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Home My WebLink About2859 DRAKE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �ob Address: 2859 DRAKE AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 14154103 Applicant: PET�RSON, ERIC Address: 1653 SUPERIOR AVE COSTA MESA, CA Owner. SIDAWI, ZAVARIA S TR Address 2859 pRAKE AVE - - ,COSTq MESA, CA Zoning: Phone: (949)642-7222 Zip: 92627 Phone: Zip: 9262G5835 Convactor: tEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE � Phone: (949)642-7222 COSTq MESA, CA Zip: 9P627 License: 349686 Arch : Address: Phone: Eng: Address: ISSUED BY: Status: ISSUED Applied: O6I18I2003 Issued: O6/18/2003 Phane: Zip: � - License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/0 2 LAYERS OF ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, INSTALL 30# FELT UNDERLAYMENT AND "30-YEAR DIMENSIOIVAL SHINGLES AS PER MFGR'S SPECS." 30 SQUARES Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $139.25 $0.68 $0.00 $0.00 $0.00 $139.93 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0-0 PARKING ExisGna: o Rear 0. 0 Rear 0. 0 Required: 0 FEE SUMMARY Calc Valuation: Ss,eoo.00 Claim Valuation: Ss,soo.00 PLANNING 8 ZONING Left 0- 0 Right Left 0- 0 Right Proposed: 0 0- 0 0- 0 INOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and relaled regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl If work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such vrork must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaa+e lavol WORKERS' COMPENSATION DECLARATION: ' I hereby ettirm untler penalty ot perjury one of tha followinq declerelions: ❑ I hava antl will maintaln a certificate ol consent to self-Insure lor workers' compensetlon, as provlded for by section 3700 oi the Le6or Cotle, lor the pertornance of the work lar which t�is permit Is issued. Q% I heve end will meintain workers' compensation Insurence, es requiretl by section 3700 of Ihe Lebor Cotle, for ihe DeAormance of the work Por whlch this pertnil is issued. My workers' com`pensatlon Ins e wrder e policy number ere: �D!` �y� Carrier. ��lG:.�e ��1V�� PoliryNumber. �i�i \�!7 ��-+t�� (This sectlon need nof be comp/eted i! (he permi( ls velued et one hundred dollers ($100) or /ess.) ❑ I certity Ihet in the pertorma h� rk for which this permit is issued, I shall not employ eny person in eny manner so es to become subject to the workers' wmpensatlon laws oi Ca omia, and r � at il I shoultl became subject to the workers' compensatlon proWsions oi Section 3700 0l the Lebor Code, I shall forthwith comply with these provLs' /- r/ Appllcant Signature: � � Date: l� � � D'�� WARNINQ: FAILURE TO SEWRE WORKERS' COMPENSATION COVERAQE IS UNLAWFUL AND SHALL SUBJECT Ml EMMOYER TO CFIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF CqAPENSATION, DAhNGES AS PROVIDED FOR IN SECiION 3108 OF THE IABOR CODE. IIJrEREST, AND ATTOFiNEY'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby ettirm �hat I am licensed under pj�fwisia force entl eflect. Lic. k_��`�� Contrector's SigneWre: of Chepter 9(commencing with Sec�ion 7000) of Dlvlsion 3 of the Business and Pmfesslons Code, entl my license Is In full Cless a L' � . Date: r-( SS - h i__.