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Home My WebLink About920 DARRELL ST - Building Permits:/ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 920 DARRELL ST Suite No ti - Vicinity: Parcel Nunmber: 42235224 Applicant: SZABO, KEVI Address: 17390 MT CLIFF, r �._. . I�� s 9 O�DAR��S� . //� ��SA. �A /� (� � / �� actor: �COAST ROOTER PLUMBWC 3ress: /77390 MT CLIFFWOO�D �jJ,� `� � �I.��i 1� } s�``/ �\t`h. �f-'�. Addr 1 � . Status: ISSUED , Applied: 11/04/2004 Issued: 11/04/2004 � ISSUED BY: ( � I C� %�'�`�� Phone: (714)241-141�� 1 ' �Zip:L92708 �j �--- � � �� ,c�� :aC� �_ ~"'�� ' \ Phone: _____ � �0��. � � 0 Zip: 92708 License: 529127 �ll 1L Jl li�l(' �� li:lltl �d.� Phone: � j `-''r i �e. 1 � �F�iANGE OUT WATER HEATER \\Q� � v(\ ` U�. ( � AMT� OTY ..+ ISSUE FEE�� 7 $23:50 Backflow irrigaGon ��/J $0.00 BackFlow Preventer $0:00 Bathtub ��$0:00 Clarifier System � �$0:00 Connect (Ice,Soda,etc) $0�00 Dental Units 1,� $0.00 Dishwasher ��$0:00 Drain, Floor � �$0:00 Drain, Rainwater $0:00 Drain, Roof $0.00 Drinking FounWin $0.00 Expansion Tank $0.00 Gas Earthquake Valve � $0.00 x3 orP-Trao. � P sher, � .° $O:OO��LO� onq0�y �$0.00� v�Os % O�C �$0.00;�� 0 x� �3 $Oi00�` o°Oo �r 10 ft) ° $0:00 ° �0' ,.. �_�.`��,..�� - , , � o° � ,:$0.00 0' 0�/��} �SepticT'an�k��$0:0�0� 0( J/ SewerCapfor�Demo__�50:00 0 0�„yf QSewerCannect $0.00 0� O�Sewe_r,Pn'vate Line� �f$0:00�0 1 � } 0 Shaweri 1 1� �$0!00 �0✓ 0 Sink, bar�---� $0:00' 0 �-- 0\`��Sink`commercial $0.00--�Oj�` 0 Sink..Floor=7��r^-1r_:$0.00�0�''j e P � Pool -� �,f �Waste�and Vent System Water;Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service L $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 , 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California 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 180 days, or if work is suspended or abandoned for a period of 1 BO days. ' INSPEC710NS: In order for tha work authoriZed under thls permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain Inspections and tinfll approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 244&46 (8/00) _ WOPKERS' COMPENSATION DECLARATION: � � �- � � . ' � I here6y eftirm under penalty of perjury ona of the tollowing declaretions: � � • ❑ I have entl will inaintain a ceniticate of consent ro setl-Insure tor workers' compensation, as provitlad for tiy sedion 3700 of tha Labor Code, for Ihe pedormance of Ihe work for which ihis permit Is issued. � . . � � -.I have end will maintain workers' compansation insurance, as requiretl hy section 3700 of I�e Labor Code, for ihe peAortnance of [he work Por which [his permit is issueC. My workers' compensetion Insurance carrier and policy number ara: ^ '' ,r ' /�� Cerrier:'="ST'PITF i—l] td � P.dicy�Number>_ .�.z- (Thi� need nof be compleretl i/ Ihe permit is valuetl a(one hundred dollars ($100) or less.) .. ..