HomeMy WebLinkAbout2837 EUROPA DR - Building PermitsCITY OF COSTA MESA
9UILpIN6 DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
PERMIT NUMBER / V
(714) 754-5273 • Fa7t (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
2837 EUROPA DR
13945520
HENDERSON, MARIE
Owner. HEP
Address 2837
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status: ISSUED
Applied: 07/01/1998
Issued: 07/01/1998
Phone:
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,INSTALL`NEW,t/2 H.P. SCREVJ DRIVE GAR4GE DOOR OPENER. PERMIT UNDER CITY OF;COSTA MESA
� �� , � -, � HOUSING REHABILITA/ION PROGR4M ' � \,
: �, � . �,- � i � � .
.� � - . _ ---- �- - - - - - - --- �
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` � / � ' ..` , . ^:FEE SUMMARY,, , � �, � �_ �
�
� 1.Quantity --- _ -" � -- - - � �_' � , Quantity � . .
...... ��FEE , ��, � . , � . .
service test � '
.,- ---'--- � �, a, ..
New Res (1-2 units)',
New Res�(3+units)-'
Pool / Spa�� � �
i �..�,�:.,...c�.;e ,
Recept Outlets • �
Switches `��� �
\ �
Non Res Appl �\ �
ResAppl ���\
Service to 200a'�? �
Service to 1000a _`
Service over 1000a��
Motors to 1 hp �
Motors to 10hp
Motors to 50hp
Motors to 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Li9ht Pkq
Sign Circuits
Temp Pwr Pole
Intermed Pole
$22.00
$0.00
$0.00
$0.00
so.00
$0.00
� $0.00
` � $1.00
� $0.00
�� SOAO
$0.00
50.00
i $0.00
� �$0.00
� �,1
Temp Dist System I Lighting $D.00 0
r���'-' ���2'. _:�r--�.:Busway /,100.8�/ `� �';;r._ �� $0.00 0 . . �
'- "'- "' - - i� Standing.Section J .� � $0.00 0 ' - - � ���% •
�� 0 � - � -' ;' Misc Electrical Equipment � $0.00 0,� , �� '
� 0 Transformers up to i kva/kw $0.00 0.`: �.. �,�
�% 0 .............::.`upYo 10 kva/kw � ' �� $0.00 ,D�, : � �, .
� 0 ...........��.:.up'to�50 kva/kw � $0.00 ,!0�� :� . � '.�1 .
1 _ .................up to 100 kva/kw , $0.00 ,-/ 0 ; ' � ' � / ,� �. �
�l 0 ,�...,::.:?...........over100kva/kw �$0.00;%i.-0 �_ � /�,'1
, 0 � n�,,�,,LowVoltage�Equipmenl $0.00��"�0 � ,
0 �'-�1' � , Low.VoltWringSystem/Ckt $0.00� 0-% ���_�!�
._ �: � . ^ . , � .
0 , 1 � � - � Misc. Conduit ; „ $0.00 0 , ,-
�
0 � " � � - Mise. Conductor� � ., %� $0 00� � 0 / /; �
�
��0�' � G`��.� Cvius(genOrride) is ��i$000!��-0 �
.r..�� ��t`� ''_� �" Circus(mech�rideorhghtsyi $000;',j0�- �
S0.00 ' " 0-_ � � �<._ -- � . `Chri'stmas Tree Stand" _ �' �$0,00 � 0' �, -�
E0.00 %, ; 0 ' �'�� -FireworksStand - � � •'$0.00" �-0 %
'$0.00 % � - �, 0,_ _ � � Other EleCrical Fee . . $0.00 - �
$0.00 ��i�0'��; ;-,.-� � .. _� � , . ' .� .
$0.00� �- 0 � �-�' �, � � - � Investigation Fee�� ��. �,_ ; ,-�$0.00�' �
$0.00�,_- ._�, 0 � ' , , .PlanCheckFee�_= �-,:'$0:00
$0.00 � � = 0-:_ .- - -� � � � Reinspection Fee ; j , : � � $0.00
$0.00 ��p � .., .. . ._ . -
$0.00 0 - �� -'� TOTAL'CALCULATED FEES E27.25
$0.00 0
COMMENTS / SPECIAL CONDITIONS
EXPIRATION: This pertnit shell 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 ihe work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all
required Inspectlone and final epprovel must be obtained. Failu�e to obtein inspectlons and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 7545828
WORKERS' COMPENSATION DECLARATION:
I hereby effirm unAer penelry ot perjury one oi ihe tollowing tleclaretions: . �
❑ I heve flntl wlll mainteln e certiflcate of consent to self-Insure for workers' compensetion, es proNded for by secUon 3700 of Ihe Lebor Code, for the pertortnance of the
work fw whlch this partnit is issued.
�heve arW will maintein workers' campensetion insurence, as required by seclion 3700 of the Lelwr Code, tor the peAortnence of the work tor which this pertnit is issuetl.
M workers' ccom� setlo Insur rtler and number ere: �
Y '° " I 3G�
Certier. ]�7��� Poliq Number. _
(This sectlon nee not 5e inmp/ered il rh peimlt is ve ed et one hundretl dollers ($100) or Iess.J
❑ I certlly ihat In �he perlormence at tha work for which this pertnit is issuad, I shall not employ any person In eny manner so es to become subJect to the woMers'
compensation lews of Celtlomia, end egree ihat if I should become sub�ecl to the workers' compensetlon provlslons of Sectlon 3700 of the lebor Code, I shell forthwith
� comply wilh IheSe p I i Y //�
Applicant Slgneture: � Dete: �/ _ ` �
WARNINO: FAILURE WORNERS' CpAPENSFTION COVERAGE IS UNLAWFUL AN� SNALL SUBJECf AN EMPLOVER TO CFIMINAL PENALTIES PND GVIL FlNES UP TOONE HUNDRED
TFKKISAND DOLLA 100.000), IN ADDITION TO THE COST OF COMPENSATION, DPhNGES AS PROVIDED FOR IN SECfION 3]OB OF THE LABOR CODE, INiEREST, M!D FTTORNEY'S FEES.
LICENSED CONTRACTORS
I hereby eflirtn Ihat I em Ilcenf
force entl eflect. Lic. k_
Contrectols Signeture: _
C�apter 9(commencinq with Sectlon 7000) of DlNsion 3 of t�e Buslness end Prof¢�lons Code, and my license Is in full
Cless # b
Dete: %— �
CONSTRUCTION LENDING AGENCY:
❑ I �ereDy affirm Ua� there is B cOnStrudion lending egency far ihe perfartnance of the work for which this pertnit is issuetl. (Sec. 3097, Clvil Cotle).
