The URL can be used to link to this page

Home My WebLink About209 DARTMOUTH PL - Building Permits_ F ��::-:' - '7&'CD�� COSTA MESA BUILDING DEPARTMENT ' P.O. BOX 31] COSTA MESA. CALIFORNIA �=EE RECEIVED lo• i�l-s�' fic�Nc� oE�t. c�n oF cosTa �sa FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BU I LD I NG ADDRE55 Dartmouth Place COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. itP{I(Ij� OWNER Yale Pro erties �� MAIL 1r� it� RECENE� BY LV�TE RECEIVED pATE.15�^+�U�R� ADDRE55 E� y/y{y St• �O�' - OCT 1 y ciTv Costa Mesa CaliY. TNo:I3. B-1159 /+DDRE�ss ' ARCHITECT CeiTl$OSIdBC,ebrook No. COSTA MESA. CAIIFORNIA OR ENGINEER h11 a.l. ADDRE55 }� � GardenC Cirove ZONE ✓.L�Pi (Y C�TY LIC. TONE ' I pO.Ns TVPE _/ GROUP CONTRACTOR , � � NO. % TEL. APPROVED _ ADORESS NO. BY DATE LEGAL �or��t � �f(�rC � CORRECTIONS oESwIPnoN NO. 1.c BLOCK TRACT RJJJ A.P. NO. SIZE NO.OF BLDGS. ' OF LOT • Now Orv lOT Q e USE OF EXISTING BLOG. LINE FROM ' CENTERKOF STREET f• .REAR YARD � SIOE VARD RIGHT lO� LEFT S� DESCRIPTION OF WORK NEW d ALTERATION ADDITION REPAIR MOVING DEMOLISH SIZIEDING 'I/OO S^ �OMS O STORIES 1 iµ� Y EXTERIOR WALL ROOF COVERING COVERING BUELDFNGEW Sin le Yamil residence with attached gara e. P1an 730A I MEREBV PCKNOWLE�GE THAT'I HFVE RE4D THIS APPLIGTION nND STPTE TMAT THE ABOVE IS OFRECT ANO AGREE TO COMPLY WITH ALL CITY OROINANCES PND �E lPWS REGl1�PTING BUILDING CONSTNVC- TION. VALUATION SIGNATURE OF ��/ PERMiT FEE $ 36�00 PERMITTEE �y � s�15,139�00 PLANCHECK $ ZO�OO AurHORiZED AGENr �-IC8 BC CO�. OpQ TOTAL FEE $ 54�� eMr OWNER YALE PROPERTTES DATE 10-17-5� JOB ADDRESS 209 Dartmouth BUILDING PERIWT NO. 7fl09 GENERAL CONTRACTOR Dike & Coleerove VAL[lE $ 15 199.00 AP. No. LOT 12 TRACT GROUP I & J TYPE � ! .II-!rn/+� INSPECTIONS ��1,4i�/?�,..(au^^� Trenche, Forms -Steel Floor Sy t� Steel Reinforce Chimney Re-Rod Bond Beam Frame avd Flashing Lathing, Iu Out Plaster, brown mat , Swr. F[RE ZONE DATE R1 SUBCONTRACTOR Res. & Gar PLAN NO. PERMITS ISSUED . � _ 9�� COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA fOR APPUCANT TO f/LL /N COMPLETELY TYPE OR PRINT .f BUILDING �/ w/.�1 .."f� f%G Q/ � COSTA MESA, CALIFORNIA �ARGHITECT LIC. OR ENGINEER /A a�n.. i� NO. ] �LEGAL I LOT OESCFIPTION NO. SIZE I NO.OF BLDG6. OF LOT Now oH �oT USE OF � EXISTING BLDG. ' ' SETBACK LINE FROM CENTER OF STREEf ' REAR YARD DESCRIPTION OF WORK BUI�DING NO.OF SIZE ROOMS EXTERIOR WALL IROOF COVERING COVERING USE qF`B4UILDING A�� ORS T� E F /1 ',I��..�.�yd• .K`-n� . �,.z � : � M lrl � / / 1 HEREBY ACKN LEDGE THqT I HAVE READ THI6 APPLICATION ANO 9TATE THAT THE N60VE IS COFRECT ANO AGFEE TO COM- PLY WITH ALL CITY ONOINqNCES AND STqTE LqW$ REGUTATING BUILDINO GONSTRUCTION. SIGNATIJRE OF � PERMITTEE t �J IYY"V�I A�ORI� AGENT . ��E� ��CEfVED �,.✓' JUL 16 �g69 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING faR afficF usF oNty BY COSTA MESA. CALIFORNIA ZONING ZONE ^/ NO. OF USE OF N K PLqNB �: . BUILDINO // / APPROVE BV ✓ � OATE YARDS EVES REOUIRED ALLOWED (CENTEH LINE ST4 FRONT � .S � FT. � THE �MOIINT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLIBNING A PENMIT FEE ONLY. VALUATION � % 3 `C�'� ��. PERMIT FEE $ � $ p� PLAN CHECK $ � �,, � ' TOTAL FEE $ �J � -� DATE Dartmouth GENERAL CONTRACTOR E, W. Ehtsminger VALUE $ 21C.00 INSPECTIONS onTe _I GROUP TYPE Undergr0U0d SOi1 U.G. Water _- . .,. - -I SUBCONTRACTOR I- _. � 4�:�$(� COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only AD'DRESS�D7 i/A.CTM/I/ITN P/.