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Home My WebLink About951 DENVER DR - Building Permits(774) 754-5273 • Fax (714) 754-4B56 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 .lobAddress: 951 DENVER DR Suite No Vicinity: Parcel Number: 41808734 Applicant: STEVEN SCHNIERER Address: 2057 MANDARIN DR COSTA MESA, CA owner:: �,VU, HIEN QUANG - Address; 951 DENVER DR . COSTA MESA, CA MECHANICAL PERMIT Phone: 714-719-1689 " 2ip: 92626 Phone: Zip: 92626 Contrecror: BEL AIR COOUNG AND HEATING Address: 11861 CARDINAL CI � Phone: 714-534-8474 GARDEN GROVE, AC � 2ip: 92843 License: 710334 Status: ISSUED Applied: OS/07/2003 Issued: OB/07/2003 ��- I . : 'v� SCOPE OF PERMIT INSTALL 80,000 6TU FURNACE AND 4 HP A/C UNIT MECHANICAL TO INCLUDE: 1 INST FAU < t00K BTU AND 1 COMPRESSOR 3 TO 15 HP/SOOK BTU. 1SSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU � Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU � , Refrig Sys >100 k BTU , Gas Piping � � - Factory Fireplace _ Hood w/Mech Exhaust VAV Box Ven[ Fan / Single DuCt Appliance Fire Dampers • � Smoke Dampers � � Inst or Relocate Appl Vent � Air Handlers < 10000ctm � Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.$0 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 SO.bO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.40 Quantity 1 0 0 0 0 0 0 0 . 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Uni! Repair / Alt Refrigeration Unit Venfillation System �- Evaporative Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absorption Systems � Upto3hp�/100kBTU 3Tot5hp/500kBTU�-� ' 15 To 30 hp /1,000 k BTU � 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp �Sta30hp 30 to 50 hp Over 50 hp Other Mechanical Fee "- Investigation Fee ", Plan CheckFee ' Reinspection Fee ' . � ,_ Quantity ` $0.00 0 $0.00 0 $0.00 0 �. $0.00_ 0 � $0.00 0 $0.00 0 $0.00 � 0� 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 527.15 1 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 50.00 NOTICE: ' The work authorized by this permit shall comply with all applicable handicap access requirements under California statutas and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expira and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order tor the work authorized under this permit to be cortsidered legal, such work must comply with all applicable eodes, and all I requlred inapectlone and final approval must be obtained. Failure to obtain inspeciions and final approval will result in the expiration of this permit. �� FOR INSPECTIONS CALL: (774) 7545626 zaae,a�wu� WOAKERS' COMPENSATION DECLARATION: � � I here6y aelrm under penalry at perjury une of tha tWbwing tleGaaetla�s: ❑ I �ave end wlll maintein e certificate ot consent to self-Insura lor workers' compen5ation, es provitletl for by sectlon 3700 of the Lebar Code, lar Ihe pertormance of the work for whlc� thls pertnit Is iuuetl. � I have antl will maintain woilcers' campensation Insurence, es requlretl by seclion 3700 of I�a Lebor Code, for the peAortnance of the work lor which Ihls pertnit Is Issued. My wo e e' compens�uon Insurtnce ceMer end policy number ere: ca„��: c�n.i-e-l-i�r�Ct PolicyNUmber. Cii3��LIR3 (Thls section neetl nof be comp/eted il fhe permlt /s veluetl et one hundred dollers ($100) or less.) ❑ I certify �het In the pertormence oi the wo ior which this pertnit Is issued, I s�all nol employ any person in eny manner so es to become su6�ecl lo ihe workera' compensetlon lewa o CelNomle, e a e thet If I shoultl Decome sub�ecl to the workers' compensation provisions of Sectlon 3700 ot the Lebor Code, 1 s�all forthwith comply with lhese . qppticemSigneture: �' .13% � Date: g'%��3 WqpNIN�: FWIURE TO'SECURE W RS' COMPENSATIdJ COVERA�E IS IINUWFUL AND SNALL SUBJECT AN EMPLOVER TO CaMIW1L PENALilES AND GVIL FlNES UP TOONE HUNDiiE� TlqUSAND OOLIARE (5/00,000�, IN RDDfTIIXJ T0 THE COST OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SEGTION 3%O60F THE UBOR CODE, INiEREST. AND ATTORNEY'$ FEES. IICENSED CONTRACTORS OECLARATON: I hereby eHirm ihat I em force end ettect. Lic. tl_ ContreqoYs Signetura: ol Chapter 9(commencing wit� Section 7W0) of Divislon 3 ot the Buslness and Protesslons Cotle, antl my license Is in full Class a C Z Date: 8 7 03 CONSTRUCTION LENDINO AQENCY: ❑ I hereby eNirtn that there Is e construction lending agenGy for the peAortnance of the work for which �his pertnil is issued. (Sec. 3097, Civil Cade). Lentlels Neme: LendeYs Address: Signelure: Date: OWNER-BUILDER DECLARATONS: I hefeby etfirm Ihet untler penelry ol per�ury Ihat I em E%EMPT FROM TME CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7037.5, Business entl Professlons Cotle: My dry or caunry whlch requires e permit to canstruct, elter, Improve, tlemolish, or reDair any structure, prior to its Issuence, fllso requlres thA epplicant for such permit lo i0e e sipnetl