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Home My WebLink About3017 BUCHANAN WAY - Building Permits(714) 754-5273 • Fax (774) 754-4856 • wvnv.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA. CA 92626 ,lobAddress: 3017 BUCHANAN WY Suite No Vicinity: Parcel Number: 14114120 Applicant: HEIMSTR,4, HOWARD Address: 767 N MAIN ST ORANGE,CA Owner: O'REILLY, RONALD JACK Address: 3017 BUCHANAN WAY COSTA MESA, CA MECHANICAL PERMIT ISSUEO BY: Phone: (714) 516-9970 Zip: 92868 Phone: Zip: 92626 Contractor: SELECT HEATING AND AIR CONDITIONING Address: 767 N MAIN ST ORANGE,CA Phone: (714) 516-9970 Zip: 92868 License:445205 SCOPE OF PERMIT FAU CHANGE OUT. NO RELOCA710N OF FAU PROPOSED. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / All Cooling/Heat Inst / Rep. Recess Wall HU Refrig Sys <100 k BTU Refriq Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Venl Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocale Appl V@nt Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 So.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Repair! AIf Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporalive Cooler Commercia l I n cineretor Domestic Incinerator Compressors / Absorotion Svstems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 tip / 1,750 k BTU Over 50 hp! Over 1,750 BTU Boilers Upto3hp 3Tot5hp 15to30hp 30 to 50 hp Over 50 hp , .. - Other MechaniCal Fee � Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 11/12/2003 Issued: 11/12/2003 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 SO.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $38.30 NOTICE: The work authonzed 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 it work is suspended or abandoned tor a period of 180 days. INSPEC710NS: In order tor the work authorized under this permit to be considered legal, such work must comply vnth all applicable codes, and all required Inepeetiona and final epproval must be obtained. Failure to obtain Inspectlons and tinal approval will result in the expiration ot this permit. FOR WSPEC710NS CA4L: (714j 7545628 244&48 (B/00) WORKERS' COMPENSATION DELLARATON: '� 1� I hereby ettirm under penelty ol per�ury ane of the tollowing dederetlons: ❑ I heve end wlll malntein a certifcate of consent to self-Insure for workers' compensation, es provitled for by section 3700 of the Labor Cotle, br Ilie pertortnance at Ihe 1 work tor which this pertnit Is issuetl. j� I heve entl wlll \J Myworkere'c Cartier. ❑ I certity that in the per compensetlon laws ot compy with these pro Applicant Signeture: WAHNINO: FFILURE TO SEWi TMOUSAND DOLLARE ISt00.001 kers' compensatlon Inwrence, as requiretl by sectbn 3700 of Ihe Lehor Cotle, lor ihe peAortnance ot Ne work for whkh Ws pertnit is Iswed. Insurenca cerrier and poliry number ere: Policy Number. ReO if N� pemtitls value af one hundred dWlars ($100) or less J � the work fo� w ch ihis pertnit Is issued, I shall not employ any porson In any manner so as to become sub�ect to the workers' end agree ia l I should become subject lo tha workers' compensatlon provislons of Section 700 0l tpe Lebor CoOe, I shell farthwith - Dete: f �I �—�"li/ ( / � ) S' COM� AiION WVEMGE IS UNLAWFUL AND SHAU. SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES ND CI L FlNES UP TOONE HUNDRED ]fJ TO E OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'!OB OF THE IABOR CODE, IfJrEREST, AND ATTORNE'f5 