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Home My WebLink About525 FAIRFAX DR - Building PermitsAOplicant to fill in all spacei eatept t�ose within heavy GorEe� Iines antl si9n all apo�ooriate tleclantionz. PERMIT NO. TR CT NO. LOT NO. UNIT NO. Ci7v oF COSTA MESA CONSTRUCTION PERMIT r,� �� A.P. �W a_ d — zo�a j�a Pro"ect Address S�.i— �'��'F.�i �dfr�Q�l��Q `� � � ��l � 1 - S Main Building: Accessory Building: AppliCant'S/��F�N�CY � TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E � z ��„L� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Nama FRI�� nesu�"�7Ci DESCRIPTION OF WORK/USE OF BLDG. A fiear / N Address r� Arch/Eng.�� y S� ` Licenu No. a �� TVPE OF PERMIT GRADING FOUrvDATION S7RUCTURAL I K R�9ht G AddreSs �� PUS O/L/�ej ❑ TENANT ❑ ELECTRIGA� ❑ PLUMBING ❑ MECHANICAL g� Left R Convactor's Nam Phone ❑�OTHEa Ping. Ret. # Parking Req./Provided E PROJECT DESCRIPTION Sq. FT. oCCUvarvcv — . � Address (mailing) �y�. q Planning Notes: M CONSTRUCTIONTVPE��f..�/--- VALUATION$ � ��/•%O T City LicenSe No. ZONE GRADING CU. VDS. ACRES ��-� �G (jL LICENSED CONTRACTOR DECLARATION S' 1 he by aflirm Iha[ I am IicenSetl untler provi51on5 ot Cha�ter 9 Remarks: G� � W�211 52C (O CSSIOlIS COEB� dflE � my Ilcenze is in full force . � �� 8,a ELECTRICAL FEES �icense License No. PLUMBING FEES Au[omatit WaSher Transformer ❑ 75-50 KW �e $i9nature WORKERS' COMPENSFTION DECL/1RATION BaI Sink ShOw¢r5 COnitluction Pole Sub. � 50 + KW I hereby affirm that I have a tertl/icate of <onsent [o seH-insuro or a certificate - of Workers' Compensation Insurance, or a certi(letl copy tnereof (Section Beckflow Preventer Servite Sink COoking Unit Meter ❑up to 100 amps 3800, Lab. C.) Dishwasher Meter ❑over 100 am s O Policy No. Company Backflow Irrigati0n $¢yy¢r Cap P � BCer[ilietl wpy is hereby furnishetl. DryC15 ❑(�i25 ❑El2ctriC Sub Panel Certilietl copy is filetl with the city Builtlin9 Division. 8athtubs Sewer Connection �� Date Applicant Fan � � EXEMPTION FROM WORKERS' COMPENSATION UECLARATION ClerifierT Solet C011eCtors MotofS OO-1 HP O7'h - B iss�ssection neea not be completetl il the permit is for one hunOratl �E300) or Dishwasher Solar Piping F�A�� Inc. Solar �9-15 HP �16�15+ I C¢r[ity lhat in tbe perto�mance ot the wo�k tOr whiCh thit pe�m�t i5 iSSultl I FiX[uf25 � � snall not employ any ve�son in any manner so as to b me subject to tf�e Drinking Fountains Solar Tank Micr wave WorkG� CyJ� P tion LawS Ot CdlI1qrn�i _ Date/��y��-�� Signature �+ ��— �� Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If, after making this tleclaration, you snoultl bec e sub7ect to the Outlels Workers' Compensation provisionz of the Labor Cotle, yau must forthwith Floor Sinks Urinal Range comply wilh such p�ovi5ion5 0� tttis pe�mit Shdll ba tleemetl revoke0. CONSTRUCTION LENDING AGENCV G85Sefvic.e Outlets W efClOSet Swi[Ches Sign 1 hereby affirm that there is a cons[ruc[lon lentling a9en<y tor tha parformanca Garba e Dis osal of the work for which ihis permit iz issuetl (5ection 3097 Clv. C.) 9 P Standing Sections . L.enCer's Name /VO L- alOt A_SEt i FnURN� ED Interc¢ptors W2ter Heater �Lender's AtlOress Kitchen Sink Water Service Generator DO-5 KW �5-15 KW Trash Compactor OWNER BUILDER DECLARATION 1 hereby atfirm that I am exempt from the Gontractor's License Law for the Lavatories Auto-Wesh followinQ rgason (Section 7031.5 Business antl Profes5ional Cotle: Any city or county whicn requires a permit [o tons[ruct, alter, improve, tlemolish or repair P—Trap L&undry Tr3y5 any Struclute, p�ior to its i55uanG¢, also require5 the applicdnt t0/ such p0rmit to tile a signetl statement that M1e/she Is licenzea pursuant to the provisions a( Roof Drains ' the Contractor'z License Law (Cnao�er 9(commencin9 wi[n SatHon 7000) of Division ;3 of the Business antl Pro(essions Cotle) or [hat ne/she is exempt Reinspection Fae $15 luue Fee [heretrom antl tne basis for the allegetl exemption. AnY violation of Seclion $ 3 7031.5 by any applicant for a permit su�jects the applicant to a civil enalty ot not more than five hunarea tlollars (g500). DEVELOPMENT SERVICES REQUIREMENT • �% �� 1, a5 Ownef ot the ploperty or my employee5 witFl wages as th¢If sole R8in5p8C[iDn F80 $15 � ISSIIe FBB $ 3 ZoninB AppfOVBd By DBtB �`^ _/�_� wmpensation, will tlo tne wo�k, ana the sVucture is mt intentletl or offeretl tor sale (Section 7044, Business anC Professional Cotle: The Con(ractor's MECH AL FEES Buildin8 APProred By Date � LicenSe L2w tloes not applY lo an owner Ot a property who bulltls or ImpfOv¢5 the�eon, antl wtto tloes such work himSelf/herselt or th�ougn his or ner own Appli�ation ISSued By Dat 2— L employees, provitletl that such improvements are nOt Intentlatl or OHe�etl 10/ Bo��er OOd ! yp21 ❑ sale. If, nowever, the builtl7n9 or Improvement is soltl withln ona year of com- Can y Type I I ❑ SUMMARY OF FEES pletlon, th¢ owner will hdve the burtlen of p�oving hC/she tlitl nOt builtl or im- Duct - Under Ground �/� � �� prove �or me purpose oi sa�e). BUILDING PERMIT $_�—+�s_�;� SMIP $ Z'�7 j ❑ I, az owner of the property, am excluslvely contracting with Iicensetl con- Duct-Structural fri System tractorsto construct the project (Section 7044, Business antl Professions Cotle: PLAN CHECK $ PERMIT The Contractor's Li ense Law does not apply to an owner of property who Duct - Ventilating -i ,000 BTU ❑100,000 BTU ISSUANCE builtls or imowves�hereon. ana who coniracts for such orolects wrth a r.on- PLUMBING $ $ ' tractor(s1 Lcense p� rsuanc ro ene Coniractors Licanse Law). 1 am aware thax PLAN CHECK 25% ENERGV P.C. $ p�ooi o� [heir Worke�'s Compensa[ion insurance shoultl be provltletl to me. ExhBUSt SySt¢f11 ❑ Wti StC01 R¢pai�/AIt¢fOtiOn $ / ❑ I am exempt uo+�er Section � e. 6 P. C, for this reason FirepVFact. Blt. ICBO dk Fire Dampers ELECTRICAL $ GRADING $ Date �2"�3—d'd' nw�a� i79NYHEW LO k. HeatingSystem&D ting Registers PLANCHECK 50°� $ MICROFILM $ i hereby certify that I have reaa this aooiication ana stata that the above ❑0�100,OOOBTU OO,OOOBT MECHANICAL $ TOTALFEE $ 3 �3Z information is correct. I a9ree to comply with all city antl county ortlinances PLAN CHECK 25% $ antl s[ate lawz relating to builaing construction, antl hereby authorize repre- sentatives of tnis city to enter upon the bove-mentionetl pro0erty for �Le�etjN ,2EC�1 Vc CL p 8ff InSp¢CtiOn pu!Pes y5.� ��C/�� / Signature� /C�l�/�LL<u�l/' !• oate%.2-l3-�� - Drivers' �ice.^.s=er 55 � Reinspeetion Fee $75 Issue Fee $ 3 fJi 0003233$-00022339 Ti:1'j- j65.�% DATE: 12/14/88 TSh1E: 14:'ri 0865-46, rev. 5/BB White � Builtling; Canary - APPIiGdnt; Pink - ACCOunting; Goldenrotl - A55055or y • �� .- r;�. lf , ... ...; i . . .... ; i , ; � - �' CONSTRUCTION AND PLANNING: POOL & SPA � APPROVALS Permit# i Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil�Pipe-Undrgmd. � 53. Steel Reinforcement 3. Ele�trical Conduit Utility-Undrgrnd. 54. Forms ' �� 4. ElEctrical Conduit'Undrgrnd. �. 55. Electrical Bonding 5. Steel Reinforce�neht � P 56. Rough Plumbing & Pressure Test 6. Electrical UFE�t G�rnd. � 57. AP.PROVAL TO COVER-GUNITE 7: Footings '� 58. Electrical Conduit-Undrgrnd. n 8.' Foundation = 59. Gas Pipe, O Undrgrnd., Test e 9. Water Pipe-Undr�rnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System � 61. APPROVAL TO DECK 71. Property Sewer 4�ne & House Connection , 62. Backwash & Receptor-Final 12. Sewer Cap � . 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 74. Rough Plumbing ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1�6. Rough Electric Wiring 67. Fencing & Access Approval 17:�Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceil�ng• 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# . 21. Ducts, in Struaure . � �� 70. Underground Hydro 22. Ducts, Ventilating �� 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test �,V 72. Uniierground Flush � 24. Roof Framing � '�"`� 73. Undergrnd.StorageTank OGas ❑Oil 25. Fioof Sheathing 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) &�Mor�ocoat 75. Dry Chemical • � 27. Frame and Flashing �� ,.; 76. Dry Standpipe 28. Lathing & Siding � f,`. 77. FIXED SYSTEM FINAL ,; _. 29. Insulation .-� V 78. FIRE PREV. FINAL 30. Drywall Nailing ,�'y. HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coar!-� N �' 79. FINAL INSPECTION 32. Electrical Power Meter�Final�., • 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � 36: Hood or Canopy 37,. FinahFactory�F.ireplace ` 38. Final Plumbing 39. Water Service-Final 40� Gas Service-Final , �� 41. Solar pomestio-Final ,'�� r 42!BackflowPreventer � '� � � 43. Backflow Irrigation ' „�i 44. Landscape Irrigation System ' � �' 45. Sound Attenuation - �.1 ' 46. Handicap Regulat�ons. ' ' 47. FINALSTRUCTURE-&BUILDWG �. ' 48. Special Requirem�e,'ts.Completed - 49. Electric Release.to Edison ' J : 50. Gas Release to SoutFern California Gas Co - ,� ' 51. CERTIFICATE OF OCCUPANCY ' :� � ��` � r No. Date _ � u� � DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MOBILEHOME OR RECREATIONAL VEHICLE PARK GOVERNMENT AGENCY APPROVAL FORM NORTHERN AREA OFFICE 9342 Tech Center Dnve Suite 550 Sacramenro, CA 95826 (916) 255-2507 SOUTHERN AREA OFFICE 3737 Main Street, Ste 400 Riverside, CA 92501 (957)782-4420 This form is for use by appiicants for a Department of Housing and Community Development Permif to Construct a mobilehome park, recreational vehic/e park or addition�mprovements as noted below. The applicant listed below is applying to the Dep ment of Housing & Community Development (HCD) to construct a project which is located within (�ics.� (city or county). HCD is the enforcement and permit issuing agency for construction within mobilehomelrecreational vehicle parks at this location. Prior to issuing any construction permits HCD must be assured that the project has received all required government approvals. Accordingly, HCD has instructed the applicant to obtain signatures from the agencies which are checked below. Comments and conditions of approval may be attached. If your agency wishes to be contacted prior to final inspecfion approval please indicate by checking so under your printed name. For agencies requesting final review, this form wili be re- circulated prior to finai inspection for signature confirtning that the project is in compliance. Projectname: �eEJ4/J �2�Ezt P`h�a�� sf. Project street address: C:L� F..o�r2Ca�c � Assessors Parcel#: � Describeworkto fiD� � S3?/4erc ��r ^ys T f T—a� P� i be done: ApplicanUowner: S� �a� I^1� G.;,.ec, Phone number. {95�1 h4"3 '—�330 Address: A-1,.oy' w!�O� � c� C_a- 9ZS`�\ ArchitecUEngineer ontracto ,1 irdewhich): _� C�at vV.a.��w,cz:.y.�• ��-.,�..;p �. �__... n.— Za, r Address: ^iLo� ;.;.ti�r i4�z -�,.,P/.�.c �2 ?zs7h Phonenumber (9s�1 �/�/3 -333� Contact person: (print) /i7.� ,,G r_� / A nl t� Phone number: (9sq y.a =- 13 _3ci Government agencies - NOTE: A pertnit application cannot be processed without the approval signatures from any �QcyyRecl�djli the !eft margin boxes. '? Planning: TI�' A signalure here x /1/� � Print name is consistent with local planning requirements Upon comple5on, does agency want to review the projecVsite prior to HCD finalizing the pertnit(s)? Yes_ !Vo If yes, this form will be recirculated prior to the final for your signature below. Final approval HCDMP5145109 13 August 13, 2010 CITY OF COSTA 1VIESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 9262B-1200 DEVELOPMENTSERVICES OEPARTMENT State of California Department of Housing & Community Development 3737 Main Street, Suite 400 Riverside, CA 92501-3337 RE: OCEAN BREEZE MOBILE ESTATES 525 FAIRFAX DRIVE, COSTA MESA, CA Dear Sirs: The purpose of this letter is to advise you as follows: 1. The current zoning of the subject property is R2-HD (Multiple Family Residential- High Density). The existing mobile home park is a permitted use in the zone. The property is not located within any special or overlay district. 