� ;�,` �� . „, �I certify Ihat in �he pertorma ce of the work or which this permit is issued, I shail not employ any person'in any m�es to become subject to the workers' compensation laws of lit rnie, an a re that if I should become subject to the workars' compensation provisions of Section 3700 of ihe Labor Code, I shall forthwith comply with these provi � s. � #pplicent�Signamre:�'� �Date:—� � � ��l lD— y WARNING: FAILUFE�TO SECURE WOR EPS' PENSATION COVERAGE IS UNL4WFUL AND SHALL SU&IEGT AN EMF�OYER TO CRIMINAL PENALYIES qND CIVIL FlNES UP TOIXJE HUNDRED TMOUSAND DOLLAFE (5100,OW), IN ADDITION TO THE COST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR COOE, II�7EREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I h�reby aflirm.that6am�licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force'ane eHect. Lic.�'a =�"sZ9 I 2� ., r ,-:qless a_ C-'j � _ __--- — _--n—r � ! i_ .-�— �CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a constmdion lending egency for tha pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atltlress: � Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby attirm ihat under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5, Business and Protessions Cotlo: Any ciry or counry which requires a permit to constmct, alter, improve, tlemolish, or repair eny stmaure, prior to its issuance, also requires the ap0licant for such permit to file a signed statement ihat he or she is licensetl pursuant to Ihe provisions of tha Contrectors License Law (Chapter 9(commencing with Section 7000) of Divlsion 3 of the Business antl Professions Code) or Ihat he or she is ezempt Iherefrom and the basis tor the alleged ezemption. Any violetion of Section 7031.5 by any applicant for a pertnit su6iects the applicant to a civil penalry of not more than five hundred dollars (3500).): ❑ I, as owner of ihe pmperty, or my employees with wages as thair sola compensation, WILL DO THE WORK, antl ihe stmcture is not intentletl or ottered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who tices such work himselt or herself or through his or her own employees, provitletl �ha� such impmvemenis ere not intendetl or offered for sele. If, howevar, ihe building or improvemant is sold within one year of completion, the owner-builder will have Ihe burden of proving that he or she di0 not build or improve for purpose ot sale.). ' ❑ I, as owner oi the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to constmct the project (SecJ044, Business and Pmfessions Code: The contractors Licanse Law does not apply to en owner of proparty who builds or improves ihareon, antl who comracts for such project with a coNrec�or(s) license pursuant to tha Contractors License Lews.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verifietl by dnvers license. ❑ Yes ❑ No Oriver's License No. Expires: Verification oi Ownership by (type ot document, i.e. � property tax 6ill or tleatl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cehify that no ezwvation flve (5) or more feat in depth into which a person is required to descend, will be mede in connection wi�h work euthorized by ihis permit, antl ihat no builtling simdure, scaltolding, falsework, or demolition or dismantling thereof, will be more ihan thirry-six (36) feet high. (C�ap. 32, Gry 2, Art 2, Sec. 341, Titla 8, Celifomia Atlministrative Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit irom the Division of Industrial Safety, as noted ebove, unless such person hes a permit to do such work