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Home My WebLink About940 CHEYENNE ST - Building Permits� M a �q o � > _ F " J. : ' a��o �,i CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 JobAddress: 940 CHEYENNEST Suite: Vicinity: Parcel Number: 14172306 Applicant: KAISER,MIKE Address: 928 CHEYENNE ST COSTA MESA, CA Ownec PIERSON, FRED R TR Address 940 CHEYENNE ST ' - COSTA MESA, CA Contractor. KAISER ROOFING Address: 928 CHEVENNE ST COSTA MESA, CA Zip: 92626 � Arch : Address: � Phone: BUILDING PERMIT Zoning: R1 R1 Phone: (714)979-5314 Zip: 92626 Phone: Zip: 92626 Phone: (714)979-5314 License: 682897 En9: Address: PERMIT NU ER QO 0418 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 04/01/2000 Issued: 04/01/2000 ISSUED BV: vF+'� Phone: ' Zip: � . , License: License: SCOPE OF PERMIT TEAR OFF INSTALL 30LBS FELT. 1/2" OSB AND 25 YEAR COMP. SHINGLES. � Plan Check: $0.00 Permit: , $12525 SMIP Res: $0.60 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.85 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY e PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ss,000.00 $s,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremeMs under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectione and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARA710N: I here6y aftirtn untler Oenalty of perlury one oi �he following tledarations: ❑ I have antl will maintain a cetlificate of consent to setl-Insure for workers' compensation, as provitletl for by section 3700 of the Labor Cotle, for the peAormance of ihe / work for which this pertnit is issued. � ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Labor Code, for Ihe pertormance of Ihe work tor which ihis pertnit is issuetl. � My workers' compensation Insurence carner and policy number are: Carrier s'iniP rti�d PolicyNumber. �&�� a (This section neetl not be completed il Ihe pertnit is veluetl et one hundred dollers ($100) or less.) ❑ I certify ihat in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws ot Calitornia, and agree that if I shoultl become subject to ihe workers' compensation rovisions of Section 3700 of the Lebor Cotle, I shall torihwith rowsions. Aoofcant Sionature� �� Date: 7"� �'� a WARNING FAILURE T RE WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL Sll&IECT EMPLOVER TO CRIMIN PENALTIES AND CIVIL FMES UP TO ONE HUNDRED 1TCJd2M129�[O(�$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR I CTION 39W OF BOR CODE, IMEREST, AND ATTORNEV'S FEES. DECLARATION: of Chapter 9(commencing with Sectian 7000) of force and eftect Lic. N Coniraaor's SignaWre CONSTRUCTION LENDING AGENCV: Da�e: Coda, and my license is in full ❑ I hereby attirm ihat there is a constmction lending agency for ihe peAormance of ihe work tor which this permit is issuetl. (Sec. 3097, Civii Cotle). Lentler's Name: Lender's Address: SignaWre: OWNER-BUILDER DECLARATIONS: Date: I hereby attirm ihai under penalty of perjury tha� I am EXEMPT FROM THE CONTRAC70FiS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Coae: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any