2. The proposed two additional mobile home spaces wili not result in a net increase in the overall number of mobile homes allowed on the property. Therefore, approval by the City of Costa Mesa is not required. If you have any questions or comments, please contact me at (714) 754-5611 or mlee(a�ci.costa-mesa.ca.us, Monday through Friday. Sinc rely, � MEL LEE, AICP Senior Planner cc: John Grant Ocean Breeze Mobile Estates 525 Fairfax Drive Costa Mesa, CA 92628 Builtling Division p1a) 754-5273 � CoEe Enlorcemem pl4) 754-Sfi23 � Planniny Dlvision (]i4) ]54.�245 FAX�714�754aB56 • TDD(7t4�754.52a4 • vm�aci.msta-mesaca.us Page 1 of 2 LEE, MEL From: F�YNN,CLAIRE Sent Montlay, July 19, 2010 2:P PM To: LEE,MEL SubJecc RE: New spacas in Oceav Braeza MHP MeC I drove by the Ocean Breeze Mobile Home Park pmperty loday. There is some flezibility in the Zoning Code �o make the interpre�alion that the 42"d mobile home space (i.e. net inuease of ONE new space) will not increase the nonconformiry of the mobile home park nor Irigger a CUP. Page 153, Table 13-204, of Zoning Code indicates thaC 'In nonwnforming mobile home parks, existing mobile homes may be replaced by olher mobile homes provided that the mtal number o/units wifhin the mobile home park is not inaeased and the mobile home park will not be made more nonwnforming in respect to this Zoninq Code.' In this case, 41 mobile home units are already allowed. Recapturing the 41 s� space is a nonissue and is allowed per nonconforming provisions of ihe Code. A5 (or the 42^� space, techniplly it will replace a demolished residence. VJhile ihe house is nol a mobile home unit, lechnically there is NO NET INCREASE in Ihe number of dwellinq units on ihe property by the substiWtion of one mobile home space for a single-famity resitlence. (Provided tha� if thay can provide suf6cient parking for ihese N+o spaces which appears to be ihe case.) However, Kim will have to support this line of reasoning before we commit to ihe applicanC 1'll have to talk to her tomorrow. m,�k.. ci,��. From: LEE, MEL $enC ManAay, ]uly 19, 2010 9:93 AM To: FLYNN, RAIRE Subject: RE: New spaces In Ocean Breeze MMV Yes, the resi0errce is patl of t�e mobile hane park pro0erty. I conli�metl wiN Ne oparator aiM also visiteC the sita Q� is witliin Na Beted EounEari¢s ol lhe exis�inp park). Mol From: FLYNN, QAIRE SenC Monday, ]uly 19, 2010 9:90 AM To: LEE, MEL Subj¢ct: 0.E: New spaCe5ln Ocean Breeze MHG Mel: It appears that Ihe site with ihe residence was considered as part of the mobile home park — based on the exhibit that you provided. If Ihat is the case, and we consider the mobile home park as an existing nonconforming use, ihe location of two mobile home spaces'm lhat area (if it is truly part of ihe ori9inal mobile home park) would nol necessarily trigger a CUP. Their request is to add ONE additional space. I called HCD and they indicated lhat reinstituting lhe 41 s� space in the new area will only require an adminis�ra�ive permit process to reflect Ihe new site, required utililty connections, etc. If OceanBreeze is limited to 41 spaces as their original HCD permit has allowed, this would not trigger a CUP. Please confirm if ihe residential property is part of the Ocean Breeze complex, antl I will give it some ihought as b the 42"d new space as to whelher a CUP would be requiretl. 1 would think not. mankt. Clain Fmm: LEE, MEL Senh Fdtlay, Juy 16, 2010 11:99 AM To: FLYNN, CLAIRE Sub�ec[: FW: New spaces In Ocean Breeze MMV Cieire - Please eae anecfreE. I mltl Nam rt�el epprovel ol e CUP la �M1ese nvo new vailer spaces is repviretl (Ihe property is zmetl R2�MD). Me is w�wemeE (prcbably nghlly so) Iha11Ns may nW be epprwetl Ii il has to go Ihrough a public �earinp. � 07�22�2� � 0 Page 2 of 2 Mr. Lee, I lusl lett you e messape. Here is Ihe HCD permil for 41 moCile home 50aces. Oceanbreeie ose to be wlletl Hoosiar Trailer Coutl. Because oi Ihe small s¢e o1 the spaces, Iwo of tha mo�ile home spaces were combined a few years ago antl we have 40 mobile Oome spaces. Wa want to tlemolish Ihe o10 single tamity Muse on ��e propeM entl replace itwiN iwo mo0ile home spaces (one lo replace �he str entl one br the mh space we are not usinp). My experiance is thet CUP's never get appmvetl for legal, nonwnfa�ming uses antl am wontlering if thare is anolher evqnue we coultl explore. Thanks, John Grant, Oceanbraeze Mobile Estates Counry Cou�ry UnicorpPark FielPark # OF MH p R� p R� Park Ownara Park Owners Park Ownera Park Park numberName � 10 p Park Name Park AtlEresa CItyC'! Spacef Spaces W speces W/o First Name Last Nama Atltlress 0`�'^ers Owna Incorp Dmins Drains City Slata 30- H00SIER 525FAIRFAX COSTA 525FAIRFN( COSTA 30 ORANGE I �ZQ- TRqILERCT DR MESA 41 � OM GLOZA DR MESA �A MP Fmm: MI[haal Lane [mailm:socalmhQ@msn.mm] Sent: Thur50ay, ]uty O8, 2010 12:52 PM To: LEE, MEL Subjec[: New spa<es in Ocean Breeze MHP Hi Mel, I Gon't [hink Cve hatl a response from you yeq would it be better iF I come to your office on Monday morning? Ansiously aWaiting your response, Mike Lane From: socalmhU@msn.com To: mlee@q.cosfa-mesa.ca.us SubjecC FW: New spaces in O<ean 6r¢eze MHP Da[e: Tue, 29 Jun 2�10 12:20:59 -0�00 Hi Mel, [ sen[ thls while you were on vacation. Have you hatl a chance to look at i[? If you have any quesHons please call me on my cell at 951-212-3906. Thank you, Mlke Lane o�izzizo i o =.r+sEo ca"�+<croas cenx+�nor+ � abv a�m u+tler Pand�'I of perNy mef i v �i�..�e�ac vcr,aptq;v(mn.naKti, „ims mon 7 of ttM 6tmneu on0 RofesUor�. k�atle. < ua b n N fpce m0 onoc�. �o Ckm �. No. `--__ EvP. P hacta _: Oafe u m emrtipt �n0 56c. ,�, B. Q P.C. ld ttm remon� rt m�rrsc rasnnor�cEcw+nnav m '�y arnm ae�atv ot pep.+y ona oi me rorwwtr�p � r.re v+a mmron o tert�tare d corvenv ro mrc+,sve �kers'm rcatbn,maaWotlfaWSecian1700of cv . ra �ne peAamaxa d me wax ra wiwai ttn n u'yO�ea s�,cn« a��"ooa ni�«n,en,o%,� a�ce. TIQC OI kM W0141IX �fiCh IIW PpRTH 4110.M6 �'1Y rc c rm+v+ce caner ond oaNcr nnwer br W � 1ro7«ie+ej�r nraone ( �MI in me PerMrt�O+ce o! ttie work �a vMc.t+ uik b I SFII M� O'7 PBIIa� In P1Y rcv+ne� 30 ,�pct ro w�koncanponwnon �a�w a n o�tl ngree mat r I f�altl becoma wbl�f to Y nsolbn po+tYoru af Sacflpn 37IX7 d tM lobor i°w'�'0rnrn.nn c«r�pv wm mae av.asiax . : FMLRE iOSECUPE NORI�R5 COfAPEN5A1lON t lS(WV.NfU.PNDSW191NECTNJEMPLOYEPTO I PENx11ES M'D pVtL HNES UP i0 ONE M1NDfffD �pU,qR$ (5100.0001 IN HWI110N 101ME CO51 OF ipCO0E.�1N�iE�51S N�D A��VS F65EES 710N.3700 nor� �t�qrx; �ctNcv a omm u�+der cendry d perlYv mat mere s o G �endr�0 W��Y la meP_�artbnce ol me work ik�e 1 7/64� l�� VMItE � Pork • T�4��%i:i-I�fa3'_�L� •� 1r I �f:./: � �. • � a � . . . . .• : . . . iei. No. . i� /1KIW0C1/En9h'ie0f Lk. No. � Tel. NO. — .... ..,_. ..... ... . .__ _ ____...._. • � x ��I �� •-v' � • 7 il .� ♦ • i ' L . .� � a � � . LL ,OAC�S /�CranrT LLni� o t_C T,o�� oG Vohqflon S � SEC110N J- ACCESSORi EUHDIN6S or 51RUCTURES ❑ NEw o REINSiPII Slm+dad Pbn Appo�o� No. ❑ AwNng 0 Carpo�t O Porc� O CaL�ona ❑ Ottier (sPecl(Y) OWNER Tal. No. •. •a iel. No. r � � •. / � •. � � � COeBC�bn t �/ll�I6� � ��d caieawn care (� � � aagnedTo Roufetl By Upd10BpOfhf�dopp�wpl to releosa orci paymenl or teea mb Pe�n h Imietl oNY ta Hems wlldotetl babw. PERMIT I MH ACCJS � MP �_ B(DG MHI MISC. TECHSER. � acx . /R� . . � � �� _ ..� ..��.� .�..,._ Ap(NlCatbn �o� Pb� b_L� r �"� Loca{ F40' � � 1 � � wcai Heam PubllC Waks_ SECTION l• A4ANUFAGNRED HOMEIM091lEHOME INSiAIUfION EmArorvnonial O.vrler Adtlress, ResfOent i91, N0. Lof No. Senol NunbeKs) Manu(ocMar Namel Date of MFG. Motlel Name inslpnbMuo LQbel No. 9FCTfONb-PARKOWNER,� RAUNA6Eil57GNANRE � �' 0 S ($IpnORxB RBetdrgCn BLUE •APPLICAM. VELIOW•DIS7R�CTREPRESENfAiIVE, PINK INSTRUCTIONS NogOfNO Dociorotbn Scl+od uronci foef Dote IsaueO BY EzpBea hm CIanJ1a No. ^.�-_ E�. Da1e �M1xfar_ Oale '1N�oT.I�EpR-yBUILDER OE4.NAM?V per�..y � It�e COnkoClaR lCer�la-«fd kip 1� I rqn�n ($eC. i.5� 9awu aitl Adoabra CoCe: N*r aN canN xi �aalot o Pertrrt to ca/am.Ct. a�er, h�a . demoau� « •'arry t�'x:hr0.pb1o14truO�[a.a�mr �M! YN�N11aaK�pa�NlbMa4�y� tbl 1Rvatnoa b Ycorue0puaT � b tt+e 7� of Con�qClon rolr LOw (CTqpta 9 (cpttnxxlip ]Rip ol ron J of tln Bu0wa1 an0 Rotosasn )or�rtabno a fw Brtb� tt�9'Ohdn antl IM 00fI fa C4� OxarrOflon. vblotlp� of Secibn 70.71 d b/ t fa a pamtl *��ba[M frotmpsmonMo m rn.nar a me a vem vooe� a Wle w1100 ontl IM ttnicR» b nlontloC ol ottme0la ocia X�4 9etr+ea mC rs9arocooe: mecm Ltenwtn.+oownwappv io.rtierotpropertywno ' amp. o�+n+Me�eauaw doeSsx�workhhmpa famoWMManerown �9�9�Gfv�ho IhBhtdd�OC��MOro+'e��b wmw, or�eprwo«n ap mn ma o�er�asoa wi nove � �a fx+Pw� W wbp.Mof afM Otl m141tl a k�pwe wU�canno�tas to � C+s prcyncf f5ec. 7� � en ma arwa+soru • mo cme�ocrae urorce lcw nurecaNrom orFrooaN�oGhhorrroro+ee �dtmCwnocm hlaucTp�o�Cqwttfo �octaWfcon�eE ttol�eCd�hoclmllterve A xn e�srtp� Sec. � 9 S P.G fa tln nmm: 31 �rxsc rannorvoccwianAv �oy amm panaty d peq.ry cne o� me rdwwtrp � S.NB md mar,�m a�arreore d c«van� ro»rc+�we �ea• co ron o, o�o�nooa ra w sxna, amo a �oa , in �ne aenaim,ce a ir+a..on ro�.rwa, me tn wo w mm,rtrt, wtm' �marnce. �xea socnon »w a me war r« mo m+vit ol me wak fa wlrcn ttw PamJt ti m+.»d A�' �KC 1wmCecmlBrtlMpdbY^�+�� tqr n � Park •� .1�}' ►�%luff�� 41 •. . �N J� �. • � a � / / • • •• : • • • Tel. N0. . �• NCIVfecf/Erqkieer tJc. No. MCNBSf TBI. NO. _ SECRON 2• DESCRIPIION Of WOQK AND VALUAIIpN �t :a ,' G �_ . " l • : - ♦ f • � � � � . " i tc. ORces �cra,,.T �N � - u .O/G oC, Valuarbn S__ . ___ . . 3ECIION J- ACCESSO¢V EUHDIN03 ot 5iRUC1URES ❑NEW O REINSfPL. StondardPbnApprovvlNo. ❑ AwNnq O Ca�paf ❑ Porch O Cabona ,_. _, _ .__. O Other (speCBY) in Ine P�orrpb�yu a ma wk la �.Wch v+b u ��pct w�vpkerf c� ce�iana, i�rnna� � Ovrt�ER ngr9e ma� r I fwtld becane s+blx� to nsoron po�neoru ot Sacnon 7700 d tne lawr pddrea m�.nn c«rpr wm moie po�n�oru n,.�. �� F7E tOSECURE wORI�RS LOr.1PFNS�110N NUNRU.MID9W15U81ECiMlEwIOYERIO ln1No_ ____ � M10� 111BfB b O marce a mo wak � "' t � ,�I a • •. ✓�/� ,� •. � �-� C)on�eCMn t/�--/�)/��— '7�� / TO "� fea R9C'tl caieciwnoma /� c7 � AugneA To flouteO By . UPM �eP��1�1f aPPmwl N releosa arcl paymant ot taet mb Partnfl h mueG aYy for kems w�aoted baww. rEa^nir � MH ACC/5 � MP r_ BLDG _ MM MISC. TECHSER. � a�cx � �� • . � � �� _... ...__—�- ... .�. Te1.No. I APP��b^ �� ?��.. LocaIPWrWnq O"_► � uVr� iel. No. Local fUe � ��I � 9FG110N � - MANUFACYVRED HOME/MOBILFHOME INSfAIUfION �0, ae5aa�r i91. NO. lAt No. Seil01 NumDer(s) MOnuloctuer Nome/ Da1B of MFG Motlel Nome i�upnbMUD Label Np. 4EC710N 8• PARK OX?IER, OPERATOR OR MANA6FR S7GNANRE aF\��IQnanxe� � Dat 0 S�� BLUE •APPI1CM7t. VEllOW•qSfRICiREPRE$EMAfIVE, flNK iNsrRucrioNs tocai'+adm PuqIC Waki FrN+orvnental I�� NegotNs pBClorOtbn _ _ . . scnoa �moocr Faef Date 45�otl By i' �z �L�►lirv�. TZ�rq 19th Street i� � � �g � r < a <. �« A�ut ' t/bR�tF L�tf�+ii�s sas FN�rf�+x lk • . L'o�f�++ �ksp, G'A. Jun 03 lo p1:28p City of 9�?nning Human Res C m � 6 m m � p � � m � � U rn — vU m � O � U Q O m m � 0 0 N � .-� J � � uLPak9'M1�.N'f OF YI.ANIYINC (4ii19?2-?t:7 Siale of CalifV��i;i Dep;3rtntent of I IouSing & Conununily llevelopmenl 3737 Main Spce[. Juite 40D a;ivCr5itle G1 9?SUI-3=37 951-922-3157 P,Z .� � CITY 4F RANNING P.O. SOX 998 13ANNINC CA 92220 FAX (9S1) y22-3128 P,qR ,� •/Yl R � 1 D/tiP/� �U17C 3� 2(��(� ��i7//o ��y�s7 _ I�di: �Y�2 I�Gq/�iR171n1f' / KL•: 19annine St.igeconoh KQ4 I q5� S. 5an liorgunio A�amc / A%'iJ i-�3 U40-008 e�T� �Pp�mU�/ �� w�cv Liw/Tf Co,� r/� c T nearSirs: � �� yWn . �ISI -�1?