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Home My WebLink About2737 ALBATROSS DR - Building PermitsAvolicant to tiil in all spaees exceo� thase within �eavy eoraer Ilnes anG sign all approoriate aeclarationz. CiTv�oF COSTa MESA CONSTRUCTION PE MIV�VT . Project Address � �_r�^��,��._ Applicant'sMaifngAddeu ��hQ� �p � Owner's Name � _V Phone4��-�-�-'-� Address Arch/Eng. � License No. Address Contractor's Nam � ' Phone . ��% Addreu (maifng) �y- � A City License N� ��J ✓ S LICENSED CONTRqCTOR DECLHRATION I her¢by af/i�m that I am licensed untler provision5 ot Charte� 9(commenCing with 5ection �000) oi Division 3 ot the Buslness antl Professions Cotle, antl my license is in ful ana eftect. License s ' e se � Date Signature ARKER$' COMPENSATION DECLARATION � .ereby affirm Ihat I have a certificate of consent ro self-insure or a ceMiflcate � � Workers' Compensation Ins rance�}y a ertitl� copy th reoi (Section.^ � 3800, tab, y�L% 9�YY2� � Z/VN PoliGy No. COmpany rtifietl4 opy ii hereby f ishetl. n Certifi y �s filetl with the city q�tl�,lg� piv,piq�/ j�/J y� Date—�r ' APPlicant ( / ///'i��C�W EXEMPTION FROM WORKERS' COMGENSATION DECLARATION (This section neetl no[ be cOmpletetl if the permit is for one huntlr¢tl (E300) or Iess) 1 certity that in the perfo�mance Of the work fo� which this perm�t i5 i55u¢tl, I shall not 9mploy any pe�son in any mannei so as to become suDject to the Workers' Compensation Laws of California. pate $ignatu�e 'NOTICE: If, after making chis tleclaration, you shoultl become subject to the Workers' Compensation provi5ion5 of fhe Ldbor Cotl¢, y0u mu5t tOrthwith comply wlth such provisions o� this pe�mit shall be aeemetl revoketl. CbNSTRUCTION LENDING AGENCV 1 hereby affi�m that [he�e iz a consi�uction lentling agency to� the pe�fo�mance ai the work for which this permit is issuetl (Section 309] Civ. C.) Lentler's Name Lentler'S Atltlre55 OWNER BUILDER �ECLARATION � ' I hereby atfirm Ihal I am exempt from the Cont�acto�'S License Law to� the following reason (Section �031.5 8usiness antl Professional Cotle: Any city or county wnicn requires a permit to construct, alter, improve, tlemolish or repair dny 5[tuctu�e, prior to its Issuance, also r¢quires the applicant for Tuth pe�mit �^.,.file a signetl statement that he/She is Ilcensetl pursuant to the pvovisions of j;??Contractor'S Licens¢ Law (Chapter 9(commenGing with Section 7000) of "'��'A f'�(rom antl �the bas�isefor tne alrlegetl�exempttlon. Any violation of Sectlon iV31.5 by any applicant for a permit subjects tne aOPlicant to a civil �enalty of not more than five huntlretl tlollars ($500�. Ll I, as owne� of the prop¢rty o� my employ¢¢5 wlth wages d5 th¢ir Sole compensation, will tlo the work, antl the structure is not intentletl or otferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor•s License Law tloes not aoP�Y to an owner of a property who builtls or Improves thereon, antl who tloes Such work himselt/h¢rsetl or throu9h bls o� her own employees, p�ovitletl