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HomeMy WebLinkAbout2261 ELDEN AVE - Building Permits(7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob Address: 2261 ELDEN AV Suite: Vicinity: Primary Occ: R3 Parcel Number: 42605308 Appliwnt: DOSTAL, TAMARA Address: 2267 ELDEN AV COSTA MESA, CA Owner: DOSTAL, TAMARA Address 2261 ELDEN AV COSTA MESA, CA Contrador: OWNER-BUILDER Address: Zip: Arch : Address: Type o( Construction: V-N Zoning: Phone: 949-722-1723 Zip: 92627 Phone: 949-722-1723 Zip: 92627 Phone: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 12/302005 Issued: 12/30R005 Phone: � Phone: . Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING BUR AND REROOF WITH SAME Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Totai: $0.00 $83.25 $0.50 $0.00 $0.00 $0.00 $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 FEE SUMMARY PLANNING & ZONING Rear 0- 0 Lefl 0- 0 Rear 0- 0 LeN 0- 0 Reauired: 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 ,:.� � . � ',s� ��i' . ;i:^�� ` � $2,300.00 $2,300.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248. § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requ(red Inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �aaa�ae �vuu� WORKERS'CtlMPENSAnON DECLABAnON: � � " ' ' ' _ ' — � ' I hereby eHirtn �nder panalry of perjury one oi ihe following tleclarations: ' ❑ I have and will maintain a certificate of consent to self-Insute for Workers' compensation, as provided for by section 3700 ot Ihe Labor Code, for ihe perfortnance of ihe work for which this permit is issuetl. ❑ I �ave antl will mainlain workers' compensation insurance, as required by section 3700 of Ihe Lebor Cotle, for the pertortnance of the work for which [his pertnit is Issuetl. My workeYs' compensation Insurence carner and poticy number ere: Carrier: Policy Number: (This secfion need nof be compleled il fhe permif is valued at one hundied tlollars ($100) or less.) ❑ I cetlity ihat in tha pertormance of the work for whiCh ihis pertnit is �ssued, I shall not employ any person in eny manner so as to become sublect to Ihe worker5' compansa�ion laws ot Califomia, and agree thet il l should 6ecome subject b the workers' compensation pmvisions ot Section 3700 ot ihe Labor Code, I shall torthwit� comply wiih the5e provisions. Applicant SignaNre: Dete: WAFNING: FAILUPE TO SECURE WORKERS' fAMPENSATIdJ CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDREO THOUSAND pOLLARE ($100,000f, IN AODITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDEO FOq IN SECTION 3]O60F THE L4BOR CODE, INiEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAPATION: I hereby aHirm tY�at I em licensed under provisions of C�apter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code, and my license is in full force and ettecL �ia # Class N Con�redols Signawre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a construction lending agency for ihe pertormance of the work for which ihis permi� is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 hereby aHirm tMat untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing �eason (Sec. 7037.5, Business end Protessions Code: Any ciy or county which requires e permit ro constmct, alter, improve, demolish, or repair eny stmcWre, prior to its issuance, also requires ihe applicant tor such pertnit to file a signed statament that he or she is licensetl pursuant to ihe pmvisions of the Conirectore License Law (Chapter 9(commencing with Sedlon 7000) of Division 3 of Ihe Business and Professions Code) or that he or she is ezempt iherefrom end Ihe basis for the allegetl exemption. Any violation oi Section 7031.5 by any applicent for a permit subjects the appticant to a civil penalty oi noI more then five hundred dollars (§500)J: ❑ I, as ownel of the properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the stmcture is not intendetl or ofreretl for sale (Sec. 7044, Business antl Professions Cotle: The Coniractors License Law tloes not apO�Y �o an owner ot property who builtls or improves thereon, antl who does such work himself or I�erself or through his or her own employees, providad that such improvements are not intentled or ottered for sale. If, howaver, the builtling or improvement is �soltl wit�in one yeer of completioq the owner-builder will have the burden ol proving tha� he or she did not builtl or improve for purpose of sale.). I, as owner of the pmperty, am E%CLUSIVELV CONTRACTING Wi7H LICENSE� CONTRACTORS to wnstruct ihe project (Sec. 7044, Business antl Pmtessions Cotle: The contractors License Law does not apply to wner of pmpany w�o builds or improves thereon, end who contrects for such project wlth a contrecror(s) license pursuant to the Contractors License Lav��� ❑ Ow verifie$'4y driver's license. Veritication ot Ow�ership by (rype ot and Professions Code for this reason: s ❑ No i.e. - property tax bill or daetlJ: DIVISION OF INPUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity that no e:cavation five (5) or more feet in tlep�h into which a person is required to tlescand, will be made In connection with work euthonzed by this permit, and ihat no builtling siructure, sraHoltling, falsework, or tlemolition