FEES. LICENSED CONTRACTORS DECLARA710N: I hereby atfirtn Ihe1 I am Ilcensetl u er provi on ot Chepter 9(cammencinp with Sectlon 7000) oi Divislon 3 of Ihe Business antl Professions Cotla, entl my license is in tull torce enC eflecl Llc. a / � Cless a Comraaors Signature: [ Date: / CONSTRUCTON LENDI(1G kGENCW. ( l ❑ I hereby eflirtn Ihet Ihere is a construction lentling agency lor Ihe peAormance of ihe work lor which ihis parmi� is issued. (Sec. 3097, Civll Code). Lender5 Neme: Lender's Adtlress: Signe�ure: OWNER-BUILOER DECLARATIONS: oate: I hereby affirm thet under penelry ol perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu antl ProFassians Code: Any city or counry which reqWres a pertnit to consWcL elter, impmve, demolish, or repair eny sWcture, prior to its issuance, elso requlres the flpplicaN Por such pertnil to file a signetl statement that he or she is licensed pursuant ta the proNsions ot the Conirectors License Lew (Chapter 9(commendng with Sectlon 7000) of DNision 3 ot the Business end Pmfessions Code) or that �e or she is exempt Iherelrom entl t�e besis for t�e alleged ezemption. Any violation ol Section 7031.5 by any applicant for e pertnit sublecis the applicent to e civil penelry of not more then frve huntlretl dollars ($500).): ❑ I, as owner ol the property, or my employees with weges es Iheir sole wmpensatlon, WILL DO THE WORK, antl the structure Is not intentletl or olferetl for sale (Sec. 7044, Business and Professions Code: The Contractors License Lew dces no� apply to an owner of proDerty who builds or improves thereon, and who does such work hlmself or herself or �hmugh his ar her own emplqees, provided that such improvemenis are not intentled or oflered br sale. If, however, �he building or impmvement is sold within one year ol completion, iha owner�builder will have �he burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I, as owner ol the property, am EXCLUSIVELV CONTRACTNG WIiH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, 8usiness and Professions Gotle: 7he wntreaors Llcense Law does not appty to an owner of Oroperry who builds or Improves Ihereon, and who wntrects for such pmlect wit� a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Cotle tor t�is reason: Signature: Date: Owner ID veritied by Onvefs Ilcense. ❑ Ves ❑ No Oriver's License No. Venfication ol Ownership by (type ol document, i.e. - propeny tax DIII or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: Expires: ❑ I hereby certily thet no exceve0on live (5) or more feet in depth Imo which e person is requlred to descend, will be made in wnnectlon wlih work euihonzed by this permit, end ihat no builtling sWdure, scaXolding, talsework, or demolitlon or tlismantling Ihereol, will be more Ihen thiny-six (38) feet hig0. (C�ep. 32, Grp 2, Art 2, Sec. 341, Title B, Celltomia AOmINs�retive Cotle). ❑ As owner-bulltler, I wlll not employ enyane to tlo work which woula require a permil imm tho Divlslon ol Indusldel Setety, as notetl ebove, unless such person hes e permit ta do such work from lhe tlivision. Signeture: Date: Divislon ol Intlusirial Selery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJfHORPA710N OF ENTAV: I certity untler penalry ot perjury thet I heve reatl �his apD��ion antl state thet Ihe Inlortnation given is correct. I egree to compty with ell state laws en0 dry ortlinances releting to huil0ing conswction, end authodze