The URL can be used to link to this page

Home My WebLink About941 CROCUS CIR - Building PermitsADp��ant to flll In all soaces ezcept those within heavY bortler Iines ana sign all appropriate tleclarations. CITY OF,COSTA MESA CONSTRUCTION PERMIT PERM O. , TRACT NO. LOT NO. UNIT Nn vrojectAddress 941 crocus Cir_ Applicant'sMailin9Address 1OGZZ�'rTaSlc AVC_ ow�e�'s Name Ghandacacker Pnone 557-9851 Address 9—�—Crocus Cir. Arch/Eng. License No. Address Contractor'sName A-emes Plumb�ng—NE8[iuB.,ne 530-2440 Addresslmailing) IOLZZ Trask Ave_ City Licenu No. 6664 LICENSED CONTRACTOR DECLARATION I hereby affirm thal I am Iicense er provi s of Charter 9(mmmencing with section 7000) oi Oivisi 3 of tbe Busine antl Pr o q, antl my license is in full force a effect. License Glass � Li�se o. oate 6-10-86 Si nat WORKERS' COMVENSATIO LAR N 1 heieby aifirm chat I have a ceriificate of onsent to selt-insure or a certiticate of Workers' Compensation Insurance, or a certifietl covY thereot (Section 3800, Lab. C.) ' vai�v No. 978832 cor„aa�vB€public Indemitv Certifietl copy is he�eby fumishetl. Cer ifi nT co8 is filetl witM1 the citY Builtlin9 OivisJ on. Date ��/�V� qpplitan[ A��eS plumbin¢lHeatin¢ EXEMPTION FROM WORKERS' COMPENSATION DECLARHTION (Tn155ection neea not be cOmpletetl if the permit is tor One'huntl�etl ($300) o� less). I certify that in Ibe performance of tM1e wo�k tor whith this permft is issuetl, 1 sball not employ any penon in any manner sa as to become subject to the Wotkets' Compensatlon LawS ot Calitornia. • Date Signature 'NOTICE: If, atter making this tleclaraHon, you shoultl become subject to the Workers' CompenSatiOn provisions ot tne Labor Cotle, you must fortnwitn comply with SucM1 provi5ion5 or this permlt shall be tle¢metl revoketl. CONSTRUCTION LENO�NG AGENCV I hereCy aifirm that lhere is a construction Ientling agency tor the performance ot ibe work tor wbich t�is permit is i55uetl (SecHon 3097 Civ. C.) Lentler'S Name l_entler's Atltlress OWNER BUILDER DECLARATION - I hereby af(Irm thac I am exempt irom the ConVactor'z Ucense Law tor the following reason (Section 7031.5 Business antl Professlonal Cotle: Any ci[y or county w�icM1 requires a pe�mit to construct, alter, Improve, tlem011stt o� repair any s[ructure, prior to it5 issuance, also requlres the applicant tor such purmit to file a Sign¢tl statem¢n[ Ihat ne/she is licensetl purzuan[ to lhe provision5 of tne Contractor's Li<enze Law (Chapter 9(commoncin9 with Section 7000) of Division 3 ot tne Buziness antl Professions Cotle) or tbat he/she is exempt therefrom antl the basis for [he allegetl exemplion. Any violatlon ot Seclion 7031.5 by any applicanl for a permit subjects Ihe applicant to a civil ( enalty of not more than five.huntlretl tlollars (E500). � I, as owner of [he propertY o� my emplOyeos with wa9es as lheir Sole compensalion, will tlo the work, antl the struc[ure is not in[entletl or ofleretl tor sale (Settion 7044, Business antl Professiondl Cotle: The Conlraclor'S license Law tloes nm aooiY to an owner ot a property wno builtls or improves there0n, antl who tloes such work himself/harsel/ or through his o� ner own employees, prOvitletl lnat zuth improvements are not intentletl o� o(feretl for sale. If, however, the builtling or imp�ovement Is soltl wilhin one year of com- pletion, the owner will nave the burtlen of provinq M1e/she tlitl not builtl or im- prova fo�lhe purpose of sale). ❑ I, as owner ol the properry, am uxclusively contrac[inq with