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Home My WebLink About2516 ANDOVER PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2516 ANDOVER PL Suite No Viciniry: Parcel Nunmber: 14741233 App�icant: JAMES HODGES Address: 1675 SUPERIOR AV Status: ISSUED Applied: 08/19/2005 Issued: 08/19/2005 ISSUED BY: � Phone:,�(Z14p548-5558 COSTA MESA, CA �-rZip." 92627� z- � � „s.' ;� �d ;;m+,; ,::�. , . � � �,� � � z : Owner: BRUNNING,�MARION F ,��-� ��' " + Address 2518 ANDOVER`.PL � ��"� � ±id� � � � �� - ,� �• � ` ,� ;� .r`' .�<�� -Phone �� {%/ .y.VT` ' COSTAMESA„CA �'�` •' �;"'� "'Zip: 926 6 �� :Eti s �. �. � � .' _', . . .. � ' .� � � 1�.,'. Contractor' JOE`CRRLOS,PCUMBING �* Address' � =1675 SUPERIOR AV - �. - ,,� ., Phone: �'{714) 548-5558 ,,;� ' �' ��t COSTAMESA CA 2ip 92627 �,�, ...y �,:, _ ...,^.� License 385443 :.. - ` � � c .. �.x ,... �°S? a /� ; -� F. . e" h i '^,ti�. �t , �„x .. . .. , , .�f i , .. a ,. r#"= 3 �7 4 a �PLUME :.� .. ,}�; . . -i A � r., ,�. .^��> '. e ri AP ISSUE�FEE� ':: $23 Backflow irrigaUon � � .'+ $0 BackBow Preventer �,s" $0 BathWb `"- $0 Clanfier System „',,,$0 Connect�(Ice,Soda etc) ; ��"� � "$0 Dental�Units . „��$0 Dishwasher �• '�' $0, u SCOPE OF PERMIT" �" ° � ; � � � t; UDE: 1�GAS RE-PIPE AND 1 GAS (1-0 OUTLETS) .�.,�r v- � Y � . �� ; QTY ��.a•e �.�•�-. ..u"xi'AMT:;a� . ,.�LaundryTub/Washer-��'¢50.00 �-0 . ��•x0 ,� �..a::Landscapelrrigation-�, _.,., $0.00 �;;,0 _�,.,:;, „O;s��a P-Trap _ $0.00 --�=0� - 0��"� � Pressure'Regulator $0.00 .'0� .:.�.0 ��,.:Process�Pipin9(Per.]0"fl)��' .�$0�00 : ;0"r. ;�.� �.:: 0 � a�Receptars��-; = ��xm$0.00� �0 . � ��;0: --'��SepticTank-'"- � -�-$0.00 � 0 .. �:� x0��^ Sewer Cap for Demo $0.00 �` 0 , Drain, Floor�, ; 50,00 � � :,0;; � Sewer Connect � $0:00 0 � Drain, Rainwater- , � �-� � $0 00� �� 0 � Sewer Private Line '�'$0.00 �r__ �,0 Drain,Roof �,� �ur, $0.00 +�0 ,. Shower $0.00 0 Drinking Fountam �'�� $0.00,� ' 0 i Sink, bar .- ° $0.00 0 Expansion Tanki - $0 00 ,�0 Y��s Sink, comrrieraai� ',�%`� -$0.00 0 Gas Earihquake Valve m�r $0 00��0 . Sink Floot,�-.' ,q.. , $0 00 .,0 Gas (1-4 outlets) a''�� $6.15 '"' ' 1 �� Smk kdchen- " P $0 OOJ� 3; 0 �. �� Gas (Over 4 outlets)'_ $0.00 � �0 � � -_ �iSink, servicefmop � „ ` ,�'$0 00 ° � 0 - �?�a`� Gas Repipe . $9.80 � , 1 �d �� GasServlce : ��• $000�' '0 Interceptors (Grease Oil)�-`$0 00 � `��Oti " Interceptors (Sand Auto )�';,,$000� � 0 � *� ,„��". o, >,� • .. ��a,� %' ..,;�-n7�".� . ��„ s�aai _ ' ��? $0,00, $0.00 System ,.„ $0.00 �ileQ�. . �� $0.00 e��,q�,.,�.- $0,:00 :t or Rep.) �"$0.00 .., �' $0.00 ;'" $0.00 �. � �' $0.00 'i�.=" 50.00 $0.00 so.00 I : . $0.00 4L�CALCUL�ATED�FEES: E39.45 �y._' VVI\II�ILI\.1 V.I V� t 5 A.. . t . ;.�a so. . , ��_,� „ ,�.` .�.° j - . ✓'.,, u "'.