•' �3}-�foJ� . C _Mµi/ SOCAIMFTG� W The purpuse of lhis Ictter is to veri('y ��luu the above mei�lioltcd propzrty i5 loc9tzd in thc Mobile h" S W Home Psri; (MHP)'Lune. The d�scrip'•! on Jf thul 7.qne is as fnlluws: Nlobile Ilutne t'ark (D4NY) ; '•The 1j19UlCt ;�PJ1I12�' f0 exictiEi:F, mabile home �arks ur subdivisions within in the Cily. Only mobile hume pada an„I s'u6division are permitted. Piome uecupauons may he a+ppTopriatc ��ith the approval {d'a conditional use perntit" i'hc Residenlial llevelupmeut Stand�ris for the Mobile Home Parlc Zono are as' folluws: i��iinimum lot sitt - N/ A . lVlininlum lot �vidth- 150 Fl. � p4inimurn IuLdep(h- 100 H. ; lviininwm li'ont acCbacl:- 10 y't. /Re�r srtback- 10 ft. Minimum side yurd selback ! 5 ti. / Strcet side ynrd - 5 tl. Ntaximum building coveragcr#:",'�) - SU fhe proposaf �iu on-sile managemeny on a properfy wliich l'alls under the jw isdiccion of HCu and �.c located in the (N1NP) Nfubilc I IT,tne Park zone is acceptable lo dtc City of d�nnitzg. If 1 m3y be of;�ny lurther sen�ice to �}�a regarding this pruper�y, please do no hesitsre �o contact mc »� 95L�22.3125. SirICCI'C!y', 7^ / /i'�.�i,�Y.'��%7.✓�.�..'"� � Ci�ni $orensun llcvelopmei�l Yroject C:oordinaior Z2 l�LNiwrwTsrq . � -.� �._ pt�,Arcczt � NORitE t'sf,r�ies - 3AS Fl�irfi�K Dt. 19th Stzes.t ��y, �,�� .,� y oa�dN 31`�m0� �sZ xS SM��a��d SnrIMTt/ .SM��JMN!$ �:y�.j mzk�� , z y�v� v3 ��a d a�Q�f ��,9oW �. 0 N J � . —� s i a.,..-ir �M„s�x� � ;;.s�� ,�ay z.�� 2>� �rd?7 (�J � ��dd� I � rMO� �+� Z X S � sM,xa�vd �MI,Nf+IEf S.wIONff,!S ?3�/.j - ozx �i. 1 ' � i ,�z � 7.wo�y 3/�9°W �S - s 0 G7 �+,�w i �s � t ' � J V � N � � ^ � c � , i � W �' ��"0 o -c p Zi D x (714) 754-52>3 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Jobqddress: 525 FAIRFAXDR Suite No � Viciniry: FRONT RIGHT AREA OF MOBILE HOME PARK Parcel Nunmber: 89204025 Applicant: VILLANUEVAJR,SADIRI Address: 749 W VESTA ST ONTARIO, CA Owner: WILKIN. GARY Address P O BOX 2312 COSTA MESA, CA Contractor: JAY VEE ELECTRIC Address: 749 W VESTA ST ISSUE FEE � Temp service test Res. a/c package New Res (1-2 units) � New Res (3+units) Pool / Spa Lighting Fixts Recept OuUets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service ov�r t000a Motars to thp Motors to 10hp Motors to 50hp Motors to t00hp Motors over 100hp Communic8tion drops ONTARIO, CA ISSUED 8Y: Phone: 909-519-0571 Zip: 91762 Status: ISSUED Applied: 03/25/2004 Issued: 03/25/2004 Phone: /y�� y �� Zip: 92628 " � U � Phone: 909-519-0571 Zip: 91762 License: 788390 SCOPE OF PERMIT INSTALLATION OF A NEW METER FOR AN EXISTING SFD ON THE "HOOSIER MOBILE PARK/OCEANBREEZE. THE UNIT WAS PREVIOUSLY USING THE MOBILE PARK SERVICE, BUT IS NOW A RENTAL. 7 SERVICE TO 200A NO OTHER WORK AUTHORIZED WITH THIS PERMIT. �// $23.50 50.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 $30.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to t kva/kw ................up to 10 kva/kw .................up l0 50 kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Vollage Equipment Low Volt Wiring System / Ckt Misa Conduit Misc. Conduclor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electncal Fee Investigation Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 50.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell requlred inspeetlona and tinal approval must be obtalned. Failure to obtain inspections and final approval will result in the ezpiration ot thls permit. FOR INSPECTIONS CALL: (714) 754-5626 2446i8 (6�00) WORKERS'COMPENSATION DECLARA710N: 1 hereby aHirtn under penalry of perjury one of the following declarations: ❑ I heve antl wlll maintaln a certificate of consent to self-Insure for workers' compensation, as pmvided tor by section 3700 of the Labor Cotle, for ihe peAormanca ot Ihe work for whlch Ihis permit is issuetl. ❑ I have antl will malntain workers' compensation insurance, as required by section 3700 of the Labor Code, lor the peAormance of the work for which Ihis permi� is Issued. My workers' compensation Insurance wrriar end policy number are: Carner: Policy Number: (This section neetl not be completed il fhe permit is velued ef one hundretl dolla�s ($100J or less.) �cetlily thet in the pedortnance of the work tor w�ich ihis permit is issued, I shall not employ any person In eny manner so as to 6ecome sublect to the workers' compensatlon I333�� of C lornie, antl egree thet if I should become sub�ect to the workers' compensetion provislons ol Section 3700 of the Labor Code, I shell fort�wlth complywiththeleymvi � s. Applicant Signeture: J Date: �^ yS '� �� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION WVERAGE IS UNLAwFl1L AND SHPLL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AN GVtt. FINES UP TOONE MUNDRED TFIOUSMID DOLLARE (5100,000�, IN ADDRION TO iHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC(ION �O6 OF THE LA80R ODDE, INiEREST, AND ATTORNEYS FEES. LICENSED CONTRACTOHS OECLARA710N: I hereby aNirm Nat I am force end eNect. Llc. tt_ Coniractor's Signeture: 9(commencing with Saction 7000) of Division 3 of Ihe Business antl Protessions Code, and my license is in tull Class» L' � a e Date: �� 7.C� ^A"1 CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat ihere is a consiruction landing egency lor the pedormance ot the work for which ihis permi� is issued. (Sec. 3097, Civil Code). LentleYs Neme: Signeture: _ OWNEP-BUILDER DECLARATONS: Lender'S Address: D8�9: I heroby attirm ihat untler penalry of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or wunry whic� requires a permit to cons�ruct, alter, improve, tlemolish, or repair any strucfure, prior to its issuance, also requires the aOP��nt for such pertnit to file e signetl stetement t�et �e or she is licensetl pursuent to the provisions of Ihe Contrecrors License Lew (Chapter 9(commenUng with Sectlon 7000) ot Divislon 3 0l the Business entl Prolessions Code) or that he or she is ezempt theretrom and the basis tor t�e alleged exemption. Any violetion ot Section 7031.5 by eny applicant for e permit subjects ihe eppllcant to a civil penalry of not more ihan live hundred dollars ($500).): ❑ I, es owner of the propeny, or my employeas with wages as their sole compensetion, WILL DO THE WORK, and ihe siructure is not intended or oHered tor sale (Sec. 704a, Business and Pmfessions Code: The Comractors License Lew does not appry m an owner of pmperty who builds or improves Ihereon, and who does such work himselt or herself or Ihrough his or her own employees, provided thet such improvements are not imentletl or oNeretl br sale. If, however, ihe building or improvement is sold within one year of completion, ihe owner-builder will heve the Dwtlen of proving Nat ha or she did not build or improve tor purpose ot sale.). ' ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl Ihe proiect (Sec. 7046, Business and Professions Code: The conirectors Llcense Law does not epply �o en owner of propeny who builtls or improves ihereon, entl who contracts for such pmject with a contractor(s) licen5e pur5uant to ihe Conhactors LicenSe LewS.). ❑ I am exemp� under 5ec. Busin855 end ProfeSsionS COde fOr lhis re9son: Signature: Date: Owner ID venfietl by drivafs license. �es ❑ No Drivef5 LicenSe No. Expires: Vedliceiion ol Ownership by (type of document, 1.6. - pmpetly Iex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenity thet no excevation five (5) or more feet in tlepth into which a person is required to descend, will ba mada in connection with work authorized by this pertnit, end ihat no building simcture, scaflolding, falsework, or tlemolition or tlismantling thereo( will be more Ihen thirry-six (36) teei high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celitomia Atlministretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe OiNsion of Industnal Safety, as notetl above, unleu such person has a permit to do such work irom ihe division. Signature: Date: Division of Industnel Safety Permit Number. CERTIFlCATE OF COMPLIANCE AND Al7THORIZA710N OF ENTTiY: I cenity under penalry ot perjury thet I have read this epplication and siate that tha informatlon given is correct. I agree to comply with all state laws entl city ortlinances relating to building construction, end au�horize represenlatives ot ihe Ciry of Costa Mesa to enter upon Ihe above-descnbed property for inspection puryoses. I egree not to occupy or allow occupancy ot any building authonzed by this permit until tinal inspection. Si ��e O al Owner(s) ` 1 AnNOr Auth ize yttcm�e CODE t INSPECPONTYPE 1616 Fixed System Final Fire Prevention 1268 Pool Spa Final 200 Finel RB-Roof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q�f, INTRI�LS COOE I INSPECTION TYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel EleciriCel 212 Flnel Fire Preveniion 220 Final Planning Approval 222 Finel Site 250 FinelBuildinq/Occupency � PS7E ItlIID�Li � (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: 525 FAIRFAX DR A 89204025 Applicant: VILLANUEVA,SADIRI Address: 749 W VESTA ST ONTARIO, CA Owner: WILKIN, GARY Address P O BOX 2312 Contractor. Address ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Molors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a COSTA MESA, CA JAY VEE ELECTRIC 749 W VESTA ST ONTARIO, CA ELECTRICAL PERMIT Phone: 909-519-0571 Zip: 91762 Phone: Zip: 92628 Phone: 909-519-0571 Zip: 91762 License: 788390 SCOPE OF PERMIT REf: E04-00295 METER UPGRADE. ISSUED BY: Status: ISSUED Applied: 04/OS/2004 Issued: 04/05/2004 , ♦ • f� „� I •' SUPPLEMENT PERMIT TO ADD SUBPANEL TO FEED OFFICE STORAGE SPACE- OK PER RANDY BUCK. $23.50 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 Quantiry FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipmenl Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (meCh ride or lighls) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigalion Fee Plan Check Fee Quantity $0.00 0. $0.00 0' $0.00 0' $0.00 0� $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0' $0.00 0 $0.00 0 $0.00 0 $0.00 0 � $0.00 0 $0.00 0 $0.00 0 $0.00 30.00 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 7B0 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order tor 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 be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2C6666 (6I00) WORKERS'COMPENSAnON DECLARATON: I here y eNi tler penalty of Derjury one of the following dacleretions: ❑ hav and ill maintain e certificata of wnsent�re tor woi o for wh h Ihis per '' issueA. ❑ ave and w 1 main warke campen e�on insurance, irec My workers' nsatlon ins an rrier and policy number ere: by sectlon 3700 es Cartier: �s section need not be complefed il fhe permif !s velued et one buntlred dallers ($100) or /ess.) 3700 of the Lebor �for !fw pertormance of the � for the pertortnance of the work lor which this pertnit is issued. Poliry Number: that in the partormance ot t�e work for which Ihls pertnit is issued, I shall not employ any person in eny manner so es to become subject to Ihe workers' isation lews of Celitomia, entl agrae that tl I shoultl becnme SubJect to Ihe workers' compensetlon proNslons at Sectlon 3700 ot Ihe Labor Cotle, I shall forthwith vn�h �he50 proW51on5. ' Applicant Signeture: Dete: WARNING: FAILL/RE TO SECURE WORKERS' COMPENSATIOfJ COVERApE IS UNUWFUL M'D SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED T/KKISAND OOLLFRE (5100,000). IN ADDITION TO THE WST OF COMPENS4TION, DAMAGES AS PROVI�ED FOR IN SECTIIXJ 37080F THE LABOq CODE, IMEREST, AND ATiORNE1"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn that I em licensed under provisio torce end eflect. Lic. a�—I ��i /� Contractors Signeture: ol Chapter 9(commencing with Section 7000) of Divislon 3 of the Bi CI855 M Date: _ Cotle, end my license is in tull CONSTRUCTION LENDING AGENCY: � ❑ I hereby aHirm Ihal ihere is a construction lending agency tor Ihe peAormance of ihe work for w�ich this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atltlress: Signetura: OWNER-BUILDEH DECLAfiAT10NS: Date: I hereby etfirtn Ihet under penelry ot perJury Ihet I em E%EMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7D31.5, Busineu and Professions Code: Any city or counry