HomeMy WebLinkAbout2954 CEYLON DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2954 CEYLON DR
Suite No
Vicinity:
Parcel Nunmber: 13927103
Applicant: STARK, CHRIS
Address: 7229 VARNA AVE
NORTH HOILYWOOD, CA
owner: MARCHBANK, SYRAINE R
Address 2954 CEYLON DR
COSTA MESA, CA
Contractor: ALAP ASSOCIATES GP
Add ress: 7229 VARNA AV E
NORTH HOLLYWOOD, CA
Arch / Eng : ,
Address:
PLUMBING PERMIT
Phone: (818)407-1247
Zip: 91605
Phone:
Zip: 92626
Phone: (818)407-1247
Zip: 91605
License: 771905
Status: ISSUED
Applied: OS/14/2000
I ssued: OS/14/2000
ISSUED BY:
• ,
• '��, .
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Phone:
� Zip: �
. . _ . . _ _ License: - - - - _
SCOPE OF PERMIT
WATER HEATER CHANGEOUT. � � . -
ISSUE FEE ��
BackFlow irrigation
BackFlow Prevenler
Bathtub
Clarifier Syslem �
Connect Qce,Soda;etc).
Dantal Units '
Dishwasher ,-
Draiq Floor .
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
�- -
FEE SUMMARY
�^AMT QTY � � -'AMT
Laundry Tub / Washer $0.00 .� 0 Sump Pump _$0.00
.Landswpelrrigation $0.00 . 0 . .,,�.✓,, : SwimmingPool�� . $0.00
-�� P-Trep � $0.00 � 0 "? . � � Trap Primer � � $0.00
Pressure Regulator $0.00 0 Urinal .- � � � $0.00
Process Piping (per 10 ft) $0.00 0 ., Vacuum Brkr Bkflow(7-4)' $0.00
� Receptors $0.00 0 � Vacuum BrkcBkflow(5+) $0.00
Septic Tank $0.00 � 0 " � � Wash Basin � ' - $0.00
Sewer Cap for Demo $0.00 0 � Wash 8asin Set , $0.00
Sewer Connect $0.00 .0 � Waste and Vent System $0.00
Sewer Private Line $0.00 � 0 Water Closet (Toilet) $0.00
Shower -$0.00 0 WaterHeater/vent $12.30
Sink, baf $0.00 � 0� , c>Water Piping Qnst or Rep.) $0.00
Sink, commercial $0.00 0 . Water Re-pipe $0.00
Sink, Floor $0.00 0� Water Senice $0.00
Sink, kitchen $0.00 0 Water Softener $0.00
Sink, service/mop $0.00 0 OTHER $0.00
Spa (privale) $0.00 0 VIOLATION $0.00
Spa (public) $0.00 0 PLAN CHECK $0.00
REINSPECTION $0.00
COMMENTS / SPECIAL CONDITIONS
TOTAL CA�CULATED FEES: 535.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
�i
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 for the work authorized undar this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections 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
2446-4fi (fi/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby ettirm under penalry of perjury one of ihe following declaretions:
❑ I heve and will mainlain a ceniilcateqYo nsent to self-Insure for workers' compensation, es provitletl for by section 3700 of Ihe Labor Code, for �he pertortnance o( ihe
worlc.tor whlch this permit is issued( /
ensation insurance, az required by section 3700 of the Labor Coda, for the peAortnance of ihe work for which this pertnit Is Issuetl.
