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2253 COLUMBIA DR - Building Permits
(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: Suite: Vicinity: 2253 COLUMBIA DR HOUSE & ATTACHED GARAGE Parcel Number: 4190841$ Zoning: Status: ISSUED Applied: 07/20/2001 Issued: 07/20/2001 Applicant: FONSECA, EDDIE ISSUED BY: Address: 126 COMMERCIAL WAY - � . � " '� . , � ��_i"�. . �,Phone: (949)548-5569- - - COSTA MESA, CA ' Zip: 92627 �, '' -; �.� . � ` �. . , i � �� � . . � ��; -.A`� , '-� Owner MC MIL�L'AN, KATHRYN� � , ', '�--� ;�.� �A Address VIRGINIA' . � � � �- � i � � - � � - ��: , � � � ., . �, LAGUNA BEACH, CA� � - �_ - -Phone: � . , - ` . � i ��V�� � ' 476 JASMINE ST ' � 2ip: 92651 - � �� � � . ., � � - - " \, .� , � �.. . '�_�� ���, . Contrecroi: 'CRANK.BROSROOFINGCOINC � ��� "��' `:�;' Address: 726 COMMERCIAL WAY � �� � � � � _ . - , .' '' Phone: - (949) 548-5569 �� `�, %' � , �� � - ' ' COSTA�MESA, CA , � � Zip: 92627: ; License:; 794724 . � , ��� Arch : � � . - , Eng: , � � �� - � `� ' Address: � . � � , �� " � � - Address:• . � � � ' . � ; ' � .. , , . - .- ' Phone: �. �' '- . _ '; � .' Phone: , � . .�, �, • ., r: ,. - � � ;/� \�� � �, I �,, �.' � ��Zip: , ' � � �License: - � ��Licen'se: i � �. , . ,� , , �� , . � . . . � � � � SGVYt Vh YtKMII - � � , ' � ., ,t--r": •v .r- ,�� REROOF�EXISTING SINGLE�FAMILY RESIDENCE & A7TACHED GARAGE, TEAR OFF EXISTING ROOFING,�INSTALL 2 LAYERS OF 15# FELT UNDERLAYME�T, & REROOF WITH 25 YEAR�COMPOSITION�SHINGLES. ��� y� � � - �' , _ �, � a Plan Check: $0.00 Permit: $11125 SMIP Res: `' $0.50 SMIP Com: $0.00 Other: • 50.00 Inspection: ��$0.00 , � - ' � , FEE SUMMARY ; ;-,. ; , -- _ _ - -- --- _ - Calc Valuation: "' � � � ` ���, ClaimValuation: ,. ;�i : < ; ; $4,347.00 1 � $4,347.00 , � ; _ „ �, � �, Total: � $111.75 - ' _ ,; �� � � � � - - . , ._ . - . � ,. - �� �� PLANNING 8 ZONING � ' SETBACKS -� � ' � . � i� MAIN STRUCTURE Front - 0- 0 � Rear 0- 0 _ Left - 0- 0 � Right 0- 0 .�. � � i ACGESSORY Front �_ �0- 0� , Rear � 0- 0 Left 0- 0. " Right, 0- 0� �% PARKING Exlstinq: ' 0 . Required: 0 ' . Proposed: _ 0 � ' � NOTES: � _ � . - NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 780 days, or it work is suspended or abandoned for a period of 780 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 �� requlred Inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this permit . FOR INSPECTIONS CALL: (714) 7545626 I /P.r,+.r:f1Yl�?I1 � WORKERS'COMPENSATION DECLARATON: — . I hereby attirtn under penalty oi perjury one of Ihe following tleclarations: ❑ I heve an0 will maintein e certiticete of consent to self-Insure for warkers' compensetion, es provided for by section 3700 oi ihe Lebor Code, for the pertormence of Ihe /�ork for w�ich t�is permit is issued. � I have end will maintain workers' compensation Insurance, as required 6y section 3700 of the Lebor Code, for the pedartnanca oi the work br which ihis pertnit is issued. My workers' compensatlon In rence cartler antl policy num6er ere: � /b Cerrier: G�'�� ��ri Policy Number: ��� `�PYI � iJ� (This section need nof Oe completetl i/ the permif is velued et one hundred dollers ($100) or /ess.) ❑ I certity lhat in ihe Derformence of Ihe work for which Ihis permit is issued, I shell not employ any person in any menner so as to become subject to ihe workers' compensetion laws of Califomle, entl agree Ihat if I should become subject to Ihe workers' compensetion provislans af Sectlon 3700 of Ihe Lebor Cotla, I shell forthwith cnmply wit� t�ese pr ii�s �� ti_ 7 Applicent Signeture: %i ��X(���ivG.d— �Date_ ! — .