HomeMy WebLinkAbout2797 BLUEBIRD CIR - Building Permits�oonEssorem�oc+o: z�g7 BLUEBIRD CI
OWNEIYSNFMEIFpqYIN: MC INTOSH, JAMES W
moxeu: MC INTOSH, DOROTHY M
2797 BLUEBIRD CIR
:OSTA_,_MESA,CA 92626556-2688
/JMNRECT Ofl FNOINEEA:
ncx. oa �o.�s �ooxess:
uc. xo:
UNi:
uxr:
���T� � CASPERS ROOFING (714)895-7667
cwrn�croxswuunc gggl BOYD
�A�: GG CA uc.xo: 599744
92644 uxr:
LICENSEO CONTPRCTONS DECLANATION: I heroby eMirm under panapy ol peyury ihel I em licensed uMer provubrre of Chepter 9
(cwnmer�arq v.ilh Senion )OW) d Diriaion � d ihe Bueirbae eM Proleaeionv Cotla, enA my lipnse is in full forro end et1eU.
cmuc.No.:053754 uc.cuss: C_39 uc.N 54974 EXP: 07/96
-� oma: /-/l-96 co�v.a«J G��� .�...
OWNEN BUILDEB DECIANATION: I heraby elfiim uMer panep�/N perlury thel I em aeemq from Ihe CaMreaon Licenae Lew la iM
fdbv.+p reason (Seqion J031.5 Bueibsa end %deeebns Code: Any c1y a munty whiM iepuiree e permil lo oonaVucl, ellx, impwe,
demoleh, or repei eiry slNcture, pia lo ila'oeuerce, ebo rep�irm iM epplimnl lor euch permn to fik e aprod etalement ihal M a aM
ia liceneed Wnuenl to the proviaione o/ IM ConlrecYon Licenae Lew �Chepter 9(mmma�rg wilh Sedion ]000) o/ Divcion 3 d ihe
Buainea vd Wdasanm Coda� w �he� he w ehe ia axampt IhereMm arM tha bavc Iw Ihe elbped uemption. My vble�un ot Seqbn
)W 1.5 by anY eDW�� Iw e permn subjetla IM eppl"rant io a cJ penely ot nd mwe ihen Irve huMreC Edlen �55001).
� I, es ownar M IM properly or my empbyeee xah we0� � Ihei eob mmpaneatian, will tlo Ihe work, enE �M avuc�ura c nm intended
or oXared lar eele (Senion ]Oi4, Busiiwsa enC Proleasions Cade: TM Conlreclors Lianea Lew doea ro� epplylo en ownerol properry
wla WiEs ar inpoves Ihereon, aM xM doea auM xwk NmsaM a hermer w �hraph he a her own ampbyees, pewided ihet sueh
impovamems ere not imeMeE aWeraC ta sele. ll. Mwevar, tM buiNiig w inpovemem b edd wnhin wre ymr d mmWNion. IM
ownarbuiNer vnll heva iha buNen d qaving he or ahe ditl ewt buiW a improva lor �he Wm�e d xle�.
� I. ef o�mer d IM prope�ly. am extlusrvey coniredig wilh lioensed wnvecton lo cansuw iM pajatl (�� ]Ou. Buai�wss vM
Prdenionn COEe: TM Coniretlon L'cenae law Eoes � epply �a en owiwr d propeM'� �iks a impwea Iherean eM who
convacta Im suM pral�a xiih e wnveaar(s) Icanmd pureuenl �o ihe Convedwe License Lew).
� lam exemq uMer Seclian: B.d P.G.forthiareewn:
Data�. Oxner:
I do Mreby cenify IM1a� I em ewere d vM iintlmslaM IM requiraments d Cellomie Heellh erd Selery Cade Sepiom Y55p5, 2553�, aM
25530. eM the� I a enY Mure buikirp oocupent will / wil nm (arcls om) naed w wmply w�M1 eaiE elela wEee eM ihe raquiremama br
epaimNforcanswctionormodifi�ionkwnihaAir useiliyl.repement0irrid.ReeiEen�ielconstiununepphraiionaerememq/romihme
yo.m�o�.
