HomeMy WebLinkAbout929 DOGWOOD ST - Building Permitsr� :_� � -
�� CIN OF COSTA M�SA
; � B11►LpING DIVISION �
� DEVELOPMENT SERVICES DEPARTMENT
� PERMIT P MI NUMBER
��� P
99-00382
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 929 DOGWOOD ST
Suite:
Vicinity:
Parcel Nunmber: , 42252206 � _
Appliwnt: WILSON, STEVE
Address: 939 W iBTH ST
COSTA MESA, CA
Owner: DONAHUE, KEVIN A
Address 929 DOGWOOD ST
COSTA MESA, CA
Contrector: WILSON BUILDERS
Address: 939 W 78TH ST
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Phone:
Zip
License:
BUILDING PERMIT
Zoning: , . . ' ' '
Phone: 714-631-3159
Zip: 92627
Phone:
Zip: 92627
Phone: 774-631-3159
License: 643711
Eng:
Address:
Zip:
SCOPE OF PERMIT
ADD BAY WINDOW (11' X 2') TO FAMILY ROOM AT FRONT OF SINGLE•FAMILY HOME.
FEE SUMMARY
Plan Check: $36.89 Calc Valuation:
Permit: $56.75 Claim Valuation
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $94.14
SETBACKS
MAINSTRUCTURE Front 38-0
ACCESSORY Front 0-0
PARKING Existina: C
NOTES:
Rear 0-0
Rear 0-0
Required: 0
PLANNING & ZONING
Lek 0. 0 Right
Left 0- 0 Right
Proposed: 0
0- 0
0- 0
Status: ISSUED
Applied: 03/22/1999
Issued: 03/22/1999
Phone:
License:
$1,800.00
ai,eoo.00
EXPIRATION: This permit shall automatically axpire and become vold if work is not commenced within 1 BO days, or II work is suspended or abandoned
lor e perlod of 1 BO days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all
requlred Inapeetiona end tinal epproval must be obteined. Failure to obtain inspections and finel epproval will result In the expiretion of ih(s permit.
FOR INSPECTIONS CALL: (714) 754-5828
WORKERS' COMPENSATON DECLAHATION: � • �
I hereby etfirtn untler penalry of perjury one of ihe tdlowing tledarelions:
❑ I�heve entl wlll maintein a cartlficete ot consent to self-Insure for workers' compensatlon, es provided lor by section 3700 of the LeEor Code, lor t�e pertortnence of the
wark tor which Uis pertnit Is issueA.
❑ I have entl will maintan workers' compensation Ireurance, es required 6y SecUon 3700 ot Ne LeOor Code, for the pe�ortnanca of the work tw which NI5 pertnit Ls LSwed.
My workers' compensation Insurance certier enE policy number ere:
Cartler. Pollcy Number.
(Th/s secflon need not be comp/efed i! fhe perml! ls velued ef ane hundretl dollers ($100) or Iess.J
�certily thet in t�e peAortnance of the work for whi� this permit Is issued, I shall not employ eny person In eny menner eo es to become aubject to Ihe workers'
/ aws of Ifomla, end egree that If I s ould become sub�ect to Ihe workers' compensetion proNslons ol Sectlon 3700 ot t�e Lebor CaCe, I shell lonhwit�
m I se p is' ns. pq
A ntSi re: �! Date: �j�'7i�, '-i.'I
FNLURE TO SEIXIRE WORKER$' WMPENSATION COVEMGE IS UNLAWFUL AND SIWL SUBJEGT EMPI.OV O CHIMINAL PENALTIES AND CML FlNES UP TO ONE MUNDRED
?IKKISAND OOLLARE (E100,000). IN ADDITqN TO TNE WST OF COMPENSATION, DMMGES AS PROVIDED FOR I 3]080F THE LABOR CODE, INTEREST, AND /TTORNEI"5 FEES.
LICENS �ITpACTOR ECLARATION:
reby ettirtn thet I em I' se0 un r lo of Chepier 9(c6mmencing with Secilon 7000) of Divi 3 0l �t� �entl Professlons Cotle, entl my Ilcense is In full
force end eHect. Lic �/1 �� / C assl q / i1J"
Comreaors Slaneiure� .[PG %l • �� oate: �i •�Z2 •
CONSTRUCTION LENDING AGENCV:
❑ I hareby eflirtn thai there is a constructlon Iending egenq lor the peAortnence af the work for which lhis permit is Issuee. (Sec. 3097, CIW Cotle).
lenders Neme: Lendefs AEtlress:
Signetura:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eHirm thet under penalty ol pe�ury thet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW lor the Iollowing reeson (Sec. 7031.5, Business entl Profeuions
Code: Any ciry or caunry which requlres e permil to construct, elter, Improve, tlemolis�, or repalr eny strucWre, prlor to Its �ssuenca, also requlres ��e aDP���ent lar such pertnit
to 111e e signed stetement Ihet he or she is Ilcense0 pur5uant to ihe proNsions of t�e Contrectors License Lew (Chepter 9(commenGng wlth Sectlan 7000) of DMsbn 3 oi the
Business and Professions Code) or Ihel he or sha is arempt therefrom end the basis for Ihe elleged examptlon. Any vlolatlon of Section 7031.5 by any epplicent for a pertnit
sub�ects Ihe epplicant ro e civil penelry of nat more than five hundred tlollars ($500).):
❑ I, es owner of the properry, or my employees with wepes es thelr sole wmpensatlon, WILL DO THE WORK, and the structure is not Intended or otlered tor sele (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to an ownar ot property who bullds or improves thereon, and who daes such work
himseli or herself or ihrough hls or her own employees, provitled ihat such Improvements ere not intendetl or offered lar sale. If, however, iha bullding or Improvement is
sold vnlhin one year of comple0on, t�e or,nerbuilder will have tha burOen of pmving that he or she tlitl not bu110 or Improve for purpose ot sale.).
❑ I, as owner of ihe pmperry, am EXCLUSIVELY CONTRAC7ING WRN LICENSED CONTAAC70FiS to consirucl Ihe pmject (Sec. 7044, Business and Professions
Code: The contrectors License Lew does not appty to an owner ol property wha builds or improves ihereon, end who wmrects for such pro�eM with e comractoqs)
licensa pursuant to the Contrectors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verilied by dnvers license. ❑ Ves 0 No
Business and Professlons Coda for this reason:
Vedflcation of Ownershlp by (rype oi document, I.e. - property ten bill or deetl):
Dnvefs Ucense No.
Dste:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
❑ I hereDy ceN1y Uat no eacavetlon Ilve (5) or more teet In depth Imo which e person is required to descend, wlll be metle In connectlon wlih wark eut�odzed by ihLv
pertnit, end that no building slruMure, sceltolding, felsework, or tlemolitlon or Elsmentling thereol, will be mare then tnirty-sia (36) feet hiph. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Celifomia AdminlstreiNe Cotla).
❑ As owner-builder, I will not employ enyone to tlo work which would reduire e pertnit Irom Ihe DMsian af Intlustrial Salery, es notetl above, unless auch peraon hes e
permit lo tlo such work from the diNsion.
Signature: Dete:
Divlsion of InOustdal Sefery Permit Number:
CERTIFlCATE OF COMPIJANCE AND AUTHORVATON OF EMAY: I cenity under penelry of perjury ihat I heve reed this epplication end stete thet the iniormation given is
cortect. I egree to compty wii� all slete laws and ciry ordinances relating to building construction, and authorize representetives ot the Ciry of Coste Mesa to enier upon ihe
ebove-d0scribad property tot i�specUon D=_�Wses. l agree nat te occupy oc aUow occupanty of any 6uilding auUodzetl hy Uiis pertnit until tinel inspection.
CO�E �. INSPELTIONTYPE
7818
1288
Fixotl System Finel Flre Preventlon
Pool Spa Finel
200 Finel Re-Roof
201 Finel Black/Fleteining Well
202 Finel Factory Fira Plece
203 Flnal Slpn
204 Fnel Demditlon
zaaeee
�� ��
FQpEj INSPECTIONTYPE
208 Final Mechenical
208 Final Plumbing
210 Flnel ElectAcel
212 Finel Fire Preventlon
220 Flnel Plenning Approval
FY�
250
Flnel Site
Flnal Bulltling/Occupenry
y
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CITY OP COSTA MESA '
� _ � BUILDING DIVISION �
: DEVELOPMENT SERVICES DEPARTMENT
J'w PERMIT P MIT NUMBER
'�o��
E99-00226
(714) 754•5273 • Fex (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
929 DOGWOOD ST
42252206
Applicant: WILSON,STEVE
Address: 939 W 18TH ST
COSTA MESA, CA
Owner: DONAHUE, KEVIN A
Address 929 DOGWOOD ST
COSTA MESA, CA
Contractor: WILSON BUILDERS
Address: 939 W 18TH ST
COSTA MESA, CA
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t 000a
Service over 1000a
Motors to 1 hp
Mators to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
ELECTRICAL PERMIT
Phone: 714-631-3159
Zip: 92627
Phone:
Zip: 92627
Phone: 774-631-3759
Zip: 92627
License: 64371 �
SCOPE OF PERMIT
BAY WINDOW ADDITION, REFB99-00382, 1 SWTICH AND 2 OUTLET AND 2 LIGHTS.
