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Home My WebLink About961 DAHLIA AVE - Building Permits. ^ . � ., CITY OF,COSTA MESA ...� I � � � BI/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856� • www.ci.costa-mesa.ca.us . - FOR INSPECTIONS CALL: (714) 754-5626 ' . . PERMIT TYPE APN: 41218123 Zoning: R1, B_MISC JOB ADDRESS: 961 DAHLIq AV CM Vicinity: REAR OF HOUSE t SQ. FT: 0 r�s% SCOPE OF WORK: CHANGE ALUMINUM ROOF LIGHT FIXTURE LOCATED AT THE OWNER: DAVIS, Ciry/State: COSTA Phone: 714-791 APPLICANT: PE City/State: CC Phone: 714- CONTRACTOR: Address: . City/State: Zip Cade: ARCHITECT: Phone ENGINEER: Phone PERMIT NUMBER: BX08-00151 STATUS: ISSUED DATE ISSUED: � 0 5/1 212 0 0 8 � ISSUED BY: RMD '�• ,� -�`�'� a �Sude/Unit: ` � � � c�y F( ,� m'" ..; ConstType �� r'4 i$100000�-� �"�:, ..�,` .. c .:rt a �'y k � �,lr � �rM�r _ , ,. . .,.. � RMITT D�ALUMINUM PATIO ENCLOSURE (B055491) WITH 1, �••- /w •+�;:. = C -Obri�p Address:: 961 DAHLIA i� ,, - 3 Zip Code .d�51 e'' �' �z `��:�:< � " � =^��h f- � Address� 961 DAHLIP 4 -:� Zip Code �i;:.t. S'xit " 1.€a s�F�y ` :: � ..v�m. ._.,.� . :: -.� �#4y , ;�_, y :..., . .,_. .,..,;.rnune � ��,.>_ ��s -s x ;:� vy ,., n � t _ � ^z �r �t � �,� � � �a'� ��°License No �,�:�� :-�'' #t +i4a �§s n` .� - +mj 5 . t�'� � i � '1 ' st � ' �"g�'�, Lwense No �� iy.hC � t zn'. �,. -� C y +s:.-a s �[ ,s . f'.�' ' G t � {S x ' .l- rt ." ¢/' - y ,y�` rr�r a�Mf ,: k R�aC "ii� ..�, ,.., -. �. 4 1 '. ki.�. '��.m F�'� s, �`�FEE SUMMARY `:;• 6 � , �> � ,� Building Plan Ch'ecy i.�=, � '� :. �, �$25i19x �' -' ? h� .� #"� Building Permit .,n-° �� ; fl wE� "-°'"$38'75 y� F.; �^i ,$�'�-' Electrical Permit: � � ' � ',� -�jwz �$24:60 '�;"�� + < SMIP Residential `e,�-' '�., ? � ` `'� ''� �"� � ' � g� $0Y00 f '�g^`�'" `r SMIP Commercial � „4,- �,:_� � , �y ;_ TOTAL FEES ` `�==^=$89i0'4"-� Unit Unit: Unit: NOTICE: The work authonzed by this p�rmit shall comply wilh all applicable handicap access requirements under Califomia statutes and relaled regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, antl all �required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the eicpiration of this permit. - CODE R INSPEL710NTYPE ORTE IN7IML5 COOEf INSPEC710NTYPE ORiE IX11ML5- 1616� � Fixed System Final Fire Prevention ' 2ob Final Mechanical 1266 Pool Spa Final . ' 208 Final Plumbing - 200 Final Re-Roo( 210 Final ElecMwl 201 �' Final Block/Re�aining Wall 212 Final Fire Prevention ,� 202 Final Factory Fire Place 220 Final Planning Approval • � ' 203 FinalSign - 222 � FinalSite�.� . ` � - , -- J �" i 204"�, ,Final �emolition,_ ` 250V Final BuildinglOccupancy �� ^L r" T' WORKERS' COMPENSATION DECLARATION� I hereby aKrtn under penalty of perjury one of the follovring declarations: ❑ I have antl will maintain a certificate ot consent to self-Insure (or workers' compensation, as provided for by section 3700 0( the Labor Code, for the performance of the work for which this permit is issued. . . , ❑ I have and vrill maintain workers' compensation insurence, as required by section 3700 of the Labor Code, for the peAormance o( the'work for which this pertnit i5 issued. My workers' compensation Insurance carrier and policy number are: Carrier. � � (T�is section neetl rat �e completed d lhe peimrt is valuetl at one �untlmtl dotlars (Sf00) o� IessJ ��Polic Number: �c�Kify ihat in the peAormance of the vrork for which this permi[ is issued, I shall not employ any person in any manner so as to become subject to ihe vrorkers' compensation laws of Califomia, and agree Ihat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall �� ompy vnth these provisions. �,,JS%Z-ti� fs SignaWre �Dat¢., WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in (ull force and effect. Lic. # Class # Convactor's Signawre CONSTRUCTION LENDING AGENCY: � ❑ I hereby affvm that lhere is a construc[ion lending agency for the peAortnance of the work fa wfiich ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: lenders Address: OWNER-BUILDER DECLARATIONS: 1 hereby affrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business ana Pro(essions Code: Any ciry or county which requires a permil to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thal he or she is licensetl pursuant to the provisions of the Contractors License Law (C�apter 9(commencing wilh Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempt theretrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applican r a permit subjects the applicant to a civil penal�y of not more than five dred dollars ($500).�:- �...�I..as�ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the s[rucWre is not inlended or oHered for sale (Sec. 7044, Business and Pmfessions Code: The ContraG[ors License Law dces not apply to an ovmer of propeAy who builds or improves thereon, antl who does such vrork himself or herself or ihrough his or her own employee3, provided that such' improvemenis are' not intended or oRered for sale. If, however, the building or improvement is sold within one year of comple[ion, the owner-builder will have [he burtlen of proving [hat he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of.ihe"properry, am �EXCLUSIVELY CONTRAC7ING WITH LJCENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The con[ractors License Law dces not apply to an owner o( property who builds or improves thereon, and who coniracts for such project with a contracta(s) license pursuant to the Contractors License Laws.). OS�wner ID venfietl by dri. c. ❑ Yes ❑ No 7ac�vefs License No. � � �� Expi�re ^� Verifcation of Ownership by (type of document, i.e. - property tax bill or�tlee ): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . � ❑ I hereby certdy that no excavation (rve (5) or more (eet in depth into wfiich a person is required to tlescend, will be made in connection with work authonzed by this pertnit, and that no building strucNre. scaffdding, falsework, a tlemolition or tlismantling Ihereof, will be more than thiAy-six (36) feet high. (Chap. 3.2, Grp 2, Fvt 2, Sec. 341, Ttle 8, Cali�omia Administ2[ive Cotle). ❑ As owner-builder, I will not employ anyone [o do work which woultl require a permit from the Division of Industrial Safety, as noted above, unless such person has a pertnit to do such work from the division. Appliwnl's SignaWre Division of IndusMal Safety Pertnit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicanl or present or fuNre building occupant need lo file and .ceAify a Business Plan for emergency response lo release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Heatlh and Satety Cotle requires, with some exceptions, lhal a Business Plan be filetl with [he Costa Mesa Fire Department by every business which has at any one time dunng a reportetl year a quan[ity of hazardous materials equal to or grea[er lhan a weighl of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compresseC gas at standard temperature antl pressure). 2. Does or will the applicant or present or future building occupant neetl to file a registra[ion form for acutely hazardous materials? ❑ Yes ❑ No (Sec[ion 25533 of ihe Cali(ornia Health and Safery Code, with some excep[ions, requires registration with the Costa Mesa Fire DepaAment by each business which al any one time has on hand a quantity of acutely hazardous materials equal to or greater lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 3. Does or will the applicaN or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acu[ely hazardous matenals)? ❑ Yes ❑ No . (Seclion 25534 of the Cali(omia Health and Safety Cotle provides Ihat [he Cosla Mesa Fire Department may require the preparation, ceRification and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous ma[erials wiM [he Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health antl Safely Code been fully complied with? � Yes ❑ No 5. Does or vrin the applicant or present or future building occupant require for the work which is the subjecl of this application a permil for such construction Of mOdifitation (rom lhe Soulh Coast Air Quality Management Disirict or from any other air polWtion control district or agency? ❑ Ves ❑ No (Sectbn 65850.2 of the Caldomia Govemment Cotle 2quires ihat [he 2quested in(ormation be fumished on appliwtions fa non-residential builtling permits). 6. Will any part of the facility to be consiructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No pf'yes", the facility must meet the requirement of Sections 25534 and 42303 o( the California Health and Safety Code). 7. If a permi� from the South Coast Air Quality Management Dis[rict or other air polWtion control district or agency is required for the work which is the subject of Ihis application, have all of the disclosures prescnbed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. , Qf'yes", attach certificate of compliance from the appropriate air pollution control officer�. � � '� CERTIFICATE OF COMPLIANCE: I, certify thal under penalty of perjury�ihe information given above is correcL I�agree to comply with all state laws aod ciry ordinances regarding Hazardous Materials and Emissions'.