fram the divisian. Signature: Date: Division ot Indusinal Safety Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I cenity under penalty of perlury ihat I have read this eppiication and state that the infortnation given is correci. I egrea to comply wi�h all state laws and ciry ordinances relating to building consWction, and authonze representatives of Ihe City of Costa Mesa to enter upon the ebove-described property for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by this permit until final inspection. COUE t, INSPECTIONTYPE — 1676 Fixed System Final Fire Prevention 12fifi Pool Spa Final , . 200 Final Re-Roof 201 Final BIocWRetaining Well 202 � Final Factory Fire Place �� 203 2 4 Final Sign Finel Demolition PSIF . QQp�k INSPECTIONTYPE 206 Final Mechanical - 208 ,Final Plumbing . 210 Final Electrical � 212 � Final Fire Preventlon � �220 Final Planning Approval 222 Final Si�e �' � � � � 250� Final Building/Occupancy PAL � p:YhIL14'1 � �� ApPlicant to fill in all spaces except those within �eavy bortle� lines anE sign all ap . cir� oF r,�Srq MEsa : CONnSTRUCT/ION PERMIT Pr�F�RMIT NOZ. 9 TRACT NO. LOT�NO. ' � ' Pro ct Address �2C7� L�.til�n�/ uC�� ^-' � `-' • � `� ��13' � �'DOO$C� � . A -� + ' � .��iC '�Si 5� � ('� � ' '. ' TVPE OP CONSTRUCTION , NEW r 'ADD;�; `-` ALTERATION pn icant s�Nhiling Ad�ress � � � n_ .'/ �. ` / � �g�� , '� CONVERSION"� P,EA�LISH ❑ OTHER � : OwnersName �•�t �r� wnec Phone _Df�SCRIPTICCqyyNVV OF}}}NNNORK/US'OFBLDG � Addiess 4zci� Der.�S'T. � � . � � ' .�y,.,,��_rY�»�.{ � !-'- Areh/Eng � � �' �� ' License No. TVPE OF PE IT�q GRADING� FOUNDATION STRUCT Addfe55' � - � � � � ' . � ' '❑ SENANT 161 ELECTRIGAL O PLUMBING ❑ MECHANICAI ContractoPs Name � • � OA ' - phone�yG ��4� -'�'OTHER, - � ; -. � . --�'% ` �h � . , PROJECT DESCRIPTION SQ.FT: ' ocCUVArvc . Address (mailing) 4�s C. %8 - ST• � � - �. � - � ��-� • ' ��4,4� J • - CONSTAUCTION TVPE �� VAW{iTION $ �Q • CityLicenseNo. �o � ZONE� GRADINGCU.VDS:� �ACRE'. . GCEIVSEO CONTRACTOR DECLARATION �' � � � - I-M1ereby�affirm Ihat I am IicenSetl untle� provisions of�Cha�te� 9(commenCin9 Remarks: � G 13 �-$ t' ^ � ' iwith section 7000) of Division 3 of the Business antl Professlons Cotle, antl . , , my license is in full torce and effect. ��g `` License Class� � � Liceni a. 7 ' Date 7'i2s•89 . 5i9nature- � � ��HERS' COMPENSATION DECLARATION' ' .by'af(irm ihat I M1ave a certi/icate'of consent to self-insure or a tertificate � orkers' Compensation 'Insurance, or a certifletl copy tnereof (Section , Lab. CJ . .. . . . / - ' ' � . Poicv t�o. dS9�i'YQ% companv � ��'nl[ .`\ Certifietl mpy is hereby furnishetl. ` - y\ Datee�if�tl�copy i; filetl wiqh�Phe ^iLy ByjJtlir�y D_iyi�ion/ J� 4 54 Y 7!w!