simcNre, D�ior to its issuance, also requires the applicant for such permit to file a signetl statement that he or she is licensed pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) ot DiNsion 3 of the Business and Pmfessions Code) or that he or she is exempt Iherefmm and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant tor a permit subjecis ihe applicant to a civil penalry ot not more than five hundred dollars (5500).): ❑ I, as owner oi the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe simcture is not intended or ottered for sale (Sec. 7044, Business and Protessions Cotle: The Contractors License Law does not apply to an owner of pmperty who huilds or improves ihereon, antl who does such work himselt or herself or ihrough his or her own employees, provided that such improvements are not intended or oHeretl for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have the burden of proving ihat he or she ditl not builtl or improve for purpose of sale.). ❑ 1, as owner of the propetly, am EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessions Coae: The comractors license Law does not apply to an owner ot propeny who builds or improves ihereon, and who coniracis for such project with a contracbr(s) license pursuant �o ihe Contractors License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Verification ot Ownership by (type of documenC i.e. - property tax hill or deed): Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I �ereby certity ihat no encavation tive (5) or more teet in tlepth into which a person is required to descend, wiil be made in connection wi�h work authorizetl by ihis permit, antl that no huiltling simcNre, scattolding, talsework, or demolition or tlismanUing thereot, will �e more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Ti�le e, Caiitornia Administrative Code). ❑ As owner-builder, 1 wili not employ anyone to do work which woultl require a permit fmm ihe Division oi Industrial Safery, as noted above, unless such person has a permit to tlo such work fram ihe division. Signawre: Date: Division of Industrial Safety Permit Number: ICERTFICATE OF COMPLIANCE AND AUTNORIZA710N OF ENTRY: I certify untler penalry of perjury that I have read Ihis application and state that the intorma[ion given is I wrrect. I agree to comply with all state laws antl ciry ordinances relating to building consiruction, and authorize representatives of the City of Cos�a Mesa to enter upon the above-descrihetl propehy for inspection puryoses. I agree no� to occupy or allow occupancy ot any building authorizetl 6y this pertnit until final inspection. �OpE Y. INSPECTIONTYPE 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Root 201 Final Blwk/Retaining Wall 202 Finel Factory Fire Placa 203 Final Sign 204 Final Demoli�ion 244s�a6 � onT inrnin�s "�( `� IOw�'�— LOOEN INSPECTIONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final BuildincyOccupancy P9I& iNiITIALS _ AVo��ant to fill in all svatts exceot those within heavy �areer lines antl sign all appropriate aeclarations. 