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Home My WebLink About2447 ELDEN AVE - Building Permits,lob /+ddress: 2447 ELDEN AV Suile: Vicinity: ROOF Primary Occ: Rt Hotels/Apts/Res >10 Occ Type of Construction: V-N Parcel Number: 43928134 Zoning: Applicant MICHAEL BURKE Address: 1653 SUPERIOR AVE Phone: 949-652-7222 COSTA MESA, CA Zip: 92627 Owner. THYEN, DE LANE J � °`� - Address 3535 E COAST HWY #306 -- ' , --`.' . - `.Phone: CORONA DEL MAR CA „ � ., _, Zip. �,�92625. � Contractoc LEE ROOFING:OF COSTA=MESA Address ;-1653 SUPERIOR AVE - � ' �° -� � "r . - . Phone: (949)642-7222 _-- COSTA MESA,'CA -; � . `�Zip: 9262T - � - License: 349686 Arch : Address: � � .� .. Phone: - - - - � l"� � ; r. ,. ^. � , -Zip: . � � . � License: � . °' .- . Eng: Address: Status: ISSUED Applied: OB/10/2005 Issued: 08/10/2005 ISSUEDBY: Vb'� �;, . -- "� � � .�/JGVF't OF 1'tKMI I TEAR OFF SHAKE R006�AND INSTALL 7/76 OSB AND 30 FELT AND 40 YEAR CMP SHINGLES ( ' F?b: ..:�.:�� Pl�an Check: $0.00 _; Permit: - $209.25 ' SMIP Res: � -$1.12 , �.'. 'SMIP Com. �� $0.00 "�'� i Other: � $0.00> Inspection: `$0.00 � Total: �� $210.37 - =�� - �a- Phone: �..& =�v, License: � . z u; I-UNIT C ONLY. -`.�,� � FEE SUMMARY ,� b � �+�'�_ , �'� Calc Valuatio � � � � � � �'Claim-Valuati ;; � , .�e � �PLANNING & ZONING SETBACKS �' a�, � 3� t � �� . ,. MAIN STRUCTURE Front 0 0 ; "- Rear � 0- 0-�� Left 0= 0 Right -� 0- 0 ACCESSORY ` -Front 0-0 -- " -Rear , 0-0-- �, i,�Left 0,0��8� -;'-Right '�'0-�0 �� r' PARKING Ezistin9 0 Re uired 0/, Proposed, p <: �, _ , ., �_ - _ . �F; . . . � '_, a�.. _�c ,-_ , . . -_ .,, ^ . ... �,,� _, � �;: , °� i � $11,249l00 r..' �; siiza9:oo NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will resufl in the ezpiration of this permit. �.. FOR INSPECTIONS CALL: (714) 7545626 [eacanldWJ WORKERS' COMPENSATION DECLARATION: I hereby affirm untler penelry of per�ury one of ihe tollowing dacleretions: ❑ I have entl wlll melntein e certtlicale oi consent to self-Insure for workers' compensetion, as provided tor by section 3700 at the Lebor Cotle, tor the pedormence of the work tor which thi9 DBrmi� i5155uetl. ,Q� heva antl will maintein workers' compensetlon Insurance, as required by 53cG6n 370L�of Ne Labor Code, for Ne perfortnance oi the work tor which Uis pertnit I5 Issued. My workers' com0ensatloy, Insurence�q rrier en_d/ pollry number ere: came�: �f.arp ('oucn �-"u�uCl POIjcyNumber.�. D�Li�/II��S�aZG�S— (ThJS,3ecliori�neeCnat 6e complefed fhe permi! is ve/ued ef one hundred tlol/ers ($ f00) or /ess.) ��—' ��^+:.�� ❑ 1 certity thet in tha peAortnance of Ihe work fo h thls permit is issued, I shall not employ eny person in any menner so as to bacome subl� �o t�e workers' compensation laws of Cel' nla, e gree � sho become sub�ect to Ihe workers' compensation provislons of Sadian 3700 0l Ihe Lebar Code, I Bhall iorthwllh comply with Ihese sia . / / nppNce'rc�Signatu�•- oate: 15/� �/ S � . �^. WAW�TING: FNLURE TO SEWRE WORIjE 5 CO! EI ION COVERAOE IS UNLAWFlIL M1D SHALL SUBJECi PN EMPLOYER.IOCWAtlNAL NALT S AND CML FlNES UP TOONE HUNDRED TFKK15AN0 DOLURE (5100.000),IN A6DR10N TO?ME C06T OF COMPENSATION, DPMAGES AS PROVIDED FOFi IN SECiION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSEU CON7RACTORS DECLARATION: I herehy aHirm that I am licensed under provis.lons of Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professlons Code, antl my Ilcense is in tull CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirtn that there is a consimction lending egency for ihe pedormence of Ihe work for whic� Ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: l.enders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 here6y eHirm ihet under penelty ol perJury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any city or county whic� requires e pertnit to constmct, alter, improve, tlemolish, or repeir eny structure, prior to its issuance, elso redulres the epplicant for such permit to ille a signetl stetement ihet he or she Is Iicensed pursuan� to ihe provlsions of ihe Conirectors Llcense Law (Chapter 9(commencing with Sectlon 7000) of Dlvlsion 3 oi the Business and Prolessions Cotle) or thet he ar she Is ezempt therefmm en0 the basis for the elleged e:emption. Any vialation of Section 7031.5 Dy eny applicant lar e permit subjects the apD�icem to a civil penalry ot not more then flve hundred dollers ($500).): ❑ I, as owner oi �he property, or my employees wlih weges es iheir sole compensation, WILL DO 7ME WORK, and ihe siructure Is not Intended or ofteretl tor sale (Sec. 7044, Business and Professions Code: The Conirectors License Lew doas not apply to an owner ot property who builds or improves Ihereon, antl who does such work himselt or herself or ihrough his or her own employees, providetl thet such improvemenis ere not intended or oHeretl tor sale. If, however, the bullding or Improvement Is sold within one year of completion, the owner-builaer wi�l heve the burtlen of proving that he or she did not build or improve for purposa ot sele.). � ❑ I, as owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business end Protession5 Cotle: The comrectors License Law Aoes nat apply to en owner ot propeny who builtls or Impmves theraon, end who contracts lor suc� pro�ect with e contrector(s) license pursuent to the Cantractors License Laws.). ❑ I am e:empt untler sec. Business and Professions Code for Ihis reason: Signature: Date: Owner ID venfietl �y tlrivels license. ❑ Y85 � No Drlver5 LiCen50 No. Expire5: Venfication oi Ownership by (type ol daument, i.e. - propeny tax Oill or Aeed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenity thet no excavetlon five (5) or more leet in tlepth inio which e person is required to descend, will be mede in connection with work euthorized by Ihis pertnit, antl ihat no building siructure, scaHolding, lelsework, or demolilion or dismantling thereof, will ba more �han thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, Celifomia AdminislretNe Code). ❑ As owner�builder, I wlll not employ enyone to da wark which would require e pertnit from Ihe Division af Industriel Sefery, as noted ebwe, unless such person has a permit to tlo such work tmm ihe tlivision. Signature: Date: Division of Industnel Satety