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Home My WebLink About3313 ALABAMA CIR - Building PermitsCITY OF COSTA i�lESA REQUEST FOR OCCliPANCY Tt�1CT N0, b� �3 DATE��^Z J^b / LOT NO. �� • ADDRESS�3%3 ��2%f��.y� C� �- �� The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Nesa . The undersigned, by executing this agreement, acknowledges tnat �-they) � were) advised that this tract has not been given final inspection nor has it been accepted by the Cit1 of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. Tne city assumes no liability for the enforcement of the conditions necessary for approval othes than those conditions protected by s urety bondo The undersigned agrees to indemnify and hold the city harmless irom any claim resulting in damage or personal injury to the undersigned by reason of the aforementio�ed--t�qcompletedrsqndition. � � F Developer an�i/or representatilve BY Lender 6 Applicant to fill in all spaces except ihose within heavy CorOer lines antl sign ali aoorooriate aeclarations. CITV OF COSTA MESA C/O��NqST{R�U�CTI N PE MIT Projec Addre55 �3/3 /�A1W 17�Lq�M� ��.IC � � Appli�.['s Maili/ng� /q,ddr �LD ��L:_yC � �5 . Own¢r's NQam M/%��f�LE� Phone Arniress 7� d��"'�� ArchlEng. License No. � Address r Contracmr's Name` •�H�� Pho � Address (mailing) p��0�� A�F ��S � "�D City License No. __Cl—.,,� LICENSED CONTRACTOR DECLARATION ' I hereby af(i�m [hat I am licensetl untler provisions of Charter 9(commencing with section 7000) of Division 3 of the Busines tl Professions Cotle, antl my license is in f�rce ana effect. /�/ License I s c nse No�� Date Si9nature '^/OR ERS' COMPENSATION L y ION ereby affirm that I have a certificat ofmnsent to self-insure or a certifiwte Wo�kers' Compensation InSurance, or a certifietl Wpy thereof (Section .,BOQ Lab. C.) Policy No. Company BCertifietl copy is hereby furnishetl. Certifietl copy is filetl with the city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSFTION DECLARATION (This section neetl not be completetl if the permit' for one huntl�ed (g100) or . less). I certify t t �n the perlormance of the wor ot w cl is perm�t is issuetl, I shall no[ loy any person in any m e� so t become subject to the Worke nsation Laws o( Califo i� `� Date Si9nature ' NOTI E If, afte� making this tle[ ration ' ou oultl become subject to the Workers' Comp¢nsation provi5ion5 of th l.abor Cotle, you must forthwith compty with such p�ovlsions ot this pe�mit snall be tleemed revoketl. CONSTRUCTION LENDING AGENCV I hereby a(fi�m that tbere is a wnst�uction lending a9ency to� the performance of the work fo� which thi5 permit is i55uetl (Section 309] Civ. �CJ Lentler'S Name � Lentler's Atltlresz OWNER BUILDEH DECLARATION I he�eby atfirm that I am exemOt f�om the Contractor'S License law for�the following reason (Section 7031.5 Business antl Professional Cotle: Any city or counry wM1ich requires a pe�mit to consVuct, alter, improve, tlemolish o� repair any structure, prior to its issuance, also requires the applicant for such permit to tile a si9netl statemen[ [hat ne/she is licensetl pursuant to the provisions o( the Contracior's License Law (Chap[er 9(commencing with Section 7009) of livision 3 of the Business antl Professmns Cotle) or that he/she is exempt ierefrom antl the basi5 tor the alle9etl exemption. Any violation ot SectiOn 031.5 by any applican[ for a permit