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Home My WebLink About314 ALTA LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 314 ALTA LN Suite: Vicinity: THROUGH OUT HOUSE Primary Occ: R3 Parcel Number: 93420010 ApplicanC BENVIE, KAREN ANN TR Address: 314 ALTA LN COSTA MESA, CA owner: BENVIE, KAREN ANN TR Address 314 ALTA LN COSTA MESA, CA Convactor: O W N E R-B U I LD E R Address: Zip: Arch : Address: Type of Constmctian: V-N Zoning: Phone: Zip: 92627-5431 Phane: Zip: 92627-5431 Phone: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: O6/20/2005 Issued: 06/20/2005 � Phone: Phone: Zip: License: License: SCOPE OF PERMIT 7 WINDOWS CHANGE OUT. SAME SIZE, NO CHANGE IN HEADER OR FRAMING. Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.64 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.89 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $6,363.00 $6,363.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related ragulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zas-ae (rvoo� WORKEHS'COMPENSAnON DECLARAnON: — � I hereby affirtn untler penalry of Derjury one of Ihe tollowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensetion, es pmvided for by sectlon 3700 of the Labor Code, for the pedormence of the work for which this Dermlt Is Issued. ❑ I have and will maintain workers' compensation insurence, as requiretl by sectlon 3700 of the Labor Cotle, for Ihe peAortnanca of Ne work for which this pertnit Is Issuetl. My workers' compensation Insurance carner end policy number ere: Carrier. Policy Number: (Ihis section need not be comp/eted illhe permit is velued et one hundrerl tlollers ($ f00) ar less.) ,j]—.I.cenify that in ihe Oerformance of ihe work for which this permit is issued, I shell not employ any person in any manner so as to bewme subject to the workers' �co�npensetlon laws of Califomle, antl agree that If I should become sub�ect to the workers' compensation provisions oi Section 3700 oi ihe Lebor Code, I shall forthwith -c�om-p�'ly with these provisions. �(� p/p"p�licamSigneWre:�% . �a . l ��v,.i�� Date � (� �2� �n � l�A" RNING: FAILUFE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIWIL PE TIES AND CIVIL FlNES UP TOONE HUNDRED T}10USAND Dq1ARE (5100.000), IN ADDITION TO THE COST OF COAIPENSATIIXJ, DAMAGES 0.S PROVIDED FOR IN SECfION 3]O60F THE IABOR CODE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hera6y ettirm that I am licensed undar provisions of Chapter 9(commencing with Section 7000) of Divislon 3 of ihe Business and Professions Code, and my license Is In full force and eflect. Lic. # Cless k Conirectofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn Ihat there is e conslruction lending egency for Ihe peAortnance of Ihe work for which this pertnil is issued. (Sec. 3097, Civil Coda). Lentler's Neme: Lenders Address: Signature: De�e: OWNEH-BUILDER DECLAFiAT10NS: I hereby aflirm thet under penalry oi perjury ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which raquires a pertnit to wnstruct, alter, improva, tlemolish, or repair any strudure, pdor to its Issuance, also requires the epplicant tor such permit to file e signed stetement