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Home My WebLink About2350 BUNKER HILL WAY - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.C1.CO5fe•meSa.Ce.uS 77 FAIP DRIVE, GOSTA MESA, C:A 92626 Job Address: Suite No Vicinity: 2350 BUNKER HILL WY WATER HEATER Parcel Nunmber: 41916483 Applicant: SCROGGINS, MARC Address: 7229 VARNA AVE NORTH HOLLYWOOD, CA Owner: JONES, MARJORIE M TR Address 2350 BUNKERHILL WY COSTA MESA, CA Contractor: ALAP ASSOCIATES GP Address: 7229 VARNA AVE Arch / Eng : Address: NORTH HOLLYWOOD, CA WATER HEATER CHANGEOUT ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Claritier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roo( Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 ouilets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Qn PLUMBING PERMIT Status: ISSUED Applied: 10/72/2007 Issued: 10/12/2001 ISSUED BY: � Phone: (800)444-8865 Zip: 91605 Phone: �� Zip: 92626 �� O �4� Phone: (800)444-8865 Zip: 91605 License: 771905 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap 50.00 Pressure Regulator 50.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank 50.00 SewerCap(orDemo $0.00 Sewer Connecl 50.00 Sewer Private Line 50.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor 50.00 Sink, kitchen $0.00 Sink, service/mop 50.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe waterService Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 $12.30 50.00 50.00 $0.00 30.00 50.00 50.00 50.00 50.00 TOTAL CALCULATED FEES: $35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2bi6-4fi (N00) WORKERS'COMPENSAnON DECLARATON: • I hereby ettirtn under penelry ot perjury one oi t�e followinq tleclerations: ❑ I have end wlll melntaln e certificete of consent to self-Insure tor workers' compensetion, as provided lor by sectian 3700 of ihe Labor Cotle, for ihe perfarmanca at ihe wark tor which thls permit Is issued. �'r. I have and will maintain workero' compensatlon Insurance, es requiretl by sectlon 3700 of ihe Letwr Cade, for ihe pertormance of the work for which Ihis pertnit Is Issuetl. My workers' compensatlan Insurence carrler entl policy number ere: ��j ��j / n Cariler: - � �� i(�_ r Policy Number. W G `t ` �O L (This'sscnon need not be completed U fhe permlNs elu� ed et one hund�ed dallers ($100) ar IessJ �—'- -- --` ❑ I cetlity ihet in tha peAortnence of t�e 0qc for which Ihis pertnit is Issuetl, I shall not employ any person In any manner so as to become subject to the workers' compensetlon lews of Cellfomia, nd r6e Ihet It I shoultl become suhJect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fotlhwith complywithiheseprov %'�ns. �-- ApplicanPSlpneture:�� G. � Date: �2 D _i- WARNINO: FAILURE TO SECURE WORKERS' COMPE SA ION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMII AL PE LTIES ANO CIVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLIARE ($100,000�, IN ADDITION TO THE COST OF CAMPENSATIIXJ, DAMAGES AS PROVIOEO FOR IN SECTION 3%OB OF THE LABOF CODE, IMEREST, AND ATTOfiNEV'S FEES. LICENSEO CONTRAC70RS OECLARATION: I hereby eRirm thefl emiicensed under pmvlsions force and eflect:-LIc.X�- Contra`cto7's Slgnawre: 7000) of Divlslon 3 of tha Business�nd Prg�esgions Coda, end my license is in full LCIesS'k' " i �-r• J�e /08te: �ri � (�% / CONSTFiUCTION LENDING AGENCY: ❑ I hereby ettirtn Ihet there is a construclion lending egency lor ihe Derformance ot the work for which ihis pertni� is issuetl. (Sec. 3097, Civil