� �- _'� CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: �I certify under penalry of perjury that I have read this application and state lhat ❑ I am exempt under sec. � ' the information given is correct I agree to comply with all state laws antl city , ordinances relating to building construction, and authorize representalives of Business and Professions Code for Ihis reason: � Ihe City of Cosla Mesa to enter upon Ihe above-described property for _ inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized 6y this permil until fnal inspection. QS,Z�D� Signawr I (s) Date . 305J<6l ]I' LBnat_.� Ddte� .. _ �/�:/�_Q� O` � �n onAu�O ApPbt'anl '�Dale� DECLARATION OF AUTHORITY BIdg.Permit# FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS This Permit # Street Address: AP Number: C-U�iN /7L�/` C/9 • I(we), ��,_.O � �/��//<S , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: i Name: � / �� YL��/ ��/5/�� Telephone Numb�r: ��L7�� z �-S� � Street Address: �h � ��y� l /1 R��f_ � City: e�-� riY ��(=S�% State: �/�/ Zip: ,r2 6 2 l to obtain permits in my behalf, as owner/builder, for _ 9�/ Q��%�//i �� at the above referenced property. ' „ 2. Should any person become an employee engaged in the improvemenl of the property, I(we) shall immediately provide Worker's Compensation Insurance wverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of Califomia laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. 1 agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalry of perjury that the foregoing is true and correct. . ' Executed this �iT day of �%�L�_ 20 �, at C n_S� r",��`�fJ (�,�l , Califomia. Print Name: � �(� � ///J'�V `.] � f/ t Signature: l��iC'/Lu� Note: This authonzation does not grant authoriza6on to perform ttie work as owner, it soley provides for limited power of attomey to secure this pertnit in any behalF. 0�)9-C6 (rev.t V00) ��' '- a � f' � '!� AP�OVED CITY OF�COSTA MESA PLAN�ING DIVISION SUBJIiCT T�BLDG. DEPT. REG. � NOTF: ADD TIONS, DELETIONS, OR CURR TlONS SHALL BE APPROVED B THE PLANNING D}V. � �2 -O� � S O� 0 : � // 23-aD e � �i 13 •06 EX�' �� x csTtN� 5lN6'LE REC�DEl1(TDIVlSIONOFI D U S' � cirv � /� ,. , ?rr �-- �3'-06 `i � � � : ► � � fAb s� ot plans and spec�ficairons MUST be I 8M Salely. CAy ol Cus;a ptesa. �. TAP Stampng ol th�s p4v� ,uiA specdratqns SH q Mie v�daUun at any proviswns ul any City GARA6E 2y �oo sr pR i vE u�a y , E D '; _�- � 12 (� Ihis pb at eA tinee md q h e�b i pmn�sim hom AieDh�onaldtl� < �T be h81d b pEmel0llo bB BIIlpplOti W Mese OM�nce miNa SfBEe qw. �cane wa ana w�a a me aadga ISec.105.5� t� �ye of iwqn4. . / �� -65�00- % ; 0 � 2P�Oo�� '�' 13� p `�, . .... . . .... . .. . : . B�� ..� . ,-, � �O � ��x8a�/ ;. 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U� � : ... . . . _ .. .. .. •... ,. . . . .... .. . .. . ... : '. . � . 6Bs .oBs• � ec aGeu�� eFrw c rtV EUE2 Y. Joas T /C E<LC�Yf � �x8 DRYtu.�[�� 2.X6XL2 �Ac�A�. � ' EX �5T1l�C r b �'.XoS Gv 6GX 0o u� F��.4c�- gNcl,ioR i , ;,. � f iir`I '6 � � 4 n . _� OU 3Q c g ,SL/{C�� 2o�Ft�yG P�aP e2 ae,s. t > /�� ' tNsuc�� / �XG,Yl� � doas � 2XG gcuf{ l�`• oc_- r �2�Alk — � �6X10 �'l2 6IE�D�R �-,�cs T�w� asx as tv�n oo u> �'X1�' Tiai6 ul,a « 2 6� � —=---�-,L (� � o y,� '�� Cory�,�oslTlat✓ �� xlsNcG �� i ti r. ENlS7tn/� o��s cc��u o o u� 9 IN_EsT sIQE . -,.RoaF�dic-__Jd�s _T__, Cv6�Yoci cucs _ � E7�/ L __ °a ° I �rrraso��c6 a a _ ...�-ra i _ �J�L �in�soai L Rl,�Ce�%02 � 'r/ `.�� !/ 6 (I . u� / / � L 4 �/ � � / � ; ��" -Y.� � . P, �l oF v <z�srl �gl2s�s9 �r� n p.._� . - .. . . - . r 9b1 DAHLIA AV �AVSS ' ROBERT, F_; 61 � A�FiLIA:"AVE OSTA,�_MESA, CA' -�: + . '415856xi' i j' � - ... . . . ' UNIT: � . 92626.. ... ; HEG.NO.: " .. . . UNIT: � ' . ' � PEflM1T7EF:?� � .� � � " r; ' ' �, I :, . ��' . �,' . �ooeEss:_CALIFORNIA 'CUSTOM DESIGN ; (,714 ) 245=2151 -T2�8]��4(�1'5 �,�TE�LGT' TNO/�RpOp . � i (;�y o S 7 ULENEEO CONTMCTQRDECIARIITMP'"TMErp6y'SRdAltlui I am IiceineJ unGd'pFOvisidn�ol'C�pRr 9 �commencinp xit� Section �7000) of Oivis�on 3 0l IM-Bus�ness an0 Prolzssions CoOe. antl my lipenu a in iWl force anE etlecl. - LITY lIC :• �_ � •. �� .•�f�'�ST�TE L1Gi' � ' . C1A55: " : .. �- + . � . 054957� � ,,.,,,; 490484 B � : D�Ic ( � - Siqnalua: - ' ' WOFNEfiYn�T OE B�TION. '1 herety attirm Iha� I luve a ceNfiwfe of c nu � o sel�e ar a cetlrtiwte of Wa�kers' ComDmsa�wn Insupnce'or,� certifieE eopy tAereol �Section 3800 La�. C�. • o-. . . PoIIGY�XO: � r. < � .:'� �. � t . . ExF WTE: • . . LOMPANY: : : `� `�' i:v' r ? •u � � . r�J cennua coe`r rs nereny w�msnee D� cennua cnvr u iaee wAn� mr c�ry a,�ia��o awsan. � � . - f.. . ` ..., j ._�,.._ i. _ : . � '... ' . ;' 4. ., .� . . : i p�te ' � Applicani . . � . . � � .ECEMPiION FpOM WONKFflB' COMPENShTIOX OECLIIP�TION (ih5 uclqn nretl iroI Ee complelM il pk permi s Ip one huMrM (5700) a kss�. ' � I cenily ihat in ihe penam2rlte o� tIM work la wMcll tMs permit is' ue0; 1 snNl Iwt empbp arry pelSon in any manrM� w as lo become su�i�i �a ine waAers' Campcnsation Laws af Caldamu. + � r r _ Pare ' ��'.1 Z ��,' . � "` '�: , SipnaM1rce: ' � �� . -� �XOTILE� II; afler mahmp tnis tleclantian, yau sliould Oecame suqep to tlrc Workers Co " n n v� ,' ns oi t�e LaUor � Code. You must lon�wit� canWY'wil� suc� Proviswns a Ihis permil Slull �e Oeemetl revoke0 , . CONSTflUtiION 1FN01NG ►GENCY:' I �¢retry allvm ��al t�ere is a conSWdion IenEinq apenq for t�e perlormance of t�e woM1 Io� w�ich t�is DermO is issuN (Section 3097. Cir. C) . ,, ., ' ' ' , � - � tIFNDER[� N.r.rm0 ib>i . �S i -`l � t`�.; ... , .� ., . ' ' � I : . . �...., �. .. . •..., — '.� OBFSE:_�.��_�-_ . _ . � . _ . . .. S "' '' �,� - . i ` 1 � : � � � ' ' • , , i . .. .-: • . . � .f ,; � � "� � .� : , OWNEfl BUILDER OECUfl►TION: _I �ere�y aflirm rtaI I �m tiempl tmm Ilrc Canlractors' Sl�te Lrtinse�Law lor tAe lollowinp reazm �Secib� 7031.5 Business anA Prolessional CoOe: Rny �ity of �uunty wtiic� roQuins a cermit Io construct, �Iter, imprwe, Oemal6�, m repaii any siNcture. prim to iis iuuaniE: ilso Rpuirts itre aDPlicant Im sutA pnmii ta fila a sipneE sta�eme�11 t�at tle/s�e is Iicen5e0 � Dursuant to I�e provisions of ihe Contraitors' Slatt License Law (Clupter 91��inp wit� Sectqn 700p) of avision 3 ot t�e Business � anA Pmlesiions CoEe) or IAit hGSAe is exempt Ihertlrom antl�t�e havs lor Me aliepeC ecemption pny violatqn of Saction 7p31 5 Dy - any app�icant Iw a pErrrN suDjeCtf the dpplinnt ID ! Cml penally. ol rwt mole Min'IM hurWretl tlWlarS 1`�) �.�., .. ; ��I. �is*owoei ot�me OfocertY oi my emplo` ' . . �� . . � y.�.� }M - - yees wit� waqes as t�eir sok comDensation, mll� Eo �he. xroM a�M Me � � sttucNre 4 noi mhnOeA or ottercE for sale (Sectron 76N Bus�neu anA Rahsswn�l Cotle. Tne Contraclors' Slale Ucenu L�w ,; ''' does nat aDDN �a an owner ol a property wlo Ouiles a imD�u'�s Oereon, an0 wfio Ooa'�suc� woM1 Mmsell/IKrself or throup� ' � Ais or �er own emD�oyees - DmvidM Mat suc� imvroremants are not inlenCeE ar alfeatl lor sale II. Mwever Ihe MnlCinq or . improvement 6 wp witNn mrc year oi romDle�ion, th owntt x91 lun t�e EurOen oi Drovinp he/she Oitl nol huilE a imprpve � - br tM PurpoSe oi �le) . y - . ' I , r ; • . � ' _ . ' . � . . , .. 'Y�:1.� 't_' '�.v. K i .e . . :'. "y`.. ,. . . s . clors to consiruit IInM prolect (Sectron 7011 BusiMu � lo an mmer M propeM � buAEs or irtproues �hereon � ! �o tAe Contractas' State Licenu Law�. 1 am awue rome. �:.', ; � � � ^ " 4 � v„w r .�� a.��y.�, . ❑„' zn0 Professrons LoOe.� iM Coniraclors te Lceme law Ooes ' anC wtw coniratls 1or wcR prpjecis with a cOniractoqsl licensi . �Ihai p�001 OI,I�f WOlkpi 5 COmpEn5dti0n i05ufinR SMIAtl DE � �I am e�empi untler Seqiun '� ,._ } � B. b 7. C.'. . � �or �Ihis rtason �; `" . ' � .� , Date�. ' ..pvrner . , .,. � • " I tl0 Mre�y cerlify IIWt I am aware of anU unOer5un0 tice repUvemmis u� CdUfwnu Hea11� ar�0 S�lety Cotle SCniOns 25505, 25533, arb `2553A antl Inat I or any fu1uR builain0 occupanl willlwill nol (circle ane).nttC to LromdY ��n Sdie slale coGes an0 ine repui�emenis lor a permil lor consVutlion a motlihcatio� irom ihe !w Ouality Mdnaqemeril Uslritt. fleSiEenlial canslNttion applicalions are exempt irom IAex Dmvisions: i "' � f � � ' • . . . _ . . . _ . . . • �ate: � � . �Kant � . , ... .. F . .. . ..... .... _ .. . I �eie�y renify t�al I nave rea� t�is aDDbca�ion anE state t�at ine aUove intormation is coract. 