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Home My WebLink About2174 BISCAYNE SPRINGS - Building Permits; i � CITY OF COSTA MESA BUILDING DIVIS/ON :.. , 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 7%-5626 PERMIT NUMBER: PERMIT TYPE B_MISC STATUS: APN: 93786008 DATE ISSUED: Zoning: , ISSUED BY: JOB ADDRESS: 2174 BISCAYNE SPRINGS=CM ' y"- :_:Sude/Unit: Vicinity: UPPER UNIT „r �-Primary Occ '_ . z r SQ.FT: 0 "�Valuation �� 5500000 `� -- a:. � SCOPE OF WORK: DEMO PERMIT IN, P,REP OF REBUILD OF'FIRE DAMAGED UNII OWNER: MESA, CA City/State: Phone: APPLICANT: Ciry/State: Phone: KOLDINGER, Address:: BX07-00170 ISSUED 10/16/2007 RMD Const Type :?? UNIT). E �,t `��;w, : ;�nj=;"�;.'ti;,p: UNt COSTA y� 2174 BISCAYNE SPRINGS .;: �e�" Zip Code: �95819-4146 �:•.��'��'�,� � CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone , t�i �� ' 'l,,i� i M *��i UNVER, ERROL "-"r , a Address: ��1938 BATAVIA ST �.' � UnR `,STE F ORANGE, CA " '� Y - Zip Code: � 92865 ` `� ` i��, . � :� :. � 5+ ��f ..... , "'� .: 49-294-1354 ` , . s,5 1 � - r:`, , , ,c1 . ' ,, i:a : .-,` .. � :�' e�" � �'4 J AND.0 CONSTRUCTION SERVICES License No �698215' },y: 1938 BATAVIA ST" � � �, Unit - -,_STE F �,,,- _ :_,_: � -. _ � r, ORANGE, CA _ � � �� . - � ti' i 92865 - - � � �- � - �' �Phone :;: (714) 921-0500. ,g � - � - Cell: �;. � i�^ -� .,� "• � , J :;� -�_+ � LiG¢n5¢ NO r . t jt _ - . . _ _. �. 1 :..>_ " �.r � �`'j( .� r. .°�' � ..-�� r LicenseNo -- ta r.; . i� �. . _ , � ., _ . � , � ...� . . .._.._. �., . _ . � ,-� ' - ., _-� - FEE SUMMARY " h Building Plan Check $0.00 . : : .� Building Permit_ �, ` $111.25 � _ Electrical Permit:',- ': $0.00 - x � SMIP ResidentialR ^$OAO _ SMIP Commercial ' � $OAO $O.00TOTAL FEES ��+�r „1 � $11.7:25 ' "e �� i ` :�.9.e . �.y, NO710E: The work authorized by this pertnit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. GppEt, INSPEL710NTPE 1616 Fixed System Final Fire Prevenlion 1286 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition on� ixnna�s cooea ixsrecnoxrrne 206 Pinal Mechanical 208 Final Plumbing 210 Final EleCtriCal 212 Final fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy onre ixnnn�s �� WORKERS' COMPENSATION DECLARATION: � I hereby affitm under�enalty of perjury one of the followinq declarations: ' ❑ I have and will maintain a certificate o( consent lo self-Insure for wdrkers' compensation, as provided for by section 3700 0! the Labor Cotle, for ihe peAormance of Ihe work for which Ihis permit is issued. . ❑ I have and will maintain v.orkers' compensation insurance, as required by section 3700 of the Labor Code, fw ihe performance of the Jmrk for which this pertnit is issued. My vrorkers' compensation Insurance carrier and policy number are: LCartier:GUA�St�rP JY,1T�_ 7/.�SU�A�CC (Th# seclion neetl ipf Oe cwrip'ete0d Ihe peimR is valued al one huntlretl MWrslS1001 w less.) POlicy Number: 3v � � �f' 02�0 ❑ I certify that in the peAortnance of the vrork (or which lhis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that it I should become subject b me workers' compensation provisions ot Section 3700 of the L or Code, I shall fo hwith comply with these provisions. ��cp� 1 a � tb �b y `AppliCanl's SignaWre � Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and eflect. � Lia # Gi �l� � � J Class # � -�-�'� �.i�uPJ�- t o J � b �-( �Comrador's Slgnalure Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that there is a consWction lending agency for the peAortnance of the v.ork iv v.fiich this pertnit is issuetl. (Sec. 3097, Civil Code). lender's Name: Lender's Address: SignaWre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. �031.5, Business and Professions Code: Any ciry or county which requires a permit to conslruct, alter, improve, tlemolish, or repair any slrucNre, prior to its issuance, also requires the applican[ for such permit to fle a signed statement that he or she is licensed pursuani [o the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt lherefmm and the basis for the alleged exemption. Any violation of Sec[ion 7031.5 by any appliwnt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): . ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the sWcture is not intended or oHered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law tloes not apply to an ovmer of proDerty who builtls or improves thereon, and who does such work himsel� or herself or through his or her ovm employees, provided �that such improvements are not intended or offeretl tor sale. If, however, the building or'improvement is sold vnthin one year of completion, the ownerbuilder will have the burden of proving that he or she , did not build or improve for puryose of sale.). - ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH . LICENSED CONTRACTORS�to construct tFie project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who contracts for such project with a contractw(s) license pursuant tothe Contractors License Laws.). ❑ I am exempt under sec. Business antl Professions Cotle for ihis reason: � •, Ovmer ID verifed by drive e. ❑ Yes ❑ No �� Dnver's License No. Expires: Verification of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION�OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �� ❑ I here6y certdy that no excavation frve (5) or more feet in depth�into which a person is required to descend, will be made in connectbn with work authonzed by this pertnit, and that no building structure, scaffdding, false�+ork, a tlemolition or dismantling thereof, will be more ihan ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, Title 8, Calitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which vroultl require a pertnit from the Division of Industnal Safety, as noted above, unless such person has a pertnit to do such vrork (rom the division. Appliwnl'S SignaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threalened release of a hazardous material? ❑ Yes ❑ No (Sec[ion 25505 of ihe Califomia Health and Safety Code requires, with some excep[ions, lhat a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the appliwnt or present or future building occupant neetl to file a registration form for acutely hazardous materials? � Yes ❑ No (Section 25533 of the California Health and Sa(ey Code, vnth some exceptions, requires registration with the Costa Mesa Fire Deparlment by each business which at any one time has on hand a quantity of acutely hazardous matenals equal to or grea[er than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at slantlard temperaWre and pressure). 3. Does or will the applicant or present or future building occupant neetl to prepare an RMPP (Risk Managemen[ and Prevenlion Program (or acutely hazardous materials)? ❑ Ves ❑ No (Sec[ion 25534 of the Cali(omia Health and Safety Code provitles that the Cos[a Mesa Fire Department may require the preparalion, certification antl filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Seclion 25534 0( [he Califomia Heal[h and Safety Code been fully complied vrith? ❑ Yes ❑ No 5. Does or vnll the applicanl or present or future building occupant require for lhe work whic� is lhe subject of Ihis application a permit for such constmction or modifcation from Ihe South Coasl Air Quality Management District or from any other air pollution control distnct or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Code requires Ihat Ihe requested intormation be fumishetl on applications fa ran-resitlential building pertnits). 6. Will any part of the facility b be constructed under this permit be within 1000 (eet from lhe outer boundaries of a school? ❑ Yes ❑ No (If'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health antl Safety Code). 