HomeMy WebLinkAbout3220 DAKOTA AVE - Building PermitsCITY OF COSTA MESA
�pMF BUILDING DIVISION
't s•�r 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
F � S
�,3o4�Eo� FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: E10-00098
PERMIT TYPE ELEC
APN: 13908506
JOB ADDRESS: 3220 DAKOTA AV CM
Viciniry:
SCOPE OF W012K: SERVICE UPGRADE TO 200 AMP.
OWNER: JQHNSON, TODD AND JESSIE
PHONE: 714-768-3436
APPLICANT: B�EBE, GARY
PHONE: 714-639-9361
CONTRACTOR; BEEBE ELECTRIC INC
Address: 2921 E RUTH PLUnit: PHONE: 714-639•9367
City/State: ORANGE, CA ZipCode: 92689
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00
TOTAL FEES $54.00
STATUS: ISSUED
DATE ISSUED: 05/28/2010
ISSUED BY: KJB
Suite/Unit:
Address: 3220 DAKOTA AVE Unit:
City/State/Zip: COSTA MESA, CA
Address: 2921 E RUTH PL Unit:
City/Stale/zZip: ORANGE, CA
License No. 746679
CELL:
NOTICE: The wqrk authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final appraval must be obtained. Failure to obtain inspections and fnal approval will result in the expiretion of this permit.
CODE/. INSPECTIONTYPE DATE INTITIALS CODEN INSPEC710NTYPE �ATE IN7171RL5
1616 Fized System Final Fire Prevention 206 Final Mechani�yl
7266 Pool Spa Final 208 Final Plumbing /
200 FinalRe-Ropf 210 FinalElectrical %���'/�ll� a�l
201 Pinal Block/Relaining Wall 212 Final Fire Prevention l
202 Final Faclory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final BuildingfOccupancy
WORKERS' COMPENSATION DECLARATION:
I herehy aKrm under penalty of perjury one o( the following tleclarations:
❑ I have and will maintain a ceAificate of consent to self-Insure (or workers'
compensation, as pmvided for by section 3700 of Ihe Labor Coae, for the
�eAormance of ihe vrork for which this permit is issued.
have and vrill maintain vrorkers' compensalion insurance, as required by
section 3700 of Ihe Labor Code, (or the pedortnance of Ihe vrork for which �his
permit is issued. My workers' compensalion� Insurance carrier and policy
number are:/j
e'r": rl-ti � �, �4� _
(ThissedwYneedirot�emm etetlAt�ieperm��svaluetlatonehvndretltlollars(SIDO)orlessJ
�be�: Jd d 9a �� r9 r
❑ I ceAify lhat in the performance of [he work for which this permit is
issued, I shall not employ any person in any manner so as to become subjecl
to lhe vrorker ' compensation laws of California, and agree Ihat i( I shoultl
become � ecl to the workers' compensation provisions of Seclion 3700 0(
lhe La ode, I shall forth itl(com )/wi[h ese provi �ons.
� �2��,/D�
�; lure cSQele�—+.
WARNING: FAI RE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFU AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND�DOLLARS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pro(essions Code, and
my license is in full force and effecf.
�� G 7 _� �— /d
S'�Z�
-C�pwre__ 94 Itire oate�
CONSTRUCTIOPj'LENDING AGENCY:
❑ I hereby aKrtn that there is a consWction lending agency (or the
pertortnance of Ihe Kork fa wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OW NER-BUILDER DECLARATIONS:
I hereby aKrm ihat under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5,
Business and Professions Code: Any cily or counry which requires a permit to
constmct, alter, improve, demolish, or reDair any structure, pnor [o i[s
issuance, also requires ihe applicant for such permil to fle a signed statement
Ihat he or she is licensed pursuaN to the provisions o( the Contractors
License Law (Chap[er 9(commencing with Seclion 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom antl
Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjec[5 Ihe applican[ ro a civil penalry ot not more Ihan
five hundred dollars ($500�.):
❑ I, as owner of the propeAy, or my employees with wages as their sole
compensation, WILL DO 7HE WORK, and the stmcture is not intended or
oftered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such vrork himself oi herself or lhrough his or her own
employees, provided that such improvements are not intended or oflered for
sale. If, however, the building or improvement is sold within one year of
completion, ihe ovmerbuilder will have the burden o� proving thal he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH
LICENSED CONTRACTORS lo construcl lhe project (Sec 7044, Business and
Professions Code: The conlractas License Law dces not apply to an ovmer of
property who builds or improves thereon, and who coni2cts for such project wi[h
a contrector�s) license pursuant to the Contrectas License Laws.).