�C7 — �i � WAqNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERApE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED TqUSAND Dq1ARE ($100,000), IN ADDITION TO THE COST OF CdAPENSFTION, DMMGES AS PROVIOEU F-0P IN SECTION 3/O60F THE LABOR COOE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirtn that I am licensed underp rovisions of Chapter 9(commencing with Section 7000) ot Divislon 3 oi ihe Business and�rofgssions Code, end my license Is in full larce end ettect. Llc. a �Gl �1 . Cless N (��.:t Contredofs Signature: 96. y�iJ�KLv— �Date: ,,,Z =..�0 — / CONSTRUCTION LENDING AGENCV: ❑ I hereby eNirtn that Ihere is a construction lentling agency tor Ihe performance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: SlgnaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn that under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness and Professions Code: Any ciry or county which reQuires e permlt to construct, alter, improve, demolish, or repeir eny structure, prior to its issuance, elso requires �he epplicant for such permit to file e signed slatement that he or she Is Ilcensatl pursuem ro t�e provisions of the Contredors License Lew (Chapter 9(commencing with Section 7000) of DiNsion 3 oi Ihe Business end Professions Code) or ihat he or she is exempt Iherelrom and the basis for the ellegetl exemption. Any violation af Sectlon 7037.5 by eny epplicent for a pertM' subjects the epplicant �o e civil penelry ot not mare than fiva hundred dallers ($500).): ❑ I, es owner oi the proparry, or my employees with weges as their sole compensatlon, WILL DO THE WORK, and the siructure Is not Intendatl or oHeretl for sele (Sec. 7044, Business and Professlons Code: The Contractors License Law does not apply to en owner ot property who builds or improves thareon, antl who does such work himselt or herselt or through his or her own employees, provided that such improvements are not intended or oHered for sale. If, however, t�e building or improvement is sold within ona year ot completion, the owner-builder will heve the burden of Droving ihat he or she did not huiltl or improve for purpose of sale.). ❑ I, es owner of the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha prqect (Sec. 7044, Business and Professlons Code: The cantracrors License Lew does not eppty to en owner af pmperty who builds or improves ihereon, end who contracts for such praJect with e contracmr(s) license pursuant to ihe Goniractors License Lews.). ❑ I em ezempt under sec. Business and Professions Code for Ihis reeson: Signature: Date: Owner ID veritietl by tlnvers license. ❑ Yes ❑ No DriveYs License No. Expires: Vedficetlon of Ownership