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Home My WebLink About2758 DRAKE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2758 DRAKE AV Suite No Vicinity: METERTOATTIC/SFD Parcel Nunmber: 141301�1 Applicant MEIER, CHAD Address: 1622 EDINGER AV STE A TUSTIN, CA Owner: INFRANCA, PETER D Address 2758 DRAKE AVE COSTA MESA, CA PLUMBING PERMIT Phone: 714-544-6260 Zip: 92780 Phone: Zip: 92626 Contractoc ADAMS AND HELM PLBG AND APPL Address: 1622 EDINGER AV STE A Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Draiq Rainwater Drain, Roo( Drinking Fountain Expansion Tank TUSTIN. CA Phone: 714-544-6260 Zip: 92780 License: 186371 Phone: Zip: License: Status: ISSUED Applied: 10/01/2002 Issued: 10/01/2002 ISSUED BV: SCOPE OF PERMIT PLUMBING PERMIT TO REROUTE 1" GAS LINE FROM METER TO FIXTURES. 1 GAS REPIPE NO OTHER WORK AUTHORIZED WITH THIS PERMIT. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 �o.00 30.00 50.00 $0.00 $0.00 $0.00 $0.00 QTY 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) 30.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect 50.00 Sewer Private Line 50.00 Shower So.00 Sink, bar $0.00 Sink, commercial $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Ven[ System Water Closet (Toilet) Water Heater / vent Water Piping (Insl or Rep.) Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This pertnit 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 780 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 fnepectione and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 zaasrc �uroo) WORKERS'COMPENSAnONDECLARAnON: � � I �ereby aHirm under penalry of perjury one of Ihe tollowing declarations: ❑ 1 hava and will meintaln a certificate ot consent to selbinsure for workers' compensetion, as provided for by section 3700 oi ihe Lebor Code, for the peAortnance of the work for which Ihis pertnit is issuea. �[r] I have flntl will maintaln workers' compensatlon insurance, as requiretl by section 3700 of ihe Lebor Cotle, for the pertortnance of the work for whicti this permit is issuetl. My workers' compensation Insurflnce carrler end policy number are: Cerrier. �iw�J,dO�r�/% �i i�.,.n o..�� s- Policy NumDer: �%E��J �,�-� e (This sectton neeO not be cromplered i! (he permit is velued et are hundred dollers ($100) or Iess.J ❑ I certity ihat in t�e Dedormance ot t�e work for which Ihis permit is Issued, I shall not employ eny person in any manner so es to become subject to the workers' compensatlon laws ot Calitomia, and agree that if I should become subject to Ihe workers' compensation provisions of Section 3700 of the Lebor Code, I shall forthwith comply wilh Ihese provisions. Applicant Signature: � Date: /P� / O J WAPNINO: FAILURE TO SECURE WORK ' OMPENSATION COVERAGE IS UNLAWFUL AND SHAIL SUBJECT AN EMPIAVER TO CPIMINAL PENALTIES FND CIVIL FlNES UP TOONE HUNDPED THOUSAND DOLLARE (5100.000), IN ADOR O THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOFi IN SEGTION 3106 OF THE L4BOR COOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: , I hereby attirtn that I am licensed under provisions oi Chepler 9(commencing with Section 7000) af Division 3 of the eusiness and Prolessians Cotle, end my Ilcense is in tull �i, torca and eflect. Lic. M C 36- /.Frl3 �l/ Class # G 3/ �� CantractorsSignaWre: Date: �0-/-03 ' CONSTRUCTON LENDING AGENCV: ❑ I hereby aMirtn that there is a construction lending agency for the pedormence of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lenders Atltlreu: Signature: Date: OWNER-BUILDER DECLARATIONS: I �ereby aHirtn Ihat under penalry ot perjury that I am EXEMPT FROM THE CONTfiACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Buslness and Protessions Cotle: My ciry or counry which requires e permit to consWcL alter, improve, demolish, or repeir any structure, prior to its iuuance, also raqulres the epDlicant for such pertnit to file a signed stetement that he or she Is Iicensed pursuent to t�e prodsions ot ihe Contradors License Law (Chapter 9(commencing with Sectian 7000) of Dlvlslon 3 ot ihe Business end Prolessions Coae) or Ihet he or s�e is exempt therefrom and the Gasis for the allaged exemption. Any violation oi Section 7031.5 by eny applicam for e Dermit subjecls the epplicant m a civil penalry of not more than tive huntlrad dollars ($500).): ❑ 1, es owner ot ihe proDerty, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, end the strucWre is not Intentletl or oflered tor sele (Sac. 7044, Business and Professions Code: The Coniractors License Law does noi apply to an owner ot properry who builds or improves thereon, and who does such work himself or herseH or Ihrough his or her own employees, provitlea ihat such improvemenis are not intended or otterad for sale. It, however, ihe building or improvement Is soltl within one year oi completion, t�e owner�builder will have the burden of proving that he or she did not build or improve for purpose oi sale.). ❑ I, as owner of t�e property, am EXCLUSIVELY CONTRACTING WITH UCENSED CON7RACTORS to conswct Ihe prqect (Sec. 7044, eusiness end Professions Catle: The comractors Llcense Lew does not apply to en owner of properry who builds or improves Ihereon, entl who conirects for such project with e coniractor(s) license pursuant to the Contractors License Lews.). ❑ I flm e:empt untler sec. Business antl Protessions Code for this reason: Signeture: Date: Owner ID veritied by driver'S licensa. ❑ Ves ❑ No Dnver'S LiCenSa No. Expires: Vedfication ot Ownership by (rype of document, I.e. - properry tan blll or deed): DIVISION OF INDUSTPIAL SAFETV PERMR CERTFICATION: ❑ I hereby certih/ ihat no escavation five (5) or more faet in depth into which a person is requiretl Io Cescentl, wlll be made in connaciion with work euthorized by this permit, anC that no building strudure, scaHolding, falsawork, or demolition or dismantling ihereoi, will be more than t�irry-six (36) taet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle e, Calitomia Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require e pertnit from the Division oi Indusirial Sefary, es noted above, unleu such person hes e pertnit to do such wark irom the division. Signature: Date: Division oi Intlustnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certity under penalty of perjury that I have read t�is application and state thet the information given is correcL I agree to comply wit� all state laws and ciry ortlinances relating to bullding wnstruction, end euthorize representatives ot the Ciry of Coste Mesa to en�er upon the above-described property for inspection purposes. I agree not to occupy or ellow