� l.• /'� OWNER��%� � G � MAIL �. _.-. n" _ _._.. �7� BRANCH AODRESS ARCHITECT TEL. TEL. ,,,,,s_-,�`„�-nn;s��,:; ��,�.:i-�.co A PL A �ON FOR STRUCTURAL PERMIT R ED DATE RECEIVED D E E� A.P. NO. �i � �SS _�� b � BVILDING 209 yQQ� �./OUT�f PL ADDRESS TRACT��3 LOT /z^ BLOCK FIRE ��Cv�i �'oMG- � M �4Gt _ T�e �ii%� = n APPROVED "'- ��/� - CONTRACTORU[(J E/C— I e BV DAT �� 1,•' — ' i AODRESS � TEI. ZONEq �I NO.OF USE OF NEW � ��<% .CITV NO. �� P�+� Z BUILDING �� /O F STATE CITV �'AR�S APPROVED VARDS APPRO �ED � LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV'BUI DING (FROMC/ ST ET�) ;��"" a OIF LOT � NOW ON LO � FRONT ��T 'a K,JT ��FTEN Q '�.;INPrvbc ^ USE OF y� _ EXISTING BLDG. 5 DE F. FT. � __— � Separate permits are required for �. sioe �� FT. FT. electric, plumbing and heating work. WREAR � � PT. FT. (..i US iOF BVILDING AND WOFK TO BE ERFORMED DISTANCE BET. BET. MAIN & . qMAIN BLDGS. ACCESS. BIDf'�S. VAR..iE DATE � ', Z(�' C.U.P.� APPRpVED Q � APPROVED �' II� 23—'%C r .a a w � I hereby ecknowledge that I have reatl ffiis application entl stete , � n (K that the above into�matlon is correct antl agrae to comply wiih � 4 all laws regulating building construction, and I shall not employ ' i Z any person in violetion of Me workman's compensation laws of d � the Staie of Calitornie. - 3 I hereby certify ffiat I am properly lic¢nsed as e<ontroctor under �� SQ. FT. ' w the State ot Celifornia Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR m Chapter 9, antl Shat such licanses ara i;full forca antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT F O �V: � emezemD<tromtheprovisionsot�SiateofCaliforniaBusiness VALUATION d PERMIT FEE $ antl Professions Cotle, ivislon 3, fiapt r 9. � v+ n SI nature of PLAN CHECK $ "� 9 ' � $�D� � o Permittee TAx $ !1� LL .� �� V Authorized AgeM ' � TOTAL PAID s d D OWNER GOMEZ, Ernest ' DATE 11-23-76 JOB ADDRESS 209 Dartmouth Place BUILDING PERMIT N0. 43080 AP No. 141-455-10 LOT GAS ,JOUGH PLUMBING PROP. SWR. LINE � MOUSE CON. SPRINKLING SVSTEM POWER H WI BONO BEnM U �STE SMEATMING FRAME ANO FLASMING LATXING — IN n � PLASTER. BROWN CO�T NE�TING. VENT. BWLOING. FINRL SUBCONTRACTOR �l �" COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS � OWNER O � TENANT MAI LI NG ADDRE55 �_ - TE CITY N . CANSTRUCTION LENDER �' BRANCH �� ADDFESS ARCHITECT �_ TEL. ADORESS CONTRACTOR A.P. Np,� C BUILOING ADDRE55 VNIT OR SPACE NO. OWNER USE S APPROVED 2909 9/12/79 27.50 TL TION FOR STRUCTURAL PERM[T � PERMIT N" � 48'786 pT BLK. ] ALTER REPAIR MOVING DEMOLISH � 'rL� /G ' VALUE$ I C/K/ TVPE GROUP DATE 7 I �L /%7 TEL. CITY �— NO. STATE CITV APPROVEDSETBACKS LI4 NO. �� 110. NO. ' SI2E �7 NO.OF BLDGS. 1 ( RO� C/L ST�T� OF LOT (�X� O U NOW ON LOT EXISTINGBLDG.c�.,,�.�, }.