Gi
oae: nod�ni:
WONKER'S CONPENSATION DECLANATION: I Mreby dfirm uMx perel�y d pa�jury aw d Me bllovrirp dedvmona:
❑ � nave ena xin mama6 a cennicme a mnsem io serc;nwre �«.wn�ers comroosa�ian, m wwiaee �w M saaion a�oo w me �mar
cada, br ina pa�lomience o/ Il�e wah br wnicn Inis pertnil is issued.
fl i new �e w�� �md, wonen• �ro�� ��,.�o...s �a���a M saa�, a�oo d��n« coae. ro� ma ro�+«� a in.
]� wwk iw xhirA ihia parmit ia iaaued. My wnken' compensatbn inwrence umer aM pdiry number ara:
ce„�a,: STATE EXPIRES
PdicyN�mber 17Sf�1Aq-95 06/O1/96
(This senian need not 6e complered / the peimAis lw one huMred Collers /SI00/ w I v.)
❑ I cenly il�et in ihe perlormence d iM work ta whch �hia paimn is i»uatl. I shell m� employ eny pareon in any menner eo ev lo
cxome wdea �o ine wo�ten canoansa�ion laws a celaa,�ie. a,e itim n i anwa n«:a�n wM� �o �nn .o�wen
�nsero� wwjm�s w see�o� s�ao oi me ieno, coaa.�; � w�m inwa o��.;.�om.
o�e:�d.-� /l, P! aPa�: _�.i.�..��
Wem/ny: Fellun ro szun wotlrni eompens�tlon ewereps h unlewlul, end sMll �W/wt an �mp/oysr ro uVMnl pmel0u erW
c/vll fliw up ro ons hunOrsO Orouwntl0ollen (5/00,000J, In etlClOon ro M� cwf o/ comperwf/oq Jemegea u prov/deJ br In
SxHon 3)O6 0/ fhs La6or Cods, Inlwroaq md attomsy'i IM).
CONSTPUGTON LENDING AGENCY: I hereby aHirm unEer panelry of perlury Ihal ihere is e mnsuuaion IenEinp epency Im ihe
peAartnerica M iha work br whirh the pemmm ia msued (Sed'nn 309), CN. C�.
LENDEfl'S NM1E:
LENDEH'S AODNES4:
I cenM thm I neve reaE i�is eaa�ication eM mme ihm roe aEwe in�amvion is conee. I wree to comWY wnn ell mY eM counb adinamm
enE slale levrs rele�ing lo W ilEiip connrutlion end Mteby eNMrrsa repre»nlaliveg ol lhe aly �o anler upon IM1e ebova�memonad pmperry
brinspeqion purposes.
RICHARD CASPERSON
� � / P lame �/ �
i, df/!/i�.A • o�aUCn �� q-�
� � 'S�p�1ureMUmnr/ enVRpp4canUConlraclor /
(5�51-d6.WP) Whne--BuiW'vqBSalery:Orean-FIe:Cenary-Appiceni:Fnk-Revenue:OOMen�od-Avseaor
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B 075982
PERMIT NO: B 075982 PLAN CHECK NO: N � GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : AEROOF W/COMP. SHINGLES SQ FT: 3,000
CLAIM VALUE: 3,000.00 CALC-VALUE: 3,000.00 GROUP OCC: R-3 /U-1
COMMENTS: REROOF 2600SF RESIDENCE W/COMP
*x�**+r**+r+r�r+r*�r+r�r**�r*****�rx+��rx��r**�rx ��*�*****+rx��**x�w�x��r��r*�x x �*�rx�*�r� �� �� *�x *x�*���*
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 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: 13962111 ZNE: REF NO:
PLANNING NOTES>-
.� /I
1f 1E iE 1E if iE 1E iE iE 1E ib iE'Ih iE 1E 1@ if iE 1E 1E 1f 1f if 1f iF iF 1f 1k 1f iE if iE 1E 1E If IE IE 1F i4 i43F Ik iE 1E 1E 1E 1f M 1E 1E 1E 1E 1E IE 1E 1E iE if IE iE if iE 1E iF 1E 1f iE 1E iE 1E 1E'IE iE iE it if 1E iElE