1 � o. • � � v ' �, ' ' + CITY QF.COSTA`MFy�j,��COIy,S,TRUCTION'PERMIT : PERM�7_NO. TRACT NO. ' • LOT NO., - UNIT NQ , �/`� L�{1 e�/ r I� l�i 3a �! � Project Address , Q� c J:�� TVPEOFCONSTRUCTION NEW' ADD LTE ATIOfV REPAIR ' ApplicanYs Mailing'Add es � �-K�' ❑ CONVERSION� ❑�DEMOlISH �`("('j OTHER ��Q CB� � Owner's Name�.�-7 � `��% Phone��.3�� , DESCRIPTION OF�WORK/USE�OF BLDG. � � A P# Address � / Ghe, e ad • �! � , S Main Building � ' , �5846 �2/29/88 � � � :Accessory6uildingi " ., , � 24,�0 'TL Arch/Eng: � License No. TVPE OF PERMI.T ' GRaDwc ❑ FOUNDATION - STRUCTURAL ; � T Front � � ' � � � � � E - p Addre55 ' ❑ TENANT. O ELECTRICALI ❑ PLUMBING MECHANICAL , , B ReaY' � ' � ' � ' � � N 'L'� ❑ OT,HER � � � � ' A. � Contractor's Name Phone - ' . . . � C � Right "" ` " " -' ' "- ' � " " " ' - ' N' PROJECT'DESCRIPTION 'Scl. Fr. , OCCUa.cNGv � Address (mailing) - 2� � � i , - � • . . . • , - . /��,� , i . CONSTRUCTIONTVPE VALUATION,$ S Left . . G R City License No. � � ZONE � ' � GRAOING CU. VDSi ACRES� p�ng. Ref. # ng ,e P d � E LICENSED CONTRACTOR pECLAHATION . � . ' � � � � Q � 1 hereby afti�m t � tle� provi5ion5 oT Charter 9(commencing Remarksi7 - ! i � � - ' Pl3nning NOL¢5: � � _ ' � ' M with section 7 � of Division 3 o usjngss antl'�xqfessions Co\tle, antl _ - my litense is in il a tec �/�� (S(eJ /� � . - � ' � , : • T � � 5 License ass � icen o. � — ' � � � � � . J� . S oate` ��/ �" Pt� „� . . .PLUMBING � ' ' � 'FEES - • � - . ' ' • . •""' . 'ORKERS' COMPENSHTION DECLARATION ' 82f Slnk � � ShOw¢�5 ' nereby afiirm thati have a certificate ot cons It-insure or�a certificate "' .' � - .ELECTRICAL '. �� FEES of Wor ce, or ertifietl cop ecY � Automatic.Washer '.. Transformer��'.15-50KW - ` . , Backflow Preventer � -. Service Sink ' ` ; , Lab. GJ: � a f ^ � olicy No. 2 D ' ompan`y ' Backflow Irrigation ' , Sewer Cap - ' �� Construction Pole.Sub.�„ � � ❑ 50+KW � mp is h �eby umi5he0. . � .' . . , . . , _ , ' _ ' �' ' � t' c' is f ith the city B' tli � i' io ' � Bathtubs, . Sewer Connection - _. i � Cooking�Unit_ � Meter ❑up ro 100 amps ., Date � �APplicant � . . • EXEMPTION ROM WORKERS' COM E SATION DECLARATIO Clarifiers' • ' � Solar C011ectOrs ' __ Di5hwa5her '� , Metef ❑ovef 100ampi (This sec[ion neetl nOt be completetl if the permit is fo� One huntlretl ($300) or � �. � ' i less). . Dishw`asher . - . Solar Piping • Dryers ❑Gas �❑Electric Sub Panel � - ' - I certify that in tM1e'� performance of the work fo� which this perm�t is issuetl, I � . . shall not employ any person'in any manner so as to become subject to tne Drinking Fountains , Solar Tank i Fan � ' � Motors �0-7 HP �1�'h - 8 '' Workers' Compensation Laws of California. � , . , Date � Signature � Floor Dreins - ' Swimming Pool w/Spa • � � F.A.U. ' � ' � - NOTICE: If, afte� making thi5 tleclaration, you Shoultl become subject to the _ ._ .. — _. _ . .. Inc SOIa� �9-75 HP 01fi-15+ � Workers' Compenwtion provisions:a( the Labor Cotle, you mu5t torthwith floorSinks �Urinal � ' ' ' comply with such� Orovisions or this permit shall �be tleemetl revoketl. Fixtures . Microwave. � CONSTt3UCTION LENDING AGENCV � ' � ,CodSS¢�vic2 Outl¢t5 � Wate�C105¢[ ; D¢vic¢BOxeS � � � I he�eby affirm that tnete is a const�uction IenOing agency tor the perto�mance � POI¢ Li9ht of the work �for 'which this permit, is issuetl (Section 309� Civ. C.) � ' • � , i � Lentler's Name i ' • ioterceptors � Water Heater • � Outlets ' • Ran9e � ' Lentler,sAtlEress_ '� ' ' , __IKitchenSink... _ _ Water_Service _ _ _ _ , _ - Switches-'� � ��- . - Sign-' � - � - OWNER BUILOEH��ECLARATION � � . ' ' � 1 M1eteby affirm lhat I am exempt trom the Contractor'S License Law �or the , LavatO�iei ' � ' � tollowin9 reason (Section 7031.5 Business and Professional Code: Any city or '"' - ./auto-Wash Garbage Disposal Standing Sections � county whicn requires a permit to construct,:alter; improve, demolish or repair . P=Trap � ' ' Laundr Sra s . . ' ' ' , � Y Y Generetor DO-5 KW•�5-75 KW Trash;Com actor any st�ucture, prior�to its i55uance, also require5 the applicant for such permit � - P � � ' to ti�e a 5ignetl statement that he/she i5 licensetl purouant to ihe provisions ot � ROOf OrainS 1 � ' he Contractor'S License Law (Chapter 9(commencing with Section 7000) of � ' � . � livision-3 of the •Business antl��Profe55ions Cotle) �or that he/she is exempt - - - - � - - � - --� � � -- M1erebom antl!the basis for Ne allegetl�exemption. Any violation of Section � , . ' � ' ' - � ` • 7031.5"by any applicant fo� a permit sabjects the applicant to a civil � � , •� enalty of, not more than�five huntlretl tlollars ($500). , ; ' ' $p 3 ' ' I, as ownei of the property or my employees with wages zs their sole Reinspection' Fee $15 � Issue Pee ' , � compensation,'will tlo the work, antl the structure is not intentletl or offeretl �' Reinspection Fee $15 Issue Fee . � $ 3 - � tor'saie (Section� 7044, Business antl Professional Cotle: The Contractor's . - MECHANICAL ' FEES ' �, License• Law tloes not dpply to an owner ot a property who builtls o� improve5 ' , ' ' tliereon, Antl who tloes such work nimself/herself or throu9h his ar her own � , � . DEVELOPMENT SERVICES REQUIREMENTS: ,; . - � employ¢es, provitletl that such improvements are not intentletl or offeretl fo� � BOil2f HOOd O/ TypC I ❑ . . � ' Sale.'If, however, the builtlin9 o� imp�ovement is Soltl within one yea� of com- . CanOpy Type 11 ❑ . � ' Zoning App�oved By DBte ' ' pletion; the owner will have the burtlemof provin9 he/she tlitl not builtl or im- Duct - Under Ground � I _ � Building Approved By ' Date .prova for [he purpo5e of Sale): - - � . . � ❑ I, as owner oi'the property, am exclusively contracting with licensea.com Duct - Structural ' � Refrigeration System� ' `" Application Issuad By Date�� trac[ors to mnstruct tbe Owject (Sectlon 7044, Business antl Professions Cotle: ' i �. ., The Contractor's'License Caw tloes mi apply_to'an'owner of-property.who , Duct-Ventilating ❑0.1000008TU-��100,OOOBTU - i � � , SUMMARV OF FEES ' ' ' builtls br improves'thereon, anQwho'contracts,for Such projects with a mn- - . . _, • tractor(sl�iicense�pursuant to the ContrSctor's L`icense Law). I-am aware that; . ExhaustSystem ❑ Multiple ❑.' System�Repair/Alteration' � BUILDING PERMIT ,$, '+.SMIP . .. $� proot of tbev�Worker'S.Compensation.insuranceishoultl b¢ Prowtletl to me. ' ' , . _ �� ". - i � - �_ - . '- � PLAN.CHECK � $% ��PERMIT.