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Home My WebLink About2729 DESOTO AVE - Building PermitsApplican[ to fill in all spaces except t�ose wilhin �eavY �orticr Iinas anC slgn all approoriate Eeclarations. CITv bF cOS7Ap�mESpn j�CO� 7S-�T,RUCTIOnN PERpMIT/�^( Prolect Address (�� 1 vP. B1 u�✓�i �, (� �-I 2O[.f� A IiCant's �� pp NJailingAddress Owner's Naqme ( ��, /�(��r7�� Address pCT'�--.�v- �'u�=MT_��n1..lp� Arch/Eng. License No. Address Contractor's Nam Phone Address (mailing) City License No. I.ICENSED CONTRACTOR DECLARATIOPI I nereby at(irm that 1 am Iicensetl under pwvi5ions of Chd/�e� 9(Commencln9 with sectlon ]000) ot Divlsion 3 ot me Business ana vrofeszions Cotle, antl my license is in full torte ana elfect. Ucense Class Lic¢nse No. Daie $Ignalure WORKERS' COMPENSATION DECLARATION �hcreby aRirm that I have a cerUticate of consent lo zelf-insure or a certlficate ,f Workers' ComOensa{iOn Insurance, Or a certifietl copy thereof (SeCtion 3H00, Lab. C.) PoliCy No. COmpany 8 Certitietl mpy is heYeby turnishatl. Ce�Ufietl copy is til@tl with Ihe city Bulltling Dlvision. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThiSsection neetl no[ be complatetl it the permi[ is for one huntlretl (SS00) or Icss). I c¢rtify that in th¢ p0rlormanta 01 t�e wo�k for which thls pe�m�t is izsuetl, I 'NO'1(ICE:`If, atte� mak{�q tnis tloGladatlon, you ShOuIA becomo Subfect to the Workers' CompCnsation proWSions ot the Labor Cdtle, you muzt (orthwith comply with such provi5ions o�/this Oe�mll shall b¢ tlaametl rovoke0.� CONSTRUCTION LENDING AGENCV I hereby a/t7rm Ihat tn¢r¢ iz a conttruCUon lentlin9 dg<ncy tor Ehe per/ormance 01 lna wark for whicn this permlt is I5sue0 (5ection 3097 Civ. C.) Lentler's Name Lenaer's P.atlress OWNER BVILOEI2 OECLARATION I haroby atflrm that I am Oxompt lrom'lha Cont�aClOr's Llcen50 Law for the following reason (Section 7031.5 Business antl Prof¢ssional Cotla: AnY ��ty or CounlY whiGh requir0; a permlt lo coOstruct, alt¢r, impwvo, tlemoliih o� repair any sVucturo, pdor t0 I[s Issuante, also reqWres the applicant (or such permit to flla a slgnatl stalerqent that h�/Slle IS Iicensetl purSUdnt lo th0 proWSlOns of the Contrac[or's Ucensn Law (Cnapter 9(commencing with Sectlon 7000) ot ]ivislan 3 0l tM1e Buzlne55 antl ProtC55ions Cotla) or thal no/sha is exempt he�ofrom antl thc basis for the allo9otl axemption. Any vlolation ot Soctlon i031.5 by any aOG�lcant for a permll subjects tne applicant to a civil �enalty ot no[ more than five huntlretl tlollars (f500). 1, as owner oi tqe oroportY or my employees with wagez as [heir sole -compansalion, will Co the work, antl the strutturo is not intondetl or ofteretl lor Salc ($ettion 7044, Businezz antl Grofesslonal Cotle: Tho Contractor'S License Law tloes not apo�Y �o an ownar of a property who OUIIEs or improves lhereon, antl wh0 �oei Such wOrk hlmSMf/berself or lhrough his or t�er own employ ces, proviOeU tnal sucb Improvement5 are nOt IntOntletl Or otteretl tOr salo. Il, however, [he builtlin9 or improvement Is soltl wllhin ona year o/ com- pletlon, the owner wlll nave the buraen ot provin9 he/she aia not builtl or im- prova fOr lna purposa of sale). ❑ I, as own¢r oi lhe prOPerty, am ¢xclu5ively cOnt�acting wlth Iic¢nsed con- Vactors to cons[ruct the Droject (SeCNon 7044, Business antl Prole55ion5 Cotle: Thn Contractor's License Law doos not appty to an owner of Property who bulltls or Improv¢5't�e�eon, antl wno Cont�acts fo� Such pro)ect5 wltn a con- traCtof(Sl Ilcense pur;uant to tho Contlactor'z �Iceni¢ Ldw). I am aware tbat prooi o( their WorkQr's COmpensallon Insu�ance shoultl bo ptovitleG t0 me. ❑ I am exempt untler_5¢ctlOn---�-- B. A P. C. Por Ih15 /eason Date 1 ha/eey certity that � have read�this informatlon is correct. I agree to compl antl sia[e laws relating to builGin9 �ons sentatives of Mis� dty to enj�y uDon � I Drivers"Llense or 55 � CMF 0865-46, rev. 30/84 . ._._. . _ __.. .._. TVPE� F CONSTRUCTION ��D� .qDD • '�TERATION REPHIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' DESCRIPTION OF WORK/US F�y DG. LL1 1 0 �7� TVPEOFPERMIT GRADING FOVNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL . ❑ OTHER PROJECT DESCRIPTION Sq,FT. oCcuvnrvCv � CONSTftUCTIONTVPE V—I�-t VAIUATIONS ZONE GRADING CU. VDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains ' Floor Sinks Gas Service Outlets Interceptors Kitchen Sink ' Lavatories P-Trap Roof Druins Rainspection Fee $15 Dutt- Under Ground Duct - Strucmral Duct - Ventilating Exhaust SYstem ❑ Multiple ❑ Firepl/Fact.8lt. ICBO # Heating System & �ucting QP700,000 BTU �100,0008Ti Reinspection Fee � $15 ite - Builtling; Canary - qpplicant: Plnk - Accounting; Goltlenrotl - Assassor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors' Solar Tank Swimming Pool w/Spa Urinal Water Closet ' Wa[er Heater Water Service Auto-Wash Laundry Treys Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑4100,OOOBTU ❑100,000 System Repair/Alteration Fire Oampers Registers laua Fae FEES A.P. �1'+ (� � S Main Building: E T Front A Rear � � C Right - S �eft � Ping. Ref. # Planning Notes: Automatic' W asher Construction Pole Su6. Cooking Unit Dishwasher Fan F.A.U. Fix�ures Device Boxes Outlets Switches Garbage Dispoul Generator 00�5 KW 6682 7/15/B5 Z — � - Zone � Q Accessory Building: ELECTRICAL Trans(ormer ❑ 15�50 KW ❑ 50+KW 5KW Meter LJuo to 100 Sub Panel Motors00-1 HP�1X-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign ; Standing Sections Trash Compactor S�SC Reinzpaction Foa §75 laue Fae FEES DEVELOPMENTSERVIC SREQyIREME TS: 2oning Approved By �� Building Approved 9y Aoolintion Issued BY $ 3 17o0u TL Z O N I N G R E Q M T S FEES 53 SUMMARV OF FEES � BUILDING PERMIT $ �., � SMIP $ PLAN CHECK $ Ce < E1O pERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL § GRADING 5. PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ I i� 00 PLAN CHECK z5% $ - - , CONSTRUCTION AND PLANNING PO� � SPA -. � APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Tempora�y Electrical Service or Pole � 52. Pool & Equipment Location ;� �� 2. Soil Pipe:Undrgrnd. - 53. Steel Reinforcement � � 3: Electrical�Conduit Utility-Undrgrnd. ' 54. Forms ' 4. Electrical�Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 7� 58. Electrical Conduit-Undrgrnd. � 8. Foundation '. � � 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. �' 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer.Cap 63. Heater & VenrFinal � 73. Roof Drains , 64. Plumbing System - Final � 14. Rough' Plumbing 65. Electrical-Final 15. Rougli E�ectrical-Conduit 66. Solar System-Final , 16. �flough Electric Wiring 67. Fencing & Access Approval , 17. �flough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Duc[s, in Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FiNAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Finai Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplac� 38. Final Plumbing .� • ' 39. Water Service-Final . 40. Gas Service-Final � ' 41. Solar pomestic-Final � 42"Backflow Preventer 43. Backflow-Irrigation ' . 44. �landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison •'. 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY ' i, ' No. Date . ; i .c�tAPPROVEt CMi► af Cosia Mesa Buildirg iHESE PtAN5-MU5T 8E GN JOB fi ALL TiMES 'MAI(E NO GiANGES N'�THaUT PRi00. APPROYAI' _OEDC�f_�-----. _._—__�_�_ iHE ISSUfiIVCE OR GfthYii\. CF A FERvI( L:2 Re'FROVAL OF P1A0iS ki1D SPECIHCk7tLWS :Hr+lt �'�� Cc C0:lSTRJED TO BE A PERNIT fOR, OR F.� F.FC@07i,L CF, l�YY \':^'_A(IUN OF!-N'( OF THE FROUF_(0::5 CE 7HIi C�E. fi7 P�4H1� PHE• Sl.MIN6 TO C1VE ALTHORITY 70 \`O:A7: ON Cl.YCEL 7HE PROYISIONS OF THIS CO�E S4iALl BE \'ALI6, CX:EP� IN SQ FARlSTHEWORI(ORLSEN'HICH ITAUIHOR::liISIA'NF,UL T:lE ISSUMICE OF A fERV,Ii BASEO !!FC)1 f:AUS AND SPECIFlCATIONS SNALL NQI PREVE[:i iHE f0!:Cl.v; OfFiClAL' FROM THERCAFiCR REQUIRING THE CCFREiTION CF LRiiOHS � IN Si11D PLANS AND $'ECIFICATIOi�i OR �FROM PRCVENfING '� BUILDING OPERAilONSBEING CARRIED OIV 7HEREUNDER WHEII 1N VIOLATIOyOF iHIS CODE OR OF AN'C OiN.ER OfiJli�4i�k OF TH� �lIY, � . . � ��lnwCn i AQ N LL O�F- � U aX� �� g � M � �.