ihat he or she is licensed pursuant to �he provislons of ihe Contrectors License Lew (Chepter 9(commencing with Sectlan 7000) of Divlsion 3 of ihe Business end Professions Cade) or thet ha or sha is ezempt therafrom entl tha besis for ihe elleged exemption. Any violetlon of Sedion 7031.5 by any epplicent for a Dertnit subjects the epplicant to a civil penelty of not more than five hundred dollers ($500).): ❑ I, es owner of the properry, or my employees with weges es iheir sole compensation, WILL DO THE WORK, antl the structure is not intentled or oHerad tor sele (Sec. 7044, Business antl Professlons Code: The Contractors License Law does not apply to an owner of properry who 6uiltls or improves theraon, and who does such work himsetl or heroetl or ihrough his or her own employees, provitletl that such improvemenis ere not imended or ofleretl tor sale. If, however, ihe building or improvement is soltl wit�in one year of completion, Ihe owner-builtler will have ihe burden of proving that he or she did not build or improve for purpose ot sale.). ' [�}' I owner of Ihe pro0erty, am EXCIUSIVELY CON7RAC71NG WITH LICENSED CONTAACTORS to cansirua the project (Sec. 7044, Business and Protesslons ode: The coniractors Llcense Lew does not epply to an owner of properry who builtls or Improves thereon, and who coniracts for such pro�ect with a conirector(s) license pursuant to ihe Conirac�ors License Laws.). ❑ I am eaempt under sec. Business end Professions Code tor this reason: ._ .. venfietl by drivers license. �Yes ❑ No Veriticetlon of Ownership Dy (type ol tlocument, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PEHMIT CERTIFICATION: ❑ I hereby certity that no excavetlon five (5) or more teet in tlepih into which a person is required to tlescend, will be metle In connectlon wilh work authorized by this permit, antl ihat no builtling siructure, sceftolding, telsework, or demolition or dismantling thereof, will �e more �hen ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom ihe Division of Industnel Satety, as notetl ebove, unleu such person hes e permit to do such work irom the division. Signature: Date: Division ot Intlusirial Safety Permit Number: CERTIFlCATE OF COMPLIANCE ANU AUiXORQATON OF ENTFiY: I certity untler penalty of perjury ihat I have read this epplication and state Ihat Ihe information given is wrred. I agree to wmply with ell stete laws and ciry ordinances relating to bulltling wnslruction, entl euthonze representatives of the Ciry of Costa Mesa to enter upon the above-descnbed properry for inspeclion purposes. I agree not to occupy or ellow occupancy of any building authorized by t/his pertnit until finel inspection. C �i i1 L-./ �il�i�/ti ' (O��O. C"' �SignAtur[fOilega Ownar(s) l Date � l � AnNOr Authonzed Applicent Date [&7 ] ��I:I�99ini[�7Jti93 1616 Fixed System Finel Fire Prevemion 1266 Paol Spe Final 200 Finel Re-Roof 201 Finel BIocWRetaining Well 202 Final Fectory Fire Place 203 Flnel Slpn 204 Finel Demolition GAff. It�EL$ COUE I INSPECTION TYiE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final BuildlnyOccupency PAIE Iti�L9 '/_r9-f�S' � �ooness or em�ara: 8 E N V I E, OlMERSWWEIFIQIO/IN: 314 ALT /�DDRE55: COSTA M 548-091 APPL.IWIING i1UDPE59: �wcxrtecT on Er+ax�x: EN A UNT: CA 92627 l ( � wxmncTon,sru�. NOCK PLUMBING 11690 SEABOARD CIR uc. ra.: UNT: (714)895-1246 COMX�CTONSYYIING STANTON CA 707775 �oox�ss: 9 0 6 8 0 � N0 uNr: LICENSED CONyT,RSApCcyTyO�N7Sp�D0}ECdLAHRTION: I MrebyyWamN'vema, eu�nMaer paneYy W �pay�jurye �ihew� v1 eympenIcenaeE u1yn1dI/epr ppansionye �ol,Chepter 9 CRYIJCCINO�IVJV3bb�LIC.CLA55:B1.