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HomeMy WebLinkAbout948 CARNATION AVE - Building Permits. -11.�' . qa''�.,�� � �..:_::: � �, ��ia� �sa-sz�s • Fax (��a� �sa-aess Job Address: Suite No Vicinity: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 948 CARNATION AV COMPLETE HOUSE Parcel Nunmber: 41217410 npp�icant: JACOBS, MYRON G Address: 948 CARNATION AVE COSTA MESA, CA owner: JACOBS, MYRON G Address 948 CARNATION AVE COSTA MESA, CA Contractor. Address: ArchlEng: Address: PLUMBING PERMIT Phone: (714)641-8234 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: Phone: 2ip: License: SCOPE OF PERMIT COMPLEIECOPPER REPIPE OF EXISTING SFD. ISSUE FEE Backflow irrigation Backflow Preventer BathWb Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-a ouUets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT szz.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Qn FEE SUMMARY Laundry Tub I Washer Landscape Irrigation P-Trap Pressure Regulalor Process Piping (per 10 ft) Receptors Septic Tank Sewer Cap for Demo Sewer Connect Sewer Private Line Shower Sink, bar Sink, commercial Sink, Floor Sink, kitchen Sink, service/mop Spa (private) Spa (public) AMT so.00 $0.00 $0.00 $0.00 $0.00 $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 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS RI PERMIT I�UMBEP. � �P99-00363 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/01/1999 Issued: 07/01/1999 ISSUED BY: �� 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 Water Service Water Soflener OTHER VIOLATION PLAN CHECK REINSPECTION AMT so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 80.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $30.75 QTY 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 NOTICE: The work authorized by this permit shall comply with all epplicable handicap access requiremants under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor e penod of 1 BO days. INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all raqulred Inapeetlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 i � WORKERS' COMPENSA710N DECLARATION: . � 1 hereby ettirtn untler penalry ol perjury one ol the following tleclara�ions: ❑� I heve and will maintein a certificete of consent to self-Insure tor workers' compensation, as provitled for by section 3700 of the LeDor Code, tor Ihe pertormence ol Ihe work for which this permit is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the La6or Code, for the peAormence of �he work tor which Ihis permit Is issuetl. My workers' compensatlan Insurance carrier and policy number are: Cerrier: policy Number. (This section need not be tomp/eted il the permit is veluea ef one huntlreU dollers ($100) or less.) ❑ I certify ihat In ihe peAormence of the work for which this permit is issued, I shall not employ eny person in any manne� so es to become subject to ihe workers' wmpensation laws of Califomia, end egree thef if I should become sublect to ihe workers' compensation provisions ol Section 3700 of the Lebor Code, I shall fotlhwith comply with these provislons. Applicant Signature: Dete: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000). IN ADDITIIXJ TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTOHS DECLARATION: I hereby aflirm ihat I em licensed under provisions ol Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protesslons Cotle, antl my license is in full force and eHecL Lic. a Class a Con[raaofs Signawre: Date: CONS7RUCTON LENDING AGENCV: ' ❑ I hereby aHirm thet �here is a consiruction lending egency tor t�e pedormance ot Ihe work tor which this pertnil is issued. (Sec. 3097, Civil COCe). Lendar's Name: Lentlefs Atldress: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby affirm thet untler penelry ot perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e tollowing reason (Sec. 7031.5, Business end Pratessions Code: Any ciry or counry which requires a pertnit to construct, alter, improva, demolish, or repair any siructure, pnor to its issuance, also requires �ha epplicant for such permit to tile e signetl steiement ihat he or she Is Ilcensetl pursuant to the provisions ot the Contractors Llcense Lew (Chepter 9(commencing wlih Section 7000) of DiNsion 3 of Ihe Business antl Protessions Cotle) or that he or she Is e:empt therelrom and the basis tor t�e allegetl eaemption. Any violation of Sedlon 7031.5 by eny applicent for a permit sub'�nQls Ihe applicant to a civil penalry o1 not more than five hundred dollars ($500).): � 1, es owner ol Ihe propeny, or my employees with wages es their sole compensation, WILL DO THE WORK, and ihe strucWre is not intended or offeretl lor sale (Sec. 7044, Business end Profassions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves t�ereon, end who does such work himself or harselt or through his or �er own employees, proNded ihat such improvements are not intentled or oflered for sale. If, howaver, �he bulltling or improvement is sold within one year of completion, the owner-builtler will have Ihe burden of proving that he or she did no� builtl w improve for purpose ot sale.). ❑ I, as owner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business antl Professions Code: The coniractors License Lew does noi apply to an owner oi propaRy who builds or impmves thereon, antl who contracts tor such project with e contrectoqs) license pursuent to Ihe Contractors License Laws.). ❑ I em exe under sec. Business antl Professions Code tor ihis reason: SignaWre: .d(iS111'H �f Eaplres: Verification of Ownership by (type of daument, i.e. - property tax blll or daed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby cenify Ihat no excevation ilve (5) or more leet In Gepth into which a person Is required to descentl, will be made in connectlon with work authorizetl by this permit, entl thet no bullding siruclure, scatfolding, felsework, or demolition or dismantling thereoi, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, 7�1e 8, Califomia Atlminisireilve Code). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit trom the Division ot Intlustrial Safery, es noteC eDove, unless such person has a permit to do such work irom ihe division. Signature: Date: Division of Industriel Safery Pertnit Number: CERTIPICATE OF COMPLIANCE AND AUTHORVATON OF ENTRV: 1 certify under penalty ot perjury ihat I heve read ihis epplication entl steta that the intormation given is corr I agrea to comply wlih all state laws entl ciry ordinances relating to building consiruction, and authorize representatives of the Ciry of Coste Mesa to enter upon the a e� s��operty fq� ins ction pu � a not to occupy or allow occupancy of any building authorized by� perrtjt� tIl Ilnel inspection. v� � � � ii Si ature Of Legal Owner(s) �T— Date AnNOr Authorized Applicant Date COOE 1. INSPECTION TYVE 7676 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 207 FIna1 BIocWRetaining Wall 202 Final Fectary Fire Place 203 204 2468 68 Final Sign Final Demolition � j[dQJ��j $�QUj( INSPECTIONTVPE 206 Finel Mechanical 208 Finel Plumbing 210 Final Electdcal 212 Final Fire Pravention 220 Finel Plenning Approval 222 Flnel Site 250 Final Building/Occupancy PAIE �-L.,-99 �M Hr. Myron G. Jacobs 948 Carnation Anenue Coste Meaa, California Dear Sirt 92626 November 2� 1973 � A building permit has been sued to you as oxner-builder to conatruction a Qrivate spa o our pzoperty. In order that your apa will be a eafe one and for the purpoae of advlaing you of your reaponsibility regarding the requirementa of Lhn Coata I�sa ipal Code� ve sefer you to Sectioa 8107� a copy of which !a at hed. This letter ie direeted to you in order thet you vill be axare of our ordinancae and can make a complete safety check of your pool area. RNt�D Sincerely youra� RICHARD HANHART Building Safety Director ^ �L%��l - ' �-v �'` _; r- CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO . � � / � LOT N0, ��p� a�Dx�55 9 4 8 C'G-ti., �,:. c�,u�e . AATE%�'� %.T The developer of the above entitled tract desires to aell the above aet forth lot prioz to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they)%r,� __ _(was or were)_�C%� .��advised that this tract has �— not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City hazmless from any claim resulting in dar.iage or personal injury to the undersigned by reason oY the aforementioned uncompleted condltion. �%� - - -- - -� �_ -- �' � i. .'t . „' ' i � . � �i;,'{;, . ,�i: �,;;- ;, . � . ' ,`.' ,, i,:. -:�r� ;,, ; . -�'.--o�---:- - � ..i. �� ;.� �: � � �'; �,.�' f: i'i "r::,-: 1�;.:: ;ii ;.,.: �':.. .`. rur�naser V ax ���a l%. ����r.4`���' Developer andTor authorized representacive ' BY /�"C,c-eCCU �.Ga-(��. Lender , ,, .,. �,:. , , r... ✓ PFOJECTAOUFESS: (348 �ARtiA:IOK F?�� I OWNEB'S NPME: JACOB Pi � �':Y:iO� G aooeess:gqg �A.RNAiIOti AV� COSTA MESA,CA 92626 � 64:-8234 AHCHIENGINEEF: AEG.NO.: ADUNE55: n: . z, � UNIT: PENMITTEE:IIL��SQ:V � i.�{ii C�VrJ ia�L��.Ti�� ( 7� 4) 530-277: aooness: 1 � 401 WEST?:ITiSTE� AV uARDEn GROVE CA 92642 LICENSEO CONTflACTOB OECIAflATION: I hereby alfirm Ihai I am licensetl untler pmvision5 0l C�apter 9(commencing with Section 7000) o� �ivison 3 0� Ihe Business antl Professions Code, antl my license is in WII force an� ellecl. c�Truc.:015644 psrn,euc.:338E103 c s.