that such imp�ovements are not Intentletl or offeretl fo� sale. If, however, fhe builtling or imDrovemen[ Is soltl wlthin one year ot mm- pletion, the owner w111 nave the burtlen ot proving he/she tlitl not builtl or im- �rove tor the purpose o( sale). I, as Ownev of tlte property, am exclusively cont�acting with litensetl con- lractorsto conslructthe project (Section 7044, Business antl Protessions Cotle: Tne Contractor's License l.aw tloes not apply to an owner of praperty who. builtls or improves thereon, antl who contracts tar such projects with a con- tractor(si Ocense pursuant�to the Contractor's License Law). I am aware that proof o( their Worker's Compensation insurance shoultl be provitletl ro me. ❑ 1 am exempt untler Section B. & P. C. tor this reazon Dafe Owner I hereby certity tM1at I have reatl this application �antl state that the above iniormation is mrrect. I agree to comply with all city antl county ortllnances antl state laws relatinq to builtling constructlon, antl hereby autborize repre- Sentatives ot t ci(. o enter u on thC abyyy ve-mentionetl property for inspection pur o s ,/�� /y�� /n� /,{ ' Si9na[ure U{� I�Q' p/ / 1� Date��,;f�� Drivers' License or SS � � TYPE OFCONSTRUCTION LJ NEW LJ ADD LIALTERATION .f�J REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A p. �hh DESCFiIPTION OF WORK/USE OF BLDG. S Main Buildi TYPEOFPERMIT GRADIrvG OUrvDATION STRVCTURA� T Front ❑ TENANT ❑ ELECTRICAL 7LUMBING ❑ MECHANICAL 8 Reel ❑ OTHER A PROJECT DESCRIPTION Sc?. FT. oCCUPANCv C Right K Left CONSTRUCTION TVPE VALUATION $ $ ZONE GRADING CU. VDS. ACRE$ ping. Ref. # Remarkz: Planning Notes: Sink Preventer I rrigation rinking Fountains loor Drains loor Sinks as Service Ou[lets Kitchen Sink Lavatories P-Trap Roof-Drains Reinspec[ion Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating - Exhaust System ❑ Multiple Firepl/Pact.Blt.ICBO# � Heating System & Ducting ❑ai oo,000 eru O i oo;000 Reinspection Fee ' � $15 CMF 0865-46, rev. 30/84 Wnite - Bulltlin9 Canary - Applicant; Pink - Accounting; Goltlenrotl - A55essor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash LaundrvTravs . laue Fee Hood or, Typel ❑ Canopy Typell ❑ Retrigeretion System ❑o-i oa,000 er u- 0 i oo,000 System Repair/Alteration Fire Dampers . ' Registers Isiva Fee FEES Automatic Washe�� Construction Pole Sub. Cookin9 Unit Dishwasher - -� - . Dryers �Gas ❑Elec' Fan !; F.A.U. Fixtures Device Boxes OuUets 3581 4/2 '/[�5 - ' T'_. Zone Accessory Building: Z O N I N G N Parking Req./Provided ' E Q M T S ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Garbage Dispoul Generator DO-5 KW �5-15 KW Mecer LJup ro 100amps Meter �over 100 amps Sub Panel � Motors 061 HP � 1 X- 8 Inc.Solar �9-15 HP �76-15+ Microwave Pole Light Range Sign ; Standing Sections Trash Compactor FEES $� Reinspection Fea $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By �ate euilding Approved By Date Appliotion Issued By Date�& SUMMARV OF FEES BUILDING PERMIT $ SMIP' $ ' PLAN CHECK $ PERMIT , PLUMBING $ � ��UANCE $ : PLAN CHECK 25% $ ENERGV P.C. �$ ELECTRICAL $ GRAOING $ PLAN CHECK 50% $ MICROFILM $ ��/�/^� MECHANICAL $ TOTAL FEE $ � $ 3 � PLAN CHECK 25% $ ' �- CONSTRUCTION ANDPLANNING� � PC � :SPA ^APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector ,1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location �- � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. 