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Home My WebLink About2152 ELDEN AVE - Building Permits(714) 754-5273 • Fex (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA. CA 92626 BUILDING PERMIT .lob Address: 2152 ELDEN AV Suite: Vicinity: LAUNDRY ROOM Parcel Number: 42613202 Applicant: MCCARL, TIM Address: 126 COMMERCIAL WY Zoning: Phone: 949-54&5569 COSTA MESA, CA Zip: 92627 Owner: HIGH, ROBERT M TR %CFG INVESTMENTS INC Address 17220 NEWHOPE STREET FOUNTAIN VALLEY, CA Phone: SUITE 224 Zip: 92708 Convactor: G L R ENTERPRISES INC/DBA CRANK BROTHERS ROOFING Address: 126 COMMERCIAL WY COSTA MESA, CA Zip: 92627 Arch : Address: Zip: Phone: 949-54&5569 License: 828379 Eng: Address: Phone: License: SCOPE OF PERMIT REROOF LAUNDRY ROOM ONLY-T/O BUR AND INSTALL SAME-1 SQR. � Plan Check: $0.00 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $24.00 SETBACKS MAINSTRUCTURE Front -0-0 ACCESSORY , Front 0- 0 PARKING Existina: 0 NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Le(l 0- 0 Left 0- 0 Proposed: 0 ISSUED BY: Calc Valuation: Claim Valuation Righ� 0- 0 Right 0-0 Status: ISSUED Applied: 11/05/2004 Issued: 11/OS/2004 Phone: License: $300.00 $300.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241•92) EXPIRATION: This permit shall automatically expire and become voitl it work Is not commenced within 180 days, or It work Is suspended or abandoned for a period oi 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona end final approvel must be obtalned. Failure to obtain fnspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 2dd&a6 (N00) WORKERS' COMPENSATION UECLARATION: ' �� - _ I hereby aHirm under penelty of perjury one of the following tleclarations: � ❑ I have end will melntain e cenificate of consent to self-Insure for workers' compensation, es provitled for by section 3700 ot the Le6or Cotle, for Ihe peAormance ot the work for which ihis permit iS Issued. ❑ I have end will malntain workers' compensation Insurance, es requiretl by sectlon 3700 of the Labor Code, tor Ihe pertortnance of ihe work Por which this pertnit is issued. �My worke�s' comPensation Insurence cprner antl policy number are: icy.I Nu er: 1�Zi>��z'ZGn�/' one hundred dollars ($f 00) or /ess.J ❑ I certity that in the peAormance ot Iha work for w�ich ihis permit is issued, I shell not employ eny person in eny manner so as to become subject ro the workers' compensation laws of lifo�nia and agre thet if I sh uld become subject �o the workers' compensation provislons of Section 3700 of t e Lebor CoCe, I shall iorihwlth /comply with these prov 10 s.///U� � `/ �ppilcant Signature: �.�t �i � � �jD�te: � � / S �C J WARNING: FAILURE TO SEC E ORKERS' CAMPENSATIqJ COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNDRED THOUSANDOOUAPE($100, ADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSEGTIIXJ3]OBOFTHEL400RCO�E,IMEREST,AN�ATTOPNEY'SFEES. LICENSED �CONTRACTORS DECLARATION: I hereby aFlfrm that�l am licensetl under pmvisions ot Chapter 9(commencing with Secllon 7000) of Divlsion 3 of Ihe lorce�end,'etfect Lic. # �y i_ Co�ectors Signature: � /� �{a� CONSTRUCTION LENDING AGENCY: and Protessions Code, and my license Is in lull — � % i ❑ I hereby aHirtn thet Ihere is e construction lending agency br ihe pedormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Atltlress: SignBiure: OWNER-BUILDER DECLARATIPNS: Date: I hereby efflrm thet untler penaity of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professlons Code: Any ciry or counry which requires e permit to construct elter, improve, tlemolish, or repair any slmcWre, prior Io its issuance, also requires the epplicant for such permit to lile a signetl statement ihat he o� she Is Ilcensed pursuent to the provisions of ihe Contrectors License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business and Pmfessions Code) ar that he or she is eaempt therefrom end the basls for the elleged exemption. Any violation oi Section 7037.5 by any applicant for a pertnit sublecis ihe applicant �o e civil pe�elry ot not more ihan five hundretl dollers ($500).): ❑ I, es owner ot ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, end t�e s�rucNre i5 not