-30P�� /q`�� ///JseeinC.AY��VL�9% oe�a: ��'L7 ��j 6 comraa«: 1�i1--�- 1 LIJ/"C%�%/VO � �/�_ 'W NEfl BUILDER OECLI�FATION: 1 hamby eifirm untlar penelly d parlury Ihet I em exemq Irom the Contmqme Licenee Lew la IM bw'vq reeson (Sed'wn ]031.5 Businae eiM Pruleniane Code: Arry eiY a�nry wfiidi ee9ui�ee e pe�mil lo aomtrueM. eller. imyove. .emoloh, or repe'v eny siruciure, pna lo ita eeuence, eko reQuires �M applirem lor euch permit to file e eipned e�alemanl ihet M a aM is IicenseE punuant io �M pro-nsians d iM Conlredon licenae law IChepm 9(cpnmemip xilh Sadion ]000) d DH'nion 3 of the Buainav eM Rofa»ons COEe� w �Mt he or she ia exempt therahom enE Ihe beais for iha eileped axemption. My v'pleton d Sed'pn )031.5 by enY eCV�icent lor e parmn wEpda �M eppli[en� lo a tnil parelry d ml mae Ihen IMe huMnE Edlen �5500�). � I. es owmr d Ihe propeny a my empbyees wYh wapee av IMi eda ewnpenaetion, will tlo iM wak. entl Ne elruvMuro o'at iMeedad or Merad lor sale (Section 104<. Bueinaae end Pro/eeaiana Catle: The Coniraztora Licenae Lew doea rat epplyto an ownx W popa�ly wM Wida a inpwes iherean, erM v.M Eoea suM work NmaeM or MneC a Ihrouph he a her own employees, povideL Ihel such improvemen�e ara rot intanded a oHered ta sele. M, however, the buiNiep or impeovamen� ie soM wilhin aro yeer d mmpleton. iM owrcrLuiNer will heva IM Wrden d peovi�q M or ahe did ml buik or impova lor IM W�e d aele�. � I. av ovmer d the propeny. em utlusrvaly coniredvp wilh IioenxE contrectae to canatrua ihe prqae (`�� ]W4. Bwinme enE Professione Cotla: The Comrenae License Lew tlaea mt epply to en ownar af qopeM � a+iNa a impovm thereon eM who canvens M wM prqMe wM e mntreaor�e) Icemed W��t to �he ConVeqora Limnae Lewl. ❑ I em exemq uMer Seciion: B. 8 P G., br Ihia reeson: Deta� Ovmar: i do n.reny eeniry mm i em e.ara d e�e uMe'sleeM �he �eQuiremmb d CelAomia Heellh enE Se/e�y Code SeGione 25505, 255�3, end 2553a, end that I«eny Mure buildinq owpent vnll / wil nd (dreb one) neeE to comply wih eeid mma mdea uM the reQuimmmm lor epemuliwewulnKlionamodifimtionhwniMAi�i yuiF�enepamamDin'ia.Raekmiidconavuqunapptice�ioneereexampiiromlheae prwieiona. De�e: nvW�: WOflKEfl'3 COMPENSATION DECLIN�TION: I hareby elfirm wMer penelly W pe�ury ma d the Idlowirp Eedem'wn: � IheveanExi7mvmenecanMicmadooneentloeeM-imuretarwaAen'eanpanWion,npwidedlabySeaion�]00afiMLebar Cotle, lw �M1e peAamence M iM wak lor wNch �hia permX ie iesueE. � �hBVe BI1�'M� TBII1�BY1WOf�GR G)TVBf19B�p11111911lBlICB,L9 M9YIfBd bY $BLIIM.'�� 0��1! �BbOfCi04l.�OfIhB�1B1�Of111B11CB O��1B wak la whieh thie paemil u i»ueE. My worken' �� ur�eA�� nd pdicy number ara: E X P I R E S ' PolicyrNumber: P�� T� � 2��z n�-=-„ � 0 9/ 01 / 9 6 �m�::�.v� �«d �o� ea �abr,e a ma ro�a rs ro. �o n��d,ae ddi.,� Isiaol a�.,.