statemem t�at �e w she is Ilcensetl pursuam to ihe provislons of the Contractors llcense Law �Chapler 9(commencing wllh Seclion 7000) ot Divislan 3 ai Ne Business end Pro�essions Code) or Ihet he or she Is exempt therefrom and Ihe basls for the ellegetl e:emptian. Any violetion of Sedlon 7031.5 by eny epplicent for e pertnit sub�ects ihe applicent to e civll penalry of not more than tive hundretl tlollars ($500).): � I, es owner of t�e properry, or my employeas with wages es Ihelr sole compensatlon, WILL DO THE WORK, enA Ihe structure is not iniendetl or otteretl for sale (Sec. 7044, Buslness end Professions Code: The Contrectors Llcense Law Ooes not appty to an owner oi property who builds or improves thereon, end w�o tloas such work himseli or herself or Ihrough his or her own employees, provitled thet 5uch Improvements ere not Intendetl or oMerad for sale. N, hov.•ever, ihe builtllnp or improvement is sold within o�e yeer o1 campletion, the owner-bulltler will have t�a burden of proving Ihat he or she did not bui10 or improve lor purpose ot sale.). ' ❑ I, as owner oi ihe Droperry, em E7(CLUSIVELY CONTFiACTNG WITH LICENSED CONTRACTORS to construct Ne pmject (Sec. 7044, Business end Professions CoCe: The comrectors Llcense Lew tloes not flppty ta en owner at propeny wha builds or improves thereon, end who comrens for such pro�ect wlth a contractor(s) license pureuent to the Contractors Llcense Laws.). ❑ I em exempt under sec. Signature: Owner ID vedfletl Dy ddvers license. ❑ Ves ❑ No Business antl Professians Code far Ihis reason: Ved9�etlon of Ownership by (rype of documem, i.e. - properry lex blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: Drlvers License No. Date: Expires: ❑ I hereby certity thet no excavation five (5) or more teet in depth Into whlch e person is required to tlescend, wlll be mede In connectlon with work euthorizetl by this partnit, entl ihat na buildinp structure, scaftolding, felsework, or tlemolitlan or Oismentling Ihereof, will be more �hen Nirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomie Adminisire�ive Code). ❑ As owner-bulltler, I will not employ anyone to do work whlch would requlre e permlt trom the Division at Intlustriel Satery, es noted ebove, uNess such persan has e permit to do Such work iram Ihe division. Signeture: Dele: Divis�on of Industrial Safery Pertnit Number. ICERYIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I certity under penelry of perjury t�at I have read this epplication entl stete that �he Infortnetion given is I correc�. I egrae ta comply wlth ell stele lews and city ordlnences relating lo bulltling consiruclion, and aNhorize represeMalWes W ihe Clty o1 Costa Mesa to entef upon the above-descdbed properry for Inspection puryoses. I egree not to occupy or ellow occupency of eny building euthorizetl by inls permit until finel inspectlon. CODE l. INSFECTIONTYFE PAIE II�6R 1676 Fixetl System Flnal Fire Pravention 1266 Pool Spe Finel 200 Final Re-Roof 201 Finel BIocWReteining Wall 2D2 Final Factory Fire Ptace 203 Finel Sign 204 Final Demolltion }� �% ua�e /C� Da�9 �� INSPECfIONTYPE 206 Final Mechenical 208 Finel Plumbing 210 Finel Electrlcal 272 Final Fire Preventlon 22� FinalPlannin9 ApProval 222 Final Site 250 Finel Building�Occupency •. 1 .1111_ : �/ � ��ti� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT � ' Job Address: Sui[e No Vicinity: Parcel Nunmber: 951 DENVER DR 41808134 App�icant: STEVEN SCHNIERER Address: 2057 MANDARIN DR , , COSTA MESA, CA . � � Owner:, " VU,-HIEN QUANG Address` 951 DENVERDR�:� COSTA MESA, Cq Phone: 714-719-1669 Zip: 92626 Phone: Zip: 92626 Contractor. BEL AIR COOLING AND HEATING Address: 11861 CARDINAL CI � Phone: 714-534-8474 Zip: 92843 License: 770334 GARDEN GROV�, AC SCOPE OF PERMiT . . _ INSTALL 80,000 9TU FURNACE AND 4 HP A/C UNIT . ELECTRICAL TO INCLUDE: 1 MOTOR TO 10 HP. ISSUE FEE Temp service test � Res, a/c package ' New Rea (1-2 units) New Res (3+units) Pool / Spa � � Lighting Fixts Recept Outlets � Switches Non Res Appl � Res Appl Service l0 200a � Service to 1000a � Service over 1000a Motors to thp Motors to tOhp Motors to SOhp Motors to 100hp Molors over t00hp Communication drops Sub panel to 200a $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 ` $0.00 $0.00 $0.00 30.00 $0.00 50.00 $0.00 $0.00 $0.00 572.30 $0.00 $0.00 50.00 $0.00 $0.00 Duantity 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Status: Applietl: Issued: ISSUED OS/07/2003 OB/07/2003 ISSUED BV: � A��,� �� v �a �"� 9 FEE SUMMARY , Temp Dist System / Lighling Busway /100 ft Standing Section : Misc Electncal Equipment � Trensformers up to i kva/kw .' ; • ..............r.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. Conduil - Misc. Conductor - Circus ( gen or ride) � Circus (mech ride or lighls) . Christmas Tree Stand Fireworks Stand OtherElecMcal Fee - " _ �Investigation Fee - Plan Check Fee Quantiry $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 , 0 $0.00 .