HomeMy WebLinkAbout3106 CASSIA AVE - Building PermitsR •
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(714) 754-5273 • Faz (714) 754-4856 • www.ci.cosla-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
�ob a,ddress: 3106 CASSIA AV
Suite:
Vicinity: APT B
Parcel Number: 13956301
Applicant: ANGELINI, JOHN
Address: 26242 DIMENSION DR
STE 150
LAKE FOREST. CA
Owner: �
Address SANDBERG, ROBERT W iB'
SANTA ANA, CA
18832 WINNWOOD LN
Zoning: R3 R3
Phone: 949-588-1550
Zip: 92630
Phone:
Zip: 92705
Contractor: RENEW EMERGENCY & RESTORATION SERVICE INC
Address: 26242 DIMENSION DR
STE 150 Phone: 949-588-1550
LAKE FOREST, CA
Zip: 92630 License: 743233
Arch :
Address:
Phone:
En9:
Address:
ISSUED BY:
Status: ISSUED
Applied: 07/05/2001
Issued: 07/05/2001
Phone:
Zip: License: License:
SCOPE OF PERMIT
DRYVJALL REPLACEMENT ON CEILING DUE TO WATER DAMAGE IN AN EXISTING APT COMPLEX.
Plan Check: $0.00
Permit: $32.65
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $33.15
SETBACKS
MAIN STRUCTURE Froni 0- 0
ACCESSORY Front 0- 0
Rear 0-0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Rear 0- 0 Lek 0- 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Ri9ht 0- 0
PARKINCi Ezlstina: 0 Reouired: 0 Proposed: 0
NOTES: KUBOT BJ 07/05/2001 NAILING INSPECTION REQUIRED PER GARY
HOOK. APPLICANT THINKS IT'S A 3-UNIT APT COMPLEX, BUT IS
NOT POSITIVE.
$750.00
3750.00
INOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
�, regulations. (Ord. No. 9248, § 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 780 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2d4&CB (8�00)
WORKERS'COMPENSATION DECLARATON: ��
I heraby eHirm untler penalry 0� parjury one of ihe foliowing declaretlons:
❑ I e end will maintain e certificate of consent to selbinsure tor workers' compensetion, es pmvided tor by section 3700 of ihe Labor Code, lor Ihe peAormance of Ihe
ork for which this permit is issuetl.
I have antl will maintain workers' compensa�on insurence, es requireE by section 3700 ot Ne tahor Cotle, for ihe pertormance of the work tor which this permit is issued.
My workers' compensatlon Insurance carrier end poliry num�er are:
Certier. policy iJumber.
(Ihis section need nof be con�p/eted iJ the pe 't!s va/ued at one huntlretl tlol/ars ($100) or less.)
❑ I certify that in tha peAOYmance of Ihe wo or which this permit is Issuetl, I shall not employ eny Oerson In any manner so as to become subject to the workers'
compensation laws of Gelitofiie, antl egr that it I should became su6�ect b the workers' wmpensation proNsions ot Section 3700 oi Ihe Wbor Code, I shall tort�with
comply wilh ihese �4�� . ^�
Applicent Signeture: ' Dete: / — �Q /
WARNINO: FAILURE TO SECURE ORKERS' COM NSATION CqVERAGE IS UNLAWFUL PND SHALlSUBJECi AN EMPLOVER TO CRIMINAL PENAITIES ANO CIVIL FlNES UP TO qJE HUNDRED
THOUSANDDOLLARE(5100,000 NADDRIIXJTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OGOFTHELABORfAOE,INTEREST,ANDATTORNEV'SFEES.
LICENSEOCON7RAC70RS
I hereby eNirm �hat I am licensed u der provi of Chapter 9(cammencing with Section 7000) of Oivision 3 of the Business antl Professions Code, and my license Is in full
larce end effect. Lic. # Class a
Comrector's Signature: Dare: O
CONSTRUCTION LENDING ENCY:
❑ I hereby affirm ihat there is e construction lentling agency for !he pertormanca of the work lor which ihis permit is issued. ( ec. 3097, Civil Code).
