. Tempory�y Electrical Service or Pole 52. Pool & Equipment Location I 2. Soil Pipe-Undrgrn"d. 53. Steel Reinforcement `'- �- . 3.� Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' - 56. Rough Plumbing & Pressure Test . � 6. �Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ' ;. 7. Footings • I r 58. Electrical Conduit-Undrgrnd. � 8. �Foundation - 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water' Pipe-Undrgmd. � � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor�System 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection •i 62. Backwash & ReceptorFinal , j 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 � �1.6.7 Rough Electric Wiring 67. Fencing & Access Approval c- 17. Rough Wiring Sign •� 68. APPROVED FOR PLASTERING i8' Rough Electrical-T Bar Ceiling : 69. POOL/SPA SYSTEMS FINAL �79: Rough�Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20�.- Rough Factory Fireplace 1' ' APPROVALS Permit # 21! Ducts, in;Structure .-- 70. Underground Hydro 22. Ducts, Ventilating • . 71. Product Piping OGas ❑Oil � 23..Gas Pipe-Rough & Test , 72. Underground Flush � 24. Roof Framing '' '73. Undergrnd.StorageTank O�Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar'Ceiling (Structural) & Monocoat 75. Dry Chemical 27.nFrame,and Flashing �- 76. Dry Standpipe _� 28. Lathing &+Siding 77. FIXED SYSTEM FINAL i 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing _.. HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai-� � -- 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric a--. � Notes: 3 g� 9 �� , 34. Final Heating & Air Conditioning - �� 35. Final Gas Pipe-Test �36. Hood or Canopy 37. Final Factory Fireplace 38. Final�Plumbing �' ' 39. Water Seriice,Final . � t - 40. Gas Service-Final � , � � ,� � •41. Solar pomestio-Final� � - 42. Backflow Preventer �, - , � " i ., 43. Backflow Irrigation � ' • .. 44. Landscape Irrigation System , � 45. Sound Attenuation • � ' .�� 46. Handicap Regulations �!' 47. FINAL�STRUCTURE & BUILDING `l � !� � � 48. Special Requirements Completed 49. Electric,Releaseto Edison , .J . 50. Gas Release to Southern California Gas Co � . 51. CERTIFICATE OF'OCCUPANCY � � " No. � Date '/" ( PNOJECT p00flESS: 3 Z 6 PR I NC ETON DR �� K OWNEH'SNRME: HRANNON, MARY ALICE aooness: 326 PRINCETON DR COSTA MESA,CA - ��26 AflCHIENGINEEfl: AOOflE55: flEG.NO.: UNIT: UNIT: PEFMITfEE: NOCK PLUMBING ( 719 ) 895-1246 nooness: 11610 SEABOARD CIR STANTON CA 90680 LICENSEO WNTPACTOB UECLABATION: I �ereby alium tha� I am Iicen5e0 untler Drovisions of Chapter 9(commencing wiih Sectian 7000� ol Divisian 3 0l l�e Business antl Pm�essions Cotle. antl my I¢ se is in full force anA e��eci. cin uc.: p 5� g STATE LIC.: J S S 9% S 0.A55: ��. \ ��6 oate: _ Signalure: WOB¢ENS' C MPENSATION OEC PpTION: I hereby aflirm ihai I have a cenilicate ot consent m seA-insure or a certificate ol workers' Compensalion Insurance. or a cenifieU coOY �hereo� (Sec�ion 3800. La�. C). voucrNo.: 116"I992-94 