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1618 CORIANDER DR - Building Permits
ADDRESS OF BUILDING: 1618 CORIANDER DR • ' WITH' CITY OF COSTA MESA — BUILDING PERMIT ' OWNERS NAME IF MOWN:DOB YRS, H L - PERM NO: B 076635 ADDRESS:DOBYNS, NINA BETH . , P O BOX 44209 PERMIT NO: B 076635 . PLAN CHECK NO: N GOVT: N SUPP: N CINCINNATI,OH 45244 APPL.MMUNG ADDRESS: • CONSTRUCTION TYPE: V—N • PERMIT TYPE: STR PURPOSE: ALT ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REPAIR MOISTURE DAMAGED STUCCO AT BASE SQ FT: 200 • ARCH.OR ENG.'S ADDRESS: ✓ MT: ' CLAIM VALUE: • 200 .00 CALC—VALUE: - • 200 .00 GROUP OCC: R-1 / CONTRACTOR'S NAME: - CGIGRACTORSMMLBIG • COMMENTS: REPAIR WATER DAMAGED STUCCO • ' ADDRESS: UC.NO.: ***********************************iE******************************************* WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury. that I em licensed under provisions of Chapter 9 S E T' B A C K S - (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. . CRT LIC.NO.: LIC.CUSS: UC.NO.: EXP: . MAIN BUILDING ACCESSORY BUILDING Dae. • Contractor, FT IN REAR: • FT IN FRNT: FT IN REAR: FT - IN LEFT: FT. IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury That I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any cify or county which requires a permit to construct,after,improve, PARKING REQ: PRO V: ' PARCEL: ' 13949109 Z NE: F RE • NO: demolish,or repair any structure,prior to its issuance•also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law[chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> . Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permit subjects the applicant lo a civil penalty ofnd more than Uwe hundred dollen 155001). - {ESE{[•{E{L.{t{E*{F{(.{p{(.{p{E{E{E•IE{E{(.{(.#'%1E'1fiFlE1E•1ElE1FiE1E****iE1Ei **14****1E#iE1E****#iE3EiE1E1FlE-0E1E#141EiBiE1E1E'1(1(-1EiEifll*** • 0 I,as owner of the lem o yor my empkyees wlh wages m their ode compensation.will do the work.and the structure is me intended or offered for sale(Secton 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properlyD 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 • who builds or'improves thereon,end who does such work Nmseff or hersel or through he or her own employees,provided that such r improvements are not intended or offered for sale.ff,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did nol build or improve for the purpose of sale). ❑ I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects wish a contractor(s)licensed pursuant to the Contractors License Law). (1 y . 1 pm arn nder5e G an: B.BP. ,IerNnnason APPLICATION ISSUED BYd • DATE: Il owe: ^'' - LEGALIZATION:N F E E . S U M M A R Y STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of Calffomia Health and Safety Code Sections 25505.25533,end • 25534,and marl«any future building occupant win/coil nd(dreeme)need to comply said slate codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE. SMIP/RES GRADING a permit for construction m modification from the Ar M71;Mnegement District.Residential construction applications are exempt from these provisions. • PERMIT 15 . 00 . 50 Dale: Applicant • SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE ❑ compensation, provided for by Section 3700otheLabor FEE 4 Iheve end will maintain ca of tit stadconsant tothis insure for sued. ' wBUILDING—DIV—> • PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the pedormanwdthe work for whom this pemihhecued. TOTALS----> 15 . 50 0 .00 0 . 00 15. 50 15 . 50 '. 00 ❑ I have and hit maintain workers'compensation comp m d as required by Sectico 3700 ol the Labor Code,for the performanthe work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Caner: • REVENUE DIVISION TOTALS-->' COLLECTED : 15. 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I me panne is for one hundred dollars(StOC)or less.) /5 .00 . 50 9 I certify that in the performance of the work for which MS permit is issued;I shall not employ any person in any manner so as to become aubjea to the workers'compensation laws d California,and agree that B d,t I should become subjeo the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL F E E B R E A K D O W N .Date: _ - Applicant: Warning:Fine to secure workers'compensedon coverage le unlawful,and ahrll subject an employer to criminal psralgsa and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to ons hundred thousand dollars(S100,000),In addldon to the cost of compensation,damages as provided for In secde 3705 of me Labor Cow,Interest,Interest,end atro +.rnav'+foeSFR 200ALTER BY VALUE RESIDENTIAL NOZONE • 1 . 