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
Sgnawre oate
305]-4fi(3I01
Owner ID verifed by tlriver's license. ❑ Yes ❑ No
Dnver's License No. Expires:
Ve�ifcation of Ovmership by (rype of document, i.e. - property tax bill or deed)_
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby cert'rfy that no excavation frve (5) or more feet in depth into wfiich a
person is requiretl to tlescentl, will be made in connection with work au[honzetl
by ihis pertnit, and that no building strucWre, scaffdding, falsework, or demolition
or dismantling thereof, vrill be more Ihan Ihirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Administ2[ive Code).
❑ As owner-6uilder, I will not employ anyone to do work which would
require a permit from the Division of IndusVial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicanfs SignaWre Date
Division o� Industrial Safery Permit Numbec
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the appticant or present or tuture building occupant need [o fle and
certify a Business Plan for emergency response to release or threatened
release o( a hazardous material? ❑ Yes ❑ No
(Section 25505 0( ihe Califomia Health and Safety Cotle requires, with some
exceptions, that a Business Plan be Tled with the Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quaNity of hazardous ma[erials equal to or greater than a weight of
500 pounds, or a volume o! 55 gallons, or 200 cubic feet of compressed gas
at standard temperaWre and pressure).
2. Does or will the applican[ or present or fu[ure building occupant need to file
a regisiration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires regis[ra[ion wi[h the Costa Mesa Fire Department by
each 6usiness which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet o� compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management antl Prevention Pmgrem for acutely
hazardous malerials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Healih and Safery Code provides that [he
Cos�a Mesa Fire Deparlmen[ may require Ihe prepara[ioq cehifcation and
filing with Ihe Fire Department of an RMPP by businesses which are requiretl
to regisler acutely hazartlous materials with the Fire Department.
4. If an RMPP is presently required, has Sec[ion 25534 of the California
Health and Safety Code been fully complietl with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require tor
the work which is the subject of this application a pertnit for such constmction
or motlifica�ion from Ihe South Coast Air Qualiry Management District or from
any other air pollution conirol district or agency? ❑ Ves ❑ No
(Sectbn 658502 0( the Califomia Govemment Code requires tha[ the reques[ed
information be fumishetl on applications for non-residential 6uilding pertnits).
6. Will any part of the facility to be consWcted untler this permit be within
1000 feet from [he ou[er boundanes o( a school? ❑ Yes ❑ No
(I('yes", Ihe faciliry must mee� �he requirement o( Sections 25534 and 42303
of Ihe Califomia Health and Sa(ety Code).
7. If a permit from the South Coast Air Quality Management District or other
air polNtion control district or agency is required for the vrork which is the
subject of this applicatioq have all of the disclosures prescribetl by Cali(omia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf yes", attach certifcate of compliance from the appropnate air pollution
control oKcer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury Ihat I have read this application and state Ihat
ihe information given is correct. I agree to comply with all state laws antl ciry
ortlinances relating to building cons[ruction, and authorize representatives of
Ihe City of Costa Mesa to enter. upon the above-described pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
au[horized by [his permi[ until fnal inspecti0n.
�
gn ureo(LegalOw�n� � Date
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AOUNESSOFBUILqNO: ]LLV LMI�V1e� n
oxxexswweira+mvn: RICHARD GEORGE
�.aiess 3220 DAKOTA AV
C.M. CA 92626
i
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APCXRECTOPFNtlNFfA:
IiPCH OP ENG'S A�UXE55:
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FLOOD: X 37
11G NO.:
ca+m�cTarsY1K.
caam�crars �,maia
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ur�r:
110ENSED CONTPACTOHS DECIAPATION: I hereby ellnn under paraly d peijury iM� I em Iceneed uider pwis'vn d Cheqm 9
(mmmeruiry Milh Section ]000) d Drvisun � d Ihe Bueiren vd Prdastims COEe, eM my licenm a in hll brce enE eXetl.
cm uc. No.: uc. cuss: uc. No.: E X P;
o�a: cam�,�:
OWNER BUILDEN DECIAX�TION: I Mieby etfi'm uMx perolly d perjury �hel I em ezamq hom �M COMretlaa licerea lew la Na
Idbwiq res+m (�� ]0'J1.5 Bucireee eM Prdavebns COEe: Airy cIY a min�y xfiid� rpuiree e pemiil to canntrucl. eM1x. imprare.
