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Home My WebLink About463 ELMHURST LN - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 463 ELMHURST LN Suite No Vicinity: ParcelNumber: 14137225 '• .. ISSUED BY: Applicant: GORDON PARSONS � Address: 22ffi ORCHARD DR phorie: 9.-45�64 � - NEWPORT BEACH, CA � Zip: 92660 , Ownec STANISLAUS LIVING TRUST,K M__ Address: �463 ELMHURST LN " . � - _ � � - �� , � - � � � � Phone: ' - � - � . . . ` �. � . - . , . . ,.�� COSTA MESA, CA ' Ztp: 92626 � �. � � . '. �- :�=�`�� j ' �> ': �;,A ` �A��, � �� i A� � Contrector: ABC HEATING �AND AIR CONDITIONING �� /� �, � Address: 22820RCHqRDDR \t��`� % `-��'. � � Phone: 949-456-0064 �'�` '� ' � � � .. . NEWPORT BEACH, CA Zip: ' 92660 , . � .. . ' License:810487 .. � .. - ' SCOPE OF PERMIT � REPLACE FAU LOCATED W THE HALC CLOSET. � � '' FEE SUMMARY � Quantity _ � � ` �uantlty, ISSUEFEE $23.50 Repair/AltAbsorblionUnit� , $0.00 . 0 Inst FAU <100 k BTU g14.80 1 Repair / Alt Refrigeration Unit .$0.00 0 . Inst FAU >100 k BTU $0.00 0 - % � � �_, ' ' � Ventillalion Syslem "� .` $0.00 � � 0 , Repair / Alt Cooling/Heat $0.00 0 - . - - - � -Evaporative CooleC _ 50.00 0 Inst / Rep. Recess Wall Htr $0.00 0 Commercial Incinerelor 50.00 0. . Refrig Sys <100 k BTU $0.00 0 Domestic Incinerator - 50.00 0 Refrig Sys >100 k BTU $0.00 0 , � Compressors / Absomtian Svstems , Gas Piping , 50.00- � 0 - � � � � ' � �- �� Up l0 3-hp / 100�k-6TU � • $0.00 ��-0 � Factory Fireplace � $0.00- 0 - , - - 3 To 15 hp h500�k BTU-� , �., �$0�00 � 0 . , Hood w/Mech Exhaust $0.00 � 0 - ' 15 To 30 hp / 1',000 k BTU , 50.00 0 VAV Box $0.00 0 30 To�50 hp / 1,750 k BTU � 50.00 0 Vent Fan / Single Duct 50.00 0 Over 50 hp / Over 1,750 BTU $0.00 0. , Appliance $0.00 0 Boilers - � . ' ' � � ' ' � Fire Dampers $0.00 0 Up l0 3 hp _. 50.00 0 Smoke Dampers 50.00 0 � -� •-" 3 To 15 hp - 50.00 0 Inst or Relocate Appl Vent � $0.00 0 �"* �:� �� 15.to 30 hp � �$0.00 � 0 Air Handlers < 10000cfm �� g0.00 0 �� ' 30 to-50 hp: -� ' . $0.00 0 AirHandlers> 10000cfm $0.00 , 0 - � � : Over50,hp.' , . _ - .��j � � _. 50.00 0 Floor Fumace � �.� $0.00"' �0 � � <. � �Olher Mechanical Fee �= � . - Ploor or Suspend Heater � � -$0.00 , 0 � ., _ ' -� � Investigation Fee � �� $0.00' � �- � � � 'Plan Check Fee � . �! � ��50.00 - � , , Reinspection Fee � ; 50.00 � � '_ � ��. � - , � - _ -T'OTAL CALCULATED FEES � j j538.30 - _ ` � __ . � i / � ' COMMENTS hSPECIAbCONDITIONS - � �� %'= � Status: ISSUED Applied: 11/07/2006 Issued: 11/07/2006 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28; § 7, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must ba obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8 (B/00) WORKERS'COMPENSA710N DECLARATON: -• � - I hereby aHirm under penalry of perjury one ot t�a tollowing tledarations: ❑ I heve enA will mainlain e cerlificate ol consent to setl-Insure for workers' compenulion, as providetl for by section 3700 of the Lehor COUe, for the pertortnance of the _ work for which this pertnit is iuuetl. ��48ve end will maintain workers' compensa0on insurance, as required by section 3700 0l Ihe Labor Code, tor the perfortnance of the work for which this partnit is issued. My woBers' m nsation Insur carrier and policy number are: � Cema� �%I �Llr� - olfcyNumber: �� S �/C/ 7�f. FThl�ctlon need not De cro ple(ed il the permit is�velued et one huntlretl tlollars ($ f 00) or less.) � I certily that in the peAortnance of the work for which this pertnit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws ol Calilomia, and egree that it I shoul0 becyme suDject to the workers' compensation pmvisions ot Section 3700 of the Labor Cotle, I shall forthwith comply with these provis!io�]s� � �� V� / APWk?�rt'SginaWra:Y�.�• 7�T/`— �j D� XJ�� Dat�I�' 7' �� .. �T ,WARMNG: FAILURE TO SEIXIRE WORKERS' C0�.IPENSATION GOVERPGE IS UNLAWFUL AND SHALL SUBJECT AN E�IPtOVER TO CRiMINAL PEN41T1E5 AND CML FlNES UP TOONE HUNDRED TIKKISPND DOLURE (5100.000�. IN ADDRION TO THE CQST OF COMPENSAiION, DAM4GE5 0.5 PROVIDE� FOP IN $ECTION 3]O60F TiE Lr1BOR CODE, INTEREST, AND PTfORNEY'S FEES. LICENSED CONTAACTORS DECLARATION: of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full Cless N ° "`W`C � pi0 id _ Date::°. �v�� ..G _� _ r CONSTRUCTON LENDING AGENCV: ❑ I hereby aHirtn Ihat Ihere is e wnstruction lending agenty for Ihe performance ot the work for w�ich ihis permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lenders Address: Signature: oate: OWNER-BUILDER DECLARATIONS: I hereby aMirm Ihat under penalty ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or counry whic� requires e permit to construd, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the eppliwN for such pertnit to tlle a signed stetement thet he or she Is licensad pursuant to ihe pmvisions oi the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the Business end Professions Coda) or ihet he or she Is e:empt Iheretrom end the basis for the alleged ezemption. Any violation of Section 7031.5 by eny applicant for e pertnit suhjects the appliwnt to a civil penelty of not more than five hundred dollers ($500)J: ❑ I, as owner of the properry, or my employees wit� wages es Iheir sole compensation, WILL DO THE WORK, and the structura Is not intended or offeretl tor sale (Sec. 7044, Business antl Professions COGe: iTe Contractore License Lew does not apply to an owner of property who builds or improves ihereon, and who does such work himself or hersetl or thwugh his or �er or.n employaes, provided ihat such improvements are not intended or oflered for sala. If, however, the building or improvament is sold within one year oi completion, Ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the propeny, am E%CLUSIVELV CONTRACTING WITH LICENSEO CON7RACTORS to construa ihe pmject (Sec. 7044, eusiness and Protessions Code: The contraciors License Law does noI epply to en owner of property