Lentlers Nama: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrtn that under penelry W per�ury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe fWlowing reason (Sec. 7031.5, Business end Pmtesslons
Cotle: Any ciry ar counry wNch requlres e perm% to consirucl, eller, Improve, tlemolish, or repair eny structure, pdor �o Ita Issuence, also requires t�e appllcant for such permit
to file a signetl stetement Ihet ha ar she Is Iicensed pursuant to the provisions ot the Contradors Llcense Law (Chapter 9(commenGng wlth Sectlon 7000) ot Divislon 3 oi t�e
Business end Pratessions Code) or �hat he or she Is exempt therefrom and tha basis for the elleged exemption. My violatlon af SecUon 7031.5 by any applicant for e pertnit
subjects the epplicant to e clNl penalry of not more Nan five �undretl dollars ($500).):
❑ I, es ov.ner at the property, or my emplqreas with wages es ihelr sole compensatlon, WILL DO THE WORK, anO Iha structure Is not Intentled or ottered for sale (Sec.
7044, Business end Protessions Code: The Contrflclors License Law daes not apply to an owner ot properry who builtls or Improves thereon, antl who does such work
hlmseH or �erseli or Ihrough his or her own emDloyees, Orovltled that such Improvements ere not IntenCetl or oftered tor sale. If, however, the building or improvement is
sald within ona year oi completlon, ihe owner-bulldar will �ave the burtlen ot proving ��at he o� she tlid not �ulltl or Improve tor purpose of sale.j.
❑ I, as owner of ihe property, em E%CLUSIVELY CONTFiACTNG WrtTI LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business and Professions
Code: The contractors License Lew tloes not apply to en owner of property w�o builOs or Improves thereon, entl who contrects for such pro�ect with a contractor(s)
licensa pursuent to the Conirectors License Lews.).
❑ I am exempt under sec. Buslness antl Pmfesslons Cade br this reason:
Signature: Date:
Owner ID veritietl by drivefs Ilcense. ❑ Yes ❑ No Driver's License No. Eapires:
VedllcaHon af Ownership by (rype of documem, I.e. - properry ta+c 6ill or Ceea):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
❑ I hareby certlly ihet no ezcevetlon five (5) ar more feet In tlepth Into which e person I5 required to descentl, wlll De mede in connectlon wlth work euthorizetl by this
permit, end that no bullding sirucWre, ecaflolding, felsework, or demolitlon or dismentlinp thereof, wlll ba more then ihirty-sl: (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Ttle B, Celllomle Administretive Cotle).
❑ As awner-bullder, I wlll no� employ enyone to tlo work which would requlre e pertnit from the Divislon ot Industrlal Sefery, es noted above, unless such person has a
pertnit to do such work fmm the division. �
Signeture: Dete:
DMsion of IndustAal Safery Pertnit Number:
NAZARDOUS MATERIALS AND EMISSIONS CERTIFICATON:
1 WIII the epplicant or present or fuNre builtling occupant need ro tile and certity a Business Plan for emergency response to release or threatenetl release ot e harardous
meteriel? ❑ Yes ❑ No
(Sectlon 25505 of Ihe Califamia Heelth end Safery Code requires, with some exceptions, that a Business Plan 6e filetl wlth Ihe Costa Mesa Fire Department by every
business which has et eny one lime during e reportetl year a quantiry ot harardous materials equal to or greeter Ihen e weight af 500 pounds, or a volume of 55 gallons,
or 200 cubic teet ot compressetl gas et stendaN temperelure and pressure).
..................................................................................................................................................................................................................................................................................
2 Does ar wlll the ep011cant or present or luture bulltling ocwpant need to fde a registretion lartn for ecutety herertlous matedals? ❑ Yes ❑ Na
(Sectlon 25533 of t�e Celifamle Health and Sefery Cotle, wIN sama eaceptions, requires regisiretlon wlth the Coste Mesa Fire Depertment by each business which at any
ona time �es on hentl e quemiry ot ecutely hezardous matenals equal to or greater than e weipht of 500 pounds, or e wlume oi 55 gellons, or 200 cubic feet of
compressetl gas at standard temDerature anC O�euura).
..................................................................................................................................................................................................................................................................................
3 Does or will the epplicant or present or tuture building oaupant neetl to prepare en RMPP (Rlsk Management and Prevention Program for ecutery hazardous materials)4
❑ V89 ❑ No
(Sectlon 25534 at the Celitomla Healt� antl Sefety Code pmvldes that iha Casta Mesa Flre Depariment may requlre the preperation, certification and filing with the Fira
Depertment of en RMPP by businesses which ere required to register acutety hazertlous materials wllh Ne Fire DeDartment.
5 Does ar
hom the
eny
e
.............................................................................................................................................................................................................................................................
PP Is presently requlreA, has Section 25534 of the Califomla Heelt� antl Sefery Code been fully complietl wlt�7 O �es � No
.............................................................................................................................................................................................................................................................
wlll Ihe epPlicent orpresent or future building occupant require tor ihe work which is the sub�ect oi thls e pllcetion epe rmit for such construction or modificetion
South Coast Air Quality Menagement District or from any oiher elr polWtlon crontrd tlistnct or agency4 � Ves ❑ No
658502 of ihe Celitomla Govemment Cotle requires ihet ihe requested Informetlon be furnished on epplicatlons for non-residential building pertnits).
...................................................................................................................................................................................... ................. ................................................
parl oi the feclliry to be constmded under this permit be within 1000 teet from tha outer boundades of e school7 ❑ Yes ❑ No
t�e teciliry must meel the requirement of Seclions 25534 and 42303 0� ihe Califomle Heali� enC Safery Cotle).
.............................................................................................................................................................................................................................................................
nit from �he South Coest Air Oualiry Manegement Distdct or other elr pollution control dlstdct or egency Is reGulred for the work which Is ihe su6�ect oi ihis
on. heva ell of �he disclosures o�escnbed by Celliomia Health antl Setery CoOe Sectlon 42303 been mede4 ❑ Ves ❑ No
B (H'yes", attech certificate ol compliance from the eppropdate eir polNtion conirol otticer).
GERTIFICATE OF COMPLIANCE: I cenity thet under penalry of perlury the iniormation given ebove Is correct. I agree to comply with all state laws entl ciry ortlinances
reperding Herardous Meteriels end Emisslons.