� ...d �..,. ...._._.o=s..., v� • �� . . ��y,�ff'ii�:� " F.� ` IA�PfRD.i�.pl! �TNLw( � � SEP,YYRl�1TiE�P.BfTtVlfi'S'�.'HE �"[iJ�REO ' � kORifiL'EC7'�lGAL. P`�1;�^:'a!'., 'NEAT(NG. VEA�'fIIST ••': ;, ;D - -! REfRIGc,�s?1i�' ..� �� . - �� e��y{r ;:Q/-9..��/_�i,� TNIS Pru�o E::: r, .._ "- ; i ALL iiy,":.'�L � �li.. . , 1 _---^__._� FQR 0111101NG5 WHE9t ��HStr'� :<'1= T1 5i � i EMP:U1'FQ WE SUGGEST lkc� Th<: 'k' UF fAiIFOHNIA UIVISION OF ING.iS�di�i i.rBTY � BE CUNS11LfEU fQR uLUlTtDNN! % fi;�UTAEMENTS. � � . . ... . . . . .. :.. . . . ...:.r.n: r.... . .. . .. . . . . .. �.� _ . . .. �Tll�nr�n 1 nl��r n+r�+� 1�I. ..rn.. 11 �/l � �1 n1 � n� �� AooHcant to ti11 in all sD�ces exceD� those within neavy DorUer Ilnas ana sign a11 aooroDrtate Oeclaratlons. Cirv OF COS7A MESA!1�y COf�NSTRUCTrvIOIN PERn�MITq^/ ProjectAddress ��L'1 U�� n'�G CAYI Idh� � Applicant's Mailing Address �� T• Owner's Nanm/e� /�� Phone ��[��n-�r-C�y Addreu d I�_I �iF �oi'0 %�'✓—� �,/i1 ��'�/ 62G— Arch/Eng. License No. Address Contractor's Nam Phone Address (ma i'�� City Licenu No. LICENSED CONTRA�TOR OECLARATION I hereby�af(irm thal 1 am Iiconsetl untler proviSlonS OI Chdrt¢r 9(Commoncing wi[h section 7000� o( Oivislon 3 of the B siness and Protessions Cotle, antl my licenzc is in full torce antl etiecL O License Class 'cense No.� Date Signature W00.KER5' COMPENSATION DECLARATION I hereby ailirm that 1 have a certificate of consent to selt-insure or a certlflcate of Wo�kerY ComAenSation Insurance, o� a certifietl copy Ine�eot (Section 3800, Lab. C.) . Policy No. Company eCer[ifietl copy iz h¢reby fwNzhetl. - Certifietl copy i5 tiletl with the city BUiltling DiviSion. Date Applicant EXEMPTION FROM WpRKERS' COMPENSATION DECLARATION (Thisseclion ne¢tl not be completetl if lhe permit i5 for One huntlretl (E300) or Iess�. / 1 certity lhai in the p¢rfO�mance ot the wo�k for whith_this.pe�m�Fis�i55uetl,-1— Oata ��{„_�(—._d�`aignature _L '� NOTICE: If, a1toY ma4ing this aeclaratlon, you shoultl come subject to the Workers' Compensatipn provislons ot the ldbor Cotl , you muit fOrthwith comply witn SUGh provl5ion5 or tnis Oa�mit shall be tleemetl revoketl. CONSTRVCTION LENDING AGEMCV 1 hereby aHirm that [qere is a constructlon9entling agency tor the Oerforman<e ol tbe work ior WhiGh lhis Oermit is Isiuetl (Se<tiOn 309] Civ. CJ LpnOer's Name LenGer'S Atltlre55 OWNER BUILDER qECLARlITION I hareby aftl�m lhal 1 dm exampt trom tho ConVactOr's Llcensn Law tor [he lollowin9 reason (SeCtion ]031.5 Buslnass anC Professional Cotic: Any tlly or county which reqWres a permit [o tonztruct, alter, impwve, demolish or repair any StruCturC, prbr �o its issuant¢, also �¢quires [h¢ applicanl for zuch parmit f0 1i1¢ d SignOtl 5lateTOnt lhat he/ihe Is IICCn50tl pU6uant to Ihe provisfOns ot [he Contractor's Licenu Law (Cnapter 9(commencing with Sectlon 7000) of Division 3 ot the B�sinoss antl Protesslons Cotle) or tM1at he/zne is onempt Inere/rom an0 the Dasis lor t�o allegetl axamption. Any violation of Sactlon ]031.5 by any appliCanl Por a petmi[ subfects tho appllcanl to a civil �enalty oi not more �han tiva huntl�etl tlolla�s (5500�. I, a5 Ownor ot thC proDerty or my emplOyees with wdges as Ihoi� sole compensation, will tlp tno work, antl tha sVucture Is not tntenaetl or oltaretl lor sale ISection 76a6. Business antl Protessiondl COtle: The ContrattOr'S d5 .aw tloes not apply to un owner ol a propertv �n oWias o. improves antl who tloes such work himself/herself or throu9h his or hor own is, provitletl tha� suth ImprOvements are not intentletl Or o�le�etl lor �owuver, t�p builtlin9 �r imOrovemenl iz so10 wlthin ona year oi com- he own¢r will have thu burtlen oi proving he/she Oltl not bulltl or im- the purpozp ot salo). �wner ol the property, am exclusively contracting witb IlcenSOU corv o construct t�e project (Section 7044, Buiiness antl ProfeSsions Cotle: lraGlo�'s Litense Ldw does not apply to an Owne� 01 properly w�o bWItlS or improves thereon, antl wno contracts for sucn projects with a con- tractor(s1 Ilcanse pursuanl�lo the Contractor'S License Law). I am aware tM1at proof of [hel� Worker'S Compensation Insu�ance shOultl be prOvltlCtl to me. ❑ I am exemp[ untlpr Section B. & P. C. fo� thi5 reason Dafe �( � 1 A �.S lL Owner I hereby certify lhat r bave rea� Inbrmation is correCL I agree to antl sta[e IdwS'r¢lating Io builtli� sentatives ot this city to enter Inspection purposes. Signature tnat tha aDove �, I� D�I-�1 I 4� I ��' I TYPE OFCONSTRUCTION NEVJ� A�O ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTMER DESCRIPTIONOFWORK/U$EOFBLDG. �/��+ --F--c� �C`a�v ^rt7 �-/� �(' e/Z TVPE OF PERMIT �`RqDIrvG L1 FOUNDA7lorv U STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PRWECT DESCRIPTION So. Fr. oCCUanrvCv CONSTRUCTION TYPE VALUATION S � ZONE GRADINGCU.V�S. P.CRES Rema�ks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks - Gas Service Outlets Interceptors Kitchen Sink Roof Orains Roinspettion Fee � $15 Boiler Duct-UnderGround �UCL - $ifUC�llf91 Duct - Ventilatin9 Exhaust System ❑ Multiple Firepl/Fact BIL ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 I I I Reinspection Fee I 515 , Drivers' �icense or 55 � " � CMF 0865-46, rev. 4/84 White - Builtling: Canary - Applicant; Pink - Accaunting: Goltlenrotl - Assessor Showers Service Sink Sewer Cap ` Sewer Connection Solar Collectors Solar Tank • � Swimming Pool w/Spa Urinal Wnter Closet Water Heater Water Service Isuo Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System �0.700,OOOBTU ❑100,000 System Repair/Alteration Issue Fee FEES $ 3 FEES $ 3 A.P. ;W � � L}-Z — S Main Building: E T Front � e Rear � 1 A C Riyht � S Left 53 � Ping. Ref. qlE / Planning Notes: rJQ„TI n Automatic Washer Constructior Pole Sub. Cooking Unit Dryers IJGas Fan F.A.U. Oevice Boxes Outlets Switches Garbage Disposal Generaror �0�5 KW I Reinspection Fee � DEVELOPMENTSER 2onin9 APProved BV J 8uilding Approved By 7522 8/3I/84 Zone Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps - — -Meier�over100 emp's � Sub.Panel Motors �41 HP �l `rS - 8 Ina Solar �9-15 HP 076� Microwave Pale Li9ht Sign Standing Sections 5 KW Trash Compactor §75 � � luue Fea 5+ I�.OD iL FEES $ 3 SUMMARV OF FEES BUILDING PERMIT •$ IO. Dn SMIP $ . S�i PLAN CHECK $ �• S� PERMIT PLUMBING $ ��UANCE 5 PLAM CHECK 25% S ENERGY P.C. S ELECTRICAL § GRADING 5 PLAN CHECK 50% $ MICROFtLM $ MECHANICAL $ TOTAL FEE $ ��•4� PLAN CHECK 25% $ Z O N 1 N G R E � M T S. CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Condui[ Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings. ' � �% i 58. Electrical Conduit-Undrgrnd. 8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � . 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Foof Drains 64. Plumbing System - Final , 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro _ 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. koof Framing 73. Underc�rnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing `� � � 76. Dry Standpipe 26. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test 36. Hood o� Canopy 37. Final Factory Fireplace . 38. Final Plumbing � 39. Waier Service-Final ' � 40. Gas Service-Final 41. Solar pomestic-Final ' 42. Backflow Preventer � 43. 8ackflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 9'�8� � - 48. Special Requirements Completed 49. Electric Release to Edison � ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date w d � � 0 0 0 � T01 Vi�W � E LAYO Q � � -- �PP�O�� - -. Ciiy of Co t.a Mesa Building De t. ev ._._.entE�i4 THESE P�.ANS MUST BE C:l JOB ALL TIMES MAKE NO CHANC-ES N'ITHOUT PRIOR APPROVAL' OF DEPT. 1HE 14.CF.":CE C2 C:.VTU'; C; A PEdV;� C3 APPROYAL OF PLANS F:;D :fECIf;CFTIC:�'S 5!'.^LL P'�� BE CONSTRUEU TO fE A fESS';T (�3, C? fA F;,^^�;'! CF, C,9Y VIOLAiION CF l.ftY C' THE fdCl�!