by (type of tlocument, i.e. - propery tax blll or dee0): UIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I here0y certify tha� no excavetlon five (5) or mora feet in depth into which e person is requiretl to descend, will be mede in connec�ion with work euthorized by this pertnit, end that no building siructure, scaHalding, falsewark, or demolition or dismantling ihereof, will ba more ihen thirty-si: (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, 7tle 8, Celitomie Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division ot Intlusinal Sefery, es noted ebove, unless such person has a permit ro do such work from Ihe division. Signeture: Date: Divisian oi Industrial Sefery Permit Number. CERTIFlCATE OF COMPLJANCE AND AUTHORIZA710N OF EMRV: I certity under penelry of perjury that I have read this application antl state that the information given is correct. I egree ro compty with ell state lews and city ordinances retating to builtling construction, end euthodze representatives of the Ciry of Costa Mesa to eNer upon the ebove-described property for inspection puryoses. I egree not to occupy or allow acupancy of any building au�honzed by Ihis permit unlil final inspection. ��Signaiu Ot Le a Owner(s) Date <� � � rfJ-.71�-f � 7 �C�� ` L> � And/OrAuthodzedApplicant -Date'- - ' CODE t. INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 Final Block/Reteining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition PAIE 1�JEL5 � � COpE1 INSPECTIONTVPE 206 Final Mechanical 208 Finel Plumbing 210 Finel Electrical 212 Finel Flre Preventlon 220 Final Planning Approval 222 Final Site 250 Final BuilGing/Occupency PASE 1lffID9Lfl ADOlicant to fi�l in a�l ipaees within �eavy bortle� lines anE si9n all appro0riate tleelarations. �� p� CITY OF-COSTA MESA— ; -- aE${NIT N ' ` -' • 'TRACT�NO. - � LpT NO. ►,- �BLDG�. NO. - � 1 -,A',4 .l I' � �-.�- .- � ' ( CONSTRUCTION PERMIT /�-- .�'ea .� .� .�, T;.��, ;, , , F, ..:...:...: :..�, �. , � , � -. - t r ' ' � i• :• . .v.,...� i . Project Addiess �' � � � b � i2 ; ,j• 7 TYPE OF CONST,RUCTION ;� ' �� � �cO , rY`' i O(� q 5i� irt�� 3 - '�^�" . �Owner'.= ' �?' '. '. . Phone . . ., li� � J. 1-O� : � ,/--. . __ . . . . /G ' ONEW `❑�ADD -'O ALTERATION-- �,' E rT" `� �:Address- ���'"- '��REPAIR�O�CONVERSION.ODEMOLISH, � " ''�� '� '�-'" - ' -aS�3'-C �U � i � � �•- - � „ � �, I- -�- . -20NINGREGULATIONS - - r�Arch/Eng: � . ' - -- ' E - License No. - - . ' O OTHER• . . •_ • ^ ' ' �Addreis' '� •" ' . ' ' • . , .. __ ._ _ DESCRIPTION OF WORK I � _ -i - V � A.B.��F.I���H iYir.iH � r ' �. i .�""" " . i - '! I - - ... _ ' _' - '�ZONE'- PLNG REF-� f'Contractor- 'C �F�:C,� i�s� -PhoneS39 %-J sTVPE.OFPERMIT.'- �.__ __. _.. _.__� __ , _.1. e .<- To eUILpING . " n•.• - .� • � � � 'SETBACK C ST. 'P�EOPERTV LINE . ,� :Address -' '� -�"�/�/:f �-� -� wQ. - - - �O'GRADING�-�❑ FOVN�ATION -��STRVCTURAL� - SIEDF yqRp- .___ . Ai_; -�___ � jLICENSED CONTRACTOR DECLAR ION. .'."�''`_'. _'�'O.TENP.NT�O�-ELECTRICAC LUMBING.�MECHANIC �5D �� p hereby aRirm thxt I am licensetl untler provisions ot Charter 9(com- . . . � , -� R� GHT � � mencing -with- section•-7000)- of ; Division . 