Signature: Dete: -
CERTIFlCATE OF COMP E AND AIfT}10RQA710N OF ENiHY: I certify untler penelry of perjury that I have read this applicetion end state that ihe infarmation given is
correcl. I egree to comply w all s�ete and cly ortlinences relaling to building construction, and euthonze representetives of Iha Ciry of Costa Mese to enter upan Ihe
elwve-descn')Bd-prepeRy`or sp purpose . egrea not lo occupy or allow occupancy ot eny building e�thonzed by this pertnit until tinal inspection.
COUE �. INSGECTION ME
1616 Fized System Flnal Fire Preventlon
1288 Pool Spe Final '
200 Final Re-Rooi
201 Final BIocWRetalning Well
202 Finel Fectory Fire Place
203 Final SIBn
I 204 Flnel Demolitlon
2A46d8
DA7E It�lS COUE �
208
. 208
2io
212
220
�_/ ^ �„ Dete
77�
� Date
msPernoxrrve
Flnel Mechenical
Final Plumbinp
Flnel Elecirlcal
Finel Fire Prevenllon
Finel Planning Approval
222 Finel Site
250 Finel Bullding/OccuDency
��
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CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
98-00286 ��/jy�
PERMIT NUMBER U
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 2837 EUROPA DR
Suite No
Vicinity:
Parcel Nunmber: 13945520
Applicant:
Address:
HENDERSON, MARIE
Owner: HEN
Address: 2837,
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InstFAU`<100k�BTU�`� \��
Inst FAU'?100 k BTU - , A
Repair / AIt�Coohng/Heat
Inst / Rep. Recess Wall Hlr
Refrig Sys <'100,k BTU �
Refrig Sys �100 k BTU _
Gas Piping � �A�
Factory Fireplace �� ;
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < t0000cfm
Air Handlers > 10000ctm
Floor Furnaca
Floor or Suspend Heater
�
Status:
Applied:
Issued:
ISSUED
07/01/1998
07/01/7998
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' REPLACE EXIST FURNACE & Th
HOOK UP CAPABILITY i1ND TO I
MESA HOUSIIJG REHABILITATIC
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2MOSTAT_W/'EQUIV 8TU RATING,-NEW FURNACE TO HAVE A/C � ti�
:LUDE WALL MOUNT THERMOSTAT.,PERMIT UNDER CITY OF COSTA �
LOAN PROGRAM .,. P:% � � � �
' �_ - � ' � FEE SUMMARY � � �� ��• ��- , � '
� Quantity.� . - I ,�, Quentity
$22.00' Repair7'Alt Absorbhon Unit ' �" .'.$0.00 i 0'�
$13.25 Repair7:Al[Refrigeration Unit �,�;; � : $OAO" 0�' �
$0.00 • Ventillation System : i�. . $0.00 '0 �
$0.00 0 �, i'_EvaporativeCooler �/' '�$0.00„��0�
,$0.00 0� y; y�'��-� �Commerciallncinerator r�/'/ $0.00�',0
$0.00 0 ���,��� � �a.Domesticlnclneretor �j�� � $0.00
$0.00 0 , � ���'%+ � E^ �Coinpressors/AbsorptionSystems ��� i:i,,
$0:00 �0 � �F-,�� /%CUpto3.hp/100kBTU;�,."[; � � � $0.00
$0:00 �0 �.�>' f� ,�� 3 To 15ihp,1�500 k BTU �- /,,.✓� ��� ��,$0.00
$0.00 � 0�A � '��� s� `�' f�j5 To 30 hp /=7 OOO�k BTU '"%. � Ii �,$0.00
$0.00 0' �� ' � _' '�� F - � " ,;30-fo�50 hp l'1_;750 k"BTU-',A � ;`� �� � � $0.00
$0.00�;0 � �� �� �- �OJer-50 hp /"Over 1,750 BTU-,' = � ��•'�� $0.00
$0.00 �0 �`'� ` -.. Boders "� %
$0.00 � � 0 �' ' . � � - Up.to�3 hp � 1 `. - . ,( ;>' $0.00
$0.00 On,`.� r---, t' -3To15h'p���� �', �,, �. � $0.00
$0.00 � 0 �� .� � � � � � �15 to 30 hp. = -y,� $0.00
$0.00 � 0 � ; � � - � � 30 to' S0 hp � /�' � $0.00
$0.00 0 -, _ � - - '�� -0ver.50 hp'�� - $0.00
$0.00 0 ` - -�� - _ 'Ottier Mechanical Fee
$0.00 0 - Investi9ation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES E35.25
COMMENTS / SPECIAL CONDITIONS
�
�
�
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�
EXPIRATION: Triis permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred InspeoUona end flnel approval must be obtained. Failure to obtain inspections and flnal approval will rasult in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
WORKERS' COMVENSA710N DECLARATION: . .,
I here6y atfirtn under penalry of perjury one of the following daclaretions: �
❑ I heve end will meintain e certifcate of consent to self-Insure for workers' compensetion, as provided tor by sectlon 3700 of the Lebor Cade, for ��e pertormence of ihe
/ work far which Ihis pertnit is issued.
'p I heve and wlll meintein workers' wmpensetion insurance, es required by section 3700 of the Lebor Code, for Ihe perfortnance of ihe work for whlch this pertni� is issued.
M workers' sati Insuren merend li num6erere: �S / ��] j�--)/ ,�^�
Gartier:Y_���f/�-/� � , Policy Number: � .7C.G j �� � �� /
(This secNon need not be comp/eted /l the peimit !s va/ued et one hundred dollars ($f00J or less.)
❑ I cerlity thet In the,peMormflnce of Ihe work for which this Dermit is Issuetl, I shall not employ eny person In any manner so es to become subject to the workers'
compensatlon laws8 Itomia, end egree thet If I should become sub�acl to the workere' compensation proWsians of Sedlon 3700 oi Ihe Lebor Code, I shell torthwith
comply with thes ro slons / �
Applicent Signature: Dele: � ( � �
WARNIN�:FAIWRET CUREWORKERS'COMPENSATIIXJCOVERAOEISUNLAWFULANDSHALLSUBIECTANEMPLOYERTOCfiIMINALPENALTIESANDCIVILfWESUPTOONEHUNDRED
THOUSAND DdlARE (5100,000), IN ADDfTIIXJ TO THE CAST OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECfION 3106OF THE LABOR CODE, IMEREST, AND ATTOFiNEY'S FEES.