00 200 . 00 • 'CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction landing agency for the . END OF FEES performance of the work for which the permit is issued(Section 3097.Cis.C). LENDER'S NAME: ' • LENDER'S ADDRESS: I certify that I have read this application and slate that the above information is correct.I agree to comply with all ray and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. KEN DECKER q/ • 01 00201619-00201620 TOT 15.50 / � Rama ��//lam . I / DATE: 03/01/95 TIME: 10:05 ,—Sgneaof reOwner/AgenUAppicant/Contaaor' Date: (51S1-46 W P) White-Building 8 Safely;Green-Ale;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ., i. PflOJECT ADDRESS:OWNER'S NAME: 1613 CORIANDER DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT «:J: '...:c. : ...:._ • DOBYNS, H L • ADDRESS: DOBYNS NINA B PERMIT NO: B 058431 PLAN CHECK NO; N ...,. .. F110466 P 0 BOX 44209 CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT CINCINNATI,OH 45244 ANCMIENGINEEfl: flEG.NO.: JOB DESCRIPTION ; T/OFF REROOF W/ COMP, SQ FT: 2, 500 ADDRESS UNIT: CLAIM VALUE: 2, 500. 00 CALL—VALUE: 2, 500 . 00 GROUP OCC: R-1 / PERMITTEE: HUDSON, IRA COSTRUCTION ( 714 ) 530-2771 ADOREss: 11401 WESTMINSTER AVE COMMENTS: REROOF 2700SF 4—PLEX GARDEN GROVE CA 92643 #####x#######+E#######################I6x*#######+E##########+;#K##->E####*##x•#x##*** • LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTSSETBACKS 7000)of Division 3 of.the Business and Profe Cod d my license is in futt,forcSeA and effect. Vibb44 iBoU3 (.J7 CITY LIC.: STATE LIC.: CMS: MAIN BUILDING ACCESSORY BUILDING bate: `d/t' Signature: FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKERS'CO PE ATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: PARKING REQ: PROV: PARCEL: 13949109 ZNE: REF NO: COMPANY: PLANNING NOTES> ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. f.? Dale: Applicant DEVSILOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(3100)or less). I I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become ZONING APPROVED BY DATE subject to the Workers'Compensation Laws of California. ---------B.ale: "5-12 Signature: BUILDING APPROVED BY : • . DATE: NOTICE:If.after making this declaration,you should become subject 10 the Workers'Compensation provisions of the Labor 16^ Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: 1 V �, t A : • DATE- ��— CONSTRUCTION LENDING AGENCY: Thereby affirm that there is constructionaR. 9(. lending agency for the performance of the work for g.*. #*##*#####*#**#*** 1 . . 4¢ .### ###*##4T7c *#*#$Oe# which this permit is issued(Section 3097.Civ.C). #9h#iE#*###*%#Y.jj ##1F*#ii*}I•#36#*34##iE#*#1 ##*n .. *3i*#**#.*#*.•**##*##*)h***#*ii*#*#*****ii# LENDER: ADDRESS: LEGALIZATION:Nt F E E SUMMARY STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 54 . 00 50 (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,orJAM I P/P?ON-RES repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN ( and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE � _ =`-- any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(6500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID, , DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 54 . 50 0. 00 0 . 00 54 . 50 54 . 50 .:/' . 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through REVENUE DIVISION TOTALS--> 0 0 COLLECTED: 54 , 50 50 OVER/SHORT: his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or i/ improvement is sold within One year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMB ING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK for the purpose of sale). 54 . 00 . 50 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business - ❑ and Professions Code: TheContractors'State License Law does not apply to an owner of property who builds or improves thereon ####*)i-##*#B(#*#***##****####****#*#*iE*###*#*r?f##if###{(.y#if.x.*3F ..*j(..*.7(..*#.