licensetl con- tractors to construct the Oroject (Section 7044, Busine55 antl ProfeSSlons Cotle: The Contractor's License Law tlaes not aoPly to an owner oi property who builtls or improves thereon, and who conVacts for such projects with a con- traclor(sl license pursuant�to the Contrac[or'S License Law). I am aware that proof o( [heir Worker'S Compensation inmrance snoultl be provitletl to me. ❑- I am exempt untler Secfion B. & P. C. for thi5 r¢a5on oate �rivers' GMF 0865-� Ihai I have ai �recL I ag�ee o a[ing to tlin enter ] ztate that the above antl countv ortlinances TVPE OF CONSTRUCTION LJ NEW U ADD LI ALTERATION U REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,p.�6 DESCRIPTION OF WOFK/USE OF BLDG. � S Main Buildi E TVPEOFPERMIT GRADING FOUNDATION STRVCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PIUMBING ❑ MECHANICAL B Rea1 ❑ OTHER A PROJECT DESCRIPTION Sp. FT. OCCUPANCV C R�9ht K Left CONSTRVGTIONTYPE VALUATION3 $ ZOtvE GRADING CV. VDS. ACRES p�ng, Ref. # Remarks: _ Plonning Notes: Bar Sink Backflow Preventer Backflow Irrigation Jrinking Fountains FlOor Drains Floor Sinks GasService Outlets Intercepror5 Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - $tructural Duct � Ventilating � Exhaust System ❑ Multiple FirepVFact. Blc IC80 # Heating System & Ducting ❑ ai oo,000 sru O i oo,000 �Reinspection Fee Wnite - Builtling; Cana�y - Applicant; Plnk - Accounting; Goltlen�otl - Assesso� $15 PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank ' Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundrv Travs laue Fee Hood or Typel � Canopy Type I I ❑ Fefrigeration System ❑o�ioo,000aru ❑ioo,000eru Sysrem Repair/Alteration Fire Dampers Aegisters Isue Fee FEES Auwmatic Washer Canstruction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas.�Elec Fan F,A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW � f•8670 7%01/86 � �, __ . . . . _— 2on8 Accessory Building: ELECTftICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter pover100amps Sub Panel Morors�0.1 HP OiX-8 Inc.Solar 09-15 HP �16-75+ Microwave Pole Light Range � I; Standing Sections 15 KW Trash Compactor ��7�� T� FEES Z O N I N G R E Q M T S $� Reinspection Fee $75 luue Fee $ 3 FEES DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approvad By Date Building Approved By Date Appliration luued 6y ��ate �% �� SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ � PERMIT PLUMBING $ 5_00 ISSUANCE S PLAN CHECK 25% $� ENERGY P.C. 3 ELECTRICAL $ � GRADING ' $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ �TOTALFEE $ S.00 $ 3 PLAN CHECK 25% $ ( Y C,ONS7RUCTION AND PLANNING x POOL PA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector ]. Tempora�Y Electrical Service or Pol� � ,,'a 52. Pool & Equipmen[ Location 2. Soil Pip��Undrgrnd. ' -�`; . �, ' 53. Steel Reinforcement � 3,�,Elecvical Conduit l`1�ili[y-Undrg�nd � 54. Forms 4�'Electr�c� Conduii,-Und�gmd. N 55. Electrical Bonding 5.'Steel,Reinforcemeni • 56. Rough Plumbing & Pressure Test 6.;�E1'ectrical UFER=Gr�d. 57. APPROVALTO COVER�GUNITE � 7.�Footings �� ' S8. Electrical Conduit-Undrgrnd. 8. FqLnda[ion �' T 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgind. a. -,, 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor $ystem ..�, � 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewer. Cap � '�' � � 63. Heater & Vent-Final 13. Roof,Drains �; .`; .