LJCENSEDCONTRACTORS
I hereby effirtn that I am licer�
force end effect. Lic. # _
Contrector's Signeture: 1
9(cammencing wlth Sedion 7000) ot Division 3 of the Business and Profesypns ^ade, entl my Iicense is in full
c�au a /`S
Date: '�
CONSTRUC710N CENDING AGENCV:
❑ I hareby affirtn Ihat Ihere is a canstructian lending egency for the perfortnenca of Ihe work for which this pertnll is issued. (Sec. 3097, Civii Code).
Lenders Neme: Lendels Address:
Signature: Dele:
OWNER•BUILDER DECLARATIONS:
I hereby effrtn thet under penalry oi perjury thet I am EXEMPT FROM TNE CONTFiAC70RS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Business end Protessians
Cotle: Any ciry or counry whic� requires e pertnit to construct, alter, Improve, tlemolish, or repelr eny siructure, pnor to its issuance, also raquires iha eppliwnt for such partnit
to tile e signetl stetement thet he or she is Ilcensed pursuent ta the pravisions ot the Cantrectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of ihe
Business entl Professions Code) or ihat �e or she is exampt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any epplicant for a permit
sub�ecls Ihe applicant to a civil penalry of not more than Hve huntlred dollars ($500).): �
❑ t, es owner of the properry, or my employees with wages es their sole compensation, WILL DO THE WORK, anC ihe structure Is not intended or oHeretl for sale (Sac.
7064, Business and Protessions Cotle: The Coniractors Llcense Law does not apply ta an ownar of properry wha builds or improves Ihereon, end who tloes such work
himself or herself or ihrough his or her awn employees, provitled thet such impravements ere not Intended or ottered for sale. If, howaver, ihe hullCing or Improvement Is
sold within one year oi completion, ihe owner-�ullder will have ihe burdan of proving that he or she did not 6ulltl or improve for purpase of sala.).
❑ I, as owner of Ihe property, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business end Protessions
Cotle: The contracto�s License lew does not epply to an owner oi property who bullds or Improves ihereon, end who coNrects for such pmiect with e contractor(s)
license pursuent to Ihe Coniraclors License Lews.).
❑ I em exempt under sec. Business and Professlons Code tor ihis reason:
Signature: Date:
Owner ID venfied by dnver's license. ❑ Ves ❑ No Dnvers License No. Expires:
Venfcatlon ot Ownerehip by (rype ot document, i.e. - properry tex bill or deed): '
DIVISION OF INOUS7RIAL SAFETY PERMR CERTIFICATON:
❑ I hare6y certly that no excevation five (5) or mora feet in tlept� into which a pereon is required lo descentl, will be metle in connection with work authodzed by ihis
permit, antl ihet no bullding stmcture, scattolding, falsework, or tlemolition or dismentling thereof, will be mora then thirry-six (36) feet high. (Chep. 32, Grp 2, Atl 2, Sec.
341, Ttle 8, Celitomia Administrative Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Divislon ot Indusirlal Setery, as noted ebove, unless such pereon hes a
permit to do such wark from the division.
Signature: Date:
Division of Indusirial Sefery Permit Number:
WIII ihe applicent or present or futura building acupant need to lile and certity a Busineu Plan for emergency response to release or Ihreatened release of e hazartlous
metenal4 ❑ Yes ❑ No
(Section 25505 ot Ihe Celifarnie Heelth entl Safery Cade requires, with some exceptions, that e Business Plan be tiled with the Coste Mesa Fire Depertment by every
husiness which has at any one time during a reportetl year a quannry of hazardous matenels equel to or qreater Ihan a weight of 500 pounds, or e volume of 55 gallons,
or 200 cuhic feet ot comD�essed gas et stendaM temparature end pressure).
.................................................................................................................................................................................................................................. .....................................
Does or will the epplicant or present or NNre builtling occupent need to file e registration fortn far ewtely hazerdous metenals? ❑ Ves ❑ No
(Sedion 25533 ot the CelHomia Heelih entl Setety Code, with some exceptlons, requlres reqisVetion with the Costa Mesa Flre Department by each business which at eny
one time has an hand e Quentity of ecutely hezerdous meterlals equal to or greeter than e welght of 500 pountls, or e volume of 55 gallons, or 200 cubic teet of
campressetl ges et standerd tempereture end pressure).
..........................................................................................................................................................................................................................................................................
Does or will t�e applicant or present or future building occupant need to prepare an RMPP (Risk Management end Prevention Progrem tor acutely hazardous marenals)7
(Section 25534 ot the Cellfomia Healt� end Satety Coda provides ihat the Costa Mese Fire Depenment mey require the preparetion, certificetion end tiling with the Fire
Depertmen� of en RMPP by businesses which are required to reglster ecutely hazardous materials with ihe Flre Department.
..........................................................................................................................................................................................................................................................................
If an RMPP is presently required, hes Sectlon 25534 ot the Celifomia Health antl Satery Code been tully complied with7 ❑ Yes ❑ No
..........................................................................................................................................................................................................................................................................
Does or will the epplicant or present or Future bulltling occupent requlre tor t�e work which is ihe sublect of thls a�pplication a germit for such consirudion or modification
from ihe South Coe51 Air Ouality Management Disiriq ar irom any other elr pollutlon control tllsMct or agency7 ❑ Ves ❑ No
(SecGon 658502 of the Celifomia Govemment Coda requires Ihat ihe requested intormetion be fumished on epplications br non-residential building pertnils).
.................................................................................................................................................................................................... ....................................................................
WIII any part oi Ihe feciliry to be tons(mded under ihis permit be vnihin 1000 teet from lhe ou�er boundefle9 01 e sChool? � Y&5 ❑ No
(If'yes", the faciliry must maet the requirement of Seclions 25534 and 42303 0� the Calitomia Heelih antl Satery Cotle).
............................................................................................................................ ...........................................................................................................................
If e Permit fmm the South Coast Alr Ouality Menagemen� District or other elr pollutlon conirol tlisMct or egenc� Is requlretl Por the work w�ich is ihe sub�ect ot ihis
eoolicelion. �eve ell of the disclasures Orescribed by Celitomia Healih end Sefety Cotle Section 42303 been matle. ❑ Ves ❑ No
B Qf yes', attech ceNticate oi compliance irom tha appropriate eir polWtion wntrol otticeq.
CER7IFICATE OF COMPLIANCE: I certify thet under Denalry of perjury ihe iniortnation given ebove is correct. I agrea ro compty with all stete laws and ciry ordinances
regarding Hazerdous Meterials and Emissions.
