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Home My WebLink About1127 EL CAMINO DR - Building PermitsNO AUDRE" BUILDING: 1127 EL CAMINO DR UNIT: DINNER-':UIE IF 1010Y1N: PRAM, THONG T ADDRESS 1127 EL CAMINO DR COSTA MESA,CA 92626 ADPL. MaUNG ADDRESS: ARCNRECTORENQNEER: DON INMON Llc.xo.: C11888 ARCN OR ENG.'S ADDRESS: 2230 W CHAPMAN UNIT. 200 ORANGE CA 92668 CONTRACTORS NAYS CONTRACTOR'S MNLNG ADDRESS UC NO, DIET: LICENSED CONTRACTORS DECLARATION: I Hamby affirm under penally d mdury that I am licensed under provisions of Chapter 9 (omarra ong with Section 7000) of Doman 3 of the Busies and Professions Code, and my pica. is in lull Farces and egad. CITY LIC. NO.: LIC. CLASS: LIC, NO.: EXP: Dere: __ Connector IWNER BUILDER DECLARATION: I hereby silm under penally d perMy time I an exempt Iron to Covinow s License Law for dm llovmt, reason (Section 7031.5 Business and Professions Code: Any cay or mussy which requiters a Poorh to camtrum, after, improv, .emolsh. or repair any structure, prior to he es mpoa, also requires the applimt for such pxnft to file a signed emlement that he or he is licensed pursuant to the «owaons d the CoMmoto r Uomae Law [Chapter 9 (wmmenoW wnh Section 7000) d Divsion 3 d the Business and Profession Codel or that he « she is exempt Iherehom and the bass for the alleged exemption. My violelion of Section 7031.5 by any applicant lot a perch subjects the applicant to a dill panafty of not more than five hundred dollen I35001). I, as Owner d to Mpeny or my anpbyees mh wxs, sat tMk sole oampenrsation, rill da la wank, and the strlcNre as not intended or uttered lar sale (Section 7000, Business and Professions Code: The Contractor Loaner, Lew does not appy to an owner of property wW Wide or ror,n,m thaeon, fod vola doer such work Nmssl or handl or through War or her own employees. provided Mtl such improvemsns ars out intended or offered i« ode. I, however. the Wilding or irrr mem s sold within ores Year of mmpta m, the owner -builder will have the burden of proving he or she did not build or improve for to purpose of sale). ❑ 1, as ower of la property, sin eadusi ery oar4mdi g wfh lkamsed contractors to construe to projed (Section 7044. Bus'uwe and Prof nou."s Code: The Commctdm not License Lew dnot appy, 10 an owner d property who Wilda or int ovmn a ers Ihepd who conaucs for such projects with a convador(s) Icessnd pursuers to the Contractors License Law). ❑ I sin exempt under Section : B. 8 PC.. ler the reason Data: rawnx: I do hereby cent, fie I sm awes d and unCentfod the tequinamenls d C.R.. Nedrh fool Salary Code Sedoom 25505. 25533, and 25534. and thin I or erw Mum Wildim 000,s n will I mil not (dice one) need to comply with said este moles and la requirements lel WORKER'S COMPENSATION DECLARATION: I hereby, atfirm under penury of perjury one of the folicem, dissensions: ❑ I hew fort mil edooma ao 0IM e d mngenl m aes.inwm M wodnn' companW ion. n prwldnd I« W Section 3700 d IM Leber Cods, for the padomanm of Ire xvdl for wNch this pertnft is issued. ❑ I hew end wfl teas Maworkers' ed, My aatian ii' mono . m required nc carme 3700 d Me Labor Code, ler la ped«mance d Ia work for wtrich Mprs pelmA is issued. My w«ken' mmpenation imumrwe order end policy number ate: Carer: Policy Number: (Rua section need nor a completedY the persk is for one hundred delle s, [SIM] or sea.) ❑ I omit' that in f part. d the work For which this Felmft is issued. I mall not empey My emo r in any mender x as to become subject to the workers compensdion lama of CelBomia, and agree that h 1 Mould become subject to to vrorken' mmpa 16pronations of Boom zdlJ 3700 d to Labor Code. I Mall