who 6ulld5 or Impmves lhereon, end who contrads for such project with e coniractor(s) license pursuant to Ihe Coniractore Licensa Laws.). ❑ I am exempt untler sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verified by dnvers license. ❑ Yes ❑ No Dnver's License No. Ezpires: Verifiwtion ol Ownership by (type of tlocument, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFILATION: ❑ I hereby ceniy Ihat no axcavation tive (5) or more feet in depih into which e person is requiretl to descen4 will be matle in connection with work authorized by Ihis permil, end Ihat no builtling swcWre, swttoltling, talsework, or demolition or dismantling thereof, will ba more than t�irry-six (36) feet high. (Chep. 32, Gry 2, Atl 2, Sec. 341, Title B, Caltlomia Atlminisirative Code). ❑ As ownervbuiltler, I will not employ enyone to do work which would require a permit from ihe Division of Intlustrial Safery, es noted ebove, unleu such person hes e permit to do such work irom the division. Signature: Date: Division ot Indusirial Safery Permit Number. CERTIFlCA7E OF COMPUANCE AND AUTHORIZATION OF EMAV: I certity under penalry of perjury that I have read this application and state that t�e information given is correcL I agree Io comply with ell sWte laws and city ordlnences rela�ing to 6uilding consiruciion, and authonze representatives oi the Ciry of Costa Mesa to enter upon the ebwe-described pmperty tor inspection purposes. I egree not to occupy or allow occupancy ot any building authonzed by this permit until tinal inspection. CODE �. INSPECTONTYPE 1616 Fixed System Final Fire Prevention 1268 Pool Spe Finel ' 200 Final Re-Rool 201 FInaI BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � QQ,QF�e INSPELTIONTYPE 20fi Final Mechanical 20B Final Plumbing � 210 Final Elecirical 212' �Final Fire Preventlon 220 Final Planning Approval 222 Final Sita 250 Final Bulltling/Occupancy 1.\I I`IIIII.IF , � � �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 463 ELMHURST LN Suite: Vicinity: Parcel Number: 14137225 Applicant: FARIBA FAZELI Address: PUBLIC WORKS DEPT Owner: MANAHAN, MYRA Address 463 ELMHURST LN COSTA MESA, CA Contractor Address: Zoning: Phone: 714-754-5378 Zip: Phone: Zip: 92626 Phone: ISSUED BY: Status: ISSUED Applied: 06/O6/2001 Issued: O6/07I2001 �� Zip: License: � . Arch : Eng: THOMAS NEGEN/ENGLEKIRK PARTNERS Address: Address: � � Phone: Phone: Zip: License: License: 53049 ' SCOPE OF PERMIT. - . 85LF- BFT BLOCK WALL OVER 18". MAX RETAINING WALL. ' � " � .' " - "� . . � � , - - - - _ � , . Plan Check: Permit SMIP Res: ' SMIP Com: Other: � Inspection: . Total: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 > FEE SUMMARY -- - - - = :Calc Valuation: ' � ' Claim Valuation: ; y;�; � -�'• -.- � �� , .,% i� `,,� � .. ' SETBACKS.�.��, '., ,` � ;A�':, ' . i, = MAIN STRUCTURE �Fiont 0-�0 _� Rear_ �0- 0 ACCESSORY Front - 0- 0� � Rea� � 0- 0 PARKING Ezistinq: 0_; - Required: �0 NOTES: PLANNWGBZONING- ��-�� . � � ` , fi i' ' �,�, /�i -% � `: _ ', , Lefl �0- 0 � - Riglit � - 0=;0 �' ; _ Left, 0-0 ,� � Right��0-0�- � Pr000sed:, _0 � ..��'.� � � . $o.00 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap accass requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 244E46 (6/00) WORKERS'COMPENSATION DECLARATON: I hereDy aNirm untler penalry oi perjury one oi ihe following declaretions: ❑ I have end will maintain a certilicate at conseni to self-Insure for workers' compensation, as provi0ad for by section 3700 of the Lebor Cotle, for the peAormanca ot the work for which Uis permit is 155ued. ❑ I hava and will malntaln workers' compensatlon Insurance, as requiretl by section 3700 at ihe Labor Code, for the perto�ance ot ihe work for which t�is pertnit is Issued. My workers' wmper�satlon Insurance cerder end policy number ere: . Cartier. s Policy iJumber: (7his section need nof be completed il Ne pertnlf Is velued ef ane hundred dWlars ($100) or less.) ❑ I ceRify �hat in t�e peAormance oi ihe work for which ihis pertnit is issued, I shall not employ any pereon in eny manner so as to become subjact to Iha workers' compensation laws ol Celifomie, end egree that tl I should become su��ect to the workers' wmpensation provisions of Secllon 3700 ot t�e Lebor Code, I shall forthwith comply with �he56 provisions. Applicam Signature: Date: WFRNINO: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNIAWFUL AND SHP1L SU&IECT AN EMPLOYER TO CPIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE (5100,000), IN ADDRION TO TME COST OF CAMPENSATION, DAMAGES AS PROVI�ED FOR IN SECiION 3]OB OF THE LABOR CAOE, IMEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirtn that I am licensed under provisions of Chepter 9(commencing with Section 7000) oi Division 3 of the Business end Professions Code, and my license is in full torce and etlect lk. x Glass a Comracto/s Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aXirtn that there is e consWction lending egenty for the pertormance ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: LentleYs Atltlress: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby effirtn that under penalry ot perJury Ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which repuires e Dertnit to wnsiruct alter, impmve, demolish, or repair any structure, pnor to its issuance, elso raquires the epplicant for such permit to tile e signed statement Ihat he or she Is Iicensed pursuant lo the provislons of ihe Contradors License Lew (Chapter 9(commenUng with Section 7000) of Division 3 ot the Business antl Professions Code) or that he or sha is exampt cherefrom and tha basis for the alleged exemption. Any violation of Section 7031.5 by eny epplicam for e permit subjects t�e applicam ta e c'rvil penelry o1 not mare than five hundred dollars (5500).): ❑ I, es owner oi the property, or my employees witb wages as their sWe compensation, WILL DO THE WORK, entl the sWcture is