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Home My WebLink About281 DEL MAR AVE - Building Permits�♦ � Applicant to fill in all spaces except ihose within heavy Eortler Ifnes an0 sign all approprlate tleclarations. �CITV OP CD3YA l�ESA CONSTRUCTION PERMITc ' � Project Address �' 8� �� %�� l ��D�i ApplicanYSMailingAddress '�� '�p �� Owner's Name �� -$- �y-�� y ` e Address Z�b 6 5 2 /✓-IGG�i-�% L.�p+ii��iJ¢ Arch/Eng. License No. Address 1 Contractor'sNam ^� '� Pho '32 � rTOC Addtesslmal'na1.J� � %� ��+ l%��H� City l.icense No. S6z�7 LICENSED CONTRACTOR DEGLARATION 1 hereby aftirm thai I am licensetl untle� provi5iOn5 0( Charter 9(commencing with section ]000) of Division 3 of the /�Business an r fessions Cotle, antl my Incense i� fu�l fL e an eft ct. Y/ A �,/% _� ` Lice C ass 'T �� nse o.� 7 �atc 5'anature�/ � y—��/�'J��p/. '""1 KERS' CO ENSATION DE6J.M'RATIqry' / P reby affirm that I have a certifi[ate of con�nt to felf-insure or a certiticate .Norkers' Compensation Insurance, or a cer letl mpy hereof (Seccion otl00, Lab. C�� ., � - � Policy No. 1�1.�G4(..�%��mpan ,� Certifietl copy is hereby furnishe0. �L�er�jii tl co y is � � with [he city B' is� Date �' ^ Applicant E%EM TION F WORKERS' SAT DE AR ION ' (Thissection neetl not be completetl i( the permi s(ar e huntlretl ($100) or Icss). I t¢rtify that in the pertormance of Ihe wo�k for which this pe�mit is i55uetl, I shalb not employ any p¢r5on in any manner So d5 fo become subj¢ct to the WOrkers',Compensation Ldws ot CalifOmia. Date Si9nature NOTICE: If, atter makin9 this tleciaration, you shoultl become subject to the Workers' Compensalion OroviSions o( Ihe LabOr Cotle, you must for[hwith comply with suth proviziOns or this pe�mi[ shall be tleemetl �evoketl. CONSTRUCTION LENDING.AGENCV �1 hereby aifirm that [here is a construction Ientling agency for the performance of the work for wM1ich this permit is issuetl ($ection 3097 Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER DECLARATION ' ' I hereby affirm lhat 1 am exempt from the Contractor'S Litense Law for the following reason (Section ]031.5 Business antl Profe55ional Cotle: Any tity or county whicb requires a permit to construct, alter, improve, tlemolish or repair any slruc[ure, p�io� to i[z issuance, also require5 the aOP�icant to� SUCh pe�mit � to file a signetl Statemen[ ihat he/she is IicenSetl pu�suant to the prOvlsions of 'he Contractor's License Law (Chapter 9(commencing with Section 7000) of 'vision 3 ot the Business antl Protessions Cotle) or that he/she is ezempt erefrom antl the basis fo� the allegetl ezemp[ion. Any viola[ion of Section .031.5 by any applicant for a permit sublects the-appliCant to a Civil �enalty oi not more than five huntlretl tlollars ($500). I, as owner of the property or my employees witlt wages as their sole compensation, will tlo the work, antl the s[ructure is not intentletl or offe�etl tor sale (Section 7044, Business antl Professional Cotle: The Contractor'S License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloe5 such work himsClf/hers¢If o� tM1rough his or h¢r own employees, provitletl thai such improvemen[s arc not intentletl or offeretl for sale. If, noweveq the builtlin9 or improvement is soltl within one year of com- pletion, the owner will have tne burtlen of proving he/she tlitl not builtl o� im- nrove for the purpose of sale). ❑ I, az owne� of the pro0erty, am exUusively mnt�acting with IicenS¢tl Con- Vacto�sto const�uct the p�ojec[ ($ection 7044, Business antl Protes5ion5 Cotle: The Con[rattor's License Ldw tloes not apply f0 an owner af property who builtls or imoroves thereon. antl who contracts for such'oroiects with a con- tractor(s) license pursuan[ m ine Contractor•s License Law). I am aware Ihat proof of their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date I hereby certity that information is corr antl state laws re t sentatives oi t ' inspettlon pur �Slgndture Orivers' License or SS 9k 0865-46, rev. 5/88 �a v - PE OF CONSTRUCTION NEW AD� ALTERATION 0 CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG.� � REPAIR TVPE OF PERMIT ' LJ GRADING �U/ yp UNOATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL lG PLVMBING� MECHANICAL �� ❑ OTHER PROJECT DESCRIPTION SQ.FT. oCCUaANCV CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU. VDS. ACRES Remarks: Sink Preventer Irrigation �rinking Fountains Floor Dreins - . FloorSinks�� p/£ Gas Service � � Outlets Interceptors Kitchen Sink � Lavamries � P—Trap Roof Drains Reinspection Fee . � $15 Boiler Duct - Under Ground Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepUFact. Blt. iC60 # Heating System & Ducting ❑0.100,000 BTU 0100,OOOBT peinspection Fee � $75 Wnite � Builtlin9; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor Showers ' Service Sink Sewer Cap Sewer Connection Solar Coilectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal WBtQf C�OSES Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0.100,000 BTU ❑100,000 BT System Repair/Alteration Fire Dampers . Registers Issue Fee $ 3 $ 3 A.P. # S Main Buildi E T Front 6 Rear A C Right K Left S Ping. Ref. # Plannin9 Notes: Automatic Washer Construction Pole Sub. Cookin9 Unit Dryers LJGas Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW F.A.U. � Fixtures .. Device Boxes - Outl¢t5 Switches Garbage Disposal Generator 065 KW 05-15 KW Meter LJup to 100 amps Meter ❑over100amps Suti Panel Motors OO-1 HP � 1`/: - 8 Inc.Soiar �9-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Reinspection Fee �$15 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building APProved By Application luued By FEES $ 3 SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT � PLUMBING $ �—O� ISSUANCE $ . PLAN CHECK 25h $ ENERGV P.C. $ ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ S _(�%� PLAN CHECK 25% $ N I N G R E Q M T S. �i Qn��ur,y-a�r,4��as �rcm�' �z:u �ar�: a�r2�ia9 rzr" ,i.uv . • . . �<.