intentled or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors IJcense Law dces not apply to en owner of property who builds or improves Ihereon, end who does such work himself or hersetl or througtr hls or her own employees, provitletl �hai such improvemenis are not intende0 or oNered lor sale. If, howevar, Ihe building or improvement is sold within one year of completion, Me owner-builder will �eve ihe burden oi proving ihat he or she tlitl nol build or improve for purpose of sale.). � ❑ I, es owner ot Me property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct t�e project (Sec. 7044, Business end Professions Code: Tlie contractors Licerse Law tloes not apply to en owner oi property who bulltls or Improves thereon, antl who contracis for such project wlih a con�rac�or(s) license pursuani to �he Conl�actors License Lews.). ❑ I am exempt under sec. Signsture: Owner ID verified by drivefs license. ❑ Ves ❑ No Business and Professions Code for Ihis reason: Veritication ol Ownership by (�ype ai dacument, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFEn' PERMIT CERTIFICA710N: Drivers License No. Deta: Expires: ❑ I hereby certity thet no exca�etion five (5) or more teet In depih inm which a person is required to tlescend, wiil be metle in connection with work authonzed by Ihis permi�, end ihat no 6uilding structure, scaHoltling, talsework, or demolition or dismantling ihereof, will De more ihan thirty-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Tlile 8, Califomla Admin�s�ra�ive Code). ❑ As owner-builtler, I will not employ anyone to do work which woultl require e permit trom the Division ol Industriel Sefery, as noted ebove, unless such perso� hes e pertnic to do such work Irom Ihe division. Signature: Data: Division of Intlustnal Satery Pertni� Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OP EMRY: I cenify under penalry of perjury that I have read �his epplication an0 slate t�at the intormation given is correct. I egree to comply with ell stete laws antl ciry ordinences relating to building conswction, and authodze representatives ol �he Ciry of Costa Mesa to enter upon Ne above-tlescribed proparty tor inspB�iion purposes. I agree not to ocwpy or allow occupancy ot eny building enthorized by this permit until finaV inspection. COOE I. 1676 1266 Fixetl System Finel Fire Prevention Pool Spa Finel 200 Final Re-Raot 201 Finel BIocWReteining Well 202 Final Factory Fire Place 2D3 FinalSign 204 Final Demolition p7.V �Ciiiir,�F1 L.z- �7`�i yODEt INSYECTIONTYPE 206 Final Mechanical 20B . Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Flnal Sice 250 Final Builtling/Occupancy PAffi IM�EL@ �\ I �IJECT ROOflESS: z 1 S 2 ELDEN AV VNEA'SNFME: H1GH, ROBERT �"i �R - noonEss: 1230 ANACAPA WAY LAGUNA BEACH CA 92651 OR 2151 ORANGE �'OSTA MESA 645-2800 PBCH/ENCINEEP: AOOHESS: UNIT: HEG.NO.: UNIT: PEflMITTEE: CRANK BROTFIERS ( 714 ) 548-5569 aooeess: 126 COMMERCIAL WAY C.M. CA 92627 UCENSEU LONTBACTOfl OELIAflATION: I �ere�y allirm that 1 am licensea untler pmN5i0n5 0l Chap�er 9(commentin wilA Seciion 7000) of Orv:sion 3 oi �he Business anA Professions Code, ana y license is in lutl force an0 e��e . ciTrUy;,_pp5�93 �Sr�T�uc.:408677 cuss: C39 .- —Bate: �� Sigwiure: _ �_ — WOflNEBS'COMPENSpTION�ECLAflATION: Iher¢by ir I�ailnaveacetli�icateolconsen roseli-insurearacertiticatealWOAers' ComDensaiion Ins ran e, or a cenified co Ihe� o e mn 3800, LaD. . aoucvxo.: 2�85�-91UNZ1p�0. exr.oare: 1/O1/92 comvaNe STATE FUND � � Ce di copy is /hereby �umiS�eU. � Certiliea Copy i ith I�e cn BuilUing Division. Dale: � / �— pPolitan�� a ' • � E%EMPTION FflOM WOflNENS' COMPENSRTION OELLABATION: (ThiS sec�ion n¢CA iwl be comple�ed i� Ihe permi� is Ior one hun4re0 (5100) or 1e55�. I cetlify Ihal in ��e pedormance al Ihe work for which Ihis permi� is isSueA. I shall noi employ any person in any manner so as to become 5ubletl lo Ihe Workers' Compensation Laws ol Calilomia. Date: Signamrt: NO710E: II, alter making this 4ecWraiion, you shaulG Gecome subject to t�e Workers' CamOensatron pmdsions of the Lahor Cotle. you rtlustlanhwilh comply witn such orovisions orlhis permil snall De eeemeA revake0. CONSTBUCTION