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Home My WebLink About3122 BARBADOS PL - Building Permits1 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lob nddress: 3122 BARBADOS PL Suite: Vicinity: ROOF Parcel Number: 13915207 Applicant: MICHAEL BURKE Address: 1653 SUPERIOR AVE COSTA MESA, CA Owner: SERGISON, HARRY J TR Atldress 3122 BARBADOS PL Zoning: R1 R1 Phone: (949)642-7222 Zip: 92627 Phone: COSTA MESA, CA 2ip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949) 642-7222 License: 349686 Eng: Address: Status: ISSUED Applied: 03/25/2003 Issued: 03/25/2003 � i� � �.�.�� Phone: Phone: Zip: License: License: � SCOPE OF PERMIT TEAR OFF EXISTING ROOF. REPLACE SHEATHING AS NEEDED, INSTALL 1 LAYER OF 30# FELT, 30 YEAR, GAF, TIMBERLINE SHINGLES. 28 SQUARES INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $125.25 $0.55 $0.00 $0.00 $0.00 $125.80 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $s,as�.00 $s,as�.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes 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 1 BO days, or if work is suspended or abandon for a period of 180 days. �o INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. � FOR INSPECTIONS CALL: (774) 7545626 zaas-as �aroo� WORKERS'COMPENSAnONDECLARAnON: — � -' ' • I here�y eHirm untler penalty of perjury one of the following declarations: ❑ I have and wlll maintain a cenificate oi consent to self-Insure for workers' compensation, as provided tor by section 3700 of the Labor Code, lor the peAormance of ihe work for whiCh ihis permit i5 i55ued. ❑ I have and will maintain workers' compensetlon insurance, as raquired by section 3700 of Ne labor Cotle, for the peAormance of the work for which this permit is issued. My workers' compensation Insurance carrler and policy number ara: Cartier. Policy Number. (This secfion need nof be comp/eted il the permitls ve/ued et one hundred dollers (§700) or less.) ❑ I certi y thet in t�e pertormance ol the work for which this pertnit is Issued, I shell not employ any person In any manner so as to become sublect to the workers' crompensetlon laws of Califomia, entl egree Ihat it I shoultl becoma subfect to the workers' compensation pmvislons ot Section 3700 of the Lebor Code, I shell fotlhwith comply with ihese provisions. Applicent Signeture: Dete: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SMALL SU&IECT AN EMPLOVER TO CHIMIWIL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSAND DOLLARE �5100,000), IN ADDRIIXJ TO THE COST OF COMPENSATION, OAMAQES AS PROVIDED WF IN SECTION 7/06 OF THE LABOR WDE, IMEPEST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thel I em licensetl untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full force and eHect. Lia x qass tl Contracrofs SigneWre: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat there is a conslruction lentling agency for the peAormance oi the work tor which Ihis permit is issued. (Sec. 3097, Civil Coda). LentleYs Name: Lender's Addrass: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby ettirtn that under penalry of perjury thet I em EXEMPT