or dismantling ihereoi, will be more ihan thirty-si: (38) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Calilornia Atlministrative Code). ❑ As ownerbuiltler, I wiil not employ enyone to tlo work which would require e permit from the Division of Indusinal SaFery, es notetl above, unless such parson has e permit �o do such work from the division. Signatura: Date: Division of Intlusirial Safery Pertnit Number: CER7IFICATE OF COMP� CE AND AUiHORVA710N OF EN7AY: I certify under penalry of perjury that I have read this application antl state that the infortnation given is corred. I agree ro �ompl ith all state laws antl ci i rces rel � uilding construction, end authonze representatives ol the Ciry t� SCosta Mesa to enter upon the ebove-describetl prope � tio uryoses. I gree n t b cupy or a ow occuDancy of any building authorized by thi m til fi - i� (%� Signatur Of egal er(s) —� AnNOr Auttwrized Applicant Date COOE 1. fy$P�LQN, TYPE 167fi Fixed System Final Fire Prevention 1266 Pool Sp8 Final 200 Finel Fie�Roof ' 201 Final Block/Retaining Well 2�2 203 204 Final FaGtory Fire Place Finel Sig� Final Demolition 7�RL �NTRULS COUE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy PAIE INTIfIpLS � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DFIVE, COSTA MESA, GA 92626 Job Address: 2261 ELDEN AV Suite: Vicinity: Primary Occ: R3/U1 Farce� Number: 42605308 Applicant: TAMARA DOSTAL Address: 2261 ELDEN AV COSTA MESA, Cq Owner: TAMARA DOSTAL Address 2261 ELDEN AV . COSTA MESA, CA Contractor: Address: Type of Construction: V-N Zoning: Phone: 949-794-0066 Zip: 92627 Phone: 949-794-0066 2ip: 92627 Phone: Zip: , License: Arch : MICHAEL MILLER Eng: Address: . Address: Zip: Phone: 310-476-8607 License: C26956 ISSUED BY: Status: ISSUED Applied: 09/02/2005 Issued: 12/30/2005 Phone: License: SCOPE OF PERMIT CONSTRUCT 298 SF ADDITION TO FRONT AND REAR OF EXISTING ONE-STORY SFD AND EXTEND GARAGE BY 59 SF ADDITION AT FRONT. AI REMODEL EXISTING SFD, INCLUD� COMPLETE KITCHEN REMODEL AND NEW ELECTRICAL SERVICE. LOT COVERAGE = 48% � DRIVEWAY= 320 SQ FT • - EXISTING BUILDING = 977 SQ FT ADDITION = 357 SQ FT Plan Check: $412.20 Permit: $634.15 SMIP Res: $4.90 SMIP Com: $O.DO Other: $0.00 Inspection: $0.00 Total: $1,051.25 SETBACKS MAIN STRUCTURE Front 20- 0 ACCESSORY Front 0-0 PARKING Existina: o FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING & ZONING Rear 13-4 Lek 6-10 Right 5-0 Rear 0- 0 Left 0- 0 Right 0- 0 Reouired: 0 Pr000sed: 0 I� "�4 �,,, ,;a � � $48,968.90 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related ragulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period ot 180 days. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work musi comply wiih all applicable codes, antl all required Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 294fiifi (&00) WORKERS'bOMPEN�AnON DECLARAnON: � ' I deroby aflirm undar penalty oi perjury one of the followinq declaraUons: � a I have entl will maintain a cenificata of consent to self-Insure for workers' compensation, as providetl for by section 3700 of Ihe Labor Cotle, for the pedormance of the wark for which Ihis permit is issued. ❑ I �ave antl will maintain workers' compensation insurance, as required by section 3700 0l ihe Lebor Code, for ihe pertortnance of ihe woAc for which this pertnit is issued. My workers' compensation Insurence carner antl policy number are: Cartier: policy Number: (Yhis section need not be completed i! the permit is valuetl at one hundred dollars ($100) or /ess.J ❑ I certih/ that in ihe pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject ro Ihe workers' compansation laws of Celifornia, and agree ihat If I should become subject to the workers' compensation provisions oi 5ection 3700 oi ihe Lebor Code, I shall fonhwith comply with Ihese provisions. qpplicent Signature: Date: WARNING FAILURE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL AND $HA�L SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TNWSAND DOLLARE (5100,OOOf, IN ADDITION TO THE COST OF WMPENSATION, OAMAGES AS PROVIOED WR IN SECTION 3106 OF THE IABOR CAOE, IMEREST, AND ATTOFiNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hareby atlirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Coda, and my license is in tull tofce antl ettect Lia k Class # Contrector's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby aHirm that theie is a consiruction lending agency br the Oertormance of the work f0� which this permit is issued. (Sec. 3097, Civil Cotle). Lentlofs Name: LendeYs Address: Signawre: D2�e: OWNER-BUILDER DECLARATIONS: I hereby eNirm that untler penelty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Code: Any city or county whiCh requires e parmit to constmct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires ihe applicant for such permit to fila a signed statement thet he or she is licensed pwsuem to ihe provisions of Ihe Comractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business entl Pmtessions Code) or Ihet he or she is enempt therefrom and the basis for the elleged exemption. Any violetion oi Section 7031.5 by any epplicant for a permit suPlecis ihe applicant to e civil penelty of not more than