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Home My WebLink About2772 BLUEBIRD CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2772 BLUEBIRD CI Suite: Vicinity: Parcel Number: 13962104 Applicant: GRIEGO, MANUEL Address: Owner: QUINTANA, RICHARD E Address 2772 BLUEBIRD CIR COSTA MESA, CA Contraclor - Address: Zip: Arch : Address: Phone: Zoning: R1 R1 Phone: 714-525-3844 Zip: Phone: Zip: 92626 Phone: License: Eng: Address: ISSUED BY: Status: ISSUED Applietl: 09/25/2000 Issued: 09/25/2000 Phone: Zip: License: License: � SCOPE OF PERMIT 62 LF OF 6' HIGH BLOCK WALL ON RIGHT SIDE PL , - Plan Check: $31.14 Permit: . $47.90 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $79.54 SETBACKS MAIN STRUCTURE Front� 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 s�,24o.ao so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � . INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754562fi tat�ae (s�oo) � WORKERS' COMPENSA710N DECLARATION: '� I hereby attirm untler penelry oi perjury one of the following declarations: ❑ I have entl will meintein a certificete of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Gode, for lhe pertortnance of the work for which ihis permit is issued. ❑ I �ave and will maintain workers' compensetion insurence, as raquired by section 3700 of the Labor Cotle, for ihe pertortnance of Ihe work tor which this pertnit is issuetl. My workers' compensation Insurenca wrrier and policy numbar are: - Carrier: Palicy Number: (Triis section need not be completed i! the permit is valued ef one hundred dollers ($100) or less.) ❑ I cenify t�et in the peAormance of the work for which ihis permit is Issued, I shall not employ any person in any menner so as to become subject to ihe workers' compensation laws of Calitomia, end egree that ii I should become sub�ect to Ihe workers' compensetion provisions of Section 3700 of the Labor Cotle, I shall fotlhwith COmply with th85B provi5ions. Applicant SignaNre: Dete: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLARE (E100.000�, IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED f-0F IN SECTION 3]O60F THE L4BOR CADE, INTEREST, AND NTfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirm ihat I em licensed untler provisions of Chapter 9(commencing with Section 7000) oi Division 3 of Ihe Business and Professions Cotle, end my license is in full force end eflecL Lic. q qass N Contractofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I herehy aHirm Ihat there is e construction lending agency tor the peAormance ot the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Nama: Lender's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penalry ot perjury ihat I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or wunry which requires a pertnit to constmct, alter, improve, demolish, or repair any stmcWre, pnor to its issuance, also requires Ihe apD�icant for such permit to file a signed statement Ihet he or she Is licensed pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code) or that he or she is exempt t�ereirom and the basis tor ihe alleged exemption. Any violation of Section 7031.5 by eny appliwnt tor e pertnit subjecis ihe applicant to a civil penalty of not more than five hundretl tlollers ($500).): ❑ I, as owner of Ihe properry, or my employees with waqes as their sole compensation, WILL DO TTIE WORK, and ihe sWCWre is not intendetl or oHeretl for sele (Sec. 7044, Business and Professions Code: The Contradors License Law tices not apply to an owner ot property who builds or improves thereon, antl who tloes such work himself or herseli or �hrough his or her own amployees, provitled that such improvemenis ere not intended or oflered for sale. N, however, t�e building or improvement is sold within one year of completioq Ihe ownervbuilder will have ihe Durtlen of proving Iha� he or she did not build or improve for purposa ot sale.). ❑ I, as owner of ihe property, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply m an owner of property who builtls or Improves �hereon, antl who contracts for such project with a contrector(s) license pursuant to the Contractors License Laws.). ❑ I em e:empt under sec. Business antl Professions Cotle for this reason: Signa�ure: Da�e: Ownar ID veniied by dnvefs licanse. ❑ Yes ❑ No Dnvers License