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Home My WebLink About1016 EL CAMINO DR - Building PermitsADDRESS OF BUILDING: 10 MEW- NAME IF MtORN: JOR ADDRESS: JOR 273 1170 STA MESA,CA ADPL. ALUM ADDRESS: MCNITECT OR ENGINEER: All OR ENI ADDRESS: EL CAMINO DR UNIT: BENEDICTO B EVANGELINE A RD ST 92627546-0925 I.C. NO.: CONTRACTORS NAME: CONTRACTOR'S IAAI G ADDRESS: UC. NO.: UNIT: UNIT: LICENSED CONTRACTORS DECLARATION: I hereby .N'vm under penally d perjury the I am licensed under pm nieces of Chapter 9 (ooeeenan9 with Reunion 1000) d Division 3 of the Buainem and Prow nwre Code, we my lice. u in he force end effect. CITY UC. NO.: LIC. CLASS: UC. NO, EXP: Data: Connector: OWNER BUILDER DECLARATION: I hereby affirm under penalty o/ perjury the I am ssempl Iron the Contractors Lowee Law for IM alfowag reason (Section 7031.5 Business end Prefinewas Cade: Arty cry or county which Wis. a permit to construct, ane, imRmre, Amulet, or repay any structure, pndr to he meranco, also requires the applicant for such permit to file a signed steemenl the he or she is licensed pursuers to the provisions of the Contractors Ucanse law [Chapter 9 (commencing with Becton 7000) of !Xhwon 3 of Me Business end Prolessidu Codel or the he or she is exempt Iherehom and the basis for the staged exemption. My violeion of Section 7031.5 by any ecpldent for a permit subjects the applicant to a civil penery of not more than lire hundred dollen 15500]). ® I, as owner of tM'rowdy or my employees with wages as their We componswion, will do the work, and the structure be not intended or o fead for sal. (Section 7010. Business and Professions Code: The Contractors License Lew does not apply to an owned p c,my who Wilda or improves thenen, and e a does such oak hunsetf or herself d through he or her own employees, provided the such improvemenN we rot intended or offered for Who, 1, howowr, the Wilding or improvement is sold whin wA year of completion, the owner -builder will have the When of proving he or she did nor build or improve for the purpose of ase). ❑ I, ars owner of the property Contractors exclusively I-cey s, Lawdio with licensed conusave to oe afro project (Becton 70N, Business and contewiona Cade: The Contractors rmucon law does red aPplY a w o on d e Llow who Wilde w improves thereon end who contracts Iw wrM projeda wort a covarector(e) Iseneed pu enfiB'It Con on Uwna Lew). ❑ I am exempt under Section: B. 8 P. , for his rew 00e1 9 0� — 9S Owwr. I do hereby cersly Net I we aware of and wearsted in. requiem ocoCalifornia Vbnd erh eSeery an Code Seds 255 e 05, 25533, w 25530, end that I or arty future Wilding upwl will / will not (ci f need to comply with eek ewe codes and the requiremetls for a permh lormetmdionor modificsion 6wnthe AF0 eCtyy derid. Raeidental construction applications en exsmptlmm time prwiaions. Dat.: Applicant: WORKER'S COMPENSATION DECLARATION: r Mreby affirm under penery of perjury one of to f dlowirp dWensiom: ❑ 1 here ed oil mainlo a cans . d convent io sell-inwm Iw wwken' compensation, w provided fw by Section 3700 d the Labor Code, for to pedormwce of the work for wNch this save ie issued. ❑ I hew end win maintain worsen' ousr i me don inwrsnoe, w required by Section 37OD o Ne Labor Code, forIM pedornence d the work for which this permw Is issued. My worsen' c rmboratiion insurance comer and "icy number ere: Carver: r Policy Number: (This sedan need not be compared d Ns permit as for one hurosad dollen (3100/ or see) ❑ 1 only the in the pedonnance of the work for which this permit is issued, I Mel red employ my person in any narrow iso as to become subject to the workers' conweens n laws of California. and agnea UW l I should become wbjed to the worsen' compeneeon provisions of Section 37M of the Labor Code, I shelf forthwith comply wNh those provisions. Dee: AppllcmL Warning: FelfursW mecum wodn o' comparustion