__ _ CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm �hat there is a construction lending egenry lor the peAortnance of the woAc for w�ich Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlels Name: Lentlafs Address: SigneWre: Data: OWNER-BUILDER DECLARATIONS: I hereby eHirtn thet under penelty of perjury that I em EXEMPT FROM 7HE CON7RAC70RS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, eusiness and Professions Code: Any ciry or county which requires a pertnit to construct, alter, improve, tlemolish, or repair any sWCNre, prior to its issuence, fllso requires the epplicant tor such permit to tile e signed stetement ihat he or she is licensed pursuant to ihe provisions ol the Contrectors License Lew (Chapter 9(commencing with Section 7000) 01 Division 3 ot the Business entl Protessions Code) or that he or she is ezempt therefrom and the besis for Ihe elleged exemption. Any violation oi Section 7031.5 6y eny epplicant for a pertnit subjects Ihe appllcent to a civil penalty of not more then five hundred dollars ($500).): ❑ I, es owner ol Ihe properry, or my employees wlth weges as iheir sole compensatlon, WILL DO 7ME WORK, end the structure is not Intended or ottered for sale (Sec. 7044, Business and Professions Code: The CoNractors Ucense Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or herseli or through his or her own employees, provided Ihat such improvements ere not Intendetl or ottered tor sele. If, however, �he building or improvement is soltl wii�in ana year of completion, the owner-builtler will �eve.the Durden of pmving thet he or she did not build or improve for purpose ot sale.). � ❑ I, as owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70R5 b consbuct the project (Sec. 7046, Business end Professions Cotle: The coniractors License Law Ooes not aDP�Y �o an owner of pmperty who builds ar improves Ihereon, entl who comrecis tor such project with e wntractor(s) license pureuent to the Contracbrs License Lews.j. � I em e:empt under sec. SigneWre: Owner ID venfied by dnvefs licen5e. ❑ V05 ❑ No Business and Professions Cotle for this reason: Vedficetion ot Ownership by (rypa ot document, i.e. - properry tax blil or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: Eapires: ❑ I hereby cenlfy �ha� no excavation five (5) or more leet in depth into which e person Is requiretl to tlescenq will be matle in connectlon wllh work euthonzed by Ihis permit, and Ihat no building siructura, sceXalding, felsework, or demolition or dismentling thereot, will be more than ihirry-six (36) taet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Atlministrative Cotle). ❑ As owner-bulitler, I will not employ enyone to da work which would require e pertnit tram the Dhrision ot Intlustrial Sefery, es notetl ebove, unless such person has e permit to da such work from the division. Signeture: Date: Division of Intlustrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTMORVJITION OF ENRiY: I cenify under penalry ot perjury that I have read this epplication and state thet the information given is correcL I agree to compty wilh all state lews end ciry ordinances relating to building construciion, and eu�horize representatives of Ihe Clry of Casta Mesa to enier upon tha ebove-descnbed pmperty for inspection purposes. I egree not to occupy or allow occupancy of any building authorized by Ihis Dermit until linel inspection. CO�E 1, INSPECTIONTVVE 1616 Fi:etl System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Finel Re-Raot Final BIocWRetaining Wall Final Fecrory Fire Place - Final Siqn PAIE INfffIALS G� b � COOE� INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Finel Eletirical 212 Final Fire Prevemion 220 Flnai Planning Approval 222 Final Site 204 Finel Domolition � 250 Final Building/Ocwpenry oate 6-/fI -o� oa�a ' i�.��i:��n�� V U A II ant t flll I I i E i I I li `` DD c o n a I spaces except lhose wit�ln heavy Dortler I nes an 5 9n a I apOroprlate Gec ara ons. CITY OF COSTA MESA . PERMIT NO. T ACT N0.' LOT NO. BLDG. . , CONSTRUCTION PERMIT g - / � 5- � ' � 5601 3/OB/p4 48.50 PrOjeCt Add�255 TYPE OF CONSTHUCTION NEY; ADD LT RATION REPAI R Applitant'SMailingAddress, ❑CONVERSION ❑DEMOL15ti �OTHER �, q.p.*, Zone � ��iJi�G.-J / Phone Df✓_Q.�iT�i�� LJ Owner's Name 7- �7 n�,�� S Main Building: Accessory Building: Z Address TVPEOFPERMIT GRADING FOUNDATIOrv STRUCTURAL T Front �J Arch/Eng. %7i7n� Lic¢nse NO. ❑ TENANT ❑ ECTRICAL ❑ PLVMBING ❑ MECHANICAL g � I Rear N Addle55 ��OTHER _ �y��1 (e � A Contractor's Name � ��/,��.{{�� di(e PROJECT DESCRIPTION SQ. FT. '�� 3 C.� ncc�ionNcnv C Right G Addresslr^="^;��l�n �� .."'; 'AU�A Cir CONSTRUCTIONTVPE VA VATION$�./�� g L¢f[ E ..�r" — City License No. ��9D�- ZONE GRADINGCU.VDS. ACRES ping.Ref.# Park.Fees $ � U LICENSED CONTRACTOR DECLARATION Remarks: �c� ��LT Pa�king Req./Provided - � I hereDy affirm t�at I am Iicensetl untlar provisions of Charter 9(commencin9 R with section 7000) of Dlvlsion 3 ot tne Businass antl Professlons Code, antl � Use of Building: E my Iicense is in full r tl effect. Plannin Notes: . M License iazs ens � � PLUMBING FEES 9 Date Signature E QKE 5' OMPENSATIONDECLARAT N BarSink ShOwers N eby aftirm that 1 have a cerilfiw[e ot cons nt to selt-insure or a certiticate ' - ' T . JJorkers' Compensation Insurance, or a cerilfietl coOY thereot (Sectlon B2ckflowP�eventer ServitCSink S 3800, tab. CJ Backflow Irrigation Sewer Cap ELECTRICAL . FEES Pollty No. Company Certitletl copy is hereby lurnishetl. ' Bathtubs Sewer Connection AutOmatic Washer Transformer ❑ 15-50 KW Certifl tl c py Is flleC with the city fluytl inq Ivi51 . oate ApD��ant_i..L � Clarifiers ' SolarCollectors ConstructionPoleSub. ❑50+KW EXEM I N FROM WORKE0.5'�COMPENSATI DECLARATION Diihwa5hef So12f Pipin9 �ooking Unit Meter ❑up Lo 1008mp5 (Thls sectlon need not be complatetl if the permit Is for one huntlretl (y300) or less) Drinkin Fountains � I certi(y that in lhe pe�fo�mance of th0 wOrk f0� whlch