fanhxith qon -yi those r ere Data: s'/!A tt/ Waning: Fagun m axon wadceri Wmp den covenpe Is un4e?ul, and still aW/xf sn smp/oyn ro MMnsl pensMa end cldl fns W to ora hundred thousanddollars (5100,000), M addition W Me cwt o1 compewtlun, demepes as pnvlded ler In Sxdon 3705 01 Me Labor Code, housing and oftnu 'a /ass. CONSTRUCTION LENDING AGENCY: I areby affirm under penally of perjury that tam is a oonstmdion lendirp agency ler to pedormfora d to work 1« which the pemla is issued (Section 3097, civ. C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have mad this mpplicaion and state that the above information is coned. ) agree to comply with all dry and county on inanm and state laws mWyg to Wildsg construction and hereby eulh0rse mpresemaives of this dry to enter upon the Mweemamioned rnortlY for ios e i n purposes. 'Thb1" T/> -T Pdn N �� Dae: Signature d OarnmlAO App canUGommd« (515"G.WP) Whor Buikiq 8 SdaY: Goon,196; Cfolary-Appicant: Pink -Revenue; Goldenrod -Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 071909 PERMIT NO: B 071909 PLAN CHECK NO: 01340-95 S GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION 396SF SUN ROOM SQ FT; 396 CLAIM VALUE: 6,000.00 CALC-VALUE: 14,652,00 GROUP OCC: R-3 / COMMENTS: SUN ROOM xxx*�F�-itiE*�t****�F**r�r*+f+r•+o-**�F+�+tiE+�iFat*+to*�***roc**�c+a��*�E.+tr*****+E�+Fis*>+r**�F�-aF*et��.''s*ia 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; 32 FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: 7 FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ; PROV: PARCEL: 14161334 ZNE: R1 REF NO: PLANNING NOTES> CONSTRUCT AN ENCLOSED PATIO ON THE RIGHT SIDE OF AN > EXISTING SINGLE FAMILY RESIDENCE. xxxxxxxxxxx#`xxxxxxxxxxxxxxxxxxxxxxxxxxx%}lxxxxxxxxxxxxxxxxxxxxxxxxxxxlExxxxxxxxifx 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 T11 S ZONING APPROVED BY c��1L DATE: 1� BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: DATE; xxxxxxRixxx*xxxxxx***xx�*-T�**iF�F*3F**��i*�cr*ac* r�Ef�u*+t**�F+��x-rRcac a*+cl i �+a *�E 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 162.00 1,47 SMIP/NON-RES PLAN 105,30 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 163.47 .0.00 105,30 268,77 268.77 .00 REVENUE DIVISION TOTALS--> COLLECTED; 268.77 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK. 162.00 1.47 105,30 xxxxxxxxxxxxxxxxxxxxdAxxxxxxxxxxxxlExdtxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx I N D I V I D U A L F E E B R E A K D O DI N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 396 RES -PATIO COVER -ENCLOSED PATIO 37,00 14,652.00 END OF FEES EXPIRED 1 com fete Inspections Jath e 1 Ig U 01 00i7ss31-00179953 '-CAT 2F3.7; DATE= 04/14/9$ TIhL- i0:44 CONSTRUCTION AND PLANNING .;,,,APPROVALS Permit # Date Inspector PL . & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locations 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement , 3. Electrical Conduit Utitity-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE " ' 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, C Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK r 11. Property Sewer Line &House Connection 62. Backwash & Receptor-Final i 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final _ r 14. Rough Plumbing 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final I 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 APPROVALSPermit # ' 20. Rough Factory Fireplace - - 21. Ducts, in Structure •. 