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Home My WebLink About3030 CLUB HOUSE RD - Building PermitsJob Address: 3030 CLUB HOUSE RD Suite No Vicinity: Parcel Nunmber: 13951527 Applicant: PARSONS, CLINT Address: 17390 MT CLIFFWOOD Status: ISSUED Applied: OB/11/2005 Issued: 08/11/2005 ISSUED BY: ��_ Phone:...714-241-1414 FOUTAIN VALLEY, CA y' x'� ��,Zip 92Z08�§ °� � :- .✓�c.s.. .. .. _: �r- ,P . . �_�''_ ., S ', y�{ � u f Owner: RATCLIFFE;,HERBERT C �• �� - � "_ �, Addres5 3030CLUBHOUSERD �' � __' �� ._ g� .zy �� qea�g, � „ ;� ,F.�� Y Plione a� � � 4 . °�5 �s `" :� ze:,. �- � COSTAMESA,CA� . •��"�`��Zip: 92626 . � � , ` �� a > ;`�_•� _ r .�� ` �;'-, u�'. .: � � ,' ��, v�ns � ' : • �`�s "�'d�. Contractorg COAST ROOTER PLUMBING HTG & A/C y��, �;. * Address' � 17390MTCLIFFWOOD �.�y�_:- �:. � �-, ��. ;� , .� Phone: (714) 241-1414 - -a "� FOUNTAIN VALLEY �� Zip � 92708 q �': �.? P, � � r� License 529127 i�°''�_ zr�� a�; '�I� s a,,, r' '. ;. .� , `t 1#� _ , „� . �� , . �``��'�`�sv_ x.� , �sa�'� - v;;'� . .� Y _a�i_°'L . . 4 .. W/ �?t Kr;i �, $ ISSUE FEE=. ��'��'� Backflow irrigahon p Backflow Preventer � � Bathtuti' Clarifer System ' Connecf'Qce,Soda etc) �� Dental Units ��;,. ,.� Dishwasher� Draiq Floork� � Drain Rainwater '_� Drain Roof �,s��:, Dnnking Fountain ' Expansion Tank :,� Gas Earthquake Valve � Gas (1-4 outlels) . �;o Gas (Over 4 outlets) �' Gas Repipe Gas Service " ``� Interceptors (Grease, Oil)�� Interceptors (Sand Auto ) SCOPE OF PERMIT fER CHANGE OUT (SAME LOCATION) FOR SFD. ;�,. ,,:<FEE ao � QTY .¢. � ...,,a � — , � �.:�Laundry Tub / W P-Trap��"_ . , "..�. P�essore 0 ' Septic Tank Oz "" Sewer Cap for Demo 0' ': Sewer Connect 0 -'; Sewer Private Line ., 0 -• Shower . w 0 k;; Sink bar �„� �� ,� 0 _-, Sink,commeraal �•��,�= � 0 ;.. �Sink;'�se � ��.� aF�;_::SPa (P��' 'Y;6 � t�:� ' 3P? (Pul -.i0 F'�... '� x r " � .`„mz.. F � ',. �rtr . � � � AMT ?�QTY�� 5$000,,..0 ... .. $0.00 a0 % $0,00,_.✓'--0 "�� $0.00� � .-_. 0 ? ;�'.r,:.,:__: ��$0.00 ` 0'# �'� *� .$0.00:' 0 ;'?�: $0.00 0 $0.00 % 0 $0.00 0 $0.00 0 rt-^$0.00 . 0 :�a `�'�� RE Ba5in5et and Vent Syslem'` Closet (Toilet): =, �` Healer / venl ' -..� � Piping (Inst or Rep.)� Re-pipe �. ' - Service � � r , TED FEES: .<. ' , $0.00 ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRA710N: 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 ihe work authorized under this permit to be considerad legal, such work must comply with all applicable codes, and all requlred inepeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 cwa�aa �aw� WORKERS' COMPENSATION DECLARATION: � I �ereby eRlrm undar penalry a� pehury ona of the fallowing tlecleratians: -' . ❑ I heve and will malnta�� e certlficete of consent to sel(-Insure for workers' campensation, es Drovided far Cy section 3700 of ihe Labor Code, for the pertormance of ihe orkJor which �his pe�it is issued. sfAeve and will malntein workers' compensation insurance, as required by section 3700 of the Lebor Code, for Ne pertortnance ot Ne work for which Ihis permit is issuetl. My wo rs' co pensatlon In rence Mer entl policyyy mber ere: / n Certler."" � --��--,.-.,,,: 1��%l� �.- l�.Y KF S (a'.1�,l� Poticy.Number�?