FROM TME COMRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires e permit to construct, eller, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file e signed stetement ihat he or she Is Iicensed pureuent to ihe pravislons of �he Conirectors License Lew (Chepter 9(commencing wlih Sectlon 7000) of Division 3 of the Businass and Professions Code) or that he or sha is e:empt iherefrom end the besis for Ihe elleged ezemption. Any violation oi Section 7031.5 by eny epplicant for e parmit subjecis ihe appllcent to e civil penalry of not more than five huntlretl dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intentletl or oXered for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work himself or herself or ihrough his or �er own employees, provided that such improvemenis ara not intended or oHered for sale. If, however, Ihe building or improvement Is soltl wit�in one year of completion, �he owner-builtler will have the 6urden oi proving ihat he or she tlid not build or improve for purpose oi sele.). � ❑ I, as owner of tha properry, am E%CLUSIVELY CONTfiACT1NG WI7H LICENSED CONTAACTOHS to construcl lhe prolect (Sec. 7044, Businass antl Professions Cotle: The contractors License Lew tloes not eppry ro an owner of propeny who builtls or Improves ihereon, antl who comracts for such projact w0h a coniracror(s) license pursuent to ihe Coniradors License Laws.). ❑ I am exempt under sec. Signature: Owner ID verifled by tlnvefs licensa. ❑ Ves ❑ No Business and Professions Cotle for this reason: Verification o1 Ownership by (type of document, i.e. - property taz biil or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivef5 LiCen58 No. oate: Expires: ❑ I hereby certify that no excavation live (5) or more teet in depih into which a person is required to descend, will be made in connection with work authorized by this pertni�, and that no building strucWre, sceflolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) teet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Celifomla Adminisiretive Coda). ❑ As owner-6uilder, I will not employ enyone to do work which would require e parmit from the Division of Indusirial Satery, as noted ebove, unless such person hes e permit to do such work from the division. Signature: Date: Divisian ot Indusirial Sefery Permit Number: CERTiFlCA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I certity under penalry of perjury that I have read this application and state that ihe intormation given is wnect I egree to comply with all state laws and city ordinences relating to building construdion, end authotlze representetives of the Ciry of Coste Mesa to enter upon the ebove-described property for inspection puryoses. I egree not to occupy or ellow occupency of any building euthorized by this permit until finel inspection. Signature Oi Legal Owner(s) Date AnNOr AuNorized Applicant Date CODE t. INSFECPONTYPE 1616 Fisetl System Final Pire Prevenlion 1266 Pool Spe Finel �0 Final Re-Root 201 Finel BIxWRetelning Well 208 Final Factory Fire Place 203 Final Sign 20d Final Damolltion QL1� I � �j INSPECTIONTYVE 