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Home My WebLink About637 DARRELL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 637 DARRELL ST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 42215312 Applicanr. WATSON, KRIS Address: 2219 W OLIVE AV SU1TE 282 BURBANK, CA .� Owner: MARQUEZ, TONY P Address 637 DARRELL ST COSTA MESA, CA Contracmr: MODERN ROOFING Address: 221g W OLIVE AV � . SUITE 282 . BURBANK, CA Zip: 9Y506 Arch : Address: Phone: Zoning: Phone: 868-317-7663 Zip: 91506 Phone: Zip: 92627 Phone: 888-311-7663 License: 807881 ' Eng: Address: ISSUED BV: Status: ISSUED Applied: 03/15/2004 Issued: 03/15/2004 Phone: Zip: License: , � License: � SCOPE OF PERMIT . . TEAR OFF EXISTING COMP SHINGLE ROOF. INSTALL FELT; AND COVER 50 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: S2,2oo.00 Permit: $83.25 --- - -- - ` Claim Valuation: gz,zoo.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: ,, $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Kronl� 0-0 PARKING Existin : 0 NOTES: PLANNING & ZONING Rear 0- 0 Left 0- 0 Right 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 - Re uired: . 0 Proposed: 0 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-29, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or if work is suspended or abandoned tor a period of 180 days. INSPEC710NS: In order Por the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetio�s and final approval musl be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 tauws (s�oo) WORKERS' COMPENSATION DECLARATION: I hereby eHirtn under penalry ot perjury one of the following declaretions: ❑ I heve antl will maintain e cenificate of consent to self-Insure for workers' compensatlon, as provided for by section 3700 oi the Labor Cotle, for the peAormance of Ihe ork tor which this`permit is issued. • I have and will maintain workers' compensation insurance, as requiretl by section 3700 of 16e Labor Cotle, for the perfortnance of Ihe work tor which this pertnit is issued. My workers' wmper�ation Insurance carrier and policy num6er are: Carner: Policy Number: (This secfion neea not be comple(ed i/ the permit is va/ued af one huntlretl tlollars ($100) or IessJ ❑ I certify ihat in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so es lo become subject to tha workers' compensatlon lews oi Calitornia, and agree that Ii I shoNa become subject to Ihe workers' compensation provisions ot i ctlon 37�0 of Ihe Labor Code, I shell forthwith comply wiU these pmvisio � r�l I Applicant Signature: � Date: �� U V WARNINO: FAILURE TO SE E WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL ANO SHALL SU6IECT AN EMPLOVEF TO CRIMINAL PENAL IES AND C IL FWES UP TOONE MIINORED hKK15AND OOILARE (5100,000�. IN FDDITIIXJ TO THE COST OF COMPENSATION, DAMhGES NS PROVIDED FOii IN SECTION 3]W OF THE IABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I am licensetl untler provisions of Chapter 9(commencing wi�h Section 7000) oi Division 3 of the Business and Professions Code, and my license is in tull force antl aflecL LI0. k Class k Coniraqor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirm ihat there is a construction lentling agency for the pedortnance ot the work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: . . . Lendefs Address: Signature: OWNER-BUILDER DECLAHA710NS: Date: I hereby ettirtn Ihet under penalry ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Coda: Any city or counry which requires a pertnit to consWct, alter, impmve, demolish, or repair any strucWre, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he or she is Iicensed pursuant to the provisions ot ihe Contractors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of tha Business end Professions Code) or that he or she is exempt therafrom and ihe besis for ihe alleged e:emption. Any violation of Section 7031.5 by eny epplicant for e parmit sublects the applicant to a civil penalty of not more than five hundred tlollars ($500).): ❑ I, es owner of the property, or my employees with wages es iheir sole compensa�ion, WILL DO THE WORK, and the structure is not intendetl or oHeretl for sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work himself or herseN or through his or her own employaes, provided ihat such improvements are not intentled or oHered for sale. If, however, ihe building or improvement is sold within one year af completian, the owner-builder will heve Ihe burden of proving that he or she did not build or improve far purpose of sale.). • ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (SecJ044, Business and Professions Cotle: The coniracrors License Lew tloes not apply to an owner of propeny who builtls or Improves thereon, and who contwcts tor such pro�ect with e contrector(s) license pursuant to the Contradors License Laws.). ❑ I em exempt under sec. Business and Professions Cotle tor this reason: Signature: Date: Owner ID veniied by dnvers license. ❑ Ves ❑ No Dnver's License No. Veritication oi Ownership 6y (type ol document, i.e. - property tax bill or deed): �IVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Eapires: ❑ I hereby certity ihat no excavaiion five (5) or mora teet in depth into which e person is required to tlescend, will be matle in connection with work authonzed by Ihis permit, and Ihat no builtling siructure, scaHolding, talsework, or demolition or dismantling thereof, will be more than thirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to tlo work w�ich woultl requira a permit irom ihe Division of Intlustrial Sefery, as noted above, unless such person has a pertnit to tlo such work from the division. Siqnature: Date: Division of Industrial Safery Pertnit Number: CERTFlCA7E OF COMPIIANCE AND AUh10RIZATON OF ENTRY: I cehify under penalry of Derjury ihat I have read this epplication end stete ihat ihe infortnation given is correct I agree to comply with all sta�e laws and ciry ortlinances relating to building consiruction, end authonze representa�ives of Ihe Ciry of Costa Mesa to enter upon ihe abova-described property for insDection purposes. I agree not to occupy or allow occupancy of any 6uilding authorized by �his permit un�il tinal inspection. ,>�igneture Of Legal Owner(s) 6 And/Or Authorized Applicant CODE �. IHSPELTONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Wall . 