*#ic**#*#/#*#IA*# and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware INDIVIDUALF E E BREAKDOWN that proof of their Worker's Compensation insurance should be provided to me. S,�—.� ❑ lam exempt under section: B.s P.C. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST for this reason: Date: owner: SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 500 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and EN OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a T• permit tor construction or modification from the Air Quality Management District.Residential construction applications are exempt from These provisions. ,,). I _ EXPIRE I her Applicant:dt — inc„„ornple,te ITISQQCtIO(1Sp1 hereby certify That I have read This uildication and stale that the above rite repres is correct. agree to comply with all city and countyAUG O 31992ordinances and state Taws relating m building construction and hereby authorize representatives olthis city 10 enter upon the above mentioned property for inspection purposes. tete Sig ___--s�--- C • OSTA MESA ale'. ��3 Z� T Driver's License or Social Security d: ppyo 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor n1. 1 -)pl l CONSTRUCTION AND,PLANN.ING l - _ POOL & SPA - Date Inspector Date Inspector APPROVALS Permit# • APPROVALS Permit# • 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location - - 2. Soil Pipe-Undrgrnd. • - - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - . - 54. Forms • ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ) . 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation -1 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. - - - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' - 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection I • 62. Backwash & Receptor-Final ,` ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - - 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . - 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS - Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test _ 72, Underground Flush 24. Roof Framing • - 73. Undergrnd.Storage Tank 0 Gas ❑Uil . . 25. Roof Sheathing f-6-A2.- 4;Cvg_ 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 i 79. FINAL INSPECTION 32. Electrical Power Meter-Final -. 80. FOOD CERTIFICATE ISSUED 33. Final Electric 1 ‘ Notes: 34. Final Heating& Air Conditioning - - ) 35. Final Gas Pipe-Test I', \. ' t _ 36. Hood or Canopy '\ \ 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final t` �'r yd c'!- 42. Backflow Preventer ' 43. Backflow Irrigation r' ;r 44. Landscape Irrigation System ij..,:; cC._,, tt% 1 45. Sound Attenuation �+_�...:;itc. , n: S 46. Handicap Regulations J � ;'f.t-14 c-^. .:,t.,. 47. FINAL STRUCTURE & BUILDING t I r �" ' in, ncom•I-te IrffeCt1Pn5 "t �:;,: „Ir 48. FINAL PLANNING . 'C� v �" -i 49. Electric Release to Edison ate Y,r[ . _ - SIS 50. Gas Release to Southern California Gas Co , : .i , �- 51'. CERTIFICATE OF OCCUPANCY i No. Date - _ -- . e$ ADZRESS OF BUILDING: 1618 CORIANDER DR DIT: _ CITY OF COSTA MESA - BUILDING PERMIT •ihNExSNANEIFKNowDOBYNS, H L PERM NO: B 076635 ADDRESS:DOBYNS, NINA BETH - !ii . ... P 0 BOX 44209 PERMIT NO: B 076635 PLAN CHECK NO: N GOVT: N SUPP : N CINCINNATI, OH, 45244 APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT ARCHITECT ORENMNEER: UC.NO.: JOB DESCRIPTION : REPAIR MOISTURE DAMAGED STUCCO AT BASE SQ FT: 200 ARCH.OR ENG.'S ADDRESS: UMT: CLAIM VALUE: 200 . 00 CALC-VALUE: 200 . 00 GROUP OCC: R-1 / CONTRACTOR'S NAME: CONTRACTOR'SMMUNG COMMENTS : REPAIR WATER DAMAGED STUCCO ADDRESS: UC.NO.: ******************************************************************************* WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g SETBACKS (commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in lull force end effect. CRY LIC NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor: LEFT: , , ,ININ RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city«county which requires a permit to construct.alter.improve. PARKING REQ: P RO V: PARCEL : 13949109 Z N E: REF NO: • demolish.or repair any slmcture.prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she 4� is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOT E S> 1 Business end Professions Code)or that he or she is exempt therefrom and the baso for the alleged exemption.My violation d Section > •I 703t5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fire hundred dollars[550011. ******************************************************************************* X❑ 1,as owner o the property or my employees with wages es thei sole compensation.will do the work,and the structure is not intended DEVELOPMENT 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 or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en Owner of property Q who buids or improves thereon,and who does such work bimset cc herself or through his or her own employees,provided that such ^ improvements we not intended or offered for sale.IL however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Conlradors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: ' contracts for such pajeda with a contractor(s)licensed pursuant to the Contractors License Law). / ❑ lam exam underSeeks): B.BP.C..tortis ' APPLICATION ISSUED BY: DATE: �'L� I q.� j//116 kaon ****************************************** . ********************************** Dae: �ar,4 I do hereby certify that I ant aware of and understand the requirements of Californiaeda omia Health and Safety Code Sens 25505,25533.and 25534.and that I or any future building occupant will/wit not(circle one)need to comply wih said state codes and the requirements for LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y e permit forconatruclion or modification from the AirouuT1,Tanagement District.Residential construction applications are exempt these icatifBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 15 .00 . 50 Dote: Applicant SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby Minn under penalty d perjury one of the following declarations: ISSN IUILE FEE ❑ Cde,fortamanssanceofthewd�rwhichhi.pnrmiti«wueda «np.ee.lon,aeprovided f«bysad« 3TDodthe an« BUILDING DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE code.f«the performance of the wakf«wl:gn this pemrnaaeuee. TOTALS----> 15 . 50 0 . 00 0 . 00 15 . 50 15 . 50 . 00 ❑ I have and coil maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance caner and policy number are: Caner: REVENUE DIVISION TOTALS--> COLLECTED: 15. 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK This section need not be completed 4 the permit is for one hundred dollars($100/or less.) 15 . 00 . 50 a I certify that in the performance of the work for which this perms is issued,I shall rat employ any parson in any manner so as to bec«na subjed to she workers'c«nPensetion Taws d California, end agree Ihel f eu I should become bjed lb,.to lworkers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant - Warning:Failure to secure walkers'compensation coverage I.unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages as provided for In Section 3706 of the Labor cods,Interest,and atomey''sfees. SFR 200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 200 . 00 • CONSTRUCTION LENDING AGENCY: I hereby Winn under penalty of perjury thio there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and dale that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. KEN DECKER __ ?�/�j 0003/19-o02n TN TOT 15.53 Name c J {G DATE; 03/11,1✓v0 7620.: iq:O`,i ---is ] Date: 7 � �e of Ownx/AgenUAppYranVComred« •(5151d6.WP) White-Building&Safely:Green-File:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor • . _ .. , r -S POOL & .,?A ' •' tr-' - -, CAtNSTRUCTiON AND PLANNING • Date Inspector Date.j Inspector • AirROVALS Permit# APPROVALS. Permit# . S• ; `emporary Electrical.Service or Pole - ' 52. Pool & Equipment Location r 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.-Electrical Conduit Utility-Undrgrnd. 54. Forms 4--Electrical Conduit-Undrgrnd. . 55. Electrical Bonding - _ - 5. Steel Reinforcement - • 56. Rough Plumbing & Pressure Test :-.-6:::Electrical UFER Grnd. . - 57. APPROVAL TO COVER-GUNITE _ _ 7::IFootings - 58. Electrical Conduit-Undrgrnd. ' - ' H 8`Foundation - 7 -59, Gas Pipe; 0 Undrgrnd.,Test r 9: Water Pipe-Undrgrnd. - • r 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ,., 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final _ „- _, I 13. Roof Drains ; 64. Plumbing System- Fir-a-l-__/ • 14. Rough Plumbing 65. Electrical-Final - . 15. Rough Electrical-Conduit - 66. Solar System-Final - . 