subjects the applicant [o a civil �enalty of no[ more tnan five huntlretl tlollars (g500). LJ I, as owner of tne property or my employeez with wages as their zole mmp¢nsation, will do the wo�k, antl the sVucture is not intentletl or offeretl for sale (Section ]044, Business antl Professional Cotle: The Contracior's �icen5e Law tloes not apply to an owner of a property who builtls or Improves thereon, and who tloes such work himself/herseif or tnrou9h his or her own employees, provitletl [Itat such improvemen[s are nof intentletl or offeretl tor sdle. If, howeve�, tM1e bulltling or improvement is soltl within one year of com- pletion, the owner will have the buttlen of provin9 he/she tlitl not builtl or im- prove for the purpose Of sale). ❑ I, as owner of [he prope�ty, am ezclusively mn[racting wi[h licensetl con- VattOrsto conztruct tM1e projeci (Section ]044, Busineis antl Protessioni Cotle: The Contracto�'s License Law tloes not apply to an owner of property who builtls or improves thereon, antl who contract5 for such projects with a con- tractor(5) Imense purouant to the Contracto�'S License Law). I am aware that proof ot their Worker'S Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date I hereby certi informa[ion is antl state Iawz sentatives ot inspection pur� Driverz' License ar _ Owner have �eatl this application antl state that the above agree �c omp!y with all [ity antl county ortlinances o b ifig tonstruction, antl heteby authorize repre- t e er upon [he above-mentioneA pro rt for / Daiv /fJ � ! �/—�'— = � l�ErM.�3D1S� I.....��... I_2.�� I ��.�, ��. TVPEOF�CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT1 LJ GRAoirvG IJ FOUNDATION�J SrRUC7URa� ❑ TENANT V� ELECTRICAL ❑ PLUMBING "MECHANICAL ❑ OT.HER PROJECT DESCRIPTION SQ.FT OCCUPA/NCY CONSTRUCTION TVPE VnLUATION $ JQ�/ ZONE GRADINGCU.YOS. ACRES— Remarks: - G t� 6��—ri 3ar Sink 3ackflow Preventer 3ackftow Irri9ation Bathtubs Clarifiers Dishwasher Drinkin9 Fountains Floor Dreins Floor�Sinks Gas Service Interceptors Kitchen Sink Lavatories P—Trap ' Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Outleu Water Closet _ Water Heater Water Service � - Auto-Wash , , . Laundry Trays FEES Reinspection Fee I $15 I I Issue Fee I $ 3 I MECHANICAL � � FEES Boiler Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIL ICBO # 4Z Heating System & Ducting ❑0-100,000 BTU 0700,000 Reinspection Fee I $75 CMF 0865-46, rev. 30/84 White - Builtlinq; Canary - Applicanh Pink - Acwunting; Goltlenrotl - Assessor Hood or Typel ❑ Canopy Type I I ❑ Fefrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 A.P. # 2 S Main Building: T` Front (�� g Rear A C Right gLeft �� Ping. Ref. # Planning Notes: I •-- Auromatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets SwiLcheS Garbage Dispoul Generator �0-5 KW �5- 4969 9/I0/B7 ��I Zone Accessory Building: Parking ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over700amps Suh Panel Motors O0.7 HP O1 %- 8 Inc.Solar �9-15 HP 016-15+ Microwave Pole Light Range 15 KW I Reinspection Fee I $15 DEVELOPMENTSERVICESREQI 2oning Approved By Building Approved By APoliwtion Issued Bv Standing Sections Trash Compactor Issue Fee 147022 TL FEES $ 3 Z O N 1 N G R E Q M T S SUM RV OF FEES � BUILDING PEFMIT $ �� SMIP $ � O PLAN CHECK $ 5.�.�i'7/ pERMIT . PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $_ ELECTRICAL $ T$b GRADING $ PLAN CHECK 50°h $ ...