wrrier an policy number ere: Q f�J�O42 J S�/
rPollCy NumDer.---�
�e�m is v�luetl at one hundred dollars ($100) or /ess.) 1�---�_� }
❑ I catlity that in the pertormance i tl c fo/which Ihis pertnit is issued, I shell not employ any person in any menner so as to become subjed to the workers'
compensalion laws oi gll'f r e hat Ii I should become subjact to t�e workers' compensation provisions of Section 3700 oi the Labor Code, I shall forthwith
comply wilh Ihese pr vis' �
AppliceniSignature:--- Date: � � — ���d0
WARNINO'FAILURETOSECUREW CERS'CAMPENSATIONCOVERApEISUNLAWFULANDSHALLSUBIECTANEMPLOVERTOCFIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED
THOUSANO OOLLARE (§100,000�, IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED f-0R IN SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNEI"S fEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eNirm ihat I am,licensed undel pr �' s of hapter 9(commancing with Section 7000) oi Division 3 of the Business and ProfessionyE ode, and my Ilcense is in full
torce and eHecr�s ?� 7.S �au,y--1 C-3 S�
�
Contractors�5igneture:----- �Date:--- �r�l-�ye
CONSTRUCTION LENDING AGE Y:
❑ I hereby attirtn that there is a construction lending agency for t�e pertortnance of Ihe work tor which this permi� is issued. (Sac. 3097, Civil Code).
Lendefs Name: ' Lendefs Address:
Signature: _
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aflirm ihet under penalry of perjury ihat I em EXEMP7 FROM 7ME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires e permit to constmct, alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires �he applicant for such permit
to file a signetl stetement thet he or she is licensed pursuent to the provisions of Ihe Contractors License Law (Chapter 9(wmmencing wit� Section 7000) ot Division 3 of the
Business and BmfessionaCode) or that he or s�e is eaempt therefrom end the basis for the alleqed exemption. Any violation of Section 7031.5 by any applicant for e permit
subjects the appll�n�� e'crvil penalry oi not more than five hundred dollers ($S00).):
❑ I, es owner oi tlie`�property,ro;•my employees with wages as ihair sole compensaiion, WILL DO THE WORK, and the sirudure is not intendetl or otteretl for sale (Sec.
7044,--,Business and Professions Code: The Coniractors License Law does not apply to an owner of pmperty who builds or improves ihereon, and who tloes such work
himselfor herselt or through hi5 `or,her own employees, provided �hat such improvemenis are not intendetl or oHered for sele. If, howaver, tha building or improvement is
sold within one year ot completion, ifie ownar-builtler will have Ihe burden of pmving that �e or she tlitl not build or improve for purpose of sale.).
i�•—
❑ I, es owner of ihe propeey; amIEXLLUSIVELY CON7RACTiNG WITH LICENSED CONTRAGTORS to construct ihe project (Sec. 7044, Business and Professions
Code: The crontractors License Lew does not apply to en owner ol property who builds or improves thereon, antl who coniracts for such project with e conirector(s)
license pursuam lo lhe Contractors Licensa Laws.).
❑ I em e:empt under sec. Business and Protessions Code tor this reason:
Signe�ure: Date:
Owner ID verifiad by tlriver's license. � Ves ❑ No DnveYs License No.
Verification of Ownership by (type of document, i.a. - property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFE7Y PEHMRCER7IFICA710N:
Expires:
❑ I hereby cerlity that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthorized by this
permi�, antl that no builtling slrucNre, scaXolding, falsework, or demolition or dismantling thereof, will be more than ihirry-six (3fi) feet high. (Chap. 3.2, Grp 2, Art 2, Sac.
341. Title 8, Califomia Atlministrativa Code).
❑ As owner-builder, I will nat amplay anyone ta tlo work which would require e permit from the Division of Industrial Sateiy, as noted ebove, unless such person hes e
permit to do such work fmm the divisian.
Signature: Date:
Division of Industrial Safety Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORI ON OF ENiAV: I cehity untler penalry ot perjury that I have read this application and state that ihe information given is
wrrect. I egrae lo comply with ell state laws tl ordinances releting to building construction, and authorize representatives of the City of Coste Mesa to en�er upon ihe
ebove-descnbed property for inspec)'Ntrpe�+ es I agrea not to occupy or allow occupancy of eny building euthorized by this permit until tinal inspection.