�qM�� a�„Q� Separate permits are required for electric, plumbing and heating work: USE OF BUILDING AND WORK TO BE PERFORMED • /C . r DATE APPROVED nnrc� I hareby acknowledge that I hava reatl Shis application and steie � that the ebove.information is correcS and a8ree to comply with all laws regulating builtling consttuction, and I shall not employ � any person in violation of the workman's compensation laws of : the State of California. m I hereby certify that I am properly licensed as�a conttactor untler SQ. FT. � the State of California Business antl Profession Cotla, Oivision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapcer 9, antl that such licenses are in ful rca antl aftect, ar I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV: � am exempt tro ov s ns o of Calitornia Business VALUATION PERMIT FEE $ � Od q and Profess' s Cotle, Di ' o , Ch 9. m � PLAN CHECK E � �O o SiBnat e ot '/�'�� ''��') Pe�m tee $ V✓V � TAX $ � S� U AuthorizetlA i /Z 7 TOTALPAID E%%..�il \\ to fill in all CITY"OF COSTA MESA CONSTRUCTION PERMI witnin neavy Eortler lines antl sign all aoP�aCriale tleclarations. ,%"jh r "^ RACT NO. ' LOT�NO: � BLDG. NO. " L�-c T �� , no�ec� r�wress - ��f- �"'�, TYPE OF CONSTRUCTION OYVnef ' � PhOn2 ' ' � NEW' ❑ AD� ❑ ALTERATION " ' AddfEss ZQ ` ��%�GL - ❑ REPAIR ❑ CONVERSION ❑DEMOLISH , Arch/Eng.- - ' - --- � � - — • license No: � ❑ oTHER. ' �ESCRIPTION OF WORK ' Address - ' � - ' ' ' ' ' - - - � -. . . . 'Contractor � - - C - Phone 7g(/ TVPE OF PERMIT�, � � � � - Addf255 %GO EL � � ❑ GRADING 'C�, FOUNDATION '❑ STRUCTURAL " LICENSED CONTRACTOR DECLARATION. . � � TENANT'� ELECTRICAL ❑PLUMBING ❑MECHANIC I hereby ai(Irm that I am Ilcensetl untler provislons of Charter 9(com- � mancing' with sectlon 7000) of 'Division 3� of the Business antl � � OTHER- � - - Protessions Code, "antl .my Iicense Is In fuu torce antl efiecL. pRO�ECT DESCRIPTION Litense Class � Lic a No. � � � ' � ' � � � oate. %-3/� y/. Si9nature " - �' �. SQ.�FT; •' : �• ... _, " �WORKERS'�COMPENSATION DECLA ATI - -� OCCUPANCV_CONSTRUCTION T.VPE 1 hereby affirm that I have a certiticate of c sent to zelt-insura.or a VALUATION � ZONE � Certififate of Workers' Compen5ation InSurance, or a Certitietl copy - � � - ,- .- . �thereot (Section 3800, Lab. C.). . .GRADING CU. YDS. ACRES Pollcy�No. ' ComPany �"-- � ❑ CarHfietl copy Is hereby furnishetl. - -� - .- � . REMARKS: . . ' ._. . _ . _ . . ❑ Certifietl copy.6 tiletl with the city Builtling Divislon. . _ EXEMPTION�FROM WORKERS' COMPENSATION DECLARATION �' "' ' '- -' ' ' (This section.neetl not be completed itthe permit is for one huntlretl - A.P. ... .�.:' �' , : ._ " '. _ _. 2.1 q3 . 7/-31 /8.1 ZONING REGULATIONS REAR YARD (TO P/L) PKG. SPACE REQ. $TREET WIDTH SPECIAL CONDITIONS: �(E1001 or less). � � . : � . ., _ . ... � '" ' . , _ '" . �.certtfy that In.the pertormanc¢ of the wor,k fOr whiCh this permit is issuetl, I shall not employ any person In any ma ner so as to bemme �� PLUMBING PLAN CHECK -;ELECTRICAL � suDjeGt to [he Workers' CompensaY ws ot Ornia. '"' Date ! st�Q� Si9natur " BATHTVBS NOTICE: I! after makin9 this tleclara n, y I,i iould become'subject TOILETS to the Workers' Compensatlon provlsions of t e Labor Cotle, you must forthwith tomply with such provislons or this permit shall be tleemetl LAVATORIES revoketl. - . . . _ . _. ' _' . . CONSTRUCTION LENDING AGENCV -KIT�SINKS � ' I nereby affirm thai [here is a construttlon lentling agency for the per- SERVICE SINKS formance o( the work tor wnich this permit is Issuetl (Section 3097 Civ: CJ. - ` ' ' ' "' ' � FLOOR $INKS v � L.enOer's Nam¢ �1 Lentl¢r's Atldre55 DRINKING FOUN � OWNER BUILDER OECLARATION � INTERCEPTORS �I hereby affirm that I am ezempt from.th¢ Contra<tor'S License Law for the followlnq reason (Sec[ion 7031.5 6usines5 antl Professlons Cotle: SWIMMING POOL Any city or county which requires a permit to construct,� alter, ��.