^�'C � k� LP Y�r� a . f..a. ;T` A �f nN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(ornia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or ebandoned for a period of 180 days. INSPECTIONS: In order for lhe work eNhorized under this parmit to be considered Iagal, such work must comply with all appllcabla codes, and all requlred Inapec[lona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaaae �eroo� WORKERS' COMPENSATION DECLAFiATION: —' I hereby aHirtn under penalty of perjury one ai the following tleclarations: � � . � ❑ I have entl will melntaln e certiflcete of consent to selt-Insure for workers' compensetlon, es provided for by sectlon 3700 of the Lebor Code, for the pertormance ot the _� work for which ihis permit is iuuetl. , B5 one section 3700 of the Lebor Code, for the peAortnance of the work for which this permit Is Issuetl. Ilers($f00)or/ess.1 '—� u�.,.O._J��ZIQ�I(IQ ��'y ❑ I certify that in the peRortnence of tha work for which Nls permit is Issued, I shell not employ eny person In any menner so es to become subfect to the workera' canpensation lews of Celitomia, end egree that If I ahould become subject lo the workers' compensetlon proNslons of Section 3700 of t�e Lebar Cade, I shall foMwlth comply_witht visions. p 'ApDn�eN Signatu : Da�e: v � ! \ '0 S �,. WARNINO'. FAILURE R7 SEC RE WORKERS' COMPENSATION CO RAGE IS UNUWFUL AND SWLLL SUBJEGT AN EMPLOVER TO CRIMINN. P NALTIES AND CML FlNES UG TO ONE HUNDRED THOUSANDWLLARE(S7 ),INADDRIIXJTOTHECOSTOF PENSpT70N,DAMAOESASPROVIDEDFORINSECT10N37080FTHELqB� WDE,IMEREST,ANDATTORNEY'$FEES. LICENSED CONTRACTORS OECLARATION: I he�eby attirm that I em II se u er,P� sipr� Chaptar 9(commencing with Sedlon 7000) of (orce eml efleq'lJc: q--�-��C �L� � Code, end my Iicense Is in full CONSTAUCTONLENDIN�AGENCV: � ❑ I hereby ettirm Ihat there Is e construdion lentling agency tor the peAormance of tha work for whic� this pertnit is IssueA. (Sec. 3097, Civil Code). Lenders Name: Lender's Adtlress: gignature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn Ihet under penelry ot perjury ihet I em EXEMPT FROM TF1E CONTRACTORS LICENSE LAW for the lollowing reeson (Sec. 7031.5, Business and Professlons Gode: Any clry or county which requires a permit to construct, elter, Improve, tlemollsh, or repeir eny strucWre, pnor to Its issuance, also reqWres t�e applicaat tor such permit tp file e signed stetement thet ha or she Is Ilcensed pursuant to tha provislons of the Contreqors License Lew (Chepter 9(commencing With Sectlon 7000) of DMsion 3 of the 6usiness antl ProfeSsions Code) or that he or she Is exempl theretrom end the besis for the elleged exemptlon. Any violetion of Section 7031.5 by eny appllcant tor a pertnit subJects the epplicent to e civll penalry of not mare lhan five hundred dollers ($500).): ❑ 1, as owner oi the property, or my employeas wfth weges es thatr sola compensation, WILL DO THE WORK, and the siruclure is nal Inientled or oRered tor sele i5ec. 70ad, Business and Profeulons Code: The Contredore Llcense Law tloes not apply to an owner of property who builds or improves ihereon, end who daes such woM himsalt or hersetl or �hrough his of her awn employees, provided thet such improvemen�s ere not intendetl or oHered tor sele. If, hoWever, t�e builtling or improvemen� is sold within one year ot completlon, the owner-builder will heva Ihe burtlen of proving thet ha or she did noI build or Improve 1or purpose of sele.). ' ❑ 1, as ownar of Ihe property, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construcl the pro�ed (Sec. 7044, Business antl Professions Cotle: The cantracrors License Lew does not apply to en owne� of