not intended or oHered tor sale (Sec. 7044, Business and Professions Cotle: The Cont�actors License Law does noi appty �o an owner of properry who builds or improves thereon, antl who does such work himself or herself or Ihrough his or her own employees, proviaed that such impmvements are not intended or oNered tor sele. tl, however, Ihe building or improvement is sold within one year of completion, ihe owner-builtler will �ave ihe Durtlen oi proving ihat he or she did not �uiltl or improve for purposa of sale.). � I, as owner oi the property, am EXCLUSIVELV CONTRACTING WITH LICENSED COMRACTORS ro construct the project (Sec. 7044, Business and Professions Code: The wntrectors License Lew does noI epply to en owner of property who builds or improves thereon, and who contracts for suc� pmjed with a conhactor(s) licen5e pur5uan� lo Ihe Con�ret�or9 LitenSe LewS.). ❑ I am exempt under sec. Busineu end Professions Code tor this reason: Signature: Date: Owner ID verilied by dnver5liten58. ❑ V85 ❑ No Drivers License No. Venfication of Ownership by (type ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CEFTIFICATION: E:pires: ❑ I hereby certify Ihet no exwvatlon tive (5) or more feet in depih Into which e person is required ta descend, will be made in connection with work euthorizetl by ihis pertnit, and that no building siructure, scallolCing, telsework, or demolition or dismantling thereot, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tltle B, Celitomla Atlminls�rative CoOe). ❑ hs owner-builtler, I wlll not employ enyone to tlo work which would require a permit irom the Division of Industnel Selety, as notetl above, unless such person hes e permit to do such work trom Ihe division. Signamre: Data: Division ol Indusirial Safery Permit Number: CERTIFlCATE OF COMPLUWCE AND AIJTHORIZATON OF ENTAY: I certify under Denalry of peryury ihat I hava read ihis application and state ihat the information given is correcL I egree to wmply with ell state laws entl ciry ortlinances relating to building construction, and authorize representatives of ihe City of Costa Mesa to en�er upon ihe above-described D�operty tor inspection puryoses. l agree nol to occupy or allow occupancy of any building aulhorized by Ihls permit umil Pinal Inspection. GOUE 1, INSVECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 207 Final Block/Retaining well 202 Final Factory Fire Plece 203 Finel Sign 204 Finel Damolition Qa¢, INTITIALS �0,12—a� .,a,e Date COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Q9¢, INTITIRLS Recordation Requested By and When Recorded Mail To: City of Costa Mesa Public Services Department P.O. Box 1200 Costa Mesa CA 92628-1200 Recorded in Official Records, County of Orange Gary Granville, Clerk-Recorder . .IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINO FEE 200102074�9 03:56pm 04f06101 110 '11 Al2 6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 SPACE ABOVE THIS LINE FOR RECORDER'S USE � �3 �Fl(f�T � Bxemption from Recording Fee Requested g E C E I V� i j Pursuant to Govemmen[ Code § 6103 APN /41•372•25 � APR 1 6 y��1 BLOCK WALL RIGHT OF ENTRY, CONSTRUCTION ENGIfdEERlf� , N� AND MAINTENANCE AGREEEMENT This Righi f�y for C nstruction of lock Wall and Maintenance Agreement is made and entered into this �� day of ' , 2001, by and between Myra J. Manahan, hereinafrer referred to as OWNER, and the ity of Costa Mesa, hereinafrer referred to as CITY. RECITALS �� RE , O is the owner of certain real property located at , in the City of Costa Mesa, County of Orange, State of California, more particularly described in E�ibit "A" attached hereto and incorporated herein by reference, hereinafrer refened to as PROPERTY; and WHEREAS, CITY plans to construct a block wall on or near the existing right-of-way line of Hazbor Boulevard adjacent to PROPERTY as shown on Exhibit "A" attached hereto and incorporated herein by reference; and WIIEREAS. CITY intends to construct said block wall on PROPERTY with the full intention of relinquishing ownership of said block wall to OWNER; and WIiEREAS, OWNER, in exchange for CITY'S agreement to build said block wall, intends to accept responsibility to fully maintain said block wall located on OVdNER'S PROPERTY; and WIIEREAS, OWNER desires to grant a right of entry to CITY to enter upon PROPERTY for the sole purpose of site assessment, and any other activities related to the construction of said block wall; and WHEREAS, OWNER and CITY desire to enter into an agreement to allow right of entry by CITY onto PROPERTY, for CITY to construct said block wall, and for said block wall to be relinquished to O WI��ER and for O WNER to be responsible for maintenance of said block wall. NOW, THEREFORE, for and in consideration of the covenants herein contained, performed and to be performed, the parties hereby agree as follows: OWNER herebti� permits CITY to enter�upon PROPERTY for the sole purpose of site assessment, soils testing and any other activities relating to the construction of the block wall described herein. The right of entry shall be granted by OWNER to CITY at no cost to CITY. The right of entry will remain in effect until the completion of construction of the block wall. Entry will be accomplished by employees of CITY and/or firms acting as agents for CITY. 2. CITY agrees to indemnify and hold OWNER hannless against all claims for damage or liabiliry arising from entry onto PROPERTY for the purpose of constructing said block wall, except that OWNER shall be solely responsible for the repair and/or replacement of any personal property or landscaping that is damaged as a result of entry onto PROPERTY. For purposes of this Agreement, "landscaping" shall include, but not be lnnited to, any plant material, lawn, ground cover, trees, shrubs, and shall also include any hardscape, which is integral to the landscaping, such as brick, wood, stone or plastic borders and decorative planters, stepping stones, statuary and fountains. 