The URL can be used to link to this page

Home My WebLink About3117 DUBLIN ST - Building PermitsJobAddress: 3117 DUBLIN ST Suite: Viciniry: ROOF Primary Occ: R3 Parce� Number. 41814112 Applicant: VINNY LE Address: 9612 SUTHERLAND WAY GARDEN GROVE, CA Owner: NGUYEN, CAO VAN Address 3117 DUBLIN ST Type of Construction: V-N Zoning: R1 COSTA MESA, CA , c, Contractor. WESTMINSTER ROOFING CO Address: � 9612 SUTHERLAND WAY - � - GARDEN GROVE, CA 2ip: 92844 � Arch : Address: Zip: Phone: License: ' Phone: (714)713-8134 Zip: 92844 � Phone: " - � � Zip: � 92626 Phone: (714)541-5351 License: 694940 Eng: Address: Stalus: ISSUED Applied: 0825I2005 Issued: 08/25/2005 � �/ ISSUED BY: Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP SHINGLES AND REROOF WITH 30 YEAR COMP SHINGLES ON ATTAHCED HOUSE AND GARAGE. APPROX 21 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. � - FEE SUMMARY Plan Check: _ � $0.00 � � � � ^ _�. _ . Calc V,aluation: ' $a,000:oo Permit: . $111.25 Claim Valuation: Ss,000.00 SMIP Res: � $0.50 `� =� ° SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 � Total: $111J5 , s- � pCANNING-R ZONING � SETBACKS MAIN STRUCTURE Front 0-0 �:� �� Rear-�`� 0.0. � •�" -Lefl�+ � 0 0 �� _ -=-�,.Right =0-0 � ACCESSORY � Front 0• 0 - Rear � 0- 0 '-Left�``"�� 0-;0 �- � Right 0- 0 PARKING `Existina:- 0 -�- Re uired:�' 0'�- , - �Pr000'sedi"`"�.0---.." �'- ._ �- NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and re�ated regulations. (Ord. No. 92-28, § 1, 12•21•92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, oi it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepectlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration ol this permit. FOR INSPECTIONS CALL: (714) 7545826 � WORKERS' COMPENSATION OECLARATON: I herehy aNirm under penelry at perjury ane ot the lollowing declaretions: � ❑ I heve end will maintein e cartificete at consenl lo self-Insure for workers' compensetlon, es pravideA for by section 3700 at the Lebor Cotle, for the peAormence of the woflc.lof whith this pertnil 19ISsuBO. � ��.—Phave end will malntain workers' compensation insurence, es requiretl by section 3700 of the Labor Code, Por the peAortnence ol the work for which Ihls pertnit is IssueG. My workers' wmpensation Insurence carrler entl policy number are: �_._'_'_ �Carriei::" Fdicy�Number.��C.l�'J/� ! L� (Thls sectlon need nat be complefed ll the permlf Is velued ef one hundred dollars ($100) or less.) ❑ I certify ihet in the pedormence oi Ihe work for which this permit I5 issuetl, I shall not employ any person in any manner eo es to become subject to Ihe workers' compensallon lews of Celitomla, end egree thet If I should become suD�ect ro the workars' compensetlon provlslons of Sectlon 3700 oi the Lebor Cade, I shell forthwit� comply with�Ihese visions. �> /� ApPIwnLSignatuie: ��=�_— Dete:��%Cf /�/� � WARNING: FAILURE i0 SECURE WORKERS' COMPENSATION ODVEHAGE IS UNIAWFUL AND SHP1L SUBJECT AN EMPLOYER TO CRIMINPL PENALTIES AND CNIL FlNES UP TOONE HUNDREO T}IOUSAND OOLLARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOEO FOR IN SECfION 3]OB OF THE UBOR CAOE, INTEREST, AN� ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I em license�untler praWsic CONS7AUC7ION LENDING AGENCY: 9(commencing wich Section 7000) ol Divislon 3 of ihe Code, antl my license Is in full ❑ I hereby affirtn that there is a consiruction lending agency for the peAortnance of the work lor which this permit is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lenders Address: Signeture: OWNER•BUILDER DECLARATIONS: Date: I here6y eHirtn ihet under penelty of perjury Ihet I am E%EMPT FROM THE CON7RAC70RS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requlres e permit to wnstruct, alier, improve, demolish, or repair any struMure, prior to Its issuance, elso requires the epplicant for such pertnit to file e slpneC statement that he or s�e Is IlcenseA pursuant to t�e provlsfons ot Ihe Conireclors License Lew (Chapier 9(cammencing wit� Secllon 7000) af DMsion 3 oi the Business antl Protessions Coda) o� thet he or she is eaempt therefram end the basls tor the alleged a:emptlon. Any Nolatlon oi Sectlon 7031.5 by eny epplicant far e pertnit subjects the epplicant to a civll penalry of not more ihen five hundred dollars (5500).): ❑ I, as owner of Ihe properry, or my employaes wlth weges as iheir sole compensation, WILL DO THE WORK, anOlhe siructure Is not Intended or ottere0 for sele (Sec. 7044, Buslneu entl Professlons Cotle: The Coniractors License Lew does not apply to an owner of properry who builds or Improves ihereon, and w�o tloes such work himself or herself or ihrough his or her own employees, provided thet such improvements ere not intended or ofleretl tor sala. If, however, ihe building or Improvement Is soltl within ana yeer af completion, the awner-builtler will have the burtlen of proving thet he or she did not build or improve for purpose oi aele.). � ❑ I, as owner ol the properry, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTHACTORS m construct Ihe pro�eq (Sec. 7044, Business end Profeuions Code: The contractors License Lew tloes not epply Io en owner of propony who builtls ar impmves thareon, entl who contrecis lor such project wlth e contractor(s) licen5e pur5uen� �o �he COn�rettors Llcen50 Lews.). ❑ I am eaempl under sec. Business and Professions Code br ihis reason: Signe�ure: Dete: Owner ID verified 6y drivets Ilcense. ❑ Yes ❑ No Driver's License No. Vediication ol Ownership by (rype ot tlxument, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify thet no excavetlon five (5) or more feet in depth into which a person is required to descentl, will be metle In connection with work euthorized by this permit, end that no building siructure, sceHolding, falsework, or demolitlon or dismantling thereof, will be mora than thirry-slx (38) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Ttle 8, Celifornla Adminisirative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnil from �he Division of IntlusMel Satery, es notetl e6ove, unless such person has e pertnit to do such work irom the division. Signeture: Date: Division of Intlustrial Salery Pertnit Numbar: CERTIFlCATE OF COMPLIANCE AND AlffliORPJ1TON OF EMHY: 1 cenity under penalry at perjury Ihat I heve read this epplicatian and state that the information given is correct I agree to comply wit� all stete laws and ciry ordlnances relating ro building conshuction, end euthodze representatives of Ihe Ciry of Costa Mesa to enter upon the ebove-descn6ed pmperry tor inspection purposes. I agree not to occupy or allow occupancy ot any building euthonzed by this permit until linal inspection. „ Signature Of Legal Owner(s) COOE �. INSVECTONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 Finel Block/Retaining Well 202 final Fectory Fire Place 203 Finel Sign 204 Finel Demolition � _ i ,�w_ G ' � ia� CODE� INSPEC710NTYPE 206 Flnal Mechanlcal 20B Finel PlumCing 210 Flnal ElectAcel 212 Final Fire Preventian 220 Finel Plenning Approvel 222 FinelSita 250 Final Bullding/Occupency � Date , PeIE Imd64 (714) 754-5273 • Fax (714) 754-4856 . ' ;t CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3117 DUBLINST Suite: Vicinity: Parcel Nunmber: 41814112 Applicant: HO, PETER Address: Ownec NGUYEN, CAO VAN Address NGUYEN, MY THI COSTA MESA,CA 3117 DUBLIN ST Contractor. Address: A�ch / Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: 77 FAIR DRIVE, C(iSTA MESA, CA 92626 BUILDING PERMIT Status: ISSUED Applied: 09/1411998 Issued: 09/14/1998 Zoning: R1 R1 Phone: Zip: Phone: Zip: 92626 Phone: Zip: License: ' Phone: Zip: License: SCOPE OF PERMIT FINALIZE PERMIT FOR ADDITION. REF: B98-01647 & 879720. 421 S�. FT. FAMILY ROOM AND BATH. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 EXP��D DATE iD �'7 � so.00 so.00 EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable�codes, antl all required inspectlone and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 � WORKERS' COMPENSATION OECUIRATION: � I hereby ettirtn untler penally of perjury one ot Ihe tollowing declereiions: ❑ 1 have end will meinlain a certificate ot consenl to seH-InSure tor worker5' compensetion, as provitletl for Dy sedion 3700 of the Lebor Catle, tor Ihe peAortnence oi ihe work lor which Ihis permi� is Issued. ❑ I have antl will mflinlain workers' compensation insurance, as requiretl by seclion 3700 ot the Labar Cotle, for the pertortnance ot the work for which Nis pertnit is issueA. My workers' compensetion Insurance cartier ena policy num6er ere: Cerrier: Poliry Number. (71i1s sec(ion need nat be complefed i/ fhe peimit is velued et one hundred dollurs ($ t00) or less.) cenity thet In the paAortnance of ihe work for which this pertnit is issuetl, I s�ell not employ any person in eny manner so es to become subject to the workers' compensation laws of Califomia, antl agree t at if I shoultl become subj ct to ihe workers' compensation provisions ot Sectlan 3700 of the Labor Code, I shall torthwith ' these provisions. !///'y� � /^„�._ plicantSigneture. Dete: / �� l�_ IN O SECURE WORKEd COMPENSATION COVERAGE IS UNLAWNL AND SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND WLLARE (5100,000), IN ADDIT� N TO THE COST OF COMPENSATION, DAMAC+ES AS PROVIDED FOR IN SECTION 37060F THE IABOR CODE, IfJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLAFA710N: I hereby eNirm Ihet I em licensed u �f p'rPy isio{�s� epter 9(commencing wIU SecUon 7000) ot Division 3 of t�e Business end Professions Cotle. end my Ilcense is in full force LJc. x ��f `lL� ll�� . Cless # . ntrac ors Signe �_��,r,�q„��P� Date: ' l — CONSTRUCTION LENDING AGENCV: � ❑ I �ereby affirm Nat there is e wnstruc6on lending agenty for the paAortnance of the work For which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lenders Address: Signature: Data: OWNER-BUILDER DECLARATIONS: � I hereby eHirtn t�at under penalry oi perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or counry which requires a pertnit to construq, alter, Improve, tlemolish, or repair any structure, Pnor to its issuance, also requires the applicent for such pertnit to flle e signed statement ihet he or she is Ilcensed pursuent lo ihe provisions oi the Contractors License Law (Chepter 9(commencing with Sectlan 7000) oi Division 3 of tha Business antl Protessions Code) or �het he or she Is exempt iherelrom end the basis for Ihe elleged e:emption. Any violation ot Section 7031.5 by any epplicant for e permit sublecls the applicant ro e civil penalry oi not more than fiva hundred dollars �$500).): ❑ I, es owner of the property, or my employees with weges es Iheir sola compensatlon, WILL DO THE WORK, entl the stmcture is not intanded or o%eretl for sele (Sec. 704a, Business and Protessions Cotle: 70e Contractors License Law does not epply to an owner oi pmperry who builds or Improves thereon, and who does such work �imself or herself or through his or her own employees, provided Ihat such Improvements ere not intended or oflered lor sale. If, however, ihe building or improvemant Is �� soltl within one year ol comple�ion, the owner-builtler will have �he Gurden ot proving ihat he or she tlitl not Duiltl or Improve for purpose of sale.). iS i, fls owner oi the pmperty, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construd the pmject (Sec. 7044, Business flnd Protessions Cotle: The contrectors License Law tloes not apply to an owner ol properry who builds or improves thereon, en0 who contracts tor such project with a contrector(s) liten5e pur5uant lo iha COMraclor5 LicenSa LawS.). �Zempt und�sec. _�k!