$22.00
$0.00
so.00
$0.00
$0.00
$0.00
$2.00
$2.00
$1.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
2
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 k
Standing Section
Misc Electrical Equipment
Transfortners 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
Misc. Conduit
Misa Conductor
Cirws ( gen or ritle)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
SWtus: ISSUED
Applied: 03/22/1999
Issued: 03/22/1999
Quantity
S0.00 0
50.00 0
50.00 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
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $27.00
COMMENTS / SPECIAL CONDITIONS
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inepeetlons and flnel approval must be obtainetl. Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CAIL: (714) 7545828
WORKERS' COMPENSA710N DECLARATION:
I here6y ettirtn under penalry 0� Derjury one ot the tollowing Eecleretions:
❑ I have entl wlll melntain e certtlicate ot rnnsent to 5elt-Insure tor workere' compensatlon, es O�aWtled tor by seCllon 3700 ot lhe Labor Cotle, for t�e pertortnance of Ihe
work for which Ihis permit is IssueA.
❑ I heve arW will mainteln wwkers' compensation Insurence, es requiretl Dy rsectbn 3700 of Ihe Lehor Code, fOr Iha peAortnance oi the wwk for whkh Nis pertnit Is issue0.
My workers' Compensetb� Insurence certler entl pollcy number ere:
Cartior: policy NumDer.
(7ii sectlon need nat be comp/ered II the permit !s valued er one hundred dWlers ($100) or less.)
I certi ' e p enco of the work for whlcRfiis pertnii is issued, I s�all not employ any person In eny manner so es to bacame subject to the workers'
nsetlan la C0 mla, end egree that I I sl uld bernme sub�ect to the workera' compensetlo Sedlon'3700 0l the LeDor Code, I shell fotlhwlth
y wi ro
Applicant Slgnatur � �tld te: ^ ZZ"` �
Wr1RNIN�: RE TO SEWRE WORKERS' COMPENSATIIXJ COVERAOE IS UNUWFlII PND $HALL SUBIECT PN EMP YER TO C$IM� L PENALilES M'D qVIL FlNES UP TOONE HUNDRED
D DOLLWE (5100,000), IN ADDfTION TO THE COST OF COMPEN$ATIpN, OPMAGES AS PFiOVIDEO FOR IN SEGT O�THE LABOR ODDE, WTEREST, M1D ATTORNE`fS FEES.
�y eMrm that 1 am
force entl eHect. Lia u
Conlrectals Signature
ot Chepter 9(commencing wiN Section 7000) of Di ' n 3 of Ihe, yS,B iaessa��d P�q¢essions Code, end my Iicense is in full
.,i i r�
CONSTRU LENDING AGENCV:
hareby effirm thet there Is e construction lentling apency for Ihe peAortnance of the work br whlch this pertnit is luued. (Sec. 3097, Civil Code).
lendafs Name: Landefs Address:
Slgneture: Date:
OWNER-BUILDER DECLARA710NS:
I hereby eMirtn that untler penalry of per�ury thet I em EXEMPT FROM 7HE CONTRAC70R5 LICENSE LAW for Ihe followinp reason (Sec. 7031.5, Business end Prolessions
Cotle: Any ciry or counry wNch requlres a pertnit to consiruct, alter, Improve, tlemWish, or repair eny strucwre, pdor to Its Issuance, also requlres t�e eppllceN for such pormit
lo lila a signetl stetement that de or s�e Is licensed pureuent to Ihe proNsions ol the Conirectors LJcense Lew (Chepter B(commenGng with SecUon 7000) o� Divislon 3 0� Ihe
Business end Prolessions Code) or that he or she is exempt theratran antl Ihe basLs lor the allegetl exemptlon. My vldation of Seclion 7031.5 Oy eny applicant for e permll
subfecLs t�e applicant to e civll penalry ot not more then Me �unAred dollars (5500)J:
❑ I, es owner oi Ne propeM. or my employees with wapes as their sole compensatlan, WILL DO THE WORK, entl Ihe structure is not intentled or oflaretl for sele (Sec.
7044, Business antl Professions Cotle: The Contradars License Law daes not epDN to en owner oi property who bulltls or imprwes Ihereon, end w�o does such work
�imseli or herselt or throU9� his or her ov.n employees, proNdetl thet such Improvements ere not intende0 or ottered for ule. If, �owever, the bulldinq or Improvement Is
soltl within ona year of cOmpletioq the ownerbuiltler will have �he burden ot proving t�at he or she did noi build or Improve for purpose of sale.).
❑ I, es owner of the praperty, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTOPS to construct the proleci (Sec. 7044, Business end Protessions
Cotle: The coniractors U�ense Lew does not epply to en owner oi properry who builds or Improves ihereon, antl wha conirflds tor such projec� with e contrec�or(s)
Iicense Oursuant to the Contrecmro LJcense Lews.).
❑ I am exempt under sec. Business anC Professions CoOa tor Ihis reason:
SlgneNre: Deta:
Owner ID verifed by CMefs Ilcense. ❑ Ves ❑ No Drivers LJcense No. Expires:
VeAlicatlon of Ownershlp by (type oi CocumenL i.e. - properry la�c �III or tleeG):
DIVISION OF INDUS7RIAL SAFETV PERMR CER7IFICATION:
❑ I horeby cenify thet no excevetlon five (5) or more leot in depth imo w�ich a pereon Is requlred to descentl, wlll be mede in connectlon wlth work euthodzed by thls
permit, end thet no bulltlin9 9lructure, scaHoltling, telsework, or demolitlon ar tlismentling thereol, will be more then t�lrty-el: (38) leet high. (Chep. 32, Grp 2, Art 2, Sec.
367, Title e, Callfomie Atlministretive Code).
❑ As owner-builder, I will no� employ enyone �o tlo work which woultl require e permlt Irom the Division oi Inaustrial Sefery, es noted ebova, unless such person hes e
pertnit to do such work irom t�e dlWsbn.
Signature: Date:
D'Msion of Industrial Safety Peimit Number:
CERfIFlCA7E OF COMPLLWCE AND AUTHOR¢AiION OF EMRV: I cenify under penalry ol perjury that I heve �ead thls appliwtion end steta Ihet the informetion given is
carrect. I agree to compty wit� ell stete lews end ciry ordlnences relatinq to building construdion, end authorize representetives of the Clry ot Costa Mesa lo enter upon the
ebove-dexrlbed property lor Inapection purposes. I agree not to occupy or allow occupency of eny 6uilding euthoAzetl Dy this permit until final inspeqion.
tooe �. wsvernoNrve
1616 Fixed System Finel Fire Prevention
7268 Pool Spa flnaf
200 Final Re-Roof
201 Finel Block/Fleteininp Wall
202 Final Fectory Fire Plece
203 Final Sign
26a Flnel DemdWon
zusae
rif�iOc
COUE � INSPECTION TYPE
206 Flnel Mechenital
208 Finel Plumbing
210 Final Electdcel
212 Final Flre Preven0on
220 flnel Plannlnp ApProval
222 Final Site
250 Finel Bullding�Occupenty
PAg INIIDlL9
17riJ � LSI�
OPESSOFBUILpNG` gZ9 DOGWOOD S'�` .
o�vr,�aswwE�Fa�vr+: DONAHUE, KEVIN A
wopEu: DONAHUE, MARIANA
929 DOGWOOD ST
:OSTA MESA,CA 92627650-2113
1PpL.MAl11NG ADDAE55:
IJiCNRECT OP �NEEP:
�xcx on �s �oox�ss:
CpLfNACTON'S NAYE:
carm�cToxs uuwio
wo�ss:
UNT:
11C. N0:
uNr:
uc. ra.:
uxr:
LICENSED COHffl4CTOP4 DECUFRTION: I hereEy ellim uMer paraly d pepury �hm I em liceneed uMer pwiaba d Cneqor a
(mmmeritl'p wilh Seclian ]000) d Di.ieion 3 M �he Bud�ee eiM Pm/aseiwre CoEe, eM mY �nae u in lull brte eM eflea.
crtr uc. No.: uc. cuss: uc. No.: EXP :
OWNEP BUILDEfl OECUfl�TION: 1 Mraby ��m under peroly d perN�Y �� � em e�emq fmm iM1e Coniretlm liwme law ta iM
�abw*re ,�^^ lseeion )m�.s a�.ne,a ene Powemioro waa: n�y cry n owmn .N,�, na��. a Ga�a �o ca,wua..nm. vnwo�re.
damd'eh, u repei eiry evunuro, pior io ne veueMe, e6o rpuim the epqirani Iw ac� pemin lo file e eip�wd etmemam ihet he or aM
liwmad punuam �o IM pwnima d IM1e Comreaors Liwnae lew �Cheqer e(oommene�p xiih Saaion 1oW) A D'veion J d the
uviwaa uM Prdem'ma CoEe� a �tut he a eM ia uemp iAeelram ard �he basrs la Ne elNpeC exemqion. My violetion d Sedion
/Wt.S by enY eVWirani for e perma wbpqa ihe epd�t b a cvY penelly M nq moro �hen 1'xa hurdred Odbn �SSOOp.
