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Home My WebLink About944 DENVER DR - Building PermitsIDDfl65CFBNlDGO: JYY LLIVVGf� L!� awx�xs:�+eilio+wm: HOAGLAND, MARK S woaFss: 94'1 DENVEA DR 1 COSTA MESA CA 714) 556-7329 1]PL. WIfPlO Ii0DHE54 92626 unr: FLOOD: X 47 KJELL BO ��, 50601 ��T�� 1938 N BATAVIA AV D �xcx ox ��s �ooxea: OR CA 9 2 6 6 5 �M c�m��Ton.sru�, J D CLARK ROOFING ( 909 ) 976-6478 cwm�cToas�uiwo 3607 VALLE VISTA �� CHINO HILLS CA ��, 416967 91709 uM LICENSED COMF�CTON4 OECLAHATION: I hereby eflvm uMx penalY 'ury 1 I' uMer prvnaona d Cheqm 9 (camma�iip wiih Seaion ]000) d Oivision 3 d Ihe Busirea eM Prdes ' e e y li u in IWl lorce end eNetl. yrtr uc. No.: uc. cuss: C 3 9 uc EXP : / Dele� �/ Conireaa: � NE BUIlOEN ECLAPA710N: I hereby efNm wMer peruly d pmjury �I�ai l em uemq hom ihe CaNredaa Lioenee lew la IM reemn (Setlion lW 1.5 Bunesa eM Proleobns COEe: RM �fi' n muNY xfiiN n0u'vu s V�! to mvtW. Wa. inWwa. �deh. a ropei mry �vuciuro, prior b ia eauence. a6o feqium iM epplireM la ach panw io fib e apned swanw! Cut M a�M iumW Wrnwu io iAe Vw'niom d tlr Carureaore liroroe Lew �Cluqs B(�a^�Y wuh Sodion "N00) d Oi�reion 3 d tlr Bun'wu vd Prdeaioru Coael a �hm he a eM o eaemq �haehwn eM tM bem la Ne e0eW4 mampun. Am/ videtion W Sedian )p]t.5 Ey eiry eppliuni la e psrmn wbpea tM epplism lo e dvY perelry ol nol mae �han fxe �undeed ddlan �SS�OD� � I.a�ownerWiMpapenYamyempbyeeexthwep»miM1eiadeeompanWion.rilldoMexM,eMManeuduroend"vurded a dlered lu ab (SaeYon ]OM. Buaroa ud PmlaaomCOEe: TM Cammamliemee lnwEma nal npplyto en owrwd peapeny .no ww� «mwo.�.. �n«�..�a wno eo� s�n,.� ��x «ndw «w«�w ne «n. ow� «ooia«.. a� �nr.�n imP�'�a^am ua rwi'upended v d1enE la eeb. tl. howerx. �M diNiiq a inV�*��w u wtl wnM ane Yeer d mmdMion. IM owmrbuitler wi0 Mw �M WNen d Pa+�q he or aha 6d na buJd n impw+ ta �M PUVae d sW). �� 1. m oww d tM pW�Y. em uduv+eN mNraq^Y wbh 4mened eomredan b ommuf Ne p9� (Seeun )OH. &emws md VNmao�q Cads: TM Ca4reqon lirorua law doea M eVd/ b en owror d pW�Y who dritle IX NWw'ev Ihenon end who comrecta la �uN qajam xnh a cWreda(e) licemed WnueM lo ihs Cantretla� L'mn�e lnw�. � I em memq urMer Seclion: B. 8 P.C., M this reawn: Dma: O�mar 1 Ep hereby ceNly YW I em ewue d eM uMenleM IM nquiremenb d Cellomie NeMh vM 9daly Cada Setlum 25505.?SSV, eM 255�a. vM tMi I a enY M1�un buildmp oowpent will / wll �(orck one) nsed lo canply w1h �eiE eW e oodes and �Ir ispuirsmaw b eG��lacanwnionartaAifiu�ionhwn�MAi e�y e^eYe�^e^�Oimrid.Reddemialmnp�uaioneGO�iomenexemNlmmNon a�. ode: AvW� WOHKER'S CONPENSATION DECLANATION: I Mreby dfi�m uidar per�My d pxjury one d IM Idbwiiq Eetlereliom: � I heva aM rril meiNan e cML'ce�a d mnaeN lo eepinwns br xvhas' compovtlion. m praidad la ty Seaion 3]OD al IM lebar COEe, la IM patomience d Ne xvA In wlich Nia pemin u mued. � I heva end xJ mei�vui wMae' mnV�ion rtaeenm. n nC�mod b/ Salion i/W d Ne laEor Code. br tM G�� M tM wwk /a MJN Nu D�e u"veued. MY wvFen' mmPa�ion ivurerc� wrix end DdKY numbsr w: c.�;., aa:.v ru�mca,: ' eMion neeE Iwl Ds ttmVbME ] Ns O�R u M one huMreC dollan I%�00J w Iw.) I cenh' Uw in ilw oMmronce d �he wak I« which tnu ro�n is' va+� in em' maruw vo o m �wybjea �o) t xgaka+' mrt�penamim k�w d Caflwnie. ! I bcme euEjW b�M xwlan' om //Z(o/%bsaa�a�oowm. ��.iwu e" ad.�... T Weminp: F�Nun ro ucun woMers'romperuetlon wr�rep� Is �n/awNl, �ntl �Hll utl/�cl �n �mplayn ro crlMnsl pntltlu vM e/vll flrws �q ro ons hundM flaua�n0 ON/en /JIOO,OOOA In etltl/fbn ro M� cwl ol eompsiwfbn, dempes u povMM br In 9.cHon ]]flfi ol Ms LeDor CoOs, Infenaq mtl ettumsyl IIs�. CON4TFUC110N LENDINO AdENCY: I heraby ellirtn unEer peneXy d per'ryry tlw ihue b e oon�'Wbn bnCi�p epaM.y br Ne pMormarw d ihe v.aM la whiM Ihe pimY is eaued (Saqon 309], Crv. C�. LENDEH'S N4NE: LENOEfl'S �ODXE55: I unM thet I hm med i�o Wd�r,etian vN peb ihei tlro ebove iMomWion u eonad. I qt� lo comdY wilh e� �vY eM mwuY ad'mmve uM otale lews rtlelip lo WiMiq conmuclion erd hereby eWwrae repeaenlelires d Ihw ary m mix upon tM ebo.smeMioned papmry i«�bwa�w, • � J iiN CLARK P��, 9�6�6 om.. (5151-aB.WP) WMe-B�iMvq 8 Sdery: oreerFle; Cenery-AppiwN: Pink-Revenue; OdEeniod-baemu CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 079665 _�' PERMIT NO; B 079665 PLAN CHECK NO: 03946-96 L GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH JOB DESCRIPTION : T/OFF RETHEAT 6 REROOF W/LITE TILE SQ FT: 7,500 CLAIM VALUE: 7,500.00 CALC—VALUE: 7,500.00 GROUP OCC: R-3 /U-1 COMMENTS; EAGLE LITE ICBO#4660 7.OPSF xx�x*�r+r�r*�r�r�**��*******x��r**x�x�irx*�r*��r*�e*+r�*+r�r��***�e��r�r+�***�**�r+�**�r*��r�**��**** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 41808163 ZNE: REF NO: PLANNZNG Nd'I'ES> _. ' '� 1E 1E iE iE i8 if 1E if 1E iE 1(� 1flF iE if iF if 1E iE iE 1E'k 1E 1E 1E 1E 1f 1f 1! if fF'k fF iE 1E if if i[-!F!f !F if� if if iE 1f iE 1E k 1E 1F iE iE 1k iE iE 1E iE fElE 1ElE iE 1f 1t 1E IE 1E 7(� IE if 1E ik 1E iE iE iE iE 1E 