Code). LenABYS Neme: Signeture: _ OWNER-BUILDER DECLARATIONS: LentleYs Atltlress: Date: I hereby aHirm Ihat untler penalry ot per�ury I�el l am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons Code: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, elso requlres the applicant tor such pertnit b flle e signetl statemeN that he or she Is Ilcensed pursuant to the pmNslons of the Contrectors License Lew (Chapier 9(commencing wiih Section 7000) of D'Msion 3 of the Business entl Pmfeulons Code) or that ha or she Is eaempt Iherefrom and the besls for Ihe elleged exemption. Any vialation oi Section 7031.5 Cy any epplicent for e pertr+' sub�ects the epplicent to a civil penalry oi not more then five hundred dollars ($500).): ❑ I, es owner of ihe property, or my employees wlth weges es their sole compensation, WILL DO THE WORK, end the siructure Is not in�en0etl or oHeretl for sale (Sac. 7044, Business and Profe55ion5 Code: Tha ConUactors Licensa Lew does not appty to en owner of properry who builds or improves ihereon, and who does such work �imselt or herself ar through his or �er own amployaes, provitled ihat such improvements ere not Intended or oNeratl lor sale. If, however, Ihe building or improvement is sold wilhin one yeer oi completian, the owner�builder will have Ihe hurtlen ol proving Ihat �e or she tlitl not build or improve for purpose oi sale.). ❑ I, es awner af the praperty, am EXLLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha prqact (Sec. 7044, Business antl Professions Cade: The conirectors License Lew does not epply ta en awner af pmperty w�o bullds or Improves Ihereon, end who caniracts tor such pmject wl�h e contractor(s) licensa pursuant to ihe COn�reCtor9 UCen50 LewsJ. ❑ I am axempt under sec. Business antl Professions Code for this reeson: Signature: Date: Owner ID venlietl by tlrivefs license. ❑ Ves ❑ No Drivers License No. Vedticetion ol Ownershlp by (type of tlaument, 1.9. - property tax blll or deed): Eapires: DIVISION OF INDUSTRIAL SAFETY GERMIT CEHTIFICATION: ❑ I hereby certify ihat no excevetion tive (5) or more leei in dapih Into which a person is required to descend, will ba metle In conneciion with work euthonzea by Ihis permit, end that no building strudure, scaHolding, talsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet hiph. (Chap. 32, Grp 2, Art 2, Sec. 341, lltle B, Celilomia Atlministretive Catle). ❑ As owner-builder, I wlll not employ enyone to tlo work whic� would requlre e permit fram the Division ot Industrial Safery, es noted ebove, unless such person hes e pertnit to tlo such woAc Irom the divisian. SignaWre: Data: Division ot IntlusMal Safety Partnit Number: CERTIFlCATE OF COMPLIANCE AND AUTMORVJIDON OF EMRY: I cenity under penalry of perjury that I heve rea0 this appliwtion antl state that the Infortnatlon given is wrrecl I egrae to mmply vnth all stete laws end ciry ortlinances relating to building consWction, antl euthorize representatives of Ihe City of Costa Mesa to enter upon t�e ebove-descnbed property for inspection purposes. I egree not to occupy or allow occupency ol eny building authorized by this pertnit until finel inspection. COOE 1, INSPECTIONTYPE Qd$� 1[iiID96�a 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Fine181ocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolitian COOE 1 INSPECTION TYPE 206 Final Mechenical 208 Finel Plumbing 210 Finel Electdcal 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Final