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Home My WebLink About2977 CEYLON DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.g�qLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 29%% CEYLON DR Suite: Vicinity: Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 13923209 Zoning: R1 o,pp�icant: CHARLES VILLA Address: 1923 CHURCH ST COSTA MESA, CA Owner: MCCARDLE, DIANE J TR Address . 2977 CEYLON DR . COSTA MESA, CA Contractor: ,R C I ROOFING COMPANY Address: 1923 CHURCH ST COSTA MESA, CA Zip: 92627 Arch : ` � Address: Zip: Phone: License: Phone: 949-650-1079 Zip: 92627 Phone: Zip: 92626 Phone: 949-650-1079 License: 704392 Eng: Address: Status: ISSUED Applied: OB/21/2006 Issued: 08/21/2006 ISSUED BY: � Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 7 LAYER OF 307f FELT, 4:12 PITCH, 30 YEAR COMPOSITION�SHINGLES, TIMBERLINE AND REPAIR/REPLACE SHEATHING AS NEEDED. 18 SQUARES. . Plan Check: Permit:, $MIP Res: SMIP Com: Other: Inspection: Total $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 FEE SUMMARY PLANNING & ZONING SETBACKS . MAINSTRUCTURE Front 0-0��,:' � Rear -0.0 . � . - ` :� � � , " - - . ACCESSORY, Front;� 0-0 ��,Reac 0-0 � PARKING Existina: , 0 Reauired: 0 Left 0- 0 Lefi 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation " Right 0 �0 RighC: 0- 0 $5,000.00 $s,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period ot 180 days. � ' ` � •'. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlona and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. , FOR INSPECTIONS CALL: (714) 7545626 . 244G48 (8�00) WORKERS'COMPENSATION DECLARATION: ,�. — . I hereby effirm under penalty ot perjury one ot the following declarationsr' •. . .... , � ❑ I have end will maintain e certificate of consent to self-Insure tor workers' compensatlon, as pmvidad tor by section 3700 of Ihe Lebor Coda, tor the peAormance of Ihe $'�w�ork.for which this pertnit is issuetl. ��.L�� .ha�e�antl will maintain workere' compensation i surance, as required by section 3700 of the Labor Code, Por Ihe pertortnance ot Ihe work for which �his pertnit is Issued: � f.Ay�workero�= °mpensati n Insur c carner a d policy number are: �/ 7 !C�:f � �� ::PolicyNumtier:`,.6��`i�[� . . . (This section need no�t b ip�d il the permif is velued ef one hundred dollars ($100) or less.) ❑ I certify ihat in Ihe pedormance of he w c for which this pertnit is' LLm4employ any person in any manner so as to become subject to the workers' compensation w�fLalii?tii tl a a peel ome subject to the workers' compensation provisions oi Section 3700 of the Lebor Cotle, I shall forthwith camp�wi� . ese.provisTions. —7 �/ �icpa�n.ia�'-S�ig ature� '.. _ �_'�. � �" C�� Ul/J WAflNING: RE TO SECURE WORKERS' $AiION IS UNLAWFUL AND SHALL SUBJECT qN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFIOUSAND E(5100,000), IN NDDRI THE COST OF COMPENSATION, DPMAGES AS PiiOVI�ED FOF IN SECTION 31O60F THE IABOR CQOE, IPIrEREST, AND ATTOfiNE1"S FEES. LICENSED CONTRACTOpS DECLARATION: I hereby a�m.