No. Expires: Venfication af Ownership by (rype ol tlxument, i.e. - properry tex bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certity thet no ezcavation tive (5) or more teet in tlepih into which a person is required to descend, will be made in conneclion with work au�honzed by Ihis permit, and that no building siructure, scallolding, falsework, or demolition or dismantling thereof, will be more ihan ihirry-six (38) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnil from the Division of Industnal Sefety, as noted ebove, unless such person has a permit to tlo such work irom the divisian. SignaWre: Date: Division oi Industrial Setety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I certity under penalty of perjury that I have read ihis application and state ihat ihe information given is correct. I agree to comply with ell state laws and ciry orGinances relating to builtling wnswction, and authorize representatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed property tor inspection purposes. I egree not m occupy or allow occupancy of any building euthorized by Ihis permit until final inspection. 40oE t' INSPELTIONTYPE - 7616 Fiaed System Final Fire Prevention 1266 Paol Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Pinal Factory Fire Place 203 Final Sign 204 Final Demolition 1(�j� INf1iI�L5 �-�Z r , �, F+- ��57 �C`�b oaia COpE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Finel Building/Occupency 1791�15111[1Fj • THIS SKEfQ-I LS FOR 1NFOItMATfONAL WRP(7G6 ONLY. APPLICAN'I IS RFSPpNSIBLE FOR PROViDING AN ACCURATE RES'RFSENfA710N OF hh�i PROPFRTY IN G15E TF� SHAPE AND S77£ DO NOT CORRF9'OND WIfH TI-ffi WFORMA770N PROVIDID ON 7tD5 Sf�F.7'. —1 � � �g � ae9oe�a , . � '------•-- �-- j Qo0 'O l �f °(`� L—. RE40ENfF z7nZ • SOLiD WALLS/FENCiS BECWEIN 2'fi' k 6' 1N }ff7Gtif SEULL BE SEfBAIX A7 LEASI' SO' FROM FRONf PROPFR7Y I.INE. • SOi.m WAISS/FFNQ�S SFIAI,L NOT H7(� 2' 6• W}IDGtIf N71}�I ld OF THE FRON7 PROPFRTY llNE (NOT CURB LINEj. • VERffY DLSTAN� FROM CURH TO PROPEI[IY LINE AND 9{OW ON PL1N. VERIF7GIION FROM 7t{E QIY5 PNCIIJffitA1G DN610N S REQUIRFD. GLL (714) 754S3Li POR IIJFORMAT[ON. ume�z 8 � _ _--• ----�L_CIT� OFT; �T -�� •----------- � � Ca!e_— — By -��n','�is job at �P: ti;aes aro i1 is1ar.lasfiu119 , M..�I Ia Gipians •dspecilical��'�� n P fiT.!iSYJ'iif'v�liilc'.nl.ord O�UJ;�BJ� la.e.b�r�� ,.�Zncc:sy�R cr�ea,r.cw�na�1H.��.npe r,�dSa'e^;,.i. cCi,'�.,,��LNO?�ha'.diapemaw,�' "�''.., r� ndi"GC•;IC8110tt:.�lin i:;2 („ei8 V��jn�OCC ul�ld(:%�it3',c.i. the stsn�,ainn of this ,la, � a <�nv o��.� �iiy ot C 0� �11E 41' �°j U9 ll b�.lj t ��I ] 4 ( e u ,lii' ef �11 r.. ,^d .CIi d lhC b111��vIDlj �i _L LA�1F � .U�°°�-�t�'``- �01N�'�R1ilfIT�--.� �UB.lECT TO BLQG. DEPT., RtG. BY 7¢J-� DATE�/�0 -- 62�F a�� k�� b�v�k �PL , ,.. .._.. ��'� E -�.� (i ADDITI4N5, DELETIOPJS, OR CO�RECTIOPdS ' BE APPROVED i3Y TNE PLAhiAi!!tiG DIViSi a DIVISION � Cement Copin9 Opt�onal � Channel Bbck With 1�3/8� Horiiontal Top o( all Fences For Fence� 5' or Less Ven. Bars 3/8"yi at 4' �0" O.C. For Fences Higher Than 5' Ven. Ban 3/B"� a[ 32" O.C. � F ill Ce11s Solid W ith Grout Where Steel Occurs Rcinlnrcing Steel Shall Con/orm to Sec.A�15�39 A.S.T.M. All Steel to he Lappad 24" or to Code TYPICAL: 6�� CONCRETE BLOCK � 0 a x 4 u Y W a i > z a � 'n w o u � LL NATURALGRADE �.�� Z �•• � �.7Ii.. C,�<�� • .`n rv � n U - � TWO J/8"O BARS ' D GONTINUOUSTOP 8BOITOM � �µ�DTH � SEE Cna NORILSTEEI MUST BE TIED IN � BELOW VLACE AT TIME OF TRENCH INSPECTION. o FENCE . - �_ ,� - . GENERAL- NOTES '_ MORTAR; �p�e part Plasfic Cemenf, and �Three Parts Sand " GROUT: -'One Part Cement TMee anC � ;One Half Ports S�and _. COPING: '-One Part Cement, T�ree Parts Sand � CONCRETE: Well M�aed C2-I/2:3-I/2� Mai of 7- I/2 Gal;cns ot � Wale� Per Sack oi Cemeni ' GROUT MAV 8E POUREO FflOM TME TOP �� OF iHE FENCE IN CELLS WNERE STEEL OGCURS. - CELLSAND AREASOF HORIZONTAL REIN FORCEMENT SNALL BE CLEAR, CIEAN 6 FREE O: AlL MORTAR DEBRIS, ETC. _ ) ' _ � i n M (.� C4RTHTCOTH V7 fr1E HEiGTH OP �ENCE BE�LOW BOTTOM 0� �OGiiNG �:e� �o" � �_ � SCALE: 1/2�� = I' , , • FOOTING RE�UIREMENTS CHART WIDTH THICKNESS OEPiH OF EARTHTOOTM SPACING OF EARTHTOOTH I4" I 0'� 2 4„ iZ' 14., 10" 20" 14� BUILDING DIVISION 12 6" 16° 16' 12" ' g ". 