five hundred dollars ($500).): ❑ I, as owner ot Ihe property, or my employeas wi�h wages as iheir sole compensa�ion, WILL DO THE WORK, end Me s�mcNre is not intentled or oKered for sale (Sec. 7044, Business and Professions Code: The Coniracmrs Licensa Law does not apply to an owner of property who builds or impmves thereon, antl who dces such work hi setl or herself or through his or her own employees, provided lhat such improvements are not intended or otteretl br sale. If, however, Ihe building or improvement is oltl within one year of Completion, ihe owner-builder will have the burden of proving Ihat he or she dia not build or improve for purpose of sale.). ' I, as owner of the propeny, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code�. The comractors License Law doas not apply to sn ownar oi property who builtls or Improves thareon, antl who contracis for such project wiih a contractor(s) license pursuant to the Conirectors License Laws.). Business antl Professions Code Por this reason: Owner ID venfietl by tlrivefs license. �`�'es ❑ No Vefification of Ownership by (type of tlocument, i.e. - property �az 6ill DIV�SION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: No. ❑ i hereby certrfy ihat no excavation fiva (5) or more feet in tlepih irAo which a person Is requiratl to tlescend, will be made in conneclion with work a�ttiorized by Ihis permit, antl that no building sWdure, scaHoltling, falsework, or demolition or dismamling thereof, will be more than Ihirty-siz (36) teet high. (Chep. 32, Gry 2, An 2, Sec. 341, Title 8, Califomia Administretive Code). ❑ As owner-buiidar, I will not employ anyone �o do work which woultl require a pertnit from the Division o� Industrial Safery, as noted above, unless such person has e pe�mlt to do such work from the divislon. Signa�ure: Date: Division of Intlustrial Safety Permit Number: CEqnFICATE OP COMPLIANCE AND AIJTFiORIZATON OF EN7RY: I certiiy under penalry ot perjury ihat I have read ihls appllcation and slate thal ihe infortnation given is correct. I agree to gpmply with all state law d ciry�rERlBFlces ralating ro building consiruction, and authonze representatives of Ihe Ciry oi Coste Mesa to enter upon ihe ebo�e-described ( b tl for inspection pm os . I � ree not to occupy or allow occupancy of eny building authorized by this pe,�mit u'I finel ip;p9� ! /� Signatur �Ot Le al ner(s) � AnNOr Autharized Applicent j�ll §�, INSPECTONTVPE QRg IMITIAL 1616 Fixed System Final Fire Prevention 1266 200 201 Pool Spa Final Final Re-Roof Final BIocWRetaining Well 202 Final Factory Fire Place pp3 Final Sign 204 Final Demolition COOE I INSPECTION TYYE 206 20B 210 212 220 Final MeChanical Final Plumbing Final Electncal Final Fira Prevention Final Planning Approval �� � 222 Final Site ��- �� 250 , Final BuildingiOccupancy `-'� � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesELECTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: 2261 ELDEN AV 42605308 npp�icant: DOSTAL, TAMARA Address: 2261ELDEN AV COSTq MESA, CA owner: DOSTAL, TAMARA Address 2261.ELDEN AV Contractoc Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa LigMing Fi�As Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to thp Motors to tOhp Motors to SOhp Motors to 100hp � Motors over 700hp Communicalion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole COSTq MESA, CA OWNER-BUILDER Phone: 949-794-0066 Zip 92627 Phone: Zip: 92627 Phone: Zip: License: 000000 ISSUED BV: Status: ISSUED Applied: 12/302005 Issued: 12/302005 SCOPE OF PERMIT CONS7RUCT 298 SF ADDITION TO FRONT AND REAR OF EXISTING ONE-STORY SFD AND EXTEND GARAGE BY 59 SF ADDITION AT FRONT. ALSO REMODEL EXISTING SFD, INCLUDE COMPLETE KITCHEN REMODEL AND NEW ELECTRICAL SERVICE. REF BOS-1493 11 LIGHTS 28 OUTLETS 20SWITCHES 1 SERVICE TO 200AMP 1 SUB PANEL TO 200 AMP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $12.10 $27.84 $22.00 $0.00 so.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 Quantiry 0 0 0 11 28 20 0 o .� i 0 0 0 0 , 0 0 0 0 1 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 N Standing Section . Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw -� � ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Condudor Circus ( gen or ride) Circus (mech ride or IigMs) Christmas Tree Stand Fireworks Stand Other Electriwl Fee Investigation Fee �Plan Check Fee Reinspeclion Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 5146.44 NOTICE: The work authorized by this permit shall comply with all�applicable handicap access requirements under,California statutes and related regulations. (Ortl. No. 92-28, § 1, 12-27-g2) :/ j EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or�if work is suspended or abandoned for a period of 100 days. �- INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (71q) 7545626 2448-481�00) WORKEflS'COMPENSAnON DECLARAnON: _ 1 h0�e6y affum uMer penalty pt pe�ucy ona ot tha (oUawmg declarations: ❑ I have end will maintain a cenilicete ol consent to sell�lnsure tor workers' compensation, as provitled br by section 3700 of the Labor Cotle, for ihe peAortnance of the work far which Ihis pertnit is issuetl. ❑ I have and will maintain workers' compensation insurence, es