Lender's Name:
Signeture: _
OWNER•BUILDER DECLARAnONS:
Lendefs Address:
Date:
I hereby eXirm t�at untler pendlry ot perjury thet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business an0 Protesslons
Code: Any ciry or counry whicn reduires e pertnit to construct, alter, improve, demolish, or repair eny structure, prior to its issuance, elso requires ihe epplicaN tor such permit
to file e signed statement thet he or she Is Ilcensed pursuant to the provislons of Ihe Comractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business end Protessions Code) or ihat he or she is exempt therefrom and Ihe basis for the elleged eaemption. Any violation ol Section 7031.5 by any appllcant for a pertnit
subjects the epplicent to a civil penalty of not more than tive hundrad doliars ($500).):
❑ I, es owner of ihe propeAy, or my employees with wages es �helr sole compensation, WILL DO THE WORK, and ihe siructure Is not Intended or oHered tor sale (Sec.
70d4, Business end Prolessions Cotle: The Contractors License Lew does not apply to en owner ot Omperty who builds or improves thereon, antl who does such work
himself or herself or Ihrough his or her own employees, provided that such improvemenis are not imended or oHeretl tor sale. If, however, the builtling or impmvemeN is
sold within one year ol completian, the owner�6uilder will heve the burden of proving that ha or she tlitl not build or improve lor purpose of sale.).
❑ I, es owner of the properry. am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cafe: Tha coniractors Licensa Law tloes not spply to an owner M proparty w�o bullds or Improves thereon, and who contrads tor such projeci wiih a coniraciorts)
license Oursuant to the Gontractors Licanse Lews�.
❑ I em exempt under sac. Business antl Protessions Code lor this reason:
Signeture: Dete:
Owner ID venlietl by driver5liGenSe. ❑ Yes ❑ No Drivers LiCense No. Expires:
Veriticetion ol Ownership by QyPe of tlocument, i.e. - property tax 6111 or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION:
❑ I hereby certity �hat no e%��atlon five (5) or more feet in dept� into which a person Is requlred to descentl, will be made in wnnection wit� work euthorized by this
pertnit, end Ihat no building swcWre, scattolding, falsework, or demoli�ion or dismemling thereoi, will be more than thirty-sia (36) leet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, TUe B, Califomia AOminislretive Code).
❑ As owner�Duilder, I will �a� employ anyona to do work which would require e pertnit from ihe Division ol Intlus�nal Sefety, as noted ebove, unless such person hes a
permit to do such work Irom the dlvision.
SignaNre: Date:
Division of Indusinal Safery Pe�it Number:
CERTIFICATE OF COMPLIANGE AND AUTTIORVA710N OF ENTAY: I cartify under penalty ol perjury that I have read this application and state that ihe information given is
correct. I agree to com th ell stete taws end ciry or na ces releting to building construction, end authorize representatives of the City of Costa Mesa to enter upon the
ebove�descnbed prop Ay for spectiqr(purposes. I egr n to occupy or eilow occupancy ol eny building authorizetl by this permi� until final inspection.
COOE I, INSPECTIONTYGE
1616 Fixed System Final Fi�e Prevention
1266 Pool Spa Final
200 Finel Re-Rooi
201 Final BIocWRetaining �M1'all
202 � Final Factory Fire PIaGe
203 Final Sign
206 Final Demolition
OATE INf1ilAL5
CODE� INSPECTIONTYPE /
206 Finel Mechanical
20B Finel Plumbing
210 Final ElecMcal
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
��ei O
ate
� PSTF INiiTIALS
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(714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lobAddress: 3106 CASSIAAV
Suite:
Vicinity: 4-PLEX
Parcel Number: 13956301
Applicant: HOVEY, GLEN
Address: 11444 TERRACINA
REDLANDS,CA
Owner: WU, RONG BOR
Address SANDBERG, ROBERT W TR
SANTA ANA, CA
18832 WINNWOOD LN
Contrecror HOVEY ROOFING
Address: 17444 TERRACINA
REDLANDS,CA
Zip: 92373
Arch :
Address:
Zoning: R3 R3
Phone: 909-798-0807
Zip: 92373
Phone:
Zip: 92705
Phone: 909-798-0807
License: 538667
Eng:
Address:
Phone:
ISSUED BY:
Slatus: ISSUED
Applied: t1/20I2000
Issued: 71/20/2000
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: T/O EXISTING BUP W/GRAVEL & INSTALL NEW BUR 3-PLY SYSTEM WITH GRAVEL.