202 Final Factory Fire Place 203 Final Sign 204 Final Demoli�ion PdIIE INfiilALS � f�j1 [,( INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Eledrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/OccupanCy �g � 1 Applicant to till I� all spaces exceDt tnose wit�in heavy Eo�Ee� lines antl Sign all app�ap/iate tlecla�ations. CIT.1Y OF COST MESAl� GUNS I HUG I ION YtFiNll I PERMIT NO. TRACT NO. LOT NO. UNIT NO - Project�Address � y�WL�LL ST . ApplicanYs Mailing Addre5s ��RM � ' Owner's Name T N� � Mi�RiOfJE2 phonel�—f�� n�Vress 637 �ra�+��L� S/: ArchlEng. License No. A�ress Corviractor.'s Nama Phone Address (mailing) City License No. � ' LICENSED CONTRACTOR DECLARATION I hereby afFlrm tha[ I am I��enSetl untle� provislons of Chdrter 9(wTT¢ncing with se[[ion 7000) ot Oiv�sion 3 of the Bu5ine55 antl Professions Cotle, antl my license is in full force aPtl eftect. License Class LiCenSe No. Signature :"IKE0.5'GOMPENSATION DECLARATION ' .� ":2ieby aftirm Iha[ I hdve J certificate oT con5ent lo self-insur¢ or a C¢rtiticate ,ot Workers' Comoensation Insurance, or.a certitietl copy thereot (Section 3800, Lab. C.) . � � Policy No. Company eCertifietl copY �5 hereby furnishetl: -' ' ' CertitieG copy 6 filetl w�th the city Builtling Division. Da[e Applitant�- ' E%EMPTION FROM WORKER$' COMPENSATION OECLARATION '(Tnissection neetl no[ be cOmpletetl if the permit,is tor one huntlretl ($100) or less). - ' I certify that in Ihe performance of tne work�Por which thls perm�t is Issuetl, I shall not employ any person in any manner/so as to become subject [o the Workers' o pe Laws of Calitorpla, ^t / oate �/�—si9nature �.p ��•�=lh%�`�++� NOTICE: If, after making this tleclaration; you shoultl becom ubject o the Wo�kers' Comp¢n5alion p�ovisions ot ;the Labo� Cotle, you must forthwith comply with such provi5ion5 or this pe�mit shall bE tleemetl �revoketl. CONSTRUCTION LENDIPIG AGENCV � ' . I hereby aifi�m that th¢re is a con5truction lentling agency fo� th2 pCrtormdnCe of the work for which Ihis permit is issuetl (Section 309] Civ. CJ Lentler'S Name Lentler's Atltlre55 - OWNER BUILDER DECLARATION - I hereby atfirm that I am exempt from the ContractorY License. Law.for the followinq-reason (Section 7031.5 Business antl ProTessional Cotle: Any city or county which requires a pCrmit to <onstruct, alter, improve, tlemolish or repair anv a�.u�ru.n nnn. �n i�c issuance. also reouires the aoolicant tor such permit �'. ��ne Contractor'S LicenSe L3w (ChaOte� 9(commencin9 witn Section ]000) ot bision 3 ot the Business an0 Professions Cotle) or that he/she is ezempt refrom antl the basis for the allegetl exemptlon. Any vio�ation oi Section i1.5 by any applicant for a permit subjects the appi�cant to a civil nalty ot not more than fi�e huntlretl tlollars ($500): �' �I, as owner of the property or my employees with wages as their sole compensation, will tlo Ihe �+'ork, antl the st�ucture i5 not In[¢ntletl O��off¢r¢tl for sale (Section ]044, �usiness antl Protezsional Cotle: The Contractor's License Law tloes not apPIY to an owner of a property who builtls or improves Ithe/eon, antl who tloes such wo�k himself/her5¢It or th�ough hi5 or h¢r own employees, provitletl Ihat SUCh Imp�ovement5 a�e not inte0tletl o� offeretl fo� sale. It, however, the building or improvement i5 soltl within one year of com- pletion, the owner will ha+e the burtlen Ot p�oving he/she tlitl not builtl or im- prove for the purpose oi sa�e). ❑ I, ds Owner of ihe property, am exclusively cont�actin9 with licensetl mn- Iracto�s [o mnst�uc[ lhe proj¢ct 15ection 7044, Business antl Pro(ession5 Cotle: The Contractor's License Law does not apply to an owner ot praperty who builtls or improves thereon. antl who•contracts fo� such oroiects wltM1 a ron- tractor�s Lcense pursuant ro me Convactor•5 License Law�. I am aware that proof o�thei� Worker'S Gompen�atio_njn�rance Shoultl be p�ovitletl to me. � I am ezempt untler 5ect�on ��a B. & P. C. for this reason o < 1 � o ✓'+^-- �� I hereby certity lhat I have reatl tnis ap lication antl sta tha[ the'above intormation is correct. I adree to comply with all city antl county ortlinances antl state laws relating to bulltling constructlon, antl,hereCy authorize repre- sentdtives of this city to enter upon the dbove-mentionetl p�ope�ty tor inSpecUon purpmes. Date //� ��i Signature Driv0r5' License or 55 � — j�36c�z3 z2i5 �d TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOl.ISH ❑ OT DESQRIPTIpN O�F -WORK/vE OF BLDG �� w O C_qif� '%� ja-�— TVPE OF PEFMI�GRADING FOUNDATION � STRUCTURAL - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL ❑ OTHER PROJECT �ESCRIPTION Sc;. FT oCCUVaNCv� 3 CONSTRUCTIpNTYPF -� VAI_IIATIQNW T/� ZONE GRADINGCU.YDS. ACRES � Sink Preventer Irrigation Clarifiers � Dishwasher � Drinkin9 Fountains Floor Drains Floor Sinks Gas Service ' Outlets Interceptors Kitchen Sink Roof Drains fleinspection Fee $15 Dutt - Under Ground Duct - $tructural Duct - Ventilating Exhaust System ❑ Multiple Pirepl/FacL Blt. �CBO # Heatin9 System & Ducting ❑aioo,000 sTu Oioo,000 Reinspection Fee � $15 0865-46, rev. 5/BB Wnite - Bulltling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink � Sewer Cap Sewer COnnection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Water C1o5et Water Heater Water Service Auto-Wesh Laundry Trays Isue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,000 BTU ❑100,000 BTU System �Repair/Alteretion Fire Dampers Registers Issue Fee r $ 3 FEES $ 3 .,.r.,� . oz — � - S Main Building: E T Front ARear C Right g . eft Ping. Ref. # Automatic Washer Construction Pole Sub. Cooking Unit . Dishwasher Dryers ❑Gas ❑Eler Fan F.A.U. Fixtures Device Boxes �Utl¢t5 Switches Garbage Disposal Generetor 00.5 KW C 5 2one J Accessory Building: 2 �,� O n ,.. � N o�V � N Q� G H Parking Req./Provided . E Q � M ,i IYU. T S. ELECTRICAL Transtormer ❑ 15-50 KW ❑ 50+KW � Reinspection Fee ' $15 DEVELOPMENT SERVICES REQUI Zoning Approved By < Building Approved By Meter LJup to 100 amps Meter ❑over100amps Sub Panel fJ4otors 00.1 HP �'1'f, - 8 Inc.Soiar �9-15 HP 016-15+ Microwave � - Pole Light �� Standing Sections Trash Compac[or luue Fee SUMMA V1.lEl BUILDING PERMIT $ � ' G�� PLAN CHECK $ S �/ O PLUMBING $ PLAN CHECK 25% $ � ELECTRICAL $ PLAN CHECK 50% � $ MECHANICAL $ PLAN CHECK 25% �$ FEES �� •• N SMIP $ •S� PERMIT ISSUANCE $ , ENERGV P.C. $ GRADING $ MICROFILM $ � TOTALFEE $ _�_ ei 000iss9s-onoisbo� r��-r ��.6a DAS'E� i�103/88 TI11E: !3:24 �. CONSTEtUCTIc N-AND.PLANNIN POG iRA _ -,� . . � 7! � Date Inspector ,� Da{e dnspector ' APPROVALS Permit # APPROVAIS Permit # i, � i. Temporary Electrical Service or Pole - i 52. Pool & Equipment Location � _'�;� . - 2. SoilPipe-Undrgrnd. `'`�� "53.SteelReinforcement � F� ,:��.� 'YJElectrlcal Conduit Utility-Undrgmd. 54. Forms - � � ' 4.,ElectricaV Cond�uit-Undrgrnd. 55. Electrical Bonding -, , !' 5�Steel,Reihforcem�nt. 56. Rough Plumbing & Pressure Test � '-� : 6.,;ElectricalUFERGrnd. 57. APPROVALTOCOVER-GUNITE �� '.' • n �r 7�. Footings � ;� 58. Electrical Conduit-Undrgrnd. �' 8. Founiiaiion ��y 59. Gas Pipe, � Undrgrnd., Test �,�• I� % �y, Y . 