�haLl am licensed �under �p ovisions of Chapter 9(commencing wilh Section 7000) oi Division 3 of the Busines�d Prqf�ssi��C,otle, and my license is in full i tca;P�a"'n`d�e,ffect..Lic.:tlw��.: /.Y= '"`!C)�7pL�.Z ��g,—�' L• � Cooi�actof�S"Signature:-� =1n-� �-�'"�� Belc+.�-a� R'71 n �'.�4T�_.^��_ _� �� CONS7RUC710N LENDING AGENCY: ❑ I hereby aXirm Ihat ihere is a construction lentling agency br ihe pertortnance of t�e work For which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby eHirtn thet under penalry of perjury that I em EXEMP7 FROM 7HE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, Oemolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit b tila a signed statement thel he or she Is licensetl pursuem to the provisions of the Contradors License Law (Chapter 9(commencing with Section 7000) oi Divlsion 3 of Ihe Business end Protessions Code) or ihet he or she is exempt therefrom and the basis tor ihe allaged exemption. Any violation of Section 7037.5 by any applicant tor e permit subjects tha appllcant to e civil penalty of not more ihan five hundrad dollars ($500).): ❑ I, as owner ot the properry, or my employees with wages as their sole compensa�ion, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law dces not apply to en owner of property who builds or improves thereon, antl who tices such work himseli or herselt or ihrough his or her own employees, provided ihat such improvements are not intended or oMeretl for sale. It, however, ihe building or improvement is sold within one year of completion, the owner-builder will have Ihe burden of proving ihat he or she did not build or improve tor purpose of sale.). ❑ I, as owner ot ihe properry. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Professions Cotle: The contractors License Law does not apply to en owner ol propeny who builds or impmves thereon, and who comracis for such project with a conirador(s) license pursuant to ihe Contractors Licensa Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verifiad 6y tlnver's license. ❑ Yes ❑ No Orivers License No. Expires: Veniiw�ion of Ownership by (type oi dxumen�, i.e. - property tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMI7 CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more feet in dep�h into which a person is required to tlescena, will be made in connection with work authonzed by this pertnit, antl ihat no builtling sWcture, scattolding, falsework, or demolition or dismamling ihereof, will be more �han thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, TUe 8, Calitornia Adminis�rative Code). ❑ As ownerbuilder, I will not employ anyone to do work which would require a pertnil from t�e Oivision ot Industrial Safety, es noted ebova, unless such person has e permit to tlo such work from the tlivision. Signature: Date: Division of Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTNOqIZATION OF EMAY: I certity under penalty of perjury that I have read ihis application and state that the intormation qiven is correci. I agree �o comply with all state laws antl ciry ordinances releting to builtling conswction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the above-tlescnbe ' tiyn purposes. I agree nol to occupy or allow occupancy of any building authonzed by Ihis permit until finel inspection. 