E%P.ORTE: O3IOS�9J comrnNr: STATE /i � Cetlifietl copy is ereUy�ishetl. [� CerlifieA copy is ith �he ciry Buil Division, �ate: y �� ApplicanP. � E%EMPTIONFROMWOflHEflS'COMPENSATIONDECLAPRTION: (Thi55ettionnee�n0l6eCompletetli�i�epermitis�oronehUndred�$1W�Orle55).. I ceriify ��at in Ihe per�ormance of lhe work tor which t�is permit is iSsueA. I shall not employ any person in any manner so as to hecome � sublecl to IAe Warkers' Compensa�ion laws at Cali�omia. � Daie: Signature: - NOTICE:If. alier making this tleclaration, you should become sublect ro the Workers' Compensation provisions of ihe Labor CoOe. you mu5i Iarthwl�h comply wi[h such pmvisions ar thls Oermit shall be tleemed revoke0. LONSTpUCTION IEN�ING RGENCY: I hereby a��irm �hat there i5 a tOns�mt�ion 1¢ntling agenCy tor �he Oehormante of I�e work for which Ihis De�mit is issue0 (Sec�ion 3097. Civ. C). LENUEfl: AUDFESS: OwNEB BWL�EB oECNBA71aN: I hereby allirm IAat I am exempl irom ine Contractors' State License Law for ihe tollowing reasan (Seclion 703L5 Business antl Pmfessional Code: Any ciry oi couniy which requiies a permit to wnsimct, all¢r, im0�ove, demolish, or repair any slmcWre. pnor lo its issuance, alsa requires ihe applican� lor sucn permit ta file a signed statement inat helshe is licensetl pursuanl io Ihe pmvisions oi lhe Conlrac�ors S�a�e License Law (Chapter 9(commencing with Section 7000) oi Division 3 ol �he Business antl Pro�essions Cotle� or that he/she is exempi Iheretmm antl Ihe basis �or Ih¢ alleged eKempiioa Pny violalion oi Sec�ion 7WL5 hy any ap0�ican� for a permi� su�lect5lhe applicanl to a civil penalry o� not more Ihan �ive hundred dollars (E500). I. as awner o� the pmperly or my emyloyees wi�h wages as �heir sole compensa�ian, will tlo �he work, and �he ❑ 51mtWre is no� intenaed or oileretl for sale (Sec�ion 7044, Business ana Pwtessional CoOe: The ConVac�ors' Sta�e Llcense Law Uoes noi apply lo an owner of a pmpetly who bui105 or impmves thereon, antl who does Such wofk IlimSelUhersel� or Ihmugh his or he� own employees, pmvitletl that such imWovemenis are nol intentle0 or ofleree br sale. If, however ihe builUing or impmvemeni is sold wil�in one year ot completion, �he owner will have Ihe bur0en o� pwving he/she Aid no� huiltl o� imD�ove lor t�e purpose of sale�. I, as owner oi ��e pmpetly. am exclusivelp conlracting with licensetl contraclors �o con5imct Ihe pwlec� (Sec�ion 7044, Busines5 ❑ ana Pratessions Caae: The Contracrors' State License Law does not aDDly to an owner of Omperry who buil�s or impmves ihereon antl who contracis far suc� p�ojec�s wiih a contrac�or(s�license pursuantio the Contraclors' State License law). I am aware Ihai pmo� ot Ihei� Worker's Compensa�ion insurance s�oultl be pmviCed ro me. � I am exemp� un0er Sec�ion: B. 8 P. C. lor this reason: Dale: Owner I tlo hereby cenify ihat I am aware ol antl un0erslan4lhe requiremenis of California Health and Salery CoOe Sections 25505, 25533, antl 25534 an0 