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping C Gas ❑ Oil 23. Gas Pipe-Rough & Test - 72. Underground Ftush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil - - 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �`- 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power 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 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 - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 91 A6OR6S OP MgLDIR3: 1127 EL CAMINO DR aNNER.IANEIE ItNOWX: P RAM , THONG T A00REss: 1127 EL CAMINO DR COSTA MESA,CA 92626 APDL. MAILDIG ADDRESS: ARCNRECTORENCtREER: DON INMON ARCM OR END'S ADORE55: 2230 W CHAPMAN ORANGE UM: uCNO.: 011888 DIRT: 2 Q 0 CA 92668 CONTRACTOR'SNAME: CORMACTDASYAIUNG ADDRESS: LIC. ND.: OMT: LICENSED CONTRACTORS DECLARATION: I "by Wnm under "rutly of pedury that 1 we Icemed under provisions of Chapter 9 (oommeming with Section 70DOI d Derision 3 of to Buairen end Professions Code, and my Doanse is in full lora and aNed. Cm LIC. NO, uc. cuss: LIC. No.: EXP ; Done: Contractor: •WNER BUILDER DECLARATION: I hereby affirm under penally of Perjury th s I am exempt from Ih Contractors License Law for Ma ilomw reason (Section 7031.5 Business and PNfe®lane Code: Any city or county which Muses a petrel to Nrutruct, eller, improv, emolbh, or repair any structure, prior to its nsuatu e, abo requires to applicant for such pa mil to fib a signed statement Met he or end re licensed punwam to the provisions of the Conlradons uoenes Lew (Caper 9 (oommenctV with Braden 70W) of Divblon 3 of the Business nd aProfessions Cordal or that he or she is exempt therefore and the bub for the alleged exemption. Any ylelelCrt of Section 7031.5 by any applicant for a perms subjects the APdnent to a evil Penally of nd more then five hundred dollars [SSD)D. I, u or of the prowny or rey employee. with welfare u thele sob oompsnemion, will do the work, and the structure le not intended or offered for sale (Section 7000, Business end Professions Code: The Co erwoos Limned Law does nor apply to an owner or property who Wind or morrowse thereon, and who dose sum wak 1imeM or h esel or through me or har own employees, provided thin such improw neem. ere w1 intended or Worrell for sale. V. Wwevr, the Willing or mpmvemanl Is sold within ons year of completion, the ownsnEuilder sell have the Wnfm of ponying he or she did not Wild er improve for the wmese date). ❑ 1. as owner of the property. we esduMyMy opnfadkw with gcenend coneentors to consbud the projad (Sedan 7044, Business and Prof. Coda: The Comrars. License Lew does nor apply to en ownsr of prvwny who WOda or Improves IhensOn and who confocls M such propos with a ooneradons) Iiceued Pursuant to the Comnadere License Lew). ❑ I am exempt under Section B. APC.. lar this reuon: Dale: Conner: I do hereby caddy that I are aware d end undersand the rWubemaMe d California / h and Salary Code Se aims 25505.25533. and 25534, end that I or any More Wilding ocoupant will I will not (circle one) need to comply win east stele codes and the requirements for . panni lorwsvuclion or mndificaionhurntha A'. ue�ty anagem nIDWdd,Au oMWMrudbnappkcaioreereaaemptimmtheeo provisions. Date : Apdicam: WORKER'S COMPENSATION DECLARATION: I hereby A. under penalty of penury ore of the following detlerolierre: ❑ have end wR maimen a cenifrwarl Dor sr h ssffansure lar workers' compersatdiorr. es provided for by Section 3v0 d Ih labor Code, lathe wrtormance d the wit la which this permit is issued. ❑ I have and willmaiman workers' mmpenotion insurance, es required by Sedim bo 37W of the Lar Coda, for thewdoneama of the work for which this permit is issued. My workers' own"nsatbn insurance carrier and policy number we: Cam«: Policy Number. (This section need nor W oomdered I the pen ul is for one h osinni dollars (stool or ters) ❑ I dmly that in the sed.. of