� I. av awner o/ �M popenY a my mmoM� �h wepea m thei ede mmpenae�ian. NI do ihe wnM. eM ihe eWtluie n rol inlenEeE
a dlxeE ror sele (Senion MM. Busi�se eM PMessons Code: TM Comred«a Limnae lew doee rw�applyloan owmrof C�M
who WIEs a inprovas IMraon, ard x1a Eoas suM v.wk h'vnwtl a heraell a ihraph he a Mr own empb�ees, pmHaC �hm auch
'vnpwemenls ere not in�mEed a dlereE lar eab. tl. lwwever. the buikinp w'vnpewemem u eok wilhin oro Y� tl mmpbiion. tM
�ownn-buiMer vnll heve �M Wrden d proviiq M ar aM did � Wild w imqove la tM purpwe ot mle).
I, m ov.ner ol �M propeny. em eRtluaively aonlradip xil� IicemeC convutwe ro muvw iM D�1a11�� ]�M. &»imee eM
Pmimiona Cotla: TM CONretlm li[enae Law tloee nd epply b en ownx tl peOpMy wlq WiNs a impwp Ilwaan aM wM
convecu Iw eu h yqea� wM a mrurvfor(s) licemed puauem to Iha Gon�reria� Licanaa lew).
em exem t uM r Se uc : B. 8 P.C.. brT7ewn: �/� <�r� / _ A
n� � ii v JL .
me: Owiwr: , v , P �
'�1
1 hcaby urliy th 1 em e ue d eed uMenieik tM requimnenb W Celiwnie HeeRh erd Selery Code Seaiore?5505,?55]3, end
511. eM thm I or eiry Mure bnkinp ocwpam xill / wil m� (�b are) need to wmpy wih veid nma wdea eM ihs �am�'vemmd M
epertMlacaeWclionamodifimtionhamtMAv e�y.emqmenlDiaria.RmNm4ialmMrutlionxppYmlbroenexemqimmihaa
�lWIti0f18.
Dms: ApplicanL
WONKER'S COMiENS�TION DECLAP�TION: I Mraby affiem uMer penelly d per"ryry one d tha blbxirp dWumbn:
� I hew eM vnl meintan e eanAcme d oonwnl to setlineun M r.M�e'e' eompenWion, n pewidd lor by $xtbn �)0p d ihs labor
Ci�B. iOf ��1! p0l�MMMG O� I�M MIXk �IX W�1IC�11�19 �.'111C A qflMd.
p i�.�a �;o �,�,��.,on�n �v�� ��„�. �,�a�vae q. s«i� a�oo d ub �e« coee. i« m. oen«� «ma
wwk Iw xfiid� this permil b baued. My waMis' wmpavation iereurence mnm end poGry numbar era:
c�..:
Pdiry Number
;: seaim naec na e. cmiWarw r me ro�'n I. ro. onn nundme daws (Staol w baa.)
� I mnAy �hm in �ha perlamerce W �M woM br which Ihe pamin b inuetl. 1 MM ml empiq e�ry penon in vry meniwr w u io
_ n.�ome ,�q,a,w m. w�Mee.• eomro�amion m.. a e.uomy. ene ep,«yp a �.nwa eec«�e �miee m m. woiwan
Dm .� AVdFam: � -
�� Wamlip: Fallun 1 wcu oAeri rompenutlon cmorep� Is un wNl, antl �IWI,W/act en smp/oya ro crlMix/ pm�ltl�� en0
clNl nrpi up ro one hw ed thouund dollen (SIOO,PDJ), In MJltlon ro M� coat ol romysruefbrt Asmepu aa proNCW br /n
Sxtlon 9)06 0l Me labor Cotl�, /nNnsq end ettom�yl Iru.
CONSTIiUCT10N LENOINO AOENCY: I Mraby eflum under qreAy ol parN'Y �M1m ���e u e conuruubn bMirq epa�x.y Im iM
�n�� a�ne wo� io..nd� in4 ro�+ �. =.�,ee (s«+o�, aos>, c�. ci.
LENDEP'S NRNE:
LENDEP'S �DDqE55:
I cenity Ihei I hevB read Ihia eppliraion end petB Ihe� the ebwa int«mmion I9 COrtea. I aprea to cwnply wnh dl ary utl counry ardinenoea
eM stete lews releliip Io WiN'vp rnuLudion eM hereby eulhorrze 2pesenletrvea d Ihe dry ro anter upon IM ebv.e�mentioned prtpeM
fa impedion Wrpwea.
_ � MARIANA DONAHi}$ � �
Selery: GreeirFJe: Cene�y-AppGrenl: Pink-Aevenue: OOWenro�Nmaor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 07706
PERMIT NO: E 077060 PLAN CHECK NO: N GOVT: N SUPP: Y.
CONSTRUCTION TYPE: V—N
PERMIT TYPE: ELE
JOB DESCRIPTION .: UPGRADE MAIN ELECTRICAL SERVICE
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: UPGRADE TO 200 AMP SERVICE / RE: E76458 / INCLUDES ONE GFCI
��ie+�ieitit�t*�x�*atitit��t�tet*rt�it*�itit*atit�retatatitiaieic ie�**it****it*+�*it****�**�*+e*+�it�**itit*�tit�*+E�t*�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PAAKING RE�• PROV: PARCEL: 42252206 ZNE: REF NO:
PLANNING N TES>
i
ik 1F fE IE 1E if 1E 1F iElE fE 1f i! 1f if 1E ik 1E i! 1E if IE iE iE 1k iE 1E if fE fE fE 1E 1! fE fElf iE 1Elf iF iE 1E 1E fE fE 1E 1ElE iF k 1f 161F if iE if 1E if 1E 1E 1F 1f if IE 1E 1E iE if 1E iE 1E if 1E IE IF if If if 3E
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: �
APPLICATION ISSUED BY: DATE; �
r�r�r+��+�***�r+r+r***rt*�x�*** �+�x�*x**�+r��'7F�**�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUMBING ELEC3R00 MECHANIC FIRE SMIP/RES GRADING
SOi SMIP/NON—RES
PLAN
ISSUE FEE 4.50
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 3.00 4.50 0.00 7.50 7.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 7.50 OVER/SHORT: 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
7.50
1t 4 fE 1E iE fE 1E 1f k iE IE 1f if iE 1E if 1f ik iE 1E 1k 1f fE if iE 1E iE 1E if iE iE 1E 1E i(� iE if if I6 iE if 1f if 1f 1E If iF iE iE iE IE iE K if 1f 1E IF 1f l6 iF 1f 1f IE 1f IE iF iE iE 1E 1E 16 if 1E iF 1F iF ik 1E 1E ii
I N D I V I D U A L F E E H R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 4 AECEPT/OUTLET 1 ST 20 EA. .75 3.00
END OF FEES
�I � �_J`•4j 1_ .l'��'ly��� � �
",::, . . , .. ' TS"'�: i� Zi ..
� !.
CONSTRUCTION AND PLANNING ' P��� •�A
APPROVALS Permit # Date Inspector , qppROVALS Permit # Date Inspector
L Temporary Electrical Service or Pole 52. Poo� & Equipment Location �
2. Soii Pipe-Undrgrnd. -� 53. Stee� Reinforcement ' �
3, Electrical Conduit Utility-Undrgmd. 54. Forms -- ,.
' 45 EleMrical Conduit-Undrgrnd. 55. Efectric0l Bonding . .
�-5: Steel Re�nforcement 56. Rough Pl�mbing & Pressure Test �
6. Eleccrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
' 7. Footings 58. Electrical Co�duit�Undrgrnd. -
-:8:'Foundation 59. Gas Pipe, O Undrgrnd., Test � �
-`9. WaLer Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. �
70. Structural Floor Syzcem 61. APPROVAL TO DECK �.. �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final i�
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System � Final .