thls petm�t is Issuetl I 9 $018� Tdnk Di5hwd5h2� MBt¢� ❑Ov¢� 700 amps snall not employ any person in any manner so as to become subjett to t�e Workers' Compensatlon Laws ot California. Floor Drains Swimming Pool w/Spa Dryers �Gas �Electric Sub Panel Oate Si9�ature �� NOTICE: If,iafter making this tleUaration, you sM1oultl become subject to tha Floor Sinks Urinal Fan ' , Workers' Compensatlon provl5ions of the Labor Cotle, you must forthwith. MotOrs �0.1 HP �1 %� 8 � comply wlth such provlslons� or this parmlt , shall �e tleemetl revoketl., Gas ServicC Outlets Water Clout � CONSTRUCTION LENDING AGENCV F�A�U� Inc.Solar�9-15HP�1615+ I hereby a/fllm that th9IB IS a Cons[ructlon�lentling agency tof tha p¢rfofmanGe IntClC¢PtOfS WBt¢I H¢dt¢f FixtUl¢5 � MiClOWBv¢ of the work tOr whlch this Oarmit IS ISSuetl (SettlOn 3087 Civ. C.) L.enaer's Name �^ Kitchen Sink Water Service -� Lentler's Atltlress ' Devite Boxes Pole Light OWNER BUILDER DECLARATION Levatofie5 OUtlels Range . I hereby aHirm Mat I am axempt from the Contractor's.Ucense I..aw tor the P_T e - followfng reaton (Sectlon 7031.5 Business antl Professlonal Cotle: Any clty or P �� Switthes Sign county wnlch rBquira5 d permit t0 ConStrutt, dltlr iTprove, tlemOlish or repair any structure, prlor to Its Issuance, also reqWres t�e applicant Por such parmit . Roof Dreins ' Garbage Disposal $tanding Sections to file a signetl statement that ha/she Ii Ilcenietl pursuant to the provisions of �- y,Contractor's Ucense Law (Chapter 9(commendng wlth.5ettion ]000) of � ' Generetor 00�5 KW �5-15 KW Trash Com actor ' ion 3 of the Business antl Professlons Cotle) or that he/she is axampt � P ':`c"�i/rom antl the Easls tor the allegetl examptlon. Any vlolation of Sectlon •��1.5 by. any ap0��<aM tor,a permlt zuDjects tha apPlicant to a clvll peinspection Fee $25 laue Fae $ 3 �eenalty of not more tnan /lve huntlretl tlollars (E500). - LJ I, as owner o7 the property or my employeez with wages�as their sole Reinspactian Fee $25 laue Fee $ 3 compensatlon wlll tlo the work, antl the structura is not Intentletl or offeretl � MECHANICAL FEES for sale (Sac�lon 7044, Business antl Professional.Cotle: The-Contractor's PU6LICSERVICESRE�UIREMENTS: Llcense Law tloas not appry to an owner of a property who bulltls or improves Boiler ' ' HOOtl or Type I � thereon, antl ,who tloes such work hlmself/hersel/ or tnrougn nis or har own � ZoninB APProved By Date emD�oY eos, provltletl tnat sucn �Improvements are not Intendetl or offeretl for Canopy Type II ❑, sale. If, howevar, tne EulI01n or Improvament Is sole wlthln ona ear ot <om- Duct - Under Ground ' Buildin A g y g pproved By DatB pletloq the ownar wlll have tha burtlen ot proving he/she tlitl not bulltl or Im- ' � erove for the purpose of sale). . , Duct - Structural Refrigeration System . Appliotion laued By �, Dat - �� LJ I, ai ownei of the property, am ex<lusively contractln9 �+��h Iicensetl con- 00.100,000 BTU ❑100,000 BTU � � tractors t6 construct tha oroject (Sectlon 7044, Buslness antl Profeszlons Cotla: Duct - Ventilating . , SUMMARV OF FEES �' The Contractor's Llcense Law does not appry to an owner of property who BUILDING PERMIT p SMIP � • $ - S�O builds or improves thereon, antl who contracts for such projacts with a con- Exheust System ❑ Multipl2 ❑ System R2pair/Alteration x� � 4� tracmr(s) Iicanse pursuant to the Contractor's License Law). . PLAN CHECK �� PERMIT ' ❑'I am axempt undar Sectlon e. & P. C. for thls reason Firepl/Fact.8lt. ICBO # � PLUMBING $ ISSUANCE $ Date � Ownar ' Heatin9 System & Ducting '� � p�qN CHECK 25% $ ENERGY P.C. $ � I hereby <artlfy that I�have reatl thls appncatlon antl state that tne abova • �6100,000 BTU �100,OOOBT - -� �- ELECTRICAL $ GRADING' $ IMormatlon Is correct. I agrae to compry witn all Uty. antl county ortllnances antl-state Iaws relatin9 to bulltlln9 c tructl n„antl hareEy authorize repre- ' PLAN CHECK 50°6 $ MICFOFILM $ sen[ativas ot thi <ity en pT up ove-mentione0 op tY for .�c,_�. InspectionDur " � � MECHANICAL $ � TOTALFEE $ �"`— Signature � Oa[e 3 Rein3 ction Fee � � Drivers' Llcense or 55 � Pa -$25 Issue Pee $ 3 PLAN CHECK 25% $ . -. �fj Sa CMF 0865-46 rev. 12/83 White - Builtling; Canary - Appliwnt: Plnk - Accounting; GOIGenrotl - Assessor �L �,�� TL CONSTRUCTION ANDPLANNING POO' SPA . , APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date � Inspectoi � 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 _- 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. �, 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. � 8. Foundation . . � 59. Gas Pipe, O Undrgrnd., Test - 9. WAter Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � 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 Wiiing Sign 68. APPROVED FOR P,LASTERING 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 � r22. Ducts, Ventilating � 71. Product Piping �Gas ❑Oil ' � 23. Gas Pipe-Rough & Test 72. Underground Flush � ,_24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe . �' . 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV,. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT � �31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test - - 36. Hood or Canopy � - - 37. Final Factory Fireplace _ ' 38. Final Plumbing � ' - 39. Water Service-Final 40. Gas Service-Final ' r ; 41. Solar pomestic-Final i 42. Backflow Preventer � _ _ . � 43. Backflow Irrigation - � � 44. .Landscape Irrigation System • , � � �� 45. Sound Attenuation - � ' �� . ' 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING _ _� ' � � 48. Special Requirements Completed ' - � � 49. Electric Release to Edison �- �� i. � 50. Gas Release to Southern California Gas Co tl � '. ' � 57. CERTIFICATE OF OCCUPANCY - � , " 1 No. Date ' _ ER CATES� William ADDRESS 2859 Drak GAS W ATER FOUGH PLUMBIM PROP. SWR. LINI SPRINKLING SYS MISCELlANE0U5 ROUGH HEATING ANO AIR CON0ITIONING UNOERGROUND ROUGH WIRING TRENCHES � FLOOR SVSTEM BONO BEAM � SHEATHING POWER FORMS U STEEL REINF. STEEL REINFORCE n FRAME AN� FLASHING LATHING - IN n OUT [� P' 'TER, BROWN COAT ;TURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AN� GAS TEST n ELECTRIC, FINNL DATE 4-29-7i BUILDING PERMIT I VALU TYPE SUBCONTRACTOR � . � �3 0 '• COSTA MESA BUILDING-SAFETY DEPARTMENT � 29-71�n�uOO1299�' *�* �18 np P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT Fo� Applican[ to Fi!l in Completely BUILDING `[ RECEI ED BV ��E RECE(V D OA E ISSUED ADDRESS �i�J % �n�rl G� �' I/ � �� P E R (v�I.J��n� OWNEF '��• ��'IC S A.P. NO. � .