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING :1 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating &Air,Conditioning/ - - - - -' FIRE DEPT.-REQUIREMENT _ 20. Rougi Factory:Fi ep'Sace I '- u.y: ,i, :, _ ` " t.APRAOVALS` Permit# ` - 21. Ducts,in Structure F - r; ti .v . :- 70Underground Hydro k 22. Ducts, Ventilating:-' t. ' - '4 *, ": 71. Product Piping ©,Gas DOiI ,-L. -4- :-. . , - 23. Gas Pipe-Rough&Test - i- -_ * ` ' 72. Underground Flush , 24. Roof Framing r , r. ,- i. . 4 :; 73.; Undergrnd.Storage T_ankrD Gas 0 Oil 25. Rof,-oSheathing, - - - • 74..•Overhead Hydra,- 26. T•Bar Ceiling (Strutt hall & Mdriocoat " ''.fi 75'.try Chemical td -2 - - 27. Frame and Flashing - - - ' -` - rr. 76. Dry Standpipe 28. Lathing&rSiding - ' _ _ ' 77. FIXED SYSTE`tiA'FINAL - m y - 29. Insulation - ,� , - 78. FIRE PREV. FINAL w. + I 30. Drywall Nailing r - ` `., `HEALTH'DEPT. REQUIREMENT 31. Plaster Brown(Coat . '' ,r'T iy r 79. FINAL INSPECTION - F 'r _ c 32. Electrical-Power Meter-Final 80-.d FOOD CERTIFI-CATE ISSUED- - - - �, - :33. Final:Electric ,r _ i i. Notes: .r - p y X34. Final-Heating & Air Conditioning - - •S ' • 35. Final GasrPipe-Test < •f ` _ 5-- .36. Hood-or Canopy - • n. , i - =,c 37. Final•Faciory Fireplace: .. ,1 - 'I-; rr -38. Final Plumbing yYr, 1+ r --' 39. Water Service-Final - - - - . . --- •-j ' s '40. Gas Service-Final - ,r -.i _ -41. Solar Domestic:Final . - •51 ' J _ 42. Backflow Preventer - ., r •-- _ T Y 43. Backflow Irrigation , - ; t^ x s ' -- 44. Landscape Irrigation System _ i- v n - r . . . _ .- n - x 45. Sound Attenuation = - - n. '' Ti - 6 _5 ' _ - -I • - - 46. Handicap Regulations ,,:z. c:; „� 47.'. FINAL STRUCTURE & BUILDING "- `, S X3=27 `, ' 48. FINAL PLANNING . c t c ` r. 2 49. Electric Release to Edison - 50. Gas Release to Southern CaliforniaGas Co _ 51. CERTIFICATE OF OCCUPANCY No. Date I') WU-NINH UUbTNJ r ax : 1-7LU-]iso-J`JUL res UL lU;JL . DECLARATION OtUTIHORITY aldg. Permit N __.-- , • Iiii FOR AGENTS OF PROPERTY OWNER This Permit N _ — TO APPLY FOR PERMITS /4411 deitSDe.t_, 4,5%af sed, 41 _._. /,miff - Street MenneAP'Number 1. I (we), ....--J we), _CV.� -- S declare that I am the Owner of Title of th e ubovereferenced real property, and thet I (we) hereby authorize! --_ -0/45 4gQQC7 - 53 -2 t T 4 gr ._. .__ __..___. _ _ __ //�/e / Street/Wrens JQ city Siete Zip to obtain permits in my behalf, as owner/bolder, tar _._411a<12____ — — at the above referenced property, 2. Should any person become an employee engaged in the improvement of the property, I (we) shall Im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be tiled with the Building Division of the City of Costa Mesa, as required by State of California laws. 3, As owner/builder in fact, I understand and accept that my responslbillties do not transfer to any other per. son, company or corporation, 4. I agree to indemnify and hnid the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myaelf or any other parties as a reeult of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this —day of 19.,-4 , atcl: 11.5�C, �Z • Printed Name Date NOTE, This authorization deco not grant authorization to perform the work as owner, If solely provides for limited power of attorney to secure this permit in any behalf. [ /��TARIZATIaN REQUIRED &'""�+" ') Norwe %Cud/ia My Commissloft hp gs y/,P,//y 07111411(Aft VIM Zed IKON NMOL mod 69ZT Pet rIL IVA ostp MF CITY OF COSTA MESA c. ::: s9 Q/'-'`'• % CALIFORNIA 92628-1200 P.O.BOX 1200 ). . S DEVELOPMENT SERVICES DEPARTMENT BUILDING DIVISION NOTICE OF PERMIT EXPIRATION To: H. L. Dobvns Date: 5-13-97 P.O. Box 44209 Permit: # B76635 Cincinnati, OH 45244 Project Address:1618 Coriander Drive Costa Mesa, CA 92626 Our records show that the listed permits were obtained for property improvement or alteration at the above address and the project was not properly completed. The permits were obtained by: ( ) Contractor ( ) Owner Name: Ken Decker Phone: License Number: To construct or install: REPAIR MOISTURE DAMAGED STUCCO AT BASE The permits are valid for 180 days from issuance or your last inspection, per Section 106.4.4 of the 1994 Uniform Building Code. Should we not hear from you within 10 days, your permits will expire and additional fees will be required to finalize the permit. Your