properry who builds or improves thereon, antl who coniracts for such project with e co�trector(5) license pursuant to ihe Contredors License Lews.). q I am exempt undar sec. Business end Protessions Code sor this reason: S�gnature: Date: pwner ID verifietl by tlrlvers Ilcense. ❑ Ves ❑ No �rivers Llcense No. Ezpires: Vediicetion of Ownership by (rype of daument, i,e. - pmperry tex blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihet no excavetlon five (5) or more feet In depth Into which a person is required to descend, wlll he mede In connection with wo�k authorized by this pertnit, end thet no building siructure, scaHOlding, falsework, or demolition or tlismentlinp thereof, will be more than ihirry-slx (36) feet high. (C�ap. 3.2, Qrp 2, An 2, Sec. 341, Title B, Cellfamia Adminis�retive Code). ❑ As owner-builder, I will not employ anyone to do wark which would require a permit from ihe Division of Industrlal Satery, es notetl above, unless auch parson hes a permit to do such work from Ihe divislon. Signature: Date: Dvision of Industrial Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certi(y untler penalty of perjury Ihat I heve reed �his applicetion end slate that lhe information given is cortect. I agrea to comply wtih afl state lews a� dry ortlfnences relatinp to bWldl� construction, and eNfiodze representativas ot the Clty W Coste Masa to enter upon Ma ebovadescribed property for inspection purpases. I egree not to occupy or ellow occupancy of any builtling euthorizetl by this pertnit until final inspection. f�QQfJ, INSPECTIONTYVE 1816 Fixed System Final Fire Prevention 1288 Pool Spe Final 200 Finel Re-Roof 201 Fine1 BIocN/Reta{ninq W all 202 Final Fectory Fire�Place 203 Finel Sign 204 Final Demolition . ��751� � '�� I�Dae � I[�915 £4PEt wsvecrroNTrae . 206 Flnal Mechanlcal 208 Final Plumbing 210 Finel Electricel 272 Final Fire Preventlon 220 Final Planning Approval 222 Final Slte 250 Final Bulltling/Occupancy OAg II�4 'a$��p /�/�/� Q�/6�, nov�icant to riu in au saaces excePt tnose witnin heavy noraer iines ana siyn au aoaroariate aeeiarations. 9676 5/G� /�. 6�� r�' I � CITY OF COSTA �ME,/S(A,, c�jO.,NSTRUCpTION PERMIT P MIT NO. TRACT NO. LOT NO. UNIT NO. '. � � . Project Address �I� 'W �U �F � � D� AppliCant'S Mailing Address TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Owner'SNamCe' ��dANT�/�1�V�A%��Phone �CONVERSION ❑DEMOLISH ❑OT��Hfl�l ` q.p.# Zone 7�0 /-�N 61`' DESCRIPTION OF WOFK/USE OF BLDG. Address � � �� S MainBuildinq: Accessory8uilding: AICh/Eng. LiCenSe No. � TVPE OF PERMIT ❑ GRADING ❑ FOUNDATIOpN� ❑ STRUCTURAL T FfOnt p Addre55 ❑ TENANT � ELECTRIGAL ❑ PLUMBING L^t MECHANICAI B Reaf N ❑ OTHER p` � Contractor's Nam �� Phon C Right � �`1 Address (mailing) �,S R^i� PROJECT DESCRIPTION 5Q. FT. oCCUVANCY K Left G City License No. �� ZONETRUCTIONTYPE GRA�INGCU.YDSVALUATION CRES S R LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E Q I hereby atfirm that I am licensetl untler provisions ot Charter 9(commencin9 Remarks: Planning Notei: M with section 7000) ot �ivision 3 of the Business antl Professions Cotle, antl T my license is in ❑ f ce antl etfecL �� ``� - Licen�si.Class � r i e e o. T S oate�l� 5'g