demd'ch, w repei e�ry etNCWre, pnar lo ila.oeuenca. e6.o reQuim tM ep0lirant lor wch peimil b fib a mpmd am�ement thel M a eM
c IioansaE W�e�� �o IM prm'viona d Ilw Gonlreaore Lironee Lew �Chepter 9(mmmenriiq v�h Sedion ]OW) d 0'veion 3 ot ihe
Buai� erd Rdmsbre Code� or ihel he or eha u ezamq ihaehom eM the bavia la Na dleped uemqion. My videtion d Sed'on
]031.5 Ey enY Wd�v^I lor a permn eubptls �he epplcenl lo e crvil penaly d m� mwe then INe huMreE ddbre jf500�).
�] I. es owiror d �M OropMY w my emD�A'� �h wapea m Ihe'e ede mmpeiueiion. will do iM work. eM iM abunure u rw� intenEeA
a oflered la eele (Section )Oas, Buumsa end PmlaeaioneCOAe: The Conlredon Lioanea Lew dma mt epptyloen owrwrd poqry
..no wae� o, �o,�� �n„�. �d .n,o eo�.y� � �:m..n «n�er «m,a,on w«n„ o� amabr�•, o�o�d.e mm s�n
improvameme are not in�eMeE a oHereE la eele. H, howevar, tM buiMinO or'unpovameM ie eold within wre year of mmd��� �he
wirerbuider xill heva Ihe burden d 0�'in0 ha a Ma EN nd Wild w improva 1« tM W�a d vele).
� I. ea ownar d IM proPoM. � e�dvaiveN �Irecliq wilh IironsaE conVeclas to wnatrud Iha qqea (Smion )00.1. Businme eM
Prolaeaiona COEe: The Cmtreclon Lken» Lew doee na eppy to en owiwr af qope�y vAw buiNa or imqoves Iheroon uM who
convecb fa euch prol�a vnih e ooiNredor(e) IcenxE Ounuenl �o Ihe Convedan Lioema Lew�.
�1"1.,m .....�M ��.n.. c.,e�m� .. 8. 8 P.G. br Ihis reeMn: �.-�
Dem: ![. � ' Oxnw:
�I d by carli Ihet I em �ere d end uMentend tM uiremmb W CelAamu Heel�h eM Sffiery Cada Sediane 25505, 25533, enE
, end thm I or eny INure W ikiip ocapenl will / wJl rwt (tlrcb one) neeE to canply wih mid aala mdes eM tln repuimmmb br
prwisions.
Dete: ADWicent:
WONKER'S CONPENS�TION DECLIPATION: I hereby etfirm uMer perielly d pe�ury one d tlre idbwing datlereliam:
� 1 heva eM wil manten e mnJiute d mment lo aeMinw�e lur xarkma' eampenaetion. ro povidad i« by Samm 3]00 d IM lebar
Code.la IM perlormence o� iAe v.wk Ia wNch Nn pmm4 u iauad.
] � new ene xd meimen wonen� mmo�un mwrence. ro�ea��r.d W sedim a)ao d un Lm« coda. ro.�n. v�«merce a �n.
w«k la whiM I�ie pemie u iaeued. MY'�'a�A �^Ga^+da^ inwrarice umer end pd'iry number ma:
Cemar:
Pdwy NumEx.
�ihis aeeim need rrot 6e canWeted i �M Y�^r ia M aro h�rMree ddwa Rfool a bn.)
� I cenly Net in Ue peAmnence d Itr wak I« xM1cn thu parma o nweE. I Me9 m� employ e�ry pereon n eiry manrer w m ia
bemne wbjetl to iM xaMre' canpeme�ion IeMe d CeNwnu. eM pree Net il I ehwM bxmie wbjetl lo iM wkei+_'
compereetion pwiaione d Seeion 3]00 d iha lebor Cade. I ehW /onhwnh mmpy wuh Uava pwis'v�s.
Weminp: Fallun ro ucvn worts��'ronpens�tlon coveraps /a unl�wfu( uW Nsll sWfoct en employer ro ulMml paWtlu �IM —
dN/ flnu up ro aro h'ndreJ Ihoua�M JWMn fS1P0,000J, M MOlfbn ro fM ewf ol ronpwwlbM1 demeps� n pvHdsd br In
Sxtlon 9106 0l tl�s LNor Cods, InMUS enC ettomey's /w.