SlgnaNre: Dare:
CERTIFlCATE OF COMPLI E AND AUfHORVATION OF ENTRV: I certify under penelty of perjury that I have read this applicetion antl state lhat the intormation qiven is
correcl I egree wi h all slate lews and city ordinences rela�ing to building constmction, and euthonze representatives of Ihe Ciry ot Casta Mesa to enter upon ihe
above-desc' ed proDerry r pecdon puryoses. I agrea not to occupy or ellow occupan�y of any building authonzed by this permit until finel inspection.
COOE �. INSPECTONTYVE
1616 Fixed System Final Fire Preventlon
1266 Pool 5pe Final �
200 Final Re-Rooi � �
201 Final Block/Retaining Well
202 Final Factory Fire Plece
203 Final Sign
206 Final
2418<8
�_/� Dat�
-� Dflte
LOQEt INSVECTIONTYPE _ ueg,
206 Flnal Mechenical �iy� Q Q
20B Final Plumbing ' '
210 Final Electdcel ' �
272 Final Fre Preven6on
220 Final Plenning Approvel
222 Finel Site
250 Finel Building/Occupancy
0
�
�.
., �
,• . �
CITY OF COSTA MESA
� BI/ILDING p1Y1S10N
; � DEVELOPMENT SERVICES DEPARTMENT RAR-0'I'167
� PERMIT PERMIT NUMBER
��m P
(714) 754•5273 • Fau (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 2837 EUROPADR
Suite:
Vicinity:
Parcel Nunmber: 13945520
Applicant:
Address:
Owner: HE�
Address 2837
/� ��
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'.lilEng �\ i
Status: ISSUED
Applied: O6I30/1998 �
Issued: 07IOt11998
Zoning: R1 R1
Phone:
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Phone: 714-&42-5899 �� ��� � `• � `
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Zip: � � V� � `:���
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t� , � ���; �/�-'��� � SCOPE OF PERMIT _� i' ,, - `�
'" \\ , REMOVE EXISTING AND INSTALL NEW OVERHEAD GARAGE DOOR, DOOR IS TO INCLUDE 1/2 HP SCREW ��,
�`!,' / � ��.DRIVE GARAGE DOOR,OPENER.:PERMIT UNDER CITY_OF_COSTA MESA HOUSING REHABILITATION LOAN �'�'t
' '� � � � �' �.PROGRAM. ALSO RETROFIT 5 WINDOWS . ^ ���� /,' � i���-� �-°„ � A . �
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Plan Check: ' ° �$0.00
'' �'� Permit: � ".'��$62.25
,SMIP, Res ' ,:$0.50
SMIP Com. $0.00
���\;Other:�.'. ��$0.00
Inspection:, �� � $0:00
�`,�� �, �� ,
�
\ ,;,, FEE SUMMARY �/ �
: Fi ; � ,.
Ir.,;�.r'�±s7T��-���-. ,_?. �,/,t%,,_:.,CalcValuation: � � sz,000.00��
-__ _. _ __ � ,--, �'/` -_'_ _ ._Claimed Valuation: ,- S2,o,o0.00 �
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` � . "���� „ � �'PLANNING & ZONING : = / ��` _ i��'i
'�,V �, � A�\ > � � �" - �: � � nli;
� � ���V� � J�,r � �'. i// .. �l .�+/ ����� �
SETBACKS . % . ��, ��� , ,- � �,�,� � i'„ �� �� ; � �� � .. //�/
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MAINSTRUCTURE Front 0.0-� /i�� Rear ��0.0 _ � `Ceft ' 0-0 � �-� � Right��"-�0.'0� � %
� . /�/' --- . . � ,
ACCESSORY Fronl 0. 0 � � � - -
. � ���; ,Rear,� ,-0-'0- � . . �Left �, 0.0 -� � � �\, RighP _0=0
,�_ - , . . _:;,,
PARKING Existin : 0 �� � �-Reauired: � 0 � �i ;A.� Pr000setl: � 0� � _ "
�_ �; �
NOTES: ' ,, _ _- _ •„r�, ,. .. :,�:�.; -
EXPIRATION: This permit shall eutomatically expire and become void if work is not wmmenced withln 180 days, or If work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must eomply with ell applicable codes, and all
requlred inspeetlona end flnel approvel must be obtained. Failure to obtain inspections end final approval will result in the expiration of this permit.
FOR �NSPECTIONS CALL: (714) 754-5828
WORKERS' COMPENSATION DECLARATION: , .
I hereby attirtn under penalry of perjury ona of tha fallowing tleclaretlons: �� . ., �
❑ I heve end will meintain a cenlficete af consent to self-Insure for workere' compensation, es provitled for by sectlon 3700 of the LeDor Cotle, for the pertormence ot the
rk for whlch lhis pertnit IS issued.
I heve and wN maintain workers' compensation insurence, es requireA by section 3700 of Ue Lebor Code, for the peAortnence oi Ihe work for which Utis permit Is issued.
Mywo�ar=cqmpen5ationlnwlgqcecartiere polirynumberare: ��� .-7�� �
Cartier: `y�,(Jf� �%///1 Policy Number. S
(Thls sectlo�'fieed not be cwnpleletl i! Ne pertn/f is ve/ueO et one hundred tlollers (5/00) or less.) _
❑ I certity Ihet In the rfortnente af the wark for which ihis permit is issued, I shall not employ eny person In eny manner so es to become sub�ect to the workers'
compensetlon lews o litornle, entl epree Ihat i1 I should became su��ect to ihe workere' compansetlon provlslons of Section 3700 of tha Lebo� Cade, I shall forthwith
� Comply wlth thes r0 isio �// ��
Appllcant Signetur � / Dete:
WARNINO: FAILURE TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SMALL SU8IECT AN EMPLOYER TO CflIMINAL PENALilES AND qVIL FlNES UP TO ONE HUNDFED
TFqUSAND DOLLARE (5100,000), IN ADDITON TO THE COST OF COMPENSATION, DMNGES AS PROVIDED FOR IN SECi1qJ 3]OB OF THE LABOR OOOE, INTEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTDfiS DECLARATION:
I hereby eflirtn tha� I em
force end etfect. lJc. p_
Contrecrors Signeture:
9(commencing wlth Section 7000) of Division 3 of the Business antl Prqfessions Cade, entl my Iicense is in tull
Class k �S
oate: �� —�
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that there is e construction lentling agancy for Ihe peAortnenca af the work for which ihis permit Is issuetl. (Sec. 3097, Civll Code).