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. APPROVALTO COVER-GUNITE �7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd., 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Siructural Floor System ' 61. APPROVAL TO DECK - 17. Property Sewer Line & 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 " ' 16. Rough Electric Wiring � 67. Fencing�& Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1S. 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 Hydra 22. Ducts, Ventilating . 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. 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 � -/�j/ � L� 39. Water Service-Final 40. Gas Service-Final (t' 41. Solar pomestic-Final , {�; _ ' , r� 42. Backflow Preventer 43. Backflow Irrigation � �^� i� 44. Landscape Irrigation SYstem `i � 45. Sound Attenuation ' `^� , 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Complefe"d 49. Electric Release to Edison - - � � • 50. Gas Release to Southern California Gas Co � � 51. CERTIFICATE OF OCCUPANCY _� , . � No. � Date C` �. ROUHESSOFBUIlqNO: 2%�% ALBATAOSS DR uNT: dNNEP'9NMIEIFRlOWN:THOMAS WILLIAM AOY TA FLOOD: AE-46 �ooxcss 2737 Af.BATROSS DA _ COSTA MESA,CA 92626 �PVL. NAlIlNO /i0URE55: �PCXRECT Ofl ENtlNEER: uc. rro.: UNT: COMP1Ci0H'8NAME:A PLUS ROOFING (714)754-1000 CONiflRC70R'9YAIUNO11Z3% SLATER AV i,00nEss:FOUNTAIN VALLEY CA ue.xo.: 675241 92708 uxr. LICENSED COHfPACTON3 DECL?PATION: I heroby Mirm uMor penely of pe�ury Nel I em licenead uMer provislona d Cheptar 9 ( 'rq wilh Seclian 1000) W Diviaqn 3 M the BuNneu end Pm/eaeiom COEe, eM my Iber�m Is In tull brca and eHect. rrruc. �� O'97 uccuss:C 39 ue.No: 75� F�X�`�1 /97 e�e: 7 �� ConVepor: �� // WN R BUILDEN OECL�N�TION: I hereby elfirm under penely d perlury Ihel I em etemq Imm iM ConlreUon Licenee Lew la Na 'LMbwing reewn �SeGion 1031.5 Businesa enA Proleaeions Code: Any cN a�unty which mpuirea e permh to mnaWct, eller, imOrow, Eemolbh, or repe'v eny etmdure, peia io na 6auence, ebo requirm iM ep0lieenl br eueh pe�millo fb e vipried aletement Nel he or ehe ia licenseE W�� o Ihe prwiaione d iM Conlredon Liceme Lew �Cheqar 9(mmmendrp xilh Sed'on 1000) d Divebn 3 d Ihe Buainase end RMesaona Coda� or ihet he w ehe ia uemq Ihxelmm enE Ihe buia lor tha ellepM exemqion. �ny voWbn of Sed'an )03t.5 by eny epplifanl for a permll eubjecte �he eppliran �o e wil pmelry d nM mae Ihen INe �uMreE Aollen �5500��. ❑ I, ea ownar M Ine propany or my emoM�= �n wegea ea ine'v wle canpenaetion. will eo Ine woM. eM �ne ewclure e noi imeneed a ollereE fw sab (See�ion'l006. Busiiwn eM Prdeaaions