� O '(/his sectlon nee nof be c�p�et d i! the pertn/f �s velued af one hundred tlollere ($100) or less.) ^- � ❑ 1 certity that in tha perfo�aace o1 the work tor which this permit is issued, I shall not employ any person ia aay manner so as b becoma subjecl b ihe workers' compensatlon lews of Califomla, and gree that If I shoultl becrome subject ro the workers' compensetlon provlsions of Sectlon 3700 of Ihe Lebar Cotle, I shell forthwith cromply with ihese prohsions. r APP,�„ea_tS�Bnet� � �°i�f%f� Date: � ��%'7 WARNINO: FAILURE TO S UPE WORKERS' CqAPENSATION COVEMGE IS UNUWFUL AND SHALL SU&IECT Ml EMPLOYER TO CRIMINAI PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TIqUSAND DOLIARE (E100,OW�. IN ADOITION TO THE COST OF COMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 31080F THE LABOF CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTOqS DECLARATION: I hereby aHirm ihat I em IIc9�ef.uji�gr p�vj5ipns of Chepter 9 of Divlsion 3 of Ihe Busine s and� rofessions Cotle, end my licensa Is In full > �aassa>i'$3/o. oate: �`/� i9�S CONSTFiUCT10N LENDING AGENCY: � ❑ I hereby aNirm that there is e construction lending agency for the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lendefs Address: SlgneNre: Date: OWNER-BUILDER DECLAAATONS: I hereby aHirm Ihet under panelry of perjury Ihat I em EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Busineu end Professlons CoCe: Any city or counry wnich requires e pertnit to construct, elter. Improve, demolish, or re0air any structure, pnor to its issuance, elso requires ihe applicant for such permit to flle e signetl statement ihat he or she Is Ilcensed pursuant to ihe provisions at ihe Coniractors License Lew (Chepter 9(commencing with Section 7000) ot Dlvislon 3 of ihe Business end Professions Gode) or that he or she is exempt therefrom end ihe basis for tha elleged exemption. Any violetion af Saqion 7031.5 by any applicant for e permit sub�ects the epplicant to e Givil penalry oi not more then fiva hundred dallars ($500).): ❑ I, as owner of �he properry, or my employees with wages as their sole compensatlon, WILL DO THE WORK, antl Ihe siructure Is not Intended or otterad for sale (Sac. 7044, Business entl P�ofessions Code: The Contractors License Law tices not apply to an owner of properiy who builds or improves Iheraon, and who does such work himseN or hersel} or Inrough his o� her own employaes, provitled ihat such improvemenis are not intentletl or otFered for sale. If, however, t�e building or improvement is soltl wit�in one year o� �mpletion, the owner-builder will heve �he burden of proving that he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The conlractor4 Llcense Lew does not epply to an owner ol proparty who �uiltls or Improves thereon, and who contracis br such projec� wlth a conireIXor(s) license pursuent to the Coniractors License Lews.). ❑ I am exempt under sac. Business end Professions Code for this reason: Signature: �ate: Owner ID verifietl by tlnverS license. ❑ Ves ❑ No Driver's License No. Vedfcation of Ownership by (rypa af tlocument, i.e. = property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION: Expires: ❑ I hereby certity ihat no excavation tive (5) or more feet in depih into which a person Is raquired to descend, will be made in connection wilh work authorize0 by Ihis parmit, antl ihet no builtling structnre, scaflWding, talsewodc, or demoVition or dismantFng ihereot, wilf be mora than thirty-six (38) faet high (Chep. 32, Gry 2, Ar12, Sec. 341, Ttle B, Califarnia Administrative