LENOING RGENCY: I �ere6y affirm that t�ere is a consiruction lending apency lor ihe De�ormance oi lhe work for whic� Ihls permit is issue0 (Seclion 9097. Ci¢ C�. ' LENDEN: ROONESS: OWNEfl BUILOEP DECL4HATION: I here0y aFlirm Iha� I am exempt Imm ihe Coniraciors' $late License Law �or Ihe followinp reason (Seclion 7031.5 Business and Pmlessional Code: Any cily of counry which requires a permi� Io cons�Nc6 al�er, impmve, demolisll, or r¢pair any Slmtlure. prio� t0 iIs issuance. also tequire5 t�e applitanl lof Suth permi� ta file a Signed slaiement �hal he/She is litensetl Oursuan� Io ihe D�ovisions ai I�e Contractors' Stare License Law (Chapter 9(commencing wit� Section 7000) oi Oivision 3 0l i�e Business anC Pmtessions Cotlq or �hat he/s�e is exem0� therelrom anG �Oe Lasis lar ��e allegetl ¢x¢mpiion. Any vioW�ion ol Sec�ion 70.31.5 Oy any appiitanl for a permit subjects ihe aD0licant to a civil penalty ot nol more t�an Irve hufMroO Oollars �5500). 1. as owner of Ihe pmpeny or my employees wit� wages as �heir sole compensation, will tlo ihe work, ana ihe ❑ stmclure is not intenaetl or offeretl lor sale (Sec�ion 70a4. Business antl Prolessionai Coae: The Conirac�ors' S�ate license Law aoes not apply to an owner ol a pmpeny wno Uuilds or imoroves Inereon, anA who eoes such work himsell/nerself or �hrougn �is or �er own employees, Dmuitletl that suc� improvemen�s are nol inlen0e4 ar ollereC lor 5ale. II, however Ihe buildinp ar impmvemenl is soltl wil�in one year at complelian, t�e owner will have ihe buraen oi pmving he/s�¢ Gid not hui10 or im0�ove lor Ine purpose of sale). I. as owner af t�e pmpeny. am eKclusively comracting with licensed contracmrs lo constmc� t�e pmlect (Section 7M4, Business ❑ and Pmiessions Cotle'. The Conlracbrs' Sta�e License Law does nol apDly ro an owner ol propeny who EuilOs or impmves ihereon antl wha conlrac�s for such pmlecls with a coniraclor(5� license pur5uant lo �he ConVactors' Stale Lic¢nse Law). I am aware I�al 0�� a� �neir Wo�ker's Compensation insurance s�oultl be pmviaetl to me. � I am eeempl unAer Seclian: 8. 8 P. C. lor t�is reason: Daie'. Ownec I do �ereby c¢N�y IAaI I am aware ol ana under5iantl Ihe requiremenis ol Calilomia Heali� ana Safety Cotle Sections 255115, 25533. anE 2553a an0 Ihat I o� any �ulure 6uiltling occupan� wilVwill nol (ci¢le one) nee0 io comply with saiC 5�a�e coCes and I�e repuiremenis �or a oermii lor conSlmciion or modilicalian Iwm ��e Air Oualiry Managemenl OiSiricl. Re5i0enlial conslmction applica�ion5 are exemp� Imm t�ese ptovisions. Date'. Applicant: I here0y cer�ily I�at I �ave rea� ��is apphcation and Slaie ihai I�e ove into�matian is correci. I aB�¢e �o comply wil� all ci�y an0 counly orOmance5 xna slaie lavrs relating lo �uilaing con9mciion aM her y uttrorae reD�esemalives ol 1 y Io en�ery0on I�e above-mentioneG �pg!f) I�nsOeclion� Jes/��. /�— �� 1( L� �verS License or Social Security x: �[�� ( �64ba6 Whpe—Bmldinq: Green—CaEe Enlorcement: Canary—Applicanl; Pink—Revenuo: GOltlenroG—Assessor CITY OF COSTA MESA - HUILDZNG PERMI'I' PERM NO; H 052933 PERMIT NO: H 052933 - PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE; ALT JOB DESCRIPTION ; T/OFF REPLACE W/20YR COMP SHINGLES CLS A SQ rT: 5,335 CLAIM VALUE: 5,335.00 CALC-VALUE: 5,335,00 GROUP UCC: R-1 / COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME. *****��*��r***�r*�r**+�+��****x�*+r* �*�r******�c�x-x******�****x*x***r�*�*+�+��*�*x**rt�** Z O IJ I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAZN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N 'PES> i *�t+r**�***+t**�t*******�t***�*+t�t*****+t**x*+�**x��x�rx*�****�*�r*x***�r*��+t*��Eir***u**��** 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; BUILDING APPROVED BY : DATE; APPLZCATION ISSUED BY; �_ �� DATE• —I" l�� L� It ik iE if iF if if iE 1f If iE iE aE iF If if if if iF iF if iF'7F'iFif3fiF it"ifTf7f iF7fif iFTfTF fJ'iF3F7FiFi'r3FTF3F4'7fiFTF'iEiF3FiFTF lE iEif IflE iE iE iE iE 1E'iF�'i if 16 iE it M�lF if 3E iE 1E if 1E 1E 1E iF 1E it �IE�f k!E 1E iF iE iE k iElF If il� iE if iF iE iF if if i!