3. CITY agrees to construct upon PROPERTY a block wall as described in Exhibit "A". The construction of said block wall shall be at no cost to OWNER. 4. Upon completion of the block wall, ownership thereto shall be vested solely in OWNER. OWNER shall, at it's sole cost and expense, repair and maintain said block wall, keeping same in a condition comparable to the condition of such block wall at the time of its initial construction, excepting only normal weaz and tear. 5. If all or any portion of the block wall is damaged or destroyed for any reason, it shall be OWNER'S duty, with all due diligence, to rebuild, repair, or reconstruct said block wall in a manner which will substantially restore it to its appearance and condition immediately prior to the damage or destruction. Reconstruction shall be undertaken within two (2) months after the damage occurs, and shall be completed within four (4) months after the damage occurs, unless prevented by causes beyond the control of O WNER. 6. In the event that OWNER fails to repair, maintain or rebuild the block wall as provided in this Agreement, CITY may, at its sole option, repair, maintain or rebuild said block wall at OWNER'S sole expense. 7. This Agreement shall continue in full force and effect and shall be binding upon and inwe to the benefit of OWNER and OWIVER'S successors and assigns, as long as OWNER or his/her successors and assigns maintains ownership of the subject wall and the PROPERTY. 8. OWNER aerees, by the signing, acceptance and recordation of this Agreement, the terms and conditions herein set forth shall be binding upon and inure to the benefit of OWNER and CITY. � The provisions of this Agreement are currmlative and in addition to, and not in limitation of, any other riehts or remedies available to CITY. 10. No supplement, modification or amendment of this Agreement shall be binding unless executed in writing and signed by OWNER and CITY. 11. In the event that litigation is brought by any party in connection with this Agreement, the prevailing party shall be entitled to recover from the opposing party all costs and expenses, including attorney's fees, incurred by the prevailing party in the exercise of any of its rights or remedies hereunder or the enforcement of any of the terms, conditions, or provisions hereof. 12. This Agreement shall be govemed by the laws of the State of California. Venue shall be in Orange County. 13. Each party warrants that the individuals who have signed this Agreement have the legal power, right, and authority to make this Agreement and bind each respective pariy. EXECUTED in 2001. CITY OF COSTA MESA the Counry of Orange, State of Califomia, on this �day of • / / VM-�� William J. Morris Director of Public Services , �..• � � � •• ,� /�',r •, �,� _�..: ; .- .. , OWNER . .liC _�L'[Y�� r' :�1L'3M3 �.�a.'y.%�3�_^i'VS'1:1'l='u%YL'� Y�.4.'�aJ..�.: STATE OF (_c� �,��o,-r�0.) ) ss. COUNlY OF r� � On (Y��,r�y� ��p , 2001, before me, 1nr-,�cp %'.K...�1�rn, a Notary Public, personally appeared ��,ra ,. f`n n1-, a�o„r� — p (or proved to me on t�e basis of satisfactory evidence) to be the persons(� whose name(� is/are subscribed to the within instrument and acknowledged to me that laelshe/tbey� executed the same in hisfher/tkeir authorized capacity((L�' and that by his�'hedt#ie+r signature(�on the instrument the person(�j,, or the entity upon behalf of which the person(� acted, executed the instrument. WITNESS my hand and official seal. Signa e Q \(— (Seal) JANICE R. KUHM Commission # 12272A8 � y Not�yPubfic-Callfortiia � Orange Courdy My Comm. E�Wires Jui 2, 2703 CALIFORI�lIA ALL-PURPOSE ACKPIOWLEDGMENT State of California County of • /�.. . .. . �� personally appeared � ss. before me, ��f /�-��'�1, �Vbta�N ru.�-(l 'n Name ana Title o� Olfcer (e.g., an , No�ary ub ) .0�. _'_ \1 � /Y1 e ., � . _ CHERYL RAc' H2WIG Commission k 1782b26 z � �.m NotaryPublic-CaGtomia � orange Co�mh� My Corrun. E�ees Jun 3 �DD2 � � _ _ G✓personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(S� whose name(�,� is/are- subscribed to the within instrument and acknowledged to me that he/sbe{Niey executed the same in his/herkh2i� authorized capacity.Eies�- and that by his/13er�H�eir signature'fs�, on the instrument the person�, or the entity upon behalf of which the person(� acted, executed the instrument. WITNESS my hand and official seal. Place Notary Seal Above Signatme ol Notary Public OPTIONAL Though the information below is nof required by law, it may prove valuable to persons relying on the documenf and could prevent fraudulent removal and reattachment of this (orm to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual ❑ CorporateOffcer—Title(s): _ ❑ Partner—O Limited ❑ General ❑ Attomey in Fact ❑ Trustee ❑ Guardian or Conservator �, Other: Signer is Representing: Number of Pages: RIGHTTNUMBPWNT OF SIGNER O 1999 NaWeul Nolary qssonation • 9J50 De Soto Ave.. P0. Boz 2402 • Clatswo�R CA 913132C04 • www.riauwartwuryorg Proa No.590> Rw�aec Call TW-Frea P000.0]6L82] i tXiSTING W. FENC I NEW WALL NEW WALL i i N�h� VJALL HARBOR BLVD. ARTERIAL WALL EXHIBIT "?" �RIU; _ � ��; DR. ,----- o � � � I� _ � �ai-�?z-c-� � i' � sfi3 ?<wCETCN DR. i COSTA McSA, CA 92626 ( I ---- ' • � 141-372-12 I �w' � �62 SWARTHN,On'� LN. i C057,a M�SA, Cn 92626 i' ``L � _�� `rt.lQ -�1. � ' ! �/�C}r.?r � � , � — � I , , i ,.�• � i tat-372-13 i � 461 SWARTiiMOR_ LN. i � C05-a �=SA, CA 92626 — t ii - -- i � , ta�-�72--2c � I "�' i �5c =Lu�=URc7 L�v. ( _ i COS�� Aa"cSA, CA �2525 � �� il_' L� � ii I-` � �\ �ii iviC� i � l � �—� i .i-372-?5 :b I i 4b� 'LM�URS lK' i i C05-A MESA, C.4 92625 i d I � I NEW I ,o' �`XIjT!NG i WALL � ,.:t-azt-2� �,N.4LL i � ' .