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 HY DATE: HUILDING APPROVED HY : DATE: . � 6 APPLICATION ISSUED BY: DATE; � itx�it�tx�ititirie+�itiEi�,irit+titititititiETFiFiFif3F3F3F3F3F3F F3F3F"if�F7F'fF'iF3F'iF3F3FiF3F�FiF7F3FiF3FiFTfiFi�ieie*x�itat**at *f� LEGALIZATION;N F E E S U M M A R Y D�� SMIPURES SEGRADING BLDG PMT PLUMHING ELECTRIC MF�,{i,�E � 75 PERMIT 137.25 ��d �� SMIP/NON-RES PLAN 89.21 ISSUE FEE BUILDING-DIV-> PEAMIT ISSUE PLAN-CHECK�'�''�''� TOTAL PAID DUE TOTALS----> 138.00 0,00 89,21 227.21 227.21 .00 REVENUE DIVISION TOTALS--> COLLECTED: 227.21 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 137.25 .75 89.21 1F iE iE iElE 1E 1E 1E 1E fE IE IE fE 1E iE 1t iE 1f if if 1f iF if !F 1f �k iF 1E 1f 1E 1E iE �E 1E 1E iF if iflf 1F fE fE 7E iE if 1E M 1E iE 7E ff ff It �E 1! fE IE iE ff� 1E if ik ik iF 1k if� iE 1t iF if IE if iE 1E i61E if 1E if 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 7500 REAOOF BY VALUE RESIDENTIAL NOZONE END OF FEES 1,�� %,5��,�� O1 00215767-00215769 T4 T 227.21 OATE: D9/26/9g TIKE: 14:53 �r- PO(" -'4 SWft CONSTRUCTION AND PLANNING APPROVA4S Permit# �'- Date Inspector pppROVALS �..�mit# Dace inspector - . . 7. Temporary Eiectrical Service or Pole 52. Pool & Equipment Location . � • 2. Soil Pipe-U�drgrnd. ' 53. Steel Reinforcement � '- 3. Electricai Gonduit Uiility�Undrgrnd. 54. Forms � -' 4.; Ef2ctrical�Conduit;Undr9rnd. 55. Electrical Bondiny � �•5�. Steei Rein(orcement 56. Rough P�umbi�g & Pressure Test _ 'b:,Electricai UFE& G�rid. 57. APPROVAL TO COVER-GUNITE - 7. Footings - '-.,. " 58. Electrical Conduit•Undrgmd. ' B. �Foundatio� ' ` 59. Gas PiPe, O Undrgrnd., Test 9. Water Pipe�UndS9�nd. , 60. Backwash Lines, P-Trap, rJ Und�grnd. � 10. Structurol Ploor Syscem � 61. APPROVAL TO DECK �. 1 L„Property Sewer Line & House Con�ection 62. Backwash & Receptoi:.Piryal 12. Sewer Cap v < _ 63. Heater & Vent�Final �� 73. Root Drains' � 64. Plumbing System � Finai 74. Rough Plumbing 65. Electrical-Final _15. Rough EleGtrica6Conduit ��: 66. Solar System�Final 16. Rough Electric W"rring 67. Fencing & Access Approval 17. Rough Wiri�ng Sign 68. APPROVED FOR P�ASTERING � � 78. Rough EleGtrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory FireA�ace -" .- - - r n_ APPROA�4LS - Permit #� 27. Dutts, in,Structure,� ' ', . ' _ � � � "� 70;_UndecgcoJnd Hydro � 22. Ducts, Ventilatin9 . _ �� ;;r �+ 71. ProduccPiping OGas OOii 23. GasPipe•Rouqh &�Tes2 ' '� ' ^ 7p, Undeigcound Flush ' � • 24:. Roof Prsmi'ng � �. .. k. � - ��= 73. Undergcnd. Storage Tank O Gas O Oil 25. Foof Sheathing _' � 'g:.L? R'�j ��/�� 74"Overhei'd Hydcp" ' 26.`T�Bar Ceilin9 IStruccurai) & Mnnocoat ' � - ` �`�Ory•Chemical ' �, 27. Frame and Flashing � 76. Ory Staodpipe � � ' _ 28.^ L.aihing"& Siding ; - -- �' �- , ' � }T7, FIXED SySTEM FINA� 29. Insulation � - - �' "�" � y f ' i`` }_8. FIRE PFiEV. FI.(VA� . � - 30. Drywall Na��ng ; c � � � HEALTH DERT. RE�UIREMENT 31. Plaster BiowP Coer_ � ; " 79. FINAGINSPECTION � -,. 32.,Electrical Powar Mete�-Final -� : 80. FOOD CERTI.FICATE�ISSUED 33: Final Elactric �+' � - ' Notes: - - - , 34. Final Heatiny.& Air_Conditiorung - . � �j� q ��. ; , _ � 35�Final Gas PiPe-Test�� -. +� � ; �- ^' : C'� _ � � � . � 36. Hooii or Canopy " d � � � " � ' � . . I. 4 Y I � � Z \ - 37: Final FactorV Fireplace :.'� � i ' F - . 38. Finai Plu`mbing '� '��. `" � , `'' � . _ � ; 39. Waier Se'rvice-FinaN �-. • •� ' �. ' , ,.. . � 40. Gas SerUc¢-Final '' , . _ � . � r � � _ ,�. , 4L�Solar pomestiPF(nal� • - � � � 42. Backflow �reventer' F' _ " ' ., ,T7 - , . � 43. Backflow Irrigatiort� � - � � � • _ . 44. Landscape tui9atiqn System :;, ?� _ _ � - - - . E - ' ' � 45. �Sound �Attenuation - _ - . - - '-- ` - .-� c • - � , r. �r r� �_46. Handicip Regulations � � '� ' ' � - � ; ' '. ��47.FINALSTR.WCTURE&BUILDING�`Q_Zg„��l�/� -�. = 48�FiNAI PLA�ININ� ' , ' r' � ` . �, . . ,-49,'-Eleciric Re�ease to.Edison . ; ' � - � z50. GasAelease to Souihem California Gas Co ,_ - _. �, - 51. CERTIPICATE OF`OCCUPANCY x ' � No. Date ' " PATIO COVER DETAIL 6/1/67 OVERMAN6 e2 �A RAFTERS: �, 0 . � �� STAtE LENG SPaN MA%IMUM /• 0 z � s z ��- owee...y , q� % MAXIMUM ��t�A BEAM a'K STATE SIZE . ��I6X2��-T-STRAP \ ' , ' E SP{1CING - arr� , � �/ 0 , p C � L PED FOR DRA1�_ 3/g a S�Lags�32% Predrill Ledqer � Predrill Exieting '/�-3 Deep JOIST NANGER Or other opproved methods of suppurt � tie. , ALL LUMBER 00l/GLAS F/R ' �CONSTRUCT/ON'�GRADE � POST-BEAM CONNECTION ` ' __ PO§T - �� SHOW SIZE SHOW SPACING SHOW LOCATION ON REVERSE SIDE, �-- S�OPE TO DRAIH— DROP PATIO FLO01 THICK SLAB °��'"-.� `��" � �:�'''..'�� . - �-....PUODLED SAND_...FILL _� .• .._ . ' '. . r � � : . '. Remove Gross And Weedf Down To Neturol Grade� ��''! ' CONCRETE MIX 1:3�4 MAXIMUM ,WATER CONTENT POST ANCMOR ��..'�' 7# GALLONS PER SACK CEMENT. for Pipe Po�t. Embtd �12� ' Provide 26 Ga G.1. Flos�ing At Wood Floo. Co� Plpa In Footinq. - . .. _. . . . . . �..... _ ._ . .. . . . _ . . .. Frovida Fimqs Or Weld Plate Screred 0� BoIIeA To Frame. ' " row.