CODE �, INSPEGTIONTYPE Qd¢ 1�(fJ�$
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
266
Pool Spe Final
Finel Re-Raof
Finel BIocWRetaining Wall
Final Fac�ory Fire Placa
Finel Sign
Final Demolition
COOEt INSPECTIONTYPE
206 Final Mechanical
208
270
272
220
Final Plumbing
Final Elecirical
Final Fire Prevention
Final Planning Approval
222 Final Site
250 Final Building/Occupancy
' Pfl0.1ECT ROUBE58: 2 9 S 4 C EY�LON DR �' .� �
owNensxnMe: MARCHBANK, SYRAINE R
nooaess:2954 CEYLON DR
: ; , COSTA MESA,CA 9�2626
5493512 •
AflCN/ENGINEEB: � : � REO.NO.:
, ►ODflESS: . � . . ,
uxiT:
UNIT:
" PEpMinEE: S'L DAVIS ROOFING CO (719)636-5746
nooeess: . PO 8672
ORANGE CA 92664
� 110ENSED CONTMCTOB UECLAMTION: I hereby aflirm ihat I am licensed unGer pmvisions al Chapter 9(commencinp with Seciion
, 7000) of Division 3 of I�e Business antl Professions Code, antl license is in full forw a cl.
cm� uc.: 0,4 8 613 , sTare uc.:5 0 9 8 4 � cuss: — 3 �
Date: �V l g��� Signature: � Q�ti'
� WONNENS' COMPENSRTION UECUMTION: I hereUy aifirm t�at I have a certificate ol consent to sell-insure or a certificate oi Workers'
c�pensation Insurance, or a certifie0 copy ihereof (Section 3800, Lah. C).
JCY NO.: � EXP. D�TE: , ,
CUMPANY: � '
.❑ CertifieA copy is Aereby furnishetl. ❑ Certifietl copy is fileU with the city Buildinp Division. , '
� Date: � Appliwnt
Fl(EMPfIOX FflOM WORNEfl3' COMPEN511TION OELIAMT10N: (This uctlan nee0 no� Oe comp i perrtei is lOr one hmMred �f100) or iess�.
I tertify �ha� in the DQ�olmanCe o/ �he walk fof whiC� �hi5 Oer is'Ssued, I Shal t em l0y any r50n in any marluCf So a5 to EeCom¢
subiect �o lhe orker ' Compensation LawS ol Calilomi .
. Oate: �Q �� � � � SipnaNre: ' ' ��r—_�'
� NOTICE: If, after makinp tAis Oeclaration, you should 6ecome su6lect ro tAe Workers' ComDensation O�a��sions oi the Labor
CoOe, yrou must forthwith compry wnh such pmvisions or this permit sAall De AeemeO revokeA.
I' CONBTBUCTION LENOING �GENCY: I hereby aflirm that lhere is a consVuction lentling aqency for Ihe pertormanca ot IAe wOrk br
whith Ihis permit is is5ued (Settion 3097, Civ. C�.
IENDEH:
"AOUflE58: '
., , , � .
OWNEB BOIWEB DECIAMiION: I herehy afiirm ihat I am exemD� from [he Coniractors' S[ate License Law for [ha followinp reasan
(Setlion 7031.5 Busine55 an0 Professional COGe: My ciry ot counry whicli repuires a Dermit ro construct, atter, imDmve, tlemolis�, or
repair any simcture, Drior to its issuance, alsa requires ihe aDDlicant for such Dermit to file a signetl sta[ement tha[ he/she is licensed
pursuant to the provisions of the Contractors' State Lic¢nse �aw (Chapter 9(commencinp with Section 7000) of Division 3 of the Business
an0 Pm(essibns CoOe) ar ihat he/she is exempt Iheretrom anA Ihe 6asis for the allepe0 exemp[ion. My violation of Sectian 7031.5 by �
any applicantfor a Dermit subjecis the aDPlicant ta a civil penalry of nol more than frve hundretl Oollars (5500).