required by sec�ion 3700 0� ihe Labor Code, for ihe pertortnance of ihe work for which Nis pertnil is issued. My workers' compansation Insurence carrier antl policy number ere: Cart�ec PWicy Number: (This sectiar neeAnot be comp/eted i/!he permi( is ve/ued ef one hundretl dollars (5700) or Iess.J ❑ I cenify Ihat in the pedortnance ol the work lor which this permit is issuetl, I s�all not employ any person in any manner so as to hecoma subleci �a ihe workers' compensatlon laws ot Calibmle, entl egree that It I shaultl become sublect to the workers' compansation provisions oi Section 3700 ot the Labor Code, I shell fohhwith comply with ihese provisions. qppficaM Signsture: Date: WqpNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES PND GVIL FlNES UP TOONE HUNDPED THWSAND DOLLARE (5100.OW), IN ADDRION TO THE COST OF COMPENSqTION, �AMAGES AS PROVIDED FOR IN SECTION 3IW OF THE IABOR CODE, IMEREST, ANO ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I he�eby aflirm ihat I am licensed under provislons ol Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license is in full torce end ettec�. Llc. q Class q Coniracbrs Signemre: Date: CONSTRUCTION LENDING AGENCY: ' ❑ I hereby aNirm that ihere is e constmction lentling egency for ihe pedormance of ihe work for which ihis permi� is issuetl. (Sec. 3097, Civil Cotle). LentleYs Name: Lentler's Adtlress: Sigr�aWre: Date: OWNEFi-BUILDER DECLARAT10N5: I hereby ettirm Ihat under penalty of perjury ihet I em E%EMP7 FROM 7HE CON7RACTOHS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness end Professions Code: Any city or counly which requires a permit to construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, elso requires tha applicant for such permit �e (i�o a signetl statemenl that he or she Is IlcenSetl pursuanl to Ihe provisions ol ihe Contreciore License Law (Chapter 9(commeocing wilh Section 7000) of Olvision 3 of N8 Business and Protessions Code) or thet ha or she is exempt therefrom end the basis for tha elleged e:amption. Any violation of Section 7031.5 by any applicenl for e permit subjecis ihe epplicent m a civil panalry of not mare than five hunared tlollars ($500)J: ❑ I, as owner of t�e property, or my employees wilh wages as their sole compensation, WILL DO 7ME WORK, and Ihe strucNre Is not intendetl or otteretl for sale (Sec. 7044, Business end Professions Code: Ttie Contractors License Lew does not apply to an owner of propeny who builds or improves iheraon, antl who tloes such work himself or herself or ihrough his or her own employees, proviaetl ihat such Improvemenis ere not intendetl or offered tor sale. If, however, the building or improvemeN Is sold within one yeer ot canpletion, ihe owner-builtler will heve the burden of proving ihat he or she did not build or improve for purpose ot sale.). I, as owner o� Ihe O�operty, em EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business antl Professions Cotle: The contractors License Lew tloes not apply to an Owner ot pmpehy who builds or Improves thereon, antl who contracts br such O�ojact with e contrector(s) ` license pursuam to ihe Contractors Uyaine�aws.�. �� � I I am axempt Busir{�ss and Pwlessions Code for ihis reason: S' a e � � D ven � by tlnvars license. �\ ❑ No a No. Verilication oi Ownership by (type ot tlacumem, i.e. - propeny tex bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereby cenity that no excevetion five (5) o� more feet in depth into which e person is required to descend, will 6e made in connection with work authonzed by Ihis permii, and Inat no building strucWre, scaMoltling, falsework, or demolition or dismantling ihereof, vnll be more Ihan thirry-six (36) teet high. (Chap. 3.2, Grp 2, Ari 2, Sec. 341, Title B, Galibmia Adminis�retive Code). ❑ As owner-builder, I will not employ enyone lo do work which would require e permit irom Ihe Division ot Industnal Safety, as noted ebova, unless such person has e pertnit to do such work from the division. Signawre: Date: Division of Industrial Safery Permil Number. CERYIFlCATE OF COMPLIANCE AND AUiHORIZATION OF EMAY: I certity under penalry of perjury that I have read this application and state that the infortnetion given is cortect I agree to comply with ell siete I�w ntl�F+q ortline relating to �uilding consWction, end authonze representaiives of the City of Costa Mesa Io enter upon the eypvp-descri property tor inspectian purpos 7 r ot t occupy or albw occupancy of a�y 6udding authorizad hy is pe it un � inspecU n. ��'�r� Signatu Of Le al Owner s AnNOr Authonzetl Applicant Date GOOE E INSGEL710NTYPE P� 1�Al3 1616 Fixetl System Final Fire Prevention 7266 200 201 202 203 260 Pool Spe Finel Final Re-Roo� Finel8lock/Fetaining Well Final Fectory Fire Place Final Sign Final Demolllion SODE� INSPECTIONTYPE 206 Final Mechanical 200 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Finaf Site 250 Final Building/Occupancy i • I�LS (7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 Jobnddress: 2261 ELDENAV Suite No Viciniry: Parcel Number: 42605308 Applicant: DOSTAL, TAMARA Address: 2261 ELDEN AV COSTA MESA, CA Owner: DOSTAL, TAMARA Address: 2261 ELDEN AV � COSTA MESA, CA Contractor: O W N ER-BU I