�, -0 $0.00 0 ' $0.00 0 50.00 0 $0.00 0 $0.00 ' 0 50.00 0 so.00 0 $0.00 0. $0.00 ' . 0 50.00 0 50.00 0 $0.00 50.00 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 1 BO days, or it work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit io be considered 7egal, such work must comply with all applicable codes, antl all requlred Inepectiona and final approval r�usl be ob�ained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaawn �tiuu7 WORKERS'COMPENSAnON DECLARAnON: ' � I hereby eXirm�Undar penAlty ol perjury one of t�e following tlacleretlons: . ❑ I have and wlil melntein e certificate of consent to selbinsure tor warkers' wmpensatlon, es prodded far �y seclion 3700 0l the Lebor Cotle, for Ihe pertortnance of the work for Which Ihis pertnit is Issued. I heve and will meintaln workers' campensation insurence, es required by sealon 3700 of Ihe Lehor Code, for I�e pedormence oi Ihe woM for whlch this pertnit Is Issued. _�My work ro1' �om1pe�nsetlon Insurenca cerrler entl policy numbei ere: (Carrier� " .�-I�C�'I'C �y�C� � Policy Number: Q I.3 — � �i� �J �(This secNon need nof be cromplete0 // fhe permlf Is veluetl et one hundred tlallers ($f 00) oNess.) -- � I certity Ihd� in Me pedormance oi Iha work for which this pertnit is issued, I shall not employ eny peraon in any menner sa as to become suC�ect to the workere' compensetlon lews f Celtlomla, e e r B Ihat it I s�oultl become subJect to the workers' compensatlon provisions o1 Section 3700 of Ihe Lebor Code, I shell forthwi[� compty with �hese o c'± _Applicent Signevr . 21/lI7> � Date: � 6/7 Jli3 WARNIN�: FAILUPE T SECURE W (ERS' C/JMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMI�NRL PENALTES AND GVIL FlNES UP TO ONE HUNDRED T/10USANDDOLLARE(E100.000),IN DRION707HECOSTOFCOfdPENSATION,DAMAGESASPROVIOEDFORINSECTION3]080FTHElA80RCODE,INiEREST,ANDATTORNEI^SFEES. LICENSED CON�7ACTORS DECLARATION: I hereby eXirtn Ihat I am Ilcensetl under rovslons ol Chepter 9(commencing with Section 7000) of Dlvision 3 oi the Business and P ofessions Cade, antl my Iicense Is in tull torce end eXect. L1c. M• � 3 ; Class M'� C2� CantrectoYs SlgnaWre: '-� Dete: � R 7(�3 % i CONS7RUCT10N LENDING AGENCY: ❑ I heraby eftirtn Ihet Ihere Is e constructlon lendinp epency tor the peAormence oi Ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: SlgneNre: Da�e: OWNER•BUILDER DECLARATIONS: I hereby eXirtn tnet under penelry of per�ury ihel I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness entl Prafesslons Cotle: Any clry tl� �unry which reQuires e pertnit to construq, alter, Improve, tlemolish, or repair any sWCNre, prior to Its luuance, elw requires ihe epplicant tor such pertnit to file e slgnetl s�atement ihat he or she is Ilcensed Dursuent to t�e proNslans at the Gontractors License Lew (Chapter 9(commencing with Section 7000) at Divislon 3 of Ihe Business end Pla�esslons Cotle) or Ihat he ar she Is exempt thereirom and Ihe basis for the elleged e:emption. Any violetlon of Sectian 7031.5 by eny epplicant for e pertnit su6�ecta iha applicant lo a clvll penslty ot not more ihsn iWe huMlred dollars ($500).): ❑ I, es owner oi lha propeny, or my employees wlih weges as their sole compensatlon, WILL DO THE WORK, entl Ihe structure is not IntentleC or otteretl lor sele (Sec. 7044, 8usiness end Professlons Coda: The Contrectors License Law does not apply to en owner ot properry who bullds or improves thereon, entl who does such work himseN or herself ar Ihrough his or �er own employees, provltled lhat such Improvements are not Intended or oHeretl for sale. If, however, the bullding or Improvement Is solA wit�in one year ot completion, the owner-builder will heve the burden oi proving thet he or she did not bulld or imprave for purpose oi sale.). ' ❑ I, es owner ot �he Droperty, em EXCLUSIVELY CONTRAC77NG WI7H LICENSED CON7RACTORS to construct the project (Sec. 70a4, Business and Professlons CoCe: The �ntrectors Llcense Lew does not epply lo en owner of property who bullds or Improves Ihereon, entl who contrects for such pro�ect with e contraaoqs) license pulsuant to Ihe Contractors License Lews.). ❑ 1 em exempt under sec. ' Business and Professions Cade far this reason: Signature: Date: • Owner ID venfied by tlAvefs Ilcense. ❑ Ves ❑ No Dnvefs License No. Expires: Vedflcation ai Ownere�iD Dy (type o1 dacument, i.e. - pmperty tax 6111 or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION: ❑ I hereby c�hity ihet no excevetlon tive (5) or more feet in depth inio which e person is reQuiretl to descen4 wlll be mede in connection with work euthorizetl by this permlt, end thet no builtling atructura, scaflolding, falsework, or tlemolitlon or disman�ling ihereof, will be more lhan thirty-six (36) laet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 