Its wprk for whish this panes b issued I wall rel employ any, paean in any manner so n to bacons subject to the workms' oorepemmion laws of Celilonnie. and agree tat d I shouts moorre subject 10 the wodars' compensation provisions of Sedan 37W of the labor Cab, I Nell fpnh2 pry with I Date: hU �LI% r Applicant Az Warning Failure no ucuro wodreri wmp,ersedon coyerpe Is uNewnol, aMshml subJ.cr sit emP/oyW M edMns/ pWultlN end dye Nnss w to one hundred rhouaend ddr n ($11)0.0001 In emrNon no Me coat or wmperrunon ole mgee se Prodded nor In Section 3706 of Me Labor Code, Interest, and attorney's re es. CONSTRUCTION reby LENDING AGENCY: I heatone under penalty of penury thin there is a constructors lending agency for der h ped.ren .nce of the wen for whim this paned i. snored (Sedan 3007, Ce. C). LENDER'S NAME: LENDER'S ADDRESS: I cenly that I hew read this sp hordion end Mme Iht Ia above information is coned. I agree to empty with a on, and county ondinancee end store laws relating to Wilding consfrudion and hereby authorize representatives ofthis out, to enter uwn the above mentioned Property for insnedion purity ea. 7HoN//G 'T4-7 ps,2'g-M Dote: ja /I Signature dbwnsnA9an uCpmranlor (515145.WP) Whme Buildng A Safety; Green -File: Canary-Awlcem; Pink-Asyenue; Gddmrod ywsor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 071910 CONSTRUCTION TYPE: PLAN CHECK NO: N PERMIT TYPE: ELE JOB DESCRIPTION 396—OF SUN ROOM CLAIM VALUE: CALC—VALUE: PERM NO; E 071910 GOVT: N SUPP: N PURPOSE: ADD SQ FT: GROUP OCC; R-3 / COMMENTS: SUN ROOM, RE:#B71909 *+r•-�*4r*dF dtx*******dS di di**,t it SL 4l iF***if dE iF ofd �-+i+(**�-jl it dE 4r.**iF ii iF ii 4F iF is**gi ac*i4+F*udc df jEuaF 4r. rac 4i**tF iE 4E N-iE** Z O N I N G S E T B A C F: R E Q U I R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IDI REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQQ• PROV: PARCEL: 14161334 ZNE; REF NO: PLANNING NOTES> > 1E lF * iF dE ip dE iF K * iF {f if %ilii * is iE if dE iE iE is 1E �: if * * iE iF iF iF 4E it iF iE df dE if M iE ♦E iF ih dh iF iE Y 1i 1p iF K di is N * dh iF * if dE eh if di iR Oh sE 4F ji * * {Fit-il'lf iE Y- K 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; X11 aE*ih 4h lE Ah di if jl jf*dF ii li if if if ll ..........iF iF lE ih fs iF if 3f iE 4t s of DIF 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 18,00 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 18,00 15,00 0,00 33,00 33,00 .00 REVENUE DIVISION TOTALS—> COLLECTED; 33,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33,00 tt�t**it it*ddit*drr+E*�tifM'xir ifir+tiFdi**AEr*oft*trtlinNsr�i**.rr�r�iisiir�S*Lfir-if**�tdF**K-*+F*rr***+i*..ii+e*�t*+t�Fatic 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 10 FIXTURES LIGHTING ELE 10 RECEPT/OtTLET ELE 4 RECEPT/SWITCH EXPIRED ncom I to Inspections Jath � Sig 1 ST 20 EA, 1 ST 20 EA, 1 ST 20 EA, END OF FEES .75 75 .75 Oi 00179980-00179980 T CIT GATE= 04/14/55 TIIIE: 10:43 7,50 7.50 3.00 •,� . IJO rj CONSTRUCTION AND PLANNING s, APPROVALS Permit # Date Inspector PL . & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location-' 2. Soil Pipe"Undrgrnd. 53. Steel Reinforcement 1 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 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 58. Electrical Conduit-Undrgrnd. B. 