206 Final Mechenical 208 Final Plumbing 210 Final Electricel 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Final Site 250 Finel Building/Occupancy �g � WORKERS' COMPENSATION DECLARATION: � � '• I hereby eHirm under penaliy oi perjury one oi Ihe following declaretions: � ❑ I have and will maintein e cedificale of consent b self-Insure for workers' compensation, es providetl for by seciion 3700 ot the La6or Cotle, for Ihe peAormanca ot Iha work for which t�is permit is i5suetl. ❑'� I heve flnd will maintain worke�s' compensaiion insurance, as required by sec�ion 3700 of the Labor Code, tor the pedortnance of the work (or which Ihis pertnit is issued. �My.workers' compensatpi ,n Insurance carner entl policy number are: ce��a�: % .S}nTP Lt�n�O �in�(/ �cy N ber: �l�—ZC� `� (This section need not be comple iI the permit is velue0 at one huntlretl dollars ($100) or Ie55.J ❑ I canity that in the pen compensation laws oi FAILURE TO SECURE of the w rl for which this permit is issued, I shall not employ eny person in any menner so as to become subject lo the workers' �n gr Ihat It I shou�e sub�ect to the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall forthwith � oai��' 3� s �`5 R' CAMPENSATION CAVERAGE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL ENAL S AND GVIL FINES UP TO dJE HUNDRED 'ION TO iHE COST OF COMPENSATIIXJ, DAMAGES AS PfiOVIDED FOR IN SECTIIXJ 31O80F iHE IABOF CODE, INTEREST, AND NTTORNEV'S FEES. LICENSED CONTRACTORS DEC4ARA710N: �hereby�eRlrm Ihaffamiicensed � er provisions of Chapter 9(commencing with Section 7000) ot DiNsion 3 of.�he.Business and Protessions Coda, antl my license is In full foroe.antl eHectrtJcrk.—' '� CCless # � G �i � C Irec g ture:_ - � Date: > '1i Z r CONSTRUCTION LENDING A NCY: ❑ I hereby aflirtn that ihere is a construction lending agency for �he pedormance of ihe work br which this permit is issued. (Sec. 3W7, Civil Code). Lender's Name: Signeture: _ OWNER•BUILDER DECLARATIONS: Lender's Atltlress: Date: I hereby eXirm Ihat under penalry ot perjury that I am EXEMPT FROM THE CON7RACTORS IICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which reqUires a pertnit to consiruct, alter, improva, tlemolish, or repair any structure, pnor to its issuance, also requires the ap0licant for such permit �o file e signed statement Ihet he or she is licensetl pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business entl Profeuions Code) or that he or she is axempt therefrom end the basis for the elleged exemption. Any violetion of Section 7031.5 by any applicant for e permit subjects the epplicant to e civil penalry of not more ihan five huntlretl dollars ($500).): ❑ I, es owner of ihe propetly, or my employees with wages as their sole compensatioq WILL DO THE WOfiK, and ihe simcture is not imentletl or otteretl for sale (Sec. 7044, Business end Professions Code: The Con�rectors License Law does not apply to an owner of property who builds or impmves thereon, and who dces such work himself or herself or Ihrough his or her own employees, pmvided that suc� improvemenis are not intentled or oHered