� eu�.o NTINUOUS LEDGER TYPICAL JOIST ANCHOR NOTE : USE REVERSE SIDE FOR PLOT PLAN. NO I tK —�H 1 NO 2 FOR OPEN EGG CRATE FOR SOLID SHEATMING-. ALUMINUM OR PLASTIC SHINGLES OR BUILT UP �ROOF COVERING �� ROOFING. MAXIMUM SPAN Si2E SaaCiNG MAXIMUM SPAN 17� O"� 2x6 12°/< 15� I� � I 6� 0" 2'x 6' I fi% I 3' 3" � I 5" 0'� 2'a 6' 24 % 10' I I� � 12� 0' 2'x 4" 12% 9' II"' II� 0' 2"x4' 16'/� 8� 8" ' i o' o' rx a• 24^i� �' i�• NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WALI.S ARE TO BE BUI�T. USE N0.2 CHART ONLY. WIDER RAFTER SIZE MAY BE INTERPOLATED FOR SPACING ONLY:� FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO WALLS ARE TO BE BUILT SUBMIT COMPI_FT� HOUSE AN AODITION PLANS - . COSTA. .. M ESA 71 fAIR ORIVE BUILDING DEPT. 556-5273 f----+� � ---- �j�x_�1'�x��. STRUCTURAL � r� AL 01� y SEPARATE PERh7�S ,� RE � FOR �I�CTR;C��I, � �.. QLIRED L�..ia' G� HEAiI'!G, `��i,�`;'_'ilr!G 4i:D REFRIGER;;iI;M WORK �i - — y � � �15:�„� o� ��'/,/,//7�..� � Tiir. � I�,a�� . ,� Q�-.- _ � ALL G,SPECilOi� r7.QUESTS. Y1� i F� t u��_,;... ,5 .;FI� � PELSGA'S I�IiE TO , I L'� E�.�,'..�,_�, ::� 3...wf iNNT 1HE � sr.�,� �- �� „�,F� ��r:,, DI4iSI0N oF � IfVU„�? , tiL S FEiY GE COiVSULiED FOg ADDiT;;i,'Vr�:. CEQUI,4EMENTS. ,s: 9'/y D�'�r v�� NDU$� PAT IO I � X �S `3 " D�. C lq� �-`' � PP� /� �`/p,� , �►�F�� C�1' of Costq ,/ U� i� PLANNING DEPT. ,dt1@s./ „, 6U6JECT TO bIDG. DEPT. RE0. ITHESE__� --...,�y Dep' M^KE NO �NS M� D � / OF pEpl, CHAIJ 1T gp -.. ATFQ._ / I�, �1 I� G� wl�OUT JOB Ar q� [� P�dS SSUA��E 0 PRIOR APpqV� R T� BE p''� SPfC1F GRFlprINC �F qNY QFPF,4,:;11 fOR �RAf ��NS SHf �� RMIi nR qPrpD RM�� oOFIV E�',��%NORIT � T� H15��,� �F�VO�E c�N�R �OL � WOpK �R �0�( HACL �� ft, oR �RMO N /� Oi ,THERFANS SHq�i NOTA PfRI'lT /gA UTy�RIES �S �W�S�O BUI � NgP�ANS ANDRfQUIRIN�FT�ENT THE BUI(p� P41N9 Ary0 OF TNE �T�N OF THISS �0 EC RRR FD pH TN �M �E.�,�fRORS OF iLANNIN6 qDplicant to flll in all spaces wltM1ln naavy EorGar Iinef antl si9n all appro0riale Eecla�alions. CITYOF�GO�MESA -� PERMITNO. TRACTNO. LOTNO.- BLOG.NO. 'rj�JBrJ„ SIO%Iy� � 3�j.27 �TL� CONSTR4JCTION PERMIT $E - 35� 77 �. 2 , ._ � . .. Projy�;i-Address ' TYPE OF CONSTRUCTION ' , _ . . • � OWner / Phane _ - � NEW ADD� ❑ ALTERATION � � - - ' ' . . � Addr2ss (,�- ' ❑ REPAIR�CONVERSION ❑DEMOLISH � ' - ZONING REGULATIONS . Arch/Eng. ��cense No. ❑ OTHER. � � _ DESCRIPTION OF WORK ✓EQ � A'P' `� Atldress ' - - ' ' - � � . C �� 00 ZONE � PLNG. REF. iF Contractor - ' Phone - - � - � � - - . gU �p �y O TVPE OF PERMIT', i I G SETBACK L T. OPERTV L Addr¢ss � ' -. ❑GRADING O-'FOUNDATION � �STRUCTURAL �SID YHqD . � LICENSEO CONTRACTOR DECL'ARATION - � ❑ TENANT O E�EGTRiCAL OPLUMBING OMECFIANIC LE �. �I hereby aflirm lhct t am Ilcansetl U�tler provislons o/ Cnarter 9(com• � - : ,. , �� fjTA ' " J ' mencing- with sectlon 7000) of Division 3 of-lhe Business� antl � � OTHER - , _ ., _ ,_ A'otesslons CoOe, and my 15cen1e Vs In 7u11 torce antl eftect.. � • REAR`IARD(TOP/L)' PROJECT DESCRIPTION � LicenseClass lJcenieNo. � � -. - �"PKG:SPACERE�. . � PROVIDED• � SQ. FT. --� Zi�" . . . 'Date Si9nature � - - �- ' -" �� r � rSTREET WIDT1i� � . PARK FEE,y WORKENS' GOMPENSATION OECLARATION ._ OCCVPANCVJYLJ.CONSTRUCTION TYPE �' 'I hereby aHirm that I have a ttrtH�wte of consent to setlansure ar a ZONE ?ONING APPROVED BY 'DATE certifirata of Workers'-Compensatlon Insurance, or a certllied copy VALUATION S20' _ Z: •eof (Section 3800, Lab. C.). • GRADING CV. VDS. � ACRES SPECI'AL'CONDITIONS: ' j. �- Y No. . "" �' ' .'ComGanY _ " ' "' " � _ _ ' ' ' • . . � - - � :ertifietl copy.is�hereby fumished. .-_ . . . . . _ tr REMARKS: � ' ' ._ _ _ _ _ ._ _ __ _ •� . ❑ Certifietl topy is filetl with tha cltY Builtling Division. " � � � ' ' � - ' ' ' -" - 1 .E%EMPTION FROM'WORKERS'�COMPENSATION DECLARATION ', �� (O' " " - ' -' - �' ' ' � � �� i �(This.section neetl hot be completM 17 t�e_permit is for_one huntlretl _ , _ . � � ' ' - � , (E100) or Iess�. ' - '- - - - ' - - ' ' - ' r � I_C¢rtify, that in.t�¢ p¢rPormanC! 01 th¢ wOrk fOr whith thi5 permit IS �� . .- issuetl, I shall mt emQloy any persOn In any manner so as to ecome PLUMBING �. -,��. -" PLAN CRECK -f '- �ELECTRICAL ,. -' PLAN CFECK - ' subjecttot C.WOrk!!5 COfOp¢llSdtiO SOL litor I�. �, - ' � C' BATHTUBS � SHOWERS- -- �� " � ' - � ' -' ' Dale �Si9nature � NOTICE: H after rtlaking this tleUafation, you shoultl beco su0)act TOILETS ��. ,�.URINALS -' ' '- '^GENERATOR -- p_1 KW "_ -_� 110'KW "' i to the WOrkeri' Compensatlon provlsions Ot Ihc Labar COtle, Ou mu5t - - ,TRANSFORMER . 1 forthwit� compty with such provi510�s or thls permit 5hall be tleemed LAVATORIES DOUB�E LAVS -- -' � APPLIANCE ' 10�50 KW�50. KW' -� Y¢voketl. _ ' . � �CONSTRUCTIONLENDINGAGENCV � KIT.SINKS" - DISHWASHERS " -=MOTORS � ' 0-1HP�_1-10HP ' y I�erebyatfirmthattherelSdcOnSVUGtionlentlingagencyforlheOer- SERVICESINKS�• .