Coda: The Comrenon Lieenae Lew doea ew1 epply io en oxmer d DropeM wM bulds or'vn0�s Ihereon, end who doee auch woM limcell or henetl or Ihrough hb w Mr own empbyeea, pro-rided thet euch impwements ere iai inleMed w aHered lor seb. H, however, tM buiNirp or improvemenl ia eoN within me yeer o/ oompblbn, the owmr�buiNer will heva �he Wrden d D��'��B � e� ahe dk � WiIE or imD�� a tM WN�e M eele). � I, av owner ol IM popeM. ��dusiveN �Irediiq xilh Ibanaed canVecton lo cmalruq Ihe D�IeG (Setlun ]OM. Busiross eM Prdeuiona Coda: iM1a Gontreqon License lew doea nd epply to en oxner d propeny who buiNs a imqoves Ihereon eM wlw convacia lor autli pml�s �h e conlreqor(e) licenaed punuent lo Ihe Camradan Liceme lew). CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 077737 PERMIT NO: H 077737 PLAN CHECK NO: N GOVT; N SUPP: N CONSTAUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; OTH JOH DESCRIPTION : T/OFF RESHEATH 6 REROOF W/COMP, SQ FT; 6,040 CLAIM VALOE: 6,090.00 CALC—VALUE: 6,090.00 GROUP OCC: R-3 1U-1 COMMENTS: SMOKE DETECTOAS ARE RE�UIRED IN EVERY HEDROOM 5 HALLWAY *x�r*+�*****+�**x�#*�r�r**+t�t+r�x�*x��r+t*x�r �r**x*********#�r***�r**�r*�t*x��**�r##*�*��r�*�*��*** Z O N I N G A 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: 13947709 ZNE: REF NO: PLANNING NOTES> i if;)f if iE iE� 1f 1k iE if i(� 1f iF iE iE' if If 1k IE if 1k df if 1E 1FlFif 1k1E if 1f 1F if dE'�('161E # 1f if' iE 1E1ElE iFiF if 1f i4if 1E IE if�'Ih9f 1E iF 1i 1Fii 1E 141f 1f iF9E#F!E 1f �f ihii if if iE!! if iE if i(� D E V E L O P M E N T S E R V I C E S R E Q.0 I R E M E N T S ZONING APPAOVED BY DATE: BUILDING APPROVED BY : DATE: ❑ i�<„mm��e,s��e�: e.aPc..ro,m�.,e�: APPLICATION ISSUED BY; � ****+t*�rxu*�rx�x#**�****x� * De'a °xnec LEGALIZATION:N F E E S U M M A R Y i eo nereW �anM �nm i� e.are a ene u�wersi�e me reaw,em<nm w ce�aom� �nn e�d sdmr caaa sea�. zsws, zss3a, e�e u53a.aknwlaanylmurebuildirqaaupemwill/wllnd(tlrckone)meatocanqywlheeiENmecotleaeMlheroquiremenhla BLDG PMTe PLUMHING ELECTRIC MECHANIC FIRE �pefmnlamnstruc�bnamoCifiWionhwntheR'e�iiy.TeregameniDiatnd.Reaidentieleonstruuionepplretianereexamqtromthesa pERMIT 124.%J , ONSi0119. Date: Applcent: �.,. �.. WORKEN'S COMFENS�TION DECLARATION: I Mreby elfiim u�der pareliy d pa�jury aro d IM IWbwi'p Eetluelions: � 1 hava enE v.il meinlan e ce�tlice�e d mnaent to eeHiixure la xmkers comperue�ion. es prwked tor by Seaian �]OD d iha lebor c«». i« m< wno�meM< oi ma �� a, .,m�n m�s va�a �, �m�,a. � i nere �e �ie m�me:,.onmrs comromvo� ��sore�m. as �ea��ee W sm� a�ao a ine iae« coae ro, me w�ro.me� d m. work tp xfiid� IM1ia permn ie iaued. My workers r erd pdiry number ue: c,,,;,,: 5`�`�`,�'��` "m'_ EXPIRES Palicy Number: — � O 1/ 01 / 9 7 (This aMion neeC nd be compbta� d tM paimd is la are hunCred dol� /Si00/ a bse.) �I cenily iM1m in tM1e pMwmeira d iM wM I« wtich Ihb peimn isn�ed, I ehell pby erry peg� 9.