3600 SQ FT
Plan Check: $0.00
Permit: $139.25
SMIP Res: $0.65
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.90
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 8 ZONING
Lek 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0-0
Right 0-0
Ss,soo.00
ss,soo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 9248, § 1, 7241-92)
EXPIRA710N: 7his permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inepeetlo�s and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�,..e�.: :.��•
WORKERS'COMPENSAnONDECLARAnON:
I �ereby etfirm under penalry of perjury one of the following tledarations:
❑ I have and will malntain a �eNficate of mnsent to self-Insure for workers' compensetlon, es provided br by 5ection 3700 oi Ihe Lebar Cotle, for Ihe petlortnance of t�e
work for which �his pertni� is issued.
� I have antl will maintain wo�kers' compensation insurence, es requiratl Dy sectlon 3700 af tha Labor Cotle, tor the perfortnance of Ihe work tor which Ihis permit is isSueA.
My woMere' compenutlon Insurance cartier entl policy number ere:
Carrier: Poliry Num�ec
(TMs sectlon need no( be comp/efetl i/ the permit is velued et one hundred dWlars ($100) or less.)
❑ I cenity t�el In the peAormance ot the work lor which t�ls pertnit is issued, I shall noI employ any person in any manner so as to Decome sub�ect to ihe workers'
compensetlon laws of Cal' mia, entl agree that tl I s�ould become suD�ea to Ihe warkers' compensation proNslons af Sealon 3700 oi ihe Lebor Cotle, I shell foMwlih
compty with these p s.
Appllcant SlgnnNre: Date: II —� O— � c.Y�U
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNIAWFUL rWD SMN.L SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOONE NUNDRED
TIIOUSAND DOl1AHE (5100,000�, IN �DITON TO THE WST OF OOMFENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 37080F THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirm thal I am II nsed untler provlsbns of Chapter 8(commendn9 with Secilon 7000) of DMsian 3 of the Business entl Prolessians Code, end my Iicense Is In full
force end eHect. Lic. a� Class x
Contrectols SlgneWre: Date: ���'.l G—� �o J
CONS7RUC710N LENDING AGENCY:
❑ I heroby aHirm thet there is e wnstruction lentling agency for ihe pedormance ol ��e work br which ihis pertni� is issued. (Sec. 3097, Civp Catle).
Lender's Name: lendei s Aatlrass:
Signelure: Dete:
OWNER•BUILDER DECLARA710NS:
I hereby atllrtn thet un0er penelry of perjury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business end Professloru
Cotle: My ciry or counry whiU �equires a permit to construcl, alter, improve, demolish, or repelr eny swcture, pdor to its Issuance, elso requlres the applicant tor such pertnit
to tile e signetl statement �hat ne or she Is IlcenseE pursuant to t�e provisions of the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business and Prolessions Cotlej or ihat he or she Is exem0� therefran and ihe Oasis tw the elleged exemption. Any Nolatlon of Sectlon 7031.5 by eny appiicant for e permlt
subjects the applicant to a civil penalry ol not more Ihan five hundred dollars (5500) J:
❑ I, as owner ot the property. or my employees wi�h wages es their sole compensellon, WILL DO 7HE WORK, entl ihe structure is not In�en0e0 or ottered lor sale (Sec.
7044, Business antl Prof�ssions Code: The Cont2IXors License Law does not apply to en owner of property who builds or improves thereon, and who does such work
hlmsetl or herself or thmU9h his or her own employees, provided ihat such improvements ere not intentletl of oNered tor sale. If, however, the builtling or Improvement Is
so10 wit�in one year of completion, t�e owner-builtler will have the burden of proving ihal he or she diC not build or improve for purpose of sale.).
❑ I, es owner of the property. am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the pro�ect (SecJ044, Business and Protessions
Cotle: The contrecrors LlGense Law tloes noI eppty to an owner ol property who builtls or Improves ihereon, and who contrects lor such project with a contractor(s)
license pursuent to ihe Comrectors License Laws.).
❑ I em Bxempt under sec.