Pertnit Number: CERIIFlCATE OF COMPLIANCE AND AIfIHORIZATON OF EMAY: I certify under penalry of perjury that I have read this epplicetion and stete that Ihe Informe�lon given is correct. I agree to comply with all stete laws entl city ordinances relating to building consiruction, and authonze representetives of Ihe qry ot Costa Mesa to enter upon tha ebove-described properry tor inspection purpases. I egree not to occupy or allow occupancy of any building authorizetl by this pertnit until final inspection. GODE I. INBPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Rooi 201 Finel BIocWRetaining Wall 202 Final Fectory Fire Place 203 Finel Slgn • 204 Finel Demolition a�t» � . `aPPMcanN"`_„`� Pdg 1tl�4� L �� [!Gi CODE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Eledncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy PATE It�ELfl Job Address: Suile: Viciniry: Primary Occ: Parcel Number: Applicant: Address: 2447 ELDEN AV APT BLDG B R-1 Hotels/Apis/Res >10 Occ 43928134 BURKE, MIKE 1653 SUPERIOR AVE Type of Conslruction: V-N Zoning: - � Phone: (949)642-7222 COSTA MESA, CA Zip: 92627 Owner. THYEN, DE LANE J R -�� Address 3535 E COAST HWY #306�; � _ � ' �Phone: CORONADELMAR CA�� - ,y-i � Zip. 92625 '_��- 1'`� F.�.. . C t a � LEE ROOFING OF G03TA�MESA '`�' ISSUED BY: on ra oc Address: <1653SUPERIORAVE�� -- ' � � _ , x;' : . . � Phone: (949) 642-7222. � �, COSTA MESA(� CA 7 " " Zip." 92627 ' License: 349686 Arch : Address: .. Zip: . ' � , Y �,' REROOF 4 UNIT AF7 BCDG B:�� SQUARES-. --- r, Phone: ; License: Eng: Address: F % �.9z�.}l_,#,,$T.,.x< � ' . ;.i�g ,:. . " SCOPE OF PERMIT " ' EXISTING WOOD SHAKE, 1/2" OSB SHTG, 1 LAYER 30# FELT, Status: ISSUED Applied: 08/03/2005 Issued: 08/03/2005 _ � _�.,.,. i � ; �s: us`. s� ,, Phone. s �� - � ��License.-- � §v �. R�:d ��,� ' d }yi9 PPLY "40-YEAR'COMP SHINGLES�. � _ -_ � - -- FEE�SUMMARY ,�g -,- �- �� ' Plan Check: � . � , �$0.00 �• � � � Calc Valuatio ,_> �.: � Permit $265 25, Claim Valuati SMIPRes =�� ,$160-�'�` ��" �� SMIPrCom ?;$0.00 � � � ��_:• � Othec $0.00' ` ., � .. '� a - Inspection: � � $0.00 - �-.'" - `�. � � Total: $266.85 - � � �'� � �� ",- =PL'ANNING$ ZONING SETBACKS e �"�� ; � °' � �� .,>,, � MAINSTRUCTURE Ffont 0 0��;` Rear •0.4 '^�' Lefl; -II�0-0 ��Righl ;0=0 �^� . • ,-a'`i� _�< -r< _ v� ACCESSORY �'�Front 0�0 � �{Rear 0 0 . -Lefl�' 0 0 E;" R�ght' 0 0- deg -:- . �� , , . � '. �: � t '-. ' . _ i•• .. -. PARKING �-Exis[ina - }.0 ,_Reouired 0 S- � Proposed „.-0 ' " - ' ` _ , .. v..�.. , � � ,. . r ��. � .. ,�/' , '^i h �� t ..a� • 1 � ypi i �C�.. .r , � �' �^' _,-.e�' � �y�. �-$i:e,000.00 n S�s 000.00 � I��, „ f- i: �� , � . -t �jq�, NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or it work is suspended or abantloned for a period of 780 days. INSPECTIONS: In order tor the work authorized under this permit to be considered �egal, such work must comply with all applicable codes, and all required inepeetions and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 2446-4fi (fJ00) WORKERS' COMPENSATION DECLARATION: I heraby ettirtn under penelry oi perjury one ot the following tleclarations: ❑ I heve end will maintain e certificate of consent to self-Insure for workers' compensation, es provided for by section 3700 of ihe Lebor Code, for Ihe peAortnence of the :� work for which this pertnit Is issuetl. I have and will maintain workers' compensation insurence, es required by sec�ion 3700 of ihe Lebor Cotle, for iha peAormance ot Ihe work for which this permit is issuetl. My warkers' compenset on Insurence rrier enq policy number are: Cer° er�' �Sti4Tf GHsd �i.U� '' PolicyNumber: ODDI/Urf'��Yi� (ThlS section neetl not be complet /l the perm/t !s velued at one hundred dollars ($100J or less.) ❑ I certiry t�at in the perfartnance oi ihe woi compensatiow laws ot Califomia d agrE compl�wi�h these n App�LLrant•SlgnaNre: WARNINO: FAILURE TO SECUFE WO (ERS' TMOUSAND DOLLAFE ($100,000�, I DDITION TO TH LICENSED CONTRACTORS DECLARATION: :h ihis pe�mit is iuued, I shall not employ any pereon in any manner so as to become subject to the warkers' sh i Itl become sublect to Ihe workars' compensation provisions ot Sedion 3700 ot ihe Lebor Code, I shall torthwith oa�-� ��3� s COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO RC IMINAL P�ALTI�u AND CIVIL FlNES UP TOIXJE HUN�RED °COMPENSATION,OAMAGESASPROVIDEDFpRINSECTtON3]OBOFTHELABO CADE,INTEREST,ANDATTORNEV'SFEES. I hereby eHirtn Ihat_�am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 oi Ihe Business and Professlons Cotle, end my license Is in full torce and effectra.*-� Clasg p �� Y co `,",reKCt� ig tuna e: �/ y - 1-oa�a'f. �/3 /G S' l � T' � CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm thal lhere is a consiruction lending egency for the pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Signature: _ OWNER-BUILDER DECLARA710NS: Lenders Address: Date: I hereby aHirtn that under penalry ot perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Protessions Codo: Any ciry or county which requires e permit to construct, alter, improve, demolish, or repair any stmcWre, prior lo its issuance, also requires the applicant for such pertnit to fila a signed statement ihet he or she is licensed pureuant to Ihe provisions of the Conirectors License Law (Chepter 9(commencing with Sectlon 7000) of Divislon 3 ot ihe Business entl Professions Cotle) or thet ha or sha is ezempt thereirom and ihe basls for the alleged e:emption. Any violation oi Sectlon 7031.5 Dy eny applicant for e permit subjocts the epplicant to a clvil penalry ot not more ihan five hundretl tlollars ($500).): ❑ I, es owner of ihe property, or my emplayees with wages as their sole compensetion, WILL DO 7HE WORK, enA ihe siructura is not Intended or oNered for sale (Sec. 7044, Business and Professions Coda: The Contractors License Law tloes not epply to an owner of property who builds or improves Ihereon, antl who does such work himsetl or herself or through his or her own employees, provitletl ihat such improvemenis are not intended or oHeretl for sale. N, however, the building or improvement is soltl within one year ot completion, ihe owne�-builder will have the burden of proving Ihat he or she tlitl not build or improve for purpose ol sale.). � ❑ I, as owner of iha properry, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTFiACTORS to consiruct the prqect (Sec. 704d, Business and Profeuions Cotle: The contradors License Lew does not apply to en ownar of propeny who builds or improves thereon, end who contracis for such pmjact with a crontracror(s) license Dursuant to t�e Conirectors Licensa Laws.). ❑ I am exempt under sec. Business and Professions Code tor Ihis reason: Signeture: Date: _. Owner ID verified by tlmef5 liCenSe. ❑ Y85 ❑ No Drivels LiCense No. Expires: Verificetion af Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certify ihat no excavetion five (5) or mora teet in depth into which a person Is required to descen4 wlll be made in connection with work autharized by this permit, end that no builtling structure, scaHoltling, falsework, or demolition or dismantling ihereof, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Adminisirative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit from the Division ol Industrial Satety, as notetl ebove, unless such person has a permit to do such wark trom tha division. Signature: Date: Divisian oi Industnal Satery Pertnit Number: CERTFlCA7E OF COMPLIANCE AND AUiHORVA710N OF EMAY: I cenity under penalry of perjury ihat I have reatl ihis application and state ihat the infortnation given is correct I agree to comply with ell state laws end ciry ortlinances relating to bullding construction, end euthotlze representatives ot the Ciry of Casta Mesa to enter upon the ebove-describad property for inspectiony4�joses. I egree not to occupy or allow acupanty of any building authorized by this permit until tinel inspection. CODE �. 1616 726Fi Fixed System Final Fire Prevention Pool Spa Final 200 Final Re-Rooi 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition pdg irmru� � �` �� .� C U 1 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Preveniion 220 Final Planning Approval 222 Final Si�e 250 Final BuildincyOccupancy �ATE � (714) 754-5273 • Fex (�14) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2447 ELDEN AV Suite: A Vicinity: Primary Occ: R-1 Hotels/AptslRes >10 Occ Type of Construction: V-N Parcel Number: �43928134 Zoning: Applicant: MICHAEL BURKE Address: Owner: THYEN, DE LANE J Address 3535 E COAST HWY #306 CORONA DEl MAR, CA ' . Contracror. `LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE � COSTA MESA, CA Zip: 92627 Arch : Address: �F � Zip: Phone: License: T/OFF, SHEATH AND REROOF 3600SF TRIPLEX W/COMP Plan Check: ' . $0.00 Fermik " $209.25 �SMIP Res: $1.15 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $210.40 SETBACKS MAIN STRUCTURE -Front 0- 0 � ,.� ACCESSORY Front� 0-0 � PARKING Existin : 0 Ph6ne: 949-642-7222 Zip: -�� Phone: ' .� � :�-Zip: �' 92625 . Phone: (949) 642-7222 License: 349686 Eng: Address: .:urt ur rtrcmi i INGLE53_'��:: � � �"" FEE SUMMARY Rear ��• 0-0- . , -�Left. � 0-0 ��„ Rear 0- 0 Left 0- 0-, Required: 0 � Proposed: 0 Siatus: ISSUED Applied: 08101/2005 Issued: 08/07/2005 ISSUED BY: U lU Phone: License: Calc Valuation: Sii,sgs.00 Claim Valuation: S��,sas.00 Right �'��0-0 Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �equired Inspeetiona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 2a46�46(6/00) WOHKER$'COMPENSAnON DECLARAnON: I hereby eXirtn under penalry of perjury one oi the following declaretlons: ❑ I hevB end wlll malntain a certificate ot consent to self-Insure lor workers' compensation, es provided for by sectlon 3700 of ihe Lebor Code, for Ihe pertormence of the work tor which Ihis pertni� is issued. ❑ I heve end wlll melntein woMers' compensation Insurence, as required by sectlon 3700 of Ne Lelwr Code, tor Ihe pertortnance of the work for which this permit Is Issuetl. My wo�kers' compensatlon Insurance er an�tlynolicy number ere: /� Cerrior: �f/ii� ��D �/I�L � PolicyNumber. �DO�IGri �CC � (Thls sectio� �eetl no�be completedithe permrt 75 ve/ued ef one �undred dollars ($100) or /ess.) �' ❑ I cetli�y Ihet in ihe peAortnence of the wark t� �Ich this perml� Is Issued, I shall nat employ eny peroon In eny menner so es ta 6ecome subject to the workers' compansetlon lews at C eViia, a re! II I shoii become sub�ect to Ihe workers' compansatlon provisions o1 Sectlon 3700 of the Lebor Code, I shell forthwith comply with ihese p �� /� � � AppflcantSlgnature: Date: 6/�ll� �J / WARNING: FNLURE TO SECURE WON ' COM1IPEN ATION COVEMGE IS UNLAWFUL M'D SFULL SUBIECT Ml EMPLOVER TO CFIMINAI. ES M!D CML FlNES UP TOONE HUNORED THIX154ND DOLURE (5100,000�, IN filIXJ TO THE CQST OF COMPENSATION, DMUGES AS PflOVIDED FOR IN SECTIIXJ 3IOg pF 7�{E LABOR CODE, IMEREST, AND ATTORNEVS FEES. IICENSED CONTRACTORS DECLARATION: I hero�y eHl� Ihet I am Ilcensetl under provisions ot Chapter 9(commencing with Section 70gD) ot Dlvislon 3 oi Ihe Buslness and Pratessians Cotle, entl my Ilcense is in tull force end eftect lJc. N � qass q L.�i � Contrectots Signalure: � }� �� Dete: � � /l C i L � CONS7RUCTION LENDING AGENCV: ❑ I hereby attirm thet there is a constructian lending a8ency for the performence of the work tor which ihis permil is Issued. (Sec. 3097, Civil Cotle). LenOer's Neme: Signeture: ^. OWNER-BU�LOER DECLARATONS: Lendefs Adtlress: Date: I haroby efll� Ihat under Denalry ot perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Protesslons Cotle: Any Giry or counry whic� reqmres a pertnit to mnstruct, elter, improve, demdish, or repair eny struccure, pnor to Its Issuance, elso requires the applicant for such pertnil to tile a signed stetement Ihat he or she is Iicensed pursuent to the proNsions ol the Contractors IJcense Lew (Chapter 9(commendng wlth Seclion 7000) 01 DlWsion 3 of ihe 8usines5 entl Prolessions Cotle) or ihat he or s�e is ezempl t�arefrom end t�a Oasis for the elleged exemption. Any Woletion of Seclion 7031.5 by any eppllcant tor e pertnit sub�ects the appllcent to e civil penelry of not mora than tive �undred dallars ($500).): ❑ I, as owner ol ihe properry, or my employees with wages es their sole compensation, WILL DO THE WORK, and Ihe siructura Is not intentled or offered tor sele (Sec. 7o44, Business arid Protessions Cale: The Contrflclors Ucense Law tloes rtot apply Io an awner ot property wAo huiltls o� improves thereon, a� w�o does such work himseN