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 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final ; 13. Roof Drains 64. Plumbing System - Final " 14. Rough Plumbing 65. Electrical -Final ; 15. Rough Electrical -Conduit 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiritig Sign 68. APPROVED FOR PLASTERING - -� 18. Rough Electrical -T Bar Ceiling 69, POO USPA 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 ❑ Oil 23, Gas Pipe -Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74, Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76, Dry Standpipe ' 28. Lathing & Siding - - •' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 81 Air Conditioning 35. Final Gas Pipe -Test ' 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final ' 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 - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA META CALIFORNIA 92628-1200 DEVELOPMENT SERVICES DEPARTMENT BUILDING DIVISION ININa:14YAWI1:9 NOTICE OF PERMIT EXPIRATION To: Thong T Pham 1127 E1 Camino Drive Costa Mesa, CA 92626 Project Address: 1127 E1 Camino Drive Costa Mesa, CA 92626 Date: November 29, 1995 Permit: # B 71909 # E 71910 Our records show that the listed premits were obtained for property improvement or alteration at the above address and the project was not properly completed. The permits were obtained by: Name: Phone: ( ) Contractor, (X) Owner To construct or install: Sun Room License Number: The permits are valid for 180 days from issuance or your last inspection, per Section 303(d) of the 1991 Uniform Building Code. Should we not hear from you within 10 days, your permits will expire and additional fees will be required to finalize the permit. Your permits will expire on December 15, 1995. Please be on notice that without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. If you need assistance, please contact The Building Division, at (714) 754-5273, between 8:00 a.m. and 4:30 p.m. 77 FAIR DRIVE Building Division (714) 754-5273 Code Enforcement (714) 754-5623 Planning Division (714) 754-5245 FAX (714) 754-4856 TDD (714) 754-5244 PROJECT': 1127 EL CAMINO DR UNIT: OWNERSS NAME: PRAM, THONG T ADDRESS: 1127 EL CAMINO DR COSTA MESA,CA 92626 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: VILLA CONSTRUCTION (714)554-4950 ADDRESS: 14351 EUCLID AV ----- 10 GARDEN GROVE CA 92643 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions or Chapter 9 (commencing with Section, 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect — — CITYDate uc.: 56 65 STATE uc.:616869 M Cuss: B Dale'. — Signature. WORKERS' COMPENSATION DECIARATION: I hereby affirm that I have a c& icat; consent to self insure or a - f ale of Workers' Compensation Insurance, or a cerulied copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: EXEMPTION FROM WO certityThal in the performer ` Spbletl IOthe Workers' Com Date'. 1 NOTICE: If. after mal Applicant. NPENSATION DECLARATION: (This section need not be completed if the of the work Ior which this permit is issued I shall not employ any p testing Laws of California. A. _ this for one hundred any manner so provisions of the Code. you must IorthWlln y Wnh such pmwsions or tris permit shall be deems yoked. CONSTRUCTION LENDIN ENCY: hereby atfirm Thal there is a construction lending ager Ior the performance of the work for whin mis permit Is is d (Sedlon 3097. C7v. C). LENDER REROOF W/LT WT TILE ADORES CBO#2093, 5.85PSF MAX WT OWNER BUILDER 0 RATION: I hereby affirm that I am exempt from the Contractors' State (cense Law for the following reason (Section 7031.5 Business nd Professional Code: Any city of county which requires a permit construct, alter, improve, demolish, or repair any structure, prior Ts issuance, also requires the applicant for such permi a signed statement that he/she is licensed pursuant to the provisions of lh tors' State License Law going will Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exemp ere tom 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 live hundred dollars ($500). I. 