�SUMPS' ' -- - -- �UNC:SOL,AR)..:10•50p1P -50+HP�� - - �lormance oi the work lor wnlc� tp�s permlt is Iisuetl (Section 309] � C1°• ��• ' � � - ' FLO R 51 �..LOOR DRAINS ' - - FIXTURES .OUTLETS -�SWITCHES ' - "� 'Lentler'S Name � Lentler's Atltlress �DRI ' ' ' ' ' - GP.S TUBE SIGNS " - - - � -- - - - OWNER'BVILDER OECLARATION ' - INTE E T� L 5 � � - �POL'E'LIGHT$ , I��ereby attirm lhal I am exempt 1�of*� tbe Contractor'S Li<enso l. w lo � ' 1 tbe foltowln9 rwson (Se<tion 7031,5 Businass antl�Prolesiloni Cotle. _ _ � � __ Any city or councy wnich requlros a permit to construct, altor, �POLES METER D' � 5 B� Improve, tlemollsh Or repalr any strU�ture,'prior roilt issuanca, also re- yyqTER SERV ICE ' ALTERAT ' ' '�PANECS -" �"MAIN' ' - SUB ' � ' -- qWres Ihe ap�llWnt 10� Such pe�mit to tila a signeU statomant tnat hc i is llcensetl'pursuant'to tbe�provl5lonsott�e Gontractor's LlcenSe Law GASSERVICE � -OU7LET5� - - � " � ,'SERVICE - - ' �" �'�- �•AMP - - � � � C�apter 9(commencing wilh Sec��on 7000) ol �ivislon 3 of the - �.!:Y,yyss'antl PrdesSions COtlO) Or [nat ha is oxOmpt therefrom antl lha yyqTER HEATER$ ' ' ' BTU OUTPVT- ` ' - -- -' -- - - � � ' - S ;.or tha allegea exemptlon. AnY ��olaUon ol Saction 7031.5 by � � � x� ;.�'pplirant-for a permit subjects-tne appliwnt ro a clvil ponally SEWER CONNECTIONS- �� - ' - ' - � �- � - - � - oY'.Vl more than /iw huntlrOtl tlOIWrs (E500). � � ❑ 1, as owrier ol the property, or my einployces with wa9es as their SOLAR TANK' ' "'COLLECTORS" -- ' '-- - � I so19.cOmpCnSdtlon, will tlo tF1a,Wofk. dntl th0 slruttur¢ I5 nOt InlCntletl ' � or otferea tor sale. (Sectlon 7044, Business antl Aolessions Coda: Tho SOLAR PIPING SYS. � ' -' ' - �� - �ISSUE FEE ' '-- " - " � 00' � Conl�acio�'s .Llcense Law tloez.pot.apply to an owner ol a property - � ' wM10 builtls or impwves lM1eroon, a00 who tloa5 SucM1 work himsell or ISSVE FEE -"-" '' �APPCICATION'APPROVE��BY •DAT� � 8 � ihlough his Own_Cmpl0yCe5, pfovltlCtl lhdt suGh If1lprOVOmMtS arC not � � .intentletl or oHcretl lor sale. I1, howeveq tM1e builtling or Improvnment MECHANICAL PLAN CHECK �� - Is som within one year ot complatlon, the owner wil� have tho burtlan - � DBL. � SUMMARY OF FEES �,F of p�oving he tlltl not builtl br IMP/ove /or lbC Putpose ot sa10). - - ='BUIL'DING - --� ' HEATING SYSTEM 0-300,000 BTU ' � PERMIT ' E Z . DO '_ ., SMIP�. .• §� . D. SO I ❑ I; as- owner qf Iho property, am oxclusively �contracling wilh qND DUCTING - " • -'- - --- � > � • Ilcensetl contracton to construct the project (Section 7044, Buslness 100,000+BTU .PLANCHECK E'�-/. u% 7ERMIS. : � antl Professions Cotle: The ConVacto�'s Licensa l.aw tloas not apply ro -�-- - ISSUANCE- 5' an owner ol property who builtls or improve5 thareon, antl who ton- REFRIGERATION 0-100,000 BTU �PLVMBING E � bacis f�om�such prajeGls with•a contratto�(5) Iicesnotl pu�suant to� SVSTEM � � i� --- � . _- , _�.GRADING S 'r the Contractor's �icense Law). 100,000 � BTU PLAN�CHECK y � � � ❑"I am exempt untler Secttoo B. & P. C. for Ihis BOILERS BTV �� a� , �ELECTRICAL S � rea5on' - -" - 'PLAN CHECK "S - ' MICROFILM E SYSTEM REPAIR,ALTERATION - -• Date Owner TOTA� FEE S - �I herebycertifythat I have reatl this aP��uUon antl state lhat the above EXHAUST SYSTEM MULTIPLE MECNANICAL S' Information is correcL I agree lo comply wilh all tity antl county PLAN CHECK 5 � LE55 AD- � f� ortlinances and state laws rMatin9 �o �ons[ructlon, an0 hereDy authorize -� VANCE PC ' T_ " r¢presentatives of [hIz city to ent¢r pon tha dbove menUoneU � �� - p�operty_ for ' spectlon pur Es _ _ T�/4 �pq � ' FINAL FEE 5.3J , Z7 f Signature Date�CL�i .ISSVEFEE - - � � . , Oriver5' License or 55 � � " ' ' - ' � � CMF 0865-46 White-Builtling; Car�ary-Appliwnt: Pink-Accounting; Goltlenrotl-Assessor l`_ �' � CONSTRUCTION AND PLANNING _ • i .�, POOL & SPA • � . APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Elpctrical Service or Pole �� 43. Poof & Equipment Location -- •�• -- Soil ipe-Undrgrn � 44. Steei Reinforcement - - -� � 3. Electrical Conduit Utility�Undrgm ' � '• 45. Forms . 4. Electrical. Conduit-Undrgrn -\ 46. Electrical Bonding . tee ein orGe ' 47. Rough-Plumbin & Pressure Test 6. Electrica� UF�R Grn • ' 48. APPROVAL TO COVER-GUNITE - 7. ootings • ' 49. Electrical Conduit-Undr rn 8. . Foundation 50. Gas Pipe, � Undr rn, Test 9. Water Pipe-Urldrgrn � 51. Backwash Lines P-Tra ❑ ndr rn - � 10. Structural Floor SYstem 52. APPROVALTO DECK " ' 11. -�;Property Sewer Line &�House Connection _ 53. Backwash & Rece tor-Final �' � _ 72. . Street Sewer �nnection - - 54. Heater & Vent-Final � 13. Rough Plumbing ' � - - - ' 14. Rough ElectricConduit - ' :56. Electrical-Final - � 15. Rough Electric-Wirin � -' S7. Sola� System-Final 16. Rough Heating & Air Conditioning . _ • encing & Access Approval 17:�� Ducts in Structure ' APPROVED FOR PLASTERING ' '� 18. Ducts, Ventilating - • - ' . ._. _. _ . _ . , , 19. Gas Pipe-Rough & Test _ 60. POOL/SPA SYSTEMS FINAL • 20. Roof Framing - . - � , 21. Roof Sheathin � ' 