thal I or any Iuiure butlemg occupan� willlwill no� (circle one) neetl �a comply wi�h SaiA s�a�e cotles and ihe requiremen�s �or a permit lor constmction or mo0ification Irom ihe Air Ouality Managemenl �is�ricl. flesidenlial consiNction aODlica�ions are exempt trom �hese pmvisions. �ale: ApplitanP. I �ere�y cer�itythal I have read��is applicalion and slale �hat�he above informaiionis carrecL I agree�o comply wi�h all ci�y an0 counry ordinan es and Iawsrelaiinglo building cons�mction antl hereby nzerepresenla�ives o��i�on�he aEove�mentioneE pm0 � oec n purpases. �� — g re. Drivefs Lice e ar Social Securily Pink—Revenue: Goltlanrotl—Fsseswr CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: P 066912 PLAN CHECK NO: N CONSTROCTION TYPE: V—N PERMIT TYPE: PLU PERM NO: P 066912 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTIOtJ , WATEA HEATER C/O SQ FT: ��' F CLAIM CTALUE: CA�t�'--VALUE: GROOP OCC: R-3 / �: : COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT ��*��**+�*�*x�**�c***�***�**x�*�r��r*�**+�**��rx*�******�***�*x+�**+r***�r�r**+t**********� 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 HUILDING;�,----r'----- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR:�`5-3�FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT:�;��.wFT IN LEFT: FT IN RGHT: FT IN ' � . PARKING RE�• PROV: ,' ;;._PARCEL: 14138325 ZNE: REF NO: PLANNING N TES> > - iE if iE if if iE iE iE fE ik 1F iE iE iE 1E iE iE iE if %iE iF iE iF it 1E iF iE 3f * if iE ik iF iE iE iE iE iE if �E if if iF it if iE iE iE if ik if iE %iF if iE it if %iE iF 1E it if �f iF fE iE fE if i! iE iE if if !E iE iE D E l7 E L O P M E N-T S E R V Z C E S. R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED HY : i r DATE: /� APPLICATION ISSUED HY: �� -I DATE: �� ,Y'' iE if iF 1F if iE aE iE if IE 1E iE �f 9f iE if %iF 1f if iE iE�7F7F7F3i�Z�7FiF;i �7�R�F �F7F�'�f jF �F{F7F i� 7E iF�fitiFi:i�i�iF iE iE iE 1E IF iE iE if if �if' ` iE3fiElEiFiFiEiFiFic{E*iEiE�%IE�143EiEiEiFifiFifiEiEiEiEifiEiFifiEiFifififiEiEifiFiE3EjfiPiFjElEiEifiFiEiEjEiEaEiEifikiEaEiEifiFiFifiEifiEiFiE3f ifiFifiFif�lf LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC� MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 258 SMIP/NON—RES PLAN - ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN-CAECK TOTAL PAID DUE TOTALS----> 7,00 20.00 0.00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHAPIIC . FIRE SMIP/TOT GRADING PLAN—CHECK 2%.�0 • if fE if iE fE 1! it if it 1f if it if fE 1E 1E if iE 1f iF 1f 1E iE iE if it 1E fF iE iE k iE if iF if iE fE fE �f 1E iE 1E if iE 1E it if iE it if 1E tt ik i4 if i! iE 1E iE iE iE 1E iE if iE iE if �! iE if iE jk iF iE if iE iE iE iE I N D I V I D U A L "F:E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER AEATER AND/OR VENT END OF FEES 7.00 `31 001594?3-00159453 T�] T CATE: D4/2`/44 TIFtE: 10:31 7.00 27.00 CONSTRUCTION AND PLANNWG POG . SPA .. � APPROVAIS Permit� �ate inspector qppROVALS Permit� Date Ipspettor � i.. • i t, Temporary Electrical 5ervice or Poie - 52. Pool & E�3uipmen; �ocation I i � 2. Soil Pipe-Undrgrnd. , , 53. Stee� Reintorcemeni ' , 3. Electriczi Conduit Utility-Uncirgmd. 