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 ContractorsSlate 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 or 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 exclusive)y contracting with licensed contractors to construct the project (Section 7044, Business El 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 contractor(s) license pursuant to the Contractors' Stale License Law),I am aware Ihat proof at their Worker's Compensation insurance should be provided t0 me. ❑ I am exempt under Section: B. 8 P. C. for this reason. Dale' 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 for a permit lot construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all city and ordinances and stare laws relating to building construction and hereby a rize representatives of this cll enter upon the above her property far inspection purposes, Date: q(T- Tf - Signature: Q Driver's License or Social Security ?: 1641.46 Whne—Smicing: Green—Cotle Enforcement, Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063921 PERMIT NO: B 063921 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/O SHAKES,RESHEATH, REROOF W/LT WT TILE SQ FT: 7,000 CLAIM VALUE: 7,000.00 CALL—VALUE: 7,000.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQU PER 91 UBC REROOF 2600SF RESID S GARAGE Z O -N—I N GS ERT EBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUIPtWUMXgq-- 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 PLANNING PROV: PARCEL: 14161334 ZNE: REF NO: /. D E V E' 'L 0 P M E N T if iE iP fE iF iE iE iE iE iE iF iE DE fP IE BE iP iEiF iE if HE 3E if iF 1E HE iE iF iE 1F iF SE iF ie iE iF k iE * iE iF iE iE iE iE * iE 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; in APPLICATION ISSUED BY: DATE; 3E BE �P 4E HE HE kiE iE iE iE if kli"�E'il lE iE iF iF iE �E if'iFiF iFiF iF iF3F iF 3F�F3F i�iF'iF iF3F�iFiF i'F'iF 3fiF 3F7F'�f�F iF ifIF3EiF3FiE if iE kiE!(�iE iE i(�iE iE if BE iF iE i!**k**iE* fE rt*iE*iE it iE 3E*iFit 4F iE*iEiE 3F iF it kif it fl lE iE lf 1F *it iF iP iE iE iE iE IE 1E He �E iE Sf ie iE HEif iE if iE iE tl iF iF X-*iE iE'if iE iE iE iE iFfP kBF kif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES.xx GRADING PERMIT 90.0070q PLAN SMIP/NON RES ISSUE FEE 4 BUILDING—DICT—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 90.70 0.00 0.00 90.70 90.70 •00 REVENUE DIVISION TOTALS--> COLLECTED: 90.70 OVER/SHORT:00 BLDG P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING Rg)LAN—CHECK iE iE iE * * iE * Hf 1E * Hf iE 1E 3E 1E iE # iE iE iE iE iE iF lE iE iF iE 1E * 1E RE 1E 1E 1E RE iE HE iE iE 1E iE k iE iE if * i(-iE if k BE * iE iE iE iE iE iE iE iE * iE iE if rt fE ie 3E iFik iE if iF N * if ie iE iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST .TOTAL COST SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 7,000.00 END OF FEES (10 l'k 01 00146734-00146735 T O T 90.70 GATE: 04/13/93 TI11E: 10:40 IN CONSTRUCTION AND PLANNING APPROVALS Permit # Data Inspector PO(,, & SPA APPROVALS Permit # Date Inspector 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-Und(grnd. 55. Electrical Bonding 5. Steel Reinforcement. ,' 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - •; i 63. Heater & Vent-Final ' 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final - 16. Rough Electric Wiring 67, Fencing &.Access Approval 17. Rough Wiring Sign - f 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT / PPROVALS Permit # r- 20. 'Rough Factory Fireplace ;�, ' 21. Ducts, in Structure + _ - 70. Undergr6udd,Hydro 22. Ducts, Ventilgting,,71. Product pipiog 0 Gas OOil 23..Gas Pipe-Rough & Test 72. Underground Flush)- 24. Roof Framing' ,73. Undergrnd, Storage Tank Q Gas ❑ Oil 25. Root Sheathing.