� iE iE iF iE if it iE if iF iflk i! iF iF k ik If af IE ik iE IE ik iE iE IE iE iE iF iE if iM1�'1F IE 1E iE k if ik 3E 1E IE IE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMzNT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81.00 ,S3 SMIP/NON-RES PLAN ZSSUE FEE • BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID � DUE TOTALS----> 81.53 0.00 0.00 81.53 81.53 �; .UO REVENUE DIVISION TOTALS--> COLLECTED: 81.53 OVER/SHORT; � ,00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CHECK 81,00 ,53 ih if ik iE iE R� ik if 1f If 1f iF if if 1f if # 1F if 3f k iE iF 1E iE iE if If 1E ik 1F �F iE if IF 1E iE if IF iF 1F IE k 1F k if k if �7t iE if !E if if it ik �f iFiE ik k iF iE if 3f iE iE iF IE iE If 1E 3F �f �f iE af iEiE Z N D I V I D U A L F E E H R E A K D O W N ` TYPE QTY D E S C R I P T I O N UNIT COST '`fOTAL COST l. SFR 5335 REROOF BY VALUE RESIDENIAL NOZONE 1.00 5,335,00 END OF FEES y r�' 'V i ' D1 �009243b-G4U9243i '"'�' � .' �; DATEo 07!18/Pi TI��L•: 1.:0'. � - , ` CONSTRUCTION ANp PLANNING . POO PA �'^ `� Date Inspector Date Inspector APPROVALS Permic # APPROVALS Permit # . 1. Temporory Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. •- . 53. Steel Reinforcement 3. Electrical CondUit U,filitV�UndrgrnQ', ' 54. Forms - 4: Electrical ConduikUndrgrnd �,. ,- 55. Electrical Bonding - � '�8.�'.Steel.qeinforcejneht . 56. Rough Plumbing & Pressure Test • . G�flectricai UFER Grnd. . .' S7. APPROVAL TO COVER�GUNITE . 7.-Eootinqs - � 58. Electrical Conduit-Undrgmd. - '��.�oundation _ 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. St�ucturol Floor �ystem . 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection� 62. Backwash & Receptor-Final . 12. Sewer Cap . , � - �' � 63. Heater & Vent-Final . 13. Root Drains � � � � 64. Plumbing System - Final ' 14. Rough Plumbing / 65. Electrical-Final 15. Rough Electricai-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval . � 77. Rough Wiring Sign , 66. APPROVED FOR PLASTERING 18. Rough Electrical-T Ba� Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.,kough Factory F.irepl8ce . �.. + • � ' - � APPROVALS ' CPecmit # 21. DuCts, in Str.yicture� � , , , �•7p. Undergeounc�' Hydro 22. Ducts, Ventilating •. � ' -. �. �� 77, producfP�fng �Gas DOiI 23. Gas Pipe-Rough & Test ' .: 72. Underg�ound FIusR . ' 24.�Roof Framing � � . • 73.=Undergmd.StorageTank�Gas ❑Oii 25. Roof Sheathing ; .a - '��' 9 '74FQverhead Hydro� � . 26. T�Bar Ceiling (Structu�al) &-Monocoat . � � 75. Dry Chemical ` . ��. 27.' Frame and Flashin� ` ' 76: Dry Standpipe ' � - � 28. Lathing_& Siding � _ _ i�;. • - 77.� FIXED SYSTEM FINAI. '29. Insulation ' - � ` '� 78, FIRE PREV. FINAL � 30. Drywall Naiting �-- � �> HEAI.TH.DEPT. REQUIREMENT .31. Plaster Brown Coat . � 79.�FINAL INSPECTION 32. Electrical PowerMeter-Final: , I ' .80,. FOOD CE�RTIFICA�TE ISSUED 33.;Final ElEctric ' r - ' I � � ' Nofes: ' � 34; Fina� Heating'& F:ic. Conditioning� ,'{ > � � �J - '. . � � � . _ �35. Final Gas Pipe-Tesf^ i` •� � � � ' , 36. Hood orvCanopy ` : � � -� �� c , > . . 37. Fin01 Factory Fir2pIaCE, ' - ' � , . �' , . . . � . i. • . _ -38. Final Plumbing . .. � .. . ,39. Water Service�Final � � � ' • � .40. Gas Service�Final � � , , , ' ., , ' � � � 41. Solar pomesticFinal ' • ' �- t' , 42.�Backflow Preventer ,- � � � � � � . � - 43. Backflow Irriqation � -' � � '- ' . � 44. Landscape IrFigation SYstem� ; ' � - � . ., � ' -�, �45. Sound Attenuation ^ � � � "= r .-`46. Handican Regulations ' - � �� ' " � � 47.fINALSTRUCTURE&BUILDING 8��-9� ��j�' �� r� Q/ � C�G� ,f% �/-Q v l f� ��-%✓� 48. FINALPLANNING � �� .-_,�, z , .: . � 49. Eleetric Release to Edison , �, � , :• � . .50.,Gas.ReleasetoSouthemCaliforniaGasCo ; � ��- �� , �- � ' 51. CERTIFICATEOFOCCUPANCY - No. Date �-. PPOJS..