CONSTIiUCT10N LENDINQ 10ENCY: I haeby etfirtn uMm penely d perpiry tMl iMre u a mnst�utlion bnd'mp epeery lar the
perlamerra d tM Mork tor xfiirh �hu pem�Y n 6ewd (�� �l. Cv. Cl.
LENDEfl'S NMIE:
LENDEF'S �UDPE54:
I cenily thm I heve reed ihn appliution vd pe�e ihm IM ebv+e inlammbn is mrtad. I epme �o wmply wil� ell'ily enE cauMy adiiwics
enE stele lexa relmip lo WiNvp corutrudion entl hreby eulMrrse �epewmetivee d �hv tity to enter upon IM ebwa-mentioned popeM
'°""�°�"'°"""'°°'°'STEVEN MORRIS _
Detm ,_?�
(StSt-dfi.WP) Whne-BuildiqdSelNy;Oreeo-Fle;Cenary-ApPFram;Pink-Fevenue:Goldenra�A9aes.mr
CITY OF COSTA MESA — BUILDZNG PERMIT
PERM NO: H 082838
PERMIT NO: B 082838 PLAN CHECK NO: 01886-97 L GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON
JOB DESCRIPTION : CONST. 7LF BLOCK WALL SQ FT: 7
CLAIM VALUE: 200.00 CALC—VALUE; 140.00 GROUP OCC: R-3 /
COMMENTS: X
itit�tieit*****+r�e+�*at���r����it�itititiFiE*itatiE�t���t����t*�r�*x��x�***it*�ititit�r�itat�t**etfeat*itu ttatifitxitat*it
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13908506 ZNE: R1 REF NO:
PLANNING NOTES> 6'HIGH, 7'LONG RETURN WALL ATTACHED TO HOUSE AND NEW��SHARED
> WALL AT RIGHT SIDE. �
iE 1E 1E 3E IE 1E 1f 1E iE 1f IE if 1t i! iE �f if iE ib if !E IF if iE iE 1F iE 1E 1E 1E 1f iE 16 if if iF iE iE iF 3E iElE 1E iF iE �E iE IE 1f 3E 1P 1E li iE 1E iE if iF iF iF 3E iF ff IE 1Elk iF iE 1f,iF if if iE 3E iElE 1E fF if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'T S
ZONING APPROVED BY �G+n DATE; !�-»
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; DATE: !
iF IE 1E'lE 1E 1E fE 1E 1E iE iE i! iE iE If� iF iE I(� 1F *
LEGALIZATION:N
BLDG PMT
PEAMIT 21,00
f�i�i��i�73�� �
PLUMBING ELECTRIC MECHANIC FIRE
SEGMENT;Y
SMIP/RES GRADING
50
PLAN 13.65 SMIP/NON—RES
ISSUE FEE `
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 21.50 0,00 �• 13.65 35.15 35.15 ,40
REVENUE DIVISION TOTALS--> COLLECTED: 35.15 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
21.00 .50 13.65
iE iE fE iE if 1E fE IE iE if iE 1F if iF iE if iE 1E 1E 1E �)E 1E IE 1E IE iF fE 1f IE iE If if iE if iE �E �E iE if ik if 1! iF �E iE iF iElE iF if� iE iF 1F ik iE 1f IE 1E fE fE 1F IE �1F 1E IE iE �E 1E iE 1E IE 1ElE 1E 1E 3E 1E IF fF
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 7 RES—CONCRETE BLOCK WALL / FT. 20.00 140.00
END OF FEES
�/
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PEkP7IT oT08�83g,
CONSTRUCTION AND PLANNIN� JL & SPA
- AE��ROVAl.S Permit# Date Inspecmr � APPROVALS Permit# Date Inspector .
L Temporary Electrical Service or Pole 52. Pool & Equipment Location . - `
l
�2. Soil Pipe•Undrgrnd. 53. Steel fteinforcement
,_.3. 'c4ectrical Conduit Uti�ity-Undrgrnd. 5G. Forms .
'�4.ElectricalConduit�Undrgrnd. , 55. ElectricalBonding ,'
�� 5. Steel Reinforcement - �%�- t7 �,ot/fL , 58. Rough Plumbing & Pressure Tesz , :�
6. �.lectrical UFER Grnd. , ' S7. APPAOVALTO COVEfl-GVNtTE � �
:7J Footings � 5:�_�"l �(y[.►- � 58. Electrical Conduit-Undrgrnd.