I, as owner ol the D�oOeM ar my emplayees wil� wages as their sala com0ensation, will Oo t�a work, and t�a
simctureis notintentle0 orotteretlforsale(Section 70d4, Business an0 ProfessionalCotle: T�e Coniractors' State License Law
� Aaes not aODN�o an owner of a D�oDertY who �uilUs orimproves[hereon, an0 who Ooes such work himseli/herseli orihrouAh
his ar her own em0loyees, proviDeO that such improvements are not intenUeO or oifereA tor sale. It, however ihe huiltlinA or
improvement is so10 within one year oi completion, Ne owner will have the 6ur0en of pmNnA he/she OIA not Uuila or imDmve
.for ihe Durpwe o( sale�. � � � � •
I, as owner ot the property, am exclusively coniractinA with IicenseU coniractars ro consimct tAe project (Section 706C, Business
� and VrNessions CoOe: The Contactors' State License Law Ooes not apPy ro an awner of D�aperry who Uutlas or improves Iherean
an0 wha contracis for such prolects eilh a contractor(5) license Dursuant to the Contractors' State License Law). I am aware�
ihat prooi oi their WOBer's Campens.lion insurance should 6e proviEeE to me. '
� I am exem0� unAer Sectio¢ � B. 8 P. C.
far this reuore �
Oate: � ' Owner.
I tlo hereby cetliry Ihat I am aware of antl untlerstanU tAe reQuirements of Calilomia HeaAh antl Salety CaUe Sections 25505, 25533, anE
25534 and Mat I ar any futura 6uilGing occupant will/will not (circla one) neeA to comD�Y witA saitl state codes antl Ihe reQuirements for a
permit for wnstmction or moCitica[ion iram the Nr �ualiry ManaAement DisMct. Hesidential constmction apDlicatians are exempt imm
these Dravisions. �
Date: � qpplicant
I hereDy cetliry ihat I Aave reaE ihis apD�ication an0 state that ihe ove iniormation is correct. I a comply with all ciry anA counry
ordinances an0 state Ww5 relatinA io buil0inp construction antl her y ulhonze aD�enu' � 1[h' ciry to ter upon IheeCove-mentioned
proDeRY �or'ins ectio Durposes. -
Date:-l�jJ�� �� SipnaWm:�-'��
oriver's �icense or socia� Securiry e: � - '
<6 Whita—Builtlirg; Green—CpCa Enbrcement; Canery—ApplicanC Pink—Ravenue; GOIEenrotl—Assessor �
s
'•�` CITY OF COSTA MESA —,BUILDING�PERMIT
PERMIT NO: B 049395 PLAN CHECK NO: N
PERM NO: H' 049395�
GOVT: N. SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF-6 REROOF W/ COMP _'. SQ FTs 3„665
CLAIM VALUE: 3,665,00 CALC—VALUE; � 3,665,00 GROUP OCC; R-3 /., ,
COMMENTS: T/OFF REROOF W/ COMPO �
� �� x � �**x �*��r+r*x�**�*+r*�r *+��rar+�x �r*x ** � *� *� � **�x-*�r*�ar �r*�**��***�*����** �� ***��r x *���
Z O N I N G R E Q U I R E M E N T S � �
- S E T H A C K S �
------------ MAIN HUILDING ---------- --------- ACCESSORY BU�ILDING_---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: • FT IN
PARKING REQ: � PROV; PARCEL: 13927103 ZNE; REF NO; �
PLANNING NOTES> �
.. , >. -� - - -
ik iE±p it 9E �E iP 3f if �k iE iE jk iE iE iF jE if if 1k 1E ik iElf ik ik dE �t it if ik iE iE iE iE �E iE if iE iF iE 3F if if it iE it it iF 9F dF 1E �E it it dF iF it iE ik �E iF it iE iE �)F 3F * iE'1E �F 1F iF it 1F iE jF 3F iE