3 • of. the Businezs .antl ' .❑ �OT.HERL ' "' � " ^ � ~ Professionz Cotla, � ntl my II<ense is in full force antl e fe t ' - •- �- ' 1 �REAR YARD'(TO P/C)'-"" """" '-" """ -' ' i �__- . _„��PROJECTDESCRIPTION� �� . - �License'Clasi ~- "''"�"'' ' "G"nseN �. . ,: .,� '�•" - ""� -' "-�' ';PKG:SPACE'RE "-"- . � /0-8-718'.. sa FT_ Q•�.� �:PROVIDED �Date Si9nature" � " �, - - - ' ii " ' ""' -- - - �-� ' 'TSTREET WIDTH--'" ' ` PARK FEE.y ' - ^ y' :WORKE0.5' COMPENSATION.DECLA ATION_�..-'. ' ' � ��CCUPAIVCV CONSTRUCTION TYPE � � I hereby afiirm that I have a certiticate of tonsenC to selLinsure or a , - - � - ''('ZONWGAPPROVED BV ^; �- DATE --- �certifiwte�of-Workers' Compensation-InSuranGe,-Or d certiLetl mpy VALUATION� ir NE _ -`_ • �� _ , �thereof (Setti n 8 , Lab C.). � GRADING-CV ,YDSy ACRESu- � ` jSPECIAL CONDITIONS�" " -- � � �/ - -- . _ . - _ _ _,..-----_: .. PolicY No: ' ComPanY' _ .. ._ _� _.�.. ' '... " " ' � .., _ ❑ Certifietl copy is hereby,turnishetl. _.,.,_ �.,.,..� ._ __ __ _ !,1� ' REMARKS. �_�li{, ;� ' ' ' ' ' `' . . �..__� .__..__"_�'_' "" '"' '""'_." .. ""_ ' � -� � t ;� C¢rtifietl copy IS;filea with the city Builtling DivisiOn. 'y - , ` - � �� - I�_ .. � ,', � �'' ^ +�-'-: '-' � t � E%EMPTION'FROM"WORKERS"COMPENSATION'�ECLARATION �-- ^-- -- -� - '(This sectlon n¢etl not be tompletetl it the ermit IS for one huntlretl � _ ^-.- �-��M ' , � . � .. . _ :... . . ' w .. P Y" Y P • Y . r.., � . . .�^� �'ELECTRICAL � ~�PLAN CHECK� '.. � ' :. : :(5100) or less). . : , ' _ ' •"' , _ ' , . . . _ � - - ' '_' ' d Certify that in the.per(ormance of the work for Which [his permi[ i's . I . ,� i55uetl; 1 shall not ¢m lo an e�son in an -mannEr 50 a5 [O betome PLUMBING- "' �-- ��PLAN CHECK-- -' -^- �- -�-- - -_ i Yubjett,to.the Workers' Compensatlon Laws of Calrtorma.� - ` -' ' - � ' ; . i _ ' ' ""' ' ' BATI9TUB5_..n_"' '_ 'SHOWERS"'_ .... :. _._._ .- � .... . - . 1 �Date � Si9natUre � ' � � . ... ....... . ..� � � .NOTICE: It after making this tleclaration, you ShoWtl become;subjecb ��TOILETS.� .. . ���� �� ,UI71NAL5��� --- -� - — ��GENERATOR--- -Od•KW '_�1 lO;KW -�---��� - ^- to the Workers' Com ensatlon rovislons of the Labor Cotle, you'must� - 'TRANSFORMER ., � ' ` ' ;torthwith mmply with such provisions or this perm�t shall be tleemetl � LAVATORIES DOUBLEL-AVS--- -�- -- ---� LAPPLIANC6---�-30-50-�KW_50-+"KWf�U�� � �'.°.:� __ � revoketl..,_ .. ,. i, . . � - ��• ' .. ,< , , v ., i . ^KIT:SINKS'-�---�--^DISHWASHERS---' � ��- - NTOTORS�--- ��-OdHP�_1-10HP=-���� �CONST0.UCTION LENDING AGENCY �� � . �� � • � I ^ : - ^�' - i I nereby afflrm IhaY there IS a con5t�uction lentling agenty for the pCrv SERV ICE $INKS �� r iyyp5UMP5�- -^- -- �- - .:�N(�3�!50LAR) � 0-SO.HP 50 + FIP'��� '�'� ��''� '�? ' fo�mance of the work for whiCh this permit i5 issuetl ($ection 3097 - ,! � T� �.. .. ...�,i .._ " C-' ' .Civ.'C:):'-•_____' __'._.�._ _ __'.- ..._;..- -.':...-_-.. .� . . .... .' _ 0:.: r : 1 Lentler'SName .�. a ����'FLOOR;SINKS�'---�_ FLOOR'DRAINS"' '�"--S S �F'1%TURE�'-i ��-OVTLETS--SWITCHES�"� -� �entler's Atltlress v ` � ~ � � � '�DRINKING FOtlNTAINS- �::��^^--- - -+-�-- :66c�T B SIGNS- �---..