1 aqae to compty wit� all city anG eounry; orCmarKes an0 slate Wws rNatirp to Mxkirp conslrm'Iqn arM AtteEy aulnonze represmratnl5 al th5 Ciry'to enln WOn IM1e a0ove,mentiIXnO- pmDeny foi insDec�ion rpose5. --, ' � . y� , ' Dale: � $ignaWrt: \ ��_A� ��q� Driver's License or Soual Securrty w: �. Canary—Applicanf, Pink—Revenue; Goltlenro0—ASsessor . � ,.. . • CITY OF, COSTA.MESA -� BUILDING PERMIT I PERM �NO: 3, 055491� . , : :,.c.. ... � 'PERMIT NO: B 055491 PLATf CHECIC,NO:� OSi46-41 S. ' ,- GOVT;� N:SUPP: Ni � CONSTRUCTTON TYPEs .V-N . , " • . aPERMIT TYPE:; STR. •_ - - ' - ' PURPOSE: •ADD . .. _ . .._. JOB, DESCRIPTION� x'�: � PATIO ENCLOSURE ICBOk3421 ; % &Q`;FT:, .'. `'...; -,1�60' . j CLAIM,VALUE:' �� 2,'400.00 CALC=VALUE:� •'.5;8�2<4•:00 GROUP OCCc� R-3 '/ ,-�; �.; ,. ;,.:,? , •.: ; : • ,,,:. ,:;,�,, �t,: ` ,� t.. ;',', , ' COMMENTSc PATZO' ENCLOSURE' ZCBO#3421; `; `- ' . . = � + � ' ' ; . ' "' o ' = ' -" ' � ' - *****x�+ta�e*****+�a+�*�t*r*�*�er**�t*******�i*�*�t�*a��**�*�ex****�+�*�***�*�r�+�*+r**i�*��"x*x � ' Z'O N I N'Ge R E Q U�I`R E M E:N T$, � � �' - i, • S E T;B A C R, S� ; � ' ' ` � . ,, . „( . . ,. . : . : I �. . . - MAIN BUILDING ----------' ---- -- ACCESSOAY BUILDING�- - FRNT: Z2 FT 'IN REAR: `.25 FT- IN. �FRNT `�FT '`IN REAR _ FT� IN `•LEFT: 22 FT IN RGHT: 5 FT ZN LEFT '�'' FT �; IN RGHT ;, FT IN' � � - ! . } ,V �... ' ; ' ' . . � . !.. . . .� � � i . PARKING RE(� • PROV:� PARCEL:'�91218123 �ZNE: R1s �REF NO: � � PLANNING NOTES>:1.40 SQ. FT..PATIO ENCLOSURE AT REAR,OE�EXISTZNG. RES:_.,:,_ _. _� __ i' "., _ >: . .. . _ . , z.._._e �--" /+ � � . . if if if If if ff if if 1f if fF If k if * 1f M if �F i! 1f it M�f M M it af �f �F if �F 1E iF �f~±f M iE if k�aE M M it jf iE if ff if �f M iFiF iti! * iF�f k if,iE if if k If �E 3F iF M 1F.if iF iE iE * M 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 Ns�' Si ZONING"APPROVED-BY : � ��-�� • • � ' � ' , t DATE: l'��3�1 ( - ;.�. ' BUILDING'APPROVED BY .- - ;-A`� _' '''' °' f' DATE: s: r APPLICATION ISSUED BY:' DATE: � M if M M 1f M iF 1f ii if �f M iF if iE If If if M K 1f iE �E if �E #f iflE if IE �F MF�3�'£�iF#F �f lfiFjfiFlE±fiE1FiFMlFififlEiEKklfififiFifiE,MlfiE.iflF,ifiFiF�F3fififififKifiF%M iF1fMMififMafklf#Fit1FiF,ifaEiflFifififiF�fi{if1FiE�fiFKiFlFiFiFiE LEGALIZATION:N ? -_ '. fi S E4�� S�U` 3M `A R Y�.� ;, �'( STRUCTURAI� SEGMENT:Y � - [.a. «� } fi' a :. � . 1 . �.F ,r -. ,�M t +riG T ' � i: `� . � ' 1' }.F t � _ . � � �� . : -. . " ' BLDG: PMT PLUMBING +'.ELECTA r MECHANIC ,�: FIRE SMIP`/RESS' ,-GRADING a.F�r yv-b.f_..�......_...e PERMIT 81 .00. _ .. ,- <:,as_� ....58i: �� _ ' ; ';: ` , � SMIP/NON�RES~ ,Pirw� _ . . s2 6s , ;• ; ' �:,� :,;�� , . ISSUE FEE .; `T _. � `' �; BUILDING-DIV->"'�PERMIT ISSUE.. PL -CHECK TOTAI.:. ':-<PAID, j DUE TOTALS=--=>� 81.58 0:00 !' <. 52.65 134:23� �*134.23 .00 �R$VENUE DIVISION TOTALS--> - COLLECTED; , •139",23 OVER/SHORT3: �� .OU^v '•'� �" �HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOi ,GRFu7ING"'pLAN-CHF , , i . - . 81 .00 : _ . , .. . , .. � " .58 _ F �' S2 +: `r' M jf if if If if IF iF af M if If �f if if M i6 if If iE if 1f if if IF K M aF iF 1F M �F iF �E if if M if If If it if If if iE 1E if iF if 1Flf iF if if iF iF IF if iF if if aE If 1f if if 1f 3f 3F {f iE If iE if if ff #E if + : ' I N D I V; I D U'�A L; ;F E E ( H,A E A R� D.O W N • r,- - TYPE QTY •`- D E S C R I.P T. �I O N , UNIT COST ,{3'OTAL COST SFR 160 � RES-PATIO COVER-ENCLOSED` PATiO_ � 36,40' • I, ': S,R7.9.00 � . . ' -� _ . RUD CIF' fiF.ES. � - � � • r�� ;. � . � � � . !�i �V:. _ ':'��' :..;� '� � i 1 .. .'.'f ,T_ . . .•.. �.' - 'I Stl:. i . .. . ✓ ' '. "• ' ._' _ � � �(�dE550FBNLdNG:- (361 DAHLIA AV /:MER'SWIIEIFIPlOWN: DAVIS,. ROHERT. F '�""�5 DAVIS, EVA A 961 DAHLIA AVE COSTA MESA,CA APP�. MAIIVM 1WXESS: A1ICNRECT OH fNtlNEEp: 6 UNi: ' FLOOD: AH-38 i 92626 uc. xo.: UNT: CqlipACTdi'SNWE: pERFECT COVER ROOFING ( 714 ) 4 34-1566 coemucroas�uuxo • 3303 HARBOR BL - � �ooxEss: COSTA' MESA CA �� 622516 92626 ur,,: D-5 LICENSED CONTN�CTOPS UECIAN�TION � I hervby ell'rm uMp penNy d perjury IM1eI I em Iceneod uMer povivione d CFepl�r 9� (cwnme�rg wnh Secibn )000) d Drvision 3 d Ne Buzmss eM PMaevms CoJe. eM mY �Ka�sa ia in full faca vM eMed. cmuc.no.:054055 uc.cuss: B uc.No.: 622516 EXP: 11 /96 oe�e: ' Zze�,� cooveeo,: • � OWNEN BUILOEN DECLAHATION: I Mreby e(firm uMx penelly d PorNrv �� em eRemq from iM Convetlaa lioeroe Lew fa Me Idbwiq renwn (�ion )031.5 Bueims ad Proleasions Cade: Arry cry a mwry v,hidi re9uirea e pa�mn b mceWct, eltm, impare. tlemol'sh, w repv any nruci�ra, prior w ea "swerce, elso reQuires the appli ant fa such pennit to file e cgired aietemenl Ihet M a eM is licensed W�ent lo �he provieiona d ihe Conlrepors License Lew �Cheple� 9(�memng whA Setlon )000) d Orvopn 3 0l IM Businesa end Proleasbns Code� or Ihel I» a she is exemq ihxeirmn end �ha beais lor �he ellepeE eaemplian. Any vblmion of Sadion )031.5 by any epqicenl lor a parmil subpUs iha epplicenllo e dvil penely ot rw� mme Ihen irve hundred dol4n �5500��. � I,eaowneedlMpmpMywmyempbyeeawlhwapasaviheiederomperealbn,xilldothexwk,vM�MeWetureb�wlinleMed a aRared In eeb (Seciion ]ou. auarrese eM Proleas'vuCoEa: The Conlrmon Liceme law Ema mt evGhto en owmr d papeery !^'� �� a mD�'es �Mereon, eM x1w tloae eucA wark limaell or henetl w Ihraqh h'e ar her ovm empbyeee, poviEeE Ihel auch improvaments ere rot inlaMaE a ol�ereE Im aele. ll, lwwevx, tM buiMiiq a impmremm� ia eoltl wil�in orro yeer d mmplMion. Ne ownervbuiHer will hava tM buNen d proving he or elre did nM build or imD�e lor I�e Duryosa d eab). � 1, ea ox+wr W ihe pmpeM. em exdusively ronlreGip with licaneetl conlrecton lo mnmrua iM P�led (Sedion 10a4. Businese eM Prdesaione Cade: The Comraqws licenae Lew Eoes M epply to an ownx d propeny who WiMe a impvaea tMreon aM who wnrcecn lor wW p�qxas wnh e coniretlor�s) licemed W��t to tM Cantreeon Limvae Lew). � I em eRemq uMer Seciian: B. 8 PF.. la I�ia rmam: De1e: Ovmer: 1 Eo Mreby canity tlul I em ewere d eM uMersieM the requiremenla d Celfwnie HaeXh eM Selety Cada Setlions?5505, 255�3, eM 2553a, arM �Mt I or eny Muro Wiki�q om�pent xill / wil rpl (arcb me) neeE io canply wih sek nma mdes ud �he �puiremenp M epermillorcunvuclianormodifwionhantMAi ue�.y aregementDmria.Raudemielmrebueipirppirelpiyereyampiromlheea wovisiore: • . Dele: Rppikenl: � . � � W ORKEq'S COMPENS�iION DEttAFAT10N: I Mreby eMim uMer Po�eM d pe�vy pie d tM Idbvnnq Eetlaretbm: ❑ I hsn eM wil maintan e cenJcete d canxnt lo netlinwro lu xpkero mnpenaqion, m pwqeE la by Seaion 9)00 d iM Lebor caaa. e« ine oarto��a a ma �x i«..n�on mre p„mn n n.�,a. . , �I hew end wil meintem wahnea' eampenaeiion insurenee, ea required by SMim 9'!00 d �he lebor Cotle, br IM1e Po�� d ihs work lor wfiich ihie parmd ie ivaueE. My wakere' mmpansalion inwrence ramar ard poliry number are: ' � c�a,: STATR �FfTNn EXPIRES i va�.N�mn,, , 12419��-95 04/O1/96 (This union rieeE nw be comple�ed i tM permt u roi one hundisE adkrs �SrOJ/ a lesv.) ',� I�cenAy Ihel in the partwmence ol iM wwk fw whkh th' parmn�is�ieauep, I ehell nd empby eny pa�eon in eny menner eo ae to bewma wbl� ta �M workare <ompenee�bn lewe f Celil e. aM egrea thet ii I shouk pecome wbjea ta the v.orken' oomoanwio� provisom d seaan a�oo w �ne lebo, code, �.nm� �onnwnn mmply wun moea omviaoru. De�e: I ZZ �� Appliram: Weming: Fellur� ro�sc✓ro woikm' aompsnae0on wvxp� 4 un/ewlu4 anJ �MI �ubf�cf en �mployer ro cMMntl psnelXsa enC c/vll Xnaa up ro wrs hwtlretl tMuaid Jollen (f��4000), In Mtl/flon ro M� co�t o/ rompeiwfloq tlamap� u prov/tlstl br In " 3xtlon 3]OS ol fh� Lebor Looe. lnfaeaf, �nd �ttomsYa Issa. CONSTPUCTON LENDING pQENC1: 1 hereby �im wWer penelry of perptty thm ihare o a mrufeWpn bMieq epam.y tor tM oanoimeMe a me ..on� �« wnid� mo ro�� a a.�e (smo� xa). ca. c�. LENDEH'SN�NE:- � LENOEN'S ApDHE55: 1 teniy iha� I heve reaE Ihis epplicelpn end stme ihn Ihe ebove inlormelbn is mmp. I epree lo comply wnh all dry aM countY oMinencea eM stete levn relelvq to WiNig mrWruclion eM hmeby eNhw¢a ropeaen�etivea W �he tlryb enter upon iM ebove.meniioried propeM brinspeUbn Wrposes. - , MALCOM BURNS.�. _. . __, _ De�e:� �ZQ(f �9newra vaeu (StSt-48.WP) � Whdo-BuildinpBSeleiy;Oraeri-Fle;Cenery-Applicent;pink-Ravenua;paldemoo-Assmwr � : � CITY OF COSTA MESA — BUILDING PERMIT ' � �ERM NO: B 07607 PERMIT NO: B 076074 - PLAN CHECK NO: N GOVT: N"SUPP: N � CONSTRUCTION TYPE: V—N 'PERMIT TYPE: STR PURPOSE: OTH ' JOB DESCRIPTION •: T/OFF RESHEATH /COVER W/ICBO 3523 • SQ FT:' 8,900 CLAIM VALUE: 8,900.00 CALC—VALUE: �� 8,900.00 GROUP OCC: R-3� / - COMMENTS: SMOKE DETECTORS RE�UIRED PER 1994 UBC et�tat**atit*atitat*at�**rtatat�*��**ir** �*******+��**itat�it*�r*�r**ie**ititatat**iexxx�+tx��x��**�r****** Z O N I N G R E Q U T A E M E N T S ' ,, S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN ;LEFT: FT IN RGHT: FT IN PARRING REQ: PROV: PARCEL: 41218123 ZNE: REF NO:�� PLANNING NOTES> ' `� �,w 1k ib iF if if 1f 1f if iF 1F iF 3E iE 1f.iE 1F 1f 3f if 141f IE If ik IF 1k if if iE if 1f 1f-!F 1F if 1E iE if 1E 1f iE 1f 1f 1E IE �141E 1E if' 1E 1E iElE'1E iE 1E �)E iE 1E 1E iE iE 3F �IE iE iE 1E 1k iE 1F 1E 1E 1E IE iF 3F iE if� if D E V EGL 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 DATE: �'' BUILDING APPROVED BY : ' DATE: �/�7 APPLICATION ISSUED BY: � DATE: / /� * iE ie * x� * x� it �* at iE * ie * ie iE * iE it x� �tTF;F�FSFSF3FiFSFTF3FTF3F�FiFiFiFTFTf��iF7�7F�FiFiF7F7F7F'iF it * rt it i[� it iF iE iE *�7'��7F3F�'i�i� i� LEGALIZATION:N . F E E S U M M A R Y ' STRUCTURAL SEGMENT:Y ' ' ' _ � i BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 108.00 � �?, =' 89 SMIP/NON—RES PLAN . ' � � , ISSUE FEE ^o^+ nn BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK , TOTAL '� %iPAID DUE TOTALS----> 108:89 0.00 0.00 108.89 ` 108.89 .0,0 REVENUE DIVISION TOTALS--> COLLECTED; 108.89 OVER/SHORT: • .