74. Rough Plumbing - � 65. Eiectrical-Final . ��
75. Rou9h Elect�iwl-Conduit 66. Solar Svstem�Final
16. Rough Electric Wiring • 67. Fencing & Access Approval -
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��
78. Rough E�ectrical-T 8ar Ceiling 69. POOL/SPA SYS7EA9S FINAL
19. Rough Heating & Air Conditioning F E EPT,REQUIREMENT ,
,. 1R,_P_ ,
20. Rough FaFtory Fireplace � ' ' ;�� APPRbV,p�l,�.�� Pa:mit #
21. Ducts, in Struc[ure ' � '• � 70. Underg'rou� FLydro �
22. Duc�s, Ventilating`.,. t - " ..� 71. ProdueUpjPing �Gas 4JOil
23. Gas P-ipe-AouBh & Test � � -� 72. Underground F1ush * �-
24. Roof Framing" -, - -- ,. .�� 73', Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof•Shg�hing � n� 7�, Overhead Hydrs �_
26. T�Ba��Ceiling {Stru�turai) & fNcipocoat ,`�T 75: Dry Chemical ^ �.� " -
27. �Ffame and Flashiny �. - . . 76. Dry StanBpipe - " J . �
28. Lathlag LrSiding `�; ' _ - , � " 72,. FIXED SYSTEM-FINA:� 1_ ,
29. Insulation - '" ^ . ' 78; FIRE PREV. FINAL '
30. Drywall Nailing ;,� � .HEALTH DEP7. RE�UIREMENT
31. PlasterBrownCoat •� . •� � .. � 79. FINALINSPECTipN • �
32. Electrical Power MeterFinai ' 80:� FOOD CERTIP.tCA7E ISSUED
_ 33. Final Electric-. � � � - � Notes: . . � �
.- �
34. Final Neating & Air Londitionirg ` . � ��� � ' � - t - .
35. Final GasPip�rTest .� .• � '� ' �_ _ - - - '
- 36. Hood or Canopy � ' �_ _ 'i " � � ' . '
37. Final.Factory Firepiace � " . � �- - .'
- 38. Fina�Plumbi�g - :t . .. - - . -
39. Water Se �.vice-Fina1 �.. - � � * ; ' . � -
40. Gas Service-Final : • ' ' � � �I - � '
.r -
-:41. Solar pomesticFi�al; - , ' �� - _ . -
42. Backflow Preventer ' � � - - `^ - '"
,
43. Backflow Irri9ation' ,- r, �
44. Landscape Irrtpation'System � r � c. . � '4 . �
a � -
_!
45. Sound Attenuation' � . : . �
46. Mandicap Regelations - � "- �- �
.
47. �INAL STRUCTUA,� & BUILDING • R
,
4$. EINAL PLANNING � � �� � � ' �
49. Electiic Release to Etlison • ...- -� - ;
50. Gas Release to Southem Califomia Gas Co . _ :
51.CERTIFICATEOPOCCUPANCY ' � �
No. Oate
't
I
�
°`Bu"°'"c g2g DOGWOOD ST
'E'F'°'°''": DONAHUE, KEVIN A
woness: DONAHUE, MARIANA
929 DOGWOOD ST
MESA,CA 92627650-2113
I MCNRECTOPElYtlNEFA:
i,1qCN. OX ENO.'S AOONE55:
CONIFACTIXfS N1YE
cartn�crons Muue+o
�ooxcss:
UNT:
uc.ea:
UM:
ua xo:
urn:
LICENSED CONfNACTOq4 OECLAP�TION: I hereby eflirm uMer peiatly d paejury Ihet I em lieenaed under prwisione W Cheper B
�wmmandep with Saetion J000) ol 0ivieun � of ihe Butineae enE Prdeeeiona Code. enE my limnx ie in IM laee eM ellae�.
cm uc. No.: uc. cuss: uc. No.: EXP :
oa�e: camrea«:
OWNEN BUILDEH UECLARRTION: I Mreby elfirm under panely d perN�Y �� I em emmq Irom �M Convecws Licenee lew /or �M
follow'm9 reewn (Sedian )Q'11.5 Busnees end Prdesab1u Cade: RnY cdY a caunry which �aquirea e parmn to ownvucl. eller. improve.
Eemolah, w repe'v eny ai�uc�ure, qior lo ila oauerce, ebo requirea Ihe eppliunt Iw euch permil �o file e sgiwd ale�ameM ihet he or sM
t IicemeC punuenl lo Ihe pwivon+ d �ha GonlrecYon Liceme Lew [Cheqer 9(mmmmdip wtlh Sedion )000) of D'xcion � ol the
uaineen eid PrWesiions COEe� a Ihel ha a ehe is examp iM1ereM1om enE Ihe besz Iw Ne dleped �amqion. Any vide�ion d Seclion
/W 1.5 by eiry epDlicen� Iw e parmn eubpds �lie epqcanl lo e crvil parely d rot more �hen liue hurvJred ddlara �5500�).
❑ �. es ow�wr d �ne ororeny a my en,qoyeea w.n wagea m ine: eo�e mmpe�,a�ion, win ao me woni, e�a me ainmure a nw ��emad
a oHered lar eeb (`�Ibn 10aa. Buwraa end Vm/assions Cade: The Conlreaors Licenae Lewdaea rot epplyto an awnm o/ popaM
who butlds a mprovas thereon. eM who Eoea euch work Nmsetl or hereaX w �hrwgM1 ho a �ar own ampbyeea, prwkeA Ihm euch
improvemenls are rot imeMed ar dixeE for sele. II, however, IM buiNirq «vnpravemem ia eok wilhin aw yeer d mmpbtun. the
-• owner-0uiMer xill heve IM WNen d proviig he w ahe dN �w buik or imqove la IM WN�e d mle).
LJ I. as o�mer W Ihe D�PoM. � eR conirad �mh IicenseE contrenon b cansfrua iM
����'/ �9 o�qeC (sedion 100e, Businma erb
PMessionn GOEe: TM1e Comraeors licenx law Eoes iwl appy lo en ownar M qaparry who WiNa w impovea Iheraon eM wfio
contrecis i« awi� vroieas wiln e mntreewla) Icanaea wraueni io �ne on�redas license Lewl.
� I em evemq uM � Secfro 8. b P.C., lor Ihis i � �
1
oe�,: �� � .� om,,,: o /.(
i ao na,eev oen�y in i� e,e a�e �ma��a,e m, �a��� is a c�aom� H�nn �a sar�v coaa s«r� uws, ussa. �,e �
zesaa, e�e inm i«eny miu� n�adme �oe�i mi� � wui na (arcb a,e) ��e m�qY wm se�a ve�e me�. �e me ,����m�m i«
e permil lormuwctimor moEificetionhwn iM R'v�Gty .�ene9ament Oistriq. Residential conmivaion epplratbmare uamp Irom Neae
prwiviw,e.
Dma: Applcent� "
WOPKEN'S COMPENSATION OECLANRTION: I Mreby elfiim wdar parelly d perjury one W ttw Idbwiiq Cetlermo�:
❑ i neve �e �;� �man e cemieda d c��i �o sen-mw.� i� ��en• comro��, � o,w�daa m, W s.a� a�oo d ma �no.
cma, i� ma oarto��a d ub � ia.n��n m�a ��n m���,e.
� 1 hew eM wil meinlein woMers mmpenxtun inwrerce. u reQuireE by Se tion 3)00 d �he lebar Cotle. lur IM pa�americe d IM
wak Iw which �his pemin ia iauad. My wakers mmpenselion inwrence ramm eM policy number are:
c�,:
Policy Numbx:
his sec(ion need nw be cromplereE / t�e pertnt is lur one hundred dallers (Si00j w lms.J
g] 1 xnM �he� in ihe pMwmenca d �M1a woA 1« whk� Ihis peimn is iasued. I ahdl � emplvy eny penon in eny menner ao m io
becomewbjeal�°..g�Fvx�Sa]an3]00MIAelaborCade,IalWli FwMi'comGMwilhlMseEbaomeabpololM
cwnpensman Ortvi
om, � �i ti r� � ���� irr ��,�„a ��o� ��r���r
i i
WeminO� FeNun ro'szuro woMen'rompxwtlon covenp� b unl�wlul, entl cNll nOJxt en mp/oysr ro ctlMrW poMNu anC
clvll Ilroa up ro aro hwdrstl tMunnd rlollen (StW,000A In etltlltlon ro Ns ro�t ol rompsiuetbrt oamepu sa prov/tled ror In
SxHon J]OS ol Me Lebor Codr, Inhnst, antl ettornsy i fes�.