-. . . _ _ _ � f �Oh N�bRcBUrmDhR Dam exempt h m.the Contracmr'S License Law for �NTERCEPTORS- - -' -"CLARIFIERS-""""" '�' .� "'.~ �POLELIGH�fS--- - -- - - - -�- `=� ��- � ' _ _. � .7 ' t�e-tollowing��easom(Seciion-7031.5 6usine55-antl•P�ofe55ion5Cotle:� �SWIMMINGPOOL ^�-'�-PTRAP� - " � '" ` 'Any ciry or county which requires a permit [n tonstruct, alter, �� � ��'�-" - 'POLES�'""'��' -"METE D- ' SUB'- "" ' � - -_ i Improve, tlemolishror repair.any sbucture,-prior-to�its�issuance,�also re- yyqTER'SERVICE" ' -ALTERATION- - �•i-- - 'PANE65�--- - �M I`F�� .` �SSUB-�" �=_ _ _ _ _ i. quires the ap4licant for such permit to file a signetl stat¢m¢n[ that he is�licenzetl•pursuanFto�the�provisionsof•the�Contraator's-�icense-law. -GAS'SERVICE""� -""OVTCETS' "' -�- �SERVICE.--� --��-� e"'�""" ' � _ ;(Chapter 9(commencing with Seciion ]000) of Dlvision 3 of the 1 /. `i� nSP ' AMP " ' 'Business-antl-Pro�essions Cotle)�or-that he is�exempt4herefrom�antl�the- �-yyqTER HEATERS- ---- BTU OUTPUT- -�°- �- � - --.- - -` R%-� � '�' � �" ba515 for the dll¢9etl exemption. Any violation of SeCtion ]031.5 by ��� ..il�� .rH� -- _-' '^ �" ---'� any-applicant for^a-permit-subjec[s-[he applicant-to�a-civiL�penalty- �SEWER-CONNECTIONS--�'--�-� ' �-�'-�- :- - -�(�C �-�..- " u�� '� �� "' � ' bt not more than five M1untlretl tlollars ($500). �� � - � i� I,'as'owde�'ot lhe- property,-or my employees'W�th'wages'as thelr -SOIAR�TANK-- -� ---COLLECTORS�- � - a-- - -- ��-._ '' . __. � /. M,.,�' N ' � ' � � _ __ _ __ sole tompensation,.will tlo_the work, an0 the structure is no[ intentletl ' � orbfteretl for iale.'(Section ]044,-Business ahtl'Professions'Cotle: The " SOLAR'PIPING SVS. ""'-'�r' - "� -�^� � -� ��•-ISSUE FE �----^ -�- -- - � -�=--� �� �Conttattor'S LicenSe.Law tloes not apply to an oW�er of a property � - j wh0 bullds o� imp�oves'tlSereon', and who tloes suGh saOrk hlmself o/- ' ISSUE'FEE'�-�"""1�"-'--^^"- - iAPPCICAT�ION APVROVE�,BY_ .DATEa :tbtOu9h his_own employees, proviGetl that such improvements are not '� � � ilntentletl or offeretl for zale.� It,`however, thC builtliP9-or'improvcmen[ � ' � - ' - - -Y- - - - +----�----�-- --- - ' -_ � .. P: ., � ��is Soltl wi[M1in ono ycar of mmpletlon, the Owner wfll have the burtlen MECHANICAL PIAN CHECK � � � S�fMMARV ��F FEES ; bf proving -Fe tlitl not"tiuild or-improve for the"Purpose oYsale)- - - -- -- -- - -•^ - -- �- -- •- ---- -- `-'- ' ��pERMj NG _�_ . _ . _ `_ _ _`_ _ _�`__ _ �Iicensetl contiactors to construct t�he project (9ection ]044t�Business 'AND DUCTING EM o00,000 �+�BTU � � )���� � � � , pLAN CHECK S � � ^`t'rPERMIL. � a � � �� � ❑ I,-as-owner oLtne_ ro ert ___ _ _ _ _ _ _ _, .; ; _ _ _ _. 'antl-P�otessions-Cotle:-The Contractor's-License.Law.tloes.notapplyto. _ ___ _ _ ___ _„ ,_ _ „ �- 'ISSUANCE'_.S ��� -� ��� � J . _' ___'_"" . . . 'an owner of property who builtls or improves tnereon, antl who can- REFRIGERATION 0-300,000 BTU 1 �� ' PLUMBING - �y �� '�� [bacts-from such.projects witn.a�mntractor(s) .Iicesnetl.0ursuant.to .SVSSEM-. -._ �.. _... 