12" 16' � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-meSa��DING PERMIT �� FAIR DRIVE, COSTA MESA, GA 92626� ,lobAddress: 2772 BLUEBIRDCI Suite: Vicinity: Parcel Number: 13962104 Applicant: GRIEGO, MANUEL Address: Owner: QUINTANA, RICHARD E Address 2772 BLUEBIRD CIR COSTA MESA,CA Contracmr: M.G. CONCRETE Address: 3134 S. RITA WAY ' SANTA ANA,CA Zip: 9D04 Arch : Address: Status: ISSUED Applied: 09/22/2000 Issued: 09/22/2000 Zoning: R1 R1 � � . ISSUED BY: Phone: 714-5253844 Zip: Phone: Zip: 92626 Phone: 714-525-3844 License: 384563 Eng: Address: - Phone: , Phone: � . Zip: License: License: SCOPE OF PERMIT , CONSTRUCT 6- FOOT HIGH BIOCK WALL ON NORTH�(SIDE) PROPERTY LWE 85 FEET IN.LENGTH. � Plan Check' $39.07 Permit: $60.10 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $99:67 SETBACKS MAIN STRUCTURE �Front 0- 0 ACCESSORY Front 32-0 PARKING existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY Calc Valuation: ' Si,�oo.00 Claim Valuation: ; $o.00 ;� , PLANNING & ZONING ' Lett 0- 0 -. Right 0- 0 � "�� Lek 0-0 Right .0- 0 . � Proposed: 0 � NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related requlations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned tor a period of 780 days. � - . INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiretion of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 ,446d6 (N00) W6RKERS'COMPENSAnON DECLARAnON: � .� � I hereby affirtn under penalry of perjury one of the following tleclaretions: ❑ I heve end will maintain a cetlificate of wnsent to self-Insure tor workers' compensation, as provitled tor by sadion 3700 ot the Lebor Code, for Ihe peAormance of t�e �wark tor which this permit is issued. I have and will maintain workers' compensation insurence, as required by section 3700 of the Labor Code, for ihe Dedortnance of the work� r w��hi�ertnit is issued. My wo �r ' co pen tien Insu ca carrier antl policy number ere: `��'' Carrier: palicy Number: 1�� Lv (This section ee n t be compleretl il the n is � lued at one hundred tlollars ($700) or less.) - ❑ I certity Ihet in the pertorman e of t ork f which this permit is issued, I s�ell not employ any anner so as to beco bject to the workers' co s ot C r r that If I should become subjecl to lhe workars' ensation provisio t Sec ion 3700 f the Cotle, I shall fotlhwith �plywjth ihese mv i� s. " pf nt Signature: Date: AR ING: FNLU SECURE WORKERS' WMPEN�. ON COVERAGE IS UNLAWFUL AND SIULL SUflI AN EMPLOV CRIMI PENALTIES AND GVIL FlNES UP TOONE HUNDRED AN RE �E�N AODRION TO TME LO OF COMPENSATION, DAMAGES AS PROVIDED R IN SE 31O60F THE LABOR CODE, INTEREST, AND FTTORNEY'S FEES. flirm that I am ettect. LiC. M CON§TRUC LENDING AGENCV: ❑ �h y aflirtn that there is a wns 5 Name: Signature: of Chap�er 9(commencing with Section 7000) ot ision e Business ions Code, antl my license is in full Class x Date: idi g agency for the peAormance of Ih �ork for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Atldress: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry ot perjury that 1 am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu and Protessions Code: Any ciry or counry which requires a permit to coretruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant tor such pertnit to flle e signad statament that he or she is licensed pursuent to ihe provisions oi tha Contractors License Law (Chepter 9(commencing with Section 7000) of DlNslon 3 of ihe Business antl Professions Code) or Ihet he or she is ezempt theretrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for e permit subjacts the applicant to a civil penaliy oi not more than five hundred dollars ($500).): ❑ I, as owner of ihe pmperry, or my employees with wages as their sole compensation, WILL DO THE WORK, en0 ihe structure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contractore License Law does not apply to en owner of property who builtls or improves ihereon, antl who tloes such work himseN or herself or through his or her own amployees, provided ihat such improvements are not iniended or oNerad for sale. If, howaver, t�e building or improvement is sold within one year of completion, ihe owner-builtler will have the burtlen of proving ihat ha or she did not builtl or improve for puryose of sale.). ❑ I, es owner oi the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Cotla: The wnirectors License