�-. ,..�,. , ��u�� . . CANSTRUCTION AND PLANNING � � PG t SPA Date Inspector Date Inspector � APPROVALS Permit # � � APPROVALS Permit # �i •�•1. Temporary Electrical Service or Pole, .'` 52. Pool & Equipment Location .. � n. �./ ..�� y.2. Soi� ipe-Undrgrnd. '%' `'.� . � 53. Steel Reinforcement ; � � t;3! Electrical Conduit�Utility-Undrgrnd. t' -"� 54. Forms Y[_' � N i 4� Electrical Conduit UntJrgrnd. 55. Electrical Bonding �f � � v.� � i 5; Steel, Reinforcement � � '� �, � 56. Rough Plumbing & Pressure Test � �j'� � `r - r. i r. .0 ! � : �y-f�.. '6:.Electrical UFER Grnd� • ' � � 57. APPROVAL TO COVER-GUNITE .''' - � 1;. +i' Y i /� .s 1 i. . � , . 7t Footings � �, '/� �' } _� � I 58. Electrical Conduit-Undrgrnd. � ijf '� � 8�`Foundation � '•' ' � ' . � �r 59. Gas Pipe, O Undrgrnd., Test - � � � 1 t '/?i ' •L;4 %� �. 9t Water jipe-Undrgrnd. .� �� 60. Backwash Lines, P-Trap, � Undrgmd. �:-+' '�„ 10��Structuial Floor System �� j , 61. APPROVAL TO DECK �� 11. Property Sewer LYne & House Connectiom �� '' - 62. Backwash & Receptor-Final � .� J 12. Sewer�Gap � 1�, �� ' � . 63. Heater& Vent-Final `��;� 'r/, a ci 13� �Roof'Diains i j� V 64. Plumbing System - Final �� . 14f Rough Plumbitng�• : � 65. Electrical-Final �.�� l'• 15. Rough Electrical-Conduit 66. Solar System-Final �y G�B` Rough Electric Wiring �67. Fencing & Access Approval _17a Rough Wiring Sign . 68. APPROVED FOR PLASTERING �1.8. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS F INA� 4Q. Rough Heating & Air Conditioning d� � FIRE DEPT. REQUIREMENT � �•- 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure r, 70. Underground Hydro 22. DuciS, Ventilating 77. Product Piping OGas ❑Oil 23.� Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof F.raming � 73. Undergmd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame'and Flashing 76. Dry Standpipe 28. Lathi'ng & Siiiing � 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL � 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT ;31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED 33. Final Electric �IVotes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test �%�Z�l �f (�� 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing �?1�-f�9 L� � 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final � � � 42. Backflow Preventer � (U � 43. Backflowirrigation � ' � -� 44. Landscape Irrigation System � r, 45.'Sound Attenuation � � . ' �. �1 - 46. Handicap Regulations � � � � � 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . �49. Electric Release to Edison � � ' n., 50. Gas Release to Southem California Gas Co � � �q t^ , 51. CERTIFICATE OF OCCUPANCY ��' ' J No. Date � � �%-� AOP��cant to fill in all ipaces ezce0t CiTv o� coS7a m� �� ONfSTRUCTION PE IT Prqject Address �� rn �� ' � y arn Applicant's Mail' Address Owner's Name � �^' � Phone — � . Address .• ArchlEng. � Lic nse No. � Address � � � � �� Contrecmr's Name ` Phon�� Addresslmailingl � , � ��' �� City License No. �� ' LICENSED CONTRACTOR DECLARATION � ^, 1 M1ereOy affi�m that I am licensetl untlerprovi5ion5 of Charter 9(commencing � y with section 7000) ot Division 3 oi the Business antl Professions Cotle, antl �my license is in �W t rce and itect. License Class � ce se N. �� Date �Z-17—L7 Si9nature > � RKERS' COMPENSATION DECLARATION . S /`� =by affirm Ihat I have a certifiCate of consent to selt-insure or a certificate / �1V /orkers' Compensation Insurance, or a certitietl copy thereof (Seciion� .�.,o. �ab. � 5 G� � T vw�iatSv4rm.t Policy No. � � 7 Company eCertifietl copy is hereby tu�nishetl. � Cert' ietl cop is filetl with the city iltling Div' io Date�— �!��Z_ Applican[ � EXEMPTION F0.0M WORKERS' COMPENSATION DECLARATION , I� (Thissection neetl not be completetl if lhe permit is for One huntl�etl ($100) o� le,$). I certify that in tM1e pe�fo�mance of the wo�k tor which this permk is i5suetl I� � shall not employ any per5on in any manner so as to become subject to t{�e � Workers' Compensation Laws of Califomia. Da[e Si9natur¢ .NOTICE: If, aiter making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of the Labor Cotle; you must forthwith comply with such provisions o� this permit shall be tleemetl rewketl. CONSTRUCTION LENDING AGENCV • I herety atfirm that itlere is a const�uction lentling agency for the pertormance of the work for which Ihis permit is issuetl (Section 3097 Civ. C.) I Lentler's Name� �' Lentler's AtlEress _ OWNER BUILOER �ECLARATION I he�eby aftirm thab I am exempt trom the Contracto�'s License Law for the following reason (Section 7031.5 Business antl Professional Cotle: Any city or counry which requires a permit to construct, al[e�, improve, tlemolish or repair � any sVucture, prior ta i[s issuance, also requi�es the applicant tor Such permit to ii�e a signetl statement thaC he/she is IicenSetl pursuant to the provisions o� "�e ConVactor'S License Law (Chapter 9(commencing wlth $ection ]000) of �ision 3 of the Busine55 antl Profesvons Cotle) or that Ite/she is exempt retrom antl the ba5i5 tor