9.� Water� Pipe-Undrgrnd. � .'� � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System �� 61: APPROVAL TO DECK � � r-+' i t. Property Sewer Line & House Connection " 62. Backwash & Receptor-Final ;� .' 12. Sewer�Cap ; 63. Heater & Vent-Final ': 13. RoofdDrains- `�'� � 64. Plumbing System - Final � �� 14. Rough Plumbing ' 65. Electrical-Final� +'��' 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough Electric Wiring � ' 67.- Fencing & Access Approval . , � � 1.7: Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough ElBctrical-T Bar Cei�ng' 69. POOL/SPA SYSTEMS FINAL 19. Rough�Hesting & Air Conditi�ning FIRE DEPT. REQUIREMENT . 20�. Rough F�ctory Fireplace �� APPROVALS Permit# �s 21! Ducts; in Struc[ure �',;i,�� 70. Underground Hydro � .. • � . 22. Ducts, Ventilating �, 71. Product Piping O Gas ❑ Oil - 23, Gas Pipe�Rough &�es, it � . 72' Underground Flush � 24. Roof Framing !�'�) �'� � � �73. Undergrnd.Storage Tank O Gas ❑ Oil� � 25. Roof�Sheathing-�^ `,i� 74. OverheadHydro � - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � � 27. Framean�l Flashing � tt , 76. Dry Standpipe 28. Lathing $� Siding ��) 77. FIXED SYSTEM FINAL . 29. Insulatio� ' � 78. FIRE PREV. FINAL 30. Drywall�Nailing i�_ �!�j . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �;IG� ";� 79. FINAL INSPECTION - 32. Electrical Power Nletei=Final� 1 � 80. FOOD CERTIFICATE ISSUED �� :�� 4 33. Final Electric �� Notes: , � - r, � 34. Final Heating & Air C�nditioning � -� 35. Final Gas Pipe-Test � � 36. Hood or Ca'nopy � 37. Final Factory Fireplace � � 38. Final Plumbing 1 � ' � � . ' 39. Water Service-Final ,p� � 4d. Gas Service-Final -� -•i � ' �ii .1 .. 4V. Solar pomestic-Final � � . - '� ��' �• ' I ' . `1.' 42. BackflowPreventer � � �•' ✓�'�;i :'.�y� 43. Backflow Irrigation � , i ; � ' � �.•7 ... 44. .Landscape driigation System " %,�/;; �J - i 45. Sound Attenuation . -' �! „ri; �r �46-. Handicap Regulations : � - � � • , ' 47. FINAL STRUCTURE &�BUILDING /� �� , ' ' 48. Special Requirements'Completed 49. Electric Release to Edison .,.� -• �, ` 50. Gas Release to Southern California Gas Co . i�� . !' 51. CERTI FICATE OF OCCUPANCY � � ��; .� � " '(' � No. � � Date .- ^ r.i4_,�.� :t'1 / / . : . ._ . . . . \I � ; 20uYs.ROOF CONNECTION DE7AILS CONT. LEDGER CONT, LEDGE SOLID BLOCK D�pPr�rr s�zvzc�s n�Atrir�ar BUILDIT7G SAF'El'Y DIVISION � i PATIO COVER TYP. PLANS RAFrfR I OWIVER: oN P� M�2 �� DATE: /i �� ADDRESS � �3 � Ug2�2� L� -T PHONE: � � - � 3� `� �I/2��_ DIA. X 5�� LAG SCR. AT 32�� O.C. DETAIL I CR 8 CL��TECO� GRIPS OR JOIST HANGER RAFT R 3Ig° DIA. X 5�� LAG SCR. AT �b" O.C. DETAIL 2 IOi�OR LIGHT WEIGHT ROOFS ONLY CONNECTION DETAILS X FACIA-MIN. REO. RAFTER APPROVED METPL HANGER DETAIL 3 CONTRACTOR: _ OwN�2 LIC. NO ADDRESS: PHONE: RAFTERS CARPORT, PORCH OR PATIO NOT SUPPORTING CEILING SIZF. SPACING SPAN 2"x4" 12"O.C. 9'-6" 16" 8'-0" 24" 6'-6" 32" 6'-0" 48" 5'-0" 2"x6" 12" 16'-6" 16" 14'-6" 24" 12'-0" 32" 10'-6" 48�� 8�_�,� 2"x8" 24" 15'-6" 32" 13'-6" 48" 11'-6" 4"x6" 24" 17'-0" 32" 15'-0" 36" 14'-0" 4"x8" 24" 21'-0" 32" 19'-0" 36" 18'-0" 48" 16'-0" 4"x10" 32" 22'-0" 36" 21'-0" 48" 20'-0" 72" 17'-0" RA£TERS LIGHT WEIGNT ROOF COVER OF � LATH, FI3ERGLASS, ALUM. SIZE SPACING SPAN 2"x4" 16"O.C. 9'-6" 24�� 8�_�� 32" 6'-6" 48" S'-6" 2"x6" 16" 16'-6" 24" 14'-6" 32"• 12'-0" 48" 10'-0" ,2"x8" 24". 19'-0" 32" 15'-6" 48" 13'-6" HEADERS LIGHT WEIGNT ROOF ONLY SIZE POST SPACING 4x4 6'-0" 9'-4" � • 12'-0" 4x10 15'-0" CARPORT, PORCH OR PATIO SIZE POST SPACING 4 x4 5' -0" 4x6 8'-0" 4x8 LO'-0" 4x10 12'-6" APPRWED FOR BUILDING PERMIT By Date GEtI�RAI. NOR'ES: 1. These plans must be kept on thp j�b 9t all tlme during construc[ion. 2. All framing to De Dougles Fis N9 Q . grade minimum. 3. Rafters may not attach [o facia ex- cept for l0�asroofs as shown on details, 2Qlyroofs must use a continuous ledger attached as shown on de[ails b1�+�2. 4. Light weight roofs may at[ach to facia for 14' span max., apans over 14' must use a continuous ledger as shown in detail #3. �..� � Q� �� ' � ., . -� NOTE� SHOW AND DIMENSION PROPOSED PAT I O C O V E R A N D YA R D RE-.A�.�-�@-�� ~� """""' ��',f :? � � �: a � :., ;: . � • . ;;+"y�! �'4, C�',b, �: e,_��`-� SEE DETAILS ON REVERSE SIDE �_ �ag �.i.y .�,' �tJS'i�`i i:.1:?'s� 1 �J!�t.if:C L'8=� ' � � 6Y ..._.� .__—.____ .. DA. ";. �— " _-" � � �ROOF SHEATM�NG '�' iii::�E f. ..tJShU.iS" EL ;:i� J'S ^T '�i.!. ::. ��.. - "ti,ni C1�H� �JCJ `�VI I i1VJ I'rnit ii f;PPft GF D`. T. . OVERHAN6 ' • THE�!SSUr��CE OR GRAN?ING O` �. PiF.f.S'� 7^ �'r�`"�'"� `�Fx RAFTERS PLANS ANC SPFCIFICi•.1!t:NS SIiALi i{�: £9 CC��: �. IEC� TO PC k PE@MfT PG� O; :.?1 ;::�;0'dA: Q�. ,s�7 `v{i'iFll( V O� P"�' l.r iAT.. O.C. rr+= aaoyis .^.uc ;;� r:=r; to�e.:�o eFrai� °:- a a� � ua+caitv ui �^citi,� ��:, r_;ha . ir,r. y: wi. ,�5 cF ;hi5 � i:HAI . L'� Vr:iiv. L'»�tii'T I{�! �; i'A;'t :,.:VjME v'riK OB U�[ WHI : 0' � UTHORIZE.`'. !S iA�;'FUL O � —%�— BEAM 7 iF ,�qNrp G� „ pERM17 ASED �j'O� 'LnNS ANU � T-STRAP EA. SIDE spec ic�T oNs tiH� P! � FEtr ,� .�, s i r-�. ;, FOR POST- BEAM g � FRO� iHEt--•��'[ w i "= - �� '. - �' � CONNECTIOK o .O v �," .. � Z �= I'� �. W U [iA;D PLA' S k� � "NOIc .� ...i:GE FN F' - , �- , EURt NG PERF'IJP.S hL��G Ln �. JF .- .Q Z Z IN VI M1ATI )N OF iH15 CUDE C•R Ct Ai^1' Oi.�„!R' " K W a W � 5HE ITl". � m Q y Q N Q Z � J - a a � � 1- N � Q ' " N V ' O � = O � W � p � V, O 4'f� � . • J U fV O W IU J . . DROP PATIO -• �+ LL� i x � z p FLOOR 2" o e � \ O U Q � � 'a io I � � I SLOPE TO T IN pBOVE SLAB '�' 1 I :c:':':o.;:. �,o: ... . �o.".'�^. ':a71°. . . ..a. . . . . . .. ... ..... . ........ ..... ..... . i •uq 26 GA. G.I. FLASHING - N i � WOOD FLOOR ' _J,_.1__�J CONSTRUCTION PIERS 12�� SOJ� o a �__ � - _ c� z � STREET PLOT PLAN SIDE ELEVATION CONSTRUCTION DETAILS ADDNESSOFBUILqNG: 637 DARRELL ST °w"E"s"""E'F'°'°'''": MARQUEZ TONY P "°o"Eu: 637 DAR�tELL ST COSTA MESA,CA r I.rri. wuiwc �oo�ss �RCNRECT ON ENC�NHN: AIiCH.OP FlNi.'S ADOXESS: UNT: 92627 11F N0: UNT: ca+m�crars w�ue: CORNICTONS YYt1N0 �oox�ss uc ra.: uNr: LICENSED COMXACTOPS DECLRNATION: I Mraby ell'rm uMx pandly d paijury Net I em IicemeE uMer prwitime at CMqx D (commana�p xnh Saction )000) d Oivieion 3 d ihe Burimea uM Prdeedoru COEe. enE mY lioeme b in hll fatt eM Nlec. cm uc. No.: uc. cuss: uc. No.: EXI' : oma: cono-eaoe OW NEN BUILDEP UECLANATON: I Iw1eEy eifirm urker paraly d perN�Y �� e�emq �mn �M Comree«a lim�se lew la tM "ilbw'vq reeson (�� 1.5 &niwsa eM Ra/e�ona Code: AnY ciY a oouMY �� A9uirea e pmnil lo careWcl. eller, improve. imd'vh, a repei any sWdure, pria to ea e�uence, elso raqu'vee ihe eppliant la arli parm4lo Rb e aqred Memant Met he a oM , licermad Wnuent to IM 