� ROOflE55: � 1 5 2 ELDEN AV � ' OWNEfl'SNFME: HIGH, ROHERT M TR nooness: 1230 ANACAPA WAY 2151�ORANGEH�OSTA9MESA OR 645-2800 APCHIENGINEEH: NEG.NO.: RO�NE55: UNIT: UNIT: 7ENMITTEE: CRANK BROTAERS ( 714 ) 548-5569 aooxess: 126 COMMERCIAL WAY C.M. CA 92627 LICENSEU LONiBAtTOB oECuflATION: I nertby alfirm ihat I am licens¢G unEer prm�sions of Clwpter 9lcommencinp witn Section 7000� ol Oivison 3 o�1�e Busine5s an0 Pmfessians CaOe. lirer5e i5 in �M �orce antl ellec�. aTruc.: 059 3$T �'� 4086 7 cuss: ate: ;�� SWnamre: _ _ WOBKEN$'COMPENSRTIONOECIAMTION: I�er a m11ulltuveattrtiliWleolCmSenll0se11-in5urearateriifval¢otWarkers' Compensaiion Inswance, or a cer�ilie0 rAOY �� ol ction 3800. La�. C). raucrxo.: Z85-91UNIT0 4 E%P.DRTE: OSIOiI9Z comrnnr: STATE FUND ❑ Ceniiietl copy is nere0y lumisnea. � Cendie0 woy rs N ��ef,�({y BuBEing Divisios �� Oate: � ^ / � / / AODlitani��'" �/--1/\ a . Pi ( E%EMPfION FXOM WOHKEflS' COMPENSITION OEIXAIiATiON: (i1u5 5L[Iqn nee0 mI De fAmpRteO iI Ne perm151d ane MiMreC �5100) or less�. I c¢rtily Ihat in Ihe Oe�ormance o� the work tor w�ic� t�is permii is issued. I shall not employ any person in any manner so as lo become Suble�� o I�e Wo�ker3' Compensaiion Laws ol Califamia. Daie: Siqnaiure: NO710E: II, alte� makinA INs 0¢Clantion. }rou SI�alO 0¢COme subject lo �ne Workeri Compensd�ion D��Sons of ihe Labor COEe. you must Iorl�wiih mmply vni� Sut� provisions Or INS Oermil Shall Oe a¢¢me0 remke0. CONSTBUCTION LENOING AGENLY: I h¢rCOy a�firm Itw1 I�et¢ 5 a ConSiruclion IrnUinq aq¢rn,y tOr I�e DeNofmance o� �hp work for wnicn �nis permit is issuetl (Section 3097. Gv. C�. lENOEN: AOOflE55: OwNEfl BWLOEfl DECLABRTION: I �ere�y allitm Ihal I am exempl imm Ine fAntractori Slale litense Law lor ihe following reason �Setiion 7031.5 BuSiness an0 Pmiessional COC2: Any Ciiy at Couniy w�it� r¢quir¢5 a permil Io COnitmCl, alier, impmve. Oemolish, Or repair any slrutlure. O�iorto its issuance. also rtQuires t�e aOVlitant lar wc� perrtul to lile a sipneE statement Illal he/s�e is Iicense0 pursuam m Ihe O�ovisions ol I�e ConVanors' Slaie License Law (Clwpler 9 �wmm¢nnnA with Seclion 7000) ol Division 3 0l I�e Business ane Pmlessions Coael or that ne/she is e+empt inerelmm an0 �ne 6asis for ine allegea eaemption. Any Nala�ion ol Seclion 7031.5 oy eny apv�icanl lor a oermil su�iecis Ihe appliWnt to a ciNl penalty of not more tlun Iive nunEreE Collars (5500�. I. as owner af I�e D�aDehY or rtry emVloyees wiln wapes as tAeir 501e compensation, will tlo ine work, an0 Ihe ❑ stmcmre is not intenaeU or atteretl lor sale ISecuon 7044, Business anA Pmfessional Code: T�e Comracmrs' Slate License Law Oaes not apD�Y �o an owner ol a D�oDerty wM GuilAs or impmves t�ereon, and wAo tloes such woM1 himsell/�ersell or thmuqh �i5 or �er own employees, pmviaCd Ihai Sut� improv¢menls aie n01 ini¢nd¢a or o��ere0 lof Sale. II, �owever ihe builtling or impmvement i5 soltl wii�in one year ol cam0lelion, I�e owner vnll have ��e burGen ol O�m'inp he/s�e Oitl noi bui10 or impmve lor 1�e pWpose o� sale�. I, as owner oi IAe pmperty. am evclusivelp coniraciinp wit� licensea coniraciors m consimct ihe O�ojec� (Section 7044, Business ❑ and Pmlessions Cade: ihe Comractors' Slate Lkense Law Uces �roi apply to an mmer af pmperty who OmIGs or im0�oves t�ereon antl who canVacls lor suc� projecls wiih a conlracior�5� license Dursuan�lo Ihe Coniraciors' Slate Ucense Law�. I am aware iM1al Dmal o� I�dr `Norke�'s Compensalion insurance S�oNG be pravi0e0 to me. i� I am exempl under Seciian: 8. 8 P. C. br tnis reason: Oate: Umer. I tlo nere�y cenily that I am aware of anU unEerstan0lne reQuiremenis ol Catifomu Health ana Salery CoOe Sections 25505, 25533, anC 2553< an� I�alloranylUiure DwIOinB o[cupanlwillMnllnol �Cirtle one) neeG 10 tomply vnlh SaiA Sta�e coGeS and IOe reQuiremenis lor a permii Im con5lmclion or m00ilicaiion irOm ihe Ai—r�Managemen� OiStrkL NesiC¢nlial conSVuction applip�ions ar2 ¢�¢mpt 6am tnese orovisions. Oate: ApWiwn�: 1 hereby cenily ihal I luve rea0 this a00�iWtion ana 5IaI1 artlinances ana slale laws relaUng Io GmlQing LOn51NClion pmpetl loi i� "'Do5e5 i aie- SqnaWre: Dnver's Laense ar Saual Searity +: � a0ove inlorrtWiion i5 tOrt¢cL I agree Io compty wilA all ciiy an0 ry au0qree re0re5enia�ives al iNs �Ly�nter upon I➢e a0ove�me �6at�a6 Wni�e—BuilJing: Green—CoGa Enlo¢em¢nL Canary—NpO��L Rnk—Revenue: Gobenroa—Assessor CITY OF COSTA MESA - HUILDING PERMIT PERM NO: B 052934 PERMIT NO: B 052934 PLAN CHECR NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION : GAAAGE T/OFF REROOF W/BUILT UP SQ FT: 1,677 CLAIM VALUE: 1,677,00 CALC-VALUE: 1,677.00 GROUP OCC: R-1 / COMMENTS: REF: B52933 GARAGE PORTIpN *****�****�x�*�+tx�**�t***x��*+e*�*+�+r��***�*�*x �**�e+r*��ex�*�****��***�**+c***�**�+�** 2 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 HUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 00000000 2NE; REF NO: PLANNING NiSTES> i if iF iE aE iE iE iF iF IF iF if if 1E iE if iF IF iF iF if iE k iF if k IE if 3E 1E iE iF iE iE 1E iE 1f iE if !f iE if if iE 1f If It if if If iE iE �FlE if 3f iE if lE iF iP 3f if iE iF 3E jf iE �E iF if if 3E k IF iF 3F if iE iF D E V 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„�' S ZONING APPROVED BY DATE; - HUILDING APPROVED BY : DATE: .