� / J ti/$ 74. Overhead Hydro• . 26. T-Bar Ceiling (Structural) & Monocoat 75. 'D{y Chemical 27. Frame and Flashing- -- 76. Dry Standpipe 28. Lathing & Siding' "( 77.,',FIXED SYSTEM FINAL , 29. Insulation- 78. FIRE PREV. FINAL 30. Drywall Railing , i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat (l i,79. FINAL INSPECTION - 32. Electrical Power M'etet-Final I 80. 'FOOD CERTIFICATE ISSUED 33. Finai Electric. ; rNotes:, 34. Final Heating & Air Conditioning . 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final. Factory Fireplace 38. Finai-Plumbing 39. Water Service-Final 40. Gas Service-Final _ 41. Solar Domestic-Final 42. Backflow Preventer i I i 43. Backflow Irrigation 44. Landscape Irrigatibn System _ •45. Sound Attenuation'- 46. ,Handicap Regulatiot•,a, - - 47. FINAL STRUCTURE BUILDING L�� ^"/r- [ / // _ tom// 48. FINAL PLANNING; 49. Electric Release to EcHwn 50, Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. pate ?025.4 G45TA-'1ESA BUILDING -SAFETY DEPARTMENT X017 COSTA MESA, CALIFORNIA For Applicant to.Fill In Completely TYPE OR PRINT BUILDING ADDRESS 1127 B1 CaminoDrive COSTA MESA. CALIFORNIA nwNER Mesa del Mar DevelODment Co. nEUREss 3500 E. Coast Ri hwa CITY Corona del Mar. CalifTo'OR 3-422 !1-ENGFR Mac Realty Co. Mft 3-4220 111T same as above s. FFA 2�6�EIVED /�Fe MCL X. PERMIT CIT�fgFOt W#AE9PIy jB'ErgM,KNP( ZONING ZONE NO. OF UBE OP N6 ' R-1 Puna 2 EDIL I4/ att ear. none ERHANG SHALL BE LESS THAN 1 _ biLhOF I ND. GP BLDGe. ALLOWED IU. n. c. rcCyUI REME.. LOT 721 X 97 NOW ON LOT none YARDS APPROVED YARDS APPROVED I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION USE OF none MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ' PURPOSE OF ESTABLISHING A .PERMIT FEE ONLY. O (FROM C/L STREET) VALUATION 6HTBACK LINE FROM 1 1 FRONT FT. FT. OF STREET REAR YARD L_�I�� N 51 71 I R. SIDE FT. FT. [.ENTER SIDEYARDI LEFT - RIGHT' -, ti 17,060.00 DESCRIPTION OF WORK L. SIDE FT. Fr. AUTHORIZ DA ENT I X I .. -.—..I II .__._._.. REAR FT. — FT. 60' X 50' NO. OP 5 1 VAR. .�C Y I DATE OF Plan 300-A Garage 440 4f. BD. FT. m I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 1E FOR THE . F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A .PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. L_�I�� N SIGNATURE OP MHCCO Realty Company PERMIT FEE $ J / PERMITTE -, ti 17,060.00 PLAN CHECK $ AUTHORIZ DA ENT L94508 or Q_ A, lam'°SA BUILDING -SAFETY DEPARTMENT P.O. BdX 917 COSTA MESA, CALIFORNIA F or Applicant to Fill In Completely TYPE OR PRINT G 2 S .LCOSTA MESA. CALIFORNIA MAIL S ��.z C _TEL./9 - NOLT )) '� TEL. NEER IL. AkCY NO..1S ) L,CTOR 1� T3A �! C�� — LIC.NO. II7C3 NESTATE TO �' SIZE OF LOT 7 J No. op BLvaB. / NOW ON LOT USEOF EXISTING BLDG. Q \� SETBACK LINE FROM CENTER OF STREET REAR YARD 0 SIDE YARD LEFT C X! S I RIGHT ' DESCRIPTION, OF WORK NO. OF ROOMS WALL I ROOF CITY OF CESTA MESA AUG 4 1965 APPLICATION FOR PERMIT FOr RECEIPT NO. PERMI JT - 0 BUILDING \\7 rl ii) r.. _-. DISTANCE BET. MAIN BLDGS. / VAnR.,$ r o 1f F F BET. MAIN e ACCESS. BLI DATE EBY ACKNOWLEDGk THAT I HAVE READ THIS APPLICATION I NO. OF I PLANS a� USE OP NBWjl.�(iPl. JRk BUILDING PTION O. NO EAVE'OVERHANG SHALL BE LESS THAN [ALLOWED SIDE 9 REAR P. L. ITH ALL CITY ORDINANCES (U. B. C. REQUIREMENT) RDSAPPROVED YARDS APPROVED AIN BUILDING ACCESSORY BUILDING M/}L-,�S,T E'--- FT. /- rL 1 DISTANCE BET. MAIN BLDGS. / VAnR.,$ r o 1f F F BET. MAIN e ACCESS. BLI DATE EBY ACKNOWLEDGk THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ING CONSTRUCTION, .: rL 1 - PERMIT FEE $ J ATURE OF L ITTE ORIZED AGENT l�p �� TOTAL FEE $