� \Y /// E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (Tnissection neetl not be completetl if the permit is for one huntlred ($100) or . less) , I tartify.that in tM1e pe�fo�mance ot the wo�k fOr.whlch this peimit is issuetl, I shall' not employ any person in any manner so as to become subject to the Workers', Compensation Laws of Califomia. � , Date ' Signature � ' NOTICE: If, after making lhis tleclaration, you shoultl become subject to�the � ' Wo�ke�s' Compensation p�ovisions Of the Labo� Cotle, you mu5t,forthwitM1 '. � comO�Y M'��h,-Such p�ovi5iOn5 or this pe�mit shall be tl¢emetl �evoketl. � ' CONSTRUCTION LENOING HGENCV.. ' ' ` ` �' • � I hereby affitm that the�e iz a consiruttion lentling agency fo� the perfoimance ` of the wark tor whicb thi5 permit is issu¢tl �(SeGtion 309] Civ..C.) � ' Lentler's Name � � I..entler's Atltl�esz � OWNER BUILDER DECLARATION � � - � � I hereby aifirm.lhat I am exempt trom the Cantracror's License l.aw for ttie � following reason�(Section 7031.5 Business antl Professional Cotle: Any ciry.or � county which requires a permit to construct, alter, improve, tlemolish or repalr any sVucture, prior to its issuance, also'requires the applicant for sucn permit � file a signetl'statement-.[hat�he/she is licensetl pursuant to the provisions ot Bai Sink Backflow Preventer - Backflow Irrigation Ba[htubs Clarifiers ' ' ' Dishwasher ' - ' � Drinking Fountains Floor Drains � ' Floor Sinks Gas Service � Outlets Interceptors ' . .. Kitchen Sink � . Lavatories . P-Trap � �_ ' � � Roof Drains . ision 3 of the Busine5s antl ProteSsions Coae) -or tnai ne/sne is exempc' • ' , rom'antl [he ba5i5 fo/ tM1e all¢ge� exemption. Any violdtion of Section 5.by any applicant tor a permit Subjects lhe applicant to a civil � • �/Y of nof more than five huntlretl tlollars (85001.. . ' , � .. ' � .` � . . 1 I, as owne� of the pro0erty o� my employees with �wages as [hei� sole' ' RBinSpeCtlO� F¢e ,$1$ ' mmpensation, will tlo Ihe work,'antl �Ihe 5[�ucture i5 not intentletl o� offeretl � for sale (Sec[ion 7044, Businesrantl Professional Cotle: The Con[ractor's � .. . License Law tloes not aoPly to an ownerbf a property who builtls or-improves � � thereon, antl who tloes such wo�k.himself/hersElf o/ tM1rough hi5 o� he� own .. gOil2� . employees, provitletl [M1il such improvements are not inlentletl or afferetl tor � ' � sal¢. H, howevEr, tM1e builtling o�'improvem¢nt Is soltl within one yea� o( Com- pletion,.,tM1e owner will have the burtlen of proving�he/she tlltl not builtl or im- Duct - Under Ground i prOve for the pu�pose ot sale). ' , , - tr cmral 'n- lic �nsetl con- Duct S u clusivel mntracti with e . ❑-I :as�owner of [he ro ert am ex Y 9 + v a v. antl Pr fesslons Cocle: i n 7044 Business o r the ro'ect (Sect o tractor5to mnst uct P 1 - The ContractoYs License Law does not apply to an owner ofproperty who' Duct-,Ventilating , builtls or improves thereon. antl�wM10 mntracts Tor such oroiect5 wlth a`con-' ' tractor(sV Lcense pursuanc to [ne Contractor•s License Law). I am aware that� Exhaust System ❑ Mul[iple ❑ ' proof of tltei� Worker'S Compensation insurance shoultl be provitletl to me. __ ❑ 1 am exemOt untler Section B. & P. C. for this reason Fi�epl/FacL BIL ICBO # Date ' �Owner � ' `� � . . Heating System & Ducting, . I"hereby'certify that-I have reatl this application'antl state'that me above �- �0.100,000 BTU �100,OOOBTI intormation rs mrtecL,l agree to.comply with all city antl county ortlinances ' � antl state laws relating,to builtling.con5truction; antl hereby authorize repre- . � �- senlatives of this city to ent¢�_ upon th¢ above-mentionetl property. to� r inspection purp s. /� ' . ; o ' - ' Signature �� Y_ %/��.dA�.., � � Date 7�2.58/ ' . Drivers :License or 55 � �� _ Reinspection Fee . OB65-46,rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accounting; Gottlenrotl - Assessor $15 PLUMBING, ' Showers ' Service Sink � � - Sewer Cap ;: :.