� � I cerlly Ihai in Na pMomw�ce d tM waA for whch �hia parmn ia inued, I sMll rwl ampby em� penon in eny mennar eo ea ta become euEl� �a Ihe workere' canpenmlion lewe d CelMomie, eM epree �he� il I ahould become auEl� m tha xorken' �omre��, v�s�. (s�m� a�ao a me �e« coee. i�i � n�dr � w��.. Dme: `.Zl� 21. L :> aydiran: Waminp: Fel/un ro sxuro wortxa'rompwuetlon rovsrep� ls vnNwNl, �ne �lull iub/xf an �mploysr fo eNMnsl psns/tlu entl c/H/ Hro� up ro om hunOretl tMuunJ eallen (5100,000), ln eeJltlon b M� ro�t o/ compsivafloR tlemeps u proHtles br In SxHm 9lW o! Ms LeEor CaW, Infxuf, and ettomsy'� Isss. CONSTHUCTION LENUINO 11GENCI: I hereby alfi�m uMer penelry d parjury ihet iMn u e oonnvd'an brd'up epercy M tM paROrmenra W IM1B wwk Ia whltli IM1a pem�i 18 u9Yed (Seaon 308J. CN. C�. . LENDEP'SNAME: LENDEfl'S �UDFESS: I cerlity the� I heve reaE �his epplicetan vM e�me thei tha ebwa inlorme�un is come. I epree to cwnpty xilh dl i ry ard w�my pdirenco arM etele lewe releleq to buildnp wnsvuGion anE hereby eNMrize repremme�ivea W Ihis dty to en�er upon Ihe ebove-menloneE properry �°�map°"i°^a°ro°:°°. RON NOCK Pnnt Neme Da1e: �-i Siqn ApenUAppticenUConlrecwr (5i51-CB.WG) White-Buildmq d Sefety; areeMFle; Cenery-Appirant; Pink-Revenue; (3oldenmFAs»�mr CITY OF COSTA MESA — BOILDING PERMIT PERMIT NO: P 076925 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PERM NO: P 0 �9.. GOC'T: N SUFP: I PURPOSE: OTH JOB DESCRIPTION : DISHWASHER C/O SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT fF iE iE fE iE iE 3ElE if fE iElf iE iE 3f 3E 1E �E 9E IE IE iE iE iE jE iE iE �E iE iE iE iE fE �E iE IE iE 3E iE iE 1E iE 3F 1f if 1f iE 3E iE fE iE 3E �E �F iE 3E 3E 3E �E 1E 1E if �E # 9f �)E iE iE fE �E 9E iF 1k 1E 1E if iE jE 1E Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- 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: 93420010 ZNE: REF NO: PLANNING NOTES> i !F!E 1E 9E �E iE iElE 34 �lE fh')f' iE 1E iE iF iE �1E iE 1E 1E 1E 1ElE iE ik 1E 3E 3E 1E fE 1E'N' iE �I(-1E if iE iE 1E if 1E 1tlE'lE iE'lE 1E �lE 1E # 1E 1E 1ElElE 1E IE IE 1E �IF iE iE iE iE iElE �)E 3E iF if iE iE �E IE iE iE IE iE D E V E L O P M E N T S E R V I C E S�,Z;R E Q U I R E M E N T S ZONING APPROVED BY . BUILDING APPROVED BY : 0 DATE; DATE: APPLICATION ISSUED BY: �/I/��J '' "' DATE: S G�JYG aElE�lEiEfEiE9FaEfE�(-iElEiE#iE1EiEih�lEiEfEif iFiE��fllEif��E��f��fi�iFiE3E�1EiEiflEiEiEif�1E�� i�/fF{FIE-IE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 253 SMIP/NON—RES PLAN r ISSUE FEE 20.00 � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 � 0.00 27.00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 iE IF 1E �E fF iE IE iE iE if iE iE 9f iE iF if iE iElE iE 3E �E iE iE iE 3E 3E iE 3E iE iE iE iE iE iE iE if IE dE 9E iF iE K jE iE iE iF iE ik iE iE iF jE iE iE iE iE iF 1E iF iE if 7E iE 1E ib iE iF iF iE iF 1F iF if iE iE iE iE iE I N D I V I D U A L F E E B R E A K D O W N Z'4�E— QTY D E S C R I P T I O-N UNIT COST TOTAL COST PLU 1 DISHWASHER ' 7,00 7,00 EtJD OF FEES rI CONSTRUCTION AND PLANN�NG P� .