- 8. Foundation 59. Ga5 Pipe, � Undrgrnd., Test i
9. Water Pipe-Undrgrnd. ` 60. Backwash Lines, P�Trap, L� Undr9md. (
70. 52ructural Floor System 61. APPROVAL TO DECK
7 7. Property Sewer line & Ho�se Connection 62. Backwash & Peceptor-Finai �
72. Sewer Cap 63. Heater & Vent•Pinal
73. Roof Drains 64. Plumbing System -�Final
14. Rough Plumbi�g . . 65. Electricai-Final
15. Rou9h Electrical-Conduic - 66. Solar SYstem�Final
16. Rough Electnc Wiring 67. Fencing & Access ApProval
17. Rough Wirin9 S+9^ 68. APPROVED FOR PLASTERING
l8. Rough Electriwl�T Bar Ceiling 69. POO VSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Fough Factory Fireplace - �� '. APPROVALS Permit #
Zt. Ducts, in StruC[ure - ' 70. Underground Hydro '
i
22. Ducts, Ventilating� - � ' 71, product Pipiny L7Gas L7Qil I
23. Gas Pipe-flough & Test � . - . 72, Underground F-lush --
24. Roof Framing • � ,,.; 73. Undergrnd. Storage-Tank u Gas ❑ Oii
25. Roof Sheathin9 . �= � - - . . 74. Overhead HVdrp �
26. T-Bar Ceiling (Structurai} & Monocoat - ' � 75._Dry Chemical
27. Frame and Flashing - . �, 76. Dry Standpipe�
28. Lathing&Siding - �-- - � � 77. FIXED�SYSTEM-FINAL -
� 29. li�sulation _ 78. PIRE PREV. FINAL ' '
30. D�Y�'�'ali Nailiny ' � ' HEAITH DEPT: REQUIREMENT
31, plaster Brown Coat �- - 79. FINAL INSPECTION
32. E{ectrical Powes Meier�Finat 80. FOOD CERTIFICRTE ISSUED
33. Final Eleciric � � Notes: 5��3 -�% - B`G � Q�
34. Final Heati�g & Air Conditioning- - -, . - - /� ��-
35. P�na{ Gas PiPe•Tesi . � - - .
36. Hood or Canopy - � •
37. Final Factory Pireplace =- � � � , - ^ I
� 3$. Pinai Plumbing .. � • - - . � y
39. Water Service�Finai� _ . '
40. Gas Service-Final � �
47. So�ar pomesticFinai - _ -
42. Backflow Preventer . � - J
' �
43. Backflow irr�gation
44. t,andscape I�aipation System �, . ""
q5, $pund Attenuation ' ' � � � _ I
46. f-landicap Regulations : � � � ' ' � �
47. PINAL STRUCTURi & BUILDING �'-`Lt.(,�7 �/� ` � -� _ `
48. FINAL PLANNING �
49. E�ectrie Release to Edison , '. . '
50. Gas iielease to Southem California Gas Cn -� -
51. CERTIFICATE OP OCCUPANCY '
NO Date
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To The City of Costa Mesa
Planning Division
May 6, 1997
RE: Building Permit for Shared 6' block wall
I authorize Steve Morris, who resides at 3216 Dakota Ave., to pull all
permits regarding the proposed shared wall between my property and his.
This specifically includes a seven foot return at the front end of the wall.
.c C�(-fi� C� � ..�' `d"`
Richard E. George �
3220 Dakota Ave.
Costa Mesa, CA 92626
434-7882
auun M. rwu
< CAMM.1 G91488
� �..,.. NotarY Pudlc — Califomip �
ORANGE COUNtt
' NN Comm. E�irw MAY 29. 1997
� � �
JOB ADDIiESS 3220 Ik1kOt8 AV2. BUILDING PEILMIT NO. 2j V�_
Bond Beam
Final
Test
SUBCONTRACTOR
ZONE
t 2384fi
„ COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. BOX 917 COSTA MESA. CALIFORNIA
For Appllcant to Fill In Completely
TYPE OR PRINT
COSTA M@SA, CALIFORNIA
1 � .
��.
�_'
TEL
�- NO. �-
'.� �/%�! ( I ..�,�v.�nF�9L^os.
USE OF
EXISTING BLD6.
BETBACK LINC P110M
eFr �S� ��'" I R�orm
DESCRIPTION OF WORK
NO.OF O �ORIHS /
ROOM9
ROOF ✓I /
�;6Y'Y �� �:��T� i�t��
APR 5 1965
APPLICATION FOR PERMR
���^�Y
P8C81P� NO. P�EqMIT NO.