for sale. 11, however, Ihe building or improvament is sold within one year ot comple�ion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). - ❑ I, as owner ot ihe propeny, em EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS m consimct the project (SecJ040, Business and Protessions Coda: The coniractors License Lew does not apply to an owner ot propeny who builtls or improves Ihareon, and who contracts tor such project with a contractor(s) liCenSe pursuant to Ihe Con�raCtors License Laws.). ❑ I am e:empt under sec. 8usiness and Prolessions Cotle for this reeson: SignaNre: Date: Owner ID veritied by driver's licen5e. ❑ Yes ❑ No Driver's License No. Expire5: Verificatio� ot Ownarship hy (type o� tlxument, i.e. - proPerty taz bill or tleetl): DIVISION OF INDUSTRIA� SAFET�' 7ERMIT CERTIFICATION: ❑ I hereby certify Ihat no excave��on five (5) or more faet in depih into which e person is requirad to descend, will be made in connaction with work euthonzetl by ihis permit, and ihat no building slmcWre, scaHolding, talsework, or demolition or dismanUing thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle 8, California AtlminiS�ra�ive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of Industriel Safety, as noted a6ove, unless such person hes e permit to do such work from Ine division. SignaNre: Date: Division at Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AU7HORVATION OF EMAV: I certity under penalry ot perjury that I have read ihis application and state that the iniortnation given is correct I agree to comply with all s[ate laws and ciry ordinances relating to building construction, antl authonze representatives oi the Ciry ot Costa Mesa to enter upon the ebove-descnbed property for inspec�ion purposes. I egree not to occupy or allow occupancy ot any building authonzed by this permit until final inspec�ion. COOE �. TYP 7616 ixetl System Final Fire Pr6�ention 1266 Pool Spa Final 2�] Final RB-Roof 201. Final BIocWRetaining Well 202+ Final Factory Fire Place 203 Final Sign 204 Final Demolition Applicant j1siE IMITIALS � � LO�EI INSPECTIONTYPE � 206 Final Mechanical 208 Finel Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Pl.�IE mm��L3 AODFESSOFBUILqNG: �j 1 Z Z BARBADOS PL avNexsruMe�va�avr+:SERGISON HARRY J TR �ooness:3122 BAR�ADOS PL COSTA MESA,CA 92626 546-7644 �PPL.MRIIING AOOHE54: u�cxrtECT ox e�axun: ANCN.OHFNG.'S/iDDXE55: uc. ra.: UNT: /�C G UNT: CONIPRCTOR'SNANE:NOCK PLUMBING ( 714 ) 895-1246 CQliHACT0A5YY11Nfi 11610 SEAHOARU CIR anoxsss: STANTON CA uc.no.: 511971 90680 UNT: LICENSEU COHffl4CTOF5 DEClAF1T10N: I herab/ eRim uMs penely d peejury Nm I am lieensetl uMer pombna M Cheqm 9 (eommenciep wilh SeMion ]000� d Oiviaun � ot ihe Buainesa enE Profeaeiona Cade, eM my lieenne ia in tull bree eM eMea. cmuc.No.:050 / uc.cuss:C-36 uc.No.: S 19.7/e1 EXP: 0/97 0 e� l� Conlreaor: Iv�� /�U�� / � NEH BUILUEP DECIAR�TION: I MeeW elfirm uMx peiWy W perjury Ihet I em exemp Irom tM Comrmore lieenae lew lor tln lollovnnp reewn (Sedion )03t.5 Bueimae ene Prole»ions Cade: Any cYy v counry whkh rtquirea e permil to consWn, eller, impran, demoleh, or