& SPA � APPROVALS Permit �r-` Date Inspector qppROVALS Permit # Date I�spector 1. Temporary Electrical Se+vice or Pole 52. Pool & Equipmeat Location 2. Soil Pipe-Undrgrnd. 53. Steei Reinforcement � 3. Electricai Conduit Utility-Undrgmd. 54. Forms . � 4. Electrica� Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Re�nforcement 56. Rough Plumbing & Pressure Tes[ ' f 6. Electrica! UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footinqi 58. Eiectrical Conduit�Undrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., 7est 9. Water Pipe�Undrgmd. - 60. Backwash �ines, P�Trap, u Undrgmd. 10. Structural Floor System 67. APPROVAL TO DECK - 7 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final �� 12. Sewer CaP ; 63. Heater & Ven[-Final � 13. Roof Drains 64. Plumbing System � F�nal � 14. Rough Pi�mbing 65. Electrical-Finai 15. Aou9h Electrica6Conduit - 66. Solar System�Final lb. Rough Electric Wving . 67. Fencing & Access Approva�� tl. Rough Wiring Sig� 68. APPROVEp FOR PLASTERING � ! 18. Rough E�ectrica6T Bar Ceiling 69. POOL/SPA SYSTEA"S FINAL 79. Rough Heating & Air Cond�tioning PIRE DEPT. REQU�RE�ENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, i�� Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas '� O�I 23. Gas Pipe�Rough & Tes2 72. Underground Fiush 24. Roof Framing 73. Undergmd. Storaye Ta�k C7 Gas ❑ Oil 25. Roof Sheaihing 74, Overhead Hydro 26. 7-Bar C�iling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTE�:1 FINAL 29. Insulation 78, FIRE PREV. FINAI. 30. Drywaii Nailing HEAL7H DEPT. REQUIREMENT 37. Piaster E3rown Coat 79: FINAL INSPECTION 32. Electric8l Powar Meter-Finai 80. FOOD CERTIFICATE ISSUED � 33. Final Electric tvoces: S�=c'� -/Y�7f�G�S L�7ech�Zq I '- - - - - 3A. Finat Hsatrng & Air Conditioning ql�� MO /i'N�WE-� 7r( B&D6�AZ�. �F7 35. Finat Gas Pipe-Test 470 6�-�G1��1�i;�EZ' TA�=r� 36. Hood or CanoPY 37. Final Factory Fireplace 38. Finat Plam6ing _tA_ J0 39. Water Service�Final 40. Gas Service-Final 41. Solar DOmesticFinal 42. Backflow Preventer 43. Backfiow Irrigation 44. LandscePe Irrigation System 45. Sound Attenuation i 46. Handicap Regulations A7. FINAL STRUCTURE & BUILDING 48. FINAL P�ANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIF�CATE OF OCCUPANCY No Date �nox�ssovem�wa: 319 ALTA Lt•7 OWNEIU�N.WEIFqqfM: EENVIE, KAREN A ' �oonesx 314 ALTA LN � COSTA T9ESA, CA �vv�. uuw�a woness: urcxrtccT on �a�n: uxT: 92627 uc. xo.: uxr caxmurarsruue SANTA ANA ROOFING ( 719 ) 558-3707 CpRH�CTORS YYIdlG 6 5 5 P O B O:C wo�ss SANTA ANA CA uc.ra.: 963596 92702 uxr: LICENSED COHIHACTOAS DEC��pATION: I Mreby dfrm uMs penelly d perjury UW I em licemed urder prwieiona ol Chepter 9 (comme�iq wilh Senian 1000) d D'msion 3 d �M Bum�no uM PMmsbna Code. W mY liceiue is in lull brce eM aNep. cmu �0.:035308 uc.cuss: C-39 uc. .: q y6 ExP;/ ��l/96 e�a� � /ii �S com,ma� //3�-�,r-�I,Cf� fl BUILDEN DECUAATION: I Iroreby eHrm uMer peratly d Po�lury Ihet I em w�emq fmm ihe ConVmwa Licenae Lew la iha .