LD ER Address: MECHANICAL PERMIT Phone: 949-794-0066 Zip: 92627 Phone: Zip: 92627 Phone: Zip: License: 000000 ISSUED BV: SCOPE OF PERMIT CONSTRUCT 298 SF ADDITION TO FRONT AND REAR OF EXISTING ONE-STORY SFD AND EXTEND GARAGE BY 59 SF ADDITION AT FRONT. AL50 REMODEL EXISTING SFD, INCLUDE COMPLETE KITCHEN REMODEL AND NEW ELECTRICAL SERVICE. REF BOS-1493 2 wall heaters and 2 VENT FAN /SINGLE DUCT 2 GAS PIPING ISSUE FEE Insl FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Dud Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent' Air Handlers < 70000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $29.60 50.00 50.00 512.30 50.00 $0.00 $0.00 $14.50 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY Repair I Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I n cinerator Domestic Incinerator Comoressors / Absorption Svstems Uplo3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boiiere Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 12/30/2005 Issued: 12/30/2005 Quantiry $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 $0.00 TOTAL CALCULATED FEES E79.90 COMMENTS / SPECIAL CONDITIONS • � � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Ca regulations. (Orcl. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work for a period of 1 BO days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply wit� requlred Inapeetlona end final epproval must be obtained. Failure to obtain inspections and final approval will resul� iri ihe �aJ FOR INSPECTIONS CALL: (714) 7545626 244&4fi (8�00� L�� and related orabandoned dl applicable codes, and all expiration of this permit. WORKERS'COMPENSAnON DECLARATON; I �ereby aKrm untler penelry ot perjury ona oi t�e following declarations: ❑ I have and witl malntein a cenificate ol consent lo sell-Insure br workers' compensation, es provitlad for by section 3700 of Ihe Labor Cotle, for ihe pedormence ot Ne work for which this pertnit Is issued. ❑ I have antl wlll maimain workers' crompensation insurance, as raquiretl by section 3700 of the Lebor Cotle, tor the peAortnenca oi Ihe work for which Ihis permit is issued. My workers' compensation Insurence cerrier end pollcy number are: Carnor: Polity Number. (Thls secfion need not be comp/efed I! the permif Is value0 et one hundred dollers ($f 00) or /ess.) ❑ I cenity that in t�e pertortnance of the work for w�ich Ihis permit is issued, I shall not employ eny person in eny menner so as to bocome subiect to tho workers' compensatlon laws oi Celifornle, and egrea t�et If I should become subJect to Ihe workers' compensation provislons of Section 3700 0l ihe LaCor Cotle, I shell torthwith comply with these provisions. qpplicant Signatura: Date: WqpNING FAILLIRE TO SECIIRE WOPKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHPLL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�fiED THOUSAND DOLLARE (5100,OW�, IN ADDITION TO THE COST OF WMPENSATION, DAMAGES AS PROVIDED FOP IN SECTION 31080F THE 1A80R CODE, INfEREST, ANO ATTORNEYS FEES. LICENSED CONTRACTORS OECLARA710N: I heraby attirm Ihal l em licensea under provisions of Chepier 9(commencing with Section 7000) of Division 3 0l the Business and Professions Code, end my license is in full torce and eflecL Lic. b Class N Conbactors SignaW�e: Date: CONS7RUCT10N LENOING AGENCY: ❑ I herehy atlirtn Ihat t�ere is a consiruction le�ding agency for Ihe peAormance ot the work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lendor's Neme: Lendels Atltlress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hefeby aHirm Ihet under penalty of perjury tha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or county which requires e parmit Io constmct, alter, improve, tlemolish, or repair eny strucWre, Orior to Its issuance, also requires the applicant tor such pe�it lo flle a signed stelement tha� he or she is Ilcensetl pursuent to ihe provisions of the Coniractore License Law (Chapter 9(commencing with Section 7000) ol Dlvision 3 of ihe Business antl Prolessions Code) or thet he or she is e:empt the�elrom and Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any epplicent for a permit subl�cis Ihe applicent to e civil penelty oi not more than Ove hundred dollars ($500).): ❑ I, es owner ol Iha property, or my employees with weges e5 Iheir sole compensa�ion, WILL DO TNE WORK, antl ihe structure Is not intended or ottered lor sale (Sec. 7044, Business antl Pmfessions Code: The Comractors Litense Law does not apply to an owner of properry who Duilds or improves thereon, antl who does such work himself or herselt or throug� nis or her own employees, pro�itletl that such impmvements are not intentled or oHeretl br sale. Ii, however, Ihe builtlinq or improvement is 1 sold within one year oi completioq Ihe owner-builder will heve ihe burden oi proving that he or she did not 6uild or impm�e for purpose of saleJ. ' (�"�I, as owner ot lhe property, am E%CLUSIYELY C�NTRqCTING WITM LICENSED CONTRACTORS to wnstruct iha prqeci (Sac. 7044, 8usiness and Protassions �Code: The contrectors Licanse Lew does not appy to en owner ol property who builtls or Impmves thereon, end who contrads lor such pwject with e contrector(s) license pwsue�t to ihe Coniractors LicenSe