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Home My WebLink About340 BROADWAY - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: ELECTRICAL PERMIT 340 BROADWAY NEW ELECTRICAL SERVICE PANEL 11725311 CLARK, WILLIAM 19651 DESCARTES FOOTHILL RANCH, CA SIEGRIST, RONDA Address 340 BROADWAY COSTA MESA�CA Contractor: CLARK CONTRACTORS INC Address: 19651 DESCARTES 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 ro 1000a Service over 1000a Motors to ihp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Liqht Pkg Sign Circuits Temp Pwr Pole Intermed Pole FOOTHILL RANCH, CA Phone: (949) 587-6577 Zip: 92670 Phone: Zip: 92627 Phone: (949)581-6577 Zip: 92610 License: 570943 SCOPE OF PERMIT CHANGEOUT EXISTING ELECTRICAL SERVICE. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $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 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conducror Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: I SS U E D Applied: 11/26/2001 Issued: 11/26/2001 ISSUED BY: � �vantity $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 j0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 1247-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d4648 (fl/00) WORKERS'COMPENSAnON DECLARAnON: I hereby anirm under penelry of perjury one oi ihe followinq declarelions: ❑ I hava and will maintein e certificate of consent to seN-Insure for workers' compensetion, as provided for by section 3700 of the Lebor Code, for the peAormance of the work ior which this pertnit is issuetl. ❑ I have end will maintain workers' wmpensetion Insurance, as requiretl �y section 3700 oi the Lebor Cotle, lor ihe peAortnance of the work for which this pertnit is issued. My workers' compensatlan Insurence carrler antl policy number ere: Carrier: Policy Number: (This section need not be complefed il the permlf Is velued et one hundred tlollers ($f 00) or less.) ❑ I certity ihat in ihe peAormence of the work for which ihis parmit is issued, I shell not employ eny person in any menner so as to become subject to ihe workers' -� �-�compensation laws of Celifomia, and egree that If I should become subject to the workers' compensatlon provisions oi Section 3700 oi Ihe Lebor Code, I shell forthwith comply with ihese provision � G Appliwnt Signeture: � i�� C,-c--��—� Date: ��'' ?sL• " L}� WAPNING FAILURE TO SECURE WORKERS' WMPENSATION WVERAGE IS UNLAWPUL AND SHALL SU&IELT AN EMPIAVER 70 CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED TFKK15AN0 DOLIARE ($100,000), IN FDDRION TO TNE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE UBOR COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am licensed under provisions of Chapter 9(commencing wit� Section 7000) of Division 3 of the Business�d Professions Cotle, and my license Is in full force entl eNect.-Lic. N "" � Class # �I/� Contractofs�Slgnature: �Lti( � C° G � Da�e: �//� �' �S' ' ��/ CONSTRUCTION LENDING AGENCV: ❑ I hereby affirm that there is a construction lentling agency for the peAormance ol ihe work br which this Dertnit is issuad. (Sec. 3097, Civil Code). Lendets Neme: Lentlefs AtlOress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn ihat untler penaly of perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Cotle: Any ciry or.counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, also requires the applicant for such pefmit to file e 51gneA sfetement ihet he or she is licensed pursuant b tha provisions of the Contrecrors License Lew (Chapter 9(commencing with Seclion 7000) of DlNslon 3 of [he Business and Professions Cade) or that he or she is exempt therefrom end the basis for the alleged azemption. Any violetion ot Section 7031.5 by eny applicant for a pertc+l subjects the eppllcant to a civil penalry of not more then five hundred dollars ($500).): ❑ I, es owner ot the property, or my employees with weges es their sole compensation, WILL DO 7HE WORK, and ihe siructure is not Intentletl or otteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to an owner ot Droperry who builds or improves Ihereon, and who does such work himselt or herself or through his o� her own employees, provided that such improvemenis are not intentled or ottered for sale. N, however, ihe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve tor purpose ot sale.). ❑ I, as owner ot the proparry, am EXCLUSIVELV CONTFiACTNG WITH LICENSED CON7AACTORS to construct the pro�ed (Sec. 7044, Business end Professions Cotle: The coniractors License Law does not eppry ro an owner of propeny who builtls or improves thereon, end who contracts for such project with a conirector(s) license pursuent to Ihe Contrectors License Lews.). ❑ I em exempt under sec. Business and Professions Code tor ihis reason: Signature: Date: Owner ID verilied by dnvers license. ❑ Ves ❑ No Drivefs