_:C' ; CF THC C;�S. f;7 PERMIi PRE• �6MI�G TD CI4'E AGTH031iY T7 YiC'ATE 03 CAVCEL THE FR�Pi:;:t:", CS 7,:;"> C�CE °4ALL tlE YAIID, IXC6°( IN SO �".R l3 }„E y,OnR L.2 L'�SE �F:ICH If AUTHORIZ:3 15 IAWf,UL i: t I�YL'^NLE CF A F_4.Y,IT 6pSk ) UFCY P1/49S AND 8FEC1,';.^I�T;CnS S'1ALL �,,� 1 nEVE�I� TH! 6WLOLVC OFfICIAI �6C'7 THE�LI.flCR FEQUIdING 7HE C07fi:CilON �F t,'�RUStS IN £AID fLA�S F V SFECIFICATIO^;; OZ f:20M PREyENTING FL'ILDINC CFERAT;C�vS 6EING'�CARRIED O.Y �HEREUNDER WHff( 4 PI^!l,II;V OF 7H'_ �NUE OR OF ANY. OiHE� 0{jD�jl '1C�C!7Y. �. - "—"--...._-.e. I W � � F� c� � Pr�� s �(�� r� �� - �Pa,1�o) , Cb��r ' } r n n` e. ..�:��• `�f r• t.� y S^ � c i � R' r ' i t} •1 ` y ��N � �� 4r� �` `'� '�9� ;. ,.�.� � 'f' �' v'i '�� tq � i i� "� �a� i t�ff"�4 fiJ'a�{� G� �1 1�.` ii i�� 'i �� f�i441 1 .A �I�p <. rit t Y F-k �4�AN. 1 � i�A t � �� Fy �(� yli� �� F; ri� 5 -•il" �i�r 1 i 4 1'��r.JriLi�. ��, �� S. ��s�F� R$f�1i ��1�.�: �', i . t . V . ! �..r�� ✓ �ii .�=i��'t � �`�1_ � y f°�'i f � �� i i ! ; ' � x . f : i � l i � � „-4 .� i d q � P � � i . j i � -i� i �!� r � r . � r ' . . . � �1 4� ; , � � i: i ` ' �' � � � f � • . F.:� 1�,: 4aJ t:i � 1 �� ° � . �� , � � � �� ` �� ' � ' c � • � C : I . ' � ' �. '� t� iY.4W w rrp� .� t : t i', . ! I '� . r. i � -, f c A,� ry'� ^[j �,� u� � tT . . ' 1 . l 1- �� i i � i' ie e�x7�1' �{\ JY� ��J � (,�9<� �t��' f� ��' � ti � , �r �, y '�� u.'� �- " c � � . � . P � '3 n 4 r �� f .� Gi.l � i� 0.�i � i F� �:�� r i' � � � > � ry ' � � ' � : :. � �:;��1��{��>t��.�,� � � ��Il(1(1��(I��11�CI(l��fl�ll�n;=--;,�.` . .z�• x s�� Ftnu{,n snwn ' ' ' ' ' , ' ; ` ' Led�cr la� to House , t ; ; - , ,. , + ' .' ' ` ' �' f ; ;' , 1 ; S + � � with 3/8" Diametcr t «: t . : One PaiP 2" X 6 � ! .; p � � � , � + f: , `; : Lag Screws Spaced j ' � � � d r, Rough'Sawn Oouglas F�ir. � _ � ; : , . . , : „ : 32" �„ n�,��.. , � , . o :- : ,: Grab Beams•One Each .' iAlternate Top Moi�nting, .' i Top of Er.istinc� �' '< Sidc of Post'( Typical ) If Desired 1or,Door or_' Door or 1'vindow ,� , ; � Wmdow Clearance \ ' ` ` '' i �. II. .—� �----.� _ ___ '`LIJ�� L�=1�v , � ; N : .� : ;,;_ � ,[� -_._ _ -_— i--_=---- ,`--------�--`� ��' _ `L� �) . � Vz Diameter � ` ` : , � . ' - s ;� � � , (.arriage r � ;' 2 X 6" Rou�h �_• . ; Efolt. I! �` • • ` � {. , , Joist U Hari�cr , o � � ; 4" X 4 Flough Sa�vn: % �' ' : to,Ledger > � � ; t .. !' ? . Douglas Fir Posts' �� -'' ' ; , ; ! .. ; > : i ; ? , ; �; o : . � I:, Spaced 5'0".Center ; y'YPical_2" X 3'-Rou�h�-- , ' —�, � ( � _ � - �� ;;.. ,. � , , `� ; , "�: to Center� �` i � � � Sawn Douc�las Fir � � : ' . u�� , ',�i�. ��I �. . I. � r ' ' ' - f ( J�. ��5�� . ; Sj>accd fi" on Centcr.' , ,.� � r �I ; ' ` • �'ra � • -': :' ,�°. i �j I � � � � s ' : : i� � ' t House Wall:—s i � � ,� �:i .,;I.,I:�. . i ' ;; `! ,;' ;� <: ,� , " `�' I I �I '�;`�� ; ' .' ��,�- ,'; ;: °o' :7 �� i i' i � � � , � : � r ' �. • ' _ � ' � II ! � � � - ' �+ { " I I ,� ' SIVE VIE�V . - _ _ _ - ili � � �! �' �� f _ � _ �7 .I y ' � 4 —� • . , + I 1 .� �� 1 �?�, i Sce Local Code ' 1 � � : � ' '� ? . i � i --�- - 9 � .;� ` I (� � ;Fcr.Minimum Depth , � y ; ; " I � ➢ }• f , ; ' ' ; I , � � �� ,. (� . , f , '!' ; , , �.. . , ,: ,: � � � ' � '� � , �� -� - I . . , . . ; � � �; , ' : � � - - �I . . �� ` - ! � x�i2�. " 1 General Notes � � � � , ° + ` - - - - - - � �-�3> ; � . . ? ; ' �': All wood should recelvc� two coots , ` ? ; � � , � - i� ;�� n�eld �' .. : of a flood quality sinin. . ; . , � � ;, � • Grob beams have no slo e �� r' . ��s Patio roof f�,as no ccverinp �. �; I v-- I it � p, n' .. � ' do o -�� j.as r ' _ . . , E • Builder to verify all min�rnum codo � ' . ; , , , I , I,`�; I , : � I o . �� ' ' � . � requ�remen's before bec�i�ning , . t , � � ' � , ' ; , , � . ; J , � ': , , ' , , , i1�. ; (_`+�.:.� ( , � � i , COf1SifUCtivil • . 4 � rv , o ; n . � , r � - ' �1 3 ' k ; � � i ` � � 1 '� � � � � ' '� . y ,- .�� All wood rui dougla� f r G � �� ! t �: i r. !, � J �� l; j p j! �� y i. +�i�� .� � > � '1,'� t ir I � S ( ,� nE �, t � . " . _--_ �//� � ' . , , • � . "1�P. : ' � �� '�} }� ^6 1. n 'e . � 2 ' � hl0'T" , �C°�: � � , � d � F. ' , �s,�'6'�.nl�c . 4�j < � "%5��ST. �1 �.y _,. 4j} :-c Existing ' =12" Ciameter' �:Of1C(C!? ' Foeung , "' t_r �j' // � c i � II� ,��ix,�� l � Cb .t Grip i� � . �.�. � �::� �li �"' iir �•'-, 1J^` /T/� .i 1� 1: t /'�[�/�y .Ci,•4•.1 IC / Y. �•, v {{ H. p ��I � Il:l`�llv�I H;l4�:r�fA��L��!I�I4rll!'�'f!}�':Gi.�{i :i.'�if:`�(.u. L]I�5\'hr�tt+�: 3'�W �J�l;.S:.y�i i4•Y� ��.,�y'�� iiM� j S ' ' �DO IT YOtlRSELF � { ' � � ' ;.; ��iATEfdiAL L1ST � „ � � , , � � e � - � , : s ; , S � '; •� � , , � : } ' � � � c + �� .j � �' �. � � � . r'� �' � � i'� �2' � � � y �� .�--c�vn ?M� ;� . � ++ t pl f ,..� : ; . �.. ; (i 7 � ° ' � 7i ��l�-L. , �. �_ . � '" r i- � ra� .. 7 . ', z . , � I , ----� , � I � ,.. a�� t EIGLU TO ' ,, I. Ilyc,uplun+o,:>ointorsiciin' eY: LENGIii • �E"�I��PTIO;J' ',.• ' ° . x � n rm� r��,; I youF��ilioliar�i,�,neqcJ�:r �- �_ -- - -----�. ;.Ifi i.t.ih��,� f I L�I<.�cks, etc., il wi!I b� rnuch �; -- -1--- --� ----- - , • �. {.� �.'A �,�u f.. f...r �� I .'L,O i7 YUU �.r,E�F � 10' n">'q' I OSIS � {--1':0:..:. ,: .�..., � . , i, - r;c�sie.i 10 do i� nOw befOrO : —1 rc„- r.-- - �------ , i � i ' ,: ; . � � �., _� 4i � '. a :: . . � cist�:inbiy ihis will ihen , l t 'r_.� i�,..��= 2 "u i [.n=E-r- — ,. : , �� . < . � � i P r � ; , ; , ; ' , : ordy require tour:hin� up ., , �.: �1' 7 rG GI'/`,li [s!'P,Ni � }�->;T.r-., E_ �- _ ,�v:•' �"`S` , � � �afler your pro�ect is. - ---.^ . .___ r ; ""� •- . � : ` ' . � i ,' . `. 10 �' x5" GI:. •,Is Itl n^.4 Y � . . � - � CpmplCtC;. , , � . __ . .. _.. � . � i ' ..,-r r -+-1 -^Y --�p, ' . �2 1"xn" viin,�3 ��.nn,� i. t�.. � � f� � ' .^.'1 i: ii y j/' ', s � � ; • , . : ; �n ,.,xv�� cizn� i3rnM , ' : , � i � �_. � �t ;1 � � �' �; � ;---. �s , f'`, ?.. Locale fust stud In walh ,.: •` � , � H � i 1:� ,� � h ' , ��E:OfC-51 f 112 8f1C1 Wf1G'fl3 ,, . _- � �� .. �' ; j 4. � �; t� � �.� !i ( � ��' � �� ! � . �. ,. you evant yoi ir patio to .; ' 1G 2" xG" GRP�y 9LAM i � � , , f , � � a i'` �� siort , � �� _ �/l L'x3 IATTICE i -� �1 �.�± �° 1.!�. , j..t ,..c � ; ; .�____ - �--�.-. w-.,.-, �' i - ' � ' ' - 4" x4" RUF Pc>ST�.�iLF� , . � � �' r . � ' - I D.�'1 yl �'w p 1 , � , , _ . � �. � r��; � a � �:� �yr F , ; , ;.3.Ir�lcnirrlucr�!atelowcll, -- 2„xb"!�Uf K)lol i • ..,� � f'' 1 � '{ �;�� [ '? < usin<,��/II"x51/1"Iac� . x; finN��Cl2 : @ `'. '� I I � � �^ , ' i � ; ;cre�vs and washers. 16d E G ROX NnIL, . ; : � . � � � % ;' � �' {: � ��,� , l � , � - i � _ �. � : ,IF�� 1- � ' " � h---i i��..., P..-lP --'--'-� � Space32"oncPnter,' `= -- '� � �y(�;, � f,,, • T'� . � . v:hichisgenerollyevery < :" :.'�/ i:j-. , TECOtVAILS t � • �aF::,--'{� t'� €+,y�j� ��'+ �� F' • ` �� >� olt��rst.id" - 1/2"x9"CARRIAGEElOLTS �' ` � v l i I., ad�i� s3�� t_1 . �'� ' , , r . a -,; }, � � ` ." 3/8">:5-I/2' L/�G , ' {('` �--='-- - - � I i��tr n�,05?S1oSIQbU i . - Si,R��.Ni . ' ` � / �,�� , � i ; �IIOWI�II'II��U:.ifiJ{IOi1.USIIIC,)_�_„_ ' . ��j,�� . i� . `' . -ro�i hsCirface ost i s '-J; '3/FS"xll/�"LAC , �/i .r � , � P 0' P . . r, tc il CO noils 1 SC.RFWS -�� VI ,TJlV ;, , a �� i� �, ��, ,. : 3/ fS SHOI'. f L'L-P,D • .-", � `� �` ' ., . C VII� �� ., s . . ' 5 fasten rouc�h U joist Slil"rl DS i�,�F� � 1� '� � �'�`I, I�� ,�` ' ``��i 7� . han�7ersioh�ci�jervrdh ; • �z� 1/2"Ilf):NUf "M : .�� ?��J � ,:n «n }`' \ " r.r7C71;�C;�� ;pUCF,d/1'O�Q�t _. 1/Z' Il./111L/�G'IFR`i , ` > �� } ;;° " 7 cm 5 cc:nli:r�.using iF:CO v- . --- s � �� ti:� ' nriii;(i,inished : r ; t./ J/R" FLA'I 1NASI1[RS 4 ' = � �� ' � � li�� ' � ; .�" t — �' = . . : . � � h�_ _ . '� �,��'V .. � I . Y,a. x�.., � i • ; � } p �j�i -s �I -�° , . �,�.1� '. ,, o Sc 1 trnb tie3ams in'oist �� i � �j� � Z, i 1� x` � 1 �' � , I t�1':_ r� I 9 E ''= i M- �' � hnnners �nd nt� I L - --i-�=-%- ' � � .i � _ .I ' �r l, �� ' � f � , ;� � �� ; _ � i � d � �'�i , . Acci�bi¢J��no�brxlliumuyhof�rnl•J " ��.� .�� . ��. 1�� j . �,�� . ��i]I��Oi�1ClQJt� 1 ;�k.•n�nllix�Onl1• •.ili Jfxihu. _ "r = � 7 .I � � '.� � Jn J e:C fl l; 1 O . . ' �, r� � ' j� (� . ( _,) �.�� ._. � . '. � :: �� I�,I 'J , � E.