Lews.). ❑ I am exemp r 8usinass antl Professions Code �or this reason: nat e: ' Verifir,ation oi Ownership by (type of document, i.e. - property ta: bill or tlea . DIVIS�ON OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereby certity Iha� no excava�ion five (5) or mora feet in depih into which a person is required to tlescend, will Oe made in connection with work authorized hy this permit, an0 that no builtling structura, scattolding, falsework, or demolition or dismantlinq thareof, will be more then thirty-six (36) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Calilomia Administrelive Coda). ❑ As owner-builder, I will not employ enyane �o tlo work which would require e permit from the Division o� Intlustnel Se�ery, as notetl above, unless such person has a permit to do such work fmm Ihe division. Signa�ure: Date: Division of Industrial Salery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTMORIZA710N OF ENTRY: I cenity under penalty of perjury that I have read this epplica�ion and siate that the infortnation given is correGt I agree t comply wlth all state�aw errl-ei ' ances relating to building conswc�ion, entl authodze representetives ot �he CII ot Costa Mese to enier upon the above-descnb r � or' ,pectiod purp ses agree n t to occupy or allow occupancy of any building authorized by thi�.pertn' ntdyi��o5pection. q / �:J Signamre0l a uner(s) ate AnNOr Aulhonzed ApD���ani Date COOE 6 INSVECTIONTYPE QZiE �� 1616 Fixed System Final Fire Pre�ention 1266 200 201 202 203 204 Pool Spa Final Finel Re�Rool Final BIocWRetaining Wall Final Factory Fire Place Final Siqn Final Demolition COpE� INSPECTIONTYVE 206 Final Mechaniwl 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250, FinelBuiltling/Occupency �. � ,uu: � L .��/ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lob Address: 2261 ELDEN AV SUite No Viciniry: Parcel Nunmber: 42605308 Applicant: DOSTAL, TAMARA Address: 2261 ELDEN AV COSTA MESA, CA Owner: DOSTAL, TAMARA Address 2261 ELDEN AV COSTA MESA, CA PLUMBING PERMIT Phone: 949-794-0066 Zip: 92627 Phone: Zip: 92627 Status: ISSUED Applied: 12/30/2005 Issued: 12/30/2005 ISSUED BY: � Contracror: OW N ER-BU I LD ER Address: R � Phone: � � - Zip: � License: 000000• SCOPE OF PERMIT CONSTRUCT 298 SF ADDITION TO FRONT AND REAR OF EXISTING ONE-STORY SFD AND EXTEND GARAGE BY 59 SF ADDITION AT FRONT. ALSO REMODEL EXISTING SFD, INCLUDE COMPLETE KITCHEN REMODEL AND NEW ELECTRICAL SERVICE. REF 805-1493 . � . t BATHTUB 1 DISHWASHER 1 GAS 1-0 OUTLETS 2 GAS REPIPE 1 LAUNDRY TUBM/ASHER 1 KITCHEN SINK 2 WASH BASINS t TOILET AND 1 WATER HEATER. ISSUE FEE Backflow irrigation Backflow Pr@venter , Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Uni�s Dishwasher Drain, Floor Drain, RainWater Drein, Roof . , Drinking Fountain Expansion Tank Gas Earthquake Valve � Gas (1-0 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) lnterceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $220 $0.00 $o.00 $0.00 $O.OD QTV 0 0 1 0 0 0 1 0^ 0 0 0 0 0 1 2 0 0 0 0 FEE SUMMARY AMT Launtlry Tub / Washer $9.80 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors . 50.00 Septic Tank $0.00 �SewerCapforDemo $0.00 SewerConnect $0.00 Sewer Private Line $0.00 Shower � $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $9.80 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 aN 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (ToileQ Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $19.60 $0.00 $0.00 $9.80 $12.30 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 E132.35 � 0 0 0 0 0 0 2 0 0 1 1 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatetl regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandonetl for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectlons and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �� ,wV,,, WORKEflS' COMPENSATION DECLARATION: I hereby attirm under penalty of perjury one of Ihe following declarations: ❑ I have antl wiil maintain a certificata of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Cotle, tor the pertormance of ihe work for which ihis permit is issued. � I have antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pertortnance of tha work for which this pertnit is issued. My wo�kers' compensatlon Insurance camer en0 policy number are: Carrier: Policy NumDer. (This section need nat be comp/etetl il the permif is valued et one huntlretl tlollers (Sf 00) or less.) ❑ I certity that in the pertormance ot lhe work tor which lhis pert�it is issuetl, 1 shall not empby any person in any menner so as lo become suhject to the workers' compensation laws of Califomia, antl agree that Ii I should become sublect to ihe workers' compensation provisions of Section 3700 oi the Labor Code, I shell fonhwith camply with these provisions. Appliwnt Signature: Date: WARNING: FAILURE TO SECURE WORKERS COMPENSATION CqVERAGE IS UNLAWFUL PNO SHAIL SUBJECT AN EMPLOYER TO CRIMINAL GENAlT1ES ANO CIVII FMES UP TO ONE HUNDRED T/qUSAND OOILARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, OAM4GES AS PROVIDED FOR IN SEGTION 3]O6 OF THE IABOq CADE, INTEREST, AND ATrORNEP$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am licensed untler provisions