� Business and Professions Cotle tor this rees : _ Sionamre: ) �r�...Q ��/I/��IAI'�UIN�/ Date: � ___ __ , Awnerl6 verifietl Dy tl vefs license. ❑ Ves O No Dnvefs Licensa No. Venficallon of Owne � ip by (type of document, i.e. - properry ten bill or deed): Ezpires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby ceM1ity t�at no excavatian five (5) or more feet In depth into which a person is requiretl to tlescend, wlil be made in connection with work euthodzad by this permit, and lhet no building SWdure, scaffolding, falsework, or tlemolition or dismantling Ihereof, will be more then thirty-gi: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomla Adminlstrfltive Code). ❑ As owner-Dullder, I wlll not employ anyone to do work which would requlre a permit trom Ihe Division of Intlustrial Sefery, es noted above, unless such person has e permit ta do such work tmm ihe divisian. Signature: Division ot Industrial Satery Pertnit Number: J 3 Date: Will Ihe applicant or present or future building occupant need to file and certify e Business Plan for emergency response to release or Ihreatened release of e hazartlous mateAel4 ❑ Ves ❑ No (Section 25505 of the California Health end Safery Gode requlres, with some exceptions, that a Business Plan be filetl with the Casta Mesa Fire Depertment by every Dusiness which has at eny orie time dutlng a reported year a quentiry ol ha�rtlous materials equel to or qreater Ihan e weight of 500 pounds, or a volume oi 55 gallons, or 200 cubic leet ot compressed gas at slanGarU tempereture en0 pressure). .......................................................................................................................................................................................................................................................................... Does ar will the epP�icant or present or fuWre huilding oCCuOent need lo file 0 regi9tra�ion fortn for ecu�ely hezardaus meterials9 ❑ Ves ❑ No (Sectlon 25533 of the Celitomia Health end Satery Code, with some exceptions, requires registratian vnth the Coste Mese Fire Depariment by each business which et eny one time has on �enC e quantiry oi ecutey hesartlous meteriels equal lo or greeter then a weight ol 500 pountls, or a volume ot 55 gellons, or 200 cubic teet of compresse0 Bes at stantlertl temperature end pressure). .......................................................................................................................................................................................................................................................................... Does or will t�e applicem or present or fuNre building occupant need to prepare en RMPP (Risk Menagement and Pravention Program tor acutey haiartlous matenels)9 ❑ Yes ❑ No (Section 25534 ot Ihe Celifornia Health and Sefery Code provides thet the Coste Mesa Fire Depanment may requlre the preperation, certification antl tiling with the Fi�e Depariment ot en RMPP by businesses which ere requlraA to register ecutely hazerUous meterials with tha Fire Depariment. .................................................................................................................................................................................................................................................................................. 4 If en RMPP is presently required, has Section 25534 of the Calitornia Health and Safery Code been tully wmplled with7 ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................. 5 Daes or will the applicant or presen� ar future hulldinq occupant require for Ihe work which is ihe sub�ect of ihls a pllcation a permit for such consiruc�ion or modificatlon from the South Coest Alr Oueliry Manegement Disidd or irom eny other elr pollutlon contml district or egenry7 � Ves ❑ No (Seclion 65850.2 of ihe Cfllifomia Govemment Coda requires thet Ihe requestad infortnation be fumi5hed on epplicetions for non-residen6al 6uiltling pertnits). .................................................................................................................................................................................................................................................................................. 6 WIII eny pen ol ihe faclliry to be constn,ctetl untler t�is Dertnii be wit�in 1000 fee� trom ihe outer bountlaries oi e school7 ❑ Ves ❑ No (It yes', Ihe teGliry must meet the requiremeN ol Sections 25534 entl a2303 ot the Califomie Healt� entl Satery Cotle). .................................................................................................................................................................................................................................................................................. 7 If e Permit trom ihe Soulh Coest Air �uelity Menegemenl DIS�dtt Or other eir polWlion contml dislriCt or egency is required for Ihe work which is the subject o1 Ihis aoolication. heve all oi ihe Cisclosures prescnbed by Caltlomia Health end SefeN Code Sectlon 42303 been mede7 ❑ Yes ❑ No CERTIFICATE OF COMPLIANCE: I certily Ihat under penelry ol perjury the information given above is correcL I egree to compty with all state laws and ciry ordinances regerding Hezerdou5 Ma[erials entl Emissions. Signeture: Date: CEHTIFlCATE OF COMPLIANCE AND�AURi0RQA710N OF ENTRV: 1 certity under penalry ot perjury Ihet I have read �his application entl state that the iniormation given is correct. I egree to comply with all stete laws and ciry ordinances relaiing to building construction, and euthonze representetives of ihe Ciry ot Costa Mesa to enter upon ihe ebove-described property tor Inspec�Yon pur�ses I e r�ee_no� to oc�upy or allow occupenry of eny building authonzed by t�is permit until iinai inspection. I SignU ra OI egel Owner(s) L n ��/]�� ! D e C � /Il ��Y/VVVV' Wl� / ( �� (� � AnN uthonzed Ap ' nt � Dete C��E I. INSVELTIONTYiE . 1616 Fixed System Finel Fire Preventlon 1266 Pool Spa Final . 200 Flnal Re-Root 201 Finel BIocWReteining Wflll 202 Finel Fectary Fire Plece 203 Finel Sign 204 Final Demolition YF_S•Sr:f It�lLS cooe� 206 20B 210 212 220 INSVECTON TYPE Finel Mechenical Final Plumbing Flnal Electrlcel Final Fire Preventlon Final Planning Approvel 222 Flnal Site 250 Final Building/OccuOancy �Sg �� r "��F&110�" 3717 DUBLIN ST °"�'�`s"""E"'°'°"": NGUYEN, CAO VAN "0°"`u' NGUYEN, MY THI 3117 DUBLIN ST � �� COSTA MESA, CA "�NRECO"�'�`"' VINCENT DINH ARCN.ON FNO.'S AODXE55: z 4 4 E 21 S T S T C.M. CA 92627 CONfP'1T0R51�' PETER HO ( 714 ) 537-8682 cwm�croasxuuxa 12771 WESTLAKE ST 'ODP� GARDEN GROVE CA "cN0 543067 92840 U1° LJCENSED COHfNACTOqS DECL�RATION: I Mreby M'em uMer penely d paejury Nel I em IiunxE uMw pw'vim� d Cheqr 9 (aarvnenuni xilh Sxlian ]000) d Oivuun 3 d Ne &nmem end Pmleeeon Code. vd mY 4m�us b in Iu0 brta end Mlee. cmuc.No.: uc.cuss: H uc.r+o.: 5430 7 XP: Dme: ' O O I � CaNadm � OWNER BUILOEP DECIA ATION: I hmeby elfirm urMe� penNy d rjury Ihel I em emmq /mm iM CaNrrJon lirome Lew la iM IOAowiq neem (Senion ]U01.5 Bu�iwaa eM Prdevia�f Cada: ♦ iY a awn�y wlid nV�� s D�mC to miWutl. elx.'vM�. damd'e�, a rpei ary siruNuee, p'v b na ueuence, eho npuim �M eppl"xau Iw wcA penM to fib e eqnM paianrX tlw M a�hs e IimnseE Wn�� lo iM pa+siom d Na Comreeon lioanea lew ICMpa e(oomms�d�q waA Saaion )aoo) W �iveion � d tlr Buirees erd Prdsa'wn Cadel a�� a dro b vemq iMrehan eM IM Emb lar Ihe elbpeE mamqian. My voW ion d Satlion )W 1.5 Ey erry epp4reM la e pmmn whjen+ iM epplium to e dW penalry W nq mors �hmlxa huMeed do0v� �550UU. � I.movmerMiMPOCe�YamYemdoYaawYhwaOa+ealheisolsoomGM+�.wlldolhexwk.vdlMetru.luroe�MWeMW «art«ed b vela (Swion 1a1.6uvnev uM Pmtmvomtade: The Con�rmm t'xws lewAau na ecW'/to n owmra papeny wlw WiCa a inD�++�he�wn. md Mn Eoro such wk tim»0 a henM u Uraq� lo n Mr own amWw+m. p� �hm arA impwemeMs are nd'wmded u aflaeG la eab, tl. hows.ar. �M WJ]vp ar inqwwneN b wld wnAn one Y� d mmpMion.lhs owrier-0uiMer will heva IM Wrden d pwi�q M or Ma Etl � Euik n impv.a 1« tM puryove d eeb). � I. m axw d ihe Vrw�Y. em mtl�eh mueact�q xdh fwroed can4eclm b mu4W IM o�4b (Sed'on 10u. Biebiss end PMemom Code: The Caaeeam lir.eiw Lew don nal WNY b an ownar M O�WMY Mo bu� a mW�'u IMnm uk Wn wnVxls la wdi Wqeqa vnN e mmreaals) IkeneeE Wnuem to tM Cam�mae l'vua lew). � I em exemp wdr Seftan: , B., 8 P.0 , b Nw �semn: ode: o�« I Eo M1seb/ ro�M Net I em e.rere d md �vdeeuM Ns na��mu W CeOarvs IMNh vd Se1W Code Srf've uw5. uSv. rd A55�6. eM thu I a eT' Mum dnMnq ompeni xiA / wil rwi (mcb wr) nead to comON wIM1 uid tltle aoda� and iM npuhamaM b eG��lamuwnionwmodifimianhan�MAi ue3T�iiy +nypmenlDia�nd.ReWderYmlmM�udionMO�iamenaRemq/mmUue panvm. Date: Appfcam: WONKEP'S COYPENS�TION OKW1�T10N: I hraby elf�m �vder pruly d pa�W ans d Ihs b0o�mp dsdutlum: ❑ I hew end wil me'vnen e centl'rats d mvanl lo wtlinare la r.aken' mnpanWian. n prwidM la by Satlian �100 d tM leba coae. i« ine oerta�< a ine ..on ia .+:�n inn �n m 4,�ea. ❑ in.,�.�a.u��oona.•�o��...�.a�.ewsww,aroowm.i.m�cm..�m.o�au» .ork 1«.lu3� m"v vmmm a mu.e. Mv workr,• eon,a«mnia, �auerc. mn:. w w&i� �wmns.ee: c�,: POGry Number. (1no aseim riese rar es rnndetee / �ns v�r u mr ms w�and m9els Is�aol o. wnJ � � fMl�`/ ��Id N I�IB pB1�GVTBM! C� I�1B WOI�I iCf W�1C�11�14 V�fTE 4�. � t�1G� IIC1 M1pO/ N�Y Vd�� II tll)' TNYW p tl 10 e.ronn wbjer, m �n. xw4e..• mnpanWon �... a c.r�omi.. ene m�.. ma ! � anwa n«en» wdjW �o �n. �.o�M«.� �o1�b wwao . a s. c� s�oo d m. isn« coe.. i wyn i'o�nn�.un�' o�vM'�./jan mo. powiau. Dme: 1 O � Appfwu: Y 1%I iiK �7 �� T^— Wembp: F�9u ro uc wrorkw�'rorr�wruetlon eoverep� l� u NrYul, uW Msll aIC/M �n wlplonr ro alm�nl pw�Wtlp uM nh� nn.. w ro ms m.rana mou..m eorrr. lsfoq000A m amuon ro m. co.� o� romoru.rron s+m.v.. u pov/ew ror �n Sctlm 9106 0/ IM LNor Coes. Infwsst �� ettom�Y i lsu CONSTqUClION LFNqNO AGENCY: 1 haaby etfirm wMer pwM1y d pxjury Ihet �Mn u e canp�ion MnNnp epency br tlw wnom,e„oe a me wax i« wniw ine o�� e e.