-s � APPLICATION ISSUED BY: �'� - DATE: ii-t �—�C� � iFiEiEaElf�iflEiEiFi(�IfiEiflEjFiEifiEiEififiEiFiFiFiFiF7F'iF7FiFiF7F'Tt�F7F3F% ifiFiFiE7FiFiFi'eiFTF�Fif7F7F�F7Fif�ifiE3fifiEaE3fIfiE�F'�'1F'iF'i�'iF%fEiE if iE if ik 3E iE iE iF iE jf if iE it iF if iF iE iE aE if if if• if 1E k if if If iF if iF iF if iP ik if iF if IF # ik iP iF if If k IF 3F iF if if iE 1E IE �F K� k �f iF1f �iF iF iE IE 3h it iF 9f iE if k 3E ii )F iE ah iE jF i(� LEGALIZATION;N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 39.00 SMIP/NON�=RES PLAN ISSUE FEE ' HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID r'":• DUE TOTALS----> 39.50 0.00 0,00 39,50 39.50 � ,00 REVENUE DIVISION TOTALS--> COLLECTED: 39.50 OVER/SHORT: .00 BLDG PMT PLUMHZNG ELECTRIC MECHANZC FIRE SMIP/TOT GRADING-£3,AN-CHECK 39.00 ,50 . it iF if 1F 1E iF iF if if if iE ik if ff 1E 1E if k if ik If 1F IF If iF 1F iE iF IElF if� IE 1E �1F fE 1F if if iF M iE if 1f # i(• 1E if it Ik ih if iE iE ik iF if 1E If if N� iF iE ih iE iF iF iE if iE iF iE iE it 3f if iF iE iF if I N D I V I D i] A L F E E H 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 SFR 1677 REROOF HY VALUE RESIDENIAL NOZONE 1.00 .� 1,677.00 END OF FEES S^ t ' 0: 0�09��i32-CCGY2433' 'F'C�? ; e5,, DATE: �7/1Si91 TIf1E: :isQ3 . CONSTRUCTION AND PLANNING POOI PA ,� �'. APPROVALS Permit # Date Inspector pppROVALS Permi* # Date Inspector > 7. Temporary Electrical Service or Pole . 52. Pool & Equipment Loca[ion 2. Soil Pip6-Undrgrnd. �• 53. Steel Reinfortement i, 3.' Electricai Conduit Utility-Undrgrnd" � 54. Forms 4. Electrical Conduit•Lndrgrnd. 55. Electrical Bonding 5.�$teei, Reinforcetihent , 56. Rough Plumbing & Pressure Test � 6. Elettrical UFEFi Grnd. • 57. APPROVAL TO COVER�GUNITE , 7. Fogtings '_ ' 58. Electrical Conduit-Undrgmd. ' 8'. �Foyndation '` _ 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgrnd. V 60. Backwash �ines, P�Trap, � Undrgrnd. 10. Structure� Floor System 6l. APPROVALTO DECK 11. Property Sewer Line & HouseConnection 62. Backwash & Recepior�Final 12. Sewer Cap , � ' 63. Heater & Vent�Final 13. Roof Dr2ins -• . 64. Plumbiny 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 Electrital-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r 20. Rough Factory Fireplace . - APPROVALS �_Perrt�it # , 21. Ducts, in Str�cture - -. . - 70. Underground Hydro � 22. Ducts, Ventilating. � � � 71. Product Pipi�g O Gas Q'Oil 23. �Gas Pipe�Rough & Test . � � � 7Z. Underground F1ush , �. 24. Roof Framing ' � � 73. Undergrncl. Storage Tank O Gas ❑ Oi� 25. Ronf Skgathing " � - . ' 7q, -Oyerhead Hydro � 26. T�Bar Ceiling (Structural) & Monocoat � .• 75. Dry Chemical ' � 27. Frame and Flashing' � ' 76. Ory Standpjoe . � � 28. Lathing$Siding , � 77.-FIXEDSYSTEMFINAL " 29. Insulatiqn ' � . � 76„ FIRE PREV. FINAL � � � 30. Drywatl Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster 8row� Coat � 4 79. FINAL INSPECTION 32. Electrical Power Meter�Final �. �{� 80. FOOD CERTIFICATE ISSUED ' 33.,Final Electric .. �� Notes: , � 34, Final Heatinq& Air Conditioniog. � � . . . � 35. Final Gas Pi�fe•Test � -� ` , � 36. Nood or;Canopy � . � � 37. Pinal Factory Fireplacc ' � � . . � , ' .� � 38. Fina� Plumbing � � � ' ' 39. Water Service�Final �_ -� � ' Y 40. Gas Service-Final . . , . � '41. SolarpomesticFinal ' _ ' � 42. Backflow Preventer� i � i „ _ 43. Backflow Irrigation' ' , ' ' � ;4d. Landscape Irrigation System ,• � . � � �, , : '45.-5ound Attenuation ' ' ' �. ' ' 46. Handitap Regulations _ . � 1 ., � _ . 47. FINAL STRf1CTURE & BUILDING � (� �'� � 'l..,(�: g��/T� /l�/ C�e,� �?C �k ,_ wv (/ 'I J 48.