t � PLUMBING FEES WORKERS' COMPENSATION O$ ARATI � gar Sink Showe�s ELECTRICAL FEES veby aftirm tM1at I have a ce�tiG ate of consent to s�it-insure or a certi5icate `�orkers' Compensation Insurance, or a certifie�l copy thereof (Section BackflowP�eventer ServiceSink Automatic Washer Transformer ❑ 15-50 KW b; Lab. C. � �� C� �y - ❑ 50+KW y Backflow Irrigation Sewer Cap Construction Pole Sub. Certitied copy is hereby furnishetl. Certifi c 's filetl with the city ilai 'si n. Bathtubs Sewer Connection Cooking Unit , Meter ❑up to 100amps � a e EXEMPTION FROM WORKERS' PENS 1 D ARATION Clariiier5 Solaf ColleCtors DishWasher Meter ❑Over 100amp5 (Thissection neetl not be complet if the permi ' for one huntlretl ($300) or Dishwashe� Sola� Pi in Dr ers -❑Gas ❑Electric less) / P 9 Y � Sub Panel I c¢rtify that in the pe�tormanC¢ ot thE wo /C to� which this pe� it is issuatl, 1 shall not mp ny person in any ma Er so a c ubject to the Drinking Fountains SolarTank Fan Motors�0-1 HP �7'/x-8 3, � Worke tion Laws of Calitor oate Signature Floor Drains Swimming Pool w/Spa F.A.U. IncSolar �9-15 HP Oi6-15+ NOTIG : It, after makin9 this tleclara on, you shoultl becortll/ ubject to the Workers' Gompensation provisions Ih¢ Labor Cotle, yoiYmust torthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or his permit shall be tleemetl revoketl. CONSTRUCTION LENDING AG NCV GaSServiCe OUtlets WaterCloSet DeviceBoxes 1 hereby affirm lhat ihere is a construction lentling agency for Ihe performance Pole Light ot the work fov which this permit i5 issued (Section 3097 Civ. C.) Intercept0l5 Water H¢dter Outl¢t5 Rang¢ Lentler's Name �eneers Aadress Kitchen Sink � Water Service Switches Sign OWNER BUILDER DECLARATION I hefeby affirm that I am exempt ffom the Contfactor's License l,aw for the Lav2tOfl¢5 AUtO-W35h G3fbagE Di5p0581 Stdnd109 S¢ctiop5 following reason (Section ]031.5 BuSiness antl Protessional Cotle: Any city or county which requires a permil to construct, alter, improve, tlemolish or repalr P—Trap Laundry Trays Generator �0.5 KW 05-75 KW Trosh Compactor any st�ucture, prior to it5 is5uance, also requires the applicant fo� such pe�mit to file a Signetl statement that he/she is licensetl pu�suant [o the p�ovi5ion5 of ROOf Df2in5 tne Contractor's License Law (Chapter 9(commencing with Section �000) of ^�vi5ion 3 ot the Business antl Professions Cotle) or that he/she is exempt , ��efrom antl the .basis tor the allegetl exemption. Any violation of Section � N �Gr W ��G}�. .� �� I3.5 by any applicant for a permit subjects the applicant to a civil 'alty of not more than five huntlretl tlollars ($500). 3 �� 1, as owne� oi the property or my employees with wages as tnei� sole A¢inSpaMt011 F¢e $1$ 14U¢ Fee $ com0ensation will tlo the work, antl the s[ructure is not intentletl or ofteretl Reinspection Fee $75 ISSue Fea ' S $ for sale (Secfion �044, Business antl Protessionai Cotle: The Contractor's MECHANICAL FEES License Law tloes not apply to an owner of a oroperty who builtls or improves DEVELOPMENT SERVICES REQUIREMENTS: therEon, antl who tloes such work himselt/her5¢It ot through hi5 or he� own . employees, provitletl that such Improvement5 are not intendetl or ottered