�y man�wr » av lo wbjeq lo iM �oAers' wmpenmtbn la�w d Celil«nu. �$d roree. il I y bpc6mySubjea io tM waMeri I oma� .i ' F � � 7 /oiL nvWcvn: �U-G"—� / '/�di Weminp: Fellun ro�xurs worken'romoeiwHon covsnp� li unbwNl, en0 abll sub/�cf en �mploy�r ro ctlMrul pxultlu ens c/vll flrros up ro om �untlretl flwuuM 0olbn (SfOq000A In e4Cltlon ro Ms eat ol rompsivalloR a�p+ as prvvltletl ror /n Sxtlon 9]O6 0l Ms labor Coee, InfensS entl ettomey'a bss. CONSTPUCTON LENDING RGENCY: I Mreby effilm ueder perelry d perNrY �� Mn u a mnnruenn kMi�p epeMy br tM VarlOrmBrce d �ha wak IIX whiM Iho Germ� ia o9Uetl (Seaon 309). CM. C). LENDEH'S NM1E: LENOEP'S ADDFE55: � oenM �net � neve reae mb eod�mion d,d mme inet ma move m�«mmioo b conea. � epm. m ca�dr wnn m� wr �e owmr «eioe�am end atsie lexs relmiq to W ikvp memrvpion eM Mreby eu�horrze rapavenlelives d �ho aly b emx upan iM ebova�mantunad popeery IorinseeeircAourooses.___"_ "__ _'"_ � —� o�,:� I �— 9� (5151-16.WG) Whne-Buildip 8 Se�ety: GreerrFle: Cenery-Appicanl: Rnk-Revenue; Goldeniod-Asaeawr i�l.Y�l�l STAUCTURAL�SEGMEHT:Y SMIP/AES GRADING .61 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 125.36 0.00 0.00 125.36 125.36 .00 REVENUE DIVISION TOTALS--> COLLECTED; 125,36'�OVER/SHORT: 00 BLD24PM5 PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOi GRADZNG PLAN—CHECK iE if IF df 1E iE iE If 1f iE iF iF 1E 1f If 1I� iF 1f 1f 1F ik iE �f iE IE 1f if if ii'iF 1F iF if if 1EiF 1EiF if iF iE iE if if 1E 1f'1E if iF if 1E iE �1E 1F iE iF i@1F iE iE if 1f iE�F 1f iFif if iE if if i4 iE 1f iF 1E iF # iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST SFR s 6090 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES 0 1.00 6,090.00 010020682E—OQ206EFE T�J�T 125.36 DRTE: DS/lil9` TI�iE: 15:33 �oonessocew�m+o: 2 � 3 7 ALBATROS S DR UNT: avr+EaswwEiFp+a,":THOMAS, WILLIAM ROY TR FLOOD: AE-46 ADURESS:z73'� ALBATROSS DR , COSTA MESA,CA 92626 �VL. NANNO IDDPESA �acxrtecT on �ax¢n: wcx on u+o.�s �noness: uc. r».: UNT: CONfNACTqf4NA1.�:A PLUS ROOFING ( 719 ) 754-1000 eam�cToxswuuwol1237 SLATER AV mo�ssFOONTAIN VALLEY CA uc.w.: 675241 92708 uHr: LICEN9ED COMRACTONB DECLAFATION: I henby ellirm unMr qneMy d per�ury Net I em Ibaneed unEsr proviMone d Cheqo 9 ( tlip wilh Sec1ion ]WO) d Oivieion e d Iha Budiroq uM PiWmuom Coda. uM mY liosnee u in lull brts uM Nlatl. uc. o.p60847 uacuss:C 39 uc.No: 75 •X`�1/97 ms: ' 7 � �b Comrada: .r BIIILOEN OECLAR4TION: I hsnEy elfirtn uMer penely W psrWry �htl 1 em vmmq hom Ihe Comredm licam� law Ia the lollowirp raeeon (&edbn )0.91.5 Bueinme end Prolaveion� Cads: Rny cEy a munty which rpulm a pannM m mmwM, Mer, Improvs, +smd'sh, w ropak ury �Vuclun, qia ro i1N bwarKe, abo rpulrw IM epplimnt Im euc� pemiu m fils e NpnaE �itlsmam �htl ha or �M Nicamd punuml lo Iha prmldan� d ih� ConVedon Liwrua Lew �Chepbr 9(commendnp wilh 9Mbn ]OW) d DHbbn � d iM dwinen uN Prd�acna Cod�� a Ihtl M a tlro b aemq �harshan �nd ib buu la iha dbpW u�mpiM. My vqle�bn d Bedion )0]1.5 by any epplirsnl lor e parmtl subptl� iM epplicent to e dWl panally o/ nq mon Ihen M� hurW�ad ddlen �SSW��. ❑ I, ee