occupancy of eny building authorized by Ihis permit until finel inspection. CODE t. INSPECTIONTYPE �� 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Fioof 207 Flnal BIocWReteining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Dertwlition / � /Q --/-Q '7 ate J� COpE� INSPELTIONTYVE 206 Final Mechanical 208 Finel Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Final Building/Occupency Q�g II�Li /0 /� CITY OF COSTA MESA. CO STRUCTION PERMIT , Project Address �Applicant's Mailing�ddr.ye�c�� /� Owner's Name.Q 1 I, LdQ1L� ' Phon ' Address —�d� � ArchlEng. _ � � - License No. Address Contractor's Name 'P/hone S Address (mailingl ✓ � City �icenu No. . LICENSED CONTRACTOR DECLARATION � I hereby.affirm that I am licensetl untler provisions of Charter 9(commencing with section 7000) of Division 3 of the Bu5ine55 antl Protessions Cotle, antl my license is in fu f antl etfect. ' i 'LicenseCl ic n No. Date Signahre WORKERS'COMPENSATION DECLARATION ' hereby aftirm tnat I nave a certificate oi consent to selt-insure or a ertificate f Workers' Ca �n i n� nc�qc�a certitied_mpy th � (Secti n^ 3800, lab. C� a � �J- �� Poliry No. (� Company �ertifietl copY is hereby furnishetl: � � Dateerti�� cqpy�is (iletl with tM1e city Byiy)jry] Qj��n.,n� OC_� APPlicant /r(/�� /' EXEMPT�ON FROM WORKERS' COMPENSATION �ECLARATION (Thisseclion need not be completetl it the permit is for one huntlretl ($100) or less). I certify tM1at in the performance ot the wo�k for which this pe�m�[ is izsuetl. I shall no[ empioy� any person in any manner so as [o become�,subject to the Workers' Compensation Laws of California. .. Date Si9nature 'NOTICE: If,after making this cleclaration, you shoulG become subject to the Wo�kers' Compensalion provisions ot the l.abo� Cotle, you mus[ forthwi[h comply wi[h Such provisions ar this p¢rmit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENGV I hereby affirm tha[ [here is a construction lentling agenty for the pertormance ot the work for which this Dermit is issuetl (Section 3097 Civ. CJ Lentler's Name Lentler's Atldress OWNER BUILDEN DECLARATION " I hereby affirm tM1at I am ezempt from the Contractor's License Law for the followin9 reason (Section 7031.5 Business antl Professional Cotle: Any ci[y or. wunty which requires a permit to construct, alteq impwve, tlemolish or repair any structure, prior to its issuance; also requires the applicant for such permit t0 fii¢ a signetl statement that he/she i5 IicenSetl pursuant to the provisions ot the Gontractor's License Law (Chapter 9(commencing with Section �000) of '�vision 3 of the Business antl Professions Cotle) or that he/she is exempt arefrom antl the ba5i5 �for the alleqetl exemption. Any violation ot Section �31.5 by any ap0lican[ tor a permit subjects the applicant to a civil ,.enalty of no[ more than five huntlretl tlollars ($500). �� ' ❑ I, as owne� ot the property or my employeas with' wages as their sole - wmpensation will tlo the work, antl Ihe SVucture is not intentled or offe�etl tor sale (Section ]044, Business antl Pro�essional Cotle: The Contractor's' License Law tloes not apply to an owner-ot a property who builtls or imoroves thereon, antl who tloes such wo�k himself/herselt or through his or her own employees, provitletl tnat sucn imorovements are not intentletl or oHeretl