Code). ❑ As owner-bulltler, I wlll not employ enyone to do work which woultl require e permit irom the Division ot Industriel Safery, es notetl above, unless such person �es e pertnit to do such work <<om �he division. Signature: Date: Division of Industrial Safery Permit Numbar: CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRY: I certify under penalty oF peryury thel I have read this epplication and state lhat ihe information given is correct I egree ro comply With all state laws end city ordinances relating to building conslruction, end euthonza representalives oi the Ciry of Costa Mesa to enter upon Ihe ebove-descnbetl propeAy fo� inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this Dermit until tinal inspection. COOE 1. INSGECTIONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 Finel Black/Reteining Well 202 Final Factory Fire Place I203 Final Sign 20a Final Demolition . 2Ag INIIIlAL3 CODE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbinq 210 Final Elecirical 212 Final Fire Preventlan 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupency Q� �� e.- I � � PflO.��CTA0DHE55: 3030 CLUH HOUSE RD �,oa�+en�swnME: RATCLIFFE, HERHERT C noosess: 3030 CLUBHOUSE RD COSTA MESA,CA 92626 �� FflCHIENGINEEB: p00flESS: xec.xo.: uxiT: UNIT: PE"mmEE` pETERSON ROOFING ( 719 ) 979-7111 aoosess: 3005 ENTERPRISE �:�,�. r��. Mic�;n i�,n �?n`!r LICENSEO CONTflRCTOROECiA9k}JONi+i�pe� a�hrm Iha� I am IicenSeA unUery�oyi5ioyi5,plfLtjjp(gr 9(commencing with Sect�on 7000� o� �rvision 3 0� I�e Business antl Pmfessions Cotle. and my license is in full lorce antl effect. CITY LIC.: Q 4 � q 5 STqTE UC.: ( O% H% �" — �a�e'. �— � � �� Signa�ure: .� f � WOflNENS' COMPENSATION OECLAHATION: I �ereby alli that I have a cetlificate of conseni to seli-insure or a certifica�e ot Workers' Compensa�ion Insurance, or a cerohetl copy �hereoi (Sec�ion 3800. Lab. C). eoucrxo.: NC3501565 E%P.OPTE: O3/?O/9S comraNv: REPUBLIC � Cenitied copy is hereby fumishea. � Ce�itietl capy is �iled with Ihe ciry Building �ivision. �ale'. � �� C/ NpplicanL �_�2� E%EMPTIONFflOMWOflIlEBS'COMPENSpT10N0EClAflRT10N: Qisseqionnee0nolbecom0le�etlillhepermi�isfaronehu�re0(5100�arless). I cetlily Ihat in Ihe pedormance ol lhe work �or w�ich Ihis permit is issued, I shall not employ any person in any manner so as to become subleci �o Ihe WorkerY Campensation Laws of California. Oate: Signature: NOTICE If, atter making �his tleclara�ion. you should �ecome sublec� ta �he Workers' Compensation pmvisions of �he La6or Cotle. you musl fotl�wrth compty with such pmvisons or ��is Dermi� s�all be Oeemetl revoketl. �, WNSTBUCTION LENOING pGENCY: I hereby aifirm thai Ihere is a constmclion lending aAency br �he perlormance of t�e work lor � whlch �hls oermli Is Issuetl �Semlon 3097, Clv. C). LEN�EB: I ADOflE55: OWNEfl BUILDEfl OELNNATION: I hereby a�hrm �Aat I am exempt Imm Ihe ContracloK Sla�e License Law lor Ihe �ollowing reason (Sec�ion 7�31.5 Business antl Pmlessional Code'. Any ciiy of county which requires a permii Io cons�mct, alter, improve, tlemolish, ar repair any slmc�ure. prior to i�s issuance, also requires the applicant for such permit �o file a signetl statemen� I�at he/she is Iicen5e0 pursuam m IAe pmvisions oi the Comracmrs' Slaie License Law �C�apter 9 �commencing with Sec�ion 7000) ol Division 3 0l lhe Business antl