�—^g �oate: � � �O ^ 1 3 signature: _ . _ — _ . WOBRENS' COMPENSATION DECIABATION: I hereby aflirm Ih I have a cerli�icate o� consenl lo sell-insure or a certilica[e ot Workers' Campensalion Insurance. or a wnifie0 copy Ihereo� (Section 3800. LaO. C). POLICY NO.: E%P. OPTE: COMPANY: ❑ Certilied copy is hereby furnished. ❑ Cenifie0 copy is 61e v' 1 t�e 'ip Builtling �ivi n. �Oate: � ApPlicanC _� ' � E%EMPTION fPOM WOPNENS'COMPENSATION OECLPBRTION: Qhi55ecUon neeA notbe comDlele4if�hepermiti5�oronehunEretl(4700)orless�, I cerlity Ihai in Ihe pedormante of Ihe work for whic� Ihis permit is issue shal ot employ any rs�so as to become su�lecl Io rIhe Workers' Compensalion Laws of Calitomia. � Oa�e- 1— � V'�� SignaNre'. , NOTICF.If. a�ter making �his aeclaralion, you shoultl become su�lect�o Ihe Workers' Compensation D�ovisions olihe La�or Cotle, you musl totlhwilb comO�Y w��h such pmvisions or Nis Dermil s�all be tleeme0 revoke0. CONSTBUCTION LENOING FCENCY: I hereby aftirm I�at Ihere is a constmclion lending agency �ar the pedormance oi the work tor which I�is oermii is issued (Seclion 3097. Civ. C). LENUEH: aooaEss: C�:Y VF rGSTA X=SA — 8;:=',D�:�:G P�R':;: �+�Rti: :�:t�: fi OF�`_: t��RXIi K�: 9 062? ^_2 Pi.Ati C'r.ECK �O: � GOV.: ?7 Si:PP; ?' CGtiS:RliCT=ON �YPE: �—N PER�:�T ':YPE: S';R P:JRr�OS=: A:.: JU3 DESCRT_PT_ON : R�ROUF OVEA �XiSTiNG W/CO:�:P SHINGL£s" £� FT: 2,300 CLASM VA�JE: 2,300,00 CALC—VAi.JE: 2,300.00 GROL'P OCC: R-3 /�v-1 CO`!�:EI�TS: REROOF 21005F R=SIUEtiCE s GARAG= :�'/CO:�:P SF:Iv�;,Es '�dE?Eii'X'X'3E',Y'3E?Fi!iEiE.+�ijE')EiflE3F)FiE3fiE')f'JFiEifiE'H'iEi%'iEjFi%'JE9EiE!E9C'9FYif3EiE'IF')t!Eit#")i'#IEK'3Fi%iFIF��+'.��cjq[.g.Y�jF-YYT-iF3%iF�'N'if'1kiF,iFi�"Wi: Z O N S?� G R E Q u I R � N E N : a31V1�f�� L1� � L:+.� I�JF`t 5 E T 3 A C K S ------------ A".AI1 Bli�;.D=tiG ---------- --------- ACCESSORY �EQUlREQ---- Pk:�IT: FT IN REAR: rT ZN rRNT; FT I�1 REAR: r':' Iti i:FT. :'T IN RGH':. 'i Zti i,EFi. FT Iti AGi", '. I\ PARRING REQ: PROV; PARC�L: 412?7450 ZNt.: hEF NO: PLANNING NOT£S> i iE ii iE i� iE k�?f iF?%?f iF 3E if ?!� # 3E aF #?E ie if 1� 3E 3'r?E iE # iE �1F iE±E �1FlF?E?E if ?f iF iE-1ElE?f iE iF # ic !f # iE ?E!f ##?f # iF ## lf iE i!� :f iF � iF #�3f�;t.Sg iE 3F ;F # i!-?E iE ?E D- V E L O P N. E N? S E R Cr S C E S R E Q;J i R E X E:1 =:; S ZONING A�PROVED BY UATE: � � BU�i.LIDiG AP?RO�fE1 5Y : UA:E: � a��� Tca;laN issJLu �y: nA:��;� 5,,:��� ?EiEicjEiEiEiEafiF#ifiFiE3f�f1E#iE###ifui[xir�z��t'FiF�exx3riF�irfr+[xuuf.-�tC-T.4r<>.-xtt��rs�?FiE#rt�A#1E#iEiE ur,� x..t ..�iF# ��f?FjfiFi!�3FiE�1EiF3EifiFi.'?Eif'f.�#iFiFii�#'-#�1fif?EiF?f�E)FiE}}iEiEiEiEiciEiE#iEiEiE3EiE###iF'i-i(�#i:-###iE'r:##�;�;:f:�itiE;:�� w{r##.:;'ifA�iEiFi@ i,EGAiIZATT_ON:N F E E 5 II M y A R Y STRUCT;TRAi SEGN.EN3:Y OWNEfl BUILUEB OECIAXATION: I hereby afbrm Ihal I am exempi Imm �he CONractars' Sta�e License Law �or �he followinp reason t,{I,,UG l�l� 1 �uU1':B I hC� t.j.r GC i R IC N .�. (Seclion 7031.5 8usine55 and Pm�essional Code: Any city of county w�ich requires a permii to cons�ruct, al�er, impmve, Demolish, or F7 ��N? T 5 4. 0 0 t CHAN=C c I RE SM I P/R S (�it�.