tor sale. If, however, the builtling or improvement is soltl within one year of com= pletion, the owner wlll have tne burtlen o/ proving he/she tlitl nat builtl or im- prove for tbe pu�pose ot sale). � ❑ I, as owne� ot the'property, am exclusively mntracting wilh licensetl con- tractorsto construct the project (Section 7044, Business and Professions Cotle: The Contractor's License Law tloes not apply-to an owner o( property who builtlsb� improves the�eon, antl who cont�acts fo� such prolects with a con- tractor(sl license pursuant to the Contractor'S License Law). I am aware tnat oroo( of their Worker's Compensation insurance Shoultl be provitletl to me. ❑ I am ezempt untler Section �B. &.P. C. for this reason. Date Owner I-M1ereby-certify�that I have rea� iniormation is correct. I agree to antl state laws relating to builtlir Sentative5 of�(his tity to' enter Signature G to fill in all spaces exceo< those within heavy ooraer Ilnes anG sign al1 ap 'i� aa��8' a TRACT NO. lOT NO. ; � �EOFCONSTRUCTION � NEW • ADD ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRIPTIONOFWORK/USEOFBLDG. � � tleclarations. AIR — A.P. �f` . . S Main Bui �TVPEOFPEHMIT GRADING FOUN�ATION ❑STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑�PLUMBING ❑ MECHANICAI. B Rear �;OTHER A PROJECT DESCRIPTION SQ. FT. OCCUPANCV C Right CONSTRUCTIONTVPE VALUATION$� g Left 20NE GRADING CU. VDS. ' ACRES' �p�ng. Ref. #. nemarks: ' , Planning Nof Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavamries P-Trap Roof Dreins - � Reinspection Fae $15 Boiler . Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL ICBO # � Heating System & Ducting ❑ai oo,000 sru O i oa,000 er . LDriverr ucense or 55 � � I I Reinspaction Fee � CMF 0865-46, rev. 30/84 Wnite - Builtling; Canary - APPlicant; Pink - Accounting; Goltlenrotl - Assessor $15 Showers ServiceSink ' Sewer Cap Sewer.Connection $012! COIIQCLOfS Solar Piping Solar Tank Swimming Pool w/$pa Urinal Water Closet Water Heatel �, `� Water Se.� � AutO-WeSh `.-�r Laundry Trays laue Fee Hoodor Typel ❑ Canopy Type I I ❑ ' Automatic Washer Consiruction Pole Sub. Cooking Unit ' ' DISf1Wd5hCf Dryers ❑G Electric Fan . Refrigeration System - ❑4700,OOOBTU ❑t00,OW�. System Repair/Alteration Fire Dampers � ' Registers ' , Issue Fae $� FEES $ 3 Device Boxes � _` '" 7957 I/23L86 : � w,OU: TL� Accessory Building: ELECTRICAL t Transformer ❑ 15-50KW ❑ 50+KW Switches Garbage Disposal � Generaror 00.5 KW 05-15 KW Meter ❑up to 100 amps Meter ❑over100amps Suh Panel Motors O0.1 HP �1 %- 6 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign ; Standing Sections Trash Compactor , _. . Reinspection Fee $15 Issue Fee � DEVELOPMENT SERVICES HEQUIREMENTS: . Zoning Approved By .�euilding Approved By Appliption ISued BY � FEES $ 3 Z O N I N G R E Q M T S ; � y;.� � � � SUMMARV OF FEES � � � .BUILDINGPERMIT $ SMIP � � $ 'PLANCHECK $ /�� PERMIT '•PLUMBWG � � $ �rTr i.__ � ISSUANCE $ �� PLAN CHECK 25% $ � ENERGV P.C. $ �.ELECTFICAL ' $: GRADING $ ' PLANCHECK .50% $ �MICROFILM' $� �-�- �7� � MECHANICAL� $ �� TOTAL FEE $ S-2� ' PLAN CHECK � 25% $ � ' p �; � CONSTRUCTION AND PLANNING • � POC SPA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector • 1, Temporary Electrical Service or Pole , 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 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 58. Electrical Conduit-Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd.; Test , -9. Water Pipe�Und�grnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � � 17. 