of Chapter 9(commencinq with Section 7000) of Division 3 ot the Business and Professions Coda, and my license is in full forca antl eNect. Lia x Class N Conirector's Signature: Da[e: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is a construdion lentling agency for ihe pertormance ot the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lentler's Atltlress: Signature: Date: OWNER-BUILOER DECLARATIONS: I hereby aflirm that under penalry of perjury ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe tollowing rea5on (SecJ031.5, Buslness end Professions Godo: Any ciry or counry which requ�res a permit to consimct, alter, improve, demolish, or repair eny stmcture, prior to its issuanca, also requires ihe applicant for such permit �o filo a signed statament �hat he or she is licensed pursuent to the provisions of the Coniractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the �usiness antl ProFessions Code) or ihat he or she is exampt iheraFrom antl the besis for the alleged ezemplion. Any violation oi Section 7031.5 by any applicent for a permit gubjects the applicant to e civil penalry of not more than five hundred tlollars ($500�.�: ❑ I, es owner of ihe properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl Ihe structure is noi intended or oHered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves ihereon, and who tloes such work himseN or herself or through his or her own employees, provitletl ihat such improvemeNs are not Imentletl or oflered for sale. If, however, the building or improvement is sold within one yeer ot completion, ihe ownerbuilder will heve the burdan ol proving ihat he or she did not build or improve for purpose of sale.). � �I, as owner oi the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (SecJ044, Business entl Professions Cotle: The comracbrs Llcense Law tloes not epply �o en owner oi propetly who builds or improves thereon, and who contracis tor such project with e contrector(s) license pursuant to the Contractors Licen s.). r I a exempt tl r c. 8 siness end Prolessions Code for ihis reason: ' iqn e: Owner ID venfie y tlnvers license. ❑ No Driv License Expires: Verification of Ownership by (type of tlaume�. - properry tax bill or deed): D��ISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no ezcavation five (5) or more teet in depth into which a person is required to descend, will be made in connection with work euthorized by ihi5 permit, antl ihat no builtling strucWre, scaHoltling, talsework, or demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2. Sec. 341, Title 8, California Atlminisirative Code). ❑ As ownerbuilder, I will not employ anyone to do work which woultl require a permit from ihe Division ot IntlusMal Safery, as notetl above, unless such person has a permit to tlo such wark from ihe tlivision. . Signature: Date: Oivislon of Intlusirial Sefety Permit Number: CkA11FICATE OF COMPLIANCE AND AI7THORVA710N OF EMAY: I certity under penalry of perjury tha� I have read ihis epplication end stata ihat the informetion given is correct I agree t comply wiih all state law nd ci � in + es relating to building wns7ruction, antl amhorize representatives ot t�a Ciry of Gosta Masa to eMer upon the above-tl cnbe ro erty for inspection rpos s. I ee not o occupy or allow occupancy ot any building authonzed by Ihis p rmit unyl final in ection. r � Signature egal vner(s) .'�ate And/Or Authorized Applicant Date cODE I. INSVELTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Finel BIocWRetaining Well 2p2 Final Factory Fire Place 209 20a Final Sign Final Demolition PAIF. INIIDeLS COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Finel Fire Prevention 220 Final Planning Approval 222 Pinal S�ta . 250 Final Building�Occupancy PSIE 1NIIDSLS — 'Ci% � � - � a�� / ��� ; ,� � ; ,' , ��.��1 Flden Ave. Costa Mesw, Calif. � Jan. 30th, 1956. *".r. A. J. Volz, City Bldg. Inspec'tor, City Fiall, Costs ?�esa, Cali:. � Dear "1r. Volz: Re: Pr¢nerty at 22b1 Elden Ave. Cost� �Sesa. 0�.-n::3 irf C, F, V3II Vla.C.�.. L�v.lt � Doesburg an3 3abi. You nay reme�ber thr.t I a��o'-e to you 3uring the �st rain about the large.amount of dirt that caved in un�er the edge oi the slab. I,ast Satur@ay two men e�nB 1 clezned out the debris con�icting of old tile� bricks wnd a lot o� rotten lvmUer or �:.-�oc'�. ''•at hed. �een tr�ocn in '.�-e ;-=wier c:'_;�cl: or �op oi the �ipe be�o:e the �ater ditc: ,-�as filled in, thereLy nzkin� it so thct the cist eould. not be t�ricsc rn z re•�n:' the :ipe � s-t ehovlc?. be. ":�en tre c.00d rotted such as the 8'c.n.tple I a�: rsret�.t1= subaitting £or �our inspection it made a vacu� and t.he dirt under the�house rel? docm to i'ill the �ole. Then r�-�n the rz.in ccae elong end soaked tho d.irtl t�nder t?-e e�.vee it set,led into t_�is hole� :°n:' }�ft tlte s].2b rrith r_o support icr �r.earl�� 'our feet and bac� Under tre house sbout six feet end t'�e hole r:as deeper t}��n tre :-ater trench rzs rhen tre pipe r.�� l�id. You na� remem�er I to1c� ��ou b�fo�re thie rain tnat I asl:ed a neihhbor crhether tY�e dirt *.-:�as soal;ed erd tasped as �ttle �.s t1�e duplex recentiv Lui1R .'.urther uo Flden ur�'er this �ou:�e. T?