Building�Occupancy ��_I.11�Iiilllll�l (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2350 BUNKER HILL WY Suite No Vicinity: Parcel Nunmber: 41916483 Applicant Address: Owner: SCROGGINS, MARK JONES, MARJORIE M TR Address 2350 BUNKERHILL WY COSTA MESA, CA Contractor. ALAP ASSOCIATES GP Address: 7229 VARNAAVE Arch / Eng : Address: NORTH HOLLYWOOD, CA WATER HEATER CHANGE-OUT. ISSUE FEE Backflow irrigation Backflow Preventer BathNb Clarifer System Conneci (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn PLUMBING PERMIT Phone: 888330-1777 2ip: Phone: Zip: 92626 Phone: (800)444-8865 Zip: 91605 License: 771905 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub I Washer 50.00 Landswpe Irrigation 50.00 P-Trap 50.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect 50.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 1 012 2/2 001 Issued: 10/22/200t ISSUED BY: � �4Zg�� i' i� � �z.� pA'� Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brki Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Pipinq (Inst or Rep.) Water Re-pipe WaterService Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 $12.30 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES: $35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work mus� comply with all applicable codes, and all requlred Inspectiona and final approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2aae-ae larool WOHKERS'COMPENSAnON DECLAflAnON: I hereby ettirm under penalry oi perjury rne ot the tollowing tleGaretions: ❑ I heva end will maintain e certificata of consent ta selt-Insure for workers' compensation, es proNtletl for Dy section 3700 af the Labor Code, tor the pertortnence of Ihe rk far whlc� t�i5 pertnit is issueA. I have antl wlll maintain workers' compensation insurance, es required by section 3700 ot the Labor Cotle, for the perfortnance of the work for which Ihis permil Is Issued. My wofrAkers' compensatlon I ,u�r nfIce cartier entl policy numDer ere: n Certier. n��f�� . �NH- Pollty Number. �tX�_ �yql ('5��7 (This sectlon need nof be canpleted il ( e permit is veluetl at one hundred tlollars ($100) or less.) ❑ 1 cartity Ihat In the peAortnence ot lhe wo r which this permit Is issued, I shall not amploy any person in eny manner so as to become subject to the workars' compensetlon lews of Celllornia, eg i that)))yyyT should become sub�ect to the workers' compensetlon proNsions ot Secppp'on 3700 oi the Lebor Cade, 1 5he0 fort�with comply wit� t�ese provis'o� � �� 1^/ n /O 1 Applicant Signewre: Date: � �I�� WARNIN�: FAILIIRE TO SECURE WORKER COMPENSA ION CAVERAQE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TOONE MUNDPED TFIOUSM'D DIX.LARE (5100,OW), IN AODRION TO THE COST OF WMPENSATION, OAMAGES AS PHOVIDED WR IN SECiIIXJ 3'IOB OF THE LABOR CODE, IfJrEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I am licensed under provisia torce and etfect. Llc. q� ContractoYs Signature: Chepter 9(commencing with Section 7000) ot Division 3 0l ihe Business and Professions Code, end my license is in full CIeSs k —rr- �� 7- r i'�N Date: 1\ 11 '/ i i CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that there is a construction lending agency for the peAormance of ihe work for whlch this pertnli is issued. (Sec. 3097, Civil Code). Lentler'S Neme: Lentler'S Adtlress: Signatura: OWNER•BUILDER DECLARATONS: Date: I hereDy aNirm thet unOer Denalry of pe�ury that