the alleqetl exemption. Any violation of Section .3LS.by any applicant to� a permit sublects the applicant to a civil perldlty'ot nol more than five huntlretl tlollars ($500). ❑ I, as-owner of the property or my.employees witM1 wages as Iheir sole compensatian will tlo the work, antl the structure is not intendetl or ofteretl � for sale (Section �]044, Business antl Professional Cotle: The Contractor's License Law tloes nol appty to an owner of a property who builtls or improves thereon, antl who tloes such work himself/herself or throu9h his or her own employees, provitletl that such improvements are not intentled or offeretl for sale. If, however, the builtling o� imp�ovement is soltl within one year of mm- 'pletion, the owner, will have the burtlen of proving he/she tlitl not builtl or im- � prove for tM1e purpose of sale). ❑ I, as owner of the Oroperty, am exclusively contractin9 with licensetl�con- ttactorsto construct the project (Sec[ion ]044, Business antl Professions Cotle: The�Contractor's License Law tloes not apply lo an owner of property who ` builtls or improves thereon, antl who cantracts for such projecls witM1 a com �1 tractor(s) IIC2052 pu�suant to [he Cantracto�'s LICEOSE LdW�. � dRl dWdIE Ihdf ` proof of their Worker's Compensation insurance shoultl be provitletl to me. f ❑ I am exempt untle� Section B. & P. C. fo� Ihis reason � Date Owner - I hereby certify that I-have reatl this app c ion and state that the above �information is wrrect. I agree to comply it all. city antl county ortlinances antl 3tate laws r atin9 to buiitling constr wn, a tl hereby authorize repre- senta[ives o/ is city to ent pon e eniioneA property for ,inspection p � /L /7 f'7 ' Signature � Daie within heavy bartler lines antl si9n all approp�iate Cecla�ations. IACT NO. LOT NO. UNIT, NO]'1 /•' 1 �.J CJ � ' . � TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ C�ONVERSION ❑ DEMOLISH ❑ OTHER A P # DESCRIPTION OF WORK/USE OF BLDG. ' � � . � , 5 Main Buildi TVPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL ' T F�Ont ❑ TENANT �❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL ' 6 Rear ❑ OTHER - ' ' .. _ ' %� PROJECT DESCRIPTION Sq. F7. oCCVPAivGv K ftighf' : CONSTRUCTIONTYPE ' VALUATION$ g Left ;ZONE� GRADING CU. VDS. ACRES ,P�ng. R¢f. # Remarks: � . � � • , � Planning Notes: Bar Sink � , � � . Backflow Preventer ' Backflow Irrigation ' Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks . . Gas Service Outlets InterCep[of5 KitchenSink- -- � LaJatories _ P—Trap ' Roof Drains ' Showers , Service Sink Sewer Connectiori � � i Solar Collectors - ' Solar Piping � Solar Tank � Swimming Pool w/Spa Urinal Water Closet Water Heater � Water $ervice, - 'Auto-Wash � ' Laundry Trays Reinspection Fee !; $15 Duct-UnderGround DuM Structural Duct - Ventilating Exhaust Syscem O MWtiple �� Firepl/Fact. Blt. ICBO # / Hea g System & Ducting � �000BTU�100,000BTI � - �� I Reinspection Fee � $15 orivers'�Li ense or'S5 � CMF 0865-46, rev. 10/84 White - Builtling; Canary - A plitanh Pink - Acrountinq; Goltlenrotl - Assessor tlssue Fee HooA or Typel ❑ . Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑700,000 SYstem Repair/Alteration Fire Dampers Registers . ' � Issue Fee` FEES $ 3 �n Y�JOJ �0 �iIJ � � �'_._�_ .' . ' . �':7. �i�' `i� —� �— �� Automatic Washer Construction Pole Cooking Unit' Dishwasher � Dryers ❑Gas ❑ Fan Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5� � Reinspection Fee — DEVELOPMEN7 SER Zoning Approved By _ Building Appraved By � 1 t 5-15 KW 8 � Zone .. � , . � 2 ' ' O � � N 1 '_ ' " N G � R ed � E Q i M 7 S I ❑CAL Transformer ❑ 15-50 KW � - O50+KW' ��, Meter ❑up to 100 amps Meter ❑over100amps� � Motors�0.1 HP.�1%-.8� InaSolar 09-15 HP �i6-75+ Microwave . ' Pole Light ' Standing Sections Trash Compactor $75 � � Issue Fee — REQUIREMENTS: FEES � � � �� . —�, �. : �� SUMMARV OF FEES � , � BUILDING PEFMIT $ SMIP ' , $ PLAN CHECK • $ PERMIT � - '" . PLUMBING � $ - ISSUANCE $ " , PLAN CRECK 25% $ ENERGV P.C., $ ELECTRICAL $ GRADING - $ � ; PLAN CHECK .50% $ � MICftOFILM $ � 'MECHANICAL $ � TOTALFEE _$ - - � P�AN CHECK 25% $ � � ' �� ( CONSTRUCTION AND PLANNING ' � - • . POOL & SPA � � .. •Date Inspector� � Date� Inspector 'APPROVALS Permi't#- • APPROVALS Permit# � 1�:�Temporary ElectricBhService or Pole � 52. Pool & Equipment Location ' .I 2�.� Soil Pipe-Undrgrnd...- . 53. Steel Reinforcement • '�I 3. Electrical Conduit Utility-Undrgrnd. � � 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. EleMrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test , 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -; ' i 7:rFootings r�'�.� _ 58. Elect�icalConduit-Undrgrnd. � �� " ' " i:. 8r F.oundation 59. Gas Pipe, O Undrgrnd., Test -- �'-c�n. 9�! Water Pi e-Undr rnd. � '� '^ �- P 9 60. Backwash Lines, P-Trap, O Undrgrnd. 'y. 10. Structural Floor System 61. APPROVAL TO DECK , .:�'� '. i 11. 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 Electric Wiring 67. Fencing & Access Approval ' � 17; Rough�Wiring Sign . 68.� APPROVED FOR PLASTERING �`B: Rough`Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � �19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT f~ 20. Rough Factory Fireplace ' APPROVALS Permit # ^ `- 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (StructuraQ & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � - � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall�Nailing HEALTH DEPT. REQUIREMENT .. 