�� s�id it Tas orlc sprirliled like the du� 7_ex. and not su£fici.emtly 'tamped, ; nd ihe predicted that I e;ould have trrn,.ble some tir�e vrith the nater cnd secer �ipa�trer.ehes settl�ng �nd leavin� the slab unsupported underneath. It i^a� lej;s thz� a r:ee�c a.fter h�-' told r�e this thzt the above mentioned dirt ca•ved. in, r+^d`,this sa�e party p:ec.icts ihet i t+�ill l:ave furi.her trouble in the :;uture trith,�si_r�ilar cun�itions. The tt��o �ei: e�t?mated t?-ai it toolc c]ose to a h�Lf yard oi dir�t fill to f;_ll the hole, as v;e rret it dor.n and tamped it r:ell as ^e choved it�� l�.cls under the hou�e. Both r�e� �;;reed that the :light ^ill I Y��' :�ade to dra�n the r:ater �,�ay f.r.o� ths rouse rrebably :avec; a Much ;;recter clve-in, �n� th^ dr:n�_oe never vrould 'nave F�acpened had the ditches been nrcper?y fiJled *.ith c�irt ;fSJJ_ �nd tz.r�oed in aretmd the pipe. Nor� tl�ey are a"rai.d thst in �o^e *;1^ceo .' ere `t dicl r_ot c�ve �n the ^:cod 2�as rotted ].ike the c�ood I herer.itb submi.t iFor ; our inspecti_on, leaving the e;ater pipes nnsu�po_ted t�nderr�ath, ,.nd tAe <:eic�t or tke dirt aboce cot�ld cau:,e a break i_n the rater line 2t ee�e '�ter i�ate. The slzb c�+s arched over t��is hole c^here the dirt cei �. i.r ^s�t� rzd no su�port of a=y ;;i�d. �tery l�ttle dirt blum to the s14b cnc� i.t lookea like the c.iit had. settied in the hole before the r•zina came, cnc� tle r�in ^:�ter n�de it. c�v in _"sror� the ou�sifl�, or_ accot�nt o` the 2ddition�l r.eight. , The eQ.ve-in carue rig��t besi3e one or the out�ide faucet.s or hose ccrnec:�_or.;. Copie� ef tris lettei• goi.nF to tlie Y,uilders, the ccntractor and tY;e bmkers vho solc v^ the *,lr.ce. "'e �re �;old b,t� tae sellcrs e.nd brokers that the se�^e>•s r-ould ;;o c�o4� � tj'^i�ll;,l'i i1BS2 7.n Z;Oi'. O�'2T a ��ear. `_`TO" C'f ;':LT1G� ^UL tl'12 bond� ha��e ?.��*e^ even beer_ voted.; and tlie�e)ecti�nr ceMea up n�;-t r�on'i.b, �-z�b n.o nsaurance that it r7i11 be voted. 9_n tren. m�F';J �:^-' i-" �}`r�r t'JZC V5 tl'iC tTUt�l ' 8 �:OlLC� not M�y the p12.CB � , o mi ^�e »� rcnt�d in tL� t s�nne<�.' ' c c slced �,bout that e�licitiy � �orr^„� to k�other ;,-� �. i'�h thi�, bt*' ;;ust ���ied to ;o on rec �. ' ��'1�t lF� !�"•�t' �lEC�VOT'Pl? �'"^ :��5'tL'2T :0_�C2't0 rorrs+ 1a5. Sincerel� � ' " • •� Vlack. `. , , LESLIE E. SMITM PflOPRIETOR STATE LICENSeD OPERATORS �NO CONTRACTOR6 1 Angelus 1'ermite c�c Pest Control EST/.BLISHED 1925 MEMBER OF THE PEST CONTROL OPERATOHfi OF CALIFORNIA.INCORPORATED 543 SAN BERNARDINO AVE. 328 COAST BLVD. NORTH NEWPORT BEACH, CALIF. LAGUNA BEACH. CALIF. LIBERTY 8-7262 HYATT 4-6770 April 28, 1955• OFFICIAL OLVMPIC EXTERMINATOfifi REPAIRS TO MEET F.M.A. ANO BANK LOAN REQUIREMENTS / %., �• . � / t•ir. A. J. Volz, City BuilZin� Ir_spector� Costa l:esa City Hall� COSTA f�SA� Calif. Dear Sir: re: 2201 Elden Ave.� Costa P•�esa. Regarding Mr. C. E. Van Vlacli's property, at above address. VJhile I i��as inspectin� this property� I found evidence of Dry Roi; in so�ne of the timbers by the cornice an2 eve-boares; also in sheeting in attic an�. ceiling joists. 1•Ir. Van Vlaelc aslced tl�at t�re drop a fei•r lines tn zT�n PxnlainP t�rhat ��e hac: found and talcen ca e of, for tpe sum of Porty Dollars. I co feel very cefinitely that in vie�a' of tl�is being a ner� house that y�3 and probably #,`4 lumber r�as used by Contractor; anc' �ossibYy old lumber tllat had been used o n other jobs. Yours truly� ARTGELUS TuRPiIT�. & FEST COI:TROL JHF::7N � r oemmling, •iana�er. / Ai�drstrnance f,orsttol o/ Terrrzites, fmngr, Dsp Rot ¢nd Ueetles !` Custa Mesa Building Department � APPLICATION FOR PERMIT ' COSTA MESA? CALI ORNIA 353 r U I L D i� N G ,' r FOR APPLICANT TO FII.L IN F' OR OFFICE USE ONLY Address � O� �/ L I ,(�jeceiptNo. �e��No. Bulldfng [/ \ 6 Received by Date ec'd. Data Isaued CostaMesa,,California � � �_.i�_��, ..7�.�r.� Nearest nE ,T Cross St. �J Buildi L G � � Addre Owner L Costa Mesa, California Mail T Address � � / Nearest ,�/,��/�n r //TeL � Cross St. Gty /yC:. (R//���/ QifriNo. Zon ,/ I Plans I TYPe ! Group-r- Arohitector lic. S� � •1 �/ �City LIC Contractor���{-(� /� ����/No. /7j L b . � `''/ Address � Z � � `(� Descr ption I No�`� ��1 B�k I Tract (Attach Metes and Bounde) Size of Lot O � Q 2 I NowoBL tA/�ONC:. Useof I No.o e.ot-t Existing Bldg. �� Famlliea Room � Set6ack Linefrom 2 j� �Lp7Rear Vard �� � nePair I I mov�ng Building , No. of Sfze .�vX3Y Room; Exterior Wall�r�{� � I Ri Covering C� I hereby acknowled and state that the a with all City Ordi building mnstcvct Signatureof� Permittee Authorized Agt.� • Valu,ation $ ,�DD� � � ClfYl� 'Jf16 A-N 9M R-R6 APPROVAiC ���/(�G Foundatfon Loeatio Forms, Materials Under.Pinning Frame: Fire Stops, Bracing, Bolts that I have read tivs Applicatton Lath. Int. ✓e is rnrreck and agree to comply Lath. Ext �ces a d Stat aws r, lattng � Plaster, Int. , , i _ Plaster. Ext. Plan Cheek $ ' 'j- — Total / j p-, Fee $ �� Date O z � 2 D r � � � r. c . d ] � ' � n J � ' _ . ' a a � � �a I . . �X � r• Y � . �� '^;4 �+i � ti.) �PLQ'F � �LAN� . Show locatlon and distances from property line and between buildings. .' ^ ' ' . , , . . . i r' . . ` .. � •' t . \ ' , _ _ ' 1... . ` .-� �