or herselt or through his or her own employees, provideA thet such improvements are not intendetl or olferetl for sale. If, however, Ihe 6uiltling or Improvement Is sold W�ihin one year oi campletion, ihe owner-builtler will heve the burden of proving that he or she did no� build or improve tor purpose oi sale.). ' ❑ I, es owner oi the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business entl Professlons Code: The comrectors Llcanse Lew does not epply to en owner ot propeny who builds or Improves Ihereon, and w�o comracts tor such pro�ect with e contrector(s) Iicens0 pur5uent lo the Contfactor5 LiCense Lews.). ❑ I em exempt under sec. Signuture: �wnor ID v@��ed by drivers license. ❑ Yes ❑ No Business antl Prolessions Cotle lor this �eason: Vetlticetion ol Ownership by (rypa of document, i.e. - property tex bill or tleetl): DIVISION OF INDUSTAIAL SAFE7Y PERMR CERTIFICATION: �rivets Ucan58 No. Date: Expires: ❑ I hereby �ertity that no exwvation fne (5) or more feat In depth into which e person is required to descend, will be mede In conneciion vrith work euthorized by ihis permlt. entl that no building 5iructure, scattolding, la�sework, or demolilion or dismantling thereoi, will be more t�an ihirry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, T1tle 8, Callfomia Administrative Code). ❑ As ow�er-bullder, I will not employ enyone to do work which would require e permit tram the Dlvision of Industriel Selery, as noted ebove, unless such person hes e permit to do such work irom the division. SignaWre: Date: Divislon of Induslriel Safery Pertnit Numher: CERTIFlCATE OF COMPLIANCE AND AUTHORI2ATON OF EMRY: I certity under penalry oi perjury that I have read this epplication and state that the InfortnaHon given is correct, l agtee to comply with all state lews and ciry ordinences relating to builtling constructlon, end authotlze representetives of the Ciry ot Casta Mese �o enter upon Ihe ebove-descnbed property for inspection purposes. I egree not to occupy or allow occupancy ot any building aut�orized by this pe�it until tinel inspectio�. GOOE /, �1NSPECiIONTYPE 1616 Fi:etl Sysiem Final Fire Prevamion 1266 Pao� Spe Finel 2�� Finel Re-Roof 201 Final BIocWRetaining Wall 202 Fin91 Factory Fire Place 203 Fin91 Sign 204 Fine� Demolitian Pdg I[�IELi � I. .Y3�1 / ' f CO�E I INSPEttION TYPE 206 Final Mechenlcal 20B Finel Plumbing 210 Final Electdcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/OccuDency �g �� y � /i00NES50FBNLOPIG: z447 ELDEN AV avxeasruxEiraawx: THYEN , D E LANE J �op� 3535 E COAST HWY lt306 CORONA DEL MAR,CA 92625 � �VM.Y41IIlOI�DDXE54: /JICXRECT OP FN�1ffA: u1CIl OP FNG:4IOORE54: IlC NO.: uNT: CITY OF COSTA MESA — BUILDING PERMZT PERMIT NO: B 071941 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR uxr: coxm�crarsru� LEE ROOFING OF COSTA MESA ( 714 ) 642—i223 cam.croxs�uiwn 1653 SUPERIOR eooncss COSTA MESA CA ucwo: 349686 92627 urr: LICENSEO COMH�CTOR4 OEttAFAT10N: I Inmb� Nim uMx pmNy d peejury Net I em fcenaed under pw+nma M Gheqr p (mmmenarp wilh Senian 1000) d Drvison � d ihe Buei�as aM PM»eiorp Catle. eM mY lioenm b in full /wcs vM eHed. cmuc.No.:028751L uc.cuss: C_39 uc.No.: 34968/6//J_� EXP: 03/95 Dne: ✓' � �� / � CaMraaa: ��C.J / [-�rJ�—s �C2. OWNEP BUILOEF UECLANRTION: I hneEy elfirtn uMer penNy W perjury �MI I am ezemq han iM GoMrepae Licenea l.ew la Ihe tdlowip reawn (Sedion IW 1.5 &uiiea� eM Pmleavme Cods: Any ciY d�+MY �� Vu'vee e parmu to omsviM. eller. impwe. Mmdeh, w repai ury evuquro, yb b Ga evuvice, e6o npuime �M eppliram ta vch partne to fib e eqr�ad Nalenient tlet M a�M IicemeE punuen� to �Iw prwisione d IM Conlrepan l.icenw law �Cheqer 9(cpnmeiviq xn� Seaion )000) d Drvebn � ol �M iai�wa erd Rdeaeuna COEe� or Ihel ha «eM ia evemq iMelmm enE iha besia for Ihe ellepeE memqion. My videtbn ol Seqion iW 1.5 Ey enY WP��I Iw a permn eubptla IM eppirant to e mJ pe�ulry d M mora Ihen (ve hurdrad ddlan �55001). � I,esowirordlheDrWenYormyemployeeswYhwepeaai�Miwlecampenaetion,willEo�hexwk,andtheei�ununuratinieMed w dlered lar ede (Seclbn )Oa6, Buaneaa en� Prdeeaona Coda: The Caniredas lieeroe lawtloae �wl epplyto en ownar W popeery who Eu1Ee a inpwas iMrean. aM r.fio daea eutli v.ork Nmmll or MnN a Nrwph he «har own emplvyeea, pmviCeE IMI wc� impmvemanU era rot imWeE a Waed la eele. tl, lrowever, iM WiHinp or'vnprovement u eoltl wil�in aw yeer M ewnpblion, tM owner-0uiNer will Mve tM buNsn d 0�'inp he or aha did rwt build or imD�`�a la iM W Rae d eeb). ❑ 1. es owror d �M proprty. em utluvnely mnt�mnp v.iN IioenxA convectas �o m�uuua Ne pqW (Setlun ]Ou. &wiiwee aM Prolesaione Gode: The ConireGan Lican» lew does nd eppty lo en o�ner M popeny who Wike a impwm iMraon uM vAro con�recb lar wM prqeda wCh e mNretlor�e) Icenaed punuenl b �ha Contredwe L'wenee lewl. ❑ I vn uanq uidar Sxiion: 8. 8 P.C.. tar ihia ieewn: Dale: O�ner. I do Mnby cenily thet I em ewers d W uMreieM iM rpuiremmb M CellanielbM� enE Selery Code Soqiau 25505, 255�, enE 255�a. e'M Nel I a any M�n buikinp oeaqent will / wil mi (rieeb ane) need to eomply wYh eek mEea eM tM �em�'vamxue br ePmmlnmruvucuonnmoEifrntionhomiM�i w�y WmM'ue' vuenesemqlmmlMae Vanpnf � � Dels: � � Md�p: t REN'S COMPENS�TION OKLAN�TON: I Msb� etfirm unEer paielly W pe�jury ar W Ne IaOowinp Eetlualum: ❑ � nm ene na me'vne6. c«tSrsn a mmav io.w:�mu. ro. wak.: canvd�a+. m wwid.d �n M swion noo a �n.lam. coa.. i« in. o«i«m.M. n m. wn ia .�n w. o� m m.�d. ❑ inm..newmeiM.:,.Anr+•mmo«um:M�u�w...�.a�e.dMs.a�onriwdm.i.ea.wa.eum.c«inmanosam. work tu r.fi'rA Ne W�� o u�usd. MY wnFen' camD�ion vuurencs un'rr uA D�Y numbx ms: c.m.�: STATE FUND EXPIRES vd��mn. — 06/30/95 i roctin meC m� ee oomWs�M / �M 0�� o lu+wro humied ddlen Rtml a bn.) � I ranyy Nm m iM pMamenro W IM work M whk� �his pemiu u iveuetl. I alell nal emWv/ eiry anY �� b m �o beeome wbjetl �o �hs xoeken' m�enWim Nr.a d Cefdo�i ��i-Lah wib�etl lo iM warYen' cwnGMaetion D��oru W Ssdion 3]00 d �M IaEa Code. I qa1l�Onh W wuh iMw Dra: ri �� S S` �od�m; il.i� o� " W�m/np: F�Nun ro��cun roA'sn'romp�nutlon cwsrep� li unl�wluA ��e �I w6Nct en emv/oysr ro eNMn/ peneMu �ntl elHl Anes �p ro aM h,ntl�W Nouuntl EWI�n (JIPq000A M atltlltlon ro tM eat o/ romp�nutbM1 Asrrvp�� u poHtlW Mr /n S�ctlan J)08 0l tlr� Le6orCorY, /ntwut, �M eMmry'a Iw. CONSTHUCTION LENqNO AOENCY: I MreEy elfirm uMw peneXy d perjwy thet thera b e oontl�uUbn bMi'p apsnry lor IM OBI�Of1119fK1(i� 11M Mpk �IX Ni1N�l lh! plITI U YNl�,:Mtlqll'.y.Fli. CN. Ci�. LENOEP'S N11ME: LENDEN'SIDORE34: I cenify ihm I hew ned thie epplicelian end elde thel Ihe ebore inlormetian e corted. I eprea lo cnmpy wnh ell rny enE muMy oMinencee arM etete kws nletip b buildiq canwuamn eM MroW vnlwrixe rpreaenimivea d Ihu ary ro enter upan IM ebow-mentbned popeM Iwinapenion Wrpo.