0�� d.lha'Conumon.liinree lew IChaqer 9lmmnaixi^V xnh Sepian ]OOU) d Oiviion � d tlr Buzness eM Prdmaioere Cadel «�hm ha a Me is ezemq Ihareimm eM �M bavv lar ihe elk9� uemNion. AM'violelion ef Satlion ]0�1.5 by enY eOWiranl iw a parmil eubj� IM epplireii� o e avil perely of rw� mwe then fve huMred ddlan �S;Ap�I. � I. ea owrer d Iha piopeny or my ampbyeea wih wepea ea �Mi eob mmpanmtion, will do ihe xwk, vM �ha etriMure w �wl inlended «Mered Iw eele (Senion )oaa, euv�iaea eM Praeasions coJa: Tlie contreaoia lioanae lew Eme ml ePONto en owner ot propery who bu1Es a inproves Ihereon, end+iho doea aucli xoM himeeM a Mnap w ihraph he a hm own employeea, prwideE thet eucA imporemenls ere ml inteMeE a oHered br aeb`H, liowever, �he buiMinq a inprovemeM ie edd wilhin ona yeer d campblion, the ownm-0uiNm will heva ihe buNan d proving M or she Ek iwl Wild ar impwe fw the puryaee of veb). � I. u owmr d �he propMy. em eztivirvely mmreq'vq�xiln licensed wnl�eclon ro cansVutl ihe prqetl (5etlion ]OM. &ninrs erd Prdassons cade: The Conlreaae License lew Aros ml MdY b en owner a P�W�Y who WiMe «'unV�'a IM�em erd who eontretla la mx� peqaea wuh e mMrmor(el Ice�sed W�� to tM Convaeue li�ama lewl. .� I em uamp uMn Seaion: � B. 8 P.C., br Na � / �� ,�/7�J- 197 �% o,.�,: �. �.r........ %� "� �i/z�1G hT�o ereby ce�ity ihat I em awara d eM uMereieM tha reQuiremeMe d Gallomie HeeXh aW Seley Cotle Sediom 25.505, 25593. arM 255�a, end ihe� I a eny Mure buiMi�q oaupaM will / wAI nM (drcb one) naed to mmpty wih eeid mle codee end �he reQuinmenn tor epermAlormnaWc�imormodifcelianhamthaAi u�61nyl.renepemantDia�na.Reeidenlidconatrud'roneppYreiiareerauemqimmlhess Dma: Apqicant: WOPNEF'S COMPENSATON DECLMATION: I hereby elfirm uMer paielty d psjury wr d tM bAorrirp detleimuro: ❑ 1 Mro ud xil meimen e r.M�fke�s d mnaent �o aellyiwue br xMen' compeme�ion. m pwidod fa by Saqim 3)00 W �M lebor Gode.la ihe perlmrenee d Ihe woek la wNeh Mia pe�mn u ueued. ❑ i ne� �e �;� �men won�A oo�o�� ,�. ��a��a M s.ao� a�a a m. �e« coa�. rorn» va�«��. w ine wak lor whitli thia peem� ie ivued. My warkers' mmpanaelbn ineurenea femer vd pdiry numbar era: . ' Cemer: PdiyNumber. (mia eenion r�eed iror be comylered ] �M O�A is ror wre nvnereC ddkn /3too1 or bss.J ❑ I cenN �M1v in IM1e pMmwice d tM wwk la wlik� I�b pe�mM1 b leweE. I f�ell nd empby ury pemm m eiry memw p n lo Eecoms wblea �o iha xarFns' cwnM��ion lewa d Celibmie. enE e9rae thm E I ehauM bacane w4a �o tM xvhen' mmpense�ion pmrisom d SWion 3100 0l tha Lebor Code. I ehdl tanhxi�h mmyy wilh tlpas pimvwn. Daie: Apqicenl Wam/np: Fsl/�n ro sseuro woMen'rompxuetlon coverep� l� unl�wNl, end �hsll a�b/�et an wrploysr b alMnsl psn�ltlu aM clv/l flrros w ro ms hwtlretl tMuuntl rblbn (SfOq000A M etlrlltlon ro Ms rost ol rompsrwNon �+�p� e� povltleG roi In 9xtlon J106 0l tlre LMor CaM, Inhn�t, end ettomeya /esa CONSTNUCTION LENDINO AGENCY: I hereby �rm uMer peneM1y d perNrv �� here o e conet�ueion bMinp epu y M �he penormaMe W Ihe vrork ror wnich Ihe panni u ivwW (`�bn 308]. C'v. CI. LENOEfl'4 NRME: LENOEfl'SIUDHE%: I eenily �hei I heve med Nis eppliraion uM dme thet the ebwa inlormmbn o eorted. I apree to eanply wnh ell eay eM muMy ord'muaw eM sla�a kxs relelip to WiNip eoneVWion end Mreby eullw¢e repemen�e�ivee M Ihe eryto eMer upon iM eEove�man�onetl piopeity �o, ��.oaa� w�. . TONY MARQUEZ Pnnl Nema � fo�-r i° �M �'-� / w � � � Sigrewre d OxnedApenUApp a (5151�Ce.WP) WMe-Buikip d Selery: Green-Fle: Cuary-App5ram: %nk-Revanue:0okmmd-Aa»aar CITY UF COSTA MESA — BUILDING PERMIT PERM NO: B 08922" PERMIT NO: B 084227 PLAN CHECK NO: N GOC'T; N SUPP: N CONSTRUCTZON TYPE: V—N PERMIT TYPE: STR PORPOSE: ALT JOB DESCRIPTION : 76LF OF 6' HIGH HLOCH WALL LEFT PRP LN SQ FT: 76 CLAIM VALUE: 1,400.00 CALC—VALUE: 1,520.00 GROUP UCC: R-3 /U-1 COMMENTS: PARTY WALL AGREEMENT HAS BEEN SIGNED iF iF jf iE * iE �1E �h iE iE iE �1E f! ik iE if iE iE iE iElt it iE if'lE iF'1Elf ff if 1F 3E �f ik iE iF i! iE �k 7f'1f'1f if� iE iF �F iF �F iE it if �E 3E i! 3F iE if i(� iE i(� 1F iE iE iE iE if iE �E �F �E'lE �E �If 3E ik iF ik 3f iE 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 ---- FRNT; FT IN REAR: FT LEFT: FT IN RGHT: FT PARKING REQ: PROV: PLANNING NOTES> 76 LF OF 6' HIG > SF RESIDENCE. iF iE iE iF iE iE �f it ff 1E �1E if �E i! 1f 1E i! df 1E if iF iE iE if iE iE 1! ik 3k it 3k D E V E L O P M E N T ZONING APPROVED HY . BDILDING APPROVED BY : APPLICATION ZSSUED BY 3E iE it it it iE if jt iP * if iE if it iF it iE it iE iE if LEGALIZATION;N — ACCESSORY BUILDING — — IN FRNT: 20 FT IN REAR: FT 1 ZN IN LEFT; FT IN RGHT: FT IN 215312 S E R V I C E S ZNE• R1 REF NO• FT SIDE PROPERTY LINE OF ROVIDED), *�t�r�t***�t�t+�****�***�t*i�**�rx x **�* R E Q U I R E M E N';T S / r DATE: 4' DATE : �� =' DATE: " �3F**at*itx�i�*jt�f �r *3t F E E S U M M A R Y STRUCTUR:9I, SEGMENT:Y bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE`�+.:% SMIP/R50 GRADING PERMIT 51.25 j; ..; SMIP/NON—RES PLAN r_f ISSUE FEE BUILDING—DZV—> PEFtMIT ISSUE PLAN—CHECK TOTAL �� PAID DUE TOTALS----> 51.75 0.00 0.00 51.75 �;�, 51.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 51.75 OVER�/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF'/TOTf,;'GRADING PLAN—CHECK S1,2S .5�,�. iE iE iF jf dk iF iF i! if �k iF if if �)E iE iE if �F it �f if !F iE it 1F j! if 1F iF 1E if iE 1E iE iE iF it �E'If i(' iE i! iE if 3E �E dE �F K if iE if �F')E 3E �E ih iE �1F'1E iE iP �E iE �E iE 1f iE iE df i4 ik �1E if 1f i(' �f fE'!t I N D I V I D U A L F E E B R E A K D O�W N r:: TYPE QTY D E S C R I P T I O N UNIT'COST TOTAL COST SFR 76 RES—CONCRETE BLOCK WALL / FT. 20;.`�00 ' 1,5"L0.00 END OF FEES �'' �i `� � .�� ! fi' 08-14-1997/L8:28 Ail851.7: '' F'ERMIT�:T084227 %i CONSTNUCTION AND PLANNING - •. ;. POl SPA Date Inspector � � � Date Inspector APPROVALS Permit # - . APPROVALS Permit # . 7. Temporary Electrical Service or Pole � �_ 52. Pooi & Equipment Location � � 2, Soii PipeUndrgrnd. � � � � 53. Steel Reinforcement - � � t 3. Electrital Conduit Utility�Undrgmd. . ' 54. Forms . - � - 4. Electricai Conduit�Undrgrnd. . � � � 55., Electrical Bonding =� 5: Steel Reinforcement B-�,�//-g? � 56. Rough Plumbing & Pressure Test � 6. Electripal UPER Grnd. ' ' � 57. APPROVAl�TO COVER-GUNITE . ' �: . 7. Footings $-�LQ�� (q,�--_ 58. Electrical Conduit-Undrgrnd. � � ' 8. Foundation 59. Gas Pipe, O Undrgrnd., 7est . '''� 9. Water Pipe-Undrgrnd. " � �60: Backwash. Lines, P-Trap, O Undr9md., �; , 10. Str�ctural Floor SYstem � � . ./,• 61. APPROVAL TO�DECK ` � i 7 7. PropertY Sewer Line & 4ouse Connection '62. Backwash &.Receptor-Final ' 12. Sewer Cap , � ' 63. Heatei & Vent�Final . � � 13. Roof Drains - : � � ' 64. Plumbing System = Final 74. Rough P�umbing � . . � �. �`�; "65. Electrical-Finai : � - - � 15. Rough Electrical-Conduit'` ' � � . _' � 66. SolarSVstem-Pinal . � 16. Rough Elearic Wiring _ . . `� ' - �67` Fe�cing & Access Approval , � 77. Rough Wiring Sign �. - - "� �g$, qppRpVED FOR P�ASTER WG �, 18. iiough Electrical•T Bar Ceiling � �� . 