•f i i r q /�� BVILDING ADDRESS �S/ • ��/GC� ` �+DDRESS LJ! dU CITV 'O d, � NOL`�Y�C%IC� TRACT � LOT BLOCK z Q CON5TRUCiION W A A P O N LENDER �7/VC d m J � BRANCH J � OWNER m J ADDRE55 ��/ //� VALUE �J 'm ARCHITECT TEL. S �'—'�"Wfli � g ^ � � J a OR ENGINEER U Q FIRE w Q ADORESS ZONE TYPE GROUP d w Q ' APPROVED /� n J O CONTRACTOR � �ti% ��N% �+/ Tj 0 S B�' � / DATE " �/ m Z /� J � ADDRE55 � /i/�%//� W w ZON NO.OF USE OF N �= CITY "�f NOL dU�� P�� BUILOING Z �— —� STATE CITV ..� �ARDSAPPROVED YARDSAPPROVED jO LIC. NO. 'L,y ��s LIC. NO.G �'�� MAIN eUILDING ACCESSOflV BUIIDING SI2E NO.OF BlOGS. IFROMGLST T) OF LOT � ,}• �� NOW ON LOT RONT FT. VSE OF /�.� ` EXISTINGBLDG. i✓ <(y 'G!GrZ-L� ti�� FT. FT. F— SIZE OF NO. OF Z NEWBLDG. �X ROOMS STORIES L.SIDE FT. FT. U EXTERIOR WAII ROOF COVERING COVERING REAP FT. FT. J USE OF BUILDING AND WORK TO �E PERFORMED DISfANCE BET. BET. MAIN & a MAIN BLDGS. ACCESS. BLDGS. a OS �(f �y%/�f,fJ� ,�z,� C.UP,�'+ APPROVED � APPROVED N �� z I � UI �ereby acknowlatlBa that I have reatl [his applicatiOn antl stata � [hat the ubovo intormaHon is correct en0 nprea to comply wi[h � all lews rogula[inp builtlinp construction, entl I shell not omploy F„ any parsan in violation of tha warkmon's compansation lawe of y t�e State of Californla. m b ZI heraby cartify thai I am proparly licens¢tl as e connacror undar SQ. FT. o the Stete of California Business and Professiona Cotle, Oivisicn 3, THE AMOVNTSHOWN UNDER VALUATION IS FOR � Chopter 9, and t�at suth titenses are In tuli force antl effect, or 1 THE PVRPOSE OF ESTABLSHING A PERMR FEE ONLV: m am exampt from the provisions of Ne S�ate of California Business � antl Protes�onrGo e, Divi I n 3, C�Bpter 9. VALUATION n' C� ry � PERMR FEE $ /0� � Sipnatur -� ` / /`V m Permittee - �� §/��D\� PLAN CHECK 5 ✓ � E � \ / `o Authorized LL Be�� TOTAL FEE S � OWNER GENERAL CO] AP No. 'ECTIONS Sm� Gas 1 OCCUPANCY � / JOHNSON, Edward DATE 4-27-62 BUILDING PERMIT NO. LOT 1Q TRACT Jyl$jy FIRE ZONE DESCRIPTION OF WORKAdd Att. �Signature� DAT� GROUP .T TYPE jp ZONE R-1 SUBCOLd'PftACTOIt ` � ° I695 ' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIPORNIA For Appliaan+ io Fill In Complefely TYPE OR PRINT BUILDING ADDRE68 a-. C05TA MESA CALI RNIA L S ■ BIZE � 86TBACK LINB FROM ^ � _l NO. OF B1D09. W3 OF WORK FE RECE�iVED APR 2 71982 . fINANCE OEPT, APPLICATION FOR"PE�111EOSTA MESA eua�iw� For Offiee Use Only NECEIPT NO. I P6 !