22. Frame and Flashin . '�NOT.ES: ,. � ' � � . � 23. Insulatiom " .6 ; t � � 24. Lathing & Siding � - 25. Drywall Nailing ,. i" _- -, , - " ' 26. Plaster Brown �at � �� - - � - 27. Elecirical Power Meter-Final � � 28. Final Electric - � � 29. Final Heating & Air Conditioning � 30. Final.Gas Pipe-Test � 31.. Finai Plumbing ' - ' 32. . Water Service-Final ' � � ' 33. Gas Service-Final - ' 34. Solar pomesticFinal • � ' • ' - ' � 35. Landsca e S rinklin S stem �' ' 36. Sound Attenuation ' 37. Handicap Regulations � ' 38. FINALSTRUCTURE&BUILDING �� 39. Special Requirements Completed ` 40. Electric Release to Edison � 41. Gas Release to Southem Califomia Gas Co. 42. CERTIFICA7E OF OCCUPANCY � No Date qpylicant to (ill in all soaces within heavy bortler lines and sign all appropriate aeclarations. CITY OF COSTA MESA�- �' v� MIT N� , ^ TRACT NO. � LOT NO. BLDG. NO. ' - SBBP SI I�FIB� G�3O CONSTRUCTION PERMIT � 3ti o� __ . . , . . _ . Project Address _ � ' TYPE OF CONSTRUCTION 1 (v��/� • � , - ,- • � OWne1 Phone _ ❑ NEW -�'ADD ❑ ALTERATION' � /�/� ' - _ � _ �.. � Addfess - - '0 REPAIR ❑.CONVERSION ODEMOLISH, �"� ' . Arch/Eng. pw - ' License No.• -- ❑ oTHER� _ � A P � � - ZONING REGULATIONS - ' Addf255 ' DESCRIPTION OF WORK � � -- � - .. � . " ' _ '" " " ' ' �_ _ " '_ ' '" ' ' ' _ _' ' . � � � � � ',ZONE - ' PLNG. REF. � . � jContractor ' Phone � � TYPEOFPERMIT- "" � ' - - �- e � TpBU ILDiNG SETBACK C 5T. PROPERTY I.INE AddfE55 - "' ' ', "" - - - ' -- ��GRADING , �'O FOUNDATION -•O STRUCTURAL- 51 E�VARD- - - - - LIGENSED CONLRACTOR DECCARATION_ ' - � - �] TENANT ❑ ELECTRICAL OPLUMBING.OMECHANICA F 'I hereby afti�m th:,t I dm Iicensetl untle� provi5ion5 ot Chdrt¢r 9,(com- �. . . RIGHTA � � � mencing-witM1-se<tion-]000)-oG Oivislon-3-of-the-Business-antl .0'OTHER ' - Professioas Cotle, antl my Iicense is I� fWl torce antl etfect„ ; REAR YARD (TO P/L) " ' -"" ' � - - -� .--- ._ . .__� . _ � PRO�ECTDESCRIPTION Litense Class ' • License No. � " - � ' " - . PKG: SPACE REQ-��- ' - "- "PROVIDED. ` " Date ' _ "' Si9naEure' "" _ _ J _'�f. _SQ.'FT. . � . . .. . � .. . _ "' � iSTREETWIDTH' -PARK'FEE'$ , WORKERS' COMVENSATION DECLARATION. _ • OCCUPANCV �_GOIVSTRUCTION TVPE � �.I hereby affirm that I have a certiHwte of consenl to self-insure or a VACVATION - ZONE ZONINGAPPftOVED,BV ' �DATE --' ' 'certiticate�of Workms'�Compensation-Inswance,-o�-a�certifletl�copy . -- - ... . _ ,. __ ._ __- . �� thereot (Section 3800, Cab. C.). ,yGRADING'CU.�Y,DS. ACRES� �SPECIACCONDITIONS: - "' ' ' - - �a:..iYNo." ' _ ' ` _ ComPanY_ '_ " ""' ' _ _ " . " ' _"" .. _ . � -^ '. :. . .._. ..... R�.'";ertifietl copy is hereby.fumishetl. - - _. _ _ _ �," _ REMARKSi •'�� _ _ . '• , _ _ � L� Certifi¢tl copy is liletl with the citY Builtling Divi5lon. ' - '" ' ' '' E%EMPTION F0.0M WORKERS'-COMPENSATION DECL'ARHTION ' � - ' � � ' � (ThiS Section.neetl not bE cOmplet¢tl if th¢_permit IS fo� one �untl�etl - ' '� , ,. , ' (S1OO) 01 IC55l. I �. ' - i ' . . •. . � ,• I Certify_tha[_m ihe performance of the_work for which this pei it is . issu¢tl, I shall not amploy any pet50 - n any manner so as [o b ome PLUMBING, , i" •:PLAN CHECK '-- ' ';ELECTRICAL ' PLAN CHECK subject to he orkers: Compensat' ws of li of/+i ' ' '�� ' DateS11�5i9nature BATHTV85...._ _' ' SHOWERS '- """ � ._ _ NOTIGE: If after makinq [his.tleclaiation, you shoultl emm y bject .TOILETS�� . �.,• URINACS -� -� - �'GENERATOR - - � . + ta [h¢ Workers' Compensation provisions of the Labor COCe, bu must � �� TRANSFORMER 0-1 KW_ 1=30 KW _ "� forthwith comply with suCh provi5i0ns or thi5 permit shall b tle¢metl LAVATORIES DOUBLE LAVS' ' - APPLIANCE " 30-SO KW_50 + KW revoketl._ KI7.SINKS � " DISHWASHERS ' •MOTORS CONSTRUCTION LENDING AGENCV - Od HP-_1-30 HP -- I hereby affirm that there is a consVuction lending agency for the per- SERV ICE SINKS- •� �SUMPS'- "' --� UNC..SOLAR) _._ 10-50 HP_50 + Hp � �,� _ formante of�the work for whlch'tnis permit is issued (Section 3097 ' - �Civ: C.). - - - -- -- - '� - ' ' - - ' ' FCOOR SINKS - FLOOR'ORAINS" ' � FIXTURES OUTLETS •�SWITCHES Lentler'S Name Lentler'S Atltlress - '� DiE�MKING FOUNTAINS ` - - - - - - � GAS TUBE SIGNS - - � - OWNER BUILDER DECCARATION INTERCEPTORS" " CLARIFIERS - ' -' POCE LIGHTS � - --- - - - � 1 1 hereby atfirm thdt I am exempt frofn tM1e Contractor's License Law for ihe following�reasom (Section-7031;5 Business antl-Professions Code:� SWIMMING POOL- - -P TRAP -- -- � Any city or munty which requires a permit [o consiruct, alteq �- POLES � METERED �� -SUB- '" '� '" Improve,-tlemolish or repair anystructure, prior to its�issuance, also re- -yyqTER SERVICE -' ' -"ALTERATION ' '-� :^- '- -� PANELS ^ MAIN - - � SUB - - � quires the ap4licant fo� such petmit to file a signetl statement that he - is litensetl pursuant to the-provisions of the-Contractor'r License Law 'GAS SERV ICE - - OVTLETS - � " - ' -' -�SERV ICE - � � - - (Chapter 9(mmmencing with Section ]000) of Division 3 of the -AMP•--� Busine55-antl