> BY —�Dj�� f�C VEi D�TE ���
�Y///�c, Sc� C��
FIRE
ZONE
APPROVEO
NO. OP 118E OP NF
P4�N8 � � BUILDINQ
oescn�rt�on �l--r1-'Y / O"i 1 h� V m�"
A. P. NO. I � �� � � a � ^ /!�
NOTE: NO EAVE OVERMANO SHALL BE LESS THAN
90' TO SIDE 8 REAR P. L.
EAVES
ALLOWED fU.B.C.REGUIREMENT
YARDBAPPROVED VARDSAPPROVED
MAIN BUILDINl3 AGCESSORYBUILDIN�
S
REAR � F
DISTANC6 BET.
MAIN BLD68.
VAR. �C
BET. MAIN !
ACCESS. BLDGB.
OATE
APPROVED /
DATE �� / V �
a
0
1 XEREBY ACKNOWLHOOH TXAT I XAVH READ TH�S APPLIC�TION THE AMOUNT BHOWN UNDEP VALUATION Ie POH THH
AND 6TATE TXAT TN8 ABOyg IB CORqECT ANO AOqEB TO COM. PURPOSE OP pBTM1BLI6HIN0 A PEHMIT FEE ONLY.
PLY WITH ALL CIiY OROINANC89 AND BTAiB LAWH pHOULATINO yALUATION �
BUILDINO CONBTRUCTIO . QO
SIGNATURE OF L��. �/ ������ PERMIT FEE $
PERMITTE � '
U s �
AUTHORIZEO AGENT � 9
LOT 7Z - TRACT 62
r'
' �E���i
'�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Appiicant fo Fiil In Completely
TYPE OR PRINT
BUILo1NG pDAKOTA AVENUE
AOORE6S
COS7A MESA. CALIFORNIA
■ MAIL
NEWPORT BEACH �.jo�Ml
TEL.
K.W. Ko��
CONTRACTOR
�555 PLACENTIA AVENUE
ADDRE55
NEWPORT BEACH
CITY
��TNa. 6it95 No:M� 6-3227
SIZE NO. OF B1D09.
__ 6ox i oo __... _.. . __ o
U8E OF
EXIBTING BLDG. O11
BHTBACK LINE PHOM 50 � L`Y �
CeNTeH Ov eTrtaei REAR YARD
1 1
SIDE YARD I�EF7 5 RIGHT 5
DESCRIPTION OF WORK
NEW I X IIALTERATIONI IIADDITION I
BUILDING NO. OF /
BIZE � • SF ROOMS O STORIE6 �
EXTEBIORWALLSTUCCOIRooF WOOD SHINGLES
COVBRING COVERING
US6 OF BUILDING /WD WORK TO BE PERFORMED
SINGLE-FAMILY RESIDENCE AND ATTACHED
GARAGE PLAN 2-A
FIRE
ZONE
APPROVED
BV
ZON! � ,
�� fY
L6GAL
C.r.0 .tC�....a,qi.�.,'. �_.
..�% �}. S- i 3- l� c�
riiVtlf��G�/�p��{i��..
' �r nll�)l.�i . �:. �.
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
REC6IPT NO. PERMIT NO.
OATE IBSUED
!IY 1 6 1960
COSTA MESA. CALIFORNIA
ZONING
NO.OF �USE OF NEW �
PLANB ^ BU�LDIN6 � J"� r
VARDS
APPROVED
(C6NTHR LINi 8TJ
APPROVED
EVES
1 MBHEBY ACKNOWLE�GE TXAT I HAVE RHAD TM�B MPLIGTON }H¢ AMOUNT BXOWN UNOER VALUATION IB FOR TM6
AND BTAT6 THAT TH6 ABOVE 19 GORRECT ANO AGREH TO COM- pypppgC OP 88TABL19NING A PERMIT FEE ONLY.
PLY WITH /�LL W1T ORDINANCE9 AND BTATH LAW6 PEOULATING
Bu1tDIN0 CONeTtuCY�oN. VALUATION � JJ
81GNATURE OF
PERMIT FEE $ ��
PERMI7TE // /S�l '/�
�j , A,� S ���/� / PLAN CHECK $
AUTHORIZED AGEN � (h '" V /1�'� `�"" fI�-
rnre� crc a
i
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