69. POOL/SPA SYSTEMS FINAL ' 1� - 79.-Rou9h Heating"&`Air Conditionin9 - ' " " � ' FIREbEPT. REQUIF�ENIENT ` - " - - � � i _ _. , 20. Rough Factory Fireplace � ' � - • �APPROV`AL'S ' � Permit # - � 21. Ducts, in Structure , . . . . � • � � 70. Underground H.Vdru 22. Ducts, Ventilating � - : . '�:. 7.7. Produc[ Biping C Gas � Oil 23. Gas Pipe�Rough & Test , � : 72. Underground Fiush � . 24. Roof Framing � -� �• '� _ ' -�. 73.. Undergmd. S[orage Tank � Gas ❑ Oii 25. i;oof Sheathing -. ; . , � - - '. `. 7qj pverhead Hydro � 26. T-Bar Ceiling (StrUtturall & Monocoat -_ " 75r Dry Chetpical ' .. 27. Frame and Flashing ' � ,� -� 76. Ory StaRdpiPe' - � 28. Lathing &�Sidin9 - ' � �' ' ' � - ' '' 77'., fIXED SYSTEb9 FINAL . , �. 29. Insulation ; . - , . 78. FIRE PREV. FINAL + - . 30. Drywall Nailing � -�: _ � � .HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat, _ � • 79: FINAI �NSPECTION � � - - - 32. Electrical-Power MeterFinal �+ - ,",, .� 80. FOOD CERTIFIC:,TE ISSUED � ' 33. Finai.E�ectric - . ' �, Notes: ' '� � - . 34. Final Heating & Air Conditionin9 • � • ' � _ ,' , . �� ; _- 35. Fina� Gas�Pipe•Test . T ; � , � _ _ . ' . 36. Hood or Canopy ' � - . � ` > ' � , ' 37. Final Factbry Fireplace � ', ` ` 38. Final Plumbing ' • '. � 39. Water 5ervice-Final ' _ ' � • � � � 40. Gas Selvice-Final � - , . - � 41. Solar OomesticFinal _ . . • -. � 42. Backfiow Preventer " ' t .r• . -43. Backfi0�v Irrigation ' , y,r)/�� !,`9�/� �, ' - _ (/ L{� f10-� /�� 44. LandscapelrrigationSystem� _ � - �� • � � • 45. Sound Attenuation - � ' ' , � -r - i . 46. Handicap Regulatioris �� _ • 47. FINAL STRUCTURE & BUILDING ;Zi�� '((j� �' � ' . 48. FINAL PLANNING !� , 49. Electric Release to Edison � , - � 50i Gas Re�ease to Southern California Gas Co � ' • 51!. CERTIFICATE OF OCCUPANCY No. Date a PARTY WALL AGREEMENT � THIS AGREEMENT, made and entered into this �� T flvGuS i /g 97 , by and between _TO� P. M/�/{�IJ�Z hereinafter referred to as "LANDOWNER," and ��E Li9/ZSO�/ hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line day of between �3� I��7/epE�L ST. ., GOST,9 y�ESA ,.C13 9-2 �-Z% .4N1� �(Address of Adjoining Properties) G 37 A�I-/t2��- S5: _ GosTA MES�1 , GA 9' 2 � i% in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ✓ 'o-N-� P v� � �ti / (Signature) —�' � T�^�Y P. MA K 6� V t Z Name (Typed or Printed) ADJACENT PROPERTY OWNER (Signature ' ��/ /?A E L.fll?S?7N Name (Typed or Printed) _ (v37 Dfi2R��-� ST C�STA McS9 _(3� Q13/Z/�ELL S7- (.;[)S�y MF1q (Address) G+A 9Zb�k7 (Address) C� 92G .�,7 J 1906-46 �ARIZATION REQUIRED CALIFORNIA ALL•PURP�SE ACKNOWLEDGMENT . � / /� � � : . .r` --,�, � > On . / / before me, � ' DATE � NNAE_jIDFOF personally appeared /f��!/'Yf; ��G%z � �� Lq-��irJ , � NAME(5� OF SIGNEH{5) ❑ personaily known to me - OR -�proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)+s/are subscribed to the within instrument and ac- knowledged to me that he/sk�e/they executed the same in h+s/#+er/their authorized capacity(ies), and that by h+s/#►erftheir �"'"��"'61ARdf signature(s) on the instrument the person(s), _ ca,.,,a,iw+niiseia �rwa�—cara�w or the entity upon behali of which the �,+vcar.n�r�iv+�aaaau person(s) acted, executed the instrument. WIT SS my hand and official seal. SIGNFTURE OF NOTARY OPTIONAL Though the data beiow is not required by law, it may prove valuabie to persons reiying on the document and couid prevent iraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER m��s� ❑ PARTNER(S} ❑ LIMITED ❑ GENERAL ❑ ATSOANEY-1N•FACT ❑ TRUSTEE(S) ❑ GUARDIAWCONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSOt1(5) OR ENT(ttPES) TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE �C� Lp � Co' ltit�o�i� blo�fc urall �� CITY OF COSTA MESA PLANNING DIV. SUBJECT �O BLDG. QEF!T. REG, � �'C � DATE' '4e�7 �ON �e�'�f' sicC2 � �i �-103�12 3 r� u ;,, � r� m m � DIVISION OF BUi1 Ci�N Cif �'iQ.Ci _� APPRO NOTE ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIVISION ----- F2L�AN. pr:Ci�'�,r•'i-Y-��N�- r 631 An Rrk« ST flRs vN NG SAFE7��i r^r-�'T v �n/rJ �:v� MESA E D B�aa� By_�e;�.0 ,1�%t�. Date a I �`�17 % fiis set af plar�s sd �xcificz5ons F'U3T b� kc;.t cn thx job 4? �I t:�e; � i: i; e::!a�dul !o m;':a ��/ chcng., r„ .:'t;rtion en scme eri:lout �xr��t..� pc:r,`:i��:c� t_o,� t�o Cvi�c� ct Cu.:d:�� n� ��c.y, Ciy a' Ca'� P,".a: �*o c;zmr:n� ct t�'s pl_n znd e�cci.'.: ::cns £H+':lL K;�T DC h�:tl (o p[^''.t 0• t� b;� c� r.rprovd cf i`o v��t!icn cf �ny provi::o;s ot eny C•.?� ot Cosh ��:cc� O.G:a::nce : ri::'cr �4�ta 11�v. �l�a ; �'rns 2ntl pertz i sh�l e:�r•� by li�nitation cntl boceme ne'.i �ra �„ �` ; bu'.'.�:�n er r;alc i� r.�t wmmene� erd mcir:�ined cC:vr.. o;;� :.,.. ��:! lc�l w: �in i�u �'-�ys c' i�su�oco. �z' s C�37 bP1R�iE�. ST -ia r�� `/ M� �z� u�..�2. Y�R�FF.IZIy �>WNrP� ��E�vnL<< y OwN�l�S t�L`�T rc�R Coi�C.�ETE l?IVCK l�/rjLl 76' LvrJCr X �� 1P�GN � � m rnaecrnooxess;: 637 DARREI,L STj , bxm'-" ov�y�R'SNAME: TONY MARQUEZ � ' . ' • .. RDDNESS: SA*ME i . . , � .. : � � � �i►:. . � � . . . -. � ' - ' ' � � " . . . - i ' c. ' • . � . RRC�NEEB.� . . � ,flEG.NO.: i . � �ooeess: . , , urirt: • ' , ' PE"""TTEE: TONY MARQUE7. :'., ' .' ', ( 714 1:,;69;6 333'9 eooaess: 6 37 , DARRELI, -,ST I' CM � •CA 97.G27 110ENSEO CONTMC70N DECIAMTION: I he2by aifirm'�ihat I am licensed uuder provisions of Chapter 9(cammencing with Section 7000) oi Oivision 3 of the Business an0 Pmiessians CoOe`an0 my,license is in full.forie anA eifecL � � CITY 11C.: ' ' STRTE LIC.: .. . �7 CUSS: � '- � � - . oa�e: ' Signature: � � � � � WOBNEBS' COMPENSRTION OECLAMTION: I herahy aifiim that I have a certificate oi consent ro selFinsure m a ce�titicate al Workers' Compensation Insurance, ar a cetlifietl copy [hereof (Sac�ion 3800, LaD. C). ' ' PoLICY N�.: j ' EXP. �17E: _ • , COMPRNY: � r ' � CertifieU copy is hereby furnisheE. � � CertifieA copy is filed with ihe ciry BuiltlinA Division. � � Date: ApDlicant: ' � � E%EMP710N FNOM WORKEPS' COMPFNSRTION OECIAILITIOXi �(11ti5 section need not De campleteA ii tAe Dermit is lor ane hwMred (5100) or less�. I cetlity Ihat in the pertormance of iha work for which this permit is issued, I shall not employ any person in any manner so as to hecome subject to the Wor rs' C Den3ation Laws af Califami5.' �/�, r � � Oaie: � 2 � S Signature: J e�'u—� -� - C✓ �ti�' � NOTICE: II, atler makinp Ihis tleclaration, you should'6ecome subl [ ro t�e Workers' Compensati� provision