Signature:
Owner ID verifietl by tlrivers license. ❑ Yes ❑ No
Business end Pmfessions CoUe for this reason:
Vedfication ot Ownership by (rype of tlocument, I.e. - property te�c bill or deed):
DIVISION OF INDUSTRIAL SPFETV PERMR CERTIFICATION:
Dnvefs Ucense No.
Date:
Enpires:
❑ I hereby certlly t�at no ex��etlon tive (5) or more teet in depth into which a person Is raquired to descentl, wlll be mede in wnneciion with work authodzed by this
pertnit, and ihat no GuildiP9 structure, ScattWOing, talsework, or demolition or tlismamling Ihereof, will be more Ihen thirty-siz (38) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomla Adminlsiretive Cotle).
❑ As owner-6uilder, I will not employ enyona to da work whic� would reQuire e pertnit trom l�e Division of Industnel Salary, es noted ebove, unless such person has e
permlt to tlo such work frOm Ihe divislon.
SigneWre: Dete:
Division ol Intlustnel Safery Pelmit Number:
CERTIFlCATE OF COMPLIANLE AND AUTHOROA710N OF EMAY: I cenity under penalry of perjury ihat I have read this applicetion and state that the infortnatlon given Ls
correct. I egree to compty vrith ell stete laws end dry oNlnances relatlng ta building constructlon, antl euthodze represenlatives ol the Ciry ot Casta Mesa la enter upon the
ebove�descn6ed property lor in5pection purposes. I agree not to occupy or allow occuDancy ot eny buil0ing aut�orize0 by ihis permil until final ins0ection.
Si9�eture Of Legal Owner(s)
AnNOr Aut�orizetl Appllcant
GOUE �. INSFECfION TYPE
1816 Fizetl System Finel Fl�e Preventlon
128fi Pool Spe Finel
200
201
202
203
Finel Re-Roof `
Final BIacWReWining Well
Final Fectary Fire Place
Finel Sign
20a Finel DemoliUon
�.i .�w_
��� ,,'�
/ Date
/ /��U� � ODr.
Date
tooer ixsvecnoxnee
206 Finel Mechenicel
20B Final Plumbing
210 Finel ElecttlCel
212 Finel Fire Prevention
220 Finel Planning Approval
222 Final Site
250 Finel Building/Occupenry
� I��
29�03
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA� CALIFORNIA Y2E20
For Appllm� fo F711 In Compbroly
TYPE OR PRINT �'�
DREDY 3�06 .ar�S,G a�P�P
COSTA MESA, CFj3F,QFjI�jIA „ %/,
144L
■ BETBACK YN6
BUILDINO
81ZE
EXTERIOR
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JAN -6-69°A1—°0 115.L`_
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ArPLICATION FOR PERMIT
euuoiNo
for ONIc� U» Only
R[C[IRNO. �{RLL�
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-� � �R v aRo�P �
OV6D
DAT6
ZONINfi
NO. OF U�� OT N[W
IlAN1 'lYILOINO tt.
�mon rnt9 mr_ ti�ti(1 gar
vo. none
: NO EAVE OVERNANO BXALL EH Ll88 THAN
YARDBAPPROVED
MAIN BUILDINO
VARD9 APPROVBD
ACCHHSORY BUILDIN6
i Y� C.MU.P.�f� I APPROVHD
, L� p ��//
��$� �ROV3D�.I.�'_ , owrC�f�- iCb �
1 N6�([pY �CKNOW{RDYt TUT�1 MAY¢ RGC Y1ti� AP�tIGTON
I1ND eTAT[ TXAT%1X[ AGOV{,1! CORR[C/ AND A011[[ M COY.
PLT WITX 11LL'CIYY OROINANCi� App /TAi[ LAW� p�OVUTINY
GUILO1l10 CONBTqURIOM.