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 :
APPLICATION ISSiIED BY• - -
ik it iE 3F 3F ik iE ik iE 1E it �k iE if �F ak jt �t ik iE ik �F
3t iE iE i! i! jk iE iE jE �1! iE jf �f if ik iE if fF 9E �f if ik aE ik if if'Ik jk jE ik ik iE 3F
LEGALI2ATION;N F E E
BLDG PMT PLUMBING ELECTR
PERMIT 63.00 �
PLAN �
ISSUE FEE -
f%
DATE: ., �
1EiEitikik iFiFiEiE�tjEikiEiEiFlFlFitikiEfE*�FifiE7E�lElEiEiFiEiEifiFik161EiEiF*
S U M A R Y � STRUCTURAL SEGMENT:Y
I MECHANIC FZRE SMIP/RES GRADING
.SO
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PI;AN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 63,50' OVER/SHORT; ',00
BLDG PMT PI.UMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63,00 .SO � �
. , s
� ih iF 1E i! it if ff jf if !f if ik if if ik ik k if ik it 1k iF it it it 1k iE ik iE if * if if f! if if iF k iF if ik if if it iF 1f iF iF it!! iE iE iE 9E 1F iE ik ik fk i! i! iE iE ik it if iE it ik it iE iE it iF iE iE �! fE jF
I N D I�V I D U A L`1 F E E H R E A K D O W N
TYPE QTY D E S C R 2 P T Z O N ' UNIT COST ,TOTAL COST
V
SFR 3665 REROOF BY VALUE RESIDENZAL N020NE
END OF FEES
, . .� y; ,
1,00 3,665,00
i
Q1 QDOil.`+95—QtI07159i Tr�Y
DATc� iQ/09/93 TYi1E: Ua:27
0
6.k. `�J
i
. �
- � - � � - � '� PJ L & SPA . . "
CONSTRUCTION AND PLANNIN... . � '
APPROVALS Permit # Date � �Inspector AppROVALS� Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � ,
r2: ;Soil Pipe-Undr,grnd� ' . . � - - 53. Steel Reinforcement �
'-3. Elec[rical COnd'uit Utility-Undrgrnd. ' - 54. Forms . -
��
�4:,Electr.ical Conduit-Undrgrnd. ' � 55. Electrical Bonding
�1 �5'-Steel �Reinforcement ' � • � 56. Rough Plumbing & Pressure Test �
-i n� r.:
� 6.=Electrical UFERuGrnd. � y - � -- 57. APPROVAL TO COVER�GUNITE ��:�
�.'7r�Footings G-� -. . , � 58. ElectricalConduit-Undrgrnd._ -�
.r .. -
" �8. Foundation ':7 . � � 59. ,Gas Pipe, O Undrgrnd., Test �
' %9. Water Pipe-Undrgmd. � - ' 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floor System 67.=APPROVAL TO DECK
71. Rroperty Sewer Line & House Connection � � 62. -Backwash & Receptor-Final � �
�2• Sem'e� 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.Wir.ing , - �. � 67. Fencing & Access'Approval � '
17. Fough Wiring Sign � " . 68. APPROVED FOR PLASTERING
i.
18. floughElectrical-TBarCeiling ` 69.`POOL/SPASYSTEMSFINAL -
19.,,Rough �eat�ng &,Air Conditioning . p . �* .�, _ �., FIRE.DEP,T. REQUIREMENS -
� �•• `�,J r .� <. . '1 f:t "y�5w." �': -F �'� R'
20:�Rough Factory Fiieplace �,;.� �,S . S : =�* y, APPflOVA�LS�-FPermit # ^ ^'
- v- : � . r �- -, -. rr �r: -n �
21 Ducts, in Structuie` � S t' �--x� t 7 � r.:o^� � �
.,� �,. � �� �� �� ,y n�.� ,70. Underground Hydro ,.
. J' _�, �,.., ,. . , ... .-
22r�Ducis, Ventilating , �� , '+� r%71. Product'.Piping O Gas ❑�Oil
23.•Gas�Pipe'Rough&Test � �'i= - �� �" `:" ':��' � ~" '"� " `• �'
.y ,;,.,,. r.,�, r. r; _,fi ^ 72. Undergrou�d Flush y.'
�� 24;Roof Framing �;r � `��� ��r �' ` =^ �-.z � �73:7Undergmd.Storage'.Tank'OGas ❑Oil .