'L. _ _. ' �_ _ . ' , . �� ��GRADINGS'S"'F' '�f� � tM1e Contractor's License Law). � 100,000 + BTV �` - _ "� " «'P�AN CHECK -.$ " '"' '-- ""' - '- '-� '• t � ' ' �'� R..� � �����lt ,.` . 4 � � I'ant"¢x¢mPYuntl¢r5ection^'-' - - - B.& P:Crtorthis� ---"-- _ . _ " �.'�- :,�•' ... _y.•�� .ut_" `, . ` BOILERS � BTU"��•. .�"_• �"E�ECTRICAC"$ ""-"` - -' - -. ^."'-- " ' f reasom- _ . :s:'r' �.) �;' MICROFILM�$'- � _ � ) SVSTEM REPAIR, ALTERATION � '�� � ' -'- +�PLAN-0HECK - - - _ __. _ _ _ - ___ _ _ ".. . ,� � , =' Date, Owner ' . _ .. � . , . '$"" r'J�i'�"� OTOTAI FEE E' , , _ . _. ._ _' _ "' ' -_._ '_'"' iMECHANICAL-S - -" .•• _' �' "' '" .. #. :I hereby Certify [hat I have �eatl thi5 application antl S�ate that the above EXHAUST SVSTEM MULTIPLE ' � � �)� �,� ��. ,-!���LE55'AD^ •' ;'[. information'is-correcY.�l'agree`[o'mmply'with al�'tity antl�county� �. , - - -- -�LANCHECK'.`.$ �' -- VANCEPC ��� ortlinances and state laws relatin9 to construcfion, antl hereby authorize ;� � �ep�esenta[ives of- this'cify to enter' upon the' above-mentionetl� � - � -- ----- ---. � � � �:.•� `�' `� � � � � � . j� �ProP¢rty for in eecti ufD P5. _ " " .� � . . . "_ _ . _ ' _ _ _" � ' L �� - i . '/ .$�R ._ ., �/ � Sl9nature J'v�l�'%��� ' O {`� - -. . _ _ .. .E_ S . _ FINA FE .. _ 7 ' "'_ _� "' _"ISSUEFEE_._... _, �_"""� "_. " I . .�_.-,_ i'"'-.._ " ' _ ", - .-. ._ �_ �'. Drivers' License r 55 �k ��/� '� . CMF 0065�46 White-Building; Canary-Applicanh Pink-Acrounting; Goltlenrotl-Assessor _ � CONSTRUCTION AND PLANNING � � POOL & SPA '. - - ', � ^ , � , APPROVALS Permit # Date a Inspeitoi � qppROVALS - v ' � Permit.# � Date Inspector � . 1._ Temporary Electrical Service or pole � - . . 43. Pool & Equipment Location � ' ' ' " - ' -- - - . _2._ .goil .ipe-Undrgrn ' " ' " . 44. Steel Reinforcement � -- • "- - �� -- -- � � - 3. -.Elecirical.Conduii Utility-Undrgrn.. ___ __ _ . .. 45.� � Forms � � � ' - �- -- � �- - � - � - � - 4. - Electrical� Conduit-Undrgrn _ __ . . . . _ _ _ 46. � Electrical Bonding - - - �- � _ .....-- �-�-- . -. ._ tee ein orce_�, •' _ . , . � �, �. 47. :Rough Plumbin & Pre'ssure Test - -� - � ----- - - � - - • �� - �- __6...Electr.icalUFERGm._ _ . - - 48. APPROVALTOCOVER-GUNITE - ' - - -. J.._ F.00tings _ � 49, Electrical Conduit-Undr rn" -- • • � - - � � � - 8. - �Foundation - � - - -� - -� • - '- � � 50.;. Gas Pipe, 0 Undr m; Test ' • ' "' • � ' � � - 9. Water Pipe-Undrgrn - � ' _ � _ 51. Backwash Liner P-Tra - 0 ' ndr �n � " ' � -- - ' � � ...� ._ _ . _ ... .. - -- . _._ . . , . -- ' 10: _StructuraCF.loor.System• ��...� _ _- _.. ',__ _ _ . . . � � ,� 52.' APPROVALTO DECK � . • . ' .. . . . _. 1�1.� _Property�Sewer.Line &.House Connection _ � - 53. � � Backwash &�Rece torFinal "' "'' " '�' '� � � � � 12. --Street-Sewer� Connecfion _�- �.._ . ---- � _ . _ --- -- 54. � �Heate��&'Vent-Final - � � ' � ' ...__.._._._ __ _ . , _ ' ,. ...,,. . _ . . ..__.-.. - - -- - �.. _._ - - 1.3.�...Rough.Plumbing __ �� - --- - - -' - - - - - 14. Rough Electric-Conduit �- � " �- - �56. -' Electrical-Finaf - ' • � ` � - - ,� - - 15. Rough Electric-Wiring ' "' ' - � "" -"` - ` 57. -Solar System-Final-~ ' ' � - "' ' ' '� ' ; 16. '` Rough �Heating�&�Air Conditioning'---- � �-' � `, �- - = � � --- -- _ � • . encing &-Access.Approval.