8I6NATUR! Or n
PHRM17T8
AUTHORIZ6D AOQ _ �
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�g�a �"�. �.' 9�a�' �
n�a wrouert sxowrl uncea ve�uenon ie roa n�e �
NR10Gl O! iRTAGLIGNINO A P611MIT /fii ONLY. �
VALUATION ��.{ q p
PHRMIT F66 T�/' SV �
a�lj 93a � . J'� w
TOTAi. Ri6 I�•
40a' 3106 CASSIA AV
NDNT''FIDELITY FEDERAL BANK
non¢u:q565 COLORADO BL
GLENDALE CA
�wiuio.�noaess:
818) 549-�3420
urcxrt[cT on ��n:
ARCII OP FHQ'91NOPESS:
ix. wo.:
urrt:
�� � CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 077920 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
IJOB DESCRIPTION : T/OFF & REROOF W/BUR
UNT: �
CLAIM VALUE: 6,700,00 CALC—VALUE:
coxrw,�cTa+Sw�BONDED CONSTRUCTION ( 310 ) 423-4706
o«mucroxs�uiwc 2201 E, WILSON
�oo�ss:SIGNAL HILL CA uara.: 675310
90806 uxr: 200
LICENSED COMNACTONS DECL4R�ilON: I hereby ellim uMer penetly d pmjury �Iw I em I'r,enaed uMer pwisiona d Cheqer 9
�ee� cnq xilh Senion )Q001 d Oivision � d the Busnm end PMeaaons Code. vd mY ���ae b in lull /wce eM elletl.
/ymua �o.: _ uacuss:C99 uc.No.:675310 EXP:
�o�e: a � G ca,vmo,: ��
1 BUILDEF OECLAflATION: I hereby allirm under penely d perjury Ihel I em exampt Irom �he Cantreqon Liceme Lew lor �he
blbwiep reewn (Seelbn ]031.5 &nineaa eM Prolmaione Code: Riry NY a eaun�Y �� �Guirea e peimn �o mmvuei. elier. imywa.
emole�, ar repv eny etructure, piw �o ea ee�aice, e6o �ui�ee ilq epplkam Ior wch pmnG lo fib a eqiwE stelammt thel he a eM
a I'censed W�m�en� to �M pwieians d Ne Conlreqwa limnae Lew �Chepx 9(cpnmenenp wnh Setlion JOW) d Orvebn � d the
Buvnesa eM Rdasum Code� a �het ha a ehe n eaemp �hvohom and Ihe Eaio In iM dlaped exemqion. Nry violetion al5edion
]0�1.5 Ey eny y�pliranl fa e permA subjeda Ihe epd� �o e dvil peneM1y d rwt mors ihen iNa huMred ddleis �8500�).
❑ 1. es ovmer ol lhe propenY or mY �DbYeea wth wegea %+Ihe'r eob mmpmwion. will Eo Ne wA. enE iM strvnura e ral in�aiMeE
«d�mad m, eele cs«�ia, �aa. auei�o end v,de.�oru coae�. rne canumw. uoeiue la. m.. �m awN�o � o.nad aop.,y
who W Wa or inpovea �M�ean, enC xM Eoas wM wak Nmeatl or henel a ilrwOh he a Mr own emVbiea9. povkeE the� wch
impo+emeMs era nu inieMetl rc alf«etl la ub. tl. Mwever. tM EuiHiep a'vnpw'amxq a aotl xnhin one Ymr d oomd�ion. Ihe
owror-0uitler wdl heve tAe burdan W G�'�0 he n ehe d'M rid builtl rc impa+ln tM P�W�e d sebl.
❑ I. m owrer d �M vWeM. em xtlu�nM' oomreane xnh liorwtl oonvenwe ro cmmun tM p9� (Saeion )Ms. Buvirean mk
r,dea.iona code: ma com.aaaa �ic«,se �ew eoe. na ewN ro en ow�., a wov�v �.no wiu. a mwo+m me�aw� .�e ..eo
mnvects la suM prqetla xitM1 a mn�req«(a) IrenaeC WnueM to the Cwdrepon liceree Lew�.
� I em exemp uMx Sxiun: B. 8 P C.. br Nu �emm:
Dale: Ormer:
I do MieM <eMY Nal I em awere W eM uMarmiaeM the nWiiemema d Cal/amie INM� enE Selery COAe Sediom 25505. P553J. vd
2553a, eM thm I a eny Mure buildi�q oocupem wi�l / wil rwi (a�cb me) med io camply xth eeid qete codea aM �M reQuiremenq la
epermnlacomvuc�ionamoEAraionkom�MA'r u�y aupemeniDianq.ReeiEmlmloma�utloneppiretioroe�essemplromUma
n�..