repeir any awcWre, qiar io Xs eauence, eleo repuirm �M epplirent lor euch permn m fle e aipned etatemenl ihet he or ehe u limnsed W��t ta tM praisione d iM Conlredw� Licenu law IChepa 9(�memiiq wuh Sedion ]000) d DH'sion 3 at �he Buainesa eM Prdmsiom CoEe� m ��el ha w eha ia axamq thaehom aM ihe bsib lor iM ellepeE exempion. My vcW un d Seeion �oa� s M eny eoo��cem �or e pe.mn .ubjeas �ne evv�icam io e civi� oeneM d na m«e �h.n �He nunerea aonen �fsoop. ❑ I. m ovmer d IM vow�Y w my emWqeea win we0� av IMi ede mmPaneeiion, will do ihe xork, and Ne siruaure b na imaMeE or Mered for ale (Sec�ian'lwa, B�sma vd Prdeeawna CoCa: The Conlredon Liceme lawEma rwi epplyioen owner d popeiry who EuilEs ar improvee ihereon, end Mw Eaes auch wak Mmmll or �erseM a throu0h ho w her own empla/aee, proWEeE Ihet wch impmvemente ere rot intarMed n oflaraE lor xle. II. �owever, iM buiMiep or Mpavement ia edd wnhin one yaerW mmDletun, ihe owMrbuitlm vnll heva IM buNen d pwieq M a ehe d'd rw� buiN or impwe /a Ihe pi�ryme ol xb). � I. ee awner M the propMy. em exdusivety conlredinB �^�h licenaed conVaclon b cnnYrua iM prol� (�� )�. Bwireca eiM PMeviom Code: Tha Conlredore Lieenee Lew tloee nd epply to en owner d propeny who WikM a impovae thereon eed who conVxis iw wM pqeea wnh e mmeedor(s) IicenxE W nuent to IM Convaeon L'perea Lawl. � I em eKemq uMer Seclion: B. 8 P C., br ihia reeeon: Da1e: O�nx: i eo nereM cen�ry md i�..�.e a�e uneeniena me �eauiremenn m caieam�. Ha�nn e�d s�,�r coea seaana usos, zssa3, ena 255�C, uW thel I ar eiry iNuro WilEinp ocapent will / wil na (o�c4 one) nead lo canply wIh eek elele mEee aM IM requirementa la epermnlacauvuciianormod'RratbnhomlMAi u�ly.anepemenlDi�nd.ReekmtialrnmivauneppiraiipnenvemqlmmNme proviaione. Deu: Applcenc W OHKER'S COMPEN5ITIDN UECL11flATI0N: 1 Mreby elfirm under penelry W pa�ury aro W IM lolbxi�p Eetlueliona: ��, ❑ I hevs ud xil meimein a csiNiute d coneeni b setlimwe Ior xorkere' compenwian. u prwked tor by Saeian J]00 d tM Labor �. coe., ra, �n. ronormence m �n. wak �o. r,k�n mi. oa�mn ie iae�ea. I_Cl I heve end xid mdmein woAen canpeneelion imurenm, m requind by 6eaim e]a0 d �he Lebor Code, br iM pe�lormence d Ihe 1� work la whih I�o pemiil u bsuad. MV ��' �P�� ineurvwe feriier aM pdiq numEv ere: c�a,: GOLDEN EAGLE EXPIRES adKVN�mw�: NWC' 09 /O1 /96 �nn �a� �.e �or ae �M&ee � rn. w,�,�� A ro. o,�. n��d,ed dde,. n�wl w wn.� ❑ I mrlily Ihel in Iha pa�lormence ol the woA br whkh t�ia paimn ie imued, I ehdl nd emplay eiry peiron in eny mennx ro d lo bacoma wEjap to t worl e�re' wmpenwion lexs d CdManie, an a ihel d yeh k beroma wbpU lo t�e warken' �/y�/pperumbn A!' i etlion 3100 0/ IM leba CoEe. I Mell 1 wnl o p�y w�M�hwa mrisims. �pe�e�/ � � APClkeni: `W /np: F�llun h�cun woilr�ri rompnuetlon eovenp� Is �n/awNl, enA�NII aWHcf en xnployx ro cNMn 1u �nJ clvll fln.