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 HY : DATE: .>-
APPLICATION ISSUED BY; DATE:,1 ��/��
1f�lfifiElfiElElFiEiF1EiE1fiElEiEiEiElEiEiEiE7f7F7FiFiF�F7FiF{F�7F7E7F�FTF�F 7F3F7F7E7F�iFi6ifiEifiFififlEiElf��,7 1Eif
LEGALIZATION:N F E E S U M M A A Y STRUCTURAL'i'SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 ,50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 54.50 0,00 0.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
54.00 ,SO
iE iE iE it 7f iE iF ik iE 7f 1F 1E ik K 1E 1f Ik IE 1E i6161f ik 1f 161E 1F iF ik it if iE iE IE fE 1F iE iE I! fE fF ff 1E 1E ik iE iF if i6 iE 1E 1E iF 1E 1E iE ik iF iF if 1E 1E 1Elf 1E iF 1E i! iE i6 iE �F iE iF ik iE iE iE ik
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
SFR 3000 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 3,000.00
END OF FEES
G1 7D1>245,..,;t4:7�5. -�.1-r
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COIOSTRUCTION AND PLANNING - - PQOI &_. a
APPAOVA4S Permit# Date Inspector qppROVALS Permit# Date inspeotor
�
1. Te�porory Eiectrical. Service or Pole � 52. Pooi, & Equipment Location ='- ��:.
,� , ��
2. SoiPPipe-Undrgrnd. �' �_ 53. Steel Reinforcement -`�l :�
„��1'Gctrical Condui�dJi[lityUn�grnd. � _ 54.� Porms � n ' f / �
-'�4!':Electrical Conduii-�ndrgmd. � 55, Electrical Bonding _ ' - � �
�;5.-��,Sbeel ReinforcerSieRt 56. Rough Plumbing & Pressure Test �- .':
':i
�:6z:Electr�cal UFE �fl�d. . � 57. APPROVAL TO COVER�GUNITE
`,7�E'aGiin9s `�: n � 58. ElectricalConduiE;Undrgrnd. ^
,;
T ... � �=
:, r$.,Foundation S n- . �, 59. Gas Pipe, O Undrgcnd., Test
nr� ,r - r � s c,-�
�"9 �'t�ya�er Pipe-Undrgrnd. �`�`, !J . 60. Backwash Lines, RyTrap, O Undrgrnd.
a,� , -
10. Structural Floor System '�, /�: � 61: APPROVAL TO DECK ,,
17 Pr6perty Sewer Line & Nouse4ion"nection � 62., Backwash & Recepror-Final ��. '
12. Sewer Cap �' � 63. Heaten& Vent-F;nal ;- �
„ .
13. Roof Drains � , -� 64. Plumbing System � Final •
74. Rough Plumbing, � `, 65. Electrical-Final � �"i
75. Rough ElectricaaConUuit 66. Solar SYstem�F4pal.� � .
16. Rough Electric 4i'Yiriny 67. Fencing & Acc�ss.ApProval
17. ftough Wiring Stgn � ' . 68. APPROVED FQ�2-PLASTERING- � �
18. Rough Electrica�T Bar Ceiling' 69. POOIlSPA SYSTEMS FINAL
' 19. Rough Heating & Air Conditioning ' r Y " FIRE DEPT. REQUIREMENT � �
� .� • r...- �.. r. L*' ^;-;wr • F ti
20. �oug6F�r'tor�Fit�lace � - F;r * � � c''',��'APPR�aVA:L�S�"Per�nit# 'i. �"
-. �. � F -,--^-c�'-
21. (Sucts,in'StruIItur^� : .... T . �K r '7 ��':70. tlnde�g'rdu�H�dro W
22. puct� Veh'tiiaaing� r ' ;:� .t ` r r� F4 �"71. Produ62j(�ping G6as
� �Oil
23. Gas PiFa- ou _& Test � ;;__ r Ca r' a: O» �, 72. Undergrourid Plnsfi��� � -� ^
% ' � �
24. Roof`-Frart�inqJ '-" • � ~ _ _ ` � - � c � , 7� Under rrfd,Stor ` �T`ankkO Gas ❑ Oil
:,.x ;� c: r+� 9 39? x.