of Ihe Labor Cotle, you must totlhwit� comply wiih suc� provisions or this,permit shall ba daemed revakeA. � ' CONSTPUCTION LENOING IIGENLY: I'here0y a(tirm that ihere is a construction lentling aBency for the pertormance oi IAe�work for which tAis permit is issuetl (Section 3097, Civ. C�. . . � � - � , ' . LENDEB: �' ' , •. ' , ' FDUflE53: ' . � . . . . � . . . ." . OWNFR BUILDEB OECLAMTION: I hereby aifvm ihat I am exemD� �rom t�e Contracrors',State License Law far the tallowinq 2uon (Section 7031.5 Business anE Pmfessional CoGe: ,Any ciry af counry whicA requires a permit to consimct, alter, improve, Eemolish, ar repair 5ny sVucNre, prior to its issuance, alsa reQuires t�e applicant for such permii to tile a sipnatl statement Ihat he/s�a is Iicense0 pursuant to ihe D�avisions of tAe Cantracrors' S[ate License Law (C�apter 9(cammencing wtth Section 7000) of Division 3 oi Ihe Business and Profession5 Cade) ar I�at he/She is exempt �her¢Imm antl t�¢ basis br Ihe allep¢d exempti0n, My violation of SeCliOn 7031.5 6y any apDlicant far a OermR subjecis [he aDO��cani ta a'ciWl penalry of not more Ihan,live hunUreO Oollars (5500�. , ' I, zs owner oi ihe proOenY or�my employees with wages as �tAeir sole. compensaiion, will do' Ihe wark, antl IAe � simcture is no[ intentletl ar otteretl for sale (Section 7044, Business antl Pmfessional Cotle: • The Coniractars'�State License Law does not apDly to an owner oi a DroDenY wha UuilUs or, improves t�ereon, and who Uoes such woM �imself/hersell or [hrouAh his or her own emplayees, pmviUe� that suc� imD�ovements are nat intende0 or ofiereU for sale. 11, however the buil0ing ar 'impwvement is m10 within one year oi completion, t�e owner vrill'have t�e burAen of pmvinA he/she Oi0 not 6ui10 ar impmve for IAe Duryose oi sate�. � , - � � ' I, as owner oi ihe D�opeM. am exclusively contracting vnN licensetl cantractars ta constmct i�e project (Secnon 700C, Business ❑ anU Pmfeuians CaOe: T�e Canirutors' SW�e License law Oces wt appty Io an ovmer of pmpeM �o bmlEs or impmves �he2on anE wtin coniracts Por such pmle��s wilh a contractar(s) license Dursuant ro t�e Con(racrors' Staie License Law�..l am aware that proof of iheir Worker's Compensation insurince sAoultl Oe OroviOetl to me. ' � � I am exempt under Saction: - B: 8 P.�C. � � ' - for t�is reason: ' . l� ; ' ^ � rh oate: - /i � %� �� owner. je�- �✓� �� I Uo hereby certity t�at I am aware af antl unAerstanOlAe requiremenis at Califomia Health and Sa1ery Cotle Section 2550.5, 25533, anU 25534 anA that I or any tuture Euilding ocwpan[ wiNwill not (circle one) need to compty with saitl state cades anG the reQuiremenis tor a. permit for constmclbn ar moUilicatian Imm the Nr �ualiry Management DisincL Nesitlential constmction apDlications are eKempt from these pmvisions. ' f , . i � Datey Applicant: I �ereUy certity IAat I Aave reaE t�is application antl state that the a�ove information is correcL I a0ree to compty with all ciry' anA caunry arAinancu anE state lavrs relaNnO �o buildin0 constmctlon an0 hereby aui�onze repre{entatives ol t�is cdy to enter uD� �he a�ovo-mentionetl propeM �orinspection purposes. � j�`� � Oate: � � Signaiure: r�`+'+� - � ^ � � h��• _ _ �_ Driver's Licenu or Social Securiry x: � ' � 16C1-48 Whlte—Builtling; Green-COEa Eniurcament; Cenery—ApPlicanl; Pink—Revenue; GalEenrotl-Asseswr . � t : ;.;.. . ._- _ --- _.. _ . .:l,�'i«"?; :. ' .CITY QF, COSTA MESA - '[3UILUING PERMIT PERM I�O: 't� .0447F3'j.j. ' , :`F. , 1.•.. ,-., . . . , � .'p . � . . , . . , , . . . . ., .. PERMtI'i. NO: B 04478li �' •PLAN �CHECK NU: '012(10-8�9. S GOVT: N SUPP�: N�` CONSTRUCTI.ObI. TYP�: ' ,� PERMIT"TYPEr'5'CR' . , ; PUFtPOSE: N�W .. . . ..' . . .. . : � ' •' ( ' 1 . , . . : ' ' '. t `C : . JOB -DES�RIPTIUtd : ST;D.BLOCK AND, RE'P. WALL � �, � � : _ . SQ FT: � 94 _ 'I CLATM.UALUE: , 2,500.00,:CALC-VALUE: 2,G10.,00:.GROUP OCC: M-7.�;/ ;,,..; ' COMMEN'T�S: • � ' � - , . . . . , . � � ***�*-��x-**�*+�*�'��***�***�'****x�*�-**��*k*-x�***��*�*-��-�r��**�-iF,**x�*�.***�**�***'-x�*�-*��- ' Z O �] T N.G �, R. E Q U I�R � M E N T S, � • �" ' �-'_ � . , �� S B T B A C Ft 5 . • c. •-. �-------�---- MAIN BUILDING --------- ' �---------- .ACCESSORY IBUSLDING. - . - FRNT: � F'T' IN REAR: FT TN 'FRNT':; FT'. IN REAR: , i6 E'T . G IN , LEFT: FT �IN RGHT: FT IN � LEFTr 45 FT 9 IN RGHT:. _ F'P IN �' PARKING REQUIRED: � �PARKING PROVIDEll; PARCEL: .42215�12 ZON�: R7 , PLANNING D1t5TIsS> P.PPROVAL FOR, 21 LINEAR PE�T 6 FOOT •BLOCK WALL AND '"7J LIDIEAR .. ; - > FEET' 'OF' 30 INGH- RETAINING WALL - ' �IFiFiE�fitjfiEicitjE�EiEie�iEif�lEiE�1F4iF#.1EiEiEiF'.EiE1EillEifjEiFlEdE3EiE1E3EiE�lEitiE3Ei'iEikiEiEikiElEih1E�lEiErt3EiC�iEdEiEiE3E3EiEiEik*if'3f#ifiElEif#if�E � D;E V E L O P M.F N T S E R V I C E S R E� U I R,E M E N�T,S.' ZONING APPROVED BY � DATE: � BUILDING AFPROVED DY ;: ' ! � DATE: �f� APPLICATION TSSUGD DY:�� . DATE: ��!�J�//� itifiE�EiEiflEiElEiEiEiFifikifiFiEiFiFjhiEfE�iE #jf. iEfE�lEikaFiEffiE�E iE �E3E� : if#�IEiE1EiEiE�1E�hKiE3(-iE�1E#�lEifiFiE3E�1Eil�iEifif-ifiE3kiEiEiEiE IfiFiF#IE #iEiEi`�)E3hif�lEiEiE3E1E1Eifif�lEiE7l�iEiEiEiFiEiE3(-iE1Ej(-.ififaElfifiti(�)F�7F%if LEGALIZATION,:N , 'F E E' S U M M'A R:Y• ""STRUCTURAL SEGMENT':Y BLDG PMT FLUMBING ' ELECTRrC MGCHANIC FIRE SMZP/RES'� GRADING PERMIT -+ 54.00 . •.50 � PLAN . 3;S'. 10 �.'� . . �MIP /NON-RES ISSUE F�E - . . , . , , 'T3UILDING-DIV-? PERMIT SSSOE P„LAN-CHECY. T�OTAL PZiID � DUE TOTAL5--,--> . 54.5'0 0:00 .•?` ,.,35.'10 t39.G0' fl9.60 ' ;.00, �R�VENOE DIVdSION�'fOTALS�--: COLLECT�D: fl9.G0 OVER/SHURTv' .00 DLDG PM'f PLOMbING ELECTRIC M�G[IANIC F,SItE SMIP/;TOT, 'CRADING PI,AN�-CHECI< .s4.00 .so �s.io ' � . . ' • ' ' � ' . J '3E iE iE iE iE iE jt iFlt �)E iE 3t iE if if 3E # if iE �lE # iE iF-Y.� 1E #iE if 1E iE if 3E iE jE iE if iE iE # ii- iE iE iE i(-i(� if iF 1E iE i.' fE iF!t iE i(- ff iF �1f if iE it iE iE �K-Ih iE if iE 3E �IE if %iE iE �1F 3E iE 3! iE , I N D; I V T D. U � L E•' E L b R E P. K D O id N • ' TYI�E QTY S"FR , 29 " SPR . , ; 3 ' U E 5 C R I; P T I O•DI RtiS-CONCRESL, IiI,OCl< WALL, � - RH5-RETAIN WALLS U,P•TO 3'FT W/SURCH END OF PEES 1 ' �'�. . � . i` �, i� UNIT COST ' 20.00 30:00 �,' ��OD=ti`PQ-`��R454'.? nHr�: i�,o�r,� .�tn� t . � . . .. _ . .. . � . � . .c . , . TOTAI, CUST 4LO.O,O 2,19U'.00 �i��=� „ ;! i i 1 / ��; / i .� � ' � I60NSTRUCTION AND PLANNING �� •` ' ' POO. 1PA � ,.+AP'��',� S Permit# Date . Inspector� ' � Date Inspector _ APPROVALS Permit # � ,'1. �Temporary Electrical Service or Pole . �• ,52. Pool &,Equipment Location • � .2.� Soil Pipe-Undrgmd: � ' 53. Steel Reiriforcement �. . -� ' • 3.�'�ectrical Conduit Utiiity-Undrgmd. 54. Forms' . � -. • 4. Electrical Conduit-Undrgrnd. • � ' , 55. �Electrical Bonding � , �, � � 5. Steel Reinforcement ' . 