which reQuires e permit to construcL alter, improve, tlemolish, or repair any structure, pnor to its iuuance, also requires iha epplicant for such permit to file a signetl statement ihet he or she Is Ilcensetl pursuant to the provislons al Ihe Cantrectors Llcense Lew (Chepter 9(commencing wit� Sedlon 7000) oi Divlslon 3 of tha Business and Professions Cade) or thel he or sha is axempt Ihereirom end Ihe basis for the elleged ezemption. Any vialation oi Section 7031.5 6y any applicent for e permit subjacts ihe applicent to a civil penelry of not more ihen live hundred dollars ($500).): ❑ I, as owner ol the properry, or,my employees with wegas as Iheir sole compensatlon. WILL DO TME WORK, and Ihe siructure Is noi intandetl or oNered for sale (Sec. 7044, Business and Professions Cotle: The Conirectors llcense Law does not apply to an owner of property who builds or improves ihereon, end who tloes such work himself or hersetl or through his or �er own employees, provlded thet such Improvements are not Intendetl or oHered for sale. N, however, Ihe building or improvement is sold within one year ot completion, the owner-builtler will heve ihe burden ol proving that �e or she did not build or improve lor purpose ot sala.). ' ❑ I, es awner of tha property, am EXCLUSIVELV CONTRAC7INC WI7H LICENSED CONTFACTORS to canstrua the prolect (SecJ044, Business and Pmfessions Code: The coniredors Ucense lew does not epply to en owner of property who builds or improves thereon, end who coNracts tor such project with a coniractor(s) license purSuaM to the Contractors License Lews.). ❑ I am exempt under sec. � Business and Professions Coda for this reeson: Signature: Date: Owner ID venfietl by dnveYs license. ❑ Yes ❑ No Driver's License No. Verificetion of Ownership by (type oi tlaument, I.e. - property taa bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenity ihat no excavation five (5) or mora teet in depth into which e person Is required to descentl, wiil be made In connection with work euthorizad 6y Ihis permii, and Ihat no building structure, scaHoltling, falsework, or demolitlon or dismantling thareof, will ba more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Californle Adminisiretiva Cade). ❑ As awner-builder, I will not employ anyone to tlo work which would requlre e permit trom the Division ol Intlusinel Sefety, as notetl a6ove, unless such parson has e permit to tlo such work from Iha tlivision. Signature: De�e: Division oi Industnal Safary Permit Num6er: CERTIFlCATE OF COMPLJANCE AND AUfHORVA710N OF ENfRV: I certily under penalry of perjury that I have read this epplication antl state ihat the information given is correct. I agree to comply with ell state laws end ciry ortlinances relating to building construction, entl euthorize representatives of t�e Ciry oi Costa Mesa to enter upon Ihe above-descn6ed properry for inspeclion purposes. I egree not to occuOY a� ellow occupancy ol eny building au�horizetl by this permit until final inspection. ^.} SigneNre Of Legal Owner(s) �� . Date �, And/OrAuthonzed Applicant Date F�] 7�7�Cf�9J3A1P7:i�1� 1616 Fixed System Final Fire Preven�lon 1288 Pool Spe Finel 200 Final Re-Roo1 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 204 Final Sign Flnal Demolilion PA7F 1[�Q1A65 COOE 1 INSPELTION TYVE 206 Final Mechanital 208 Final Plumbing 210 Final Electrical 212 Flnal Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy p7.\I�I5itiL1b9 W .�.�_�.�__'___"�..�_��_��_'�._.__' ._'_" � � �-a � � --- -----. -1��,��.�ns ]9lb Street �/ "�=1t�b� ��b'uol5 ,��,a� -Q 3��V l�� 1Q ,+A,�S. �� -�� - _ ------- -___._ 3��m�5 ��N a�at' �, ?4 �C,�� "�'or � -.... ---.__ -::� _a.. _----- ----- ---- - - _ '�'��C�a� � `� �� C��-----_�) � � �-�- �-�p ��2�0 �� -� 1 i. »t�o_,_A r,e.i;r� 7a��lwc __�'_ _'_ '_'7�ar - - - - ---�- -- ------- �� r� MINOR MODIFICATION Reference No.: Status: APPROVED Applied Date: 07-28-2004 Approved Date: 07/28/2004 Denied Date: MINOR MODIFICATION NO.: MM-04-28 Project Address: 525 FAIRFAX DR � 515 �alr �� Suite: Parcel Number: 89204025 ProjectApplicant: WILKIN, GARY PROPOSED MINOR MODIFICATION: MINOR MODIFICATION FOR A 21 LINEAL FT. OF 7 FT. HIGH WROUGH IRON FENCE AND PEDESTRIAN GATE ALONG THE NORTH PROPERTY LINE THAT ABUTS A COMMERCIAL PROPERTY, FOR A 28 LINEAL FT. OF 7 FT. HIGH WROUGH IRON FENCE ADJACENT TO FAIRFAX DRIVE, AND ALSO FOR A 22 LINEAL FT. LONG 8 FT. HIGH WROUGHT IRON GATE ACROSS FAIRFAX DR. THIS MINOR MODIFICATION ALSO AFFECTS PROPERTY AT 515 FAIRFAX DR. BECAUSE THE PROPERTY IS ALSO PART OF THE MOBILE HOME PARK. BUILDING PERMITS TO BE ISSUED BY THE STATE'S BUILDING OFFICIAL BECAUSE PROJECT SITE IS A MOBILE HOME PARK. JUSTIFICATION: MOBILE HOME PARK ABUTS COMMERCIAL PROPERTIES. REQUIRED FINDINGS:Y The improvement will not be materially detrimental to the health, safety and general welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. The improvement is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. 7his includes the site planning, land coverage, landscaping, appearance, scale of structures, open space and any other applicable features relative to a compatible and attractive development. ►'O�oSF,ai. 1�1�. 1S !+ s� ia�I' ',�oSc� X/• !'/7// lt/� . 1 �X'-f lilRDu�/•.t-��UNJ. %hC �r�.r r� /tk. r.f�t_[_ be ��s�//�d (�ale_ w�C.0 be vPer�+.kd b f+ni �L.�. �L 3QOo �s;��s �ro�aerf�� w�,LL _ �,�.�f� Rufofi�/coC.�.a%c o�icr w��f, f�e�E-c� SL/Dc `j2/��nd. /iwfP /7eC�/�4w�� 6Hi'i?.i"iCS i/1 �e GuP.�'� 1� o� P6wf.r �i9��u�PC . ,ld��9 O�v.s�STi�ae Fi�x ��d. �Si�NTs N�LL be. �ro�•ir» /�1.,�/�� d� A a a "az �„ v� z' F E'" a'." u� � Q o `�" .aa FW-'` � a � a ¢_ O�n p z � W C] � ozo �W� QIFav aow � v N Z�a i� ¢ m . ��i �e;,, ��q� �bX �� v, tt�s�2 �- ✓/5 � eas s A• � c�. I� etl- l,1ofi .� � sk-m, � ro �/'a m m eoC f� e �, 3 "°� \ '�` � �N Vl - � 1V `^ � S � C ` v �� Z � O 9,�,� ZZ�X�i�� r��sn�mum 2o�wuir. ere E-1�rer�r� � �D (�' �'e� e r � li,Mfi�sion�s oF A ,SP�es . ��reckr� u� : [..�. b e � ff,� ne�.�rns s�,e�ug��,�^' �/�� rv�TH d � -�i '� �J � • ^ aq-Ee i 5 � (mt T /�u�Sf"Por� � F/� 7 �' 9 i�c% T TDP D F c�era.f�ut � � � � �� j p�e �^ >_ hR � A z X' nct wn Ll- . � ruc%a�uC n//t aC �� w�� Sheet /�9eT�9_ OuF s� Q� L ; � H. iv s f-�Arf;n r �-� i a y . N N A n M � N n 0 m n w �s m w � f�ry�,� '1' , � N Project Address Project Name O.mers Naire O�mers Address L_lY DF COSTA MESh CAIJFORNIA 92826 P.O. BOX 1200 FROM TME OFFICE OF THE DIRECTOR OF BUILDIN6 SAFETY Oaners Telephone ��'�— �� /O ri -. • � •- '� i � City Use Only I�/� r y�'�� . .p� J as Owner, Contractor, Agent (strike out all except one) do hereby attest that e�loyment of any person, or persons, is not anticipated at the tvne of seeking the above–referenced permit. In the event that any person, or persons, are e�loyed under the prwisions of this permit, I shall urn�diately cause a valid Certificate of Worlrniens Co��ensation to be filed with the Costa Mesa Building Division. I agree to defend at my aan mst, and to irxlemnify and hold harmless, the City, its officers, agents and/or employees, fran and against, arry and all liability, damage, costs, losses, claims and expenses, haascever caused, resulting directly or indirectly fran, or connected with the improvement under this permit. I further state that I have read and fully �mderstand the implications and rr sponsibilities of the above statements, and will ccxnply with all provisions of the Contractors State License Iaw found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. C_�.€l �P� �S S� Tj �li a r+i Print Name / � � �� / �j/i . . - CMF 0777-4fi % i � :. ..__ -- � INSTRUCTIONS i0 APPLICANT w�;��a�,B;'„=��i��o": Y°f�'^�� . , 1.�35 10/22/80 35.00 TL' � APPLICATION FOR PERMIT TO CONSTRUCT 7� ' `��s BUILDINC; - PLUMBING - ELECTRICAL p � \ COSTA MESA BUILDINGSAFETY DEPARTMAdT , Z� P. O. Box 1200, Gosta Men, Glifornb TRAILER PARK NAME� ��/s�E2— ADDRESS SzS� F/¢/.e`AX DA • SITE LESSE � S/` y MAILING ADDRG55 ZZO�O t-t.Gcr CITY �.fJA�I�'/.�% • TEL No��' �%%Z STATE LICENSE No ��-2- L(y,nSS e-6 J I h�nby acknowldp� thal M� irtfetmaKen 1 haw prwid1d fa corrM and epres ehat all censhuetion �hdl 6� in aoowdoncs with prmlJons ef DlWdon 17. Pmf 2, of ths Xwhh ond Safify Cod� and rslat�d rvl�s'and rpulaKons of th� Stv1� of California. —7 $�� i`i0- / NUMBER OF MOBILEHOME LOTS: NEW - Independent Dependent ALTER - Independent �ent /O L Sipnohua of ewn� /monup �,n Dafi /G � LLtN�'t' `� L SipnaNra of appl' n� /� � DESGRIPTION OF WORK/t'�6G/�� C ,1�/Af-L �O ,t 3 / Sa 70PI. , Pe�imt No. I D�b IuuaE I R�wIvM 4y PLUMBING Sewera Gas Regulaton Gas Outlefs Water System Repair - Alfer Draii Repair - Alter Vent Lawn Scrinkler Svs Private � Total Pl�mbing Parmit Fee I � Sipnalun of ' vEw�irrEe Permit Ne. I om io�•a I n.uwee er ELECTRICAL No. INm Fw �Ut�B�S � Fixtures, Lampholders �- - HP HP Mercury Arc Lamps and Equ Incandescent Elacfric Signs Mobile Homa Lot Installation Main Service Plan Check Pee (E5 min.) Total Elactrical Permit Fee s�qnew.. of STRUCTURAL R � by D�b Radlv 81L No. L - l io-a�-�a l � Group No. of Stories Sq. Ft. Parmlt No. VALUATION �L".DD V�rmit Fw S �� D�b IuuaE a I /1 � Plan CMck i (/� 35. o0 / Tetol Fw i PIUMBtNO APPROVALS Service Connedion RECTRICAL APPItOVALS Fixtures (building) Main Sarvice Cond�it Installation Dirad Burial Install. Overhead Installation Transformer Install. $BrviCB COf FIIVAL DEPAATMBdT APPROYAL SIGNATURB Building Planning date Engineering date data Plon eheck fsa in tha amount of SS Iha parmie fes f� du� whh applimfien ond i� not rofundabls. Fes is tubjact fo rarffimtion by ih� Adminishat(v� Aufhwity. Completa plon� and apacifiwtiona shall M submitted with wch oppliwtion. PFun chaek faa shall not 6� I�u fhan s5.00 for wch shuclurol plan, Plumbing plan, w�I�chicol plon. 33 White-Builtlin9: Canary-Customer; Pink-Flnance; GOltlenroG-Assessor CITY OF COSTA �ME�SA� Project Address ��-J. PERMIT AOV��ant to fill in ail spaces exeapl tho�a wHhin�neavY �ortler linas antl si9n all appropriate aeclarations. PERMIT NO. ^ TRACT NO. � LOT� NO. UNIT NO. Owner's Name �/�w/�� L/'�/+ Phone,�'jF7 o's�0 Address i�jr �14��'�l1X� �p F�fch/Eng. �rt' e ✓�/�J License No. " / �� Address 3 �� .P✓�' )��L7 Contractor'sName V �� Phone Address (mailing) � City License No. LICENSED CONTRACTOR DECLARATION 1 her atlirm [ha[ I am licensetl untler orovitions of Cnartar 9(commencing with e np� f O' I51 �-B "! EIIO AIOf¢S IOns Cotla, dntl myl' S t Lic lass �Ge� No. Oate SignaWre WORKERS' COMPENSATION DECLARATION ereDy a/firm that I have a certificate of consent l0 5¢I6lnsu�e or a Certlfltdt¢ Workers' Compansation Iniurance, or a certifietl copy tnereof (Section �i,,, ..800. Lab. C.) Policy No. Company BCertifietl Copy is hereby fumishetl. CertifieG copY is filetl wi[h [he city Builtling Divl5lon. Date APplicant EXEMPTION FROM WORKERS' COMVENSATION DECLARATION (Tnis section neetl not be completetl it the permit Is for one nuntlretl (5100) or less). I certity that in the pe�to�mance of Ih¢ wo�k for wnich tnis �m�t is ISSuetl, I shall not employ any person in any manner s s t bec e subject to Ihe WorkG(� C rt)pen � n LawS Of Cal' tnia Date(��'�"�� Si9nature NOTI[E: If, atter making this tleclaratlon, you shaultl become ject [o t�e Workers' Compensation provisions of tne Labor Cotle, you m st forthwith comply �with such provisions or tnls permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I nereby aftirm that there is a construction lentlin9 a9ency for tne Pertormanca ot lhe work for whicn tnis permil i5 i55ultl (Sectlon 3097 Civ. C.