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 Elec[ric Wiring � 67. Fencing & Access Approval . -i -17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. �Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' ' 20. Rough�Factory Fireplace 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..RoofFraming 73. Undergrnd.StorageTankOGas ❑Oil . � 25. Roof Sheathing ' 74. Overhead Hydro � ' 26. T-Bar Ceiling (Structural) & Monocoat 75.� Dry Chemical . . � 27. .Frame and Flashing 76. Dry Standpipe . '. � , 28. �Lathing & Siding 77.r�FIXED SYSTEM FINAL 29. Insulation ' 78='FIfiE PREV. FINAL 30. Drywall Nailing _, =, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79:-:FINAL INSPECTION 32. �Electrical Power Meter-Final . 80:rFO0D CERTIFICATE ISSUED 33. FinalElectric Notes: 7.22_�� EpT Gq20 �;y�-�.�.� 34. Final Hea4ing & dir Conditioning � - � ' � �� " c�_ � �� OK r'G: 4. i�oiw/L 35. Final Gas Pipe-Test � --(��,L a5 p1(/Z, j�p.$ VPG, (,�ivt� 36. Hood or Canopy - �' � . � . 37. Final Factory Fireplace � . , - 38. Final Plumbing , , � � ' - � _ � -. 39. Water Service-Final , , � :-; 40. Gas Service-Final 41. Solar pomestic-Final ;,�� . ' 42. Backflow Preventer '"' � il � 43. Backflow Irrigation ' , 44. Landscape Irrigation System�' . 45. Sound Attenuation � . ,- , � 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING � ' ' - - . 48. Special Requirements Completed � � � 49. Eiectric Release to Edison ' . 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY " No. - - Date - � , . � � �- � :.. � � �..� � ��. •� ;�` R.D.BLAKE pISTPICT MPNNGER �� ^ .:J -�; �" Southern California Edison Company ]933 BOLS/� AVENUE WESTMINSTER. CALIFORNIq pZOB3 Mr.and Mrs. John Riskus 2758 Drake Avenue Costa Mesa, California 92626 Dear Mr. and Mts. Riskus: SUBJECT: Letter of Consent Our File 0-0917 Vault Document No to Encroachment 188892 22.3 August 8, 1977 Southern California Edison Company, a corporation, as the holder of an easement recorded in Book 5327, page 55 of Official Records, Records of Orange County, California, will interpose no objection to the encroachment within the area affected by said easement on Lot 22, Tract No. 3749, as per map recorded in Book 131, pages 20 to 23, inclusive, of Miscellaneous Maps, in the office of the Recorder of said County, of a swi�ing pool and appurtenances within its easement area upon the expressed condition, however, that the owners, by the acceptance of this instrument, agree for themselves, their heirs, and assigns, to release, save harmless and indemnify Southern California Edison Company, its officers, agents and employees from and against any loss of or damage to property, including Southern Califomia Edison Company's own property, injury, liability and/or expense, which Southern Califomia Edison Company may sustain, incur or become liable for, resulting in any manner from the construction or presence within said easement area of any portion of such swiffiing pool and appurtenances or resulting from or arising out of the performance of any necessary maintenance on Southern California Edison Company's facilities. � verY czuly yours, i� �� R. D. BT.AKF RDB:EP:lh RECEIVED CITY OF COSTA MESA PLANNIN� 9EPT. S E P 1 1977 M ptiq i8i9il0illii2i1�2�3i4i5�6 91�'�I�1�It'�I�'�'sIg'� Wd yy _._�� L d�'s' - � id ��=' !