CONSTflUCT10N LENDING AGENCY: I heraby �rm under penelry af per'ryry ihei ihere iv e oonmrudion brdiig eper�cy br the
peAormenm W �ne woh la whi h ine pmme ia esueC (Sedion 309]. Cv. C).
IEN�EP'S NRME:
LENOEfl'S ADDPE%:
I eeXity �hat I have raed Nia eppliea�ion e�M slme IM1et �M ebove inipmetion is mrteq. I apeee b compN'�h e�l ayard munty ordireneef
enE awo lewe nleimp lo Wikvp construpan reEy autlrorize repemmetives W �his aryto anler upon Ihe ebove-men�oned poperry
lorinsped'an Wrposas.
MARIAN ONAHUE
�%�-�C2,Irt.t2,%� lt�vt,�2,��t.P o�,: ,� l6 ��
� %�� signalureolOvneraesWappGranLConlrea« /
(5�5t�66WP) WAno-BuiMmp85ai&y;Greao-Fb;Cenary-AppFcanl;Pink-Revmue;Galdenro�Rsxsaw
CITY OF COSTA MESA — BUILDING PERMIT
/ PERM NO: E 076958
(
PERMIT NO: E 076458 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRQCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
JOH DESCRIPTION : UPGRADE MAIN ELECTRICAL SERVICE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: A-3 /
COMMENTS: UPGRADE TO 200 AMP SERVICE
+�+t+��t*�ritititit�r�ititatatit�t�r**�ritx **atit**�at*�t*x x it*ie*itieat��rieitititx�atatat�x *iex��atat***it�*****iEitiE*�rit*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEET: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42252206 ZNE: REF NO:
PLANNING N6TES>
i
iE iE 1E iE fE iE 1E iE iE 1E 1E iE 1E iE If 1f 1E iE if 1f 1E 1E 1E iE 1E 1E iE iE 1E 1E 1E 1E if 1E 1E 1E 1E 1E 1E 1E IE iE iE 1E iE 1E iE 1E 1E 1E iE iE iE if 1E 1E 1E iE 1E 1E 1E iE 1E 1f iE 1E 1E if IF 1I' 1E iE iE IE 1E if iE i6 iF
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:
APPLICATION ISSUED BY: . f DATE: Z--'%�O—
iEiEififififlfififlflEifiElfififlFlF3flfitiE � ifiElfifiElElfiE1E ifiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18.50
SOt SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 18.50 15.00 0.00 33.50 33.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33,50
���*�**����,�*,�*���,��*��*�,��***��,�****,��,�*���**�***,����***�**��*****�����**��*��
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
ELE 1
D E S C R I P T I O N
SERVICES HELOW 600 V 5 BELOW 201 AMP
END OF FEES
UNIT COST TOTAL COST
18.50 18.50
:i �� ;,, _ _ - ,o;r.� �r�:— :-
« � `�,_ � - : -•r,=. .: ..
COM1ISTRUCTION AND PLANNING �: POOL '-A
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. So'il Pipe-Undrgrnd. 53. Steel Reinforcement
.3. ;�Gctrical Conduit Utility-Undrgrnd. 54. Forms
�� d. �lectrical Conduit�Undrqrnd. 55. Electrical Bonding
�,`;5�$feel Reinforceme�t 56. Rough P�um6ing & Pressure Test . �
� 6. .Electrical UFER G�nd. 57. APPROVAL TO COVER-GUNITE '
;�7;:Footings 58. Electrical Conduit-Undrgrnd.
��Foundation 59. Gas Pipe; O U�drgrnd., Tesi
" 9. �Water PipE�Undrgmd. 60. Backwash Lines, P•Trop, O Undrgmd.
10. Structural Floor Svstem � 61. APPROVAL TO DECK
11. Property 5ewer �ine & House Connectioa 62. Sackwash & Receptor-Finaf
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbin� Syscem � Final
14. Rough Plumbing .,, 65. Electrical�Final
15. Rough Electriwl-Conduit _ 66. Solar System-Final
16. Rough EieMric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PIASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT
20. Fjough F�cjory Fireplace ' ? � - . - �� �. �, �APPROVAti��' ' Pecmit # _. � �
21. Ducts> in Structure^ • � • - _ • _ =70. Undergrovr�a Hydro
,
22. Q.uctrVecrt�lating', - � - ,�,'`,,.'-77, ProducE-R in
p g�('ins C�OiI
23. Gas P�pe-�ouglj & Test i��- . � - `., ', �-72, Underground Flush
24. k%ofgram'ing'� c� � ' ' ` _ � _ : 73.� Undergrnd. StoragS Tank,� Gas ❑ Oil
25. Roo{$heathing �� .�_ • s _ • ,� � 74:��Overhead Hydra. �
26. TBatTCeiling (Stru�Ct6ral) & ModoLoat ', � _'Y 75� Dry Chemical .' - r
27. �r,ame and�Plashing � .'�- .. - � >� 76. Dry Stanzfpfpe :- •
28. Lathing &Siding ,'� �• _ - , � � 77 � FIXED S`YSTEM FINA� _ .
� 29. Insulatior.�^ J. ` ' � . • 78: FIRE PREV. FIN7>L ` - �-
i'
"30. Drywall (@ailing ^y � ' = 'HEALTH.�DEPT�. REQUIREMENT
-:37. Plaster Brown,Coat-„�. �- � _ .� � -r � 79. FINAL INSPECTtpN • �
-'32. Etectrical Pow�r Met¢r-Final y ��� "80`"FOOD CERTIFICATE 1S5,4JED., _
-33. ffial�Elect�ic �� . � � � Ndtes: �- - .. -
��'34. EfnaP:Heai+ng & Air Condiiionin��. . ' _ " " - -
k ] - •
35. FSnal �Gas�pipe;Test - . « _ � '� � � - . " �`-
: 36. Hood or (;anopy _ �T ^ c . '!; - - '_ . -
. , -
�37. Final �actorV PireP�ece - : 4; � � a. -
�38. FinaPPlumbing + . " . - -`- • � � -
39. Water SerXtce-Final i. 2 .� � _
-.AO. Gas Service-Final � - - > r -� �
T ' �
41. Solar pomestic�Final` - � � ,` ' � �� `�, _�' �- i ;:. -
�42. Backflow Preventer � . r � � " " "�' �-'
r -+ ' s r '
43. Backflow Irrigation ,. ", = `� ; � k � - . - -
44. LandscapC Irr pationSystem � T.�� � + :': ' = a : �� '. � � � ' _
- r e' - v s �- r�� �� g F�
45. Svuad Atienuation ', " ;. `' ; ` r - -� - ,T � �y� F � ,
t
4b. F{andicap Regulations - � * '� ' • - ' �
' r �•
47, FiNA'L S7RUCTURE & BUIL{iiNG ; �' � "' , .
_. �
48. FiNAL PLANNING � - F ' . X ' ' �-
::
49. Electric Release to Edison . � k:- � ,�
5➢. Gas ReleaSe to Southsm Califomia Gas Cn - � � � - _,
57. CERllFICATE OF OCCUPANCY �
No._ ... - Date _- _.
wopessaea�ou+o: 7G7 LVuwVVL 51
wm�RsruxEi�a�m:DONAHUE, KEVIN A
• �p�DONAHUE, MARIANA
929 DOGWOOD ST
` COSTA MESA,CA
�Is9w'nln;:.►e;q:iia'A
MCXRECT ON Fl![al1ffA:
/JICII OP FNG.'4 /�DDNESS:
c«+m�ctars wu�:
carm�croxs�uimc
�om�ss:
uxr:
92627
ue No_
UNT:
ua xo:
�:
LICENSED COMRACTOHS DECLAP�TION: I hereby M'vm uMer penetly d pajury Net I em liro�ued urdar yovivione d Chaplm H
�mmmamvp xilh SecWn )000) tl Divuion � d Ne Bwinaev enE Proteadom COEe, enE my 4ceme e N�y WQe erA sXee.
cm uc. No.: uc. cuss: uc. No.: �� k'
Dme: ConVaaw:
OW NEF BUILUEF DECLAH�TION: I hereEy effirm uMx penNy d perjury Oai I un e`amq Imm tM Com�rfon lioeiue lew lar iM
iaw�s � csw� �mi s ew:b.. �d awo.ao�,. cod.: �m o�r � oo�ar ��a�. a o�a m�wwa. ena. �wo.ro.
demd'ah, a rapei mry alluGure. pmr b in eauence. ebo repuires �M epd� �a euch Ce� m fib a aqned sWemenl Mm M a eM
'. licenaed W�� lo IM prwisian� d iM COMretlon licensa lew IChepa 9(�m��q'�h SWion ]000) d Diveion 3 d iM
usn»ss ena Aaeaore cod.l «imm �e «ehe o euina �ne.elrom ana �ne eew �« m. elbped ..emqun. Aln+amun d seain,
. W 1.5 by anY aGd�� lar e permil au0ptl+the eppl'ram ta e wil penelly d m� mon ihen 1'va hund�etl Edlen �SSOOp.