7. If a permit fmm Ihe South Coast Air Qualiry Management Dislrict or other air pollution contml district or agency is required (or the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", atlach certificate of compliance (rom Ihe appropriate air pollution control oKcer). , . , CER7IFICA7E OF COMPLIANCE: I ceAify that untler penalty of.perjury the information given above is cortecL I agree to comply Jnth all state lav5 and city ordinances regardinq Hazardous Materials and Emissions. � SignaWre CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and slate that the information qiven is correct. I agree to comply with�all state laws antl city ordinances relating to builtling consiruction, and authorize representatives of the-City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. .' - Signaiure ol Legai Owneqs) Da�e ' signawre . oate ��7» �� L b, � b I O y 905'/-4613/0]) ' - ' ) ' ,-AnElorAut�aize4Applicant � Date CITY OF COSTA MESA B!/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE: B COMBO Sub Type: RES_ALT PERMIT NUMBER: BC08=00094 STATUS: ISSUED DATE ISSUED: 0413012008 ISSUED BY: �oe nDDRESs: 2174 BISCAYNE SP,RINGS CM, ��Swfe%Unit ,,. APN: 93786008 �`ZOning Vicinity: UPPER UNIT ` 5 "` Primary Occ R 2� ' ConstType: V-B �+'�;� SQ FT '� ` 0 �: ',Valua4ion: $100,000.00 �' t� � y s.:,.x � � . � , �, w . SCOPE OF WORK: FIRE DAMAGE REPAIR, NEW FRAMING, DRYWALL, INSULATION WINDOWS tiDOORS &: �:, n�., ,� ELECT. - 12 FIXTURES, 46�OUTLETS,;18�SW ITCHES & SERVICE REPLACEMENT/200 AMR�- -_ _,., PLUMB. - 1 BATHTUB, 1 DISNWASHER,.1.KITCHEN SINK)1 WATER HEATER�& GAS,REPI�PE OFENTIRE UNIT. MECH. - 1 FURNACE 1, FACTORY FIREPCACE, t HOOD W/DUCT & 2 VENT FANS W/SINGLE DUCT rt , , �1 _ A.,l , r -f . . . M1 ' ... _:. 1 . 5 -.�. d � v ' .1MARJORIE;STOVALLSR' � Address: %RIGGINS TERRI L ' J.. t t''�Y ��=�Unit: COSTA-MESA, OWNER: KOLDINGER; . e ... - . ; -,5:.'_i34 CA � �" Phone: �`r.��' ,��.�.City/State/Zip:..2174BISCAYNE.SPRINGS� . ��; .�. ,.., , - - -'r _�;� _ .-:.:' ,-,-,.. . — . . ; , �,� _ . . F — j APPLICANT: ERROL UNVER .:-- �'Address: - - - , � � � � ,��- � �iUnit: : ,. _ Phone: 949294•�354 K„!`7, ;'.City/State/zZip� . r :i . , ,_. , __ , .,_-_. ..,. �� 2�x1 .. � - _. . --�. . . .. . �, :•�. ,. �, ::... : �:.. _ , . _ ,.. � _ _, . .-... � . CON7RACTOR: DEVINE DESIGN .� � -�- -�� - � .�icense No. 861282 Phone: .949 916-761�,:y'� °�," Address: 23172 ALCALDE DRIVE�SUITE FUmt Cell: City/State: LAGUNA�HILLS, CA '..','ZipCode 92653 ARCHITECT: - �� ' LicenseNo. , � PHONE: ENGINEER: � License No '�� ,_� PHONE: COMBINTATION PERMIT F.EE?SUMMARY ; Building Plan Check: $645.94 Building Fees: ' -�r $993:75, - � � � � , ElectricalFees ,$12798 ': q`�' Mechanical Fees: = -$59.30 = _ Plumbing Fees: $62 70-� ,:?�. - - � SMIPResidential: $10.00 �� '�"""`��- ��-��" SMIP Commercial: $0.00 TOTAL FEES: $1,899.67 "Refer to fae receipts (or all fees paitl for proJect NOTICE: The work authorized by this permit shall comply wiN all applicable handicap access requiremenLs under Califomia statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) '� EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . INSPECTIONS: In order for the work aulhorized under this permit to be wnsidered legal, such work must comply with all aDPlicable codes, and all required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration o( this permit. CODEA. INSPECiIONTYPE Or1T INTIlIALS LOOEp INSPEC110NTYPE � OR � IN L 7616 Fizetl System Final Fire Prevention 206 Final Mechaniral 1266 Pool Spa Final . 208 Final Plumbing G T` 20o Finai Re-Roo/ 210 Final Electncal �� '� l 201 Fina181ocWRelaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 212 Final fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupanty C,' ; (0 29 0 �� WORKERS' COMPENSATION DECLARATION: I hereby a(firm under penalty of perjury one o( ihe following declarations: ❑ I have and will mainlain a tertificate o( con5en[ lo sel(-Insure for workefs' compensation, as provided for by section 3700 of the Labor Cotle, for the peAormance of the vrork for which lhis permit is issuetl. jtj.-'I have and will maintain workers' compensa[ion insurance, as required by � sectbn 3700 of the Labor Code, for the peRortnance of the work for which this �pertnit is issued. My workers' compensation Insurance carrier and policy numbei are: n Camer. J � 1Q.�- �(%.�l � (Tliis sedion neetl iro16e mmdetetl /Fth'e peimR is ralue0 at one huntlrtN Mllars (5100) w less ) ,PolicyNumber.