� � 64. Plumbing SYstem - Final 14. R��ug�h PlUmbingy '' ;�, 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i 6. Rough ElCctric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heaiing & Air Co�ditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace '�.� APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Duc[s, Ventilating • 71. Product Piping O Gas O Oil 23. Gas Pipe-Rough & Tes[ 72. Underground Flush 24. Roof Framing ' 73. Undergrnd.Stora9eTank OGas ❑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 Brpwn Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80, �OD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Condi[ioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � �y_�(� �,� 39. WaterService-Final l= 40. Gas Service-Final � ' (7' 41. Solar pomestic-Final '' + r• 42. Backflow Preventer ''� "' 43. Backflow Irrigation '� :� --- .44. .Landscape Irrigation System �_ 45. Sound Attenuation =-� � .46. Handicap Regulations ',.L � .: a7. FINALS7RUCTURE&BUILDING �48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas ReleaSe to Southern California Gas Co = �. , 5]'. CERTIFIGATE OF OCCUPANCY No. � Date r \ ' .� � AVP�leant to liil In all soaces except those within heavy eoraer Ilnes ana si9n all approprlate Ceclarations. CirY OF cOsrn pqesA NSTRUCTION PERMIT � Projeci Address �1•� Applicant's Mailing A dress �� Owner's Name Phone ii✓--F_=�� I Addreu p � Arch/Eng. License No. Address Convactor's Nam q n Phone� _ Address (mai�ingl��n�7 �� C4 L City�icenseNo. «/ Is, - --_____— -- LICENSED CONTRACTOR DECLARAY�ON I hCreby atfirm that I am Ilcensetl unEer PrOVISiOnS ot Charter 9(<ommCncinq with 5ection 7000) of olvislon 3 of th9 Buslne5s antl Profeszions Cotle, antl my license is in i r<e antl eifect. Licen Cla s ic n Dale � � Signature WORKERS'COMPENSATION OECLARATION hereby affirm t�at 1 have a certiticate of consent to selftinsure or a certlflcate �f Worker5' Compensation Insurance, Or a certlfiee copy Nereob (Sectlon 3800. Lab. �j,,Q��S �� Pnoli�c,y No. �� ComPany G certifie copY !s f IeObwilhrtM1e C�i�tY Itl�9y�{�WBlo Date�APPlicant��p.-/Y-�i�//y �� EXE PTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl i( th0 Permit is tor one huntlretl (E700) ar lesz) I ce�lify that in the perfOrmance Ot th¢ Work fot which Mis p¢rmR is is5uetl, I snall not employ any peroon In any manner so as to become subject ro the Workerz' Compensation LawS ot Californ�a. Date Signature NOTICE: I(, after making this tlaclaration. You shoultl become subject to lha Workers' Comp¢n5ation provi5ion5 oi t1�e Labor COOe, you muzt tOrlhwi[h comply with such provisions or this �ermlt shall be Ueemetl �evoketl. CONSTRUCTION LENDING AGENCV 1 herety aifirm tnat tnere is a constructio� lentling agenty tor the pertormance ot Ihe work tor whi<h thi5 permit �t ISSu¢tl (Se<tlOn 3097 Civ. CJ Lentler's Name Lontler's Htltlress OWNE0. BVILOER OECLARATION I hereby altirm that I am exempt trom �ho Contractor's License Law for [ne IOIlowing reasOn (Sectlon 7031.5 BuslnBSSantl ProfC551ondl COUe: Any city Or munty whlc� �eqWreS d pGrmit to conStNcl, dlt¢r, Improve, demoli5h or repair anY structure, ptlor to Its Issuanca, also reqWres the appllcant ior suctt parmit [O lile a sign¢tl zta[ement thdt hC/She Is ��enietl purSudOt t0 [h¢ Provisions ot tne Contractor's Litenie L. w(CnaOter 9(�ommon<ing wiN Section �OOO) ol �ivision' 3 of the BuSiness antl Pro(uss�ons Cotle) or t�at he/sne is exempt herehom antl the basis lor the allagatl exomptlon. Any violaUon of Seclion /031.5 by any apP��ant for a perm�t suDjects tbe applitant to a civil �enally of