•. n (St51J6.WP) WM1i1s-&dkM85elary;O�wmFb: o�,: � �3-�'r s cdGmme-Aa«m« �'J • • \ • � • •. . �. . PURPOSE; OTH JOB DESCRIPTION ; T/OFF REROOF W/BUILT—UP SQ FT: 3,500 CLAZM VALUE: 3,500.00 CALC—VALUE; 3,500,00 GROUP OCC; M-1 / COMMENTS: REROOF 3000SF GARAGE W/ROCK �p,�^"� n��C�� *�**+r+r+t+t+r+rx+t�t+t«*+r*+t�r�+r+t+rxa**+r**+t+rw+t+r*+�**r+t***�r+t*�+t�*+rw+�r*+t �Y�:�'�3f 'L� '� Z O N I N GS ERTEHQAUCIKRSE M E N T S R E��ED ,�. ------------ 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; 43928134 ZNE; REF NO; PLANNING NOTES> i 1f M 1f M M M M!f 1F 1t if it 1f 1FklF it 1f if 1F �IF 1f iflF 1f 1f 1h ff �f 1f M ih �1F �If if ik if IF 1f 1f If iFif M 1f if 1f if 1f 1f iE 1t 11� 1f fF iF 1E 1f if iE if 41f M k M if 1f M f! iF �If 1F 1f 7f If iE if 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: .'� BUILDING APPROVED BY : ✓,DATE; APPLICATION ISSUED HY: —•''� DATE: 1� fhMltif1f11�MiflfiF'1F1F1fiFiFMlFM1F1F1fM ififlFlFlF1fMMM MM 1fM1fM1f M1FlkfhiF'IFilM�f7FiF1F1F1f kM1Fiflf %M'If1flt1klf 1!ilMM1FMM1t1f MM'kMMlfif 1tiflf 1FMM1titMYlfifMMlfMffMM1f M1f M1fM1lM1f 1Fif Mit LEGALIZATION;N E E E-'S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECFIANIC FIRE SMIP/RES GRADING PERMIT 63.00 � 50 PL� �, SMIP/NON—RES ISSUE FEE ' HUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 63,50 0,00 0.00 63.50 63,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 63,50 OVER/SHORT; 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 63,00 ,SO ifitMMitiFlfiFifMkMMitifititikitiFMiFklfifikMlFMMM1F1tMMMilMifMifkllMitk4lfMMiFifititlfi!lt1FfF1tif4itMiflFitMifMitltllffM�{F{f{t I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3500 REROOF HY VALUE RESIDENTIAL NOZONE 1,00 3,500,00 END. OF FEES vi 00:71944-00177995 T r� T 63.50 DRT�: 03/lsl9` TI{i�: IQ:?0 ; , CONSTRUCTION AND PLANNING POOI 'PA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporaiy Electrical Service or'Pole 52. Poo�l & Equipment �ocation � � 2. Soil Pipe�Undrgr�d. y? � 53. Steet ReinEorcement ;;3:�$lectrical Gondp'tt-ljiilitY-Urnirgmd. 54. For�ns •S3�"�lectricat Cond�jfltlr�drarnd. 55. Electricai Bonding ' w �5' �teel Reinforcemer�tF 56. RoGgh Plumbing & Pressure Test � � '•'!6^` iectrical UFER�6}+Hi. 57. APPROVAL TO COVEii�GUNITE • �� ;�€ootings ��' 58. Electticat Coacly'VUndrgrnd. - ,� P78: cl'.oundation '�' t' - ..� 59: Gas Pipe, O Ue?�grnd., Test � `'��`S�ater Pipe�Unrirqmd.;� .� 60�: Backwash Lines,,',�"�Trap,a Uf�drgrnd. � 701 Structurai PIooFSYstem 61. APPROVALTQDECK' i � 174•Property Sewer3�.ine_& Hou �Connection 62. Backwash & fteceptorFinal � 12. �ewer Cap f,; _' 63. Heater & Vent�Final 73. Roof Drains 64: Plujnbing System - Fina4 I 74. RoughPlumbirtg, � fi5. Electrical�Fi�al �� 15. Fough Electrica�-Co�du(t c � 66. Solar SYstem-Fi�p�I 16. Rough Electric�yiri� ,; . 67. Fencing & Acc�sApproval i i7. Rough Wiring $ign :� 68. APPROVED F�14'PLASTEflING ' 18. Hough EledriW'1'-T Bar Ceilin�' 69. POOL(SPA SY�T�MS FINAL 19. Rough Heating & Air Conditioning PIRE DEPT, REQUIREMENT ' � 't [,^ p' 1-. ]7 � il: *- �i ZQc R�t�9h�acdrY��YePlace �::i+ �-7 r ^ �� APP�OV�.'�',�.� P�eimit#T �.-.�:_ 2� Oucts.an 5z[uctare i:. .. .: i <- r. �, " r •. �,-� .,� •�� 70.!-Undefi}YoViid t�i-,ydro 22. De s.'.S�/e,rrtIatC ' t`^ ?' `; ; 71. Produ.u�i{iing�'Q�'_,as �� , '"�Z �� G e; .3 F b0il 23: Gas PiPi-Rough�8iTest � ,:7^ .�: i*� Or'+ � 72. UndergrfiLqd Ffu�lr•, a � 2A� Rsof fFremi'n '�� , �•z., .-•� �� Y a. - i . . `�.,� �� 9 �;. „ .,� .� , � , 7� Undergr�ii. Storarye�Xan�' O Gas �'Oil 25. Roof S-.h'eathing� �. ,. `��CI � j^�;� 7Ai��verhead Hydro•� ' ` �Ya 26: T�Bar Ce�linq {Strdctural} ,�ry��pocoat � 7 r;� Y 7�`pry Chemicai �,] �','" ��: .-. .. .. : � -� -. a �-� _ . ��, ��•. 27; F,ameand Fla�ryg =��Q, ;;;+ a;. . 76. Dry Staa�pipei�u. � y � C� �« 28. L'athiri &oidid"' %� '"��.T '� E '..� � ^ .` , �'• � Y ,�; .�,. , "� '� 7i. FIXED�YST�.1}A'�INA�.�,_; �� • 29. InsulationG ;�. �� •• �� I ; � t 7$. FIRE PREV. FIR*.AL �• '- �' 30. Oryw�t'��,Na�t�n'::-: �� ' f j :�EALT'� DEWf^REQUIREMENT n. J i ♦+ �, r �_ � �� 37. Plaster Bror+,n Cqaz _ -�,,. , . ti 79. PINAL FiUBPEC :ipN t � ci i . � , . :. 32'. Electrjcai e�-hleie�Fin�l � i �% � � � r�' 8Qj FOOD CEftTIF,I'G-A.TE I�SSJJED ,� /L +.; ( J t fil � ; � M -7i:. • n - 3�: F.pal ��ctuc ,�. �� } IVates: -,.h . -" ':� ,:�i r, : 34: F�fal 6leatni9 &=ftir ConditioN6g ^ t ` ' > ' /� .�-.i: ` cY • � . . n , . _�l 'I�e»� ��%�lf _ 3,v�. F�ial �C�'as PlOe-Te� = i .y � , ; � � � v 7:a c�*• � .� -� li�.� . 36. Hood m Canopy � �� : �' � c'�o � i � � �th' .� -�n • M rp }M '"7n� : 31� FiS'jbl Factory Firn,�placa � _,� �" � "' i �, ; � y ;; � 38. FitWl Plumbing • �OJ i - t � � � » �° �: +:L i:v r 1 i Y: �--t e' !' .� = 39. W�'ter Serv�f"e-Fin�l Z � '- * n., 1 � F :l 4 ni �.: �� ' j. ! 40. Ci25 ServiCd�inal. ^, Qz•ir e b7 t♦ Qw vC� r . a � o ^ r � 41. Solar pomesticFiT�aF� •�� " f ��' ; ' ~'t. '"� ' ` � � . 7 h' `7 O ^' A? � r - � 42:' Backflow Preventer nj ( �� a; • : � :� %.. .r m:-i�� 43. Backflow Imigatioa � °�"� f 7, ;; n rs:`��' ;_' '•� �J ' 44. Landsoape�rrigation System;r, �,, t�; �'. C q e k^ ��; N 7L'CJ + r , O - ... . ��b. ' �. � 45:. SoundnAtt�nuati_o1'n -+'�:F • � �. :-• .• :- � , !-� •, c�_.. 