Da�e: �ppfirav:
WOHKEF'S CONPENSATION DECLM�TION: I Mrobydfrm uMar penetty W pa�uy wn d tlr ldbwirq Eetlualiona:
�I heve aM wiY mamein e cenJiceta d mneeni to eeMineuro la xmkere' companW ian, n prwitled fw by Setlion 9)00 d tM labor
Code.l« the pe�lormence ol �he xak la wlich ihu permn 1� iwueE.
� nme end xi� meime:� waxen• canw�u� i�ureMe. d rca��roe M swim a�oo d ms �.eo. coe.. ro: me wdcrm.Me a m.
wark fa wAiM ihis pertn� e ivued. MY ��' �Oe�� ivurvice mris erd pdiry number ere:
c�.: GOLDEN EAGLE EXPIRES
aaKr N�mna,: Mbt('� 10 / 15 / 9 6
fm;s senbn ��d �or na Lomvia�ee n rrre oe�e;: ro, o�e nu�eiee mnerslsrool m iees.l
� I cendy ihe� in the parlamence d the work 1« wfiich ihie permil ia ivuad, I ehell mi ampby eny penon in erry mennm eo av �o
become .ubjea m iM v.wMers• wmWnutbn kwe d celilanie. uM eprse Ihel a I ehouk Eecmie wd� m iM waM1en'
ro�sYe�i+ia', o�um a s/eaon a�ao a ine lee« caa. � n oomvN +;m Nme powore.
�ele: / Z= b AGWcenl: � �
�
Waml : Fillun ro axvro wortwa' compxueHon ronrp� b unNwN( enG ilull �ub/�cf en �mplaysr ro ctlMiul pauNu entl
c/vll ina up ro ons hunErsO �lo�aantl tldl�n lSfOqpp01. M�ddlHon b M� co�f o/ mmpwuetbn, Jemepu �s qovMsrl br In
tlon e1P6 0l Ms La6or Codr, Infensl, mtl attomryllws.
CONSTtiUCT10N LENDINO �GENCY: I Mroby elfiem uMm perody d perjuy �M �Mn w e wnviutlion bdi�q epmy M Ns
peAameme d tM v.ork tor whiM �h's peimi b'nwetl (Saeion �Ogl. Cv. CI.
LENOEH'4 N4ME:
LENOEfl'S ADOHESS:
I cenEy tAv I hma reaE Nu eppfratbn erA dtle IMt Uw eEova'uJarmdion u cmw. I eyw lo mnpl y wilh aA ay eM mumy ad'mv�
eA! aws kwe releirq to butlCip cmmumon erd hereby eWvrse iepaeemetivm d �ka myu emm upon tM ebv.o-meMioned prtperly
�or imc«ion wmosea
ItOBERT TODD
� / / (_ l Da�e: �/ /� lr.
(5151-IB.WP) Whne-8uild'vp 8 Sdeq; Oreeo-Fla; Cenery_Applirenl; RnM-Revenue; OdEenmd-Namaw
PERM NO; H 077920
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 6,700
6,700,00 GROUP OCC: R-1 /
x
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Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ARKING REQ: PROV: PARCEL: 13956301 ZNE: REF NO:
LANNING NOTES>
i
if iE 1Elf iE 1E 1E iE 3E �E'IE iE 1E iElf 1E!(� iF 1f 1E 1E if !E 1E iE 1E 1E �E IE 1! iE iE iE iE ik 1E 1E iE 1E 1E �E'IE 1E 1E 1tlf 3F if if iF iElE iE �E 3E �Ih iE iF iE �(-3E 3f-iE iE �ElE �E 1E if iE 1f If �E 1E iE IE 1E 1E
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; f� �
iEiEiEfEiE1E1(��E1f1EiEiElfiFiE3flEiEiEaEiEiE 7flfiEiE�EiEiElflEi(� �E1E
LEGALIZATION:N F E E S�U M M A R Y STRUCTURAL EGM NT:Y
BLDG PMT PLUMBING ELECTRIC �MECHANIC � FIRE SMIP/RES GRADING
PERMIT 124.75 6�
? • _ SMIP/NON—RES
PLAN �'^�a� � , .