�PINALPI.ANNING . • � r �,si �49. Electric Release to Edison • � � � ,t .50. Gat Fielease to Southem Califurnia Gas Co � i '��. . . � ' 51. CERTIFICATE OF OCCUPANCV . . No. Date City of Costa Mesa Building Safety Department P. o. Boz 717 Costo Me�a, Golifornio CERTIFICATE OF OCCUPANCY N� 2215 C The Building located at 21,SP- �� Avt3nu� [h►i .n A.fhr+i (3 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Gro�p 8 Occupancy. Use of B�ilding �(fi+tt �p1II$ j��t]A nn Legal Description �"�'��i (See roverso �ida for Metm dnd 800nd�) Building Permit No. Q� Electrical Permit No. �as':� Plumbing Permif No. ��3 Floor Load Signs have been installed as Room Capacity $igns have been instaled as required �nder Sec. 2308 U. B. C. . required vnder Sec. 3301 (1) U. B. C. _ 17050. CERTIfICATE OF OCCUPANCY. (a) No apartment house, horel, or lodging ho�se shall be used or occupied until ihe owner or operator has been issued a valid certificate of occupancy by the enforcemenf agency. (b) A new cerfificate of occupancy shall be obtained whenever there is a change in: 1) �Occupancy classificafion of a building or portion ihereof � . 2) The number of apartments or guest rooms ' 3) Ownership If Group H Occ�pancy, n�mber of apartments and/or g�est rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments �- and/or guest rooms 155UED TO: euilding Official &�&'P 1G HffiH bY � �`,/��r-�— �are--�91G. a9� Fhis CeAificafe of Occupancy SHALL BE posTed in a conspicuous piace on the premises and SHALL NOT BE removed excepT by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. For,,, aoa�im—ii-ea--s-a r �� ,, - FEE� RECEIVE� 22567 JUL 91964 ��COSTA MESA BUILDINCrSAFETY DEPARTMENT FINANCE DEPT. � V.O. BO% 1200 CO6TA MESA, GALIFORNIA 926t6 CITY OF COSTA MESA For Appllcanf ro Fill ln Complefely APP.LICATION FOR_PERMR TYPE OR PRINT„ ^ BUILDINi3.�.•�•.. �J G , , _ �/ �'� �j For Offica Use Only . ADDRE�S8 P�/�OC � WU"� ::� ki .<' 9"' '_'. . ...�. �.�._ __a. . `R[C[IIfNO. _ J•��PPMITNO • COSTA MESA; GLIFORNIA . _ _ . �p � � " ete i oer' '' n c � D !DAT618tU[p/ OWNER O ,e •/.M•-. � _� � • � , euaoiHo �j.� 2. . DQ U � �o � MAIL f /� 2 h D/7 e {'E.;,. . wooeesQ 7 ADDRHBD - • , . . _ //:� )� " /��y PBR ' " " ' ' ' CITY � K I� ' ��,� .• '_ . NO. ��/J/� �ZON! •.. �_ • .TYPB = y'6ROUP'. APrROV[D � I"'H�TECT -� � . TQL � �/ q, pY ' �DATE � VGINE6 ♦ � ' �' NO. O� � . .. . . , �, � ". .: O . �_ Q .. �, .� . .� . . . . : ZONING ; ; . ., ADDRES _ i:�.L HOCOt, OD[O�N[W • . , . � 1lAH� � �lUILDINO CONTRA /� / („�. , _ ' � " . _ . . .. . L[al1L • h0 _ DUC111RION - AD R[f1: • � �-. '' . - , . •. • . . .., •. _ . .. � ' AL P: NO. r. cirr ' NOTl:.NOGV[OV6RHAN0 HALLDELE88TXAN 6TAT8 T¢L s0' TO SID6 4 R6AR P. L' " LIC. NO. N 6IZ8 .g � �� No.oI�LGO�' ALLOWQD (U.B.C.REOUIRBMEM)� OF LOT ,�� eC ♦ Now N YARDBMPROVHO YARDBMPROVHD U6EOP MAINBUILDIN6 ACGEL80RYBUILDINO EXI6TINO BLD6. / �(PHOM C/LGTR[[TI YETOACK LIM[ IROM PppM ' � p� C6NTHR OP YT11[R R[AR YA �] 2! /'� / 8108 YA D /.6FT :X.J R16NT 9 R. YIDi !T. RI'. DESCRIPTION OR WORK �. ain rr. rr. i T[RATI N ADDITI N RiAR RT. PT. � DIGTANC�lR. BBT. MAIN G REPAIR INO M Ll8 MAIN BLD • ACCE88. BLD08. BUILDIN6 NO.OP y V'�•� DATH — 81ZE pOOM9rC RI C. U. P. MPROVED • � HXTERIOR WA I ROOP �P110V[D � /_ ( � COVERING COVHRIN� 01 DAT! lC� Y' y�g ORGU�}DIr GA WORKTOD6P � m_ .`QU;:.r.,,qE a /"i� iT I � l' H LD FOR SPE��:. ' � G' !1i Oli �P�TI+ �'i0 � 9r �,. �. � 0 1 HEp6BY 11CRNOWL6O06 TXAT 1 MAVi R6AD TMit APPLICATION �FIR I�YOUM BXOWM UNOHR VALUATION 16 POR TX6 � ANO BTAT6 TH�T TH6 1180V6 10 CORRHGI�ANO I�ORB[ TO COM. �YPPOO[ OP 69TABLIBNINO A PBpNIi P88 ONLY. PLY WITH ALL CITY O DINANCO AND 6iAT[ LAWY Pl0 TINO yALUATION OUILDINO CON6TRY pj P ftMi��eOP . / PERMITFEB o 8 3�, � 9� � w AVTHORIZ[D A7[NT �jj� TOTALFEB $ I ✓� , • . �:-, . r� , i' ,:�.:.. , ,y._ - _':i�G � . „' ? �,jli � ' � ''[E�nf:ico- - .'.� -so��- . �i- . • .',:i'",�..'�:n:.•. � .. . , .,. . . SPECIAL REQUIREMENTS ' � ..3 . � ' .1 . . � � . . : � `� ' 1._,That_there be�a recorded eemement for.a minimum 18' driyeway ' between properties described as parcels At� i18.o74-39 �-. ' -, -� ana nP-ii8-o74=4o subject_,-to the approval' oi' the City Attorney. 