+xdbx'vg remon (Setlion 70�1.5 Bua'riene eM Prdavions Code: Mry cYY a mun�Y'�� Cuirea a pe�mA lo cansWt�. eller. improve. {Y�. dsh. a tepei mY slN�luro, pin b ils ewer.ce. elfo nWima tM ePD��+f ta ash D�� lo fib s iqmd ataimr�eM Mel M a sM j"ja�B91�B39�BM PlW0981p19 Ci(dB�� Of �a�IOIX f�10'rW QIBTLp ��B�IV111 BII��B b49R �IX � �BABQhGISIB�lllplqll. NIy�Y�L�^ 9�01 O� 5R1911 )031.5 b/ eny apdicenl fM e permN eubjeUs iM epplcaM to e cnil penely d iwt mae Ilan Irva huMrad Edlero �SSW]). � 1, ea owrrer d �ha proPe�Y a my empbyaee x1h wepea aa Ihe'v wla wmpanmibn, xill do IM vmrk, enE ihe nructure e nrn Imanded or oflereE la eeb (SM� 10M. Bwinma eM Prdesaione Code: Tha Conireqon Lirorua Lew doea mi pppty �o en owner d propery who buide n inprovas �hereon, mM Ma doae eueh xork ItimeeX or Mnetl ar Mraqh he a her own employees, peovided thm vch 'mprovemeMe are M inlenEed a dlaed la veb. Il. lwwevar. �M buiNiip a inprovemvPl! aoN aa d mmpbun. Ma oxmer-0uikbr will ha�a �M buNen W po.•iip M or aha did mt Wik or imqoue Ior IM ❑ I, ea owner d Ihe prOpaM. em extl�airely mntreqip wilh licaneed wnVxlma lo canarud Hn prqal' S�GA $d} �ny� �`p Prde�ione CoGa: TM1e Contreaore Licenu Law does iwt epply te en owinr d popaM � b�ildeo� provm the�� fld� conlracta lor euch prol�a v.ilh e con�redor(e) Icensed pureuant to ihe Convepore License lew). L)� /1 �� ❑ I am ezemp uMer 5alion: B. d P.C.. fa Ihia reawn: / Vi Date: Ohnar: I da heraby ceniy IM1e� I am awere d arM uMarsteM the reQuiremenla M Cellomie IbMh uM Satary Code Setliora 25505, 25533, erd 25554, anE ihel I or eny tNure Wildirp oaupeni will / wYl mt (arcb ane) nead to canpy wilh eeiE Mate mAu uM iM reQuircmente for eparmnloreoneieuetionw�wtlifiratbnhomlheAi ue�y enepemenlDimria.qesidenlieloorweWioneppYep�iareereexemptiromlheae provisons. Dete: rlppl'ram: W ONKEP'S COMPENSRT�� OECUNRTION: I Mraby dRm� uidar Po�eM a Pem�ry om d �M fdbwi�p deduazum: � 1 heve eM wil manta� a ca�ilicele d mnaent to eaH-inaure far wohers' canpenee�ion, m p�oviEad In by Saqion 3)00 d Ihe labar Cada, lor the pe�lom�e�ee M �M work lor which Ihia peemn ia ivueE. � � new eik wi� meima:+ wonen• omiv�un irourer�. e, roa�iree M sealon alao a �na leba cods. b. �ne verlwmence n �ne / v��k�«.m�m�.��mm�.e.Mr��+'S'�ATE��FUA7D �'d��m��• EXFIRES c�e.: rarv e�mne.: -� r 11 v b 1 0 i/ O 1/ 9 6 .iis secfion mep no! be canplete.f N lhe permAia br one hundred Eollers jS10J) w bse.J ❑ 1 cerlAy ihet in �M1e parlorme�we o/ iM work br xfich ihia parm� ie i 1 dWl ral empby eny penon in eny menner eo av lo became vubjed lo IM1e waMera' mmpenavbn �ewe d CeWomie. epree i l ehouk become eubpU�y�qAq tM xoAmn' i4��/�i ,a �� win, �cm..i � ny � � �ro� np: Fallun ro�xuM woMeri COIIIpNYGHOII COYMp� hYI1lIWN1 llld iMlllYbflCf III MIIp/0yM f0 GIIMIYI p/MMY GM c/v/I flro� up ro aro hwdM fMuuiN Gdbr� (S10q0001. In edd/tlon b fM cwt ol rompxuaWM1 Mmspu aa provMSC br In Sxtlon 3)(A6 0/ tl�s Lebtl� Cotle, Infensf, entl ettomsyL lsu. CONSTtiUCT10N LENDIN� A6ENCY: I Mreby elfiim under pralry d perjuy Ihm �hen w e con&rueion bMirq epency W the paAamerKe d the v.oM1 M w1iiM ihc P�i is eeued (Seqian �09], CM. CI. LENDER's NI1ME: LENOEN'S ADORE33: I cenily thet 1 haw reed Ihb aCWKe�im end ae�a ihm the ebove iMormelbn ia cartetl.l p�eeto compy wnh dl ciry md couny adinv�me eM etate kwe iNei'rq to buJdip ca�sUu�tion eM hersby euihor¢e ropaeematives d ihb tlrym emer upon iM ebove�menlioneE pmpary IainsPY�bnWrGoses. , �„� � ..._ iJ o�.:.