Law does not apPly �o an owner ol propeny who builds or improves thereon, and who contracis lor such project with a contrector(s) license pursuant ro the Cantractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: SiqnaNre: Date: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Ezpires: Verificetion of Ownership by (type of tlocument, i.e. - property tax 6111 or deed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby cerlify that no excavelion five (5) or more feet in depih into which e person is required to descend, will be made in connection with work euthorized by �his permit, and that no building simcture, scaXolding, falsework, or demolition or tlismantling Ihereo�, will be more than thirty-siz (36) �eet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Celitomia Atlministrative Cotle). ❑ As owner-builtler, 1 will not employ anyone to tlo work which would reQuire e permit irom tha Division of Industnal Safery, es noted above, unleu such person has a pertnit to do such work irom the division. Signature: Dale: Division of Indusirial Safery Permit Number: t Will the applicant or present or tuWre 6uiltling occupant need to file end cetlity a Business Plen tor emergency response to release or threatened release of e hazerdous matenal? ❑ Yes ❑ No (Section 25505 of the California Nealth and Satety Code requires, with some exceptions, ihat e Business Plen be filetl wi�h the Costa Mesa Fire Depanment by every business which has at any one time dunng a reportetl year a Quantiry of hazardous materials equal to or greater than a weight of 500 pountls, or e volume ot 55 qallons, or 200 cubic feet ot wmpressed gas at standard temperature antl pressure). .......................................................................................................................................................................................................................................................... .................................... ........................ 2 Does or will the applicant or present or fmure builtling occupant need m File a re9istration form tor acutely hazardous materials? � Yes ❑�No (Section 25533 of the Calitornia Healih antl Sefety Cotle, with some exceptions, requires reglstration with the Costa Mesa Fire Department Dy each business which at any one time has on hand a quantiry ot ecutely hezardous materials equal Io or greater ihen a weight of 500 pountls, or e volume oi 55 gallons, or 200 cubic feet of compresse0 ges at stantlard temperature entl pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will Ihe applicant or present or tuwre Duiltlinq occupant need m prepare an RMPP (Risk Manegement end Prevention Program for aately hazardous meterials)? ❑ Ves ❑ No (Section 25534 of lhe Califomia Healih antl Satery Code provides that ihe Costa Mesa Fire Depariment may require the preparation, certification and filing with Ihe Fire Departmenl of an RMPP by businesses which ere requiretl to register acutely hazartlous matenels with the Fire Department. ........................................................................................................................................................................................................................................................................................................................................................................................ 4 If an RMPP is presently required, hes Section 25534 of ihe Calitomia Healih entl Safery Code been tully complied with7 ❑ Ves ❑ No . ............................................................................. _. _........................................................................................................................................................................ ............................................................................ _.................. 