I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Busineu antl Professlons Code: Any ciry or counry whic� requires a permit b consiruct, alter, improve, demolish, or reDair eny structure, pdor to its issuance, also requires �he epplicam for such pertnit to Ne e signed stetement thet he or she Is Iicensatl pursuent to ihe provisions oi the Contrectors lJcense Lew (Chepter 9(commencinq with Seclion 7000) oi Divislon 3 ot ihe Business and Professions Code) or thet he or she is exempt therefrom and the basis for the elleged exemption. Any Nolatlon of Sedion 7031.5 by eny applicenl for e Derrr+' sub�ects the appllcant to a clvll penalry of not more than Iive hundred tlollars ($500)J: 0 I, as owner af the praperry, or my employees with wages es their sole compensatian, WILL DO THE WORK, entl the siructure is not Iniended or oXeretl for sele (Sec. 7044, Business and Professions Code: The Contractors Llcense Law does not apply to an owner ol property who builds or improves thereon, and who tloes such work himself or hersaN or through his or her own employees, provided ihat such improvements are noI Intended or oHeratl lor sale. If, however, Ihe building or improvement Is sold within one year ot completion, Ihe owner-builder will have Ihe burden ot proving that he or she did not builtl or improve tor purpose oi sale.). ❑ I, es owner of the property, am EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct tha project (Sec. 7044, eusiness end Prolessions Code: The conirector5 License Ww does not epply Io an owner ol property who EulldS or Improves thereon, end who camracts tor such prqecl wlih a contrecmr(s) license Dursuant to the Contractors License Laws.). ❑ I em exempl under sec. Business and Professions Code for ihis reeson: Signature: Date: Owner ID verifiad by dnvels license. ❑ Ves ❑ No DnvefS LiCenSe No. Venfication of Ownership by (rypebt tlocument, i.e. - property tas 6111 or deedJ: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I hareby certly Ihat no exwvation five (5) or more teet in depth into which a pereon is requiretl to descend, wlll be matle in connection with work eu7honze0 by Ihis permit, entl the� no builtling siructure, scalloltling, felsework, or tlemolition or dismantling thareoi, will be more then thirry-si: (36) feel high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit trom the Division ot Industrial Safery, as notetl ebove, unless such person has e permit to do such work tram the division. Signature: Date: Division oi Intlustrial Safety Pertnit Numbar: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certify under penalty of perjury that I heva read this application end state Ihat the infortne�ion given is correct. I egree to comply wit� all state laws end ciry ordlnances relating to building constructlon, end authodze represeniatives of the Ciry of Coste Mesa to enter upon the above-tlescnbed properry for inspection purpose I egree not to acupy or allow accupency of eny building euthonzed by Ihis permit until tinel inspection. ign W e egel Owner(s) �� A„ ).; ate L� +��, � I Ay,N r A thonza plicant —� Date CODE 1. INSGECTIONTYPE 1676 Fizad System Final Fire Preventlon 1266 Pool Spe Finel 200 Finel Re-Rooi 201 Finel BIocWRetainlnq Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition PA7E IMRIqLS COOE I INSPECTION TYVE 206 Finel Mechanical 208 Finel Plumbing 270 Final Eleciricel 212 Finel Fire Preventian 220 Finel Planning Approval 222 Final Slte 250 Final BuiltlincyOccupancy QA7E 1ti�L$ �oonessaaw�axc: 7.350 BUNKER HIT,L WX uxi: ONNERSIUMEIFRIUYN: TONES, MARJORT.E M �DDRESS �350 SONKF.RH7i.