54. Forms 4. Elettrical Conduit-Undrg:nd.�- ( 55. Electrical Bonding � � ! 5. Steel Reinforcemen: 56. Rough Piumbing & Pressure Test �� ' �. Electr.cai UFER Gmd. 5). APPflOVAL TO COVER-GUNITE �, j 7. Footings 58. Electrical Conduit�Undrgrnd. � � 8. FoundaZion , j � 59. Gas Pipe, G� Untlrgrnd., Test � 9. Water Pipe-Undrornd. � 60. Backwash Lines, P�Trep, C Undrymd. � � 10. �+��icwrei Floor Svstem ; 61. APPROVAL 70 DECK - j 1 t. I aerty Sewer �ine & House�,Connection 62. Sackwash & ReceptorFinal � ' �:� i 12. Sewer Cap � 'i 63. Heater & Vent-Final ( 73. Roof Drains � ? 64. Plumbing Sysxcm - Finai � 14. Rough Plumbing .` �� 65. Electtica6Final i 15. Rough Electricai-Condurt ' 66. Solar System�Finaf � 76. Rough ElectricN�iring 6). Fencing & Access ApP�oval � 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electncal-T Ba� Ceiling 69. POOUSPA SYSTeib^5 FINAL � t9. Rougfi Hea2ing & A;r Condit[oning F{RE DEPT. RE�UtREN1ENT i 20. Rough Pactory Fir.epiace � � � � �APPROVAIS"� • Permit # - i : 2L Uucts, inStructure - - 70. Underground Hydro � 22. Ducts, Ventiletinq 71. Product Pi in, rl'Gas ❑ Oil � R 9 `-_ 23. Gas Plpe-Rough & Test � � . , 72 Undergroiwd Piush � 24. Roof Framing • 73. Underyrnd.Storaye7ank C'Gas ❑Oii ' i 25. Roo� Sheathing - 74. Overhead Hydro � 26. T�Bar Ceiling ISvuctuial} & Monocoat 75. �Dry Ch2mical �� • j 27. frame and Flashing � - 76.`Dry Standpipe � 28. Lathing & Siding - - 77. = FIXED SYSTEM FiNAL � 29. Insulaiion 76. FIflE PREV. FINAL - i 30. Drywal; Nailing � HBALTH OEPT. REQUIREMENT � 31. Plaster 5rown Coat . . 79. FINAI. INSPECTlON : �- ( 32. Electrical Power A9eterF�nal � 80. FOOD CERTIFICATE ISSUED � � 33. Final Hectric 'Notes: � � 34. Pinal Heating & Rir Conditioning r_c ; � �� -,�__�� J�C�,iS L:�'��CJS7 ..- j 35. Final Gas Pipe-Test ,^, �y �" V T �Q7��(Q7Y ��LlC� 36. Hood or Canopy =; C„ �-7 ' '' � �/ '�� r�-�r `� G':-- :'✓_ - ---- � 37. Final Fac2ory Fireplace . ' � - 38. Final Plumbing J�.- ' ., ! 39. Water.Service�Final ' 40. Gas Szn�ice-Final 4L Solar pomestic-Final � � ' ` 42. Backflow Preven:er . - 43. Backflow Irrigazion ' 44. Landscape Irriqation 5Ystem � , � � � 45. Sound Attenuation � ' ` ; - � 46. Handicap ftegulations � � � � � 47. FINAL STRUCTURE & BUILDING . � � 48. FINALALAKNiNG . � • " - 49. Electric Release xo Edison ,' � � 50. Gas Releate to Southem Caiif6mia Gas Co - � � � 51'. CERTIfiCATE OF OGCUPRNCY . . � No. Date ' ApD��a�t to till in ail spaces except those withfn �ITY OF COSTA M�jESA COy�N� STRUC ION PyE�R��MIT . Project Address �%✓�� /'r/�%�C'P �1 Y/1 � ApplicanYs Ma{ling Add/re�u�.7. /�p� � Owner's Name �'Y54� `,n I " "" Phone ^ Atldress ArchlEng. License No. � � Address Contractor's Name /� � hon Address 1m� � �;� �2� • �r�� il CiryLiceneeNa .b� t".n . UCENSEO CONTfiPCTOR DEGLAi¢ATION � - ! hereby dffirm thdt i dm IiC¢/isetl untler plovi5iOn5 Ot Chd(tef 9(ComTencing witp seciion 7000j of Ofvision 3 of the Business antl Profeisions Cotla, antl my Iicenze is in I o ce antl effect. Li<ense C1a s 'c u� Date Slgnatme WORKE 5' COMPENSATION DE RATION 1 h¢reby'affirm that I have a certiflcate of conien< to self.insure or a certiftcate ot WorketS' ConlpCnSdtlon InSWdnCe, Or d c¢/lllI¢d coDY thele0f (SeGtion � 3800, Lab.