License No. Venfication ol Ownership by (rype of tlocumen6 I.e. - property taa bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: Expires: ❑ I hereby certify ihat no eacavation five (5) or more teet in depth into which a person Is required to descend, will be made in connection with work authonzed Dy ihis permit, and that no building siructure, scaflolding, falsework, or Oemolition or tlismaniling thereof, will be more ihan thirly-si: (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Califomia Adminlsiretive Cotle). ❑ As ownar-builder, I will not employ anyone �o tlo work which would require a permit from the Division oi Intlustriel Setety, es noted abova, unless such person has e permit to tlo such work irom Ihe division. Signature: Date: Division of Intlusinal Safaty Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUfHORVJ1710N OF ENTRY: I certify under penalty of perjury that I have read this application and state ihat the information given is correct I egree to comply with ell state laws entl ciry ordinances relating to building construction, and authotlze reprasentatives of the Ciry af Costa Mesa to emer upon the ebove-descnbed properry for inspection purposes. I egree not to occupy or allow occupency of any building euthonzed by Ihis permit until Final inspection. igneture O�,Legels}wner(s LTL_�[-, C Antl/Or AuNonzed Applicant CQOE t. INSPECTIONTYPE `� 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition QBjg �L CO�.F� INSPECTIONTYGE 206 Finel Mechanical 208 Finel Plumbing 210 Finel ElecMcal 212 Finel Fire Prevention 220 Final Planning ApDroval 222 Final Site 250 Finel Building/Occupency - CJ 2�T� IMrtu�s � � nooAEss oF emtwnc: 3 4 O B ROAD WAY °W"E"s"""E'°'w°"": ANGRESS, DAN R moxEss: 340 BROADWAY COSTA MESA,CA 646-4053 �ari.wuuNc �oowesx NICNRECT OP FNtlNEFA: u�cx. op �c.�s �nox[ss: uNT: 92627 uc. No.: UNT: wNm�cTarswxe: COAST TECH SERVICES ( 714 ) 589-6592 CQRXACTOASMNl1NG 14 SANTA CATRINA �oo�ss RANCHO SANTA MARG CA uc.xo.: 355425 92688 uNr: LICENSEO CONfPACTORS DECLAFGTION: I Mreby N�m uMm penaly d perjury Ihm I em Icemad uMx proriaions d Cheqx 9 (ownmeriaep xilh Saeiion ]000) d Dnaun 3 d the &niirosa eM PMeasions COEe, erd my lieansa e in lull loree ad eHea. cmuc.No.: uc.cuss: C Z� uc.N/o.�: 35542/5}, / EXP; oete: �/�f/! � conveaor: 1...`"� ASt /[�(� (� OWNEN BUILUEP UECIAXRTION: I Mreby eifirm unEor penely d perjury the� I em eaempl irom Ihe Conlredas Licensa Lewiw �ha Idlav.ig reazon �Sedion ]0�1.5 Busness and Proleeaione CoEe: Any e1y ar eoumy xfii h eeyuires e permil to eauVud, eller, imD��e, demdsh, or repei ariy elruelure, peim io ne'ssuenee, elso reyuiree ihe epplirant for euch permn to fila e sipired atmemant �hel he or ehe is IicenseE Wnuent lo Iha pansims d Ne Comreeora Licenae lew �Gheqer 9(mmma�ip wi�h Sedion ]000) d Div6ion � d �ha Businesa eM Prdevuna Coda� w ihet he or s�e e examp iherahan eM tha bavo ta Ne elbped eaemqun. My videtun d Sedion ]031.5 by enY aDW�t la e parmn wbjMs the epplicenl to e avil panelry ot �w mwa then 1've huMratl tldlen 1�11� ❑ L� o�e. d ma p.orenr« mr emoMeas »vn weqas es inei sde mmv��. �+n eo me xoM. ene ine si�unure e nca �iemae a ofleraE Iw ule (�� ]Paa. Buvrem eM Prolneoru Cade: TM1a Goniretlas Lirorue law doea ea epply roen owrer d popary who buids « inprwea iMreon, ard who Eoes suM wxk NmseM or he�sa� n thrwph he a hm own empbyma, prmiEed ihm wch improvementa ere ra inieiMed a oXe�ed im eele. p, howaver, ihe buitling ar mpwemenl ia eoW xilhin me yeer d complation. tha ownerWiNer will heva IM buMen d prwinp he or ahe dk ml WiW a im0� �a IM Ouipme N mle�. � I, es o�mer M Ihe propaM. ��dusivelY �^Veamp wilh licensed conirecton to wnavua IM prqetl (�� . Businma eM Prolessions Coda: The Conlreclors Lcenae Lew Eoee nM eppy b en ownerM propairy who buiNa wimproveetheraon eM who comrecm br wch pral�a wnh e cvmreifa�s) Ikansed punueni m tha Gonlmciom Lioeme lew). � I am uampl uMer SeMion: B. 8 P.C., la ihis reeson: Date: Owrer: i ao naenr cenM mei i em a.me a e�a w�w�d ina �eu�remems a cauana H.een em s.�r coda sea�ore usos. usaa. e�w 255x. eM ihet I« enY Mure Wikirq mvpent will / wll rwi (�� ) � b wmqy wi� veiE tlme mdea end tM reQuiremmn br epermAlamnsvuctionwmod�fiWianhwniheAr�6ue yTT'.arepemeNDislrid.Resken�ielmnmrveunappimiomueezmmqlmmllwee povisbns. o�e: novi�� WOFKEP'S CONPENSATION DECLAFATION: I Mreby alfirm unde� peneXy d Po�ury orw W Ihe Idlovnrp dederetiona: � I heve anJ wil meinlen e cerlGce�e d consan� to eaH�inaure lor vrorkars wmpenxtion, es D�� or by Smion 3)00 W Ihe lebor COEe, for Ihe pa�amance d tM xwk lor wlvch �hia pwmn ia iaued. � 1 heve eed wil meinlen woM1ars' mmpeme�un imurenw. as rx��ired by Seifbn 9]UO d iM Lebar Code. br �he peelormerwe d ihe work la xfiich thia permn ia iasuaE. My warkeie' mmpenselbn insurarica rartix eM pdicy number ere: c�.: rd�r N�mna,: (Thk secfion neaE iror be rompbled I Ne pannt is br we hunCmJ Jdlars �S1W7 a Iw.) � I carlily ihet in iM1e perloimenca d �M wwk tw whch thie permN is ixueE. I ahell ria empby anY V�� in enY menner eo n �o become vubl �o ine wn�en• canvenu�ion iewe d ce�n«n�e, e�a ea�� Nd e i ehwu nacome euNea �o ine waxen• L0111�IBII90110 pIOV19Ul19 $8�110113�/00 O� IhB �Bh.M riCdB� � H�10�� O � 11 WIIIpM ��109B�91q119.