representatives ot t�e Ciry ol Coste Mesa to enter upon the ebove-described property tor in5pection puryoses. I egree not to occupy or ellow occupancy ot any building authonzed Dy �his permit until final inspection. COUE I. INSPEC710�VE1 � 1618 Fixed System Finel Fire Prevention 1268 Pool Spa Finel 200 Final Re-Rool 201 Final Block/Retaining Well 202 Final Factory Fire Place � II � �y,� Date �— oa�a �� yppg1 wsvecnoxTrre 208 Finel Mec�anical 20B Finel PlumDing 270 Finel Electdcal 212 220 Finel Flre Prevention Final Planning Approval 203 Finel Sign 222 Finel Site 204 Final Demolltion 250 Finel Building/Occupancy -1 O � t (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 3017 BUCHANAN WY 14114120 Applicant: OREILLY, 70M Address: 26562 PEPITq ST MISSION VIEJO, CA Owner. O'REILLY, RONALD JACK Address 3017 BUCHANAN WAY COSTA MESA, CA Contractor. O W N E R-B U I L D E R Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to thp Motars to tOhp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Status: ISSUED Applied: 10/29/2002 Issued: 10/29/2002 ISSUED BY: �1�� Phone: 949-837-4138 Zip: 92691 Phone: Zip: 92626 Phone: Zip: License: 000000 SCOPE OF PERMIT EIECTRICAL TO INCLUDE: 1 SUB-PANEL TO 200 AMPS, 1 MISC CONDUIT, 1 MISC CONDUCTOR, AND � MISC �LECTRICAL EQUIPMENT FOR ABOVE GROUND SPA. 523.50 SO.Ob 50.00 50.00 50.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $O.OU 530.50 50.00 Quantity FEESUMMARY Temp Dist System / Lighting Busway /100 k Stantling Section Misc Electriral Equipment Transformers up to 1 kva/kw ................up to 10 kvalkw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low VOIt Wiring System / Ckt Misa Conduil Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electriral Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $18.20 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $18.20 1 $18.20 1 50.00 0 50.00 0 50.00 0 $0.00 0 30.00 S0.00 $0.00 $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicablo handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 7. 72-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 75G5626 2a46d8 (fl�00) WORKERS' COMPENSA710N DECLARATION: � I hereby eflirtn under penalry ot perjury one of the following declarations: ❑ I have end will meintain a certificate of consent to sell�lnsure for workers' compensation, es provitled for by section 3700 0l the Labor Code, for ihe perlormance of Ihe work tor which this permi� is iuued. ❑ I have end will meintain workers' compensation insurance, es required by sectlon 3700 0l ihe LaOor Code, for Ihe peAormance of t�e work for which Ihis pertnit is issuetl. My workers' compensatlon Insurance carner antl policy number ere: Carrier: Policy Number: (This section need not be comp�eted i/ the permit is velued et one hundred dollare ($100) or less.) �j�l certify t�et in t�e pertorrPenCe of Ihe woM tor which Ihis pertnit IS Issued, I shall not employ any per5on in any manner so as to betome sub�ect to lha workers' compensation laws of yyyCelifomia, and agree Ihel if I should become sub�ect to Ihe workers' compenselion pmvisions of Sectlon 3700 0l the Lebor Code. I shall iorihwit� comply with these p�isions. � . �j / Applicent Slgnature: � /'r7�++ �J , U t, Dete: � h!