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place. 203 Final Sign 204 Finel Damolition . . . PAIE :'� I�� ' /L� 206 208 210 212 220 222 Final Mechanical Final Plumbing Final Elactrical � Final Fire Prevention Final.Planning Approval Final Site X \ ' _ _, _ , __ , .,,� _ , Applicant to till in a11 soaeas except t �' CITY OF COSTA MESA � r .-.. , ' . ' .. PERMIT No. � CONSTRUCTION PERP,AIT"� , ' � • • �' ' ' '�Af - J��.'.2 /. Project Address� � ' � ' � Applicant's Mailin Address -. ' � �A�M� ' � ' ' Owner'sName'�A✓✓�' �%� C��OGC*�pho��J S:� UL/ . : Addreu�`!7r CEY�i✓� I]Ri✓E- G'�3rA�/I�sS•• y.zvzi Arch/Eng , _ � , � , � License No.� � Address - ' � � Contractor's Name ��'�- �� ;Phone Address'Imailing) - � - . . � City License No. � •- � � ' LICENSED CONTRACTOR DECLARATION I " ` � '. � I hereby affirm that I am Ilcensetl untler provisions of Charter.9 (commencing � with 5¢ctiOn 7000) of Olvislon 3 oi the Bu5ine55 antl PrOfe551on5 COtle, antl ' �y Iicense is in full (orce antl affect. ' ' � • itense Class � � Licensa No. � ; Jdt¢ • Signdture � � ' WORKERS' COMPENSATION DECLARATION • � � 1 1 hereby atfirm tnat I �ave a certlficate�ot consent to�selt-insure or a certiticate � of Workers' Compensation Insurance; �or. a certifietl� copy tnereof (Section. � 3800, Lab. CJ'-- ' • � � , . ! Policy No. . {oTpdnyv � ' BCerHiietl capy is hereby fumishetl: � • r- � - ' ' Certlfietl copy is flletl wlth th¢ <ity Builtling DiviSion. � '� � ' Date AOP��cant � _�' - EXEMGTION FROM WORKERS' COMPENSATION OEGLA0.ATION (Thissection neetl nat be completetl if.the�permlt is for one huntlretl ($300) or' iess). - '- .� . . : � . : . . . . I certity that'in�the performanca of the work for wnich this perm�t is isSueC 1. + shall not-employ any person in any manner'so as to become subject to t{�e Worke1s' mpen5ati n l.aws of Cali ni � /�y� C . oate L'��:�3tri9y�signatu.e�� / �/A� NOTICE: It„atter makin this declaration, you�dhoultl �become subject�to the Workers' Compensation provislons ot the Labor Cotle, you must torthwith compry with such provislons or 'this permit shall be tleemetl revoketl.� CONSTRUCTION LENDING AGENCV � ' I hereby attirm that thera is a construction lentling agency for [he performance of Ihe wOrk tOr whlch-thi5 permit is'issuetl (SeGtion 309] Civ. C.) Lentler'z Name Lender's Atltlress OWNER BUILDER DECLARATION ' :.I herabv affirm that I am axamot from the Contractor's License Law tor the 1 -]03L5 by any applicant for a permit" subjects tne ,applicant to a civil �enalty of not more than tive huntlretl tlollars ($500). '. LJ I, as owner ot the