�E? ^vcA�_v�l? I v'3i -----� � Xv z�3o r+n�ao.n a�vc � > �'G7 C�57A M�SA, CA 92025 J i i i i � i � �___________________J � �� r�. w % � W u � Q U NO SCALE L�DG=ND � — 8 �OOT HIGn SLUMPSIONc BLOCK WA�_l_ � CITY OF COSTA MESA � . (, r �` _ � BUILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT �� PERMIT PER NUMBER �� B98-0�800 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 463 ELMHURSTLN Suite: Vicinity: Parcel Nunmber: 14137225 Applicant: WIHONGI,JONO Address: .' �-�+ -,�= Owner. MANAHAN�MYRA J TR r.� Address 463,ELMHURSTLN-' . !:ii / ! '. � ..; i COSTA MESA,CA , �� i � ,, q.; j � � : , ' ContracEor.= CONSUMERSERVICES �,��-, Address: 16702 MT BAXTER :,� i i/;s; - , ��FOUNTAIN�VALLEYCA ru! N� � i y, � ;Aich / Eng 1 '' � Address � , , � �� BUILDING PERMIT e Zoning: Status: ISSUED Applied: 10/O6/1998 Issued: 10/O6/7998 - ,-'. Phone: �, � - . . , Zip: . . . . - ' � -. � � '��;;�\ � '� � �\ , � � i� � �� r �/_ �^ . � Phone. � . �,� y . � � - � � � � Zip: 92626 � � � .. . � � � / ��\�. :A=� . �� i��`� A\ `-.��;.. � % ��,<.. ,..A� � < �' '.�'.'� \l:�\� / �:�\ �\ :A��/ Phone �, 714839-4549 � � �; ,\�\`� Zip:� 92708 -:�. -�'�.- ��A�� " �. .- License'-' 676090 I � � - ��' � �t�,.�� .. �'� ! , Ai ., � � � ��' -c r`',,•�• � ' �� .,! ' ��', , �� _ h^I . , �a. .; _ ,� � . - Phone:�_ - � � � � i ' � Zip: - ' . Ai. / V - �, License: , � , � � � , � � SCOPE OF PERMIT �� ' � ��' �. � / ' .TEAR OFF HOT MOP 8 REROOF WITH 30YR COMPY p % ` � � � ",_� � ; - � � , � - � , i , � . , , .. �., - . . . . � . . . .. . .. , . •..\ , � - '.\ ; . . . _ . _. -_. - -F .. _ ' r .. ,�. � � FEESUMMARY a,� ' - `' Plan Check: $0.00 � �. �`�� : — -- — r `�:•` ; .�::t; -Calc Valuation: ', ga,soo.00 '-' Permit: � �', $99.75 - ' � Claim Valuation e � � �, ga,soo.�oo �SMIP Res: . $0.50 � �� -, � +', SMIP Com: $0.00 � , � � � ' � ,_ � , Other:.� $o.00 - - -- �'� - , �j�; Inspection: ' � $0�00 � �� '�`" ,..,, r . .i� ,;,�; �Total: .$100.25 � � � �;' �� t� . �� ,_ � _ �- � ; PL-ANNWG &'ZONING:�- - . � � � � ;, � , , �%�, SETBACKS `.' `� ' - �' � �:� �- .:,��,�� % � � � . ,` � , � MAIN STRUCTURE Front 0- 0- Rear 0- 0� �` Left 0-,0 Right � 0- 0� -�� . '� ACCESSORY Front ` 0. 0 Rear 0= 0� . , Left , 0= 0�. � � Right - 0- 0 ��' / PARKING Ezistinq: 0 Re uired: 0 -. �, Proposed: �0 ;-"�/� - NOTES: � . . . � ' 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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, ana al1 required Inspeetions end final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545826 WORKERS' COMPENSATON DECLARA710N: � M � I hereby eHirm under penalry of perjury one of Ne fWlowing declarations: V ❑ I heve end will maintain e certificate of consent to self-Insure for workers' compensation, as provitletl tor by section 3700 of the Lebor Code, for the pertortnence of the ,,�" ork tor which this permit is issued. � I �ave antl will maintain workers' compensation insurance, fls required by section 3700 of Na Labor Cotle, for Ihe pertortnance of Ne work tor which ihis pertnit is issuetl. My workers' compensation Insurence certier antl policy number are: Certier: Policy Number. (Th!s sectlon neetl not be complefed /! the perm/t !s velued et one hundred tlollars ($100) or less.) ❑ I cenify that in the pertortnance ot the wodS,1 vhictUFlrp?mit is issued, I shall not employ any person in any manner so as to become subject to the woMers' c n§allon�taw9 of C�Ufornla, and egr dfh f I Y(ultl b come subjed to the workers' compensation provislons ot Section 700 of t�e Lebor Cotla, I shell forthwith w�fh-Ulese rov bn9. ' O �� ^, � j/ ApPlicentSi �_ rl INO: FAILUPE T EC E WOHICERS' COMPENSATIIXJ COVE S UNLAWFUL AND SHALL SUBJEGT EMPLOYER TO CRIMI PENAL ES AND qVIL FINES UP TO IXJE HUNDRED T110USANDDOLUR (51 . ),INA�DRIONTOTHECOSTOF ATIIXJ,DAMhGESfSPROVIDEDFORINS LABORCODE,IMEREST,PNDATTORNEI^SFEES. LICENSED C� I �ereby eKrtf� et I ei tywe'and e�it Lia x ConUector5 SI CONSTRUCTION LE; ❑ I r9byaJ, Ih of Chepter 9(commencing with Section 7000) ot Division Cade, end my license is in full AGENCV: v Yfs a consirucGon lendi� agency for the pedortnanca ot ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn tha� under penalry ol perjury thet I em E%EMPT FROM TNE CONTRACTORS LICENSE LAW tor ihe iollowing reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry which requires a permit to wnstruct, altar, improve, demolish, or repair any sirucNre, pnor to its issuance, also requires Ihe epplicant for suc� pertnit to file e signetl statement ihat he or she is licensetl pursuent to t�e provislons of Ihe Contrectors Llcense Lew (Chepter 9(commencing with Sectlon 7000) oi Division 3 ot the Business end Protessions Coda) or that he or she is exempt �heretrom antl ihe basis tor the allegad exemption. Any violation of Section 7031.5 6y any epplicant for a pertnit sublects the applicent to e civll penelry of not more ihen five huntlretl tlollars ($500).): ❑ I, es owner oi ihe proDerty, or my employees with wages as thelr sole compensation, WILL DO THE WORK, antl ihe siructure is not intentled or ottered for sale (Sec. 7044, Business end Pmtessions Code: The Contractore License Law tloes not apPly to en owner of pmperty who 6uilds or improves thereon, and who does such work himself or hersetl or thmugh his or her own employees, provided that such improvements are not intended or otteretl for sale. tl, however, the building or Improvement is sold wit�in one year of compleGon, ihe ownerbuiltler will have the burden of proving that ha or s�e Oltl not bulld or improve tor purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Prolessions Code: The contrecrors License Lew does not apPN �o an owner ot property who builds or impmves thereon, antl who coNracis for such project with a comracior(s) Iicense pursuant to the Contreclors License Lews.). ❑ 1 em exempt under sec. Business and Professions Code for ihis reason: Signeture: Date: Owner ID veritled by drivers license. ❑ Yes ❑ No Dnvefs License No. Expires: VeAficatlon of Ownership by (rype of document, I.e. - property lax bill or deed): DIVISION OF INUUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby cetlliy thet no excavatlon tive (5) or more feet In depth Into which a person is requlred to descentl, will he maCe In conneclion wiih work authodzed by this permlt, entl that no builtling strucWre, swtlol0ing, talsework, or demolition or dismentling thereof, will be more than thirty-six (36) feet high. (C�ep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomle Adminlstretive Cotle). ❑ As owner-bulltler, I wlll not employ anyone to tlo work which would require a pertnit from the Division of Industrial Safery, es noted ebove, unless such person hes e pertnit to da such wark iram Ihe division. SignaWre: Date: Division of Industrial Safery Permit Number: CERTiFlCATE OF COMPLIANCE ANU AUTHORVATION OF ENTRY: I certify untler penalry of perjury that I have read this application and state that the informetion given is cortect. I egree lo compty wlth all siate lews and city ordinances relating to buildinq construction, and authorize reD�esentatives ot the City ot Coste Mesa to enter upon �he above-descdbed pmperty tor inspection puryoses. I egree not to occupy or allow occupancy ot any building authonzed by this permit until final inspection. n+svetnoxttve (/ 18 Fixetl Sysiem Finel Fire Prevention 1288 Pool Spe Finel 200 Final Re-Roof 201 Final BIocWReteining Well 202 Finel Fectory Fire Place 203 Finel Sign 204 Finel Demolition � � //b7 , Cooe� iwsvernoxrrve 206 Final Mechenical 20B Final Plumbing 210 Final Elecidcel 212 Final Fire Preven6on 220 Final Plenning Appmvel 222 FinalSite 250 Final Building/Occupancy OAg II�ALS 0 I � Applicant lo fill in all'spaces eacept those within �eavy borAer lines antl sign all approP��ate aeclarations. CITV OF COSTA MESA CONSTRUCTION PERMIT PERMfIT NO. TRACT NO_- LOT NO. i inuT nin - Project Address Applicant's Mailing Arc�{'dreu' q p /� Owner'sName //'�AmQ� lR,�� Phnn �lS.iV' /� Address � F�.�'�� P� Arch/Eng. License No. Address - Contrecror's Name 2? j� ,LPh/o1�,e � Address (ma i��1 � �(,�J R"� � � h City Licensa No </ '. 5 LICENSED CONTRACTOR DECLA0.ATION I hereby affirm tha[ I am licensetl untler provisions of.Charter 9(commencing with section 7000) of Division 3 ot the Business antl PrOfessions COtl¢, antl my license is in full tor .anC eftect. License Class ic nse �lo.�� ate Si9nature WORKERS' COMPENSATION DE LARATION - . I hereby affirm that I have a certificate of consent to selt-insure or a certificate workers' Comoensation Insu�ance, or a cerilfietl copy thereof (Section 0; Lab: C.) ' �icy No. ��zl% Company i� ��L%� ❑ Lertifietl c�o.�PYj��s f"iletlbwitnrtnehc"�tY B Irg isi � Dat��'� Appllcant �� EXEMPTION FROM WORKERS' CON�RENSATI DECLARATION (This section need not be mmpletetl if the permit Is tor one huntlretl ($100) or less). I certi�y that in lhe pertormance ot the work for which this pErmit is i55peQ I snall not employ any person in any manner so as to become subject to, the Workers' ComOensation Laws of California. Date Signature � NOTICE: It, afte� making Ihis tl¢<IaratlOn, you shOultl become subject to tne Wo�ke�s' Compensation p�ovisions Of the Labot Cotle, you must fo�thwith comply with such provi5iOn5 0� tM1is �De�mlt shall be tleemetl rewketl. CONSTRUCTION LENDING AGENCV 1 hereby aftirm that there is a mnstruction lentling agency for the performance of the work tor whiGh this permit is issuetl (Section 309] Civ. CJ L.entle�'s Name �entler's Atltlress OWNERBUILDER DECLAHATION ' 1 nereCy a(tirm that I am.exempt trom the Contractor's License Law for the following reason (Section 7031.5 Business antl Professional CoCe: Any city or county whith requi�es a permit to const�uct, dlt¢r, iTp/ove, tlemolish o� �epair any structure, prmr to-its issuance, also requires the applicant for such oermit to tile a signetl statement that he/she is licensetl pursuant to the provisions of the Contractor's License law (Chapter 9(mmmencing with Section 7000) of Division 3 of the Business ana Protessions Cotle) or that he/sne is exempt •refrom and the basis for the alle9etl exemption. Any violation of Sectlon '1.5 by any applicant tor a permit sublects the applicant to a civil .alty oi not more than five huntlretl tlollars ($500). �J I, as owner of the property or my employees with wages as tnelr sole mmpensation, will tlo the work, antl the s(ructure is not intentletl or-otferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor'S LicenSe l.aw tloes not avPty to an owner of a.property who builtls or improves [hereon, antl who tloes such work himselt/herselt or through his or her own, employeez, provitletl that such imOrov2ment5 are nOt intentletl or otfe�etl fo� sale. If, however, tne Euiltling or improvement is soltl within one year ot com- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- prove for the puroose ot zale). ❑ I, a5 own¢� ot the property, am ezclusively cont�acting with IicenS¢tl Con- tractorsto construct the project (Section 7044, Business antl Professions Cotle: The Contractor's' License Law tloes not apply to an owner of property who builtls or improves thereon. antl wno conVacts for such oroiec[s with a con- tractor(51 Lc¢nse pursuant co tne ConVacto�'s Llcense Law). I dm aware that proot oi their Worke�'S Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. tor this reason Date I hereby certity Ihat I informatlon is correct. I antl state law5 relatinq 1 sentatives of tnis c t InsOection pur s � $ignature Drivers' License or 55 � Owner rve reatl this applicatlon antl state t�at the above vee to comply wi[h all city antl county ortlinances builtling consVuction, antl hereby authorize repre- ent upon the above-mentionetl property tor Date ��T � 0865-46, rev. 5/88 White - Builtling; Canary TYPE OFCONSTRUCTION LJ NEW LJ AD� LJ ALTERATION L REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. � TYPE OF PERMIT U GRADING FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL PLVMBIN6 ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 5[l. F7. OCCUaarvCv— CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES— Remarks: Sink Preventer I rrigation Showers Service Sink Sewer C;ap Sewer Connection Solac Collectors Drinking Fountains Solar Tank Floor Drains Swimming Pool w/Spa Floor Sinks Urinal Gas Service � Outlets Water Closet Interceptors " .Water Heater Kitchen Sink Water Service Lavatories Auto�Wash • P—Trap Laundry Trays ' Roof Drains 0 .r. -ir S Main Building: E T Front 6 Rear A p Ri9ht S . Left Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher v4; Dryers ❑Gas:�Eleci Fan � ',.