` improve, tlemolish or repair'any structure, prior to its issuance, also re- yyqTER SERVICE quir¢5 the appli�M for such permlt to file a signetl Statem¢nt that he is licensetl Pursuant to the provisions o( tM1e'Contractor's License Law GAS SERV ICE � �(Chapter 9(commencing with Sectlon ]000) of Division 3 of the Business antl Prdessions Cotle) or that he is'exempt therefrom antl the bazis for the allegee exemption. Any violation of Settion ]031.5 by (� any applicant-for a permit'subjects the applicant to a civil^penalty �1 of not more Ihan five huntlretl tlollars (g500). ' ❑ I, as owner of ihe prop¢rty, or my employees wlth wa9e5 as their �Sole compen5dtion, will tlO.the.work,.antl the Structule is not intentletl or offeretl �or sale. (Section 7044, Business antl Rofessions Cotle: The Contractor'S License Law tloe5 not apply to_an.owner of a p�operty who builtls o� improves ther¢on, antl who tloes Such work him5elf or � Ihrou9h his Own employees, provltletl that Such imp�ovements are not intentletl or offeretl for sale. If, however, the Ouiltling Or improvement is soltl within one yea� of completlon, tne owner will havc the burtlen of p�oving he tlid not builtl or improve fOr the �purpose of sale). I,. ❑'I, as'owne� of -t�e' property,- am exclu5iv¢ly contracting with W Ilcensetl conGactors to consVuct tlte project (Section ]044, Business antl Professions Cotle: Tne Contractor's License Law tloes no[ apply to an owner ot property who builtls or imprOveS thereon, and who con- bacls from such projects with a�conVacto�(5) lic¢sn¢tl pu�suant to `' II12 COOIIdCiOY'S LICEf152 LdW�. V❑ 1 am exempt untler Settion � B. & P. C. fo� thi5 reason - Date � � - - � Owner I hereby certify,that I have reatl this application antl state that the above Information is correct. I agree to comply with all city antl county o�tlinanc25 antl state laws relating to con5tructlon, antl hereby authOriz¢ representatives of this city to ent¢r upon the above� mentionetl property t^or inspect o purpo s.. Signature ��' Date '7 3/ �! SHOWERS URINALS DOUBLE LAVS � DISHWASHERS SUMPS � ' � FLOOR DR.41N5 JNS �� CLARIFIERS � ' P TRAP• ` ' ALTERATION i OUTLETS .. /,t�. BTV OVTPUTF SEWERCONNECTIONS � SOLAR TANK � �COLLECTORS SOLAR PIPING SVS. � ' � ' ISSUE FEE MECHANICAL PLAN CHECK HEATING SYSTEM 0-300,000 6TU _ �AND'DUCTING 100,000+BTU_ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+BTU__ BOILERS BTU SYSTEM REPAIR,ALTERATION�""�; � EXHAVSTSVSTEM MULTIPLE Drivers' Licens or 5�� _ � '' � �SSUEFEE CMF OBfi5-46 White-Builtling; Gnary-Applicant; Pink-Accouniing; Goldenrotl-Assessor PLNTGp.REF.