for BOiI¢r HOOd Or Typ¢ I ❑ sale. If, however, the builtling or improvement is soltl within one year ot com- Canopy Type II ❑ Zoning Approved By Date pletion, tbe owne� will have the bu�tlen o( pravinq he/she tlitl not builtl o� im- DuCt - Und2f G�011�d BUilding ApproV¢d By ,� Det� ,p�Ove for the purpose of sale). ❑ I, as owner of the oroperty, am exclusively contractin9 with licensetl con- Duct-Structural Refrigeration System Application luued 8y Dat tracto�sto construct thE ptoject (S2CLI00 iO44. BlISI0E55 dI1G PfOf25510I15 COGB: l � The Contractor's License Law �loes not apply to an owner of property who Duct - Ventilating .�0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or improves thereon, antl who cont�acts fot such projects with a con- tractor(s) iicense pursuant to the Contractor's �icense Law). I am aware that �xhaust System � Multiple ❑ System Repair/Alteration BUILOING PERMIT $ SMIP $ proot of their Worker's Compensation insurance shoultl be provitlea to me. _ PLAN CHECK $ PERMIT ❑ I am exempt untler Section e. & P. C. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers PLUMBING $ ISSUANCE $ oate Owner Heating System & Ducting Registers / p�qN CHECK 25% $ �(� ENERGY P.C. $ I hereby certify that I have reatl tnis appiication antl state that the above � �0.700,OOOBTU 0100,0006T ELECTRICAL $ 4�'1 �' GRADING $ intormation is correct. I a9ree to comply with all city antl County ortlinances antl state laws relatin9 to builtlin9 construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $,f.(� sen[ ot this ci[y to ente� upon the above-mentionetl property for �/ �] � insp ction rpo . ��a� MECHANICAL $ — TOTALFEE �� Sign ure Date� .Drivers n or 55 � Reinspection Fea $15 Issue Fee `s� $� PLAN CHECK 25% $ CMF OBfiS-46, rev. 10/84 White - Bulltling; Canary - Hpplicant; Plnk - Accountin9; Gol�enroa - qssessoi r_ + CONSTRUCTION AND`PLqNNING � � •,; POOL & SPA APPROVALS Permi.f# Date Inspector • � I Date Inspector +.. (APPROVALS Permit# 1!�Temporary ElectricalSe�rvice or Pole � 52. Pool & 6quipment Location �' ,�. . �� 2..,Soil Pipe-Undrgrnd° �' 53. Steel Reinforcement I- �� 3. Electrical Conduit Utility-Undrgr+id. 54. Forms � 4. Electrical Conduit-Undrgrnd. ' 55. Electrical 8onding 3i '�� 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Tes$ ��. 6. Electrical UFER Grnd. ' 57!APPROVALTOCOVER-GUNITE �" 7. Footi�gs . ' 58. Electrical Conduit-Undrgrnd: �' B.�F.ouFldetion �, � 59. Gas Pipe, � Undrgrnd., Test � 9� Water'Pipe-Undrgrnd"'� � 60. Backwash Lines, P-Trap, O Undrgmd. , .�.. 10. Structural Floor System _( 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection _. _ 62. Backwash & Receptor-Final ' �� 12. Sewer Cap ' 63. Heater & Vent-Final � � 13. Roof Drains ' : 64. Plumbing System - Final � 14. Rough Plumbing � ' 65. Electrical-Final � ', 15. Rough Electrical-Conduit '� 66. Solar System-Final �� 16. Rough Electric Wiring 67. Fencing & Access Approval " ° 17 Rough Wiring SignJ 68. APPROVED FOR PLASTERING �� ;78. Rough.Electrical.T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit #' �21. Ducis,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 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 : ��IO��' [.r.i% Notes: .ri � � .. �34. Fina[�Neating & Air Conditioning `� �� (.