6. Callfomla Administretive Cotle). ❑ As owne�-P�1�tler, I w111 not amploy e�yone to do work whicli would requlre a pertnh from tha Division of Industtlel Sefery, es noted ebave, unless such person hes a permit ro tlo such work trom the tlidsion. Signeture: Date: Division ot Indus��al Sefery Pertnit Number: CERTIFlCATE Of COMPLIANCE AND AUTHORVATION OF ENTRV: I cenify untler penfllry of perjury Ihet I heve reed this application and stete ihet the Inlormetion given Is conecL I egree ta �omply wlth ell steta lews end ciry ordinances releting to building canslructlon, end euthodze representatives ol the Ciry of Coste Mesa to enter upon Ihe ebove-tleunbad proparry for inspection puryoses. I egree not to occupy or ellow occupancy oi any building euthorized by �his parmit until finel inspeclion. COOE �, mSPEGII4H-IITi GAg Ui�IELi 1616 Fixetl Sys�em Final Fire Prevention 1266 Pod SP� Flnal 200 Finel Re-A�� 201 Flnal BIOCWReteining Well 202 Flnal Fe�ary Fire Place 203 Final Sign 204 Final DemollUon �/�loe3 ; "Date �-- � GOOEt QINEC710NTYVE 206 Finel Mechanlcal 20B Final PlumDlnp 210 Final Electrical 212 Flnel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Finel Building/0aupe�q Qeg li�e�s G'S I l.�erive�c- I�r - : Cos�G � e� PL Str-e�� L , ,: (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 951 DENVERDR Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41808134 ,4pp�iwnc NGUYEN, CUONG Address: 14351 EUCLID ST #E GARDEN GROVE, CA Owner: VU, HIEN QUANG Address 951 DENVER DR Zoning: ISSUED BY: Phone: (714) 545-8994 Zip: 92843 Phone: COSTA MESA, CA ; 2ip: 92626 Contractor: VILLA ROOFING PROFESSIONALS INC Address: 14357 EUCLID ST #E GARDEN GROVE, CA Zip: 92843 Arch : Address Phone: (714) 545-6994 License: 758361 Eng: Address: Slatus: ISSUED Applied: 10/i612001 Issued: 10/16I2001 Phone: Phone: Zip: License: � License: , SCOPE OF PERMIT REROOF: T/0 WOOD SHAKE, 7/16" OSB, 1 LAYER 15# FELT, INSTALL "25•YEAR" COMP SHINGLES. TORCH DOWN FLAT ROOF. 27 SQUARES Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0. 0 Rear 0- 0 Reouired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0. 0 Right 0-0 $4,400.00 sa,aoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calilornia statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced withln 180 days, or if work Is suspended or abandoned for a period of 7 BO days. INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable cotles, and ell requlred Inepectiona end tinal approvel must be obtained. Failure to obtain Inspectlons and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zae-as �aroo� WORKERS' COMPENSATION DEGLAAATION: I hereby etfirm untler penalry ot per�ury one ol tha tdlowing tletlaretions: ❑ I �ave end will maintain e certificete ot consent to selFlnsure tor waBers' compensation, es providetl for 6y section 3700 oi the Lebor Catle, for Ihe pertortnence oi the work tor whlch this pertnit is issued. � I have and wlll mainiain workers' cOmPenselbn insurance, az requiretl by sectipn 3700 of t�e Lebor Coda, for the peRortnance of t�a vrork for which Nis pertnit I5 issued. My workers' compensa ion Inw nce carrier antl poll�y number are: / �j Cerder: � � �� PolicyNumber: �<Oi( 7i7�6—O� (This secf/on need not be crompleted tl the peimiNs veluetl ef one hundred dollers (S 100) or /ess.) ' � I certity thet in the peAormence ol Ihe work lor which this pertnit Is IssueE, I shell not employ eny person in eny menner so es to become sub�ect to ihe workers' compensetion lews of Calllomie, 6�tl epree that It I should Gecome sub�ect to the workere' compensatlon provislons ol Sectlon 3700 0l t�e Lebor Cotle, I shell forthwlih comply with t�ese provisions. / /� AppllcanlSlgnaWre: _�(� —1r� Date: _ ��/�/ WARNINO: FAILUPE TO SECURE WOR SATION EMOE IS UMAWFUL AN� SHALL SUfl1ECT AN EMPLOVER TO CRIAU�NAL PENALTIES AND CML FlNES UP TO ONE HUNDRED THOUSlWU OOUARE (S1�O,W�), W PDOrt10N TO THE WST OF NMPENSATON, OAMAGES 0.S PAQVIOFA f-0R W SECf10N 3'lOBOF TlIE 1A00R OODE, IMFAESS, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAPAnON: I hereby eHirm Ihet I em licensed und ra ian ol �epter 9(commencing with Sectlon 7000) of Divislon 3 0l ihe Business e�9tl Proles Ions Code, entl my Ilcense is in full force end ettect. Lic. tt 7 S�� _ Cless x l`'L�-- Con(recto(5 SlgneWre: � f l-��. Da�e: �0// (o� CONSTRUCTION LENDING AGENCY: ❑ I hereby eNirtn t�al Nere Is a cons��+ction lending agerrc,y for the peAortnance ol the work br whlch Ihis permlt is issuetl. (Sec. 3097, qvll Cade). Lendels Neme: Le�Wers AdCress: Signature: OWNER-BUtLOER DECLARATONS: Date: I �ereDy afllrtn t�et under penelry ot perjury Ihet I am EXEMPT FROM THE CONTqACTORS LICENSE LAW for ihe following reeson (SecJ031.5, Business end Professions Cotle: Any clry or counry which requires e permit to construct, el�er, Improve, demolish, or repelr eny