�� PROPERTVNLIN PROVIDEC PARK FEE �.. . . . , - DAT m PLAN CH jGENERATOR ' 0�1 KW_ 1-30 KW TRANSFORMER APPLIANCE 30-SOKW_50'+KW' - MOTORS ' ' 0-1 HP_1d0 HP - - - ., (INC.SOLAR) 30-50�HP_-50+�HP,� �� FIXTVRES OUTLETS ' SWITCHES'-' GAS TUBE'$IGNS - ' -' ' ' - ,POLE'LIGHTS " ' ' " ' PANELS/I'OU/A�XMA�N � � SUB " I `.S'�}� "d SERVICE ' ' ' AMP � -- ISSUE FEE ' -'"' ' " ' � �'IPG APPLICATION APPROVED BY DATE SUMMARY OF,FEES � BUILDING � ' . . � � � PERMIT E SMIP .$ PLAN CHECK 5� � PERMIT � PLUMBING g_L C1/ �SSUANCE $ GRADING $ PLAN CHECK 5 ELEGTRICAL y .00- � � $ PLAN CHECK 'g' � ` MICROFILM $ MECHANICAL S TOTAL FEE $ LESS AO- • PLAN CHECK § VANCE PC $_ FINALFEE $ �•�� - - I I I - • `- _ �.PE'i�JS <? T�gOr�s' �Fµ � . w CONSTRUCTION AND PLANNING � POOL & SPA , ' : �;;y ` ' . � APPROVALS Permit # Date Inspector qppROVALS _ .� Permit # � Date =_Inspector �.. 1. Temporary Electrical Service or Pole ' - �43. Pool & Equipment Location - ' -- �• -- - -• Soil ipe-Undrgm � ' 44. Steel Reinforcement � � � - - ' � • 3. _ Electrical Cqnduit Utility-Undrgrn 45. Forms - �� , 4., Electrical Cqnduit-Undrgrn 46. Electrical Bonding � - - . tee ein orce ' ' 47. Rough Plumbin & Pressure Test '� • - • � � � 6. Electrical UFER Grn 48. APPROVALTO COyER-GUNITE•"'"�' '�°" '' -"` � - 7. ootings � �' 49. Electrical Conduit-Undr rn. � 8. Foundation � - � - 50. Gas Pipe, � Undr rn, Test ' � • � 9. Water Pipe-Undrgm 51.� Backwash Lines P-Tr ' �� ndr m � - 10. _ Structurel Floor System � 52. ' APPROVAL TO DECK ' � ' ' " ` � � � �� ' 11. Property Sewer Line & Ho�se Connection 53. Backwash & Rece tor-Final � 2. Street.Sewer �nnection - � 54. Heater & Vent-Final � � �3. Rough Plumbing - " - - 14. Rough Electric-Conduit �56. Electrical-Finab � - � 15. Rough Electric-Wiring - - � - � � " - 57. Solar-System-Final � � 16: Rough Heating & Air Conditioning . � � • encing & Access Approval 17: Ducts in Structure APPROVED FOR PLASTERING 18.�-Ducts,Ventflating ._ „..„ ,. . ... ., 19. GasPipe-Rough&Test 60. POOL/SPASYSTEMSFINAL � ' ' 20. Roof Framing" � ' � ' - � ' � � 21. Roof SheatFiin � � � . ' . ' . 22. Frame and Flashing � � NOTES: � - � ' . � � � � 23. Insulation- � � _ . . - � ' ' � 24. Lathing & Sfding ' - ' � 25. Drywall Nailing - � • 26. Plaster Brown Coat � - � 27. -Electrical Power.Meter-Final - � ' � � � � • 28.- Final Electric � ' �� .9. Final Heating & Air Conditioning - ' ' 30. Final Gas Pipe-Test ' 31..� Final Plumbing � 32. -Water Service-Final - � 33. Gas Service-Final � 34. Solar pomestic-Final � � 35. Landsca e S rinklin S stem - '' 36. Sound Attenuation � � � � � 37. Handicap Regulations � � � 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed � � 40. Electric Release to Edison � '� � - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY _ � , No - Date , . � ., _ c. . . . _ ... � • A� !,� �onxasaeu�axc: 209 UARTMOUTH PL oxxexsxweiva+avn: TEMPLIN, CHARLES J TR woxEss 209 DARTMOUTH PL COSTA MESP.,CA 92626 875-1068 �vr�, wuuxc �ooxess: �HCXRECTONENtlNFFA: �xcx, ox �+c.•s �oonEa: uc wo.: UNT: uxr: cormi�irarsw�we LEE ROOFING ( 714 ) 642-7223 CO�APACTORSYYIIIIO 1653 SUPERIOR � moness COSTA MESA CA uc.ra.: 349686 92627 uM: LICENSED CONTHpCTOfl3 DECLAfl�TION: I hereby aA'vm unCx panetly d pee�ury tM1ei l em lieenaed undx povieiare al Cheper 9 �commenarp wi�h Section ]000) d Oirision 3 d �he Busneas aM Protesaiom Code, end my licensa u in IW lace enE elleq. rruc.