�T.� W7�Y I COSTA MFSA,C,A 9267.6 �vv�. wuura �ooxess: urcxrtecr on �++rn+�+: uc. ra.: dflCIL OP FNG'S ADDRE55: UHf: caim�crarsru�: STOUT ROOFING INC ( 310 ) 923-6'7"75 caxrn.cToxs�uw�c P O AOX 4309 �� DOWNRV CA „G�, 407.536 90241 uNT: 4CENSEO COIRPRCTOPS DECUIR�TIOH: I Mreby ellim uMM penely d e�ury Iliq I am IironxE uMm pwitbna d Cheqm 9 (commeriaiq xilh Saciion )000) d Divoion J d iM Buvnm uM Pm/esaio e, enE my licama u in lull lacs C eMM. cmuc.No.:059 77 uc.cuss: C 39 uc.No 0253 EX . 10/ 5 Dme: Cwmeqo� OWNEN 9UILOEP EC �T10N: I hmaby dfum uMx pauly d prj.iry IIW 1 em axmmq hom �he CmVaCon Lkmn w la tM IoOoxiq iamon ISeUbn lOJ1.5 Buaiwa� end Prdes�io�u Cade: �M' W a muniY Mfiitl� n9� e O�e io mmwn. r.'vnpm*. iamd'e�, or reper mry svuWve, priar to ila eaerce, ebo repuirm iM epplironl Iw w¢h pertnY to fib e eqmd � Mel M a�he . i�oe�.ae w�� m me wo�,. a �ne co�vaaw. �im,.a �aw Icnaq« s loommendro wnn s.eo, �000) a oHeion a a iro I Bwinem eM Prdea'vn Coda� a IMt In a ahe u exemp ihsehom vM IM Eeao la Ne albped memqian. My videlun d Seqion )03t.5 by eny appliraru /a e pmmn wbpae Ihe epplieem Io e tivil perieAy d ria mwa ihen liaa huedreA ddlen �SSW��. � I. ea o�mer d iM propeMY a mY �GM� �h wagea av ihei eda canpemeiion. wJl do tAe wark. eM iM ebunuro e na inteMeE a oReeeC br eeb (�� a�. Buv�wa vd PMeeaiom Cotle: TM Conlretlm Lioenae lewEom rwl epqyto en mmerd pope�ly wla bulda ar inpovea IMrton. vM who Eoee euM waklimaeX or haae� a thraqA he a her own empb�ew. povked thet wch �mv�maro aa m�nemee «ai.ae i« �. n. now�«. in. w�amo «mv�au e.aa.mmo o�. r.� a oomdaoo, me . ti, o�.c�a�...�u n�. m. wb«, a ww�ro ne a.na ed �a e�u « �mww. io. me wmo.. a.wl. m o.�« a ma wwenr. ��N ��rea�o wn r�»e �,o�io�. m�ww ma ad� (seeo� �ou. a�.o�. �a � m �.�n coea: ma cw�.ea. �. i.. ao� �a aar ro d, o..,,« a o�w�r wno aaa. «�w« m«.00 w.ro .,nvma br+W� vaa� wvh e mNreaMe) Icenaed wAuw m �M CaueaCve limw lawl. � 1 mn azemp under SM'vi: B. d P.C.. br Nu �eswn: � De�e: Owebr I do henb/ ��M tlie� 1 em ewme d erd wMenbM tM nVwremenb M Cellmnu NeMh vW 9NelY CaEe Setlioro 25.505. 25.4'f�, eM 'j$53�1. Blld I�bl I IX LIY �UIYA �III:�1II� 091Cd�1 N1II / WI� Ild (CR�B qll) fIBGd 10 COIIIVF/ W�A bld H1BI! CII�M GIIQ ��1! AilllllTMb �O! e pamn Inwnavuc�ion«modifiutian homiMAi�6ua iTyl�erepanieni Oid�itl. RmiEenliel mntliudion nppG�etiomua azemq Imm �heaa m�.. O+ts: Apqiraa: WOHKEF'S COYPENS�TION DECWiATON: 1 Mreby elfum wMr pe�uEy d prjvy wr d tM IOCOMirq dWuvioro: � I eM N me'vven a caniwe W mmnv b veMimun b warkes' wmpwtlion. n prwidod la by 3Wim J]W d tM lebor ia ma eae�e a u» .� ia.� w v�m 4 m�ed. � ne.a m,a .0 mawv�.,w�..• mnv�o� mw�aze. e i.a�w.e M s«ain, a�oo a m. �en« coee. w m. o�� a m. /arwfiiMNbPe�4omusd.MYwaken'�ipq��.�..�ew�r�,mn..a.: F.XPIRES c,,,b,. r Pdiry Number. 10 / 19 / 9 S lThis venrcn rreed irot be camds�sd I tM 0�� ia lar wro huMred ed/an aol w �ma.1 � I mnh' � in iha pMamenu d ihe wwk la whch thu parmn u . I Nell m� amplry arry peion in memw n n io Exum wbjeq'o tM xoM1era' eanpevalion br.s d Cetilomie eea �hm p Mauk Dettm� ' io tM xaM1on' ca� � w�o a seaim nao a m. iae« coee. i onn n qY ww � oab: MG��x Wem4rp: FW n b ucun wnilrri rompwvetlon cars�ep� l� un4�lu( �nd NYI r4f�ct m wrplqv ro MnJ pNMMq �nJ uw ro,s. �y ro a» nu,ersa rrou,w awrn (s�a4000A a buaon ro m. ro.