� . A Q )��= . PolicY No. Company �,C� ! � rtifietl coOY �s nereby umi5hetl. � Gertifyeq�eqpy is filetl with the ci[y �njltlfpgJ]i}�ision ��. �� (7bi55ection peetl �ot be Completetl it the permit Is fo� one.huntlt¢tl (5300) or . �ess). i c¢rtiry tnat in tne performance of tl+e work for wM1ich this Oerm+t is issaetl, i shall not employ 3ny persOn in any mdn�C� 50 as ta b¢cOme subj¢ct to thn WO�keri' GomOensatlon laws of CalHomia. Date Signature ' 'NOTICE: If, afEe� making tpis tleclaration, you sboultl Oecome sub)ect to thg Workers' Compensatton Orovtsions of the LaCor Cotle, you mast lortbwith comply with such provisions or thlz permit sha11 be tleemetl revoketl. CONSTRVCTION LEND�NG AGENCV 1 herety affi�m that Ibere is a construttion IenOing a9ency toY tha peAormante of [he work for which tni5 Pe�mit is issued (5¢ctlon 3097 Civ. C.) Lcntler'S Name Lentler's �1Gtlress � OWNER BVIIOER OECIARATION � he:nbv aifirm tnat 1 am exemDt irom ihe COOhactoYs Llcense Law for tne a to DiviSio� 3 ot Ihe Business ana VroteSnons t.00e) or mai ne/sne � nemy. tberefrom and the basis fo� the alle9etl exemption. Any vlolabon of Sectioo �631:5 by any' applicant for a permit subjects the dpP��Cant to a tivil eenalty of not more than tive huntlretl Co�lars (5500}. , L� I, as owner of the property or my'emoloYeflS witM1 wages as metr zole . compenSa[ion, will do the work, antl the structure is not in[entletl or offeretl for sale (5¢ction ]044, Business anC Professional Cotle: The Conirattor's 1_icense Ldw tloes not appiv to an bwner of a property who bulids or imProves theteop, antl who tloe5 Such wOrk himself/hersElt Or'throu9h hls o� her ow❑ employees, provideC tnat such improvements are not intendetl o� offeretl for ula If, howeveq the �uiltlin9 0� �mprovement is Soltl within one year of com- O�etion, the owner wlll have the burtlen of prov(ng ne/she tlttl not bWltf or im- - orove torthe purpose of salei. ❑ 1, as owner oi t�e p�OPerty� a�n exclusivery contracting wfth Ifcenseq Con- trdctor5 to ConSttuct the ptoie<t (SectiOn 704d, Busine35 an� Protessions GotlB� 7�¢ ConVactor's License �aw does na[ applY ta an owner of pro0e/b Who bulltls U� imD�oves thermn, antl wpo conVactS for sucb ptOj¢cts witn a con- cra<tor(sl license pursuant�to the ConVactor's Lfcense L.aw). 