� � Da�e: Aod��: ii ry i�/ /i�. /�/ Warning: Fell o ro�w worken' compmwUon caver�p� b unbwNl, enJ aNll aub/�cf en employsr ro cAMm/poneltlu entl elHl flrros W ro m� huntlrM tMuyrd dul4n lsrou 000l. �� .��no� ro m. �wr or �o�.�..no�, a.,�.o.. ,. P.o.row ro. �� Sxtlon 3)OS ol tlro L�bor Cotle, InMeat, entl attomsyS Irs. CONSTFUC110N LENDING RGENCY: I hereby affi�m �Mer penaXy N perjury Ihm IMre e e oonsivaion kMiiq epeM.y for Ne peKamaMe d IM wak Iw whiM IM1's Varmi e'swed (Seaion �09]. Cn. CI. LENDEH'S NAME: LENDEfl'S AODFE55: I cerliy Ihat I heve read �his epplketim and rme Ihel lha ebova iniarmetion is corteG. I egree �o compy wnh ell ay eM munry mdineMee end ateta lexa mleiinp �o building con imdion ard hara�y aNhor¢e reprasantetivea W thia ciry lo enbr upon iM ebove-menlbned properry forinspeclbn Ourposes. DON EANGEL' S Pn Nane Dete: i omura a Owner/AgenVApplre UConvetlw (5t5�-46.WP� Whne-Buildip85elety;OreemFb;Canary-AppGranl:Pink-Revenue;GalEenrotl-Aaxaar CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: M 075967 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC JOH DESCRIPTION : INSTALL HORIZONTAL FAU IN ATTIC CLAIM VALUE: CALC—VALUE: PERM NO: M 075967 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: INSTALL ATTIC FAU �rxr�r�r�e�r�r*�r�r�rx��r�e*�r�e�e�e*xx�e****�e**�rx*�r*�r�r�r�r*�r****x�x�*��r��t+rx**��r��r**�r*�*��r�r***�r Z O N I N G R E Q U Z R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- 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 REQ • PROV: PARCEL; 42002115 ZNE: REF NO: PLANNING NOTES> i If�lE if 1E ik iPlE iF If 1E i@ iE IE if iE if iE if 1F 1f iEiE if IE if iE 14 k if ik 1f if 1f iE iE 1E 1E If iE iF if IE IE 1(� 1E iF Ik iEiE 1E 1E iE 7E iE 1EiE 1F 1E if iE iF iF iE if if iE 1E IF IE 1E 1E if iE 1E 1f if iF iF iF 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 BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: DATE: {/Q if 1F iE 1E 1i 1F 1E iE i! 1E 1E1F1E'!h 1E fh if 1E iE iE 1E 1E 1klF IE iE IE iE ih 1E 1E 1Eii�A�iF�F��'if �E IE LEGALIZATION;N F E E S U M M � STRUCTURAL SEGMENT:N HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PEAMIT 12.00 25Y SMIP/NON—RES PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 12.00 15.00 0.00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 iE if iE 1E 1E 1E iE iF 1E iE iF iE k iF if iF iE iE 1E 1E iF 1F iE iEib 1E iE 1E 1E 1F iP fE 1F ik ik iF iF iF ik 1E iE ik iE 1E 1E 1E iE It iE 1E iE iE ik iE 1E 1F iE if if if 1E 1F ik if 1E IE itr iE ik iE 1E iE iE iE iE i! 1E iE iE 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 MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9,00 MEC 1 GAS PIPING SYS 1— 4 OUTLETS 3.00 3.00 END OF FEES �� DATE ��o`j�/q� J�� ) / I_o _ �r'tr _.. _ _ ` _- .. ' _ 'I' _ ".� _ -,.� CONSTRUCTION ANDPLANNING POOL sPA APPflOVALS Permit # Date Inspector pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement _3� Eiactricai Condury Uvjity-Undrgrnd. 54. Forms - . � = p�e4trical Cond�T��rgrnd. 55. Electrical Bonding °,,:;�e�e.l ReinforcemenlJ 56. Rough Plumbing & Pressure Test � �EjectricalUFEF{„GF?�. 57. APPROVALTOCOVER�GUNITE r ,-� :z �c S:Y� �.-ooti�9s �� y n 58. Electrical ConduirUndrgmd. �� .:$. Foundation .��C ='� = 59. Gas Pipe, 0 Undrgmd., Test � �. 9. Water Pi e�Undr `` P �',15.,;;,� 6Q. Backwash Lines, P�Trap, O Undrgrnd. 10. Structurat Floor'Sb�stem 61. APPROVALTO DECK 71. Proaerty Sewer Liner& House Gonnection 62. Backwash & Recaptor-Final �+ 12. Sewer Cap v 63. Heater & Vent-Pi�al 13. Roof Drains 64. Plumbing System - Finai 14. Rough Plumbing., ..- 65. Electrical-Final 15. Rough Eiectrica�-Conmuit c 66. Solar SVstem-Final 76. flough Electric�irin��}, 67. Fencing & Access Approval 17. ftough Wiring Sign 68. APPROVED POR PLASTERING 18. Rough Electricat'f Bar Ceiling 69. POOI/SPA SYSTEN1S PINAL 19. Rou9h Heating & Air Condl:ionin9 � F REipEPT.,REQUiREMENT _ 20. T u � F.g,or �Fi i�lace ' TR: '�� ' � ' �TX .•APPf��V%��-' -' Peimit # � ` �: ��P �' 'tb' ` � . S r �` � '- C r � � . . �-.:. -�--=F- 21.D'uc�in�truyiur�* ..' �� S C �i�'�JO.'Under�o�ndHyiiro i 2Z. nuLtS VC,i�tildj'1nJF,*., ' r� * c �� • �7. Produ F �n ~ S �. �. J.. C k� <C �: 'r"' C3'..P 9'�J'�az C�Oii 23. Gas Wpe uy-� & Tsst =� � rv �-� d _ r 72, Undergrddrid Ftdsh � 24, r%of`-FraF�tinq" S* -� " *�' � � i,, 7� Undergrrl�. Stota�3 Tank�O Gas ❑ Oil 25. Roo She�thing .:;z �q � v � � � :� �:' * 74.