ownar oltM propny or my ampbyeae xilh wepn u Ihe'x wb mmpensetion, will do IM woA, end ihe Nructuro b nM InteMM a oileretl M eeb (SeMion ]OM. Burirb» uM PmfeseiamCoEe: TM Contrapon Lioenss lewdoaa mt npplyto en avmxd propxry who W ide a inqovee �heraon, and Ma Eaee euch work himesH w MnaY or Ihrouph he ar her own empbyeee, D�4� tlat wch imqwememe va rol imaMed a dlared br aW. M, howwx, lhe WiWiip a inyovemeM ie �oltl wilhin one yav d oomplMion, tM owriar-0uiMx �II hew iha WMen W qovinp he or eha EiE iwl builE or improva fa iM purpoae d aele). ❑ I. n owner G�M popeM. am axduwely oonlredip wnh licenaed conVeclon to consvuG IM Ppl� (Seaion ]OId. Buainen eM Proleeeiom Cada: The Contreqan Lcenae law doea M eppy �o en owner d qope�Y ��iks ar impovee IMrean end wM conlreela for wN prqeea wilh a coMeadoKs) �icensed W�� o the Conlredon Licenee lew�. � I em ezemq urMer Seclion: B. 8 P.C., la Nis �eemn: o�a: o�«: i do ne�nr �r �nm i�..�„ d�a ��e m<.�a��a��. d c�aomb �m, �e smmr coae smo�,s usos, zssaa, �e 25531, enE Ihet I a any fulure builEinO �Pa^� �+II / will nm (circb one) neeE to mmply wnh eek ete�a cadas and the raQuiremon4 for epe�mnlaownvunianamodifirationhaniMAi u�y.enepertrentDimiid.ResdanlidmnatMioneppiratiamerenaemqtmmtheee prwisions. oeie: nnoimam: WOHNEN'S COMPEN5ITION OECLAP�TION: I hereby effirm uMer peneily IN pe'jury are d tha lallawirp dedermbru: � I hera uM wil meintan e cenifceia d mnsenl to eetl�inwre br wwkers cwnPo�seiion. m povked for Ey Sedion 3100 d ihe LeEn Ci0(�B,�Of��1B iB1�Of111BfICB O�1�1B WOIk�O! WIYC�1�h19 %T1119199UB4. .1�1 1 heva end wil meintem workera' mmpenseinn inaurance, av required by Sedian 3100 d ihe Lebor CaEe, fa Ihe pe�amenro d IM X .w�ra�.nKnmu��a��»e.Mrw� STA'�TE FUND��'d��um��• EXPIRES PoxY w�mn�,: — 01 / 01 / 9 7 nis sxtion need � be compbred / �M pmnl is lw one hunC�eC Cdlers /Siool w bss.) ❑ i oanrtr uiei in me venormeze d ine won� �a wncn mb oemm o isguee. i enmi �,�mdoi em ro� �ry� y m��e..o o io 7�acome aubiaa io �he xoMers• wmo�setbn lewe M celilomie. �qd earee lmm X I�houlC 699�a�qec� �o �ne wwkan' o�a: — nvw��: f.J-v--� •� �.ai/, am/n0� Faqun ro arun woilrxe' cempwustlon rowrep� l� unbwNl, andMs/l �ub/ecf an xnyloysr ro crlMiul psnaltlss eM ' clvll flnea up ro one huntlred tMuunL Collan (S10q0001� In elalfbn ro Ms cwf ol compenutbn, Mmeps� u prov/tlW br In SxHon ]RI6 0l Ms L�bo� COAr, Intx+�q end ettomsyY lsa. CONSTPUCTION LENDINO AGENCY: I Mreby etFrtn uMer peneM1y d parjury ihet �Mre o e constiudion bMiip eparv.y M �M perlo'marrce W tM xwk br which I�e peimY is'sauad (�an 3091. CN. C). LENDEN'S NMIE: LENDEF'S AUDPE55: � CBlIIN �h6� � hBVB IBeI� 1�119 B�D�k�� mB IhB� 1�18 BbOVB III�CTI0�101119 CORBtl. ��AB �O Ctllfi�/ Ntlh B�� ' 91b 4dlllty OId1110fIQf eM etale lews reletiq �a Wikmg mnstruaion eM Mreby aNMriza represanteiives ol �hc aly b anter upon iha ebove-manlioneE properry IOf 1119OBCIIOI�OWOO583. oa,,:.S � ! 