�,.d Ismon aas�. cH. cl. LENOEH'S NAYE LQIDEF'S ADDPE55: I cMCy Ihet I hme reed No eppficatim vd ume IMt Ne ebwe iNwme�ion b mma. I q�ne to mnply xilh eA iny eM odvtly ad'vwv� and ama laxs reld"np m buiMiq coriet�udion vd heraby eWwce npiaxnimrv» d Ihie dly ro wx upon iM ebv.e-mauiwd popeny la immaan ourawwc. . i � " " 92626 UNT: ucra, � UNT: Otla: 1 D � I V Wti4a9uJdip 8 Salary: GreerFFb: Canmy-Appiram: Rnk-Ravenue: Oddaneo�Nwenr CITY OF COST.b. MESA — BUILDING PERMIT PERMIT NO: B 079720 PLAN CHECK NO: 03915-96 A CONSTRUCTION TYPE: V—N PERMIT TYPE: STR oi � �f PERM NO: B 079720 GOVT: N SUPP: N PURPOSE: ADD JOB DESCRIPTION : ADD 421SF BEDROOM , FAMZLY RM S BATH SQ FT: 421 CLAIM VALUE: ]5,000.00 CALC—VALUE: 32,795.90 GROUP OCC: R-3 /U-1 COMMENTS: CONSTRUCT FAMILY ROOM, BEDROOM S BATHROOM **�t*+t-**��*� ��t**�**� �r�**r**x�**�t�-�-**�t+t�-*�t*�-**�***�*****x�*�+r�-*�****�**�**�-«-�r****�+r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: F'T IN REAR: 19 FT IN FRNT: FT IN REAR: FT IN LEFT: 7 FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: _ PROV.: PARCEL: 41814112 ZNE: R1 REF NO: PLANNING NOTES> CONSTRUCT A FAMILY ROOM, HATHROOM AND HEDROOM ADDITION TO AN > EXISTING,SED. 315 SF REAR YD COVER OK; 755F COVER PROPOSED. 1F if 1f iF1f iE 1E �IE iF iE iE iE if 1f iE 1f 1E 1F iE if if iF if 3E ff ff 1E�iE 1F 1h iE iE 1E iE iE iE 1E if iE i! iE iE iF if aF 1E 1f if iF iE iE iF 1E 1E'lE if 1E iE iE ih iF 1E fk if �1E �E ff� 1E IE iE iE df iE iE aE 1E iE dElE D E V E L O P M E N�T��( JS E R V I C E S R E U I R E M E N T S ZONING APPROVED BY ': �� f\, Q�i.J/9/o DATE: b BUILDING APPROVED BY ; DATE: %�] APPLICATION ZSSUED'HY: � DATE: �*�**+�*ie�r��r�r+rat+�itie*+�+�** x� * it**atat��**� a a * �x LEGALIZATION:N F E E S U M A R Y STRUCTORAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC� FIRE SMIP/RES GRADING PERMIT 421.75 '• 3.28 PLAN 68.54 y SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK� i"•TOTAL PAID DUE TOTALS----> 425,03 0.00 68.54 '' 493.57 493.57 .00 REVENUE DIVISION TOTALS--> COLLECTED: � 425.03 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 421.75 -. 3.28 *�'�'*�'*�'�'�'*�'*********'�****'�'�'�'�{'*�'�'�'*�'�'�'*�'**'�{'�{'*�'*'*�'*�'K'*'***'�**"�*****�'�'***'��'�{'*"�'**�'�'�' 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 421 DWE—TYPE V—WOOD FRAME . —GOOD 77.90 32,795.90 END OF FEES' EXPIRED � � ` � � DATE �� Q1 00216�45—D0216Q45 T O T 42`.03 ' DATE: IO/D1/95 TIItE: 04:42 s^, n � i , � : + F _ & SPA � CONSTRUCTION ANO PLANNING „ .�\'`'-*'APPROVALS Pefmit# Date Inspector qppROVALS Permi[# Date ?hspector i `• L Temporary Electrical Service or Pole 52. Pool & Equipment location 2. Soil Pipe�Undrgmd. 53. Sreel Reinforcement ' 3.'Electrical Conduit �Utility�Undrgrnd. 54. Forms '4,_Electrical Conduit•Uridrgmd. 55. Electrical Bonding . 5.-=5teel Reinforcement !��(�.�'( �(� 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE - 7. Footings -. �Q'l(!'�'�p 6G/Ff 58. ElectricalConduit�Undrgrnd. �8: Poundation ,. � `6� �//_l�j 6C.//�59. Gas Pipe, O Undrgrnd., Test ! 9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Fioor SYstem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final 12. Sewer Cap ' 63. Heater & Vent�Final 13. Roof Drains . 64. Plumbing System - Final � 74. Rough Plumbing� 65. Electrical�Final � _ 75. Rough Electrica�-Conduit � 66. Solar System�Final � i 6. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 16. Rougfi Electrical-T 6ar Ceiling 69. POOUSPA SYSTEMS F1NAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory_Fireplace � . - � APPROVALS Pcrmit #• 21. Duccs, in Structure _ 70. Underg�ountl Hydro 22. Ducts,Ventilating � - . � 77, Produc[P.iping�Gas ❑Oil 23. Gas Pipe-Rouyh & Test �_ _ 72. Underground FIU.sh ` . 24. Roof_Framing - .73, Undergrnd.StoregeTank OGas OOiI 25. Roof Sheathing /j fj/f�j 74: Overhead'Hydro � - 26. T�Bar Ceiling (Structural) & Monocoat 75: Dry Chemical � - � : M. 27. Frameand Flashing - _ '2-6_c�(p �',C✓�.: 76: 'Dry Standpj'pe -.:�.. - - � 28. Lathing & Siding .. - �2-/2 •y'i . 77: FIXED SYSTEM F�NAL � - � �29. Insulatiorz -' ��2-��'-�. �� 76, PIREPREV.FINAL 30. Drywall Nailing � �:�1. �L. /`'D" JiEALTH DEPT. REQUIREM�IV� • Lq- . 31. Plaster Brown Coat /�.-2?-J� t�(�(/' 7.: FINAL INSPECTION _ 32. Electrica{-Power Meter-Final �. S0. FOOD CERTIFICATE ISSUED 33. Final Electric � � Notes: SIVIO�L ��T�.l.�'�' �,� � s - 34. Final.Heating & Air CondiUoning _ - � - ' ' -' ' �� - 35. Final Gas Pipe�Test - SURV Y Lr?T_LiN.E-��-�.r.cv�C-Y-(��-[� . 3s. Hoaa o, c��ovv " - � 'MA . BE REQL'IR� , ��„ _ _ MAY BE_R �Ql11RED- 37. Fina��Paccory Fireplace - _ ( "�� _ - --- _38. Final Plumbing _ � 39. �Nater Service-Final ' - i -- ,� / �1l,lC'�' � �� J'� (�� H` �� [ - �� -�"J� 40. Gas Service�Pinal - _ - ' - - - � - 41. Solar pomesticF(nal - ! _ � � - 42. Backfiow Preventer ,-_ �� . �. . . --� �•�-�. 43. Backflowlrrigatio0 - ' j � . - .�-----`�-��`�_-� -- 44. Landscape Irripati0n System . - , - . = 45. Sound Attenuation - " - - � ` 46. Handicap Regu�ati0ns _ - _ - . 47. FINAL STRUCTURE & BUILDING • � � � - � - • 48. FINAL PLANNING ' � � 49. Electric Release to Edison . � 50. Gas Release to Southem Califoraia Gas Co , � '. ' - 51. CERTIPICATEOFOCCUPANCY No. - Oate CITY OF COSTA MESA BUILDING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT V P98-00696 (714) 754-5273 • Fax (714) 7544856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3117 DUBLIN ST Suite No Vicinity: Parcel Nunmber: 41814112 Applicant: HO, PETER Address: Owner: NGUYEN, CAO VAN Address NGUYEN, MY THI COSTA MESA,CA ' 3117 DUBLIN ST Contractor: Address: ArchlEng: Address: PLUMBING PERMIT Status: ISSUED Applied: 09/14/1998 Issued: 09l14/1998 Phone: Zip: Phone: 2ip: 92626 P,hone: Zip: License: Phone: �� . Z�P: DR� r� a �� , License: _ �%i71.p ��[� �� .1 l/' �wiST�'`:1 SCOPE OF PERMIT FINALIZE PERMIT FOR ADDITION. REF:B98-01647, B79720 &' P79723 FOR 421SF ADDITION. ISSUE FEE BackFlow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Ploor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Vatve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) AMT $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY - AMT Laundry Tub / Washer , $0.00 Landscape Irrigation , $0.00 P-Trap $0.00 Pressure Regulator - $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank : $0.00 SewerCapforDemo � $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, 5ervice/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foilet) Water Heater / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire 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 for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � LICENSED CONTRACTORS OECLARA710N: � I hereby eHirm that I em 9(wmmencing with Sectlon 7000) ot DiWslon 3 ot ihe Business entl Professions Code, and my license is in full Class a �%,�� Date: CONSTRUCTION IENDING AGENCY: � ❑ I �ereby affirm ihat ihere is e construction lentling egency for iha perfartnance at the work for w�ich ��is pertnit is issuetl. (Sec. 3097, Clvil Code). Lenders Name: Lentler's Address: Signature: OWNER•BUILDER DECLARATIONS: Date: 1 hereby eflirtn that untler penalry oi perjury t�ei I am E%EMPT FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu and Professions Coda: Any ciry or counry which raquires a pertnit to wnstruq, alter, improve, demolish, or repair any sirudure, pnor to its issuance, also requires the ap0�iwnt tor such pertnii to tile e signetl stetement t�et he or s�e is Iicensed pursuent lo Ihe pmdsions of tha Cantrectore Llcense Lew (Chepter 9(commencing with Section 7000) af Division 3 of the Business and Pmfessions Code) or Ihet he or she is eaempt therelrom end the basis for �he elleged e:emptlon. My violation ot Section 7031.5 by any flpplicant for a permit su6jecl5 the applicant to e Gvil panalry of not more ihan five hundred dollars �5500).): � I, es owner oi Ihe properry, or my employees with weges es their sole compensatlon, WILL DO 7HE WORK, end the structure is not intended or oflered tor sale (Sec. 7044, Business end Prolessions Code: The Contractors Licensa Lew does not apply to an owner of property who DuilAs or improves [hareon, and who tloes such work himself or �erself or t�rough his or her own employees, proWtled thet such Improvemenis ere not IntendeA or ottered for sale. It, however, ihe building or improvement is soltl within one year of complation, ihe owner-builder will have the burtlen of proving ihat he or she did not build or improve for purpose ot sale.). ❑ I, es owner ol the property, em EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS Io construct the pmject (Sec. 7044, Business antl Professions Code: Ttie contrectors License Lew does not appy to en owner of property who bullds or improves thereon, enC who contracts tor such project with a conhactor(s) license pursuant to the Contrectors License Laws.). ❑ � em esempt untler sec. Busineu and Protessions Cotle for �hls reaso �9 SigneWre: � Date: � Owner ID venfiad by drivefs license. ❑ Yes ❑ No Drivefs License No. Veriticatlon of Ownership by (typa of tlocument, I.e. - pmperty tex bill or deetl): � E:pires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hareby ceNiy thet no ezcavetlon ilve (5) or more feet in tlepth Into which e person is required to dascend, will be metle in connectlon wflh work euthodzetl by t�is permit, antl Ihat no builtling structuie, scaRoltling, falsework, or demolition or dismentling ihereol, will be more than t�irry-si: (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tlile B�Cellfomia Atlminlslretive,Code). ��„ ❑ As owneo-builtler, I will not employ enyone to tlo work which woultl require a permit Imm ihe Divlslon of Industriel Sefety, es noted ebove, unless such person hes a pertnit to do such work from ihe divislon. Signature: Division of Industrial Safery Permit Number: Date: CERTIFlCATE Of COMPLIANCE AND AUiHORVATON OF ENTRV: I certity under penelly of perjury Ihet I have reatl Ihis epplication entl sta�e that �he information given is cortect. I agree to comply with all stete laws end ciry ordlnances relating lo building construction, end euthonze representatives of ihe Ciry of Coste Mesa to enter upon the abovadescribetl property for inspection purposes. I egree not to acupy or ellow occupency of eny building authonzed by this permit until final inspection. [j T7�'1�I:Fi739i6PiN9q 7676 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final RaRoof 201 Finel BIocWRelaining Wall 202 Finel Factory Fire Plece 203 Final Sign 204 Final Demolitlon 2a48-GB t �. / C �W PdjE II�AI$ L4LE� INSPECTIONTYVE 206 Final Mec�anicel 20B Finel Plumbinp 210 Finel ElecMcel 212 Final Fire Preventlon 220 Finel Planning Apprwel 222 Finel Site 250 Final Building/Occupancy �ff �� .