5 Does or will the epplicant or present or futura building occupant require tor the work which is ihe subject of this a plication a permit for such constmction or motlification irom ihe South Coast Air Ouallty Managemant Disirict or irom any other air pollution conirol tlisirict or agencyt � Ves ❑ No (Section 658502 ot the Calitomia Govemment Code requires t�at the requestetl infortnation 6e furnishetl on aOG�iwtions for nomresidential building pertnits). ......................................................................................................................................................................................................................................................................................................................................................................................... 6 Will any pan ot the faciliry to be consiructed under this permit be within 7000 feet from ihe outer boundanes of e school? ❑ Yes ❑ No (It'yes", Ihe tacility mus� mee� Ihe requirement of Sections 25534 and 42303 of ihe Califomia Health and Safety Code). ........................................... ........................................................................................................ ....................... 7 If e permi� irom �he South Coest Air Dueliry Management Disinc� or o�her elr pollu�ion control disirict ar egency is requiretl Por Ihe work which Is the subject of this appliwtion, have ell of the disclasures prescnbed by Califomia Health and Safery Code Sectlon 42303 been mede7 ❑ Ves ❑ No ...................................................................._............................................................................................................................................................................................................................_..................................................................................... B� Qt'yes", attach certificate of compliance irom the appropriate air polWtion control oHicer). CERTIFICATE OF COMPLIANGE: I cenify that undar penalry of perjury Ihe information given above is correcL I agree to comply with all s�ate laws and ciry ortlinances regarding Hazardous Materials and Emissions. Signatura: Date: \ CERTIFICATE OF COMPLJANCE AND AUTHORIZATION OF EN7qY: I certify under penalry of perjury that I have read this application and stata that Ihe intormati given is correct I agree b comply with all stete laws and city ortlinances rel�tyqg to 6uilding consimction, and authorize representatives ol the City of Costa Mesa to enter pon �he ebove-descnbed property tor inSpeClion purpo5e9. I egree not m occj��$��r a�low occupancy of any building authorized by this permit umil final inspection. eooe �, iNsvecnoxTrve 1616 Fized System Fina r 1266 Paal Spa Final 200 Finai Ra-Rooi 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolilion p7.Y1� T�T � COUE� INSPEC710NTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �IF. INTff11LS � � • Tt�S SI�I'Q-1 LS FOR INFORMA770NAL PURPOb'6 ONLY. APPLIGNT LS RFSPONSIBLE FOR PROVIDING AN ACNRKIE REPR6II9SA110N OF Zt�IIt PRQPER'[Y IN�6A55 xFiE SHAYE AND 57ZE DO NOT ODRRFSPOND ' i r �it- ;,%(JS7;S fl/E;iA :i i' , R (.� {, �; ii — —� �u.c Tnis .iotplansar�dspecit;caCo:istoiU�Tbekr�' ? , ,, ma:<e m��cim2naes r, ! f� on his ich �„ � , ral.e;ationcr,carka!!�isi�wrrtter e,^icioc and £ ;!s. � Ci ef � �. ry C�si3 Me;a. i he s impmg cf this pl�n and spc,:iiiK�f;,e�L NU i cc ha:d t:, ot the vic;afun of any plOVISIO�S Of 8RY GI� of CoSa �/e;a pi inese plao; and p��;;;;;t sh211 WOfI(I'.fIC'C1.•.vmn edand� ��i AE9DdCE . . �' • sou� wni.ts/�rr�s estw�r r�� s ua rmcxr sx.u.� BE SEI'6AIX A7 LFASf 10' fROM FROM PROPER'IY llNE • SOt� WAILS/FFN�S SFIALL N07IDC� 2' 6' IN }ffICFif WIhIIN 10 OF 1}iE FRONT PROPEltiY tlNE �JOT CVRB LINE). � vEx¢�Y nsr,w� FxoM cvxa ro�co�rnr � AND giOW ON PL1N. VFRQ�iGiSON iROM 2HE Q1Y5 FNGMffitIIJC DIV6fON 6 REQUIRED. GIt (714) 754S1U AOR INPORMATION. th2 G�a r. , -._ � i' A�� uio;(o�,yprp�j COSTA MESA ice a:;d/;�; �tsEaL4�N N I N,G DIV. � RE90EMCE •. � '"'""""""""'""' """""""" 6' r�C \\ ` _' DA NOTE INS,;OR CO � �Y: E � ' _ :� � ` �� , � � s � g� RE90fMCE � C— �lK-!'j Cf 2�, c,� cTOCCT _ �� _ ..." — - ' BLOCK WALL LAYOUT FOR BU{LDING PERMIT PLANNING DIVISION � �uonessovew�m+c: [ i7G ttl,VhtflitL �l.l uui: OMNERSN!l1EIFpqNN: �,1U1N1ANA, tilll'iAt(L t. � � � `aoo�ss: {Jl7IlV�lA1VA, ivANCY Y - L%/L tfLUhif1HL l'.12t � CGSIA 'riESA,CA `JLbLb �rr�. xuuxc �ooxEss: MCXRECT OR FNGNEEN: 11C. NO.: APCN OF EN4'S IOOPE55: UNf: , . wNmecTarswu� CA5PEA5 RVOr'TNG ( 714 ) b95-7b67 coxm�moxs�uunc d881 Ai�YL aooxEss: Cil+ CA ue wo.: 5 4 9 7 9 9 92b99 uNr: UCENSE� COMP�CTOp3 DECLAflATION: I Mreby eflirm u�Mer peraty d peejury thet I em liceneed uMm prwidana of Cheqer 9 (mmmanarq xiih Sectnn')000) al Diviaion 3 d Na Bueiriea uM PMeaaona Code, enC my licenm is in tull brro arM eMetl. cmuc./No'�.: V7� %�4 uc.