`-� F.A.U. Fixtures � Device Boxes � Outleis $wiiCh¢5 Garbage Disposal Generator �0-5 KW C Reinspection Fee � $15 � � Issue Fee � $ 3 Boiler Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. iCBO # Heating System & Ducting �0.100,OOO�BTU 0100,000 Reinspection Fee � $75 nq Pink - Ac<ounting; Goldenrotl - Assessor Hoodor Typel ❑ Canopy Typell ❑ Refrigeration. System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration F ire Dampers Registers , laue Fee I � S'3 Reinspection Fee zone Accessory Building: 2 O N I N G R Parking Req./Provided E . n M T $. ELECTRICAI Transtormer ❑ 15-50 KW ❑ SO+KW Meter ❑up to 100 amps . Meter ❑over100amps Sub Panel Motors�0.1 HP01N,-8 � InaSolar �9-15 HP �16-15+ Microwave ' Pole Light Range Standing Sections 5-15 KW Trash Compactor � $15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Buiiding Approved By � Appliwtion Issued By , 1 FEES $ 3 � SUMMARY OF FEES BUILDING PERMIT $ SMIP � $ PLAN CHECK $ PERMIT $ PLUMBING $ '��J �� ISSUANCE $ y� � ENERGV P.C. $ � PLAN CHECK 25% $ ELECTRICAL $ GRADING $ PLANCHECK 50°,6 $ MICROFILM $ MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ a� �+:�_�zWfa2-aac�ai,z �-�.��r p1TE� D31lt!/�4 TT_�lc: L5a33 y.D"U . r. t, , t .. _ . : �:, .. Y . _ . CONSTRUCTION•AND pLANNING P001 'PA � '�APPROVALS Permit# Date Inspector AppROVALS Permit# .Date Inspector- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . � 53. Steel Reinforcement � . 3. Elect[ical Conduit Utility-Undrgrnd. � 54. Forms � 4.�Electr:ical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Sieel, Reinforcement 56. Rough Plumbing & Pressure Test ' • 6.,Electrical UFER'Grnd. 57. APPROVALTO COVER-GUNITE 7.;Footings � . . 58. Electrical Conduit-Undrgrnd. � 8.•Foundation • �� . 59. Gas Pipe, O Undrgrnd., Test • . 9.�Water Pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, � 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 Wiring Sign 68. APPROVED�FOR PLASTERING 18'. Rough Electrical-T Bar �eiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20'. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil . 23. Gas Pipe-Rough�& Test' 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing - - 74. Overhead Hydro . 26. T-Bar 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. F.INAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31� Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final � .1 80. FOOD CERTIFICATE ISSUED 33. Final Electric y7 Notes: 34. Final Heating & Air Conditioning ' � ' 35. Final Gas Pipe-Test � � 36. Hood or Canopy . 37. Final Factory Fireplace � 38. Final Plumbing 3�6 8`� LED � 39. Water Service-Final ' 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer =�/.. 43. Backflow Irrigation �� r; : 44. ,Landscape Irrigation System . �;7 �7 45. Sound Attenuation , 46. Handicap Regulations � 47. FINAL STRUCTURE $� BUILDING . 48. Special Requirements Completed 49. Electric Release to Edison . ,� 50. Gas Release to Southem Califomia Gas Co � � �%�� 51. CERTIFICATE OF OCCUPANCY _ -r No. Date �l' F- W W K � i T COSTA MESA!� BUILDING %�DEPARTMENT �P.O. BOX 31T COSTA MESA CALIFORNIA C.L Oi STREET r 10 FT. FO O+ FiT. � , � � � � ' NE - EET �2 FT. 6 `SOFT.' � APPRO �.D " I 50 FT CITY OF C4ST MESA � PL�na1kG D PT. � SUB.l�CT TO BLDG. EPT. REG, �_ � r ---- sv � �"�" �L'tE I~= ��— IN� � � � W z J a P. ,� � � PROP LINE �'' � —��--�--i------ � — _� � / Z JI � � 7 ---ai o C 0 ¢ a� ��'��, �`� � , .� � � 10 I � FT - � r � � 40 � � FT � � . 3 so i ----� F- W W � 0 J tU S T. . � I � C.L. OF STREET G L n�) RS'� � MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES ' I '7�45 I FOR BUILDING �EES��C�U�� ' CI • nninr n �r_�oN, , � �.IN�PT. Mail Address S/°}�1"f i� � � d✓�'1" City _�.� t TR'_ I�'1 ES R__Ph. No. GC�_�S�g� Contractor� Ph. No. City Lic. No. State Lic. No. Size �of Lot� AP No. ��3 �.i y`�� Setbacks: C/L Street Rear Side Yard - Right Lecft Type of Fence_ 1`' �'- � D'� �` �a � ,o-,�►'4_. /��G'L'E �f'Y �l.ctK . FEI�� I hereby acknowledge that I hade read this application'and state that the above is correct and agree to comply with all City Ord- inances and State Laws regulaiing building c nstruction. Signature �y � y`" • of Permittee � � � �•–�,►�– �`� _ 0 FOR OFFICE USE ONLY � � �`�c/� , Received by Da e Received Date Issued �;`...� � �9_ s _ ..._ ____ . VALUATION ��-�+ • p–cJ Permit Fee $� $ O � Plcm Check $ _^ d�4 TOTAL FEE $� U$E REVERSE SIDE FOR DETAILS d � L� �� vjz � �v� -- ----�- �� Z �I.CiY /P�-� �--lc. ' U,1 f i'/., �., t,,,� r T tl �� 1 Z�i=.I� �� N �� f NS i 3? �. o F Gv 13.t i= A �� . �� s3s w[sr onr�oao sr. P.�. BO% 9065 LONG BEACH 10. Cq�IGpliNl� HEn�vcK 5-9q93 NEv�o� 6-5�96 Twinina Laboratories o Examination No. Project Sample from Architect Contractor �IX �Vater, gaL/sk. cement Slump Date cast , Date tested BR�NCM OIiICC: 30015 N. 6in SL EnST P,p. BOt 9�B PALMOALE. C/�LIfORNIA w�riosvw O-59n csoui�te2n �a�ilo�izia Auguat 22, 1958 ^GUPIITE't REPOHT OF �}�$� TEST CYLINDEA 58-Zo7o NiR. ZAG RODSKY - S;rIh1 POOL 463 Elmhurst, Costa iyiesa, Calif'ornia Pool Walls Cvlinder No. co�ii��u:ssio� Trs�r Total load to destruction, Ibs Pounds per square inch Fiesta Pools Fiesta Pools 1 - 4 1/2 7-25-56 8-1-58 1 7 Days 78,500 2,77K 8-22-58 2 28 Days A 99,000 3s5�0 AL�� 2F; 1 y� 6 C�uilcflCeafa Meea � B AaPt. . C��I�r�de��»adeby P, A. Durxee �4: F'iesta Pool Co. C}�linder delivered by PZ, Zuidema Cvlinderrecei��edon 7.2(�_5g Note: 28 day test compliea with specifications. 