�l,� 1 iJi'i repair any slmcture. prior lo iis issuance, also requires �he applicani for such Oermi� to lile a 5igneA Sla�ement �hal �elihe i5 iicensea r-� 7� � pursuam m the pmvisions al Ihe CONracmrs' S�a�e licenre Law (Chap�er 9(commencing wi�h Sec�ion 7000) o� Divisian 3 o� �he Business ♦ S V y Fi �ti(')rj <T�. F� antl Professions Catle) ar �M1al he/she is exemp� Ihere�mm anA the basis for �he allegetl e�empiion. Nny viola�ion oi Sec�ion 7031.5 �y PLt�.:� �.�,. _ any applicant lor a permil subjecis ihe applican� to a civil penaliy ol not more I�an five Aundre0 tlollars �5500). 1 SSLTE F� E '� � � I, as awner ol lhe pmperly ar my employees with wages as their sole campensa�ioq will Oo �he work, antl Ihe �uILDI�G—U�V—> 1�-Fft�i! 1CrJU� F�,'J�i1V�L!'I C� 1�1%iL PA_TL� r DUE ❑ stmcmre is not intendetl or olleretl for sale (Section 7044, Busness antl Pmtessional Coae: The Con�racrors' S�a�e License Law 1 �! AL S— ---> 54 . 5 0 �, G � ',y � 0,� 0 � 5 9. 5 0 5 4, 5 0!/�^ . 0 � does nal apply �o an owner ol a pmpetly who bui105 or impmves �hereon, antl who tloes such work himsell/�erselt or �hraugh . his or her own employees, provitled Iha� such improvements are no� in�endetl or afleretl lor sale. If, �owever Ihe builtling or impmvement is som wi�hin one year a� comp�e�ion, me owner wiu have me bumen ot pmving he/she �ia not bui�tl or impraue R E V ENUE U I V: S iUN 1 t71 F:L S-- > C�LI.LCTED :.' 7 9. 5 0 �V Y.1� / SHORT : 0 0 lor�hepwposeolsale). 3i.,DG PMT P:..IINs`9ItiG �.i.,: C:RIC N.EtHr�:L�i�C � : IRt. S.`2.'P/.UT GRAD�\'.G �L.�,N—CHECK I, as awncr of the pmperly. am exclusively cnnVac�inB with Ilcen5e0 contraclors lo tonstmc� Ihe pmlect (Section 7044, Bu5ine55 5 4. 0 0 ,_ ., , 5 0 ��! ❑ anA Professions Code: The ConVaciors' S�a�e License law tloes not appty to an owner ol Oroperiy who builtls oi impmves ihereon ' andwhoconlrad5forsuchprolectswilhaconVaclor(5)IicenSepursuantlo�heConiraclort Sta�eLicenselaw�.lamaware *�ac��ct*.�a**{(�;(��s(�jc#aFiE3f3EiE#�kiE#iEificiEiEjciE?F�iE?E!!�?FiF?FlEi�?Elf�1F##7Eif##!E#####if#1ElEie?EiFiE###�6�E#Y#3E1E!E?fiFil� iha� pwo� o� ineir worker's Compensa�ion insurance shoWe �e pmviaea m me. 1 1 E� D I V 1 L� L7 7i L i' L E B R E A K D �'lti % .� � I am exempi untler Sec�ion: B. 8 P. C. � io�misreaso�: TYPt. TY D E' C R'1 Y�' O�i "N'T COST " "'OTA' C''ST oate: Ownec SFFi I ao hereby cenify Ina1 I am aware of antl untlerstantl I�e requiremenis ol Califomia Heal�h and Safery CoOe Sections 25505, 25533, antl 25534 antl Nat I or any �uiure building occupan� willlwill not (cucle one� neetl to comply wil� saitl state cades and the requiremen�s for a permil loi con9mctmn ar motlificalion Imm �he Pir Ouali�y Managemenl Oistric�. flesieenlial constmc�ian apPlica�mns are erempt imm I�ese pmvisians. Oa�e: Applicanl: hereby wtlity ��ai I have reatl �hls appl7caiion antl s�ate �hat ��e abovo Iniormalion is correcC I agree to comply wi�h all ciry antl counry or0inance5 and nate laws relalmg lo building conslmclion and hereby aN� ' e r sentatives ol is cily �a enter upon �he above-men�ione0 pmpeny lar inspeciian pwoasesc. Oa�e'. � � � + `� Signalure: � ., oriver's Liwnse or social Securiiy a: � I6a4a6 WNte—Builomg: Green—Cotle EnlorcemenC Canary—Applicant: Pink—Revenue; Goltlenrotl—Assessor �1 S 1 1 _ � , , .. 