56. Rough�Plumbing & Pressure Test • "6. ElectricalUFER�Gmd. - 57.�APPROVAL�TO�COVER�GUNITE , 7. Footings �(_ � (� � 58. Electrical Conduit-Undrgrnd. -� 8. Foundation � 59. Gas Pipe, O Uniirgrnd., Test . ��" 9. Water Pipe-Undrgrnd. , j,, 60.��Backwash Cines, P-Trep, O Undrgmd. •}^. 70. Structural Floor System 61. �APPROVAL TO DECK , l 11. Property Sewer Line &� House Connection -� •�, 62. Backwash & Receptor-Final , ' 12. Sewer Cap - � , `� 63. Heater & Vent-Final �� ' 13. Roof Droins - � . , � 64. Plumbing SYstem - Pinal .' . ' ' 14. Rough Plumbing _ � . � . 65.- Electrical-Final ' � � � , t. ' 75. Rough Electrical�Conduit . 66. Solar SYstem-Final . " ' - � 16. Rough Electric Wiring . _ 67. Fencing & Access Approval !` � t. 17.� oughWirinqSign - � . . � 68.�APPROVED�F.ORPLASTERING � � ,•• r 18. Rough Electrical-T Ba� Ceiling ' - 69. POOUSPA SYSTEMS FINAL ', y • - 19. Rough Heating &:Air Conditioning � �� FIRE DEPT. REQUIREMENT 20.-Rough Facm,ry Fireplace � -� - - � � � �APPROVALS� Permit# 21. DuCts, in Structure' . � ' , �. ;_ 70. Underground Hydro 22.:Ducts, Ventilating �' , -- 77, Product Piping O Gas ❑Oil' 23.'Ga's Pipe-Rough & Test �. -- � . - ._ � 72. Underground Flush ' 24 �Roof Framing - � - - • � ��73- Undergrnd.Storage_Tank O Gas ❑ Oil 25. Roof Sheathing ' � _ ' _ - _ , y 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat. � , :> � 75. Dry Chemical • 27. Frame and Flashing � � '� - - ' 76. Dry Standpipe ' � � `28. Lathing & Siding � ; � : �Y_. 77,-� FIXED SYSTEM FINAL� •- - . 29. Insulation , '� ' �� 78- FIRE PREV. FINAL � 30. Drywall:Nailing � - - . . �J� HEALTHDEPT.REQUIREMENT 37. Plaster Brown Coat+- ` . " � � i �' ' 79. FINAL INSPECTION _ � _ � .32 -Electrical.Power Meter-Final� � � ! !r-' �80. FOOD CERTIFICATE ISSUED.. - _ 33. Final Eleciric • ��"' � Notes. � 1 �� - B, i i: 34. Final Heating & Air Conditioning- , , � � f;, , � �� ' � - 35: Final Gas Pipe-Test I'{ ,% � � - ' �1. �.36. Hood or CanoPY '. .. .,_. , i � , . _ _ 37. Final Factory Fireplace' - � �' � I - 38._Final Plumbing � ' . �� , ' 39. Water Service-Final � �� i40. Gas Service-Final ; � ' � • � -. _ ' -"41.�Solar pomesticFinal' . - - � , 42. 8ackflow Preventer ' '.. ` � ' � �- ' " 7 � , � _ 43. Backflow Irrigation�� ' � '-. � _ � . - - ' . 44. Landscape Irrigation System.'. :, � i� � � ."-; ' . ' ' - _ 45.=�Sound Attenuation • • -' i, � - �- � :. 46. Handicap Regulations " � ;q�_ '- � - � � � '. 47. FINAL STRUCTURE & BUILDING •- �� h „ ;; - . 48. FINAL PLANNING ' ' �'ti+ : '49.' Electric�Release to Edison , , �� _" • � � � ,� - 50:.Gas Release to Southern CaliforniaGasCo ' f�' ' . . , � � ' _ . (i. - � . ,.. ' 51. CERTIFICATE OF OCCUPANCY ,;� ' - No. Date 'v_. , . r _ `7 � , , R.: �r M � � � N ti � A n Y �P --_ � 177Y� t � a � �'Jrj 1 S �'I '� l,� LG � )�''^ �""}a� �.of. . . /S£ �I�� „%,ZL „5�31 ��J 1 lilO01/1r � »M�01�1Y `�-.�,, �o�Nux� a �o h,f'—z.a r-31V4 `�'s'j'.1�-L1 � 'o�n •�a3a ��a�a ot uirene � '1d3Q .�,R1INIVV'Id VS�i�/ v�$o� �o w� l b , �-�� I _. 1l bM�'�1�, 9 �'� i� fartauar �sw� �� . City of CosT �,i�il aing Jept. aY � __ � ��,?�.u-?4,9�, THf.S� PIANS!•%'%' - 6i: v`'d 'r�5 ?:T At.t 7!l.hES Mr.K; NU CFfAr.;�ES \',; r.::J'S FR;:�B ��:?VROYAL OF DEPT: fN@�ISSUhNCF. i:R G.'.!.,iiiiKf- �ji A PFRMIi ^v? G,PfP,pVnl OF p't.��YS.tiMD SFE[:ri�::�.'!i�.'; :'(�ltU. NC7 P.E CO�>TfiUBD 10 9E .A PE^nMIT FU3, qn :d: .�^,�%,'vl U:, Aiti'; �'IOIt-.iIOP: OF l:NY Oi iNEPRQ`i51Gi :OP �'�c.l:..Jc. NO';S`:!T`:2sSU!hl!dG iJGNE t.'viYG�� 1b �;�l.:f:: ^�7 Q�D;CEI. `,HE PSUVISIONS OF THIS CGDE SriFtt GE ��Ai%G, F:F.f'�•* IP; SU "rAR AS 7H"t VlORK OR USc wH;CH R A�)1NOF�_ES i� eA.':UL. TNE t59UP,NCB UF A PcfMiT B:�.SED UPOiJ PL4�5 AND SPEQFICh":Il:NS $!'.�.LL NOT PReVENI THE BUIIDING OFFlUP.I FROM 7�E'dEFFTE:: icEf'��!kI�G fHE CGRRE.TION 07 @RkORS�IN SklG ^!?,;u5 AND SPkQRGAiIGr15 OR FRpM PR:VEN7ING EUI!blN6 CPERATIONS eE1P'�: CARRIED ON iHEREUNDER wHEN IN vlO:r.;;pN OF TH6 CODE OR OF ANY GTHER OBOINANCE OF 1?;E C;T'. a d a r � .. * TYPICAL 6" CONCRETE BLOCK FENCE �� Csment Coping OptionN � Ch�nnsl8bck With 1-3/8� Hori:ont�l Top of all Fanea� Fo� Feneef 5' or Laa Ven. ean 3/8"� at 4' •0" O.C. For F�npf Higlyr Th�n 5' Wrt. Ban 3/8^� s� 32" O.C. Fill Calb Solid With Grout WAert Steal Oeeun� Reintoreinq Stesl Slrll Co�form t0 Sec.A•15�38 A.S.T.M. All Stasl to M Lappd 24" or to Cade NATdRALGRADE TWO 7l8"� BARS � CONTINWUSTOP , I 6 80TTOM � �� ./IpR�igTEEI MUST BE TIEO IN VLACE AT TIME OF�TRENCH' INSVECTION. ' a s r � � W a= a 'z a i� WO u� . e -1-1 s -�--� : I�-warN p SEE CM� � BELOW �'I' . FOOTING REQUIREMENTS CHART \.:. GENERAL- NOTES MdiTAR; pM pai� p�astie Cemenf, ond TAree Parts Sand GROUT; pna Port Cement Thee anE One Holf Parts S�and COPIN�: One Parf Cement, Three • Porfa Sond CONCRETE: Wel i MF�ed 1:2-1/2: 3- I/2 Mar. of 7-I/2 Galtons W Wolar Per Sack of Cement aROVT MAY BE POUREO FqOM THE TOV OF THE FENCE IN CElLS WHERE STEEL OCCUNS. CELLS AND AREA80F MOR120MAL REIN• FORCEMENT SNAII BE CIEAR, CLEAN 6 FREE OF AL� MORTAH DEBRIS, ETC, 'N Oi EARTHTCOTN � 3 iME HEIGTM OF iENCE OW BOTTOM OF iOGTiNG. SCALE: 1/2" • I' -• 1 nMLL nCWn1 O D } Y 7 1 ' WIOTM . . . . . . . . . . . . . . .14" . . . . . . . .14". . . . . . . 1._I2�.,:.:.... : . 12" : THICKNESS . . . . . . . . .�� ` . " . . . . .�� . . . . . . . . . . .�0� . . . . . . . . . . 8 . . . . . . . . . . 8 DEPTM OF EARTHTOOTH . . . 24" . . . . .20" . . . . . . . . . . . 16". . . . . . , . 12� SPACING OF EARTHTOOTH. .' 12' . . . . . . . . . . .t4� . . . . . . . . 16�. . . . . . . . 16� OWNERS N4ME: _ _ _ _ _ _ _ _ _ Ci l y 01 �QSI Q Mesa CaliforniQ JOB ADORESS _ __ _ ._ _ _ _ _ _ __ __ _ _ _ i PERMIT NUMBER:_ _ _ Building Departmen,l SIGNAtURE. _ _ _ _ _ _ _ _ _ � _ _ _ _ 1� 0 i 2 w3 BARS— •3 BAHS 24" Qi 6" CONCRETE MASONRY WALL ALL CELLS FILLED SOLID WITH GROUT OMI7 HEAD JOINT IN FIRST COURSE AT�32" D.C. FOR WEEP- HOLE GRADE —� ty S01 L CITY OF COSTA MESA BUILDING DIVISION RETAIMIIdG WALLS 2' -'0' MIN. � GHADE � � III=_III_I11=111=11! X t i O 'a BARS � 24" O.C. ' e s 2 aC4� ON7. �,_ �.. �IF SURCHARGE OCCUR$ WITM TMIS �jl OFSg�T�H�E SpL�OPE�MUST MINIMUM BOFK2r 0" 2 r3 BARS r3 BARS 2d" O.C. — 6" CONCRETE MASONRY WALL- ALL CELLS FILLED SOLID WITH GROUT OMIT HEAD JOINT IN FIfjST CWRSE AT 32' QC. fOq yyEEP HOLE GRADE �� POUR FOOTING AGAINST UNDISTURBED NATURAL $OIL s s •4 HAF NOTES: 1. Retalninp wall a�all be B�outeC solid. Y. Ralnloreing splkes N masonry shal l be lapped not be8 than 15". In conerota not less ihan 12': 3. Omit morlor et head jofnb ol Ilnt eoune at 34" o.c. 4. Mo�ter sMll bs no leaner lhen 3 to 1. � a. InsP�tlon rc4uired prior to prouline celis. 