� (7bG��`Y'ZL�%07 ❑ I certify lhat in the peRormance of the vrork for which [his permit is issued, I shall not employ any person in any manner so as lo become subject to the vrorkers' compensation laws of Califomia, and agree ihat if I should become subjec[ to the workers' compensation provisions of Section 3700 of the Labor de. 5hall fo� wit�h co`' �I vnth these provisions. ��-�-".� �/- 30 ApPI¢anl's Signalure � ' Da�e WARNING: FAIIURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full t^o7rce and eHect. Lic"#�_�10 � L � � Class # �� _- �',1�.��= S/=3v -o� Conuaaor's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a conslruction lending agency for the peAormance of ihe work fa wfiich Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender 5 Address: Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penally of perjury [ha[ I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sea 7031.5, Business and Professions Code: Any city or county which requires a permit lo consWct, al[er, improve, demolish, or repair any stmcture, pnor to ils issuance, also requires me appliwnt for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing vrith Section 7000) of Division 3 of lhe Business and Professions Code) or Ihat he or she is exemp[ therefrom and the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicanl for a pertnit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oftered for sale (Sec. 7044. Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or Ihrough his or her own employees; provided Ihat such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completioq the ovmer-builder will have the burden of proving Ihat he or she did nol build or improve for purpose ot sale.). � � I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constiuct the project (Sec. 7044, Business antl Pro(essions Code: The contractas License Law dces not apply to an owner of propedy who builds or improves thereon, and who contracts for such project with a contracta�s) license pursuant to the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: �' SignaWre Dale J09-G6 (3I0]) Owner ID verifed by tlriver's lice ,] Yes ❑ No Driver'S License No. Expires: Verification�o( Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no ezcavation frve (5) or more feet in depth into wfiich a person is required to descend, will be made in connectbn with work authonzed by this pertnit, and �hat no building structure, sca(fdding, falsework, a demolition or dismantling Ihereo(, will be more Ihan thirty-siz (36) fee� high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Adminislrative Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a permit ro do such work (rom the division. Appliwnfs SgnaWre Division of Indusirial Sa(ety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to fle and certi(y a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0( the Califomia Health and Safe[y Code requires, with some exceplions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous matenals equal ro or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas at slantlard temperaWre and pressure). 2. Does or will the applicant or present or future building occupaN need lo file a registration form for acutely hazardous ma[erials? ❑ Yes ❑ No (Sec�ion 25533 of the Califomia Heallh antl Safery Code, with some exceptions, requires registration with ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at s[andartl temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Pmgram for awtely hazardous materials�? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Heal[h and Safe[y Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or (uNre building occupant require for the vrork which is the su6ject of this aOPlicalion a permil /or such consimction or modifcation from Ihe South Coast Air Quality Management District or from any other air polWtion control disMct or agency? ❑ Yes ❑ No (Seclbn 658502 of the Cali(omia Govemment Code requires Itiat the requestetl information be (umished on applications for non-residential building permits). 