�� 35. Final'Gas Pipe-Test . �. 36. Hood or Canopy � " 37� Final Factory Fireplace � 4� �� 38. Final Plumbing . �. � , � � �'� J�', �9. Water Service-Final ' � • � _ ,} : 40. Gas Service-Final � �' . � � • �' ' 41. Solar pomestic-Final � - . , ' � .�' '' ' . i i 42. Backflow Preventer �� ` %� � - I!+�;� - - • ;�43. Backflow Irrigation ' , � • 1' � ' - _ y �� 44. Landscape Irrigation System • I � . ' �' ! ' . �'� � �: � 45. Sound Attenuation � / � - � � � � , a� � 46. Handicap Regulations � �j � i � _ ��',• u � �� ` 47. FINAL STRUCTURE & BUtLDiNG ' � `' - _ , j� , � . • 48.'Special Requirements Completed ','" � ii • '� � - � � � ' ,-1-i 49:; Electrie Release to Edison ' ' � ' � ' . j �50. Gas Release to Southem California Gas Co ��V, _'� II� . 51: CERTIFICATE OF OCCUpANCY �-� �' � ;I � No. Date ` _ � � - : _` - "-- 39007 ' COSTA MESA BUIL�ING-SAFETY DEPARTMENT ` P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 \ For Applicant to Fi!l in Completely � 9UILDING ADDRES OWNER MAI L n,�. � i. w _ . � .. _ .� n il! � _ A.P. NO. I�I BUILOING n A�DflESS `S� PRID SEP?3-it�cri��.OQ 934�` '�k��``5�.55 a U CIT ryp TRACT �-pi � _ Z Q CANSTRU AD O N LENDER am J � BRANCM JN OWNER � -� m� ADDRESS � J� ARCHITECT TEL. S a OF7 ENGINEER N L%Q FIRE W p: ADDRESS ZONE d W APPqOV W O CONTRACTO BY J mx J � ADDFES ' FOR BUILDING PERMIT ITE RECEIVE D TE ISSUEi _23� 2 � 2�� R T NO� �N 3 L07'FIO BLOCK W W 20 NO.OF,-7 USE OF NEW 1 Zx CITV NE. � P�`� C.� BUILDING �� F^ W Q STATE CI7Y YARDS APPROVED YARDS API y a LIQ NO. LIC. NO. MAIN BUILDING ACCESSORV � p SIZE NO.OF BLDGS. (FROM C/L STREET OF LOT NOW ON LOT RONT FT. USE OF S �j ^� T EXISTING BLDG. <.. Y SIZE OF NO. OF � NEWBLOG. ROOMS STORIES � L.SID S FT. a EXTEFIOR L ROOF � �% COVERIN ' COVERIMCa J REAR FT. J USE OF UILDING �+ND RK TO BE PERFORME� DI5iANCE BET. �' MAIN BLDGS. a a �AA. � O' C.U.P. # F' APPROVED N z 0 UI hereby acknowled8e that I have reatl this application antl state � that the ebove intormation is correct antl agrae to comply with a ell laws regulating builtllnp consvuction, entl I shall not employ F, eny Oerson in violation of the workman's compensation laws ot y the State of CafiSornia. � zI herebY ce�tity that I am Oroperly licensetl es a contrector under SQ. FT. ffia State of California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SF C�epter 9, antl that such ficenses ere in full force antl effect, or I THE PURP06E OF am exampt from the provisions of Me State of California Buslness VALVATION and Professlons Cotle, Division Cha SiOnatura ot �. / • ^ .�J� _ I,� � Permittea _C�C ,�d`� $ / U % Auffiorized Ageni BET. MAIN & A�FSS. 8LD D�+TE �7 ��L �=�a � o UNDER VALUATION IS FOR ' LISH{NG A PERMIT FEE ONLY: a 3 8 '�_`' � FMIT PEE $ ] y/� p.0 m 4N CHECK $ L E U ° _/ LL TAL FEE $ `; OWNER JUDD� H. �; JOB ADDRESS 251 Andover �S,;�ERAL CONTRACTOR Sta %�:_:.:;�o. i4i- �-33 �oT � INSPECTIONS SOIL GAS WATER ROUGH P�UMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVST�M MfSCEILANE0U5 ROUGH HEATING ANO AIR CONDITIONING UNDENGROUNO U POWEH ROUGH W�RING TRENLNES FORMS FLOOft SVSTEM BOND @EAM ❑ STEEL RF SHEATMING FRAMH pN0 FLASHING