-��"-'' . Sewer Connection� `'� Solar Collectors '� Solar Pipin9 ,r: Solar Tank � Swimming Fool w/Spa Urinal Water Closet Water Heater - ' WaterService . � Aum-Wash' � ' ' �/ _ �m op.'iate tleclarations.^ IT N^O: � . A.P. # � y ; - S � REPAIR E � iT Front 6 Rear IA AL'. . �C, Ri9hi ' . � 'g � Left � Ping. Ref. # `. ��G- Planning Notl Issue Fae�. �� $ 3 FEES � Hood or Typel' ❑' - � Canopy, Type I I ❑F ' Refri eretion 5 stem • 9 Y ❑0.100 000 BT U� � 100 000 BT U System Repair/Alteration FireDampers ' � Registers � i Issue Fee ' j $ ,� Automatic Washer � Construction Pole Sub. Cooking Unit Dishwasher ' Dryers ❑Gas ❑Electric Fan � � F.A.U. Fix[ure5 Device Boxes Outlets • C�.,��6n� . - � . e 3e Disposal-" "' i'tor,,�0-5 KW �5'15 KW ... f L�1 {.. � � e �EVELOPMENLSERVICES RE oning APProved�6y ' '� � luilding�ilpproved By r� pplication Issued By_�+ , BUILDING PERMIT $ �. �.r. PLAN CHECK $. ' PLUMBING � S . PIAN CHECK 25% $� . ELECTRICAL $ , PLAN CHECK 50% $ MECHANICAL� ; $ PLAN CHECK � 25% $ , �--+ Parking � . Zone • ; ._ ' �� O ,� N I. • N R� rP.00 don • � ' E � IICAL Transformer •0 1*5-50 KW � � �� 50+KW � Meter ❑upto700amps "• Meter �over 100 amps'' Sub Panel ? � . Motors �0.1 HP �1'/:.- 8 IncSolar �9-15 HP �16-15+ Microwave � � Pole Light ' Range. Si9n ': ' yTrash Compactor : �iS' � ..' t ' Issue Fea � 3MENTS: � � � , � _ V-OF FEES�i '� � bd' �.SMIP , ' � $f :i 33. 2 � :PERMIT — � . ;= ISSUANCE $_ ! � ENERGVP.C. $� ��O r�,GRADING $i � f ��MICROFILM� $� � ��,'� �70TA�FEE $� �S� �•.�. , . ' f . " . ' . ` • • �i ��Q.�iFeG.3�-��f1.Y'3 �4_!�`.� � .�.'JY.�') �,>.`. . . _ DRTE: :07!?SB9, _ TIi7E: QE:33 .3 . _ � . . ,�.�i., , . , .,��yr� . =, cw-f : r^ s' �ti_ .w � ..] +�. l_. . �.r�:r.5t�r:5 ..-c, .��„: } i.Y ... ` "" ^ l.f . . . ' �� \ ' 'I . � CONSTRUCTION AND PLANNING d � . ' P PA ' ' � j APPROVALS � Permit # Date Inspectoi qppROVALS P t# ' Date Inspector „1 . Temporary Electrical Service or Pole � -� 52. Pool & Equipment Location e 1" r. � 2. Soil Pips-Undrgrnd. - . !`� � 53. Steel Reinforcement - ' . . /� :r .3. Electrical Conduit Utility-Undrgmd. � � 54. Forms ; � � ! 4 SElectrical Conduit-Und gmd. � �., 55. Electrical Bonding • ., � -} • �5,,ySteelrReinforce'meni ,� - 56. Rough Plumbing & Pressure Test �� , ,, 6.�Elect'ricalUFER�Grnd. • (�' 57. APPROVALTOCOVER-GUNITE � r_ f{ � 7.�Fqptings �i_ - � � :r/ 58. Electrical Conduit-Undrgrnd. � •..,�t 8.'Foundation '% ' �� 59. Gas Pipe, � Undrgrnd., Test � � � _. i � 9_,Water�Pipe-Undrg�nd. � �� ` .. � 60. Backwash Lines, P-Trap, O Undrgmd. � � � 10.'Structural Floor System '"a �� ' 61. APPROVAL TO DECK ,- i. '-11 . Property Sewer Line & House Co�nnection �� i,? . � i�� 62. Backwash & Receptor�Final , 12. Sew� Cap � � � y 'i 63. Heater & Vent-Final . � � 13. Roo�f�Drains ,� 64. Plumhing System - Final, � ' j! 14. Rough PlumbingY , 65. Electrical-Final - � - � 15. Rough Electrical-Conduit , , 66. Solar System-Final � -- , � 6!. Rough��lectric Wiring � - � S 67. Fencing & Access Approval � - �'ilp'. Rough`Wiring Sign � ' � 68. APPROVED FOR PLASTERING � 18! Rough.Ele�trical-T Bar Ceill�g � 69. POOL/SPA SYSTEMS FINAL . �9. Rough'Heating & Air Condltioning - FIRE DEPT. REQUIREMENT ' '� . 