LentleYs Name:
Signeture: _
OWNER-BUILDER DECLARA710NS:
len0efs Address:
Date:
I hereby effirm t�at under penalry of peQury Ihet I em E%EMPT FROM TME COMRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions
Cotle: Any ciry or counry which requires e pertnit to cronstrucL alter, improve, demolish, or repeir eny siructure, pAor to ils Issuance, also requires ihe applicant for such permlt
to file a signetl statemem that he or s�e is Ilcensetl pursuant to the provlslons ot Ihe Coniraclors License Lew (Chepter 9(commencing wflh Sectlon 7000) of DlNsion 3 oi t�e
Business flntl Professions Code) ar that he or she is exempt therefrom entl the Dasis tor ihe alleged e:emptlon. Any violetian of Section 7031.5 by any eppllcant far a pertnit
subJecls the epplicant ro e civil penalry ot not more than five hundred ddlars ($500).):
❑ I, as owner of t�e property, or my employees wlt� wages es �helr sole compensation, WILL DO 7HE WORK, and the siructure is not Intentletl or oXered tor sale (Sec.
7044, Business end Professions Code: Tha Coniractors License Lew tloes not eppty to en owner oi properry who builds or improves Ihereon, end who tloes such work
himseli or heraelf or through his or her own employees, provlded ihet such Improvemenis ere not Intonded or oHeretl for sale. If, however, Ihe 6ullding or Improvement Is
soltl within one year oi completlon, tha ownao-hullder wlll have the burtlen of pmving thet he or she dId not bulltl or Improve far purpose of sele.).
❑ I, es owner of ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projed (Sec. 7044, Business enC Professions
Gotle: The contwctors License Lew does not eppty to an owner oi property who builds or Improves thereon, entl who contracts for such pro�ect with a wntractor(s)
license pursuent to Ihe Coniradors llcense lews.).
❑ I flm exempt under sec. Business end Professions Code For this reason:
Slgnature: Date:
Owner ID veritied by driver's license. ❑ Ves ❑ No Drivefs License No. Expires:
Vedflcetlon of Ownerehip �y (type o1 dacument, I.e. - property lex bill or tleeA): __
DIVISION OF INDUSTRIAL SAFETV PERMR CEHTIFICATION:
❑ I �ereby certity thet no excevetion flve (5) or more feet In tlepth into whlch e person is required to tlescend, will be mede in connectlon with work euthadzetl by Ihis
permlt, entl thet no building structure, ScaXoltling, felsework, or demolitlon or dismantling thereof, wlll De more then thirty-siz (36) feet high. (Chep. 32, Gry 2, An 2, Sec.
341, THIe 8, Celifomie Administrative Cotle).
❑ As owner-bullder, I will not employ anyone to tlo work which woultl requlre e pertnit irom ihe DNlslon af Indusirlel Sefery, as noted ebove, unless such person has e
permit to tlo such work from Ihe diNslon.
Slpnature: Date:
Divislon ot Industrial Safery Pertnit Number:
COOE �. INSVECTIONTYPE
1818 Fixetl System Finel Flre Prevention
1268 Pool Spe Finel � �' � ��
200 Flnel Re-Roof -
201 Final Block/Retaining Well
202 Finel Fec7ory Fire Place
203 Final5lgn
204
24A&de
COOEt INSPECTIONTYPE
206 Flnel Mechenical
�208 FinalPlumbing '
210 Final ElecMcel
212 Final Fire Prevention
220 Flnal Planning Approvel
222 Final Site
250 Final Bullding/Occupancy
.I
��
!PqOJECT AOOflESS: `� 8 3 7 EUROPA DR
owx¢xsxnme: HENDERSON, RAYMOND J
anoxess: Z837 EUROPA DR
� COSTA MESA,CA 92626
AHCHIENGINEEN: 7 1 4) 4 3 z— � 2 � z qEG.NO.:
aooness:
uxiT:
uxiT:
PE"mi'TEE' SENTRY ROOFING CO (719)751-7663
aoosess: 3'�q3'6j'4p NMEFVAJ�DA (., (�
IICENSEO LONTflACTOF OECLAIiAiION: �Thec`�r¢3�y al�irm IAat I am IicenSeG unaer 0 a� �ions afC�p%� 9(commencing with Settion
7000� ol Orvision � ol ine Business ane Pmtasslons COGe, ann my license is in �ull force antl ect.
cirruc.:0 0 2 sTnTeuc.'67880}�s ry�cus —3
" Dat ' SignaWre: _�J .//_� _ _ — _
WOflKENS' COM ENSAT ON OELLAflATION: 1 �ere0y a�hrm �Iui I hdve a tertiliwte 01 [ sent to sell-insure or a ceailicate ol workers'
Compensalion Insurance, ar a ceniliea coDY inereal 1Section 3800. Lao. CI.
POLICY NO.: E%P. �RTE:
COMPANY:
❑ CenifieE mDY �s AereEy tumishe0. ❑ Cenilied copy is WeE wii� tAe ury Builtling OiviSion.
Oate: ApO�icam:
EXEMPf10N FXOM WOfl1IEP5' COMPENSRTION OECIANATION: (Ilis secuon nee0 rot mpkte0 i� Ne mii a lw are �unErN (5700) or kss�.
I ceriily Ihal in ihe pedarmance al t�e work for whic� W5 permit is ¢SueQ I shall 1 emD�oy any rson in any manner so as Io Decome
�EC1� IAe W rkers' m0ensalion Laws ol Ca4fomia. ' �/y�.
�� �
Oa�e: S �� Q Si9nalure: �/[
IOTIL : It, al er making this aeclaration, you snould oeCome suDjetl to ine woAers' fAmpensation provisians oi �ne Laeor
Code. you must lorthvnl� rompty wit� suc� Orovisions o� iNs permit sAaA be AeemeO revokeE.
CONSTBUCTION LENOING RGENCY: I �ere�y aliirm Uui I�ere is a wns�mtti0n IendinA agency �or Ihe pedorman[e oI Ihe work br
w�ic� I�is permi� is issuea (Section 3W7. Civ. C�.