1 . �, J . 2300 RrROOt BY VA:,IIE RESIPENT'.A:.. NOZOVL 1.G0 2,300.00 END OF F�ES ' • /j . � \ r O1 0013EE71-0013E812 TO T 54.50 DATE: Q5/11/93 TItIE: 16:38 ---� -�--------=----- --r--� ---- -- -- -� -- -------- � COi�Si RUC710'n� A�:D PLA�:RIt:G I � i u'JC' C SP^. APPROVALS Pe�nii=? Data �nsRecmr� R�PR01'ALS Pcmit-=--- -__ _- __�_; _-�-_ '--_._-___--_____ ��1. Tempora:y Eiccv�ca� Serv�c�e o� �^in I � 52. Po:l C: Coi� �-n;:,�: !;,c„' °--- - 2 5n�1 Pipc�Undrprnd. --- - I:-�--�i --_ 53 Stcol IlainicrcPr.e�rt d E�:�. n Co�d� L•,'�tv�U�i��:,�.y.; _ _ ' _-__' _ -i -64. f-�r�.�. - _- _"_ _ ---- v_. �.= .-----I-----:---I 55 . !- . 3�,� --- --t `-- (-:; � � ...,� � ,,, . --- � --- I. �� , ,, _ , �. .�_ ,. 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S]�f^..�. .Qr.,:q ia:'.0'-• , 1 I i � ---- ---- �-�L- - -i - -r- ; - - - - / ' -.i I��idw�Rc;uiat�-is• ' + / � (� /� /jy/2 I .', .Ii.=�JTF l���i�:�fili�l_li��l[.� -?/�/�/ _/ I _ �� D 7 . "_ __�_ _ _, I�� � L .-1 ._ _ .� I n' �i A �,� I�,� , ', . _. c. ' Il_'�c'2tC .�< �:� _ _-'_'I _ _"I '_____--___'_____ � �0 G-;:H:IcasetoSn�:'re�n �-.;fv-��aG.sCo----� -- -� �- ------------ --- � --I-----� -- - - - 57 Cl:'. ��!CAT� CF OCC::PA'�.CY i i � �N�..---- Ca''_ -------� � I ----- - ---- --�------ �----- -- - -- -- --- ---- O� -- _ ._ `_ _ . OWNER ypRWIN DATE 1�12��� JOB ADDRESS 948 Caznation Ave. BUILDING PERMIT N0. FIRE GAS WATER ROUGH PLUMBING PROP. SWR. LINE [al0U5E CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH NEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING TRENCHES FORMS STEEL RE FLOOR SVSTEM BOND BEAM ❑ STEEL REINFORCE [ SHEATHING FRAME AND FLASHING LATNING - IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FII PLUMBING, FINAI nND GAS TEST � ELECTRIC, FINAI BUILDING, FINAL SUBCONTRACTOR ► 35a�� 3O1 CCOSTq MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completety BUILDIN6 ..... .. .. . Z . ww a U 2 ZQ O v~i am J � J N Q W (D J -m J Q U N Za w � aW WZ J Q m Z J Q W w 0 z� w� �O � z Q U J a a Q � F N Z O H U � � F N z OWNEP �Q�in So. Calif. ADDRESS 16255 Ventura Blvd. TEL CITY Encino, Ca. No. CONSTRUCT�ON . _ _ _ ,__ BRANCH 16255 Ventura Blvd. ADDRE55 Encino. CA ARCHITECT � _ •. TE ADDRESS YIUU Wilshire lilvd., t5ev. t1i11s CONTRACTOR Larwin $o. Calif. nooaEss 16255 Ventura Blvd. ciT� No`.' 986-8890 Encino, Ca. LIC No. 1913�� LICYNO. B—� OF LOT VO X 1 OO I NOW ON LO � O USE OF EXISTING 6LDG. NEW�BLDG, �957 ROOMS STOF COVE R�INGALL SYUCCO COVOERING WVW USE OF BUILDING AND WORK TO BE PERFORMED 'Construction Sinale Familv Residence I hereby acknowletlge that I have raetl this application antl state [hat the ebova information is corrBct and a8ree to tomply with all laws regulating builtlin8 cons[rucNon, and I shall not employ any person in violatian of the workman's compensation laws of the Stata Of Calitomia. I hereby c¢rtify thot I am properly licensatl as e convactor under the Stat¢ Of California Business entl Professions Cotle, Oivlslcn 3, Chaptar 9, nntl that such licenses ere in full forca antl effect, or I am ezempt trom the provisions of xhe Stete of California Buziness antl Prot¢ssions C tle, Division 3, Chapter 9. SiBneture0�� � / D. Downs Permittea �1//t/��' A�thorize� qgent �:��. �.