�'U,? WARNWG: FAILURE TO SECURE WORKERS' COMPE ION GUVERAGE IS UNL4WFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNORED TFIIXISPND OOLLARE �5100,OW�, IN ADDITIIXJ TO THE COST OF CAMPENSATION, DAAWGES AS PROVIDED FOR M SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATON: , I hereby aHirm ihal I em licensed untler provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of the Business and Pmfessions Cotle, end my license is in full ' force end eHect. Lic. a Class x Coniracbrs Signemre: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm ihat Ihere is e wnstruc�ion lending agency tor the pertormanco of the work for whic� ihis permit is issued. (Sec. 3097, Civil Code). Le�tlei s Name�. lentlers Address�. SigneWre: Date: OWNER-BUILDER DECLARA'�ONS: I hereby aflirtn t�et untler penelry of perjury thet 1 am E%EMPT FROM 7ME CONTRACTORS LICENSE LAW for IOe foilowing reason (Sec. 70.31.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, elter, improve, tlemdish, or repair any siructure, prior to its issuence, also requires tha eppliWnt lor such pertnit ro file e siqnetl stetemenl that be or she Is licensetl pursuant to �he provisions of the Contrectors License Lew (Chapter 9(commencing with Sectlan 7000) 01 Division 3 ot the Business and Professions Codd) or that he or she is exempt therefrom end iha basis for the alteged exemption. Any violetion of Section 7031.5 by eny applicant for e pertnit subjects the epplicant to a civil penalry of not more ihan live hundretl tlollars (5500)J: ❑ I, as owner of �he pmperry, or my employees with wages es their sole compensation, WILL DO TME WORK, and Ihe swcWre is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of propehy who builds or improves iheraon, antl who does such work himself or herseif or through his or her own employees, provitletl thet such�improvements are not Intentletl or oNered for sale. Ii, however, the builtlinq or Improvement Is soltl wit�in one year of comPletion, the owner-builder witl have ihe burtlen ot proving ihat he or she did not build or improve for puryose of saleJ. ❑ I, as owner of the proDehY� am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business and Professions Code: The contracrors License Law does not apply to an owner of propeny who �uilds or improves iheraon, and who contrects for such pmject with a contractor(s� license pursuant to ihe CDntrectors License Laws.). I am e:�emyt undar sec. ' 'g ture: �7>rn, ��'✓� O ner ID vantied by driver's lice�s% Vedficatlon of Ownership by (type ol �- Business and Professions Code for ihis raeson: ' 7 / Date: %L7 `..i�-GJ ❑ No Drivefs License No. (� � Expires: �'�.�"d� pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cehify ihat no exCe�ation live (5) or more feet in depih imo which e person is required Io descend, will be mede in connedion with work euthodzed by this pertnit, antl Ihat no building stmcWre, scaflolding, falsework, or tlemolition or dismamling ihereoi, will be more than thirry-six (36) teet high. (Chap. 3.2, Grp 2, A� 2, Sec. 341, Title B, Celilornia Aaminis�rative Code). ❑ As owner-6uilder, I will not employ anyone to tlo work which would require e pertnit from the Division oi Indusinel Sefery, as noted ebove, unless such person hes e permii Io tlo such work from the division. Signature: Date: Division oi Intlusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I certify under penalry of perjury �ha� I have read Ihis application antl s�ate that ihe inlortnation given is correct I agree to wmpty with ell state laws and dry ordinences relating to bullding