LpTHING - IN n OUT [ P �ER. 6ROWN COAT DATE 9-23-74 BUILDING PERMIT N0. K Patio Cover & SUBCONTRACTOR ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1206 COS7A MESA, CALIFORNIA 92626 For Applicant to Fi�i in Completely BUILOING � � AD�RESS OWNER � MAIL p z AO�HESS LJ ow. U CITV NE .r2 ZZ Q CON5TRUCTION � oN LENDER am J � BflANCH J � � J ADDRESS m ARCHITECT TEL. J a OR ENGINEER N U N W d' P.DDRE55 aW J O CONTRACT � m Z J � P.ODRESS W W � CITV ZF — � STAT CIT y CL LIC. NO LIC. NO. � � SI2E / NO.OF BLDCS. OF LOT NOW ON LOT USE Of , /� E%ISTING BLDG. t/ H SIZE OF NO.OF Z 'NEW BLDG. ROOMS STORIES U EXTERIOR WALL ROOF /� COVERING COVERING fi J USE OF BUILDING A D WORK TO BE PE FORMED a a a G 0 ~ �i''/S � z • 0 VI heraby acknowledge thet I heve read this application antl stata .� Shet the above informatlon is correct antl agree to comply with � aN laws requlating builtling conrtruc<(on, antl 1 shell not employ � eny Derson in violation ot the wovkman's compensatian laws of the Stata of California. 2 I hereby certify at I am properly I' setl e o reetor tle tha Sta C Ifo�nie Bus ss ntl tessi s C e Chep e su 8 5! , O I am mpt rov f allforn(a Busln ss entl rofessions Cotle, D' i SiO�at�re of Permitte Authorizatl Agenc R A ZON � BET PkIL iiA1'?7-75�a;s•��1023� t.t.,r::f�5.5� FOR BUILDING PERMIT .TE RECEIVED q8TE SUI h��7. OF n5 � VED ' TNE AMOUNT: THE PUFP06E O VALUATION _!� A�� / DATE �/� USE OF N BUILDING VAqDSAPPROVED FT BEf. MAIN & TOTAL FEE � �y/ m 1 0 IS FOR � ONLY: Q � W N 7 E �`o / LL C�� • DATE 5-27-75 J�8 ADORESS 2516 Andover Place BUILDING PERMIT N0. 40035 C�"ERAL CONTRACTOR Oianer-B1dr. DESCRIPTION of WORK Patio Cover .o. 141 -47 2-99 LOT TRACT FIR WATER ROUGH PLUM8ING PROP. $WR. LINE n HOIISE WN. HEATING ANO AiR CONDITIONING POWER ROUGH WIRING STEEL REINF. OR SYS�EM 0 BEAM rI STEEL fiEINFORCE FRAME ANO FLASHING LATHIN6 - IN n P' ER,BROWN COh r P SUBCONTRACTOR i; '�" �'� ;,J05J � �: CO�TA MESA BUILDING DEPARTMENT � P. o. eox s i� COSTA MESA, CALIFORNIA 3UILDING FOR APPLICANT TO FILL IN COSTA MESA, CALIFORNIA JWNER yj'QtiJjl yZ0II1Q5� I� NAIL 1555 P�centia- >ODRESS =�T� Net�ort Heach, Ca: �RCHITECT 9$7fl0 JR ENGINEER TEL. NO. I'II 6- LIC. NO. Const. Co. QTV LIG. 1� / LEGRI �LOT � oEscaiPnO� NO. A.P. NO. SIZE L^ x � QF LOT VlJ 115E OF EXISTING BLDG. SETBqCK LIHE FROM � CENTER OF STREET NEW � NO.OF BLOGS. O HOw ON LOT REARVARD RIGHT J LEFT J DESCRIPTION OF WORK p ALTERATION AODITION MOVING DEMOLlSH 15/y�I}�O ROOMS 6 STORIES 1 WALL 9tuCCO G�VERING �Od St1G10 USE OF NEW BUI�pING �4U• �� 6��c�i�E� Wl" �.�.� ?1 1959 f�N��'CE DEPT. CIfY �F GC�S�Q PAGcn APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. , PERMIT N[ RECEIVED BV .�� BUI�DING �ATE ISSUEO. `—i� ._Y COSTA MESA, CALIFORNIA FIRE ZONE LONE�NO.OF � TVPE � \ PLNNS 4PPROVED BY DATE CORRECTIONS I HEREBV /CKNOWLEOGE THqT I Hr1VE flEA� TMIS APPLICATION ANp �- """"^ �"""" '�'�'�� vuIV4lIV11 IJ IUI �IIt' STATE THAT THE NBOVE IS CORRECT qND 4GREE TO COMPLY WITN �1LL purpuse of esta6lishing a permit See onl . CRY ORDINANCES STRTE LPWS REGU�PTING BUILOING CONSTRUG norv, , VALUATiON SIGNATUFE OF PERMIT FEE $ PERMITTEE 1,5��j2z�Q� PLANGKECK $ y`'JO $ C C AIITHORIY.ED ENT TOTAL FEE $ l��Jo �M