LENOEN:
ADUHESS:
OWNEfl BUILUEN OECLAM710N: I �ereGy aHirm tlWt I am e.emo� ��om the COnitactor5' State Lkense Law la� i�e lollowing reason
�Seclion 7Q'11.5 Business an0 Pmtessional COGe: Any city al wunty w�ic� r¢Quires a permit to conslNct, alter, impmve, Oemolish, or
repair any 9mclure. prior toi6 iuuance. also repuirM ItM apqiCdnt tor wcll perrtn� �o file a Sipnea statemenl ihal nUsne R Iicense0
pursuan� lo �he pmvisions ol I�e Coniraclors' Slate Licens¢ Law (CIwD�er 9(commencing wii� Seclion 7000) ol Division 9 oi Ihe Business
ana Pro�esvons Cotle) or Rul heh�e 6 exem0� �nertimm anG the Ed5i5 lor t�e alleq¢E eKemD�idl. My viOWtion ol S¢tlion 7031.5 by
any applicant lor a permit suUjeds ine avP���nl to a civil penalty al nat mOro than live nundreA Oollars (u�).
I. as owner ol i�e D�openy or rtry empIoyees wit� waA� as t�eir sde comDe���ion, will ao i�e work, anA ��e
❑ simcwre is not imenEeA ar alleretl lai sale (Sectbn 7Daa. Busineu anC Pmfeuional Code: TAe Canlractars' Slate License Law
noes noi aDDN �o an owner ol a D�operty wtw Guilas or improves t�erem. anA wtp Eces wc� work Aimsell/�ersell or t�wup�
�is or �er own employees. OmviAetl ttWt wc� improvem¢nls ate nol inlen0ed or offetetl fot 531e. II, �owever IOe Ouiltlinp or
imprOvemeni is 5d0 m�hin one year ol com0letion, t�e ovmer wiA luve t�e EurEen ol provinp �Ustre Gi0 noi Euila or imDmve
lor the purpose ol Sale�.
I, as owner ol i�e D�oDeny. am e*clusivety comrac�inp wit� IicenSeE convactars ta constmct ��e pmlect (Section 7044, Business
I❑ an0 Prote55i0n5 CaOe: The LonUazI0r5' Sldte Li[eRu Law Oces tqt dpply to an wmet of prop¢�ty wlq �mlds or improves ��er¢On
anU who conVa[I5 loi 5uc� projecis wii� a mnlraciar�s) lic¢nse pur5uani lo I�e Conlrat�ors' $Iaie Litense Law�. 1 am aware
itWt pr0ol ol t�eir \4orker's CAmpei6atpn irtSurance stqul0 be yoMM ta me.
� I am exemD� un0er Sec�ion: B. 8 P. C.
lor t�is r¢aWn:
Oate: Ovmec
I tlo ne�e�y cenity Ihat I am aware ol and uiMe¢lana tne repuiremen6 0l Calitwriid Healih an0 $alety CoOe SeCtions 25505. 25533. an�
255� antl ihat I o� any luluro buil0ing acupanl vnlVvnll not (drUe ane) �eea to fAmply vnlh SaiU state co0es anU t�e tepuiremenis lor a
pe�mii lar consiruction or mWilicaiion irom Ihe Art OuaLiy Management USlrict. HeS�G¢niul conSimction apD���ions are eeem0� ��am
Ihese pmvisions.
Ua�e: ADaiWn�:
I �e�eGy cetlity t�al I �ave reatl Ihis applicalion ana Slate Ilwl t�e aEove iniormation ¢ orrecL I agree ��comply vnlh all city anE counry
o�dinance5an0 5latelawsrela6nglo0uddingcon5tmctimaiM �ere�yauthor¢ereyese tivesaf�ladP enterupont�e aGove�men�ione0
pi �oi inspenion pu�poses.
Oat - S Signalur '��
Oriver's L ense a� Saciai Secunly =:
�6<La6 Whiie—Butld�ng: Gre¢n—COtle Enlarcemen�: Canary—A00������ Pink—Revenue: GOItl¢nrp�—PSSBSso�
CITY OF COSTA MESA — BUILDINC PERMIT
PERMZT NO: B 06/134 PLAN CAECK NO: N
CONSTRUCTION TYPE: S—N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF RESHTH REROOF W/GLASS SHINGLES
PERM NO: B 067134
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT; 5,895
CLAIM VALUE: 5,895,00 CALC—VALUE: 5,895.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS ARE REQ�UIRED IN E�'ERY BEDROOM & HALLWAY
iEitMifikitifiPfEilififlfiElFifff%if1EiElEikfliEihMMitifMlk ik%iEiflfiEifllifiFififiEi41PiF1fikitlElEiFiFiFikifiFMiElEififiEififiFffi6ififffMiflFilit
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 BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGEIT: FT IN
PARKING REQ• PROV: ' PAACEL: 13945520 2NE: REF NO: .
PLANNING NaTES> "
>
.
if if if ih iE 1E iE ik ik iF iE if iE iF i6 iE if if iF ik 1f if if iE if %iE if if iE i! iE iE iE if iF iE if 3f iE �t iE i4 if iF * fF iF ic K iF if if iE iE if if �f if iE 3tlF iE if if IE iE if aF 1c iF iF iF if 3f iE iE jf i4
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPROVED BY, DATE: �'
HUILDING APPROVED BY : DATE: �
* p P i�t� * * * * *�* * ��r-* * * *D * B * *�F3F3FiF3FiF iF3F3F�F�F�F iF'iF3F�eiF�F'#iF'i�7F3F7F7ZiF7F�E3F3F�F7FiFTF3F * +r * *D i�t� i�t *+t *;F��*�
if 1E iE if if if iE 1E 9F iE iF iF if iE 3E iE iE 1F 1E iE fE 1f iF iF iF iE iF iF if iF iE iE 1E if if iE iF iF 1F iE iE iE iF iF if aE iF iF ic if if if ik if 3F if if if +E iE iE aF iF 1E if iF iE iE af iE i: iF �1f� 3f if iE iE iF �E
LEGALIZATION:N F E E' S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTAIC M�CHANIC FIAE SMIP/RES GRADING
PERMIT 81.00 59
PLAN SMOKE DETECT I�-� SMIP/NON—RES
ISSUE FEE Q�(]{��n}�CC D
BUILDING—DIV—> PERMIT ,`UUBU��P'LAf�7—CHECk""' TOTAL PAID DUE
TOTALS----> 81.59 0'.00 0.00 81.59 .00
REVENUE DIVISION TOTALS--> COLLECTED: �OVER/SHORT: .00
BLDG PMT PLUMHING'ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 ,59
i! if iF if if iE if iE if if iF fE iF iE if if 1f if iF iE iP i! 1F 1F iF k M iP iF iF k aE iF iF 9f 1F if 1E 1f 1! 1f if iF iF iE iE iF if i� if if iF M it ik if iF K iE fF 1f iE if iE fE iE 7F iF iE if if iF if i� if if iF iE 1f
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 5895 AEROOF HY VALlJE RESIDENTIAL N020NE . 1,00 5,895.00
END OF FEES �
O1 OOib03P6-001603E7 TO T 81.59
DATE: QS/12/94 TItiE: i`:Z6
-.