�„st L;n�l & boli e�ch `,�u . I , �� ` � i . � �,��'�r5 "'� - �,f ��rab beams to post "Some areas reqwro �7 ��. �� .;r� � �i � � �� Lr, �i �I 7 ; ; �'. ^ � � :vi�hfurnishedl/2'x9" � �1G"cenierlae�screwir!�':.{,�i'Yl.' <<� I � i .I / ' i' , � ; , ` ` ccarnac�e holls &. washer Addi�ional I�� screws r�;,� ; � � ,� ,, , ; ; ' ' j ' I ��,' _�i e ��.. I d :� I�. ,_.1, i � , • ovaila�lc ot norninal co;(. I •.::� I " _ ...��.,,:.,,.__,..,, � . .r,;... w_: �, , � - . , � � ._.r.,. .;_.`Y1��e:.T..;/�e.'_vn:�b:-IA'..�J1.�.....:1�1�J,�1 ' 1 m��,�,_..�w.�bvi• ��. IpCfli�ll:?Y.°.fU110111C^(foP� � � � ' � • b, �-� . r.F�.i.�; LG`:VER t73'�f Woodrulf, naotAitr:sia (2l'<fl f720-37J1 � � � � � UI 1'JOfIOfTI� to r�ob buoms i, NOT[: Buildii �q code may vory �: '.' `'.-=; ., cnc:scr: ^045 G Cai^.on, EJr.t. 1Vilminyton ancl Alameda (213) �1 &4021 � �� . ' . SpC1CBci 6�. Of1 C�f1fGL ;.(fOfTi Clly 10 Cify. HqN��Vi'f, :� _'. A: '� lA IAIiiADA 12041 VnIIcY ViCw nnd iniperial l,2 1 31 92 1454� � '� q�� i. ;! �. �, ' ;� ', - � ' � ` �w� CGfI j)fOvid(; VOU wi�h qfly-:.�_ . � ; , Hlttd7RdGTQN (3F�CH 1 �J122 Brookl�ur;I a�d G�rtiold (714) �J62-6681 � ° I; ; ' ` c. � . � ; ; � other moterials thai mi� ht be ( : . - � � ° `:: ; ; ` : � ) 1'ou cfd �� fin�jeb, saved � . J � ou'r'r� �A7E�DOVfNEY 564� E. Firestonc and Garticld (213) 927-OG51 �;,� )'; ': yp�u ;gl( 59tT1@ fCdl f11U�C'Y.� }�F'QUIf9d by yOUf iOCCtI COC1v ' • r TOtiRAhCE 2541:i Cri;nshaw and Paa Coast Hwy. (:?1 �� 5:10•4451 , � �� ar�ciareentilledlounice , inodrlitiontothalolrecdY ' � <; . �OttGar:nrHG�ioi E.Sn��,a:�tF�aiuVerde(^t�)425•Gn91 �C;;I lil Ih@ ShC7d(:. CC711 U� O�� inCluded in our barc potio kif, �� !: '�' '� rl;t?i�'0N GRO�/E 9567 Chapman Ave., Bct. 13rookl��ur^i und Gilbart /14 �]971 j' �, . . � r � � �: , ��.� j � . •, a (�. ) 5:19-, . lew Rier�ds or fc.imily and t . � �•: L 7U!'i0 23f,g1 G! foro Road, East of FncP.fir.ld (714) D51-7 5B 1 � . � ;;I �l!1Cb:OI�CI... �fi)Oy. ', � Ols7s t�aiiunal Lum�er � ' �' �-�3- �y ` � itiVEitS'DE ;73�30Tylr,r ofl re�mP al Indiana (%.td) f[38-7•130 � . � . � -' . ' . .. ,.` i'. DlAicqCN[) p%�R 2105p Colima Rd. 8 erea CnnYon F7d, by 60 fwy., (714)15�45fJ10 ' ' . • . . . - . ` . , . , ' ' � " • C_7:iThi;fl)^J[ C7'C: E; t7%5 HitihWay 111 (714) 324-9541' . � • . Applicant to fill in all spaces exceD� t�ose within �eavy borOer lines antl zign all apPropriate Ceclarations. CITYOFCOSTA'M/�ESAn CONSTRUCTIONPERMIT P,rojectAddress <� /l�Q D� �O� ApplicanYs Mailing Address . n � C •�� 7 Owner's Name r Phone 479-09A Address Z� Z9 Q SO� Arch/Enq. License No. Address \ � �q/��u Contrector's Name B V '�/' Phone a+�._S[6�7 Address (ma'I'nnl `.�. %r3 �%� � I�n • 9267.% ' City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm tnat I am licensetl untle� provisions of Charter 9(commencin9 wilh 5ection �000) ot �ivision 3 ot the Business antl Professions Cotle, antl my license is in full force tl/�ffect. � � License Cla s �� v 4c nse.�p 39�// Oate� ��l 5'9 t ■ � 43!'KnM'� . �ORKE 5' C MPENSATION DECLARATION M1ereby affirm that I have a certificate ot consent to sel(-insure or a<ertificate f Wo�ke�s' Compensation Insurance,-or a certitietl copy thereot (Section 3800, Lab. C.) �{ . Policy No. Company �%i/56C�Y./ rtifietl copy is hereby tumishetl. Ce�Yti ml i iletl with the city Itling i �.�`� - � Date Applicant � � �� `� ""'�� EXEMP ION ROM WORKERS' COMPENSATION DECLARATION (Thiss¢ction neetl nal be completetl it the permit is for,one huntlretl ($300) or less). ' I certify that in the performance of the work tor which [his perm�t is issuetl, I -shall'noFemploy-any-pe�son-in-any�manner'so-as to becOnt¢ SubjeCt'to the Workers' Compensation Laws ot Calitomia. Date Signature NOTICE: It, after making this tleclaration, you shoultl become subject to the Workers' COmpensation- provisions ot the Labor Cotle, you must forthwith comply witM1 such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENGV I hereby affirm that there is a construction lentling agency to� the performance of tne work for which this permit is issuetl (Sectian 309] Civ. CJ Lenaer's Name � Lentle�'s Atltlress OWNER BUIL�ER DECLARATION I hereby affirm that I am exempt from tbe Contracior's License Law for the followinq reason (Section 7031.5 Business antl Professional Cotle: Any city or munty whi<h requi�es a permi[ to const�uct, alte�, improve, tlemolish o� repair any struclure, prior to its issuance, alm requires the applicant for such permit to (ile a signetl statement that he/she is licensetl pursuant to the provisions ot the Gontractor'S License Law (Chapter 9(commencing with Sectlon 7000) of Oivision 3 of the Business antl Professions Cotle) or that he/she is exempt there/rom antl the basis for [he allegetl exemption. Any violation of Section ]031.5 by any applicant for a permit subjects [he applicant to a civil �enalty of not more than tive huntlretl tlollars (8500). LJ I, as owner of the property or'my employees with wages as their sole mm0ensation, will tlo the work, antl the structure is no[ inten0etl or offeretl tor sa1e� (Section 7044, Business and Protessional Cotle: The Coniractor's License Law tloes nol apply to en owner of a proper[y who builtls or improves tM1ereon, antl who tloes such work himself/herselt or throuqM1 hls or her own employees, provitled that sucn improvements are not intended or offeretl tor sale. If, howeve�, the builtling ar improvement is soltl within one year of com- pl¢tlon, the owner will have the burtlen of proving he/she aitl not builtl o� im- ��Ove for the purpose of sale). I, as owner of the property, am excWsivery contracting wi[h IicenSetl con- . Vactorsto const�uct the project (Section ]044, Business antl Profe55ian5 COGe: The contractor's License Law tloes not apply to an owner of property who builtls or improves tnereon, antl wno mntracts for such projects wifh a con-� frac[or(sl license pursuant�to�the GonVactor's License Law). I am awara that proof of tM1eir Worker'S Compensation insurance shoultl be provitleC to me. ❑ 1 am exempt under Section B. & P. C. ror this reason Date Owner I hereby cevtity that I have reatl this application antl State that the above information is mrrect. I agree to comply wiih all city antl county ortlinances antl state laws relating to builtling construction, antl hereby autnorize repre- sentatives oi is city to enter�}� pon the above-mentionee proy erty for inspection pur ses. / /� �J _ i/-_ /wii Siqnature A 1.� 7KJ1✓` Date�'L�i�% _ p�3 � 3 � _ ... ._. TVPE OFC�NSTRUCTION NEW �ADD , ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p.# DESCRIPTION OF WORK/USE OF BLDG. � 5 Main Building: E TVPEOFPERMIT GRA�ING� yp�y NDATION ❑STRUCTVRAL T Front ❑ TENANT ❑ EIECTRICAL LJ PLUMBING ❑ MECHANICAL A Rear ❑ OTHER PROJECT DESCRIPTION 5Q. FT. occuaANCv C Right K Left CONSTRVCTIONTVPE VALUATION$ $ ZONE GRAOING CU. V�S. ACRES Ping. Ref. # Remarks: Planning Notes: ar $ink . ackflow Preventer . . ackflow Irri9ation 3thtubs arifiers ishwasher • Floor Drains Floor Sinks Gas Service Interceptors. Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee Outlets $15 Duct-UnderGround - Duct - Strucwral Duct - Ventilating Exhaust Sysrem ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ o-i oo,000 aTu O i oo,000 Drivers' License or 55 � I I Reinspection Fee I $75 CMF 0865-46, rev. 4/84 White - Builainq; Canary -Applicant; Pink - Accountinq; Goltlenrotl -Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping ' Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hood or TYPeI ❑ Canopy Type I I ❑ Refrigeretion System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion Issue Fee $ 3 $ 3 203w 6/12/84 Zone Accessory Buildinq: ' Parking Req./Provided ELECTRICAL . Automatic Washer -- Construction Pole Sub. Caoking Unit � Dishwasher - Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures . Device Boxes � Outlets Switches Garbage Disposal Generator �0-5 KW �5-15 KW Transformer LI 15-50 KW ❑ SO+KW Meter ❑up m 100amps Meter ❑over700amps Motors �0.1 HP �1'h- 8 Inc.Solar 09-15 HP �16-15+ Microwave Pole Li9ht flange Standing Sections Trash Compactor � Reinspection Fee I$15 � � Iuue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Appraved By Building Approved By '�� Application luued 8y soao T�. FEES $ 3 SUMMARY OF PEES - BUILDING PERMIT $ SMIP � $ PLAN CHECK $ PERMIT PLUMBING � $ �OO ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING � $ PLANCHECK 50°.G $ MICROFILM $ MECHANICAL $ TOTALFEE $ S•OD PLAN CHECK 25� $ Z O N I N G R E Q M T S. �� - CONSTRUCTION ANDPLANNING PO &SPA � APPROVALS Permit# -��v'3 Date Inspector p�ppROVALS Permit# ' Date Inspector T �:i 1. Temporary Electric8l $ervice or Pole'� •' 52. Pool & Equipment Location ..a. �.