1 am aware [hat plmf 01 (M1eir Worke!'S Compensdtion ipsuranCe sM1OWa bC proviCetl to T¢. �] I am exemot untler S¢ction 8. & P. C. for tnis reason �' Date Own¢i 1 hereby <ertifv tbat 1 bave rea� infolmation i5 cOlrect. I agr¢e t0 antl 5ta[e laws reiating to bu{Itlir sentaUves of this city to enter inspactlon pur set 519nature � D�Ivers' Lirense o� $5 �¢ 7 tnis application antl state that tbe above compty with all c{ty antl county ortlinances g construtUon, antl hereby autnorize repre• upon ihe above-mentione0 property }or bOrGer I(nes antl sign all appropr(ate tleUarotions. LOT.NO. UNITNO. TYPE DF CONSTAUCTION LJ NEW LJ ADD LJ ALTEfiAT10N LVSREPAIR ❑ CONVERSlON ❑ DEMOIISH O OTHER q.p� �E DESCRIPTIONOFWORKlUSEOFBCOG. , S Main6� E TYPE OF PERMIT GFAOING^/ 5OUNDATION STRUCTU0.AL T Front _ ❑ TENANT ❑ E�EGTftICAL LIdPLUMBING ❑ MECHANICAL . - a R2ar ' ❑ -OTHER � � ' � - C Rlght PROJECT DESCRIPTION 5q. FT. " oCCUPaNCY CONSTRVCTIONTYPE � � VALUATION$ S left 20NE GRADING GV.YOS. ACRES Ping. Ref. #` aemarks: . ' � Piannin9 No Sink Prevemer Jrinking Fountains Floor Orains" Floor Sinks GasService � Outlets Interceptors � Kitchen Sink " lavatories �. P—Trap Root Orains . Reinspection Fee Untler Ground Sttucaral $15 Exhaust Syscem ❑ aiultiple firepllFan.61t. ICBO # Heating System & Ducting �ai oa,000 aru f7 i oo,aoo p.:..,p¢ction Fee � 515 CMF 0865�46, rev, 30/B4 P1nk - 0.ccountlng: co�tl¢nroC - Ass2ssor . / SFiowe�5 Service Si�k � Sewe� Cap Sewer Co�nection Solar Collectors So�ar PiPing Solar Tank Swimming Pool wlSpa U�ina1 Wacer Closet Water Heater Wa�er Service Auto-Wash luue Fee Haad or Type 1 ❑ Cariopy Type I I ❑ 4efrigeration System � �O�t00,000BTU ❑100,OOOBT SyRem RepairlAlteration �" Fue Dampers Registers Issue Fee $ 3 0 $ 3 Automatic Washei Construction Pole Cooking Unit . Disbwasher � Dryers ❑Gas C Fan F,A.U. , Fixtures Dev'�ce Boxes Outlets 4201 6/t75/85 2one Accessory Buildin9: Parkiny fieq./Provided� Transformer IJ 15-50 KW 0 50+ KW Meter Lluptot00amps ' , . Meter (]over t00amps' Suh Pane� Mocors O67 HP O i X- B - Ina Solarl �9-�75 HP � 16-7 5+ Garbage Disposal Generator O0.5 KW 05�75 KW Pole Ligh[ Range Sign ; Stantling Sections Trash Compactor 0�0� T� FEES Z O N 1 N G R E Q M T $ � Reinspection Fee �$15 ' ' Issue Fee " ' $ 3' DEVELOPMENTSERVICESREQUIFEMENTS: � Zoning Approved By Date Building ApO�ovad By Data Application issued By �� Date 6/��521� SUMMARV OF FEES BUILDING PERMIT , $ SMIP . $ PIAN CNECK � $ ��-- PERMIT PWMBING $ '�'Uv �SSUANCE $ PLAN CHECK 25% $' ENERGV P.C. $ ELECTRICAL � $ GRADING $ PLAN CHECK 50%' $ MICftOFILM $ MECHANICAI $ TOTAI.FEE $ __,��.�� PLAN CHECK 25% $ ' CONSTRUCTION AND PLANNING pQ�� & SPA APPROVALS Permft # Date Inspector APPROVALS Permit # Date Inspecrnr 1. Temporary Elecxrical Service or Pole 52. Poof & Equipment l.ocation 2. $oil Pipe-Undrgmd. � 53. Steel Reinfarcement 3. Electrical Conduit Utility-Undrgmd. 54-. Foims 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE J. Footings 58, Electrical COnduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Recepior�Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ' 64. Poumbing 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 78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rou9h Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. U�derground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil -. 