31. Plaster Brown Coat 79. FINAL INSPECTION �� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: �� .F� 3' c - n .�, .i' .. 34: Final Heating & Air Conditioning /��9/�� G t�sr� �e � � e ea + � � 7^Co- �' ' 35. Final_Gas Pipe-Test - � �2' Z --s' r+A i 36..Hood or Canopy � 1 � 37: Final Factory Fireplace - . . _ ' _ �- l:�' �,ti: ,�+"� 38� Final Plumbing `' � „r °' �, � • v , L 39.-Water Service-Final � -��1' ' • �'� ' V .- a..� '• J �.i I . 40. Gas Service-Final � / • � ` " � '� . � �-�41. SolarpomesticFinal � ' ' ^ L� ,� • _ e' ,i42. Backflow Preventer � �'� y � i� . � � �( � -�43. Backflow Irrigation ' - ! " - • ` 4, /44.�Landscape Irrigation System , � - 'V ' � �� V "�•� � 45. Sound Attenuation - . � 1 � � � � "� � 46. HandicapRegulations . � . � �i • ,f,;,� t ' � .� V ;. 47. FINAL STRUCTURE & BUILDING ' - � � - � .. �. 48.•Special Requirements Completed � `� ' � �� + � , � ^ -- -49..Electric Release to Edison � � � � . r' � !F 50. Gas Release to Southem Califomia Gas Co �,. � . •-� 51. CERTIFICATE OF OCCUPANCY � . : ir No. Date . i'' . . - . . i�, ✓: r n _ Applicant to fill in all spaces except Crrv oF coSTA MESA CONSTRUCTIO P/ER'MIT ' ' Project Address �Lf M ✓'�`'�'. �,�r lT Applicant'S Mail'no A�irlra�cc —�il � /Y • '4J�}�%AiiJI� /]2��i Owner'S Name rn � �- �`` ��N �` Pho^.e � 4s S'�-1 Address S �'N�- / Arch/Eng. � L' nseNo. ��SK Address Contractor's Name f �� hon� � Address (inailing) s � �� G City License No. � % � � LICENSED CONTRACTOR DECIARATION I hereby affirm tha[ 1 am licensetl untle� O�ovisions of Charter 9(commencing with section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in tuli torce antl effect. . � License C�ass (� C� C= � C-.�✓ �_ cartfe rvo. ��% �� Date�Q 5'9 t ��'� '•�ORKERS' COMPENSATION DECLARATION ' xreby atiirm that I have a certificate ot consent to seif-insure or a certi/icate Wotke�s' Compensation Insu�ance, o� a certitietl copY thereot (Section ,00, Lab. C J�N �'' Poli No. �'C qk81 � 3 Company � _iW Certifietl copy i5 h¢r¢by fumishetl. � Ce�,[ifieZtl cqpy�iytiletl with the <ity Bu' ing Divis�oP. Date�+'� 1�7 APPlicant k• EXEMPTION FROM WORKERS' COMPENSATION DECIARATION (Thissection neetl not be completetl if the Oermit is tor one huntl�etl ($300) o� less). 1 certify tnat in the petfo�mance of the wo�k fo� which this pe�m�[ is Issuetl, I Shall not employ any p¢�son in any manne� so as to become suCjact to the Workers' Compensation LawS ot Cali/omia. Date Si9nature NOTICE: If, after making this tleclaration, you shoultl b¢COme Subj¢Ct to the Workers' Compensation provisions of the Labor Cotle, you must torthwith comply w�th such D�ovisions o� lhis pe�mit shall, be Deemetl �evoketl. CONSTRVCTION LENDING AGENCV I hereby affirm tnat there is a ronstruction lentlin9.agency tor the performance of the work 1or' which this permit is Issuetl (Section 309� Civ. CJ Lenaer's Name Lentler'S Atltlress ' � - OWNER BUILDER �ECLARATION I hereby afflrm that I am exempt trOm the �Cont�acto�'s Llcense Law for the following reason (Section ]031.5 Business antl Protessional Cotle: Any city or county which requires a permit to const�uct, alt2r, imp/ove, tlemolish or repair any'structure, prior to its issuance, also requires the applicant for such permit to file a signetl stafement that he/ihe is licensetl pursuan[ to the'provisions ot the Contractor's License Law:(Chapter 9(wmmencin9 �+��n Section 7000) of 'vision 3 of [he Business antl Profe55ion5 Cotl¢) or [hat he/she is exempt !refrom antl tbe basis for the allegetl ezemption. Any violation of Section ,31.5 by any applicant for a permit subjects the applicant to a civil Nenalty of not more than five huntlretl tlollars ($500). ❑ I, as owner of the property or my employees with wages as their sole mmpensation, will tlo [he wo�k, antl the st�ucture is not intentletl or offeretl for sale (Section 7044, Business and Prote55ional Cotle: The Conlractor'S License Law tloes not apply to an owner of a property who builtls or improves the�eon, antl wno tloes such work nimself/herself or through his or her own employees, providetl that such improvements ar¢ not intentletl or offeretl Por � sdle. It, however, the bulltlin9 0� improvement Is soltl within one yea� of com- pletion, tM1e owne��will have,the bwtlen of proving he/she tlitl not builtl o� im- �rove for Ih¢ purpose of sale). I, as owner oi the o�ooerty, am ezclusively mntracting with licensetl con- tractorsto construct the projecb(Section ]044, Business antl Protessions Cotle: The ConVactor's License Law tloes not'apply to an owner ot oroperty who bu�ltls or improves thereon, antl who contracts for such'project5 wlth a con- tractor(sl i¢ense pursuant to the Contractor's �icense �aw). I am aware that proof of tltei� Wo�ker's Compensation insurance ShoWtl be provitletl to me. ❑ I am exempt untler Section B. & P. C. tor tnis reason Date � Owner' I bereby certity that-I have reatl this a Information is cor,�ect, I agree to comply antl state laws rElatina to builtlmo con6S 99nature �G-%`J��CdJ� Drivers' License or 55 � [iOn antl state [hat the above all citv antl countv ortlinancez /,Oaraer lines antl sign a11 apv�opriate aeelarotians. . LOT NO�. - UNIT NO. � � TVPE OF CONSTRUCTION - U NEW LJ ADD LI ALTERATION I.J REPAI R ❑ CONVERSION ❑, DEMOLISH ❑ OTHER e= .��A �� A p�y DESCRIPTION OF WORK/USE OF BLDG. ' � S Main Buildi E TYPEOFPERMIT ❑GRADING FOUNDATIO�N� STRUCTVRAL T Front � ❑ TENANT ❑ ELECTRICAL• O PLUMBING LSMECHANICAL �A R¢ar ' ❑ OTHER - - - � ,C Rlght � � PROJECT DESCRIPTION S4.