20:.Rough.Factory Fireplace � � APPROVALS " Permit # � L � -21- Ducts,�in,Structure � -- � 70. Underground Hydro � �� : 22:�Duci;,V,entilating �'.� �� 71.,ProductPiping�Gas ❑Oil � ' 23 Gas Pipe`�Rough &;�Test �� ' 72. Underground Flush . '� 24..Roof F�aming �� 73. Undergmd. Storage Tank O Gas ❑ Oil , 25. �Floof Sheathing � . , 74. Overhead HYdro - � �1 • 26.�T-Ba_rrCeiling (Structural)'�&�Monoc`oat ` 75. Dry Chemical � . � 27�,. •Fr`a`meand Flashing ' ' � 76. Dry Standpipe • n ., . >, 28. Lathing�&�'Siding � � QU 77. FIXED SYSTEM FINAL �- 29. In'sulation , � . ' � � 7S. FIRE PREV. FINAL � �� 30. Dryw II;Nailing /.'Fi - �� HEALTH DEPT. REQUIREMENT �� '��''` 79. FINAL INSPECTION � � 31. Plaster�Btown Coat � . ' � �D � � � 32. Electrical Power4Meter-Final �' 80. FOOD CERTIFICATE ISSUED - � � � �33. Final"Electric p� Notes:0 �i� C �-1 �1 -lAiS � 34. Final Heating &-Air Conditioning , �'� i � � � sJ �, [�6►' � 35.� Final Gas.Pipe-Test�- .y.y�• . . �36.f �Hood or Canopy � t�' - CUa � S- �� p!i � �`37.��FinaPFactor.y�Fireplace7 - �� w 38'ahiyl Pzumb:ng � f � . � U . � �39.'�Water Service-Fina,l't �� ' � 1' ,V n /�'.' -�i : t.�d v40.�G sSe'rvice-Final ' - � ' �-�- � �� W � � rr r�•-- / z�;�d �r �41 pSolar'DomesticFinali � , ' Q ��^� � „ . ''; / 'I ' �2.��Backflow Preventer ti� �-' � p.�/+ 'I,�� S. f� �- �o � � 43 �Backflow'Irrigation�7 . ' '+ t,7% r' � vl 44. �,L'andscape'Irrigatior'rSystem �` - • - �� , � � 45.�Sound�Attenuation4� � � >' V 46.�Handi�ap Regulations . ��t � � 47.�FINALSTRUCTURE&BUILDING'- � , r ` � � :� - '48 bSpecia`I�Requiremenis Completed - � , � � . . . � • . � 49. Electric,Releaseto Edison ' _ . _ �:� � � � �,% � � 50. Gas Release to Southern California Gas Co ,� : � '' �.� �, �'�j� tti iv W r3r ,' -51. j ERTIFICATE OF OCCUPANCY ''� �(' � L( � �' !�l �� N "" , '. �;j• . No. Date ��.:7 �` f- �{r ' •� p f�-- iY� l.J � 1 (t� nr 'f - . . , !� .. . . _ . . , � �. ' .. . �;�J�� v�' �.,'.� .'rJ.:�� CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No. Bldg. Permi o'.' '-` PARK AND RECREATIONAL FEES - Apartment Fee Payment Receipt Project Address ;;?n lipRpF�� crr:,:rr� �naTF�y�a�T6�FF6tE�i�h Owner's Name ,IOHM A_ b'FRR �J�.TI'� LYIi�N Bachelor or 1- Bedroom Units 2 @$25.00 =$�5 �;; 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units Total number of Dwelling Units � (.��p. - i971 @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = Total Fee Planning Department Approval Date '..;_ Park Area No. �� gy Anne Applicant's Signature ��z:;.;,a I�]I�V !J� �e�c?Je'9 C��I CITY OF COSTA MESA PLANNING DEPARTMENT I `1;�� - j�71 A. P. No. 1]5-582-24 Bldg. PermiC No. Fa 1 ,C\ n� i�1 PARK AND RECREATIONAL FEES - Apartment Developments u—'--�� Fee Payment Receipt Project nddress 920 DARRELL STREET, COSTA MESA, CALIFORNIA Owner's Name JOHN B. WEBB, C/o TIM LYNCH Bachelor or 1- Bedroom Units 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units S - or more Units @ 525.00 = $p5.00 @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = Total Fee $25.00 Total number of Dwelling Units 7 Planning Department Approval Date 3-8-7� Park Area No. 11 gy Anne Applicant's Signature , ��/� — ( OW NEF• BriSt01 EStBtBS DATE �-1�-56 - JOBADDRESS 920 Darrell Street BUILDINGPERMITNO. 