Prolessians Code) or Iha� helshe is exempt therefmm and �he basis for I�e allegetl exemp�ian. Any violation oi Sec�ion 7031.5 by any aODlicant lor a Oermit sublec�s Ihe applicant Io a civil penalry ol not more �han live huntlred dallars ($500�. I, as owner o� Ihe propetly or my employees with wages as t�eu sole compensa�ion, will do �he work, antl ��e ❑ slmctureis nolintentletl orat�ered�orsale (Sec�ion 7044, Business antl ProtessianalCode: The Con�rac�ors' S�a�e License Law aoes no� apply lo an owner o� a pmperty who builds or improves thereon, antl w�o tloes such work himselt/hersel� or Urough his or her own emplayees, providetl �hat sucA impmvemems are noi imentletl or oflerea �or sale. If, however Ihe buildinp or impmuement is soltl wi��in one year o� completion, t�e owner will have �he �urtlen al pmving he/she ditl no� hui10 o� improve �ar �he purpase o� sale�. I, as owner of �he propehy, am eKCNsivety contracting wiih licensetl conlraciors lo con5imcl �he Orojecl (Sec�ion 7044, Business ❑ and Pmlessions CoOe: The Contracrors' State License Law tloes not apply m an owner of DmDerty who bui105 or improves �Aereon and who ConVaCis lOr SutA pmjec�s with a tontrattor(5�licen5¢ pUrSUan� Ia ��e Conlraciors' Slaie LicenSe Law�. I am aware Iha� pmol ot Iheir Worker'S COmpenSation insurante Should be provitletl lo me. � I am exemp� unaer Sec�ion: B. 8 P. C. lor ihis reason: �ate: Owner I tlo �ereby cenily Iha� 1 am aware oi and unders�and Ihe requiremenls o� Calilomia Heal�� an0 $alery Cotle Sec�ions 25505, 25533, an0 25534 and Ihal I or any fuNre building occupani willlwill not (circle one) neee lo comply wiN said Sla�e codes and Ihe requiremenls lor a permil lar cons�mclion or moeilicalion Imm Ihe Fir Oualiry Managemen� Dis�ricl. Resitlential con5�mciion applicalions are exempt imm Ihese pmvisions. �ate'. Applicanl'. I hereby cer�ity Ihal I have reatl �hls appllcation anA s�a�e Ihal Ihe above in�orma�ion is correcL I agree �o comply wilh all cily antl counry ortlinances antl state laws relalinq lo buAding conslmciion antl herehy aNhorize representatives oi �his ary to en�er upan �he abave-meniionetl pm0erl�y ✓lor inspetti0/n JOu/rp/Oses. OateJ ��' 7 7 Slgnature:� 1641-46 Wbiie—Bvtlding; Green—Cotle Eniorcement; Canary—Appl¢anC ink—Revenue; Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067093 PERMIT NO: B 067093 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; V—S PERMZT TYPE; STR PURPOSE: OTH JOB DESCRIPTION : AEMOVE BUR & REPLACE W/HUR SQ FT: 1,786 CLAIM VALUE: 1,786.00 CALC—VALUE: 1,7$6.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC ri��ii� `�n�� `�;�ae�.�` W�*x�i��:�-��k�*��#�;r;�k'`�##x�ei�%k��-k#+��X��:�fi:�4��k*i��*�x;.?�:.�-�?��.n��x�+.�a�:�uu� � Z O N I N G R E Q tl I R E M E N T S S E T B A C K S ------------ MAIN BUSLDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: r^T IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGiIT; FT IN PARKING REQ: PROV; PARCEL; 13951527 ZNE: REF NO: PLANNING NOTES> ��, 7 �E �f fE iE if iE iE if iF iE 9F jf if if iF 1E iF if !E iE iE 1! 