not more Ihan IIvO huntlred tlP�la�s (5500). I, as owner ot tha property o� my ampl0y0es wllh wage5 a5 th0ir sOle compenSatiOn, will tlo tlte work, antl lhe slrUctwe IS not intenpetl o� olferetl 'tor Sal¢ (SecUon�]044, BusinGss antl �role55ional Cotle: The ContraCtOYS LI<ense Law tloes not apoty to an owner o/ a property who buiitls or Imo�a�es ihereon, antl who tloes sucM1 work hlmSell/herielt or inrough nls or her own CmplOyees, 0/ovltlatl thal suc� Improver�o�ts arc not mtuntlatl or o�feretl for sale. If, howev¢r, the bulltlin9 or ImproVoment I5 SOItl wlthin one�yea� ot com- pletioq tM1c owner will have tne buraan ol provin9 ne/she tlia not builtl or im- �rove for tbe purpOsa otsal¢�. I, as owner of [he p�operty, am ¢%clusively contractinq with Ilcensetl con- � Vactorz to consHuct the project ($ectlon 7044, BuSiness antl P�ofe55ion5 COtle: Tne ConVactor's License Law tloes no� aoPly to an owner of pro0erty wno builtls or improves thereon, antl who co��racts for such projects with a con- tractor(s Ilcensa punuant to tne Con[rdctor's LlcenS¢ Law). I am aware that prOot o� their WOrker's COmp¢n5atlon ��surdnco shoultl be provltletl t0 me. ❑ 1 am exempl untler Section B. & P. C. tor tn6 reason .Date Owner I nereby certiry that I have reatl this dPP��W��On antl state that t information I5 corr¢ct. I a9ree to com0��' w�th dll <Ity anA cOunty o antl state laws relating to builUing cons ruttion, antl hereby author s¢nlative5 of_this.tlty [O eyfOr upOn �e dbov0-mentione0 prol Signature !.i///IU. Drivers' License ar 55 � TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION L�J REPAIR ❑ CONVERSION '� DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BIDG. TVPE OF PERMIT LJ GRADING�OUNDATION LJ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5p. F7. oCCUaANcv_ CONSTRUCTION TVPE VA�UATION 5 ZONE GRADINGCU.VDS. ACRES_ qemarks: ' 8ar $ink Backflow Preventer Backflow Irrigation Clarifiers rinking Fountains loor Orains � loor Sinks as Service Outlets Kitchen Slnk LevatOries P—Trap Roof Drains Showers Service Sink $ewer Cap Sewer Connettion Solar Collecrors Solar Piping Solar Tank Swimming Pool wlSpa Urinal Water Clout Water Heater Water Service AULO-W85I1 FEES Reinspection Fae � $15 � � Issue Fee � S 3 Boiler Duct- UnderGrountl Duct - Strucwral �uct � Ventilating Exhaust System ❑ Multiple Firepl/FacLBIL IC80# Heating SVstem & Ducting ❑4100,000 BTU 0100,000 Reinspeetion Fea � $15 CMF 0865-46, rev. 30/B4 Whi[e - Builtling: Canary - Applicanq Pink - Accountin9: Goltlenrotl - Asseisor Hood or Typel � Canopy Typell ❑ Refrigeration System ❑aioo,000eTu ❑ioo,000 System RepairlAlteration Fire Dampers Registers Issue Fee A.P. �W S Main Building: T Front ARear C Righ� gLett Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. Fiztures Device Boxes Outlets � Switches Garbage Disposal Generator �0-5 KW �545 Accessory B Parking ELECTRICAL . Trensformer ❑ 75-SOKW � ❑ 50+KW Meter �up to 100 amps Meter �over 100 amps Sub Panel � Motors � P 7 HP � 1 X- 8 Inc.Solar �9-15 HP �76-75+ Microwave Pole Light Ranqe Sign Standing Sections � Trash Compacwr . Reinspection Fea $15 laue Fee FEES �DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approvad By Building ApProved By Apoliration Issued By � $ 3 Z O N I N G R E Q M T $ FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP - $ PLAN CHECK $ PERMIT PLUMBING $ � , O , ISSUANCE $ PWN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ . GRADING $ PLAN CHECK 50% $ �MICAOFILM 5 � MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ TL CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit#' Date Inspector � 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-Undrgrnd. 