� up ro om hunOrM fMuwrM tlolNn (5/00,000), In �tlL/Hon b M� ewt ol romp�wfbn, tl�m�qs �s proN 9xtlon 9)06 0l M� la6or COM, Inhmf, entl ettomsy'a /ws. CONSTNUCTION LENOINO AOENCY: I hareby �im uMm penelry ol perNN �� hen ia e mnmrvqqn biMiip epe�v.y far IM parlormenca W Ihe work /or which iho paimil ie oaued (Seabn ]OB), CM. C). LENDEH'S N4ME: LENUEH'S 10DHE59: I canity IMt I heve road ihu epplicwm ud nna thet the ebove inlume�ion ia wrred. l eprsa �o mmply wnh NI ary vM munry wdinenc» uM s�ms 4xa nitlip lo buiNvp conMr�qion eM MreEy euihorrza repeoentetrves of thu My ro anter upon iM ebwe.meMioneE qopnty �011119pBCIW� p111p0909. RON NOCK iNeme � . �r., z`---•"'--°-'- o�a: i (St5td6 WP) While-Buik'vq 8 Selery; OrsemFle: Cenery-AOG��: A�k�iwenua; OdEenrotl-Mraw CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 077570 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU JOB DESCRIPTION : C/O WATER HEATER CLAIM VALUE: CALC—VALUE: PERM NO: P 077570 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ��+e**�**��*****+��*itat ��*� iE*atie*�*�*+�+�***�*******x �� ***�et**�******ie**�+�iE+�iF**�**« 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 BUILDING ---------- --------- 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 IPARKING REQ: ' PROV: PARCEL: 139�15207 ZNE: REF NO: PLANNING NOTES> ' , � v : . 7E �E 9E 3E �F 3E iE iE iE �IE �E 1E �E IE 1F �E if iE iE if iE if if iE iF if i(� 9f i@ if if iE iE iE iE �E 3ElE jE iE iE if 3E iE 1E 1E i(� �E iE 3E i�� dE')E iE 3E IE 1E if 3f �E 3E �E iElE �ElF 1E IE iE if iflE 9E 3E jE fE 1E iE 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 APPROVED BY HUILDING APPROVED BY : DATE: DATE: / DATE: ��0, 1E9EIElfiEiEfEiEif �E�)E LEGALIZATION:N F E E S U f1 M A FE Y STRUCTURAL SEGMENT:N . BLDG PMT PLUMBING ELECTR� MECHANIC FZRE SMIP/RES GRADING PERMIT 7.00 25� :�� SMIP/NON—RES PLAN � ISSUE FEE 20.00 �� i'✓' BUILDING—DIV—> PERMIT ISSUE PLAN—GHECK TOTAL PAID DUE TOTALS----> 7.00 20.00 0.00 27,00 27.00 .00 "� , REC'ENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK zi,00 ��*��*�*��,��,��,�,��*�� ,�,��*��**��,��*,«*�*,��,��*�*,��,�� *� Z 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 % U 1 WATER HEATER AND/OR,VENT 7.00 7.00 END OF FEES � i� . t / �� ` _�� F`,, r, , i CONSTRUCTION AND PLANNINGj POOI & SPA APPROVAI.S Permit # Date Inspector APPROVALS Permit # �j Date inspector t. Temporary Electrica� Service or Poie 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steei Reinforcemeni 3. Electrical Co�duit Utility-Undrgrnd. 54. Forms ' 4. Electrica� Conduit-Undrgrnd. 55. Electricai Bonding " � 5. Steel Reinforcement 56. Rough Piumbi�g & Pressure T�st , 6. Electrical UFER Gmd. 57. APPflOVAL TO COVER�GUNITE � 7. Footings 58. Electrical Conduit-Undrgmd. 8. Foundat�on 59. Gas Pipe, t7 Undrgmd., Test �` � 9. Wa[er Pipe-Undrgmd. 60. Backwash Lines, P-Trap, G Undrgrnd. 70. Structural Fioor System 67. APPROVAL TO DECK it. Property Sewer Lina & House Connection 62. Backwash & Receptor-Final - 72. Sewer Cap 63. Neater & Vent-Finai 73. Roof Drains 64. Plumbin9 System � Final - 74, Rough Plumbing 65. Electrical-Final 15. Rough Electricai-Conduit 66. Solar SYstem�Final 76. Rough ElecCric Wiring ' 6�. Fencing & Access Approval . ' S7. Rough Wiring Sig� I 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINRL 79. Rough Heating & Air