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRAD`ING PLAN—CHECK ioFi.00 .89 :% ,�? , . . �. ._ . . x ! iEiE1E1E1EiEillElEififiElEififiE3ElEfEiEiEiE3EiE1EiFiEiE�EiE�tiElEiEiEiEiE1E1EiEiFifiEiEiFiEiEitjFiEiFiflElFiEiEiE1EiE1EiE9EiElEifikifiFififiEiEfElEiEiE'iFiEiE --. . 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 UN-IT COST�� TOTAL COST . � SFR ..8900 REROOF BY VAI,UE RESIDENTIAL NOZONE ,,,1.00/ • 8,900.00 END OF FEES � '. ,y �� i ;i . ' � �r r �� ; l' D5 �t01't33ii—(1Q19�s4� -rc�-r �as.sp uNTE= Fi�/?2l9.5,'' TII1E: 15:48 _ .. -- � , :� . r,_� � �, ti: r 0 � �l . � _ '� J. . __ . . __' ._ .. , �/ Pi., _ & SP.A. -- CONSTRUCTION AND PLANNING . ' � � ' , - � a � � Date � I�ns ector �� Permit #' ' - ' < Date Inspector P APPROVALS, � , ,APPROVALS _ Permit t# - - , : � 1. Temporary.Electiical Service or Pole � ' ,� � � � 1 52.� Pool� & Equipment Location , � 2. Soil�Pipe-Und�grnd. T � r 2` ;i+ � ' � 53r Steel Reinforcement�� _ ��j - � � `-� � �< � �� 3yElectrical Condyit�Utikity�Und[gmd•.� ' . � 54. Forms- ' ` , � += �'.!. �'� ' ��4'�Electrical Cond�if��Jr��rgrnd. � . 55. Electrical�Bonding - � - �' , t'' �'-� -�cav.� �• .:c�., ; � . - 5. Sl'eel Reinforceme�j� ' � � . � . 56.- Rough.Plumbing & Pressure Test ��- ' - �L6?£lectricalUFERGm'ci. " 57. APPROVAL7000VER�GUNI7E �,, ' -f4i�• a'G" .. 'S � . : . . i� �'Q9._.�oetings � �„S � T - - ' 58,. Electrical Conduit�Undrgr'nd: �:' ; f�; �. �� 8. F.oundation �_ � i. �I�i� 59. Ga"s PiPe, ndr rqd i, t- ' i . F 9. tNater Pipe-Undrgind. _� .• � . ��: . 60.� Backwash ��r =� �� + Undrgmd. ' 70. Structurai Floor•System . ' - ' , 61: APPROVRL.7o DECK' J„ �� 1 t Property Sewer Gne & Hous JBonriection �. .'62., Backwash & Receptor-Final c�' . 12. Se_w'er Cap ` �.`� � 'r ' - - , 63.� Heaier'& Vent-Final � ." ' � � 73. Roof Drains ' � •� - 64.� Plumbing System��Final,,. �� „'{ 1�4. Rough Piumbing� r; i � � � , - 65:', Electrica6Fina1 � k .. ,E �, � � r `�� 7.5. Rough Electiical-Conduit . � ; �' - � , 66. Solar System-Finpl. � ' � •� � / _i v ,y6. Rough Electric Wirin,g�r..� y �,, , - ' :"? ; '!67i' Fencing & Access,Approval '. ' r . +, 17. Rough Wiring Si9n ��r � ' v �� . � � + 68: APPROVED�'FOR'PLASTERI�NG.� . � , • !18. Rough ElectricalLT Bar Ceiling � ' . � • '69r POOUSPA SYSTEMS'FINAL - - � -19. Raugh�Heating�& Air'Condifioning ' -� � '` ' - � �-FIRE DEPT. REQUIREMENT ' ~�' �� - ' � - -^�� c� ai�c:� rc 20. [,i'pu� Factor�;Fi �.ace � !z�`� :;ye * � � �x''APP�OVA�IS;y�,Pe'r`mit # �* _ `� - v 27. D"uctf�ini$tructure;,s- • -��• «1S +c -- t7 ^+>':70. 'tjndergrDunB Hydro �; .• � 22. Ducts: Veritilaiing`` `� ' i="= �' �, `'�Y � _` .1 .�" ,� i. �: a: �ti 5 G ::: O �-„ e. v, � 71. Produci Piping � Gas C.Oii 23. Gas Pipe :@ough & Test � �,: :� ;� c� p» ; i 7Z, Underground Flusfi�:- ,F�- � 24. �oof`Framing" �.+ ' • "n R % '-' � � * � �, 73'Cj Undergrnd. Storage TSnk�,Q Gas ❑ Oil �.,.. . x -": c 2. f . n. �..� .-.c-,.,i 25. RooP,Sheathing �, d ��z; 74..:Overhead H dro� * �- `f_-Y'b ��w� Y 26. T�Bar�Ceiling (Struct�rall & Mo',npcoat '� =' � �^^ 7ry�Diy Chemical r� '"'J `�' C: ril RI.G 'K i� ;?i iA. 27. FFameand,Flashin * N �� ' n ` '"`� -' •�`' '�:=' • " - �3� �=:y. ��' N cn�: 76. DryStandpipe�E-c7 � D -a28. Lathing &:Siding F�*'� �7e::� "" '� -Tl "* 777 FIXED �STE��INA�'. �y � � ` r> ,'i+. .15�-� i: i: 't!: � �'29. Insulation . ��' ;: .'' � .... � :: n � �' 7�: F7RE PREV. PINA�L �., . �: N V' S Y.: '�� v � 1. - 30. Drywall Nailing �{ ,� � � � � � �EALT�DEPT�. REQCIIR�MENT ':{; ! '!: g (J �� r i. -31. Plaster Broevn;Goa�t�-'r �� i,: ;-. � • ..; i,7g, FINAL INSEECTION y. - V 32 E�ectrical.Pow'eY MeterFinal � *�} ;t_' 780?�FOOD CERTIFICATE ISSUED . !l IY. ' f • V, Y, .fi `a ~ Y T � 'yt tl' � �; . 'r I C•'i �:� '-J.'..: c�' .�33. fina�,Electricr �x �y i �.+'„ * � ,x `Notes: � ��n . -� �:;r, ii34. FinaGHeating & AuiGond+tioningS : + � � ' 6� :;7 ,_. C'.� �x rv � %r7 Iti Y R1 M J;� ' .f � H (-+i T l i , 35. Final'Gas,Pipe Test ' � "� ' ' � � • �"� * •' =-`� � . -, X f n • + r! ti: � -; O C � -,r. �- �- '736.Hood�or�nUPY �+*D� ?"c � 'c.:'1 1 '� 'z f�o - �%;?' e- -n <_ �r n :� -n �. X i - (�� • ('1 k !.^, � -i * 5^ P '. s+ r� �37. FinaFFacFory Firepla,ce'�. , ;�;_ '� h � '; ,p � J - �38. Pinal;Plum6ing ['�� '� � v 2.,V . � F� 'S �- �'a .� -- - i r n� • N �, x w �., �39. kVatei�5ervice-Final "~ � '�`' '� �i �r" E ^ �� -v ai V �: + i: C � �s �, _ � x - �-c,.�40. GasService-Final ��;y �;��T _ "p�q � F'r qo; e;.fq *'_' "" M. 1r =1' �41. Sotar pomestic�Final'•; � '� ' ' �� I �r Q� ,+- X •_� _ i.y �� ir �r ya. r z � 42. Backflow Preventer ;,; '� {;; ;;; "' ( ;;: " � � / , ,�� - _ .�. ., . ,. _ � . � �''- j '" `l'G' G,ro,' 4/rar�� s'r..�0.y. ^ 43. Backflow Irrigation *` '"SS �K s �:t- v�, :� 4 .� 5� �+: c �, a � v C� - �� :- . .,. .. � . , .-: �/1 - - � i � 44. landscape�Ini5lation.System w,: ^ :c; x G: C �7 •7* C. =� �i �. ::ya i� �� - - _ � _ _. �. .� . z r> � �, � �.� rr� v � 45. Sound Attenuation'� �'ar'- ^' � � E- �x� '-� » � G� �C�^ x /� �r. : � '% r] .. .. � . n �.y * _ n+ ✓„ • F L Jy� � (2� 4 . ; .. � � 45. Wandicapriiegu�ations� � ' y,��; �" '�,'k � � -��, � y� - -' .. . !�� :� .., n a 47: FiNAtSTRUCTURE&BUIL•bING �-�3.-01� �(,�j/q-7 {3c'= :: . c.-.. ¢• . � � .� yt :, ;r x ;, � 48: F�jNAL PLANNING * ; F `-, i r.t i' . ,��; " :r} r� - �.; � .. t . . 1 F: ^ �\ M1 <' 1:�. +, 49 � Electric Release to Edison :+ '!: '�" �� y - : i a. � .. :� =� � ;'� o � 50: Gas R`elea e to Southem Califo�nia.Gas Co . � � � �x '_ ,y . _ �=; �; -'". 51: CERTIFICA7E Of OCCUPANCY~ g.� �-, r� X .� �: p No. Date , rno�ecraon�'ss; g61 DAHLIA AV OWNEX'SN�h�. vAVIS ROBERT. F E�aoune �_.;,' 961 DAHLIA AVE .- COSTA MESA,CA APCHIENGINEEfl: 6 4 1 5 a� 6 ' ' . FOOBESS: ` � _ � UNIT: 92626;. ' ' . NEG.NO: � - • UNIT: � PEPMITfEE:'CAI.�IFORA3IA .CUSTOM DESIGN . ( 714 ) 245-2151 aooaess: 2�8J��4(p15�` E:LqTT�7O('�RpO rJ� Q Sq UCENSEO CONTflFCTOff OEC[ANFTION �.YIf�"i�tiy�etliT�l�at I am licensetl untleY�SrQvisi6n5 of'CKa�r 9(commencing wiih Section 7000� o� �rvision 3 of Ihe Business anA Professmns Code, and my license is in full force antl eflecL ' � CITY LIC.: � STNTE LIC: CLASS: � ' ' ' 054957 490984 �/B Dale; Signa�ure: ��j�„T,ifl� � � y WONREHS' C0�0 OE BATION� �I hereby aiti'rm �hal I have a certificate of c nsen��o seli insure or a ceniticaie ot Workers' . ComDensalion Insurance. or a certihetl copy ��ereol �Seclion 3800, La�. C�. ' ' POLICY NO.: EXP. �FTE: - ' COMPPNY: . � ' �' � � Ceni�ietl caDY is hereby fumis�etl. ❑ Certilie0 copy is �iletl wi�A Ihe cily Building Divisiort � Oa�e: � ADDlicanl: "' . . . E%EMPTIONFNOMWOBKEPS'LOMVENSATIONOELUBATION: (Thi55ec1ionneetlnotbecomDleteOiithepermili5loronehunCretl($100�orless�. I cetli�y Ihat in �he peAormance of Ihe work tor whic� this permii is' ueOFl shall not employ any person in any manner so as to become suble�� o �'he ,Workers' Compjensation Laws ol Caiifomia. �c' , � Da�e', � G��I � Signaiure: �� ✓ ' NOTICE: I�. alter making Ihis Oeclaraiion, you should hecome suD�ec� m �he Workers' Co pens t n pw ions of �he Lahor Cotle, yau musi forthwilh comply with such pmvisions or Ihis permit shall �e Oeemed revoketl. �- '. CONSTNUCTIDN LENDING AGENCY: .I �ereby a��irm Ihat I�ere is a con5�ruciion lentling agency lor �he petlormance of �he vrork �or which this permii is issued (Seclion 3�97. Civ. C�. � � � -LENUEH: � . , ` , ' � . ADUflESS: ' . . ' . �� . .. .. . . a • _ . . .. OWNEB BIIILOEB DECLl�XA710N:� ,I hereby atfirm ihat I�am exempt imm the Coniractors' Sta�e License law for ihe followinA �eason . I �Sec�ion 70.31.5 Business an0 Pmiessional Cotle: Any ci�y of coun�y which requires a permi� to constmct, alter, improve, tlemolish, or repair any slmclure, prior �o its issuance, also requires the applicant for such permit �o �ile a signedstatemen� Ihai he/5he is licensetl � pur5uani lo Ihe pmvisions of the Coniractors' Slate License Law (Chapter 9(commencinA wiN Sec[ion 7000) oi �ivision 3 0� �he Business antl Prufessions CoOe) or Iha� helshe is exempt �herelmm antl I�e hasis lor Ue allegetl eeemptian. Any violalion oi Sec�ion 703L5 by �� any applicanl �or a permil Subleci5 Ihe applicantlo a civil penatly oi no� more �han'�ive hun0�ed Aollars (E500). � I, as awner-of I�e pmpe�y ormy employees wi�� wages as iheir 