25. RooP Sheathing - 74. Overhead Hydro 26. 7-Bar Ceiling (Struciurap & Monocoat 75. Dry Chemical �27. Frame and Flashing 76. DrY Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaeter 6rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80.,POOD CERTIFICATEISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . . . 36. Hood or CanopV 37. Finai Factory Fireplace � � � 38. Finai Plumbing Z � �„�f 39. Water Service-Final 40. Gas Service-Fi�al 41. Solar pomestic-Final 42. Backflow Preventer � . 43. Backfiow Irrigation . , 44. Landscape irrigation SYstem � 45. Sound Attenuation `46. Handicap Regulations �47. FINALSTRIJCTURE & BUILDING � �48. Special Requirements Completed , � - , ��49. Electric Release to Edison • � i0. Gas fielease to Southern California Gas Co � . � t. CERTIFICATE OF OCCUPANCY Date � _�_�_�_ i - OWNER COLLEGE PARK DATE 1.Z-Z7-5CJ JOBADDRES3 326 Princeton Drive BUII.DING PERMIT NO. #�9 GENERALCONTRACTOR Harbor CORSt. CO. VALUE $ ].Z�ZOO.00 �c,� 60 s�ocK TRACT 2726 Res, w/det. gar. cRoup I& J TVPE Q ZONE RI! FIRE DISTRICT ij193 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Forms and Grade to Garage , Rough Framing ��'i' '- - Piumbina. Rouph to Slab �VI p S 1�/�-S' _S / Heating Rough / �ICS '�f _J'-S � � - ) 3' 7 9 / U ✓ Heating, Final �� =,�.�sa% (/S�ewer, House L Sewer, St. � 5 z8:s-, . 3-� j' S7 � 7:3 6 S� �� Tank or Cesspool L, n9� In Out . j`i'�i y', i�.. J Fixtures Complete�GS � /�3 Wiring,Finat �.}�— r 3-)`� Occupancy ? j%' i-3 _�� FORM 310 9M 10-i! ° �osta Mesa Bnilding DePartment APPI.ICATION FOR PERMIT „' • P.O.Box3�� - m�a�� BUILDING � • EOSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permlt No. Building /'/`J Addresa 26 PRINCETON DRIVE 7 � Costa Mesa, Cid,�IiOPIIId, Received by Date Rec'd. Date Issued Nearest _m �t �� 7 � /2-a-7-J�� CrossSt. fiARBOR BLVD. Building City SANTA ANA A roh itect or Engineer +dress �ontractor H A R B O R Address $AME Legal Lot Description No. E (Attach Metes and 8� Size of Lot %% X 4se ot Existfng Bldg. Set6ack Lfne from Center of Stree! DESCRI New I X I erior O. MAIN ST. Tel. . C A L I F. No. K I Moving N o. of No. of Bldgs Now on Lot Addition of Address Costa Mesa, California Nearest Cross St. io.or I �ype� ians CORRECTIONS APPROVALS Foundation Loeation I Inspector Forms, Materials, I hereby acknowledge that I have read Uus Application and state that the above is correM and agree to rnmply Lath. Int. with all City Ordinances and State Iaws regulating building construCtion. Lath. Ext Stynatureot HARBOR CONSTRUCTION C0. P�aster,�nt Permlttee Valuatlon Permit Fee $ %�' —' Plan Check $ � y $ I I �260, Total y� � Fee flM 204 10�53 D. P. 8 5. Beam upr- ,l v Date a �—� ni c� v, y . 4 � 0 O 1 j� PLOT PLAN Show locatlon and distances from property Ilne and between buildinga 0 O t✓ t� _ r.: � • -- - 4 