25. Roof£heeth(ng p.: '���.���i 74;�Dverhead Hydra� v *
. r.
26. �BafT�eiVing {Structtiral! & M1�'o�oat ' ., � � �"' 'r "� * " �' `
.�� „ � �, c.� 75�.DryChemicai :-'� x ,�
.. .. •L w y J �: •. r,.., .. v._. .., r: ,
27.�iameand�Fiashing,a y�,�r :• c;x 76.DryStan 'rpei-+c:; G
- " - Y --i �.
28. Lathiag '"Sichng �V�` � �`y=% � '.i• "' 77;.: FIXED TEMfINA" �
C -: :e: ,_ C.. i-+ t u �� �i ri C'i
.! �� G F �� r� .. .. > .- 7 • . • � ..,
29. Insulation^ • xx •• t�~ � � 7� FIRE PREV. FIN'�FiL '� %�� >'
� 30. Drywall I�siling H* Y i � F j � S ',`j'i. EALTH�DEPY. REQUIR�EMENT
j37. PiasterBrown;Goat ;_ �;r�� � K, 79.�FINAl116t3F.ECT�pN �� y _i
. _ . � ' ` : �_ x -, .
^ 32. Etectrical=Power �t�r'Fir�al ' � �' � �* � �86�F000 CERTIFY:C�TE 7SSUED
`lY; !1 1 'f .�: '�"; .J � �'
.-. . .'. k 1 ,T .F n � '# i � - - .. r:
33. Fa1na�Eiecjric-., sv ,-, � e, 'Notes: �; `-;;'1 �'" O ti[-!
3 I r..
u34. FinaL`Jieating'&Atr`.CsonctitioninF}S :', �!: t � � ; C�u .r c o0
•r -� � 1 x .k '� � � ! i H �� ;-� �C; '« �,.
� 35. EinarGas:PiPe`�;"�'esX:�i �� � x .-: � ��� � � xc. i�� ;. ��
Fk '
Y - .. �
z� 36. Hood�or CanoPY '� � ' �� " * C�: ( iM . _ i. :-,o :�: a;z•
- �'. � t-..,^ c.� n: :o -r ,r, 7:"7
'1 T i1 H 1 $i�' :1� X i=� 1 - �, '. � :•
�,37. Ftnat.�'actorv Pirepiace � ���-_ r� �.Y i.' ;; r
y38. FinaCRiumbing �+' ~c� ' � � - ' - .j': 5 �' * :� O
�,.� a� -n ti l' ' y. H !, fq
�39. 4Nate'r�5ervice`Final " � '-'' '� �' ' '�,'j ^ `
. r i ,: tr � �.e : � � �.
�40. Gas Service-Final e ny _!,"; � s M tT; f :t O�• rv�� r� ~
- �: 'i. F. C :e: i 'v
"41. Solar pomesn4�Finala 5 `.,;~ •• M �° I �. ,.7� �'. �
i ''�
u42. Backflow Preventer .�'� �; *"� ; �� a; 7c. . r p -
� r _ h! � �J l� * i-'
43. Backflow Irrig�Ztion '� ^ `-= ;` � * �`"'� '' �' ,
>� � CC Y' � 3 i Y
44. Landscape�IrrigatiomSystem �s�; � �- �:�:, r. r�v�y;;, n; p- ��� - �: ,�
��.r - rte r �*' r' r: £ E r.� , y S
4'S.Sound AtSen�tlon'' �',�'" �" '`� F F F�' -: e'� - !:
,.� .c .x r•. �vx i � - G . �`
�6. Handicap'Regulationt :� M � �: �S C%c .> x
c r e I .�rJ'�: e
�7. 6iN!{j. STRU�TURE & BUILrDING .. / Z�3 �qlj, ," ' -'' i x r
F�
48: EiNFrI PLANNING �. . K P.; i. _'+' :n �i x �� -
_ � ,� �� r. �C •
49. E[ectric R�leasP to Edison ' "�;` - ' ' . `�
L H � � �
�O. G�s Release to Southem Calitorrra Gas Co : l* �- c' • o,�: > p •
�'•- � . :�o ,� x ca
5]. CERTIFIC%:TE OF OCCUPANGY r x.., �-no , x _ �
No. Date �
� '7�' �
�
t
9
�
£
f
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I �
eooREssavem�ano: z 7 9 7 H LUEB IRD C I
OWNENSWWEIFplOWN: MC INTOSH, JAMES W
�ooness: MC INTOSH DOROTHY M
2797 HLUE�IAD CIA
:OSTA MESA,CA 92626556-2688
�vv�. wuurw �ooness: -
1RCXRECT Ofl ENdNEFfl:
APLN.OP ENO.'8 �OOPE59:
uc. xo.:
UNT:
uxi:
ooxm�cTarsxu� CASPERS ROOFING ( 714 ) 895-7667
eam�croxa wauxa 8 8 81 B OYD
ADUXE9S: GG CA uara.: 549794 '
92644 uN7:
LICENSED CONTflRCTOPS pEC��XAT10N: I hamby efl'xm unEsr Po�eAY d parjury ihet I un licsnasd uMx pMuom of Cheqx D
(wmmenrirp xilh Seclion ]000) ol Divieion 3 d ths Busireu ard Pmfmaions CoEs, ard my lianea u in hll bm uM aMatl.
cmuc.no.:053754 uc.cuss: C-39 uc.�N: 5997�4j EXP: 07/96
o�e: /�/�-96 cam,�o,:1,0���/�.tir_.�-+s
.. ��
OWNER BUI�pEX OECLANATION: I Mmby elfirtn uiMer penetly d perjury �� he� I em ezempt Irom iM COMiatlon Lironae Law Itt �M
idbw'vq raeson (Setlbn ]W 1.5 Bueirae eM Profeaaiom Code: RnY �Y a oounry which requirea e pe�mA Io cauNul. eller. improva.
demd'sh, a repei eny evuciuro, qior io ils eaueMe, ebo rpuirea �M epplimnt lor euc� pmmN to Rb e aipned atetement Mel M w eM
ie IicenaeE punuenl �o �ha provieiona M iM ContreGoro Licenee lew [Chepter 9(oommend�p wilh Sedian 1000) d Diveion 3 d iM
Bminese end Praleaeom COEe� m ihel M or ehe ie ezamq t�xelrom end �ha beeie for IM ellepeE eaemptun. My videfnn d Squn
)031.5 by eny ep0liranl /ar e permn eubjeds iM epplicenl to e avil panelry o/ ml mare �han I'rve hundred ddlen �5500�).
� I.azoMnerdiMpopeny«myempbyaeawuhwegeaeaihaiederompensa�ion,xilldothewoek;e�Mllrostiuelure6mliMaMeA
w dimed la eele (Sacuon )OM. Bus�wsaeM ProfessbnsCode: The ConVepon license Law Ema rot epply ioan oxmard popeily
who Wida or vnprovea Ihereon. eM xfia doee auch xwk Ivmmtl or Mrse� or ihrouph he a Mr own empbyeee, 0�� �� �h
impravemama ara not inteMeE a o/feretl lor sale. H, however, lhe buiNinB er improvemenl ia edtl wilhin ona yeer af mmpinion, tha
owner-buiker will have ihe buMan W provinp ha or ahe did �a buiia « imprwa ra. me v�m�a d aeiel.
� I, ea owner d ihe propeny, em e�dusHey mnlredmp wit� lieanxd wnvulore to eonAeud ihe pmpo l`�� ��. Buainma eM
. r�ie��. caae: rne comraeors u�enu �ew aoes na e�N m� am,e. a w�r wno w�us o, �,ww.. inare� ena .d,o
canveclf Iw wN yqetlf wilh e mNretlor(s) Icervved W��� lo IM Conlretlwa Limnae Lew).