coverage Is unlawful, end mall aablect an amp/eyec to cdMnal pmaM. and civil flnaa W 0 one hundred tauund dolNrs ($100,000), In addltlon le Me cos of compenaat/on, damages as prov/dad for In Section 3706 of Me Labor Cod&, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY: I hereby al under lowawy of perary the tare is e oonetmdbn ending agency for the performance of the work for which this perm is esued (Section 3097. Cir. C). LENDER'S NAME: LENDER'S ADDRESS: I caddy the 1 have real this application and ewe the the above inlormalbn is coned. I elves to comply with all city snd county ordinances and state lava releing to building construction and areby authorize bees aentatives d the city to enter upon the oboe rvie ioned properly _D, on purpusss. JAIME MIRANDA Pant Nlilask _ p Zr Signature of Caner/AgenUAPPlcanl/Conlrador , 14e.w White -Building S Seely: Grow -File: Canary-Aoolue: Rnk-Rwwuc Goldenrod-Nwue CITY OF COSTA MESA — BUILDING PERMIT IPERM NO: B 0740281 PERMIT NO: B 074028 PLAN CHECK NO: 03509-95 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH JOB DESCRIPTION 67LF CITY STANDARD BLOCK WALL SQ FT: 67 CLAIM VALUE: 1,400.00 CALL—VALUE: 1,340.00 GROUP OCC: R-3 / COMMENTS: CITY STANDARD BLOCK WALL iE)E iE BE dEiE iE iE iE Rf iE jE**)E****�E iE 1E dF*i69flfdflE**9ElE 9E iE 9E IF iE 9E 9E iE iF*if iF 1E**iE iF)f iF 9E*IE iF iE 9E 9E 9E yE iF lE dE iE*SE iE iE*iF NE IE 9F NE iE jE NE df 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 RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14166509 ZNE: R3 REF NO: PLANNING NOTES> 67 LINEAR FEET OF 61 HIGH BLOCK WALL ALONG SIDE PL > RE 9E iE 9E iE NE dE 9E 9E dE iE 3E iE f6 iE**)ESE*9E SE*fE 3EfElE*SE**9E SE iE**aF iE 1E iE RE NE*if i6 SE iE kiF iE 9F BE SE iE iE*16*iE*IE R6 NEMaE iE iE db NF iE 9E fE NE 1E iE iF RE iE df D E V E L O P M E N T S E R V I C Enp S R E Q U I R E M E N T S ZONING APPROVED BY %� 1l0 Ct DATE: �r BUILDING APPROVED BY DATE: rr APPLICATION ISSUED BY: DATE: —lr *R'6*iE yF*iE iE yF iE 9F 9f NN i6****y6 iE N69F7FTF"iFiFi€1FTf"�'F7F �F'�F'iF'iF3F3F'iF'iF�TFIF IFTF'�iN iF if�i�"�iF�iF 9E i6 iE i6 iE iE iE** Nr�iFiFi�** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 33.00 50 PLAN 21.45 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 33.50 0.00 21.45 54.95 54.95 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54,95 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 ,50 21.45 iE IE 3E D6 iF lF iE iF IEkdElF irk NE iE d6 iE*iE i61E RE*969E if 9E iE RE*)EiE*iE 1E d6**R'6 irk iE iE 961E 9E*dF d6*iE IE*iE if****1E IE iEfFiE iE**i6 dE*dE iE RE 9E 1E iE iE iF 9E* 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 SFR 67 RES—CONCRETE BLOCK WALL / FT END OF FEES RU• • UNIT COST TOTAL COST 20.00 1,340.00 01 00189466-00199468 TID T j;.,9$ DATE: L19/01/95 T111E. 12:11 CONSTRUCTION AND PLANNING ',APPROVALS Permit # Date - Inspector PO. _ & SPA APPROVALS Permit# Date Inspector, - 1. Temporary Electrical Service or Pole v� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - !/ 53. Steel Reinforcement - :- 3. Electrical Conduit Utility-Undrgrnd. r 54. Forms r v 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding - 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test � 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings G/.l 8. Foundation �{II /// S �/ 11 N 58. Electrical Conduit-Undrgrnd. 59" Gas Pipe, D Undrgrnd., Test , 9. Water Pipe-Undrgrnd.60. Backwash Lines, P -Trap, ❑ Undrgrnd. 70. Structural Floor System i; ;? 