� ' � L7 il�am.exempt untler�5ecfion e.�& P'C. foi cnis'rezson - � Fire I/Fact. BIt.,IC80 # . �Fire Dampers ' �, . ' - . - " - - " • ' - - r '' - T P _ . PLUMBING `•. $ ISSUANCE �.. $�. oate' � ' ' �' �-� Owner• '� . � ' ' � -' � -� � � ' HeatingSyStem&Ducting � - Iqegisteis, ' :: ' , pLqN'CHECK :25% $ - ENERGYP.C. $ � " � 1 hereby ceitriy that�l nave reatl this application zntl state that the above � '�0-1000008TU Od00,0006T � ' . �, ELECTRICAL $ '-GRADING �-$ � information is c rrect.-I agree'to como�Y w�[h a11 city antl county ortlinances�; � '' ' - . antl'state laws' la ingeto Ouiltlin9'�onstruction, antl hereby autnor ze re re-. - . . � • , -• � � ' �� MICROFI LM � � �� sentatives o�-t is city' to .enteee��-{{{qqupon the jab ve-mentioned:p erty f r - i ' - ' ' .�. P.LAN;CHECK 50% $ �$ "� insPectlon,Pu e . :� •. 'y/// G � . � . � .: f :` • ._ , • . �• . . . • MECHANICAL. . $�•�, : TOTAL FEE . $ �� ' Signat r � / � � pate � _ _ , , . ivers' License or 55 � �(� ' Reinspection Fee ' • � $15 � �> ` . Issue Fee - - � P�AN+CHECK 25% $ ' - � . �. _ 1 _ - � ' ' . ... .. _ _ ' _ " ' ' ' ".' " ' ' _' ' . �^} C te� Builtling; Canary -{ippliCant; Pink - Accounting; Goltlenrotl - Assezsor \ CONSTRUCTION AND�PLANNING ` � � POOL & SPA . . . APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1:;:Temporary Electrical'Service or Pole � 52. Pool & Equipment Location ' � 2. Soil Pipe-Undrgrnd.' �` 53. Steel Reinforcement ;; , - 3. Electrical Conduit Utility-Undrgrnd. � ' 54. Forms %`;� ' 4.�Electrical Conduit-Undrgmd. . 55. Electrical Bonding v' F;; � � 5. Steel Reinforcement - 56. Rough Plumbing�& Pressure Testki . , 6. Electrical UFER Grnd. � � 57. APPROVAL TO COVER-4�UNI�T� � �.�_.. L'.k ;i�+ 7. Footings . � . 58: Electrical Conduit-Undrg��d. ' 8. Foundation � �� . 59. Gas Pipe, O Undrgrnd., �e�t j;.;i � ' 9. Water�Pipe-Undrgrnd. .60.-Backwash Lines, P-Trap, C��Undrgrnd.� 10. Structural Floor System . � 61. APPROVAL TO DECK �'; ' _� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �; 12. Sewer Cap � -� 63. Heater & Vent-Final ' � 13. Roof Drains , .� � . 64. Plumbing System.- Final 14. Rough Plumbing � � 65. Electrical=Final ' ' . 15. Rough Electrical-Conduit . � 66. Solar System-Final ' � . � ' . 16. Rough Electric Wiring � �. � � 67. Fencing & Access Approval ' 17. Rough Wiring Sign - - ' � 68. APPROVED FOR PLASTERING , 18. Rough��Electrical-T Bar Ceiling �� 69. POOL/SPA SYSTEMS FINAL -" ' 19. Rough Heating & Air Conditioning' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # - 21. DuCts, in Structure 70. Underground Hydro �� 22. Ducts, Ventilating. � , 71. Product Piping � Gas ❑ Oil • 23. Gas Pipe-Rough & Test ' � 72. Underground Flush � � i ' 24. Roof Framing . _ � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25: Roof SFieathing ' � 74, �Overhead Hydro '. ' ' , 26. T-Bar Ceiling (Structurap & Monocoat . 