's:� s �i' " T C4 �. ] i�t• � F C^ C' 4 F-�� § " 4&. Handicap Re9ulati6ns"' - a, u cr, •,- � 7� � _� � � n . . a7==Ft�F�AISTRl1CTt9RE&'BkIILDING aF'7 - �' ` �'�'�� - F E„ 48:; FLjJAL PLANNING .. i;-;-. r n; �•[; c*+ � y c. � 49" El�ctric'Rslease td Edison � a I .' �; , ' -, -,� .,� i � � +. .y n .. .. ' ; . . •. . _' : 50; Gas Re{ease to Southem Califoc�;a Gas Co . ; ; �= a c� r� c% • �� = J • �- .. . o � 51. C�RTIFICATE OF OCCUPANCY • :t ,�-� ;qc, . • �- :, No. Date CITY OF �"'1STA MESA PAh__ FEES j�jo Fee Payment Receipt 122 Project Address „��f�f'�%-�`% � ��i� �1 �� A. P. No./ � � _a�� Building Permit No. �� 7`7� — tl Owner's Mailing FEE - Single Family * MWtiple Family " Nu. of Units @ 5455.20 = No. of Units ��— @ 5321.32 = y/�% ✓G � i _ / �� cos�a mcsa Planning Department Approval Date "- U'� -� B) Applicant's Signature � � ` Clty O�tllnance 72•44 •' City Ortlinance 72•45 �•* Gity Resolutlon 74d24 Whlte- Planning; Canary- Planning; Pink - Finance; Goltlenrotl - ApPll<an[ CMF 0174-26 = ' . ,. � ?3646 ' ' � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely _ BUILOING �J pDDRE55 O' pWNER � MPIL nI Z ADORESS oY aU CITV C0S7 2 Q CANSTAUCTION � N LENDER am J � BRANCH J �7 a w ADDRESS C! J J m ARCHITECT ` Q OR ENGINEER U N a 9 W � ADDRESS d W w Z CpNTRACTOR J � m Z J � ADORESS W W �= C�TV zr w � SYATE y Q UC. NO. _ � SIZE pF LOT TEL. � NO. TEL. NO. CITV LIC. NO. INO.OF LB�DCS. NOW ON LOT BUILDING ADDRESS OWNERh - FIRE ZONE APPROVED BV ZONE n� K YARDS� MAIN B (FROM GL r,.�� 1 2� -5-7� �,—�JO ��,3•• ��:.•:: 121.�� . FOR BUILDING PERMIT TE REC IV D TE ISSUI '� � -I3,IN PERNI�TT10 r�r, Id� B�UN�7s VALUE D.OF USE OF NEW s(�/,J� ANS � BUILDING IOVED VARDSAPVRpVED 71NG ACCESSORV BVILDI EET) /�J. =T. �(J/ FT. �/ ^rr / H SIZEOF �./ ^ NO.OF Z NE�'BLDG. 7v � ROOMS STORIES L.SIDE � FT a EXTERIOR WAL ROOF L �% COVERING `S�l-11GG0 COVERINGS NG�G REAR ��J FT J U5E OF BUILDING ANO WOf1K TO BE PERFORMED OISTANCE BET. a MAIN BLDGS. a p /,f /T � cuP'9w � APPROVED � H Z O U� �areby ecknowletlBe thet I hava reatl this applieation antl state � [hat the above iniormati0n is carYect antl epree [o comply with � ell laws repuleNnB builtlin8 construction, antl I shatl not employ F anY PBISOn in vlolation ot the workman's compensetion laws of cne stece ot ce�aornia. Q!, ZI Mereby cartify thet I am properly licensetl as a contractor under �� S�. F' th0 S[ate of California Business antl Professions Cotla, Oivisicn 3, THE AMOVNT: Chepter 9, antl that such licenses are in tull force antl effect, or I THE PURPOSE O am exampt trom the.provlsions of the Stete o( CaII nfa eusiness VALUATION antl Profasslons Co e, Divis' 3, Cnapier Sip�atura of �y _ _ , / /��i �i_. Pelmlttea [�✓VK / $ � �f1 q�xnori:ea Apent BET. MAIN & ACCESS. BLDCaS. DATE APPROVE� .,�,reTA77n^ �'/if A FEE $ 3�s � �p O 'Y� ON I$ FOF m \ FEE ONLV: Q rv � � 1S m \ E `o LL % �- 3 � � ..- COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fi!l in Completely RE BUILDING.f//1 � 'C nnnaccC/<LGL G�o�u ✓C /-5 OWNEfi /I�LAN� lftYE7� MAIL ADDRESS TEL. CITV NO. CANSTRUCiION BRANCH ADDRES L. ADDRESS CONTRACTOF ADDRESS TEL. CITV NO. STATE CITY LI0. NO. LIC. NO. SI2E NO.OF BLD('�S. OF LOT I NOW ON lOT USE OF EXISTING BLDG. SIZE OF NO. OF - NEWBLOG. FOOMS STORIE! EMERIOR WALL ROOF COVEFING COVERING USE OF BUILDING AND WORK TO BE PERFORMED '!��' 30-77vAI�003388'� '�** �Msr 429.4i 4TION FOR BUILDING PERMIT V DATE RECEIVED DP TE SUI / � �_r ADDRE�� TRACT W AD I OWNER � s UAl/ FIRE 20NE APPROVED BV ZONE N PI VARDS APPf MAIN BUIL (FROM C/� STq VAq. # C.V.P. # APPROVED I hereby acknowledge that I have reatl this apP��cation antl state that the ebove information is corract antl agree to comply with all laws regulating building consttuction, en0 I shall not employ any person in violetion of the workman's compensation laws of the State ot Calitornia. I hereby certify that I am properly licensetl as a coniracior under tha State ot California Businezs and Professions Cotle, Divisicn 3, THE AMO Chapter 9, antl that such licenus are in full torce antl effect, or I THE PURPI am exempS from the provisions of the Stete of California Business VALUATION antl Professions Cotle, Division 3, Chapter 9, Signaiure ot Permittee $ Authorizetl Agent l , VALUE VPE GROUP DAT �� F USE OF NEW i BUILOING ED VARDSAPPFOVED I\ G ACCESSORV BVIIDING "O � n� FT. � � FT. FT. FT. BET. MAIN & ACCESS. BLD('aS. DATE APPROVED 3 m� DER VAlUAT10N IS FOR � i1NG A PERMR FEE ONLV: Q IT FEE $ � I Stl � � m CHECK $ E .�. i• /iL u TOTAL FEE , �. :� 38b44 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fi!l in Complerely R BUILDING �yy�� IL�� vE AODRFSS F_ OWNER MAIL ADORE CITV ( BRANCH ADDRESS AFCHITECT OR ENGINEEF ADDRESS � A�DRES CITV STATE LIC. NO. SIZE OF LOT SIZE OF OF 6UILDING AN� e!N [ T i � TEL. NO. CIT�' UC. NO. NO. OF BLIX'aS NOW ON LOT NO. OF flOOMS STOFIE: aooF SNi,� � � COVERING 7RK TO BE PERFORMED P~r /�� a_ �G BUILDING AO�RESS ,�i —G-i�P..-Cn �:'c, ...<`'I�,.�i I r� ICATION fOR BUILDING PERMIT ) BV DATE RECEI ED TE ISSUE - 7-5- � —y-,�: ( � �a.��3 � PEAMIT NO. 244'7t 81dq C u4 j�„� � J • `j-., VALUE APPROVED ZONE NO.OF USE OF NEW C`W�vj Rz P�� z BUILDING YAROSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSOPV BUILDII (FROMC/LSTPEET) . / p VAR. aW c.u.v.� ^ APPROV ED /. i J�/- iY i pV LU,Q/ HOLD FOR SP I hareby acknowlotlpe Net I hava reatl thif opplicetion antl atata that ihe ebove InformeNon is correct antl eprae m comply wit� all laws reOuleUng builtlinp co�cvuaion, antl I a�ell not employ any perwn in violetion of tho warkmen'� compensation Iaws of the StetB ot Californla. { hereby certlfy thet I am prope�ly Iicensetl as a contreccor untlar SQ� the State ot California Businass antl Profassions Code, Divlticn 3, THE AMOUN' Chapter 9, antl that cuch lieanses are In /ull forca antl affeet, or I TNE PURPOSE amexemptfromtheprovisionsotthaStateofCellfornia8usiness VALVATION and P�otassions COtl J Dlvlsi n 3, Chapter 9. /� Sipneture Ot / Perm{ttee g AuMorized ABent BET. MAIN & � � �\ VALUATION IS FOR A PERMIT FEE ONLV: � � m � _ $ � i K S �m E � '� � LL'� S � �• � . `3�� ;G�; so-�sP°:;003390� *�`*376.96 �� COSTA MESA BUILDING-S FETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AP LI ATION FOR BUILDING PERMIT For Applican[ to Fill in Completely R I V TE RECEI ED D E I UE BUILDING /J �� /�� 5� � /S� ADDRESS G � P qMIT NO. OWNER E[ f�� A.P. NO. MAIL BUILDING � A� LLv�►AVF �� Z . ADDPE55 ADDRESS �r L W W TEL. TRACT LOT BLOCK a U CITV NO. 2 Z Q CANSTRUCTION W A A O N LENDER am J � BRANCH JN OWNER ELAN�r - m J ADDRESS /}�// VALUE r ' Jm ARCHITECT TEL. // VNI� $ 4Y a OR ENGINEER N U� FIRE Z a 20NE YPE GROUP w 2 ADDRE55 aw APPROVED � /„� W Z CONTRACTOR � BV DAT �� J p m Z J � ADDRESS w W ZONE NO.OF USE OF NEW �= CITV NOL P�� BUILDING \ ZF �w � STATE CITV YARDS APPROVED VARDS APPROVED ? O