❑ i��.amm ��ae, s«uoo: e. a P.c.. ro� in�a ,��: �
I
De�e: Ovmx:
I Eo nareby ceniy ihat I am eware d erd uMerslenC Ihe repuiremenn d Celdomie Heallh eM Selery Code Seaiom 25505, 255�J, arN
25551, enC Uel I a any Mure WiWi�g acapent will / wil mt (orcb me) neaE to canply wih eeid awa wdas eM IM reQuiremmma br
e permn lor conai�uct'an or motlif W bn homtha R'v�anepement Dixma. ReakeMial mnsY�upbn xppicaiauuauemp Imm Nne
provisions. . , .
De�e: Applicent:
WONKEF'S COMGENSATION DECIAFRTION: I hereby effiim uMer panelly d perjury me d iM Idloxirg dedaretima:
❑ I heve eM xi1 maimen e cerlilrata d mnxni to aeHinwre lor �wrkers compmaetion. m W�deE la by Seaim 3]00 d iM lebor
cma �a, �n� wna��,�a d ma �x ro..m�n m�s ae�u �. ���ea.
C.l I heve eM wil mffintan woMre mmpenmlion insuranm, av reyuirad by Seclim 3100 0l �he lebor Code, lor tM pe�lormence d the
r, woM Ior which thia parmil is ianued. My workers canpensetion insurance rarrier eM pol'ry number ere:
c�a,: STATE EXPIRES
aa�N�mn,,: h — 06/O1/96
(This section need nw be camde�e! / tne pe�mR is lo� one hunCred dollars (Stool w ie.sa.l .
❑ i�nM'inai �� ine vano�ma�oo d me .on� ro. »nKn in�. va�n �s ���.d, i.nvi �,a amri�r d,y re� �� a�y m��a. eo es io
become eubjae to the vroMer% canpensetion lexs d Celifomie, arM ee thm H I shouW becoma wbpd �o ihe wukars
Oele: compgn'mli���ovi '�/ Sedian 3]00 d Ihe lebor Cotle. I fhell �o ' �p � wM Ihwa pmvis'au.
�� % / � �
✓ 9 ACdicem: _� LGiLiLI� �Y/
r
Wem/ng: Fellun ro escuro worken' campen�atlon coverape b unbwlul, and �liv0 aub/sct an Nnp/oyer ro ctlMrW peneNe� siM
c/vllllMa vp ro wro hundred fMuuiM Collers (Sf00,000J, In eW/tlon ro Me cost o/ compslueflon, Oamepa u provlJW br In
SxHon 3]P6 0l Ms Labor CoOe, Infwq entl ettorney's Ins.
CONSTPUCTION LENDING AOENCY: I Mreby elfiim uMar panalry d perN�Y �� ��� g a cons�rvtlion bMi�p egeiwy la Ne
parlormence d ��e hwk fa whicM1 ��e permi is veueE (Sedan 309]. Cv. C).
LENDEH'S NAME: � '
LENDEP'S RDDHE55:
� oeniN �nd � neve reae m�s aod�wio� ene ae�. md ine mwe inroimefo� m m�rea. � ayree �o comaM wnn vi cnv e�a o�umy orairenm,
�d swe �.. rewms m w�bno cansruaion ana ne.eM dnno,�e �awaseo�aivm d�nro mr m.me, �w� me em..-���ed mwam
�o���s'��°��°�� RICHARD CASPERSON
F�� P��� ,T /.� ��
oa�e. IIrI
sy�ew,e d ow�,uaa�vncd�ucom�aa« �
�(515td6 WP) W�iio-Buildiiq 8 Selery; praeo-Fle: Cenery-ADGlicenq Pink-Aevenue�, Ookenrod-Anxsaor
� CITY OF COSTA MESA — BUILDING PERMTT
PERMIT NO; B 075982 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PEAMIT TYPE: STR
JOB DESCRIPTION ; REROOF W/COMP. SHINGLES SQ FT: 3,000
CLAIM VALUE: , 3,000.00 CALC—VALUE: 3,000.00 GAOUP OCC: A-3 /U-1
COMMENTS: REROOF 2600SF RESIDENCH W/COMP
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Z O N I N G R E t] U 2 R E M E N T S
S E T H A C K S
PERM NO: B 075982
GOVT: N SUPP: N
PUAPOSE: OTH
------------ MAIN BUILDING ---------- --------- ACCESSORY PUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGAT: FT IN
PARKING AEQ• PROV: PARCEL: 13962111 ZNE: REF NO:
PLANNING NdTES>
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D E V E L O P M E N T S E R V I C E S R E Q U 2 R E M E N T S
ZONING APPROVED.BY ,
BUILDING APPROVED BY :
APPLICATION ISSUED.