2a3S GENERALCONTRACTOR S.V.Hl1riS31L8Z' VALUE s 8,856,�J� LOT 88 BLOCK TRACT 28%3 Single Res. W�att gar � INSPECTION$ � ! Footing Trench e Foundation Forms and Grade to Ga age Rough Framing - Plumbing� Rough to�Sla6`� - �1 Plumbing, Rough Complete ' °' Temporary Pole Wirinq, Rouqh �C; Heating, Final ( Sewer,�Ho- u e�,ff �� Sewer, St. Septic Tank or Cesspo— ol�� Lathing, In Out� Plastering Plumbing, Final, Fixtures Comple� Plumbing, Fin.al Gas Test Wirinq.Final � iORM 210 3M IO�v! SUBCONTRACTOR I PERMITSISSUED DATE I NUM61 � .,�� _�osta Mesa Bnilding Department APPLICATION FOR PERMIT ;�F.� ., P.o.soX3�� :'286�. BUiLDING '. ' ,.�i' _ COSTA MESA, CALIFORNIA i, � FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 7 Receipt No._ Permit No/. Address —1 �� L S ( . + � � ��J Costa Mesa, California ; Received Date Redd. Date pIssued Nearest��y ^ ��• ��u �� /O �� CrossSt. �L{�.C..�� JA �F-(J� , � Building . `-''� Y Address Owner �J 1 �� , GS 7� �. i .. n. r/ � Costa Mesa, California AddressybZ(p �. l,.FfS � /J{�S . J/R„• � Nearest ' Tel. Cross St. i City��;/L/ , No. /�/'t%-��5�; Zone !�� I No.of I Type,/ Grou Architector Lic. Y' Plans V Engineer No. Approved - by Date nddress � � CORRECTIONS � S.l% d �Lc2NOYLic.Z` �. Contractor U ' Address S /d-�Y/�. ' � Legal Lot [J I 7� Descriptioo I No. b� I Block I Tract -..-� , � (Attach Metesand Bounds) � �..•�---� �� .'�'� � ^� � Sizeof Lot CPoX ibp I NowoBLot� � f -� �/ �t'YS�i ��i Z� ' l�seof � I No.of I No.of "'- -'� �.m;s �� 9 Existing Bidg. � F�amilles Rooms � � Setback Line from Rear Vard 1 n ri rl l�t +nrr Z Center ot Street SG Side Vard : 11 z -- - � - ' " ' ' ��J� - - y DESCRIPTdON OF WORH � New I�I Alteretion I I Addition I �� L ��TA ��c Repair I I Moving I I Demolish I �' y v Buflding H No. of size � U � I Roams stories Exterior Wall I Roof 9�v� _ AppROVALS Covering ��JG.G�"'j Coverin Use of Ne f� Building �j uC,��. rlj.j�1/�(� ,Ji(.J�(�,i.U'� Foundation Location Inspector � Date Forms, Materials, ,� Q- GJ� '�, Unde�-Pinning Frame: Fire Stops, ,Bracing, Bolts I hereby acknowledge that I have read this Application and state that the abme is correct and agree to comply �ath. Int. � with all City Ordinances and State Laws regulating � 1 building construction. Lath. Ext. �Signatureof � Permittee ✓J 6 Plaster, Int Aufhorized Agt. .� Plaster, Ext. Valuation Pe it Fee $ Z�Z _ � � Mawnry Reinforced O O Plan Check $ >�• � 0 gond Beam s g�� • Tota� .3 3 oa Fee $ FINAI FOflM 209 IO�tS D. P. M1 5. f •l�'�• t PTAT PLAN Show locatlon and dishances trom . property Iine and between buildinps ...i ._1 � �, , ' i - .. , ... , 3_ ' -• , F1�� CQSTP,r.r� v.+,�. ts-S:;PDr�:�ti�; .o,.a �a,�,._a_3.00 �. ;" � ��. -. . � , . . . _ _ , .; . j , ., _., � 1 i .;. ' ,,,� ,.;' _ ,. • i�i, . ._,��.. ;1 ; + � � �. (.:• `t '�, ?\ ". �,. � •.. '� � .:, �� ' _ ...