PrWessions Cotle) or tPat he is exempt [herefrom�antl-th¢ -yyqTER HEATERS' ' ' BTU OUTPUT - r -- - - - � - �- . ,.._ � ba br the allegetl exemptlon. AnY �iolalion of Section �031.5 by a iplicant'fo� a permit 5ubjettS [he-applicanbto a-civil penalty SEWERCONNECTIONS - "' ' -!' • -- - - " - - - o. , more than five huntlretl dolldrs (y500). ;� I,ias owoei of the property; or my employees with wages as their SOLAR TANK ' ' COLLECTORS- � - - -- - •- � - �- - � - - - - . sole torppensation, will tlo the work, antl the structure is not intentled or offeretl for sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING�SVS. �- � ' ' ' ISSUE PEE - - � - - - � � ��r Contractor's_Lirense Law tloes not appry to an owner of a property �who builtl5 or improves the�eon, antl who tloes such work himself or ISSUE FEE '/aPPLICATION APPROV ED BV -- DATE � lnrou9h his Own_employees, provitletl Ihal such im0�ovements are not in[entled or otteretl forsale. Ii, however, the'tiuiltling or improvement MECHANICAL PLAN CHECK � � 7-' �- - SUMMARV OF FEES - � Is 5oltl within one year of completion, the owner will have the burtlen t , .� , o of prOving he tlitl not builtl or i�nprove for the purpose o( sale). HEATING SVSTEM 0-300,000 BTU - �BUILDING - -- - _�- --- ' -_-- '� I, as -owner� oL the property, am �exclusivery mnVactin9. with_ ' PEftMIT E SMIP, $ licensetl conbactors to tonst�uct the w'¢ct Section ]044, Business ANDDUCTING � � - _- . - _. _ . _ P) ( 100,000�! BTU � 'PLAN CHECK E PERMIT � antl Professions Cotle: TM1e ConlractJr'S License Iaw tloes�not appty to � � __ . 'ISSUANCE' �$ an owner ot property who builds or improves thereon, antl who ton- REFRIGERATION 0-100,000 BTU � �.PLUMBING � tracts�from�such-projects�with a-contractor(s) licesnetl pursuant to ..SVSTEM � �- _.- ._ _ _.__ , _ $_�_ 'GRADING E the Contracror's License I�w). 100,000 a BTU � � PLAN CHECK $ O I am exempt�untl¢� $ection 'B. &'P. C: fo� IhiS - ' ' - $ ��G • . - � ' � BOILERS BTV ELECTRICAL reasor- � - --- - _ _ - . ' � • 'MICROFILM g ' Oate Owner SVSTEMREPAIR,ALTERATION - jPLAN-CHECK� $ � TOTALFEE$�' 1 hereby certifythat I have reatl this aPP��ca[ion antl state tha[ the above EXHAUST SYSTEM MULTIPLE MECHANICAL g - - - �� LESSAD- � informalion is <orrCCL I agree to comply'with all city and tounty PLANCHECK b � VANCEPC -E_ ' ortlinances antl s[ate laws relating to Lonz ruction, antl hereby authorize ' , , � represen[atives �of this�city [o �<er upon the above J� entionetl - " ' . � . ��Q. properly ( r ' spection p �/ - Signature � Date�i��. . _ � 1 _ . _ FINAI FEE $ -ISSUE FEE Drivers' License or 55 � ' ' ' - - - CMF 0865-46 Whll¢-BUIItl10g� (]dPdly-qppllCdO[; YIpK-HCCOulltingp GOIO¢OIOa-/isses�oi - � CONSTRUCTION�AND PLANNING POOL & SPA - ' • . APPROVALS Permit # Date Inspector pppROVALS Permit #- � � Date InSpector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location "' '--' - - •--•- . Soil ipe•Undrgrn 44. SteelReinforcement �� - - �--�-�- - � 3. �Electr�ical Conduit Utiiity-Undrgrn . 45. Forms . � - � 4. . Electrical Conduit-Undrgm . .46. Electrical Bonding � - � - ��- . tee em orce 47. Rough-Plumbin & Pressure Test � - . 6. Electrical UFER Grn . 48. APPROVALTO COVER-GUNITE - - - 7. Footings_ _ - 49. Electrical Conduit-Undr m ' ' � � - � 8.- Foundation _ - __ . ' ' � 50. . Gas Pipe, 0 Undr rn, T'est - � ' ' � � �� 9.- Water Pipe-Undrgrn 51. Backwash Lines P-Tra- ❑ ndr�rn " - '' ` 70. StructuraLFloor System .. � � 52.. APPROVAL TO DECK -� � � - -� � il. Property Sewer.Line & House Connection � � 53.. Backwash & Rece tor-Final ' - � � � ' � 12. Street Sewer-Connection - ' � ' � - 54. Heater & VenbFinal � ' • - 13. . Rough Plumbing ' ' -- - � -' � � 14. Rough ElectrioConduit ' ' • � �56. • Electrical-Final � � -� � 15. Rough ElectricWiring - - � - - - '57i -Solar SYstem-Final ' � - - ' 16. Rough Heating & Air Conditioning� � " � - - --� - • encing &.Access Approval . � J7-. Ducts, in Struciure - - - ' c� ' ' S• APPROVED FOR P.LASTERING';-,., � '' '18. Ducts, Ventile£i�g � _ _ . � . � ' "_ _ _„ "' _ • _ ' - . � . . . 19. Gas Pipe-Rough_&Test � � 60. POOL/SPA SYSTEMS FINAL - �� . 20. Roof Framing - � - - � - - � ' - ' 21. Roof Sheathin � � - - - - - -� ' �• t`• • � � 22• Frame and Flashin - - . NOTES: ' � . � . '23: " Insulation �- - - 24. Lathing & Siding - - - � - ' 25. Drywall Nailing � " '� ' - - 26. Plaster Brown Coat- -' � - � � - • � 27.- Electrical Power Meter-Final � ' � � � 28. Finai Electric - - � � 29. � Final Heating & Air Conditioning ' � +- � - - ' � � � 30�. � Final Gas Pipe-Test � - � - 31. Final�Plumbing - ' � 32. Water Service-Final - - - " - - - 33. - Gas Service-Final - � � " ' � 34. Solar pomestic-Final � � � 35. Landsca e S rinklin S stem � ' ' 36. Sound Attenuation ' - ' - 37. Handirap Regulations -- ' � 38. FINAL STRUCTURE & BUILDING • - - � � 39. Special Requirements Completed � - � � � 40. Electric Release to Edison ' '- 41. Gas Release to'Southern California Gas Co. � '' 42. CERTlFICATE OF OCCUPANCY � - - ' No. Date CITY OF COSTA MESA Development Services Department - Building Division P. O. Box 1200, Costa Mesa, CA 92626 PERMIT EXPIRATION FORM To: /`�'c`�'i t—�/L� � %�� Date: � —`�? � �,.