7— 9� (5151d6.WP) Whne-BuilEiip d elery; GraemFle; Canary-ADFlicanq Pink-Revenue: GoldenroE-beensor CITY OF COSTA MESA — BUILDING PERMIT P£AM NO: B 077737 PERMIT NO: H 077737 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; T/OFF RESHEATH & REROOF W/COMP. SQ FT: 6,090 CLAIM C'ALUE: 6,090.00 CALC—VALUE: 6,090.00 GROUP OCC: R-3 /U-1 COMMENTS: SMOKE DETECTORS ARE RE�UIRED IN EVERY BEDROOM & HALLWAY *�+�*********�t**x�********�*****�* ***�**x*�***********��t*+�****��*�*x�+�+�*�*�rx��*** Z O N I N G R E Q U Z 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: 13947709 ZNE: REF NO: PLANNING NOTES> i 1E 1E 1E 1E 1E iE iE 1E 1E i(' IE 1E iE iE iE iE iE iE iE 1f 1E 1E iE 1E'1(' 1E iE fE 1E 1! iF 1f iE 1E iF 1ElElF if 3E iE iE 1E iE iE IEiE 1E iE 1E iE if if 1f 1f 143ElE IE iE 1E iE 1E 1E iE IE'N� iE 3F iF iE iE fE IE 1E iE fE 1E')E 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 APPROC�ED BY DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY IE iF 1E 1flE iE if 1E 1f 1E 1E IE 1ElE 1E 1E 1E 1E 1E 1E if LEGALIZATION;N F E E S U M M A R Y DATE: DATE; STRUCTURAL�SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING ERMIT 124.75 .61 �� SMIP/NON=RES LAN SSUE FEE UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE OTALS----> 125.36 0.00 0.00 125.36 125.36 ` .00 EVENUE DIVISION TOTALS--> COLLECTED: 125.36 rbVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 124.75 .61 if fE iE iE IE if iE iE if iE iE iE �f iE IE iE iE 1E iE i(� iF if iE iE if i(� iE i(� i(� jE 1F 3F iE 1ElE iE iE iE iE 3E iE 1E IF if IE iE fE IE iE iF iE iE iE iE if iE if if iF IE iF 1E IE iE 1E 1f IE 3h �E if if 16 jF iF iE iE iE'7F ik I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6090 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,090.00 END OF FEES C0�7`oTRUCTIQN AND PLANNING POO ;PA APPqOVALS Permit #� � Date Inspector qppROVALS Permit # Date Inspector t. 7emporery Elect��l Service or Pole 52. Pool & Equipment Location u 2. Soii Pipe�Undrgrnd. 53. Steel Reinforcement '3' £lec[rical Conduit Utiliry�Un6igr�d. 54. Potms �` _`4�. Electrical Cond�it-Undrgrnd. 55. Electrical Bonding ' 5:-�teel Reinforcerrlent= 56. Rough Plumbing & Pressure Test z.•. ;6: Electrica� UFER:Gr�. 57. APPROVAL TO COVEft-GUNITE - '�7" Footings . `� 58. Electrical Conduit•Undrgrnd. ��8. Poundation ' ''„� � 59. Gas Pipe. O U�dryrnd., 7est .� _9� Water Pipe-Undrgrnd. == , 60. Backwash Lines; P�Trap, � Undrgmd. 10. Strucwral Floor SYstem 61. APPROVAL TO DECK i9. Property Sewer Line & House�Connection 62. Backwash & Receptor-Final 12 Sewer Cap ;, 63. Heater & Vent-Finai ' 13. Roof Drains 64. Plumbing System - Pinal," 14. Rough Plumbing ;; 65. Electrica6Finai 15. Rough Electrical-Coadua 66. Solar SVstem�Fina6 46. Rough Electric Wiring - 67. Fencing & Acce3 Approval 17. Rough Wiring Sign 68. APPROVED FOR�PLASTERING 18. Rough E�ectricai=f Bar Ceiling 69. POOLJSPA SYSi`£MS FINAL 19. Rough Heating & Alr Conditioning, - -,� ,..� ,� _� FIREDEPT. REQUIREMENT ., 20. 