❑ I, as owiw dtha papeity ar my empoyaee wih wepea ea �hei ede mmpematim, wL tlo Ma xwk, eM IM elrucYun b nM intenEeE
«Mefad br aeb (5ection lda. Bmnao end Prole»ioro COCe: The Canrmors L"aeme law dom mt eppyto en ownar W popeM
wno ww� «mwo.� ma,eoo, �e wno ao� a��n � tim�n a n,�„r «m�won no o. n,, o.�, �dm*a•. o�eae mm s�wn
X 'unpmvemmte ere ml immded u o11ereC la eele: H. howavar. �M buiNirp a inqwemeM b soltl xilhin aw Y� d mmDletbn. lhe
ownn-0uber xi0 heve �he EUNen M qwin0 ha ar she did nM build or impwa la the WF�e W ede).
� I. m ovmm M Ihe V W�I, em uWsrM' aonireq4q xilh licenaed contracYas ro mMM IM p9� (Setlion ]Ou. &minms eM
wde.sbn. coa: n. cwreuon uoeme �.. aoae na ewN io en o.m« a n�wMr wno wme « imqw.. me�m� .na wno
canvecfa br wrh G�9b� xilh a mmreeMa) IiceneeE Wnuem io iM aa Llm�ue lexj.
� � y� yn� . B.�d PL., lor
me V ,• Owner: �
I ' �Iw am ewme d eM uMentvM iM mp ' ema d Gelywnis Maetlh uq Sdety Cotle Setliwn 25505, 255�3, ud
. ud Na a ury Mun bulld'vq aouryenl will / wil n(dreb aw) mW to canpy wY� �eiE mts mdu ud iM mawremmU la
epermelpmuVWionamaEdire�ionhamtMA'r ua�iy arepementUnria.Ruldwhlomnwmeppfutiomeraetemptmnihma
aw;,�,..
Dve: Applicar�t:
WONKEP'S COYPENSATION DEC4N�TION: I Axeby e111rm uedr �wr�etly d pxjuy me d tlr fdbr.4q ddum'wn:
❑ I M1eve eM xd meimen a cenil"we d aonaent lo eeX-inwre W xwke'e' wmpenW ian, m pwided la by Sadian �100 d ihe LeDor
Gode.l« tM1e psrlmiance W Ma xwk Ia wIJcM1 �hia permn ie ieauetl.
� 1 Mw end Mil memien wakees' mmpenmton inwrerwe. n reyu'ued by Seaion ]TIO d Na IeEar COM. br iM pMamerca W IM
wak lor whidi Nu 0�'v iaued. MY waken' oomPeruelbn inwrenea farria vd V� Y eumber ua:
c�.:
Pd'ry Numbar:
�ris eection meC mf be mnP'aeC % Uro w�t u M wro �uM�eC ddlars Riool w lus.)
❑ I caNY tlw in the O�mmvre d the wark br whch �M1u Vermit u is�ied. I Mell nd emd�' �' Gamm in enY maniwr eo av to
becan� +uMae lo �M xvrYss' cwno�bn levn M Celilana. erd eY�ae Nm J I dauM berortn n+M� io �M xoAen'
eompenWion pwuom d Satlion 3]00 d IM Lebw CoEe, I WII IaNxilh mmp1� xdl� Qiva pewiriuu.
Dele: Apd���
WemMp: F�Nun ro ucun woilrri rompsrwtlon roverp� Is unYwNl, �ntl NWI sWNct �n rrp/qw ro ulMml pwltlu �rW
clvll 11n�i �q b om Irv�drM tlauautl LWW� lSfOq00p1, M�tlL/tlon ro M� cwt ol ro�orwWM1 �ampsi u provltlW b� In
Sectlon J�P6 0l M� LaDor Cotls, IntxuL �ntl �flom�y'� l�u.
CONSTHUCTION LENOINO �GENCY: I henby �rm uMer penelry o/ per'Fvy ihet tMe u e can9�ion IaMinp epercy M iM1e
perlormvra d iM wk la whid� Nb pmmY u 6wad (�� �). G'v. GI.
LENDEfl'S NMIE:
�plDEN'S ADDNESS:
I ceniN tAm I Aeve reW Ne eppliuiion eM aele IM1et �he ebave iniwmelion ia conM. I eprea Io canpty wuh ell dry enA coumY orEir�u�me
enE a�ele lewf mlelip lo WiMvq consWqion vd hereby eWlwrixe roqewnle�ives M Ihis tiry lo enlp upon �M eEws�memnnod papo�y
�°��^��a^W��° A ANA DONAHUE
� a; ie
�� �� om, �i6 y
SqreWr Qn 1 enUAppYranVConlretla
�151<e.WP) ���-�+bM 8 Se�ery: dreart-File: Canary-�pptrani: Nnk�ierenue: (3oldanmd-Maevx
CITY OF COSTA MESA - BUILDING PERMIT � V �
PERM NO: B U87585
PERMIT NO: H 087585 PLAN CHECI( NO: 01276-98 S GOVT: N SUPP; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: CON
JOH DESCRIPTION : CONST. 27'X 6' HIGH BLOCK WALL SQ FT: 24
,CLAIM VALUE: 2,300.00 CALC-VALUE: 480.00 GROUP OCC: R-3 /
COMMENTS: CONSTRUCT BLOCK WALL ON 929 DOGWOOD ONLY.
*�***�x�r�t+��r*�t*�r*x�u�*�r*+�**�*��***x*it�r*****��x**�*+a+rx�**�*+�+�iF**at***«**+�**�iE******
Z O N I N G R E Q U I R E M E N T S
S E T H A C K 5
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
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 REQ: PROV: PARCEL; 42252206 2NE; R1 REF NO:
PLANNING NOTES> CONSTRUCT 29 L.F., 6' HZGH BLOCK WALL ON THE LEFT SIDE
> PROPERTY LINE. -•
*�r�r***x****x*�*�t*�txx�t**�r*****x�tt*,c*�t�t�t�r**�r**+t�t+t�t�t�**x�*�*�t+t��****�*�t*****�t�r�t��t�t**
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
ZONZNG APPROVED BY � � � DATE:
HUZLDING APPROVED BY : DATE: ' /
APPLICATION ISSUED BY: DATE: u l�g
iEiElFlkiEiEiEiEiElF1ElEiFiEifikiflfitiFlEiE 1EiFiEfFiEfEiEiE�f1f RikiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT
PERMIT 21.00
PLAN 13.65
ISSUE FEE
PLUMBING ELECTRIC MECHANIC FIRE
�
SMIP/RES GRADING
.50
SMIP/NON-RES
BUILDING-DIC�-> PERMZT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 21.50 0.00 13.65 35.15 „ 35.15 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 35.15 OVER�/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT- GRADING PLAN-CHECK
21.00 .50� 13,65
. ,�
i iElEiEiEiEiFiEif3fiElEiciE1f1k1EiEifjf3f�lEiEiEiEiFiEififiFiE�E�E�EiE1EiEiffFi6iE*iF�1EiEiFiEiElEifiFiEiEiFif�E3EjFiE1f3E1EiFiFiEiEiEiEifjfiEjfiEik�EiEiflElEjE
I 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 TOTAL COST
SFR 24 RES-CONCRETE BLOCK WALL / FT. 20..00 480.00
END OF FEES ,
I
- 94-66-1938/10:51 A7/835.15
' kLF'T#:01-E621933
/= PERMIT:087585
CbNSTRUCTION AND PLANNING � ^� POOL 'A �;- �
APPROVALS Psrmit # Date Inspector �'�APPROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit UtilitV-Undrgmd. 54. Forms
4. Electricat Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement �Q -q$ � tw.(/ 56. Rough Plumbing & Pressure Test '
6. Electrical UFEfl G�nd. 57. APPROVA� TO COVER�GUN�TE . �
7. Footings `(J�(� ��,.+�+� 58. Electrical Conduit�Undrgrnd.
B. Foundation 59. Gas Pipe, O�Untlrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash �ines, P-Trap, O Undrqrnd.
1�. Structurat Floor SYstem - 6t. APPR�VAL TO �ECK
1 i. Property Sewer. Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . 63. Heater & VenfFinal
13. Roof Drains 64, Plumbing SVstem � Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical•Conduit 66. Solar System-Final
76. Rou9h Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Roagh Elearira�-7 Bar Ceiling _ , 69. POOUSPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Oucts, in Structur0 70. Underground Hydro
22. Ducts, Ventiiating 71. Product Pipinc� O Gas � Oil
23. Gas Pipe-Rough & Test 72. Underground Ftush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. qverhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEti4 FINAL
29. Insulation - 78. FIRE PREV. FINAL
30. Drywall tJailing HEALTH DEPT. REQUIREMENT ,
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Finai Gas Pipe;Test �
36. Hood or Canopy �.
37. Final Factory FireP�ace ' ' � �
38. Final Plumbing � .
39. Water $ervice•Fina�
40. Gas Service-Final
41. Solar pomestic-Final '
42. Backfiow Preventsr �
43. Backtlow Irrigation �- �O - /'� � �
�
� 44. Landscape Irrigation System �
` 45. Sound Attenuation ' .