{1 BY I � / —Eis�7-��" / e,�,�J-I_ � COSTA MESA. CALIFORNIA APPROVED BY I -� � ZON NO. OF I PLAN9 LEQAL DEBCRIGTION A. P. NO. YARDS APPROVED fCENTEP LIN! BTJ FRONT R. SIDE � L. SIDE � REAR APPftOVED /i� }lq�BATE y ^ NG �SE OP NEW � 1 / EXTERIOR WALL ROOF � �� COVERING COVERING � U6E OF BUIL�ING <.ND WO TO BE PERFORME �� 3 � ¢ �/ 1 HEftBOY ACKNOW�DOB THAT 1 XAVE qEAD THIB APPYWTION THC AMOUNT BHOWN UNO¢H VALUATION IB FOR THE AND BiATB TXAT TXE ABOVB I6 CORPECT ANO A6R¢E TO COM- pURPOBE OP EBTABLI9NING A PERMIT FE6 ONLY. pLY WITN ALL CIiT ORD�NANCEB ANO 9TATE UWB AEOOIATING eu1LDIHo CONBTR oN VALUA7 N SIGNATURE OF /� � PERMIT FEE S e�.� ^ PERMITTE �/ / e $ C PLAN CHECK $ � 1 AUTHORIZED AGENT . - � �' TOTAL FEE y OWNER SADANI, Z. S JOB ADDRESS 2854 r)rak �C7� IH_. EC SOIL GAS WATER �ROUGH PI PROP. SV .I. SPRINKI I ROUGN NEATING �ND �IR CONOI710NING TEMPOR�RY SEpVICE OR POLE UNOERGROUNO � POWER � RDUGN WIRING TRENCHES FORMS STEEL REINi F100R SYS EM BOND BERM � �STEEL REINFORCE ❑ SHEATHING FRAME ANO FL HING Lr1THING — IN OUT PI "TER. BROWN COAT iURAL. FINAL NEa�ING. VENT., RE�RIG. AN� �,C„ FINAL PWMBING, FINAL ANU WS TEST � Nnl f3I3� DATE 6_pp_ BUILDING PERM VALUE SUBCONTRAC70R c - / . k'� I y•, Pa10 /� -- mH7?_-77�M�,,00355ort tr**�37.11 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 60X 1200 COSTA MESA. CAIIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant [o Fill in Completely — Use Ink Only RECE E BV D TE RECEIVE� pqTE ISSUED BUIIDING �l O[�j D n�� A..� �/ —7 ADDRESS '�'Q "/ K /i'V C � �c� P T OWNEP Z. S� �+�D�W� A.P.NO. V MAIL BVILDING �iL'� � ADDRESS SA�� ' ADORESS p� CITV C�TA �tSA NO. `S/�-o2y TRACT ( LOT � BLOCK CANSTFUCTION �'�' A P LENDER BRANCH �J , OwNER G ADORESS 1 '^ VALUE p�(/� ARCHITECT TEL. p SE uy' S I UvV Ofl ENGINEER � M SIAQ �S a 3 FIRE ADDRESSi-7SZ OcS�� e C,M• ZONE TY GROUP p APPROVED � � � CONTRACTOfl �G P.,. — J .� BV DATE ADOPESS TEL. Z�NE NO.OF VSE OF CITV NO. PLANS BUILDING �� , STATE CITV �'AFlDSAPPROVED VARAAI �IC. NO. UC. NO. MAIN BUILDING ACCES� F I OIN SIZE NO.OF BLDGS. (FROM L ST E OF LOT NOW ON LOT qOfYT FT. USE OF EXISfING BLDG. S F. O FT (t Separate permi[s are required for L. SIDE FT. FT. elec[ric, plumbing and heating work ` REAR FT. FT. USE OF BUILDING AND WORK TO BE PER ORMED DISTANCE BET. BET. MAIN & Q� i�l /DO MAIN BLDGS. ACCESS. BLDGS. VAR.�F DATE C.U.P.yp APPqOVED /7 APPROVED � � /�/ j� 7 !/� ( I heraby ocknowletlBe that I hava raetl thls oppllcallon antl rtete v thet the ebove Informetion is corroct an� aproo to compiy wlth � all laws reB�latinp buildlnp construciion, entl I shall not employ a any persOn in violation of tha workman's compensation laws of m the Staie ot California. I hereby cartify that I am properly Iicenmd as a controctor untler SQ. FT. N the Stete ot Callfornla Businass ontl Profassions COtle, Division 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR m Chapter 9, entl thot such Iicenma ere In fuli lorce entl e7facq or I THE PUR70SE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the provislons o/ tno Steto of Californla Buslness '� antl Professiona Catle, �ivlalon 3, Chepter 9. VAIUATION ''^ PERMIT FEE E N (Jv PLAN CHECK m m s�a�ez�,a ot y�,. �,,,,� /l DDO • LL Parmlttee � � TAX E � � U Authorized AOent TOTAL PAID E / r i - / COSTA