�uss: C-35 uc.r,o.: d5 i49 F.- Y: �V�7%7U me: �./C com,m«: p n�.f�U��C�d I i � EN BUILDEN �ECIAHATON: I hereby elfirm uMm penely a1 pmjury Ihal I am eRemq Imm iM Contmtlas Limnve lew lor iM wvp raaeon (�� )�t.5 Bua'vresa erd Profewions COJe: AnY eYY a county xfiieh nyuiree a peemn �o mremM. Mer, improw. damdeh, or repei eiry ei�unure, pbr lo in caueze, abo requiem Ihe epplimn� Ior weh pemN to fib a egroE atetemmt Mm M w eM �, r�.ea w9�� o in, n,o„�. a ina comr�ao�a u�oae �w Icnewa� s I�me��o wnn seao� �aao) a oHe� a d iro Buanem arM Proleaeona COEe� or �het he or ehe ia examp thaehom and tM baaia iw iM elbped exmmption. My viole�ion W Sedion ]031.5 by eny eppliranl for e parmX subjeds Ihe epplcenl to e dWl panelly of rmi more ihen IHa hundred dollen (550D��. � I, es oxmer M iM papany or my empbyem wFh wepes m ihei eole mmpensmim, will do IM xnik, end Ne �truc�ure u nq imeMeA a dferad for eeb (Seclion 1016. Bueirea end Proleeeiona Code: The Contreclon lioense Lewtloea iwt epptyto en awnar ol puperry wno a,ws « mo�. �na,eo�,, �e wno eo� a�n woM Mm.erc «n�e� a m,«wn nm a ne, ��dw�, w�asa mm w�n impovemeMs ve nd interded or d1ereE la aele. p, lawever. IM Witliip a inqo.einem ro edd wnhm pp yw d campMion, tlr owrerbuilier vrill heve IM WNen d povi�p M w ehe dk riq build a imqwe la iM WTae d aebl. ❑ 1. av ovmar a Ihe pw�Y. em uduvrveN oontrenM wnh IbeiuW cantrecias ro conatrua Iha polaC (Seaion ]Oa. &mirr� end ara�sian coea: Tne comimwa lcer m ler me. na epNv w en mma. d popeny wno wiw « imwwm msean ene wno convacta la wN prqetla Milh e ca4rador(a) licemed W�suem to iM Conlredora Lioense law�. � I em examq uMer Seciion: B. 8 P.C., la I�o ieeaon: D�e: Ovmer: i eo nareM =an�ry mm i em ewme d e�e u�daB��,a me raau��eme�a a ca�eom�e Neenn end se�my coda seau�. uws, zssx+, a�d 25530, enE ihel I or eny Mure buildirp aaupenl will l wil nM (tlrcb ane) rieed to wmply wIh eeid atate codee eiM iM mpuirtmend tur e permn IormnsWMion a modifiraiionhamtMA'r�0ue tTi y F�wpement Diatnd. RasiEeMial mnatiutlion eppirmbro en uemq Irom tMee pravisians: , Dete: ApplceN: W OflKEH'S COYPFNSATION DEC WiATON: I hereby etfi�m uMv penMy d pvjury ane W Ns blbvn'q Eetluatum: � lheveaMwilmeinlaneceNl'raleMcarem�toaeMinwrebrwarkaiecanpenwian.nprwiEeAfabySar�m3]00dtMleEw COEe. fa iM partamem;e d iM xork la which �hie pe�mn is ivuad. �] i n� �,a m� meimew wwxere� oomoe�smon �os�reMe. m �ea��e M sm� mo d m. iaee, com. r« mo v�am� a m. woM la wliich iM1ie permn u iaeued. My waken' mm ae�ion inwrance carner erd poliry numbar era: . cem�.: 5�.�1TE EiCrIRFS Policy Number. L 5 b tf — 7/ V b% V 1% 7 C (' on need iw he eanplNeC 1 fM perm[ is br ms hvnLieC EWlers /S1W1 a Ieu.J I Ly �hat in ihe perlameze d Ihe wwk /a xfibh ihb pemiil ie iaweE. I aheA nal mmpby erry pemn in e�ry menner w m to suEjad �o tM .wrYers' mmpnvtian lewv d CWiloma, eM Nm it I ehouk beconre eubjea w �M nwlwa' perismion w��. a seeia, aloo d �ne l.eb« coae. �.w� �on oomy/xith moe. yowbn. Deta: c . � ACNceM: ��• �r.., Wem/ p: Fa/lun ro wc�n wo�ken'rompwvetlon roverep� l� un wNl, eIM aIW%ub/�ef en xrploysr ro MMiul penelllu enJ elvll rise yr ro ons huntlrW tMuw�M dollan /S�oqooaA �� Itlon ro ths eoa� ol mmpru�tron ��Ys+ n provkNO ror In on 3]O6 0/ Ms LMor COM, InNnst, entl eRomsy i/w�. CONSTflUCTION LENDIN� AOENCY: I heraby elFrtn under penelry W perNrv �� ham le e mnniutlion kMi�p eper�cy Iw the peAarmenca d the wwk lar which Ihe permi ia eaued (Seaun 309), Civ. C�. LENOEN'S NM1E: LENDEP'S ADDFE55: ib epq'r.mian uM mme Ihet IM ebovs iNvmetion b cared. I ep�a �o canply wilh eA ay enE oowiy ad'vienoes WikM m'Mrudion aed heraq' eutMrce npeaenteGran d �Ns elY �o amw u W� �M ebm�e-mamiwrod popery RICiiAFcu CASPE�Giv � o�<: d��q 97 (S15t<6.WP) Whil�BuiMip d Selery: GreeMFle: Cemry-Appf ant: Rnk-Revenw:Oddenro�bsmaar L11Y VY LV�lA MESA —&IIiiLSN� YEKMAI rtkMIT NU: b "v85�55 riAN CriECK iVO: N CGN57kuCiIGN TYYt: V—N 1'r.tiM1T lYk'Y.; :iItt t'F.itM ivV: Ei V8547 iiOVI: iV SU"rP: N . rUrieuSE: Giri JGB LE.JCt(lYTlUN : 1%VYt RESric.A7ri ti RERuOF iviCUNir, Su FI; 6,�u"v iLAIM VALUt: b,LVU,VV I.ALI.