2. 2-1�2 gal. pressure aaten'Fire Extinguishers,will be required • . upstairs and downstairs' and�a'(6) SC dry porider fire`extinguisher` • - " will=tie required for=the "garage area. _ �. . , . ��"• � .�. 3.��Tree;planting.compatible with the.area.under the.'dtrection`of the Street' Foreman. - - . ` =' - `- - _ 4. Installation of residential sideWe,lks.aiid concrete driveway - : app'roache"s'on`Elden Avenue, by tk� applicarit, at his expense� ' as`per}�standard`specifciations_ of_the Citys`_of__Costa Mesa. _ �: ��.. ' '-5.- Sub;ject to a1T tke_conditions of Subdivision �59 as follows: . 6. : 6:� Installation'of.residential sidew9.lks and concrete ; ,• � driveway approaches by:the applicant, at his expense� on _ _ -.prsage'Avenue as:�per',standard specifications of the , � " - -`Ci$y_of:�osta„Mesa.�:• � -- - -- ----- , . �- - y. I � ;,� � ' - - -- -- . .. ,�. � -.—�:..:c.� : t... _ � __ . 'rt._ �..1 . i: ' . . . -. _' � .�.. -.��J� � . ' . . _ _.'.. -. ._ '..- - i•.y. ' _ . � _. . "' � .._ . � ._ ._ r__. _ -._ _. . • . . � .._� , , . ._ i'__ .. ... . _ .. ..'.' • " _ ' .. . . �� .. . . . ' �_, '• . � ' _ .. - . . ' I' ' ' _ _ ___' __.' "_ � _ __ " - _ _ . / _ . _ ' _ ' ' _ " . � ' . " � _ ' ' ' .a.. ,�� . . I f_ .. �_.. - _ ' • "'__' _? '" '" , ' " _ , � � . " " ' ' 1`"_ : . •' . _ . . _ ! . �. . ' " _ .. ". .. . , . l �. �. " .. .� � _ � , ' . " . . . . ... _. ... :{� • . . . . . ; `. ' _ , . .. . . ' . , " _ .. . � ' • . . i . • - . ' , t � _` _ � 22568 ' COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BO% 7200 - COSTA MESA. GALIFORNIA 926t6 For Appllmnt to Flll In Completely TYPE OR PRINT eu��o�Na 2152 Elden Ave. ADDRE8ffi COSTA MESA, CALIFORNIA R[C[I ownen Robert M. High MAIL BUILDINO wooRess �197 MeritOne AVe• ADDRESQ � ��T, Culver City NoWe8-6732 zoNe I'^HITECT Wm. Ding r��ve8-7112 e7pROV[D ryGINEBR NO. wooeess 3303 Cardiff Ave. L.A. CONTRACTOR �er Bldr. wo nsns S� cirr Same STATB ��_��__ THL S&�IE LIC. NO. N si:E 66 X 248.6" NO.OFYLD344n OFLOT NOW N USEOP------- �Ttl J�' RRAR YARD ��' �'f 23' i9' L[rT I RIOF7T DESCRIPTION OF WORK x T[RATI N ADDITI N MO IN 8M 1.16 2O X: `�._ ROOMB �' YTOXI[B �' ROOF p� �StUCCO �.,��ep�,,,,, CO use oF eu��om� Detached 1 HERBBY ACKNOWL6D06 AND BTATB THAT TX[ AB PLY W�TX ALL CITY O DI BUILUINO CON9TRY SIGNATUqE OP PERMI7TH AUTHORIZQD AORNT MAVi RHAD TMIB APPLICATION COPp6CT�AND AOpE6 TO COM• AND YTAT[ LAWY p[ LAT�N aa / _ i%� � FEE RECEIVED JUL 9 1964 FINANCE DEPT. CITY OF COSTA MESA APPLICATION POR PERMR BUILDIN(i For Office Use Only er NO.OI UY[O�N[�V+- •UNt '/ lYILDIHO 1 " I !�n � 1,0�.� � L p—�� -a _ �9 �! OVCRNANO SHALL DB B THAN YARDS MPROV HD MAIN BUILDINO VM.ai' 'U.} YAR�9APPROVED ACCEY80RYBUILDR DATE G. U. P. MPROVEO MPROV[D i/ DT AT! �0 ' a w / ° ` 3 � �. �. � TH6 AMOVXT tXOWN UNG6R VALUATION 18 POR TX6 j PUHP08H OP f8TA8LI8NIN0 /� PERMIT F68 ONLY. 3 VAWATION `(+) � s �O / PERMC FEH �./ p 3 3 7 10 w 43799 • r COSTA MESA BUILDING-SAPETY DEPARTMEPIT . P.O. BO%9V GOBTA MEHA. CALIFORNIA For ApplicanT To Fill In Completely TYPE OR PRINT BUIL�ING •�I�Z GL f� /� ADDRESS �Z /' �C COSTA MESA. CALIFORNIA ADDRE99 % � crrv ' ARCHITECT � ��TY �o�T.� ��, c=; � - STATE TEL. LIC. NO. NO. 7^/' S�'+-�C> i9 $IZE /_ /- // / NO.OPOLD08.1 OF LOT �( �� O. b NOW ON LOT � USE OF EXISTINC3 BLDG. � BETBACK LINE FHOM CENTEp OF BTREfiT �_ REAR YARD SIDEYAR�I LEFf —_I RIGHT DESCRIPTION OF WORK SIZE �' EXTERIOR WALL NO.OP — ROOMB HTOR ROOF COVERINO RK TO BE PERFORMED rvfz G" rti_< FIRE 3 ZONH APPROVED �LANB YARDS MPROVED MAIN BUILOIN6 _ ' VAR.�C 1 HEREBY ACKNOWLEOOG TH.�T 1 H�Ve pE�O THI9 M1PPLIGT�ON AND 6TAT8 THAT THB ABOVH IB CORHHCT /1NU AOftEE TO COM- PLv WITN ALL CITY OHDINANC88 AND BTATB LAWB ReODUTINO BUILOINa CONBTRUCTION�. � � /n� SIGNATUREOP �!' I Y _-pL.� /��L�,` PERMITTEF /�'^s•'�� AUTHORIZED A6ENT �� vr� �;�� A 4��a MAR 24 1965 Iffice Use Only R8C81PT NO. I � PEHMIT NO. �� OY�LGINO • A,V�. ,(l{� /• V aL� r � BHALL BE L 5 TMAN (U.B.C.REpU1REMENT. YARDSAPPROVED ACGESSORV BUILDIN6 DATE n 64. FT. m TNe �MOUNT 6HOWN UNOBq VALU�TION IB POp TH8 � PUPP08H OP E9TABLIBHINO ♦ pBRMIT R88 ONLY. p VALUATION m PERMITFEE $ �� o j �� 0 s 30 O. E — o y S� 4 TOTAL FEE $ ✓ '