�FT. � oCCUPANCV K ' CONSTRUCTIONTVPE � VALUATION$ �g Left . . ZONE GRADING CU. VDS. ACRES . p�ng. Ref. # Remarki: . ' � - Planning NOt¢5: Sink <flow Preventer .� <flow Irrigation . itubs ' ifien ' Drinking Fountains Floor Drains Floor Sinks � Gas Service Outlets Interceptors Kitchen Sink� • Trap �of Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating. Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # H,�e g SYstem & Ducting VJ0.100,000 BTU � 100,000 BT heinspec[ion Pee � $75 CMF OB65-46, rev, 10/84 Wnite - Builtling; Canary - Applicanq Pink - Accountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer_ Connection Solar Collectors ' Solar Piping Solar Tank Swimming Pool w/Spa Urinal Wd2Qf O�OSEI � Water Heater WaterService - Auto-Wash ' Laundry TraYs laue Fee Hood or Typel ❑ Canopy Typell ❑ Refri9eration System ❑0-100,000 BTU, �100, System Repair/Alteration Fire Dampers Registers luue Fea ES 1 6054 3/02/88 � Zane Accessory Building: ' Parkin9 Req ELECTRICAL . Automatic Washer � � ' Transformer ❑ 15-50 KW Construction PoleSub. � SO+KW Cooking Unit Meter ❑up`to 100amps Dishwasher � Meter ❑over100amps � Dryers-�Gas �Electric ' SubPanel' Fan � Motors DO-7 HP 01 %.- 8 F.A.U. Inc.Solar 09-15 HP �16- Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 00.5 KW 05-15 KW Pole Light Ran9e Sign Standing Sections Trash Compactor $ 3 Rainspection Fee $75 luue Fee FEES , DEVELOPMENTSERVICESREQUIREMEN7S: - Zoning Approved By Building Approved By —�— Aoolication Issued Bv � /+ 1 S � s �q 5+ 24oD0 TL FEES $ Z � N 1 N G F E Q M T S . SUMMARV OF FEES - ' ; BUILDING PERMIT � $' SMIP � $ PLAN CHECK $ PERMIT � PLUMBING . $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. •$ ELECTRICAL - $ GRADING $ PLAN CHECK 50°� $ -�� MICROFILM $ � (j MECHANICAL '$ «Y•uV TOTALFEE $ �``D� PLAN CHECK • 25% $ '� � - CONSTRUCTION AND PLANNING .. , POOL & SPA -� APPROVALS Permit'# Date Inspector qppROVALS Permit# Date- Inspector � 1.1,T,emporary Electrical�Service or Pole � 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. ` • . 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 Gmd. � 57. APPROVAL TO COVER-GUNITE 7:: Footings - � 58: Electrical Conduit-Undrgrnd. . 8�:Foundation ' '" 59. Gas Pipe; O Undrgrnd., Test .. 9. Water Pipe-Undrgrrid:� � �- � 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System , . 61. APPROVAL TO DECK 11. 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-Finaf ' � 15. Rough Electrica6Conduit _ . 66. Solar System-Final � 16. Rough Electric Wiring � � 67. Fencing & Access Approval� � � 17. Rough�Wiring Sign 68. APPROVED FOR PLASTERING ��;18. Rough.Hectrical-T Bar Ceiling . 69. POOUSPA 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�. Roof Framing � 73. Undergmd.StorageTank OGas ❑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. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT - � 31. Plaster Brown Coat � 79. FINAL INSPECTION . �' % 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' . 33. Final Electric � � Notes: . j+•� �34. Final�Heating & Air Conditioning �si _ -- 35. Final Gas Pipe-Test � � ' � �, r. 36. Hood or Canopy . �� • . ,.� ,,' 37.`Final Factory Fireplace � . � - � � '� '_� � • � �. �� 38�� Final Plumbing � t� � �` � .; �. � , Y . ( 39. Water Service-Final . . , � � �, � � � '�: � 1 '� 40. Gas Service-Final . • � � : _ � - � ,41. Solar pomesticFinal � - - '+ �- " � . � f" - 42�Backflow Preventer � - � !' - � ' � " , ' , � •� 7• : 43. Backflow Irrigation - � � / . . �j. . " i. :44. :Landscape Irrigation SYstem � � � � � � � � y" . -45. Sound Attenuation � , ti ' �, n �_'. 46. Handicap Regulations - "� �� • ',� � 4 'Y - 47-. FINALSTRUCTURE & BUILDING ' ' �,j��' , �'�•; - O � ; 48� Special Requirements Completed � . r�� r , �, � - ' .., 49f�Electric Release to Edison � ,� _ � 50. Gas Release to Southern California Gas Co 'r� . j �, ' 51. CERTIFICATEOFOCCUPANCY � � - �� ' No. Date � � . _ . . _ �' . �•x`. _.\ ' . - .' ,'. _ ._lVosta Mesa Kmlding Department �� .. � 111 EAST 20Yh STREET • � ., COSTA MESA� CALIFORNIA � �` FOR APPLICAN'r TO Fli.d. IN Building Addresa / . O ..v�� T � Costa Mesa, California �3a Mail Size of LM PPLICATdON l+'UK �"L�'iG1v1Y� BlD16D��NG FOR OFFICE USE ONLY � Receipt No. Permit No. ; ao q7 �/�G�//�, � Addre �. F� �� '!1—c�i�L � +.�/' ! i1'//JlrT /�/iv�. . Nearest / t�!/ O� Cross Sk. /l � i'��a-�No.`� �/Jy7!'= Zone Lic./ � . � �7„_,.r r.._,_ No. Approved l ' - • by City Lic. �/j � No. �J�� 7 � `�� /�F .� / /./ Lo / � . 3 Na � / Block I Tract - i ind `ounds) No. of Bldgs. y/ i �}� /�. H., Now on Lot /G9 �� INo.of No.of Families I Raoms .II om s"O / Rear Yard ,7l r ' v"' Type Repair I �-Moving �`� Demolish � - ` Building No.of / 8ize � � y � � Rooms � Stories erior Wall Roof ' erin9 .%, I Covering 9r_.�l7i,.w, Q i (�PpFy(�V.�LS Use of New �� " / Building /� Foundation Location Inspector Forms, Materlals, Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state thak the above is correct and agree to comply Lath. Int. with all Clty Otdin ces and State I.aws regulating building constl�uction. //// Lath: Ext. ' Signatureof // .. � �% . . Permitte -�/ .�G ,� rY �,(!.1/1 p�aster,lnt`j' Authorized Agt. Plaster, Ext � Valuatian p� Permit Fee $ �� °� Masonry Reinforced $ � /)'S u �, TotaCheck $ %' � � gond Beam b Q Fee $ FINAL RM 204 S-BP" 2M s-55 Data . _ - _ .�_ - . _ , f. ,_ .; ; m t. - - - � v � _ � . � • . _ � ° '� -- _ . . ;.� � . a _ ....._ L �j . 6. __ .