��+.111 Of��O,,,''' MICROFILM $ MECHANICAL $ � TOTALFEE $ '4'1.2v PLAN CHECK 25% $ ��. — CONSTRUCTION AND PLANNING � POOL & SPA APPROVALS Permit# Date � Inspector AppROVALS Permit# � Date Inspector � ', 1..T.emporary 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. APPROVAI. TO COVER-GUNIT�E �� 7. Footings "�- -- _ 58. Electrical Conduit�Undrgrnd. � 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test � '` 9. Water Pipe-Undrg'rnd. � 60. Backwash Lines, P-Trap,.O Undrgrnd. 10. Structural FloorSystem 61. APPROVALTO DECK � �� _. , 1 i. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal' � t��" 72. Sewer Cap �' 63. Heater & Vent-Final '' ",' � 13. Roof Drains ' 64. Plumbing System - Final ' R. 14. Rough Plumbing � 65. EI¢CtriCal-Findl 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. POOUSPASYSTEMS FINAL 79. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 �( 87 �% 77. FIXED SYSTEM FINAL 29. Insulation � �b $? p 78. FIRE PREV. FINAL 30. Drywall Nailing '� � $'7 �- HEALTH DEPT. REQUIREMENT , 37. Plaster Brown Coat ��, �� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric a��. �� „�, Notes: 3.� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ' - 36. Hood or Canopy . �� , 37. Final Factory Fireplace (Z'1(�� L�A j, �, `� 38. Final Plumbing . ;�s 39. Water Service-Final �� ' �%' bl �.1� 40. Gas Service-Final y� , ��?�� i"" 41. Solar pomesticFinal � - l� s� . � �' �.` 42. Backflow Prevenier �(i'' ;' � i' i.� ';�' �; i � =i� ' 43. Backflow Irrigation � . ; ` ,' /� � `" i ':7 I.j r � •; 44. Landscape Irrigation System � �': � , � ;' � r �� y;. v- ' 45. Sound Attenuation � • � :� l�. 46. Handicap Regulations � �. �^j �; :L�,;,, . 47. FINALSTRUCTURE&BUILDING I )� $B :'{r,�:.., Y,,- , � 48. Special Requirements Completed . r: . .' n;<,;. r 6 49. Electric Release to Edison - ., ' %;: 50. Gas Release to Southern California Gas Co � , ��' � /'� � •�. 51. CERTIFICATE OF OCCUPANCY � � 5_ � � ' No. Date � i yl i AVPlicanl to ti11 in al1 zpaces except those within heavy bartler lines ana sign all apvropnate eeclarations. CITY OF COSTA MESA CONpST�R�A �CT^ION PERMI PERMIT NO. TRACT NO. LOT NO. UNIT NU. . Project Address �� fdl_F�.� I�J � 0 � I � � 3' �� ApplicanYsMailingA dress S'o�- TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR Owner'sName � Phone � CONVERSION ❑ DEMOLISN ❑ OTHER q,p_# DESCRIPTION OF WORK/USE OF BLDG. Addreu 5`�H S Main Building: E Arch/Eng. License No. TYPE OF PERMIT GRADING�.A FOUNDATION STRUC7URAL T Front Addres5 ❑ TENANT ❑ ELECTRICA� K�' PLUMBING ❑ MECHANICAL A Rear K' Contractor's Name g�� Phone G756aG / � �THER � Ri ht PROJECT DESCRIPTION 5(l. FT. oCCUPANCv 9 Address (mailin9) K Left ' �� CONSTRUCTIONTVPE VALUATION$ $ City Lic¢n5¢ NO. ZONE GRADING CU. VDS. ACRES LICENSED CONTRACTOR DECLARATION PI❑ R¢f # 1 hereby atfirm that I am licensetl untler provisions i Charter 9(mmmencin9 with section 7000) of Division 3 ot the Bu ines ntl Protessions Cotle, antl my Iicense is in full for ntl eftect. ��/ Licens�j icense Date / c��ar . O/� ��/ `NORKERS'COMPENSATION P CLA TION .eby affirm tnat I have a certificate of consent to self-insure or a certificale Vorkers' Compensation Insurance, or a certifietl copy thereof (Sectlon ,0, Lab. C.) Policy No. Company 8 Certitied copy is hereby furnishetl. Ce�tifietl copy is filetl with the ci[y Builtling DiviSion. Date