� � 2. Soil�Pipe-Undrgrnd. � ��. . �•.� 53. Steel Reinforcement . � � � 3:-tElectrical Conduit Utility-Undrgind. 54. Forms � ' 4� Elecfr.ical Conduit-Undrgrnd. �� 55. Electrical Bonding � "' . , 5. Steel Reinforcement, � 56. Rough Plumbing & Pressure Test '��% 6� Electrical UFER�Grrid. 57. APPROVALTOCOVER-GUNITE �` a, „ 7�.,Footings , � . � ' � . 58. Electrical Conduit-Undrgmd. " �, i 8r,F,oundation ' � ,, 59. Gas Pipe, O Undrgrnd., Test � . � 9. Water Pipe-Undrgrnd. � ' w , 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System - -. � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ` 62. Backwash & Receptor-Final ((.F 12. Sewer Cap " i,, . ' 63. Heater & Vent-Final r'" r. r.. • 13. Roof Drains 'e� � 64. Plumbing System - Final i � . �. 14. Rough Plumbing ; ' 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final '- ' �16. Rough Electric Wiring 67. Fencing & Access Approval ' . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T 68r Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -� 20. Rough Factory Fireplace APPROVALS Permit# 21. DuCts, in Structure � 70. Underground HYdro - 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush ' 24. Roof Framing , 73. Undergrnd. Storage Tank � Gas ❑ Oil 25': Roof Sheathing 74. Overhead�Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED.�SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � � � ,' 79. FINAL INSPECTION � � 32 � Electrical Power Meter-Final 80�. FOOD,CERTIFICATE ISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � 36. Hood or Canopy ' 37. Final Factory Fireplace � 38. Final Plumbing /,5��"� (,(�J � 39. Water Service-Final 40. Gas Serv�ce-Final � 41. Solar pomestic-Final . 42. Backflow Preventer , 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Atte�nuation , � 46. Handicap Regulations 47. F1NAL STRUCTURE & BUILDING � 48. Special Requirements Completed ' , . 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , No. Date \ PNQIEC7p0UBE55: 2']79 DESOTO AV OWNEP'SNRME: pHAM, CHUNG V Ei AL aooeess: ��?g DE SOTO AVE COSZ'A MESA,CA 92626 (719)979-0984 PHCH/ENGINEEH: RDONE55: flEG.NO.: UNIT: UNIT: PEBMITTEE: MSJ PACIFIC CONSTRUCT:IUN ( 71A ) 855-9736 1 aooeess: � 174 2 LANAR ST MISSION VIEJO CA 92692 LICENSEO CONTNACTOB DEClANl1TI0N: I hereby a��um �hat I am licensed unUer Orovisions o� ChaD�er 9(commencinp wil� Sec[ion 70W� ot �rv�son 3 ol ��e Business an0 Prolessions Cotle. and my license is in lull force an0 eilect. aTvuc.: p56221 sTareuc.:533971 � B oate: S—aYo-9 a �qnawre: — — _ � WOBKEHS' COMPENSATION DECNBATION: I hereby aflirm �hai I ave a certificale ot co e seli-insure or a cenificate of WaBers' ComOensanon Insurance or a cetlifie0 copY �hereot (Sec�ion 38 . Lab. C�. voucrNo.: 1091069 EXP.�RiE: LO�Ol I9Z comraNr: STATE Flit3D � Certified copy is hereby fumis�etl. � /Cqt�i1ie0 copY is liletl wim me ciry BuilOi Division. / Oale'. � � ^ �9 � NPV�icant: E%EMPTION FHOM WOfl8Efl5'COMPENSPTION OECIAHATION: (Thi55eC�ion ¢0 no�0ecampl¢tetli�ihe permiY � e AunAreO�$100)orless). I certily that in �ne pedormance of Ihe waB �or which Ihis permi� is issued, I shall no� employ any De�so any manner so as to became Subleci lo Ihe Workers' Compensation Laws ol California. �ate: Signa�ure: NOTICE: If, afler making Ihis Oeclaralion, you shoultl become subiect to ihe woBers' Compensation pmvisions of ihe LaOor Cotle. you must Ionhwiih comply with such pmvisions or �his permi� shall be deeme0 revokeA. CONSTNUCTION'LENOING"RGENLY:—I'�ere0y"aflirm thaPthere'a'a'con5truction-IeiMing'agmcy9m-�he�pertamarice�o4Ne-wwk-fa— which Ihis permi� is issuetl (Seciion 3097, Civ. C). �exoex: pER,°�.IT ZNCLUDES NEW � aooxess: ROOF CUVERING(A5PH.00�'�P, ) OWNEfl BUILDEB DECLAPFTION: I here0y a��irm Iha1 I am exempt �mm I�e ConVacmrs' Slaie License Law for t�e lollovnng reason �Sedion 703L5 Business antl Pmiessional Cotle: Fny ciry o� counry w�ich requires a permi� to cons�mct, alier, impmve, demotis�, or repair any stmc�ure. Drior lo ils issuance, also requires Ihe applicant br such permii to file a 5igne0 s�a�emen� ��a� �e/she is licensed pursuant m ��e pmvisions ol lhe Contractors' Sta1e License Law (Chapier 9(commencinq wiih Section 7000) o� Oivision 3 oi Ihe Business antl Pmiessions Code) or Ihat �e/she is exemp� Iherelrom ana the basis �or �he alleged exemp�ion. Any violation ol Sec�ian 7031.5 6y any aDDlican� for a permi� su�lecis the aD�licant lo a civil penalty ol not more [han five hundretl tlollars ($500). I. as owner ol ��e pmperty or my employees with wages as �heir sole compen5aiion, will tlo the work, and �he ❑ simaure is nol intenUetl or oflered lor sale (Sec�ion 7044, Business and Pm�essional Cotle: The ConVac�ors' S�a�e License Law Ooes not apply Io an owner ot a pmperly who 6uild5 or improve5 i�ereon, and who Ooes such wo�k himSelMersel� or through his or her own employees, pmvidea ��ai such improvements are not m�ended or aifereU br sale_ If, however the building or impmvemenl is sold wilhin one year oi compleiion, �he owner will have the hurtlen ol pmving he/she tlitl not builtl or impmve lor ihe Durpose ol sale�. I, as owner oi Ihe pmperty, am exclusively conVac�ing with licensed contractars to cons�mct Ihe pmjec� (Sec�ion 7044. Business ❑ and Pmlessions CaOe: The Contracbrs' S�ate License Law Aoes nol apply to an owner o� pmperty who builAs or imD�oves �Aereon antl who conlracis lor 5uch pmle��s with a contrac�or�s)license Dursuani�o the Contractors' Sta�e License Law).lam aware �hat pmol o� Iheir Workefs Compensaiion insurance should Ue pmvide0 �o me. � I am e�emD� untler Secimn: B. 8 B G. br this reason: Dale: Owner: I tlo hereby cetlily Ihal I am aware ot and unaer5�an01he requiremen�s o� Cali�omia,Heatlh ana $alety Cotle Sections 25505, 25533, ana 25534 ana thai I or any IUWre building occupant will/will no� (circle one� neetl la comply with SaiU s�ale co0e5 antl the reQui�emenis for a permi� br cons�mclion or modification Imm the Air Oualiry Managemen� Disiric�. flesiden�ial cons�mc�ion a001icalions are exempt �mm IheSe pmvision5. Oale' Applicani: I hereby cenity Ihal I �ave read this apPlica�ion antl slate that the ahuve inlorma�ion is cortecL I agree to compty with all ci� ortlinances ana s�atelawsrelaiing�o bwitling con5imc�ion antl hereby authorizereprese �atives olihis cily�o ¢nl upa o properly lor inspetlion purpose5. i �ale: �—d� ^9� Signalure: I Oriver s License m Social Seariiy a: ( 164bd6 White—Builtlina' Green—Cotle EnlorcemenL Wnary—Aoolicanl; Pink—Revenue�, Goltlenrad—Assessor CITY OF COS'tA MESA - BUILDING PERMiT PERM NO: B 05748� PERMIT NO; B 057489 PL�AN CHECK NO: 01912-92 S GOVT: h SUPP: N COAfSTRUCTION TYF�E: S-N PERMIT TYPE: 5TR PURPOSE; AI�T JOB DESCRIPTI02� : ADD GABLE STftUCTURE TO EXIST. GARAGE SQ ?T: 3,SOU CLAL'�1 VALUE; 3, 5QU , 00 CALC-VALUE; 3, 500. UO GRO[7P OCC: R-3 /N,-1 COMMENTS: GARAGE URIGINAI,LY HAD A PLAT ROOF STRliC. *�*��*K*�x**��*�*+�+�*�*�#*��*x��x*��*x**xx��u*��*�*�*�*�#*�*w��**�u�*+��x�*�c*# Z O N I i� G R E Q U I R E M E N T S s s T a A c x s --- ------ ^ x — ----�---- — � -------- -- ACCES�ORY HUI.,DING FRN't; 7.5 FT TN REAR; 2] FT 8 IN FRNT; F'T' IN REAR; F'T IN I.EFT: 6 FT TN RGHT: 5 FT Q IN LEFT: FT SN RGHT: FT IN FARKING REQ• 2 PROV; 2 PARCEL• 191642Q9 7.NE: Rl REF NO; PLANNING N17TE5> CHANGE ROOF OVER EXISTING GARAGE £ROM FLAT TO PITCHED. 7 iF 1F iE iE 1E �)h iE �)E �E #P if :t� iC� k iE� iE it iF iE-% iE iE it if� 3F iF 3E iE #'iE�e i(� it iF iF it� it It ic iE 3h ji if iF i�-3F 3i� 3E 3E �14 i!