-. r� r- �AOD"�OFBN`01NG 3117 DUBLIN S °°"Eas"`�Ei`�u�w": NGUYEN, CAd FI�A� 600N�` NGUYEN, MY THI 3117 DUBLIN ST �;.,i.,,;,,,<<, COSTA MESA,CA 92626 UNT: a�-� �" VINCENT DINH L1N0` 0 E�` 244 E 21ST ST uNr: C.M. CA 92627 '�'""'"E PETER HO ( 714 ) 537-8682 .•i0R5YY1IINi 12771 WESTLAKE ST �oonEss: GARDEN GROVE CA 1GND' S43067 92840 UNT: LICRlSED COMRACTOXS UECLAHATION: I Mreby eflim uMm peraty d perjury the� I am IicenseE urdar poviaom d Chaqx 9 (commeruiip wilh Seclion ]OW) ol Diviebn 3 0l ihe Buainms end PrWaeeiona Goda, end my lioarrea ia in /ull force aM eNed. cmuc.no.: uc.cuss: B uc.No.: q306 EXP om, 10 o I � 6 ��,a. ,,,� �WNER BUILDEN �ECLAPATION: 1 hereby elfiim under' em eromq imm iM CoMredae Lioenee Lewip Me r�+��8 �d� (�� l0.'11.5 Bue'vwsa eM Prdmsiona Code: An cYY a mun�Y �ich reQ�im e permY to cpuleucy. e11er. improva. '.']amacn, «reDei any ecruciun. pior io Gs ewerca, a6o re9uiea ihe evWiwil la wrl� pazmn m fik e tlBneE eW mienl Nm he «.M ia licerreeE Wnuenl to �na prmnaiom d IM Comreqore Liranae Lew �Chepler 9(mmme�rq wil� Seaion )ouo) d Oiieion a d ihe Bueineea eM PrWenions Cade� a �het he a eM is aremq Ihaelrom eM iM besis fa Ilw elbped ewempion. My videtion d SeAion ]031.5 by eiry epplimnl /w e permn suEptls Ihe applicenl lo e avJ panelly d iwl mote �hen frva huMead ddlen IS500�. � I. es ovmar ot Ihe propeny or my ampbyeae xih wepea m ihei eole mmpametion, will do Uro waA, enE tha ewclure u ml inteiMed w oflerad M aele (Sxaion )014. Buaresa arW Proleaaiona Coda: The Conlredors Liceme Lewdoae �w applyta en ownerd properry wlw WiM w inG��? �M1a�mn, arq who dros auM wak IimsNl a Mner a Mrwqh hc a her own emWo�+e+. qoridad tM ach imqmamenls ere mt inieMad a dlered lor sab. X. however. �M WikinB a inpmvemeM ie edtl wilhin meY� d mmplation. IM o..�.-wdn« w�n ne�a me n�m,� a v�w��a ne o, .na da � wad � �mo� r� ma wm�a a.w). ❑ i... o.,�.� w ma n�wam. em e,d�+eN oomrea�ro �.;in iKensee convenas w cansmw me wa�+ Isea� �au. aeo,ese ena PMeaeione Code: The Conireclon Liceme law Eaee ml xppty lo en owiwr W p�ape�ly wiw WiNe w impovea ihereon a�d who conUecb Iw auciM prqma wnh e oonlrador(a) Icerwd Wnuent la Ihe Conlred«e Lioeroe law�. '- � I em emmq imder Seclion: B. 8 P.C., roe Nb reevan: . � �me: Owinr: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; P 079723 PLAN CHECK NO: N CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU JOH DESCRIPTION : ADD 421SF BEDROOM , FAMILY RM 6 BATH CLAIM VALUE: CALC—VALUE: �P � � a� PERM NO• P 079723 GOVT: N SUPP; N PURPOSE: OTH SQ FT: GROUP OCC: R-3 /U-1 COMMENTS: CONSTRUCT FAMILY ROOM, BEDROOM 5 BATHROOM **�x**�r*�**��***�*x��*��***��*****�+��*��**�***�*****�**�r*�*�*�*****�** Z O N I N G A E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 41814112 ZNE: REF NO: PLANNING NOTES> % iEiE1E1E1EiEiElEiEiE1EiE1E1EiE�liEiEiElEitiEiEil�E�lE1E1E1EiE1E�EfEfEiF1E1E1EfFfElkikiEl4ltltfllEiEitlEfElEiEiE1liE�lfE1EilfE kiElEiFiElFlFiFiflEiE1(�iElE1EiE1E D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S ZONING APPROVED HY . BUILDING APPROVED BY ; DATE: DATE: DATE: 1EififlkiEiEiE1F1f 3l1E ieonerew�nMme�i�e.e�aa�e��emo,.a��m��.ac�r�,uHa.nn�,esm<rycoees.a�,.zssos.zssx+..oa I LEGALIZATION:N F E�E'�S A l�l M.�R Y STRUCTURAL SEGMENT:N 25531, eM thm I a eny Mure WiNiip oowpent xill / wYl nM (a�cb ww) neeE lo comply wih eeid vma mdee eM the npuiremaMs M1x � , apmmnlaconavucivnumodifimlianhwniMA�y anepementOwria.RmilanimlmMiutlionxppiuliamanexemqtmmNus BLDG PMT PLUMBZNG ELECTRIG__ MECHANIC FIRE SMIP/RES GRADING pronsiana. Dma: ADp�'ratl. ' W OFKER'S COMPEN4ITION DECLIINATION: I heroW elfi�m uMar peneXy d perjury aro d Me lollowi�q detlerelione: � I here eed vN meiman e cerlX'etla d oortunt lo eetlimun 1« xpkere' compemalion, n pwidad Ia by Swion 9100 W 1M lebar coea ia me roe«,�� d m. w«k �« �n m�. re�a �. �m�.d. ❑ i nev: ene :e md�w� �xa�� wmv��mo�'uw„�ca. s, rea��e M seaan a�oo d me �.ne, coaa. ro, me v�«menw n m. wak la xhirh thie pxmil ie issued. My waken' compenxlion imueence rurier enC pdi�y number ve: c�a,: � Pdity Number: �s eMion need nof be canpbred l �he permR u br one huMrea Cdbm (f10J� w lesa.) I mniy Uw in ihe pMamerice d IM wark fw whch �hie pemin ia iauetl, 1 ehell m� ampby any paaon N eny mennm m n to become abpd io �he worke�s• canW�ion lexs a celifanie. eM e0rea ihet J I eha�M Oxvro n+4a to IM MaYan' COT�IBIIBBIIOII Mp10N9YJfl9 W SB41KKI 3)00 OI �Ib �BEM COEl� I 9M19II IOfIM1 � M1 N p WI�11 OB p10M8W11B. Dme: � � l / � �� AVdiram: Waminp: Falluro ro i�cvro xrorken'rompuueHon covereps b un , a lI �WW/�ef en xrployx ro ctlMml pmiMu uW clvll Ilr�s �q ro on� M1I»d�eJ MouunC ENNrs (S10qWOl, In NWtlon ro tli� ros! al mmpwwWM1 Gmaps u provMW br In Sxtlon 3]O6 al Ms LeCor Corb, /nNns( anC ettomsyi /w. CONST(iUCTION LENDINO AGENCY: I Mreby effirm urMar peneM1y d parjury thal �Mre b e conmwon WMi�q epency br the peApme�we d �M woM1 la wfiirh tho pam�Y o eaued (Sadion 309]. C'v. CI. �ENDEWS NAME: �v�oen�s �ooxess: I caniy �hel I heve reeE �his epDlcelim end e�eie I�m the elwre in/oimmion is cortetl. I epree to compty wnh ell dry eM counry oNinericee eM sla�e kwa nletn0lo WiN'vq cmatruUion erd Mreby e�nMr¢e raprewnte�ivea dihe tily b enlu upon Ihe eEwe.menloneE poperly ua la inspeaian puryoxs. PETER HO o�. �d 0'I �1 � (SISI�B.WP) M�M1ile-9uiWiq d SafelY: GraerFb: Cenary-Appiranl: Nnk-Revenue:OOMmivE-Nu¢w PERMIT 48.25 ' 25k — SMIP/NON—RES PLAN _, . ISSUE FEE 22.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 48.25 22.00 , ..Q.00 70.25 70.25 ,00 - y.� REVENUE DZVISION TOTALS--> COL-LECTED: 70.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK %�.2rJ ^ . itiFiElE1EiE1E1FfElEiF1E1EfEiE1EiE1E�E�EfEiEiElEiElElEiffE1E1E�EfEiEiE.f(�fE1E1E9EfEfEfE1E*1EfEfEiE1EiE1E1ElElkff�iE4ltiEikiFiEfEltlEfEfE1EfE3E1E1EitlEiEjE1E�7E I N D I V I D U A L-:F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 BATHTUH I — 8,75 8.75 PLU 1 WASH BASIN ''� • 8,75 8,75 PLU 1 WATER CLOSET (TOILET). 8,75 8,75 PLU 1 SEWER, CONNECTION'TO HUILDING EACH 22.00 22,00 END OF FEES �x�I �� DI U0216�49-00216044 T OT �' DATE � ' � �,` _ N_, , . � QpTE: 20/OS/45 TTNE: 09:43 7D.25 t. T 2. Sc��i Pipe-Undrgrnd. EleCtrical �ConduK 11{itity•Un Electrical Condu+,t, _Undrgrnd. � it # Date Service or Paie :. .6.-Electrical �FER� Gmd. -�7. Pootings -'r' "� ' �r�Foundation _ _ � �-93. Water Pipe�Undrgrnd. - . 10. Structurai Floor Svs[em � 17. Property Sewer Line & House (:onnection ' 12. See4er Cap -. . . 13. Roof Drains _ 14. Rough PlumbingJ . �' a�c�6 15. Rough EIeEv��LLConduit _ 16. Rough Electric Wiring 17. Rovyh Wiring Sign 18. Rouyh Elecvicai�T Bar Ceiliny 79. Rough Heating & Air Conditioni�g 20. fiough Factory;Fireplace - , . . 21. Dua's, in Structure , , , : - ' 22. DuctS, Venti�ating- . -- ' 23. Gas Pipe-RougFi & Tesc '; 24. Roof-Framing � ` �� • � > r _ 25. Roof SheaShing ' ' _ 26. T-8ar Celling 4Struetura�l & Monocoat . ' � 27. Frame and Flashin9 � : . 28. Lathing &-Siding - � -• - r � , . ' 29. Insulation' - ' ' - 30. Drywali NaiGng ' 37. Plaster Br9'�'n Coat _ : _ _ _ _ 32. Electricai�Power �ter-Final � 33. Finai'Electric ' - ' � "� 34. Final.Heating & Air Conditioning � 35. Finai Gas Pipe-Test • _ ` 36. Hood.or Canopy .. �_ � _ ��37. Final�FactorvFireplace- -- 38. Final-Plumbing �- F ' - 39. Wa.er:Service-Finaf � �- - - 40. Gas Service-Final ` � _ �' " S " _47. Solar pomestic-Final = ' • �'42. Backflow Preventer ; 43. Backflow Irr�gation - - 44. Landscape IrrigationSystem - � 45. Saund Attenuation �- � 4fi. HandicapYRs9ulatiorzs _ � 47. FINAL STRUCTURE & BUILDING � 48. FINAL PLANNING ' 49. Electric Release to Edison 50. Gas Release to Southem CaVifomia Gas Co 51. CERTIFICATE OP OCCUPANCY ' Date A .,» , � n P & SPA inspector � �ate APPROVALS Permit # 52. Pool & Equipment Location � � 53. Steel Reinforcement • 54. Forms 55. Electrical Bonding . 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrntl. 59. Gas Plpe, � Undrgrnd., Tes2 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK � 62. Backwash & Receptor�final 63. Heater & Vent-final 64. Plumbing System - Final � � 65. Electrical-Final 66. Solar System-Finai 67. Fencing & Access ApProval 68. APPROVED FOR� PLASTERING � 69. POOUSPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT � - . � ! APPRpVALS' Permit # - . -. 70. llnderground Hydro = - �"71. ProductPiping�Gas OOii �`' ` 72. Undergr'ound Fl.ush _ * �. 73: Undergmd. Storage Tank � Gas O Oit - ., � 74:- Overhead HYdro � ' -r^- � - . r-s 75.� Ory Chemicai � - • � - ' -- 76: DrY Standpipe : - ` - , 'y > . • � • 77: FIXED SYSTEM FINAL = - " 78, FIRE PREV. FINAL � ' ' �� a . ..HEALTH DEPT. REQUIREMENT ,,:Y,.79. F'INALINSPECTtON ' - I �' � L 80�. FOOD CERTIFICATE ISSUED I t; Noter�_.�_��_��ND�PGP� ' l.l-a5-°��c�;r��c�`r_�_oc - - n ,- - - ^ 1.L'd (_l b�RU V V_tt V�\ -. i - --., • . - � . -'_ 't . r. •, � � inspectc: p � . F eoonEssaem�awo: 3117 DUHLIN ST °a'"E"s"""E'°'Q'°"": NGUYEN, CAO VAN 1DDRE54 NGUYEN MY THZ 3117 D{]BLIN ST COSTA MESA,CA �ar�. Yuw+a AooxEsa uxi: 2�� 92626 ""c1Q�To"�'� VINCENT DINH 1GN0= 0 '�wcxoxao.•saoox�ss: 294 E 21ST ST uNT: C.M, CA 92627 ��T�""� PETER HO ( 714 ) 537-8682 �a^""�TO��""�'0 12771 WESTLAKE ST '�^�^� GARDEN GROVE CA �"� 543067 92840 u�: LIGENSED COMNRCTOFS OECI.�PAT10N: I heraby Nvm uMar penely W pe�wy iMt I em liwnsad uMu potitlana d Chaqer 9 (mmmarci�q wG� Seclion ]000) d Oiveion 3 d �Ire &�sneae ud Pralweima Coda. and mY lianw b in tu0lau end allatl. cmuc.No.: uc.cuss: H uc.No.: 543067 EXP: Deia: Conveaa: OWNEH BUILOEfl DECIANATION: I limeby elfirm uMer pmelly W perjury ihm I am axemq Imm Ihe Canlrepon licaue lewla tlr Idbwip reavon (`�ion ]dJ1.5 &niiee+erd Wdessione Code: Airy cily a caunry which ipuiree e pe�mn to omshucl. eM1er,'vnpove. demoloh, u ropeir eny etrucWre, pbr lo Xa bwarim, e6o repuirea the epplirant lor wch permn to file e eq�wd elelamant �IW he a ehe b lieeneed Wnuent lo IM pwivw d Ne Comreaors Lieenea Law �Cheqs e(mmmorcieq rm� Sadion l000) d Diieian � d �M Bicinese eM Prdeuuna Cade� a Ihel b a ahe ia aaemp therelmm eiW �M bue lar iM NbpeE naemqion. Nry vuW'vn d Se� I )W 1.5 W eiry epWiunt tar e pmmn wbjeaa the eppl'rsM to e d�+l pe�ulry d nd mm Ihen IHs hurdred ddlen �SSOOU. \ ❑ I.movmerdtMpopenYamymmpbyeeawihwepesd�Mie,bmmpemelion.wAldolhexwk.eMiM iMe a MereE /a eob (�� )a<. Butinea vM Prdeasiona Code: TM Comrman Lioenee lewEom not epply ..rowa.«mo�.��..m.noeo.asw�,.onM,�n«nawswwonneane,e.,, .�n impwsnem� ue nd inienEetl o olleieE la veb. tl. however. the dutlinp a inpemanw u wtl d . IM oMmerEuiper xill hew the Eukm d pwi�q M ar ehe EW rol buik w imqo.e la iM WT^ee � . � I. m owrir d iM papMy. em uri�ely cvnt�aniq xdh fv�sA m�wec�m b mm'ue IM p� (Ssc�IG�NQ� PMeaim� Cotle: TM Conirmm Licenae Lew dma rid eGPM w en oMnw d D�W�Y v.fio WiN�he^�i•• �Asroo convecb b atl� popea wiU a mvreria�e) �e� W�*� �o ihe CaNradar� Liwus lew). ��/ � I em ezemq uMer Saction: B. 8 P.C.. br Nh �mam: Dme: M.nar. I Ao heieby csNy tlw I em ewere d end wdanunE Ne raquremmb d Celfanie lbellh eM Selery Cods Sea'vu T5505. zss�1. ene uim � a�m naw. buJd'vro �m.