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection . - .. f"�' 62, Backwash & Receptor -Final 12. Sewer Cap%; ^ 63. Heater & Vent -Final 13. Roof Drains - P 64. Plumbing System - Final 14. Rough Plumbing '•'�', 65. Electrical -Final 15. Rough Electrical -Conduit - - 66, Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning l - F,IRE DEPT. REQUIREMENT APPROVALS - Permit # 20. Rough Factory Fireplace - -- 21. Ducts, in Structure 70. Underground Hydro 22, Ducts. Ventilating - 71. Product Piping 0 Gas ❑Oil j"i` % t-' 23: Gas Pipe -Rough & Test •• - 72, Underground Flush v j 24. Roof Framing - 73. Undergrnd. Storage Tank ❑ Gas ❑ Old 25. Roof Sheathing -_ 74, Overhead Hydro (' 26. T -Bar. Ceiling (Struciural) & Monocoat 75. Dry Chemical - ,"'""� ' 27. Frame and Flashing 76. Dry Standpipe' - i 28. Lathing & Siding. - - 77. FIXED.SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION ' 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final -Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy -• 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final - t ' 40. Gas Service -Final 41, Solar Domestic -Final , 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation. - - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING r 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I , 51. CERTIFICATE OF OCCUPANCY No. Date DMSION OF BUILDING SAFETY CITY OF COSTA MESA APPROVED Tfde sat of pans and specifications MUST be kept on this job at all times end N Is unlawful to make any changes or alteration an same without written pemdssion from to Division of Building and Safety, City of Costa Mesa The stamping of this plan and specifications SHALL NOT be held to permd OF to be an approval of ft violation at any provisions of any City of Costa Mesa Ordinance andlor State taw.1,4—` These pl--n3 and permit shall expire by firm ation and become null and void if the building or work is not commenced and maintained active er UBC §303 (d) within 1P0 days of issuance. RESIDENCE /6/,0 RESIDENCE CITY OF COSTA MESA PLANNING DEPT. . WafECT TO BLDG. DEPT. aeo. DA pg�/Ig! OV w�Wvy (o 1 �k 101 RESIDENCE EL C^✓IINo STREET 6 RESIDENCE TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional — Channel Block With 1.3/8S6 Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8" 4 at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"0 at 32" O.C. Fill Cells Solid With Grout Where Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 24" or to Code NATURAL GRADE TWO 3/8"0 BARS CONTINUOUS TOP & BOTTOM y -I HO MX_STEELMUST'BE-TIED.IN.', PLACE AT TIME;OF•T,RENCH INSPECTION.U____L'; aPPG �7QG7 :per=-3qr��L Sq WA a J_1 F� WIDTH SEE CHA 1 BELOW -FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR: One Part Plastic Cement, and 12". Three Parts Sand GROUT: One Part Cement Three and tau One Half Ports Stand COPING: One Part Cement, Three 16'x. Parts Sand CONCRETE: Well Mixed 1:2-1/2:3-1/2 . . 16'. Max. of 7-1/2 Gallons of Water Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. H OF EARTHTCOTH 1/3 THE. HEIGTH OF FENCE SOW BOTTOM OF FOOTING SCALE: 1/211 = I' WIDTH .14.. . . . . . . . .14" 12". 12.. Z2*z ' THICKNESS10. .10" tau 8 DEPTH OFCaEkA H1TOOTH,,^cry 24 20 .. 16'x. 12" SPAyCI:NGgOFiEE;ARTHT00TH9�tjl_2'�X}�. .14' . . . . . 16'. 16' City of Costa Mesa, California Building Department F=EvfSP-0 n(pV. A2 DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS la 1l, k�_ CAMit,3c) Street Address Bldg. Permit # This Permit # 1. 1 (we), A . J O ag U E , declare that I am the Owner of Title of the above referenced real property, and that I (we) hereby authorize: MYL: .�1M 1A1S`k('_bC1DS Name Telephone No. `o k, IF- L_ o -A M t f\1 o D1z1y E XC7 A Street Address CO c f x M Y S 4- O A 0I �-u (o City State Zip to obtain permits in my behalf, as owner/builder, for g�� C� t A- _ �F Ft,-1C,,F at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. 4. 1 agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. 1 declare under the penalty of perjury that the foregoing is true and correct. Executed this day of av UwL� 19' a S , at SA mTA AKIA California. �yhN��tra> A.