�_: ' ._ __ a L , a , - - - - � . _. r�Q� �,vJ'io. �O ` /�s�0��7 ' . . _ �` COST6 • � . . � ' ' t'�'J?8 `5P�t�ESA 6Rla A:4�c{rd9.n� . • ` �� . _. . � �� , 0 3 - :> .: T� _ __: �� . _-,-_ ., � - �o _ - ��. .- . _- -r. _ _ �� _.�_ .:��_ . � -s� . . __ _ . _ . ,O�,cir;�;°`. — . . � -. , . -_ - - - - ra.o�r r�uv _" . _ _ .. _ .- = :;:. �.- - - - . _ _ _ , __. - -- - � , . 8how Iocation.and_distanees from _ _ -, _. - a - . �_ " ', . _ _ � . Prope_rty Iina and between buildinga•. � _ . . . .,',�; : . " ,` - - ' . . . . � , � � . �. \ ; . _ . . �` . ._ s . . . _ . , � _ . . . . . . � ' - ... .�t--: � - , . . . . �S� ..`' . � _ � _ _ � TGOODMAN, PLIARL A.9 � DATE 11-28-SS !�" n,y F` ,DDRESS 2A1 Del Mar BUILDINGPERMITNO, Q�q� GENERALCONTRACTOR Owner-builder VALUE $ ZSOO.�� Relocation of Ho se & garage i Suodivision i�6 BLOCK TRACT Bld�. Mvg. 105 & 10�. Check on release of bond, , GROUP I Rt J TYPE V ZONE RI1 FIRE DISTpICT Z�.ZC PERMITS ISSUED } INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Formsand Grade Rough Framing Plumhing, Rough to Slab � Plumbing, Rough Complete/ Temporary Pole Wiring, Rough Heating, Rough Heating, Final � ewer, Hnuse � Sewe Septic Tank or'Cesspool — I ig, In Out F ering Plum6in`g, Fin�al, Fixtures Coi Plumbing, Fin,al GasTest/S, Wiring,Final ;� Occupancy lG, }� m�m 210 G-H 7500 1-55 . .. � i �6� COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O. BOX 9A COHTA MEBA. CALIFORNIA � ' Fo� Applicanf ►o Fill In Complefely ' TYPE OR PRINT ' ADDRESS Z I �CL M/�'/t. COSTA MESA, CALIFORNIA U�'� ZZ Mg- � M�� G" APPROVED '�_ . BY _ CITY ' STATE � TEL. �-- LIC. NO. NO. ' SIZE � ' I NO.OP 6LOG8. OF LOT 9/ CL C%'�• ' NOW ON LAT USE OF � �/ EXISTINO BLO6. �/�N �� SETBACK LINE FROM � DESCRIPTION OF WORK � COVER NGWA .)rYCC�� R��F C D M COVERIN6 U36 OF BU IlDIN6 AND WORK TO BE PERFORM6D oG O� [r 2A - 1 HEREBY ACKNOWL8D0! TNAT 1�MAVB pEAO TMI9 APPUC �NO 6TAT¢ TN�T TH! ABOV@ 18 tOqqEGT ANO A6pEE TO PLY WITM ALL CITY O .�NCHB AND 9TAT8 LAW 80UL BUfL�IN6 CONSTfiO O .SIGNATUREOF � �,/�/ PERMITTE ��^ �'� ' �/-( AUTHORIZHD A6ENT . � FEE RECEIVED MAR 18 1964 fINANCE DEPT. APpCICA71bt�Fb12� P��/vllt BUILDING For Oifica Use Only RfiCHI'T NO. � PEfiM1 er I , Zg/ YAR�6 APPROVED MA1N B W LDING o�sraNce MAIN BLO VAR. # � ZONING U86 r 0 L-6 ("J SHALL BE LESB THAN� (U.B.C.REQUIREMENTI YARDSAPPROVED AGCESSORY BUILOING OATE i / � sQ.: Fr. . . m TXE AMOUNT� BHOWN UNGER V�LUATION IB FOR TryE £ PURP09E OR 86TABL19HINO A PEPMIT FEE ONLY. 0 YALUATION ' �j m PERMITFEE '$ '} '"- � � 4;ry��( m S jp! �O A C -� 0 � 4 TOTAL FEE � � "� BU4-6M-3-G&-S-B �.� 'LONE DATE IGROUP J TYPE SUBCONIBACTOH I DATE rnr,n i e i�a 7l COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 31] COBTA MEBA. CALIFORIVIA - For Applicanf to Fill In Completely TYPE OR PRINT � ILDINO ��( J DRES9 YE COSTA MESA, CALIFORNIA � JCC � � .. .. � 18 MAIL J nlc2 STATE ' LIC. NO. SIZE U � OF LOT �/ USE OF EXISTING BL�O. 6ET0ACK L�Ni FMOM O CENTEP OF BTX86T SI�H YAROI L6FT C/ a FEE REGEIVED �MAN 18 1964 FINANCE DEPT. APPLICA7TOI�I FOR P�ffMlisA BUILDING For Office Uae Only PficE1PT NO. I PERMIT NO. ZONING `C A. P. NO. `� � : '-' F1 � NOTE: NO EAVE OVBRHAN6 BHALL BE LE88 THAN ----�� 80" TO SIDQ A REAR P• L. � EAVES No.oPe�oos. 'ALLOWED fU.B:C.`REQUIREMENTI Now OH LAT YAR�SAPPROVED YARDSAPPROVED i . • MAIN BUILDING ACCESSORY BUILDING ' I R16HT �//' // OF WORK BUILDINfi . NO.OR , SIZE - • ROOMS ' BTORI6 EXTERIOR WAL ROOP � O � COVERING V C COVERIN6 USE OF BUILDIFIC AND WORK TO BE PBRFORMED REAR �YUF DISTANCfi B6T. � MAIN BL� 8. VAR. iF �. Fr. Ff. BET. MAIN B AGCESS.'BLOGB. DATE ' APPROVED -- 2 .'� �—C� � � �\'" t�-- . . . . . . . 80. FT. � . 1�HEREBV ACHNOWLEDOH THAT 1 NAVB'qFi�D T IB APPLIGTION THE �MOUNT BHOWN tINDER VALUATION 18 POP THE . ANO 6TPTE TXAT THH OVB 18 CORFECT A AOREE TO COM. "�'UpP068 OP fiBTABLIfiHINO A PEPMIT FEE ONLT. PLY WITH ALL CITY O ANC88 11ND 9TAT WB RBOYLATINO �IpLUATION � BOILO�N6 CONBTpU 10 . ' � PERMITFEE $ � SIGNATUREOF � ' . PERMITTE - ' �_ . . . . . � . $ ' � C7L� A K � .� ALITHORIZED AQFNT ' / TOTAL FEE $ ; �I"' `� SEWELI, RICHARD A. .� OWNER � IN°pECTIONS F. FIAE 'LONE 3 DESCRIPTION ON WO] DATE GROUP J TYPE V Z PE SUBCONTRACTOR DATE MAR 1 8 1964 7l . ." 21764 -LOSTA MESA BUILDING-SAFEfY DEPARTMENT P.O.BOXTf] COBTAM6BA,CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT .� ADDRE59 !r S I� D M ' COSTA MESA,.CALIFORNI 'L OWNER ��CfTA � � — -''LC� MAIL .��27_ MAD��I � Glll1BFA9 LIC. NO. N . -- SIZE •/�1 /. __ / � NO.OFBLDO9. OF LOT /� �'"��'�' I NOW ON LOT USE OF ' EXISTING BLO6. BETBACK L�N[ FROM CENTER OP BTRE[T ( RfiAR YAR� ' SIDEYARDI LEFT �� I RI6HT /�j/ DESCRIPTION OF WORK • EXTERIOR WALL a ROOP COVERING ✓ UCC COVERING r USE OF BIJILO1fiB AfiD WORK TO BE PEF 1 HEREBY ACKNOWLEDOE THAT 1 X�Ve qE�O TH�e APPL�C�TION AND eTATE TNAT THE �BOVe IB CORRECT A1 D AOREE TO COM. PLr WITH nLL clTv �INANCiB ANO BTA �� LAWB pfiOULATINO BUILOINO CONBTRU 1 i, SIGNATUREOF �� PERMITTE AUTHORIZED A06NT . FEE RECEIVED MAA 1$ 1964 fINANCE DEPT. � CITY OF COSTA MESA APPLICATION FOR PERMR BUILDING .' For Office Use Only FIRE � . ZONE 'GROUP APPROVED - �J XJ_ BY DATE o� /O ZONING `-� N .OP � ' SIY OF N8W . .. LANB Xem�oina _ n (� � ��z"�,Y+��—v �.eaw� — _ , - _ _n DB;CRIITIO�� I�IAJlA1�3y �� I\. P. NO. �� I��+_ G`� NOTE: NO fiAV E OV ERHAN6 SHALL BE LE85 THAN 90" TO 81DE 8 REAR P. L. __..