�d .;o � na� na (dmAe a,a) neae ro cancM �.in uk .w. me« ena �ne ' eC�ni«oduvunionamodilydionkwntM�i u�y e^eY^�^e^�DWrip.RoriCmlWwnerudioneOW�miaueneaemq pwidone. � � TSSS�.erd �pwemeM b 6oin Nm Dme: Apq� WONKER'SCOMPENSIITONOECL�PATION:Iherebrydf wdrpenel�ydparjuryanadiMldbwinpdedermoro: � I heva eM vnG meintein a cenM' �a d caneem io eeMinaura br warkara' canpanembn, m proviEaE fa by Sedian 3A0 af tM lebor coe.. �« �ne wdanwic. d u�..oix t« wl:w mi. v�n m u.u.e. ❑ � neve d,e wi� meimen xoek.A• oomw�o� i�.�.ence. es rea��a M s.eim aroo a ine �eew eoee. ror mn v��. a m. wwk lar xfiiefi Nia pamil u iaued. My wakere' eompenaelbn inaurance ranbr enE pdiry n�m Wr ua: c�«: Polry Number: m115 ]MIM lIf/'J Iq( C! fOTYblfj /!�1! pJT1IO /OI pIB �IWIf�16f/ QO�NB �ILb� Y IOld.i ❑ I cMEy �hel in IM p«formence d iM wak /a whkh thia pe�mu u ueusd. I ehell ria amplvy airy pnon A arry TenMr u m t0 becoms wbptl lo iM xwkme• mnperaelion lewe a cefdomu, eM N�M tlW � I �MAd Eecmis a4b to IM xal�a' can0anadbn pavime d Setlbn �00 d the leEn COEe. I Mell imhw'p� oomW �wN tAw pwuiw. Dma: �Wp« WeminO: F�Nu� ro iacun wakwi ro�osiwtlon cwnap� Is unbwlul. �rMSIWI utl/�cf �n �mplayw� ro crhNrel pme/tlp uM uro nn.. w ro m. mnd..e rroww dwrn (siu4aooA m eminon ro m. co.� o� eeov«u.aon � u wovnw ror �n Sxtlon �lfA6 0l M� le4or Catls. Infenst eM etfomry'i Mu. CONSTRUCTION LENWNO AQENC�: I he�elry elfiim unCs pmetly d per'�ry thn tlws u e m�uffwion Mrd'uq epency br IM p.nama,ca a �n. w«x ror wnkn me v�� a uarea (s«aun ]osl. cM. cl. LENDER'S NAYE LplUER'S ADDFE33: 1 wnily thq I Mw ned No epWkaiion ud uma tMt Ne ebwe iNmnelion o canetl. I spes io canply xiih dl cry W muny ad'vurcm eM etaie lewe ieletip to buildiq cmmurlion eM hxebY eWvaa nqeaniprvea d Ihu my m aMm upon tM ebo.a�meniiwrd popeny f«inspeeion Durpoaes. PETEA AO Dete: Sipneture M Ox+bdApenVApp4�anVCaMreda (SIS1�aB.WP) Wh�a6u1Wip8SefetY:GraemFle:Cwuy-App5cam:Fnk-Ra.enw:(3oldenmE-Nsua / P'�19 (�0 9000 � Z �/�n, ¢ITY OF COSTA MESA — BUILDING PERMIT IY` / PERMIT NO; M 079722 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE; V—N PERMIT TYPE: MEC PURPOSE: OTH JOH DESCRIPTION : ADD 421SF HEDROOM , FAMILY RM 6 BATH SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 COMMENTS: CONSTRUCT FAMILY ROOM, HEDROOM 6 BATHROOM a***�irx*+r*****�*�*��r�*itx*�er�**+r***+r+r+r�+��r*�t**ie�rat**�it�*�r*it�*rie+rit�**�ret*it+t��**�c+t�ac* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 41814112 ZNE: REF NO: (PLANNING NdTES> _ ' .: =" �3lMililMitiFMMikftMfhiFlfftlFiFiFiFifkihifikMiFiFMiFMMMiliFiFiFitiflkiFkiFifififilif%ifikMik7fiFifklEiFilikMMi1�%itilMiFki@3FM'1Eit1F3EiliF D E V E L O P M E N T S E R V I C E S,G. R E Q U I R E M E N T S ZONING APPROVED BY ' DATE; i BUILDING APPROVED HY ; ii DATE: APPLZCATION ISSUED BY; � DATE: �—I—� � iFifff3FifMMififlfMMMMMiFMMMifitit 1FfFiFiFiFlfiFifiFi! �fiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N . .j HLDG PMT PLUMBING ELECTRIG.yMECHANIC FIRE SMIP/RES GRADING PERMIT ' 15.00 � 25t SMIP/NON—RES PLAN ISSUE FEE � 22.00 HUILDING—DIV—> PERMIT I�`/ "1�N CH K TOTAL PAID DUE TOTALS----> 15.00 2 00 U 0.00 37.00 37.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 37.00 OVER/SHORT. .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ` 37.00 V 3fiFifififififififitikifiFMMMlFififit'M1FifiFltM3hiF1f1FlFkifNiFMifiFi!lFMiFiFltkitilMMiEiFMiEiFMkiFifitkkM%iFMikilkMitiF1FM�l�]Flt#iFik I N D I V I D U A L F E E H R E A K D O W N TYPE {JTY D E 5 C R Z P T I O N UNIT COST TOTAL COST MEC 1 GAS PIPING SYS 1— 4 OUTLETS 5.50 5.50 MEC 1 FACTORY FIREPLACE 9.50 9.50 END.OF FEES 1 ' ,, �, CONSTNUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Tempor3ry Eiec[ricai Service or Pole 52. Pool & Equipment Location 2. Soil Pip¢-Undrgrnd. 53. Steel Reinforcement ��3�E�ectricaf.Conilulyl�tl7ity�Undrgrnd. � 54. Forms - !rt4["Ele�c,trica�(Candvi �l�nJrgrnd. 55. Electrical Bonding -`5��eel Rein(or,ceraegi` 56. Rough Plumbing & Pressure Test nr��Eiectrica�-l3FER 6tn�, 57. APPROVAL TO COVER�GUNITE -, <r-,�.. ,�.-� . i ={^7.�,Fnotingsz''� �� '' 58. ElectricalConduit-Undrgrnd. :=B:+Foundation�: ;;� :., 59. Gas Pipe, � Undrgrnd., Test _< 9. Water Pipe-Undrgr�b ,ti 60. Backwash Lines, P�Trap, L� Undrgrnd. 10. Structur2l Fioor System r . 61. APPROVAL TO DECK . 11. Property Sewei Line & 4ouse�Gonnection 62. Backwash & Receptor-Final 72. Se'vYer Cap "' `` ti � � 63. Heater & Vent-Final 13. Roof Dreins �^ � 64. Plumbing System - Final 14. Rough PlumbiD9+ �:; ^� 65. Electrical-Final � 15. Rough ElectricaJ-Conduit � �// 66. Solar SYstem�Final � , 16. Rough EleMric WirinQ� - 67. Fencing & Access Approval 17. Rough Wiring Sign � .- 68. APPROVED FOR PLASTERING 18. Rou9h Electrica�T Bar Ceiling ��69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Contlitioning' FIRE DEPT. REQUIREMENT . • .-• - - ' ;n -i m � r ;-• 5 � 20. .�oug� Fa�tory Fi�`dlace � 5,�;, E � S:y j„�: ��APPf,tOV�LSyE�„ PerT{nit #�;� 21. f5ucts�irt9trt�ture}x �•. .Y S G ��.' 70.'4i9nder�o'�3�d Fi�dro + 22. gutt�y Ventila�ing`•'r � .s t: S �:.r �� 71. ProducpPi m❑-Gas �. Nx k 7 4 .J Ft . P� 9 �Oil a _� . �., - �, 23. Gas P.�pe+±iouyh & Tqst i Y; r tn s 4 O:r 72. Underground Fiu£6 E� � 24. RooP=Framing^ '^�K �• " T 1 � T�* , 73� Under rrt�.Sto cq+Tan �`GGas ❑�il -� .� t '� r�a 9 9 (L�-... �4 25. RoofJ h hin � * •' + = "' ,>5 � 9 t-�x' G v v t. '7 Na: � 747 Qverhead Hydro. - 26. T•-63FCeiling �Stru'�tGrai) & oat � u ',a h �' k 7� Dry Checpical c 7 t� � 'r r ,. G Of .t r-7 x �Ca p D w �- �r.. � ,.� . 27. Frame an¢ Flashing x `.c[x s a' „�a 76. Dry Scarigpipe ..m -. .., �, 28. Lathi�g &�Siding et�� >- `7�= x •' E "�' 7� FIXED �,' TEf INA ,��' o y �, svs .r�� :, -. � .� s . r .. .. � � m � � � �29. InsulatiaP� �7> S •� t: � �r 7�'FIREPREV.FIN7iL ''�> �� S'" T' 30. Drywall f,V,�¢� iling �t, y * H {k s �f�ALT!'�DEP�..`REQUIRE�+IENT � x � s ,r. a �. _ - 37. Plaster Brown-Coa�j.r S --r , �t- t�79. FINAL �13F tON r. c.;-; .�.,_s � 32. 'E'Iectrica�Po�00r MetEr:Final ' '� �'� � u; � 50;� FOOp CER F(1�TE Iy��S4ED� ";� ` 33. F-inat;Eleeiric� �i �; � � � �' � � . � � � � � - .� T - , � . _ 1 �': NOtes: '1 Z.3''� 7'ISrO ftC�4;SS� ".- �: 34. �flnaiJ-leating`� A'tc Eond+tionirRJS .^ i� I r r � n..I-1, a� S "' j -- -� . � ,1 �n �r �'� I : �%� Lut2a�Gd"'CD.t-:! �/C'iE%? /% (' ' ` 35. Fina("Gas Pi e?fe '' p ; Y F. ^' � C T _ =� * p � Y �k • k.- i �\ � O O r-! O C i-� ' 36. Hooiidor Panopy �+ 7 '�-7 � t C` I b E��o L k_��_ t': [*' r � 'l rm c ia m ro .c r [•7 -•• k � S!T' v a: G7 tc i �.+ o. _ 37. F�,jnal.FaGjbry Fire�lace ,Z � r� � , ' `1 x_, - � �r.i/� 1 •. 38. FinalYlur?Ibing x* ~ro �_yy�y� �' S '.� � ' 2' �--- `^] {�• . -�.�N G k � 39. Water�Service�Fin� }' � , � .�x I t� ; L"'° " � • A � F " 40. GasServit��Final ��,�.y `o;^ S x-� � �'' cE i: ¢ y 47. Solar po r�HestiaFinal' =- r_ {r �a � � � -� '.0 Y ,TI f •• ti M ]^. I7' Y:+: J J 42. Backtlow Preventer .� � ;,; a J � t� - . � R '3'. > i'-` � � e' H 43. Backflow Irrig2tion'y ^ ^S � x .- # : iF R ` -."'. d4. Landscape tr gatiorxSystem� �' x 7�" =' �'��t � ;u p; .��;; x'� � �.:. -r i � '� r S _ 45. �bund AltenFiation�4 = ^.'; .- �' � t' � �k : '� '' �'� �� t < '*J 'T: Y , ?' ?, r � J- 4$. Handicap�Reyulatioris _ - ' x X S '_'� S +' q7. FINij� STRUCTURE & BUIGDING ` �: � I")�Y `ti � �: � 48. F'iNkLPLANNINGi :-�"s- � *. :� rr �: � �-� = t � � d9. Electiic Release to Edison .' = r• , � � - 56 6as Release to.Southem Califor�iaGas Co i ��' '• 'y • �" t� 7 •• � c �.-� "1 , �,� 5Qi CERFIFICATE OF OCCUPANCY s �' � �» ^ •- - No. Date �.:r., • y''�y"► � �.:.::: � � (714) 754-5273 • Fax (714) 754-4856 JobAddress: 3117 DUBLIN ST Suite No Vici�ity: Parcel Nunmber: 4'1814'I'12 Applicant: PETER HO Address: CITY OP COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Owner: NGUYEN, CAO VAN Address: NGUYEN, MY THI COSTA MESA,CA 3177 DUBLIN ST Contractor. Address: ArchlEng: Address: ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Re(rig Sys <700 k BTU Retrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Dud Appliance fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater MECHANICAL PERMIT Zip: Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT FINALIZE EXPIRED PERMIT FOR 421 SF ADDITION, RE $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY .� ERMIT NUMBI 198-00417 77 FAIR DRIVE. COSTA MESA, CA 92626 Status: ISSUED Applied: 09/14/1998 Issued: 09/14/i998 EXPI�D 641, B79720 & M79722. Repaii / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Comme rcial I n cineretor Domestic Incinerator Compressors I Absorption Systems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1.750 k BTU Over 50 hp / Over 7,750 BTU . Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechaniwl Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPEC�AL CONDITIONS �� l,,�.�'/'- i7'�� V � Quantity $0:00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 50.00 EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (714) 7545626 _ WORKERS fiSMPE�7SATON DECLARATION: � I hereby eNirm untler penelry of per�ury one of the following declaratlons: ❑ 1 hava and will meintain e certificate ot consent to self-Insure for workers' compensatlon, es provided for by section 3700 oi the Lebor Code, for Ihe pertortnence of the wor -which Ihis permi� is issued. have flnd will maintain workers' canpensati0n insurence, as requiretl by seclion 3700 of ihe Labor Cotla, for Ihe pertortnance of ihe work lor w�ich this permit is issued. My workers' compensation Insurence cerner entl policy number are: Cartier: Policy Number: (This s� neetl not be comp/efed il the permiNs velued et one hundred dollars ($ f00) or less.) � I cenify ihat in the pedormance of the work for which this pertnit is issued, I shall not employ eny person in any menner so es to bewme subject to ihe workers' compensation laws oi Calitornie, entl egrae that Ii I shoultl become subJect to the workers' compensetion provlsions oi Section 3700 of Ihe Lebor Cotle, I shall fonhwith ��Wpmply.u' these pravisi s. � � pplicant Sign e: Date: �� AILURE TO SECURF OiiKERS' COMPENSATION COVEMGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED TlIOUSANDDOLLARE(5100,000). ADDfiIIXJTOTHEWSTOFO0A/PENSATION,DAM4GESASPROVIDEDf9RINSECTION�O60FTHEL<BORCODE,IMEREST,ANDATTORNEI^SPEES. LJCENSED CON7RACTORS DECLARATION: I hereby eNirm ihei I am licensetl u�n rfIy Nsiors ot Chapter 9(commencing with Section 7000) ot �Ivislon 3 of the Business antl Professions Code, end my license is in full force � "' `-� .