75:- Dry Chemical � . "27. Freme and'Flashing � � 76. Dry Standpipe � � 28. Lathing & Siding � 77. FIXED SYSTEM FINAL � � , 29.. Insulation � � 78. FIRE PREV. FINAL' 30.' Dry,wall�Nailing ' � HEALTH DEPT. REQUIREMENT_ -�,-" 31. Plaster Brown Coat ' 79. FINAL INSPECTION ��'�' 32. Electricil Power Meter-Final � 80. FOOD CERTIFICATE ISSUED - �,,. : 33.� Final Electric � � Notes:a��J/88 LeiCll'G�O�R,d G�;� ' 34. Final;Heating & Air Conditioning ��r� L� - ,' 35. Final Gas Pipe-Test , , ' , ' 36. Hood or Canopy � 37.-F,inal Factory,Fireplace , � . ; , � � 38: Final Plumbing - - � " -. ' .. 39�. Water Service-Finel . � . '� ' � � " " 40: Gas Service-Final -. � _ ' , . � � 41. Solar pomestic-Final � � , . . ' . � � � 42:'BackflowPreventer• � . � ' . .. A3.,�Backflow Irrigation _ � - ._ . .� �� . � 44.' Landscape Irrigation System . � ' �,. � . � � , .45.:Sound Attenuation i � . � , 46. Handicap Regulations ' - , ` ' ' - 47. F.INALSTRUCTURE&BUILDING ' �. . • . 48'�Special Requirements Completed � . � - ' ' � � 49: �Electric Release to Edison �� / � � • •� . 50. Gas Release�to Southem California Gas Co � .. - . '� 51�. CERTIFICATE OF OCCUPANCY . ' - No. Date ' � � . _ . , _. , . � . - : ` .r�. - �. ' ` Yx T, ,- } . - " . ;.. _ - . , , . . _ . . ,. . - ; , - • � �.� , . - . . • 1 . '. 4 •. ' . . . } . {� . , • s � � • . .. ' .. . ,_ 5. �� , �'t, .. . . . " , . .. � ' . . t ; - ' _ i o � ' Y r . _ . ' _ ..r . � . . . , - . , i - .. �, - _ ' . : , . �� :3 [ . . � . . ' . . '� - ..� AugusY 8� �1972' � �' ' . ' . . . . .z - - _ . �. � . � – ' . 'A' - — . t - . _ r � ].. . . � , ' . ' r �� . _ • ' a . ' . � ' ^ �N. .. . ' . " . . . �..`t .i�' .lv • ' � � � {+ Y, , � '.?�. i . . . � ' ' � �1 •f . � ' � . ` ' . ' TI_ . ^ . 4 . .k� , 9 � ry � . �• . . . . � . . . , _ . .. . _ " . .a�. • . . ri.. ` • . . ; . .. � � .} i� \. . . ` .: . ` Mr. ,Fred;�Pierson ' � �: ,� �� ; ,''. . , • � 940 Cheyenne Street ' • - , Costa'Mesa; California ��92626 . ' ' � 'S, ' . � -' : . ' - .. - :., �, _ _ . Dear Sir .� - , . '. �' , r. � " , A building permit hea.,1been�issued.to C Fun,Pools to construct a � - _, private.swimming pool on your-property.•. . ' • : � ' - . '_ • ,. . - ., , • ', • In oidez thaC your-.pool;w be'a-:safe_one�and for the purpose of, ' - ' . advising.you.of your responaibil regarding.the.i�requirements•of the ' , �.' ' . Co�ta.Mesa.Muciicipal Code,`we refe , ou,'to Section.8:107, a eopy of which_ .. . _ - .is attached. ' - : � • • ... - .s f � ' • . ' Tt�ie'letter.is cted to you in-,order thut;you vill be aWaie�of .� �_ -- our_,ozdinnnces and "can e a complete safety cheek of your pool,area. -. - � ., _� �'. . "`'� � , Sineerely yours� , . . . , ; :" a � . ,. z . , l, : � '. ' • . , <• - . , RICHARD,'NANHART - - _ - v�. � ' Huil'ding SBfety Directoi _ , 'RNtcs , - _ •F ' • , . ' , : � y • ;. . � ' :� . _ - . . , ' ,, � ' ' _. . • , _ .. _. . , ' ` . . � ' - c{ . -_ . . �.,_ , .{- 'I _ , . � • , - ' � , .. .. , _ . .. . , . ..-. . . ' . ' . ,� ' ' s. . � - " ti . . . 'e f _ � �: • � . ' ' . ' .� . . ' . . . . . '� . . . . '. ' � V ♦. ' - � ' , .. ' . c . '1. ' -la� .t i � - + . a . F ' � ' � , � . � .