5ole compensalian, will Oo �he work, and the. ❑ simcWre is not intentleA or offere0 tor sale (Section 7044. Business anOPmiessional Code: The Coniractors' Siate License Law � tlaes not appty to an owner oi a D�oPerty w�o builtls or impmves Ihereon, antl who does such work himselAherself or ihroug� his or her own employees, pmvide0 Iha� such imOmvemems are not inten0etl or oneretl br sale. II, however the builtling or : improvemenLis soltl wilhin one year of comple�ion, the owner will have I�e hurden oi.pwving he/she ditl no� hui10 ar improve . lor ihe purpose,of sale�. - _ ' - . . ; ' �- I, as owner ol Ihe pmperty. am erclusively conVacling wi�h Iicen5e0 conirac�ors �o cons�mc� �he D�olec� (Section 7044, Business ❑ antl Pm�essions Cotle: The Coniradors' S�a�e License Law tlaes noi apply �o an owner of pmpeny who bui105 or impmves thereon and wh0 tOnirails for Such pmjec�s wi�A a tonVactoqs)licen5e pursuan� �o Ihe COnirattOrs' S�ate License Law�. I am aware ��at pmof ol,lheir WorkeYs Compensation insurance shoultl be pmvided �o me. , - . � I am exempt untler Section: B. 8 P. C. ' . � ' for Ihis reason'. , '.' � , oate: � � � Ownec � � . . I tlo hereby cenity ihat I am aware oi antl untlerslantl t�e requiremenis oi Calitomia Health an0 Safery Cotle Sections 25505, 25533, and 25534 antl I�at I or any �uture buil0ing occu0ant will/will no� �circle one� neetl �o comply wi�h saia s�ale codes antl Ihe reQuiremen�s lor a peimil lar consimction ar modi�ica�ion9rom lhe Air �ualiry Managemenl OiSVicL Resitlenlial cons�mction applicalions are exempt hom these pmvisions. ' � . �aie: APOlicanii . . I hereby ceriiiy �na� I have reatl �his applicalion and sia�e ihat Ihe above in�armation is correcL I agree lo comply with all ciry and coun�y . ortlmances ana slate Iaws rela�ing to builtling cons�mction antl �ereby authorize representaiive5 oi IAis ci�y �o enter upon �he above�mentionetl properly lor inspeciion rposes. ., y�� , , Oaie: � Signaiure- 1 _ �� iA1 ,��;(l/�_ ��iver's License or Social Securily a: �, i6ai-46 Wbne—Bulldmg�, Green-Cotle Enbrcemenl; Canary—Applicam; Pink—Revenue: GOIEenrotl—Assessor - . _.. . ( . . •. �CITY OF COSTA MESA -'BUILDING PERM7T PERNt'NO:.B,''055491� PERNiIT NO: H 055491 PLAN CHECK NO: 05146-91 S' ,, GOVT:.N�SUPP:,N' � CQNSTRuCTION�TYPn: V-N ;PERMIT�T'YPE:,STR - � FURPOSE:�ADD �' JOB DESCRIPTION : PATIO' ENCLOSURE' ICHO#3421 -t- �� SQ FT: � :=.P6�0.," � s CLAIM VALUE: 2,400.OU CALC-VALUE: 5,8-24.00 �GROUP OCC':�R-3 L ,�' COMMENTS: PA'!'IO'ENCLbSURE'ICHO#.3421 ' ' ' �J #iEdE�F�k-1f�%�dE,Iiif1E�1E�N��E�kiF�lEir��-1F�X-dfiEjElEiE�IFiE�IEiEiF�Fjf�7Fdf�7FiF1FiE1FiFj(#--0f.�IEif-1E�1E��if3F�JF��3FiE-lEitiE3fjEifiF�7F�lE3FdE�7E�1EieiF-lEifif��3E3F�7F�1(-�lfi(� ' � ' T. , O N I N G' R E Q U Z R E M' E N T S " .` _ S E'T H A C K S ' ' � -'MAIN BUILDING ---------- --------- ACCESSORY, BUILllING - '- ' FRNT; 27, cT IN REAR: '?.5 FT IN' FRNT.: ' FT' IN •REAR: FT IN ` LEFT: 22 FT �. IN RGHT; ; 5 FT - IN_ _ LEFT;: �_. y FT . IN RGHT: �•,' FT � IN' ;� . . � i ` - ' :.�._. . PARKING REp:� PROV; � PARCEL:.91218123 7Nfi:�R1 REF NO ' ` PLANNIUG NZSTES> 140 SQ. FT. PATIO ENCLOSURE AT REAR OF EXTSTING RE5 '. ' - ' � . '. . . _. ., . ., � . .. . . , ' _ . -' . jf7f3EiiiFiFi�jF�FiF3EaFiEiFiElcif-IE3EiEiF3EiciF3EiElfiFiFiEaF3FiEjFiEiFfE3(�dFiE#�jEjEl4jEiEjE3F1FiEif-)f3(�%��E.jFiFiF3F3f#�iF3F1FiF�1F3fi�#{j't3f3i3F*i(�aFiEjE9E � U 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 Ny,�', S�,'. '' 7.ONING APPROVED BY : '. � �� ---j--�= • DATE.; l'•Z= \ 3 �i { , ; , . .� .. - s � _`A' " '• ' ' BJILDING APPRUVED HY : ' DATE: �_ • ' /AR ' APPLICAT,ZON ISSUED HY:'. �-.DATE; �� ' ' If�lfiEiP3FiL�F3EiF3h#iFiFiEif1E#ib'iF3FiFiE ... . .. K��f1Ei6iFi6iF1F%3fiF±�£&iF7r'�f�FiFk.iE ' 3F3FiFiiiRiPif3F%��1F9EiE#F3F**iE�FiEiFiFiF*1EiE�F1FiE�ElfiFiF3f,iFiF3ffFiF#flfif,�l(��F if*iFiE+E3E�1f�flf.kieifiE*iFiE�Ei41Fi(�iFjfiEiE�EN�.afaflE3fiF`IfaF�(�iE . LEGALIZATION;N ' � F'E E S'U. . M A R Y' � ' STRUCTURAL SEGMENTiY' . . . � ' . ' . � . . . llnf . . _ BLDG PMT PLUMHING •'ELEC1'R7 MECHANIC FIRE. SMIP/RES-* .GRADING , PERMZT 81':;00 , . " , , 58� ", . . . . : SMIP/NON;ARES ' PLAN= • �. 52.65.:. ��j . ZSSUE f'EE , . - •- ._ . _ . .. , j ' ,BUILDING-DIV-> . PERMIT ISSUE FL '-CHECK, TOTAL �PAID 'j DtIF.' � ` TOTALS---=->' ' 81,58; 0,00 52,65 134:23 . 139,2i � ,00 '. ftEVENUE DIVISION TOTALS--> C:OLLECTEDi `'139.23: OVER/SHORT: �:`e' � 00 • HLDG PMT' PLUMHING ELECTRIC MEC:iANIC FIRE- 5MIP/TOT :GRADING"'pLAN-CHECK ai.00 � � .sa r: s2.os. . ; .. . , � , ,;;.. : 34�FiEifiEifi4jFii�ifjf�EaFi4if3RiE3F1EiF3FiFif3EiF3E1FiPiE�klf�FiFiFIEif�FiP3ElEiEif%iFaF'�li�3i7F3f1E3FiFifiP#�N�9E3EiFRiF3ElE�1(�ji�iPiEiE3Ei43f•�FiFi614lFif.i4�A. 1 ' '' , ' I. N D I V: I�D U A L .F E E 8 R E A K' D,O W. N' • - � TYPB � QTY D r. 5 C R:C �P T I,O. N � . UNIT COST ',��OTAL ,COST +' !.- SFR' 150 ;' ,RES-PATIO COVER-ENCLOSED;PATIO . 36:40' � �'j.5;87.,�i,00 ' . _ END OF FEES � •� ` . ' � ' � � ' ' !� - i . . . . - , � . . \ . . Y �;� , � , . I . . . - -. � , . _ . � . ' . . . 1 ' , . i. . . . . , • . i i . oi ��i�a.�:�-oat0442'F Te�a,�' . aaTE: izri�is� �rtnE: z.�:e2 , /CONSTRUCTION AND PL'ANNING� " ' ,. PG�a SPA � � - ` - : Date �Inspector ` � � Date � �Inspector ��..APPROVALS Permit#' - , - APPROVALS �Permit# _ ,� . -`. _� 1: ;Temporary�Electrical $ervice or Pole , , � � :52. -Pool &. Equipment Location' - . " • � �.� - : � - , - - - . 2. Soil Pipe-Undrgrnd. ':-� � � . � � . � � 53. Steel Reinforcement � = , _ � ,.3.`Electrical Conduit.Utility-Undrgrnd.' �� - - 54.:Forms � ' ' - � - � � 4."Electrical ConduiYUndrgFnd. �' , � � 55. Electrical Bondi�g ' � � _ � � � ;5, Steel Reinforcement • � . � ' . 56. Rough Plumbing & Pressure Test � ' i 6:,�Electrical UFER'Grnd, '�� _ - 57. AP,PROVAl�TO COVER-GUNITE - - ,- � '�"7�Footings� � � . ' . , 58. ElectricalConduit�Undrgmd. . � � ��8. Foundation � � ' � ' 59. Gas Pipe, O Undrgrnd�., Test . . . 9. WaterPipe-Undrgrnd. . . . � - � 60. .BacRwash Lines; P��Trap, O Undrgmd. ` � 10. Structurel FloorsSystem .' �� ' .,' 61.� APPROVAL�TO DECK. � _ 11. Property Sewer _Line'& House Connection � . , 62.�.Backwash &'ReceptorFinal � � - 12. Sewer Cap - � . � � , ,' . 63. :HeaYer & Vent-Final� � � � 13. Roof Drains � "" i 64..Plurnbing SYstem � Final" � � f " 14. RougR Piumbin9 � ' 65. ElectricabFinal � ' � � 15. Rough Electrical-Conduit . . . i-; 66.-Solar System-Final , , b �� 16. Rough Electric Wiring'� - � 67: Fencing & Access ApProval � �� r 17. Rough Wiring Sign - �- � - , 68. APPROVED FOR PLASTERING 18. -Rough Electrical-T Bar Ceiling ��, 69. POOUSPA SYSTEMS•FfNAL � �'79.'Rougfi Heating & Air Conditioning "' � " ' `FIRE DEPT.�REQUIREMENT " � ' - ' 20. Rough Factory Fireplace � • � � - � • � APPROVALS 'Permit # �� 21. Ducts, in Structure . • � -, : 70. Underground�Hydro � ' � � 22. Ducts, Ventilating �- � •� _ � �' 77. Product;Piping O Gas ❑ Oil 23.'Gas'Pipe�Rough &'Test , " �- ' .; . ' '72. Underground Flush`-- ' � �f � . - 24. Roof.Framing � �+.' - � � '�73. Undergrnd.'�StorageTank OGas OOiI � - 25. Roof Sheathing '- ' ` ' � �, , ~ �7q, Overhead F�ydro.•. . - � 26. T-Bar Ceiling (Structural) & Monocoat - ' a, - �� 75._Dry Chemical � , 27. Frame and Flashing : " 'a. �, _ . ` „ � � ; 76. Dry Standpipe '� � � ' -� :28. Lathing & Siding - . , � �r,:' - � 77. FIXED SYSTEM�FFNAL � � ,, ,� '29�. Insulation -' � - `•`•' - . ` .� t � � �- 78.>PIRE PREV. PINAL � .. . :30. Drywall Nailin9 �' ' . � !I � - �HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat` �, � ; °� � ,�� % f 7g, FINAL INSPECTION , - ' ; � - ,I . 32. Electrical�Power Meter,;Final + . • � (' � '�* .,� �80. FOOD CERTIFICATE ISSUED 5 ,33. Final Electric. � � t . .: � ' , �, �Notes: • � ; . . 34. Final'Heating & AirConditioningt, , ,. � . I � i �� . �" . - � � � � 35. Final Gas�Pipe�Test ' � � - ' ' �� 't ;% � ` `- i. 36.'�Hood or,Canopy , ., ,:ve., � � • � . ��' j��" , �1 . ..- ' ; . � � �� 4 �y : 37. Final Factory Fireplace ''" _;, ; ' '; �•`j '; � p � ' " � . 38.^Final:Plumbing � i � � • '�4 ^ �;. � . . - . , -.Y ' . . i� 39. Water. Service-Final ' � � '� f ' � � � - .! . ' . , _ �� 3�� .: `. . . � � 40. Gas Service-F;nal , , �x � ''t � � - . � � � � '41: Solar pomestiaFinal °- � - .+ ' t 1` �-' , ' � . , ✓ , + �42.�BackflowPreventer' - '; �. ."'. � ��_j .�; - . . 'v� , , ' 1 ..43. Backflow Irrigation' ��> `� , ;' �. � � . • - - � � � • p4. Landscape Irripation System,� �r;; r •, . �� . `� � � �- ,i, ; � . ,v _ � , � � '45.�.Sound Attenuation'. -+ � �.,} �. � - -''. ��:. �+ . - ' �, � .: �r ; ".+c :a - �' . .�. - . �46.-Handicap Regulations " '.'-j ' • " ", . � � . � � ` 47.�F.INALSTRUCTURE&BUI.CDING` !�?}.�,W6L•-?_'-C�:"-- � _ �L i,/__ �- .. � �,- �< � j�•4o l�+' ��t- 48.[FINAL PI.ANNING�� ` �� :.4' �� j :1i , � - . , . „� _ � . . c49.4Electric Release to Edison� '".f; ' � i- • >: �, � ! �.. - - '.