8. For retalnlnB walls prwte� than 4'- D" or with sweharge loads other than ahown above, engineering qleuletlons eh811 be.s,Ybplitted. _ SPECIFlCATIONS: CONCRE7'E: 2000 � at 2e mys. BLOCK: Gndo N, Type I A.S.T. M. C-90. REINFORCING: Grade 40 A.S.T.M. A615. DECEMBER , 7987 r 2._ �, MIN. �-GRADE � Itl,iii_ 111= �° 111 � 71 s� _ �' III e II � � i i� � O • � � �� f s t2" � . e . • a � )N :i ' 1. '` � . /� . / �X/STi,�� /3LoCK W/t� L (, � HEiC-HT /NCL(JU�nl� CA/� o ;, .. . .�, �.� .. _ . � 3JN>7._/ Ti�3f1L✓/7') ,OOOMO�a/:'O.tii151X�9 � : f' .. . i. . _ _ �. . . ' ' _� ` ' '.' . iI ` . . . � PRo P�SED R6T�+�n/��/fr� w 6 "x � �� x /G �' .�i �SS�a.v PRri�oS"�tL /3LUc/< t.�J�[.L /jLoc/G RL-I�IR/N/N� L}Q/J TifJN �j• iNccvO�NG/ �`p�.� %WALL 30"H�/G'k7 �k 6 ., x 6., � z�'3" -z�, 6„—� � e . 6 � N 1�i1 i "� F'�L4STERS "� � � � � n � , I � 3 F K ,. 2 `' � � � � ; I �? ;' U � � � ; ?!� a � l��.A� ' li � ? � W ? �2 � � � u 3 r,y � x �{� ., 2 '^ ,, � w = r �� , o � ' M j"' a y. y� u. w�, R ve �C O `i I y "C ", O� W I. .. _ .. � . � . . LL � .� . f=q. _. _ °�,:� • :! � � 1 , 5� �� FiIGN PI�ASfEK$ /S' 3 �� _ �0�3 - —_ 6 X S�-��X/c" rr iss- o� /3GocK RbTArN/!NG W 9 �-L ?a'� h�t/G�i J / . ,, _ ! • . � �.,, owrrExrIARQUEz, TOPIY P. AP. No. lly—� INSPECTIONS OCCUPANCY LOT TRACT � DATE DATE 10—�y-60 BUILDING PERMIT NO. FIR� ZONE DESCRIPTION OF WORK tilOCls OUP TYPE ZONE SUBCONTRACTOR I _ PERMITSISSU Form 210—SM-11-59 5-B P , ],Z93 �R MXitq,'UP;G� '1'V1VS UA I C ,}-O- � 4 JOB ADDRESS b;i'( llarreii 5L. BUILDING PERMIT N0. ROUGH PLUMBING PROP. SWR. LINE Q HOOSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH MEATING AND AIR CONDITIONI TEMPORARV SERVICE OR POLE UNDERGROUN� � POWER � ROU6H WIRING TRENCHES FORMS STEEL FLOOR SVSTEM ' BOND BEAM n STEEL FEINFORC SHEATHIN6 FRAME AN� FLASMING � LATHING - IN n OUT��_ PLASTER, BROWN COAT ' PLIIMBING, FI ELECTRIC, FI! 6llILDING, FIN A RlRJIPIA SUBCONTRACTOR owNEx Santa Ana Ranchos JOs ADDRESS 637 W. Darrell Street' GENERAL CONTRACTOR Dike & C012�T'Ol P. No. LOT 10 TRAC DATE BUILDING PERMIT NO. VALUE DESCRIPTION OF WORK Slnole ReS. Att, G32�, GROUP I& J TYPE V ZONE � PLAN NO. INSPECTIONS I DATE I I ___ PERMITSISSUED SUBCONTRACTOR coat Gas Tut ,I� �� ,� f', . 1�2�3R COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 COBTA M88A. CALIPORNIA �For Applieanf fo Fill In Complefely � TYPE OR PRINT COS7A MESA CALIFORNIA / � EBTBI�CK LINB PROM / S T, TEL. ,�,� NO. TEL. �. NO. OP BLDO6. DESCRIPTION OF WORK � .. �� ., _�o.r,,.., � �� ,.,.,,.,,. BUILDING' sae . EXTERIOR WALC NO. OF FEE RECEIVED � �.� �-- b o-g �. FINANCE DEPT, APPL�f �N��F1 �RT BUILDING For Office Use Only RECEIPT NO. PC9MIT N< � I /- - al /e � -� f lLzc� � COSTA MESA. CALIFORNIA ' ZONING i / ZONE � NO.OF I U3E OF NEW � PLANB Y BUILDING � LEGAL 1 � � � � � �� oeseaiatinu L ICENTEH L�NE 9TJ USE OF BUILDING ANO WORK TO BE PERFORMEO . - a �� coc �e�r, w e. � �o'� 6 � ,(3LOG �nl/-3L L S7 ` LONG - I MGR¢GY ACKNOWL$�GH THAT 1 XAVE R[AD TH18 APPLIWTION THE AMOUNT BXOWN UNDER YALUATION 16 FOR THE ANO BTATE TXAT TXR ABOV6 i6 COPRECT AND AOR2E TO fAM- PURP09E OF E9TABL�eHING A PERMIT FEE ONLY. PLY WITM ALL-CITY ORpINAN�B AND 8TAT6 UWB �REpUI.ATING Bu1t.DINa cONernucnoN. - VALUATION �.L1 �/y 8�6NATURE OF� r P�J--y /{�� J PERMIT FEE $ JX• ' RMI7TE - { �� _, {� '. ' $ � PLAN CHECK $ �� ED AGENT 3� TOTAL FEE f / ! F LL � � :'�;:�50 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � For Applicant to Fill in Completely BUILDING //j�j ('�� ,CT ADDRESSL �/ .LJ/3 l OWNER TIVY /�'/R��!UF Z MAIL / ,[� r/ ADORESS (� �j '% L7.��.(�c.� TEL. CITV �� ..�,�,��` NO. CANSTRUCTION i � LEN�ER /Y��{J BRANCH ADDRESS ARCHITECT TEL. ADORESS CONTRACTOR �(ry �� ADDFESS ��6 +�LQ.�,�% �K� TEL. GTV �1�� (y�` NO. LIC. NO. (� T� s� � �� ICVNO. SIZE �c � NO.OF BLOGS. .r OF LOT �� 1^ � y Q � I NOW ON LOT / f7 USE OF EXISTING BIDG. SREOF �n� �� mIO.OF � EMERIOR WAL� . ROOF COVERING COVERING USE OF BUIIDING AND WOFK TO BE PERFORMED .. ... . . � . _ n P�=;, 35.00 !AR -6-7��c�,.;•00 zoG'� *:::r;: AP IC (TION POR BUILDING PERMIT FE DATERECEIVED D7ATE/ISSVED ,�J'(p— PERMIT NO. A.P. NO. � � BUILDING =,� D - / �i ADDRESS J s TRAC LOT BLOCK EW ADO A R P .�.� .. . nn ✓1 n .. . . � FIRE ZONE VPE � GROUP APPROVED / gy . L- DATE � �(' '� ZO / NO.OF PLANS � VARDSAPPROVED MAIN BUILDING (FROM GL STF�E�T) DISTANCE BET APPROVE� USE OF N BVILDIN�'Od/L,t,. VARDS APPROVED BET. MAIN & AGCESS. BLD DATE I hereby acknowletlge that I have read this application antl state that the above information is correct antl agree to comply with all laws regulating builtling construction, and 1 shall not employ ' any person in violation ot the workman's compansation laws ot the State of California. TA7� � I hereby cartify that I am properly licensed as a contractor untler SQ. FT. o the Stare ot California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, and that such licensas are in tull torce antl affect, or I THE PURPOSE OF ESiABLISHING A PERMIT FEE ONLV: m am exempt from tlie provisions at the Stat¢ of California Business ¢ antl Protessions Cncie, Division 3, Chapter 9. VALUATION �� j PERMIT FEE $ � P"' � SiBnature ot �) /� °� � �— E Permittee �+w ��_ • Q.4'V $�� PLAN CHECK $ ` /% _� � Q Authorized Agent �� . �� LL TOTAL FEE $ �7�� EE RECEIV E� � ,s� MESA BUILDING DEPARTMENT ��(� p�f,._ . P.O.BO% 3�� COSTA MESA. CALIFORNIA p� � ��IA �� FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRE55 637 �. Darrell St. . BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY ' p�� r+eceivr rvo. !) OWNER SSiI�2 �A2 +�clLiChOH l'� MAIL r/y RECENE� BV G�ATE PECEIVEO ��niE ISSIIED ADORE55 �9 E♦ 1/�+h St• 3 0 1958 cirv Costa Mesayy�- C3],if. �No`T�i. 8-1159 nooRE�ss ARCHITECT C'�"�SOII y�r. � LIC' . OR ENGINEER .f�L1QC1LeoI'OOIS rvo. � COSTA MESA. CALIFORNIA n— FIRE A�DRE55 Garden a.4'�� ZONE �yn� 20NE NO.OF TYPE GFO ay, C[ CITV LIC. PUNS ,/ CONTRACTOR �j e j`Q NO. (/ � ADDRE55 �9 E� 17ti11 St� NN•l • 0�11 B�PROVE DATE �E�A� �or 10 CORRECTIONS oEsceivnON NO. BLOCK TRACT A.P. NO. • SIZE L� V�/� NO.OF BLDGS ' OF LOT V V\/ p10W ON LOT IIOAe LISE OF � E%ISTING BIDG. � SETB4CN LINE FFlOM CENTER OF STPEET REAR VARO �r SIDE VARD RIGHT p� LEFT �' ' DESCRIPTION OF. WORK- NEW � ALTERATION ADDITION REPAIR MOVING OEMOLISH eUILDiNG i�i NO.OF L SIZE $ ly ROOM$ p STORIES 1 COVER'INGWALLS4�SCCO COV�ERING V—"Y'� USE OF NEW ' ' BUILDING Sin le fa1i1 residen e " with attached garage. Plan 130AR I HEREBY f�CRNOWLEOGE THnT I HAVE FEI�D TMIS nPPLICnTION wND STATE THAT THE ABOVE IS CORRECT ANO tGFEE TO COMPLY WITH iLL CITY OR�INANCE$ ANO STATE Lt REGULLTING BVILDING CONSTFUC� 'riorv. VALUATION M SIGNATURE OF PERMiT FEE s34�w PERMITTEE ��•^^ �/ $ ^� M PLAN CHECK -$ W ].[,.,5< .w AUTNORIZEO ncENr DI.IS2 BC C0�.2 rove IIIC• TOTAL FEE $5�'�� 9MF