��t . . .. ' .. . ' . ' � � �. ' . . . . • _ � .._ ' - ' .. .� . . . 'F . i . , . � � u " ' - . . . � . . ' ' .. . OWNER LPIERSON Fred JOBADDRESS 940 Cheyenne Street GENERAL CONTRACTOR Ca1-Fun Pools -APNo.141-723-06 LOT TRACT INSPECTIONS Si nai� SOIL GAS WATEA ftOUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELlANE0U5 ROl1GH HEATING AN� AIR CONDITIONING TEMPORARY SERVICE OR POL` UNOEFGROUN� � POWER ROUGH WIRING TRENCHES FORMS � FLOOR SYSTEM BONO BEAM [] STEEL RE FRAME AND FLASHING LATHING - IN n PLASTER, BROWN COAT HEAi1NG, VENT., REFRIG. ANO A PLUMBING, FINAL ANO GPS TEST ELECTRIC, FINAL BUILOING, FINAL REINF. F INAL DATE 8_ BUILDING PI SUBCONTRACTOR �� 35053 � 1 � COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUI�DING /i . /D �%/� ADDRESS % '�� I ,%ZL�-L/�s�[t�.� MAI L CITV � �� CONSTRUCTION BRANCH. ADDRESS ARCHITEI AD�RESS WNTRACTOR AD�RESS� S CITY ��yL STASE � LIC. NO. 512E OF LOT TEL. NO. 6-4-�� L� N� � TEL .�p' NO. �/�J pTV 7 (� LIC. NO. /� I� NO. OF BLO(35. NOW ON LOT SIZE OF NO. OF NEW BLDG. ROOM� EXTERIOR WAIL ROOF` COVERING COVER USE OF BUILOING AND WOFK TO BI ORMED r I hereby acknowledge that I have reatl this application and state ? that the above intormation is rorrect and agree to wmply with � all laws regulating builtlinB �onstruction, antl �I shall not employ � any person in violation of the workman's compensation laws of y the State of Calitomia. ; Z.I hereby certity that I am properly licensetl as a contractor untler �.the State of California Businass and Protassions Cotle, Divisicn 3, Chapter 9, antl that such licensas ara in tull force and effect, or I am ezempt trom the provisions of the Scate of Calitornia Business antl ProtessiDnsCode, Division 3,�Chapter 9. � Signature of •y- -y ��; �R �,. / Permfttee Le f� O� " �h� Authorizetl Aeent . � ' n C 7,�IFir i:��'t,�4"S�NVOOS��Qe7k�:5F-Y:hiJ;7:E�S PA10 J .;ur,-s-�; �,t.00 56ZR�**��39._5 APPLICATION FOR BUIS.DING PERMIT BUILDING � ADDRESS � TRACT /" /.f— �—�'� —.� P 1 „ ' _ � LOT �� BLOCK VALUE �p s � s 3. ,�D FIRE � ZONE PE i GROUP APPROVE AJ � "_�� )NE � / NO.OF , P�� G VARDSAPPROVED MAIN BUILDING ROM C/L STREET) DISTANCE BET. MAIN BLDGS.' VAR. # C.U.P.a4` P USE OF NEW�r,�/ BUILDING , VARDSA ROVED ACCESSORV BUILDING FT & �/� N � b SQ. FT. o THE AMOUNT SHOWN UNDER VALUATION IS FOF � THE PURPC6E OF ESTABLISHING A PERMIT FEE ONIV: m ¢ VALUATION ' - PERMIT FEE $ � � / � $�� v � PLAN�CHECK $ (✓ — ' E `o �� LL TOTAL FEE $ � I'� UWNtK r1L'LtbVN� t'.n. JOB ADDRESS 9 0 Cheyenne TRACT � _ INS soi G_5 ROIIGH PLUMBING PROP. SWR. LINE n HOUSE CON. TING AND RIR CONDITIONING / SE(1VICE OR POLE iN0 n "POWER n AOUGX WIRING TRENCHES FORMS STEEL! FLOOF SVSTEM ' BON� BEAM n STEEL REINFORCE SHEATMING FRAME ANO FLASHING � LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING. VENT., REFRIG. ANO A.C. 