property'or�my employees with wages as their sole compensation will tlo the work, antl the structure is not Intentletl or offeretl for sale ($ec�lon 7044, Buziness antl Protessional Cotle: The� Contractor'S Licenu law tloes not apply to an owner oi a property wno bulltls or Improves t�ereon, antl wno tloes such work himself/herself or through his or her own eTplOyees, provltletl tha[ sUth•Improvements are not intentletl or otf¢retl for zale. If, however, the bulltling or improvement is soltl within one year'of com- platlon, the ownar wlll have the burtlen oi proving he/she altl not builtl or im- rove for the purpose ot sale). I, a5 owner of the pioperty, am excluslvely contracting wltn IicenSetl con- actorst'o con5truct tha projett (Saction 7044, Business antl.Profe55ions Cotle: he Contractor•s �icense Law does not apply to an owner of property who bulltls or Improves thereon, antl who contract5 for su<h profetts with a con- tractor(s) li<ense pursuant to the Contractor's Licens¢ Lawl: � ❑ 1 am exempt untler Sactlon B. & P. C. for chis reason narw �2� n;., D ./A(� Drlvers' License a CMF 0865-46 rev. have a Whita - Bulltling; Canary - Appllcant; abova CorOer �J�( ' ;NEW^ A�[ �s antl sl9n all ap0�opriate tleclarations. 3 / : BLD . , : . ALTERAT,ION^ �REPAIR Dg SCRIPTION.OF WORK ��N ' �� • C . Ee��$. > A./.. . " N — �. N /.�j7: -�jAlc TYPE OF PERMI7� ADING � FOUNDATION IJ STRUGTURAL . �O TENANT ELECTRIC}iL PLUMBING' �'MECHANICAC - . ❑'�OTHER • - � �� ' :�� PROJECT DESCRIPTION SQ.FT. � � OCCUP.AN � � - CONST.RUCTIONTVPE � VA�VATION$- ZONE GRADINGCU.VDS. • � ACRES Remarks: . , �'(" ��/� -� p . ' ' Sink' iflow Preventer ' kflow Irrigation ' rtubs ifiers i iwa5her • _. Drinking Fountai Ploor Dreins FloorSinks �- Gas Service• Interceptors Kitchen Sink Lavatories P-Trap • Raot Drains Reinspection Fae - PLUMBING a; . � FI �� / Showers ' � - Service Sink '� "�� : :,,- � � $ewef.�i)8p � �.1 Sewef,Connection � G � .� Solar�Collectors", ^ � � Solar Pipin9 ' SolarvTank - . Swimming Pool'w/Spa - - �-Urinal� ' � � � - -- � � Water Closet . . � Water Service $25 Duct-UnderGround ' Duct-Struttural Duct - Ventilating _ Exhaus2 System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting �6100,000 BTU �100,OOOBT i � Reinspaction Fee� I � $25 �.nrotl - Aste55or Issue Fee : Hood or Type I � ❑ ' � -Ganopy Type I I ❑ ' � Refrigeration System '� ❑0.100,000 BTU ❑100,000 BT Sys[em Repair/Alteration ' $ 3 FEES t ' . Issue Fee $ 3 n.r. #./ 3 - _ �S Main Building: � E- . � . . T, Froni -'� � - ARear � � C: Right . � - , SLeft�,�,5� Ping. Ref. #. . ' Parking Req./Provided � Uie of Building: � nC Planning Notes; (i,�j'�✓� � ...n Automatic Washer , Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Ga� Fan ' F.A.U..," Fix[ures � Device Boxes Outlets ��; i - . . 6939 3/22/84 , �. � . ; � — Q y� � Zone.�/ � .-S r . � �- Accessorv Buildina: • � ' �. Park.Fees $, '.'s a.ra �i .c _ n v..l I . ELECTRICAL ❑ 15-50 KW � 50+KW .�� :� :; 138:98' � O � N � N G R E �� U � '.