structure, O�or to its issuance, elsa reduires Ihe applicant for suc� pertnil to file a sipnetl sietameM ihat he or she Is Ilce� pursuaM to iha proNsbns M the Contractors lJcense Law (Chepter 9(cammencing wit� Seclion 7000) of DMslon 3 ot t�e Business anA Protessions COAe) or Uet �e or she is exempt therefram antl the basis br the ellegetl exemption. Any violatlon of Secilon 7031.5 by any applicant lar e pem+: subjects the epplicant to a civll penelry a� �ot more than five hundred dollers (5500).): ❑ I, es owner ot the properry, or my amployees with wages es lheir sde compensation, WILL DO T1E WORK, and lhe structure is not Intendetl or oflarad fot sale (Sec. 7044, Business and Professions CAde: The Contractors License Lew tloes not apply to an owner of property who builds or improves thereon, and who tloes such work himsell or herselt or through his or her own employees, providetl that such improvements ere not intendad or oHered for sale. II, however, Ihe building ar improvement Is sold within ona year ot completion, the owner-builtler vnll have Ihe burden of proving that he or she did not Guild or improve for purposa at sale.). ❑ I, es ownar ol the property, am EXCLUSIVELY CONTFiACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Code: The coniracmrs Llcense Lew does not apply to en owner of properry who builds or Improves thereon, and who contracis lor suc� pmject with a crontrector(s) license pursuam to the Contraaors �kense Wws.). ❑ I em ezempt undar sec. 8usiness end Pwfessions Coda tor Ihis reason: Signatura: Date: Owner ID veritietl hy ariver's Iicense. ❑ Yes ❑ No Drivefs License No. Verlllcation ot Ownership by (rype of doament, i.e. - properry tax bill or Ceetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATON: ❑ I hereby ceM1ity t�at no evcavatlon �Ne (5) or more feet in depth into which a person Is requlred to descend, wlll be made in connection with work authonzed by Ihis peimit, end ihai no building slructWe, sca%dtli�, talsework, or demolition or dismantfi� lfiereot, wi0 be more ihen ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle e, Califamle AdminlsiratNe Cotle). ❑ As owner-builder, I wlll not omploy enyone to do work whlch would require e pertnit imm �he Divislon of Industriel Sefety, os note0 e6ove, unless such person has e permit to do such work Irom the diWsion. Signeture: Date: Dlvision ot Industnal Satery Pertnit Numper: CER7IFlCATE OF COMPLIANCE AND AUIMOROATION OF ENTRY: I cenify under penelry oi perjury �ha� I have reed this epplicalion antl sta�e Ihe� the Inlormation given is correct. I egree to compty wit� all state laws entl ciry ordinences relaGng to Dulltling wnstructlon, antl euthodze representetives ol the Clry ol Costa Mese to enter upon the ebove-described property far inspection purposes. I agree no� �o occupy or ellow occupancy of eny building authanzed by thls permil until tinel inspection. COUE 1. INSPECTONTYPE 7676 Fixetl System Finel Fire Prevention 1288 200 Pool Spe Final Finel Re-Roof 201 FIneI BIocWRetalning Well 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolilion �.1 JIII: �r i l0/%6 /O/ � Date CO�E I INSPECTION TYVE 206 Final Mec�anical 208 Finel Plumbing 210 Final Electricel 212 Finel Fire Prevention 220 Final Planning Approvel 222 Finel Slte 250 Finel Building/Occupency �g �$ y� . r Pfl0.1ECTR0UqELS: �j!j� DENVER UR OWNEfl'S NnME: CHANNON .BROWN RODHESS: $�E UNIT: �Ntll/ENGINFEfl: . REC.NO.: � . RDORESS: � ' ' ' UNR: , PEflMITTEE:CHANNON BRC)WN ; � � (714)�540-�727.2 � ROOPESS: ' <jS.L DENVER DR � � C.M. CA 92626 IICENSEU CONTMCTOX �ECUMTION: I Aereby aflirm that I am IicenseA un0er prodsions ot C�ap�er 9(commencinp wit� Section 7000) of Oivision 3 oi Ihe Business an0 Professions CoCe, anA my license is in tull force antl effect ' CITY LIC.: STRTE LIC.: � CIASS: , Date: SignaN2: ' _ WOBIlERS' COMPENSFTION OECIAMTION: I Aerehy affirm ihat I have a ceriHicate oi cansen[ to self-insura or a certificate oi Workers' Campensation Insurance, or a cetli/ieA copy ther¢oi (Section 3800, Lab. C). POUCY NO.: EXP. OATE: � COMPRNY: �. . . � Certilied copy is herehy furnishe7. ❑ Certifie0 coDY'�s fiied wiih the ciry Builtlin0 Division. � oate: ApDlicant: E%EMPfION FNOM WOflNEflS' COMPENSITION OEC MTION: �This section neeG not Ga completeU tt �he pemtil is ta ane hunOreG (E700) ar less�. I certity that in the pedormance of t�e work lar hich tAis Dermlt is i d, I not emD�o a on' y manner so as ro �ecoma suDlect to the-Workers Campenution Laws ( Califomia. ' Date: 12� �Q9 •' Signatur NOTICE: If, atler makinA ��is Oaclaration, yau shoul ome suhject to Ne y orkers' Dens ion provisio , of t�e La�or / Catla, you must forthwi�h wmply wiN SucA pmvisions or this permit shall b( tleem¢tl fevOked. ' CONSTBUCTION LENUING �GENCY: I hereby aflirm that ihere is a canstruction lending aAency for the Oe�ormance of I�e work tor