�'��"I1 (SIS1de.WP) Whil>Bvild'mB 8 Sdery; OreemFle; Canery-AppAcent: Pi^k-Rmenue; GOIEenraLMeevor CITY OF COSTA MESA - EUILDING PERMIT rrExri u: ii � PERMIT A70: B Q71163 PLAN CHECH NU: N I .�vT�v .� rr: rv CONSTRUCTION TYPE; 5-N PERMIT TYPE; STR PURPOSE: OTH JOB DESCP,IFTIOr7 ; T/OFfi P.EP,OOF W!BUR SQ FT; 1, 100 CLAIPI VALUE; 1,100,00 CALC-C'ALUE; 1,100,00 GROUF OCC; R-3 ! COMMENTS: SMOAE DETECTORS ARE REQUIRED AS PER 91UBC, REROOF 3000SF RESID iE if if 1f if 71� iF 1F iR jE �lf if if iE if 1h K iF 3f M iE if iE iR {4 if if if 1f 1f if if Y-i4 if if if �f �K ir iE �7E if -1E iE if if i4 �F �R �lE �lE if iE aF j4 �lR 4-1f iE-IE-IF if iR ic iF -k iF iR Y iF �7E iE iF-K %iF %iE Z O N I N G R E Q U Z R-E—M E N T 5 . S E T B A C K S � ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILUING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN P.EAR; FT ID] LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING P.EQ: PROC'; PARCEL; 93420010 ZNE; REF NO: PLANNIT]G P]OTES> i 'M if if if 4?f jf if'lE'1F if if iF'1(' �f �E'k if')f iE if if'X� if')k �f iE tf iE iE'1E iE if if 3f iE')f'�'M if i(� iF af iF {f iE if iF M if if 14 iF if �E if 1E if'if if jf if iF M iL {E if �Y'1M if 1E if iE }f if iF'If iE aE D E C' E L O P M E N T S E R V 2 C E S R E Q U 2 R E M E N T S ZONIPdG AF�FROVED. BY DATE; ,�L ING APPROC'ED BY ; DATE; AP� ATIGN ISSUED BY: � DATE: � S41tiFififjf+f+f�lf�lf+fiF�7E�lfif#ififif4llif�iFif�t�iFiF3F�fi�3F3Fl��f� • tF�3�fST�i�F�Fi'FFitiF+��i��1E+filiE#itlFifY-�3F�FyFj��iF if�1flF'IfiliE�7f1EiElEiEif'Mif4iEifiFM�fif'X�if#iEiflfiEif�lEiF�1f1E1fif?fiEifiEil��1F1E1E#'M'iElfiFifiElfif#iFik?fif#�1fiEafififi'iFiFifdM1dflR iEifiE YEifaflf LEGALi2ATION:N F E E S U t�f M A R Y STRUCTLRAL SEGMENT:Y &LDG F�MT PLDMBING ELECTP.IC h1ECHAN2C FIRE SMIP; RES GP,FiDIP]G PERMIT 27,00 .50 SMIP/NON-RES PLxir� ISBUE FEE BUILLING-UIV-> PERMIT ISSUE PLAN-CAECK TOTAL PAID DUE TOTALS----> 27.50 0_00 0.00 27.50 27.50 .00 REl7EPdUE DIVISIOP7 TOTALS--> COLLECTED; 27.50 OC'ER/SHORT; .00 E7LUG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAD]-CHECK 27,00 ,SO ritititit*uit�*+e�r#***�-�iF�t�e*�r�tit�r�r*?��ra+r�r�ritx*+t*uu+t+r�r+t+�*+r+�*�rrr�r+r.raa*+c*+t**«+.�+t�eirr#�-*#;r+rar I N D I L' I U U A L F E E B R E A K D O GI N TYPE QTY D E S C R I F T I O N UA72T COST TOTAL COST SFR 11Q0 REROOF BY LTALUE RESIDENTIAL NOZOTIE 1.00 1,100.OQ END OF FEES �1 ��1%S�l�rd'V0�3J�Q� y SZ� ?��SC aaTE. c2iiai4�� rt�it: �o:v2 � CONSTRUCTION AND PLANNING P�0 iPA t .� Date Inspector qPPROVALS Permit # ' Date � Inspector AP?ROVALS Permit # 7. Temporary E!ectrical Service or Pole 52. Pool & Equipment Location ; 2. Soil PiDe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Ut�litY-Undrgrnd. 54. Forms • 4. Eiectrical Concluit-Undrgrnd. 55. Elect�ical Bonding 5. Steel Relnfo�cemert 56. Rough Plumbing & Pressure Test 6. Electrical UFER G�nd. 57. APPR6VAL TO COVER-GUNITE 7. Footings 58. Electricai Conduit-Undrgrnd. �- � 8. Poundation 59. Gas Pipe, O Undrgrnd., Test � , 9. 4�Iater Pipe-Ur.drgrnd. 60. Backwash Lines, P-Trap, G� Undrymd. 