� jF?E ie ie iF # iE+c iF �S� iE iE jF iC� iE 3f ��F � a: }r..k iF iF i!� �1f � iE � D E-V E L O� P M E N Z"�J S E R V T' C E 5 R E Q U I R E M E N T S 'I.ONING APP}tOVED BY' � - W(b�- DATE: (� +.- BUILDING APPROVED flY DATE: iEiPlfifiEiP!'riE�1E1FiEiEl4iffF*if�ifif'iEifiF . .. -��3i?Fx� iriEif'lEf:7FieiEiei(��'ii�iFR�F"�rir��?F'FIkiF if� ik iE �lE IF ie # iF N�if i't iF iF 3c �)f 3F iF iF #� 3f� �Jf �E #��%� 1f if #�IF 3t )b )F 3f 1e �lf� jF 3h if ##� X� # if if iF if if # ii� 3c !E N� it 3f� #f iF tr:lF iF if�iE iE # if # jF 3i k 3f if 1P �lf i'r �IE i'r i:� iF i? * i/.� LEGALI7.A'fION:N F E E 5 il M M A R Y STRUCTURAL SEGNENT:Y BLDG PMT PLUMBING ELECTRSC MECHANIC FIRE SMZP/RES GRADING PERMI7' 63,OU ,50 _ SMIP/NON-RE$ �LAN 4o.ys �- ISSUE FEB � BUILDING-DIV-> PERMIT ISS[JE PI,AN-CAECK TOTAL PAID DUE TOTALS----> 63,50 0,00 � 40.95 109.45 104.45 ,00 REVENUE DIVISION TOTALS--> COLLEC�ED; 209.95 OVER/SHORT; .00 BLDG PMT PL[JMBIi4G ELECTRIC MECHANIC FSRE SMIP/TOT GRADIDJC PLAN-CHECR 63.00 ? . ,50 90,95 iF iF k� iE 3F iF 3E ih if iE %iE iE 1E iE ## If if 1( ##E jF �Y?- iE iE iE �?F if?f �K� 3E %if �lE V.�'If ff �%� iF iF �lf %�:1E'ri� iE�F i?� if� I(�i6 iE�F iE �l(�?E jE # if i:- tE # iE 3F+r.-1E 3E it� �?4 ik 3(� 3E 3E k ii� iE #? I N D I V I D U A�L, ,�F E E B R E A K D O W N TYPE QTY D E 5 C R I P T I O N JNIT COSi TOTAL COST 5FR 3].00 ALTEft BY VALi1E Rfi$TDEN`PIAI. NOZONE 1.00 SFR 400 REROOF BY VALIJE RESIDENTIAL NOZONE 1.00 �ND OF FEES E 3,1UO,OU 400.OQ �: L']11`•rii6 tr�l�-�nc "_— �.hT�; �r `r�_ �r�'_, ' " CONSTRUCTION AND PLANNING P�� 'PA � APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector i. Temporary Electrical Serv(ce or Pole � 52. Pool & Equipment Location � 2. Soil Pipe�Undrgmd. . � 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgmd' 55. Electrical Bonding `�' 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVEF�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, G� Undrgrnd. /� 10. Structural Ploor SYstem {. , 61. APPROVAL TO DECK �. 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewer Cap �' ` - 63. Heater & Vent-Final 13. Roof Drains /� - 64. Plumbi�g System � Final . 14. Rough Plumbing `� � 65. Electrical�Final 75. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval i7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Veniilating 75. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72, Underground Flush 24. Roof Framing 6�� 73. Undergrnd.StorageTank C7Gas ❑Oii 25. Roof Sheathing ��j' ,(�� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �'J � 76. Dry Standpipe 28. Lathing & Siding (p � 4� 77, FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �� D� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � - Notes: �p .7 'nlL O K Pa (,t�'�2-��p � 34. Pinal Heating & Air Conditioning G j,_ �, 2 - / �� L°_ �u 35. Final Gas Pipe-Test 36. Hood or Canopy � • 37. Final FaMorY Firepiace � - 38. Final Plumbing 39. Water Service�Final 40. Gas Service�Final 41. Solar pomestic-Final 42. Backflow Preventer . 43. Backfiow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Fegulations 47. FINAL STRUCTURE & 6UIlDING �� 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CEfiTiFICATE OF OCCUPANCY No. Date �I Pfl0.1ECT PODflESS: T OWNEH'S NAME: pH�9 DHUNG�VAET AL aoosess: z�Z9 DE SOTO AVE COSTA MESA,CA 92626 AflCHIENGINEEH: � 7 1 4 I 9 7 9— O 9 8 A qEC.NO.: nooeess: uxir: uxiT: PEHMITTEE: nooness: P2626NNEWPOROOFING ( 714 ) 548-1645 &�t�ia� r�"��h4�$'r CA..92C�:ru7 0 LICENSEO CONTBRCTO 0 re a��irm thal I am IzenseE unGe� prov¢ans a� p er 9(mmmencin wil� Seciion �000� ot Division 3 oi Ine Business anU Pmtessions CaOe. an0 rtry Ikense is in �M �orce an0 eci. ciTr uc.: 0 3� 6Q� STRTE LIC.: O O 4 G O�% cuss: C oaie: _(� `7—�I�— Sipwture: — — . _ WOXNEfiS' COMPENSR710N OECUNFTION: I here0y aflirm tnat l �a cenilicate af c eni to seu-insure or a cenilicate ol workers' Compensation Insurance. or a cenilieA woY �ne�eof (�cGon 3800, . CI. aoucrr+o.: pWC115706 exe.oerE: 12/O1/92 cornrnxv: GQIfiD�N �AGbF� ❑ Cenilie0 copY is ere y fumis etl. LU enilied caDY i eA with t�e city BuilGing D' mn. i� Dale: �' S —� Z APDlieam: E%EMPIION FflOM WONNEPS' fAMPEN5ATI0N OECtAMTION: (iltis neeE irot he cam eU il I�e permi� is lor one huMred (5100) ar less�. I tetlity Ihai in I�e petlorman[e ol I�e woB �or w�ith IhiS permi� ssued, I shall na� employ any person in any manner so as to become sublec� lo Ihe Workers' Compensation Laws ol Cahlomia. Oale: Siqnamre: NO710E: II. al�er making t�is Geclaration, you S�ouIE Decome suble�� o t�e Workers' Compensation pmvisions ol tAe Labor CaOe. you must fari�wil� campty wit� suc� prOvisioi6 ar INS permit shall Ee aeem¢E r¢vOkeO. -LONSiHUCTION IENDING.AGENCY:_LIItR� affirm tlut IAere is a tAnSiNciim lenaing aAe�7 �ar ine petlormance ol t0e work for which ihis permiiis i5Sue0 (5¢tlion 3097, Civ. C�. nooniss: ICBO �2469 ICHO �2469 OWNEN BUILOEN OELLAMTION: 1 AereUy atlum itui I am exempt Imm the Contracmrs' State L'ue�ae Law Iw t�e I011awinA �eamn ISec�un 7031.5 Busineu an0 Prnlessional Cotle: My tity ol counry wNc� repuiru a oermi� to constmct, alter, improve, Oemolisn, or ieDair any simcture. D��or to its issuante, also r¢quir¢5 Ilre aD��nl for sucn perrtpt to file a sipne0 statement llut nUsne is litenutl pursuam m ��e pm�si0rts ai t�e Contractors' State License Law (CtuO�er 9(mmmenpnq vni� Sectbn 7W0) ol Division 3 0l t�a Bu9ness an0 Pmtessions COAe� ar ihai �Us�e is e.empt ��erelmm an0 �he Oasis lar t�e alleqea exemption. My violation ol Seciion 7037.5 by any apo�icanl lor a pErmt suojects Ine appliWnt ta a tivil pEnaity ol Mt rtq2 tlNn live AunOr¢E OOnars (35001. I, as owner ol ��a D�oDerty a� my employees wit� wa0es as t�eir mle cam0enszUon, vAll Co �ha woM, antl I�a � struclure is not intenCeO or olfered Iw sale (SeCtpn 70aa. Business m0 Pmtessbnal Cade: The Cantractws' Suta License Law Ooes nol appty to an owner ol a pmDeny wtq OIdUs ot imo�wes tnerean, antl wM CO¢5 suGl wofk himseV/hersell ar InrouOh his Or �ei own emDloyees, prOVNeG Ilwl Sut� imprOv¢m¢nt5 art nol inlenOeE or oflBreE lor 5ale. Ii, liowever I�0 OuilEinp Or improvement i5 5dtl vril�in one y¢a� ol comple�iw, I�e OrmOr xiU luve ��e WrEen ol prM�np tce/slie db no� UuilO or imprOvc tor ine pWpose ot Sale). I, as owner ol I�e pmpenp, am eKcluvveIy comrac�inp vfi� IicenseE contractars lo constmct ihe pwjeci (Section 70aa, Business ❑ anG Pmleuiom CoEe: TAe Conirxtors' State Licenu law Coes nol aODH �o an v+mer ol pmperty wlro Cmlds or imOroves theaon anG w�a contracls lor 5uU O�ajecis wi�h a fAnlracior(5) liunse DurSwni lo lhe Conirac�or5' Slate Licensa Lawl. I am aware Ihai pmol ol Iheir Work¢r'S CDmOenSaiiOn insurant0 5trou10 Ue pronGeO to me. � I nm eRemp� un0cr Seclion: 8. 8 P. C. lOr ��is reason, Da�e'. Owner. I tlo nereby cenily thal I am aware ol ana unUerslantl �he repuirements oi Califomia Healih antl Sale�y CoOe Sections 25505, 25533, antl 25594 and Iha� I or any Niure builOmA acupant wilUwill no� (circle one) neeU lo compty wilh saitl sta�e cotles anE Ille reQuiremenis for a permit lo� con5imclion or moJdicalion imm Ihe Ai� ualiry ManaOemtnl OiSirict FeSiEen�ul conSlmciion applialions are exempl Imm �hese pmvisi0ns. Oate: ApDliwnl: _ I hereUy cer�ity t�a� I luve reaG I�iS aDDliwiion anG slaie IR or0inances ana slate laws reWtinq Ia Ouiltlmq con5lmclion arb pmperiy lor /ins�peclion Ourposes. Oate: _! 