- Overhead Hydro, � 26. T�6af'�Ceiling (Stru'c�iral) & M1Yo'�'oat * L �� 7� Dry Che�icai ,_.-' ` - � < .� �•. � . ... 27. £lame ar�Ci,Flashir�y,. �,�;� * �+ �, ��x 76. Dry StarA�ipe : � -� � F- 28. Lath:a5g & Sidin9 ^* �' ,..`7.��F � � � " "* 7 � FIXED �'STEb1$INA(: ^ 29. Insulation�-, 'ri `� S.. .. Y�� i 7F� FIRE PREV. FIN7RL ' � =� . 30. Dryvrall I�iling �' F, * r,+ fx S nF.{�ALTt-I�DEP7�.�REQU1Ff�MENT � -� 37. Piaster Brown;Codt T= mn� � r� +79. FINAL IbBPECTtfl�N p--' - � " y 32. filectrical?oe3",@r Mec�r�inal �� 8C'�'� F000 CEFTIFI�ATE 1$SUER ^ c # � ]c M - - -. ; 33. �Sna,'L;Ele�7,ricj ; - �y * ' .'- . � Notes: � ,� � -� r . ( . _ 34. �nal�Heanng'& Air ConQitioniny S "i � Y '� � � A�/I. /1� ' = C � ^7 x � � �k i H :/�`;vL'�� C' " 35. Eina(Gas47ipe;Test � �'� .. :r., iw � `� �. G�o :f: - E-'*. - �-- L 36. Hoot}-or CanoPY *-� � tT��• a k.^. � '.t ' � nc t �� ' � n� Cl r. x � �;'. :*] ,^.0 • � - .y 37. Fjnal�act�ry FirOPla e � , sE a a � � ' -'r +� �i ' ,_ �I,- - -�38. FinaGPlukibing ' :� ' -� � � � + � S •v • t - > r., _-� x �� . �-, o v � - 39. lVater Sefvlce•Final * L �' f a � `r ' " � ; �� - :, 40. Gas Service-Final � r-'t �+:�� T S * IT7 ��tr "+ � r^� � .+. r �K F• o S_ b�-. S �� ~ .. ,s i� � �, v .y i. �41. Solar Oomestic•Fina� h ~ * � � ,.., �� . , r � 42, Backftow Preventer � r,l x 'J , r � � �• ' - -� !, .:, n�: - .�." � � ; � 43. Backflow Irri�tion ; ��,,5 - �: , : � '. ; ' _ . 44. Lar,dscape•Irr�at�ornSystem�M� � +�'�, rJ � '7� , �; cv �� , - - 45. �aund Atiend�tipn � , ;; • � � � � ,.F,�� ' :' �'", �"; 'F�,�; ' 46. Handicap�Regu�ations � ;, x � � * z � oo �� '_ r c m (l 47. F-1NJ±L STRU�'TUR� & BUItDING �� `' . � ' _ , *� i 48. NRLPLANNING= � �F - ' ��.. �' � � . � - �.: - 49. Elect'rie Release to E_�ison - � �i� � I • -; � 50. Gas Release to Southern CaiiforAia Gas Co x. �. �x �� _' • - r � • � - 5a. CER`FiFICATE OF �CCUPANCY + . �? � - ' No. Date . �ODflF550FBUILqNO: 34O BROADWAY °""Eas"""E"'°+a"": ANGRESS DAN R moxEss: 340 BROADWAY COSTA MESA,CA 646-4053 �VPL M/JONG ADDNE55: � ARLXRECT ONENdNEFR: AfItN. OP ENO.'S ADDNE55: uNr: 92627 uc. xo: UNT: cartx�crarsru�e: COAST TECH SERVICES ( 714 ) 589-6592 cam�cronswuiu�c 14 SANTA CATRINA �noxess: RANCHO SANTA MARG CA uc.ra.: 355425 92688 uHr: 110EN5ED COMRRCTOPS �ECLAFATION: 1 herab/ eRim uMx penelly d peejury �he� I am lieenaed uMer prmieims d Cheqer 9 (mmmeewiip xi�h Seeipn )000) M Division d d �he Buvneas eM PMeaaiona Cade, eM my lioenae ia in full laee enE aXetl. cmuc.No.: uc.cuss: C Zp uc.No.: 355925 EXP: o�a: 'l � co�o-,da.: �ii �l5 J �� ( � OWNER BUILDEN DEC RATION: I hereby elfiim under peneXy W parlury �he� I am exempl Irom the Conlreaon Licanea Lew fw ihe Idlowin8 roeson (Secibn ]091.5 Buameas enE Profeasions Cotla: Any cily n munry which requires e permtl to mnsimcl, ellaq imprare, Aemolieh, or repe'r eny aimclure, pnor lo ib osuerce, ebo repuirea �he epplirant for euch permn tolb e ag�wd elelement Net he or sM ie licemed W�uenl lo Ihe provisiom d Ihe Conlredwe Licenne Law �Chepter 9(wmme�np wilh $epqn ]000) d Diveion 3 d ihe Buainea end Prolessions Code� w Net he a ehe ia eKemp theraimm eM Iha Eesis la iha elleped exemqion. My videion d Sedion )W t.5 by eny epplicent tw e parmn wbpcls IM epplicanl �o e crvil perielly d rw� m«e ihen five huMreE Eallen �5500]�. � I. d oxi�ar W t�e propeity or mY �dWees w1� wepea ea Ihei eob oompemmian. will tlo Ihe xwk, eM IM nruaure o ew ime�Med w aRered Iw aeb (�� d. B'siresv e�M PrdmsiomCade: The ConVeCors tice�ne lewdwe rd epplyto en axmrerd prapeM/ wla WIEs a inproves Ihareon, aM Mw Eoae aucM1 xwk Nmxll or MneC a Nraqh hi a har own empbyeee, prvMed ihm such impwemenis ere not imeMeE a Wered f« eab. tl, lwwever, iM WiNi�p a inpwemem u edd xithin ore yeer d wmpbtion, ihe �,a�,ud�, �;n na� ina w,ea, a o��ro na o� � eb �a w�u «�ma,wa i« me wm�< a�). ❑ I. as ox�r d iM D�oPaM. am ud�alY mnireaM xdh I'xaved wnVeclors ro canstrua tlre p4a (Seavn )01d. &mineea arW r�o�e„�, c�: me comreaoB �.�.� ie.. eo.. �a �Wr �e � o�.ner a woaa�v wno nda. o, �mwwa. �n.�m .�d .no .mnlren� for wM Drqees wnh e mMredor(s) IicansaC punuenl lo �M Contrearca Licenae Lewl. � I em eRemp uMer Seniw: B. 8 P.C., Iw thia raeaon: Deta: Owner: I do �ereEy cerlily ihel 1 am awere ot eM uMentenE ihe reQuiremenla ol Cellomie Heellh enE Sefety COJe Sed'wna 25505, 25533, end 255J0, end Ihe� I w eny Imure buiMinO �V�� mll / will nol (dreb ane) neeC b mmDly wnh eeid neu cadea vM Ihe renuiremenq Iw oma: nooie�c W ORKEN'S CONPENSATION DECLAPATION: I Mreby etfi�m uMer peneAy d perjury me d Ihe blbwirp datleruiona: ❑ 1 heve aM xil meiMen e cenifwe d wmmt io eell.inwn la v.akaia' wmpenaetion. n povidad la by SaNm J)00 d IM Lebar Cda, la iM peAormenca d tM wak ta wNch �hia pe�mu ie iaued. ❑ I Mw eM wl meiMen xvfken' mmpeiwtion imura�ce, m mpuired by Sxlim 3)00 d IM Lebm CaEe. M iM pe�amence af tM wak la whiM thu pertnM1 b asueC. MY waYan' oompeneetun inwrarca fertier eM pdicy numMr w: c�a: Pdicy Numbar. Rn;:.seaan neee �wr ee con,waree i rna w,ms;. ro. �o n„�d�od eorws R�aol w ru..