whicA t�is Dermit is issued (Section 3097, Civ. C�. , LENOEN: RODflE33: . ' OWNEB BUILOFB OEClAM710N: I hereby aflirm that I am exempt irom.tAe Contractars�State License Law tor ihe tollovnnp reason (Section 7031.5 Business an0 Pmfessional CoOe'. Nny cily oi county whic� requiras a permiCto constmct, alter, improve, demolish, or repair any simcNre. pnot to iis is5uance, alia 2Quiru Ihe applicani tor such De�mi� �a /ile a sipned statement Ihat he/she is IicenseE pursuant to Ihe pmvisions of the Contracrors' State License Law (Chapter 9(commencing with Section 7000) af Division 3 of the Business and Pmfessions COAe) or that �e/she is exempt theretmm an0 the 6asis for Ihe alleged exemption. My violation of Section 7031.5 Uy any apDlicant lor a permit suGleCs tAe aDO��ant to a civil penalry of not more than five hwUreA Oallars (5500�. I, az owner of ihe Oroperry or my employees wit� waAes as iheir sole �� compensaiion,' will do the work. and ihe � stmcwre is not inten4e0 or offeretl lor sale (Section 709A, Business and Pmfessional Code: T�e Contacrors' State License Law tloes notapptyto an ownerof a DmDerry w�o bu110s orimDroves t�ereon, an0 who Ooes suc� work himseltl�arseli orNmuph � �is or her awn employees, proNtletl itut suc� impmvemenis are not intentled or oifered for sale. It, �owever t�e buiiaing or impmvement is SoIA witAin one year of com0leiioq the owner vnll have the buraen oi OmvinA ��sha Oid not buila or impmve lar Ihe Durpose of sale). ' ' I, az owner oi the O�oDenY. am exclusively wntractinq wiN licensetl contracmrs to conslmc� ��e O�olec� (Seclion 7U44, Business ❑ an0 Professions CoEe: The Contractars' State License Law Oces not a00N �o an owner ai pmpeM � bmltls or impmves t�ereon anU w�o contracts for SucA Dmjecis wflA a wntractoqs)iicense Oursuant to [he Contractors' State License Law�.l am awara that Oroof otiheir Workef's Compensatian insurance snoula be v�oviaetl to me. . ' � I am eaempt under Sectian: B. 8 P. C� fo� �his reason: oa�e: /2 -�— 8'9 �w I tlo hereby certiry that I am awaie of antl understanA t�e requirements of Califomia Healt� and Saf Cotle Sections 25505, 25533, ntl 25534 and that I onany luwm building occuDant wilUwill not (circle one) nee0 to comply wit� said state cotles antl the requirements for a permit for constmctwn or moGification imm the Nr �ualiry Management District. Hesidential constmction apDlications are exempt fmm tAese provisions. . Daie: Applicant: I �ere�y certiry t�at I have reaA ihis applicatian a state that the above iniarmation is correct. 1 apree ro comply wit� all oNindnces an0 state laws relatinp to Guiltlinq co Ncibn antl her th ' representatives of i to upOn ihe F propeM �orinspeciion purpra�se5. Date: �� f7 Sipnam . � onver's License ar Sociai Secumy x: 1661d6 W�ite—Builtling; Green—Cotle Enlo¢ement; Canary—Applican�; Pink—Revenue; GOIEenrad—Assessor ` CITY UF C:USTA� MESA - DUSLDING PERMIT ' PERM I�O: P Oq5"14:f PERMIT NO: P 045243 PLAN CHECK NO: �.N ` GOVT: N SUPP; N CONSTROCTT6N TYPE: PGR��IIT TYPE: PLU � �PURPOSE;�OTH ,70E� DESCRIPTION : EXTEND GAS, I�INE ��. S� FT:. . „ CLAIM VALUE: CALC-VAI�UE:` �- GROUP OCC: / COMMENTS: • . � �1E 9' iE 1E 9f iE 3t iE 9f iE iE iE it iE 3f if if 3t it iE )E it it �H� if iF if iF iE if �t iF ik iE iE if ik iE k 3E iE 1F jE �E fE iF iE 3E k iF i4 iE iE iE iE 3f iF if iF it iF iF ik iF 3t 9t lE i6 iF jE iE � 3E 3E 3E #�1E � M Z O N 2 N G, R E��U I R E M E N T S ' ' S E T D A C K S � � --------�--- MATN BLJILDING --------- FRNT: FT It�l REAR: FT IN LEFT: FT IN RGHT: .FT IN � ---------.ACCESSORY DUILDING ---`------ PRNT: BT IN REAR:' FT IN LEFT: ' FT IN RGHT: FT � iN PARKINC REQ: PROV: PAHCEL: 41.80$13,4 ZNL:: 'REF NO; � ' PLANNING NUTES> ' � � . � _ . ` . . . !E jE iE iE iE �F jE iE �� )k iE �E fE jE �IE 9E fF iE iE iE �E iE �F iE �1E iE iE iE !E 3E IE 1ElE 1E iE iflE iElE 9f If !F i(-!E iE iE i(liElf fE 1E �Ik 3E iF iE iE 3E iE iE if iE fE iE ik iF iE �X� �i'i@ iE if �%iE �lf �Ik'�c iF iE iE D�. V E 7; O P M E N T S E R V I C E S - A'� Q U I R; E M E N T 5 ,�ONING APPRUVED BY DATE: � BUZI,DING APPROL�ELi BY : � __ � �___ � __ •DATE; ; APPLICATION ISSUED BY: ��r�� DATE:�Z�—�� iEdEiEiE�1F1EiEik3EiFiE36iEiE�Ei'�EiEiFiEiEiE��iP��FSi� rt , iF�'�FR�iF��TFif9EiEifjEikiEi�Eif 1��-� iE iE iE iE% 9E iE iE iE iE if 1E iE iE jE iE iE ff iE iE iE iE if iF iE iE iF fE 3E iE iE if fE lE iE # if iE if �f �( �E jf iE if iF �k iE iE!! iE 3f iE �E iE iE if ik if if iE iE 3E if iE iE iE if �)E �E i6 jF i6 iE iF iE �E iE iE it LEGALIZATION:N F E E• S' U M M A R Y� STRUCTURAL SEGMENTc'N ' t. BTDG PMT PLUMRING ELECTF2IC .MECHANIC FZRE SMIP/RES GRADING PERMIT ' �'.2.00 � 253 � SMIP/NON-RES pT�Are . . � ISSUE FEE 7,00 ' . BUILDZNG-DIV-� P�RMIT. ISSUE PLAN--CHECK TOTAL PAID DUE TOTALS---> ?_ .'00 3, 00 0. 00 5_ DO 5. 