� Lentler'S Name Lentler'S Atltlresi OWNER BUILDER DECLARATION I hereby ettirm ihat I am exempt irom the ConVactor's License Law for the following reazon (Section ]031.5 BuSiness antl Professional Cotle: Any tity or munty whith require5 a permit to conitruct, dltGr, ImDrove, tlemolish or repair any sl�u<ture, p�lo� to its issuan<e, also require5lhe applitant �o� Sutb pe�mit to file a signetl slatement that he/she is licensetl pursuant to the provisions ot •'�e Con[ractor'S License Law (Chapter 9(commen<ing with Se<[ion 7000) of ' �ision 3 of the Business antl Professions Cotle) or tnat he/she is exempt ' refrom antl IhG basis for the alle9etl exemption. Any violdtlOn of 5ectiOn ' d1.5 by any apP��ant for a permit subjat[5 tne appli<ant to a civil r �e dlty of not mo�e than five huntlre0 tlollar5 (5500). I, as owner ot the property or my employees wi[h wages as ihelr sole compen5dtion, will tlo the work, antl Ihe struclura is not Intentletl or ofteretl tor sale (Section 7044, Business antl Profezzlonal Cotle: The Contractor's License Law tloes not apPly ro an owner of a properry who builtls or improves thereon, antl wno tloes such work himselt/herzelf or throu9h his or her own em0loy¢es, provitletl [M1at suth improvements ate not intenaeA or offeretl to� sale. It, however, [he builtlin9 or improvement is 5oltl within one year of com- / pleti00, tbe owner will have [he burtlen of provin9 he/sh¢ tlitl not builtl or im- p�ova to� the purpose of sale). ❑ I, as owner of tne property, am ex<lusively contractin9 with licensetl con- tracto�s to mnst�uct the O�oject ($ec[ion 7044, Busin¢55 antl Pro�e55iOns Cotle: The Con[ractor's License !aw does not applY to an owner of property who builds or improves lhereon. antl who contracts for zuch orolects with a con- tractor(s Lcenze pursuant to me ConVacror•s llcense Law). I am aware that proof o� their Worker•s Compensation insuran<e shoultl ba provitletl lo me. ❑ I a��ezempt unCer Sec[ion _ �. & P�¢. tor [his reason — Owner ///a/u�t/-/io� I have reatl [his apP�ication antl I a9ree to complY wi[h all city x to builtlma coafVuction. antl h� Si9nature n d � Drivers' License or 55 0865-46, rev. 5/88 White - Builtling;>Canary � 3� F� L b IFR/�N/i6w� i� I TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIOj OFyJOR1C/UiSE O �LDG�. ,_ L._/� l� �� TYPE OF PERMIT GRADING FOUNDATION STRVCTURAI ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER M' PROJECT DESCRIPTION 5� F7 i OCCUPA vCF��. CONSTRVCT�nNTvuF yei i�erinr.i ¢ ZONE GRADINGCV.YDS. ACRE � • Rema�ks: r�^ �'/Y �- 8ar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks / GasService Outlets Interceptors Kitthen Sink Lavatories / Roof Drains Reinspeclion Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System � Multiple Firepl/Fact Blt iC80 # Heating System & Ducting ❑ o-i oo,000 eru O i oo,000 Reinspection Fee � $15 Applitant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors ar Piping Solar Tank Swimming ool w/Spa Water Closet Isue Fea Hood or Typel ❑ Canopy/Type I I ❑ 3 igeration System aioo,000sru ❑�oo,000 System Repair/Alteration Fire Dampers Registers laue Fee A.P. # Lj S Main I E T Front B Rear A C Righ K , Ping. Ref. # Planning Notes: — /ca.3 —U FEES �+utomatic Washer Construction Pole Sub. � Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �65 KW C Fee 2one Accessory Bui ELECTRICAL Transtormer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel M��0.1 HP �1h-8 Inc.Solar �9-75 HP �16-15+ Microwave Pole Light Range Standing Sections 5 KW Trash Compacmr $15 luue Fea $� DEVELOPMENTSERVICESREQUI 2onin8 APP�oved By FEES Buildine Approved By�—� T APPliotion lauad By $ 3 N I N G R E � M T S. FEES $ 3 '�G�'- SUMMARV OF FEES BUILDING PERMIT $ C-�. 00 SMIP $ .-�—� PLAN CHECK $ '2 r'� �t% PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM 5 MECHANICAL $ TOTALFEE $ _$%, 6� PLAN CHECK ZS% $ / �10UQ22340-U0022342 TU'T E9,3p DATE� 12/14/II$ TIPIE: 14:2: r.. ., ., ,. . . . . . . ,. . �! _ ,• � , - , - CONSTRUCTION AND PLANNING P�� SPA � APPROVALS Permit #• ! Date Inspector AppROVALS Permit # Date i' Inspector R 1. Teinporafy ElGctrical Service`or Pole • 52. Pool &'�quipment Location 2. SQiI Pipe-Ui�drgrnd. ' � 53. Steel Reinforcement � 3. �El�ctrical Conduit U[ility-Undrtqrnd. _ ' 54. FOrms i '.� � i 4. �Electrical Conduit-Undrgrnd. � 55. Electrical Bonding " ` 5. -Steel Reinforcement � 56. Rough Plumbing & Pressure Test ' 6� Electrical UFER Grnd. '� , 57. APPROVAL TO COVER-GUNITE �, �� 7. Footings ' � 58. Electriral Conduit-Undrgrnd. , "'� i j' 8' Foundation � � , , I 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgrnd. � � 60. B�ackwash Lines, P-Trep, 0 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 A'6.+ Rough Electric Wiring 67. Fencing & Access Approval 17�. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18'. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough H�ating & Air Conditioning . FIRE DEPT. REQUIREMENT 20. Rough.,Factory Fireplace �� APPROVALS Permit # 21. Ducts, in�Structure �i' 70. Underground Hydro 22. Ducts, Ventilating J I ' �,'� 71. Product Piping O Gas ❑ Oil 23. Gas Pipe:Rough &�est i� 72' Underground Flush 24. Roof Framing �"' �" 73. Undergrnd.$torageTank �Gas ❑Oil'� -� i.. 25.`fioof Sheathing '' 74. .Ovechead Hydro ' 26. T-Bar Ceiling (Stiuctural) & Monocoat � � 75. �Diy Chemiral , 27. Frame and Flashing . 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ��+, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Powet_Me,ter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ` Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ' �38. Final Plumbing i � 39. Water Service-Final ., � 40. Gas Service-Final / i 41. Solar pomestic-Final � � � � .r 42. Backflow Preventer � . � �� 43. Backflow Irrigation ' / ! � � '. 44. Landscape� Irrigation7System � _ � 45. Sound Attenuation ' � , , i 46. Handicap Regulation's � 47. FINALSTRUCTURE&BUILDING 48. Special Requirement's Completed 49. Electric Release to Edison �'� � 50. Gas Release to �Southern California Gas Co ' � � � r 51. CEFTIFICATE OF OCCUPANCY ' � • i No. Date . � : � � ' �` _�.. ._ . �_ COUNTY 4F ORANGE � //� BUILDING DEPT. . ' �/�,7/� 636 No. $roadway Permit No_ �({f ---- Santa Ana, California Application for Building Permit . Phone: KI 2-6211 AND FOR A Certif�ca+e of Use and Occupancy OWNER'S ��--- ------ Daze '---------...-- .. � — ----------- -- PHONE: ----- ---------------------- MAILI[VG ADDRESS.---J----�-/-.S�-----F�/11.�+`I-'�------1�-/.4.----------------------......_CITY �QST�__��------------ Name _..-------_'. Address __._.___.__ c«Y ---- �----�- ---.. s�,�e Lic. No. -------'--- (Archicect or Enginecr) Phone Name__5,.-..U.L1-/I.F.%.l_U.,� _2r__f1 U._6.l /..C_(?""_______'_ !/ry (Contracror) Address .�.T.7..'---'/yI.�C__NQ.�/.��-----".-'--"-------"'-'------"- c��Y --�.o__Srf�,.�Yt�s.f.�,, ---� -- ---- -----------------------� - s�,« F_ Lic. No. ��--��-�"_---_-"-- -- Phon _------'-'--� VD i� ��u�+� �' � p�/ �p /, -� �p PROP EDUSE:_.�CJLT-Th--F-1�OI11.S--�0.----.!l�.l.../.�.l.Ty-----�9a�-- ----.Tl.t.�l��_Q-�PS..�----.._.._.._---- 2. JOB LQCATION_.'�-2-�= --�/f__�_��_2.�`----w<------- ------------------.�Q.S�l.I..-1-�-� �_`��------------------------ (House No.) (Name of Svee[) (i'own or School District) i. LEGAL DESCRIPTION: Lot ._O /Y- --�,- �f (.�'-`-----Block - - -- ---- -----� -'---- - �'- ---Tracc ..----- -- ----'--- ------ (Me[es and Bounda Descripoion—Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZL OP BLDG.:.�b..X.(.�..._AREA:.__I_�Q__F.,__..._.__.SIZE OF LOT:.��)(.�:�.AREA:._�.SP�._.Z..%�..__.. i p� / 6. HEIGH'�FjjF BLDG.:. �d.__ .____ _____..______.CEILING HEIGHT: __ff..._____..__....____......._. NO. OF 57'ORIES___I-_..__.____ __._ 7. NO. i'AM LTS _�.----'----'..._ "-'_--------. Sue of Sma�lest Bedroom: - r-------_--'-..._ Size of Kiahen: ..__� _^'.._"--'----_---"-" 8. EXTERT ALL CONSTRUCTION:_��--0_�INTERIOR WALL COVERING _��e��f�l._... (Frame, Scucco, E�c.) /L�7 (PlusmrDr wall�,./E�ct.)/ 9. SETBAC � I Front Yard from Cenmr Liae of StrceL �Ll.�.C�___.��.O.T _._..��-/X.LT___._.__._.._ .................... � � Nearest d Yard _..�_�....._......Rear Yard___.._____._._______.Distance in Feet Between Bldgs. on Same Lot... ..0 ............._ ._:._... 1G. A CO �TE PLOT PLAIV IS REQUIRED, SHOWING ALL STRUCTURGS AND USE OF EACH. \i // �/ 1�1. For / �y�,) Foocing: Wid�h___�7.-/�._ ...............Dcp�h in Ground.._...I.._�1...//... _ Widchof Walt S�.m�_... ._-- - A(ce or l� �J Bld nc�/��b) Size of Smds:.___��_L.."_'__'____.Spa[ing./G// �..C•-_'-'-_"CC Material of Floor .�.�ji�.- (c) Size of Floor Joiscs: -��__----------------- Spacing ....._ �..- .---------.-_"CC j(�f %/ o c, (d) Size o£ Ra£ters: -�_�`_�-_�"-�-'--"'-"-"_.Spacing ._L_!/.---'-'"'----'-------'-."CC 12. VAL�TION OF PROPOSED WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, paino in and sewa e dis osal• �OOOi�____ _ __________ • € S P �---- - --- l;. I HER�BY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS AppLICATION IS CORREGT AIVD THAT THE CONSTRUG7ION WORK WILL CONFORM TO ALL LAWS OF THE COUIVTY OF ORAIVGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. ��/�lr��/c,� /�r/ ' S�gned: -=-- - -=—�____ -- �----��--------------------------'---_ Plans Fi�ed:_.. .__ '� /�-� � � (Owner) _' „�.`_' ' _'___ ' _ __" _' � �� By:__�____'__ __''�..�'-.L.4_..______'_________'____________ (Aut6orized Agent) FEES: Bldg. Pcrmit Plan Check Tocal - - Reccipt No. - Paid ro - Date .'-' --...- FOR DEPARTME[VTAL USE ONLY � CHECKING BY � GROUP-__-.----`r� APPLICAT .. . . EALTH.--..---_-------------_--. .--- � � TYP6----------�------ IRL "• DIST. p�,�' /" �--- ZONI[V ,. --------�- MARSHAL.-----------�----�- �3 Z MAP.-----1rGQi(/:,�. PLANS A[VD ------- �- .Yrr P C' .- ---------------- ---- - STATE.--- ----- -------- ---�---- SHEET [VO ................'`r.�.8 � CORRECTIONS ENGINEER f� -- ----- ---------------------------------�------. V ERIFIED .-�----------- -- CAL. - ---------- ------------- ---- DATE ----- ----��-�--��f -- ------ �M-9��0 PERMIT UCI!/ Y: ---- ------- v/ -- �\ ------------ --- - --- - ��------v� � COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ana� California Phonet KI 2-6211 Application for Building Permit AND FOR A Certificate of Use and Occupancy Permit No._�_�� /1 --------�---- - -� ��--------- Date._ 1. OWNGR'S NAME-----�---V.._.P�-��---.4.-1..7.___.-----------------�-------._..__--- .....------------ PHONE:----------------------------- MAILING ADDRESS-.I�-�'� --��-��-----�`�t-- -----------....CITY.�b-'S�l�..-f!-l�FS�---- ?. 3. 4. 5. 6. Name ..-'-'-"--'--_--" Address ..._...._ _..___. City--- -"---' '-- ---' State Lia No. ---'----`----... (Archicect or Engincer) Phone Name .S.__.Q.�/�'--�oC�-�%.�---�---��-./.�_�1�_'�7"'-`---'---' ,7 /j�� (Con�racror) Address _�i__�'--. ///. ._ ... . - -- , "--"'- ----""----'--'-- City.-��'-"' .- -'.....--'...- -----/-1/--�� -"_ '--"--\�-'--'-'--- $tate G� y V�+" � ^ �% Lic. No. -f-��/'-----� �--�--.. Phone _..----G� Q.<.�l.--- PR� D ?SE: --,��-�.l_.� � /JI� --�-v-f /_�1_--�/_____/1_V-� /' �------/---N/1...�� G !1 L!.�S_,, --------- --� -------- JOB LOCATION_.2.._�v----/---F4-�1� ��r----��1---�---------� �4�t-�'i/---� "-'-�Sr/_`-- ------------.... (House No.) (Na e of Sareet) (Town or Schoal Discricc) LEGAL DESCRIPTION: Loc._Q-�-.-��C��=------Block.__-__.. ....Tracc -_-----_-_-----.-----_.--_---- _.-- . .--------------- -----'-' (Meces and Bounds Description—Use resersc side of form) CORNER LOT ( ) IIVTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( ) SIZE OF BLDG.: .__IO..�_I.�_ ___ AREA:_.�_{�O_ A�__._.__.SIZE OF LOT3s�L.X.�.�? AREA: .O_.4/__�/�._.__ i � HEIGHT OF BLDG.: _-_L�-.--.-_-------_-.-____CEILING HEIGHT:_-----_�_-_---_-----..._---. NO. OF STORIES-_. �----_..-----_- i. NO. FAMILTES ._ L- _---...'-_'._--"----,_..Size of Smallest Bcdroom: .....'--- _--_'-_-'---- Size of Kitchen: --.-- -_--'-_-'--.--_'__-- y��'�� } S. EXTERIOR WALL CONSTRUCTION:�c:k'vvzn.u----...------.---INTERIOR WALL COVERIIVG.,Y_._.�------.----------.. (Framq Stumo, Etc.) /��j �v,�,,, (Plmtcr-Drywnll, E�c.) . 9. SETBACKS: Front Yard £rom Center Li�e of Street.__�/.�l..C�au-'L..– --��7.eftYLl-- ----•------------- �-------- �----------- / IVcaresc Side Yard___ ..