—VALUt; b,LVV.VV GitGUi' Vl.l : R—J %U-1 t.uMMENIS: SMGAE LEIECTVkS kEQUIkEU IN bELkGi�Ma d HALLWAYS rii'tifi4ifieifi4ieiriFiFi'tiFiricie,rrwxfrvr�"rxriiririrxxxwvrxxirsr�itir'xit�)titiiwi'riiitiii'rie'vew�rtieiFw'viiririi�i'+Fi'rieie'seii-rt7titififitit�irtiFie Z O iV I N G k� Q il I tt E M E N r S 5 fi i B A i: ri S ------------ Mt11j+1 tiUlLLl�il.� ---------- --------- ACC�SSV1tY k1UlLL1Nla ---------- FftNT: r i IN x�.Ax; Fi IN rkNi ; Fi iiv k�:AR; Fi IN LErT: r i iN kGiir: r i Iiv LEFi: Fi 3N RGriI : Fi Iiv PARriiNG ltEu: YtIVV: Y[�1tl.GL: 1.i7bL1U$ ZiV�.: R�.r Nu: FLAN[3ING Ni�TfiSY' � ->... � ,. ..�::% ,� .- iF iF iE iE i't ie ie i"e if ie i'r iv iEiF i'e �e if ie ie iE ie ii� i'a ie iE iE ie ic i'v ie iE if iE ie i6 iF iE ic iE if rE ie ii ii� i't i't �ii i't if if ic iE ie ii iE ii ie ie i'v iE ii i'r iE iE ie ie iE i'r �e i's i'r ic if ic ii� ie ii� ie ie L E V t"L� U P M E iV i s� k v I C c 5 R t Q iJ l rc E M E iV �7 5 r..•,. � , ZuNING APIt(UVY.'ll 2fY , UA'1C: • _'_____'� _ tfUlLLl la YItVVhL 2fY ; f�'- AYFLZCATIGN ISsUEu bY: z�t i� iF ii ii� iE iE iE ii ie ii iE ie ii� i'r ie ie ii ie ii ii ifiGALIZATIuN:N r E E S U M M A k Y bLuG PMT PLuMbING �.LtC7kiC MEi,ri:Aivi� FIttt FERMII' 1[9.75 PLAN ISSUE rEE BUZLL3NG—uIV—> P�,kMIT ZSSUE PLAtv—CHECK IGZALS----> 125,37 u,"vu "v.G"v kEVENuE LIJZSION TU7ALS--� CGLLti:Tti�: HLLIi PMi PLUMbI1VG ELEC7kIC MECkAN1C iza.�s �� LAi�.: .� �; 2 � �� ilAiE; c i'� ieii�ieieilllleie�Rse leR'Racic ii�ri� 57tcUCTUkAi, ::iti�MEN'i : Y SMIPiRt� GitlauIlV� .bL SM1F%IVVIV—tttt5 IOTAL PAIu LD�. 1t5.37 1[5.37 ,0"v 117.�% UVt.R%S11VR�T; . � ,UV tlF(t 5%�lY%�1V'1 l.�itA'L1NlU L'LAIV—l'.1-1tl.IK .bL ii iE iF iF i'r iF if iF iE iF iE it ic i't iF iF if i2 i'r ic it i2 iF iE iE iF ii i'r i't iE ie iF iE ii it ie iF iF x iF if i't iF if iF ie i' iE ie i't i't ii ii� ie iE i'e ie ii� iE iF ii �Ii ii� ii i't iF ic iE iE iE iE if i'r ie iE iE i'e ie ie � 1 N L 1 1,' 1 L U A L t �6 t kf !t t A!l L V W N lYYt, i,�IY u E S C R I P 7 I U N uivi7 �u5i iiiiAi CuSi St'1� bLUV kCt(UUt tiY V LUC RCS1Lt.N11a�aL IVV'LVIVr. I.UV U�LUU.VV � t1V11 VY F£GS 18-29-1937/11:03 Ap/5125.37 RCP7N:01-8814660 PEkMIT:085495 •� CONSTRUCTION AND PLANNING -' POu� & SPA -� - APPROVALS Pe�mit # � Daie Inspector . AppROVALS Perm�it # Date . inspector T.. Temporary Electrical Service or Pole , . 52. Pool & Equipment LAc�tioi� ' � 2. $oil Pipe-Undrgmd. ' _ � 53. Steel Reinforcement - 3. Elecirica� Conduit UtilitY-Undrgrnd. 54: Forms �� - � � `4. Electrical Conduit--Undrqrnd. � _ - - �. 55. Electrical �Bonding � . �� 5. Steel Reinforcement � ' , '56. Rough Plumbing & Pressure Test • � •6' �EI'ectrical UFE9-Gmd. : 57. APPROVAL TO COVEfl�GUNITE � . . - 7.: Pootings ; . � � - 58. Electrical Conduit�Undrgmd: . � 1 ' '8. Foundation _ . „ � � . �59: Gas Pipe,'"O".Und�gmd�., Test 3': � ; I'9. Water pipe�Undrgmd. ,i, � : , 60. Backwash Lines, P�Trap, O Undrgrnd: • - ' �90. Structural fioor SVstem '. . � � � � 61. APPROVAL TO DECK ' - , 17. Pro,DertY Sewer Line & House Connection �• � 62. Backwash & Receptor•Final ' - � 72. Sewer Gap � - . .63.� Heater & Vent-Pinal � 13. Roof Drains � . . - � ' 64�. Plumbing System -,Final . � . �'' � 14. Rough Piumbing � . ' _ � .65�. Electrica6Final , � s . , • 15. Rough Electrical-Cond'uit "� '66�. Solar SYstem�Final �-. � � ' ' ,. r 16. Rough Electric Wiring , � ' ..67�, Fencing & Accass�ApProval ' � � . -77. RoughWiringSign� • � � � i68. APPROVED.FOR�PLAS7EPING hs 78. RoughElectrical=TBarCeiling + �� i � �- � � 69. POOVSPASYST.�EMSFINAL' - ' ' � I �- 79. Rough Heating & Air Condiiioning" � ' ' � ` FIRE DEPT.�REQUIREMENT - �� - - i • � � , : -, 20.'Rough Factory Flr�Place � � r � _ �-� �., ;; �` APPROV.A,L;S; _. Peimit # ` ' `� 21. Ducts, in_Structure ;. • �• •• � - '! P ` 70. Undergrourid Hydro � 22. Ducts, VentiYaiing'. y' �? -. �: � ..� �' � ,'1 77. Product ;Piping �F'� Gas ❑ Oil 23.�Gas P.ipe-Rough &�Test � - . r - - 72, Undergrdund Fivsh�+ � <-� 24. �Roof• Framing - � ' - � - ' = _ " r� �. ' 73. Undergrnd. Sto�Bge Tank` O Gas ❑ Oii 25. Root•Sheathing �, � � �� 74�. Overhead Hydro + 26. T�Bar Geiling fStructural� & Monppoat 4. - �-� �� " 75. _Dry Chemicai �, ' � Y 27. �Frameand Fiash� � - �; ` � ` ' ' �9, . r.^, . : k 76. Ory StaiitlPiPe .