9�i�/' ( 2_ SipreWm: _ onver's Litense o� $atul $e[urity M: i6aba6 wnne—eunamq: Green— above inlorma6on ¢ carrect. I agrte lo c pry wtn all city and county ryayfnor¢erep�eSenroliveSo��Nsdryro eruponl�eaDove�mentionetl 0 Pink—Revenue: Gobenro0—Assnsmr CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05768 PERMIT NO: B 057685 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: S—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : REROOF— "TIMBERLINE" COMP 6 ONE SRYLIGHT SQ FT; 5,100 CLAIM VALUE: 5,100.00 CALC—VALUE; 5,100.00 GROUP OCC; R-3 /M-1 COMMENTS• SMOKE DETECTOR(S) RE�UIRED IN HOME. �t��r�e�r�r�r�r�t�t�e�r*�*��r�r*�r�r**�t*�e�t�t* �e�r��e�t***+r*�tr�t�t�r*�r�r�e*��e�e��t*�t�t�t�t�r�r*�r+t*�r*�t�t*�r****�r 2 O N I N G R E(j U I R E M E N T S sErar,cxs ------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT ZN RGHT; FT IN PARKING REp • PROV; PARCEL: 14164209 2NE; REF NO: PLANNING NfSI'ES> ) y k�f if if �f ik iEiE iF 1F iF 3f if iE k if k k k M k k k k k 1f it if 1f k ik k1F If �f k iE if �t if if if if if iF k if iFif iF if iF if i! k iF k k k if if 3F 1k it if 1F �f �f,�t iFiF if 3E �E 1F iF if IF 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 20NING APPROVED BY HUILDING APPROVED BY : APPLICATION ISSUED BY: —1liEiFiF iF iFlE if.ih.ik.iE.if,iF_if if IF if 1F 1F if 1f if MillFitififMMkiFiFikikififiFMiFifkiFifitiflEif'1F�iE-if�kifjEMilNitiFlFiF�FMNM .iF.�F.k.jE. LEGALI2ATION;N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 81.00 DATE: DATE: �r�*****�r*�r**�*�r��r*****�e�r* STRUCTURAL SEGMENT:Y— --- FIRE SMIP/RES GRADING 51 SMIP /1JON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 81.51 0.00 0.00 81.51 81.51 .00 REVENUE DIVISION TOTALS--> COLLECTED: 81.51 OVER/SHORT; .00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 81.00 .51 k 1! iF 1f M 3f �tlf iFlf iF 3f iF iF if if iF if IF iF M 1E if iF if if it iF iF ik 1f if k if 1f 1f iF it if iF iE if k iE it if iF if iF �f iE if if if iF it M iE if M M 1f 1E 1f if M!F M 1F 1f k 1F if if if iF iF if ik I N D I V I 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 SFR 5100 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 5,100,00 END OF FEES flj yril' '" �±. "' ' , �j{7�- -.Ji; -; � • . - CONSTRUCTION AND PLANNWG � P� -& SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Oate Inspecto� i. Temporary Electrical Servitror Pole 52. Pool & Equipment Location 2. Soil Pipe-U�drgrnd. ro '� 53. Steel Reiniorcement j"�; Elet�triCa! Condui[`�1tiJity�UM1drgrnd_ � ' : ';54. Forms �.4 %EleQiricN Conduli•Untlrgrnd. -• � � � �5. Electrical Bonding ,.� St�l Raltnforcemeot�, �'��'6. Rough Plumbing � Pressure Test C6:.�IeClri�l UFER .1�ri nD. _ � :57. APPROVAL TO COVER�GUNITE �" r7„ �qtin§j '_�� 58. EtectricalCanduit�Undrgmd. ;�.� oundation • 7� . 59. Gas Pipe, D Undrgrnd., Test c,l 9. Water Pipe-Undrqind. - 60. Backwash Lines, P�Trap, C Undrgmd. ' .y 70.�Structural Floor System . � 61. APPROVAL TO DECK� 11. Property S¢wer Line& HoUie GonneMion ' 62. Backwash & ReceptorFinal � 12. SeVjfer Cap � � � ' 63. Heater & Vent•Final 13. Roof Drains ^ � � 64. Plumbing System � Final 14. Rough Plumbing �'- ' 65. Electrical�Final 15. Rough ElectricaL-Conduit 66. Solar System•Final • �i6. Rough Electricsiring 67. Fencing & Access Appro�al 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING 18. Rough ElectricaPT Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 19. flough Heating & Air Conditioning FIRE DEPT. flEQUIREMENT - _ ' _ �,,.�y' .T . [ �_ 20. 'RougT FaLtory Fi[PPlace � �� 'T� : =. � O - = x � APPRaVACS..• �Eerqrit # '° - .*' a, s+ x ,r� i - .: � x s : � i't • . .s 21. Ducti,inStru�turGj`, , , ., � ' .;� _ =", 0. l(Fidergrovrid� vdco . 22. DuCtY, VO�tildting� � . ." a ; S "+' -•�7. product Piping O Gas 0�il 23. � as Pipe•Raugh &�l'�st '_' - " �� "�'�� '� . �_ � Q ;.- � :, �� ,,, "72. Undergrou�d;Ffush, � _ 24. RoofiFraming• 5:n .. -•_ �> J_ p. j3. {lndergrncF�Srorag2Tartk[�Gas ❑OiF 25. Roof Sh�ethin "• _ ,^• < n .�; - +.< r � _ _ _ 9 .� v � ,. " - ,.• � . '/4. Overhead F(ydro - 26. ��Bar Ceiling (Strtttturap & INonocoat � 'r m� 75. �D�p Chemical - � ' �- � 27. "Frame an Flashil� > - I�r '��.. � � r' T''� - ' ` � r� � � �,; _ �pl_QL p% ,ro 76. Dry StandpPpe , 28. tat g ��: � . ... � ' I�ng & Sidin . .c ' �r x� T 77. 'FIXED SY�ST£M.FjNAL _' �� 29. Insulatioq. " � l- 1' �� "� � , r 78.'FIRE PREV. FIN/�U � , +. � B0. Drywall Nailiag ^• � '' �. • HEALTH DEPT.�REQUIRE'NIENT � •37. Plaster Braw6�CoeF r �. _ ; j � :; '. 79.'FINAL INSP�CTION ' ' - y '� �32.�lecvical Powsr f�j"eee�•Final � ^ «n; � � 80. �FOOD CEA7IFICATE ISSUED � - 33.'final Elettric_ Z " ; i. - • � ' ` �Not�s: ' _�� ' - _ ��4. Fina�HeatingJ& Aii�Conditioping� i i j r x j ;�� "� 35. ;Final Ga§ Pipe�Test y �'1 ' � - ' :��, ._:.� ^ .� = - r �6. Hoo�;or,6anoPY C � i ,• _ _. � :<, ^o � � : ,37.'Fin�f FaFdory Firepl'Zce � �"' ,`�' ' �" � , ; � ' r �', ` f .�38. Final�Plumbing v .'� � . .. �- y �� -+ _ - t .39. Watef. Ser9ice�Final �: � � + � � ` • x r � � �. O Y ':. LL � v . > - 'i X t • • ;40. Gas Servi�e•Final - � �; rr•' � - '* � ' ' - - " iRl. Solar pomesttc-Final ,� � •' ^_. � � �r �^ � ' v > r ] �42. •Backflo�Preventer� ,; y � � i �. . � . . � , Y '� 43. Backflow Irr�ationx. � � � S � '� � - r � ' l, Y ' (U / .F li T �]��i. ♦ + G i � . • ti, �44. LandscapelrcYqatioqSysteml��n-� � w•,� - �r ;� » . �,� c *15. Sound At[enLatiom - T +7. ' 4�- �- s a= + r, n . #6. Handicap,Reg"olatioAs � �S �:.' .• •.* v � i �� • .. . ; � < Z. 0. _ . � i 47. F,INRL STRUETURE & BUItDING � � � � � -, ;v^ �; * i t u 48.•F,INALPLANNING; , � ,��; '„ n � " . 49. �Electric Release ta fidison � , G '� , a i � -� 5�. Gas,Rele`ase to SoutAem Califo�nia Gas Cn �" i I l, '; r, - �- t " �. '. 51. CERTIFICATE OF pCCUPAN Y' , .;. - _ . No. Date PNQIECT ROONESS: z 7 2 9 D ES(�TO /�V OWNEN'$NAME: DHAM, CHi1NG V ET AL nooeess: �7zg DE SOTO AVE COSTA MESA,CA 926?.6 (714)979-0954 APCN/ENGINEER: NEG.NO.: nooeEss: UNIT: uxrt: PENMITTEE: MG�T PACIFIC CONSTP,UC7'ION (714)855-9736 aoosess: z � � 4 2 LANAR ST MISSION VIESO CA 92692 LICENSEO CONTBACTOB OECtABRTION: I �¢reEy a��irm lhat I am Iicen5e0 wGer prONsionS ol ChaO�er 9(commencing vnth Seclion � 7000) ol Dihs�on 9 of �he Business anE PmleSsions Coae. ana my license is in lulllorce and eHect. ciTr uc.: p ti 6 2 21 STATE LIC/.:��f-jjj 3 j 9] S�� Date: -� a� �a ' tiiqnalure: WONNEBS'COMPENSA710NOEClAMTiON: I�ereUyaffirmihall veacertificareofconsen -n reoracenilicateolWorkers� Compensation Insurance. or a cennie0 copY ��ereof �Sectian 38 LaD C1. roucrxo.: 1091069 E%P.ORTE: LOIOI �9� LOMPANY: STATE FUND `�] Cenilieo coDY �s nere0y furnisnetl. Q Cenifie0 coOY �s Iiletl with ihe C' uil0ing Divisian. date: v �� AppliWni: EXEMPTION FHOM WOPKENS' COMPENSATION OECIABATION: (i1�i55 on neea not De complete0 if the p is lor unarM �E700� or �. I ceriify �hal in Ine petlormance ol Ihe work �or w�ich t�is permi� is i55ue0. I shall not employ any pe on in any manner so as �o become SuUjeq lo Ihe Worker5' fAmDensation Laws ol Catilomia. Da�e: Signature: NOTICE: II, aller making Ihis GeClara�ion. you ihoula �ecome subject fo tAe Workefs Compensa�ion Orovisions ot Ihe la�or Code. you mu9 �arihwi�h Comply with SUCh Omvision5 Or ��is permit shall h¢ DeemeO revoketl. -CONSTflI1CT10N' LENDtNO �RGENCY:—b hereby �aif irm4�ai-t�ere �is �a � consVuclion.lentling. agency.for_Ihe.peM`rtunce. ol.ihe_wa[kior_ w�ich Itlis permil is issuetl (Section 3097. Civ. C�. LENDEfl: ADOflESS: OWNEfl BUILDEfl OECIAflFTION: I hereDy af�irm �ha� I am exempi imm lhe ConVac�ori S�ate License law �or the following reason �Seclion 7031.5 Business antl Pm�essional COUe: Any cily o� coun�y which reQuires a permit to constmct, al�er, imD�ove, demolish, or repau any stmtWre. prior �o iis iuuance. also repuires ��e applicani lor such De�mil to lile a signed sta�ement that he/she is licensed pursuani Io IAe Dmvisions af roe Com�acmrs' SIa1e License Law (Chapter 9(commencing wit� Section 7000) of Oivision 3 of the Business an0 Pmiessions CoOe� or Iha1 �eR�e is exempt I�erelwm and Ihe basis far Ihe allegea exemp�ion. Fny Molation o� Seciion 7031.5 Uy any aDD�icanl lor a Dermil su6iecis ihe applicant lo a civil penalty of not more ihan five huntlred dollars (5500�. I, as owner oi Ihe pmperly or my employees wi�h wages as their sol¢ comDenSation, will Ao ��e work, antl lhe ❑ stmcture is not intentlea or ofiered lor sale (Section 7044, Business antl Pmfessional Code: The Contracrors' State Licenu Law �, Aoes nol aOVly lo an owner ol a property wM builJs or impmves �hereon, an0 who tloes such work himsel�/hersel� or �hmug� i �is or �er own em0layees. pmviEea