�xo.:069337 uccuss:C—; uc.No 6 EXP: 02/99 Dme: � I� Conveeor: �j{�,��/�� r OWNEH BUILDEH UECLAflRTION: I hereby elfiim undar penelly d perjury �hel I em eRemp iran IM CaNredon Licensa Lew la the follovnng raeson (Sedion ]031.5 Buenesn eM PMaseione COEe: Any <ry a munry xfiich �epuim e pa�mil �o omstrucl, elter, improw, demdoh, w rapei eny nruei�re, prior �o iU'vwarce, ebo reQuiree �M eppliranl Ior eueh pe�mu lo fib e epned ele�emenl ihel M or aM is lioensad pu�wwen� la iha pfWIBl0119 W �M1B C0111ffid019 LICB119B LAW �CM1B�B! Q(NIIITlIIGRIB Will SBdpll %PT%� OI ONGIIXI'J OI �M Busnesa arM Prdassims Cadel a ihet ha a ahe is uemq �herehom eM �M bavro ta tM elbped uampion. My vbbtion d Seclion ]031.5 by e�ry epplirant Iw e parmn wbptlr Ihe epplicenl to e rnil penelry of not mae ihen INe huMreE ddlen I`�Il� �' I, ea ownar d the prope�y w my emOb`/�a x'vh wepea ea the'v eda wmpansetion, will do tha xak, eM iM aVucture v nd in�andad or MereE I« mle (Sec�ion ]oa.6usimm eM Prd»sbna Code: The ConVedan Lioense lawEoes nd WdY Io en owiera proyery wtw Wlda ar inprovea Ihe�eon, eM who doea auch vrork NmeeH w herse� or thraqh he w her own empbyeea, pmWdad �het auch imD�'emante are mt imerided a d1ereE fa eele. M, however, lhe Wiki�p ar'vnpaemam o eotl xnhin ore ym d mmplNion, Uro ow�r-0uilder will heve IM buNm d pwirp M a ehe d'M � WiW a improve for iM W T�e d eeb). ❑ I. m ovmer d tha peapeny. em extlusivety eoniraqip xilh limnaed contrecton ro canmrua the projerf (Saeion )041. Bwirwe end Proleviona Code: The Contreaom l'xense Lew does iwt epply b an owner d qopeny Ma Euilde « impovr thneon ard who convacb M wM pojeda wuh a wrureda�a) Icensed Wnuent ta tha ConVslare License Lew). ' . ❑ i.m a.�a ��ea, sa,�: e. a v.c.. ro� ma �: � , o�<: o..�,: � i eo n.reW oe�mv �ne� i em ewme a ena w�de�w�d ine �ea��remew a ce�eome He.im m,a sde�r cma saeo�. zsws, zssas, w P553a, vM ihm I a eny fulure Wikiip oaupenl will I wll nd (tlrcM orie) reed to wmply wIh eaitl elete mdee eM IM raquiromenq /ar • e pe�mn formnslruclionor mod'ificetionhom�heAi�eregemenl DMnd. ResiAemiel mnmruaion eppiraturow uemq Irom iheve a�. . , . Dete: AGW'ran: • ' �ONKEH'S COMVENSATidI OECLAflATON: I Mreby dfirm uMx panelty of paijury pn d the b0owiiq dedumiom: I heve eM Mil meinian a ceMkeb d mnaent to eellinwre M v.aMas' cwnpwamion, m prwided la by Sedion 3]00 d �he Lebor COEe, lw iM1e paAoimviee d Ne xak Iw wMeh thie peem� u iaeued. '�] i n�.�e �� md,.on�,�,• �oe�m� ms�,�,, m rea��roe M s�a�� aroo d m. �ro, coe., ia in. oan«� a me work fa which Ihia permil o iaeueE. MY waken' compewlbn ireurarica aM pdiry numbar ve: c,m., STATE FUND� EXPIRES �'' adwy Number: 1 3 u� — i. � 0 6/ 3 0/ 9 8 (Thia union need na be complefed / the pertna is lor one hunEred ddlem (f100j w bss.) . � � I centy Ihel in ihe pMormence d �M wak /a whch Ihis permn i iesuee, I sMll iwl empb� em� penon in em� memwr eo m lo bacome wbjea ia ihe xaXme' cwnpenwion la ea ehouN berome wbjae to tM xwbis' com sation provieione ol Setlion 9)W W IM1e Lebor�l 1 hwnh comp�y wa�p,yo�v�iaiw�re. Daie: � �� AOWicenl: AI 1/i'/r —� '-6 Wem/ip: F�llun h ueun workra' mnps,wtlon eoverepe /s unbwNl, entl aWll aW/xt an.mployw