- .J j0 All� a3ai3��a �� , = �i� 12258 CQSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA M69A. CALIFORNIA For Applieant to Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA Coiona del Mar CiTY COI0178 �aHl TiBr ' STATE 1 LIC. NO. ' -- I OF LOT � 70 7C I�F USE OP EXISTING BLDG. � BETBACK UNE RROM SO CENTEN OP BTliE6T � FEE RECEIVED ��. JUN 1; 1960 1NANCEn DEPT. APPLICATIOt��J` IP�PEFtttMT' MESA � ZZ BUILDING �� 4C For Office Use Only AECEIPT NO. N+. , RECE�� I 6'��T 'V� a I ��TiCS BUILDING �`�� ADDRESS 2758 Columbo Avenue S%OlO . COSTA MESA. CALIFORNIA Beach F�RE ZONE TYPE I/GROUP � vnv..�.F..+BlDo9. O DESCRIPTION OF WORK g ZE DING 60 X'j� ROOMS 7 EXTERIOR A SCUCOO ROOF COVERING ��idin COVERING USE OF BUILDING AND WORK TO B� F'� with attached 1 HEREBY ACKNOWLHD6E T ANO BTATE THAT TXE AB PLY w�TX ALL CITY aROI � BUILDIHO CON9TRUCTIO 61GNATURH OF ■ AUTHOR{ZED AGEIJT 36 1 ZONING ZONE NO. OF lISE OF NEW /Z� PLANS BOILOIN6 ^p°fo,o.L°t �zfract � 3749 LIN6 9TJ U/ EVES !AT 1 HAVE R¢AO THI6 APPIAGTION �}pC AMOONT 6XOWN IINDER VALUATION IS FOR TNC E I8 GORA6CT AND AG E TO COM- pURP08E OF E6TABLIeHING A PEPNIT FE¢ ONLY. VC AND BTATE LAW REODUTIN6 VALUATION 34. Q� PERMI7 FEE $ $ L�F'�563�00 PLAN CHECK $ 17.00 Project Manager TOTAL FEE S�..00 :, .,- , , ._ _ 431.5� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Completely — Use Ink Only BUILDING � ., ,.-�r ,r-� � „ _ . ._ w .. _ MAIL ADDRESS " CITV CONSTRUCiION LENDER BFANCH ADDRESS ARCHITECT OR ENGINEER ADDRESS FONTFACTOR TEL. NO. TEL. PAIL �)�C-7-76c�,;,00 397_:: u***77.63 A P�IC TION FOR STRUCTURAL PERMIT RE V DATE RECEIVED E U �� A.P. NO. -�CJ � I/ P T . d BUILDING�� ( �� ( ADDRESS TRACT � / LOT�iC� _BLOCK IRE E DATE �.�L� 6� ADDRESS TEL. ZO E� NO.OF USE OF NE CITV NO. PLAN$ BUILDI � f-� • '1. STATE CITV �'ARDS APPROVEO L' ��APPRO C � LIC. NO. �IC. NO. , MAIN BUIIDING ACCESSORV B DI {zj SIZE NO.OF BLDGS. (FROM C/L T I 0. OF 1.0T `f�j 95 NOW ON LOT � AONT FT. a USE OF � EXI5TING BLDG. � FT � /' � Separate permi[s are required !or L. SIDE -�F'N. Fr. � electric, plumbing and heating work. REAR , FT. �: USE OF BUILOING AND WORK TO BE PERFORMED , DISTANCE BET. BET. MAIN & �i ^ MAIN BLOGS. ACCESS. BLIX'aS. 9 • VAR. # DATE a ' C C.U.P.# _ APPROVED � � - A/ /7= � ` aaPaov � 6 _l a� - .� a v� a 1 hereby acknowletlBa that I ha�a reatl this application and state 0 p�. that the sbova Informaiion is correct antl agrae to comply with � 0+ all laws ragulat(ng buildin8 construetion, and I shell noi employ z any person in vfolatlon af tha workman's compensation laws of Sthe State of Celifornia. 3 I hereby certify that I am propBrly licensed as a contractor untler SQ. FT. the Stata of Calitornia Business entl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS Chapter 9, antl thet such licens are in full torce antl effect, or I THE PURPOSE OF ESTABLISNING A PERMIT F O am exempt from tha rovision t t�e State of Ce iforn Business VALUATION and Professions Cotle Divisio � Che ter 9 ''//�� PERMIT FEE $ �y�/ PLHN CHECK § Signature af r� Permi e � /A i TAX $ � �%�� . Authorized ABent � TOTAL PAI D $ � n m i : m J m e r'^n n 0 f U OWNER RISKUS, J. H:. DATE �Z_�_�� JOB ADDRESS 2758 Drake Avenue BUILDING PERMIT rouoo�i rnuro�rtno .