� � I ce�Ay iM1e� in IM1e perlormence d �M work la whzh thie parmn ia iseueE, 1 shall �wl employ eny penon in eny menner w ea �o bacwne eubl'b lo ihe oikan' wmpaneeiion lawe A Celilwnie, eM epree thm wXp �I ehauld become vubjeq b ihe xorkers oe�e. comve�� ro+�sb W 5`eaian a�oo a ma �mor �. i enen �,��hl✓ �yK/ 1C.�� ^CT-"��-/ S � �� pa � Wernlnp: Fs/ n ro i uro worken'rompxuaflon coverep� la unlewlul, antl sNl/ aub/�cf m xnp/oy�r ro ctlMrol pin�ltlo and c/vll flm� up ro om huntlretl fMuunJ oo/Nr� (S/0Q000), In eWltlon ro Ms roat ol compenufbn, Wmep� �� poWtleA br In SxHon J1(M ol Ms LaDorCOJe, /nts�eaq anJ �ttomsY'� Iwx CONSTRUCTION LENOINO AOENCY: I hereW aHrm uMer penelry d perpiry Ihet tMre u e conM�ud'on bMirp epmicy M iM peno�ma�c, d me xark �o..nkn ms o�� a as�ee (s«ao� ws>, cH. cl. LENDER'S NAME: LEN�EN'S AOORE55: INe�tity ihm I h d siete lewe Iwinspeaion � i15�-0fi.WP� aele iM1 �M above iMormetion is mnep. I epree to compy v.nh all ciry eM counry adire�wes n eM hereby e�nhorixa rapreaentalives Mthis ary ta eMer upon iM ebove�memioned popeny 1$ o�e: � Whne-Buildiig 8 Salery; OreerFile: Cenery-AOPlicenl; Pink-Revenue; GaWenroE-Aaseawr CITY OF COSTA MESA — HUILDING PERMIT ' PERM NO: E 075968 PERMIT NO: E 075968 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PUAPOSE: OTH JOH DESCRIPTION : INSTALL HORIZONTAL FAU IN ATTIC SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: INSTALL ATTIC FAU / REF M-75967 *�r*�rrx *+r��r�x�*x�x�*«�x�*+r�***x�**�r**+�*+r*�x�**�r+r**�r�x�*�**x *+��******�******+r*��**x�***+�* 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 PARKING REQ: PROV: PARCEL: 42002115 ZNE: REF NO: PLANNING NOTES> i if if 1f fE'lf 1E fE 1E 1E 1E iE 1E 1E fE'IE �! 1! 1E 1E iE 1E IE i! k iE 1E 1E ik fE 1E iE iE iE iF iE if if 1f 1F iF 1k ik if iE If 1E if 1kiE 1F fF iE fE M 1E M 1E 1E 1E if iE 1E IE iE iE 1E If �E if� iE fE IE 1E 1f 1E iE 7E 1E IE 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 BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: �� iE1E1f�IFiF1l�iEiE1E1E1F1fiFiE1FlEiflfifiEiflE 1Fi81ElE1tiE1f'3f1E1E iEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GAADING PERMIT 1.50 502 SMIP/NON—RES PLAN � - ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 1.50 15.00 0.00 16.50 16.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 16.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 16.50 181F 1E 1E IE 1E 1E IE 1f IE if' iE fE')E 1E iE iE 1E 1E iE 1E 1E IE I(� iE 1E If' IE iE 1E �)E 1E iE iE iE iE 1E 1E if' If' 7E 1E 1(' iE 1E iE iE 1E iI� 1F1f� iE 1E 1E 1f if 1E IE IE iE if # iE iE 1E iE 1E i4 �1I� if 1E iE 1E 141E If iI� 1E 1f I N D I V I D U A L F E E H 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 ELE 2 RECEPT/SWITCH 1 ST 20 EA. .75 1.50 END OF FEES EXPIRED . DATE �� , . i'L _�"rn-" .. LicqT-y "". _ � `i' C'lE'�0' . '• �' �. ��•.' CONSTRUCTION AND PIANNING PO(. . SPA APPROVAIS Permit# Date i�spector AppROVALS Permit# Date fnspecror t. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soii Pipe�Undrgrnd. 53. Steel Reinforcement ,33:��lectriral Conduii UeiJity-Undrgrnd. 54. Forms � ' �� r�.��. �trical Condui't��irqmd. 55. Electrical Bonding �; �"r�S4.eQi ReinforcemenS 56. Rough Plumbing & Pressure Test - 6'�lectricalUFE��d�l. 57. APPROVALTOCOVER-GUNITE � J `'�' 58. Electrical Conduit-Undr md. r � �;' �ootings � ' ' g �=8. Foundation r�'�a. .- 59. Gas Pipe, � Undrgrnd., Test `s:.M, _A 9. Water Pipe-Undrgri�7i?�,�, 60. Backwash Lines, P�Trap, C Undrgrnd. 10. Structural Floor-S�'stem . 67. APPROVA� TO DECK - ii. P�operty Sewer Line� House`�onnection 62. Backwash & Receptor-Final 12. Sewer Cap ' 63. Neater & Vent-Fi�a! - 73. Roof Orains 64. Plumbing System -�Finai 14. Rough Piumbing. - 65. Electricai�Final 75. Fiough Electricai�Coildui: - 66. Solar SYstem�Final . 76. Rough Electric �iring 67, Fencing & Access Approval � 77. Rough Wiring S�gn 68. APPROVED FQR P�ASTERING 18. Rough Electricay=Y Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heatin� & Air Conditioning FIRE,QEPT„jiEQUiREMENT - a. m'. �. p. r, __ -� x .-. M 20. fiou�h F�tory. Fi��Jace ` S',.; C;^ K � H r� APP�OV�E��; Pb`{mit # Y �� : 27. BucCs-.in5trt'.�Iur61* . �..'.. i-� � +: S 'J ' * 70.'""Jndergr��d F}y�dro ` �. n c c- � �'1 --� l y J 22. Ruc(r V�til�ting�'� � ' ;.h �' Q'y �; 71. ProdueE,�'iping^, as �Oil 23. �as -ipe��P.oug� & T2st ; � �� zl - ,� :rx 72. Undergrt"wnd Fite's�i +" � 24. fi'oo�ra�in9�� ;�� - �� ;; r'� ; C ,.J� `. 73�q Undergrn'd.StaFa�Tank�Gas ❑Dii 25. Roo�Sheg�hing e'=� r' v vx � C� N: 74.r Overhead Hydrb'ti, w � ~ � � t ;.; �r ` �� r� ,-� _ c, 26. x-Bar�Ceiling (Struct�ral) & Mrc��ciycoat ,� -� �„ ,] �. 