46. Handicap Regulations
47. PINAL STRUCTURE & BUILD�NG ' ,.�l.-���
� 48. FINAL PLANNING � �
49. Electrie Rele�ase t0 Edison
' 50. Gas Release to Southern Caiifornia Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
�'
�
Sl.'itVEY OF LOT LINE�
MAY BE REQUIRED�
pIVISiO � p BGOS'�A M SA
�ppROVED
ihi> sei ot p�a� ar�d sp�""'°,"
roylu, yry dia�9 a1 °C�a M�ao
mdSalety,CAy` �narv5s�
7nastaroWn9o�tMsP �•;°;
ut tbe vrolaian cl a� ) P' '''�
P Sh&�,
r w�,�;�ssandC�'�aM'•c
�:�:: �., -.
�
W
W
R
�
N
�
�
>
u�=�it�sa�aY.�',o �
iThekEP��a1a9t ��.�. �016�7 /
tr°'", i-
vrah��`�`e" �
P�at° �
,teheM�o orstat � p,�.
iar��'�' � tAesx O�dinaace a'� Y
,�.� ,,;;y o( Ga � �'il lne bm
��{I at� vo
;�=" Ff�O�' d .
p f',�c.i:; -�- � v�..�.rw't.hl.^.1f� �' �\ _
�.(�?r+o+; �'� � 'n ��
L' �
� �csiocwcc
�
cZr1
\ � _�
_ ���u
N
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r
O
II[NO[MC[
STREET A _
��-t35,3i
.�_-__- � —
�I�1�I"�����
CITY OF COSTA MESA
PLANNING DIV.
SUBJECT TO BLDG.. D�� R�q•
BY `-'�-��" DATE � U
�?^ �
ADDITIONS, DELE710f!�'�d
BE APPROVED Qy S' �R C(
�,� � THE PLAi�
�[t10EMt[
�wr�3 SHALL
DIVISION
�
Cement Coping Ouuonal —
Channel Blotk With 1�3/8�
Horizontal Top ot all
Fences
For Fences 5' or Less
Ven. Bars 3/8"¢ at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C.
Fill Cells Solid With Grout
Where Steei Occurs
Reinforcing $[eel Shall
Conform to Set.A�15-39
A.S.T.M.
All Steel to be Lapped
24" orto Code
NATURALGRADE
rwo �i� o unns
CONTINUOUS TOP
B�BOTTOM
HORIZS7EEL MUST BE 7IED IN
vLACE AT TIME OF TRENCH
INSPECTION.
T Y PI CAL 6�� CONCRETE BLOCK FENCE
s
0
a =
� �
u
y w
s =
a
> Z
r —
a
i �
w o
c� r
Z
w rn
�
� � .11
n p N_
n�
�W'IDTH
y SEE CHP
� BELOW
o" I �.
FOOTING REQUIREMENTS CHART
GENERAL- IVOTES
MORTAR: p�e part Plastic Cement, and
Three Paris Sand
GROUT: pne Port Cement TAree ano
One Half Paris S'and
COPING: One Part Cement, Three
Parfs Sand
CONCRETE: Weil M+xed 1:2-I/2:3-I/2
MaY. of 7-I/2 Gal�ons of
Woter Per Sack of Cement
GROUT MAY BE POURED FROM TME TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREASOF HORIZONTAL REIN-
FORCEMENT SHALL 9E CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, E7C.
'H CF E4RTMTCO7H
i/3 ��IE HEiGTH OF FENCE
B�IOW BOT70M OF POG7�NG
WIDTH 14" . . . 14" . . . 12". .
THICKNESS . . 10�� . 10" 6��.
DEP7H OF EARTHTOOTH ... 24' 20". 16"....
SPACING OF EARTHTOOTH. . 12' 14� .... 16�. .
City of Costa Mesa,
Building Departmeni
:��`:,'hEP Nov, e2
California
SCALE: I/2" = I'
12"
8 ��
12"
16'
� �
,
Pacrnzc �sm�ts, nQc.
751�1 9athony Avenue
Gerden Gmve, Csltfosata 9264�
P.o. Boz �28
weetmsneter, cs1�'. 92683
State Lio. # G� City Lio. # s/ �
L�(!.�' C�Ci�%ZC�E%L�"`—��, Date � i�
G4�etomer Name
Peffii.t No � e.
i �� '
- - � .
� I ". ✓/�
City of ( '. 6���
Depas�t.�ent of BnilBing aad Safety
Gentleateas
Please be adviee8 that ae oY o7 —�� - 7'� all work by
Paoifia lnetallere, Iaoorporated, oa the pa�it m�bere lieted above
have been oaacelle8.
Therefore, Peoifio Iaetal.lere, Iaoorporated, regueete_that the
.pe�mi.t9.b8=o9riCe11eQ�8nfl'thst'�all pre=psid�=Yeee� be'rei�inded:-
Thie oancellatioa notioe ie a8vioe to you that Paoifio Inetallere,
Incorpqrated, hae no �re�po� ib��ty�� r�Ork ac om liehed imder
Peffiite aoted at y' I-C-C�� /
Pery tsv]y youi�e�
PACIFIC INSTALLERS, IRC.
/ ._J..�•_�•
:.:._
OWNER BARNETT G, W � DATE 11—ZI.�-5�1 �
JOBADDRE88 929 ilo�wood Street BUI�DINCaPERMITNO. %2J
GENERALCONTRACTOR Owner-Builder VALUE S ���•�0
v 292 e�ocK rancr 1�12 Gara�e
GROUP J TVPE V ZONE RZ FIRE DISTRICT 7Z6
INSPECTIONB / DATEJ SUBCONTRACTOR PERMITSISSUED
.0 ia in�P.Qn Fr�-7: !S-3 S41• I DATE I NUMBER
Foundation Forma and G�
Rough Framinp
Plumbing, Rouph to Slab
Plumbing, Rough Comple
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer
Septie Tank or Cesspool
La•"ng
P, Ang
PWmbing, Final, Fixturea
Plumbing, Final GasTest
Wiring. Final
OccupanCy
Norm •tl0 GH lES 12-68
Costa Mesa Building Department
� �' 111 EAST 20th STREET
� COSTA MESA, CALIFORNIA
• FOR APPLICANT TO FII,L IN
Building �y m
Address %( 9 ,(�
Costa Mesa, California
Nearest
CrossSt. f',TYL�t�tl'dP�^� �
Owner,��
Mail N1 c7 �1_�. � ��
edn..�e /V�1 L 5�.
Address ;fRL �- S�.
Address
Legal I Lot
Descriptfon N0.
(Attach Metes and
Size of Lot �n� i
New � �
Repair I
Buildin9 pq A �,
Size 6.0
Exterior Wall c
Covering
Use of New
No.
c�ty
No. of Bldgs.
Now on Lot �
No.of No.oi A
Famlllea � RoomaFi
Rear Yard 6Q 9i�
Rooms
I Roof
Demolish
PLICATION FOR PERMI�
`72 BUILD,�NG
I FOR OFFICE USE ONLY
Receivetl by Date Rec'd. Datd Issued
//—�-7 �.5�
Building
Addross
Costa Mesa, California
Nearest
Cross St.
Date
CORRECTIONS
� APPROVALS
'Foundation Location Inspecto
— Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Breein9. Bolts
Z hereby acknowledge that I have read Uus Application
and state that the above is crorrect and agree to comply
with all Clty Ordinances and State Laws regulating
building rnnstru�� �/y
Signatureof �
Permittee
- " r
Valwation Permit Fee S �• s u
o r r � Plan Check $ /, O D Bond Beam
S � ���� � Total
Fee $ ry O O FINAL
Cf�GY D[16 G•H 2M R-fi6
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' .,<,a �� PIAT'PLA1V '� �I �,; ! , ,. . � . . . ..
; •.
�� Show location and distances from ._. _ �' � r '
� property line and between butldings. � ., . '
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JOB ADDRE55
PROP. SWR. LINE � J HOUSE CON.