-.30agUt✓ tzI3t \qc Printed Name Date A NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. NOTARIZATION REQUIRED W9 46 (Rev. 2/91) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF On August 31, 1995 before me, Bridget H. Gould , Notary Public, personally appeared ***Evangeline A. Jozque*** (or proved to me on the basis of satisfactory evidence) to be the person(sk whose names) istam subscribed to the within instrument and acknowledged to me that heisheffiwy- hf- -- executed the same in hislherftek.authorized capacity(ies)-, and that by his[hadtbeirsignature(S) on the instrument the persons), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature e SF -9474-8 (R". 9 - 1/94) S BRIDGET H. GMW L a Gomm. 0960396 ° NOTARY fRMY CAl6(KiM r ORANGE...., j My Comm. Expires Mar, it, ion i •..... ......................-..• (Seal) .,7 '-,.DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS jof0 EL CamLrl.0 92 Street Address Bldg. Permit k This Permit N AP Number 1. 1 (we), aA-Q V I m* Mk- , declare that I am the Owner of Title of the above referenced real property, and that I (we) hereby authorize: Name Telephone No. 1 0 16 E L C,A-nn I N 0Street Address COSTA MSS G Z62 G to obtain permits in my behalf, as owner/builder, for 1-O (!,t^ WA -LL L F Kk) LF— at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. 4. 1 agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. 1 declare under the penalty of perjury that the foregoing is true and correct. Executed this 3 ) _ day of �t��up_'� 191-5--, at 54- I A- California. TASy) tri o�J 0 Printed Name Uate NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. N0111RIZATION REOUIRED 0]7945(Rev 1/91) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF Orange August 31, 1995 personally appeared Bridget H. Gould ***Tan Ving Ong*** before me, Notary Public, (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/arasubscribed to the within instrument and acknowledged to me that he/sbe�i" executed the same in his/herHheir authorized capacity(tes), and that by his/her/their signature( on the instrument the personk), or the entity upon behalf of which the person(s), acted, executed the instrument. WITNESS my hand and official seal. Signature �.N •.. •.1.... N��• MSN~�� gR1DC7ET H. GO" D GOMM. 'naq NOTARY W9LIGOAL60�A QORANGE o0UNTY My Comm. EXPires Mar. 12, 1996 ......• t....................... (Seal) E SF -9474-8 (Re . B - 1/94) PARTY WALL AGREEMENT THIS AGREEMENT, made and.. entered into this 1> day of ola S, by and between F-'� A Cc F L I oa A. JO R q u hereinafter referred to as "LANDOWNER," and 7F& -N V l N kA ID f-,iG hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between 101 La F_1, OAMIWa q(2. k 10tt) FL 0AMIv--A'0 QV— (Address of Adjoining Properties) in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ADJACENT PROPERTY OWNER (Si (Signature) V 1�� 1FVAt.\C-.�Ei-tiA O"u.1= M2. TA ty ONG Name (Typed or Printed) Name (Typed or Printed) ai1O2 F�Rt��.FAF OQ(v� 11x31 �PURNF_Y �N ._LaK� Fa`(Lr-s��q _3o NUNjIN�'�'DN �Ct� a OI"A10 (Address) (Address) NOTARIZATION REQUIRED 190646 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF On August 31, 1995 before me, H. Gould*** , Notary Public, personally appeared ***Evangeline A. Jorque and Tan Vinh Ong**** r proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s))<are subscribed to the within instrument and acknowledged to me that Helewthey executed the same in histhedtheir authorized capacity(ies), and that by HisFheNtheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature SF -96I74-8 (Rev. 8 - V&/( BRIDGET H. 80=gomm. #96M $e NOTARY Pt and CA� ORANGE COUNTY My Comm. Expires Mar. 12, 1998 i ............. I.............-.-... (Seal) r PROJECT ADDRESS: NAME: 1016 EL CAM I NO DR UNIT: OW NE A DDRESE:JORQUE, BENEDICTO B aoGNEss:JORQUE EVANGELINE A 273 23kD ST COSTA MESACA92627 ARCH/ENGINEER: ( 7 14 ) 5 3 4— 4 1 9 6 REG.NO.: ADDRESS: UNIT: ! PERMITTEE: PERCON (800)439-6264 ADDRESS: 1840 S. BAMDAL SpN p p Q LICENSED CONTRAC411 OECLTAAATIANA%retry affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC�.:JATEuc.