Conditioning FIRE QEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # � 21. Oucts, in Structure 70. Undergrouncl Hydro 22. Ducts, Ventifating 71. Product Pipiny �l Gas ❑ pil 23. Gas Pips-Rough & Test 72. Underground Fiush 24. Roof Framing 73. Undergrnd.StorageTank LGas ❑Oil 25. Roof Sheathing ' 74, Overhead Hydro 26. T-Ber Ceiling {Structurall & Mo.nocoat 75. Dry Chemical � 27. Frame and Fiashing 76. Dry Standpipe , � 28. Lathing & Siding � 77. FIXED SYSTEM FInAL 29. Insulatipn 78, FIRE PREV. FINA� 30. Drywall Nailing HEALTN DEPT. REQUIREMENT 37. Piaster Brown Coat 79. FINAL INSPECT�ON 32. Electrical Powzr MeterP(nal 80. POOD CERTIFICATE ISSUED 33. Final Electric Notes: �_/,¢ g� �d' /��cs" G 3 �T__� _ 34. Final Heating & Air Conditioning Q/ ��,/ �^�� J7 S --G-0.��lT-Yr.i�-�`!Z-C/_ - - 35. Final G2s Pipe�Test ` ,' � 36. Hood or Canopy ';!� ,i 37. Final Factory Firepiace 38. Final Plumbing - r-! 39. Water Service-Final ' 4Q. Gas Serv�ce-Final -;> 41. Solar pomestic-Final 42. Backflow Preve�ter 43. Backflow Irrigation 44. LandscaPe Irrigation System 45. Sound Attenuation 46. Handicap Regulations . � 47. FINAL STRUCTURE & BUILDING = 48. FINA� PLANNING - � . �, 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co � .' 51. CERTI��CATE OF OCCUPANCY No. Date :� ' COSTA �Oo� MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. GALIFORNIA �EE RECEIVED ��*^� �- ►��7 fINANCf' D�PT. rirv nF r.ncta MF�a �� FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT a��o�N� BU I LD I NG ADDRE55 122 Barbados Place COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. owNeR � prl a L ,. • PECEIVlO BV L�ATE RECEIVEO ��j1pTE� SV MAIL J �� ) _ � Y � 1�57 ADDRE55 � TEL. BUILfJING QTV , c A PP.� A (' � l f NO. ADDRE55 ARCNirecT ua COSTA MESA. CALIFORNIA OR ENGINEER Z�J � � � ��]mG NO. FIRE A�pRE55 ZONE 5ummarland Land QTV LIG / xoue poq�s ,.PE � GROVP CONTRACTOR (',f1 NO, n� � � APPROVED TEL. AD�RE55 �O$ hTl�!: E3S �9� NO. BV DATE LEGAL LOT 2 CORRECTIONS I OES<niPiiOrv NO, 2 BLOCK TFACT A,P. NO, SIZE /r� No.oF e�ocs. OF LOT p`l� now orv �oi p USE OF E%ISTING BLDG. $ETBACN LINE�FROM CErviER OF STREEi � I REAR YARD �C� I SIDE YARD RIGHT 1 LEFT � DESCRIPTION OF WORK NEW ALTERATION A�DITION REPAIR MOVING DEMOLISH BUILOING NO.OF SIZE j% � ROOMS i STORIESS EXTERIOR WALL StUCCO ROOF COI1l�OS�.�1OI] COVERING h^ � l Q COVERING .Qj'tl C a IJSE OF NEW BUIIDING Sin�:lo b'amil D�•��ellin 9 A `i� ti% - I HEREBV RCKNOWLEDGE THFT I HPVE REA� THI$ APPLICATION <NO STPTE THAT THE ABOVE IS CORRECT ANp AGREE TO C MPLY WITH RLL CITY OR�IN4NCE5 1�N0 STA E LwWS REGl1LAT G U DING CONSTRUC� norv. VAI.IIATION SIGNATURE OF � i/ PERMiT FEE $ '� PERMITTEE E / �J /�, $ /O /O/ � PLAN CHECK � 1 J�OV AUTHORIZED AGENT TOTAL FEE $ 39 � OO � OWNER SUhLMERLAND� LAND C0. DATE S-3—S% JOBADDRESS 3122 Barbados Place BUILDINGPERMITNO. i��i9ri�i GENERALCONTRACTOR �S�R1ES' B�.(�T'• VALUE $ 1�,909.