�_ ._.. neernietinu_twnnv ... """�'i 141-301-11 , .Y.y.�.,, . Ik'�`s.�'ECTIONS SOIL c�s W ATER ROUGH PWMBING PROP. SWR. IINE � HOUSE SPRINKLING SVSTEM MISCELLANEOUS ROUGH MERTING AND AIP CON TEMPORRFV SERVICE OR POL UNOERGROUNO � POWER ROUGM WIRING TRENCHES FORMS FLOOR SVSTEM BONO BEAM ❑ �STEEL RE SHE�THING FqqME ANO FLqSHING LnTMING — IN OUT � P 'ER. BROWN COAT TURAL, FIN�L HEnTING, VENT., REFRIG. AN PLIIMBING, FINAI ANO GAS T EIECTRIC, FINAL 6UILOING. FINFL r. SUBCONTRACTOR .: F � 0. a H y"y^ �+ C O .� a > � .a a w a. °a 4 z{� 2 3 : � ` Q:�.J�- �. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only OWNER MAIL CITY BRANCH ADDFESS ARCHITECT , CONTRACTOF ADDRESS CITV STATE � LIC. NO. 512E OF LOT USE OF PAiD SEP -6-77�MSpOO 167� ****54.$Q APPLICATION FOR STRUCTURAL PERMIT qECEIVEOeV DATERECENED nGTFi55uFn % A.P. NO. AD1DRIE S � 7S TEL. TRACT "/ NO. W ADD A P OWNER �,r� TEL. TE-Y-�" N CITV LIC. NO. INO. OF BLDGS. NOW ON LOT Separate permits are required for� electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFOR� I hereCy acknowladpe Met I hava raad Shi� appllcation and state that the ebove Informatlon is correct antl a9ree to complV whh ell lews repulatlnB bulldinp conttructlon, antl I shell not employ eny person In violaiion -of Me workman's eompenaatlon lewe of Me Stete of Califomle. , I he�eby certliy that I am propeily Ilcensetl as e cont�acto� untlar the Stete of Caltfornla Buzineu and Profenions Cotle, Dlvlcian 3, Cheptar 9, and thai sueh Iieenees are In full force and etfeet, or I am exemp< }rom the proviclons of the State of Callfornia Buslness enC Professions Co� on 3 aptet 9. /�� Sipnetufe of �J Germittea i�f`-�r Authorized AOant - ,y�' FIFE 20NE APPROVED• . VALUE DATE'�i'� IO ZONE , NO.OF!') USE OF NE PL4N5,/i BUILDIN VARDS APPROVED VAFDS APP OVED MAIN�BUILDING ACCESSOHV BUILDI (PFOM GL$TREET) . i � DISTANCE BET. I BET. MAIN & MAIN BLDGS, ACCESS. BLD VAR.qW ' DATE �M c, � • " m � SQ. FT. rv ' THE AMOUNTSHOWN UNDER VALUATION IS FOfi m THE PUHPpSE OF E5TABLISHING A PERMR FEE ONLV: � VALUATION PERMIT FEE $ � �.O p N , � m PLAN CHECK $ ^� $�� ^` TAX S • LL i u ' . TOTALPAID E � �:- ; F�y Ri W 0. a � y S F C W F Q � r .] a W a � � a 2 [i7 T 3 ��620 4/02/80 48.50 TL' COSTA MESA BUILDING-SAFETY DEPARTMENT 'APPLIC TION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 - RECE V. PERMIT � r For Applicant to Fill in Completely — Use Ink Only J BVIIDING �� . � A.P. NO. '� O " I� � ADDRESS BUILDING OWNER OR .�. ;3 ADDRE55 TENANT UNIT OR - MAI LI NG SPACE NO. ADDRE55 ' ' . �i, TR�N�O. LOT _ �� BLK. CITVG� TEI. � d �C -. . �'� �' NO.. S�y'7 NEW - ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENOEfl BRANCH OWNER p /j � AD�RESS -- VALUE �•�� ARCHITECT TEL. ' USE 4(} ' - E D OR ENGINEER �� ADDRESS ZONE � VPE � GROUP � APPROVEO Z CONTRACTOR QW%%�J` „�77 BV DATE ADDRESS TEL. CITV NO. STATE CITV APPROVED SETBACKS � IIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/L S'TlREET) OF LOT NOW ON LOT ROM S7 FT. USE OF O EXISTING BLDG. � Separate permits are required for �. s�oe electriq plumbing and heating work: REAR USE OF BUILDING AND WOftK TO BE PERFORMED P�qNNING ACTION DATE APPROVEO � � APPROVED�✓:I� /� �C. I hereby