Applican[ EXEMPTION FROM WORKERS' COMPENSATION DECLA ATION (This section neetl not be completetl if the permit is tor o¢ mtlretl ($100) or less�. / I certify t t i the performance ot the woUCfo� w� i5 pe�m�t is i55uetl, I shall n m oy any pe�son in any m 6er so [ ecome subject to the Work sation LawS of Califo i. � � Dat Signature • NOTI E: t, after making this tlecl ration, ou oultl become subject to the Wo�kers' Compensation provisions of the La o� Cotle, you mu5t forthwith comply with such p�ovisions o� tnis pe�mit Shall be tleemetl �evoketl. LONSTRUCTION LENDING AGENCV I herety affirm that there is a const�uction lentlin9 agency for Ihe perfo�mance of the work for wM1ich this permi[ is issuetl (Section 309� Civ. C.) Lentler's Name Lentler's Atltivess OWNEf3 BUILDEH �ECLARATION I hereby atfirm that I am exempt from the ConVactor's License Law tor the following reason (Section 7031.5 Bu5ine55 antl Protessional Cotle: Any city or county whiGh requires a p¢rmit to consfruc[, alteq Improve, tlemolisM1 o� repair any Structure, p�ior to its issuance, also requires the applicant to� such permit to file a signetl statement that he/she I5 licensetl pursuant to the provisions of tne Contractor's License Law (ChaOter 9(mmmencing with Section 7000) of •ivision 3 of the Businesz antl Professions Cotle) or that he/she is exempt erefrom antl the basi5 fo� [he allegetl exemption. Any violation of SectiOn J31.5 Gy any applicant for a permit subjects the applicant to a civil �enalty of not more than five huntlre� tlollars (g500). I, as owner of the property or my employees with waqes as their sole compensation, will tla the work, ana the structure is not intendetl or ofteretl for sale (Section 7044, Business antl Professional Cotle: The Contractor'S License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work nimself/herself or tnrough his or her own prove tor the purpose o* saie�. ❑ I, as owner of the property, am bactors to construct the project (Se� Tbe Coniractor's License Ldw tloe builtls or improves theteon, antl w tractor(5) hcense pursuant fo the C proo( oi their Worker's Compensa ❑ I am exemo� under 5ectlon— Date vements are not intenae0 or ofieretl for rovement is Soltl wiNin one year of [om- en Of provinq he/she tlitl no[ builtl o� im- zclusiveiy mntraciing with licensetl con- lon ]044, Business antl Professions Cotle: not aOPly to an owne� ot property who i contract5 fo� sucn projects wrth a con- rtractor's �i<ense Law). I am aware that �n insu�ance Shoultl be provitletl to me. 6. & P. C. for this reason oy certify thaYl hav r tl this application antl state that the above ation is wr ft I a o comply with all clty and county ortlinances ate laws ating iltlin9 con5truction, and hereby duthoriie repre- ves of '_cit ent¢r up the above-mentioned pro^eity fo� ion r ses 6 I'� ure � � Dat �'�i J��, Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers 9. n / -!� % ' Planning Notes: Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets ' Intefceptor5 Kitchen Sink �� Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct-UnderGround Duct - Structurel Duct- Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. ICBO # Heatin9 System & Ducti ❑0.100,0008T OO,OOOBT Reinspection Fee Driv Lice e 5� ` � � CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Isue Fee iANICAL Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0.100,000 BT 11 Syst epair/Alterati Fire Dampers Registers Issue Fee %� Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches � � 9268 II/09/87 B4OU T� — Zane Accessory Building: Z O N I N G i R Parking Req./Provided E � Q M T $ ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Generator �0.5 KW LJ5-15 KW $ 3 . Reinspection Fee $15 $ 3 Meter LJup to 100 Meter ❑over100� Sub Panel Momr 0-1 HP OiX-8 I .Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Compacmr Issue Fee DEVELOPMENT SERVICES R EQUIREMENTS: Zoning Approved By Building Approved By � ._ t FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ Z-O� ISSUANCE $ PLAN CHECK 25% $ I� D � ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50Yu $ MICROFILM $ MECHANICAL $ TOTA� FEE $ b�_ DC� PLAN CHECK 25% $ ' ,/ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 7. 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 Undrgrrtd. 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 Jf-lD-�� LEp 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. Duc[s, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � . 24. Roof Framing 73. Undergrnd.StorageTank �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. DrvWall Nailing _ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION -� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Not '►.qp M�p-�_ �L-. 'u��Q• L•� � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ((_/�'� LFj� 36. Hood or Canopy 37. Final Factory Fireplace 38� Final Plumbing rL � ,� / . 39. Water Service-Final .. . 40. Gas Service-Final , , 41. Solar pomestic-Final • ' � 42. Backflow Preventer � � 43. Backflow Irrigation � ,, . • -�� • 44. Landscape Irrigation System � • . � 45. Sound Attenuation � ' .. � 46. Handicap Regulations . � � 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 _ ' " / B01LpNG 3313 ALABAMA CI 11P'0""° FENLEY, DANIEL T "°o"Ess 3313 ALABAMA CZR COSTA MESA,CA �PPL. MRIIINO ADDPESS: INCNITECT Ofl fNtlNEER umx ox exc.•s �ooxess: uxr: FLOOD: AE-37 92626 uc. ra: uxT: CONLI1RCTqY51UME: LUKE ROOFING ( 714 ) 633-8798 cartnacroxsxuur�c 448 S MONTGOMERY �o�u ORANGE CA uaxo.: 672569 92667 urn: LICENSEU CONTflNRORS OECIAflATION: I Mreby eflim uMe� parety d perjury tlie� I em licensetl uMx pwi5ions d Cheple� 9 (rommenorp xi�h Secton )OOD) d Division 3 ot the Busir�an eM Profmzona Cada, eM my littnee b in lull fatt eM ellect. cmuc.r+o.:062058 ruc.cuss: C_39 LIC.NO.: (]Z 69 XP: OS/96 oma: � —/ % � '�J / conlreaor. OWNEP BUILUEN OECIAXATION: �I Mreby etFrm uiker penely W perN�' �� exemq Ir �ha Con�repps lironse law for tM idbwip �enwn (�� 1.5 &niiesa eM Prdeaiona Cde: Aery ery a oountY �� reVui e e pertnn to wuvuet. ellx. impove. damdsh, a raye'r eny nwclura, prior io na ivweMa, abo requirea tM epplicenl Iw auch peimil to fib e sgroE atelamam ihet ha «eM -xnseC pum�ent �o tha povisiona ol tM Comreaon L'aense law �Cheqar 9(oommerciip Milh Seaun ]OW) d D'veian 3 d tha neas enE Rdeaiona Coda� a that M a sM ia exemp thereham enA the buia lw �he dlepetl ezemplion. My vbletbn d Sed'an , I.5 Ey eny epplicenl ior e permil eubpde Ihe epplicent ta e avil penelry d nM mae then Me huMred dollae �5500�). ❑ I, av oxmer d tha O�We�Y a my empbyeea wuh we0� ��ha'v ede mmpensetion, will do �ha wwk, eM �he avuqure a rid interded «dimed br sale (Sectan )011. Bus�wss eiW Prolessons Cafe: The Cmireaan limnse LewAoes rwl epply