70. Structural Pioor System ` 61. APPROVAL TO DECIZ it. Property Sewer �ine & HouseConnection 62. Backwash & Receptor-Finai ' 12. Sewer Cap 63. Heater & Vent�Final 73. Roof Drains 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Finai � 15. Rough Electrlca6Condui; � 66. Soiar System-Final 16. Rough Electric Wiring 6). Fencing & Access Approvai 17. Rough Wiring Sign •- 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory F�replace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Veniilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rou9h & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank G'Gas ❑Oil 25. Roof Sheathing z^Z!- YS �W� 7q, Overhead Hydro 26. T�Sar Ceiling {Structural) & Monocoat 75. Dry Chemica� 27. Frame and Fiashing 76. Dry Standpipe 28. Lathing & Sidin9 7Z FIXED SYSTE(tA FINAL 29. insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Finai 80. POOD CEflTIFiCATE ISSIJED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. LVater Service�Final 40. Gas Service-Final 41. Sofar Oomestic-Final 42, Backfiow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Re9ulations 47. FINALSTRUCTURE&BUILDING 3�/�.gs u/� 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern Catifornia Gas Cn 51. CERTIFICATE OF OCCUPANCY No. Date . 398u�. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 BVILDING� ADDRES � OWNER 1 ✓ MAIL � Z ADDRESS � W W �. a U CITV �� ~ Z CONSTRUCiION O N LEN�ER am J � BFANCH J �11 m J ADOFiESS m ARCHITECT '� Q OR ENGINEEF � N w Q ADPRESS /� aw w Z CONTRACTOR J Q °' z r J � ADDRESS , w W Z= CITV l/�[// F W O STATE � � � LI0. NO. 7 � SIZE OF LOT J� USE OF EXISTING BLDG. / TE PAti "-p`( 15�75c.��;�� 657��` *>:*Z19.�5 APPLICATION FOR BUILDING PERMIT 'PIVEO BY DATE flECEIVED qTE ISSUED �1AY 1 5 1975 �BUILOING �� ADDRE55 OWNER FIRE � j �/�' ��y �� ZONE T APPROVED � ��' /� ar � _�� r •�j-., TEL. hO�NE NO.OF No.,S" ' -089 K P�'"� � CITY YAROS APPROV ED LIC. NO. MAIN BUILDING NO.OF BLOGS. G (FROM C/{l,�S��T�RJE ET)L NOW ON LOT / FfiOM '/ /FT f. z N W BLDG. .�� .JF �%— FOOMS��STOflIES 1.51DE U EXTERIOR WAL� � �/L! U ROOF COVERING /y� COVERING _J � REAR T. J USE OF BVI�DING /A�ND WORK TO BE PERFORMED DISTHNCE BET. � /jI%p�C t' i��L -i/ / I: L MAINBLDCS. Q VAR. # p / �/i1i" D/JO r � — D � c.u.a.# y.y'� �� .+ Gr ll/ l7, s awRovEo Z ,'= � I O UI hereby acknowletlBe that I have read this lication antl state � that the above information is correct and agree to comply with � all laws raguleNnp builtlin8 consiructlon, antl I shell noi employ r any person in violation of the workman's compensation laws of N t�e State of California. ZI hereby ceriify that I am properly licansetl as a connactor untler SQ. FT. t�e State of Calitornie Business antl Professions Cotle, Divisicn 3, THE AMOUNT SH< Chapter 9, antl that such licenses are in full force antl atfect, or I THE PURPOSE OF E am exempt trom th¢ provisians ot the State of California Business VALVATION antl Protessions Cotle, Division 3, Chapter 9. Signatura of (�� / �- n �. � !'�� . �� r� � Permittee l K.l � $ J Authorizatl ABent l B VALUE USE OF NEW � BUILDING VARDS APPROVED ACCESSORV BUILDI� DATE TOTAL FEE 7 � O TION IS FOR � T FEE ONLV: Q N J 72 SO E 1 � /� r! u