1E iE if ff fE iE if iE iE iflf iR �E iE if fE iE fE iE ff �f if �f 1F 1E 1E jE iE aE iE iE 1E ff iF fE if ik iE if 1E 1F 3E jE iE K iE�iF aE %if iE �lE jE iF ff if iE D E V E L O P M E N T S E R V I C E S R E Q 0 I R E M E N�T S Y ZONING APPROVED BY DATE: � BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: DATE: x*+�****�*+r**x*�r*��r*�� x�r**��*�*�r\., � � ** iF �E i4 if iE if !h if if 1E iE iF iF if iF iE iE iF iE iE iE iE af if 1E 1E �k iE 1E iE iElE iE jF ik if if 1f if iE k if if iE iE iE if iE if fE iF fE �E 1E iE iE it if if iE fE iE iF iE iE iE if 3E iE iE iE fE if iE iE 1f it iG �E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 91.00 ,50 SMIP/NON—RES PLAN ISSUE FEE -- BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DIIE TOTALS----> 41,50 0.00 0.00 41.50 41.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 41.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 41.00 ,50 iF iF iE iF iE iF jE iE 1f if !E 9F jE iElE dE fE IE If iE %iE iE if if iE iE ak If if iE iF iF iE iE iE if iE if iElE iE af iF 1f 9E if iF iE if if iE iE iF iF 1f fE 9F if if iE if if iF %1E iE iE iE iE iE if �E iE iF iF iE iE iE I N D I V I D U A L F E E B 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 SFR 1786 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,786.00 END OF FEES �i �O1E0241-00160242 TO T 41.50 DArE: OS/10/94 iTNE: iS:32 CONSTRUCTION AND PLANNtNG P0. �i SPA � APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspecior� 1. Temporary Electrical Service or Pole 52. �Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. ' . ' 53. Stee� Reinforcement � 3. �Electrical Conduit Uft4�ty�Undrgtnd. - . 54. -Forms � 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding ' S. Steel Reinfo�cement '56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE 7. Foptings , 58. Elecirical Conduit�Undrgmd. 8. Foundation � - 59.�Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines. P-Trap, C7 Undrgmd. � iQ. Structural Floor System '' � �" 61. APPROVA� TO DECK it. Property Sewer line & House.Connection 62. Backwash & Receptor�Finai 72. Se,wer Cap . � , 63. Heater & Vent-Final ' 13. Roof Drains � S4. Plumbing SVstem � F1nal 14. Rough Plumbing � 65. Electricai-Finai 75. Rough Electrica6Conduit 66. Solar System�Final 16. Rough Electric Wiring 67. Pencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrieat�T Bar Ceiling 69. POOLISPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I 20. �Rough Factory Pireplace APPROVACS Pe�mit � � 21. Ducts, in Structu�e . 70. Underground Hy�tro � i 22. Ducts, Ventilating � 71. Produc[�Piping GGas ❑Oil 23. Gas Pipe-Rough & Test � 72. Underground Flus�� . . - � 24. Roof Framing � ' 73.�Undergrnd.StorageTank GGas ❑Oil ' .25. Roof Sheathing � 74, Overtiead Hydro � 26. T-Bar Celling (Strucmrall & Monocoat 75. Dry Chemical �� 27. Frame and Flashing . - 76. Dry Standpipe 1 -{ 28. Lathing & Siding� 77.- FIXED SYSTEhA FINAL 29. Insulation � �� 78. 'FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power MeterFinal S0. POOD CERTIFICATE ISSUED � 33. Final Elgctric , � �Notes: � 34. Final HeaUng & Air Conditionina . 35.'Final Gas Pipe-Test � � ! 36. Hood or Canopy ' � : - _ 37. Final FacYory Fireplace . � �i' � 38. Final Plumbin9 • 39. Water Service-Final , � 40. Gas Service-Final ' 41. Solar pomesticFinal - • 42. Backtlow Preventer . 43. Batkfiow Irrigatian ' _� 44. l.andscape Irriqation SVstem 45. Sound Attenuation ' � - : j • � 46. Handicap,'Regulations ' . � ��• � ' 47. FINALSTRUCTURE&BUILDWG j-�lC�o(, �yi�f • '� 4$. FINAI.PLANNWG ' ( 49. Electric Release to Edison 50. Gas Reiease to Soutbern California Gas Cn • " 51. CERTIFICATE OF OCCUPAtdCY No. Date o' a r "u � � - O V 7 ,� t _ � � o a �, � C J -- _4 � e C ; � a „ — a e V m m V L O . . \ L U g \ G `,�^' �� 3035 3Ui3 "' ' . � .