__.___._._.Rear Yard.______._' _�--_.__ Distante in Feet Between Bldgs. on Same Lot _____..__..___.___.. _. _...... IU. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. � �� /I -----_-----"-'-'_. Dc th in C.�round __...�-..'---......_._ ---..Width of Wall -------'-"-" - 11. For (a) Footing: Width ___.�......_. p --�------ Accessor y / Bldgs, and ((�) Size of Siuds:.__�../1.y__.______.S acin /�/ // ..__.__"CC Material of Floor _SL_�,�_ SimilarP g'--- ---�------ - � --...-- Struct4res: . • (c) Size of Floor Joists: _--------'-------...._-'_--"---.Spating .--'------_..__.. _..--'---.'__"CC /� �/ / // (d) Size of Raftcrs: -_--f+-J-�.�----- -----'-'--"_ Spacing ------ /f�-- "'--"-"'.."CC G- 12. VALUATION OF PROPCSJg xD qWORK: Including all Iaboq plumbing, electrical wiring, heattng, fim sPrinklers, pain[- ing and sewage disposal y�_".l..Y_VD'__�'________._____'__'___' li. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WOR� WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFOR IA APPLICABLE THERETO. U�� .T / /�i �3�� Signed:_ _ _____________._______ ______C�_-�_��_______._.___'__'________________ � (Owner) Pla ns Filcd: _ '-" -- ------ -- -- -- ------------ - -- - - -- /%/%/�/l // . / / FEES: �,,%� r " v Bldg. Pcnnit - $._---- -� --- Plan Check - � �----- Total - . � �i} �ryrypy'.��'.. Receipt No. - /- `___V_� Paid ro - - s �r----- ----- ��v- -- ----- -- Y. (Authorized Agen�) FOR DEPARTMENTAL USE ONLY ` CHECKING BY GROUP---.-----� _ APPLICA"GI . EAL'T,.H ------------------.--.. T'YPE _._.�_----- ZONIN" . . FRE - DIST. ------ MARSHAL -----�----------- M �� PLANS Q� '. SPEC'5.----------------�-----.. STATE ------------------------- SHEET [VO.______._�-l... - CORRECTIONS ENGINEER ----- ----------------------------------. VERIFIED ---�---------------. CAL..---- ------- ------------- ---- DATE ---_.._ -�f`�---��--- Sh!—)��O ' Applieant to flll In all s0aces exce0� ��ose wlt�in �eavy OorEer Ilnas an0 slgn all approD�iale Ceclantlons. CITY l�F COSTA MESA CONSTRUCTIO PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address �� ' • � 3 a 6 6 5 - � .U' TYPE OFCONS7RUCTION rvEw noo ALTERATION REPAIR Applicant'S Mailing Addr 5/5��n �/p ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p, q�t Owner's Name �{,f.�1 Phong�p aa %� M C�^c DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi Address _1V sL(..Y - E Arch/Eng. LicenSeNo. TVPEOFPEFMIT GRADING FOUrvDA710N STRUCTURAL T Front Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Rear Contrac[or's Nam hone ❑ OTHEa C Ri9ht PROJECT DESCRIPTION Sq.FT. oCCUPANCv K Addresslmailing) CONSTRVCTIONTVPE VALUATIONS $ �e« City LicCnS¢ NO. ZONE GRADING CU. VDS. ACRE$ LICENSED CONTRACTOR DECLARATION Ping. R2(.'Ik I M1ereby atfbm thal 1 am licensetl untlar provislons ot Charter 9(commencing Remarks: PI2nnInQ NOt¢5: i with section ]000) Of Dlvizion 3 01 the Bu5ine55 antl Professions Cotle, antl ' my license is in tul ntl etlect. License 1 ss Licen N. Date � Si9nature WORK RS' OMPENSATION DECLARATION 1 hcreby atflrm tnat I nave a certificate ol tonsent to seif-insure or a certificate �f Workero' Compens5tion Insu�ance, o� a cartifietl coOY �nereot (5 Ction l800. l.ab. �,y�/ � �`�� _/� � /!J ! y � C77 Pnolicy No. l---f �fJ Company� �J Cer i*etl coP➢ �s fl�lea withrtbehCtlY By��j�+J p{��vI /)on. E%EM� I� ROM WORKERS aCO�EN(SATI �DEC�jRAT�! (This section neetl not be complaletl if the pe mit is tor one huntlretl (5100) or less). I certity thal in the perb�mance Ot Ihe work fOr which thls perm�t is Issuetl, I shall not employ any persOn in any manne� so as to become subject to [he Workers' Compensatlon Laws o! California. Date Si9nature NOTICE: If, alter makin9 thls tleclaraUon, you shoultl become zubject to the Work¢r5' CompensaUon proviSlons Of Ihe Ldbor Cotle, you musi (orthwith comply with such provisions or this permit shall be tleemea_ revoketl. CONSTRUCTION LENDING AGENCV 1 hereby aHirm tnat there is a mnsVuction lentlin9 agency tor tne performance o/ [hu wOrk fOr whlth this permit I5 Issuetl (Section 309] Civ. C.) Lentler's Name �entler's atltlress OWNER BUILDER DECLARATION I heroby a/fl�m lhal 1 am axempt �rom the Con[racto�'s LicenS! LaW to� the following reason (Sottlan 7031.5 Business antl Professional Cotle: Any city or County whiGh r¢quir¢5 a Oermil to Conitruct, aller, improve, tlemoli5h or repal� any structure, prlor to LLs issuan<o, also reqWres the aoo�icant tor such permit to lile a 5igneC itatamCn[ lhat he/sM1c IS Ilcensatl purSuant t0 the p�ovi5ion5 of the ConVa<tor'S License Law (Ghapter 9(commencing wiro Section'�000) of Oivision 3 Of lhe Bu5imi5 antl PrOle55ion5 Cotle) Or Ibat ne/sh¢ is exempl �erelrOm an0 lne basis for thC allegetl exempHon. Hny viold[lon oi SecliOn J31.5 by any apP��anl ior a permil SUDjec[5 the applicanl t0 a civil �+enalty ol not mor¢ Ihan fiw huntlred Uollars (5500). LI I, a5 ownor of tho O�Op¢rly or my Omployoes wi�h wages as their solo compensation, wlll ao the work, antl the structure is not Intentletl or olteretl 1or sale ($oction ]044, Business antl Professlonal Cotle: The Contractor's License Law tloes not apply to an owner of a properry wbo builtls or improves thereon, antl who tloe5 SucM1 work himsMt/n¢rs¢It o� throu9h his or he� own employee5, prOvitletl that suCh Improvaments are not inten�etl or offeretl lor Salo. Il, howeve�, tbe builtling o� ImprOvoment ii soltl wlthin onc year of com- plotlon, tha ownor will have tha burtl¢n ot proving he/she tlitl not builtl or Im- prOve lor lho purposo ol Salo). ❑ t as own¢r Ot lite property, am exCluSivery conlracting with litensetl con- Iractors to construct thC p�oject (SBClI00 iO44. B1151f1E55 dfltl Pl01Q5510lIS COtlB: The Conlractor's Licensa Law does not apply to an owner af property who builtls or imD�ov¢5 lhereon, antl who conVactS br such projects wlth a Con- tractor(sl Imense pursuant to lhe ConVa<tOr's Llcense Law). I am aware thal proof of Iheir Worker's Compensa[ion Insuranco shoultl be Provltletl to me. ❑ I am exempt under Section B. & P. C. tor this reason Date Owner I hereby certlfy thal I have reatl this appllcation antl state tnat the above information is corrocL I agrCe to comply with all cily antl county ortlinance5 antl state laws relating to builtling constructlon, antl hereby authorize repre- sentativ¢s o( this ciry to enter upon th above-menlionetl Property for inspectlon p}+� o59j� /� �,/ p Signature�f�/_�£.j�� C�(� �'"� Daie_N/a� v�• . � 'T Drivets' L�c¢nse o� S Sink Preventer Irrigation �5 Jrinking Fountains Floor Dreins Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavarories P—Trep Roof Drains Reinspaction Fee 8oiler Duct- UnderGround $15 Duct � Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact. BIL ICBO# Heating System & Ducting ❑0-100,000 BTU 0100,000 Rainspection Fee � $15 CMF 0865-46, rev. 10/84 White - Builtling; Cana�y - ApP�icant; Pink - Accoun[ing; GOIOenrod - A55e55or Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Clout Wacer Heater Warer Service Auto-Wash Leundry Trays Isue Fee Hood or Typel ❑ Canopy Typell ❑ Re(rigeration System ❑o�ioo,000eru ❑ioo,000 System RepaidAlteretion Fire Dampers Registers laue Fee 7204 10/12/87 Zone Accessory Building: Parkin9 Req./Provided ELECTHICAL Auromatic Washer Trensformer ❑ 15-50 KW - Construction Pole Sub. ❑ 50 + KW Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures D2VICB BO%CS Ouclets Switches Garbage Dispoul Generator �0-5 KW �5-15 KW Meter LJup to 700amps Meter ❑over 100 amps Sub Panel Motors �67 HP �1'h � 8 Inc.Solar �9-15 HP �76�15+ Microwave Pole Light Range Si9n Standing Sections Trash Compactor 5 3 I �- Reinspection Fee $15 Issue Fee FEES �DEVELOPMENT SERVICES RE�UIREMEN7S: Zoning Approved By Building Approved By F% Application luued By S 3 5000 TL FEES S 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING S .� DO ISSUANCE $ PLAN CHECK 25% 5 ENERGY P.C. S ELECTRICAL § GRADING S PLAN CHECK 50% $ MICROFILM S MECHANICAL $ TOTAL FEE $ �� PLAN CHECK 25% g Z O N I N G R E Q M T $ CONSTRUCTION AND PLANNING � POOL & SPA , . APPROVALS Permit# Date Inspector qppROVALS Permit# � Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elec[rical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,: 6. Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Condui[-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrqrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i l. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electric�al-Conduit 66. Solar System-Final 16. Rough Electric Wiring . ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI 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 OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrncl. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • � 33. Final Electric Notes: � 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test � - '" � 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing (Q-y�,� L�0 39. Water Service-Final � , 40. Gas Service-Final ' � 41. Solar pomestic-Final � 42. Backflow Preventer i 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regula[ions . � 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed ' 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFiCATE OF OCCUPANCY No. Date . � � : k Ii00PF510FBUL01N0� SZS FAIRFAX DR' �aB�E��"*+ GLOZA, MATTHEW �� 525 FAIRFAX DR =05TA MESA, CA 92626 548-2376 �vv�. uuuNo �ooneu �PCHRECTOFENtlNEEN: JKN.OP F.NG.'S MDPESS: n;�:,�c uNr: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 07592 PERMIT NO: B 075929 PLAN CHECK NO: N GOVT; N SUPP: N uNr: coamecrarswu� ROSS 6 BARROWS INC. ( 714 ) 557-7440 camucroxsuuurxi 260 E. ALTON AV �nonrss: SANTA ANA CA ucwo: 327802 92707 uHT: --- LICENSEO COMflRCTOPS DECLPfl�TION; I M�eby eflim uMx p�nely W pr'ryry tM I am Ic mC urder proNeione d Cheqer e (oomm.�mro .Un s«uin �000) a oF.cun a a ma &�.0 ene Raudoeo eode..�d mv eoe x e m tue w�es aiw anea. cmuc.No.: pzpgZq uc.cuss: C-39 uc.No.: 327802 EXP: 11 /96 oma: /—/D -9� ��a: ,Q � o, �i,/��...:--� � OWNEN BUI�DEH DEC4H1710N: I hssby etNm uMer paW y d per''vy iMl I mn ersnq Imn Ihe Gatlrtlm liama lew la Ne Idbwiq reum (Sedian 103�3 &nirosa end Prdeariana CoEa: �^Y uY a muniY W� �Cu'vw e Ceemu to mnwn. elier. impave. Aemds�. a rapv vry avucnva. pnn b m eauerca. a6o �epu'vw �M eppGaN la auch pem�a to fib e tipneE wisma�t Net M a�M e u�..a w�w m ine no.mw a� com�.m, u�,. i... wn.a> s ��v .vn sw� r000l a o�.eo�, a a �ro Bwinea vd Hderiom Cadel a ihet M a ehe e vamq iherMmn ud tM Wtie tw the eAepeE a�emqion. My vidmion d Seaion )0�1.5 by e'ry eppMeN fa e partM ssmjetlf IM eppliuN lo e wi perotly d nd mae �lan frvs hu�Wed dc�tn �5500�. ❑ �.mo..,wain.waenramv.mVbY�w�nwepm..in«.d.can,o��..�mu»wik..�eu».uvfune�am�eMee w oXered I« seb (Sectun ]Oae. Bu4iasa erd Prolesa'vn COEe: The Comrmwa lioaroe law Eoes not epply lo en owner ol piopeny wAo Wida a inpwes Ihdean. eM vAa Eom sucM1 wk himuM a MnN « Waqh h'a «har oxn ampbyas�. qovNW ihal euch impmromeMa ere nd'uneMetl a aHwed la seb. tl, howaver, tM buiNi�q a inpwanam ie aoM wnhin ons ymr d oomplMbn, iM owror�buiNer will heve Iha buNen M provirp M a eM1e Ak �M buik p impm+lw �he Wm�a d ede�. � I. ea ovmer d Ihe popeM. � e�Nni.ery conireuiq hith IicenaA wnvenon b ommua iM prqetl (�� ]W�. Buvinma vd vidm.:n. coae: rne wwmon �i�me �.. me. rc� ewN m.n o.ner a ww�v •�no aaa. o. imww« m..o� .�a .Mo camreen 1« urh pqeea wtln a mveae«(+) �cemea punuvu �o �M C«uraeas Lioen+a lew). ❑ I em e�emq uMm �stim: B. 8 P.C.. br I!w �eeaon: Dme: Owinr: I do IweM �Y tlw I em e.ars d eM ude�avM iM np�nsmanb d Caliwris Ilmtll� W Sdely Code Sae'vu T5505. 