t�at suc� impmvemems are not inten0e0 or aflere0lor ule. If, Iwwever ihe huilding or impmvemenl is 5010 wilhin one year o� compleiion. t�e owner will have �he burtlen o� pwving he/she Oid not builE or impmve lor ihe Durpose ol sale�. I, as owner o� the pmperiy, am exclusively conlracting wi�h Iicense0 contractors to cons�mct the pmlect (Section 7044, Business ❑ an0 Prolessions Cotle: TAe Coniracmrs' State License Law Does not appry to an owner of pmpeny wha buiids or impmvw thereon and w�o coniracis �or such proletls wit� a conVactor(5�license pu�suantto the Con[ractors' Stale License Law�. I am aware I�a� pmol ol �heir Worke(5 Compensation insurance shoula 6e D�oviOetl �o me. � I am exemp� unaer Seclion: B. d P. C. tor Ihis reason: Date: Owner I do hereby cenily Iha� I am aware ol and w4er51anA Ihe requirements ol Cali�omia Healih antl Satery Cotle $ec�ions 25505, 25533. antl 2553d antl t�al I or any fuWre buil�ing occupanl will/will not (circle one� need lo camply vnlh saitl s�a�e cotles antl ��e requirements for a permil br cons�mclion ar motli�ication imm Ihe Fir Ouality Managemenl OiSUic�. qesiden�ial cons�mction apDlica�ions are exemp� �mm �hese pmvisions. �aie: AppliCan�: I here0y cerlilyl�atl have reaU ihis application antl sla�e Iha� Ihe a�ove in�ormaiion is correc I agr¢eio com y vn�h all ci ordinancesantlstalelawsrela�ingmGuiltlingconslmclionan4hereUyam�orizere0�esentaiiv thiscirytoen(i uponl� properiy br inspection Ourposes. �ate: � �`✓�� /SignaWre: ori�er's �icense ar Sociai Securiry x: t641-a6 W�ne—Bulltling�. Green—Cotle Enlorcemem; Canary—Appl¢anl; Pink—Revenue; GoltlenraC—Assessor CITY OF COS'TA MESA - BUILDZNG PERMZT PERM NO: M 05798f PERMIT NO; M 057488 PLAN CHECK NO: N GOVT: N SUPP: N COhSTRUCTION TYPE; 5-N PERMIT TYFE; MEC PURFOSE; OTH JOB DESCRIPTION : EXTEND W/H VENT THROUGH NE'+7 ROOF STRUCT. SQ F1: CI,AIM VALUE: CAL�-VALUE: GROUP OCC: R-3 /M-1 COMMEN't'S: RE; PC?F 1912-925 # iE iE iE 3E �E iE±f #E d( if �%�1(� ## 9F-1( �� 1E �lf # 3E �lE 1F iE #�%# iE �iF �lf �if� iE �E �N-�lE if �7E lf -)E dE iE # iE �iF i! iEiF iE #iE if iE �Y�IE # if iE dF if af dF �lf N-�Y ��1E df �7( iE � iE #�% #�1F 1E #�)E Z O N I N G R E(� U I R E M E N T S S E T R A C F( S ------------ MAIN BUZLDING ---------- --------- ACCESSURY FiUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN R�AR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV: PARCEL; 14164209 ZNE: REF NO; PLAhNING h] �T'ES> i x�xx�r�*#�r'�#iExiFia**�t*ae��t'*xx��*'�ieieiax'io-+�#*x�x'ie�rr�t'�t'�***��'***iF?�*'x'ieitif*a'ieio**ii'*�Kiricifx'�iFif*'a � D E V E L O P M E N T S E R V I C E S.• R E Q iJ I R E N E N T S ZONING APPROVED BY AATE: BUILDING APPROV�D BY ; DATE; _AP.Y_LStATl_QN_1:SS.L1�12 _�f.Y_�. 'J�✓ "�,�I,�S�}P- DATE • S� "L� (�` 1 ±FiE�tjfiF7flEiEiEiFiFifi(•3EfF#iFiE�FiEitaF8Tr7FiFi7FiriFiri[7F7FiF-irtFiF7F'SiFTe 3t z—'iF7FiriFiEYTr�iFiFlf�iFiF?f?FaF'#3e�'rTFTr7i"ib'{r Ti� %4FiF��if-" . _ iF # iF-N� i(-iE �1E iF 1f iE'1E iE 1E iE if iElf�lF iE if fE iF �f iE � ik if ih i!� 1f #E i4 if� i(� �f -M� 1i+(� iF if ii-�1F if iF 14 �F if if if 1f if iF iE fE IF iE iE i4 if iE iE ?C i(� �I(� iF if iE iE i(-�FiE K� if ik 3E ie if Y.� # LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEG,yENT:N BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 4 50 '15k SMIP/NON-RES PLAN ISSUE FEE BUILDING-AIV-> PERMIT TOTALS----> 9.50 15.00 ZSSUE PLAN-CHECIC TOTAL PAID DUE 15,00 0,00 19,50 19,50 ,OU REVENUE DIVISION TOTALS--> COLLECTED: 19,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHAN3C FIAE SMIP/TOT GRADING PLAtc-CHECR 19.50 # 3E i4 3i� 3F iE lE �)f if if� iF �f ## jE iF �14 iF IE �lf if �E # iE iF #�1e 3E 3E # iF �1f lf �E 3f if #'F iE ## iE N iF �li 3f� jf-if iF lf� k if i61f if if� �1F iE �E !# iE iE �F �E if iE af aF �E if ?6 iE if� ii iE iE ii� iF I N D I V I D U A L F E E B R E A K D O W N TYFE QTY D E S C R I P T I O N IINIT COST TOTAL COSi MEC 1 TNST /REL APPL VENT NOT UNDER PERMIT 9.50 4,50 END OF FEES 71 GOi1�749-pG115?C�n -,- _�T ,•-_, GdTi G` "%a "P T' � 1: , :. CONSTRUCTION ANOPLANNING � POO' PA APPROVALS Permit # Date Inspector qppROVA�S Permit # Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment LocatiDn � 2. Soii Pipe-Undrqmd. � 53.- Steel Reinforcement 3. Elea�ical Conduit Utitity-Undrgmd. 54. Forms 4. Electrical ConduibUndrgrnd. � 55. Electrical Bonding - 5. Steel Reinforcement ' S6. Rough Plumbing & Pressure Test � 6. Electriwl UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foandation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. �� . 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structurel Floor System � 67. APPROVAL TO DECK 1 t. Property Sewer 4�ne & House Connection 62. Backwash & Receptor�Final - 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Orains , � 64. Plumbing System • Final ' 14. Rough Plumbing �� 65. Electrical-Final 15. Rough Eleccrical�Conduf[ � ' �� 66. Solar System�Final y 16. Rough E�earic Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Dutts, in $tructure 70. Underground Hydro 22. Duc[s, Ventilatin9 77. Product Piping OGas OOiI 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceilin9 (Structurall & Monocoai 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEP7. REQUIREMEN7 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric • Notes: 34. final Heating & Air Conditioning 35. Fina� Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing �(O �y' b j�- 39. Water Service-Final 40. Gas Service-Fina� 47. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUC7URE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY No. Date OWNER ABLEPi'� NORMAN F. 2729 De Sc CONTRACTOR Forms IDATE p�T 1 6 1960 I BUILDING PERhiIT NO. � 2309$ •-- I vnr,vE � 300.00 _ . FIRE 'LO1GE � DESCRIPTION OF WORK �O° Retain.4i DATE GROUP J TYPE Ij= ZONE R1 SUBCONTRACTOR PERMITSISSUED DATE NUMBER � 23098 COSTA MESA BUILDING-SAFETY DEPARTMENT P• �. BO%]f7 COBTA M88q, CALIFOHNIA For Applicanf fo Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA FEE RECEIVE� OCT 16 1964 FINANCE DEP1. F,�i�n�ST��II@6�rc BUILDING For Office Usa Only 11[C61pT NO. P� pY pAT[ B6C81VHD — % wPrnovso ar � wri ZONING Z NO. OF US[ O� NI � ( PLANB �... lYILDINO G SIZE � � OFLOT USE OF E%ISTIN6 pLDO. GBTDACK LIN[ II10M DESCRIPTION OF WORK ILDIN6 E 'ERIOR WALL :PHRFORM6D �/ T I ' � � ii 1 1 EHEBY �CKNOWLHDaB TX�T 1 X�VB qlAD THIB ANO BTATE TMAT TN8 ABOVB IB CORHBCT AND �f PLY WITX ALL CITY OROINANCQB AND BTA [ LAWI BU�L�IN6CONHTNVO[ION. � � AI� YARDSAPPROVEO MAIN BUILDIHO fOM GL STRHET) vwR. # THE AMO VURPoBQ PtRMIIIC Y'\ 3 o a� s AUTHORI;HD ABfiNT NO. — v 7 BE L�S9 THAN VARDS APPROVED AGCESSORV BUILDING DATE 0 VALUATION IB FOP TNH g A PEPMIT FE8 ONLY. � � N IT FEH $ � m ' e � ¢ � ;s �«. ' ! 8879 OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA - For Applicant fo Fill In Complefely TYPE OR PRINT BUILDING ..^,.,., _ _ . . COSTA MESA. CALIFORNIA OWNER Mesa Del h'far Develonment � A�DRESS 380o E. COast HwV. c�rr Corona Del M.ar No`:OR OR ENGE EER Ntacco Realty Co, No:OA ADDRESS 3800 �+. C+�aSt H47V� CONTRACTOR I°facco Realtv Cn_ NO. OP BLDG9�{ NOW ON LOT 1VOIIP. casra m *AiF# ,R-F-,�YPi!.,�r- 177x 94:50 APPLICATION FOR PERMIT suao�N� For Office Use Only RECEIPT NO. PEP BV COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUP� APPROVED BY DATE ZONING �o. or uee ov xev I IS tI I PUN9 �� I OUILDINq�� f EVES BEiBALK LINH FROM ICENTCR YNG 6TJ ceNieR OP erneei SO � REAR YARD2P �—Z�� FRONT SIDE YARD I LEFT V� I RIGHT 6� R SIDE DESCRIPTIOId OF WORK �—ZO�� R�OMS V ST�RIES 1 5inel�' i'amil res. �r att; ear, LivinF Area: 1 80 S,F -- Plan # LtSO-DR Garaee Area: 60 S,F, 1 HEREBY ACKNOWLEDGE THAT 1 HAYE RPJ.D THI9 APPLICATION 7HH �MOUNT BHOWN UNDER VALUATION 10 POR THE AND 9TATE THAT THE ABOYE I8 LORREGT AND AGR¢E TO COM- PURP09E OF E9TqBL19HING A PERMIT FE¢ ONLY. PLY WITN qLL CITY ORDINMILE6 AND 6TATE UW8 PE�ULATINO eu��olHo coNeTxuCTtorv. VALUATION �j SIGNATURE OF (�' PERMIT FEE $ ��J .s �ERMITfE Mesa Del Mar Deve/lopment o � FjV�� {, /,/i s19,o65.0� PLAN CHECK $�� J� w �