00 , 00 REVENOE�DIC�ISIqN TUTALS--> COLLF.CTED; 5.00 OVER/SHORT: 00 HI,DG PMT PLLIMBING EL'EC'TRIC MECHANIC FIRE SMIP/TOT G1tADING� PLAN-CHECK 5.00 � ' iE iE i! iE iE iE if 3E iE ik i.'-1E iE if iE if !f �lE If iE i(-iF iF iF 3E it',f i(-iE 3f iF 3f iF iF IF iE iF k?E iE if iE �1F iF iE iF i( �iE # iE iF iF K- iF ik iE iE iE �� 3E ik if iE iE # if # jE iE iE i4 iE iF jf it i', iE 3E 3E I N D I V S D U A L F E E B 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 PLU 1 GAS PIPING SYS OF i. TO � OUTLETS EAID (JF FEES � � i i z.00 ' z,00 i � � �"_'--�d n100043�51-0004885! TOT 5.00 �ATE: 12/D;/$9 TIME: 11:51 . CONSTRUCTIONANDPLANNWG � ' POOL �PA � APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector � , �. 1. Temporary Electrical Service or Pole � - 52.. Pool & Equipment Location ' 2. �Soil Pipe-Undrgrnd. - 53. Steel Reinforcement � "� r� + 3: Electrical Conduit Utility-Undrgrnd. 54. Forms r �- 4. Electrical Conduit-Undrgrnd. � . ' 55. Etectrical Bonding -� 5. Steel Reinforcement 56. -Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. _ 57. APPROVAL TO COVER-GUNITE � , 7. Footinqs _ � ; ;.^� 58. Electrical Conduit-Undrgmd. /' % � 8. Foundation - �� J 59. Gas Pipe, O Undrgrnd., Test �,� 9. Water Pipe�Undrgmd.. ��lL; . 60. Backwash Lines, P-Trap, O Undrgmd. '� „�t 10. Structural Floor System . : ��• 61. APPROVAL TO DECK ' �� .: -. 11. Property Sewer Line & House Connection !! .. 62. � Backwash & Receptor-F.inal . i - -- }� 12. Sewer Cap � '�i'�.. 63. �Heater & Vent�Final • , �!� • . 13. Roof Drains . •,� 64. Plumbing SYstem - Final � �' ��, 14. Rough Plumbing �'� �` 65. Electrical�Final '"� � � L'' , i' i � 15. Rough Electrical-Conduit �� 66. Solar System-Final � .,' - a .. 16. Rough Electric Wiring 67. Fencing & Access Approval �;1��' � :-� i7. Rough WiringSign � 68. APPROVED FOR PLASTERING�� . 18. Rough Electrical�T Bar Ceiliog � � � 69. POOI(SPA SYSTEMS FINAL . � 19. Rough Heating & Air Conditioning .. FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace - -� APPROVALS � Permit # 21. Ducts, in Structu�e:� � � � 70. Underground Hydro 22.-Ducts, Ventilating : � , -� 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test ' ' ,' ' 72. Underground Flush ' 24. Roof Framing , � . - 73-Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' . . , 74. Overhead Hydro ' ' _ -- � - 26. T-Ber Ceiling (Structural) & Monocoat - - 75..Dry Chemical .. . 27. Frame and Flashing -- "' �' 76. Dry Standpipe � ' 28. Lathing.& Siding ` '. � � 77. FIXED SY57EM FINAL 29. Insulation _ . ' 78:_ FIRE PREV. FINA'L � 30. Drywall,Nailing � _ � �. � � � ' � FiEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat '- 79. FINAL INSPECTION 32..Electrical Power Metei-Final � 80. FOOD CERTIFICATE ISSUED .� 33. �Finai Electric . � Notes: � ' r . 34..Final Heating & Air Conditioning� , � ' � . 35. Final Gas Pipe-Test - (Z jf� (�E(� � . 36. Hood or Canopy , -• � , . � ,. 37. Final Factory Fireplace' - ' � � �- 38. Final Plumbing ,Z..(f� L� , " 39. Water Service-Final - _ , � 40. Gas Service-Final � � ..47. Solar pomesticFinal � � _ � 42. Backflow Preventer � � " � 43. Backflow Irrigation - ' b� � � . �44. Landscape Irripation System�� j -, _ ' ' " � ' � 45.��Sound Attenuation . � � - . � 46. �Handicap Regulations ' --� ' � � _. i _47. FINAL STRUCTURE & BUILDING ��F� • . 48'. FINALPLANNING ' �49� Electric Release to Edison � ' � .� 50. Gas Release to Southem California Gas Co � _ �. � 51. CERTIFICATE OF OCCUPANCY No. Date �uwNtK FISCHBECK CONSTRIICTION DATE 3-4-76 �JOB ADDRESS 951 Denver Drive BUILDING PERMIT N0. 40895 GAS ROUGH PLUMBING � PROP. SWR. LINE n HOUSE CON. eOUGH.HEaTING ANO AIR CON�ITIONING TEMPORARV SERVICE OR POLE FLOOR FRAME AN� F�ASNING LNTHING — IN I PLFSTER, BROWN COAT S �TURAL, FINAL H� NG. VENT., REFRI PLUM9ING, FINAL AN� ELECTRIC, FINA� BWLOING, FINAL REZONE VALUE TYPE V GROUI SUBCONTRACTOR _'� '�� 1��3� '�OV?4-75��«�� 916� *�¢�95.38 COSTA MESA BUILDING•SAFETV DEPARTMENT / P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 A L [ON FOR STRUCTIJRAL PERMIT For Applicant to Fill in Completely — Use [nk Only FE I E BV � E RE EIV DATE IS UE BUILDING C i � � _ , / - � AODRESS � I OWNER �"/SG��/C. Cr�%/C�;S,jc(ii7�d �AP/NO.I - I� -C�� P4RN MAIL �� /� ` `J9� ADIDRIESS �) '� �(" • ADDRESS / k�/ / CITY �'f'�/��/7 /-J�� NOL�SC.�7� TRAC ��('C� LOTJ BLOCK CONSTRUCTION •� W LENDER BRANCH - OWNER �Z� ADDRE55 �'y OREN INEE -1' �/G'�'- �SOGTEL. E (� 9.�- LU$ � FIRE ADDRESS - ZONE �TVPE GROUP p APPROVED CONTRACTOR �j-v/�� 8Y DATE ADDRESS - TE� ZON NO.OF USE OF NEW CITY NO. �' P�� BUILDING �° � _ ��! � /� i.F+ STATE CITV �'AR S APPROVED YAflDS APPROVED �� LIC. NO. 2 D UC. NO. MAIN BVILDING ACCESSORV BUILDING � 512E / NO.OF BLOGS. (FROM UL STREET). (i J , 0. OF LOT �� DUJ�.i NOWONLOT OM �C� FT.��' __ tL��%- � . a USE OF �/' � EXISTING BIOG. �. ) T FT .