MESA BUILDING-S FETY DEPARTMENT v.n.anxi2oo cOSTAMESA.CALIFORNIA92626 nit7 7_3-77�k,u003761 0*��'�S�i.C1� APPLICATION FOR STRUCI'URAL PERM[T For Applicant to Fill in Completely — Use Ink Only FiECE1VEDBV OATERECEIVED qTE S E BUI�OING �� ADDRESS T OWNER A.P. NO. BUIIDING MAIL AODRESS ADDRESS TEL. TRACT LOT BIOCK CITV NO. GONSfRUCTION N W AD AL R P �ENDER BRANCH �• C. WNER �J AD�RE55 AL ARCNITECT TEL. S � OR ENGINEER N I FIRE ADDRESS 20NE TVPE GROUP APPROVED CONTRACTOR .� BY DATE ADORESS ZONE NO.OF USE OF NEW TEL, p�,qKS BUILDING CITV NO. STATE CITV �'AFlOSAPPROVED VAqDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIIDING SIZE NO.OF BLDGS. (FPOM C/L STREET) OF LOT NOW ON LOT ONT fT. FT. USE OF E%ISTING BLOG. SI T FT Separate permits are required for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUIIDING AND W�RK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCE$$. BLDCS. VAR.# DATE C.U.P. #�' APPflOVED APPROVED I hareby aeknowledge thA< � have read this application antl stata ihet the ebove informati0n is corract end e8�ea to comply with ell laws reBulatlnB bulltli�B �onsvucilon, and 1 shall not employ any perwn in violetlon tlt Me workmon's compenution laws of iha State of Celifornle. I hareby cer<Ify that I em Properly Iicansetl es e eontractor untler SQ. FT. the Stata of Californla Businass antl Profassions Cotle, Oivision 3, THE AMOUNT SHOWN VNDER VAIUATION IS FOR Chepier 9, antl that such Ileenses ere in full force and etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the provislons ot the State of Cellfarnia Businaw VALUATION entl Prof¢sslOns Cotle, Dlvisian 3, Chepief 9. PERMIT FEE 5 �O-(� SI9^aturo of / PLAN CHECK E Permlttae $ TAX S Authorizetl Agent TOTA� PAID S �Q.� n m m' m N � m b u� m LL F U ., , . , ,: • � 9:4853 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 60X 917 C08TA MEBA. CALIPORNIA For Applicanf fo Fill In Compleiely TYPE OR PRINT COSTA MESA CALIFORNIA MAIL 3800 E, Coast Highway AODRESS �in. Carona del Mar No:OR 3 ARCHR6CT MaccO Cor T��'OR 3 OR ENGINEER p' NO. annarac 3800 E. Co88t Alp,hWBy 3800 E, Coast H 98808-5B-1 No: OR 342 OOO SF I NOW oN tor�� 4S'-10�� REAR YARD +3�' ' I LEFT S� � I RIGHT 5� DESCRIPTION OF WORK 'eua��x37'-l0Y eo°ora°s � STORIES 1 s�ze attached 1 H6R8BY ACRNOWIPD68 TXAT 1 HAV6 PGD TXIB MPYGTION RND 8TAT8 THAT TH8 AOOVH IB COPN6CT AND AGR66 TO COM• PLV WITM ALL CIT' OpDINANCHe AND 8TAT8 LAWO P60UlATINO BUilAINO CONBTf1UGT10N. ai�naruae oF T¢,$A DEL MAR DEVEIAPNENT CO IA�UTHORIZHD FEE RECEIVED JUL 12f969' INANCE DEPT. CItY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offlee Use Only R6G81P1 NO. q ryP(A Tr � 'Y (A Ai'� g aLU'tY eecsrvee er I o�n naurveo I �UL 1 12 1967 BUILDING COSTA MESA. CALIFORNIA FIRH ZONING zoHe �`/I vuHs 7�I eu toixo yV�/i T; R � �:�":,..,.,.1-12 �F 1 � �/ ,( < �- !-� er. � Living Area - 1245 SF Garage Area - 390 SF Cov. Porch - 123 SF TH8 AMOUM BXOWN UNDBR VALUATION Ip IOp TM[ PUflPOB6 OF 66TABLIBHINO � PeRMIT P88 ONLY. VALUATION � PERMIT PEE $ �� N $ L3�ZZS.00 p�pN CHECK $�� o 70TAL PHE d� � 0 4