55. Electrical Bonding 5. Steel ReinforcemCnt 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, � Undrgrnd., i'�.st 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,iL7 Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK v� 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-Cond�ic 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�7 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 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Fough & Test 72. Underground Fiush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 �-(3.d'7 (,E�J 39. Water Service-Final � 40. Gas Service-Final 41. $olar pomestic•Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Speciat Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , No. Date `- - _. . . . `... .: (� i TRACT r IAT N0. ADDRES; CITY Or COSTA MESA REQUEST POR OCCUPANCY DATE The developer of the above entitle3 tract desires co sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Hesa. The undersigned, by executing this agreemen:., acknowled�es that (he-she-they) (was or were) advised that this tract ha� not been given final inspection nor has it been accepted by the City of Cocta Mesa as having complied with the conditions of approvai which were imposed by the City at the time the final tract map was approved, The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City hannlecs from any claim resulting,in damage or pereonal injury to the undersigned by reason oE the aforementioned uncompleted condition. REC.:E:�.�ED,:�;::: . CITY OF�( C�ei:, ""AFSA � � .,. • APR ?_-�; ly� : ' AA7 ' ^ •: � • �pM � • 7i$�9il0illi1�2i1'i2�3i4i5�6 . �� L'Y i�urcnaaer y � � ,� BY �j ' ��l��a[l�cf`� Dcveloper and/or auehorized representacive BY j1.-r_,.=�=CL'� /,t1/,L. Ic2� Lender w �. . 74 i�UC 15•7[PAtoOO1023:� �=�126.05 . � �� a ��5 COSTA MESA BUILDING•SAFETY DEPARTMENT 2OLA P�O. BOX 1200 COSTA MESA, CALIFOFNIA 92626 APPLICATION FOR BUILDING PERMIT ForApplicanttoFi!linCompletely � RE iv�D DATERECEIVED DAT ISSVED BUILDING � ,� � // 7 ADDRESS C.TOCllS Circle � � PERMIT NO. OWNERLarwin Southern Cdllf. IRC. A�P�NO. r BVILDING U MAIL 16255 Ventura B�.VCI. ADDFESS Z ADDRESS 6U CITV Encino, Calif. N�86-8890 TRACT LOT BLOCK Zz ¢ CONSTRUCTION W P oy LENDEfi Larwin So. Calif., Inc. �� BRANCH 16255 Ventura Blvd. � J N OWNEti mJ ADDRESS Encino, Calif. va.�ue ///.� �m ARCMITECT TEL S � S�LVO J a OR ENGINEER Larwin V a FIRE W 2 ADORESS 9100 W11SY11Y2 Beverl Hlll ZONE TVP GROUP a W APPR � � JO CONTRACTOR Larwin Southern Calif. B� DATE ' Z- m¢ ADDRESS 16255 Ventura Blvd. w w 20NE NO.OF ^� USE OF NEW /N �AISi pU �= cirv Encino, Calif. nTi�86-8890 P�^N5 p� BUILDING W 6� z� � STATE CITV �'ARDSAPPPOVED YApOSAPPROVED N Q ��c. No. 191311 LIC. NO. B-1 MAIN BUILDING ACCESSORY BUIIDING 7 O (FROM GL STREET) 512E NO.OF BLDGS. OF LOT C)O X LOO NOW ON LOT O R NT FT. FT. USE OF F EXISTING BLDG. FT. FT H SIZE OF NO. OF z n,ewe�oc1436 ROOMS STOFIES 1 L.SIOE FT. FT. a CO�vEERI�INGALL St.UCC COVOERING Wd. Shingl REAR �J�FT. FT. U J USE OF BVILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLOGS. ACCESS. BLDGS. a 0 Construct sin le famil dwellin CURP � nPPROVED F APPROVED n N z 0 ~ I hereby acknowletlge that I have raetl this application antl state � that ihe above intormation is corract antl agree to comply with D A '• � ell laws ragulating builtlinp consnuetion, anC I shell nat amploy � F any person in violo[ion oi the wOrkTan'S compansa[IOn Inws ot y tha State of CeliforNn. � � � Z I hereby cartify [hat I am properly licensatl os a conVncror antler SQ. FT, o the State of CalNornla Businass antl Professions Cotla, Dlvisicn 3, THE AMOUNT SHOWN UNDEfl VALUATION IS FOR � C�ap[er 9, ontl Net such licenses nre in (ull (orco ond effect, or I THE PURPOSE OF �ABLSHING A PERMR FEE ONLV: m am axamp[ irom tho provisions of cho Stnm ol Callfornln Buzlnass Q and Profezsions Cotla, Divislon 3, Cheptar 9. VALUATION �� y4i PERMR FEE 5 _ j S(p^awre ot ^� /�.� � � m Permlttee ��}� D. Down $�pL�(,/// PLAN CHECK 5 �— E V � � o Au[horized AOent � LL TOTAL FEE 5 � ( � ODSTA MESA BUiLDING—SAfETY.DEPARTMENT P• 0. BOX 1200 Costa Mesa, California ELECTRICIAN�- (%1 C{�'�O ADDRE55 I � CITV �T:� � STATE LICENSE NO. �-O � � CITY UCENSE NO. _�� NO. ITEM Dwelling, Sq, Ft. Garage, $q. Ft. Fint YO Outlen, each Outlats, Additional Fint 20 Fi:tuws, each FixNres, Addirional Dryer fan Heater Oven, Dommtic Pole, Conslro��{on� Ronga, Dompafic� � Mo�on (See Sched�Ia� � � HP HP HP Meten, eo. Permi� Pee � Su6-Totol iNf iOta� f!!f F lACN �Elf f �� 329k 8/12/BI TRACT NO. REC'D BY�L]— l0T NO } BUILDING USE BUILDING �.� C�oC�/ S ADDRE55 � � `�COSTA�MESA; QIIFORNIA NEAREST �(.��[� CROSS S7. v" " ..'(( \ MAIL � �� ADDRESS 5.Q0 TL PERMIT DATE ISSUED g-ia-�i :ITV �-`��.`, \Y 'I��' • TEI. NO�cJ ! ✓�,/ �� 1 HENEBY,� ACKNOWLEDGE TMAT � HAVE READ TMIS APVIi- CATION AND STATE THAT TNE ABOVE IS CORRECT AND AGREE TOiCOMPIY�WITH AlL dTY ORDINANCES AND STATE LAWS REG- ULATING ELECT0.1CAl WIRING. �`I CERi1FY THAT 1 POSSESS TME ABOVE VALID STATE OF CALIfORN1A CLASSIFIUTION pR I AM THE IEGAI OWNER OF TME SINGLE FAMILY RESIDENTIAL PROPERTY DES ED AEOVE. SipmNra oF � PERMITTEE �`�� Np. ITEM EACN IFFS Sipn 8 1 Trans. 2.00 Troniformart KW Generaton � KW Sub-Total Fces TEMP. POLE UNDERGROIIND CONDUIT 00 ROUGH QO FIMURES POWER �JiiJ UTIIITY CO. NOiIFlED APPROVALS cnn 0313-46,rev.7/75 BLDG. PERMIT PIO. _ For items not listed refer to Fee Schedule CtlSTA MESA BUILDING—SAFETY DEPAflTMENT =. P.O. BOX IY00 ' Costa Mesa, Califirnia pddress '��'�j 5�� r- cG�r - ✓ �� 7+"� Stam License No. "(�� .�� City License No. � � N0. ITEM FAU, Wall, or Grav. Fum_ Incl. Ducts and Venis Vent (if not incl. Suspended Heat� Aller or Replace Aooliance ass. EACH 1 4"' : 3 H.P. or less Over 3 H. . to 15 H.P. Vent Fan—Sin le Duct Ventilating Ho6d i. � � Sub-Total Permit Fee TOTALFEES �o�M eo 13 3292 B/12/91 7.0 TI_ 1 \ PERMIT N0. TF�CT N0. qECD BY � A�j l Q LOT N0. 1 v I..J CJ 7 BU�LOING USE OATE ISSUED a �-/2 -�/ AOORH55 J''r� l�lL�`vs � FEES COSTA MES�, GLIFORNIR - NEAREST / A�J . CRO55 ST. G��" /�� OWNEN '/a/ � S� � . ��/Y� MAII �/�ai1.� . ��ORE551�., �/�-� ' ' pTY /q�� M�%�TEL.N0��7�5( �, �� 1 hcreby acicnowledge tha[ I have rcad [his application and stete that the above is correct and agree to comply with all Ciry Ordinances and State Laws regulating Hwt- ing, Ventilating, Re(rigeretion and AirvConditioning. '� � I certify that I possess the above valid State of Calif- ornia classification or I am the legal owner of [he single �Q (amily residential property described above. Signawre o( P ermi tte e REMARKS: Ducts in Stmcture Ducts Ven[ila[ing Heating — Ro�gh Hoods Refrigeration Lines Pressure Tesi Air-Cond. Finel OO Ventila[ing Final Heating Final 3 � Retrigeration Final M Final Gas Tcst w Utility Co. No[i(ied SLDG. PERMIT NO �