ro crlMnNpen�ltlu antl ' c/vll flrro�'up ro pro hundrW tMuuiM tlollan (5100,000J, N atl0/tlon b Ms cost o/ compwuetbn, Oamryp� u pvvMM br In Sxtlon �]P6 0l Ms LeborCotle, lnfsruf, an� attomsy's /su. CONSTNUCTION LENOINO AGENCV: I haiaby elfi�m unEer penely d pxjiry tIW �hra u e oonm�uaion bndinq apeMy br Ne p,n«m� d ma ..on� �o..n�d� mo ��c m m�d lsaaA� aw�. cw. c�. , LEN�ER'3 NAME: � � � - LENDEH'S AUDNE55: I canily ihet I heve netl ihie epplkUion enE etele �I�el Me above inlammion ia corred. I egree to canply wilh ell wy end muMy aAiwKes enE stete laws ielet'rq lo W ildvg canstrueion end hereby euthorrsa repremntelivee d ihu dlYto enter upon tM ebwe-meMioned pmpaM m,��so�m�o��v�s. , A EXSON � N�° y_ ��.�� Deie: _ /� �R sq we d ownennue �en✓Cammn (5151ie WP) Wh�e-Buildiq 8 Saley; OreeMFle: Ceriaiy-ADW��: Rnk-Rerenue; (3oldenio�Reeeeeor CITY OF,COSTA MESA — HUZLDING PERMIT ��' � PERM NO: D 087709 PERMZT NO: H 087709 PLAN CHECK NO: N GOVT: N SOPP: N , CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTIi JOH DESCRIPTION : T/OFF ROCK & REROOF WZTH COMP. SHINGLES SQ FT: 4,900 CLAIM VALUE: 4,900.00 CALC—VALUE: 4,900.00_ GROUP OCC: R-3 / COMMENTS: REROOF 27005F RESIDENCE W/COMP it iE �1E ff iF iE jE 3f 3E ik jE iE jE iE 1E �)E iE iF if iE iE iF iE iF iF iE iF 1F i(� iE If �k jE iE �ElF iF jf iF iE jE iF 3F �E iE 1F �f 9E 3E �E 9E 1E iF 9E iE iE iF iF �E if iE jE �E * 3E dE 9E iE 9E if iE iF iElk jE iE if jF if Z O N I N G R E Q U I R E M E N T S • 5 E T b A C FC S ------------ MAIN DUILDING ----------- --------- ACCESSORY BUILDZNG --------- FRNT: � FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: � PARCEL: 14145510 2NE: REF NO: PLANNING NOTES.>, v�, � iF iE 1E if 3f 1E if jf iE if jElF iE iE ik iE if � iE aE 1f 3F �)E iE 3E �)f �1E !E if ft iE iE iE � iE iE 1f �k iE if if iP 1E 1F if iE if 3E iE ff if �f �)E iE iE if iE if �f iE �E iE iE if if * dE jE dF 1E �E iE 3E !E iE if 3E fE iE D E �� E��L O P M E N T S E R V I C E S R E Q U I R E'M E N--T S . .h � ' � .�^: ZONING APPROVED' bY ' DATE: . `» � BUILDING APPROVED bY : DATE: �'�t c ,.r T APPLICATION ISSUED BY: �k�R- DATE: .-�"{' �� S� it�**af�-iE*ie*�t�tt*it�t**�t***�t�t�F�iF3F�FitiF'iF�iFiFiFiFiF3F�3F1F�iF�iFiFiF�-fF"�iF'3F3F3F3F�#'�**��tx��t*x�*�x- �* i r it* LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y bLDG PMT PLUMbING ELECTRIC MECHANZC FIRE SMIP/RES GRADING YERMIT 99.75 50 PLAN ISSUE FEE HUZLDING—DZV—> PERMIT ISSUE PLAN—CHECR TOTALS----> 100.25 '0'.00 0.00 REVENUE DIVISIUN TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECAANIC 99.75 SMIP/NON—RES , TOTAL PAID UUE 100,25 100.25 .00 100,25 OC�EA/SHORT: .00 FIRE �SMIP/TOT GRADING PLAN—CHECK .50 iF if 3E �f fE if aE fE iE 1E iE 3E iE iE iE 1E iE IE 1E 1E 1E iE iF jf it 1E if iE 1E iE 1E 1E if iE iE iE �E �1E �E �E 1E iE iF iE iF iE jE iF if iF ik if iE if iE jE iE iF �E dE 9E � aE iE 3E �E af 3E iE �E �E 3E 1� �E iE if if ik if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR, 4900 RERUOF BY VALUE RESIDENTIAL NOZUNE 1.00 9,900.00 END UF FEES ' . . ' �';` '�� ' -'-' - ---- - � r `. � •' � _ . . � --- ---.