._ �. -
"?�5�Roof Sfieathing "' y ' ' ��%(�- ' �(,U' � * 74''�Overhead Hydrd��„ ;
26`,T-Bar Ceiling (St�uctural) &-Monocoat - _, �� d� •�� 75 �Dry Chemical ?-[j i � � 7
i '
27 �Frame And Flashing ^x -" �� �' r n* ; 76. Dry Standpipe ,� �y � G :! '-�
�,28. Ldthin �& $idin ��" ' �u`��� ;' '� �" .•` y; � "•'� -a r. . .
9 9 Y cia;p; :� �: q: 77 ; FIXED SYSTEMcFINAL* �� [•
29. Insulation � --x � �� " �.,,., �' �� 78,�FIREPREV.FI.NAL .y" ' ''�
.� . : « ._ � , � � .� �. -: ,: ..
�30. Drywall�Nailing '�� ,� • i�� r-, �u :. � HEALTH�DEPT:,�. REQUIREMENT
� =-31. Plaster Biown Coat S r• y^ * � �: ti"79 FINAL INSPECT�ON � F =''
a ^. -,
� '� r, r �...� ' i. _�1 ' � :r x n r;i -(�
C32:.Electrical Po�!er Meter-Final. � � +, x;� SO�FOOD CERTIF�IGATE ISSUED, � r.;
i �,, � � . � . �: - : , .._ -.
r 33:�Final Electrir - � r �° '" �Noies: O� �o�- �� ���,^'
. - , , � ( �� Yo;-' o-�� o �-'
n; - �- -� - "� �� -« ! g� s ^ s � i:.i , . ����.�
,34i_.Firtal Heating,& Air Conditioni�ng� ,� x- ; ; �. >. � �� i i-��; + [*i '�/
� - - -
35:^Fina�l Gas Pipe�Test� � �� �� -1 �;� x � �ic - •-„*
er i- :� e�'
y 36._Hood or CanoPY w =' ' .� -� . x s, � N, .� .s.'. �', � �. '-t[�'
.J I C'� J ' Y J'/" +�1 :Tl C/i
��37.�Fina1 FactorY Fireplace� E��• ��� � ' ��-�� � * .-�
r.'. y; x .1' S
''38. Fina.l Plumbin '� � � * x * " '� x '�
,...9 r � � � �� R c�
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51. CERTIFICATE OF OCCUPANCY ` ' - ' '
No. _ Date ____ -
OK'NER WALKUY COL.W.E.
JOB AnDHFSS 29 Ceylon Drive
GENERAL CONTRACTOR • . Corn
�J �TQ 11J�UL}l�VJ LOT THACT FIRE ZONE DESCRIPTION OF WOAK
INSPECTIONS � DATE I GROUP J TYPE V
SUHCONTRACTOR
OCCUPANCY
Form 210—SM-17-59 SB P
,:
,� ���� s
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO7L 917 COBTA MEBA. CALIFORNIA
For Applieanf fo�Fill In Complefely
TYPE OR PRINT
�K.�ir:i
■ ARCHITEGT
STATE _ `Cy'7 TEL.
LIC. NO. �� NO.
612E S�'r�i ��%3 '� � . I NO. OP BLpO9.
OF LOT Cj �.�� �� 1 NOW ON LOT
r � O
USE OF
EXIBTING BLDG.-
B6TBACK LINE FROM
CeNTER OP eixEET REAR YARD
61DH YARD. I LEFT I RIGHT
DESCRIPTION OF WORK
WALL ROOF
COVERING
qLDIN6 AN� WORK TO BE PERFORMED
FEE RECEIVED
FEB 14 t 0��
` APPLI �TION FE RD��.
�Pr u� �8��a����T
BUILDING
For Office Use Only
RECEIPT NO. PERM�T NO.
BUILDING
ADDRESS
� COSTA MESA. CALIFORNIA
FIRE �.�J' �
ZONE TYPE 1J/ GROUP
APPROVED �
BY OATE
ZONING ����e
ZON NO. OF USE OF NEW
� / I PLAN6 � I BOILOING /�• •
1.'A/
�EGAL f �� / { � 1 �I�\
OEBCRIPTION yI
A. P. NO. / I �'—' l0 �I 0
YAROS EVES
APPROVED ALLOW D
(CHNTEP LIN6 BT.) i� . * I n
R. SIDE �� FT.
L. SIDE �� FT.
REAR ` �� ^FT.