� i .Y� �r t.' - " ' � 50..Gas,Release to Souttiem California Gas Cn " � j ' � ' �� y .' - ' _ � - ," ;;`�• `� = . � . :51. CERTI FICATE OF'OCCUPANCY� ;� ;, � -, . ._ ' � � • _. No: � Date . � � ' • � � .� • - _ , ! / i i .• . DJECT�s: ; y.61 DAHLZA AV � owxeas E:.DAVIS ROBERT F � • ' aooaess: 9�1 D`AHiIA AVE " .t COSTA MESA�,CA ' "' -92626. AflCN/ENGINEEFl: 6415g56 �- � ' � FDUPE55: , ' ', � ' , UNIT: BEG.NO.: , ' UNIT: PEflMITTEE: CALIFORNlA CLTSTOM DESIGN ( 714 ) 24'S-2151 � ' AODPESS: 2 S 4 I S EL i URO - ' j}(p � p�` � � LICENSED CONTNRCT(1P��CCANAT�Nj"�f hI€6y�adiim"lhat I am licensed unEe prr'ovisio9n �b�fiap%r 9(commencing wi�h Sec�ian' 700�� oi Division 3 ol ��e Business antl Pmtessions Catle, and my license is in full force and eflect. " � ciir uc.: 0 9 srnre uc.: 4 9 0 4 8 4 ass: B , � /^7.p L Date: �� L` 1'� . . ��SignaNre'. _ �� _ . _ WOBREBS' COMPENSpTION UECLANATION: I hereby a��irm Ihai I hAve a ce�ificaie ot consenl Io self-�3ure a cetli�icate ol Warkers' Compensatmn�lnsurance, or a cenilietl coDY Ihereo� (Sec�ion 3800. Lab. C�. � � . -' POLICY NO.: - ,. � ' EXP. OATE: � ` , ' . COMPFNY: ' . : � . ' . ' . ❑ CetlilieU copy is �ere6y Wmishetl. ❑ Cetli�ied capy is tiletl wi�� Ihe ciry BuilOing �ivision. � .,- Dale: � � 'Applicant � E%EMPTION fNOM _WOFNEflS' COMPENSATION DECLAflATION: Qhis section nee0 no� be comple�e0 ii Ihe permit is for ane huntlreG ($100) or less�. I cerlify Ihat in Ihe peAormance ol Ihe work lor which ihis permi� is is d. I s�all no� employ any person in a y manne� so as lo become su�iaci l0 1 Workea Compensalion.Laws of Cab�omia. /(.�,, p��,�,_�� ,,/�� 'oate'. '—,��-- �'�' ' .Signamre: --i�r�n/�/""� '—✓� NOTICE: Ii. af�er making Ihis dedaralion, you s�ould 6ecome suble�� o �he Workers' Comp ation provisions o� the Labor ' . Cotle��you must lorihwith comply wi�h suc� pmvisions or lhis permi� shall 6e deemeA revoketl. . CONSTflUCTION LENOING RGFNCY: I here0y ailirm tha� �here is a constmclion lentling agency for the performance o�,lhe work �or• which Inis permi� is issuetl (Seclion 3097. Civ. C�. � . , , � � LENOEfl:� ' � . . ' AUONE$$: " . - ' ' ^ Ji ' . . . . 3' - . OWNEB BUILUEB �ECLAHATION: I �ere�y affirm Nat I am exempt iram ihe Coniractors' Slate License�Law tor the following rexsan (Section 7031.5 Business antl Pmiessional Cotle: Fny ci�y ol counry which requires�a permii to cons�mc�. alier, improv& aemolish, or repair any simc�ure. piiar to'its issuance, also repuires the�applican� tor such Dermil to file a signetl�s�atemeni Nai he/she is licensetl pursuan� �o Ihe pmvisons ol �he Gonlraclors' S�a�e License Law (Chapter 9(cammencing with Seciion 7pq) ol �ivisian 3 af �he Business antl Pmlessions Cotle) or �hat he/she is exempl iherefmm an0 �he basis for ihe ail¢getl exemption.'Any vialation ol Section 7031.5 �y' any applicanifor a p¢rmit sublec�s ihe a006cant �a a civil penatly o� no� more than �ive hundre0-0ollars ($500�. . ,. I. as owner of. ihe pmpeny or my employees witA waAes as d�eir'.,sole compensation, will �Co the work; an0 the � ❑' slmciure is nol imended or o��ere0 br sale (Sec�ion 70a4. Business antl Pm�essional CoUe'. The ConVadors' Stale License Law. tloes not a00�Y �o an owner of a pmDeny who builOs or impmves tllereon, xntl who does such work himself/hersell ar ihroug� , his ar �er own employees, pwviDed t�a� such impwvemenis'are nat inten0etl or utferetl-for sale. If, however ihe buil0ing or improvement is sola within one year of completion. ihe.owner will have ihe hurden of proving helshe Uid not build or imD�ove "tor ihe purpase of salel. ' ' • ' ' , ', I. as owner af ��e Dmperty. am exclusively contracting wi�h licen5ed con(rac�drs �o constmci Ihe pmlec� (Sec�ion 7044, Business. ❑ and Pmfession5 CoOe: The COnVacrors' Slaie Lkens¢ Law does no� apDly �o an owner at pmperty who 6mI05 of improves �h¢reon' antl who tOnVacIS fOf SUCh prolec�s wiih a cOnVattoqs�license pur5uan��o Ihe Conirat�ors' S�ate LiCense Law�. I am aware Nai pmol ol Iheii Worker's Compensation insurance shoultl be pmvidetl �o me. . : � � � I am exemp� under Section: . B. 8 P. C. - . ,� � for ihis �eason: • - . , � , . Dale'. �• � .Owner - I tlo hereby certify ihal I am aware ol antl untlerSlanA Ihe requiremenls ol Califomia Heailh an0 Safeiy Cotle Sec�ions 25505, 25533, and 25534 an0 iha� 1 or any fuNie �uiltling occupant will/will not (circle one) neetl lo compty with said state cades and ihe requiremenis for a permil �ar conSlmciion or motlilicaiion imm Ihe An Oualiry Managemenl Disiricl. Resitlential cans�mction applicaiions are exempt irom �hese pmvisions. - � . � . . Dale: , . . APPlicanl: I �ereby cendy Iha� I have reaa Ihis application and s�ale �hal the above informalion is correc�. I agree ta comply wilh all ci�y antl counly 1 orUinances and 9ate I ns relating lo building conslmciion antl n9r¢6y authonze representalives o� Ihis ci�y �o enter upan the above-menlioned pmperly brinspecu n purpos s.� � / � � . Daie'. "' Signaiure: 1(�'1��/'/ ' Driver's License or Social Securiiy a: � .� �, � : • V t6At��a6 While—Buil�ino: Green- ApPlicanl: Pink—Revenue: Golaenrotl—Assessor , . � � CZTY, OF COSTA MESA. — BUILDING PERMIT PERM NO:. E ',055,45� �. PERMIT NO.: E. 055992 , , PLAN' CHF.CK. NO: +_�� • N GOVT: V,SUPP: N:. • CONSTRUCTION TYPE; V—N � PERMIT:TYPE:.ELE � - PURPOSE:,ADU { JOB DESCRIPTION c PATIO ENCLOSURE ICBO#3421 ' ' SQ.FT; � , CLA'IM VALIJE: ' • � CALC=VALUE: , , GROiJP' OCC; R-3 '. / '• COMMENT.''i: REF B55491 � '' • • � ' �c��:�c�*x*�r*x�z��*�*�****�ai*+�*x**�*��*a-***x��**•�#***�+�*�*x***xx�x*•��**'� ,. . ' � 7.'O N I N G R E Q U i R E M'F. N T S ' , ' � S E; T B A C A S • , ------------ MAIN BUILDFNG ---------- --------- ACCESSORY BUSLDING•—=------� FRNT: FT IN REAR: FT �IN. FRNT;' FT IN�REAR:• �FT , IN. LEFT3 °'� FT"= —�• IN. RGHT; - FT._ — �I•N . LEFT: FT IN RGHT: 'FT ZN PARRING'REQ•� PROV; PARCEL: 41218123 ZNE: REF�'NOi' ``�r PLANNING NC3TES> • • > , _ - . .. 3f ie ii iF 1f if i(� if 1F if if.iE iF if� iF iF ir iE if iF 1E:E 1(� iE if�lf if �K- i(� ii� Y iF i(� iF^IF iF iF iF �](- ih # iF iF-16 if -%14 if ih �iE iFi4 k iF iE IE %� �f if iF IE 3F a6 iE i!� i(� #� 1f 16 iF 3E if 3i�±F 1k 34 if iF #. D E V E L O P. M E N T ,S'E•,`R' V I C'E S: R EcQ U'I R E M E N T' S; �i1 i 'LONING APPROVED BY �. DATE; � .BUILDING APPROVED BY ; �5;;. ` DATE: � � . � ' � APPLICATION ISSIJED BY: ` ' DATE; �'�Z�� iFif�iF�1F�1EiE3FiFiFiFlfiFiklFifiFiFiEififlEif s�x TriFiE�IE'1EfFiF#Fi�-iFiE7F�'ti'tx ?i�3F ifaFiFafiEaE3Fif�#6jh�E7FiFi(�ifiFiE#aFiEi(;if�F�fi3flfifaf�F�F)EiFi�iFjf,ielEaf ' �3E�7fjFiF3F3FiFifififiEiE3Fie1F�E1�iE3faE�Elh�3faEjFafjE�k3F3EX�iF�'rih3FiE3FiEiF LEGALIZAT.ION;N , r E E�' . U M M A R Y' . STRUCTURAL SEGMENT;N � BLDG PMT- PLUM$ING ELEC"iiIC �MECHANIC FIRE ..SMIP✓RES , GRAUING PERMIT ` ' 6.75 , . ' � , ' . SO& . • � �.SMSP/NON—�ES PLAN , , , .. . .„ , ISSliE FEE . > , . • - 15.00 . . BUILDING—DIV—> PERMIT 3SS(IE PLAN-CAECP; TOTAL' . PAID- �DUE TOTALS---->. 6.75 15,00 0.00 21.75 ' 21.75' ,00 REVENUE DIVZSION TOTALS.--> COLLECTED: 21.7� OVER/SHORT;'• � ,00 •. BLDG FMT PLUMBING a'LECTRZC MECHANIC. FIRE SMIP/TOT GRAllING PLAN-CHECK � � . . , , s�. 1 . % 5 . : .. - . . . , ' { . if� iE 3E iF iF �lE 3F 1F 3P # 3f �lf 1E iF �3i� iE iF iE iE iF )F if 3c 1E iF f4 aE �1E !F K ik-li� if if aE #F lE if if %� 3E �16 �f 3f iF iF fF iE 3E iE iF iF 3E iE IE �f iF iF 1E M� if le iE 3E iE �k 3E 3F i'r ie iE �E iEie 3f IE �E iF �7F � � I'NDIV�ZDU'.AL FEF. BREARDOWN ' i ; TYPE QTY' D E S C R I P T I O N. � � UNIT COST' TOTAL COST ELE �. 2 FIXTU�ES LIGHTING. 1 ST 20 .' EA, ''' ,75 .. � 1.50� ELE 5.. RECEPT/Oi7TLET 1 ST 20 EA. .75 , 3.75 � ELE '' 2 RECEPT/SWITCH 1 ST 20 EA. .75 i 1.50 , � ' ' END .OF FEES • ; ' . W or. oo�c€a�s-Goio=�ryp, -�c��r .. I.az�� a:t��fi ur,G: }�.n� - CONSTRUCTION AND PLANNING..� �,' � : • � � POOG.& SPA � � � V � Date �Inspector � " � �� - Date ' Inspector � AP,�ROVALS Permit # _'' - . . APPROVALS � � Permit # _ ., � i�,`Temporary Electrical Service or �Pole� ` _ �� ' � 52. Pool &'Equipment Location � - - �.: _ . - 2. �Soil Pipe�Undrgrnd. ' - � ' � �� . : � ' , 53. Steel Reinforcemen[ � .� - ,� :. :. .:3.� Electrical Conduit Utility�Untlrgmd.. . � . 54.,forms � ` ' - ' " � ' 4: Electrical Conduit�Und�grnd. ' - ' � - 55. Electrical Bonding , , ' . , � � � �-5. Steel Reinforcement � � ,� _ 56. Rough Plumbing'& PresSure�Test ' -6: Electrical UFER:Gmd. � t� � 57.��APPROVALTO COVER-GUNITE . � '-�7� Footings .. ':<' � . � 58. ��Electrical Conduit-Undrgmd. -., ;.8: Foundation ' � " � - . . 59. Gas Pipe, O Undrgrnd�., �Test " � , ' 9. Water Pipe-U�drgrnd. � � � � 60. Backwash Lines;P�Trap, O Undrgmd. � � � 10. StructuralFloor�System �� - . � . � 61. APPROVALTODECK � � - � 71. Property Sewer Line & House Connection ,, 62.'Backwash &'ReceptorFinal � � 12. Sewer Cap - � � � 63. Heater & Vent•Final ' � - . .4 13. Roof Drains � , .. _ - 64:,P,lumbi�g System�= Final'- � � 14. Rough Plumbing". ' � � � � 65. �Electrical-Final . . � � 15. Rough Electrical-Conduit - " : � . ' 66.