lo en ownerd qopMy wM W ids « inpmea iMrean, erd who doea such xwk h'vnmM a henetl a IMaqh hu ar Mr own emplvYeae, povided thet euch impwemew era rw imerded a dlaed t« aele. X, howarer. the buiNirp a'vnpovemeM e eok wnhin wn Y� d mmpbtion. the owirer-0uiMar vrill have IM WNen d pwi�p M or aM d'd �wl Wik or impruva Iw tM WT�e d mle). � I, u oMnar d the propeny, em axdusivay mMreelinp wilh lieenvad eonveetwa to conaV�d Iha pml� (Seaian ]066. Busie�s eM Pmleuions Code: TM Conireclon License Lew Eaes nM apply to en owner d propenY � buiNe a improvea IMreon eM who convacia lor audi projeda wiih e mnveaor(e) Icenmd pureuent to ihe ConVedors Lioenae law�. � I em exampt uMer Seniort B. 8 P.C., fa Ihis rmwn: Oata: O�mx: i eo nareW oen�y me� i em awere a e�e �m�i�e me �a��a�u a cmaomie Heann .�w s�rm c� sea�m. usos, zssx+, ena 255�0, eM �hel I a eny Mure WilEirp oaupent vrill / wll na (drcb one) nead io romply wXh aeid ste�e coEea eM iM reQuirementa for a permil iwmvwctiona motlifcetimhwniheA'v�6uTy�epement Disind. ResiEenliel conslrudion epp4ratiaro ue eaemptmm iheee provisiona. Deie� ApqicaM: W OPKEN'S CONPENSATION OKLAH�TION: I Mraby elfirm uMx paneny d perjury me d �M1s Idbwing Eaderetom: � I have eM xil meinten a cenAceie d conseni to eeM�inwre la xwkere' wmpensation, m povitletl (or by Saaian 3]OU d tha lebar Cade, iv the pe�lormenca M iM wak ta which ihia permil ia iseuad. ❑ I heve end xil meintein workaii cvmpanamon inaurence, es rx�uireE by Seclim 3]00 d tha Lebor Code, M �he peNamance d �he wak lor which ihis permX ie imueE. My wabii mmPo�se�bn Insurenca ramer end poliry number era: c� . PatirrH�mna: is secion mW rrot be camplefed / �M pmn) is /a aro hundred dd/as /Sf001 w bxJ +yJ I cenily thet in the perlormarce W �M work Iw whch Ihia permil e ieeueE. I ehdl � emplvy y pe�eon in eny menner eo av lo bacome eubl� �o ihe vrorkere' canpenselion le�w d Celibmie, end eprea thet X I eMEEE��¢III bacoma eubl� io the xwkan' compenmlion qoviaiona o/ Senion 3]00 W tha Lebor Cada, I ehell b�hwAh comp �viaiam. o�<: �/ 7- 9� Aoar��: 1 Wem/nD� F�llun ro ucuro woM�n' corr�osiwtlon rovorep� q un/awlul, �ntl �hsll sJ an xrp/oyw ro cr/Mml pm�Mu eM c/vll flriu up ro wro huntlrH tlpuuM rblMn (S1W,000J, In edd/tlon ro M� cwt ol mwwfbM1 Eemspes u proNded br /n Sxtlon �R18 0l M� LaGor Cob, /nMvt, arrtl �fromry'� Iws. CONSTHUCTION LENDINO 110ENCY: I hareby �rtn undar pendry of perjury ihet ihera ie e oonsmd'wn bndinp eqenry br iM �IBf�OR11B11CB O�IhB WOf�(iOfW�IICNIN6�IBlRill 19 69UB4�$BCI1011 309)� CiIV.C�. LENDER'S NAME: LENDEfl'S ADURESS: I cenily ihet I heve read thia eppliraion erd aela thet iM ebova inlametion ie wrrad. I apree to camply wilh ell ary ud oounry ordinenoes aM stete lewe rdelvp to Wilaip construqion eM M1ereEy aulfwr¢e repreaenteirvea d this aryto enter upan iha eEwa-maMionatl properry lorinsv�bn vurpasea. GARY LUKE Pnnt ,� — / - - o�a: Er =��- s � . -� ;�, �,��,a (S151d6.WP) WhnsBuildvp 8 Se(ery; Grean-Fle; Canary-Appkcenl; Pink-Revenue; paWenmd-Asseesor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 073853 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PERM NO: B 073853 GOC'T: N SUPP: N PURPOSE: OTH JOH DESCRIPTION : REROOF OVER 1 LAYER WOOD SHINGLE SQ FT: 2,500 CLAIM VALCIE: 2,500.00 CALC-VALUE: 2,500.