'LUMBING. FINAL AND GRS TEST FINAI BUILOING, FINRL GPGfIGI GC(1111GGYFYTG UAIt � ��—�� SUBCONTRACTOR r �7 C� � 9 4 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fi!l in Completely BUIIDING �,�� r ADDFESS D �� VI�eVM/ OWNER i �� (� ��$��+ MAIL -�+ � ADORESS �) ��T� ��'h,�,.. NOL3347 BRANCH ADDRESS ARCHITECT CONTRACTOR W CITY �-p.y[L:i STATE LIC.NO. �� SIZE OF �OT USE OF EXISTING BLDG. SIZE OF WALL 11L�ING TEL.' NO. s GH R� SSoci 7{a,�be,' � � TEL. � NO. �f� G ��T� IIC. NO. �NO. OF BIDGS. NOW ON lOT � / NO.OF FOOMS ' 'STORIE: ROOF COVEFING WORK TO BE PERFORMED' PRIU Ssa� � -7L---QO 89o�t: ':��z:::�5.5v � E r,;;c. APPLICATION FOR BUILDING PERMIT IV BV DATERECEIVED DATEISS �s_�G 7 •.2��i A.P.NO.�/ �. BUILDING �p ADDRESS yL�b �i/q TRACT7/ �0 OWNER FIRE ZONE APPROVED N NO.OF PLANS YARDSAPPROVE VAR. # c.u.v. # T N USE OF NEW L�L(I� BUILDING f7n� 1T �VARDS APPROVED .ACCESSORV BVILDING FT. & 2 I hereby acknowletlee tnat I have raatl this application ana staie STATE ffiat the above information is correct and agree to wmply wiih all laws regulating builtling construction, antl I shall not employ � � � any person in violation of the wo�kman's compensation laws ot :he State of Califomia. � m � I hereby certity ffiat I am properly licensatl as a contracmr untler SQ. FT. . T� o the State of California Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR � Chapter 9, antl that syI h licenses are in full force antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from t Ep ovisions of the State of California Business � VALVATION antl Protessions e, ivision 3, Chapter 9. ' m PERMIT FEE $ � LtiD �" ] Signatura of 's __� m Permlttee $� i"JI PLAN CHECK $ E ,,lJ a Authorizetl Agent � LL TOTAL FEE $ �_ ' 23��39 � . . I �COSTA MESA BUILDING-SAFEfY DEPARTMENT P.O. BOX 917 C08TA MEBA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDIN(d o ADDRE55 Che CIlIl@ UtTQQt COSTA MESA.. CALIFORNIA P OWNER CC{Y Land Com 8I1 ' MAIL BU ADDRESS 1304.W, Coc�monwealth Ave. AO FIF c�rr Fiillerton No�871-2i10 Zoi 1r . API OR EN'GEN ER �181t Boder No`.544-6842 ' BY 0� C�STf� MESA MAY 5 196 �� PL�A� R PE � I �07� ICB �/SB DO�j/ I PHC81'T NO. ZONING NO.OF/� 1IS80FN PUNB / I BWL�IHQ /� AODRESS 1304 i'�. Comcionwealth Ave. ceacn�rr�ox CITY Pullerton - Calif�. A'P'N�' ' NOTE: NOEAVEOVERHAN68HALLBE �N---- LIC.TNO. �.90�}i% NO. H�I�.—ZIIO �90'TO61OE@REARP.I.. EAVES SIZE I rvo.oPet.oae. ALLOWED (U.B.C.REQUIREMENTI OF LOT � X� Q U NOW ON LAT O YARDSAPPROYED YARD9APPROYEO USEOF � MAINBUILDIN6 ACCESSORYBUILDIN6 EXISTIN6 BLOQ. ' ( FROM GL HTREET SETBACK LINE FROM FRONT .��. / �' � PT• CENTER OP BTPEET D REAR YARD � SIOEYARDI LEFT I RIGHT � R.SIDB �RT. PT. DESCRIPTION OF WORK ' �.s�oe ,�ar. Fr. SIZ'E DIN6 ��G� �� ROOMS . STORIHB �. COVERINGWAL `�tUCCO I ROOF COVERIN6 Shingi e USE OF BUILDIN6 AND WORK TO BE PERFORMfiD Tract 5340 — Lot 29 Plan 612A R-1 I�esidence ' , � 1 HEREBY ACKNOWLEDOE THAT 1 XAV6 RPAD THIB APPLICATION •ND 9TATE THAT THE ABOV6 18 COFRECT ANO qEE TO COM• PLY WITH ALL CITY OHOINANCHB AND 9TAT8 LA B RBOUTATINO 6UILDINO CONSTRUCTION. .. � SIGNATURE OF �� PERMITTE � �'�' AUTHORI2fiDAGENT . � VAR. # OATE �E7�/i-eQ. FT. q e !/K .� o Tl1E AMOUNT BXOWN IINDER VALU�TION 18 FOR THE F PlIFP08E OP EBTABLI9XIN0 A PERMIT FEE ONLY. � VALUATION a.� [J� n . /�� PERMiT FEE �t j $ � l ✓ �� C � 0\' � I 03 `,' TOTAL FEE S