__ I YAR03APPROVED MAIN BUILOIN6 VAR. iC. ACGESSORY DATE TXE AMOIINT BHOWN YNDEfl VALUAT�ON IB FOq TXE' PlIRP06E OF HBTABL�SHIN6 A P6RMIT FEE ONLY.. VALUATION �� PERMIT FEE $ '-- � i �C�O E K' �— .TOTAL FEE $ � ^_ A. � llA BUILDING PERMIT N0. VALUE S �00.00 SUBCONI'AACTOR Ol '. . �19,5, - FEE RECEIVE� �'� �r APH 9 1964 .COSTA MESA BUIIDING-SAFETY DEPARTMENT FINANCE DEPT. � 'P.O.BOXD17 GOBTA M66A�CALIFORNIA 'CITY OF COSTA MESA For Applican�. fo Fill In Completely APPLICATION FOR PERMIT TYP� OR PRINT � BUILDING For Offica Use Only �-- BUILDINQ O� - AODRESS n8c61�i n0. PfiHMI O. COSTA MESA.. CALIFORNIA � � _L� P6C[1VHO CY pAT HC /6D_ oehQ� gD � � b �OWNER LU GLL� BUILDINO �J�/ MAIL � `� ' ADDRE58 OC ADDR6S8 ' Z ry(_:'w p FIRB ` G M � NO. �ONB TYPB GROU / CITY � �� I ATE � %"� �/ APPROVED �- A� "TEGT - TEL. ' 'BY CONTRACTOR V C .� Q l�+ * �.,Q I I v� "� �-� • . �.eow� ' � /( � V % . De6CR1'1'ION - ADDRESS � LUI e �� - CITY �D I—I�' MCSA A.P.NO. . .. � NOTE: NO EAVE OVERHAN6 SHALL BE LE53 THAN STATE TEI:. g0• TO SIDE @ REAR P. L. LIC.NO. D NO.- D EAVES OFLOT � � � No.oPeLDoe. ALLOWED fU.B.C.REQUIREMENT) NOW oNtAT yARD3APPROVED YARD9APPROVED ' USE OF MAIN BUILDING 'ACCE650RY BUILDING E%ISTINGBLDG. J� _ i ( FROM GL &TREET 6ET0�CK LINe PAOM ' FRONT FT. � FT. cervTEn oP BrnEei t REAR�YARD 1., SI�6 YAROI LEFT Z I p�aM `� � R.91DB Rf. �'' Ff. DESCRIPTION OF WORK �. sioe • Fr. Fr, Y.q � 3 ! ALT�ppT10N ADDITION REAR ` FT. - �. 'REPAIR � MOV�N6 DEMOLISN DI6TANGE BET. . BET.MAIN @ MAIN BLOGS. ACGE55. BLOGg, VAR.�i DATE BUILDIN6 NO.OF ' ' 512E � ROOMS STORIE$ I C. U. P. � APPROVED S / ' EXTERIOR WALL ROOF APPROV �� G�.-{� . GOVERING �' COVERIN6 O. ' BY DATE d USE OF BUILDING AND WORK 70 BH P6RFORMED . Dc�E`u t _. � a ' n sa. �. m I HEREBY ACKNOWLED06 TNAT I HAVE READ TH�B.APPLIGTION TH8 AMOUNT 9HOWN UNDER VALUATION 19 FOP THE F � ANO 9TAT8 THAT THE ABOYg I8 CORRECT NO AOREE TO COM• PURPO36 OP E9TABLI6H�NO A pEFMIT FBE ONLY." Q PLY WITH ALL C�T DINAN eB �NG WB R60ULATINY ' � � BURDINo coNaT o. VALUATION m . . � • _ . PBRMiT FEE S r�,� � n SIGNATURE O � PERMITTE � ��p� /% m � � $ 'T"�"lJ �� ' PLAN CHECK S //O� �O o . �` LL AUTHORIZEDA6EN . ' . � ��OO�DO TOTALFEE $ �,..JO UWNER SEWE JOB ADDRESS �AP No.11y-1 IT""'ECTIONS � Gaa � Watert/oiM-/-5 Form BU4--6M-3-83—S-H P DATE �_Q3_6� BUILDING PERMIT N vtu.vE S 9,600. iNE 3 DLSCRIPTION OF WORI JP I TYPE V ZO] SUBCONTRACTOli PER; DATE . .r_..... . i-�_�a Gar. �"_`__� d_�- � �i�3 —;/' � d -----�--- - � ._I....-- � -� - �--- -�-�-� --��-- 710�� - � � 2`�. . � •COSTA MESA BUILDING•SAFETY, DEPARTMENT P. O. BOX 317 COBTA MEBA, CALIFORfiIA � For Applican► fo Fill In Completely � TYPE�OR PRINT BUILDINf3 D` � . ADDRE55 COSTA MESA. CALIFORNIA L C 0 BETBACR LIXB FROM EFT / % . �, . . I' RIQHT .. DESCRIPTION OP WORK WALL N1 XEREBY ACK AND 6TAT6 TH PLY WITH ALL BWLDINO CON: � AUTHORIZED FEE.RECEIVED APfl 9 1964 � � FINANCE DEPT: GTY OF COSTA MESA APPLICATION FOR PERMIT BUILDING Fo� Office Use Only � RCCEIPT NO. PEqMIT NO. IV� DBY qqY HP�cF IV6D `CAT% I� // _ � H-- Y�/_� noon n .,.,. � Z NO.OF' •ruHa ' � �eaev , DHiC111IlION � 1 � � YARDSAPPROVEO MAIN BUILDING tOM C/Le�S+lTREET� uaT a- F F'r. C /h r _ � van.# or L. ' 6 V 6NALL BE LE35 THAN . (U.B.C.REQUIREMENT] YARDSAPPROVED ACGESSORYBUILDING '1. �:. '.. �( I O SQ.FT. 0 � I HAVH R TMIB �PPLICAT�ON THE AMOUNT BHOWN UN�ER VALUATION IB FOF THE F IB COH T• O A6qE6 TO COM� PUFPO6E OF EBTABIISHINO A PERMIT FEE ONLT. p N BTw we RGaUUTINO ypLUAT10N I�� 0 ' PERMIT FEE $ � � � J f1�c�r�- c � �O �� s T�•— r/_ � _ y/. �" 4 // (/ O D—' TOTAL FEE $�[ .�J O S � J Q � � OWNER JOB ADDRESS t. DATE �-2 1: i I l 1� I I] I C[! ! 1�l: �] �71 Y 1iC U� CO. V SUI3CONT1tACTOlt �-�-' "��'`�a�`�' 6orm BU4--5M-3-63--5-B P 7l -� ' �i9�� .COSTA MESA BUILDING-SAFETY.DEPARTMENT P.0.90X 3f� COHTA M88A. CALIPORNIA . Por Applican► �o Fill In Complefely . �TYPE OR PRINT � -� aui�oiNc'^� � � � A�DRESS ot E , COSTA MESA, CALIFORNIA � MAIL 0 STATE LIC. N SIZE TEL. NO. TEL. NO. 8ET0ACK LINE FROM CENTER OF BTREET . � RBAR 61D6YARD LEFT' �/��i R16HT DESCRIPTION OF WORK BUILDIN6 SIZE EXTERIOR WALL COVERING 118H OF BUIIDiIY6 AND � HEREBY ACKI AND.6TATE TH. PLY WITH ALL aui�o�Na coHg SIGNATURE[ PERMITTEE� AUTHORIZED e � I HAVB pHAD THIB APPLIGTION IB COqpl�AOpEC TO COM- :GH AHdB T N(� RQODUTINO FEE RECEIVED APR - s t9sa fINANCE DEPT. , ,��icQ�ri�r�S��R�n�r BUILDING For Office Use Only RHC61'T NO. � D!Y D T R6C YHD � ��-6Y � , �NING . /. / l� ; 6 NO. OP �e! OP N6 �� i �LANB BUILUIN ♦ �� 376 T CRIRION ,.No. �� "�J^ fE: NO EAVE OVERHANG SHALL BE LE38 THAN ' TO SIDE B REAR P. L. ' 'ES .OWED � (U. B. C. REQUIREMpNT1 YARDBAPPROV@D � YARDSAPPROVED MAIN BUILDIN6. ACCESSORY HUILDING tOMC/LfiTREH � _ , ' � VAR. SF DATE .w / �(J O SQ. FT. ' N n TXE AMOUNT eXOWN tINOER VALl1AT10N IB FOR TH6 � PURP08E OP BBTABLIeHIN6 A' PEFMIT F8E' ONL,Y, � VALUA710N . { � m PERMITFEE S al�^ � � m $ � LA C EC �� o �/ . y��o " �p D O `— TOTAL FEE $ : UWNER SEWELL� RICFiARD A. DAT�-23-64 �JOB ADDR.FSS 2S1 De1 Mar ��F�� BUILDING PLRMIT NO. GENERAL CONTRAC'POR Surf Construction CO. VALUE $ 9�600.01 � nr xo.119-152- 0 LOT TRACT FIRE 'LONE 3 DESCRIPTION ON WORK : h% IP""'ECTIONS Signature DATE GROUP I TYPE V ZONE l,L �-/ �f—GS/ PERMI Gae � — SUBCONT1tAC'fOA DATE IF Q Water��y}tS_S_-- . I � Rou�h C.om. Refrig. ❑ Air Cond. p � I�� P m ncv � � 219�3 COSTA MESA BUIIDING-SAFETY DEPARTMENT �� P. O. BOI 91] C09TA ME9A, CALIPORNIA For Applicant to Fill In Complefely `. TYPE OR PRINT ' HUILDINO O' �� ADDRESS � COSTA MESA, CALIFORNIA, Fk APA 9 1984 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDING For Office Use Only RHc61I� NO. ^ �egg�. / N[C[IV OV OAT6R6C6J,Y6{j � OATE198OEO L= LL "` � .. . BUILDIN6 �O , AD�REBS FIR6 ' a -uva Ho. ov e�oas. SETBACK LINE FROM CENTER OP BTRELT � REAR YARD SIDE YAROI LEFT '' I RIGHT � DESCRIPTION OF WORK ROOF OF BU 1 XEREBY ACKNOWL6DOE THAT 1 HAVE RBAD THIB APPLICAT�ON AND 6TAT6 TH�T TH Oyg �g CONRECT AND AOREE TO COM. PLY WITH ALL CIT OR NANC6p ANO 6T W9 RQODUTINO BUILDIN6 CONST CTI /� I. � �. // � AUTHORIZED AGENT _/ r �- -� v 'ERHANO SHALL BE LESB THAN YAROS APP{tOV ED MAIN BUI4DING VAR. �C YARD9APPROVED AGCESSORY BUILDINO OATE � N � $Q.fT, m TXE AMOIINT SHOWN UNDER VAIU�TION IH FOR THE �' PURP09E OF EBTABLIBHINO A PERMIT FEE ONLT. 0 VALUATION m PERMITFEE $ �.