� ,� ;. .. �� ;; "'� � ' 19r Ducts, in Structure •.� • - - - • � � ' - APP.ROVED FOR PLASTERING. � ' � ' 18. -Duct4. Ventilating .- - ' - -- - � , - - - � •. _ . . - . ' . � - - . _ _ . . . -- - _ - ' ' 19�. GasPipe-Rough'&Test' '� '•�• .� +.�! - -- - � -� �•- -60.. POOUSP.dSYSTEMS�FINA�`"=.:�;'.", , � ' �,: � , '. " Y�- 20t -Roof. Framin9' - - - � -- -- - - - - � - - ' � - -� -- : , , . � , � .. . � `., . , . � , . � . 21`. Roof.Sheathin T --�- , ti _1 -- • •- -. _ .._ -. _. . __: _ � �.r....n ,,, . rr.., . . � � � , i _... �- 22: - Frame�and Flashin .- - - -. .._ - -- _ - �NOTES:, - - . '�.';r'• ,. . ' . '. .;, . . __ . _.. ._, . �... . _ .. . , �, . ,. .. - - . . . . .. � . . . � 23: --Insulation-._ . ... - -•- -. -._ - _-..t �'- --- ` `� �-� - � -' Fi�i � �/ � �0� --. _._.. _.. - - '-- '_. .,_ , 24. -�.athin & Sidin . ..: .. � . r . - . . . ,. ... ' g� 9 --- - ��--- -- �- - ' • ---'_ '._.._...__ . _ . , . . , � 25l ��Drywall Nailin9 - - - . .. ---'--, -� - , - --�r - -- -' - -.. __ .'.':_.. ._ .•;.. , . . -. ... - . � . ... 26:- Plaster Brown �Coat - - - � - � - - - - � - ' • � � � *�'`-�'7. Electrical Power Meter-Final - --�� - � --� - � �� -� ' ' � " ' ' ' ' � � - • �� • � . � i?�E. FinabElectric-_ - . . •�-'-` -" - _ . _- -- - � -' - - - . . .. � . ., . - : ` . � 1 ' 29. Final; Heating�& Air Conditioning - -- -- � • - - - � � � � • - � - � ' � ' - 30: Finaf Gas PiPe-l'est � . - -- -- - - r. .- . . - . . - . � . , � , . , - - 316 Final,-Plumbin9 -- --- - ' ' . . " - . ,•. . � . . , � . .. ..�. __ .._ . . ... ... � - . -.. _ . . .. _. , . � i 32.:-WaterService-Finaf �- . . -.. "' -. .' -- -:. �, ,- � . .__ �,- ..._..__ . _ -- -�.. ._ . ... - � _� • ,'� .,. . . . � .,.. � � �. -. `--33 � Gas Service=Final -- � �� - ' �' ' ' - � - � � � ' - - - - - - - � � - . �� '!, .� 34. $olar pomestioFinAl "' � � � j. ""' " � ' "' " � � �-a ��. ' � � � 35. landsca e S iinklin S stem ' ' ' - - - � ` "' "� � ' � �� �� �� � ' " - ' ' ` " " � 36. Sound Attenuation - ' � - � � - -- ' ' ' ' " � � � ° ' " � � ^ � � 37. Handicap.Regulations - -� ' ' -- - - ' '0 ' ' ��" ' i • �� ' -� - � - � * r, ; 38. FINALSTRUCTURE&BUILDING "" ' - ' - � ' • - " i 39. SPecial Requiremenis ComPleted - - -- - - -- - -�"< , . . . - - -�- ---� - - .. . .. .... . . . . 9 ! 40. Electric Release to Edison �. i ' • 'r- � " ' - � 47. Gas Release to Southern �California Gas Co. � ' � � - - - �� � � � �� � , 42. CERTIFICATE OF OCCUPANCY - � - - - -- ` ` . " ' a•- -- - - - - � ��i � No. Date _ . , OWNER KINDON HOMES INC. DATE 7_Ui-5H _ JOB ADDRESS 2253 Co].u:-nbia � BIiILDING PERMIT NO. �061 GENERAL CONTRACTOR K. W. K011 VALUE $- lpi'7qp_p� � AP. No. LOT 61 TRACT 3'Ihl FIRE ZONE' DESCRIPTION OF WORK Sin Fam_ Raa R- G{�, ^.._., GRO[IP I& J TYPE S ZONE .R1I PLAN NO. � INSPECTIONS I DATE I SUBCONTRAGTOR I DATE PERM�TSNUMBER coat Pinal Gas Test L � • !C' -�:z s - ;,� . ���� COSTA MESA BUILDING DEPARTMENT � eo,eoxan . COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN IBUILDING ADDqE55 COSTA MESA, CALIFORNIA .