� oi rompru.von d+m.w+ po� ror �n S�ctlm 9)OS ol tlrs LeDor COAn, lirtrwt aM ertomsy'� Hp. consrnucnoN �ENmda acerxr: � ne.mr � wma oa�eM a wnw �w m.i. o e aonanabn wwre �r �« m. partormer�ce d �tr xwk tar xhirh Rio Varm� a ceued (5mun 30B]. Civ. CI. IENDEN'S NMIE: LENDEH'S ADONES4: I ceniN �� I heve reaE Nb eppl'v:elian aid meis ihel Ne above inlametion ia conw. I ap�ea to comply wnh NI ary enA oounry aEinencea eM etete lexs mWsg w buiNiq <mvuaion eM Mreby emhor¢e repe�enietivae d Ihb dry to eNm �pon iM aboro-mmuiorisd proporry '«'"'°°°'°"D"`D°'°' DI�fiL`�NE BURFORD /- `'/ � —'�----��'---^----_—._. � • `�S151JB WP) WM1ito-Buikiq 6 Sa/ery; Oeeen-Fb: Cenery-ADG�u�: Pink-Revanue; Oddenro��eeam CITY OF CO.riTA MESA. — B()f.T,l).T.NG pF.RM.T.T PRRMT.T NO: A 072542 PT�AN CHF,CK NO; N PF.RM NO: H 07�647. GOV'1' : N S(IPP : N CONS'CRUCTION 'CYPE; VN PFRMIT TYPF.; S'TR PORPOSF..; OTEi ,JOA DFSCRIPT.T.ON ;'P/OFF, SHEATH ts RF.NOOE W/COMP SHINGL6S Sf.) F"f; 2,924 CLAIM VALUF: 7.,97.4,00 C,Ai�C—VAI,i)F,; 2,97,4.00 GRQUP OCC: R-3 / COMMENTS: SMqKE OE'CECTORS RF.QUIRF..D PF.R 91. qHC x�*arx�r�r��r�r�r�*�rx�-�r�r��r**xx��**a��e��r*�***wx*+��zx*��*x�**��c��***�c*�cx�*x�c��x�x�� 7, (� N 7 N G R B(,� 0 C R.F. M E N'C S S� 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 PARKING REO: PROV: PARCEL: 41916483 ZNE: REF NO: PLANNING NOTES> > 1f 1f 1f if if 3! 1f ik 1f' �� if 1! ik if'1F 1f 3f'k iE iE if lE'lf jF lF'lk if 1E if iE'If lE 1E �lE 1E iE iF �1F �1k iF IF it If iF 1f iF iE iE j6% IE aE' 1E-16 % K if %� %iE iE iE �1E%�E 3(' iE 3f- if K if� iE jk �%# lE if 1E Tj F V ti i, O P M F.. N T S F. R V.T. C fi S R F. Q U i R F. M E N T S 7,ONiNG APPROVED AY , DATE: BUILDING APPROVF.D HY ; DATF; - �//��jjj � APPLiCA'LION T.SSUF.D BY; � DATE; �� ififlfitiFkiFlfifffifitiE�lE�1lifk#�lEkifiF�lE�lkiEk�ifkifit aEiE iFif�ifiEkiFfliEiliE3f3lif1E�1EiF7t#iFiEitlf%1E#iE�7fiE)EiEiFiE1F ikiF�iE# LEGAT.�iZA"fION:N F F, SO M M A R Y STRUC'CtIRAT, �F.GMF.NT:Y BI�DG PMT PT,f7MH7NG RI�RCPR.T.0 MECHANIC F7RE SM.LP/R6S GItADiNG pFRMIT 54,OQ .50 SMIP/NnN—RF.S PLAN ISSUE FEE BI1.T.I,DING—DIV—> PERMIT ISSUF. P7,AN—CHF.CK TO'fAL PAID pUR TOTAI�S----> 54.50 0,00 0.00 59.50 54,50 .OQ REVF..NUF. DIVISION TO'CAT,S--> COT�T,ECTRA; 54.50 OVF.R/SHORT: ,00 HT,AG pMT PT,UMBING RLECTK.T.0 MF.CHANT.(' FTRF. SMIP/TOT GRAD7Nt; PT�AN—CH.F.CK 54,00 ,50 k if �k if ik if If �1f if iF 1k ik if it ik �It �IF It iC If If 3F 1f if )k ik 3k k 1k if # ik if k X 3k iE-If 1F IE ik 7f if %# fh iE if iE ik if 3f 1f �lh IF %IE iE �)E �X� jE iF �%�lE 7h �Ik iE iEif if �f iE iF iF1E �lE k�� / I N D I V.L D U A L F F. F. A R 6 A K D O W N T1tPE 4T�f D E S C R I P'C i n N SFR 29?.4 R6ROOF 9K VALTIF. RF.SIAFNTIAT, N07,QNF. END OF PE6S �INIT COST 'fp'CAT, COST 1.00 �,97_4,00 01 OO1E3424—QO1E342g To]-1� 5{,Sp �AT=': 05/�5/¢� TIhE: 10:13 , CONSTRUCTION AND PLANNING POC SPA qPPROVALS Permit # Date ��cto� � APPqOVAk.S � Permit # Date Inspector 1. TemDorary Electrical Service or Poie 52. Pool & Equipment �ocation � y, Soil Pipe�Undrgmd. . 53. Steel Reinforcement ' 3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms - 4. Electrical Conduit�Undrgmd. - 55. Electriwl Bo�ding , , 5. $teel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER �Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electricai Conduit-Undrgrnd. _ 8, Foundation 59. Gas Pipe, � Undrgrnd., Test - 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P�Trap, � LJ�d�grnd. ' 10. Scructura� Eioor System ' 67. APPROVAL TO DECK 11. Property Se�ver line & House Conhection 62. Backwash & Receptor-Finai � 12, 5ewer Cap , 63. Heater & Vent�Final " 13. Roof Orains � 64. Plum6ing System - Final ' 14. Fough Plumbing � 65. Electrical-Final • . 