�0 LOT 27 BLOCK TRACT 2353 ReS, W�Btt, gar. GROUP I St J TVPE V ZONE RZ FIRE DISTRICT SeOb PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMeER Trench ion Forms and Grade to �t F� Heating, Final iM G 5 /�' %�5�� 6ewer, House � Sewer, St. �'K. � 5 �-� 8-S Septic Tank or Cesspool Lathing, In - Out / 'jt 'aL� Plumbi Final GasTest Occupancy FOPM 210 3M 10�•v3 � � •� COSTA MESA BUILDIfVG DEPARTMENT - � P. 0. BOX 31.7 � II COStp MESA CALIFORNIA I � C.L. OF STREET " �iPROP. TINE _ � 10 FT. FOR 60 FT. STREET � � � � H w W � H N � o. � F T. I ST. EY OR PROP, lIN !sa ;=� a �� w a��n � �h .c7j Q � J Vx� w�o 0.:. h �- � U � N PROP LINE " --�—=--1----- C.L. OF STREE � zl — _J� al 0 rc a� � �� , 10 I � � i —' ------� i � FIIdAI� IT� �F � O J ti f�� 60 FTj ST. M � �g5� I �$�� I FOR APPLICANT TO FII.L IN F,iP�E$A Owner I Mail A�dpdress� a�`d�. �dr--��,� City C�� Ph. No _ � _ _ �� — - - .� � - - - - - - - - - - � Contractor/a-��-�� Ph. No:T��7y�9 IAddress �''1�'1- --�%dic'� ��=�-� � I City Lic. No. State Lic. No. ��Ga"� I Size of Lot- M"" ---AP N�/i7 .�5iT,�i,.��is'-�.. ISetbacks: C/L Street ""� Rear -" Q� �� Side Yard - Right " 4" Left ^'^ �'� I Type of Fence �� i '�e'��J�s�� i � � �1��cS,1o� �OL°*,.,. „� I hereby acknowledge that I have read this application and state � that the above is correct and agree to comply with all City Ord- I� inances and State Laws regulating building construction. I �( Signature I \' of Permittee � • _ � ��, Agen �� FOR OF'FICE USE ONLY I� � � Permi No. � ?�3 � Received by , VAI`. ATION a 3�/� 3,/a— Permit Fee P1csn Check TOTAL FEE MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ " ' ' ' MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES ' USE REVERSE SIDE FOR DETAILS — /a--5 Zr � r OWNER ,T(1TjF.S� WTT.7T�M DATE �_��Kq _ JOB ADDRA.SS �� 7 Aarharinc ' BIiILDING PERMIT NO. fj83( GENERALCONTRACTOR gPt.tar An;l+ fanoaG� Cn VALC[E$ �� nn AP. No. LOT 2S TRACT2'�� PIRE ZONE DESCRIPTION OF WORK Bloc�: fence INSPECTIONS I DATE I SUBCONTRACTOR I DATE P�RMITSNUMUB R � Final Gas Test ,a ' Zii.��; COSTA MESA BUILDING-SAFEf`! DEPARTMENT P.O. BO%O1] C09TA MC9A� CALIFORNIA For Applican� ►o Fill In Complefely TYPE OR PRINT COSTA MESA, CALIFORNIA ■ MAIL STATE TBL. LIC. NO. NO. OF LOT c' f% �� Q � ( NOW ol USE OF •� E%ISTIN6 BLD6. I F 6ETB�CK LIN6 FROM DESCRIPTION OF WORK BUILOINO NO.OP SIZE � ROOMB' EXTERIOR WALL I ROOF COVERING COVER U8E OR BUILDIfVG AND WORK TO B! � 1 HEREBY ACKNOWLEOOB THAT 1 M�Ve PEAD THIB �PPLICAT�ON ANO STAT6 THAT TH! ABOVB IB COpq6CT ANO AOHEH TO COM• PLY WITX ALL CITY OPOINANCH9 ANO BTATH LAW6 ReOULATING BU�L�INO CON9TR�lCTION. SIGNATURE OF 1 / , „D�� /,�� PERMITTEE �([�� AUTHORIZHD A6ENT FEE RECElVED ^EC 3 1983 fINANCE DEP7. APPC�GATR7N "PO'R�� BUILDING For Office Use Onty I RHCEIPTNO. I PERMI'. ZONING � NO. OF U6¢ O� NC PLANB Z lUILUIXO LHaAL YARDHAPPROVED MAIN BUILDIN6 !OM GL 6TREETI VAR. JC Y �/S=C "U'/ NG SHALL BE LE3S THAN (ll. B. C. REpU1REMENT'. YARDSAPPROVED ACCESSORY BUILDIN6 BET. MAIN ACGESS.B DATE n SQ. FT. � TH! AMOUNT 9XOWN UNO¢p VALUAT�ON �8 FOP THE ' F PUHPOSH OP 86TAB�IBXINO A PERMIT FEE ONLY. p VALUATION m ��/ PERMITFEE $ ,��_ j s % 1,�� '— E r— ¢ 6 �rnra� cFF S � �� OWNER �5013 AD: GENER� � AP No. ] � TNSPFl1' V FIAE 'LONE 3 llESCRIPTION OF WORK/�� GROUP J TYPE II� PERMI' SUBCONI'1tACTOH i 1963