LIC. NO. LIC. NO. MAIN BUI�DING ACCESSORV BUILDING � SIZE NO.OF BLDGS. (FROM C/LSTREET) M OF LOT NOW ON LOT FROM FT. FT. �� 1 ,1 J VSE OF l� E%ISTING eLDG. T FT �''��\ F' SIZEOF NO.OF l^1) Z NEWBLDG. ROOMS STORIES L.SIDE FT. FT. �1 U EXTERIOR WALL ROOf COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED pISTANCE BET. 6ET. MAIN & n' MAIN BLDW'^. ACCE55. BLDGS. a Q VAR.aW DATE O C.U.P.iW APPROVED r APPROVED � z � ~ I her¢by acknowledBe thet I heve reatl this applicetion and state � that the above information is correct antl apree to comply with � � all laws regulating builtlinB �onstruction, antl I shall not employ �'N( � any person in violation ot the workman's eompensation laws of y the Stau ot Calitomie. m � � ZI hereby certify that I em properly licensetl as a cantractor untler SQ. FT. O the State of California Businezs and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licanses a�e In full fo�ca antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ¢ am exempt fram the provlsions ot the Stexe af California Business VALUATION �7��=jj ana Protessions Cotle, Dlvislon 3, Chapter 9. w�, PERMIT FEE $� ' j vy Signeture ot ♦�JJ(j /p /' v m Permlitee $}j ]� Y/{T PWN CHECK $ Q� E �irr��ri� 3T9 � s Authorizatl Agent LL TOTAL FEE $ y �. f 3�64� ••; - . For App/icant to Fil! in Completefy BUILDING��/�/�I� � DF. i✓ ADDRESS �r � OWNER ��/�/} /�%� � TS�L Mai� ,,.,_ /i. — .-'- - r CITY CONSTRUCTION ADDflE55 ARCHITECT ' OR ENGINEERt ADORESS�r� CONTRACTOR ADDRESS CITY STATE LIQ NO. 512E OF LOT USE OF EXI5TING B�DG. � r, SIZEOF �1 �� NO.OF NEW BLOG. ��J FOOMS EXTERIOR WAL �„� FOOF COVERING �(VGCCI GaVERI USE OF BUILDING AND WORK TO BE TEL. NO. TEL. NO. CITV LIC. NO. �- INO. OF BLDGS. NOW ON LOT , �'� .:r � ��, � _5-7e "Q!1 �y�� , a:. .01 � :� TION FOR BUILDING PERMIT D TE RECEIVED DqTE �$SUE[ '� 5 7Q / .l'S�F.. A.P. NO. II ]�U.i BUIIDING n///J7` ADDRE55 0(77� TRACT � R � U.v:�j �%V f�tE,�, �90� f� � LOTGn BLOCK 20NE f� P�� BUILDING EW ��N�T �t \ VARDSAPPROVED VARDSAPPqOVED MAIN BUILDING ACCESSOPV BUILDING FG V AR. al`- C.U.P.aW APPROVE� RV �c�xzi HOLD FOR S{ 6ET. MAIN & I hereby ecknowladge Shat l heve reetl tbis appliceUon enC stete �, �� thnt xhe above intormation is correct and agrae to comply with ' all laws rag�latin8 builtlin8 �onsttuction, antl I ihell not employ \ T� \ any person in violetlan of the workmen's compensation lews of ` the Stete of California. m� I hereby cerHfy that I am ProperlY licensetl as a contractor under SQ. FT. �� p the State of Calitornia Business antl Professions Cotla, Divisicn 3, TME AMOUNT SHOWN UNDEP VALUATIQN IS FOR Cheptar 9, and that such licenses are In tull torce and effect, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: Z am exempt from tha proVlsions of t�a Stata ot CalHornia Businass Q Q antl Professions Cotl� ;'Divis n 3, Chapte 9. ^ VALUATION N /// �.�� f! � Q� � PERMIT FEE S m � Sipnature of �/ /G2 �� I Permittee ��- / 5 I PLAN CHECK S �, E 0 Authorizetl ABent LL TOTAL FEE $ Z . aV Z ZQ ON am J 7 J N Q W m J J m Q U N Za W ¢ aw J � m Z J � w W O= Z � W � �O lo S � " C05TA MESA BUILDING-SAFETY DEPARTMENT P_O.BOX 1200 COSTA MESA.CALIFORNIA 92626 iDI130-75�,�L�03384w ��376.96 AP LICASION FOR BUILDIf�1G PERMIT For Applicant to Fill in Complete/y R E ED V DATE RECEIVED D TE ISSUE BUILD�N ./ ADOfiE L 'y Q' PEPMIT N . OWNER � �� A.P. NO. l MA�� BUILDING II-?/'/ E� ADORESS .�.DORES �A{I Y TEL. TRACT LOT BLOCK CITY NO. CONSTPVCTION W IENDER BRANGH ' OWNEF / EL4N� H IG/V ADDRESS //�� VALUE � ARCHITECT TEL. S I /I S OR EN INEER Id FIRE ADORESS ZONE TVPE GROUP APPRO � CONTFP.CTOR BV OAT i , � ADDRESS I TEL. ZaNE NO.OF USE OF NEW CITV NO. P�� BUILDING ( STATE CITV �ARDSAPPROVED VARDSAPPROVED � L14 NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLOGS. (FROM GL STREET) ' OF LOT NOW ON LOT FROM FT. FT. � USE OF ( EXISTING BLDG. S FT. S12E OF NO. OF NEW BL�'.. FlOOMS STORIES l. SIDE FT. FT. E%TERIOR WALL ROOF COVERING COVERING REAp FT. FT. VSE Of BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDCS. ACCE4.BLOGS. VAR.SiE R4TE I C.U.G,y�+ APPROV APPROVED $TATE I horabv acknowletlpe xhe[ I have reatl this appllcatlon and stata T�' thnt th0 abova intormeiion is corroct end nprae to comply wlcb oll lawa re9�latinp builtlin8 consttucNon, and I shall not employ any pevson �n violation of t�e workmon'e compensation laws ot the Srote ot Celifornia. I hereby certity thet I am properly Iicensetl os e controctor untler SQ. FT. � Q t�o Stata of Celitornia Business antl Professions Code, Divisicn 3, THE AMOUNT SH�WN UNOER VA�UATION IS FOR Chapter 9, antl Mat s�c� licenses ara in full torce entl afiact, or 1 TNE PURPOSE OF ESTABLISNING A PERMIT FEE ONLV: b em axempi from the provisions of the Sceta of Celifprnia Buslness � entl Pro�ess(ons Code, Division 3, Chaptar 9. VALV ATION 3!5 —' N PERMR FEE S ] SlBnotule of �r� � m Permltt0a ��p// PLAN CHECK $ � � E �� w o` Authori�ad Apent ` u TOTAL FEE 5 �� T .. •i 1 � t �� ' �8648 .�`' R COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to fill in Completely , � �-��-7' =— Q� li�i �. .... ': i:3�. 121 �.• FOR BUILDING PERMIT !/7 . / �iE RECEIVED Dr TE ISSUI ADDRESS � % Y/� �G(�EN N✓E Y�/ �V�' � �j.')Q (p -�d�-/c ^�� N / �J '/ PEFMIT NO. OWNER U /�u A.P.NO. /I 'Q2Z�%�J �7 �� BUILDING — Z ADDRESS �Ltl HOdSE KDl�� +DDRESS ^ y'� r%Ia'�/� �� aU GITV �CST� MESI� NOL�/'? -/b,('d TRACT,7UD LOT BLOCK Z Q CANSTRUCTION W A P O N LENDER ' 6. (P J N BRANCH ' OWNER EL� E �I �� m � ADDFESS ALUE Ja ORENGINEER��/�� 1��N�% TEL•cSJ-/OBl /� $ N �� T W W ADORESS/Q � l[/V�}Y /' , C� %� ZONE PE� ROUP d W � APPROVED _ J CONTRACTOR BV DATE m � J � ADDRE55 ,� W W TEL. Z�NE NO.OF ^ USE OF NEW ( � x CITV NO. -' P�� r BUILDING . z f- wO STATE CITV VAflOSAPPflOVED VAR�SAPPROVED � y� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDIN6. � O (FROM GL STREET) ( / \ SIZE NO.OF BLDGS. • /�a � L `�` OF LOT NOW ON LOT qOfYT FT. L VSE OF � �V FT �/` EXISTING BLDG. �� I F"' SIZE OF �NO. OF ' � /� (77` z NEWBLDG. FOOMS STORIES L SI E FT 63 FT� DRfJ d EMERIOR WALL ROOF � � / p V COVEFING � COVERINGCGM nOS�� REAR �fT. ._ �S FT. YJT1.