=EE RECEIVE� �—i�—s"� ��� FINANCE DEPT. fiTY 0� COSTA MESA. APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY OWNER Kenclon nomes lnc. • � MAIL RECEIVEO 6Y- �iE RECE�vrO ;/ D AODRE55 2826 Newport ffivd• �j � ciTr Newport. Beach� CSl No' OR 3fifi0l nooRe�ss R g W:Koll Cons� Co �,'o:� cosra MESA. CALIFORNIA FIRE ADDRE55 - ZONI � ���. g �o�E CONTRACTOR H. W Koll Conat `Gb �o. 534 ADDRE55 F.�26 N �1�4 �Od. T�o: OR-366o1 gyPF LEGnL LOT 1� DESCwIPiION NO. �� � BLOCK TftACT � A.P. NO. USE O� E%ISTING BLDG. SETBnCK LINE FROM �NEW BUI�OING SIZE E%TERIOR W, COVERING USE OF NEW � ��•� INO.OF BlOGS. NOW Orv LnT A�nB REAR VARD DESCRIPTION OF WORK ALTERATION I II ADDITION JP NO.OF ROOMS STORIES ROOF -'- COVERING 0(�`k fam residence & att , �.� r�TE 7 CORRECTIONS. ,,7 '. a I HEREBV ACKNOWLE�GE THnT i HqVE REnD THIS APPLICnTiON nNO �� STl�TE TMAT TME A90VE IS COFPECT ANO RGREE TO COMPLV WITH PLL / CITY OROINANCES AND STATE LAWS flEGU�ATING BUILOING CONSTRUC- '���' � VALUATION SIGNATtJRE OF KB�OII Hoaes� Inc. P RMIT FEE $ PERMITTEE PLAN CHECK Sp �. �'� � �'a, �y�- AUTHORIZED AGEN e L TOTAL FEE S 30 — �V ` /� / � `BMi y�. v � � OWNER K�SSTEg-�_g�L.—,]R _ � DATE 5;�?`ryI JOB ADDRESS Z'Z53�ZilIIltjla_ DT1VC� ' 13UILDING PERMIT N0. 9388 _ GENERAL CONTRACTOR S_3�guard Constr C�, VALUE $ 1S7 00 _ • INSPECTIONS DATE _I GROUP TYPE ZONE Underground Soil U.G. Watcr _i I PERMITS ISSU SUBCONTRACTOR rIouse Form 270-3M-4-59 , . , - ���� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 GbSTA MESA. GALIFORNIA , �� �tkCEiVEV .S��a-� FINA(VCE DEPT. �v�- CITY OF COSTA MESA _ fOR APPUCANT TO f/LL /N COMPLETEIY a,PP�icariorv FOR PERMIT TYPE OR PRINT BUILDING BUILDING � � �`.. . ADDRESS � �/� �/ ^ COSTA M�SA. CALIFORNIA - ryq OfFICE USL ONLJ I flEGEIPT NO. I PENMIT NO. OWNER � 7' 7 Q MAIL .���' HEGE EO 9Y pC/. TE NECEIVE`O AT S EO ADDRESS, � I J— %i'-JYI —�� CITY ./�� TNL. ,'J ` BUI ING J AD RE55 ARCHITECT ��a '� COSTA MESA, CALIFORNIA OR ENGINEER C' NO. / ADDRE55 �f �, � /� Zp E t�e grOuP STATE /yet(^]^% pppROVED CONTRAGTOR LIQ NO.i/ 7� l ev onre .nooaess LL1J .tE.t.+.� = ZONING ��! ZONE/ /�'� INO.OF IVSE OF NEW � �ESCflIPT10N I NO? I BLOCK I�TRACT ."' PLANS � BUILDING`��. A.P. NO. B?PROVE//,� i(1/ DATE� V����5 / a/ SIZE �( No.oF e�ocs. YARDS / EVES OF LOT (.� D �+Ow on �oT REOUIRED ALLOWED USE OF fCENTEft LINE ST.) / EXISTING BLDG. FRONT � C FT, IN. SETBACK LINE FROM ceHrea oF s'rweei REAR YARD R.SIDE —� FT. IN. SIDE YARD I LEFT I RIGHT L. SIOE � FT. iN. DESCRIPTION OF WORK , REAR � �� Ff. IN. NEW I IIALTERATIONI IIADDITION I REPAIR I II MOVING I II DEMOLISH I BUILOING NO.OF SIZE ROOMS STORIES EXTERIOR WALL IROOF GOVERING COVERWG USE F BUILDING ANO WORK TO E PERFORMED f� � /[ll , _?� � � �i '/� 1 MEREBY ACKNOWLEDGE THAT I HqVE READ THIS APPLICATION THE AMOUNT SHOWN fINOER VALUATION IS FOR TNE AN� ST/TE THAT THE ABOVE �g COfiRECT AND AGREE TO COM� pURPOSE OF ESTA9LISHINO A PEFMIT FEE ONLY. PLY WITH �1LL CITY OROINANCES AND STATE LAWS REGULATING euaotrvc coNSTaucnoH. VALUATION . SIGNATURE OF � QC! PERMIT FEE S��_ PERMITfEE / $ �O� PLAN CHECK � AUTHORIZED AGENT % TOTAL FEE S \ /