� Cn;,IS7RUCTlOII ANO PLAniVING I
, ��AHPROVALS Permit�� _I Dnte
POOL �PA
API'ROVALS Permit =;`-
Date Ir�pccto� �
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i
� kE f-I�i'AL.PLANiVING---- I -.. _
.r;g, l- .� �;e Fc'case to Etl:so� ------ - � - _ -�- --- - - -------- -- - - .._ _.
:� C�; F�a ur to Southern C��.`on, � G_; Ca ' -�-- ----- ----_-- -- - - - - - --~
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10.._-� --Datc ---- --- ---- --- -- - --- - �
UwNER MCCOY� ROBERT DATE �R 2 9��
JOB ADDRESS 2 37 Eiu�opa Drive SUII.DWG PERMIT NO. 22058
I'
i
Gas
DATE
'LONE
�ESCRIPT[ON OF WORKPvt.
TYPE III ZONE
SUUCON'PRACTOR
.' 'i. . _'. '_—. _ _—_ __'
.'' - 22058
1 °COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOJ[ 81] COHTA MHHA. CALIFORNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
Aoo E'Sg 2837 EUROPA DRIVE
COSTA MESA. CALIFORNIA
nwucw ROBERT &ICCOY
TEL.
NO.
T LARSON r�io'
5871 FIR�STON$ BLVD.
5871 FIRESTONE BLVD.
Q7
6ETBACN L�N[ PROM 1 �J �
CENTEH OP BTXlR � flEAR
81DEYARD LERT � I R16HT
DESCRIPTION OF WORK
siie"""" 4 5 iiooMs � src
E%TERIOR WALL ^ ROOP
COVERIN6 COVERINO """�
U8H OF BUIIDIt�G AtiD WORK TO BH PERFORMB
PEIV TE SWIM POOL
1 HBHHBY ACKNOWL8D0B TN�T 1 N�VB RGD TXig A
AND 6TATH TX T�THS ADOVB 10 COXqBCT I
PLY WITH CITT ORDINA U ANO • L11WY
YUILOINO ON9TRYFTION. /� _�
� AUTHORIZQD
e�.nas.
v LOT
�0 14 �
941
FEE RECEIVEU
APfl 2 9 iy64
FINANCE DEPT. �,nJ
a��n�for��Fb� pET�iri V �
BUILDING �
For Ofiice Usa Only \
P[C61I� NO. PHPMIT N . �
�Y 0 T R6C4$-VlO . MT `e�EU—C \
� � /
283T SUROPA DRIVE �
.�-
TVPE GROUP
DATH � 2��V •
ZONING
„o. o� �oa o. �aw � .�
�una ew�oina �,Q
� �i� '. 1 �C �'{3
IiOTE: NO
YARDSAPPROVHD
MAIN BUILDIN6
_� VAR. JC
�' S— `�—o {�
SHALL BE LEBH THAN \\ �
�)
(U. B. C. REpUIREMHNT) �
YARDSAPPROVED z
ACCESSORYBUILDIN6 W
/ W
� �. � �'
F'f. �
� �. a
.�
' Fr. ¢
eaT. Mw�n e � V
.,��B9.a��e.(3 a
owTe Vf
APPROVED Q�.
DATH —� �I µ'
1% � �
i ^� O
J -.-��0' L
TN6 �MOIINT BXOWt/ UNDBR VALUATION 18 POp TNH Z
Yt1RP09H OP eBk�4L�BHINO A P80.MIT PCB ONLY. 0
.UATION /� 8-b m
PERMITFEE �
�
M �
rc
00�0� � Q� ¢
OWNER
AP No. LOT
INSPECTIONS
Ga..
OCCUPANCY
0
TRACT 1
� Signature
4E5 FIRE ZONE
DATE GROUP
nnTr 3-zz-63
BUILDING3'�RMIT NO. 191
VALUE S 26,262.00
DBSCRIPTION OF WORK Te6
TYP� E v ZO�NE �—
SUI3CONTRACTOR
gar
- "� y� • 191 16
� • COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BO%91] COBTA M69A, CALIFOHNIA
For Appllcanf to Fill In Com ely
TYPE OR PRINT s
BulLolrv6
ADDRE55 .l
COSTA MESA. CAL FORNIA
EXISTING BLDG. '�
6ETBACK LINE FROM I
DESCRIPTION OF WORK
BUILDIN� NO.OF
SIZE � ROOM'
E%TERIOR WALL ROOI
COVERING �('�' COVI
USE OF BU ILDIf�JG AND WORK TO�
FEE RECEIUED
MAR 2 2 1963
fINANCE DEPT.
APPLICATIbIN F�� ��� MESA
BUILDING
For Offica Usa Only
qECCIyED pY I�jy�'6 `LCBN D I WT4�I6HUEp
V � 3 hwrc � c �:
CS
eui�oirva
ADDREBH
s �� FIRE
� ZONE TYPE GROUP
�� a J BYPROVED DATB
. ZONINf3 � °,
-vJ -/7
iv iLD09. �
I HEREBY �CNNOWL8D08 THAT � HAVH PeAO TXIB AppLIWT10N
FNO BTATe THAT TH8 Ve 19 COpqECT ANO AORE! TO COM.
PLY WITH �LL CITY Dlt �NC88 ANO BTATB LAWB q80ULATING
BUILOINO CONBTpU ION
SIGNATURE OF r,�
PERMITTE
AUTHORIZED AGENT
L80AL
9
YARDSAPPROVED
MAIN BUILDIN6
:OM G/L STREET )
VAR..iC
� �f S� �'T 3 '
SHALL BE LE88 TNAN
fU. 9. C. REOIIIREMENT�.
YARDSAPPROYED
AGCESSORV BUILDING
BET. MAIN @
ACCE55. BLL
�ATE
� v�� sa. �. ,X 5 0� o.
TN8 AMOUNT 8H0 UNDEP VALIIATION 16 POR TH8
PURP058 OP 68T/.BL�9HIN� w PBqMIT FE8 ONLY.
VALUATIOfJ
PERMITFEE
so7/� 026�— � ,'�/�
TOTALFEE $ /�//S