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER U.B.C. 1991 /CLASS A COMP ROOF x*+�+�**��***�+�*******�*��***�x+�x*��****�****+�+�**��**�***��x*�+��****�*** 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: 13958128 ZNE: REF NO: PLANNING NOTES> •% ) � . 1E iE iElE iElE �F 1E 9E i(� 9E �E iE fE iE 1E 1f if-if� iF if if iflf !E if iE if !F iF 1flE ik if� iF If if !f if jE iE IE iE iE if 9E iE iElE 9E 1E aE ih iE 9E �)E iE 9E 3E 1E'lE iE iE 1E i6 iE'k 1E if 1E iE 3E iE 3E �E iE 1ElE 9f 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: / �/ � 1E'IE�EIEififiEiEaEiEiE�E�EfE�EiEiEiE�EiEiE1E�iF7�3F��FTF3F��f�f��f3F3F3F�F�f�{F�f3F3Fi�T�F3fTF7F7F{F�F3F7FiEiEfE3E3ElE�E1E3E1f fEif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTAIC MECHANIC FIAE SMIP/RES GRADING PERMIT 54.00 ( 50 SMIP/NON-RES PLAN " ISSUE FEE ✓ BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL �" PAID DUE TOTALS----> 54.50 0.00 0:00 54,50 '•-54.;50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT": .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 54.00 .50 .^ iE iE tE 3F IE jF aE 1E 1E 1E IE iE 1E 1F 1F 1E �F IE iE iE 1F 1F iE 1E iE iE 1f iE 3E 1E 1E iE �E iE iE �E 9E �E �ElE iE 1E iE iE 9E iE �E �E 3E iE iE 1E 3E iE 3F iE 1E if 1f 1E iE jE iF iF iE,iF iE if iF if if if iE 3f if if if 3E �3E 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 r SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE `1.00' 2,500.00 END OF FEES �. .� ' ".tv�C7KE C�Efi�VYOR �1 �14?JR`�44 ;��n cn n S ��r-�r^-� ;^� 5;-5:t : irAT�: Ei"s"/17/,�';`i�'��6J�T'i�9..! ;. CONSTRUCTION ANDPLANNING POOL A �, APPROVAIS Permit # Date Inspector qppROVALS Permit �`r Oate Inspector 1. Temporary Elec[rical Service or Pole 52, Pooi & Equipment Loca[ion 2. Soil Pipe-Undrgind. 53. Steel Reinforcement 3. Electricai Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. $teel Re�nforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFEft Grnd. 57. APPftOVAL TO COVER-GUNITE -7. Footings 58. Elecirical Conduit�Undrgrnd. 8. Foundation - ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 1�. Structural Floor Svscem , 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final, 22. Sewer CaP � ' 63. Heater & Vent-Final � ' 73. Roof Drains � 64. Plumbing System - Pinal� , 14. Rough Piumbing 65. Electrical�Final � 15. Rough Electrical-Conduit 66. Solar SYstem�Final 76. Rough E;ectric Wiring 6�. Fencin9 & Access Approval � il. Rough Wiring Sign 66. APPROVED FOR P�ASTERING � 78. Rough E3ectricaGT Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air CondiTioning F{RE pEPT. REQUtREMENT 20. Rough Fsctory Firep(ace � T APPROVALS Pe'rmit # 21. DuCts, in�Structure � 70. �Underground HYdro 22. Ducts, Vantilating 71. Product Piping � Gas ❑ Oii 23. Gas Pipa-Rough & Tes2 72. Undergrourid Fiush 24. Roof Praming - 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheaihing � ' 74, pverhead Hydro 26. T�Bar Ceiling SStructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing � � . � 76. Dry Standpipe 28. Lathing & Siding � . � " � '. 77. FIXED SYSTEM FINAL 29. Insulaiion' 78, fIRE PREV. FINAL 30. Drywall Nailing .` � ._ HEAITH DEPT. R£QUIREMENT 31. Plaster Brc�wn Coat • � � ' 79. FINAL INSPECTION - 32. Electricai Power Met'erFinai � 80. PQOD CERTIPICATE ISSUED 33. Pinal Electric � Notes: - � 34. Finai NeSting & Air Conditioning - ' . 35. finalGa<PiPe-Test - -� � . � 36. Hood or Canopy " ' - � � . ' 37. Finai Pactory Firepiace � 38. Final Plumbing 39. Water Setvice•Final - � 40. Gas Service-Final � �� " 41. Solar pomeStic�Finai .. . . 