`��l_��- Class N nlractofsSi et �� N" ^�vr 9 /fea iILLUJrJL1?.Gl/ oate: CONSTRUCTION LENDING AGENCV: ❑ I hereby aNirm that ihere is a consiruction lending agency lor ihe peAormence ot the work for which Ihis permi� is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Signeture: _ OWNER-BUILDER DECLARATIONS: lendefs AGdress: oate: I hereby aHirm ihat under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he tollowing reason (Sec. 7037.5, Business end Protessions Code: Any ciry or county which requires e permit to construct, elter, improve, demolish, or repair eny structure, pnor to its Issuance, elso requires tha applicant for such pertnit ro(le e signetl staremem that he or she is Ilcensed pursuent to t�e provisions ot �he Conirectors Llcense Law (Chapter 9(wmmenUng with Section 7000) 01 Division 3 of Ihe Business end Professions Code) or thet he or she is exempt Iherefrom entl ihe Gasis tor the alleged exemption. My violation oF Section 7037.5 by any applicant tor, a pertnit sub�ects ihe applicant to e civil penelry ot not more then five hundred dollars ($500).): ❑ I, es owner ol Ihe property, or my employaes with wages es their sole compensation, WILL DO TME WORK, and the struc[ure is not intentlea or oftered for sale (Sec. 7044, Business end Pmfeuions Code: The Contractors License Lew does not eppry to an owner of properry who builtls or improves Ihereon, and who does suc� work himself or hersetl ar thraugh his or her own employees, praWEetl thet such improvements ere not intentletl or otteretl for ule. If, however, the builtling or Improvement is sold within one year ot completion, tha owner-builder will have lhe burtlen ot proving Ihet he or she tlid not build or improve for purpose ot sale.). ❑ I, as owner ot the property, am EXCLUSIVELV CONTRAC7INC WI7H LICENSED CONTRACTOFiS to consWq the project (Sec. 7044, Business and Professions Code: Tha rnntractors License Lew tloes not epply to en owner of property w�o builds or improves thereon, and who contracis for such pmject with a contrector(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Signeture: Business antl Pmlesslons Cotle tor this reawn: Owner ID venfied by tlriver's license. ❑ Ves ❑ No Dnvefs License No. Veriflcation of Ownershl b � � p., yl(type of documem, i e. - property tex bill or deed): Date: Expires: DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATON: ❑ I hereby certlty that no eacavetion five (5por more feet In depth Into whlc� e person Is requiretl to tlescanq will 6e metle in connection with work authotlzad by this permil, end ihat no building sirutture, sceHolding, falsework, or demolitlon or dismantling thereat, will be more t�en thirty-six (36) feel high. (Chap. 32, Grp 2, Art 2, Set. 341, Tltle B, Caliiamla Administretive Cade). ❑ As owner-bullder, I will not employ enyone to do work whlch would requlre e pertnit trom the Division of Indus�rial Safery, es noted above, unless such person has e pertnit to Co such work trom the tlivision. SigneWre: Date: Division of Indusiriel Sefery Permit Number: CERTIFlCATE OF CAMPLIANCE AND AUTHORIZATON OF ENTAY: I certify untler Denalry ot Derjury that I heve read this application and state thet the intortnation qiven is correcl. I agree to comply with ell stete laws and ciry ordinances releting to builtling construqion, and authorize representatives of Ihe Ciry ot Costa Mesa to enter upon �he above-described properry for inspection purposes. I egrea not to occupy or ellow occupency ot any builtling authorized by this permit until tinal inspection. Signature Oi Legal Owner(s) �yf,y IXSPEClIONTYVE 1676 Fzetl System Finel Fire Prevention 1266 �, Pool Spa Finel Finel Re-Root 207 Final Block/Fletaining Well 202 Final Fedory Fire Plece 203 Final Sign 204 Finel Demolition 2d48�68 UiiIDlLS ��5� Date L4pFl ixsvecnoNrrce 208 Finel Mechanical 208 Final Plumbing 270 Final Eleclncal 212 Finfll Fire PrBvenGOn 220 Finel Planning Approvel .}?�7 Final Site Final Buildiny0ccupancy QAg U�dLS i10°"�Oi�L°w°' 3117 DUBL1� -a�°"Ea9"""Ei°'wa"": NGUYEN, CAQ i,�� 11°0P� NGUYEN, MY THI 3117 DUBLZN ST ��,�� COSTA MESA,CA 92626 0 �� uxT: �`�fECfO"�'0Q1�"` VINCENT DINH 1CN0i 0 �`"0"�'°�"'D°"�' 244 E 21ST ST °Ni` ��T�� C,M, CA 92627 ��u� PETER HO ( 714 ) 537-8682 12771 WESTLAKE ST "D°"�'' GARDEN GROVE CA 1LN0'` 543067 9284o u"� LICENSEO CONfNRCTOFS DECLANATION: I hereby aflvm uMer {y�y d pe�ury Il�m I em IceneeE unEer provisbne ot Cheplm 9 �mnmm�cro �.nn seciian �000l d oi�iso� a d ine eudrees eM rmm+om code. em mv �ioeiw u in eun ro2e ene e�eea. CITY LIC. NO.: /LIG CLA55: UC. NO.: � �y Ome: 1�7 \J � � b HConUaaa: I,rI�S�C>CJl/\� E�iiL�/ OWNER BUI�DEP DECLAAATION: I hemby dG�m uMer penely Nz-- � � i ��p� �Kerua law Iw IM olbweq rwm (Sadion'!W 1.5 Bu�iw�a eM VMavore COEe: My vy a cowry whid� nVuim e D�u io m�eLuci. Ms. "vnprwe. dsmdeR a rN� �Y eWciwe, pqr io da eweze, ebo �aVuum �h0 eGW� Im ach P�b lo Ne e W� �xmM tlbt M a che o IimmaE W�� o Ihe provitime d Me Conlradae Licenae lew �Chaqs B(aommandnp wnh Setlion'!OW) W DMeion 3 d ths 9usl�a end vraaaom todel « �ne� ne « eM is e.emq �naehom em �ne meu �a ur eAeo� uemqion. Mr ��a�mun a 5.eon )0]1.5 Eq ury applirere la e permil wApee �he eppliratl 10 e dvl pp�¢ryy d nal mors �hen fxa hwdrad ddms �SSODU. � I.eaowwrdiMpropnYamyempbmewihwapesm�Miepy�pe�p�.r.ipAotMxoh.udiMewau�eeMiNeMed a M«ed br eeb (Seclion )oa. Butlroa vd PNaesions Coda: Tha Caurrfon liu'ue LewEom nd rodYto m ow�rrd qopMy vM W Ws a inpm++tM�eon. ud Mn Aros sucn wk Fimmtl a havd a 11✓ouW he a her wn empbma. pw'ida0 �hr vrA imD�+�maa va m�'upended a Waed 1a s+b, tl. hoMwx. tAe bu5luq n inn��an u wd xithm one Yer d wmWMun. tlr ownm-0uiNer will Mve iM buNen d povieq M w eha EN rwl tuik a impo.e la Ihe Wrpma d eebl. � I. o vmiar tl tM V�Wab. em mr! wdY mrurad�q xdA 4mn+ad emvacbn b mmtrW ihe p9b (SWun IOM. &u'vres md Prd�au Coee: The Wefaaon Lioenn Lew doea m� eOPM b en orrtw d P�WMY Mn buitls a inPww �Mrem ud Mo mnlrecls la wM WqWa xilh a mN�a]ot�5) IicenmE punuanl lo IM Gonlredws Liwnsa lewl. � 1 em uamN under Ssction: B. 8 P.C.. br Nb nawn: Dete: ��: I Ao henb/ ceNty Uw I em ewere d ud uMentaM IM rtpuinmeM� d Cel(anie Hsellh eM SNaty Cada Seebro 25.505. 255xt. enE 255J0. vM Nu I a erry Mun Wildirq ¢apani xill / wil rwi (arcM qy) � to campy w1� �etl YeU oodee end the nquiremams h eparmAlormneirvnionormodificalionhamtMRi ua-C-Ty�T+-anepemen�Diatriq.Residmtielcvnn�ianepplralioneereexemqtmmlMee poviabns. od.: �oa�: WOflKEN'S CONVENS�TIdI DECLAAITION: I heraby affvm wkar pe�ryy d paejury ane W IM /dbx'vp tlxieratiom: ❑ I M1aw ud wil meiruen a centicme d conrni to eeXuvun br v�� peNqp�. n pwidad fa by Serom 3100 d Na leEa Cade, ta ihe penormvca d ihe wk la which thia permn ia iq��, ❑ in.v.�ew��.:�.aw.�.•oomo�.aa,��.�,m.m�wm.ews.emnoowm.�m«coa..eo.m.o.n��dm. wak la wAitli Nu Oa� b ioued. A7 wakero' mnD��ian imuraMa wris ud D�Y numbr ero: Cemx: POGcy Number. ��ne o��.a�orae�.dirnev�.Aao�.n�.,�d,.eaawrs�oolw,�.� cM1y Ntl in Ne peAormuica d IM wwk tor xfich �hu pamy u eeued. I WO nol smpby ury psson in vy man�r w n to �— becam. adptl �o m. wn«.• m�pe�on �.i.. d CaWm�i.. .�a .a» u.� a �.hatle eecan» �jetl m m. .w�.• Oma: O O+ /P / bn 3]00 d tM lebor Code. I quP taNwil� cvmDN wM Ovs G win��. t k] AGd'ceN: W�mlrp: F�Yun ro s�cun woik�n'rompmutlon covenp� la �i�pq � i I�WJ�ct �n rrrp/oyw ro MMroI pw/tlp uW clvll An�� w b�s hinJrM thouuM JO/Mr� (SfOq000), M edrl/tlon 1 fh� ewf ol rompxwlbn ��W u proHtlM bi In Sxtlon J]06 0l 1�� Labor Cotls, /nMssl, �ns attomsy i/wx CONSTRUCTON LENDINO A6ENCY: I Mnby elfiim under peneryy d par'pxy iMl IMn ie e wnniueion brdieq egancy br tlro peAormenm W Ihe xwk br which ihe paimY ia eaueE (Secun 309], Civ. C�. LENDEF'9 NAME: LENOER'S ADDflE34: 1 cMity Ihet I heva �aed thia epplcmion eM pms ihet iM eEow inlormypn b conM. I prea to canpty vmh ell dy W odutly atli�urcm uM vieta lewe nblinp to buiNvq wnetrueion eM hareby unlro%e repA�ie� d Ihu dlyto enlr upan iM abv.amsni'w�ad pmpariy �IX IIqpBClpll pllfp0lB8. PETER HO (Si51�i.WP) Dme: � 0 01 q b WNIsBuiN�q 8 SefMY: GemmFtle: Guury-�ppimni: Ank-Wwnue:OdEannA-Nawn CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: M 079722 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE; OTH JOB DESCRIPTION : ADD 421SF BEDROOM , FAMILY RM 5 HATH SQ FT:� CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1 ��*��***itx *�*�*****�t*��**�r*��*B�D*��*�*+tB****��**rx�**�r��*+��**�****�r��r��*� *�r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 91814112 ZNE: REF NO: _PLANNING NOTES> i If ik 1k 7f ik iE 1f 1E 1E iE k 1E 1F 1E 1E 1E iE 1E 1E iE iE �k 1! f! 41E 1F 1E 1! 1E 1F 1F 1E 1F 1E IE 1! fE 1E iE iE IE 1E IE iE 1F 1E d! k 1E 1E f! iE k 1E 1E 1E iF iF if iE 1FlE iF iF ff IE 1E 1f fE iE iE 1E ik 1F iE 1f iE 1F ; D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; 'HUILDING .APPROVED BY : � �� „„ A DATE: APPLICATION ISSUED HY DATE: LEGALIZATION:N F E E S U M M A�R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC.� MECHANIC FIRE SMIP/RES GRADING PERMIT -• 15.00 25Y SMIP/NON-RES PLAN - -� ISSUE FEE 22.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 15,00 22.00 :0,00 37.00 37.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 37.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 37:00 fk IF fk if iF k 1E k k if k 1E 1E 1f 1E fE iF �E fE iE aE iE iE 1f 1E if if if 1E iE 1E 1E iE iE 1E IE 1E IE iE fE iE 1E iE iE If 1F iE ik k k if 1f iF 1E IE 1f iF if 1E if * IE 1E fE iE if iE ik 41E IE fI� IElF 1f 1E iE fE if Z 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 2 O N"• UNIT COST TOTAL COST MEC 1 GAS PIPING SYS 1- 4 OUTLETS 5,50 5.50 MEC i FACTORY FIREPLACE 9.50 9.50 END OF FEES EXPIRE ',�/ DATE—��VV V 01 002l6�43-00216U43 TC�T 37.00 OaTE� 10/D1/95 TItlE: 09e43 ( CONSeR*1C�JN AND PLANNWG F & SPA , � APPROVALS Permit # Date Inspector .pPpROVALS Permif # Date Inspector � t. Teinporary Electrical Service or Pole 52. Pooi & Equipment Locatioq � • 2. Soi� Pipe-Undrgrnd. 53. Steel Reinforcement ' �3. Electrical Conduit Utility-Undrgrnd. 54. Forms .,-.4. Elecirical Conduii•U�drgmd. 55. Electrical Bonding � 5. Steel Rei�torcement,= 56. Rough P�umbing & Pressure Test � - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNiTE '. Footings , - - 58. Electrical ConduibUndrgrnd. '. Foundation ' 59. Gas Pipe, O Undrgrnd., Test � . Water Pipe�Undrgrnd. = ' 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor Svstem 67. APPROVAL TO DECK 11. Property Sewer Line & House �onnettion 62. Backwash & Receptor�Final 12. Sewer Cap •. 