-275979 cuss:B Date: ( Signature: _ WORKERS' COMPENSATION DECLARATIOW In affirm that I ha a calificate of consent to self insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3000, Lab. q. POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need coffee completed it the permit shined hundred ($100) or less). I certify that in the performance of the work for which this permit is ased, I shall not empl ny person in any manner so as to become subject to the Workers' Co�mjpeFnsati2�n Laws o1 California. Date: --7- 2 — _ 1 T J Signature: N'�---� NOTICE: If, after making this recitation, you should became ublect to the Workers' Compensation provisions of the Labor Code. you most forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Co,. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason ISecllon 7031.5 Business and Professional Code'. Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole compensation. will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his Gr her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractogsl license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements lar a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to budding construction and herebya thorize represconsul o his city to enter upon the above mentioned property for inspection purposes. } Signature'. Driver's License or Social Security a: V 164146 White—Builtling: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0628"76 PERMIT NO: B 062876 PLAN CHECK NO: . N GOVT: N SUPP: N CONSTRUCTION TYPE; 2 PERMIT TYPE: ST'R PURPOSE: ALT JOB DESCRIPTION ; T/O WD SHAKES,RESHEATHI/2"CDX,APPLY COMP SQ FT: 6,800 CLAIM VALUE: 6,800,00 CALL -VALUE: 6,800,00 GROUP OCC: R-1 / COMMENTS: SMOKE DETECTORS REgUIRED PER THE 1991 EDITION OF THF- TOR �r�r�Eararx E�E�E�r�rTE*iE*�E�Ex�E* �t�Ex**,E* **b#bKE- x Z O N I N GS E R T E B Q A U C I K R S E M E N T S v REO Ifes E�, ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---- ----- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN TIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 14166509 ZNE: REF NO: PLANNING N TES> > 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 BY: DATE: ? 3 LEGALIZATION:N F E E fS U M M A R Y STRUCTURAL:SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 90.00 ,6'8 SMIP/NON-RES PLAN ISSUE FEE t> - BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 90,68 0,00 Ir., Sr/0.00 90.68 90,68 .00 REVENUE DIVISION TOTALS--> COLLECTED: 90.68 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 90.00 '. .68 I N D I V I D U A L" F E E B R E A K D O W N J TYPE QTY D E S C R I P T I O"N UNIT COST TOTAL COST SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 6,800.00 END OF FEES. 01 00142247-00142248 TOT 90.68 DATE: 07/02/93 TIME: 14:25 � 1 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PO, b SPA APPROVALS Permit # Date Inspector r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54, Forms 4. Electrical Conduit-Undr9rnd. • / 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59..Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undr9rnd. ,•-•� ' -` ,. 60. Backwash Lines, P -Trap, Undr9rnd. .� 10. Structural floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House' Connection 62. Backwash & Receptor -Final 12, Sewer Cap 63. Heater & Vent -Final i 73. Roof Drains 64. Plumbing System -Final ! 14. Rough Plumbing 65, Electrical -Final 15. Rough Electrical -Conduit 66, Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace. 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush - 24. Roof Framing , 73. Undergrnd. Storage Tank OGas 0Oil 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 i • 78. FIRE PREV. FINAL 30. Drywall Nailing I _ _ HEALTH DEPT. REQUIREMENT 37, Plaster Brown Coat �' -79. FINAL INSPECTION 32. Electrical Power Meter•Final 33. Fina! Electric 34. Final Heating & Air 'Conditioning 35. Final Gas Pipe -Test 35. � I l 1 v I I , ' 80. FOOD CERTIFICATE ISSUED Notes: S �/%dl �`�✓/r LILY( rJ 73 ([ t �- 36. Hood or Canopy - 37. Fina! Factory Fireplace ` 38. Final Plumbing ( I 39. Water Service -Final ' I I I i 40. Gas Service -Final I � - 41. Solar Domestic -Final 42. Backflow Preventer ! 