�� , 1 -' .. . .. . i'. . - . '- ; . _., , . � ; - : � � ! -�� _:..,.: �- I � I ,I - �.� � �, y , . , �=_,..i �: � ,'', {'., ' 'i _' - . . .. • : �� - _ `�' ' "• � "' ' ' �' � -- ` . . , . � � _: .. �,� � . �"... .. _ � , :, -„:.: .:';,'. . _...., . ' .� c; ;> <- j i -. ._ . '� . : �-� �'��,� . OWNER WEBB, John B. JOBADDRESS y2� Darrell Stre GENERAL CONTRACTOR Owner-B3:dr. AP Nd.15-5 2-2. LOT T INSPECTIONS SOIL GAS WATER ROUGN PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOl15 ftOUGH MEATING ANO AIR CON�ITIONING UNDERGROUNO �J POWER ROUGH WIRING iFENCHES U FOftMS U STEEL REINF. FLOOR SYSTEM BOND BEAM � STEEL REINFORCE � SHEATHING FRAME ANO FLASHING LATHING - IN n ( P�ASTER. BROWN COAT HEATING, VENT., REFRIG. AND A. PLUMBING, FINAL AND GAS TEST EIECTRIC, FINAL BUILDING, FINAL F INAL DATE 3_8_71 BUILDING PERMIT N0. RIPTION of WORK 7Rg81iZ@ FelIIll' ZONE VALUE$ 3,200.00 )UP 1 TYPE VN i SUBCON7RACTOR PER � �E�� `� '= � �� C�IgS� � . ui uc . ";, .. � �%%�i � COSTAMESABUILDING-SAFETVDEPARTMENT - 'P:I�tI� - �9%� P.O. BOX 1200 CO&TA MESA, CALIFORNIA 92626 � � - _ . , • APPLICATION FQR�BUILDING.P_ERMIT I �� For Applicant to Fill in Completely FE�CF„�JV�Fp�y1BVL DE1T� BUIIDING �L � � ' 2¢ . t�� O o� ADDRESS � OWNER '/ — C N, CN A.P.NO. �O'— 70 �� MAIL � - BUILDING �O ' I , Z ADDIiESS ZL (( �=1.(_, � � P.DDRE55 W W . ' . . " TEL. p/ ZO'7'� 4- U CITY S LSS �LI F, NO. 1(1Q ��Sp�(' TRACT p ~ Z CONSTRUCTION ' " W /�D A F Z Q . ONLENDER a m . . . -i- ' %� J � . BRANCH ' ' �—� �� . {J JN� OWNER OH 7 m J ADDRESS � m ARCHITECT .TEI. SE � J Q OR ENGINEER ' N. U Q FIRE w � ADDFESS ' ZONE TVP � w - APPROVED . J O :CONTRACTOR _�Z — ) e�' m Z � � J � ADDRESS (�A/1.L' - w w TEI. L ZON ' PLANS Z� CITV � � NO. �-��7�p � STATE � CITV �'AR�SAPPROVED W � y 2 LIC. NO. " LIC. NO. MAIN BUILDING 7 O . � (FROM C/L STREE ) - SIZE � � NO.OFBLOGS.' , OF LOT ��( �Op NOWONLOT � RONT IF .�.J USE OF / � EXISTING eLDG. I I� LL AM �l S I. FT. H SIZE OF � � NO. OF % Z NEW BL�G. I Z X Z� ROOMS / STORIES I L SIDE ''�T. U EXTERIOR WALL ' ROOF � COVERING .GJ�O . COVERING '� REAF ��9FT. . PE BLOCK VALUE ` GROUP �" DATE�I� l USE OF BUILDING � . . VAROS APPROV ACCESSORV BUIL J . USE OF BUILDING ANO �^10RK TO BE PERFORMED � DISTANCE BET. - � BET. MAIN & a MAIN BLIXSS. ACCESS. BLD a Q VAR # � DATE 0 S 2 6 C.V.P.� � APPROVED r APP E � N — � — i Z O VI hereby acknowledge ffia� I have read ffiis application and stete - � . � that the above intormatio� is correct antl agree to comply wIM . � all laws regulating builtling construction, and I shall not employ . F any person in violation af the workman's compensation laws of y 2he State ot Calitornie. � zI hereby certify that I am Properly licensetl as a contractor untler SQ. FT. ihe State of California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN Chapter 9, antl Mat such Ifcenses are in full force antl ettect, or I THE PURPOSE OF ESTAF � am exemp[ from ffie provisions ot t�e State of California Business VALUATION ' ' antl Professions Cotle, Divivon 3, Chapter 9. ' , • ' PI Signature of � � � � � � � Permittee �1 ��. � ../� � $ 32 Q� PL Authorized Agent T� � �/ b O VALUATION IS FOR j A PERMIT /FEE ONLV: � E $Gl!/.00 � � N / ] K S / � E � ID O LL S ��