�-i `�� FSeparate permi[s are required tor L. SIDE ✓ FT. FT. Welectric, plumbing and heating work. REAR �`FT. / �� Fr. [.., USE OF BUILDING AND N�ORK TO BE PERFOFMED DISfANCE BEf. BET. MAIN & Q - / MAIN BLDGS. qCCE55, eLDGS. J // _/ /�FS% l�iC/l'� �il//Y'iTC i�%L C URP. �W APPROVED a �` 1 � APPROV // / � �. � �., b{./ _i ' a w � 1 haraby ecknowlatlpe tMat I �mia reetl this eppllention enE atnte - —'- � N y� Mat the ebove In7ormetlon 1� correct end apree to comply wit� a m all lewf repuletlnp bulltli�p eontttuetion, entl I shell not employ � z any perwn In violetion oi Me workman'f eompantatlon lewi of ` � the Stata of Celitornle. � � m 3 I heraby certity that I arn ProOarly Iicensstl af a conbector unCer � S�. FT, H tha Smn of Cellfornia 8��en entl Profasslons CoCe, Dlvision 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOR m Chaptar 9, entl thet �ueh I�eentes aro In Juil forca end effect, or I THE PURPOSE OF ESTABLISHING A VEHMIT FEE ONIV: � am axampt from Ma 0��'f�lons of �Smta of elifornla Bueinau VALUATION PERMIT FEE f � and Prolesslo:t�0; DIV��I� ,�r 9� m /� ` � PLANCHECK E UQ a SIO�atur �of L Pe�mlKto $ �3� TAX E 3� 3 V Authorizatl Apant / TOTAI PAID E ''` LyID� COS7A MESA BUILDING•SAFETY DEPARTMENT P.O. eOX 7200 COSTA MESA. CALIFORNIA 92626 PAIL �aR-4-,��r,�.00 243 ��isa.rn APPLICATION FOR STRUCfURAL PERMIT For Applicant to Fill in Completely — Use Ink Only HECEI VEO BY DATE RECEIVEO DATE ISSUED BUILDING / ADDRESS ` PERMIT NO. OWNER � A.P. NO. BUIIDING �� ADDRESS ADDRESS � TEL. TRACT LOT BLOCK CITY NO. CONSTRUC770N W A p' LEN�EP BRANCH OWNER AODRESS � VAL � �� ARCHITECT TEL. S OR ENGI EER FIRE ADDRESS 20NE TVPE GROUP APPROVED CONTRACTOR BV DATE ADDRE55 TEL. ZONE NO.OF USE OF NEW CITV NO. PLAN$ BUILDING STATE CITV VARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILOING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/LSTREET) OF LOT NOW ON LOT RONT FT. FT. VSE OF EXISTING BLDG. SI E FT FT Separa[e permits are required for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILOING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCE:.S. BLDGS. • VAR # 0.4TE C.U.P.�. APPROVED APPROVED I hereby ecknowlatlpe the[ I heva reatl thie epplleeNon entl state that the abova Informetlon b corract antl oprae to comply with all lews /eBuletinp bulltllnB �onrtvucNon, entl 1 shall not amptoy nny parc0� �� o�atlon of Me workman'f compenaetion lawf oi tha Stata of Celitornle. I heraby cartify thet I em properlY Iicensetl es a eoniractor under SQ. FT. the Smte ot Celifornie Butlnan antl Profeniona Cotla, Dlvlaion 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR Chaptel 9. Bntl thot �uch Iicencea era In full force end effect, Or I THE PURP�E OF ESTABL6HING A PERMR FEE ONLV: am ozempt from the provielonc of the Steto of Coilfornia 9usiness VALUATION RMIT FEE E antl Profeaalona Code, Dlvislon 3, Chapnr 9. PLAN CHECK E Sipnoture of f� Permittae � /J% TAX S /ri AuthorlxBtl ABant TOTAL PAID E OWNER NASH � T. • Drive ". PROP. SWR. LINE �_J MOUSL CON. Lf .� �\�SPRINNIING SYSTEM MISCELL�NEOUS �1�ROUGN ME�TING �ND MN CONOITIONINb TEmPOR�RV 9ERVICC OR PO�E UN�ERGROUNO � POWEq � ROUGH WIRING BOND BE�M � � �STEEI R SME�TMING FRAME ANO FLASNING L�TMING - IN n OUT P' TER. BROWN CO�T .TUR�L, FIN�L NE4TING, VENT., REFRIG. A PLUMBING, FINLL AND G�5 ELECTRIC. FIN�L DATE 10-7-7i BUILDING PERMIT TRACT FIRE ZONE VAL SUBCONTRACTOR F � a Q y y x F G � F a C1 ..1 Q 7 %^ � 0�. W 4 O � a z W S 3 r 42830 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 90X 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDIN6 f`I /"� ) ?l�s�-. i./�r/i OWNEfi BRANCH ARCH CONTRACTO(i ADDRESS CITV STATE ll4 NO. SI2E / OF lOT L. USE OF r a`L•2 TEL. NO. CITV LIC. NO. NO.OF BLDGS. NOW ON lOT Separate permits are required for elec[ric, plumbing and heating work. USE OF BU�LDING AND WORK TO BE PEFFORM1 ?Ci-7-��,�r°,—�'00 32�* :rKt:,•:�8.50 I'OR STRUCTURAL PERMIT R r_ NO ADOR K OWNE FIRE ZONE APPROV � � NO.OF USE OF NE � PLANS BUILDING � VARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING DISTANCE BEf. BET. MAIN MAIN BLDGS. ACCESS. BL VAR.# DATE C.U.P.� � APPROVE� I haraby acknowletl8a that I have reaQ this application antl siate � ihet the above Iniormeiion }s correct and apree io compiy with � m all laws retlulatin8 builtling conrtruction, antl I shall not employ any person in violatlon of the workman's compansallon laws ot m the State of Calitornia. 1 hereby certify ihat I am properly Iicensetl es a contracior untler SQ. FT. N the Stete of Callfornla Business and Protessions Cotla, Dlvision 3, T E AMOUNT SHOWN UNOER VALUATION IS FOR m Chapier 9, antl chat such licenses are in full force antl etfect, or 1 THE PURP�E OF ESTABLISMING A PERMIT FE ONLV: " am ezem0t from the provislons of the St9la�of Celifornla Business y and ProfessionaCotle, Division 3, Che t�9.' VALVATION PERMIT FEE $ N � � SiBneture of /r P�N CHECK S "� �� --s � �Z o Permittea � $ ��f TAX $ /J' LL 7 A �� V Auihorizatl A6ani TOTAL PAI D $ ��