43. Backflow Irrigation - - 44. Landscape Irrigation System - 45. Sound Attenuation? 46, Handicap Regulatibn 47. FINAL STRUCTURE & 6UILDING 48. FINAL PLANNING' I- 49. Electric Release to' Edison r-- 50. Gas Release to Southern -California Gas Co I I 51. CERTIFICATE -OF OCCUPANCY No. Date !9022 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA OWNERDlllman-Brummell Enterprises MAIL 12081 Buaro ADDRESS C iarden Grove T030-1160 A ICT OReNGENEERWalters 8c SonNEbR 3-67C AhIIGPCG 496 Heliotrope. Corona del M CONTRACTOR Self ADDRESS CITY STATETEL. LIC. NO. N SIZE I NO; OF 1)O. .,� 791 YQ91 EXISTING BLDG 5 ETBACK LINE FRO CENTER OF STREET M 30158 REAR YAR 1 SIDEYARDI LEFT 51 I RIGHT 101 I DESCRIPTION OF WORK 1YS'7 G1 OF 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IR CORRECT AND AGREE TO COM" FLY WITH ALL CITY ORDINANCES AND STATS WB R TING BUILDING CONSTRUCTION. SIGNATURE OF PERMITTE AUTHORIZED A ENT RECEIVED MAB a 1963 APPLICATION Q1QwjTuEP1. BUIL6114GOF COSTA MESA For Office Use Only RECEIPT NO. I PFRMATiHG�— DATEISSUED ZONING Z01 INO. OF USE OF N' PUNS SUILDINL -GAL�rnnN 4, 7L- N f'f: NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 30" TO SIDE a REAR P. L. EAVES ALLOWED (U. S. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STRE )�A REAR FTI 1 FT. DISTANCE BET. ET. MAIN a MAIN BLDGS. _ ACCESS. SLOGS. VAR.# I DATE SQ. FT. 6 THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION. // _ o- PERMITFEE S/, �QiJ d !rte o C_ 44734 COSTA MESA BUILDING -SAFETY DEPARTMENT ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 SEP 29-77CPISpPAm001512* ****46.70 For Applicant to Fill in Completely — Use Ink Only APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY DATE RECEIVED D TE ISSUED BUILDI NO ADDRESS OWNER �J f./ A.P. NO. '7 — MAIL 1� .-r ADDRESS �j.,'A �tp(1R p✓ BUILDING ADDRESS CITY`! terry�'A, , Qi^ TEL TRACT? -21 BLOCK CONSTRUCTION _ LENDEfl /NL NEW AD A T R PDEMOLISH BRANCH OWNER ADDRESS �.ltALUE USE ARCHITECT TEL. OR ENGINEER N . FIRE ZONE TV E CGROUP ADDRESS �/_ J �s CONTRACTOR ! r1C APPROVED '7 BY L DATE( ,Z — 7 ADDRESS/�j^` So s,V&j ZONE NO. PLANS OF USE OF Nl7P BUILDING CITY /� NOI.-367"6b' STATECITY / p LIC. NO. �nO 2w49 2.LC. NO. (�p ♦J� YARDS APPROVED MAIN BUILDAG YARDS APP D ACCESSO BUILDING SIZE OF LOT NO. OF BLDGS. NOW ON LOT (FROM C/L STR E)I FflONT FT FT. USE OF EXISTING BLDG. PU 72TS S T. FT Separate permits are required for electric, plumbing and heating work. L. SIDE T. T REAR FT. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. MAIN BLDGS. B . MAIN & ACCESS. BLDGS. rn]) �/ ��''++ n�a__ \ ,,II ,�'�4 E.NIIS, OF FIIZF— V�,106C 7b CURP.# APPROVED - /'x / n t APPROV Itheereelbyy acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code. D'ylsion 3, Chapter 9. Signature of Permittee �� SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION (�a �7 $ lVc O✓ PERMIT FEE $ r PLAN CHECK $ r .20 TAX $ TOTAL PAID $ 0 Authorized Agent City of Costa Mesa - Building Safety Department CERTIFICATE OF OCCUPANCY N? 2140 C P. O. Box 317 Costa Mesa, California The Building located at m6 E'1 Camino Drive, A Uu zgh D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group x & i Occupancy. Use of Building FbI.lrplex ReAdence with attached Garage Legal Description I4)t 54:s Tract 3,922 (See reverse side for Mates and Bounds) Building Permit No. 190M Electrical Permit No. 1966+ Plumbing Permit No. 42964 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments 4 and/or guest rooms ISSUED TO: Building Official DIT.T. it-DRMM-1, ewt Rtsrs by Date Rovember 6, 1964 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Baan Bo34—aa-11-63--s-B r