6. Will any parl of the faciliry lo be consWc[ed under this permit be within 1000 feet fmm [he outer boundades of a school? ❑ Yes ❑ No (If'yes", the facility must meet the requirement of Sections 25534 and 42303 of [he Califomia Health and Safety Code). 7. If a permit from lhe South Coast Air Quality Management Disirict or other air pollution control disMct or agency is required for the vrork which is the subject of Ihis applicalion, have all of the tlisclosures prescribed by Califomia Health and Satety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance from the appropriate aicpollution control oKcer). - � , CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is corzecL I agree to comply with�all state laws and city ordinances regarding Hazardous Materials and Emissions. ' ' SignaWre ,Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION .OF ENTRY: I certity under penalry ot perjury that I have read this applicalion and state Ihal the information given is correcL I agree to comply with all slate laws and city ordinances relating to building construction, and authorize representatives of lhe Ciry of Cosla Mesa to enter upon the above-described property (or inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by thi5 permit until fnal in5pettion. Signatur o(L I Ow r�s) ' pate ��.li�--s_. y^ 30 -O � � qA�t�onzepAOCliwnl �_Da�e f OWNER M. D. 108 ADDRESS ` GENERAL CONT AP No. I" CTIONS GAS W ATER ROIIGM PLUM6ING PROP. SwR. LINE � HOUSE C�N. SPRINKLING SYSTEM MISCELLRNEOVS ROUGM MEATING RNO AIR CON01 TEMPORARY SERVICE OR POLE ❑NDERGHOUNO � I POWER � ROUGN WIRING TRENCHES L FORMS 5 FLOOR SYSTEIA BONO BEAM �� STEE4 REIN SHEPTHING FRAME RNO FLASHING LATMING - IN��_� PLASTER,BROWN C04T ]IXULIURAL,FINqL M i.VENT., REFRI( P� .NG. FINAL ANO G ELECTFIC FINAL BUILOING, FINAL SPECiAL REOUIREMENTS UT�4iTv NOTiFIEO. GAS INF DATE ��-z9-79 BUILDING PERMIT N DESCRIPTION oi WORK FIRE ZONE � VALUI TVPE GROU SUBCONTRACTOR rt '�� `r/ ' ��0,�2,�� vG� G�; �o, �� _ / (� � 2`S 5629 '�'rar % COSTA MESA BUILDWG-SAFETY DEPARTMENT r1PPLICATION FQ,$p$TRij�'�',�Jj2�H. < 4.57 L;co / P.O. tlOX 7200 cVa �.4 rvie5w, l.s�urunrv�A nLb[ti �-- - - - ' � RECEIVEDBY AERMIT For Applicant to Fill in Completely — Use Ink Only 6UILDING A.P. NO. �� 'i�.2 / ADOpESS , BUILDIN � OWNER OR AODRESS TENAN7 nt[.D JajjeS CO. II1C. UNIT OR ADDRE55 2950 Airw&y Ave, D-9 SPACENO. •' , TR,NO. � LOT � � BLK. TEL. CITY Costa 61esa 92626 No�979-337 CONSTRUCiION NEW ADD ALTER REPAIR MOVING DEMOLISH LENOER BRANCH �� /� OWNER , � � ADORE55 Y' A�UE ARCHITECT 'S'•am zeri IZ TF�549-252 USE � � � b � � OR ENGINEER p / g N ADDRE55 17g22 'SkY park, Irvine g�.7� ZONE � TVPE GPOUP APPROVED CONTRACTOR Owner gy DATE ADORESS TEL. CITY NO. � STATE' CITY APPROVEDSETBACKS LIC. NO. LIC. NO. � SIZF . NO.OF BLOGS. (FROM C ST�F EET) C. OF lOT I rre ' NOW ON LOT FPONT FT. a USE OF � EXISTING BLOG. I O T. � .�. HSeparate permits are required for L. SIDE G 3 FT. � q electric, plumhing and heating work: REAR oi �% FT. (� [.�.i USE pF BUILDIN6 AND WORK TO BE PERFORMED p�qNNING ACTION a � DATE :� �g Unit Condominium & - 7Q—/.,} APPROVED�/��, �7 a r �' Attached Garag�s. "�' �O;�S-7 � HOLD FOR SPECIAL REOUIREhtcNTS p1 hereby acknowledpe thax I M1ave reatl this epplicatian entl state n y� that the above informecion is correcc antl agree to comply with �� alt laws regulec(ng bui1Cing consttuccion, antl ! sM1ell not employ " � Z any persnn in violation o4 the workman's compensation laws of d ,S Me Staca of California. ' m i 1 �eraby certify ihat I am properly Ifcensetl as a concrector untlar SQ. FT. � the State of Calitornia Business and Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, antl ihe��/// uch licen;es are in t�ll foree antl affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � am axempt fro� pr visio�s of the Stete of Calitornia Business ' p VALUATION PERMIT FEE $ antl Professions C a, vJsidn 3, Chap[er 9. - '^ m PLAN CHECK 5 O .� � o Signat�ra of � Perm�ittee 5 Jl7I �� C'Q TAX S y Og V Authorized Ag Da[e � TOTAL PAI D S C? [� �� / Tl.. 1' L