SPPINI(LING SVSTEM
MISCELLANEOUS
ROUGH HERTING /N� r11R �ON�ITI
TEMPORnRY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES �J FORMS STF
FLOOR SVSTEM
90N0 BEAM �] STEEL REINF(
SNEFTNING
FFAME r1N0 FLASNING"
LATNING - IN n `OUT I�
PLASTER. BROWN CONT
STRUCTUfiGL, FINAL
ING. VENT., RE�RIG. �ND A.
BUILOIN0. FI
�
b-Z
BUILDING PER
FIRE ZONE
SUBCONTRACTOR
.'
��.,�
. COSTA MESA BUILDING-$AFETY DEPARTMENT
, P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�— For Applicant to FID in Completely - Use Ink Only
� 9UI4DING/i.i ri � _ _ _i ��/-
BRANCH
ADDRESS '
ARCHITECT
OR ENGINEEf
ADDRESS
'��.'1 -Z-76�n�u�� lz4^ tjiit:::L�!a.SC
FOR STRUCfURAL PERMIT
OATE RECEIVED DATE ISSUEC
� � ��� � i,� 7
�/ � A.P. NO. / / � - � F/
`�L ADIDRIE S p2,'�7 �,./ �7 �
�
NO`� �- ''�1 TRACT /�� LOT �
W
��� XI
f / G J/. �- OWNER . '} • _
sr:
ALU
TEL. 5
NO.
FIRE
ZONE TVPE GF
�� APPROVED
BY DATE
ADOFIESS w(�" (�yyyW�
�j TEL. Z� NO.OF USE OF NEW
CITV C NQ, `��� P�� BUILDW �
.F+ STAYE ' CITV '�AROSAPPROVED VA DSAPPROVEfj
IIC. NO. LIC. NO. MAIN BUILOING ACCE SOPY BUILDING
{i� SIZE � / NO.OF BIDGS (FROM C/ REET) •
0. OF LOT /• ~ X /� NOW ON LOT RO � FT. Q
a USE OF
.y. ExI5fING BLDG. ���-� ["%
I E FT
� / /� / //
FSeparate permits are required for L SIDE Fr.
Q electric, plumbing and heating work. REAR F Fr.
� USE OF BUILOING A D WOFK TO BE PEPFORMED
F DISTANCE BET. BEf. MAIN &
Q� �h��� /�L .^�' '.'��— MAIN BLDGS. ACCE�. BLDGS.
�"��• � VAR.q� DATE
a �(.`��(� �,....� " Gl, C.U.P.� APPROVED
} / APPROVED � {� �5 � �
` �T V
, � �� � J
�i
[a
� 1 herOby eeknowlatlpe tMet I have raetl this aPPlicetlon entl state �
N
y� t�at ihe ebove Informatlon I� corract antl apree to comply with ,
a m
ell lawa requlailnq Cu1lAinq ennittucUon, antl I chell not employ
� any person In vloleclon of Ma workmen'� compan�acion lewi of m
Me Smte of Celitornle.
3 I �eroby cartify t�at I am ptope�ly Iicensetl as a contractor untler SQ. FT. N
Ue State oi Celifornie Butineea antl Prafeuions Codo, �ivlalon 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR m
Chaptor 9, antl that wch Ilcanws ara In full }orce end etfact, or I THE PURPC6E OF ESTAgLISHING A PERMIT FEE ONLV:
am axampt from Me provltions of tha Stem o� CelHornie B�alneca 'O
entl PlofasslonaCode, Dlvi�lon 3, Chepter 9. VAIVATION �/ pERMIT FEE E / N
/ - �7 ,��- � ) C � /// � � PLAN CHECK S • � a
Slpnoture�pf /�,--.G//1- �j��ry � � /, ��,/// m
Permlttae X'� GV (! Y����+2�"� $/�'� TAX E � LL
� / i
AuthOrizatl Apant , r71 u
TOTALPAID $ J V
. . 4.2 I Q7
• COSTA MESA BUILDING-SAFETY DEPARTMENT
� P,O. B�X 7200 COSTA MESA, CALIFORNIA 92626
For ANplicant [o Fill in Completely — Use Ink Only
BUILDING
ADDFE55 � ��>=��0�%��
OWNER Y�„� �'} • I Pr�� t"l�
ADDRESS �J i W OO I�
TEL.
CITV ^ j— A NO.
CANSTFUCTION
LENDER
BRANCH ��
ADDRES5 _
ARCHITECT .�� TEL.
.,.. �,-,F«�=oo�a�6:: �:,::�:��o.5c
FORSTRUCTURALPERMIT
A.P. NO. `I" / ^
BUILDING �Jp
ADDRESS � [� /
TRACT I / I
FIRE
ZONE
R
2
VALUE
TEL. Z�NE NO.OF USE OF NEW N7h��
p NO. PU+� BUILDING
CITY D r.
F STATE CITV �'AFOSAPPfiOVED VARDSAPPROVED
i LIC. NO. LIC. NO. MAIN BUILOING ACCESSORY BUILDING
a� (FROM GL STREET)
(a.� SIZE NO.OF BLOGS.
4 pF LOT NOW ON LOT RONT FT.
� VSE OF Q��
E%ISfING 6LDG. Sli� G I / FT.
h
FSeparate permits are required for � �. sioe vT.
p electric, plumbing and heating work. qEAR Fr.
W USE OF BUILDING AND WORK TO BE PEflFOflMED
F DI5TANCE BET. BET. MAIN &
QQ ' MAIN B�DGS. ACCE55, eLOGS.
� ' ` �J^,` VAR. �I`- DATE
a i�'�, �/v �/'/T�v/T�Q C.U.P.gW APPROVED
� � � APPROVED �� ��
i'
�
x
w
0 I hereby acknowletlBe that 1 have �eatl this application and state �
(� that ihe ahu�e intormatian is corract antl agree to comply wiM
a u�etin buildin eonstruction, and I shall not am lo �
all laws re0 9 9 P v
Z eny persoh �� ��OIeTIOn Of the wOrkman's compensation laws oi m
� tha Stete tlf Callfornia. m
3 I hereby certify that I am properly licansetl as a contracior untler SQ. FT. N
the Stete o1 Calitornia Businezs antl Professions Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
m
Chapier 9, and that such licenses ere (n tull force end etfact, or I THE PURPOSE OF ESTAB�ISNING A PERMff FEE ONLv: �
am exempt from the provlsions ot the Stete of California eusiness VALUATION PERMIT FEE $ `�
and Profes4�ona Cotla, Oivisioo 3, ChaPt 9. O �n
` � m
PLAN CHECK § "�
SlBneture a1 � /� � LL
Permittee � $ TAX E �
U
Authoriz 9�ni� � )�y� TOTAL PAI D s �, Sd
ORANGE COUNTY BUILDING DEPARTMENT
� 636 North Broadwar . -� -�
� � SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING ..�.. � . _.. _ n ..i
APPLICATION FOR PERMIT �
v '• ��'������-
FOR OFFICE USE ONLY I
OR TOWNV J COBta Mesa CEIVE BV
NEAREST
�Ro55 5T. Monrovia St.
UILDING
OWNER CNOCTAH NOMES� INC. ADDRE55
MAII. SCHOOL DIST.
ADDRE55 q�3 WIISHIRE BLVO• ORTOWN
CITY BEVERIY HILLS Np' CR.5436i NEAREST
QF� C°RNO55 5T. �
ENGN1EERTCFIN $� MCNERRACHER NOL SY.6489t Zn� I
� %�� �
ADDRE55 Z��O E, WAINUT ST.� PASADENA ZSETBACKLINE
RE/R VARD
coN7rtac7ortNENPORT VISTA CO.Ho�' CR. 5436�
APPROVED
nooaess 6 WIISHINE BIVD. BEV.HIlLS eV
DESCRIPTION I LOT NO. 2q2 BLOCK � 7�2
IATTACH METES @ BOUNDS) ... . _ _ _
SIZE OF LOT 66 X � �O I NOW ON LOT � O
USE OF NO. OF NO. OF
E%ISTING BLDG. I FnvuiEs ROOMS
DESCRIPTION OF WORK
USE OF NEW
BUILDING RESIDENCE
I HEREBY ACKNOWLE7GE THAT I HAVE READ TMIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY OROINANCES
AND STATE lAWS REGULATING BUILDING GONSTRUGTION.
LIOChI:�i�N ]
a 483o.eo P. _. s Z—
FEE '!� �
VALUATION s //_ �
� FEE (%
�
PLANS I �
FRfM CENTER OF ST.
SIDE YARD�
CORRECTIONS
FIRE STOPS.
APPROVALS
NOV 5 i953.
�
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I
GRO�1�1P��
� � T' -
�
DATE/ �� �
0
A
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D
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