�1 ;n;� 2H-�3�;'°Gnt2oe� � 1s'- ; APPLICATION FOR BUILDING PERMIT :EI D/�.TE Fj�iEIVED DATE ISSUI / / /3 / /.Z- : BUILDING ADDRESS FIRE 20NE APPROVED DATE ZON NO.OF USE OF N ^ f PLANS � BUILDING � ��4 YARDSAPPROVED VARDSAPPROVED MAIN BUILOING ACCESSORV BVILDII (FROM GL STREET) F. SIDE ✓ L SIDE � REAR 2O DISTANCE BET. MAIN BLDGS. VAR. ;$ IiOLD VALUATION $aj�a� BET. MAIN ACCESS. BL OATE APPROVED �� i r py m - D T� o UNDER VALUATION IS FOR � LISHING A PERMR FEE ONLV: m ¢ RMIT FEE 5 � O� . O j 4N CHECK $ 50.75 E �- o ; r„ LL TOTAL FEE Q� OWN ER Jq Q.' JOB ADDRESS �-�GENERAL CONTRACTOR ��PP No. 4�-i�4-io Li . � INSPECTIONS Pool Location c ; � Forms ��-Main Orain `�Steel Reinforce Elec. Bond Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Heater and Vent Final _ Filter System Final Backwash and Recep. Final Fencing Fina1 DATE ��_ BUILDING PERMII CRIPTION of WORK Art_ Sn� E ZONE VALUE b 1.F,5i ROUP TYPE SUBCONTRACTOR Dato Electric �,1-.- (i- Plumbing � �.. / - r- i A__ -,_ _i_ �a_in.: � ,' ��%4� 7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fil/ in Completely Z . aV z za O v~i 6 m J � J � Q] J J m a U � 2a W ¢ d W wZ J Q m Z J � W W O ZF W � N � 70 H z Q U J a a Q � F � z O � U � � F N Z OWNER MAIL ciTv t,oJ/ CANSTRUCTION BRANCH ADDRESS ARCHITECT OR ENGINEER ADDRESS CONTRACTOR ADDRESS CITV STATE LIC. NO. S12E OF LOT sQ VSE OF EXISTING BLDG. S12E OF 1 (� �/iz/e��� �" JALobS r.�./'ncL7ian /�d•Z 7EL. �� e5 � No..S-S%'3.2�i �N� N � � � //'_ TEL. �r No. /10 n R-- n �- n,,,.�a„ � o��� NO.OF CITY LIC. NO. NO. OF BLDGS. / NOW ON LOT EXTERIOF WALL ROOF COVERING NoN-e- COVERING N��✓�' USE OF BUILDING AND WORK TO BE PERFORMED , -fr s D --�-� / • - ���� �':T 31-7��Y�.oa,z4�# ��*�z�.co APPLICATION FOR BUILDING PERMIT RE�C�E_ IV�Sp BV ����CEIV� DATE �IS/SUED l:ii � � /� oJ�- -7 � I PERM�T , .'7 A.P. NO. I L�' O � � BUILDING (� � AD�RESS ` TRACT v LOT (Z BLOCK W q I OWNER � V` E � S �- $ % FIRE ZONE GROUP APPROVED , � � � NO. OF � PLANS L YARDS APPROVED MAIN BUILDING VAR. ak C.U.P.ay+ USE OF NEW BUILDING � VARDS APP ACCESSORV IO F' 20 fT. BET. MAIN & ACC6S. BLDGS. DATE APVROVED '"__ ��i -'��_ I hare0y acknowlatlBe that I have reotl t�is ap{jlication antl stete thac [ho obOve intOrmatiOn IS cOrract antl aprae to comply with oll laws ragulating builtling construetlon, antl I ihelt noi employ ony parwn in v(olallon of Me workman'� componaeHon laws of the State of Colifornio. 1 hereby <or[ify thnt I am properly IlcenaeC as e eanttector �ndor SQ. FT. the State of Calitornle Businan anA Pro(esaiona Cotla, Dlviaicn 3, THE AMOUNT SHOWN UNDER V Chap[ar 9, nntl that s�eh lieanms ero in tull foree entl efixt, or I THE PVRPOSE OF ESTABLISHING A um exempt from ttie provislons ol the Statu of California Business VALUATION one Professione C�tl (Dlvision 3, Ch�ap/[a�r 9. pERMIT FEE $�QI1B[UfB O} V— � / / //� Parmittae �� S / /_ [-�� PLAN CHECK ( / ((� aC Avffiorizatl Agent TOTAL FEE STATE /YO m � 0 �A �ION FOR � NIT FEE ONLV: m ¢ / � m N � �' / m J E 0 a�. � LL