2S5]J. eM 255�. uk IMi I a ury Murs WJEvp orapant xiA / wil mi (�b ane) �d m canply wi� seid atme mEm eM IM �pui�ammb br eVa�l>mmwNionamodCmtionhvnNs�i u�e yi.iwpenvaGnrcf.R�da�mlmmrveioneOP�iom»e�emqlmmiMas wwiLm.. ov.: �onr y+: W OPKER'S COYVp14�TON DECLAflAT10N: I Mraby al(mn uMx paWy d pspry ans W Ne IoOowinp Oedvmum: ❑ I Mve eM W mdnien e cenAi�ate M miwa �o utli�mva W wwk»' odnWmmion, m pwideE Ior W Setlon �]00 d iM leGw cod.. �n �ne wnmrerc. d �n. wwk �« Mvcn mu v� � n.we. [] I luw uM WI maimen wrFm' mmperuelion'urouivae. n ipwmd by 9etlbn �'!00 d Na leEor Cada. M iM peilormence d IM 7[ waX Iw vfiiN ihi� peimil i� ueued. MY waMen oompenx�ion imuruice mrier enE poGe� numEx ere: c.m..: FOUNDATION EXPIRES a�,r+�,na wa t 07/O1/96 �m;..«+ra, med �w w candkee r w v�� u k+ms nwa.e ddw R�mi n wn.� ❑ I canh Nu in �hs vMwmenu a �M work b whc� tAi� o�� b'suwE. I MeA nd andw �Y ro� in em' menrier n m io Eeeam� aubloq io ihs Mahe�t mnpaimnian Iew� d Cddveie. vd nC�se Nq E 1�haM Eeemie aEIW Io �M wMen' wnpmwian Wa++ian d Setlion TI00 d tM LeEor Cods. I WG IOMrNh cvmWl wdh Ums pmmuu. o�. �L— /a —S� ��,: � s _ ��!��,-z 1 W�mlip: F�Nun ro ucun wrkwti M/IpNY1H0/1 COYMpI I� MI/MII� YIJ �NII IIO�ICt N MIIpIO)'M 10 MMNI pMllOtl IIM <Iw nnu �q ro an n✓WrM Mouw�C tlNl�n lt10q000A „�tl^n ro tli� cott ol rortp�nufbn a�p� u poHLM ror /n Sxtlon �lll6 oI M� LeGo� Cob. InNns4 �M �rtomeY'� l�r�. CONSTNU4TON LENOINO ��ENCV: I hweEy al(um uMor penely d parjury ihm Naa u e cvnpNrlbn MrN'up epeM.y br Ns periormeMe d Ihe r.ork la xfiirh thc pemii u swad (`�� . G'rv. CI. LENpER'S NAME: LENUEF'4 ADDPES4: I ceniN �het I hew neE I�u eCG�icetion en0 awa �Aei Ne ebave iNormetion h m�w. I e0ree to wmdY wilh M mY uM counry adirwwee BnE OIBI! 10wf rol0liq b Wik�IQ CpISVutlpfl BM hxaby 9UIIWRG 1lpOM11�BI1Wf O� IhY Olybinlef up'�f11M MdG�11M11�FMIM pOpOtly lorimpoaion purpoeea, NANCEE KILBOURNE nm Name � ,�%�_ � ,/�,� om,: i-io -�� . Sqretund �peWAppirewCwrma (515�-aB.WP) Whus�8umi9 d Sa1MY Grem�Fde: Gem�'-�OOk�: Pmk�ieweu: GOMxaod-Naenoe CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOH DESCRIPTION : T/OFF REROOF W/ H.U,R. CLASS A SQ FT: 3,687 CLAIM VALUE: 3,687.00 CALC—VALUE: 3,687.00 GROUP OCC: R-3 / COMMENTS: ROOF COVERING ONLY NO SMOKE DETECTOR INSPECTION RE�UIRED it**x�*x��t*�**rft�it�*�*r�**it**�t�t�x�*itit�t**it*it*�x��tx��*�tx�**itit*�*+�*+c�+t �+t*x*+t�rw�*�t�r***iE*+� Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42703305 ZNE: REF NO; PLANNING NOTES> �� . i%i%if 1E Ik i! iF 1(' 1I' iI' i41f 1F 1EiE IE 1h 1E ih i(' iI' 1h i(' 1I' il' Ik ik iF iF iF iE if i�' if 1F �k iF iE i41h if 1E ik if il' il' i%1F i4 if 1P M iF iF ik iF fF 1I' i81E ih 1h ik 1k 11' ih iF if il' il' 1hlE iE if iE 1k if iE iE D E V E.L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: —� ikikiflkiklkiElf'M1iiFlFikiklklFiFlfiFiFifiE�{F iE1EiEiEikiElEitlElf' 1k LEGALIZATZON:N F E E S U M M A R STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 SO SMIP/NON=RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 .50 1E If 1E 1E 1f 1f 1f 1E 1E 1f 1E 1F ik If i! 41E it ik iF 1k ik iF 1k if iF k ik i61f 1k 1F ik M ik li 1f 1E 1k iE ik 1E 1k 1E 1E M 1E 11' 1k 1E 1E ik 1k 141f M iF 1E 1F 1E 1F ik 1E ik 1E 1k if 1f 1F 1E if 1F fk 1E 1ElF if iE ik I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3687 ALTER HY VALUE RESIDENTIAL NOZONE 1.00 3,687.00 END OF FEES _ ^� r;"T.- _' . . - - r` '� CONSTRUCTION AND PLANNING PQG_ � SPA �, APP3±OVALS Permit# Date InspeMor qppROVALS Permit# Oate Inspector S t. Temporary Electrical Service or Pole 52. Pooi & Equipment Location• 2. So,�Pipe-Undrgrnd. 53. Steel Reinforcement �� aElectrical Conduit Uii1ity-Undrgmd. 54. Forms +�4. EIBCTirica� Conduii�jritlrgmd. 55. ElectriCal Bonding J C' , 5: �St@el ReiniorcemeRta; 56. Rough Piumbing & Pressure Test ��8�.'ElectriwlUFEF�qtB. 57. APPROVALTOCOVER�GUNI7E : �� r�• �., r ;0`.7'.-Footings � _; ' 58. Electrical Cond�JjylJndrgrnd. ��Foundation :•tS =✓ - 59. Gas Pipe, O UnIIfgrnd., Test ` � 9. Wa[er Pipe�Undrgrnd. " • 60. Backwash Line� P�Trap, � tJndrgrnd. 10. Structural Floor System . 67. APPROVAL TQDDECK i 11, PrOAerty Sewer Line & House�Connection 62. Backwash & Receptor-Final �z. SQ`"ie� CaP � " 63. Heater & Vent-Finai ' 13. Raof Dreins _ � 64. Plumbing System - Finai � 14. Ro�gh Plumbin} 65. Electrical-Final 75. Rough Electrical-Conduit .: 66. Solar System-Fin�,i -�:� 76. Ro�gh Eiectric ,fN�irirftl, , � 67. Fencing & Access.ApProval 17. Raugh Wiring S�ign � c; 68. APPROVED FQ�i'PLASTEPING 78. Rough Elecirica�"�T Bar Ceiling 69. POOUSPA SY�T-�EMS FINAL 19. Rough Heating & Air Conditioning _ FIRE D�T. REQUIREMEf�T _} 20. [�ou� F��or�Fite�3lace � S`'- � x 5,i cb i iAPPF�OVALS , Pc�r"m�� #��.� 21.�'ilctb,�nBVu�ure7� �•••• � Y � ,ix'�70.!Under§r&iF"dt-1Ydro � 22, cta, Ve tilaUn `'" , • ' � PJJ � 9,,;;� xb ,.� :� F: ��71. ProductPiPing��jas C'�Oil 23. Gas Ripe• ou' & T@st . _ •. m T� Cl . �. 7p, Undergr6ilrid Fhisb'� � ^�� 24. Roof`Fra�ng ' �� "-' x� > .r ',* �; 73y Undergrnd.Sto�a,��nk�,OGas^O�il 25. Roof�Sheb,_j'�hing � �e .., : � � � � 74:.'Overhead Hydro +' = 1.�'� � 26. T•6ar Ceiling (Stru�c^tLraU & �W'dp,t�I,'oat � : � �� '`�* 75r,Cfry Chemicat _ * '� ' -. 27. FfBme and,Flasf�in�', -- �r c� r 76. Dry StariUpipe ., ! w - 28. LathTng ��i cng �'� � % -Q= : �- " "�" 77., FIXED $YSTE+VIiFINA�" '� -, z / x "'y''" � • " 29. In5ul0tiOn !�-„ � c, •. g � �7 7� FIRE PREV. FIf�L �% ^ 30. DrYwall f�ilirtg �' :y .r _ I � �. HEALTF7•DEP'�.�RE4UIFtEMENT -;31. Plaster Brown�Coat�r �+�-- a � �.. � 7�.� PWAL IN3BECTION k v ? -' 32. Hlectrical Pot+T Metyr�Di�ai ' x n' '�' SQ,`; FOOD CERT�F}�.},$TE I�S�IE[�, � � � E,. � � * r• ,u „� t � ^33. �Ina�le�ricti p* � . � . i Noies: -f,; s 7 = .:r7 .:34. FinaCHeating'& Ah Co�d'Hionir�j =" : � x '.` ;,' •'�� ' � ' - r • t ' - � c( i ,r, 35. �jnal GasPipe 7es , j� ,� � M " - - ;-;,-'.. .%� -36. Hood,or Canopy �•�x� : -� a = :� � � . I: �� ' �" ,. '�, ., - ;,, . > ... . ;: r•. .�, �37. Ftnat'�actory Fireryface x ' �..'. -. x �" j . � `- r -+38. FinaYPlumbing ~*~[= � x � •= ` r' '"'� C y - r �. G > `39. Wate�SerGice-F�ina�,� � ' ` � ^ f Y � _.. . � � � . �. 40. Gas Service-Fi'nal -��: - �C^r� • n . � - - " �`� " �� .`�- F• ! a: =41. Solar pomestic�Fina�'. `- � .. '� � � , ,�� " i > [" • ' � �42. Backflow Preventey;•g r. � y � '.�k a' - � i^ • - `+ � r. - 43. Backflow Irrigatiot[;x �,= ; �. t � ' r" . r M14. Landscape�Irrmati��System �.-7.7 +' � � ^ �� " �+n ' � `� `� -...r... .^�t - � ' [; + r k -1 G F T •$' F- r .-. x. ) J U �f 45. �ound A(),enu�tio'�x - •• � t- �- �;. r" - . �,� r. a' • '70 � i 46. f�a�dicap Regulations �� J Y� ,� � 47. FINA�I STRUCTURE & BUIEOING G/�_/? .� , � � t• * F � p � //.j� . � 48. F�NFZL PLANNING �.- 4 �L Jy .- lr � 4 r I 1' Y' K. 48. Etectttc Release to EBison " + ' - ,: r 50. Gas Release to Southem California�Gas Co t ' -. •� �` p = " `_ C } . ' :i '�' -1 51. CERTiFICATE OF OCCUPANCY * �. •�- • • � No. Date u+tKKr irtet ' !� Z . ' � . i ' d.�17,� �' . . .. p� w y?,.�' � o. � 1 o F �Ac s 7 ytrii '� a � �L �'0 6'i9g d' � � w 23"�« � i`"�ar #, � S �'y j KE VARk ,^ �.� y� �� ,�,�J �� ALBERT PL 2 3 � viA MARiuA Li ♦ ,� � �b ff' ` '��j a a � I 5 T A B A A"'..� , r� �>) ��p,� '�'p� �}- d, CE CIL PL. W , 'r�, °'-y `rd. ba` ��. - =rk�Z CAI�EEN PL S�ERRA - �r dg .��1 J' VIR GINIA =_Z Vl � M aDOw VISTA n�w.� C ` �� S'C Q�' o g�< o o l 't �� y�(�� / N ZZ��N U 7 H ST Q' � . � y PO� `"\' 1 Z . y3 W 40 1- J � CAMEII�A LN �� zoc w � JO�' �P' � a ULIP RCSE W m Z N� WIN 1W W a Z—� "�9a P OQ- �� a� � LN. � $ �. 4' � o M d "'�`' (�� 4� �.-' MERRILL �TTAGE F � � � � > z r � � �l� � '' °C Pl. PL 7 � � 3 � � ~ m3 �,.I � 'a �'�o �P� '�o �� ;; gw ��t > ��inc fRANCiSCO DR. � �{ f° t"� � 4o S/,y9� e`''P � S �'``1 ry 2 I 5 T N : a - n $?. i HOl1� Q jp �00 29Z � 300 � ��< � y/ Y a SHERW000 w� w= �' Qq � �� b.�y! � BUOY ST � VL'. -ROBIN D LN� i $�� a N h W R '-' m U � � � BA ST. BAY � ¢ eMeRsoN sT < � r- �� .. °o� .,�. LL g SiERKS $ p• e V , � BAYCR4S�T SNIPwA r Py y MEL DV � o. o oPl. �; � 0 3 N 2O'" � ST � j< b` H IGN D 99 rs 2on ALVA tN 4aa ,,, z �� 1� a �' W � J ESiNER ES�HFR °� -' Q�. V� N � 4 d 3. 9T � i ? < �� o ,q Q F �. .��lf ��o�, O�' = N WALNU w WALNU� < Pl. �NDA J � s u O � i N >�' .�. �e'� � e do � � [oSTn Sa a ST.' a "Y h � O J ^ ,QQ'qy �d'6 y �i� PV �I�7.p m p m �� ?` ti �. .`' �, 'j'j P� �oo zoo aoo � o00 � Q r� �� '�b, �Q,e�P oos 9 � FLOwErt � Q Z ST� a w. r.a F r � L -' c�< b '�)p, �p�Q-�O : w 8ROA0 WAv Z f- 5 � �. J � ��,� r'�� MAG NOIIA � � ST. '�� a JQ.� `� 'S'd' 76 < o .� m '� o f' � ' * d9 _ 04,P- yd' ' h� � R 7 '-° u 18`" W 3 a, m 5T. '�d � ��r aoo aoo \ `$ �,Q' �� p �° I � ABBIE GIMBERIA M - Q�J�' '. ROCHESTER -------- "� Z T. y� � COi1NWA W wAY � ,��e" . 6 CA iLlO O�' � 5T. ( 1 t�,� �.� j ' b o ElLS Pl.. � �T• P� i a � W' BEDF�OR 07�'° i,d o 17TM F, c�°, j� � ST. � WESTCL d 0 0 �0�� d+'� �'�',y� � � SPARKS q �MBRVDGE UR. a � ' O � Q� Q �� a OGLE N 5T � OGtF aR pg�E S7. j .�. � o a '�� P�'./ E 16'" PL. a lENW000 CIR. SuEPiNGT � � t:`�i'� Pp 4� �� Oh� o W " � 6'" PL' a �P�� sv�� 16�" � < ST. _ 16'"� W � ST. 1,P v �oo too ��T o � .. � � �� ctior, Pi.. wn � � �' . �✓fWA� �'y ,�_ COMMER 4 RAINO A Pt�-•�'ywN HOLLY aIAURELN Q' �ARB �M �j � WAV �++ KNOX ST. � ( ^ "' 2 W .p� MARG�RET OR. uN�o `1 ♦ . P b < a PAL N MER ST U PERL LN. 2 �� 311GN Bo� FP INDUSTRIAI �p Z w �� Wd= SCHOO or`� �, - zoc i 15'" i� ST. �. �<� m o - f'�� O ` �. )i00 9 W NQU � O ��' oo ��Otr i N� 3 ?� $� � W< i 8 Q � Z v��o � 9' � � 0� t��r � � � ° � p o > � Jg�/� °�� f� Sr u BROAD � 2 W r o°� W� CptAL �iy P _ �� D�NA RO � � 'o m j � j O f a � R Pl d' . .� ' BUILDING SAFETY DEPAR P. O. $os No. 317 . Costa Mesa, California � 1518 Date �,f'�r I y � � ,�, � / CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building permit No./i 7! g Electrical Permit No. Plumbing Permit No. Use of Building -?E • 1 [- T• l � a ri �i „ 4 V r . ,� � Th'e building located ac c�'� Y 'T.r � t 7-T.o v 7i �� . Legal Descriptio�- - J (See reverse side for Metes and Bounds) has been inspected and found to comply with the provisious of all City of Costa Mesa Ordin- ances applicable thereto for a Group y Occupancy. ISSUED T0: �.�- .%%.s� �;,e A. r-, � n"7 A CitY B�ui/ldirig Official (Owuer of Building) � B7 �-f. t��., . )tA,� < �r,1Ai CC: ❑ Original--Owner ❑ Lst copy—Gas Co. ❑ 2nd� py—Edison Co. ❑ 3td'copy—File Form 206 SB P 1M 1-� U J VF NAME �O�% I . j i Tf ITS NAME 4 M1 �(l DOCA7C'r2 '{ 07l� i� .,�_ �iERIAL ,'t % ��.� 4 � CONTRACT V�C 5 i ADDRESS:��' O , PHONE: S6 ' PRIVATE PROPERTY ADDRE55 _ FOPM 3�]G _SP. #�PARK ADDRESSS� S__J Li./[CF_/�1 _ SPECI _MFG._ rAi//C. � co VEAR ELEG � �O ...-�e U- � HATION #� 2_It� t Z7- �'°s _ SG��STATEjk2�� ZZZ � WATER < A P .�/ O �� I W HSTC /vI ROOFLL � _3 �" ► PERMIT # �� BILLING MOBILE HOME �� PARK WINO �1 STREET �J WIDTH SPACE # � PARK MNGR.y ' SIGN�AOTUR'E�� " �/1� ORDER�k ( /) �� '��.� 'T. BUILDING & SAFETY STRUCTl7RAl APPROVAL ONLY SEPARATE PERMITS ARE REQUfRED FOR ELECTRICAL, PLUMBING, HEATItvG, VEIITILATING AN0 REFRlGERATION WORK PGG�� # •J�`� THIS i�Uh�B�R NiUSI ACCOMPANY ALL INSPECTION REQUtST5 � FDd 6.;':DiN3S'�ti'HERt PERSONS ARE i0 � BE Eh�PL0Yt0, WE SUGGEST THAT TNE STA7E OF CALiFORNiA DIVIS�ON OF INDUSTRIAL SAFETY BE CONSULTED fOR ADDITIONAL REQUIREMENTS. ;e��►��t'�1 ,-. , �� u of Costa Mew Building Dep4. 6YSv.:G�j ti v�- �«�..a� vA� � �- �+.�' iHESE PLANS MUST BE ON JOB AT ALL 71MES � MAKE NO CHANGES WITHOUT PRIOR APPROVAI aF oerr. iHE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLAYS kI:D SPECIFICATfONS SHALL MOT BE CONSTRUEO TO BE A PER�.11T FOR, OR AN APPROYAL OF. ANY VIOLATION OF ANY OF TNE PflOVISIONS OF THIS CODE. NO PERMIT PRE- SUMING TO GIVE AUTHORIri TO VIOLA7E OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VRL@, E%CEPT IN SO fAR AS THE WORK OR USE WNICN IT AUTNORIZES IS IAWFUL. THE ISSUANCE OF A PERMIT BASED UPoN PLANS hND SPEGIFICATION$ SHALL NOT PREVENT THE BUILDING �FFICIAL FROM THEREAFTER REQUIRING TNE� CORRECTION OF ERRDRS IN SA10 PIAN$ AND $PECIFIC0.TIONS OR FROM PREVENTING BUII,DING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF pNY OTHER ORDINFNCf OF THE CITY, OWNER �VES� Elzgenia DATE 8-23-71 :108 ADDRESS 525 FairPax Drive� Space 0 BUILDING PERMIT N0. 