� 9�� `'�'"�� Permit i l�� 3`� `� 7 2) � 7�c�� Q �'c� Numbers 3) ��`s� 4) Project Address: � � ��¢ �� Our records show that the listed permitls) was obtained for property improvement, or alteration, at the above project address and the project was not properly completed. This permitls) expired on � �� . Please be on notice that, without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. C-1-33 r 1. � Please call 7545273, give the permit number(s) and request a"deadwood" inspection within ten days. An inspector will visit the site with the pertinent records and advise you of the necessary steps in correcting this situation. If no work was performed, please sign and date, and return to the Building Division. I hereby certify that no work was performed. I un rsiand e permit will be canceiled. � ,:. �Qof�9�1i1 SIGNATURE DATE 2. ❑ Owner refuses to comply by responding to the City's request to correct an illegal and potentially hazardous projea. If no response is made within ten (101 days of the date above, all documentation wi II be forwarded to the City Attorney's office with a request for prosecution for violation of adopted Codels�. All further contact shall be made with that office until such time as resolution is decided by the Court. Sincerely, ��?��CO C�'� RECORDS.CLERK 754-5273 CMF 0985-46 (rev, 7/83) w�ite-Permittee; Canary-BUIlaing.Div. C OWNtK Mc] JOB ADDRESS J C GAS ) WRTEF �ROIIGN PLUMBINi PROP. SWR. LINI y SPRINKLING SYS MISCELLANEOl15 UN�EFGROUND J NOUSE CON. � M � AIN CONO�TIONING :E OR POL� POWER � 9M5 STEEL REINF. STEEI REINFORCE I—I SHERTNING FRAME ANO FLRSNING LATHING — IN �J OUT � PV'�ER, BFOWN COnT 51 URAL. FINAL HEniMG, VENT., REFRIG. ANO PLUMBING, FINAL FNO GAS T�. ELECTFIC, FINAL BUILOING, FINAL DATt 1'L1�0� SUBCONTRACTOR . � , 4'uci3 i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only � BUILDING CJ .... .. _ _ _ OWNEF MAI l CITV�� CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT ADORE55 CONTRACTOR GTY F STATE `c� LIC. NO. WI SIZE 0. OF LOT a USE OF � EXISfING � 3998 B%89/78 6.5� TL �;.---- - r . .� APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV OATERECEWED neTcicciicn C L � A.P. NO.' BUILDING 0 ADDRESi , TEL. TA NO. � - • EW A . � OWN - TEL. US 'NO. TEL. NO. CITV LIC. NO. INO.O LBF� NOW ON LOT F Separate permits are required for � electric, plumbing and heating work. H US OF BUILDING AND WORK TO BE PEIiFORM1 o t F ¢ . � 25��.. 7 �' ..1 � W 4 k NO.OF PLAN$ ARDS APPROVE MAIN BUILDI C )M C/L T T) vi f DE I � FT. � / ] FT R FT. 4NCE BET. 1BLDG5. � '. vY• USE OF N BUILOING YAOtD: BET. MAIN & ACC65. BLd DATE APPFOVED BLOCK � I �ereby eeknOwletlpe chet I have read t�is applieeiion entl rtete � � that tha above Informeiion is corract antl agree to comply with � oll laws reButating builtling construction, antl I shall not employ m Z eny perzon in violation of the workman's compensation laws of m TMa Smta ot Caiifomie. �; 3 I hereby certtfy ihat I am properly licensetl as a contractor unCer SQ. FT. N the Stete ot Cal(fornia Bus(ness antl P�ofessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Cheptar 9, antl that such Iicenses are in tull force and etfect, or I 7HE PURPOSE OF ESTABLISHING A PERMff FEE ONLY: am exempt from the provisions ot the Stete of California Businau a VALUATION PEftMIT FEE antl Professlons Code, �ivisbn 3, Chapter 9. E . o-� J� � � �p ro SIB�aturo of / � /�a �/ P�N CHECK S o Pa�mittee S( TAX a LL C Q V Authorizetl Agent TOTAL PAID S O .; �. ,.'_ .�<,�' • � ��. /j� f CL! d f�i- �/Gd Gu7G�/ /fTa�! /�r�/ 1 �� . / . C� ��- t1 �-� �� ` � � �rc�.^a-� �o�eo /!��%�cc�ec/ (/ '�� G�/� �i �c� �-Cdz�v�' /iL� Gt�y�e-� c� /�^�-� � � � -�c o�-�.d � /�c.ue % crf.4�'��yi �� / (� 1 `L s o c�s WATER � ROUGN 1 �— LINE � � HOUSE COX. ROOGH N@�TING �NO TEMPORr1RY SERVICI POWER h ROUGH WIRING O� THENCNES FORM � FLOOR SySTEM � BONo BEAM � v SHERTNING aFRAME ANO FLRSMING LATNING _ iu IiDr— FI eorriei ocniuocucuTc Yi.�� R'�f H SUBCONTRACTOR ! 43603 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDRESS en �r ///��r O W N E R L L1C�J S DCrU��O MAIL ADDRE55 -S - � J� /� TE L.// CITV /IlGr./ifYTI�l.o�t/ � NO.X�'3-Q�i BRANCH � AODRESS ARCHITECT CONTPACTOR ADDRESS qTV F STATE � LIQ NO. LS {,y 51 Z E 0. OF LOT a USE OF „�. EXISTING BLDG. h TEL. NO. CITV LIC. NO. NO. OF BLDGS. NOW ON LOT 0 FSepara[e permits are required (or � electric, plumbing and heating work. [.W.i USE OF BUILDING AND WORK TO BE PERFOflMED � ..1 C Q } 3 C t" � a � � I hereby ecknowletlBa that I heVa reetl this appli<ation end state O CG ihai the abova informetlon is cOrreci antl apree to comply with a ell laws reBulatinp bulldinB cons<rucNon, nntl I shall not employ Wany person (n violation oi the wo�kman's compensatlon laws of S Me Staie of Californie. 