63. Heater & Vent-Final 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing _ 65. Electrical�Fina� 15. Rough Electrica6Conduit - 6fi. Sola� System-Fi�al i 6. Rou9h Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLAS7ERING 18. Rough Elettrica6T Bar Ceiling 69. PdOUSPA SYSTEMS FINAL 19. Rough Heating & Air Contlitioning ��-a7��G �N FIRE DEPT. REQUIREMENT 20. Rough Factory�Fireplace - -• � :; - • APPROVALS � Permit # - 0 21. Ducts, in Structure. ,'" '_ _ s�_'70. Underground Hydro � � 22. Ducts, Ventilatingc=. ' _ �- '71. Product Riping OGas O�OiI `, 23. Gas Pipe�Rough & Teit �• _ )�'a5_c�6 � � 72. Underground FIGsh ' _ - _ � 24. Roof�Framing.: - , - . - ' - � � ..73-; Undergrnd.StorageTank�Gas ❑O+l �L] :,; � : 25. fiooYSheathing � � . � � c ' 7q. Overhead Hydro ^ • ( 26. Z�Bar Ceiling (Struet�iraq & Monocoat � � _ - 75: Ory Chemicai - - . � ' �.� I 27. Freme and Flashing' ` �� 1: ` ` _ _, 76' Dr Stan ^ , � _ , � �� Y �pipe �28. L.athiqg&�Siding -;,� . - _, _ � •� � 77. FIXEDSYSTEMfINAL � ��29. Insulation'- ,y' ` ` '� " - . � 78� PIRE PREV. FINAL �- 30.DrywallNailing V..- �` -- HEALTFFDEPT.AE�UIRE(v1ENT _ 37. Plaster Brown Coat ` ._ � 79. FINAL INSPECTIDN �- _ - 32. Electricaly?ower Meier-,Final �� 80-FOOD CERTIFICATE ISSUED - 33. Finaj-Eleciric ` ` ' ° �Noie : - - - �.�_as-9c b.Ns.�i,��Aik_r_Es_r �K�n; - 34. Final HeetTng & Ait�on`dilioning� ^ : . ' �' J " . .. _. - - � �l_�5_�c� c.oRrz�:cr_cc�i� ruoz�ct 3n� 35. Final Gas Pipe.=Test'., ;� ' - � . � U_a1_9 �� Rouc.� . o K- � 36. Hood or CenopY .� :- _. - - . 37. Final Factory Firepfa�e _ � -- r' ,` - - ' ' :.38. Final Plumbing � " - ' � � - . `• } " , ' _ - -- --. �.�. .. _ = 39. Water Service-Final � . ' r�� - ....� --- . .. '� � ...'-.... _ _ 40. Gas Service-Final -. _ , . �� - ' 47. Solar pomestic•Final � - _ t + ' - 42. Backflow Prevencer , ' ' ' . - ' -•� 43. Backflow Irrig�tion -_ � - ' 44. Landscape Irriqation $ystem � � • . y -� - , ' � _ _ 45. Sound Attenuation +� �' - ' - � - - '- ' r- '- " �S, ' - 46. Handicap Regalationy - � � � - � 47. FINAL STRUCTURE & BUILDING � � • _- � 48. EINAL PLANNING � � � � - � ' 49. Electric Release to Edison � ' - - 50. Gas Release ro$outhem Califomia,Gas Co _ _ : - " ' 51. CERTIFICATE OP OCCUPANCY . ' , _ - No. Date �saea�w+o: 3117 DUBLIN ST NiO1E1'P1°"" NGUYEN, CAO VAN "°o"Eu: NGUYEN, MY THI 3117 DUHLIN ST �� COSTA MESA,CA 92626 UNi: ""`""CT0"�*'�'�"` VINCENT DINH °0'10` 0 �xcx on u+a�s �ooxea: 2 4 4 E 21 S T S T . u�: C.M, CA 92627 CONiP"0T0"5NA1� PETER HO ( 714 ) 537-8682 ca+m�cTarsxuiwa 12771 WESTLAKE ST AD°"�� GARDEN GROVE CA �"� 543067 92840 uNT: IJCEN5E0 CONTNACTONS OECIAH�TION: I IweEy dlim uMa penely d pajury Net I em fcannE uMx pwie'v�e d Cheqa 9 (cpnmarcxq wilh &eclian ]000) d Oiwun 3 d tlw Burima uM Pide�som Code. erd mY �� n in tuA lau and e%atl. cm uc. No.: uc. cuss: B uc. wo.: 5 4 3 6 7 EX P: Dero: CaNeaa: �WNEH BUILDEN DECIARATION: Mmby dfirm uMn penely Jm�bsCaowwticens6'�Gfa iTro bvwq ieeaon (Seqnn ]W 1.5 Buviwae erd Rdeuiona CaEe: AM cIY oounlY xfiiN rtVwrea a V�� to mneWcl. Mx. inVova. .�wleh. a repei arry N�udum. pria w!a eauerce. ebo �epuim iM eppl'reN Im euch prmil to Ns e eqrcA �wemnn Cw M a Ms . i�..d w�� m ine po�e d m. cw�neo�. u�.. i.. �cneqw s l�,�ro .un s.ao� �000) d a.e� a a u,s Buemea eM RMm'vn ('.adel ar �tW M a dn u usmP tMraM1an end tM Esm la tlr eOepeE mamNion. MY vnlmion d Saaun �m�.s W.m ecv�� « e oarmt w4� �ne mo�'rem �o a dvd wtiM a no� maa �nenlw• hwdnd moxs �Swop. � I.mox�rdtheqopanyamyamplqeeavAhwapeamlMivaboompeneelion.rNIEOIIroxwk.andNsabuclunoiM'vaeMeA a ollareA br eeb (Seclion )oM. Buaroaa eM PMaeaam COEs: Tha Camredwe lioen+s lrx Ame na eGONto en onnera papary who Wils a inpavas tMem. ud Ma dom �ucn nwk Innntl n MnM a Waqh he a hr wm «nWw�. n�� tAm adi impwpnmae ve ra'vosEsd a dlsW ta Ws. tl, howaw, �M builiinp a inpo.wnM u rold wuAm aw yaer d mmplsion, tlr owner-0uber wi0 Me the deden al pw'up M a Me Nd nd ddd a'unpow la iM Wrp�ws d ub). � 1. u mmar tl �M pWeM. em uduLwN mNraeiq wuh IioneeE oontrac�m m conmW Ne pMb (Satlun ]OM. &nms� end Prolawiona COAa: TM Cau�acwe license law dws ro� eWN �o en oxw tl V�OMY Wn buitls a inWa'ro thaaan eM Wa mwecb b mrh pqetla wph e aaureeoe�e) licenasd punueM lo IM CoMretlae Liwms lnwl. ❑ i��a wd.r see�,: e. a v.c.. ea w. �: Dme: �: i eo nueM �r wi i em ewue a w wd.�,mna in. �.a��em. a cwomie Heedn .na s.rwr coa. sea�. usos. zssv..�a 2SSL. eM Net I v eny M1nua dakm0 � xill / w0 rc� (rircb ar) naed m mmDN ti� md mta rnEu mk IM'Wu'vamaqs br epsiwlaowumctionannESratbnkantMAi�iy uupemaXOiprip.ReritlaNilwMMioneppirdwersasemqhomNms a�m. Dele: �vW�� WOflKEN'S COYPEN4�TON DECLAfi1110N: I hwaby eif udr par�My tl prhry ar d Ns IoOOMinp Atlumum: � IhewvNvrilmemienewn!'�eWmmm�bsetlaiwrebxoken'�v��,..a��«Ms«�arooam.�em� coa.. �« cne ronamerc. d N. w�x �o. W:cn W. o� e�.we. ❑ in.V.�e.��m.:�,�x.�oo��a��...naw�.anrsw�a�aodm.�nwcoe..ro,inero�.�,�ewin. wak la whiM Nis perm4 u b�uad. My wken' mmpeneetian imurenca unier W pdi.y wmbr ua: c.m«: Pdiy Numbr. �(rN's ron me0 irot be cmndarod / thsOsmrk ie br an Iwrrdrsd dw'kn ISiOJI w hn.) cMN UW in Uro pMoemerice d IM woek M wh'rh ihu permn b ueueA. I kWl ml empby enY W� in ury menrwr vo n �o becaris wM� b tM xoM1er+• canW�umian lavn a Celilanu. vW aYme tIW tl 1 dwuk beronr ublb to I. v.ak»' 1 Q mD � om d� ion))00 d �M leEm COM. I NUY 1 wtl� mi N wiN IMn p oWebns. / I / Due: b AGW'�ranL�r /�/ W min0: F�llun b��cun woilt�ri corrpeiu�tlon cov�np� l� , u�nJ uvn nnu w ro m. nu�aree �roua.nd earn (Sia0.aroA u+ see�uo ro m. cwr or rompawebn demspw u prova.a ror �n Sectlon �1P6 0/ tln LNor Cotls, /nfwu4 en0 emmsy i Iww CONSTFUCTION LENUINO A6ENCY: I hereby �rm uMe� pareM1y W per'ryry ihm �hen is e oonn�uuion bMinp epenry 1m Me �IBI�01RiB11CB O��ha WOIillOfNiil�l�h0 p011111 ia ltellld�$BC11011 .'�U81,CiIV.C�. LENDEH'S NAME: LENOEP'S ADDPE59: I canM �� I liere reed I�is epdKelim uW deta thm the ebove inlamelion ia coina. I pree to comply wilh all iny enA cauMy adim�qr eM etme lews rele�inB �o builEing conNrudian eid hereby einhorixe iapreeentvivae d Ihn cily �o enier upan ihe ebwe�menioneE qopMy lor impenian v��wses. P£TER HO (S151d6.WP) oda: � � ,1 While-Buiknp 8 Sefely: OreamFle; Cenory-Ap 1: Pink-Mranue; (ioldervod-Nwmar CITY OF COSTA MESA — BUILDING PERMIT PERM NO• E 079721 PERMZT NO; E 079721 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTA JOH DESCRIPTION ; ADD 421SF BEDROOM , FAMILY RM & BATH SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 COMMENTS: CONSTRUCT FAMILY ROOM HEDROOM 6 HATHROOM **�t+��*�***�r�t��******�*�**�r**��t**�**�*x+t��r��+�**+t+t**��t�t��t�*��t�t*�t�x��**�****�r* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 41814112 ZNE: REF NO: PLANNING NC)TES> i iE iE 1E iE 1E k if iE iE 1E iElE 1ElF k if !F iE iE k iEiE 1E iE iE iE iE iE k iE iE if iE iE iF iF iF iE iE iE if ik if iF iE iE iF 1t M iE k if iE iE 1E 4!F iE iF if If k 1F iE it It iE iE �E iE 1F ik iE iF 1E iE if 1E 4 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 5 ZONING APPROVED BY DATE: BUILDING APPROVED HY ; DATE; APPLICATION ISSUED BY: DATE: O/� �r+r*�*+�+�*�r�+r+r�*�r��**�* �*��it�r�**it it* LEGALIZATION:N F E.'E S U 11 M R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 13.00 SOt SMIP/NON—RES PLAN ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 13.00 22,00 0.00 35.00 35.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 35.00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 35.00 it fE 1E if it iF iE 1f * iF 1f 1k fE iF 1E iF 1k IF fE iE It if iE IE iE It 1E 1E Ik iE 1F iE 1! ik iF ik It iE ik if it iF iE iE IE i! 1(� iE iE 1f ik 1F IE 1E 1E If if 1f iE iF iF 1E 1E 1E 1E iF 1E iE iE 1F M iE iE if 1(� * IE iElE 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 ELE 3 FIXTURES LIGHTING 1 ST 20 EA. 1.00 3,00 ELE 7 RECEPT/OGTLET 1 ST 20 EA, 1.00 7.00 ELE 3 RECEPT/SWITCH 1 ST 20 EA. 1.00 3,00 END OF FEES I °'! I� '�'. � . ,i�l��.�.�� / _,�� =� �� ,�� :'� ` � . . , , ��l�r� . . e 01 �021b047-QOTibD47 T dT 35.Q0 DRTE� i0/O1/9S TIItE: 09:43 T CONSTRUCTION AND PLANNING PG 3� SPA APPROVALS Permit# Date Inspector AppROVALS Permif# Qate Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location � _ 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �3=-Electrical Condult Utility-Undrgmd. 54. Forms _ 4. ElecVical Coriauii�Uridrgrnd. 55. Electrital Bonding _-5.- Steel Reinforcement . 56. Rough Piumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings _ � 58. Electriral Conduit-Undrgrnd. 8., Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i l. Property Sewe. Line & House Gonnection fi2. Backwash & Recepior-Final 12. Sewer Cap '� 63. Heater & VenbFinal 73. Roof Drains 64. Piumbing System - Final 14. flough Pt�mb�ng 65. EfectricaFFinaf 15. Rough ElectricafCondult . 66. Solar System-Finai . 16. Rough Electric Wiring� , 67. Fencing & Access ApProvai 77. Rough Wiring Sign 68, APPROVED FOR- PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factorv�Fireplace - ' �APPROVALS._ Permit,l� 21. DuCcs, in StNcture' .' "' � " � _' 70. UndergFourid H�dro 22. D�cts, Ventilating�- .. ' _� •. 71. Product Riping OL'ias OOiI 23. Gas Pipe-Rou9h & Test � _. "� ' 7y, Underqround FIGsA . 24. Roof_Framinc�•' - �- • a� . � - 73. Undergrnd.Stonage_,TankL�Gas ❑Oil � e 25. Roof�Sheathing � � � 74: Overhead Hydro�`� . ' 26. TBar Ceiling (5tructurall & Monocoat � ' . 75; Dry Chemical ' �' 27. Frame and Fiashing - _ ° � 76. Dry $tandpipe � ` - : ' E 28. Lathinq &:Siding , , - � �• �• - 7h FIXED SYSTEM'FINAC 28. Insulation '� -' " 76;- FIRE PREV. FINAL � - � - 30. Drywall Nailing �r �HEALThF;DEPT. RE�UIREMENT � � - 31. Plasrer Brown Coat � '" _ 79 FINAL INSPECTfON - �� _ 32. Electriral_Power Meter�Final � ... =� - 86- FOOD CERTIFiCATE ISSUED _ 33. Final�Eleciric� ,= � _ %�� Noies: ' , - � 34. Final Heating & Air Goncjytioning : . . � � . � �' , � � - . - _ 35. Pinal 6as Pipe•Tesf � - - � �. .� � '-� 36. Hood or CanOPY _. , r - _ � � ' - ; ' - = ` "- ; ... � ` -�-� 37. Final-Factory Firet3lAcr. - � r - -� �'�"' �.-"-,1,.---_L�+�' � - - 3$. Final Plumbi09 . . . � • � - . ' . 