4ougb Factor�y Fir�piace •�� ' i c�- � APPROVALS '- Pe,'r,mit #�; 27.Ducts,in:Structure-, �" - _ . ` � . T� ; f + 70. :Undergroand I-ti+dro 22. Quctt, VE'Milaiing�. • �` � �� - � 77. Product Piping �T�.,as OOiI . 23. Gas Pipe�Rou h & 7est �_ � � - ` � ' � � _ 9 '-: , 72. Underground Ftu'sh _ . 24. Roof Framing • • ' - , 73:. Undergrnd.Stoiay��ank*OGas ❑Oii 25. RoofBheathing �.. � ; � _ � 7q, ,��erhead Hydr�� 26. �T�Bar CeiGng {gtructural) & Ni�onoaoat =� �.:. • 75i Dry Cher7,iical ' ' ' 27. Rame and Fiashing� -� =� ^ �, - ' � y 76. Dry Star�pipe "' ..28. �athing �i.Sidi�g ' � . a - C ` � 'y' 77. FIXEO SYSTEM�PINAC � 29. Insulation � " - _ �� ' � 78: PIRE PREV. FINftL . � � � 30.DrywaaiNailing - �- �_ _HEAITHDEPT.�REQUIREMENT . 37. Plaster BiOwn CAat ;. �`- ' t �. � 79. FINAL INSPECTION X- - 32. E�ectricai�ower Mecer--�inal ' � 80. FOOD CERTIFIC�TE ISSUED ' 33. Final Eleciric�. J � ' n Notes: ' ~� - ' - � �. . 34. fv�al_Neating & Air Conditioning ' . . � � .. .� ..:�, . ` � ` ,, _ - 35. Final Gas Pipe�Tes2"� � ' `" ' - , `- ' ' � - � . M - 36. Hood-or CanoPY . � . � ' F+. � � : ": . - T' 37. Piral FacIory FireplSce. � - ' , „ � _ ' r i � - +� w _ --- � 38. Fina��'lumbinq .- - - ' - _ 39. LVacer Service-Finat - _ - :'� � , - ; _: - 40. Gas Service-Final � . � � ' ,- - � ,- � r ; 41. Solar pomesiicFinal : - ' "' _ � ' - 42. Backflow Preventer " _, �; _ 'y� , - . . . 43. Backflow Irrigation > "• �' ` ` - . - ' � � � 44. L�andscape.,Irrigation.System : _ . � p. - � .,; � � , s .., + "7 r 45. Sbund AttenuaVon - �' " '' ' ' ' � . 45. Handicap Regulation� �- -' � � � � � , , ' - „ „ 49. FINAI.STRUC7URE&BUILDING . � IZ�fG .rfU �o� Ga�d• _ -t-r� - 48. FINAI PLANNING �. 1 a 49. Electrie Release to Edison � � � " � ' 5p. Gas 8eleaSe to SoUthern Califoraia Gas Co �� - - � 51. CERTIHCATE OF QCCUPANCY " No._ - Date Lot 76_ � { �C�. (� COSTA MESA BUILDING.SAFETY DEPARTMENT P. O. BOX 31] C08Tq MEBA, CALIFORNIA Por Applicanf to F111 In Comple►ely TYPE OR PRINT BUILDIN6 2737 p,lbatross Drive ADDRE53 COSTA MESA, CALIFORNIA � MAIL 0 TEL. NO.OP 6ETeACK LINe FfiOM � � CENTER OF BTREET 53 REAR YARD �� SIDEYARDI LEFT 1L'+ RIGHT ��' DESCRIPTION OF WORK ..�... IX II..__�._.__.I I -----_--. I , SII'EOIN6 2,�56 ROC EXTERIOR WALL SIdI1lQ I R� t� 2 s. ft. Plan 53 AR I HEREBV ACKNOWLE�OB TXAT I qpyg RBAD TH�B APPLICATION ANO 6TATE THAT TH! A60VB �6 CbqRECT AND AORBE TO COM• PLY W�TH ALL CITY OROIHA C88 AfID 8TAT4 LAWB GOULATINO BUILOINO CONSTRUCTION. SIGNATURE OF � PERMITTE W AUTHORIZED A6e FEE RECEIVED MAfl 91 t9H4 FINANCE DEPT. A��PLI�,4TIbNSTFOR PERMR BUILDING For Ofiice Use Only q6CH�If NO. I � pl er DATE IS911ED ZONING :o.,� �o.o. I Ue80pNHW sing . : R-1 •"•"' 2 '°"'��"4✓� att gar. L60AL DEBCRIPT�ON LOb % . TTSCt S2S9 p, p, ry0. ROR2 NOTE: NO EAVE OVERHANG SHALL BE LE68THAN 90" TO SIDE @ REAR P. L . EAVES ALLOWED �U.B.C.REQUIREMENT'. YAR�B MPROVEO YARD9APPROVEO MAIN BUILDIN6 ACCESSORY BUII_DIN6 VAR. # d/�%�. �. TME AMO�IM SNOWI PURP08E OF 8BTA1 VALUATION s �/� ,3 D�-- 5 �y�� VALUATION IH pOR THE F A PEqMIT FEb ONLY. Q 0 69- ~ iT FEE $ j �J� m CHECK 8 . � /J " rc 4