7� Dry Chemicai F,� r ;,, 27. Fiame and: Flashirtgv� =_ r m .�� m s 76. Dry StarkaFipe ;'^ '� V �� r r• 28. �atM�ng�Siding"��'� �'-�'-' - ;.5- "'' 7 FIXED�I�T�fFINA��.� , � �':�: � � ' i v ^ � ..I ..i V t7 ?� . Ei�'.: ��29. Insulatiort: ^.K �� S .. .. -. � �� ' � 7� FIRE PREV. FIN�L * = � s 4=' � -� ' 30. Drywall Alailing �x' ti � � . ' fi - �iEALTW �EP�'.�}'tEQ�11R��, MENT � � � •, ..��- e i s - • r•. ., _ .+. . - '.31. Piaster Brown-Co2t � � : n•;.� x �s 79. F WAL tNSPECTIDR� , ``;," - _ � � �-. - V 32. 'ElectricarPo�-r ft r!�r�Fknai ' ��•' j �•� 8(�y FOpO CERTIF.I�A`1'E I�g�JE¢. ^ � j�'/ �33. �ina leciric�� `.x tT! � c: �! � . ��' NDYes: ° /<� {�r1� � _ 1-�.,-� � �c-� �_� � �� 34. FinaRie�iqng'& Ajrr �onditioning `- ^ +' i'� « •^- • _ "�"' '" - =% 2; vr. [*' 'T7 t"-' 1 �. , r-Ii�O C i c.0 x -y 35. Finai Ga�'ipE:Tef�x: p .. . -. � ' � -�-e, ' - , � �,;�r =� 36. Hood-:or Canopv * �- " * .� ; � -.�' * �" - r. s n :.+ :� - �;o : r �.�n �- 37. Einal.Pactbry FirePiace X "';_ � � - , � � ,F � .. ytU .� - � 38. Fin2(T..�PIu{ribing � ,�: � ' ' x I ::. c' �-' '~ i ''' ' ' 39. Watei'Se�ice-Final .� r , � � � �-, ; �- « � , � � m" x� � ;� .40. Gas Service�Finai '� �� "��'T 5 �� r^ 'r O'L '-o� � • z - r * H• C T. %T C ;-�� •• t � � p , �• ` 41. Solar pomestioFina�� '` � ;� I: ;� ir �'o v, fi:t _ � 42. 8ackflow Preventer c� C� Y �r a' ='r '` _' �-' ,r : - _� �... � � ti. � c [T7 # ' 43. Backflow Irric;�tiOn � I j; ' � ,'� „- .j� � � �;`� x ` r, . 44. Landscape� trrSgat�or*System - � `;' � +° t� 7 7 : � � �- i� c� :... .� � cu ^ � -r r - C V� F_ F. J�' Y S F 45. Sound Attenpatian� �C � *'' �`�,., E: ;-�� ` � . y'` , C � �6. Handicap•Regu�atio�+s - O a� ; [. � s �7c _: � � �� . + 47. FiNgL STRUCTUR,� & BUILDING 'y �. ' � � � ` ,_ .� � 48. EINAL PLANNING` -'-' * " �� . : ?; `� " r' ; n , n :o s * <: b9. EIecT`f7c Release to �clison � I � f = , _ . ye r . 50. 6as Release to Souttrern Califorrtia-Gas Co * I �` �-+ C•'%^: � • � r- i: t• S 7C �, < �51. CERTiFICATE OF OCCUPANCY f �' -- ^ •" � No. Date � � ADDNESSOFBVILqNO: 3QO BROADWAY axNercsxu.�eiFaawN: ANGRESS, DAN R ADUXESS 340 BROADWAY COSTA MESA,CA 646-4053 MPL. MANNG ADDHESS: urcxrtecronEnax�n: ANCII OP fl1G'S AOOXE55: UNT: 92627 uc.xo: UNT: ca+m�crarsruwe: COAST TECH SERVICES ( 719 ) 589-6592 c«im�croxs�uuwc 14 SANTA CATRINA �nox�ss RANCHO SANTA MARG CA uc.ra.: 355425 92688 uHt: LICENSED COMFACTOPS OECIAP�TION: I hereby eflirm uMer panely d pepury Iha� I em licensed under provisiona d Chepm 9 (commenarq wilh Seclion )000) d Divisun 3 W tM Busi� eM Pmlessiwn COEe, arq my lironm ia in tull brce eM eiled. cmuc.No/ uc.cuss: C zQ uc.N/oi 355425 XP: Deta� ' / /�/�� ComreCor. ` � ^�f �� OW NEH BUILDEN DECIIIPAtION: I Mreby aifirtn undar pereYy ol perjury Ihet I am eicemq Irom ilre Conireqps Licenae Lew fa tlie' ldbw'vq resaon (Setlion )031.5 Busiwas aM Prolmaiore Coda: Mry eiy or mumy whieh teQuirei e peime to emsleue�. ells. impwe. demoleh, a repei eny s�rvcture, prior lo ils ewence, ebo reQuir» IM applirent la auch parmn 10 file a spnetl elelamenl ihel M a ahe ia licenaed pureuent lo Ihe prorisions d the Conlreclon Licere< law �Cheqer 9(wmmamng with Sed'pn ]000) ot Oveion 3 M Ihe Businasa end Prolessuns CaAa� or Ihel he ar aha is aeempt ihxelrom enC tAe besie Im tM elleqed anam0�b�� Any voletion ol Sed'pn 10�1.5 by eny apDlicenl lor e parmn eubpes Ihe epplicem to a crvil penelry W riq mae �Aari IHe hwMred ddlen �5500��. ❑ I.avovrterdiMpropeny«myempbyeeswuhweqessvlheisoleeaenpenaalion.willAOlMwa�k.arMiheeinc�ureaiwlintaMed o. ona,ae ro, sw ts�io� �o.e. eup� �,d a,d��a caee: ma comrmo� u�s. �.e�, �a aovM�o en ownera wovam wM builCs a improres �M1eraon, end wla doas euch vrok Nmmli or hersell or ihrwgM1 he a her oxn amployeea, pwided thet auch improvementa ere ml imanded w oHereC lor aele. tl, however, t�e buiWinB a� impmvament ie sok wi��in one yaer d compleibn. ihe ow�.b��aa w�n ne�e me a,men d cro�i� ne o, �ne d�e �a e�ae o, �mo�o+e �« ina wm�e m�e�. ❑ I. m oxnar d iM popery. em entlusively conVeqig v.rn licenmd contreclon m canmrua ihe qaqa (�� . �i�wss eM Prolassiana Cada: TM Contreaas license Lew Aoes rw npph� to an owTer of qopeM � a+iNa a impovas Ihereon eM who comrects fa such Orol�9 �n a mnveaoKa) licensed Ou�auent m the Canvactps Licenae lew). � I em aFamq under Section: B. 8 P.C., lor Ihis reawn: Dale: ownar: I do hareby eenity ihet I em ewara W end uMeeaiarM Rre reQuiremenro d Callomie HeaM1h erd Selery Cade Seaiom?5505, 25533, eM 25551, enC il�e� 1 w eny fulure buikiiq ocapent vnll / wtll nd (circb ona) need io comDH w�h aeid ateta mdea enE iha requiramenls 1« e pe�mi� lormnstiuction or modificetbn han �heA'v�e0emem Dis�nq. ReaMenliel conslruGion applicelions ere eaempt trom these provisiona. . Dale: Applicem: WOHKEfl'S COMPENS�TION DECLAHATION: I hereby eifirtn uMar peneAy d perjury ww al IM1e rollowiip Eederetbna: ❑ i na.