` p � ,. ',E ; ,;r i M ' V N Q �� 11 �� '� FEES . : Meter LJup ro 100amps Meter ❑overi00amps IElectric Sub Panel � . - ' Motors�0-iHP�i'/:=8 Inc.Solar 09-15 HP �16-15+ � � '� Microwave Pole Light � Range Garbage Dispoul Generator �65 KW �5-15 KW Fee PUBLIC SERVICES RI Zoning APProved BY- Building Approved By Standing Sections Trash Compactor $25 � �ssue Fee $ 3 0 ' •� � SU RY FFEES ' � � � .BUILDING PERMIT .$ SMIP $ D.S6 PLAN CHECK $ PEFiM1T l, PLUMBING � $ . 00� ISSUANCE $ PI:AN CHECK 25% $ �� ENERGV P.C. $ � ELECTRICAL �$ �• 00 GRAOING $ . PLAN CHECK 50% $ a MICROFIL•M �$ �� 'Q p� . MECHANICAL � :$ _ , TOTALFEE �$ �j "• /� PLAN_CHECK 25% $ � ' ' � , , .. ;:CONSTRUCTION AND-PLANN111i.,. - • ... • dL•& SPA , . _ . ...,; . , - Date Inspector ' . � Date �� Inspec4oir ' APP.ROVALS , Permit # . � APPROVALS �Permit # _ _ 1. Temporary��Electrical Service or Pole : -52. Pool &�Equipment Location , - -:. , - ' %' - : 2. Soil Fipe-Undrgrnd: - ' . �/p��( (�ip� 53. Steel Reinforcement � . ' ' ' ' � , ' ' � t � 3` Electrical Conduit Utility-Undrgrnd. .. , .�..,,, , :5,4: Forms _ . - � ` � " � ' M1�! � •� . ; 4: Electrical Conduit-Undrgrnd; _ _ . � " 55. Electrical,Bonding • - ' ' -� 1, r 5. Steel Reinfo�cemenf� � , � �� }'� .56. Rough Plumbing & Pressure Test - _ �- , � �1�� - �;; r6. �Electrical UFER Grnd. _ ' , ' ( St( � 57. APPROVALTO COVER-GUNITE � �" �� i �7. Footings,.:;� ' �-, . i� �� -� 58. Electrical Conduit-Undrgmd. - ' �-� �i: ''8. Founc�ation � i q $ . 59. Gas Pipe, O Undrgmd:, Test � `, . - � . �. :� : - 9. Water� Pipe-Undrgrnd. � � L(!/ �71f � 60. Backwash Lines, P-Trap, � Undigrnd. �� ;, J 10. Structural Floor System ,. , �, ��f- ,� Yy.y 61. APPROVAL TO DECK - . � _ � • } , - 77. Property Sewer Line & House Connection y/ �K ��,'' 62. Backwash & ReceptorFinal . '- 12. Sewer Cap � , � � � 63. Heater & Vent-Final - � ` � , i. , 13. Roof Drains , �_ _ � 64. Plumbing System - Final - � ' �� y ., ,� 14. Rough Plumbing ' � - c�J�(3a� (.a 65. Electrical-Final � � - •' � ' �� " ' � � , . 15. �Rough Electrical-Conduit -, , � ' � 66.; Solar Sysfem-Final � � --'"� 7'� �'- i 7- j ; J � I :��16:� Rough Elect�ic Wiring . - � " ` � `�;. 67. Fencin & Access A � " - � � , , - --!' " � �/ {¢ g pproval . �,� � 17. Rough Wiring�Sign;: � � , ' • . 68.� APPROVED FOR PLASTERING ' � i ' ' � ' • �. 18.� Rough'-Electrical-T Bar Ceiling � � 69.� POOUSPA SYSTEMS FINAL � �� t� I. 19.`�Rough Heating & Air �Conditioning . /L7�8� �O FIRE DEPT. REQUIREMENT - � -� � 20:'�Rough Factory, Fireplace ' • � , � ' APpROVALS Permit # � � , � 21. G.ucts, in Structure,. � : � � ; 70.� Underground Hydro • ' ' , � � � � � � 1�'22i Ducts;-Yentilating i . ' � , 71. Product Piping O Gas ❑ Oil � � � � � ; � � ,-'23. �.;as Pipe'Rough & Test � , �'� ' - 72:�.Underground Flush ' , � i � � '24. Robf� Framing ' ' ' ' `' T ' � . . , 73. Undergrnd. Storage Tank �O Gad `� Oil ; � ' i , ' { ' 25: Roo�f1�Sheathing � , , �r � 9 �,7�4. Overhead Hydro . - � � � � � _... , . . . � . ' ' � � : 2G. T-Bar'Ceiling (Structural) &•Nlonocoat � � ,.' 