�1� J USE OF BU�IDING AND WOiiK TO BE PERFORMED DISTANCE BET. •BET. MAIN& n' MAIN BIDGS. ACCESS. BIOGS. C. /�' /` O I� V' ��{J �S C URP, �Y+ APPROV y � APPFOVED •�• �? /� �� b o HOLD FOR SPE lA R� g UI nareby acknowledpa t�et I have rea0 ffiis appllcation antl stete �a�2 = thet ffia above intormetion is wrrect entl agree to comply with M � � all laws re8ulatinp builtlinB conztruction, antl I shall not employ \ F eny permn in vlolation of Me workman's compensttlon laws of Zt�e Stata of California. ��0 � / m � I hereby ce�Nfy ihat I am properly licansetl as a eontrector untler SQ. FT. NG �/� o � Me Stare of California Business antl Professions Cotle, Divisicn 3, TME AMOUNT SNOWN UNDER VALVATION IS FOR C�epter 9, antl that such lieenses are in full torce antl effact, or I TNE PURP06E OF FSTABLISHING A PERMIT FEE ONLY: Q am exempt f.om th •Provisions of tna Stata ot Califo le Businesz VALUATION end Professions Co � Drvisi "3, Chapter 9. m / PERMiT FEE $ � $ipnetura of �%�� d Q� m PeYmlttee �"'�"�� / /e� �_ PLAN CHECK $ �/ � E T ° Authorized Apent LL TOTAL FEE $ �4� �� ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORN�A 92626 For Applicant to Fill in Completely R i�rd 3n-75PA-i° c,�_ 003391� ,r**1Q1.5 FOR BUILDING PERMIT sui�oiNc2 Q �rL��u �.r� YW�J�-- nooRess T ��I OWNER �G�N� t�J A.P. NO. M A I L BUI LDING IJ ADDRESS ApDRESS` Q 1 2 . W W TEL. TRACT d U CITV NO. ZZ Q CON5TRUCTION O N LENDER am J � BRkNCH J N OWNER � m J ADDPESS Q m ARCHITECT TEL. $ I J �� J a OR EN INEER V a FIRE w � ADDRESS 20NE T a w APPROVED w Z CONTRACTOR BV J Q m Z J � ADORESS � W TEL. ZONE PO�rO�F Z= CITV NO. F- wO STATE CITY YAROSAPPROVED y� LIC. NO. LIC. NO. MAIN BUILDING _� SI2E NO.OF BLDGS. (FFOM C/L STREET) OF LOT NOW ON LOT RONT FT. USE OF EXI5TING 6LDG. FT. H SIZE OF NO. OF Z NEWBLDG. ROOMS STORIES L.SIDE FT. a EXTEq10R WALL ROOF �% COVERING COVERING RE�+R FT. J USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET. a' MAIN BLOGS. a 0 �—H� ES �IP Sr� L L' c u P� � ' APPROVE� N Z � UI hereby acknowledBe ffia[ I have reatl [his application and state � that the above information is correct antl agrea to comply wlth � all laws reguleting builtling construction, antl I fiell not employ � any person in violation of the workmen's compensation lews ot y Ne State ot California. / • zI hereby certify Mat I am properly licensetl es e contractor untlar G SQ. FT. ` the State of Califomfa Business antl Profass(ons Code, Divisicn 3, THE AMOUNT SHOV Chapter 9, and tha[ such licenses are in full torca antl ef}ect, or I THE PURPOSE OF ES'1 am exemo� from the o�ovizions of Me Stete ot Californla eusiness V ALUATION� untl Professions Cotle, Divislon 3, Chaptar 9. `/� SiOnature of ' Permittae $ Authorized Agenc LOT VALUE HLOCK USE OF NEW BUILDING YAROS APPROVED DATE UN A & m ^ o TION IS FOR ' T FEE ONLY: ¢ 7 _� � J � E 0 / LL ^ �J�/V COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 ' Fo� Applicant to Fill in Completely BUILDING "J��% �/ `7�y / Vc AD�RESS pC / h,✓ !�� (G l{' �' OWNER �C L� lJ � V, I N� E/✓ MAIL � n / � $ ' ADDRESS li TEL. CITV � � �e.� NO. � � CANSTRUCTION BRANCH ADDRESS ARCHITECT TEL. ADDRESS CONTRACTOR ��/V�IC — �U�L�Erc ADDftESS TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLOG. SIZE OF NO. OF NEW BLDG. ROOMS STOfl1E� EXTERIOR WALL ROOF COVERING COVERING USE OF BUIL�ING AND WORK TO BE PEfiFORMED ( d� �� O �, �/QG,� re .�,N.N I hereby acknowledge that I have reatl this application antl state ffiat ffie above in�ormation is correct antl agree to wmply with all laws regulating building consttuction, and I shall not amploy any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensetl as a contractor under ffie State of CalitOrnia usiness antl P fessions Cotle, Divisicn 3, Chapter 9, and thst s h lice es ar i full forca and effect, or I am exampt from the r isi ns a e of Califomia Business antl Professions Cotle iv i n apte Signature of / Permittee Authorizetl ABent RE EI A.P. NO. BUILDING � ADDRESS TRACT W ADD OWNER �S FIRE � PAii. z c t�i,�tt�'fz �U�13D-75c��=,.�`�3,80'-• 7.50 �N FOH BUILDING PERMIT OATE RECEIVED nnrc lcsui C� ZO� ^ INO.OF K ,CL P�anis C , W� VARDSAPPROVED MAIN BUILDING (FROM GL STREET) VAF. # C.U.P.� USE OF NE / — BUILDING � � YAflDS APPROV ED „pCCESSORV BUILDII MAIN & ��rn /� rn r ^y VV x�y, m SQ. FT. ',�x p THE AMOUNTSHOWN UN�EF VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: m ¢ VALUATION m PERMIT FEE $ � J ! m $ /-�� PLAN CHECK $ E ri LL TOTAL FEE $ �— OWNER g�F JOB ADDRESS e GENERAL CONTR AP No.119-022- I ECTIONS 5. _ ` GAS `b w�TER d ROUGH PLl1MBING ` PROP. SWR. LINE � $PRINKLING $YSTEM MISCELLANEOUS LOT HOUSE CON. ROUGN HEATING ANO AIF CONOITIONING UNOERGROUND U POWER LJ ROUGN WIRING T(iENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BONO 6EAM � STEEL REINFOfiCE � SNEATHING FRAME AND FLASMING l PLASTER. BROWN C0� $T V BUILOING. FINAL I�� DATE BUILDING PERMIT N0. IRE ZONE VAL SUBCONTRACTOR 4032:i GOSTA MESA BUILOING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely B��a«� aJ.�L7_ �_� �l� O W N E R�(J��(�Q�. MAIL ADDRESS� C�TY � CqNSTRU ON LENDER�I BFANCH ADDRESS ARCHITECT OR ENGINEER ADOflESS /j CONTRACTOR '� �^ d.{ A�DRESS I�Jn(_l i STATE �I4 NO. � S12E OF LOT USE OF EXISTING BLDG. SIZE OF WALL � TEL. 9YJ LICVNO.�g� NO. OF BLDGS. NOW ON LOT � NO. OF ROOMS STORIES ROOF COVERING K TO BE PERFORMED � n � _.r✓ Pato ��rtS JOf 25-75�N�; 402424" .50 APPLICATION FOR BUILDING PERMIT BUIl01NG ADDRESS ED ZONE n� NO.OF USE OF NEW K v�y,ns $ 9UILDING VARDSAPPROVED VARDSAI MAIN BUILDING ACCESSOR' DSTANCE BET. I BET. MAIN & B NO. I hereby acknowledge thet � heve read this appl(cation antl stete �'"'�� that the abova information is corract antl aprea to comply w(th ell laws �agulatinp building consvuction, antl I shell not employ D eny Derson In violetion of tha workman's compansation lews ot � the State ot Galitornia. m I hereby cartify that I am proparly licensetl as a coniractor untler SQ. FT. T� O the Stata of Calitornia Business entl Proteaslons Code, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapier 9, and thet such lieenzas are in tull torce antl effect, or I THE PURPOSE OF ESTABLiSHfNG A PERMIT FEE ONLY: Q am ezempt from the provlsions of ihe Stete of California Business VALUATION and 7rotesslons C e, Djvjsio 3, he�Atar 9(� H /J ` L.(�' PERMIT FEE S � ] Sfgnature o( �i� ^ A � m Permittee t' V'II $�� PWN CNECK $ -t E Authorizatl Apant � � LL TOTAL FEE $ ,