� Solar,SYstem-Final � � ' . � � - 16. Rough Electric Wiring �- �� 67. Fencing & Access ApProval - , 77. Reugh Wiring Sign . � 68:_APPROVED FOR PLASTERING ., �� ' 78. Rough Electrical-T Bar Ceiling ; � . � 69s`POO�USPA��SY.STEMS'FINAL - � Y9'Rough Heating& Air Conditioning' � ' ' "" ` ' - ' ' � FIRE dEPT: REQUIREMENT � -' �' - " -" � 20. Rough Factory Fireplace � � _. � . � " �". APPROVALS- "�Permit # -- . t .. 21.,.Ducts,inStructur,e � . .. � . � � � �70. Undergr'ound�Hydro � � 22. Ducts, Ventilating ��" - ` •- �� 77, Product Pipirig O Gas ❑ Oil - 23. Gas�.Pipe-Rough &'Test ' � `� ' � ' ' � � y � � . . . ,-�,,. :. �� 72. Underground�Flush . 24. fioof-:Framing• , �•� . . � � � �73. Undergrnd'Storage.Tank OGas OOiI � n ' .> 25: Roof Sheathing ._ � ;Z � - .; y �7q, Overhead Hydro - � �26..T-Bar Ceiling (Structvraq & Monocoat � � �' �� 75. Dry Chemical ' v " - 27.'FrameandFlashing" `�: � �r . _ , ` 76.�DryStandpipe � � � ' ', '28..,Lathing'&Siding . � �. -�> . �- 77,.rFIXEDSYSTEM�F,j�NA�Lj ' 29. Insulation ' � �' � � , �, '` i '� ; 7g. �FIRE PRfV. FINAL � - . a• - �30..Drywall Nailing . � � i • ��r•��. � HEALTH•.DEPT. REQUIREMENT .,..�� 31. Plaster Brown Coat ; , - ', ' > ±��" 79. `FINAL INSPECTION" - , - ' '� 32._Electrical�Power MetervFinal - � � 1 �;�1.;�� : ^0. FOOD CERTIFICATE.ISSUED � � ,33.�FinafElectric � . . `2l�GjZ� �� ,��N tes,--- � � . � � � 34. Final'Heaiing&Air;Conditioning', ' . � i ��''%��ii . � ' � t ;�.�;; . _ _ - i i 35. Final Gas�Pipe�Test' ., ' '` ry ' ` - - ' _ � • � - ' � 1�'. � ` : � r., 36. Hood o� Canopy . • . . � ', ��'� � -. ` . � � ' • . 4 ;37. Final Factory Fireplace � ' - ' �, �`,ij,,: ^ � � "K ' '. „ �38. Final Plumbing . • - ' y i '�I�" � .. 39. WatecService-Final'� - -- ` " ��`' �` � - � , r . . �.c i �; � , ,„ . � . . .� �:,: . ._. . ., `40. Gas Service-Final , ,. . � � . . t ' ,� � ti , _ .; . � Al. Solar pomestic-Final� �' -� � . .� i �'• � � - �:4 i' + ' "U.X ' ' 42. Backflow Preventer, .' t'�y;� �� -- , `" . ._43. Backflow Irrigation- - • ' ` , . � • " . �'t I, s. . . �. �. � • '44. LandscaPe Ircigation SYstem ;, ,..- �.,• . . � - C� . � - � :� a ^ .o'.;�.; �45. Sound Attenuation• . - � • i' • � � ''� � ' � . ' _ ,r+v yw 46. Handicap Regulations - Y " � � � '' L ", . ' �"�. _ � s, ;,• 47..FINAL STRUCTURE & BUILDING . � �` �- - '�' � � ' L;;. � 48. FINALPLANNING � ^i° `' " .'. , . . � � . y" . .�'_49. ElectricReleasetoEdison '� ,�y'.- r�^ -. � � . � .. \.� v �. [ - �50.•Gas_Release to $outhem California,GasCo . � I � �-j'� � '' .� : , � � . �. ,51. CERTIFICATEOF-OCCUPANCY ,. -;� r,« • , _ . � . � No. � Date � � � � . . T A�DPESSOFBUILqNG:. ' 9fi1 ]��(LIA A�i i, UNT: «Mexswweir�ow�vn: DAVIS, ROBEAT F FLOOD: AH-38 �,00pEu: DAVIS; EVA A ' 961 DAHLIA AVE ' COSTA MESA,CA 92626 �`�va�. ru,iurc woness: � � . . �wcxrteci on er/aH�n: APCN.OF ENO.'S �DDNE55: uc. ea: UNT: � cor+rnacranexnMe: pERFECT COV�R'�ROOFING ( 714 ) 434-1566 CONfPACTOR5YY11NG 3303 HARHOR BL ' ' , .,ADUXE55: COSTA MESA CA �.uc.ra.: 622516� 92626 oNT: D-5 , LICENSEU CONTXACTOPS DECLAPAiION: I harepy allirm unEer peneXy of pe�ury Ihel I am IicenseE uMer D��aom ol G�eplm 9, (oommeM.rig wiih Section )OOU) d Oivision 9 0/ Ne Businaw eM Prolessbr�s COAe, eM my lioave ia in full brca erM eHed. cmucrNo.:054055 ��qcuss: g, uc.No.: 622516 EXP: 31/96 o�a: 1 ��,<i <.,' com,�«:. �---ti� "_"'�—� MOWNEF BUILOEN DECIAP�TION: I hereW aifiim uMar peneYy of parN�Y �� I em eRemq trom �M ConiraGaa License law /a ihe idlovmq reesan (Setlion )Pft 5&reiness anE PMessions Cada Any cny or oounty wh tli requima e permu to m�sin�cl, al�m, impove, Eemolsh or repa r any slmdure, pia lo Xs esuence, elso reQuirea ihe appliranl lor such pertnil lo file e eigned aielement ihet ha or ehe o IicenaeE pun�eM lo Ihe prmviom ot �he Conlradws liceme law �Chepta 9(mmma��q xilh Saqon )OW) d prvvion 3 d ihe Business end Prolesaona Cade� or ihe� he or eM1e ia wcemq Iherelrom anA Ihe beso ta �he elbped azemqion. My voleiion d Seeion J031.5 py eny epplirenl for a permn wbjaea Iha epplicenl lo a civil panalry oi nrn mwe �hen fire hueMreE EWlen �$500��. � ❑� i, a. o..,w, a me'wownv o, mr �dore� wpn waoes ��ne:.de �oa��, �+n ao ine..«k, ene u» swn�re e na �maneee ' �oroXeredloreele(Seclionl0as,8uvneeaendProleseiansCatle:TM1eConlreaorslicensalewdoesrwiepplytoenownerWprapairy .no w�as « mww� ma,�. e�d wno eom a�m �.onc mmeerc «na�er o, mr«ren na a n�. o� amaM�, o�dee inm wcn imv��enb are ml in�aMed or oHereE la aele. H, however, the buiki�g a'vnpwemem ia eold wnhin «re ymr,W mmpbtion, tM awrrorbuiNar vnll heve Ihe burden W pwing ha or she did nrn Wild w improva Iw ihe purpaee W mle). , � I. ea o�mer d ihe papeM. � extlusrvey conVaeiq xi�� licenaed contreMpa lo cansirwJ IM prqetl (Seeion )ON. Busi�fa eM � Protessiona Goda�, The Contranaa Lkensa Lew doee rW epqy Io en owner d proparlY ��b9 a impovm tMreon arM who wniraita ior wtli wW�a wiN e wnvaewls) IcenseE vursuenl to the Coniredara Licenae Lewl. . . ,� I am eaempl under Saction�. . B. 8 P.C.: lar �M1is reeson: _ � Date: Ownx: . . . I do Mreby cenity Uw 1 em ewere W eM urMersteM iha reQuiremems W Celilomie Heellh eM Salety CoEe Saciions 25505. u533, enE zssx, d,d mm i«any nn�,a w�u�re �wv� �+�i i wai �m Id2b a�el neee �o �Wv wm,aa-ame �d..,�e in. rea��eme m, epermnlorwnsiructionormoEififelionlromiheA'rauTryl�epementDiatriq. ReaiEen�ieleonstiudianepp6ce�iorueneiamptiromlheae prwisiom.' , . � . , De�e: � ' AFV��: WONKER'S CONPENSATION UECLAHATION: I Mraby elfirtn urdx paruXy d pxryry pn d IM Idbwieq Jetlarmions: -❑' i na�a �a �;u �mao a oana�aa a��m m sen.ma�.. m. �e� �amoa��p�: e. o,�dee r« w s� a�oo w ma �n« GOCa. iw tM paA«menca d tM xwk lor wNch Nis parmX u issuad. � n I neve errd xitl meimein wa�ken' wmpeneetun insurence, av reyuired by Seaim �]00 d iM Lebar Cade, br �he partarmerce d the r, work tor wli h thie pmmX u ieaued. My wakan' mmpenamion inwrence cer�ier aW poliq numbar ere: c�.:. STATE FUND' EXPIRES PaiwYrmmn,�: x .' —.v 04/01/96 (This senion need �rot 6e canvlered / �he permAis br are huiMmdCdters (S1P01 a bv.) � I CBfIN IABI Ifl IAB �1BlIOlIIIdfICB W �M WOlY. �Of WIIC11 IM1I9 PBIIIIII 19 195UBE. I ahell na emplq enY Va�n in enY menner m av to bxome 9UMetl t0 �M workers' canVemelion lewt d Celilwna. eM �rae IMI A I eM1dild bamnw subletl 10 IM xoMrs' ,=omoa�� o�sb�o or se�.ro� a�oo d�ne �, coda, i sn�i �onn.nn mmoM wnn inosa o�w�sia,s. oe�e: l 2'°- 7j� � nvp�c �''��✓t- �� Wam/ny: F�llun ro secun worken'romperwtlon roverep� b unl�wNl; ane shell aubpct en emp/oysr ro ctlMrul p�n�ttls� nM civll llrps up ro ons huntlrs0 f/wusiM tlollan (S1W,OW). In Mdlfbn ro fM rosf o/ compmuflon, Wrra�p� �s pvvldetl Mr In SscHon 9)05 0l fl1s Le6or Code, Inferoaf, entl ettomsy'a Ieu. , CONSTRUCTON LENOING AGENCY: I hereby alfirm �iMar penally d par'ryry Ihel �M�e b e o�na�ion brdi�g epe�y la the paAIXmOnCB O� Ihe WJM IIX wfild� Ihis pelTl I9 veYed (SBdiMi 309], Civ. C�. � LENDEN'SNAME: � , LENUEN'S AD�flE55: � �y� , I canily �hai I heve re� ihis applicetion eM ne�e �hel Ne ebova inlormalbn is coned. I epree lo compty wnh ell dry aM mumy adirenros entl sime Iexe releiing io building conmmdion erd heraby emMrrza repmemetives o/ ihia dy io entar upon tM ebwa�mantbrretl properry �o, ��o� W,�s. �' MALCOM_BURNS � _ I(> r I� \.� ., n.^ �.�, : ��. oeie: i�� 9 L s�qo��rea enaa�vnpparamcomreaor � (5i5t<6.WP1 WM1ne-BuiWip d Sefary: �reerFle: Cenery-APClrant: Pink-Reven�e: GolEenrod-bswxr CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 076074 PERMIT NO: B 076074 PLAN CHECK NO: N GOVT: N SUPP: N CONSTAUCTION TYPE: V—N PERMIT TYPE: STR i, PURPOSE: OTH i JOB DESCRIPTION : T/OFF RESHEATH /COVER W/ICHO 3523 SQ FT: 8,900 ' � CLAIM VALUE: 8,900.00 CALC—VALUE: 8,900.00 GAOUP OCC: R-3• / � COMMENTS: SMOKE:DETECTORS RE�QIRED PER 1994 UBC � iE1h1ElFiEiElE1EaF�EiFil�if�if�3E1F9f16�IF'1F�EiEiEiEiE�lilkif �IEitiEiEiflElElEiFitfEliiflE�E141Eit�k1F'N'�f1Eik'IhiEiEiE1EiE1E11�1(�1FiElE1('ih'IEik'IEiEiEiFiEjE�lfiflfif 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 ---------- ---------t�ACCE$SORY BUILDING —.-------- FRNT: FT IN REAR: FT IN FRNT: `!FT IN REAR: FT IN LEFT: FT_ �IN RGHT: FT IN LEFT: FT IN RGHT: FT IN i. PARRTNG RE�• PROV: PARCEL: 41218123 ZNE: REF NOi PLRNNING N TES>� i iE if �lk 1F if %iF iE iE iE iF iF if 1E #!E!f iE 1E1E �lE iE �F #iflf iF if 1E 1EiE #!F!E iF iF if iE # 1E if if iF If 1flE dE if iE iE if 1P�lFiF1E 1E iFiFif 1E 1f 1E �)E if�iFlf if iE iE iE it iE # fF iFiE if if ik D E V E L O P M E N T S E R V I C E S R E Q.0 I R E M E N T S 20NING APPROVED`BY � DATE:I BUILDING APPROV�D BY : DATE: ; APPLICATION ISSUED BY: - DATE: *�rir*x�x�**x�*x�*t��*ir*i�**x��r , , ��JFi��F**�r�*i�x�x-**-�r��ir� LEGA�ZZATION:N „ F E E S U M M A A Y STRUCTURAL SEGMENT:Y BLDG;PMT PLUMBING ELECTRIC MECRANIC ' FIRE $MIP/RES GAADING PERMIT 108.00 � SMIP/NON—RES PLAN ISSUE £EE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 108:89 0.00 0.00 108,89 108.89, .00 REVENUE DIVISION TOTALS--> COLLECTED: 108.89� OVER/SHORT: .00 BLDG PMT.PLUMBING EL•ECTRIC MECHANIC FIRE. SMIP(TOT GRADING PLAN—CHECK 108.UO .. y- :89 , 1f 1E1E 1f ik 1k iE iE i6 if iE If 1f 1E 1F iF �f if if iE 1E if iE iE 1f if if�if # 1F �lf if iF iE iElF # 9f 7E iE 1f 1E1EM� iF 1f 1F 1p It �lE'1¢1f 1E ##* iElE # 14'lE 1f iF9F iFlk it i(' iE if i! 1t it if'I("�4'1F �lE iE '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 Z P T I O N UNIT COST \'� TOTAL COST SFR 8900 �REROOF BY VALUE RESIDENTIAL NOZONE 1,00 8,900;00 END OF FEES � � Qf D0198$47—Qpf93348 T CqT DATE: OY/22l45 TIE1E: 1•5:4E � •"�.,� 4 � 2 r ,`2�`2�,(,� ''��".