ABYPROVED�n, r / I
JV � �/ �q� DATE ��
`- _ •r.�/
•�
IN.
IN.
I HEIiEBY ACKNOWLEDOE TXAT 1 HAV6 RHAC iHIB MPLIWT�ON THE AMOUNT BHOWN UNOEP VALUATION IB FOP THE
AND eTAT6 THAT TXE ABOVE I6 CORNECT AND AGREE TO COM-
PUIiPOBE OF EBTpBLIBNING A PEFMIT FEE ONLY.
PLY WITH ALL C�IY 01iDINANGE6 AND eTATE LAW9 REOULATING
BUII�ING CONBTRUGTION. VALUATION
SIGNATURE OF n ��� L� PERMIT FEE $��
PERMITTE
$ � P4AN CHECK $ �-
AUTHORIZED AGENT //
TOTAL FEE 7
�
�
;-� :�� ��'��'
..,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
�=EE �EC�I��EI�
FINA�!��NDE�T s� � �
r.irv n, r,ns?:� a�rsn
FOR APPUCANT TO f/LL /N COMPLETECY APPLICATION FOR PERMIT
TYPE OR PRINT - BUILDING
BUILDING Zy54- Ceylon Drive -
ADDRESS t�
� COSTA MESA, CALIFORNIA � �'yq OFFICG USE ONLY
FECEIPT NO. P�qMiT'NO.i
oWNERKenkol Development Co. , Inc. �..1L.�;�; �
MAIL 1555 Placentia RECEIVED BY DATE NE�C1E'IVED jDATE ISSUED
ADDRE55 ���c�-L ypN J � ��
— "'oU
N8W ort Beach TEL. BUIL�ING
CITY p NO. — 22 A�DRE55 �
ARCHITECT ��c. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE �
��e ZONE TVPE GROUP
CONTRACTOR - K� W� K011 LIC. N0.61195 APPROVED ' �
BY DATE
acen a
AooRE55New � t a ZONING
LEGAL LOT y, 3529 Z�HE NO.OF USE OF NEW Li%J� %-�
DESCRIPTION NO. Z-- BLOCK TRACT � IPLANS �I BIIILDING
A.P. NO. BYPROVED /I ./" . lv � DATE I��� I��G
/
SIZE gOiilOO ' I No. oF etoc5. O yqRDS �EVES
OF LOT r+ow oH tor REQUIRED ALLOWED '
USE OF NO�e (CENTER IINE ST.)
EXISTING BLDG. FRONT C� Ff. ' IN.
SETBACK LINE FROM CQ � q Q* _ /
CENTER OF SiAEEi J REAR YARO G�� R.SIDE /� FT. IN.
SIDEYARD ILEFT �O� IRIGHT �O� �� L.SIDE D�, �ry,
DESCRIPTION OF WORK
REAR FT. IN.
NEW I X II ALTERATION I II ADDITION � I
REPAIR I--IIMOVING I IIDEMOLISH I
SZIED'N�VOO SL RO�M50 1� STORIES 1
EXTERIOR WP.j� ROOFAOCII
COVERING a�UCCO ' COVERING '
t1SE OF BUILDING AND WORK TO BE PERFOftMED
Sin le-Fami H
and Attached Garage
1 HEREBY hCKNOWLEOGE THAT I HAVE READ THIS APPLICATION
qHD STATE THAT THE A00VF. IS CO RECT ND AGFEE TO COM� THE AMOUNT BXOWN UNOER VALIlAT10N IS FOR THE
PLY WITH ALL OROINAS E A! STA LAWS REGIILATING �'UNPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CON R TION. VALUATION
-SIGNATURE F PERMIT FEE $ � �r
PERMITTEE A ��5
� /�` PLANCHECK $ /y^
AUTHORIZED AGENT TOTAL FEE $ �� ��