construction, end euthoAze representatives of ihe Giry of Costa Mesa to enter upon Ihe ebove-descnbed propeny tor inspection purposes. I egree not to occupy or allow occupflncy ot any building euthorized by Ihis permit until tinal inspeaion. CODE I. INSPECTIONTYPE PAIE Itl�IELS 1876 Fixetl System Flnal Fire Prevention 1266 200 201 202 203 204 Pool Spe Final Final Re-Roof Final BIocWRetaining Well Final Factory Fire Place Final Sign Final Demolition Date fG7 :� 1 � ? Data CO�EA INSPECTIONTYVE 206 Flnal Mechanical 20B Flnel Plumbing 210 Final Electdcal 212 Finel Fire Pre�entlon 220 Final Planning Approval 222 FinalSi�e 250 Final Builtling/Occupancy QAIE It�E44 / i L-1 `I�1 V� DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Street Address AP Number: 1. I(we), , declare that I am the Owner of Title of the above referenced real property, and that I(we) h� eby authorize: Name: Street Address: a Telephone Number: �/ � v�% � �� v � City: �79 � 5 S� h A i �� /.� V[j State: L il � Zip: �� to obtain pertnits in my behalf, as owner/builder, for atthe above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workers Compensation Insurance coverage and cause a certiTicate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of Califomia laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. i agree to indemnify and hold the Ciry of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City ot Costa Mesa. 5. I declare under the penalty of pery'ury that the foregoing is true and correct. Executed this day of 20 _, at , California. �Print Name: � I � /C21 (�Lt� xSignature: �L1�{XiC/ V ��=(iC.C-C�' XDate: I D/oZg�r%CY��v a-�%�r�}— Note: This author¢ation does rrot granl authorization to perform the work as owner, it soley pmvides for limited power of attomey to secure ihis pertnit in any behalf. 077946 (rev.11/00) I�OORF390iBNLqNO: jOI7 BUCHANAN 41Y �M� ONNENBNWEIFpq�N:O�REILLY, RONALD JACK ��p�=�O'REILLY SHERYL A 3017 BUC�IANAN WAY OSTA MESA,CA 92626(714)458-9440 AYPL.IWl1N0 �DUNF5.4: • ,�p�RECT0AQ10MFER: ��= YICN.OP ENO.'S �OOPESS: UNT: _— _— � axm�cranrun CLIFF BROWN ROOFING ( 714 ) 458-9440 cam,�croxs ��nwo 2 3 3 9 2 MAD ERO �saMISSION VIEJO CA ucxa 506664 92691 urrt: E LICENSED COMNRCTON9 UECL�NATON; I Assby ellim wMr psWy d perjury Um I em fumnod udar pwieion+ d CMqer 9 (mmmencM wuh Sectim ]000) W Dirisian J M Ow Bw'vrn W Ralatonu Cods. ud my fmw u m hA b�ro W aflae. cmuc.no.: q2qp7 uc. uss:C39 uc.No.: $p(a66/� EXP: 00/00 � — cower,«: � � `�— oma: OWNEN BUILDEfl OECLAHATION: I herab/ eRum uMx prWY d pajay Ihtl I am anmp hwn tM Cam�ram lioxve law fa Iha 'dbwn0 �eeaon (Seubn ]W 13 Busiwa end Aolawvi� Cede: MyW a on+enY r.Aidi niu'vee e V�4 to aanbud. aAa.'vnWova. Ymd'oh, a repei mry aWcnaa: priar b b eauvioe, eho nQinm Ihe epp6uN la aurh pxmE to Na e apmA patamem tlw M a�M . lioemed pvwW to �M pomim+d tM Cad�atlaes Limiue law ICheqs 91�m��0 �h SWion )000) d Orvebn J tl IFs Bwinw eM Prdeae'va COM� a tMt M a eM e memq IMelmm and 1M Dme la tlr dbped uamqion. Nry vidmion d Sedion �oais W.m+w� �«. o� w4ee+u..od'� �o. aa v�M d �a mn. men r�. mow�ee mom. �ssoop. � I.moxTMrdiMP�W�YamV��ewihwpe+n�MietlammM�.w�TdoNar�alc.endNeetiucWiawnoliMeMad a Mersd fa seb (SsUion'lOaa. Buimv aM PmleaaiomCoCe: The Canredaa tironae lew doa+mt eGVN�o en ownerd p�opeily who Witle a inpwaa Ihmeon. rd wM Ew aud� r.ak h'vnrtl alvaN a Waqh hc ar her oxn emdW��. q�� IW wch imqwameMa