42. Backflow Preventer' � ��=_G%C' /y�� 0 �-. v �_T_ry 43. Backfiow Irrigation , A ��/� 44. Landscape irriqation System � _ „ 8 z 3- G'�- /�J Ad�+Y� --�� 45. Sound Attenuation , � G� /_ i7� � `yB `� . � � �� -!"' . 46. Handirap Regulations � 47. FINALSTRUCTURE & BUILDING 8 �5 �"�/� 48. FINALPLANNING ' 49. Elec[ric Helease to Edison ' 50. Gas Refease to Southern California GasCo � 51. CERTIFICATE OF OCCUPANCY � No, Date Z . aU z za ON am J � J N Q] J J m a U � zQ w� aW wZ J Q m z J � W W � _ Z � w � �O F z Q U J a a Q � F y Z � F�' U � � r N Z �4R �$ �0 � fl% COSTA MESA BUILDING-SAFETY DEPARTMEI P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262f For Applicant to Fill in Comp/etely BUII.DING ��/� � /� � �' AODRFSS l AA� --2.e IlA OWNER Hermea Dav. Co. ADDRESS1104 E. 17th Street TEL. cirv Santa Ana Na• `�F7-70� CON5TRUCYION LENDER United States Idational Bar.k BRANCH 15U Broadway Avenue aooaess san I7iego, California �£�N� K. Dorius NOL 67�11� Aooaess 2712 E. Coast Hvey. Corona D Pd CONTRACTOF Q{{=jej� ADDFESS TEL. CITV NO. LIC. NO. 252�0 LICyNO. SI2E � NO.OF BLDGS. OF LOT lOO X r"iO I NOW ON LOT Q USE OF EXISTING 84DG. NEZWBLDG.21�0 9. Pt. ROOMS 9 STORIES z EXTERIOR W�+�L ROOF C011lPO Oi COVERING StUCCO COVERING i'f00(1 USE OF BUILOING AND WORK TO BE PERFORMED Residence w/attached garae;e APR24-69PAI�Q01307# �-•�152.25 CMSA APPLICATION FOR BUILDING PERMIT FiECEI�Df� D TE R� EIV�E DATE ISSUI f%�� p �O A.P. NO. �— BUILDING�� ADDRESSJ� TRA "' Y OWNER FIRE j* YARD: MAIN F FOM C/ VAR. a1E C.U.P. # � APPROVED 19 j �� iP PERMIT NO on� v� :3 v�--�-iu,r Cu2 . ,�/ LOT�S� BLOCK = p M1dJ L1�(-,[..�C-��D7'1CQnt.!" �a9 �vs °t �o� . s TVPE .� ' GROUP Z"1'� DATE OF USE OF NE NS 7� BUILDING VED VARDSAPPROVED BEf. MAIN & ACCESS. BLDGS. DATE � . APPPOVED ' _' __ � = � /� I narebv ack�owiedge tnet � na�e read mis application ana state no�� FOR SPE 'IAL REQUIREMENT� that the abo�e intormation is correcT antl agree to comply with all laws regUleting builtlinB consvuction, and 1 shall not employ any person in violation ot the workman's compensation laws of the State of Calitornia. m b I hereby certity that I am properly licensetl as a contractor under SQ. FT. o che State of California Business antl Protessions Cotle, Divisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR m Chepter 9, and ffiet such licanses are in tull force antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢ am ezempt from the provisions ot the State of California Business VALUATION and Professions Code, Division 3, Chapter 9. p x N PERMIT FEE S V V O � SiBnature ot �/ m Pe�mittee ' $a9 863 � PLAN CHECK $ . / E Auffiorizetl ABe�< o TOTA� FEE $ . as LL OWNER �gMES DEVErApMENT DATE 5-1-69 JOB ADDRESS ��1� Alahama Circle BUILDING PERMIT N0. �0107 SOIL GAS JUP I & ' J TYPE SUBCONTRACTOR ROUGH PLUM9ING PROP. SWR. LINE OUSE CON. SPRINKLING SYSTEM D AIR CONDITIQNING UNOERGROUND � POWER U ROUGH WIRING l � . Heatin and Ve�+. TRENCHES FORMS STEpL REINF. � ) = /E� � � _� FLOOR SVSTEM !`"�>- 60N0 BEAM STEEL REINFOqCE ' SHEATHING i�� FRAME ANO FLASHING '-?-!�/�E LATHING — IN OUT // ,� PLASTER, BROWN COAT -/Q-f STRUCTURAL, FINAL Iecfr' HEATING, VENT., REFRIG. ANO A.C., FI L - � �/, � PLUMBING, FINAL ANO GAS TEST - ELECTRIC, FINAL � L BUIL�ING, FINAL //_7f SPECIAL REOl11REMENTS . . �I�76.G,R