#iP iE iE �lE+F itiF iF it �1E+F 1t 1E iE iE iF # it
LEGALIZATION:N
BLDG PMT
PERMIT 54.00
F E E S U M M A R Y
PLUMBING ELECTRIC MECHANIC FIRE
DATE: I
DATE: ,
DATE: `1 �1O l � �p
* * it * at * * +e'i�'iF� * *
STRUCTURAL SEGMENT:Y
SMIP/R50 GRADING
SMIP/NON—AES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0,00 54.50 54.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: ,54.50 OVER/SHORT: .00.'
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50
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I N D I V Z 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
SFR 3000 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 3,000.00
END OF FEES
DATE��QF/i6%9�19TIP9E� 3`�:4
6
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. ��'� g
LOT N0. 9
ADDRESS Z�97 �"�/� ���c'�
DATE �Z ��y � 97Z
The develooer of the above entitled tract desires to sell the above set
forth lot prior 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, acknowled�es that
(he-she ey (was or er )
advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Ptesa
as havinp 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 liahility 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 harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
` l�/i l'/�
�'��""a�C% �.'�i
Developer a d/or'authorized
representative
s� �• 9 �E'v�,9� :?�����<�
I.ender �
OWNER STIERS, Harrv H. DATE 8_25_�2
JOB ADDRESS 27q7 Bluebird Circle BUILDING PERMIT N0. Z523q
`q�.'� AP No.
`$ INSPECTIONS
�I\F SOIL
o�GAS
W ATER
� J ROUGH PLUM9ING
3 PROP. SWR. LINE
J SPRINKL�NG SY51
�� MISCEL4ANEOUS
ROUGH HEATING �
-i TEMPORARV SERt
�� UNOERGROUNO [
ftOUGH W�RING
R CONOITIONING
POWEft
TRENCHES U FORMS U STEEL REINF.
FLOOR S�STEM
BONO BEAM � STEEL REINFORGE �
SHEATHING
FRAME ANO FLASHING
LATHING — IN � OUT n
PLASTER, BROWN COAT
STRUCT1IAAL, FINAL
HEATING. VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL ANO GAS TEST �]
FINAI
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�
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTIVIENT � . - ' .
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
/AP L ATION FOR BUILDING PERMIT �
. ForApplicanttoFiOin�Completety � R�pE ev TER�CENED
�E ISSUED
BUI�OING • �O �/ — � 1c_
ADORESS ,.�' � /r0 ` ' /GT
PERM]�
OWNER � A.P. NO. J
MAIL ` ' BUILDING � ^/
ADDFiESS S /%NF ADDRESS •�� (/2 L„-
CITV NOL �y,5 =(op6 TRACT �S LOT - BLOCK
CONSTRUCTION EW AD ' AL P
LENDER
BqANCH OWNER /J/�%2R ..5� /%-�/S
AODRE55 � - - � VALU Q(�
ARCHITECT . TEL. S L� '� D"
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OR ENGINEER NO.
FIRE
ADDRESS ZONE T PE GROUP
APPROVED
CONTRACTOR BV � OATE�'-
ADDRESS
' � . TEL. ZONE NO.OF USE OF NEW J�TI �
CITY ' NO.
- '� PLANS BUILDING
STATE CITV ' �'ARDS APPROVED VARDS APPROVED
LIC. NO. LIQ NO. MAIN BUICDING ACCESSORV BUILDING
512E NO.OF BLDGS. (FROM GL STREET) '7'f• �-'
OF LOT NOW ON LOT FRONT � FT. / �^ FT.
USE OF / Gq/�
EXI5TINGBLDG.' P��/O CO[�C' � 51 E FT. / FT.
SIZE OF `' No. oF �
NEVJBLDG. /� � FOOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL - ROOF /�
COVERING COVERING REAR FT. [J FT.