ve mi Wxded a d1amG la ub. tl. hows:er. tM buili'uq a inprovaneM u wld wilhin ons Yw d mmplNun. tM ownm-0uilder vrill have ihs Wken d poriiq M ar Ms d'd nal ba'N a impv.e /a the pnpova W eeb�. � I. a� owmr d �M D'W�Y. em axMmvel/ comrmM M'v� fiow�faE oormecYm ro mnuud IM pal� (5M'vn ]OM. Bus'uroea eM a�d�. coaa: rne wmmo� u«�.. �. do.. m rodr w.o wm« a wooenr .ro aam « maw.. in«ao� .oe wno wmrecn la wch prqecn vnN e wmmaar�a) IcemeE Wnuam �o �he Cam�mae liunee lawl. � I am eaemq unEer Seciion'. B, 8 P.C.. br IM reaem: Deia: ��: 1 Eo haebY �M�N tlW I em evers d ud uW��urA Ns npuinmeron d Cdiareie Vimbh ud F�elaiY Code Saaou 25505. 25533. W 25551, enE ilut I u eiry Mun Euikiiq ocapeni r.ill / wil �(d�cb one) nmE lo wmpy wi� eeid ews mdr vd iM royWromanb M e V�� lammtrutliona �roEdmionhdn�MAisueiT��enepamem Oiuria. RmdsaW muvutlion ePP�iaroenaxemq Irom ihra >�,.. od.: �ow�: WONKER'9 COMVENS�TION OKLAfl�110N: I herab� effmm iaMs psWy d prjrty ar d tlr b0ow'up dsdere�'vn: ❑ in.�e.rowme:n.:�.�.w�.am..u�o.w:�mv.�«w�..•m�qwui�n...n�r«Msea�maaoam.iee« �oda.lp �M pMamvca tl Na wak Ip wlic� Ne pemu b ivuW. hew aM wil meiNen wM1a�' mmpenW ion muuvm. n ny�w�E M Swion 9]00 d Ns lebar Coda. lar �M Gu�amanoe d IM �— ork la xNCM1 iMs WmH e iouad. MY waYan' cwnW�bn 4vwvc� anir md C�Y wmEer ero: c.m« STATE FUND EXPIRES aaryr�w ��finwrT�S�� 10/O1/98 /mi, esn:n �..d na w cm�Wxw r w o«m� a rn on. nuww mm�a R�aol n.bo.l � i wn/y thm in Ne vNamenca d Ns wM Ior xhFJi ihe o«mi'o b�sd. I Nel na anWW enY Od� o enY mennar �o n b became wbjaa �o IM woM1en' mmpwmun lew� d CNdaMe. eM tlxt Y I Ywtl bxms wasd b �M wo'ken' �'n � 7 8 0� a�ao a u» �. i d.o�«n�cy/�n u�o.. o�wmo�d. Dw � WIT�/Ip: f�A1M� b/iIMVDIkII� C011pM1YdOI1 M1��I11 � 1/10 ��Yn /InMCI N II�qlO�'�!O C/�/Y�pMI�M 1/10 elHl niw ap ro u�r MnE�M Nw+utl aol4n ftiaAroOA h��n m tlw cwt ot eurywwtloR Canrpu u provlAW ror In Ssetlm 9Rb ol M� l�0or COJ, Infwut �� m+mry'� fw�. CONSTIIUCl10N LENOINO G6EMCY: I hrMy eflim+ uidar pautly M perjvy tlut �Mn u e m�n�ion Medinp q�ericy la Ne perlormeMs W iM r.dM la whiN rt�u M�1 u eaM (Seeion �061. CH. CI. LENDEP'S NWE LOlOEfl'S �DDFESS: I cMJy ihm 1 haw ruC Nu eDMceYan rd nns �M Uw aEw�'udamLLun o wnea.l ePw tocamdY we� eY aY eM odmlY ad'mxwes ard ewe lawe �elmM b buJdiq mruvuebn ud haeEy ewhavs np�aaeMaln*a W ihe �YV �o muw upon �Aa Won-memioned ttoPaM �«��'��`��JASmN GREER Gmn Neme Ume: � / Sipnmive d OMw/ApenVAVD��a (St5tde.WP) Whue-B ldiq 8 SeMy; Onai�Fb: Cenery-Appkau: Fnk-Re�anw: GdEenro0.Mmav cK CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: H 087994 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOB DESCRIPTION : T/OFF EXIST COMPO, REROOF W/NEW COMPO u6 '(�� PERM NO: H 087994 GOVT: N SUPP: N PURPOSE: OTH SQ FT: 5,580 CLAIM VALUE: 5,580.00 CALC—VALUE: 5,580.00 GROUP OCC: R-3 /U-1 COMMENTS: APPLY 25YR COMPOSZTION ROOFING AFTER TEARING OFF OLD COMPO ROOF +r*�r��r*�r*�r�**�e*��e*�r***x�r*��r+r��r*�r*�r*�r�r�*�r*�r�**�e*+r*�e�r*�e***�r*+e��r*�+r**��r��*�e�* 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 HOILDING --------- FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN LEET: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING RE�• PROV: PARCEL: 14114120 ZNE: REF NO: PLANNING N TES> i ikiEiEMMiklEifKiEMMitiFitMlFkifMifkifiFiF%iFiFifiFlFiEiEiF�EifiFiFkiEifiFifiFMK�EiF1FklEiEiEiF1FM3fKIfiEffifif%iFiFiFiEiFifiEKiEiF3FiflFiFiF 