__ — p4-1a-19inlB8:17 Nfl;siea,zs ' — -' kCGT�:61-3522iY7 rERP':YTe087?f�J . � . CON5TRUCTION AND PLA._ .NGr _ -� , APPROVALS Permft # � -Date t. Temporaiy,Electricai Service or RoVe - 2, Soil,Pipe-Undrqrnd. - ' ' _ � 3. Electricai Conduit Uti�ity-Undrgrnd. � � � 4. Electrical Conduit�Undrgrnd. - � � 5. Steel Reinforcement " - 6. Elect��cal UFER Gmd. � 7. Foot�ngs '�: _8. Foundation , � - �9. Water Pipe-Undrgrnd. � � � " , 70. Struttural Floor SYstem ' l�� ';� � "- 11. Property Sewer Line & House Connection �.. 12. Sewe� Cap ri'J : � 73. Roof Drains , j ` . � • 14. Rough Plumbing ' � . � � 15. Rouqh Electricai-Conduit �f � - 76. RoughElectricWiring � . - - 17. Rough Wi�ing Sign � ' � - � � 78. Rough Electrical�T Bar Ceiling . � 79. Rouqh Heating & Air Conditioning � " 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating , 23. Gas PiPe-Rough & Test �� 24. Root Framing � 25. Roof Sheathing � ��.�� 26. T�Bar Ceiling �Structural) & Monocoat 27. Frame and Fiashing 28. Lathing & Siding � ' : 29. Insulation . 30. Drywall Nailing 31. Plaster 8rown Coat 32. Electrical Power Meter-Finai 33. Finai Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe;Test , 36. Hood or Canopy � 37. Final Factory Fireplace " 38. Final Plum6ing 39. lVater Service�Final 40. Gas Se��ce-Final . 41. Solar pomestic-Finai � 42. Backflow Preventer . 43. Backflow Irrigation � 44. Landscape Irriqation System 45. Sound Attenuation 46. Hand�cap Regulations 47. fINAL STRUCTURE & BUILDING ,�3� 48. FINAL PLANNING � 49. Electric Rele�e to Edison 50. Gas fleleafe to Southern California Gas Co No. Date _ POOL & SPA , Inspector qppROVALS Permic# � ' ,�. � �-, _-- � 52. Pool & Equipment Location� . 53. Steel Reinforcement . � � � 54. Forms ' � - � 55. Electrical,Bonding : , � " 56. Rough Plumbing & Pressure Test - 57. APPROVAL TO COVER�GUNI7E 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd.,j'iest . - 60�. Backwash lines, P-Trap! � Undrgrnd. � " � 61. APPROVAL TO DECK�� 62. Backwash & Receptor-Final . ' 63. Heater & Vent-Fina1 ' �^�� ` � , 64. Piumbing SYstem - Final %l . . � 65: Electrical-Final � �� . 66: Solar System-Final . . 67. Fencin9 & Access Approval� , � - , 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMS�FINAL - � - - - FIRE'DEPT. REQUIREMENT � � APPROVALS Permit � Date Inspector? , � 70. Underground HVdro ' 71. Product Piping � Gas ❑ Oil 72. Underground Flush . 73. Undergrnd. Storage Tank O Gas ❑ OiI (2(�-- 74. Overhead Hydro 75. Dry Chemical ' • 76. Ory Standpipe 77. FIXED SYSTERA FINAL 76. FiRE PREV. FINAL HEALTH DEPT.REQUIREMENT 79, FINAL WSPECTION 80. FOOD CEftTIFICATE ISSUED Notes: a e �^ M � e Property Address .:ITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Permit No. � � 10 � �� Owner J CJt�/� F/7'�CJ S 7J/�,% Contractor �-Ef= �C'Uc1 F�/ll I(°� �� C�J.STl4 i��<!�1- —L-/V C�„ State Contractor License Number 3�7` 'r/ �o �� Classification G 3� I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certity that I am the owner of the property. (Owner-Builder permittee only). �7J I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company �j Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Divisionfor acceptance. Received by Building Division ey: S�. �-i 1� �t� Ini ia Date 0990-46 MW95] White-Builtling�iv.;Cevry-ConVactor;Pink-Owner /l�/i� fl Rf / /JUP�� Pnnted or Typed Name