��: - 28. Lathing&Siding_ � " - � = "� "'� 77. FIXED�$YSTE{t^'FINAL� -, r � 29. Insulation '. '. - � :: :. . �� 78. FIflE PREV. FINAL t � -. ; ' 30. Drywall Nailina ^ i_ I �� '.'HEALTH DEPT.rt3EQUIR`EMENT 31. Plaster BrovrmCoat� � -: � i ; :� r 79, FINAL INSPECTI�ON � '� � 32. ElectriwhPower MetenFinal' - � � "' 80'. P000 CEFTIFICATE ISS.UED � 33. �Final• E�ectric � ; ; � ' �� Notes: 7 � zi i ; . 34.'Finat:Heating'& AirConditionings' .'. • � �� -. . • �y - _ �� }, 35. �Final Gas�PipA;Test �. - ' .: . ., � ; �e � - �'' -, i . 36.�Hoodor�CanoPY - y - - -' • � �iS - - ,. -. ' . t - 2 . . lY • R r � 37.�Finaj.Factory Fireplace r, , -" _ - - i � . • 38. Fi�al Plumbing �� • ' ' - - � ' � � r t 39. Water 5er'vice-Final t � ' ' � , ! ' ` .. �' � , - - i:. 40. Gas Service�Pinal ; • r c�r . •- . � '� - . �. � _ � It � 47. Solar pomesticPina7 � " ' - r � ' ' i . • �. r _ � 42. BackflOW Preventer. �� • - � � - ' i -�43. Backfl0w irrigation ", . , - � . . ' � ' � � � �.44. Landscape frriGation System�•: ��1' . � � ! � � -� - - � - " i k �45�. Sound Attenuation: � - : ' - . �` ` :' ": 46. �Handicap Regulatioms . � � � - _ - - � � � , + :, - _ 47+. FINAL STRUCTURE & BUIIDING �/6', S/f ,'L � � � _ - 48. FINALPLANNING�. � - � _ • � - � " • 49�. Electric Refease to Edison • `" ' � . �, 50�. Gas Release to Southern California.Gas Co � � - - - • _ ' ' � . : 51j CERT�FICATE OF OCCUPANCY . ` � = • No. Date CITY OF COSTA M�SA REQUEST FOR OCCUPANCY TRACT N0. �7✓`g LOT N0. ADDRESS Z7'�Z �G�E'a�/10 �'� DATE // /%-%�/ % i The developer 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 Che City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-� (was or er advised that this tract has not been given final inspection nor has it been accepted by the City of Costa �iesa as havinp compli.ed with the conditions of approval which were imposed hy 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 undersip,ned agrees to indemnify and hold the City karmless from any claim resulting in damage ar personal injury to the undersigned by reason of the aforementioned uncompleted condition. REGEIU�D CITY OF COSTA MESA PL^.PL'`l1�9� LiePT. (�i?�.Y 1 � i972 HiVI PM 7��9�i�7allj:��i��;°;�i;5�6 � BY i2lE�C/zef ��G� Purchaser BY �U�'Caic.C� G� �/,�t/ y� �� Developer and/or�authorized representative B� � � �E�9C-�� i��-�� Lender i ' 33845 ,,,,,, '�OV 7?_-71rr:s'�� 5ii7i` ^'^"�1��.St�. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT Z For Applicant to Fill in Completely �8�� FECEIVED BV DATE RECEIVED DATE ISSUED BUILOING • ADORESS Z P M�T�jJO. OWNER A.P. NO. O( BUILDING /J • . �` �//n , / rZ A�DRESS �O ADDRESS,�/( � Q� '�jL�� % W W TEL. TRACT LOT BLOCK a U GTV NO. �Z.,S- ZZ Q CONSTRUCTION W ADD A R P O � LENDER 2 p] J � BRANCH " -� N OWNEF . � m J A�ORESS VA E �/{ �yJ m ARCHITECT TEL. SE � $✓ J a OR EN INEE N. - IS U � FIRE y wa 20NE PE GROUP /" CL ADDRESS � S aW APPROVED W Z CONTpACTOR BV DATE J Q m Z J � ADDRESS O � w w TEL. Z� NO.OF USE OF N �= CITV NO.��— 3 — P�� BUILDING Z �— w� STAT� CITY �'ARDSAPPROVED VARDSAPPROVED y� IIC. NO. /�� Z LIC. NO. 0 3 MAIN BUIL�ING ACCESSOFV gUILDING � O � - (FROM GLS REET) SIZE � NO.OF BLDGS. OF LOT NOW ON LOT FRONT S FT. FT. USE OF ExISTING B�DG. SI � FT. FT. H SIZE qF I� � NO.OF � Z NEWBLDG ROOMS �� STORIESZ L.SIDE FT. FT. U EXTERIOR WAL ROOF - ' COVEp�NG COVERING REAF FT. � FT. J USE OF BUILOING AND WORK TO�B PERFORME pISTANCE BET.� BET� MAIN & a �(.aT. MAIN BLDf'�S. ACCESS. BLIX3g. a Q VAR.� DATE O C.U.P.� APPROVED F APPROVED tn - Z O ~ I herehy acknowledge that 1 have reatl this application antl s[ate � Shat the above information is correct antl agree to comply with �P�y�c_ x � all laws regulating builtling consttucxion, antl I shall not employ F„ any person in violation of ihe workman's compensation laws of m y the State of Calitornia. � z I hereb certit that I am . FT. o y y Properly licensetl as a conttactor untler the State of Californ(a Busfness antl ofessions Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDE ALUATION IS FOf7 � Chapter 9, and that such lic nse re i full torc tl effect, or I THE PURPOSE OF ESTABLISHIN A PERMIT FEE ONLV: m am exempt fro he prov' on of the tate of lif rnia Business ¢ antl Prbtezsio C de, Di � ion , Cha ter 9. VAIUATION / �� N PERMIT FEE $ ] Signat�ra ot /� � �+ m � PermitYea j C $�//.1��'^' PLANCHECK $ ✓ 5� o �ylC7 � Author{ie gent �/ Q LL TOTAL FEE $ ( , �