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 HY . BUILDING APPROVED BY : APPLICATION ISSUED BY:��F��AF�� v CJ" k�E1EM*if1fMM1fMMMMffiFlfkMMiflf LEGALIZATION:N F E E S U M M A Y HLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 112.25 . PLAN ISSUE FEE HUILDING—DIV—> TOTALS----> 0 DATE: DATE: p �DATE: � � / iFififiEMiFiFifiFit ifik STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING 56 SMIP/NON—RES PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 112.81 0.00 0.00 112.81 112.81 .00 REVENUE DIVISION TOTALS--> COLLECTED: 112.81 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 112.25 .56 i• iE 1f 1f M M 1F 1F 1F M 1E M If 1f M it iF if it M 1k ik 1f M if 1F it Ik �f iE if 1t if �F iF�iE M ik iE M 1f it M ip jt M iE 1f if if if 1f 1f 1F If if M k iF %if 1E iF it iE �F iE 1f �f 1F 1! iF ik iF if iF ik if ii if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O_N UNIT COST TOTAL COST SFR 5580 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,580.00 END OF FEES t ' , �," 3Y�t-:5ia/:2:i.7 !�;Jn112.oi �CGTN: -��c.�a� '�ti¢i:i i �C•i874�s'4 . . �� CONSTRUCTION AND PLANNING PO SPA qPPROVALS Permit # � Date Inspector AppROVAL$ Permit # Date inspector t. Temporary Electrical Serviceo �Pole 52. Pool & Equipment Location 2, 5oLl Pipe•Undrgrnd. � 53. Steel Reinforcement �3. �iectrica� Conduit UiilityUnd�grnd. - 54. Forms T4.-Electrical Conduit-Ur?drgrnd. 55. Electrical Bonding -5;,S,teel Reinforcerp�Mtc - 56. flough Plumbing & Pressure 7est �•6:'{�lectrical UFER��+nd. 57. APPROVAL TO COVER•GUNITE ' . : J9_[FODtings ' � � 58. Electrical Con�uiT.Undrgrnd. � B: Foundation ,� -.. 59. Gas Pipe, O Undrgrnd., Test m •�'9';�Jeter Pipe�U�dt'grnd. � 60. Badcwash Lines, P-Trap, � Undrgrnd. �10. Struttural Floo System 61. APPROVAL TO DECK . 'i1. PrbPerty Sewer Line & HouseLonnection 62. Backwash & Receptor•Final � 2• Sdwe' CaP � i 63, Heater & Vent-Final , 13. Robf Orains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Coaduit . 66. Soiar System-Fipai 16. flough ElectricWirin�g : • 67. Fe�cing & Access.Approval 17. Rough Wi�ing $iyn , Fig, pppROVED FOR PLASTEft�f�lG 78. Rough Electrica��T Bar Ceiling 69. POOL/SPA SYS�EMS FINAL 19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT - . .,. - . 20.`RoughFecto"ryFi£e�lace �� ; _ - • APPROVALS'; Permit# _ � 21.'Duas,iriStructur.e; �• • �-* 70. tlndergtoUndHydro ' 22. Ducts. Ventil�jing, ��- :� :" 71, product'Pi�Sin9 [7Gas ❑Oil 23. Gas,Pipe� o h&�Test r/: `• � ' •. ��. . S !x� - 72. Underground F4ush- r 24. RooTFraming• '"' ' •' r= � �' 7g; Undergmd.StoraqeT.anQ OGas ❑Oil 25. Roof She�thing '� ;t v i� ' � =1 �. 70. Overhead HydrC� � 26. T�BanCeiling (SVUCtUral) & Nlonocoat � .� ?� � ��' 7�, pry Chemical � - 27. Framg an�,Q Flashing y .=, �.,. * �. :, ,r � 76. Dry Starsdpipe "�z+ % � • 28. Wthing & Sitl�ng [,� �-- •7'� � x r r �� ;'� 77� FIXEDSY$TE[vt'f W,4k � 29. Insulation . •`� `� � �� r ' ; ; 7�: FIRE PREV. F�NAL � . ' 30. D�Y�vall Nailirig ��% � � *� � � �" HEALTH DEPT.�EQUIREMENT , 31. Plascer Brpwn-�'.oay� . - �- � � � 79'. FINRL Ffy� $PECTION . � - - ' _�_ . � 32.:Electrical_power Meter;Final ' ^ ''- � 80: FOOD CERTIF`jCATE ISS�IED 33. Einal Electri�. =' ; � . J T Notes:,�/9��'� !.-� y�,� �4 ��,��i/�'�%�/ . 34. Fina(]Heating& Air Eonditioniqg; r ` � � . .- -; '� n r i 35. �Finaf Gas'�ipe'�Test � - ' .: '� _ � - - . . . -. : J 36.�Hood�or CanopY s . • • � ' ' �" r - � ,.