acknowled8e thet I have reatl this epplication antl stata that the above intormation is corract and agree to comply with all laws reBulating builtling eonrtruetlon, end I shall not employ any perwn in violation of tha workman's compensation laws of the State of Calitornia. /!J� I hereby certify that I am prope�ly Itcensed as e conttactor untler � G SQ. FT. the SWte of California Business antl Protessions Cotla, Division 3, THE AMOUNTSHOWN UNDER VALVATION IS FOR Chapter 9, an :thet such licenses are in full torce antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLv: am exempt fr �'ythe pravi ' s of tha e f Calif nia Business VALUATION antl Professi Cotle, Di 5' n 3, ter 9 PERMIT FEE S 2. Oa ti �T' . Signatura o �� ' � � PLAN CHECK $ . �� Permittee � S ��Q TAX $ Q. r� a� Z 8p / Auihori etl ant Dale TOTAL PAID $ �� m e Y n m 0 � s V _ , , COSTA MESA BUILDING-SAFETY DEPARTMENT � ` P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use [nk Only BUILDING ADDRESS OWNEIi OR TENANT / � MAILING , ADDRE55 � / Vf - TEL. CITV �. j7% � NO. .L-1/-7' BFANCH ADDRESS ARCHITECT CONTRACTOR ADDRESS CITV F STATE � LIC. NO. {r.� SIZE 0. OF LOT a USE OF -�„�,� EXISTING BLDG. y TEL. TEL. NO. CITV LI0. NO. NO.OF BLOGS. NOW ON LOT � Separate permits are required for � electric, plumbing and heating work: L USE OF BUILDING AND WORK TO BE PERFORA } � a w o. O �. a Z W x 3 APPLICATION RECEI VED BV A.P. NO. BVILDING ADO RE55 UNIT OR SPACE NO. -----..� � tUCTORALPERMIT ""'"" "�50 TL NQ � 49916 � — i 1 87N9 �`�T zz NEW ADD ALTER REPAI0. IMOVI OWNER USE , APPROVEDSETBACKS PLANNING ACTION DATE APPROVED VALUE $ BLK. EMOLI51 J�, I hereby acknowledge thet I have reetl this applicatian end state � that the abova information is cortect and apree to comply with � ell laws repulatln8 builtling consttuction, entl I shell not amploy � � any parson in violation of the workman's compensation laws of � the State of Calitornla. m I hereby certify that I am p�operly licensetl as a caniractor untler SQ. FT. � the Stata ot California eusiness and Professions Code, Divislon 3, THE AMOUNTSHOWN UNOER VALUATION IS FOR m Chapter 9, antl t t such licenses are In tull force and etfact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from the provlsio s of th ot Calitomia 9usinass VALVATION PERMIT FEE $ an Professions otle, Oivis' 3, aptar ., / �+ Sfgnafure of � Od PLAN CHECK S �� o ermlttee $ �Q �— TAX $ � � [� f A horizetl ni Date �7 '-�' —�� TOTAL PAIO $ .�%� u OWNER JOB ADDI GENERAL ,i:.n. ��.:; ] . "" �°•';'"; TI �;,,:;;,.,.',?;.._ GAS W ATER ROUGN PlU DATE 4-2-80 --in1-11 LOT 22 TRA[T R749 FIREZONE � VA SPRINKLING SVSTEM MISCELLANEOUS ROUGM MEATING ANO hIF CONOITtONING TEMPORRRV SERVICE OR POLE UNDERGROUNO �I POWER � ROUGM WIRING TRENCHES FOFMS STEEL REINF. FLOOR SVSTEM BONO BEAM STEEL REINFORCE SHERTHING FRAME ANO FLASHING LATHING — IN OtIT � P�ASTER,BROWN COAT ST� �'IR4L. FINAL HE , VENT., REFRIG. ANO A.C., FINAL PLW�...iN0. FINAL ANO GAS TEST I� ELECTRIC, FINAL BUILOING, FINAL SUBCONTRACTOR OWNER RI� JOBADDRES: GENERAL CC � .�t„� 'TION! Pooi Location Forms � ain Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Heater and Vent Final F' iYstem Final Backwash and Recep. Final encing Final C �. ^..C�, /a.21- C Z-�1= DATE 9-6-77 BUILDING P.ERMI FIRE ZONE VALUE GRO P TYPE � � SUBCOMTRAC.TOR Plu