�02 �. TESTING ,� Twriniaq Laboratosies �f ��,u�'u��= c�tc��foZ�=�a, �,u. P.O. BO% 47 . 3710 AIRPORT WAY . LONG BEACH, CALIF. 90801 .'�211� 426-i355 . �213� i36-4386 • �714� 878-6432 ' � ' BN.1NC� OFHCES; � ' � isi�.orvo.�nHe.pe.Y,.e� - tlY,,,' Nmoaa.�u�..t..,.c , SemeA�e,Eelllo.ne93]03 k a'•, ' � }955Redo.deA.n..P.O.Bo.�J . .� �)�� 9L]MS g�/`�,��p� \�L� Long 9eech, CeLL GOE01 �}13� A3e4J96 ' .. ' : 2r'� f � , ' • . ! a. - � OCtobel' 1� 19]3 Examination: SC)j'6$]y • �. �COMPRESSION TESTS ON.�GUfiITE�.CYIINDERS' � . Ptr. Er�ol F. Heesch . • 129z1 Aspenwood Lane . . Garden Grove, Californta 92640. � vRo�ecT Swimming Pool for ROBERT DAVIS ,��°2�� ADDRE55 961, Oahlia Avanue, Costa 14esa SAMPIE fROM ��6unite Swimming Pool , . ' APCMRECi ` • . � • CONINACLOP � - A�uatic Pools EHGINFEV SU! ONiR�CiOR MIX DATE CA57 • DATE TESTED � CYLINDER NO. � COMPRESSION TOTAI IOAD, L85.; POUNDS PER 50. IN. 4 GYLINDER SIZE: COMPLIANCE � . Grove Gunite ' SPECIFIED � k-1/2 to 1 STRENGTH �'21�'J�� - , CYLINDER �SIZE 9-28-73 9-28-73 t it. 7-Day 7-Day 79.250 62,500 . 2.6yo. 2,305 6-1/8" z 12-1/4" 5-7/8" x 12-i/4" , 7-Day test compties with speciflcations. M�DE er CYLINDERS ' " ' 2,000 p5i See Below 9-z8-73. � Id"HOLD" i i i v��No�a� VI"NOLD" 7-Day . 75,000 z,545 6-t/8�� x 12-1/4" DElNE0.ED !Y , RKEIVEO ON , .Heesch „ 9-24-73 o�srR,eu,�oN BUILDING SAFETY DEPT. E. F. ,Heeshc - 2 ' osta Nesa Bldg. Dept. . ` - . OC7 4 1973 � , . ' �� Gr6—.�-�:� . � .i� ue=m;s .�e s.�sw rrto •s ,Hr eo.vnor�.n.� =�onEr,., o� r.��e�+r> . n�ow�r.rwn ron Pueue.rior o� naa eeao+*s. co,wewsio�s on'u. .��.c�s ,00•. �� =rc.�o vc, .�F:w � �cst��.co erno,ac, ovc w�� .rr •�,.�c:.� •i . Mu*w� vnq.cc•oY ro «irr+s r�c a�euc�.No o�nscivss 330Ib � OWNER ��N DATE 1/�/73 - JOB ADDRESS 961 Dahlia Ave. BUILDING PERMIT N0. 3 INSPE SOIL SUBCONTRACTOR - ��i,�.'�%��'��/'�!' ��1� ��/'� � ! fT � �' • • G. �r%a:�it��%�i%��JA%��..iir1�%�i��c�s�►�� ■■�� - - �� . -- --- UNDERGROUNO U POWER U ROUGH WIRING TRENCHES FORMS STEEL FLOOR'SYSTEM BON� BEAM n STEEL REINFORC SHEATHING FRAME ANO FLASHING LATHING - IN OUT PLASTER. BROWN COAT i . • s. . .. . .# _. Y ... . . . . . .. . . . . .. . . (� . �56 .. , 1 .. 35o I� , !A�! 7_6-73�,��001 1 gi�r. r:;�� Z6.C5 !;`� � _ . ,. �� - . - ' .- �.COSTA MESA BUILDING-SAFETY DEPARTMENT � � . " ' . � � � " �p P.O. BOX 7200 COSTA MESA, CACIFORNIA 92626 �• , - - � - . � � � � � � �� '� PP'ICATION FOR BUILDING PERMIT . �� .=- -��For�App/icant to Fill in Completety: b-; '� - . - RE IV D' V' DATEFECENED DATE.IS UED � eui�oiNc ' . _. 9�� Dahlia �Avenue : � ��l � �—�a��3 . ADDRESS Lanvin $outhern Californiu .Inc: A P� "o� •— P �� No'� OWNEP - . • � MAIL . • � � � � :'�'• '� HBUILDING ��/ . '! . nooaEss� 16255 Ventu�a Boulevard . AooAess '�Q � ac"'i cirv ' ' Encino, California N0�9H6��9O � TRACT LOTS6 .e�o�K . ' Zz - - - Q :.�CONSTRUCTION .. - .. . • '. .•. . .. q . . • . W �AD A T �P � oN �eNoea Lanvin Southern C6lifomia l ,� a,m � �6255Ventura Boule'vard' ,J' 'L,7' BRANCH . ' ' � ' � . JN ..�OWNEP �Y/�'�i'SC � N� .. aw nooaEss :Encino Califomia ��/ m J �y VALUE/j , Jm � ARCHITECT -;,e�i.. � TE6. � SE ! � $f' I ' ' a � OR ENGINEER � • ' + NO. � -- N w� aooRess 9100.Wilshire Blvd. BBV. HIIIS ZONE . TVPE GROUP� -T d W , . - .. , � .. , :" ... 'APP� 'V:E ... ' � wz 'coNTaacroa� Larwin Southern California� Inc. B� o"T��'7 J � . 0] ' . . � � �. . ' . ' - . - . ' � . w W ..AODRESS .-�.'� 6255.. . . .� ' ,�ZONE .'- NO OF `,' , VSE OF NEW �' . '. .•. P ✓ .• �= cirv< Encino, California No�986-8890 � P�+^� o`L BUILDING � �y� R.� W� STATE^ . � - CITV.. '• • , �!+ROSAPPROVED . ,. �VARDSAPPROVED � y� � L10.N0. _19�3��' :LIC.NO. �� ' �. MAINBUILDING �'ACCESSORV'BUILDING � . "7O . ,IFROMGLS EET) SIZE - ' ' NO.OF BLOGS.O . ' .OF LOT" � � (7S X�IOO .. NOW ON LOT FRONT FT. - FT. � . . . VSEOF:. ..'. ,.. .. . , . . , EXISTING BIDG. ' ' , � ' E � -FT. FT. � - . H' � SIZE OF . , NO. OF ' . - � . . . L�W ��^��/� " ' Z � NEW BLDG.L 36 . . ROOMS .STOFIES � C. SIDE . S F ." � "� "� • "FT. .'v' � ^ U EXTERIOR WAL'L,- � �ROOF � ' �( i ' - , COVERING COVERING .REAR� �T'FT. FT. ' J USE�OF BUILDING AND WORK-TO BE PEFFORMED , -, � DISTANCE BET.. . �'. BET. MAIN& ' a - � ' " ' MAIN BI.DGS. ' ACCESS. BL � - a . Q . . • •. VAR..$ DATE ' , ' � ' • c.u.P.� nrwaov STATE � residence: APPROVED � � !Z . y' � •' � � �itOLD FOR SPECI L RE EN S VI.hereby acknowledge that I have read this.application and state,' � ' � ,. ' ;.,� ffiat the above informetion is correct antl agree to comply with _ _ �.� all laws regulating builtling consttuction, antl� I shall not employ � � . , . � 'any'person in violation of the workma'n's compensation laws ot " " � � .. ,-y the State ot California: � "� � . , � ' L.y/ {� � ZI hereby certity xhat l am �properly ;licensetl as a conttacmr untler , SQ. FT. '%�7� /�[/ - � o ' .. the State ot Calitornia Business end Ptotassions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR N � ' � Chapter9,'and tha't such licenses are-in full force antl effect, or I THE PURPOSE'OF ESTABLISHING A PERMIT FEE'ONLY:' m � am exempt from the provisions ot tha $tate of Celifornia Business � - ¢ "VALUATION antl Protessions Cotle, Division 3, Chapter,9. ' . 6 �� N " '• ' - - � PERMIT FEE $ 6 � -�, s�e;,at�,a or� //��) � � � � D. Downs° .: .. /}�/ �,..fl �"� m ' . Permittee. //CfIIA /�� 5��(/V PLAN�CHECK $ . E gr�� . � • , � S� o " Au[horizetl A9ent . � ' . ' ' ' ' /�' LL I ' - TOTAL FEE $ OWNER � JOB ADDRESS GENERAL CONTRAC AP No. l�12-1S1- INSPECTIONS - � Poo� Location _ Forms � Main Drain --- - ��, Steel Reinforce — Elec. Bond Approval to Cover Underground Electric � Gas Piping Test Filtering System Lines � Backwash Lines and Recep. Electrical Final Heater and Vent Final Filter System Final Backwash and Re�ep"./ �Fi-nal `---.— �.__� 1'lfi+SOA _ TRACT DATE $_2� BUILDING PERMIT N0. FIRE ZONE VALUE ite GROUP TYPE �� SUBCONTRACTOR Plumbing � 3 __ _-; �,, - 37218 . ��-�• For Applicant to Fi!l in Completety _oir7'c" .p )g61 Dahlia rRl� �RE551. U\t - P/-.. - P IC TION FOR BUILDING PERMIT I D V' ATE RECEI ED TE ISSUI � i� � _ �J -27-y1-� � � � � OWNER Robert��.Davis b .A.P. NO. p�--/ MAIL � " ' �` Y �� ` , BUILDING - ' Z . ADDRESS� Shcf12._ " ""r'-' � � � ` ADDRESS Q . av cirv Costa Mesa � oioL�596-I448 SFACT. lOT a�ocK z Z Q CONSTRUCTION ' . W AD A R P O � LENDER ' � ' a m CASH SALE' � ' J 7 BRANCH ' � . J � . OWNER Robert DAvis m J' ADDRESS � . . - - • VALUE J a OR ENGINEER Ti Ginther � . NE�.876-7212 SE Pr�'V j7001 - - $ �� UN . ' . . . FIflE W 2 ADDFESS 1710 N.�LaBrea Rve., HOII�JWOOCI 'ZONE �TVPE .GROUP� a W . � �� APPROVED � ��%�� W Z CONTRACTOR Aqaatic POOIS � BV � �" DATE ! J Q m z 1345 S. Anaheim � J ¢ ADDRESS � ' ' � - W w - TEL. � ZaN NO.OF � 'USE OF W Z� cirv Anaheim No. 533-0680 P�� aui�ot Q L w� STATE - ' CITV - �'P.FlOSAPPROVED VARDSAPPROVED (n 2 uc. No. 286245 C-53 LIC. NO. MAIN BUILDING ACCESSORV BUIIDING � � SIZE ' NO.OF BIDGS. ��FROM GLSTREET) OF �OT NOW ON LOT ROM FT. FT. USE OF ewsriNc e�oc. home and garage . F. Fr. H SIZE OF 385 S ft NO.OF . Z NEW BLOG. �I ROOMS . STORIES L. SIDE FT. F� U EXTERIOfi WALL ROOF COVERING COVERING� REAR FT. FT. � J� USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & a MAIN BLDGS. � ' ACCE55. BLDGS. a O� PT1V SW17I1 jJOOZ CURP.# APPROVED � ' � n. . � . , . . , . _ N � . APPROVE ' � . . z . . . . . . ,. , . _ O VI hereby acknowletlge that I have reatl this application antl state .� � � that the above information is correct and agree to comply with � all laws regulatlng �building consiruction, antl I shall not employ � any Oerson in viola[ion of the workman's compensation laws of ' y ffie State ot Calitomia. , - ' m z m � I hereby certify that I am properly licensed a onttactor untler SQ. FT. o the State ot Calitornia�6usiness and P'ofessi Cotle, Divisicn 3, ,THE AMpUNTSHOWN UNOER VALUATION IS FOR Chapter 9, antl that such licenses are in full rce antl etfect, or I � THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m . am exempt trom �e provisions ot t e Stat f Calitornia Business � antl Professio nc�e, Division 3 r. VALUATION �; �� j � PERMIT FEE. $ Signature . � 5 m Permittee $ a 3/D ,. PLAN CHECK $ - E `o . Authorized Agent � � �� u � . TOTAL FEE $