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—GHECK; 'fOTAL PAID DUE
TOTALS----> 125.42 0.00 0'.00 — 125.42 125.�42 .00
REVENUE DIVISION TOTALS--> COLLECTED: 125.42 OVER/SHOAT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
124.75 • • � .67
, — ��
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I N D 2 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
6700 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
EXPIRED � - - � ._ .
n�trs - I - �'1 �' (�(/l� �
1.00 6,700.00
RUCTION AND PLANNING I
?ROVALS Permit #
_mporery Electrical $ervice or Poie
2. Soil Pipe-Undrg�nd.
3. Eiettrical Conduit Utilrty-Undrgmd.
4. Electrical Conduit�Untlrgrnd.
5. 5teel Reinforcement
6. Electrical UFER Grnd.
7; Footings .
8. Foundation
9. iNater Pipe-Undrgrnd.
10. 5tructuraf Ftoor SYstem
17. property Sewer Line & House Connection
12. 5ewer Cap
13. Roof Drains
74. Rough Plumbing
15. flough Electrical•Conduit
16. Rough Electric Wiring
17. flough Wiring Sign
18. Rough Electrira6T 8ar Cetting
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace ,
21. puccs, in Structure '
22. Ducts, Ventilaiing
23. Gas Pipe-Rough & Test
24. Roof Framing �
25. Fioof Sheathing . .
26. 7�Bar Ceiting (Structurafl & Monocoat
27, Frame and Flashing ,
28. Lathing & Sidin9
29. Insulation -
30. D�Y�vall Nailing '
31. Ptaste� Brown Coai
32. Electrical Power MeterFinal
33. �inal E�ectnc �
34. Final Heating & Air Conditioning
35. Pinai Gas Pipe�Test
36. Hood or Canopy �
37. Final Factory Fireplace
38. Fi�al Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. la�dscape Irrigation System �
45. Sound Attenuation
46. Handicap Regulations
47. FtNAL STRUCTURE & BUILDING
48. FINALPLANN�NG
49. Etectric Release to Edison
50. Gas Release to Southern California Gas C�
Date
PO� � SPA
Date Vnspector qppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical ConduibUndrgmd.
59. Gas Pipe, � Undr9md., Test
60. Backwash lines, P-Trap, � Undrgrnd.
61. APPROVALTObECK �
62. Backwash & Receptor-Final
63. Heater & Vent�Final
64. Plumbing System � Fi�al
65. Electrical�Final
66. Solar SYstem�Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOUSPA SYSTEA9S FiNAL
FIRE OEPT. REQUIREMEIVT
APPROVALS Permit#
Oate � lnspector
70. Underground HYdro
71. Product Piping OGas ❑Oil
72. Underground Ftush
73. Undergrnd. Storage Tank O Gas rJ Oil
74. Overhead HYdro � •
75. �Dry Chemicai �
76. Dry Standpipe �
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
__ HEALTH DEPT. REQUIREMENT
79. FINAL INSPECT[ON
80. FOOD C-ER�TIFICATE ISSUED
Notes:s/S//Q� .Jei3 /..�' - 4i
7�/�
�
CITY OF COSTA MESA
CALIFORNIA 926'1&1200
DEVELOPMENTSEAVICESDEPARTMENT
BUILDING DIVISION
a.o. sox izoo
NOTICE OF PERMIT EXPIRATION
To: Bonded Construction
2201 E. Wilson
Sienal Hill, CA 90806
Project Address:3106 Cassia Avenue
Costa Mesa CA 92627
Date: 5-9-97
Permit: # B77920
Our records show that the listed permits were obtained for property improvement or alteration at
the above address and the project was not properly completed.
The permits were obtained by: ( X) Contractor
( X ) Owner
Name: Robert Todd Phone310-423-4706 License Number:675310
To construct or install: T/OFF & REROOF WBUR
The permits are valid for 180 days from issuance or your last inspection, per Section 106.4.4 of
the 1994 Uniform Building Code. Should we not heaz from you within 10 days; your permits
will expire and additional fees will be required to finalize the permit. Your permits will expire on
Mav 19, 1997
Please be on notice that without a valid permit and required inspections completed, you will have
encumbered your property with an illegal structure.
If you need assistance, please contact THE BUILDING DIVISION, at (714) 754-5273,
betv.�een 8:00 a.m. and 430 p.m.