�'�� / m $ � . PLAN GHECK $ /CfJ �D � ' �r 4 \ {�OO � TOTAL FEE $ d70 � i �a`UWNER SE 3h JOB ADDRESS � GENERAL CO2 2 IP'^nECTIONS m- Q DATE DATE � �-�fi ��` �� .U-- It7�I:��ilY1�QG� .E 'LONE 3 DESCRIPTION OF GROUP I TYPE p SUBCONTRACTOA � ZONE 1 �" - - -- - - -F- - -'- - - - r�" � 2I959 COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 91] C06TA M68A. CALIFORNIA For Applican� to'Fill In CompleTely TYPE OR PRINT BUILDINO �%[i 1 D�L �G � , � � ADDRES9 O�Q � �COSTA MESA,• CALIFORNIA , TEL. �„� M Na. ARCHITECT � TEL. -v�3 USE OF EXISTING BLDG. EL SETOACK LINi FROM cEnTER OF BTNEhT ' � REAR SIDEYAR�I CEFT - I R16HT DESCRIPTION OF WORK BUILDIN6^ NO.OP SIZE :1��C1 ROOMS EXTERIOR WALLc-I— ROOF COVERING J1(��(Q COVE USE OP BUILDINO AND WORK TO B 1 HEREBY ACKNOW{.8qI�j TXAT 1 NAVB REAO TXIB APPLIGTION ANO 6T�T6 TX�T T 6/�pOVE I8 CORR AND �OpEE TO COM- PLY WITH �LL C 0961NAN B N eT 8 WB PfiOt1UTIN0 BUILO�NO CONS uc ( SIGNATURE ' � A.�� PERMITTE « AUTHORIZED A6HNT eui FEE RECEIVED 1Pfl �9 1984 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only ft6C81PT NO. PERMIT NO. ;r owrc��e�� r.?k L 3 1964 NO. OF PLANS YARDSAPPROVEO MAIN BUILOING D18TANCE B6T MAIN BLD68. VAR. SC ' Q6E OF NI lWLUINO _ � � V/-� AN6 BHALL BE LE88 THAN - L_ (U.B.C.REQUIREMENTI YARDSAPPROVED AGCESSORY BUILDING BET. 1 ACCE DATE m 'THE AMOUNT eHOWN UN�EP VRWATION 18 FOR TX8 F PUflPOSE OF EBTABLI6HIN0 A PERMIT FEE ONLY. 0 VALUATION N ' PERMIT FEE $ �� j f.�--�� LA CH C �� 0 //' � D� TOTAL FEE S��0 4 2 GN:NERAL CO � AP No. 119- �, IN�pECTIONS � G.. O Wa�� Roagh Com. B� .—, Rough Heating DATE UATE 4-23-64 BUILDING PER.MIT NO. VALUE S Q_�inn_n SUBCON'PftACPOR 1 d �'f � J:��: . ftt K�CEIUED ' 9PR 9 1964 COSTA MESA BUILQING-SAFETY DEPARTMENT FIIVANCE DEPT. P.O. BOX 3f] C08TA ME9A, GALIFORNIA _ � CITY OF COSTA MESA For Applicant fo Fill In Complefely APPLICATION FOR PERMIT , ' TYPE pR aRiN7 � ' ' . BUILDING � For Office Use Only BUILDINQ . ' ADDRESS L � ' � RCC61r! NO. PFRMIT NO. COSTA.MESA, CALIFORNIA . �1 . ... .. . . ^ . P6CHIV[fJ 0Y O�Tf R[rC,fi1V6D � S � fl I ,�t'>N�r �ELt_I'/�t) � I,:E-IYI� SETB/CK LINE FROM � CENTER OF 6TRE6! � REAR Y� SID6 YAR�I LEFT � I RIGHT , DESCRIPTION OF WORK � USE i /O\V S%. NO. OF / } =/r� n (P ROOMS G� STOR �.}, I�% WALL SI'UCC COVERIN6 �C�� ILDIN6 AND WORK TO Bfi PERFORMED � . . . . .. .. . . . . . I I HEREBY ACKNOWLE�OB THpT 1 XAVe READ THIB �PPLICAT�ON ANO STATE TH/T TH$} BOVG 18 COPqECT O E6 TO COM� PLYi WITH / LL CITJVOj(DJNAry068 ANO B T��R60OLAi1N0 � - A.P.NO. � "�� NOTE: NOEAVEOVERHA 90" TO SIDE @'REAR P. L EAVES ALLOWED YARDS APPROVH� MAIN HUILDIN6 (FROMC/ 6TREE FRONT' . Ff. R.8ID6 PT. L. SIO4 r- ] '- FT. REAR /� FT• D13TANCE BET. MAIN BLDGS. VAR. SC 3 ___.�� SHALL BE LESS THAN (U.B.C.REqU1REMENT7 YARDS APPROV EO -ACCESSORY BUILDIIJG il2t? •. Ff. DATE � N $Q. �. m TXE AMOUNT SHOWN UNDER VALU/TION Ie FOR THE � PfIRPOSE OF EBTABLIBHIN6 R PERMIT FEE. ONIY, p VALUA7IOH � � m PERMIT PEE $ � � � �, �� 0 � 'T'crc�C�(y' C CK � �Q O /qi ��0. ` TOTAL FEE S 4 �O /9ys�) OWNER Sh'47ELL, RICHARD A. -- � ----- .,n. .. . ., n UATE � SUBCONTRACTOR I DATE . � it -/L-LUI .J1,/'/ / O1 . 219�1 -COS7A MESA BUILDING-SAFEfY DEPARTMENT P.O. BOS D1] COBTA MESA, CALIFORNIA For Appllcant fo Fill In Completely � TYPE OR PRINT BUILDIN6 �� L /1 AOORESS �I COSTA MESA, CALIFORNIA TEL. c�rv �. M No. � ARCMITECT ' � . TEL. . AO�R6S8 dd. 2 W PO � CITY � STATE TEL. O ' LIC. NO. NO. F LOT � O � 9�� I rv0. OP a��Od. Now oN LOT USEOF Dw�� - EXISTING BLDG. HETBACK LINB FI�OM ' ' �! cexreR op eTReaT REAR YARD Y / �— SIDE YARDI LEF7' � I!� I RIGHT ' � DESCRIPTION OF WORK � BUILDINO 1 HEREBY ACKNO Epl AND 6TAT8 iXA THB, PLY WITH ALL ITY O BUILGING CON RU C SIGNATURE P PERMITTE AUTHORIZ6D ABENT J WORK TO BE PERFORMED � �-Q. ��:IZ. Q i XAT 1 MAVE REA�3M1flAPPLIC FEE RECEIVED A1'R 91864 FfNANCE DEPT. CITY OF COSTA MESA' APPIICATION FOR PERMR BUILDING For Offiee Use Only ' R6CEIPf NO. PERMIT NO. [C81 6DBY �Rlt[IVfiq ' D7�TE� 7 G /� . L�T LDIN6 ' � rt .i � �`�' Z NO. 01 • E OF NEW �`�\ LAN9 BUILDIN6.� /1 � .�� Y.f�NW LEO�L � � ��L O��O DEBCRI'TI A. P. NO. NOTE: PoO EAVE OVfiRHANG SHALL BE LE89 THAN 80"T081�fi@REARP.L: - EAVES ALLOWED fUtB.Q REQUIREMENT YARD3APPROVED VARDSAPPROVED MAIN BUILOINO AC ESSORY BUILDING <FROMC/L9 EET) FRONT 8 �FT. R.SIDE �V F�. FT� VAR. �' C. U. P. eoeoAi owre APP VED � i7�d a S�.FT. ^ �T�pH THE AMOUNT 6XOWN UNOER� VALUATION 19 pOR THE F COM- PURPO6¢ OF EeTABLI6HIN0 A PERMIT FE8 ONLv. o 'T�� VAWATION � ' ,j�s , PERMITFEE $ � j �v ro m 8��- � �E �a o % 5-0•- /� ` / TOTALFEE � �/ 2 JOB ADDR GliNLRAL �AP No.11� Q U'^nECTI( � � Go., � Water Forms Surf Construction Co. DATE 4-2j-b4 BUILDING I'ERMIT NO. var.vE s i65o, o0 FIRE 'LONE i D�SCRIPTION ON WORI� SUBCONTRACTOIt m