�n,�� 7+"9 � . � PEV. , � . '- � � � �u M �V�� .. � ' pEV.1 . 1 .r � � _ 'i°°'S , l ' RE� 1 �. .. A�UNIT A 2� 33 � �' " M 7 � �n a � � gd+� \ c "�� 1 CiAs �yp 3► 'S — - – - W ' � S �°+ , � 28 , 29 M m ^ O � �05� � e \\ S – – - – � '�pS�' wEa �� W .^. a °` ` C5 K2 `- � ,�C��! � �PE�� \ S r . . . �_ ' ". 905� � c � \ S f��'�� Z ` ^ N .+ � O � W . � e •�. �PO��.o � CP 9 � i Poo� � o � � . ' �( � � i m � $ Q . y � �i j � a---= .. P�i Mi� � �fJ . v I w/wiwo � " � ..� �l l , �o - ' � �6. o �: - '.�. . I p1 O m' � I 14 15 16 , 17 � �8 � 19 20 21 22. , 23 , 24 � 25 � 26 � 27 ' � � CASA DEL AM16 S;. I � � � N a � , _ I _ ; � -. :'.I m . M _.. , _..— _i _ � � � ..__, � , � � — � > �., G � 8 I B REV_I L REV. I B NEV.I B I G. G. B�. I B NEV.I G.,FEV. I 6 NEV. B .-G � __' V m 3062 . 3060 3058 3056 3054 3052 3050 3042 3040 3038 3036 3034 3032 3030 v „� "' � � , b �, , , � HOUSE ' ROAD i I, 5; � � . ., _ 1 � _ � 1 , . .�— -_. ._: ... s .�. ,_ .... . . _.... . __._ . .... ..__ _.... . . .. ....._. _.. .l. ..._._._ . ... . .... _'__' _„__'_ .'_"' ___. ... _. , . - -._.__._�. .. . . ..... _ _._._ . . .. ' . ' - . . � . °a��,, � COSTA MESA BUILDING-SAFETY DEPARTMENT ' P. O. BO% 31] COBTA MEBA, CALIFORNIA � � For Applicant fo Fill In Complataly � TYpE'OR-PRINT ' aooe ss 0 0 Club HOuse RO COSTA•MESA, CALIFORNIA � OWNERMeS& Verde Dev.Co�. MAIL 2S5O M�S$ Verde ]�i'. . ADDR688 c�Tr . Costa Mesa No 549�39 OR ENG N ER E. Ka.Itenbach NE��7V�� ADDRESS 1823 E. 17th st. s.a. � CONTRACTOR Same� as Owner � FE� B�F�CE �VED FINANCE DEPT. APPLICTATI�N �ORT PERMfT BUILDING For Office Use Only � R6CEIPT NO. Kj 4Tet";1QJ :..�ht_ � [IY[D !Y 'DAT6 R6CCIVHD � � pATEISBUEU /� . �-�LS - �5 L':": � 4 7955 JIN6 IES9 .. � TYPE �v GROUP I AE J OVED DATE ZONING NO. OP I U88 OP N8 S� W S. PLAN6 2� lUILDIN6 pai+p[ye O `^O LIC. NO. 101jCG rvo:74y�377 . . . . EAVES 61ZE 26 X 70 � I No. oF BLoce. Q ALLOWED <U. B. C. REQUIREMENT) � OFLOT NowoNtAT . . YAROSAPPROVED YAROSAPPROVED USEOF ��_� - MAINBUILDING ACCESSORYBUILDING EXISTING BLD6. (FROMC/LSTREE ) 6ETBACK LINE PROM ' '� � FRONT FI�. ' CENTER OF BTREET REAR YARD � R. SID6 � FT. - FT. SIOEYARDI LEFT' ' I RIGHT - _ DESCRIpT10N OF WORK �. sioe � Fr. Fr. X . . .'�� REAR 4 tT. FT. NEW ' ALTERATION � ADOITION � DISTANCE BET. BET: MAIN 8 REPAIR Mqy�N6 �EMOLISH MAIN BLDGB. ACCESS.BLD68. BUILDIN6 � / _ VAR.$� DATE / /�� SIZE 1'S00 ROOM9 V 8T RIES 2 C. U. P. 317 APPROVBO �-I�ZV�U`�' GOVERINGwA{y I. ROOF �� - p APP140VF l,_ 1.�l�'—C f� �7'tllCCO COVERIN6'Bllj.1t.0 BY DATE o� o�-� J USEOFBUILDIFI6ANDWORKTOBEPERFORMfiD ' " HOLD EOR SPEC A REQUIRFM�NT, Res.w�att.Car. �ee permit bn Lo 1 for conditions i i so. �.s.44o � 1 HEREBY ACI(NOWLEDOL }ryAT I MAVE READ THI6 APP�ICATION TXE I.MOUNT SHOWN UNDER VALUFTION 13 FOR THE F AN� STATE THNT TH8 ABDV6 19 CORRECT ANO AOREE TO COM• PURPOSE OF EBTA9LI6XIN0 A PERMIT FEE ONLY. � PLT WITH F TT OR�INAflC89 ANO eTATfi l.AWB PH6UlATING ypLUAT10N '//'— m em�o�No C N9T �oN. �' PERMIT FEE $ (,G'G� � SIGNATUR O �� ,,,��%�% ., m PERMITTE 7 $ �Q � 7�, ...� PLAN CHECK $ �J '� Q AUTHORIZED A6ENT � % LL � TOTAL FEE � OWNER MESA VERDE DEV: JOB ADDRESS�040 Club Ho GEN�RAL CONTAACTOR INSPECTIONS Date DESCRLPTION ON' FIAE 'LONr; SUBCONTRACTOR C4�2�l�J