� �,a m� �m� a �ennw�a d��m m serc-��s�,. m,.�,a�a� compensalion. m provideE for by Seaion 3]0o d the lebor coea. r« �n� �na�za w ina �n r« wMon m�s �n �s m.�ad. ❑ in..��,a�;e�m��re��,�.m�a��aas<a�a�ooam.im«coee.ro�inaaano�m�ama woh for which thie peimn is iaeueE. My wakers wmpensqbn inwrance ferrier erM pdiry numbar ere: c�a�: aaKv N�mna,: (Trris seabn neea nw ee canda�ed � tne oa�m� b In- wre nundred ed�ars (Srrol m lu.v./ Q I cenAy the� in ihe perlormercw d tln vroM Iw whch this parmn is iaueC, I shell � ampby eny penon in vry menner m es to bacome subl to ihe woMers' compenealion lewa ol Celilomia. uM eprea Ihet A I enwN become euEl%� �o �� Me�a' companseiio pimiisians i Sanion 3J00 0l ihe lebor Code. I shell la wiih mmvN those rarisi a. o�,: �J �i � A��,: ,�Jd� l�L '�-�L , „ Weming: Fallwe ro sx worksri romperwHon rovereps Is un/ewlW, entl �IWI a�/�cf en employsr ro cr/M�ul psneMu ano elvll flrrea up ro ons hundreA fMuaeM 0o/Nra (SfOq000J, In Mlltlon b Ms ewf ol rompenuf/on, tlameps si prov/ded br /n SxHon 9106 0l Me LaborCoW, /nferoaq enJ eMrneys /eea. CONStqUCTION LENOING RGENCY: I Mnby �rm uMar peneXy W per'ryry thm tMro u e wnmrvaion brdinp epem.y br tM parlormaze d iM waM iw Midi iho peimY is esueE (Sedion �09]. Ciu. C). LENOEH'S NAME: LENDEfl'S ADDNE55: I cerlity the� I heve read ihis epplicetion eM mme Ihm Ihe abova inlame�ion is rorreG. l apree lo compy wnh ell dy eM county oMi�a aM eiale lav.s relalmg io buiWvp mnstrveun entl hareby eNhorrse repesaMelivae d ihis ary lo enter upon Ihe ebova-mamioned qaparry fo�inspetlion purpoeee. DON EANGEL P Ne e � �, /��" o�e: G i'g�Wure ol OwnadlpenVRpplifa�UConveaa (515t<6 WP) Whde-Buildip 8 Sdety; Greer�-Fle; Cenery-AppYcenC Pink-Ravenue; GoldanroE-0.ssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 075967 PERMIT NO: M 075967 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PORPOSE: OTH JOB DESCRIPTION : INSTALL HOAIZONTAL FAU IN ATTIC SQ FT: CLAIM VALDE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: INSTALL ATTZC FAU **�e�x�r�r�r�rx��r**r�r�*x��e�r�t**+�*�**�r�r�r***#�r�r*��c**�e**�r#***x�**�r�r+r*�r**�r�r**�*��r+�#+r+r**�xx** 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 PARKING REQ: PROV: PARCEL: 42002115 ZNE: REF NO; PLANNING NOTES> i # if I(' iE f(' 1F iE iE 1i'lf 1E if� 1I� 1E 1ElE * 1E if it 1E 1l� 1k iE i4 iE 1E1Elf if 1E1f * 1f� �lE'1F �lE 1E 1k'K' 1FlE 1Elk il�fE iE1EiE 1E'lE'IFif iEif� if'1F1f' 1f�1E dE'If if iF 1f It �1E1f 1E iE iF .�('lFif ii iE'll' iE �1f� 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 APPAOVED BY �—� DATE: BUILDING APPROVED BY : / ii DATE: � APPLICATION ISSUED BY: � DATE: �/✓ 7�0 iE ## 1k �lf if if"lE'lE 1h iElf 1I� �lE if I(' 1F 1f iF iE 1E #E �� IElk ik 1E iE # iE# 1F iki��iF�.E if LEGALIZATION:N F E E S U M M Y STRUCTURAL SEGMENT:N HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 12.00 258 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 12.00 15,00 0.00 27,00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 iE iF iFlE if iF 1E if ih iE 1EiE iElF if IF%;�E1E 1E iE iF �IE iFlF 1f #!E!f 1k 7E iF 1E iE1E iE �1Flk iF iE iE if if 1E iFiE 1F if iF i(�iE if ik 1(�!F!f iE iE if fE 1f 141E ik #�lE i(� iE iE�E #iFiFlF # 1E 1E iE 1E 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 2 O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= 100 K HTU 9,00 9.00 MEC 1 GAS PIPZNG SYS 1— 4 OUTLETS 3.00 3.00 END OF FEES Ql [l01983S8—Qpl983S8 TO'1r 27,pp DATE: �1/15/95 TFFiE: 16:82 � � �nonEssaeuaara: 340 BROADP(AY oxr+Exsr+^NEiFa'a`T+: ANGRESS DAN R j� � ADDHE55: 3 Q O BROP.DWAY f, COSTA MESA,CA 646-4053 �vv�. w�iur+c nooxEss: 92627 uN*: I CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: E�'� 075968 PLAN CHECK NO: N 41CXRECT OA FNGWEEfl: llt. NO.: IPCN.OX Elq.'S /i00ME54: UNT: ca+ix�cTarsruMe: COAST TECH SERVICES ( 714 ) 589-6592 CONf11,1CT0A5MNIlNG 14 SANTA CATRINA moness: RANCHO SANTA MARG CA uc.r�o.: 355425 92688 �HT: LICENSED COMNACTOflS OECLRPATION: I Mreby eflim uMer peneAy d pe�ury thet 1 em Icensed uMer povieione of Cheqm 9 (wmmerring wnh Section ]000) M Division 3 M iha Businean end Prdeaeions COEe, eM my licenae u in hll brce vM eHep. cirvuc.r+o.: uc.cuss: C 20 uc.No.: 355425 EXP: � /�a9s7 'T��, o�a: / ca,�,�d«: OWNEN BUILOEX DECLARATION: I hereW elfiem uMer perely d perN�Y �� I am uemp Imm tM Comrmas Lironae Lew la Hre IWbwiq eaemn (Sedion ]W 1.5 &niress eM Prdmsbns COEe: Rny eYy a wunry wfiieh reQ�ires e pa�mil �o mmVud, eller, improve. Eemdsh. a repei eny evucWra, qia lo As owaMe, abo reQuirea ihe eppli<ent lar auch perm� to fib e sgned s�amant �hel M w sM is IicenuE pursuani �o the prwi%iana d IM CanVedon Licensa law �Chepter 9(mmme�np wilh Sedion 1000) d DH6ion 3 d �M BII91fIB9 Blld Pf0�09910119 CiO�B�Of�h8��10 O! ]hB 19 BiB111��1BIB�f0111 