3 I hereby certify thet I em propeYW licensetl as a cOntractor untlet the Stete of Celifornla Businesa e�tl Profesatons Coda, Division 3, Chapter 9, entl that euch I(censes ere in full fo�e and 9ryact, or I am ezempi from i{�a prov(sians tlf �t� Stat�of alifor��n�Business antl P�ofesSfOnLCbBe. Divielon 3�Chljpter 9.� �� AUShorizad � QA�Y �� '�� P�F��1 "I'ION FORZSTRUCLURAL BUILDING ADDFiESS OWNER FIRE ZONE APPROVED Z NO.OF USE OF NEW PLAN$ BUI�DING VARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/4SaTAEE . DISTANCE BEf. I BET. 1 MAIN BLDGS. ACCE VAR.�W DATE D F02 n m i m �Q. FT. � H THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONIV: � VALUATION PERMIT FEE $ p N l�l � PLAN CHECK 5 m ///JJJ � �% o 5/ /� �� TAX S LL ��f : � U TOTALPAID $ ^ ++uVtSJ LbVGLVY11C.1V1 I,VttC. .� Gl-// JOB ADDRESS 94G nPnvar nr;va BUILDING PERMIT N0. 49697 �.GENERAL C0� � p. .o• 41 R_ � II cCT10N5 SOIL A� G�5 O W�TER � ROUGN PLUMBING � PROP. SWR. LINE SPRINNLING SVST MISCELLANEOU NOUGM XEATING TEMPOR�RY SE UNDEAGROUNO I ROUGN WIRING TRENCNES FLOOR SYSTEM �BOND BE�M �] SME�THING [qJ FRRME /.ND FLASHING `_ "��_ PLASTER, BROWN COR S' 'UR/.L, FINAI CON. FEINFORCE �NO �.C., FIN�L I TEST (-I SUBCONTRAGTOR 43697 Yw.. �r�.�,-��.—,:-oo,�,�-� t::;,::t�i.5a ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.0.807C1200 COSTAMESA,CALIFORNIA92626 A P C ION FOR STRUCTURAL PERMIT For Applicant to FiII in Completely — Use Ink Only RE DATE RECEIVED p�E �LG" BUILDING � O ��//= �l ADDRESS �{m 1NUG �� J Q //,� A.P. NO. %I� ��a I�� PEPMIT NO. OWNER L�C 0 R `-^' � MAIL . BUILDING 9!/.tJ '7�✓�� K ADDRESS �✓ �� ADDRESS La..fa! Y e u GTV A%�(,�,� „ y0.f� NO. � ao�8 �� TRACT � LOT % BLOCK� CONSTRUCTION W A P LENDER BRANCH � (/C/�-S �Ev6 �• C�L OWNER ADDRESS VALVE ARCHITECT 'TEL. �q 5 S OR ENGINEE � GJ � 2 FIRE ADDRESS Iµ �L Ci IV �09 ZONE VPE' GROUP D APPRO � CONTRACTOR � ,(�p BV DATE ADDRESS 3SD �• Dh 4f� s�O^ /00�.. TEL. 20N �' PLAN$ � BUILDING EW Ww ��'� CITV IACfe. NO.�(�-�LY STATE CITV �'AFDSAPPPOVED VARDSAPPROVED LIC. NO.G� - Z�j Y°J Z UC. NO.qS3 / MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLOGS. (FROM C/L STREET) OF LOT� �/ •} �p0 NOW ON LOT ---- RONT FT. FT. VSE OF � EXISfING BLDG. ` 5 T FT Separate permits are required for �. sioe FT. � PT: electric, plumbing and heating work. REAR FT. �� USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & MAIN BLOGS. ACC6S. BLDGS. G A I Al �(/ p VAR. q6 DATE C.U.P.�B+ APPROVED APPROVE� �% 3_'Z�_'�7 I hereby acknowledBa thet 1 have read ihis eppllcatian and smte � thet the ebove intormation Is correct antl apree to comply wlth a all iews rogulating bullding eonrtruction, antl I shall not employ eny permn In violatlon of the workman's companmtion laws of ; the State of Celifornla. a I hereby certlfy that I em properly Ileenmd es a contrector untlor S�. FT. n the Scate of Cellfornio Budnasa entl Professions Code, Divlslon 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR a Chapter 9, entl thot such Iicenses ere in full force entl etfact, or I THE PURPOSE OF ESTABLISNING A PERMIT FEE ONLY: � am exempt from tho proviaions ot tha Steta of CeIlfOrnia Businass VALUATION � PERMIT FEE E ° end Profeul z Cotlo, Divislon 3, pter 9. � � PLAN CHECK E � Signature � ` Permittee i�-=� S TAX 5 � i Authorizetl Apant TOTAL PAID $ �� 1 / .� , _ . r _, ` ._ - 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 �l,i. �.... nn ;P" 1?-77�..-(}C 55� F�>...i,Z2y,:u APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVEO DATE ISSUEO BUILDING ADDRESS P OWNER A.P. NO. MAIL BUILDING '/ ADDRESS AODRESS f'J' TEI. TRACT LOT BLOCK CITV NO. �NS7RUC7(ON NEW A D A R P LENDER BRANCH OWNER ADDRESS ALUE �� ARCHITECT TEL. SE t $ OR ENGINEER FIRE ADDFESS 20NE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. P�� BUILDING STATE CITV ��+RDSAPPROVED VARDSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISiING BLDG. E FT Separate permits are required for L, SIDE FT. FT. elec[ric, plumbing and heating work. REAR FT. FT. USE OF BUIIDING AND WORK TO BE PERFOflMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. 81DG5. VAR.# DATE 0.U.P.gW APPROVED APPROVED I hereby acknowladpe thet I heye reetl thls eppllcation and state that the above Intormation is �orra�t a�a eerea to comply with all laws re9uleting builtlinp confirucNon, ontl I shall noi employ any parson in vloletion of the Workmen'a compensatlon laws of the Stata of Californie. 1 �ereby certify Shat I em proparly Ileensetl as a contrector �ndar SQ. FT. tha State of Cellfornie Business bnd Ptofasslona Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapier 9, antl thet such Ileen9eq are in full torcB end Bffect, or I THE PVRP06E OF ESTABLISHING A PERMR FEE ONLY: am exempi trom the provisions Of the Stete ot Callfornia Busines9 VALVATION ERMIT FEE E �.,n antl Protesslons Cotle, Divislon 3, C�ePter 9. . vV GLAN CHECK E Sipneture of Permittee S TAX E Authorized ABent TOTAL PAID E