permits will expire on May 23, 1997 Please be on notice that without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. If you need assistance, please contact THE BUILDING DIVISION, at (714) 754-5273, between 8:00 a.m. and 4:30 p.m. 77 FAIR DRIVE City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N° 2381 C, P. 0. Box 917 Costa Mesa, California 't' .k The Building located at 3.61,3 riffs" D4vw has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B 1 J Occupancy. Use of Building_ gr. �. u ; w;:.l-s:,_i,+r . ,kx \fl t+.41,7443 tin:,r:el;x _ Legal Description_ ?39frP (See reverse side for Metes and Bounds) Building Permit No. 2545$ Electrical Permit No. P0r, Plumbing Permit No. 46622 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. - —. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments— is and/or guest rooms ISSUED TO: Buildint ✓ Offi WS SOU 1 Ccs- by ' /n'G%6.�i� Date } 4, 1446 r f This Certificate of Occupancy SHALL BE posted in a conspicuous place on/the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form av34-1M_11_63--s_13 P UW/NEE IU1L 5UU'1't! 11r$VELUYMMAT UURY. LATE: .1.••.”00 L \JOB ADDRESS 1618 Coriander Drive BUILDING PERMIT NO. 25058 GENERAL CONTRACTOR Allied Constructors DESCRIPTION OF WORK 4 Units WWatt. garage A4, P No. 139-492-9 LOT 27 TRACT 5475 FIRE ZONE VALUE $17.148,310.00 INSPECTIONS Signature Date GROUP H & J TYPE ZONE R-j_ Soil Yr(¢,' PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water 4 6- WA; AT- Plu.'bing Rough Plumbing � /P / �i / ." et Y Prop. Swr. Line Vllouse Con. . J�J`re 7-6G 'i[' LI. --- !' , , - 3 /I 6.4 �t x,;.r�. .d 5 �. Sprinkling System „ oiAZ J . -9-/_h4, '/� D/ • Miscellaneous (5(J.Anl J 42 f14V -//o- _ _� ;i _. _, �' , !,! Rough Heating and Air Conditioning �� j-2/-� ��� ! i Temporary Service or Pole • I Underground 0 Power El Rough Wiring %11 -LC Heating and Vent. Trenches 4) Forms al Reid. 13] /v („ 51>5.A 9 / l Floor System .14' 6& ` te-a' 3-/54-6 44_363 Bond Beam 0 Steel Reinforce 0 Sheathing d, • Frame and Fl_ay,'('/mg "�/!.b Lathing— In p Out ® kra- OrI-; Plaster, Brown Coat j Structural, Final .I Electric Heating, Vent., Refrig. and A.C., Fit-, ._ ,T-r/-{off 4-,-tc nt. - 17 c-n4 '•3t'6-41 c. 5"676 Plumbing, Final and Gas Test UK j/ r-q(—- Electric, Final I. -, i_ I , Building, Final 9 e -;2 -,ice r 25058 '1 A WYV ' ..VESA COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 3 1966 P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E For Applicant to F►11 In Complofoly APPLIG4`TION. FOR P. IT • TYPE OR PRINT lam:BIUILDING a) For Office-Use n BUILDING 1618 Coriander Drive ADDRESS RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA A RICE BY DATE 10 owNER KAL-SOUTH DEVELOPMENT CORP DATE 13r, �/ I_3 6.e., ADDMAILR1442 S. Euclid ADDRESS / 6/ a Si 1 c „f DAD; �I FIRE [8S TE ZONE TYPE OROUP''1 cITYFullerton 92632 T1.8718235 4-2— ARCHITECT TEL BYPROV[D DATE OR ENGINEER NO. ZONING ADDRESS zo PNO.O US LDIN EW LA,LLT- OF coNAC TRroR ALLIED CONSTRUCTORS °1 I Z I ��) (c c&1 LEGAL l-i r 217 Ile— S Y5 ADDRESS12— 1442 S. Euclid uECRImoN CITY Fullerton A.P.NO. I2,°/ '-T / r ---- c-7 STATE �g{� q NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIG.NO. B- 102 641 - N-10,071-8235 80'TO BIDES REAR p.L. EAVES OVE01. 74.31 x 109.60 I NOW ON UDT . 0 ALLOWED • (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L [R) SETBACK LINE FROM 50lo.1 FRONT .<) PT. CENTER OF STREET REAR YARD 2 SIDE YARD LEFT 8 I RIGHT 10.31 Lwow/03kr. FT, DESCRIPTION OF WORK L.SIDE % PT. Fr, NEW x_ ALTERATION ADDITION REAR 1©'A PT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS. BUILDING NO.O! VAR.* DATE SIZE 46 x 79 ROOMS 25 STORIES 2 e.1”.p.* APPROVED EXTERIOR WAY�J�,� � I20Z APPROVEDn/((}}��I�����I �,�, COVERING L�LLICCO COVERING Compo BY I. ,Ic `�Iir'�'1 DATE 1-3-�• USE OF BUILDING AND WORK TO BE PERFORMED 0- {y • 4 Unit Apt & 5 (IAr Garage .1L472sQ.Fr. . <1 C'2IP . G/��3L I HERMIT ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 2 AND STATE THAT THE ABOVE.IB CORR CT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH BUILDING ALLCONCITY Y OR••N. AND ATE LAWS REOY/L/ASN,NG VALUATION .� ' p�C SIGNATURE OF I •'r , X/ VN/ U co PERMIT FEE $ f `SCO. BO E PERMITTER! ( -f�--- .4g, z (O PLAN CHECK S 65 W AUTHORIZED AGENT D s �b� et TOTAL FEE