75. Dry Chemical � � �- � � �27. Frame znd Flashing • � �. 27.8 - ` 76. Dry Standpipe , � . - ' - � � ' � � � 28. �Lathing &'Siding � - • , � l-�w � / � •77.� FIXED SYSTEM FINAL ; ' � � � i , 29. _�Insulation *�4��'� • � , .�Z%• Gv�,` 78. FIRE PREV. FINAL � . � � � i ��30. Drywa(I Nailing , � � ' : �Z �$ HEALTH DEPT. REQUIREMENT � ' i ' I 31. Plaster�Brown Coat�, `„ � 79. FINAL INSPECTION � ! . . ..-.. r , r 32. Electrical`Power Meter-Final �-•�`:i ''�' 80:' FOOD CERTIFiCATE ISSUED � a , •,;33.FinalEleGtric � � F _ 9�/.Q'7 Qjf �Notes: t,�0,� � �,�, � � - / sut,.E �s o��_ 34. .Final.Heating &`Air Conditioning- �, "" � � � � � _ � � �.,U_ 4.�;','.8 �R- v :v: �=c -� �. `� 35. FinalrGas�Pipe,Test �.•' � r � _ - . `7�rL7�,i�� LFiO � � _: �7�.� ' � '�.�1..; .j�,.:: - �lJ �' _ _ ' t_ i'i.. � 36. Hood'or�CanoPY� .�j . ' � -' - . � , Y.,.. , .� " _ . . o � 'Ll.6-!R : osu.. 'ps�¢ '. . 37. Final Factory Fireplace�� _ , � - ' .- m ". 38. Final P,lumbing ; . � � " �Z(��'�j L&� . . - , - . '` , . 39. Water,-Service=Final _ � . , � . • . , . .. 40. Gas Service-Final _ � . � � ' � ' - ' ` � 41. Solar,DomesticFinal � � � . _ _ . . _ . - - , • ,. . ' ' i � ' � i:: 42. Backflow Preventer � � ' . . � I ' ' ' �; ; 43. Backflow�lrrigation � � . ' . ' ' . � ,`� . �, , ,� .. �. . � . i� � 44. �Landscape Irrigation System �. � , � „ , ' � I . ' � � , . - ' . � � � � � � , 45. Sourid Attenuation' �, � , � ' � , _ � � � � ' � � , ;C h. 46. Handicap Regulations . � � � � ' ' , � . � � 47. FINALSTRUCTURE&BUILDING t/`81 �� , � ; . ' 48. Special Requiremenis Compleied� � , ' ' , � � ' ' �? � 49. Electric Release fo Edison , { , i �-" ` ' - - � � '��'� ' � i 50. Gas Release to Southern Califomia Gas Co '�. , • 51. CERTIFICATEOF OCEUPANCY • ' -- �- ,-r- ' , , No. 1�.�..�'; _ '_:_Date' � . _ ' . , . - -- - - .. . � � _� - . OWNER ODEGARD, PETER JOB ADDRESS 2q77 Cevlon I�rive GENERAL CONTRACTOR Marina Buildere APNo. 139-232-09 LOT 137 TRACT INSPECTIONS Si naru SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE ❑ HOl15E CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO Q .P,OWER ❑ /'� ROUGH WIRING TRENCHES FOFMS � SiEEL REINF. i� FLOOR SVSTEM �' BON� BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING �r LATHING - IN OUT� PLASTER, BROWN COAT � STRUCTURAL, FINAL HEqTING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL ANO GAS TEST ELECTRIC. FINAL DATE BUILDING PERMIT N0. SUBCONTRACTOR Z . dU z za � am J7 J N aw m J J m Q U N Z a W � aw wZ J Q m Z J � W w � z� w� � Q 29732 COSTA MESA BUILDING-SAFETY DEPARTMENT PAID P.O.BOX1200 WSTAMESA,CALIFORNIA92626 � FEB'I3-6��MS�QQ z$d# kie*� APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely ADOFESS /. �_ RECEyd$D�8 DP�E RF��IVEO DAJ�'IS$J1iD� BUILDING f�' � o� �-w �r� �� p OWNER ��C.0 O � A.P. NO.. �� _ P ��%.