BlId1�1B �899 �Ofl�l! B��bJBI�BFBT�IJfI. NIy VIO�0�pf10�$K{qll )�31.5 by eny applimn� br e permB eubjeas Iha eOWKem m e civil penelry o/ rw1 mom Ihan �ive �wCred Eollen �E50��). � I, es oxnar d �he proparly w my empbyms wilh wegea az IheF eob mmpensalion, uill do ihe vroM, enE IM slru�Mure e nd intendeE or oXered br sele (Seciion ]014. Buvneas end Profeeeiona Code: Tha Conireaors Licerue lew does nrn appyto en ownerd prapeny owrer-Witlar xill heve Ine burden d qovi�p M a she d'd nd Wik a impmve fa tM puryoae ol sale). � � I, ea ovmer d ihe propeM. em ezdueively mntrecirq wnh licrosad conlreMors ro consbutl IM prqea (Seaion ]OM. Buairms ard a,�e�m�s cma: rna com�aon ��s. �. dme rwt eppy �o en owner d propaM � �uika or imqovee ihereon end who conlre<b iw euch prqMe wilh e oonlreclor(e) IkenseC pursuenl lo IM Conlretlora Lironsa Lew). � 1 em eRemq uMer Seclion: B. 8 P.C., iw thie meson: Dele: O+mar. i eo n.reW aenM ine� � em e.�e d�a ��dersiena ine rea��ans a cdeomie Haenn ena sdmy coae s«aiam zssos. zssaa, e�e 2553a. end Net 1 or e�ry hnure WilEirq oewpent vnll / wYl iw (aeeb aw) neeE to eanpy wYh eeid ewa mdea e�d �M reyuiremanp la e permn IormnsWction ar madifiraiionfromiMA'x�anagement Oiaria. ResidaMiel mnat�udion rypicatiaoere mempl fmm ihese proviaions. Dete: �DW��' WOPKEP'S COMPFHSATION DECLARATION: I MreW effirm uMx penelly d peijury me d iM blbwiip daiuetione: � I M1era vW xil meinten e ceniticeta d connnl io aeMimuro b xorken' compenaetion. m provided la by Sed'pn �10p d iM lebar coda, iw me wn��a a�n� � ia.w:�n m� va�u �. �a�ed. ❑ i n..� d,a �;� m�m� wn�� o�w�� .��. ��a��roa er sm� aioo d ins �ee, e�. eo, m. w�+w�� d m, woh lor which ihia pe�mn ia iwued. My wakere' mmpansetbn inwrar�ce artiar eM pdiry number ara: c�a�: Policy Number: '(This secfion rreed iaf be romplefeC / Uie pormt'v br one hundred dMlers �S1P0) a bsv.) �f 1 mnry tliei in Ua periwmerr.a d �ha wwk lor whch �hia parmil ia ieeuetl. I ahell'wl empby e�ry peem in eny mennar w n m became aub' to Ih� lexs d Celilanu, eM epree thm il I houk becama wbjaq lo iM Marken' compensati p�" ao Seeion �)00 M Ihe lebor Coda. I ehell lor�hailh mmpy Ilgu provitions/.' � 1 I/ L�7� L ome: r /.J 6 noor em: 'Y✓l�w [i� Ir ` lY" / S Wem/np:Falluroroa UNWOIkN1�C0I11pNYIt1011COYl2y�11VIIIIWNI�lIIC�MIIJUbfKfll1�111/1I0Y0lf0Cl/MMIpMGIXIIGIItl c/vll flrr�� up ro ons huntlrstl lMuaeM tlo/Mn (SIOq000), ln etl�/Hon ro M� rost ol comp�Iuaf/on, sem�pu u proNtlM br In Ssetlm J106 0l tl�s LeDor COW, Infsrost, end ettomsy'� /wt CONSTHUCTION LENDINO 11GENCY: I Mreby elfiim uMer peneXy d perjury ihet �Mre u e o�nst�utlbn bndiip epe�x,y 1« tlie a.n�� d�n� .w� m, .n�d� m� ro�� a o.�aa cs<ao� aas�. ca. cl. LENUEP'S NAME: LENDEfl'S ADDNESS: 1 cahily Ihet I heve read this epplice�ion enE ¢lele �hal ihe ebove iMormelion ie corteU. I egree lo compty wnh ell cny end munry ordinencea end'sietelevarelelinB�ob^ildinp'consVudion �er^byeuthoraereproeentelivasNthisalyloenleruponiheeEwe�meniunedpmpaM IorinspaabnWrpoeea. .( . „� . oae: � ! (515118 WP) Whne-BuilEvp 8 SdMy: Oreer�-Fle: Cenery-ADGFrant: Pink-Rcnnue: (bWmrobqeemmr PERM NO: E 075958 GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PEAMIT TYPE: ELE � PURPOSE: OTH JOB DESCRIPTION : INSTALL HORIZONTAL FAU IN ATTIC 5Q FT: CLAIM VALIIE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: INSTALL ATTIC FAU / AEF M-75967 x��rx�**x�**�r*x*�#*��r***�x�*x*******+��**#+t+��*�r��****�r*�******x�x�+r*x�*+r*�***+r�#*sr�r�*� Z O N I N G R E Q U I R E M E N T S S E T H 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 REQ� PROV: PARCEL: 42002115 2NE: REF NO: PLANNING NdTES> % 'lE if #!h iE 1f 1E 1E ii' iE iE'lE iE �IF # if if'I('#'� 1f # iF1Fjf' 1f')E'If ih'H' iflE 11' 14lF# iE ik iE 1E iF 1k #iE iEiE 1f'If 1E'lE 1f iE# iE 1f if iE 1E if 1E 1f 1f'!E'lE # 1E'IF #!F if # iElE1E#if iE ik iE D E V E L O P M E N T S E R V I C E S R E Q D I R E M E N T S ZONING APPROVED HY DATE: BUILDING APPAOVED HY : DATE: APPLICATION ISSUED HY: DATE: ��,�� IfiEifiE#1E1EiF1E1fiE#1EfEiE1{'1f#'lE'lf"IF1E iEiF'IF#If'lE'1E1E1Eif�iF iFiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBZNG ELECTRIC M£CHANIC FIRE SMIP/RES GRADING PERMIT 1,50 508 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> ' 1.50 15.00 0.00 16.50 16.50 .00 REVENUE DIVISZON TOTALS--> COLLECTED: 16,50 OVERISHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 16.50 ihiE iE iE 1(� if iE if iE 1Eif iF ik iflf iE 1E If 1E iE if if if if iF 1E iE 1E 1f iE iE 1E iElflklk iE iF 1E #�1F if if� 1Eif �E if # fE 1f iE iE #ii # i6 iEiF iE # i(� if if iF �lE 1E 1E if # 1E 1f if 1f if iE # iF iF # I N D I V 2 D U A L F E E H R E A K D O W N TYPE QTY D E S C R 2 P T I O N� UNIT COST TOTAL COST ELE 2 RECEPT/SWITCH 1 ST 20 EA, .75 1.50 END OF FEES 01 00195354-0�198354 'S�i Y� b' 1b.5Q DA7E: �iJ25/q', TItIE: 16:03