335�+7 AP No. LOT INSPECTIONS SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING TEMPORARY SERVICE OR POLE UNDERGROIIND � POWER � ROUGH WIRING iRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BON� BEAM � STEEL REINFORCE n SHEATHING FRAME ANO FLASHING LATHING - IN �f OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST rI E ZONE VALUE $ 242.00 SUBCONTRACTOR ' � . � rww ' � 3_�'7f�9 C65TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX s77 COSTA MEBA. CALIPORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BIIILDING _ ADDRE6 / � � � C05TA MESA CALIFORNIA � MAIL L16E OF EXISTING BLDG �EE RECEiU_J /�-t� -�o�� FINaNCE OEP1. CITY OF COSTA ME5A APPLICATION FOR PERMIT BUILDING For Office Use Only R i ur � n�,.a,L.:� �'� -/%=_.�./F�a ��// �0 NO. � 'R.� ' pDDRE55 'r�S✓ � � ,aI` TEI. Y No. COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUP �PPROVED �"'�`.' err �/I �D NO. OP BLDGB. NOW ON LOT Z�,9tdING 20NC NO. OF USE OF NEW T .Ri / I PLANB 'y I BYILDING 4� V iA4 � V LBGAL OESCRIPTION e e N., /%.C'— ?7� ) _ 6 — BHTBACK LINC RROM . � ILENTBR IINE BT.1� � C6NTeR OP BiRBET REAR YARD O o� FRONT / SIDE YARD LEF1" OO RIGHT D O� R. SIDE DESCRIPTION OF WORK _.__ � i � rxreaioa w COVERING U U6E OF BUILDING � 1 HBPEBY ACKNOW�D68 THAT 1 XAV6 R6AD TH�9 APPLIGTION '�NE AMOUNT BHOWN UNOER VALUATION 19 FOR THE ANO BTATE TXAT TH8 ABOV¢ IB CORReCT AN� AOPHE TO COM- PUPP09E OP EBTqBLI9HING A PERMIT FEE ONLY. PLY WITH ALL CIT" OP�INANCHB �ND HTATB W qHOULATINO BUILOINO CON9TilUR10N. VALUA710N 81GNATURE O PERMIT FEE $ PERMITTE m ��Y n S�� !` PLAN CHECH $ AUTHORIZED AGENT �, (JQ�~' F ¢ � TOTAL FEE LL QRANGE COUNTY BUILDING DEPARTMENT . � 636 North Broodway '� ' ' • } � , SANTA� ANA, CALIF.ORNIA . , �- • t;FOR APPLICANT_TO�fILL.I_N , , 4D� E155 S.•! S/ �/G�r-!L/��r SCHOOL DIST.'� % .Q:��j4�� MAIL AqDf � 4��J ARC4 ENQI A 0 PT AN� AGREE TO COMFLY WITH ALL COUNTY OF AND 6TAT��LAWSfREGUTATI G BUILD�r1G� �CQN� i `i/� �Pj�y' �,i �i ��ayj,'3� • � � 7;�_ SIGN�UREjOF��'� ✓ � � PERMITTE � ' S�f+ `tvSv��y� �n_ a 4UTHORIZED AGT. %PE.�n ra VALVATION S/ O A O _ (p�wN G L (� TOTAL FEE 9-90-33 .��=r`,. LORRECT )INANCES RU�yTI.ON�� dVidO � APPLICATION FOR PERMIT �u�L�s�� 1 ,.FOR OFFICE USE ONLY , '' � �E� � D . I �P� MIT NO. � iT' :D BV �ATE REC'�. DATE ISSIiED ,!¢ - z S3 � � 2' ��3 -/� .�z.� _� DIST. / _ .-L /J.�- � _ _ �F�i,�. PLANS ' ✓Vl� . CORRECTIONS �Y �� C:%� 3 s '; �i �y � � c. a �. o I A .� Z D r � o� STREET PLOT PLAN Show locofion and distances from property line and between buildings. �, f"'� �i� � �, . . � i . v '�,� -�„�� '3 y�� i,., �� ,��cl �i6 -� �!/ � 3 , 6' :,,(cacC ewy6.o+.'� '�d� �� :... C c�+os�c �!lrt�J ��5� . . . FEB 9 1969 AP. No. 115-3�-�LOT TRACT INSPECTIONS L LI/FilO I DATE SUBCONTRACTOR V N0. OCCUPANCY -�� Gi - �I �-1'- � I � I � Form 210—SM-11-59 5-B P u OWNER JOB ADDRESS G�5 n vern xaaaatz LOT TRACT ROUGH PLUMBING PROP. SWR. LINE �__l HOUSE CON. SPRINKLING SVSTEM ANO �IR CONOITIONING uNDEAGR0UN0 �J POwER AOUGH wIRING TRENCHES I_f FORMS FLOOR SYSTEM 90N[1 BERM [, STEEL RE $MEATHING FRRME PND FLASNING PLASTER.BROWN COFT STRpCTpiVAL, FINAL HERTiNG. VENT.. REf RIG. �NO A.C.. FINAL AOILOING FIN<L DATE 11-13-78 BUILDING PERMIT NO.. WORK Patao over iL Ii1:��S�l: SUBCONTRACTOR E t�nnc�o �nioru� JOB ADDRESS 525 Fairf� Drive BUILDING PERMIT N0. 47273 SPECTI SUBCONTRACTOR ROUGM PLUMBI EOUS FOUGH HEATING RN� AIR CONOITI TEMPOFARV SERVICE OR POLE UNOERGROUN� � POWER � ROUGH WIRING TRENCHES FOHMS SiE FLOOR SVSTEM �1� PLASTER,BROWN CO HEPTING. VENi.. REFRIG. �N� A.C. PLUMBING. FINAL r1NO WS TEST � ELECTRIC, FINRL BUILOING, FINRL OWNER p�NNpN� �vgt� DATE ��k_78 JOB ADDRESS S?S Fairfa�r nrivr � BUILDING PERMIT N0. L�iF.S AP No. INSPECTIONS soi� GAS W PTER ROUGH P�UMBING PROP. SWR. LINE� SPRINKLING SVSTF MISCELLANEOUS ROUGH NEATING AI TEMPOR>RY SERVI In:�M•L•l•JV4I:IIIItl UNDERGROUNO �J POWER ROUGH WIRING TAENCNES IJ FORMS FLOOR SYSTEM SMEnTHING FRqME ANO FLASMING LATNING — INy� I PLASTER. BROWN COAT HERTING. VENT., RE�RI0. �N� A. PLUMBING. FiNAL ANO GAS TFST ELECTRIC. FINAL SUBCONTRACTOR OWNER p�gTZ DATE 5_2_79 JOB ADDRESS ��S Fairfax —�`3 SG BUILDING PERMIT N0. q�q�R GENERAL CONTRACTO ('al Set Tnc. -' DESCRIPTION of WORK Mobile home set-i� AP No. LOT TRACT FIRE ZONE VALUE E i nnn nn GRS W PTER ROUGN SPRINK�ING SYSTEM MISCELL�NEDUS ROl1GH MERTING �NO nIR CON�I UNOERGROUNO ROUGX WIRING FLOOR SVSTEM BONO BE�M C Si SNEATMING FRRME nN0 FLASMING LRTXING — IN n SiRUCTUR�L,FIH NEATING, VENT., PLUMBING. FIN�L ew�oi SUBCONTRACTOR OWNER pMCT�R muaTT.uu_naux . _ DATE � AP No. LOT TRACT FIRE ZONE VALUE $ 600.00 INSPECTIONS Signoture Date GROUP TYPE ZONE ..... �-ir "'...__ .,_..__ - SUBCONTRACTOR WA SPRINKLING SYS MISCELLANEOUS ROUG11 MEATING AN� AIR CONOITIONING UNDEftGROUND U PO�.'ER ROUGH'M�RING OR SYSTEM 0 BEAM rI STEEL REINFORCE FRAME ANO FLASHING LATHING - IN [� ( PLASTER. BROWN COAT VENT., REFRIG� AN� q.C., FI . FINAL AND GAS TEST I-I BUILDING, FINAL OWNER ,TEpNSON� Henry JOB ADDRESS 525 Fair£a�c INSPECT SOIL ROUGH PLUMBING PROP. SWR. LINE n NOUSE CON. HEATING ANO AIR CONOITIONING UNDERGROUND Lf POWER U ROIIGH WIRING TftENCHES � FORMS � STEEL REINF FLOOR SYSTEM BON� BEAM � STEEI REINFORCE n SHEATHING FRAME ANO FLASHING I.ATMING - IN n OIIT n PLASTER,BROWN COAT STFUCTURAL, FINAL HEATING, VENT., REFPIG. ANO A.C., FINAI PLUMBING, FINAL ANO GFS TEST n ELECTRIC, FINAL aiui niur. ciuni DATE �-9-71 BUILDING PERMII RI� f WORK a io wn ZONE VALUE$ • JUP TYPE SUBCONTRACTOR JOB ADDRESS 525 Fairfax ] GENERAL CONTRACTOR p�]_�eg, AP No. LOT INSPECTIONS _ _ 501 L cns WATER R00GH PLUMBING PROP. SWR. LINE Q HOl15E CON. SPRINKIING SVSTEM MISCELLANEOUS ROUGH MEATING AND nIR CONOITION�NG TEMPORARV $ERVICE OR POLE UNOERGROUN� � POWER � FOUGH WIRING TRENCMES FORMS STEE4 REINF. FLOOR SYSTEM BOND BEAM �J STEEL REINFORGE ❑ SNEATHING FRAME ANO F�ASMING LATHING — IN n OUT � PLFSTEF, BROWN COAT STRUCTUR4L, FINA� HEnTING. VENT., REFPIG. RNO R.Cr.�. FINAL PLUMBING. FINAL FND GAS TEST `� EIECTRIC, FINAL _ _ BIIILDING, FINAL CPF('IEI fi�nIIIGFMLYTG VnIL SUBCONTRACTOR i e ER ROUGX PLUMBING UNOERGROUND ( I POWER SHE�TMING FR�ME �N� FLASNING L�TNING - IN n I PLASTEN. BFOWN COAT NEATING, VENT., REFRIG. AN� �.C., FIN�L PLUMBING. FINAL ANO G�5 TEST � EIECTRIC, FIN�L BUIIDING, FINAL DATE SUBCONTRACTOR 1�:7�IIC[�] OWNER WS PROP. SWR. IINE U HOUSE CON. U SPRINKLING SVSTEM MISCELLRNEOUS ROUGM HE4TING RND AIP CONDITiONING UNOERGROUNO �J POWER (J ROUGM WIRING THENCNES FORMS STEEL REINF. FLOOR SYSTEM SNEATMING FRRME <ND F�ASMING 1 PL�STER, BROWN COeT DATE P1� SUBCONTRACTOR � L 525 AP No. LOT TRACT FIRE ZONE VALUE GRS WATER ROUGH PLUMBING PROP. SWR. LINE [� HOUSE CON. SPRINKLING SVSTEM MISCELL4NEOU5 ROUGH HERTING ANO RIR CONDITI TEMPORRRY SERVICE OR POLE UNOERGROUNO � POWER � AOUGN WIRING TRENCNES F00.M5 STE FLOOR SYSTEM BONO BERM ❑ STEEL REINF( SHEATHING FFAME ANO FLASHING LATHING - IN n OUT n PLASTER. BAOWN COAT STRUCTURAL. FINAL MEATING, VENT., REFRIG. AND A. PLUMBING, FINnL AND WS TEST ELECTRIC, FINAL BUILDING, FINAL SPECIAL REOUIREMENTS SUBCONTRACTOR soi� ROUGN PWI PROP. SWR. SPRINKLING ROUGH HEATING RNO AIR CONDITIONING TEMPORnRY SERVICE OR POLE UNOERGROUNO � POWEF � ROUGH WIFING STEEL REINF, BONO BEAM U STEEL REINFORCE SHEATMING FRAME AND FLASHING LATHING - IN � OUT n PLASTER. BAOWN COAT HEATING, VENT., REFRIG PLUMBING, FINRL ANO G ELECTRIC, F�NAL BUILOING, KINqL SPECIr1L REOUIREMENTS F vni� 11'c'I BUI SUBCONTRACTOR uwneK LEOLI, Mario C. JOB ADDRESS 525 fdlrfdX GENERAL CONTRACTOR wner- AP No. LOT INSPECTIONS so�� G r15 WnTER ROOGH PLl1MBING PfiOP. SWR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONOIiIONING TEMPORARY SERVICE OR POLE llNDERGR0UN0 [] POWER � ROUGH WIRING TRENCHES FORMS � STEEL FEINF. FLOOR SYSTEM BON� 9EAM � STEEL tiEINFORCE � SNEATHING FRAME ANO FLASHING - LFTMING - IN n OUT n PLASTER.BROWN COAT STRU( HEATI T.. REFRIG. AN� A.C.. F IQ FINP C, FINA . FINGI DATE 11-21-75 FIRE ZONE SUBCONTRACTOR OWNER ROUGH PLUMBING PROP. $WR. LINE n NOUSE CON. UNO FRAME AND FLASHING LATHING - IN I-I Dri FINAL DATE 8-22-6fS SUBCONTRACTOR �[el'1i:7�Il��G] OWNER ROUGX PLUMBING PROP. $WR. �INE MOUSE CON. SPflINKLING SYSTEM ROUGH UNOERGROUN� U POWER U ROUGH WIRING TRENCHES FORMS STEEL FLOOR SVSTEM SHEATNING FRAME AND FLASHING �ATHING - IN n i PLASTER. BROWN COAT HEATING, VENT., PLUMBING, FINAL ELECTRIC, FINAL BUILDING. FINAL DATE .q,2�_ SUBCONTRACTOR OWNER KOLISAR� LARRY DATE 8_9_7g �OB nDDRESs • 1�_ 1S BUILDING PERMIT N0. k(��p GENERALCONT ACTOR n.,,.i o.,.��e,:. ceie� r+..m,.�,,..DESCRIPTIONa(WORK v.,,...�, P. An+t„ n..,.,;,,m AP No. c +s w�1 PROP. $WR. LINE �J HOUSE CON. SPRINKLING SYSTEM MISCELLnNE0U5 ROUGH ME�TIHG ANO �IR CONDITI UNOERGROUNO U POWER ROUGM WIFING SiEEL REINF. BONO BEnM ( I STEEI REI SHE�TMING FFAME �NO FL�^SMING ��THING — IN I I OUT � PLASTER. BROM'N CO/.T $TRUCTUAAL, FIHAL NE�TING. VENT., REFRIG. �NI PL11MB1NG. FIN�L �ND WS TI ELECTRIC, FIN4L BUILOING. FINRL FIR SUBCONTRACTOR OWNER ]([TT.F.SGR_ MRF_ DATE 7-28-78 JOB ADDRE55 S�5 Fni rfar n,.;,.e c., i s � BUILDING PERMIT N0. h�hvi AP No. GAS W �TER NOUGX PL SPRINKLING SVSTEM MISCELLANEOUS ROUGH MEATING �ND MR CONOITIONING UMDERGROUNO U POWER ROU6M WIRING BON� BE�M [J STEEL NEINFORCE SXEATMING FRAME �ND FLASNING � PL�STER,BROWN CO�T FINAL BllIL01NG, FINRL SUBCONTRACTOR uwntK �Lppp� �T.T.TGM DATE 10-20-69 JOB ADDRESS 525 Fhir£ax nv + �gSCP �Q BUILDING PERMIT N0. 31006 - LOT _ TRACT - FIRE 7UP TYPE ZONE SUBCONTRACTOR PERMITS I55 E PROP. $WR. LINE ROUGH HEATING AND AIR CON�ITIONING UNDERGROUND U POWER U ROUGH WIftING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BOND BEAM � STEEL HEINFORCE ❑ $MEATHING FRAME AND FLASHING LATHING - IN �J OUT �J PLASTER. BROWN COAT HEATING. VENT., REFRIG. ANO A.C., FINAL PLUM9ING, FINAL NNO GAS TEST �] ELECTRIC, FINAL BUILOING, FINAL �wrvr:tt YUH(:F;LL� ll�LHF.fiT B. llA'1'� JOB ADDRESS 52S F�Tf9X DT1vC Sb&CE �+B BUILI GENERAL CONTRACTOR D. W• Mc Ferran Co. DESCRIPTION OF WORK SUBCONTRACTOR or OWNER gppSIER TRAIL,ER PARK (Site Lessee - Alan Sicters) DATE JOBADDRE55 525 Fairfax. Sbace S BUILI TRACT ME�TING RND �IH CON�ITIONING R�RY SEAVICE OA POLE iROUND [] POWEN � WIRING IE$ FORMS STEEL FE SYSTEM E�M [] STEEL REINFORCE [ I I NG r1N0 FL�SHING G-IN rJ OUij� iR. BROWN COAT �UA�L, FIN�� G. VENT., FEFflIG. 4N0 A.[., Ff ING. FINRL FNO GAS TEST rj i1C, FIN�L NG, FINRL SUBCONTRACTOR OWNER HOUSIIIz DATE 10/22/80 JOB ADDRESS 525 Fairfax Drive. Snaoe 7 BUILDING PERMI7 N0. SnRRa � AP No. GRS W1TER PROP. SWR. LINE � J HOUSE COH. U SPRINKLING SVSTEM MISCELLANEOUS ROUGH HERTING r1N0 �IR CONDITIONING TE'nPOR4RV SERVICE OR POLE UN�ERGROUN� U POWER ROUGM WIRING BONO BEAM [] STEEL REINFORCE SMEATMING FRRME AND FLASHING LRTHING — IN OUT [, PL�STER. BROWN CORT STRUCTURPL, FINAL HERTING, VENT., RE�RIG. AND A.C., i PLUMBING, FINAL ANO GAS TEST [� ELECTRIC, FINAL BWLOING, FINRL SUBCONTRACTOR OwNER SUflS;!IflE P106IL�HOME SALE: JOB ADDRESS 5 Fairfax, Space 6 GENERALCONTRACTOR Qudlity �1.1 AP No. LOT TF INSPECTIONS Si SOIL GAS W RTER ROUGM PWMBING PROP. SWR. LINE Q NOUSE CON. SPRINKLING SVSTEM MISCELLANEOl15 ROUGH NEnTING ANO RIR CONDITIONING TEMPOR/RV SERVICE OR POIE UNOERGROUNO � POWER � ROUGN WIPING TRENCHES FOHMS STEEL FEINF. FLOOR SVSTEM BONO BEAM � STEEL REINFORCE SNEATHING FHAME ANO FLASHING LATMING — IN OUT P��STER,BROWN COlT FIR DATE 12/3/GO BUILDING PERMIT N SUBCONTRACTOR .... .. ____. . .� � . JOBADDRESS525 Fairfax Dr. 6 GENERAL CONTRACTOR Custom A�+ninf AP No. LOT T INSPECTIONS ' SOIL GAS WATER ROUGN PLOMBING SPRINKLING 51'STEM MISCELLANEOUS ROUGH ME�TING RND MR TEMPORRRY $ER�ICE OF UNOERGROUNO ❑ PO ROUGH WIHING iRENCHES FORMS FLOOR SYSTEM BONO BEAM STEE SHEATHING FqqME FNO FLASHING LFTHING - IN n Q� PLnSTEA.BROwN COAT STRUCTURAL, FINAI NERTING, VENT., REFRIG PlUMBING, FIN4L ANO G ELECTRIC, FIN4L BUILOING, FIN4l SPECIAL REOUIREMENTS VNII SUBCONTRACTOR � 7�i