39. Water Service-FinaL . - �- -' �� - 40. Gas Service-Final � , . , � - � '. � 41. Solar pomesticFinal� :- � � _ - � -� y 42. Backfiow Prevenrer ' ' , � , - , '_ _ 43. Backflow Irrigation - - ' Y = , - 44. Land:cape Irnpacion,System - �_ _ _ � -- � " - - � 45. Sound Attenuation � ' ,- - � � - " �. - 46. Handicap Reguiation; ' � �� A7. FINAL STAUCTURE & BUIIDtNG � . � � � ' 48. PINAL PLANNING . ; � " " _ ' � 49. Electric Release to Edison " • 50. Gas Release to Southem Califor�ia,Gas Co � � . . � ' 57. CERTIFICA7E OF OCCUPANCY - No. Date �wcnEssa,eunuc+c: 3117 UUbLIN ST ��pg�E�� NGUYEN, CAO VAN "0°"� NGUYEN MY THI 31i7 L�(JBLIN ST �vx. wuiwa wo�ss: COSTA MESA,CA urcwrtEcroxwm+�+: VINCENT DZNH ""�'� °" Q1Q'90°"�' 2 4 9 E 21 S T S T uNr: 92626 'x "°° 0 uNt: C M. CA 92627 �""�T�'+'''� PETER HU S 719 ) 537-8682 ��+"�TO��""� 12771 WESTLAKE ST "��% GARDEN GROVE CA °�"� 593067 92890 u"^ 110ENSED COMPAGTOfl4 OECLIIN�TION: I hareby dl'rm uMx peneEy d pe�ury tIW I am lieeneed uMa pwwbne of Cheqer B (mmmena�p wnh Seclian )000) ot Divieun 9 d tha Buai�roee eM Prolevaions Code, end my liceme ie in fup tace end aHerl. cmuc.No.: uc.cuss: B uc.No.: 543067 EXP: De�a: Canreua: .OWNEF BUILDEH OECLAPRTION: I hereby elfiim uMm pe,uly M perju�y tM 1 em enmq han the Com�rfon lioenaa law ta the IdbxiiB reemn (Sed'wn )W 1.5 &niron eM Proleeaum Code: AnY c1Y a oounlY wl�itli nVuina e Oe�� lo amabucl. Mx. imVove. demd'oh, or repv ury s��ucture, prior b na eauarua, eho reyuirea �he eppliceN la wch pemiil �o fib a eqind ettlemenl ihel M a eM ia licensed W�b�� o �he proveione d �M Canveaare Liceme lew �Cheptar B(oommanciiq wilh Sedian ]000) d Oimbn � d ihe Bueir�eaa aeM PrNeasiona Code� or IM1eI M m ehe ia exemp tlwrelmm eM tM beaie ta IM dleped m�amqion. My vubtun of Setlien ]031.5 by eiry epplicenl lor e permtl tubpde iM epplcent to e wil peneMy o/ nol mae tMn INe �uMreE Eollen �f500�). � I, m axner d IM pmpeny or my empbyeea wAh waB� %9 ��'v ede mmpeneetion, will do iha woM, eM IM eVunure e nd intentleE aolleredlweele(SeclionlOas,Buaiewuend PrdeaeionaCode:ThaCantredwa Licmae Lewdoearwiepplyioanowne�dproperry who Wida w inD�+s �hereon, enE Mw Coea euch xak IimceX w henell a �hraph h6 a her own empbyeee. pwkeE ihet euM impwemeMs are ra imwdeE a WaaE la Ws. H. however. the Wikirq a inpwemeM ie eok xilhin ons Y� d oomplation. Ne owrorL�itlar will law �!ro buNen d poviep M a eM Etl nol Euik or improve la �M puryoee d aebl. � 1. n o�ner d IM V�WeM. em mMi�tlY mYetl�q wYA 4mnsad canVaclon lo canstrW Ne pnlaC (Sedion ]OM. Bwrtma eM Pmlesvw Code: The Camrouon licenn law dou z� eroN �o an oxw d pw�Y who bnNc a impv+m theson W who conimm b wM pGeda wdh e mm�edM�) IiumeE WnueM to IM Canirmon liroma lew�. � I em uemp wier Smion: B. 8 P.C.. M Nu �eeun: om.: o�: i ao ner.nr �.NN um i em a.�e d.m �w.iene me rea��«u, a ce�iomi. �nn .�d sdmr cme s.a�. zsws, zssa3..m ZSS�a. enE Uei I a enY Mun WikiM ocaMM will / wil rw� (acY wr) rwd Io m^dY M� veiE elets codm eM IM nGuremmb lar epemnlamrol�uGionamodifeiionhan�MAi u�B�Ty.ar�epemenlD'mind.Rudentisloonnivaioneppireliaroanuemqhamtlws a�. ome: ncw�: WORKEF'S COMVENSATqI DK WI�TION: 1 hraby eM udar pmMy d ps�uy ans d Ihe b0oweq Mtlenluro: ❑ �nn.em,ewmeirv.n.�.nliuuamwNio.a;mwe�o..wt.:oomo.�:.,...a�ercMs.rm,a)aow�,.lee« coe.. �« me v.n�. a m. �x i>.+:m nm v.+�a e e.�.a. ❑ �newene.dmaiNei�.afw.•mmo�onimurance.ne.a�dMs«aiona�ooamalemrcoee.urueo«�nma+oed�ns wwk /d whiN Me G�� o a�usd. MY waken' oom0a�ion "vmivKa uniar aM Dd Y rmnbar an: c�«: Pd'ry Number: (Thia ead'an neeE ml be cwnple�eC / tM pem�it ia br aro hvnMeE Ldlan /SI001 a ko.) � I omlLy Net in iM1e pMormence d iM work Iw wTc� Ihu permil b uvuM. I NNI nal amplq airy pneon in ury menr�x eo m lo e«�. ad� �o in� .onen �w�w� m.. a c�uro�,e. d,d m�.. mm a i.nowa n.�om. .mw m� �.� mmDe�ian Vrm�iaiom d Satlbn �)00 d �M lebor Code. I e1WIlMhwa� wmON xM Nw M�e. Date: Mp�: W�m/ip: F�Nurs ro utun woK.ri compwu�tlon [avwep1ls unbwhl, �ntl �rl ItluW uH� nnn w ro om nu�ar.e �rou..ne ewr.n ftial000A m.ee�aon ro n. � W u po ror m 5«tlm 9]fA6 0l Ms la4orCods, Inewut, uW �tbmly's I�u. CONSTNUCfION LENUIN� �QENCY: I �enCy �im undu penehy d qr'hay i rutlian bnGnp epenry ior tM perlormerwe d Ihe xwk M which tne pmnY is eurod (Seqion �081. G'v. CI. LENDER'S NAME: LENOEH'4 AOONESS: I cerlAy �he� I heva reeC thc epdee�im end nme Ihm IM ebwa iniwma�ion ia wmp. I epree to mmply wn� ell'ily eM mumy wdirw�e end ate�e lewe relelinp to buildmp wnWud'wn eM twreEy eu1Mr¢e ieqeveMelrvee d ihu my to eMer upon �he ebove-meMioneE poparly brinapadion purpaees. PETER HO oma: sqwwe a o.ned�wovnvW�+oumrea« (5�Stde.WP) WM1ne-BuildipdSelmy:Oreen-Fb;Cenery-RppFrani;Rnk-Re.enue;Oddenro�Aeewm CITY OF.COSIA MESA — BUILDING PERMIT PERM NO: E 079711 PEkMIT NC�; E 079721 PLAN CHECk NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: i'—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : ADD 9215F BEDROOM , F� O.y/ �" BATH SQ FT: CLAIM VALOE: CALC—VALUE: /,�J GROUP OCC: R-3 /U—i COMMENTS; CONSTRUCT FAMILY ROOM, HEDROOM & BATHhUJOM � '1f itiE iE iE iF if iE iE it�iiif if�1F'IE if if i('�7F 1E �f if ?E iE iE?f iEif iE ieif 1fiE iE-x--1c-1e i'F 3'f'if iE'1f if�if iE ?f iE jEif if')f ifh �F i(�iE if�'lf ii ifif�k iEiF �i"k'1E dE iE-1F ii�ii if iE'7t�R if�t('iF Z O N I N GS ERTEH�AUCI��RSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BCTILDiNG -------— FRNT: FT IN REAR: F'T IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 41819112 ZNE: REF tJO: PLANNING NOTES> 1 i" if if iF iF �1k iE if if iF if 1F if if� �f �lf if �1E if'N' �lf'k if �E jf j!' 9E iE �E iF iF jk iF iE if� it 3E'lE if i4 iE if iE �E �)f �1k')(' iE �E iF iE iE'1E �E'1E �1E �E'le'lE if' iF ie *�1F'/F'1f 1E'1("1f 1F?E ik if iF iF jf 3F iF �lE iE D E V E L O P M E N T S E;R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY , � DATE: BUILDING APPROVED BY : f1 T HY F E E S U M M A R Y PMT PLUMBING ELECTRIC MECHANIC 13.00 508 PLAN ISSUE FEE 22,00 BUILDING—DIV—> PERMIT Z5SUE PLAN—CHECIC TOTALS----> 13.00 '12.00 0,00 REVENUE DIVZSION TOTALS--> COLLECTED: HLDG PMT PLUMBZNG ELECTRIC MECHANZC 35.00 DATE: DATE: ��F�**��t�*** .��*�: STRUCTURAL SEGMENT:N FIRE SMIP/RES GRAUING SMIP/Nc7N—RES TOTAL PAID DUE 35.00 35.00 .00 35.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK jt iE iE iF jE if if iF 3f dE?E jE if ik iE iE iE iE iE iE 3f iE 3E iE ik iE �7E jE iE i(-?E 3F if 3f �1E �1E iE iE iF iE it if iE iE iE iF ik iE if iE iE �E if �%if -% ie?E �lf 3f � iE?E if iF 3f ?+dF if iE �E #�k iE iE if if if -i I N D Z 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 UNIT COST TOTAL COST ELE 3 FZXTURES, LZGHTING 1 ST 20 EA. 1,00 3.00 ELE 7 RECEPT/OUTLET 1 ST 20 EA. 1,00 7,00 ELE 3 RECEPT/SWITCH i ST 20 EA. 1.00 3.00 END OF FEES r-- � CONSTHUCTION AND PLANNING POOL & SPA APPROVALS Permit # �Date Inspector qppROVALS Permit # Date inspector � 1. Temporary Electrical Service or Poie 52. Poo� & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrical Cqndult Utility-Urtdrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electricat UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings . 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, Q Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 71 . Property Sewer L�ne & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Draine 64. Plumbing SYstem � Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical�Conduit � 66. Solar SYstem�Final 16. Rough Electric Wiring . 6�. Fencin9 & Access Approva 77. Rough Wiring Sign ' 68. APPROVED FOR PLA ERING 18. Rou h Electrical�T Bar Ceilin � 9 9 � 69. POOL/SPASYSTEMSFINA� 79. Rough Heating &-Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Svucture 70. Underground Hydro 22. Ducts. Ventilaiing 71. Product Piping O Gas � Oil 23. Gas Pipe�Rough & Test �� 72. Underground Flush 24. Roof Frami�g .73. Undergrnd.StoraqeTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL �30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electriwl Power ��leter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 7 ��, Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood orl�ano�� 37. Final Fact9ay-ki eplace �. � 38. Final Plu�in 39. Water Ser�ice;�inal � 40. Gas Service�Final � 47. Solar pomes�c- � a 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 Pelease co Edison 50'. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER MONTROY� ROBERT DATE ��L 1 6 �964 JOB ADDRESS 3117 Ihiblill AVC. BUILDING PEBMIT N0. 22 19 ''ERAL CONTRACTOR RObex't Wi1SOn VALUE S 350.00 INSPECTIONS SUBCONTRACTOR Form SU4--SM�-G3--5-B Y �� 225�s N ` COSTA MESA BUILDINCrSAFETY DEPARTMENT P.O. BO%91] COHTA MEBA, CALIPORNIA For Applicanf ►o Fill In Completely TYPE OR PRINT BUILDIN6�//'�' / u �! ✓ AODRE53 COSTA MESA, CALIFORNIA OWNER / GP�% /= MAIL :� , ..-r i� % / � ! BLOOB. ■ 6ETaACK LINB FROM 'J / G /� EFT / RIGHT � DESCRIPTION OF WORK nernin i i mov�n� � � i u uemouen i BUILDIN6%�C � NO.OF SIZE ROOM9 6fOR1E8 EXTERIOR WALL ROOF COVERING COVERING USE B D AND WORK TO BE PERFORMED � �—�(7`�T/`Sl`i I HEREBY �CKN WLEDOB THAT 1 HAVE PEAD TH18 �PPLICATION ANO 6T1TE THAT THE ABOVE IB CORRECT AND AOREB TO COM. PLY WITH �LL C�TY ORDI ANCeH ANO BTATB LAW9 RBOVIATINO BUILOINO CONBTpURlO � SIGNATURE �� PERMITTEF AUTHORIZED A6ENT FEE RECEIVED JUL 16 i��i-4 FINANCE DEPT. APPLICB��Q �O@O�$i�IESA BUILDING For Office Usa Only RlC[IITNO. P��.�iq. � �� C sr u�u ne�drv�E. nwrc iesaxo.. APPROVED ZONING PLANB LZ, UB60RNE BUILDINa LE�AL NO. % ��' Ci �� a — i: NO EAVE OVERHAN6 SHALL BE LESSTMAN f0 SIDE @ REAR P. L. S )WED <U. B. C. REQOIREMENT ARDSAPPROVED YAROSAPPROVED MAIN BUILDINO ACCESSORY BUILDIN6 VAR. SC ( DATE N 6Q. Ff. � TX8 AMOUNT BHOWN IlNOBH VALUATION IB FOp TXE � PURPO88 OP CSTABLI9HIN0 A PEqMIT FEH ONLY, p VALUATION � m j PERMITFEE S r j 3 .�� m $ E O 3 ^ . TOTALFEE $ OWNER Co11eRe Mesa COmp371y DATE �-18-56 � JOBADDR6S3 3117 Dublin-•Street BUILDINGPERMITNO. .-2%%rJ',= � ERAL�GONTRACTOR The Hale CO VALUE d1O.S8O.00 LOT lEj BLOCK TRACT 2'j2 S;ngle �e5 W�att gar GROUP T h�: J TVPE V ZONE RI1 FIRE DISTRICT 28OIy PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation ta SI Plumbing, Rougl Temporary Pole Wirina. Rouah "!/Al I /-/G�TG I AS� ..�... 61G1 . V_ — �.f �! I � t' �',r /. —' Heating, Fi�ai .L!/�,.,.,� Gf, io _ z,('- 5 G 3 3 rGd� '� S� , House,d.( Sewer, St. ,y Q _ .i? F( ,; -yL—SZ �L �"1 �� '�' Lathing, In�( Out x. �. �'� ��(" ' Plum .� OccuPaneY oii` �,�id �5' FORM 210 3M �O-v5 • � Costa Mesa Bnilding Department � 177 EAST 20tb STREET ��i �� COSTA MESA, CALIFORNIA FOR APPLICANT TO F'dLL IN Building Addrese 3117 Dublln Street Costa Mesa, California Nearest c�o�st_ Flatson Avenue Owner Mail Address engt�eer Davis & Qui�lev tress 43 Mala�a Cove P cont�acmr The Hale Comp. nddress 8002 Central Ave Legal I Lot Descriefion No. I6 BI< New i.ca 3422 Grove No. of Bidgs of Lot 64 x 95 Nowo� �ot Non� ri No.of No.of :ing Bldg. I Families Rooma ackLinefrom 50� RearVard 30 er of Street Side Vard R � X � Demolish � 6 Stn�ies 1 APPLICATION FOR PERMIT 2804 BUILDiNG � 1 FOR OFFICE USE ONLY Reeeived�Ey Date Redd, Date Issue � �.� �%� '� ��/S .S Building Address Costa Mesa, California Group� � s CORRECTIONS �xterior Wall I Roof Covering 5tucco Covering Rock APPROVALS Use of New Building 5ingl.e family dwell.ing vrith Foundatfon Location Inspecto�. attached Forms, Materials, garage. under-Pinning Frame: Flre Stops, Brecing, Bolts I hereby acimowledge that I have read Uus Applicatlon and state that tlie above is rnrrect and agree to comply Lath. Int with all City Ondinances and State Laws regulating building constrUction. Lath. Ext Signaturaof T�� LE COh(Y Permittee Plaster,lnt . Authorized Agt .tS� plaster, Ext SILVIA LAFDNER Valuatlon Permit Fee $ ' Masonry ReinTarced Plan Check $ � 3' Bond Beam s / �, �80• To�� Fee FINAL PM 9116 C�AP 9M 1459 A Gf PLOT PLAN Show localion and distances irom property lina and 6etween buildinga . . :. .� '�. , _ _ COSTP �"i � ° ��P�UESu ^O?i .' • r't 79 ��