� r -�, _ 37. Finai�Factory Firepl�ce' . ' . � T � x t , .. 38. Final:Plumbing 1 - • ( � . S . +T . ^ 39. Water $ervice�FinaP � � -� � � � ` r "'` ' ^ � , i ` � , t ; ' ; . . �; 40. G9s Service-F"m�al = � -. - �� .,� x ' . � � t .r ' qi, gplar po'raestit•Final; -- " ` '- � = ,_. v , ; 42. BackflowPreventePn r � ' • c' � 43.88ckflowlrrigatiort' - ' �� ^`�^' �; �J ,� � � j' ;44. Landscaqe Ir�pation:System � r-• �- _ �: "'y : ' -� _ ' � - - - * :d5. �SOund Attenuatioc.' ''' '' :_ y • e i � �• r=�. : d . :46.'Randicap.RegulatCons . = x • 7�� - . _ ' , � r 47..FIN7��L STRUCTURf & BUII,DING �L p,Q ' -- F, I" 48.FINALPLANNINGr .-. - 3 �• - •A9. •Elearic Release to Edison > ' � � . 50. Gas Release to`Southem CalifomiaGasCo - `'; ?. - 1 ,r� � 61. CEflTIFICATEOF CCUPANCY' �, . . . - No. Date =� vn.vr.n r1vG1.[1Lai r[v.unt�.n �••-••,:• i'- �JOB ADDRESS �017 BI1Ch8S18ri W&y - BUILDING PERMIT NO. 275 _ �GENERAL CONTRACTOR T. H. Liken'& SOn6 DESCAZPTiON OF WORK PRt10 COVET �AP No 14l 11�1 ?O LOT -26 TRACT 4�95 FIAE 'LONE VALUE $ 500.00 INSPECTIONS � Signature Date I GROUP J T�E 1V 'LONE R-1 , �SoIl PERMITS ISSUED Gas SUBCONTRACTOR I Date � Number � Signature Steel � � • � 2�548 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO7C 1200 � COSTA MESA, CAIIFORNIA 926t6 For Appltcanf fo FIII In Compleroly TYpR OR PRINT AD RE�SH 3� o c. a�✓� �Y. �� COSTA�MFSA. CALIFORNIA .......ee /�/-�.ih.�� %%%/Ic�'C P �� L; �•� -✓ 5,�--r O O � �i �i � C' {� Y6TpACK LINI II10Y NO. oI �LDo�. DESCRIPTION OF WORK S ZE�'~6 �X EXTERIOR WALL �1 HCqEBY ACKNOWL6O06 TNAT I HAVQ RBAD Ti1B AND BTAT6 TH�T TM6 AlOVS IY CORN6R ANO AG PlY Wt[X ALI..W RDSIUMC AND fTATl1.AW9 BUIL1[ INO'CONBTRUR OM.��Y (� AUTHORIZ¢D SE?12-G7crsaao zc� �:::��t�:,.;:c APPLICATION FOR PERMfT BUILDINf3 for Offico Use Only ZONING MO.OI UY[OINI •une euuctno �to�u. YARDHAPPROVHO MAIN BUILDIN6 PROM C/L if1yl[T) vwR.# �� / V\ � �J r/^ '�, BHALL BE LE88 TMAN i r YARD9 MPROVBD ACCEGHORYBYILDINO 'Y// ar. OATE er CX1 � DAT! �" I ('J a w � � BG. Pf. � 0 TN8 AMOUHT GMOWN UNOBq VALVATON 18 ROR TH8 j •UFPOOB OP [BiA9LIeNINO • PHRM�T FB8 OHLY. Ff VALUATION r} � �� PERMITFEE � s �Z�D �— w TOTAIFEE $ � i 5�t � V 1 !' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 017 WBTA MEBA. CALIPORNIA For Applieanf fo Ffll In Complefely TYPE OR PRINT BUILDING r� / ADDRE89 3� t/ �HC/� R/s O h �Q COSTA MESA GAIIFORNIA � MAIL 3 TEL. STATE . ,, TEL. • LIG. NO. NO. 81ZE � I NO. oP BLDGB. OF LOT �} y/ p�J NOW oN LOT U&E OF' EXISTING BLDG 6BTBACK LINB RROM cercrea or erneer REAR YARD SIDE YARD ILEFT IRIGNT DESCRIPTION OF WORK �a BH PERFORMED - -'� ��'-1"�*' _"� �� _u..V,.. _ ��.�'� �. �ur•� 11 tss� {=1P1„i;CE DEPI. C!'�Y Cr CUST'r, � i�SA APPLICATION FOR PERMIT BUILDING For Office Use Only H6C81PT NO. PeR�4T�! V RBC81V6p�Y I O�i� R= j{YB�� DAiH 188UlD (�C� / /!/ � 19f4 COSTA MESA. CALIFORNIA APPROVED ZONING =o�. �—r ��a. o. Z � a� �,� ti%�.�..... ,�' P{.ANB �ee„� /�- z.6 7-� � 3 9s' oanrnimer� IC6MCP LlN6 BT.1 / / FRONT �� 6 R. SIDE � > L. SIDE � REAR �s— RPPROVED �/ BY �NALn G ?-� a i✓ y 1 HeR60Y I�CKNOWL8D06 THAT 1 NAVB PGD TN19 �PPNGTION {NE AMOUM lXOWN UNDBR VALUATION 18 FOR TH8 AND 8TAT8 TNAT TNC ABOVH IB CA��R A!ID A61te8 TO CAY- �URP08E OP 86T�lLIOMINO • PHRMIT F6E ONLY. PLV WITN ALL CITY OIiDINAN�B AND HTATH U1W8 11EOUL�TNO BUILDINO CONBTIIUGTION. VALUATION SIGNATURB OF �� PERMIT PEE S — PERMITTE $ /// �%_/ �� pLAN CHECK $ �� ' !U AUTHORIZED AGENT �`-// f O n