15. Rough Electrical�Conduit � 66. So�ar SYstem�Final ' � � 76. Rough ElectricYViring 67. Fencing & Access Approval , " 17. Fiou9h Wiring Sign � 68. APPROVED FOR PLASTERING 18. Fough Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI 19. Rough Heatin9 & Air Cond�t�oning FIRE DEPT. REQUIREI4�ENT i 20. Rough Factory fireplace � ' `� � � APPROVALS �- Permit # _ 2L Ducts, in Structure ' 70. Under9round Hydro 22. DuMs, Ventiiating �� 71, Product Pipinc� OGas ❑Oil 23. Gas Pipe-Rough & Test � _ • 72, UndergFound Flusli 24. Roof Framing �' ' " � 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathtng � b��f��j �p 74, pverhead Hydro 26. 7�8ar Celin9 IStructural) & Monocoat 75. Dry Chemical z7. �rame and Fiashing . 76. Dry Standpipe 28. Lathing & Siding ' � ' 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywail Nailing . HEALTH DEPT. REQUIREMENT 37, plaster Brotivn Coat± 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CEftTiFICATE 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 � . 39. Water Service-Final 40. Gas Service-Fi�al � � 41. Solar pomestic-Final 42, 8ackfiow Preventer , 43. Backflow irrigation . - 44. L.andscape Irrigation System - 45. 5ound Attenuation ' . . 46. -Handicap Reguiations 47, FINAL STRUCTURE & 9UILDING �,,Li� �� 48. FINAL PLANNING � 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co � ` 51. CERTIFICATEOFOCCUPANCY Np, Date 04VNER SAN V23PA BUILDING COMPANY DATE 6-i-64 INSPECTIONS .E 'LONE DESCItIPTION OF WORK GROUP 7&S TYPE V .ZONE SUBCONTRACTOR I ^ • ?�?fg •COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BO% 9/7 COS7p MC9A. CALIPOPNIA For Applicant to Fill In Completely TYPE OR PRINT - BUILo1rvG /�� O ADORESS oG COS7A MESA, CALiFORNIA OWNER l' MAIL ^� ��'1 ADpRE58 (S �.n � . // TE�� -�'/ FEE RECEIVED !AY 1 9 1&�9 fINANCE DEPT. APPL�CATi�N'ROR' PeR�7T BUILDING For Office Use Only fl[C61P�N0. ^�$�AI, [{ 1�� Y T[ q6 IVg D OATE IHBlIBO �% —!/'% ,JI�N i ,ar,,,y� TYPE�_ GROUP 1 �(-;� ADDR686 -"� —��()�' A.P.NO. �� i � / CITY NOTE: NOBAVEOVERHAfiOBNALLBELE33THAN STATE � TEL. � ! 90' TO 6IDE 8 REAR P. L. LIC. NO. NO. / a EAVES SIZE I rvO.OPeLOae. / � ALLOWED �U.B.C.REQUIREMENTI OF LOT Now ox LOT �� YARp3 APPROVED YARDSAPPROVED USEOF MAIN BUILDING AGGESSORY BUILDING EXISTING BLDG. fFROM G/L TREET) �� 9EfBACK LINB P110M � ' FRONT FT. FT. eeHren oF sraaei REAR YARD /(� 61DE YARD I LEFT v I R16HT (�.� R. HIDH `% FT. FT. DESCRIPTION OF WORK L.81DH n rT. Fr. \X, � NEW � ALTERATI N� ADDITION RHAR O PT. Ff. 1 S OI6TANCfi BET. BfiT. MAIN d W MAIN BLDG9. ACCESS. BLO69. REPAIR MOVING DE OLIBH u VAR, jF DATE � 5 Z�E DING�O •�. .� ROOMS � BTORIEB � C. U. P. APPROVED / a EXTERIOR I ROOP � W✓y"�'1 DATB � ,/v V � COVERING COVERIN6 � U58 OF BUILDING ANO WORK TO BE PERFORMED / � Q � U �J � n �� / iv SQ. FT. 4 �j � 1 XEREBY ACKNO L8DO8 TXAT 1 NAVE REAO TXI9 APPLIC�TION TX8 �MOUNT BHOWN YNOER VALUATION IB FOH'fH8 = O •NO BTPTE TX/y THb ABOVB IB CORRECT AND AOR88 TO COM. PI1RP08H Op 88TABLIBHINO A P6flM�T PEE ONLY. 0 PLY WITH ALL/C� OHDINANCi6 AND 9TAT8 LAWB H[OUL�T�NO ypLUAT10N �/ LL' BUILDINO CONBTPY ION. �/d ? Q � - PERMIT FEE $ 0 SIGNATUREOF m .] ' PERMITTE /ui ` s�/�� A C EC � AO u 't AUTHORIZED Af'i NT j, � TOTALFEE �