±'. MAIL AD'DRESS�J,q�� (.,E O � • A�DRESS � � )e TEL TFACT � LOT 3 BLOCK ci rv � a p Mc i A No. CONSTFUC710N W AD A P LENDER L BRANCH O O• OWNER �Trr • O� 12D ADDRESS� �g +- � e� �/J�� 2 ` ae APCHITECT TEL S -7`^"� �ALU$ / �J� OR ENGINEER U _^ N . �5�4 ( A�,t� ZONE � TVPE ✓ GROUP ADORESS �ZZ C:I �J _ �] . APPROVED �� DATE2= 3-G CONTRACTOR (L� J{ J., ��P12 BV ADDRESS � G.QK � TEL. ZON NO.OF USEOFNEW I'�'1'�J cirv L° OS 1 A -y NO. , � — PLANS sui�owc STATE � CITV �'AflDSAPPROVED VAqDSAPPROVED LIQ NO. I 3 LIQ NO. MAIN BUILDING ACCESSOfiV BUIIDING SIZE NO.OF BLDGS. (FROM C/L STR�ET) � OF LOT-'S�/� NOW ON LOT FROM ?T FT. USE OF EXISTINGBLDG. �U A S E FT. FT. S12E OF ^ �, NO. OF � NEWBLDG.�(�X,Z4 ' ROOMS ', STOIiIES � L.SID FT. FT. EXTERIOR WALL ROOF COVERING COVERING OC L FEAR' FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & MAIN BlOGS. ACCE55, BLDGS. ' VAR.# DATE � t A�\�v C.U.P.# APPROVED � ' APPROVED � p J I hereby acknowletlge that I have reatl this application antl state that the above information is correc[ and a0�ee m comply wiih all laws regulaNng builtling consvuction, antl I shall not employ any person in violation of the workman's compensation laws of the State of Celifornia. �� I hereby rertify that I am properly licensed as a contrecmr under SQ. FT. the Stare ot Calitornia Business antl Professions Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR Chapter 9, antl 2hat such licenses are In full torce a effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: am exempt trom the provisions ot the State of Calif rnia B Iness VALUATION �(' and Professions Cod , ' n 3, Chapter 9. Vp PERMIT FEE 3 p° � U � Signatura ot ? Permittee $ 3 � .`i � PLqN CHECK $ �.% ' Ui� Authorized Agent / TOTAL FEE $ �� 39.00 -' , 1' �.�A��i /1 _ COSTA'MESA BUILDING-SAFETY DEPARTMENT 'P.O.80X 317 COSTA MESA. CALIFORNIA fOR APPUCANT TO F/Ll /N COMPLETELY TYPE'OR PRINT ADDRE55 2977 Ceylon Drive � COSTA MESA. CALIFORNIA OWNER t�eu roi UeV610 menL (:O MAIL 1555 Placentia AOOftE55 � CITY NeW ort Beach TNO. V- ARGHITEGT LIC. OR ENGINEER -' NO. ADDRE55 K�W� K011 � STATE L LOT i cwaeca NO.OF BLOO6. NOW ON LOT SET9PCK LINE FROM � cENiER OF STREET 0 REAR YARD Z� SIDE VARD I LEFT S t I RIGHT S t � DESCRIPTION OF WORK-. � NEW �SZIEDING 1SOO Sf ROOMS ( STORIES 1 'EXTERIORWA� ^^^ IROOFWOOCI Sh1II�I.eS and Attached Crarage 0'2 � .�3 1 HEREBY ACKNOWLE�GE THAT 1 HqVE READ TH�S APPL�CqTION RND STTTE THRT THE ABOVE IS CORRECT /NO pGREE TO COM� PLY WITH ALL CI DINANCE NO STATE L�W$ REGULATING BUILDING CONS UCT N. P C � AUTHORIZED AGENT � � �� R�C�i�JFD L�LL% -7-3-�0 fINAPvCE DEPT. CITY OF COSiA�J'v��, APPLICATION FOR P I BUILDING fo,e oFficF usF oacy _ FIRE ZONE ZON� APPROVED BY YARDS REQUIRED (CENTER LIN D�T pECE1VED DATE ISSUEO �—/—L� FFR 3 -i� COSTA MESA, CALIFORNIA TYPE GROUP ZONING NO. OF USE OF NEW pLpNS -BUILDINGy�' 1 / /J / /II. /l , fY / DATE / S n� THE AMOUNT BHOWN UNOER vALURTION IS FOR THE PURPOSE OF E4TABLISHING A PENMIT FEE ONLY. VALly4T10N ^�— PERMIT FEE $ � � I� � �5 � Pf.AN CHECK $ �/ �� ' � J TOTAL FEE $ � 1�"