0(.9 QJo/s cc: ftodsky Fiesta Poo� Costa NiesA Bld;. De�t. SA Lab T\VINI�G L��TORIE_ S OF SO 'AV CAI.[FORNIA !�-cc � •u ewn�� ee� ��erm�o �� r�[ mnnoanevirordr o� cuwr�. �vrxoemnow roe nnuunon o� we e�raer�. eo�cw�ww�. oe u. TMGTI IROM OI� I�[W 11OIM0 TN[Y 1{ 1�[tIIN[O rW OIMO WI� WR�Tf01 /JrROY1L .�� A YIl�YAL rI�OT[CTIOM TO CLI[NT\� fM[ ryCLIC NiO W 11�[LV[�. ! _; Z . W W a U. Z Z� O fn am J � i J 4 U � ZQ W � aw wz J Q m z J � W w 0 = Z H w� N � � 0 F' z Q U ib� !'J COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 rair 1%R 13-73t;;s�4� Gyi* x�;:n':''S.50 APPIICATION FOR BUILDING PERMIT ForApplicant to Fillin Completely RECEIVEO BV OATE FECEIVED DA E ISSUED a��o�N� [�. _ a_ ADDflESS I it�� — �+'r W J2S7' �,�. U� — — �p,1�J r PE MIT�AOI- OWNER � �V � IZ �Li(,• A.P. NO. .��J J VY I� MAIL ^ I U /�, �/. . BUILDING � 2 ADDRESS y 1`� o' /9�'�- V Ci�� ADDRESS � �, �(f ii CITV �V�ry {� � IA' I�i�� NOL `� rOJ� / TFACT LOT BLOCK CONSTRUCTION ,�q � / NEW ADD A R P LENDER �T' LT � BRANCH � j�f ' OWNER � �J', ��I�'�% Li�:.�IC. A�DRESS ' VALUE ApCHITECT TEL. - SE $ ISD OR ENGINEER N . FIRE ADDRESS ZONE T PE ROUP CONTRACTOR Q W'y JL.� �(�'�,��/y ByPROVED DATE � ADORESS ' TEI. �ONE NO.OF USE OF NEW CITV NO. PLANS BUILDING STATE CITV �'AR SAPPROVED VARDSAPPROVED LIC. NO. �IC. NO. MAIN BUILOING ACCESSORV BUILDING SI2E NO.OF BLDGS. (FROM C/LSTREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF . EXISTING BLDG. SI FT. SIZE OF NO. OF NEW BLDG. Ii00MS STORIES L SIDE FT. PT. EMERIOR WALL FOOF COVERING COVERING PEAR FT. FT. USE OF BUILDING AND WOFK TO BE PEfiFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOGS. �F �.R S/ Y �. N C-N IJ�.O�� C URP.� APPROVED ! . I�dN � APPROVED S.�P.SE W Y� i� I hereby acknowledge that I have reatl this application antl state _�L ffiat the above information is correct and agree to comply with �w all laws reg�lating builtling construction, antl I shall not employ any pe�son in violation of the wo�kman's compensatiOn laws ot the State of Californie. • . a ¢ I heteby certify that I am prOperly licensetl as a contracto� untle� SQ. FT. ' the State ot California Businass antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such IicenSes are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIY: Q am exempt from the provisions of ffie State of Calitornia Business VALUATION antl Professions Cnde, Division 3, Chapter 9. PERMIT FEE $ �"- � J Sipnaiure ot • ��777 Permittee _��`_� $ /�(� O� PLAN CHECK $ o O� �j� Authorizetl Agent G� � J LL TOTAL FEE $ �/ /' �• = ;: �osta Mesa Bnilding Department - . _ ' ' � 111 EAST 20th STREET � . � COSTA MESA��CALIFORNIA � � FOR APPLICANT TO FILL IN BW�d��g Address 6."3 E fi111llT3t 1,8Il8 Costa Mesa, California, Owner Mail or Address Size of Lot New rbor Const.Cowo: � � 3761 flRIP. No. 40 I Block j 7'ract2727 �nd Bounds) No. of Bldgs 5 X 111 Nowon Lot INo.of I No.oT Famliles Rooms om RearYard 29 �Moving I I Demolisf No. of Rooms Stories I Roof Covering dence & Detached APPLICATION FOR PERMIT BUILDiNG � FOR OFFICE USE ONLY Receipt No. - Permit No. �4�b ;eivedbY �/%'Zi/j � y'/!�'/"� i Address Costa Mesa, Plans I tl COYtRECTIONS - - Forms, Materials, P2&8 Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby aclmowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int with all City Ordinances and State Iaws regulating - building construction. Lath. Ext. Signatureof Permittee bo onstructi CO. Plaster,lnt. Authorized Agt. Plaster, Ext Valu,aiion Permit Fee $ � p '� Masonry Reinforced Plan Check $ / � g 11 � 200 Bond eeam . Total Fee $ � FINAL '�FORM 204 S-SP 2bi 6-55 ' � � - . •.-: . . i � _ . . ' 9.','.', ' ' "_ "' _ _ ` __ _ u c m J �. C . Ca L:.. � . ..:. J . � a -a - - - ` --.- - --.�. _.a. '. � � Street -- �-- ' -.i . '. . . ;;.; •• � �� ..i. •... ��. ..• �• ... ♦ •� . . . 1 .. � V. � . . . ..._ � _.T _ ' •,f . . � _ e ' : f, � ' .__ '_ ' "' _"_"' '_." _:��' , ' __ _"_ . _ i^ ._ �.'.. " .?'._ . . , cosTll � � - �°R26-�P��E5A.857a �:ir��Z.r!� �- -- — --- - - -� - __., - � �: � _. . _ '. t . I ' - - PI.(Y� PLAN __ . _ _ "' . ' � '' - - - _ . _ " - - Show locatlon and distanqes irom , , � , � property Iina and between 6uildings . _ • _ . . _ . _ - r, ' � - . . .. . �- - . . . � ^.. t .-_.._ _�,� , -- - -'- �. -_ _. ' - - � . ` ..�._ � , �� 1. , . .. . — ' -. ' - ' - . --� ., _'.. _ _ v , _ . _„ - � _ _ ... . . � �. . - - - . _..- . _ . .- - - � - � . -i �.. � . - � - - - -- � - .�. , ' � -' .. ` - ..,. ' .. : .. . . . . _ ...- - - - --; . - �" .;� . �7065 �� aFEE RECEE�EDL. . 0 • COSTA.MESA BUILDING DEPARTMENT� ��' �� - �/�-7/S� P. °. B°x "' �q�� FINANCE DEPT. � COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICAT'ITONFFORAPER4MIT ADDRE'S5 '2� �� y1q . BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY I OWNER Ipqr O' LEGRL OESCFIPTION AP. NO. � SIZE OF LOT CGl TEL. �5�, NO. � LIC. � NO:�� i E 1 �(„2�4�N- '� CITV UC. � o (�, j NO. � + � ' EL./VG BLOCK T�� J � l.Q%_t% �ow�ov �ocs. / f SETB4CK LINE FROM CENTER OF STREET REAR YARD a �SI�E YARD RIGHT � LEFT DESCRIPTION OF WORK N ALTERATION ADOITION REPAIR MOVING DEMOLISH BUILDING � � � -NO.OF ,� SIZE ROOMS � STORIES EXTERIOR W ROOF � COVERING ) COVERING USE OF NEW `/� BIIILDING Piil U QTiR .J\�_R fW � U�` I HEREBV ACKNOWL GE THl�T 1 Hl�VE STATE TM4T THE N E I$ COflRECT hN c17Y OROINANCES N E( TION. ORRED AGENT � ./L[�..�/ 1 �/'V V I U� BUILDING , ��^� ��n �`� ADDRESS ��a COSTA MESA. CALIFORNIA FIRE ZON ZONE .�Y�j /��I � DATE (� � RRECTIONS ..��U� �.�r .:z;T�^i^Pi:FSA —�=r % , v s . . SUBJECT F� nn 5 P I TI 4NO O P W ALL IL N C TFVC- �. VALUATION � PERMiT FEE $ g� / 0 j� ��PLAN CHECK $ 5'� app� � U TOTAL FEE S �,.5'— ..� �eMr