USE OF BUILDING AND WOIiK TO BE PEflFORMED DISiANCE BET. BET. MAIN &
MAIN BLOGS. � ACCE55. BLOGS.
��I� �T � C� ���' VAR.# DATE
C.U.P.# APPROVED
APPROVED � S �
gTATE
I hereby acknowledge that I have reatl this apPlication antl stare �
that the abovg information iz correct antl agree to comply with
all laws regulaiing building consttuction, and I shall not employ. �
any person in �jolation of the workman's compensation laws of �
a
ffie State of California. � . ^ p.� � �
I hereby certify that I am properly licensetl as a contracior ontler
✓ �� SQ. FT. C
the State oi California Business antl Professions Code, Divisicn 3, THE AMOUNTSHOWN UNDER VALVATION IS FOR
Chapter 9, enq that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q
am exempt trOm the provisions ot the State of California Business ��--
antl Protessions Code, Division 3, Chapter 9. VALUATION � �
� �f�% PERMIT FEE $ �
Signature of 6 � - / // ���yyy / — a
Permittee �w/ / . �%/ �� / $ /Ja PLAN CHECK $ E
� � �� �
u
Authorized ABent TOTA� FEE $
�°"R- y /�/ 33692.
ti� / /K'
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi!l in Completely
, BUILDING �� n .� {� � . a ` /� /Q ' n
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OWNER
MAIL
CITV
BRANCH
AD�RESS
ARCMITECT
OR ENGINEEft
A D D R ESSp15 l
CONTRACTOR
AODRESS
CITV e
STATE �
LIC. NO.
SIZE /
OF LOT �Q
USE OF
E%ISTING 6LDG.
/
TEL.
No. S�Fo-
CITV
LIC. NO. aO�
iNO.OF BLDGS.
NOW ON LOT
i�J J .�• v.�J.l�Y •�u�.u�.
r C;; I - . �9%1
APPLICATION fOR BUIL•DING PE
v-- v'.. i i � G� --,�.J�
PERMIT,� Of � "
A.P. NO. '![7
BUI�DING � /
ADDRESS
TRACT LO�� LOT BLOCK
W .ADD AL P
�
OWNER '�� � ��-/'i f
SE �� l.�. �Q�� .� � VALU$ 6'N J��
FIRE ' 0�
ZONE TVPE GROUP ��C
APPROVED
BV DATE
) _ NO.OF
PLANS z
VAROSAPPROVED
MAIN BUILDING
ROM GL STREET)�,
E OF NE
ILDING
VAFiDS
F SIZE OF � NO. OF � /
Z NEWB�DG. D ROOMS STORIES L.SI E FT. FT.
a EXTERIOR WAL ROOF ' %�
V COVERING COVERING� REAR FT. FT.
-% USE OF UILDING AND WORK O BE PERFORME DISTANCE BET. BET. MAIN &
a MAW BLDGS. ACCESS. BLDGS.
a
Q VAR,a{-` DATE
O C.U.P.# qPPROVED
y. APPROVE a� �
z HOLD FOR SPECIA REQUIREMENTS
O
VI hareby acknowletlge thet I have reatl this application antl state
� ffiat ffie above information is correct antl agree m comply with _
� all laws regulatin0 builtlin8 construction, antl I shall not employ _
F any persOn in violation of the workman's compensation laws of
(p the State ot Calitomia. /(y� O L �
d, � m
z I hereby certify that I am properly licensetl as a contractor untler "" SQ. FT. o
the State of California Business an Professions Cotle, Divisicn 3, THE AMOUNT SHOWN U DER VALUATION IS FpR �
Chapter 9, antl that such licens ar in full force and etfect, or I THE PURPOSE OF ESfABLISHING A PERMIT FEE ONIY: m
am exempt fro ffie 0/ �sio of t e State ot Cali nia Business %¢
antl Professio otle, i isio 3, C apter 9. VALUATION �O ��
PERMIT FEE $ �
Signatura of �/ � �
Permittee � $ p�(p� � OO PLAN CHECK $ � O� E
Authoriz Agent � � o
TOTAL FEE $
/ `f I/ "